Fibulin-4 is an extracellular matrix protein which plays an essential function in the assembly of elastic fibres, and may be involved in the modulation of TGFβ bioavailability and smooth muscle cell differentiation. Mutations in fibulin-4 can cause autosomal recessive cutis laxa, a frequently lethal connective tissue disorder. Although patient studies have provided some insights into the pathological mechanisms of this disease, a detailed analysis of the consequences of fibulin-4 mutations on a molecular and cellular level was required.The findings presented in this thesis demonstrate that cutis laxa-causing fibulin-4 mutations may lead to reduced extracellular levels of fibulin-4 due to its increased susceptibility to protease degradation and misfolding/aggregation. An accumulation of autophagic vesicles was observed, indicating a blockage of autophagy, possibly due to intracellular accumulation of aggregated/misfolded mutant protein. In the extracellular matrix, mutations affected the ability of fibulin-4 to interact with the major components of the elastic fibre assembly, heparin, LTBP-1 and fibronectin. In addition, fibulin-4 mutations generally reduced expression levels of elastic fibre assembly components. In summary, these findings contribute to the understanding of fibulin-4 associated cutis laxa, and provide a basis upon which future therapeutic interventions may be developed.

Ageing tissue is characterised by an alteration in mechanical properties, with tissues becoming increasingly fragile, stiff and less resilient over time. This can lead to a loss of function in tissues which undergo a high degree of stretch and recoil, such as the skin, blood vessels and lungs. These changes are attributed to remodelling of the dermal extra cellular matrix (ECM) proteins which endow tissue with its mechanical properties. Principally the fibrillar collagens provide tensile strength, complemented by the elastic fibres which confer resilience and allow tissues to recoil following deformation. Intriguingly, at the time of menopause, which sees the cessation of the majority of circulating estrogen, skin undergoes accelerated ageing. This strongly suggests a direct link between circulating estrogen and youthful skin. Using an ovariectomised (Ovx) mouse model of human menopause the link between ageing, estrogen deficiency and the dermal ECM proteins was explored. Mechanical testing revealed a significant reduction in the tensile strength, Young’s modulus and stress relaxation time of estrogen deprived tissue, indicating postmenopausal skin would be weaker, more lax and less able to withstand sustained force. Corresponding histological analysis highlighted the elastic fibres are dramatically reduced by estrogen deprivation with seemingly little effects on the fibrillar collagen abundance or alignment. Direct comparison between Ovx and age, reveals age affects mechanical properties in a completely opposing way, with aged tissue higher in tensile strength, Young’s modulus and stress relaxation time compared to control and Ovx. Proteomic analysis by mass spectrometry confirmed elastic fibres to be highly sensitive to estrogen levels. Additionally small leucine rich proteoglycans (SLRP’s) were also significantly reduced by estrogen deficiency, which could affect collagen fibrillogenesis and leave tissue weaker and more susceptible to damage. Despite the opposing effects on mechanical properties, ageing and estrogen deficiency had comparable effects on ECM abundance, suggesting the amount of ECM is not a predictor of mechanical properties; however disparity may be in part due to increased advanced glycation end product crosslinking. Further investigation suggests the mechanism for elastic fibre degradation may be via significant subcutaneous adipose hypertrophy and/or increased gelatinase activity. Both estrogen replacement and stimulation of estrogen receptor α with the agonist 2,3-bis(4-hydroxyphenyl)-propionitrile (PPT) were found to prevent elastic fibre degradation and adipose hypertrophy. Additionally these treatments were also found to induce key elastic fibre proteins in both the mouse model and cultured human dermal fibroblasts. A deeper understanding of estrogen mediated ECM remodelling offers opportunities for targeted pharmacological intervention to slow the effects of menopause and ageing.

Increased arterial stiffness is a predictor of cardiovascular events and mortality across a diverse range of populations. Although gross-mechanical stiffness can be measured in vivo, in order to understand the pathological mechanisms it will be necessary to identify which local micro-structural remodelling events are the prime drivers of altered macro-mechanical function. However, characterisation of arterial structure by conventional histological approaches: i) commonly induces artefacts as a consequence of the sectioning process, ii) provides no insight into the three dimensional structure of the tissue and iii) is performed on unpressurised tissue. This project has set out to address these limitations by developing new micro computed x-ray tomography (micro-CT) methodologies which are capable of visualising the three dimensional structure of rat arteries. This new methodology was then been applied in combination with gross-and micro-mechanical testing and atomic force microscopy imaging to characterise the effects of both intra-luminal pressure and age on arterial structure and function. From these investigations it was clear that micro-CT could readily distinguish discrete tissue sub-structures in paraffin embedded tissues, including skin and arteries and that this imaging approach was compatible with complimentary histological and immunohistochemical analyses. Characterisation of the structure and mechanical function of carotid arteries in aged rats demonstrated localised stiffening in the adventitial layer and a change in the molecular structure of adventitial collagen. The effects of intra-luminal pressure on structure using micro-CT revealed changes in artery cross-sectional area, which suggest the artery wall may be compressible. Investigations into the effects of pressure on the molecular structure of adventitial collagen revealed an increase in periodicity at mean pressure. These findings together demonstrate that the adventitial layer has an important role in the development of arterial stiffness. Micro-CT can reveal novel information that improves our understating of artery structure and how artery structure changes during ageing.

As pregas vocais (PV) são estruturas únicas, altamente especializadas na vibração para a produção sonora. Em grande parte, decorrente da estruturação em camadas da lâmina própria (LP). Essa estruturação não está presente ao nascimento, somente após anos de uso vibratório e fonatório da PV é que a LP está finalmente estruturada. As pregas ventriculares (PVT) não são, habitualmente, estruturas vibratórias na produção sonora, e possuem a LP menos organizada em estratos, sendo menos especializadas para a vibração. Até o presente momento, não se tem conhecimento do que ocorre com os constituintes da LP de PVTs de pessoas que as utilizam como fonte produtora de voz. No presente estudo, foram comparados os constituintes colágenos e as fibras elásticas da LP de PVTs de indivíduos que as utilizam como principal fonte vibratória na produção de voz com o grupo controle. Foram selecionados seis indivíduos que utilizavam pelo menos uma das PVTs como fonte de vibração para a produção sonora por ao menos seis anos. Delas, colheu-se pequeno fragmento (0,5 cm2), que após processamento histológico, as fibras colágenas foram coradas com Picrosirus Red e as fibras elásticas com Weigert resorcina-fucsina. Foram obtidas 54 imagens da camada mais superficial da LP de cada PVT para cada coloração. Após a aquisição das imagens, as fibras colágenas tipo I e tipo III, colágenas totais e fibras elásticas foram quantificadas utilizando-se o software Image-Pro Plus, e comparadas com as PVTs dos controles. A análise estatística foi realizada por meio do teste T de Student para amostras não pareadas. A porcentagem de colágeno total na camada mais superficial da LP de PVT utilizada como fonte vibratória para a produção de som foi significativamente maior em relação aos controles. O mesmo ocorreu com a quantidade de colágeno tipo I. Não houve diferenças na quantidade de colágeno tipo III e de fibras elásticas. Como conclusão, pode-se afirmar que a utilização da PVT como fonte vibratória produtora de som leva ao aumento da quantidade de fibras colágenas totais e do tipo I na camada mais superficial da sua LP / The vocal folds (VF) are unique structures, highly specialized in vibrating for sound production. This specialization is mainly due to a layered structure of the lamina propria (LP). This layered structure is not present at birth, and develops only after a several years of phonation. The LP of the mature vocal fold consists of three layers. The ventricular folds (VTF) are not originally vibrating structures for sound production, and in its LP the layers are poorly organized. It is not known what happens to the constituents of the LP in the VTF in subjects that use VTF vibration as a source of voice production. In the present study, the distribution and quantity of collagen and elastic fibers of the lamina propria from VTF of patients that use it as the main source of vibration for voice production were compared with the VTF from control subjects. Six individuals that used at least one of the VTF as source of vibration for sound production for minimum of six years were selected. A small fragment of VTF (0.5 cm2) used as vibration source of sound production was collected from each subject. The samples were processed for histological analysis. Collagen fibers were stained with Picrosirus Red and elastic fibers were stained with Weigert\'s Resorcin-Fuchsin. A total of 54 images were obtained from the superficial layer of the LP from each VTF for each stain. After image acquisition, collagen type I, III, total collagen and elastic fibers were quantified and compared with the VTF from the control group. Quantification was done using Image-Pro Plus software. Statistics were performed using an unpaired Student T test. The amount of total collagen in the most superficial layer of LP when the VTF was used as the source of vibration for the production of sound was significantly higher when compared to controls. The same result was seen for the amount of type I collagen in both groups. There was no difference in the quantity of type III collagen and elastic fibers between the two groups. Vibration of the VTF as a source of sound, for at least six years, leads to an increase in the amount of total collagen fibers and an increase in type I collagen, but does not increase the amount of type III collagen and elastic fibers in the most superficial layer of LP. These results may help elucidate the unique development of the lamina propria of the vocal fold

Degeneration of the lumbar intervertebral disc, a condition widely implicated in the cause of low back pain among adult humans, is typically characterised by progressive biochemical and structural changes to the extracellular matrix. Comprehensive descriptions of the structural and functional inter-relationships within the extracellular matrix are therefore critical to understanding the degenerative process and developing effective treatments. In the anulus fibrosus, this matrix has a complex, hierarchical architecture comprised of collagens, proteoglycans, and elastic fibres. Elastic fibres are critical constituents of dynamic biological structures that functionally require elasticity and resilience. Studies to date of elastic fibre network structure in the anulus fibrosus have been qualitative and limited in scope. Additionally, there is poor understanding of the structural and functional associations between elastic fibres and other matrix constituents such as collagen, and, critically, there have been no studies directly examining the nature and magnitude of the contribution made by elastic fibres to anulus fibrosus mechanical behaviour. In this thesis, multiple experimental studies are described that specifically examine each of these areas. Novel imaging techniques were developed and combined with histochemistry and light microscopy to facilitate the visualisation of elastic fibres at a level of detail not previously achieved. Examination of elastic fibre network structure revealed architectural differences between the intralamellar and interlamellar regions, suggesting that elastic fibres perform functional roles at distinct levels of the anulus fibrosus structural hierarchy. The density of elastic fibres within lamellae was found to be significantly higher in the lamellae of the posterolateral region of the anulus than the anterolateral, and significantly higher in the outer regions than the inner, suggesting it may be commensurate with the magnitude of the tensile strains experienced by each region of the disc in bending and torsion. The nature of the structure-function associations between elastic fibres and collagen was then examined with respect to the reported structural mechanisms of collagen matrix tensile deformation. Histological assessment of collagen crimp morphology in specimens from which elastic fibres had been enzymatically removed revealed no observable differences when compared with controls, suggesting that any contribution made by elastic fibres to maintaining crimp is minimal. Elastic fibres in anulus fibrosus specimens subjected to radial tensile deformations exhibited complex patterns of re-arrangement, suggesting that they maintain cross-collagen fibre connectivity. Elastic fibres were also observed to maintain physical connections between consecutive lamellae undergoing relative separation. Finally, the nature and magnitude of the contribution made by elastic fibres to anulus fibrosus mechanical properties at the tissue level was investigated using a combination of biochemically verified enzymatic treatments and biomechanical tests. Targeted degradation of elastic fibres resulted in a significant reduction in both the initial modulus and the ultimate modulus, and a significant increase in the extensibility, of radially oriented anulus fibrosus specimens. Separate treatments and mechanical tests were used to account for any changes attributable to non-specific degradation of glycosaminoglycans. These results suggest that elastic fibres enhance the mechanical integrity of the anulus fibrosus extracellular matrix in the direction perpendicular to the plane containing the collagen fibres. In summary, the results of the studies presented in this thesis provide important new insights into the structure and function of the anulus fibrosus elastic fibre network, and highlight its potential importance as a contributing or ameliorating factor in the progression of the structural and mechanical changes associated with intervertebral disc degeneration. Additionally, these results establish an improved framework for the development of more accurate analytical and finite element models to describe disc behaviour. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1317006 / Thesis (Ph.D.) -- University of Adelaide, School of Medical Sciences, 2008

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As pregas vocais (PV) são estruturas únicas, altamente especializadas na vibração para a produção sonora. Em grande parte, decorrente da estruturação em camadas da lâmina própria (LP). Essa estruturação não está presente ao nascimento, somente após anos de uso vibratório e fonatório da PV é que a LP está finalmente estruturada. As pregas ventriculares (PVT) não são, habitualmente, estruturas vibratórias na produção sonora, e possuem a LP menos organizada em estratos, sendo menos especializadas para a vibração. Até o presente momento, não se tem conhecimento do que ocorre com os constituintes da LP de PVTs de pessoas que as utilizam como fonte produtora de voz. No presente estudo, foram comparados os constituintes colágenos e as fibras elásticas da LP de PVTs de indivíduos que as utilizam como principal fonte vibratória na produção de voz com o grupo controle. Foram selecionados seis indivíduos que utilizavam pelo menos uma das PVTs como fonte de vibração para a produção sonora por ao menos seis anos. Delas, colheu-se pequeno fragmento (0,5 cm2), que após processamento histológico, as fibras colágenas foram coradas com Picrosirus Red e as fibras elásticas com Weigert resorcina-fucsina. Foram obtidas 54 imagens da camada mais superficial da LP de cada PVT para cada coloração. Após a aquisição das imagens, as fibras colágenas tipo I e tipo III, colágenas totais e fibras elásticas foram quantificadas utilizando-se o software Image-Pro Plus, e comparadas com as PVTs dos controles. A análise estatística foi realizada por meio do teste T de Student para amostras não pareadas. A porcentagem de colágeno total na camada mais superficial da LP de PVT utilizada como fonte vibratória para a produção de som foi significativamente maior em relação aos controles. O mesmo ocorreu com a quantidade de colágeno tipo I. Não houve diferenças na quantidade de colágeno tipo III e de fibras elásticas. Como conclusão, pode-se afirmar que a utilização da PVT como fonte vibratória produtora de som leva ao aumento da quantidade de fibras colágenas totais e do tipo I na camada mais superficial da sua LP / The vocal folds (VF) are unique structures, highly specialized in vibrating for sound production. This specialization is mainly due to a layered structure of the lamina propria (LP). This layered structure is not present at birth, and develops only after a several years of phonation. The LP of the mature vocal fold consists of three layers. The ventricular folds (VTF) are not originally vibrating structures for sound production, and in its LP the layers are poorly organized. It is not known what happens to the constituents of the LP in the VTF in subjects that use VTF vibration as a source of voice production. In the present study, the distribution and quantity of collagen and elastic fibers of the lamina propria from VTF of patients that use it as the main source of vibration for voice production were compared with the VTF from control subjects. Six individuals that used at least one of the VTF as source of vibration for sound production for minimum of six years were selected. A small fragment of VTF (0.5 cm2) used as vibration source of sound production was collected from each subject. The samples were processed for histological analysis. Collagen fibers were stained with Picrosirus Red and elastic fibers were stained with Weigert\'s Resorcin-Fuchsin. A total of 54 images were obtained from the superficial layer of the LP from each VTF for each stain. After image acquisition, collagen type I, III, total collagen and elastic fibers were quantified and compared with the VTF from the control group. Quantification was done using Image-Pro Plus software. Statistics were performed using an unpaired Student T test. The amount of total collagen in the most superficial layer of LP when the VTF was used as the source of vibration for the production of sound was significantly higher when compared to controls. The same result was seen for the amount of type I collagen in both groups. There was no difference in the quantity of type III collagen and elastic fibers between the two groups. Vibration of the VTF as a source of sound, for at least six years, leads to an increase in the amount of total collagen fibers and an increase in type I collagen, but does not increase the amount of type III collagen and elastic fibers in the most superficial layer of LP. These results may help elucidate the unique development of the lamina propria of the vocal fold

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Les peptides élastiques (ELP, Elastin-like peptide) sont d'excellents exemples de polymères biomimétiques récemment proposés en médecine régénérative, en particulier dans le domaine de l'ingénierie tissulaire des tissus mous (peau, vaisseaux sanguins, poumons…) pour lesquels la modélisation est complexe car l'instruction correcte des cellules nécessite une élasticité fonctionnelle. L'ajustement précis de la structure primaire des ELP peut moduler voire améliorer les propriétés physico-chimiques, structurales et fonctionnelles de la protéine native. De plus, la capacité des ELP à ajuster leurs caractéristiques physico-chimiques en réponse à des stimuli externes (température, pH), les définit comme des polymères intelligents. Ces polymères bioactifs offrent ainsi une large gamme d'applications très prometteuses encore très peu explorées dans les technologies d'ingénierie tissulaire et les systèmes d'administration de médicaments. Dans ce travail de thèse, nous avons développé, caractérisé et évalué les potentiels thérapeutiques d'une protéine élastique synthétique, Elactiv', inspirée de la structure unique de la tropoélastine humaine, précurseur soluble de l'élastine. Elactiv' conserve les caractéristiques physico-chimiques (comportement thermosensible, propriétés d'autoassemblage) et les fonctions biologiques de la protéine native (prolifération, différenciation et survie des fibroblastes dermiques et kératinocytes humains, sensibilité à la dégradation enzymatique). De plus, Elactiv' possède la particularité in vitro de s'incorporer dans les fibres élastiques néo-synthétisées par des fibroblastes dermiques sains, et d'induire la synthèse de tropoélastine fibrillaire par des fibroblastes pathologiques, syndrome de Williams-Beuren, qui ne synthétisent pas ou très peu de fibres élastiques. Un hydrogel formé exclusivement d'Elactiv' a permis d'accéder aux propriétés mécaniques de l'ensemble et de vérifier sa biocompatibilité in vitro et son innocuité et sa résorption in vivo. Enfin, l'association de la protéine Elactiv' aux dendrigrafts de poly(L-lysine), polymères synthétiques hautement fonctionnalisables, a permis de faire évoluer l'architecture de l'hydrogel vers un biomatériau hybride dans le but d'augmenter ses propriétés mécaniques et biologiques. Ainsi, les potentiels biomimétiques et thérapeutiques de la protéine Elactiv' en font un candidat prometteur pour la régénération des tissus mous / Elastin-like peptides are excellent examples of biomimetic polymers recently proposed in regenerative medicine, particularly for soft tissue engineering (skin, blood vessels, lung ...) for which modeling is a complex task requiring functional elasticity to insctruct cells properelly. Fine-tuning of ELP’s primary structure can modulate or improve physicochemical, structural and functional properties of the native protein. In addition, the adjustment of ELP physicochemical characteristics through external stimuli (temperature, pH) defined them as intelligent polymers. These bioactive polymers thus provide a wide range of very promising applications in tissue engineering and drug delivery, although this has been under-explored until then. In this thesis, we have developed, characterized and evaluated therapeutic potentials of Elactiv', a synthetic elastic protein inspired by the unique structure of the human tropoelastin, the soluble precursor of elastin. Elactiv’ retains physicochemical characteristics (thermoresponsive behavior, self-assembly properties) and biological functions of the native protein (proliferation, differentiation and survival of human keratinocytes and dermal fibroblasts, susceptibility to enzymatic degradation). Besides, Elactiv’ is able to incorporate into neosynthesized elastic fibers by healthy dermal fibroblasts, and to induce fibrillar tropoelastin synthesis by pathological fibroblasts, Williams-Beuren syndrome, which do not synthesize or very few elastic fibres. A hydrogel formed exclusively of Elactiv’ allowed to access to mechanical properties of the scaffold and to verify its biocompatibility in vitro and its safety and resorption in vivo. Finally, the association of Elactiv' protein to poly(L-lysine) dendrigrafts, highly functionalizable synthetic polymers, enabled to evolve the hydrogel's architecture to a hybrid biomaterial in order to increase its mechanical and biological properties for skin tissue engineering. Taken together, biomimetic and therapeutic potentials of Elactiv' protein make it a promising candidate for soft tissue regeneration