O Lúpus Eritematoso Sistêmico (LES) é uma doença autoimune inflamatória crônica que possui uma etiopatogênese complexa. Diversos fatores participam da patogênese da doença, dentre eles alterações no balanço de citocinas e quimiocinas. As quimiocinas e seus receptores são fundamentais na regulação da migração de leucócitos durante a inflamação e acredita-se que elas possam ter um papel importante na patogênese de doenças autoimunes, inclusive no LES. Diversos estudos abordaram o papel de quimiocinas e seus receptores no LES, porém, principalmente se tratando dos receptores de quimiocinas CCR5 e CCR2, não existe um consenso. Devido à falta de consenso em relação ao papel dos receptores de quimiocinas na patogênese do LES e considerando a necessidade de mais estudos nesta área, o presente trabalho tem por objetivo investigar o possível papel de polimorfismos na região promotora do CCR5 no desenvolvimento do LES, comparando as frequências dos genótipos e haplótipos entre pacientes e controles, e analisar o possível envolvimento destes polimorfismos nas manifestações clínicas/laboratoriais da doença. O estudo incluiu 382 pacientes com LES (289 Euro-descendentes e 93 Afro-descendentes) e 375 controles (243 Euro-descendentes e 132 Afro-descendentes) genotipados para os polimorfismos CCR2-64I G>A (rs1799864), CCR5-59353 C>T (rs1799988), CCR5-59356 C>T (rs41469351), CCR5-59402 A>G (rs1800023) e CCR5-59653 C>T (rs1800024) através de PCR-RFLP e sequenciamento, respectivamente. Dados prévios de nosso grupo em relação ao CCR5delta32 foram incluídos no estudo para a inferência dos haplótipos e como um possível fator de confusão na regressão binária logística. Os resultados obtidos indicam que, em pacientes Euro-descendentes, as frequências reduzidas o polimorfismo CCR5delta32 e o haplótipo HHG*2 observadas em pacientes quando comparados com controles foram associadas com a doença (p=0,001; OR 3,5; 95%CI 1,6-7,5 e 2,0% vs. 7,2%; presidual=2,9E-5; respectivamente). Em pacientes Afrodescendentes, as frequências dos haplótipos HHA/HHB, HHC e HHG*2 foram diferentes em pacientes e controles (10% vs. 20,5%, presidual = 0,003; 29,4% vs. 17,4%; presidual=0,003 e 3,9% vs. 0,8%; presidual=0,023; respectivamente). Em relação às manifestações clínicas da doença, a presença do CCR5delta32 foi confirmada como um fator de susceptibilidade para nefrite classe IV em pacientes Afro-descendentes e no grupo de pacientes como um todo (pcorrigido=0,012; OR 3,0; 95%CI 3,0-333,3 e pcorrigido=0,0006; OR 6,8; 95%CI 1,9-2,48; respectivamente). Em conclusão, o presente estudo indica que polimorfismos na região promotora do CCR5 podem atuar como modificadores no LES. Os resultados observados reforçam o papel do polimorfismo CCR5delta32 como um fator de proteção para o desenvolvimento do LES em Euro-descendentes e como um fator de susceptibilidade à nefrite classe IV em pacientes Afro-descendentes. Além disto, também foram descritos a redução da frequência dos haplótipos HHA/HHB e o aumento da frequência dos haplótipos HHC e HHG*2 em pacientes Afro-descendentes, que possivelmente podem estar associados com uma maior expressão do CCR5 em subtipos específicos celulares e com uma menor expressão deste receptor de maneira geral. / Systemic Lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease, characterized by a complex etiopathogenesis. Many factors are known to participate in the pathogenesis of SLE, including alterations in the cytokines or chemokines balance. Chemokines and their receptors are central players in the regulation of leucocytes chemotaxis in inflammation and they are thought to have an important role in the pathogenesis of autoimmune diseases, including SLE. Several studies have addressed the role of chemokines and their receptors in SLE, however there is no consensus regarding their involvement on the pathogenesis of the disease. Given the lack of consensus considering the role of chemokine receptors in SLE pathogenesis and the need for more studies in this area, the present work aims to investigate a possible role of the CCR5 promoter region polymorphisms in the development of SLE comparing the frequencies of the genotypes and haplotypes with ethnically matched controls and analyze if there is a possible involvement of the polymorphisms in the clinical outcome of the disease. This study included 388 SLE patients (289 classified as Europeanderived and 93 as African-derived) and 375 controls (243 European-derived and 132 African-derived) genotyped for the CCR2-64I G>A (rs1799864), CCR5-59353 C>T (rs1799988), CCR5-59356 C>T (rs41469351), CCR5-59402 A>G (rs1800023) and CCR5-59653 C>T (rs1800024) polymorphisms though PCRRFLP and direct sequencing, respectively. Previous data from CCR5delta32 were included in the study to infer the haplotypes and also as a possible confounding factor in the binary logistic regression. Our results indicated that, in Europeanderived patients, CCR5delta32 and the HHG*2 haplotype reduced frequencies in patients when compared to controls were associated with the disease (p=0.001; OR 3.5; 95%CI 1.6-7.5 and 2.0%, vs. 7.2% residual p= 2.9E-5, respectively). In African-derived patients, the HHA/HHB, HHC and HHG*2 haplotype frequencies differed between patients and controls (10% vs. 20.5%, residual p= 0.003; 29.4% vs. 17.4%, residual p=0.003 and 3.9% vs. 0.8%, residual p=0.023; respectively). Considering the clinical manifestations of the disease, CCR5delta32 presence was confirmed as a susceptibility factor to class IV nephritis in the African-derived group and when patients were considered together (pcorrected=0.012; OR 3.0; 95%CI 3.0-333.3 and pcorrected= 0.0006; OR 6.8; 95%CI 1.9-2.48, respectively). In conclusion, this study indicates that CCR5 promoter polymorphisms are important disease modifiers in SLE. Present data reinforces CCR5delta32 polymorphism as a protective factor for the development of the disease in European-derived patients and as a susceptibility factor for class IV nephritis in African-derived patients. Furthermore, we also describe a reduced frequency of HHA/HHB and an enhanced frequency of HHC and HHG*2 haplotypes in our African-derived patients, which potentially could reflect in a higher expression of CCR5 in specific cell subsets and in a lower expression of CCR5 overall.

O Lúpus Eritematoso Sistêmico (LES) é uma doença autoimune inflamatória crônica que possui uma etiopatogênese complexa. Diversos fatores participam da patogênese da doença, dentre eles alterações no balanço de citocinas e quimiocinas. As quimiocinas e seus receptores são fundamentais na regulação da migração de leucócitos durante a inflamação e acredita-se que elas possam ter um papel importante na patogênese de doenças autoimunes, inclusive no LES. Diversos estudos abordaram o papel de quimiocinas e seus receptores no LES, porém, principalmente se tratando dos receptores de quimiocinas CCR5 e CCR2, não existe um consenso. Devido à falta de consenso em relação ao papel dos receptores de quimiocinas na patogênese do LES e considerando a necessidade de mais estudos nesta área, o presente trabalho tem por objetivo investigar o possível papel de polimorfismos na região promotora do CCR5 no desenvolvimento do LES, comparando as frequências dos genótipos e haplótipos entre pacientes e controles, e analisar o possível envolvimento destes polimorfismos nas manifestações clínicas/laboratoriais da doença. O estudo incluiu 382 pacientes com LES (289 Euro-descendentes e 93 Afro-descendentes) e 375 controles (243 Euro-descendentes e 132 Afro-descendentes) genotipados para os polimorfismos CCR2-64I G>A (rs1799864), CCR5-59353 C>T (rs1799988), CCR5-59356 C>T (rs41469351), CCR5-59402 A>G (rs1800023) e CCR5-59653 C>T (rs1800024) através de PCR-RFLP e sequenciamento, respectivamente. Dados prévios de nosso grupo em relação ao CCR5delta32 foram incluídos no estudo para a inferência dos haplótipos e como um possível fator de confusão na regressão binária logística. Os resultados obtidos indicam que, em pacientes Euro-descendentes, as frequências reduzidas o polimorfismo CCR5delta32 e o haplótipo HHG*2 observadas em pacientes quando comparados com controles foram associadas com a doença (p=0,001; OR 3,5; 95%CI 1,6-7,5 e 2,0% vs. 7,2%; presidual=2,9E-5; respectivamente). Em pacientes Afrodescendentes, as frequências dos haplótipos HHA/HHB, HHC e HHG*2 foram diferentes em pacientes e controles (10% vs. 20,5%, presidual = 0,003; 29,4% vs. 17,4%; presidual=0,003 e 3,9% vs. 0,8%; presidual=0,023; respectivamente). Em relação às manifestações clínicas da doença, a presença do CCR5delta32 foi confirmada como um fator de susceptibilidade para nefrite classe IV em pacientes Afro-descendentes e no grupo de pacientes como um todo (pcorrigido=0,012; OR 3,0; 95%CI 3,0-333,3 e pcorrigido=0,0006; OR 6,8; 95%CI 1,9-2,48; respectivamente). Em conclusão, o presente estudo indica que polimorfismos na região promotora do CCR5 podem atuar como modificadores no LES. Os resultados observados reforçam o papel do polimorfismo CCR5delta32 como um fator de proteção para o desenvolvimento do LES em Euro-descendentes e como um fator de susceptibilidade à nefrite classe IV em pacientes Afro-descendentes. Além disto, também foram descritos a redução da frequência dos haplótipos HHA/HHB e o aumento da frequência dos haplótipos HHC e HHG*2 em pacientes Afro-descendentes, que possivelmente podem estar associados com uma maior expressão do CCR5 em subtipos específicos celulares e com uma menor expressão deste receptor de maneira geral. / Systemic Lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease, characterized by a complex etiopathogenesis. Many factors are known to participate in the pathogenesis of SLE, including alterations in the cytokines or chemokines balance. Chemokines and their receptors are central players in the regulation of leucocytes chemotaxis in inflammation and they are thought to have an important role in the pathogenesis of autoimmune diseases, including SLE. Several studies have addressed the role of chemokines and their receptors in SLE, however there is no consensus regarding their involvement on the pathogenesis of the disease. Given the lack of consensus considering the role of chemokine receptors in SLE pathogenesis and the need for more studies in this area, the present work aims to investigate a possible role of the CCR5 promoter region polymorphisms in the development of SLE comparing the frequencies of the genotypes and haplotypes with ethnically matched controls and analyze if there is a possible involvement of the polymorphisms in the clinical outcome of the disease. This study included 388 SLE patients (289 classified as Europeanderived and 93 as African-derived) and 375 controls (243 European-derived and 132 African-derived) genotyped for the CCR2-64I G>A (rs1799864), CCR5-59353 C>T (rs1799988), CCR5-59356 C>T (rs41469351), CCR5-59402 A>G (rs1800023) and CCR5-59653 C>T (rs1800024) polymorphisms though PCRRFLP and direct sequencing, respectively. Previous data from CCR5delta32 were included in the study to infer the haplotypes and also as a possible confounding factor in the binary logistic regression. Our results indicated that, in Europeanderived patients, CCR5delta32 and the HHG*2 haplotype reduced frequencies in patients when compared to controls were associated with the disease (p=0.001; OR 3.5; 95%CI 1.6-7.5 and 2.0%, vs. 7.2% residual p= 2.9E-5, respectively). In African-derived patients, the HHA/HHB, HHC and HHG*2 haplotype frequencies differed between patients and controls (10% vs. 20.5%, residual p= 0.003; 29.4% vs. 17.4%, residual p=0.003 and 3.9% vs. 0.8%, residual p=0.023; respectively). Considering the clinical manifestations of the disease, CCR5delta32 presence was confirmed as a susceptibility factor to class IV nephritis in the African-derived group and when patients were considered together (pcorrected=0.012; OR 3.0; 95%CI 3.0-333.3 and pcorrected= 0.0006; OR 6.8; 95%CI 1.9-2.48, respectively). In conclusion, this study indicates that CCR5 promoter polymorphisms are important disease modifiers in SLE. Present data reinforces CCR5delta32 polymorphism as a protective factor for the development of the disease in European-derived patients and as a susceptibility factor for class IV nephritis in African-derived patients. Furthermore, we also describe a reduced frequency of HHA/HHB and an enhanced frequency of HHC and HHG*2 haplotypes in our African-derived patients, which potentially could reflect in a higher expression of CCR5 in specific cell subsets and in a lower expression of CCR5 overall.

O Lúpus Eritematoso Sistêmico (LES) é uma doença autoimune inflamatória crônica que possui uma etiopatogênese complexa. Diversos fatores participam da patogênese da doença, dentre eles alterações no balanço de citocinas e quimiocinas. As quimiocinas e seus receptores são fundamentais na regulação da migração de leucócitos durante a inflamação e acredita-se que elas possam ter um papel importante na patogênese de doenças autoimunes, inclusive no LES. Diversos estudos abordaram o papel de quimiocinas e seus receptores no LES, porém, principalmente se tratando dos receptores de quimiocinas CCR5 e CCR2, não existe um consenso. Devido à falta de consenso em relação ao papel dos receptores de quimiocinas na patogênese do LES e considerando a necessidade de mais estudos nesta área, o presente trabalho tem por objetivo investigar o possível papel de polimorfismos na região promotora do CCR5 no desenvolvimento do LES, comparando as frequências dos genótipos e haplótipos entre pacientes e controles, e analisar o possível envolvimento destes polimorfismos nas manifestações clínicas/laboratoriais da doença. O estudo incluiu 382 pacientes com LES (289 Euro-descendentes e 93 Afro-descendentes) e 375 controles (243 Euro-descendentes e 132 Afro-descendentes) genotipados para os polimorfismos CCR2-64I G>A (rs1799864), CCR5-59353 C>T (rs1799988), CCR5-59356 C>T (rs41469351), CCR5-59402 A>G (rs1800023) e CCR5-59653 C>T (rs1800024) através de PCR-RFLP e sequenciamento, respectivamente. Dados prévios de nosso grupo em relação ao CCR5delta32 foram incluídos no estudo para a inferência dos haplótipos e como um possível fator de confusão na regressão binária logística. Os resultados obtidos indicam que, em pacientes Euro-descendentes, as frequências reduzidas o polimorfismo CCR5delta32 e o haplótipo HHG*2 observadas em pacientes quando comparados com controles foram associadas com a doença (p=0,001; OR 3,5; 95%CI 1,6-7,5 e 2,0% vs. 7,2%; presidual=2,9E-5; respectivamente). Em pacientes Afrodescendentes, as frequências dos haplótipos HHA/HHB, HHC e HHG*2 foram diferentes em pacientes e controles (10% vs. 20,5%, presidual = 0,003; 29,4% vs. 17,4%; presidual=0,003 e 3,9% vs. 0,8%; presidual=0,023; respectivamente). Em relação às manifestações clínicas da doença, a presença do CCR5delta32 foi confirmada como um fator de susceptibilidade para nefrite classe IV em pacientes Afro-descendentes e no grupo de pacientes como um todo (pcorrigido=0,012; OR 3,0; 95%CI 3,0-333,3 e pcorrigido=0,0006; OR 6,8; 95%CI 1,9-2,48; respectivamente). Em conclusão, o presente estudo indica que polimorfismos na região promotora do CCR5 podem atuar como modificadores no LES. Os resultados observados reforçam o papel do polimorfismo CCR5delta32 como um fator de proteção para o desenvolvimento do LES em Euro-descendentes e como um fator de susceptibilidade à nefrite classe IV em pacientes Afro-descendentes. Além disto, também foram descritos a redução da frequência dos haplótipos HHA/HHB e o aumento da frequência dos haplótipos HHC e HHG*2 em pacientes Afro-descendentes, que possivelmente podem estar associados com uma maior expressão do CCR5 em subtipos específicos celulares e com uma menor expressão deste receptor de maneira geral. / Systemic Lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease, characterized by a complex etiopathogenesis. Many factors are known to participate in the pathogenesis of SLE, including alterations in the cytokines or chemokines balance. Chemokines and their receptors are central players in the regulation of leucocytes chemotaxis in inflammation and they are thought to have an important role in the pathogenesis of autoimmune diseases, including SLE. Several studies have addressed the role of chemokines and their receptors in SLE, however there is no consensus regarding their involvement on the pathogenesis of the disease. Given the lack of consensus considering the role of chemokine receptors in SLE pathogenesis and the need for more studies in this area, the present work aims to investigate a possible role of the CCR5 promoter region polymorphisms in the development of SLE comparing the frequencies of the genotypes and haplotypes with ethnically matched controls and analyze if there is a possible involvement of the polymorphisms in the clinical outcome of the disease. This study included 388 SLE patients (289 classified as Europeanderived and 93 as African-derived) and 375 controls (243 European-derived and 132 African-derived) genotyped for the CCR2-64I G>A (rs1799864), CCR5-59353 C>T (rs1799988), CCR5-59356 C>T (rs41469351), CCR5-59402 A>G (rs1800023) and CCR5-59653 C>T (rs1800024) polymorphisms though PCRRFLP and direct sequencing, respectively. Previous data from CCR5delta32 were included in the study to infer the haplotypes and also as a possible confounding factor in the binary logistic regression. Our results indicated that, in Europeanderived patients, CCR5delta32 and the HHG*2 haplotype reduced frequencies in patients when compared to controls were associated with the disease (p=0.001; OR 3.5; 95%CI 1.6-7.5 and 2.0%, vs. 7.2% residual p= 2.9E-5, respectively). In African-derived patients, the HHA/HHB, HHC and HHG*2 haplotype frequencies differed between patients and controls (10% vs. 20.5%, residual p= 0.003; 29.4% vs. 17.4%, residual p=0.003 and 3.9% vs. 0.8%, residual p=0.023; respectively). Considering the clinical manifestations of the disease, CCR5delta32 presence was confirmed as a susceptibility factor to class IV nephritis in the African-derived group and when patients were considered together (pcorrected=0.012; OR 3.0; 95%CI 3.0-333.3 and pcorrected= 0.0006; OR 6.8; 95%CI 1.9-2.48, respectively). In conclusion, this study indicates that CCR5 promoter polymorphisms are important disease modifiers in SLE. Present data reinforces CCR5delta32 polymorphism as a protective factor for the development of the disease in European-derived patients and as a susceptibility factor for class IV nephritis in African-derived patients. Furthermore, we also describe a reduced frequency of HHA/HHB and an enhanced frequency of HHC and HHG*2 haplotypes in our African-derived patients, which potentially could reflect in a higher expression of CCR5 in specific cell subsets and in a lower expression of CCR5 overall.

No description available.

Résumé : Contrairement à ce que l'on pourrait croire, les douleurs chroniques ne constituent pas uniquement des symptômes, mais bien une pathologie à part entière. La pharmacopée actuelle ne permettant pas de les soulager efficacement, il y a maintenant un besoin de les considérer dans leur spécificité lors de la recherche de nouvelles thérapies. Dans cette optique, nous avons étudié le rôle des chimiokines et de leurs récepteurs dans le contrôle de la douleur. Connu pour leur rôle dans la réponse immunitaire, nous avons en particulier investigué le rôle du couple ligand-récepteur CCL2-CCR2 dans la régulation des douleurs d’origine arthritique. Nous avons d'abord évalué l'effet analgésique de notre molécule antagoniste du récepteur CCR2, l'INCB3344, dans un modèle de douleur inflammatoire où elle renverse d'environ 50% les douleurs provoquées et les douleurs spontanées lorsqu'administrée par voie spinale. Nous avons également pu observer que bloquer l'activation de CCR2 au niveau de la moelle épinière limite non seulement la neuroinflammation spinale, mais permet également de réduire la sévérité de l'atteinte inflammatoire périphérique en limitant le transport rétrograde de la substance P. Nous avons ensuite appliqué nos observations sur un modèle de douleur arthritique plus près de la réalité clinique des patients souffrant d'arthrite rhumatoïde. Nous y avons reproduit la majorité de nos effets analgésiques suite à une administration spinale. Le traitement est cependant demeuré sans effet sur l'œdème périphérique. Parallèlement à cela, l'administration périphérique du composé, sur une base de deux bolus par jour ou en libération continue par des mini-pompes osmotiques, n'a eu que de très faibles effets analgésiques, mais s'est révélé avoir un impact marquant sur l'œdème périphérique et le gain de poids des animaux. Finalement, c'est en combinant l'INCB3344 avec de l'ibuprofène qu'il a été possible d'avoir un impact positif sur le plus grand nombre de paramètres associés à la douleur chronique. Ces résultats suggèrent donc qu'un antagoniste du récepteur CCR2 possède un potentiel analgésique intéressant, d'autant plus lorsqu'il s'agit de douleur d'origine inflammatoire puisqu'il permet d'agir à la fois sur l'hypersensibilité nociceptive et sur la source même de la douleur inflammatoire. Ce potentiel devient d'autant plus intéressant que de le combiner à un anti-inflammatoire non-stéroïdien (l'ibuprofène) améliore l'efficacité des deux composés. // Abstract : Contrary to popular beliefs, chronic pain is not only a set of symptoms, but a bona fide pathology that the drugs currently available are not sufficient to efficiently relieve. There is thus a need to modify our approach to discover new analgesic agents, taking into consideration the specific physiopathology of chronic pain. With this in mind, we investigated the role of chemokines and their receptors in the modulation of pain. Also known for their participation in the immune response, we focused on the CCL2-CCR2 ability to regulate arthritic pain. We first evaluated the analgesic properties of INCB3344, a specific antagonist of the CCR2 receptor, in a model of inflammatory pain. It reverses both provoked and spontaneous pain by 50% when administered i.t. We also observed that spinally blocking CCR2 limited the expression of proinflammatory mediators. It also reduced peripheral inflammation by preventing peripheral transport of SP. We then translated our findings in a model of arthritic pain, closer to the clinical reality of patients with rheumatoid arthritis. Spinal administration of INCB3344 had similar analgesic actions, but did not altered peripheral inflammation. On the other hand, peripheral administration of INCB3344, either by subcutaneous injection or by continuous release assured by an osmotic pump, had almost no analgesic effects, but significantly reduced peripheral inflammation and reduced the weight loss. By combining INCB3344 with a daily administration of ibuprofen, we were however able to reduce both pain hypersensitivity and the severity of the peripheral inflammation. Taken together, these results suggest that CCR2 antagonism has promising analgesic properties; especially for inflammatory or arthritic pain as it can acts both on the sensibilized nociceptive network and on the peripheral source of the inflammatory pain. This become even more interesting as its mechanism is at least not completely redundant with those of classic non-steroidal anti-inflammatory drugs, which allow the combination of both class of molecule to yield even larger effect.

Thèse réalisée en cotutelle avec l'université Montpellier2 dans le laboratoire de pharmacologie moléculaire de Jean-Philippe Pin à l'institut de génomique fonctionnelle (IGF), Montpellier, France. / Les récepteurs couplés aux protéines G (RCPG) sont une famille très diversifiée de protéines membranaires capables de répondre à un grand nombre de signaux chimiques tels que des photons, des molécules odorantes, ou des hormones. En plus de cette diversité, l’étude des RCPG montre que des associations protéiques spécifiques multiplient les possibilités de signalisation de chacun de ces récepteurs. En permettant d’atténuer, de potentialiser, ou de générer une nouvelle voie de signalisation, l’association des RCPG en oligomères s’avère une importante source de diversité. L’utilisation du transfert d’énergie de résonance de bioluminescence (BRET) qui permet de détecter les interactions protéiques a révélé de nombreuses associations de RCPG. Durant cette thèse, des outils ont été développés pour combiner efficacement le BRET à des essais de complémentation de protéines (PCA) dans le but de savoir si l’oligomérisation des RCPG pouvait impliquer plus de deux récepteurs. Les résultats présentés montrent que les récepteurs de chimiokines CXCR4 et CCR2 forment des homo et hétéro tétramères, et que l’activation d’un dimère CCR2 peut moduler la conformation d’un dimère CXCR4 par un changement conformationnel trans-récepteur. La coopérativité négative de liaison de ligand qui a été démontrée auparavant entre CXCR4 et CCR2 dans des lymphocytes T CD4+ exprimant les récepteurs de manière endogène confirme la validité biologique de cette interaction. Les données présentées suggèrent également que ces complexes peuvent engager les effecteurs Gαi et β-arrestine2, indiquant qu’ils représentent la forme fonctionnelle de ces récepteurs. Enfin, nous avons pu confirmer que chaque récepteur de l’hétérodimère CXCR4-CCR2 est impliqué dans l’engagement des effecteurs lors de l’activation de CCR2. Un autre niveau de complexité dans la signalisation des RCPG est atteint par leur capacité à coupler de multiples protéines G. La liaison du facteur dérivé des cellules stromales (SDF-1) au récepteur CXCR4 permet la migration des lymphocytes T par une voie de signalisation dépendante de la protéine Gαi. Nous avons pu démontrer en revanche que la migration des cellules de cancer du sein était initiée par un couplage de CXCR4 à la voie Gα13-Rho pour former des métastases dans des organes distants. Enfin, un dernier niveau de régulation des RCPG a été abordé par l’étude de la phosphorylation de CXCR4 suite à son activation, qui permet la désensibilisation du récepteur et l’engagement de voies de signalisation dépendantes de la β-arrestine. Il apparaît que la désensibilisation de la voie du calcium serait médiée par la phosphorylation de CXCR4 par les kinases des RCPG (GRK) GRK2 et GRK6 et le recrutement de β- arrestine2, alors GRK3, GRK6 et la β-arrestine1 potentialiseraient l’activation des kinases régulées par les signaux extracellulaires (ERK1/2). Nous suggérons également que c’est la phosphorylation de l’extrémité C-terminale de CXCR4 qui permettrait son association avec la β-arrestine. / G protein-coupled receptors (GPCRs) are a diverse family of membrane proteins capable of responding to a large number of extracellular stimuli including photons, odorant molecules and hormones. In addition to this diversity, it has been shown that GPCRs form specific protein:protein interactions, multiplying the signalling possibilities of each of these receptors. With the ability to diminish, to potentiate or even generate new signalling pathways, the oligomeric association of GPCRs plays an important role in generating this diversity. The use of bioluminescence resonance energy transfer (BRET), which allows the detection of interactions among proteins, has revealed numerous associations between GPCRs. During this thesis, tools have been developed that effectively combine BRET with protein complementation assays (PCA) with the goal of determining if interactions between GPCRs could involve more than two receptors. The results show that the chemokine receptors CXCR4 and CCR2 form both homo and hetero tetramers, and that the activation of a dimer of CCR2 can modulate the conformation of a CXCR4 dimer through a transreceptor conformational change. Negative cooperativity of ligand binding has previously been demonstrated between CXCR4 and CCR2 in CD4+ T lymphocytes endogenously expressing the receptors, confirming the biological validity of this interaction. The data presented also suggests that these complexes can engage the effector proteins Gαi and β- arrestin 2, indicating that they represent a functional form of the receptors. Furthermore, we have confirmed that each receptor of the CXCR4-CCR2 heterodimer is implicated in the engagement of effectors during the activation of CCR2. An additional level of complexity in GPCR-promoted signaling exists in their capacity to couple of multiple G proteins. Binding of stromal cell-derived factor-1 (SDF-1) to CXCR4 is known to promote T lymphocyte migration through a Gαi-dependent signalling pathway. In addition to this mechanism, we have demonstrated that breast cancer cell migration can initiated by a coupling of CXCR4 to the Gα13-Rho pathway, leading to the formation of metastases in distant organs. Finally, a novel level of GPCR regulation was revealed through the study of CXCR4 phosphorylation following its activation, which leads to the desensitization of the receptor and the engagement of β-arrestin-dependent signalling pathways. It appears that the desensitization of calcium signalling is mediated through the phosphorylation of CXCR4 by the GPCR kinases (GRKs) GRK2 and GRK6 and the recruitment of β-arrestin 2, whereas GRK3, GRK6 and β-arrestin 1 potentiate the activation of extracellular regulated kinase (ERK1/2). We also propose that the phosphorylation of the far C-terminal tail of CXCR4 is required for the interaction between the receptor and β-arrestin.

L’interaction d’un ligand avec un récepteur à sept domaines transmembranaires (7TMR) couplé aux protéines G, mène à l’adoption de différentes conformations par le récepteur. Ces diverses conformations pourraient expliquer l’activation différentielle des voies de signalisation. Or, le lien entre la conformation et l’activité du récepteur n’est pas tout à fait claire. Selon les modèles classiques pharmacologiques, comme le modèle du complexe ternaire, il n’existe qu’un nombre limité de conformations qu’un récepteur peut adopter. Afin d’établir un lien entre la structure et la fonction des récepteurs, nous avons choisi dans un premier temps, le récepteur de chimiokine CXCR4 comme récepteur modèle. Ce dernier, est une cible thérapeutique prometteuse, impliqué dans l’entrée du VIH-1 dans les cellules cibles et dans la dissémination de métastases cancéreuses. Grâce au transfert d’énergie par résonance de bioluminescence (BRET) nous pouvons détecter les changements conformationnels des homodimères constitutifs de CXCR4 dans les cellules vivantes. En conséquence, nous avons mesuré les conformations de mutants de CXCR4 dont les mutations affecteraient sa fonction. Nous montrons que la capacité des mutants à activer la protéine Galphai est altérée suite au traitement avec l’agoniste SDF-1. Notamment, ces mutations altèrent la conformation du récepteur à l’état basal ainsi que la réponse conformationnelle induite suite au traitement avec l’agoniste SDF-1, l’agoniste partiel AMD3100 ou l’agoniste inverse TC14012. Ainsi, différentes conformations de CXCR4 peuvent donner lieu à une activation similaire de la protéine G, ce qui implique une flexibilité des récepteurs actifs qui ne peut pas être expliquée par le modèle du complexe ternaire (Berchiche et al. 2007). Également, nous nous sommes intéressés au récepteur de chimiokine CCR2, exprimé à la surface des cellules immunitaires. Il joue un rôle important dans l’inflammation et dans des pathologies inflammatoires telles que l’asthme. CCR2 forme des homodimères constitutifs et possède différents ligands naturels dont la redondance fonctionnelle a été suggérée. Nous avons étudié le lien entre les conformations et les activations d’effecteurs (fonctions) de CCR2. Notre hypothèse est que les différents ligands naturels induisent différentes conformations du récepteur menant à différentes fonctions. Nous montrons que les réponses de CCR2 aux différents ligands ne sont pas redondantes au niveau pharmacologique et que les chimiokines CCL8, CCL7 et CCL13 (MCP-2 à MCP-4) sont des agonistes partiels de CCR2, du moins dans les systèmes que nous avons étudiés. Ainsi, l’absence de redondance fonctionnelle parmi les chimiokines liant le même récepteur, ne résulterait pas de mécanismes complexes de régulation in vivo, mais ferait partie de leurs propriétés pharmacologiques intrinsèques (Berchiche et al. 2011). Enfin, nous nous sommes intéressés au récepteur de chimiokine CXCR7. Récemment identifié, CXCR7 est le deuxième récepteur cible de la chimiokine SDF-1. Cette chimiokine a été considérée comme étant capable d’interagir uniquement avec le récepteur CXCR4. Notamment, CXCR4 et CXCR7 possèdent un patron d’expression semblable dans les tissus. Nous avons évalué l’effet de l’AMD3100, ligand synthétique de CXCR4, sur la conformation et la signalisation de CXCR7. Nos résultats montrent qu’AMD3100, tout comme SDF-1, lie CXCR7 et augmente la liaison de SDF-1 à CXCR7. Grâce au BRET, nous montrons aussi qu’AMD3100 seul est un agoniste de CXCR7 et qu’il est un modulateur allostérique positif de la liaison de SDF-1 à CXCR7. Aussi, nous montrons pour la première fois le recrutement de la beta-arrestine 2 à CXCR7 en réponse à un agoniste. L’AMD3100 est un ligand de CXCR4 et de CXCR7 avec des effets opposés, ce qui appelle à la prudence lors de l’utilisation de cette molécule pour l’étude des voies de signalisation impliquant SDF-1 (Kalatskaya et al. 2009). En conclusion, nos travaux amènent des évidences qu’il existe plusieurs conformations actives des récepteurs et appuient les modèles de structure-activité des récepteurs qui prennent en considération leur flexibilité conformationnelle. / Ligand binding to 7TMRs is thought to induce conformational changes within the receptor that translate into activation of downstream effectors. The link between receptor conformation and activity is still poorly understood, as current models of receptor activation fail to take an increasing amount of experimental data into account. Classical pharmacological models such as the ternary complex model are based on the concept that receptors can only adopt a limited number of conformations. To clarify structure-function relationships in 7TMRs, first we studied chemokine receptor CXCR4. This receptor is an important drug target, involved in HIV-1 entry and cancer metastasis. Bioluminescence Resonance Energy Transfer (BRET) allows us to directly probe conformational changes within pre-formed CXCR4 homodimers in live cells. Using BRET, we measured the conformation of CXCR4 mutants and we also monitored their function by measuring their ability to induce Galphai activation. The analyzed mutants had substitutions in locations which are pivotal molecular switches for receptor conformation and activation. We show that agonist induced Gi activation is altered for most mutants. These mutations also alter CXCR4’s conformation at basal conditions (in absence of ligand) and in the presence of the agonist, SDF-1, the partial agonist, AMD3100 and the inverse agonist, TC14012. Moreover, different conformations of active receptors were detected in the presence of SDF-1, suggesting that different receptor conformations are able to trigger Galphai activity. These data provide biophysical evidence for different active receptor conformations, that cannot be explained by classical models of receptor function (Berchiche et al. 2007). Furthermore, the second part of our work focused on chemokine receptor CCR2. Mainly expressed on immune cells, CCR2 is involved in many inflammatory and vascular diseases. This receptor binds seven natural ligands that have been referred to as redundant. We set out to explore whether the different chemokine ligands of CCR2 receptor induce different conformational changes leading to different functional consequences. Our results show that the different natural ligands of CCR2 are not pharmacologically redundant. Moreover, chemokines CCL8, CCL7 and CCL13 (MCP-2 to MCP-4) are partial agonists of CCR2, at least in the systems we used. Our results support the validity of models for receptor-ligand interactions in which different ligands stabilize different receptor conformations also for endogenous receptor ligands, demonstrating that these natural ligands are not pharmacologically and functionally redundant (Berchiche et al. 2011). As the third part of this work, we studied chemokine receptor CXCR7, the alternative receptor for SDF-1. Until recently, CXCR4 was the only receptor known to bind SDF-1. Moreover, the expression patterns are similar for receptors CXCR4 and CXCR7. Therefore, we investigated the conformational and functional consequences of the synthetic inhibitor of CXCR4, AMD3100, on CXCR7. We show that AMD3100 also binds the alternative SDF-1 receptor, CXCR7. SDF-1 or AMD3100 alone trigger beta-arrestin recruitment to CXCR7, which we identify as a previously unreported signalling pathway of CXCR7. In addition, AMD3100 has positive allosteric effects on SDF-1 binding to CXCR7, on SDF-1-induced conformational rearrangements in the receptor dimer as measured by BRET, and on SDF-1-induced beta-arrestin recruitment to CXCR7. The finding that AMD3100 not only binds CXCR4, but also to CXCR7, with opposite effects on the two receptors, call for caution in the use of this compound as a tool to dissect SDF-1 effects on the respective receptors in vitro and in vivo. Finally, these data provide biophysical evidence for different active receptor conformations, and support models of 7TMR structure-activity relationships that take conformational heterogeneity into account.

Les récepteurs couplés aux protéines G (RCPG) sont une famille très diversifiée de protéines membranaires capables de répondre à un grand nombre de signaux chimiques tels que des photons, des molécules odorantes, ou des hormones. En plus de cette diversité, l’étude des RCPG montre que des associations protéiques spécifiques multiplient les possibilités de signalisation de chacun de ces récepteurs. En permettant d’atténuer, de potentialiser, ou de générer une nouvelle voie de signalisation, l’association des RCPG en oligomères s’avère une importante source de diversité. L’utilisation du transfert d’énergie de résonance de bioluminescence (BRET) qui permet de détecter les interactions protéiques a révélé de nombreuses associations de RCPG. Durant cette thèse, des outils ont été développés pour combiner efficacement le BRET à des essais de complémentation de protéines (PCA) dans le but de savoir si l’oligomérisation des RCPG pouvait impliquer plus de deux récepteurs. Les résultats présentés montrent que les récepteurs de chimiokines CXCR4 et CCR2 forment des homo et hétéro tétramères, et que l’activation d’un dimère CCR2 peut moduler la conformation d’un dimère CXCR4 par un changement conformationnel trans-récepteur. La coopérativité négative de liaison de ligand qui a été démontrée auparavant entre CXCR4 et CCR2 dans des lymphocytes T CD4+ exprimant les récepteurs de manière endogène confirme la validité biologique de cette interaction. Les données présentées suggèrent également que ces complexes peuvent engager les effecteurs Gαi et β-arrestine2, indiquant qu’ils représentent la forme fonctionnelle de ces récepteurs. Enfin, nous avons pu confirmer que chaque récepteur de l’hétérodimère CXCR4-CCR2 est impliqué dans l’engagement des effecteurs lors de l’activation de CCR2. Un autre niveau de complexité dans la signalisation des RCPG est atteint par leur capacité à coupler de multiples protéines G. La liaison du facteur dérivé des cellules stromales (SDF-1) au récepteur CXCR4 permet la migration des lymphocytes T par une voie de signalisation dépendante de la protéine Gαi. Nous avons pu démontrer en revanche que la migration des cellules de cancer du sein était initiée par un couplage de CXCR4 à la voie Gα13-Rho pour former des métastases dans des organes distants. Enfin, un dernier niveau de régulation des RCPG a été abordé par l’étude de la phosphorylation de CXCR4 suite à son activation, qui permet la désensibilisation du récepteur et l’engagement de voies de signalisation dépendantes de la β-arrestine. Il apparaît que la désensibilisation de la voie du calcium serait médiée par la phosphorylation de CXCR4 par les kinases des RCPG (GRK) GRK2 et GRK6 et le recrutement de β- arrestine2, alors GRK3, GRK6 et la β-arrestine1 potentialiseraient l’activation des kinases régulées par les signaux extracellulaires (ERK1/2). Nous suggérons également que c’est la phosphorylation de l’extrémité C-terminale de CXCR4 qui permettrait son association avec la β-arrestine. / G protein-coupled receptors (GPCRs) are a diverse family of membrane proteins capable of responding to a large number of extracellular stimuli including photons, odorant molecules and hormones. In addition to this diversity, it has been shown that GPCRs form specific protein:protein interactions, multiplying the signalling possibilities of each of these receptors. With the ability to diminish, to potentiate or even generate new signalling pathways, the oligomeric association of GPCRs plays an important role in generating this diversity. The use of bioluminescence resonance energy transfer (BRET), which allows the detection of interactions among proteins, has revealed numerous associations between GPCRs. During this thesis, tools have been developed that effectively combine BRET with protein complementation assays (PCA) with the goal of determining if interactions between GPCRs could involve more than two receptors. The results show that the chemokine receptors CXCR4 and CCR2 form both homo and hetero tetramers, and that the activation of a dimer of CCR2 can modulate the conformation of a CXCR4 dimer through a transreceptor conformational change. Negative cooperativity of ligand binding has previously been demonstrated between CXCR4 and CCR2 in CD4+ T lymphocytes endogenously expressing the receptors, confirming the biological validity of this interaction. The data presented also suggests that these complexes can engage the effector proteins Gαi and β- arrestin 2, indicating that they represent a functional form of the receptors. Furthermore, we have confirmed that each receptor of the CXCR4-CCR2 heterodimer is implicated in the engagement of effectors during the activation of CCR2. An additional level of complexity in GPCR-promoted signaling exists in their capacity to couple of multiple G proteins. Binding of stromal cell-derived factor-1 (SDF-1) to CXCR4 is known to promote T lymphocyte migration through a Gαi-dependent signalling pathway. In addition to this mechanism, we have demonstrated that breast cancer cell migration can initiated by a coupling of CXCR4 to the Gα13-Rho pathway, leading to the formation of metastases in distant organs. Finally, a novel level of GPCR regulation was revealed through the study of CXCR4 phosphorylation following its activation, which leads to the desensitization of the receptor and the engagement of β-arrestin-dependent signalling pathways. It appears that the desensitization of calcium signalling is mediated through the phosphorylation of CXCR4 by the GPCR kinases (GRKs) GRK2 and GRK6 and the recruitment of β-arrestin 2, whereas GRK3, GRK6 and β-arrestin 1 potentiate the activation of extracellular regulated kinase (ERK1/2). We also propose that the phosphorylation of the far C-terminal tail of CXCR4 is required for the interaction between the receptor and β-arrestin. / Thèse réalisée en cotutelle avec l'université Montpellier2 dans le laboratoire de pharmacologie moléculaire de Jean-Philippe Pin à l'institut de génomique fonctionnelle (IGF), Montpellier, France.

L’interaction d’un ligand avec un récepteur à sept domaines transmembranaires (7TMR) couplé aux protéines G, mène à l’adoption de différentes conformations par le récepteur. Ces diverses conformations pourraient expliquer l’activation différentielle des voies de signalisation. Or, le lien entre la conformation et l’activité du récepteur n’est pas tout à fait claire. Selon les modèles classiques pharmacologiques, comme le modèle du complexe ternaire, il n’existe qu’un nombre limité de conformations qu’un récepteur peut adopter. Afin d’établir un lien entre la structure et la fonction des récepteurs, nous avons choisi dans un premier temps, le récepteur de chimiokine CXCR4 comme récepteur modèle. Ce dernier, est une cible thérapeutique prometteuse, impliqué dans l’entrée du VIH-1 dans les cellules cibles et dans la dissémination de métastases cancéreuses. Grâce au transfert d’énergie par résonance de bioluminescence (BRET) nous pouvons détecter les changements conformationnels des homodimères constitutifs de CXCR4 dans les cellules vivantes. En conséquence, nous avons mesuré les conformations de mutants de CXCR4 dont les mutations affecteraient sa fonction. Nous montrons que la capacité des mutants à activer la protéine Galphai est altérée suite au traitement avec l’agoniste SDF-1. Notamment, ces mutations altèrent la conformation du récepteur à l’état basal ainsi que la réponse conformationnelle induite suite au traitement avec l’agoniste SDF-1, l’agoniste partiel AMD3100 ou l’agoniste inverse TC14012. Ainsi, différentes conformations de CXCR4 peuvent donner lieu à une activation similaire de la protéine G, ce qui implique une flexibilité des récepteurs actifs qui ne peut pas être expliquée par le modèle du complexe ternaire (Berchiche et al. 2007). Également, nous nous sommes intéressés au récepteur de chimiokine CCR2, exprimé à la surface des cellules immunitaires. Il joue un rôle important dans l’inflammation et dans des pathologies inflammatoires telles que l’asthme. CCR2 forme des homodimères constitutifs et possède différents ligands naturels dont la redondance fonctionnelle a été suggérée. Nous avons étudié le lien entre les conformations et les activations d’effecteurs (fonctions) de CCR2. Notre hypothèse est que les différents ligands naturels induisent différentes conformations du récepteur menant à différentes fonctions. Nous montrons que les réponses de CCR2 aux différents ligands ne sont pas redondantes au niveau pharmacologique et que les chimiokines CCL8, CCL7 et CCL13 (MCP-2 à MCP-4) sont des agonistes partiels de CCR2, du moins dans les systèmes que nous avons étudiés. Ainsi, l’absence de redondance fonctionnelle parmi les chimiokines liant le même récepteur, ne résulterait pas de mécanismes complexes de régulation in vivo, mais ferait partie de leurs propriétés pharmacologiques intrinsèques (Berchiche et al. 2011). Enfin, nous nous sommes intéressés au récepteur de chimiokine CXCR7. Récemment identifié, CXCR7 est le deuxième récepteur cible de la chimiokine SDF-1. Cette chimiokine a été considérée comme étant capable d’interagir uniquement avec le récepteur CXCR4. Notamment, CXCR4 et CXCR7 possèdent un patron d’expression semblable dans les tissus. Nous avons évalué l’effet de l’AMD3100, ligand synthétique de CXCR4, sur la conformation et la signalisation de CXCR7. Nos résultats montrent qu’AMD3100, tout comme SDF-1, lie CXCR7 et augmente la liaison de SDF-1 à CXCR7. Grâce au BRET, nous montrons aussi qu’AMD3100 seul est un agoniste de CXCR7 et qu’il est un modulateur allostérique positif de la liaison de SDF-1 à CXCR7. Aussi, nous montrons pour la première fois le recrutement de la beta-arrestine 2 à CXCR7 en réponse à un agoniste. L’AMD3100 est un ligand de CXCR4 et de CXCR7 avec des effets opposés, ce qui appelle à la prudence lors de l’utilisation de cette molécule pour l’étude des voies de signalisation impliquant SDF-1 (Kalatskaya et al. 2009). En conclusion, nos travaux amènent des évidences qu’il existe plusieurs conformations actives des récepteurs et appuient les modèles de structure-activité des récepteurs qui prennent en considération leur flexibilité conformationnelle. / Ligand binding to 7TMRs is thought to induce conformational changes within the receptor that translate into activation of downstream effectors. The link between receptor conformation and activity is still poorly understood, as current models of receptor activation fail to take an increasing amount of experimental data into account. Classical pharmacological models such as the ternary complex model are based on the concept that receptors can only adopt a limited number of conformations. To clarify structure-function relationships in 7TMRs, first we studied chemokine receptor CXCR4. This receptor is an important drug target, involved in HIV-1 entry and cancer metastasis. Bioluminescence Resonance Energy Transfer (BRET) allows us to directly probe conformational changes within pre-formed CXCR4 homodimers in live cells. Using BRET, we measured the conformation of CXCR4 mutants and we also monitored their function by measuring their ability to induce Galphai activation. The analyzed mutants had substitutions in locations which are pivotal molecular switches for receptor conformation and activation. We show that agonist induced Gi activation is altered for most mutants. These mutations also alter CXCR4’s conformation at basal conditions (in absence of ligand) and in the presence of the agonist, SDF-1, the partial agonist, AMD3100 and the inverse agonist, TC14012. Moreover, different conformations of active receptors were detected in the presence of SDF-1, suggesting that different receptor conformations are able to trigger Galphai activity. These data provide biophysical evidence for different active receptor conformations, that cannot be explained by classical models of receptor function (Berchiche et al. 2007). Furthermore, the second part of our work focused on chemokine receptor CCR2. Mainly expressed on immune cells, CCR2 is involved in many inflammatory and vascular diseases. This receptor binds seven natural ligands that have been referred to as redundant. We set out to explore whether the different chemokine ligands of CCR2 receptor induce different conformational changes leading to different functional consequences. Our results show that the different natural ligands of CCR2 are not pharmacologically redundant. Moreover, chemokines CCL8, CCL7 and CCL13 (MCP-2 to MCP-4) are partial agonists of CCR2, at least in the systems we used. Our results support the validity of models for receptor-ligand interactions in which different ligands stabilize different receptor conformations also for endogenous receptor ligands, demonstrating that these natural ligands are not pharmacologically and functionally redundant (Berchiche et al. 2011). As the third part of this work, we studied chemokine receptor CXCR7, the alternative receptor for SDF-1. Until recently, CXCR4 was the only receptor known to bind SDF-1. Moreover, the expression patterns are similar for receptors CXCR4 and CXCR7. Therefore, we investigated the conformational and functional consequences of the synthetic inhibitor of CXCR4, AMD3100, on CXCR7. We show that AMD3100 also binds the alternative SDF-1 receptor, CXCR7. SDF-1 or AMD3100 alone trigger beta-arrestin recruitment to CXCR7, which we identify as a previously unreported signalling pathway of CXCR7. In addition, AMD3100 has positive allosteric effects on SDF-1 binding to CXCR7, on SDF-1-induced conformational rearrangements in the receptor dimer as measured by BRET, and on SDF-1-induced beta-arrestin recruitment to CXCR7. The finding that AMD3100 not only binds CXCR4, but also to CXCR7, with opposite effects on the two receptors, call for caution in the use of this compound as a tool to dissect SDF-1 effects on the respective receptors in vitro and in vivo. Finally, these data provide biophysical evidence for different active receptor conformations, and support models of 7TMR structure-activity relationships that take conformational heterogeneity into account.

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.