Optimisation of a two-liquid component pre-filled acrylic bone cement system: A design of experiments approach to optimise cement final properties

The initial composition of acrylic bone cement along with the mixing and delivery technique used can influence its final properties and therefore its clinical success in vivo. The polymerisation of acrylic bone cement is complex with a number of processes happening simultaneously. Acrylic bone cement mixing and delivery systems have undergone several design changes in their advancement, although the cement constituents themselves have remained unchanged since they were first used. This study was conducted to determine the factors that had the greatest effect on the final properties of acrylic bone cement using a pre-filled bone cement mixing and delivery system. A design of experiments (DoE) approach was used to determine the impact of the factors associated with this mixing and delivery method on the final properties of the cement produced. The DoE illustrated that all factors present within this study had a significant impact on the final properties of the cement. An optimum cement composition was hypothesised and tested. This optimum recipe produced cement with final mechanical and thermal properties within the clinical guidelines and stated by ISO 5833 (International Standard Organisation (ISO), International standard 5833: implants for surgery—acrylic resin cements, 2002), however the low setting times observed would not be clinically viable and could result in complications during the surgical technique. As a result further development would be required to improve the setting time of the cement in order for it to be deemed suitable for use in total joint replacement surgery.

Antibiotic and anti-inflammatory therapies for cystic fibrosis

Cystic fibrosis (CF) lung disease is characterized by chronic bacterial infection and an unremitting inflammatory response, which are responsible for most of CF morbidity and mortality. The median expected survival has increased from <6 mo in 1940 to >38 yr now. This dramatic improvement, although not great enough, is due to the development of therapies directed at secondary disease pathologies, especially antibiotics. The importance of developing treatments directed against the vigorous inflammatory response was realized in the 1990s. New therapies directed toward the basic defect are now visible on the horizon. However, the impact of these drugs on downstream pathological consequences is unknown. It is likely that antibiotics and anti-inflammatory drugs will remain an important part of the maintenance regimen for CF in the foreseeable future. Current and future antibiotic and anti-inflammatory therapies for CF are reviewed. © 2013 Cold Spring Harbor Laboratory Press; all rights reserved.

Extent and mechanism of phase separation during the extrusion of calcium phosphate pastes

The aim of this study was to increase understanding of the mechanism and dominant drivers influencing phase separation during ram extrusion of calcium phosphate (CaP) paste for orthopaedic applications. The liquid content of extrudate was determined, and the flow of liquid and powder phases within the syringe barrel during extrusion were observed, subject to various extrusion parameters. Increasing the initial liquid-to-powder mass ratio, LPR, (0.4-0.45), plunger rate (5-20 mm/min), and tapering the barrel exit (45°-90°) significantly reduced the extent of phase separation. Phase separation values ranged from (6.22 ± 0.69 to 18.94 ± 0.69 %). However altering needle geometry had no significant effect on phase separation. From powder tracing and liquid content determination, static zones of powder and a non-uniform liquid distribution was observed within the barrel. Measurements of extrudate and paste LPR within the barrel indicated that extrudate LPR remained constant during extrusion, while LPR of paste within the barrel decreased steadily. These observations indicate the mechanism of phase separation was located within the syringe barrel. Therefore phase separation can be attributed to either; (1) the liquid being forced downstream by an increase in pore pressure as a result of powder consolidation due to the pressure exerted by the plunger or (2) the liquid being drawn from paste within the barrel, due to suction, driven by dilation of the solids matrix at the barrel exit. Differentiating between these two mechanisms is difficult; however results obtained suggest that suction is the dominant phase separation mechanism occurring during extrusion of CaP paste.

Impact of fractionation on out-of-field survival and DNA damage responses following exposure to intensity modulated radiation fields

To limit toxicity to normal tissues adjacent to the target tumour volume, radiotherapy is delivered using fractionated regimes whereby the total prescribed dose is given as a series of sequential smaller doses separated by specific time intervals. The impact of fractionation on out-of-field survival and DNA damage responses was determined in AGO-1522 primary human fibroblasts and MCF-7 breast tumour cells using uniform and modulated exposures delivered using a 225 kVp x-ray source. Responses to fractionated schedules (two equal fractions delivered with time intervals from 4 h to 48 h) were compared to those following acute exposures. Cell survival and DNA damage repair measurements indicate that cellular responses to fractionated non-uniform exposures differ from those seen in uniform exposures for the investigated cell lines. Specifically, there is a consistent lack of repair observed in the out-of-field populations during intervals between fractions, confirming the importance of cell signalling to out-of-field responses in a fractionated radiation schedule, and this needs to be confirmed for a wider range of cell lines and conditions.

Osteogenic cell response to 3-D hydroxyapatite scaffolds developed via replication of natural marine sponges

Bone tissue engineering may provide an alternative to autograft, however scaffold optimisation is required to maximize bone ingrowth. In designing scaffolds, pore architecture is important and there is evidence that cells prefer a degree of non-uniformity. The aim of this study was to compare scaffolds derived from a natural porous marine sponge (Spongia agaricina) with unique architecture to those derived from a synthetic polyurethane foam. Hydroxyapatite scaffolds of 1 cm3 were prepared via ceramic infiltration of a marine sponge and a polyurethane (PU) foam. Human foetal osteoblasts (hFOB) were seeded at 1x105 cells/scaffold for up to 14 days. Cytotoxicity, cell number, morphology and differentiation were investigated. PU-derived scaffolds had 84-91% porosity and 99.99% pore interconnectivity. In comparison marine sponge-derived scaffolds had 56-61% porosity and 99.9% pore interconnectivity. hFOB studies showed that a greater number of cells were found on marine sponge-derived scaffolds at than on the PU scaffold but there was no significant difference in cell differentiation. X-ray diffraction (XRD) and inductively coupled plasma mass spectrometry (ICP-MS) showed that Si ions were released from the marine-derived scaffold. In summary, three dimensional porous constructs have been manufactured that support cell attachment, proliferation and differentiation but significantly more cells were seen on marine-derived scaffolds. This could be due both to the chemistry and pore architecture of the scaffolds with an additional biological stimulus from presence of Si ions. Further in vivo tests in orthotopic models are required but this marine-derived scaffold shows promise for applications in bone tissue engineering.

Wavelet entropy of Doppler ultrasound blood velocity flow waveforms distinguishes nitric oxide-modulated states

Wavelet entropy assesses the degree of order or disorder in signals and presents this complex information in a simple metric. Relative wavelet entropy assesses the similarity between the spectral distributions of two signals, again in a simple metric. Wavelet entropy is therefore potentially a very attractive tool for waveform analysis. The ability of this method to track the effects of pharmacologic modulation of vascular function on Doppler blood velocity waveforms was assessed. Waveforms were captured from ophthalmic arteries of 10 healthy subjects at baseline, after the administration of glyceryl trinitrate (GTN) and after two doses of N(G)-nitro-L-arginine-methyl ester (L-NAME) to produce vasodilation and vasoconstriction, respectively. Wavelet entropy had a tendency to decrease from baseline in response to GTN, but significantly increased after the administration of L-NAME (mean: 1.60 ± 0.07 after 0.25 mg/kg and 1.72 ± 0.13 after 0.5 mg/kg vs. 1.50 ± 0.10 at baseline, p < 0.05). Relative wavelet entropy had a spectral distribution from increasing doses of L-NAME comparable to baseline, 0.07 ± 0.04 and 0.08 ± 0.03, respectively, whereas GTN had the most dissimilar spectral distribution compared with baseline (0.17 ± 0.08, p = 0.002). Wavelet entropy can detect subtle changes in Doppler blood velocity waveform structure in response to nitric-oxide-mediated changes in arteriolar smooth muscle tone.

Estudo de síntese e reactividade de novos derivados do tipo corrol

A presente dissertação contempla estudos de reactividade na periferia e no interior do macrociclo corrólico, nomeadamente do 5,10,15- tris(pentafluorofenil)corrol. Nesses estudos foram estabelecidas novas rotas de síntese para a preparação de novos derivados tetrapirrólicos do tipo corrol, alguns deles com potencial aplicação medicinal. Na primeira parte, foi estudado o comportamento de 5,10,15- tris(pentafluorofenil)corrol como componente 2ʌ em reacções de cicloadição de Diels-Alder com hidrocarbonetos aromáticos policíclicos, designadamente antraceno, tetraceno, nafto[2,3-a]pireno e pentaceno. Estas reacções foram efectuadas em aquecimento clássico e com radiação de microondas. Desses estudos concluiu-se que todos os hidrocarbonetos aromáticos considerados, à excepção do nafto[2,3-a]pireno, reagem segundo reacções de Diels-Alder, mas apenas com o pentaceno se obtêm aductos provenientes de reacções de cicloadição [4+4]. Os resultados obtidos em algumas destas reacções levaram a um estudo aprofundado sobre a estabilidade do macrociclo considerado. Este estudo foi efectuado sob condições térmicas, sob a acção da luz e na presença de um agente promotor de radicais. Desses estudos concluiu-se que apenas com aquecimento clássico é possível obter o dímero com o anel ciclooctatetraeno ligado pelas posições C-2, C-2’ e C-18, C-18’ e o dímero assimétrico ligado pelas posições C-2 e C-3’. Na presença de luz ou na presença de agente promotor de radicais obtém-se o dímero simétrico ligado pelas posições C-3 e C-3’. O estudo do mecanismo da reacção de dimerização na presença de luz levou ainda à síntese de um corrol mono-iodado. Foi ainda analisado o comportamento de 5,10,15-tris(pentafluorofenil)corrol e de 5,10,15-tris(pentafluorofenil)corrolatogálio(III)(piridina) na presença de iletos de azometino. Destes estudos resultou o desenvolvimento de novas rotas de síntese para a obtenção de novos derivados do tipo amina e do tipo éter. Na terceira parte, descrevem-se estudos de complexação do 5,10,15- tris(pentafluorofenil)corrol com diferentes sais metálicos por espectrometria de massa. Foram usados como fontes de ionização o Electrospray e o LSIMS. Os resultados obtidos comprovaram que os metalocorróis obtidos na fonte são idênticos aos metalocorróis sintetizados. Na quarta parte deste trabalho foram sintetizados novos conjugados corrolciclodextrina por meio de reacções de substituição nucleófila. A actividade fotodinâmica destes derivados foi avaliada numa linha celular cancerígena. A estrutura dos compostos sintetizados foi estabelecida recorrendo a diversas técnicas espectroscópicas actuais, principalmente espectroscopia de Ressonância Magnética Nuclear (RMN de 1H, 13C e 19F, DEPT, COSY, HSQC, HMBC e NOESY), espectrometria de massa em LSIMS, ESI e MALDI e ainda recorrendo a espectrofotometria de Ultravioleta-Visível (UV-vis).

Síntese e potencialidades de aplicação de novos derivados porfirínicos

A presente dissertação colige os resultados obtidos em estudos de funcionalização de porfirinas, nomeadamente de derivados da 5,10,15,20- tetrafenilporfirina. Nestes estudos foram estabelecidas novas rotas sintéticas para a preparação de moléculas adequadamente funcionalizadas e com possíveis aplicações em química medicinal ou em sistemas supramoleculares. Esta dissertação encontra-se dividida em quatro partes: Após uma breve introdução às porfirinas, descrita na primeira parte, segue-se uma segunda parte centrada em reacções em dominó envolvendo 2-aminomeso- tetra-arilporfirinas, meso-(p-aminofenil)porfirinas e éteres enólicos cíclicos. Os resultados obtidos demonstram que porfirinas reagem como heterodienos com dienófilos ricos em electrões tais como os éteres enólicos cíclicos 3,4-di-hidro-2H-pirano e 2,3-di-hidrofurano na presença de triflato de lantânio. Os produtos formados são pirido[2,3-b] porfirinas e meso-quinolin-6- ilporfirinas com dois grupos hidroxilos terminais. A terceira parte desta dissertação é dedicada a estudos de funcionalização da posição β-pirrólica da 5,10,15,20-tetrafenilporfirina com um éter coroa segundo reacções de metátese, reacções de Heck e reacções de ciclo-adição 1,3- dipolar. Nas reacções de ciclo-adição obtiveram-se apenas produtos resultantes do acoplamento de porfirinas ao aminoácido. Para culminar estes estudos usou-se a 2-formil-5,10,15,20-tetra-arilporfirina e diversos aminoácidos como precursores de iletos de azometino porfirínicos. Segundo esta abordagem, verificou-se que a cadeia lateral do aminoácido influencia o tipo de produto formado, tendo-se obtido novas clorinas, β-imidoporfirinas e porfirinas funcionalizadas na posição β-pirrólica com grupos amino. A estrutura dos compostos sintetizados foi estabelecida recorrendo a Espectroscopia de Ressonância Magnética Nuclear (RMN de 1H, 13C, COSY, HSQC, HMBC e NOESY), Espectrometria de Massa em MALDI, UV-Vis e, em alguns casos, Difractometria de raios-X. Já na quarta parte desta dissertação, o leitor é introduzido ao conceito de química supramolecular e à utilização de meso-(p-carboxifenil)porfirinas em sistemas auto-organizados. É descrita a formação de agregados J distintos a partir dos isómeros 5,10-bis-(4-carboxifenil)-15,20-difenilporfirina e 5,15-bis-(4- carboxifenil)-10,20-difenilporfirina e comprova-se que o tipo de arquitectura e a extensão deste sistema são impostas pela estrutura do cromóforo. A avaliação da formação destes sistemas foi efectuada recorrendo a técnicas de UV-vis, Fluorescência, CD, RLS e FLIM.

Métodos químicos de modificação superficial de nanomateriais

O objectivo geral desta tese foi investigar diversas estratégias de síntese de nanocompósitos híbridos de matriz polimérica, contendo nanopartículas inorgânicas com funcionalidades diversas. O interesse nestes nanocompósitos multifuncionais consiste no enorme potencial que apresentam para novas aplicações tecnológicas, tais como em optoelectrónica ou em medicina. No capítulo introdutório, apresenta-se uma revisão das propriedades de nanopartículas inorgânicas e nanoestruturas obtidas a partir destas, métodos de preparação e de modificação química superficial, incluindo a formação de nanocompósitos poliméricos, bem como a aplicação destas nanoestruturas em medicina e biologia. O estudo das propriedades de nanopartículas de ouro é um importante tema em Nanociência e Nanotecnologia. As propriedades singulares destas NPs apresentam uma estreita relação com o tamanho, morfologia, arranjo espacial e propriedades dieléctricas do meio circundante. No capítulo 2, é reportada a preparação de nanocompósitos utilizando miniemulsões de poli-estireno (PS) e poli-acrilato de butilo (PBA) contendo nanopartículas de ouro revestidas com moléculas orgânicas. As propriedades ópticas destas estruturas híbridas são dominadas por efeitos plasmónicos e dependem de uma forma crítica na morfologia final dos nanocompósitos. Em particular, demonstra-se aqui a possibilidade de ajustar a resposta óptica, na região do visível do espectro, através do arranjo das nanopartículas na matriz polimérica, e consequentemente o acoplamento plasmónico, utilizando nanopartículas resultantes da mesma síntese. Na generalidade, é reportada aqui uma estratégia alternativa para modificar a resposta óptica de nanocompósitos, através do controlo da morfologia do compósito final face à estratégia mais comum que envolve o controlo das características morfológicas das partículas metálicas utilizadas como materiais de partida. No Capítulo 3 apresentam-se os resultados da preparação de vários compósitos poliméricos com propriedades magnéticas de interesse prático. Em particular discute-se a síntese e propriedades magnéticas de nanopartículas de ligas metálicas de cobalto-platina (CoPt3) e ferro-platina (FePt3), assim como de óxidos de ferro (magnetite Fe3O4 e maguemite g-Fe2O3) e respectivos nanocompósitos poliméricos. A estratégia aqui descrita constitui uma via interessante de desenvolver materiais nanocompósitos com potencial aplicação em ensaios de análise de entidades biológicas in vitro, que pode ser estendido a outros materiais magnéticos. Como prova de conceito, demonstrase a bioconjugação de nanocompósitos de CoPt3/PtBA com anticorpos IgG de bovino. No capítulo 4 é descrita a preparação e propriedades ópticas de pontos quânticos (“quantum dots”, QDs) de CdSe/ZnS assim como dos seus materiais nanocompósitos poliméricos, CdSe/ZnS-PBA. Como resultado das suas propriedades ópticas singulares, os QDs têm sido extensivamente investigados como materiais inorgânicos para aplicações em dispositivos ópticos. A incorporação de QDs em matrizes poliméricas é de particular interesse, nomeadamente devido ao comportamento óptico do nanocompósito final parecer estar dependente do tipo de polímero utilizado. As propriedades ópticas dos nanocompósitos foram estudadas sistematicamente por medidas de fotoluminescência. Os nanocompósitos apresentam propriedades interessantes para potenciais aplicações biológicas em diagnóstico in vitro, funcionando como sondas biológicas luminescentes.

Development of a single photon counting computed tomography system using MPGDs

The development of computed tomography systems with energy resolving detectors is a current challenge in medical physics and biomedical engineering. A computed tomography system of this kind allows getting complementary informations relatively to conventional systems, that can help the medical diagnosis, being of great interest in medicine. The work described in this thesis is related to the development of a computed tomography system using micropattern gaseous detectors, which allow storing, simultaneously, information about the interaction position and the energy of each single photon that interacts with the detector. This kind of detectors has other advantages concerning the cost and characteristics of operation when compared with solid state detectors. Tomographic acquisitions were performed using a MicroHole & Strip Plate based detector, which allowed reconstructing cross-sectional images using energy windows, applying the energy weighting technique and performing multi-slice and tri-dimensional reconstructions. The contrast-to-noise ratio was improved by 31% by applying the energy weighting technique, comparing with the corresponding image obtained with the current medical systems. A prototype of a computed tomography with flexibility to change the detector was developed, making it possible to apply different detectors based on Thick-COBRA. Several images acquired with these detectors are presented and demonstrate their applicability in X-ray imaging. When operating in NeCH4, the detector allowed a charge gain of 8 104, an energy resolution of 20% (full width at half maximum at 8 keV), a count rate of 1 106 Hz/mm2, a very stable operation (gain fluctuations below 5%) and a spacial resolution of 1.2 mm for an energy photon of 3.6 keV. Operating the detector in pure Kr allowed increasing the detection efficiency and achieving a charge gain of 2 104, an energy resolution of 32% (full width at half maximum at 22 keV), a count rate of 1 105 Hz/mm2, very stable operation and a spatial resolution of 500 m. The software already existing in the group was improved and tools to correct geometric misalignments of the system were also developed. The reconstructions obtained after geometrical correction are free of artefacts due to the referred misalignments.

Neural network classification of cerebral embolic signals

The presence of circulating cerebral emboli represents an increased risk of stroke. The detection of such emboli is possible with the use of a transcranial Doppler ultrasound (TCD) system.

The effect of sucrose on protein stability and fibrillation of prion and S6 protein

Aggregation and fibrillation of proteins have a great importance in medicine and industry. Misfolding and aggregation are the basis of many neurodegenerative diseases like Alzheimer and Parkinson. Osmolytes are molecules that can accumulate within cells and act as protective agents and they can inclusively act as protein stabilizers when cells are exposed to stress conditions. Osmolytes can also act as protein stabilizers in vitro. In this work, two different proteins were studied, the ribosomal protein from Thermus thermophilus and the mouse prion protein. The existence of an unstructured N-terminal on the prion protein does not affect its stability. The effect of the osmolyte sucrose on the fibrillation and stabilization of these two proteins was studied through kinectic and equilibrium measurements. It was shown that sucrose is able to compact the native structure of S6 protein in fibrillization conditions. Sucrose affects also folding and unfolding kinetic of S6 protein, delaying unfolding and increasing folding rate constants. The mechanism of stabilization by sucrose is non-specific because it is distributed for all protein structure, as it was demonstrated by a protein engineering approach. Sucrose delays the process of formation and elongation of S6 and prion protein from mouse. This delay is the result of the compaction of the native structure refered above. However, cellular toxicity studies have shown that fibrils formed in the presence of sucrose are more toxic to neuronal cells.

Taking nanomedicine teaching into practice with atomic force microscopy and force spectroscopy

© 2015 The American Physiological Society

Biosafety of Recombinant Adeno-associated Virus Vectors.

It is hoped that the use of gene transfer technology to treat both monogenetic and acquired diseases may soon become a common therapy option in medicine. For gene therapy to achieve this objective, any gene delivery method will have to meet several criteria, including ease of manufacturing, efficient gene transfer to target tissue, long-term gene expression to alleviate the disease, and most importantly safety in patients. Viral vectors are an attractive choice for use in gene therapy protocols due to their relative efficiency in gene delivery. Since there is inherent risk in using viruses, investigators in the gene therapy community have devoted extensive efforts toward reengineering viral vectors for enhance safety. Here we review the approaches and technologies that are being evaluated for the use of recombinant vectors based upon adeno-associated virus (AAV) in the treatment of a variety of human diseases. AAV is currently the only known human DNA virus that is non-pathogenic and AAV-based vectors are classified as Risk Group 1 agents for all laboratory and animal studies carried out in the US. Although its apparent safety in natural infection and animals appears well documented, we examine the accumulated knowledge on the biology and vectorology of AAV, lessons learned from gene therapy clinical trials, and how this information is impacting current vector design and manufacturing with an overall emphasis on biosafety.

Identification précoce des nouveau-nés qui auront des problèmes de développement à deux ans: utilité de l'Évaluation neurologique d'Amiel-Tison

Malgré les avancées médicales, la prédiction précoce du devenir développemental des enfants nés prématurément demeure un défi. Ces enfants sont à risque de séquelles plus ou moins sévères telles l'infirmité motrice d'origine cérébrale, les déficiences intellectuelles et sensorielles ainsi que les difficultés d'apprentissage. Afin de diminuer l’impact fonctionnel de ces séquelles, l’identification de marqueurs précoces devient un enjeu important. Dans le contexte actuel de ressources financières et humaines limitées, seuls les enfants nés avant 29 semaines de gestation ou avec un poids de naissance (PN) <1250g sont systématiquement suivis, laissant pour compte 95% des enfants prématurés. L’identification de marqueurs précoces permettrait de cibler les enfants nés après 28 semaines de gestation porteurs de séquelles. Le principal objectif des présents travaux visait à évaluer l’utilité de l’Évaluation neurologique d’Amiel-Tison (ENAT) dans l’identification et le suivi des enfants nés entre 29 et 37 semaines de gestation et qui présenteront des problèmes neurodéveloppementaux à l’âge corrigé (AC) de 24 mois. Plus précisément, la fidélité inter-examinateurs, la stabilité ainsi que la validité prédictive de l’ENAT ont été évaluées. La cohorte était composée initialement de 173 enfants nés entre 290/7 et 370/7 semaines de gestation, avec un PN<2500g et ayant passé au moins 24 heures à l’unité de soins néonatals du CHU Sainte-Justine. Les enfants étaient évalués avec l’ENAT à terme et aux AC de 4, 8, 12 et 24 mois. À l’AC de 24 mois, leur développement était évalué à l’aide du Bayley Scales of Infant Development–II. Les principaux résultats révèlent une excellente fidélité inter-examinateurs ainsi qu’une bonne stabilité au cours des deux premières années de vie du statut et des signes neurologiques. Des différences significatives à l’AC de deux ans ont été relevées aux performances développementales en fonction du statut neurologique à terme, qui constitue l’un des meilleurs facteurs prédictifs de ces performances. Les résultats encouragent l’intégration du statut neurologique tel que mesuré par l’ENAT comme marqueur précoce dans le cours d’une surveillance neurodéveloppementale des enfants les plus à risque.