Orientador: Cecília Amélia de Carvalho Zavaglia / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Engenharia Mecânica / Made available in DSpace on 2018-08-24T09:00:21Z (GMT). No. of bitstreams: 1 Uebelhart_Beatriz_M.pdf: 3346622 bytes, checksum: f0a455713e558d11ecb3ef1e865148a0 (MD5) Previous issue date: 2013 / Resumo: Uma Bomba de Sangue Centrífuga Implantável (BSCI) está sendo desenvolvida para ser utilizada como assistência circulatória em pacientes com doenças cardiovasculares graves (DCVs). Para algumas doenças cardíacas, a única forma de tratamento é o transplante cardíaco. Um Dispositivo de Assistência Circulatória (DAV) pode ser utilizado para manter a vida do paciente enquanto ele aguarda na fila de espera por um transplante. A BSCI consiste de um DAV e é composta de protótipo, cânulas, motor, controlador, e fonte de energia. A complexidade geométrica de seu rotor dificulta sua construção através de processos de usinagem convencionais. Ao mesmo tempo, o aperfeiçoamento e construção de novos protótipos é essencial, pois permite a realização da análise de seu funcionamento, identificação e correção de falhas. A tecnologia selecionada que permite a construção rápida de um modelo tridimensional de geometria complexa é a prototipagem rápida (PR). Neste trabalho foram utilizados três diferentes tipos de processos de PR no desenvolvimento de protótipos da BCI para realização de testes "In Vitro" e "In Vivo". Os modelos físicos foram construídos através dos processos de Sinterização Seletiva a Laser (SLS), de Modelagem por Fusão e Deposição (FDM) e Estereolitografia (SLA). Através de análises qualitativas selecionou-se um dos processos para confecção dos protótipos da BSCI. Os protótipos foram submetidos a testes "In Vitro" e experimentos "In Vivo". A tecnologia de PR selecionada foi a Estereolitografia. O resultado do teste de desempenho hidrodinâmico apresentou-se satisfatório quando comparado a estudos anteriores. O teste em simulador demonstrou uma melhora nas condições fisiológicas simuladas quando um organismo simulado é submetido a assistência da BCI. Através dos testes "In Vivo" foi possível analisar o comportamento do protótipo e estudar técnicas de implante da BCI, os resultados se apresentaram satisfatórios / Abstract: An Implantable Centrifugal Blood Pump (ICBP) is being developed to be used as circulatory assistance in patients with severe cardiovascular diseases. For certain heart diseases, the only treatment is the heart transplant. A Ventricular Assist Device (VAD) can be used to maintain the patient's life while he waits for a heart transplant. ICBP consists of a VAD and is composed of a prototype, cannulae, motor, controller and energy source. Due the complexity of spiral geometry of the impeller, ICBP prototypes construction is difficult through conventional manufacturing processes. At the same time, the improvements and construction of new prototypes is essential because allows the performance analysis, identification and correction of failures. The chosen technology that allows fast construction of 3D models with complex geometry is Rapid Prototyping (RP). In this study were used three different technologies of RP to develop new ICBP prototypes and perform "In Vitro" and "In Vivo" tests. The physical models were constructed through the processes of Selective Laser Sintering (SLS), Fused and Deposition Modeling (FDM) and Stereolithography (SLA). Through qualitative analysis, between processes, one was selected to construct the ICBP 3D models. "In Vitro" and "In Vivo" tests were performed. SLA rapid prototyping process was selected to construct ICBP models. Hydrodynamic tests results presented satisfactory when compared with previous studies. Cardiovascular Simulator test results presented an improvement in simulated physiological conditions when the organism was submitted to ICBP assistance. Through "In Vivo" tests was possible to analyze the ICBP prototype performance and study ICBP implant techniques, and the results presented satisfactory / Mestrado / Materiais e Processos de Fabricação / Mestra em Engenharia Mecânica

A utilização de biomateriais para os mais diversos destinos no corpo humano, tem tido uma ascensão considerável nessas últimas décadas, devido a inúmeras necessidades, como por exemplo, assistência às pessoas com patologias ósseas, acidentes automotivos, estética bucal entre outras. Ainda assim, existe a necessidade de se desenvolver novos materiais de aplicação biomédica, melhorando suas propriedades e permitindo o aperfeiçoamento de dispositivos. A biocompatibilidade é parte integrante dos processos de validação destes materiais, onde testes in vitro e in vivo são realizados. Esse trabalho avaliou a biocompatibilidade de ligas de titânio através dos testes de: hemocompatibilidade, citotoxicidade, toxicidade sistêmica e lavado peritoneal feito em ratos, que entraram em contato com extratos originados do eletrólito: saliva artificial mais associações com fluoreto de sódio, após contato com as ligas metálicas de Ti-6Al- 4V (parâmetro para os testes) e Ti- 10Mo (liga em teste). A liga Ti-10Mo e seus extratos demonstraram um comportamento de biocompatibilidade, sugerindo uma possível aplicação para a odontologia. / Biomaterial applications have increased in the last decade, since bone diseases, injury from accidents have reached an increasing number of people. In dentistic, biomaterials have also large use as to estetic application as well to recuperate the function. New biomaterials have been studied in order to get better mechanical properties allowing better performance of the biomedical device. Biocompatibility studies are part of the validation processes and in vivo testes and in vitro testes are carried out. The present work evaluated biocompatibility of Ti alloys through: haemocompatibility, cytotoxicity, systemic toxicity and washed peritoneal tests. Those tests were performed in rats which were in contact with extracts made from artificial salive plus NaF (low concentrations) with Ti-6Al-4V alloy (control test) and Ti-10Mo (under test). Alloy under test and its extracts shown biocompatible behavior suggesting for odontological applications.

L’activité cérébrale se traduit par des courants ioniques circulant dans le réseau neuronal.La compréhension des mécanismes cérébraux implique de sonder ces courants, via des mesures électriques ou magnétiques, couvrant différentes échelles spatiales. A l’échelle cellulaire, les techniques d’électrophysiologie sont maitrisées depuis plusieurs décennies, mais il n’existe pas actuellement d’outils de mesure locale des champs magnétiques engendrés par les courants ioniques au sein du réseau neuronal. La magnéto-encéphalographie(MEG) utilise des SQUIDs(Superconducting QUantum Interference Devices)fonctionnant à très basse température, placés en surface du crâne, qui fournissent une cartographie des champs magnétiques mais dont la résolution spatiale est limitée du fait de la distance séparant les capteurs des cellules actives. Le travail présenté dans cette thèse propose de développer des capteurs magnétiques à la fois suffisamment sensibles pour être capable de détecter le champ magnétique extrêmement faible générés par les courants neuronaux (de l’ordre de 10⁻⁹ T), et dont la géométrie est adaptable aux dimensions des cellules, tout en fonctionnant à température ambiante. Ces capteurs,basés sur l’effet quantique de magnétorésistance géante (GMR, sont suffisamment miniaturisables pour être déposés à l’extrémité de sondes d’une finesse de l’ordre de 100 μm. L’utilisation de capteurs GMR pour la mesure de signaux biomagnétiques fut d’abord testée lors d’expériences in-vitro, réalisées sur le muscle soléaire de souris. Ce système biologique a été choisi pour sa simplicité,rendant la modélisation accessible, ainsi que pour sa robustesse, permettant d’avoir des résultats fiables et reproductibles. Le parfait accord entre les prédictions théoriques et les signaux magnétiques mesurés valide cette technologie. Enfin, des expériences in vivo dans le cortex visuel du chat ont permis de réaliser la toute première mesure de la signature magnétique de potentiels d’action générés par des neurones corticaux, ouvrant la voie à la magnétophysiologie. / Information transmission in the brain occurs through ionic currents flowing inside the neuronal network. Understanding how the brain operates requires probing this electrical activity by measuring the associated electric or magnetic field. At the cellular scale, electrophysiology techniques are well mastered, but there is no tool to perform magnetophysiology. Mapping brain activity through the magnetic field generated by neuronal communication is done via magnetoencephalography (MEG). This technique is based on SQUIDs (Superconducting Quantum Interference Devices) that operate at liquid Helium temperature. This parameter implies to avoid any contact with living tissue and a shielding system that increases the distance between the neurons and the sensors, limiting spatial resolution. This thesis work aims at providing a new tool to performmagnetic recordings at the neuronal scale. The sensors developed during this thesis are based on the Giant Magneto-Resistance (GMR) effect. Operating at room temperature, they can be miniaturize and shaped according to the experiment, while exhibiting a sensitivity that allows to measure amplitude of 10⁻⁹ T. Before targeting neurons, the use of GMR-based sensors for magnetic recordings of biological activity has been validated through invitro experiments on the mouse soleus muscle. This biological system has been chosen because of its simple organization, allowing for a realistic modelling, and for its robustness, in order to get reliable and replicable results. The perfect agreement between the measurements and the theoretical predictions represents a consistent validation of the GMR technology for biological applications. Then a specially adapted needle-shaped probe carrying micron-sized GMR sensors has been developed for in-vivo experiment in cat visual cortex. The very first magnetic signature of action potentials inside the neuropil has been measured, paving the way towards magnetophysiology.

Les lésions cartilagineuses survenant majoritairement dans un contexte de traumatisme, ne se réparent pas spontanément. Les traitements chirurgicaux et les techniques d'ingénierie cellulaire, utilisés en clinique, donnent des résultats perfectibles. L'ingénierie tissulaire du cartilage fait l'objet de nombreux travaux dans le but de produire au sein de la lésion un tissu de réparation dont les caractéristiques structurales et fonctionnelles sont similaires à celles du cartilage natif. Le diagnostic précoce de ces lésions et l'évaluation du tissu de réparation sont également des enjeux majeurs en orthopédie. L'IRM est une technique d'imagerie non invasive et à haute résolution permettant une évaluation du cartilage tant d'un point de vue architectural que biochimique en utilisant des séquences dédiées. En raison de leurs potentialités chondrogéniques, les cellules souches, provenant de différents tissus, sont une piste encourageante pour induire la régénération du cartilage lésé par des traumatismes articulaires. Des cellules provenant de différents tissus (moelle osseuse, membrane synoviale) ainsi que des chondrocytes dédifférenciés ont été ensemencés dans une structure tridimensionnelle poreuse à base de collagène I (éponge de collagène I) et soumis à un environnement chondrogénique afin de produire un implant fonctionnalisé. L'évaluation de la qualité de la synthèse matricielle in vitro dans l'implant a démontré le potentiel chondrogénique des différents contingents. La faisabilité d'un marquage de cellules souches mésenchymateuses (CSM) par des particules d'oxyde de fer superparamagnétiques (SPIO), diminuant le signal en IRM a été démontrée in vitro à 3 Teslas (3T) et 7 Teslas (7T). Des concentrations inférieures à 25 µg Fe/mL peuvent être utilisées sans endommager massivement la synthèse d'une matrice cartilagineuse par des CSM osté-médullaires. L'implantation des biomatériaux fonctionnalisés en site ectopique chez la souris nude a conduit à une dérive phénotypique ostéoïde de l'implant. En revanche, en site articulaire, chez le rat nude, les implants induisent la production d'un tissu de réparation comblant l'intégralité de la lésion et présentant des caractéristiques proche du cartilage sain environnant / Cartilaginous lesions mainly occur from a traumatic background and do not heal spontaneously. The chirurgical treatment and the cellular engineering techniques, usually used in clinic, produce perfectible results. Cartilage tissue engineering is the subject of many works in order to produce a repair tissue into the lesion. This repair tissue aims to have the same structural an functional characteristics as the native cartilage. In orthopaedic field, the early diagnostic of chondral lesions and the evaluation of the repair tissue are major issues. MRI is a high resolution and non invasive imaging technique that could be used to evaluate the architectural and biochemical structures of the cartilage by using dedicated sequences. Because of their chondrogenic capacities, stem cells provide a promising avenue to regenerate damaged cartilage in articular traumas. The stem cells from various origins (bone marrow, synovium) and the dedifferentiated chondrocytes were seeded into a porous 3D scaffold in collagen I (collagen I sponge). These cells were cultivated in chondrogenic conditions to produce a functionalized implant. The quality of the matrix synthesis was evaluated in vitro and demonstrated the chondrogenic potential of these various cell types. Superparamagnetic iron oxid particle (SPIO) labelling of the mesenchymal stem cells (MSC) is feasible in vitro at 3 Teslas (3T) and 7 Teslas (7T). A SPIO concentration lower than 25 ?g Fe/mL could be used without reducing the cartilaginous matrix synthesis by bone marrow MSC. The functionalized biomaterial implantation in an ectopic site in a nude mouse model showed an osseous split. However, in articular site in a nude rat model, the implants produced a repair tissue filling the totality of the lesion. This tissue seems to have similar characteristics of the surrounding healthy cartilage

Les états de veille sont composés d’états cérébraux distincts, corrélés avec différents comportements et caractérisés par des oscillations spécifiques observables dans le potentiel de champ local (Local Field Potential, LFP). Bien que les différents états cérébraux et leur signature dans le LFP aient été caractérisés, les mécanismes cellulaires sous-jacents restent à ce jour peu connus. Des changements des propriétés de neurones uniques seraient corrélés avec, et pourraient participer à la génération de ces changements d’états cérébraux. L’activité coordonnée et synchronisée de neurones facilite certains processus cognitifs tels que la mémoire. L’hippocampe joue un rôle essentiel dans les mémoires spatiale et épisodique, et dans l’hippocampe, CA3 est important pour la formation d’associations facilitant l’encodage rapide de la mémoire. De plus, les informations provenant du cortex entorhinal, du gyrus denté, et de CA3 même sont comparées et intégrées dans CA3 avant d’être transmises à CA1. Lors de périodes de repos, le LFP hippocampique présente une activité large et irrégulière (Large Irregular Activity, LIA), ponctuée par des oscillations plus rapides, les sharp-wave ripples, jouant un rôle dans la consolidation de la mémoire. Lors de périodes exploratoires, le LFP hippocampique oscille aux fréquences theta (6-12 Hz) et gamma (30-100 Hz). Les cellules pyramidales (CP) de CA3 jouent un rôle important dans chacun de ces états ; elles sont nécessaires pour les sharp wave lors de périodes de repos, et les oscillations gamma lors de comportements exploratoires. Dans le but d’étudier les modulations intracellulaires des CP de CA3, nous avons réalisé des enregistrements de patch-clamp en configuration cellule entière chez l’animal éveillé. Nous avons associé ces enregistrements avec des mesures du diamètre pupillaire et de la vitesse de locomotion de l’animal, ainsi qu’avec l’enregistrement de l’activité oscillatoire du LFP dans l’hippocampe. Nos résultats montrent que certaines CP de CA3 sont sensibles à la modulation intracellulaire lors de différents rythmes hippocampiques, et ont tendance à diminuer leur potentiel de membrane moyen, leur excitabilité, leur variance et leur décharge de potentiel d’action lors des oscillations theta par rapport aux périodes de LIA. De futures études permettront de déterminer si ces changements sont dus à des changements d’entrées synaptiques et/ou de neuromodulateurs. Ces modulations pourraient jouer un rôle dans l’émergence des rythmes oscillatoires du LFP, et permettre à CA3 de réaliser différentes fonctions mnésiques à différents moments. / Wakefulness is comprised of distinct brain states, correlated with different behaviors and characterized by specific oscillatory patterns in the local field potential (LFP). While much work has characterized different brain states and their LFP signatures, the underlying cellular mechanisms are less known. Changes in single cell properties are thought to correlate with and possibly result in these changes in brain state. Synchronized and coordinated activity among distributed neurons supports cognitive processes such as memory. The hippocampus is essential for spatial and episodic memory, and within the hippocampus, area CA3 is important for rapid encoding of one-trial memory. Additionally, CA3 is the site where information from the entorhinal cortex, dentate gyrus, and CA3 itself is compared and integrated before output to CA1. During quiet wakefulness, the hippocampal LFP displays large irregular activity (LIA) punctuated by sharp-wave ripples, which play a role in memory consolidation. During exploratory behaviors, hippocampal LFP oscillates at both theta and gamma frequencies. CA3 pyramidal cells (PCs) play an important role in each of these brain states; they are necessary for both sharp waves during quiet wakefulness and for gamma oscillations during exploratory behavior. We explored the changes that occur in the intracellular dynamics of CA3 PCs during changes in brain state, by using whole-cell patch-clamp recordings from CA3 PCs in awake head-fixed mice. We combined those recordings with measurements of pupil diameter, treadmill running speed and LFP recordings of oscillatory activity. Our findings show that some CA3 PCs are prone to intracellular modulation during brain rhythms, and tend to decrease their average membrane potential, excitability, variance and output firing during theta as compared to LIA. Future studies will demonstrate whether these effects are due to changes in synaptic and/or neuromodulatory inputs. This modulation at the single-cell level in CA3 could play a role in the emergence of oscillations, and underlie the ability of CA3 to perform different memory functions during different brain states.

Beeinflussung der Ex-vivo-Chemoresponse von Plattenepithelkarzinomen der Kopf-Hals-Region auf Cisplatin und Docetaxel durch 5-Fluorurazil

Introduction 52Mn (t½ =5.59 d, β+ = 29.6%, Eβmax = 0.58 MeV) has great potential as a long lived PET isotope for use in cell tracking studies, observation of immunologic response to disease states, or as an alternative to manganese-based MRI contrast agents. Its favorable max positron energy leads to superb imaging resolution, comparable to that of 18F.[1] Manganese is naturally taken up by cells via a multitude of pathways including the divalent metal transporter (DMT1), ZIP8, transferrin receptors (TfR), store-operated Ca2+ channels (SOC-Ca2+), and ionotropic glutamate receptor Ca2+ channels (GluR).[2] These natural transport mechanisms make 52Mn an attractive isotope for applications necessitating non-perturbative cell uptake. In particular, cell tracking is critical to the development and translation of stem cell therapies in regenerative medicine. Alternative-ly, 52Mn could be used in immunotherapy techniques such as adoptive cellular therapy (ACT) to evaluate the ability of external immune cells to reach their intended target. Material and Methods 52Mn was produced by natCr(p,x)52Mn using 16 MeV protons. The average thick target production yield was 0.23 mCi/µA-h with less than 0.25% co-production of 54Mn. Small amounts of 51Cr were observed in the target, but were absent from the radiochemically separated product. Target construction consisted of a water jet cooled chromium disc (3/4” diameter, 0.4” thick). Targets were purchased from Kamis Inc, and are 99.95% pure. Targets withstood beam currents of 30 µA with no visible aberration. Chromium targets were etched by concentrated HCl following bombardment. Mn2+ ions were extracted from 9M HCl to 0.8M trioctylamine in cyclohexane leaving the bulk chromium in the aqueous phase. After isolating the organic phase, 0.001M NH4OH was used to back-extract the Mn2+ ions to aqueous phase. This purification cycle was conducted a total of three times for each 52Mn production. Results and Conclusion For a starting bulk chromium mass of 456 ± 1 mg, a post-separation chromium mass of 5.35 ± 0.04 ng was measured by microwave plasma atomic emission spectrometry (MP-AES). This mass reduction corresponds to an average separation factor of 440 for a single purification cycle. Each purification cycle had a 52Mn recovery efficiency of 73 ± 7 % (n = 6), resulting in an overall separation efficiency of approximately 35 %. These efficiencies and separation factors agree reasonably well with the work conducted by Lahiri et. al.[3] Prior to use, the product was passed through a C-18 Sep-Pak to remove any residual organic phase. After four target irradiations and etchings, some pitting became noticeable on the target face. These have not yet compromised the o-ring seal with the target deplater, but it is possible that target replacement after every 6–9 52Mn productions will be necessary moving forward. Following the successful separation of 52Mn from chromium, in vitro experiments were conducted to demonstrate the uptake of 52Mn by human stem cells and mouse tumor cells. A linear uptake response was observed as a function of the amount of activity exposed to the cells for both cell models. These experiments have shown great promise for 52Mn as a long-lived PET isotope in cell tracking studies. Details will be presented.

<p>Predmet istraživanja ove doktorske disertacije<br />je osiguranje kvaliteta u radioterapiji. U okviru<br />rada na disertaciji je sprovedena klinička<br />verifikacija sistema za planiranje terapije u<br />vedim radioterapijskim centrima u Srbiji sa<br />ciljem obezbeđivanja optimalnog kori&scaron;denja<br />TPS i bezbedne radioterapije. Ova verifikacija<br />predstavlja bitan deo QA radioterapijskog<br />procesa, gde se nakon početne verifikacije<br />prikupljeni podaci koriste i za dalje periodične<br />provere u okviru osiguranja kvaliteta. Dalje<br />istraživanje je sprovedeno u cilju<br />implementacije in vivo dozimetrije u kliničku<br />praksu kao veoma bitne procedure za<br />osiguranje kvaliteta čitavog radioterapijskog<br />procesa, od preskripcije do isporuke doze. Na<br />taj način su određeni nivoi tolerancije/akcije za<br />različite grupe pacijenata i određene<br />radioterapijske tehnike. Takođe, procenjena je<br />tačnost radioterapijskog procesa na Institutu za<br />onkologiju Vojvodine u Sremskoj Kamenici.</p> / <p>The subject of this dissertation is quality<br />assurance (QA) in radiotherapy. As part of the<br />thesis was conducted clinical verification of<br />treatment planning systems (TPS) in major<br />radiotherapy centers in Serbia in order to<br />ensure the optimal usage of TPS and safe<br />radiotherapy. This TPS verification is an<br />important part of radiotherapy QA process,<br />where after an initial verification of the data<br />collected and then used for further periodic<br />checks as part of quality assurance. Further<br />research was conducted in order to implement<br />in vivo dosimetry in clinical practice as a very<br />important procedure for quality assurance of<br />the entire radiotherapy process, from<br />prescription to dose delivery. In this way,<br />tolerance/actions levels for different groups of<br />patients and specific radiation technique were<br />determined. Also, the accuracy of the<br />radiotherapy process at the Institute of<br />oncology of Vojvodina in Sremska Kamenica<br />was estimated.</p>

Très récemment, notre équipe a mis en évidence une réaction dite de ligation et coupure entre une famille de composés mésoioniques, les sydnone-imines, et les cyclooctynes. Cette réaction bioorthogonale agit selon un processus en deux étapes, une cycloaddition [3+2] suivie d’une rétro Diels-Alder, qui génère deux nouveaux composés : un produit de ligation et un produit de coupure. L’objectif de cette thèse consiste à améliorer la cinétique de réaction entre ces deux partenaires afin de pouvoir l’utiliser en tant qu’outil pour la libération contrôlée de principes actifs in vivo.Trois stratégies ont été développées lors de cette thèse afin d’optimiser ce système réactionnel : l’étude d’une relation structure/réactivité du partenaire sydnone-imine vis-à-vis de la réaction bioorthogonale; l’utilisation de micelles constituées d’amphiphiles possédant un motif sydnone-imine en tant que lien clivable entre la partie hydrophobe et la partie hydrophile de la molécule; et enfin, l’étude de l’utilisation de la reconnaissance moléculaire entre deux brins d’acides nucléiques peptidiques (ANP) complémentaires. / Recently, our laboratory has discovered a click and release reaction involving iminosydnones, a family of mesoionic compounds, and cyclooctynes. This bioorthogonal reaction occurs via a two step process: a [3+2] cycloaddition followed by a retro Diels-Alder, to give two new compounds: a click product and a release product.The main goal of this work is to improve the kinetic of the reaction between these two partners in order to use it as a powerful tool for in vivo drug delivery. Three strategies were developed during this thesis to optimize this reaction system: the study of a structure/reactivity relationship of the iminosydnone partner regarding the bioorthogonal reaction; the development of micelles built by amphiphiles containing an iminosydnone moiety as a cleavable linker, strategically located between the hydrophobic and the hydrophilic part of the compound and finally, the use of molecular recognition between two peptide nucleic acids (PNA) complementary strands.

Pancreatic ductal adenocarcinoma (PDAC) is a serious oncological disease, which ranks among cancers with the worst prognosis and a three-year life expectancy of 10%. Ex-vivo organoid cultures derived from cancer tissue are popular and reliable research models, which reflect the morphology and histology of the original tissue. Genetic background leading to development PDAC confer typical alterations in genes KRAS, TP53, SMAD4 a CDKN2A. The aim of this thesis was to determine mutations present in organoid cultures derived from human PDAC. We used online genomic databases to estimate specific mutations typical for PDAC. Based on that research we designed protocols for the detection of PDAC genetic alterations and optimized those methods using cultured cells. We applied the approach on primary ex- vivo organoids derived from surgical cancer specimens and detected mutations in KRAS, TP53, SMAD4, or deletion of exons in CDKN2A. Alternatively, we proposed improvements for the analysis of genetic background in PDAC. The data obtained within this thesis will be used for the stratification of metabolomics and biochemical analyses further in the project.