<p>U&nbsp; radu&nbsp; su&nbsp; ostvarene&nbsp; vi&scaron;efazne&nbsp; sinteze&nbsp; većeg&nbsp; broja&nbsp; analoga&nbsp; prirodnih&nbsp; stiril-laktona&nbsp; (+)-goniofufurona&nbsp; i&nbsp; 7-epi-(+)-goniofufurona&nbsp; polazeći&nbsp; iz&nbsp; D-glukoze.<br />Ispitana&nbsp; je&nbsp; in&nbsp; vitro&nbsp; citotoksičnost&nbsp; sintetizovanih&nbsp; analoga&nbsp; prema&nbsp; devet<br />malignih&nbsp; i&nbsp; jednoj&nbsp; zdravoj&nbsp; ćelijskoj&nbsp; liniji.&nbsp; Uspostavljeni&nbsp; su&nbsp; korelacioni&nbsp; odnosi<br />izmedju&nbsp; strukture&nbsp; i&nbsp; antiproliferati vne&nbsp; aktivnosti&nbsp; sintetizovanih&nbsp; proizvoda, pored&nbsp; toga&nbsp; uradjeni&nbsp; su&nbsp; i&nbsp; dodatni&nbsp; biolo&scaron;ki&nbsp; testovi&nbsp; koji&nbsp; se&nbsp; odnose&nbsp; na dokazivanje&nbsp; mehanizma&nbsp; citotoksičnog&nbsp; dejstva&nbsp; pomenutih&nbsp; stiril-laktona&nbsp; i analoga.</p> / <p>Multistep&nbsp; synthesis&nbsp; of&nbsp;&nbsp; a&nbsp; number&nbsp; of&nbsp; natural&nbsp; styryl&nbsp; lactones&nbsp;goniofufurone&nbsp; and&nbsp; 7-epi-goniofufurone&nbsp; analogues&nbsp; was&nbsp; achieved&nbsp;starting&nbsp; f rom&nbsp; D-glucose.&nbsp; In&nbsp; vitro&nbsp; cytotoxicity&nbsp; of&nbsp; newly&nbsp; synthetized analogues&nbsp; against&nbsp; nine&nbsp; human&nbsp; tumour&nbsp; cell&nbsp; lines&nbsp; and&nbsp; against&nbsp; a single normal cell line was evaluated. Structure-activity relationships were&nbsp; established&nbsp; for&nbsp; both&nbsp; natural&nbsp; products&nbsp; and&nbsp; analogues.&nbsp; Some additional&nbsp; biological&nbsp; tests&nbsp; related&nbsp; to&nbsp; the&nbsp; cell mechanisms&nbsp; underlying the&nbsp; cytotoxicity&nbsp; of&nbsp;&nbsp; the&nbsp; mentioned&nbsp; styryl&nbsp; lactones&nbsp; and&nbsp; analogues, were also carried out.</p>

O câncer configura uma das maiores causas de mortalidade no mundo, caracterizando-se como uma doença complexa orquestrada por alterações genômicas e epigenômicas capazes de alterar a expressão gênica e a identidade celular. Nova evidência obtida por meio de um estudo genômico em larga escala e cujos dados encontram-se disponíveis no banco público do TCGA sugere que um em cada dez pacientes portadores de câncer pode ser classificado com maior eficácia tendo como base a taxonomia molecular quando comparada à histologia. Dessa maneira, nós hipotetizamos que o estabelecimento de mapas genômicos exibindo a localização de sítios de ligação de fatores de transcrição combinada à identificação de regiões diferencialmente metiladas e perfis alterados de expressão gênica possa nos auxiliar a caracterizar e explorar, ao nível molecular, fenótipos associados ao câncer. Avanços tecnológicos e bancos de dados públicos a exemplo do The Cancer Genome Atlas (TCGA), The Encyclopedia of DNA Elements (ENCODE) e o NIH Roadmap Epigenomics Mapping Consortium (Roadmap) têm proporcionado um recurso inestimável para interrogar o (epi)genoma de linhagens de células tumorais em cultura, bem como de tecidos normais e tumorais em alta resolução. Todavia, a informação biológica encontra-se armazenada em diferentes formatos e não há ferramentas computacionais para integrar esses dados, evidenciando um cenário atual que requer, com urgência, o desenvolvimento de ferramentas de bioinformática e softwares capazes de direcionar a solução deste obstáculo. Nesse contexto, o objetivo principal deste estudo consiste em implementar o desenvolvimento de ferramentas de bioinformática, na linguagem de programação R que, ao final do estudo, será submetido à comunidade científica do projeto Bioconductor sob a licença de código aberto GNU GPL versão 3. Além disso, ajudaremos nossos colaboradores com o aperfeiçoamento do ELMER, um pacote R/Bioconductor que identifica elementos reguladores usando dados de expressão gênica, de metilação do DNA e análise de motivo. Nossa expectativa é que essas ferramentas possam automatizar com acurácia a pesquisa, o download e a análise dos dados (epi)genômicos que se encontram atualmente disponíveis nas bases de dados públicas dos consórcios internacionais TCGA, ENCODE e Roadmap, além de integrá-los facilmente aos dados genômicos e epigenômicos gerados por pesquisadores por meio de experimentos em larga escala. Além disso, realizaremos também o processamento e a análise manual dos dados que serão automatizados pelas ferramentas, visando validar sua capacidade em descobrir assinaturas epigenômicas que possam redefinir subtipos de câncer. Por xi fim, as usaremos para investigar as diferenças moleculares entre dois subgrupos de gliomas recentemente descobertos por nosso laboratório. / Cancer, which is one of the major causes of mortality worldwide, is a complex disease orchestrated by aberrant genomic and epigenomic changes that can modify gene regulatory circuits and cellular identity. Emerging evidence obtained through high-throughput genomic data deposited within the public TCGA international consortium suggests that one in ten cancer patients would be more accurately classified by molecular taxonomy versus histology. Therefore, we have hypothesized that the establishment of genome-wide maps of the de novo DNA binding motifs localization coupled with differentially methylated regions and gene expression changes might help to characterize and exploit cancer phenotypes at the molecular level. Technological advances and public databases like The Cancer Genome Atlas (TCGA), The Encyclopedia of DNA Elements (ENCODE), and The NIH Roadmap Epigenomics Mapping Consortium (roadmap) have provided unprecedented opportunities to interrogate the epigenome of cultured cancer cell lines as well as normal and tumor tissues with high resolution. Markedly however, biological information is stored in different formats and there is no current tool to integrate the data, highlighting an urgent need to develop bioinformatic tools and/or computational softwares to overcome this challenge. In this context, the main purpose of this study is the development of bioinformatics tools in R programming language that will be submitted to the larger open-source Bioconductor community project under the GNU GPL3 (General Public License version 3). Also, we will help our collaborators improve of the R/Bioconductor ELMER package that identifies regulatory enhancers using gene expression, DNA methylation data and motif analysis. Our expectation is that these tools can effectively automate search, retrieve, and analyze the vast (epi)genomic data currently available from TCGA, ENCODE, and Roadmap, and integrate genomics and epigenomics features with researchers own high-throughput data. Furthermore, we will also navigate through these data manually in order to validate the capacity of these tools in discovering epigenomic signatures able to redefine subtypes of cancer. Finally, we will use them to investigate the molecular differences between two subgroups of gliomas, one of the most aggressive primary brain cancer, recently discovered by our laboratory.

Introdução - A preocupação com a qualidade e disseminação dos dados em inquéritos é crescente no mundo. A integração entre banco de dados, planejamento da amostra, questionário e entrada de dados é fundamental para que resultados observados sejam válidos e precisos. A bibliografia pesquisada apontou que os inquéritos raramente produzem arquivos organizados, padronizados e prontos para disseminação, o que impossibilita estudar diferentes objetos de investigação com base em informações já coletadas. Objetivos - Implementar modelo hierárquico para entrada de dados em inquéritos epidemiológicos. Métodos - Foi utilizada a UML (Linguagem de Modelagem Unificada) para o projeto lógico e o Makeview do Epi Info para obtenção das estruturas de dados. Os testes foram feitos em um setor censitário do inquérito Acesso a Medicamentos - FAPESP. A documentação foi gerada no Makeview com ajuda de uma macro do Excel. Resultados - O modelo permite criar arquivos relacionais flexíveis, conforme a necessidade do objeto de estudo, com unidades estatísticas escolhidas dentre os 4 níveis hierárquicos: setor censitário, domicílios, indivíduos e questões específicas. Conclusão - A possibilidade de criar infinitas visões sobre os dados representa um avanço em comparação com o modelo plano. Deve ser usado como padrão em inquéritos epidemiológicos, pois permite estudar o efeito de conglomeração das unidades de análise, além de viabilizar a disseminação com dados organizados. O Epi Info pode ser usado para implementar modelos hierárquicos que considerem as variáveis do plano amostral. / Introduction - Concern about the quality and data dissemination in surveys is growing in the world. The integration between database, sample planning, questionnaire and data entry is fundamental to the accuracy and validity of the results. The bibliography showed that investigations rarely produce organized files, standardized and ready to dissemination, which makes impossible the study of various investigation objects based on information already collected. Goals - Implement hierarchical model for data entry in epidemiological surveys. Methods - It was used the UML (Unified Modeling Language) for the logical project and the Epi Info Makeview to obtain the data files. The tests were made in a census block of the Access to Medicines - FAPESP survey. The documentation was generated in Makeview with help of an Excel macro. Results - The model allows you to create flexible relational files, as the need to study subject, with statistical units chosen amongst the 4 hierarchical levels: census blocks, households, individuals and specific issues. Conclusion - The ability to create infinite views on the data represents a breakthrough in comparison to the flat files. It should be used as standard in epidemiological surveys, it allows studying the effect of conglomeration of analysis\' units, besides enabling the dissemination with organized data. The Epi Info can be used to implement hierarchical models that consider the variables of a sampling plan.

Les recommandations de l’OMS sur la prise en charge des enfants nés de mères infectées par le VIH évoluent en fonction des nouvelles données scientifiques souvent issues d’essais thérapeutiques. Leur application en routine, surtout dans les pays à ressources limitées, devrait prendre en compte les contraintes opérationnelles locales pour guider les pratiques. Ce travail de thèse a été développé dans cette optique, avec pour objectif d’évaluer l’ensemble du processus de prise en charge de ces enfants avant l’âge de sept mois, depuis le dépistage précoce de l’infection VIH jusqu’à la mise en œuvre du traitement antirétroviral (ARV) systématiquement proposé dès le diagnostic de l’infection VIH, et leurs réponses aux vaccins administrés dans le Programme Elargi de Vaccination (PEV). Ce travail est issu de l’analyse des données collectées dans deux enquêtes : la cohorte ANRS-PEDIACAM initiée en 2007 et toujours en cours, menée dans trois hôpitaux urbains du Cameroun, et l’enquête transversale ACIP-EPIPEV, menée de novembre 2004 à Mai 2005 dans cinq hôpitaux du Cameroun et de la République Centrafricaine. Nos résultats ont montré que le diagnostic précoce du VIH et l’initiation des ARV chez les nourrissons étaient faisables et largement acceptés en routine dans les services de pédiatrie urbains. Parmi les nourrissons nés de mères séropositives inclus dans PEDIACAM, 89,7% ont été ramenés pour le test VIH à un âge médian de 1,5 mois (IQ : 1,4-1,6) et 83,9% ont complété le processus de diagnostic en revenant chercher les résultats du test avant l’âge de 7 mois. Les facteurs associés au processus incomplet reflétaient plus la qualité des soins prénataux et l’urgence du contexte obstétrical que les conditions environnementales. Parmi les nourrissons infectés par le VIH, 83,5% ont initié les ARV avant l’âge de 7 mois. Mais le processus d’initiation précoce des ARV a été considéré comme suboptimal chez environ un tiers d’entre eux. Les facteurs associés à ce retard étaient liés au système de soins, à la gestion des prélèvements et des résultats du test VIH. Enfin, dans l’étude EPIPEV, nous avons observé des proportions plus faibles de réponses vaccinales adéquates chez les enfants infectés que non infectés par le VIH, nés de mères séropositives. Cette différence était plus marquée pour le vaccin contre la rougeole (20% vs 60%). Le niveau de réponse observé chez les enfants non infectés nés de mères séropositives était néanmoins faible par rapport à celui attendu chez les enfants en population générale. Ce dernier résultat suggérerait que l’exposition au VIH pendant la grossesse pourrait entrainer un dysfonctionnement immunologique, même en l’absence de transmission du VIH à l’enfant. L’ensemble de ces travaux nous ont permis de cibler certains aspects pour améliorer le processus de prise en charge précoce des nourrissons exposés au VIH, portant sur l’organisation des sites, l’application effective des recommandations établies et la mise en place d’une coordination active. / The world health organization (WHO) recommendation updates regarding care of HIV-infected children reflects new scientific findings in clinical trials. Their implementation in routine practice, especially in resource-limited countries, should consider local operational constraints in order to direct good clinical practice guidelines. We put in place this work in order to evaluate the early care process of HIV-exposed infants aged less than 7 months including: early diagnosis of HIV, initiation of antiretroviral therapy (ART), and immune responses to vaccines administered by the Expanded Program on Immunization (EPI). Our data were collected from two surveys: the current ANRS-PEDIACAM cohort which started in 2007, in three urban hospitals located in Cameroon, and the ACIP-EPIPEV cross sectional study conducted from November 2004 to May 2005, in five urban hospitals based in Cameroon and the Central African Republic. Our results strongly suggested that both early HIV diagnosis and initiation of ART in infants were feasible and well accepted in “real pediatric world urban settings”. Among HIV-exposed infants enrolled in the PEDIACAM study, 89.7% were tested for HIV at a median age of 1.5 months and 83.9% completed the process by returning for the result before 7 months of age. Incomplete process was associated to factors related to the quality of antenatal care and obstetrical emergency than environmental ones. Among HIV-infected infants identified, 83.5% started ART before 7 months of age. However, ART initiation was considered as suboptimal in approximately one third of them. Risk factors associated with this delay were related to the care delivery system, including delays in sample collection and turn around procedures. Finally, the EPIPEV study showed that antibody levels to EPI vaccines in HIV-uninfected children born to HIV-infected mothers were higher compared to levels in HIV-infected children (60% vs 20% concerning measles vaccine), but lower than the levels described for children born to HIV-uninfected mothers. This result suggested an immunological dysfunction of HIV-exposed children which occurred during pregnancy and could affect their survival. Overall, our studies contributed in providing findings that could help in improving early care in HIV-exposed infants. These include the structural and functional organization of health structures, the effective implementation of current recommendations, and of active coordination.

Introdução - A preocupação com a qualidade e disseminação dos dados em inquéritos é crescente no mundo. A integração entre banco de dados, planejamento da amostra, questionário e entrada de dados é fundamental para que resultados observados sejam válidos e precisos. A bibliografia pesquisada apontou que os inquéritos raramente produzem arquivos organizados, padronizados e prontos para disseminação, o que impossibilita estudar diferentes objetos de investigação com base em informações já coletadas. Objetivos - Implementar modelo hierárquico para entrada de dados em inquéritos epidemiológicos. Métodos - Foi utilizada a UML (Linguagem de Modelagem Unificada) para o projeto lógico e o Makeview do Epi Info para obtenção das estruturas de dados. Os testes foram feitos em um setor censitário do inquérito Acesso a Medicamentos - FAPESP. A documentação foi gerada no Makeview com ajuda de uma macro do Excel. Resultados - O modelo permite criar arquivos relacionais flexíveis, conforme a necessidade do objeto de estudo, com unidades estatísticas escolhidas dentre os 4 níveis hierárquicos: setor censitário, domicílios, indivíduos e questões específicas. Conclusão - A possibilidade de criar infinitas visões sobre os dados representa um avanço em comparação com o modelo plano. Deve ser usado como padrão em inquéritos epidemiológicos, pois permite estudar o efeito de conglomeração das unidades de análise, além de viabilizar a disseminação com dados organizados. O Epi Info pode ser usado para implementar modelos hierárquicos que considerem as variáveis do plano amostral. / Introduction - Concern about the quality and data dissemination in surveys is growing in the world. The integration between database, sample planning, questionnaire and data entry is fundamental to the accuracy and validity of the results. The bibliography showed that investigations rarely produce organized files, standardized and ready to dissemination, which makes impossible the study of various investigation objects based on information already collected. Goals - Implement hierarchical model for data entry in epidemiological surveys. Methods - It was used the UML (Unified Modeling Language) for the logical project and the Epi Info Makeview to obtain the data files. The tests were made in a census block of the Access to Medicines - FAPESP survey. The documentation was generated in Makeview with help of an Excel macro. Results - The model allows you to create flexible relational files, as the need to study subject, with statistical units chosen amongst the 4 hierarchical levels: census blocks, households, individuals and specific issues. Conclusion - The ability to create infinite views on the data represents a breakthrough in comparison to the flat files. It should be used as standard in epidemiological surveys, it allows studying the effect of conglomeration of analysis\' units, besides enabling the dissemination with organized data. The Epi Info can be used to implement hierarchical models that consider the variables of a sampling plan.

Les jasmonates de méthyle sont des oxylipines asymétriques impliquées dans les mécanismes de défense, de développement et de régulation des organismes photosynthétiques terrestres ou marins face à des stress biotiques et abiotiques. Parmi les quatre stéréoisomères, seuls l’épi-jasmonate et l’ent-épi-jasmonate de méthyle possèdent de bonnes propriétés organoleptiques mais aussi une forte activité phytohormonale permettant l’élicitation de métabolites secondaires bioactifs. En ciblant spécifiquement une hexokinase mitochondriale régulant le métabolisme des cellules cancéreuses, les jasmonates de méthyle constituent d’excellents candidats pour de nouveaux agents thérapeutiques. Dans la recherche constante de nouvelles molécules thérapeutiques issues du milieu naturel, notre laboratoire s’est donc focalisé sur la synthèse énantiosélective de l’épi-jasmonate et l’ent-épi-jasmonate de méthyle, au départ de diols bicycliques homochiraux monoprotégés dérivant du cyclooct-1,5-diène.Afin d’obtenir ces diols bicycliques énantiopurs, une stratégie innovante a consisté en l’étude de la réaction d’électrocyclisation du méso-époxyde dérivé du cyclooct-1,5-diène assistée par des ligands chiraux métallés diversement fonctionnalisés, les catalyseurs de Jacobsen. En mettant à profit notre savoir-faire sur les désymétrisations enzymatiques, une stratégie parallèle optant pour la résolution énantiosélective de diols homochiraux monocycliques, ou de diols bicycliques C2-symétriques nous a permis d’accéder à des silanyloxyindèn-5-ones chirales, précurseurs clé des cis-jasmonates de méthyle énantiopurs. Enfin, la synthèse racémique de deux jasmonoïdes clé, la (±)--jasmolactone, puis le (±)-épi-jasmonate de méthyle a été validée en 15 étapes à partir du cyclooct-1,5-diène. / Methyl jasmonates are asymmetric oxylipins involved in defensive, developmental and regulative mechanisms of terrestrial and marine photosynthetic organisms in response to biotic and abiotic challenges. Among the four stereoisomers, only methyl epi-jasmonate and ent-epi-jasmonate show good organoleptic properties but also phytohormonal activity allowing the elicitation of bioactive secondary metabolites. Because they specifically target a mitochondrial hexokinase regulating the metabolism of cancer cells, methyl jasmonates have become excellent candidates as new therapeutic agents. With a constant attention on new therapeutic agents derived from the natural environment, our laboratory has focused on the enantioselective synthesis of methyl epi-jasmonate and ent-epi-jasmonate using monoprotected homochiral diols derived from cyclooct-1,5-diene.In order to obtain these chiral bicyclic diols, an innovative strategy has involved the study of the chemo-stereoselective electrocyclization of the cyclooct-1,5-diene-derived meso-epoxide assisted by chiral metallated ligands known as Jacobsen’s catalysts. Taking advantage of our knowledge of enzymatic desymmetrization, a second strategy opting for the enantioselective resolution of monocyclic homochiral diols or C2-symmetric bicyclic diols led access to chiral silanyloxyinden-5-ones, key precursors to chiral methyl cis-jasmonates. Meanwhile, the racemic synthesis of (±)--jasmolactone and methyl (±)-epi-jasmonate was validated in 15 steps starting from cyclooct-1,5-diene.

Contexte: L’iode est un micronutriment provenant des aliments. Il est établi que, dans les régions d'endémie goitreuse caractérisées par un apport d'iode insuffisant, l’incidence des goitres et des cancers différenciés de la thyroïde (CDT) de type folliculaire est plus élevée qu'ailleurs. En revanche, l’influence de l’apport alimentaire en iode sur le risque de CDT de type papillaire, forme représentant actuellement plus de 80% des CDTs dans la plupart des pays, ne fait pas l’objet d’un consensus. Il semble cependant que cette incidence soit plus élevée dans les îles du pacifique qu’ailleurs. Par ailleurs, les propriétés de protection redox du sélénium pourraient protéger la glande thyroïdienne et aider à maintenir la production d'hormones thyroïdiennes, mais la relation entre l’apport en sélénium et le CDT n’avait été que très peu étudiée.Objectifs: L’objectif général de ce travail de thèse était d'explorer la relation entre l'apport alimentaire en iode et le risque de CDT. Plus spécifiquement, il s’agissait 1) d’étudier la relation entre l’apport alimentaire en iode et le risque de CDT dans les cinq études cas-témoins du consortium Epi-Thyr, conduites en Nouvelle Calédonie, en Polynésie Française, en France métropolitaine (deux études) et à Cuba; 2) d’étudier l’interaction entre cet apport et quatre polymorphismes nucléotidiques (SNP) identifiés dans la plupart des études d’association pangénomiques (GWAS) comme associés au risque de CDT, ainsi qu’avec les facteurs de risque environnementaux connus ; et 3) d’évaluer l’intérêt du sélénium présent dans les ongles comme un bio-marqueur potentiel du risque de CDT.Matériel et Méthodes: La régression logistique conditionnelle a été utilisée pour analyser la relation entre l'apport alimentaire en iode et le risque de CDT d’abord dans l’étude Cuba incluant 203 cas et 212 témoins, puis dans l’ensemble des cinq études incluant au total 2162 cas et 2571 témoins. Les questionnaires alimentaires de ces cinq études étaient dérivés de ceux de l’étude de cohorte E3N. Les mesures de l’iode et du sélénium dans les aliments traditionnels polynésiens et cubains avaient été réalisées spécialement pour cette étude. Quatre SNPs avaient été génotypés, dont deux sur le gène FOXE1, un sur le gène ATM et un autre près du gène NKX2-1. Les mesures de l’iode, du sélénium et des autres oligoéléments métalliques avaient été réalisées dans les ongles des sujets de l’étude Polynésie Française.Résultats: Il n’a pas été observée, une association significative entre l’apport alimentaire en iode et le risque de CDT dans l’étude réalisée à Cuba. Dans l'ensemble des cinq études, la majorité des cas et des témoins ont été considérée comme présentant une carence légère en iode selon la classification du Réseau Mondial d'Iode (IGN). Bien que le risque de CDT ne soit pas lié à l'apport alimentaire en iode, ce risque était significativement réduit avec l’augmentation de la consommation de poisson, ceci de manière plus importante dans l'étude réalisée à Cuba que dans les autres. En outre, une augmentation de l’apport alimentaire en iode a été significativement associée à une diminution du risque de CDT uniquement dans l’étude réalisée en Polynésie Française et chez les Polynésiens. Une augmentation significative du risque de CDT associée au nombre de l'allèle mineur (A) du SNP rs965513 près de FOXE1 parmi les sujets qui ont consommé moins d'iode que la médiane dans l'étude réalisée à Cuba. Pour les femmes qui ont eu un nombre de grossesses élevé et qui étaient déficitaires en iode, l'augmentation de l'apport alimentaire en iode réduisait leur risque de CDT. Par ailleurs, il n’a pas été possible de mettre en évidence un intérêt du sélénium dans les ongles comme bio-marqueur prédictif du risque de CDT. / Context: Iodine is a trace element derived from food. In endemic goiter areas characterized by dietary iodine deficiency, it is established that the incidence of goiter and differentiated thyroid cancers (DTC) of follicular type is higher than elsewhere. On the other hand, the influence of dietary iodine intake in the risk of papillary thyroid cancer which currently representing more than 80% of DTCs in most countries, has not achieved a consensus. It appears, however, that this incidence is higher in the Pacific islands than elsewhere. In addition, the redox protection properties of selenium could protect the thyroid gland and help to maintain the production of thyroid hormones, but few studies evaluated the relationship between selenium intake and DTC.Objectives: The general objective of this thesis was to explore the relationship between dietary iodine intake and DTC risk. More specifically, it was 1) to study the relationship between dietary iodine intake and the risk of DTC in five case-control studies of Epi-Thyr consortium, carried out in New Caledonia, French Polynesia, Metropolitan France (two studies) and Cuba; 2) to investigate the interaction between this intake and four single-nucleotide polymorphisms (SNP) identified in most genome-wide association studies (GWAS) as associated with DTC risk, as well as the interaction with the well-established environmental risk factors; and 3) to evaluate the benefit of selenium present in fingernails as a potential bio-marker of DTC risk.Materials and Methods: Conditional logistic regression was used to analyze the relationship between dietary iodine intake and DTC risk first in the Cuba study including 203 cases and 212 controls, and then in the pooled analysis of the five studies including a total of 2162 cases and 2571 controls. The dietary questionnaires of these five studies were derived from those in the E3N cohort study. Measurements of iodine and selenium in traditional Polynesian and Cuban foods were specifically carried out for this pooled analysis. Four SNPs were genotyped, including two of FOXE1 gene, one of ATM gene and another near NKX2-1 gene. Measurements of iodine, selenium and other metal trace elements were made in the fingernails of the participants of the French Polynesia study.Results: There was no significant association between dietary iodine intake and DTC risk in the Cuba study. In the pooled analysis of the five studies, the majority of the cases and the controls was considered as being in mild dietary iodine deficiency according to the IGN classification. Although DTC risk was not found to be linked to dietary iodine intake, this risk significantly decreased with high fish consumption, this reduction in DTC risk per quartile of fish consumption was more important in the Cuba study than in the other studies. Additionally, higher dietary iodine intake significantly associated with lower DTC risk only in the French Polynesia study and in Polynesians. A strong increase in DTC risk associated with the number of the minor allele (A) of the SNP rs965513 near FOXE1, among participants who consumed less iodine than the median value in the Cuba study. For the women who had a high number of full term pregnancies and who were iodine deficient, increasing dietary iodine intake may reduce their risk of suffering from DTC. Moreover, it was not possible to demonstrate an interest in fingernail selenium as a biomarker that predicts DTC risk.

[pt] O presente trabalho tem como objetivo investigar a contaminação por esgotos domésticos do sistema estuarino formado pelo rio Iguaçu e canal de Sarapuí, localizados na porção noroeste da Baía de Guanabara, através da determinação de esteróis e composição elementar (C e N) da matéria orgânica em amostras de material particulado em suspensão e sedimentos, e da caracterização físico-química e química da água e sedimento. As amostragens foram realizadas em março/2004 e setembro/2004, em 7 estações de água e 10 de sedimento, distribuídas entre 6 km a montante do rio Iguaçu e 4 km dentro da baía. Também foi coletada uma amostra composta de esgoto bruto na Estação de Tratamento da Ilha do Governador (ETIG). Na determinação dos parâmetros foram utilizados métodos analíticos já estabelecidos, tais como cromatografia a gás/espectrometria de massa (esteróis) e oxidação a seco (C e N), após otimização para as condições específicas de campo e de laboratório. As concentrações dos principais esteróis variam em escala temporal e espacial, em função de fatores climáticos e da localização de fontes difusas de esgoto. Há gradientes decrescentes de concentração de esteróis entre rio e a baía, com predomínio de esteróis fecais sobre fitoesteróis. Coprostanona (5b-colestan-3b-ona) atingindo concentrações de até 21 mg gC-1, epicolestanol (5a-colestan-5a-ol) e coprostanol (5b-colestan-3b- ol) foram os mais abundantes. A detecção de epicolestanol (inédita para a baía de Guanabara) em concentrações elevadas no material particulado e sedimento (assim como no esgoto bruto), as diferenças na composição entre esteróis no esgoto bruto em comparação com o material particulado e sedimento, e os resultados das razões entre determinados esteróis, são resultados que refletem a importância dos processos bacterianos em alterar a composição original da matéria orgânica e dos esteróis associados. O conjunto de informações levantadas confirma o elevado nível de degradação ambiental da região estudada. Por outro lado, a dinâmica do sistema e processos pré- e pós- deposicionais influenciam na geoquímica dos esteróis e, portanto, seus efeitos devem ser levados em consideração em estudos sobre marcadores moleculares em estuários com características semelhantes ao do presente trabalho. / [en] The contamination by domestic sewage of the Iguaçu River and Sarapuí channel, located in the north-western sector of Guanabara Bay, was investigated by the determination of sterols and elemental composition (C and N) of organic matter in suspended matter and superficial sediments. Physico-chemical and chemical characterization of water and sediments were considered as well. Conventional analytical methods, like gas chromatography/mass spectrometry (sterols) and dry chemical oxidation (C and N), were employed after optimization for specific field and laboratory conditions. In March and September/2004 water/suspended particles (7 sample stations) and sediment (10 stations) were collected in a transect from 6 km up the river until 4 km off the river, in the bay. An additional sample of bulk sewage was also collected at a sewage treatment plant close to the studied area. The faecal sterols predominate over phyto sterols in suspended matter and sediments. Among the 14 sterols quantified, higher concentrations (up to 21 mg gC-1) were measured for coprostanone (5b-cholestan- 3b-one), epicholestanol (5a-cholestan-3a-ol) and coprostanol (5b-cholestan-3b- ol). In general, there is a river-bay decreasing gradient in sterol concentration, associated with the location of diffuse sources of sewage. Seasonal variation in climatic factor also influenced in the sterols distribution. The presence of epicholestanol (reported here for the first time in Guanabara Bay) in relatively high concentrations in suspended matter and sediments (as well as in raw sewage), the differences in sterol composition between raw sewage and suspended matter/sediments, and the values obtained for selected sterols source-diagnostic ratios, suggested the occurrence of significant microbial alteration of organic matter, with implications on the geochemistry of sterols. The elevated degradation

Made available in DSpace on 2016-08-10T10:38:46Z (GMT). No. of bitstreams: 1 FERNANDA RIBEIRO GODOY.pdf: 1338419 bytes, checksum: 9ce2f93850f1257da6253ceadf307402 (MD5) Previous issue date: 2013-02-15 / The impact of pesticide on agricultural workers is an issue that has received attention from the scientific community worldwide. Occupational exposure of agricultural workers occurs due to lack of information or lack of skilled technical resources. These workers are exposed to pesticides in crops and this exposure may be responsible for genetic damage causing a health issue. A problem with the use of pesticides is the genotoxicity, which may lead to the onset of diseases. Little is known about the relationship between genotoxicity and genetic polymorphisms xenobiotics metabolism that can modify individual susceptibility. Therefore, there is a need to study genes as glutathione-S-transferase mu (GSTM1) and glutathione-Stransferase theta (GSTT1) encoding detoxification enzymes. These enzymes promote the conjugation of glutathione facilitating removal of xenobiotics. In this context, this study aimed to evaluate the variability of GSTM1 and GSTT1 polymorphisms in individuals occupationally exposed to pesticides in Goias municipalities that present intense agricultural activity. We evaluated 235 individuals which 120 were rural workers occupationally exposed to pesticides and 115 individuals were not exposed to pesticides, forming the control group. The exposed group consisted of 111 men and 9 women only getting an average of 39 + 9 years old. These workers were form 12 rural municipalities situated at Goias state with intense agricultural activity. It was found that 18% of the exposed individuals had the GSTT1 null genotype and 49% had the GSTM1 null genotype, and 10% had both null genotypes. Data as intoxication (41%), use of Personal Protection Equipment (52%) and if the worker handled the pesticide (7%), or if just applied the pesticide (22%) or if the worker manipulated and applied (71%) have all been correlated with genetic polymorphisms. There were no statistically significant differences between the GSTM1 and GSTT1 polymorphisms between control and exposed groups. Thus, the study of genetic polymorphisms as biomarkers of susceptibility is of fundamental importance in understanding the processes involved in mutagenesis and carcinogenesis and could help minimize the risk to susceptible individuals who are exposed to pesticides. / O impacto do uso de agrotóxicos sobre os trabalhadores rurais é um problema que tem merecido atenção da comunidade científica em todo o mundo. A exposição ocupacional de trabalhadores agrícolas ocorre por falta de informação ou pela ausência de recursos técnicos qualificados. Esses trabalhadores estão constantemente expostos aos agrotóxicos que utilizam nas lavouras, e esta exposição pode ser responsável por danos genéticos causando um risco para a saúde. Um dos problemas da utilização de agrotóxicos é a genotoxicidade, que pode levar ao aparecimento de doenças. Pouco se sabe sobre a relação entre a genotoxicidade e a variação de polimosfismos genéticos de metabolização de xenobióticos que podem modificar a suscetibilidade individual aos efeitos genotóxicos dos agrotóxicos. Neste sentido, há a necessidade do estudo de genes como a glutationa-S-tranferase mu (GSTM1) e glutationa-S transferase teta (GSTT1) que codificam enzimas de detoxificação de compostos genotóxicos. Tais enzimas promovem a conjugação da glutationa facilitando remoção dos xenobióticos. Nesse contexto, esse estudo teve como objetivo avaliar a variabilidade polimórfica de GSTT1 e GSTM1 em indivíduos ocupacionalmente expostos a pesticidas, em municípios goianos com intensa atividade agrícola. Foram avaliados 235 indivíduos sendo que 120 eram trabalhadores rurais, ocupacionalmente expostos a agrotóxicos e 115 eram indivíduos não expostos a agrotóxicos, formando o grupo controle. O grupo exposto consistiu de 111 homens e apenas 9 mulheres obtendo uma média de idade 39 + 9 anos. Estes trabalhadores rurais eram de 12 municípios goianos com intensa atividade agrícola. Verificou-se que 18% dos indivíduos expostos possuíam o genótipo GSTT1 nulo e 49% apresentaram o genótipo GSTM1 nulo, e que 10% apresentaram ambos os genótipos nulos. Os dados como intoxicação (41%), uso de equipamentos de proteção individual (EPI´s) [52%] e se o trabalhador apenas manipulava o agrotóxico (7%), ou se apenas aplicava o agrotóxico (22%) ou se manipulava e aplicava (71%), foram todos correlacionados com os polimorfismos genéticos. Não foram encontradas diferenças estatisticamente significativas entre os polimorfismos dos genes GSTM1 e GSTT1 entre os grupos exposto e controle (p = &#707; 0,05) . Dessa forma, o estudo de polimorfismos genéticos como biomarcadores de suscetibilidade é de importância fundamental na compreensão dos processos de distribuição genotípica envolvidos na mutagênese e carcinogênese e poderia ajudar a minimizar os riscos para indivíduos suscetíveis que são expostos a agrotóxicos.

Avec 59 000 nouveaux cas en 2017, le cancer du sein est le cancer le plus fréquemment diagnostiqué chez les femmes françaises, et pose un réel problème de santé publique en France, mais aussi au niveau mondial. Il est bien établi que la complexité de la carcinogenèse implique des modifications épigénétiques profondes qui contribuent au processus du développement tumoral. La dérégulation des marques d'histones acétylées H3 et H4 font partie de ces modifications. L'acétylation et la désacétylation des protéines sont des modifications posttraductionnelles majeures qui régulent l'expression des gènes liés au cancer et à l'activité d'une myriade d'oncoprotéines. Ainsi, une activité désacétylase aberrante peut alors favoriser ou supprimer la tumorigenèse dans différents types de cancers humains, y compris le cancer du sein. La désacétylase SIRT1 et l’acétyltransférase TIP60 sont 2 enzymes épigénétiques antagonistes qui sont impliquées dans l'apoptose, la régulation des gènes, la stabilité génomique, la réparation de l'ADN, et le développement du cancer. Dans le cadre de cette thèse, nous avons étudié la dérégulation des profils d’acétylation des histones H3 et H4 dans les différents sous-types moléculaires du cancer du sein, et investigué l’implication de SIRT1 et de TIP60 dans la progression tumorale de cancer du sein. Tout d’abord, nous avons signalé les rôles de SIRT1 et de TIP60 comme des biomarqueurs pronostiques potentiels en révélant leurs expressions différentielles en fonction de l’agressivité du cancer. Ensuite, nous avons montré leur régulation épigénétique différentielle des cibles histones en fonction du sous-type moléculaire, ainsi que leur modulation de la marque activatrice H3K4ac. En outre, l’inhibition de ces 2 enzymes par des Épidrogues s’est avérée comme une stratégie efficace dans le traitement du cancer. Ces travaux mettent en relief alors, SIRT1 et TIP60 comme des cibles thérapeutiques potentielles du cancer sporadique du sein. / With 59,000 new cases in 2017, breast cancer is the most frequently diagnosed cancer among French women, and poses a real public health problem in France, but also worldwide. It is well established that the complexity of carcinogenesis involves profound epigenetic deregulations that contribute to the tumorigenesis process. Deregulated H3 and H4 acetylated histone marks are amongst those alterations. Acetylation and deacetylation are major post-translational protein modifications that regulate gene expression and the activity of a myriad of oncoproteins. Aberrant deacetylase activity can promote or suppress tumorigenesis in different types of human cancers, including breast cancer. The deacetylase SIRT1 and the acetyltransferase TIP60 are 2 antagonistic epigenetic enzymes that are well implicated in apoptosis, gene regulation, genomic stability, DNA repair, and cancer development. In this manuscript, we identified the dysregulation of the histones H3 and H4 acetylation profiles in different molecular subtypes of sporadic breast cancer, and investigated the involvement of SIRT1 and TIP60 in breast tumorigenesis. First, we highlighted the roles of SIRT1 and TIP60 as potential prognostic biomarkers by revealing their differential expression patterns depending on breast cancer aggressiveness. Then, we demonstrated their differential epigenetic regulation of histone targets according to molecular subtype, and revealed their modulation of the H3K4ac epigenetic marker. Moreover, Epi-drugs mediated inhibition of these 2 enzymes has proven to be an effective strategy in the treatment of cancer. Thus, this work highlights the potential use of SIRT1 and TIP60 as epigenetic therapeutic targets for sporadic breast cancer.