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    Examining the induction of limb regeneration through modulation

    of Stump currents by the sodium ionphore monensin in non-

    Regenerating post-metamorphicRana pipiensfrogs

    An honors thesis

    Submitted byDavid Patterson Hessler Jr.

    In partial fulfillment of the requirements

    For the degree of

    Bachelor of Science

    In

    Biomedical Engineering

    May !""

    Advisor# Professor David $aplan% Ph.D.

    &ufts 'niversity

    Acknowledgments

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    &han( you to the &ufts 'niversity )iomedi*al +ngineering Department for providing me

    ,ith this in*redible opportunity to intera*t ,ith an early stage regenerative investigation. I ,ould

    also li(e to than( the -evin lab at &ufts enter for /egenerative and Developmental )iology for

    providing assistan*e throughout.

    I ,ant to than( Prof. $aplan for allo,ing me to 0oin on this pro0e*t ,ith 1i(. I ,as very

    e2*ited at the possibility to ,or( on a regeneration study% and Prof. $aplan helped me to find a

    pro0e*t that my efforts ,ould be *riti*al to its su**ess.

    I also ,anted to than( 1i( $o0i* for the opportunity to ,or( alongside of his resear*h. It

    ,as a pleasure to spend so mu*h time in the frog room ,ith 1i(% and I ,ish him the best on his

    *urrent and future endeavors. In addition% Punita $oustubhan deserves re*ognition for all her

    help and ,or( ,ith this entire pro0e*t.

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    Table of ontents

    &able of

    Figures33333333333333333333333333333333333333333... p.iv

    ".

    Abstra*t333333333333333333333333333333333333.. p."

    . )a*(ground 4

    Introdu*tion333333333333333333333333....p.a. /egeneration

    pro*ess33333333333333333333333.. p.

    b. Stumpurrents333333333333333333333333333. p.5

    *. lassi*al

    Studies333333333333333333333333333p.6

    d. urrent/esear*h33333333333333333333333333.p.""

    e.

    Monensin333333333333333333333333333333.p."7

    f. 8ur

    Approa*h333333333333333333333333333... p."97.

    Hypothesis3333333333333333333333333333333333..p.":

    9. Spe*ifi*Aims333333333333333333333333333333333.. p.";

    5.

    Methods33333333333333333333333333333333333

    3 p."roups33333333333. p.6

    ii.

    Surgery33333333333333333333333333.. p.:iii. &reatment

    )aths333333333333333333333. p.:

    iv. ?isual

    inspe*tion333333333333333333333. p.;v.

    Histology3333333333333333333333333.. p. BSodium >lu*onateC in Poland Spring @ater. &his is an e2tremely high

    *on*entration of sodium *ompared to the normal salt levels in Poland Spring. &herefore the

    treatment solution provides the pharma*ologi*al ingredient% monensin% as ,ell as the

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    ne*essary ion sour*e of sodium to in*rease the

    intra*ellular *on*entration and thus drive stump

    *urrents. Frogs are allo,ed to soa( for

    minutes. After the initial soa(ing% the solution is

    *ontinually diluted ,ith additional Poland

    spring. &he solution is then poured out% and ne,

    Poland Spring ,ater is added to the *ontainers.

    Frogs are (ept in these *ontainers until they

    begin to move around normally% at ,hi*h point

    they are returned to their *age. &he t,o *ontrol

    treatments are performed in the same e2a*t

    manner.

    I?. ?isual inspe*tion

    Frogs ,ere inspe*ted at least on*e a ,ee( for any *hange in appearan*e to the amputation

    site. Pi*tures ,ere ta(en of ea*h frog in three different poses so that the amputation site

    *ould be vie,ed from several angles. &he frogs ,ere *ompletely a,a(e and uninhibited

    during the pi*ture ta(ing% be*ause anesthetiGing them for su*h a short period ,as

    unne*essary.

    ?. Histology

    Proto*ols are *urrently being submitted so that ,e *an run histology samples on the

    sa*rifi*ed frog. &he right forearm ,ill be fi2ed and histology ,ill be performed loo(ing

    for gro,th of tissue% bone and nerves. Many regeneration events do *ause native tissue%

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    bone% and nerves to gro,% but rather result in a hypomorphi* spi(e *hara*teriGed by some

    tissue surrounding a *artilaginous outgro,th.

    /$ Results"""""""""""""""""""""""""""""""""""""""""""""""

    "

    Although it is still very early in the regenerative pro*ess% as the first group of e2perimentally

    treated frogs is only t,o months post treatment% a fe, initial results have sho,n the potential for

    regeneration indu*tion. As e2pe*ted amputated frogs *ompleted a normal ,ound healing

    response that *aused the amputation site to slo,ly *lose up ,ith regular epithelium. @ithout any

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    treatment% the frogs sho,ed no regenerative *apability nor did they demonstrate any signs of

    developing a bud. In *ontrol group frogs treated only ,ith Poland spring% the thi*( epithelium

    *ontinued to *lose over the ,ound site% and 7 days after the treatment BQ months post

    amputationC the ,ound site ,as *ompletely *losed over BFig "6C. &his is the typi*al ,ound

    healing response of adultRana pipiens% and *onfirms that these frogs do not retain their

    regenerative *apabilities. In addition% frogs treated ,ith Monensin ,ithout sodium ultimately

    healed similarly to the untreated frogs. As seen in Figure ":% some redness appears after

    treatment ,ith monensin% but it never develops into an outgro,th and by Day 56 the ,ound is

    *ompletely healed over. &his agrees ,ith the results a*hieved by A. &seng et al. ,hi*h indi*ated

    that treatment ,ith monensin or high levels of sodium alone is in*apable of indu*ing

    regeneration.

    In *omparison% frogs sub0e*ted to the monensin and sodium treatment have demonstrated a

    distin*t *hange in appearan*e of the ,ound site. A ,ee( after treatment the healed ,ound site

    be*ame reddish in *olor and a distin*t bulge develops. &his small outgro,th % although only a

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    fe, mm in e2tension from the original plane of amputation% is thought to be a blastema and is

    representative of a limb development phenomenon% an event not e2perien*ed by the *ontrol

    frogs. In Figure ";% this regeneration bud *an be *learly seen by Day "5. &his outgro,th is

    *learly absent ,hen *ompared to the nonregenerative frogs in Figure "6O":. &he head=on vie,

    used in Figure "< *learly demonstrates the *hange in appearan*e of the amputation site as the

    regenerative outgro,th matures. After the initial appearan*e of the regenerative outgro,th% the

    bud *ontinued to *hange in stru*ture and appearan*e as further time passed post amputation.

    &hese frogs ,ill *ontinue to be monitored until all gro,th has halted. At this point% the spe*imen

    ,ill be sa*rifi*ed and the regenerated arm ,ill undergo histologi*al e2amination.

    )e*ause this study is still at a very early timepoint% ,e do not *urrently have any

    histologi*al or quantitive results in ,hi*h to present. Solutions to these issues are presented in

    the dis*ussion and future ,or( se*tions.

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    0$ 1iscussion""""""""""""""""""""""""""""""""""""""""""""

    "

    Although no definitive *on*lusions *an be dra,n at this point due to the la*( of

    histologi*al data as ,ell as the need for more samples for reprodu*ibility% the monensin and

    sodium treated frogs are *learly demonstrating some type of regenerative outgro,th. &his is even

    more *on*lusive ,hen *ompared to the untreated frog BFig. "6C and the frog that ,as only

    sub0e*ted to monensin BFig. ":C. Interestingly% the appearan*e of the monensin treated frog limb

    ,as slightly different from the untreated group. &his is most li(ely due to minute amounts of

    sodium ions that ,ere present in the solution. Ho,ever% at su*h small quantities% the ,ound site

    only slightly *hanged in appearan*e% but did not present any sort of gro,th. In *omparison% the

    images seen in Figures "; 4 "< demonstrate a *lear outgro,th from the amputation site. &his

    blastema formation is indi*ative of the early stages of a regenerative response. Although it is too

    early in this study to *on*lude that these outgro,ths are indu*ed by monensins ability to rapidly

    transport sodium ions into the *ell% the initial results are promising. &his regeneration indu*tion

    is most li(ely the result of a *as*ade of signaling that is enhan*ed by the in*reased ioni* flu2

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    B-evin !!

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    be*ame very vo*al. &hese sounds seemed to alert the other frogs in the room that food ,as

    *oming. 8ne (ey aspe*t of our approa*h for frog *are ,as to populate the tan(s ,ith "!="5 frogs.

    Most previous studies have housed ea*h frog in their o,n individual *ontainer. In our

    e2perien*e% frogs sequestered to individual *ontainers did not demonstrate the same vora*ity and

    liveliness of the grouped frogs% and often times ,ould go ,ithout eating. Ho,ever% on*e they

    ,ere returned to the group they resumed normal a*tivity. Although a more detailed study of this

    response ,ould be appropriate% it ,as of potential interest due to the differen*e in animal *are of

    this study as *ompared to previous ones.

    I ,as very fortunate to be*ome a part of this investigation at a very early stage in the

    resear*h pro*ess. I 0oined ,ith 1i( $o0i* in the Spring of !"!% and it ,asnt until the late fall of

    that same year that our first frog spe*imens arrived. It has been a very long and time *onsuming

    pro*ess from starting off ,ith a fe,Xenopus laevisfrogs to transitioning to in*lude over !!

    Rana pipiens. Ho,ever% the *ontinued effort has led to a fantasti* learning e2perien*e%

    spe*ifi*ally for e2perimentation using live animals% as ,ell as a great opportunity to learn from

    1i( and Punita. Although my ,or( on this pro0e*t is shortly *oming to a *lose% there remains a

    great amount of ,or( and resear*h that ,ill be *ontinue to be *ondu*ted on this on=going study.

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    treatment are to be impli*ated in the regeneration of the limbs% similar treatments should result in

    similar outgro,ths from the study organisms. -arge variations in the regenerative response

    ,ould indi*ate that additional fa*tors are at play. &his *an be strengthened by further

    demonstration that sodium treatment or monensin treatment alone is in*apable of produ*ing a

    regenerative response. In addition% histologi*al results ,ill provide information regarding the

    quality and amount of regeneration that is o**urring. Although visual inspe*tion allo,s for basi*

    information regarding the outgro,th% it is very minimal and is in*apable of identifying the

    me*hanisms responsible for this response. &herefore% the monitoring of the *hange in

    *on*entration of sodium and other important ions ,ill provide *ru*ial data at the mole*ular level

    BNhang B!!

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    limb formation. In addition% they ,ere able to produ*e developmental defe*ts in these limbs by

    alteration of the out,ard stump *urrent. Although the pro*esses may not be *ompletely

    understood% this indi*ates that stump *urrents are *riti*al to the development of vertebrate spe*ies

    and thus may represent a unique possibility. If the *ells in a non=regenerative vertebrate *an be

    triggered in su*h a manner to mimi* developmental *onditions% then regeneration might o**ur.

    @e hope that our resear*h ,ill provide further information regarding the regenerative path,ays

    and ,ill further our (no,ledge regarding regeneration.

    *. @hat I have learned

    @or(ing on this pro0e*t has been a unique opportunity and an amaGing learning e2perien*e.

    Despite spending *lose to ten hours a ,ee( ta(ing *are of the frogs% I feel privileged to have had

    this opportunity. Although it is disappointing to not have more results after ,or(ing for over a

    year a on this resear*h% it has provided several important lessons that I am *onfident ,ill be

    benefi*ial for my future endeavors.

    &he first of ,hi*h is fle2ibility. @hen I first started to ,or( ,ith 1i(% the fo*us of our

    efforts ,as on using Sil( fibroin e=gels on the amputated limbs ofXenopusfrogs ho,ever% that

    fo*us ,as shifted to our *urrent effort on limb regeneration using monensin. In addition%

    shipments of frogs or *ri*(ets *ould arrive at anytime during the day therefore it ,as important

    to be able to ad0ust the ,or( s*hedule to ,hen the shipments arrived.

    Patien*e ,as another important lesson that ,as stressed by ,or(ing on this pro0e*t. @e

    had to ,ait for several months before our proto*ols ,ere a**epted. &herefore% although ,e ,ere

    ready to start our e2perimentation last spring% the long ,aiting pro*ess for approval pushed the

    start until the fall. @hen our frog room ,as finally approved in early fall% ,e ,ere e2*ited to

    finally begin the study. Ho,ever% as previously mentioned%Rana pipiensare not available

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    throughout the year% usually they be*ome available by the start of 8*tober. Ho,ever due to

    de*lining population and alteration in the environmental *onditions% ,e re*eived our first

    shipment of frogs by early 1ovember. Although our start time ,as greatly delayed% it is *riti*al

    not to *ompound mista(es by attempting to rush through to a*hieve results. Patien*e is espe*ially

    important in live animal studies% ,here *ontrolling all fa*tors is *hallenging. In *omparison to in

    vitrostudies% be*ause the frogs are living organisms they are not al,ays going to respond as

    desired. It is *riti*al to remain gentle and *alm ,hen handling the frogs% as rough handling *an

    *ause damage and dis*omfort to the organism.

    &his resear*h opportunity has been an amaGing e2perien*e for s*ientifi* learning.

    Although animal studies are very different from some of my past resear*h e2perien*es% I

    thoroughly en0oyed the responsibility asso*iated ,ith *aring for over !! animals. 1ot only did

    it require lots of hard ,or( but also a *ommitment to a high standard of quality and *are% a

    ne*essity ,hen handling live organism. I hope that all my efforts% and the *ontinued ,or( of the

    resear*h team ,ill ,or( to demonstrate the regenerative abilities indu*ed by monensin and

    sodium treatment.

    3$ !uture

    4ork"""""""""""""""""""""""""""""""""""""""""

    &he future of this study appears to be very promising ho,ever% there is still a great deal of ,or(

    that needs to be *ondu*ted. 1ot until the end of the regro,th pro*ess for the intial treatment

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    group ,ill ,e have a better understanding of the regenerative *apa*ity indu*ed by treatment ,ith

    monensin and sodium. In addition in the span of several months our operation siGe has in*reased

    from 7! frogs in early ,inter to over !! frogs at the *urrent time. Although this mar(ed in*rease

    in siGe is largely due to the fa*t thatRanapipiensare prote*ted during their spa,ning time in the

    summer and are unattainable% it is also out of ne*essity for reprodu*ible results. For e2ample% Dr.

    Smiths results should be *onsidered truly remar(able% espe*ially due to the fa*t that one of his

    study organisms demonstrated a *omplete regeneration of a lost limb. Ho,ever% many details

    regarding the methods used by Dr. Smith are missing% and he never repeated his e2perimental

    pro*ess. &herfore% it is *riti*al that ,e are *apable of demonstrating *onsistent gro,th ,ith our

    regenerates. At the *urrent time% additional *ontrol treatments are being *ondu*ted to ensure that

    no environmental fa*tors B*o*onut substrate% ro*(s% or Poland Spring ,aterC ,ere a*tive in

    indu*ing the regeneration event. &hese *ontrols ,ill help to strengthen the results of the

    monensin and sodium treated spe*imens. In addition% repeat e2periments sub0e*ting the frogs to

    treatments of monensin only and sodium only should be *ondu*ted to provide additional support.

    Finally% depending upon the up*oming results% an attempt to repeat the Smith and )orgens

    e2periments should be made to guage ,hat s*ale of regro,th ,e *an a*hieve. &his ele*tri*al

    stimulation *ould be used in *on0u*tion ,ith monensin and sodium treatment to *reate very

    strong *urrents% ho,ever it is un*ertain ,ether e2*essive *urrents ,ould be benefi*ial or

    detrimental.

    Monitoring of these *urrents ,ill be important to demonstrate the flu2 of sodium ions.

    )orgens used vibrating probes that allo,s them to measure e2tra*ellular voltage differen*es.

    &his allo,s for inferen*e about the e2tra*ellular *urrent densities% but provides no means for

    visualiGation. 1. 8G(u*ur et al. have re*ently demonstrated that this visualiGation is possible

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    through the use of ion spe*ifi* vital dyes. &hese dyes allo, for the in vivomonitoring of several

    spe*ifi* ions during the regeneration of a2olotol limb. &his real=time monitoring ,ould enable us

    to visualiGe the movement of ions during the regeneration of the Rana.

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    "!. References""""""""""""""""""""""""""""""""""""""""

    AltiGer A% et al.B!!"C. +ndogenous ele*tri* *urrent is asso*iated ,ith normal development of

    the vertebrate limb. Developmental Dynami*s "# 7

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    )ro*(es J. B"ardiner D% +ndo &% 4 )ryant S. B!!C. &he mole*ular basis of amphibian limb regeneration#

    integrating the old ,ith the ne,. Seminars in ell 4 Developmental )iology "7# 795=75.

    He*havarria D% De,ilde A% )raunhut S% -evin M% 4 $aplan D . )ioDome regenerative sleeve

    for bio*hemi*al and biophysi*al stimulation of tissue regeneration.

    Halliday &. 4 Adler $. B"

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    $rag M et al.B!!

    Developmental dynami*s 7

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    Smith S.B"