Many people have readily suggested different types of hyperelastic models for high strain materials and biotissues since the 1940’s without validating them. But, there is no agreement for those models and no model is better than the other because of the ambiguity. The existence of ambiguity is because the error analysis has not been done yet (Criscione, 2003). The error analysis is motivated by the fact that no physical quantity can be measured without having some degree of uncertainties. Inelastic behavior is inevitable for the high strain materials and biotissues, and validity of the model should be justified by understanding the uncertainty due to it. We applied the fundamental statistical theory to the data obtained by randomized uniaxial stretch-controlled tests. The goodness-of-fit test (2R) and test of significance (t-test) were also employed. We initially presumed the factors that give rise to the inelastic deviation are time spent testing, stretch-rate, and stretch history. We found that these factors characterize the inelastic deviation in a systematic way. A huge amount of inelastic deviation was found at the stretch ratio of 1.1 for both specimens. The significance of this fact is that the inelastic uncertainties in the low stretch ranges of the rubber-like materials and biotissues are primarily related to the entropy. This is why the strain energy can hardly be determined by the experimentation at low strain ranges and there has been a deficiency in the understanding of the exclusive nature of the strain energy function at low strain ranges of the rubber-like materials and biotissues (Criscione, 2003). We also found the answers for the significance, effectiveness, and differences of the presumed factors above. Lastly, we checked the predictive capability by comparing the unused deviation data to the predicted deviation. To check if we have missed any variables for the prediction, we newly defined the prediction deviation which is the difference between the observed deviation and the point forecasting deviation. We found that the prediction deviation is off in a random way and what we have missed is random which means we didn’t miss any factors to predict the degree of inelastic deviation in our fitting.

Les organismes vivants sont en intime relation avec leur environnement et sont constamment influencés par de nombreux facteurs chimiques et physiques. Parmi les facteurs physiques présents dans notre environnement, les forces mécaniques, y compris la gravité, les radiations, dont les ultraviolets, et les champs électromagnétiques constituent les trois pôles principaux de nos travaux de doctorat. Des outils biologiques, cellulaires et moléculaires ont été développés afin dévaluer le rôle des RhoGTPases dans les altérations morphologiques, prolifératives et phénotypiques induites par la perte du vecteur gravité au cours de vols spatiaux. Au cours du vol de la capsule spatiale inhabitée FOTON-M3, nous avons pu mettre en évidence que la suppression de Rac1 par ARN interférentiel permettait de contrecarrer les effets délétères de la microgravité sur larchitecture du cytosquelette suggérant que cette molécule de signalisation participe à la réception et à la réactivité à la gravité. RhoA et Cdc42 ne semblent pas impliqués. Nous avons également développé un modèle expérimental dinduction de flux calcique par des peptides mimétiques de la matrice extracellulaire activant les intégrines destiné à être expérimenté au cours de vols paraboliques. Au cours de nos travaux visant à évaluer les effets biologiques des champs électromagnétiques, nous avons observé que les EMF de très basse fréquence (450µT-50Hz) naffectent ni les signaux calciques induits par des concentrations élevées de sérum ou des peptides mimétiques de la matrice extracellulaire, ni lexpression des gènes régulés par les UV-B. Ils sont cependant capables de soutenir les oscillations calciques induites par une concentration sub-optimale de sérum, sans toutefois réguler de manière évidente les voies de signalisation contrôlant la prolifération. Lirradiation par les UV-B dun grand nombre de cellules, primaires, immortalisées et tumorales induit, par épissage alternatif du préARNm du VEGF-A, lexpression dun nouveau variant, le VEGF111. Celui-ci est constitué de la combinaison des exons 1-4 et de lexon 8. Cette nouvelle forme de VEGF-A contient donc les sites de fixation aux VEGF-R1 et R-2 et est pro-angiogène in vitro sur les cellules endothéliales et les cellules souche embryonnaires et in vivo chez la souris. Labsence des exons 6 et 7 codant pour la liaison aux protéines de la matrice extracellulaire lui confère une diffusibilité tissulaire. Une de ses caractéristiques remarquable est sa résistance à la dégradation en raison de labsence du site de clivage par la plasmine et les MMPs. Ce nouveau variant est également induit par diverses substances génotoxiques dont les agents chimiothérapeutiques. Les mécanismes régulant lexpression du VEGF111 dépendent des voies de signalisation ATM/ATR, p53 et MAPKinases. La double personnalité de ce nouveau facteur pro-angiogène, néfaste par son induction potentielle au cours de traitements anti-cancéreux mais bénéfique par son utilisation dans le traitement de pathologies ischémiques particulièrement pertinente en cas dactivités protéolytiques élevées, ouvre un champ considérable dinvestigations. ----------------------------------------------------------------------------------------------------- Living organisms interact with their environment and are constantly influenced by various chemical and physical factors. Among the physical factors present in our environment, mechanical forces, including gravity, radiations, among which ultraviolet radiations, and electromagnetic fields constitute the three main poles of our research. Biological, cellular and molecular tools have been developed with the aim to evaluate the role of RhoGTPases in the morphological, proliferative and phenotypic alterations induced by the loss of gravitational field experienced during space flight. During the flight of the unmanned FOTON-M3 capsule, we have demonstrated that the suppression of Rac1 by small interference RNA was able to counteract the deleterious effects of microgravity on the cytoskeleton architecture. This suggests that this signaling molecule participates to the reception and reaction to gravity. RhoA and Cdc42 do not seem to be implicated. We have also developed an experimental model of induction of intracellular calcium ions fluxes by mimetic peptides of the extracellular matrix activating integrins to be used in parabolic flights. During our investigations aimed at evaluating the biological effects of electromagnetic fields, we observed that EMF of very low-frequency (450µT-50Hz) do not affect neither the calcium signals induced by high concentrations of serum or extracellular matrix mimetic peptides, nor the expression of genes regulated by UV-B. They are however able to sustain calcium oscillations induced by a sub-optimal concentration of serum but without disturbing the cellular proliferation rate. Irradiation by UV-B of a large number of cells, primary, immortalized and tumoral, induces, by alternative splicing of the VEGF-A pre-mRNA, the expression of a new variant, the VEGF111. This isoform is made of a combination of exons 1-4 and exon 8. This new VEGF-A variant contains therefore the binding sites to VEGF-R1 and R-2 and proved to be proangiogenic in vitro for endothelial and ES cells and in vivo in mice. The absence of exons 6 and 7 coding for the heparin binding sites confers it with tissue diffusibility. One of its striking characteristics is its resistance to degradation due to the absence of the cleavage site by plasmin and MMPs. This new variant is also induced by a series of genotoxic agents, including chemotherapeutic drugs. The mechanisms controlling the VEGF111 expression depend on the ATM/ATR, p53 and MAPKinases signaling pathways. The dual faces of VEGF111, detrimental by its potential induction during anti-cancer therapy but beneficial by its use for managing ischemic pathologies, mostly relevant when associated with high proteolytic activities, opens a considerable field of investigations.

In order to create informed predictive models that capture artery dependent responses during atherosclerosis progression and the long term response to hypertension, one needs to know the structural, biochemical and mechanical properties as a function of time in these diseased states. In the case of hypertension more is known about the mechanical changes; while, less is known about the structural changes over time. For atherosclerotic plaques, more is known about the structure and less about the mechanical properties. We established a congruent multi-scale model to predict the adapted salient arterial geometry, structure and biochemical response to an increase in pressure. Geometrical and structural responses to hypertension were then quantified in a hypertensive animal model. Eventually this type of model may be used to predict mechanical changes in complex disease such as atherosclerosis. Thus for future verification and implementation we experimentally tested atherosclerotic plaques and quantified composition, structure and mechanical properties. Using the theoretical models we can now predict arterial changes in biochemical concentrations as well as salient features such as geometry, mass of elastin, smooth muscle, and collagen, and circumferential stress, in response to hemodynamic loads. Using an aortic coarctation model of hypertension, we found structural arterial responses differ in the aorta, coronary and cerebral arteries. Effects of elevated pressure manifest first in the central arteries and later in distal muscular arteries. In the aorta, there is a loss and then increase of cytoskeleton actin fibers, production of fibrillar collagen and elastin, hyperplasia or hypertrophy with nuclear polypoid, and recruitment of hemopoeitic progenitor cells and monocytes. In the muscular coronary, we see similar changes albeit it appears actin fibers are recruited and collagen production is only increased slightly in order to maintain constant the overall ratio of ~55 percent. In the muscular cerebral artery, despite a temporary loss in actin fibers there is little structural change. Contrary to hypertensive arteries, characterizing regional stiffness in atherosclerotic plaques has not been done before. Therefore, experimental testing on atherosclerotic plaques of Apolipoprotein E Knockout mice was performed and revealed nearly homogenously lipidic plaques with a median axial compressive stiffness value of 1.5 kPa.

Many people have readily suggested different types of hyperelastic models for high strain materials and biotissues since the 1940’s without validating them. But, there is no agreement for those models and no model is better than the other because of the ambiguity. The existence of ambiguity is because the error analysis has not been done yet (Criscione, 2003). The error analysis is motivated by the fact that no physical quantity can be measured without having some degree of uncertainties. Inelastic behavior is inevitable for the high strain materials and biotissues, and validity of the model should be justified by understanding the uncertainty due to it. We applied the fundamental statistical theory to the data obtained by randomized uniaxial stretch-controlled tests. The goodness-of-fit test (2R) and test of significance (t-test) were also employed. We initially presumed the factors that give rise to the inelastic deviation are time spent testing, stretch-rate, and stretch history. We found that these factors characterize the inelastic deviation in a systematic way. A huge amount of inelastic deviation was found at the stretch ratio of 1.1 for both specimens. The significance of this fact is that the inelastic uncertainties in the low stretch ranges of the rubber-like materials and biotissues are primarily related to the entropy. This is why the strain energy can hardly be determined by the experimentation at low strain ranges and there has been a deficiency in the understanding of the exclusive nature of the strain energy function at low strain ranges of the rubber-like materials and biotissues (Criscione, 2003). We also found the answers for the significance, effectiveness, and differences of the presumed factors above. Lastly, we checked the predictive capability by comparing the unused deviation data to the predicted deviation. To check if we have missed any variables for the prediction, we newly defined the prediction deviation which is the difference between the observed deviation and the point forecasting deviation. We found that the prediction deviation is off in a random way and what we have missed is random which means we didn’t miss any factors to predict the degree of inelastic deviation in our fitting.

Aortic valve disease is among the third most common cardiovascular disease worldwide, and is also a strong predictor for other cardiac related deaths. Altered mechanical forces are believed to cause changes in aortic valve biosynthetic activity, eventually leading to valve disease, however little is known about the cellular and molecular events involved in these processes. To gain a fundamental understanding into aortic valve disease mechanobiology, an ex vivo experimental model was used to study the effects of normal and elevated cyclic stretch on aortic valve remodeling and degenerative disease. The hypothesis of this proposal was that elevated cyclic stretch will result in increased expression of markers related to degenerative valve disease. Three aspects of aortic valve disease were studied: (i) Altered extracellular matrix remodeling; (ii) Aortic Valve Calcification; and (iii) Serotonin-induced valvulopathy. Results showed that elevated stretch resulted in increased matrix remodeling and calcification via a bone morphogenic protein-dependent pathway. In addition, elevated stretch and serotonin resulted in increased collagen biosynthesis and tissue stiffness via a serotonin-2A receptor-mediated pathway. This work adds to current knowledge on aortic valve disease mechanisms, and could pave the way for the development of novel treatments for valve disease and for the design of tissue engineered valve constructs.

Endothelial cells (ECs) form the inner lining of all blood vessels in the body, and coat the outer surfaces of heart valves. Because ECs are anchored to extracellular matrix proteins and are positioned between flowing blood and underlying interstitium, ECs are constantly exposed to hemodynamic shear, and act as a semi-permeable barrier to blood-borne factors. In vitro cell culture flow (ICF) systems have been employed as laboratory tools for testing endothelial properties such as adhesion strength, shear response, and permeability. Recently, advances in microscale technology have introduced microfluidic systems as alternatives to conventional ICF devices, with a multitude of practical advantages not available at the macroscale. However, acceptance of microfluidics as a viable platform has thus far been reserved because utility of microfluidics has yet to be fully demonstrated. For biologists to embrace microfluidics, engineers must validate microscale systems and prove their practicality as tools for cell biology. Microfluidic devices were designed, fabricated, and implemented to study properties of two EC types: aortic ECs and valve ECs. The objective was to streamline experimentation to reveal phenotypic traits of the two types and in the process demonstrate the usefulness of microfluidics. The first task was to develop a protocol to isolate pure populations of valve ECs because reported methods were inadequate. Dispase and collagenase in combination for leaflet digestion followed by clonal expansion of cell isolates was optimal for obtaining pure valve EC populations. Using a parallel microfluidic network, we discovered that valve ECs adhered strongly and spread well only on fibronectin and not on type I collagen. In contrast, aortic ECs adhered strongly on both proteins. Both aortic and valve ECs were then exposed to shear and analyzed for cell orientation. Morphological analyses showed aortic and valve ECs both aligned parallel to flow when sheared in a macroscale flow chamber, but aortic ECs aligned perpendicular to flow when sheared in a microchannel. Finally, a microfluidic membrane device was designed and characterized as a potential tool for measuring albumin permeability through sheared endothelial monolayers. Overall, these studies revealed novel EC characteristics and phenomena, and demonstrated accessibility of microfluidics for EC studies.

Determining how biological cells respond to external factors in the environment can aid in understanding disease progression, lead to rational design strategies for tissue engineering, and contribute to understanding fundamental mechanisms of cellular function. Dynamic mechanical forces exist in vivo and are known to alter cellular response to other stimuli. However, identifying the roles multiple external factors play in regulating cell fate and function is currently impractical, as experimental techniques to mechanically stimulate cells in culture are severely limited in throughput. Hence, determining cell response to combinations of mechanical and biological factors is technically limited. In this thesis, microfabricated systems were designed, implemented and characterized to screen for the effects of mechanical stimulation in a high-throughput manner. Realizing these systems required the development of a fabrication process for precisely-aligned multilayer microstructures, and the development of a method to integrate non-traditional and clinically-relevant biomaterials into the microfabrication process. Three microfabricated platforms were developed for this application. First, an array was designed for experiments with high mechanical throughput, in which cells cultured on a surface experience a range of cyclic, uniform, equibiaxial strains. Using this array, a novel time- and strain-dependent mechanism regulating nuclear β-catenin accumulation in valve interstitial cells was identified. Second, a simpler system was designed to screen for the effects of combinatorially manipulated mechanobiological parameters on the pathological differentiation of valve interstitial cells. The results demonstrate functional heterogeneity between cells isolated from different regions of the heart valve leaflet. Last, a microfabricated platform was developed for high-throughput mechanical stimulation of cells encapsulated in a three-dimensional biomaterial, enabling the study of mechanical forces on cells in a more physiologically relevant microenvironment. Overall, these studies identified novel biological phenomena as a result of designing higher-throughput systems for the mechanical stimulation of cells.

Calcific aortic valve sclerosis is characterized by focal lesions in the valve leaflet. These lesions are rich in myofibroblasts that express α-SMA and cause fibrosis. Lesions tend to occur in regions of the leaflet that are subjected to large bending loads, suggesting a mechanobiological basis for myofibrogenic differentiation and valve pathogenesis. In this thesis, a bioreactor was developed to study the effect of physiological loading on myofibrogenic differentiation of valve interstitial cells. Cyclic loading of native porcine aortic valve leaflets ex vivo resulted in increased α-SMA expression, predominantly in the fibrosa and spongiosa (similar to sclerotic leaflets). Cofilin, an actin-binding protein, was also upregulated by loading, suggesting it plays a role in mechanically-induced myofibrogenesis. Similarly, loading of a tissue engineered aortic valve leaflet model resulted in increased α-SMA transcript and protein expression. These data support an integral role for mechanical stimuli in myofibrogenic differentiation and sclerosis in the aortic valve.

Endothelial cells (ECs) form the inner lining of all blood vessels in the body, and coat the outer surfaces of heart valves. Because ECs are anchored to extracellular matrix proteins and are positioned between flowing blood and underlying interstitium, ECs are constantly exposed to hemodynamic shear, and act as a semi-permeable barrier to blood-borne factors. In vitro cell culture flow (ICF) systems have been employed as laboratory tools for testing endothelial properties such as adhesion strength, shear response, and permeability. Recently, advances in microscale technology have introduced microfluidic systems as alternatives to conventional ICF devices, with a multitude of practical advantages not available at the macroscale. However, acceptance of microfluidics as a viable platform has thus far been reserved because utility of microfluidics has yet to be fully demonstrated. For biologists to embrace microfluidics, engineers must validate microscale systems and prove their practicality as tools for cell biology. Microfluidic devices were designed, fabricated, and implemented to study properties of two EC types: aortic ECs and valve ECs. The objective was to streamline experimentation to reveal phenotypic traits of the two types and in the process demonstrate the usefulness of microfluidics. The first task was to develop a protocol to isolate pure populations of valve ECs because reported methods were inadequate. Dispase and collagenase in combination for leaflet digestion followed by clonal expansion of cell isolates was optimal for obtaining pure valve EC populations. Using a parallel microfluidic network, we discovered that valve ECs adhered strongly and spread well only on fibronectin and not on type I collagen. In contrast, aortic ECs adhered strongly on both proteins. Both aortic and valve ECs were then exposed to shear and analyzed for cell orientation. Morphological analyses showed aortic and valve ECs both aligned parallel to flow when sheared in a macroscale flow chamber, but aortic ECs aligned perpendicular to flow when sheared in a microchannel. Finally, a microfluidic membrane device was designed and characterized as a potential tool for measuring albumin permeability through sheared endothelial monolayers. Overall, these studies revealed novel EC characteristics and phenomena, and demonstrated accessibility of microfluidics for EC studies.

Determining how biological cells respond to external factors in the environment can aid in understanding disease progression, lead to rational design strategies for tissue engineering, and contribute to understanding fundamental mechanisms of cellular function. Dynamic mechanical forces exist in vivo and are known to alter cellular response to other stimuli. However, identifying the roles multiple external factors play in regulating cell fate and function is currently impractical, as experimental techniques to mechanically stimulate cells in culture are severely limited in throughput. Hence, determining cell response to combinations of mechanical and biological factors is technically limited. In this thesis, microfabricated systems were designed, implemented and characterized to screen for the effects of mechanical stimulation in a high-throughput manner. Realizing these systems required the development of a fabrication process for precisely-aligned multilayer microstructures, and the development of a method to integrate non-traditional and clinically-relevant biomaterials into the microfabrication process. Three microfabricated platforms were developed for this application. First, an array was designed for experiments with high mechanical throughput, in which cells cultured on a surface experience a range of cyclic, uniform, equibiaxial strains. Using this array, a novel time- and strain-dependent mechanism regulating nuclear β-catenin accumulation in valve interstitial cells was identified. Second, a simpler system was designed to screen for the effects of combinatorially manipulated mechanobiological parameters on the pathological differentiation of valve interstitial cells. The results demonstrate functional heterogeneity between cells isolated from different regions of the heart valve leaflet. Last, a microfabricated platform was developed for high-throughput mechanical stimulation of cells encapsulated in a three-dimensional biomaterial, enabling the study of mechanical forces on cells in a more physiologically relevant microenvironment. Overall, these studies identified novel biological phenomena as a result of designing higher-throughput systems for the mechanical stimulation of cells.