41 results on '"Cecile M. Perrault"'
Search Results
2. Design of artificial vascular devices: Hemodynamic evaluation of shear-induced thrombogenicity
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Thomas Feaugas, Gwenyth Newman, Silvia Tea Calzuola, Alison Domingues, William Arditi, Constance Porrini, Emmanuel Roy, and Cecile M. Perrault
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thrombosis ,artificial vessels ,biomechanics ,shear stress ,computational fluid dynamics ,biocompability ,Mechanical engineering and machinery ,TJ1-1570 - Abstract
Blood-circulating devices such as oxygenators have offered life-saving opportunities for advanced cardiovascular and pulmonary failures. However, such systems are limited in the mimicking of the native vascular environment (architecture, mechanical forces, operating flow rates and scaffold compositions). Complications involving thrombosis considerably reduce their implementation time and require intensive anticoagulant treatment. Variations in the hemodynamic forces and fluid-mediated interactions between the different blood components determine the risk of thrombosis and are generally not taken sufficiently into consideration in the design of new blood-circulating devices. In this Review article, we examine the tools and investigations around hemodynamics employed in the development of artificial vascular devices, and especially with advanced microfluidics techniques. Firstly, the architecture of the human vascular system will be discussed, with regards to achieving physiological functions while maintaining antithrombotic conditions for the blood. The aim is to highlight that blood circulation in native vessels is a finely controlled balance between architecture, rheology and mechanical forces, altogether providing valuable biomimetics concepts. Later, we summarize the current numerical and experimental methodologies to assess the risk of thrombogenicity of flow patterns in blood circulating devices. We show that the leveraging of both local hemodynamic analysis and nature-inspired architectures can greatly contribute to the development of predictive models of device thrombogenicity. When integrated in the early phase of the design, such evaluation would pave the way for optimised blood circulating systems with effective thromboresistance performances, long-term implantation prospects and a reduced burden for patients.
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- 2023
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3. 3D organ-on-a-chip: The convergence of microphysiological systems and organoids
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Leandra S. Baptista, Constance Porrini, Gabriela S. Kronemberger, Daniel J. Kelly, and Cecile M. Perrault
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organoids ,3D bioprinting ,organ on a chip ,drug development ,microfluidics ,Biology (General) ,QH301-705.5 - Abstract
Medicine today faces the combined challenge of an increasing number of untreatable diseases and fewer drugs reaching the clinic. While pharmaceutical companies have increased the number of drugs in early development and entering phase I of clinical trials, fewer actually successfully pass phase III and launch into the market. In fact, only 1 out of every 9 drugs entering phase I will launch. In vitro preclinical tests are used to predict earlier and better the potential of new drugs and thus avoid expensive clinical trial phases. The most recent developments favor 3D cell culture and human stem cell biology. These 3D humanized models known as organoids better mimic the 3D tissue architecture and physiological cell behavior of healthy and disease models, but face critical issues in production such as small-scale batches, greater costs (when compared to monolayer cultures) and reproducibility. To become the gold standard and most relevant biological model for drug discovery and development, organoid technology needs to integrate biological culture processes with advanced microtechnologies, such as microphysiological systems based on microfluidics technology. Microphysiological systems, known as organ-on-a-chip, mimic physiological conditions better than conventional cell culture models since they can emulate perfusion, mechanical and other parameters crucial for tissue and organ physiology. In addition, they reduce labor cost and human error by supporting automated operation and reduce reagent use in miniaturized culture systems. There is thus a clear advantage in combining organoid culture with microsystems for drug development. The main objective of this review is to address the recent advances in organoids and microphysiological systems highlighting crucial technologies for reaching a synergistic strategy, including bioprinting.
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- 2022
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4. Design and Evaluation of an Osteogenesis-on-a-Chip Microfluidic Device Incorporating 3D Cell Culture
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Hossein Bahmaee, Robert Owen, Liam Boyle, Cecile M. Perrault, Andres A. Garcia-Granada, Gwendolen C. Reilly, and Frederik Claeyssens
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organ-on-a-chip ,mechanotransduction ,polyHIPE ,additive manufacture ,bioreactor ,computational fluid dynamics ,Biotechnology ,TP248.13-248.65 - Abstract
Microfluidic-based tissue-on-a-chip devices have generated significant research interest for biomedical applications, such as pharmaceutical development, as they can be used for small volume, high throughput studies on the effects of therapeutics on tissue-mimics. Tissue-on-a-chip devices are evolving from basic 2D cell cultures incorporated into microfluidic devices to complex 3D approaches, with modern designs aimed at recapitulating the dynamic and mechanical environment of the native tissue. Thus far, most tissue-on-a-chip research has concentrated on organs involved with drug uptake, metabolism and removal (e.g., lung, skin, liver, and kidney); however, models of the drug metabolite target organs will be essential to provide information on therapeutic efficacy. Here, we develop an osteogenesis-on-a-chip device that comprises a 3D environment and fluid shear stresses, both important features of bone. This inexpensive, easy-to-fabricate system based on a polymerized High Internal Phase Emulsion (polyHIPE) supports proliferation, differentiation and extracellular matrix production of human embryonic stem cell-derived mesenchymal progenitor cells (hES-MPs) over extended time periods (up to 21 days). Cells respond positively to both chemical and mechanical stimulation of osteogenesis, with an intermittent flow profile containing rest periods strongly promoting differentiation and matrix formation in comparison to static and continuous flow. Flow and shear stresses were modeled using computational fluid dynamics. Primary cilia were detectable on cells within the device channels demonstrating that this mechanosensory organelle is present in the complex 3D culture environment. In summary, this device aids the development of ‘next-generation’ tools for investigating novel therapeutics for bone in comparison with standard laboratory and animal testing.
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- 2020
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5. Reversible Brain Edema Associated with Flow Diverter Stent Procedures: A Retrospective Single- Center Study to Evaluate Frequency, Clinical Evolution, and Possible Mechanism
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Jean-Philippe Cottier, Cecile M. Perrault, Denis Herbreteau, Alberto Marzo, Ana Paula Narata, Kevin Janot, and R. Bibi
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Adult ,Male ,medicine.medical_specialty ,Self Expandable Metallic Stents ,Ischemia ,Brain Edema ,Single Center ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm ,medicine.artery ,Humans ,Medicine ,Aged ,Retrospective Studies ,business.industry ,Brain edema ,Endovascular Procedures ,Intracranial Aneurysm ,Middle Aged ,medicine.disease ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Middle cerebral artery ,Female ,Surgery ,Neurology (clinical) ,Radiology ,Internal carotid artery ,business ,Complication ,030217 neurology & neurosurgery ,Follow-Up Studies ,Artery - Abstract
Background Hemorrhage and ischemia after flow diverter stent (FDS) procedures for intracranial aneurysms are the most common complications and have been extensively described. Temporary brain edema (TBE) is an unknown complication that could be associated with particular FDS procedures. Objective To estimate the frequency, clinical presentation, imaging findings, and possible mechanisms associating TBE with FDS. Methods Unruptured aneurysms treated with FDS implantation performed in our service from June 2015 to March 2018 were reviewed. Medical antecedents, endovascular procedure, clinical assessments before and after treatment, aneurysm characteristics, and image records were collected. Artery diameters of patients in whom TEB developed were also calculated to investigate any correlation between TBE and anatomic descriptors. Results A total of 179 FDS procedures in 176 patients were reviewed. Six patients (3.4%) presented with symptomatic TBE, and all TBE patients had undergone FDS implantation from the middle cerebral artery (MCA) to the internal carotid artery (ICA). A Pearson product-moment correlation coefficient (PPCC) found smaller MCA diameters and MCA/ICA ratios in these 6 patients (respectively PPCC = −0.619, P < 0.04; PPCC = −0.647, P < 0.03). Hemorrhagic and ischemic complications were less frequent than TBE (2.3% and 1.1% vs. 3.4%). Conclusions TBE was more frequent than ischemic or hemorrhagic complications after FDS in this study. TBE seemed to be associated with a particular FDS positioning in small arteries, inducing flow changes and disruption of the blood–brain barrier.
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- 2019
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6. Short bursts of cyclic mechanical compression modulate tissue formation in a 3D hybrid scaffold
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Marzia Brunelli, Damien Lacroix, and Cecile M. Perrault
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0301 basic medicine ,Materials science ,Polyesters ,0206 medical engineering ,Biomedical Engineering ,Stimulation ,02 engineering and technology ,Weight-Bearing ,Biomaterials ,03 medical and health sciences ,In vivo ,Bone cell ,Extracellular ,Humans ,Viability assay ,Progenitor cell ,Cells, Cultured ,Embryonic Stem Cells ,Tissue Engineering ,Tissue Scaffolds ,biology ,X-Ray Microtomography ,020601 biomedical engineering ,In vitro ,030104 developmental biology ,Mechanics of Materials ,Biophysics ,Osteocalcin ,biology.protein ,Collagen ,Stress, Mechanical ,Biomedical engineering - Abstract
Among the cues affecting cells behaviour, mechanical stimuli are known to have a key role in tissue formation and mineralization of bone cells. While soft scaffolds are better at mimicking the extracellular environment, they cannot withstand the high loads required to be efficient substitutes for bone in vivo. We propose a 3D hybrid scaffold combining the load-bearing capabilities of polycaprolactone (PCL) and the ECM-like chemistry of collagen gel to support the dynamic mechanical differentiation of human embryonic mesodermal progenitor cells (hES-MPs). In this study, hES-MPs were cultured in vitro and a BOSE Bioreactor was employed to induce cells differentiation by mechanical stimulation. From day 6, samples were compressed by applying a 5% strain ramp followed by peak-to-peak 1% strain sinewaves at 1 Hz for 15 min. Three different conditions were tested: unloaded (U), loaded from day 6 to day 10 (L1) and loaded as L1 and from day 16 to day 20 (L2). Cell viability, DNA content and osteocalcin expression were tested. Samples were further stained with 1% osmium tetroxide in order to investigate tissue growth and mineral deposition by micro-computed tomography (µCT). Tissue growth involved volumes either inside or outside samples at day 21 for L1, suggesting cyclic stimulation is a trigger for delayed proliferative response of cells. Cyclic load also had a role in the mineralization process preventing mineral deposition when applied at the early stage of culture. Conversely, cyclic load during the late stage of culture on pre-compressed samples induced mineral formation. This study shows that short bursts of compression applied at different stages of culture have contrasting effects on the ability of hES-MPs to induce tissue formation and mineral deposition. The results pave the way for a new approach using mechanical stimulation in the development of engineered in vitro tissue as replacement for large bone fractures.
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- 2017
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7. Collagen Gel Cell Encapsulation to Study Mechanotransduction
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Adrien Baldit, Cecile M. Perrault, Damien Lacroix, Maryam Shariatzadeh, University of Sheffield [Sheffield], Ecole Nationale d'Ingénieurs de Metz (ENIM), Laboratoire d'Etude des Microstructures et de Mécanique des Matériaux (LEM3), Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS)-Arts et Métiers Sciences et Technologies, HESAM Université (HESAM)-HESAM Université (HESAM), Insigneo Institute of in-silico medecine [Sheffield, UK], The University of Sheffield [Sheffield, U.K.], and Centre National de la Recherche Scientifique (CNRS)-Université de Lorraine (UL)-Arts et Métiers Sciences et Technologies
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Collagen microspheres ,Dynamic loading ,chemistry.chemical_element ,030209 endocrinology & metabolism ,Bone healing ,Calcium ,[SPI.MECA.SOLID]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Solid mechanics [physics.class-ph] ,01 natural sciences ,03 medical and health sciences ,0302 clinical medicine ,Tissue engineering ,Osteogenesis ,[SPI.MECA.MEMA]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Mechanics of materials [physics.class-ph] ,Viability assay ,Mechanotransduction ,Cell encapsulation ,ComputingMilieux_MISCELLANEOUS ,Mechanical stimulation ,010401 analytical chemistry ,Mesenchymal stem cell ,[SPI.MECA.BIOM]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Biomechanics [physics.med-ph] ,3. Good health ,0104 chemical sciences ,[SPI.MECA.GEME]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Mechanical engineering [physics.class-ph] ,chemistry ,[SPI.MECA.STRU]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Structural mechanics [physics.class-ph] ,Biophysics ,Alkaline phosphatase - Abstract
International audience; Mechanical forces and 3D topological environment can be used to control differentiation of mesenchymal stem cells (MSCs). However, the effects of physical and mechanical cues of the microenvironment on MSC fate determination have not yet been fully understood. This study investigates and compares the effect of mechanical stimulations on soft cellular microspheres when subjected to dynamic fluid compression. Microspheres were produced by gelation of bovine collagen type I with concentrations of 2 mg/ml and 1000–2000 hES-MP cells per 5 μl droplet. A loading condition of 10% dynamic loading was applied by a BOSE BioDynamic bioreactor for 15 and 40 min/day for 5 and 10 days on the cell-seeded collagen microspheres. Cell viability and proliferation, alkaline phosphatase activity and mineralization were compared with controls. Monitoring alkaline phosphatase level reported a significant increase in the enzyme activity by day 14 in loaded samples of 40 min/day loading protocol compared with other experimental conditions. Mineralization was assessed by measuring calcium, phosphorous concentrations and intensity of H&E and alizarin red S staining and showed the highest mineral accumulation in the loaded samples on day 28 post encapsulation. This study indicated that loading of very low cell number seeded on soft natural scaffold can encourage osteogenesis of cells by enhancing both early stage bone marker and mineralization. Self-assembled cell/collagen microspheres present exceptional cell delivery model in bone healing/repair process and field of regenerative medicine.
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- 2019
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8. Comparison of Nail Polish Meth(Acrylates) (MA) Gel Photoresist and Vinyl Adhesive Paper for Low-Cost Microfluidics Fabrication
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Uyen Tong, Ha Thach, Tuan-Anh Vuong, Tuan Hoang, Khon Huynh, Hoang-Tuan Nguyen, and Cecile M. Perrault
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Materials science ,Fabrication ,business.industry ,Microfluidics ,Photoresist ,medicine.disease_cause ,Nail polish ,law.invention ,law ,Error tolerance ,Mold ,medicine ,Optoelectronics ,Adhesive ,Photolithography ,business - Abstract
There are variety methods and materials for fabrication of the master mold for microfluidic system. In this report, two simple low-cost methods for fabrication of master molds for microfluidic chips are described and compared in quality of molds, thickness and resolution of micro-channels, design complexity, error tolerance and executive time. The first approach can create a master mold just in 5 min by using cutting plotter to cut the design out from vinyl adhesive paper based on the previous design; after that, the assembly attached into the petri dish to fabricate the complete mold. The second one is using nail polish meth(acrylates) (MA) gel as photoresist material to alter expensive SU-8 photoresist in soft photolithography technique and LED-UV light. These processes are simple, short time prototyping, inexpensive materials and no requirement for sophisticated equipment. Both methods can achieve the channels with the depth up to 80 μm. However, the channels of UV gel method are less affected by changes in temperature which enables more complex design as narrow as 200 μm in width compared to 500 μm of craft cutter method. The comparison of two proposed methods shows that UV gel satisfies the important demand for microfluidic master mold fabrication: low cost, possibility of more complex pattern in short time (15 min).
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- 2019
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9. Improvements in DNA Extraction and Loop-Mediated Isothermal Amplification (LAMP) Assist Application of LAMP on Malaria Point-of-Care Diagnostic Devices
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Cecile M. Perrault, Thuy-Vy Pham-Nguyen, Thanh-Dong Le, Han Ly, Khon Huynh, Thanh-Xuan Le, Vo Van Toi, and Hoang-Tuan Nguyen
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chemistry.chemical_compound ,Materials science ,Chromatography ,chemistry ,pH indicator ,Reagent ,Microfluidics ,Loop-mediated isothermal amplification ,DNA extraction ,Buffer (optical fiber) ,Isothermal process ,Phenolphthalein - Abstract
Early detection right at epidemic areas can prevent infectious diseases from propagation. Currently, the most common nucleic acid test—polymerase chain reaction (PCR) is time-consuming, complex, expensive and thermocycler required, thus limiting its utility in poor laboratory conditions or even non-laboratory condition of epidemic areas. Loop-mediated isothermal amplification (LAMP) is quick, cheap, sensitive and isothermal assay could be combined with a simple DNA extraction method to integrate into Lab-on-a-chip (LOC) device. Here, we attempted to improve LAMP method for malaria diagnosis on portable microfluidics chip platform by optimizing DNA extraction using boil and spin method and altering Tris-containing amplification buffer for ascertaining changing in pH of reaction solution. Basically, blood sample was mixed with extraction buffer containing Sodium Dedocyl Sulfate (SDS) concentration and treated under high temperature condition. Four concentrations of SDS (0, 0.4, 0.8 and 1%) were tested along with different temperature (65 and 95 °C) to adapt into LOC platform and avoid denaturation of LAMP reagent. All samples treated at 65 °C showed the presence of DNA after extraction. Furthermore, DNA amplification buffer was minimized Tris concentration to facilitate result read-out step. The releasing of hydrogen ion from amplification reaction causes increasing in pH which could be recognized by color of pH indicator paper or dye, for example, phenolphthalein. Throughout a series of experiments, LAMP is demonstrated that it can also occur in low-Tris buffer with pH indicator dye, efficiently. The positive sample will have a change from pink to transparent in solution color, otherwise, the negative sample will maintain pink. These improvements allowed us to adapt LAMP technique into Point-of-care (POC) devices in which the whole process run under isothermal condition (65 °C) and non-instrument required visual detection. The LAMP microfluidics chip will be potential tool for early detection infectious diseases and several other diseases in non-laboratory condition.
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- 2019
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10. From Macroscopic to Microscopic: Experimental and Computational Methods to Investigate Bio-tribology
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Anne Neville, Rob Dwyer-Joyce, Raman Maiti, Matt Carré, Peter Ellison, Noe A. Martinez Sanchez, Rasmus M.F. Wagner, Cecile M. Perrault, Roger Lewis, and Alejandro Ramirez-Reivich
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Risk analysis (engineering) ,Macroscopic scale ,Computer science ,Scale (chemistry) ,Cardiovascular problems ,food and beverages ,Experimental methods ,Tribology ,Patient specific ,Macro - Abstract
Tribology is an important factor (among other factors) during biological interactions of devices and tissues. The paper discusses how new computational and experimental methods can be used to understand and improve the design and development of medical devices at macro and micro scales to sustain life beyond 50 years. We have used pre-clinical experiments and computational methods to understand interactions between orthopaedic implants at the macro scale. The computational model has been validated with experiments. Now this computational model can predict damage in implants for different patients. One such application was successfully tried and tested in collaboration with University National Autonomous Mexico. This methodology can be used in future to design patient specific, affordable (using 3D printing) and robust implants which will be useful for developing countries like Vietnam, India and Mexico. Improvement of catheter designs is important to reduce damage to the internal tissues while being used for cardiovascular problems. We are developing new experimental techniques (in micro scale) that can be used to understand the interaction of cells with the catheter material. These will help reduce the hospital costs incurred during longer stay of the patients admitted for cardiovascular related problems.
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- 2019
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11. Bio-tribology of Vascular Devices: A Review of Tissue/Device Friction Research
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Rasmus M.F. Wagner, Roger Lewis, Cecile M. Perrault, Matt Carré, Raman Maiti, and Paul C. Evans
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Biomaterials ,020303 mechanical engineering & transports ,Materials science ,0203 mechanical engineering ,Risk analysis (engineering) ,Context (language use) ,02 engineering and technology ,Tribology ,021001 nanoscience & nanotechnology ,0210 nano-technology ,Surfaces, Coatings and Films - Abstract
Vascular medical devices, such as stents, catheters and more advanced devices inevitably interact with surfaces within the human body. These interactions and the underlying biological and tribological (friction) mechanisms and resulting implications are not well understood, currently. For the further optimisation of these devices and the development of new and safer devices, a deeper understanding of vascular biotribology is required. Studies about this topic are scarce and no review is available. This review paper introduces vascular physiology relevant to interaction with medical devices and highlights where tribological effects may come into play. Furthermore, implications with existing medical devices are investigated in the context of biotribology and relevant studies are discussed. The different approaches to study the interactions are compared, and the current state of the field is reviewed. The aim of this paper is to provide an introduction to this interdisciplinary field, for both researchers with an engineering background and those with a biological background, and to present the current state of the field of research.
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- 2021
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12. A clinically aligned experimental approach for quantitative characterization of patient-specific cardiovascular models
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Ayache Bouakaz, Jean Marc Grégoire, Cecile M. Perrault, Alberto Marzo, Frédéric Patat, Ignacio Larrabide, Charles A. Sennoga, Fernando Silva de Moura, and Ana Paula Narata
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010302 applied physics ,Computer science ,business.industry ,Interface (computing) ,flow diverter ,General Physics and Astronomy ,purl.org/becyt/ford/2.2 [https] ,02 engineering and technology ,Blood flow ,Computational fluid dynamics ,021001 nanoscience & nanotechnology ,Interference (wave propagation) ,01 natural sciences ,Surgical planning ,lcsh:QC1-999 ,aneurysms ,purl.org/becyt/ford/2 [https] ,Particle image velocimetry ,Particle tracking velocimetry ,0103 physical sciences ,Boundary value problem ,0210 nano-technology ,business ,lcsh:Physics ,Simulation - Abstract
Recent improvements in computational tools opened the possibility of patient-specific modeling to aid clinicians during diagnosis, treatment, and monitoring. One example is the modeling of blood flow for surgical planning, where modeling can help predict the prognosis. Computational analysis is used to extract hemodynamic information about the case; however, these methods are sensitive to assumptions on blood properties, boundary conditions, and appropriate geometry accuracy. When available, experimental measurements can be used to validate the results and, among the modalities, ultrasound-based methods are suitable due to their relative low cost and non-invasiveness. This work proposes a procedure to create accurate patient-specific silicone replicas of blood vessels and a power Doppler compatible experimental setup able to simulate and measure realistic flow conditions. The assessment of silicone model geometry shows small discrepancies between these and the target geometries (median of surface error lies within 57 μm and 82 μm). Power Doppler measurements were compared against computational fluid dynamics results, showing discrepancies within 10% near the wall. The experimental approach offers a setup to quantify flow in in vitro systems and provide more accurate results where other techniques (e.g., particle image velocimetry and particle tracking velocimetry) have shown limitations due to the interference of the interface. Fil: Narata, Ana Paula. Universite de Tours; Francia Fil: Silva de Moura, Fernando. Universidad Federal Do Abc; Brasil Fil: Patat, Fréderic. Universite de Tours; Francia Fil: Marzo, Alberto. The University Of Sheffield; Reino Unido Fil: Larrabide, Ignacio. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tandil; Argentina. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Ciencias Exactas. Grupo de Plasmas Densos Magnetizados. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Grupo de Plasmas Densos Magnetizados; Argentina Fil: Gregoire, Jean Marc. Universite de Tours; Francia Fil: Perrault, Cecile. The University Of Sheffield; Reino Unido Fil: Sennoga, Charles A.. Universite de Tours; Francia Fil: Bouakaz, Ayache. Universite de Tours; Francia
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- 2020
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13. Low-Cost, Accessible Fabrication Methods for Microfluidics Research in Low-Resource Settings
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Emmanuel Roy, Ha Thach, Khon Huynh, Hoang-Tuan Nguyen, and Cecile M. Perrault
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Consumables ,Low resource ,Computer science ,lcsh:Mechanical engineering and machinery ,Microfluidics ,microfluidics ,soft lithography ,02 engineering and technology ,01 natural sciences ,Article ,Limited access ,soft embossing ,Research community ,Fabrication methods ,lcsh:TJ1-1570 ,Electrical and Electronic Engineering ,photolithography ,microfabrication ,Mechanical Engineering ,010401 analytical chemistry ,021001 nanoscience & nanotechnology ,0104 chemical sciences ,Risk analysis (engineering) ,Control and Systems Engineering ,Healthcare industry ,0210 nano-technology - Abstract
Microfluidics are expected to revolutionize the healthcare industry especially in developing countries since it would bring portable, easy-to-use, self-contained diagnostic devices to places with limited access to healthcare. To date, however, microfluidics has not yet been able to live up to these expectations. One non-negligible factor can be attributed to inaccessible prototyping methods for researchers in low-resource settings who are unable to afford expensive equipment and/or obtain critical reagents and, therefore, unable to engage and contribute to microfluidics research. In this paper, we present methods to create microfluidic devices that reduce initial costs from hundreds of thousands of dollars to about $6000 by using readily accessible consumables and inexpensive equipment. By including the scientific community most embedded and aware of the requirements of healthcare in developing countries, microfluidics will be able to increase its reach in the research community and be better informed to provide relevant solutions to global healthcare challenges.
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- 2018
14. Collagen Gel Cell Encapsulation to Study the Effect of Fluid Flow on Mechanotransduction
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Maryam Shariatzadeh, Damien Lacroix, and Cecile M. Perrault
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medicine.anatomical_structure ,Tissue engineering ,Chemistry ,Mesenchymal stem cell ,Cell ,Microfluidics ,medicine ,Mechanotransduction ,Stem cell ,Cell encapsulation ,Regenerative medicine ,Cell biology - Abstract
Mesenchymal stem cells (MSCs) are widely implicated for their potential use as a cell source for tissue engineering of skeletal tissue in regenerative medicine and tissue engineering. Mechanical forces from the microenvironment have a significant influence on differentiation of MSCs, and the resulting mechanotransduction would provide crucial adjuncts to standard biochemical signalling pathways. Combining microfluidic systems with mechanical stimulation for osteogenesis represents both a scientific and technological innovation that would greatly impact the field of regenerative medicine. We demonstrate a microfluidic chamber design for mechanical stimulation of flexible cellular microspheres and possibly a high-throughput microfluidic system for parallel processing of stem cell aggregation. We also showed that collagen microspheres serve an efficient cell delivery device supporting cell viability and migration post encapsulation.
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- 2018
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15. A Review of Bioreactors and Mechanical Stimuli
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Cecile M. Perrault, Marzia Brunelli, and Damien Lacroix
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0301 basic medicine ,03 medical and health sciences ,030104 developmental biology ,Chemistry ,0206 medical engineering ,Mesenchymal stem cell ,Bioreactor ,Optimal combination ,02 engineering and technology ,Progenitor cell ,Chondrogenesis ,020601 biomedical engineering ,Biomedical engineering - Abstract
The increased need to accelerate the healing process of critical size defects in the bone led to the study of optimal combination of cells, materials and external stimuli to obtain fully differentiated tissue to the injured site. Bioreactors play a crucial role in the control over the development of functional tissue allowing control over the surrounding chemical and mechanical environment. This chapter aims to review bioreactor systems currently available for monitoring mesenchymal stem cells (MSCs) behaviour under mechanical stimuli and to give an insight of their effect on cellular commitment. Shear stress, mechanical strain and pulsed electromagnetic field bioreactors are presented, and the effect of multiple conditions under varying parameters such as amplitude, frequency or duration of the stimuli on bone progenitor cells differentiation is considered and extensively discussed with particular focus on osteogenic and chondrogenic commitment.
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- 2018
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16. Mechanical Stimulation in a PCL Additive Manufacturing Scaffold
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Damien Lacroix, Cecile M. Perrault, and Marzia Brunelli
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Stress (mechanics) ,Scaffold ,chemistry.chemical_compound ,Boundary effects ,Materials science ,chemistry ,Mesenchymal stem cell ,Polycaprolactone ,Stimulation ,Matrix (biology) ,Compression (physics) ,Biomedical engineering - Abstract
Three-dimensional (3D) scaffolds are increasingly employed as support for studies on cellular activities. They are widely shown to enhance cell survival and are a promising approach to be employed to mimic the in vivo conditions due to their controlled architecture. Moreover, 3D stiff structures fabricated by additive manufacturing are able to bear mechanical stimuli finding a role in the investigation of the effect of mechanical forces on cell proliferation and commitment. With this purpose, we propose a combination of a 3D polycaprolactone (PCL) scaffold and collagen soft gel as support for studying the response of mesenchymal stem cells following mechanical compression. This chapter focuses on the characterization of 3D Insert® PCL scaffolds behaviour under mechanical compression. After defining mechanical properties and variability due to boundary effects, the focus moves on the development of a new composite scaffold made of a stiff PCL structure acting as support for cell activities and able to bear mechanical compression while embedding a soft collagen gel matrix responsible to provide an environment enhancing cellular activities as well as to transmit the stress resulting from the mechanical stimulation from the stiff matrix to the seeded cells. Finally, the last section focuses on the effect of low mechanical strain applied on seeded scaffolds and how the cellular response varies to bursts of compression applied at different time points.
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- 2018
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17. The Role of Hemodynamics in Intracranial Bifurcation Arteries after Aneurysm Treatment with Flow-Diverter Stents
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Cecile M. Perrault, René Chapot, R. Bibi, F.S. de Moura, Alberto Marzo, Frédéric Patat, Ignacio Larrabide, Anne Christine Januel, Charles A. Sennoga, Christophe Cognard, Ana Paula Narata, Ayache Bouakaz, and Stéphane Velasco
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Male ,Subacute phase ,CIENCIAS MÉDICAS Y DE LA SALUD ,Hemodynamics ,TRATAMIENTO ,030218 nuclear medicine & medical imaging ,Biotecnología de la Salud ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm treatment ,Occlusion ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Bifurcation ,Aged ,Flow diverter ,Interventional ,business.industry ,Flow disruption ,Models, Cardiovascular ,Intracranial Aneurysm ,ANEURISMASCEREBRALES ,Middle Aged ,Caliber ,Cerebrovascular Circulation ,Hydrodynamics ,Female ,Stents ,Neurology (clinical) ,business ,Nuclear medicine ,030217 neurology & neurosurgery ,Otras Biotecnologías de la Salud - Abstract
BACKGROUND AND PURPOSE: Treatment of intracranial bifurcation aneurysms with flow-diverter stents can lead to caliber changes of the distal vessels in a subacute phase. This study aims to evaluate whether local anatomy and flow disruption induced by flow-diverter stents are associated with vessel caliber changes in intracranial bifurcations. MATERIALS AND METHODS: Radiologic images and demographic data were acquired for 25 patients with bifurcation aneurysms treated with flow-diverter stents. Whisker plots and Mann-Whitney rank sum tests were used to evaluate if anatomic data and caliber changes could be linked. Symmetry/asymmetry were defined as diameter ratio 1 symmetric and diameter ratio 1 asymmetric. Computational fluid dynamics was performed on idealized and patient-specific anatomies to evaluate flow changes induced by flow-diverter stents in the jailed vessel. RESULTS: Statistical analysis identified a marked correspondence between asymmetric bifurcation and caliber change. Symmetry ratios were lower for cases showing narrowing or subacute occlusion (medium daughter vessel diameter ratio 0.59) compared with cases with posttreatment caliber conservation (medium daughter vessel diameter ratio 0.95). Computational fluid dynamics analysis in idealized and patient-specific anatomies showed that wall shear stress in the jailed vessel was more affected when flow-diverter stents were deployed in asymmetric bifurcations (diameter ratio 0.65) and less affected when deployed in symmetric anatomies (diameter ratio 1.00). CONCLUSIONS: Anatomic data analysis showed statistically significant correspondence between caliber changes and bifurcation asymmetry characterized by diameter ratio 0.7 (P .001). Similarly, computational fluid dynamics results showed the highest impact on hemodynamics when flow-diverter stents are deployed in asymmetric bifurcations (diameter ratio 0.65) with noticeable changes on wall sheer stress fields. Further research and clinical validation are necessary to identify all elements involved in vessel caliber changes after flow-diverter stent procedures. Fil: Narata, A. P.. Centre Hospitalier Regional Et Universitaire de Tours; Francia Fil: De Moura, F. S.. Universidade Federal Do Abc; Brasil Fil: Larrabide, Ignacio. Universidad Nacional del Centro de la Provincia de Buenos Aires. Facultad de Ciencias Exactas. Grupo de Plasmas Densos Magnetizados. Provincia de Buenos Aires. Gobernación. Comision de Investigaciones Científicas. Grupo de Plasmas Densos Magnetizados; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tandil; Argentina Fil: Perrault, C. M.. University Of Sheffield; Reino Unido Fil: Patat, F.. Universite de Tours; Francia Fil: Bibi, R.. Centre Hospitalier Regional Et Universitaire de Tours; Francia Fil: Velasco, S.. Université de Poitiers; Francia Fil: Januel, A. C.. Centre Hospitalier Universitaire de Toulouse; Francia Fil: Cognard, C.. Centre Hospitalier Universitaire de Toulouse; Francia Fil: Chapot, R.. Alfried Krupp Krankenhaus; Alemania Fil: Bouakaz, A.. Universite de Tours; Francia Fil: Sennoga, C. A.. Universite de Tours; Francia Fil: Marzo, A.. University Of Sheffield; Reino Unido
- Published
- 2018
18. Stiffness of Cell Micro-Environment Guides Long Term Cell Growth in Cell Seeded Collagen Microspheres
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Damien Lacroix, Maryam Shariatzadeh, and Cecile M. Perrault
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Tissue engineering ,Chemistry ,Cell growth ,Mesenchymal stem cell ,General Medicine ,Viability assay ,Progenitor cell ,Stem cell ,Bone regeneration ,Embryonic stem cell ,Cell biology - Abstract
Mesenchymal stem cells are widely implicated as a cell source for tissue engineering of skeletal tissue in cell-based therapy. Physical and mechanical cues are potent controlling factors in cell differentiation and can be implemented as a guide to study cellular response, matrix production and tissue regeneration. Microspheres were produced by gelation of bovine collagen type I with concentration of 2 mg/mL and 1,000-2,000 cells per droplet. Short and long term cell viability of human embryonic stem cell-derived mesenchymal progenitors (hES-MPs) and MG-63 osteoblastic cells as well as collagen microstructure and contraction were monitored during 28 days post encapsulation (pc). Results indicated that collagen concentration, hence mechanical properties of cell’s extracellular micro-environment are important in cell proliferation and differentiation. Contraction of cell-embedded microspheres was found to be vital in cell adaptation and the remodelling of their new environment. It was also found that collagen concentration of 2 mg/mL supports proliferation of hES-MPs while higher collagen concentration promoted the viability of MG-63s. Results of hES-MPs characterization in 3D soft environment and mechanically stimulated hES-MPs collagen microspheres can be used in cells/therapeutic carriers, implants in bone and cartilage healing applications. The microspheres developed in this study can also be used as a tool to build more optimised construct to transfer mechanically stimulated stem cells to the specific area of a defective bone which would add significant benefit to the field of bone regeneration.
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- 2018
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19. Corrigendum: Challenge of material haemocompatibility for microfluidic blood-contacting applications
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Gwenyth Newman, Audrey Leclerc, William Arditi, Silvia Tea Calzuola, Thomas Feaugas, Emmanuel Roy, Cécile M. Perrault, Constance Porrini, and Mikhael Bechelany
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haemocompatibility ,microfluidics ,surface modification ,coating ,medical devices ,thrombosis ,Biotechnology ,TP248.13-248.65 - Published
- 2023
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20. Notice of Removal: Ultrasound study of hemodynamic changes by flow diverting stents in idealised and patient-specific anatomies
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Charles Sennoga, Alberto Marzo, Cecile M. Perrault, Ana Paula Narata, Ignacio Larrabide, Fernando Silva de Moura, and Ayache Bouakaz
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Ultrasound study ,medicine.medical_specialty ,business.industry ,Surgical clipping ,Hemodynamics ,social sciences ,Patient specific ,Ultrasonic imaging ,surgical procedures, operative ,cardiovascular system ,Medicine ,cardiovascular diseases ,Radiology ,business ,Flow diverter - Abstract
Whereas the use of flow diverter stents (FDs) represents a powerful treatment alternative to surgical clipping of intracranial aneurysms (IAs) presenting at arterial bifurcations, endovascular deployment of FDs often involves the jailing of daughter vessels (DV), and can affect the patency of the jailed DV.
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- 2017
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21. Abstract WP90: The Role of Haemodynamics in a Bifurcation Vessel Narrowing or Occlusion After Aneurysm Treatment with Flow Diverter Stents
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Charles A. Sennoga, Alberto Marzo, Ana Paula Narata, Fernando Lucas Oliveira da Silva, Cecile M. Perrault, and Ignacio Larrabide
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Advanced and Specialized Nursing ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Hemodynamics ,Stent ,Aneurysm treatment ,Internal medicine ,Occlusion ,medicine ,Cardiology ,Neurology (clinical) ,Cardiology and Cardiovascular Medicine ,business ,Bifurcation ,Flow diverter - Abstract
Background and Purpose: Treatment of intracranial aneurysms at bifurcations with flow-diverter stents (FDS) can lead to occlusion/narrowing of the distal vessels. This study investigated the role played by haemodynamics within different bifurcation types treated with FDS. Materials and Methods: Radiological images, demographic and outcome data were acquired for 25 bifurcating aneurysm treated with FDS. Statistical analysis was used to correlate the event of occlusion/narrowing with anatomical data. Computational Fluid Dynamics (CFD) study was performed on idealized and patient-specific anatomies to identify possible cause-effect mechanisms mediated by haemodynamics. Results: Statistical analysis identified marked correlation between asymmetric bifurcation and occlusion/narrowing (diameters ratio=DR=1 symmetric, Conclusion: Analysis of the anatomical data showed statistically significant correlations between occlusion/narrowing and bifurcation asymmetry characterized by DR
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- 2017
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22. Mechanical response of 3D Insert® PCL to compression
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Damien Lacroix, Marzia Brunelli, and Cecile M. Perrault
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Insert (composites) ,Materials science ,X-ray microtomography ,Polydimethylsiloxane ,Micro computed tomography ,0206 medical engineering ,technology, industry, and agriculture ,Biomedical Engineering ,Stiffness ,02 engineering and technology ,021001 nanoscience & nanotechnology ,Compression (physics) ,020601 biomedical engineering ,Biomaterials ,Polyester ,chemistry.chemical_compound ,chemistry ,13. Climate action ,Mechanics of Materials ,medicine ,Composite material ,medicine.symptom ,0210 nano-technology ,Elastic modulus ,Biomedical engineering - Abstract
3D polymeric scaffolds are increasingly used for in vitro experiments aiming to mimic the environment found in vivo, to support for cellular growth and to induce differentiation through the application of external mechanical cues. In research, experimental results must be shown to be reproducible to be claimed as valid and the first clause to ensure consistency is to provide identical initial experimental conditions between trials. As a matter of fact, 3D structures fabricated in batch are supposed to present a highly reproducible geometry and consequently, to give the same bulk response to mechanical forces. This study aims to measure the overall mechanical response to compression of commercially available 3D Insert PCL scaffolds (3D PCL) fabricated in series by fuse deposition and evaluate how small changes in the architecture of scaffolds affect the mechanical response. The apparent elastic modulus (Ea) was evaluated by performing quasi-static mechanical tests at various temperatures showing a decrease in material stiffness from 5 MPa at 25 °C to 2.2 MPa at 37 °C. Then, a variability analysis revealed variations in Ea related to the repositioning of the sample into the testing machine, but also consistent differences comparing different scaffolds. To clarify the source of the differences measured in the mechanical response, the same scaffolds previously undergoing compression, were scanned by micro computed tomography (μCT) to identify any architectural difference. Eventually, to clarify the contribution given by differences in the architecture to the standard deviation of Ea, their mechanical response was qualitatively compared to a compact reference material such as polydimethylsiloxane (PDMS). This study links the geometry, architecture and mechanical response to compression of 3D PCL scaffolds and shows the importance of controlling such parameters in the manufacturing process to obtain scaffolds that can be used in vitro or in vivo under reproducible conditions.
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- 2017
23. Thermoplastic elastomer with advanced hydrophilization and bonding performances for rapid (30 s) and easy molding of microfluidic devices
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Cecile M. Perrault, David Olea Duplan, Luis J. Fernández, Pei-Yun Jenny Wu, Clara Alcaine, Emmanuel Roy, Damien Coudreuse, Olaf Mercier, Iñaki Ochoa, Julie Lachaux, Blanca Gómez-Escoda, Centre de Nanosciences et de Nanotechnologies [Orsay] (C2N), Université Paris-Sud - Paris 11 (UP11)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS), Aragón Institute of Engineering Research [Zaragoza] (I3A), University of Zaragoza - Universidad de Zaragoza [Zaragoza], Institut de Génétique et Développement de Rennes (IGDR), Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES), Department of Mechanical Engineering [Sheffield], University of Sheffield [Sheffield], Insigneo Institute of in-silico medecine [Sheffield, UK], The University of Sheffield [Sheffield, U.K.], Alphasip Inc. [Madrid Spain], Hypertension arterielle pulmonaire physiopathologie et innovation thérapeutique, Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre chirurgical Marie Lannelongue, Université de Rennes (UR)-Centre National de la Recherche Scientifique (CNRS)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Centre Chirurgical Marie Lannelongue (CCML)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université Paris-Sud - Paris 11 (UP11)-Centre National de la Recherche Scientifique (CNRS)-Université Paris-Saclay, and Jonchère, Laurent
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[SDV.GEN]Life Sciences [q-bio]/Genetics ,Fabrication ,Materials science ,Biocompatibility ,010401 analytical chemistry ,Microfluidics ,Biomedical Engineering ,Bioengineering ,Nanotechnology ,[SDV.GEN] Life Sciences [q-bio]/Genetics ,02 engineering and technology ,General Chemistry ,Epoxy ,021001 nanoscience & nanotechnology ,01 natural sciences ,Biochemistry ,0104 chemical sciences ,Hydrophilization ,Molding (decorative) ,visual_art ,visual_art.visual_art_medium ,Thermoplastic elastomer ,0210 nano-technology ,Nanoscopic scale - Abstract
International audience; One of the most important areas of research on microfluidic technologies focuses on the identification and characterisation of novel materials with enhanced properties and versatility. Here we present a fast, easy and inexpensive microstructuration method for the fabrication of novel, flexible, transparent and biocompatible microfluidic devices. Using a simple hot press, we demonstrate the rapid (30 s) production of various microfluidic prototypes embossed in a commercially available soft thermoplastic elastomer (sTPE). This styrenic block copolymer (BCP) material is as flexible as PDMS and as thermoformable as classical thermoplastics. It exhibits high fidelity of replication using SU-8 and epoxy master molds in a highly convenient low-isobar (0.4 bar) and iso-thermal process. Microfluidic devices can then be easily sealed using either a simple hot plate or even a room-temperature assembly, allowing them to sustain liquid pressures of 2 and 0.6 bar, respectively. The excellent sorption and biocompatibility properties of the microchips were validated via a standard rhodamine dye assay as well as a sensitive yeast cell-based assay. The morphology and composition of the surface area after plasma treatment for hydrophilization purposes are stable and show constant and homogenous distribution of block nanodomains (similar to 22 degrees after 4 days). These domains, which are evenly distributed on the nanoscale, therefore account for the uniform and convenient surface of a "microfluidic scale device". To our knowledge, this is the first thermoplastic elastomer material that can be used for fast and reliable fabrication and assembly of microdevices while maintaining a high and stable hydrophilicity.
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- 2017
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24. Challenge of material haemocompatibility for microfluidic blood-contacting applications
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Gwenyth Newman, Audrey Leclerc, William Arditi, Silvia Tea Calzuola, Thomas Feaugas, Emmanuel Roy, Cécile M. Perrault, Constance Porrini, and Mikhael Bechelany
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haemocompatibility ,microfluidics ,surface modification ,coating ,medical devices ,thrombosis ,Biotechnology ,TP248.13-248.65 - Abstract
Biological applications of microfluidics technology is beginning to expand beyond the original focus of diagnostics, analytics and organ-on-chip devices. There is a growing interest in the development of microfluidic devices for therapeutic treatments, such as extra-corporeal haemodialysis and oxygenation. However, the great potential in this area comes with great challenges. Haemocompatibility of materials has long been a concern for blood-contacting medical devices, and microfluidic devices are no exception. The small channel size, high surface area to volume ratio and dynamic conditions integral to microchannels contribute to the blood-material interactions. This review will begin by describing features of microfluidic technology with a focus on blood-contacting applications. Material haemocompatibility will be discussed in the context of interactions with blood components, from the initial absorption of plasma proteins to the activation of cells and factors, and the contribution of these interactions to the coagulation cascade and thrombogenesis. Reference will be made to the testing requirements for medical devices in contact with blood, set out by International Standards in ISO 10993-4. Finally, we will review the techniques for improving microfluidic channel haemocompatibility through material surface modifications—including bioactive and biopassive coatings—and future directions.
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- 2023
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25. Microfluidic traction force microscopy to study mechanotransduction in angiogenesis
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Claudia Wittkowske, Luke Boldock, and Cecile M. Perrault
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0301 basic medicine ,Physiology ,Angiogenesis ,Microfluidics ,Regulator ,Neovascularization, Physiologic ,Traction force microscopy ,Mechanotransduction, Cellular ,Extracellular matrix ,03 medical and health sciences ,0302 clinical medicine ,Tissue engineering ,Traction ,Physiology (medical) ,Animals ,Humans ,Mechanotransduction ,Molecular Biology ,Microscopy ,Chemistry ,Endothelial Cells ,Cell biology ,Endothelial stem cell ,030104 developmental biology ,Cardiology and Cardiovascular Medicine ,Wound healing ,030217 neurology & neurosurgery - Abstract
The formation of new blood vessels from existing vasculature, angiogenesis, is driven by coordinated endothelial cell migration and matrix remodelling in response to local signals. Recently, a growing body of evidence has shown that mechanotransduction, along with chemotransduction, is a major regulator of angiogenesis. Mechanical signals, such as fluid shear stress and substrate mechanics, influence sprouting and network formation, but the mechanisms behind this relationship are still unclear. Here, we present cellular traction forces as possible effectors activated by mechanosensing to mediate matrix remodelling, and encourage the use of traction force microscopy to study mechanotransduction in angiogenesis. We also suggest that deciphering the response of endothelial cells to mechanical signals could reveal an optimal angiogenic mechanical environment, and provide insight into development, wound healing, the initiation and growth of tumours, and new strategies for tissue engineering. This article is protected by copyright. All rights reserved.
- Published
- 2016
26. Chamber and microfluidic probe for microperfusion of organotypic brain slices
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Arthur Queval, Nageswara R. Ghattamaneni, Raminder Gill, R. Anne McKinney, David Juncker, Cecile M. Perrault, and Maryam Mirzaei
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Fluorescence-lifetime imaging microscopy ,Microscope ,Materials science ,Confocal ,Transducers ,Microfluidics ,Biomedical Engineering ,Bioengineering ,Brain tissue ,Cellular level ,Sensitivity and Specificity ,Biochemistry ,law.invention ,Mice ,Organ Culture Techniques ,Slice preparation ,law ,Animals ,High resolution imaging ,Infusion Pumps ,Miniaturization ,Brain ,Reproducibility of Results ,Equipment Design ,General Chemistry ,Microfluidic Analytical Techniques ,Equipment Failure Analysis ,Computer-Aided Design ,Biomedical engineering - Abstract
Microfluidic systems are increasingly being used for the culture and study of dissociated cells because they require only minute amounts of materials while enabling drug screening and chemotaxis studies down to the single cell level. However, the culture of organized tissue, such as brain slices, has been more difficult to adapt to microfluidic devices. Here, we present a microfluidic system, comprising (i) a perfusion chamber for the culture of organotypic slices that is compatible with high resolution imaging on inverted microscopes, and (ii) a novel transparent microfluidic probe (MFP) for the localized microperfusion of the brain tissue. The MFP is made in poly(dimethylsiloxane), features six micrometre-scale apertures and can be assembled within a few hours in a standard laboratory. Each aperture can indiscriminately be used either for the injection or aspiration of solutions, giving rise to many possible combinations. The MFP was successfully used for the perfusion of a small number of cells in a brain slice with concurrent confocal fluorescence imaging of the perfused dye and sub-cellular structures within the tissue.
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- 2010
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27. Traction Forces of Endothelial Cells under Slow Shear Flow
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Elsa Bazellières, Agustí Brugués, Cecile M. Perrault, Damien Lacroix, Pierre Ricco, Xavier Trepat, Université de Rouen Normandie (UNIROUEN), Normandie Université (NU), Institut de Biologie du Développement de Marseille-Luminy (IBDML), Université de la Méditerranée - Aix-Marseille 2-Centre National de la Recherche Scientifique (CNRS), Laboratoire de chimie et biochimie des substances naturelles, Muséum national d'Histoire naturelle (MNHN)-Centre National de la Recherche Scientifique (CNRS), Institució Catalana de Recerca i Estudis Avançats (ICREA), and Centre National de la Recherche Scientifique (CNRS)-Muséum national d'Histoire naturelle (MNHN)
- Subjects
Umbilical Veins ,Cell signaling ,Angiogenesis ,Traction (engineering) ,Biophysics ,Cell Communication ,[SDV.BC.BC]Life Sciences [q-bio]/Cellular Biology/Subcellular Processes [q-bio.SC] ,Biology ,Stress, Physiological ,Cell Adhesion ,Shear stress ,Humans ,Cell adhesion ,Cells, Cultured ,ComputingMilieux_MISCELLANEOUS ,Microscopy ,Biophysical Letter ,Models, Cardiovascular ,Endothelial Cells ,Equipment Design ,Anatomy ,Microfluidic Analytical Techniques ,Adaptation, Physiological ,Endothelial stem cell ,Blood Circulation ,Shear flow ,Homeostasis - Abstract
Endothelial cells are constantly exposed to fluid shear stresses that regulate vascular morphogenesis, homeostasis, and disease. The mechanical responses of endothelial cells to relatively high shear flow such as that characteristic of arterial circulation has been extensively studied. Much less is known about the responses of endothelial cells to slow shear flow such as that characteristic of venous circulation, early angiogenesis, atherosclerosis, intracranial aneurysm, or interstitial flow. Here we used a novel, to our knowledge, microfluidic technique to measure traction forces exerted by confluent vascular endothelial cell monolayers under slow shear flow. We found that cells respond to flow with rapid and pronounced increases in traction forces and cell-cell stresses. These responses are reversible in time and do not involve reorientation of the cell body. Traction maps reveal that local cell responses to slow shear flow are highly heterogeneous in magnitude and sign. Our findings unveil a low-flow regime in which endothelial cell mechanics is acutely responsive to shear stress.
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- 2015
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28. Nitric Oxide Cytoskeletal–Induced Alterations Reverse the Endothelial Progenitor Cell Migratory Defect Associated With Diabetes
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Aqeela Afzal, Ronak Shah, Sergio Li Calzi, Cecile M. Perrault, Jeffrey K. Harrison, Roger Tran-Son-Tay, Kyung Hee Chang, Maria B. Grant, Mark S. Segal, Lynn C. Shaw, Anna Schuler, and Elaine Beem
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Tube formation ,medicine.medical_specialty ,Angiogenesis ,Endocrinology, Diabetes and Metabolism ,Cell migration ,Biology ,Endothelial progenitor cell ,Cell biology ,Endothelial stem cell ,Neovascularization ,Vascular endothelial growth factor ,chemistry.chemical_compound ,Endocrinology ,Growth factor receptor ,chemistry ,Internal medicine ,Internal Medicine ,medicine ,medicine.symptom - Abstract
Stromal-derived factor-1 (SDF-1) is a critical chemokine for endothelial progenitor cell (EPC) recruitment to areas of ischemia, allowing these cells to participate in compensatory angiogenesis. The SDF-1 receptor, CXCR4, is expressed in developing blood vessels as well as on CD34+ EPCs. We describe that picomolar and nanomolar concentrations of SDF-1 differentially influence neovascularization, inducing CD34+ cell migration and EPC tube formation. CD34+ cells isolated from diabetic patients demonstrate a marked defect in migration to SDF-1. This defect is associated, in some but not all patients, with a cell surface activity of CD26/dipeptidyl peptidase IV, an enzyme that inactivates SDF-1. Diabetic CD34+ cells also do not migrate in response to vascular endothelial growth factor and are structurally rigid. However, incubating CD34+ cells with a nitric oxide (NO) donor corrects this migration defect and corrects the cell deformability. In addition, exogenous NO alters vasodilator-stimulated phosphoprotein and mammalian-enabled distribution in EPCs. These data support a common downstream cytoskeletal alteration in diabetic CD34+ cells that is independent of growth factor receptor activation and is correctable with exogenous NO. This inability of diabetic EPCs to respond to SDF-1 may contribute to aberrant tissue vascularization and endothelial repair in diabetic patients.
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- 2006
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29. Transient upregulation of GRP and its receptor critically regulate colon cancer cell motility during remodeling
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Roger Tran-Son-Tay, Lubna Shakir, Sarah C. Glover, Rajkumar Nathaniel, Rebecca K. Anderson, Richard V. Benya, and Cecile M. Perrault
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medicine.medical_specialty ,Physiology ,Colorectal cancer ,medicine.medical_treatment ,Motility ,Biology ,Downregulation and upregulation ,Cell Movement ,Physiology (medical) ,Gastrin-releasing peptide ,Internal medicine ,Tumor Cells, Cultured ,medicine ,Humans ,Neoplasm Metastasis ,Phosphorylation ,Receptor ,Focal Adhesions ,Hepatology ,Growth factor ,Gastroenterology ,Cancer ,Protein-Tyrosine Kinases ,medicine.disease ,Up-Regulation ,Gene Expression Regulation, Neoplastic ,Receptors, Bombesin ,Endocrinology ,Gastrin-Releasing Peptide ,Focal Adhesion Kinase 1 ,Focal Adhesion Protein-Tyrosine Kinases ,Colonic Neoplasms ,Cancer research ,Caco-2 Cells ,hormones, hormone substitutes, and hormone antagonists ,Morphogen - Abstract
Gastrin-releasing peptide (GRP) is typically viewed as a growth factor in cancer. However, we have suggested that in colon cancer, GRP acts primarily as a morphogen when it and its receptor (GRP-R) are aberrantly upregulated. As such, GRP/GRP-R act(s) primarily to modulate processes contributing to the assumption or maintenance of tumor differentiation. One of the most important such processes is the ability of tumor cells to achieve directed motility in the context of tissue remodeling. Yet the cellular conditions affecting GRP/GRP-R expression, and the biochemical pathways involved in mediating its morphogenic properties, remain to be established. To study this, we evaluated the human colon cancer cell lines Caco-2 and HT-29 cells. We found that confluent cells do not express GRP/GRP-R. In contrast, disaggreation and plating at subconfluent densities results in rapid GRP/GRP-R upregulation followed by their progressive decrease as confluence is achieved. GRP/GRP-R coexpression correlated with that of focal adhesion kinase (FAK) phosphorylation of Tyr397, Tyr407, Tyr861, and Tyr925 but not Tyr576 or Tyr577. To more specifically evaluate the kinetics of GRP/GRP-R upregulation, we wounded confluent cell monolayers. At t = 0 h GRP/GRP-R were not expressed, yet cells immediately began migrating into the gap created by the wound. GRP/GRP-R were first detected at ∼2 h, and maximal levels were observed at ∼6 h postwounding. The GRP-specific antagonist [d-Phe6]-labeled bombesin methyl ester had no effect on cell motility before GRP-R expression. In contrast, this agent increasingly attenuated cell motility with increasing GRP-R expression such that from t = 6 h onward no further cell migration into the gap was observed. Overall, these findings indicate the existence of GRP-independent and -dependent phases of tumor cell remodeling with the latter mediating colon cancer cell motility during remodeling via FAK.
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- 2005
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30. Structural finite element analysis to explain cell mechanics variability
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Cecile M. Perrault, Damien Lacroix, and Sara Barreto
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Shearing (physics) ,Cell type ,Materials science ,business.industry ,Cells ,Finite Element Analysis ,Biomedical Engineering ,Modulus ,Structural engineering ,Finite element method ,Biomechanical Phenomena ,Biomaterials ,Mechanics of Materials ,Cytoplasm ,Cell Adhesion ,Material properties ,Cytoskeleton ,business ,Biological system ,Intracellular ,Mechanical Phenomena - Abstract
The ability to model the mechanical responses of different cell types presents many opportunities to tissue engineering research to further identify changes from physiological conditions to disease. Using a previously validated finite element cell model we aim to show how variation of the material properties of the intracellular components affects cell response after compression and shearing. A parametric study was performed to understand the key mechanical features from different cell types, focussing on specific cytoskeleton components and prestress. Results show that actin cortex does not have a mechanical role in resisting shearing loading conditions. The sensitivity analysis predicted that cell force to compression and shearing is highly affected by changes in cortex thickness, cortex Young's modulus and rigidity of the remaining cytoplasm. Variation of prestress affects mainly the response of cells under shear loads and the model defines a relationship between cell force and prestress depending on the specific loading conditions, which is in good agreement with in vitro experiments. The results are used to make predictions that can relate mechanical properties with cell phenotype to be used as guidelines for individual cytoskeletal structures for future modelling efforts of the structure–function relationships of living cells.
- Published
- 2013
31. A multi-structural single cell model of force-induced interactions of cytoskeletal components
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Damien Lacroix, Daniel A. Fletcher, Casper Hyttel Clausen, Cecile M. Perrault, and Sara Barreto
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Materials science ,0206 medical engineering ,Biophysics ,Bioengineering ,02 engineering and technology ,macromolecular substances ,Microscopy, Atomic Force ,Microtubules ,Models, Biological ,Article ,Biomaterials ,Weight-Bearing ,03 medical and health sciences ,Mice ,Microtubule ,Tensegrity ,Cell Line, Tumor ,medicine ,Animals ,Humans ,Computer Simulation ,Cytoskeleton ,Actin ,030304 developmental biology ,0303 health sciences ,Computational model ,020601 biomedical engineering ,Finite element method ,Actins ,Cell biology ,Biomechanical Phenomena ,medicine.anatomical_structure ,Mechanics of Materials ,Cytoplasm ,Ceramics and Composites ,NIH 3T3 Cells ,Stress, Mechanical ,Nucleus - Abstract
Several computational models based on experimental techniques and theories have been proposed to describe cytoskeleton (CSK) mechanics. Tensegrity is a prominent model for force generation, but it cannot predict mechanics of individual CSK components, nor explain the discrepancies from the different single cell stimulating techniques studies combined with cytoskeleton-disruptors. A new numerical concept that defines a multi-structural 3D finite element (FE) model of a single-adherent cell is proposed to investigate the biophysical and biochemical differences of the mechanical role of each cytoskeleton component under loading. The model includes prestressed actin bundles and microtubule within cytoplasm and nucleus surrounded by the actin cortex. We performed numerical simulations of atomic force microscopy (AFM) experiments by subjecting the cell model to compressive loads. The numerical role of the CSK components was corroborated with AFM force measurements on U2OS-osteosarcoma cells and NIH-3T3 fibroblasts exposed to different cytoskeleton-disrupting drugs. Computational simulation showed that actin cortex and microtubules are the major components targeted in resisting compression. This is a new numerical tool that explains the specific role of the cortex and overcomes the difficulty of isolating this component from other networks in vitro. This illustrates that a combination of cytoskeletal structures with their own properties is necessary for a complete description of cellular mechanics.
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- 2013
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32. Integrated microfluidic probe station
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Kevin E. H. Anderson, David Juncker, Cecile M. Perrault, Mohammad A. Qasaimeh, T. Brastaviceanu, and Y. Kabakibo
- Subjects
Microscopy ,Microscope ,Materials science ,business.industry ,Surface Properties ,Microfluidics ,Inverted microscope ,Substrate (printing) ,Microfluidic Analytical Techniques ,Image capture ,law.invention ,Volumetric flow rate ,Injections ,Systems Integration ,Kinetics ,Motion ,Optics ,law ,Goniometer ,Hydrodynamics ,Fluidics ,business ,Instrumentation ,Software - Abstract
The microfluidic probe (MFP) consists of a flat, blunt tip with two apertures for the injection and reaspiration of a microjet into a solution--thus hydrodynamically confining the microjet--and is operated atop an inverted microscope that enables live imaging. By scanning across a surface, the microjet can be used for surface processing with the capability of both depositing and removing material; as it operates under immersed conditions, sensitive biological materials and living cells can be processed. During scanning, the MFP is kept immobile and centered over the objective of the inverted microscope, a few micrometers above a substrate that is displaced by moving the microscope stage and that is flushed continuously with the microjet. For consistent and reproducible surface processing, the gap between the MFP and the substrate, the MFP's alignment, the scanning speed, the injection and aspiration flow rates, and the image capture need all to be controlled and synchronized. Here, we present an automated MFP station that integrates all of these functionalities and automates the key operational parameters. A custom software program is used to control an independent motorized Z stage for adjusting the gap, a motorized microscope stage for scanning the substrate, up to 16 syringe pumps for injecting and aspirating fluids, and an inverted fluorescence microscope equipped with a charge-coupled device camera. The parallelism between the MFP and the substrate is adjusted using manual goniometer at the beginning of the experiment. The alignment of the injection and aspiration apertures along the scanning axis is performed using a newly designed MFP screw holder. We illustrate the integrated MFP station by the programmed, automated patterning of fluorescently labeled biotin on a streptavidin-coated surface.
- Published
- 2010
33. The extracellular matrix microtopography drives critical changes in cellular motility and Rho A activity in colon cancer cells
- Author
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Marinka Bulic, Roger Tran Son Tay, Ramana V. Vishnubhotla, Cecile M. Perrault, Michael Cho, Jameela Huq, Rebecca Rapier, Vitali V. Metlushko, and Sarah C. Glover
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Cancer Research ,Colorectal cancer ,Motility ,02 engineering and technology ,Biology ,Bioinformatics ,lcsh:RC254-282 ,Extracellular matrix ,03 medical and health sciences ,Genetics ,medicine ,lcsh:QH573-671 ,Cytoskeleton ,Actin ,030304 developmental biology ,0303 health sciences ,Gene knockdown ,lcsh:Cytology ,Poorly differentiated ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,021001 nanoscience & nanotechnology ,medicine.disease ,Cell biology ,Oncology ,Cellular motility ,0210 nano-technology ,Primary Research - Abstract
We have shown that the microtopography (mT) underlying colon cancer changes as a tumor de-differentiates. We distinguish the well-differentiated mT based on the increasing number of "pits" and poorly differentiated mT on the basis of increasing number of "posts." We investigated Rho A as a mechanosensing protein using mT features derived from those observed in the ECM of colon cancer. We evaluated Rho A activity in less-tumorogenic (Caco-2 E) and more tumorigenic (SW620) colon cancer cell-lines on microfabricated pits and posts at 2.5 μm diameter and 200 nm depth/height. In Caco-2 E cells, we observed a decrease in Rho A activity as well as in the ratio of G/F actin on surfaces with either pits or posts but despite this low activity, knockdown of Rho A led to a significant decrease in confined motility suggesting that while Rho A activity is reduced on these surfaces it still plays an important role in controlling cellular response to barriers. In SW620 cells, we observed that Rho A activity was greatest in cells plated on a post microtopography which led to increased cell motility, and an increase in actin cytoskeletal turnover.
- Published
- 2010
34. Nitric oxide cytoskeletal-induced alterations reverse the endothelial progenitor cell migratory defect associated with diabetes
- Author
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Mark S, Segal, Ronak, Shah, Aqeela, Afzal, Cecile M, Perrault, Kyunghee, Chang, Anna, Schuler, Elaine, Beem, Lynn C, Shaw, Sergio, Li Calzi, Jeffrey K, Harrison, Roger, Tran-Son-Tay, and Maria B, Grant
- Subjects
Stem Cells ,Endothelial Cells ,Antigens, CD34 ,Nitric Oxide ,Chemokine CXCL12 ,Jurkat Cells ,Diabetes Mellitus, Type 2 ,Cell Movement ,Leukocytes, Mononuclear ,Humans ,Kidney Diseases ,Chemokines, CXC ,Cells, Cultured ,Cytoskeleton - Abstract
Stromal-derived factor-1 (SDF-1) is a critical chemokine for endothelial progenitor cell (EPC) recruitment to areas of ischemia, allowing these cells to participate in compensatory angiogenesis. The SDF-1 receptor, CXCR4, is expressed in developing blood vessels as well as on CD34+ EPCs. We describe that picomolar and nanomolar concentrations of SDF-1 differentially influence neovascularization, inducing CD34+ cell migration and EPC tube formation. CD34+ cells isolated from diabetic patients demonstrate a marked defect in migration to SDF-1. This defect is associated, in some but not all patients, with a cell surface activity of CD26/dipeptidyl peptidase IV, an enzyme that inactivates SDF-1. Diabetic CD34+ cells also do not migrate in response to vascular endothelial growth factor and are structurally rigid. However, incubating CD34+ cells with a nitric oxide (NO) donor corrects this migration defect and corrects the cell deformability. In addition, exogenous NO alters vasodilator-stimulated phosphoprotein and mammalian-enabled distribution in EPCs. These data support a common downstream cytoskeletal alteration in diabetic CD34+ cells that is independent of growth factor receptor activation and is correctable with exogenous NO. This inability of diabetic EPCs to respond to SDF-1 may contribute to aberrant tissue vascularization and endothelial repair in diabetic patients.
- Published
- 2005
35. Strength measurement of the Sertoli-spermatid junctional complex
- Author
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Roger Tran-Son-Tay, Cecile M. Perrault, Don F. Cameron, and Katja M. Wolski
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Male ,endocrine system ,medicine.medical_specialty ,Urology ,Endocrinology, Diabetes and Metabolism ,Morphogenesis ,Cell Separation ,Testicle ,Biology ,Cell junction ,Rats, Sprague-Dawley ,Endocrinology ,Internal medicine ,medicine ,Cell Adhesion ,Animals ,Blood–testis barrier ,Sertoli Cells ,Spermatid ,urogenital system ,Apical ectoplasmic specialization ,Sertoli cell ,Spermatids ,Cell biology ,Rats ,medicine.anatomical_structure ,Intercellular Junctions ,Reproductive Medicine ,Adjudin - Abstract
The Sertoli cell ectoplasmic specialization (ES) is a specialized domain of the calcium-dependent Sertoli cell-spermatid junctional complex. Not only is it associated with the mechanical adhesion of the cells, but it also plays a role in the morphogenesis and differentiation of the developing germ cells. Abnormal or absent Sertoli ESs have been associated with step-8 spermatid sloughing and subsequent oligospermia. With a micropipette pressure transducing system (MPTS) to measure the force needed to detach germ cells from Sertoli cells, this study examined, for the first time, the strength of the junction between Sertoli cells and spermatids and between Sertoli cells and spermatocytes. The mean force needed to detach spermatocytes from Sertoli cells was 5.25 x 10(-7) pN, prestep-8 spermatids from Sertoli cells was 4.73 x 10(-7) pN, step-8 spermatids from Sertoli cells was 8.82 x 10(-7) pN, and spermatids plus EDTA was 2.16 x 10(-7) pN. These data confirm the hypothesis that step-8 spermatids are more firmly attached to Sertoli cells than are spermatocytes and pre-step-8 spermatids and that calcium chelation reduces binding strength between Sertoli cells and spermatids. The MPTS is a useful tool in studying the various molecular models of the Sertoli-germ cell junctional strength and the role of reproductive hormones and enzymes in coupling and uncoupling of germ cells from Sertoli cells.
- Published
- 2005
36. 292Endothelial cell forward migration in a disturbed wall shear stress environment is promoted by ROCK inhibition
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Julian Gunn, T. J. Spencer, Paul C. Evans, Francisco J. Tovar-Lopez, Cecile M. Perrault, S. Hsiao, and Ian Halliday
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RHOA ,Endothelium ,biology ,Physiology ,Chemistry ,Flow (psychology) ,Velocimetry ,medicine.anatomical_structure ,Live cell imaging ,Physiology (medical) ,medicine ,Biophysics ,Shear stress ,biology.protein ,Seeding ,Cardiology and Cardiovascular Medicine ,Rho-associated protein kinase - Abstract
Purpose: Stent deployment to treat coronary artery disease causes damage and loss of endothelial cells (EC). Repair of injured arteries by EC migration is co-ordinated by Rho family GTPases. It is also regulated by wall shear stress (WSS), a mechanical force exerted by flowing blood on the vessel wall, via mechanisms that are poorly understood. It was hypothesised that stent struts may impede repair of injured endothelium by inducing localised disturbances in WSS. Methods: To simulate a stented artery in vitro, chamber slides were fabricated with ridges (100 μm high) positioned perpendicularly to the flow direction. Confluent EC monolayers seeded on one side of either ridged or non-ridged (control) chambers were exposed to flowing culture medium (Ibidi® system). Flow patterns were determined by computational fluid dynamic (CFD) modelling and particle velocimetry. Live cell imaging and analysis using ImageJ® software enabled quantitation of EC migration velocity and directional persistence (DP). Results: CFD modelling and live cell imaging indicated that EC on the non-ridged chamber slide were exposed to a uniform WSS of 13 dyn/cm2 and migrated relatively uniformly in parallel with the flow direction (average velocity 1.13±0.20 μm/min; DP 0.59±0.14). By contrast, significant spatial differences in WSS were observed over the ridged slide in CFD, with significant spikes above physiological levels (>70 dyn/cm2) at the corners of the ridges and distinctive flow recirculation zone immediately upstream/ downstream from the ridge (-4 dyn/cm2). These features were verified by particle velocimetry using fluorescently labelled polystyrene beads (2 μm diameter). Time-lapse imaging further revealed interrupted EC migration at the ridges. Specifically, although EC could migrate over the ridges, those that reached the recirculation zone downstream from the ridge migrated with non-uniform directionality (DP 0.25±0.06) and displayed a reduction in velocity (0.78±0.18 μm/min). Inhibition of the RhoA/ROCK signalling pathway with ROCK inhibitors (Y27632 or HA1077) promoted EC forward migration within the recirculation zone by significantly elevating DP (0.41±0.04, p=0.01) and velocity (1.16±0.09 μm/min, p=0.01). Conclusions: Disturbed WSS downstream from stent strut-like ridges prevented the forward migration of EC. Inhibition of the RhoA/ROCK signaling pathway promoted EC migration and re-population of these sites. Our data suggest that treatment using a ROCK inhibitor may promote re-endothelialisation of stented arteries; a concept that is currently been tested using a porcine model.
- Published
- 2014
- Full Text
- View/download PDF
37. EFFECT OF THE CYTOSKELETON FIBERS AND SUBSTRATE RIGIDITY ON ADHERENT CELLS
- Author
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Damien Lacroix, Cecile M. Perrault, and Sara Barreto
- Subjects
Materials science ,Rigidity (electromagnetism) ,Rehabilitation ,Biomedical Engineering ,Biophysics ,Substrate (chemistry) ,Orthopedics and Sports Medicine ,Cytoskeleton - Published
- 2012
- Full Text
- View/download PDF
38. EXPERIMENTAL AND COMPUTATIONAL APPROACH OF DYNAMIC CELL SEEDING FOR TISSUE ENGINEERING
- Author
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Andy L. Olivares, Cecile M. Perrault, and Damien Lacroix
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Scaffold ,Materials science ,Tissue engineered ,Complete Method ,Cell seeding ,Rehabilitation ,Cell ,Biomedical Engineering ,Biophysics ,medicine.anatomical_structure ,Tissue engineering ,Cell density ,medicine ,Orthopedics and Sports Medicine ,Biological system ,Process (anatomy) - Abstract
A functional tissue engineered scaffold requires an optimum cell seeding process. Proper cell density and spatial distribution in a 3D scaffold are essential to morphogenetic development of an engineered tissue [Li et al, 2001]. A high number of cells and an even cell distribution in a scaffold are associated with better culture results [Wendt et al, 2006]. Since human cells are often available in short supply, maximization of the cell seeding process is necessary. The aim of the present study was to propose a complete method capable of predicting the cell seeding process under dynamic conditions for regular scaffolds.
- Published
- 2012
- Full Text
- View/download PDF
39. MICROFLUIDIC STUDY OF ENDOTHELIAL CELLS TRACTION FORCE UNDER SHEAR STRESS
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Xavier Trepat, Josep A. Planell, Cecile M. Perrault, Daniel Navajas, and Damien Lacroix
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Tractive force ,Materials science ,Rehabilitation ,Microfluidics ,Biomedical Engineering ,Biophysics ,Shear stress ,Orthopedics and Sports Medicine ,Composite material - Published
- 2012
- Full Text
- View/download PDF
40. Grant-writing offices would let scientists get on with research
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Cecile M. Perrault
- Subjects
Grant writing ,Multidisciplinary ,Political science ,Library science ,Workload - Published
- 2009
- Full Text
- View/download PDF
41. Defining critical surface parameters for cancer cell adhesion
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A. Brennan, R. Tran-Son-Tay, S. Glover, and Cecile M. Perrault
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Critical surface ,Chemistry ,Rehabilitation ,Cancer cell ,Biomedical Engineering ,Biophysics ,Orthopedics and Sports Medicine ,Adhesion - Published
- 2006
- Full Text
- View/download PDF
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