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1.
Am J Physiol Heart Circ Physiol ; 307(2): H152-64, 2014 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-24816262

RESUMO

The details of the mechanical factors that modulate angiogenesis remain poorly understood. Previous in vitro studies of angiogenesis using microvessel fragments cultured within collagen constructs demonstrated that neovessel alignment can be induced via mechanical constraint of the boundaries (i.e., boundary conditions). The objective of this study was to investigate the role of mechanical boundary conditions in the regulation of angiogenic alignment and growth in an in vitro model of angiogenesis. Angiogenic microvessels within three-dimensional constructs were subjected to different boundary conditions, thus producing different stress and strain fields during growth. Neovessel outgrowth and orientation were quantified from confocal image data after 6 days. Vascularity and branching decreased as the amount of constraint imposed on the culture increased. In long-axis constrained hexahedral constructs, microvessels aligned parallel to the constrained axis. In contrast, constructs that were constrained along the short axis had random microvessel orientation. Finite element models were used to simulate the contraction of gels under the various boundary conditions and to predict the local strain field experienced by microvessels. Results from the experiments and simulations demonstrated that microvessels aligned perpendicular to directions of compressive strain. Alignment was due to anisotropic deformation of the matrix from cell-generated traction forces interacting with the mechanical boundary conditions. These findings demonstrate that boundary conditions and thus the effective stiffness of the matrix regulate angiogenesis. This study offers a potential explanation for the oriented vascular beds that occur in native tissues and provides the basis for improved control of tissue vascularization in both native tissues and tissue-engineered constructs.


Assuntos
Tecido Adiposo/irrigação sanguínea , Colágeno Tipo I/metabolismo , Mecanotransdução Celular , Microvasos/metabolismo , Neovascularização Fisiológica , Animais , Epididimo , Análise de Elementos Finitos , Masculino , Microscopia Confocal , Modelos Cardiovasculares , Ratos , Ratos Sprague-Dawley , Estresse Mecânico , Fatores de Tempo , Técnicas de Cultura de Tecidos
2.
J Biomed Mater Res B Appl Biomater ; 102(8): 1817-24, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24711209

RESUMO

Immobilization of heparin to surfaces has been used for decades to reduce the thrombogenicity of blood contacting devices. This study evaluates how the mode of covalent heparin bonding affects the hemocompatibility and uptake of antithrombin on surfaces in whole blood. End-point attached (EPA) heparin, using the proprietary Carmeda Bioactive Surface (CBAS Surface), was compared with other methods of covalent heparin bonding that typically yield multiple covalent linkages (using reductive amination of periodate oxidized native heparin or EDC coupling of native heparin). All heparin surfaces were immobilized on flexible polyvinyl chloride tubing and exposed to fresh non-anticoagulated blood in an in vitro recirculating Chandler loop blood model. After exposure, biomarkers for coagulation and platelet activation were analyzed in the solution phase, and adsorbed plasma proteins were eluted from the heparin surfaces and measured for surface concentration of antithrombin and total adsorbed protein. Only the EPA-heparin surface conferred thromboresistance, as observed by the absence of clotting. Attachment and activation of platelets as well as activation of the clotting cascade was significantly lower on the EPA-heparin surface when compared with the other heparin surfaces. In addition, antithrombin constituted ∼40% of the total adsorbed plasma protein concentration on the EPA-heparin surfaces.


Assuntos
Plaquetas/química , Proteínas Sanguíneas/química , Materiais Revestidos Biocompatíveis/química , Heparina/química , Teste de Materiais , Adesividade Plaquetária , Adsorção , Plaquetas/metabolismo , Humanos , Propriedades de Superfície
3.
PLoS One ; 9(1): e85178, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24465500

RESUMO

Angiogenesis is regulated by the local microenvironment, including the mechanical interactions between neovessel sprouts and the extracellular matrix (ECM). However, the mechanisms controlling the relationship of mechanical and biophysical properties of the ECM to neovessel growth during sprouting angiogenesis are just beginning to be understood. In this research, we characterized the relationship between matrix density and microvascular topology in an in vitro 3D organ culture model of sprouting angiogenesis. We used these results to design and calibrate a computational growth model to demonstrate how changes in individual neovessel behavior produce the changes in vascular topology that were observed experimentally. Vascularized gels with higher collagen densities produced neovasculatures with shorter vessel lengths, less branch points, and reduced network interconnectivity. The computational model was able to predict these experimental results by scaling the rates of neovessel growth and branching according to local matrix density. As a final demonstration of utility of the modeling framework, we used our growth model to predict several scenarios of practical interest that could not be investigated experimentally using the organ culture model. Increasing the density of the ECM significantly reduced angiogenesis and network formation within a 3D organ culture model of angiogenesis. Increasing the density of the matrix increases the stiffness of the ECM, changing how neovessels are able to deform and remodel their surroundings. The computational framework outlined in this study was capable of predicting this observed experimental behavior by adjusting neovessel growth rate and branching probability according to local ECM density, demonstrating that altering the stiffness of the ECM via increasing matrix density affects neovessel behavior, thereby regulated vascular topology during angiogenesis.


Assuntos
Matriz Extracelular/fisiologia , Microvasos/crescimento & desenvolvimento , Morfogênese , Neovascularização Fisiológica/fisiologia , Algoritmos , Animais , Colágeno/metabolismo , Colágeno/fisiologia , Simulação por Computador , Células Endoteliais/efeitos dos fármacos , Células Endoteliais/fisiologia , Matriz Extracelular/metabolismo , Masculino , Microscopia Confocal , Microscopia de Contraste de Fase , Microvasos/citologia , Microvasos/efeitos dos fármacos , Modelos Biológicos , Neovascularização Fisiológica/efeitos dos fármacos , Técnicas de Cultura de Órgãos/métodos , Ratos , Ratos Sprague-Dawley , Fatores de Tempo , Fator A de Crescimento do Endotélio Vascular/farmacologia
4.
J Biomech Eng ; 136(2): 021001, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24441831

RESUMO

Angiogenesis is the process by which new blood vessels sprout from existing blood vessels, enabling new vascular elements to be added to an existing vasculature. This review discusses our investigations into the role of cell-matrix mechanics in the mechanical regulation of angiogenesis. The experimental aspects of the research are based on in vitro experiments using an organ culture model of sprouting angiogenesis with the goal of developing new treatments and techniques to either promote or inhibit angiogenic outgrowth, depending on the application. Computational simulations were performed to simulate angiogenic growth coupled to matrix deformation, and live two-photon microscopy was used to obtain insight into the dynamic mechanical interaction between angiogenic neovessels and the extracellular matrix. In these studies, we characterized how angiogenic neovessels remodel the extracellular matrix (ECM) and how properties of the matrix such as density and boundary conditions influence vascular growth and alignment. Angiogenic neovessels extensively deform and remodel the matrix through a combination of applied traction, proteolytic activity, and generation of new cell-matrix adhesions. The angiogenic phenotype within endothelial cells is promoted by ECM deformation and remodeling. Sensitivity analysis using our finite element model of angiogenesis suggests that cell-generated traction during growth is the most important parameter controlling the deformation of the matrix and, therefore, angiogenic growth and remodeling. Live two-photon imaging has also revealed numerous neovessel behaviors during angiogenesis that are poorly understood such as episodic growth/regression, neovessel colocation, and anastomosis. Our research demonstrates that the topology of a resulting vascular network can be manipulated directly by modifying the mechanical interaction between angiogenic neovessels and the matrix.


Assuntos
Matriz Extracelular/fisiologia , Mecanotransdução Celular/fisiologia , Microcirculação/fisiologia , Microvasos/crescimento & desenvolvimento , Modelos Cardiovasculares , Neovascularização Fisiológica/fisiologia , Animais , Módulo de Elasticidade/fisiologia , Humanos
5.
J Orthop Res ; 31(8): 1226-33, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23553827

RESUMO

Elastin is a structural protein that provides resilience to biological tissues. We examined the contributions of elastin to the quasi-static tensile response of porcine medial collateral ligament through targeted disruption of the elastin network with pancreatic elastase. Elastase concentration and treatment time were varied to determine a dose response. Whereas elastin content decreased with increasing elastase concentration and treatment time, the change in peak stress after cyclic loading reached a plateau above 1 U/ml elastase and 6 h treatment. For specimens treated with 2 U/ml elastase for 6 h, elastin content decreased approximately 35%. Mean peak tissue strain after cyclic loading (4.8%, p ≥ 0.300), modulus (275 MPa, p ≥ 0.114) and hysteresis (20%, p ≥ 0.553) were unaffected by elastase digestion, but stress decreased significantly after treatment (up to 2 MPa, p ≤ 0.049). Elastin degradation had no effect on failure properties, but tissue lengthened under the same pre-stress. Stiffness in the linear region was unaffected by elastase digestion, suggesting that enzyme treatment did not disrupt collagen. These results demonstrate that elastin primarily functions in the toe region of the stress-strain curve, yet contributes load support in the linear region. The increase in length after elastase digestion suggests that elastin may pre-stress and stabilize collagen crimp in ligaments.


Assuntos
Elastina/metabolismo , Ligamento Colateral Médio do Joelho/metabolismo , Resistência à Tração/fisiologia , Animais , Colágeno/metabolismo , Feminino , Masculino , Ligamento Colateral Médio do Joelho/efeitos dos fármacos , Elastase Pancreática/metabolismo , Elastase Pancreática/farmacologia , Joelho de Quadrúpedes , Suínos , Resistência à Tração/efeitos dos fármacos , Tropoelastina/fisiologia , Suporte de Carga
6.
Matrix Biol ; 32(7-8): 414-23, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23608680

RESUMO

The proteoglycan decorin is known to affect both the fibrillogenesis and the resulting ultrastructure of in vitro polymerized collagen gels. However, little is known about its effects on mechanical properties. In this study, 3D collagen gels were polymerized into tensile test specimens in the presence of decorin proteoglycan, decorin core protein, or dermatan sulfate (DS). Collagen fibrillogenesis, ultrastructure, and mechanical properties were then quantified using a turbidity assay, 2 forms of microscopy (SEM and confocal), and tensile testing. The presence of decorin proteoglycan or core protein decreased the rate and ultimate turbidity during fibrillogenesis and decreased the number of fibril aggregates (fibers) compared to control gels. The addition of decorin and core protein increased the linear modulus by a factor of 2 compared to controls, while the addition of DS reduced the linear modulus by a factor of 3. Adding decorin after fibrillogenesis had no effect, suggesting that decorin must be present during fibrillogenesis to increase the mechanical properties of the resulting gels. These results show that the inclusion of decorin proteoglycan during fibrillogenesis of type I collagen increases the modulus and tensile strength of resulting collagen gels. The increase in mechanical properties when polymerization occurs in the presence of the decorin proteoglycan is due to a reduction in the aggregation of fibrils into larger order structures such as fibers and fiber bundles.


Assuntos
Condrogênese/efeitos dos fármacos , Colágeno/fisiologia , Decorina/farmacologia , Animais , Fenômenos Biomecânicos , Bovinos , Condrogênese/fisiologia , Colágeno/ultraestrutura , Decorina/isolamento & purificação , Dermatan Sulfato/farmacologia , Relação Dose-Resposta a Droga , Processamento de Imagem Assistida por Computador , Teste de Materiais , Microscopia Confocal , Microscopia Eletrônica de Varredura , Nefelometria e Turbidimetria , Temperatura
7.
Artigo em Inglês | MEDLINE | ID: mdl-22515707

RESUMO

Recent interest in the process of vascularisation within the biomedical community has motivated numerous new research efforts focusing on the process of angiogenesis. Although the role of chemical factors during angiogenesis has been well documented, the role of mechanical factors, such as the interaction between angiogenic vessels and the extracellular matrix, remains poorly understood. In vitro methods for studying angiogenesis exist; however, measurements available using such techniques often suffer from limited spatial and temporal resolutions. For this reason, computational models have been extensively employed to investigate various aspects of angiogenesis. This paper outlines the formulation and validation of a simple and robust computational model developed to accurately simulate angiogenesis based on length, branching and orientation morphometrics collected from vascularised tissue constructs. Microvessels were represented as a series of connected line segments. The morphology of the vessels was determined by a linear combination of the collagen fibre orientation, the vessel density gradient and a random walk component. Excellent agreement was observed between computational and experimental morphometric data over time. Computational predictions of microvessel orientation within an anisotropic matrix correlated well with experimental data. The accuracy of this modelling approach makes it a valuable platform for investigating the role of mechanical interactions during angiogenesis.


Assuntos
Simulação por Computador , Matriz Extracelular/ultraestrutura , Modelos Biológicos , Neovascularização Fisiológica , Animais , Células Cultivadas , Colágenos Fibrilares/ultraestrutura , Microscopia Confocal , Microvasos/citologia , Microvasos/crescimento & desenvolvimento , Ratos , Ratos Sprague-Dawley
8.
J Biomech ; 43(13): 2567-73, 2010 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-20627251

RESUMO

Dermatan and chondroitin sulfate glycosaminoglycans (GAGs) comprise over 90% of the GAG content in ligament. Studies of their mechanical contribution to soft tissues have reported conflicting results. Measuring the transient compressive response and biphasic material parameters of the tissue may elucidate the contributions of GAGs to the viscoelastic response to deformation. The hypotheses of the current study were that digestion of sulfated GAGs would decrease compressive stress and aggregate modulus while increasing the permeability of porcine medial collateral ligament (MCL). Confined compression stress relaxation experiments were carried out on porcine MCL and tissue treated with chondroitinase ABC (ChABC). Results were fit to a biphasic constitutive model to derive permeability and aggregate modulus. Bovine articular cartilage was used as a benchmark tissue to verify that the apparatus provided reliable results. GAG digestion removed up to 88% of sulfated GAGs from the ligament. Removal of sulfated GAGs increased the permeability of porcine MCL nearly 6-fold versus control tissues. Peak stress decreased significantly. Bovine articular cartilage exhibited the typical reduction of GAG content and resultant decreases in stress and modulus and increases in permeability with ChABC digestion. Given the relatively small amount of GAG in ligament (<1% of tissue dry weight) and the significant change in peak stress and permeability upon removal of GAGs, sulfated GAGs may play a significant role in maintaining the apposition of collagen fibrils in the transverse direction, thus supporting dynamic compressive loads experienced by the ligament during complex joint motion.


Assuntos
Glicosaminoglicanos/fisiologia , Ligamento Colateral Médio do Joelho/fisiologia , Animais , Cartilagem Articular/metabolismo , Bovinos , Sulfatos de Condroitina/análise , Sulfatos de Condroitina/fisiologia , Força Compressiva , Dermatan Sulfato/análise , Dermatan Sulfato/fisiologia , Glicosaminoglicanos/análise , Ligamento Colateral Médio do Joelho/química , Permeabilidade , Sulfatos , Suínos
9.
Biomaterials ; 30(3): 327-35, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18937972

RESUMO

To study the affect of mechanical stimuli on human laryngeal fibroblasts, we developed bioreactors capable of vibrating cell seeded substrates at frequencies and displacements comparable to measured phonation values in human subjects. In addition, we developed a means of harvesting the secreted matrix as a bulk biomaterial by removing the polymer foam using an organic solvent. Using the system human derived laryngeal fibroblasts were subjected to vibrational stimuli (100 Hz) for 1-21 days. Following mechanical conditioning, extracellular matrix and matrix related gene expression, cytokine production, matrix protein accumulation, and construct material properties were assessed with DNA microarray, enzyme linked immunosorbent, indirect immunofluorescent, and uni-axial tensile assays respectively. The results show that vocal fold-like vibrational stimuli is sufficient to influence the expression of several key matrix and matrix related genes, enhance the secretion of the profibrotic cytokine TGFbeta1, increase the accumulation of the extracellular matrix proteins, fibronectin and collagen type 1, as well as enhance construct stiffness compared to non-stimulated controls. Our results demonstrate that high frequency substrate vibration, like cyclic strain, can accelerate matrix deposition from human derived laryngeal fibroblasts. The study supports the notion that preconditioning regimens using human cells may be useful for producing cell derived biomaterials for therapeutic application.


Assuntos
Reatores Biológicos , Matriz Extracelular/metabolismo , Fibroblastos/metabolismo , Vibração , Quimiocina CCL2/metabolismo , Meios de Cultura , Fibroblastos/citologia , Liofilização , Humanos , Fenômenos Mecânicos , Microscopia Confocal , Análise de Sequência com Séries de Oligonucleotídeos , Alicerces Teciduais , Fator de Crescimento Transformador beta1/metabolismo
10.
J Appl Physiol (1985) ; 106(2): 423-31, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19074575

RESUMO

The viscoelastic properties of human ligament potentially guard against structural failure, yet the microstructural origins of these transient behaviors are unknown. Glycosaminoglycans (GAGs) are widely suspected to affect ligament viscoelasticity by forming molecular bridges between neighboring collagen fibrils. This study investigated whether GAGs directly affect viscoelastic material behavior in human medial collateral ligament (MCL) by using nondestructive tensile tests before and after degradation of GAGs with chondroitinase ABC (ChABC). Control and ChABC treatment (83% GAG removal) produced similar alterations to ligament viscoelasticity. This finding was consistent at different levels of collagen fiber stretch and tissue hydration. On average, stress relaxation increased after incubation by 2.2% (control) and 2.1% (ChABC), dynamic modulus increased after incubation by 3.6% (control) and 3.8% (ChABC), and phase shift increased after incubation by 8.5% (control) and 8.4% (ChABC). The changes in viscoelastic behavior after treatment were significantly more pronounced at lower clamp-to-clamp strain levels. A 10% difference in the water content of tested specimens had minor influence on ligament viscoelastic properties. The major finding of this study is that mechanical interactions between collagen fibrils and GAGs are unrelated to tissue-level viscoelastic mechanics in mature human MCL. These findings narrow the possible number of extracellular matrix molecules that have a direct contribution to ligament viscoelasticity.


Assuntos
Glicosaminoglicanos/metabolismo , Ligamento Colateral Médio do Joelho/metabolismo , Fenômenos Biomecânicos , Cadáver , Condroitina ABC Liase/metabolismo , Módulo de Elasticidade , Colágenos Fibrilares/metabolismo , Humanos , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Resistência à Tração , Fatores de Tempo , Viscosidade , Água/metabolismo
11.
Cardiovasc Res ; 78(2): 324-32, 2008 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-18310100

RESUMO

AIM: Mechanical forces are important regulators of cell and tissue phenotype. We hypothesized that mechanical loading and boundary conditions would influence neovessel activity during angiogenesis. METHODS AND RESULTS: Using an in vitro model of angiogenesis sprouting and a mechanical loading system, we evaluated the effects of boundary conditions and applied loading. The model consisted of rat microvessel fragments cultured in a 3D collagen gel, previously shown to recapitulate angiogenic sprouting observed in vivo. We examined changes in neovascular growth in response to four different mechanical conditions. Neovessel density, diameter, length and orientation were measured from volumetric confocal images of cultures exposed to no external load (free-floating shape control), intrinsic loads (fixed ends, no stretch), static external load (static stretch), or cyclic external load (cyclic stretch). Neovessels sprouted and grew by the third day of culture and continued to do so during the next 3 days of loading. The numbers of neovessels and branch points were significantly increased in the static stretch group when compared with the free-floating shape control group. In all mechanically loaded cultures, neovessel diameter and length distributions were heterogeneous, whereas they were homogeneous in shape control cultures. Neovessels were significantly more oriented along the direction of mechanical loading than those in the shape controls. Interestingly, collagen fibrils were organized parallel and adjacent to growing neovessels. CONCLUSION: Externally applied boundary conditions regulate neovessel sprouting and elongation during angiogenesis, affecting both neovessel growth characteristics and network morphometry. Furthermore, neovessels align parallel to the direction of stress/strain or internally generated traction, and this may be because of collagen fibril alignment induced by the growing neovessels themselves.


Assuntos
Tecido Adiposo/irrigação sanguínea , Neovascularização Fisiológica , Adaptação Fisiológica , Animais , Colágeno/metabolismo , Géis , Masculino , Mecanotransdução Celular , Microcirculação/citologia , Microcirculação/fisiologia , Microscopia Confocal , Fenótipo , Ratos , Ratos Sprague-Dawley , Estresse Mecânico , Fatores de Tempo , Técnicas de Cultura de Tecidos/instrumentação
12.
J Orthop Res ; 25(7): 894-903, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17343278

RESUMO

The glycosaminoglycan of decorin, dermatan sulfate (DS), has been suggested to contribute to the mechanical properties of soft connective tissues such as ligaments and tendons. This study investigated the mechanical function of DS in human medial collateral ligaments (MCL) using nondestructive shear and tensile material tests performed before and after targeted removal of DS with chondroitinase B (ChB). The quasi-static elastic material properties of human MCL were unchanged after DS removal. At peak deformation, tensile and shear stresses in ChB treated tissue were within 0.5% (p>0.70) and 2.0% (p>0.30) of pre-treatment values, respectively. From pre- to post-ChB treatment under tensile loading, the tensile tangent modulus went from 242+/-64 to 233+/-57 MPa (p=0.44), and tissue strain at peak deformation went from 4.3+/-0.3% to 4.4+/-0.3% (p=0.54). Tissue hysteresis was unaffected by DS removal for both tensile and shear loading. Biochemical analysis confirmed that 90% of DS was removed by ChB treatment when compared to control samples, and transmission electron microscopy (TEM) imaging further verified the degradation of DS by showing an 88% reduction (p<.001) of sulfated glycosaminoglycans in ChB treated tissue. These results demonstrate that DS in mature knee MCL tissue does not resist tensile or shear deformation under quasi-static loading conditions, challenging the theory that decorin proteoglycans contribute to the elastic material behavior of ligament.


Assuntos
Fenômenos Biomecânicos , Dermatan Sulfato/metabolismo , Ligamento Colateral Médio do Joelho/metabolismo , Condroitinases e Condroitina Liases/farmacologia , Dermatan Sulfato/ultraestrutura , Elasticidade/efeitos dos fármacos , Humanos , Ligamento Colateral Médio do Joelho/efeitos dos fármacos , Ligamento Colateral Médio do Joelho/ultraestrutura , Microscopia Eletrônica de Transmissão , Pessoa de Meia-Idade , Resistência ao Cisalhamento , Resistência à Tração/efeitos dos fármacos , Resistência à Tração/fisiologia , Suporte de Carga/fisiologia
13.
J Struct Biol ; 158(1): 33-45, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17150374

RESUMO

The proteoglycan decorin and its associated glycosaminoglycan (GAG), dermatan sulfate (DS), regulate collagen fibril formation, control fibril diameter, and have been suggested to contribute to the mechanical stability and material properties of connective tissues. The spatial distribution and orientation of DS within the tissue are relevant to these mechanical roles, but measurements of length and orientation from 2D transmission electron microscopy (TEM) are prone to errors from projection. The objectives of this study were to construct a 3D geometric model of DS GAGs and collagen fibrils, and to use the model to interpret TEM measurements of the spatial orientation and length of DS GAGs in the medial collateral ligament of the human knee. DS was distinguished from other sulfated GAGs by treating tissue with chondroitinase B, an enzyme that selectively degrades DS. An image processing pipeline was developed to analyze the TEM micrographs. The 3D model of collagen and GAGs quantified the projection error in the 2D TEM measurements. Model predictions of 3D GAG orientation were highly sensitive to the assumed GAG length distribution, with the baseline input distribution of 69+/-23 nm providing the best predictions of the angle measurements from TEM micrographs. The corresponding orientation distribution for DS GAGs was maximal at orientations orthogonal to the collagen fibrils, tapering to near zero with axial alignment. Sulfated GAGs that remained after chondroitinase B treatment were preferentially aligned along the collagen fibril. DS therefore appears more likely to bridge the interfibrillar gap than non-DS GAGs. In addition to providing quantitative data for DS GAG length and orientation in the human MCL, this study demonstrates how a 3D geometric model can be used to provide a priori information for interpretation of geometric measurements from 2D micrographs.


Assuntos
Ligamentos Colaterais/ultraestrutura , Dermatan Sulfato/ultraestrutura , Glicosaminoglicanos/ultraestrutura , Condroitinases e Condroitina Liases/química , Dermatan Sulfato/química , Humanos , Imageamento Tridimensional , Microscopia Eletrônica de Transmissão
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