Academic Journal

Biomechanical anticoagulation by spherical platelets in extracorporeal systems.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Biomechanical anticoagulation by spherical platelets in extracorporeal systems.
Συγγραφείς: Ji, Rui, Li, Yongjian, Li, Jiang, Chen, Haosheng
Πηγή: Proceedings of the National Academy of Sciences of the United States of America; 4/7/2026, Vol. 123 Issue 14, p1-10, 25p
Θεματικοί όροι: Hemodialysis, Blood coagulation, Artificial blood circulation, Molecular dynamics, Mechanotransduction (Cytology), Anticoagulants, Integrins
Περίληψη: Extracorporeal life support, such as hemodialysis, often face the risk of blood coagulation, where systemic anticoagulation with heparin is routinely administered. However, this strategy is contraindicated in patients at high risk of bleeding. Inspired by the observation that rolling motion of spherical platelets avoids their exposure to tangential forces, an anticoagulation strategy is proposed based on platelet spherification for extracorporeal systems. Experimental results prove that spherical platelets retain activation pathways and capacity compared to discoid platelets. Mechanical activation is driven by tangential rather than normal forces, and maintaining rolling instead of sliding effectively prevents tangential force-induced activation. Molecular dynamics simulations reveal that tangential force acting on sliding discoid platelets separates the integrin αIIbβ3 head from the lower leg region to unfold and activate the integrin, while the normal force acting on rolling spherical platelets induces headpiece rotation without triggering unfolding, which effectively reduces integrin αIIbβ3 activation. In in vitro hemodialysis experiments, platelet spherification effectively minimized coagulation, while avoiding bleeding complications. [ABSTRACT FROM AUTHOR]
Copyright of Proceedings of the National Academy of Sciences of the United States of America is the property of National Academy of Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Βάση Δεδομένων: Complementary Index
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  Data: Biomechanical anticoagulation by spherical platelets in extracorporeal systems.
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  Data: <searchLink fieldCode="AR" term="%22Ji%2C+Rui%22">Ji, Rui</searchLink><br /><searchLink fieldCode="AR" term="%22Li%2C+Yongjian%22">Li, Yongjian</searchLink><br /><searchLink fieldCode="AR" term="%22Li%2C+Jiang%22">Li, Jiang</searchLink><br /><searchLink fieldCode="AR" term="%22Chen%2C+Haosheng%22">Chen, Haosheng</searchLink>
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  Data: Proceedings of the National Academy of Sciences of the United States of America; 4/7/2026, Vol. 123 Issue 14, p1-10, 25p
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  Data: <searchLink fieldCode="DE" term="%22Hemodialysis%22">Hemodialysis</searchLink><br /><searchLink fieldCode="DE" term="%22Blood+coagulation%22">Blood coagulation</searchLink><br /><searchLink fieldCode="DE" term="%22Artificial+blood+circulation%22">Artificial blood circulation</searchLink><br /><searchLink fieldCode="DE" term="%22Molecular+dynamics%22">Molecular dynamics</searchLink><br /><searchLink fieldCode="DE" term="%22Mechanotransduction+%28Cytology%29%22">Mechanotransduction (Cytology)</searchLink><br /><searchLink fieldCode="DE" term="%22Anticoagulants%22">Anticoagulants</searchLink><br /><searchLink fieldCode="DE" term="%22Integrins%22">Integrins</searchLink>
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  Label: Abstract
  Group: Ab
  Data: Extracorporeal life support, such as hemodialysis, often face the risk of blood coagulation, where systemic anticoagulation with heparin is routinely administered. However, this strategy is contraindicated in patients at high risk of bleeding. Inspired by the observation that rolling motion of spherical platelets avoids their exposure to tangential forces, an anticoagulation strategy is proposed based on platelet spherification for extracorporeal systems. Experimental results prove that spherical platelets retain activation pathways and capacity compared to discoid platelets. Mechanical activation is driven by tangential rather than normal forces, and maintaining rolling instead of sliding effectively prevents tangential force-induced activation. Molecular dynamics simulations reveal that tangential force acting on sliding discoid platelets separates the integrin α<subscript>IIb</subscript>β<subscript>3</subscript> head from the lower leg region to unfold and activate the integrin, while the normal force acting on rolling spherical platelets induces headpiece rotation without triggering unfolding, which effectively reduces integrin α<subscript>IIb</subscript>β<subscript>3</subscript> activation. In in vitro hemodialysis experiments, platelet spherification effectively minimized coagulation, while avoiding bleeding complications. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Proceedings of the National Academy of Sciences of the United States of America is the property of National Academy of Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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        Value: 10.1073/pnas.2535113123
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      – Code: eng
        Text: English
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      – SubjectFull: Hemodialysis
        Type: general
      – SubjectFull: Blood coagulation
        Type: general
      – SubjectFull: Artificial blood circulation
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      – SubjectFull: Molecular dynamics
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      – SubjectFull: Mechanotransduction (Cytology)
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      – SubjectFull: Anticoagulants
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      – SubjectFull: Integrins
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      – TitleFull: Biomechanical anticoagulation by spherical platelets in extracorporeal systems.
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              Text: 4/7/2026
              Type: published
              Y: 2026
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