Finite element analysis was done to simulate the cell deformation in micropipette aspiration and optical tweezers stretching.. The effect of bending stiffness on the cell deformability w
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Chapter 7 Conclusions and Future Work
This thesis focused on the modeling of malaria (P.f) infected erythrocytes One of the main objectives was to propose computational models for the malaria (P.f)
infected erythrocytes at their different stages of parasite maturation, in particular at the mid and late stages, for which no accurate models had been proposed currently The other was to relate the loss of cell deformability to the change in mechanical properties of the cell membrane and structural changes occurred within the cell
The major contributions and findings of this thesis are summarized as follows:
1 A two-component model was developed to study the malaria (P.f.) infected
erythrocyte deformation Finite element analysis was done to simulate the cell deformation in micropipette aspiration and optical tweezers stretching The simulation was done using finite element program ABAQUS The model was able to predict the cell deformation in both of these two experiments
2 The effect of initial membrane shear modulus µ0 on the malaria (P.f.)
infected erythrocyte deformability was studied using the two-component model The values of initial membrane shear modulus were obtained by comparing the finite element simulation result with that of experiments Considering the decreasing cell sizes and data deviation, the analysis
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provided the range of initial membrane shear modulus for each parasite maturation stage The increase in membrane shear modulus with the progression of disease state was quantified
3 The effect of bending stiffness on the cell deformability was studied by simulating the cell deformation in both micropipette aspiration and optical tweezers stretching Parametric studies were done by varying the initial
bending stiffness D 0 in the range of 3.3 x 10 -20 J to 1.5 x 10 -18 J The bending stiffness was found to have little effect on the cell deformation
4 The hemispherical cap model was commonly used for analyzing cell deformation in micropipette aspiration, due to its simplicity in calculating membrane shear modulus However, with the wide range of micropipette sizes used in the experiments, this model may not be valid for all pipette sizes The model and method proposed in this thesis allowed us to test the validity of hemispherical cap model by applying the model to analyze the simulation curves with known values of membrane shear modulus Using
this method, the range of 0.1 ≤ p
cell
R
R ≤ 0.4 was proved valid for using hemispherical cap model in micropipette aspiration For cells that can be assumed as a liquid enclosed by incompressible membrane, it is easier to apply hemispherical cap model due to its simplicity in calculation, and the
results will be valid as long as 0.1 ≤ p
cell
R
R ≤ 0.4
5 It may not be suitable to use hemispherical cap model and two-component model to analyze the infected cells in the middle to late stages, since the parasite occupies more than 40% of the host cell’s volume An advanced
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multi-component model was developed to study the effect of parasite inclusion on the host cell deformation Finite element simulations were done using ABAQUS to simulate the deformation in both micropipette aspiration and optical tweezers stretching This advanced model was able
to simulate mechanical probing at the different locations of the host cell and explain the difference in shear modulus given by hemispherical cap model for the same cell The multi-component model also allowed us to quantify the effect of PVM stiffness and sizes
6 Using the multi-component model, it was found that compared to the PVM sizes and the stiffness of PVM and host cell membrane, the interaction between PVM and host cell membrane did not significantly play an important role in the cell deformation induced by optical tweezers Even if they were stuck to each other after contact, it would not affect the cell deformation as much as the change in membrane stiffness, PVM sizes and PVM stiffness would
The work in this thesis indicated interesting directions of studying the malaria infected erythrocytes The future work can include the following:
1 The current multi-component model can be further developed to include not only the hemoglobin but also the food vacuole and the parasite itself within the parasitophorous vacuole membrane (PVM) If the experimental techniques allow us to probe the PVM and its internal structure directly, a
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more complete model can be established If the current experimental techniques are not able to probe them directly, a more complex multi-component model is still a good tool to analyze the heterogeneity within the host cell
2 These models can also be used in studying the mechanical properties of
malaria P.vivax, which is believed to become softer instead of stiffer with
the progression of infection stage Due to the limitation of culturing techniques, we cannot conduct micropipette aspiration and optical
tweezers stretching on P.vivax in our lab If the experiment data of these two experiments are available for P.vivax cells, the models used in this
thesis can be applied in studying their mechanical properties
3 These models proposed in this thesis may also be used to evaluate the drug treatments on the mechanical properties of the cells Since the severity of malaria can be regarded as a function of capillary blockage caused by the decrease in deformability of the infected erythrocytes, drugs can be developed to recover the natural deformability of the cell These computational models can be used to quantify the effectiveness of these drugs This can contribute to better understanding, diagnosis and treatment
of malaria, as well as other diseases that induce similar effects on the living cells
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