[COVID-19 pandemia: Impact on the cariovascular system. Data of 1st April 2020]. / Pandémie COVID-19 : impact sur le systeme cardiovasculaire. Données disponibles au 1er avril 2020.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infects host cells with angiotensin receptors, leading to pneumonia linked to COVID-19. The virus has a double impact on the cardiovascular system, the infection will be more intense if the host has cardiovascular co-morbidities and the virus can cause life-threatening cardiovascular lesions. Therapies associated with COVID-19 may have adverse cardiovascular effects. Therefore, special attention should be given to cardiovascular protection during COVID-19 infection.

On the problem of slipper shapes of red blood cells in the microvasculature.

Red blood cells (RBC) are known to exhibit non symmetric (slipper) shapes in the microvasculature. Vesicles have been recently used as a model for RBC and numerical simulations proved the existence of slipper shapes under Poiseuille flow (both in unconfined and confined geometry). However, in our recent numerical simulations the transition from symmetric (parachute) shape to the slipper one was found to take place upon decreasing the flow strength, while experiments on RBCs showed the contrary. In this work we show that if the viscosity contrast (ratio between the internal over external fluid viscosities) is different from unity, as is the case with RBCs, the transition from parachute to slipper shape occurs upon increasing the flow strength, in agreement with experiments. We provide the phase diagram of shapes in the microcirculation. The slipper is found to have a higher speed than the parachute (for the same parameters), that we believe to be the basic reason for its prevailing in the microvasculature. We provide a simple geometrical picture that explains the slipper flow efficiency over the parachute one. Finally, we show that there exists in parameter space regions of co-existence of slipper/parachute shapes and suggest simple experimental protocols to test these findings. The coexistence of shapes seems to be supported by experiments, though a systematic experimental study is lacking. A potential application of this work is to guide designing flow-based experiments in order to link the shape of RBCs to pathologies affecting cell deformability, such as sickle cell diseases, malaria, and those affecting blood hematocrit, as in polycythemia vera disease.

Complexity of vesicle microcirculation.

This study focuses numerically on dynamics in two dimensions of vesicles in microcirculation. The method used is based on boundary integral formulation. This study is inspired by the behavior of red blood cells (RBCs) in the microvasculature. Red RBCs carry oxygen from the lungs and deliver it through the microvasculature. The shape adopted by RBCs can affect blood flow and influence oxygen delivery. Our simulation using vesicles (a simple model for RBC) reveals unexpected complexity as compared to the case where a purely unbounded Poiseuille flow is considered [Kaoui, Biros, and Misbah, Phys. Rev. Lett. 103, 188101 (2009)]. In sufficiently large channels (in the range of 100 µm; the vesicle size and its reduced volume are taken in the range of those of a human RBC), such as arterioles, a slipperlike (asymmetric) shape prevails. A parachutelike (symmetric) shape is adopted in smaller channels (in the range of 20 µm, as in venules), but this shape loses stability and again changes to a pronounced slipperlike morphology in channels having a size typical of capillaries (5-10 µm). Stiff membranes, mimicking malaria infection, for example, adopt a centered or off-centered snakelike locomotion instead (the denomination snaking is used for this regime). A general scenario of how and why vesicles adopt their morphologies and dynamics among several distinct possibilities is provided. This finding potentially points to nontrivial RBCs dynamics in the microvasculature.

Rheology of particulate suspensions in a Poiseuille flow.

Particulate dense suspensions behave as complex fluids. They do not lend themselves easily to analytical solution. We propose an analytical model to mimic this problem. Namely, we consider arrays of long parallel plates which represent a simplification of arrays of chains of spherical particles. This simplified model can be solved analytically. The effect of effective rotation of the spherical particles is taken into account by attributing different velocities on each side of the plate that mimics the fact that particles are subject to shear. This work is an extension of a previous study where particle rotation was disregarded. The flow rate, the dissipation and the apparent viscosity are studied as a function of the underlying structure. For a single plate placed out of the flow center, the viscosity is lower when rotation is taken into account. For two plates, the minimal viscosity corresponds to the situation where the particles are as close as possible to the center and arranged symmetrically with respect to the center. We compute the rheological properties for arbitrary plate positions, and exploit them for a periodic arrangement. For N plates, and in a confined geometry, the viscosity is about twice as small as compared to the situation where rotation is ignored. We have conducted a numerical study of a suspension of spherical particles, and linear chains of spherical particles. The numerical study is in good qualitative and semiquantitative agreement with the analytical theory considering long plates. This agreement highlights the fact that our analytical model captures the essential features of a real suspension. The numerical study is based on a fluid dynamic particle method where the particles are represented by a scalar field having high viscosity inside.