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Dissertation
Towards Individualised Model-based Monitoring: From Biology to Technology

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One of the main obstacles in applying engineering approaches to biological processes remains dealing with inter- and intra-individual differences. Therefore, it is highly challenging to accurately monitor their individual state (cfr. personalised medicine). The general objective of this PhD is to develop a framework for individualised model-based monitoring for biological processes, as inspired by control engineering concepts. The presented approach addresses four main topics: i) the biological process itself (i.e. bio-process), ii) the process model, iii) model-based features and iv) individualised change detection based on individual thresholds. In order to explore the general objective, six different case studies (cell, embryo, animal, human) were examined: i) individualised monitoring of activity and body weight in the activity-based anorexia rat model, ii) individualised model-based monitoring of interleukin-6 for early detection of infection in pigs, iii) model-based monitoring of heart rate and blood cytokine time series for early detection of infections in critically ill patients, iv) model-based monitoring of mGluR-dependent synaptic plasticity in hippocampal brain slices of rat, v) individualised monitoring of hippocampal theta oscillations and individualised electrical stimulation in the mesencephalic reticular formation for real-time closed-loop suppression of locomotion in rat and vi) individualised model-based monitoring of chicken embryo status during incubation based on eggshell temperature and micro-environmental air temperature. The results showed that the individual bio-processes involved (individual structure, individual dynamics, bio-signals) can be considered as the biological equivalents of clever-designed control engineering components by defining actuator and homeostatic variables for each of the six case studies (case studies i-vi). Although biological processes are known to contain many nonlinearities, compact individual linear models (general Box-Jenkins models) could be used for the specific individualised monitoring applications of the case studies. By using these models we obtained good approximations of the individual bio-process dynamics (case studies ii, iii, iv and vi), since biological systems often show relatively simple responses (expressing the crucial dominant processes that ascertain healthy internal homeostatic or homeodynamic conditions) when exposed to perturbations as illustrated by the bio-processes of the case studies. In addition, we were able to uncover information about the underlying mechanisms/state by applying data-based mechanistic modelling approaches (i.e. case studies iv and vi). Based on the results, we suggest three different model-based features (model parameter changes, changes in model order and changes in the noise model). In addition, more than 20 other generic metrics from the fields of complex systems science, change detection and control engineering were identified that can be used while analysing individual time series (case studies i-vi). This list of metrics can be used for all individual bio-processes in the design of model-based monitoring application. Based on the specific case studies, three possible approaches were proposed for model-based monitoring of bio-processes based on individual thresholds (e.g. case studies v and vi): 1) individual thresholds based on (sub-)population information, 2) individual thresholds based on universal laws and insights from control engineering, complex systems science and biology and 3) individual thresholds based on individual serial baseline measurements, which can be considered as the most individualised way. To conclude, this thesis has led to some innovative individualised monitoring applications based on each of the six specific case studies. Until now the existence of general frameworks for individualised model-based monitoring of biological processes is limited. Each specific case contributed to the development of such general framework inspired by control engineering concepts. The presented general approach could be used in a broad range of application domains, thus stressing the generic power of the suggested framework for individualized model-based monitoring of (complex) bio-processes.

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Dissertation
Detecting the return to baseline in neuroscientific research : A simulation study
Authors: --- --- ---
Year: 2014 Publisher: Leuven : KU Leuven. Faculteit Wetenschappen

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This thesis aims at gaining insight into the performance of statistical methods that can be used to answer a research question which is common in neuroscientific experiments. This research question concerns the determination of the sustainability of long-term potentiation (LTP) which is an enhancement of the synaptic efficacy of neural cells that is experimentally introduced via electrical stimulation. Statistically, the sustainability of LTP can be determined by finding the time point at which the neural response returns to the level before stimulation, i.e. the baseline level. An experiment with mice in the research area mentioned was conducted by the electrophysiology group of the Laboratory of Biological Psychology at the KU Leuven (Laeremans et al. 2014). To answer the research question, Laeremans et al. (2014) applied a procedure that is based on the repeated application of the Wilcoxon matched-pairs signed-rank test. The performance of this procedure as well as the performance of the repeated application of Fisher's randomization test, the Friedman test and the runs test for serial randomness is investigated in a simulation study. The simulation model is based on the characteristics from data originating from a follow-up experiment of the one mentioned above. The performance measured for each statistical method is the percentage of correctly detected 'return to baseline' time points in 500 simulated data sets. Four different data generation models are used, which each imply different assumptions about the individual response profiles of a mouse. Furthermore, several parameters with respect to the data generation are varied within each of the models. The repeated application of the Wilcoxon matched-pairs signed-rank test applied in Laeremans et al. (2014) shows the best performance of the four statistical methods conducted. The performance of the procedure based on Fisher's randomization test is practically the same, but needs much more computational power and time such that it becomes infeasible with a larger sample size than 10 mice. Under conditions that occur in practice, i.e. with a sample size of 10 mice, the percentage of correctly determined 'return to baseline' time points for the Wilcoxon matched-pairs signed-rank test (as well as the randomization test) is low. To receive an acceptable performance with respect to finding the return to baseline, it is recommended to conduct experiments with a sample size of 20 mice. A further increase in sample size from 20 to 30 mice was found to not improve the performance of the method. The procedure based on the Wilcoxon matched-pairs signed-rank test should be conducted with a larger significance level than the standard level of 0.05. A significance level of 0.2 should be used in case only a small number of mice is available (e.g. 10). A smaller significance level can be used if the number of mice is larger (0.15 for 20 mice and 0.1 for 30 mice).

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Dissertation
Pro- and Retroactive Interference in Spatial Memory. : A behavioral approach with mice.
Authors: --- ---
Year: 2015 Publisher: Leuven : KU Leuven. Faculteit Psychologie en Pedagogische Wetenschappen

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For many decades scientists have been trying to discern the underlying mechanisms of forgetting. Over time, the idea grew that retroactive (RI) and proactive (PI) memory interference may play a major role herein. These phenomena refer to the disruption of a newly formed memory by information learned later and earlier, respectively. RI appears to be time-dependent: the more time between sequencing tasks, the less interference happens. PI, on the other hand, seems similarity-dependent: more similarity between the tasks means more interference. Many different mechanisms underlying these phenomena are yet defined, but more research is needed on an integrated view.

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Book
Neurophysiological imaging of brain network activity involved in cognitive processes in animal models of neurodegenerative disorders
Authors: --- --- ---
Year: 2018 Publisher: Leuven KU Leuven. Faculteit Psychologie en pedagogische wetenschappen

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Book
Cortico-hippocampal network-dependent cognitive flexibility and neuroplasticity in Alzheimer's disease
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Year: 2014 Publisher: Leuven KU Leuven. Faculteit Psychologie en pedagogische wetenschappen

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Dissertation
Vulnerability of hippocampal synaptic plasticity and adult neurogenesis in Alzheimer's disease
Authors: --- --- ---
Year: 2020 Publisher: Leuven KU Leuven. Faculty of Medicine

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Alzheimer's disease (AD) is a highly common neurodegenerative disorder, for which no disease-modifying treatment exists today. Pathological synaptic changes, most likely caused by soluble forms of the pathological proteins Aβ and tau and their interactions, are central and early events in AD. Synaptic dysfunction, altered neural network activity and a dramatic degeneration of neurons in important brain regions ultimately lead to dementia and other symptoms.In this thesis, we investigated synaptic function across multiple brain regions and hippocampal subregions in relevant mouse models for AD, using in vitro electrophysiology in brain slices. We started with control mice and found large regional differences, with much higher potentiation levels in the DG of ventral than dorsal slices. This was reflected in a specific ventral DG-deficit in AD mice, while they showed a specific dorsal deficit in the CA1 region. We also assessed regional effects on adult hippocampal neurogenesis and found that generally more new cells were generated in the ventral hippocampus, but the process appeared not to be affected in our AD models.Taken together, our results confirm that amyloid and tau pathology can independently exert synaptotoxic effects. This does not fully support the prevailing amyloid cascade hypothesis, in which amyloid drives and aggravates tau pathology. We also corroborate the sensitivity of LTP to detect early pathological changes caused by amyloid and/or tau in mouse models, long before the onset of plaques, tangles and severe behavioral symptoms.Finally, our results provide additional evidence that the subfields and dorsoventral segments of the hippocampus have different synaptic properties and vulnerabilities to disease, and that they should be clearly distinguished. Overall, the most plastic subregions appeared the most vulnerable to AD pathology. Provided that our findings in the murine hippocampus can be successfully translated to humans with AD, further defining which regions are the earliest affected and most vulnerable will be crucial for the development of preventive and therapeutic interventions, especially those based on the targeted neuromodulation of affected circuits.

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Dissertation
Effects of Retro- and Proactive Interference on Spatial Memory in Rodents : A Behavioral Assessment Protocol With Two Morris Water Mazes
Authors: --- ---
Year: 2014 Publisher: Leuven : K.U. Leuven. Faculteit Psychologie en Pedagogische Wetenschappen

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Memory interference is an important theory in memory literature, which tries to explain why we forget. It is based on two mechanisms. The first one is called retroactive interference (RI) and it entails that new learning disrupts the recall of a previously acquired memory. This effect is inversely related to the time interval in between learning sessions, since it disrupts the early consolidation processes that stabilize the original memory trace. The second is proactive interference (PI) which means that learning disrupts the recall of a memory acquired later in time. It is assumed to be mainly dependent upon the similarity of learning events. Interference has been examined using different approaches. Until now, the focus has been mainly on rudimentary tasks while more complex kinds of memory, such as spatial memory did not get much attention. A previous master's thesis student K. Vinken (2012) introduced a new protocol with two Morris Water Mazes (MWM), to investigate spatial memory interference in mice. Additional experiments with this protocol were conducted by another master's thesis student, M. Morren (2013). The experiment presented here is a continuation of their studies, with the objective of further elucidating the characteristics of RI and PI. The experimental protocol consisted of two consecutive training trials per day in two different MWM's, located in different rooms and surrounded by different distal spatial cues. Mice had to learn the location of a hidden platform in each maze. The time interval in between mazes was manipulated, which could be 30 min or 4 hr. More RI was anticipated for the smaller interval, since consolidation processes would be disrupted. PI was predicted to occur for both intervals, since it mainly depends on task similarity. After 20 training days, MWM 2 was abolished and mice continued only in MWM 1. A performance increase was expected for both groups since the interfering maze was removed. Additionally we expected it to be ...

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Book
The effect of behavior on long-term potentiation and long-term depression in freely-moving rats : a putative role of transient receptor potential channels
Authors: --- --- ---
Year: 2014 Publisher: Leuven KU Leuven. Faculteit Psychologie en pedagogische wetenschappen

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Dissertation
Defining the role of metaplasticity in a tauopathy mouse model
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Year: 2015 Publisher: Leuven : KU Leuven. Faculteit Wetenschappen

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Alzheimer's disease is the most common form of degenerative dementia. Estimates made in 2014 in the World Alzheimer report state that 44 million people live with dementia all over the world. It is estimated that this number could double by 2030 and even triple by 2050. A major cause of Alzheimer's is the formation of neurofibrillary tangles (NFT's). These tangles are formed when tau proteins become hyperphosphorylated causing them to aggregate into filaments, which make up the NFT's. Collectively the diseases that are caused by the intracellular accumulation of NFT's are called tauopathies. The tau protein belongs to the microtubule associated protein (MAP) family and is mostly found in neurons. In neurons tau is associated with the axonal structures where it interacts with the microtubules. A lot of Alzheimer research has focused on the hippocampus, because it is one of the brain areas affected by the disease and is important for learning and memory. The CA1 (cornu ammonis 1) layer of the hippocampus is an important area for this learning and memory. Memories are formed through changes in synaptic strength, which is called synaptic plasticity. Strengthening of a synapse occurs due to an increase in activity of the synapses over time. If this strengthening lasts for days or weeks, this is called long-term potentiation (LTP), which is associated with the formation of long-term memories. To make sure the brains storage capacity is not saturated, the brain has a way of 'forgetting' which reverses LTP, so new memories can be formed. This concept is known as depotentiation. LTP and depotentiation can be examined in Alzheimer TPLH mice models, which express the human gene for tau that contains a proline to leucine (P301L) nonsense mutation. In these mice, Alzheimer symptoms start showing from the age of 6 months. To measure LTP and depotentiation we used extracellular field recordings that measure the electrical currents in the neurons. The electrical current is constituted of several cellular processes located in the extracellular space. These processes will generate a potential Ve, the difference in Ve's at two different locations is defined as an electrical field. This electrical field can be measured by placing electrodes in the tissue. Every current that passes through a membrane contributes to the extracellular field. No one has ever before examined LTP and depotentiation in the presymptomatical stage (before 6 months) as we did in 3 month old TPLH mice. With extracellular field recordings we measure the currents at the synapses in the CA1 layer which are an indication of the synaptic activity. We found that LTP was normal in 3 months old TPLH mice compared to control mice of the same age. We did however find that synaptic values in the same mouse model at the same age were not able to recover after depotentiation. This means that depotentiation could be an interesting factor for indicating the pathology of Alzheimer's disease. To our knowledge we are the first to examine depotentiation in 3 month old TPLH mice. What we found are rare and important findings, because these indicate that depotentiation is a sensitive factor in the preclinical stage of Alzheimer's disease. These findings could lead to a way of presymptomaticly testing for the disease in humans.

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Dissertation
Cross-modal plasticity after partial vision loss in adulthood : The impact of social isolation, serotonin and the synaptic vesicle cycle
Authors: --- --- ---
Year: 2019 Publisher: Leuven KU Leuven. Faculty of Science

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Cross-modal brain plasticity is a typical response of the mammalian brain to maximally compensate for the loss of one sensory function by recruiting and fine-tuning a remaining sense. It improves for instance tactile information processing in Braille-reading patients, and fine-tunes hearing capabilities in echo-locating blind individuals. This life-quality-improving structural and functional phenomenon occurs fast after sensory loss, often well before a bionic device is implanted. By consequence, the mammalian cross-modal sensory cortex fails to interpret the unimodal sensory information transmitted by the electronic device and precludes efficient restoration of the lost sensory function. Especially because our society is strongly vision-directed, neurobiological research questions with a focus on the molecular, anatomical and physiological underpinnings of cross-modal plasticity, are of particular interest. The adult monocular enucleation (ME) mouse model perfectly allows studying unimodal open-eye potentiation in the binocular visual cortex in parallel with whisker-triggered cross-modal plasticity in the medial monocular visual cortex, a process that is completed in seven weeks post injury. The first research question posed in this dissertation aimed at explaining the observation that social isolation abolishes the cross-modal reactivation and thus the reprogramming of the deprived visual cortex. In social species like the mouse, chronic isolation-stress can induce alterations in basic physiology, neuromodulator signaling and behavior. In the mouse model, end-point measurements of plasma corticosterone levels and typical behavioral tests for depression and anxiety in rodents, did not reveal overt differences between adult socially-isolated mice and group-housed mice. In contrast, the single housing had a major impact on the total neuromodulator concentrations in the stress-sensitive medial prefrontal cortex (mPFC), as well as in the somatosensory barrel field (S1BF) and the visual cortex (VC), two cortical areas that are crucially involved in the post-ME cross-modal plasticity phenomenon. We also revealed ME-specific effects on the neuromodulator levels in S1BF and VC, and a combined effect mainly on the mPFC and the VC. Based on these results, we conclude that social isolation exerts its impact by causing changes in serotonin, dopamine and/or noradrenaline modulatory function in the stress-sensitive mPFC and in the sensory cortices directly implicated in post-ME cross-modal plasticity, the VC and S1BF. These results point out that social interaction constitutes an important facet of cross-modal plasticity. We suggest that the implementation of 'social interaction-therapy' during the recovery of sensory loss could improve the communication between a unimodal bionic implant and the cross-modal mammalian brain by increasing multisensory information processing and -interpretation. The second research question posed in this dissertation focused on the role of neuromodulators in the post-ME reactivation of the VC. By performing pharmacological experiments, we discovered that 5-HTR1A exerts a role in the early unimodal open-eye potentiation of binocular cortex, while 5-HTR2A and 5-HTR3A are involved in the late cross-modal whisker-takeover of the monocular cortex. Our finding, that chronic administration of the 5-HTR2A antagonist ketanserin and 5-HTR3A antagonist ondansetron can suppress the cross-modal reorganization after partial vision loss in a cortical brain region- and layer-specific manner, sets the stage for the development of a 5-HT-assisted strategy that allows spatiotemporal control over maladaptive cross-modal cortical adaptations. These results could speed up the current evolution towards neurotransmitter-based bionic implants and may lead to higher success of the existing state-of-the-art retinal implants in functionally restoring vision. The third research question of this dissertation aimed at identifying the proteins and molecular pathways specifically underlying cross-modal plasticity in adult mice, in order to allow steering these cortical processes towards the desired outcome. By applying the ASBA-TMT differential proteomics approach, we revealed and successfully compared the cell surface protein expression patterns of the monocular cortex of single- and group-housed enucleated mice. Neuromodulator (G-protein coupled) receptors, ion channels and transporters displayed at the plasma membrane formed the focus of our study since these molecules mediate important brain functions and brain plasticity in particular. We could conclude that social isolation alters the expression levels of proteins functional in the synaptic vesicle cycle and that these disturbances potentially caused the incomplete cross-modal reactivation of the visual cortex in single-housed mice. Against our expectations, we did not detect plasma membrane proteins directly related to serotonergic neurotransmission, but this was explained to possibly result from either the low abundance of 5-HTRs in the mammalian neocortex, or from the difficulty to biotinylate and enzymatically digest GPCRs and ion-channels, which seems to be imposed by their structural composition and multi-transmembrane character. To conclude, this dissertation answers to a multitude of fundamental neuroscientific questions concerning the unimodal and cross-modal cortical responses to partial vision loss. Our data thereby significantly add to the current knowledge on sensory cortex plasticity. The proposed mechanism underlying ME-induced adult cross-modal plasticity infers a dynamic interplay between social interactions, serotonin and the synaptic vesicle cycle. The gathered insight opens up new avenues of inquiry, and may in future lead to novel therapeutic strategies that can fully restore any lost sensory function.

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