published_or_final_version / abstract / Physiology / Doctoral / Doctor of Philosophy

published_or_final_version / abstract / Physiology / Master / Master of Philosophy

Estrogens, such as the biologically active 17-b estradiol (E2) have many actions in the male and female brain. Not only does E2 regulate reproductive behavior in adults, it organizes and activates the brains of younger animals in a sex-specific manner. In addition, many human studies have shown E2 to provide protection against a variety of neurological disorders, including stoke. These studies have been controversial and depend largely on the type and timing of hormone replacement. Animal studies are much less controversial and clearly demonstrate a neuroprotective role for E2 following ischemic brain injury. Because much of E2 neuroprotection requires sex steroid hormone receptors, it is essential to understand expression patterns of these receptors. For the current studies, I evaluated estrogen receptor alpha (ER α), estrogen receptor beta (ER β) and androgen receptor (AR) expression in the cortex. It is known that these receptors change in expression at several times in an animal’s life span including during early postnatal development and following ischemic brain injury. Here I used an in vitro cortical explant model to further examine how these receptors change both during development and following injury. This in vitro model is important because it provides a way to investigate changes in receptor expression pattern in the cortex without input from other brain regions. In addition to characterizing this model, I also evaluated the contribution of E2 to changes in receptor expression and on cell death following injury in the explants. To begin to decipher mechanisms for E2 mediated neuroprotection, I added antagonist for each of the receptors before and after injury. In each these experiments, I also examined potential sex differences by separating the female and male brains before I cultured the explants. Overall, these experiments showed that cortical explants are a good in vitro model. Here we found that E2 was protective in female, but not male cortical explants following injury. However, the exact mechanisms of E2-mediated neuroprotection are still to be deciphered.

The analysis of hemodynamic parameters and functional reactivity of cerebral capillaries is still controversial. The detailed mapping of tissue oxygen levels on the scale of micrometers cannot be obtained by means of an experimental approach, necessitating the use of theoretical methods in this investigating field. To assess the hemodynamics and oxygen transport in the cortical capillary network, 2D and 3D generic models are constructed (non-tree like) using random voronoi tessellation in which each edge represents a capillary segment. The modelling presented here is based on morphometric parameters extracted from physiological data of the cortex in which the spatial distribution of the diameter of the capillary is based on a Modified Murray method. This method led to a proper link between the diameter topology and flow pattern such that the maximum efficiency for flowing blood is concluded in the model of cortical capillary network. The approach is capable of creating an appropriate generic, realistic model of a cerebral capillary network relating to each part of the brain cortex because its geometrical density is able to vary the capillary density. The pertinent hemodynamic parameters are obtained by numerical simulation based on effective blood viscosity as a function of hematocrit and microvessel diameter, ESL (endothelial surface layer) effect, phase separation and plasma skimming effects. Using a solution method of the Green's function, the model is numerically developed to provide different simulations of oxygen transport for varying perfusion and metabolism in a mesoscale model of the cortical capillary network, bridging smaller and larger scale phenomena. The analysis of hemodynamic parameters (blood flow rate, velocity and hematocrit) demonstrates a consistency with the experimental observation. The distribution pattern of wall shear stress (WSS) in the network model supports the physiological data which in turn represents a proper matching between the hemodynamics and morphometrics in the cerebral capillary network. The distributions of blood flow throughout the 2D and 3D models seem to confirm the hypothesis in which all capillaries in a cortical network are recruited at rest (normal condition). The predictions showed a heterogeneous distribution in the flow pathways (aspect of length and inflow) and the pertinent transit time of red blood cell (RBC) in the network model which is dependent on varying perfusion rates. The analyses of oxygen transport in the model has demonstrated that oxygen levels in the tissue are sensitively dependent on the microvascular architecture and flow distribution. Unlike the homogeneous compartmental models, the mesoscale model presented in this study led to a prediction of tissue PO2 gradients throughout the tissue and a spatial distribution of tissue PO2 on the micron-scale for varying perfusion and metabolism. The predicted nonlinear changes in the oxygen extraction fraction (OEF) of the model as a function of the perfusion rate provide a basis for the quantitative interpretation of functional magnetic resonance imaging (fMRI) studies in terms of changes in local perfusion. The model is capable of predicting the brain oxygen metabolism under both normal and disease states, particularly, local hypoxia and local ischemia caused by misery perfusion syndrome. The hypoxic states for different perfusion rates and oxygen consumption rates demonstrated that in a significant decrease in brain perfusion (as can occur in stroke), the tissue hypoxia can be avoided by a moderate reduction in oxygen consumption rate. Increasing oxygen consumption rates (a realization of spatiotemporal stimulation of neural tissue) with respect to maintaining the tissue PO2 in the model led to a predicted flow-metabolism coupling in the model which supports the experimental studies of somatosensory and visual stimulation in humans by positron emission tomography (PET) and functional MRI (magnetic resonance imaging). A disproportionately large increase in blood supply is required for a small increase in the metabolic utilization (oxygen consumption rate) which in turn, is strongly dependent on the resting OEF such that the magnitude of the blood flow increases in the higher resting OEF.

Müllerzellen - die dominierenden Gliazellen der Netzhaut - üben vielfältige Funktionen und Aufgaben im retinalen „Zellnetzwerk“ aus. Ihre wohl wichtigste Funktion ist die Aufrechterhaltung der Volumen- und Ionenhomöostase der Retina. Forschungsergebnisse der letzten Jahre deuten darauf hin, dass pathologische Veränderungen in der Volumenregulation von Müllerzellen bei vielen Erkrankungen der Netzhaut eine bedeutende Rolle spielen. Diese Promotionsarbeit befasst sich mit morphologischen Veränderungen in der Netzhaut von Wildtypmäusen sowie von drei Mausstämmen mit genetischen Veränderungen (Überexpression von dnSNARE, P2Y1-defizient, IP3-R2-defizient) unter pathologischen Bedingungen. In den experimentellen Untersuchungen fand das in Vorarbeiten bereits etablierte Ischämie-Reperfusions-Modell Anwendung. Es ist bekannt, dass Müllerzellen nach retinaler Ischämie Veränderungen durchmachen, die als reaktive Gliose bezeichnet werden. Reaktive Müllerzellen sind nicht mehr in der Lage, bestimmte Funktionen zu erfüllen, die sie in der gesunden Netzhaut haben, dazu gehört eine Einschränkung der Fähigkeit zur Volumenregulation. Ziel der Arbeit war es erstens, eine Charakterisierung der Mausnetzhäute hinsichtlich der zellulären Zusammensetzung der Retina vorzunehmen und zweitens zu untersuchen, inwiefern sich eine Störung der Müllerzellfunktion – wie sie bei allen drei genetisch veränderten Mauslinien vorliegt – auf das Überleben der Nervenzellen unter extremen Stressbedingungen wie z.B. einer Ischämie auswirkt. Denn gerade unter den mit einer Ischämie einhergehenden Bedingungen sollte die Funktion der Müllerzellen zum Erhalt der retinalen Ionen- und Volumenhomöostase von entscheidender Bedeutung sein.

Stroke is amongthe leading causes of death worldwide and requires immediate care to prevent death or permanent disability. Unfortunately, the current stateof stroke diagnosis is limited to fixed neuroimaging facilities that do not allow rapid stroke diagnosis. Hence, a portable stroke-diagnosis device could assist in the pre-hospital triage of patients. Moreover, such a portable device could also be useful for bedside stroke monitoring of patients in the Neuro Intensive Care Unit (Neuro-ICU) to avoid unnecessary neuroimaging. Recent animal studies and numerical simulations have supported the idea of implementing Electrical Bioimpedance (EBI) in a portable device, allowing non-invasive assessment as a useful tool for the pre-hospital triage of stroke and Traumatic Brain Injury (TBI) patients. Unfortunately, these studies have not reported any results from human subjects in the acute phase of the stroke. The numerical simulations are also based on simple models that sometimes lack necessary details. Finite Element Method (FEM) simulations on a realistic numerical head model as well as experimental Bioimpedance Spectroscopy (BIS) measurements from human subjectsin the acute, subacute and chronic phasesof stroke were used to answer the following research questions: (i) Does stroke modify the electrical properties of brain tissue in a way that is detectable via EBI? (ii) Would it be possible to detect stroke via EBI as early as in the acute and sub-acute phase?(iii) Is EBI sensitive enough to monitor changes caused by stroke pathogenesis? Using FEM to simulate electrical current injection on the head and study the resulting distribution of electrical potential on the scalp, it was shown that Intra-Cranial Hemorrhage (ICH) affects the quasi-symmetric scalp potential distribution,creating larger left-right potential asymmetry when compared to the healthy head model. Proof-of-concept FEM simulations were also tested in a small cohort of 6ICH patients and 10 healthy controls, showing that the left-right potential difference in the patients is significantly (p&lt;0.05) larger than in the controls. Using bioimpedance measurements in the acute,  subacute and chronic phasesof stroke and examining simple features, it was also shown that the head EBI measurements of patients suffering stroke are different from controls, enabling the discrimination of healthy controls and stroke patients at any stage of the stroke. The absolute change in test-retest resistance measurements of the control group (~5.33%) was also found to be significantly (p&lt;0.05) smaller than the EBI measurements of patients obtained 24 hours and 72 hours after stroke onset (20.44%). These results suggested that scalp EBI is sensitive to stroke pathogenesis changesand thususeful for bedside monitoring in the Neuro-ICU. These results suggested that EBI is a potentially useful tool for stroke diagnosis and monitoring. Finally, the initial observations based on a small number of patients, addressing the proposed future work of this thesis, suggested that the average head resistance amplitude of hemorrhagic stroke patients is smaller than in healthy controls, while ischemic stroke patients show a larger resistance amplitude than the controls. Scalp potential asymmetry analysis of healthy, hemorrhagic and ischemic stroke subjects also suggests that these three groups can be separated. However, these results are based on a small number of patients and need to be validated using a larger cohort. Initial observations also showed that the resistance of the EBI measurements of controls is robust between test and retest measurements, showing no significant difference (less than 2% and p&gt;0.05). Subject position during EBI recording (supine or sitting) did not seem to affect the resistance of the EBI measurements (p&gt;0.05). However, age, sex and head size showed significant effects on the resistance measurements. These initial observations are encouraging for further research on EBI for cerebral monitoring and stroke diagnosis. However, at this stage, considering the uncertainties in stroke type differentiation, EBI cannot replace CT but has the potential to be used as a consultation tool. / <p>QC 20151109</p>

L’effet neuroprotecteur des agents anesthésiques est maintenant établi depuis plus de 30ans. Cependant, les mécanismes impliqués restent imparfaitement élucidés. A cours de cetravail nous avons étudié deux volets de leur protection :La première partie porte sur l’implication de la transmission glutaminergique dans leurseffets neuroprotecteurs directs, c'est-à-dire lorsqu’ils sont utilisés au cours d’une l’ischémiecérébrale. Nous avons étudié deux agents anesthésiques de classe distincte: le propofol et lesévoflurane sur des co-cultures de neurones et d’astrocytes corticaux de rat soumis à uneprivation en oxygène et en glucose transitoire (POG). Nous avons ainsi observé que laprésence de propofol ou de sévoflurane pendant la POG prévenait la mort neuronale,l’accumulation de glutamate extracellulaire et la diminution de la capture du glutamateinduites par l’ischémie. Nous avons également montré que cette restauration partielle del’activité de capture du glutamate impliquait des transporteurs distincts entre le propofol et lesévoflurane.La deuxième partie a porté sur la neuroprotection obtenue par un préconditionnement (PC)pharmacologique liée à l’utilisation avant l’ischémie d’agents anesthésique volatils. Nousavons tout d’abord confirmé in vitro l’existence d’une telle protection avec le sévoflurane etmis en évidence le rôle primordial, au cours de cette protection, des canaux potassiques ATPdépendantset des radicaux libres. Puis sur un modèle in vivo d’occlusion transitoire del’artère cérébrale moyenne, le PC par sévoflurane a induit une neuroprotection supérieure àcelle obtenue avec l’utilisation de sévoflurane uniquement pendant l’ischémie. Cependantcette protection est transitoire et ne perdure pas dans le temps. Le sévoflurane ne fait queretarder, sans l’empêcher, la mort neuronale liée à l’apoptose. Il offre cependant une fenêtrethérapeutique intéressante. / The neuroprotective effect of anesthetic agents is now established for over 30 years.However, the mechanisms involved remains to be fully explored. This work focuses on twoneuroprotective strategies:The first part is on the involvement of glutamatergic transmission in their directneuroprotective effects. We studied the effect of two separate classes of anesthetic agents:propofol and sevoflurane on co-cultures of cortical neurons and astrocytes from rats subjectedto a transient oxygen and glucose deprivation (OGD) mimicking cerebral ischemia. Weobserved that the presence of propofol or sevoflurane during OGD prevented neuronal death,accumulation of extracellular glutamate and decreased uptake of glutamate induced byischemia. We also demonstrated that this partial restoration of glutamate uptake mediated bypropofol and sevoflurane involved differential transporters.The second part deals with the neuroprotection achieved by pharmacologicalpreconditioning with regard to the use of volatile anesthetic agents before ischemia. We firstconfirmed in vitro the existence of such protection with sevoflurane. We also highlighted therole of ATP-dependent potassium channels and reactive oxygen species in sevofluranepreconditioning-induced neuroprotection. Then, using an in vivo model of focal transientischemia, we showed that sevoflurane preconditioning significantly improved functionaloutcome and reduced infarct volume. However, this protection was transient. Sevofluraneonly delayed the neuronal death associated with apoptosis but offers an interesting therapeuticwindow.

L’artériopathie oblitérante des membres inférieurs conduit progressivement au rétrécissement des artères qui assurent la vascularisation des membres inférieurs. Il en résulte une ischémie des tissus irrigués par ces artères et à terme, en cas d’occlusion artérielle, une ischémie critique conduisant à une amputation du membre. De nouvelles stratégies de thérapie cellulaire basées sur l’injection de cellules progénitrices capables d’induire une angiogenèse thérapeutique se sont développées ces dernières années. Cependant le faible taux d’incorporation des cellules transplantées dans le tissu ischémique limite le développement de ces nouvelles approches. Dans ce contexte, mon travail de thèse a consisté à étudier deux approches thérapeutiques distinctes pouvant améliorer les thérapies pro-angiogènes. La première étude porte sur le fucoïdane, polysaccharide sulfaté d’origine naturelle, antithrombotique favorisant la formation de nouveaux vaisseaux sanguins dans le modèle murin d’ischémie du membre inférieur. Nous avons montré qu’il induisait le recrutement de monocytes en améliorant leur adhésion à l’endothélium activé en condition dynamique, ainsi que leur adhésion à la matrice et leur transmigration in vitro. Cette action est médiée par l’activation des voies de signalisation ERK et p38 et la sécrétion de métalloprotéinases 9. De plus, le fucoïdane entraine une polarisation des macrophages de type pro-angiogènes in vitro. Il augmente leur recrutement dans le muscle ischémié permettant de réduire ainsi la phase inflammatoire post-ischémique, la nécrose et de favoriser le processus de cicatrisation. La deuxième étude porte sur le rôle des neuropilines (NRP), co-récepteurs du VEGF (facteur de croissance pro-angiogène) exprimés à la surface des ECFC, afin de comprendre leur implication au niveau moléculaire dans le mécanisme d’action pro-angiogène des ECFCs et optimiser l’efficacité de la thérapie cellulaire. A l’aide du système d’extinction par ARN interférent, nous avons découvert un mécanisme de compensation jamais étudié auparavant puisque l’inhibition de NRP1 entraine une augmentation de celle de NRP2 et une diminution de la prolifération et de la migration des ECFCs. En revanche, l’extinction de NRP2 n’a pas d’effet sur l’expression de NRP1, mais induit une augmentation de l’adhésion des ECFCs à la matrice extracellulaire associée à une augmentation de la phosphorylation des ERK1/2. / Vascular diseases such as Peripheral Arterial Disease may evolve towards critical limb ischemia, requiring revascularization or amputation. New strategies of cell therapy based on the injection of progenitor cells able to induce therapeutic angiogenesis have been recently developed. However the low level of incorporation of transplanted cells in the ischemic tissue limits the development of these new approaches. In this context, my thesis was to study two different therapeutic approaches that can improve the pro-angiogenic therapies. The first focuses on fucoidan, a marine sulphated polysaccharide with antithrombotic properties. We have previously shown promising angiogenic properties of fucoidan in vivo. We found that fucoidan increases monocyte recruitment and improves their adhesion to activated endothelium under dynamic condition. It also increases in vitro transmigration. This action is mediated by the activation of ERK and p38 signaling pathways and metalloproteinase 9 secretion. Further, fucoidan can lead macrophage polarization to the pro-angiogenic type in vitro. It increases macrophage recruitment in ischemic muscle that could reduce post-ischemic inflammatory phase and necrosis leading to healing process. The second study focuses on the role of neuropilin (NRP), co-receptors of VEGF (pro-angiogenic growth factor). The aim of this part was to understand their involvement in the pro-angiogenic properties of ECFC at molecular level and optimize the efficiency of cell therapy. Using siRNA, we found a compensation mechanism never studied before. The NRP1 inhibition leads to an increase in the NRP2 expression and a decrease of ECFC proliferation and migration. The NRP2 silencing has no impact on NRP1, but induces ECFC adhesion to the extracellular matrix correlated with an increased level of ERK1 / 2 phosphorylation.

Phosphodiesterase-5 inhibitor, sildenafil (SIL) protects against myocardial ischemia/reperfusion (I-R) injury. We hypothesized that SIL-induced protection may be mediated through activation of SIRT1, an enzyme which deacetylates proteins involved in cellular stress response. Adult male ICR mice were treated with SIL (0.7mg/kg ip), Resveratrol (RSV) (5mg/kg ip) (positive control), or saline (0.2 ml ip). The hearts were harvested 24 h later and homogenized for SIRT1 activity analysis. Both SIL and RSV increased cardiac SIRT1 activity (P<0.001) as compared to Saline. Adult mouse ventricular cardiomyocytes pre-treated with either SIL or RSV (1µM) in vitro also upregulated SIRT1 activity (P<0.05). SIL also reduced infarct size following 30 min. ischemia and 24 h reperfusion in vivo. Sirtinol (5mg/kg in 10% DMSO, ip), a SIRT1 inhibitor abolished the infarct-limiting effect of SIL and RSV (P<0.001). In conclusion, activation of SIRT1 by SIL plays an essential role in cardioprotection against I-R injury.

Administration of small interfering RNA (siRNA) specific for prolyl-4 hydroxylase-2 (PHD2) results in PHD2 inhibition, Hypoxia Inducible Factor-I (HIF-1) activation, and cardioprotection versus Ischemia Reperfusion (IR). This study observes the effects of siRNA-mediated PHD2 inhibition on the distribution of cardioprotective proteins by immunofluorescence and basic histology. Fifteen mice were divided into 5 groups: PHD2 Control, Non-Targeting scramble (NTS) Control, IR Control, PHD2 IR, and NTS IR. Histologically, tissue damage was reduced dramatically in the PHD2 IR group compared to the NTS IR and IR control groups. From confocal images, total fluorescent pixels and intensities were quantified. The PHD2 IR group yielded the highest pixel quantity and intensity for HIF-1 and possessed increased pixels and intensity for Inducible Nitric Oxide Synthase, another cardioprotective protein. These results further demonstrate the cardioprotection and HIF-1 activation conferred by PHD2 siRNA administration and supports its role as a potential therapy to alleviate cardiac IR injury.