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京都大学 / 新制・課程博士 / 博士(医科学) / 甲第23815号 / 医科博第136号 / 新制||医科||9(附属図書館) / 京都大学大学院医学研究科医科学専攻 / (主査)教授 山下 潤, 教授 遊佐 宏介, 教授 伊藤 貴浩 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

<p>Epithelial-mesenchymal transition (EMT) is a pathological process leading to the formation of anterior subcapsular cataract (ASC). Mediated by transforming growth factor beta (TGFβ), EMT involves the transformation of the monolayer of lens epithelial cells (LECs) into spindle-shaped myofibroblasts, which manifest as plaques directly beneath the lens capsule. TGFβ-induced EMT leading to ASC has been associated with the upregulation of two specific matrix metalloproteinases (MMPs), MMP-2 and MMP-9. Having identified MMP-2 and MMP-9 as participants in the formation of cataracts, the specific roles of either of these MMPs have yet to be determined.</p> <p>The current study utilized MMP-2 and -9 knockout (KO) mice to determine their unique roles in TGFβ-induced EMT. First, adenoviral injection of active TGFβ1 into the anterior chamber of MMP-2 KO mice led to the formation of distinct αSMA-positive anterior subcapsular plaques, in contrast to treated MMP-9 KO eyes, which were resistant. Additionally, an <em>ex vivo </em>mouse LEC explant system was established in these KO lines. In the isolated lens epithelial explants, TGFβ triggered a transformation of LECs from a tightly packed cuboidal monolayer to an elongated mesenchymal phenotype. This process involved a disruption in epithelial cell contacts indicated by a loss of E-cadherin, and an acquisition of myofibroblast marker, αSMA. In the absence of MMP-2, TGFβ was still able to induce EMT with E-cadherin loss and concurrent αSMA expression. In contrast, LEC explants from MMP-9 KO mice treated with TGFβ did not acquire a characteristic spindle-like phenotype and showed substantially less αSMA expression. Results from both of these approaches were consistent; MMP-2, but not MMP-9, KO mice stimulated with TGFβ exhibited phenotypic changes typical of those described in ASC formation, namely a loss in cell attachments, multilayering of previously epithelial-like cells, and αSMA reactivity. Therefore, while MMP-2 is not necessary, MMP-9 is critical to TGFβ-induced EMT in LECs.</p> / Master of Science (MSc)

<p>Based on the cancer stem cell (CSC) model, tumors develop as a hierarchy, much like normal tissue. At the apex, CSCs are capable of self-renewal and differentiating into non-tumorigenic cells that form the bulk of the tumor. CSCs have been isolated for many types of cancer based on cell surface marker expression. For instance in human breast carcinoma, the CD44+ CD24-/low EpCAM+ population are enriched in CSCs. These cells are more resistant to traditional chemo and radiation therapy relative to the bulk of the tumor. As such, many believe CSCs to be responsible for relapse and metastasis events. Hence, a more targeted therapy towards breast CSCs can prove to be very effective. EpCAM has been shown to be a reliable, albeit not exclusive, marker of breast CSCs. A more thorough understanding of EpCAM’s function can provide new angles for designing therapeutic agents. Originally thought to be a mere adhesion molecule, EpCAM is now known to derive a signalling pathway that promotes transcription in its target genes. We aimed to provide further insight into this novel pathway, by manipulating EpCAM’s expression and function in MCF7 breast cancer cell line. We designed a dominant negative allele of the EpCAM protein to hinder the activity of the endogenous EpCAM. However, this transgene offered no significant effect on our cell line. Furthermore, we used RNA interference technology to reduce EpCAM expression. The introduction of the EpCAM short hairpin RNA constructs into our cell line had inhibitory effects on transcription reporter expression, cellular growth, adherent colony and unattached sphere formation. The inhibition of EpCAM in MCF7 spheres was followed by signs of cell death, differentiation and an epithelial mesenchymal transition process. Sphere cultures are used because they are enriched in cancer stem cells. The adverse effects of EpCAM inhibition in MCF7 spheres provides further evidence as to the role of this protein in cancer stem cells.</p> / Master of Science (MSc)

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Différentes études ont montré que les facteurs liés au mode de vie, de même que le vieillissement ou l’amélioration des tests de diagnostic et de screening, ne peuvent à eux seuls expliquer l’incidence croissante des cancers dans les pays dits industrialisés. Bien que des changements de comportements aient conduit à une diminution du nombre de cancers en France, l’incidence des carcinomes hépatocellulaires est toujours en augmentation. D’autres facteurs oncogéniques, tels que l’exposition à des cancérogènes de l’environnement pourraient intervenir. Parmi ceux-ci, les hydrocarbures aromatiques polycycliques (HAP), dont le benzo[a]pyrène (B[a]P) est le chef de file, et qui sont retrouvés notamment dans la fumée de cigarette, les gaz d’échappements ou les aliments grillés, constituent une priorité en termes de santé publique du fait de leurs effets cancérogènes. Une caractéristique-clé commune à tous les cancers a trait à leur métabolisme énergétique particulier, basé sur la glycolyse. Cependant, rien n’est connu quant à une possible reprogrammation métabolique due aux HAP. L’objectif global de mon projet de thèse a donc été d’étudier l’impact in vitro du B[a]P, utilisé à faible concentration, sur le métabolisme énergétique, de préciser le rôle de la reprogrammation métabolique dans le contrôle de la balance survie/apoptose par le B[a]P et de caractériser les mécanismes cellulaires et moléculaires impliqués. Nous avons d’abord identifié une production de monoxyde d’azote (NO) résultant de l’activation de la iNOS par le B[a]P, et agissant comme un signal de survie, possiblement via une hyperpolarisation mitochondriale. Nous avons ensuite démontré que le B[a]P induit une reprogrammation métabolique des cellules en favorisant un métabolisme glycolytique au détriment de la phosphorylation oxydative. Enfin, nous avons identifié IF1, l’inhibiteur physiologique de la F0F1ATPase, comme une nouvelle cible des HAP, participant à la reprogrammation métabolique et capable de promouvoir la survie sous l’effet du B[a]P. Au total, nous montrons que ces altérations du métabolisme mitochondrial promues par le B[a]P, sont à l’origine de signaux de survie dans notre modèle de cellules épithéliales hépatiques F258. Ces mécanismes pourraient ainsi contribuer à la progression tumorale sous l’effet des HAP. / Various studies have shown that factors related to lifestyle (smoking, diet, etc.), as well as aging or even the improved efficiency of diagnostic and screening tests, cannot explain by themselves the rising incidence of cancers in the industrialized countries. Although evolution of behaviors has helped reducing the number of cancers in France, the incidence of hepatocellular carcinomas is still increasing. This alarming result could be related to other oncogenic factors such as chronic exposure to environmental carcinogens. Among these compounds, polycyclic aromatic hydrocarbons (PAHs), including benzo[a]pyrene (B[a]P), the prototype carcinogen of this family, especially found in cigarette smoke, exhaust fumes or grilled food, are a priority in terms of public health due to their high carcinogenic potential. A key feature of cancer cells is related to their predominant glycolytic metabolism. However, nothing is known yet about a possible metabolic reprogramming upon PAH exposure. My PhD project has aimed at characterizing the impact of a low B[a]P concentration on energy metabolism, at clarifying the role of such a metabolic reprogramming in cell fate determination, and at elucidating the cellular and molecular basis of this phenomenon. We first identify a production of nitric oxide (NO), involving the activation of iNOS by B[a]P, and acting as a survival signal. We then demonstrate that B[a]P induces a metabolic reprogramming, thus promoting a glycolytic metabolism at the expense of oxidative phosphorylation. Finally, we identify IF1, the physiological inhibitor of the F0F1ATPase as a new target of PAHs, which participates in the B[a]P-elicited metabolic reprogramming and survival. To sum up, we identify new alterations of mitochondrial metabolism, acting as survival signals in B[a]P-treated rat hepatic epithelial F258 cells. These mechanism could therefore contribute to tumor progression.

La voie de signalisation du récepteur des androgènes (RA) est la principale cible thérapeutique des cancers de la prostate métastatiques. Toutefois, l'émergence de variants constitutivement actifs du RA dépourvus de leur partie C-terminale conduit à une résistance au traitement. Pendant ma thèse, j'ai montré que les variants du RA induisent une transition épithélio-mésenchymateuse (EMT) partielle, un phénomène observé lors de la progression tumorale. J'ai ensuite étudié les mécanismes conduisant à cette expression différentielle de marqueurs de l’EMT en me focalisant sur la N-cadhérine (CDH2). Le RA entier (AR-FL) et les variants du RA interagissent tous les deux au niveau des éléments de réponse aux androgènes dans l'intron1 de CDH2. Cependant, une augmentation du niveau d’acétylation des histones est observée uniquement avec les variants du RA. Mes données nous mène à un modèle où l'AR-FL réprimerait l'expression de CDH2 alors que les variants du RA induiraient son expression. / Androgen receptor (AR) pathway is the main therapeutic target for metastatic prostate cancer (Pca).However, the expression of AR variants lacking the carboxy-terminal end lowers therapy efficacy. During myphD, I showed that AR variants induce a partial epithelial-mesenchymal transition (EMT), a phenomenon observed during tumor progression. To understand the mode of action of AR variants, I explored the mechanisms leading to this differential expression of EMT markers focusing my research on N-cadherin(CDH2). While both the full length AR (AR-FL) and AR variants could interact with androgen response elements present in intron 1 of CDH2, I highlighted that they had opposite effects concerning histone modifications. Indeed, increased histone acetylation in this genomic region was observed only in the presence of AR variants. My data lead us to propose a model in which AR-FL represses CDH2 gene, while AR variants favor its expression.