Automated ascending aorta delineation from ECG-gated computed tomography images.

The instrumental role of comprehensive geometrical quantification in contemporary, effective descriptions of aortic growth and disease is well established. General or specific purpose algorithms are being developed to provide automatic landmark detection and high accuracy measurements. In the present study, an objective method for automated delineation of the ascending aorta is introduced, based on geometrical properties of the aortic wall.

Sonic-hedgehog pathway inhibition normalizes desmoplastic tumor microenvironment to improve chemo- and nanotherapy.

Targeting the rich extracellular matrix of desmoplastic tumors has been successfully shown to normalize collagen and hyaluronan levels and re-engineer intratumoral mechanical forces, improving tumor perfusion and chemotherapy. As far as targeting the abundant cancer-associated fibroblasts (CAFs) in desmoplastic tumors is concerned, while both pharmacologic inhibition of the sonic-hedgehog pathway and genetic depletion of fibroblasts have been employed in pancreatic cancers, the results between the two methods have been contradictory. In this study, we employed vismodegib to inhibit the sonic-hedgehog pathway with the aim to i) elucidate the mechanism of how CAFs depletion improves drug delivery, ii) extent and evaluate the potential use of sonic-hedgehog inhibitors to breast cancers, and iii) investigate whether sonic-hedgehog inhibition improves not only chemotherapy, but also the efficacy of the most commonly used breast cancer nanomedicines, namely Abraxane® and Doxil®.

Remodeling of extracellular matrix due to solid stress accumulation during tumor growth.

Solid stresses emerge as the expanding tumor displaces and deforms the surrounding normal tissue, and also as a result of intratumoral component interplay. Among other things, solid stresses are known to induce extensive extracellular matrix synthesis and reorganization. In this study, we developed a mathematical model of tumor growth that distinguishes the contribution to stress generation by collagenous and non-collagenous tumor structural components, and also investigates collagen fiber remodeling exclusively due to solid stress.

Stress-mediated progression of solid tumors: effect of mechanical stress on tissue oxygenation, cancer cell proliferation, and drug delivery.

Oxygen supply plays a central role in cancer cell proliferation. While vascular density increases at the early stages of carcinogenesis, mechanical solid stresses developed during growth compress tumor blood vessels and, thus, drastically reduce not only the supply of oxygen, but also the delivery of drugs at inner tumor regions. Among other effects, hypoxia and reduced drug delivery compromise the efficacy of radiation and chemo/nanotherapy, respectively.

Fluidization, resolidification, and reorientation of the endothelial cell in response to slow tidal stretches.

Mechanical stretch plays an important role in regulating shape and orientation of the vascular endothelial cell. This morphological response to stretch is basic to angiogenesis, neovascularization, and vascular homeostasis, but mechanism remains unclear. To elucidate mechanisms, we used cell mapping rheometry to measure traction forces in primary human umbilical vein endothelial cells subjected to periodic uniaxial stretches.

A Model for Stress Fiber Realignment Caused by Cytoskeletal Fluidization During Cyclic Stretching.

Uniaxial cyclic substrate stretching results in a concerted change of cytoskeletal organization such that stress fibers (SFs) realign away from the direction of stretching. Recent experiments revealed that brief transient stretch promptly ablates cellular contractile stress by means of cytoskeletal fluidization, followed by a slow stress recovery by means of resolidification. This, in turn, suggests that fluidization, resolidification and SF realignment may be linked together during stretching.

Mechanical Stability Determines Stress Fiber and Focal Adhesion Orientation.

It is well documented in a variety of adherent cell types that in response to anisotropic signals from the microenvironment cells alter their cytoskeletal organization. Previous theoretical studies of these phenomena were focused primarily on the elasticity of cytoskeletal actin stress fibers (SFs) and of the substrate while the contribution of focal adhesions (FAs) through which the cytoskeleton is linked to the external environment has not been considered. Here we propose a mathematical model comprised of a single linearly elastic SF and two identical linearly elastic FAs of a finite size at the endpoints of the SF to investigate cytoskeletal realignment in response to uniaxial stretching of the substrate.