ABCA7 is the closest homologue of ABCA1, which is established to play a key role in reverse cholesterol transport. ABCA1 deficiency causes Tangier disease and several ABCA1 modulations have been recently associated with Alzheimer’s disease. Prior research on ABCA7 focused on its role in macrophage lipid efflux and phagocytosis, however, tissue expression studies in mice revealed that ABCA7 is highly expressed in the brain. The function of ABCA7 in the brain is unknown and the purpose of this thesis was therefore to investigate the potential function of ABCA7 in the brain and the possible implications for Alzheimer’s disease. This was achieved by using in vitro models that transiently express ABCA7 and in vivo models including ABCA7 knockout (ABCA7 KO) mice and human APP transgenic (APPSwInd Tg) mice. ABCA7 was shown to potently stimulate cholesterol efflux from cells to extracellular apoE acceptors. Additionally, apoE expression was decreased by 20% in the brains of ABCA7 KO mice compared to wild type littermate controls and by 46% in ABCA7-deficient macrophages. In vitro models that stably express human APP protein demonstrated that the transient expression of ABCA7 increased intracellular APP targeting, which led to the inhibition of APP processing and a resultant decrease in the production of Aβ. In addition, ABCA7-deficient macrophages displayed impaired capacity to endocytose and degrade Aβ oligomers. Finally, in aged APPSwInd Tg mice where abundant amyloid plaques were present, ABCA7 expression was significantly decreased by 48%. Since cholesterol homeostasis modulates APP processing, the findings of this thesis suggest that ABCA7 may have a role in maintaining cellular cholesterol homeostasis via cholesterol efflux to apoE acceptors and possibly by regulating intracellular trafficking of specific membrane proteins. In summary, ABCA7 was clearly shown in this thesis to have an effect on Aβ generation, clearance and degradation. Furthermore, ABCA7 expression was also affected by Aβ deposition in the brain. Even though more work is required to further elucidate the exact function of ABCA7, the findings presented in this thesis provide the first clues to the function of ABCA7 in the brain.

ABCA7 is the closest homologue of ABCA1, which is established to play a key role in reverse cholesterol transport. ABCA1 deficiency causes Tangier disease and several ABCA1 modulations have been recently associated with Alzheimer’s disease. Prior research on ABCA7 focused on its role in macrophage lipid efflux and phagocytosis, however, tissue expression studies in mice revealed that ABCA7 is highly expressed in the brain. The function of ABCA7 in the brain is unknown and the purpose of this thesis was therefore to investigate the potential function of ABCA7 in the brain and the possible implications for Alzheimer’s disease. This was achieved by using in vitro models that transiently express ABCA7 and in vivo models including ABCA7 knockout (ABCA7 KO) mice and human APP transgenic (APPSwInd Tg) mice. ABCA7 was shown to potently stimulate cholesterol efflux from cells to extracellular apoE acceptors. Additionally, apoE expression was decreased by 20% in the brains of ABCA7 KO mice compared to wild type littermate controls and by 46% in ABCA7-deficient macrophages. In vitro models that stably express human APP protein demonstrated that the transient expression of ABCA7 increased intracellular APP targeting, which led to the inhibition of APP processing and a resultant decrease in the production of Aβ. In addition, ABCA7-deficient macrophages displayed impaired capacity to endocytose and degrade Aβ oligomers. Finally, in aged APPSwInd Tg mice where abundant amyloid plaques were present, ABCA7 expression was significantly decreased by 48%. Since cholesterol homeostasis modulates APP processing, the findings of this thesis suggest that ABCA7 may have a role in maintaining cellular cholesterol homeostasis via cholesterol efflux to apoE acceptors and possibly by regulating intracellular trafficking of specific membrane proteins. In summary, ABCA7 was clearly shown in this thesis to have an effect on Aβ generation, clearance and degradation. Furthermore, ABCA7 expression was also affected by Aβ deposition in the brain. Even though more work is required to further elucidate the exact function of ABCA7, the findings presented in this thesis provide the first clues to the function of ABCA7 in the brain.

Grâce à ses propriétés, la barrière hémato-encéphalique (BHE) est un élément clé dans la régulation de l’homéostasie cérébrale. Des altérations de la BHE peuvent promouvoir le développement de maladie neurodégénérative telle que la maladie d’Alzheimer (MA). La MA est la forme de démence la plus répandue chez les personnes âgées et est associée à des facteurs de risque tels que le gène ABCA7. Certains variants de ce gène ainsi qu’une perte de fonction de la protéine sont associés à une accumulation cérébrale excessive de peptides β-amyloïdes (Aβ) ainsi qu’à des perturbations de l’homéostasie du cholesterol. Ce transporteur est exprimé au niveau de la BHE mais ses fonctions y sont peu connues. Nous nous sommes donc intéressés au rôle du transporteur ABCA7 au niveau de la BHE. Pour cela, nous avons mis au point un modèle in vitro murin de BHE dans lequel le gène Abca7 est sous-exprimé, en utilisant la technique d’interférence par l’ARN. Nos résultats montrent que la sous expression du gène Abca7 est associée à une régulation négative de plusieurs effecteurs impliqués dans la formation des lipoprotéines. L’efflux du cholestérol et le transport de peptides Aβ sont modifiés dans les cellules sous exprimant Abca7. Le knockdown du gène Abca7 entraine également des modifications d’expression transcriptionnelle de certaines enzymes impliquées dans les métabolismes du cholestérol et des peptides Aβ. Ainsi, ces travaux mettent en évidence un rôle du transporteur ABCA7 dans la MA via son implication dans l’homéostasie cellulaire du cholestérol et le métabolisme des peptides Aβ au niveau de la BHE et suggèrent que ce transporteur pourrait être une cible thérapeutique pour la MA. / Due to these properties, Blood Brain Barrier (BBB) regulates exchanges of molecules between blood and brain and thus plays a key role in the regulation of cerebral homeostasis. Vascular dysfunctions as altered BBB can promote the development of neurodegenerative disease as Alzheimer's disease (AD). This disease is the most common form of dementia in the elderly, characterized by two mains pathological hallmarks in brain, the senile plaques and the neurofibrillary tangles. AD is associated with different environmental and genetic risk factors, as ABCA7 gene. It has been reported that variants in this gene are closely linked to excessive accumulation of amyloid- (Aβ) and disturbed cholesterol homeostasis. This transporter is expressed at brain level in endothelial cells constituting the BBB but its function at this barrier has not previously been studied. We thus investigated the role of ABCA7 at the BBB level. For this purpose, we have developed a murine in vitro BBB model in which AbcA7 gene is down regulated, using small RNA interference technique. Our results show that the decrease of AbcA7 gene expression is associated with a down regulation of several apolipoproteins and transporters involved in lipoprotein formation. Cellular cholesterol efflux and transport of Aβ peptides are modified in BBB silenced cells. The knockdown of AbcA7 also modified the transcriptional expression of enzyme involved in cholesterol and Aβ metabolisms. So, these works defined a role for ABCA7 in AD through its involvement in cellular cholesterol homeostasis and Aβ metabolism at the BBB level, suggesting that this transporter could be a potential therapeutic target.

L’avènement du séquençage haut débit permet actuellement d’étudier et d’analyser la part de lacomposante génétique des maladies complexes médiée par les variants rares. Cependant, leurinterprétation représente un défi majeur. En effet, le séquençage de milliers d’exomes et degénomes a révélé la complexité du polymorphisme humain et notamment la surreprésentation devariants rares. Et malgré le développement de logiciels d’analyse ainsi que de différentes bases dedonnées, la priorisation des variants rares reste difficile. Dans le cadre de cette thèse, nous avons focalisé nos analyses sur les variations génétiques rares impliquées dans la maladie d’Alzheimer (MA). D’un point de vue génétique, la MA répond dans une majorité des cas à un déterminisme multifactoriel mais une minorité des cas sont des formes précoces à transmission autosomique dominante. La caractérisation des gènes PSEN1, PSEN2 et APP responsables des formes mendéliennes de MA a permis de formuler l’hypothèse de la cascade amyloïde en plaçant le peptide amyloïde (Aβ) au centre du processus physiopathologique. Afin de détecter de nouveaux facteurs de risque génétique dans la survenue de la MA, nous avons réalisé une étude d’association à partir de données de séquençage d’exomes de 522 cas atteints de formes précoces de MA et 584 contrôles. Les premières analyses ont porté sur les variants mononucléotidiques ainsi que les courtes insertions/délétions et ont permis de mettre en évidence un enrichissement en variants rares prédits délétères dans le gène ABCA7 chez les individus malades. Notre attention s’est ensuite portée sur les variations du nombre de copies (CNVs). L’absence de récurrence à l’échelle d’un gène nous a amené à travailler sur une liste de gènes. En nous focalisant sur l’hypothèse amyloïdergique, nous avons construit une liste de 342 gènes impliqués dans le métabolisme et la toxicité du peptide Aβ. Grâce à cette stratégie, nous avons ainsi réussi à mettre en évidence un enrichissement de CNVs rares intersectant ce réseau centré sur le peptide Aβ. Le résultat majeur de cette étude de CNVs a été la mise en évidence d’une duplication du locus 17q21.31 chez 5 patients atteints d’une maladie neurodégénérative similaire à une maladie d’Alzheimer. Les patients porteurs présentent un diagnostic clinique de MA, des biomarqueurs et une imagerie métabolique en faveur d’une neurodégénérescence de type Alzheimer. En revanche, l’imagerie amyloïde et l’analyse neuropathologique n’ont pas révélé de pathologie amyloïde et sont donc en faveur d’une tauopathie pure. L’étude des CNVs a également révélé une délétion partielle du gène PSEN1, emportant les exons 9 et 10, pour laquelle nous avons pu réaliser des études fonctionnelles. Nous avons ainsi pu déterminer que la protéine mutante favorisait la production de peptides amyloïdes plus longs, ces derniers étant des médiateurs majeurs de la neurotoxicité d’Aβ. / Next-generation sequencing allows studying and analyzing the genetic component part of complexdiseases mediated by rare variants. However, their interpretation represents a major challenge.Indeed, the sequencing of thousands of exomes and genomes revealed the human polymorphismcomplexity and in particular the overrepresentation of rare variants. Despite the development ofsoftwares and variant databases, the prioritization of rare variants remains arduous. My thesis subject was focused on the involvement of rare variants in Alzheimer's disease (AD). From a genetic point of view, AD is caused, in most cases, by a multifactorial determinism, but a minority of cases are autosomal dominant early-onset forms (ADEOAD). The characterization of mutations in the PSEN1, PSEN2 and APP genes as a cause of these Mendelian forms of AD led to the formulationof the amyloid cascade hypothesis, stating that the amyloid-β peptide (Aβ) is triggering the pathophysiological process. In order to detect new genetic risk factors involved in AD, we performed an association study using exome sequencing data from 522 cases with early-onset Alzheimer Disease and 584 controls. The first analyzes focused on single nucleotide variants and short insertions / deletions, and revealed an enrichment in cases of variants that are predicted to be deleterious in the ABCA7 genes. We then then focused on copy number variations (CNVs). The lack of recurrence at the gene-level incited us to work on a gene list. By focusing on the amyloidogenic hypothesis, we built a list of 342 genes involved in the metabolism and toxicity of the Aβ peptide. Thanks to this strategy, we found an enrichment of rare CNVs intersecting this Aβ network in cases.The main result of this CNV study was the identification of a duplication of the 17q21.31 locus in 5patients with a neurodegenerative disease similar to Alzheimer's disease. These patients have aclinical diagnosis of AD, as well as biomarkers and metabolic imaging consistent with an ADneurodegeneration. However, amyloid imaging and neuropathological analysis did not reveal anyamyloid pathology, and were therefore pointing to a pure tauopathy. This CNV study also revealed a partial deletion of the PSEN1 gene, overlapping exons 9 and 10, for which we performed functional studies. We demonstrated that the mutant protein enhanced the production of longer amyloid peptides, the latter being major mediators of Aβ neurotoxicity.