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Endotelio corneale umano: dagli studi in vitro all’applicazione dell’ ingegneria tissutale
L'endotelio corneale regola lo stato di idratazione stromale necessario per la trasparenza corneale. In età adulta, la densità cellulare endoteliale (ECD) diminuisce annualmente dello 0,6%. Poiché le cellule endoteliali corneali umane hanno ridotta capacità proliferativa in vivo, la loro perdita è compensata dalla migrazione e allargamento delle cellule vicine. Quando l' ECD scende al di sotto del valore soglia di 500 cellule/mm2, in seguito a invecchiamento o trauma o una condizione patologica, l'endotelio non è in grado di garantire una corretta idratazione corneale, causando edema, opacità corneale e disturbi visivi. Il trapianto corneale, con le relative limitazioni, ad oggi è l'unico trattamento efficiente per le malattie endoteliali corneali. Tuttavia, la carenza mondiale di cornee donatrici sta diventando sempre più un problema non trascurabile, con solo 1 cornea disponibile ogni 70 cornee richieste. Questo ha indotto a sviluppare strategie alternative per il trattamento di malattie endoteliali corneali, tra cui gli approcci di ingegneria tissutale.
L'ingegneria tissutale è un approccio terapeutico emergente che combina l'utilizzo di cellule endoteliali corneali con l’utilizzo di un appropriato biomateriale per la coltura ed il trapianto di queste cellule. Il nostro gruppo di ricerca ha precedentemente dimostrato che il legame di un decapeptide contenente il motivo peptidico RGD (Arg-Gly-Asp) allo scaffold di chitina garantisce il mantenimento del comportamento delle cellule epiteliali corneali umane. Le caratteristiche dello scaffold sono state ottimizzate per produrre un substrato con proprietà biomeccaniche simili allo stroma corneale umano per trasparenza, architettura, rigidità e resistenza meccanica.
In questo progetto di ricerca, il nostro obiettivo è quello di studiare l'utilizzo della chitina funzionalizzata con l’ RGD come potenziale substrato anche per l'adesione e l'espansione delle cellule corneali endoteliali umane. Gli esperimenti sono stati condotti al fine di ottenere un tessuto endoteliale ingegnerizzato e, in una prospettiva futura, una cornea umana tridimensionale con tutti i suoi strati (epitelio + stroma + endotelio).
Tuttavia, l'ingegneria tissutale dell’ endotelio corneale è una sfida complessa per diversi motivi: a) le cellule corneali endoteliali hanno una bassa capacità proliferativa che deve essere stimolata finemente in vitro con terreni di coltura appropriati; b) durante la coltura in vitro, le cellule corneali endoteliali vanno incontro a senescenza prematura (in particolare nelle colture cellulari derivate da donatori più anziani) e a una trasformazione fenotipica assumendo un fenotipo mesenchimale, la cosiddetta transizione endoteliale-mesenchimale; e) pochi marcatori molecolari specifici definiscono la qualità delle cellule corneali endoteliali, necessari per controllare le loro funzioni fisiologiche cellulari; d) infine, per l’approccio di ingegneria tissutale dell’ endotelio corneale, non è stato ancora sviluppato un biomateriale in grado di creare un microambiente favorevole all'attività delle cellule corneali endoteliali.
Per questo motivo, in questo progetto di ricerca abbiamo affrontato alcune sfide che rendono difficile l’utilizzo delle cellule corneali endoteliali, in termini di (I) ottimizzazione della tecnica di coltura delle cellule corneali endoteliali umane (Capitolo I), (II) identificazione di marcatori funzionali specifici delle cellule corneali endoteliali (Capitolo II), (III) prevenzione della transizione endotelio-mesenchimale che induce ad un trans-differenziamento cellulare verso un fenotipo mio-fibroblastico che causa una perdita della funzione cellulare (Capitolo III) e (IV) analisi dello scaffold selezionato per coltivare le cellule corneali endoteliali (Capitolo IV).The corneal endothelium (CE) is the innermost layer of the cornea that regulates the stromal hydration state required to maintain corneal transparency. During adulthood, the endothelial cell density (ECD) decreases by 0.6% each year. As human corneal endothelial cells (hCECs) do not proliferate, the loss of aging-induced hCECs is compensated by migration and enlargement of neighbouring cells. When ECD falls below a threshold of 500 cells/mm2, by aging or trauma/disease, the endothelium does not have enough pumping power to guarantee a correct corneal hydration, leading to oedema, corneal opacity, and visual impairment. Corneal transplantation, with related problems, is the only efficient treatment for corneal endothelial diseases up to date. However, the worldwide donor corneas shortage is increasingly becoming a non-negligible issue, with only 1 cornea available for 70 needed. This has led to investigate alternative strategies for treating corneal endothelial diseases, such as tissue engineering approaches.
Corneal endothelial tissue engineering is an emerging therapeutic approach that involves the use of hCECs combined with a biomaterial to create tissue engineered grafts for transplantation. Our research group has previously demonstrated that proper binding of an RGD (Arg-Gly-Asp) peptide to the chitin scaffold guaranteed maintenance of human corneal epithelial cells behaviour. Scaffold characteristics were optimised to produce a substrate with biomechanical properties resembling the human corneal stroma for transparency, architecture, stiffness, and mechanical strength.
In this research project, our aim is to investigate the use of this functionalized biological scaffold as a potential substrate also for hCECs adhesion and expansion. The experiments were carried out in order to obtain a functional tissue engineered endothelial graft and, from a future perspective, a three-dimensional human cornea with all its layers (epithelium + stroma + endothelium). If successful, this elegant approach has the potential to increase access to corneal therapy by treating multiple patients.
However, CE tissue engineering is a major challenge for several reasons: a) the hCECs have a low natural proliferative capacity that must be finely stimulated in vitro with an appropriate mitogen-rich medium; b) during in vitro expansion, hCECs undergo premature senescence (particularly in cultures derived from older donors) and phenotypic transformation to a mesenchymal phenotype, so-called Endothelial-Mesenchymal Transition (EnMT), which must be prevented c) few specific molecular markers define the quality of cultured hCECs, which are needed to control their physiological cell functions; d) finally, to develop a tailored engineered corneal endothelium, a substrate material that is able to create a favourable microenvironment for hCECs activity has not been yet developed.
Thus, in this research project we analysed some challenges faced with hCECs in terms of (I) optimization of hCECs culture techniques (Chapter I), (II) identification of specific hCECs functional markers (Chapter II), (III) prevention of EnMT which leads to a cellular trans-differentiation towards a myofibroblastic phenotype causing a cellular loss of function (Chapter III), and (IV) analysis of the identified scaffold to make bioengineered corneal endothelial grafts (Chapter IV)
Impact of culture media on primary human corneal endothelial cells derived from old donors
: Corneal endothelial dysfunction is a major indication for corneal transplantation. However, a global shortage of donor corneal tissues and risks associated with corneal surgeries have prompted exploration of alternative options, including tissue-engineered grafts or cell injection therapy. Nonetheless, these approaches require a controlled culture of primary human corneal endothelial cells (HCEnCs). Although HCEnCs established from young donors are generally more proliferative and maintain a better phenotype, corneas from old donors are more frequently accessible from eye banks due to a lower corneal endothelial cell count than the necessary threshold required for transplantation. In this study, we investigated various culture media to evaluate which one is the most appropriate for stimulating the proliferation while maintaining cell morphology and function of HCEnCs derived from old donors (age >65 years). All experiments were performed on paired research-grade donor corneas, divided for the conditions under investigation in order to minimize the inter-donor variability. Cell morphology as well as expression of specific markers were assessed at both mRNA (CD166, SLC4A11, ATP1A1, COL8A1, α-SMA, CD44, COL1A1, CDKN2A, LAP2A and LAP2B) and protein (ZO-1, α-SMA, Ki67 and LAP2) levels. Results obtained showed how the Dual Media formulation maintained the hexagonal phenotype more efficiently than Single Medium, but cell size gradually increased with passages. In contrast, the Single Medium provided a higher proliferation rate and a prolonged in vitro expansion but acquired an elongated morphology. To summarize, Single medium and Dual media preserve morphology and functional phenotype of HCEnCs from old donor corneas at low passages while maintenance of the same cell features at high passages remains an active area of research. The new insights revealed within this work become particularly relevant considering that the elderly population a) is the main target of corneal endothelial therapy, b) represents the majority of corneal donors. Therefore, the proper expansion of HCEnCs from old donors is essential to develop novel personalised therapeutic strategies and reduce requirement of human corneal tissues globally.Corneal endothelial dysfunction is a major indication for corneal transplantation. However, a global shortage of donor corneal tissues and risks associated with corneal surgeries have prompted exploration of alternative options, including tissue-engineered grafts or cell injection therapy. Nonetheless, these approaches require a controlled culture of primary human corneal endothelial cells (HCEnCs). Although HCEnCs established from young donors are generally more proliferative and maintain a better phenotype, corneas from old donors are more frequently accessible from eye banks due to a lower corneal endothelial cell count than the necessary threshold required for transplantation. In this study, we investigated various culture media to evaluate which one is the most appropriate for stimulating the proliferation while maintaining cell morphology and function of HCEnCs derived from old donors (age >65 years). All experiments were performed on paired research-grade donor corneas, divided for the conditions under investigation in order to minimize the inter-donor variability. Cell morphology as well as expression of specific markers were assessed at both mRNA (CD166, SLC4A11, ATP1A1, COL8A1, α-SMA, CD44, COL1A1, CDKN2A, LAP2A and LAP2B) and protein (ZO-1, α-SMA, Ki67 and LAP2) levels. Results obtained showed how the Dual Media formulation maintained the hexagonal phenotype more efficiently than Single Medium, but cell size gradually increased with passages. In contrast, the Single Medium provided a higher proliferation rate and a prolonged in vitro expansion but acquired an elongated morphology. To summarize, Single medium and Dual media preserve morphology and functional phenotype of HCEnCs from old donor corneas at low passages while maintenance of the same cell features at high passages remains an active area of research. The new insights revealed within this work become particularly relevant considering that the elderly population a) is the main target of corneal endothelial therapy, b) represents the majority of corneal donors. Therefore, the proper expansion of HCEnCs from old donors is essential to develop novel personalised therapeutic strategies and reduce requirement of human corneal tissues globally
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
Author-wise bibliometric analysis based on entropy.</p
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