IFAC PapersOnLine 51-19 (2018) 114–115
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2405-8963 © 2018, IFAC (International Federation of Automatic Control) Hosting by Elsevier Ltd. All rights reserved.
Peer review under responsibility of International Federation of Automatic Control.
10.1016/j.ifacol.2018.09.016
© 2018, IFAC (International Federation of Automatic Control) Hosting by Elsevier Ltd. All rights reserved.
1. INTRODUCTION
Theories of the coagulation cascade have been around for
decades, and they have greatly expanded in functional
detail over the past several years (Qiu et al. (2014)).
However, there still exists a void in the literature on the
quantification of the micro-scale contribution of individual
blood cell mechanics on macro-scale behaviors. We begin
to bridge the trans-scale gap by modeling the cell-scale
phenomena of activated platelets during coagulation.
Though far less numerous than red blood cells in circu-
lation, platelets play a critical role in the mechanics of
coagulation (Rivera et al. (2009)). As the first responders
to a bleeding event, platelets activate and their membrane
receptors undergo conformational changes that facilitate
the formation of small aggregate plugs. The exposure to
stiffer substrates increases the number of activated mem-
brane receptors resulting in an increase in the degree
of platelet activation and adhesive capacity (Qiu et al.
(2014)). Since platelets are the building blocks of clots,
accurately capturing the mechanics of platelet interactions
is critical to a meaningful multi-scale model of coagulation.
2. METHODS
We implement a DEM-based model to capture the phe-
nomenological cell-scale behavior of platelet-platelet and
platelet-fibrin interactions. The adhesive properties ob-
served by activated platelets in experimental isolated-
platelet studies can be modeled by including implicit
⋆
Financial support for this work is provided by the US Depart-
ment of Education Graduate Assistance in Areas of National Need
fellowship program (P200A120195, P200A150050).
membrane-surface mediators of various lengths defined by
concentric spheres about the in silico platelets, shown
schematically in Fig. 1. Each mediator length represents a
collection of platelet membrane receptors.
mediator
platelet
I
II
III
IV
Fig. 1. Schematic of the four simulated platelet mediator
lengths defined by concentric spheres.
We use the experimental force-distance curves obtained by
Nguyen et al. (2016) in a study of platelet-platelet bond
rupture at three activation levels, including non-/weakly-
activated (W), partially-activated (P), and activated (A)
to define the adhesive contribution from the mediators
within each concentric sphere. We use a similar study to
obtain platelet-fibrin rupture information and define an
additional, fully-activated (F), level (Lam et al. (2011)).
To implement the four levels of platelet activation in silico,
we introduce an implicit spring between a platelet and an
adherent substrate. The spring force for an activation level
is mathematically defined by a piecewise linear function,
shown in equation (1), where x is the distance between two
adherent particles and the Boolean conditions correspond
Keywords: blood, coagulation, platelets, cell-scale, discrete element method (DEM).
Abstract: Platelets play a critical role in the mechanics and dynamics of blood clots, but
the exact contribution of individual platelets on the macro-scale mechanics of whole clots is not
fully understood. To elucidate the trans-scale relationship, we have developed a discrete element
method (DEM)-based model of platelet-platelet and platelet-fibrin interactions that captures
the adhesive capacity acquired by platelets upon activation during coagulation. Our simulation
results mimic available experimental data and show that platelet-fibrin bonds are nearly thirty
times stronger than the strongest platelet-platelet bonds. This cell-scale platelet model sets the
framework for a downstream multi-scale model of coagulation.
*
Department of Chemical and Petroleum Engineering, University of
Pittsburgh, Pittsburgh, PA 15261 USA (e-mails: mpc45, jjmcc,
rparker@pitt.edu).
**
Department of Critical Care Medicine, University of Pittsburgh,
Pittsburgh, PA 15261 USA.
***
Department of Bioengineering, University of Pittsburgh, Pittsburgh,
PA 15261 USA.
Megan P. Cala
*
Joseph J. McCarthy
*
Robert S. Parker
*,**,***
Modeling the Adhesive Behavior of
Platelets During Coagulation
⋆