PMID- 26976672 OWN - NLM STAT- MEDLINE DCOM- 20170119 LR - 20220410 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 6 DP - 2016 Mar 15 TI - Assessment of red blood cell deformability in type 2 diabetes mellitus and diabetic retinopathy by dual optical tweezers stretching technique. PG - 15873 LID - 10.1038/srep15873 [doi] LID - 15873 AB - A pilot cross sectional study was conducted to investigate the role of red blood cells (RBC) deformability in type 2 diabetes mellitus (T2DM) without and with diabetic retinopathy (DR) using a dual optical tweezers stretching technique. A dual optical tweezers was made by splitting and recombining a single Nd:YAG laser beam. RBCs were trapped directly (i.e., without microbead handles) in the dual optical tweezers where they were observed to adopt a "side-on" orientation. RBC initial and final lengths after stretching were measured by digital video microscopy, and a Deformability index (DI) calculated. Blood from 8 healthy controls, 5 T2DM and 7 DR patients with respective mean age of 52.4 yrs, 51.6 yrs and 52 yrs was analysed. Initial average length of RBCs for control group was 8.45 +/- 0.25 mum, 8.68 +/- 0.49 mum for DM RBCs and 8.82 +/- 0.32 mum for DR RBCs (p < 0.001). The DI for control group was 0.0698 +/- 0.0224, and that for DM RBCs was 0.0645 +/- 0.03 and 0.0635 +/- 0.028 (p < 0.001) for DR group. DI was inversely related to basal length of RBCs (p = .02). DI of RBC from DM and DR patients was significantly lower in comparison with normal healthy controls. A dual optical tweezers method can hence be reliably used to assess RBC deformability. FAU - Agrawal, Rupesh AU - Agrawal R AD - Moorfields Eye Hospital NHS Foundation Trust, London, UK. AD - Department of Mechanical Engineering, University College London, London, UK. AD - Institute of Ophthalmology, University College London, London, UK. AD - National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore. FAU - Smart, Thomas AU - Smart T AD - Department of Physics and Astronomy, University College London, London, UK. FAU - Nobre-Cardoso, Joao AU - Nobre-Cardoso J AD - Moorfields Eye Hospital NHS Foundation Trust, London, UK. FAU - Richards, Christopher AU - Richards C AD - Department of Physics and Astronomy, University College London, London, UK. FAU - Bhatnagar, Rhythm AU - Bhatnagar R AD - Department of Mechanical Engineering, University College London, London, UK. FAU - Tufail, Adnan AU - Tufail A AD - Moorfields Eye Hospital NHS Foundation Trust, London, UK. FAU - Shima, David AU - Shima D AD - Institute of Ophthalmology, University College London, London, UK. FAU - H Jones, Phil AU - H Jones P AD - Department of Physics and Astronomy, University College London, London, UK. FAU - Pavesio, Carlos AU - Pavesio C AD - Moorfields Eye Hospital NHS Foundation Trust, London, UK. AD - Institute of Ophthalmology, University College London, London, UK. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160315 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 SB - IM MH - Cell Shape/physiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*physiopathology MH - Diabetic Retinopathy/*physiopathology MH - Erythrocyte Deformability/*physiology MH - Erythrocytes/cytology MH - Female MH - Hematology/instrumentation/methods MH - Humans MH - Male MH - Microscopy, Video MH - Middle Aged MH - *Optical Tweezers MH - Pilot Projects MH - Regression Analysis PMC - PMC4792142 COIS- The authors declare no competing financial interests. EDAT- 2016/03/16 06:00 MHDA- 2017/01/20 06:00 PMCR- 2016/03/15 CRDT- 2016/03/16 06:00 PHST- 2015/05/28 00:00 [received] PHST- 2015/09/21 00:00 [accepted] PHST- 2016/03/16 06:00 [entrez] PHST- 2016/03/16 06:00 [pubmed] PHST- 2017/01/20 06:00 [medline] PHST- 2016/03/15 00:00 [pmc-release] AID - srep15873 [pii] AID - 10.1038/srep15873 [doi] PST - epublish SO - Sci Rep. 2016 Mar 15;6:15873. doi: 10.1038/srep15873.