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Viola HL, Vasani V, Washington K, Lee JH, Selva C, Li A, Llorente CJ, Murayama Y, Grotberg JB, Romanò F, Takayama S. Liquid plug propagation in computer-controlled microfluidic airway-on-a-chip with semi-circular microchannels. LAB ON A CHIP 2024; 24:197-209. [PMID: 38093669 PMCID: PMC10842925 DOI: 10.1039/d3lc00957b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/18/2024]
Abstract
This paper introduces a two-inlet, one-outlet lung-on-a-chip device with semi-circular cross-section microchannels and computer-controlled fluidic switching that enables a broader systematic investigation of liquid plug dynamics in a manner relevant to the distal airways. A leak-proof bonding protocol for micro-milled devices facilitates channel bonding and culture of confluent primary small airway epithelial cells. Production of liquid plugs with computer-controlled inlet channel valving and just one outlet allows more stable long-term plug generation and propagation compared to previous designs. The system also captures both plug speed and length as well as pressure drop concurrently. In one demonstration, the system reproducibly generates surfactant-containing liquid plugs, a challenging process due to lower surface tension that makes the plug formation less stable. The addition of surfactant decreases the pressure required to initiate plug propagation, a potentially significant effect in diseases where surfactant in the airways is absent or dysfunctional. Next, the device recapitulates the effect of increasing fluid viscosity, a challenging analysis due to higher resistance of viscous fluids that makes plug formation and propagation more difficult particularly in airway-relevant length scales. Experimental results show that increased fluid viscosity decreases plug propagation speed for a given air flow rate. These findings are supplemented by computational modeling of viscous plug propagation that demonstrates increased plug propagation time, increased maximum wall shear stress, and greater pressure differentials in more viscous conditions of plug propagation. These results match physiology as mucus viscosity is increased in various obstructive lung diseases where it is known that respiratory mechanics can be compromised due to mucus plugging of the distal airways. Finally, experiments evaluate the effect of channel geometry on primary human small airway epithelial cell injury in this lung-on-a-chip. There is more injury in the middle of the channel relative to the edges highlighting the role of channel shape, a physiologically relevant parameter as airway cross-sectional geometry can also be non-circular. In sum, this paper describes a system that pushes the device limits with regards to the types of liquid plugs that can be stably generated for studies of distal airway fluid mechanical injury.
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Affiliation(s)
- Hannah L Viola
- School of Chemical & Biomolecular Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- The Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, 30332, USA.
| | - Vishwa Vasani
- The Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, 30332, USA.
- The George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
| | - Kendra Washington
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory School of Medicine, Atlanta, GA, 30332, USA
| | - Ji-Hoon Lee
- The Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, 30332, USA.
- School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
| | - Cauviya Selva
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory School of Medicine, Atlanta, GA, 30332, USA
| | - Andrea Li
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory School of Medicine, Atlanta, GA, 30332, USA
| | - Carlos J Llorente
- Department of Physics & Astronomy, Michigan State University, Lansing, MI, 48824, USA
| | - Yoshinobu Murayama
- Department of Electrical and Electronics Engineering, College of Engineering, Nihon University, Fukushima, Japan
| | - James B Grotberg
- Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Francesco Romanò
- Univ. Lille, CNRS, ONERA, Arts et Métiers Institute of Technology, Centrale Lille, FRE 2017-LMFL-Laboratoire de Mécanique des Fluides de Lille - Kampé de Fériet, F-59000, Lille, France
| | - Shuichi Takayama
- The Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, 30332, USA.
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory School of Medicine, Atlanta, GA, 30332, USA
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2
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Viola HL, Vasani V, Washington K, Lee JH, Selva C, Li A, Llorente CJ, Murayama Y, Grotberg JB, Romanò F, Takayama S. Liquid plug propagation in computer-controlled microfluidic airway-on-a-chip with semi-circular microchannels. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.05.24.542177. [PMID: 37292706 PMCID: PMC10245866 DOI: 10.1101/2023.05.24.542177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
This paper introduces a two-inlet, one-outlet lung-on-a-chip device with semi-circular cross-section microchannels and computer-controlled fluidic switching that enables a broader systematic investigation of liquid plug dynamics in a manner relevant to the distal airways. A leak-proof bonding protocol for micro-milled devices facilitates channel bonding and culture of confluent primary small airway epithelial cells. Production of liquid plugs with computer-controlled inlet channel valving and just one outlet allows more stable long-term plug generation and propagation compared to previous designs. The system also captures both plug speed and length as well as pressure drop concurrently. In one demonstration, the system reproducibly generates surfactant-containing liquid plugs, a challenging process due to lower surface tension that makes the plug formation less stable. The addition of surfactant decreases the pressure required to initiate plug propagation, a potentially significant effect in diseases where surfactant in the airways is absent or dysfunctional. Next, the device recapitulates the effect of increasing fluid viscosity, a challenging analysis due to higher resistance of viscous fluids that makes plug formation and propagation more difficult particularly in airway-relevant length scales. Experimental results show that increased fluid viscosity decreases plug propagation speed for a given air flow rate. These findings are supplemented by computational modeling of viscous plug propagation that demonstrate increased plug propagation time, increased maximum wall shear stress, and greater pressure differentials in more viscous conditions of plug propagation. These results match physiology as mucus viscosity is increased in various obstructive lung diseases where it is known that respiratory mechanics can be compromised due to mucus plugging of the distal airways. Finally, experiments evaluate the effect of channel geometry on primary human small airway epithelial cell injury in this lung-on-a-chip. There is more injury in the middle of the channel relative to the edges highlighting the role of channel shape, a physiologically relevant parameter as airway cross-sectional geometry can also be non-circular. In sum, this paper describes a system that pushes the device limits with regards to the types of liquid plugs that can be stably generated for studies of distal airway fluid mechanical injury.
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Affiliation(s)
- Hannah L Viola
- School of Chemical & Biomolecular Engineering, Georgia Institute of Technology, Atlanta, GA, USA, 30332
- The Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, USA, 30332
| | - Vishwa Vasani
- The Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, USA, 30332
- The George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, USA, 30332
| | - Kendra Washington
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory School of Medicine, Atlanta, GA, USA, 30332
| | - Ji-Hoon Lee
- The Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, USA, 30332
- School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, USA, 30332
| | - Cauviya Selva
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory School of Medicine, Atlanta, GA, USA, 30332
| | - Andrea Li
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory School of Medicine, Atlanta, GA, USA, 30332
| | - Carlos J Llorente
- Department of Physics & Astronomy, Michigan State University, Lansing, MI, USA, 48824
| | - Yoshinobu Murayama
- Department of Electrical and Electronics Engineering, College of Engineering, Nihon University, Fukushima, Japan
| | - James B Grotberg
- Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA, 48109
| | - Francesco Romanò
- Univ. Lille, CNRS, ONERA, Arts et Métiers Institute of Technology, Centrale Lille, FRE 2017 -LMFL-Laboratoire de Mécanique des Fluides de Lille - Kampé de Fériet, F-59000, Lille, France
| | - Shuichi Takayama
- The Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, USA, 30332
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory School of Medicine, Atlanta, GA, USA, 30332
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Fujioka H, Romanò F, Muradoglu M, Grotberg JB. Splitting of a three-dimensional liquid plug at an airway bifurcation. PHYSICS OF FLUIDS (WOODBURY, N.Y. : 1994) 2022; 34:081907. [PMID: 36033359 PMCID: PMC9406020 DOI: 10.1063/5.0101662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 07/30/2022] [Indexed: 06/15/2023]
Abstract
Employing the moving particles' semi-implicit (MPS) method, this study presents a numerical framework for solving the Navier-Stokes equations for the propagation and the split of a liquid plug through a three-dimensional air-filled bifurcating tube, where the inner surface is coated by a thin fluid film, and surface tension acts on the air-liquid interface. The detailed derivation of a modified MPS method to handle the air-liquid interface of liquid plugs is presented. When the front air-liquid interface of the plug splits at the bifurcation, the interface deforms quickly and causes large wall shear stress. We observe that the presence of a transverse gravitational force causes asymmetries in plug splitting, which becomes more pronounced as the capillary number decreases or the Bond number increases. We also observe that there exists a critical capillary number below which the plug does not split into two daughter tubes but propagates into the lower daughter tube only. In order to deliver the plug into the upper daughter tube, the driving pressure to push the plug is required to overcome the hydrostatic pressure due to gravity. These tendencies agree with our previous experimental and theoretical studies.
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Affiliation(s)
- Hideki Fujioka
- Center for Computational Science, Tulane University, 6823 St. Charles Avenue, New Orleans, Louisiana 70118, USA
| | - Francesco Romanò
- Univ. Lille, CNRS, ONERA, Arts et Métiers Institute of Technology, Centrale Lille, UMR 9014-LMFL-Laboratoire de Mécanique des Fluides de Lille–Kampé de Fériet, F-59000 Lille, France
| | - Metin Muradoglu
- Department of Mechanical Engineering, Koc University, Rumelifeneri Yolu Sariyer/Istanbul 34450, Turkey
| | - James B. Grotberg
- Department of Biomedical Engineering, University of Michigan, 2200 Bonisteel Blvd., Ann Arbor, Michigan 48109, USA
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Darquenne C, Borojeni AA, Colebank MJ, Forest MG, Madas BG, Tawhai M, Jiang Y. Aerosol Transport Modeling: The Key Link Between Lung Infections of Individuals and Populations. Front Physiol 2022; 13:923945. [PMID: 35795643 PMCID: PMC9251577 DOI: 10.3389/fphys.2022.923945] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 05/24/2022] [Indexed: 12/18/2022] Open
Abstract
The recent COVID-19 pandemic has propelled the field of aerosol science to the forefront, particularly the central role of virus-laden respiratory droplets and aerosols. The pandemic has also highlighted the critical need, and value for, an information bridge between epidemiological models (that inform policymakers to develop public health responses) and within-host models (that inform the public and health care providers how individuals develop respiratory infections). Here, we review existing data and models of generation of respiratory droplets and aerosols, their exhalation and inhalation, and the fate of infectious droplet transport and deposition throughout the respiratory tract. We then articulate how aerosol transport modeling can serve as a bridge between and guide calibration of within-host and epidemiological models, forming a comprehensive tool to formulate and test hypotheses about respiratory tract exposure and infection within and between individuals.
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Affiliation(s)
- Chantal Darquenne
- Department of Medicine, University of California, San Diego, San Diego, CA, United States
- *Correspondence: Chantal Darquenne,
| | - Azadeh A.T. Borojeni
- Department of Medicine, University of California, San Diego, San Diego, CA, United States
| | - Mitchel J. Colebank
- Edwards Lifesciences Foundation Cardiovascular Innovation and Research Center and Department of Biomedical Engineering, University of California, Irvine, Irvine, CA, United States
| | - M. Gregory Forest
- Departments of Mathematics, Applied Physical Sciences, and Biomedical Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Balázs G. Madas
- Environmental Physics Department, Centre for Energy Research, Budapest, Hungary
| | - Merryn Tawhai
- Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
| | - Yi Jiang
- Department of Mathematics and Statistics, Georgia State University, Atlanta, GA, United States
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5
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Numerical analysis of the pore-scale mechanisms controlling the efficiency of immiscible displacement of a pollutant phase by a shear-thinning fluid. Chem Eng Sci 2022. [DOI: 10.1016/j.ces.2022.117462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Ubal S, Lu J, Grifoni R, Bozzoli F, Corvalan C. Coalescence preference in surfactant-laden bubbles of equal size. Chem Eng Sci 2022. [DOI: 10.1016/j.ces.2022.117550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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7
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Romanò F, Muradoglu M, Fujioka H, Grotberg JB. The effect of viscoelasticity in an airway closure model. JOURNAL OF FLUID MECHANICS 2021; 913:A31. [PMID: 33776140 PMCID: PMC7996000 DOI: 10.1017/jfm.2020.1162] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The closure of a human lung airway is modeled as a pipe coated internally with a liquid that takes into account the viscoelastic properties of mucus. For a thick enough coating, the Plateau-Rayleigh instability blocks the airway by the creation of a liquid plug, and the pre-closure phase is dominated by the Newtonian behavior of the liquid. Our previous study with a Newtonian-liquid model demonstrated that the bifrontal plug growth consequent to airway closure induces a high level of stress and stress gradients on the airway wall, which is large enough to damage the epithelial cells, causing sub-lethal or lethal responses. In this study, we explore the effect of the viscoelastic properties of mucus by means of the Oldroyd-B and FENE-CR model. Viscoelasticity is shown to be very relevant in the post-coalescence process, introducing a second peak of the wall shear stresses. This second peak is related to an elastic instability due to the presence of the polymeric extra stresses. For high-enough Weissenberg and Laplace numbers, this second shear stress peak is as severe as the first one. Consequently, a second lethal or sub-lethal response of the epithelial cells is induced.
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Affiliation(s)
- F. Romanò
- Univ. Lille, CNRS, ONERA, Arts et Métiers Institute of Technology, Centrale Lille, UMR 9014 - LMFL - Laboratoire de Mécanique des Fluides de Lille - Kampé de Fériet, F-59000, Lille, France
- Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, 48109, USA
| | - M. Muradoglu
- Department of Mechanical Engineering, Koc University, Istanbul, Turkey
| | - H. Fujioka
- Center for Computational Science, Tulane University, New Orleans, LA, 70118, USA
| | - J. B. Grotberg
- Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, 48109, USA
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Akram S, Saleem N, Umair MY, Munawar S. Impact of partial slip and lateral walls on peristaltic transport of a couple stress fluid in a rectangular duct. Sci Prog 2021; 104:368504211013632. [PMID: 33950751 PMCID: PMC10305832 DOI: 10.1177/00368504211013632] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The impact of lateral walls and partial slip with different waveforms on peristaltic pumping of couple stress fluid in a rectangular duct with different waveforms has been discussed in the current article. By means of a wave frame of reference the flow is explored travelling away from a fixed frame with velocity c. Peristaltic waves generated on horizontal surface walls of rectangular duct are considered using lubrication technique. Mathematical modelling of couple fluid for three-dimensional flow are first discussed in detail. Lubrication approaches are used to simplify the proposed problem. Exact solutions of pressure gradient, pressure rise, velocity and stream function have been calculated. Numerical and graphical descriptions are displayed to look at the behaviour of diverse emerging parameters.
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Affiliation(s)
- Safia Akram
- MCS, National University of Sciences
and Technology, Islamabad, Pakistan
| | - Najma Saleem
- College of Sciences & Human
Studies, Prince Mohammad Bin Fahd University, Alkhobar, Saudi Arabia
| | - Mir Yasir Umair
- MCS, National University of Sciences
and Technology, Islamabad, Pakistan
| | - Sufian Munawar
- Department of Quantitative Methods,
College of Business Administration, Imam Abdulrahman Bin Faisal University, Dammam,
Saudi Arabia
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9
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Seminara G, Carli B, Forni G, Fuzzi S, Mazzino A, Rinaldo A. Biological fluid dynamics of airborne COVID-19 infection. RENDICONTI LINCEI. SCIENZE FISICHE E NATURALI 2020; 31:505-537. [PMID: 32837713 PMCID: PMC7429142 DOI: 10.1007/s12210-020-00938-2] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 07/21/2020] [Indexed: 12/26/2022]
Abstract
ABSTRACT We review the state of knowledge on the bio-fluid dynamic mechanisms involved in the transmission of the infection from SARS-CoV-2. The relevance of the subject stems from the key role of airborne virus transmission by viral particles released by an infected person via coughing, sneezing, speaking or simply breathing. Speech droplets generated by asymptomatic disease carriers are also considered for their viral load and potential for infection. Proper understanding of the mechanics of the complex processes whereby the two-phase flow emitted by an infected individual disperses into the environment would allow us to infer from first principles the practical rules to be imposed on social distancing and on the use of facial and eye protection, which to date have been adopted on a rather empirical basis. These measures need compelling scientific validation. A deeper understanding of the relevant biological fluid dynamics would also allow us to evaluate the contrasting effects of natural or forced ventilation of environments on the transmission of contagion: the risk decreases as the viral load is diluted by mixing effects but contagion is potentially allowed to reach larger distances from the infected source. To that end, our survey supports the view that a formal assessment of a number of open problems is needed. They are outlined in the discussion. GRAPHIC ABSTRACT
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Affiliation(s)
- Giovanni Seminara
- Accademia Nazionale dei Lincei, Rome, Italy
- Università di Genova, Genoa, Italy
| | - Bruno Carli
- Accademia Nazionale dei Lincei, Rome, Italy
- Istituto di Fisica Applicata Nello Carrara (IFAC), Consiglio Nazionale Delle Ricerche, Sesto Fiorentino, Italy
| | | | - Sandro Fuzzi
- Istituto di Scienze dell’Atmosfera e del Clima (ISAC), Consiglio Nazionale Delle Ricerche, Rome, Italy
| | - Andrea Mazzino
- Dipartimento di Ingegneria Civile, Chimica e Ambientale (DICCA), Università di Genova, Genoa, Italy
- Istituto Nazionale di Fisica Nucleare, Via Dodecaneso 33, 16146 Genoa, Italy
| | - Andrea Rinaldo
- Accademia Nazionale dei Lincei, Rome, Italy
- Laboratory of Ecohydrology IEE/ENAC, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
- DICEA, Università di Padova, Padua, Italy
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Affiliation(s)
- Kimberly A Prather
- Scripps Institution of Oceanography, University of California San Diego, La Jolla, CA 92037, USA.
| | - Chia C Wang
- Department of Chemistry, National Sun Yat-sen University, Kaohsiung, Taiwan 804, Republic of China
- Aerosol Science Research Center, National Sun Yat-Sen University, Kaohsiung, Taiwan 804, Republic of China
| | - Robert T Schooley
- Department of Medicine, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, La Jolla, CA 92093, USA
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Hu Y, Romanò F, Grotberg JB. Effects of Surface Tension and Yield Stress on Mucus Plug Rupture: A Numerical Study. J Biomech Eng 2020; 142:061007. [PMID: 31802106 PMCID: PMC7104762 DOI: 10.1115/1.4045596] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Revised: 11/01/2019] [Indexed: 12/12/2022]
Abstract
We study the effects of surface tension and yield stress on mucus plug rupture. A three-dimensional simplified configuration is employed to simulate mucus plug rupture in a collapsed lung airway of the tenth generation. The Herschel-Bulkley model is used to take into account the non-Newtonian viscoplastic fluid properties of mucus. Results show that the maximum wall shear stress greatly changes right prior to the rupture of the mucus plug. The surface tension influences mainly the late stage of the rupture process when the plug deforms greatly and the curvature of the mucus-air interface becomes significant. High surface tension increases the wall shear stress and the time needed to rupture since it produces a resistance to the rupture, as well as strong stress and velocity gradients across the mucus-air interface. The yield stress effects are pronounced mainly at the beginning. High yield stress makes the plug take a long time to yield and slows down the whole rupture process. When the effects induced by the surface tension and yield forces are comparable, dynamical quantities strongly depend on the ratio of the two forces. The pressure difference (the only driving in the study) contributes to wall shear stress much more than yield stress and surface tension per unit length. Wall shear stress is less sensitive to the variation in yield stress than that in surface tension. In general, wall shear stress can be effectively reduced by the smaller pressure difference and surface tension.
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Affiliation(s)
- Yingying Hu
- School of Electrical and Power Engineering, China University
of Mining and Technology, Xuzhou, Jiangsu
221116, China
e-mail:
| | - Francesco Romanò
- Department of Biomedical Engineering, University of
Michigan, 2123 Carl A. Gerstacker
Building,2200 Bonisteel Boulevard, Ann Arbor, MI
48109-2099; FRE 2017-LMFL-Laboratoire de Mécanique
des Fluides de Lille-Kampé de Fériet, Centrale Lille, Arts
et Metiers ParisTech, ONERA, CNRS, University
Lille, Lille F-59000,
France
| | - James B. Grotberg
- Department of Biomedical Engineering, University of
Michigan, 2123 Carl A. Gerstacker Building,
2200 Bonisteel Boulevard, Ann Arbor, MI
48109-2099
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