Haematocrit and Shear Rate Modulate Local Cell-free Layer Thickness and Platelet Margination in Blood Flow Along a Sinusoidal Wall

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Hauptverfasser: Pero, Eleonora, Tomaiuolo, Giovanna, Guido, Stefano, Denham, Claire, Krueger, Timm
Format: Preprint
Veröffentlicht: 2026
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author Pero, Eleonora
Tomaiuolo, Giovanna
Guido, Stefano
Denham, Claire
Krueger, Timm
author_facet Pero, Eleonora
Tomaiuolo, Giovanna
Guido, Stefano
Denham, Claire
Krueger, Timm
contents The geometry of blood vessels strongly affects hemostasis and thrombosis through red blood cell (RBC) dynamics and platelet margination. Growing platelet aggregates, in turn, reshape the local vessel wall topography, leading to a strongly coupled system. However, it is not well understood how surface heterogeneities alter local hemodynamics and platelet margination, thereby driving further aggregate growth. This study investigates how hematocrit (Ht) and shear rate affect RBC dynamics, cell-free layer (CFL) thickness, and platelet margination near a sinusoidal wall. The sinusoidal wall, with crests and valleys aligned with the flow direction, serves as a model of the flow-aligned platelet aggregates observed in microfluidic experiments [Pero et al., CRPS, 2024]. We perform three-dimensional immersed-boundary-lattice-Boltzmann simulations of particulate blood flow with deformable RBCs and nearly rigid spherical platelets. Our results show that platelet margination is primarily governed by Ht and is more pronounced in regions where the CFL thickness is similar to the platelet size. At low Ht, platelets preferentially accumulate at crests, promoting high-amplitude aggregate growth. Increasing Ht leads to a more uniform platelet distribution along the surface, consistent with experimental observations. The sinusoidal geometry generates a pronounced crest-valley wall shear rate gradient, suggesting that distinct shear-dependent adhesion pathways may dominate at different surface locations. Our findings provide mechanistic insights into the morphological evolution of platelet aggregates and may ultimately inform targeted therapeutic strategies for thrombosis based on shear-sensitive drug-delivery.
format Preprint
id arxiv_https___arxiv_org_abs_2604_05573
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Haematocrit and Shear Rate Modulate Local Cell-free Layer Thickness and Platelet Margination in Blood Flow Along a Sinusoidal Wall
Pero, Eleonora
Tomaiuolo, Giovanna
Guido, Stefano
Denham, Claire
Krueger, Timm
Fluid Dynamics
Biological Physics
Tissues and Organs
The geometry of blood vessels strongly affects hemostasis and thrombosis through red blood cell (RBC) dynamics and platelet margination. Growing platelet aggregates, in turn, reshape the local vessel wall topography, leading to a strongly coupled system. However, it is not well understood how surface heterogeneities alter local hemodynamics and platelet margination, thereby driving further aggregate growth. This study investigates how hematocrit (Ht) and shear rate affect RBC dynamics, cell-free layer (CFL) thickness, and platelet margination near a sinusoidal wall. The sinusoidal wall, with crests and valleys aligned with the flow direction, serves as a model of the flow-aligned platelet aggregates observed in microfluidic experiments [Pero et al., CRPS, 2024]. We perform three-dimensional immersed-boundary-lattice-Boltzmann simulations of particulate blood flow with deformable RBCs and nearly rigid spherical platelets. Our results show that platelet margination is primarily governed by Ht and is more pronounced in regions where the CFL thickness is similar to the platelet size. At low Ht, platelets preferentially accumulate at crests, promoting high-amplitude aggregate growth. Increasing Ht leads to a more uniform platelet distribution along the surface, consistent with experimental observations. The sinusoidal geometry generates a pronounced crest-valley wall shear rate gradient, suggesting that distinct shear-dependent adhesion pathways may dominate at different surface locations. Our findings provide mechanistic insights into the morphological evolution of platelet aggregates and may ultimately inform targeted therapeutic strategies for thrombosis based on shear-sensitive drug-delivery.
title Haematocrit and Shear Rate Modulate Local Cell-free Layer Thickness and Platelet Margination in Blood Flow Along a Sinusoidal Wall
topic Fluid Dynamics
Biological Physics
Tissues and Organs
url https://arxiv.org/abs/2604.05573