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Computational Modeling & Simulation of Nitric Oxide Transport-Reaction in the Blood Nael H. El-Farra Panagiotis D. Christofides James C. Liao Department of Chemical Engineering University of California, Los Angeles 2003 AIChE Annual Meeting San Francisco, CA November 17, 2003 Introduction • Nitric oxide (NO) : active free radical Immune response Neuronal signal transduction Inhibition of platelet adhesion & aggregation Regulation of vascular tone and permeability • Versatility as a biological signaling molecule Molecule of the year (Science, 1993) Nobel Prize (Dr. Ignarro, UCLA, 1998) • Need for fundamental understanding of NO regulation Distributed modeling NO Transport-Reactions in Blood • Complex mechanism: Release in blood vessel wall Diffusion into surrounding tissue Blood pressure regulation Diffusion into vessel interior Scavenging by hemoglobin Trace amounts can abolish NO • Paradox: how can NO maintain its biological function ? Barriers for NO uptake Vessel wall Barriers for NO Uptake in the Blood (1) (4) (2) (3) Previous Work on Modeling NO Transport • Homogenous models: Blood treated as a continuum e.g., Lancaster, 1994; Vaughn et al., 1998 • Single-cell models: Neglects inter-cellular diffusion e.g., Vaughn et al., 2000; Liu et al., 2002 • • Survey of previous modeling works (Buerk, 2001) Limitations: Population of red blood cells (RBC) unaccounted for Cannot quantify relative significance of barriers Present Work (El-Farra, Christofides, & Liao, Annals Biomed. Eng., 2003) • Objectives: Develop a detailed multi-particle model to describe NO transport-reactions in the blood Use the developed model to investigate sources for NO transport resistance Boundary layer diffusion (RBC population) RBC membrane permeability Cell-free zone Quantify barriers for NO uptake Geometry of Blood Vessel Abluminal region (smooth muscle) Blood vessel lumen R R+e Endothelium (NO production) Physical Dimensions: R=50 mm, e =2.5 mm Modeling Assumptions • Steady-state behavior: Small characteristic time for diffusion/reaction (~10 ms) • NO diffusivity independent of concentration or position NO is dilute • • Isotropic diffusion Convective transport of NO negligible Axial gradient small vs. length of region emitting NO • Hb is main source of NO consumption Negligible reaction rates with O2 Mathematical Modeling of NO Transport • Governing Equations: Surrounding tissue (Abluminal region): Vessel wall (Endothelium): Vessel interior (lumen): Mathematical Modeling of NO Transport • Boundary Conditions: Radial direction: Azimuthal direction Model parameters from experiments Overview of Simulation Results • Continuum model (Basic scenario): • Particulate model: Barriers for NO uptake: Red blood cells (infinitely permeable) RBC membrane permeability Cell-free zone • • Transport resistance analysis Numerical solutions thru finite-element algorithms Adaptive mesh (finer mesh near boundaries) Model Complexity grows Spatially uniform NO-Hb reaction rate in vessel Simulations of Continuum Model • NO distribution in blood vessel and surrounding tissue Simulations of Continuum Model Radial variations of mean NO concentration Effect of Red Blood Cells • Hemoglobin “packaged” inside permeable RBCs Inter-cell diffusion (boundary layer) Abluminal region Extra-cellular space Intracellular space Endothelium Simulations of Basic Particulate Model • • NO distribution in blood vessel and surrounding tissue Blood hematocrit determines number of cells ~ 45-50% under normal physiological conditions Simulations of Basic Particulate Model Radial variations of mean NO concentration for homogeneous & particulate models Effect of RBC Membrane Permeability Abluminal region Extra-cellular space Intracellular space Endothelium Simulations of Particulate Model+Membrane Radial variations of NO concentration for homogeneous, particulate & particulate+RBC membrane models Simulations of Full Particulate Model NO concentration profiles for homogeneous, particulate, particulate+membrane, & full particulate models Quantifying NO Transport Barriers • Computation of mass transfer resistance Relative Significance of Transport Barriers • Fractional resistance is a strong function of blood hematocrit: Membrane resistance dominant at high Hct. Extra-cellular diffusion dominant at low Hct. RBC membrane Extracellular diffusion 0.8 0.8 0.7 0.7 0.6 0.6 0.5 0.5 0.4 0.4 0.3 0.3 0.2 0.2 0.1 0.1 0 0 45% 25% 15% Blood hematocrit 5% 45% 25% 15% Blood hematocrit 5% Conclusions • • Mathematical modeling of NO diffusion-reaction in blood Diffusional limitations of NO transport: Population of red blood cells RBC membrane permeability Cell free zone • • Relative significance of resistances depends on Hct. Practical implications: Encapsulation of Hb in design of blood substitutes Acknowledgements • NSF and NIH Effect of Blood Flow • Creates a cell-depleted zone near vessel wall (~2.5 mm) EC EC EC EC RBC Stationary RBC Flow