Abstract:
:Severe side effects of cocaine consumption are vasoocclusive events such as myocardial infarction and stroke. We have hypothesized that cocaine could affect red blood cells (RBCs) and alter the rheological behaviour of blood. Heparinized blood from healthy volunteers was incubated with a final hematocrit of 45% with increasing cocaine concentrations: 0, 10, 100, 1000, and 10'000 μmol/L plasma. Time dependence of the shape change was tested in phosphate buffered saline containing cocaine. RBCs were fixed in 1% glutaraldehyde for morphological analysis. Blood viscosity was measured with a Couette Viscometer (Contraves LS 30) at 37°C and a shear rate of 69.5 s⁻¹. RBC aggregation was assessed with a Myrenne aggregometer. Cocaine induced a dose-dependent stomatocytic shape transformation of RBCs, which was more pronounced in buffer than in plasma (plasma protein binding of the drug). Stomatocytosis occurs when a drug intercalates preferentially in the inner half of the membrane lipid bilayer. It was a time-dependent process with two components, an almost instant shape change occurring within 1 s, followed by a gradual further shape change during 10 min. Stomatocytosis was reversible by resuspension of the RBCs in cocaine-free buffer. This stomatocytic shape change increased whole blood viscosity at high shear rate from 5.69±0.31 mPa.s to 6.39±0.34 mPa.s for control and 10'000 μmol/L cocaine, respectively (p<0.01). RBC aggregation was not affected by the shape change. These effects occurred at a cocaine concentration, which is several-fold above those measured in vivo. Therefore, it is unlikely that hemorheological factors are involved in vascular events after cocaine consumption.
journal_name
Clin Hemorheol Microcircjournal_title
Clinical hemorheology and microcirculationauthors
Cagienard F,Schulzki T,Furlong P,Reinhart WHdoi
10.3233/CH-2012-1638subject
Has Abstractpub_date
2013-01-01 00:00:00pages
321-9issue
3eissn
1386-0291issn
1875-8622pii
R4731M028348W230journal_volume
55pub_type
杂志文章abstract:BACKGROUND:Renal ischemia-reperfusion injury (IRI) is common in renal transplantation, shock, and nephrolithotomy. OBJECTIVE:To quantitatively assess rabbit renal IRI with contrast-enhanced ultrasound (CEUS) and investigate associations between renal cortical time-intensity curve (TIC) parameters and intracellular adh...
journal_title:Clinical hemorheology and microcirculation
pub_type: 杂志文章
doi:10.3233/CH-131768
更新日期:2015-01-01 00:00:00
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journal_title:Clinical hemorheology and microcirculation
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journal_title:Clinical hemorheology and microcirculation
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更新日期:2005-01-01 00:00:00
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journal_title:Clinical hemorheology and microcirculation
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更新日期:2015-01-01 00:00:00
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journal_title:Clinical hemorheology and microcirculation
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doi:
更新日期:2003-01-01 00:00:00
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journal_title:Clinical hemorheology and microcirculation
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更新日期:2008-01-01 00:00:00
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journal_title:Clinical hemorheology and microcirculation
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更新日期:2004-01-01 00:00:00
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journal_title:Clinical hemorheology and microcirculation
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更新日期:2019-01-01 00:00:00
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journal_title:Clinical hemorheology and microcirculation
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更新日期:2000-01-01 00:00:00
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