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L'insuffisance rénale chronique (IRC) est associée à une importante morbidité et mortalité cardio-vasculaire, à laquelle participent la dysfonction endothéliale. Les patients IRC présentent de plus une susceptibilité accrue aux thromboses qu’elles soient veineuses ou artérielles. Les toxines urémiques sont des solutés s'accumulant dans le sérum et les tissus des patients IRC. Parmi elles, les toxines urémiques liées aux protéines ont une toxicité endothéliale démontrée in vitro. Nous avons démontré que l’indoxyl sulfate (IS) et l’indole acetic acide (IAA), deux toxines liées aux protéines provoquent un phénotype pro coagulant de cellules endothéliales en culture via une production accrue de facteur tissulaire (FT). Le facteur tissulaire est un facteur membranaire procoagulant qui initie la cascade de la coagulation en activant le facteur VII via la voie extrinsèque. Nous avons aussi démontré que la production de FT passe par une voie cellulaire préalablement connue pour son implication dans les processus de detoxification : la voie de l’aryl hydrocarbon receptor (AHR). Dans notre travail, nous montrons que l’IS et l’IAA ont un comportement similaire à l’intoxication par la dioxine. Le lien entre FT et AHR n’avait jamais été démontré auparavant. En conclusion, l’IS et l’IAA participent à la dysfonction endothéliale des patients IRC et à la surmortalité cardiovasculaire, en augmentant la production endothéliale de FT et ainsi en provoquant un phénotype pro coagulant des cellules endothéliales. La voie AHR constitue une cible thérapeutique très intéressante dans la problématique de la surmortalité cardiovasculaire des patients IRC. / Chronic kidney disease (CKD) is associated with significant morbidity and cardiovascular mortality, which involves chronic inflammation, oxidative stress and endothelial dysfunction. CKD patients have a higher risk of venous or arterial thrombosis compared to general population. Uremic toxins are molecules that accumulate in the serum and organs of CKD patients. Among them, protein-bound uremic toxins are poorly removed by dialysis, and their endothelial toxicity had been well demonstrated in vitro. In this thesis, we demonstrated that indoxyl sulfate (IS) and indole acetic acid (IAA ), two protein-bound toxins can cause a pro coagulant phenotype of cultured endothelial cells through an increased production of tissue factor (TF ) Tissue factor is a membrane procoagulant factor that initiates the coagulation cascade by activating factor VII via the extrinsic pathway. We also demonstrated that TF increase was produced via a cellular pathway previously known to be involved in the detoxification processes: the aryl hydrocarbon receptor pathway (AHR) . The canonical ligand of AHR is dioxin, well known for its cardiovascular adverse effects. In this work, we showed that IS and IAA had a “dioxin- like effect”. The link between FT and AHR had never been shown earlier. CKD constitutes an endogenous situation similar to dioxin poisoning. In conclusion, the IS and IAA are involved in endothelial dysfunction in CKD patients and cardiovascular mortality by increasing the endothelial production of TF and thus causing a pro- coagulant phenotype of endothelial cells. AHR pathway is a very interesting therapeutic target in the problematic of cardiovascular mortality in CKD patients .

Research on environmental relocation is scant and narrow, focusing on a few aspects of permanent relocation and social impacts of natural disasters. As a result, little is known about the long term social impacts of the Environmental Protection Agency's (EPA) environmental relocation policy. A combined conceptual and theoretical framework of Walter's placeways; Ullberg's disaster memoryscapes; Richardson's remembrance and memorialization; Dynes' social capital; and, Norris, Stevens, Pfefferbaum, Wyche, and Pfefferbaum's work on community resilience guided this phenomenological study with the purpose of better understanding competing and complementary roles of each of these constructs in the context of environmental relocation of one dioxin-contaminated community in Eastern Missouri. Data were collected from archival materials and interviews with 10 adults who were youth, teens, or young adults who lived in the community from 1970 through 1986. All data were coded and analyzed using Moustaka's reflective analysis procedure. Findings confirmed that the loss of place was most significant. The loss of place in this study refers to not only the physical relocation of all the residents of the entire community, but the razing of all the physical structures that were buried in a landfill. A state park was established where the community once existed. Future research to further extend the scholarship on environmental relocation could examine one or more of the other 18 contaminated communities relocated by the EPA to compare and contrast findings. Implications for social change include informing EPA policymakers, legislators, and officials about the long term social impacts in order to improve planning and implementation phases of environmental relocation.

Polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/Fs) are persistent organic pollutants of global concern as they are persistent, toxic and can biomagnify through the food chain. PCDD/Fs are generally regarded as trace contaminants in a number of chemical products and they are formed as by-products from various industrial, chemical and combustion processes. The pollution with PCDD/Fs occurs with the release of these chemicals into the environment, resulting in the contamination of various compartments including; air, soil, sediment and biota. Studies that have investigated the distribution of PCDD/Fs in the environment suggest that the highest concentrations of these pollutants are found in locations with a history of industrial or chemical PCDD/F sources. Queensland is the north-eastern state of Australia. Queensland has a low population density, few industrial activities and is considered predominantly rural. Therefore it was somewhat surprising that elevated concentrations of PCDD/Fs (in particular the higher chlorinated PCDDs) have been observed in soil and sediments samples collected from various locations along the Queensland coast. The concentrations of PCDDs in Queensland samples were comparable to or higher than concentrations in similar matrices from highly polluted regions elsewhere. To investigate the origin of PCDDs in Queensland, the geographical distribution of PCDD/Fs in topsoil was investigated in the coastal and inland environments to provide information on the potential sources and to estimate the extent of the PCDD contamination. Distinct east-west gradients were detected in topsoil collected from bushland areas across the state with elevated PCDD concentrations confined to the coastal region. Within the coastal region, the contamination could not be associated with specific land uses. In fact, the PCDD/F congener profile was similar in the majority of samples from the coastal region, with a dominance of the higher chlorinated PCDDs (in particular OCDD), whereas PCDFs were low or below the limit of detection. The similarity in the PCDD/F congener profiles in the soils along the coastal region indicated that a source of PCDDs of similar origin has resulted in the contamination of soil extending more than 3000 km and estimations suggest that more than 50 tonnes of OCDD is stored in the topsoil of Queensland.s coastal region. Investigation into the vertical distribution of PCDDs in Queensland coastal soils revealed elevated concentrations of PCDDs, (in particular OCDD) in soils to at least 3.5 m. These results indicated that the extent of the PCDD contamination is significantly greater than anticipated and it was estimated that there is in the order of 3 000 tonnes of OCDD stored in Queensland's coastal soils. The specific PCDD/F congener profile in Queensland coastal soils is unlike known PCDD/F source profiles which led to the suggestion that some yet unidentified formation mechanism may have resulted in the contamination. Potential natural sources of PCDD/Fs, including forest fires, geogenic and biogenic processes were assessed as possible origins for the PCDD contamination in Queensland. Elevated concentrations of PCDDs were detected in the atmosphere during a 'prescribed burn'. This study demonstrated that although forest fires influence atmospheric PCDD/F concentrations substantially, forest fires are not the source of PCDDs in Queensland; rather they are an important mechanism for the redistribution of PCDDs and may have attributed to the widespread PCDD contamination. In this study geological materials (oil shale and kaolin) were analysed as a proxy to assess a geogenic origin of PCDDs. Elevated concentrations of PCDDs were observed in the kaolin samples, however similar and higher concentrations were detected in surface and sub-surface soils, suggesting that specific geogenic formation processes investigated are not the source of PCDDs in Queensland. A preliminary indication for a biogenic origin of PCDDs was identified during the anaerobic incubation of sugarcane irrigation sediments. An increase in the concentration of OCDD in the anaerobic treatment, compared to the control was observed after incubation for 90 days. In these same experiments, a dechlorination of OCDD to lower chlorinated (1,4,6,9-substituted) PCDDs was also observed. Similar transformation processes were observed in other anaerobic environments in Queensland, which led to the suggestion that a biogenic formation of PCDDs (possibly from a precursor) may be responsible for the origin of PCDDs in Queensland.

Abstract Persistent organic pollutants (POPs) are ubiquitous and bioaccumulative man-made chemicals, resistant to chemical, biological and photolytic degradation and widely distributed to sediments, wildlife, and human. Many of these chemicals have adverse effects on a variety of targets, including the endocrine system, organogenesis and reproduction. Due to these effects and wide distribution, many of them are either banned or strictly controlled. However, because of persistency, they continue to interact with organisms globally. Despite the existing knowledge of the adverse effects of POPs, the effects of many chemicals on bone tissue are still poorly known. In the present study, we investigated the adverse effects of three common POPs, including tributyltin (TBT), 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) and perfluorooctanoic acid (PFOA) on the skeletal system. In vitro models were used to study the effects of PFOA in mouse and in human, and the co-effects of TBT and TCDD on differentiating osteoblasts and osteoclasts of mice. An in vivo model for mice was used to study the developmental effects of maternal PFOA-exposure on pups among with morphometrical and biomechanical property analyses. Mass-spectrometry was used to study the presence of PFOA in bones both in mice and in human, the latter acquired from the bone bank held in the Oulu University Hospital, Finland. The bones were also analyzed with cone beam computer tomography and microcomputer tomography. The results show that PFOA exposure in utero and during lactation leads to the accumulation of PFOA in bone, traceable even 17 months after exposure. PFOA exposure decreased the mineral density of the tibias and increased the medullary area. Nearly all of the human samples contained PFAS, including PFOA. PFOA also disturbed the differentiation of osteoblasts and with lower doses, increased bone resorption of osteoclasts both in mouse and human, the phenomenon being slightly stronger in mice. Co-exposure to TBT and TCDD led to decreased differentiation of osteoblasts and osteoclast, and the co-effect was partially synergistic in osteoblasts. These results show disruption of bone development, bone cell differentiation, and PFAS accumulation in bone. Further studies are recommended to evaluate the co-effects of different POPs and the possible effects of long-term accumulation of POPs in bone and other tissues. / Tiivistelmä Pysyvät orgaaniset ympäristömyrkyt (POP-yhdisteet) ovat kemikaaleja, jotka ovat levinneet ihmisen toiminnan seurauksena laajalle ympäristöön, sen eliöihin ja ihmisiin. Monilla POP-yhdisteillä on haitallisia vaikutuksia esimerkiksi hormonaaliseen toimintaan, elinten muodostukseen ja hedelmällisyyteen. Toksisten vaikutusten ja niiden yleisyyden vuoksi monien POP-yhdisteiden käyttö on joko rajattua tai kielletty kokonaan. Laajan levinneisyytensä ja hitaan puoliintumisaikansa takia POP-yhdisteet ovat kuitenkin edelleen vuorovaikutuksessa ympäristön ja sen eliöiden kanssa. POP-yhdisteiden luustovaikutuksista tiedetään edelleen vähän. Tässä väitöskirjassa tutkittiin kolmen yleisen POP-yhdisteen, tributyylitinan (TBT), 2,3,7,8-tetraklooridibentso-p-dioksiinin (TCDD) ja perfluoro-oktaanihapon (PFOA), vaikutuksia luustoon. PFOA:n vaikutuksia hiiren ja ihmisen luustoon sekä TBT:n ja TCDD:n yhteisvaikutuksia hiiren erilaistuvien osteoblastien ja osteoklastien suhteen selvitettiin in vitro -malleilla. In vivo -mallilla tutkittiin hiiriemon PFOA-altistuksen vaikutusta syntyvien poikasten luuston kehitykseen ja remodelaatioon analysoimalla poikkileikekuvia sekä luiden biomekaanisia ominaisuuksia. Lisäksi luiden PFOA-pitoisuudet mitattiin massaspektrometrilla. Tutkimusta laajennettiin ihmiseen analysoimalla Oulun yliopistollisen sairaalan luupankkinäytteitä. Ihmisnäytteet analysoitiin myös kartiokeila-TT:n ja mikro-TT:n avulla. Tulosten mukaan PFOA kertyy luuhun; hiiriltä voitiin mitata PFOA-pitoisuuksia jopa 17 kuukautta altistumisen jälkeen. Lisäksi PFOA-altistus pienensi luun mineraalitiheyttä ja kasvatti luuydinontelon tilavuutta. Lähes kaikki ihmisluunäytteet sisälsivät PFOA:ta ja muita PFAS-yhdisteitä. Solukokeiden perusteella PFOA-altistus häiritsee osteoblastien erilaistumista ja pienillä pitoisuuksilla lisää osteoklastien luunhajotusta sekä hiirellä että ihmisellä. TBT:n ja TCDD:n yhteisaltistus vaikuttaa puolestaan vähentävän sekä osteoblastien että osteoklastien erilaistumista ja toimintaa; osteoblastien osalta yhteisvaikutus oli osaksi synergistinen. Väitöskirja antaa lisätietoa POP-yhdisteiden vaikutuksista luun kehitykseen ja luusolujen erilaistumiseen sekä PFAS-yhdisteiden kertymisestä luuhun. Väitöksessä myös suositellaan lisätutkimuksia yhdisteiden yhteisvaikutuksista sekä pitkän aikavälin ympäristökemikaalikertymän vaikutuksista luussa ja muissa kudoksissa.

Le récepteur aux hydrocarbures aromatiques (AhR) est un facteur de transcription de la famille bHLH/PAS, activé par différents ligands exogènes dont les hydrocarbures aromatiques polycycliques ou halogénés (dioxines). A ce titre, il est décrit historiquement comme un récepteur de xénobiotiques dont le principal rôle est l’élimination de ces composés via la régulation des enzymes du métabolisme des xénobiotiques. Toutefois, des études récentes menées à l’aide de modèles souris invalidées pour le AhR, suggèrent indirectement que cette protéine régule des fonctions endogènes, notamment dans le système nerveux de mammifères dans lequel aucun rôle du AhR n’a jusqu’à présent été démontré. Nous avons donc utilisé le modèle de souris C57BL/6J AhR-/- pour mener à la fois des études comportementales et mécanistiques afin de déterminer ce rôle. Tout d’abord, nous avons identifié un défaut oculomoteur chez les souris AhR-/-, caractérisé par des mouvements spontanés horizontaux. En étudiant l’ensemble des circuits neurosensoriels potentiellement impliqués dans ce nystagmus pendulaire, nous avons montré que son origine est liée à des déficits du système visuo-moteur. De plus, en caractérisant et comparant les profils d’expression génique des cervelets de souris AhR+/+ et AhR-/- traitées ou non par de la 2,3,7,8 TétraChloroDibenzo-p-Dioxine (TCDD), nous avons montré que ce polluant, ligand du AhR, perturbait les fonctions endogènes du récepteur. Cet effet de « perturbation endogène » a été retrouvé dans un autre organe et est associé à une toxicité (fibrose hépatique). Cette étude a permis d’identifier de nouvelles fonctions physiologiques du AhR dans le système nerveux des souris, de caractériser un nouveau modèle animal de nystagmus pendulaire et ouvre de nouvelles perspectives de travail en neurotoxicologie. / The AhR is a basic helix-loop-helix Per/ARNT/Sim family (bHLH-PAS) transcription factor which is activated by many diverse compounds including polyphenols and aromatic hydrocarbons such as 2,3,7,8 TétraChloroDibenzo-p-Dioxin (TCDD). Initially, the AhR was described as a ubiquitous xenobiotic-activated transcription factor which promotes the elimination of xenobiotics by regulating the expression of genes involved in xenobiotic metabolism. However, mouse AhR knockout models have demonstrated that the AhR also regulates other normal physiological functions. In particular, functioning of the nervous system of mammals, previously unexplored in this respect, might depend upon the activity of the AhR. We, thus, performed behavioral and gene expression studies in AhR-/- mice to discover these functions. We, first, found that AhR-/- mice exhibit an oculomotor deficit which is characterized by spontaneous horizontal pendular eye movements that are probably due to a deficit in the visuo-motor circuitry. Second, we found that the cerebellar gene expression profiles of AhR-/- as compared to AhR+/+ mice resembled those of AhR+/+ mice treated with TCDD (the ligand with the highest affinity for the AhR). This suggests that TCDD disrupts some normal physiological functions of the AhR in the nervous system. Third, AhR-/- mice and AhR+/+ treated with TCDD both develop liver fibrosis. This further suggests a role for the AhR in normal liver function. In conclusion, this study reveals new physiological functions for the AhR in the mouse nervous system and describes a new model of pendular nystagmus. Moreover, the results also provide novel research perspectives in the field of neurotoxicology.

Yes / The aryl hydrocarbon receptor (AHR) mediates the toxic effects of dioxin (2, 3, 7, 8-tetrachlorodibenzo-p-dioxin; TCDD), which includes thymic atrophy, steatohepatitis, and a lethal wasting syndrome in laboratory rodents. Although the mechanisms of dioxin toxicity remain unknown, AHR signaling in hepatocytes is necessary for dioxin-induced liver toxicity. We previously reported that loss of TCDD-inducible poly(adenosine diphosphate [ADP]-ribose) polymerase (TIPARP/PARP7/ARTD14), an AHR target gene and mono-ADP-ribosyltransferase, increases the sensitivity of mice to dioxin-induced toxicities. To test the hypothesis that TIPARP is a negative regulator of AHR signaling in hepatocytes, we generated Tiparpfl/fl mice in which exon 3 of Tiparp is flanked by loxP sites, followed by Cre-lox technology to create hepatocyte-specific (Tiparpfl/flCreAlb) and whole-body (Tiparpfl/flCreCMV; TiparpEx3−/−) Tiparp null mice. Tiparpfl/flCreAlb and TiparpEx3−/− mice given a single injection of 10 μg/kg dioxin did not survive beyond days 7 and 9, respectively, while all Tiparp+/+ mice survived the 30-day treatment. Dioxin-exposed Tiparpfl/flCreAlb and TiparpEx3−/− mice had increased steatohepatitis and hepatotoxicity as indicated by greater staining of neutral lipids and serum alanine aminotransferase activity than similarly treated wild-type mice. Tiparpfl/flCreAlb and TiparpEx3−/− mice exhibited augmented AHR signaling, denoted by increased dioxin-induced gene expression. Metabolomic studies revealed alterations in lipid and amino acid metabolism in liver extracts from Tiparpfl/flCreAlb mice compared with wild-type mice. Taken together, these data illustrate that TIPARP is an important negative regulator of AHR activity, and that its specific loss in hepatocytes is sufficient to increase sensitivity to dioxin-induced steatohepatitis and lethality. / This work was supported by Canadian Institutes of Health Research (CIHR) operating grants (MOP-494265 and MOP-125919), CIHR New Investigator Award, an Early Researcher Award from the Ontario Ministry of Innovation (ER10-07-028), an unrestricted research grant from the DOW Chemical Company, the Johan Throne Holst Foundation, Novo Nordic Foundation and the Norwegian Cancer Society to J.M.

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