Indiana University-Purdue University Indianapolis (IUPUI) / Predictability of tooth displacement in response to specific orthodontic load system directly links to the quality and effectiveness of the treatment. The key questions are how the tooth’s environment changes in response to the orthodontic load and how the biological tissues respond clinically. The objectives of this study are to determine the mechanical environment (ME) changes and to quantify the biological tissues’ response. Eighteen (18) patients who needed maxillary bilateral canine retractions were involved in the study. A method was developed to quantify the 3D load systems on the canine, which allowed the treatment strategies to be customized in terms of orthodontic loading systems to meet either translation (TR) or controlled tipping (CT) requirement. Dental casts were made before and after each treatment interval, and the Cone Beam Computed Tomography (CBCT) scans were taken prior to and following the entire treatment for control of treatment strategy and post treatment evaluations. Finite element method (FEM) was applied to calculate the location of center of resistance (CRes) for tooth movement control. The location and variation of CRes were recorded and compared with previous studies. A quick CRes assessment method that locates CRes by calculating the centroid of the contact surface (CCS) and the centroid of the projection of root surface (CPCS) in certain direction was also tested and compared with the results from FEM. Customized T-loop spring, a kind of orthodontic appliance, was designed, fabricated, and calibrated on a load measuring system to ensure that the load met the clinician’s prescription. The treatment outcomes in terms of tooth displacement and root resorption characterized by the changes of tooth length and volume as well as the bone mineral density (BMD) represented by the Hounsfield units (HU) change were recorded and analyzed. The ME in terms of stress were also calculated by using FEM. Paired t-test and mixed model ANOVA methods were used to analyze the relationships between the mechanical inputs (quantified and customized load, and corresponding stress) and clinical outcomes (root resorption and BMD change). It was found that the overall root resorption is not significant for canine retraction, but apical root resorption does occur, meaning that orthodontic load is not a sufficient factor. Also, it was observed that HU distribution changed significantly in both root and alveolar bone. The maximum reduction was on the coronal level in the direction perpendicular to the direction of movement in root, and in the direction of the tooth movement at the coronal level in bone. In addition, it was determined that the locations of the CRes in the MD and BL directions were significantly different. The locations of the CRes of a human canine in MD and BL directions can be estimated by finding the CPCSs in the two directions. Finally, it was shown that the stress invariants can be used to characterize how the osteocytes feel when ME changes. The stress invariants in the alveolar bone are not significantly affected by different M/F. The higher bone modeling/remodeling activities along the direction of tooth movement may be related to the initial volumetric increase and decrease in the alveolar bone.

No description available.

Indiana University-Purdue University Indianapolis (IUPUI) / The first part of the study describes the development of a microCT based engineering model to study orthodontic responses. The second part investigated the relationship between orthodontic stimulus, root resorption and bone modeling. It was hypothesized that stress magnitudes are insufficient to portray the mechanical environment and explain the clinical response; directions also play a role. An idealized tooth model was constructed for finite element analysis. The principal stress magnitudes and directions were calculated in tipping and translation. It was concluded that within the same region of root, PDL and bone, there can be compression in one structure, tension in another. At a given point in a structure, compression and tension can coexist in different directions. Magnitudes of compression or tension are typically different in different directions. Previously published data presenting only stress magnitude plots can be confusing, perhaps impossible to understand and/or correlate with biological responses. To avoid ambiguities, a reference to a principal stress should include its predominant direction. Combined stress magnitude/direction results suggest that the PDL is the initiator of mechanotransduction. The third part of this project tested the role of the P2X7 receptor in the dentoalveolar morphology of C57B/6 mice. P2X7R KO (knockout) mice were compared to C57B/6 WT to identify differences in a maxillary molar and bone. Tooth dimensions were measured and 3D bone morphometry was conducted. No statistically significant differences were found between the two mouse types. P2X7R does not have a major effect on alveolar bone or tooth morphology. The final part examines the role of the P2X7 receptor in a controlled biomechanical model. Orthodontic mechanotransduction was compared in wild-type (WT) and P2X7R knock-out (KO) mice. Using Finite Element Analysis, mouse mechanics were scaled to produce typical human stress levels. Relationships between the biological responses and the calculated stresses were statistically tested and compared. There were direct relationships between certain stress magnitudes and root resorption and bone formation. Hyalinization and root and bone resorption were different in WT and KO. Orthodontic responses are related to the principal stress patterns in the PDL and the P2X7 receptor plays a significant role in their mechanotransduction.

<p>Cellular structural mechanics play a key role in homeostasis by transducing mechanical signals to regulate gene expression and by providing adaptive structural stability for the cell. The alteration of nuclear mechanics in various laminopathies and in natural aging can damage these key functions. Arterial endothelial cells appear to be especially vulnerable due to the importance of shear force mechanotransduction to structure and gene regulation as is made evident by the prominent role of atherosclerosis in Hutchinson-Gilford progeria syndrome (HGPS) and in natural aging. Computational models of cellular mechanics may provide a useful tool for exploring the structural hypothesis of laminopathy at the intracellular level. This thesis explores this topic by introducing the biological background of cellular mechanics and lamin proteins in arterial endothelial cells, investigating disease states related to aberrant lamin proteins, and exploring computational models of the cell structure. It then presents a finite element model designed specifically for investigation of nuclear shear forces in arterial endothelial cells. Model results demonstrate that changes in nuclear material properties consistent with those observed in progerin-expressing cells may result in substantial increases in stress concentrations on the nuclear membrane. This supports the hypothesis that progerin disrupts homeostatic regulation of gene expression in response to hemodynamic shear by altering the mechanical properties of the nucleus.</p>

Breast cancer metastasis is one of the reasons why this type of cancer is destructive even after treatment as it tends to move from one organ to another increasing the risk factor for an individual. In the metastatic cascade, the tumour undergoes many different types of stress, including extracellular (ECM) stiffness. Key proteins that have been linked to the change in stiffness of the ECM are YAP and β-catenin. Both functions similarly in the manner that they need to translocate to the nucleus and bind to their respective transcription factors in order to activate their downstream genes. In parallel this seems to be on a stiffness dependent manner. Therefore, the hypothesis is that β-catenin is able to compensate for YAP function when YAP is downregulated in a stiffness dependent manner. In this work, results show a significant increase of YAP and β-catenin translocation to the nucleus of MDA-MB-231 cells when they are subject to the stiffer substrate in comparison to the softer substrate indicating increase gene expression of their respective pathways. The effect of the stiffness was then analyzed by doing single knockdown experiments with siRNA. To investigate the response of β-catenin, knocking down YAP was done, and it was shown that β-catenin translocation significantly increased on the softer matrix, while stiffer matrix showed no significant difference. Downstream gene expression also confirmed this idea with CTGF being downregulated with β-catenin knockdown and AXIN2 being downregulated with YAP knockdown. In the cell behavioural aspect, only when the double knockdown of YAP and β-catenin was done, the migration and proliferation rate had significant lowered. This echoes the idea further of the compensating effects of β-catenin to YAP. In addition, the exploration of the cytoskeleton network was investigated, as this is a key component in protein pathways, by treating the cells using LatA and Blebbistatin, affecting F-actin and myosin-II respectively. Knowing the critical role of cytoskeletal proteins in mechanotransduction, the hypothesis is that actin filaments and myosin-II mediate the YAP & β-catenin nuclear translocation activation. Findings show the direct relationship between F-actin and YAP as actin polymerization state significantly decreased when YAP was knockdown in a similar manner to when LatA was added. When myosin-II was added, both YAP and β-catenin nuclear translocation were affected, indicating its potential role in mechanotransduction. Furthermore, it was found that cell confluency and PIEZO1 activation had significant effects in YAP & β-catenin translocation. By seeding the cells with different densities, the β-catenin signalling could be visualized with IF staining, with the conclusion that at high confluency, the β-catenin translocation was alleviated. For the PIEZO1 studies, results indicate that PIEZO1 is an upstream regulator of YAP by doing single knockdown experiments and subsequently analysing YAP signalling. The findings underscore the potential significance of β-catenin as a modulator of mechanotransduction in the absence of YAP, showcasing the complexity of the protein signalling network orchestrating cellular response due to mechanical cues. Unravelling these protein interplay could offer novel insights into therapeutic targets for breast cancer mechanotransduction. Ultimately, this research adds to the understanding of the intricate protein signalling that governs mechanotransduction in breast cancer cells. The discovery of stiffness dependent YAP & β-catenin signalling, the interplay between YAP and β-catenin pathway mechanotransduction implicated by cell density, the regulation of YAP- β-catenin interplay in mechanotransduction by PIEZO1, the importance of F-actin & myosin-II in YAP & β-catenin translocation, and the YAP & β-catenin effects on cell behaviour, all help lay the groundwork for devising targeted interventions to impede cancer progression. / Thesis / Master of Applied Science (MASc) / Breast cancer is the most prominent type of cancer that exists in women and like other cancers, it can spread to other organs such as the bone, liver, and brain even though the microenvironments are different. With different proteins like yes-associated protein (YAP) regulating this microenvironmental change in the primary and secondary sites, it can flourish and become more aggressive which leads to death for the host. The interactions of these proteins and their pathways which affects the aggressiveness of the cancers are still not well understood. This project investigates the interaction between YAP and β-catenin in response to surface stiffness to understand the mechanical regulation of breast cancer metastasis. Alongside the protein signalling, cytoskeletal components, downstream gene expression, cell confluency, and membrane proteins are explored. Our results show that an increase in stiffness allow for higher nuclear translocation for YAP and β-catenin, enhancing downstream gene expression relating to migration and proliferation. Furthermore, in lower stiffness the crosstalk between YAP and β-catenin results in an inverse relationship. These findings suggest β-catenin compensates YAP function when YAP is inhibited. In terms of the cytoskeletal protein, an integral part of the cell, the intervention saw a significant alteration in the YAP & β-catenin signalling. Additionally, cell confluency played a large role in β-catenin nuclear translocation implicating the role of cell-to-cell contact in mechanotransduction. To see if mechanosensitive membrane proteins fit into the pathway, PIEZO1 studies were done and results show that it is an upstream effector of YAP, and consequently an indirect connection with β-catenin. All in all, this thesis provides insightful information in the role of stiffness matrix, cell confluency, membrane proteins and how that regulate YAP & β-catenin. This research provides the mechanism for the synergistic therapies targeting multiple proteins to prevent cancer growth and metastasis.

No description available.

À ce jour, la scoliose idiopathique de l’adolescent (SIA) est la déformation rachidienne la plus commune parmi les enfants. Il est bien connu dans le domaine de recherche sur la SIA que les forces mécaniques, en particulier les forces biomécaniques internes dans le système musculosquelettique, pourraient jouer un rôle majeur dans l’initiation et le développement de la maladie. Cependant, les connaissances sur la transformation des forces et des stimulations mécaniques en activité biochimique sont peu abondantes. Cet axe de recherche est très prometteur et peut nous fournir de nouvelles idées dans le dépistage et le traitement de la SIA. Dans le cadre de cette étude, nous visons à caractériser la mécanotransduction chez les patients atteints de la SIA en employant des techniques novatrices aux niveaux in vivo et in vitro. Antérieurement dans notre laboratoire, nous avons démontré que les niveaux d’Ostéopontine (OPN) plasmatique chez l’humain corrèlent avec la progression et la sévérité de la maladie, et que ces changements sont observables avant le début de la scoliose. En plus, selon la littérature, l’OPN est une molécule sensible à la force mécanique, dont l’expression augmente en réponse dans de nombreux types de cellules chez plusieurs espèces. Toutefois, il n’existe aucune preuve que ce résultat soit valide in vivo chez l’humain. L’hétérogénéité physique et biochimique de la SIA pose un gros défi aux chercheurs. Souvent, il est très difficile de trouver des résultats ayant une grande applicabilité. Les études portant sur les facteurs biomécaniques ne font pas exception à cette tendance. En dépit de tout cela, nous croyons qu’une approche basée sur l’observation des contraintes de cisaillement présentes dans le système musculosquelettique pourrait aider à surmonter ces difficultés. Les contraintes de cisaillement physiologique sont générées par des courants de fluide en mouvement à l’intérieur des os. Aussi, elles sont omniprésentes et universelles chez l’humain, peu importe l’âge, le sexe, la condition physique, etc., ce qui veut dire que l’étudier pourrait fort bien avancer nos connaissances en formant une base fondamentale avec laquelle on pourra mieux comprendre les différences quant à la mécanotransduction chez les patients atteints de la SIA par rapport aux sujets sains. Pour ce projet, donc, nous proposons l’hypothèse que les sujets atteints de la SIA se différencient par leurs réponses respectives à la force mécanique au niveau cellulaire (en termes de l’expression génique) ainsi qu’au niveau in vivo (en termes du marqueur OPN et son récepteur, sCD44). Afin de vérifier la partie de notre hypothèse de recherche concernant l’aspect in vivo, nous avons recruté une cohorte de patients âgés de 9-17 ans, y compris i) des cas pré-chirurgicaux (angle de Cobb > 45°), ii) des cas modérément atteints (angle de Cobb 10-44°), iii) des témoins, et iv) des enfants asymptomatiques à risque de développer la scoliose (selon nos dépistages biochimiques et fonctionnels) d’âge et sexe appariés. Une pression pulsatile et dynamique avec une amplitude variant de 0-4 psi à 0.006 Hz a été appliquée à un des bras de chacun de nos sujets pour une durée de 90 minutes. Au tout début et à chaque intervalle de 30 minutes après l’initiation de la pression, un échantillon de sang a été prélevé, pour pouvoir surveiller les niveaux d’OPN et de sCD44 circulants chez les sujets. Nous avons découvert que le changement des niveaux d’OPN plasmatique, mais pas des niveaux de sCD44, corrélaient avec la sévérité de la difformité rachidienne chez les sujets, ceux ayant une courbe plus prononcée démontrant une ampleur de réponse moins élevée. Pour vérifier la partie de notre hypothèse de recherche concernant la réponse mécanotransductive cellulaire, des ostéoblastes prélevées à 12 sujets ont été mis en culture pour utilisation avec notre appareil (le soi-disant « parallel plate flow chamber »), qui sert à fournir aux ostéoblastes le niveau de contraintes de cisaillement désiré, de manière contrôlée et prévisible. Les sujets étaient tous femelles, âgées de 11-17 ans ; les patients ayant déjà une scoliose possédaient une courbe diagnostiquée comme « double courbe majeure ». Une contrainte fluidique de cisaillement à 2 Pa, 0.5 Hz a été appliquée à chaque échantillon ostéoblastique pour une durée de 90 minutes. Les changements apportés à l’expression génique ont été mesurés et quantifiés par micropuce et qRT-PCR. En réponse à notre stimulation, nous avons trouvé qu’il n’y avait que quelques gènes étant soit différentiellement exprimés, soit inchangés statistiquement dans tous les groupes expérimentaux atteints, en exhibant simultanément la condition contraire chez les témoins. Ces résultats mettent en évidence la grande diversité de la réponse mécanotransductive chez les patients comparés aux contrôles, ainsi qu’entre les sous-groupes fonctionnels de la SIA. Globalement, cette œuvre pourrait contribuer au développement d’outils diagnostiques innovateurs pour identifier les enfants asymptomatiques à risque de développer une scoliose, et évaluer le risque de progression des patients en ayant une déjà. Aussi, dans les années à venir, les profils mécanotransductifs des patients pourraient s’avérer un facteur crucial à considérer cliniquement, particulièrement en concevant ou personnalisant des plans de traitements pour des personnes atteintes. / Adolescent idiopathic scoliosis (AIS) is the most commonly occurring musculoskeletal deformity among children today. It is generally well accepted in scoliosis research that mechanical forces, especially the internal biomechanical forces of the musculoskeletal system, could well have a major role in the induction and pathogenesis of the disease. However, the process by which mechanical loads or stimuli are converted into biochemical activity (mechanotransduction) has not been explored so deeply. This emerging facet of research in AIS holds much promise for new insights into the disease. Here, we aim to characterize mechanotransduction in scoliosis patients using some novel techniques at both the in vivo and in vitro levels. Previously in our lab, we demonstrated that the level of plasma osteopontin (OPN) and sCD44 in the human body is a strong indicator of disease progression and severity, and that these changes are observable before scoliosis onset. In the literature, OPN in vitro is known to be mechanosensitive, showing upregulation in response to mechanical stress in a variety of cell types across many species. However, to the best of the author’s knowledge, no literature exists as to whether this behaviour carries over in vivo in humans. A major difficulty in AIS research is the heterogeneity of the disease, both physically and biochemically. Because of this, many times it is difficult to find results with wide applicability to patients. Study of biomechanical factors in AIS is no exception. We believe, however, that study of fluid shear stress in the musculoskeletal system may be able to solve this problem for mechanotransduction-related issues in AIS. Native physiological fluid shear stresses in humans are experienced in the musculoskeletal system, caused by fluid movement over cells therein. These fluid shear stresses are omnipresent and universal in all humans, regardless of age, gender, fitness level, etc., which means that studying it could very well go a long way towards establishing a fundamental basis of understanding the differences as to mechanotransduction in scoliosis patients as opposed to normal cases. In this project, then, we advanced the hypothesis that AIS patients are distinguishable in the way they respond to mechanical force at both the cellular level (in terms of gene expression) as well as globally at the in vivo level (in terms of the scoliosis marker OPN and its receptor sCD44). To test the in vivo portion of our hypothesis, we recruited a cohort of patients between the ages of 9-17, each one of which fell into one of 4 subject groups: i) surgical cases (pre-surgery, Cobb angle > 45°), ii) moderately affected cases (Cobb angle 10-44°), iii) controls, or iv) asymptomatic children at risk of developing scoliosis matched for age and gender against healthy controls. A dynamic, pulsatile, compressive pressure of variable amplitude from 0-4 psi at 0.006 Hz was applied to the arm of each subject for a period of 90 minutes. Initially and at intervals of 30 minutes after the start of force application, blood samples were taken in order to monitor circulating plasma OPN and sCD44 levels in subjects. We found that the change of circulating OPN levels, but not sCD44 levels, measured in vivo in response to our mechanical stimulation was statistically significantly correlated to status of spinal deformity severity, with more severely affected subjects demonstrating lower magnitudes of ΔOPN. To test the cellular portion of our hypothesis, osteoblasts from severely affected AIS patients and unaffected controls were cultured for use with our parallel plate flow chamber (PPFC) apparatus setup, which permits application of fluid shear stress patterns to cells in a predictable, controllable manner. Subjects were all females who fell into the 11-17 years age range, with scoliotic patients presenting with double major curves. A dynamic, sinusoidal and oscillatory fluid shear stress pattern was applied to osteoblasts at 2 Pa, 0.5 Hz for 90 minutes. Overall gene expression changes across RNA samples as a result of our stimulation were measured using microarray and qRT-PCR approaches. In response, only a very small number of genes are either mutually differentially expressed or statistically unchanged across all functional scoliotic subgroups while having the opposite condition in the control group, indicating a great degree of difference in terms of mechanotransductive response as compared internally between AIS functional subgroups, as well as between control and AIS patients. Globally, this project’s work may contribute to the development of innovative diagnostic tools to identify asymptomatic children at risk of developing scoliosis, and to assess the risk of curve progression at an early stage in those already affected. Also, in years to come, the mechanotransductive profile of a patient could be another integral factor to weigh, clinically, when considering or designing treatment plans for affected persons.

As an important endogenous source of reactive oxygen species (ROS), NADPH oxidase 1 (Nox1) has received tremendous attention in the past few decades. It has been identified to play a key role as the initial "kindle," whose activation is crucial for amplifying ROS production through several propagation mechanisms in the vascular system. As a consequence, Nox1 has been implicated in the initiation and genesis of many cardiovascular diseases and has therefore been the subject of detailed investigations. The literature on experimental studies of the Nox1 system is extensive. Numerous investigations have identified essential features of the Nox1 system in vasculature and characterized key components, possible regulatory signals and/or signaling pathways, potential activation mechanisms, a variety of Nox1 stimuli, and its potential physiological and pathophysiological functions. While these experimental studies have greatly enhanced our understanding of the Nox1 system, many open questions remain regarding the overall functionality and dynamic behavior of Nox1 in response to specific stimuli. Such questions include the following. What are the main regulatory and/or activation mechanisms of Nox1 systems in different types of vascular cells? Once Nox1 is activated, how does the system return to its original, unstimulated state, and how will its subunits be recycled? What are the potential disassembly pathways of Nox1? Are these pathways equally important for effectively reutilizing Nox1 subunits? How does Nox1 activity change in response to dynamic signals? Are there generic features or principles within the Nox1 system that permit optimal performance? These types of questions have not been answered by experiments, and they are indeed quite difficult to address with experiments. I demonstrate in this dissertation that one can pose such questions and at least partially answer them with mathematical and computational methods. Two specific cell types, namely endothelial cells (ECs) and vascular smooth muscle cells (VSMCs), are used as "templates" to investigate distinct modes of regulation of Nox1 in different vascular cells. By using a diverse array of modeling methods and computer simulations, this research identifies different types of regulation and their distinct roles in the activation process of Nox1. In the first study, I analyze ECs stimulated by mechanical stimuli, namely shear stresses of different types. The second study uses different analytical and simulation methods to reveal generic features of alternative disassembly mechanisms of Nox1 in VSMCs. This study leads to predictions of the overall dynamic behavior of the Nox1 system in VSMCs as it responds to extracellular stimuli, such as the hormone angiotensin II. The studies and investigations presented here improve our current understanding of the Nox1 system in the vascular system and might help us to develop potential strategies for manipulation and controlling Nox1 activity, which in turn will benefit future experimental and clinical studies.

The effects of mechanical forces on endothelial cell function and behavior are well documented, but have not been fully characterized. Specifically, fluid pressure has been shown to elicit physical and chemical responses known to be involved in the initiation and progression of endothelial cell-mediated vascularization. Central to the process of vascularization is the formation of tube-like structures. This process—tubulogenesis—is essential to both the physiological and pathological growth of tissues. Given the known effects of pressure on endothelial cells and its ubiquitous presence in the vasculature, we investigated pressure as a magnitude-dependent parameter for the regulation of endothelial tubulogenic activity. To accomplish this, we exposed two- and three-dimensional bovine aortic endothelial cell (BAEC) cultures to static pressures of 0, 20, and 40 mmHg for 3 and 4 days. The most significant findings were: (1) cells in two-dimensional culture exposed to 20, but not 40, mmHg exhibited significantly (p < 0.05) increased expression of both VEGF-C and VEGFR-3, and (2) cells in three-dimensional culture exposed to 20, but not 40, mmHg exhibited significant (p > 0.05) increases in endothelial sprouting. These findings evidence the utility of pressure as a selective modulator of tissue microvascularization in vitro and implicates pressure as factor in pathological tubulogenesis in vivo.

À ce jour, la scoliose idiopathique de l’adolescent (SIA) est la déformation rachidienne la plus commune parmi les enfants. Il est bien connu dans le domaine de recherche sur la SIA que les forces mécaniques, en particulier les forces biomécaniques internes dans le système musculosquelettique, pourraient jouer un rôle majeur dans l’initiation et le développement de la maladie. Cependant, les connaissances sur la transformation des forces et des stimulations mécaniques en activité biochimique sont peu abondantes. Cet axe de recherche est très prometteur et peut nous fournir de nouvelles idées dans le dépistage et le traitement de la SIA. Dans le cadre de cette étude, nous visons à caractériser la mécanotransduction chez les patients atteints de la SIA en employant des techniques novatrices aux niveaux in vivo et in vitro. Antérieurement dans notre laboratoire, nous avons démontré que les niveaux d’Ostéopontine (OPN) plasmatique chez l’humain corrèlent avec la progression et la sévérité de la maladie, et que ces changements sont observables avant le début de la scoliose. En plus, selon la littérature, l’OPN est une molécule sensible à la force mécanique, dont l’expression augmente en réponse dans de nombreux types de cellules chez plusieurs espèces. Toutefois, il n’existe aucune preuve que ce résultat soit valide in vivo chez l’humain. L’hétérogénéité physique et biochimique de la SIA pose un gros défi aux chercheurs. Souvent, il est très difficile de trouver des résultats ayant une grande applicabilité. Les études portant sur les facteurs biomécaniques ne font pas exception à cette tendance. En dépit de tout cela, nous croyons qu’une approche basée sur l’observation des contraintes de cisaillement présentes dans le système musculosquelettique pourrait aider à surmonter ces difficultés. Les contraintes de cisaillement physiologique sont générées par des courants de fluide en mouvement à l’intérieur des os. Aussi, elles sont omniprésentes et universelles chez l’humain, peu importe l’âge, le sexe, la condition physique, etc., ce qui veut dire que l’étudier pourrait fort bien avancer nos connaissances en formant une base fondamentale avec laquelle on pourra mieux comprendre les différences quant à la mécanotransduction chez les patients atteints de la SIA par rapport aux sujets sains. Pour ce projet, donc, nous proposons l’hypothèse que les sujets atteints de la SIA se différencient par leurs réponses respectives à la force mécanique au niveau cellulaire (en termes de l’expression génique) ainsi qu’au niveau in vivo (en termes du marqueur OPN et son récepteur, sCD44). Afin de vérifier la partie de notre hypothèse de recherche concernant l’aspect in vivo, nous avons recruté une cohorte de patients âgés de 9-17 ans, y compris i) des cas pré-chirurgicaux (angle de Cobb > 45°), ii) des cas modérément atteints (angle de Cobb 10-44°), iii) des témoins, et iv) des enfants asymptomatiques à risque de développer la scoliose (selon nos dépistages biochimiques et fonctionnels) d’âge et sexe appariés. Une pression pulsatile et dynamique avec une amplitude variant de 0-4 psi à 0.006 Hz a été appliquée à un des bras de chacun de nos sujets pour une durée de 90 minutes. Au tout début et à chaque intervalle de 30 minutes après l’initiation de la pression, un échantillon de sang a été prélevé, pour pouvoir surveiller les niveaux d’OPN et de sCD44 circulants chez les sujets. Nous avons découvert que le changement des niveaux d’OPN plasmatique, mais pas des niveaux de sCD44, corrélaient avec la sévérité de la difformité rachidienne chez les sujets, ceux ayant une courbe plus prononcée démontrant une ampleur de réponse moins élevée. Pour vérifier la partie de notre hypothèse de recherche concernant la réponse mécanotransductive cellulaire, des ostéoblastes prélevées à 12 sujets ont été mis en culture pour utilisation avec notre appareil (le soi-disant « parallel plate flow chamber »), qui sert à fournir aux ostéoblastes le niveau de contraintes de cisaillement désiré, de manière contrôlée et prévisible. Les sujets étaient tous femelles, âgées de 11-17 ans ; les patients ayant déjà une scoliose possédaient une courbe diagnostiquée comme « double courbe majeure ». Une contrainte fluidique de cisaillement à 2 Pa, 0.5 Hz a été appliquée à chaque échantillon ostéoblastique pour une durée de 90 minutes. Les changements apportés à l’expression génique ont été mesurés et quantifiés par micropuce et qRT-PCR. En réponse à notre stimulation, nous avons trouvé qu’il n’y avait que quelques gènes étant soit différentiellement exprimés, soit inchangés statistiquement dans tous les groupes expérimentaux atteints, en exhibant simultanément la condition contraire chez les témoins. Ces résultats mettent en évidence la grande diversité de la réponse mécanotransductive chez les patients comparés aux contrôles, ainsi qu’entre les sous-groupes fonctionnels de la SIA. Globalement, cette œuvre pourrait contribuer au développement d’outils diagnostiques innovateurs pour identifier les enfants asymptomatiques à risque de développer une scoliose, et évaluer le risque de progression des patients en ayant une déjà. Aussi, dans les années à venir, les profils mécanotransductifs des patients pourraient s’avérer un facteur crucial à considérer cliniquement, particulièrement en concevant ou personnalisant des plans de traitements pour des personnes atteintes. / Adolescent idiopathic scoliosis (AIS) is the most commonly occurring musculoskeletal deformity among children today. It is generally well accepted in scoliosis research that mechanical forces, especially the internal biomechanical forces of the musculoskeletal system, could well have a major role in the induction and pathogenesis of the disease. However, the process by which mechanical loads or stimuli are converted into biochemical activity (mechanotransduction) has not been explored so deeply. This emerging facet of research in AIS holds much promise for new insights into the disease. Here, we aim to characterize mechanotransduction in scoliosis patients using some novel techniques at both the in vivo and in vitro levels. Previously in our lab, we demonstrated that the level of plasma osteopontin (OPN) and sCD44 in the human body is a strong indicator of disease progression and severity, and that these changes are observable before scoliosis onset. In the literature, OPN in vitro is known to be mechanosensitive, showing upregulation in response to mechanical stress in a variety of cell types across many species. However, to the best of the author’s knowledge, no literature exists as to whether this behaviour carries over in vivo in humans. A major difficulty in AIS research is the heterogeneity of the disease, both physically and biochemically. Because of this, many times it is difficult to find results with wide applicability to patients. Study of biomechanical factors in AIS is no exception. We believe, however, that study of fluid shear stress in the musculoskeletal system may be able to solve this problem for mechanotransduction-related issues in AIS. Native physiological fluid shear stresses in humans are experienced in the musculoskeletal system, caused by fluid movement over cells therein. These fluid shear stresses are omnipresent and universal in all humans, regardless of age, gender, fitness level, etc., which means that studying it could very well go a long way towards establishing a fundamental basis of understanding the differences as to mechanotransduction in scoliosis patients as opposed to normal cases. In this project, then, we advanced the hypothesis that AIS patients are distinguishable in the way they respond to mechanical force at both the cellular level (in terms of gene expression) as well as globally at the in vivo level (in terms of the scoliosis marker OPN and its receptor sCD44). To test the in vivo portion of our hypothesis, we recruited a cohort of patients between the ages of 9-17, each one of which fell into one of 4 subject groups: i) surgical cases (pre-surgery, Cobb angle > 45°), ii) moderately affected cases (Cobb angle 10-44°), iii) controls, or iv) asymptomatic children at risk of developing scoliosis matched for age and gender against healthy controls. A dynamic, pulsatile, compressive pressure of variable amplitude from 0-4 psi at 0.006 Hz was applied to the arm of each subject for a period of 90 minutes. Initially and at intervals of 30 minutes after the start of force application, blood samples were taken in order to monitor circulating plasma OPN and sCD44 levels in subjects. We found that the change of circulating OPN levels, but not sCD44 levels, measured in vivo in response to our mechanical stimulation was statistically significantly correlated to status of spinal deformity severity, with more severely affected subjects demonstrating lower magnitudes of ΔOPN. To test the cellular portion of our hypothesis, osteoblasts from severely affected AIS patients and unaffected controls were cultured for use with our parallel plate flow chamber (PPFC) apparatus setup, which permits application of fluid shear stress patterns to cells in a predictable, controllable manner. Subjects were all females who fell into the 11-17 years age range, with scoliotic patients presenting with double major curves. A dynamic, sinusoidal and oscillatory fluid shear stress pattern was applied to osteoblasts at 2 Pa, 0.5 Hz for 90 minutes. Overall gene expression changes across RNA samples as a result of our stimulation were measured using microarray and qRT-PCR approaches. In response, only a very small number of genes are either mutually differentially expressed or statistically unchanged across all functional scoliotic subgroups while having the opposite condition in the control group, indicating a great degree of difference in terms of mechanotransductive response as compared internally between AIS functional subgroups, as well as between control and AIS patients. Globally, this project’s work may contribute to the development of innovative diagnostic tools to identify asymptomatic children at risk of developing scoliosis, and to assess the risk of curve progression at an early stage in those already affected. Also, in years to come, the mechanotransductive profile of a patient could be another integral factor to weigh, clinically, when considering or designing treatment plans for affected persons.