Le cancer de la vessie représente un vrai problème de santé publique, avec une surveillance et suivi clinique à long terme en raison de l’importance des fréquences de récidives. La chimiothérapie reste souvent inefficace. L’objectif de cette thèse est donc la recherche de marqueurs sérologiques et moléculaires à valeur pronostique dans le cancer de la vessie qui peuvent servir à prédire la maladie. D’abord, nous avons étudié trois facteurs de transcriptions des lymphocytes T activées qui sont T-bet, GATA-3 et Bcl-6. Nous avons montré une surexpression de T-bet chez les malades à stade invasif et de haut grade, cependant, la surexpression de GATA-3 et Bcl-6 a été corrélée au stade superficiel et de bas grade. La survie a été corrélée avec le groupe des malades sans histoires de récidive ou progression et avec la surexpression de Bcl-6 et GATA-3. Cependant les malades qui expriment fortement T-bet répondent mieux au BCG. Ensuite, nous avons visé la détection de FasL et TRAIL solubles dans le sérum des malades atteints du cancer vésicale. Nous avons montré une surexpression de sFasL et sTRAIL chez les malades à stade superficiel et de bas grade. Le rôle anti-tumoral de ces cytokines a été confirmé sur deux lignées du cancer de la vessie montrant que le traitement avec le sérum riche en sFasL ou en sTRAIL diminue la viabilité cellulaire in vitro. A la fin de cette thèse, nous avons testé l’activation p-Akt dans la tumeur vésicale. Nous avons montré une surexpression de p-Akt au sein des tumeurs comparées au tissu sain adjacent, et au sein des malades à stade invasif et de haut grade. Akt semble être un marqueur de progression tumorale dans le cancer de la vessie. / Bladder cancer is the first most common urogenital cancer in men in Tunisia, with a high recurrence rate. Patients with muscle-invasive disease develop metastasis. The need for expensive continuous surveillance. In this thesis we try to search some candidate biomarkers. Their use for cancer staging and personalization of therapy at the time of diagnosis in order to identify a better treatment could improve patient care. The aim of this first part of our study was to investigate the clinical significance of three immune cell-related transcription factors, T-bet, GATA-3 and Bcl-6 in Tunisian patients with bladder cancer. We found that T-bet level was significantly higher in invasive carcinoma with high- grade. However, T-bet is predictive of response to BCG. On the contrary, the expression of GATA-3 and Bcl-6 was significantly higher in non-invasive carcinoma with low grade. We furthermore studied the effect of activation of soluble FasL and TRAIL molecule in bladder cancer. We demonstrate that the mean serum level of sFasL was higher in patients than in normal donors. sFasL was only higher than in sera of healthy donors where patients had superficial stage and low- and medium-grade cancer. sTRAIL was significantly lower in sera from patients with invasive and high-grade bladder carcinoma than in controls. Finally, we demonstrate that p-Akt levels in patients with invasive carcinoma and high-grade bladder cancer were significantly elevated compared to patients with non-invasive and low grade bladder cancer. Altogether, our results suggest that Akt activation can provide useful prognostic information.

Tick-borne encephalitis virus is the cause of much morbidity and sometimes a fatal infection. A vaccine based on formaldehyde inactivated virus is currently the only available way of preventing disease. This vaccine gives a high rate of seroconversion but there are reports of vaccination breakthrough, even in people who have demonstrated a neutralizing antibody response. The T cell response to inactivated TBE vaccine is largely unknown, but could be of importance for the effect of the vaccine. This study characterizes aspects of the T cell response by investigating the expression of two transcription factors, T-bet and GATA-3 with RT-PCR. T-bet is expressed in CD4+ T cells of the Th1 type, while GATA-3 is expressed in CD4+ T cells of the Th2 type. Our data show that vaccination with inactivated TBE vaccine leads to increase in expression of the T-bet gene when cells of vaccinated subjects are cultured with TBE virus. In contrast, the expression of GATA-3 remains unaffected by vaccination. Thus, this study suggests that the inactivated TBE vaccine leads to a Th1-like immune response in humans.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / O óleo de peixe é rico em ácidos graxos poli-insaturados (AGPI) n-3 e vem sendo apontado como anti-inflamatório associado à melhora de diversas doenças de natureza inflamatória. No presente estudo, objetivou-se avaliar a influência do óleo de peixe sobre a inflamação pulmonar e hiper-reatividade em camundongos ativamente sensibilizados desafiados com ovoalbumina (OVA). Camundongos A/J machos foram alimentados com dieta standard-chow (SC) ou dieta rica em óleo de peixe (Px) durante 8 semanas. Após 4 semanas do início da dieta, cada grupo foi subdividido aleatoriamente para ser desafiado com salina (SC-SAL e PX-SAL) ou ovoalbumina (SC-OVA e PX-OVA). A função pulmonar (resistência e elastância) foi avaliada através de pletismografia invasiva, na condição de aerolização ou não com metacolina 24 horas após o último desafio antigênico. Foi realizado lavado broncoalveolar (LBA) para contagem de leucócitos e quantificação de eotaxina-2. A deposição de muco e de matriz peribronquiolar e o infiltrado de eosinófilos foram quantificados no tecido pulmonar. Foram avaliados interleucina (IL)-13 através de imunohistoquímica e NFκB, GATA-3 e PPARγ, por western-blotting. O desafio com OVA resultou em aumento da infiltração de eosinófilos, elevada produção de citocinas inflamatórias, remodelamento pulmonar, produção de muco e hiper-reatividade das vias aéreas. Detectou-se aumento na expressão dos fatores de transcrição NFκB e GATA-3 nos camundongos do grupo sensibilizado e desafiado com OVA em comparação aos controles. Todas essas alterações foram atenuadas nos camundongos que receberam dieta com óleo de peixe. Expressão elevada de PPARγ foi detectada nos pulmões dos camundongos dos grupos alimentados com óleo de peixe. Em conclusão, nossos resultados mostram que a ingestão de óleo de peixe atenuou as características clássicas do quadro asmático através da modulação da síntese de mediadores inflamatórios, via regulação negativa de NFκB e GATA-3 e regulação positiva de PPARγ. O óleo de peixe parece ser uma terapia alternativa para o controle e tratamento da asma. / Fish oil (FO) is rich in n-3 polyunsaturated fatty acids (PUFA), which have been suggested to be anti-inflammatory and are associated with improvement of several inflammatory diseases. In this study, we investigated the influence of FO on allergen-induced lung inflammation and airway hyperreactivity in mice. Male A/J mice were fed either a standard-chow (SC) or a FO diet (FO) for 8 weeks. After 4 weeks, each group was further randomized for ovalbumin (SC-OVA and FO-OVA) or saline (SC-SAL and FO-SAL) challenge. Resistance and elastance were measured at baseline and after aerosolized methacholine, 24h after the last challenge. Bronchoalveolar lavage (BAL) was performed for leukocyte counts and eotaxin-2 quantification. Lung tissue mucus deposition, peribronchiolar matrix deposition and eosinophil infiltration were quantified. Interleukin-13 expression was evaluated by immunohistochemistry and nuclear factor kappa B (NFκB), GATA-3 and peroxisome proliferator-activated receptor gamma (PPARγ) expression was measured by Western blot. OVA challenge resulted in increased eosinophil infiltration, increased inflammatory cytokine production, peribronchiolar matrix and mucus deposition and airway hyperreactivity to aerosolized methacholine. Elevated lung NFκB and GATA-3 expression was noted in OVA-challenged mice, which was attenuated in FO diet-fed mice. Higher PPARγ expression was also detected in the lungs from the FO-fed groups. In conclusion, FO intake attenuated classical asthma features by reducing inflammatory mediator production via GATA-3 and NFκB down-regulation and PPARγ up-regulation. Thus, FO might be an alternative therapy for asthma prevention and control.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / O óleo de peixe é rico em ácidos graxos poli-insaturados (AGPI) n-3 e vem sendo apontado como anti-inflamatório associado à melhora de diversas doenças de natureza inflamatória. No presente estudo, objetivou-se avaliar a influência do óleo de peixe sobre a inflamação pulmonar e hiper-reatividade em camundongos ativamente sensibilizados desafiados com ovoalbumina (OVA). Camundongos A/J machos foram alimentados com dieta standard-chow (SC) ou dieta rica em óleo de peixe (Px) durante 8 semanas. Após 4 semanas do início da dieta, cada grupo foi subdividido aleatoriamente para ser desafiado com salina (SC-SAL e PX-SAL) ou ovoalbumina (SC-OVA e PX-OVA). A função pulmonar (resistência e elastância) foi avaliada através de pletismografia invasiva, na condição de aerolização ou não com metacolina 24 horas após o último desafio antigênico. Foi realizado lavado broncoalveolar (LBA) para contagem de leucócitos e quantificação de eotaxina-2. A deposição de muco e de matriz peribronquiolar e o infiltrado de eosinófilos foram quantificados no tecido pulmonar. Foram avaliados interleucina (IL)-13 através de imunohistoquímica e NFκB, GATA-3 e PPARγ, por western-blotting. O desafio com OVA resultou em aumento da infiltração de eosinófilos, elevada produção de citocinas inflamatórias, remodelamento pulmonar, produção de muco e hiper-reatividade das vias aéreas. Detectou-se aumento na expressão dos fatores de transcrição NFκB e GATA-3 nos camundongos do grupo sensibilizado e desafiado com OVA em comparação aos controles. Todas essas alterações foram atenuadas nos camundongos que receberam dieta com óleo de peixe. Expressão elevada de PPARγ foi detectada nos pulmões dos camundongos dos grupos alimentados com óleo de peixe. Em conclusão, nossos resultados mostram que a ingestão de óleo de peixe atenuou as características clássicas do quadro asmático através da modulação da síntese de mediadores inflamatórios, via regulação negativa de NFκB e GATA-3 e regulação positiva de PPARγ. O óleo de peixe parece ser uma terapia alternativa para o controle e tratamento da asma. / Fish oil (FO) is rich in n-3 polyunsaturated fatty acids (PUFA), which have been suggested to be anti-inflammatory and are associated with improvement of several inflammatory diseases. In this study, we investigated the influence of FO on allergen-induced lung inflammation and airway hyperreactivity in mice. Male A/J mice were fed either a standard-chow (SC) or a FO diet (FO) for 8 weeks. After 4 weeks, each group was further randomized for ovalbumin (SC-OVA and FO-OVA) or saline (SC-SAL and FO-SAL) challenge. Resistance and elastance were measured at baseline and after aerosolized methacholine, 24h after the last challenge. Bronchoalveolar lavage (BAL) was performed for leukocyte counts and eotaxin-2 quantification. Lung tissue mucus deposition, peribronchiolar matrix deposition and eosinophil infiltration were quantified. Interleukin-13 expression was evaluated by immunohistochemistry and nuclear factor kappa B (NFκB), GATA-3 and peroxisome proliferator-activated receptor gamma (PPARγ) expression was measured by Western blot. OVA challenge resulted in increased eosinophil infiltration, increased inflammatory cytokine production, peribronchiolar matrix and mucus deposition and airway hyperreactivity to aerosolized methacholine. Elevated lung NFκB and GATA-3 expression was noted in OVA-challenged mice, which was attenuated in FO diet-fed mice. Higher PPARγ expression was also detected in the lungs from the FO-fed groups. In conclusion, FO intake attenuated classical asthma features by reducing inflammatory mediator production via GATA-3 and NFκB down-regulation and PPARγ up-regulation. Thus, FO might be an alternative therapy for asthma prevention and control.

Differenzierungsentscheidungen von Zellen werden durch die Integration mehrerer Stimuli bestimmt. Die Differenzierung von Helfer-T-Zellen (Th-Zellen) ist hierfür ein gut untersuchtes Beispiel: reife Th-Zellen entwickeln sich beim Kontakt mit einem für sie spezifischen Antigen zu einem spezialisierten Subtyp, der von den in ihrer Umgebung vorhandenen Zytokinen abhängt und exprimieren dann einen spezifischen Mastertranskriptionsfaktor. Die häufigsten Th-Zell-Subtypen sind T-bet-exprimierende Th1-Zellen und GATA-3-exprimierende Th2-Zellen. Neuere Entdeckungen bezüglich der Plastizität von Th-Zell-Subtypen sowie die Existenz von T-bet+GATA-3+ Hybrid-Phänotypen haben die detaillierte Untersuchung vom Differenzierungsprozessen von Th-Zellen mit komplexer Zytokinsignale motiviert. Dazu haben wir systematisch die Zytokine IFN-g, IL-12 und IL-4 während der primären Differenzierung Th-Zellen titriert und Signaltransduktion und Zielgenexpression quantifiziert. Der Umfang und die Komplexität der Daten machten eine systematische Analyse notwendig, um involvierte Mechanismen genau zu identifizieren. Lineare Regressionsanalyse wurde verwendet, um die Netzwerktopologie zu extrahieren, wobei schon bekannte und zahlreiche neue Interaktionen vorausgesagt wurden. Die prognostizierte Netzwerktopologie wurde dann verwendet, um ein mechanistisches, mathematisches Modell der Zytokinsignalintegration zu entwickeln. Diese Methode hat ein hochgradig vernetztes regulatorisches Netzwerk inferiert. Bisher nicht beschriebene Funktionen von STAT-Proteine, die die Neuverkabelung des Netzwerkes während der Differenzierung vermitteln, wurden vorhergesagt. Ausgewählte neue Interaktionen wurden in gezielten genetischen Experimenten bestätigt. Während gegenseitige Inhibitionsmotive oft als kanonische digitale Schalter interpretiert werden, funktioniert das Th-Zell-Netwerk als ein Rheostat, der Variationen der Zytokinsignale in graduelle Expressionsänderungen der Mastertranskriptionsfaktoren übersetzt. Unsere Arbeit erklärt mechanistisch das beobachtete Kontinuum von Th-Zelldifferenzierungszuständen entlang der Th1-Th2-Achse und beschreibt eine quantitative Methode für die datenbasierte Inferenz zellulärer Netzwerke der Signalintegration. / Cell-fate decisions are governed by the integration of multiple stimuli. Th cell differentiation is a well-studied example thereof: mature Th cells differentiate into a specialised subtype upon encounter with their cognate antigen depending on the polarising cytokines present in their environment and start expressing specific master transcription factors. The most common Th cell subtypes are T-bet-expressing Th1 cells and GATA-3-expressing Th2 cells. Recent discoveries concerning the plasticity of Th cell subtypes as well as the existence of stable T-bet+GATA-3+ hybrid Th1/2 phenotypes have stimulated the detailed study of the differentiation process under different assumptions than the hitherto valid paradigm of single master transcription factor expression by using complex cytokine signals as inputs. Here, we developed a data-based approach for inferring the molecular network underlying the differentiation of T-bet- and/or GATA-3 expressing lymphocytes. We performed systematic titrations of the polarising cytokines IFN-g, IL-12 and IL-4 during primary differentiation of Th cells and quantified signal transduction as well as target-gene expression. The size and complexity of the dataset made a systematic analysis necessary to identify the mechanisms involved. To extract the network topology, we used linear regression analysis, retrieving known regulatory mechanisms and predicting numerous novel ones. This network topology was used to develop a mechanistic mathematical model of cytokine signal integration. This approach inferred a highly connected regulatory network. Previously undescribed functions of STAT proteins mediating network rewiring during differentiation were predicted. Selected new interactions were confirmed by experiments using gene-deficient cells. Importantly, while mutual-inhibition motifs are often considered canonical digital switches, the inferred Th-cell network acts as a rheostat, generating a continuum of differentiated states along the Th1-Th2 axis. This work explains the observed Th1-Th2 cell fate continuum mechanistically and provides a quantitative framework for the data-based inference of cellular signal integration networks.