10 research outputs found

    Generation of a single cell atlas of the amniotic fluid across gestation and in presence of Congenital Diaphragmatic Hernia and single cell annotation of amniotic fluid-derived organoids

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    LAUREA MAGISTRALEIl Fluido Amniotico (FA) circonda e protegge il feto umano durante la gestazione. Questo fluido è ricco di cellule provenienti da diversi tessuti fetali in via di sviluppo e, di conseguenza, è altamente eterogeneo per origine e composizione. Tuttavia, la composizione cellulare precisa rimane ancora poco esplorata. Questo studio utilizza la tecnica di single-cell RNA sequencing (scRNAseq) su FA fresco e non coltivato, con l'obiettivo di creare la prima mappa completa di cellule del FA umano durante lo sviluppo. L'analisi presentata in questa tesi ha rivelato la presenza nel FA di popolazioni epiteliali eterogenee, insieme a diversi gruppi di cellule immunitarie. È interessante notare che, in linea con un recente studio del laboratorio ospite, sono stati identificati anche progenitori epiteliali specifici per il tratto GI, il rene e i polmoni. Questa scoperta ha permesso di generare organoidi derivati dal FA (AFO) che rappresentano i tessuti GI, renale e polmonare. Con l'obiettivo di utilizzare questa tecnologia, il gruppo ospite ha iniziato a concentrarsi sull'Ernia Diaframmatica Congenita (CDH), una patologia caratterizzata da una marcata ipoplasia polmonare. La CDH può essere parzialmente trattata grazie a una recente procedura di chirurgia fetale chiamata Occlusione Tracheale Endoluminale Fetoscopica (FETO). Questa procedura ha consentito l'accesso ai fluidi amniotici e tracheali fetali (TF), che sono stati sequenziati e utilizzati per generare organoidi CDH con caratteristiche della malattia. In questa ricerca, ho creato la prima mappa scRNAseq del FA con CDH e migliorato l'annotazione di CDH LAFOs. Questo progetto ha l'obiettivo di esplorare il potenziale utilizzo della composizione del FA e degli organoidi derivati da FA come metodi avanzati per monitorare lo sviluppo umano e le malattie.The Amniotic Fluid (AF) surrounds and protects the human fetus during gestation. This solution is rich in cells, shed from a number of developing fetal tissues. Consequently, containing secretions and cells from various tissues, the AF is highly heterogeneous in origin and composition. However, the precise cellular composition remains largely unexplored. This study employs single-cell RNA sequencing (scRNAseq) on fresh, uncultured AF, to create the first comprehensive single-cell atlas of human AF cells across human development. The analysis presented in this thesis showed presence in the AF of heterogeneous epithelial populations alongside multiple clusters of hematopoietic and immune cells. Interestingly, in line with a recent report from the host laboratory, epithelial progenitors specifically for the GI, kidney, and lung were also identified. This discovery enabled the generation of AF-derived organoids (AFO) resembling GI, kidney, and lung tissues. Aiming at translating this technology, the host team started working on Congenital Diaphragmatic Hernia (CDH), condition characterised by a remarkable lung hypoplasia. CDH can be partially rescued thanks to a recently developed fetal surgery procedure named Fetoscopic Endoluminal Tracheal Occlusion (FETO). This procedure enabled access to fetal amniotic and tracheal fluid (TF), which have been sequenced, and used to generate CDH organoids resembling features of the disease. In this work, I generated the first scRNAseq map of the CDH AF and improved the annotation of the CDH AFO. This project aims at investigating the potential use of the AF composition and the organoids derived from this fluid, as advanced methods to monitor human development and disease

    Characterising the cells of the amniotic fluid and their coupling to fetal development using RNA sequencing

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    The amniotic fluid (AF) has been known to contain fetal cells, however the precise cellular composition remains overlooked. The AF has previously been used to generate mesenchymal AF stem cells (AFSCs, also referred to as AF-MSC), which have been shown to have the multipotent capacity to generate cells representing each embryonic germ layer. While research into the clinical translation of AFSC is ongoing, attempts are limited by a lack of clarity on the AFSC tissue of origin and identity. Initially this research conducted a full characterisation of the AFSC, applying bulk, spatial and single-cell RNA sequencing (scRNAseq) to confirm their renal nephron origin. This led to the novel finding that the AFSC precursors persist in the AF as epithelial cells, having likely shed from the nephron and been transported through the fetal urine. These precursors then appear to undergo culture-induced epithelial-to-mesenchymal transition (EMT) to form the widely studied AFSC. These findings led me to investigate the fresh, uncultured AF through scRNAseq, generating the first single-cell map of the AF cells in both human and mouse. Through this atlas, I identified a heterogenous epithelial population, as well as macrophages, monocytes, dendritic cells, neutrophils, B-cells, T-cells, natural killer cells, eosinophils, erythroblasts, granulocytes, common myeloid progenitors and haematopoietic stem cells (HSC). The epithelial population was then shown to contain cells from the kidney, lung, skin, eye and gastrointestinal tract (GI), with epithelial progenitors identified for the GI, kidney and lung. The identification of these progenitors led to the generation of AF-derived clonal epithelial organoids of GI, kidney and lung identity. The ability of these organoids to recapitulate a disease phenotype was preliminarily demonstrated with congenital diaphragmatic hernia (CDH). Overall, this research provides the first in-depth characterisation of the AF cellular content and identifies novel cells with clinical capacity, highlighting the potential of this overlooked source of fetal cells

    Author correction: Single-cell guided prenatal derivation of primary fetal epithelial organoids from human amniotic and tracheal fluids

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    Correction to: Nature Medicinehttps://doi.org/10.1038/s41591-024-02807-z, published online 4 March 2024. In the version of this article initially published, there were inconsistences, where in the Methods “AF collection and isolation of the viable cell fraction” paragraph, the first sentence, now reading “AF samples (amniocenteses and amniodrainages) were collected from UCLH FMU and UZ Leuven as part of standard patient clinical care”, was initially preceded by “Euploid,” though the sample contained two chromosomal abnormalities; and in Supplementary Table 1, where for sample code HO680, the sex was listed as female following prenatal clinical data, whereas the sample was identified and processed in further analysis as male. The changes have been made in Supplementary Table 1 and in the HTML and PDF versions of the article

    Single-cell guided prenatal derivation of primary fetal epithelial organoids from human amniotic and tracheal fluids

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    : Isolation of tissue-specific fetal stem cells and derivation of primary organoids is limited to samples obtained from termination of pregnancies, hampering prenatal investigation of fetal development and congenital diseases. Therefore, new patient-specific in vitro models are needed. To this aim, isolation and expansion of fetal stem cells during pregnancy, without the need for tissue samples or reprogramming, would be advantageous. Amniotic fluid (AF) is a source of cells from multiple developing organs. Using single-cell analysis, we characterized the cellular identities present in human AF. We identified and isolated viable epithelial stem/progenitor cells of fetal gastrointestinal, renal and pulmonary origin. Upon culture, these cells formed clonal epithelial organoids, manifesting small intestine, kidney tubule and lung identity. AF organoids exhibit transcriptomic, protein expression and functional features of their tissue of origin. With relevance for prenatal disease modeling, we derived lung organoids from AF and tracheal fluid cells of congenital diaphragmatic hernia fetuses, recapitulating some features of the disease. AF organoids are derived in a timeline compatible with prenatal intervention, potentially allowing investigation of therapeutic tools and regenerative medicine strategies personalized to the fetus at clinically relevant developmental stages

    Author Correction: Single-cell guided prenatal derivation of primary fetal epithelial organoids from human amniotic and tracheal fluids

    No full text
    Correction to: Nature Medicine https://doi.org/10.1038/s41591-024-02807-z, published online 4 March 2024. In the version of this article initially published, there were inconsistences, where in the Methods “AF collection and isolation of the viable cell fraction” paragraph, the first sentence, now reading “AF samples (amniocenteses and amniodrainages) were collected from UCLH FMU and UZ Leuven as part of standard patient clinical care”, was initially preceded by “Euploid,” though the sample contained two chromosomal abnormalities; and in Supplementary Table 1, where for sample code HO680, the sex was listed as female following prenatal clinical data, whereas the sample was identified and processed in further analysis as male. The changes have been made in Supplementary Table 1 and in the HTML and PDF versions of the article

    Teenage Pregnancy and Fertility in English Communities: Neighbourhood, Family and Peer Influences on Behaviour

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    PhDThe British government established the Teenage Pregnancy Unit in 1999 to reduce early pregnancy. Current policy initiatives have a significant geographic dimension: specific English neighbourhoods have been identified as the sites where most early pregnancy occurs and have been targeted for intervention. The aim of this thesis is to explore the factors that influence teenage sexual and reproductive behaviour by drawing on the neighbourhoods effects literature. Within this body of research, teenage reproduction is believed to be affected by a multiplicity of factors operating within different domains. The analysis (of survey data and qualitative material collected in three locations) was guided by two research questions: which factors within neighbourhoods, family and peer contexts are the most important in elucidating the causal pathways to teenage sex, pregnancy and fertility; and do the importance of these factors vary between neighbourhoods? Overall, factors within neighbourhood and peer contexts were found to be less significant than family and individual-level factors. The analysis of British Cohort Study data showed that, for example, women who experience teenage pregnancy or birth lived in deprived areas at age 16, but other neighbourhood variables were not significant in multivariate analysis. There were some differences between neighbourhoods, but the cohort member's attitude to school was, generally, the most important factor associated with teenage sexual and reproductive behaviour. The qualitative data supported these statistical results. There was little evidence that women had been influenced by either their friends or others within their neighbourhoods (though some women reported knowing high numbers of teenage mothers), and nearly all the young mothers had low educational attainment. In conclusion, individual and family-level influences on sexual and reproductive outcomes are paramount, but behaviour is also subtly informed by wider social factors

    Single-cell guided prenatal derivation of primary fetal epithelial organoids from human amniotic and tracheal fluids

    No full text
    Isolation of tissue-specific fetal stem cells and derivation of primary organoids is limited to samples obtained from termination of pregnancies, hampering prenatal investigation of fetal development and congenital diseases. Therefore, new patient-specific in vitro models are needed. To this aim, isolation and expansion of fetal stem cells during pregnancy, without the need for tissue samples or reprogramming, would be advantageous. Amniotic fluid (AF) is a source of cells from multiple developing organs. Using single-cell analysis, we characterized the cellular identities present in human AF. We identified and isolated viable epithelial stem/progenitor cells of fetal gastrointestinal, renal and pulmonary origin. Upon culture, these cells formed clonal epithelial organoids, manifesting small intestine, kidney tubule and lung identity. AF organoids exhibit transcriptomic, protein expression and functional features of their tissue of origin. With relevance for prenatal disease modeling, we derived lung organoids from AF and tracheal fluid cells of congenital diaphragmatic hernia fetuses, recapitulating some features of the disease. AF organoids are derived in a timeline compatible with prenatal intervention, potentially allowing investigation of therapeutic tools and regenerative medicine strategies personalized to the fetus at clinically relevant developmental stages

    Single-cell guided prenatal derivation of primary fetal epithelial organoids from human amniotic and tracheal fluids.

    No full text
    Isolation of tissue-specific fetal stem cells and derivation of primary organoids is limited to samples obtained from termination of pregnancies, hampering prenatal investigation of fetal development and congenital diseases. Therefore, new patient-specific in vitro models are needed. To this aim, isolation and expansion of fetal stem cells during pregnancy, without the need for tissue samples or reprogramming, would be advantageous. Amniotic fluid (AF) is a source of cells from multiple developing organs. Using single-cell analysis, we characterized the cellular identities present in human AF. We identified and isolated viable epithelial stem/progenitor cells of fetal gastrointestinal, renal and pulmonary origin. Upon culture, these cells formed clonal epithelial organoids, manifesting small intestine, kidney tubule and lung identity. AF organoids exhibit transcriptomic, protein expression and functional features of their tissue of origin. With relevance for prenatal disease modeling, we derived lung organoids from AF and tracheal fluid cells of congenital diaphragmatic hernia fetuses, recapitulating some features of the disease. AF organoids are derived in a timeline compatible with prenatal intervention, potentially allowing investigation of therapeutic tools and regenerative medicine strategies personalized to the fetus at clinically relevant developmental stages

    Single-cell guided prenatal derivation of primary fetal epithelial organoids from human amniotic and tracheal fluids

    No full text
    Isolation of tissue-specific fetal stem cells and derivation of primary organoids is limited to samples obtained from termination of pregnancies, hampering prenatal investigation of fetal development and congenital diseases. Therefore, new patient-specific in vitro models are needed. To this aim, isolation and expansion of fetal stem cells during pregnancy, without the need for tissue samples or reprogramming, would be advantageous. Amniotic fluid (AF) is a source of cells from multiple developing organs. Using single-cell analysis, we characterized the cellular identities present in human AF. We identified and isolated viable epithelial stem/progenitor cells of fetal gastrointestinal, renal and pulmonary origin. Upon culture, these cells formed clonal epithelial organoids, manifesting small intestine, kidney tubule and lung identity. AF organoids exhibit transcriptomic, protein expression and functional features of their tissue of origin. With relevance for prenatal disease modeling, we derived lung organoids from AF and tracheal fluid cells of congenital diaphragmatic hernia fetuses, recapitulating some features of the disease. AF organoids are derived in a timeline compatible with prenatal intervention, potentially allowing investigation of therapeutic tools and regenerative medicine strategies personalized to the fetus at clinically relevant developmental stages.</p

    Configurations of mothering in post-war British women's playwriting

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    While examining a selection of plays centred on the phenomenon of mothering, my thesis also investigates the interaction between theatre and feminism in post-war Britain, aiming to highlight mutual correspondences between women's theatre making and feminist agendas. I focus mainly on the period of second-wave feminism, but I also discuss the decade preceding the appearance of the Women's Liberation Movement, as well as its aftermath up to the mid-nineties. Scrutinising proto-feminist, feminist and post-feminist stances, I argue that several fifties women dramatists anticipated key concerns of the late sixties and seventies; and equally, that many playwrights active after the heyday of second-wave feminism revisited the climate of the seventies in an attempt to evaluate the transformations that have since occurred in women's lives. In this manner, I not only contextualise some of the major achievements and shortcomings of successive feminist interventions, but also elaborate on key changes that have taken place in the negotiation of dramatic form and content. Rather than privileging one dominant theoretical position and adopting its perspective for the purposes of my analysis, I connect the work of playwrights informed by different artistic positions and political convictions, in order to pinpoint the principle of co-existence and multiplicity. This aesthetic and ideological diversity in women's writing for the stage, characteristic of the past five decades, has been confirmed not only by the primary and secondary sources that I drew upon but also by the playwrights themselves, whom I interviewed. For most present-day female dramatists, as this thesis argues, contemporary British women's theatre is a space of experimentation and of confluence - in which the broad range of individual voices can situate themselves next to one another, without the urge to replicate an ultimate direction imposed by hegemonic political constraints or artistic platforms
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