New blood clot technology could transform emergency medicine
Blood clotting is one of the body鈥檚 oldest survival mechanisms鈥攁 biological defense that has protected humans from dangerous bleeding for millions of years.
But when severe injuries strike, nature鈥檚 solution can sometimes fall short.

Rong Long, associate professor in the Paul M. Rady Department of Mechanical Engineering.
Now, researchers in the听Paul M. Rady Department of Mechanical Engineering at CU 糖心传媒 are helping test a new type of engineered blood clot that forms faster and is more durable than the ones found in nature. The new technique could one day transform how doctors treat traumatic injuries and manage life-threatening blood loss.
鈥淭his is a new biomaterial with the potential to save many lives,鈥 said CU 糖心传媒 Associate Professor听Rong Long.听
The work, recently published in the journal听, was led by Associate Professor听 in the听 at McGill University. Long and his group, along with researchers from the University of British Columbia, the University of Toronto and the Versiti Blood Research Institutes, were contributing authors in the study.
The manufactured clots are built from red blood cells. By rapidly linking the blood cells into durable networks, the multi-university team created a reinforced blood clot that forms faster and is far stronger than the body鈥檚 natural version.听
Long and his team in the听 helped uncover the mechanical principles behind the engineered clot, using computational models and tests to study its properties. The testing demonstrated how much pressure the engineered clot could withstand, as well as its strength and how fast it formed.听
鈥淲e found the material to be 13 times tougher and four times more adhesive than native blood clots,鈥 Long said.
Strengthening nature鈥檚 first responders
Blood clots tend to have a bad reputation. When they form in the wrong place or abnormally, they can lead to serious medical emergencies such as strokes and heart attacks.听
However, blood clotting is crucial in many situations, from a cut finger in the kitchen to a scraped knee from a bike fall.

A graphic showing our body's blood clotting process.
Even during these routine situations, blood clotting is what prevents excessive blood loss. But according to the new study, that natural response isn鈥檛 always fast or effective enough for more severe circumstances.
鈥淭here鈥檚 a protein called fibrin. When we bleed, platelets and fibrin form a network to help seal the wound,鈥 said Long. 鈥淭hese native blood clots are impressive, but they are brittle and slow to form. A soldier dealing with a gunshot wound or a patient experiencing a hemorrhage needs faster clotting that is more resistant to rupture.鈥澨
One day, Li鈥攖he senior author of the study鈥 shared with Long a bold idea.
Li, alongside first author Shuaibing Jiang, a PhD student in Li鈥檚 lab and now a postdoctoral associate at Harvard Medical School, showed Long a new type of blood clot that uses a novel technique to reinforce natural clots with a second network of red blood cells.
The natural and reinforced networks combined to create an engineered clotting system tougher and faster than any natural blood clot seen before.
鈥淚t was so exciting,鈥 Long said. 鈥淔rom there, we began building models and studying the mechanics behind this incredible material.鈥
Creating a new biomaterial
The technique, otherwise known as 鈥渃lick clotting,鈥 uses a special chemical reaction to link red blood cells into a gel-like structure.听
Because the reaction doesn鈥檛 interfere with normal blood chemistry, it can work alongside the body鈥檚 natural clotting process. This allows the cell-based gel network to act as a second support system layered on top of the body鈥檚 natural fibrin-platelet clot.
During laboratory tests and live experiments on rodents, the strengthened clots absorbed stress by dissipating energy, rapidly stopping bleeding and preventing the clot from breaking apart. They also formed extremely fast, taking shape in just five seconds.听

Shuaibing Jiang (left), a postdoctoral researcher at Harvard Medical School, and Jianyu Li (right), an associate professor at McGill University, led the research.
But perhaps the most intriguing aspect of the click-clotted clots is their biocompatibility.听
Previous efforts to recreate blood clots often used polymers and other synthetic materials foreign to the body. However, Li鈥檚 cytogel clots are built from red blood cells鈥攖he body鈥檚 own cellular building blocks.
That natural composition gives the engineered clots a unique advantage: they can easily degrade over time, transforming the stigma of blood clots from risky medical hazards into controlled, life-saving biomaterials.
鈥淏lood cells have an 鈥榚xpiration date.鈥 Over time, they die just as all life eventually does,鈥 said Long. 鈥淯sing red blood cells as the foundation of these reinforced clots makes them temporary. They can naturally break down in a short time, preventing blockages and other health issues that occur when they are in the body for too long.鈥
During testing, the bio-safe clots showcased a unique ability to support tissue healing and reduce inflammation, as well.听Long says these characteristics have great potential in areas such as wound healing and emergency bleeding treatment, with possible applications in trauma care and operating rooms worldwide.
But the researchers also believe the strategy of linking cells together could extend far beyond just blood clots.
Long envisions a day where Li鈥檚 technology can be used to repair defected tissue or target localized areas of the body for drug delivery and treatment. And while the work is still in its early stages, the team thinks it points toward a broader shift in how biological materials can be engineered for medicine.
鈥淥ur work shows that, when engineered appropriately, red blood cells can play a central structural role, enabling the design of stronger and more functional biomaterials,鈥 said Li in a听.