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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
41

Ko-Expression des astroglialen GFAP- und des oligodendrozytären PLP-Promotors in Müllerzellen der Retina: Aktivierung durch Läsionen: Ko-Expression des astroglialen GFAP- und desoligodendrozytären PLP-Promotors in Müllerzellen der Retina:Aktivierung durch Läsionen

Lycke, Christian 26 June 2014 (has links)
Die Dissertation befasst sich mit der Untersuchung der Ko-Expression des GFAP- und des PLP-Promotors in Müllerzellen der Netzhaut transgener Mäuse. Die verwendete Mauslinie ist tripel-transgen für den GFAP- und den PLP-Promotor sowie für einen ROSA26-Reporter. Durch die Quantifizierung der EYFP-Expression in Müllerzellen konnte gezeigt werden, dass es nach akuter ischämischer Schädigung sowie einer angeborenen retinalen Degeneration in Müllerzellen zu einer Aktivierung des oligodendrozytären PLP-Promotors kommt. Weiterhin wurde festgestellt, dass die Aktivierung des Transkriptionsfaktors Sox-9, der sowohl für die Entwicklung der Müllerzellen als auch für die Oligodendrogenese von entscheidender Rolle ist, mit dieser Promotoraktivierung korreliert. Diese Ergebnisse implizieren, dass Müllerzellen im Rahmen ihrer Stammzelleigenschaften in der Lage sind, auf embryonale Entwicklungsprozesse, die auch die oligodendrozytäre Zellreihe beinhalten, zurückgreifen zu können.:Inhaltsverzeichnis ....................................................................................................................... 3 Bibliographische Darstellung ..................................................................................................... 5 Abkürzungsverzeichnis und Erläuterungen ................................................................................ 6 1 Einleitung ............................................................................................................................ 8 1.1 Die Retina als Teil des Auges ................................................................................................. 8 1.1.1 Aufbau .............................................................................................................................. 8 1.2 Die gliale Müllerzelle ............................................................................................................ 12 1.2.1 Definition und Morphologie der Müllerzellen ............................................................... 12 1.2.2 Funktion .......................................................................................................................... 13 1.2.3 Ursprung und Ontogenese der Müllerzelle ..................................................................... 14 1.3 Erkrankungen der Netzhaut .................................................................................................. 15 1.3.1 Akute Läsionen ............................................................................................................... 15 1.3.2 Chronische Erkrankungen der Netzhaut ......................................................................... 15 1.3.3 Die Rolle der Müllerzelle in der erkrankten Retina ....................................................... 16 1.4 Mausgenetik .......................................................................................................................... 18 1.4.1 Das Cre-loxP-System ..................................................................................................... 18 1.5 Pax-6 und Sox-9: Transkriptionsfaktoren spezifizieren das Zellschicksal ........................... 24 1.5.1 Die PAX-Familie ............................................................................................................ 24 1.5.2 SOX-9-Gene ................................................................................................................... 25 2 Ziele .................................................................................................................................. 26 3 Material und Methoden ..................................................................................................... 27 3.1 Material ................................................................................................................................. 27 3.1.1 Chemikalien .................................................................................................................... 27 3.1.2 Antikörper ....................................................................................................................... 27 3.1.3 Größenstandards ............................................................................................................. 28 3.1.4 Mauslinien ...................................................................................................................... 29 3.1.5 Geräte ............................................................................................................................. 31 3.2 Methoden .............................................................................................................................. 31 3.2.1 Genotypisierung transgener Mäuse ................................................................................ 31 3.2.2 Akute retinale Läsion durch Anlegen eines erhöhten Augeninnendrucks („high intraocular pressure“, HIOP) .......................................................................................... 37 3.2.3 Herstellung und Fixierung der retinalen Gewebsproben ................................................ 37 3.2.4 Immunhistochemische Färbungen .................................................................................. 38 3.2.5 Mikroskopische Auswertung .......................................................................................... 39 3.2.6 Datenverarbeitung und Statistik ..................................................................................... 41 4 Ergebnisse ......................................................................................................................... 42 4.1 Technische Aspekte: Vergleich der Quantifizierung in Ganzpräparate und Querschnitte ... 42 4.1.1 Vergleich der Abbildungen ............................................................................................ 42 4.1.2 Auszählung Retina-Ganzpräparate ................................................................................. 43 4.1.3 Auszählung der Zellen in Querschnitten der Netzhaut ................................................... 45 4.1.4 Vergleich der Quantifizierung von Ganzpräparaten und Querschnitten ........................ 46 4.1.5 Quantifizierung ............................................................................................................... 48 4.2 Analyse der Reporterexpression in der Retina tripel-transgener Mäuse ............................... 49 4.2.1 Quantitative Auswertung GS-positiver Müllerzellen ..................................................... 49 4.2.2 Quantitative Auswertung EYFP-positiver Müllerzellen ................................................ 51 4.2.3 Auswertung des prozentualen Anteils der EYFP-positiven Müllerzellen ...................... 53 4.3 Auswertung der Transkriptionsfaktorexpression von Pax-6 und Sox-9 ............................... 56 4.3.1 Auswertung der Pax-6-positiven Müllerzellen ............................................................... 57 4.3.2 Auswertung der Sox-9-positiven Müllerzellen .............................................................. 60 5 Diskussion ......................................................................................................................... 63 5.1 Die GFAP-Expression in der Müllerzellgliose ..................................................................... 63 5.2 Auswertung und Vergleich der retinalen Ganzpräparate und Querschnitte ......................... 64 5.3 Die Untersuchung der Promotoraktivität nach retinaler Ischämie ........................................ 65 5.4 Die Untersuchung der Promotoraktivität bei angeborener retinaler Degeneration ............... 66 5.5 Die Rolle der Transkriptionsfaktoren Pax-6 und Sox-9 ........................................................ 68 5.5.1 Pax-6 ............................................................................................................................... 68 5.5.2 Sox-9 ............................................................................................................................... 69 5.6 Einordnung der Ergebnisse in die Zellbiologie der Müllerzelle ........................................... 72 6 Zusammenfassung ............................................................................................................. 74 7 Literaturverzeichnis .......................................................................................................... 77 8 Lebenslauf ......................................................................................................................... 83 9 Danksagung ....................................................................................................................... 84 10 Eigenständigkeitserklärung ............................................................................................... 85
42

Avaliação de parâmetros neuroquímicos em fatias de hipocampo de rato submetidas à privação de oxigênio e glicose

Hansel, Gisele January 2009 (has links)
Mesmo a isquemia sendo a terceira causa de morte em países industrializados, os mecanismos relacionados a esta doença ainda continuam polêmicos e obscuros. Utilizou-se a técnica de privação de oxigênio e glicose (OGD) em fatias do hipocampo de rato para investigar parâmetros mitocondriais, neurais, astrogliais e metabólicos no período de isquemia e durante o período de reoxigenação. Os resultados mostraram uma diminuição na atividade mitocondrial durante o período isquêmico que foi mantido durante todo o período de reoxigenação. Analisando o sobrenadante destas fatias submetidas à OGD, foi observado que os níveis de LDH, NSE e GFAP se elevaram. Com relação aos níveis de lactato, verificou-se sua diminuição durante todos os períodos. Os níveis de S100B estavam elevados somente durante o período de reoxigenação. Este aumento pode ser tanto um mecanismo de neuroproteção desta proteína frente ao insulto ou ainda uma liberação por dano celular astrocitário. Além disso, foi observado um grande aumento nos níveis de glutamato durante a isquemia e este aumento retornou no período de reoxigenação. Por fim, houve uma diminuição na captação de glutamato somente no período de reoxigenação. Todos estes resultados podem ser conseqüência de uma hiper-estimulação dos receptores glutamatérgicos devido ao insulto isquêmico. Em resumo, nosso estudo mostrou alterações em diversos parâmetros neuroquímicos específicos tanto no período isquêmico quanto na reoxigenação, mostrando que cada tipo celular, reage diferentemente frente ao insulto isquêmico na técnica de OGD in vitro. / Stroke is the third cause of mortality in industrialized countries, and the mechanisms related to this disease are polemic and unclear. Oxygen and glucose deprivation (OGD) in acute rat hippocampal slices was performed to investigate mitochondrial, neural, astroglial and metabolic neurochemical parameters at different ischemic and reoxygenation periods. Results showed the mitochondrial activity decrease due energy failure during ischemic insult and reoxygenation time. In the supernatant medium, LDH, NSE and glutamate levels were increased and the lactate decrease by the lack of energy observed in the ischemic period. Parameters such as GFAP, S100B and glutamate uptake suffered alterations only at the reoxygenation period. These results have shown the vulnerability of neurons facing ischemic insult. Meanwhile, it was also observed a delayed injure of astrocytes only at reoxygenation time, which demonstrate the difference between cell types at OGD. In summary, our finding has shown altered at specific neurochemical parameters in OGD in vitro which features the ischemic episodes and reoxygenation periods.
43

Efeitos do exercício físico sobre a expressão da proteína glial fibrilar ácida (GFAP) e comportamento motor de ratos submetidos ao modelo de doença de Parkinson induzida por 6-OHDA / Exercise improves motor behavioral deficits and induces GFAP expression in 6-OHDA model of Parkinson’s disease

Dutra, Márcio Ferreira January 2009 (has links)
The aim of this study was to investigate whether exercise could improve motor behavioral deficits and alter expression of glial fibrillary acidic protein (GFAP) in dorsal striatum in a 6-hydroxydopamine (6-OHDA) rat model of Parkinson’s disease (PD). To this end, animals were randomly divided into 4 groups: sham sedentary (SS, n = 7); sham trained (ST, n=8); lesioned sedentary (LS, n=8) and lesioned trained (LT, n = 8). Rats were unilaterally lesioned with 6-OHDA (10 μg/3 μg) injected into the left medial forebrain bundle and sham groups were only injected with vehicle solution. The treadmill training protocol consisted of running with progressive increase in velocity, 5 days/week, during 4 weeks. Behavioral tasks were applied to asses the motor abilities of all animals prior to 6-OHDA injection and at 8th and 29th days post-injection. The tyrosine hydroxylase (TH - in substantia nigra pars compacta) and GFAP (in dorsal striatum) immunostaining was evaluated by semiquantitative analysis of the intensity (optical density - OD). The 6-OHDA lesion decreased the OD of TH and increased the OD of GFAP. In addition, the 6-OHDA lesion increased the number of ipsilateral rotations induced by methylphenidate (40 mg/kg, i.p., 30 min) and caused motor behavioral deficits. On the other hand, the treadmill training resulted in an increase in maximal exercise capacity in both trained groups (ST and LT). The training was able to reduce the number of ipsilateral rotations and ameliorated the motor behavioral deficits on 8th and 29th days postlesion. Interestingly, the exercise led to a significant increase in OD of GFAP in the LT group while there was no such effect in ST group. Our results indicate that treadmill training can improve motor behavioral deficits and suggest that the effects of exercise may be directly or, indirectly, mediated by astrocytes, as an increase in GFAP was observed in the dorsal striatum. Nevertheless, these are the first data showing an increase in GFAP expression post-exercise in this model and further research is needed to determine the precise action of exercise on astrocytes in Parkinson’s disease.
44

Avaliação de parâmetros neuroquímicos em fatias de hipocampo de rato submetidas à privação de oxigênio e glicose

Hansel, Gisele January 2009 (has links)
Mesmo a isquemia sendo a terceira causa de morte em países industrializados, os mecanismos relacionados a esta doença ainda continuam polêmicos e obscuros. Utilizou-se a técnica de privação de oxigênio e glicose (OGD) em fatias do hipocampo de rato para investigar parâmetros mitocondriais, neurais, astrogliais e metabólicos no período de isquemia e durante o período de reoxigenação. Os resultados mostraram uma diminuição na atividade mitocondrial durante o período isquêmico que foi mantido durante todo o período de reoxigenação. Analisando o sobrenadante destas fatias submetidas à OGD, foi observado que os níveis de LDH, NSE e GFAP se elevaram. Com relação aos níveis de lactato, verificou-se sua diminuição durante todos os períodos. Os níveis de S100B estavam elevados somente durante o período de reoxigenação. Este aumento pode ser tanto um mecanismo de neuroproteção desta proteína frente ao insulto ou ainda uma liberação por dano celular astrocitário. Além disso, foi observado um grande aumento nos níveis de glutamato durante a isquemia e este aumento retornou no período de reoxigenação. Por fim, houve uma diminuição na captação de glutamato somente no período de reoxigenação. Todos estes resultados podem ser conseqüência de uma hiper-estimulação dos receptores glutamatérgicos devido ao insulto isquêmico. Em resumo, nosso estudo mostrou alterações em diversos parâmetros neuroquímicos específicos tanto no período isquêmico quanto na reoxigenação, mostrando que cada tipo celular, reage diferentemente frente ao insulto isquêmico na técnica de OGD in vitro. / Stroke is the third cause of mortality in industrialized countries, and the mechanisms related to this disease are polemic and unclear. Oxygen and glucose deprivation (OGD) in acute rat hippocampal slices was performed to investigate mitochondrial, neural, astroglial and metabolic neurochemical parameters at different ischemic and reoxygenation periods. Results showed the mitochondrial activity decrease due energy failure during ischemic insult and reoxygenation time. In the supernatant medium, LDH, NSE and glutamate levels were increased and the lactate decrease by the lack of energy observed in the ischemic period. Parameters such as GFAP, S100B and glutamate uptake suffered alterations only at the reoxygenation period. These results have shown the vulnerability of neurons facing ischemic insult. Meanwhile, it was also observed a delayed injure of astrocytes only at reoxygenation time, which demonstrate the difference between cell types at OGD. In summary, our finding has shown altered at specific neurochemical parameters in OGD in vitro which features the ischemic episodes and reoxygenation periods.
45

Efeitos do exercício físico sobre a expressão da proteína glial fibrilar ácida (GFAP) e comportamento motor de ratos submetidos ao modelo de doença de Parkinson induzida por 6-OHDA / Exercise improves motor behavioral deficits and induces GFAP expression in 6-OHDA model of Parkinson’s disease

Dutra, Márcio Ferreira January 2009 (has links)
The aim of this study was to investigate whether exercise could improve motor behavioral deficits and alter expression of glial fibrillary acidic protein (GFAP) in dorsal striatum in a 6-hydroxydopamine (6-OHDA) rat model of Parkinson’s disease (PD). To this end, animals were randomly divided into 4 groups: sham sedentary (SS, n = 7); sham trained (ST, n=8); lesioned sedentary (LS, n=8) and lesioned trained (LT, n = 8). Rats were unilaterally lesioned with 6-OHDA (10 μg/3 μg) injected into the left medial forebrain bundle and sham groups were only injected with vehicle solution. The treadmill training protocol consisted of running with progressive increase in velocity, 5 days/week, during 4 weeks. Behavioral tasks were applied to asses the motor abilities of all animals prior to 6-OHDA injection and at 8th and 29th days post-injection. The tyrosine hydroxylase (TH - in substantia nigra pars compacta) and GFAP (in dorsal striatum) immunostaining was evaluated by semiquantitative analysis of the intensity (optical density - OD). The 6-OHDA lesion decreased the OD of TH and increased the OD of GFAP. In addition, the 6-OHDA lesion increased the number of ipsilateral rotations induced by methylphenidate (40 mg/kg, i.p., 30 min) and caused motor behavioral deficits. On the other hand, the treadmill training resulted in an increase in maximal exercise capacity in both trained groups (ST and LT). The training was able to reduce the number of ipsilateral rotations and ameliorated the motor behavioral deficits on 8th and 29th days postlesion. Interestingly, the exercise led to a significant increase in OD of GFAP in the LT group while there was no such effect in ST group. Our results indicate that treadmill training can improve motor behavioral deficits and suggest that the effects of exercise may be directly or, indirectly, mediated by astrocytes, as an increase in GFAP was observed in the dorsal striatum. Nevertheless, these are the first data showing an increase in GFAP expression post-exercise in this model and further research is needed to determine the precise action of exercise on astrocytes in Parkinson’s disease.
46

Avaliação de parâmetros neuroquímicos em fatias de hipocampo de rato submetidas à privação de oxigênio e glicose

Hansel, Gisele January 2009 (has links)
Mesmo a isquemia sendo a terceira causa de morte em países industrializados, os mecanismos relacionados a esta doença ainda continuam polêmicos e obscuros. Utilizou-se a técnica de privação de oxigênio e glicose (OGD) em fatias do hipocampo de rato para investigar parâmetros mitocondriais, neurais, astrogliais e metabólicos no período de isquemia e durante o período de reoxigenação. Os resultados mostraram uma diminuição na atividade mitocondrial durante o período isquêmico que foi mantido durante todo o período de reoxigenação. Analisando o sobrenadante destas fatias submetidas à OGD, foi observado que os níveis de LDH, NSE e GFAP se elevaram. Com relação aos níveis de lactato, verificou-se sua diminuição durante todos os períodos. Os níveis de S100B estavam elevados somente durante o período de reoxigenação. Este aumento pode ser tanto um mecanismo de neuroproteção desta proteína frente ao insulto ou ainda uma liberação por dano celular astrocitário. Além disso, foi observado um grande aumento nos níveis de glutamato durante a isquemia e este aumento retornou no período de reoxigenação. Por fim, houve uma diminuição na captação de glutamato somente no período de reoxigenação. Todos estes resultados podem ser conseqüência de uma hiper-estimulação dos receptores glutamatérgicos devido ao insulto isquêmico. Em resumo, nosso estudo mostrou alterações em diversos parâmetros neuroquímicos específicos tanto no período isquêmico quanto na reoxigenação, mostrando que cada tipo celular, reage diferentemente frente ao insulto isquêmico na técnica de OGD in vitro. / Stroke is the third cause of mortality in industrialized countries, and the mechanisms related to this disease are polemic and unclear. Oxygen and glucose deprivation (OGD) in acute rat hippocampal slices was performed to investigate mitochondrial, neural, astroglial and metabolic neurochemical parameters at different ischemic and reoxygenation periods. Results showed the mitochondrial activity decrease due energy failure during ischemic insult and reoxygenation time. In the supernatant medium, LDH, NSE and glutamate levels were increased and the lactate decrease by the lack of energy observed in the ischemic period. Parameters such as GFAP, S100B and glutamate uptake suffered alterations only at the reoxygenation period. These results have shown the vulnerability of neurons facing ischemic insult. Meanwhile, it was also observed a delayed injure of astrocytes only at reoxygenation time, which demonstrate the difference between cell types at OGD. In summary, our finding has shown altered at specific neurochemical parameters in OGD in vitro which features the ischemic episodes and reoxygenation periods.
47

Efeitos do exercício físico sobre a expressão da proteína glial fibrilar ácida (GFAP) e comportamento motor de ratos submetidos ao modelo de doença de Parkinson induzida por 6-OHDA / Exercise improves motor behavioral deficits and induces GFAP expression in 6-OHDA model of Parkinson’s disease

Dutra, Márcio Ferreira January 2009 (has links)
The aim of this study was to investigate whether exercise could improve motor behavioral deficits and alter expression of glial fibrillary acidic protein (GFAP) in dorsal striatum in a 6-hydroxydopamine (6-OHDA) rat model of Parkinson’s disease (PD). To this end, animals were randomly divided into 4 groups: sham sedentary (SS, n = 7); sham trained (ST, n=8); lesioned sedentary (LS, n=8) and lesioned trained (LT, n = 8). Rats were unilaterally lesioned with 6-OHDA (10 μg/3 μg) injected into the left medial forebrain bundle and sham groups were only injected with vehicle solution. The treadmill training protocol consisted of running with progressive increase in velocity, 5 days/week, during 4 weeks. Behavioral tasks were applied to asses the motor abilities of all animals prior to 6-OHDA injection and at 8th and 29th days post-injection. The tyrosine hydroxylase (TH - in substantia nigra pars compacta) and GFAP (in dorsal striatum) immunostaining was evaluated by semiquantitative analysis of the intensity (optical density - OD). The 6-OHDA lesion decreased the OD of TH and increased the OD of GFAP. In addition, the 6-OHDA lesion increased the number of ipsilateral rotations induced by methylphenidate (40 mg/kg, i.p., 30 min) and caused motor behavioral deficits. On the other hand, the treadmill training resulted in an increase in maximal exercise capacity in both trained groups (ST and LT). The training was able to reduce the number of ipsilateral rotations and ameliorated the motor behavioral deficits on 8th and 29th days postlesion. Interestingly, the exercise led to a significant increase in OD of GFAP in the LT group while there was no such effect in ST group. Our results indicate that treadmill training can improve motor behavioral deficits and suggest that the effects of exercise may be directly or, indirectly, mediated by astrocytes, as an increase in GFAP was observed in the dorsal striatum. Nevertheless, these are the first data showing an increase in GFAP expression post-exercise in this model and further research is needed to determine the precise action of exercise on astrocytes in Parkinson’s disease.
48

Green and red fluorescent protein tagging of endogenous proteins in glioblastoma using the CRISPR (clustered regularly interspaced short palindromic repeats)-Cas9 system

Lindvall, Jenny January 2016 (has links)
Glioblastoma multiforme is the most malignant primary brain tumor that affects adults, recognized by the World Health Organization as an aggressive grade IV astrocytoma. Patients diagnosed with this type of tumor are left with a poor prognosis even with the most advanced treatment available. The cancer is quite heterogeneous and is typically categorized into four different subtypes depending on genetic aberrations and patient characteristics. Furthermore, researchers have discovered a subpopulation of glioblastoma cells, known as cancer stem cells, which are thought to be resistant to current therapies and responsible for tumor reoccurrence and relapse. Previous studies, in addition to this one, have found that the differentiation of glioblastoma cells downregulate nestin protein expression, the selected stem cell marker, and upregulate glial fibrillary acid protein expression, the selected differentiation marker, using immunofluorescence. Thus, one alternative treatment option is to understand the mechanism underlying the differentiation of cancer stem cells. Four cell cultures representative of each glioblastoma subtype will be endogenously tagged using the genome editing system, Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR/Cas9). The representative stem cell marker, nestin, will be tagged with a green fluorescent protein, while the chosen differentiation marker, glial fibrillary acid protein, will be tagged with a red fluorescent protein. Several drugs were screened to analyze whether the drugs had a differentiation effect on the glioblastoma cells. As a result, strong evidence indicated that bone morphogenetic protein four upregulated glial fibrillary acid protein expression levels to the same extent as the differentiation control media using 5% fetal bovine serum. The goal of this study is to establish a method to directly monitor the differentiation process of glioblastoma cells as a novel molecular screening method. In this case, all glioblastoma cells, even the ones resistant to treatment, can be eliminated through an initial “pre-treatment” by forcing differentiation of cancer stem cells, making the cells more susceptible to the chemotherapy drugs. In the long run, glioblastoma patients would have a chance at a more positive prognosis; a longer life that is free of glioblastoma. / Master Thesis in Applied Biotechnology
49

A Meta-Analysis: Significance of Biofluid Biomarkers in Sports-Related Traumatic Brain Injury

Oliveira, Stephanie 01 January 2022 (has links)
Background: To reduce the reliance on clinical judgment for the regulation of sports-related traumatic brain injury, identifying and measuring objective to biofluid biomarkers can provide important insight into the diagnosis (Determining the type and origin of a disorder) and prognosis (Determining the chance of survival of a disorder) of SR-TBIs. A biomarker is a qualitative or quantitative measurement that provides a measure of a subject’s physiological or pathological condition at a specific time or during a disease state. Recent literature has suggested that biomarkers can help in the screening of patients exhibiting symptoms of mild traumatic brain injury (mTBI). Despite insights from recent research, it is not clear whether biomarkers and assessments of sports-related TBI are well-aligned. The objective of this study sought to review the current literature on predictive values of biomarkers: glial fibrillary acidic protein (GFAP), calcium channel binding protein S100 subunit beta (S100β), total-tau and neuron-specific enolase (NSE) for sports-related Traumatic Brain Injuries (SR-TBIs) to improve comprehension of biological and clinical contexts that can help evaluate the use of these biomarkers in sports-related TBIs and their potential function. Methods: The study was reported based on guidelines recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA: 2020 Edition) of 8 studies related to the assessment of biomarkers concerning SR-TBI. Literature searches were carried out on PubMed, Google Scholar, ScienceDirect, and ResearchGate. With an evidentiary table, the characteristics of the studies included in the meta-analysis (n = 14 studies) were presented. A significant role for biomarkers in the management of mild traumatic brain injury is suggested by the results of this analysis. From the literature, the significance of biomarkers in SR-TBI was identified along with the biomarkers that can facilitate more accurate clinical decision-making. Results:The initial search resulted in 73 articles, and the application of exclusion criteria and removal of duplicates resulted in the inclusion of 14 articles. Eight of the included studies were ([26], [27], [28], [30], [34], [39], [40], [41]), three were cohort studies ([25], [37], [45]) one was a pilot study [32], one interview, and an observational study [44]. The review was carried out to determine the efficacy of Biomarkers GFAP, S100β, Total-tau, and NSE to help in the screening of mild traumatic brain injury (mTBI) in patients showing symptoms. The focus is on athletes presenting at an emergency department with possible mTBI requiring a CT scan based on the application of a clinical algorithm. A forest plot was utilized, and the studies had low heterogeneity or variability (P Conclusions: It was established that the utility of biofluid biomarkers in the prediction of mild traumatic brain injury due to SRC is significant when the markers are used in large combinations. The four biofluid biomarkers (S100β, total-tau, GFAP, NSE) under study have strong predictive ability for mTBI, and their use can reduce the number of CT scans among TBI patients participating in athletic activities. Although preliminary evidence shows that other diagnostic treatments may help to mitigate traumatic brain injury sequelae, clinical trials are needed to further test their efficacy, specifically with diverse and high-risk populations. Luckily, the research on mTBI biomarkers is rapidly advancing, and should these biomarkers be better established clinically, they could easily hold many important roles.
50

Altérations du sommeil dans deux modèles de la maladie d’Alzheimer et effet d'un traitement ciblant le métabolisme des lipides sur le sommeil et les astrocytes

Hector, Audrey 12 1900 (has links)
Dans la maladie d'Alzheimer (MA), les altérations du sommeil sont parmi les premiers symptômes cliniques observés. Il existe une littérature croissante indiquant que les oligomères amyloïde-bêta (Aβo) sont particulièrement neurotoxiques et leur contribution spécifique aux troubles du sommeil reste à définir. Récemment, une dérégulation du métabolisme lipidique a été signalée dans le cerveau des patients atteints de la MA et des modèles animaux. De plus, l'inhibition de la stéaroyl-CoA désaturase (SCD), une enzyme de conversion lipidique, a montré qu'elle rétablissait la mémoire chez les souris triple transgénique (3xTg), modèle de la MA. Dans le cerveau, les astrocytes régulent la synthèse de lipides et des altérations des astrocytes et de leurs fonctions ont été signalées chez les patients atteints de la MA et les modèles animaux. De plus, les astrocytes ont été impliqués dans la régulation du sommeil. Cependant, la relation entre les troubles du sommeil, les astrocytes et le métabolisme lipidique reste à explorer dans la MA. Par conséquent, cette thèse avait deux objectifs : définir l'effet d'Aβo sur différentes variables de sommeil et vérifier si la SCD contribue aux troubles du sommeil chez les 3xTg et si cela s'associe à des modifications de la fonction astrocytaire. Pour cela, des injections chroniques (6 jours) d'Aβo dans l'hippocampe ont été réalisées chez des rats mâles de type sauvage (WT pour « Wild-type ») et des mesures électroencéphalographiques (EEG) ont été effectuées pour définir les altérations veille/sommeil. De plus, des souris femelles WT et 3xTg ont reçu un traitement intracérébroventriculaire de 28 jours avec un inhibiteur de la SCD (SCDi) ou un véhicule, et des enregistrements EEG ont été réalisés après les 28 jours de traitement. Des sections de cerveau ont été soumises à une coloration pour les marqueurs astrocytaires, tels que la protéine acide fibrillaire gliale (GFAP) et l’aldéhyde déshydrogénase 1 de type L1 (ALDH1L1), en vue de réaliser une quantification cellulaire et/ou une évaluation morphologique dans l'hippocampe, l'hypothalamus latéral et le thalamus. Les résultats montrent que le temps passé en éveil, en sommeil lent (SL) et en sommeil paradoxal (SP) a été préservé chez les rats injectés avec l'Aβo. Cependant, l'activité spectrale de l'EEG pendant l'éveil a été augmentée par l’Aβo pour l'activité des ondes lentes (0,5-5 Hz) et l'activité bêta de basse fréquence (16-20 Hz), tandis qu'elle a été diminuée pendant le SL pour l'activité thêta (5-9 Hz) et alpha (9-12 Hz). De plus, le ratio thêta/activité à ondes lentes a été diminué pendant l'éveil et le SL. De plus, six jours d’injection d’Aβo ont été nécessaires pour observer les changements spectraux chez le rat. Concernant le second objectif, le traitement SCDi n’a pas restauré la diminution du temps d'éveil et l'augmentation du temps passé en SL chez les souris 3xTg. L'activité EEG rythmique et arythmique a été considérablement altérée chez les souris 3xTg pour tous les états d'éveil/sommeil, et le SCDi a modifié significativement ces phénotypes de manière différente chez les souris mutantes par rapport aux souris WT. Les densités de cellules positives pour GFAP et ALDH1L1 ont été augmentés dans l'hippocampe et l'hypothalamus/thalamus, respectivement, et le SCDi a atténué l'augmentation dans la région CA1 en particulier. Les résultats confirment la présence d'altérations du sommeil dans les modèles de la MA et suggèrent que les phénotypes de sommeil pourraient servir de marqueur non invasif précoce de la MA. Cependant, malgré le ciblage du métabolisme lipidique par l'inhibition de la SCD, les diverses perturbations du cycle éveil/sommeil chez les souris 3xTg n’ont pas été significativement rétablies. Mais il semble que ce traitement soit capable de renverser les modifications astrocytaires observées dans l'hippocampe. Ce travail contribuera à la compréhension de la physiopathologie liée à la MA et aux troubles du sommeil associés. / In Alzheimer's disease (AD), sleep disturbances are among the earliest clinical symptoms observed. There is a growing body of evidence indicating that soluble amyloid-bêta oligomers (Aβo) are particularly neurotoxic, and their specific contribution to sleep disorders is yet to be defined. Recently, dysregulation of lipid metabolism has been reported in the brains of AD patient and animal models. Furthermore, inhibition of stearoyl-CoA desaturase (SCD), a lipid-converting enzyme, has shown to restore memory in triple transgenic (3xTg) mice, an AD model. In the brain, astrocytes regulate lipid synthesis, and alterations in astrocytes and their function have been reported in AD patient and animal models. Additionally, astrocytes have been implicated in the regulation of sleep. However, the relationship between sleep disturbances, astrocytes, and lipid metabolism remains to be explored in AD. Therefore, this thesis had two objectives: to define the effect of Aβo on various sleep variables and to investigate whether SCD contributes to sleep disturbances in 3xTg mice and if this is associated with changes in astrocytic function. For this purpose, chronic injections (6 days) of Aβo into the hippocampus were performed in male wild-type (WT) rats, and electroencephalographic (EEG) measurements were conducted to assess wake/sleep alterations. Additionally, female WT and 3xTg mice received a 28-day intracerebroventricular treatment with an SCD inhibitor (SCDi) or a control, and EEG recordings were made after the 28-day treatment. Brain sections were stained for astrocytic markers, such as glial fibrillary acidic protein (GFAP) and aldehyde dehydrogenase 1 family member L1 (ALDH1L1), to perform cell counting and/or morphological evaluation in the hippocampus, lateral hypothalamus, and thalamus. The results show that the time spent awake, in slow-wave sleep (SWS), and in rapid eye movement (REM) sleep was preserved in rats injected with Aβo. However, spectral EEG activity during wakefulness was increased by Aβo for slow-wave (0.5-5 Hz) and low-frequency beta (16-20 Hz) activity, while it was decreased during SWS for theta (5-9 Hz) and alpha (9-12 Hz) activity. Additionally, the theta/SWA ratio was decreased during wakefulness and SWS. Furthermore, six days of Aβo injection were required to observe spectral changes in rats. Regarding the second objective, SCDi treatment did not restore the reduction in wake time and the increase in SWS time in 3xTg mice. Rhythmic and arrhythmic EEG activity was significantly altered in 3xTg mice for all wake/sleep states, and SCDi significantly modified these phenotypes differently in mutant mice compared to WT mice. GFAP- and ALDH1L1-positive cell densities were increased in the hippocampus and lateral hypothalamus/thalamus, respectively, and SCDi attenuated the increase in the CA1 region only. The results confirm the presence of sleep alterations in Alzheimer's disease models and suggest that sleep phenotypes could serve as a non-invasive marker of early Alzheimer's disease. However, despite targeting lipid metabolism through SCD inhibition, the various disturbances in the wake/sleep in 3xTg mice were not significantly restored. Nevertheless, it appears that this treatment can reverse astrocytic changes observed in the hippocampus. This work will contribute to the understanding of the pathophysiology related to Alzheimer's disease and associated sleep disturbances.

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