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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
11

Anosmia: recuperação da função olfatória por terapia celular / Anosmia: recovery of olfactory function using cell therapy

Rafael Cardoso Carvalho 16 September 2014 (has links)
O sistema olfatório desempenha um papel relevante na exploração do ambiente e no reconhecimento social e sexual de mamíferos. Por meio deste sistema os animais podem reconhecer, detectar e discriminar uma grande quantidade de odorantes de estruturas químicas variadas, sinais químicos no ambiente essenciais para a sobrevivência e os ferormônios, que desencadeiam comportamentos sociais e reprodutivos. Algumas doenças e certos tipos de injúrias fisiológicas podem provocar a morte destas células, o que pode levar a perda da sensibilidade olfatória, embora já se saiba que este epitélio apresenta grupos de neurônios capazes de regeneração. A partir deste contexto, a terapia celular acaba sendo uma alternativa para o tratamento de patologias as quais acometem o sistema olfatório, como por exemplo, a anosmia que pode causar problemas graves, desde acidentes com gás ou comida estragada até depressão e distúrbios alimentares, causadas pela perda do paladar. Objetivou-se com este trabalho avaliar a recuperação da função olfatória de ratos anósmicos, bulbectomizados e submetidos a terapia celular com células-tronco provenientes do epitélio olfatório de ratos wistar. Para tanto foram utilizados 21 ratos machos Wistar de sessenta dias de idade, onde três foram utilizados para obtenção das células tronco do epitélio olfatório, dois para o controle cirúrgico, e restante foram divididos em 4 grupos: GI, GII, GIII e GIV os quais foram transplantados após 3, 7, 14 e 21 dias após a bulbectomia, respectivamente. A técnica cirúrgica foi realizada com incisão de pele, tecido subcutâneo e periósteo, seguida de abertura em janela de formato ovalado e remoção dos bulbos olfatórios mediante aspiração. Para a comprovação da anosmia após a cirurgia, os ratos foram submetidos ao teste comportamental do \"odor de gato\", e os do grupo controle após o período experimental foram sacrificados e a área encefálica da lesão causada pela cirurgia foi coletada onde foram realizadas análises histopatológicas. Os animais do GI, GII, GIII e GIV após 3, 7, 14 e 21 dias após bulbectomia foram anestesiados e receberam células tronco (1x106) do EOR no mesmo local da realização da bulbectomia, e posteriormente foram submetidos ao teste comportamental do \"odor de gato\". Transcorrido o período experimental, foram eutanasiados e os fragmentos de encéfalo foram coletados para análise histopatológica e imunohistoquímica. Os resultados evidenciam que realização da intervenção cirúrgica demonstrou remoção parcial do BO, com destruição da conexão nervosa entre os bulbos olfatórios e o epitélio olfatório. Ainda, a partir do teste comportamental do \"odor de gato\", e pela análise histopatológica das lesões causadas pela cirurgia, que evidenciou extensa área de necrose, com presença de hemossiderina e astrogliose reativa, constatou-se que a técnica empregada para promoção da bulbectomia foi eficaz para promoção da anosmia. A partir da análise comportamental, dos animais submetidos a terapia celular, os animais do GII e GIII apresentaram modificações no comportamento olfativo, com comportamento olfativo positivo ao \"odor do gato\", aversão comportamento defensivo, enquanto 100% dos animais do GI e GIV não apresentaram nenhuma modificação no comportamento olfativo. As análises por imunohistoquímica evidenciaram marcação positiva para o GFP, o que indica a presença das células tronco transduzidas com eGFP nos locais das lesões e ainda a expressão positiva do GFAP que evidencia a presença de astrogliose reativa com presença de cicatriz glial nos locais das lesões. / The olfactory system plays an important role in the exploration of the environment and in social and sexual behavior in mammals. Disturbances of the olfactory system such as observed in anosmia has also been related to accidents caused by gas leak and intoxications by food poisoning, in addition to eating disorders due to relation of the olfactory system with the taste. Through the olfactory system, animals recognize, detect and discriminate a large amount of odorants in a variety of chemical products, including pheromones, as well as in the environment which may guarantee their survival. Some diseases and injuries cause death of cells from the olfactory system leading to decrease or loss of the smell sensitivity. It is known that the olfactory epithelium has cells capable of regenerating neurons. Therefore, the utilization of these cells in cell therapy represents an alternative for the treatment of the olfactory system disorders. The objective of this study was to evaluate the regenaration of olfactory function of bulbectomized rats that were subjected to cell therapy with cells isolated from the olfactory epithelium. Twenty one male Wistar rats, sixty days of age were included in this study. Three rats were used for isolation of the olfactory epithelium cells, two for the surgical control and the remaining were divided into 4 groups: GI, GII, GIII and GIV corresponding to groups where cells were transplanted after 3, 7, 14 and 21 days after bulbectomy, respectively. The surgical technique was performed with skin, subcutaneous and periosteum incisions, followed by craniectomy and the removal of olfactory bulbs upon aspiration. For proof of anosmia, the rats were subjected to behavioral testing know as \"cat odor\". The animals of the control group were sacrificed and brain, with the lesion area, collected and processed for histopathological analysis. The animals of the experimental groups (GI, GII, GIII and GIV) were anesthetized and received heterologous cells (1x106) from olfactory epithelium, thorugh the same venue of the bulbectomy. These animals subsequently underwent behavioral \"cat odor\" testing. After 3, 7, 14 and 21 days of the cell injection, the rats were euthanized and the animals brains were collected for histopathological and immunohistochemical analyses. The results show that the surgical procedure promoted partial removal of olfactory bulbs, with destruction of the neural connection between the olfactory bulb and the olfactory epithelium. The behavioral \"cat odor\" test and the histopathological exams of the lesions, which revealed a large area of necrosis with presence of hemosiderin and reactive astrogliosis, demonstrated that the bulbectomy technique used to promote anosmia was effective. The behavioral test showed that the animals from GII and GIII presented changes in olfactory sensitivity, with positive \"cat odor\" aversion and defensive reaction. This test did not show change in GI and GIV groups. Immunohistochemistry analysis was positive for GFP, suggesting the presence of eGFP transduced cells at the sites of injury. In addition, the expression of GFAP positive cells demonstrated the presence of reactive astrogliosis with glial scar at the sites of injury.
12

The Effects of Aging on EGFR/pSTAT3-Dependent Gliovascular Structural Plasticity

Mills, William A. III 28 May 2021 (has links)
Astrocytes comprise the most abundant cell population in human brain (1). First described by Virchow as being 'glue' of the brain (2), modern research has truly extended our knowledge and understanding regarding the vast array of roles these cells execute under normal physiological conditions. Examples include neurotransmitter reuptake at the synapse (3), the regulation of blood flow at capillaries to meet neuronal energy demand (4), and maintenance/repair of the blood-brain barrier (BBB) (5), which is comprised, in part, of tight junction proteins such zonula-occludens-1 (ZO1) (6) and Claudin-5 (7). Underlying the execution of these processes is the morphological and spatial arrangement of astrocytes between neurons and endothelial cells comprising blood vessels, where comprehensively speaking, these cells form what is known as the gliovascular unit (8). Astrocytes extend large processes called endfeet that intimately associate with and enwrap up to 99% of the cerebrovascular surface (9). Disruptions to this association can occur in the form of retracted endfeet, and this has been characterized in several disease states such as major depressive disorder (10-12), ischemia (13-15), and normal biological aging (16-18). Disruption can also take the form of cellular/protein aggregate intercalation, which our lab previously characterized in a human-derived glioma model (19) and vascular amyloidosis human Amyloid Precursor Protein J20 (hAPPJ20) animal model (20). In both models, focal astrocyte-vascular disruptions coincided with perturbations to astrocyte control of blood flow, with deficits in BBB integrity present in the glioma model as well. These findings lead to the preliminary work in this dissertation where we aimed to extend BBB findings in the glioma model to the hAPPJ20 vascular amyloidosis model. Immunohistochemical analysis in two-year old hAPPJ20 animal arterioles revealed that indeed in locations of vascular amyloid buildup and endfoot separation, there was a significant reduction in a tight junction protein critical for BBB maintenance, ZO1. This reduction in ZO1 expression was accompanied by extravasation of 70kDa FITC and the ~1kDa Cadaverine, suggesting that BBB integrity was compromised. These findings led to the objective of this dissertation, which was to determine if focal ablation of an astrocyte is sufficient to disrupt BBB integrity. By utilizing the in vivo 2Phatal single-cell apoptosis induction method (21), we found that 1) focal loss of astrocyte-vascular coverage does not result in barrier deficits, but rather induces a plasticity response whereby surrounding astrocytes extend processes to reinnervate vascular vacancies no longer occupied by previously ablated astrocytes. 2) Replacement astrocytes are capable of inducing vasocontractile responses in blood vessels, and that 3) aging significantly attenuates the kinetics of this process. We then tested the hypothesis that focal loss of astrocyte-vascular coverage leads to a gliovascular structural plasticity response, in part, through the phosphorylation of signal transducer and activator of transcription 3 (STAT3) by Janus Kinase 2 (JAK2). This dissertation found that 4), this was indeed the case, and finally, 5) we determined that gliovascular structural plasticity occurs after reperfusion post-focal photothrombotic stroke. Together, the work presented in this dissertation sheds light on a novel plasticity response whereby astrocytes maintain continual cerebrovascular coverage and therefore physiological control. Future studies should aim to determine if 1) astrocytes also replace the synaptic contacts with neighboring neurons once held by a previous astrocyte, and 2) what therapeutic opportunity gliovascular structural plasticity may present regarding BBB repair following stroke. / Doctor of Philosophy / Astrocytes are the most abundant cell type in the brain. Their anatomical relationship to neurons and endothelial cells allows them to execute many vital brain functions, and comprehensively speaking, these cells form what is known as the gliovascular unit. Important for maintaining the expression of proteins preventing vascular leakage in the brain are molecules released from astrocytes processes called endfeet. These endfeet intimately enwrap blood vessels, and disruptions to endfeet-vascular coverage often coincide with vascular leakage in the brain. This dissertation therefore aimed to determine if astrocyte-vascular coverage is necessary in preventing vascular leakage. State-of-the art imaging in live animals determined this not to be the case, and rather found that focal loss of astrocyte-vascular coverage induces a plasticity response wherein neighboring astrocytes extend new endfeet to reinnervate vascular vacancies. Furthermore, we found that the kinetics of endfoot replacement are significantly reduced in aging, and that the phosphorylation of signal transducer and activator of transcription 3 (STAT3) is a critical arbiter underlying this response. Finally, given that we found endfoot replacement to occur in locations of lost astrocyte-vascular contact following reperfusion post-focal photothrombotic stroke, these findings may have implications regarding repair of the blood-brain barrier following CNS insults such as stroke.
13

Integrative Approaches to Evaluate Gliosis in Pediatric Neuropathology

Blackburn, Jessica Ann 10 November 2022 (has links)
No description available.
14

Regeneration in the adult brain after focal cerebral ischemia : exploration of neurogenesis and angiogenesis

Jiang, Wei January 2006 (has links)
Background: Ischemic stroke ranks as the third major cause of clinical mortality and the leading cause of handicap in adults. Each year, stroke occurs in about 30,000 Swedes. The severity of an acute ischemic stroke depends mainly on the degree and duration of local cerebral blood flow (lCBF) reduction. Prompt reperfusion improves neurological deficits, spontaneous electrical activity, energy metabolism, cerebral protein synthesis (CPS), and tissue repair, among which cell proliferation (neurogenesis, gliosis) and revascularization (angiogenesis) may have important functional and therapeutic implications. Aims of the thesis: (1) To establish the photothrombotic ring stroke(PRS) model with late spontaneous reperfusion in adult mice; (2) To explore angiogenesis and neurogenesis in adult brain after focal cerebral ischemia. Materials and Methods: The PRS model in C57 BL adult mice and the middle cerebral artery suture occlusion (MCAO) model in adult Wistar rats were used. The 5-bromodeoxyuridine (BrdU) was delivered into animal after stroke induction to label DNA duplication. CBF, CPS and adenosine triphosphate (ATP) were measured by laser-Doppler flowmetry (LDF), [14C]–Iodoantipyrine and [3H]-Leucine double tracer autoradiography, and bioluminescence, respectively. Immunocytochemistry / immunofluoresence were performed to detect different proteins. The cell marker colocalization was analyzed by three-dimension (3-D) confocal. The cell counting was performed with a stereological counting system. Results: The PRS model was established in adult mice by irradiating the exposed skull with a 514.5 nm argon laser ring beam (3 mm diameter, 0.21 mm thick) at an intensity of 0.65 W/cm2 for 60s, with concurrent erythrosin B (4.25 mg/kg) intravenous infusion for 15s. The central cortical region within the ring locus was progressively encroached by an annular ring-shaped perfusion deficit, where lCBF LDF declined promptly to 43% of the baseline value at 30 min post irradiation. The lCBF-IAP amounted to 46-17-58 ml/100g/min, where CPS varied from 57-38-112% at 4h-48h-7days post ischemia. ATP declined at 4h, achieved its maximum level at 48h and was markedly reduced at 7 days postischemia. Morphologically, at 4h some neurons in the region at-risk appeared swollen, at 48h the majority were severely swollen, eosinophilic and pyknotic. Tissue morphology became partly restored at 7 days post stroke, when numerous cortical cells were immunolabeled by BrdU or the mitosis-specific marker phosphorylated histone H3 (Phos-H3). Some of these cells were even doubly immunopositive to the neuron-specific marker Neu N and the astrocyte marker GFAP, as analyzed by 3-D confocal. In adult rats exposed to MCAO, widespread BrdU-immunolabeled cells appeared in the cortex, ipsilateral striatum and dentate gyrus of the hippocampus. Some of which were doubleimmunolabeled by the neuron specific markers Map-2, β-tubulin III and Neu N as analyzed by 3-D confocal. As early as 24h postischemia, BrdU-immunopositive endothelial cells were aligned as microvessels, some of which exhibited distinguishable lumens in the ischemic boundary zone, where VEGF-A, B, C proteins and their receptors flt-1, fik-1, flt-4 were overexpressed at 72h after MCAO. Conclusion: PRS model in adult mice elicits a dynamic deterioration and then restoration of local CBF, CPS, ATP and tissue morphology in the spontaneously reperfused cerebral cortex at 7d after stroke, where cortical neurogenesis and gliosis occurred. In adult rats with MCAO, neurogenesis occurred at 30 and 60d in the penumbral cortex and striatum. Angiogenesis occurred as early as 24h, which contributed to the spontaneous reperfusion frequently observed in this setting of acute ischemic stroke.
15

Biomechanical Properties of Live Rat Brain Following Traumatic Brain Injury

Alfasi, Abdulghader 13 September 2010 (has links)
Traumatic brain injury (TBI) has a 20% mortality rate and a 10-15% rate of resultant permanent disability. The consequences of TBI range from brief loss of consciousness, to prolonged coma or death. Mild TBI is amongst the common causes of admission to trauma centers all over the world. Future technologies such as magnetic resonance elastography and robotic surgery demand information about the physical properties of brain tissue. Walsh and Schettini described the mechanical behavior of brain tissue under normal status as nonlinear viscoelastic behavior and defined the associated biomechanical changes and responses in a quantitative measurement of the material changes. Yet, there is still a lack of data concerning time-dependent deformation and mechanical property changes associated with TBI. My goal in this project was to describe these mechanical responses and to create a system for measuring and evaluating the mechanical response of brain tissue in vivo. This was to be achieved by inducing cortical contusions with a calibrated weight-drop method in seventy-four young adult male Sprague-Dawley rats. Instrumented indentation was performed on control brains and 1 hour to 3 weeks after contusion with intact dura using a 4-mm-diameter flat punch indenter to a maximum depth of 1.2 mm at loading. Loading rates did not exceed 0.34 N/min and 1.2 mm/min. In order to obtain force displacement data, we studied the elastic response of the traumatized brain tissue and the deformation process (creep) during the loading and unloading of indenter. After euthanasia, the brain was removed and evaluated histologically with different methods to reveal acute and chronic changes related to the contusion. The results revealed that the biomechanical properties of the brain tissue were changed after cortical contusion. Brain tissue elasticity decreased in the edematous brain at one day following the contusion and increased at 3 weeks, in association with reactive astroglial changes. This experimental technique, combined with mathematical modeling, might eventually lead to a better understanding of the physical changes in brain following TBI.
16

Biomechanical Properties of Live Rat Brain Following Traumatic Brain Injury

Alfasi, Abdulghader 13 September 2010 (has links)
Traumatic brain injury (TBI) has a 20% mortality rate and a 10-15% rate of resultant permanent disability. The consequences of TBI range from brief loss of consciousness, to prolonged coma or death. Mild TBI is amongst the common causes of admission to trauma centers all over the world. Future technologies such as magnetic resonance elastography and robotic surgery demand information about the physical properties of brain tissue. Walsh and Schettini described the mechanical behavior of brain tissue under normal status as nonlinear viscoelastic behavior and defined the associated biomechanical changes and responses in a quantitative measurement of the material changes. Yet, there is still a lack of data concerning time-dependent deformation and mechanical property changes associated with TBI. My goal in this project was to describe these mechanical responses and to create a system for measuring and evaluating the mechanical response of brain tissue in vivo. This was to be achieved by inducing cortical contusions with a calibrated weight-drop method in seventy-four young adult male Sprague-Dawley rats. Instrumented indentation was performed on control brains and 1 hour to 3 weeks after contusion with intact dura using a 4-mm-diameter flat punch indenter to a maximum depth of 1.2 mm at loading. Loading rates did not exceed 0.34 N/min and 1.2 mm/min. In order to obtain force displacement data, we studied the elastic response of the traumatized brain tissue and the deformation process (creep) during the loading and unloading of indenter. After euthanasia, the brain was removed and evaluated histologically with different methods to reveal acute and chronic changes related to the contusion. The results revealed that the biomechanical properties of the brain tissue were changed after cortical contusion. Brain tissue elasticity decreased in the edematous brain at one day following the contusion and increased at 3 weeks, in association with reactive astroglial changes. This experimental technique, combined with mathematical modeling, might eventually lead to a better understanding of the physical changes in brain following TBI.
17

Influencia do MHC classico (Ia) e não-classico (Ib) e da oxido nitrico sintase induzivel (iNOS) na reação glial e na plasticidade das sinapses apos axotomia periferica / Influence of a classical (Ia) and non-classical (Ib) MHC I and inducible nitric oxide synthase (iNOS) on glial reaction and synaptic plasticity after peripheral axotomy

Emirandetti, Amanda 12 October 2009 (has links)
Orientador: Alexandre Leite Rodrigues de Oliveira / Tese (doutorado) - Universidade Estadual de Campinas. Instituto de Biologia / Made available in DSpace on 2018-08-15T19:14:30Z (GMT). No. of bitstreams: 1 Emirandetti_Amanda_D.pdf: 10405230 bytes, checksum: 86b2578427126b457b8a4ebeac01a1f5 (MD5) Previous issue date: 2009 / Resumo: Após uma lesão de um nervo periférico, astrócitos e microglia tornam-se reativos, desencadeando a chamada gliose reativa. Adicionalmente, uma porcentagem significativa dos botões sinápticos em íntima relação com os motoneurônios é eliminada, sendo este mecanismo associado à ação de fagocitose das células gliais. Recentemente, a expressão de MHC I (complexo de histocompatibilidade principal classe I) tem sido relacionada com a plasticidade das sinapses e com o processo de regeneração axonal subseqüente à transecção do nervo isquiático, sendo a manipulação da expressão dessa molécula um possível alvo terapêutico. Por sua vez, a óxido nítrico sintase induzível (iNOS), parece estar envolvida com eventos pró- e anti-apoptóticos e com processos de plasticidade das sinapses após lesão do nervo periférico. Embora alguns trabalhos tenham sugerido a participação do MHC classe I nos processos de plasticidade sináptica após a lesão do Sistema Nervoso (SN), as suas funções bem como os mecanismos moleculares que estão envolvidos nesses processos permanecem obscuros. Portanto, os objetivos principais deste trabalho foram identificar a importância relativa de distintas moléculas de MHC classe I clássico (Ia) e não clássico (Ib) na reatividade astroglial e microglial após a axotomia periférica, bem como avaliar o envolvimento da iNOS em tais processos e no grau de eliminação das sinapses. Para tais fins, foram utilizados camundongos knockout para transportador associado com a apresentação de antígeno - 1 (TAP-1), microglobulina-p2 (mp2) genes K e D do MHC I (H2-Kb / Db), iNOS e camundongos controle C57BL/6J. Os animais que foram submetidos à transecção do nervo isquiático foram processados para imunohistoquímica, histoquímica, western blotting e microscopia eletrônica de transmissão (estudo in vivo). Camundongos neonatos foram utilizados para o cultivo de astrócitos (estudo in vitro). Os resultados indicam que a ausência de complexo principal de histocompatibilidade I não clássico (MHC Ib) pode influenciar o grau de reação astroglial e microglial uma e três semanas após a axotomia periférica. Ainda, animais deficientes em iNOS apresentaram menor capacidade de expressão de complexo principal de histocompatibilidade I clássico (MHC Ia) por células da microglia uma semana após a lesão. A análise quantitativa da microscopia eletrônica indica maior retração das sinapses em animais knockout para iNOS quando comparados com a linhagem selvagem C57BL/6J. O conjunto dos resultados obtidos sugere que a gliose reativa é influenciada pela expressão de MHC I não clássico e que a iNOS pode participar de mecanismos de apresentação da forma clássica na superfície celular microglial, aumentando assim a retração sináptica e contribuindo para a resposta regenerativa neuronal após a axotomia periférica. / Abstract: Following a peripheral nerve injury, microglial and astrocytic cells become reactive, triggering the so called 'reactive gliosis'. Also, a significant percentage of the synaptic buttons to the motoneurons is eliminated and such process can be associated to the activation of glial cells. Recently, major histocompatibility complex class I (MHC I) expression has been related to the synaptic plasticity and axonal regeneration process that follows sciatic nerve transection. In this sense, the modulation of MHC I expression can be, in the future, used as a therapeutic approach in several diseases and also after trauma of the nervous system. Similarly to the MHC I, inducible nitric oxide synthase (iNOS) can be involved in the synaptic plasticity process after nerve lesion. The objectives of this work were to investigate the relative importance of MHC I expression (classical / Ia and non-classical / Ib MHC I) on the microglial and astroglial reaction after axotomy and to evaluate iNOS involvement in such process and on the degree of synaptic stripping. For this purpose, knockout mice for transporter associated with antigen processing (TAP-1), P2- microglobulin (mp^) , K and D MHC I genes (H2-Kb / Db), iNOS and wild type C57BL/6J strains were subjected to unilateral sciatic nerve transection and specimens were processed for immunohistochemistry, histochemistry, Western blotting and transmission electron microscopy (in vivo study). Astrocytes from newborn mice were also investigated in primary cell cultures (in vitro study). The results indicate that nonclassical class I major histocompatibility (MHC Ib) absence may influence the microglial and astroglial reaction one and three weeks after axotomy. Also, iNOS deficient mice presented milder classical class I major histocompatibility (MHC Ia) expression by microglia one week after lesion than C57BL/6J. Quantitative transmission electron microscopy (TEM) analysis indicates greater number of synaptic elimination in the iNOS knockout mice as compared to the wild type. Overall, the present results suggest that reactive gliosis is influenced by non-classical MHC Ia expression and iNOS molecules might participate on microglial cell surface presentation of MHC I, therefore contributing to synaptic detachment and the regenerative response after axotomy. / Doutorado / Anatomia / Doutor em Biologia Celular e Estrutural
18

Analyse neurodegenerativer Prozesse im Gyrus Dentatus im Tg4-42-Mausmodell der Alzheimerdemenz / The analysis of neurodegenerative processes in the dentate gyrus using the Tg4-42 mouse model of Alzheimer's disease

Schubert, Nils 05 April 2018 (has links)
No description available.
19

Contusive Spinal Cord Injury: Endogenous Responses of Descending Systems and Effects of Acute Transplantion of Glial Restricted Precursor Cells

Hill, Caitlin E. 18 October 2002 (has links)
No description available.
20

Estudo das relações entre populações celulares, expressão de aquaporina-4 e sulfato de condroitina com o tempo de relaxamento e a taxa de transferência de magnetização no hipocampo de pacientes com epilepsia do lobo temporal farmacorresistente / Study of the associations between cellular populations, aquaporin 4 and chondroitin sulfate with T2 relaxation and magnetization transfer in the hippocampus of patients with drug-resistant temporal lobe epilepsy

Santos, José Eduardo Peixoto 30 September 2014 (has links)
Racional: A epilepsia do lobo temporal está comumente associada à farmacorresistência e tem a esclerose hipocampal como achado neuropatológico em mais da metade dos casos. Histologicamente, a esclerose hipocampal está associada à perda neuronal diferencial e gliose, além de alterações nos níveis de moléculas associadas à homeostase da água tecidual, como a aquaporina 4 e a molécula de matriz sulfato de condroitina. Em imagens de ressonância nuclear magnética, a esclerose é caracterizada por redução de volume em sequências ponderadas em T1, aumento de sinal e tempo de relaxamento em sequências ponderadas em T2 e redução na transferência de magnetização. Justificativa e Objetivos: Uma vez que tanto o sinal T2 quando a transferência de magnetização são dependentes da água tecidual, nosso objetivo é avaliar, na formação hipocampal de pacientes com epilepsia do lobo temporal, as correlações entre populações celulares e moléculas ligadas à homeostase da água e as imagens ponderadas em T2 e transferência de magnetização. Visamos ainda definir, na formação hipocampal de indivíduos sem alterações neuropatológicas, o volume de cada um dos subcampos hipocampais. Metodologia: Pacientes com epilepsia do lobo temporal farmacorresistente (ELT, n = 43), bem como voluntários sadios (controle radiológico, CH, n = 20), foram submetidos a exames de ressonância magnética em máquina de 3T para mensuração da volumetria hipocampal, tempo de relaxamento T2 e transferência de magnetização hipocampal (exames in vivo). Após o tratamento cirúrgico para o controle das crises, os hipocampos dos pacientes com ELT foram fixados por 8 dias e submetidos aos exames ex vivo em máquina de 3T para cálculo do tempo de relaxamento T2 de cada subcampo hipocampal. Hipocampos controle (Controle historadiológico, CHR, n = 14), foram obtidos de autópsias de pacientes sem histórico ante-mortem de doença neurológica ou presença de patologia no exame do encéfalo pos mortem. Ambos os grupos controle foram pareados para idade em relação ao grupo ELT. Alguns dos casos CHR (n = 6) foram também submetidos à imagem 3D T2 em máquina de 4,7T para cálculo de volumetria dos subcampos hipocampais. Após emblocamento em parafina, secções coronais hipocampais dos casos CHR e ELT foram submetidas às técnicas de histoquímica básica Hematoxilina e Eosina e Luxol Fast Blue, e às imuno-histoquímicas para avaliação das populações neuronais (NeuN), astrócitos reativos (GFAP), micróglias ativadas (HLA-DR) e para a expressão de aquaporina 4 (AQP4) e níveis de sulfato de condroitina (CS-56). Para a comparação entre os grupos, foram realizados testes t para dados paramétricos e Mann-Whitney para dados não-paramétricos. Testes de correlação foram empregados para análise da associação entre as avaliações histológicas e os exames de ressonância magnética. Resultados: Pacientes com ELT apresentaram menor volume hipocampal, maior tempo de relaxamento T2 e menor transferência de magnetização no exame in vivo, quando comparados com o CR. O exame ex vivo para a volumetria dos subcampos hipocampais em casos do grupo CHR indicou que a fascia dentata, a região CA1 e o subículo correspondem à 85 % do volume hipocampal total. Quanto ao tempo de relaxamento T2 ex vivo, foi observado aumento em todos os subcampos hipocampais do grupo ELT, à exceção da fascia dentata, quando comparados ao CHR. A avaliação da densidade neuronal indicou redução significativa em todos os subcampos dos casos ELT, à exceção do subículo, quando comparados ao CHR. Em relação aos valores do grupo CHR, foi observada astrogliose em quase todos subcampos da formação hipocampal (a exceção da zona subgranular e do hilo) e microgliose em todos os subcampos (exceto pelo subículo) dos casos com ELT. Pacientes com ELT apresentaram redução na expressão de aquaporina 4 perivascular em todos os subcampos do hipocampo, comparados ao CHR. Aumento nos níveis de sulfato de condroitina foi observado em todos os subcampos da formação hipocampal, à exceção da camada granular, nos pacientes com ELT. O volume hipocampal e a transferência de magnetização in vivo dos pacientes com ELT correlacionaram-se tanto com a população neuronal como com os níveis de sulfato de condroitina, enquanto que o tempo de relaxamento in vivo correlacionou-se com a população astroglial e os níveis de sulfato de condroitina. O exame ex vivo corroborou a correlação entre a população glial e o tempo de relaxamento observado nos pacientes com ELT. A diferença entre o tempo de relaxamento in vivo e ex vivo correlacionou-se tanto com a difusibilidade da água no tecido como com os níveis de sulfato de condroitina. Conclusões: Nossos dados indicam correlação entre a patologia hipocampal e as imagens de ressonância nuclear magnética, sendo que a maior qualidade das imagens ex vivo permitiu uma avaliação mais direta entre o sinal de ressonância e a patologia, indicando importância da população celular e matriz extracelular para o volume hipocampal e a transferência de magnetização, e da astrogliose para o tempo de relaxamento T2. Finalmente, nossos dados mostraram que CA1, subículo e fascia dentata tem grande participação no volume hipocampal, sendo que alterações nestas regiões tem um papel mais relevante nas alterações observadas na ressonância magnética, como indicado por nossas correlações. / Rationale: Drug resistant temporal lobe epilepsy is often associated with hippocampal sclerosis. Histological evaluation reveals differential neuronal loss, gliosis and changes in molecules associated with water homeostasis, such as aquaporin 4 and chondroitin sulfate. Magnetic resonance imaging in these cases often reveals hippocampal atrophy, increased T2 signal and T2 relaxation and reduced magnetization transfer ratio in the hippocampus. Aims: Once both T2 signal and magnetization transfer are affected by tissue water, our goal was to evaluate, in the hippocampus of drug-resistant temporal lobe epilepsy patients who underwent surgery for seizure control, the associations between cellular populations, aquaporin 4 and chondroitin sulfate with T2 relaxation time and magnetization transfer. Additionally, we intended to measure the individual volume of each hippocampal subfield in hippocampus from patients without neurological disease. Methods: Patients with drug-resistant temporal lobe epilepsy (TLE, n = 43) and age-matched health volunteers (radiological control, RC, n = 20) were submitted to magnetic resonance in a 3T machine for hippocampal volumetry measure, T2 relaxation and magnetization transfer (in vivo examination). After surgical treatment for seizure control, hippocampi from the TLE patients were fixed in formalin for 8 days and then submitted to ex vivo imaging in 3T for relaxation time of every hippocampal subfield. Control hippocampi were obtained from autopsies of age-matched patients without ante mortem history of neurological disease or post mortem neurological pathology, and underwent the same ex vivo imaging (histo-radiological control, HRC, n = 14). Six cases from the HRC underwent 3D T2 imaging in a 4.7T machine, in order to measure the volumes of the hippocampal subfields. Paraffin embedded hippocampal sections from TLE and HRC were submitted to Hematoxilin-Eosin and Luxol Fast Blue histochemistries, and to immunohistochemistries for the evaluation of neurons (NeuN), reactive astrocytes (GFAP), activated microglia (HLA-DR), for aquaporin 4 (AQP4) and for chondroitin sulfate (CS-56). Students t-test or Mann-Whitneys test were performed for comparison between groups, and correlation tests were performed for the comparison between histological and magnetic resonance measures. Results: Patients with TLE presented reduced hippocampal volume, increased T2 relaxation time and reduced magnetization transfer, when compared to RC. The ex vivo volumetry of the hippocampal subfields revealed that fascia dentata, CA1 and subiculum together correspond to 85 % of the total hippocampal volume. Ex vivo relaxation time, as the in vivo, were increased in the subfields of TLE patients, when compared to HRC. Compared to HRC, TLE patients presented neuron loss and microgliosis in all hippocampal subfields but the subiculum, and astrogliosis in all hippocampal subfields but the subgranule zone and the hilus. Reduced perivascular aquaporin 4 was observed in all hippocampal subfields of TLE patients, and increased chondroitin sulfate was observed in all hippocampal subfields, with the exception of granule cell layer, of TLE patients, when compared to HRC. In TLE, both in vivo hippocampal volume and magnetization transfer correlated with the levels of chondroitin sulfate and the neuronal population, whereas the in vivo relaxation time correlated with the astroglial population and the levels of chondroitin sulfate. Ex vivo relaxation time also correlated with the astroglial population in TLE patients. The difference between in vivo and ex vivo relaxation values correlated with water difusibility and the levels of chondroitin sulfate. Conclusion: Our data indicate the importance of neuron population and extracellular matrix to both hippocampal volume and magnetization transfer, and of the reactive astrocytes for T2 relaxation. Ex vivo relaxation time allowed a more detailed evaluation, and indicated more robust correlations between reactive astrocytes and T2 relaxation. Finally, Our data indicated that CA1, the subiculum and fascia dentata are the major contributors to hippocampal volume, so changes in these subfields most likely will affect magnetic resonance imaging.

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