Submitted by Mariane Bertolucci Casalenovo null (mary_bc14@hotmail.com) on 2017-09-14T00:20:08Z No. of bitstreams: 1 DISSERTAÇÃO FINAL.pdf: 10749096 bytes, checksum: 4412c078d6e18d64f519d7ac0952d26d (MD5) / Approved for entry into archive by Luiz Galeffi (luizgaleffi@gmail.com) on 2017-09-15T13:49:22Z (GMT) No. of bitstreams: 1 casalenovo_mb_me_bot.pdf: 10749096 bytes, checksum: 4412c078d6e18d64f519d7ac0952d26d (MD5) / Made available in DSpace on 2017-09-15T13:49:22Z (GMT). No. of bitstreams: 1 casalenovo_mb_me_bot.pdf: 10749096 bytes, checksum: 4412c078d6e18d64f519d7ac0952d26d (MD5) Previous issue date: 2017-08-03 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A infecção por Mycobacterium leprae (M. leprae) desencadeia alterações no status funcional das células de Schwann (SCs), responsáveis pela produção da bainha de mielina e homeostasia neural. Estudos prévios indicam que lesões nos nervos periféricos modulam a expressão de fatores-chave envolvidos na diferenciação e maturação das SCs. Na hanseníase, alterações funcionais nessas células podem estar envolvidas na patogênese do dano neural. O presente estudo buscou determinar a expressão dos fatores de transcrição KROX-20, SOX-10, JUN e do receptor p75NTR, envolvidos nos processos de diferenciação e maturação de SCs. Os dados foram obtidos a partir de cultura primária de SCs murinas expostas ao M. leprae durante sete e 14 dias, com diferentes multiplicidades de infecção (MOI 100:1, MOI 50:1). Os mesmos fatores foram avaliados in vivo, em nervos ciáticos de camundongos nude (NUFoxn1nu), após seis e nove meses de infecção. Comparando-se grupos experimentais em relação aos controles, nossos resultados em cultura de SCs demonstram redução significativa de KROX-20 e SOX-10, bem como elevação na frequência de células imunomarcadas por p75NTR. Paralelamente, nervos ciáticos de camundongos nude infectados por M. leprae apresentaram queda de KROX-20 e aumento de p75NTR, quando comparados aos animais não infectados. Em conjunto, nossos resultados corroboram achados prévios sobre a interferência de M. leprae na expressão de fatores-chave envolvidos na maturação celular, favorecendo a manutenção de fenótipo não mielinizante nas SCs, com possíveis implicações na reparação de nervos periféricos adultos. / Mycobacterium leprae infection (M. leprae) triggers changes in the functional status of Schwann cells (SCs), which are responsible for the production of myelin sheath and neural homeostasis. Previous studies indicate that peripheral nerve injury modulates the expression of key factors involved in the differentiation and maturation of SCs. In leprosy, functional changes in these cells may be involved in the pathogenesis of neural damage. The present study sought to determine the expression of the transcription factors KROX-20, SOX-10, JUN and the neurotrophic receptor p75NTR, involved in the differentiation and maturation processes of SCs. Data were obtained from primary murine SCs culture exposed to M. leprae for seven and 14 days, with different multiplicities of infection (MOI 100:1, MOI 50:1). The same factors were evaluated in vivo on sciatic nerve of nude mice (NU-Foxn1nu), after six and nine months of infection. By comparing experimental groups versus controls, our SC culture results demonstrate significant reduction of KROX-20 and SOX-10, as well as elevation in the frequency of cells immunolabelled by p75NTR. In parallel, sciatic nerves of nude mice infected with M. leprae showed a decrease in KROX-20 and an increase of p75NTR when compared to uninfected animals. Our results corroborate previous findings on M. leprae interference in the expression of key factors involved in cell maturation, favoring the maintenance of a non-myelinating phenotype in SCs, with possible implications for the repair of adult peripheral nerves.

Neurofibromatosis type 2 is an autosomal dominant disease characterized by the formation of schwannomas and other peripheral neuropathies. The nf2 gene encodes the protein Schwannomin, or merlin. Schwannomin (Sch) is a membrane-cytoskeletal linking protein that suppresses cell proliferation at high cell density and modulates cell shape. Sch's tumor suppressive activity is regulated by its localization, conformation, and phosphorylation at serine 518 (S518). Sch's localization is dependent on binding the scaffold protein, paxillin. Phosphorylation of Sch at S518 regulates its conformation and tumor suppressor function. In a negative feedback loop, unphosphorylated Sch restricts cell proliferation downstream of Rac and p21-activated kinase (Pak), whereas Pak-induced phosphorylation inactivates Sch's ability to inhibit Pak and cell proliferation. Little is known about the function of the phosphorylated form of Sch, or the molecular mechanisms leading to its phosphorylation. Here we demonstrate that Sch-S518 phosphorylation is dependent on paxillin-binding and plasma membrane localization in SCs. Phosphorylation of Sch at the plasma membrane is mediated by Cdc42-Pak and results in altered SC morphology and polarity. Moreover, we have identified two extracellular stimuli that trigger Sch-S518 phosphorylation; these are neuregulin (NRG) and laminin, two potent activators of SC proliferation and myelination. NRG promotes Sch-S518 phosphorylation downstream of ErbB2/ErbB3 through PKA, whereas laminin-1 stimulation of β1 integrin promotes Pak- dependent phosphorylation of Sch-S518. Additionally, we find that Sch promotes process formation and elongation in primary and myelinating SCs, independent of Sch S518 phosphorylation. However, Sch phosphorylation was found to influence SC differentiation, as expression of an unphosphorylatable variant, Sch-S518A, facilitated SC myelination, whereas expression of a phospho-mimicking variant, Sch-S518D, reduced the SC's ability to myelinate. Together, these findings have identified receptor-mediated and paxillin-dependent pathways that regulate phosphorylation and inactivation of Sch's tumor suppressor function. Additionally, these results have elucidated novel normal functions for Sch during peripheral nerve development and myelination, and identify novel therapeutic targets for treatment of NF2 and other peripheral neuropathies.

Spinal cord injury (SCI) has presented itself as a multifaceted pathology that is largely inhibitory to regeneration, and therefore to functional recovery, even though spinal cord neurons have been found to be innately regenerative. Thus, having identified the key players in the inhibition of this innate regeneration, SCI researchers have focused on two major types of approaches: (1) blocking inhibitory cues and (2) promoting innate regeneration. Schwann cells (SCs) have long been shown to promote and enhance functional recovery after SCI through providing supplemental myelination and trophic and tropic factors to regenerating axons, though singular approaches rarely address the complex SCI pathology. Guidance channels and scaffolds have been shown to provide physical support and directional cues to regeneration axons. Therefore, a combinatorial approach in which SCs migrate into and throughout a guidance scaffold would be an ideal research focus for treating SCI. However, cell migration into guidance scaffolds has been shown to be problematic. This study attempts to assess and improve two- and three-dimensional SC migration on electrospun scaffolds. Additionally, we evaluate the ability of SCs, seeded on Matrigel-coated electrospun scaffolds, to improve functional recovery in rats with completely transected spinal cords.

This study examines the potential of Schwann cells (SCs) to be manipulated by electric fields (EFs) in order to improve recovery from spinal cord injury (SCI). It had long been believed that the central nervous system (CNS) is incapable of regeneration, but recent studies have proven otherwise. SC transplants are known to be useful in promoting axon regeneration after SCI, but is not sufficient for functional recovery. EFs are known to exist in vivo, and have been known to drastically affect the morphology and behavior of cells in various tissues. It was the hypothesis of this study that the conditioning and observed alignment of SCs was a reproducible phenomenon that could promote the growth of axons. It was found that SCs could be aligned at various field strengths and preliminary data suggest that aligned SCs increased the length and directionality of axons extending from DRG explants.

OBJETIVO: avaliar o efeito das neuregulinas 1-alfa e 1-beta na regeneração de nervos ciáticos de camundongos C57BL/6J, adultos, machos, através da técnica de tubulização. MÉTODOS: Utilizaram-se 18 animais, divididos em 3 grupos, implantando-se prótese de polietileno em falhas de 4,0 mm no nervo ciático esquerdo: grupo 1 contendo apenas colágeno purificado (Vitrogen®); grupo 2, colágeno associado a neuregulina 1-alfa; grupo 3 com colágeno e neuregulina 1-beta. O grupo controle foi formado por 6 segmentos de nervos ciáticos direitos. Após 4 semanas, os animais foram sacrificados; extraiu-se segmento do ponto médio do nervo regenerado no interior das próteses, padronizaram-se cortes histológicos e confecção das lâminas para análise histomorfométrica. Confrontaram-se os resultados estatisticamente. RESULTADOS: Os animais tratados com neuregulinas tiveram maior número de axônios mielinizados, com diferença estatisticamente significante quando comparados ao grupo colágeno. Não houve diferença estatística entre os grupos de neuregulinas 1-alfa e 1-beta. CONCLUSÃO: a adição de neuregulinas proporcionou aumento significativo do número de fibras mielinizadas. / PURPOSE: To evaluate the effect of neuregulins 1-alpha and 1-beta on the regeneration the sciatic nerves of male adult C57BL/6J mice, using the tubulization technique. METHODS: Eighteen animals were used, divided into three groups. A polyethylene prosthesis was implanted in a 4.0 mm defect of the left sciatic nerve, as follows: group 1 containing only purified collagen (Vitrogen®); group 2, collagen with neuregulin 1-alpha; group 3, collagen with neuregulin 1-beta. The control group was formed by six segments of right sciatic nerves. Four weeks later, the animals were sacrificed. A segment from the midpoint of the nerve regenerated inside the prostheses was extracted, histological sections were standardized and slides were made up for histomorphometric analysis. The results were statistically compared using the Tukey multiple comparisons test and Students t test. RESULTS: The animals treated with neuregulins had greater numbers of myelinized axons, with a statistically significant difference in relation to the collagen-only group. There was no statistical difference between the neuregulin 1-alpha and 1- beta groups. CONCLUSION: It was concluded that the addition of neuregulins provided a significant increase in the number of myelinized fibers.

Peripheral nerve injuries are often associated with significant loss of nervous tissue leading to poor restoration of function following repair of injured nerves. Although the injury gap could be bridged by autologous nerve graft, the limited access to donor material and additional morbidity such as loss of sensation and scarring have prompted a search for biosynthetic nerve transplants. The present thesis investigates the effects of a synthetic matrix BD™ PuraMatrix™ peptide (BD)hydrogel, alginate/fibronectin gel and fibrin glue combined with cultured rat Schwann cells or human bone marrow derived mesenchymal stem cells (MSC) on neuronal regeneration and muscle recovery after peripheral nerve injury in adult rats. In a sciatic nerve injury model, after 3 weeks postoperatively, the regenerating axons grew significantly longer distances within the conduits filled with BD hydrogel if compared with the alginate/fibronectin gel. The addition of rat Schwann cells to the BD hydrogel drastically increased regeneration distance with axons crossing the injury gap and entering into the distal nerve stump. However, at 16 weeks the number of regenerating spinal motoneurons was decreased to 49% and 31% in the BD hydrogel and alginate/fibronectin groups respectively. The recovery of the gastrocnemius muscle was also inferior in both experimental groups if compared with the nerve graft. The addition of the cultured Schwann cells did not further improve the regeneration of motoneurons and muscle recovery. The growth-promoting effects of the tubular conduits prepared from fibrin glue were also studied following repair of short and long peripheral nerve gaps. Retrograde neuronal labeling demonstrated that fibrin glue conduit promoted regeneration of 60% of injured sensory neurons and 52% of motoneurons when compared with the autologous nerve graft. The total number of myelinated axons in the distal nerve stump in the fibrin conduit group reached 86% of the nerve graft control and the weight of gastrocnemius and soleus muscles recovered to 82% and 89%, respectively. When a fibrin conduit was used to bridge a 20 mm sciatic nerve gap, the weight of gastrocnemius muscle reached only 43% of the nerve graft control. The morphology of the muscle showed a more atrophic appearance and the mean area and diameter of fast type fibres were significantly worse than those of the corresponding 10 mm gap group. In contrast, both gap sizes treated with nerve graft showed similar fiber size. The combination of fibrin conduit with human MSC and daily injections of cyclosporine A enhanced the distance of regeneration by four fold and the area occupied by regenerating axons by three fold at 3 weeks after nerve injury and repair. In addition, the treatment also significantly reduced the ED1 macrophage reaction. At 12 weeks after nerve injury the treatment with cyclosporine A alone or cyclosporine A combined with hMSC induced recovery of the muscle weight and the size of fast type fibres to the control levels of the nerve graft group. In summary, these results show that a BD hydrogel supplemented with rat Schwann cells can support the initial phase of neuronal regeneration across the conduit. The data also demonstrate an advantage of tubular fibrin conduits combined with human MSC to promote axonal regeneration and muscle recovery after peripheral nerve injury.

Schwannzellen sind die myelinisierenden Zellen des peripheren Nervensystems, die auch eine Rolle bei Entzündungs- und Regenerationsprozessen spielen. Diese Arbeit beschäftigt sich mit der Bedeutung der Chemokinrezeptoren CXCR4 und CXCR7 bei der SDF-1-abhängigen Signalübermittlung in der Schwannzelllinie RN22. Mittels PCR, Western-Blotting und FACS erfolgte zunächst ein Expressionsnachweis der Chemokinrezeptoren. Anschließend wurde mittels Western-Blotting festgestellt, dass eine Behandlung mit SDF-1 zu einer Aktivierung der intrazellulären Signalkinasen Erk1/2, p38 und Akt führt. Für PKC ζ/λ wurde kein Effekt beobachtet. Durch Einsatz der spezifischen Antagonisten für CXCR4 (AMD3100) und CXCR7 (CCX733) konnten diese Effekte blockiert werden. Die Ergebnisse legen nahe, dass beide Rezeptoren ihren Liganden binden müssen, damit ein intrazellulärer Effekt auftritt. Ähnliches gilt auch für die SDF-1-abhängige Migration von RN22-Zellen, die ebenfalls bereits durch einen der beiden Antagonisten unterbunden werden kann.

Thesis (Ph. D.)--Cornell University, 2001. / Vita. Includes bibliographical references (leaves 167-194).

The goal of nerve tissue engineering is to promote and guide axon growth across a site of nerve injury without misdirection. Bioengineered tissue scaffolds have been shown to be promising for the regeneration of damaged peripheral nerves. Schwann cells play a pivotal role following nerve injury by forming aligned “bands of Büngner” that promote and guide axon regeneration into the distal nerve segment. The incorporation of living Schwann cells into various hydrogels has therefore been urged during the fabrication of tissue engineered nerve scaffolds. The aim of this research is to characterize biomaterials suitable for 3D bioplotting of nerve repair scaffolds. Here a novel technique of scaffold fabrication has been optimized to print alginate-based three-dimensional tissue scaffolds containing hyaluronic acid and living Schwann cells. Alginate/hyaluronic acid scaffolds were successfully fabricated with good printability and cell viability. Addition of the polycation polyethyleneimine (PEI) during the fabrication process stabilized the structure of alginate through the formation of a polyelectrolyte complex and had a significant influence on the degree of swelling, degradation rate, mechanical property, and release kinetics of incorporated protein within the scaffolds. A preliminary in vivo study showed the feasibility of implanting 3D printed alginate/hyaluronic acid scaffolds as nerve conduits in Sprague-Dawley (SD) rats with resected sciatic nerves. However alginate/hyaluronic acid scaffolds were found to be unsuitable for axonal regeneration. Further in vitro culture of Schwann cells was performed in collagen type-I, fibrin, fibrin/hyaluronic acid, and their combination with alginate. It was found that Schwann cells had more favorable cell morphology in fibrin/hyaluronic acid or collagen without alginate. Schwann cell proliferation and alignment were better in fibrin/hyaluronic acid. Therefore fibrin/hyaluronic acid is more ideal than most other hydrogel formulations for use in the bioprinting of nerve repair tissue engineering scaffolds, which incorporate cellular elements. As Schwann cells also align along the long axis of the printed fibrin/hyaluronic acid strands, 3D bioprinting of multiple layers of crosslinked fibrin strands can be used to fabricate a nerve conduit mimicking the bands of Büngner.

A multitude of biophysical signals, including chemical, mechanical, and contact guidance cues, are embedded within the extracellular matrix (ECM) to dictate cell behavior and determine cell fate. To understand the complexity of the cell-matrix interaction and how changes to the ECM contribute to the development of tissues or diseases, three-dimensional (3D), culture systems that can decouple the effects of these cues on cell behavior are required. This dissertation describes the development and characterization of approaches based on multiphoton excitation (MPE) to control the chemical, mechanical, and topographical presentation of micro-3D-printed (μ-3DP) protein hydrogels independently. Protein hydrogels were chemically functionalized via the MPE-induced conjugation of benzophenone-biotin without altering the physical properties of the matrix. Complex, immobilized patterns and chemical gradients were generated within protein hydrogels with a high degree of spatial resolution in all axes. Hydrogel surfaces were also labeled with adhesive moieties to promote localized Schwann cell adhesion and polarization. Laser shrinking, a method based on MPE to manipulate the topographical and mechanical presentation of protein hydrogels after fabrication, is also presented. Topographical features on an originally flat substrate are created with depths approaching 6 μm. The Young’s modulus of protein hydrogels can also be increased by 6-fold (~15 – ~90 kPa) using laser shrinking, and parameters can be adjusted to create continuous gradient profiles for studying durotaxis. At determined scan conditions, the two properties can be adjusted independently of each other. Most importantly, the physical properties of the hydrogels can be manipulated in situ to study the effects of dynamic changes to the substrates on cells. As a potential tool to monitor cellular responses to presented cues, fluorescent probes that detect nitric oxide are characterized. Collectively, these technologies represent a key advance in hydrogel tunability, as the platforms presented offer independent, dynamic, and spatiotemporal control of the chemical, mechanical, and topographical features of protein hydrogels. The introduced technologies expand the possibilities of protein hydrogels to clarify underlying factors of cell-matrix interactions that drive morphogenesis and pathogenesis, and are broadly applicable to a multitude of physiological systems. / text