Normal red blood cells (RBCs) have remarkable properties of deformability, which enable them to squeeze through tiny splenic inter-endothelial slits (IESs) without any damage. Decreased surface-area-to-volume (SA/V) ratio through the loss of membrane surface is a key determinant of splenic entrapment of surface-altered RBCs due to cell aging or disease. Here, we investigate the flow dynamics and mechanical retention of the surface-altered RBCs with different extents of surface area loss, using a multiscale RBC (MS-RBC) model implemented in dissipative particle dynamics (DPD). We show that the DPD-based MS-RBC simulations can accurately reproduce the ex vivo experimentally measured rate of RBC mechanical retention when we take into account the distribution of RBC surface area (i.e., the size difference within the RBC population). We also examine the cumulative effect of the cell surface area loss on the traversal dynamics of the surface-altered RBCs, where we found that the final values of cell surface area (or the SA/V ratio) play a key role in determining the RBC traversal dynamics, regardless of the loss pathway of cell surface area. Taken together, these simulation results have implications for understanding the sensitivity of the splenic IESs to retain and clear the surface-altered RBCs with increased surface area loss, providing an insight into the fundamental flow dynamics and mechanical clearance of the surface-altered RBCs by the human spleen.

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The characteristic time of stress relaxation is a key viscoelastic property of cell membrane that controls time-dependent processes such as shape recovery. Although many experimental studies have been devoted to the measurement of characteristic relaxation time, considerable uncertainty still stands because existing methods rely on different experimental designs and analyses. Here, we present a mesoscopic computational study to investigate the elastic deformation and relaxation characteristics of an isolated red blood cell (RBC) under both tensile and shear stresses. We examine the elastic response and relaxation behavior of the RBC under static tensile stretching and dynamic shear stress. When the cell deformation index responding fluid shear stress is equivalent to the one responding external tensile stretching, we find that the characteristic relaxation time for the RBC in planar flows is longer than that for the RBC under tensile stretching. We also subject the RBC to confined tube/channel flows to probe the effect of geometric confinement on its elastic deformation and relaxation dynamics. Our simulations show that the computed characteristic relaxation time is further increased when compared to those obtained under tensile stretching or planar flows, indicating that the confinement would slow down the cell relaxation process, especially under strong confinement conditions. These findings may facilitate a better understanding of variable relaxation time observed in different experiments.