No / Age estimations based on conventional multifactorial methods were compared with trends observed in the internal morphology of bones obtained from high-resolution µCT. Specifically, average trabecular thickness and number of trabeculae/mm transect were determined in the non-load-bearing capitate (hand) and the load-bearing navicular (foot). The µCT findings reveal age-related trends but - surprisingly - these correspond only loosely with the ages assigned by conventional ageing methods, and are also not in accordance with what would be predicted from biomechanical considerations: trabeculae tend to be thinner in the (habitually) load-bearing navicular than in the (habitually) non-load-bearing capitate. While the statistically significant correlation between trabecular thickness and number of trabeculae would suggest a compensatory mechanism between these two aspects of microanatomy, they are not correlated with the assigned ages and, importantly, may differ between sexes. Only in females is there an unequivocal trend towards trabecular thickness increase with age. These findings, although unexpected, can be reconciled with recent histological evidence and assumed average activity levels in historical populations. Conversely, changes in trabecular number are less clear-cut and may be due to the lack of very old individuals in the sample. Nevertheless, the trends observed for trabecular thickness, as well as for trabecular number, seem to imply that the higher incidence of osteoporosis in women could be explained from a structural point of view alone.

Heart disease is the main cause of death today, and studying causes and treatments are of great interest. Blood flow simulations using computational fluid dynamics shows promise in providing insight into this area. This study builds upon previous work by Larsson et al. and Kronborg et al. who have developed a program for simulating the blood flow through patient specific left ventricles. More specifically we aimed to improve the accuracy of their blood flow simulation by accounting for the protruding structure of the endocardial wall, previously disregarded in the model due to the limitations in spacial accuracy of echocardiography. These structures, consisting of trabeculae carneae and papillary muscles, have been shown to have a significant impact on the blood flow. In a recent study, Sacco et al. proposed a solution were a porous layer could mimic the effects on the blood flow from these structures in a rigid heart model. Our study aimed to apply this modification to the left ventricle of the dynamic model using the Navier-Stokes-Brinkman flow equation and a subdomain defining the porous region. This study has been working towards the end goal of fully implementing the porous layer into the heart simulation. The equations needed have been formulated and simulations have been run on flow in a more simple setting to verify the model. The simulations show promise in being able to recreate the results from Sacco et al. but further development is needed before the porous model can be tested in the dynamic left ventricle model, most notably defining the porous subdomain in the dynamic model. We conclude that the porous domain will affect the flow, possibly breaking up vortices and reducing the wall shear stress. Confirming this requires additional studies, but the implementation of a porous domain would likely result in a more accurate simulation.

No description available.

No description available.

Die vorliegende Untersuchung sollte die kontraktile Funktion von humanen Vorhoftrabekeln und linksventrikulären Papillarmuskeln der Ratte während Hypoxie / Reoxygenierung als Hauptkomponenten von Ischämie / Reperfusion charakterisieren. Weitere Merkmale der Ischämie wurden durch erhöhte extrazelluläre K+-Konzentration und Azidose simuliert. Einblicke in die zelluläre Ca2+-Regulation ergaben sich aus Aktionspotential-(AP)-messungen, der SR- Ca2+-ATPase-Aktivität und Kraft-Intervall- Beziehungen. Die Rolle des Energiestoffwechsels und der endogenen antioxidativen Kapazität für die kontraktile Funktion von infarktbedingt hypertrophiertem Rattenmyokard während Hypoxie / Reoxygenierung ist durch Messung der Kreatinkinase-(CK)-Aktivität, ihrer Isoenzymverteilung und der Aktivitäten von Superoxiddismutase (SOD) und Glutathionperoxidase (GSH-Px) charakterisiert worden. Der Einsatz der Radikalfänger Histidin und Butylhydroxytoluen während Hypoxie und schneller Reoxygenierung an Rattenpapillarmuskeln sollte zur Protektion gegen den toxischen Effekt unterschiedlicher reaktiver Sauerstoffspezies dienen. In den durchgeführten Experimenten zeigte sich eine geringere Empfindlichkeit des humanen Vorhofmyokards gegenüber reduzierter O2-Versorgung und Reoxygenierung als im Rattenmyokard. Die während simulierter Ischämie im humanen Myokard auftretende Azidose hat einen günstigen Effekt auf die Wiederherstellung der isometrischen Kontraktionskraft nach Reoxygenierung, was jedoch mit einer gestörten Regulation der kontraktilen Funktion verbunden ist. Hypertrophiertes Myokard in der chronischen Phase nach Infarkt zeigt eine verminderte Empfindlichkeit gegenüber Hypoxie / Reoxygenierung, was auf adaptive Veränderungen im Energiestoffwechsel (erhöhte CK-MB und CK-BB Isoenzyme mit kleinerem Km-Wert für Kreatinphosphat), in der endogenen antioxidativen Kapazität (Erhöhung der Aktivitäten von SOD und GSH-Px um 40% bzw. 50%) und in der Regulation der kontraktilen Funktion (verminderte SR Ca2+-ATPase-Aktivität und Isomyosinverschiebung von V1 nach V3) zurückgeführt werden kann. Eine bessere Erholung der kontraktilen Funktion nach Reoxygenierung kann durch schnellen pO2- Wiederanstieg erreicht werden. Der Einsatz von Pharmaka mit verschiedenen Angriffspunkten im Radikalstoffwechsel und besonders deren Kombination während Hypoxie / Reoxygenierung ermöglicht zusätzlich eine verbesserte Kardioprotektion. / This study characterizes the contractile function of human atrial trabeculae and rat left ventricular papillary muscles during hypoxia / reoxygenation as the major components of ischemia / reperfusion. Further characteristics of ischemia were simulated by increased extracellular K+ concentration and acidosis during hypoxia. Insights into the cellular Ca2+ regulation were obtained from action potential recordings, from measurements of sarcoplasmic reticulum (SR) Ca2+ transport, and from force-interval relations. We examined changes in SR calcium transport, creatine kinase (CK) system, the antioxidant enzymes glutathionperoxidase (GSH-Px) and superoxiddismutase (SOD) 6 wks. after infarction (MI) due to coronary ligation in rats. Phenotypic modifications vs. sham operation (SHAM) were related to the contractile response of hypertrophied papillary muscle to hypoxia / reoxygenation. The oxygen radical scavengers histidine and butylhydroxytoluene were applied during hypoxia and rapid reoxygenation to protect the myocardium against oxygen radical damage. Generally, human atrial trabeculae were less sensitive to reduced oxygen supply and reoxygenation when compared to rat papillary muscles. In human atrial trabeculae, isometric peak force development recovered better after simulated ischemia than after hypoxia but the regulation of contractile function was clearly disturbed. In rat papillary muscles, rapid reoxygenation caused a better recovery of contractile function after hypoxia. Application of the oxygen radical scavengers histidine, butylhydroxytoluene, and especially their combination during hypoxia / reoxygenation had additional cardioprotective effects. In MI vs. SHAM we observed under aerobic control conditions: decreses in isometric contraction and relaxation rate, a reduced Vmax-equivalent of sarcomeric shortening, a faster twitch-to- twitch decay of post-rest potentiation (PRC) which correlated closely to the decrease in SR Ca2+ uptake (-25%), a decrease in CK activity (-20%), reduced CK-MI and CK-MM, increased CK-MB and CK-BB, and enhanced activities of SOD (+40%) and GSH-Px (+50%). During hypoxia, an initial increase in peak force (PF) was followed by a slower PF decline in MI vs. SHAM. During reoxygenation, rates of contraction and relaxation recovered better in MI. In SHAM but not MI, twitch-to-twitch decay of PRC was accelerated after reoxygenation vs. aerobic control. The results suggest that adaptive changes in SR Ca2+ handling, CK isoenzymes, and antioxidant enzymes may contribute to higher resistance against reduced O2 supply and reoxygenation in hypertrophy due to MI.

La coordination des battements cardiaques est assurée par la propagation rapide de l’activité électrique dans le système de conduction ventriculaire (SCV). Etudier la formation du SCV est crucial pour comprendre l’origine des troubles de conduction de l’adulte. Au cours de l’embryogénèse le SCV est issu des trabécules, des projections myocardiques à la surface interne des ventricules. Les trabécules subissent une compaction avant la naissance qui est nécessaire à la maturation du myocarde. Des défauts au cours des étapes embryonnaires seraient en cause dans l’apparition d’une cardiomyopathie rare nommée Non-Compaction du Ventricule Gauche (LVNC). LVNC et troubles de conduction observés chez des patients et des souris mutantes sont associés au gène NKX2-5, qui code pour un facteur de transcription clé pour le développement du cœur.Mon premier objectif de thèse consiste à étudier le rôle de Nkx2-5 dans l’origine et l’évolution pathologique de la LVNC. Mon second objectif consiste à définir le rôle de Nkx2-5 au cours du développement trabéculaire et de la formation du SCV afin de comprendre l’origine de l’hypoplasie du SCV chez les souris Nkx2-5 hétérozygotes.Des systèmes génétiques complexes ont été utilisés pour induire la délétion de Nkx2-5 dans les trabécules à plusieurs étapes du développement et suivre le destin des trabécules afin d’établir la fenêtre de ségrégation du lignage conducteur. L’ensemble de mes résultats ont permis d’identifier les étapes clés du développement du SCV et un rôle majeur de Nkx2-5 afin de mieux appréhender les troubles de conduction. Enfin mes résultats ont mis en évidence une nouvelle cible potentielle pour des perspectives thérapeutiques. / The rapid propagation of electrical activity through the ventricular conduction system (VCS) controls the spatiotemporal contraction of the ventricles. A better understanding of VCS development is crucial to comprehend the etiology of conduction disturbances observed in adults. During embryogenesis, the VCS originates from ventricular trabeculae that are myocardial protrusions in the lumen of the ventricles. Before birth, trabeculae undergo a compaction step required for maturation of the myocardial wall. Impairment of these developmental steps can lead to the apparition of a rare cardiomyopathy referred as Left Ventricular Non-Compaction (LVNC). LVNC and conduction defects have been observed in patients and mutant mice carrying mutations in NKX2-5, encoding a key transcriptional regulator of heart development.The first objective of my thesis is to decipher the involvement of Nkx2-5 in the origin and pathological evolution of the LVNC. The second objective is to decipher the temporal requirement of Nkx2-5 during trabecular morphogenesis and VCS development and to understand the origin of the VCS hypoplasia observed in Nkx2-5 heterozygous mice. Complex genetic technics were used to induce the deletion of Nkx2-5 in ventricular trabeculae at different developmental time points and to trace the fate of trabeculae and establish the temporal window of the conductive lineage segregation during development.Altogether, my results identify key steps in the VCS development, demonstrate a crucial role of Nkx2-5 and contribute to improve understanding of conduction defects. Interestingly, my results potentially identify new target cells for therapeutic intervention.