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Cellular solids and prestressed affine networks as models of the elastic behavior of soft biological structures. 作为软生物结构弹性行为模型的细胞固体和预应力仿射网络。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-10-15 DOI: 10.1007/s10237-024-01894-8
Dimitrije Stamenović

We reviewed two microstructural models, cellular solid models and prestressed affine network models, that have been used previously in studies of elastic behavior of soft biological materials. These models provide simple and mathematically transparent equations that can be used to interpret experimental data and to obtain quantitative predictions of the elastic properties of biological structures. In both models, volumetric density and elastic properties of the microstructure are key determinants of the macroscopic elastic properties. In the prestressed network model, geometrical rearrangement of the microstructure (kinematic stiffness) is also important. As examples of application of these models, we considered the shear behavior of the cytoskeleton of adherent cells, of the collagen network of articular cartilage, and of the lung parenchymal network since their ability to resist shear is important for their normal biological and physiological functions. All three networks carry a pre-existing stress (prestress). We predicted their shear moduli using the microstructural models and compared those predictions with existing experimental data. Prestressed network models of the cytoskeleton and of the lung parenchyma provided a better correspondence to experimental data than cellular solid models. Both cellular solid and prestressed network models of the cartilage collagen network provided reasonable agreements with experimental values. These findings suggested that the kinematic stiffness and material stiffness of microstructural elements were both important determinants of the shear modulus of the cytoskeleton and of the lung parenchyma, whereas elasticity of collagen fibrils had a predominant role in the cartilage shear behavior.

我们回顾了两种微结构模型,即细胞实体模型和预应力仿射网络模型,这两种模型以前曾用于软生物材料弹性行为的研究。这些模型提供了简单且数学上透明的方程,可用于解释实验数据并获得生物结构弹性特性的定量预测。在这两个模型中,微观结构的体积密度和弹性特性是宏观弹性特性的关键决定因素。在预应力网络模型中,微结构的几何重排(运动刚度)也很重要。作为这些模型的应用实例,我们考虑了附着细胞的细胞骨架、关节软骨的胶原蛋白网络和肺实质网络的剪切行为,因为它们的抗剪切能力对其正常的生物和生理功能非常重要。这三种网络都带有预先存在的应力(预应力)。我们使用微结构模型预测了它们的剪切模量,并将这些预测结果与现有的实验数据进行了比较。细胞骨架和肺实质的预应力网络模型比细胞实体模型更符合实验数据。软骨胶原蛋白网络的细胞实体模型和预应力网络模型都与实验值达成了合理的一致。这些发现表明,微结构元素的运动刚度和材料刚度都是细胞骨架和肺实质剪切模量的重要决定因素,而胶原纤维的弹性在软骨剪切行为中起主要作用。
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引用次数: 0
Towards a framework for predicting immunotherapy outcome: a hybrid multiscale mathematical model of immune response to vascular tumor growth 建立免疫疗法结果预测框架:血管肿瘤生长免疫反应的混合多尺度数学模型。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-10-07 DOI: 10.1007/s10237-024-01891-x
Sayyed Mohammad Ali Mortazavi, Bahar Firoozabadi

Studying tumor immune microenvironment (TIME) is pivotal to understand the mechanism and predict the outcome of cancer immunotherapy. Systems biology mathematical models can consider and control various factors of TIME and therefore explore the anti-tumor immune response meticulously. However, the role of tumor vasculature in the recruitment of T cells and the mechanism of T cell migration through TIME have not been studied comprehensively. In this work, we developed a hybrid discrete-continuum multi-scale model to study TIME. The mathematical model includes angiogenesis and T cell recruitment via tumor vasculature. Moreover, solid tumor growth, vascular growth and remodeling, interstitial fluid flow, hemodynamics, and blood rheology are all considered in the model. In addition, different aspects of T cells, including their migration, proliferation, subtype conversion, and interaction with tumor cells are thoroughly included. The model reproduces spatiotemporal distribution of tumor infiltrating T cells that mimics histopathological patterns. Furthermore, TIME model robustly recapitulates different phases of tumor immunoediting. We also examined a number of biomarkers to predict the outcome of immune checkpoint blockade (ICB) treatment. The results demonstrated that although tumor mutational burden (TMB) may predict non-responders to ICB, a combination of different biomarkers is essential to predict the majority of the responders. Based on our results, the ICB response rate varies significantly from 28 to 89% depending on the values of different parameters, even in the cases with high TMB.

研究肿瘤免疫微环境(TIME)对于理解癌症免疫疗法的机制和预测其结果至关重要。系统生物学数学模型可以考虑和控制 TIME 的各种因素,从而细致地探索抗肿瘤免疫反应。然而,肿瘤血管在 T 细胞招募中的作用以及 T 细胞通过 TIME 迁移的机制尚未得到全面研究。在这项工作中,我们建立了一个离散-连续多尺度混合模型来研究 TIME。该数学模型包括血管生成和 T 细胞通过肿瘤血管招募。此外,该模型还考虑了实体瘤生长、血管生长和重塑、间质流体流动、血液动力学和血液流变学。此外,T 细胞的迁移、增殖、亚型转换以及与肿瘤细胞的相互作用等不同方面也被全面纳入模型。该模型再现了肿瘤浸润 T 细胞的时空分布,模拟了组织病理学模式。此外,TIME 模型还稳健地再现了肿瘤免疫编辑的不同阶段。我们还研究了一些生物标志物来预测免疫检查点阻断(ICB)治疗的结果。结果表明,虽然肿瘤突变负荷(TMB)可以预测ICB的非应答者,但不同生物标志物的组合对于预测大多数应答者至关重要。根据我们的研究结果,ICB的应答率根据不同参数值的不同而有很大差异,从28%到89%不等,即使在TMB较高的病例中也是如此。
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引用次数: 0
Interaction of a self-expandable stent with the arterial wall in the presence of hypocellular and calcified plaques. 存在低细胞和钙化斑块时自膨胀支架与动脉壁的相互作用。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-10-06 DOI: 10.1007/s10237-024-01896-6
Zubeir Allum Saib, Farid Abed, Mergen H Ghayesh, Marco Amabili

Self-expandable stents manufactured from nitinol alloys are commonly utilized alongside traditional balloon-expandable stents to provide scaffolding to stenosed arteries. However, a significant limitation hampering stent efficacy is restenosis, triggered by neointimal hyperplasia and resulting in the loss of gain in lumen size, post-intervention. In this study, a nonlinear finite element model was developed to simulate stent crimping and expansion and its interaction with the surrounding vessel in the presence of a plaque. The main aim was to determine contact pressures and forces induced at the interface between an artery wall with hypocellular and calcified plaques and an expanded stent. The results demonstrated the drawbacks of plaque calcification, which triggered a sharp contact pressure and radial force surge at the interface as well as a significant rise in von Mises stress within the vessel, potentially leading to rupture and restenosis. A regression line was then established to relate hypocellular and calcified plaques. The adjusted coefficient of determination indicated a good correlation between contact pressures for calcified and hypocellular plaque models. Regarding the directionality of wall properties, contact pressure and force observations were not significantly different between isotropic and anisotropic arteries. Moreover, variations in friction coefficients did not substantially affect the interfacial contact pressures.

由镍钛诺合金制造的自扩张支架通常与传统的球囊扩张支架一起用于为狭窄的动脉提供支架。然而,阻碍支架疗效的一个重要限制因素是再狭窄,再狭窄是由新内膜增生引发的,并导致介入后管腔尺寸增大的损失。在这项研究中,开发了一个非线性有限元模型,用于模拟支架卷曲和扩张,以及在存在斑块的情况下支架与周围血管的相互作用。主要目的是确定存在低细胞斑块和钙化斑块的动脉壁与扩张支架之间的接触压力和力。结果表明了斑块钙化的弊端,斑块钙化会在界面处引发急剧的接触压力和径向力激增,血管内的冯米塞斯应力也会显著上升,从而可能导致血管破裂和再狭窄。然后建立了一条回归线,将低细胞斑块和钙化斑块联系起来。调整后的决定系数表明,钙化斑块和低细胞斑块模型的接触压力之间具有良好的相关性。关于动脉壁特性的方向性,各向同性动脉和各向异性动脉之间的接触压力和力观测结果没有显著差异。此外,摩擦系数的变化也不会对界面接触压力产生重大影响。
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引用次数: 0
A model of mechanical loading of the lungs including gravity and a balancing heterogeneous pleural pressure 包括重力和平衡异质胸膜压力在内的肺部机械负荷模型。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-10-05 DOI: 10.1007/s10237-024-01876-w
Alice Peyraut, Martin Genet

Recent years have seen the development of multiple in silico lung models, notably with the aim of improving patient care for pulmonary diseases. These models vary in complexity and typically only consider the implementation of pleural pressure, a depression that keeps the lungs inflated. Gravity, often considered negligible compared to pleural pressure, has been largely overlooked, also due to the complexity of formulating physiological boundary conditions to counterbalance it. However, gravity is known to affect pulmonary functions, such as ventilation. In this study, we incorporated gravity into a recent lung poromechanical model. To do so, in addition to the gravitational body force, we proposed novel boundary conditions consisting in a heterogeneous pleural pressure field constrained to counterbalance gravity to reach global equilibrium of applied forces. We assessed the impact of gravity on the global and local behavior of the model, including the pressure–volume response and porosity field. Our findings reveal that gravity, despite being small, influences lung response. Specifically, the inclusion of gravity in our model led to the emergence of heterogeneities in deformation and stress distribution, compatible with in vivo imaging data. This could provide valuable insights for predicting the progression of certain pulmonary diseases by correlating areas subjected to higher deformation and stresses with disease evolution patterns.

近年来,人们开发了多种硅肺模型,主要目的是改善肺病患者的护理。这些模型的复杂程度各不相同,通常只考虑胸膜压力的实施,胸膜压力是一种使肺部保持充气状态的压力。与胸膜压力相比,重力通常被认为可以忽略不计,但却在很大程度上被忽视了,这也是由于制定生理边界条件来抵消重力的复杂性所致。但众所周知,重力会影响肺功能,如通气。在本研究中,我们将重力纳入了最新的肺孔隙力学模型。为此,除了重力体力外,我们还提出了新的边界条件,包括异质胸膜压力场,以抵消重力,达到应用力的总体平衡。我们评估了重力对模型整体和局部行为的影响,包括压力-体积响应和孔隙度场。我们的研究结果表明,尽管重力很小,但它会影响肺部反应。具体来说,在我们的模型中加入重力会导致变形和应力分布出现异质性,这与体内成像数据相一致。通过将变形和应力较大的区域与疾病演变模式联系起来,这将为预测某些肺部疾病的进展提供有价值的见解。
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引用次数: 0
Unraveling aortic hemodynamics using fluid structure interaction: biomechanical insights into bicuspid aortic valve dynamics with multiple aortic lesions. 利用流体结构相互作用揭示主动脉血液动力学:从生物力学角度洞察多主动脉病变的双尖瓣主动脉瓣动力学。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-10-04 DOI: 10.1007/s10237-024-01892-w
Vijay Govindarajan, Charles Wanna, Nils P Johnson, Arun V Kolanjiyil, Hyunggun Kim, Danai Kitkungvan, David M McPherson, Jane Grande-Allen, Krishnan B Chandran, Antony Estrera, Danny Ramzy, Siddharth Prakash

Aortic lesions, exemplified by bicuspid aortic valves (BAVs), can complicate congenital heart defects, particularly in Turner syndrome patients. The combination of BAV, dilated ascending aorta, and an elongated aortic arch presents complex hemodynamics, requiring detailed analysis for tailored treatment strategies. While current clinical decision-making relies on imaging modalities offering limited biomechanical insights, integrating high-performance computing and fluid-structure interaction algorithms with patient data enables comprehensive evaluation of diseased anatomy and planned intervention. In this study, a patient-specific workflow was utilized to biomechanically assess a Turner syndrome patient's BAV, dilated ascending aorta, and elongated arch. Results showed significant improvements in valve function (effective orifice area, EOA increased approximately twofold) and reduction in valve stress (~ 1.8-fold) following virtual commissurotomy, leading to enhanced flow dynamics and decreased viscous dissipation (~ twofold) particularly in the ascending aorta. However, increased viscous dissipation in the distal transverse aortic arch offset its local reduction in the AAo post-intervention, emphasizing the elongated arch's role in aortic hemodynamics. Our findings highlight the importance of comprehensive biomechanical evaluation and integrating patient-specific modeling with conventional imaging techniques for improved disease assessment, risk stratification, and treatment planning, ultimately enhancing patient outcomes.

以主动脉瓣双瓣(BAV)为代表的主动脉病变可并发先天性心脏缺陷,尤其是特纳综合征患者。双主动脉瓣、扩张的升主动脉和拉长的主动脉弓的组合呈现出复杂的血流动力学,需要进行详细分析以制定有针对性的治疗策略。目前的临床决策依赖于成像模式,对生物力学的了解有限,而将高性能计算和流体-结构相互作用算法与患者数据相结合,可以对病变解剖结构和计划干预进行全面评估。在这项研究中,我们利用特定患者的工作流程,对特纳综合征患者的BAV、扩张的升主动脉和拉长的瓣弓进行了生物力学评估。结果显示,虚拟瓣膜切开术后,瓣膜功能明显改善(有效孔面积 EOA 增加了约 2 倍),瓣膜应力减少(约 1.8 倍),从而增强了血流动力学,减少了粘性耗散(约 2 倍),尤其是在升主动脉中。然而,远端横向主动脉弓粘滞耗散的增加抵消了干预后 AAo 的局部减少,强调了拉长的主动脉弓在主动脉血流动力学中的作用。我们的研究结果凸显了综合生物力学评估以及将患者特异性建模与传统成像技术相结合的重要性,有助于改进疾病评估、风险分层和治疗计划,最终提高患者的预后。
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引用次数: 0
Assessing post-TAVR cardiac conduction abnormalities risk using an electromechanically coupled beating heart. 使用机电耦合跳动心脏评估 TAVR 术后心脏传导异常风险。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-10-03 DOI: 10.1007/s10237-024-01893-9
Symon Reza, Brandon Kovarovic, Danny Bluestein

Transcatheter aortic valve replacement (TAVR) has rapidly displaced surgical aortic valve replacement (SAVR). However, certain post-TAVR complications persist, with cardiac conduction abnormalities (CCA) being one of the major ones. The elevated pressure exerted by the TAVR stent onto the conduction fibers situated between the aortic annulus and the His bundle, in proximity to the atrioventricular (AV) node, may disrupt the cardiac conduction leading to the emergence of CCA. In this study, an in silico framework was developed to assess the CCA risk, incorporating the effect of a dynamic beating heart and preprocedural parameters such as implantation depth and preexisting cardiac asynchrony in the new onset of post-TAVR CCA. A self-expandable TAVR device deployment was simulated inside an electromechanically coupled beating heart model in five patient scenarios, including three implantation depths and two preexisting cardiac asynchronies: (i) a right bundle branch block (RBBB) and (ii) a left bundle branch block (LBBB). Subsequently, several biomechanical parameters were analyzed to assess the post-TAVR CCA risk. The results manifested a lower cumulative contact pressure on the conduction fibers following TAVR for aortic deployment (0.018 MPa) compared to nominal condition (0.29 MPa) and ventricular deployment (0.52 MPa). Notably, the preexisting RBBB demonstrated a higher cumulative contact pressure (0.34 MPa) compared to the nominal condition and preexisting LBBB (0.25 MPa). Deeper implantation and preexisting RBBB cause higher stresses and contact pressure on the conduction fibers leading to an increased risk of post-TAVR CCA. Conversely, implantation above the MS landmark and preexisting LBBB reduces the risk.

经导管主动脉瓣置换术(TAVR)迅速取代了外科主动脉瓣置换术(SAVR)。然而,经导管主动脉瓣置换术后仍存在一些并发症,其中最主要的是心脏传导异常(CCA)。TAVR 支架对位于主动脉瓣环和 His 束之间、靠近房室结的传导纤维施加的压力升高,可能会破坏心脏传导,导致 CCA 的出现。在这项研究中,我们开发了一个用于评估 CCA 风险的硅学框架,将动态跳动的心脏和术前参数(如植入深度和术前心脏不同步)对 TAVR 术后新发 CCA 的影响纳入其中。在机电耦合搏动心脏模型中模拟了五种患者情况下的自膨式 TAVR 装置部署,包括三种植入深度和两种预先存在的心脏不同步:(i) 右束支传导阻滞 (RBBB) 和 (ii) 左束支传导阻滞 (LBBB)。随后,对几个生物力学参数进行了分析,以评估TAVR术后的CCA风险。结果显示,与标称状态(0.29 兆帕)和心室部署(0.52 兆帕)相比,TAVR 后主动脉部署(0.018 兆帕)对传导纤维的累积接触压力较低。值得注意的是,与名义状态和预先存在的 LBBB(0.25 兆帕)相比,预先存在的 RBBB 显示出更高的累积接触压力(0.34 兆帕)。较深的植入和预先存在的 RBBB 会对传导纤维造成较高的应力和接触压力,导致 TAVR 术后发生 CCA 的风险增加。相反,如果植入位置高于MS地标并预先存在LBBB,则会降低风险。
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引用次数: 0
A Hamilton principle-based model for diffusion-driven biofilm growth 基于汉密尔顿原理的扩散驱动生物膜生长模型。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-09-30 DOI: 10.1007/s10237-024-01883-x
Felix Klempt, Meisam Soleimani, Peter Wriggers, Philipp Junker

Dense communities of bacteria, also known as biofilms, are ubiquitous in all of our everyday life. They are not only always surrounding us, but are also active inside our bodies, for example in the oral cavity. While some biofilms are beneficial or even necessary for human life, others can be harmful. Therefore, it is highly important to gain an in-depth understanding of biofilms which can be achieved by in vitro or in vivo experiments. Since these experiments are often time-consuming or expensive, in silico models have proven themselves to be a viable tool in assisting the description and analysis of these complicated processes. Current biofilm growth simulations are using mainly two approaches for describing the underlying models. The volumetric approach splits the deformation tensor into a growth and an elastic part. In this approach, the mass never changes, unless some additional constraints are enforced. The density-based approach, on the other hand, uses an evolution equation to update the growing tissue by adding mass. Here, the density stays constant, and no pressure is exerted. The in silico model presented in this work combines the two approaches. Thus, it is possible to capture stresses inside of the biofilm while adding mass. Since this approach is directly derived from Hamilton’s principle, it fulfills the first and second law of thermodynamics automatically, which other models need to be checked for separately. In this work, we show the derivation of the model as well as some selected numerical experiments. The numerical experiments show a good phenomenological agreement with what is to be expected from a growing biofilm. The numerical behavior is stable, and we are thus capable of solving complicated boundary value problems. In addition, the model is very reactive to different input parameters, thereby different behavior of various biofilms can be captured without modifying the model.

密集的细菌群落(也称为生物膜)在我们的日常生活中无处不在。它们不仅始终围绕着我们,而且还活跃在我们的体内,例如口腔中。有些生物膜对人类生活有益,甚至是必需的,而有些生物膜则可能有害。因此,通过体外或体内实验深入了解生物膜非常重要。由于这些实验往往耗时或昂贵,硅学模型已被证明是协助描述和分析这些复杂过程的可行工具。目前的生物膜生长模拟主要使用两种方法来描述基础模型。体积法将变形张量分为生长和弹性两部分。在这种方法中,质量永远不会改变,除非强制执行一些额外的约束条件。另一方面,基于密度的方法使用一个演化方程,通过增加质量来更新生长组织。在这种方法中,密度保持不变,也不会产生压力。本研究中提出的硅学模型结合了这两种方法。因此,可以在增加质量的同时捕捉生物膜内部的压力。由于这种方法是直接从汉密尔顿原理推导出来的,因此它能自动满足热力学第一和第二定律,而其他模型则需要单独检查。在这项工作中,我们展示了模型的推导以及一些选定的数值实验。数值实验结果表明,该模型与生长中的生物膜的预期现象非常吻合。数值行为是稳定的,因此我们能够解决复杂的边界值问题。此外,该模型对不同的输入参数反应灵敏,因此无需修改模型即可捕捉各种生物膜的不同行为。
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引用次数: 0
Multiscale computational analysis of the steady fluid flow through a lymph node 对流经淋巴结的稳定流体进行多尺度计算分析。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-09-25 DOI: 10.1007/s10237-024-01879-7
Alberto Girelli, Giulia Giantesio, Alessandro Musesti, Raimondo Penta

Lymph Nodes (LNs) are crucial to the immune and lymphatic systems, filtering harmful substances and regulating lymph transport. LNs consist of a lymphoid compartment (LC) that forms a porous bulk region, and a subcapsular sinus (SCS), which is a free-fluid region. Mathematical and mechanical challenges arise in understanding lymph flow dynamics. The highly vascularized lymph node connects the lymphatic and blood systems, emphasizing its essential role in maintaining the fluid balance in the body. In this work, we describe a mathematical model in a steady setting to describe the lymph transport in a lymph node. We couple the fluid flow in the SCS governed by an incompressible Stokes equation with the fluid flow in LC, described by a model obtained by means of asymptotic homogenisation technique, taking into account the multiscale nature of the node and the fluid exchange with the blood vessels inside it. We solve this model using numerical simulations and we analyze the lymph transport inside the node to elucidate its regulatory mechanisms and significance. Our results highlight the crucial role of the microstructure of the lymph node in regularising its fluid balance. These results can pave the way to a better understanding of the mechanisms underlying the lymph node’s multiscale functionalities which can be significantly affected by specific physiological and pathological conditions, such as those characterising malignant tissues.

淋巴结对免疫和淋巴系统至关重要,它能过滤有害物质并调节淋巴运输。淋巴结由淋巴区(LC)和囊下窦(SCS)组成,前者是一个多孔的大块区域,后者则是一个自由流体区域。在理解淋巴流动动力学时,面临着数学和机械方面的挑战。高度血管化的淋巴结连接着淋巴系统和血液系统,强调其在维持体内液体平衡方面的重要作用。在这项工作中,我们描述了一个稳定环境下的数学模型,以描述淋巴结中的淋巴输送。我们将不可压缩斯托克斯方程控制的 SCS 中的流体流动与 LC 中的流体流动结合起来,LC 中的流体流动由渐近均质化技术获得的模型描述,考虑到了淋巴结的多尺度性质以及与结内血管的流体交换。我们利用数值模拟对该模型进行了求解,并分析了淋巴结内的淋巴输送,以阐明其调节机制和意义。我们的研究结果凸显了淋巴结微观结构在调节流体平衡方面的关键作用。这些结果可以为更好地理解淋巴结多尺度功能的内在机制铺平道路,而淋巴结的多尺度功能会受到特定生理和病理条件(如恶性组织的特征)的显著影响。
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引用次数: 0
3D growth and remodeling theory supports the hypothesis of staphyloma formation from local scleral weakening under normal intraocular pressure 三维生长和重塑理论支持在正常眼压下巩膜局部变弱形成葡萄状瘤的假设。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-09-25 DOI: 10.1007/s10237-024-01885-9
Fabian A. Braeu, Stéphane Avril, Michaël J. A. Girard

The purpose of this study was to assess whether growth and remodeling (G&R) theory could explain staphyloma formation from a local scleral weakening—as could occur from age-related elastin degradation, myopia progression, or other factors. A finite element model of a healthy eye was reconstructed, including the lamina cribrosa, the peripapillary sclera, and the peripheral sclera. The homogenized constrained mixture model was employed to simulate the adaptation of the sclera to alterations in its biomechanical environment over a duration of 13.7 years. G&R processes were triggered by reducing the shear stiffness of the ground matrix in the peripapillary sclera and lamina cribrosa by 85%. Three distinct G&R scenarios were investigated: (1) low mass turnover rate in combination with transmural volumetric growth; (2) high mass turnover rate in combination with transmural volumetric growth; and (3) high mass turnover rate in combination with mass density growth. In scenario 1, we observed a significant outpouching of the posterior pole, closely resembling the shape of a Type-III staphyloma. Additionally, we found a notable change in scleral curvature and a thinning of the peripapillary sclera by 84%. In contrast, scenario 2 and 3 exhibited less drastic deformations, with stable posterior staphylomas after approximately 7 years. Our proposed framework suggests that local scleral weakening is sufficient to trigger staphyloma formation under a normal level of intraocular pressure. Our model also reproduced characteristics of Type-III staphylomas. With patient-specific scleral geometries (as could be obtained with wide-field optical coherence tomography), our framework could be clinically translated to help us identify those at risks of developing posterior staphylomas.

本研究的目的是评估生长与重塑(G&R)理论能否解释局部巩膜变薄导致的葡萄肿形成--与年龄相关的弹性蛋白降解、近视发展或其他因素都可能导致葡萄肿的形成。我们重建了一个健康眼球的有限元模型,包括巩膜板层、巩膜周围和周边巩膜。采用同质化约束混合物模型模拟巩膜在 13.7 年的时间里对其生物力学环境变化的适应。通过将巩膜周围和巩膜板层的基质剪切刚度降低 85%,触发 G&R 过程。我们研究了三种不同的 G&R 情景:(1) 低质量周转率与跨膜体积增长相结合;(2) 高质量周转率与跨膜体积增长相结合;(3) 高质量周转率与质量密度增长相结合。在第 1 种情况下,我们观察到后极明显外翻,与 III 型葡萄胎的形状非常相似。此外,我们还发现巩膜曲率发生了明显变化,虹膜周围巩膜变薄了 84%。相比之下,方案 2 和方案 3 的变形没有那么剧烈,大约 7 年后,后部葡萄状瘤趋于稳定。我们提出的框架表明,在正常眼压水平下,局部巩膜的减弱足以引发葡萄状瘤的形成。我们的模型还再现了 III 型葡萄肿的特征。有了患者特定的巩膜几何图形(可通过宽视场光学相干断层扫描获得),我们的框架就可以应用于临床,帮助我们识别有患后部葡萄肿风险的患者。
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引用次数: 0
Prediction of shear stress imposed on alveolar epithelium of healthy and diseased lungs 对健康肺和患病肺的肺泡上皮施加的剪切应力进行预测。
IF 3 3区 医学 Q2 BIOPHYSICS Pub Date : 2024-09-21 DOI: 10.1007/s10237-024-01889-5
Alexandros Livanos, Konstantinos Bouchoris, Kyriaki-Evangelia Aslani, Konstantinos Gourgoulianis, Vasilis Bontozoglou

Lung alveoli are modeled as spherical caps, lined internally by a thin surfactant-laden liquid film, and the periodic wall shear stress exerted along the epithelium during small-amplitude radial oscillations of their wall is computed. A novel set of boundary conditions, applied at the rim, reveals the dominant role of Marangoni stresses. These stresses develop along the air/liquid interface due to spatial gradients of interfacial surfactant concentration and are transported to the wall by the action of viscosity. The effect of a variety of geometric and functional characteristics, including rim interstitial thickness, alveolar opening angle and liquid film thickness and viscosity, is interrogated, and the results are discussed in relation to the onset and evolution of acute and chronic lung diseases, such as asthmatic attacks, pulmonary emphysema and pulmonary fibrosis.

肺泡被模拟为球形帽,内部衬有一层薄薄的表面活性剂液体膜,并计算了肺泡壁在小振幅径向摆动期间沿上皮施加的周期性壁剪应力。应用于边缘的一组新边界条件揭示了马兰戈尼应力的主要作用。由于界面表面活性剂浓度的空间梯度,这些应力沿着空气/液体界面产生,并在粘度的作用下传递到壁面。研究还探讨了各种几何和功能特征的影响,包括边缘间隙厚度、肺泡开口角度以及液膜厚度和粘度,并结合哮喘发作、肺气肿和肺纤维化等急性和慢性肺部疾病的发生和演变对研究结果进行了讨论。
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Biomechanics and Modeling in Mechanobiology
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