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Recently, there has been a shift in the global healthcare paradigm, which is prioritizing a more patient-centric approach causing an increase in the demand for rapid and point-of-care (PoC) biomolecular detection. Electrochemical (EC) signal transduction has been used to great effect to meet some of this demand by constructing biosensors with high sensitivity and low limit-of-detection (LOD). However, signal generation in EC biosensors requires input bias potentials to activate electrochemical redox reactions. This means EC systems are inherently built-in with high background noise that limits the performance of biosensors. Biosensors with photoelectrochemical (PEC) signal transduction have recently shown great promise in being able to deliver biomolecular detection on par with, if not better than, EC biosensors. PEC biosensing directly improves upon EC signal transduction by combining EC signal readout with optical excitation as the bias input, and generally being able to achieve similar performance with simpler bioassay designs. In this scheme, the input and output of the signal transduction are decoupled from each other, significantly reducing background signal in biosensors to enhance their sensitivity. Despite being highly effective, PEC biosensors have yet to find commercial breakthrough as they have so far only shown quantitative analysis on a limited set of biomarkers and have not shown to be PoC-capable. In this thesis, we developed new strategies to improve PEC signal transduction so that it could be applied to build robust ultrasensitive PoC biosensors with high dynamic range, simple operation, and low LOD for detecting a wide variety of different disease biomarkers. The most popular photoactive materials used in the fabrication of PEC biosensors are TiO2 nanomaterials on account of their availability, chemical stability, high catalytic efficiency, tunable morphology, and ideal band energy levels for driving useful EC reactions. However, unmodified TiO2 suffers from several drawbacks that limit its photocurrent generation efficiency, such as poor visible range absorbance due its wide bandgap and fast charge carrier recombination. Alongside the additional difficulty of biofunctionalization, PEC biosensors fabricated from TiO2 nanomaterials are limited in their bioanalytic performance. In order to make improvements on PEC biosensors, we modified the surface of TiO2 nanomaterials by chelating them with catecholate molecules. The surface modification with catecholates formed charge transfer complexes on TiO2, which resulted in enhanced photoexcitation due to enhanced electron injection attributable to intermolecular orbital excitations in the catecholate molecules. The catecholate ligands also added improved colloidal stability and additional functional groups that aided with biofunctionalization. This resulted in multifunctional TiO2 nanoparticles with improved photocurrent signal generation and enhanced visible range photoabsorption. We took this one step further by taking advantage of the high binding affinity of catecholates on TiO2 surfaces to create novel synthesis methods that created high surface area nanostructures. Photoelectrodes fabricated from these new TiO2 nanostructures had nanoporous morphology and were able to capture biomolecules more efficiently. Using our novel TiO2 nanomaterials, we fabricated signal-off biosensors that were able to detect DNA biomarkers and IL-6 protein (cancer and inflammatory biomarker) in urine with an LOD of 1.38 pM and 3.6 pg mL-1, respectively. We further explored hybrid semiconductor structures by combining TiO2 nanomaterials with other materials such semiconductors with different bandgaps or plasmonic metal nanoparticles (NP). Using the aforementioned catechol-assisted synthesis techniques, we were able to produce different morphologies of TiO2 nanomaterials with distinct phases: anatase TiO2 nanorod assemblies and rutile TiO2 NP. The two different TiO2 nanomaterials have different bandgaps and can be used to form semiconductor heterostructures. By combining rutile TiO2 NPs with DNAzymes, a type of synthetic functional nucleic acid, we created a photoactive molecular switch that worked by making and breaking heterostructures between the two TiO2 nanomaterials. We used DNAzymes specific to E. coli bacteria to develop a highly sensitive signal-on bacterial detection platform that was able to detect E. coli in lake water samples with an LOD of 18 CFU mL-1. Using catecholate-assisted photoreduction synthesis, we developed an efficient and novel method for decorating TiO2 NP with silver (Ag) NP. The resultant nanomaterial featured TiO2 NP surfaces modified with Hematoxylin (HTX) dyes and covered with sub-nanometer sized silver NP. The band structure of TiO2/HTX/Ag NP hybrid material involved high energy electron generation through decay of surface plasmons in the Ag NP and then enhancing the photoelectron injection process between HTX and TiO2. This significantly enhances the photoexcitation and photoabsorbtion, resulting in the material with the highest photocurrent generation as presented in this thesis. By taking advantage of thiol-metal bonds, we used the TiO2/HTX/Ag NP material system in the fabrication of a highly sensitive signal-off microRNA (prostate cancer biomarker) sensor with an LOD of 172 fM in urine. Special attention was paid to the design of PEC bioassays in this work so that they are miniaturized and easy to use, and thus suitable for PoC applications. Because PEC signal transduction generates ultrahigh signals compared to other transduction methods, it allows bioassay designs to remain simple without sacrificing performance. This allowed us to create bioassays with very few operational steps, that excel in reliability and ease-of-use. To further improve PoC capability, we explored multiplexing with the biosensor made from TiO2/HTX/Ag NP. Here we were able to demonstrate multiplexing with PEC signal transduction for the first time. Another major barrier to PEC biosensors becoming widespread is the requirement of large benchtop instrumentation such as potentiostats and light sources. To address this challenge, we designed a portable smartphone-interfacing potentiostat with a built-in LED light source to support PEC biosensing. This device, named the PECsense was as versatile as any commercial potentiostats, having features such as adjustable recording periods, variable illumination periods, automatic data processing and being able to record both anodic and cathodic photocurrents. The PECsense was demonstrated to be used successfully as a signal reader in a PEC DNA detection assay. Ultimately, we designed several ultrasensitive PEC biosensors used for the detection of four different diagnostic biomarkers. Combined with the exploration of miniaturized design, multiplexing and portable signal-reading, our designed PEC biosensors were made PoC-capable. The work in this thesis presented innovations in areas of nanotechnology, material synthesis, solid-state physics, biotechnology and embedded systems for the advancement of biomolecular detection and PoC diagnostics. / Thesis / Doctor of Philosophy (PhD) / Biosensors show great promise for use in point-of-care diagnostics and health monitoring systems. Such deceives combine biorecongition with signal transduction for analyzing biologically relevant targets. Photoelectrochemical (PEC) mode of signal reading, particularly those based on TiO2 nanomaterials, have shown great promise in delivering point-of-care biosensors that have excellent diagnostic performance. In this thesis, our goal was to develope new techniques for creating low-cost, easy-to-use and ultrasensitive photoelectrochemical biosensors. To achieve this goal, our work here can broadly be split into three objectives. Firstly, we focused on developing new material synthesis methods to improve traditional TiO2 nanomaterials so they can be more useful in PEC biosensors. These methods involved combining TiO2 with organic molecules known as catecholates and metal nanoparticles. This work created material systems that are able to generate high signals and more easily interface with biomolecules for improving PEC biosensor sensitivity. For the second objective, we used our newly developed enhanced TiO2 nanomaterials as the foundation for designing various bioassays for the detection of a wide range of different biological targets such as DNA, RNA, proteins and bacteria. This served to demonstrate the robustness of PEC signal reading as a tool for various markers of diseases. Despite PEC biosensors being a powerful tool in healthcare, they have seen very little commercial breakthrough, which can primarily be attributed to needing bulky benchtop instruments and light sources for signal reading. For the last objective, we worked on designing a handheld smartphone-operated signal-reader for PEC biosensing with its own built-in light source.

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Syfte. Att retrospektivt undersöka relationen mellan central sensitisering i det orofacialaområdet och refererad smärta, som kliniskt fynd, samt psykosociala faktorer hos patienter medDC/TMD-muskeldiagnosen myofasciell smärta med refererad smärta (MPR). Studien syftadeäven till att undersöka skillnader gällande psykosociala faktorer mellan patienter somdiagnostiserats med DC/TMD muskeldiagnoserna myofasciell smärta med refererad smärta(MPR), lokal myalgi (LM) och patienter med orofacial smärta eller käkdysfunktion men ejkäkmuskeldiagnos (WMD) som kontrollgrupper.Material och metod. Information från 85 patienters DC/TMD-undersökning utförd påOrofaciala smärtenheten vid Malmö högskola mellan september 2012 till årsslutet 2013insamlades retrospektivt. Undersökta variabler inkluderade smärtintensitet, smärt-relateraddysfunktion, psykosociala faktorer (depression, ångest och stress) samt refererad smärta.Patienterna indelades i grupper baserade på muskeldiagnos enligt DC/TMD samt utbredning avsmärta. Non-parametrisk statistik användes och P < 0,05 betraktades som signifikant.Resultat. Patienter med MPR uppvisade en signifikant korrelation mellan totala antaletrefererade smärtlokalisationer och smärt-relaterad dysfunktion (rs = 0,43, n = 49, p = 0,002),depression (rs = 0,32, n = 49, p = 0,023) och stress (rs = 0,39, n = 49, p = 0,006). Patienter meden generell smärtutbredning uppvisade en signifikant högre grad av stress (p = 0,020) samt flerantal refererade smärtlokalisationer (p = 0,019) jämfört med patienter med lokal och/ellerregional orofacial smärta.Konklusion. Studien indikerar att grad av central sensitisering kan bedömas med hjälp avutbredningen av refererad smärta, undersökt enligt DC/TMD, hos patienter med diagnosenmyofasciell smärta med refererad smärta i det orofaciala området. Studien kunde inte påvisaskillnader gällande psykosociala faktorer mellan de undersökta grupperna. / Objective. The aim of this study was to retrospectively investigate the relation between referredpain, as a clinical finding, and psychosocial factors versus central sensitization in patients withmyofascial pain with referral (MPR) as assessed according to DC/TMD. The study also aimedto investigate differences regarding psychosocial factors between patients demonstratingmyofascial pain with referral (MPR) and patients diagnosed with the DC/TMD muscle diagnoselocal myalgia (LM) as well as OFP/TMD patients without masticatory muscular diagnose(WMD) as control patients.Material and methods. Patients’ medical records of 85 patients examined at the Orofacial PainUnit at Malmö University during September 2012 till the end of 2013 were retrospectivelyexamined for DC/TMD data. Examined variables included pain intensity, pain-related disability,psychosocial factors (depression, anxiety and stress) and referred pain. The patients weredivided into groups based on DC/TMD muscle diagnosis as well as extension of pain. Nonparametricstatistics were used and a probability level of P < 0.05 was considered as significant.Results. Patients with MPR demonstrated significant correlations between the total number ofreferred pain sites and disability score (rs = 0.43, n = 49, p = 0.002), depression (rs = 0.32, n =49, p = 0.023) as well as stress (rs = 0.39, n = 49, p = 0.006). Patients with generalized paindistribution demonstrated a significantly higher degree of stress (p = 0.020) as well as highernumber of referred pain sites (p = 0.019) than patients with local and/or regional orofacial pain.Conclusion. This study indicates that the degree of central sensitization can be estimated bythe extent of referred pain, as assessed according to DC/TMD, in patients with myofascial painwith referred pain in the orofacial region. This study could not detect a difference inpsychosocial factors between the three groups, myofascial pain with referral (MPR), localmyalgia (LM) and no masticatory muscle diagnosis (WMD).

Das Ansprechen primärer Rektumkarzinome auf eine präoperative Radiochemotherapie ist äußerst heterogen. Resistente Karzinome stellen aufgrund der schlechteren Prognose ein großes klinisches Problem dar. Ziel ist daher eine Individualisierung der Therapie und die Identifikation neuer therapeutischer Angriffspunkte, um resistente Tumoren für die Therapie zu sensibilisieren. In vorangegangenen Studien konnte gezeigt werden, dass zwischen Respondern und Nonrespondern TCF4, ein Transkriptionsfaktor des Wnt/β-Catenin-Signalwegs, differentiell exprimiert ist. Zudem führt die Herunterregulation von TCF4 in kolorektalen Karzinomzelllinien zu einer Radiotherapiesensibilisierung. Um zu untersuchen, ob es sich um eine TCF4-spezifische Beobachtung handelt oder ob der Wnt/β-Catenin-Signalweg Radiotherapieresistenz vermittelt, wurde dieser Signalweg in den Zelllinien SW480, SW837, LS1034 und RPE inhibiert. Anschließend wurde die Radiotherapieresistenz der Zellen untersucht. Die Inhibition des Wnt/β-Catenin-Signalwegs mittels siRNA gegen β-Catenin führte zu einer signifikanten Radiotherapiesensibilisierung von SW480, SW837 und LS1034. Die Behandlung von kolorektalen Karzinomzelllinien und der Normalzelllinie RPE mit dem kleinmolekularen Wnt/β-Catenin-Signalweg-Inhibitor XAV939 führte zum Teil zu einer Radiotherapiesensibilisierung. Insgesamt scheint der Wnt/β-Catenin-Signalweg eine entscheidende Rolle in der Entstehung der Radio(chemo)resistenz zu spielen und stellt somit ein potentielles therapeutisches Ziel für zukünftige Therapieansätze des Rektumkarzinoms dar. Zudem wurde dem Wnt/β-Catenin-Signalweg eine weitere biologische Bedeutung zugeordnet. Ziel zukünftiger Bemühungen ist die weitere Validierung dieser Ergebnisse, die Aufdeckung der zugrunde liegenden Mechanismen und die Übertragung in ein in-vivo-Modell.

Αντικείμενο της διπλωματικής εργασίας είναι μελέτη της ευαισθητοποίησης από κοινού (co-sensitization) με την χρήση απλών οργανικών χρωστικών με παρόμοιο φάσμα απορρόφησης. Για το λόγο αυτό αναπτύχθηκαν μείγματα διαφόρων χρωστικών ουσιών τα οποία χρησιμοποιήθηκαν για την ευαισθητοποίηση ηλιακών κυψελίδων (DSSCs) με ημιαγωγό νανοδομημένου ZnO. Οι χρωστικές που χρησιμοποιήθηκαν για την ευαισθητοποίηση ήταν απλές οργανικές, όπως η Rose-Bengal, η Rhodamine-B, η Eosin-B, η Coumarin 343 και η Malachite Green. Παρασκευάστηκαν μείγματα δυο και τριών χρωστικών ουσιών με σκοπό την επίτευξη υψηλότερης απόδοσης της ευαισθητοποιημένης ηλιακής κυψελίδας. / In this work we investigate co-sensitization effects by using simple organic dyes with complimentary absorption spectra. A combination of different organic dyes was used in this work to sensitize nanostructured ZnO films for Dye Sensitized Solar Cell (DSSC) devices. The dyes used to sensitize the films were the simple organic molecules Bengal Rose, Rhodamine B, Eosin B, Coumarin 343 and Malachite Green. Binary and ternary blends of these dyes were used in order to enhance the performance of ZnO DSSCs.

Posttraumatic stress disorder (PTSD) is an anxiety disorder that may follow exposure to severe emotional trauma and presents with various symptoms of anxiety, hyperarousal and cognitive anomalies. Interestingly, only 10-30% of an exposed population will go on to develop full-blown PTSD. Cholinergic neurotransmission is implicated in anxiety as well as other typical manifestations of PTSD, particularly cognitive changes. The frontal cortex and hippocampus regulate and in turn are affected by stress, and have also been implicated in the underlying neuropathology of PTSD. These areas are densely innervated by cholinergic neurons originating from the basal forebrain. In this study, the time dependent sensitization (TDS) model was used to induce symptoms of PTSD in animals. The study was designed to determine the long-term effects of an intense, prolonged aversive procedure on central muscarinic acetylcholine receptor (mAChR) characteristics and the correlation if any of those findings to cognitive aspects and general arousal as characteristics associated with PTSD. In order to achieve this goal, male Sprague-Dawley rats were exposed to the TDS stress paradigm with behavioral/neuro-receptor assessments performed on day 7 post re-stress (duration of each experiment in whole is 14 days). Acoustic startle reflex (ASR) was used to determine emotional state (hyperarousal), while the conditioned taste aversion (CTA) paradigm was implemented in order to assess aversive memory. Muscarinic receptor binding studies were performed in the frontal cortex and hippocampus. Moreover, both the stress-exposed and control animals were pre-tested in the acoustic startle chamber in order to attempt to separate stress sensitive from stress-resilient animals based on predetermined ASR criteria. The ASR niodel was previously validated in our laboratory, while the CTA model was validated in this project before application. In the CTA model, an i.p. injection with lithium chloride (LiCl) (associated with digestive malaise), was used as unconditioned stimulus (US) and was paired with a saccharinlcyclamate drinking solution as conditioned stimulus (CS) to induce aversion to the novel taste (CS) when presented in the absence of the US. Population data of animals tested in the ASR experiment indicated no statistical significant difference between stressed and control animals. However, when each animal was assessed individually, 22.5 % of the exposed population displayed all increase above the predetermined criteria of 35 % in startle response, indicating a state of heightened arousal. In contrast, only 4.2 O h of control animals (no stress) displayed an increase in arousal based on the above mentioned criteria. Muscarinic receptor densities (Bm,) in the total population of animals exposed to stress showed a statistical significant increase in both the hippocampus and frontal cortex when compared to controls, with no changes in & values observed in either one of the areas. In the CTA experiment, TDS stress was implemented as US paired with a saccharinlcyclamate drinking solution as CS. An acute session of prolonged stress (as used in the TDS model) effectively induced aversion to a novel taste and a subsequent reminder of the stress (restress) paired with the CS sustained the acquire adversive memory. Furthermore, LiCl was reintroduced as US in order to assess the effect of prior exposure to two types of stress (acute and TDS) on subsequently acquired CTA memory. Prior exposure to acute stress had no significant effect on subsequently acquired aversive memory when measured either 3- or 7 days post-conditioning (CS-US). Stress-restress (TDS) exposure, however, indicated a significant decrease in aversive memory from 3- to 7 days post-conditioning (CS-US) as well as a significant decrease in aversive memory between the control- and the TDS group 7 days post-conditioning. The mAChR density (B,,) in the frontal cortex; but not in the hippocampus, was elevated at the same point in time (7 days post CS-US pairing) that CTA memory was impaired following TDS stress (stress-restress). Ultimately, these data support an association between altered cholinergic receptors and hyperarousallanxiety in an animal model of PTSD. The data also support the phenomenon of individual susceptibility to stress in animals that parallels that observed in humans exposed to severe trauma. Impaired aversive memory (CTA) is a consequence of prior exposure to TDS stress, but not acute stress, and is likewise mediated by an altered central cholinergic transmission displayed as an increase in mAChRs in the frontal cortex. The lack of studies regarding the influence of the cholinergic system in PTSD related behavior earns ,this project value as inimitable PTSD research. / Thesis (M.Sc. (Pharmacology))--North-West University, Potchefstroom Campus, 2007.

The increasing demand for renewable energy has led to substantial research on different solar cell technologies. The dye-sensitized solar cell (DSC) is a technology utilizing dye molecules for light absorption. Dye molecules are adsorbed to a mesoporous semiconductor surface and after light absorption in the dye, charge separation occurs at this interface. Traditionally, DSCs have used layers of single dye species, but in recent efforts to enhance power conversion efficiency, more complex molecular layers have been designed to increase the light absorption. For example, the most efficient DSCs use a combination of two dye molecules, and such dye co-adsorption is studied in this thesis. A key to highly efficient DSCs is to understand the dye/semiconductor interface from a molecular perspective. One way of gaining this understanding is by using an element specific, surface sensitive technique, such as photoelectron spectroscopy (PES). In this thesis, PES is used to understand new complex dye/semiconductor interfaces. Dyes adsorbed to semiconductor surfaces are analyzed using PES in terms of geometric and electronic surface structure.  The investigations ultimately target the effects of co-adsorbing dyes with other dyes or co-adsorbents. PES shows that Ru dyes can adsorb in mixed configurations to TiO2. Co-adsorption with an organic dye affects the configuration of the Ru dyes. As a consequence, shifts in energy level alignment and increased dye coverage are observed. The dyes are affected at a molecular level in ways beneficial for solar cell performance. This is called collaborative sensitization and is also observed in todays most efficient DSC. Dye molecules are generally sensitive to high temperatures and the substantial decrease in power conversion efficiency after heat-treatment can be understood using PES. Furthermore, comparing two mesoscopic TiO2 morphologies used in DSCs show differences in trap state density in the band gap, explaining the photovoltage difference in DSCs comprising these morphologies. Using mixed molecular layers on NiO results in significant improvements of p-type DSC power conversion efficiency. PES shows that changed adsorption configuration contribute to this effect. This thesis shows that PES studies can be used to obtain insight into functional properties of complex DSC interfaces at a molecular level.