Links between posterior pituitary activity, psychometric profile and other endocrine abnormalities in anorexia nervosa: a multimodal evaluation

Introduction

Opioid system activity was found disturbed in several reward circuit areas in restrictive anorexia nervosa (AN) patients but also at the pituitary level. The role of this specific abnormality in AN physiopathology remains unknown.O

Objectives

We aimed to evaluate the relationship of upper mentioned AN abnormality with its classical pituitary features and eating behavior traits.

Methods

PET [¹¹C] diprenorphin binding potential (BP_ND) were processed for each pituitary part in three groups of young women: 12 AN, 11 recovered AN patients (ANrec), and 12 Controls. Anterior pituitary hormones and neurohypophysis (NH) 12 points circadian profile including copeptin and oxytocin, psychological scores were evaluated in these subjects as well as in 13 bulimic (BN) patients.

Results

[¹¹C] diprenorphin pituitary binding was found to be fully localized in NH. Only AN patients’ NH present lower [¹¹C] diprenorphin BP_ND than Controls, interpreted as a higher opioid tone. Both AN and ANrec show lower copeptin/24h than in Controls but no difference in oxytocin. BN showed increased copeptin and low oxytocin. In AN patients copeptin inversely correlate with Restrained Eating while oxytocin correlate with the External Eating score. NH [¹¹C] diprenorphin BP_ND correlated with leptin but not with copeptin or oxytocin.

Conclusions

Neurohypopysis opioid tone in anorexia nervosa seem not to impact the vasopressin or oxytocin release but still may interfere in gonadal axis regulation. Copeptin, a good indicator of hydration state, may be a good tool to detect hidden restrictive or purging behaviors. Specific correlates with AN psychologic features still suggest a physiopathological involvement.

Disclosure

No significant relationships.

Stealth properties of poly(ethylene oxide)-based triblock copolymer micelles: a prerequisite for a pH-triggered targeting system

Evaluation of the biocompatibility of pH-triggered targeting micelles was performed with the goal of studying the effect of a poly(ethylene oxide) (PEO) coating on micelle stealth properties. Upon protonation under acidic conditions, pH-sensitive poly(2-vinylpyridine) (P2VP) blocks were stretched, exhibiting positive charges at the periphery of the micelles as well as being a model targeting unit. The polymer micelles were based on two different macromolecular architectures, an ABC miktoarm star terpolymer and an ABC linear triblock copolymer, which combined three different polymer blocks, i.e. hydrophobic poly(ε-caprolactone), PEO and P2VP. Neutral polymer micelles were formed at physiological pH. These systems were tested for their ability to avoid macrophage uptake, their complement activation and their pharmacological behavior after systemic injection in mice, as a function of their conformation (neutral or protonated). After protonation, complement activation and macrophage uptake were up to twofold higher than for neutral systems. By contrast, when P2VP blocks and the targeting unit were buried by the PEO shell at physiological pH, micelle stealth properties were improved, allowing their future systemic injection with an expected long circulation in blood. Smart systems responsive to pH were thus developed which therefore hold great promise for targeted drug delivery to an acidic tumoral environment.

Carbon Black-Filled Polymer Blends: A Scanning Probe Microscopy Characterization

Conducting polymer composites, that consist of a conducting filler randomly distributed throughout an insulating polymer or polymer blend, attract interest in several application fields such as sensors or electromagnetic radiation shielding. The macroscopic electrical resistivity of the filled polyblend strongly depends on the localization of the filler. Here, we investigate the morphology of Carbon Black (CB)-filled polymer blends in order to determine the parameters governing the selective localization of CB in one phase of the blend components or at the interface between the components. The dispersion of the CB particles in the polymer blend is observed by means of Lateral Force Microscopy (LFM) as a function of the blend composition and the load in C.B. The selective localization of CB at the interface enables the reduction of the percolation threshold down to 0.5 wt%; as a result, the mechanical properties of the polymer blend can be fully retained. Different techniques can be used to locate the CB at the interface; we compare their efficiency experimentally.

Immobilization of actinide ions in thin layers of polypyrrole/polyacrylamidoglycolic acid (PPy/PAGA) composite. Application to the preparation of alpha spectrometry sources

We propose a new fully aqueous electrochemical method for the preparation of high resolution alpha sources. Thin films of polypyrrole (PPy) are prepared by anodic electropolymerization, starting from aqueous solutions of the pyrrole monomer and an anionic polyelectrolyte which is able to complex actinide and play the role of PPy doping agent: polyacrylamidoglycolic acid (PAGA). These thin films can be prepared on various electrodes: stainless steel, platinum, glassy carbon and polyethylene doped by carbon-black. Peeling tests revealed their strong adhesion on stainless steel electrode. Alpha sources were prepared by simple immersion in actinide containing solutions. This easy process results in alpha sources with outstanding energy resolution (FWHM: around 9 keV for various isotopes).

Self-Assembly and pH-Responsiveness of ABC Miktoarm Star Terpolymers

This work deals with the self-assembly in water of ABC miktoarm star terpolymers consisting of hydrophobic poly(-caprolactone), hydrophilic poly(ethylene oxide) (PEO), and pH-sensitive poly(2-vinylpyridine) (P2VP). A variety of experimental techniques were used, including dynamic light scattering, transmission electron microscopy, and zeta potential. Special attention was paid to the pH dependency of the supramolecular self-assemblies. A key observation is the capability of the miktoarm terpolymers to form micelles stable over the whole range of pH, although a transition was observed from neutral to highly positively charged nanoobjects upon decreasing pH.

Controlled release of drugs from multi-component biomaterials

In order to control their release, drugs are encapsulated into systems which are expected to provide a certain site with a predetermined amount of drug over a well-defined period of time. Here we report on a multi-component drug delivery biomaterial that consists of a hydrogel matrix in which drug-loaded biodegradable microcarriers are dispersed, and whose potential applications could be found in the design of implantable devices with long-term activity, as required by contraceptive and hormone replacement treatments. The release profile of the drug can actually be tuned by the complex interplay of several release mechanisms, including the permeability and eventually the degradation rate of the microcarriers and the diffusion through the hydrogel. The hydrogel consisted of 2-hydroxyethyl methacrylate cross-linked by ethylene glycol dimethacrylate. The microcarriers were biodegradable poly-epsilon-caprolactone (PCL) microspheres in which active molecules, such as levonorgestrel (LNG), were encapsulated. The hydrogels were characterized by water swelling, thermal properties, LNG diffusion through drug-free and drug-depleted hydrogel membranes and LNG release from devices with drug dispersed in the hydrogel. The PCL microspheres were observed by scanning electron microscopy; their size distribution, LNG loading and release were also investigated. The hydrogel-microsphere assemblies were characterized in terms of the distribution of the microspheres within the hydrogel, water swelling and the release of the encapsulated molecules. The developed device, due to its composite structure, has the ability to combine several release mechanisms, leading to drug release obeying zero-order kinetics for most of the time.

Preparation of stable suspensions of gold nanoparticles in water by sonoelectrochemistry

Stable suspensions of gold nanoparticles in water were prepared with high yield by a novel one-step ultrasound assisted electrochemical process. Various strategies based on the addition of either tailor-made polymers or mixtures of commercially available polymers, in the electrochemical bath have been found successful to avoid nanoparticles aggregation commonly observed by sonoelectrochemistry. alpha-Methoxy-omega-mercapto-poly(ethylene oxide) or poly(vinyl pyrrolidone)/polyethylene oxide mixtures were able to build up a coalescence barrier around the gold nanoparticles. The results showed that the size of the gold nanoparticles could be easily tuned between 5 nm and 35 nm by simple control of the electrochemical parameters, i.e. the deposition time (T(ON)) from 10 ms to 20 ms. The properties of as-prepared gold nanoparticles were compared to the ones of gold colloids prepared by the more conventional wet nanoprecipitation method using chemical reductive agents.

Design of antibacterial surfaces by a combination of electrochemistry and controlled radical polymerization

In this paper we report a new method for the electrochemical deposition of a metal/polymer composite layer on a conducting substrate. The electrochemical solution is a mixture of an acrylate (ethyl acrylate, EA; 2-phenyl-2-(2,2,6,6-tetramethylpiperidin-1-yloxy)ethyl acrylate, PTEA; 8-quinolinyl acrylate, 8QA), a metallic salt (silver(I) acetate), and a conducting salt in dimethylformamide. The process has been first studied with EA as the polymer precursor and then extended to PTEA and 8QA, respectively, with the purpose to prepare antibacterial surfaces. The final coating has been characterized by attenuated total reflection Fourier transform infrared spectroscopy, energy-dispersive X-ray analysis, environmental scanning electron microscopy, and atomic force microscopy. All the silver-containing coatings were effective against Gram-negative bacteria Escherichia coli. Bacteria Staphylococcus aureus could not adhere to the Ag(0)/polyacrylate films deposited on stainless steel.

Controlled synthesis and interface properties of new amphiphilic PCL-g-PEO copolymers

Novel biodegradable and biocompatible poly(epsilon-caprolactone)-graft-poly(ethylene oxide), PCL-g-PEO, copolymers consisting of biocompatible blocks have been synthesized by ring-opening copolymerization of epsilon-caprolactone (epsilon CL) and a poly(ethylene oxide) (PEO) macromonomer, i.e., PEO end-capped by an epsilon-caprolactone unit (gamma PEO.CL). The control is effective on the composition and length of both the hydrophobic polyester backbone and the hydrophilic PEO grafts. The reactivity ratios have been determined by monitoring the copolymer composition in relation to the comonomer conversion. The PCL-g-PEO copolymers have a tapered (gradient) rather than a random structure consistent with r(epsilon)CL = 3.95 and r(gamma)PEO.CL = 0.05. The amphiphilic graft copolymers display surfactant properties similar to those of PEO-b-PCL diblock copolymers of comparable composition and solubility, as supported by CHCl3/water interfacial tension measured by the pendant drop method.

Olfactory ensheathing cells, olfactory nerve fibroblasts and biomatrices to promote long-distance axon regrowth and functional recovery in the dorsally hemisected adult rat spinal cord

Cellular transplantation, including olfactory ensheathing cells (OEC) and olfactory nerve fibroblasts (ONF), after experimental spinal cord injury in the rat has previously resulted in regrowth of severed corticospinal (CS) axons across small lesion gaps and partial functional recovery. In order to stimulate CS axon regrowth across large lesion gaps, we used a multifactorial transplantation strategy to create an OEC/ONF continuum in spinal cords with a 2-mm-long dorsal hemisection lesion gap. This strategy involved the use of aligned OEC/ONF-poly(D,L)-lactide biomatrix bridges within the lesion gap and OEC/ONF injections at 1 mm rostral and caudal to the lesion gap. In order to test the effects of this complete strategy, control animals only received injections with culture medium rostral and caudal to the lesion gap. Anatomically, our multifactorial intervention resulted in an enhanced presence of injured CS axons directly rostral to the lesion gap (65.0 +/- 12.8% in transplanted animals versus 13.1 +/- 3.9% in control animals). No regrowth of these axons was observed through the lesion site, which may be related to a lack of OEC/ONF survival on the biomatrices. Furthermore, a 10-fold increase of neurofilament-positive axon ingrowth into the lesion site as compared to untreated control animals was observed. With the use of quantitative gait analysis, a modest recovery in stride length and swing speed of the hind limbs was observed. Although multifactorial strategies may be needed to stimulate repair of large spinal lesion gaps, we conclude that the combined use of OEC/ONF and poly(D,L)-lactide biomatrices is rather limited.

Chronically injured corticospinal axons do not cross large spinal lesion gaps after a multifactorial transplantation strategy using olfactory ensheathing cell/olfactory nerve fibroblast-biomatrix bridges

Transplantation of mixed cultures containing olfactory ensheathing cell (OEC) and olfactory nerve fibroblasts (ONF) has been shown to stimulate regrowth of both acutely and chronically injured corticospinal (CS) axons across small spinal cord lesion gaps. Here, we used a multifactorial transplantation strategy to stimulate regrowth of chronically injured CS axons across large spinal cord lesion gaps. This strategy combined the transplantation of aligned OEC/ONF-biomatrix complexes, as described previously (Deumens et al. [2004] Neuroscience 125:591-604), within the lesion gap with additional OEC/ONF injections rostral and caudal to the lesion site. We show an enhanced presence of injured CS axons directly rostral to the lesion gap, with no effects on injured CS axons at or caudal to the lesion gap. Furthermore, injured CS axons did not penetrate the OEC/ONF-biomatrix complex within the lesion gap. The enhanced presence of CS axons rostral to the lesion gap was not accompanied by any recovery of behavioral parameters assessed with the BBB locomotor rating scale or CatWalk gait analysis. We conclude that our multifactorial transplantation strategy should be optimized to create an OEC/ONF continuum in the injured spinal cord and thereby stimulate regrowth of injured CS axons across large spinal lesion gaps.

Motional heterogeneity of intercalated species in modified clays and poly(epsilon-caprolactone)/clay nanocomposites

Modified laponites and synthetic saponites are used as precursors for the preparation of poly(epsilon-caprolactone) (PCL)/clay nanocomposites. The structure and dynamics of species intercalated in the modified clays and the corresponding nanocomposites are characterized by X-ray diffraction and magic-angle spinning NMR. The influence of the headgroup, the hydrocarbon chain length, and the loading of the surfactant on the nanocomposite formation are discussed. The yield of PCL intercalation is related to the probability of direct polymer-clay interactions and to the size of the clay platelets. Relaxation times in the laboratory and rotating frames that allow characterization of fast and slow molecular dynamics in these systems are discussed, showing a motional heterogeneity of the intercalated species.

Mechanical properties of highly porous PDLLA/Bioglass composite foams as scaffolds for bone tissue engineering

This study developed highly porous degradable composites as potential scaffolds for bone tissue engineering. These scaffolds consisted of poly-D,L-lactic acid filled with 2 and 15 vol.% of 45S5 Bioglass particles and were produced via thermally induced solid-liquid phase separation and subsequent solvent sublimation. The scaffolds had a bimodal and anisotropic pore structure, with tubular macro-pores of approximately 100 microm in diameter, and with interconnected micro-pores of approximately 10-50 microm in diameter. Quasi-static and thermal dynamic mechanical analysis carried out in compression along with thermogravimetric analysis was used to investigate the effect of Bioglass on the properties of the foams. Quasi-static compression testing demonstrated mechanical anisotropy concomitant with the direction of the macro-pores. An analytical modelling approach was applied, which demonstrated that the presence of Bioglass did not significantly alter the porous architecture of these foams and reflected the mechanical anisotropy which was congruent with the scanning electron microscopy investigation. This study found that the Ishai-Cohen and Gibson-Ashby models can be combined to predict the compressive modulus of the composite foams. The modulus and density of these complex foams are related by a power-law function with an exponent between 2 and 3.

Study of the connectivity properties of Bioglass -filled polylactide foam scaffolds by image analysis and impedance spectroscopy

The porous structure of two series of poly(D,L-lactide)/Bioglass composite foams prepared by thermal-induced phase separation was investigated by image analysis and impedance spectroscopy. Polymer solutions of either low or high molecular weight containing different concentrations (up to 50 wt.%) of Bioglass particles of mean particle size d < 5 microm were studied. The morphology of both macro- and micropores was studied by scanning electron microscopy and image analysis of both neat and composite foams (containing 10-50 wt.% Bioglass). The pore connectivity of both neat polymer and composite foams was characterized by impedance spectroscopy in relation with their transport properties. The influence of the foam composition (i.e., polymer molecular weight and concentration of Bioglass on pore microstructure was studied using these non-destructive methods. It was found that addition of Bioglass particles has a pronounced effect on pore orientation, leading to increasing loss of order of pore structure, especially for low-molecular weight PDLLA foams.

Concomitant adsorption of poly(ethylene oxide)-b-poly(epsilon-caprolactone) copolymers and sodium dodecyl sulfate at the silica-water interface

Upon addition of silica to aqueous solutions of poly(ethylene oxide)-b-poly(epsilon-caprolactone) copolymers (PEO-b-PCL) and sodium dodecyl sulfate (SDS), adsorption of the solutes occurs at the silica-water interface. The amount of the adsorbed constituents has been measured by the total concentration depletion method. Small-angle neutron scattering experiments (SANS) have been carried out to investigate the structure of the adsorbed layer. Although SDS is not spontaneously adsorbed onto hydrophilic silica, adsorption is observed in the presence of PEO-b-PCL diblocks, in relation to the relative concentration of the two compounds. Conversely, SDS has a depressive effect on the adsorption of the copolymer, whose structure at the interface is modified. Copolymer desorption is however never complete at high SDS content. These observations have been rationalized by the associative behavior of PEO-b-PCL and SDS in water.

Adsorption of poly(ethylene oxide)-b-poly(epsilon-caprolactone) copolymers at the silica-water interface

The adsorption of amphiphilic poly(ethylene oxide)-b-poly(epsilon-caprolactone) and poly(ethylene oxide)-b-poly(gamma-methyl-epsilon-caprolactone) copolymers in aqueous solution on silica and glass surfaces has been investigated by flow microcalorimetry, small-angle neutron scattering (SANS), surface forces, and complementary techniques. The studied copolymers consist of a poly(ethylene oxide) (PEO) block of M(n) = 5000 and a hydrophobic polyester block of poly(epsilon-caprolactone) (PCL) or poly(gamma-methyl-epsilon-caprolactone) (PMCL) of M(n) in the 950-2200 range. Compared to homoPEO, the adsorption of the copolymers is significantly increased by the connection of PEO to an aliphatic polyester block. According to calorimetric experiments, the copolymers interact with the surface mainly through the hydrophilic block. At low surface coverage, the PEO block interacts with the surface such that both PEO and PCL chains are exposed to the aqueous solution. At high surface coverage, a dense copolymer layer is observed with the PEO blocks oriented toward the solution. The structure of the copolymer layer has been analyzed by neutron scattering using the contrast matching technique and by tapping mode atomic force microscopy. The experimental observations agree with the coadsorption of micelles and free copolymer chains at the interface.

Versatile functionalization and grafting of poly(ε-caprolactone) by Michael-type addition

The Michael-type addition of aliphatic (co)polyesters onto gamma-acryloyloxy epsilon-caprolactone units is a very straightforward technique of functionalization and grafting, which is tolerant to a variety of functional groups and does not require intermediate protection/deprotection steps.

Porous poly(alpha-hydroxyacid)/Bioglass composite scaffolds for bone tissue engineering. I: Preparation and in vitro characterisation

Highly porous composites scaffolds of poly-D,L-lactide (PDLLA) and poly(lactide-co-glycolide) (PLGA) containing different amounts (10, 25 and 50 wt%) of bioactive glass (45S5 Bioglass)were prepared by thermally induced solid-liquid phase separation (TIPS) and subsequent solvent sublimation. The addition of increasing amounts of Bioglass into the polymer foams decreased the pore volume. Conversely, the mechanical properties of the polymer materials were improved. The composites were incubated in phosphate buffer saline at 37 degrees C to study the in vitro degradation of the polymer by measurement of water absorption, weight loss as well as changes in the average molecular weight of the polymer and in the pH of the incubation medium as a function of the incubation time. The addition of Bioglass to polymer foams increased the water absorption and weight loss compared to neat polymer foams. However, the polymer molecular weight, determined by size exclusion chromatography, was found to decrease more rapidly and to a larger extent in absence of Bioglass. The presence of the bioactive filler was therefore found to delay the degradation rate of the polymer as compared to the neat polymer foams. Formation of hydroxyapatite on the surface of composites, as an indication of their bioactivity, was recorded by EDXA, X-ray diffractometry and confirmed by Raman spectroscopy.

Preparation of poly(epsilon-caprolactone) brushes at the surface of conducting substrates

This paper reports on the preparation of polyester brushes at the surface of electrically conducting materials. A two-step strategy has been worked out that consists of the electropolymerization of an acrylate under a cathodic potential, such that the polyacrylate layer is chemisorbed at the surface. In a second step, either preformed poly(epsilon-caprolactone) chains are grafted onto the polyacrylate sublayer or the ring-opening polymerization of epsilon-caprolactone is initiated from it.

Solid-state NMR study of intercalated species in poly(epsilon-caprolactone)/clay nanocomposites

The structure and dynamics of surfactant and polymer chains in intercalated poly(epsilon-caprolactone)/clay nanocomposites are characterized by (31)P magic-angle spinning (MAS) and (13)C cross-polarization MAS NMR techniques. To obtain hybrid materials with the low polymer content required for this study, in situ intercalative polymerization was performed by adapting a published procedure. After nanocomposite formation, the chain motion of the surfactant is enhanced in the saponite-based materials but reduced in the Laponite ones. Compared to the starting clay, the trans conformer population of the surfactant hydrocarbon chain in the nanocomposite decreases for the saponite systems. Mobility of the polymer chain is higher in the nanocomposites than in the bulk phase. The charge of the modified saponite does not significantly influence chain mobility in the nanocomposites.

Mixed self-assembly of poly(ethylene oxide)-b-poly(epsilon-caprolactone) copolymers and sodium dodecyl sulfate in aqueous solution

Interaction of amphiphilic poly(ethylene oxide)-b-poly(epsilon-caprolactone) copolymers with anionic sodium dodecyl sulfate (SDS) has been investigated in aqueous solution. Formation of mixed micelles has been confirmed by surface tension measurements, whereas the influence of the surfactant on the copolymer self-assembling has been studied by measurement of the 1H NMR self-diffusion coefficients and by small-angle neutron scattering. As a rule, the surfactant decreases the heterogeneity of the micellar structures formed by the copolymer in water. Moreover, increasing the content of SDS results in the increasingly more important extension of the poly(ethylene oxide) (PEO) corona chains and the copolymer micelle deaggregation. The stability of the micelles against SDS increases with the length of the hydrophobic block. Preliminary two-dimensional NMR measurements with nuclear Overhauser enhancement have confirmed the spatial vicinity between SDS and the constitutive blocks of the copolymer.

Self-assembly of poly(ethylene oxide)-b-poly(epsilon-caprolactone) copolymers in aqueous solution

The associative behavior of monodisperse diblock copolymers consisting of a hydrophilic poly(ethylene oxide) block and a hydrophobic poly(epsilon-caprolactone) or poly(gamma-methyl-epsilon-caprolactone) block has been studied in aqueous solution. Copolymers have been directly dissolved in water. The solution properties have been studied by surface tension, in relation to mesoscopic analyses by NMR (self-diffusion coefficients), transmission electron microscopy, and small-angle neutron and X-ray scattering. The experimental results suggest that micellization occurs at low concentration (approximately 0.002 wt %) and results in a mixture of unimers and spherical micelles that exchange slowly. The radius of the micelles has been measured (ca. 11 nm), and the micellar substructure has been extracted from the fitting of the SANS data with two analytical models. The core radius and the aggregation number change with the hydrophobic block length according to scaling laws as reported in the scientific literature. The poly(ethylene oxide) blocks are in a moderately extended conformation in the corona, which corresponds to about 25% of the completely extended chain. No significant modification is observed when poly(gamma-methyl-epsilon-caprolactone) replaces poly(epsilon-caprolactone) in the diblocks.

Alignment of glial cells stimulates directional neurite growth of CNS neurons in vitro

Olfactory ensheathing cells (OECs) together with olfactory nerve fibroblasts (ONFs) and neonatal astrocytes are potent stimulators of neurite growth in adulthood and during development, respectively. Since it is known that alignment of glial cells is important for the correct outgrowth of axon tracts, it was hypothesized that the alignment of glial cells stimulates directional and enhanced neurite outgrowth. Adult OEC/ONF and neonatal astrocytes were cultured either on biodegradable poly(d,l)-lactide matrices or in Petri dishes for 4 days. Thereafter neonatal cerebral cortical neurons were added. After a 2-days coculture period the cultures were fixed and processed for a combined MAP-2 and phosphorylated neurofilament (RT97) staining. The neurite growth (neurite elongation and neurite formation) and the neurite direction were assessed. We show that (1). OEC/ONF cultures are more potent in stimulating the length of the longest neurite of cocultured neurons, (2). alignment of glial is achieved in vitro on our biomatrices, (3). aligned glial/biomatrix complexes do not enhance neurite growth, and (4). aligned glial/biomatrix complexes direct neurite outgrowth. These data have significant implications for in vivo experiments focusing on glial transplantation. Transplanting glial/biomatrix complexes may stimulate the directional regrowth of severed axons across a lesion site.