[EN] Abstract The main purpose of this thesis is the design and characterization of an experimental articular cartilage model. The in vitro model is composed of a macro and micro- porous Polycaprolactone scaffold with a Poly(Vinyl Alcohol) filling. The scaffold/hydrogel construct has been subjected to repeating number of freezing and thawing cycles in order to crosslink the hydrogel inside the scaffold's pores. The Poly(Vinyl Alcohol) resembles the growing cartilaginous tissue inside the scaffolds pores, as it gets denser and stiffer for each cycle of freezing and thawing. The in vitro model allows studying a variety of characteristics of the scaffold and hydrogel, revealing interesting features. The importance of water flow on the mechanical properties is studied, so as the influence of micro-porosity. It can be seen that the mechanical properties of the porous scaffolds are influenced in distinct ways by the hydrogel density and micro-porosity of the scaffold. The permeability of the scaffolds is studied and is seen independent of crosslinking density of the hydrogel inside the porous scaffolds. The experimental cartilage model has also been applied on a macro porous acrylic scaffold. The results show that the water has different effect on the mechanical properties, for macro, or macro and micro-porous scaffolds. The in vitro cartilage model has elastic modulus, aggregate modulus and permeability values in the same order as human articular cartilage. The model is useful to predict the mechanical behavior of porous scaffolds in vivo. A scaffold implant device for animal studies has been designed based on a previous patent of the research group, and implanted in two different in vivo trials in sheep. The results show that the fixation and anchoring to the subchondral bone improve the tissue repair and diminish alterations in the subchondral bone. ¿ / [ES] Resumen El objetivo principal de esta tesis doctoral es el diseño y caracterización de un modelo de cartílago articular experimental. El modelo in vitro se compone de un scaffold micro- y macroporoso de Policaprolactona con un relleno de Poli(Vinil Alcohol). El constructo scaffold/hidrogel ha sido sometido a ciclos consecutivos de congelación y descongelación con objeto de entrecruzar el hidrogel dentro de los poros del scaffold. El Poli(Vinil Alcohol) mimetiza al tejido de cartílago que se regenerará en los poros, ya que en cada ciclo de congelación y descongelación se vuelve más denso y duro. El modelo in vitro permite estudiar una gran variedad de características del scaffold e hidrogel, revelando fenómenos interesantes para la ingeniería tisular. Se ha estudiado la importancia del flujo de agua a través del scaffold en las propiedades mecánicas, así como la influencia de la microporosidad. Se ha podido constatar que la densidad del hidrogel y la microporosidad influyen de distinta forma en las propiedades mecánicas de los scaffolds porosos. Se ha estudiado la permeabilidad de los scaffolds, que ha resultado ser independiente de la densidad de entrecruzamiento del hidrogel dentro de sus poros. El modelo experimental de cartílago se ha aplicado también a un scaffold macroporoso acrílico. Los resultados muestran que el agua tiene un efecto distinto en las propiedades mecánicas de los scaffolds macroporosos y en los micro- macroporosos. El modelo de cartílago in vitro tiene valores del modulo elástico, módulo agregado y permeabilidad que son del mismo orden de magnitud que los del cartílago articular humano. El modelo permite predecir el comportamiento mecánico in vivo de scaffolds porosos. Se ha diseñado un dispositivo de implante de scaffold para experimentos en animales basado en una patente del grupo de investigación, que ha sido implantado en dos ensayos in vivo diferentes en ovejas. Los resultados muestran que la fijación y anclaje al hueso subcondral tiene un gran papel en la reparación del tejido. / [CA] Resum L'objectiu principal d'aquesta tesi doctoral és el disseny i caracterització d'un model de cartílag articular experimental. El model in vitro es compon d'un scaffold micro- i macroporós de Policaprolactona amb un farciment de Poli(Vinil Alcohol). El constructe scaffold/hidrogel ha estat sotmès a cicles consecutius de congelació i descongelació amb l'objectiu d'entrecreuar l'hidrogel dins del porus del scaffold. El Poli(Vinil Alcohol) mimetitza al teixit de cartílag que es regenerarà en el porus, ja que en cada cicle de congelació i descongelació es torna més dens i dur. El model in vitro permet estudiar una gran varietat de característiques del scaffold i hidrogel, posant de manifest fenòmens interessants per a l'enginyeria tissular. S'ha estudiat la importància del flux d'aigua a través del scaffold en les propietats mecàniques, així com la influència de la microporositat. S'ha pogut constatar que la densitat de l'hidrogel i la microporositat influeixen de distinta manera en les propietats mecàniques dels scaffolds porosos. S'ha estudiat la permeabilitat dels scaffolds, que ha resultat ser independent de la densitat d'entrecreuament de l'hidrogel dins dels seus porus. El model experimental de cartílag s'ha aplicat també a un scaffold macroporós acrílic. Els resultats mostren que l'aigua té un efecte distint en les propietats mecàniques dels scaffolds macroporosos i en els micro- macroporosos. El model de cartílag in vitro té valors del mòdul elàstic, mòdul agregat i permeabilitat que són del mateix ordre de magnitud que els del cartílag articular humà. El model permet predir el comportament mecànic in vivo de scaffolds porosos. S'ha dissenyat un dispositiu d'implant de scaffold per a experiments en animals basat en una patent del grup d'investigació, que ha segut implantat en dos assaigs in vivo diferents en ovelles. Els resultats mostren que la fixació i ancoratge a l'os subcondral té un gran paper en la reparació del teixit. / Vikingsson, LKA. (2015). An experimental model to mimic the mechanical behavior of a scaffold in a cartilage defect [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/53912

Yes / On 14/15th March 2016 we held a MRC/DBT funded workshop on the theme of Materials to Combat Antibiotic Resistance. The workshop was part of a continuing series of events that are part of the work of UK-India Centre for Advanced Technologies-Minimising the indiscriminate use of Antibiotics (UKICAT–MA). The following is the collection of presentations and the results of discussions highlighting key themes for future work by this group. Combating antibiotic resistance is perhaps the biggest issue facing the global community in the 21st century and no other area, with the exception perhaps of nuclear conflict, has the capacity to significantly reduce living standards and mortality rates. Key objectives identified by WHO1 in this area among five key aspects, include: Objective 4-to optimize the use of antimicrobial agents Objective 5-new medicines, diagnostic tools, vaccines and other interventions Our aims in this series of workshops are to provide an Indo-UK forum for: discussions of our advances in providing technologies to address these objectives; facilitate the interface between UK and Indian clinicians, materials and biological scientists and to identify key areas for new projects. An important aspect of the work in a global context is that by combining the UK and Indian community and clinical experiences we cover most of the scenarios that the global population might expect to encounter

Significant advancements have been made within the field of regenerative medicine over the last few decades with the goal of creating biological substitutes to mimic tissue for research and wound healing purposes. Simply put, regenerative medicine works by understanding and then manipulating the processes by which cells communicate and proliferate for healing purposes. Before valuable progress can be made in regenerative medicine, smaller steps need to be taken first, like understanding the biomaterials that are used within regenerative medicine research. Biomaterials, which are materials that interact with cells and perform a function, are used to mimic the native extracellular matrix of cell scaffolding in regenerative medicine research. Numerous types of biomaterials exist, and it is important to choose the most appropriate material for the goal at hand. Therefore, biomaterials need to be characterized before useful research with the materials can be done. An important aspect of biomaterials that can be characterized is fluid flow through the biomaterials. This is important because adequate transport of oxygen, nutrients, waste, and soluble factors are required for cell proliferation and survival.[1] Biomaterials can be characterized based on their chemical, physical, and mechanical characteristics via many different characterization methods that are discussed in this paper. The overall goal of this research is to characterize the fluid flow metrics through Micro-porous Annealed Particle (MAP) hydrogels and others using Dynamic Contrast Enhanced – Magnetic Resonance Imaging (DCE-MRI) and computational analysis of the images via MATLAB. The analysis was utilized to analyze the fluid flow through several different biomaterial types, allowing for observational comparison between biomaterial groups. Overall, this method for characterizing fluid flow through biomaterials shows promise for future use and further understanding of biomaterials' roles in regenerative medicine. / Master of Science / Regenerative medicine encompasses the use of scientific knowledge and tools to determine novel methods for generating functioning tissues and organs. Commonly, biomaterials are used to assist in this process. Biomaterials frequently function as a solid structure that houses cells and encourages cell growth, eventually leading to tissue formation. Many different types of biomaterials exist, so it is important to determine the most suitable biomaterial for each project to improve efficiency and experiment outcomes. Biomaterial properties, like stiffness or flexibility, can be determined through various scientific testing methods. An important property of biomaterials is the fluid flow through the biomaterials. Cells housed inside biomaterials require oxygen and nutrients to grow, so it is important that fluids carrying these molecules can flow through biomaterials to provide support for the cells. This paper utilizes a computational analysis method to analyze Magnetic Resonance Imaging (MRI) images of fluid flow through biomaterials. The analysis provides information on fluid flow metrics through the biomaterials, like fluid flow velocity and direction. This analysis provides a new method for understanding biomaterial properties and provides the analysis for several different biomaterials.

<p dir="ltr">Depression affects over 20 million adults in the US every year. It has been shown that depression is correlated with dysregulation of the hypothalamic-pituitary-adrenal axis, resulting in elevated cortisol levels which return to normal following successful treatment. Tracking cortisol as a physiological biomarker of depression could be used to complement traditional diagnosis and treatment monitoring. In this work, I aim to develop a minimally invasive method of measuring cortisol concentrations at the point of care.</p><p dir="ltr">The two main goals of this research are to implement a simple, painless sample collection method via hydrogel microneedles, and develop an electrochemical biosensor to measure and track cortisol concentrations at the point of care. Interstitial fluid is a rich source of biomarkers, including cortisol, found just beneath the surface of the skin. Hydrogel microneedles are used to painlessly sample interstitial fluid, but typically require sample processing to isolate the biomarker for measurement. Here, a rapid swelling methacrylated hyaluronic acid hydrogel microneedle platform is used to passively sample interstitial fluid from skin. Single-use gold leaf electrodes are functionalized with an aptamer to measure cortisol concentration directly from the hydrogel matrix without the need for sample processing.</p><p dir="ltr">Together, these platforms for interstitial fluid sampling and cortisol measurement will provide a minimally invasive, user friendly tool for monitoring depression throughout the course of treatment that can benefit the millions of people affected by depression.</p>

Selective Serotonin Reuptake Inhibitors (SSRIs) are the most frequently prescribed class of drugs worldwide and are implemented in the treatment of depression and other psychiatric disorders. SSRIs relieve depressive symptoms by modulating levels of the neurotransmitter serotonin in the brain. SSRIs block the function of the serotonin transporter, thereby increasing concentrations of extracellular serotonin. However, serotonin levels in the neurons of the brain only account for 5% while the remaining 95% is present outside the brain. Serotonin receptors and transporter are located on bone resident cells (mesenchymal stem cells (MSCs)), osteoblasts and osteoclasts, and serotonergic activity is believed to affect bone homeostasis. Consequently, alterations in serotonin levels by SSRI treatment have the potential to alter bone formation and remodeling. Clinical reports correlate increase risk of bone fractures and delayed bone healing with SSRI use. Metallic implants are commonly used as orthopedic and dental implants to fix bony defects. Surface modifications have been used to increase the level of bone to implant contact by controlling the differentiation of MSCs into an osteoblastic linage and facilitate bone production. However, it is not known if SSRIs can affect MSCs osteoblastic differentiation and bone remodeling signaling in response to microstructured biomaterials. The aims of this study were: 1) Investigate the effects of SSRIs on MSCs differentiation on microstructured titanium (Ti), 2) Determine the effects of SSRIs on bone remodeling signaling and osteoclast activation, and 3) Elucidate the effects of SSRIs on serotonin receptors and their effect on bone remodeling. To investigate this, human MSCs were grown on tissue culture polystyrene (TCPS), smooth Ti (PT) or microstructured Ti (SLA) surfaces under exposure to therapeutic concentrations of commonly prescribed antidepressants (SSRIs (fluoxetine, sertraline, paroxetine), Selective Norepinephrine Reuptake Inhibitor (SNRI) (duloxetine) and other regularly prescribed antidepressants (bupropion)) during differentiation toward osteoblasts. Osteoblastic differentiation was assessed in MSCs after treatment with the drugs (0.1μM, 1μM, 10μM) by alkaline phosphatase activity and osteocalcin levels. Antidepressant treatment decreased levels of MSC differentiation markers on microstructured Ti surfaces. Furthermore, treatment dose-dependently decreased protein levels secreted by MSCs which are important for bone formation (BMP2, VEGF, Osteoprotegerin), and increased those involved in bone resorption (RANKL). To determine the effect of SSRIs on bone remodeling signaling and osteoclast activation, human osteoclasts were either directly exposed to antidepressants or conditioned media obtained from MSCs treated with antidepressants on Ti surfaces, after which, enzymatic tartrate-resistant acid phosphatase (TRAP) activity was assessed. Antidepressants increased TRAP activity both directly and through treated MSCs, with the highest levels evident after treatment with conditioned media from MSCs on microstructured Ti surfaces. To elucidate the effects of serotonin receptors and their effect on bone remodeling, receptors were pharmacologically inhibited. Surface roughness decreased gene expression of HTR2A, HTR1B, and HTR2B, and antidepressant treatment increased their expression. Inhibition of HTR2A decreased RANKL protein levels, while inhibition of other serotonin receptors had no effect on RANKL or OPG levels. These studies suggest that antidepressants inhibit MSCs differentiation on microstructured Ti surfaces and increase levels of proteins associated with bone resorption. Additionally, our results showed that RANKL is regulated by serotonin receptor HTR2A. Taken together, our results suggest that antidepressants have a negative effect on osteoblastic differentiation, compromising bone formation and enhancing bone resorption, which can be detrimental to patients under orthopedic and dental treatment.

<p>Curiosity is a powerful tool, and combined with the ability to observe the natural world, grants humankind an unique opportunity, the opportunity to wonder why. Why do things exist?, why do they do the things they do?, why is this even possible?</p> <p>Research in our lab is focused on the basic understanding and potential application of biological materials, in particular, biological adhesives produced by marine organisms such as oysters. Oysters produce a cement-like material that is able to withstand the dynamic conditions found in coastal environments. The focus of this dissertation is to lay the basis of the characterization of new biological materials by observing and analyzing its physical properties, to measure the performance of the material in natural conditions and finally to identify the basic components that give the material the properties that we observe. The end goal of this project is to understand the properties of this material so we are able to develop a synthetic system that is able to imitate, as close as possible, what we find in nature. These results, and more importantly, the new questions that emerge from this research, provide a first look at the adhesive system of oysters leading the way to new discoveries in the future.</p>

The recreation of the complicated tissue microenvironment is essential to reduce the gap between in vitro and in vivo research. Polysaccharide-based hydrogels form excellent scaffolds to allow for three-dimensional cell culture owing to the favorable properties such as capability to absorb large amount of water when immersed in biological fluids, ability to form “smart hydrogels” by being shear-thinning and thixotropic, and eliciting minimum immunological response from the host. In this study, the biodegradable shear-thinning polysaccharide, gellan-gum based hydrogel was investigated for the conditions and concentrations in which it can be applied for the adhesion, propagation and assembly of different mammalian cell types in an unmodified state, at physiological conditions of temperature. Cell studies, to show successful propagation and assembly into three-dimensional structures, were performed in the range of hydrogels which were deemed to be optimum for cell culture and the cell types were chosen to represent each embryonic germ layer, i.e., human neural stem cells for ectoderm, human brain microvasculature cells for mesoderm, and murine β-cells for endoderm, along with a pluripotent cell line of human induced pluripotent stem cells, derived from human foreskin fibroblasts. Three-dimensional cell organoid models, to allow for gellan gum based bioprinting, were also developed using human induced pluripotent stem cells and human neural stem cells.

The purpose of this study was to evaluate the incidence of corrosion and fretting in 48 retrieved titanium-6aluminum-4vanadium and/or cobalt-chromium-molybdenum modular total hip prosthesis with respect to alloy material microstructure and design parameters. The results revealed vastly different performance results for the wide array of microstructures examined. Severe corrosion/fretting was seen in 100% of as-cast, 24% of low carbon wrought, 9% of high carbon wrought and 5% of solution heat treated cobalt-chrome. Severe corrosion/fretting was observed in 60% of Ti-6Al-4V components. Design features which allow for fluid entry and stagnation, amplification of contact pressure and/or increased micromotion were also shown to play a role. 75% of prosthesis with high femoral head-trunnion offset exhibited poor performance compared to 15% with a low offset. Large femoral heads (>32mm) did not exhibit poor corrosion or fretting. Implantation time was not sufficient to cause poor performance; 54% of prosthesis with greater than 10 years in-vivo demonstrated none or mild corrosion/fretting.

The design and selection of a biomaterial will depend on its specific application and the required properties for that application, both mechanical physicochemical properties. Biomaterials can be extremely helpful in order to treat and help the human body to heal and repair faster any kind of fracture produced in bones. Calcium phosphate scaffolds produced by sol-gel procedures have been used for this purpose with a great success regarding mechanical properties and biocompatibility. This is the reason why new techniques needs to be developed to be able to produce scaffolds in a faster way and to reach a personalized treatment to each patient. By using 3D printing techniques, a new and promising scope is open for bone tissue engineering due to the possibility of printing scaffolds with any shape and complexity through CAD design and modelling. In this project 3D printed scaffolds with a matrix combination of polymers and calcium phosphate will be produced and studied for bone tissue regeneration. Self-setting alpha tricalcium phosphate (α-TCP) based cement inks combined with polycaprolactone (PCL) were optimized, and 3D printed structure scaffolds were successfully generated by direct ink writing. Afterwards, the scaffolds were subjected to different hardening processes in order to obtain different hydroxyapatite microstructure morphologies and were characterised by different methodologies. It was demonstrated the important effect of obtaining a complete transformation from the α-TCP into hydroxyapatite in the mechanical properties. An improvement in the mechanical properties at compression was achieved with the addition of PCL within the scaffold ́s structure and a different fracture mode of the scaffolds was observed.

<p>Injectable, in-situ gelling magnetic plum pudding hydrogel composites were fabricated by entrapping superparamagnetic iron oxide nanoparticles (SPIONs) and thermosensitive N-isopropylacrylamide (NIPAM)-co–N-isopropylmethacrylamide (NIPMAM) microgels in a pNIPAM-hydrazide/carbohydrate-aldehyde hydrogel matrix. The resulting composites exhibited significant, repeatable pulsatile release of 4 kDa FITC-dextran upon exposure to an alternating magnetic field. The pulsatile release from the composites could be controlled by altering the volume phase transition temperatures of the microgel particles (with VPTTs over 37°C corresponding to improved pulsatile release) and changing the microgel content of the composite (with higher microgel content corresponding to higher pulsatile release). By changing the ratio of dextran-aldehyde (which deswells at physiological temperature) to CMC-aldehyde (which swells at physiological temperature) in the composites, bulk hydrogel swelling and thus pulsatile release could be controlled; specifically, lower CMC-aldehyde contents resulted in little to no composite swelling, improving pulsatile release. <em>In vitro</em> cytotoxicity testing demonstrated that the composite precursors exhibit little to no cytotoxicity up to a concentration of 2000 µg/mL. Together, these results suggest that this injectable hydrogel-microgel composite hydrogel may be a viable vehicle for <em>in vivo</em>, pulsatile drug delivery.<strong></strong></p> / Master of Applied Science (MASc)