Influence of the endothelial surface layer on the motion of red blood cells

The endothelial lining of blood vessels presents a large surface area for exchanging materials between blood and tissues. The endothelial surface layer (ESL) plays a critical role in regulating vascular permeability, hindering leukocyte adhesion as well as inhibiting coagulation during inflammation. Changes in the ESL structure are believed to cause vascular hyperpermeability and induce thrombus formation during sepsis. In addition, ESL topography is relevant for the interactions between red blood cells (RBCs) and the vessel wall, including the wall-induced migration of RBCs and formation of a cell-free layer. To investigate the influence of the ESL on the motion of RBCs, we construct two models to represent the ESL using the immersed boundary method in two dimensions. In particular, we use simulations to study how lift force and drag force change over time when a RBC is placed close to the ESL as thethickness, spatial variation, and permeability of the ESL vary. We find that spatial variation has a significant effect on the wall-induced migration of the RBC when the ESL is highly permeable and that the wall-induced migration can be significantly inhibited by the presence of a thick ESL.