The fornix is the major afferent and efferent pathway of the hippocampus. However, it is not the only pathway. The hippocampus receives afferents from (11, IZ, Z9) and sends efferents to (10) the entorhinal cortex. Thus the hippocampus has two anatomically distinct afferent and efferent systems. There is accumulating evidence that these two anatomical systems subserve different functions. Animals sustaining lesions in the entorhinal cortex are deficient in the acquisition of a passive avoidance response (5, 36) while fornix lesioned animals are not deficient (3, 6, 35, 36). Animals with lesions of the fornix acquire a two-way active avoidance response faster than control animals (19, 35, 36) while animals with entorhinal lesions do not differ from control animals (36). Finally, animals are deficient at the acquisition of one-way active avoidance following fornix lesions (3, 19) but not following entorhinal lesions (34). Thus these two systems appear to be not only anatomically distinct but also functionally distinct.

No description available.

The brain consists of a complex network of axons, transmitting electrical impulses between interconnected neurons across distances that range from fractions of millimeters to meters. Myelinated axons, or nerve fibers, are axons that are wrapped by a myelin sheath, serving as an electrical insulation that increases the propagation speed of the signal along the nerve fiber while conserving the energy consumed and the space needed to maintain such propagation speed without myelin. Changes in the axon and surrounding myelin sheath during development and aging, or as a consequence of pathology, affect conduction and the proper functioning of the axon bundles. It is therefore important to be able to quantify the properties of these axons and their bundles and to discern which features best characterize the observed differences. We study the effects of aging on the myelinated axons in the fornix of the brain. The fornix is the principal subcortical output tract of the hippocampal formation, which plays a central role in memory. We obtain a collection of 328 high-quality electron micrographs from the fornix of 25 different rhesus monkey brains, ranging from young adults to the elderly, with both males and females. In this work, we develop a novel advanced recognition algorithm for automatically identifying myelinated axons and their surrounding myelin sheath. We extract multiple features of the nerve fibers and fully characterize their spatial structure. Using a feature selection algorithm, we discriminate between young and aged rhesus monkeys with a high level of accuracy and pinpoint the differences in the aging process at the ultrastructural level across the life span. We observe a decline in the density of myelinated axons as well as in the fraction of occupied axon area with age, while the average axon area shows no dependence on the age of the subjects. We show an increase in the myelin thickness of axons for the female subjects, while no dependence is observed for the male subjects. This sex dichotomy is also present in the g-ratio of the myelinated axons, i.e., the ratio of the axon diameter to the fiber diameter. The method detailed here could be adapted to enable recognition in other areas as well as for changes caused by brain pathologies or by developmental disorders. Furthermore, the data collected will ultimately be useable in better modeling conduction properties in myelinated axons and better understanding how the aging process affects them.

Most marketed formulations for treating anterior ocular conditions are topical, with conventional eyedrops representing the most utilized modality. However, due to the natural clearance mechanisms of the eye, less than 5% of an applied dose remains bioavailable following administration. To overcome the shortcomings associated with conventional eyedrops, a series of enzymatically degradable, mucoadhesive thermogels were developed. Thermogels can be applied as a solution, like a conventional eyedrops, but gel against the heat of eye. To avoid obstructing vision, these thermogels were designed to be instilled within the inferior fornix of the eye. In these studies, the base thermogelling polymer (pNAM) was crosslinked with the natural polymer chitosan. Not only does crosslinking strengthen the typically weak thermogels, but chitosan can be enzymatically degraded by lysozyme, the highest concentration protein found in tear fluid. Therefore, the developed thermogels can be applied to the inferior fornix and degrade over multiple days. A limitation of applying materials to the inferior fornix is they tend to be poorly retained. To anchor the developed thermogels within the inferior fornix, the mucoadhesive properties were tailored based on the chitosan utilized as well as the inclusion of a disulfide monomer capable of covalently bonding with the natural mucosal layer covering the surface of the eye. The disulfide bridging monomer could be further conjugated with therapeutic components which were released as a function of mucosal interaction. Conjugates investigated included cysteamine for treating cystinosis, n-acetyl cysteine for treating dry eye, the adhesion peptide RGDC as a model peptide/protein, and polyethylene glycol for modulating material properties. The release of the drugs Ketotifen Fumarate, for treating allergic conjunctivitis, and atropine, for treating myopia, were also investigated. The safety of the developed thermogels were studied both in vivo and extensively in vitro utilizing both rat and rabbit models. / Dissertation / Doctor of Philosophy (PhD) / Topical eyedrops are the most utilized treatment option for the vast majority of ocular diseases. However, eyedrops are largely ineffective with less than 5% of an applied dose reaching the desired cite of action. Therefore, eyedrops need to be frequently reapplied. To overcome these limitations, an eyedrop was developed which can be applied as a liquid but gels against the heat of the eye. This gel allows for prolonged drug release over multiple days, greatly increasing drug efficacy as well as patient comfort and compliance. To prevent obstructing vision, these gels can be applied under the lower eyelid. To keep these gels retained under the lower eyelid, they were designed to anchor to the natural mucus layer which covers the surface of eye. The developed eyedrops represent a significant advancement in ocular care; bettering the convenience, comfort, and effectiveness for patients of a topical formulation compared to traditional eyedrops.

Mon travail de thèse participe à la caractérisation des bases cellulaires et moléculaires neurodéveloppementales à l'origine de la schizophrénie. A partir d'un modèle animal pour l'étude de la schizophrénie (souris KO STOP), j'ai tenté de déterminer les relations entre la diminution du volume cérébral, la biologie cellulaire des neurones in situ, et les événements cellulaires et moléculaires à l'origine de cette diminution de volume. Ainsi, j'ai démontré, par western blot quantitatif, que la réduction de volume cérébral chez les souris KO STOP était associée à une forte diminution des compartiments myéliniques, axonaux et synaptiques. Une analyse morphométrique a montré ensuite que la surface de plusieurs tracts myélinisés était fortement réduite chez la souris KO STOP. Le résultat majeur de ce travail, confirmé par l'utilisation de traceur lipidique, a été la mise en évidence de l'absence de la partie post-commissurale du fornix, tract reliant l'hippocampe au corps mamillaire et fortement altéré chez les schizophrènes. Le traçage lentiviral de ces axones a montré la désorganisation des fibres du fornix chez les souris KO STOP. J'ai ensuite analysé la neurogenèse adulte hippocampale et démontré que ce processus était spécifiquement et progressivement altéré chez les souris KO STOP. L'architecture dendritique des neurones immatures des souris KO STOP semble anormale, avec un dendrite primaire plus long et un arbre dendritique plus branché. Le traçage rétroviral-GFP des cellules souches neurales de l'hippocampe, a permis de montrer, à 4 semaines post-infection, une réduction du nombre de neurones immatures chez les souris KO STOP suggérant une maturation prématurée des neurones néoformés. Ce travail ouvre des perspectives de recherche sur le développement embryonnaire du fornix et des connectivités neuronales en général. Nous envisageons aussi d'analyser la maturation axonale et synaptique des neurones hippocampaux néoformés, étapes du développement neuronal importantes pour la mise en place des connectivités neuronales.

No description available.

No description available.

Introdução: O acesso ao terceiro ventrículo constitui verdadeiro desafio ao neurocirurgião. Nesse contexto, estudos anatômicos e morfométricos são úteis para estabelecer as limitações e as vantagens de determinado acesso cirúrgico. O acesso transcorioideo é versátil e promove exposição adequada da região média e posterior do terceiro ventrículo. Entretanto, a coluna do fórnice limita a exposição da região anterior do terceiro ventrículo. Há evidências de que a secção ipsilateral da coluna do fórnice tenha pouca repercussão na função cognitiva. Esta tese compara a exposição anatômica proporcionada pelo acesso transforniceal transcorioideo com o do acesso transcorioideo e realiza avaliação morfométrica de estruturas relevantes e comuns aos dois acessos. Material e métodos: A exposição anatômica proporcionada pelos acessos transcaloso transcorioideo e transcaloso transforniceal transcorioideo foram comparadas em oito cadáveres não submetidos à conservação, utilizando o sistema de neuronavegação (Artis, Brasília, Brasil), para aferir a área de trabalho, a área de exposição microcirúrgica, a exposição angular no plano longitudinal e transversal de dois alvos anatômicos (túber cinéreo e aqueduto cerebral). Adicionalmente, foram quantificados a espessura do parênquima do lobo frontal direito, a espessura do tronco do corpo caloso, o diâmetro longitudinal do forame interventricular, a distância de trabalho da superfície cortical ao túber cinéreo e a distância de trabalho da superfície cortical até o aqueduto cerebral. Os valores obtidos foram submetidos a análise de estatística utilizando o teste de Wilcoxon. Resultados: Na avaliação quantitativa, o acesso transforniceal transcorioideo proporcionou maior área de trabalho (transforniceal transcorioideo = 150,299 +/- 11,147 mm2; transcorioideo = 121,421 +/- 7,698 mm2; p < 0,05), maior área de exposição microcirúrgica (transforniceal transcorioideo = 100,920 +/- 8,764 mm2; transcorioideo = 79,944 +/- 4,954 mm2; p < 0,05), maior área de exposição angular no plano longitudinal para o túber cinéreo (transforniceal transcorioideo = 70,898 +/- 6,598 graus; transcorioideo = 63,838 +/- 5,770 graus; p < 0,05) e maior área de exposição angular no plano longitudinal para o aqueduto cerebral (transforniceal transcorioideo = 61,806 +/- 6,406 graus; transcorioideo = 54,998 +/- 5,102 graus; p < 0,05) em comparação com o acesso transcorioideo. Nenhuma diferença foi observada na exposição angular ao longo do eixo transversal para os dois alvos anatômicos (túber cinéreo e aqueduto cerebral) (p > 0,05). A espessura média do lobo frontal direito foi de 34,869 +/- 3,439 mm, a espessura do tronco caloso foi 10,085 +/- 1,172 mm, o diâmetro do forame interventricular foi de 4,628 +/- 0,474 mm, a distância da superfície cortical ao túber cinéreo foi de 69,315 +/- 4,564 mm e a distância da superfície cortical ao aqueduto cerebral foi de 75,654 +/- 4,950 mm. Na avaliação qualitativa, observamos que o acesso transforniceal transcorioideo permitiu incremento da visualização das estruturas da região anteroinferior do terceiro ventrículo. Não houve diferença quanto à exposição das estruturas da região média e posterior em ambos os acessos. Conclusões: O acesso transforniceal transcorioideo propicia maior exposição cirúrgica da região anterior do terceiro ventrículo em comparação com aquela oferecida pelo acesso transcorioideo. O estudo morfométrico estabeleceu valores médios das estruturas anatômicas comuns aos dois acessos na população estudada / Introduction: Approaches to the third ventricle constitute a formidable challenge to the neurosurgeon and, in this context, anatomical and morphometric studies are useful to establish the limitations and advantages of certain surgical approaches. The transchoroidal approach is a versatile one that promotes adequate exposure of the middle and posterior regions of the third ventricle. However, the column of fornix limits the exposure of the anterior third ventricle region. There is evidence that the ipsilateral section of the column of fornix has little effect on the cognitive function. This thesis compares the anatomical exposure using the transchoroidal transforniceal technique with the transchoroidal approach, and performs morphometric assessment of relevant structures common to both approaches. Material and methods: The anatomical exposure achieved through the transchoroidal transcallosal approach and transchoroidal transforniceal transcallosal were compared in 8 fresh cadavers using the neuronavigation system (Artis, Brasilia, Brazil), to assess the working area, microsurgical exposure area, to quantify the angular exposure in the longitudinal and cross-sectional planes to two anatomical targets (tuber cinereum and cerebral aqueduct), to measure the thickness of the right frontal lobe parenchyma, corpus callosum body thickness, longitudinal diameter of the interventricular foramen, working distance from the cortical surface to the tuber cinereum and working distance from the cortical surface to the cerebral aqueduct. The values obtained were submitted to statistical analysis using Wilcoxon\'s test. Results: In the quantitative assessment, the transchoroidal transforniceal approach provided: larger working area (transchoroidal transforniceal = 150.299 +/- 11.147 mm2; transchoroidal = 121.421 +/- 7.698 mm2; p < 0.05), larger area of microsurgical exposure (transforniceal transchoroidal = 100.920 +/- 8.764 mm2; transchoroidal = 79.944 +/- 4.954 mm2; p < 0.05), larger area of angular exposure in the longitudinal plane to the tuber cinereum (transchoroidal transforniceal = 70.898 +/- 6.598 degrees; transchoroidal = 63.838 + / - 5,770 degrees; p < 0.05) and larger area of angular exposure in the longitudinal plane to the cerebral aqueduct (transforniceal transchoroidal = 61.806 +/- 6.406 degrees; transchoroidal = 54.998 +/- 5.102 degrees; p < 0.05) when compared to the transchoroidal approach. No differences were observed in the angular exposure along the cross-sectional axis for both anatomical targets (tuber cinereum and cerebral aqueduct) (p > 0.05). The mean thickness of the right frontal lobe was 34.869 +/- 3.439 mm, the thickness of the corpus callosum body was 10.085 +/- 1.172 mm, the diameter of the interventricular foramen was 4,628 +/- 0,474 mm, the distance from the cortical surface to the tuber cinereum was 69.315 +/- 4.564 mm, and the distance from the cortical surface to the cerebral aqueduct was 75.654 +/- 4.950 mm. In the qualitative assessment, we observed that the transforniceal transchoroidal approach allowed better visualization of the structures in the anterior third ventricle region. There was no difference regarding exposure of structures in the middle and posterior regions with both access. Conclusions: The transforniceal transchoroidal approach provides greater surgical exposure of the anterior third ventricle region than that obtained with the transchoroidal approach. The morphometric study established mean values of anatomical structures that are common to both approaches in the assessed population

Introdução: O acesso ao terceiro ventrículo constitui verdadeiro desafio ao neurocirurgião. Nesse contexto, estudos anatômicos e morfométricos são úteis para estabelecer as limitações e as vantagens de determinado acesso cirúrgico. O acesso transcorioideo é versátil e promove exposição adequada da região média e posterior do terceiro ventrículo. Entretanto, a coluna do fórnice limita a exposição da região anterior do terceiro ventrículo. Há evidências de que a secção ipsilateral da coluna do fórnice tenha pouca repercussão na função cognitiva. Esta tese compara a exposição anatômica proporcionada pelo acesso transforniceal transcorioideo com o do acesso transcorioideo e realiza avaliação morfométrica de estruturas relevantes e comuns aos dois acessos. Material e métodos: A exposição anatômica proporcionada pelos acessos transcaloso transcorioideo e transcaloso transforniceal transcorioideo foram comparadas em oito cadáveres não submetidos à conservação, utilizando o sistema de neuronavegação (Artis, Brasília, Brasil), para aferir a área de trabalho, a área de exposição microcirúrgica, a exposição angular no plano longitudinal e transversal de dois alvos anatômicos (túber cinéreo e aqueduto cerebral). Adicionalmente, foram quantificados a espessura do parênquima do lobo frontal direito, a espessura do tronco do corpo caloso, o diâmetro longitudinal do forame interventricular, a distância de trabalho da superfície cortical ao túber cinéreo e a distância de trabalho da superfície cortical até o aqueduto cerebral. Os valores obtidos foram submetidos a análise de estatística utilizando o teste de Wilcoxon. Resultados: Na avaliação quantitativa, o acesso transforniceal transcorioideo proporcionou maior área de trabalho (transforniceal transcorioideo = 150,299 +/- 11,147 mm2; transcorioideo = 121,421 +/- 7,698 mm2; p < 0,05), maior área de exposição microcirúrgica (transforniceal transcorioideo = 100,920 +/- 8,764 mm2; transcorioideo = 79,944 +/- 4,954 mm2; p < 0,05), maior área de exposição angular no plano longitudinal para o túber cinéreo (transforniceal transcorioideo = 70,898 +/- 6,598 graus; transcorioideo = 63,838 +/- 5,770 graus; p < 0,05) e maior área de exposição angular no plano longitudinal para o aqueduto cerebral (transforniceal transcorioideo = 61,806 +/- 6,406 graus; transcorioideo = 54,998 +/- 5,102 graus; p < 0,05) em comparação com o acesso transcorioideo. Nenhuma diferença foi observada na exposição angular ao longo do eixo transversal para os dois alvos anatômicos (túber cinéreo e aqueduto cerebral) (p > 0,05). A espessura média do lobo frontal direito foi de 34,869 +/- 3,439 mm, a espessura do tronco caloso foi 10,085 +/- 1,172 mm, o diâmetro do forame interventricular foi de 4,628 +/- 0,474 mm, a distância da superfície cortical ao túber cinéreo foi de 69,315 +/- 4,564 mm e a distância da superfície cortical ao aqueduto cerebral foi de 75,654 +/- 4,950 mm. Na avaliação qualitativa, observamos que o acesso transforniceal transcorioideo permitiu incremento da visualização das estruturas da região anteroinferior do terceiro ventrículo. Não houve diferença quanto à exposição das estruturas da região média e posterior em ambos os acessos. Conclusões: O acesso transforniceal transcorioideo propicia maior exposição cirúrgica da região anterior do terceiro ventrículo em comparação com aquela oferecida pelo acesso transcorioideo. O estudo morfométrico estabeleceu valores médios das estruturas anatômicas comuns aos dois acessos na população estudada / Introduction: Approaches to the third ventricle constitute a formidable challenge to the neurosurgeon and, in this context, anatomical and morphometric studies are useful to establish the limitations and advantages of certain surgical approaches. The transchoroidal approach is a versatile one that promotes adequate exposure of the middle and posterior regions of the third ventricle. However, the column of fornix limits the exposure of the anterior third ventricle region. There is evidence that the ipsilateral section of the column of fornix has little effect on the cognitive function. This thesis compares the anatomical exposure using the transchoroidal transforniceal technique with the transchoroidal approach, and performs morphometric assessment of relevant structures common to both approaches. Material and methods: The anatomical exposure achieved through the transchoroidal transcallosal approach and transchoroidal transforniceal transcallosal were compared in 8 fresh cadavers using the neuronavigation system (Artis, Brasilia, Brazil), to assess the working area, microsurgical exposure area, to quantify the angular exposure in the longitudinal and cross-sectional planes to two anatomical targets (tuber cinereum and cerebral aqueduct), to measure the thickness of the right frontal lobe parenchyma, corpus callosum body thickness, longitudinal diameter of the interventricular foramen, working distance from the cortical surface to the tuber cinereum and working distance from the cortical surface to the cerebral aqueduct. The values obtained were submitted to statistical analysis using Wilcoxon\'s test. Results: In the quantitative assessment, the transchoroidal transforniceal approach provided: larger working area (transchoroidal transforniceal = 150.299 +/- 11.147 mm2; transchoroidal = 121.421 +/- 7.698 mm2; p < 0.05), larger area of microsurgical exposure (transforniceal transchoroidal = 100.920 +/- 8.764 mm2; transchoroidal = 79.944 +/- 4.954 mm2; p < 0.05), larger area of angular exposure in the longitudinal plane to the tuber cinereum (transchoroidal transforniceal = 70.898 +/- 6.598 degrees; transchoroidal = 63.838 + / - 5,770 degrees; p < 0.05) and larger area of angular exposure in the longitudinal plane to the cerebral aqueduct (transforniceal transchoroidal = 61.806 +/- 6.406 degrees; transchoroidal = 54.998 +/- 5.102 degrees; p < 0.05) when compared to the transchoroidal approach. No differences were observed in the angular exposure along the cross-sectional axis for both anatomical targets (tuber cinereum and cerebral aqueduct) (p > 0.05). The mean thickness of the right frontal lobe was 34.869 +/- 3.439 mm, the thickness of the corpus callosum body was 10.085 +/- 1.172 mm, the diameter of the interventricular foramen was 4,628 +/- 0,474 mm, the distance from the cortical surface to the tuber cinereum was 69.315 +/- 4.564 mm, and the distance from the cortical surface to the cerebral aqueduct was 75.654 +/- 4.950 mm. In the qualitative assessment, we observed that the transforniceal transchoroidal approach allowed better visualization of the structures in the anterior third ventricle region. There was no difference regarding exposure of structures in the middle and posterior regions with both access. Conclusions: The transforniceal transchoroidal approach provides greater surgical exposure of the anterior third ventricle region than that obtained with the transchoroidal approach. The morphometric study established mean values of anatomical structures that are common to both approaches in the assessed population