Microcirculation

Neurovascular coupling, also known as functional activation, refers to cerebral blood flow increase to a localized region in the capillary network in response to variation of neuronal activity. To meet the metabolic demands of brain tissues during functional activation, an adequate supply and distribution of red blood cells (RBC) is needed. Transient changes of local RBC concentration impact massively on the local flow resistance of the cerebral microcirculation. In turn, this will modulate the blood flow and pressure field leading to perfusion differences across the whole capillary network.

It is known that vascular smooth muscle cells at the level of penetrating arterioles can regulate the blood flow in the cerebral microcirculation in case of increased metabolic needs. However, recent studies reported that perivascular cells known as pericyte can induce variations in the capillary diameter which may constitute an alternative way to regulate the blood flow. This may suggest that the flow regulation upon increased neural activity begins at the capillary level and propagates towards the penetrating arterioles. Nonetheless, the degree of influence on the cerebral blood flow up-regulation resulting from the activation of pericytes is yet to be assessed.

This project aims at providing a quantitative understanding of the hemodynamics in the cerebral microcirculation by means of in vitro microfluidic models of capillary networks focusing on the mechanisms driving the RBC distribution at the capillary level during pericyte activation.


Current contributor: Aurelia Bucciarelli (PhD student)

Former contributors: Dr Alberto Mantegazza (postdoctoral fellow at The Pennsylvania State University), PD Dr Francesco Clavica (Head Urogenital engineering at ARTORG, University Bern)


Recent publications:

Mantegazza, Alberto; Ungari, Matteo; Clavica, Francesco; Obrist, Dominik (2020). Local vs. Global Blood Flow Modulation in Artificial Microvascular Networks: Effects on Red Blood Cell Distribution and Partitioning. Frontiers in physiology, 11 Frontiers Research Foundation 10.3389/fphys.2020.566273

Mantegazza, Alberto; Clavica, Francesco; Obrist, Dominik (2020). In vitro investigations of red blood cell phase separation in a complex microchannel network. Biomicrofluidics, 14(1), 014101. American Insitute of Physics 10.1063/1.5127840

 

Successful restoration of epicardial flow after intracoronary angioplasty might result in microvascular obstruction (MVO) distal to the treated site. Accurate detection of MVO is crucial, because it is independently associated with the long-term patient outcome. Current therapeutic options are limited to non-standardized approaches. The goal of this research is to assess the diagnostic and therapeutic capabilities of a controlled flow infusion system, the first medical system that can diagnose and treat MVO immediately after the preceding treatment while the patient is still in the catheter lab.

A left heart flow loop with a coronary model has been established to perform different kinds of in vitro experiments:

  • The search for biomarkers will ease the diagnosis of MVO and enables a measurement of treatment success.
  • The analysis of flow conditions in a microfluidic chip, representing a locally obstructed myocardial vessel structure, allows to study and optimize targeted drug delivery to MVO affected regions.

 

Current contributor: Yannick Rösch (Postdoc)

Former contributor: Dr Mirunalini Thirugnanasambandam