@phdthesis{Klein2015,
  author    = {Klein, Dennis},
  title     = {The pathogenic role of endogenous antibodies in a mouse model for Charcot-Marie-Tooth 1B neuropathy},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-121941},
  school      = {Universit{\"a}t W{\"u}rzburg},
  year      = {2015},
  abstract  = {Charcot-Marie-Tooth (CMT) type 1 neuropathies are a genetically heterogeneous group of non-treatable inherited disorders affecting the peripheral nervous system that lead to sensory and motor dysfunction. Secondary low grade inflammation, implicating the innate and adaptive immune system, could previously be identified as a substantial disease modifier in two mouse models for CMT1, CMT1B and 1X, respectively. However, the exact mechanism how the adaptive immune system contributes to disease pathogenesis is not completely understood. Based on observations that the accumulation of endogenous antibodies to myelin components is important for rapid myelin clearance after nerve injury during Wallerian degeneration, a possibly similar mechanism was considered for endogenous antibodies as disease amplifier in mice heterozygously deficient for P0 (P0het), mimicking some typical features of CMT1B. In this study an increased antibody deposition was detected in the affected peripheral nerves of P0het myelin mutant mice. By crossbreeding P0het mutants with mice specifically lacking B-lymphocytes, and therefore antibodies (JHD-/-), a decline of endoneurial macrophages together with a substantially ameliorated demyelination could be demonstrated in 6-month-old mutant mice. Moreover, reconstitution with murine IgGs reverted the neuropathic phenotype, substantiating that endogenous antibodies are potentially pathogenic at this early stage of disease. Unexpectedly, in 12-months-old P0het mutants, JHD deficiency resulted in disease aggravation accompanied by an increased inflammatory reaction and M2-polarized macrophage response. These observations suggest that in a mouse model for CMT1B, the lack of endogenous antibodies has a dichotomous effect: ameliorating early macrophage-mediated demyelination, as opposed to increasing inflammatory reactions leading to disease aggravation at older ages.},
  subject      = {Maus},
  language  = {en}
}
@phdthesis{Weirather2014,
  author    = {Weirather, Johannes},
  title     = {Role of CD4+ T lymphocytes in cardiac wound healing and remodeling after experimental myocardial infarction in mice},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-107225},
  school      = {Universit{\"a}t W{\"u}rzburg},
  year      = {2014},
  abstract  = {Cardiac healing after myocardial infarction (MI) represents the cardinal prerequisite for proper replacement of the irreversibly injured myocardium. In contrast to innate immunity, the functional role of adaptive immunity in postinfarction healing has not been systematically addressed. The present study focused on the influence of CD4+ T lymphocytes on wound healing and cardiac remodeling after experimental myocardial infarction in mice. Both conventional and Foxp3+ regulatory CD4+ T cells (Treg cells) became activated in heart draining lymph nodes after MI and accumulated in the infarcted myocardium. T cell activation was strictly antigen-dependant as T cell receptor-transgenic OT-II mice in which CD4+ T cells exhibit a highly limited T cell receptor repertoire did not expand in heart-draining lymph nodes post-MI. Both OT-II and major histocompatibility complex class II-deficient mice lacking a CD4+ T cell compartment showed a fatal clinical postinfarction outcome characterized by disturbed scar tissue construction that resulted in impaired survival due to a prevalence of left-ventricular ruptures. To assess the contribution of anti-inflammatory Treg cells on wound healing after MI, the Treg cell compartment was depleted using DEREG mice that specifically express the human diphtheria toxin receptor in Foxp3-positive cells, resulting in Treg cell ablation after diphtheria toxin administration. In a parallel line of experiments, a second model of anti-CD25 antibody-mediated Treg cell immuno-depletion was used. Treg cell ablation prior to MI resulted in adverse postinfarction left-ventricular dilatation associated with cardiac deterioration. Mechanistically, Treg cell depletion resulted in an increased recruitment of pro-inflammatory neutrophils and Ly-6Chigh monocytes into the healing myocardium. Furthermore, Treg cell-ablated mice exhibited an adverse activation of conventional non-regulatory CD4+ and CD8+ T cells that showed a reinforced infiltration into the infarct zone. Increased synthesis of TNFα and IFNγ by conventional CD4+ and CD8+ T cells in hearts of Treg cell-depleted mice provoked an M1-like macrophage polarization characterized by heightened expression of healing-compromising induced NO synthase, in line with a reduced synthesis of healing-promoting transglutaminase factor XIII (FXIII), osteopontin (OPN) and transforming growth factor beta 1 (TGFβ1). Therapeutic Treg cell activation by a superagonistic anti-CD28 monoclonal antibody stimulated Treg cell accumulation in the infarct zone and led to an increased expression of mediators inducing an M2-like macrophage polarization state, i.e. interleukin-10, interleukin-13 and TGFβ1. M2-like macrophage differentiation in the healing infarct was associated with heightened expression of scar-forming procollagens as well as scar-stabilizing FXIII and OPN, resulting in improved survival due to a reduced incidence of left-ventricular ruptures. Therapeutic Treg cell activation and the induction of a beneficial M2-like macrophage polarization was further achieved by employing a treatment modality of high clinical potential, i.e. by therapeutic administration of IL-2/ anti-IL-2 monoclonal antibody complexes. The findings of the present study suggest that therapeutic Treg cell activation and the resulting improvement of healing may represent a suitable strategy to attenuate adverse infarct expansion, left-ventricular remodeling, or infarct ruptures in patients with MI.},
  subject      = {Antigen CD4},
  language  = {en}
}
@phdthesis{Heffels2012,
  author    = {Heffels, Karl-Heinz},
  title     = {Functional nanofibres for regenerative medicine},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-75684},
  school      = {Universit{\"a}t W{\"u}rzburg},
  year      = {2012},
  abstract  = {This thesis concerned the design and examination of a scaffold for tissue engineering applications. The template for the presented scaffold came from nature itself: the intercellular space in tissues that provides structure and support to the cells of the respective tissue, known as extracellular matrix (ECM). Fibres are a predominant characteristic feature of ECM, providing adhesion sites for cell-matrix interactions. In this dissertation a fibrous mesh was generated using the electrospinning technique to mimic the fibrous structure of the ECM. Two base polymers were explored: a biodegradable polyester, poly(D,L-lactide-co-glycolide); and a functional PEG-based star polymer, NCO-sP(EO-stat-PO). This topic was described in three major parts: the first part was materials based, concerning the chemical design and characterisation of the polymer scaffolds; the focus was then shifted to the cellular response to this fibrous scaffold; and finally the in vivo performance of the material was preliminarily assessed. The first steps towards an electrospun mesh started with adjusting the spinning parameters for the generation of homogeneous fibres. As reported in Chapter 3 a suitable setup configuration was on the one hand comprised of a spinning solution that consisted of 28.5 w/v\% PLGA RG 504 and 6 w/v\% NCO-sP(EO-stat-PO) in 450 µL acetone, 50 µL DMSO and 10 µL of an aqueous trifluoroacetic acid solution. On the other hand an ideal spinning behaviour was achieved at process parameters such as a flow rate of 0.5 mL/h, spinneret to collector distance of 12-16 cm and a voltage of 13 kV. The NCO-sP(EO-stat-PO) containing fibres proved to be highly hydrophilic as the functional additive was present on the fibre surface. Furthermore, the fibres featured a bulk degradation pattern as a consequence of the proportion of PLGA. Besides the morphologic similarity to ECM fibres, the functionality of the electrospun fibres is also decisive for a successful ECM mimicry. In Chapter 4, the passive as well as active functionality of the fibres was investigated. The fibres were required to be protein repellent to prevent an unspecific cell adhesion. This was proven as even 6.5 \% sP(EO-stat-PO) in the PLGA fibres reduced any unspecific protein adsorption of bovine serum albumin and foetal calf serum to less than 1 \%. However, avidin based proteins attached to the fibres. This adhesion process was avoided by an additional fibre surface treatment with glycidol. The active functionalisation of NCO-sP(EO-stat-PO)/PLGA fibres was investigated with two fluorescent dyes and biocytin. A threefold, chemically orthogonal, fibre modification was achieved with these dyes. The chapters about the chemical and mechanical properties laid the basis for the in vitro chapters where a specific fibre functionalisation with peptides was conducted to analyse the cell adhesion and biochemical expressions. Beginning with fibroblasts in Chapter 5 the focus was on the specific cell adhesion on the electrospun fibres. While NCO-sP(EO-stat-PO)/PLGA fibres without peptides did not allow any adhesion of fibroblasts, a fibre modification with GRGDS (an adhesion mediating peptide sequence) induced the adhesion and spreading of human dermal fibroblasts on the fibrous scaffolds. The control sequence GRGES that has no adhesion mediating qualities did not lead to any cell adhesion as observed on fibres without modifications. While the experiments of Chapter 5 were a proof-of-concept, in Chapter 6 a possible application in cartilage tissue engineering was examined. Therefore, primary human chondrocytes were seeded on fibrous scaffolds with various peptide sequences. Though the chondrocytes exhibited high viability on all scaffolds, an active interaction of cells and fibres was only found for the decorin derived sequence CGKLER. Live-cell-imaging revealed both cell attachment and migration within CGKLER-modified meshes. As chondrocytes undergo a de-differentiation towards a fibroblast-like phenotype, the chondrogenic re-differentiation on these scaffolds was investigated in a long term cell culture experiment of 28 days. Therefore, the glycosaminoglycan production was analysed as well as the mRNA expression of genes coding for collagen I and II, aggrecan and proteoglycan 4. In general only low amounts of the chondrogenic markers were measured, suggesting no chondrogenic differentiation. For conclusive evidence follow-up experiments are required that support or reject the findings. The success of an implant for tissue engineering relies not only on the response of the targeted cell type but also on the immune reaction caused by leukocytes. Hence, Chapter 7 dealt with primary human macrophages and their behaviour and phenotype on two-dimensional (2D) surfaces compared to three-dimensional (3D) fibrous substrates. It was found that the general non-adhesiveness of NCO-sP(EO-stat-PO) surfaces and fibres does not apply to macrophages. The cells aligned along the fibres on surfaces or resided in the pores of the meshes. On flat surfaces without 3D structure the macrophages showed a retarded adhesion kinetic accompanied with a high migratory activity indicating their search for a topographical feature to adhere to. Moreover, a detailed investigation of cell surface markers and chemokine signalling revealed that macrophages on 2D surfaces exhibited surface markers indicating a healing phenotype while the chemokine release suggested a pro-inflammatory phenotype. Interestingly, the opposite situation was found on 3D fibrous substrates with pro-inflammatory surface markers and pro-angiogenic cytokine release. As the immune response largely depends on cellular communication, it was concluded that the NCO-sP(EO-stat-PO)/PLGA fibres induce an adequate immune response with promising prospects to be used in a scaffold for tissue engineering. The final chapter of this thesis reports on a first in vivo study conducted with the presented electrospun fibres. Here, the fibres were combined with a polypropylene mesh for the treatment of diaphragmatic hernias in a rabbit model. Two scaffold series were described that differed in the overall surface morphology: while the fibres of Series A were incorporated into a thick gel of NCO-sP(EO-stat-PO), the scaffolds of Series B featured only a thin hydrogel layer so that the overall fibrous structure could be retained. After four months in vivo the treated defects of the diaphragm were significantly smaller and filled mainly with scar tissue. Thick granulomas occurred on scaffolds of Series A while the implants of Series B did not induce any granuloma formation. As a consequence of the generally positive outcome of this study, the constructs were enhanced with a drug release system in a follow-up project. The incorporated drug was the MMP-inhibitor Ilomastat which is intended to reduce the formation of scar tissue. In conclusion, the simple and straight forward fabrication, the threefold functionalisation possibility and general versatile applicability makes the meshes of NCO-sP(EO-stat-PO)/PLGA fibres a promising candidate to be applied in tissue engineering scaffolds in the future.},
  subject      = {Nanofaser},
  language  = {en}
}
@phdthesis{Lim2007,
  author    = {Lim, Hee-Young},
  title     = {Functional studies of GR and MR function by RNA interference},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-23646},
  school      = {Universit{\"a}t W{\"u}rzburg},
  year      = {2007},
  abstract  = {Die Steroidhormone Corticosteron/Cortisol und Aldosteron werden in Folge von Stress oder eines ver{\"a}nderten Salz-Wasser-Haushalt durch die Nebenniere synthetisiert und sezerniert. Dies wird durch negative R{\"u}ckkopplungsmechanismen kontrolliert, die als HPA-Achse und RAAS bezeichnet werden. Die Aktivit{\"a}t dieser Steroidhormone wird durch den Glukokortikoid Rezeptor (GR) und den Mineralokortikoid-Rezeptor (MR) vermittelt, die im Zytosol als Komplex mit Hitze-Schock-Proteinen vorliegen. Sowohl der GR als auch der MR geh{\"o}ren zur Kern-Rezeptor Superfamilie und besitzen eine gemeinsame Proteinstruktur die aus drei verschiedenen Dom{\"a}nen besteht. Trotzdem haben sie verschiedene Affinit{\"a}ten f{\"u}r ihre Liganden, ihre Aktivit{\"a}t h{\"a}ngt von der Hormonkonzentration ab, sie werden durch Pr{\"a}-Rezeptor-Mechansimen wie der 11b-HSD2 reguliert und ihre Gewebeverteilung ist unterschiedlich. Aldosteron wirkt in epithelialen und nicht-epithelialen Zellen {\"u}ber den MR und reguliert den Salz-Wasser-Haushalt, die Herzfunktion, die neuronale Erregbarkeit und die Adipozyten-Differenzierung. Bislang war die Analyse der Geninaktivierung in vivo auf M{\"a}use beschr{\"a}nkt, obwohl Krankheitsmodelle in der Ratte die Verh{\"a}ltnisse im Menschen manchmal besser widerspiegeln. Da embryonale Stammzellen und damit die gezielte Genmanipulation in Ratten nicht verf{\"u}gbar sind, haben wir MR knock-down Ratten mittels lentiviral eingef{\"u}hrter shRNAs hergestellt. Die F1 Nachkommen der Gr{\"u}nder-Ratten zeigten unterschiedlich stark reduzierte MR mRNA und Protein Niveaus in Niere und Hippocampus, den Hauptexpressions-Regionen des MR. Im Gegensatz dazu war die Expression des GR unver{\"a}ndert, was die Spezifit{\"a}t der Geninaktivierung belegt. Die zwei MR Zielgene Sgk1 und ENaC waren hochreguliert w{\"a}hrend die mRNA Spiegel anderer Gene wie IK1 und SCD2 erniedrigt waren. {\"A}hnlich wie in den knock-out M{\"a}usen und Patienten zeigten die knock-down Ratten die typischen Merkmale des Pseudohypoaldosteronismus Typ I wie erh{\"o}hte Serumspiegel von Aldosteron und Renin sowie Wachstumsretardation. Weiterhin fanden wir einen linearen Zusammenhang zwischen der MR Expression in der Niere, den Serum Aldosteron-Werten und dem K{\"o}rpergewicht. Zusammengefasst sind unsere MR knock-down Ratten unter den ersten Beispielen f{\"u}r RNAi in vivo und belegen, dass diese Technik es erlaubt, abgestufte Auspr{\"a}gugen der Geninktivierung wie in humanen genetischen Erkrankungen zu erreichen. Weiterhin haben wir die Rolle des GR und des MR f{\"u}r die immunmodulatorische Aktivit{\"a}t der Glukokortikoide in peritonealen Makrophagen untersucht. GCs sind an der Kontrolle der Makrophagenfunktion beteiligt und regulieren so die Reaktion gegen{\"u}ber Pathogenen. Aus diesem Grund werden GCs weitverbreitet zur Behandlung von Enz{\"u}ndungen und Autoimmunerkrankungen eingesetzt. Allerdings ist bez{\"u}glich dieser GC Aktivit{\"a}ten weder bekannt welche Kontrolle die Hormonkonzentration spielt noch kennt man den differentiellen Beitrag des GR und des MR. Zuerst best{\"a}tigten wir die Expression beider Rezeptoren in peritonealen Makrophagen w{\"a}hrend die 11b-HSD2 nicht exprimiert war. Anschließend zeigten wir, dass niedrigte Corticosteron-Level die NO Produktion sowie die mRNA Expression von pro-inflammatorischen Zytokinen, Chemokinen und Enzymen die f{\"u}r die Mediator-Synthesee ben{\"o}tigt werden erh{\"o}hen. Im Gegensatz dazu war die Makrophagen Funktion bei hohen Corticosteron-Konzentrationen stark reprimiert. Eine wichtige Beobachtung war, dass die Inaktivierung des GR durch lentiviral eingef{\"u}hrte siRNAs sowohl die immunstimulatorischen als auch die immunsuppressiven GR Aktivit{\"a}ten aufhob w{\"a}hrend die Inaktivierung des MR keine Konsequenzen hatte. Weiterhin f{\"u}hrte der Verlust endogenener GCs nach Adrenalektomie in vivo zu einem pr{\"a}-aktivierten Zustand der Makrophagen, welcher durch Corticosteron moduliert werden konnte. Wir schließen hieraus, dass GCs in Abh{\"a}ngigkeit von ihrer Konzentration unterschiedliche Effekte auf die Makrophagen Funktion haben und dass diese durch den GR vermittelt werden, obwohl der MR ebenfalls exprimiert ist. Zusammengefasst best{\"a}tigen unsere Ergebnisse dass die lenivirale Transduktion von shRNAs eine effiziente Methode zur Geninaktivierung in prim{\"a}ren Zellen und transgenen Ratten darstellt und es so erlaubt, funktionelle Studien durchzuf{\"u}hren die zuvor auf M{\"a}use beschr{\"a}nkt waren.},
  language  = {en}
}