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An alternative gene therapy method, non-autologous somatic-gene therapy, is the use of a genetically modified universal cultured cell line that can be implanted into different allogeneic recipients. When used as recombinant cells in microcapsules, myoblasts possess several advantages over other cell types, namely their ability to terminally differentiate thus preventing overcrowding within the capsular space. However, encapsulated myoblasts demonstrate decreased proliferation and myogenic differentiation when compared to unencapsulated myoblasts due to the unnatural capsule environment. This study aims to improve the microcapsule environment by incorporating basic fibroblast growth factor (bFGF) and insulin-like growth factor-11 (IGF-11) and the extracellular matrix materials, collagen, laminin-1 and merosin (laminin-2) within the microcapsules in an attempt to mimic the natural surrounding required for myoblast growth and differentiation. While bFGF lead to significant increases in encapsulated myoblast proliferation, it did not appear to be an ideal choice for optimizing the microcapsule environment due to its inhibitory effect on differentiation and the relative cost in therapeutic delivery of proteins. Both merosin and the combination of laminin and merosin together provide a better alternative for increasing myoblast growth and survival within microcapsules since they have no apparent inhibitory effect on myogenic differentiation, and produce similar proliferative results seen when using bFGF. In terms of differentiation, the addition of IGF-11 to the microcapsules or the use of a myoblast cell line overexpressing IGF-11, aid in increasing the myogenic differentiation of encapsulated myoblasts, however, differentiation levels still do not approach those seen in unencapsulated myoblasts. The positive results obtained with the growth factors and matrix materials employed in this study are important steps towards the optimization of microcapsules by improving both the proliferation and differentiation of encapsulated myoblasts. However, more study is needed to elucidate possible solutions to the continued problem of decreased differentiation of myoblasts within APA microcapsules in order to achieve myogenic differentiation that is comparable to what is seen in unencapsulated myoblasts. / Thesis / Master of Science (MS)

Improved corneal epithelial cell growth over artificial cornea materials is required to improve device retention within the eye. In this work, varying concentrations of epidermal growth factor (EGF), a potent mitogen for epithelial cells, were immobilized to polydimethylsiloxane (PDMS) substrates, and the cellular response was analyzed. Three methods were developed to bind EGF to PDMS via polyethylene glycol (PEG) tethers. 1) Plasma Modification: EGF was first reacted with homobifunctional NHS2PEG and then bound to allylamine plasma-modified PDMS. 2) Hydrosilylation: PDMS was modified with heterobifunctional allyl-PEG-NBS and then EGF was attached to the surface-bound PEG. 3) Thiol Modification: EGF was first reacted with heterobifunctional NHS-PEG-maleimide and then bound to thiol-modified PDMS. Using Method 1 (Plasma Modification), 40 to 90 ng/cm2 of EGF was bound, however 70% of this was adsorbed even under optimized EGF-PEG reaction conditions. Cells rapidly grew to confluence on these surfaces, and cell counts increased significantly compared to control surfaces. Extracellular matrix protein production was also increased on the EGF-modified surfaces, corresponding to significantly higher levels of cell adhesion observed under a detachment force. Modification by Method 2 (Hydrosilylation) resulted in 10 to 300 ng/cm2 of bound EGF, of which 20% was adsorbed. However, despite increased EGF binding homogeneity, the cell growth was slower on these surfaces than on those prepared by Method 1, and coverage was non-uniform at all EGF concentrations. This is likely due to a higher underlying PEG density, and binding of the PEG and EGF in clusters on the surface. Simultaneous tethering of the cell adhesion peptide YIGSR had no further effect on cell coverage. Using Method 3 (Thiol Modification), 24 to 65 ng/cm2 of EGF was bound, of which 22% was adsorbed. This method enables more homogeneous EGF surface binding than Method 1, with a lower PEG density than Method 2. However, free thiol groups were inhibitory to corneal epithelial cell growth, even in the presence of bound EGF. Defunctionalization of free thiols by reaction with 3-maleimidopropionic acid restored cell growth and morphology on the PDMS, and may hence allow for retention of the proliferative effect of the EGF. These results indicate that while tethering of EGF to PDMS can improve the coverage by corneal epithelial cells, and presents a promising strategy for modification of polymeric artificial cornea materials, the effects are highly dependent on the underlying surface chemistry. / Thesis / Doctor of Philosophy (PhD)

Several uterine-derived paracrine factors have been implicated as critical regulators of conceptus development in cattle, but it remains unclear how these factors work together to establish and maintain pregnancies. The primary objectives of this work were to establish if cooperative interactions between epidermal growth factor (EGF), fibroblast growth factor-2 (FGF2) and insulin-like growth factor-1 (IGF1) promote bovine trophoblast cell proliferation, and to decipher the intracellular signaling mechanisms employed by these growth factors to regulate cell proliferation. Pilot studies established effective concentrations for each growth factor on a bovine trophoblast cell line (CT1). The first set of studies examined how each factor worked individually or in conjunction with each other to impact CT1 proliferation. Mitotic index (percentage of EdU-positive nuclei after a 45 min challenge) was increased (P<0.05) by supplementation with 10 ng/ml EGF, 10 ng/ml FGF2, or 50 ng/ml IGF1 when compared with non-treated controls. In addition, a greater increase (P<0.05) was detected when all three factors were supplemented together. A follow-up study determined that supplementation of any two growth factors could not replicate the cooperative effect noted when all three factors were provided. A second set of studies was undertaken to examine how mitogen-activated protein kinase (MAPK) and phosphoinositide 3-kinase/AKT (PI3K/AKT) signaling systems mediate the independent and cooperative effects of these paracrine factors. Both EGF and IGF1 transiently activated mitogen-activated protein kinase3/1 (MAPK3/1) in CT1 cells as determined by Western Blot analysis. By contrast, FGF2 did not affect MAPK3/1 phosphorylation status, but increased AKT phosphorylation status. Neither EGF nor IGF1 impacted AKT activity. Supplementation with a pharmacological inhibitor of MAPK3/1 (PD98059) prevented EGF-, IGF1-, and FGF2-dependent increases in CT1 cell proliferation. This inhibitor also completely abolished the increases in cell proliferation observed when all three factors were supplemented together. Supplementation with a pharmacological inhibitor of AKT (Wortmannin) reduced FGF2-stimulated CT1 proliferation, but did not impact EGF- and IGF1 effects. The AKT inhibitor partially attenuated the cooperative effects of all three factors on CT1 cell proliferation. A final study examined how the combination of EGF, FGF2, and IGF1 affect bovine embryo development. In vitro produced bovine blastocysts were cultured either with the combination of growth factors or vehicle only from day 8 to day 12 post-in vitro fertilization (IVF). The combination of EGF, FGF2, and IGF1 increased (P<0.05) the percentage of hatched blastocysts and outgrowth formation versus controls. Increased (P<0.05) diameters were detected in blastocysts treated with the combination of three growth factors on day 12 post-IVF when compared to controls. Treatment with the combination of EGF, FGF2, and also IGF1 increased (P<0.05) the change of diameter from day 8 to 12 post-IVF. In summary, these observations provide evidence that cooperative interactions of uterine-derived factors promote trophoblast proliferation and conceptus development in ways that may promote the establishment and maintenance of pregnancy in cattle. The mechanisms utilized for these activities remain unresolved, but MAPK3/1 and PI3K/AKT signaling systems appear to play integral roles in some of these processes. / Master of Science

Under år 2003-2009 utgjorde hypertensiva sjukdomar, såsom eklampsi och preeklampsi, 14,0% av värdens mödradödlighet. Preeklampsi kännetecknas vanligtvis av kliniska observationer av hypertoni och signifikant proteinuri i graviditetens andra trimester. Inom diagnostiken används en riskbedömningsprogramvara som kan beräkna vilken sannolikhetsgrad den havande kvinnan har för att utveckla preeklampsi. Förutom mätning av blodtryck och proteinuri har biomarkören placenta growth factor 1 (PlGF-1) visat ett högt prediktivt värde vid bedömningen. Studien syftade till att kartlägga och fördjupa sig i metoderna som analyserar biomarkören samt verifiera metoden för PlGF på instrumentet Brahms Kryptor compact plus. Fördjupningen baserades på granskning av vetenskapliga artiklar och resulterade i två manuella och tre automatiserade metoder. Metoden Quantikine användes i 47% av artiklarna och konstaterades som studiens golden standard. Vid jämförelse av metoderna sågs en lägre bakgrundsstörning, en högre sensitivitet samt en kortare analystid hos de automatiserade metoderna. Den laborativa verifieringen innefattade bestämning av överensstämmelse med externt laboratorium, beräkning av instrumentets provsmitta mellan höga och låga prov samt kvantifiering av inomserie- och mellanliggande precision. Verifieringen resulterade i en god överensstämmelse (r=0,953, p=0,327) med det externa laboratoriet, en konstaterad provsmitta på 0,04% samt en god precision inom leverantörens angivelser. / Between 2003-2009 hypertensive disorders as eclampsia and preeclampsia constituted 14.0% of the world’s maternal mortality. Preeclampsia characterize as clinical observations of hypertension and significant proteinuria in the second trimester of pregnancy. In diagnostics a risk assessment software is normally used to estimate the probability of developing the disorder. Besides calculating the blood pressure and proteinuria, the placenta growth factor 1 (PlGF-1) has proven to possess a high predictive value. The study’s aim was to chart the different methods used to quantify the biomarker and verify the method for PlGF on Brahms Kryptor compact plus. The recess was based on review of scientific articles and resulted in the findings of two manual and three automated methods. The method Quantikine was used in 47% of the articles and was seen as the golden standard of the study. When comparing the methods a lower signal to noise-ratio, a higher sensitivity and a shorter assay time was observed in the automated methods. The verification contained determination of compliance with an external laboratory, calculation of carry over and quantification of inter-assay and intra-assay precision. The verification resulted in a good compliance (r=0.953, p=0,327) with the external laboratory, a carry over at 0,04% and a good precision within the providers indication.

The dynamics of cell signalling are critical to cell fate decisions. Human Epidermal growth factor Receptors (HERs)-mediated Ras/Raf/MEK/ERK and PI3K/Akt signalling cascades relay extracellular signals from the plasma membrane to targets in the nucleus and cytoplasm and play pivotal roles in cell fate determination including proliferation, differentiation and cell survival. Both pathways, once activated, are further regulated by complex feedback loops which may exert either positive or negative effects on cascade components and can result in signalling oscillation. In this study, heregulin (HRG) - and epidermal growth factor (EGF)- stimulated oscillation of both p-ERK1/2 and p-Akt expression in breast cancer cell lines was demonstrated. The oscillation was cell line dependent and was observed in MCF-7 and MCF-7/HER2-18 cells but not in BT474 cells. The oscillation was augmented by cycloheximide implicating transcriptional involvement. Gene expression analysis identified 29 genes as possible candidates involved in the transcriptional feedback regulation. Apart from the feedback regulation, feedforward regulation was also observed. To expedite the analyses In-cell Western and Reverse Phase Protein Array (RPPA) assays were developed. A scheme of transcriptional feedback loops regulating the oscillation in the ERK1/2 pathway is proposed, including negative feedback loops to ERK1/2 from DUSPs, early positive and late negative feedback loops to MEK1/2 and positive feedback loops to HER-3 from AREG, HB-EGF, CYR61 and CTGF. Two HER-2-targeted inhibitory monoclonal antibodies were investigated – trastuzumab and pertuzumab. Trastuzumab not only inhibited the growth of HER-2 over-expressing MCF-7/HER2- 18 cells and BT474 cells but also that of EGF-driven MCF-7 cells which expressed low/moderate HER-2 levels. Pertuzumab blocked the growth of both MCF-7 and MCF-7/HER2-18 driven by either EGF or HRG. When used in combination with trastuzumab, pertuzumab had much more potent activity in inhibiting cell growth and signalling than either single drug. Trastuzumab and pertuzumab had opposing effects on immediate p-ERK1/2 signalling and trastuzumab’s effects on signalling could be mimicked by the PI3K inhibitor LY294002. PTPN13, a non-receptor type tyrosine protein phosphatase, is a proposed tumour suppressor in breast cancer. This was investigated as a candidate regulator of the signalling oscillation and although not observed as a transcriptional modulator of the oscillation, its high expression level was observed to be associated with cell growth inhibition in MCF-7/HER2-18 cells by trastuzumab. Moreover, immunohistochemical analysis of 121 clinical tumours which had received trastuzumab treatment revealed the correlation between the expression level of PTPN13 and the mutation status of PIK3CA. In conclusion, the observed oscillation may contribute to the elucidation of the complex regulation of signalling pathways, which is vital to the different cell fate decision made through the same core pathway. The synergy between trastuzumab and pertuzumab supports the clinical use of the combination treatment and suggested PI3K/Akt pathway as the major pathway in controlling tumour growth.

<p>Heparan sulfate (HS) belongs to the glycosaminoglycan family of polysaccharides and is found attached to protein cores on cell surfaces and in the extracellular matrix. The HS backbone consists of alternating hexuronic acid and glucosamine units and undergoes a number of modification reactions creating HS chains with alternating highly and low modified domains, where high degree of modification correlates with high negative charge. Fibroblast growth factors (FGFs) and their receptors (FRs) both bind to HS, which affect formation of the FGF–FR complexes on the cell surfaces. Activated FRs can trigger several intracellular signaling pathways leading thereby to diverse cellular responses. </p><p>Work presented in this thesis focuses on the effect of HS and its structures on FGF–FR complex formation and FGF-induced signaling. Studies with short, highly modified oligosaccharides and FGF1 and 2 combined with FR1c, 2c, 3c or 4 showed a correlation between the overall degree of modification and amount/stability of FGF–FR complexes. Our findings imply that several HS structures, differently modified but with the same negative charge density are equal in their ability to support complex formation. Co-application of oligosaccharides with FGF2 to HS-deficient cells and investigation of the thereby induced cell signaling confirmed our findings with a cell-free system. The oligosaccharide with the highest modification degree displayed the biggest impact on cell signaling, which was FGF2 concentration dependent. Studies with long HS polysaccharides with preserved high and low modified domains suggest that the proportion between these two types of domains and also the structure of the low modified domains are of importance for the FGF–HS–FR complex formation and cell activation capacity. </p><p>This work illuminates several aspects in how HS structure influences the interplay between FGFs and FRs and contributes to the understanding of what factors affect a cell’s response following FGF stimulation.</p>

Thrombozyten enthalten und sezernieren eine Vielzahl von Wachstumfaktoren, deren Mitwirkung an der Knochenbildung und –regeneration als gesichert gilt. Platelet-rich plasma (PRP) enthält eine hohe Thrombozytenkonzentration und somit auch dementsprechend hohe Spiegel von Wachstumsfaktoren. Ziel dieser Arbeit war eine Evaluation des Einflusses von PRP auf die Qualität und Quantität der interkorporellen knöchernen Fusion im Rahmen der ventralen Spondylodese von Wirbelkörperverletzungen mit Cage-Implantaten und autologer Spongiosa. In einer prospektiven Studie wurden 15 Patienten mit traumatischer Fraktur der BWS oder LWS ventral mit einem Cage-Implantat und autologer Spongiosa stabilisiert. Indikationsabhängig wurden additiv dorsale Fixateur interne und/oder ventrale Plattensysteme implantiert. Intraoperativ erfolgte die Kombination der autologen Spongiosa mit PRP. Dieses wurde direkt perioperativ aus max. 110 ml venösem Eigenblut des Patienten mit dem kommerziell erhältlichen GPS™-System (Biomet Deutschland GmbH, Berlin) hergestellt. Als Kontrollgruppe fungiert ein zufällig ausgewähltes Kollektiv von 20 Patienten mit traumtischer BWS- oder LWS-Fraktur. Diese wurden ebenfalls ventral mit Cage und autologer Spongiosa sowie zusätzlichen Implantaten stabilisiert, jedoch ohne den Einsatz von PRP. Im Rahmen der Nachbehandlung wurden nach durchschnittlich 8,33 Monaten (PRP-Gruppe) und 12,5 Monaten (Kontrolle) Computertomographien der instrumentierten Wirbelsäulenregion im Knochenfenster angefertigt. Anhand dieser wurde der Fusionsfortschritt exemplarisch für den linkslateralen Auftragungsbereich von Spongiosa bzw. Spongiosa/PRP um den Cage qualtitativ und quantifizierend mittles Volumetrie und Densitometrie (HU) erfasst. Es zeigte sich qualtitaiv bei 20% der PRP-Gruppe sowie 30% der Kontrollgruppe keine oder nur minimale linkslaterale Verknöcherung. Jeweils 40% wurden als durchgehend fusioniert klassifiziert. Quantifizierend ergab sich für beide Gruppen ein nahezu identischer mittlerer Volumenanteil > +100 HU (56,5 bzw. 56,6%) am linkslateralen Gesamtvolumen. Der Volumenanteil > +500 HU beträgt in der Kontrollgruppe 23,57% in der PRP-Gruppe hingegen 29,33%. Die absolute Dichte der Teilvolumina zeigt einen signifikant höheren Durchschnitsswert in der PRP-Gruppe (639,7 HU zu 514,2 HU) sowie nicht signifikant höhere Werte im Teilvolumen > +500 HU (930,7 HU zu 846 HU). Aus den VAS-Scores konnte für den gewählten Nachuntersuchungzeitraum kein signifikanter Unterschied im subjektiven, patientenbezogenen Outcome festgestellt werden. Insgesamt zeigt sich ein Trend, demnach der Einsatz von PRP eine Verbesserung der autologen Spongiosaplastik und damit der Verknöcherung um den Cage ermöglicht. Der bei Etablierung des Konzepts thrombozytärer Wachtsumsfaktoren-konzentrate zur Verbesserung der Knochenheilung erhoffte deutliche, klinische Effekt bleibt jedoch aus. / The effects of PRP were monitored by performing a controlled cohort study of patients undergoing an anterior spinal fusion. One group was treated with the addition of PRP. The growth factors contained within the blood platelets are known to play an important role in the new formation of bone following fractures or the implantation of bone grafts. But the results following the use of platelet-rich plasma in spinal fusion are not yet published. The study involved a group of 15 patients, who had suffered an injury of the thoracic or lumbar spine and had undergone an anterior fusion using cages. They had received an additional posterior stabilisation and/or anterior implants as well as bone graft combined with PRP. A control group made up of 20 patients received a similar treatment, but without the addition of PRP. A CT-Scan was performed of all patients during follow-up examinations. The area on the left side of the cage, where the bone graft with or without PRP had been applied, was analysed and the patients were divided into three classes, depending upon the rate of fusion: Complete fusion, incomplete fusion and no/minimal ossification. In cases, which were classified as complete or incomplete ossification, an additional CT volumetry and densitometry was performed. The patient-referred outcome was documented using the VAS spinal score. In both groups 40% of the patients had reached a complete fusion in the CT-Scans. No or minimal fusion was documented in 20% of the PRP group and 30% of the control group. When measuring the density within the newly formed bone mass, both groups showed nearly identical percentages with a density of over 100 Hounsfield units (HU). The share of bone with a density of over+500 HU was 29.33% in the PRP group) and 23.57% in the control group. Within the partition of over +100 HU the absolute density was significantly higher in the PRP group (639.7 vs. 514.2 HU). Similar results could be shown within the partition of over +500 HU (930.7 vs. 846 HU). The VAS-Scores showed no significant differences between the two groups. The additional application of autologous PRP involves very little risk for the patients. The study implies, that the use of PRP provides a faster fusion and higher density values within the fusion mass. A clear advancement in spinal fusion in terms of a clinical benefit remains questionable.

BMPs vermitteln ihre zellulären Effekte durch Rekrutierung und Aktivierung von zwei Typen spezifischer, membranständiger Rezeptoren. Die genauen Mechanismen der Rezeptorakivierung und die Komposition eines funktionellen, signalvermittelnden Komplexes auf der Zelloberfläche sind in den letzten Jahren genau untersucht worden. Die dimere Natur aller BMPs, die Promiskuitivität der BMPs sowie der entsprechenden Rezeptoren und die unterschiedlichen Rezeptorkonformationen (PFC, BISC) erschweren jedoch die experimentelle Zugänglichkeit dieser Proteinfamilie. Um den Einfluss der Membranverankerung der Rezeptoren auf deren Affinität zu einzelnen Liganden zu untersuchen, wurden verschiedene Methoden evaluiert, die eine quantitative Kopplung an Plasmamembranen ermöglichten. Die BMP Rezeptorektodomänen wurden u.a. mittels einer lysin-spezifischen Kopplung lipidiert, oder aber als His6-Ektodomänen an membranintegrierte Chelatlipide gekoppelt. / BMPs elicit their cellular functions via recruitment and activation of specific receptor serin/threonine receptor kinases. The precise mechanisms leading to receptor activation and the composition of a functional signal transducing complex on the cell surface has been investigated intensively over the last decades. The dimeric nature of all BMPs, the promiscuity of both, the ligands and the receptors and the different receptor conformations on the cell surface (PFC, BISC) hamper the experimental accessibility of this protein family. To study the membrane anchorage's influence of the receptors on their affinity towards single ligands, different methods were evaluated that enabled us to couple the receptor ectodomains in a quantitative manner to plasma membranes. The BMP receptor ectodomains were, among other techniques, lipidated in a lysine specific way or coupled as hexahistidine fusion proteins to membrane integrated chelating lipids.