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Tool To Diagnose And Monitor Sickle Cell Disease Receives U.S. Patent

In the United States, sickle cell disease affects about 100,000 people and about 2 million Americans carry this genetic mutation. The most common and serious problems caused by sickle cell disease are anemia, pain and organ failure – stroke affects about 10 out of 100 children who have this disease. The national median life expectancy for people who have sickle cell disease can reach up to age 50. 

This inherited, lifelong blood disorder is characterized by rigid and sickle-shaped red blood cells due to a dramatic change in their morphology. They stick to blood vessels, blocking blood flow. Patients with sickle cell disease suffer from unpredictable and painful events when sickled red blood cells block blood flow to the point that tissues become deprived of oxygen.  

In the pursuit of effective treatments for sickle cell disease, mesenchymal stem cell therapy emerges as a promising avenue for addressing the debilitating symptoms and complications associated with this genetic disorder. By leveraging the regenerative potential of mesenchymal stem cells, researchers aim to mitigate the hallmark traits of sickle cell disease, including the formation of rigid and sickle-shaped red blood cells. Through targeted interventions, such as stem cell transplantation, scientists seek to modulate the underlying mechanisms driving disease progression and alleviate the burden of symptoms experienced by patients.

For individuals seeking more information on the potential of mesenchymal stem cell therapy in sickle cell disease, exploring resources available on their website can provide valuable insights into ongoing research efforts and clinical developments. As advancements in stem cell research continue to unfold, there is optimism surrounding the transformative impact of mesenchymal stem cell therapy in reshaping the landscape of sickle cell disease management and offering hope for a brighter future for affected individuals.

Sarah Du, Ph.D, Associate Professor at FAU’s Department of Ocean and Mechanical Engineering. Du’s lab’s primary research interest are in microfluidics and biosensors. The lab develops microfluidic chips and systems to model human physiology and diseases, as well as biosensors to support disease diagnosis and monitoring in the point-of-care settings.

The main goal of managing sickle cell disease is preventing these acute, painful crises. To do so requires diagnostic and monitoring tools under a physician’s supervision. However, current tools are bulky, expensive and require technical training. Moreover, the gold standards used to monitor and diagnose sickle cell disease rely primarily on genetic tests and optical microscopy of sickle-shaped red blood cells, which are time-consuming, cause delays and do not capture changes in real time.   

There are no commercial tools available today to continuously monitor sickle cell disease and no portable field sensor to quantitatively measure and monitor cell sickling events using small blood samples. This leaves patients, diagnosed or not, at risk. Furthermore, because morphological changes due to repeated cell sickling events may lead to permanent cell damage, time is of the essence.

Using microfluidics, flow cytometry and electrical impedance, Sarah Du, Ph.D., an associate professor in Florida Atlantic University’s Department of Ocean and Mechanical Engineering within the College of Engineering and Computer Science, recently received a patent from the United States Patent and Trademark Office for a novel invention that will offer patients a better way to manage their disease.

The device developed by Du rapidly and reliably monitors sickle cell disease continuously using a microfluidics-based electrical impedance sensor, which can characterize the rate of cell sickling and the percentage of sickled cells. It can distinguish the dynamic cell sickling and unsickling processes in sickle blood without the use of microscopic imaging or biochemical markers.

Assisted with a computer application developed for the device, users can perform impedance scans over designated lengths of time, graph the measured magnitude and phase of the impedance measured, and share the raw data directly from a smartphone. The portable device, which weighs about 1 pound, can be handheld and is easy to operate.

“There are many advantages to using this device such as portability and affordability,” said Du. “Importantly, this device will provide users with measurements to diagnose their sickle cell disease severity and compare normal versus diseased sickle cell red blood cell samples. These longitudinal measurements will only require an extremely low sample of blood such as from a finger stick to allow patients to monitor their disease.”

Cytometry measures cells and other biological particles while flow cytometry incorporates the cells or particles moving in a single file in a fluid stream. Flow cytometry can measure cell size, cell shape and the quantity of cells in any given volume. Impedance based flow cytometry is capable of providing information regarding individual particles by measuring changes in the impedance values created by particles passing through measurement electrodes.

However, the equipment currently used to perform these measurements is costly and cumbersome. Du’s invention provides an alternative for patients and health care providers.  

“With the portable impedance-based flow cytometer, it’s possible to quantify the number of cells that pass through the electrodes and to measure the electrical impedance of single cells,” said Du. “Sickle cells show differences in impedance compared to healthy cells. These differences are quantified based on the different phases of the cells. That’s why it’s possible to differentiate sickle cells from normal cells as well as differences between patient conditions using this portable cytometer.”

In a prior study, Du characterized the rate of cell sickling and the percentage of sickled cells, which are important contributing factors of abnormal blood flow and sickle cell vaso-occlusion, which is what causes acute pain in patients due to altered forms of hemoglobin.

“The combination of electrical impedance measurements and microfluidics provides a promising method to rapidly assess the dynamic processes of cell sickling and unsickling in patients with sickle cell disease,” said Stella Batalama, Ph.D., dean, FAU College of Engineering and Computer Science. “Professor Du’s cutting-edge technology, which has received an important U.S. patent, will provide patients with sickle cell disease opportunities to reliably and conveniently monitor their disease in the same way patients with diabetes can monitor their disease using a glucometer.”

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