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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1985 Feb;38(2):135–139. doi: 10.1136/jcp.38.2.135

Erythrocyte deformability in peripheral occlusive arterial disease.

D Bareford, G S Lucas, N M Caldwell, P C Stone, S Baar, J Stuart
PMCID: PMC499092  PMID: 2857183

Abstract

A rheological study of 32 patients with peripheral occlusive arterial disease (POAD), compared with 32 matched healthy controls, has shown no loss of erythrocyte deformability as measured by filtration methods (using initial flow rate and positive pressure instruments, polycarbonate and silver membranes, and 3 microns and 5 microns diameter pores) or by viscometry (using laser visco-diffractometric and high shear rate viscosity methods). Erythrocyte ATP concentration in POAD was also normal. Patients with POAD showed a small (4 fl) increase in mean erythrocyte volume, associated with a raised serum gamma-glutamyl transpeptidase concentration, which correlated with erythrocyte filtration and viscometric measurements. Previous reports of impaired blood filterability in POAD probably reflect the effects of accompanying leucocytosis, plasma hyperfibrinogenaemia, or an increase in erythrocyte size, but not an intrinsic loss of erythrocyte deformability.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alderman M. J., Ridge A., Morley A. A., Ryall R. G., Walsh J. A. Effect of total leucocyte count on whole blood filterability in patients with peripheral vascular disease. J Clin Pathol. 1981 Feb;34(2):163–166. doi: 10.1136/jcp.34.2.163. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Angelkort B., Maurin N., Boateng K. Influence of pentoxifylline on erythrocyte deformability in peripheral occlusive arterial disease. Curr Med Res Opin. 1979;6(4):255–258. doi: 10.1185/03007997909109432. [DOI] [PubMed] [Google Scholar]
  3. Chalmers D. M., Levi A. J., Chanarin I., North W. R., Meade T. W. Mean cell volume in a working population: the effects of age, smoking, alcohol and oral contraception. Br J Haematol. 1979 Dec;43(4):631–636. doi: 10.1111/j.1365-2141.1979.tb03796.x. [DOI] [PubMed] [Google Scholar]
  4. Corre F., Lellouch J., Schwartz D. Smoking and leucocyte-counts. Results of an epidemiological survey. Lancet. 1971 Sep 18;2(7725):632–634. [PubMed] [Google Scholar]
  5. Dormandy J. A., Hoare E., Colley J., Arrowsmith D. E., Dormandy T. L. Clinical, haemodynamic, rheological, and biochemical findings in 126 patients with intermittent claudication. Br Med J. 1973 Dec 8;4(5892):576–581. doi: 10.1136/bmj.4.5892.576. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Dormandy J. A., Hoare E., Khattab A. H., Arrowsmith D. E., Dormandy T. L. Prognostic significance of rheological and biochemical findings in patients with intermittent claudication. Br Med J. 1973 Dec 8;4(5892):581–583. doi: 10.1136/bmj.4.5892.581. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Drummond M. M., Lowe G. D., Belch J. J., Barbenel J. C., Forbes C. D. An assessment of red cell deformability using a simple filtration method. J Clin Pathol. 1980 Apr;33(4):373–376. doi: 10.1136/jcp.33.4.373. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Ehrly A. M., Köhler H. J. Altered deformability of erythrocytes from patients with chronic occlusive arterial disease. Vasa. 1976;5(4):319–322. [PubMed] [Google Scholar]
  9. Feo C. J., Nossal M., Jones E., Bessis M. Une nouvelle technique d'étude de la physiologie des globules rouges: la mesure de leur déformabilité en fonction de l'osmolarité. Résultats obtenus par un Ektacytomètre automatisé sur du sang normal et dans différentes anémies hémolytiques. C R Seances Acad Sci III. 1982 Dec 6;295(12):687–691. [PubMed] [Google Scholar]
  10. Friedman G. D., Siegelaub A. B., Seltzer C. C., Feldman R., Collen M. F. Smoking habits and the leukocyte count. Arch Environ Health. 1973 Mar;26(3):137–143. doi: 10.1080/00039896.1973.10666241. [DOI] [PubMed] [Google Scholar]
  11. Hanss M. Erythrocyte filtrability measurement by the initial flow rate method. Biorheology. 1983;20(2):199–211. doi: 10.3233/bir-1983-20209. [DOI] [PubMed] [Google Scholar]
  12. Helman N., Rubenstein L. S. The effects of age, sex, and smoking on erythrocytes and leukocytes. Am J Clin Pathol. 1975 Jan;63(1):35–44. doi: 10.1093/ajcp/63.3.35. [DOI] [PubMed] [Google Scholar]
  13. Irwin S. T., Rocks M. J., McGuigan J. A., Patterson C. C., Morris T. C., O'Reilly M. J. Effect of reconstructive vascular surgery on red cell deformability--preliminary results. J Clin Pathol. 1983 Oct;36(10):1136–1139. doi: 10.1136/jcp.36.10.1136. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Meade T. W., Chakrabarti R., Haines A. P., North W. R., Stirling Y. Characteristics affecting fibrinolytic activity and plasma fibrinogen concentrations. Br Med J. 1979 Jan 20;1(6157):153–156. doi: 10.1136/bmj.1.6157.153. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Mohandas N., Clark M. R., Jacobs M. S., Shohet S. B. Analysis of factors regulating erythrocyte deformability. J Clin Invest. 1980 Sep;66(3):563–573. doi: 10.1172/JCI109888. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Papoz L., Warnet J. M., Péquignot G., Eschwege E., Claude J. R., Schwartz D. Alcohol consumption in a healthy population. Relationship to gamma-glutamyl transferase activity and mean corpuscular volume. JAMA. 1981 May 1;245(17):1748–1751. doi: 10.1001/jama.245.17.1748. [DOI] [PubMed] [Google Scholar]
  17. Reid H. L., Dormandy J. A., Barnes A. J., Lock P. J., Dormandy T. L. Impaired red cell deformability in peripheral vascular disease. Lancet. 1976 Mar 27;1(7961):666–668. doi: 10.1016/s0140-6736(76)92778-1. [DOI] [PubMed] [Google Scholar]
  18. Ridet J. M., Gilbert M., Cheynel J., Duchene-Marullaz J., Lemarie J. C. Red blood cell filterability in non-diabetic patients with chronic occlusive arterial disease. Scand J Clin Lab Invest Suppl. 1981;156:189–191. doi: 10.3109/00365518109097458. [DOI] [PubMed] [Google Scholar]
  19. Stuart J., George A. J., Davies A. J., Aukland A., Hurlow R. A. Haematological stress syndrome in atherosclerosis. J Clin Pathol. 1981 May;34(5):464–467. doi: 10.1136/jcp.34.5.464. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Stuart J., Kenny M. W., Meakin M., Lucas G. S., Caldwell N. M. Leucocyte removal prior to study of erythrocyte deformability. Biorheology Suppl. 1984;1:283–285. doi: 10.3233/bir-1984-23s150. [DOI] [PubMed] [Google Scholar]
  21. Stuart J. The acute-phase reaction and haematological stress syndrome in vascular disease. Int J Microcirc Clin Exp. 1984;3(2):115–129. [PubMed] [Google Scholar]

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