1
|
Ogene L, Woods S, Hetmanski J, Lozano N, Karakasidi A, Caswell PT, Kostarelos K, Domingos MAN, Vranic S, Kimber SJ. Graphene oxide activates canonical TGFβ signalling in a human chondrocyte cell line via increased plasma membrane tension. NANOSCALE 2024; 16:5653-5664. [PMID: 38414413 PMCID: PMC10939054 DOI: 10.1039/d3nr06033k] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 02/18/2024] [Indexed: 02/29/2024]
Abstract
Graphene Oxide (GO) has been shown to increase the expression of key cartilage genes and matrix components within 3D scaffolds. Understanding the mechanisms behind the chondroinductive ability of GO is critical for developing articular cartilage regeneration therapies but remains poorly understood. The objectives of this work were to elucidate the effects of GO on the key chondrogenic signalling pathway - TGFβ and identify the mechanism through which signal activation is achieved in human chondrocytes. Activation of canonical signalling was validated through GO-induced SMAD-2 phosphorylation and upregulation of known TGFβ response genes, while the use of a TGFβ signalling reporter assay allowed us to identify the onset of GO-induced signal activation which has not been previously reported. Importantly, we investigate the cell-material interactions and molecular mechanisms behind these effects, establishing a novel link between GO, the plasma membrane and intracellular signalling. By leveraging fluorescent lifetime imaging (FLIM) and a membrane tension probe, we reveal GO-mediated increases in plasma membrane tension, in real-time for the first time. Furthermore, we report the activation of mechanosensory pathways which are known to be regulated by changes in plasma membrane tension and reveal the activation of endogenous latent TGFβ in the presence of GO, providing a mechanism for signal activation. The data presented here are critical to understanding the chondroinductive properties of GO and are important for the implementation of GO in regenerative medicine.
Collapse
Affiliation(s)
- Leona Ogene
- Division of Cell Matrix Biology & Regenerative Medicine, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, M13 9PT, UK.
| | - Steven Woods
- Division of Cell Matrix Biology & Regenerative Medicine, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, M13 9PT, UK.
| | - Joseph Hetmanski
- Wellcome Trust Centre for Cell-Matrix Research, University of Manchester, Manchester Academic Health Science Centre, Manchester, M13 9PT, UK
| | - Neus Lozano
- Nanomedicine Lab, Catalan Institute of Nanoscience and Nanotechnology (ICN2), CSIC and BIST, Campus UAB Bellaterra, 08193 Barcelona, Spain
| | - Angeliki Karakasidi
- Nano-Cell Biology Lab, Division of Cell Matrix Biology & Regenerative Medicine, School of Biological Sciences, The University of Manchester, Manchester, M13 9PT, UK
| | - Patrick T Caswell
- Wellcome Trust Centre for Cell-Matrix Research, University of Manchester, Manchester Academic Health Science Centre, Manchester, M13 9PT, UK
| | - Kostas Kostarelos
- Nanomedicine Lab, Catalan Institute of Nanoscience and Nanotechnology (ICN2), CSIC and BIST, Campus UAB Bellaterra, 08193 Barcelona, Spain
- Institució Catalana de Recerca i Estudis Avançats (ICREA), Pg. Lluís Companys 23, Barcelona, Spain
- Centre for Nanotechnology in Medicine, Faculty of Biology Medicine & Health, The University of Manchester, Manchester, UK
| | - Marco A N Domingos
- Department of Solids and Structure, School of Engineering, Faculty of Science and Engineering, Henry Royce Institute, The University of Manchester, Manchester, UK
| | - Sandra Vranic
- Nano-Cell Biology Lab, Division of Cell Matrix Biology & Regenerative Medicine, School of Biological Sciences, The University of Manchester, Manchester, M13 9PT, UK
- Centre for Nanotechnology in Medicine, Faculty of Biology Medicine & Health, The University of Manchester, Manchester, UK
| | - Susan J Kimber
- Division of Cell Matrix Biology & Regenerative Medicine, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, M13 9PT, UK.
| |
Collapse
|
2
|
Eivazzadeh-Keihan R, Sadat Z, Lalebeigi F, Naderi N, Panahi L, Ganjali F, Mahdian S, Saadatidizaji Z, Mahdavi M, Chidar E, Soleimani E, Ghaee A, Maleki A, Zare I. Effects of mechanical properties of carbon-based nanocomposites on scaffolds for tissue engineering applications: a comprehensive review. NANOSCALE ADVANCES 2024; 6:337-366. [PMID: 38235087 PMCID: PMC10790973 DOI: 10.1039/d3na00554b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 12/03/2023] [Indexed: 01/19/2024]
Abstract
Mechanical properties, such as elasticity modulus, tensile strength, elongation, hardness, density, creep, toughness, brittleness, durability, stiffness, creep rupture, corrosion and wear, a low coefficient of thermal expansion, and fatigue limit, are some of the most important features of a biomaterial in tissue engineering applications. Furthermore, the scaffolds used in tissue engineering must exhibit mechanical and biological behaviour close to the target tissue. Thus, a variety of materials has been studied for enhancing the mechanical performance of composites. Carbon-based nanostructures, such as graphene oxide (GO), reduced graphene oxide (rGO), carbon nanotubes (CNTs), fibrous carbon nanostructures, and nanodiamonds (NDs), have shown great potential for this purpose. This is owing to their biocompatibility, high chemical and physical stability, ease of functionalization, and numerous surface functional groups with the capability to form covalent bonds and electrostatic interactions with other components in the composite, thus significantly enhancing their mechanical properties. Considering the outstanding capabilities of carbon nanostructures in enhancing the mechanical properties of biocomposites and increasing their applicability in tissue engineering and the lack of comprehensive studies on their biosafety and role in increasing the mechanical behaviour of scaffolds, a comprehensive review on carbon nanostructures is provided in this study.
Collapse
Affiliation(s)
- Reza Eivazzadeh-Keihan
- Department of Chemistry, Catalysts and Organic Synthesis Research Laboratory, Iran University of Science and Technology Tehran 16846-13114 Iran
| | - Zahra Sadat
- Department of Chemistry, Catalysts and Organic Synthesis Research Laboratory, Iran University of Science and Technology Tehran 16846-13114 Iran
| | - Farnaz Lalebeigi
- Department of Chemistry, Catalysts and Organic Synthesis Research Laboratory, Iran University of Science and Technology Tehran 16846-13114 Iran
| | - Nooshin Naderi
- Department of Chemistry, Catalysts and Organic Synthesis Research Laboratory, Iran University of Science and Technology Tehran 16846-13114 Iran
| | - Leila Panahi
- Department of Chemistry, Catalysts and Organic Synthesis Research Laboratory, Iran University of Science and Technology Tehran 16846-13114 Iran
| | - Fatemeh Ganjali
- Department of Chemistry, Catalysts and Organic Synthesis Research Laboratory, Iran University of Science and Technology Tehran 16846-13114 Iran
| | - Sakineh Mahdian
- Department of Chemistry, Catalysts and Organic Synthesis Research Laboratory, Iran University of Science and Technology Tehran 16846-13114 Iran
| | - Zahra Saadatidizaji
- Department of Chemistry, Catalysts and Organic Synthesis Research Laboratory, Iran University of Science and Technology Tehran 16846-13114 Iran
| | - Mohammad Mahdavi
- Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences Tehran Iran
| | - Elham Chidar
- Department of Chemistry, Catalysts and Organic Synthesis Research Laboratory, Iran University of Science and Technology Tehran 16846-13114 Iran
| | - Erfan Soleimani
- Department of Chemistry, Catalysts and Organic Synthesis Research Laboratory, Iran University of Science and Technology Tehran 16846-13114 Iran
| | - Azadeh Ghaee
- Department of Life Science Engineering, Faculty of New Sciences and Technologies, University of Tehran P.O. Box 14395-1561 Tehran Iran
| | - Ali Maleki
- Department of Chemistry, Catalysts and Organic Synthesis Research Laboratory, Iran University of Science and Technology Tehran 16846-13114 Iran
| | - Iman Zare
- Research and Development Department, Sina Medical Biochemistry Technologies Co. Ltd Shiraz 7178795844 Iran
| |
Collapse
|
3
|
Badali V, Checa S, Zehn MM, Marinkovic D, Mohammadkhah M. Computational design and evaluation of the mechanical and electrical behavior of a piezoelectric scaffold: a preclinical study. Front Bioeng Biotechnol 2024; 11:1261108. [PMID: 38274011 PMCID: PMC10808828 DOI: 10.3389/fbioe.2023.1261108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 12/18/2023] [Indexed: 01/27/2024] Open
Abstract
Piezoelectric scaffolds have been recently developed to explore their potential to enhance the bone regeneration process using the concept of piezoelectricity, which also inherently occurs in bone. In addition to providing mechanical support during bone healing, with a suitable design, they are supposed to produce electrical signals that ought to favor the cell responses. In this study, using finite element analysis (FEA), a piezoelectric scaffold was designed with the aim of providing favorable ranges of mechanical and electrical signals when implanted in a large bone defect in a large animal model, so that it could inform future pre-clinical studies. A parametric analysis was then performed to evaluate the effect of the scaffold design parameters with regard to the piezoelectric behavior of the scaffold. The designed scaffold consisted of a porous strut-like structure with piezoelectric patches covering its free surfaces within the scaffold pores. The results showed that titanium or PCL for the scaffold and barium titanate (BT) for the piezoelectric patches are a promising material combination to generate favorable ranges of voltage, as reported in experimental studies. Furthermore, the analysis of variance showed the thickness of the piezoelectric patches to be the most influential geometrical parameter on the generation of electrical signals in the scaffold. This study shows the potential of computer tools for the optimization of scaffold designs and suggests that patches of piezoelectric material, attached to the scaffold surfaces, can deliver favorable ranges of electrical stimuli to the cells that might promote bone regeneration.
Collapse
Affiliation(s)
- Vahid Badali
- Department of Structural Mechanics and Analysis, Technische Universität Berlin, Berlin, Germany
- Julius Wolff Institute, Berlin Institute of Health, Charité—Universitätsmedizin Berlin, Berlin, Germany
| | - Sara Checa
- Department of Structural Mechanics and Analysis, Technische Universität Berlin, Berlin, Germany
- Julius Wolff Institute, Berlin Institute of Health, Charité—Universitätsmedizin Berlin, Berlin, Germany
| | - Manfred M. Zehn
- Department of Structural Mechanics and Analysis, Technische Universität Berlin, Berlin, Germany
| | - Dragan Marinkovic
- Department of Structural Mechanics and Analysis, Technische Universität Berlin, Berlin, Germany
| | - Melika Mohammadkhah
- Department of Structural Mechanics and Analysis, Technische Universität Berlin, Berlin, Germany
| |
Collapse
|
4
|
Rahman M, Mahady Dip T, Padhye R, Houshyar S. Review on electrically conductive smart nerve guide conduit for peripheral nerve regeneration. J Biomed Mater Res A 2023; 111:1916-1950. [PMID: 37555548 DOI: 10.1002/jbm.a.37595] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 01/29/2023] [Accepted: 07/26/2023] [Indexed: 08/10/2023]
Abstract
At present, peripheral nerve injuries (PNIs) are one of the leading causes of substantial impairment around the globe. Complete recovery of nerve function after an injury is challenging. Currently, autologous nerve grafts are being used as a treatment; however, this has several downsides, for example, donor site morbidity, shortage of donor sites, loss of sensation, inflammation, and neuroma development. The most promising alternative is the development of a nerve guide conduit (NGC) to direct the restoration and renewal of neuronal axons from the proximal to the distal end to facilitate nerve regeneration and maximize sensory and functional recovery. Alternatively, the response of nerve cells to electrical stimulation (ES) has a substantial regenerative effect. The incorporation of electrically conductive biomaterials in the fabrication of smart NGCs facilitates the function of ES throughout the active proliferation state. This article overviews the potency of the various categories of electroactive smart biomaterials, including conductive and piezoelectric nanomaterials, piezoelectric polymers, and organic conductive polymers that researchers have employed latterly to fabricate smart NGCs and their potentiality in future clinical application. It also summarizes a comprehensive analysis of the recent research and advancements in the application of ES in the field of NGC.
Collapse
Affiliation(s)
- Mustafijur Rahman
- Center for Materials Innovation and Future Fashion (CMIFF), School of Fashion and Textiles, RMIT University, Brunswick, Australia
- Department of Dyes and Chemical Engineering, Bangladesh University of Textiles, Dhaka, Bangladesh
| | - Tanvir Mahady Dip
- Department of Materials, University of Manchester, Manchester, UK
- Department of Yarn Engineering, Bangladesh University of Textiles, Dhaka, Bangladesh
| | - Rajiv Padhye
- Center for Materials Innovation and Future Fashion (CMIFF), School of Fashion and Textiles, RMIT University, Brunswick, Australia
| | - Shadi Houshyar
- School of Engineering, RMIT University, Melbourne, Victoria, Australia
| |
Collapse
|
5
|
Karbowniczek JE, Berniak K, Knapczyk-Korczak J, Williams G, Bryant JA, Nikoi ND, Banzhaf M, de Cogan F, Stachewicz U. Strategies of nanoparticles integration in polymer fibers to achieve antibacterial effect and enhance cell proliferation with collagen production in tissue engineering scaffolds. J Colloid Interface Sci 2023; 650:1371-1381. [PMID: 37480652 DOI: 10.1016/j.jcis.2023.07.066] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 06/30/2023] [Accepted: 07/11/2023] [Indexed: 07/24/2023]
Abstract
Current design strategies for biomedical tissue scaffolds are focused on multifunctionality to provide beneficial microenvironments to support tissue growth. We have developed a simple yet effective approach to create core-shell fibers of poly(3-hydroxybuty-rate-co-3-hydroxyvalerate) (PHBV), which are homogenously covered with titanium dioxide (TiO2) nanoparticles. Unlike the blend process, co-axial electrospinning enabled the uniform distribution of nanoparticles without the formation of large aggregates. We observed 5 orders of magnitude reduction in Escherichia coli survival after contact with electrospun scaffolds compared to the non-material control. In addition, our hybrid cores-shell structure supported significantly higher osteoblast proliferation after 7 days of cell culture and profound generation of 3D networked collagen fibers after 14 days. The organic-inorganic composite scaffold produced in this study demonstrates a unique combination of antibacterial properties and increased bone regeneration properties. In summary, the multifunctionality of the presented core-shell cPHBV+sTiO2 scaffolds shows great promise for biomedical applications.
Collapse
Affiliation(s)
- J E Karbowniczek
- AGH University of Krakow, Faculty of Metals Engineering and Industrial Computer Science, Cracow, Poland
| | - K Berniak
- AGH University of Krakow, Faculty of Metals Engineering and Industrial Computer Science, Cracow, Poland
| | - J Knapczyk-Korczak
- AGH University of Krakow, Faculty of Metals Engineering and Industrial Computer Science, Cracow, Poland
| | - G Williams
- University of Birmingham, Institute for Microbiology and Infection, B15 2TT Birmingham, UK
| | - J A Bryant
- University of Birmingham, Institute for Microbiology and Infection, B15 2TT Birmingham, UK
| | - N D Nikoi
- University of Nottingham, School of Pharmacy, NG7 2RD Nottingham, UK
| | - M Banzhaf
- University of Birmingham, Institute for Microbiology and Infection, B15 2TT Birmingham, UK
| | - F de Cogan
- University of Nottingham, School of Pharmacy, NG7 2RD Nottingham, UK
| | - U Stachewicz
- AGH University of Krakow, Faculty of Metals Engineering and Industrial Computer Science, Cracow, Poland.
| |
Collapse
|
6
|
Motiee ES, Karbasi S, Bidram E, Sheikholeslam M. Investigation of physical, mechanical and biological properties of polyhydroxybutyrate-chitosan/graphene oxide nanocomposite scaffolds for bone tissue engineering applications. Int J Biol Macromol 2023; 247:125593. [PMID: 37406897 DOI: 10.1016/j.ijbiomac.2023.125593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 06/13/2023] [Accepted: 06/26/2023] [Indexed: 07/07/2023]
Abstract
Mechanical properties appropriate to native tissues, as an essential component in bone tissue engineering scaffolds, plays a significant role in tissue formation. In the current study, Poly-3 hydroxybutyrate-chitosan (PC) scaffolds reinforced with graphene oxide (GO) were made by the electrospinning method. The addition of GO led to a decrease in fibers diameter, an increase in thermal capacity and an improvement in the surface hydrophilicity of nanocomposite scaffolds. A significant increase in the mechanical properties of PC/GO (PCG) nanocomposite scaffolds was achieved due to the inherent strength of GO as well as its uniform dispersion throughout the polymeric matrix owing to hydrogen bonding and polar interactions. Also, lower biological degradation of the scaffolds (~30% in 100 days) due to the presence of GO provides essential mechanical support for bone regeneration. In addition, the bioactivity results showed that GO reinforcement significantly increases the biomineralization on the surface of the scaffolds. Evaluating cell adhesion and proliferation, as well as ALP activity of MG-63 cells on PC and PCG scaffolds indicated the positive effect of GO on scaffolds' biocompatibility. Overall, the improvement of physicochemical, mechanical, and biological properties of GO-reinforced scaffolds shows the potential of PCG nanocomposite scaffolds for bone tissue engineering.
Collapse
Affiliation(s)
- Elham-Sadat Motiee
- Department of Biomaterials, Nanotechnology and Tissue Engineering, School of Advanced Technologies in Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Saeed Karbasi
- Department of Biomaterials, Nanotechnology and Tissue Engineering, School of Advanced Technologies in Medicine, Isfahan University of Medical Sciences, Isfahan, Iran; Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Elham Bidram
- Department of Biomaterials, Nanotechnology and Tissue Engineering, School of Advanced Technologies in Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mohammadali Sheikholeslam
- Department of Biomaterials, Nanotechnology and Tissue Engineering, School of Advanced Technologies in Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| |
Collapse
|
7
|
Morphology and crystallization behaviour of polyhydroxyalkanoates-based blends and composites: A review. Biochem Eng J 2022. [DOI: 10.1016/j.bej.2022.108588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
8
|
Santos Silva T, Melo Soares M, Oliveira Carreira AC, de Sá Schiavo Matias G, Coming Tegon C, Massi M, de Aguiar Oliveira A, da Silva Júnior LN, Costa de Carvalho HJ, Doná Rodrigues Almeida GH, Silva Araujo M, Fratini P, Miglino MA. Biological Characterization of Polymeric Matrix and Graphene Oxide Biocomposites Filaments for Biomedical Implant Applications: A Preliminary Report. Polymers (Basel) 2021; 13:3382. [PMID: 34641197 PMCID: PMC8512758 DOI: 10.3390/polym13193382] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 09/09/2021] [Accepted: 09/12/2021] [Indexed: 12/18/2022] Open
Abstract
Carbon nanostructures application, such as graphene (Gr) and graphene oxide (GO), provides suitable efforts for new material acquirement in biomedical areas. By aiming to combine the unique physicochemical properties of GO to Poly L-lactic acid (PLLA), PLLA-GO filaments were produced and characterized by X-ray diffraction (XRD). The in vivo biocompatibility of these nanocomposites was performed by subcutaneous and intramuscular implantation in adult Wistar rats. Evaluation of the implantation inflammatory response (21 days) and mesenchymal stem cells (MSCs) with PLLA-GO took place in culture for 7 days. Through XRD, new crystallographic planes were formed by mixing GO with PLLA (PLLA-GO). Using macroscopic analysis, GO implanted in the subcutaneous region showed particles' organization, forming a structure similar to a ribbon, without tissue invasion. Histologically, no tissue architecture changes were observed, and PLLA-GO cell adhesion was demonstrated by scanning electron microscopy (SEM). Finally, PLLA-GO nanocomposites showed promising results due to the in vivo biocompatibility test, which demonstrated effective integration and absence of inflammation after 21 days of implantation. These results indicate the future use of PLLA-GO nanocomposites as a new effort for tissue engineering (TE) application, although further analysis is required to evaluate their proliferative capacity and viability.
Collapse
Affiliation(s)
- Thamires Santos Silva
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo 05508-270, Brazil; (T.S.S.); (A.C.O.C.); (G.d.S.S.M.); (L.N.d.S.J.); (H.J.C.d.C.); (G.H.D.R.A.); (M.S.A.); (P.F.)
| | - Marcelo Melo Soares
- Department of Materials Engineering, Mackgraph Institute, Mackenzie Presbyterian University, São Paulo 01302-907, Brazil; (M.M.S.); (C.C.T.); (M.M.); (A.d.A.O.)
| | - Ana Claudia Oliveira Carreira
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo 05508-270, Brazil; (T.S.S.); (A.C.O.C.); (G.d.S.S.M.); (L.N.d.S.J.); (H.J.C.d.C.); (G.H.D.R.A.); (M.S.A.); (P.F.)
| | - Gustavo de Sá Schiavo Matias
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo 05508-270, Brazil; (T.S.S.); (A.C.O.C.); (G.d.S.S.M.); (L.N.d.S.J.); (H.J.C.d.C.); (G.H.D.R.A.); (M.S.A.); (P.F.)
| | - Carolina Coming Tegon
- Department of Materials Engineering, Mackgraph Institute, Mackenzie Presbyterian University, São Paulo 01302-907, Brazil; (M.M.S.); (C.C.T.); (M.M.); (A.d.A.O.)
| | - Marcos Massi
- Department of Materials Engineering, Mackgraph Institute, Mackenzie Presbyterian University, São Paulo 01302-907, Brazil; (M.M.S.); (C.C.T.); (M.M.); (A.d.A.O.)
| | - Andressa de Aguiar Oliveira
- Department of Materials Engineering, Mackgraph Institute, Mackenzie Presbyterian University, São Paulo 01302-907, Brazil; (M.M.S.); (C.C.T.); (M.M.); (A.d.A.O.)
| | - Leandro Norberto da Silva Júnior
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo 05508-270, Brazil; (T.S.S.); (A.C.O.C.); (G.d.S.S.M.); (L.N.d.S.J.); (H.J.C.d.C.); (G.H.D.R.A.); (M.S.A.); (P.F.)
| | - Hianka Jasmyne Costa de Carvalho
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo 05508-270, Brazil; (T.S.S.); (A.C.O.C.); (G.d.S.S.M.); (L.N.d.S.J.); (H.J.C.d.C.); (G.H.D.R.A.); (M.S.A.); (P.F.)
| | - Gustavo Henrique Doná Rodrigues Almeida
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo 05508-270, Brazil; (T.S.S.); (A.C.O.C.); (G.d.S.S.M.); (L.N.d.S.J.); (H.J.C.d.C.); (G.H.D.R.A.); (M.S.A.); (P.F.)
| | - Michelle Silva Araujo
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo 05508-270, Brazil; (T.S.S.); (A.C.O.C.); (G.d.S.S.M.); (L.N.d.S.J.); (H.J.C.d.C.); (G.H.D.R.A.); (M.S.A.); (P.F.)
| | - Paula Fratini
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo 05508-270, Brazil; (T.S.S.); (A.C.O.C.); (G.d.S.S.M.); (L.N.d.S.J.); (H.J.C.d.C.); (G.H.D.R.A.); (M.S.A.); (P.F.)
| | - Maria Angelica Miglino
- Department of Surgery, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo 05508-270, Brazil; (T.S.S.); (A.C.O.C.); (G.d.S.S.M.); (L.N.d.S.J.); (H.J.C.d.C.); (G.H.D.R.A.); (M.S.A.); (P.F.)
| |
Collapse
|