Knochen und Muskel sind die wichtigsten Gewebe im muskuloskelettalen System welche dem Körper die Bewegungen möglich machen. Beide Gewebetypen sind hochgradig strukturierter Extrazellulärmatrix zugrundegelegt, welche die mechanischen und biologischen Funktionen bestimmen. In dieser Studie wurden die räumliche Verteilung der anisotropen elastischen Eigenschaften und der Gewebemineralisation im humanen kortikalen Femur untersucht mit akustischer Mikroskopie und Synchrotron-µCT. Die homogenisierten elastischen Eigenschaften wurden aus einer Kombination der Porosität und der Gewebeelastizitätsmatrix mit Hilfe eines asymptotischen Homogenisierungsmodells ermittelt. Der Einfluss der Gewebemineralisierung und der Strukturparameter auf die mikroskopischen und mesoskopischen elastischen Koeffizienten wurde unter Berücksichtigung der anatomischen Position des Femurschaftes untersucht. Es wurde ein Modell entwickelt, mit welchem der intramuskuläre Fettgehalt des porcinen musculus longissimus nichtinvasiv mittels quantitativem Ultraschall und dessen spektraler Analyze des Echosignals bestimmt werden kann. Muskelspezifische Parameter wie Dämpfung, spectral slope, midband fit, apparent integrated backscatter und cepstrale Paramter wurden aus den RF-Signalen extrahiert. Die Einflüsse der Muskelkomposition und Strukturparameter auf die spektralen Ultraschallparameter wurden untersucht. Die akustischer Parameter werden durch die Muskelfaserorientierung beeinflusst und weisen höhere Werte parallel zur Faserlängsrichtung als senkrecht zur Faserorientierung auf. Die in dieser Studie gewonnenen detaillierten und lokal bestimmten Knochendaten können möglicherweise als Eingabeparameter für numerische 3D FE-Simulationen. Darüber hinaus kann die Untersuchung von Veränderungen der lokalen Gewebeanisotropie neue Einsichten in Studien über Knochenumbildung geben. Diese auf Gewebeebene bestimmten Daten von Muskelgewebe können in numerischen Simulationen von akustischer Rückstreuung genutzt werden um diagnostische Methoden und Geräte zu verbessern. / Bone and muscle are the most important tissues in the musculoskeletal system that gives the ability to move the body. Both tissues have the highly oriented underlying extracellular matrix structure for performing mechanical and biological functions. In this study, the spatial distribution of anisotropic elastic properties and tissue mineralization within a human femoral cortical bone shaft were investigated using scanning acoustic microscopy and synchrotron radiation µCT. The homogenized meoscopic elastic properties were determined by a combination of porosity and tissue elastic matrix using a asymptotic homogenization model. The impact on tissue mineralization and structural parameters of the microscopic and mesocopic elastic coefficients was analyzed with respect to the anatomical location of the femoral shaft. A model was developed to estimate intramuscular fat of porcine musculus longissimus non-invasively using a quantitative ultrasonic device by spectral analysis of ultrasonic echo signals. Muscle specific acoustic parameters, i.e. attenuation, spectral slope, midband fit, apparent integrated backscatter, and cepstral parameters were extracted from the measured RF echoes. The impact of muscle composition and structural properties on ultrasonic spectral parameters was analyzed. The ultrasound propagating parameters were affected by the muscle fiber orientation. The most dominant direction dependency was found for the attenuation. The detailed locally assessed bone data in this study may serve as a real-life input for numerical 3D FE simulation models. Moreover, the assessment of changes of local tissue anisotropy may provide new insights into the bone remodelling studies. The data provided at tissue level and investigated ultrasound backscattering from muscle tissue, can be used in numerical simulation FE models for acoustical backscattering from muscle for the further improvement of diagnostic methods and equipment.

Cette thèse présente le développement d’une méthodologie qui permet d’analyser la structure en couches du cortex cérébral, en utilisant l’imagerie par résonance magnétique en champ intense (IRM à 7 teslas). Alors que l’architecture corticale est traditionnellement étudiée par imagerie microscopique de coupes de tissu post-mortem, l’utilisation d’une technique non invasive telle que l’IRM permet d’envisager d’étudier la lamination corticale in vivo, et ainsi de dépasser les atlas architecturaux classiques comme celui de Brodmann.Deux approches ont été utilisées pour l’acquisition d’images à haute résolution. La première, développée pour l’imagerie in vivo, utilise une reconstruction super-résolue à partir de coupes épaisses acquises dans différentes géométries. La seconde, basée sur une séquence tridimensionnelle optimisée pour l’imagerie post-mortem, a permis l’acquisition d’images de pièces anatomiques.La contribution principale de cette thèse réside dans le développement d’un couple de méthodes permettant d’extraire automatiquement, en chaque point du cortex, un profil caractérisant son architecture en couches. Pour permettre l’extraction robuste de ces profils, un modèle original de l’influence de la courbure corticale a été développé et implémenté.Ces méthodes ont été testées et validées sur plusieurs pièces anatomiques. Ce travail permet d’envisager la caractérisation de l’architecture des aires corticales, voire leur délimitation automatique, en utilisant l’IRM en champ intense. / This thesis presents the development of a methodology for the analysis of the layered structure of the cerebral cortex, using high-field magnetic resonance imaging (7-tesla MRI). While cortical layers are traditionally studied using microscopic imaging of post-mortem tissue slices, the use a non-invasive technique such as MRI will enable in vivo studies, and thus allow new approaches beyond the use of classical architectural atlases such as Brodmann's.Two imaging methodologies have been used to acquire high-resolution images. First, a method based on super-resolution reconstruction from thick slices acquired in different geometries was developed for in vivo imaging. Second, a three-dimensional imaging sequence optimized for post-mortem tissue allowed imaging excised brain specimen.The main contribution of this thesis consists of a pair of methods that perform an automatic extraction of cortical profiles, which characterize the laminar architecture at any cortical location. In order to allow robust extraction of these profiles, an original model of the influence of cortical curvature was developed and implemented.These methods were tested and validated on multiple brain specimen. This work allows envisaging an automatic microarchitectural characterization of cortical areas, and even architectural parcellation, using high-field MRI.

Les lésions spinales conduisent à des altérations majeures des fonctions sensorimotrices. Les récupérations fonctionnelles consécutives à ces atteintes sont très limitées, notamment en raison des capacités réduites de réparation des tissus endommagés dans le SNC. En outre, ces récupérations dépendent notamment de plusieurs processus cellulaires tels que l'activation astrogliale qui conduit à la formation de la cicatrice gliale, ou encore l'inflammation dont les cellules microgliales et les mastocytes sont les effecteurs les plus précoces. Cette inflammation est connue pour exacerber les dommages tissulaires et restreindre les possibilités de récupération. Cependant, des études récentes chez l'animal et chez l'Homme montrent que l'inflammation pourrait également avoir des effets favorisant les processus de récupération. Le but de cette thèse était de mieux comprendre les liens qui existent entre neuroinflammation, neuroplasticité et récupérations fonctionnelles après lésion spinale. L’objectif expérimental visait à examiner les réactivités microgliales, mastocytaires et astrocytaires post-lésionnelles, en parallèle avec des restaurations fonctionnelles. Dans ce contexte nous nous sommes plus particulièrement intéressés à l'influence d'une cytokine pro-inflammatoire, le Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) sur ces processus inflammatoires et la plasticité fonctionnelle après une hémisection C4-C5 chez le rat adulte. L’ensemble de nos travaux suggère que le GM-CSF pourrait agir par l’intermédiaire de plusieurs événements cellulaires et moléculaires, en favorisant des phénomènes de plasticité adaptatifs et la récupération partielle de fonctions altérées. / Spinal cord injuries are mostly of traumatic origin and result in major sensorimotor deficits. Postlesion functional recovery is limited, especially because of the reduced capacity of repairing damaged tissues. Moreover, this recovery depends specifically on several cellular processes such as astroglial activation conducting to glial scar formation, or inflammation for which microglial and mast cells are the earliest effectors. This inflammation is known to exacerbate tissue damages and restrain the capacity to recover. However, recent studies in animals and humans show that inflammation may also have beneficial aeffects on recovery processes. The studies conducted during my doctoral research were intended to better understand the links between neuroinflammation, neuroplasticity and functional recovery following spinal cord injury. We aimed at examining microglial, mast cells and astroglial reactivities after the injury, in relation with functional recovery of somatosensory and motor functions. In this context, we were particularly interested in the influence of Granulocyte Macrophage-Colony Stimulating Factor (GM-CSF) on inflammatory and plasticity mechanisms after a C4-C5 hemisection in the adult rat. Our doctoral research suggests that GM-CSF could act through several cellular and molecular events promoting adaptive plasticity phenomena underlying partial recovery of impaired functions.

<p>Traumatic brain injury (TBI) is a leading cause of death and disability TBI survivors often suffer from severe disturbances of cognition, memory and emotions. Improving the treatment is of great importance, but as of yet no specific neuroprotective treatment has been found. After TBI there are changes in ion homeostasis and protein regulation, causing generation of reactive oxygen species (ROS). Overproduction of ROS can lead to damage cellmembranes, proteins and DNA and secondary cell death. In the present thesis experimental TBI in rats were used to study the effects of the ROS scavengers α-phenyl-N-tert-butyl-nitrone (PBN) and 2-sulfophenyl-N-tert-butyl-nitrone (S-PBN) on morphology, function, intracellular signalling and apoptosis. </p><p>Posttreatment with PBN and S-PBN resulted in attenuation of tissue loss after TBI and S-PBN improved cognitive function evaluated in the Morris water maze (MWM). Pretreatment with PBN protected hippocampal morphology, which correlated to better MWM-performance after TBI.</p><p>To detect ROS-generation in vivo, a method using 4-hydroxybenzoic acid (4-HBA) microdialysis in the injured cortex was refined. 4-HBA reacts with ROS to form 3,4-DHBA, which can be quantified using HPLC, revealing that ROS-formation was increased for 90 minutes after TBI. It was possible to attenuate the formation significantly with PBN and S-PBN treatment. </p><p>The activation of extracellular signal-regulated kinase (ERK) is generally considered beneficial for cell survival. However, persistent ERK activation was found in the injured cortex after TBI, coinciding with apoptosis-like cell death 24 h after injury. Pretreatment with the MEK-inhibitor U0126 and S-PBN significantly decreased ERK activation and reduced apoptosis-like cell death. Posttreatment with U0126 or S-PBN showed robust protection of cortical tissue.</p><p>To conclude: ROS-mediated mechanisms play an important role in secondary cell death following TBI. The observed effects of ROS in intracellular signalling may be important for defining new targets for neuroprotective intervention.</p>

Traumatic brain injury (TBI) is a leading cause of death and disability TBI survivors often suffer from severe disturbances of cognition, memory and emotions. Improving the treatment is of great importance, but as of yet no specific neuroprotective treatment has been found. After TBI there are changes in ion homeostasis and protein regulation, causing generation of reactive oxygen species (ROS). Overproduction of ROS can lead to damage cellmembranes, proteins and DNA and secondary cell death. In the present thesis experimental TBI in rats were used to study the effects of the ROS scavengers α-phenyl-N-tert-butyl-nitrone (PBN) and 2-sulfophenyl-N-tert-butyl-nitrone (S-PBN) on morphology, function, intracellular signalling and apoptosis. Posttreatment with PBN and S-PBN resulted in attenuation of tissue loss after TBI and S-PBN improved cognitive function evaluated in the Morris water maze (MWM). Pretreatment with PBN protected hippocampal morphology, which correlated to better MWM-performance after TBI. To detect ROS-generation in vivo, a method using 4-hydroxybenzoic acid (4-HBA) microdialysis in the injured cortex was refined. 4-HBA reacts with ROS to form 3,4-DHBA, which can be quantified using HPLC, revealing that ROS-formation was increased for 90 minutes after TBI. It was possible to attenuate the formation significantly with PBN and S-PBN treatment. The activation of extracellular signal-regulated kinase (ERK) is generally considered beneficial for cell survival. However, persistent ERK activation was found in the injured cortex after TBI, coinciding with apoptosis-like cell death 24 h after injury. Pretreatment with the MEK-inhibitor U0126 and S-PBN significantly decreased ERK activation and reduced apoptosis-like cell death. Posttreatment with U0126 or S-PBN showed robust protection of cortical tissue. To conclude: ROS-mediated mechanisms play an important role in secondary cell death following TBI. The observed effects of ROS in intracellular signalling may be important for defining new targets for neuroprotective intervention.

BACKGROUND: Idiopathic normal pressure hydrocephalus (INPH) is still a syndrome generating more questions than answers. Today, research focuses mainly on two areas: understanding the pathophysiology – especially how the malfunctioning CSF system affects the brain parenchyma – and finding better methods to select patients benefiting from a shunt operation. This thesis targets the aspect of finding better selection methods by investigating the measurability of intracranial pressure via lumbar space, and determining if intraparenchymal measurement of long-term ICP-oscillations (B-waves) could be replaced by short-term measurements of CSF pulse pressure waves via lumbar space. Furthermore, I look into the interaction between the CSF system and the parenchyma itself by investigating how the cortical activity of the brain changes after long-term CSF drainage, and if there is any regress in the suggested ischemia after this intervention. Finally, I examine if the neuronal integrity in the INPH brain is impaired, and if this feature is relevant for the likeliness of improvement after CSF diversion. METHODS: The comparison of intracranial and lumbar pressure was made over a vast pressure interval using our unique CSF infusion technique, and it included ten INPH patients. Pressure was measured via lumbar space and in brain tissue, and the pressures were compared using a general linear model. Short-term lumbar pressure waves were quantified by determining the slope between CSF pulse pressure and mean pressure, defined as the relative pulse pressure coefficient (RPPC). The correlation between RPPC, B-waves and CSF outflow resistance was investigated. In a prospective study, functional MRI was used to assess brain activity before and after long-term CSF drainage of 400 ml of CSF in eleven INPH patients. The functionalities tested included finger movement, memory, and attention. The results were benchmarked against the activity in ten healthy controls to identify the brain areas improving after drainage. The ischemia (Lactate) and neuronal integrity (NAA and Choline) were measured in a similar manner in 16 patients using proton MR spectroscopy, and the improvement of the patients after CSF drainage was based on assessment of their gait. RESULTS: There was excellent agreement between ICP measured in brain tissue and via lumbar space (regression coefficient = 0.98, absolute difference < 1 mm Hg). Adjusting for the separation distance between the measuring devices slightly worsened the agreement, indicating other factors influencing the measured difference as well. RPPC measured via lumbar space significantly correlated to the presence of B-waves, but not to outflow resistance. In the prospective study, controls outperformed patients on clinical tests as well as tasks related to the experiments. Improved behaviour after CSF drainage was found for motor function only, and it was accompanied by increased activation in the supplementary motor area (SMA). No lactate was detected, either before or after CSF drainage. NAA was decreased in INPH patients compared to controls, and the NAA levels were higher in the patients improving after drainage. CONCLUSIONS: ICP can be accurately measured via lumbar space in patients with communicating CSF systems. The close relation between RPPC and B-waves indicates that B-waves are primarily related to intracranial compliance, and that measurement of RPPC via lumbar space could possibly substitute B-wave assessment as selection method for finding suitable patients for shunt surgery. Improvement in motor function after CSF drainage was associated to enhanced activity in SMA, supporting the involvement of the cortico-basal ganglia-thalamo-cortical loop in the pathophysiology of INPH. There was no evidence indicating a widespread low-graded ischemia in INPH; however, there was a neuronal dysfunction in frontal white matter as indicated by the reduced levels of NAA. In addition, the level of neuronal dysfunction was related to the likeliness of improvement after CSF removal, normal levels of NAA predisposing for recovery.

Traumatic brain injury (TBI) is a major cause of mortality and disability. As common sequelae in survivors of TBI are disabling functional, emotional and cognitive disturbances, improved treatment of TBI patients is urgently needed. At present, no neuroprotective pharmacological treatment exists. The formation of oxygen-centered free radicals, reactive oxygen species (ROS), is considered an important event in the pathophysiology of TBI. In the present thesis, the fluid percussion (FPI) and controlled cortical contusion injury models of TBI in rats were used. Two nitrone radical scavengers, α-Phenyl-N-tert -butyl nitrone (PBN) and the sulfonated analogue of PBN, 2-sulfophenyl-N-tert-butyl nitrone (S-PBN), were used as tools to study the role of ROS in TBI. Pre-treatment with PBN (30 mg/kg) improved morphological and cognitive outcome after severe controlled cortical contusion injury. Treatment with equimolar doses of PBN and S-PBN administered 30 min after FPI followed by a 24 h intravenous infusion improved morphological outcome. Only S-PBN improved cognitive outcome as assessed in the Morris Water Maze. Surprisingly, pre-treatment with PBN increased the number of apoptotic neurons at 24 hours after injury despite a reduced lesion volume. FPI resulted in an early increase in glucose uptake and a reduction in regional cerebral blood flow (rCBF) assessed by fluoro-2-deoxyglucose (FDG) and hexamethylpropylene amine oxime (HMPAO) autoradiography. At 12 h, a marked reduction in glucose uptake and rCBF ensued. These TBI-induced changes were attenuated by PBN and S-PBN pre-treatment. A method for ROS detection using 4-hydroxybenzoate in conjunction with microdialysis was evaluated. The results showed a marked increase in ROS formation as assessed by an increase in the single adduct 3,4-DHBA, lasting 90 min after injury. In a separate study, PBN and S-PBN equally reduced 3,4-DHBA formation despite no detectable brain concentrations of S-PBN at 30 or 60 min post-injury. In conclusion, ROS play an important role in the injury process after TBI. We report a method for ROS detection with potential clinical utility. Nitrones increased ROS elimination and improved functional and morphological outcome. Nitrone treatment may have a clinical potential as a neuroprotective concept in TBI.

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