Tissue engineering strategies represent exciting potential therapies to repair cartilage injuries; however, difficulty regenerating the complex extracellular matrix (ECM) organization of native cartilage remains a significant challenge. Cartilaginous ECM molecules, specifically chondroitin sulfate (CS) glycosaminoglycan, may possess the ability to promote and direct MSC differentiation down a chondrogenic lineage. CS may interact with the stem cell microenvironment through its highly negative charge, generation of osmotic pressure, and sequestration of growth factors; however, the role of CS in directing differentiation down a chondrogenic lineage remains unclear. The overall goal of this dissertation was to develop versatile biomaterial platforms to control CS presentation to mesenchymal stem cells (MSCs) in order to improve understanding of the interactions with CS that promote chondrogenic differentiation. To investigate chondrogenic response to a diverse set of CS materials, progenitor cells were cultured in the presence of CS proteoglycans and CS chains in a variety of 2D and 3D material systems. Surfaces were coated with aggrecan proteoglycan to alter cell morphology, CS-based nano- and microspheres were developed as small particle carriers for growth factor delivery, and desulfated chondroitin hydrogels were synthesized to examine electrostatic interactions with growth factors and the role of sulfation in the chondrogenic differentiation of MSCs. Together these studies provided valuable insight into the unique ability of CS-based materials to control cellular microenvironments via morphological and material cues to promote chondrogenic differentiation in the development of tissue engineering strategies for cartilage regeneration and repair.

This master thesis deals with the optimization of the procedure of modification of hyaluronic acid structure for the use in the artificial synovial liquids. Based on the literature research, the amino acid alanine was used for the modification of carboxylic group in the glucuronic acid. The main subject of study is the improvement of the stability and mechanical properties of synovial liquid. DLS microrheology, macrorheology, thermogravimetric analysis (TGA), multi-angle light scattering with flow-field flow fractionation (AF4-MALS) and infrared spectroscopy (FTIR) were used for characterization. The theoretical part of this theses submits review of the musculoskeletal system, role of hyaluronic acid in metabolism and summary of synovial liquid. The experimental part focuses on the measurement of the stability and mechanical properties of three artificial samples (first with no modification, second with modified hyaluronic acid and third with modified hyaluronic acid and chondroitin sulphate). These samples were compared with real horse synovial fluid and artificial viscosupplement Orthovisc®.

The development of small-diameter artificial blood vessels that mimic the properties of natural blood vessels has proven to be a clinical challenge. While autologous vessels are the standard, they can be difficult to obtain and require invasive surgeries. Synthetic materials have been successful in large diameter applications, but they have been unsuccessful in small-caliber environments due to a number of factors including thrombus formation, intimal hyperplasia, and infection. Intimal hyperplasia, of particular interest in this study, involves the build up of smooth muscle cells (SMCs) in the intimal layer of the artery due to abnormal migration and proliferation. This work focuses on the development of a new polymer that has the potential to function as an intimal/medial component of a small-diameter blood vessel. Using recombinant elastin-like polypeptides (ELPs) developed by the Woodhouse laboratory, as well as chondroitin sulphate-specific binding sequences (CSBD1 and CSBD2) determined by the Panitch laboratory, a new elastin-like polypeptide-chondroitin sulphate binding domain (ELP-CSBD) block copolymer has been developed and characterized. The expression of the ELP1-CSBDs was accomplished using E. coli BL21 cells in a bioreactor or shaker flask systems. The polypeptides were purified using dialysis and ion exchange chromatography and expression and purity were characterized using mass spectrometry and amino acid analysis. Both ELP1-CSBDs were successfully expressed using these methods and ELP1-CSBD1 was produced to high purities. ELP1-CSBD1 was able to undergo coacervation in vitro, suggesting that ELP1-CSBD1 is able to self-assemble in a manner similar to native elastin. In the presence of the glycosaminoglycan chondroitin sulphate (CS), the temperature of coacervation of ELP1-CSBD1 is increased, the rate and extent of coacervation is decreased, and aggregates remain in solution even at higher temperatures. The influence of heparin was also explored as previous studies indicated that the CS binding domains were shown to also bind to heparin. Studies completed in the presence of heparin showed that there were no significant changes to the coacervation characteristics of ELP1-CSBD1. It is anticipated that when combined with CS, ELP1-CSBD1 will gel, forming a basis for an intimal/medial layer of a TEBV that will modulate SMC response and increase graft integrity. / Thesis (Master, Chemical Engineering) -- Queen's University, 2013-01-06 21:03:37.788

This thesis presents deeper insights into bone applicable biomaterials’ design. Poor affinity of BMP-2 towards scaffolds required supra-physiological dose administration. Though molecules containing sulfate could sustain BMP-2 release, side effects occurred due to BMP-2 supra-dose, or these sulfate-containing biomolecules. Improved affinity between BMP-2 and scaffolds was first witnessed by using an acidic carrier (paper I). Hyaluronic acid (HA) hydrazone derived hydrogels having a pH of 4.5-loaded BMP-2 showed sustained release of bioactive BMP-2 in vitro and enhanced bone formation in vivo, while pH 7 HA hydrogels showed Fickian behavior and less bone formation in vivo. Computational evaluation revealed stronger electrostatic interactions between BMP-2, and HA were predominant at pH 4.5, whereas, weaker Van der Waals interactions played a key role at pH 7. During the pre-bone formation phase, endogenous cell responses to pH 4.5 and 7 with or without BMP-2 were investigated. HA hydrogels exhibited extraordinary biocompatibility and recruitment of neutrophils, monocytes, macrophages and stromal cells regardless of hydrogels’ pH and BMP-2 presence.  The different inflammatory responses to HA hydrogels were observed (Appendix). Thiol derivatives can cleave the disulfide bond of BMP-2 to generate inactive monomeric BMP-2. In paper II, thiol-acrylate chemistry-based HA hydrogels (HA-SH) were compared to hydrazone-based HA hydrogels as BMP-2 carriers. Thiol modified HA disrupted BMP-2 integrity and bioactivity. HA-SH hydrogels with BMP-2 exhibited less bioactive BMP-2 release in vitro and induced less bone formation in vivo. Accumulated evidence has shown great osteogenic potential of lithium ions (Li). In paper III, we coordinated Li onto HA-PVA hydrazone hydrogels (Li-gel); Li-gel enhanced 3D cultured hMSCs osteogenic differentiation and induced higher bone formation in CAM defect model. Instead of BMP-2 protein, delivery of BMP-2-coding-plasmid can produce BMP-2 over a long term at a closer physiological level. Yet, efficient gene delivery reagents are needed. In paper IV, two novel gene delivery nanoplexes were developed by post coating DNA-nanoplexes with chondroitin sulfate (CS). To ensure the stability, aldehyde-modified CS (CS-CHO) reacted with free amines of pDNA/PEI complexes. We provided first evidence that CS-CHO coated nanoplexes controlled the release from endosomes, which is essential for higher transfection efficiency.

A osteocondrite dissecante (OCD) é uma doença que surge nos equinos durante a fase de desenvolvimento sendo caracterizada pela presença de fragmento osteocondral intra-articular. Pouco se sabe sobre a condição da articulação doente em animais mais velhos, principalmente nos casos assintomáticos, que são operados muitas vezes com a finalidade de comercialização posterior ou para impedir a progressão da doença. A finalidade deste estudo, portanto, foi analisar as articulações tíbio-társicas de equinos com idade superior a um ano apresentando OCD na crista intermédia da tíbia, e comparar animais saudáveis (grupo controle) com animais acometidos de OCD nas formas sintomática e assintomática, empregando análise física; contagem de células totais, dosagem de proteína total, análise de glicosaminoglicanos (GAGs) e da proteína oligomérica da matriz cartilagínea (COMP) no líquido sinovial; análise dos GAGs urinários e análise histológica da membrana sinovial e fragmento osteocondral. Os eqüinos utilizados foram divididos em três grupos. No Grupo I foram utilizados eqüinos clinicamente sadios, livres de doença na articulação tíbiotársica. Os Grupos II e III foram constituídos por animais portadores de OCD nas formas sintomática e assintomática respectivamente, atendidos e operados no Serviço de Cirurgia de Grandes Animais do Hospital Veterinário FMVZ-USP. A presença de sinais clínicos esteve mais relacionada com a presença de múltiplos fragmentos do que com a de fragmento osteocondral único, independente de seu tamanho. O sinal clínico mais observado nos animais do Grupo III foi a efusão articular. As principais alterações encontradas no líquido sinovial foram: o aumento na concentração de condroitim sulfato (CS) no Grupo II (P<0,01) e no Grupo III (P<0,001) em relação ao Grupo I; o aumento na concentração de ácido hialurônico associado à diminuição da viscosidade nos animais do Grupo III; e a redução na presença de fragmentos de alto peso molecular associado ao aumento de fragmentos de baixo peso molecular de COMP nos animais dos Grupos II e III. A análise dos GAGs urinários evidenciou aumento na proporção de CS nos animais dos Grupos II e III em relação ao Grupo I. Na análise histológica dos fragmentos osteocondrais foram observadas alterações na integridade da cartilagem articular, associada a proliferação de condrócitos e a redução na presença de proteoglicanos tanto no Grupo II como no Grupo III. As amostras de membrana sinovial do Grupo I apresentaram presença discreta de vilos e sinoviócitos. No Grupo II houve aumento moderado nas vilosidades sinoviais, e na maior parte das amostras avaliadas no Grupo III, além da presença moderada a severa de vilosidades sinoviais, foi observada proliferação intensa de sinoviócitos. Os resultados obtidos no presente estudo demonstram que a OCD na articulação tíbio-társica de equinos com idade superior a um ano representa processo ativo, com degradação da MEC da cartilagem articular, independente da presença de sinais clínicos, e que o tratamento cirúrgico é indicado, mesmo em animais assintomáticos, buscando interromper o processo de degradação cartilagínea e prevenir o desenvolvimento de doença articular degenerativa, particularmente em equinos que irão iniciar treinamento atlético esportivo. / Osteochondritis dissecans (OCD) is an orthopedic disease that appears in foals during growth phase and is characterized by the presence (occurrence???) of an osteochondral fragment in the articular space. There are few studies in the literature concerning the follow up of the disease in adult horses, mainly those without clinical signs, which are submitted to surgical treatment to commercial proposes or to prevent the progression of the disease. The objective of the present study was to analyze tibiotarsal joints of horses older than one year with OCD in the intermediate ridge of distal tibia and compare healthy animals (control group) with OCD horses, either with or without clinical signs. Synovial fluid was analyzed to total cell count, total protein concentration, and cartilage oligomeric matrix protein (COMP) fragmentation. The synovial fluid and urine glycosaminoglycans (GAGs) were evaluated. The synovial membrane and osteochondral fragment were analyzed by istological assessment. Horses were divided in three groups: healthy horses without joint disease (Group I), horses with OCD without clinical sings (Group II) and horses with OCD and clinical signs (Group III). Horses of Groups II and III were admitted to the Large Animal Surgery Session of the Veterinary Hospital FMVZ USP. The presence of clinical signs was more related with multiple articular fragments than with one fragment, irrespective of the size. The most common clinical sign observed in Group III was joint effusion. The main changes in synovial fluid were: increase in chondroitin sulfate (CS) in Groups II (P<0,01) and III (P<0,001) when compared with Group I; increase in hyaluronic acid (HA) concentration associated with decrease in the viscosity in Group III; and the decrease of COMP fragments of higher molecular weight associated with increase of fragments of low molecular weight in Group II and III. The proportion of urinary CS was increased in Group II and III when compared with Group I. Alterations in the articular cartilage integrity associated with chondrocytes proliferation and loss of proteoglycan were observed in the histological analysis of the osteochondral fragments. In Group I the presence of synovial vilos and synoviocytes in the synovial membrane samples was discreet. In Group II samples there were a moderate increase in the presence of synovial vilos and synoviocytes. In almost samples analyzed in Group III the presence of synovial vilos was moderate to severe and synoviocytes proliferation was intense. Our results indicate that OCD in tibiotarsal joint of horses older than one year represents an active process, with degradation of the extra cellular matrix of the articular cartilage, regardless the presence of clinical signs, indicating surgical treatment, even in assymptomatic horses, avoiding the progression of cartilage degradation process and preventing the development of degenerative joint disease, mainly in horses that are going to begin athletic training.

This thesis describes structural studies on the interactions between the fucosylated chondroitin sulfate (fCS) oligosaccharides and human proteins known as selectins. fCS is a carbohydrate obtained from sea cucumbers, that can be classified as a branched glycosaminoglycan (GAG). It has attracted much attention due to its anti-coagulant, anti-inflammatory, antimetastatic and anti-HIV properties and its structure was previously determined by NMR. Selectins constitute a family of proteins involved in cell adhesion processes, such as inflammation, attachment of viral particles and migration of tumour cells. fCS oligosaccharides have been shown to bind to selectins, which is likely a reason behind their biological activity. However, the mechanism of this interaction is currently unknown. The initial part of the thesis describes the experimental work on expression and purification of the recombinant L- and P-selectin constructs in Pichia pastoris, Escherichia coli and HEK 293 cells. The aim of these experiments was to produce two constructs for each selectin, a single domain construct, consisting of the C-type lectin domain only, and a double domain construct, consisting of both the C-type lectin and the EGF-like domains. The intention was that the recombinant proteins would be labelled with 13C and 15N to allow for the in-depth structural NMR studies on the fCS-selectin interaction. Various experimental approaches have been explored, including the use of different cell lines, modifications to construct design, as well as alterations to expression and purification conditions. Although it was not possible to produce soluble selectin constructs in either bacterial or yeast cells, protein expression tests in HEK293 cells, performed in collaboration with the Oxford Protein Production facility (OPPF), led to production of a soluble L-selectin construct, consisting of the L-selectin C-type lectin domain. The produced L-selectin construct, as well as two commercially available constructs of the Land P-selectin extracellular domains, were used in the Saturation Transfer Difference (STD) NMR experiments to provide new information about the nature of the fCS-selectin binding. The STD experiments allowed to identify the regions within the fCS oligosaccharides that are in direct contact with the protein and likely play an important role in this interaction. Experiments on different protein constructs allowed the comparison of fCS binding to P-selectin and to two different recombinant constructs of L-selectin. Results of these studies suggest that the binding occurs via a similar mechanism for both L- and P-selectins and that the fCS oligosaccharides bind to one-domain L-selectin construct with similar affinity as to a larger construct, consisting of the entire extracellular region of the protein. Alongside the experimental work, theoretical in silico studies on the fCS-selectin binding were undertaken as part of this project. The existing X-ray structures of selectin complexes were subjected to Molecular Dynamics (MD) simulations, which allowed to explore the dynamic behaviour of E-selectin upon binding to sialyl Lewis x (sLex). It was found that sLex forms a more favourable interaction with the extended conformation of E-selectin and that the protein in this conformation is characterised by a high degree of interdomain flexibility, with a new type of interdomain movement observed in the MD studies on this complex. In further in silico studies, the fCS oligosaccharides were docked to the existing P-selectin structures. The docking tests were performed on the computationally produced fCS trisaccharides with fucose branches either 2,4 or 3,4-sulfated. Results were evaluated with MD simulations and analysed in the light of current knowledge of selectin-ligand binding and the STD NMR experimental results. The in silico studies allowed to identify a subset of P-selectin residues that are likely involved in the interaction with fCS oligosaccharides in vivo. The conformational behaviour of P-selectin upon binding to fCS was also explored and it was found that the interdomain hinge is flexible during this interaction and allows transition from bent to extended conformational state. Finally, a new NMR method was developed to facilitate the studies of complex carbohydrates, incorporating the concepts of G-matrix Fourier Transform (GFT) NMR into 2D HSQC and 2D HSQC-TOCSY experiments. The method allows to separate peaks in the regions of high spectral overlap, providing information that can simplify the assignment process. The new experiments facilitated the structural evaluation of a sample containing a mixture of oligosaccharides resulting from the depolymerisation of fCS polysaccharide.

A inexistência de um agente terapêutico único satisfatório para o tratamento do melanoma metastático e a potencialidade do quimioterápico 5FU (5-fluorouracil) motivou esta pesquisa, a qual teve por objetivo o desenvolvimento tecnológico de sistemas carreadores micro-/ e nanoestruturados contendo 5FU a fim de aumentar sua eficácia terapêutica e reduzir a toxicidade por meio da administração pulmonar. Duas formulações pulverulentas foram desenvolvidas com polímeros naturais, sulfato de condroitina e hidroxipropil-metil-celulose, denominadas 5FU-MS e 5FU-NS, utilizando as técnicas de aspersão e atomização vibracional piezoelétrica, respectivamente. Ambas as formulações foram avaliadas quanto às características físicas e químicas, perfil toxicológico in vivo (C. elegans e em ratos Wistar), e penetração e biodisponibilidade no tecido pulmonar pela quantificação da fração livre de fármaco por microdiálise pulmonar. A análise físico-química revelou a obtenção de partículas micrométricas para 5FU-MS e submicrométricas para 5FU-NS, com diâmetros médios de partícula de 2,546 ± 0,07 m e 0,652 ± 0,03 m, e fração respirável (FR%) de 55,12 ± 2,98 e 76,84 ± 0,07, respectivamente. Ambas demonstraram características e propriedades adequadas para administração pulmonar, com capacidade de deposição nas porções média e profunda. A toxicidade das formulações avaliada em C. elegans considerou o percentual de morte, desenvolvimento, DL50 e produção de ROS para os nematodos sob tratamento agudo e crônico. Os resultados evidenciaram redução significativa da toxicidade proporcionada pela redução da taxa de morte e maior desenvolvimento dos grupos tratados com as formulações 5FU-MS e 5FU-NS em comparação ao fármaco livre, sugerindo perfis de segurança satisfatórios para administração. Além disso, 5FU-MS revelou-se um agente pró-oxidante, representando um diferencial promissor deste sistema, podendo alcançar maior sensibilização das células tumorais com menores doses. A toxicidade pulmonar aguda foi avaliada pela análise de LDH e proteínas totais no fluido de lavagem bronco-alveolar (BALF) após a administração combinada das formulações 5FU-MS e 5FU-NS para administração como um sistema terapêutico único (5FU-MS/NS), e análise de dano tecidual pulmonar em ratos. Os resultados da análise bioquímica e histológica indicaram o baixo potencial de indução de lesão tecidual a partir da administração pulmonar combinada das formulações, em relação ao fármaco livre. A análise do perfil farmacocinético por microdiálise pulmonar evidenciou o êxito no desenvolvimento dos sistemas carreadores, tornando possível duplicar o t1/2 do 5FU e aumentar significativamente a biodisponibilidade no tecido pulmonar. Os resultados obtidos indicam a eficiência das formulações 5FU-MS e 5FU-NS em alcançar os benefícios terapêuticos do fármaco 5FU com menores doses e maiores intervalos de administração. Este trabalho de tese apresenta uma abordagem promissora na terapia de neoplasias com recorrência de metástase pulmonar. / The absence of a single therapeutic agent suitable for the treatment of metastatic melanoma and the potential of 5FU chemotherapy (5-fluorouracil) motivated this study, which aimed the development of carrier systems based on micro-/ and nanostructures containing 5FU to increase the therapeutic efficacy and reduce toxicity of this drug by pulmonary administration. Two different formulations of dry powders were developed with natural polymers, chondroitin sulfate and hydroxypropyl-methyl-cellulose, denomined 5FU-MS and 5FU-NS, using the spray-drying and vibrational piezoelectric atomization techniques, respectively. Both formulations were evaluated in terms of physico-chemical characteristics, in vivo toxicological behaviors (C. elegans and in Wistar rats), bioavailability and penetration in the lung tissue by quantifying of drug free fraction by lung microdialysis. The physicochemical analysis showed that were obtained as micrometric (5FU-MS) and submicron particles (5FU-NS), with average diameters of particle 2.546 ± 0.07 m and 0.652 ± 0.03 m, and respirable fraction (FR%) of 55.12 ± 2.98 and 76.84 ± 0.07, respectively. Both showed suitable characteristics and properties for pulmonary delivery, with deposition capacity in the middle and deep lung portions. The toxicity of the formulations evaluated in C. elegans considered the death rate, body development, DL50 and production of ROS to nematodes under acute and chronic treatment. The results showed significant reduction of toxicity, reducing the death rate and greater development of the groups treated with 5FU-MS and 5FU-NS formulations compared to the free drug, suggesting satisfactory safety profile for administration. In addition, 5FU-MS proved to be a pro-oxidant agent, representing a promising differential of this system which can achieve greater sensitization of tumoral cells with lower doses. Acute pulmonary toxicity was evaluated by analyzing LDH, and total protein in the bronchoalveolar lavage fluid (BALF) after combined administration of 5FU-MS formulations and 5FU-NS for administration as a single therapeutic system (5FU-MS/NS) and analysis of lung tissue damage in rats. The results of biochemical and histological analysis indicated the low potential to induce tissue damage from the pulmonary administration of combined formulations, compared to free drug. Analysis of the pharmacokinetic profile for pulmonary microdialysis showed the successful development of carrier systems, making it possible to double the t1/2 of 5FU and significantly increase bioavailability in lung tissue. The results indicate the effectiveness of the formulations 5FU-MS and 5FU-NS in achieving the therapeutic benefits of the drug 5FU at lower doses and higher dosing intervals. This thesis work presents a promising approach to cancer therapy with lung metastasis recurrence.

A osteocondrite dissecante (OCD) é uma doença que surge nos equinos durante a fase de desenvolvimento sendo caracterizada pela presença de fragmento osteocondral intra-articular. Pouco se sabe sobre a condição da articulação doente em animais mais velhos, principalmente nos casos assintomáticos, que são operados muitas vezes com a finalidade de comercialização posterior ou para impedir a progressão da doença. A finalidade deste estudo, portanto, foi analisar as articulações tíbio-társicas de equinos com idade superior a um ano apresentando OCD na crista intermédia da tíbia, e comparar animais saudáveis (grupo controle) com animais acometidos de OCD nas formas sintomática e assintomática, empregando análise física; contagem de células totais, dosagem de proteína total, análise de glicosaminoglicanos (GAGs) e da proteína oligomérica da matriz cartilagínea (COMP) no líquido sinovial; análise dos GAGs urinários e análise histológica da membrana sinovial e fragmento osteocondral. Os eqüinos utilizados foram divididos em três grupos. No Grupo I foram utilizados eqüinos clinicamente sadios, livres de doença na articulação tíbiotársica. Os Grupos II e III foram constituídos por animais portadores de OCD nas formas sintomática e assintomática respectivamente, atendidos e operados no Serviço de Cirurgia de Grandes Animais do Hospital Veterinário FMVZ-USP. A presença de sinais clínicos esteve mais relacionada com a presença de múltiplos fragmentos do que com a de fragmento osteocondral único, independente de seu tamanho. O sinal clínico mais observado nos animais do Grupo III foi a efusão articular. As principais alterações encontradas no líquido sinovial foram: o aumento na concentração de condroitim sulfato (CS) no Grupo II (P<0,01) e no Grupo III (P<0,001) em relação ao Grupo I; o aumento na concentração de ácido hialurônico associado à diminuição da viscosidade nos animais do Grupo III; e a redução na presença de fragmentos de alto peso molecular associado ao aumento de fragmentos de baixo peso molecular de COMP nos animais dos Grupos II e III. A análise dos GAGs urinários evidenciou aumento na proporção de CS nos animais dos Grupos II e III em relação ao Grupo I. Na análise histológica dos fragmentos osteocondrais foram observadas alterações na integridade da cartilagem articular, associada a proliferação de condrócitos e a redução na presença de proteoglicanos tanto no Grupo II como no Grupo III. As amostras de membrana sinovial do Grupo I apresentaram presença discreta de vilos e sinoviócitos. No Grupo II houve aumento moderado nas vilosidades sinoviais, e na maior parte das amostras avaliadas no Grupo III, além da presença moderada a severa de vilosidades sinoviais, foi observada proliferação intensa de sinoviócitos. Os resultados obtidos no presente estudo demonstram que a OCD na articulação tíbio-társica de equinos com idade superior a um ano representa processo ativo, com degradação da MEC da cartilagem articular, independente da presença de sinais clínicos, e que o tratamento cirúrgico é indicado, mesmo em animais assintomáticos, buscando interromper o processo de degradação cartilagínea e prevenir o desenvolvimento de doença articular degenerativa, particularmente em equinos que irão iniciar treinamento atlético esportivo. / Osteochondritis dissecans (OCD) is an orthopedic disease that appears in foals during growth phase and is characterized by the presence (occurrence???) of an osteochondral fragment in the articular space. There are few studies in the literature concerning the follow up of the disease in adult horses, mainly those without clinical signs, which are submitted to surgical treatment to commercial proposes or to prevent the progression of the disease. The objective of the present study was to analyze tibiotarsal joints of horses older than one year with OCD in the intermediate ridge of distal tibia and compare healthy animals (control group) with OCD horses, either with or without clinical signs. Synovial fluid was analyzed to total cell count, total protein concentration, and cartilage oligomeric matrix protein (COMP) fragmentation. The synovial fluid and urine glycosaminoglycans (GAGs) were evaluated. The synovial membrane and osteochondral fragment were analyzed by istological assessment. Horses were divided in three groups: healthy horses without joint disease (Group I), horses with OCD without clinical sings (Group II) and horses with OCD and clinical signs (Group III). Horses of Groups II and III were admitted to the Large Animal Surgery Session of the Veterinary Hospital FMVZ USP. The presence of clinical signs was more related with multiple articular fragments than with one fragment, irrespective of the size. The most common clinical sign observed in Group III was joint effusion. The main changes in synovial fluid were: increase in chondroitin sulfate (CS) in Groups II (P<0,01) and III (P<0,001) when compared with Group I; increase in hyaluronic acid (HA) concentration associated with decrease in the viscosity in Group III; and the decrease of COMP fragments of higher molecular weight associated with increase of fragments of low molecular weight in Group II and III. The proportion of urinary CS was increased in Group II and III when compared with Group I. Alterations in the articular cartilage integrity associated with chondrocytes proliferation and loss of proteoglycan were observed in the histological analysis of the osteochondral fragments. In Group I the presence of synovial vilos and synoviocytes in the synovial membrane samples was discreet. In Group II samples there were a moderate increase in the presence of synovial vilos and synoviocytes. In almost samples analyzed in Group III the presence of synovial vilos was moderate to severe and synoviocytes proliferation was intense. Our results indicate that OCD in tibiotarsal joint of horses older than one year represents an active process, with degradation of the extra cellular matrix of the articular cartilage, regardless the presence of clinical signs, indicating surgical treatment, even in assymptomatic horses, avoiding the progression of cartilage degradation process and preventing the development of degenerative joint disease, mainly in horses that are going to begin athletic training.

Trauma to the central nervous system (CNS) results in an irreversible disruption of axon tracts, often leading to lifelong functional deficits. Despite a large body of research into the mechanisms that underlie the lack of axonal regeneration after CNS injury, there are currently no effective treatments. One major obstacle involves the presence at injury sites of CNS growth-inhibitory molecules, such as myelin proteins and astrocyte-derived chondroitin sulfate proteoglycans (CSPGs), which act as environmental barriers to axonal regeneration. Our lab recently described the identification and characterization of a novel compound, F05, which promotes growth on inhibitory substrates in vitro. I show that F05 improves regeneration in vivo after acute sensory axon transection as well as after optic nerve crush injury. F05 does not target known signaling molecules involved in CSPG or myelin mediated inhibition but does affect growth cone microtubule dynamics, suggesting a potentially novel mechanism of growth promotion. Using a protein microarray, I show that apoptotic signaling pathways may underlie glial-derived inhibition and its relief by F05. In addition, I employed a comparative gene microarray to show that F05 induces similar changes in gene expression as antipsychotics of the piperazine phenothiazine structural class (PhAPs). Indeed, PhAPs share F05’s ability to overcome glial-derived inhibition of cultured CNS neurons and do so through a mechanism dependent on antagonism of calmodulin. These studies have led to the identification of potentially novel clinical treatments for CNS injury as well as a better understanding of environmentally derived growth-inhibitory signaling mechanisms.

The cell surface is an active area where extracellular molecules meet their receptors and affect the cellular fate by inducing for example cell proliferation and adhesion. Syndecans and integrins are two transmembrane molecules that have been suggested to fine-tune these activities, possibly in cooperation. Syndecans are proteoglycans, i.e. proteins with specific types of carbohydrate chains attached. These chains are glycosaminoglycans and either heparan sulfate (HS) or chondroitin sulfate (CS). Syndecans are known to influence cell adhesion and signaling. Integrins in turn, are important adhesion molecules that connect the extracellular matrix with the cytoskeleton, and hence can regulate cell motility. In an attempt to study how the two types of glycosaminoglycans attached to syndecan-1 can interact with integrins, a cell based model system was used and functional motility assays were performed. The results showed that HS, but not CS, on the cell surface was capable of regulating integrin-mediated cell motility. Regulation of intracellular signaling is crucial to prevent abnormal cellular behavior. In the second part of this thesis, the aim was to see how the presentation of glycosaminoglycan chains to the FGF signaling complex could affect the cellular response. When attached to the plasma membrane via syndecan-1, CS chains could support the intracellular signaling, although not promoting as strong signals as HS. When glycosaminoglycans were attached to free ectodomains of syndecan-1, both types of chains sequestered FGF2 from the receptors to the same extent, pointing towards functional overlap between CS and HS. To further study the interplay between HS and CS, their roles in the formation of pharyngeal cartilage in zebrafish were established. HS was important during chondrocyte intercalation and CS in the formation of the surrounding extracellular matrix. Further, the balance between the biosynthetic enzymes determined the ratio of HS and CS, and HS biosynthesis was prioritized over CS biosynthesis. The results presented in this thesis provide further insight into the regulation of HS biosynthesis, as well as the roles of both HS and CS on the cell surface. It is evident, that in certain situations there is a strict requirement for a certain HS structure, albeit in other situations there is a functional overlap between HS and CS.