Electrical and viscoelastic parameters of erythrocytes as predictors of exacerbation in inflammatory bowel diseases

The aim of this work is to study the electrical and viscoelastic parameters of erythrocytes for patients with inflammatory bowel diseases (IBD), examined in dynamics, as possible predictors of exacerbation of the disease. Material and methods. In dynamics, 23 patients with IBD (37.9 ± 4.3 years) wer...

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Main Authors: M. V. Kruchinina, I. O. Svetlova, A. V. Azgaldyan, A. A. Gromov, V. M. Generalov, I. N. Yakovina, A. A. Shestov
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Siberian Branch Publishing House 2021-10-01
Series:Сибирский научный медицинский журнал
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Online Access:https://sibmed.elpub.ru/jour/article/view/669
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author M. V. Kruchinina
I. O. Svetlova
A. V. Azgaldyan
A. A. Gromov
V. M. Generalov
I. N. Yakovina
A. A. Shestov
author_facet M. V. Kruchinina
I. O. Svetlova
A. V. Azgaldyan
A. A. Gromov
V. M. Generalov
I. N. Yakovina
A. A. Shestov
author_sort M. V. Kruchinina
collection DOAJ
description The aim of this work is to study the electrical and viscoelastic parameters of erythrocytes for patients with inflammatory bowel diseases (IBD), examined in dynamics, as possible predictors of exacerbation of the disease. Material and methods. In dynamics, 23 patients with IBD (37.9 ± 4.3 years) were examined. The first examination was carried out in the stage of exacerbation, the second – after 6–12 months – in the stage of remission of IBD. Additionally, 36 patients with IBD in remission were examined to assess the predictive capabilities of erythrocyte parameters with subsequent monitoring of their condition for 6–12 months. The electrical and viscoelastic parameters of erythrocytes were investigated by dielectrophoresis. Statistical processing was carried out using a system of machine learning methods – Random Forest, MATLAB (R2019a, MathWorks). Results and discussion. The parameters of erythrocytes, which are predictors of exacerbation of IBD, were revealed: an increase in the proportion of deformed cells (p = 0.0001); altered nature of the erythrocyte surface (p = 0.011); increased electrical conductivity of membranes (p = 0.0019); reduced dipole moment (p = 0.0015), the rate of directional movement of erythrocytes to the electrodes (p = 0.005) (paired and unpaired Volcano plot methods), reduced deformation amplitude at a frequency of 5×105 Hz (p = 0.009), capacity of erythrocyte membranes (p = 0.029 ) (unpaired Volcano plot method). Indicators associated with changes in the charge of cells, the structure of erythrocyte membranes and the level of energy metabolism of the cell turned out to be significant. A high diagnostic accuracy of these indicators was established as predictors: the proportion of deformed cells (AUC 0.939), a summarized viscosity index (AUC 0.932). Cluster analysis of the values of erythrocyte parameters – predictors of exacerbation made it possible to stratify the risk of exacerbation: at the most altered levels of parameters – the development of exacerbation after 2.5–4.5 months, intermediate levels – after 4–6 months, minimally changed – after 8–12 months (predictive accuracy – 92 %). Conclusions. The revealed electrical and viscoelastic parameters of erythrocytes should be considered as promising predictors of exacerbation in patients with IBD.
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spelling doaj-art-6aa5d7abdcab4919b9f3a9a1c2f8e9a22025-07-15T11:26:36ZrusRussian Academy of Sciences, Siberian Branch Publishing HouseСибирский научный медицинский журнал2410-25122410-25202021-10-014159611210.18699/SSMJ20210513386Electrical and viscoelastic parameters of erythrocytes as predictors of exacerbation in inflammatory bowel diseasesM. V. Kruchinina0I. O. Svetlova1A. V. Azgaldyan2A. A. Gromov3V. M. Generalov4I. N. Yakovina5A. A. Shestov6Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics SB RAS; Novosibirsk State Medical University of Minzdrav of RussiaResearch Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics SB RAS; Novosibirsk State Medical University of Minzdrav of RussiaResearch Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics SB RASResearch Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics SB RASState Research Center of Virology and Biotechnology «Vector» of RospotrebnadzorNovosibirsk State Technical UniversityUniversity of PennsylvaniaThe aim of this work is to study the electrical and viscoelastic parameters of erythrocytes for patients with inflammatory bowel diseases (IBD), examined in dynamics, as possible predictors of exacerbation of the disease. Material and methods. In dynamics, 23 patients with IBD (37.9 ± 4.3 years) were examined. The first examination was carried out in the stage of exacerbation, the second – after 6–12 months – in the stage of remission of IBD. Additionally, 36 patients with IBD in remission were examined to assess the predictive capabilities of erythrocyte parameters with subsequent monitoring of their condition for 6–12 months. The electrical and viscoelastic parameters of erythrocytes were investigated by dielectrophoresis. Statistical processing was carried out using a system of machine learning methods – Random Forest, MATLAB (R2019a, MathWorks). Results and discussion. The parameters of erythrocytes, which are predictors of exacerbation of IBD, were revealed: an increase in the proportion of deformed cells (p = 0.0001); altered nature of the erythrocyte surface (p = 0.011); increased electrical conductivity of membranes (p = 0.0019); reduced dipole moment (p = 0.0015), the rate of directional movement of erythrocytes to the electrodes (p = 0.005) (paired and unpaired Volcano plot methods), reduced deformation amplitude at a frequency of 5×105 Hz (p = 0.009), capacity of erythrocyte membranes (p = 0.029 ) (unpaired Volcano plot method). Indicators associated with changes in the charge of cells, the structure of erythrocyte membranes and the level of energy metabolism of the cell turned out to be significant. A high diagnostic accuracy of these indicators was established as predictors: the proportion of deformed cells (AUC 0.939), a summarized viscosity index (AUC 0.932). Cluster analysis of the values of erythrocyte parameters – predictors of exacerbation made it possible to stratify the risk of exacerbation: at the most altered levels of parameters – the development of exacerbation after 2.5–4.5 months, intermediate levels – after 4–6 months, minimally changed – after 8–12 months (predictive accuracy – 92 %). Conclusions. The revealed electrical and viscoelastic parameters of erythrocytes should be considered as promising predictors of exacerbation in patients with IBD.https://sibmed.elpub.ru/jour/article/view/669electricalviscoelastic parameters of erythrocytespredictorsexacerbationinflammatory bowel disease
spellingShingle M. V. Kruchinina
I. O. Svetlova
A. V. Azgaldyan
A. A. Gromov
V. M. Generalov
I. N. Yakovina
A. A. Shestov
Electrical and viscoelastic parameters of erythrocytes as predictors of exacerbation in inflammatory bowel diseases
Сибирский научный медицинский журнал
electrical
viscoelastic parameters of erythrocytes
predictors
exacerbation
inflammatory bowel disease
title Electrical and viscoelastic parameters of erythrocytes as predictors of exacerbation in inflammatory bowel diseases
title_full Electrical and viscoelastic parameters of erythrocytes as predictors of exacerbation in inflammatory bowel diseases
title_fullStr Electrical and viscoelastic parameters of erythrocytes as predictors of exacerbation in inflammatory bowel diseases
title_full_unstemmed Electrical and viscoelastic parameters of erythrocytes as predictors of exacerbation in inflammatory bowel diseases
title_short Electrical and viscoelastic parameters of erythrocytes as predictors of exacerbation in inflammatory bowel diseases
title_sort electrical and viscoelastic parameters of erythrocytes as predictors of exacerbation in inflammatory bowel diseases
topic electrical
viscoelastic parameters of erythrocytes
predictors
exacerbation
inflammatory bowel disease
url https://sibmed.elpub.ru/jour/article/view/669
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AT avazgaldyan electricalandviscoelasticparametersoferythrocytesaspredictorsofexacerbationininflammatoryboweldiseases
AT aagromov electricalandviscoelasticparametersoferythrocytesaspredictorsofexacerbationininflammatoryboweldiseases
AT vmgeneralov electricalandviscoelasticparametersoferythrocytesaspredictorsofexacerbationininflammatoryboweldiseases
AT inyakovina electricalandviscoelasticparametersoferythrocytesaspredictorsofexacerbationininflammatoryboweldiseases
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