As infecções humanas com a filaria Mansonella ozzardi ocorrem em focos situados em regiões tropicais e subtropicais da América Central e do Sul e frequentemente coexistem com outras doenças endêmicas tropicais. Na Amazônia brasileira, as infecções são geralmente assintomáticas e a maior parte delas, consequentemente, deixam de ser diagnosticada. As filarioses crônicas, geralmente não tratadas, podem criar um ambiente imunorregulador, caracterizado pela expansão de linfócitos T produtores de IL-10, que mediam a supressão de respostas proliferativas de células T frente a antígenos específicos bem como a antígenos não-relacionados. Neste trabalho, utilizamos marcadores de ativação celular (CD69 e HLA-DR) e de atividade reguladora (CD39, CTLA-4, OX40, GITR, LAG3, PD-1, LAP-TGF-β e TNFRII) para caracterizar populações de células mononucleares de sangue periférico (PBMCs) em indivíduos infectados por M. ozzardi bem como em controles saudáveis de uma área endêmica deste parasito na Amazônia Brasileira. A análise de PBMCs, por citometria de fluxo multiparamétrica de 49 pacientes infectados por M. ozzardi, mostrou que pacientes e controles apresentam proporções similares de Treg clássicas circulantes, no entanto, indivíduos infectados apresentam um aumento da proporção de células CD4+ e células T reguladoras (Tregs) que expressam a molécula CD39. Células Treg CD39+ parecem definir uma população distinta entre as Treg, pois ao compararmos os marcadores de regulação e ativação entre Tregs CD39+ e CD39- encontramos proporções aumentas destes marcadores nas Treg CD39+. O bloqueio dessa molécula em condições de reestimulo celular aumenta a produção de citocinas inflamatórias e diminui a produção de IL-10 confirmando seu papel regulador. / Human infections with the filarial parasite Mansonella ozzardi are common in areas of tropical and subtropical Central and South America and often coexist with other endemic tropical diseases, such as malaria. In the Amazonian Basin of Brazil, infections are typically asymptomatic; most of them will remain undiagnosed. These chronic, untreated filarial infections are potentially associated with a regulatory immune environment, dominated by IL-10-producing T-cells, which mediate the suppression of T-cell proliferation in response to filarial and non-related antigens. Here, we used markers of cell activation (CD69 and HLA-DR) and regulatory activity (CD39, CTLA-4, OX40, GITR, and TNFRII) to characterize peripheral-blood mononuclear cell (PBMCs) subpopulations in individuals infected with |M. ozzardi and in healthy controls living in an area of M. ozzardi endemicity in the Brazilian Amazon. Multiparameter flow cytometry analysis of PBMCs from 49 malaria patients showed that patients and controls have similar proportions of classic circulating Tregs, however, the proportion of CD4 + cells and Tregs expressing the CD39 (an ectonucleotidase that regulates the balance of immune responses through Phosphohydrolysis of ATP, an inflammatory molecule in adenosine, an anti-inflammatory molecule), is increased in infected patients. CD39+Treg cells seem to define a distinct population among Tregs, compare activation and regulatory markers between CD39+ and CD39- Tregs - we found increased proportions of these markers in the CD39+ Tregs. Blocking this molecule under cellular restimulation conditions increases production of inflammatory cytokines and decreases IL-10 production, improving its regulatory role.

Les lymphocytes T CD4+ auxiliaires ou T helper en anglais sont capables de soutenir une grande diversité de fonctions grâce à leur capacité à se différencier en différents sous-types effecteurs en fonction de l’antigène rencontré et de l’environnement cytokinique dans lequel ils se trouvent. Les connaissances actuelles sur la différenciation des cellules T helper mettent en avant l’existence de réseaux transcriptionnels particulièrement complexes et spécifiques à chaque sous-ensemble T helper. En 2008, les cellules T CD4 sécrétrices d’IL-9 (Th9) sont identifiées comme un nouveau sous-type de cellules T helper. Différenciées en présence d’IL-4 et TGF-β, les cellules Th9 sécrètent de l’IL-9 et de l’IL-21, et contribuent au développement de maladies auto-immunes et allergiques. Les lymphocytes Th9 présentent également des propriétés anti-tumorales particulièrement intéressantes.Le réseau transcriptionnel des cellules Th9 résulte d’un équilibre entre les voies de signalisation induites par les différentes cytokines nécessaires à sa polarisation. L’IL-4 permet l’activation de STAT6 et l’expression de GATA3 et IRF4, tandis que le TGF-β conduit à l’activation de la voie des Smad et l’expression du facteur PU.1. Le module transcriptionnel IRF4/BATF ainsi que le facteur PU.1 sont des messagers indispensables au développement des cellules Th9 et à la sécrétion d’IL-9.IRF8 est un facteur de transcription critique pour le développement des cellules myéloïdes et des lymphocytes B. Récemment, il est apparu qu’IRF8 était impliqué dans la polarisation de sous-ensembles T helper. En effet, IRF8 limite la sécrétion d’IL-17 par les cellules Th17, de même qu’il réprime l’expression de l’Il4 et l’Il17 dans les cellules Treg. Structurellement proche d’IRF4, IRF8 interagit avec des cofacteurs tels que PU.1 ou BATF afin de réguler l’activité transcriptionnelle.Ce travail présenté ici révèle que le facteur IRF8 participe à la polarisation des cellules Th9 in vitro et in vivo. Le TGF-β nécessaire à la différenciation des cellules Th9 régule directement l’expression d’Irf8 grâce à l’activation de Smad3. Comme dans d’autres types cellulaires, la fonction transcriptionnelle d’IRF8 est dépendante de ces partenaires d’interaction. Nous montrons qu’en présence des facteurs PU.1, IRF4 et BATF, IRF8 participe à un complexe multiprotéique nécessaire à l’induction des cytokines caractéristiques des cellules Th9, notamment l’Il9 et l’Il21. Nous démontrons également qu’en présence de la protéine ETV6, IRF8 est capable de former un complexe initiant la répression de l’activité transcriptionnelle de l’Il4. Nous soulignons ainsi le rôle bivalent joué par IRF8 dans le développement des cellules Th9 dépendamment de ses partenaires. Pour finir, l’expression d’Irf8 est nécessaire aux cellules Th9 pour exercer leurs fonctions anti-tumorales. / CD4 helper T cells support a wide range of functions due to their ability to differentiate into different effector subsets depending on the antigen encountered and the cytokine environment in which they are. Current knowledge on the differentiation of helper T cells highlights the existence of complex transcriptional networks specific to each T helper subset. In 2008, IL-9 secreting CD4 T cells (Th9) are identified as a new helper T cell subtype. Differentiated in the presence of IL-4 and TGF-β, Th9 cells secrete IL-9 and IL-21, and contribute to the development of autoimmune and allergic diseases. Th9 lymphocytes also exhibit strong anti-tumor properties.The transcriptional network of the Th9 cells results from a balance between the signaling pathways induced by the different cytokines required for its polarization. IL-4 allows activation of STAT6 and expression of GATA3 and IRF4, whereas TGF-β leads to activation of the Smad pathway and expression of the transcription factor PU.1. The IRF4 / BATF transcriptional module and the PU.1 factor are essential messengers for the development of Th9 cells and IL-9 secretion.IRF8 is a crucial transcription factor for the development of myeloid cells and B lymphocytes. Recently it appeared that IRF8 was involved in helper T subset polarization. Indeed, IRF8 limits the secretion of IL-17 by Th17 cells, as well as repressing the expression of Il4 and Il17 in Treg cells. Structurally close to IRF4, IRF8 interacts with cofactors such as PU.1 or BATF in order to regulate transcriptional activity.This work reveals that the IRF8 transcription factor contributes to the polarization of Th9 cells in vitro and in vivo. The TGF-β needed for Th9 cell differentiation activate Smad3 pathway which directly modulates the Irf8 expression. As in many cellular subtypes, the transcriptional function of IRF8 is dependent on these interaction partners. We show that in the presence of the transcription factors PU.1, IRF4 and BATF, IRF8 participates in a multiprotein complex essential for the induction of the Th9 cytokines, Il9 and Il21. We also demonstrate that in the presence of the ETV6 protein, IRF8 is able to form a complex responsible for the repression of Il4 expression. We underline the bivalent role played by IRF8 in the development of Th9 cells depending on its partners. Finally, expression of Irf8 is crucial for Th9 cells to exercise their antitumor functions.

Linfócitos T CD4+ (LTCD4) sofrem morte pelo reestímulo do TCR em um processo chamado de AICD (activation-induced cell death) no fim de uma resposta imune. Resultados prévios de nosso grupo de pesquisa mostraram que melatonina foi capaz de inibir o processo de AICD em LTCD4 em experimentos in vitro. Portanto, o objetivo deste trabalho é verificar se a melatonina é capaz de agir como estimulador, aumentando a resposta imune mediada pelos LTCD4 in vivo. Nós observamos que 3 e 9mg/Kg de melatonina aumentaram a resposta de DTH (Delayed-type Hypersensitivity), de forma diretamente proporcional à dose utilizada. O tratamento com melatonina estimulou um aumento da proliferação e do numero absoluto de LTCD4 específicos de antígeno. Em experimentos de diferenciação linfocitária in vitro, nós observamos que o tratamento com melatonina estimulou a produção de LTCD4 do perfil Th1 e Th2, no entanto inibiu a produção de linfócitos Th17. Em conclusão, nossos resultados sugerem um efeito estimulador da melatonina sobre a função de linfócitos T CD4+. / CD4+ T lymphocytes (LTCD4+) suffer cell death by a process known as activation-induced cell death (AICD) at the end of immune response. Previous results from our group showed that melatonin can inhibits AICD process in LTCD4 at in vitro experiments. Therefore, the aim of this work is verify if a melatonin can act as immune stimulator increasing a LTCD4-mediated immune response in vivo. We showed that 3 and 9 mg/Kg of exogenous melatonin added during immunization resulted in potentiation dose-dependent of Delayed-type hypersensitivity (DTH) response. The treatment with melatonin increased the absolute number LTCD4 antigen-specific, probably by increment of its proliferation. In experiment of T cell differentiation, we observed that the treatment with melatonin stimulated LTCD4 production of Th1 and Th2 profile however blocked the Th17 lymphocytes production. In conclusion, our results support the idea about a regulator role of melatonin on LTCD4 lymphocytes function for development of an immune response.

Les Lymphocytes T CD4 (LT CD4) sont des cellules du système immunitaire adaptatif extrêmement plastiques qui, en fonction des signaux présents dans le microenvironnement cellulaire, ont la capacité de se différencier en différentes sous-populations de LT CD4 possédant des fonctions distinctes. Ce processus est hautement régulé par l'expression de facteurs de transcription (FT) clés tels que T-Bet, GATA-3, RORgammaT et Foxp3, nécessaires à la mise en place des lignages Th1, Th2, Th17 et Treg respectivement. Néanmoins, ces protéines n'agissent pas seules, et d'autres facteurs de transcription sont nécessaires pour amplifier, soutenir et maintenir ces différents lignages. Chaque lignage permet de lutter efficacement face à différents types de pathogènes ; toutefois, si la réponse immune n'est pas adaptée, ils peuvent également être responsables du développement de maladies auto-immunes. Afin de mettre en évidence les voies de signalisation et les facteurs de transcription impliqués dans la différenciation des LT CD4 pathogènes, nous avons utilisé le modèle de l'Encéphalomyélite Auto-immune Expérimentale (EAE), un modèle murin de Sclérose En Plaques (SEP). Dans ce modèle, nous avons mis en évidence le rôle clef de deux facteurs de transcription, Foxo3 et Eomes, dans la différenciation des LT CD4. En effet, les souris déficientes en Foxo3 développent une EAE moins sévère que les souris WT, et cette moindre sévérité de la maladie est associée à une proportion réduite de cellules productrices d'IFN-gamma et de GM-CSF in vivo, suite à l'immunisation. L'analyse du transcriptôme des souris Foxo3KO et WT a révélé que la déficience en Foxo3 a pour conséquence une diminution drastique de l'expression du FT Eomes. Bien que cette protéine soit nécessaire à la mise en place des réponses cytotoxiques dans les LT CD8 et les NK, son rôle précis dans les LT CD4 reste peu connu. D'un point de vue moléculaire, nous avons pu prouver, par des techniques d'Immuno-Précipitation de la Chromatine (ChIP) et des analyses de gènes rapporteurs, que le FT Eomes est un gène cible direct de Foxo3 dans les LT CD4.[...] / CD4 T cells are extremely plastic, and depending on the cytokines that are present within the microenvironment, they have the ability to differentiate into several subpopulations. This process is finely regulated by the expression of Master Regulator of each lineage such as T-Bet, GATA-3, RORgammaT and Foxp3, that are mandatory for the differentiation of Th1, Th2, Th17 and Treg cells respectively. However, they do not act alone, and several other transcription factors are required to stabilize, amplify and lock CD4 T cell lineages. Each subpopulation of CD4 T cells is highly specialized in the elimination of particular types of pathogen; however, in case of dysregulation of the immune response, they can also be involved in the development of autoimmune diseases. In order to determine how such properties are acquired by pathogenic CD4 T cells, we used the Experimental Autoimmune Encephalomyelitis (EAE) model which mimic Multiple Sclerosis pathology. In this model, we identified two transcription factors, Foxo3 and Eomes, that are critical for the differentiation of a particular and highly pathogenic subset of CD4 T cell. Indeed, Foxo3-deficient mice develop a less severe disease as compared to WT littermate and this decreased disease severity is associated with a decreased proportion of IFN-gamma and GM-CSF producing cells. Transcriptomic analysis of Foxo3KO versus WT CD4 T cells revealed that the most downregulated gene within Foxo3KO CD4 T cells is Eomes, which is essential for/to the acquisition of cytotoxic functions and production of IFN-gamma by NK and CD8 T cells. At the molecular level, using Chromatin Immuno-Precipitation experiments and Luciferase assays, we showed that Eomes is a direct target gene of Foxo3 in CD4 T cells. Then, in order to determine which of the downregulated gene is responsible for the decreased production of IFN-gamma and GM-CSF, we decided to overexpress Eomes in Foxo3KO CD4 T cells. Eomes overexpression restored IFN-gamma and, to a lesser extent, GM-CSF production by CD4 T cells, thus indicating that Eomes is involved in IFN-gamma and GM-CSF regulation in CD4 T cells.[...]

CD4+-T-Helferzellen sind in großer Zahl in der entzündeten Synovialmembran bei rheumatoider Arthritis (RA) sowie in Arthritismodellen vorhanden und spielen mit großer Wahrscheinlichkeit eine bedeutende Rolle in der Pathogenese von Arthritiden. Bei der präventiven Behandlung mit drei verschiedenen Anti-CD4 monoklonalen Antikörpern (mAk) im Modell der Adjuvansarthritis der Ratte (AA) wurden abhängig von dem jeweils eingesetzten mAk unterschiedliche klinische Verbesserungen beobachtet. Im Mittelpunkt der Untersuchungen stand deshalb die Suche nach Parallelen zwischen der unterschiedlichen klinischen Effizienz der Anti-CD4 mAk W3/25, OX35 (klinisch effizient) und RIB5/2 (klinisch ineffizient) bei der präventiven Therapie der AA und ihren in vitro Effekten auf TZell-Funktionen als Erklärung für die unterschiedlichen Therapieeffekte. Keine klaren Parallelen zur differentiellen klinischen Effizienz ergaben sich bei den folgenden Untersuchungen: 1.) Bestimmung der Affinitäten der mAk zum CD4-Molekül. 2.) Inhibition der Proliferation in der primären gemischten Lymphozytenkultur (1° MLC) mit CD4+-T-Zellen und CD8+-T-Zellen durch die drei mAk 3.) Beeinflussung der Produktion der Zytokine IL-2, IFNg, IL-10 und IL-4 in verschiedenen experimentellen Ansätzen (sekundäre MLC nach Anwesenheit der mAk in der 1° MLC, Kreuzvernetzung des CD4-Moleküls mittels der mAk nach bzw. vor einer Stimulation von CD4+-T-Zellen über den TZR). 4.) Einfluss der drei Anti-CD4 mAk auf die TZR-vermittelte Apoptose. 5.) Mobilisierung von intrazellulärem Kalzium durch CD4-Kreuzvernetzung mittels der mAk. 6.) Aktivität der Tyrosinkinasen p56lck und p59fyn nach CD4-Kreuzvernetzung mittels der mAk. 7) Phosphorylierung des Shc-Adaptermoleküls durch CD4-Kreuzvernetzung mittels der drei mAk. 8.) Effekte der drei mAk auf die Aktivität der Transkriptionsfaktoren NF-AT und AP-1. Dagegen ergaben sich bei den Untersuchungen zur Produktion von TNFa und zur Aktivität des Transkriptionsfaktors NF-kB eindeutige Parallelen zur differentiellen klinischen Effizienz: 1.) Die Kreuzvernetzung des CD4-Moleküls mittels des mAk RIB5/2 nach bzw. vor einer Stimulation von CD4+-T-Zellen über den TZR induzierte eine signifikant höhere Sekretion von TNFa als mit den mAk W3/25 und OX35. 2.) Die Kreuzvernetzung des CD4-Moleküls mittels des mAk RIB5/2 vor einer Stimulation von CD4+-T-Zellen über den TZR führte zu einer signifikant stärkeren Erhöhung der Aktivität von NF-kB als mit den mAk W3/25 und OX35. Beide differentiellen Effekte könnten daher die Erklärung für die unterschiedliche klinische Effizienz der drei Anti-CD4 mAk darstellen.

Thesis (Ph. D.)--University of Washington, 2007. / Vita. Includes bibliographical references (leaves 113-121).

Made available in DSpace on 2014-06-11T19:31:11Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-01-19Bitstream added on 2014-06-13T20:22:02Z : No. of bitstreams: 1 faria_jlm_dr_jabo.pdf: 2769905 bytes, checksum: 15c4be53d67c11751ac4644728993d4f (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / A infecção aguda experimental pela amostra Jaboticabal de Ehrlichia canis provoca alterações clínicas severas no hospedeiro, com graves distúrbios sanguíneos e imunológicos, que podem comprometer a vida do animal. Com este estudo buscou-se avaliar a expressão gênica de TNF-α, IFN-γ e IL-10, pesquisar a presença de mórulas no baço e avaliar o imunofenótipo das células esplênicas antes, nos dias 6, 18 e 30 após a inoculação e 25 dias após o tratamento com cloridrato de doxicilina, em cinco cães sem definição racial inoculados com a amostra Jaboticabal de Ehrlichia canis. Nas condições experimentais desta pesquisa, o início do desenvolvimento dos sinais clínicos, seis dias após a inoculação (D6) foi acompanhado pela expressão de TNF-α e aumento de células MHC II+ (P<0,05) na citologia esplênica em relação ao controle. Com o desenvolvimento da infecção experimental (D18) ocorreu o agravamento dos sinais clínicos, os cães apresentaram febre, linfadenomegalia e esplenomegalia acompanhados de trombocitopenia, leucopenia e anemia, mórulas na citologia esplênica, aumento significativo da expressão de TNF-α em leucócitos e células esplênicas, detecção de IL-10, tanto em leucócitos como em células esplênicas e redução de células CD4+ (P<0,05), em relação ao momento anterior e ao grupo controle, macrófagos (P<0,05) em relação ao controle, e aumento de células B (P<0,05) em relação a D-1 e ao grupo controle. Aos 30 dias os cães já não apresentavam sinais clínicos da infecção, porém persistia a trombocitopenia. Além disso, persistência do aumento das células B+ esplênicas (P<0,05), diminuição significativa das células CD4+ e dos macrófagos em relação ao D18 e ao controle. O TNF-α atingiu sua maior taxa de expressão e ocorreu a detecção de IFN-γ. / The experimental acute infection by Ehrlichia canis Jaboticabal sample provokes severe clinical alterations in the host with serious blood and immunological disorders that may compromise the animal’s life. The present study aimed to evaluate the gene expression of TNF-α, IFN-γ and IL-10, search morulae presence in the spleen and evaluate the splenic cells’ immunophenotype before, at days 6, 18 and 30 days post inoculation and 25 days after the treatment with doxycycline cloridrate, in five cross-bred dogs inoculated with Ehrlichia canis Jaboticabal sample. At the experimental conditions of this research, the beginning of the development of the clinical signs, six days after the inoculation (D6) was accompanied by expression of TNF-α and increase of MHC II+ cells (P<0,05) at the splenic cytology when compared to the control group. As long as the experimental infection was developed (D18) the clinical signs were becoming worse, the dogs presented fever, lymphadenomegalia and spleenomegalia accompanied by thrombocytopenia, leucopenia and anemia, morulae in the splenic cytology, significant increase of the expression of TNF-α in leukocytes and splenic cells, detection of IL-10 both in leukocytes and in splenic cells and the decrease of CD4+ cells (P<0,05) in comparison to the previous moment and to the control group, macrophages (P<0,05) compared to the control group, and increase of cells B (P<0,05) in comparison to the control group and D-1. At day 30 the dogs no more presented the infection clinical signs, although the thrombocytopenia persisted. Besides, persistent splenic cells B+ increase (P<0,05), significant reduction of CD4+ cells and macrophages compared to D18 and to the control group were observed. The TNF-α reached its highest expression rate and the detection of IFN-γ ocurred.

As infecções humanas com a filaria Mansonella ozzardi ocorrem em focos situados em regiões tropicais e subtropicais da América Central e do Sul e frequentemente coexistem com outras doenças endêmicas tropicais. Na Amazônia brasileira, as infecções são geralmente assintomáticas e a maior parte delas, consequentemente, deixam de ser diagnosticada. As filarioses crônicas, geralmente não tratadas, podem criar um ambiente imunorregulador, caracterizado pela expansão de linfócitos T produtores de IL-10, que mediam a supressão de respostas proliferativas de células T frente a antígenos específicos bem como a antígenos não-relacionados. Neste trabalho, utilizamos marcadores de ativação celular (CD69 e HLA-DR) e de atividade reguladora (CD39, CTLA-4, OX40, GITR, LAG3, PD-1, LAP-TGF-&#946; e TNFRII) para caracterizar populações de células mononucleares de sangue periférico (PBMCs) em indivíduos infectados por M. ozzardi bem como em controles saudáveis de uma área endêmica deste parasito na Amazônia Brasileira. A análise de PBMCs, por citometria de fluxo multiparamétrica de 49 pacientes infectados por M. ozzardi, mostrou que pacientes e controles apresentam proporções similares de Treg clássicas circulantes, no entanto, indivíduos infectados apresentam um aumento da proporção de células CD4+ e células T reguladoras (Tregs) que expressam a molécula CD39. Células Treg CD39+ parecem definir uma população distinta entre as Treg, pois ao compararmos os marcadores de regulação e ativação entre Tregs CD39+ e CD39- encontramos proporções aumentas destes marcadores nas Treg CD39+. O bloqueio dessa molécula em condições de reestimulo celular aumenta a produção de citocinas inflamatórias e diminui a produção de IL-10 confirmando seu papel regulador. / Human infections with the filarial parasite Mansonella ozzardi are common in areas of tropical and subtropical Central and South America and often coexist with other endemic tropical diseases, such as malaria. In the Amazonian Basin of Brazil, infections are typically asymptomatic; most of them will remain undiagnosed. These chronic, untreated filarial infections are potentially associated with a regulatory immune environment, dominated by IL-10-producing T-cells, which mediate the suppression of T-cell proliferation in response to filarial and non-related antigens. Here, we used markers of cell activation (CD69 and HLA-DR) and regulatory activity (CD39, CTLA-4, OX40, GITR, and TNFRII) to characterize peripheral-blood mononuclear cell (PBMCs) subpopulations in individuals infected with |M. ozzardi and in healthy controls living in an area of M. ozzardi endemicity in the Brazilian Amazon. Multiparameter flow cytometry analysis of PBMCs from 49 malaria patients showed that patients and controls have similar proportions of classic circulating Tregs, however, the proportion of CD4 + cells and Tregs expressing the CD39 (an ectonucleotidase that regulates the balance of immune responses through Phosphohydrolysis of ATP, an inflammatory molecule in adenosine, an anti-inflammatory molecule), is increased in infected patients. CD39+Treg cells seem to define a distinct population among Tregs, compare activation and regulatory markers between CD39+ and CD39- Tregs - we found increased proportions of these markers in the CD39+ Tregs. Blocking this molecule under cellular restimulation conditions increases production of inflammatory cytokines and decreases IL-10 production, improving its regulatory role.

O vírus linfotrópico de células T humanas (HTLV-1) foi o primeiro retrovírus descrito e está etiologicamente ligado a duas principais doenças: a leucemia/linfoma de célula T do adulto (ATLL) e a mielopatia associada ao HTLV-1/paraparesia espástica tropical (HAM/TSP). Apenas 0,3 a 5% dos indivíduos infectados desenvolvem essas doenças associadas, enquanto a maioria permanece assintomática. A HAM/TSP é uma manifestação inflamatória do sistema nervoso central e o mecanismo pelo qual o HTLV-1 induz o surgimento de HAM/TSP ainda não está totalmente esclarecido. Atualmente, uma abordagem promissora no entendimento de mecanismos, bem como na fisiopatogênese das infecções virais tem sido a avaliação da função de microRNAs (miRNAs). Há poucos dados na literatura envolvendo estas moléculas na infecção pelo HTLV-1 em linfócitos T CD4+ bem como no estabelecimento da doença HAM/TSP. No presente estudo, foi avaliada a expressão de miRNAs dos linfócitos T CD4+ isolados de portadores sem HAM/TSP (HAC), pacientes HAM/TSP e indivíduos sadios (CT) por meio de PCR em tempo real. A análise do perfil de expressão dos miRNAs nessas células revelou que 56 e 10 miRNAs apresentavamse mais 1,5 vezes aumentados no grupo HAM/TSP e HAC, respectivamente. O miR- 125b-1-1 apresentou expressão significamente maior no grupo HAC e o miR-146a, no grupo HAM/TSP. A análise in silico de predição de alvo demonstrou que o gene IFNG era potencialmente alvo do miR-125b-1-1 e os genes IRAK1 e TRAF6 do miR- 146a. Foi demonstrado que a expressão do IFNG no grupo HAC era 1,3 vezes mais elevado que o grupo CT e 1,8 vezes mais elevado no grupo HAM que no grupo CT. Houve um aumento na expressão de TRAF6 de 15,7 e 1,5 vezes nos grupos HAM/TSP e HAC, respectivamente. Não foi observada diferença na expressão de IRAK1 entre os três grupos. O ensaios de superexpressão do miR-125b-1-1 alterou a expressão do IFNG e do miR-146a alterou a expressão do gene IRAK1 e sua proteína. Os resultados evidenciados neste trabalho ressaltam a importância dos miRNAs na modulação de genes e proteínas importantes durante a infeção pelo HTLV-1. A correlação entre o miR-125b-1-1 e gene IFNG sugere que este miRNA esteja envolvido nos mecanismos de desenvolvimento de HAM/TSP. Além disso, a interação entre o miR-146a e os genes IRAK1 e TRAF6 sugerem que este miRNA esteja relacionado a mecanismos de persistência viral da infecção pelo HTLV-1 em linfócitos T CD4+. / Human T-cell lymphotropic vírus type 1 (HTLV-1) was the first human retrovirus discovered and it is related with two major diseases: adult T cell lymphoma/leukaemia (ATLL) and HTLV-1 -associated myelopathy/tropical spastic paraparesis (HAM/TS). About 0.3 to 5% of infected individuals will develop HTLV-1 related diseases, while the majority will remain life-long asymptomatic carriers of the virus. HAM/TSP is an inflammatory manifestation of central nervous system and the mechanism involved in HAM/TSP development is noy well elucidated. Currently, a promising approach on understanding the mechanisms as well as physiopathogenesis of viral infections has been the evaluation of the role of microRNAs (miRNAs) roles. There are few data involving CD4+ T cells miRNA expression in HTLV-1 infection as well as HAM/TSP establishment. To identify miRNAs differentially expressed in CD4+ T cells among non-infected individuals (CT), asymptomatic (HAC) and HAM/TSP patients we applied quantitative real time PCR. The analysis of miRNA expression profile in these cells showed 56 and 10 miRNAs upregulated 1.5 times in HAM/TSP and HAC groups, respectively. miR- 125b-1-1 was upregulated in HAC group and miR-146a in HAM/TSP. In silico analysis of target prediction showed that IFNG was a potentially miR-125b-1-1 target and IRAK1 and TRAF6 were miR-146a targets. IFNG expression was 1.3 higher in HAC than CT group and 1.8 higher in HAM/TSP than CT group. It was observed that TRAF6 expression was 15.7 and 1.5 times higher in HAM/TSP and HAC groups, respectively. There was no difference of IRAK1 expression among the three groups. Overexpression assays of miR-125b-1-1 altered IFNG expression and overexpression of miR-146a altered IRAK1 gene and protein expression. The results revealed that miRNAs modulate genes and proteins during HTLV-1 infection. miR- 125b-1-1 and IFNG gene correlation suggests that miR-125b-1-1 seems to contribute to HAM/TSP development. Besides, miR-146a and IRAK1 and TRAF6 interaction suggests that miT-146a seems to contribute to HTLV-1 establishment in CD4+ T cells.

L’autophagie est un mécanisme de l’immunité innée contre le VIH-1 déclenché très rapidement dans les cellules T CD4 par les protéines d’enveloppe du virus (Env). Dans les cellules T CD4 appelées « bystander », c’est-à-dire où l’infection est abortive, l’autophagie entraine l’apoptose. Dans les cellules T CD4 infectées de façon productive, l’autophagie est inhibée, empêchant ainsi à la fois la dégradation du virus et/ou des protéines virales et l’apoptose médiée par Env. Le but de cette étude de doctorat est de comprendre comment l’autophagie est bloquée dans les cellules T CD4 infectées par le VIH-1. Durant la première année de ma thèse, j’ai contribué au travail montrant que Vif nouvellement synthétisé bloque l’autophagie dans les lymphocytes T CD4 infectés. Les données ont été publiées en Janvier 2015 dans AIDS sous le titre «HIV-1 viral infectivity factor interacts with microtubule-associated protein light chain 3 and inhibits autophagy». Ensuite, j’ai montré que Vpr contribue aussi à l’inhibition de l’autophagie. En effet, Vpr ectopique diminue grandement le nombre des autophagosomes présents dans les cellules T CD4 quand l’autophagie est induite par un inhibiteur de mTOR. De même, Vpr incorporé dans les virions diminue le nombre des autophagosomes présents dans les cellules T CD4 très rapidement après leur infection productive (4h et 8h). Dans le but de définir le mécanisme par lequel la protéine Vpr entraine ce blocage, j’ai fait des expériences de GST pull-down et j’ai identifié que Vpr interagit avec BNIP3, une protéine pro-autophagique. De plus, le niveau d’expression de BNIP3 est augmenté dans les cellules T CD4 après le contact avec Env, suggérant que BNIP3 pourrait être impliqué dans l’induction de l’autophagie médiée par l’Env. Vpr co-localise avec BNIP3 et Vpr incorporé dans les virions induit une diminution drastique du niveau d’expression de BNIP3 après 8 heures d’infection. En conclusion, j’ai montré qu’au moins deux protéines du VIH-1 sont séquentiellement impliquées dans l’inhibition de l’autophagie dans les cellules T CD4 infectées par le VIH-1, Vpr qui contrôle l’autophagie durant la phase précoce de l’infection, et Vif néo-synthétisé qui inhibe l’autophagie après la transcription du génome viral. La compréhension complète des mécanismes par lesquels le VIH-1 inhibe l’autophagie devrait à terme permettre l’élaboration de nouvelles stratégies thérapeutiques pour lutter contre ce virus. / Autophagy is a potent anti-HIV-1 mechanism. It is triggered in CD4 T cells by the viral envelope (Env) upon HIV-1 entry. In bystander CD4 T cells, autophagy leads to apoptosis. In productively infected CD4 T cells, autophagy is inhibited, preventing thus HIV-1 virophagy and Env-mediated apoptosis. The aim of my PhD study was to understand how autophagy is blocked in the HIV-1-infected CD4 T cells. During the first year of my thesis, I contributed to the work demonstrating that Vif neosynthesized blocks autophagy in the infected CD4 T lymphocytes. The data were published in January 2015 in AIDS under the title “HIV-1 viral infectivity factor interacts with microtubule-associated protein light chain 3 and inhibits autophagy”. Then, I demonstrated that Vpr contributes also to the inhibition of autophagy. Indeed, both ectopic expression of Vpr and Vpr incorporated into the virions decrease the number of autophagosomes in CD4 T cells when autophagy is induced by an inhibitor of mTOR and Env, respectively. To define the mechanism by which HIV-1 Vpr inhibits autophagy, I performed GST pull-down experiments and identified that Vpr interacts with BNIP3, a pro-autophagic protein. Importantly, BNIP3 expression level is increased in CD4 T cells upon Env contact, suggesting that BNIP3 could be responsible for the Env-mediated induction of autophagy. Furthermore, Vpr co-localizes with BNIP3 and viral incorporated Vpr decreases BNIP3 levels after 8 hours of infection. In conclusion, I demonstrated that at least two HIV-1 proteins are sequentially involved in the inhibition of autophagy in HIV-1-infected CD4 T cells, Vpr that controls autophagy during the early phase of infection, and then neo-synthesized Vif that inhibits autophagy after HIV-1 genome transcription. The complete understanding of the mechanisms by which HIV-1 inhibits autophagy should lead to the rising of new molecular strategies to fight against this virus.