Comprendre les modes d'interaction des rayonnements ionisants avec la matière vivante, notamment lors de l'exposition à de faibles doses telles que celles que l'on peut trouver dans un environnement industriel ou dans la nature, reste un enjeu majeur pour l'évaluation du risque associé. Il s'agit d'un problème de société qui n'a pu malheureusement trouver de réponse dans les études épidémiologiques classiques dans la mesure où les quelques données fiables concernent plutôt des expositions accidentelles à des doses beaucoup plus élevées. L'exposition naturelle représente pourtant la première source dans la vie courante juste devant les sources d'origines médicales (radiologie, radiothérapie). Ce type d'exposition est très difficile à reproduire en laboratoire sur des lignées cellulaires. La méthode principalement utilisée, basée sur l'irradiation aléatoire de populations cellulaires, consiste à calculer le nombre moyen de particules ayant interagi par cellule et repose ainsi sur des lois de distribution statistique (loi de Poisson). En plus des inévitables impacts multiples, la variété des cibles intracellulaires touchées (noyau, cytoplasme), les effets indirects induits par les impacts sur les cellules voisines ou simplement extracellulaires sont autant de phénomènes qui compliquent alors sérieusement l'interprétation des données.<br /><br />Dans ce contexte, un microfaisceau de particules  a été développé au CENBG pour réaliser des irradiations ciblées à l'échelle sub-cellulaire avec une précision de quelques micromètres. Il est ainsi possible de contrôler le nombre exact de particules délivrées par cellule (jusqu'à la dose ultime d'un ion par cellule), de prédéterminer avec précision le point d'impact et d'irradier certaines cellules tout en vérifiant la réponse de cellules voisines.<br /><br />La validation de ce dispositif a été réalisée au cours de ce travail de thèse, sur des kératinocytes humains exprimant une protéine recombinante nucléaire fluorescente (histone H2B-GFP) en mettant en évidence des dommages nucléaires radio-induits spécifiques et dose-dépendant. La combinaison de techniques telles que le microfaisceau d'ions, la microscopie confocale et l'analyse quantitative numérique a permis de mesurer, in situ et à l'échelle de la cellule unique, la cinétique de phosphorylation de la protéine histone H2A.X et d'aborder ainsi l'étude des processus de réparation de l'ADN et d'induction de l'apoptose. Les résultats expérimentaux ont validé la méthodologie développée en démontrant la reproductibilité du tir et le contrôle de la dose grâce à la mise en évidence d'une relation dose-effet qui a été également étudiée en fonction du temps.

Ph.D. / Molecular and Medical Genetics / The objective of this study is to examine, in light of the expression of multiple p53 family member isoforms, the specific role of p73 in malignant conversion, cellular response to DNA damage, and direct or indirect cooperation with other p53 family members in a clonal model of epidermal carcinogenesis. We first focused on the role of p73 in malignant conversion. Whether sporadic or siRNA induced, loss of p73 in initiated p53+/+ keratinocytes lead to conversion to squamous cell carcinoma (SCC) in vivo which was reversible upon reconstitution of TAp73α but not ΔNp73α. Second, we investigated the cellular response to ionizing radiation (IR) in the presence and absence of p73, showing that loss of p73 at malignant conversion was associated with resistance to IR in vitro. The loss of radiation sensitivity and malignant conversion was characterized by reduced steady state DNA binding levels of transcriptionally active p63 isoforms to the p21 promoter, failure to induce specific p53 family transcriptional targets, and failure to arrest in G1. Reconstitution of TAp73α, but not ΔNp73α, increased steady state DNA binding capabilities of TAp63β, TAp63γ, and ΔNp63γ, and steady state levels of p53 family target mRNA, but did not restore cellular sensitivity to IR. We thus uncovered a functional cooperation between TA isoforms of p73 and p63 and showed that p73-mediated DNA damage response was uncoupled from its tumor suppressive role. We observed preferential DNA binding of the inhibitory ΔNp63α isoform both in vitro and invivo in SCC suggesting that in the absence of TAp73α a balance is tipped toward DNA binding of the inhibitory isoforms. Third, we studied the role of the p53 family inkeratinocyte response to UVB. Tumorigenic cells lacking p73 that were resistant to IR remained sensitive to UVB, accompanied by DNA binding of the TAp63γ isoform, suggesting that keratinocyte response to UVB is not dependent upon p73 and suggesting a hierarchy of p53 family member responses to DNA damage. Finally, we examined TAp73α interaction with the p53 family inhibitor Mdm2. Mdm2 was in complex with DNA-bound p53 family members in malignant cells, but reconstitution of cells withTAp73α correlated with removal of Mdm2 from the complex, making them more like primary keratinocytes or initiated cells. Like the initiated cells, cells expressing TAp73α were refractory to treatment with the Mdm2-p53 inhibitor Nutlin-3 while cells lacking p73 expression or expressing ΔNp73α were sensitive. Thus, we suggest that p73 may be acting as a molecular shield to keep p53 family member inhibitors, such as ΔNp63α andMdm2, at bay. Further understanding of p53 family interplay in tumor development and DNA damage response could lead to new therapies or optimization of current therapeutic strategies in solid tumors of epithelium, particularly where deregulation or loss of p63 and p73 expression is associated with increased tumor invasiveness, treatment resistance, and poor patient prognosis.

Investigations of DNA damage response (DDR) mechanisms in normal tissues have implications for both cancer prevention and treatments. The accumulating knowledge about protein function and molecular markers makes it possible to directly trace and interpret cellular DDR in a tissue context. Using immunohistochemical techniques and digital image analysis, we have examined several principal DDR events in epidermis from patients undergoing fractionated radiotherapy. Acquiring biopsies from different regions of the skin provides the possibility to determine in vivo dose response at clinically relevant dose levels throughout the treatment. A crucial event in cellular DDR is the repair of DNA double strand breaks (DSBs). These serious lesions can be directly visualised in cells by detecting foci forming markers such as γH2AX and 53BP1. Our results reveal that DSB-signalling foci can be detected and quantified in paraffin-embedded tissues. More importantly, epidermal DSB foci dose response reveals hypersensitivity, detected as elevated foci levels per dose unit, for doses below ~0.3Gy. The low-dose hypersensitive dose response is observed throughout the treatment course and also in between fractions: at 30 minutes, 3 hours and 24 hours following delivered fractions. The dose response at 24 hours further reveals that foci levels do not return to background levels between fractions. Furthermore, a low-dose hypersensitive dose response is also observed for these persistent foci. Investigations of end points further downstream in the DDR pathways confirmed that the low-dose hypersensitivity was preserved for: the checkpoint regulating p21 kinase inhibitor; mitosis suppression; apoptosis induction and basal keratinocyte reduction. Our results reveal preserved low-dose hypersensitivity both early and late in the DDR pathways. A possible link between the dose-response relationships is therefore suggested. The preserved low-dose hypersensitivity is a cause for re-evaluation of the risks associated with low-dose exposure and has implications for cancer treatments, diagnostics and radiation protection.

Le cheval est souvent victime de plaies traumatiques, dont la guérison est fréquemment problématique, et ce, principalement quand la plaie survient sur le membre. Il est courant de voir chez le cheval le développement d’un tissu de granulation exubérant ou « bouton de chair », qui mène à une cicatrisation excessive due à la surproduction de tissu fibreux. Ce tissu cicatriciel, non épithélialisé, est caractérisé par une occlusion au niveau de la microcirculation due à l’hypertrophie des cellules endothéliales, qui laisse supposer la présence d’hypoxie tissulaire. Une hypoxie relative a effectivement été mesurée par spectroscopie dans le proche infrarouge au niveau des plaies appendiculaires prédisposées au développement de tissu de granulation exubérant, par rapport aux plaies corporelles. De plus, une étude thermographique a révélé un patron spatial similaire de la perfusion. Au niveau moléculaire, la littérature rapporte que le facteur de transcription «hypoxia inducible factor» (HIF) est à l’origine de plusieurs changements dans les niveaux d’expression de divers gènes régulés par l’hypoxie. L’objectif du présent projet de recherche était de définir la contribution de l’hypoxie à la guérison cutanée chez le cheval. Le premier volet (in vivo) du projet visait à mesurer l’expression protéique temporelle du HIF1A dans des échantillons tissulaires en provenance de plaies cutanées guérissant normalement et d’autres développant une cicatrisation excessive, selon divers sites anatomiques (tronc, membre). Les résultats obtenus suggèrent que la mesure de HIF1A, dans les échantillons pluricellulaires de cette étude, reflète l’épithélialisation de la plaie plutôt que les niveaux d’oxygène tissulaire. En effet, le HIF1A semble réguler l’homéostasie et la prolifération des kératinocytes. Le second volet (in vitro), consistait en la mise en culture de fibroblastes dermiques équins provenant du tronc ou du membre, en condition de normoxie ou d’hypoxie (à 1% d’O2 ou à l’aide d’un mimétique, le CoCl2) afin d’en étudier le comportement (capacités de prolifération et de synthèse protéique). Les résultats obtenus soutiennent une contribution de l’hypoxie à la cicatrisation extensive chez le cheval puisque l’hypoxie favorise la prolifération des fibroblastes en plus d’encourager la synthèse de collagène de type 1 et de diminuer la synthèse de la métalloprotéinase de type 2. Les changements observés semblent dépendre de facteurs extrinsèques (environnementaux) car les fibroblastes dermiques se comportent de façon similaire indépendamment de la provenance anatomique. En somme, les deux volets de l’étude ont permis d’élucider une part des mécanismes sous-jacents à la formation du tissu de granulation exubérant lors de guérison cutanée chez le cheval. La poursuite des recherches dans ce domaine mènera à une meilleure compréhension de la pathologie et ainsi, permettra de développer des méthodes de traitement spécifiques à la condition. / The horse is often victim of traumatic wounds for which healing can be problematic, mainly when the wound occurs on the limb. The development of exuberant granulation tissue, also known clinically as “proud flesh”, leads to extensive scarring characterized by overproduction of fibrous tissue and the absence of an epithelial cover. This scar tissue suffers from occlusion of the microcirculation within the residual granulation tissue, due to endothelial cell hypertrophy, suggesting tissue hypoxia. The presence of relative hypoxia in limb wounds of horses was recently confirmed using near infrared spectroscopy. Additionally, thermography showed decreased perfusion in limb wounds. Abundant literature incriminates "hypoxia inducible factor” (HIF) in the regulation of expression of a number of genes in response to hypoxia. The overall objective of this research project was to define the contribution of hypoxia to problematic wound healing in horses. The first phase of the project (in vivo) aimed to measure the temporal expression of HIF1A protein in tissue samples taken from skin wounds healing normally and others developing exuberant granulation tissue and subsequent extensive scarring, according to various anatomical sites (trunk, limb). Results suggest that the expression of HIF1A within the pluricellular tissue samples of this study reflects wound epithelialization rather than tissue oxygen levels. Indeed, HIF1A appears to regulate the homeostasis and proliferation of skin keratinocytes. The second phase of the project (in vitro) consisted in the culture of equine dermal fibroblasts from the body or the limb, under conditions of normoxia or hypoxia (1% O2 or using a mimetic, CoCl2) in an effort to study their behavior (proliferation and protein synthesis). Results corroborate the contribution of hypoxia to over-scarring in the horse since hypoxia promotes both the proliferation of dermal fibroblasts and the synthesis of collagen type 1 while decreasing the synthesis of matrix metalloproteinase 2. Extrinsic factors (environmental) appear to govern the behavior of equine dermal fibroblasts since these cells behave similarly regardless of their anatomic origin (body or limb). In summary, the two phases of the study contributed to the elucidation of a portion of the mechanisms underlying the development of exuberant granulation tissue during wound healing in horses. Further research in this area will provide a better understanding of the pathology and thus aid in the design and development of targeted therapies.

The results of experiments aimed at determining whether cytotoxic T lymphocytes (CTLs) can kill keratinocytes (KCs) expressing endogenously loaded antigen indicated that antigen specific cytotoxic T lymphocytes could recognize and kill keratinocytes expressing ovalbumin (OVA) or SIINFEKL peptide. Exposure of the KCs to interferon-gamma (IFN-γ) enhanced this CTL-mediated KC lysis and increased CTL epitope presentation on the surface of target cells. Expression of HPV 16 E7 protein in KCs affected CTL-mediated lysis. Expression of HPV 16 E7 inhibited IFN-γ-mediated up-regulation of SIINFEKL/H-2Kb complexes on keratinocytes, and also inhibited IFN-γ-mediated up-regulation of IRF-1 expression, and consequent up-regulation of TAP1 transcription. Further, overexpression of IRF-1 partially corrected the HPV 16 E7-mediated inhibition of enhanced susceptibility of KC lysis induced by IFN-γ. Thus, the effects of HPV 16 E7 on CTL-mediated lysis of IFN-γ exposed KCs are likely mediated by inhibition of MHC class I antigen presentation by IFN-γ. These findings may help explain why HPV-infected epithelial cells can escape from immune surveillance mediated by CTLs in vivo and in vitro.

Arsenic is a universal environmental toxicant associated mostly with skin related diseases in people exposed to low doses over a long term. Low dose arsenic trioxide (ATO) with long exposure will lead to chronic exposure. Experiments were performed to provide new knowledge on the incompletely understood mechanisms of action of chronic low dose inorganic arsenic in keratinocytes. Cytotoxicity patterns of ATO on long-term cultures of HaCaT cells on collagen IV was studied over a time course of 14 days. DNA damage was also assessed. The percentages of viable cells after exposure were measured on Day 2, Day 5, Day 8, and Day 14. Statistical and visual analytics approaches were used for data analysis. In the result, a biphasic toxicity response was observed at a 5 μg/ml dose with cell viability peaking on Day 8 in both chronic and acute exposures. Furthermore, a low dose of 1 μg/ml ATO enhanced HaCaT keratinocyte proliferation but also caused DNA damage. Global gene expression study using microarray technique demonstrated differential expressions of genes in HaCaT cell exposed to 0.5 μg/ml dose of ATO up to 22 passages. Four of the up-regulated and 1 down-regulated genes were selected and confirmed with qRT-PCR technique. These include; Aldo-Keto Reductase family 1, member C3 (AKR1C3), Insulin Growth Factor-Like family member 1 (IGFL1), Interleukin 1 Receptor, type 2 (IL1R2) and Tumour Necrosis Factor [ligand] Super-Family, member 18 (TNFSF18), and down-regulated Regulator of G-protein Signalling 2 (RGS2). The decline in growth inhibiting gene (RGS2) and increase in AKR1C3 may be the contributory path to chronic inflammation leading to metaplasia. This pathway is proposed to be a mechanism leading to carcinogenesis in skin keratinocytes. The observed over expression of IGFL1 may be a means of triggering carcinogenesis in HaCaT keratinocytes. In conclusion, it was established that at very low doses, arsenic is genotoxic and induces aberrations in gene expression though it may appear to enhance cell proliferation. The expression of two genes encoding membrane proteins IL1R2 and TNFSF18 may serve as possible biomarkers of skin keratinocytes intoxication due to arsenic exposure. This research provides insights into previously unknown gene markers that may explain the mechanisms of arsenic-induced dermal disorders including skin cancer / Environmental Sciences / D. Phil. (Environmental science)

La combretastatine A-4 (CA-4), produit naturel isolé d’un arbuste d’Afrique du sud (Combretum caffrum K.), a montré des propriétés antitumorales intéressantes. Grâce à sa capacité à empêcher la polymérisation de la tubuline, ce stilbénoïde possède des propriétés cytostatiques sélectives à l’égard de différentes lignées cellulaires cancéreuses. Certains dérivés hydrosolubles de la CA-4 comme la CA-4P (fosbretabuline) et le composé AVE8062 (ombrabuline) sont actuellement en essais cliniques pour le traitement de différents cancers. Trois séries de dérivés de la CA-4 ont été synthétisées : les Z-stilbènes, les 1,2- diaryl-1,2-éthanediones et les 5,6-diaryl-2,3-dihydropyrazines. Dans ces composés, le cycle B est remplacé par divers hétérocycliques (indole, benzofurane, benzothiophène, thiophène) attachés à la position C2. Ces dérivés ont été évalués pour leur capacité à inhiber l'assemblage de la tubuline. Le produit Z-stilbènes portant un noyau benzo[b]thiophène a montré une activité antitubuline comparable à celle de la colchicine et de la deoxypodophyllotoxine. L’effet sur l'organisation intracellulaire des microtubules et les propriétés antimitotiques de ce composé ont été ensuite testés sur les lignées cellulaires de kératinocytes SKv-a et HaCaT. Enfin, des essais préliminaires de vectorisation de ce composé dans des nanoparticules lipidiques solides (SLN) ont été réalisés / Combretastatin A-4 (CA-4), a natural product first isolated from the South African bush willow tree (Combretum caffrum K.), possesses interesting antitumor properties. Due to its capacity to inhibit tubulin polymerization, this stilbenoid shows selective cytostatic activities against various cancer cell lines. Some water-soluble CA-4 derivatives such as CA-4P (fosbretabuline) and AVE8062 (ombrabuline) are currently undergoing clinical trials for the treatment of various cancers. Three series of CA-4 analogues, Z-stilbenes, 1,2-diaryl-1,2-ethanediones and 5,6-diaryl-2,3-dihydropyrazines, were synthesized. In these compounds, the B ring is replaced by various heterocycles (indole, benzofurane, benzothiophene or thiophene) attached at the C2 position. These derivatives were evaluated for their ability to inhibit tubulin assembly. Compound Z- stilbenes bearing a benzo[b]thiophene ring showed an antitubulin activity comparable to that of colchicine and deoxypodophyllotoxine. Its effect on the intracellular organization of microtubules and antimitotic properties were then tested on two keratinocyte cell lines HaCaT and SKV-a. Finally, preliminary essays to the vectorization of this compound in solid lipid nanoparticles (SLN) were carried out

Calcitriol [1α,25(OH)2D3], the hormonally active form of vitamin D3 (D3) is produced in both renal and extrarenal tissues. Our findings demonstrate that physiological doses of UVB radiation at 300 nm induce the conversion of 7-dehydrocholesterol (7-DHC) via preD3 and D3 into calcitriol in the pmol range in epidermal keratinocytes. The hydroxylation of photosynthesized D3 to calcitriol is strongly suppressed by ketoconazole, a known inhibitor of cytochrome P450 mixed function oxidases. The UVB-induced formation of calcitriol in human skin is demonstrable in vivo by the microdialysis technique. These results suggest that human skin is an autonomous source of hormonally active calcitriol. / Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.

O tingimento de tecidos começou há milhares de anos e a disponibilidade comercial de corantes é enorme e crescente. A indústria têxtil brasileira desempenha um papel de inquestionável importância, destacando-se entre as principais atividades econômicas do país. O processo de tingimento é um dos fatores fundamentais no sucesso comercial dos produtos têxteis, uma vez que o consumidor exige cores resistentes à exposição ao calor, à luz, à transpiração e às lavagens. Segundo a literatura, condições de transpiração intensa contribuem para uma alta taxa de migração e subseqüente penetração de corantes têxteis para a pele humana. Além disso, 2 a 50% desses compostos permanecem no banho de tingimento e são descartados nos efluentes industriais, contaminando o ambiente e colocando em risco a saúde humana, uma vez que os métodos convencionais de tratamento de efluentes são ineficientes na remoção da coloração e da mutagenicidade de alguns corantes. Dentro deste contexto, este trabalho teve como objetivo avaliar os efeitos toxicogenéticos do corante Direct Black (DB38) original e após extração por lixiviação com suor sintético, utilizando o teste do cometa com fibroblastos e queratinócitos de pele humana, o teste Anexina V com fibroblastos e o ensaio de mutagenicidade com Salmonella typhimurium. Adicionalmente, foi investigada a ecotoxicidade dos corantes têxteis Direct Black 38 e Reactive Blue 15 (RB15) originais por meio de ensaios com sementes, dapnhias, minhocas e zebrafish realizados na UTOX, em Barcelona. O corante DB38 original e lixiviado não induziram genotoxicidade em fibroblastos e queratinócitos de pele humana. O corante DB38 original foi mutagênico para as linhagens TA98 e TA100 de S. typhimurium na presença de S9. Entretanto, o corante lixiviado não induziu mutagenicidade para essas linhagens testadas, considerando que a maior taxa de migração do corante para a solução de suor foi de ~1% nas seguintes condições: tingimento sem ensaboamento, pH 8,0 e 8 horas de incubação à 42°C. O corante original é citotóxico para fibroblastos após 48 horas de exposição. No entanto, essa citotoxicidade não foi mais observada após a lixiviação no suor. Os corantes DB38 e RB15 originais não foram tóxicos para as sementes de pepino, alface e tomate, e nem para as minhocas Eisenia foetida. Ambos os corantes foram fracamente tóxicos para Daphnia magna, porém o RB15 apresenta maior potencial tóxico em relação ao DB38. Os corantes DB38 e RB15 induziram malformações em larvas de zebrafish Danio rerio, caracterizadas por falha na inflação da bexiga natatória e alteração na cauda. Portanto, nossos resultados mostram a importância de se fazer não só a análise individual de corantes têxteis, mas também dos tecidos que os contêm. Além da necessidade de se desenvolver técnicas de tingimento mais seguras em relação à solidez da cor sob condições úmidas e as perdas de corante para o ambiente durante a etapa de fixação, indicando maior atenção ao estudo de efeitos sub-letais na avaliação do impacto desses compostos no ecossistema aquático. / The fabrics dyeing began thousands of years ago and the commercial availability of dyes is increasingly. The Brazilian textile industry plays a role of high importance, highlighting among the main economic activities in the country. The dyeing process is one of the key factors in the commercial success of textile products, since consumers are demanding colors more resistant to heat, light exposure, perspiration and washing. According to the literature, conditions of intense perspiration contribute to the migration and subsequent penetration of textile dyes to human skin. Furthermore, 2 to 50% of the initial dye load is present in the dye bath effluent and these compounds are discharged in industrial effluents, contaminating the environment and endangering human health, since the wastewater treatment systems are ineffective in removing the color and mutagenicity of some dyes. In this context, this study aimed to evaluate the toxicogenetic effects of the Direct Black 38 (DB38) dye original and extracted by leaching with artificial sweat using Comet assay with fibroblasts and keratinocytes from human skin, Anexin V assay with fibroblasts and Salmonella mutagenicity test. Additionally, we investigated the ecotoxicity of textile dye Direct Black 38 and Reactive Blue 15 (RB15) using assays with seeds, dapnhias, worms and zebrafish performed in UTOX in Barcelona. The original and leached DB38 dye did not induce genotoxicity in fibroblasts and keratinocytes from human skin. The original DB38 was mutagenic for TA98 and TA100 of S. typhimurium with S9. However, the solution with the leached dye did not induce mutagenicity for these tested strains, since the highest migration rate of the dye to the solution of artificial sweat was ~ 1% in the following conditions: type of dyeing without rinsing, pH 8.0 and 8-hour incubation at 42°C. The original dye was cytotoxic for fibroblasts after 48 hours of exposure. However, this cytotoxicity was no longer observed after leaching in sweat. The original DB38 and RB15 dyes showed no toxicity for cucumber, lettuce and tomato seeds and for earthworms Eisenia foetida. Both dyes were weakly toxic for Daphnia magna, but the RB15 has a higher toxic potential compared to DB38. The dyes DB38 and RB15 induced malformations in larvae of zebrafish Danio rerio by failure of the swim bladder inflation and changes in the tail. Therefore, our results show the importance of making the individual analysis of textile dyes, but also of fabrics containing them. Furthermore, it is necessary to develop safer techniques of dyeing in relation to the color fastness under humid conditions and the loss of dyes into the environment during the fixation step, indicating more attention to the study of sub-lethal effects in the evaluation of the impact of these compounds in the aquatic ecosystem.

La fibrose pulmonaire idiopathique (FPI) et le syndrome de détresse respiratoire aiguë (SDRA) de l’adulte constituent des affections sévères du poumon distal, avec un pronostic sombre pour les patients. A ce jour, aucun traitement n’est réellement efficace. De manière intéressante, une hypoxie alvéolaire est retrouvée dans ces pathologies.La thérapie cellulaire utilisant des cellules souches mésenchymateuses humaines (CSMh) pourrait représenter un intérêt thérapeutique chez l’Homme. Cependant, leurs mécanismes d’action sont multiples et encore mal définis. Aussi, nous avons testé in vitro l’hypothèse selon laquelle les CSMh pourraient exercer un effet cytoprotecteur paracrine sur les cellules épithéliales alvéolaires (CEA) soumises à l’hypoxie.Dans une première étude, nous avons montré qu’une exposition prolongée à l’hypoxie telle que celle rencontrée au cours de la FPI induisait des modifications phénotypiques des CEA primaires de rat, évocatrices d’une transition épithélio-mésenchymateuse (TEM). On observe une perte progressive d’expression des marqueurs épithéliaux (TTF1, AQP5, ZO-1 et E-Cadhérine), couplée à l’apparition tardive de marqueurs mésenchymateux (α-SMA et Vimentine). Ces modifications phénotypiques s’accompagnent de l’expression dès les premières heures d’hypoxie de facteurs de transcription impliqués dans la TEM (SNAI1, TWIST1 et ZEB1) ou induits par l’hypoxie (HIF-1α et HIF-2α), et de protéines induisant la TEM (TGF-β1 et CTGF). La co-culture des CEA avec des CSMh en fond de puits prévient les modifications phénotypiques induites par l’hypoxie ainsi que l’expression des facteurs pro-TEM TWIST1, ZEB1, TGF-β1 et CTGF. Cet effet bénéfique des CSM est en partie expliqué par la sécrétion d’un facteur de croissance épithélial, le KGF.Dans une deuxième étude, nous avons confirmé que les CEA entraient en apoptose en condition hypoxique, via l’induction de deux voies de signalisations hypoxiques pro-apoptotiques. D’une part, les facteurs de transcription induits par l’hypoxie HIF sont stabilisés, et une cible pro-apoptotique, Bnip3, est induite. D’autre part, l’hypoxie induit une accumulation d’espèces réactives à l’oxygène délétère pour la cellule, perturbant l’équilibre redox de la cellule, endommageant l’ADN, et conduisant à l’apoptose. Cette accumulation pourrait résulter notamment d’une diminution de l’activité des enzymes anti-oxydantes SOD, en hypoxie. Le manque d’oxygène entraine également l’expression de CHOP, facteur de transcription pro-apoptotique impliqué dans le stress du réticulum endoplasmique, qui va13inhiber l’expression de la protéine anti-apoptotique Bcl-2. Nous avons montré que la culture des CEA en présence de milieu conditionné de CSMh (mc-CSMh) permet de prévenir partiellement l’apoptose des CEA en hypoxie, en modulant la voie de signalisation HIF, et en prévenant l’accumulation et les effets délétères des ROS. L’effet protecteur des CSM impliquerait le KGF comme observé lors de la première étude, mais également le HGF.Ces deux études indiquent que les CSMh sont susceptibles d’exercer des effets cytoprotecteurs paracrines vis-à-vis des CEA soumises à l’hypoxie aiguë ou prolongée, en limitant d’une part les modifications phénotypiques évocatrices de TEM, et d’autre part l’apoptose des CEA via la modulation des voies de signalisations hypoxiques. La sécrétion par les CSMh de KGF et de HGF, facteurs de croissance épithéliaux connus pour leurs effets bénéfiques sur les CEA, explique en partie les effets protecteurs paracrines des CSMh. Nos résultats suggèrent que les effets cytoprotecteurs des CSMh vis-à-vis des CEA pourraient contribuer aux effets bénéfiques des CSMh observés in vivo dans différents modèles animaux de fibrose induite, ou lors d’agressions alvéolaires aiguës. / Acute or chronic alveolar injuries provoke massive apoptosis of alveolar epithelial cells (AEC) that compromises an efficient repair of the alveolar epithelium and leads to lung diseases such as ARDS or IPF. These disorders are commonly associated with local alveolar hypoxia aggravating their progression through the stimulation of AEC apoptosis. Administration of allogenic mesenchymal stem cells (MSCs) has been shown to limit lung inflammation and fibrosis in murine models of alveolar injury, through a still poorly understood paracrine mechanism. In a first study, we showed that long term exposure of AEC in hypoxia leads to phenotypic alterations which looks like epithelio-mesenchymal transition (EMT). Co-culture with MSCs prevent hypoxia-induced EMT.In a second work, we studied whether MSC could protect AEC from hypoxia-induced apoptosis and the mechanisms involved. hMSC-conditioned media (hMSC-CM) significantly reduced hypoxia-induced apoptosis of AEC. Such a anti-apoptotic effect was also obtained with ROS scavenger N-acetylcystein or HIF1a inhibitor YC-1. hMSC-CM decreased the protein expression of HIF1α and HIF2α and of their pro-apoptotic target Bnip3 in hypoxic AEC. hMSC-CM also reduced ROS accumulation in hypoxic AEC by enhancing the activity of anti-oxidant enzymes and prevented the induction of CHOP, a pro-apoptotic factor induced by ROS signaling. The paracrine effect of hMSC was partly dependent on KGF and HGF secretion. hMSC prevent via a paracrine effect hypoxia-induced apoptosis of AEC by modulating hypoxic and ROS signaling.These two studies show that MSCs exert cytoprotective effects in vitro against hypoxia-induced apoptosis and EMT in AEC