A microengineered vascularized bleeding model that integrates the principal components of hemostasis

作者：Sakurai Yumiko; Hardy Elaissa T; Ahn Byungwook; Tran Reginald; Fay Meredith E; Ciciliano Jordan C; Mannino Robert G; Myers David R; Qiu Yongzhi; Carden Marcus A; Baldwin W Hunter; Meeks Shannon L; Gilbert Gary E; Jobe Shawn M^*; Lam Wilbur A^*

来源：Nature Communications, 2018, 9(1): 509.

DOI：10.1038/s41467-018-02990-x

Hemostasis encompasses an ensemble of interactions among platelets, coagulation factors, blood cells, endothelium, and hemodynamic forces, but current assays assess only isolated aspects of this complex process. Accordingly, here we develop a comprehensive in vitro mechanical injury bleeding model comprising an "endothelialized" microfluidic system coupled with a microengineered pneumatic valve that induces a vascular "injury". With perfusion of whole blood, hemostatic plug formation is visualized and "in vitro bleeding time" is measured. We investigate the interaction of different components of hemostasis, gaining insight into several unresolved hematologic issues. Specifically, we visualize and quantitatively demonstrate: the effect of anti-platelet agent on clot contraction and hemostatic plug formation, that von Willebrand factor is essential for hemostasis at high shear, that hemophilia A blood confers unstable hemostatic plug formation and altered fibrin architecture, and the importance of endothelial phosphatidylserine in hemostasis. These results establish the versatility and clinical utility of our microfluidic bleeding model.

• 出版日期2018-2-6