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<title>Importance of methodological standardization for the ektacytometric measures of red blood cell deformability in sickle cell anemia | NIH Research Festival</title>
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<article><div class="banner banner--gray banner--compact" style="--banner-background-image: url('/sites/default/files/media/image/2021-03/2015.jpg');--banner-background-focus: 50% 50%"><div class="banner__wrapper"><div class="banner__container"><h2 class="banner__heading">NIH Research Festival</h2><div class="banner__content"><p><strong><time datetime="2015-09-16">September 16</time> – <time datetime="2015-09-18">18, 2015</time></strong></p></div></div></div></div></article>
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<div class="section"><div data-drupal-messages-fallback class="hidden"></div></div><main role="main"><div id="main-content" tabindex="-1"></div><div class="section"><div class="content-sidebar"><div class="content-sidebar__main"><div class="content-sidebar__main-content"><div id="block-mainpagecontent-2"><article><h1>Importance of methodological standardization for the ektacytometric measures of red blood cell deformability in sickle cell anemia</h1><div class="schedule"><div class="schedule__label"><div class="schedule__label-text"><time datetime="2015-09-17">Thursday, September 17, 2015</time>
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– Poster Session III
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</div></div><div class="schedule__content"><div class="schedule__item"><div class="schedule__time">3:30 – 5:00 p.m.</div><div class="schedule__description"><p><strong>FAES Terrace</strong></p></div><div class="schedule__description"><p><strong>NIDDK</strong></p></div><div class="schedule__description"><p><strong>CELLBIO-14</strong></p></div></div></div></div><h2>Authors</h2><ul><li>N Parrow</li><li>C Renoux</li><li>C Faes</li><li>P Joly</li><li>M Hardeman</li><li>J Tisdale</li><li>M Levine</li><li>N Garnier</li><li>Y Bertrand</li><li>K Kebaili</li><li>D Cuzzubbo</li><li>G Cannas</li><li>C Martin</li><li>V Pialoux</li><li>P Connes</li></ul><h2>Abstract</h2><p>Sickle cell anemia (SCA) is characterized by altered red blood cell (RBC) deformability; Variability in the degree of deformability may predict the occurrence of complications. Ektacytometry is the gold standard for measuring RBC deformability. However, analysis of blood from SCA patients requires careful methodological considerations, because rigid cells do not align properly with deformable RBCs in response to shear stress. The percentage of irreversibly sickled cells in a sample can be determined by altering the size of the diffraction pattern using the camera aperture on the commercially available ektacytometer, the LORRCA. The aperture is not accessible on the latest generation of the LORRCA. We investigated whether or not the percentage of irreversibly sickled cells could be estimated using the camera gain to alter the size of the diffraction pattern. We adjusted the camera gain to generate on-screen diffraction pattern sizes of 3.8, 4.5 and 5.4 cm and measured the deformability profile associated with each. Results indicate that RBCs from control subjects adopt an elliptical shape under shear stress, whereas SCA RBCs adopt a diamond shape arising from the superposition of elliptical and round patterns. The round pattern, found only in SCA blood, represents rigid RBCs. Differences in maximal deformability (EImax) and shear stress required to achieve one-half maximum deformation (SS1/2) between the highest and lowest camera gains used reached ~ 10% and ~ 50%, respectively, in samples from subjects with SCA but not controls. These differences correlate with percent sickled cells and hemoglobin S, suggesting this technique has clinical utility.</p><p><strong>Scientific Focus Area</strong>: Cell Biology</p><p class="updated"><small>This page was last updated on Friday, March 26, 2021</small></p></article>
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