Quantifying the biophysical properties of stomatocytes in health and disease

Hereditary stomatocytosis (HS) comprises red blood cell (RBC) disorders characterized by cup-shaped erythrocytes that respond oppositely to splenectomy: curative in overhydrated HS (OHS) but potentially thrombogenic in dehydrated HS (DHS/xerocytosis). This paradox persists because RBC biomechanics is governed by partly independent parameters--shear modulus, bending rigidity, surface-to-volume ratio (S/V), and cytoplasmic viscosity--that existing assays capture only piecemeal. Here we combine dissipative particle dynamics (DPD) simulations with microfluidic imaging to construct a control discocyte and three stomatocyte models (ST-RBC1-3) at fixed membrane area and decreasing volume (109.7, 101.5, 89.8 fL), spanning the OHS-to-DHS range. Tracing this parameter set through five mechanically orthogonal assays, we find that interendothelial-slit (IES) traversal is geometry-dominated: overhydrated ST-RBC1 requires an order of magnitude higher critical pressure than healthy RBCs, whereas dehydrated ST-RBC3 passes freely. ST-RBC3 nonetheless suppresses membrane tank-treading and raises low-shear whole-blood viscosity by ~29% at physiological haematocrit, comparable to Gaucher-disease hyperviscosity. A funnel-obstacle chip amplifies these differences into a label-free centerline-offset signal predicted to separate all four RBC types (~4.5 standard deviations between extreme phenotypes). These results unite single-cell mechanics, splenic filtration, and hemorheology in one framework, resolve the splenectomy paradox, and point toward microfluidic pre-operative risk stratification in HS.

An AI-enabled tool for quantifying overlapping red blood cell sickling dynamics in microfluidic assays

Understanding sickle cell dynamics requires accurate identification of morphological transitions under diverse biophysical conditions, particularly in densely packed and overlapping cell populations. Here, we present an automated deep learning framework that integrates AI-assisted annotation, segmentation, classification, and instance counting to quantify red blood cell (RBC) populations across varying density regimes in time-lapse microscopy data. Experimental images were annotated using the Roboflow platform to generate labeled dataset for training an nnU-Net segmentation model. The trained network enables prediction of the temporal evolution of the sickle cell fraction, while a watershed algorithm resolves overlapping cells to enhance quantification accuracy. Despite requiring only a limited amount of labeled data for training, the framework achieves high segmentation performance, effectively addressing challenges associated with scarce manual annotations and cell overlap. By quantitatively tracking dynamic changes in RBC morphology, this approach can more than double the experimental throughput via densely packed cell suspensions, capture drug-dependent sickling behavior, and reveal distinct mechanobiological signatures of cellular morphological evolution. Overall, this AI-driven framework establishes a scalable and reproducible computational platform for investigating cellular biomechanics and assessing therapeutic efficacy in microphysiological systems.