O câncer é considerado uma das principais causas de morte no mundo. Para o tratamento dessa doença, frequentemente são utilizadas estratégias farmacológicas baseadas na intervenção quimioterápica, no qual a doxorubicina (DOX) é largamente utilizada. Visto que, o músculo esquelético possui importante papel na captação de glicose, o objetivo do presente trabalho foi investigar o efeito da DOX na intolerância à glicose. Para isso foram utilizados ratos Wistar, os quais receberam uma dose única de DOX ou salina intraperitoneal (15mg/kg). Avaliamos a expressão de proteínas envolvidas na sensibilidade à insulina e captação de glicose. Os ensaios captação de glicose foram realizados em cultura de miócitos, no qual foi utilizado o agonista de AMPK. O tratamento com DOX causou resistência à insulina e hiperglicemia. No músculo EDL e em miócitos houve menor expressão de GLUT-4 e de AMPk. Em conclusão, o tratamento com DOX causou intolerância à glicose e redução da expressão de AMPk e GLUT-4. A utilização do agonista de AMPk foi capaz de recuperar à intolerância à glicose. / The cancer is considered a major cause of death worldwide. For the treatment of this disease, with frequency are used pharmacological strategies based in chemotherapeutic intervention, in which doxorubicin (DOX) is widely used. Since the skeletal muscle plays an important role in glucose uptake, the aim of this study was to investigate the effect of DOX in glucose intolerance. For this Wistar rats which received a single dose of DOX or saline intraperitoneally (15mg / kg). We evaluated the expression of proteins involved in insulin sensitivity and glucose uptake. The glucose uptake assays were performed on culture myocytes, which was used in the agonist of AMPK. The treatment with DOX caused insulin resistance and hyperglycemia. In the EDL muscle myocytes and there was less expression of GLUT4 and AMPK. In conclusion, treatment with DOX caused impaired glucose tolerance and reduction of expression of AMPK and GLUT-4. The use of AMPK agonist was able to recover glucose intolerance.

The rate of cancer patients is increasing as the development of science and technology. Twenty million cancer survivors are estimated living in the United States by 2025. However, many cancer survivors show cognitive dysfunction, negatively affecting the quality of life. These cognitive impairments are recognized as chemotherapy-induced cognitive impairment (CICI), also called "chemo brain" by cancer survivors, including the diminished ability of memory and learning, hard to concentrate and focus, as well as diminution of executive function and processing speed. The etiologies and pathologies of CICI are complicated, especially in most cases the anti-cancer drug cannot cross the blood-brain barrier (BBB). One of the significant candidate mechanisms underlying CICI is chemotherapy-induced, oxidative damage-mediated tumor necrosis factor-alpha (TNF-a) elevation. One of the prototypes of reactive oxygen species (ROS)-generating chemotherapeutic agents is Doxorubicin, normally used as part of multi-drug chemotherapeutic regimens to treat solid tumors and lymphomas. In this dissertation, TNF-a null (TNFKO) mice were used to investigate the role of TNF-a in Dox-induced, oxidative damage-mediated alterations in brain. Dox-induced oxidative damage in brain is ameliorated and brain mitochondrial function is preserved in brains of TNFKO mice. Both Dox-decreased levels of hippocampal choline-containing compounds and activities of brain phospholipases are partially protected in the TNFKO group. It is shown in this dissertation that Dox-targeted mitochondrial damage and levels of brain choline-containing metabolites, as well as changes in the activity of phospholipases, including both phosphatidylcholine-specific phospholipase C (PC-PLC) and phospholipase D (PLD), are decreased in the CNS and associated with oxidative damage mediated by TNF-a. The results are discussed with respect to identifying a potential therapeutic target to protect against cognitive problems after chemotherapy and thereby improve the quality of life of cancer survivors. We also tested the effect of a chemotherapy drug adjuvant, 2-mercaptoethane sulfonate sodium (MESNA), on CICI in this dissertation research. MESNA ameliorated Dox-induced oxidative protein damage in plasma and led to decreased oxidative damage in brain. MESNA was demonstrated to rescue the memory deficits caused by Dox in the novel object recognition test. The activity of PC-PLC was preserved when MESNA was co-administered with Dox. This study is the first evidence for demonstrating the protective effects of MESNA on Dox-related protein oxidation, cognitive decline, phosphocholine levels, and PC-PLC activity in brain and suggests novel potential therapeutic targets and strategies to mitigate CICI. Parkinson Disease (PD) is considered as the second most neurodegenerative disease, associated with aging and gender. Although the detailed mechanisms remain unknown, inflammation and oxidative damage are two main etiological factors of PD. Certain genetic factors have been discovered related to this disease. Thus, using rodent models with relative gene mutations are the main strategies to investigate PD. However, few rodent models showed same clinical and biochemical features of PD. PTEN-induced putative kinase -1 (PINK1) knockout (KO) rat is the rodent model used in this dissertation research. The oxidative damage in the brain of PINK1 KO rats, the ventricle sizes, and neurochemical metabolite profiles in these rats as a function of age and gender were measured. Distinct gender- and age-related alterations were found, many consistent with those in PD. The proteome of brain of PINK1 KO rat as a function of age and gender also was studied. Based on the collected data, the suitability of this unique rat as a faithful model of known characteristics of PD with our results is discussed.

People receiving chemotherapy not only suffer from side effects of therapeutics but also must buy expensive drugs. Targeted drug and gene delivery directed to specific tumor-cells is one way to reduce the side effect of drugs and use less amount of therapeutics. In this research, two novel liposomal nanocarriers were developed. This nanocarrier, called an eLiposome, is basically one or more emulsion droplets inside a liposome. Emulsion droplets are made of perfluorocarbons which usually have a high vapor pressure. Calcein (as a model drug) and Paclitaxel were used to demonstrate drug delivery, and plasmids and siRNA were used to exemplify gene delivery. Drugs or genes were encapsulated inside the interior of the liposomes along with emulsion droplets; targeting moieties were attached to the outside of the phospholipid bilayer. Ultrasound was used to break open the bilayer by changing the liquid emulsion droplets to gas, which released the content of the eLiposomes. Transmission electron microscopy (TEM) was used to prove the formation of eLiposomes and confocal microscopy showed the uptake of drugs and genes in vitro. Cell viability was measured to show the effect of uptake in cancer cells. Results indicate that eLiposomes were successfully made and that they were endocytosed into the cell. It was observed that the emulsion and the targeting moiety in combination with ultrasound are the essential elements required to produce release from eLiposomes.

[ES] Las antraciclinas son fármacos antineoplásicos ampliamente utilizados en el trata-miento de varios tipos de cáncer, incluyendo tanto tumores sólidos como hematoló-gicos. A pesar de su eficacia, su uso se ve limitado por su efecto cardiotóxico. El aumento de los supervivientes de cáncer, especialmente pediátrico, ha provocado que cada vez haya más personas con cardiotoxicidad inducida por antraciclinas. Por este motivo, es necesaria la búsqueda de nuevos modelos de enfermedad relevan-tes para comprender la fisiopatología del daño cardíaco inducido por antraciclinas, así como el desarrollo de nuevas terapias cardioprotectoras que permitan el uso de las antraciclinas evitando su efecto cardiotóxico. En este trabajo se ha estudiado, por una parte, la susceptibilidad al daño por do-xorrubicina (una de las principales antraciclinas empleadas en clínica) de cardiomio-citos obtenidos a partir de células madre pluripotentes inducidas derivadas de pa-cientes pediátricos oncológicos que experimentaron cardiotoxicidad causada por an-traciclinas. Los cardiomiocitos de los pacientes fueron tratados con doxorrubicina y se evaluaron diferentes parámetros, incluyendo la viabilidad, apoptosis, estrés oxida-tivo, daño genómico, daño mitocondrial, desorganización sarcomérica, etc. compa-rándolos con cardiomiocitos control. Nuestros resultados mostraron que estos car-diomiocitos recapitulan la susceptibilidad a la doxorrubicina observada en los pacien-tes, constituyendo un buen modelo de enfermedad para estudiar los mecanismos de cardiotoxicidad de la doxorrubicina o el cribado de fármacos. Por otra parte, se ha evaluado el papel cardioprotector de un miARN, el miR-4732-3p, frente al daño inducido por antraciclinas. Este miARN está desregulado en pa-cientes con cáncer de mama que sufrieron cardiotoxicidad inducida por antraciclinas. Para comprobar su efecto cardioprotector, este miARN fue sobreexpresado en célu-las cardíacas de rata, las cuales fueron tratadas con doxorrubicina, observándose que incrementaba la supervivencia de las células y reducía el estrés oxidativo. Tam-bién se estudió la cardioprotección in vivo en un modelo de cardiotoxicidad inducida por doxorrubicina en rata, observando que mejora la función cardíaca, reduce la fi-brosis intersticial y el estrés oxidativo. Además, se hizo un estudio de los posibles genes diana de este miARN. En su conjunto, nuestros resultados muestran que el miR-4732-3p tiene un efecto cardioprotector frente al daño por doxorrubicina, y po-dría ser una herramienta terapéutica para el tratamiento del daño cardíaco causado por las antraciclinas. / [CAT] Les antraciclines són fàrmacs antineoplàstics àmpliament utilitzats en el tractament de diversos tipus de càncer, incloent tant tumors sòlids com hematològics. Tot i la seva eficàcia, el seu ús es veu limitat pel seu efecte cardiotòxic. L'augment dels su-pervivents de càncer, especialment pediàtric, ha provocat que cada cop hi hagi més persones amb cardiotoxicitat induïda per antraciclines. Per aquest motiu, cal cercar nous models de malaltia rellevants per comprendre la fisiopatologia del dany cardíac induït per antraciclines, així com el desenvolupament de noves teràpies cardiopro-tectores que permetin l'ús de les antraciclines evitant-ne l'efecte cardiotòxic. En aquest treball s'ha estudiat, d'una banda, la susceptibilitat al dany per doxorrubi-cina (una de les principals antraciclines emprades en clínica) de cardiomiòcits obtin-guts a partir de cèl¿lules mare pluripotents induïdes derivades de pacients pediàtrics oncològics que van experimentar cardiotoxicitat causada per antraciclines. Els cardi-omiòcits dels pacients van ser tractats amb doxorrubicina i es van avaluar diferents paràmetres, incloent-hi la viabilitat, apoptosi, estrès oxidatiu, dany genòmic, dany mitocondrial, desorganització sarcomèrica, etc. comparant-los amb cardiomiòcits control. Els nostres resultats van mostrar que aquests cardiomiòcits recapitulen la susceptibilitat a la doxorrubicina observada en els pacients, constituint un bon model de malaltia per estudiar els mecanismes de cardiotoxicitat de la doxorrubicina o el cribratge de fàrmacs. D'altra banda, s'ha avaluat el paper cardioprotector d'un miARN, el miR-4732-3p, davant del dany induït per antraciclines. Aquest miARN està desregulat en pacients amb càncer de mama que van patir cardiotoxicitat induïda per antraciclines. Per comprovar el seu efecte cardioprotector, aquest miARN va ser sobreexpressat en cèl·lules cardíaques de rata, les quals van ser tractades amb doxorrubicina, obser-vant-se que incrementava la supervivència de les cèl·lules i reduïa l'estrès oxidatiu. També es va estudiar la cardioprotecció in vivo en un model de cardiotoxicitat induï-da per doxorrubicina en rata, observant que millora la funció cardíaca, redueix la fi-brosi intersticial i l'estrès oxidatiu. A més, es va fer un estudi dels possibles gens di-ana d'aquest miARN. En conjunt, els nostres resultats mostren que el miR-4732-3p té un efecte cardioprotector davant el dany per doxorrubicina, i podria ser una eina terapèutica per al tractament del dany cardíac causat per les antraciclines. / [EN] Anthracyclines are drugs widely used in the treatment of several types of cancer, including both solid tumors and hematologic malignancies. Despite its proven effica-cy, its use is hampered by its cardiotoxic effect. The increase in cancer survivors, especially pediatric, has led to more and more people with anthracycline-induced cardiotoxicity. Therefore, it is necessary to search for new relevant disease models to better understand the physiopathology of cardiac damage-induced by anthracy-clines, as well as the development of new cardioprotective therapies that allow the clinic use of anthracyclines avoiding their cardiotoxic effect. In this work we have studied, on the one hand, the susceptibility against doxorubicin damage (major anthracycline used in clinic) of cardiomyocytes obtained from in-duced pluripotent stem cells derived from oncology pediatric patients that underwent cardiotoxicity-induced by anthracyclines. Cardiomyocytes from these patients were treated with doxorubicin, and we evaluated several parameters, including cell viabil-ity, apoptosis, oxidative stress, genomic damage, mitochondrial damage, sarcomere disorganization, etc. comparing the results with control cardiomyocytes. Our results showed that these cardiomyocytes recapitulate the susceptibility against doxorubicin observed in the patients, making them a good disease model to study cardiotoxicity mechanisms of doxorubicin or drug screening. On the other hand, we evaluated the cardioprotective role of one miRNA, miR-4732-3p, against doxorubicin-induced damage. This miRNA is dysregulated in breast can-cer patients that suffered cardiotoxicity-induced by anthracyclines. To test its cardio-protective effect, this miRNA was overexpressed in rat cardiac cells that were treated with doxorubicin, showing an increment of cell survival and a reduction of oxidative stress levels. We also studied in vivo cardioprotection in a doxorubicin-induced cardi-otoxicity model in rat, showing an improvement in cardiac function, reduced intersti-tial fibrosis and reduced oxidative stress levels. Moreover, we studied possible target genes of this miARN. Overall, our results showed that miR-4732-3p has a cardiopro-tective role against doxorrubicin-induced damage and could be used as a therapeutic tool for treatment of cardiac damage caused by anthracycline. / Reinal Ferré, I. (2023). Modelado de la cardiotoxicidad inducida por antraciclinas en hiPSC-CM de pacientes oncológicos pediátricos y estudio del papel cardioprotector del miR-4732-3p [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/193075

Σκοπός της παρούσας διδακτορικής διατριβής είναι η σύνθεση, ο χαρακτηρισμός και η βιολογική αξιολόγηση τροποποιημένων πολυλειτουργικών νανοπεριεκτών (ΠΝΠ) ως συστημάτων μεταφοράς φαρμάκων (ΣΜΦ), με άμεση εφαρμογή στη θεραπεία του καρκίνου του μαστού και του προστάτη. Με τον όρο νανοπεριέκτες (ΝΠ) εννοούμε τα σωματίδια τα οποία βρίσκονται στην κλίμακα του νανομέτρου και κυμαίνονται σε διαστάσεις από περίπου 1nm έως και 100 nm. Ο όρος πολυλειτουργικά αναφέρεται στις ιδιότητες αυτών των νανοδομών και πιο συγκεκριμένα στο πως μεταβάλλονται οι ιδιότητες αυτών όταν υπάρχει επίδραση εξωτερικών παραγόντων όπως θερμοκρασία, pH, όξειδο-αναγωγικό περιβάλλον και μεταβαλλόμενο μαγνητικό πεδίο. Για την παρασκευή των πολυμερικών νανοπεριεκτών χρησιμοποιήθηκαν διάφορα είδη πολυμερισμών όπως, πολυμερισμός γαλακτώματος μέσω ριζών, πολυμερισμός σπόρου (seed), πολυμερισμός μεταφοράς ατόμου με ρίζες, πολυμερισμός διασποράς και πολυμερισμός μέσω απόσταξης-καταβύθισης. Οι διάφορες ευαισθησίες στα ΝΣ προστέθηκαν μέσω συμπολυμερισμού διαφόρων μονομερών τα οποία παρουσιάζουν τις προαναφερθείσες ιδιότητες. Κάποια από τα μονομερή τα οποία χρησιμοποιήθηκαν, όπως το υδρόξυ προπυλικό μεθακρυλαμίδιο (HPMA) το οποίο παρουσιάζει ευαισθησία στη μεταβολή της θερμοκρασίας και το 3-Μεθυλ-N-(2-((2-(3-οξοβουταναμιδο)εθυλ) δισουλαφανυλ)εθυλ)βουτ-3-εναμίδιο (Disulfide) το οποίο παρουσιάζει ευαισθησία στις μεταβολές του όξειδο-αναγωγικού περιβάλλοντος συνετέθησαν στο εργαστήριο, ενώ τα υπόλοιπα ήταν εμπορικά διαθέσιμα. Το κύριο μονομερές το οποίο χρησιμοποιήθηκε στους πολυμερισμούς είναι ο Μεθακρυλικός Μεθυλεστέρας (MMA) το οποίο είναι μη τοξικό και κατά τον πολυμερισμό του δημιουργεί σφαιρικές δομές συγκεκριμένου μεγέθους (νανοσφαίρες). Με τη χρήση του συγκεκριμένου μονομερούς συνετέθησαν συμπολυμερή, τα οποία είναι ευαίσθητα στη θερμοκρασία, στο pH και στο όξειδο-αναγωγικό περιβάλλον ή σε συνδυασμό των παραγόντων αυτών. Οι πολυμερικές νανοσφαίρες-νανοπεριέκτες οι οποίες συνετέθησαν είναι κενές στο εσωτερικό τους, ή είναι της μορφής πυρήνας-κέλυφος, όπου το κέλυφος περιέχει τα μονομερή με τις επιθυμητές ευαισθησίες. Η κοιλότητα η οποία δημιουργείται στο εσωτερικό των νανοσφαιρών, σε ορισμένες περιπτώσεις, έχει ως σκοπό τον εγκλωβισμό φαρμακευτικών ουσιών. Τα φαρμακευτικά μόρια τα οποία χρησιμοποιούνται στην παρούσα διδακτορική διατριβή, είτε στο εσωτερικό των νανοσφαιρών είτε προσδεδεμένα στην επιφάνεια αυτών, είναι η Δοξορουβικίνη (Doxorubicin) και η Δαουνοροβικίνη (Daunorubicin). Η επαγωγή των μαγνητικών ιδιοτήτων στους νανοπεριέκτες πραγματοποιήθηκε με τη σύνθεση μαγνητικών νανοσωματιδίων (ΜΝΣ) τα οποία παρασκευάστηκαν πάνω στην επιφάνειά τους. Η χρήση ενός εναλλασσόμενου μαγνητικού πεδίου αυξάνει τοπικά τη θερμοκρασία με αποτέλεσμα, αφενός να διευκολύνεται η τοπική απελευθέρωση της εγκλωβισμένης φαρμακευτικής ουσίας και αφετέρου, εξαιτίας της υψηλής θερμοκρασίας που αναπτύσσεται τοπικά, να οδηγείται το καρκινικό κύτταρο σε απόπτωση (προγραμματισμένος κυτταρικός θάνατος). Για το χαρακτηρισμό των νανοπεριεκτών χρησιμοποιήθηκε μία πληθώρα τεχνικών. Για το μορφολογικό χαρακτηρισμό χρησιμοποιήθηκε η ηλεκτρονική μικροσκοπία σάρωσης και διέλευσης, Scanning Electron Microscopy (SEM) και Transmission Electron Microscopy (ΤΕΜ) αντίστοιχα, για το δομικό, η φασματοσκοπία υπερύθρου (FT-IR), η φασματοσκοπία Raman, η φασματοσκοπία πυρηνικού μαγνητικού συντονισμού (Nuclear Magnetic Resonance, NMR) και η τεχνική περίθλασης ακτίνων-Χ, ενώ για τη μελέτη των μαγνητικών ιδιοτήτων χρησιμοποιήθηκε η φασματοσκοπία δονούμενου δείγματος Vibrating Sample Magnetometry, VSM). Επίσης χρησιμοποιήθηκαν η τεχνική της δυναμικής σκέδασης φωτός (Dynamic Light Scattering, DLS) η οποία έδωσε πληροφορίες για τις ιδιότητες και τη συμπεριφορά των νανοπεριεκτών μέσα στο διάλυμα, καθώς επίσης και η φασματοσκοπία ορατού-υπεριώδους (Ultra Violet-Visible, UV-VIS), μέσω της οποίας έγινε μελέτη του εγκλωβισμού και της απελευθέρωσης των χρησιμοποιούμενων φαρμάκων από τις νανoσφαίρες. Τέλος, πραγματοποιήθηκαν μελέτες υπερθερμίας με τη βοήθεια ενός εξωτερικού εναλλασσόμενου μαγνητικού πεδίου. / The aim of this thesis is the synthesis, characterization and biological evaluation of modified multifunctional nanoparticles (MMNs) as drug delivery systems (DDS, with immediate effect in the treatment of breast and prostate cancer. The term nanoparticles (NPs) refer to the particles which are in the nanometer scale and range in size, from about 1nm to and 100 nm. The term multifunctional refers to the properties of these nanostructures and more particularly to the way that change their properties when external factors such as temperature, pH, redox environment and alternating magnetic field are applied. For the preparation of polymeric nanoparticles, different types of polymerizations were used such as, emulsion polymerization, seed polymerization, atom transfer radical polymerization, dispersion polymerization and polymerization through distillation-precipitation process. The different sensitivities were added via copolymerization of different monomers which exhibit the aforementioned properties. Some of the monomers used like, N-(-2-HydroxyPropyl) Methacrylamide (HPMA), which is sensitive to temperature changes and N,N'-(disulfanediylbis(ethane-2,1-diyl))bis(2-methylacrylamide) (Disulfide) which is sensitive to changes in the redox environment, were synthesized in the laboratory, while the rest, were commercially available. The primary monomer, used in the polymerizations, was Methyl Methacrylate (MMA) which is non-toxic and in through to its polymerization creates spherical structures of certain size (nanospheres). By using the specific monomer, copolymers, which are sensitive to temperature, pH and redox environment or a combination of these factors, were synthesized. The synthesized polymeric nanospheres-nanocontainers, are either hollow inside, or form core-shell structures, where the shell contains the monomers with the desired sensitivity. The cavity which is created inside the nanospheres, in some cases, is intended to entrap pharmaceutical substances. The drug molecules used in this thesis, either within or tethered to the surface of the nanospheres are, Doxorubicin (DOX) and Daunorubicin (DNR). The induction of the magnetic properties in nanocontainers was performed by the synthesis of magnetic nanoparticles (MNPs), prepared on their surface. The use of an alternating magnetic field increases the temperature locally resulting on one hand to facilitate local release of the entrapped drug, and on the other hand, because of the high temperatures developed locally, to lead the tumor cell to apoptosis (programmed cell death). For the characterization of nanoparticles a variety of techniques were used. For the morphological characterization, Scanning Electron Microscopy (SEM) and Transmission Electron Microscopy (TEM) were used while for the structural characterization, Fourier Transform Infrared Spectroscopy (FT-IR), Raman Spectroscopy, Nuclear Magnetic Resonance (NMR) and X-ray diffraction Spectroscopy were used. Magnetic properties were studied by Vibrating Sample Magnetometry (VSM). The Dynamic Light Scattering technique (DLS) was also used in order to get information about the properties and behavior of nanoparticles in solution and Ultra Violet-Visible Spectroscopy (UV-VIS), gave information about Loading and Release of the drugs used in nanocontainers. Hyperthermia measurements were carried out by using an external alternating magnetic field.

La délivrance de médicament dans l’organisme vers des organes cibles tout en minimisant les effets secondaires représente un énorme défi scientifique. Les recherches actuelles révèlent qu’il existe de nombreuses embuches pour acheminer des composés thérapeutiques vers le système nerveux central. De nombreuses maladies (l’autisme, la schizophrénie, la maladie d’Alzheimer…) liées au système nerveux central nuisent à la qualité de vie et entrainent des coûts importants pour la société. Ce mémoire repose sur l’amélioration de l’accessibilité de composés thérapeutiques vers le cerveau en passant la barrière hémato-encéphalique, une barrière biologique difficilement franchissable. Pour introduire des médicaments dans le système nerveux central, il faut passer cette barrière, ce qui est très difficile, car elle est remarquablement efficace pour protéger le milieu cérébral. C’est pourquoi nous allons développer une nouvelle stratégie consistant à élaborer un nouveau type de transporteur. Nous proposons d’utiliser des macrolactames ayant la propriété de s’empiler sous forme de tubes supramoléculaires d’une stabilité adéquate. Il sera alors possible d’y greffer des médicaments et aussi des agents d’ouverture de la barrière hémato-encéphalique. Ce mémoire présente l’élaboration de ces nouveaux macrocycles chiraux, les résultats de différentes analyses structurales prouvant la présence de tubes et de systèmes robustes et enfin la fonctionnalisation du macrocycle par un agent médicamenteux (doxorubicine). / Abstract : Delivering drug into the body to target specific organs, while minimizing side effects, is an enormous scientific challenge. Current research reveals that there are many pitfalls for delivering therapeutic compounds to the central nervous system. Many diseases (autism, schizophrenia, Alzheimer's, etc.) linked to the central nervous system affect the quality of life and entail significant costs for society. This thesis is based on the improvement in the accessibility of therapeutic compounds to the brain by passing the blood-brain barrier, a biological barrier difficult to cross. To introduce drugs into the central nervous system, this barrier must be overcome. This is very difficult because it is remarkably effective in protecting the brain. This is why we will develop a new strategy based on a new type of transporter. We propose to use macrolactams having the property of stacking in the form of supramolecular tubes of adequate stability. It will then be possible to graft medicines and also agents capable of opening the blood-brain barrier. This manuscript describes the development of these new chiral macrocycles, the results of various structural analyses proving the presence of robust tubes and systems, and finally the functionalization of the macrocycles by a medicinal agent (doxorubicin).

Dues à leur importance croissante dans la dégénérescence musculaire, les mitochondries sont de plus en plus étudiées en relation à diverses myopathies. Leurs mécanismes de contrôle de qualité sont reconnus pour leur rôle important dans la santé mitochondrial. Dans cette étude, nous tentons de déterminer si le déficit de mitophagie chez les souris déficiente du gène Parkin causera une exacerbation des dysfonctions mitochondriales normalement induite par la doxorubicine. Nous avons analysé l’impact de l’ablation de Parkin en réponse à un traitement à la doxorubicine au niveau du fonctionnement cardiaque, des fonctions mitochondriales et de l’enzymologie mitochondriale. Nos résultats démontrent qu’à l’état basal, l’absence de Parkin n’induit pas de pathologie cardiaque mais est associé à des dysfonctions mitochondriales multiples. La doxorubicine induit des dysfonctions respiratoires, du stress oxydant mitochondrial et une susceptibilité à l’ouverture du pore de transition de perméabilité (PTP). Finalement, contrairement à notre hypothèse, l’absence de Parkin n’accentue pas les dysfonctions mitochondriales induites par la doxorubicine et semble même exercer un effet protecteur. / Mitochondria are becoming the focus of many studies because of their increasingly important role in cellular damage and related myopathies. Their endogenous quality control mechanisms are recognized for their crucial role in mitochondrial health. In our study, we attempted to determine if the deficit of mitophagy in Parkin deficient mice would cause an exacerbation of mitochondrial dysfunctions usually induced by doxorubicin. We have analyzed the impact of the ablation of Parkin in response to treatment with doxorubicin at the level of cardiac functions, mitochondrial functions as well as mitochondrial enzymology. Our results demonstrated that at baseline, the absence of Parkin didn’t induce cardiac pathologies but was associated with many mitochondrial dysfunctions. Doxorubicin induced respiratory dysfunctions, mitochondrial oxidative stress as well as greater susceptibility to permeability transition pore (PTP) opening. Finally, contrary to our hypothesis, the absence of Parkin, didn’t exacerbate mitochondrial dysfunctions induced by doxorubicin and seemed to have a protective effect.

7 Abstract Neuroblastoma is the most common extracranial solid tumor of childhood. Despite advances in cancer diagnosis and therapy, the treatment of some forms of neuroblastoma is still complicated. One of the major complications of the chemotherapy is a developed drug resistance. This master thesis deals with the effect of cytostatics on protein and gene expression of selected proteins, which may contribute to chemoresistance of the human neuroblastoma cell line UKF-NB-4. The sensitive line UKF-NB-4 and the resistant line UKF-NB-4CDDP , UKF-NB-4DOXO and UKF-NB-4ELLI were exposed to cisplatin, doxorubicin, ellipticine for 24, 48 and 72 hours. The Western blot analysis showed that cytostatic agents cisplatin, doxorubicin or ellipticine added to the sensitive neuroblastoma cell line UKF-NB-4 in amounts which are added to resistant neuroblastoma cell lines in order to maintain resistance induced expression of p53 and reduced expression of retinoblastoma protein pRb after 72 hours of cultivation. Differences in the expression of RAS protein, cytochrome P450 1A1, 3A4 and cytochrome b5 has not been shown. Changes in the expression of the studied proteins in resistant lines UKF-NB-4CDDP , UKF-NB-4DOXO and UKF-NB-4ELLI cultured with and without cytostatic agents were not detected by the Western blot analysis....

Os tumores da glândula mamária constituem as neoplasias mais freqüentes em cadelas e a doxorrubicina é uma das principais drogas quimioterápicas utilizadas no tratamento deste tipo de câncer. A quimioterapia neoadjuvante com doxorrubicina possibilita a redução do tumor e permite a avaliação da resposta ao tratamento quimioterápico in vivo. A procura por marcadores preditivos de resposta tem o objetivo de identificar as pacientes responsivas e não responsivas ao tratamento com o quimioterápico de modo a permitir a indicação de uma abordagem terapêutica específica para cada paciente. A expressão de alguns trios de genes, incluindo PRSS11, MTSS1 e CLPTM1 e, PRSS11, MTSS1 e SMYD2 em mulheres com câncer de mama que receberam tratamento neoadjuvante com doxorrubicina permitiu a classificação das pacientes em sensíveis e resistentes ao tratamento. Outros genes diferencialmente expressos entre amostras consideradas sensíveis e resistentes à doxorrubicina foram NOTCH1 e RPL37A. Avaliamos no presente trabalho se a expressão de trios de genes permitia a classificação de resposta ao tratamento quimioterápico em outro modelo, constituído por carcinoma de mama de cadela, mantido em cultura de tecido na forma de fatias e exposto à doxorrubicina in vitro. A cultura de fatias de tecidos permite a manutenção da interação epitélio-mesênquima e é considerado um modelo mais próximo ao observado in vivo. Foram obtidas amostras de tumor mamário de 38 pacientes caninas atendidas no Hospital Veterinário da Faculdade de Medicina Veterinária da Universidade Metodista de São Paulo (UMESP), em São Bernardo do Campo, durante a cirurgia de mastectomia. Os proprietários deram seu consentimento livre e esclarecido para a realização do estudo. A idade mediana das pacientes foi de 10,4 anos e, 55% e 18,4% destas pacientes eram animais sem raça definida (SRD) e da raça poodle, respectivamente. Oito pacientes haviam sido submetidas previamente à cirurgia de esterilização. As pacientes apresentaram-se em estadio clínico III (39,47%), II (28,9%), I (18,4%) e IV (metástase pulmonar) (13,1%). Os carcinomas foram classificados como de arranjo cístico-papilífero (34,2%), tubular (34,2%), túbulo-papilífero (18,42%) e sólido (10,52%). Os tumores foram fatiados e cultivados na ausência e presença de doxorrubicina (1 uM) por 24 horas e, para avaliação da resposta após o tratamento, procedeu-se à contagem do número de células nas amostras tratadas e não tratadas. O tratamento com doxorrubicina promoveu uma redução média do número de células de 13,6% e, nove amostras foram consideradas responsivas, enquanto 29 não responderam ao tratamento. Amostras de tumor mantidas em cultura na ausência de doxorrubicina tiveram seu RNA extraído para determinação da expressão dos genes alvo por meio de reação de transcrição reversa e da polimerase em cadeia do DNA em tempo real. A distribuição tridimensional das amostras, baseada na expressão dos trios de genes, não permitiu a classificação das amostras em responsivas e não responsivas. Logo, a combinação da expressão de três genes alvos, incluindo PRSS11, MTSS1, CLPTM1, SMYD2, NOTCH1 e RPL37A, não separou adequadamente os tumores responsivos e não responsivos neste modelo de carcinoma mamário canino, tratado in vitro com doxorrubicina. / Mammary gland tumors are the most common neoplasias of bitches and doxorubicin is one the mainstay drugs used in their treatment. Neoadjuvant chemotherapy with doxorubicin not only reduces the primary tumor as well as allows an in vivo evaluation of tumor response. Predictive markers of response, if identified, might allow a tailored treatment of each patient. In women with breast cancer submitted to neoadjuvant chemotherapy with doxorubicin, expression of groups of three genes, including PRSS11, MTSS1 and CLPTM1 and PRSS11, MTSS1 and SMYD2, classified the patients in responsive and resistant. Other genes differentially expressed between responsive and non-responsive tumors were NOTCH1 and RPL37A. We have then evaluated whether the expression of trios of these genes could allow the classification of tumors according to their response to chemotherapy, in another animal model constituted by mammary carcinoma of bitches, cultured as tissue slices and exposed to doxorrubicin in vitro. Culture of tissue slices preserves epithelial-mesenchymal interactions, in a similar way to that observed in vivo. Tumor samples were obtained from 38 canine patients treated at Hospital Veterinaria da Faculdade de Medicina Veterinária da Universidade Metodista de São Paulo (UMESP), São Bernardo do Campo, during mastectomy. Animal owners gave their informed consent to this study. Median age of patients was 10,4 years and 55% and 18,4% of them were mixed and poodle breed, respectively. Eight patients were previously spayed. Patients were classified in clinical stage III (39,47%), II (28,9%), I (18,4%) and IV (pulmonary metastasis only) (13,1%). Carcinomas were classified as cystic-papillary (34,2%), tubular (34,2%), tubular-papillary (18,42%) and solid (10,52%). Tumors were sliced and cultured in the absence or in the presence of doxorubicin (1 uM) for 24 hours and response evaluation was performed by cell counting of treated and untreated samples. Doxrubicin exposure promoted a mean reduction of 13,6% in the number and nine samples were considered responsive and 29 non-responsive. RNA was extracted from samples maintained in culture without doxorubicin and expression of target genes was evaluated by reverse transcription and real time polimerase chain reactions. Three-dimensional distribution of samples according to expression of groups of three genes could not separate responsive from non-responsive tumors. NOTCH1 and RPL37A expression was similar between responsive and resistant tumors but NOTCH1 was over expressed in poorly differentiated as compared to well differentiated carcinomas. Hence, expression of combination of three target genes, including, PRSS11, MTSS1, CLPTM1, SMYD2, NOTCH1 and RPL37A, could not correctly separate responsive from non-responsive tumors in this model of mammary carcinoma of canine species treated in vitro with doxorubicin.

Pas de résumé / Recently targeted therapies appeared as attractive alternatives to classical antitumoral treatments. The approach, developed on the concept of targeting drug to cancer cells, aims to spear normal tissues and decrease the side effects. This doctoral dissertation focuses on developing new anticancer targeted treatments in the field of chemotherapy and cancer immunotherapy by exploiting an original targeting moiety, the B subunit of Shiga toxin (STxB). Its specific properties, such as, recognition with its receptor Gb3 overexpressed in cancer cells or in antigen-presenting cells, its unconventional intracellular trafficking, guided the choice of this protein as targeting carrier. This project is based in the use of copper-free Huisgen [3+2] cycloaddition as a coupling method, which led to successful preparation of various conjugates for their respective applications. The concept was first validated by STxB-biotin conjugate. The high yield of the reaction and the compatibility between the targeting carrier and the chemical ligation promoted the design of conjugates for chemotherapy and immunotherapy. Two therapeutical optimizations of previously developed strategy in STxB drug targeting delivery were investigated: synthesis of multivalent drug-conjugates and synthesis of conjugates containing a highly potent anticancer agent. Both approaches exploited three anticancer agents: SN38, Doxorubicin and Monomethyl auristatin F. The disulfide spacer, combined with various self-immolative systems, insured drug release. Two cytotoxic conjugates STxB–doxorubicin (STxB-Doxo) and STxB-monomethyl auristatin F (STxB-MMAF) were obtained in very high yield and demonstrated strong tumor inhibition activity in the nanomolar range on Gb3-positive cells. Based on the results the STxB-MMAF conjugate was investigated on a mouse model. The project aimed also to develop STxB bioconjugates for vaccine applications. Previous studies used B subunit as a targeting carrier coupled to an antigenic protein in order to induce a more potent immune response against cancer. The conjugates were prepared using a commercial linker, requiring modifying the antigen at first place, or by oxime ligation, where slightly acidic conditions promoted the coupling. Thus, the work presented herein proposed an alternative ligation via copper-free click chemistry especially for more sensitive antigenic proteins. Various types of conjugates were synthesised and investigated for their immune stimulation properties. The STxB targeting strategy was also applied to the development of a new vaccine based on coupling the targeting carrier to alpha-GalCer, one of the most potent immune stimulating agents known. The work focused on the synthesis of functionalised alpha-Galcer with an azide handle.