"June 2003" / Includes bibliographical references (leaves 408-457) / [26], 457 leaves : ill. ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (Ph.D.)--University of Adelaide, Dept. of Anatomical Sciences, 2003

The goal of our work was to characterize more precisely the role of ADAMTS2 in physiological and pathological processes, in order to develop potential therapeutic applications. We confirmed that the function of ADAMTS2 is essential during embryogenesis and development, including by its major role in the processing of fibrillar collagens type I and III in skin and lung tissues. Its specific activity was also matched up with that of two other aminoprocollagen peptidases, ADAMTS3 and ADAMTS14. The impact of ADAMTS2 inhibition during pathological formation of scar fibrous tissue was determined in two murine models of hepatic fibrosis and granulomatous reaction. In this context, ADAMTS2 appears as a therapeutic target of interest for the treatment of all process characterized by the deposition of an excessive scar matrix, including liver fibrosis. Finally, the potential anti-angiogenic properties of ADAMTS2 were demonstrated both in vitro and in vivo. Its potent activity during angiogenesis results from its action onto several distinct steps participating to the formation of new blood vessels. Molecular mechanisms by which ADAMTS2 modulates the behaviour of endothelial cells and inhibits tumor growth remain to be confirmed. L'objectif de nos études était de caractériser de manière plus précise le rôle de l'ADAMTS2 dans des processus physiologiques et pathologiques, et d'en déduire d'éventuelles applications en thérapeutique clinique. Nous avons confirmé que l'ADAMTS2 détenait une fonction essentielle au cours de l'embryogenèse et du développement, notamment par son rôle majeur dans la maturation des procollagènes fibrillaires de type I et de type III dans la peau et le poumon. Son activité spécifique a également été mise en perspective avec celle des deux autres aminoprocollagène peptidases, les ADAMTS3 et 14. L'impact de l'inhibition de l'ADAMTS2 au cours de la formation pathologique de tissu fibreux cicatriciel a été démontré dans des modèles murins de fibrose hépatique et de réaction granulomateuse à corps étranger. A ce titre, l'ADAMTS2 apparaît comme une cible thérapeutique d'intérêt pour le traitement de toute affection caractérisée par le dépôt d'une trame cicatricielle excessive, dont la fibrose hépatique. Enfin, le potentiel anti-angiogène de l'ADAMTS2 a été démontré à la fois in vitro et in vivo. Son efficacité remarquable résulte de son action au cours de plusieurs étapes distinctes de la formation des néo-vaisseaux. Les mécanismes moléculaires précis par lesquels l'ADAMTS2 agit sur les cellules endothéliales et l'inhibition de la croissance tumorale restent à préciser.

[Truncated abstract] An important field of research in orthopaedic biomechanics is the elucidation and mathematical modelling of the mechanical response of cartilaginous tissues. Such research has applications in the understanding of joint function and degenerative processes, as well as in surgical planning and simulation, and engineering of tissue replacements. In the case of surgical and tissue engineering applications especially, patient-specific mechanical properties are highly desirable. Unfortunately, obtaining such information would generally involve destructive mechanical testing of patient tissue, thus rendering the tissue functionally unusable. Development of a laser scanning confocal arthroscope (LSCA) within our School will soon allow non-invasive extraction of 3D microstructural images of cartilaginous tissues in vivo. It is also envisaged that, linked to a suitably formulated constitutive formulation, such information could allow estimation of tissue mechanical response without physical biopsy. This thesis describes the development of techniques to potentially allow non-invasive patient-specific estimation of tissue mechanical response based on confocal arthroscopy data. A microstructural constitutive model is developed which is capable of directly incorporating LSCA-derived patient-specific structural information. A fibre composite type homogenisation approach is used as the basis for the model. ... The result is a series of orientation tensors describing the 3D orientation of linear features in the image stack. The developed analysis techniques are used to estimate fibre volume fraction and orientation distribution for each of the meniscal specimens. The developed constitutive model and image-derived structural parameters are finally used to estimate the reaction force history of two meniscal cartilage specimens subjected to partially confined compression. The predictions are made on the basis of the specimens? individual structural condition as assessed by confocal microscopy and involve no tuning of material parameters. Although the model does not reproduce all features of the experimental curves, as an unfitted estimate of mechanical response the prediction is quite accurate. In light of the obtained results it is judged that more general non-invasive estimation of tissue mechanical properties is possible using the developed framework. The likely limitations and potential areas of improvement are discussed.

Poor skeletal health results from aging and metabolic diseases such as obesity and diabetes and involves impaired homeostatic balance between marrow osteogenesis and adipogenesis. Tissue engineering provides researchers with the ability to generate improved, highly controlled and tailorable in vitro model systems to better understand mechanisms of homeostasis, disease, and healing and regeneration. Model systems that allow assembly of modules of MSCs, osteoblasts, and adipocytes in a number of configurations to engage in signaling crosstalk offer the potential to study integrative physiological aspects and complex interactions in the face of changes in local and systemic microenvironments. Thus, the overall goal of this dissertation was to examine integrative physiological aspects between MSCs, osteoblasts, and adipocytes that exist within the marrow microenvironment. To investigate the effects of intercellular signaling in different microenvironmental contexts, methods were developed to photolithographically pattern and assemble cell-laden PEG-based hydrogels with high spatial fidelity and tissue-scale thickness for long-term 3D co-culture of multiple cell types. This platform was applied to study effects of crosstalk between MSCs, osteoblasts and adipocytes on markers of differentiation in each cell type. Additionally, responses of MSCs to systemic perturbations in glucose concentration were modulated by mono-, co-, and tri-culture with these cell types in a model of diabetes-induced skeletal disease. Together, these studies provided valuable insight into unique and differential effects of intercellular signaling within the niche environment of MSCs and their terminally differentiated progeny during homeostatic and pathological states, and offer opportunities further study of integrative physiological interactions between mesenchymal lineage cells.

Indiana University-Purdue University Indianapolis (IUPUI) / Tendinopathy is a common degenerative pathology that is characterized by activity related pain, focal tendon tenderness, intratendinous imaging changes, and typically results in changes in the histological, mechanical, and molecular properties of the tendon. Tendinopathy is difficult to study in humans, which has contributed to limited knowledge of the pathology, and thus a lack of appropriate treatment options. However, most believe that the pathology is degenerative as a result of a combination of both extrinsic and intrinsic factors. In order to gain understanding of this pathology, animal models are required. Because each tendon is naturally exposed to different conditions, a universal model is not feasible; therefore, an appropriate animal model must be established for each tendon susceptible to degenerative changes. While acceptable models have been developed for several tendons, a reliable model for the Achilles tendon remains elusive. The purpose of this dissertation was to develop an animal model of Achilles tendinopathy by investigating the individual and combined effects of an intrinsic and extrinsic factor on the rodent Achilles tendon. Rats selectively bred for high capacity running and Sprague Dawley rats underwent uphill treadmill running (an extrinsic factor) to mechanically overload the Achilles tendon or served as cage controls. Collagenase (intrinsic factor) was injected into one Achilles tendon in each animal to intrinsically break down the tendon. There were no interactions between uphill running and collagenase injection, indicating that the influence of the two factors was independent. Uphill treadmill running alone failed to produce any pathological changes in the histological or mechanical characteristics of the Achilles tendon, but did modify molecular activity. Intratendinous collagenase injection had negative effects on the histological, mechanical, and molecular properties of the tendon. The results of this dissertation demonstrated that the combined introduction of uphill treadmill running and collagenase injection did not lead to degenerative changes consistent with human Achilles tendinopathy. Intratendiouns collagenase injection negatively influenced the tendon; however, these changes were generally transient and not influenced by mechanical overload. Future studies should consider combinations of other intrinsic and extrinsic factors in an effort to develop an animal model that replicates human Achilles tendinopathy.