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Intercellular interactions in malignant melanoma
Nedvědová, Tereza ; Dvořánková, Barbora (advisor) ; Brábek, Jan (referee)
Melanomas are one of the most aggressive types of tumours, with increasing incidence, high mortality and high potential to metastasize to a variety of diverse locations. The aim of this thesis was to study the tumour as a complex structure consisting not only of tumour cells but also of tumour stroma. Stromal cells play a major role in cancer biology. This is well documented for example in squamous cell epithelium tumours of the head and neck. Similar mechanisms can be expected to occur in melanomas. In the first experiment, we simulated the conditions in vivo during the metastatic process and studied the influence of non-adhesive environment both with and without the influence of stromal fibroblasts. The presented data demonstrates a change of tumour cells' phenotype leading to increased plasticity of the melanoma cells in these conditions. It also indicates the crucial role of stromal fibroblasts in interactions with melanoma cells. Cancer cell lines show variability in their behaviour, which is in accordance with well-known melanoma heterogeneity in clinical practice. The previous experiments in our laboratory indicate that cancer associated fibroblasts are able to influence the phenotype of a tumour cell line and this effect is based on a tumour type-unspecific mechanism. In the second part of...
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Multifactorial etiology of frozen shoulder syndrome and intervention possibilities of physical therapy
Pilátová, Markéta ; Bitnar, Petr (advisor) ; Machač, Stanislav (referee)
Theoretical part of the thesis is a scientific research of latest articles about frozen shoulder syndrome with accent to immunohistochemical level. At the same time, based on scientific literature it aims to clarify and statistically prove multifactorial causes of this syndrome especially in women going through hormonal changes. Psychosocial factors are also taken into account in this study and examined by unique questionnaire that was made expressly for this thesis. The questionnaire originates from internationally accepted clinimetrics such as VAS, SPADI, DASH score and most importantly SF-36. The theoretical research part also consists of "Therapy" chapter which describes latest trending treatment method for this condition. Experimental part, which consists of few case reports, focuses on a group of female patients who underwent range of motion measurement including functional testing of the affected limb. Next step followed was consecutive twelve minutes exercise on bicycle. They were controlled not to cross over anaerobic threshold. Level of exercise was controlled by predicted heart rate and estimation of the threshold by basic calculation and also by subjective Borg's scale of effort determined by the patient. After the bicycle exercise the range of motion was measured again and compared to the...
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Intercellular interactions in malignant melanoma
Nedvědová, Tereza ; Dvořánková, Barbora (advisor) ; Brábek, Jan (referee)
Melanomas are one of the most aggressive types of tumours, with increasing incidence, high mortality and high potential to metastasize to a variety of diverse locations. The aim of this thesis was to study the tumour as a complex structure consisting not only of tumour cells but also of tumour stroma. Stromal cells play a major role in cancer biology. This is well documented for example in squamous cell epithelium tumours of the head and neck. Similar mechanisms can be expected to occur in melanomas. In the first experiment, we simulated the conditions in vivo during the metastatic process and studied the influence of non-adhesive environment both with and without the influence of stromal fibroblasts. The presented data demonstrates a change of tumour cells' phenotype leading to increased plasticity of the melanoma cells in these conditions. It also indicates the crucial role of stromal fibroblasts in interactions with melanoma cells. Cancer cell lines show variability in their behaviour, which is in accordance with well-known melanoma heterogeneity in clinical practice. The previous experiments in our laboratory indicate that cancer associated fibroblasts are able to influence the phenotype of a tumour cell line and this effect is based on a tumour type-unspecific mechanism. In the second part of...
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Tumor microenvironment: Cancer-associated fibroblasts and their biological function in tumors derived from squamous epithelium
Nedvědová, Tereza ; Kodet, Ondřej (advisor) ; Brábek, Jan (referee)
The incidence of carcinomas originating from squamous cell epithelium increases with population ageing as well as in younger people. The treatment is demanding for both the patient and whole health system. For the successful therapy, there is a need to understand the development and spreading of the tumor to target them specifically. Tumors consist of tumor stroma and malignant cells. Cancer cells are organized in a hierarchic order and the major problem are cancer stem cells. Adult stem cells are defined as cells with the capacity to self-renew as well as the ability to generate differentiated cells within the tumor. Resistance to targeted therapy can improve survival of these cells and is responsible for cancer relapse. Tumor stroma constitutes another important part of tumor. It is composed of non-cancer cells and extracellular matrix and has become recognized as a major factor in cancer growth and metastation. The stroma includes vascular and immune cells and especially cancer associated fibroblasts (CAFs). These cells are not malignant per se, nevertheless their role in supporting cancer growth and survival is important, so they have become an attractive target for treatment. There are several hypotheses made to explain the origin of CAFs. The question is whether the origin of all CAFs in one...
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