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Red Blood Cells Drive Platelet-Independent Clot Contraction via Osmotic Depletion

Researchers aim to translate osmotic force insights into treatments for low-platelet bleeding complications.

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Overview

  • Blood clots engineered without platelets contracted by over 20%, demonstrating active red blood cell involvement.
  • A mathematical model by Prashant Purohit attributes the primary contractile force to osmotic depletion between densely packed red blood cells.
  • Experiments removing molecules responsible for red blood cell surface-bridging confirmed minimal contribution of bridging forces.
  • Publication in Blood Advances in August 2025 overturns the century-old belief that platelets alone drive clot contraction.
  • Researchers are exploring applications ranging from thrombocytopenia treatments to strategies for reducing stroke-causing emboli.