Biopsy | EPFL Graph Search

A biopsy is a medical test commonly performed by a surgeon, interventional radiologist, or an interventional cardiologist. The process involves extraction of sample cells or tissues for examination to determine the presence or extent of a disease. The tissue is then fixed, dehydrated, embedded, sectioned, stained and mounted before it is generally examined under a microscope by a pathologist; it may also be analyzed chemically. When an entire lump or suspicious area is removed, the procedure is called an excisional biopsy. An incisional biopsy or core biopsy samples a portion of the abnormal tissue without attempting to remove the entire lesion or tumor. When a sample of tissue or fluid is removed with a needle in such a way that cells are removed without preserving the histological architecture of the tissue cells, the procedure is called a needle aspiration biopsy. Biopsies are most commonly performed for insight into possible cancerous or inflammatory conditions. History

Isolation and characterisation of a porcine cardiac adherent cell population from heart biopsies

Christelle Hasselmann

Cardiac diseases represent the major cause of mortality in the Western world. The discovery of the promising human Cardiac Adherent Proliferating (CAP) cells for a potential cardiac cell therapy by the Tissue Engineering group induced the need of a reliable animal model. The aim of the project is to identify a porcine cardiac cell population having similar characteristics as human CAP cells. Here a protocol for isolating cells from porcine heart biopsies have been established, as well as the in vitro expansion method. Additionally, the characterization of those expanded porcine cardiac cells was accomplished by growth kinetics study, FACS analysis, multilineage potential and myogenic induction assays. In this study we identified a not yet described porcine cardiac adherent cell population directly isolated from biopsies within the inner right ventricle. With almost

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expanded cells after 30 days in culture, porcine cardiac cells present a high rate of proliferation in vitro. Porcine cardiac cells maintain a swirl-like pattern until 5-6 days in culture, and become fibroblast-like with a parallel organization when confluent. FACS analysis indicated that porcine cells are mainly CD90+ in opposite to human CAP cells. Both species show a similar CD45- and CD44+ profile. The multilineage assay showed no histological differentiation into fat, bone and cartilage on porcine cardiac cells like on human CAP cells. However gene expression analysis on porcine cardiac cells indicated that aP2 was upregulated in population undergoing an adipogenic induction, as well as osteopontine expression in osteogenic induction population. Porcine cardiac cell myogenic induction potential was tested on C2C12 myogenic mouse cells. The mouse cells differentiated in muscle in vitro thanks to the influence of those cardiac cells. Both cell populations have similar characteristics and the main distinction is the different CD90 expression profile. Those results encourage to realise additional studies, to confirm that those isolated cells could be a reliable model of human CAP cells.

2009

Assessing dystrophies and other muscle diseases at the nanometer scale by atomic force microscopy

Harald Brune, Giovanni Dietler, Andrzej Kulik, Nicolas Mermod, Stefania Puttini, Guillaume Witz

Aim: Atomic force microscopy nanoindentation of myofibers was used to assess and quantitatively diagnose muscular dystrophies from human patients. Materials & methods: Myofibers were probed from fresh or frozen muscle biopsies from human dystrophic patients and healthy volunteers, as well as mice models, and Young's modulus stiffness values were determined. Results: Fibers displaying abnormally low mechanical stability were detected in biopsies from patients affected by 11 distinct muscle diseases, and Young's modulus values were commensurate to the severity of the disease. Abnormal myofiber resistance was also observed from consulting patients whose muscle condition could not be detected or unambiguously diagnosed otherwise. Discussion & conclusion: This study provides a proof-of-concept that atomic force microscopy yields a quantitative read-out of human muscle function from clinical biopsies, and that it may thereby complement current muscular dystrophy diagnosis.

Future Medicine2014

BCG hydrogel promotes CTSS-mediated antigen processing and presentation, thereby suppressing metastasis and prolonging survival in melanoma

Bing Feng, Li Tang

Background The use of intralesional Mycobacterium bovis BCG (intralesional live BCG) for the treatment of metastatic melanoma resulted in regression of directly injected, and occasionally of distal lesions. However, intralesional-BCG is less effective in patients with visceral metastases and did not significantly improve overall survival. Methods We generated a novel BCG lysate and developed it into a thermosensitive PLGA-PEG-PLGA hydrogel (BCG hydrogel), which was injected adjacent to the tumor to assess its antitumor effect in syngeneic tumor models (B16F10, MC38). The effect of BCG hydrogel treatment on contralateral tumors, lung metastases, and survival was assessed to evaluate systemic long-term efficacy. Gene expression profiles of tumor-infiltrating immune cells and of tumor-draining lymph nodes from BCG hydrogel-treated mice were analyzed by single-cell RNA sequencing (scRNA-seq) and CD8(+) T cell receptor (TCR) repertoire diversity was assessed by TCR-sequencing. To confirm the mechanistic findings, RNA-seq data of biopsies obtained from in-transit cutaneous metastases of patients with melanoma who had received intralesional-BCG therapy were analyzed. Results Here, we show that BCG lysate exhibits enhanced antitumor efficacy compared to live mycobacteria and promotes a proinflammatory tumor microenvironment and M1 macrophage (M phi) polarization in vivo. The underlying mechanisms of BCG lysate-mediated tumor immunity are dependent on M phi and dendritic cells (DCs). BCG hydrogel treatment induced systemic immunity in melanoma-bearing mice with suppression of lung metastases and improved survival. Furthermore, BCG hydrogel promoted cathepsin S (CTSS) activity in M phi and DCs, resulting in enhanced antigen processing and presentation of tumor-associated antigens. Finally, BCG hydrogel treatment was associated with increased frequencies of melanoma-reactive CD8(+) T cells. In human patients with melanoma, intralesional-BCG treatment was associated with enhanced M1 M phi, mature DC, antigen processing and presentation, as well as with increased CTSS expression which positively correlated with patient survival. Conclusions These findings provide mechanistic insights as well as rationale for the clinical translation of BCG hydrogel as cancer immunotherapy to overcome the current limitations of immunotherapies for the treatment of patients with melanoma.

BMJ PUBLISHING GROUP2022

Isolation and characterisation of a porcine cardiac adherent cell population from heart biopsies

Christelle Hasselmann

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2009