La physiopathologie du diabète de type II se caractérise par de sévères anomaliesmétaboliques telles que l’hyperglycémie et les dyslipidémies contribuant au développementdes maladies cardiovasculaires. Une altération de l’activité de l’AMPK dans les tissus tels quele muscle squelettique et le foie est associée à ces désordres métaboliques alors que sonactivation pharmacologique permet de les rétablir. Toutefois, le complexe hétérotrimériqueαβγ tissu-spécifique de l’AMPK confère une régulation et des rôles distincts qui demeurentinexplorés dans l’intestin, un organe favorisant pourtant l’augmentation de l’absorption desnutriments en situation de diabète de type II. La présente étude démontre une prépondérancedu complexe α1β2γ1 de l’AMPK dans les cellules intestinales Caco-2 dont l’un des rôles de lasous-unité α1 est de réguler l’ACC, l’enzyme de synthèse des acides gras. Contrairement àl’AMPK exprimée dans le foie, elle ne régule pas l’HMG-CoA Réductase impliquée dans lasynthèse du cholestérol. L’activation de l’AMPK mime l’effet de l’insuline en réduisantl’absorption intestinale du glucose et des lipides alors que son altération en situationd’insulino-résistance (e.g : induite par le 4-HHE dans un modèle cellulaire Caco-2 ou induitepar la diète dans le modèle animal Psammomys obesus) favorise l’absorption du glucose etdes lipides, ce qui exacerberait l’hyperglycémie et la dyslipidémie postprandiale associées audiabète de type II. L’AMPK au niveau intestinal constitue donc une cible thérapeutiquepotentielle complémentaire pour la prévention et le traitement du diabète de type II. / Physiopathology of type II Diabetes is characterized by severe metabolic abnormalities suchas hyperglycemia and dyslipidemia also implicated in development of cardiovasculardiseases. Impaired AMPK activity in tissues such as skeletal muscle and liver is associatedwith these metabolic disorders whereas its pharmacologic activation is able to restore suchabnormalities. Nevertheless, tissue-specific heterotrimeric αβγ AMPK likely confers distinctroles and regulation that remain unexplored in intestine, an organ promoting enhancednutrients absorption in type II diabetes situation. This study demonstrates α1β2γ1 AMPKcomplex preponderance in intestinal Caco-2 cells whose α1 subunit role is to regulate ACCenzyme responsible of fatty acid synthesis. Unlike in the liver, AMPK doesn’t regulate HMGCoAreductase enzyme implicated in cholesterol synthesis. AMPK activation mimics insulineffect by reducing intestinal glucose and lipids absorption whereas its alteration in insulinresistancesituation (e.g.: induced by 4-HHE in Caco-2 cell model or in Psammomys obesusanimal model) enhances glucose and lipids absorption which could exacerbate postprandialhyperglycemia and dyslipidemia associated to type II diabetes. Thus, AMPK at the intestinallevel could be a potential therapeutic target in prevention and treatment of type II diabetes

As Escherichia coli produtoras da toxina Shiga (STEC) são importantes patógenos humanos, causando desde diarréias até a síndrome hemolítica urêmica (SHU). Há diversos sorotipos associados a SHU, tais como O157:H7 e O113:H21. No Brasil o sorotipo O113:H21 ainda não aparece associado a SHU, embora seja frequentemente isolado de carcaças e fezes bovinas. Nosso grupo já investigou comparativamente as redes de coexpressão gênica (RCG) de STEC EH41 (associado à SHU) e Ec472/01 (isolado de fezes bovinas). A análise comparativa do perfil transcricional de EH41 e Ec472/01 revelou que somente EH41 expressa um conjunto de genes que inclui o regulador transcricional dicA. A maioria destes genes está situada em um único módulo transcricional e podem estar associados a fatores de virulência. Assim, este trabalho centrou-se numa abordagem de biologia de sistemas, integrando análises genômica e fenotípica da resposta de enterócitos Caco-2 à EH41 e Ec472/01. A análise genômica baseou-se no estudo temporal de RCG para compreender os mecanismos moleculares envolvidos na patogenicidade desses dois isolados. As alterações fenotípicas ocorridas nas células Caco-2 ao longo da exposição a cada um dos isolados de STEC foram visualizadas através de MEV. A análise genômica mostrou que o mecanismo molecular da resposta de Caco-2 durante a interação com EH41 ou Ec472/01 é claramente distinto. Nas redes do grupo Caco-2/EH41 as alterações topológicas incluíram a perda do status scale free e a sua recuperação, com o estabelecimento de uma nova hierarquia de genes na rede. Esses resultados se enquadram no modelo de redes para transição saúde-doença: a nova rede representa a resposta adaptativa da célula ao patógeno, o que não significa um retorno à normalidade. Já no grupo Caco-2/Ec472 as redes, após a perda do status scale free, não recuperam esse status até o final do período estudado, o que sugere um estado de transição mais prolongado para reorganização da hierarquia da rede. Mais ainda, através da caracterização dos módulos transcricionais, foi possível compreender dinamicamente os mecanismos moleculares envolvidos na resposta diferencial de Caco-2 aos dois isolados aqui estudados. STEC EH41 induz rapidamente a resposta inflamatória e apoptótica a partir da primeira hora de interação enterócito-bactéria. Por outro lado, células Caco-2 em contato com Ec472/01 ativam, a partir de uma hora, a fagocitose e, a partir da segunda hora, expressam moduladores da homeostase imune. A análise fenotípica das células Caco-2 mostrou, de forma nítida, uma maior destruição dos microvilos dos enterócitos em contato com EH41 do que com Ec472/01. Integrando os resultados genômicos e fenotípicos pode-se concluir que EH41 induz em Caco-2 - em comparação com Ec472/01 - maiores e mais rápidas alterações na expressão gênica global, além de uma resposta inflamatória e apoptótica excessiva, levando assim a alterações morfológicas mais pronunciadas nas células Caco-2. Em seu conjunto, esses resultados contribuem para uma melhor compreensão dos mecanismos moleculares envolvidos na patogenicidade das STECs associadas à SHU. Assim, as perspectivas de desenvolvimento deste trabalho deverão incluir a investigação de fatores de virulência e vias moleculares envolvidas na indução das respostas imunes que podem conduzir à SHU / Shiga toxin-producing Escherichia coli (STEC) O113:H21 strains are associated with human diarrhea and some of these strains may cause hemolytic uremic syndrome (HUS). In Brazil O113:H21 strains are commonly found in cattle but, so far, were not isolated from HUS patients. Previously, our group conducted comparative gene co-expression network (GCN) analyses of two O113:H21 STEC strains: EH41, isolated from a HUS patient in Australia, and Ec472/01, isolated from bovine feces in Brazil. Differential transcriptome profiles for EH41 and Ec472/01 revealed a gene set exclusively expressed in EH41, which includes the dicA putative virulence factor regulator. GCN analysis showed that this set of genes constitutes an EH41 specific transcriptional module which may be associated to virulence factors. Therefore, in the present work a system biology approach was conducted to investigate the differential Caco-2 response - genomic and phenotypic - to EH41 (Caco-2/EH41) or to Ec472/01 (Caco- 2/Ec472) along enterocyte-bacteria interaction. The genomic analysis was based on temporal GCN data in order to gain a better understanding on the molecular mechanisms underlying the capacity to cause HUS. The phenotypic alterations in Caco-2 during enterocyte-bacteria interaction were assessed by scanning electronic microscopy (SEM). The genomic analysis showed that the molecular mechanism of Caco-2 response to EH41 or to Ec472/01 during enterocyte-bacteria interaction is clearly different. The GCN topological analyses for Caco-2/EH41 group revealed loss of the scale-free status after one hour of interaction, persistence of this condition along the second hour and establishment of a new gene hierarchy thereafter. These events resemble the network mechanism of health-disease transition. The new established network represents an adaptive cell response to the pathogen and not the return to a \"normal\" state. Conversely, the networks for Caco-2/Ec472 group showed a slow and progressive loss of the scale-free status without its restoration at the end of the time interval here studied. Through transcriptional module characterization it was possible to reveal the dynamic of the molecular mechanism involved in the Caco-2 differential responses to the STEC isolates. EH41 induces a rapid inflammatory and apoptotic response just after the first hour of enterocyte-bacteria interaction. Instead, the Caco-2 response to Ec472/01 is characterized by phagocytosis activation at the first hour, followed by the expression of immune response modulators after the second hour. SEM phenotypic analysis of Caco-2 cells along enterocyte-bacteria interaction showed more intense microvilli destruction in cells exposed to EH41, when compared to cells exposed to Ec472/01. The integration of genomic and phenotypic data allowed us to conclude that EH41, comparatively to Ec472/01, induces greater and precocious global gene expression alterations in Caco-2, what is related to excessive inflammatory and apoptotic responses. These responses are associated with the pronounced morphological alterations observed by SEM in Caco-2 cells exposed to EH41. Altogether, these results contribute for a better understanding of the molecular mechanism involved in STEC pathogenicity associated to HUS. Therefore, the future perspectives for the development of the present work should include the investigation of virulence factors and molecular pathways involved in the induction of immune responses leading to HUS

Amadori-Produkte werden spontan während der ersten Phase der Maillard-Reaktion aus reduzierenden Zuckern und Aminen wie Lysin gebildet. Sie entstehen während der Erhitzung von Lebensmitteln und in vivo. Der enzymatische Abbau solcher spontan gebildeten Produkte ist Thema dieser Arbeit. Ein Teil untersuchte die Rolle von Oligosaccharid-Amadori-Produkten während der Verdauung von Kohlenhydraten im Dünndarm. Aufgrund ihrer strukturellen Ähnlichkeit mit bekannten Glycosidase-Inhibitoren wurde eine hemmende Wirkung der Amadori-Produkte auf die Kohlenhydratverdauung vermutet. Der andere Teil beschäftigte sich mit Fructosamin-3-kinase (FN3K) und dessen verwandtem Enzym Fructosamin-3-kinase-related Protein (FN3K-RP) aus humanen Erythrocyten. Diese Ketosaminkinasen werden als Proteinreparaturenzyme betrachtet, sogar als enzymatische Verteidigung gegen Glykierung in vivo diskutiert. Durch ihre Reaktion entstehen jedoch auch hoch-reaktive 1,2-Dicarbonylverbindungen, die weitere Proteinschäden bewirken können. Noch ist nicht klar, ob die Ketosaminkinasen die pathophysiologischen Folgen der Glykierung verhindern oder fördern. In dieser Arbeit wurde die Substratspezifität von Ketosaminkinasen mit einer Reihe von Amadori-Produkten untersucht. Damit könnten Inhibitoren zur weiteren Enzymcharakterisierung oder sogar für pharmazeutische Anwendungen identifiziert werden. Außerdem wurde die Variabilität der Enzymaktivitäten von Mensch zu Mensch in einer Kohorte von 100 Probanden untersucht. Als Modell für die menschliche Kohlenhydratverdauung im Dünndarm wurden Caco-2-Zellen als Monolayer etabliert. Deren Sucrase-Isomaltase kann die alpha-glycosidische Bindung in Amadori-Produkten von Maltose und Maltotriose mit Lysin und auch in Maltulose hydrolysieren. Trotz der Aminogruppe hemmen diese Amadori-Produkte die Maltosehydrolyse nur schwach als konkurrierende Substrate. Lactulosyllysin konnte nicht durch die Lactase der Caco-2-Zellen hydrolysiert werden. Tagatosyllysin und die Heyns-Produkte Glucosyllysin und Mannosyllysin hemmten die Lactosehydrolyse schwach. Alle beobachteten Hemmeffekte sind wahrscheinlich zu schwach, um während der Verdauung in vivo bedeutsam zu sein. Für FN3K konnte Desoxypiperidinofructose als kompetitiver Inhibitor identifiziert werden (Kic 0,006 mM). FN3K zeigte nur geringe Selektivität gegenüber Amadori-Produkten verschiedener Amine, ausgenommen aromatischer Amine. FN3K-RP war in Erythrocyten wesentlich aktiver als FN3K, auch wenn die Aktivität nicht selektiv inhibiert werden konnte. Beide Enzymaktivitäten unterscheiden sich unter den 100 Probanden, mit einer Spannweite von 3 bis 12 mU/g Hämoglobin für FN3K und 60 bis 135 mU/g Hb für FN3K und FN3K-RP zusammen. Es scheint eine Verbindung zwischen der Ketosaminkinase-Aktivität in Erythrocyten und Nierenerkrankungen, familiär auftretendem Diabetes mellitus, sowie familiär aufgetretenen Herzinfarkten oder Schlaganfällen zu bestehen, wie orientierende Auswertungen zeigten. Deshalb ist eine genauere Untersuchung der physiologischen Bedeutung der Ketosaminkinasen nötig. / Amadori products are formed spontaneously from reducing sugars and amines, e.g. lysine, during the first phase of the Maillard reaction. They occur in heated food and in vivo. The thesis focuses on the enzymatic degradation of such spontaneously formed compounds. One part of this work investigated the faith and impact of oligosaccharide derived Amadori products during small intestinal carbohydrate digestion. Due to their structural similarity with known glycosidase inhibitors, an inhibitory action of Amadori products towards carbohydrate digestions was assumed. The other part dealt with fructosamine-3-kinase (FN3K) and its related protein (FN3K-RP) from human erythrocytes. Such ketosamine kinases are regarded as protein repair enzymes, maybe even an enzymatic defence against glycation in vivo. While deglycating protein bound Amadori products, however, they produce highly reactive 1,2-dicarbonyl compounds, which can lead to further protein damage. It is unclear, whether the ketosamine kinase action prevents or supports the pathophysiological effects of glycation. This work studied the substrate specifity of ketosamine kinases with a variety of Amadori products, which could result in inhibitors for further enzyme characterisation or even pharmaceutical uses. Further, the variability of both enzyme activities in a cohort of 100 subjects was examined. As a model for human small intestinal carbohydrate digestion, a Caco-2 cell monolayer was employed. Their sucrase-isomaltase is able to hydrolyse the alpha-glucosidic linkage in Amadori products of maltose and maltotriose with lysine, as well as in maltulose. Despite their amino group, those amadori products inhibited maltose hydrolysis merely weakly as competing substrates. Lactulosyl lysine on the other hand could not be hydrolysed by Caco-2 lactase. Tagatosyl lysine and the Heyns products glucosyl lysine and mannosyl lysine showed weak inhibition of lactose hydrolysis. All observed inhibitory effects are probably too weak to be of importance during carbohydrate digestion in vivo. Deoxypiperidinofructose was identified as a competitive inhibitor of FN3K (Kic 0,006 mM). FN3K acted rather non-specific towards Amadori products of different amines, except aromatic amines. FN3K-RP showed much higher activity in erythrocytes than FN3K, although its activity could not be inhibited selectively. Both enzyme activities vary among 100 subjects, with a range of 3 to 12 mU/g hemoglobin for FN3K and 60 to 135 mU/g hb for FN3K and FN3K-RP together. Relations of ketosamine kinase activity in erythrocytes with renal diseases, familial diabetes mellitus and familial cardiovascular events seem to exist. Thus, investigating the physiological impact of ketosamine kinases is necessary.

Neste trabalho, esclarecemos tópicos da patogenicidade de EIEC que sustentam a sua menor virulência quando comparada à S. flexneri, e mostramos a importância das células dendríticas (CD) nesse processo. Estudou-se o comportamento de EIEC e S. flexneri quando em contato com células Caco-2, avaliando-se uma cinética de expressão dos genes envolvidos na invasão e disseminação bacteriana. Em geral, todos os genes foram menos expressos em EIEC, fato corroborado pelo fenótipo de disseminação bacteriana, onde EIEC foi menos eficiente do que Shigella. Também foi avaliada a modulação da resposta inflamatória de células dendríticas intestinais murinas pela produção de citocinas, expressão de moléculas co-estimulatórias e apresentação de antígenos, após desafio das células com as bactérias. Os resultados sugerem que EIEC induz a uma resposta protetora ao hospedeiro, enquanto que Shigella estaria \"driblando\" o sistema imune, além de provavelmente super-estimular o sistema imune adaptativo, fato que poderia levar a um agravamento da doença. As ações integradas das células Caco-2, células dendríticas e estímulos bacterianos foram estudadas em co-cultura celular. Observou-se que EIEC e suas proteínas secretadas induzem a migração das CDs ao compartimento apical da co-cultura; nada foi observado quando o desafio se deu com Shigella. Também foram avaliadas as concentrações de citocinas inflamatórias no microambiente infeccioso formado. A citocina TNF-α, bem como CCL20 e MCP-1 foram mais proeminentes após estímulo com EIEC, fato que poderia explicar parcialmente a migração das CDs ao lado apical da co-cultura após estímulo com EIEC e suas proteínas secretadas. Nossas evidências experimentais indicam que a doença desencadeada por EIEC é mais restrita a um determinado local da infecção, ou seja, não é capaz de se disseminar a ponto de estender a lesão tecidual de forma mais drástica, como Shigella. Esse fenômeno pode estar associado à menor expressão de seus dos fatores de virulência e à resposta imune inata induzida no sítio de infecção, o que levaria, fatalmente, à resolução da doença. / In this study, we clarify topics of pathogenicity from EIEC that support its lower level of virulence when it is compared to S. flexneri, and we have shown the importance of dendritic cells (DC) in this process. We studied the conduct of EIEC and S. flexneri when they were in contact with Caco-2 cells and we analyzed the kinetics of the genes expression that was involved in the spread and invasion of the bacteria. In general, all genes were expressed less in EIEC, as demonstrated by the phenotype of the bacterial spread, where EIEC was less efficient than Shigella. We also analyzed the modulation of the inflammatory response by the murine intestinal dendritic cells by the production of cytokine, expression of co-stimulators molecules and antigens presentation, after the interaction of the cells with the bacteria. The results showed that EIEC induces a response that protects the host while Shigella manipulate the host intestinal innate and adaptive immune system and it probably over-stimulates the adaptive immune system which could let the disease worse. The integrated actions of Caco-2 cells, dendritic cells and bacterial stimulus, were studied in a co-culture cell. We observed that EIEC and its secreted proteins induce the migration of the DCs to the apical compartment of the co-culture; nothing was observed related to Shigella. We also evaluated the concentrations of the inflammatory cytokines at the infective micro environment that was formed. The cytokine TNF-α, as CCL20 and MCP-1 were more prominent after been stimulated with EIEC, a fact that could partially explain the migration of DCs to the apical side of the co-culture after the stimulus with EIEC and its secreted proteins. Our experimental evidence shows that the disease triggered by the EIEC is more restricted at a definite infection place, which means that it is not capable of disseminating beyond a certain point to extend the tissue\'s injury and let it worsen, as Shigella do. This phenomenon can be associated with the lower level of expression of its virulence factors and to the immune response induced in the infection site, what could finally lead to the eradication of the disease.

Charles University Faculty of Pharmacy in Hradec Králové Department of Pharmacology & Toxicology Student: Dominika Bezděková Supervisor: doc. PharmDr. Lukáš Červený, Ph.D. Title of diploma thesis: IN VITRO STUDY OF DRUG-DRUG INTERACTIONS OF HIV PROTEASE INHIBITOR DARUNAVIR ON EFFLUX ABC TRANSPORTERS Abstract: Darunavir is a drug used in the therapy of HIV belonging to the group of protease inhibitors. These protease inhibitors are used as a part of the combination antiretroviral therapy. For the increase of bioavailability, darunavir is always used in combination with ritonavir or cobicistat. As the CYP3A4 and ABCB1 (P-glycoprotein) transporter substrate, darunavir is a drug with a high potential to drug interactions. Considering the amount of adverse effects that can be caused by darunavir, it is necessary to know these drug interactions for the safety of therapy. Inhibition of the intestinal ABCB1 by the co-administrated drugs could also lead to the increased bioavailability of darunavir and to reduction of frequency of administration leading to a cheaper therapy. This thesis studies the drug-drug interactions of darunavir with in vitro methods using two cell lines - MDCKII and Caco-2 cells. The results from the transport of darunavir across the MDCKII cell monolayer indicates that darunavir is a ABCB1...

réalisé en cotutelle avec l'Université Claude Bernard Lyon 1 / La physiopathologie du diabète de type II se caractérise par de sévères anomalies métaboliques telles que l’hyperglycémie et les dyslipidémies contribuant au développement des maladies cardiovasculaires. Une altération de l’activité de l’AMPK dans les tissus tels que le muscle squelettique et le foie est associée à ces désordres métaboliques alors que son activation pharmacologique permet de les rétablir. Toutefois, le complexe hétérotrimérique αβγ tissu-spécifique de l’AMPK confère une régulation et des rôles distincts qui demeurent inexplorés dans l’intestin, un organe favorisant pourtant l’augmentation de l’absorption des nutriments en situation de diabète de type II. La présente étude démontre une prépondérance du complexe α1β2γ1 de l’AMPK dans les cellules intestinales Caco-2 dont l’un des rôles de la sous-unité α1 est de réguler l’ACC, l’enzyme de synthèse des acides gras. Contrairement à l’AMPK exprimée dans le foie, elle ne régule pas l’HMG-CoA Réductase impliquée dans la synthèse du cholestérol. L’activation de l’AMPK mime l’effet de l’insuline en réduisant l’absorption intestinale du glucose et des lipides alors que son altération en situation d’insulino-résistance (e.g : induite par le 4-HHE dans un modèle cellulaire Caco-2 ou induite par la diète dans le modèle animal Psammomys obesus) favorise l’absorption du glucose et des lipides, ce qui exacerberait l’hyperglycémie et la dyslipidémie postprandiale associées au diabète de type II. L’AMPK au niveau intestinal constitue donc une cible thérapeutique potentielle complémentaire pour la prévention et le traitement du diabète de type II. / Physiopathology of type II Diabetes is characterized by severe metabolic abnormalities such as hyperglycemia and dyslipidemia also implicated in development of cardiovascular diseases. Impaired AMPK activity in tissues such as skeletal muscle and liver is associated with these metabolic disorders whereas its pharmacologic activation is able to restore such abnormalities. Nevertheless, tissue-specific heterotrimeric αβγ AMPK likely confers distinct roles and regulation that remain unexplored in intestine, an organ promoting enhanced nutrients absorption in type II diabetes situation. This study demonstrates α1β2γ1 AMPK complex preponderance in intestinal Caco-2 cells whose α1 subunit role is to regulate ACC enzyme responsible of fatty acid synthesis. Unlike in the liver, AMPK doesn’t regulate HMG-CoA reductase enzyme implicated in cholesterol synthesis. AMPK activation mimics insulin effect by reducing intestinal glucose and lipids absorption whereas its alteration in insulin-resistance situation (e.g.: induced by 4-HHE in Caco-2 cell model or in Psammomys obesus animal model) enhances glucose and lipids absorption which could exacerbate postprandial hyperglycemia and dyslipidemia associated to type II diabetes. Thus, AMPK at the intestinal level could be a potential therapeutic target in prevention and treatment of type II diabetes.

Charles University Faculty of Pharmacy in Hradec Králové Department of Pharmacology & Toxicology Student: Zdeněk Záboj Supervisor: PharmDr. Lukáš Červený, Ph.D. Title of diploma thesis: Study of drugs interactions of antiviral drugs with intestinal transporters Sofosbuvir is an antiviral agent widely used in the treatment of chronic hepatitis C. This orally administered prodrug is a designed substrate of ATP-binding (ABC) efflux transporters, P- glycoprotein (ABCB1) and breast cancer resistance protein (ABCG2). ABCB1 and ABCG2 are important determinants of intestinal absorption and are the site of significant pharmacokinetic drug interactions, leading to changes in drug exposure. Pharmacokinetic drug interactions may be undesirable (increasing the toxicity of the treatment) or desirable (allowing dose reduction). Because sofosbuvir is often administered in combination regimens with other anti(retro)virotics, the aim of this thesis was to study the ability to enhance intestinal absorption of sofosbuvir. To study the pharmacokinetic drug interactions on ABCB1 and ABCG2, a widely established in vitro bi-directional transport method through a polarized monolayer formed by the Caco-2 cell line derived from colorectal cancer has been used. We analyzed the drug interactions of sofosbuvir on these efflux...

La physiopathologie du diabète de type II se caractérise par de sévères anomalies métaboliques telles que l’hyperglycémie et les dyslipidémies contribuant au développement des maladies cardiovasculaires. Une altération de l’activité de l’AMPK dans les tissus tels que le muscle squelettique et le foie est associée à ces désordres métaboliques alors que son activation pharmacologique permet de les rétablir. Toutefois, le complexe hétérotrimérique αβγ tissu-spécifique de l’AMPK confère une régulation et des rôles distincts qui demeurent inexplorés dans l’intestin, un organe favorisant pourtant l’augmentation de l’absorption des nutriments en situation de diabète de type II. La présente étude démontre une prépondérance du complexe α1β2γ1 de l’AMPK dans les cellules intestinales Caco-2 dont l’un des rôles de la sous-unité α1 est de réguler l’ACC, l’enzyme de synthèse des acides gras. Contrairement à l’AMPK exprimée dans le foie, elle ne régule pas l’HMG-CoA Réductase impliquée dans la synthèse du cholestérol. L’activation de l’AMPK mime l’effet de l’insuline en réduisant l’absorption intestinale du glucose et des lipides alors que son altération en situation d’insulino-résistance (e.g : induite par le 4-HHE dans un modèle cellulaire Caco-2 ou induite par la diète dans le modèle animal Psammomys obesus) favorise l’absorption du glucose et des lipides, ce qui exacerberait l’hyperglycémie et la dyslipidémie postprandiale associées au diabète de type II. L’AMPK au niveau intestinal constitue donc une cible thérapeutique potentielle complémentaire pour la prévention et le traitement du diabète de type II. / Physiopathology of type II Diabetes is characterized by severe metabolic abnormalities such as hyperglycemia and dyslipidemia also implicated in development of cardiovascular diseases. Impaired AMPK activity in tissues such as skeletal muscle and liver is associated with these metabolic disorders whereas its pharmacologic activation is able to restore such abnormalities. Nevertheless, tissue-specific heterotrimeric αβγ AMPK likely confers distinct roles and regulation that remain unexplored in intestine, an organ promoting enhanced nutrients absorption in type II diabetes situation. This study demonstrates α1β2γ1 AMPK complex preponderance in intestinal Caco-2 cells whose α1 subunit role is to regulate ACC enzyme responsible of fatty acid synthesis. Unlike in the liver, AMPK doesn’t regulate HMG-CoA reductase enzyme implicated in cholesterol synthesis. AMPK activation mimics insulin effect by reducing intestinal glucose and lipids absorption whereas its alteration in insulin-resistance situation (e.g.: induced by 4-HHE in Caco-2 cell model or in Psammomys obesus animal model) enhances glucose and lipids absorption which could exacerbate postprandial hyperglycemia and dyslipidemia associated to type II diabetes. Thus, AMPK at the intestinal level could be a potential therapeutic target in prevention and treatment of type II diabetes. / réalisé en cotutelle avec l'Université Claude Bernard Lyon 1

Amadori-Produkte werden spontan während der ersten Phase der Maillard-Reaktion aus reduzierenden Zuckern und Aminen wie Lysin gebildet. Sie entstehen während der Erhitzung von Lebensmitteln und in vivo. Der enzymatische Abbau solcher spontan gebildeten Produkte ist Thema dieser Arbeit. Ein Teil untersuchte die Rolle von Oligosaccharid-Amadori-Produkten während der Verdauung von Kohlenhydraten im Dünndarm. Aufgrund ihrer strukturellen Ähnlichkeit mit bekannten Glycosidase-Inhibitoren wurde eine hemmende Wirkung der Amadori-Produkte auf die Kohlenhydratverdauung vermutet. Der andere Teil beschäftigte sich mit Fructosamin-3-kinase (FN3K) und dessen verwandtem Enzym Fructosamin-3-kinase-related Protein (FN3K-RP) aus humanen Erythrocyten. Diese Ketosaminkinasen werden als Proteinreparaturenzyme betrachtet, sogar als enzymatische Verteidigung gegen Glykierung in vivo diskutiert. Durch ihre Reaktion entstehen jedoch auch hoch-reaktive 1,2-Dicarbonylverbindungen, die weitere Proteinschäden bewirken können. Noch ist nicht klar, ob die Ketosaminkinasen die pathophysiologischen Folgen der Glykierung verhindern oder fördern. In dieser Arbeit wurde die Substratspezifität von Ketosaminkinasen mit einer Reihe von Amadori-Produkten untersucht. Damit könnten Inhibitoren zur weiteren Enzymcharakterisierung oder sogar für pharmazeutische Anwendungen identifiziert werden. Außerdem wurde die Variabilität der Enzymaktivitäten von Mensch zu Mensch in einer Kohorte von 100 Probanden untersucht. Als Modell für die menschliche Kohlenhydratverdauung im Dünndarm wurden Caco-2-Zellen als Monolayer etabliert. Deren Sucrase-Isomaltase kann die alpha-glycosidische Bindung in Amadori-Produkten von Maltose und Maltotriose mit Lysin und auch in Maltulose hydrolysieren. Trotz der Aminogruppe hemmen diese Amadori-Produkte die Maltosehydrolyse nur schwach als konkurrierende Substrate. Lactulosyllysin konnte nicht durch die Lactase der Caco-2-Zellen hydrolysiert werden. Tagatosyllysin und die Heyns-Produkte Glucosyllysin und Mannosyllysin hemmten die Lactosehydrolyse schwach. Alle beobachteten Hemmeffekte sind wahrscheinlich zu schwach, um während der Verdauung in vivo bedeutsam zu sein. Für FN3K konnte Desoxypiperidinofructose als kompetitiver Inhibitor identifiziert werden (Kic 0,006 mM). FN3K zeigte nur geringe Selektivität gegenüber Amadori-Produkten verschiedener Amine, ausgenommen aromatischer Amine. FN3K-RP war in Erythrocyten wesentlich aktiver als FN3K, auch wenn die Aktivität nicht selektiv inhibiert werden konnte. Beide Enzymaktivitäten unterscheiden sich unter den 100 Probanden, mit einer Spannweite von 3 bis 12 mU/g Hämoglobin für FN3K und 60 bis 135 mU/g Hb für FN3K und FN3K-RP zusammen. Es scheint eine Verbindung zwischen der Ketosaminkinase-Aktivität in Erythrocyten und Nierenerkrankungen, familiär auftretendem Diabetes mellitus, sowie familiär aufgetretenen Herzinfarkten oder Schlaganfällen zu bestehen, wie orientierende Auswertungen zeigten. Deshalb ist eine genauere Untersuchung der physiologischen Bedeutung der Ketosaminkinasen nötig. / Amadori products are formed spontaneously from reducing sugars and amines, e.g. lysine, during the first phase of the Maillard reaction. They occur in heated food and in vivo. The thesis focuses on the enzymatic degradation of such spontaneously formed compounds. One part of this work investigated the faith and impact of oligosaccharide derived Amadori products during small intestinal carbohydrate digestion. Due to their structural similarity with known glycosidase inhibitors, an inhibitory action of Amadori products towards carbohydrate digestions was assumed. The other part dealt with fructosamine-3-kinase (FN3K) and its related protein (FN3K-RP) from human erythrocytes. Such ketosamine kinases are regarded as protein repair enzymes, maybe even an enzymatic defence against glycation in vivo. While deglycating protein bound Amadori products, however, they produce highly reactive 1,2-dicarbonyl compounds, which can lead to further protein damage. It is unclear, whether the ketosamine kinase action prevents or supports the pathophysiological effects of glycation. This work studied the substrate specifity of ketosamine kinases with a variety of Amadori products, which could result in inhibitors for further enzyme characterisation or even pharmaceutical uses. Further, the variability of both enzyme activities in a cohort of 100 subjects was examined. As a model for human small intestinal carbohydrate digestion, a Caco-2 cell monolayer was employed. Their sucrase-isomaltase is able to hydrolyse the alpha-glucosidic linkage in Amadori products of maltose and maltotriose with lysine, as well as in maltulose. Despite their amino group, those amadori products inhibited maltose hydrolysis merely weakly as competing substrates. Lactulosyl lysine on the other hand could not be hydrolysed by Caco-2 lactase. Tagatosyl lysine and the Heyns products glucosyl lysine and mannosyl lysine showed weak inhibition of lactose hydrolysis. All observed inhibitory effects are probably too weak to be of importance during carbohydrate digestion in vivo. Deoxypiperidinofructose was identified as a competitive inhibitor of FN3K (Kic 0,006 mM). FN3K acted rather non-specific towards Amadori products of different amines, except aromatic amines. FN3K-RP showed much higher activity in erythrocytes than FN3K, although its activity could not be inhibited selectively. Both enzyme activities vary among 100 subjects, with a range of 3 to 12 mU/g hemoglobin for FN3K and 60 to 135 mU/g hb for FN3K and FN3K-RP together. Relations of ketosamine kinase activity in erythrocytes with renal diseases, familial diabetes mellitus and familial cardiovascular events seem to exist. Thus, investigating the physiological impact of ketosamine kinases is necessary.

Yes / A new type of self-assembled polyelectrolyte complex nanocarrier composed of chondroitin (CHON) and protamine (PROT) was designed and the ability of the carriers to bind salmon calcitonin (sCT) was examined. The response of sCT-loaded CHON/PROT NPs to a change in the properties of the liquid medium, e.g. its pH, composition or ionic strength was studied and in vitro peptide release was assessed. The biocompatibility of the NPs was evaluated in Caco-2 cells. CHON/PROT NPs were successfully obtained with properties that were dependent on the concentration of the polyelectrolytes and their mixing ratio. X-ray diffraction determined the amorphous nature of the negatively charged NPs, while those with the positive surface potential were semi-crystalline. sCT was efficiently associated with the nanocarriers (98-100%) and a notably high drug loading (13-38%) was achieved. The particles had negative zeta potential values and were homogenously dispersed with sizes between 60 and 250 nm. CHON/PROT NPs released less than 10% of the total loaded peptide in the first hour of the in vitro release studies. The enthalpy of the decomposition exotherm correlated with the amount of sCT remaining in NPs after the release experiments. The composition of medium and its ionic strength was found to have a considerable influence on the release of sCT from CHON/PROT NPs. Complexation to CHON markedly reduced the toxic effects exerted by PROT and the NPs were compatible and well tolerated by Caco-2 cells.