La recrudescence des infections respiratoires impliquant des facteurs virulents d’origine bactérienne est devenue un problème majeur de santé publique. Mieux caractériser la réponse des cellules respiratoires dans la phase initiale d’exposition à des toxines bactériennes est important sur les plans physiopathologiques et thérapeutiques. Le but de ce travail est de décrypter les mécanismes cellulaires et moléculaires impliqués lors de l’exposition des cellules épithéliales respiratoires à l’adénylate cyclase (CyaA), une toxine produite par Bordetella pertussis, l’agent responsable de la coqueluche. CyaA a été choisie car elle dispose de multiples moyens qui lui permettent d’envahir un grand nombre de cellules eucaryotes. Elle est notamment capable de transloquer son domaine catalytique directement dans la cellule cible puis d’utiliser la calmoduline endogène pour augmenter le taux d’AMPc à des niveaux supraphysiologiques. Cependant l’effet de ces changements sur la signalisation mécano-chimique (mécanotransduction) a été très peu décrit alors qu’elle affecte les fonctions et l’intégrité cellulaires. Nous proposons donc d’évaluer les fonctions cellulaires et les propriétés mécaniques et d’adhésion des cellules épithéliales respiratoires exposées à CyaA dans le but de déceler des modifications fondamentales dans les processus de mécanotransduction.Nous avons tout d’abord mené une étude préliminaire visant à définir les concentrations physiopathologiques de CyaA utilisées dans nos expériences. Nous avons ainsi déterminé le degré de viabilité cellulaire en fonction de 3 concentrations de CyaA (0.5 ; 5 ; 10 nM), ce qui a montré que la concentration 0.5 nM n’affectait pas la viabilité cellulaire tout en induisant des niveaux supraphysiologiques d’AMPc en moins d’une heure.Nous avons ensuite cherché à évaluer les effets de CyaA sur la migration et la réparation cellulaires, le battement ciliaire et la perméabilité cellulaire de cellules épithéliales représentatives des différents niveaux de l’arbre aérien. CyaA induit une diminution de la migration et de la réparation cellulaires, ainsi qu’une augmentation de la perméabilité cellulaire traduisant un affaiblissement des jonctions latérales.Une étude en immunoflorescence a ensuite été conduite sur les structures intracellulaires et interfaciales des cellules épithéliales alvéolaires exposées aux 3 concentrations de CyaA. Cette étude a montré que CyaA est capable d’induire un remodelage du cytosquelette d’actine ainsi qu’une diminution du nombre des adhérences focales. Enfin, une analyse complète des propriétés mécaniques et des paramètres d’adhésion a été conduite sur les mêmes cellules au moyen de 2 techniques de micro/nanomanipulation revisitées pour permettre à la fois l’évaluation des liens multiples et de la rigidité cellulaire (Microscopie à Force Atomique (AFM) avec indentation et Magnétocytométrie (MTC)). Pour évaluer le rôle de l’AMPc sur les changements observés, les cellules épithéliales respiratoires ont été testées avec la forme active de CyaA et la forme enzymatiquement inactive de la toxine : CyaAE5, qui ne permet pas de synthétiser l’AMPc.Les expériences AFM ont révélé que le principal effet de CyaA est de diminuer le nombre de liens intégrine-ligand associés (une altération du clustering) alors qu’à la plus faible concentration de CyaA, nous observons une augmentation de la rigidité cellulaire, accompagnée d’un renforcement des liens individuels, évolutions confirmées par les résultats MTC. CyaAE5 ne parvient pas à produire ces mêmes effets.L’ensemble des résultats suggère que CyaA affecte de façon précoce la mécanotransduction des cellules exposées et ceci en cohérence avec les effets attendus de l’augmentation d’AMPc (remodelage du CSQ, altération des jonctions latérales, inhibition de l’expression de Rac1), ce qui apporte une nouvelle vision de la cytotoxicité induite par l’adénylate cyclase. / The increase in respiratory infections involving virulent factors of bacterial origin has become a major public health issue. A better knowledge of the cell respiratory response in the course of the initial cell invasion by bacterial toxins is important from the pathophysiological and therapeutical point of views.The purpose of this work is to decipher the cellular and molecular mechanisms involved in the exposition of respiratory epithelial cells to the adenylate cyclase toxin (CyaA) produced by Bordetella pertussis which is the whooping cough agent. We have chosen this toxin for its multiple capacities of penetrating a wide range of eukaryotic cells. Indeed, this toxin enables direct translocation of its catalytic domain across the plasma membrane of target cells using the endogen calmoduline to increase the cAMP rate at supraphysiological levels. However, the effects of these changes on mechano-chemical signaling (mechanotransduction) pathways remain largely unknown while it affects cellular functions and cell integrity. So, we perform an evaluation of cellular functions as well as mechanical and adhesion properties of respiratory epithelial cells exposed to CyaA toxin in order to detect some critical modifications in the mechanotransduction processes.In a preliminary study aiming at defining physiopathological concentrations of CyaA toxin used in our experiments, we determined the cell viability degree for 3 concentrations of CyaA toxin (0.5; 5 and 10 nM). We found that the smallest concentration (0.5 nM) did not affect cell viability whereas inducing supraphysiological cAMP levels in less than one hour.Then, we assessed the effects of CyaA toxin on cell migration and repair phenomenon, on ciliary beating and on cell permeability of epithelial cells representative of the different levels of the respiratory tract. The toxin induces a decrease in cell migration and repair, an increase in cell permeability suggesting a weakening of lateral cell-cell junctions.Immunostaining was performed on intracellular and interfacial structures of alveolar epithelial cells exposed to the 3 concentrations of CyaA toxin. Results show that CyaA toxin is able to induce cytoskeleton remodeling and a decrease in the number of focal adhesions. Finally, a refined analysis of mechanical properties and adhesion parameters was performed on the same cells by 2 techniques of micro/nanomanipulation modified to permit at the same time, an evaluation of cell adhesion and cell rigidity (Atomic Force Microscopy with indentation and force spectroscopy to characterize the number of bond during adhesion reinforcement and multiscale Magnetic Twisting Cytometry). To evaluate the role of cAMP on cellular and molecular changes, we tested the enzymatically inactive form of CyaA toxin called CyaAE5 which could not permit to increase the intracellular cAMP rate.The AFM experiments have revealed that the main effect of CyaA toxin is to decrease the number of associated integrin-ligand bounds (meaning an alteration of clustering) while, at the smallest concentration of CyaA toxin, we observe an increase in cell rigidity with an individual bound reinforcement, a result consistent with MTC results. Nevertheless, CyaE5 does not exhibit such cellular effects. On the whole, these results suggest that CyaA toxin affects the mechanotransduction pathways of cells exposed to the toxin, a result which is in agreement with the expected effects of cAMP increase (notably cytoskeleton remodeling, lateral junction alteration and inhibition of Rac1 expression) what brings a new vision of the cytotoxicity induced by the adenylate cyclase toxin.

This project examined the role of the cytoskeleton in regulatory mechanisms of the amiloride-sensitive Na⁺ channels in isolated frog skin epithelium. The epithelium from ventral frog skin is a model tissue which has proved significant in our understanding of the basic principles involved in water and Na⁺ homeostasis. In particular, this project examines ways in which local (non-hormonal) and hormonal regulatory mechanisms adjust the Na⁺ permeability of apical membranes of frog skin epithelium. Both mechanisms contain factors that are known to increase the apical membrane Na⁺ permeability mainly by increases in the number of open channels. The origin of these new open channels is unknown but, it is postulated that they could arise either by activation of quiescent channels already present in the apical membrane, or by recruitment of channels from cytoplasmic stores. Regarding the latter hypothesis, we also examined the idea that the cytoskeleton might somehow be involved in the insertion of Na⁺ channels within vesicles, into the apical membrane. This is based on the fact that the cytoskeleton is involved in a similar mechanism whereby, in the toad urinary bladder, anti-diuretic hormone (ADH) causes the insertion of aggregates with water channels. Much current interest focuses on the role of the cytoskeleton in the regulation of epithelial Na⁺ channels. To test this hypothesis, we used noise analysis to examine the effects of disrupting the cytoskeleton, on two different mechanisms which bring about changes in open channel densities. The mechanisms are: (1) lowering mucosal Na⁺ concentration (non-hormonal), and (2) addition of arginine-vasopressin (A VP) (hormonal). Non-hormonal, autoregulatory changes in apical membrane Na⁺ conductance were examined by investigating the effects of reducing the mucosal Na⁺ concentration. Our results showed that lowering the mucosal Na⁺ concentration induced large increases in the open channel density in order to stabilise the transport rate. In addition, we observed an average 55-60% increase in the open channel probability, which implies that in epithelium from Rana fuscigula, changes of channel open probability are also an important mechanism in the autoregulation of channel densities in response to a reduction in mucosal Na⁺. The hormonal control of Na⁺ channels by A VP has been intensively studied by noise analysis and the patch clamp. Our results confirmed previous reports that A VP increases the Na⁺ transport rate by increasing the number of open Na⁺ channels, primarily through large changes in the total number of channels, without a significant change in open probability. Regarding the role of the cytoskeleton in regulation of Na⁺ channels and/or its possible role in control of inserting putative vesicles with Na⁺ channels, we studied the effects of disrupting the cytoskeleton on the two regulatory mechanisms. Disrupting microtubules with colchicine had no, or very little effect on either of the regulatory mechanisms. On the other hand, the integrity of the microfilaments was very important for the autoregulatory changes in the number of open channels. After cytochalasin B treatment, lowering the mucosal Na⁺ concentration did not result in the usual compensatory changes in channel densities. There was no prior evidence that cytochalasin B had any actual effect on the F-actin network in the frog skin epithelium. Accordingly, modified cytochemical techniques were designed to demonstrate and localise F-actin in the epithelial granular cells. The direct immunofluorescent method proved useful, but did not allow sufficient resolution to examine the changes to different populations of actin in the cells. We then modified an immunogold method to suit our conditions, and the results demonstrated the localisation of different pools of F-actin and showed the effects of the cytochalasin B and vasopressin.

Salivary glands (SGs) are important exocrine glands of the craniofacial region, whose main role is to produce and secrete saliva, a seromucous solution necessary for a diverse spectrum of critical functions, such as the preliminary digestion and swallowing of solid food, the articulation of speech, the maintenance of dental enamel and the prevention of oral infections. The production and secretion of saliva is orchestrated by a large and diverse collection of epithelial cell populations. Although many of the cell types that form the SG epithelium can be recognized morphologically and investigated using histological assays, it is currently impossible to achieve their differential purification from primary tissues as live cells, due to the lack of surface markers known to be either selectively or preferentially expressed by various cell subsets. This critical gap in knowledge limits our capacity to conduct functional studies in many areas of SG biology, including studies aimed at elucidating the developmental relationships that link different cell types (e.g. testing whether selected cell types can act as progenitors for the generation of others), studies elucidating the roles played by different cell types during regeneration of the SG epithelium following injury (e.g. radiotherapy), and studies investigating the biology of SG malignancies characterized by a heterogeneous cell composition, such as Adenoid Cystic Carcinomas (ACCs). In this work, we aimed to advance our understanding of the cell composition of the salivary gland epithelium and to identify surface markers that enable the differential purification of its various cell types by fluorescence-activated cell sorting (FACS), in order to facilitate functional investigations of their individual capacity to act as stem/progenitor cells in prospective assays. In the first portion of our studies, we leveraged single-cell RNA sequencing (scRNA-seq) to dissect the transcriptional identities of various epithelial cell populations found in normal murine SGs, and discovered surface markers that allowed us to purify eight distinct cell types by FACS. We then used bulk RNA sequencing to generate high-resolution transcriptomic profiles of seven of these populations, and annotated their identity (e.g. acinar, ductal, basal, myoepithelial) in terms of anatomical location and differential expression of lineage-specific biomarkers. Furthermore, using a three-dimensional (3D) in vitro organoid tissue culture assay, we tested each of the newly identified SG populations for stem/progenitor properties, and demonstrated that organoid forming capacity is primarily restricted to only one of them, characterized by a basal phenotype, and able to function as a bipotent progenitor in vitro. Finally, we used FACS to examine the effects of radiotherapy on the cell composition of the mouse SG epithelium, and demonstrated that, of the eight newly identified populations, at least four display preferential sensitivity to radiation injury. In the second portion of our studies, we tested whether the surface markers that we identified as differentially expressed between different subtypes of SG epithelial cells could also be leveraged to achieve the purification of the two subsets of malignant cells known to co-exist in Adenoid Cystic Carcinoma (ACC), one of the most common and lethal forms of human SG malignancy. A defining feature of ACC is the presence of two distinct cell populations, resembling myoepithelial and ductal cell types found in the normal salivary gland epithelium. However, little is known about the developmental relationship linking these two cell populations, their individual capacity to sustain the growth of malignant tissues upon xeno-transplantation, as well as their distinct behavior in terms of responses to therapeutic manipulations. By utilizing cell surface markers identified as differentially expressed in the mouse SG epithelium, we developed a sorting strategy that enabled us to isolate the two major subtypes of malignant cells found in ACCs. By conducting prospective xeno-transplantation experiments in immunodeficient mice, we demonstrated that, contrary to common belief, myoepithelial-like cells are highly tumorigenic (i.e. do not represent an indolent component of the tumor) and can act as progenitors of ductal-like cells. Furthermore, by investigating differences in the transcriptional profiles of myoepithelial-like and ductal-like cells, we discovered that the two cell types differ in the expression of multiple components of the biochemical pathways that control retinoic acid (RA) signaling. We find that RA direct and inverse agonism have opposing effects on cell composition through distinct molecular mechanisms, whereby direct agonism facilitates differentiation of myoepithelial-like to ductal-like cells, and inverse agonism induces selective cell death of ductal-like cells. Finally, we demonstrate that inhibition of RA signaling with inverse agonists is able to profoundly impair in vivo growth of human ACCs implanted in immunodeficient mice. Overall, the findings reported in this study advance our understanding of the cellular composition of both normal and malignant SG epithelia, establish novel and robust analytical assays for the purification of multiple subtypes of SG epithelial cells, and reveal novel strategies for the therapeutic manipulation of differentiation programs in human ACCs.

The cyclin-dependent kinase (Cdk) inhibitor p27Kip1 contributes to the timing of cell cycle withdrawal during development and, consequently, in organogenesis. Within the retina, this effector protein is up-regulated during the birth of neuronal and glial cells [Dev. Biol. (2000) 299]. However, its expression within the retinal pigment epithelium (RPE), a supporting cell layer that is essential for neural retina development and function, has not previously been reported. We show that p27Kip1 protein expression in the RPE occurs in two phases: an up-regulation during mid-to late embryonic stages and a down-regulation during the subsequent postnatal period. In the early phase of up-regulation, an inverse relationship is seen between expression of p27Kip1 and PCNA, an indicator of cycling cells. During both up-and down-regulation, the change in spatial pattern of expression proceeds in a central to peripheral manner, with p27Kip1 up-regulation paralleling retinal maturation. These data suggest that this cell cycle regulator may be an important factor controlling the timing of RPE cell cycle withdrawal.

Indiana University-Purdue University Indianapolis (IUPUI) / Dry age-related macular degeneration (AMD) is a progressive neurodegenerative disorder characterized by geographical atrophy of the retinal pigment epithelium (RPE), causing irreversible central vision loss. Systemically-delivered bone marrow-derived cells (BMDCs), programmed to RPE-like cells via expression of human RPE65, regenerate damaged RPE and preserve vision in murine models of retinal degeneration. RPE65 rapidly activates adenylate cyclase (AC), which then activates endogenous Rpe65 and RPE-associated marker Cralbp. Previous studies expressed RPE65 from an integrating lentiviral vector (ILV), which is an unnecessary safety risk due to the potential for insertional mutagenesis, as long- term expression of RPE65 is not required for BMDC programming. Here, we developed a 3rd generation integrase-defective lentiviral vector (IDLV) for programming both murine and human BMDCs to RPE-like cells, reducing insertional mutagenesis risk and expanding the protocol to include human cells. We enhanced IDLV3-RPE65 infection of murine and human BMDCs by preloading concentrated vector on RetroNectin at MOI 50, and infecting with low-speed centrifugation, increasing RPE65 mRNA levels from ~12-fold to ~25-fold (p<0.05). IDLV3-RPE65 infection initiates expression of endogenous Rpe65 mRNA expression in murine BMDC and Cralbp/CRALBP mRNA in both murine and human BMDCs, indicating programming to RPE-like cells. Inhibiting AC in RPE65infected BMDCs abrogated expression of the endogenous genes, confirming the role of AC activation in programming. Critically, IDLV3-RPE65-infected murine BMDCs are recruited to and incorporate into to the RPE layer, and preserve vision in murine models of retinal degeneration. We conclude that BMDCs programmed with IDLV3-RPE65 successfully prevent retinal degeneration progression and are appropriate for testing in human cells, with a view to move into human clinical trial for the treatment of dry AMD. This approach significantly increases the safety of the therapy and is, to the best of our knowledge, the first application of a single IDLV in the generation of therapeutic cells from adult stem cells.

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第21685号 / 医博第4491号 / 京都大学大学院医学研究科医学専攻 / (主査)教授 辻川 明孝, 教授 高橋 淳, 教授 井上 治久 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer worldwide, with over 50,000 new cases in the United States annually. Major risk factors for HNSCC include chronic smoking and/or alcohol consumption, and more recently infection with human papillomaviruses (HPVs). HNSCC comprises a diverse collection of tumors, of which the oral cavity is the most affected site. Most HNSCC patients will die within the first 30 months of disease, an abysmal statistic largely reflecting a lack of effective treatment strategies. This challenge highlights the current unmet need to identify 1) distinct molecular subgroups of HNSCC and 2) prognostic biomarkers that can inform subgroup-specific treatment plans. The Lu Lab has identified a previously unappreciated HNSCC subgroup defined by alteration in NSD1, a histone methyltransferase enzyme mutated in up to 15% of HPV- HNSCC. NSD1 has specific di-methylase activity targeting histone H3 lysine 36 (H3K36). The formation of methylated H3K36 is associated with open chromatin and transcriptional activation. There are several distinct features of NSD1-mutant HPV- HNSCC tumors, including a) increased patient smoking history and mutational burden; b) a significantly better prognosis; and c) reduced immune cell infiltration in the tumor. These correlative findings may suggest a tumor-suppressive role of NSD1, yet the impact of NSD1-loss in HNSCC pathogenesis and the underlying mechanisms remain unclear. The scope of my thesis work aims to address this gap in knowledge through investigating the consequences of impaired NSD1 in normal epithelial tissue and in the setting of HNSCC tumors. In Chapter 2, we employed both a syngeneic tumor implantation model and a physiologic mouse model of HNSCC carcinogenesis to establish and characterize Nsd1-KO tumors. We found that mice harboring Nsd1-KO tumors are comparatively immune- ‘cold,’ a phenotype that persisted in human HNSCC patient samples. Our in vitro data suggests that depletion of NSD1 epigenetically silences the interferon response, an effect that was rescued through inhibition of epigenetic machinery that limits NSD1-deposited H3K36me2. These studies provide novel insight into the molecular underpinnings of observed immune-‘coldness’ in NSD1-mutated HNSCC. They also prompted us to probe the impact of NSD1-loss at early stages of tumor development. In Chapter 3, I describe a lingual-derived organoid system to assess unbiased transcriptional changes that occur upon Nsd1-loss during homeostasis, premalignancy, and overt tumor formation. Interestingly, we found that Nsd1-KO organoids harvested from stages preceding HNSCC featured downregulation in gene expression related to epithelial barrier formation and wound healing. Furthermore, organoids derived from Nsd1-KO tumors showed reduced expression of epithelial-to-mesenchymal transition (EMT) signature genes, potentially signifying a role of NSD1 in modulating cell adhesion and mobility. Several additional studies are needed to establish the functional basis of how NSD1 participates in these processes. Taken together, this body of work expands upon our current understanding of NSD1-loss in HNSCC development and presents a conceptual scaffold framing NSD1 as a multi-faceted player in the homeostatic maintenance and neoplastic events of the oral epithelium.

Purpose. These experiments were designed to characterize tight junction formation by retinal pigment epithelial (RPE) cells in vitro and to compare the effects on this process of hormonally defined medium (HDM) and serum- containing medium. Methods. Formation of RPE tight junctions was analyzed in freshly isolated rat RPE cells maintained either in HDM or serum-containing medium. Junctions were evaluated functionally by measuring transepithelial electrical resistance (TER) and permeability and structurally by immunolocalization of the junction-associated actin microfilaments. Calcium dependency of the junction was determined by reducing media calcium concentration. Results. RPE cells cultured in serum-free HDM developed calcium-dependent tight junctions, which exhibited TER levels > 150 Ω · cm 2 and low paracellular permeability. Serum-containing media inhibited tight junction formation as indicated by significant reductions in TER and increases in permeability. Junction-associated actin microfilaments and cell density were unchanged. Conclusions. Tight junction formation by RPE cells is inhibited by serum. This activity may play an important role in responses of the RPE layer to injury, contributing to the pathologic progression of blood- retinal barrier dysfunction.

Purpose. In the genetically defective Royal College of Surgeons (RCS) rat model for retinal degeneration, a breakdown occurs in the retinal pigment epithelial (RPE) cell tight junctions just as the photoreceptors begin to degenerate. These experiments sought to determine the impact of the RPE genetic defect on this alteration in the RPE cell tight junctions. Methods. Retinal pigment epithelial cell cultures prepared from RCS and control rats were treated with hormonally defined medium (HDM), base medium conditioned by RCS or control retinas, or unconditioned base medium. The tight junctions formed by these cultures were assayed functionally by measuring transepithelial electrical resistance and permeability. Junction structure was evaluated by immunolocalization of the tight junction protein zonula occludens I and of the junction-associated actin microfilaments. Results. Retinal pigment epithelial cultures from dystrophic rats formed structurally and functionally normal tight junctions when maintained in hormonally defined medium. The junctions remained stable when the medium bathing the apical surface was switched to base medium preconditioned by normal retinas. In contrast, cultures treated with medium preconditioned by degenerating dystrophic retinas or with unconditioned medium exhibited a breakdown in their tight junctions. Conclusions. Retinal pigment epithelial cells isolated from dystrophic RCS rats can form tight junctions normally in vitro. Normal, but not dystrophic, retinas release factors that support RPE tight junctions. Therefore, the junctional abnormality seen in dystrophic rat RPE cells in vivo is probably caused by the loss of trophic factors normally provided by the healthy neural retina rather than by a direct effect of the genetic defect on the tight junctions.

Current methods for the risk assessment of environmental exposures commonly involve questionnaires, stationary monitoring, and personal air sampling. However, as these approaches do not capture the body's internal response, they lend minimal understanding to the biologic consequence of exposure. In order to address the unmet need of connecting external exposure measurements with signatures of internal exposure, this thesis examines the overarching hypothesis that transcriptomic changes in the human airway epithelium can serve as indicators of physiologic responses to inhaled pollutants. This is an extension of previous work that has demonstrated an airway ''field of injury'' effect where cigarette smoke exposure alters gene-expression in epithelial cells lining the respiratory tract. Specifically, I examine transcriptomic changes and the biologic responses associated with exposure to the following pollutants: environmental tobacco smoke (Aim 1), household air pollution from smoky coal combustion (Aim 2), and electronic cigarette vapor (Aim 3). First, I performed whole-genome transcriptional profiling of the nasal epithelium in children and adults and detected gene-expression changes associated with exposure to environmental tobacco smoke. Next, I employed similar approaches to detect a signature of coal smoke exposure in the buccal epithelium of healthy, non-smoking females exposed to household air pollution Xuanwei, China. The findings from these studies suggest that upper airway gene-expression can reflect the host response to prolific sources of environmental exposures that are major risk factors for chronic lung disease. Lastly, I examine the cellular and physiologic consequences of electronic cigarette (ECIG) aerosol exposure by analyzing transcriptomic profiles of human bronchial epithelial cells that have either been (1) differentiated and exposed in vitro or (2) acquired via bronchoscopy from the airway epithelium of ECIG users. The studies detailed in this dissertation offer valuable insight that will accelerate the efforts to evaluate the health effects of both well-established and emerging types of inhaled exposures in large-scale population studies. Furthermore, the transcriptomic strategies woven throughout the following chapters push for a novel assessment paradigm that may enable the public health community to rapidly characterize the physiologic host response to inhalation exposures of different sources, and to evaluate the biologic consequences of exposure-reduction initiatives. / 2017-05-01T00:00:00Z