The present study has considered cellular and molecular requirements in T cell responses. The central role of T cell growth factors (TCGF) in T cell responses prompted us to study the regulatory events directing TCGF production in lectin stimulated cultures. It was found that normal spleen cells, activated with Concanavalin A for 24 h, develop suppressive cells that block de novo TCGF production by fresh spleen cells. The induction time for effector suppressor cells (nonadherent, Lyt-2-positive T cells) was found to be 18 h and to parallel the termination of TCGF production in situ. The suppressive mechanism is neither iji situ absorption of TCGF produced at control rates nor killing of TCGF producing cells. These results suggest that suppression of TCGF production is an active process which directly and reversibly blocks TCGF-producing cells. This study also indicated that ConA induced a very limited proliferation of Lyt-2- T helper cells (TH) in unselected T cell populations. The activation and growth requirements of Lyt-1+ TH cells were directly investigated and compared with those of Lyt-2+ cytotoxic T lymphocytes (CTL), as defined by the selective expression of Lyt differentiation antigens and functional activities. This analysis revealed a profound difference in activation and growth requirements between these T cell subsets. Thus, while Lyt-2+ CTL precursors can be induced to TCGF reactivity by soluble lectins, in the absence of specialized accessory cells,; Lyt-2" TH cell precursors show a strict accessory cell requirement both for activation and proliteration. Finally, the low level of TH cell effector function, detected in a primary responses to allo-MHC-antigens or lectins, appears to be due to the development of suppressive Lyt2+ T cells. The functional relevance of Lyt-2 antigens expressed on CTL membranes was further assessed in the last part of this study. Two distinct activation systems were used, namely MHC-antigens, provided as UV-irradiated stimulator cells or polyclonal induction by a 4 h pulse, with lectins. Both procedures were shown to selectively induce Lyt-2+ CTL precursors into TCGF reactivity without leading to mitosis, unless TCGF was added. In both cases it was found that monoclonal anti-Lyt-2 antibodies inhibited the two antigen- dependent phases of CTL responses namely, the initial induction step and target cytolysis. The analogy observed between antigen specific and lectin mediated indueton and target cytolysis, with regard to the susceptibility of inhibition by anti-Lyt-2 antibodies has lead to a general hypothesis on CTL activation. / <p>[4] s., s. 1-58: sammanfattning, s. 59-130, [12] s.: 6 uppsatser</p> / digitalisering@umu

Cytotoxic T lymphocytes (CTL) kill virally infected and tumourigenic cells via the regulated secretion of specialised secretory lysosomes. These secretory lysosomes contain cytolytic effector molecules, such as perforin and granzymes, which are able to induce apoptosis in target cells. Secretion occurs at the contact point between the CTL and its target, in a highly structured region termed the immunological synapse (IS). Upon formation of the IS, CTL undergo polarisation of their microtubule cytoskeleton and movement of the microtubule organising centre (MTOC) to the IS. Secretory lysosomes are then able to polarise along microtubules, fuse with the plasma membrane and deliver their effector molecules to the IS. The Adaptor Protein 3 complex (AP-3) sorts transmembrane proteins to lysosomes and deficiency in AP-3 results in missorting of proteins from the lysosomal to plasma membrane. CTL from AP-3 deficient patients, who suffer from Hermansky-Pudlak Syndrome Type 2 (HPS2), show reduced killing of target cells. This thesis describes two new patients with HPS2, both with homozygous mutations in the AP3B1 gene, which codes for the β3A subunit of the AP-3 complex. CTL from the new HPS2 patients show reduced cytotoxicity, which is shown here to be due to impaired secretory lysosome polarisation towards the IS. This impairment is common to HPS2 CTL, but varies between patients. In order to determine differences between HPS2 and wild type CTL, the localisation of a range of lysosomal, cytolytic, transmembrane, inhibitory and activation marker proteins is examined. This shows that in HPS2 CTL, LAMP1, CD63 and CD9 are potential AP-3 cargos. In addition, a possible effect on the key lytic effector perforin is identified. Preliminary experiments to allow proteomic comparison of HPS2 and wild type CTL are also presented. Further investigation of these results will help to shed light on the mechanisms involved in secretory lysosome polarisation in CTL.

Introduction: Les cadres de lectures alternatifs (CLA) sont utilisés par de multiples virus afin de générer plusieurs protéines à partir d'une seule séquence nucléotidique. Les épitopes dits « cryptiques », c’est-à-dire les épitopes dérivés de protéines codées dans des CLAs, ont étés dernièrement l’objet de différentes études portant sur la réponse immunitaire antivirale et les lymphocytes T cytotoxiques. Méthodologie: Afin de vérifier le potentiel immunogène d'épitopes encodés dans des CLAs programmés, trois cassettes ont été construites pour mener à l'expression de trois épitopes bien caractérisés (épitope GAG77–85 du virus de l'immunodéficience humaine de type 1; épitope NS31406-1415 du virus de l'hépatite C; épitope core18-27 du virus de l'hépatite B) à partir de trois cadres de lectures superposés. La première cassette permet une initiation alternative de la traduction, la deuxième comprend deux signaux bipartites en tandem permettant un frameshift ribosomique et la troisième est une cassette contrôle. Ces éléments ont été introduits dans des vecteurs adénoviraux. Les virions générés ont servi à immuniser des souris C57BL/6 transgéniques pour HLA-A*0201 et HLA-DR1. La réponse immunitaire induite une semaine post-immunisation a été mesurée par essai ELISpot IFN . Résultats: Dans le contexte de cassettes vaccinales, les peptides dérivés d'une initiation alternative de traduction et de changement de cadre de lecture ribosomique ribosomal peuvent être exprimés et détectés par le système immunitaire dans un modèle animal. Conclusion: Ces expériences suggèrent la possibilité de développer de nouvelles stratégies vaccinales dans le but de prévenir ou de guérir certaines maladies associées aux infections virales chroniques telles que celles causées par le virus de l’immunodéficience humaine et le virus de l’hépatite C. / Introduction: Alternative reading frames (ARFs) are used by multiple viruses in order to generate different proteins from a single nucleotide sequence. Cryptic epitopes, which comprise antigens derived from proteins encoded in ARFs, have recently been the focus of studies pertaining to antiviral immunity and cytotoxic T lymphocytes. Methodology: In order to verify the immunological potential of epitopes encoded in programmed ARFs, three cassettes were constructed to permit the expression of three welldescribed epitopes (GAG77–85 epitope of human immunodeficiency virus type 1; NS31406-1415 epitope of hepatitis C virus; core18-27 epitope of hepatitis B virus) from three overlapping reading frames. The first cassette permits alternative translation initiation, the second cassette includes signals inducing ribosomal frameshifting and the third cassette serves as a control. These elements were introduced into adenoviral vectors. Recombinant adenoviruses were used to immunize C57BL/6 transgenic mice expressing HLA-A*0201 and HLA-DR1. The immune response induced was measured one week following immunization using IFN ELISpot assays. Results: In the context of vaccine cassettes, peptides derived from alternative translation initiation and ribosomal frameshifting can be expressed and detected by the immune system in an animal model. Conclusion: These findings suggest the possibility of designing vaccination strategies in the hope of preventing or curing certain diseases associated with chronic viral infections, such as those caused by human immunodeficiency virus and hepatitis C virus.

Development of Non-Traditional Platinum Anticancer Agents: trans-Platinum Planar Amine Compounds and Polynuclear Platinum Compounds By Daniel E. Lee, Ph.D. A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University. Virginia Commonwealth University, 2015 Major Director: Nicholas P Farrell, Ph.D., Professor, Department of Chemistry Platinum anticancer compounds with cis geometry, similar to cisplatin, have been explored to circumvent the cisplatin resistance; however, they were not considered broadly active in cisplatin cells due to exhibiting similar or same cell death mechanism as cisplatin. Platinum compounds with trans geometry were less studied due to transplatin being clinically inactive; but with few structural modifications, they resulted in unaffected cytotoxic activities in cisplatin resistant cells with structural modification by exhibiting different modes of DNA binding. This research focused on further exploring and establishing structure-activity relationship of two promising non-classical series of platinum compounds with trans-geometry: trans-platinum planar amine (TPA) compounds and noncovalently binding polynuclear platinum compounds (PPC-NC). During this research, further optimizations of the reactivity of TPA compounds were accomplished by modifying the leaving carboxylate groups. The effects of modified reactivity were probed by a systematic combination of chemical and biophysical assays, followed by evaluating their biological effects in cells. To establish the structural-activity relationship of PPC-NCs, Mono-, Di-, Tri-, and Tetraplatin NC with charge of 4+, 6+, 8+, and 10+ were synthesized and evaluated by utilizing biophysical and biological assays. Lastly, a new class of polynuclear platinum compounds, Hybrid-PPCs, were synthesized and evaluated to overcome the pharmacokinetic problems of BBR3464, phase II clinical trial anticancer drug developed previously in our laboratory.

Background: Cancer is the second leading cause of death in economically developed countries. The use and availability of oral treatment for cancer has increased dramatically in the past 10 years. Few studies have described the use of oral chemotherapy in non-traditional ambulatory settings by health care professionals across different specialties. Objective: The purpose of this study is to describe the usage of oral chemotherapeutic medications in ambulatory settings. Methods: Cross sectional study of 2007 NAMCS Survey analysis involving 21,761 subjects aged 18 years and above with cancer who participated in the 2007 National Ambulatory Medical Survey (NAMCS). Main Outcome Measure: Physician-reported use of oral chemotherapeutic medications (includes all major drug classes) as indicated on questionnaire for 2007 NAMCS survey. Results: Health care providers in non-traditional settings are less likely to prescribe oral chemotherapy than in traditional ambulatory settings (Adjusted odds ratio (AOR)=0.65{95% confidence interval: 0.61-0.69}). The study results suggest that oncologists are prescribing oral anti-cancer drugs the most as compared to other physician specialties. Conclusion: Health care providers in non-traditional settings are less likely to prescribe oral chemotherapy than in traditional ambulatory settings. Primary care physicians may have limited experience in monitoring and prescribing these potentially toxic medications. Clear guidelines are required for the use of oral chemotherapy medications, considering the potential for their use in non-traditional ambulatory settings and by non-oncologists.

Les nanoparticules (NPs) sont définies comme des particules ayant au moins une dimension comprise entre 1 à 100 nanomètres. Plusieurs études in vitro et in vivo indiquent que les NPs pourraient constituer un risque potentiel pour la santé des personnes les synthétisant ou les manipulant lors de leur incorporation dans d’autres matériaux. La nanotoxicologie est un domaine de recherche émergeant. Les propriétés physico-chimiques particulières des NPs sont responsables d’interférences non spécifiques entre les nanomatériaux et certains des composants des essais in vitro pouvant mener à de faux résultats. L’inhalation a été identifiée comme une voie d’exposition présentant un risque important de toxicité. Dans le cadre de ce projet, nous avons utilisé la lignée de cellules épithéliales alvéolaires humaines, A549. Nous avons étudié chez cette lignée les conséquences de l’exposition aux points quantiques (PQs), NPs d’intérêt pour leurs applications potentielles en médecine (nanovecteur ou nanosonde). La mise au point des conditions expérimentales (interférence entre l’essai LDH et le milieu de culture) a permis de valider les essais de cytotoxicité MTS et LDH en présence des PQs. Nous avons montré que les PQs présentaient une cytotoxicité à court et long terme, et nous avons par la suite étudié un des mécanismes de toxicité potentielle, la mesure du cadmium (Cd2+) libéré des PQs. Nous avons déterminé que la mesure du Cd2+ comportait plusieurs interférences qui invalident cet essai. En conclusion, notre étude a permis d’identifier des interférences qui remettent en question plusieurs conclusions d’études publiées qui n’ont pas vérifié l’existence de telles interférences. / Nanoparticles (NPs) are defined as particles with a diameter ranging from 1 to 100 nm. Several studies have suggested or demonstrated that NPs are a health risk factor for workers handling nanomaterials or for the general population using products containing NPs. Nanotoxicology is a new field of research. The particular physicochemical properties of NPs have revealed unexpected interferences of these nanomaterials with components of cytotoxic assays leading to false positive or negative interpretations. Inhalation being one of the most potential risk of NPs exposures, in this project, in vitro experiments were performed with the human alveolar epithelial cell line A549. Quantum dots (QDs) have been selected over other NPs because of their potential applications in medicine as nanovectors or nanoprobes. We have first validated the use of nanocytotoxic assays (LDH and MTS with QDs), and found that LDH assay interacts with components of the cell culture medium. A protocol established to counteract this interference has allowed demonstrating that both short and long term exposures to QDs are cytotoxic. We next addressed the underlying mechanisms of QDs nanotoxicity by determining concentrations of free cadmium potentially released from QDs when interacting with cells. We found that the cadmium assay has several interferences which invalidated the use of this assay. In conclusion, our study has allowed to identify several interferences with that call into question conclusions of published studies which have not examined these potential interferences.

No description available.

Em diversos tipos de neoplasias já foi demonstrado que diferenças no perfil do infiltrado imune tumoral têm relação com prognóstico e resposta ao tratamento. Esta relação aparece intimamente correlacionada ao perfil de expressão imunoistoquímica do tumor. A presença de linfócitos T citotóxicos(CTLs) no microambiente do tumor sugere uma característica biológica crucial para a modulação da resposta imunológica antitumoral. Por outro lado, as células T regulatórias (Tregs) são importantes na manutenção da homeostase imune, em virtude da sua capacidade em inibir a resposta imunológica. Defeitos na função ou uma diminuição do número das Tregs tem sido documentado em doenças auto-imunes, ao passo que no câncer esta população ainda pode ser mais bem estudada. Sendo estabelecido que o câncer pode ser promovido e / ou agravado pela inflamação e infecções e considerando que a superexpressão de componentes do controle da resposta inflamatória específicos de Tregs e CTLs podem representar um potente mecanismo para o processo de progressão e/ou regressão de carcinoma papilífero de tireoide (CPT), o objetivo deste estudo foi identificar e caracterizar as Tregs e CTLs , bem como avaliar e investigar a relação e o papel dessas células implicado na patogênese da resposta imune em pacientes acometidos com CPT associado ou não com a presença de Tireoidite de Hashimoto (TH), relacionando-as com fatores prognósticos clínico-patológicos. Foram selecionados 36 casos estratificados em 3 grupos (12 casos em cada grupo): CPTS correspondeu aos casos de CPT sem associação com quadro de tireoidite, CPTL aos casos de CPT associados á tireoidite linfocitica (CPTL) e CPTH, casos aonde o CPT estava associado á tireoidite de Hashimoto (CPTH) os quais foram submetidos á técnica de imunoistoquímica para os marcadores CD4, CD8, CD25, CD56, FOXP3 e Gran B e os resultados avaliados pelo método quantitativo. Os dados clínicos foram obtidos dos prontuários médicos. As leituras das células marcadas foram feitas nas regiões de carcinoma papilífero (denominadas intratumorais), nas áreas de parênquima tireoidiano de interface ao tecido neoplásico (denominadas peritumorais) e em áreas subsequentes de tecido tireoidiano normal (denominadas distantes). O número de células T do infiltrado 9 inflamatório foi expresso pela média aritmética da contagem das células dos cinco campos distintos em cada área. Foram feitas análise de variância de Medidas Repetidas Modelo Mixto e calculado o coeficiente de correlação de Pearson para as variáveis CD4 com CD8 e FOXP3 com GranB. Adicionalmente, apesar da avaliação dos CPT divididos segundo seus parâmetros clínico-patológicos não ter se apresentado significante, verificamos que em CPTH as imunovariáveis CD4 e FOXP3 (marcadores para Tregs) apresentaram maior marcação em tumores > 4,1 cm. Nesse mesmo grupo CD8 e Gran B (marcadores para CTLs) se apresentaram com maior imunomarcação em tumores não metastáticos, de estádio menor e sem recorrência. No geral, o infiltrado de células imunes entre os grupos CPTH, CPTL e CPTS, apresentou-se com diferentes densidades entre as áreas estudadas (intratumoral, peritumoral e distante). Linfócitos infiltrando o tecido de forma difusa (CPTS e CPTL) ou em agregados linfoides (CPTH) foram mais abundantes em áreas peritumorais e distantes e a proporção das células CD4+ e CD8+ variou substancialmente entre os grupos, de maneira que todos apresentaram correlação positiva (CPTH r=0,67; CPTL r=0,7 e CPTS r=0,35) crescente entre as variáveis. Em conclusão, estes resultados indicam que nos CPTs o microambiente imune parece ter uma relação com carcterísticas patológicas de progressão do tumor. Nosso estudo mostrou que em CPTH a densidade do infiltrado tumoral e peritumoral por linfócitos Tregs e T citotóxicos está inversamente relacionada. Corroborando com a importância do microambiente imune na evolução dos CPTs, os Tregs exerceram atividade pró-tumoral, favorecendo tumores mais agressivos e os CTLs, atividade antitumoral, favorecendo características de menor agressividade. / It has already been shown that differences in tumoral immune infiltrate profile are related to prognosis and response to treatment in several types of neoplasias. This relationship is closely correlated to the tumor immunohistochemical expression profile. The presence of cytotoxic T lymphocytes (CTLs) in the tumor microenvironment suggests a crucial biological feature for the modulation of the antitumor immune response. On the other hand, regulatory T cells (Tregs) are important in maintaining immune homeostasis, because of their ability to inhibit the immune response. Defects in function or a decrease in the number of Tregs has been documented in autoimmune diseases, nevertheless in cancer this population may still be better studied. With the establishment that cancer can be promoted and / or aggravated by inflammation and infections and considering that overexpression of components of the inflammatory response specific for Tregs and CTLs may represent a potent mechanism for the progression and / or regression of thyroid papilary carcinoma (CPT). The objective of this study was to identify and characterize the Tregs and CTLs, as well as to evaluate and investigate the relationship and the role of these cells involved in the pathogenesis of the immune response in patients with CPT associated or not with the presence of Hashimoto\'s thyroiditis (HT) besides relating them to clinical-pathological prognostic factors. Thirty-six stratified cases were selected in 3 groups (12 cases per group): CPTS corresponded to TLC without thyroiditis association, CPTL to cases of TLC with lymphocytic thyroiditis associated (CPTL) and CPTH was considered cases which CPT was associated to Hashimoto thyroiditis (CPTH). These three groups were submitted to the immunohistochemical technique for the CD4, CD8, CD25, CD56, FOXP3 and Gran B markers and the results was evaluated by the quantitative method. Clinical data were obtained from medical records. Stained cells readings were made in the regions of papillary carcinoma (termed intratumoral area), in the areas of the thyroid parenchyma interface to the neoplastic tissue (termed peritumoral) and in subsequent areas of normal (distal) thyroid tissue. The number of T cells of the inflammatory infiltrate was expressed by the arithmetic mean of cells counted in five distinct fields. The variance analysis of Mixed Model Repeated 11 Measurements and the Pearson correlation coefficient for the CD4 and CD8 and FOXP3 variables with GranB were calculated. In addition, although the CPT divided according to clinical-pathological parameters did not present a significant difference, we found that the CD4 and FOXP3 immunoglobulins (Tregs markers) showed higher marking in tumors> 4.1cm. In this same group, CD8 and Gran B (markers for CTLs) presented a higher immunolabeling in nonmetastatic tumors, in smaller stage and in cases without recurrence. In general, the infiltrate of immune cells between the CPTH, CPTL and CPTS groups, presented different densities between the studied areas (intratumoral, peritumoral and distant). Lymphocytes infiltrating diffuse tissue (CPTS and CPTL) or lymphoid aggregates (CPTH) were more abundant in peritumoral and distal areas and the proportion of CD4 + and CD8 + cells varied substantially between groups, so that all groups presented positive correlation (CPTH r = 0.67, CPTL r = 0.7 and CPTS r = 0.35), increasing among the variables. In conclusion, these results indicate that in the CPTs the immune microenvironment seems to have a relation with pathological characteristics of tumor progression. Our study showed that in CPTH the density of tumor and peritumoral infiltrate by Tregs and T cells is inversely related. Corroborating with the importance of the immune microenvironment in the evolution of CPTs, Tregs exerted pro-tumor activity, favoring more aggressive tumors. While CTLs exerted an antitumor activity, favoring characteristics of lower aggressiveness.

In dieser Arbeit wurde die Expression von XCR1 in B6XCR1lacZ+/+ Reporter Mäusen charakterisiert, die β-Galaktosidase unter der Kontrolle des XCR1-Promotors exprimieren. In Gewebeschnitten konnten wir zeigen, dass eine starke XCR1-Expression nur in lymphatischen Organen wie Milz, Lymphknoten und Thymus nachweisbar ist. In der Milz fanden sich XCR1+ Zellen vor allem in der Marginal Zone, aber auch in der roten Pulpa und der T-Zell-Zone. Durchflusszytometrische Analysen zeigten, dass XCR1 in der Milz ausschließlich von dendritischen Zellen DZ exprimiert wird, hauptsächlich von der CD8+DZ Subpopulation aber auch von einer Minderheit der CD4−CD8−DZ. In vivo migrierten diese XCR1+ Zellen nach Applikation von chemotaktischen oder inflammatorischen Substanzen: Die Injektion sowohl einer ATAC-sezernierenden Zelllinie als auch von LPS lösten nach 3-9 h eine Translokation der XCR1+Zellen in die T-Zell-Zone der Milz aus. Untersuchungen der Phagozytose-Aktivität ergaben, dass nur XCR1+CD8+DZ, aber keine anderen DZ Subpopulationen, injizierte allogene Zellen aufnahmen, und dass eine Transfektion dieser Zellen mit ATAC diese Phagozytose signifikant verstärkte. Daher konnten wir allogene Zellen, die intrazellulär Ovalbumin OVA exprimierten, für die selektive Applikation von Antigen auf XCR1+DZ verwenden. Diese selektive Antigen-Applikation induzierte eine starke antigenspezifische zytotoxische Antwort von endogenen T-Zellen, ohne dass es zur Produktion von OVA-spezifischen Antikörpern kam. In Abwesenheit von ATAC war diese endogene zytotoxische Aktivität verringert. Durch adoptivem Transfer und Aktivierung von Wildtyp- oder ATAC-defizienten OVA-spezifischen transgenen CD8+TZellen konnten wir bestätigen, dass ATAC für die Erzeugung einer optimalen zytotoxischen Antwort benötigt wird. Die selektive Applikation von Antigen auf CD8+DZ stellt daher eine vielversprechende Strategie dar, um optimierte Vakzinierungs-Ansätze für die Auslösung einer zytotoxischen Immunantwort zu entwickeln / The G protein-coupled receptor XCR1 has been described as the sole receptor for the chemokine ATAC. As contradictory data were published on the expression pattern of XCR1, its role in the immune system has not yet been defined. In this work, expression of XCR1 was characterized in B6.XCR1 lacZ+/+ reporter mice which express β galactosidase under the control of the XCR1 promoter. In tissue sections, strong expression of XCR1 was only detected in lymphoid organs like spleen, lymph nodes and thymus. In the spleen, XCR1+ cells were mainly found in the marginal zones, but also in the red pulp and the T cell zones. Flow cytometric analysis demonstrated exclusive expression of XCR1 on DC, mainly on the CD8+ DC subset, but also on a minority of CD4− CD8− DC. In vivo, these XCR1+ cells migrated in response to chemotactic or inflammatory stimuli: application of either an ATAC-expressing cell line or LPS induced within 3 9 h the translocation of XCR1+ cells to the T cell area of the spleen. When tested for phagocytic capacity, XCR1+ CD8+ DC, but not other DC subsets, specifically took up injected allogeneic cells, and transfection of these cells with ATAC significantly enhanced their endocytosis by XCR1+ CD8+ DC. Thus, we could employ allogeneic cells expressing OVA intracellularly to target antigen selectively to XCR1+ DC. This antigen targeting induced a strong antigen-specific cytotoxic response by endogenous T cells without a generation of OVA-specific antibodies. In the absence of ATAC, the endogenous cytotoxic activity was markedly diminished. Adoptive transfer and activation of wild type or ATAC-deficient OVA-specific CD8+ transgenic T cells confirmed that ATAC is required for the generation of an optimal cytotoxic response. Targeting of antigen to CD8+ DC via XCR1 may thus be a promising strategy for the development of new vaccination approaches aimed at optimizing the induction of cytotoxic T cells.

Les stratégies thérapeutiques mises en place contre le cancer ont de nos jours besoin de nouveaux médicaments, à la fois plus actifs que ceux déjà existants et induisant moins d’effets secondaires. Ces nouvelles stratégies visent à cibler spécifiquement les cellules cancéreuses. Parmi ces stratégies, ces travaux de thèse concernent la vectorisation active, à l’aide d’un vecteur protéique dérivé de la toxine de Shiga, STxB. STxB reconnait spécifiquement son récepteur biologique Gb3, surexprimé à la surface des cellules cancéreuses humaines. Ce projet de recherche porte sur la conception et la synthèse de conjugués, combinant STxB et un agent cytotoxique. Le linker chimique, qui relie ces deux espèces, a été soigneusement conçu pour respecter les deux critères suivants : être suffisamment stable et néanmoins pouvoir être clivé pour libérer l’agent cytotoxique une fois les cellules cancéreuses atteintes. Un premier linker a été construit autour du motif mercaptoethanol, lié au vecteur STxB par une liaison disulfure. La libération de l’agent cytotoxique peut donc être initiée par un réducteur biologique comme le glutathion, puis par une étape d’auto-immolation. Ce linker a été appliqué à deux composés cytotoxiques très puissants, dérivés de l’auristatine, et a conduit à des résultats prometteurs in vitro. La labilité de la liaison ester à pH acide a également été mise à profit dans l’élaboration de deux linkers, conçus autour de motifs glutamate et thréoninate. L’utilisation d’un agent cytotoxique modérément puissant a été l’occasion de développer une stratégie de multivalence, consistant à augmenter la charge d’agents cytotoxiques sur STxB. Une autre option a été de considérer les nano-batônnets d’or comme une plate-forme nanométrique multimodale, capable de lier plusieurs milliers d’agents cytotoxiques et STxB. Enfin l’incorporation d’une séquence peptidique, connue pour être substrat d’une protéase, a donné lieu à une troisième étude, reposant sur un linker clivable plus sélectivement. Plusieurs linkers ont été étudiées, selon qu’ils libèrent l’agent cytotoxique sous sa forme native ou non. / We need new therapeutic strategies to treat cancerous patients by the discovery of new drugs that would be more active than those existing and especially assigning fewer side effects. These new therapies aim to specifically target cancer cells. Among the strategies for cancer targeting, we investigated drug-targeted strategies using a proteic carrier, STxB, derived from Shiga toxin. This protein recognizes specifically its biological receptor Gb3, which is over-expressed on human cancer cells. This work consisted in the design and synthesis of conjugates combining STxB and a cytotoxic drug. The chemical linker binding these two moieties was carefully designed in order to fit requirements of both stability and ability to trigger a drug-delivery. A first linker was designed around a mercaptoethanol core, able to be conjugated to STxB by a disulfide bond. This constitutes a drug-delivery trigger, activated by a biological reducing agent such as glutathion, and followed by a self-immolative step. Two highly potent conjugates of auristatin derivatives were obtained and showed promising results in vitro. The ester bonds lability in acidic pH was exploited for the design of two amino acid based linker. With the aim of increasing the ratio of drug on STxB, we investigated several multivalent linkers. Another option was to consider gold nanorods as a nanometric platform, able to carry thousands of drugs and STxB. The incorporation of a protease substrate to produce an enzyme-cleavable linker was investigated. Several spacers, which induced release of the drug under native form or under prodrug form, were designed and tested.