<div>Pancreatic cancer is the present third leading cause of all cancer-associated deaths with a under 9% 5-year survival rate. Aggressive tumor progression and lack of early detection technique lead to the fact that most patients are diagnosed at terminal stage - pancreatic ductal adenocarcinoma (PDAC). Despite that numerous therapeutic approaches have been introduced, most options cannot advance to or fail at the clinical trials. It has been suggested that previous failure is due to insufficient understanding of PDAC tumor microenvironment (TME). Human PDAC is composed of severely fibrotic tissue (i.e., desmoplasia) that harbors a variety of malignant cells (e.g., pancreatic stellate cells, cancer-associated fibroblasts, macrophages, etc.), excessive extracellular matrices (ECM), as well as abnormal expression of growth factors, cytokines, and chemokines. Multiple cell-cell and cell-ECM interactions jointly result in a stiffened, hypoxic, and fluid pressure-elevated PDAC tissue. The resulting pancreatic TME not only physically hinders penetration of therapeutics, but also dynamically interacts with the residing cells, regulating their behaviors.</div><div><br></div><div>Increasing tumor tissue stiffness in PDAC is not only a passive outcome from desmoplasia, but an active environmental factor that promotes tumor survival, growth, and invasion. However, traditional in vitro cell culture systems such as two-dimensional (2D) culture plate and animal models are not ideal for mechanistic understanding of specific cell-matrix interactions. Therefore, dynamic hydrogels have been introduced as a category of advanced biomaterials that exhibit biomimetic, adaptable, and modularly tunable physiochemical property. Dynamic hydrogels can be precisely engineered to recapitulate a variety of aspects in TME, from which to investigate the role of dynamic tumor-stroma interaction in PDAC progression. The goal of this dissertation was to exploit synthetic polymers (i.e., poly(ethylene glycol) (PEG)) or natural ECM (i.e., gelatin and hyaluronic acid (HA)) as precursors to prepare the dynamic cancer-cell laden gels. The design utilized the orthogonal thiol-norbornene photopolymerization to prepare the primary homogenous xxvi</div><div><br></div><div>gel network. Next, through further functionalizing gel precursors with phenolic derivatives, enzymatic reaction (i.e., tyrosinase) or flavin mononucleotide (FMN)-mediated photochemistry could be harnessed to manipulate the dynamic changes of substrate mechanics. Experimentally, a computational model and the associated validation were presented to investigate the process of gel stiffening. Finally, these techniques were integrated to prepare cell-laden gels with spatial-temporally tunable properties that were instrumental in exploring the synergistic effects of dynamical matrix stiffening and presence of HA in promoting epithelial-mesenchymal transition (EMT) in PDAC cancer and stromal cells.</div>

L'ingénierie tissulaire osseuse est un domaine multidisciplinaire qui vise à produire des substituts tissulaires pour la médecine régénératrice. Ce travail visait à produire des substituts osseux structurés tridimensionnels grâce à un système d'impression d'éléments biologiques par laser développé au laboratoire Inserm U577 (Projet LASIT: LASer pour L'Ingénierie Tissulaire). Les étapes de la thèse ont consisté tout d'abord à préparer des matériaux adaptés à l'impression par laser et à les caractériser au niveau physico-chimique et biologique. Il s'agissait d'hydroxyapatite nano-cristalline, de cellules humaines et d'hydrogels (alginate, matrigel). Ensuite des impressions structurées combinant ces matériaux ont été réalisées en 3 dimensions avant d'être implantés in vivo chez la souris. Les résultats ont montré que l'impression par laser d'éléments biologiques est une méthode efficace pour organiser des matériaux tridimensionnels à plusieurs composants pour l'ingénierie tissulaire. / Bone Tissue Engineering is a multidisciplinary field which aims to produce artificial tissues for regenerative medicine. The purpose of this work was to produce three-dimensional bone substitute using a laser-assisted bioprinting (LAB) workstation developped in the laboratory INSERM U577 (TEAL Project: Tissue Engineering Assisted by Laser). The first step of the work consisted in the synthesis of specific materials for LAB and in the characterization of their biological and physico-chemical properties. We have prepared a nano-hydroxyapatite bioink, human cells bioinks and hydrogels bioinks. Then, three-dimensional materials have been prepared using LAB and have been implanted in vivo in mice. The results have shown that Laser Assisted Bioprinting is an efficient method fo patterning 3-D materials using biolgical elements.

Lesões cartilagíneas apresentam grande dificuldade em cicatrizar e algumas técnicas cirúrgicas tem sido desenvolvidas, mas seus resultados são falhos ao longo do tempo. Desta forma, a aplicação da engenharia tecidual para a reconstrução de lesões de cartilagem tem despertado interesse crescente. A correta combinação entre as fontes celulares, matrizes de suporte e fatores de crescimento podem melhorar a qualidade do tecido reparado. Neste caso, as fontes celulares mais promissoras são as células-tronco, devido sua alta taxa de proliferação e capacidade de se diferenciar em diversos tipos celulares. As matrizes de suporte tem papel fundamental na adesão, proliferação e diferenciação celular, sendo que diversos tipos de biomateriais tem sido estudados. A quitosana é um polímero natural, biocompatível e biodegradável, que tem se mostrado interessante na utilização na engenharia tecidual. O presente estudo objetivou avaliar o hidrogel de Quitosana/Glicerol Fosfato como matriz de suporte para células-tronco de equinos. O hidrogel foi preparado adicionando-se 100 &micro;L &beta;-glicerol fosfato a 900 &micro;L de quitosana diluída em meio ácido. As células-tronco de gordura, saco vitelínico e polpa dentária foram cultivadas no hidrogel de Quitosana/Glicerol Fosfato, suspendendo-se 5x105 células em 350 &micro;L de hidrogel, ainda em estado líquido, e este material foi mantido por duas horas a 37°C, em atmosfera úmida com 5% CO2 e em seguida meio de cultivo celular foi adicionado. Foi realizada análise histológica deste material através das colorações de Hematoxilina/Eosina, Picrossírius e Tricromo de Masson. O hidrogel de Quitosana/Glicerol Fosfato apresentou comportamento bastante irregular e estrutura frágil. As células sedimentadas no hidrogel apresentaram morfologia arredondada e não houve deposição de colágeno. Observou-se redução na quantidade celular ao longo do tempo. As células cultivadas apresentaram morfologia fibroblastóide e aderência em placa de cultivo. Estas características, apesar de não exclusivas, são associadas às características de células-tronco mesenquimais. Quando cultivadas no hidrogel as células assumiram formato redondo, que alguns autores sugerem estar relacionado a uma diferenciação condrogênica. Porém, esta parece ser uma característica de células cultivadas em hidrogel, estando relacionadas à maciez e a falta adesão entre célula e matriz. Este fato pode explicar a diminuição da quantidade de células presentes no meio ao longo do experimento. Apesar de promissor o uso deste biomaterial em engenharia tecidual de cartilagem necessita de algumas melhorias, particularmente em relação à homogeneidade, força mecânica e aderência celular. Este parece ser o primeiro relato do cultivo de células-tronco mesenquimais originadas da polpa dentária na espécie equina. / Cartilage injuries have great difficulty healing and some surgical techniques have been developed, however, results fail over time. Thus, the application of tissue engineering in cartilage injuries repair has gained interest. The correct combination of cell source, scaffolds, and growth factors may improve the quality of the repaired tissue. In this case, the most promising cell sources are stem cells because of their high proliferation rate and ability to be transformed into several cell types. Scaffolds have a fundamental role in cell adhesion, proliferation, and differentiation, thus, several biomaterials have been studied. Chitosan is a natural polymer, biocompatible and biodegradable, suitable for use in tissue engineering. This study aimed at evaluating Chitosan/Glycerophosphate hydrogel as scaffold for equine stem cells. The hydrogel was prepared by adding 100 &micro;L &beta;-Glycerophosphate to 900 &micro;L of chitosan diluted in acid medium. Stem cells from fat, yolk sac, and dental pulp were cultivated in Chitosan/Glycerophosphate hydrogel, suspending 5x105 cells in 350 &micro;L of hydrogel, still in liquid form; this material was kept for two hours at 37°C in humid atmosphere with 5% CO2 and a cell cultivation medium was subsequently added. Histological analysis of this material was realized through Hematoxylin/Eosin, Picrosirius, and Masson\'s Trichrome stains. The Chitosan/Glycerophosphate hydrogel presented substantial irregular behavior and fragile structure. The cells sedimented in hydrogel presented rounded morphology and no collagen deposit. A reduction in cell quantity over time was observed. Cells cultivated in scaffold presented fibroblastoid morphology and adherance to scaffold. These characteristics, despite not being exclusive, are associated with characteristics of mesenchymal stem cells. When cultivated in hydrogel, cells assumed a round form, which some authors indicate to be related to chondrogenic differentiation. However, this seems to be a characteristic of cells cultivated in hydrogel, thus, being associated with softeness and lack of cell-matrix adhesion. This may explain the reduced quantity of cells in the medium throughout the experiment. Despite the promissing use of this biomaterial in cartilage tissue engineering, improvements related to homogeinity, mechanical strengh, and cell adhesion must be studied. This seems to be the first report on the cultivation of mesenchymal stem cells originating from equine dental pulp.

As fissuras lábio palatinas (FLP) são as malformações faciais mais comuns presentes ao nascimento e correspondem a cerca de 25% de todos os defeitos congênitos. Sua incidência é alta, de aproximadamente 1/700 nascimentos e varia entre os diferentes grupos étnicos. Elas representam um problema relevante de saúde, pois os portadores necessitam para sua reabilitação estética e funcional de uma equipe multidisciplinar, do nascimento e geralmente, até a vida adulta, o que exige um alto custo econômico. A etiologia das FLP não sindrômicas ainda é controversa na literatura, apesar de existirem esforços mundiais para identificar os fatores que causam esta patologia. Nosso trabalho consistiu do estabelecimento e caracterização de 23 linhagens de células tronco adultas (CTA) obtidas de polpa de dentes decíduos (11 indivíduos, sendo 5 controles, 5 portadores de FLP não sindrômica e 1 portador da síndrome de Van der Woude), do músculo orbicular do lábio (5 indivíduos portadores de FLP), do osso medular (2 indivíduos portadores de FLP) e de gordura de lipoaspiração (5 controles), com o objetivo de utilizá-las para ajudar a elucidar os mecanismos etiológicos de origem genética das fissuras lábio palatinas não sindrômicas; bem como para utilizá-las para bioengenharia dos tecidos alterados nesta patologia, especialmente o tecido ósseo. Demonstramos que os protocolos que utilizamos são facilmente reproduzidos e que as diferentes linhagens CTA obtidas tem plasticidade para diferenciação osteogênica “in vitro", e que as CTA obtidas de polpa de dente e de músculo orbicular do lábio têm plasticidade para se diferenciar “in vitro" em tecido ósseo, muscular, condrogênico e adipogênico. Além disso, em nossos experimentos, demonstramos que estas CTA tem capacidade de regenerar grandes defeitos ósseos em ratos Wistar não imunossuprimidos, nos quais não observamos clinicamente nenhum tipo de rejeição destas células humanas. Utilizamos uma metodologia inédita para estudar a etiopatogenia das FLP, que consistiu da obtenção de RNA das CTA de indivíduos portadores de FLP e de controles para posterior hibridação em lâminas de “microarray" e comparação do perfil de expressão gênica das mesmas. Observamos neste estudo preliminar que 367 genes estão diferencialmente expressos nas amostras, sendo todos mais expressos nas amostras dos portadores de FLP e sugerimos que esta é uma estratégia promissora para estudo da etiopatogenia das FLP. Concluimos que a realização de estudos das CTA de afetados por FLP e de controles são importantes não só para utilização das mesmas em bioengenharia de tecidos, mas também para estudo da etiopatogenia das fissuras. / Clefts involving the lip and palate (CLP) or palate only (CP) represent the most frequent facial malformation during birth and correspond to approximately 25% of all congenital defects. The incidence of this problem is high; corresponding to approximately 1:700 births, but is different among the ethnic groups. Clefts represent a major health problem due to the requirement of a mutidisciplinary team to deal with the esthetical and funcional reabilitation needs of these patients from birth to, in some cases, adult life, resulting in a high treatment cost. There still many controversies about the ethiology of non-syndomic CLP, even though there are researchers all over the world trying to identify the factors causing this pathology. Our work consisted to establish and characterize 23 adult stem cells (ASC) linages obtained from falling teeth dental pulp (5 controls, 5 non-syndomic CLP patients and 1 Van der Woude syndrome patient), orbicular oris muscle (5 non-syndomic CLP patients), bone marrow (2 non-syndomic CLP patients) and adipose tissue (5 controls). The objectives were to use these lineages to help elucidate the genetic mechanisms involved in the development of non-syndomic CLP, as well as, to bioengineer tissues affected by this pathology, mainly bone tissue. The protocols we used are easily reproductible and we demonstrate that our different ASC linages have in vitro plasticity to osteogenic differentiation, as well as, the lineages obtained from dental pulp and orbicular oris muscle have osteogenic, muscular, condrogenic and adipogenic plasticity. Further more our experiments demonstrate that these ASC lineages have the capacity to regenerate major bone defects in non-immunocompromised Wistar rats, which did not develop any kind of rejection against these human cells. We have used a new methodology to study the molecular mechanisms involved in CLP, which consisted in comparing the mRNA expression profile of ASC from non-syndomic CLP patients and controls, using microarrays. We observed that 367 genes were differently expressed between the two groups and all these genes have a higher expression in samples from nonsyndomic CLP patients, thus suggesting that this is a promising strategy to study the molecular mechanisms involved in CLP. In conclusion, studies involving ASC from non-syndomic CLP patients and controls are important not only to tissue bioengineering, but also to elucidate the molecular mechanisms involved in CLP.

The extracellular matrix (ECM) is secreted by the host tissue and is an important key for mechanisms of cell responses. The main properties of the ECM materials include biodegradability, biocompatibility, and nanostructured in a 3D fibre network. In addition, ECM is composed of important molecules like growth factors, glycosaminoglycans (GAGs), collagens, fibronectin, and lamin, while final composition depends on the native tissue. We have selected for this study ECMs from cortical bone (B-ECM) and pericardium (P-ECM) tissue. These ECMs were digested by collagenase, pepsin and trypsin. Each of these digested ECMs was used to produce PLLA-ECM based electrospun scaffolds by two different methodologies (1) non-crosslinked (NCLK) hybrid electrospun scaffolds composed of PLLA and digested ECMs and (2) PLLA-collagen electrospun scaffolds crosslinked with digested ECMs (CLK scaffolds). This research proposes the characterization of the digestion promoted by collagenase, pepsin and trypsin on the ECMs, followed by the evaluation of the potential of the digested ECMs and of the PLLA-ECM scaffolds for bone regeneration. The proteinaceous mixture, produced from the ECM digestion, had compositions, which were dependent on the type of ECM, and on the enzymatic treatment, as shown by protein quantification, GAGs quantification, TGA, SDS-page and TPEF-SHG. All the results point to an extensive digestion caused by collagenase and pepsin and a milder digestion caused by trypsin. The digested ECMs were incorporated into nanofibrous scaffolds, and the products were characterized by SEM, TGA, DSC and TPEF-SHG. The porous nanofibrous mesh from non-crosslinked scaffolds exhibited fibres without beads and a uniform diameter. However, the crosslinked scaffolds presented non-organized agglomerates around the fibres making a less porous surface. TGA and DSC suggest the incorporation of the ECMs on the scaffolds. However, the distribution of the protein on the polymer was mostly dependent on the incorporation method, as showed by TPEF-SHG. To access the biomaterial ability for bone regeneration, bone marrow mesenchymal stem cells (BMMSCs) were cultured on the scaffolds over 21 days. Osteogenic markers such as ALP activity, mineral nodule formation by ARS staining, col1a2 immunostaining, and gene expression were analysed to access how the materials could induce BMMSCs osteodifferentiation. Comparing NCLK to CLK scaffolds the key factor for osteogenesis is the release of soluble factors, showing NCLK scaffolds with a higher ability to induce mineralization than CLK scaffolds. However, when comparing the effect of the enzymatic digestion on the mineralization of the scaffolds over the days, it is possible to establish that the effect of the enzymatic treatment is also related to the type of ECM. Despite all those differences, some PLLA-ECM scaffolds exhibited potential to induce earlier mineralization, observed by the analysis of bglap, runX2, Osx, sparc and col1a2 genes as osteogenic markers. / A matriz extracelular (ECM) é secretada pela células no tecido nativo e reúne propriedades chave para respostas celulares. Entre suas principais propriedades destacam-se: biodegradabilidade, biocompatibilidade e nanoestruturada tridimensionalmente. Além disso, é rica em sinalizadores celulares tais como: fatores de crescimento, glicosaminaglicanas (GAGs), colágeno, fibronectina e laminina, no entanto sua composição depende do tecido na qual se encontra. Para este estudo, foram selecionadas ECMs provenientes de osso cortical e de pericárdio. Estas ECMs foram digeridas por colagenase, pepsina e tripsina. Cada um dos produtos de digestão foi utlizado para a produção de suportes eletrofiados de PLLA-ECM, utilizando-se dois diferentes métodos de incorporação, (1) Suportes eletrofiados híbridos de PLLA-ECM obtidos a partir da eletrofiação da co-solução em 1,1,1,3,3,3-hexafluor-2-propanol, e (2) imobilização das ECM digeridas sobre suportes eletrofiados de PLLA-colágeno. O presente trabalho propõe-se a caracterizar as ECMs digeridas e a avaliar o potencial dos suportes eletrofiados de PLLA-ECM para a regeneração óssea. A mistura proteinácea obtida a partir da digestão das ECMs, mostrou que a sua composição é dependentes do tipo de ECM e da digestão enzimática, resultado este confirmado através da quantificação de proteínas, quantificação de glicosaminoglicanas, TGA, SDS-page e TPEF-SHG. A partir destes, foi observada que a colagenase é a enzima que promove a maior degradação das ECMs, enquanto que a tripsina promove uma degradação em menor escala. As matrizes digeridas foram incorporadas no material nanoestruturado, estes foram caraterizados por SEM, TGA, DSC e TPEF-SHG. Observou-se que a malha eletrofiada a partir da co-solução de PLLA-ECM exibiu a formação de fibras de diâmetro uniforme, enquanto que os suportes imobilizados apresentaram a formação de aglomerados sólidos ao redor das fibras, originando uma malha menos porosa. As análises de TGA e DSC confirmaram a incoporação das ECMs nas malhas eletrofiadas, e através da técnica de TPEF-SHG observou-se a distribuição das proteinas no polímero. O potencial dos materiais para a regeneração óssea foi avaliado através da cultura de células tronco mesenquimais de medula óssea sobre os suportes eletrofiados durante 21 dias, e em seguida, medidas de ALP, quantificação de coloração com vermelho de alizarina, imunofluorescência com anticorpo col1a2, e expressão de gênica foram analisadas para a avaliação de como os materiais eletrofiados de PLLA-ECM induzem a osteodiferenciação. Comparando-se materiais produzidos por co-solução e os materiais imobilizados foi possível observar que a resposta osteogênica é maior nos materiais híbridos devido a liberação de fatores solúveis dos suportes eletrofiados. No entanto, comparando-se o efeito da digestão enzimática na capacidade de mineralização dos suportes , é possível observar que o efeito da digestão enzimática é dependente do tipo de ECM. Em geral, foi possível observar que os suportes eletrofiados de PLLA-ECM exibem potencial para uso em engenharia de tecidos, em específico, regeneração óssea, uma vez que apresentaram-se regulados o conjunto de genes bglap, RunX2, Osx, sparc e col1a2.

Células-tronco humanas derivadas da polpa dental (hDPSCs) e células-tronco humanas derivadas de tecido adiposo (AhSCs) são células multipotentes capazes de diferenciação osteogênica in vitro e in vivo, e promissoras fontes de células para a engenharia de tecido ósseo, dada a sua facilidade de expansão, isolamento e diferenciação. É de grande interesse compreender qual é o melhor tipo celular para diferenciação osteogênica, assim, o objetivo deste estudo foi comparar o potencial de diferenciação osteogênica in vitro e in vivo entre hDPSCs e hASCs. Foram isoladas e estabelecidas seis populações de células-tronco de hDPSCs (entre 7-12 anos) e seis da hASC (de indivíduos com idade entre 30-49 anos). Após a indução in vitro, a diferenciação osteogênica foi comprovado através das colorações de fosfatase alcalina (9 dias) e vermelho de alizarina (14 e 21 dias). A quantificação da mineralização da matriz após 21 dias de diferenciação osteogênica revelou 2,24 mais ossificação das hDPSCs em relação às hASCs. Para realizar o experimento in vivo, foram triados seis biomateriais para verificar qual melhor biomaterial para o nosso modelo, defeito crítico em calvária de Ratos Wistar não imunossuprimidos, com três amostras de hDPSCs. Após 45 dias, CellCeram(TM) exibiu a melhor neoformação óssea in vivo, e foi selecionado para comparar os potenciais osteogênicos in vivo entre hDPSCs e hASCs. Células (10e6) foram associadas a discos de 4,5 mm CellCeram(TM), grupo controle foi realizado através do transplante do biomaterial livre de células. Neoformação óssea foi mensurada 45 dias após a cirurgia através da coloração histológica de hematoxilina / eosina. A formação óssea total foi quantificada através da análise de imagens de todas as ilhas de ossificação. A associação entre hDPSCs e CellCeram(TM) promoveu 7,24 vezes mais neoformação óssea quando comparado com a associação entre esse mesmo material e hASCs (p <0,0001). A utilização de células-tronco adultas para regeneração óssea é uma ótima abordagem para uso terapêutico, e calcular ou predizer o potencial osteogênico das células utilizadas é extremamente importante e necessário para futura aplicação em novas estratégias de bioengenharia de tecido ósseo / Human dental pulp stem cells (hDPSCs) and human adipose-derived stem cells (AhSCs) are multipotent cells capable of undergoing osteogenesis in vitro and in vivo, and promising cell-source populations for bone tissue engineering given their easiness of isolation, expansion and differentiation. It is of great interest to understand which is the best cell type for osteogenic differentiation, thus the aim of this study is to compare the in vitro and the in vivo osteogenic differentiation potentials between DPSCs and ASCs. We isolated six stem cell populations from DPSCs (aged 7-12 years) and six from ASCs (from subjects aged 30-49 years) and cell culture was established. After in vitro induction the populations were able to undergo osteogenic differentiation, as evidenced by alkaline phosphatase (9 days) and alizarin red S (14 and 21 days) stainings. Quantification of matrix mineralization after 21 days of osteogenic differentiation revealed an enhancement of 2.24-fold increase between hDPSCs and hASCs differentiation. To perform the in vivo experiment, we promoted a screening of six scaffolds to find out which would be best scaffold to our model, a calvarial critical-sized defect in Wistar non-immunosuppressed rats, with three different culture samples of hDPSCs. After 45 days, CellCeram(TM) displayed the best in vivo bone neoformation, and was used to compare the in vivo osteogenic potentials between hDPSCs and hASCs. Cells (10e6) were associated to 4.5 mm CellCeram(TM) discs, and control groups were performed transplanting the biomaterial free of cells. Bone healing was measured through histological hematoxylin/eosin staining 45 days after surgery. Newly formed bone was also evaluated by total bone island surface quantification through image analysis. The association between hDPSCs and CellCeram(TM) induced a mean of 7.24 times more bone formation when compared to the association between this same material and hASCs (p<0.0001). The use of adult stem cells for bone regeneration is a robust therapeutic option, and calculate or predicts the osteogenic potential of the cell used are extremely important and necessary to future application, and translation to new strategies in bone tissue engineering

Biomateriais que promovem e auxiliam a regeneração óssea vêm ganhando grande visibilidade em pesquisas na área de engenharia tecidual, em destaque os biocompósitos a partir de cerâmicas e polímeros. Muitos desafios abrangem essa área de pesquisa, sendo o principal, criar um material que mais se assemelha ao osso, não só em sua resistência mecânica, mas também em sua bioatividade e porosidade. Esse projeto tem como foco o desenvolvimento e processamento de blocos de biocompósito formados a partir de hidroxiapatita (HAp) e fibroína de seda (FS). A fibroína de seda, obtida a partir dos casulos do bicho-da-seda, foi lavada em solução de carbonato de sódio com concentração de 5% por 30 minutos. Sua dissolução foi realizada através de solução ternária contendo cloreto de cálcio, etanol e água, na proporção molar de 1:2:8. A HAp foi co-precipitada na FS dissolvida em solução ternária através de solução de fosfato (Na2HPO4) sob agitação constante. Os blocos foram prensados manualmente e avaliou-se sua morfologia, relação Ca/P e absorção de líquido definindo a melhor proporção de %HAp e %FS. Após a determinação da proporção 75%HAp e 25% FS, os blocos foram conformados em prensa hidráulica com pressões fixas de 50 e 100 MPa. As características morfológicas foram avaliadas através de análises de MEV, porosidade, absorção de líquidos, microtomografia computadorizada (?-CT) e medição da área superficial específica (BET). As características químicas e estruturais foram analisadas por EDS, FTIR, TGA e DRX. Além disso, avaliou-se a resistência à compressão, a bioatividade e a citotoxicidade do biocompósito. Os resultados mostram que o biocompósito estudado apresenta características químicas e estruturais próxima ao osso trabecular, resistência à compressão entre 2 e 10 MPa e porosidade entre 30% e 70%, é biocompatível e possui capacidade de formação de apatita. O biomaterial em estudo apresenta-se como uma boa perspectiva na área de engenharia tecidual óssea. / Biomaterials that promote and aid bone regeneration have gained great visibility in tissue engineering research, with emphasis on biocomposites from ceramics and polymers. Many challenges cover this area, the main is being to create a material similar to bone, not only in its mechanical strength but also in its bioactivity and porosity. This project focuses on the development and processing of biocomposite blocks formed by hydroxyapatite (HAp) and silk fibroin (SF). The silk fibroin, obtained from the cocoons of the silkworm, was washed in 5% sodium carbonate solution for 30 minutes. Its dissolution was carried out through a ternary solution containing calcium chloride, ethanol and water, in a molar ratio of 1: 2: 8. The HAp was co-precipitated in SF dissolved in ternary solution through phosphate solution (Na2HPO4) under constant stirring. The blocks were manually pressed and their morphology, Ca/P ratio and liquid absorption were evaluated to determine the best HAp/FS ratio. After defined the best ratio, 75%HAp and 25% FS, blocks were formed in a hydraulic press with fixed pressures (50 and 100 MPa). The morphological characteristics were evaluated by SEM, Porosity, Liquid Absorption, Computerized Microtomography (?-CT) and specific surface area (BET). The chemical and structural characteristics were analyzed by EDS, FTIR, TGA and XRD. In addition, the compressive strength, bioactivity and cytotoxicity of the composite were evaluated. The results show a biocomposite with chemical and structural characteristics close to the trabecular bone, mechanical resistance between 2 and 10 MPa and porosity between 30% and 70%, it is biocompatible and with apatite formation capacity. The biomaterial studied presents a good perspective in the field of bone tissue engineering.

La pulpe dentaire est un tissu connectif innervé et vascularisé, contenu dans une structure minéralisée inextensible formée par l’émail, la dentine et le cément. Ce tissu assure l’homéostasie et la sensibilité de la dent. Il est sujet à des lésions sévères faisant suite à une carie ou à un traumatisme. La thérapeutique conventionnelle préconisée alors est le traitement endodontique, qui consiste en l’exérèse de la totalité du tissu pulpaire et le comblement de l’espace évidé par un matériau synthétique bioinerte. Malgré les résultats cliniques satisfaisants, cette thérapeutique induit une fragilisation de la dent et une plus grande susceptibilité aux infections, qui peuvent conduire à terme à la perte de la dent. En se basant sur la présence de cellules souches mésenchymateuses dans la pulpe dentaire, des stratégies de régénération alternatives au traitement endodontique traditionnel sont à l’étude, afin de permettre le maintien des fonctions de nutrition et de sensibilité de la pulpe, garantes de la pérennité de la dent sur l’arcade. Elles s’inscrivent dans deux approches: la régénération de novo, en cas de nécrose du tissu pulpaire et la régénération partielle, lorsque seul le tissu pulpaire endommagé est éliminé et régénéré. Nos travaux portent sur la faisabilité de cette dernière approche dans un modèle préclinique. En effet, dans la perspective d’un transfert vers la clinique humaine, des modèles chez le gros animal doivent être développés afin de tester la faisabilité et le succès de cette thérapie, dans des conditions proches de la clinique. Du fait de ses similitudes avec l’homme en termes d’anatomie et de physiologie, le miniporc représente un modèle de choix pour les études précliniques d’ingénierie pulpaire. L’objectif principal de cette étude est de tester la faisabilité de la régénération pulpaire partielle, en implantant des cellules pulpaires porcines (pDPCs) contenues des hydrogels injectables dans des défauts pulpaires artificiellement créés chez le miniporc. Au cours ce travail, différentes techniques d’imagerie d’évaluation du processus de régénération ont été développées. En particulier, un protocole d’angiographie tridimensionnelle in- pour la visualisation du réseau vasculaire pulpaire a été mise au point. Par ailleurs, en utilisant des paramètres morphométriques spécifiques, initialement développés pour caractériser l’os, une analyse tridimentionnelle par micro-CT des tissus minéralisés de réparation a été élaborée. En appliquant un “split mouth model”, les hydrogels injectables ensemencés ou non par des pDPCs ont été implantés dans des molaires et des prémolaires, après amputation de la pulpe camérale. À 21 jours après la chirurgie, les analyses d’imagerie, d’histologie et d’immunologie ont mis en évidence, qu’indépendamment de la présence des pDPCs, l’implantation des hydrogels a induit la formation d’un pont d’ostéodentine. La caractérisation morphométrique tridimensionnelle a montré que la microarchitecture de ce pont différait largement de la dentine native. De plus, en présence des pDPCs, le processus de réparation était modifié, avec une moins bonne étanchéité du pont. Au cours de ce travail, une technique de suivi non invasive de la régénération a tenté d’être mise au point. Une angiographie tridimensionnelle par soustraction a été réalisée avant et après la procédure de régénération pulpaire partielle. Si les angiographies ont révélé l’entière vascularisation des mâchoires et des dents à croissance continue, l’apport vasculaire des dents matures traitées, du fait de son faible flux, n’a pas pu être mis en évidence. L’absence de régénération partielle de la pulpe dans les conditions testées souligne l’importance des modèles précliniques pour identifier les facteurs promouvant un environnement favorable à la régénération, dans la perspective d’un transfert vers la clinique humaine. / The dental pulp is a connective tissue, which is highly innervated and vascularized, encapsulated in a mineralized inextensible structure formed by enamel, dentin and cementum, ensuring the homeostasis and sensibility of the tooth. The pulp is often damaged by caries and trauma, resulting in infection or necrosis. In such situations, the routine clinical treatment is a root canal therapy, which consists in the elimination of the affected tissue and filling of the endodontic canal system with bioinert synthetic materials. In spite of satisfactory clinical outcomes, none of the original functions is restored and the lack of sensitivity as well as natural defence may lead to tooth fracture and reinfection. Cell-based pulp regeneration could provide a valid alternative to traditional endodontic treatment of damaged teeth. This strategy focuses, in fact, on the preservation of the healthy pulp tissue and the regeneration of the damaged one, by combining stem cells, scaffolds and growth factors. In case of trauma or carious lesion, as the pulp inflammatory reaction is compartmentalized in first instance, such conservative approach could be indicated. Regarding non-rodent animal model, to our knowledge, only Iohara et al. (2009) reported the achievement of partial pulp regeneration in canine tooth by implantation of subfractions of autologous pulp cells; however, in the perspective of a transfer to the human clinic, larger animal models should be developed to test the feasibility and the success of the therapy mimicking the clinical conditions of pulpotomy. Due to dental anatomical and physiological similarities with human, the minipig constitutes a model of choice for preclinical pulp engineering studies. The aim of this study was to develop a preclinical model of partial dental pulp regeneration in minipig, by implanting a pulp construct, made by self-assembling nano-peptide injectable hydrogel and porcine minipig dental pulp cells (pDPCs), in artificially created pulp defects. Secondarily, in the context of this preclinical model, two different techniques of analysis of the regeneration process have been developed. In particular, an in vivo 3D subtraction angiography has been set for the visualization of dental pulp vascular network. Indeed, further developments of this modality open promising perspectives of its application for the morphometric characterization of angiogenesis process in newly formed dental tissues and bone defects. Moreover, using specific morphometric parameters, initially developed to characterize bone, a micro-CT morphometric analysis of the mineralized reparative tissues, obtained by the partial pulp regeneration protocol, has been elaborated. By split mouth model, pulp constructs made with self-assembling injectable nano-peptide hydrogel with and without porcine dental pulp cells (pDPCs) were implanted, after pulp chamber amputation in premolars and molars. At day 21 after surgery, three-dimensional morphometric characterization, Masson’s trichrome and immunolabeled for DSP and BSP were performed on treated teeth. 3D subtraction angiographies have been performed before and after partial pulp regeneration procedure. Regardless of the presence of pDPCs, the implantation of pulp construct induces the formation of an osteodentin bridge, whose microarchitecture sensibly differs from the native dentin. Furthermore, the presence of pDPCs in the construct slightly impairs this reparative process. The latter was led the remaining pulp cells, instead of the pDPCs in the scaffold. Angiographies could show entire vascularization of jaws and continuously growing teeth but blood supply of treated mature permanent teeth could not be displayed. The failure of partial pulp regeneration cell based strategy, in these near-real clinical conditions, highlights the importance of preclinical models, to identify the factors promoting a favourable regenerative environment, in the perspective of a transfer to the human clinics.

Two Systems were designed. The first permits tunable on-demand softening of a hydrogel network. The second permits reversible on demand ligand exchange within a hydrogel network. Both means were shown to be cytocompatible and their uses demonstrated in cell culture of mesenchymal stem cells and 3T3 fibroblast cells.

A engenharia de tecidos está conceituada na cultura prévia de células com proteínas morfogenéticas em Corpos Porosos Estruturais - CPE(s) (Scaffolds) de biomateriais, que simulam a matriz extracelular, oferecendo suporte para o crescimento celular na formação do tecido maduro. Este trabalho estuda a manufatura de corpos-de-prova em alumina através do método de incorporação sistematizada de partículas de sacarose e naftaleno como agentes orgânicos fugitivos formadores de poros, a fim de se obter porosidade específica quanto ao tamanho, volume, morfologia, interconectividade e reprodutibilidade de processo. Optou-se pela cerâmica de alumina devido às suas características universais de manufatura e baixo custo. Os CPE(s) foram caracterizados qualitativa e quantitativamente quanto à morfologia e macroestrutura através de microscopia eletrônica de varredura - MEV e porosimetria de mercúrio e quanto à densidade e porosidade aparente através do teste por imersão (Arquimedes). Verificou-se a viabilidade dos métodos de manufatura empregados na obtenção das características desejáveis para a aplicação proposta. / Tissue Engineering is concerned with the previous culture of cells with morphogenetics proteins grown factors in biomaterials Scaffolds (Corpos Porosos Estruturais - CPE(s)) which simulate the extra cellular matrix, offering support for the cellular growth for the formation of the mature tissue. This work studies the manufacture of alumina samples by the method of systematized incorporation of sugar cane and naphthalene particles as fugitive organic agents for pores generation aiming the obtaining of specific porosities with size to volume relationship, morphology, connective porous and process repeatability. Alumina ceramic was selected due to its universal manufacture characteristics and its low cost. Scaffolds were characterized qualitative and quantitatively to the porous morphology and macrostructure using scanning electronic microscopy - SEM and Mercury porosimetry measurement and the relationship to apparent density and porosity using immersion Archimedes test. The viability of the selected manufacture methods was fulfilled by the obtaintion of desirable characteristics for the proposed application.