Multiscale Modeling and Parallel Simulations of Blood Flow in Cerebral Malaria and Sickle Cell Diseases    
        
        
           The objective of this project is to develop a unified and validated multiscale modeling methodology for 
           two diseases with serious hematological disorders: cerebral malaria (CM) and sickle-cell (SS) anemia.  
           The common clinical symptom of both diseases is obstruction in the microcirculation caused primarily 
           by loss of deformability of red blood cells (RBCs) and increased cytoadhesion. Both diseases are characterized 
           by multiscale phenomena, spanning at least four orders of magnitude in length scale with corresponding disparity 
           in the temporal scale. Moreover, the local vaso-oclusions occurring in CM and SS strongly affect blood flow and 
           oxygen transport at the global organ scale as well.
         
         
           Building on recent progress in modeling RBCs at the spectrin level and cell-aggregation processes and taking 
           advantage of available petaflop-level computing resources, we propose a parallel multiscale methodology to
           model CM and SS and use it as a predictive tool for quantitatively assessing the severity of these diseases. 
           This will form a general simulation platform for adding further complexity in future studies, e.g., 
           incorporating more biochemical details or studying other hemolytic disorders. Predictability of multiscale 
           models requires quantifying uncertainty, and, to this end, we will incorporate polynomial chaos methods to 
           model and propagate parametric uncertainties through the multiscale system. In addition, to validate the new
           methodology, microfluidic experiments, optical tweezers measurements and 3D phase microscopy will be used to 
           test different aspects of the conceptual and numerical modeling under different conditions.
         
         
           The specific contributions of this project include: (1) Development of fine- and coarse-grained RBC models 
           in CM (cytoskeleton dynamics) and SS (oxygen transport and polymerization) using molecular dynamics (MD), 
           partial differential equations (PDEs), and mean-field theory. (2) Characterization of infected RBCs and 
           sickle cells at different developmental stages using optical non-invasive means. (3) Modeling of flow and 
           rheology in small vessels. Flow modeling will be based on the "triple-decker"  - a new algorithm that we have 
           developed for interfacing seamlessly MD, mesoscopic dynamics, and the Navier-Stokes equations. For mesoscopic 
           dynamics we will employ the dissipative particle dynamics (DPD) method, a particularly effective simulation 
           approach for complex fluids. We plan to disseminate our models and software tools, including the general-purpose
           triple-decker algorithm, via web-based repositories, existing public openware sites, summer schools, 
           and through the MSM consortium. 
         
        
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