Intracranial aneurysm wall displacement depicted by amplified Flow predicts growth.

BACKGROUND: Abnormal intracranial aneurysm (IA) wall motion has been associated with IA growth and rupture. Recently, a new image processing algorithm called amplified Flow (aFlow) has been used to successfully track IA wall motion by combining the amplification of cine and four-dimensional (4D) Flow MRI. We sought to apply aFlow to assess wall motion as a potential marker of IA growth in a paired-wise analysis of patients with growing versus stable aneurysms. METHODS: In this retrospective case-control study, 10 patients with growing IAs and a matched cohort of 10 patients with stable IAs who had baseline 4D Flow MRI were included. The aFlow was used to amplify and extract IA wall displacements from 4D Flow MRI. The associations of aFlow parameters with commonly used risk factors and morphometric features were assessed using paired-wise univariate and multivariate analyses. RESULTS: aFlow quantitative results showed significantly (P=0.035) higher wall motion displacement depicted by mean±SD 90th% values of 2.34±0.72 in growing IAs versus 1.39±0.58 in stable IAs with an area under the curve of 0.85. There was also significantly (P<0.05) higher variability of wall deformation across IA geometry in growing versus stable IAs depicted by the dispersion variables including 121-150% larger standard deviation ([Formula: see text]) and 128-161% wider interquartile range [Formula: see text]. CONCLUSIONS: aFlow-derived quantitative assessment of IA wall motion showed greater wall motion and higher variability of wall deformation in growing versus stable IAs.

Physical Gels of Atactic Poly(N-isopropylacrylamide) in Water: Rheological Properties and As-Derived Spinodal Temperature.

Aqueous solutions of atactic poly(N-isopropylacrylamide) (a-PNIPAM) undergo complex phase transitions at 20-33 °C. In this temperature range, the a-PNIPAM solution exhibits a phase behavior of lower critical solution temperature at the binodal temperature (Tb) and physical gel formation at the gel temperature (Tgel). On slow heating of the one-phase solution containing linear a-PNIPAM chains, branched chains are gradually developed to proceed with the physical gelation before phase separation considering that Tgel < Tb. Thus, the phase separation temperature determined from the conventional approaches, either by turbidity to derive the Tb or by scattering to derive the spindal temperature (Ts) from the Ornstein-Zernike analysis, is strictly the transition temperature associated with the a-PNIPAM hydrogel (or highly branched chains newly developed at elevated temperatures), rather than the initial a-PNIPAM solution prepared. Herein, the spinodal temperatures of a-PNIPAM hydrogels (Ts,gel) of various concentrations were determined from rheological measurements at a heating rate of 0.2 °C/min. Analyses of the temperature dependence of loss modulus G″ and storage modulus G' give rise to the Ts,gel, based on the Fredrickson-Larson-Ajji-Choplin mean field theory. In addition, the specific temperature (T1) above which the one-phase solution starts to dramatically form the aggregated structure (e.g., branched chains) was also derived from the onset temperature of G' increase; this is because as solution temperature approaches the spinodal point, the concentration fluctuations become significant, which is manifested with the elastic response to enhance G' at T > T1. Depending on the solution concentration, the measured Ts,gel is approximately 5-10 °C higher than the derived T1. On the other hand, Ts,gel is independent of solution concentration to be constant at 32.8 °C. A phase diagram of the a-PNIPAM/H2O mixture is thoroughly constructed together with the previous data of Tgel and Tb.

Myelination dictates axonal viscoelasticity.

During development, dramatic changes in myelination, growth of neural networks and changes in grey-to-white matter ratio build up the astonishingly plastic brain of a child. The progressive increase in myelination insulates the nervous system, which, in turn, modifies the mechanical microenvironment of the brain spatiotemporally. A growing body of evidence demonstrates the role of mechanical forces in growth, differentiation, maturation and electrical properties of neurons. However, due to limitations in imaging resolution, the exact relationship between myelination, axonal organization and the mechanical properties of nerves at the cellular level is still unknown. Here, we propose a novel approach to study the direct relationship between axonal viscoelasticity with changing fibre anisotropy and myelination during development. With the use of atomic force microscopy (AFM) with in situ fluorescent imaging of the primary neuron-oligodendrocyte co-cultures, we found that as axons are progressively myelinated in vitro, their stiffness increases. Direct quantification of myelin along axons using immunofluorescence also demonstrated a positive correlation between increased myelination over time and increased axonal stiffness (p = .001). Notably, AFM measurements along a single axon showed that the Young's modulus measured across myelinated regions were significantly higher than those of adjacent unmyelinated segments at all time points (p < .0001). Force-relaxation analysis also demonstrated that myelin sheath dominates the regulation of viscoelasticity of axons temporally. Collectively, our findings indicate a direct link between myelination, axonal orientation and viscoelasticity, providing important insights about the mechanical environment in the paediatric brain, with direct implications for our understanding of developmental brain disorders and paediatric brain injury.

Electrospinning of Aqueous Solutions of Atactic Poly(N-isopropylacrylamide) with Physical Gelation.

The phase diagram of a given polymer solution is used to determine the solution's electrospinnability. We constructed a phase diagram of an aqueous solution of atactic poly(N-isopropylacrylamide) (a-PNIPAM) based on turbidity measurements and the rheological properties derived from linear viscoelasticity. Several important transition temperatures were obtained and discussed, including the onset temperature for concentration fluctuations T1, gel temperature Tgel, and binodal temperature Tb. On heating from 15 °C, the one-phase a-PNIPAM solution underwent pronounced concentration fluctuations at temperatures above T1. At higher temperatures, the thermal concentration fluctuations subsequently triggered the physical gelation process to develop a macroscopic-scale gel network at Tgel before the phase separation at Tb. Thus, the temperature sequence for the transition is: T1 < Tgel < Tb~31 °C for a given a-PNIPAM aqueous solution. Based on the phase diagram, a low-temperature electrospinning process was designed to successfully obtain uniform a-PNIPAM nanofibers by controlling the solution temperature below T1. In addition, the electrospinning of an a-PNIPAM hydrogel at Tgel < T < Tb was found to be feasible considering that the elastic modulus of the gel was shown to be very low (ca. 10−20 Pa); however, at the jet end, jet whipping was not seen, though the spitting out of the internal structures was observed with high-speed video. In this case, not only dried nanofibers but also some by-products were produced. At T > Tb, electrospinning became problematic for the phase-separated gel because the enhanced gel elasticity dramatically resisted the stretching forces induced by the electric field.

Combination of 3D Printing and ALD for Dentin Fabrication from Dental Pulp Stem Cell Culture.

A combination of fused deposition modeling printing with atomic layer deposition (ALD) of titania was designed to achieve templated biomineralization and terminal odontogenic differentiation of dental pulp stem cells on three-dimensional (3D) printed polylactic acid (PLA) scaffolds. In the absence of the ALD-deposited titania coating, we had previously shown that both plating efficiency and differentiation are adversely impacted when scaffolds are produced by 3D printing rather than traditional polymer molding. These differences were removed when both printed and molded structures were coated with ALD of titania, which improved the outcomes regardless of the manufacturing method. In this case, on all titania-coated substrates, the plating efficiency increased, copious mineral deposition was observed, and RT-PCR indicated a significant upregulation of osteocalcin, a gene associated with mineral deposition. The influence of additional coatings of collagen, gelatin, or fibronectin on the ALD titania-coated and uncoated PLA-printed and molded scaffolds was also investigated. Upregulation of the odontogenic late-stage differentiation sibling protein, dentin sialoprotein, was observed on the collagen ALD-titania-coated scaffolds and to a lesser extent on the gelatin ALD-titania-coated scaffolds.

TiO2 nanoparticles synergize with substrate mechanics to improve dental pulp stem cells proliferation and differentiation.

Multiple studies exist on the influence of TiO2 nanoparticle uptake on cell behavior. Yet little is known about the lingering influence of nanoparticles accumulation within the external environment which is particularly important to stem cell differentiation. Herein, dental pulp stem cells were cultured on hard and soft polybutadiene substrates, where 0.1 mg/mL rutile TiO2 nanoparticles were introduced once, 24 h after plating. In the absence of TiO2, the doubling time on soft substrate is significantly longer, while addition of TiO2 decreases it to the same level as on the hard substrate. FACS analysis indicates particle uptake initially at 25% is reduced to 2.5% after 14 days. In the absence of TiO2, no biomineralization on the soft and snowflake-like hydroxyapatite deposits on the hard substrate are shown at week 4. With the addition of TiO2, SEM/EDAX reveals copious mineral deposition templated on large banded collagen fibers on both substrates. The mineral-to-matrix ratios analyzed by Raman spectroscopy are unremarkable in the absence of TiO2. However, with addition of TiO2, the ratios are consistent with native bone on the hard and dentin on the soft substrates. This is further confirmed by RT-PCR, which showed upregulation of markers consistent with osteogenesis and odontogenesis, respectively.

A chip-based potentiometric sensor for a Zika virus diagnostic using 3D surface molecular imprinting.

The latest Zika virus (ZIKV) pandemic caused great international concern from explosively proliferating throughout the Americas. Currently, there is no vaccine to prevent Zika virus infection and available tests rely on antibodies or RNA. Unfortunately, antibody-based detection systems can result in false positive results and RNA-based detection systems are costly, time-consuming, and impractical for testing in remote regions. In this study, a potential point-of-care (POC) diagnostic system was developed using a chip-based potentiometric sensor to detect Zika virus using a 3D molecular imprinting technique. This chip-based potentiometric sensor system was able to detect 10-1 PFU mL-1 ZIKV in a buffered solution under 20 minutes without any sample manipulation. This sensor was tested against Dengue virus at clinical viral loads and showed no sign of cross-reactivity. When tested against human saliva samples containing clinical viral loads, this sensor was able to detect 10 PFU mL-1 ZIKV among the pool of bio-macromolecules. The high sensitivity and high selectivity demonstrated here proved that this lab-on-a-chip diagnostic has the potential to become a POC detection system for rapid and accurate screening of flaviviruses.

Regulating substrate mechanics to achieve odontogenic differentiation for dental pulp stem cells on TiO2 filled and unfilled polyisoprene.

We have shown that materials other than hydrogels commonly used in tissue engineering can be effective in enabling differentiation of dental pulp stem cells (DPSC). Here we demonstrate that a hydrophobic elastomer, polyisoprene (PI), a component of Gutta-percha, normally used to obturate the tooth canal, can also be used to initiate differentiation of the pulp. We showed that PI substrates without additional coating promote cell adhesion and differentiation, while their moduli can be easily adjusted either by varying the coating thickness or incorporation of inorganic particles. DPSC plated on those PI substrates were shown, using SPM and hysitron indentation, to adjust their moduli to conform to differentially small changes in the substrate modulus. In addition, optical tweezers were used to separately measure the membrane and cytoplasm moduli of DPSC, with and without Rho kinase inhibitor. The results indicated that the changes in modulus were attributed predominantly to changes within the cytoplasm, rather than the cell membrane. CLSM was used to identify cell morphology. Differentiation, as determined by qRT-PCR, of the upregulation of OCN, and COL1α1 as well as biomineralization, characterized by SEM/EDAX, was observed on hard PI substrates in the absence of induction factors, i.e. dexamethasone, with moduli 3-4 MPa, regardless of preparation. SEM showed that even though biomineralization was deposited on both spun cast thin PI and filled thick PI substrates, the minerals were aggregated into large clusters on thin PI, and uniformly distributed on filled thick PI, where it was templated within banded collagen fibers. STATEMENT OF SIGNIFICANCE: This manuscript demonstrates the potential of polyisoprene (PI), an elastomeric polymer, for use in tissue engineering. We show how dental pulp stem cells adjust their moduli continuously to match infinitesimally small changes in substrate mechanics, till a critical threshold is reached when they will differentiate. The lineage of differentiation then becomes a sensitive function of both mechanics and morphology for a given chemical composition. Since PI is a major component of Gutta-percha, the FDA approved material commonly used for obturating the root canal, this work suggests that it can easily be adapted for in vivo use in dental regeneration.

Effect of Graphene on Differentiation and Mineralization of Dental Pulp Stem Cells in Poly(4-vinylpyridine) Matrix in Vitro.

We have investigated the influence of graphene nanoplatelet scaffolds for dental pulp cells (DPSCs) made from poly(4-vinylpyridine) (P4VP) either via spin-casting flat films or electrospinning nano- and microscale fibers. We found that graphene predominated over other factors in promoting differentiation of DPSCs. In the absence of graphene, real-time-polymerase chain reaction (RT-PCR) and energy dispersive X-ray (EDX) analyses indicated that the DPSCs differentiated along odontogenic lineages only on the nano- and microelectrospun scaffolds. Closer scanning electron microscopy (SEM) imaging revealed formation of banded collagen structures, which nucleated on the electrospun fibers in the absence of graphene. Biomineral deposition was templated on these fibers, with mineral to protein ratios similar to dentin. In the microfibers, the graphene was completely encapsulated and appeared to hinder biomineralization. Previously minimal biomineralization and banded collagen were observed on flat spun cast substrates. Addition of graphene appeared to induce nucleation of banded collagen fibers and template biomineral deposition. Addition of graphene did not affect the outcome of the DPSCs cultured on the nanofibers, which biomineralized regardless of graphene inclusion. Based on these results, we hypothesize that direct contact with graphene is the primary factor determining differentiation of the DPSCs. On the flat surface and nanoscale electrospun fibers, the graphene protrudes from the sample enabling direct contact with the extracellular matrix (ECM) and cells, while on the microfibers, the graphene is fully encapsulated within the matrix. TUNA imaging with scanning force microscopy showed enhanced conductivity on fibers with encapsulated graphene, which we hypothesize may change the conformation of adsorbed ECM proteins, affecting DPSCs differentiation.

Templated dentin formation by dental pulp stem cells on banded collagen bundles nucleated on electrospun poly (4-vinyl pyridine) fibers in vitro.

Eventhough it is well established that materials can promote stem cell differentiation, hard tissue formation is a templated process for which little is known regarding the in vitro process. We have found that surface curvature enables self-assembly of triple helical collagen fibrils into banded bundle structures from rat tail and human collagen secreted by dental pulp stem cells. Collagen fibrils were adsorbed at 4 °C on spun cast flat P4VP films and electrospun fibers. Protein adsorption was observed on both surfaces, but large banded bundles with a uniform spacing of approximately 55 nm were present only on the fiber surfaces. SEM/EDS mapping showed that dental pulp stem cells plated on the same surfaces biomineralized copiously only along the electrospun fibers. Raman spectroscopy indicated that despite the presence of adsorbed collagen on the flat surfaces, only the deposits present on the fibrous surface had a protein to hydroxyl apatite ratio similar to natural dentin from human teeth. RT-PCR indicated up regulation of collagen, osteocalcin and dental sialophosphate protein, confirming that odontogenic differentiation is promoted only on the fiber scaffolds. Taken together the results indicate that, in addition to surface chemistry, the supermolecular structure of ECM collagen, which is essential in directing DPSCs differentiation and templating biomineralization, can be modified by the underlying surface morphology. STATEMENT OF SIGNIFICANCE: The past decade has been focused efforts in the use of dental pulp stem cells (DPSC) for dental regeneration. Eventhough the factors required for DPSCs differentiation have been well studied, actual mineral deposition, positively identified as dentin, has not been achieved in vitro. Hard tissue is known to be a templated process in vivo where the mineral to protein ratio is tightly controlled via proteins which aid in collagen conformation and mineral sequestration. Here we show that one can mimic this process in vitro via the combination of materials selection and morphology. The material chemistry is shown to induce genetic upregulation the genes responsible for collagen and osteocalcin, while Raman spectroscopy confirms the translation and adsorption the proteins on the substrate. But, we show that the simple presence of collagen is not enough to template actual biomineral deposition similar to that found in vivo. Mineral deposition is a complicated process templated on collagen bundles and mediated by specific sibling proteins that determine the protein to mineral ratio. Here we show that surface curvature can reduce the barrier to collagen bundle formation, directing DPSC differentiation along odontogenic lineage, and subsequently templating actual dentin, comparable to that found in vivo in human teeth.