title: Increased perimeter red cell concentration in filter paper bloodspot samples is consistent with constant-load size exclusion chromatography occurring during application.
abstract: BACKGROUND
  Filter paper bloodspot samples exhibit increased red cell concentration near the bloodspot perimeter compared to the interior. We examined whether simulation of size exclusion chromatography separating cell and liquid components during bloodspot formation was consistent with the observed red cell distribution.
  
  
  METHODS
  Whole blood was defined as a mixture of 60% liquid and 40% solids (hematocrit). Bloodspot formation was simulated by step-wise center additions of 1 microl blood up to a total volume of 50 microl. Partitioning of the liquid component of the liquid volume into space not available to the solid component was calculated using a partitioning coefficient K=Vi/Vm, where Vi is the immobile (stationary) liquid volume and Vm is the mobile liquid volume. After each volume addition step, relative red cell concentration was calculated as the solids volume fraction of total volume as a function of radial distance from the center.
  
  
  RESULTS
  Simulation for K=0.3 resulted in final red cell distribution that was quantitatively consistent with bloodspot data.
  
  
  CONCLUSIONS
  Increased perimeter red cell concentration in bloodspots is consistent with partitioning of the liquid fraction into mobile and immobile components during bloodspot formation according to the principles of constant-load size exclusion chromatography.
authors.affiliation: Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha NE 68198-3135, United States. dstickle@unmc.edu
authors.forename: Douglas F
authors.initials: DF
authors.lastname: Stickle
authors.forename: Neil J
authors.initials: NJ
authors.lastname: Rawlinson
authors.forename: James D
authors.initials: JD
authors.lastname: Landmark
mesh_terms: D001800:Blood Specimen Collection; D002469:Cell Separation / Q000379:methods*; D002850:Chromatography, Gel / Q000379:methods*; D004912:Erythrocytes / Q000737:chemistry*; D005374:Filtration