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Description
Stromal cells play an important role in facilitating disease progression of ductal carcinoma. Cancer associated fibroblasts (CAFs) are an important component of the extracellular matrix (ECM) which constitutes the microenvironment of breast tumor cells. They are known to participate in chemotherapeutic drug resistance by modulating various biochemical and biophysical factors

Stromal cells play an important role in facilitating disease progression of ductal carcinoma. Cancer associated fibroblasts (CAFs) are an important component of the extracellular matrix (ECM) which constitutes the microenvironment of breast tumor cells. They are known to participate in chemotherapeutic drug resistance by modulating various biochemical and biophysical factors that contribute to increased matrix stiffness and collagen I density of the tumor-adjacent stroma. To address these issues in terms of patient treatment, anti-cancer drug regimes have been assembled to incorporate both chemotherapeutic as well as anti-fibrotic drugs to both target tumor cells while also diminishing the elastic modulus of the microenvironment by targeting CAFs. The quantitative assessment of these drug regimes on tumor progression is missing in terms of CAFs role alone.

A high density 3D tumor model was utilized to recapitulate the tumor microenvironment of ductal carcinoma in vitro. The tumor model consisted of MDA-MB-231 tumors seeded within micromolded collagen wells, chemically immobilized upon a surface treated PDMS substrate. CAFs were seeded within the greater collagen structure from which the microwells were formed. The combinatorial effect of anti-fibrotic drug (Tranilast) and chemotherapy drug (Doxorubicin) were studied within 3D co culture conditions. Specifically, the combinatorial effects of the drugs on tumor cell viability, proliferation, and invasion were examined dynamically upon coculture with CAFs using the microengineered model.

The results of the study showed that the combinatorial effects of Tranilast and Doxorubicin significantly decreased the proliferative ability of tumor cells, in addition to significantly decreasing the ability of tumor cells to remain viable and invade their surrounding stroma, compared to control conditions.
ContributorsSilva, Casey Rudolph (Author) / Nikkhah, Mehdi (Thesis director) / Saini, Harpinder (Committee member) / Harrington Bioengineering Program (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
The process of spermatogenesis, the differentiation of sperm stem cells into spermatozoa, produces a diverse array of descendent cells which express varied morphological and genetic traits throughout their maturation. Beginning with primordial germ cells, these sperm progenitors experience twelve stages of differentiation before maturation into their final stage. During their

The process of spermatogenesis, the differentiation of sperm stem cells into spermatozoa, produces a diverse array of descendent cells which express varied morphological and genetic traits throughout their maturation. Beginning with primordial germ cells, these sperm progenitors experience twelve stages of differentiation before maturation into their final stage. During their differentiation, these cells reside in the seminiferous tubules within the testes. These tubules are surrounded by somatic cells, primarily Sertoli, Leydig, myoid, and epithelial cells. These cells provide the germ cells with necessary signaling proteins for their progression as well as protection from exterior toxins through the formation of the blood-testis barrier (BTB). However, their close association with germ cells makes extracting these sperm progenitors difficult. Here, I convey the results for an initial trial of harvesting germ cells from two mice. Due to inconclusive qRT-PCR amplification data from the first experiment, future iterations of this harvest will explore other previously published methods. These will include Magnetic-Activated Cell Sorting which will target individual sperm progenitor populations using cell-surface receptors such as GFRα-1 and THY1 to obtain sperm stem cells. Additionally, Fluorescence-Activated Cell Sorting may be useful for obtaining multiple groups of meiotic cell types from a heterogenous cell suspension harvested from the seminiferous tubules through the use of Hoechst 33342 staining. Finally, extraction of spermatozoa from the Cauda Epididymis, a storage site for these mature sperm, can be performed either in conjunction with testes collection during necropsy or as an in vivo technique intended for serial sampling of sperm cells over time. Regardless, it is necessary for these methods to produce populations from spermatogonia to spermatozoa with high purity in order to produce representative qRT-PCR results downstream, indicating either presence or lack of genetic mutation enacted by future CRISPR-Cas9 experiments.
ContributorsDelgado, Elizabeth Ashley (Author) / Kiani, Samira (Thesis director) / Ebrahimkhani, Mo (Committee member) / Harrington Bioengineering Program (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
This thesis investigates the feasibility, development, and accuracy of implementing two inline sets of uniaxial strain gauges for a neurosurgical force sensing suction and retraction (FSSR) instrument to determine force metrics such as magnitude, location, and orientation of applied force in real time. Excess force applied during a neurosurgery could

This thesis investigates the feasibility, development, and accuracy of implementing two inline sets of uniaxial strain gauges for a neurosurgical force sensing suction and retraction (FSSR) instrument to determine force metrics such as magnitude, location, and orientation of applied force in real time. Excess force applied during a neurosurgery could lead to complications for the patient during and after surgery, thus there is clinical need for a quantitative real time tool-tissue feedback for various surgical tools. A force-based metric has been observed to be highly correlated to improving not only surgical training but also the outcome of surgical procedures. Past literature and previous studies attempted to design a force sensing retractor. Although previous investigations and prototypes have developed methods and protocols to detect small magnitude forces applied, they lacked the ability to detect the magnitude of force without knowing the distance of the applied force. This is a critical limitation because the location of a net applied force can vary along a retractor during surgery and is often unseen and cannot be measured during surgery. The main goal of this current investigation is to modify the previous design of the force sensing suction retractor (FSSR) device with a new placement of strain gauges, utilizing a novel configuration of an aligned pair of strain gauge arrangement with only knowing the distance between the pair of gauge sets and the strain data collected. The FSSR was a stainless steel suction tube retrofitted with 8 gauges: two sets of 4 gauges aligned and separated radially by 90 degrees within each set. Calibrations test and blind load tests were conducted to determine accuracy of the instrument for detecting the force metrics. It was found that a majority of 40 variations for the calibration tests maintained a percent difference under 10% when comparing actual and calculated values. Specifically, using calibration test 2 for blind test 2 the orientation yielded a calculated value that was 2.1 degrees different. Blind test 2 for the magnitude yielded a calculated value that was .135 N different, which is a 9.104 % difference. Also, blind test 2 set 1 and set 2 for the location of applied load from set 1 and set 2 yielded a calculated value that was 7.334 mm different, which is an 8.95 % difference for set 1 and a 15.63 % difference for set 2. Possible limitations and errors in the protocol that may have increased the discrepancy between actual and calculated values include how accurate the strain gauges were placed in terms of both alignment and radial orientation. Future work in regards to improving the new FSSR prototype, is to first develop a better method to ensure accurate placement of gauges, both in paired alignment between sets and radial separation within sets. Overall, the clinical considerations for a force sensing tool is aimed at minimizing patient injury during surgery, devices such as the force sensing suction retractor is an example of novel technology that could become a standard technology within the operating room.
ContributorsXu, Jake Johnny (Author) / Buneo, Christopher (Thesis director) / Kelly, Brian (Committee member) / Harrington Bioengineering Program (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
Intellectual property law and the controversy surrounding its nuances, loopholes, and obscure definitions have existed and grown since the inception of the original U.S. Constitution. The original idea was to legislate a way so that innovators and inventors of every generation could be incentivized to create new products which could

Intellectual property law and the controversy surrounding its nuances, loopholes, and obscure definitions have existed and grown since the inception of the original U.S. Constitution. The original idea was to legislate a way so that innovators and inventors of every generation could be incentivized to create new products which could increase the efficiency and productivity in all aspects of American life. However, the generalizations placed in the law, perhaps for the purpose of giving inventors more leeway, has become, over time, a double-edged sword. Because lawsuits and the lucrative settlements that follow were attached to violating intellectual property law, other individuals have mischievously used this to their advantage, namely creating as many random ideas as possible and patenting them so that when someone ingeniously creates an actual product or physical manifestation, those individuals can sue that inventor for supposedly “stealing” their “idea”. These individuals are basically unable to bring their idea to life so they set traps for those who can. So the law, which originally was supposed to motivate Americans to create has now become a weapon that can be used against those true innovators. Our topic then is to look more in-depth at a specific aspect under the broad umbrella of intellectual property law: can intellectual property law apply to biotechnology? We want to look into different forms of biotechnology, medical devices, and pharmaceuticals, observe where patent law has deviated from its original path and where it is going.
ContributorsGoudamanis, Christy Maria (Co-author) / Edward, Lai (Co-author) / Timothy, Takahashi (Thesis director) / Michael, VanAuker (Committee member) / Harrington Bioengineering Program (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
The purpose of this investigation is to apply a machine learning algorithm with de-identified, historic oncology clinical trial data to assess the theoretical understanding of predictive modeling to derive potential clinical practice recommendations. Within this study, electronic medical records from the HonorHealth Virginia G. Piper Institute will undergo data visualization

The purpose of this investigation is to apply a machine learning algorithm with de-identified, historic oncology clinical trial data to assess the theoretical understanding of predictive modeling to derive potential clinical practice recommendations. Within this study, electronic medical records from the HonorHealth Virginia G. Piper Institute will undergo data visualization to identify potential correlations and trends critical for model creation as well as further identify potential expansions or limitations of scope regarding model purpose. Hypothesis pursued post data visualization was the development of a predictive model for 6-month survival. Current standard is estimated physician accuracy at 56.5% accuracy at 6 months out. This study created supervised learning models using decision trees, KNN, SVM and Ensemble methods using combinations of LASSO Logistic Regression and Know-GRFF Random Forest for feature selection. SVM trained on a combined set of LASSO and Know-GRRF featured produced the highest performing model at 75.5% with an AUC of 0.82. This study demonstrates the potential for applying predictive modeling on readily available EMR records to drive clinical practice recommendations. The models developed could potentially, with further development, be used as an ancillary tool for jumpstarting patient-physician conversations on survival and life expectancy.
ContributorsLi, Richard Longfei (Co-author) / Liu, Li (Co-author, Thesis director) / Gosselin, Kevin (Co-author, Committee member) / Harrington Bioengineering Program (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
YAP/TAZ is the key effector in the Hippo pathway, but it is also involved in many other regulatory pathways to control tissue and organ size. To better understand its regulation and effects in tumorigenesis and degeneration, a preliminary feedback network was created with the species YAP/TAZ, phosphorylated YAP/TAZ, LATS, miR-130a,

YAP/TAZ is the key effector in the Hippo pathway, but it is also involved in many other regulatory pathways to control tissue and organ size. To better understand its regulation and effects in tumorigenesis and degeneration, a preliminary feedback network was created with the species YAP/TAZ, phosphorylated YAP/TAZ, LATS, miR-130a, VGLL4, and β-catenin. From this network a set of ordinary differential equations were written and analyzed for parameter effects. A model showing the healthy, tumorigenic, and degenerative states was created and preliminary parameter analysis identified the effects of parameter modifications on the overall levels of YAP/TAZ. Further analysis is required and connections with the underlying biology should continue to be pursued to better understand how parameter modifications could improve disease treatments.
ContributorsSussex, Erin Nicole (Author) / Tian, Xiaojun (Thesis director) / Wang, Xiao (Committee member) / School of International Letters and Cultures (Contributor) / Harrington Bioengineering Program (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
The dilemma of the lack of prenatal and neonatal healthcare has been prevalent among third world countries for many years. The lack of prenatal healthcare has been shown to have direct links to spontaneous preterm births from which low-birth weight in babies can be a result. The World Health Organization

The dilemma of the lack of prenatal and neonatal healthcare has been prevalent among third world countries for many years. The lack of prenatal healthcare has been shown to have direct links to spontaneous preterm births from which low-birth weight in babies can be a result. The World Health Organization has identified preterm birth as one of the biggest overseen burdens in developing countries.
This study seeks to answer the research questions: What are the major risk factors associated with the lack of prenatal and neonatal healthcare in developing countries? What are potential routes of intervention (ROI) to help these countries? The goal is to analyze the risk factors and determine if there are any ROIs available to minimize potential incidents or accidents associated with complications of preterm birth.
A few potential risk factors include: poverty, a mother’s lack of education, a lack of professional visitation during pregnancy, having a short cervix, and routine use of Ultrasound. This research paper has identified that keeping ultrasound diagnostics to a minimum, seeking professional help during pregnancy, incorporating corticosteroids for preterm births, implementing Kangaroo Mother Care, and Cervical Cerclage are interventions that can reduce preterm births and the associated complications that come with it. We believe that further research, regarding compliance of each of these interventions, would show reduction of preterm births and low birth weight in developing countries.
ContributorsHuapaya, Eduardo Luciano (Author) / Muthuswamy, Jitendran (Thesis director) / Comar, William (Committee member) / Harrington Bioengineering Program (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
There is an increasing interest in developing thermo-responsive polymers for treating aneurysms. In this thesis project, the potential for poly(NIPAAm-co-JAAm-co-HEMA-Acrylate) (PNJHAc) as a treatment method for brain aneurysms was investigated. Five different batches of polymer were synthesized, purified, lyophilized, and characterized using nuclear magnetic resonance and cloud point techniques over

There is an increasing interest in developing thermo-responsive polymers for treating aneurysms. In this thesis project, the potential for poly(NIPAAm-co-JAAm-co-HEMA-Acrylate) (PNJHAc) as a treatment method for brain aneurysms was investigated. Five different batches of polymer were synthesized, purified, lyophilized, and characterized using nuclear magnetic resonance and cloud point techniques over the course of several months. Two were tested in aneurysm models. Of these five batches, there were two that showed promise as liquid embolic agents for endovascular embolization.
ContributorsLoui, Michelle (Author) / Vernon, Brent (Thesis director) / Pal, Amrita (Committee member) / Harrington Bioengineering Program (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
The aim of the present study was to review the symptoms and current treatment options of the most common skin infections seen in outpatient settings and develop a preliminary alternative treatment solution. The specific skin infections evaluated were those caused by Staphylococcus and Streptococcus bacterial species, and are frequently treated

The aim of the present study was to review the symptoms and current treatment options of the most common skin infections seen in outpatient settings and develop a preliminary alternative treatment solution. The specific skin infections evaluated were those caused by Staphylococcus and Streptococcus bacterial species, and are frequently treated with a wide variety of systemic antibiotics or topical ointments. Systemic antibiotics have shown increased occurrence of adverse side effects as well as the development of antibiotic-resistant bacteria. Additionally, these medications are usually overprescribed, which may further exacerbate negative side effects. Another issue that is addressed is the development of infections following treatment of a new laceration or other trauma to the skin. A patient may be treated for their wound with stitches or another alternative, but there is still the possibility of developing an infection later.
This study synthesizes information found from extensive research and provides a review of the most optimal techniques for developing an alternative to systemic antibiotics. The final deliverable is a report detailing the significant findings and discussing the ways that this solution may be developed further and implemented in a clinical setting. The solution is a hydrogel bandage designed to deliver antibiotics directly to the wound site, while also offering protection and enhanced wound healing. The target population is patients suffering from skin conditions in an outpatient setting. The antibiotics of interest for this solution are clindamycin, doxycycline, and trimethoprim-sulfamethoxazole (co-trimoxazole), as they offer excellent treatment against gram-positive bacteria and methicillin-resistant Staphylococcus aureus. However, other broad-spectrum antibiotics could potentially be incorporated to protect against gram-negative bacteria. The design features a polyvinyl alcohol (PVA) hydrogel that has shown many properties that are beneficial to biomedical applications, including biocompatibility, flexibility, high drug-loading capacity, high absorption of wound exudate, increased promotion of wound healing, and more. Preliminary mathematical models of the hydrogel’s drug delivery behaviors are also included. Due to the scope and timeframe of this project, the majority of findings herein are based on research of prior literature instead of development of the novel device. Future directions would include further research and development of the mechanisms behind the device, creation of a physical prototype, experimental testing, and statistical analyses to verify device specifications and capabilities.
ContributorsTanner, Emily Christine (Author) / Pizziconi, Vincent (Thesis director) / Nguyen, Eric (Committee member) / Harrington Bioengineering Program (Contributor, Contributor) / School of Mathematical and Statistical Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
Malignant Pleural Mesothelioma (MPM) is an aggressive deadly tumor that has few therapeutic options. Immunotherapies have shown great potential in alleviating MPM patient symptoms. Using patient data from the Cancer Genome Atlas (TCGA) we sought to identify mutations, regulators, and immune factors driving immune cell migration. We explored computational methods

Malignant Pleural Mesothelioma (MPM) is an aggressive deadly tumor that has few therapeutic options. Immunotherapies have shown great potential in alleviating MPM patient symptoms. Using patient data from the Cancer Genome Atlas (TCGA) we sought to identify mutations, regulators, and immune factors driving immune cell migration. We explored computational methods to define regulatory causal flows in order to make biological predictions. These predictions were verified by cross-referencing peer-reviewed articles. A disease-relevant inference model was developed to examine the chemokine IL-18’s effect on natural killer cell (NK cell) migration.
ContributorsWipper, Gabrielle Frances (Author) / Plaisier, Christopher (Thesis director) / Plaisier, Seema (Committee member) / Harrington Bioengineering Program (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2020-05