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Attrition of CD8 T Cells during the Early Stages of Viral Infections: a DissertationBahl, Kapil 09 January 2008 (has links)
Profound lymphopenia has been observed during many acute viral infections, and our laboratory has previously documented a type 1 IFN-dependent loss of most memory (CD44hi) and some naïve (CD44lo) CD8 T cells immediately preceding the development of the antiviral T cell response at days 2-4 following lymphocytic choriomeningitis virus (LCMV) infection. In this thesis, I will examine additional mechanisms involved in the early attrition of CD8 T cells and evaluate whether antigen-specific and non-specific CD8 T cells are equally susceptible. Lastly, I will examine whether the early attrition of CD8 T cells contributes to the generation of an effective immune response.
Poly(I:C), a potent inducer of type 1 IFN, was previously shown to cause the attrition and apoptosis of CD8α+CD44hi cells in normal mice, but not in type 1 IFN receptor–deficient mice (IFN1-R KO). I questioned whether additional molecule(s) might contribute to the type 1 IFN-induced apoptosis of CD8α+CD44hi cells. I used a PCR array to determine the expression of 84 apoptosis-related genes at 6 hours post-poly(I:C) treatment, relative to an untreated control. There was an 11-fold increase in CD40 RNA expression in CD8α+CD44hi cells isolated from poly(I:C)-treated mice. CD40 protein expression was also increased on CD8α+CD44hi cells, peaking between 9 and 12 hours following poly(I:C) treatment, before declining thereafter. This increase in CD40 protein expression directly correlated with an increase in Annexin V reactivity, an indicator of early apoptosis. Nevertheless, CD40 was not required for the loss of CD8α+CD44hi cells, as both wildtype and CD40-deficient mice were equally susceptible to the poly(I:C)-induced attrition. Upon further characterization, I found this population of CD40+CD8α+CD44hi cells to be CD11c+B220-Thy1.2- MHCIIhi, which is consistent with a “lymphoid” CD8α+ DC phenotype. Kinetic analysis revealed a type 1 IFN-dependent increase in this CD8α+ DC population at 12 hours post-poly(I:C) treatment. This increase was only observed in the spleen, as no increase in percentage was observed in the peritoneal cavity (PEC), lungs, inguinal lymph nodes (iLN), or peripheral blood. Collectively, these results suggest that the type 1 IFN-dependent increase in splenic CD8α+DCs accounts for the observed increase in Annexin V reactive cells following poly(I:C) treatment.
These findings required a re-evaluation of the type 1 IFN-induced attrition of CD8+CD44hi T cells with an anti-CD8β antibody, which is a more exclusive marker for T cells than the anti-CD8α antibody. Kinetic analysis revealed a significant decrease in splenic CD8β+CD44hi T cells at 12 hours post-poly(I:C) treatment. This reduction in splenic CD8β+CD44hi T cells was not due to trafficking to other organs, as the PECs, lungs, iLN, lungs, and peripheral blood all exhibited significant, although varying, decreases in the percentage of CD8β+CD44hi T cells at 12 hour following poly(I:C) treatment. These data support the notion that the type 1 IFN-induced attrition of CD8β+CD44hiT cells was a “global” phenomenon and could not be completely due to migration out of the spleen.
The attrition of CD8β+CD44hi T cells was also dependent upon type 1 IFN at 3 days post-LCMV infection, as there was no significant reduction of this population in IFN1-R KO mice. The loss of wildtype CD8β+CD44hi T cells correlated with an increased activation of caspases 3 and 8, which are enzymes that play essential roles in apoptosis and inflammation. A significant loss of CD4+CD44hi T cells, which also correlated with an increased activation of caspases 3 and 8, was observed at 3 days post-LCMV infection. Collectively, these results suggest that attrition of both CD4+CD44hi and CD8β+CD44hiT cell populations is type 1 IFN-dependent and associated with the activation of caspases following LCMV infection.
At 3 days post-LCMV infection, both wildtype CD8β+CD44hi and CD4+CD44hi T cell populations had a higher frequency of cells with fragmented DNA, a hallmark characteristic of the late stages of apoptosis, as revealed by terminal transferase dUTP nick end labeling (TUNEL), relative to uninfected controls. This suggests that the loss of both populations was due to apoptosis. Therefore, I questioned whether the LCMV-induced apoptosis of both CD4+CD44hi and CD8β+CD44hi T cell populations occurred through a mitochondrial-induced pathway involving the pro-apoptotic molecule Bim. The attrition of both CD4+CD44hi and CD8β+CD44hi T cells was significantly higher in wildtype mice compared to Bim KO mice at 3 days post-LCMV infection. Moreover, both wildtype CD8β+CD44hi and CD4+CD44hi T cell populations had higher frequency of TUNEL+ cells, relative to Bim KO populations. These results suggest that the apoptosis of CD8β+CD44hi and CD4+CD44hiT cells, following LCMV infection, might occur through a mitochondrial-induced pathway involving Bim.
Studies have shown “lymphoid” CD8α+ DCs to be involved in the phagocytosis of apoptotic lymphocytes. Therefore, I evaluated whether host CD8α+ DCs are capable of phagocytosing apoptotic lymphocytes by adoptively transferring CFSE-labeled wildtype donor splenocytes (Ly5.1) into congenic wildtype hosts (Ly5.2), followed by inoculation with poly(I:C). There was an increased frequency of donor cells (Ly5.1, CFSE+) within the host CD8α+CD11c+ gate at 9 and 12 hours post-poly(I:C) treatment. The results suggest that type 1 IFN-activated CD8α+DCs might aid in the rapid clearance of apoptotic cells during the type 1 IFN-induced attrition associated with viral infections.
I next questioned whether TCR engagement by antigen would render CD8 T cells resistant to attrition. I tested whether a high concentration of antigen (GP33 peptide) would protect LCMV-specific naïve TCR transgenic P14 cells specific for the GP33 epitope of LCMV and GP33-specific LCMV-immune cells from depletion. Both naïve P14 and memory GP33-specific donor CD8 T cells decreased substantially 16 hours after inoculation poly(I:C), regardless of whether a high concentration of GP33 peptide was administered to host mice beforehand. The increased activation status of naïve antigen-specific cells via peptide inoculation did not confer resistance to type 1 IFN-induced depletion. Donor naïve P14 and LCMV-specific memory cells were also depleted from day 2 LCMV-infected (Clone 13) hosts by 16 hours post-transfer. These results indicate that antigen engagement does not protect CD8 T cells from the type 1 IFN-induced attrition associated with viral infections.
Computer models indicated that early depletion of memory T cells may allow for the generation for a more diverse T cell response to infection by reducing the immunodomination caused by cross-reactive T cells. To test this in a biological system, I questioned whether the reduced apoptosis of the crossreactive memory CD8 population (NP205), in aged LCMV-immune mice (18-22 months), following heterologous virus challenge (PV), would allow it to dominate the immune response. At day 8 post-PV infection, the cross-reactive memory CD8 T cell response (NP205) was more immunodominating in aged LCMV-immune mice relative to younger LCMV-immune mice. This was indicated by the increased ratio of the cross-reactive NP205 response to the newly arising noncross-reactive, PV-specific NP38 response in older LCMV-mice relative to younger LCMV immune-mice, at day 8 post-PV infection. These data suggest that the early attrition of T cells allows for the generation of a more diverse T cell response to infection by reducing the immunodomination caused by crossreactive T cells. Collectively, these findings offer further insight into the early attrition of T cells associated with viral infections.
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Conception, synthèse et dévelopement d'inhibiteurs du répresseur transcriptionnel mycobactérien ETHR selon une approche par fragments. Une nouvelle approche dans la lutte contre la tuberculose / Use of fragment-based approaches for the design, synthesis and development of new ethr inhibitors as a new strategy to fight tuberculosisVillemagne, Baptiste 28 September 2012 (has links)
Avec plus d’un million et demi de morts chaque année, la tuberculose reste aujourd’hui la seconde cause de mortalité liée à un agent infectieux. De plus l’organisation mondiale de la santé (OMS) a estimé en 2011 qu’un tiers de la population mondiale était porteuse du bacille Mycobacterium tuberculosis responsable de la maladie. Depuis la fin des années 1980, une recrudescence du nombre de cas de tuberculose est observée à l’échelle mondiale. Cette recrudescence est due à la fois à l’apparition de souches résistantes, mais également à l’épidémie de VIH qui est un facteur de prédisposition au déclenchement de la maladie.En 2000, le répresseur transcriptionnel mycobactérien EthR a été identifié comme étant un régulateur clé dans la bioactivation de l’éthionamide (ETH), un antituberculeux utilisé pour le traitement de seconde intention. En 2009, l’inhibition de ce répresseur par le développement de molécules « drug-like » a permis de potentialiser l’activité de l’éthionamide d’un facteur 3 chez la souris infectée et a permis de valider cette cible pour une future approche thérapeutique.Ce travail repose sur la découverte et l’optimisation de nouveaux inhibiteurs de ce répresseur transcriptionnel mycobactérien, à partir d’une petite molécule appelée « fragment » qui a été cocristallisée avec la protéine. Par la combinaison d’un criblage in silico, d’un criblage in vitro des touches identifiées, de l’étude des structures radiocristallographiques des complexes ligands/protéines et de la chimie médicinale, le développement de trois approches complémentaires dites « fragmentgrowing », « fragment-merging » et « fragment-linking » a permis de développer des composés présentant de fortes activités. Ces résultats permettront très prochainement de sélectionner une nouvelle molécule issue de ce travail dans la perspective de nouveaux essais sur le modèle murin. / Tuberculosis (TB) remains the leading cause of death due to a single infective agent with more than 1.5 million people killed each year. In 2011, the world health organization (WHO) estimated that one third of the world’s population is infected with Mycobacterium tuberculosis, the pathogen responsible for the disease. This phenomenon may be due to an explosive escalation of TB incidence that occurred in the 1980s due to the emergence of both resistant strains and HIV epidemic.In 2000, EthR, a mycobacterial transcriptional repressor, was identified as a key modulator of ethionamide (ETH) bioactivation. ETH is one of the main second-line drugs used to treat drug resistant strains. In 2009, it was shown that co-administration of ETH and drug-like inhibitors of EthR was able to boost ETH activity threefold in a mouse-model of TB-infection, thus validating the target for a new therapeutic strategy.This work deals with the discovery and optimisation of new EthR inhibitors, based on a small molecule, called a “fragment”, co-crystallized with the protein. We combined in silico screening, in vitro evaluation of the hit compounds, study of co-crystal structures and medicinal chemistry to develop three complementary approaches called “fragment growing”, “fragment merging” and “fragment linking” that led to the discovery of very potent inhibitors. Based on these results, we are currently selecting a potential candidate for new in vivo experiments.
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A thousand plateauxLee, Jae-Moon January 2018 (has links)
The puzzle known as tangram was the inspiration behind this composition. Just as the seven pieces of the tangram create shapes, seven contrasting musical fragments appear as thematic materials from which to draw sonic imagery. Sapphic Fragments for two sopranos This composition was constructed from “broken” materials - an analogy for Sappho's dismembered poem. These broken materials were arranged in a pointillistic manner. I drew inspiration from M.C. Escher's works to vary thematic fragments of this work. M.O.N.T.A.G.E. for flute, clarinet, violin and cello This work was influenced by the video work, Wantee, by artist, Laure Prouvost. The title, M.O.N.T.A.G.E., is an acrostic, using words that show intimate relations with my composition: Multicolour, Oscillation, Numbers, Television, the Artist, Gleam, Etc. Once Emerged from the Grey of Night for flute, clarinet, horn, violin, viola and cello This sextet consists of numerous fragments with various colours and textures, forming a musical collage. A picture-poem by Paul Klee offered the starting point for this work. Scale-Free Spaces for flute, guitar, viola and cello I drew compositional ideas from the video installation, Irreversible, by artist Norimichi Hirakawa. This quartet was composed of brief fragments of dots, lines and movements. Various fragments were structured in forms of both simplicity and complexity. For the latter, ideas were drawn from the study in randomness, ‘Scale-Free Network’. String Quartet no. 3 This composition consists of four movements. In the first and third movements, the sound of rain drops and images of light through stained glass are explored. The second and fourth movements effect a structural metamorphoses of musical elements. I drew inspiration from Kafka's novella The Metamorphosis. A Thousand Plateaux for orchestra In this orchestral work, a variety of images of both plateaux and movements were invoked. The work was inspired by both the book, A Thousand Plateaux by Gilles Deleuze and Félix Guattari, and the Alhambra palace in Granada, Spain.
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Carcinoma epidermóide invasivo de pênis: subexpressão dos fragmentos C3 e C4A/B do sistema complemento detectado no plasma pela plataforma proteômica ClinProt/MALDI/TOF / Invasive squamous cell carcinoma of the penis: subexpression of the fragments C3 and C4A/B of the complement system detected in plasma by proteomic platform ClinProt / MALDI / TOFPaulo Ornellas de Souza 28 August 2013 (has links)
O carcinoma epidermóide de pênis (CEP) representa 95% das neoplasias penianas e afeta quase sempre pacientes não circuncidados estando muitas vezes associado à falta de higiene local adequada e à fimose. No Brasil a sua incidência é de 2,7 % porém em algumas áreas do país pode chegar a 17% dos casos diagnosticados por ano. O tumor pode ocorrer em qualquer parte do órgão sexual masculino e o tipo de estadiamento empregado é controverso. A classificação de Broders é a mais utilizada. Estudos sugerem a relação entre o desenvolvimento do carcinoma de pênis com a infecção por HPV (Papiloma Vírus Humano). O método de avaliação dos linfonodos inguinais permanece controverso sendo difícil a diferenciação entre linfadenomegalia inflamatória reacional e metastática. O exame físico não é um preditor confiável do comprometimento linfonodal pois pacientes com linfonodos palpáveis podem não apresentar metástases. Há poucas publicações sobre os mecanismos moleculares envolvidos na gênese e progressão do CEP. Apesar de vários marcadores terem sido avaliados, atualmente a aplicação clínica destes é limitada. A maior parte dos marcadores estudados requer procedimentos invasivos para obtenção do tecido tumoral. Existe a necessidade de encontrar através de uma técnica pouco invasiva marcadores tumorais circulantes capazes de diferenciar portadores de CEP com e sem envolvimento metastático. Neste tipo de neoplasia, a descoberta de biomarcadores que avaliem o prognóstico é relevante, pois o exame físico não é um indicador confiável do comprometimento linfonodal e da sobrevida.Os objetivos foram 1) revisar e discutir a epidemiologia, a etiologia, os diversos tipos de abordagem cirúrgica e as controvérsias no tratamento cirúrgico do câncer de pênis 2) investigar através da plataforma ClinProt/ MALDI / TOF a presença de marcadores plasmáticos capazes de discriminar indivíduos saudáveis de pacientes afetados por carcinoma epidermóide de pênis (CEP) 3) avaliar a importância destes marcadores na evolução da doença. Foram coletados e analisados pela plataforma ClinProt / MALDI / TOF o plasma de 36 indivíduos saudáveis e 25 pacientes com CEP invasivo, submetidos a tratamento cirúrgico entre junho de 2010 e junho de 2011, nos serviços de urologia do Instituto Nacional de Câncer e do Hospital Mário Kröeff (Rio de Janeiro). Nossos resultados apontaram para um conjunto de dois peptídeos (A = m / z 1897,22 + -9 Da e B = m / z 2021,99 + -9 Da) que foram capazes de diferenciar pacientes com CEP de indivíduos controles. Esses peptídeos foram posteriormente identificados como fragmentos C3 e C4 A/B do sistema complemento. A validação cruzada, utilizando toda casuística apresentou 62,5% e 86,76% de sensibilidade e de especificidade, respectivamente, com uma alta sensibilidade (100%) e especificidade (97%) nos pacientes que morreram pela doença. Além disso, os pacientes com envolvimento ganglionar obtiveram uma sensibilidade e uma especificidade de 80 % e 97%, respectivamente. Ficou demonstrado que à medida que a doença progride mais subexpressos está o conjunto de peptídeos quando comparados com indivíduos saudáveis. Estes resultados podem ser úteis como ferramentas para a avaliação do prognóstico destes pacientes. / Squamous cell carcinoma of the penis (SSCP) represents 95% of penile cancers. It affects mostly uncircumcised patients and is often associated with lack of adequate local hygiene and phimosis. In Brazil, the incidence is 2.7% but in some areas of the country can reach 17% of diagnosed cases of cancer per year. The tumor can occur in any part of the sexual organ and the type of staging to be used is controversial. The Broders classification is more often used to classify tumors. Studies suggest the relationship between the development of penile carcinoma and HPV infection (Human Papilloma Virus). The evaluation method of inguinal lymph nodes remains controversial and it is difficult to differentiate inflammatory reaction from metastatic lymphadenopathy. Physical examination is not a reliable predictor of lymph node involvement since patients with palpable lymph nodes can not present metastases. There are few publications about the molecular mechanisms involved in the genesis and progression of the SSCP. Although several markers have been evaluated, currently the clinical application of these is limited. Most of the markers studied require invasive procedures for obtaining tumor tissue. There is a need to find through a minimally invasive technique circulating tumor markers able to differentiate SSCP patients with and without metastatic involvement. In this type ofmalignancythediscovery of biomarkers that assessthe prognosisis relevant since physical examination is not a reliable predictor oflymph node involvementand survival. The objectives of this study were: 1) to review and discuss the epidemiology, etiology, different types of surgical approach and controversies in the surgical treatment of penile cancer 2)to investigate via the platform ClinProt / MALDI / TOF presence of plasma markers able to discriminate healthy subjects from patients affected by squamous cell carcinoma of the penis (SCCP) 3) to evaluate the importance of these markers in disease progression. Between June 2010 and June 2011, plasma samples from 36 healthy subjects and 25 patients with penile carcinoma who underwent surgical treatment in the UrologyServicesofNational Cancer InstituteandMarioKröeffHospital were collected and analyzed by the ClinProt/MALDI/TOF platform. Our results found a cluster of 2 peptides (A=m/z 1897.22 +-9 Da and B=m/z 2021.99 +-9 Da that was able to discriminate patients from controls subjects. These peptides were further identified as C3 and C4 A/B fragments from complement system. Cross validation analysis using the whole casuistic showed 62.5% and 86.76% of sensitivity and specificity, respectively with a very high sensitivity (100%) and specificity (97%) for SCCP patients that have died by disease. Moreover, patients with lymph node involvement present a sensitivity and specificity of 80% and 97%, respectively. The results showed that as the disease progresses more under express are the cluster comparing with healthy subjects. These results may be useful as prognostic toll.
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UMA ESTRATÉGIA PARA VALIDAÇÃO DA COMPLETUDE E CONSISTÊNCIA EM PROCESSOS DE SOFTWARE / A STRATEGY FOR VALIDATION OF COMPLETENESS AND CONSISTENCY IN SOFTWARE PROCESSESBrasil, Miguel Augusto Bauermann 19 August 2014 (has links)
There isn t a unique development process suitable for all software projects. Standards and quality models such as ISO/IEC 15504, MPS.BR, CMM and CMMI, recommend the process tailoring to satisfy specific project features. However process tailoring is a complex task because it requires knowledge and expertise of who performs. The incomplete or duplicate process elements selection can generate ambiguities which may disturb the project progress and generate distrust in relation to the tailored process. This dissertation presents a systematic strategy to completeness and internal consistency validation of the elements that are part of the tailored process, call fragments. The aim is to contribute to improving the software development process quality and help the process engineer on the process tailoring task, providing complete and consistent process elements which are prioritized according to the project features. To support the proposed strategy have benn developed: i) ontology to similarity recognition among process; ii) a metamodel for process tailoring; iii) a web toll for complete and consistent process definition. The proposed strategy facilitates the work of the engineer showing which elements are adequate (complete and consistent) to be part of the tailored process and enables the elimination of inconsistences lead to improving the process. / Não existe um modelo de processo de desenvolvimento único para ser adotado para todos os projetos de software. Normas e modelos de qualidade como a norma ISO/IEC 15504, MPS.BR, CMM e o CMMI preconizam que a adaptação de processos seja realizada para satisfazer às necessidades específicas dos projetos. Entretanto, a atividade de adaptar um processo de software é considerada uma tarefa complexa, exigindo conhecimento e experiência de quem a realiza. A seleção de elementos de processo incompletos, ou duplicados podem gerar ambiguidades que podem comprometer o andamento do projeto e gerar desconfiança para com o processo adaptado. Esta dissertação apresenta uma estratégia sistemática para validação da completude e consistência interna dos elementos formadores do processo adaptado, neste trabalho chamados fragmentos. O objetivo é contribuir para a melhoria da qualidade dos processos de desenvolvimento de software adaptados e auxiliar o engenheiro de processos na tarefa de adaptação de processos, fornecendo elementos de processo completos, consistentes e priorizados de acordo com as características do projeto. Para apoiar a proposta, foram desenvolvidas: i) uma ontologia para reconhecimento da similaridade em processos; ii) um metamodelo para adaptação de processos e iii) uma ferramenta web para definição de processos completos e consistentes. A estratégia proposta facilita o trabalho do engenheiro de processos informando para este quais elementos são adequados (completos e consistentes), e possibilita a eliminação de inconsistências levando a melhoria do processo.
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Carcinoma epidermóide invasivo de pênis: subexpressão dos fragmentos C3 e C4A/B do sistema complemento detectado no plasma pela plataforma proteômica ClinProt/MALDI/TOF / Invasive squamous cell carcinoma of the penis: subexpression of the fragments C3 and C4A/B of the complement system detected in plasma by proteomic platform ClinProt / MALDI / TOFPaulo Ornellas de Souza 28 August 2013 (has links)
O carcinoma epidermóide de pênis (CEP) representa 95% das neoplasias penianas e afeta quase sempre pacientes não circuncidados estando muitas vezes associado à falta de higiene local adequada e à fimose. No Brasil a sua incidência é de 2,7 % porém em algumas áreas do país pode chegar a 17% dos casos diagnosticados por ano. O tumor pode ocorrer em qualquer parte do órgão sexual masculino e o tipo de estadiamento empregado é controverso. A classificação de Broders é a mais utilizada. Estudos sugerem a relação entre o desenvolvimento do carcinoma de pênis com a infecção por HPV (Papiloma Vírus Humano). O método de avaliação dos linfonodos inguinais permanece controverso sendo difícil a diferenciação entre linfadenomegalia inflamatória reacional e metastática. O exame físico não é um preditor confiável do comprometimento linfonodal pois pacientes com linfonodos palpáveis podem não apresentar metástases. Há poucas publicações sobre os mecanismos moleculares envolvidos na gênese e progressão do CEP. Apesar de vários marcadores terem sido avaliados, atualmente a aplicação clínica destes é limitada. A maior parte dos marcadores estudados requer procedimentos invasivos para obtenção do tecido tumoral. Existe a necessidade de encontrar através de uma técnica pouco invasiva marcadores tumorais circulantes capazes de diferenciar portadores de CEP com e sem envolvimento metastático. Neste tipo de neoplasia, a descoberta de biomarcadores que avaliem o prognóstico é relevante, pois o exame físico não é um indicador confiável do comprometimento linfonodal e da sobrevida.Os objetivos foram 1) revisar e discutir a epidemiologia, a etiologia, os diversos tipos de abordagem cirúrgica e as controvérsias no tratamento cirúrgico do câncer de pênis 2) investigar através da plataforma ClinProt/ MALDI / TOF a presença de marcadores plasmáticos capazes de discriminar indivíduos saudáveis de pacientes afetados por carcinoma epidermóide de pênis (CEP) 3) avaliar a importância destes marcadores na evolução da doença. Foram coletados e analisados pela plataforma ClinProt / MALDI / TOF o plasma de 36 indivíduos saudáveis e 25 pacientes com CEP invasivo, submetidos a tratamento cirúrgico entre junho de 2010 e junho de 2011, nos serviços de urologia do Instituto Nacional de Câncer e do Hospital Mário Kröeff (Rio de Janeiro). Nossos resultados apontaram para um conjunto de dois peptídeos (A = m / z 1897,22 + -9 Da e B = m / z 2021,99 + -9 Da) que foram capazes de diferenciar pacientes com CEP de indivíduos controles. Esses peptídeos foram posteriormente identificados como fragmentos C3 e C4 A/B do sistema complemento. A validação cruzada, utilizando toda casuística apresentou 62,5% e 86,76% de sensibilidade e de especificidade, respectivamente, com uma alta sensibilidade (100%) e especificidade (97%) nos pacientes que morreram pela doença. Além disso, os pacientes com envolvimento ganglionar obtiveram uma sensibilidade e uma especificidade de 80 % e 97%, respectivamente. Ficou demonstrado que à medida que a doença progride mais subexpressos está o conjunto de peptídeos quando comparados com indivíduos saudáveis. Estes resultados podem ser úteis como ferramentas para a avaliação do prognóstico destes pacientes. / Squamous cell carcinoma of the penis (SSCP) represents 95% of penile cancers. It affects mostly uncircumcised patients and is often associated with lack of adequate local hygiene and phimosis. In Brazil, the incidence is 2.7% but in some areas of the country can reach 17% of diagnosed cases of cancer per year. The tumor can occur in any part of the sexual organ and the type of staging to be used is controversial. The Broders classification is more often used to classify tumors. Studies suggest the relationship between the development of penile carcinoma and HPV infection (Human Papilloma Virus). The evaluation method of inguinal lymph nodes remains controversial and it is difficult to differentiate inflammatory reaction from metastatic lymphadenopathy. Physical examination is not a reliable predictor of lymph node involvement since patients with palpable lymph nodes can not present metastases. There are few publications about the molecular mechanisms involved in the genesis and progression of the SSCP. Although several markers have been evaluated, currently the clinical application of these is limited. Most of the markers studied require invasive procedures for obtaining tumor tissue. There is a need to find through a minimally invasive technique circulating tumor markers able to differentiate SSCP patients with and without metastatic involvement. In this type ofmalignancythediscovery of biomarkers that assessthe prognosisis relevant since physical examination is not a reliable predictor oflymph node involvementand survival. The objectives of this study were: 1) to review and discuss the epidemiology, etiology, different types of surgical approach and controversies in the surgical treatment of penile cancer 2)to investigate via the platform ClinProt / MALDI / TOF presence of plasma markers able to discriminate healthy subjects from patients affected by squamous cell carcinoma of the penis (SCCP) 3) to evaluate the importance of these markers in disease progression. Between June 2010 and June 2011, plasma samples from 36 healthy subjects and 25 patients with penile carcinoma who underwent surgical treatment in the UrologyServicesofNational Cancer InstituteandMarioKröeffHospital were collected and analyzed by the ClinProt/MALDI/TOF platform. Our results found a cluster of 2 peptides (A=m/z 1897.22 +-9 Da and B=m/z 2021.99 +-9 Da that was able to discriminate patients from controls subjects. These peptides were further identified as C3 and C4 A/B fragments from complement system. Cross validation analysis using the whole casuistic showed 62.5% and 86.76% of sensitivity and specificity, respectively with a very high sensitivity (100%) and specificity (97%) for SCCP patients that have died by disease. Moreover, patients with lymph node involvement present a sensitivity and specificity of 80% and 97%, respectively. The results showed that as the disease progresses more under express are the cluster comparing with healthy subjects. These results may be useful as prognostic toll.
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Modeling hydrometeorological extremes in Alpine catchments / Modellering av hydrometeorologiska extremvärden i alpina avrinningsområdenVoulgaridis, Theo January 2017 (has links)
Uncertainties with a modeling framework consisting of a weather generator, two precipitation disaggregation models and the hydrological HBV model was assessed with respect to hydrometeorological extremes in Tyrol, Austria. Extreme precipitation events are expected to increase in intensity and frequency in the Alps during a warmer climate. The Alpine regions may be particularly vulnerable to such changes in climate where many floods in Europe occurred during recent years and caused major damage and loss of life. Weather generators typically provide time series at daily resolution. Different disaggregation methods have therefore been proposed and successfully tested to increase temporal resolution in precipitation. This is essential since flood peaks may be maintained for as little as minutes. Here, the non-parametric method of fragments was tested and compared with the multiplicative microcanonical cascade model with uniform splitting on the reproduction of precipitation extremes. It is also demonstrated that the method of fragments model can be transformed to disaggregate temperature with slight changes in the model structure. Preliminary test results show that the simulation of discharge peaks can be improved by disaggregating temperature in comparison with using daily averages as input in the HBV model. Test results show that precipitation extremes were simulated within confidence bounds for Kelchsauer and Gurglbach when using historical observations as input. These two catchments had longer records of data available in comparison with Ruetz where the majority of simulated precipitation extremes were found outside confidence ranges. This indicates that the model is data driven. Synthetic data series were constructed with the weather generator from historical data and disaggregated with the two disaggregation models. The differences between the models were bigger for Ruetz where less observed data was available. The method of fragments simulates extremes with the closest resemblance to extremes. This is also true for the reproduction of wet spells and simulated variance. To account for parameter uncertainty in the HBV model, it is highly motivated to simulate discharge with different but suitable parameter sets to account for equifinality. However, the large amount of data produced when disaggregating the weather generated time series transcended the data capacity of the HBV model and made it crash. Other uncertainties related to the framework are the use of theoretical probability distributions in the weather generator and the dependence of high-resolution data for the disaggregation model. Despite these uncertainties, the framework is closer to a physical understanding of the causes of floods than the uncertain frequency analysis method. The framework is also applicable to land-use and climate change studies.
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Structure-based drug design of allosteric ecto-5'-nucleotidase inhibitors : application to cancer treatment / Développement d'inhibiteurs allostériques de l'ecto-5'-nucléotidase (CD73) : application aux traitements anticancéreuxRahimova, Rahila 15 September 2017 (has links)
Le cancer représente l'un des problèmes majeurs en santé publique. Jusqu'à présent, en parallèle de l'intervention chirurgical, plusieurs traitements ont été mis au point et largement utilisés en thérapie clinique telles que les chimiothérapies. Cependant, leur efficacité est parfois limitée et couplée à des effets secondaires très néfastes, laissant les patients dans une impasse thérapeutique. Par conséquent, de nouvelles approches thérapeutiques doivent être développées sur de nouvelles cibles avérées en oncologie afin d'apporter des soins personnalisés aux patients. La première partie de mon travail de thèse a été dédiée à la compréhension des mécanismes moléculaires de la nucléotidase cytosolique de type II (cN-II), une enzyme du métabolisme des purines dont l'implication dans des phénomènes de résistance à des traitements anticancéreux a pu être démontrée. Aussi, une étude sur la cinétique enzymatique à l'état pré-stationnaire et stationnaire a été entreprise sur la forme sauvage et une forme mutée de l'enzyme lui conférant une activité accrue fortement impliquée dans les cas de résistance. Par cette approche, il a été possible de décortiquer le mécanisme cinétique, de définir l'étape cinétiquement limitant afin d'identifier les intermédiaires prépondérants de la réaction pouvant être ciblés pour le développement de nouveaux inhibiteurs. Cette étude cinétique est présentée dans ce premier volet de la thèse. En second lieu, mon travail s'est focalisée sur un second membre de cette famille d'enzyme qui est l'ecto-5'-nucléotidase (CD73). Cette enzyme exprimée sous forme dimérique à la surface extracellulaire régule la concentration en adénosine extracellulaire (par hydrolyse de l'adénosine monophosphate), ce dernier étant un puissant immunosuppresseur de la réponse immune anticancéreuse. L'objectif de mon travail de thèse a été de développer de nouveaux inhibiteurs de type allostérique en utilisant une approche basée sur la structure tridimensionnelle et la dynamique moléculaire. Une des étapes clés a été tout d'abord de mettre au point un système expression hétérologue afin d'obtenir l'enzyme recombinante en quantité suffisante pour les études enzymatiques ultérieures. Différents systèmes d'expression ont été testés et seul le système en cellules d'insecte infectées par le baculovirus a permis d'obtenir l'enzyme active en grande quantité. En parallèle, une étude in silico a permis de reproduire la dynamique fonctionnelle de l'enzyme requise pour sa fonction. A partir de ses données, un criblage virtuel d'une chimiothèque de 324 000 molécules a été réalisé sur le site de dimérisation et a permis d'identifier 33 composés chefs de files. Parmi, ces composés, dix molécules se sont avérés être de puissants inhibiteurs de CD73 (Ki < 1 µM) avec un mécanisme d'inhibition de type allostérique ou non-compétitif. La cytotoxicité des composés a été évaluée sur des lignées cellulaires transformées ou tumorales montrant un effet uniquement à des concentrations très élevées (supérieures à 100 µM). L'étude des relations structure-fonction devrait permettre à présent de proposer de voies d'optimisation afin d'améliorer l'efficacité des composés les plus actifs afin d'aboutir à de nouveaux candidats médicaments. / Cancer burden still remains a major worldwide health problem. To date, several types of conventional anticancer treatments are widely used in clinical. However, the alternative effects of these treatments often leave patients impaired. Therefore, it is required to understand the unique medical needs of individual patients and to conduct effective, high–quality research focusing on the not yet identified oncotargets.The first part of my thesis is dedicated to decipher molecular basis of cN-II reaction. This study characterizes the steady state and transient state kinetics of cN-II wild type and hyperactive mutant which involved in cancer treatment resistance. Furthermore, the characterization of the rate-limiting step and reaction intermediates gave insights into the binding mechanisms and the development of small molecules inhibitors of cN-II.In the second part of this work, we aimed to investigate allosteric inhibitors of CD73 using structure-based drug design approach. In this study the suitable protein expression system was established for the production of sufficient quantities of fully active CD73. This work followed by in silico studies, including molecular dynamics, virtual screening, and hits identification and in vitro hits validations and kinetics characterizations. The cytotoxicity of the most powerful inhibitors exhibited on different cell types was determined. SAR studies gave insights into the binding mode of best compounds and function.
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Etudes moléculaires de la diversité des communautés et populations de champignons mycorhiziens à arbuscules (Glomeromycota) / Molecular community and population studies of arbuscular mycorrhizal fungi (Glomeromycota)Peyret -Guzzon, Marine 30 October 2014 (has links)
La symbiose mycorhizienne à arbuscules, dont l’apparition est conjointe à celle des plantes terrestres il y a 460 millions d’années, est une association mutualiste à bénéfices réciproques qui s’instaure entre la plupart des plantes terrestres, y compris celles cultivées, et des microorganismes ubiquitaires du sol que sont les champignons mycorhiziens à arbuscules (CMA, phylum des Glomeromycota). Lors cette symbiose, le fort potentiel d’amélioration de la nutrition minérale des plantes, et donc de la production végétale, est un atout dans le contexte mondial actuel d’augmentation de la demande de la production agricole. Afin d’optimiser les services écosystémiques des CMA dans les écosystèmes et en particulier les agroécosystèmes, la maîtrise de cette symbiose en ingénierie écologique nécessite la compréhension des mécanismes complexes qui régissent la dynamique de cette symbiose dans ces écosystèmes. Pour cela, nous avons étudié la diversité des communautés et des populations de CMA dans les agroécosystèmes à différentes échelles spatiales et sous l’influence de différentes pratiques culturales par des techniques d’empreintes moléculaires: séquençage haut-débit et polymorphisme de longueur de fragments de restriction. Les résultats obtenus montrent que la structuration de la diversité des CMA est influencée par le type d’usage de sol (prairie vs. culture), les pratiques culturales (retournement du sol, fertilisation et système de culture) ainsi que par les facteurs abiotiques (e.g. pH du sol). En conclusion, ces différents facteurs sont à prendre en compte dans l’optimisation des services écosystémiques des CMA. / The arbuscular mycorrhizal symbiosis, which appeared at the same time as land plants, 460 million years ago, is a mutualistic beneficial association between most land plants, including those cultivated, and arbuscular mycorrhizal fungi (AMF). AMF, from the Glomeromycota phylum, are widespread soil microorganisms needing a photosynthetic host to complete their life cycle (obligate symbionts). The great potential of plant mineral nutrition improvement and crop production increased during this symbiosis, make AMF an asset in the context of an increase in the demand of world food crop production. The control of that symbiosis by ecology engineering in order to improve ecosystem services, especially in agroecosystems, needs to better understand the mechanisms regulating its dynamic. Therefore, we studied community and population diversity of AMF under influences of different agricultural practices at several spatial scales using genetic fingerprinting methods: high-throughput sequencing and restriction fragment length polymorphism. Results show that AMF diversity is structured by land use type (grassland vs. arable fields), cultural practices (soil disturbance, fertilizations, culturing systems) as well as environmental factors (e.g. soil pH). In conclusion, those different factors have to taken in account in AMF ecosystemic service managing.
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[en] THROUGH THE WORK WITH LANGUAGE, INTERPRETATIONS AND CONSTRUCTIONS IN PSYCHOANALYS / [pt] NO TRABALHO COM A LINGUAGEM, INTERPRETAÇÕES E CONSTRUÇÕES EM PSICANÁLISEPATRICIA NORONHA DE SA 02 August 2017 (has links)
[pt] Esta dissertação trata da importância do significante em interpretações e construções na clínica psicanalítica, partindo do estudo de fragmentos de casos clínicos de psicanalistas como Freud, Lacan e Jean Allouch. Suas bases concentram-se na maneira como a linguagem é tomada na formulação do inconsciente por Freud e depois por Lacan. No que chama de retorno a Freud, Lacan procura recolocar a psicanálise em seu caminho: o da linguagem, relendo os textos que considera canônicos sobre os sonhos, os atos falhos e os chistes. Para realizar o estudo, segui o caminho de Lacan pela linguística com Saussure, Jakobson, Benveniste, Damourette, Pichon e outros linguistas e gramáticos que foram importantes referências em suas formulações. Procurando apreender o Freud lido por Lacan, que determinou suas reformulações na psicanálise, mais especificamente na direção do tratamento psicanalítico, atravessei também textos de Lacan nos quais ele começa discutindo a fala, no campo da linguagem, voltado para a transmissão
da psicanálise e para a oposição entre duas concepções de tratamento e a formação do psicanalista. Em seus últimos seminários, acaba por decidir deixar a linguística para os linguistas e cunhar o termo linguisteria para falar de que linguagem se trata na psicanálise. A partir de fragmentos de casos clínicos, refleti acerca da relevância de determinados significantes, que aparecem durante os tempos do tratamento psicanalítico nos quais a intervenção do analista faz com que o analisante possa abandonar a fixidez
de sentido e empreender o caminho de construção de seu fantasma até a sua travessia. Destaquei alguns conceitos utilizados por Freud (Wortfuge- Worfugen-Wortfügung, Wortklang, Entstellung, Konstruktion, Phantasieren, dentre outros), com os quais se quis entender a técnica psicanalítica, a partir das interpretações freudianas de sonhos, chistes e atos falhos, e avançar nas elaborações lacanianas na direção do tratamento, interpretação, ato analítico. / [en] This thesis studies the role of the signifier in interpretations and constructions in psychoanalytical treatments, taking into consideration the analysis of fragments of clinical cases from psychoanalysts like Freud, Lacan and Jean Allouch, among others. This work is based on the way language was taken
by Freud and later by Lacan in the formulation of the concept of the unconscious. In Lacan s Retour à Freud he tries to put psychoanalysis back on track, the language path, by rereading the texts he considers canonical about the interpretation of dreams, parapraxis and wits. To accomplish this study, I followed
Lacan s steps through linguistics with Saussure, Jakobson, Benveniste, Damourette, Pichon and other linguists and grammarians that were important to his psychoanalytical formulations. In order to understand Freud read by Lacan, which determined his reformulations on psychoanalysis, specifically in regards to
treatment, I took into account texts in which Lacan begins to discuss speech, in the field of language, focused on the transmission of psychoanalysis and on the opposition between two existing conceptions of the treatment and the formation of the psychoanalyst. In his last seminars, Lacan ends up deciding to leave linguistics to the linguists and to coin the term linguistery to state which language psychoanalysis deals with. Based on fragments of clinical cases, I reflected on the relevance of certain signifiers that appear on the course of different treatments in which the analysts intervention enabled the analysand to abandon a previously fixed meaning and undertake a new way to the construction of his phantasy up to
its crossing. Some of the signifiers used by Freud (Wortfuge-Worfugen- Wortfügung, Wortklang, Entstellung, Konstruktion, Phantasieren, among others) helped me understand the psychoanalytical technics through Freud s interpretations of dreams, wits, parapraxis and move on to lacanian elaborations
on psychoanalytical treatment, interpretation, analytical act.
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