Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

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Ovarian cancer is the leading cause of gynecological cancer death in the United States. Even though no single genetic alteration can be attributed to all ovarian cancers, 90% of ovarian tumors express telomerase, a ribonucleoprotein that elongates telomeric (TTAGGG)n repeats de novo. In normal somatic cells, telomerase is absent. In cancer cells, the re-expression of telomerase allows senescence to be bypassed contributing to cellular immortalization, a key step for cellular transformation, making telomerase a potentially important target for therapeutic intervention. Ovarian cancer cells secrete vascular endothelial growth factor (VEGF) and lysophosphatidic acid (LPA) that feedback through their receptors present on ovarian cancer cells to promote cell growth. Since telomerase can be regulated by growth factors, I examined VEGF regulation of telomerase activity and the possible contribution of LPA as an upstream regulator of VEGF-mediated telomerase activity in ovarian cancer. My data reveal that both VEGF and LPA upregulate telomerase activity by ERK 1/2-dependent transcriptional activation within the -976 to the -378 bp hTERT promoter regions where Sp1 is one of the major mediators of VEGF- and LPA-induced transactivation of hTERT. It also identifies telomerase as a novel molecular target of LPA as well as a target of VEGF in non-endothelial cells. In addition I found that, vitamin E, a dietary supplement able to degrade and suppress LPA activity, consistently abrogrates LPA-mediated telomerase activity through transcriptional inhibition of the hTERT -976 to -578 bp promoter regions. Lastly, since epidermal growth factor (EGF) promotes ovarian surface epithelial (OSE) cell growth and EGF receptors are frequently constitutively activated in ovarian cancers, the potential contribution of EGF in the regulation of telomerase activity was also examined. While none of the ovarian cancer cell lines examined produced large amounts of EGF, EGF stimulation of telomerase activity was mediated by Sp1 and c-Myc transcription factors within the hTERT core promoter in an ERK 1/2 /Pyk2-dependent manner. In conclusion, my research shows differential regulation of telomerase activity by growth factor and/or anti-oxidant nutraceuticals. In the future, these factors may be exploited as adjuvant therapy for improved chemotherapeutic benefit to decrease the mortality associated with ovarian cancer.

<p>Tumour targeted radiotherapy is an appealing approach for treatment of disseminated tumour cells. A targeting agent that specifically binds to a structure on tumour cells is then used to transport therapeutically relevant radionuclides. The epidermal growth factor receptor, EGFR, is overexpressed on tumour cells in several malignancies, e.g. highly malignant gliomas. In this thesis, three types of radiolabelled EGF-conjugates, aimed for targeting to EGFR-expressing tumour cells, were developed and studied: EGF-dextran labelled with ¹²⁵I, EGF labelled with ²¹¹At, and two EGF-chelates, DTPA-EGF and Bz-DTPA-EGF, labelled with the radioactive metals ¹¹¹In and ¹⁷⁷Lu. </p><p>The targeting properties of radioiodinated EGF-dextran were first studied in cultured glioma cells. Radioiodine coupled to the dextran part of EGF-dextran was retained in cells appreciably longer than radioiodine coupled to EGF. This can give about 100 times increased radiation dose to tumour cells.</p><p>Targeting with ²¹¹At-EGF was investigated in combination with the tyrosine kinase inhibitor gefitinib (Iressa™, ZD1839). The uptake of ²¹¹At-EGF in EGFR-expressing tumour cells increased with increasing gefitinib concentrations. This was the case for both gefitinib-resistant and gefitinib-sensitive cell lines. The effect of the combined treatment on cell survival, however, differed between the cell lines in an unexpected way. In gefitinib resistant cells, combined treatment decreased cell survival approximately 3.5 times relative to ²¹¹At-EGF treatment alone. In gefitinib sensitive cells, however, combined treatment increased the cell survival (i.e. a protective effect).</p><p>The EGF-chelates studied ([¹¹¹In]DTPA-EGF, [¹¹¹In]Bz-DTPA-EGF and [¹⁷⁷Lu]Bz-DTPA-EGF) all bound specifically with high affinity (K_d≈2 nM) to EGFR on cultured glioma cells. They were internalised after binding, and the cellular retention of radionuclides was high (60% remained after 45 h). A biodistribution study in mice showed that liver and kidneys accumulated a majority of the radioactivity. The EGF-chelates bound EGFR specifically also <i>in vivo</i>. A tumour-to-blood ratio of 25 was achieved in a preliminary study.</p>

Tumour targeted radiotherapy is an appealing approach for treatment of disseminated tumour cells. A targeting agent that specifically binds to a structure on tumour cells is then used to transport therapeutically relevant radionuclides. The epidermal growth factor receptor, EGFR, is overexpressed on tumour cells in several malignancies, e.g. highly malignant gliomas. In this thesis, three types of radiolabelled EGF-conjugates, aimed for targeting to EGFR-expressing tumour cells, were developed and studied: EGF-dextran labelled with 125I, EGF labelled with 211At, and two EGF-chelates, DTPA-EGF and Bz-DTPA-EGF, labelled with the radioactive metals 111In and 177Lu. The targeting properties of radioiodinated EGF-dextran were first studied in cultured glioma cells. Radioiodine coupled to the dextran part of EGF-dextran was retained in cells appreciably longer than radioiodine coupled to EGF. This can give about 100 times increased radiation dose to tumour cells. Targeting with 211At-EGF was investigated in combination with the tyrosine kinase inhibitor gefitinib (Iressa™, ZD1839). The uptake of 211At-EGF in EGFR-expressing tumour cells increased with increasing gefitinib concentrations. This was the case for both gefitinib-resistant and gefitinib-sensitive cell lines. The effect of the combined treatment on cell survival, however, differed between the cell lines in an unexpected way. In gefitinib resistant cells, combined treatment decreased cell survival approximately 3.5 times relative to 211At-EGF treatment alone. In gefitinib sensitive cells, however, combined treatment increased the cell survival (i.e. a protective effect). The EGF-chelates studied ([111In]DTPA-EGF, [111In]Bz-DTPA-EGF and [177Lu]Bz-DTPA-EGF) all bound specifically with high affinity (Kd≈2 nM) to EGFR on cultured glioma cells. They were internalised after binding, and the cellular retention of radionuclides was high (60% remained after 45 h). A biodistribution study in mice showed that liver and kidneys accumulated a majority of the radioactivity. The EGF-chelates bound EGFR specifically also in vivo. A tumour-to-blood ratio of 25 was achieved in a preliminary study.

Les précurseurs neuraux adultes possèdent une plasticité cellulaire suggérant un rôle dans l'apparition de pathologies mais aussi un potentiel curatif inespéré. Cependant, l'emploi clinique de ces cellules nécessite une connaissance des mécanismes biologiques contrôlant leur prolifération, maturation ou spécification cellulaire. Dans cette thèse, nous avons étudié l'expression des protéines S100 A1 et B dans les cellules progénitrices d'oligodendrocytes (OPC) et les cellules souches astrocytaires. Nous avons démontré que <br />1) toutes les cellules gliales expriment précocement la S100A1 alors que la S100B est liée à leur maturation <br />2) la S100B régule la maturation des OPC <br />3) les cellules souches astrocytaires adultes sont maintenues dans un stade de développement immature (S100B-) grâce à l'EGF, afin de conserver leurs propriétés germinales.<br />Ces résultats démontrent un lien entre les protéines S100A1/B, la maturation des cellules gliales et leurs propriétés de différenciation cellulaire.

Contribuant à la pathophysiologie des maladies vasculaires comme dans le cas de l’hypertension, le remodelage vasculaire est associé à une altération de la croissance des cellules musculaires lisses vasculaires (CMLV) (prolifération, taille, etc.). Or la prolifération des CMLV est augmentée par les peptides vasoactifs tels que l’angiotensine II (AngII) et l’endothéline-1 (ET-1). Ces peptides étant surexprimés lors de l’hypertension, cette étude fut entreprise pour déterminer leur contribution endogène ainsi que celles du facteur de croissance épidermique (EGF), du facteur de croissance insulinique (IGF-1) et du facteur de croissance dérivé des plaquettes (PDGF) à la prolifération accrue des CMLV et aux mécanismes sous-jacents. Des CMLV A-10 et des CMLV de rats WKY et SHR âgés de 12 semaines ont été utilisées pour cette étude. La prolifération cellulaire fut déterminée par incorporation de [3H]thymidine. La phosphorylation de ERK 1/2 et du récepteur de EGF fut déterminée par immunobuvardage. Les CMLV de SHR, comparées à celles de WKY, ont montré une prolifération accrue qui fut atténuée par le losartan, un antagoniste du récepteur AT1 de l’AngII et par le BQ-123 et le BQ-788, antagonistes des récepteurs ETA et ETB de l’ET-1. La prolifération accrue des CMLV de SHR fut ramenée à celle des WKY par les inhibiteurs des récepteurs au PDGF (AG-1295), au IGF-1 (AG-1024) et au EGF (AG-1478). La phosphorylation du récepteur au EGF, accrue dans les CMLV de rats SHR comparée à celle des WKY, fut atténuée par le losartan, le BQ-123, le BQ-788 et l’AG-1478, mais ne fut pas atténuée par l’AG-1295 et l’AG-1024. De plus, la phosphorylation accrue de ERK 1/2 dans les CMLV de rats SHR fut atténuée par le losartan, le BQ-123, le BQ-788 et les inhibiteurs des récepteurs aux facteurs de croissance. Parallèlement, le rôle de la transactivation de EGF-R dans la prolifération accrue induite par AngII et ET-1 fut aussi examiné dans les CMLV A-10. L’augmentation, induite par AngII et ET-1, de la prolifération et de la phosphorylation de ERK 1/2 dans les CMLV A-10 fut ramenée au niveau contrôle par AG-1478. Ces données suggèrent que les peptides vasoactifs endogènes induisent la prolifération accrue des CMLV par la signalisation des MAP kinases résultant de la transactivation de EGF-R. / Vascular remodelling that contributes to the pathophysiology of vascular diseases, including hypertension, is associated with alteration in vascular smooth muscle cell (VSMC) growth, hypertrophy, etc. We have recently shown that vasoactive peptides such as angiotensin II (AngII) and endothelin-1 (ET-1) increased the proliferation of VSMC. Since the levels of AngII, ET-1 and growth factors are increased in hypertension, the present studies were undertaken to examine if these endogenous vasoactive peptides and growth factors contribute to the enhanced proliferation of VSMC in spontaneously hypertensive rats (SHR) and to further investigate the underlying mechanisms responsible for enhanced proliferation. A10 VSMC and aortic VSMC from 12 week old SHR and age-matched WKY rats were used for these studies. Cell proliferation was determined by [3H]thymidine incorporation and ERK ½ and growth factor receptor phosphorylation was determined by Western blotting. VSMC from SHR exhibited enhanced cell proliferation as compared to WKY as determined by enhanced [3H]thymidine incorporation which was attenuated by AngII AT1 receptor antagonist losartan, as well as by endothelin receptor ETA and ETB antagonists BQ-123 and BQ-788, respectively. The inhibitors of platelet derived growth factor receptor (PDGF-R); AG-1295, epidermal growth factor receptor (EGF-R); AG-1478, and insulin-like growth factor receptor (IGF-R); AG-1024 also attenuated the enhanced proliferation of VSMC from SHR to WKY control levels. In addition, VSMC from SHR exhibited enhanced phosphorylation of EGF-R as compared to WKY, which was attenuated by losartan, BQ-123, BQ-788 and AG-1478, and not by AG-1295 and AG-1024. Furthermore, the enhanced phosphorylation of ERK ½ in VSMC from SHR was also attenuated by losartan, BQ-123 and BQ-788 as well as by growth factor receptor inhibitors, AG-1478, AG-1024 and AG-1295. The implication of growth factor receptor transactivation in AngII and ET-1 induced enhanced cell proliferation was also examined in A10 VSMC. Ang II or ET-1 induced enhanced proliferation of A-10 VSMC and enhanced ERK ½ phosphorylation was also restored to control levels by EGF-R inhibitor. These data suggest that vasoactive peptide-induced growth factor receptor transactivation through MAP kinase signaling may contribute to the enhanced proliferation of VSMC from SHR.

Meningioma and glioma are the most common primary brain tumors, but their etiologies are largely unknown. Although meningioma is usually benign, their intracranial location can lead to lethal consequences, and despite progress in surgery, radiotherapy, and chemotherapy the prognosis for patients with glioma remains poor. The only well-established environmental risk factor for meningioma and glioma is ionizing radiation. Evidence for inherited predisposition to meningioma and glioma is provided by a number of rare inherited syndromes where collectively these diseases account for only a small proportion of the twofold increased risk of brain tumors seen in first-degree relatives for meningioma and glioma patients. It is very possible that much of the excess familial risk is a consequence of co-inheritance of multiple low-risk genetic variations. With this in mind, the aims of the studies in this thesis were to discover genetic risk variants influencing the probability of acquiring the disease and to identify the association between risk variants on the tumor phenotype. To identify genetic variants influencing meningioma risk, a comprehensive tagging of the selected genes in a case-control study was performed. We identified nine risk variants in EGF, ERBB2, and LRIG2 genes. However, these findings could not be confirmed in another larger independent dataset. In addition, the study identified a correlation between LRIG2 protein expression and ER status when analyzed with different parameters. In a separate study with a larger sample of meningioma patients, the same correlation between LRIG2 and ER status was observed. To explore the potential association between reported germline risk variants and somatic genetic events, matched tumor and blood samples from glioma patients were analyzed by SNP array. The results identified correlations between EGFR gene variants and somatic aberrations within the EGFR locus and CDKN2A/B locus. To further study the relationship between germline risk variants and tumor phenotype, the same patient material was used and analyzed by three different techniques: SNP array, IHC, and FISH. The results revealed EGFR risk variants effecting copy number variation of the EGFR gene and the expression of the IDH1 and p53. Further comparison between different techniques such as SNP array and FISH analysis revealed the difficulty in achieving consistent results with different techniques. To summarize, the glioma studies show a link between genotype and phenotype where genetic risk variants in the EGFR gene were found to be associated with specific somatic aberrations. These associations are biologically interesting because EGFR is involved in multiple cellular processes. Additional studies of the direct functional role of these observations need to be conducted to elucidate the molecular mechanisms underlying the identified association between germline gene variants and somatic aberrations. For the meningioma studies, no significant risk variants influencing the disease were found but a correlation between LRIG2 and ER status was observed. This result suggests a potential role for the LRIG protein in the pathogenesis of meningioma, but more studies are needed to confirm this hypothesizes. / <p>Cancer research foundation in northern Sweden and Lions cancer research foundation at Umeå university</p>

Dictyostelium discoideum is a social amoebozoan that is used a model system for studying a variety of cell and developmental processes, especially cell motility and chemotaxis. Genome analyses suggest that this model organism possesses a higher percentage of Epidermal Growth Factor (EGF)-like (EGFL) repeats than any other sequenced eukaryote, including humans. EGFL repeats share strong sequence similarity with EGF. In mammals, EGF binds to an EGF receptor (EGFR) to initiate intracellular signalling that regulates a diversity of cellular processes including cell motility and chemotaxis. Some EGFL repeats, like EGF, have also been shown to increase the rate of cell motility by binding to the EGFR and activating EGFR-dependent signalling. Despite their abundance in Dictyostelium, a function for EGFL repeats in this model eukaryote had not previously been studied. This thesis presents a collection of studies that investigated the function of a specific EGFL repeat from the extracellular, cysteine-rich, calmodulin (CaM)-binding protein CyrA. A synthetic peptide (DdEGFL1), equivalent in sequence to the first 18 amino acids of the first EGFL repeat (EGFL1) of CyrA, was shown to increase random cell motility and cAMP-mediated chemotaxis via a novel signalling pathway that did not require either of the two cAMP receptors that are active during early development of Dictyostelium. Several intracellular signalling components were identified and then incorporated into a model detailing the signal transduction regulating EGFL repeat-enhanced cell movement in Dictyostelium. Finally the expression, secretion, and localization of CyrA are presented to couple the findings from studies on DdEGFL1 function with those for the full-length protein. In mammals, a protein that localizes to the extracellular matrix (ECM) and modulates cellular processes by binding to a cell surface receptor and initiating intracellular signalling is termed a ‘matricellular’ protein. The research presented in this thesis suggests that CyrA is the first matricellular protein identified in Dictyostelium.

Dictyostelium discoideum is a social amoebozoan that is used a model system for studying a variety of cell and developmental processes, especially cell motility and chemotaxis. Genome analyses suggest that this model organism possesses a higher percentage of Epidermal Growth Factor (EGF)-like (EGFL) repeats than any other sequenced eukaryote, including humans. EGFL repeats share strong sequence similarity with EGF. In mammals, EGF binds to an EGF receptor (EGFR) to initiate intracellular signalling that regulates a diversity of cellular processes including cell motility and chemotaxis. Some EGFL repeats, like EGF, have also been shown to increase the rate of cell motility by binding to the EGFR and activating EGFR-dependent signalling. Despite their abundance in Dictyostelium, a function for EGFL repeats in this model eukaryote had not previously been studied. This thesis presents a collection of studies that investigated the function of a specific EGFL repeat from the extracellular, cysteine-rich, calmodulin (CaM)-binding protein CyrA. A synthetic peptide (DdEGFL1), equivalent in sequence to the first 18 amino acids of the first EGFL repeat (EGFL1) of CyrA, was shown to increase random cell motility and cAMP-mediated chemotaxis via a novel signalling pathway that did not require either of the two cAMP receptors that are active during early development of Dictyostelium. Several intracellular signalling components were identified and then incorporated into a model detailing the signal transduction regulating EGFL repeat-enhanced cell movement in Dictyostelium. Finally the expression, secretion, and localization of CyrA are presented to couple the findings from studies on DdEGFL1 function with those for the full-length protein. In mammals, a protein that localizes to the extracellular matrix (ECM) and modulates cellular processes by binding to a cell surface receptor and initiating intracellular signalling is termed a ‘matricellular’ protein. The research presented in this thesis suggests that CyrA is the first matricellular protein identified in Dictyostelium.