The release of adenosine triphosphate (ATP) from red blood cells (RBCs) flowing through PDMS microchannels has been determined as a function of channel cross-sectional area using a design containing a channel that narrows uniformly. ATP, released from the RBCs in response to the mechanical deformation of their cell membranes, increased as the channel cross-section decreased. One sample of rabbit RBCs released 1.16 ± 0.11, 1.92 ± 0.14 and 2.09 ± 0.10 μM ATP as the median cross-sectional area decreased from 4314 to 3192 to 2052 μm2, respectively. Numerous samples (n = 6) displayed the same trend. Incubating a sample of RBCs with diamide, a substance known to stiffen cell membranes without harming the cell cytosol, provided evidence that no cell lysis occurred in the microchip device. This novel use of lab-on-a-chip technology allows for channel designs that enable an in vitro study of physiological events that occur in the microcirculation.
Recently, it has become increasingly clear that the red blood cell (RBC) is more than a source of hemoglobin-containing oxygen. For example, in addition to transporting oxygen from the lungs to organs and tissues, RBCs have also been perceived as oxygen sensors [1]. That is, in the environment of hypoxic tissues, RBCs release micromolar amounts of adenosine triphosphate (ATP) [2], [3], [4], which has been identified as a stimulus of endothelial-derived NO [5]. The subsequent NO-mediated relaxation of vascular smooth muscle results in an increase in vessel diameter, allowing more oxygen-rich RBCs to reach the hypoxic tissue. Also, RBCs have been shown to release micromolar amounts of ATP in response to the physical deformation of their cell membranes [5], [6], [7]. This is an important feature of the RBC and may have important implications regarding the etiology of primary pulmonary hypertension [8] and hypertension associated with diabetes mellitus [9], [10], [11].
In vitro mimics of the microcirculation suggest that the mechanical deformation of RBCs takes place in arterioles and capillaries, which have inside diameters of 25–100 μm and 10–25 μm, respectively. Previously, we designed and characterized a microbore tubing-based continuous flow system that mimics a resistance vessel and is capable of detecting RBC-derived ATP on-line and in real time [12], [13]. We have also recently described the transition from resistance vessel mimics using microbore tubing to microfluidic channels that are patterned in a polymer substrate [14]. A microfluidic platform provides several significant advantages over use of microbore tubing as resistance vessel mimics. For example, complex channel networks can be reproducibly fabricated without numerous connectors and/or pieces of tubing. Resistance vessel lengths, which are millimeters or less in length [2], can be more accurately mimicked because external connectors are not necessary. In addition, the fabrication of such on-chip circulation mimics can be performed with relative ease and at low cost using poly(dimethylsiloxane) (PDMS) as the microchip substrate material [15], [16]. Furthermore, the two-dimensional planar structure of a microfluidic device enables easier systems integration regarding electrochemical [17], [18] and optical detection schemes [14]. The dimensionality of such microfluidic devices has also made it possible to immobilize other types of cells typically found in the microcirculation such as pulmonary endothelial cells in the microchannels [18].
We have previously reported the release of erythrocyte-derived ATP in a PDMS microchip channel [14]. However, many of the unique features mentioned above were not exploited. The novel aspect of this study is the on-chip determination of ATP that has been released from RBCs as they are hydrodynamically pumped through a channel that narrows uniformly, as occurs in vivo. This aspect of the microcirculation cannot easily be studied using microbore tubing. As the channel dimensions decrease, the RBCs become increasingly deformed, prompting increased levels of ATP release as the RBCs traverse the microfluidic network. Three cross-sectional area ranges were measured at various positions on the same channel during the same study. The ability to scale channels is an added feature to previous studies that employed microbore tubing and is work toward a microchip-based microcirculation mimic. Adding to the biomimetic nature of the device, results demonstrate that the ATP release is solely due to a physical stress placed upon the RBCs, without cell lysis or agonist.
2. Experimental
2.1. Determination of ATP
ATP, both in standard form and that released by RBCs, was measured using the luciferin/luciferase reaction [13]. The light intensity of the chemiluminescence produced in this reaction is proportional to the amount of ATP present. Firefly tail extract was used as the source of luciferase (FLE-50, Sigma, St. Louis, MO). Two milligrams of synthetic d-luciferin (L6882, Sigma) were added to each vial of firefly tail extract to enhance the sensitivity of the reaction. The luciferin/luciferase mixture was then prepared by dissolving these reagents in 5 ml of physiological salt solution (PSS). This buffer contained the following (in mM): 4.7 KCl, 2.0 CaCl2, 1.2 MgSO4, 140.5 NaCl, 21.0 tris(hydroxymethyl)aminomethane, and 11.1 dextrose with 5% bovine serum albumin. The buffer was adjusted to a pH of 7.4 and filtered three to five times. The luciferin/luciferase mixture was stirred with a magnetic stir bar for at least 1 h, and centrifuged at room temperature for 15 min at 2500 rpm to remove large particulates that can clog microfluidic channels. Smaller particulates were removed by filtering the mixture with a SFCA filter (average 0.80 μm pore size). The chemiluminescent reagents were always prepared on the day of use. ATP standards were also diluted in PSS.
2.2. Generation of red blood cells
RBCs were isolated and prepared on the day of use. For obtaining rabbit RBCs, male and female New Zealand White Rabbits (2.0–2.5 kg) were anesthetized with ketamine (8.0 mg kg−1) and xylazine (1.0 mg kg−1) followed by pentobarbital sodium (15 mg kg−1 i.v.). After tracheotomy, the rabbits were mechanically ventilated (tidal volume 20 ml kg−1, rate 20 breaths/min; Harvard ventilator, Holliston, MA). A catheter was placed into a carotid artery, heparin (500 units, i.v.) was administered, and after 10 min, the animals were exsanguinated. Blood was collected into vials, and the RBCs were separated from other formed elements and plasma by centrifugation at 500 × g at 4 °C for 10 min. The supernatant and buffy coat were removed by aspiration. Packed RBCs were resuspended and washed three times in PSS. The RBCs were then diluted with the buffer to the appropriate hematocrit. For all studies reported here, a hematocrit of 7% was employed since the hematocrit of RBCs in resistance vessels is generally less than 20% [19].
2.3. PDMS fabrication
PDMS channel structures were produced based on previously published methods [15], [20]. To produce structures 38 μm in depth, a 4 in. silicon wafer (Silicon Inc., Boise, ID) was coated with SU-8 10 negative photoresist (MicroChem Corp., Newton, MA) using a spin coater (Brewer Science, Rolla, MO) operating with a spin program of 1000 rpm for 20 s. The photoresist was prebaked at 90 °C for 5 min prior to UV exposure with a near-UV flood source (Autoflood 1000, Optical Associates, Milpitas, CA) through a negative film (2400 dpi, Jostens, Topeka, KS), which contained the desired channel pattern. All channel designs were drawn in Freehand (PC version 10.0, Macromedia Inc., San Francisco, CA). Following this exposure, the wafer was postbaked at 90 °C for 5 min and developed in Nano SU-8 developer (MicroChem Corp.). The thickness of the photoresist was measured with a profilometer (Alpha Step-200, Tencor Instruments, Mountain View, CA) and this height corresponds to the channel depth (38 μm) in the resulting PDMS channels. To make masters with 93 μm raised structures, essentially the same process was used, except that SU-8 50 negative photoresist was used with a spin program of 1500 rpm for 20 s.
A 20:1 mixture of Sylgard 184 elastomer base and curing agent (Ellsworth Adhesives, Germantown, WI) was used for all studies. This mixture was poured onto the silicon master and cured at 70 °C for ∼1 h. After this time, the PDMS layer was then peeled off the master. The chip design shown in Fig. 1A was used in the first part of this study. The distance from the sample reservoir to the T intersection was 4.9 cm and the distance from the T to the waste reservoir was 1.9 cm. Each channel used in this comparison study had a width of 60 μm. For the main portion of this study, the chip design shown in Fig. 2 was used. The distance from the T to the waste reservoir is 6.4 cm and narrows from ∼180 to 40 μm over that length. Both introduction channels are 140 μm wide. The measurement of channel widths is detailed in the imaging section below. The channel depths correspond to the height of the master, which was measured with a profilometer (Alpha Step 200).
Fig. 1. (A) Microchip design for studying the effect of cross-sectional area on ATP release. RBCs and ATP standards flow down the deformation channel to the mixing tee, where luciferin and luciferase are introduced. (B) ATP release is shown from RBCs deformed in two channels with the same width (60 μm), one with a depth of 38 μm (0.641 ± 0.014 μM) and the other with a depth of 93 μm (0.323 ± 0.010 μM). The error bars represent standard deviations of the set (n = 3).
Fig. 2. Microchip design used for the uniform scaling studies (not to scale). As the deformation channel scales down, data is recorded at three different sections. The inset shows a magnification of the channel and detection occurs in the regions outlined by dotted lines. The values represent the average median width of each section used. The depth of all of the microchannels was 38 μm.
Glass plates that had microbore tubing connectors attached were made in-house. Soda lime glass plates (7.0 cm wide, 10.25 cm long, 2 mm thick) were purchased from a local glass shop. Fluid access holes were made in the glass plate using a 1.5 mm diamond drill bit and a Dremel rotary tool (Dremel, Racine, WI). The syringe connector portion of a Luer adaptor was removed with the Dremel rotary tool and accompanying cutting disk and epoxied to the opposite side of the glass with J.B. Weld (Sulfur Springs, TX). The epoxy was cured in a 75 °C oven for 2 h. PDMS microchips with the channel design in Fig. 1A were reversibly sealed to the glass base by lining up the ends of the channels with the introduction reservoirs which were drilled in the glass plate. However, due to higher pressures associated with high flow rates, the PDMS chips containing the channel that scaled down uniformly were irreversibly sealed to the glass base. This was accomplished using a plasma cleaner (PDC-32G, Harrick Plasma, Ithica, NY). The PDMS chip and the glass plate were placed in the plasma for 150 s. Afterward, the two components were quickly aligned and sealed together.
2.4. Passage of RBCs through fabricated PDMS microchips and the measurement of ATP
The setup for measuring ATP from both standards and RBC samples is composed of two syringe pumps, the PDMS chip, glass substrate and photomultiplier tube, and is the same as previously reported [14]. In each part of this study, microbore tubing with an inside diameter of 150 μm was used to deliver all reagents from the syringe barrels to the microchip channels. As with the 250 μm i.d. tubing used for deformation in previous studies, no ATP release from RBCs has been witnessed at practical flow rates from tubing this large in our laboratory [14]. In addition, before each determination of RBC-derived ATP, a calibration was performed using ATP standards and the exact conditions as those employed during the analysis of the real sample.
In the first part of the study (see Section 3.1), RBCs and ATP standards were pumped at a constant linear rate of 0.732 cm/s. At the mixing tee, the RBC samples are combined with the luciferin/luciferase mixture. The resultant flow rate propels the RBCs and the chemiluminescent product past the PMT within seconds. Flow rates of 2.50 μL/min are used to deliver the reagents to the channel that narrows (see Section 3.2). In order to keep the range of channel widths constant for each section, a piece of negative film such as that used to create the silicon master is affixed to the PDMS wafer over the channel. The negative film contains a transparent 4 mm × 4 mm box. This limits the amount of light recorded by the PMT to that which comes from this specific region. The measurement of channel widths in each region is detailed in the imaging section below. A steady-state signal is achieved because in both studies, the resultant chemiluminescent intensity is recorded for 60 s using a data acquisition program written in-house (LabWindows/CVI, National Instruments, Austin, TX). Amounts of ATP released from RBC samples were determined by comparison to values for standards prepared in the PSS on the day of the study. Measurements of the standards were performed in triplicate, and the results from these standards were used to generate a working curve.
2.5. Imaging
Flow profiles were imaged using fluorescein-tagged dextran (70 kDa, 2 μM in PSS) and an inverted fluorescence microscope equipped with a fluorescein line filter (IX71, Olympus America, Melville, NY). A 10× objective was used and the chip was imaged with a Sony 3CCD camera (Leeds Precision Instruments, Minneapolis, MN). Images were captured with a ProSeries Capture kit (Media Cybernetics, Silver Spring, MD) and Image Pro Express software (Media Cybernetics). The size of the dextran molecule was selected in order to mimic that of the enzyme luciferase (∼60 kDa). The images in Fig. 3 were obtained by operating the microscope in bright field mode. This was done to show the effect of laminar flow on the RBCs. The width of selected channel widths was measured with a 20× objective in bright field using the same microscope and imaging software. The images shown in Fig. 4 are from pumping fluorescein-tagged dextran alone or fluorescein-tagged dextran and RBCs through the deformation channel, which were taken to illustrate the similarity between diffusion-based mixing in standards and RBC samples.
Fig. 3. Bright-field images showing the effect of laminar flow on a sample of RBCs. (A) and (C) correspond to 130 and 45 μm channel widths, respectively. (B) and (D) show the flow profile of these same sections when the chemiluminescent reagents contain a 7% hematocrit of RBCs.
Fig. 4. Use of fluorescence microscopy and fluorescein-labeled dextran to compare the extent of mixing in 130 and 68 μm channel widths. (A) and (C) show the extent of mixing that occurs in ATP standards while (B) and (D) show mixing in RBC samples.
3. Results and discussion
3.1. Analysis of RBC-derived ATP as a function of channel cross-section
The design used in our previous microchip study allowed us to test whether the microfluidic platform would be a viable tool for the determination of deformation-induced release of ATP from RBCs [14]. In that study, it was verified that a skimming layer exists between the RBCs and the side of the channel during flow, as is seen in vivo. Also, it was reported that ATP release from RBCs in microchips and microbore tubing with comparable dimensions and linear flow rates were statistically the same. In addition, RBC hematocrit was determined to have a direct relationship to ATP release. These results complement those reported in studies employing microbore tubing as a biomimic of resistance vessels [12], [13] and in vivo [21].
In the previous study, two different channel cross sections (60 μm × 38 μm and 100 μm × 54 μm; width × depth) were used to compare the effect of channel dimensions. It was assumed that the results obtained were due to the difference in the cross-sectional areas between the channels. However, this assertion could not justifiably be made due to the fact that two variables, channel depth and width, were changing. Here, a follow-up study was designed to ensure that channel cross-section was indeed the factor that determined ATP release instead of the possibility that one channel dimension alone could be a limiting factor in the process. The channels used in this study had depths of 38 and 93 μm and a constant width of 60 μm.
ATP standards were pumped through the deformation channel at a linear rate of 0.732 cm/s. At the mixing tee, the sample stream was combined with a luciferin/luciferase mixture and the resultant chemiluminescence was measured by a PMT located directly below the reaction channel. In this design, the RBCs are mechanically deformed before being mixed with the chemiluminescent reagents. Calibration curves were then constructed for each channel, using ATP standards with concentrations of 0, 2, 5 and 8 μM. A 7% hematocrit of RBCs suspended in PSS was measured in the same manner as the standards. The amount of ATP released was determined by comparing the raw luminescent intensity to those of the standards. Fig. 1B shows the ATP release from RBCs flowing through microchip channels with the same width, but different depths. The measured amount of RBC-derived ATP was 0.323 ± 0.010 μM (r2 for standard curve = 0.9899) for the channel with a cross-section of 60 μm width and 93 μm depth. Subsequently, an increase in ATP release (0.641 ± 0.014 μM, r2 for standard curve = 0.9915) was measured when the depth of the channel was decreased to 38 μm. These results are consistent with previous findings that RBCs release increased amounts of ATP as a function of decreased tubing diameter [12], [13]. It is also consistent with previous work by Sprague et al. [5], [6], [7] who reported that RBCs released increments of ATP when pulled through pores of decreasing diameter. Importantly, the eventual ATP measurements in Sprague's work were eventually made off line in a standard luminometer. This suggests that the increase in ATP seen in that work (and work reported here) is due to an increased amount of ATP derived from the RBCs, as opposed to an increase in ATP concentration due to the smaller volumes in the decreasing cross-sectional area of the channels. Moreover, they are also important because they prove that the quantity of ATP present due to RBC deformation is not limited by the smallest dimension, yet is dependent upon the cross-sectional area. That is, if erythrocyte deformation was a function of the smallest dimension present, the ATP release in the two channels would be the same. From this point on, comparisons of deformation-stimulated ATP will be discussed in terms of a difference in channel cross-sectional area.
3.2. Determination of ATP in a channel that narrows
When examining ATP release from RBCs in a channel that scales down (Fig. 2), two variables that play a role in the phenomenon, cross-sectional area and linear flow rate, are changing simultaneously and cannot be isolated. Although challenging, determination of RBC-derived ATP in this type of channel is important as resistance vessels in vivo display similar characteristics. Creating a more accurate biomimic using a tapered channel introduces an advantage in terms of the fabrication and detection schemes. That is, in order to measure the amount of ATP released from RBCs flowing through three different cross-sectional areas, three separate channels would have to be fabricated, requiring an increase in both time of analysis and raw materials. The design used in this study, however, allows for a myriad of biologically relevant cross-section ranges to be studied on the same chip, in the same flow stream and in a high-throughput fashion.
One important feature of the design reported here is that the mixing of the RBCs with the chemiluminescence reagents occurs before the streams enter the deformation channel. Therefore, the flow profile of RBCs must be monitored after the two introduction channels combine, as the physiological event of interest (deformation-induced release of ATP from the RBCs) occurs after the initiation of mixing with the luciferin/luciferase mixture. Also, any ATP released will have to mix with the luficerin/luciferase solution to enable the chemiluminescent reaction to occur. Originally, it was thought that even with low Reynold's numbers (the highest Reynold's number encountered in this work is still less than 3), some convection might exist in the system due to the fact that RBCs are particles. However, as micrographs A and C in Fig. 3 show, laminar flow dominates the flow profile, even as the channel scales down to the smallest cross-sections. The presence of laminar flow necessitates a different approach to introducing reagents in this chip design. That is, as ATP is released and measured, it would be unknown if ATP is derived from deformation due to a certain cross-sectional area (as is defined by the channel dimensions), or if deformation occurred from the focusing of RBCs due to the laminar flow profile. In reality, the cross-sectional area responsible for ATP release would be about half that of the channel cross-sectional area, with this decreased area coming from focusing of the RBC flow stream by the luciferin/luciferase flow stream (Fig. 3A and C). This problem was solved by preparing a 7% hematocrit of RBCs in the luciferin/luciferase mixture prior to RBC introduction to the microfluidic channels. This ensures that RBCs are mixed with the luciferin/luciferase mixture and when the two introduction channels combine, the width of the RBC stream is approximately the same as the channel width. This is seen in micrographs B and D of Fig. 3.
When mixing the RBCs with the luciferin/luciferase solution before introduction to the microfluidic channels, it is important to ensure that diffusion-based mixing does not differ between the ATP standards and RBC samples, as the presence of RBCs increases the viscosity of the solution, and viscosity effects both diffusion coefficients and the Reynolds number. An imaging study was performed in which a solution containing 2 μM fluorescein-labelled dextran was substituted for the chemiluminescent reagents. The size of the dextran molecule (70 kDa) was chosen in order to more closely replicate that of the enzyme luciferase (∼60 kDa). This is not to say though, that the extent of mixing is limited to the movement of the luciferase molecule. ATP possesses a much larger diffusion coefficient and will mix more rapidly than luciferase. As the micrographs in Fig. 4 show, the extent of mixing that occurs in standards (A and C) is very similar to that in 7% RBC samples (B and D), confirming that the calibration performed should ensure accurate results.
In order to calibrate the system, ATP standards are pumped down the sample introduction channel and combined with the luciferin/luciferase mixture. Each section of the channel to be studied (as defined by the “negative film” box, see Fig. 2) is calibrated separately. For the determination of RBC-derived ATP, 7% RBC samples are combined with a luciferin/luciferase mixture containing 7% RBCs, and the resultant chemiluminescence is measured for each section. Quantitative amounts of RBC-derived ATP in a particular cross-sectional range are determined from the working curve associated with that section. Representative data for one RBC sample is illustrated in Fig. 5. While traversing the channel, the RBCs become increasingly deformed due to the decrease in cross-sectional area and increase in linear flow rate. In response, the amounts of ATP released by the cells increase as the magnitude of the stimuli become greater. Similar data for five other RBC samples are given in Table 1. Each microchip channel bears the same general trend as the data in Fig. 5. One interesting feature of the data is that a physical “threshold” seems to exist for each different sample of RBCs. That is, we often observe a large increase in ATP release between two cross-sectional areas and then, as the physical stress placed on the cell increases, the ATP release levels off. It should also be noted that some discrepancy will exist between the magnitude of ATP release as the biological, chemical, and even the physical nature of RBC samples can vary widely between rabbits and days. In the work reported here, multiple rabbits were used to gather RBCs over a period of 2–3 months. Statistically, many of the day-to-day ATP release values between channel cross sectional areas are not significantly different. However, there is a statistically significant difference between the smallest and largest cross sectional area studied for each RBC sample that was assayed and reported here. In addition, the cross-sectional areas that were measured chip to chip are variable, as there is some variation on which portion of the microchannels is placed over the PMT. This can be solved in the future by lithographically defining apertures on the glass with which it is irreversibly bonded.
Fig. 5. Representative data for ATP release in three different segments of the same channel. ATP release is (μM) 1.16 ± 0.11, 1.92 ± 0.14 and 2.09 ± 0.10 in segments with median widths of 113.3, 84.3 and 54.1 μm, respectively. The error bars represent standard deviations of the set (n = 3).
Table 1. ATP release from three sections of the deformation channel for six separate RBC samples
Chemiluminescent intensity was not statistically significant from buffer at 95% confidence level using a Student's t-test.
Finally, to confirm that measured ATP is indeed due to mechanical deformation and not cell lysis, an aliquot of RBCs (7% hematocrit) were incubated with 50 μM diamide and pumped through the channel. Diamide is an oxidant that is known to stiffen the RBC membrane by forming inter- and intramolecular disulfide bridges between cysteine residues in the membrane-bound proteins such as spectrin [22], [23]. This change in the rheological properties of the membrane leads to a loss of cell deformability. It has been shown that ATP release from RBCs correlates with RBC deformability [24]. That is, as the cell membrane becomes less deformable, its sensitivity to mechanical stress decreases. Thus, under these circumstances, a larger physical force is necessary to duplicate the same cellular response under normal conditions. The data in Fig. 6 suggests that diamide is indeed stiffening the cell membranes as the amounts of measured ATP are less than non-incubated cells (7% hematocrit) for each section of the channel. ATP release from RBCs in sections with median cross-sectional areas of 4598 and 3135 μm2 decreased by 46.5% and 45.6%, respectively. However, it should be noted that the effects of diamide diminish over time. That is, eventually the thiol groups are regenerated through the actions of intracellular reduction. Thirty-five minutes after initial incubation, the cell membranes have gained back some of their original flexibility, resulting in only a 32.5% decrease in ATP release. These data show that ATP measured under these flow conditions is due to deformation alone, as incubation with diamide would have no effect upon ATP that was present due to cell lysis. Also, diamide at this concentration was shown to not affect the chemiluminescent assay used in this work (data not shown).
Fig. 6. ATP release from two aliquots of an RBC sample. A normal 7% hematocrit of RBCs (□) is contrasted against a 7% hematocrit of RBCs that were stiffened with 50 μM diamide (■). A significant decrease in ATP release was measured for all cross-sectional areas. The number in parentheses corresponds to the number of minutes which transpired between the incubation of diamide and the measurement. The error bars represent the standard deviations of the set (n = 3).
4. Conclusions
In this study, it has been shown that rabbit RBCs release ATP under flow conditions in microchannels that have been fabricated in PDMS. It was shown that this release is not limited by only one dimension of the channel; rather, it is dependent upon the cross-sectional area. Also, a microfluidic device having channels with diameters that narrow in a manner similar to that found in vivo has been fabricated and evaluated. The release of ATP from RBCs flowing through different sections of these micropatterned channels was quantitatively measured online and in real-time, with the amount of RBC-derived ATP increasing as a function decreasing channel cross-sectional area. To our knowledge, this is the first time that such an in vitro system has studied this aspect of the microcirculation.
Acknowledgements
Red blood cells from the research group of Randy Sprague, MD in the Department of Pharmacological and Physiological Sciences at the Saint Louis University School of Medicine are greatly appreciated. The authors thank the research group of Professor Susan M. Lunte (University of Kansas) for use of their cleanroom facilities and help in the initial fabrication procedures. This work was supported by the NIH (R01-073942, DMS, and R01-EB00416401, DMS and RSM).