2013
DOI: 10.1186/1475-2840-12-25
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Changes in red blood cell membrane structure in type 2 diabetes: a scanning electron and atomic force microscopy study

Abstract: Red blood cells (RBCs) are highly deformable and possess a robust membrane that can withstand shear force. Previous research showed that in diabetic patients, there is a changed RBC ultrastructure, where these cells are elongated and twist around spontaneously formed fibrin fibers. These changes may impact erythrocyte function. Ultrastructural analysis of RBCs in inflammatory and degenerative diseases can no longer be ignored and should form a fundamental research tool in clinical studies. Consequently, we inv… Show more

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Cited by 166 publications
(133 citation statements)
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(25 reference statements)
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“…The surface roughness was computed from the AFM height images of the local areas. The cell membrane roughness has been shown to be a biomarker in the cellular physiological activity (e.g., the membrane roughness of red blood cells indicates the disease status of diabetes patients 39 and cell membrane roughness can identify oxidative stressinduced cellular apoptosis 40 and also the expression of tumor suppressor protein 41 ). Hence, investigating cell membrane roughness is useful for understanding the cell biological activity.…”
Section: Resultsmentioning
confidence: 99%
“…The surface roughness was computed from the AFM height images of the local areas. The cell membrane roughness has been shown to be a biomarker in the cellular physiological activity (e.g., the membrane roughness of red blood cells indicates the disease status of diabetes patients 39 and cell membrane roughness can identify oxidative stressinduced cellular apoptosis 40 and also the expression of tumor suppressor protein 41 ). Hence, investigating cell membrane roughness is useful for understanding the cell biological activity.…”
Section: Resultsmentioning
confidence: 99%
“…Here, the Laser-Assisted Optical Rotational Red Cell Analyzer (LORRCA) [455][456][457][458] (marketed by Mechatronics) provides a convenient measurement, while atomic force microscopy assesses deformability at the level of the single cell. [459][460][461][462][463] Similar comments apply to the changes in red cell distribution width also commonly seen in inflammatory diseases (e.g. ref.…”
Section: Effects Of Non-ionic Substancesmentioning
confidence: 99%
“…[1][2][3][4] Pathological alterations in RBC deformability have been associated with various diseases 5 such as malaria, 6,7 sickle cell anemia, 8 diabetes, 9 hereditary disorders, 10 myocardial infarction, 11 and paroxysmal nocturnal hemoglobinuria (PNH). 12 Because of its pathophysiological importance, measurement of RBC deformability has been the focus of numerous studies over the past decades.…”
Section: Introductionmentioning
confidence: 99%