Single-cell modeling of routine clinical blood tests reveals transient dynamics of human response to blood loss

Autor: Anwesha Chaudhury, Geoffrey D. Miller, Daniel Eichner, John M. Higgins
Jazyk: angličtina
Rok vydání: 2019
Předmět:
0301 basic medicine
Erythrocyte Indices
Male
Erythrocytes
Blood cell
Hemoglobins
0302 clinical medicine
Single-cell analysis
Homeostasis
Biology (General)
education.field_of_study
Hematology
hematology
General Neuroscience
General Medicine
single-cell modeling
personalized medicine
anemia
3. Good health
medicine.anatomical_structure
clinical diagnosis
030220 oncology & carcinogenesis
Cardiology
Medicine
Female
cellular population dynamics
Single-Cell Analysis
Research Article
Computational and Systems Biology
Human
Adult
medicine.medical_specialty
Adolescent
QH301-705.5
Anemia
Science
Population
Hemorrhage
General Biochemistry
Genetics and Molecular Biology

03 medical and health sciences
Internal medicine
medicine
Humans
education
Human Biology and Medicine
Models
Statistical

General Immunology and Microbiology
business.industry
Cancer
medicine.disease
Blood Cell Count
Kinetics
030104 developmental biology
Hemoglobin
business
Zdroj: eLife
eLife, Vol 8 (2019)
ISSN: 2050-084X
Popis: Low blood count is a fundamental disease state and is often an early sign of illnesses including infection, cancer, and malnutrition, but our understanding of the homeostatic response to blood loss is limited, in part by coarse interpretation of blood measurements. Many common clinical blood tests actually include thousands of single-cell measurements. We present an approach for modeling the unsteady-state population dynamics of the human response to controlled blood loss using these clinical measurements of single-red blood cell (RBC) volume and hemoglobin. We find that the response entails (1) increased production of new RBCs earlier than is currently detectable clinically and (2) a previously unrecognized decreased RBC turnover. Both component responses offset the loss of blood. The model provides a personalized dimensionless ratio that quantifies the balance between increased production and delayed clearance for each individual and may enable earlier detection of both blood loss and the response it elicits.
Databáze: OpenAIRE