Au cours de la réponse immunitaire antitumorale, l’instabilité génétique des tumeurs combinée à la pression de sélection du système immunitaire peut conduire, via l’immunoediting, à l’émergence de variants tumoraux résistants à la lyse par les effecteurs cytotoxiques. Une meilleure compréhension de ces mécanismes potentiellement impliqués dans la susceptibilité tumorale à la lyse naturelle et/ou spécifique pourrait permettre le développement de stratégies d’immunothérapie intégratives plus efficaces. Dans ce cadre nous avons étudié un modèle de résistance à la lyse spécifique impliquant un remaniement du cytosquelette d’actine (i). Nous avons pu mettre en évidence que l’inhibition conjointe de protéines interagissant avec l’actine (caldesmone, ézrine, radixine et moésine) générait une réduction de la susceptibilité des cellules tumorales à la lyse par les lymphocytes T cytotoxiques (CTLs). Parallèlement, nous avons identifié les microARNs différentiellement exprimés entre le variant résistant et la lignée parentale et étudié leur implication dans la susceptibilité tumorale à la lyse par les CTLs. Dans le but de déterminer le rôle d’une pression de sélection par les cellules tueuses naturelles (NK pour Natural Killer), de l’immunité innée, sur les cellules tumorales et l’émergence de variants résistants, nous avons aussi établi un modèle de coculture continue de cellules tumorales de mélanomes avec des cellules NK (ii). Les cellules tumorales obtenues sont résistantes à la lyse NK (mais toujours sensibles à la lyse spécifique par un clone lymphocytaire T cytotoxique) et établissent moins de contact et de synapse immunologique avec les cellules NK que la lignée parentale. L’analyse transcriptomique a révélé la baisse d'expression de B7-H6 (ligand d'un récepteur activateur des cellules NK) qui contribue partiellement au phénomène de résistance. De nombreux gènes impliqués dans les phénomènes de migration/invasion/adhérence sont également modulés et certaines propriétés cellulaires (croissance en milieu semi-solide, adhérence, migration) semblent refléter l’acquisition d’une agressivité tumorale accrue suite à la coculture. Nous avons finalement analysé l’impact sur la réponse antitumorale de la connexine-43, impliquée dans la formation des jonctions communicantes (GJ pour Gap Junction) (iii). Nous avons montré que sa présence à la synapse entre cellules tumorales et CTL n'exerce aucun impact sur la susceptibilité à la lyse. Néanmoins, les GJs sont impliquées dans l’émergence par stimulation antigénique de lymphocyte T CD8+ spécifique hautement réactif. / During antitumor immune response, cancer cells genetic instability combined with immune system selective pressure may drive to the emergence of tumor variant resistant to lysis by cytotoxic effector cells through a phenomenon called immunoediting. A better understanding of those mechanisms putatively involved in tumor susceptibility to natural and/or specific lysis would enable new integrative and more effective immunotherapeutic strategies. In this context, we studied a model of resistance to specific lysis linked to actin cytoskeleton remodeling (i). We showed that combined inhibition of actin interacting protein (caldesmone, ezrin, radixin and moesin) reduced tumor cells susceptibility to cytotoxic T lymphocytes (CTLs) lysis. Moreover, we identified microRNAs differentially expressed between parental cell line and resistant variant and are currently studying their impact on tumor susceptibility to CTLs lysis. In order to depict the role of innate immunity Natural Killer (NK) cells selective pressure, on tumor cells and on the emergence of resistant variants, we also established a maintained coculture model of melanoma cells with NK cells (ii). Selected cells obtained were resistant to NK cells-mediated lysis (but still susceptible to CTLs-mediated specific lysis) and formed less contact and immune synapse with NK cells than parental cell line. Transcriptomic analysis revealed the reduced expression of B7-H6 (ligand of an NK cells activating receptor) partially contributing to the resistance phenotype. The expression of several genes involved in migration/invasion/adhesion is also modulated and some cell characteristics (cell growth in semi-solid medium, adhesion, migration) tend to reflect the acquisition through coculture of an increased aggressiveness. Finally, we evaluated the impact of connexin-43 (Cx43), involved in the establishment of Gap Junctions (GJs), on antitumor response (iii). We showed that despite localization at the immune synapse between tumor target cell and CTL, Cx43 and GJs do not modulate susceptibility to CTL-mediated specific lysis. Nevertheless, GJs contribute to the emergence of highly reactive specific CD8+ T lymphocytes following antigen stimulation.

O objetivo deste estudo foi analisar a expressão e o padrão de distribuição de linfócitos citotóxicos (LCs) e linfócitos T regulatórios (LTregs) no tecido gengival de pacientes com doença periodontal através de análise imunoistoquímica. Foram selecionados 30 pacientes (10 por grupo) com diagnóstico de periodontite agressiva (PA), periodontite crônica (PC) e gengiva clinicamente saudável (controle); dos quais foi colhida uma amostra de tecido gengival. A distribuição das células (epitélio e córion) foi identificada usando os imunomarcadores CD56, CD57, Granzima B e Perforina (LCs); CD4, CD25, FOXP3 (LTregs). A imunoexpressão foi avaliada, utilizando representação de imagem por meio de um sistema computadorizado, constituído por microscópio de luz, adaptado a uma câmera de alta resolução. Contagens independentes de 10 campos separados para cada caso foram feitas. Two-way ANOVA e posterior teste de Fisher foram utilizados para observar diferenças entre os diagnósticos e os marcadores; e teste t de Student para observar diferenças entre epitélio e córion (p<0.05). Os resultados indicaram que pacientes com PA e PC apresentaram um número significantemente maior de células CD56+ e CD57+, em relação ao grupo controle, porém sem diferenças entre si; um número significantemente maior de células CD56+ e CD57+ foi observado em relação às células Granzima B+ e Perforina+ em todos os pacientes. Em relação aos LTregs, o número de células CD25+ e FOXP3+, foi significativamente diferente entre PA, PC e controle, aparecendo em maior número na PC. Células CD4+ foram observadas em número similar em pacientes com PA e PC, diferindo significantemente do grupo controle; em pacientes com PA e PC, foi observado um número significantemente maior de CD4+, em relação às células CD25+ e FOXP3+. Pacientes com PA e PC tem maior número de LCs no tecido gengival em relação ao grupo controle sugerindo a participação destas células na patogênese da PA e PC. Pacientes com PA apresentaram menor número de LTregs no tecido gengival em comparação aos pacientes com PC, sugerindo que estas células podem estar envolvidas no mecanismo de regulação do processo inflamatório e reabsorção óssea. / This project aims to observe the expression and distribution of cytotoxic lymphocytes (LCs) and regulatory T lymphocytes (LTregs) in gingival tissue from periodontal disease affected patients through immunohistochemical analysis. 30 patients (10 per group) diagnosed with aggressive periodontitis (PA), chronic periodontitis (PC) and clinically healthy gingiva (control) were selected; from which a sample of gingival tissue was collected. The distribution of cells (epithelium and chorion) was identified using the immunomarkers CD56, CD57, Granzyme B, Perforin (LCs); CD4, CD25, FOXP3 (LTregs). The immunoexpression was assessed using image representation by a computer system, comprising a light microscope adapted to a high resolution camera. Independent counts of 10 separate fields for each case were done. Two-way ANOVA and posterior Fisher´s Test were used to observe differences between diagnostics and immunomarkers; and unpaired Student t test to observe differences between epithelium and chorium (p<0.05). The results indicates that patients with PA and PC presented a significantly higher number of CD56+ and CD57+ cells, in relation to control, but without differences between each other; a significantly higher number of CD56+ and CD57+ cells was observed in relation to Granzyme B and Perforine cells in all patients. Related to the LTregs, the number of CD25+ and FOXP3+ cells was significantly different between PA, PC and control, appearing in greater number in PC. CD4+ cells were observed in similar number in patients with PA and PC, it was observed a significantly higher number of CD4+, in relation to CD25+ and FOXP3+ cells. Patients with PA and PC have a greater number of LCs in gingival tissue in relation to control group - suggesting the participation of this cells in the pathogenesis of PA and PC. Patients with PA presented less LTregs in gingival tissue when compared to PC patients, suggesting that this cells may be involved in the regulatory mechanism of the inflammatory process and bone resorption.

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.

Le carcinome à cellules rénales (CCR) se caractérise par une résistance importante aux thérapies. Notre hypothèse était que des voies signalétiques prolifératives, anti-apoptotiques et/ou angiogéniques sont mises en jeu dans la résistance aux thérapies. Il s’agissait de mesurer la sensibilité de lignées cellulaires de CCR humain à différentes classes thérapeutiques in vitro et in vivo. Une étude pilote a été réalisée sur la base de xénogreffes de la lignée A498 chez la souris nude, puis exploitée pour des analyses sur biopuces à protéines afin d’identifier les voies de signalisation induites par le sunitinib. In vitro, les lignées cellulaires de CCR se sont révélées sensibles aux thérapies indépendamment du statut VHL. In vivo, la lignée A498 est apparue résistante au sunitinib. L’approche par biopuces a montré que plusieurs protéines de l’angiogenèse sont modulées sous l'effet du traitement, notamment l’angiogénine. Il n’y a pas de modification de l’expression des protéines de l’apoptose testées. Les formes phosphorylées d’Akt sont également augmentées dans les tumeurs traitées, de même que Lim1 alors que la forme phosphorylée de NFκB est diminuée. Ce travail a ainsi identifié de potentielles cibles impliquées dans les mécanismes de résistance et devraient permettre de définir de nouvelles options thérapeutiques dans le cancer du rein. / The renal cell carcinoma is characterized by a high resistance to therapies. Our working hypothesis was that proliferative signaling pathways, anti-apoptotic and / or angiogenic are involved in resistance to therapies. Thus, as part of this thesis, we measured the sensitivity to chemotherapy and targeted therapies in kidney cancer cell lines in vitro as well in vivo.A pilot study was conducted on the basis of the A498 cell line xenografts in nude mice, and then used for analysis on proteome arrays to identify the signaling pathways induced by sunitinib. In vitro, the cell lines of RCC were sensitive to therapy regardless of the VHL status. In vivo, the line A498 appeared resistant to sunitinib. The approach using the proteome array has shown that several angiogenesis proteins are modulated as a result of treatment, including angiogenin. There was no change in the expression of proteins of apoptosis. Phosphorylated forms of Akt were also increased in the treated tumors, as well as Lim1 whereas the phosphorylated form of NFkB was reduced. This work has identified potential targets involved in resistance mechanisms and should define new therapeutic options in renal cancer.

Les Contrôleurs du VIH sont de rares individus capables de contrôler spontanément la réplication virale en l’absence de traitement. De nombreuses études montrent que les Contrôleurs développent des réponses T antivirales remarquablement efficaces. Les cellules T CD4+ spécifiques de Gag pourraient jouer un rôle particulier car cette population est préservée en comparaison aux patients traités et corrèle négativement avec la charge virale. Afin d’étudier cette population, nous avons réalisé une analyse transcriptionnelle et protéique multiplexée sur cellule unique, à partir de cellules T CD4+ détectées ex vivo par marquage tétramère de CMH-II contre le peptide Gag293 (Tet+). Nous avons comparé l’expression de 44 gènes et 6 protéines membranaires chez 9 patients Contrôleurs et 9 patients traités. Nous avons d’une part validé la forte fréquence de cellules T CD4+ Tet+ chez les Contrôleurs en comparaison aux patients traités et, d’autre part, montré que les cellules T CD4+ Tet+ des Contrôleurs, étaient activées et engagées dans une différenciation Th1 avancée et présentant un profil cytotoxique. De plus, les cellules T CD4+ Tet+ de Contrôleurs ont montré un état d’épuisement limité, reflété par une expression faible de PD-1, qui pourrait être l’une des raisons du maintien de leur fréquence et de leurs fonctions. Dans une deuxième étude, nous avons étudié les cellules T folliculaires « helper » (Tfh) dans la population T CD4+ spécifique de Gag chez les Contrôleurs du VIH. Les Tfh jouent un rôle essentiel dans la maturation d’affinité des anticorps en aidant les cellules B. Afin de déterminer si ce sous-type cellulaire joue un rôle dans le contrôle de l’infection à VIH, nous avons analysé le phénotype et la fonction des Tfh circulantes (cTfh) : cellules T CD4+ CD45RA- CXCR5+). Nous avons utilisé un marquage tétramère de CMH-II contre le peptide Gag293, pour détecter les cTfh spécifiques du VIH (cTfh Tet+), et nous avons montré que cette population est préférentiellement maintenue chez les Contrôleurs du VIH. L’analyse phénotypique de la population cTfh Tet+ a montré une intensité d’expression (MFI) de PD-1 plus importante dans le groupe de patients traités, suggérant une activation immune anormale chez ces patients. La fonction des cTfh, analysée pour leur capacité à induire la sécrétion d’IgG en coculture avec des cellules B mémoires autologues, n’a pas montré de différences majeures entre les groupes en terme de production d’IgG totales. Cependant, la production d’IgG spécifiques anti-VIH est significativement plus efficace chez les Contrôleurs, en particulier pour la réponse anti-Env qui est plus de 30 fois supérieure à celle des patients traités. Enfin, la fréquence des cTfh Tet+ a corrélé positivement avec la production d’IgG spécifiques, supportant l'idée d'un rôle important de la fonction Tfh dans la réponse humorale anti-VIH. L’ensemble de ces résultats indique que la population T CD4+ spécifique de Gag supporte chez les Contrôleurs les deux bras de la réponse immunitaire antivirale : d’une part, une réponse de type cellulaire Th1 montrant un profil cytotoxique et, d’autre part, une réponse de type humorale, reflétée par des interactions cTfh/B préservées, résultant en une réponse B mémoire vigoureuse. Le maintien de la fonction et de la fréquence de ces cellules spécifiques de Gag pourrait donc jouer un rôle important dans le contrôle du VIH / HIV Controllers are rare individuals able to spontaneously control viral replication in the absence of treatment. Several studies showed that controllers develop effective anti-viral T cell responses. Gag-specific CD4+ T cells could play a particular role in HIV control, because this population is preserved in comparison with the treated patients and correlates negatively with the viral load. In order to study this population, we performed a multiplexed single cell transcriptional and protein analysis from CD4+ T cells detected ex vivo by MHC-II tetramer labeling against the Gag293 peptide (Tet+). We compared the expression of 44 genes and 6 surface proteins in 9 Controllers patients and 9 treated patients. Firstly, we validated the high frequency of Tet+ CD4+ T cells in controllers compared to the treated patients, then we showed that Tet+ CD4+ T cells from controllers were activated and engaged in advanced Th1 differentiation with a cytotoxic profile. In addition, Tet+ CD4+ T cells from controllers showed a limited state of exhaustion, reflected by a lower expression of PD-1, which could be one of the reasons for maintaining their frequency and functions. In a second study, we studied follicular helper T cells (Tfh) among the Gag-specific CD4+ T cell population of HIV controllers. Tfh plays an essential role in the affinity maturation of the antibody response by providing help to B cells. To determine whether this CD4+ T cell subset may contribute to the spontaneous control of HIV infection, we analyzed the phenotype and function of circulating Tfh (cTfh: T cells CD4+ CD45RA- CXCR5+). We performed a MHC-II tetramer labeling against Gag293 peptide to detect HIV-specific cTfh (cTfh Tet +), and showed that this population is preferentially maintained in HIV controllers. Phenotypic analysis of Tet+ cTfh population showed a higher intensity of PD-1 expression (MFI) in the treated group suggesting abnormal immune activation in these patients. The function of cTfh, analyzed by the capacity to promote IgG secretion in cocultures with autologous memory B cells, did not show major differences between groups in terms of total IgG production. However, the production of HIV-specific IgG is significantly more efficient in the controller group, especially for the anti-Env response that is more than 30-fold greater than those of the treated patients. Finally, the frequency of Tet+ cTfh correlated positively with the production of specific IgG, supporting the idea of an important role of Tfh function in the humoral antiHIV response. Taken together, these results indicate that Gag-specific CD4+ T cell population supports the two arms of the antiviral immune response in HIV controllers: the cell-mediated response through a preferential differentiation toward Th1 cell type showing a cytotoxic profile, and the humoral response, reflected by preserved cTfh / B interactions, resulting in a vigorous memory response. Maintaining the function and frequency of these Gag-specific CD4+ T cells could therefore play an important role in HIV control

Le genre Eryngium L. (Apiaceae, Saniculoideae) comprend plus de 250 espèces utilisées en médecine traditionnelle à travers le monde. En Tunisie il existe seulement huit espèces : E. barrelieri Boiss., E. campestre L., E. dichotomum Desf., E. glomeratum Lamk., E. ilicifolium Lamk., E. maritimum L., E. tricuspidatum L. et E. triquetrum Vahl. ; ces espèces sont en majorité peu étudiées du point de vue phytochimique. La présente étude a été effectuée sur la totalité des Eryngium qui poussent en Tunisie dans le but d’évaluer leurs activités biologiques, essentiellement antimicrobienne contre des microorganismes multirésistants et producteurs de béta-lactamases à spectres étendus (BLSE), mais aussi phototoxique et cytotoxique ainsi que la variabilité chimique par analyse par GC-FID et GC-MS des extraits les plus actifs.Toutes les espèces étudiées étaient dotées d’un pouvoir antimicrobien (1,25 à 0,07 mg/mL) et cytotoxique (24,4 à 0,32 µg/mL) considérable. Le criblage de l’activité phototoxique a permis de mettre en évidence la richesse de ces plantes en composés photoréactifs antimicrobiens potentiellement intéressants pour leur efficacité d’action et l’élargissement du spectre d’activité antimicrobienne.L’analyse des extraits actifs apolaires a permis d’étudier la variabilité chimique entre les différentes espèces et la mise en évidence de la présence majoritaire de composés antimicrobiens notamment des sesquiterpènes oxygénés tels que le spathulénol, le lédol, l’α-bisabolol et le cubénol, et des sesquiterpènes hydrocarbonés comme le β-bisabolène et le copaène ; et cytotoxiques tel que le falcarinol.Une étude phytochimique approfondie a été réalisée sur les racines d’E. triquetrum afin d’extraire, isoler par des essais bio-guidés et identifier les composés actifs. Le fractionnement a été optimisé par des chromatographies sur colonnes, CPC et CLHP. Parmi les composés identifiés deux polyacétylènes, le panaxydiol et le falcarinol, ont montré un fort pouvoir antimicrobien et une spécificité d’action notamment contre les souches de Pseudomonas aeruginosa BLSE et multirésistantes, avec des CMI allant jusqu’à 0,25 ng/mL et une activité en majorité bactéricide. / The genus Eryngium L., (Apiaceae, Saniculoideae) comprises more than 250 flowering plant species, which are commonly used as medicinal plants in different countries. Only eight species are growing in Tunisia: E. barrelieri Boiss., E. campestre L., E. dichotomum Desf., E. glomeratum Lamk., E. ilicifolium Lamk., E. maritimum L., E. tricuspidatum L. et E. triquetrum Vahl. These species are used in traditional medicine and there are relatively few papers on the phytochemical investigations of most of them. This study was performed on all Eryngium species growing in Tunisia in order to evaluate their chemical variability using GC-FID and GC-MS analyses and their biological activities, mainly antimicrobial against multiresistant microorganisms and extended spectrum beta-lactamase producing bacteria (ESBL), and also phototoxic and cytotoxic effects.All investigated species showed considerable antimicrobial effect with MIC value ranging between 1,25 and 0,07 mg/mL and important cytotoxic activity against J774 tumoral cells with IC50 from 24,4 to 0,32 µg/mL. Phototoxic investigation demonstrated a significant photoactive inhibitory effects against tested pathogenic microorganisms.GC–MS analysis of the most active crude extracts (petroleum ether extracts) revealed their high content of antimicrobial agents particularly oxygenated sesquiterpenes such as spathulenol, ledol, α-bisabolol and cubenol, and hydrocarbon sesquiterpenes such as β-bisabolene and copaene; and cytotoxic components such as falcarinol.The chemical investigation and bio-guided isolation of active compounds of the selected crude extract of E. triquetrum roots were performed using column chromatography, centrifugal partition chromatography (CPC) and preparative high-performance liquid chromatography (HPLC). among purified components, two bioactive polyacetylenes, panaxydiol and falcarinol, showed a great antimicrobial activity mainly against multiresistant and ESBL producing Pseudomonas aeruginosa with MIC value up to 0,25 ng/ml and a mostly bactericidal effect.

Baixas doses de agentes desmetilantes do DNA (DNMTi) tem efeitos antitumorais por induzirem parada do ciclo celular e aumentarem a imunogenicidade se tornando mais visível para o sistema imune. Crescentes evidências sugerem que o tratamento com DNMTis podem aumentar a sinalização imune nas células tumorais por meio do mecanismo de mimetismo viral bem como aumento da expressão de antígenos associados ao tumor, destacando assim, o seu potencial clínico na combinação com outras terapias. Enquanto os efeitos dos DNMTis têm sido na maior parte investigados nas células tumorais, os efeitos sobre o sistema imune ainda permanecem desconhecido, especialmente sobre baixas doses. Assim sendo, nosso objetivo foi investigar os efeitos da administração de agentes desmetilantes do DNA sobre a função efetora dos linfócitos T CD8 e seu papel frente a resposta antitumoral. Para isso, injetamos células tumorais CT26 na concentração de 5x105 por animal no dia 0. Cada grupo de animais foi tratado ou não com 5-AZA-CdR (0,5 mg/kg). Os camundongos foram tratados diariamente intraperitonealmente do dia 5 ao dia 9. Como controle adicional, em um grupo de animais, foi utilizado anticorpo neutralizante para depletar células T CD8. O tratamento diminuiu o tamanho tumoral, aumentou o infiltrado de células T CD8 e aumentou a capacidade de produção de citocinas por essas células. Em adição, todos esses efeitos foram abolidos na ausência das células T CD8. Em nossos ensaios de estimulação ex vivo e de imunização com adenovírus, o tratamento gerou aumento da ativação celular, aumento da produção de citocinas, diminuição da proliferação e aumento de morte celular. Por fim em nossos ensaios de citotoxicidade, o tratamento aumentou a capacidade citotóxica dessas células. Nossos resultados mostram que o tratamento in vivo com DNMTis em tumores de camundongos levou ao aumento da infiltração de células T CD8 e que a diminuição do tamanho tumoral é dependente da ação das células T CD8. Uma vez que observamos a capacidade efetoras das células T CD8, o tratamento levou ao aumento da produção de citocinas e aumento da indução de morte celular de células alvo. Em resumo, nossos resultados demonstram que o tratamento com DNMTis aumenta a resposta antitumoral e aumentam o potencial citotóxico das células T CD8. / Low doses of the DNA methylation inhibitor (DNMTis) on cancer cells has durable antitumorigenic effects by inducing cell cycle arrest and immune-modulatory properties that increases their visibility by the immune system. Growing evidence suggest that DNMTis can upregulate immune signaling in cancer cells through viral mimicry and upregulation of tumour associated antigens, highlighting clinical potential to combine with immunotherapy. While the effects of DNMTis have been mostly studied in cancer cells, their effects on the immune system remains vastly unknown specially at clinically relevant low doses. Therefore, we aimed to investigate the effect of in vivo administration of DNA demethylating inhibitor on the effector function of CD8+ T cells and antitumor immune response. We injected 5x105 CT26 cells at day 0 in three group of mice (n=5 mice per group). Each group of mice were either mock treated or treated with Decitabine (5-AZA-CdR or DAC, at a dosage of 0,5 mg/kg). The mice were treated intraperitoneally daily from days 5 to 9. As a control, in one group of mice, it was used neutralizing antibody to deplete CD8+ T cells. The treatment significantly decreased tumor burden and in the absence of CD8+ T cells this effect was abolished. The treatment led to increase in CD8+ T cells infiltration into the tumor microenvironment and enhance secretion of effector cytokines. In addition, all these effects were abolished in the lack of CD8 T cells. Furthermore, using ex vivo and adenovirus immunization, the treatment led to enhance of cellular activation, decrease of proliferation and enhance of cell death. In addition, using cytotoxic assays, the treatment enhanced the killing capability of these cells. to characterize the CD8 T cells, we used ex vivo stimulation protocols. Remarkably, our results show that treatment in vivo with DNMTi in established murine tumors model led to increase CD8+ T cell infiltration and the decrease in tumor burden is dependent of CD8 T cells. Once the effector capacities of these CD8+ T cells were assessed, DNMTi treatment increased their effector cytokine production and increased killing of target cells. Altogether, our results show that treatment of CD8+ T cells enhance antitumor immune response and their cytolytic potential.

<p>Despite major advances in the understanding of the biology of chronic lymphocytic leukaemia (CLL), progress in improving its treatment has been limited and it still remains an incurable disorder. In the present research, we have performed <i>in vitro</i> drug sensitivity testing of primary CLL cells for preclinical evaluation of cytotoxic drugs, using the fluorometric microculture cytotoxicity assay (FMCA).</p><p>The tumour type-specific activities of 14 standard drugs, evaluated <i>in vitro</i> on tumour cells from patients with CLL and acute leukaemias, were in good agreement with their known clinical activities. A correlation between drug treatment and development of cellular drug resistance was demonstrated in CLL, but not in the acute leukaemias. Moreover, the nucleoside analogues fludarabine, cladribine, cytarabine and gemcitabine, as well as the anthracycline idarubicin, were highly active in CLL cells.</p><p>A new cytotoxic drug candidate, CHS 828, was evaluated in primary cell cultures from a broad spectrum of tumours. CHS 828 was highly active against haematological malignancies <i>in vitro</i>, especially CLL, but also against some solid tumours. The drug appeared to be non cross-resistant with standard drugs.</p><p>In addition, the relationship between drug sensitivity <i>in vitro</i> and a recently described prognostic factor in CLL, the mutational status of the immunoglobulin variable heavy chain (IgV_H) gene, was evaluated. Interestingly, cells with unmutated IgV_H genes were more chemosensitive than the mutated cells. </p><p>In summary, our results indicate that <i>in vitro</i> studies on tumour cellsfrom leukaemia patients may yield considerable information regarding the activity, mechanisms of action and cross-resistance of cytotoxic drugs, as well as concerning the relationship between drug sensitivity and prognostic factors, which can be useful in the preclinical evaluation of new cytotoxic drugs. Furthermore, the results suggest that the pyrimidine analogues cytarabine and gemcitabine, as well as the anthracycline idarubicin, may have a role in the treatment of CLL. The new cyanoguanidine CHS 828 is highly active in CLL cells and appears to be non cross-resistant with standard drugs. The poorer prognosis in patients with CLL cells with unmutated IgV_H genes can not be explained by increased chemoresistance.</p>

Despite major advances in the understanding of the biology of chronic lymphocytic leukaemia (CLL), progress in improving its treatment has been limited and it still remains an incurable disorder. In the present research, we have performed in vitro drug sensitivity testing of primary CLL cells for preclinical evaluation of cytotoxic drugs, using the fluorometric microculture cytotoxicity assay (FMCA). The tumour type-specific activities of 14 standard drugs, evaluated in vitro on tumour cells from patients with CLL and acute leukaemias, were in good agreement with their known clinical activities. A correlation between drug treatment and development of cellular drug resistance was demonstrated in CLL, but not in the acute leukaemias. Moreover, the nucleoside analogues fludarabine, cladribine, cytarabine and gemcitabine, as well as the anthracycline idarubicin, were highly active in CLL cells. A new cytotoxic drug candidate, CHS 828, was evaluated in primary cell cultures from a broad spectrum of tumours. CHS 828 was highly active against haematological malignancies in vitro, especially CLL, but also against some solid tumours. The drug appeared to be non cross-resistant with standard drugs. In addition, the relationship between drug sensitivity in vitro and a recently described prognostic factor in CLL, the mutational status of the immunoglobulin variable heavy chain (IgVH) gene, was evaluated. Interestingly, cells with unmutated IgVH genes were more chemosensitive than the mutated cells. In summary, our results indicate that in vitro studies on tumour cellsfrom leukaemia patients may yield considerable information regarding the activity, mechanisms of action and cross-resistance of cytotoxic drugs, as well as concerning the relationship between drug sensitivity and prognostic factors, which can be useful in the preclinical evaluation of new cytotoxic drugs. Furthermore, the results suggest that the pyrimidine analogues cytarabine and gemcitabine, as well as the anthracycline idarubicin, may have a role in the treatment of CLL. The new cyanoguanidine CHS 828 is highly active in CLL cells and appears to be non cross-resistant with standard drugs. The poorer prognosis in patients with CLL cells with unmutated IgVH genes can not be explained by increased chemoresistance.

Cyclotides are small cyclic plant proteins, and this thesis addresses their cytotoxic structure-activity properties and their mode of action on human cancer cell lines. Cyclotides were isolated from Viola odorata and Viola tricolor; three novel cyclotide sequences and two known sequences, but of new origin, were identified using mass spectrometry, amino acid analysis, and Edman degradation. The cyclotide structure includes three disulphide bonds in a knotted arrangement, which forces hydrophobic amino acid residues to be exposed on the surface of the molecule; 3-D homology models of cyclotides have revealed an amphipathic surface and charged residues located at similar positions in the molecules. The charged amino acid residues were shown to play a key role in the cytotoxicity of the cyclotide cycloviolacinO2 on a human lymphoma cell line. Methylation of Glu caused a dramatic change in cytotoxicity, lowering the potency 48 times, whereas concealing the charge of Arg with 1,2-cyclohexanedione caused virtually no change in potency. Acetylation of the two Lys caused a 3-fold reduction in potency, and masking all positive charges caused a 7-fold reduction. Additionally, disturbing the amphipathic structure by reducing and alkylating the disulphide bonds abolished the cytotoxicity. The time dependency of cytotoxicity and cell gross morphology after cyclotide exposure were investigated on the lymphoma cell line. Cells exposed to 4 µM of cycloviolacinO2 showed necrotic characteristics, such as membrane disintegration, within 5 min; a membrane disruptive effect of cycloviolacinO2 was also observed in a functional assay based on liposomes at a peptide-to-lipid molar ratio of 6.5. The anti-tumour properties of cycloviolacinO2 were evaluated on three human cancer cell lines using the hollow fibre assay in vitro and in vivo. The cyclotide exhibited potent anti-tumour activity in the micro-molar concentration range on all cell lines in vitro, but no effect on tumour growth could be established in vivo.