Red blood cell shape transitions and dynamics in time-dependent capillary flows
Steffen M. Recktenwald, Katharina Graessel, Felix M. Maurer, Thomas, John, Stephan Gekle, Christian Wagner

TL;DR
This study investigates how red blood cells change shape and move in narrow, unsteady flows using experiments and simulations, revealing rapid shape transitions and oscillations that depend on flow conditions and cell orientation.
Contribution
It combines microfluidic experiments with numerical simulations to analyze RBC shape dynamics under time-dependent flow, highlighting the influence of membrane orientation and flow parameters.
Findings
Shape transition from croissant to slipper is faster than reverse.
RBC oscillations depend on velocity, fluid viscosity, and cytosol viscosity.
Shape dynamics can help identify pathological RBC changes.
Abstract
The dynamics of single red blood cells (RBCs) determine microvascular blood flow by adapting their shape to the flow conditions in the narrow vessels. In this study, we explore the dynamics and shape transitions of RBCs on the cellular scale under confined and unsteady flow conditions using a combination of microfluidic experiments and numerical simulations. Tracking RBCs in a comoving frame in time-dependent flows reveals that the mean transition time from the symmetric croissant to the off-centered, non-symmetric slipper shape is significantly faster than the opposite shape transition, which exhibits pronounced cell rotations. Complementary simulations indicate that these dynamics depend on the orientation of the RBC membrane in the channel during the time-dependent flow. Moreover, we show how the tank-treading movement of slipper-shaped RBCs in combination with the narrow channel…
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