Orientadores: Carla Beatriz Collares Buzato, Maria Tereza Cartaxo Muniz / Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Biologia / Made available in DSpace on 2018-08-26T04:14:27Z (GMT). No. of bitstreams: 1 Falcao_VivianeTannuriFerreiraLima_D.pdf: 4019842 bytes, checksum: b5e69f5076caaaff42a597448cba843c (MD5) Previous issue date: 2014 / Resumo: As junções intercelulares (JIs) e suas proteínas estruturais estão envolvidas em vários processos celulares tais como adesão e comunicação celular, diferenciação, proliferação e homeostase celular em diversos órgãos. No pâncreas endócrino, JIs parecem estar envolvidas na regulação da citoarquitetura das ilhotas pancreáticas, bem como na biossíntese e secreção de insulina. O objetivo desta tese foi investigar o possível papel do contato intercelular mediado pelas junções intercelulares e suas proteínas estruturais na disfunção das células beta pancreáticas na patogênese do Diabetes mellitus tipo 2 (DMT2). Para tanto, investigamos a distribuição e expressão celular de proteínas juncionais (a saber, E-, N-, VE-caderinas, ZO-1, ?- e ? - cateninas) no pâncreas endócrino de camundongos C57BL/6/JUnib alimentados com uma dieta rica em gorduras (dHL) durante 8 meses. Inicialmente, foi feita uma caracterização metabólica dos animais e uma análise estrutural e morfométrica do pâncreas endócrino, já que estudos avaliando o efeito da administração de dHL por tempo prolongado são escassos. Os animais do grupo dHL (alimentados com ração contendo 21%g lipídios por 8 meses) tornaram-se obesos, mostrando importante aumento do ganho de peso (170%) em relação ao grupo controle (que receberam ração padrão com 4,5%g lipídios pelo mesmo período de tempo). Ainda, os camundongos obesos exibiram distúrbios metabólicos característicos e indicativos dos estágios iniciais do estabelecimento da DMT2, como resistência periférica a insulina, com um aumento (de 27,34%, p=0,0005) da área sob a curva de ITT, bem como marcada hiperglicemia em jejum (52%, p<0,0001) e hiperinsulinemia pós-prandial (88%, p=0,0058) em relação ao grupo Ct. Ilhotas pancreáticas isoladas de camundongos alimentados com dHL mostraram uma deficiência significativa da secreção de insulina estimulada por glicose (p<0,05), associada a um aumento da expressão do gene da insulina (isoformas 1 e 2), analisado por qPCR. A histologia do pâncreas endócrino não revelou alterações marcantes na morfologia e citoarquitetura das ilhotas entre os grupos de animais. Entretanto, os animais dHL apresentaram um aumento significativo do volume relativo de células ? por pâncreas total (aumento de 57,1%, p<0,036) e da área relativa de células ? por ilhota em relação ao grupo controle (p<0,003), indicando uma expansão compensatória da massa de célula beta, associada com uma significativa diminuição (p<0,003) da área ocupada pelas células alfa em relação à área total da ilhota (30%, p<0,003). Com relação à distribuição celular das proteínas juncionais nas ilhotas pancreáticas, a N-caderina, E-caderina, ZO-1 e cateninas estão distribuídas na região de contato intercelular das células endócrinas pancreáticas, enquanto que a VE-caderina está limitada ao endotélio. Verificou-se, por imunoistoquímica, uma diminuição na marcação intercelular das células ? para N-caderina (p<0,0001), E-caderina (p<0,0001) e ?-catenina (p<0,0001) e um aumento na imunoreação para VE-caderina (p<0,004) nas ilhotas de camundongos diabéticos em relação ao grupo Ct. No caso particular da imunofluorescência para N-caderina, verificou-se um aumento na marcação difusa do interior das células ?, indicando uma redistribuição dessa proteína da região de contato intercelular para o citoplasma. Entretanto, não observamos diferenças significativas no grau do conteúdo celular dessas proteínas juncionais em homogeneizados de ilhotas isoladas entre os grupos experimentais, analisado por Western Blot. Conforme revelado por qPCR, um aumento na expressão gênica da VE- e N-caderinas, bem como de ZO-1, foi observado em ilhotas isoladas de camundongos diabéticos em comparação com os controles. Em conclusão, as proteínas juncionais estudadas são expressas por células endócrinas e endoteliais das ilhotas pancreáticas e, em particular, a distribuição/expressão de N-, E- e VE-caderinas, bem como ?-catenina nas ilhotas é significativamente alterada em camundongos obesos e diabéticos, o que pode ter repercussão no desenvolvimento da DMT2 / Abstract: Intercellular junctions (IJs) and their CAMs participate in important cellular processes such as adhesion, growth/death and signaling. In the endocrine pancreas, IJs play a role in regulating islet cytoarchitecture, insulin biosynthesis and secretion. In this PhD thesis, we investigate the islet histology and cellular distribution and content of CAMs (E-, N-, VE-cadherins, ZO-1, ?- and ?-catenins) in the endocrine pancreas of C57BL/6/JUnib mice fed a high fat (HF) diet for a prolonged time period (8 months). After HF diet exposure, mice became obese and displayed marked metabolic disturbances indicative of type 2 diabetes mellitus, such as marked peripheral insulin resistance and hyperglycemia, and moderate hyperinsulinemia. Isolated pancreatic islets of HF-fed mice showed a significant impairment of glucose-stimulated insulin secretion associated with an increase in insulin (isoforms 1 and 2) gene expression as revealed by qPCR. Histology of the endocrine pancreas revealed no marked changes in islet morphology and cytoarchitecture between animal groups, although HF-fed mice showed a 57% increase in the relative beta cell volume (per total pancreas) in comparison with controls. As shown by immunohistochemistry, ZO-1, E-, N-cadherin and catenins, were expressed at the intercellular contact site of endocrine cells while VE-cadherin was restricted to the islet vascular compartment. A cellular redistribution of N- and E-cadherin and ?-catenin (from the contact region to the cytoplasm in endocrine cells) and an increase in VE-cadherin islet content were seen in diabetic mice as compared to controls. No significant differences in islet immunoreaction for the other CAMs were observed between the animal groups. As revealed by qPCR, an increase in gene expression of VE- and N-cadherins as well as of ZO-1, not accompanied by significant changes in islet protein content, was observed in isolated islets of diabetic mice as compared to the controls. In conclusion, CAMs are expressed by endocrine and endothelial cells of pancreatic islets and, in particular, the islet distribution/content of N-, E- and VE-cadherins as well as ?-catenin are significantly altered in obese and diabetic mice / Doutorado / Biologia Celular / Doutora em Biologia Celular e Estrutural

Abstract Neurofibromatosis type 1 syndrome (NF1) is caused by mutations of the NF1 gene. The NF1 protein (neurofibromin) contains a domain which is related to the GTPase-activating protein (GAP) and accelerates the switch of active Ras-GTP to inactive Ras-GDP. The NF1 protein has been referred to as a tumor suppressor, since the cells of malignant schwannomas of NF1 patients may display a loss of heterozygosity of the NF1 gene. Psoriasis is characterized by hyperproliferation of the epidermis and by down-regulated levels of NF1 mRNA and protein. Ca2+ is an universal signal transduction element modulating cell growth and differentiation. Many cell types coordinate their activities by transmitting waves of elevated intracellular calcium levels from cell to cell. The propagation of calcium waves had not been studied previously in human keratinocytes. Thus, the aim of the present study was to find out which pathways may play a role in Ca2+ signaling at different extracellular calcium concentrations in NF1 and and psoriatic keratinocytes versus normal control keratinocytes. The results demonstrated that NF1 and psoriatic keratinocytes have a tendency to form cultures characterized by altered Ca2+-mediated cell signaling compared to normal keratinocytes. Specifically, the main route of calcium-mediated signaling was gap-junctional in normal keratinocytes. In contrast, ATP-mediated calcium signaling predominated and capacitative calcium influx was defective in NF1 and psoriatic keratinocytes. The results of the present study suggest that mutations of the NF1 tumor suppressor gene or lowered levels of NF1 protein/mRNA may eventually lead to altered intercellular communication.

Abstract Respiratory syncytial virus (RSV) infection may be associated with the development of asthma and atopy. The aim of the present study was to investigate this association and the related immunological mechanisms. Seventy-six children admitted to Oulu University Hospital in 1991–1994 for an RSV infection at an age of less than 12 months and healthy controls were called for a visit at the age of 6–10 years. Twenty subjects (26%) had asthma compared with 12 controls (16%) (difference 11%, 95% confidence interval (CI) –3% to 24%). Asthma had been diagnosed significantly earlier in the subjects. Eight per cent of the subjects had at least one positive skin prick test as compared with 43% of the controls (difference –35%, 95% CI –50% to –19%). Serum concentrations of interferon-γ and soluble intercellular adhesion molecule -1 were significantly higher among the subjects than among the controls and among the subjects with asthma or current wheezing than among the corresponding controls. All children born in Finland in 1986–1995 were arranged in birth cohorts by month and year of birth and grouped by exposure to an RSV epidemic at age 0–6 months, resulting in 97 exposed and 23 unexposed cohorts. The proportions of children taking asthma medication or receiving special reimbursement for asthma medication in 1995–2002 were similar in the unexposed and exposed cohorts. Altogether 47 children born between August and November 2001 with a cord blood sample taken were admitted to hospital (n = 26) or seen in an outpatient department (n = 21) for RSV infection before the age of six months. Twenty-eight children had some other respiratory viral infection and 84 children formed a group of healthy controls. High scores on a factor combining the cord blood interleukin-6 and interleukin-8 responses (as derived by factor analysis) were shown in logistic regression analysis to predict hospitalization for RSV infection by comparison with the healthy controls (odds ratio 2.29, 95% CI 1.21 to 4.33). We suggest that RSV does not induce asthma but inborn features of immunity affect the severity of RSV infection and the postinfectious development of asthma.

The contractile state of microcirculatory vessels is a major determinant of the blood pressure of the whole systemic circulation. Continuous bi-directional communication exists between the endothelial cells (ECs) and smooth muscle cells (SMCs) that regulates calcium (Ca2+) dynamics in these cells. This study presents theoretical approaches to understand some of the important and currently unresolved microcirculatory phenomena. Agonist induced events at local sites have been shown to spread long distances in the microcirculation. We have developed a multicellular computational model by integrating detailed single EC and SMC models with gap junction and nitric oxide (NO) coupling to understand the mechanisms behind this effect. Simulations suggest that spreading vasodilation mainly occurs through Ca2+ independent passive conduction of hyperpolarization in RMAs. Model predicts a superior role for intercellular diffusion of inositol (1,4,5)-trisphosphate (IP3) than Ca2+ in modulating the spreading response. Endothelial derived signals are initiated even during vasoconstriction of stimulated SMCs by the movement of Ca2+ and/or IP3 into the EC which provide hyperpolarizing feedback to SMCs to counter the ongoing constriction. Myoendothelial projections (MPs) present in the ECs have been recently proposed to play a role in myoendothelial feedback. We have developed two models using compartmental and 2D finite element methods to examine the role of these MPs by adding a sub compartment in the EC to simulate MP with localization of intermediate conductance calcium activated potassium channels (IKCa) and IP3 receptors (IP3R). Both models predicted IP3 mediated high Ca2+ gradients in the MP after SMC stimulation with limited global spread. This Ca2+ transient generated a hyperpolarizing feedback of ~ 2-3mV. Endothelium derived hyperpolarizing factor (EDHF) is the dominant form of endothelial control of SMC constriction in the microcirculation. A number of factors have been proposed for the role of EDHF but no single pathway is agreed upon. We have examined the potential of myoendothelial gap junctions (MEGJs) and potassium (K+) accumulation as EDHF using two models (compartmental and 2D finite element). An extra compartment is added in SMC to simulate micro domains (MD) which have NaKα2 isoform sodium potassium pumps. Simulations predict that MEGJ coupling is much stronger in producing EDHF than alone K+ accumulation. On the contrary, K+ accumulation can alter other important parameters (EC Vm, IKCa current) and inhibit its own release as well as EDHF conduction via MEGJs. The models developed in this study are essential building blocks for future models and provide important insights to the current understanding of myoendothelial feedback and EDHF.

This thesis intends to utilize biomechanics to study the endothelial biomechanical response in a static hyperglycemic microenvironment. Hyperglycemia is a diabetic condition with abnormally high levels of glucose in the bloodstream. The effects of hyperglycemia over time lead to vascular complications resulting in patients being more prone to cardiovascular diseases. Current studies have focused on the molecular mechanisms affected by hyperglycemia; however, the mechanical mechanisms by which hyperglycemia causes vascular structural and functional changes are understudied. Therefore, to study the effects of hyperglycemia in the endothelium, Human Umbilical Vein Endothelial Cells (HUVEC) were cultured under three glucose conditions: normal glucose (4 mmol/l D-glucose), high glucose (30 mmol/l D-glucose), and an osmotic control (4 mmol/l D-glucose + 26 mmol/l D-mannitol). To evaluate the biomechanical response, we used traction force microscopy and monolayer stress microscopy to measure the cell-substrate tractions and cell-cell intercellular stresses. For the RMS tractions, HUVEC monolayers exposed to high glucose decreased by 10%, while the osmotic control decreased by 17% compared to the normal glucose. HUVEC monolayers exposed to high glucose produced average normal stresses that were 53% lower than monolayers exposed to normal glucose, while the osmotic control decreased by 51% compared to the normal glucose. For the maximum shear stresses, HUVEC monolayers exposed to high glucose decreased by 20%, while the osmotic control decreased by 14% compared to the normal glucose. To conclude this study, we report that hyperglycemia lowers the biomechanical response in the endothelium compared to normal glucose conditions. These results will contribute to understanding the specific role hyperglycemia has on endothelial mechanics and its role in the progression and development of cardiovascular diseases in diabetic patients.

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No description available.

We report the assembly of three-dimensional (3D) liver sinusoidal mimics comprised of primary rat hepatocytes, human or rat liver sinusoidal endothelial cells denoted as hLSECs and rLSECs respectively, and an intermediate chitosan-hyaluronic acid (HA) polyelectrolyte multilayer (PEM). The height of the PEMs ranged from 30-55nm and exhibited a shear modulus of ~ 100kPa. Primary rat hepatocytes coated with 5 and 15 PE layers exhibited stable urea and albumin production over a seven day period and these values were either comparable or superior to that in a collagen sandwich (CS). Hepatocyte-PEM-hLSEC liver mimics exhibited stable urea production and increasing albumin secretion over the culture period in comparison to hepatocyte-LSEC samples. In the 3D liver mimics, hLSEC phenotype was maintained and verified by the uptake of acetylated low-density lipoprotein (AcLDL). A sixteen-fold increase in CYP1A1/2 activity was observed for hepatocyte-PEM-10,000 hLSEC samples, thereby, suggesting that interactions between hepatocytes and hLSECs play a key role in enhancing hepatic phenotypes in in vitro cultures. As the first step towards elucidating key signaling pathways involved in cell-cell communications, global genome-wide transcriptional profiles of primary hepatocytes cultured in CS and hepatocyte monolayers (HMs) were performed over an eight-day period using DNA microarray measurements and Gene Set Enrichment Analysis (GSEA) in order to derive biologically meaningful information at the level of gene sets. The gene expression in CS cultures steadily diverged from that in HMs. Gene sets up-regulated in CS are those linked to liver metabolic and synthetic functions, such as lipid, fatty acid, alcohol and carbohydrate metabolism, urea production, and synthesis of bile acids. Monooxygenases such as CYP enzymes were significantly up-regulated starting on day 3 in CS cultures. These results serve as a baseline for further investigation into the systems biology of engineered liver tissues. 3D hepatic constructs were also assembled with primary rat hepatocytes and rLSECs, and a chitosan-HA PEM. In these hepatic models, the phenotype of hepatocytes and rLSECs were maintained. rLSEC phenotype was verified over a twelve-day period through immunostaining with the sinusoidal endothelial-1 (SE-1) antibody. In contrast, rLSECs cultured as monolayers lost their phenotype within 3 days. A two-fold increase in albumin production was observed only in the 3D liver models. rLSEC-PEM-hepatocyte cultures exhibited three- to six-fold increased CYP1A1/2 and CYP3A enzymatic activity. Well-defined bile canaliculi were observed in only 3D hepatic constructs. In summary, these results indicate that the layered rLSEC-PEM-hepatocyte constructs can be used as liver models for future studies. / Ph. D.

Tesis por compendio / [EN] Heart failure (HF) constitutes a major public health problem worldwide. Operationally it is defined as a clinical syndrome characterized by the marked and progressive inability of the ventricles to fill and generate adequate cardiac output to meet the demands of cellular metabolism that may have significant variability in its etiology and it is the final common pathway of various cardiac pathologies. Much attention has been paid to the understanding of the arrhythmogenic mechanisms induced by the structural, electrical, and metabolic remodeling of the failing heart. Due to the complexity of the electrophysiological changes that may occur during heart failure, the scientific literature is complex and sometimes equivocal. Nevertheless, a number of common features of failing hearts have been documented. At the cellular level, prolongation of the action potential (AP) involving ion channel remodeling and alterations in calcium handling have been established as the hallmark characteristics of myocytes isolated from failing hearts. At the tissue level, intercellular uncoupling and fibrosis are identified as major arrhythmogenic factors. In this Thesis a computational model for cellular heart failure was proposed using a modified version of Grandi et al. model for human ventricular action potential that incorporates the formulation of the late sodium current (INaL) in order to study the arrhythmogenic processes due to failing phenotype. Experimental data from several sources were used to validate the model. Due to extensive literature in the subject a sensitivity analysis was performed to assess the influence of main ionic currents and parameters upon most related biomarkers. In addition, multiscale simulations were carried out to characterize this pathology (transmural cardiac fibres and tissues). The proposed model for the human INaL and the electrophysiological remodeling of myocytes from failing hearts accurately reproduce experimental observations. An enhanced INaL appears to be an important contributor to the electrophysiological phenotype and to the dysregulation of calcium homeostasis of failing myocytes. Our strand simulation results illustrate how the presence of M cells and heterogeneous electrophysiological remodeling in the human failing ventricle modulate the dispersion of action potential duration (APD) and repolarization time (RT). Conduction velocity (CV) and the safety factor for conduction (SF) were also reduced by the progressive structural remodeling during heart failure. In our transmural ventricular tissue simulations, no reentry was observed in normal conditions or in the presence of HF ionic remodeling. However, defined amount of fibrosis and/or cellular uncoupling were sufficient to elicit reentrant activity. Under conditions where reentry was generated, HF electrophysiological remodeling did not alter the width of the vulnerable window (VW). However, intermediate fibrosis and cellular uncoupling significantly widened the VW. In conclusion, enhanced fibrosis in failing hearts, as well as reduced intercellular coupling, combine to increase electrophysiological gradients and reduce electrical propagation. In that sense, structural remodeling is a key factor in the genesis of vulnerability to reentry, mainly at intermediates levels of fibrosis and intercellular uncoupling. / [ES] La insuficiencia cardíaca (IC) constituye un importante problema de salud pública en todo el mundo. Operacionalmente se define como un síndrome clínico caracterizado por la incapacidad marcada y progresiva de los ventrículos para llenar y generar gasto cardíaco adecuado para satisfacer las demandas del metabolismo celular, que puede tener una variabilidad significativa en su etiología y es la vía final común de varias patologías cardíacas. Se ha prestado mucha atención a la comprensión de los mecanismos arritmogénicos inducidos por la remodelación estructural, eléctrica, y metabólica del corazón afectado de IC. Debido a la complejidad de los cambios electrofisiológicos que pueden ocurrir durante la IC, la literatura científica es compleja y, a veces equívoca. Sin embargo, se han documentado una serie de características comunes en corazones afectados de IC. A nivel celular, se han establecido como las características distintivas de los miocitos aislados de corazones afectados de IC la prolongación del potencial de acción (PA), que implica la remodelación de los canales iónicos y las alteraciones en la dinámica del calcio. A nivel de los tejidos, el desacoplamiento intercelular y la fibrosis se identifican como los principales factores arritmogénicos. En esta tesis se propuso un modelo celular computacional para la insuficiencia cardíaca utilizando una versión modificada del modelo de potencial de acción ventricular humano de Grandi y colaboradores que incorpora la formulación de la corriente tardía de sodio (INaL) con el fin de estudiar los procesos arritmogénicas debido al fenotipo de la IC. Los datos experimentales de varias fuentes se utilizaron para validar el modelo. Debido a la extensa literatura en la temática se realizó un análisis de sensibilidad para evaluar la influencia de las principales corrientes iónicas y los parámetros sobre los biomarcadores relacionados. Además, se llevaron a cabo simulaciones multiescala para caracterizar esta patología (en fibras y tejidos transmurales). El modelo propuesto para la corriente tardía de sodio y la remodelación electrofisiológica de los miocitos de corazones afectados de IC reprodujeron con precisión las observaciones experimentales. Una INaL incrementada parece ser un importante contribuyente al fenotipo electrofisiológico y la desregulación de la homeostasis del calcio de los miocitos afectados de IC. Nuestros resultados de la simulaciones en fibra ilustran cómo la presencia de células M y el remodelado electrofisiológico heterogéneo en el ventrículo humano afectado de IC modulan la dispersión de la duración potencial de acción (DPA) y el tiempo de repolarización (TR). La velocidad de conducción (VC) y el factor de seguridad para la conducción (FS) también se redujeron en la remodelación estructural progresiva durante la insuficiencia cardíaca. En nuestras simulaciones transmurales de tejido ventricular, no se observó reentrada en condiciones normales o en presencia de la remodelación iónica de la IC. Sin embargo, determinadas cantidades de fibrosis y / o desacoplamiento celular eran suficientes para provocar la actividad reentrante. En condiciones donde se había generado la reentrada, el remodelado electrofisiológico de la IC no alteró la anchura de la ventana vulnerable (VV). Sin embargo, niveles intermedios de fibrosis y el desacoplamiento celular ampliaron significativamente la VV. En conclusión, niveles elevados de fibrosis en corazones afectados de IC, así como la reducción de acoplamiento intercelular, se combinan para aumentar los gradientes electrofisiológicos y reducir la propagación eléctrica. En ese sentido, la remodelación estructural es un factor clave en la génesis de la vulnerabilidad a las reentradas, principalmente en niveles intermedios de fibrosis y desacoplamiento intercelular. El remodelado electrofisiológico promueve la arritmogénesis y puede ser alterado dependi / [CA] La insuficiència cardíaca (IC) constitueix un important problema de salut pública arreu del món. A efectes pràctics, es defineix com una síndrome clínica caracteritzada per la incapacitat marcada i progressiva dels ventricles per omplir i generar el cabal cardíac adequat, per tal de satisfer les demandes del metabolisme cel·lular, el qual pot tenir una variabilitat significativa en la seua etiologia i és la via final comuna de diverses patologies cardíaques. S'ha prestat molta atenció a la comprensió dels mecanismes aritmogènics induïts per la remodelació estructural, elèctrica, i metabòlica del cor afectat d'IC. A causa de la complexitat dels canvis electrofisiològics que poden ocórrer durant la IC, trobem que la literatura científica és complexa i, de vegades, equívoca. No obstant això, s'han documentat una sèrie de característiques comunes en cors afectats d'IC. A nivell cel·lular, com característiques distintives dels miòcits aïllats de cors afectats d'IC, s'han establert la prolongació del potencial d'acció (PA), que implica la remodelació dels canals iònics, i les alteracions en la dinàmica del calci. A nivell dels teixits, el desacoblament intercel·lular i la fibrosi s'identifiquen com els principals factors aritmogènics. Per tal d'estudiar els processos aritmogènics a causa del fenotip de la IC, es va proposar un model cel·lular computacional d'IC utilitzant una versió modificada del model de potencial d'acció ventricular humà de Grandi i els seus col·laboradors, el qual incorpora la formulació del corrent de sodi tardà (INaL). Amb l'objectiu de validar el model es van utilitzar dades experimentals de diverses fonts. A causa de l'extensa literatura en la temàtica, es va realitzar una anàlisi de sensibilitat per tal d'avaluar la influència de les principals corrents iòniques i els paràmetres sobre els biomarcadors relacionats. A més, es van dur a terme simulacions multiescala per a la caracterització d'aquesta patología (fibres i teixits transmurals). El model proposat per al corrent de sodi tardà i la remodelació electrofisiològica dels miòcits de cors afectats d'IC van reproduir amb precisió les observacions experimentals. Una INaL incrementada sembla contribuir de manera important al fenotip electrofisiològic i a la desregulació de l'homeòstasi del calci dels miòcits afectats d'IC. Els resultats de les nostres simulacions en fibra indiquen que la presència de cèl·lules M i el remodelat electrofisiològic heterogeni en el ventricle humà afectat d'IC modulen la dispersió de la durada del potencial d'acció (DPA) i el temps de repolarització (TR). La velocitat de conducció (VC) i el factor de seguretat per a la conducció (FS) també es van reduir en la remodelació estructural progressiva durant la IC. A les nostres simulacions transmurals de teixit ventricular, no s'observà cap reentrada ni en condicions normals ni en presència de la remodelació iònica de la IC. No obstant això, amb determinades quantitats de fibrosi i/o desacoblament cel·lular sí que es provocà l'activitat reentrant. I amb les condicions que produïren la reentrada, el remodelat electrofisiològic de la IC no va alterar l'amplada de la finestra vulnerable (FV). Tanmateix, nivells intermedis de fibrosi i el desacoblament cel·lular sí que ampliaren significativament la FV. En conclusió, nivells elevats de fibrosi en cors afectats d'IC, així com la reducció d'acoblament intercel·lular, es combinen per augmentar els gradients electrofisiològics i reduir la propagació elèctrica. Per tant, la remodelació estructural és un factor clau en la gènesi de la vulnerabilitat a les reentrades, principalment en nivells intermedis de fibrosi i desacoblament intercel·lular. / Gómez García, JF. (2015). Multiscale Modeling and Simulation of Human Heart Failure [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/52389 / Compendio

Brain metastasis of breast cancer is one of the leading causes of mortality in patients suffering from cancer. The unique structure and components of the brain microenvironment, including the brain-blood barrier and the immune-suppressive environment, present significant clinical challenges to treating brain metastatic breast cancers. This study has hypothesized that the thriving of metastatic breast cancer cells within the brain is driven by the complex interactions between cancer cells and the brain tumor microenvironment, which is reshaped into a tumor-permissive environment. Therefore, by utilizing mass spectrometry-based proteomic analysis, this study focused on analyzing the secretome and cell surfaceome of metastatic breast cancer and brain-residential cells to reveal the interactions between these cells and contribution to various cancer-developing biological processes, including cell growth and proliferation, cell death and apoptosis, immune modulation, angiogenesis, extracellular matrix organization, and epithelial-mesenchymal transition. The project was conducted in three tiers: (1) profiling the secreted and cell membrane proteins, (2) mapping ligand-receptor interactions using an in-house ligand-receptor database, and (3) determining the functional roles of the interacting ligands and receptors. The analysis revealed a complex network of intercellular communications demonstrating how the cancer cells could potentially influence the brain residential cells and, conversely, how the brain cells could influence the cancer cells and contribute to reshaping the tumor microenvironments to support cancer progression. 3D co-culture spheroid models further underlined the influence of cell-cell interactions on tumor growth. Altogether, this work provides an integrated approach to understanding the molecular cross-talk within the brain tumor microenvironment and in-depth insights into potential therapeutic targets to disrupt tumor-promoting changes in the brain metastatic niche. / Master of Science / Breast cancer is one of the most prevalent cancers among women in the US, and metastatic cancer remains the leading cause of cancer deaths. The spread of breast cancer to the brain is particularly challenging because of the special conditions within the brain, including the protective blood-brain barrier, specialized stromal cells, and immunosuppressive microenvironment. It is important to understand how the cells of primary breast cancer survive and grow in the brain with the aim of improving treatment. This study has hypothesized that the thriving of metastatic breast cancer cells within the brain is driven by the complex interactions between cancer cells and the brain tumor microenvironment, which is reshaped into a tumor-permissive environment. This study also explored the processes by which breast cancer cells interface with and restructure the brain microenvironment to support tumor growth and survival. We aimed to (1) profile secreted and cell surface proteins, (2) map ligand-receptor interactions based on a custom pairing database, and (3) investigate the functional roles of these interactions in the brain metastatic niche. Employing advanced mass spectrometry, we identified a complex network of pathways that could drive communication between cancer and brain cells, and mediate biological processes that include tumor growth, suppression of immune response, and blood vessel formation. Moreover, by co-culturing cancer and brain cells together in 3D spheroid models, we observed how the presence of brain cells would affect the cancer cell behavior. This study elucidates very important features that could enable breast cancer cells to thrive in the brain and also highlights possible ways to disrupt such deleterious interactions. Ultimately, this study contributes to opening the door to finding new treatment strategies that can improve the outlook for patients with brain metastatic cancer.