Disclosed herein are devices, compositions, methods, and systems for identifying mammalian cells, especially erythrocytes, with enhanced characteristics, such as
hemolysis, stress tolerance,
oxygen capacity, and
energy metabolism. In some embodiments, the devices, compositions, methods, and systems may be useful in identifying a subject for donating erythrocytes, with enhanced
stress resistance, with enhanced
physical performance such as
oxygen consumption, and strenuous or prolonged physical activities, hemorrhage, or resistance to
high altitude hypoxia. Subjects may also be identified for donating cells for use in manufacture of next-generation
ex vivo farmed RBCs with optimal storage and
resuscitation performances. The disclosed devices, compositions, methods and systems are also useful in the bioengineering of red blood cells and
red blood cell precursor
ex vivo from hematopoietic stem cells or induced pluripotent stem cells, as well as ithe prediction of
cancer progression, severity and responses to therapies targeting
glycolysis.