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PreprintCC BYbioRxiv

RBC Deformability During Acute Lymphoblastic Leukemia Treatment

  1. 1Istanbul Medipol University

Abstract

Philadelphia chromosome positive acute lymphoblastic leukemia (Ph+ ALL) is the most common genetic subgroup in adult ALL, and its incidence increases with age. In this longitudinal single-subject study, we investigate erythrocyte deformability as a disease-associated biomechanical marker in parallel with clinical, hematological, and molecular response throughout the treatment process in a 75-year-old patient diagnosed with Ph+ ALL. Using optical tweezers, we performed high-resolution single-cell mechanical stretching experiments to quantify the deformability of individual RBCs obtained from the patient and a healthy control. Our measurements reveal a pronounced relation between state of diseases/therapy and RBC deformability in the ALL patient, indicating systemic alterations in cellular biomechanics associated with leukemic pathophysiology. These findings suggest that changes in RBC mechanical properties, probed through non-invasive optical tweezers-based techniques, may accompany disease presence and progression.

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BibTeX
@misc{pesen2026deformability,
  title = {{RBC Deformability During Acute Lymphoblastic Leukemia Treatment}},
  author = {T. Pesen and Y. Koc and B. B. Bagislar and N. Alhan and B. Akgun},
  howpublished = {bioRxiv},
  year = {2026},
  month = oct,
  doi = {10.64898/2026.10.29.762767},
  url = {https://www.biorxiv.org/content/10.64898/2026.10.29.762767v1},
  note = {CC BY},
}
RIS
TY  - UNPB
TI  - RBC Deformability During Acute Lymphoblastic Leukemia Treatment
AU  - T. Pesen
AU  - Y. Koc
AU  - B. B. Bagislar
AU  - N. Alhan
AU  - B. Akgun
PY  - 2026
DA  - 2026/10/29
PB  - bioRxiv
DO  - 10.64898/2026.10.29.762767
UR  - https://www.biorxiv.org/content/10.64898/2026.10.29.762767v1
AB  - Philadelphia chromosome positive acute lymphoblastic leukemia (Ph+ ALL) is the most common genetic subgroup in adult ALL, and its incidence increases with age. In this longitudinal single-subject study, we investigate erythrocyte deformability as a disease-associated biomechanical marker in parallel with clinical, hematological, and molecular response throughout the treatment process in a 75-year-old patient diagnosed with Ph+ ALL. Using optical tweezers, we performed high-resolution single-cell mechanical stretching experiments to quantify the deformability of individual RBCs obtained from the patient and a healthy control. Our measurements reveal a pronounced relation between state of diseases/therapy and RBC deformability in the ALL patient, indicating systemic alterations in cellular biomechanics associated with leukemic pathophysiology. These findings suggest that changes in RBC mechanical properties, probed through non-invasive optical tweezers-based techniques, may accompany disease presence and progression.
ER  -