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Image-based analysis and simulation of the effect of platelet storage temperature on clot mechanics under uniaxial strain

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Abstract

Optimal strength and stability of blood clots are keys to hemostasis and in prevention of hemorrhagic or thrombotic complications. Clots are biocomposite materials composed of fibrin network enmeshing platelets and other blood cells. We have previously shown that the storage temperature of platelets significantly impacts clot structure and stiffness. The objective of this work is to delineate the relationship between morphological characteristics and mechanical response of clot networks. We examined scanning electron microscope images of clots prepared from fresh apheresis platelets, and from apheresis platelets stored for 5 days at room temperature or at 4 °C, suspended in pooled plasma. Principal component analysis of nine different morphometric parameters revealed that a single principal component (PC1) can distinguish the effect of platelet storage on clot ultrastructure. Finite element analysis of clot response to uniaxial strain was used to map the spatially heterogeneous distribution of strain energy density for each clot. At modest deformations (25% strain), a single principal component (PC2) was able to predict these heterogeneities as quantified by variability in strain energy density distribution and in linear elastic stiffness, respectively. We have identified structural parameters that are primary regulators of stress distribution, and the observations provide insights into the importance of spatial heterogeneity on hemostasis and thrombosis.

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Acknowledgements

This work was supported in part by the AHA Institutional Research Enhancement Award (AIREA) program of the American Heart Association (Award 18AIREA33960524) and in part by the Kordestani Foundation at San José State University.

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SJL and AKR designed and planned the research, analyzed the data, and wrote the majority of the paper. DMN performed image analysis. SJL, HSG, CP, and AKS performed FEA simulations. PMN, APC, and AKR generated SEM images.

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Correspondence to Anand K. Ramasubramanian.

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Fig. S1

Fast Fourier transform (FFT) analysis of a representative clot network

Fig. S2

PC1 and PC2 vs. platelet storage temperature for 66 images of clots prepared from fresh (FR) platelets, 49 images of clots from platelets stored at room temperature (RT), and 45 images of clots prepared from platelets stored at 4 °C

Fig. S3

Mesh convergence. The geometry was discretized using quadratic triangular elements. Mesh convergence was verified by running the simulation with increasing mesh density. (a) Plots of strain energy density versus number of elements for a representative specimen at maximum stretch ratio of 1.5. A stable value for strain energy density occurs beyond 250,000 elements, and discretization settings were selected accordingly. (b) A 5 µm x 5 µm close-up view of a representative mesh for a specimen having approximately 270,000 elements in the overall 25 µm x 17 µm network

Fig. S4

Scatter plots of stiffness (per unit µm thickness) vs. morphometric parameters. The most pronounced correlation is observed between stiffness and porosity, having coefficient of determination R2 = 0.85 with respect to a least-squares straight-line fit

Fig.

S5 Effect of geometric nonlinearity: (a) undeformed mesh, (b) deformed mesh, and (c) contrast in simulated mechanical response when geometric linearity is taken into consideration or not. The overall dimensions are 10 µm x 10 µm in a plane stress model with 1 µm assigned depth and 1 µm fiber diameter along the diagonals. This simplified model applies a uniaxial extension with stretch ratio of 1.5. Neglecting geometric nonlinearity would assume incorrectly that elements have insignificant rotation in the model reference frame

Fig. S6

Skewness of diameter from 160 clot images. A very small fraction of outliers are present at the upper-tail, but the data are otherwise centered at 1.0 with almost equal distribution higher and lower

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Lee, SJ.J., Nguyen, D.M., Grewal, H.S. et al. Image-based analysis and simulation of the effect of platelet storage temperature on clot mechanics under uniaxial strain. Biomech Model Mechanobiol 19, 173–187 (2020). https://doi.org/10.1007/s10237-019-01203-8

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  • DOI: https://doi.org/10.1007/s10237-019-01203-8

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