: Francesco Mollica, Luigi Preziosi, K. R. Rajagopal
: Modeling of Biological Materials
: Birkhäuser Basel
: 9780817644116
: 1
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: Medizin
: English
: 368
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This unique collection highlights the central role played by modeling in general, and the modeling of mechanical considerations that have an effect on living matter. The volume collects several survey papers by actively working specialists, dealing with some of the most important problems - both theoretical and practical - in biomechanics. Written in a user-friendly style, these papers clearly explain both the biomedical and mechanical backgrounds associated with complex phenomena. This book may be used in interdisciplinary introductory courses covering various biomechanical topics for graduate students in applied mathematics, engineering, and biomedicine.

2 Biochemical and Biomechanical Aspects of Blood Flow (p. 33-34)

M. Thiriet

REO team
Laboratoire Jacques-Louis Lions, UMR CNRS 7598,
Universit´e Pierre et Marie Curie, F-75252 Paris cedex 05, and
INRIA, BP 105, F-78153 Le Chesnay Cedex.


Abstract. The blood vital functions are adaptative and strongly regulated. The various processes associated with the .owing blood involve multiple space and time scales. Biochemical and biomechanical aspects of the human blood circulation are indeed strongly coupled. The functioning of the heart, the transduction of mechanical stresses applied by the .owing blood on the endothelial and smooth muscle cells of the vessel wall, gives examples of the links between biochemistry and biomechanics in the physiology of the cardiovascular system and its regulation. The remodeling of the vessel of any site of the vasculature (blood vessels, heart) when the blood pressure increases, the angiogenesis, which occurs in tumors or which shunts a stenosed artery, illustrates pathophysiological processes. Moreover, focal wall pathologies, with the dysfunction of its biochemical machinery, such as lumen dilations (aneurisms) or narrowings (stenoses), are stress-dependent. This review is aimed at emphasizing the multidisciplinary aspects of investigations of multiple aspects of the blood flow.

2.1 Introduction

Biomechanics investigates the cardiovascular system by means of mechanical laws and principles. Biomechanical research related to the blood circulation is involved

1. In the motion of human beings, such as gait (blood supply, venous return in transiently compressed veins)
2. In organ rheology influenced by blood perfusion
3. In heat and mass transfer, especially in the context of mini-invasive therapy of tumors
4. Cell and tissue engineering
5. In the design of surgical repair and implantable medical devices

Macroscale biomechanical model of the cardiovascular system have been carried out with multiple goals:

1. Prediction
2. Development of pedagogical and medical tools
3. Computations of quantities inaccessible to measurements
4. Control
5. Optimization

In addition, macroscale simulations deal with subject-specific geometries, because of a high between-subject variability in anatomy, whatever the image-based approaches, either numerical and experimental methods, using stereolithography. The research indeed aims at developing computerassisted medical and surgical tools in order to learn, to explore, to plan, to guide, and to train to perform the tasks during interventional medicine and mini-invasive surgery. However, this last topic is beyond the goal of the present review.
Table of Contents6
Preface14
Rheology of Living Materials17
1.1 Introduction17
1.1.1 What Is Rheology?17
1.1.2 Importance of Rheology in the Study of Biological Materials18
1.2 Rheological Models19
1.2.1 One-Dimensional Models19
1.2.2 Three-Dimensional Models22
1.3 Biological Materials25
1.3.1 Cells25
1.3.2 Tissues26
1.4 Measurements of Rheological Properties of Cells and Tissues27
1.4.1 Microrheology27
1.4.2 Macroscopic Tests31
1.5 Applications of Rheological Models34
1.5.1 Cells34
1.5.2 Tissues38
1.6 Conclusions41
1.7 References42
Biochemical and Biomechanical Aspects of Blood Flow48
2.1 Introduction49
2.2 Anatomy and Physiology Summary50
2.2.1 Heart50
2.2.2 Circulatory System55
2.2.3 Hemodynamics56
2.2.4 Lymphatics57
2.2.5 Microcirculation58
2.3 Blood59
2.3.1 Blood Cells60
2.3.2 Blood Rheology63
2.4 Signaling and Cell Stress-Reacting Components64
2.4.1 Cell Membrane64
2.4.2 Endocytosis68
2.4.3 Cell Cytoskeleton68
2.4.4 Adhesion Molecules70
2.4.5 Intercellular Junctions71
2.4.6 Extracellular Matrix73
2.4.7 Microrheology74
2.5 Heart Wall75
2.5.1 Cardiomyocyte76
2.5.2 Nodal Cells79
2.5.3 Excitation Contraction Coupling80
2.5.4 Vessel Wall85
2.5.5 Vessel Wall Rheology91
2.5.6 Growth, Repair, and Remodeling92
2.6 Cardiovascular Diseases98
2.6.1 Atheroma98
2.6.2 Aneurism100
2.7 Conclusion101
2.8 References103
Theoretical Modeling of Enlarging Intracranial Aneurysms116
3.1 Introduction117
3.2 Theoretical Framework119
3.2.1 Kinematics119
3.2.2 Fibrous Structure121
3.2.3 Kinetics of G121
122121
3.2.4 Stress-Mediated G121
122121
3.2.5 Stress and Strain Energy Function123
3.3 Simulations for Saccular Aneurysms124
3.3.1 Method124
3.3.2 Results126
3.4 Simulations for Fusiform Aneurysms128
3.4.1 Method128
3.4.2 Results130
3.5 Fluid Solid Interaction133
3.6 Discussion136
3.7 References137
Theoretical Modeling of Cyclically Loaded, Biodegradable Cylinders139
4.1 Cardiovascular Stents141
4.2 Biodegradable Stents143
4.3 Degradation, Erosion, and Elimination147
4.4 Models of Degradation and Erosion151
4.5 Model Description153
4.6 Methods158
4.7 Results160
4.7.1 On the In.uence of the Load163
4.7.2 On the In.uence of the Thickness of the Wall166
4.7.3 On the Role of the Constant Governing the Mechanical Properties Reduction, ß169
4.7.4 On the Parameter of the Mechanical Degradation Governing Equation, D(t)170
4.7.5 On the Shape of D(t)171
4.8 Discussion172
4.9 Conclusions178
4.10 References179
Regulation of Hemostatic System Function by Biochemical and Mechanical Factors192
5.1 Components of the Hemostatic System193
5.1.1 Platelets193
5.1.2 Coagulation Factors196
5.1.3 Anticoagulant Factors199
5.1.4 The Fibrinolytic System200
5.2 Vascular Physiology in the Context of Hemostasis200
5.2.1 Endothelial Regulation of Local Hemodynamics201
5.2.2 Platelet Endothelial Interactions201
5.2.3 Endothelial Regulation of the Coagulation Cascade203
5.3 Mechanics and E.ects on Hemostasis204
5.3.1 Mechanical Properties of Blood and Clots204