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1 Department of Physiology, University of Arizona, Tucson, Arizona 85724-5051; and 2 Department of Physiology, Freie Universität Berlin, D-14195 Berlin, Germany
Interior surfaces of capillaries
are lined with macromolecules forming an endothelial surface layer
(ESL). A theoretical model is used to investigate effects of flow
velocity on motion and axisymmetric deformation of red blood cells in a
capillary with an ESL. Cell deformation is analyzed, including effects
of membrane shear and bending elasticity. Plasma flow around the cell
and through the ESL is computed using lubrication theory. The ESL is
represented as a porous layer that exerts compressive forces on red
blood cells that penetrate it. According to the model, hydrodynamic
pressures generated by plasma flow around the cell squeeze moving red
blood cells into narrow elongated shapes. If the ESL is 0.7 µm wide,
with hydraulic resistivity of 2 × 108
dyn · s · cm
4, and exerts a force of 20 dyn/cm2, predicted variation with flow velocity of the gap
width between red blood cell and capillary wall agrees well with
observations. Predicted gap at a velocity of 0.1 mm/s is ~0.6 µm
vs. ~0.2 µm with no ESL. Predicted flow resistance increases
markedly at low velocities. The model shows that exclusion of red blood
cells from the ESL in flowing capillaries can result from hydrodynamic forces generated by plasma flow through the ESL.
apparent viscosity; blood flow resistance; glycocalyx; hematocrit; microvessels
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