![]() The hope is that such a tool will ultimately improve our understanding of the role that changes in red cells might play-not just in the case of mercury exposure, but in many other health conditions, including sickle cell disease, cardiovascular disease, diabetes, and neurological disorders. But Gurkan’s team is now developing a microfluidic device designed to characterize other important properties of red blood cells and their interactions with blood vessels. Most tests used to examine blood cells today only capture changes in blood cell counts. That also happens in sickle cell disease. They have evidence that the stickiness makes them more likely to adhere to blood vessels, which may impede blood flow especially in the tiniest capillaries. They’ve seen that mercury-exposed red blood cells don’t just look different. His studies later expanded to include many conditions in which the form and function of red blood cells may be affected. Gurkan’s interest in red blood cells began with studies in patients with sickle cell disease. For their creative efforts, the team was selected as one of the winners in the Federation of American Societies for Experimental Biology’s 2017 BioArt competition. Courtney Fleming, a biomedical art student at the Cleveland Institute of Art and an intern in the Gurkan lab, then adapted those SEM micrographs into this colorful scientific illustration showing how the misshapen red cells might look coursing through a person’s veins and arteries. In this image, Gurkan and colleagues first captured those changes in black and white using scanning electron microscopy (SEM). The lab of NIH-grantee Umut Gurkan at Case Western Reserve University, Cleveland, has extensively characterized red blood cells following their exposure to mercury. ![]() But these cells are terribly disfigured, with unusual spiky projections, after 24 hours of exposure to low levels of a mercury chloride in solution. Normally, healthy red blood cells have a distinct, doughnut-like shape that helps them squeeze through the tiniest of blood vessels. In this illustration, it’s possible to see in red blood cells the effects of mercury chloride, a toxic chemical compound now sometimes used as a laboratory reagent. When absorbed into the bloodstream at elevated levels, mercury is also extremely harmful to people, causing a range of problems including cognitive impairments, skin rashes, and kidney problems. Mercury is a naturally occurring heavy metal and a well-recognized environmental toxin. Credit: Courtney Fleming, Birnur Akkaya, and Umut Gurkan, Case Western Reserve University, Cleveland
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