<p>Atherosclerosis is a chronic inflammatory disease of the arterial wall and is the primary cause of coronary artery disease, the most common cause of death in western societies. Risk factors for cardiovascular disease include dyslipidemia, diabetes, smoking, and obesity. These risk factors have also been shown to promote vascular endoplasmic reticulum (ER) stress; a cellular response characterized by the accumulation of misfolded proteins in the ER. Thickening and decreased stability of arterial plaque can lead to thrombosis and subsequent clinical complications of myocardial infarction and stroke. However, the exact mechanisms that lead to the development of atherosclerosis remain unclear. Here we show that inhibition, as well as a deficiency of glycogen synthase kinase (GSK)-3α, can protect against accelerated atherosclerosis in a low-density lipoprotein receptor (LDLR) knockout mouse model. Compared to LDLR^-/- controls, mice deficient in GSK-3α showed a decrease in lesion volume in the aortic root as well as protection against diet-induced hepatic steatosis. In addition, necrotic core volume was significantly reduced in LDLR^-/-GSK-3α^-/- mice compared to controls, a characteristic indicative of advanced plaque formation. Furthermore, hepatic and vascular ER stress levels were unaffected by the deletion of GSK-3α, a result that is consistent with the hypothesis that GSK-3α functions downstream of ER stress. Macrophages isolated from GSK-3α deficient mice had a reduction in unesterified cholesterol accumulation as well as a significant increase in the expression of the anti-inflammatory cytokine IL-10. Finally, BMT experiments showed a significant decrease in plaque size in the aortic sinus of LDLR^-/-GSK-3α^+/+ mice transplanted with GSK-3α deficient bone marrow. These results demonstrate a possible link between ER stress-induced activation of GSK-3α and the downstream effects leading to atherogenic initiation and progression.</p> / Master of Science (MSc)

Le facteur de transcription T-bet joue un rôle central dans la régulation de la différenciation des lymphocytes T. La protéine tyrosine kinase, la glycogène synthase kinase 3 (GSK-3), inhibe l'activation des lymphocytes T et contrôle l'expression de leurs récepteurs inhibiteurs PD-1 et LAG- 3. Bien que l'inhibition de GSK-3 puisse augmenter l'expression de T-bet, l'interrelation entre T-bet et GSK-3 dans l'immunité tumorale est inconnue. Dans cette étude, nous montrons que les souris knock-out T-bet (Tbet - / -) sont compromises dans leur capacité à contrôler la croissance des cellules tumorales du mélanome B16. Cependant, l'injection d'une petite molécule inhibitrice (SMI) de GSK-3 inverse cette condition compromise entraînant le contrôle de la croissance tumorale similaire à celle observée chez les souris de type sauvage. Un examen de Tbet - / - a montré une perte de cellules dendritiques (DC) et de cellules leucocytes polymorphonucléaires (PMN) potentiellement suppressives et de lymphocytes tumoraux T (TILs) CD4 + accompagnée d'une augmentation de cellules T CD8 +. L'analyse viSNE (avancé tSNE) a en outre montré une réduction de la population effectrice expérimentée à l'antigène dans les TILs CD8 + chez Tbet -/-. Cette population est marquée par la réduction de CD44. L'inhibition de GSK-3 n'a montré aucun effet sur la perte de DC, TILs CD4 +, PMN et les TILs CD8 + ainsi que l’expression de Granzyme B (GZMB) sur les cellules T CD8 +. La seule exception était une augmentation mineure néanmoins statistiquement significative du facteur de transcription Eomesdermin (Eomes) dans les TILs CD8 +. L'étude démontre un effet compensatoire inattendu de l'inhibition de GSK-3 sur la perte de T-bet. Il reste à élucider la nature complète du parcours de cette compensation. / The transcription factor T-bet plays a central role in regulating T-cell differentiation, while the protein tyrosine kinase, glycogen synthase kinase 3 (GSK-3) inhibits T-cell activation and controls the expression of inhibitory receptors PD-1 and LAG-3 on T-cells. Although GSK-3 inhibition can increase T-bet expression, the inter-relationship between T-bet and GSK-3 in tumor immunity is unknown. In this study, we show that T-bet knock-out (Tbet-/-) mice are compromised in their ability to control the growth of the B16 melanoma tumor cells. However, the injection of a small molecule inhibitor (SMI) of GSK-3 reverses this compromised condition resulting in the control of tumor growth similar to that seen in wild type mice. An examination of Tbet-/- showed a loss of dendritic cells (DC) and potentially suppressive polymorphonuclear leucocytes (PMN) and CD4+ cell tumor infiltrating lymphocytes (TILs) accompanied by an increase in CD8+ cells. viSNE analysis (advanced tSNE- t-Distributed Stochastic Neighbor Embedding) further showed a reduction of antigen experienced effector marker CD44 in CD8+ TILs in Tbet-/-. GSK-3 inhibition showed no effect on the loss of DCs, CD4+ TILs or the presence of PMNs or CD8+ T-cells or the loss of Granzyme B (GZMB) on CD8+ cells. The one exception was a minor but statistically significant increase in the transcription factor Eomesodermin (Eomes) in CD8+ TILs. The study demonstrates an unexpected compensatory effect of GSK-3 inhibition on the loss of T-bet. The full nature of the pathway that accounts for this compensation remains to be elucidated.

In den ersten Versuchsreihen der hier vorliegenden Arbeit bestätigte sich, dass im in vitro Modell die klassische ischämische Präkonditionierung kardioprotektiv wirkt. Die Präkonditionierung bewirkte eine Infarktgrößenreduktion um 54 %; dies wird durch Literaturangaben bestätigt. Die Postkonditionierung dagegen, trotz drei verschiedener Postkonditionierungsprotokolle, ist am isoliert perfundierten Rattenherzen nicht protektiv. Im in vivo Rattenherz-Modell wurden die Präkonditionierung und die klinisch relevantere Postkonditionierung gegenüberstellend untersucht. Hier zeigte sich, dass die 3 Reperfusions-/Ischämiezyklen für jeweils 30 Sekunden der Postkonditionierung genauso protektiv wie die Präkonditionierung wirken. Infarktgrößen- und biochemische Untersuchungen belegen, dass hierbei die PI3-Kinase ein wichtiges Signaltransduktionselement ist, da einerseits durch die Inhibition der PI3-Kinase mittels Wortmannin die Infarktgrößenreduktion vollständig aufgehoben war und andererseits nach einer 1,5-minütigen Reperfusion eine vermehrte Phosphorylierung der Akt im Western-Blot auftrat. Des Weiteren konnte erstmals die Inaktivierung der GSK-3ß durch eine verstärkte Phosphorylierung über einen PI3-Kinase-vermittelten Signaltransduktionsweg nachgewiesen werden. Die Zugabe des spezifischen Inhibitors TDZD-8 der GSK-3ß verringert ebenfalls die Infarktgröße signifikant. Auch konnte zum ersten Mal gezeigt werden, dass das mammalian target of Rapamycin in der Postkonditionierung des in vivo Rattenherzens eine wichtige Rolle zu spielen scheint. Außerdem konnte neben dem PI3-Kinase/Akt-Signaltransduktionsweg auch die Beteiligung des MEK1/2-ERK1/2–Wegs als Signaltransduktionsweg der Postkonditionierung im in vivo Rattenherzen nachgewiesen werden. Erstmals wurde die Apoptose in einem in vivo Herzen nach regionaler Ischämie untersucht. Die Ergebnisse des TUNEL-Tests und der Western-Blot-Analysen zeigen eine unterdrückte Apoptose durch die Postkonditionierung. Ein weiterer Teil der vorliegenden Arbeit widmete sich der Untersuchung der Postkonditionierung in pathologischen Rattenherzen. Im Gegensatz zu gesunden Herzen schlug die Postkonditionierung in hypertrophiertem Myokardium von spontan-hypertensiven Ratten mit einer signifikant arteriellen Hypertension fehl. Diese Blockierung der Kardioprotektion zeigte sich durch die fehlende Reduzierung der Infarktgröße trotz unterschiedlicher Postkonditionierungsprotokolle (3x30’’ und 6x10’’ R/I) und unterschiedlich langer Ischämiedauern (20 und 30 Minuten). Gleichfalls war auch die Phosphorylierung der GSK-3ß aufgehoben. Als Modell des metabolischen Syndroms wurde die WOKW-Ratte untersucht. Diese Ratten entwickeln in sehr jungem Alter klassische Symptome wie Dyslipidämie, Hyperinsulinämie und Fettsucht. Wie bei der Herzhypertrophie war auch beim Modell des metabolischen Syndroms die Postkonditionierung - mit 3 Reperfusions-/ Ischämiezyklen für jeweils 30 Sekunden - blockiert. Dabei konnte weder eine Infarktgrößenreduktion noch eine vermehrte Phosphorylierung der GSK-3ß nachgewiesen werden. Die Ergebnisse der vorliegenden Arbeit erlauben die Schlußfolgerung, dass das Substrat der GSK-3ß, die mPTP des Mitochondriums, eine „Schlüsselrolle“ in der Apoptose innehat - die Postkonditionierung vermindert nicht nur die Nekrose, sondern reduziert auch die Apoptose. Bemerkenswert und potentiell von klinischer Bedeutung ist die Beobachtung, dass bei Vorliegen von Risikofaktoren, wie arterielle Hypertonie und metabolischem Syndrom, solche Schutzmechanismen des Herzens aufgehoben sind. Diese Erkenntnisse sind im Hinblick auf die Therapie am Menschen von großer Bedeutung. Ob langfristig einzelne Komponenten der Signaltransduktionswege, wie PI3-Kinase, Akt, mTOR, ERK1/2 oder GSK-3ß, Angriffspunkte einer pharmakologischen Therapie sein könnten, muß in weiteren Untersuchungen geklärt werden.

L’infarctus du myocarde, problème majeur de santé publique, est caractérisé par une nécrose cardiomyocytaire. Des séries d’occlusions-reperfusions courtes, réalisées avant l’ischémie (Préconditionnement (PréC) ischémique) ou au moment de la reperfusion (Postconditionnement (PostC) ischémique), protègent le coeur contre des lésions d’ischémie-reperfusion (IR). Les mécanismes intracellulaires impliqués restent obscurs. Nous avons étudié la signalisation intracellulaire du PréC et du PostC, et la cardioprotection qui en découle, sur un modèle de coeur isolé perfusé de souris. Le PréC ischémique peut être mimé par une activation directe du canal potassique mitochondrial ATP dépendant (mitoKATP), entraînant la mise en place d’une boucle d’auto-amplification incluant l’activation d’Akt, l’inhibition de GSK-3β et l’ouverture du mitoKATP. Cette réponse est liée à la production modérée d’espèces dérivées de l’oxygène par le mitoKATP et aboutie à une cardioprotection. La voie de développement Wnt est capable de moduler le PréC via GSK-3β. La voie de survie mTOR, cible de GSK-3β est aussi impliquée et pourrait induire des modifications traductionnelles lors de la réponse adaptative à l’IR. Le PostC ischémique peut également être mimé par activation directe du mitoKATP lors de la reperfusion, engendrant une protection du coeur et la mise en place d’une boucle d’auto-amplification similaire à celle du PréC, comprenant Akt, GSK-3β et le mitoKATP. Le PostC est dépendant de GSK-3β, mais contrairement au PréC, il n’impliquerait pas les voies Wnt et mTOR. Cette étude est la première démontrant que le PréC implique les voies de survie mTOR et de développement Wnt avec un rôle central de GSK-3β. / Myocardial infarction is a major problem of public health, whose prognosis is related to the extent of the infarcted territory. Transient episodes of ischemia/reperfusion before ischemia (ischemic PreConditioning (PreC)), or at the onset of reperfusion (ischemic PostConditioning (PostC)) confer myocardium resistance to lethal ischemia. However the exact mechanism of PreC and PostC remains obscure. Our objectives were to examine signaling events during PreC and PostC and their effects on cardioprotection in an isolated mouse heart model. We provide evidence that pharmacological PreC by direct activation of mitoKATP, like ischemic PreC, involve an amplification loop involving ROS production and resulting in a sustained down-regulation of GSK-3β via Akt activation and a constant opening of mitoKATP. The mTOR pathway is a target of this loop and participates to cardioprotection. Disruption of Wnt pathway by sFRP1 modulates this loop inducing GSK-3β activation. This is the first evidence that PreC involves both a pro-survival mTOR pathway and an embryonic developmental Wnt pathway targeting GSK-3β. During ischemic and pharmacological PostC, the same amplification loop is activated, including Akt, GSK-3β and the mitoKATP. Unlike PreC, PostC did not induce the mTOR survival pathway: neither phosphorylation of mTOR nor of its targets p70S6K and 4E-BP1 were observed. However, cardiac overexpression of a Wnt antagonist, impairing PreC through GSK3-β, was unable to abolish cardioprotection afforded by PostC. PostC signaling differs from the preC pathway. Despite these discrepancies, GSK-3β plays a key role in both types of cardioprotection.

La reperfusion coronaire précoce et complète est le moyen le plus efficace pour limiter l'étendue de l'infarctus myocardique. Revers de la médaille, cette reperfusion est à l'origine des lésions nommées lésions de reperfusion. La recherche d'un moyen protecteur qui limite la survenue de ces lésions a un intérêt clinique majeur. Le postconditionnement ischémique (IPost) qui désigne l'application de plusieurs séquences d'ischémie/reperfusion au moment de la reperfusion coronaire peut prévenir la survenue des lésions de reperfusion mais il n'est applicable qu'aux patients reperfusés par angioplastie. Le mécanisme d'action du IPost passe en partie par l'activation de la voie RISK (composée de la voie PI3K/Akt et ERK1/2) et le sous-effecteur en commun la GSK-3β. 1) Dans la première partie du travail nous avons comparé l'effet cardioprotecteur d'un agent pharmacologique activateur de la voie RISK (l'érythropoïétine ; EPO) à celui du IPost dans un même modèle expérimental. Une meilleure cardioprotection a été observée avec l'EPO, résultante d'une meilleure phosphorylation d'ERK1/2 et de la GSK-3β. 2) Après avoir apprécié la cardioprotection induite par EPO chez des rats sains, nous avons testé son effet chez des rats ayant un diabète type I ou une insulino-résistance. Une inhibition de l'effet cardioprotecteur de l'EPO a été observée chez les rats diabétiques avec une altération de la voie RISK et par conséquence une absence de la phosphorylation de la GSK-3β. Par contre, son effet a été maintenu en présence d'une insulino-résistance. Une dose plus élevée d'EPO n'a pas restauré la cardioprotection. Alors que l'effet protecteur de l'EPO est altéré en présence du diabète, les inhibiteurs de la GSK-3β semble être une alternative efficace, puisque l'injection de SB216763 (un inhibiteur de la GSK-3β) a induit un effet protecteur dans notre modèle de rat diabétique. 3) Dans la troisième partie du travail nous nous sommes attachés à mieux comprendre le mécanisme cardioprotecteur du postconditionnement à distance (RIPost). Cette application non invasive de brefs séquences d'ischémie/reperfusion au niveau d'un organe à distance du coeur permet d'atténuer les lésions de reperfusion myocardique. L'effet cardioprotecteur du RIPost a été comparable à celui d'un IPost local avec une activation des mêmes voies de signalisation (RISK/GSK-3β).

<p>Multiple myeloma (MM) is an incurable B-cell malignancy mainly localized to the bone marrow. Our aim was to examine the growth- and survival-promoting role of the IGF-IR and its downstream signaling components in MM cells to identify potential targets for therapy. </p><p>Octreotide, a somatostatin analog that has been demonstrated to interfere with the actions of IGF-I, induced growth inhibition in both IL-6-dependent and IL-6-independent MM cell lines expressing the somatostatin receptors sst2, sst3 and sst5. Additionally, a slight pro-apoptotic effect could be observed in a few cell lines. In primary MM cells octreotide induced apoptosis, an effect that was abrogated by exogenously added IGF-I, but not by IL-6.</p><p>Inhibition of IGF-I signaling in Karpas 707 cells, using either the anti-IGF-IR antibody αIR3 or the PI 3-K inhibitors LY294002 and wortmannin, increased sensitivity to apoptosis induced by dexamethasone. Exogenously added IGF-I prevented dexamethasone-induced apoptosis, an effect that could partly be mimicked by the pharmacological GSK-3β inhibitors LiCl and SB415286. Thus, we suggest the GSK-3β as an important mediator of the anti-apoptotic effects of IGF-IR signaling in MM.</p><p>Using rapamycin we selectively inhibited mTOR, a phosphoprotein downstream of the IGF-IR. In MM cell lines rapamycin induced G0/G1-arrest, an effect being associated with an increase of the cyclin-dependent kinase inhibitor p27 and a decrease of the cyclins D2, D3 and E. Interestingly, in primary MM cells rapamycin induced apoptosis. Moreover, rapamycin potentiated dexamethasone-induced apoptosis, an effect that was associated with a downregulation of the anti-apoptotic protein survivin. Strikingly, the combinatorial treatment with rapamycin and dexamethasone suppressed the anti-apoptotic effects of exogenously added IGF-I and IL-6, thus suggesting this drug-combination to be active also in vivo. </p><p>Two newly developed, selective IGF-I RTK inhibitors proved to be very effective in MM cell lines and in primary MM cells providing 50-90% growth inhibition within 48 h of incubation. The inhibitors induced massive apoptosis together with a prominent cell cycle arrest in the G2/M-phase. Importantly, the IGF-I RTK inhibitors downregulated the tyrosine phosphorylation of the IGF-IR β-chain but not of the insulin receptor β-chain. </p><p>In conclusion, the IGF-IR potently promotes growth and survival of MM cells. Therefore, interfering with the IGF-IR signaling pathway might be a suitable strategy to improve MM treatment.</p>

Multiple myeloma (MM) is an incurable B-cell malignancy mainly localized to the bone marrow. Our aim was to examine the growth- and survival-promoting role of the IGF-IR and its downstream signaling components in MM cells to identify potential targets for therapy. Octreotide, a somatostatin analog that has been demonstrated to interfere with the actions of IGF-I, induced growth inhibition in both IL-6-dependent and IL-6-independent MM cell lines expressing the somatostatin receptors sst2, sst3 and sst5. Additionally, a slight pro-apoptotic effect could be observed in a few cell lines. In primary MM cells octreotide induced apoptosis, an effect that was abrogated by exogenously added IGF-I, but not by IL-6. Inhibition of IGF-I signaling in Karpas 707 cells, using either the anti-IGF-IR antibody αIR3 or the PI 3-K inhibitors LY294002 and wortmannin, increased sensitivity to apoptosis induced by dexamethasone. Exogenously added IGF-I prevented dexamethasone-induced apoptosis, an effect that could partly be mimicked by the pharmacological GSK-3β inhibitors LiCl and SB415286. Thus, we suggest the GSK-3β as an important mediator of the anti-apoptotic effects of IGF-IR signaling in MM. Using rapamycin we selectively inhibited mTOR, a phosphoprotein downstream of the IGF-IR. In MM cell lines rapamycin induced G0/G1-arrest, an effect being associated with an increase of the cyclin-dependent kinase inhibitor p27 and a decrease of the cyclins D2, D3 and E. Interestingly, in primary MM cells rapamycin induced apoptosis. Moreover, rapamycin potentiated dexamethasone-induced apoptosis, an effect that was associated with a downregulation of the anti-apoptotic protein survivin. Strikingly, the combinatorial treatment with rapamycin and dexamethasone suppressed the anti-apoptotic effects of exogenously added IGF-I and IL-6, thus suggesting this drug-combination to be active also in vivo. Two newly developed, selective IGF-I RTK inhibitors proved to be very effective in MM cell lines and in primary MM cells providing 50-90% growth inhibition within 48 h of incubation. The inhibitors induced massive apoptosis together with a prominent cell cycle arrest in the G2/M-phase. Importantly, the IGF-I RTK inhibitors downregulated the tyrosine phosphorylation of the IGF-IR β-chain but not of the insulin receptor β-chain. In conclusion, the IGF-IR potently promotes growth and survival of MM cells. Therefore, interfering with the IGF-IR signaling pathway might be a suitable strategy to improve MM treatment.

Orientador: Prof. Dr. Alexandre Hiroaki Kihara / Tese (doutorado) - Universidade Federal do ABC, Programa de Pós-Graduação em Neurociência e Cognição, São Bernardo do Campo, 2018. / A determinação do destino das células neuronais é um processo dinâmico regulado pela expressão de centenas de genes simultaneamente. A modificação pós-transcricional das caudas N-terminais das histonas é uma forma dinâmica de regulação gênica. Várias evidências sugerem que a modulação das modificações das histonas desempenha um papel importante na regulação da determinação do destino neuronal e atuam em muitos processos do desenvolvimento. Entre os diferentes moduladores, as enzimas modificadoras de histonas, que possuem como alvos as caudas das histonas, estão no centro da atenção. As histonas demetilases (HDMs) são uma grande família de enzimas que possuem atividade catalítica seletiva contra sítios específicos de metilação de histonas. Jmjd3 é uma HDM específica para histona H3K27 cuja atividade enzimática torna o ambiente propício para aumentar a taxa de transcrição gênica. Para investigar o provável papel da Jmjd3 no desenvolvimento da retina em ratos na fase pós-natal, realizamos o bloqueio desta enzima com o composto farmacológico GSK-J1. Como primeira abordagem, determinamos a localização de Jmjd3 na retina de ratos neonatos e adultos, o que foi consistente com a localização em neurônios diferenciados, incluindo células ganglionares na retina de ratos neonatos. Nesta idade do desenvolvimento, também observamos a presença de Jmjd3 em células indiferenciadas. Injeções subretinianas de GSK-J1 causaram a diminuição do nível proteico de H3k27me3 em retinas de ratos neonatos. Curiosamente, a injeção de GSK-J1 aumentou simultaneamente o número de células proliferativas e apoptóticas. Além disso, mais células imaturas foram detectadas na camada plexiforme externa, com processos neuronais mais longos. Finalmente, a influência da GSK-J1 na citogênese retiniana pós-natal foi examinada. Fomos capazes de determinar que a GSK-J1 especificamente causou uma diminuição significativa no número de células PKC-positivas que, quando localizadas na parte externa da camada nuclear interna, é um marcador confiável de células bipolares de bastonete. Estes dados fornecem as primeiras evidências dos efeitos do bloqueio farmacológico in vivo das histonas demetilases durante o desenvolvimento inicial da retina pós-natal, com impacto sobre processos como proliferação celular, maturação, indução de apoptose e determinação celular específica. / Neuronal cell fate determination is dynamic process regulated by expression of hundreds of genes simultaneously. The posttranslational modification of the N-terminal tails of the histone proteins is dynamic way of gene regulation. Countless numbers of the evidences propose that regulation of histone modification play principal role in various developmental process such as neuronal fate determination. Among different modulators the histone modifying enzymes that are targets histone tails are in the center of attraction. The histone demethylases (HDMs) family is comprised of several enzymes that have selective catalytic activity against specific sites of histone methylation. The enzymatic activity of the histone H3K27-specific demethylase Jmjd3 leads to transcriptionally permissive chromatin environments. To investigate the probable role of Jmjd3 in early postnatal rat retinal development, we tried to block this enzyme with pharmacological compound GSK-J1. As a first approach, we determined the localization of Jmjd3 in neonate and adult rat retina, which is consistent with localization in differentiated neurons, including ganglion cells in the retina of neonate rats. At this developmental age, we also observed the presence of Jmjd3 in undifferentiated cells. Subretinal injection of GSK-J1 caused the decrease of the global level of H3k27me3 in retinas of neonate rats. Interestingly, injection of GSK-J1 simultaneously increased the number of proliferative and apoptotic cells. In addition, more immature cells were detected in outer plexiform layer, with longer neuronal processes. Finally, the influence of GSK-J1 on postnatal retinal cytogenesis was examined. We were able to determine that GSK-J1 specifically caused significant decrease in the number of PKCa-positive cells, which when located in the outer part of the inner nuclear layer is a reliable marker of rod-on bipolar cells. These data provide the first evidence of in vivo pharmacological blocking of histone demethylases during early postnatal retinal development. In summary, we were able to show that application of GSK-J1 can influence on cell proliferation, maturation, apoptosis induction, and specific cell determination.