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A hipóxia-isquemia (HI) é a principal causa de mortalidade no período perinatal e, nos sobreviventes, a incidência de comorbidades neurológicas é elevada. O encéfalo imaturo, altamente susceptível ao insulto hipóxico-isquêmico, é bastante sensível a estímulos ambientais tais como o enriquecimento ambiental (EA). Os objetivos deste estudo foram: 1) investigar o desempenho comportamental em um novo teste de memória e aprendizagem, o Ox-maze; 2) analisar a atividade das enzimas Na+,K+-ATPase, catalase (CAT) e glutationaperoxidase (GPx) no hipocampo; 3) caracterizar os neurônios piramidais da região CA1 hipocampal quanto à arborização dendrítica; 4) analisar alterações astrocíticas e sinápticas pela avaliação da imunoreatividade das proteínas GFAP e sinaptofisina usando a técnica de imunofluorescência e, 5) quantificar a densidade celular por meio de cortes semifinos da região CA1 do hipocampo de animais hipóxico-isquêmicos expostos a um ambiente enriquecido. Ratos com sete dias de idade foram divididos em quatro grupos e submetidos ou não ao procedimento cirúrgico de acordo com o grupo experimental ao qual pertenciam: controle mantido em ambiente padrão (CTAP), controle em ambiente enriquecido (CTAE), HI em ambiente padrão (HIAP) e HI em ambiente enriquecido (HIAE). Passado o período de EA (1h/dia, 6 dias/semana, 9 semanas iniciando após o desmame), os parâmetros mencionados foram avaliados nos animais. Os dados indicaram que a HI causou um prejuízo na memória e no aprendizado no teste do “OX-maze”, o qual foi revertido pelo efeito do ambiente enriquecido. A HI causou diminuição da atividade enzimática da Na+,K+-ATPase no hipocampo contralateral, assim como uma redução na imunorreatividade à sinaptofisina e nadensidade neuronal, sendo que o EA foi efetivo na recuperação da atividade da enzima Na+,K+-ATPase e dos níveis de sinaptofisina no hipocampo contralateral à lesão. As atividades de CAT e GPX não foram alteradas pela HI em nenhum dos grupos avaliados, mesmo resultado encontrado nas análises de GFAP e de padrão de arborização dendrítica. Por fim, neste estudo foi observado o importante efeito lesivo causado pela HI neonatal e o papel do EA como estratégia neuroprotetora na recuperação funcional, na atividade da Na+,K+-ATPase e na expressão de sinaptofisina. Este estudo traz avanços em busca dos mecanismos pelos quais a melhora funcional ocorre em animais HI expostos ao EA, mas pode-se verificar que não fica totalmente esclarecido como esta estratégia atua. Outros estudos são necessários para a identificação de possíveis mecanismos que atuem como mediadores da resposta funcional do EA após um evento isquêmico. / Hypoxia-ischemia (HI) is the main mortality cause in perinatal period and, in survivors, the incidence of neurological disabilities is elevated. The immature brain, highly susceptible to hypoxic-ischemic insult, is sensible to environmental stimuli, as environmental enrichment (EE). The aims of this study were to investigate: 1) behavioral performance in a new memory and learning task, the oxmaze task; 2) evaluate Na+,K+-ATPase, catalase (CAT) and glutathione peroxidase (GPx) activities in the hippocampus; 3) characterizes dendritic arbor in pyramidal neurons from CA1 region from hippocampus; 4) analyze alterations in hippocampal synaptophysin and GFAP immmunoreactivity and, 5) analyze neuronal density alterations in hippocampus of hypoxic-ischemic rats exposed to enriched environment. Seven-day-old rats were divided into four groups: controlmaintained in standard environment (CTSE), control submitted to EE (CTEE), HI in standard environment (HISE) and HI in EE (HIEE). Past the end of EE period (1 hour/day, 6 days/week, 9 weeks), mentioned parameters were evaluated in animals. Present results indicate learning and memory in the “OXmaze” task were impaired in HI rats and this effect was recovered after EE. On the contralateral hemisphere, HI caused a decrease in Na+,K+-ATPase activity that was recovered by EE. Results also indicate that HI damage decreases hippocampal synaptophysin immunoreactivity and neuronal density, moreover EE was effective in recovering synaptophysin levels on contralateral to the lesion hippocampus. The activities of GPx and CAT were not changed by HI in any group evaluated, some result founded on GFAP immunoreactivity and dendritic arborization characterization analysis. In conclusion, the important effect of HI lesion and the role of EE like neuroprotective strategy on functional impairment and on Na+,K+-ATPase activity and synaptophysin immunoreactivity was proven. Although this study have important advances in search of mechanisms by which the functional enhancement occurs in the animals submitted to HI and exposed to EE, it can be seen that it is not completely clear how this approach works. Further studies are needed to identify possible mechanisms that act as mediators of EE functional response after an ischemic event.

Du fait de sa complexité, le fonctionnement du cerveau est exploré par des méthodes très diverses, telles que la neurophysiologie et les neurosciences cognitives, et à des échelles variées, allant de l'observation de l'organe dans son ensemble jusqu'aux molécules impliquées dans les processus biologiques. Ici, nous proposons une étude à l'échelle cellulaire qui s'intéresse à deux briques élémentaires du cerveau : les neurones et les cellules gliales. L'approche choisie est la biophysique, de part les outils utilisés et les questions abordées sous l'angle de la physique. L'originalité de ce travail est d'utiliser des cellules primaires du cerveau dans un souci de proximité avec l'in vivo, au sein de systèmes in vitro dont la structure chimique et physique est contrôlé à l'échelle micrométrique. Utilisant les outils de la microélectronique pour un contrôle robuste des paramètres physico-chimiques de l'environnement cellulaire, ce travail s'intéresse à deux aspects de la biologie du cerveau : la polarisation neuronale, et la sensibilité des cellules gliales aux propriétés mécaniques de leur environnement. A noter que ces deux questions sont étroitement imbriquées lors de la réparation d'une lésion. La première est cruciale pour la directionalité de la transmission de signaux électriques et chimiques et se traduit par une rupture de symétrie dans la morphologie du neurone. La seconde intervient dans les mécanismes de recolonisation des lésions, dont les propriétés mécaniques sont altérées., Les études quantitatives menées au cours de cette thèse portent essentiellement sur la phénoménologie de la croissance de ces deux types de cellules et leur réponse à des contraintes géométriques ou mécaniques. L'objectif in fine est d'élucider quelques mécanismes moléculaires associés aux modifications de la structure cellulaire et donc du cytosquelette. Un des résultats significatifs de ce travail est le contrôle de la polarisation neuronale par le simple contrôle de la morphologie cellulaire. Ce résultat ouvre la possibilité de développer des architectures neuronales contrôlées in vitro à l'échelle de la cellule individuelle. / The complex structure of the brain is explored by various methods, such as neurophysiology and cognitive neuroscience. This exploration occurs at different scales, from the observation of this organ as a whole entity to molecules involved in biological processes. Here, we propose a study at the cellular scale that focuses on two building elements of brain: neurons and glial cells. Our approach reachs biophysics field for two main reasons: tools that are used and the physical approach to the issues. The originality of our work is to keep close to the in vivo by using primary brain cells in in vitro systems, where chemical and physical environments are controled at micrometric scale. Microelectronic tools are employed to provide a reliable control of the physical and chemical cellular environment. This work focuses on two aspects of brain cell biology: neuronal polarization and glial cell sensitivity to mechanical properties of their environment. As an example, these two issues are involved in injured brains. The first is crucial for the directionality of the transmission of electrical and chemical signals and is associated to a break of symmetry in neuron morphology. The second occurs in recolonization mechanisms of lesions, whose mechanical properties are impaired. During this thesis, quantitative studies are performed on these two cell types, focusing on their growth and their response to geometrical and mechanical constraints. The final aim is to elucidate some molecular mechanisms underlying changes of the cellular structure, and therefore of the cytoskeleton. A significant outcome of this work is the control of the neuronal polarization by a simple control of cell morphology. This result opens the possibility to develop controlled neural architectures in vitro with a single cell precision.

INTRODUÇÃO: Epilepsia do lobo temporal mesial (ELTM) por esclerose hipocampal (EH) é a forma de epilepsia focal mais comum na idade adulta e a causa mais frequente de refratariedade ao tratamento clínico. Apesar de se tratar de uma patologia da substância cinzenta, alguns estudos, por meio da imagem por tensor de difusão (diffusion tensor imaging-DTI), têm demonstrado alteração da substância branca temporal e extratemporal nestes pacientes. O corpo caloso (CC) é a maior comissura cerebral conectando áreas corticais homólogas de ambos os hemisférios cerebrais e tem sido implicado na propagação da atividade epiléptica. O objetivo principal do presente estudo foi avaliar possíveis alterações no CC de pacientes com ELTM-EH pela técnica de DTI e verificar se essas dependem da lateralidade da EH e da concordância entre os exames de ressonância magnética (RM) e os exames de vídeo-eletroencefalograma (EEG). Como objetivo secundário, também avaliou-se se estas alterações se correlacionavam com alguma variável clínica ou com as medidas volumétricas do CC. MÉTODOS: 42 pacientes com ELTM-EH (idades: 20-54 anos) e 30 voluntários saudáveis como grupo controle (idades: 18-53 anos) realizaram exame de RM de crânio, sendo obtidas sequências de DTI com 32 direções de gradiente e imagens volumétricas ponderadas em T1. Os pacientes foram também divididos em subgrupos: EH à direita e EH à esquerda, e em pacientes concordantes e discordantes. Os valores de anisotropia fracionada (AF), difusividade média (DM), difusividade axial (DA), difusividade radial (DR) e os dados volumétricos foram extraídos a partir de cinco segmentos obtidos automaticamente na secção sagital do CC. Foram realizadas comparações dos parâmetros de DTI no CC entre os grupos de pacientes e controles, e entre os subgrupos de pacientes. Foram investigadas correlações entre os parâmetros do tensor de difusão e as variáveis clínicas. As alterações volumétricas no CC dos pacientes com ELTM-EH bem como a correlação dessas alterações com as anormalidades de difusão também foram avaliadas. Considerou-se um valor de p < 0,05 como estatisticamente significativo. RESULTADOS: Nas regiões anterior, médio-posterior e posterior do CC dos pacientes, observaram-se redução da AF e aumento da DM e da DR, em relação aos controles. A DA manteve-se inalterada. Não foram demonstradas diferenças nos padrões de alteração de difusão entre os pacientes com EH à direita e com EH à esquerda, nem entre pacientes concordantes e discordantes. Não foram observadas correlações significativas entre os parâmetros do tensor de difusão com a idade ao evento inicial, idade de início da epilepsia, tempo de doença, tempo de epilepsia, período de latência e frequência de crises. No entanto, pacientes que apresentaram crise febril como evento precipitante inicial exibiram maior intensidade e extensão das alterações de difusão. Observou-se redução volumétrica difusa do CC, sendo demonstrada correlação negativa significativa entre DM e DR, e o volume nos segmentos central, médio-posterior e posterior, e, ainda, entre DA e volume do segmento posterior. Nós observamos, ainda, correlação negativa significativa entre o volume e o tempo de epilepsia, e o tempo de doença. CONCLUSÕES: Houve alteração dos parâmetros de DTI em áreas específicas do CC e redução volumétrica difusa desta estrutura. Tais anormalidades parecem ser secundárias à propagação das crises epilépticas ao longo de vias específicas anatômica ou funcionalmente relacionadas aos lobos temporais promovendo alterações secundárias na substância branca cerebral. O histórico de crise febril está relacionado a maior intensidade e extensão de acometimento do CC / INTRODUCTION: Mesial temporal lobe epilepsy (MTLE) with hippocampal sclerosis (HS) is the most common form of focal epilepsy in adults and it is frequently associated with refractoriness to medical treatment. Although epilepsy is considered a grey-matter disease, abnormalities in the temporal and extra-temporal white matter have been identified in these patients with diffusion tensor imaging (DTI). The corpus callosum (CC) is the major white matter tract connecting both cerebral hemispheres and has been implicated as an important route of spread of epileptic activity. The first goal of this study was to detect DTI abnormalities in specific areas of the CC in patients with MTLE-HS and to verify if these abnormalities depend on the laterality of the HS and on the concordance between the magnetic resonance imaging (MRI) and video-electroencephalogram (EEG). As a second goal we assessed if DTI results were correlated with any clinical variable or volumetric changes of the CC. METHODS: 42 patients (age: 20-54 years) and 30 healthy controls (age:18-53 years) were submitted to brain MRI. DTI sequences with 32 gradient encoding directions and volumetric T1-weighted images were obtained. Additionally, we grouped the patients in left sided and right sided HS and in concordant and discordant HS. Mean values of fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), radial diffusivity (RD) and volumetric results were extracted from five segments at the midsagittal section of the CC obtained through automatic segmentation. Comparisons of DTI parameters of the CC were performed between patients and controls and between subgroups of patients. Correlations between DTI parameters and clinical findings were calculated. We also evaluated volume abnormalities of the CC in MTLE-HS patients and the correlations between these abnormalities and DTI changes. We considered a value of p <0.05 statistically significant. RESULTS: Our study showed that, when HS patients was compared to controls, the FA was lowest in the anterior, mid-posterior and posterior subregions of the CC. MD and RD were higher in these same segments. No changes were observed in AD. No differences in the CC DTI parameters were detected between right-sided HS and left-sided HS or between concordant and discordant HS patients. Age at initial event, age at epilepsy onset, duration of disease, duration of epilepsy, latency period and seizure frequency were not significantly correlated with the DTI parameters. However, patients who had febrile seizures as initial event exhibited greater intensity and extent of DTI changes. All segments demonstrated volume reduction compared to controls. Significant negative correlation was demonstrated between MD and RD and the volume in the central, midposterior and posterior segments of the CC, and between AD and volume of the posterior segment. We also demonstrated negative correlation between volume and duration of disease and duration of epilepsy. CONCLUSIONS: This study showed diffusion abnormalities in specific areas of the CC and diffuse atrophy in patients with unilateral HS, which may be secondary to seizures propagation along specific pathways leading to secondary changes in brain white matter. The history of febrile seizure is related to greater involvement of the CC

Made available in DSpace on 2014-12-17T15:28:49Z (GMT). No. of bitstreams: 1 RobsonST_DISSERT.pdf: 350196 bytes, checksum: eaf6055553dc1f6cec39e0f754c20635 (MD5) Previous issue date: 2011-12-02 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Brain oscillation are not completely independent, but able to interact with each other through cross-frequency coupling (CFC) in at least four different ways: power-to-power, phase-to-phase, phase-to-frequency and phase-to-power. Recent evidence suggests that not only the rhythms per se, but also their interactions are involved in the execution of cognitive tasks, mainly those requiring selective attention, information flow and memory consolidation. It was recently proposed that fast gamma oscillations (60 150 Hz) convey spatial information from the medial entorhinal cortex to the CA1 region of the hippocampus by means of theta (4-12 Hz) phase coupling. Despite these findings, however, little is known about general characteristics of CFCs in several brain regions. In this work we recorded local field potentials using multielectrode arrays aimed at the CA1 region of the dorsal hippocampus for chronic recording. Cross-frequency coupling was evaluated by using comodulogram analysis, a CFC tool recently developted (Tort et al. 2008, Tort et al. 2010). All data analyses were performed using MATLAB (MathWorks Inc). Here we describe two functionally distinct oscillations within the fast gamma frequency range, both coupled to the theta rhythm during active exploration and REM sleep: an oscillation with peak activity at ~80 Hz, and a faster oscillation centered at ~140 Hz. The two oscillations are differentially modulated by the phase of theta depending on the CA1 layer; theta-80 Hz coupling is strongest at stratum lacunosum-moleculare, while theta-140 Hz coupling is strongest at stratum oriens-alveus. This laminar profile suggests that the ~80 Hz oscillation originates from entorhinal cortex inputs to deeper CA1 layers, while the ~140 Hz oscillation reflects CA1 activity in superficial layers. We further show that the ~140 Hz oscillation differs from sharp-wave associated ripple oscillations in several key characteristics. Our results demonstrate the existence of novel theta-associated high-frequency oscillations, and suggest a redefinition of fast gamma oscillations / As oscila??es cerebrais n?o s?o completamente independentes, mas capazes de interagir umas com as outras atrav?s de acoplamentos entre frequ?ncias (cross-frequency coupling, doravante CFC) em pelo menos quatro diferentes modalidades: amplitudeamplitude, fase-fase (coer?ncia), fase-frequ?ncia e fase-amplitude. Evid?ncias recentes sugerem que n?o somente os ritmos per se, mas tamb?m as intera??es entre eles est?o envolvidas na execu??o de tarefas cognitivas, principalmente aquelas que requerem aten??o seletiva, transmiss?o de informa??es e consolida??o de mem?rias. Estudos recentes prop?em que oscila??es gama alto (60 150 Hz) transferem informa??es espaciais do c?rtex entorrinal medial para a regi?o CA1 do hipocampo atrav?s do acoplamento com a fase de teta (4 12 Hz). Apesar destas descobertas, entretanto, pouco se sabe sobre as caracter?sticas gerais dos CFCs em diversas regi?es cerebrais. Neste trabalho, registramos potenciais de campo local usando matrizes de multieletrodos implantadas no hipocampo dorsal para registro neural cr?nico. O acoplamento fase-amplitude foi avaliado por meio da an?lise de comodulogramas, uma ferramenta de CFC desenvolvida recentemente (Tort et al. 2008, Tort et al. 2010). Todas as an?lises de dados foram realizadas em MATLAB (MathWorks Inc). Descrevemos duas oscila??es funcionalmente distintas dentro da faixa de frequ?ncia de gama, ambas acopladas ao ritmo teta durante explora??o ativa e sono REM: uma oscila??o com um pico de atividade em ~80 Hz e uma mais r?pida centrada em ~140 Hz. As duas oscila??es s?o diferencialmente moduladas pela fase de teta conforme a camada de CA1; o acoplamento teta-80 Hz ? mais forte no stratum lacunosum-moleculare, enquanto que o acoplamento teta-140 Hz ? mais forte no stratum oriens-alveus. Este perfil laminar sugere que a oscila??o de 80 Hz origina-se das entradas do c?rtex entorrinal para as camadas profundas de CA1, e que a oscila??o de 140 Hz reflete a atividade de CA1 em camadas superficiais. Ademais, n?s mostramos que a oscila??o de 140 Hz difere-se das oscila??es ripples associadas com sharp-waves em diversos aspectos chave. Nossos resultados demonstram a exist?ncia de novas oscila??es de alta frequ?ncia associadas ? teta e sugerem uma redefini??o das oscila??es gama alto

A hipóxia-isquemia (HI) é a principal causa de mortalidade no período perinatal e, nos sobreviventes, a incidência de comorbidades neurológicas é elevada. O encéfalo imaturo, altamente susceptível ao insulto hipóxico-isquêmico, é bastante sensível a estímulos ambientais tais como o enriquecimento ambiental (EA). Os objetivos deste estudo foram: 1) investigar o desempenho comportamental em um novo teste de memória e aprendizagem, o Ox-maze; 2) analisar a atividade das enzimas Na+,K+-ATPase, catalase (CAT) e glutationaperoxidase (GPx) no hipocampo; 3) caracterizar os neurônios piramidais da região CA1 hipocampal quanto à arborização dendrítica; 4) analisar alterações astrocíticas e sinápticas pela avaliação da imunoreatividade das proteínas GFAP e sinaptofisina usando a técnica de imunofluorescência e, 5) quantificar a densidade celular por meio de cortes semifinos da região CA1 do hipocampo de animais hipóxico-isquêmicos expostos a um ambiente enriquecido. Ratos com sete dias de idade foram divididos em quatro grupos e submetidos ou não ao procedimento cirúrgico de acordo com o grupo experimental ao qual pertenciam: controle mantido em ambiente padrão (CTAP), controle em ambiente enriquecido (CTAE), HI em ambiente padrão (HIAP) e HI em ambiente enriquecido (HIAE). Passado o período de EA (1h/dia, 6 dias/semana, 9 semanas iniciando após o desmame), os parâmetros mencionados foram avaliados nos animais. Os dados indicaram que a HI causou um prejuízo na memória e no aprendizado no teste do “OX-maze”, o qual foi revertido pelo efeito do ambiente enriquecido. A HI causou diminuição da atividade enzimática da Na+,K+-ATPase no hipocampo contralateral, assim como uma redução na imunorreatividade à sinaptofisina e nadensidade neuronal, sendo que o EA foi efetivo na recuperação da atividade da enzima Na+,K+-ATPase e dos níveis de sinaptofisina no hipocampo contralateral à lesão. As atividades de CAT e GPX não foram alteradas pela HI em nenhum dos grupos avaliados, mesmo resultado encontrado nas análises de GFAP e de padrão de arborização dendrítica. Por fim, neste estudo foi observado o importante efeito lesivo causado pela HI neonatal e o papel do EA como estratégia neuroprotetora na recuperação funcional, na atividade da Na+,K+-ATPase e na expressão de sinaptofisina. Este estudo traz avanços em busca dos mecanismos pelos quais a melhora funcional ocorre em animais HI expostos ao EA, mas pode-se verificar que não fica totalmente esclarecido como esta estratégia atua. Outros estudos são necessários para a identificação de possíveis mecanismos que atuem como mediadores da resposta funcional do EA após um evento isquêmico. / Hypoxia-ischemia (HI) is the main mortality cause in perinatal period and, in survivors, the incidence of neurological disabilities is elevated. The immature brain, highly susceptible to hypoxic-ischemic insult, is sensible to environmental stimuli, as environmental enrichment (EE). The aims of this study were to investigate: 1) behavioral performance in a new memory and learning task, the oxmaze task; 2) evaluate Na+,K+-ATPase, catalase (CAT) and glutathione peroxidase (GPx) activities in the hippocampus; 3) characterizes dendritic arbor in pyramidal neurons from CA1 region from hippocampus; 4) analyze alterations in hippocampal synaptophysin and GFAP immmunoreactivity and, 5) analyze neuronal density alterations in hippocampus of hypoxic-ischemic rats exposed to enriched environment. Seven-day-old rats were divided into four groups: controlmaintained in standard environment (CTSE), control submitted to EE (CTEE), HI in standard environment (HISE) and HI in EE (HIEE). Past the end of EE period (1 hour/day, 6 days/week, 9 weeks), mentioned parameters were evaluated in animals. Present results indicate learning and memory in the “OXmaze” task were impaired in HI rats and this effect was recovered after EE. On the contralateral hemisphere, HI caused a decrease in Na+,K+-ATPase activity that was recovered by EE. Results also indicate that HI damage decreases hippocampal synaptophysin immunoreactivity and neuronal density, moreover EE was effective in recovering synaptophysin levels on contralateral to the lesion hippocampus. The activities of GPx and CAT were not changed by HI in any group evaluated, some result founded on GFAP immunoreactivity and dendritic arborization characterization analysis. In conclusion, the important effect of HI lesion and the role of EE like neuroprotective strategy on functional impairment and on Na+,K+-ATPase activity and synaptophysin immunoreactivity was proven. Although this study have important advances in search of mechanisms by which the functional enhancement occurs in the animals submitted to HI and exposed to EE, it can be seen that it is not completely clear how this approach works. Further studies are needed to identify possible mechanisms that act as mediators of EE functional response after an ischemic event.

A cocaína é considerada a principal droga de abuso utilizada na América do Sul, sendo que o crack é a via de administração que mais cresceu nos últimos anos. Cabe salientar que o usuário do crack sofre ação tanto da cocaína quanto das substâncias advindas da sua pirólise, dentre elas a metilecgonidina (AEME). Trabalho publicado pelo nosso grupo demonstrou que a AEME é mais neurotóxica que a cocaína em cultura primária de hipocampo. Além disso, dados da literatura têm mostrado uma possível ação da AEME em receptores colinérgicos muscarínicos no sistema nervoso periférico. Na tentativa de elucidar se essa ação ocorre no sistema nervoso central, a AEME foi incubada na presença e na ausência de atropina, um antagonista de receptores colinérgicos muscarínicos. Nossos resultados em cultura primária de hipocampo mostraram que a atropina foi capaz de prevenir os efeitos neurotóxicos causados pela AEME, sugerindo uma afinidade aos receptores colinérgicos muscarínicos. Contudo, o mesmo efeito não foi observado após a incubação com a cocaína e a associação (AEME 1 mM /cocaína 2 mM). Pode-se pressupor que a AEME age preferencialmente em receptores colinérgicos muscarínicos subtipos M1, M3 e M5, uma vez que houve a formação de IP3 e aumento de cálcio intracelular, sendo esse último observado também nos grupos incubados com cocaína e associação (AEME 1 mM /cocaína 2 mM). Com a finalidade de verificar se a apoptose era uma das vias de morte neuronal, foi avaliada a expressão das proteínas mitoncondriais (Bax e Bcl-2), a atividade da caspase-3 e a análise da fragmentação do DNA, bem como a integridade da membrana celular. Foi observado que a AEME aumentou a razão das proteínas mitocondriais Bax/Bcl-2, a atividade da caspase-3 e o DNA fragmentado, bem como a perda da integridade da membrana. A cocaína aumentou a atividade da caspase 3, a fragmentação do DNA e a perda da integridade da membrana celular, mas não alterou a razão da expressão das proteínas mitocondriais Bax/Bcl-2. Apesar de apresentar uma diminuição da atividade da caspase-3, a associação (AEME 1 mM /cocaína 2 mM) apresentou um aumento do DNA fragmentado e do rompimento da membrana, bem como um aumento da razão Bax/Bcl-2. Estes dados sugerem que estas substâncias estimulam vias de morte neuronal tanto de apoptose quanto de necrose. Mais ainda, nas vias estudas neste trabalho, parece que a associação (AEME 1 mM /cocaína 2 mM) desencadeia os efeitos neurotóxicos mais rápido, estimulando, possivelmente, vias diferentes das encontradas com as substâncias isoladamente. / Cocaine is the main illicit drug used in South America, and the crack cocaine is the administration route that grown more than any other route in the last years. The user of crack cocaine suffers the action of both cocaine and its pyrolysis products, which methylecgonidine (AEME) is the main compound. Published work by our group demonstrated that AEME is more neurotoxic than cocaine in rat primary hippocampal cell culture. Moreover, published data have shown a possible muscarinic cholinergic action of AEME in the peripheral nervous system. To verify if this action occurs in the central nervous system, AEME was incubated in the presence and absence of atropine, a muscarinic cholinergic receptor antagonist. Our results in rat primary hippocampal cell culture showed that atropine was able to prevent AEME-induced neurotoxic effects, suggesting its affinity for muscarinic cholinergic receptors. However, this effect was not observed after incubation with cocaine and association (AEME 1 mM /cocaine 2 mM). It is suggestive that AEME acts, with preference, on subtypes M1, M3 and M5 muscarinic cholinergic receptors, once there was the formation of IP3 and the increase of intracellular calcium. It is important to mention that the intracellular calcium was also increased in both cocaine and association (AEME 1 mM /cocaine 2 mM) groups. In order to know whether apoptosis was a neuronal death pathway, it was evaluated the expression of mitochondrial proteins (Bax and Bcl-2), the capase-3 activity and the DNA fragmentation, as well as the loss of membrane integrity. It was observed that AEME increased the ratio of mitochondrial proteins Bax/Bcl-2, the activity of caspase-3, the fragmentation of DNA and the loss of membrane integrity. Cocaine increased the activity of caspase-3, the DNA fragmentation and the loss of cell membrane integrity, but did not affect the ratio expression of mitochondrial proteins Bax/Bcl-2. Although it was observed a decrease in caspase-3 activity, the association (AEME 1 mM / cocaine 2 mM) showed an increase in the DNA fragmentation and the cell membrane disruption, as well as an increase in Bax/Bcl-2 ratio. These data suggest that these substances stimulate neuronal death pathways of both apoptosis and necrosis. Moreover, in the pathways studied in this work, it seems that the association (AEME 1 mM /cocaine 2 mM) has the fastest neurotoxic effects, stimulating, possibly, different neuronal death pathways when compared to substances isolated.

Local field potentials (LFPs), extracellular potentials that reflect localized electrical activity, have long been used as a window to understand the behavioural dependence and mechanistic aspects of brain physiology. A principal premise that has driven the interpretation of LFPs is that they largely reflect the synaptic drive that impinges on neurons located in the vicinity of the recording microelectrode. An implicit, yet critical, assumption that led to the emergence of this premise is that dendrites, the structures onto which most synaptic inputs project, are purely passive compartments. However, there is a growing body of evidence demonstrating that dendrites express a plethora of active conductance, like voltage-gated ion channels, several of which are active in the subthreshold regime. These subthreshold-activated ion channels and their intra-neuronal localization profiles play widely acknowledged regulatory roles in the physiology, plasticity and pathophysiology of synapses and neurons. Despite this, the implications for the existence of these subthreshold conductances on constituent oscillatory patterns in LFPs and on the phase of neuronal spiking with reference to oscillating LFPs have surprisingly remained unexplored. The aim of this thesis is to examine if there exists a role of subthreshold conductances in regulating LFPs and the phase of spikes with reference to these LFPs. To address this, we chose to study LFPs and spikes from the CA1 region of the rat hippocampus, with hyperpolarization-activated cyclic-nucleotide-gated (HCN) channels forming the specific subthreshold conductance of focus. The reasons behind these choices were manifold. First, CA1 pyramidal neurons are arranged in a laminar open-field configuration, making the interpretation of the source-sink formation in this region relatively tractable. Second, the dendrites of these neurons are endowed with a multitude of subthreshold conductances whose expression profiles, physiology and plasticity have been characterized in great detail. Third, this brain region has been implicated in coding for episodic and spatial memories. The phase of the spikes of the CA1 pyramidal neurons, with reference to the LFP, is believed to serve as a code that can be used to decode the location of the animal. Given that the most dominant LFP pattern seen in the CA1 region during such active exploration (and possibly encoding of spatial memories) consists of oscillations in the 4–10 Hz theta frequency band, we decided to focus our study on theta-frequency LFPs. Finally, consistent with the choice of the specific band of LFP frequencies, we focused on HCN channels because of their predominantly dendritic expression and their ability to bestow resonance and impedance phase lead, both in the theta-frequency range, on CA1 pyramidal neurons. In exploring the role of HCN channels on LFPs, we used a multi-compartmental morphologically realistic CA1 pyramidal neuron model and introduced an HCN channel conductance gradient that was constrained with several experimental measurements. This neuron was driven by dendritic excitatory synapses and perisomatic inhibitory synapses, both theta-modulated with a phase difference of +60º between their arrivals timings. We increased the excitatory synaptic conductance with distance from the soma to account for the fact that irrespective of the location of the synapse in the dendrites, the unitary excitatory post-synaptic potential remains the same at the soma. Employing these model configurations, we generated 25 different synaptic distributions on the same neuronal morphology to account for the input variability and for each of these models, we recorded transmembrane currents from all the compartments, for 8–10 cycles of the theta-modulated inputs. To model LFPs using the forward modelling scheme of line source approximation, we designed a cylindrical neuropil of 40 µm height and 100 µm radius and inserted a virtual linear electrode with 7 contact points distributed on the probe at the canter of the neuropil such that we could compute the LFP at all the strata of the CA1 region. Accounting for the volume of the neuropil and the density of neurons in this region, we took 440 instances of the morphology, rotated them at uniformly distributed angles, and distributed the somata of these model neurons within the neuropil. Each of these 440 neurons received transmembrane currents from one of the 25 models picked uniformly. With a passive model, where we did not introduce HCN channels, we expectedly observed the formation of a source-sink structure that expressed as a progressive phase shift spanning different strata, owing to the perisomatic inhibitory currents coupled with the dendritic excitatory currents. On introducing a somatodendritic gradient of HCN conductance with identical input conditions, we observed a phase lead in the LFPs across all the layers, with the magnitude of the lead increasing with distance from the soma in a manner that was correlated with the increase in HCN conductance. Next, we computed spike phases, for each of the 25 neuron models, with reference to the stratum pyramidale (SP) LFP for model configurations with and without HCN channels. We found that the spikes showed a phase lag in the presence of a gradient of HCN channels when compared to the spike phases measured from the passive neuron models. Finally, we computed the coherence of spikes across all the 25 passive or 25 active (with HCN channels) neuron models and found that the presence of HCN channels greatly enhanced spike phase coherence across neurons. Together, these results demonstrate that the presence of HCN channels introduces a lead in the theta-frequency LFP phase, a lag in the associated spike phase, and a significant enhancement of spike phase coherence. Exploring the robustness of these findings to the model configuration, we first found these conclusions to be robust to increases in neuropil size (400-µm diameter neuropil with 1797 neurons, and 1-mm diameter neuropil with 11297 neurons). Next, we introduced heterogeneities in the population of neurons (in terms of morphology as well as passive and active properties) that formed the neuropil, and found our conclusions to be invariant to such degeneracy in the underlying neuronal population. It has been observed that under certain pathological conditions like epilepsy, an entire population of CA1 neurons can undergo intrinsic plasticity, such as global (i.e., across the entire neuronal topograph) downregulation of HCN channels. To assess the impact of such up/downregulation on LFPs, we respectively increased/decreased HCN channel conductance globally in our model neurons, and found the magnitude of the lead in the LFP phase to progressively increase with HCN-channel conductance. Similarly, the magnitude of the spike-phase lag and the spike phase coherence also progressively increased as functions of HCN-channel conductance. Although such population-level global intrinsic plasticity is observed under pathological conditions, a more physiological scenario would be when a single neuron, in the process of encoding new inputs (such as encoding spatial or episodic memories), undergoes intrinsic plasticity. To assess this, we increased or decreased HCN-channel conductance specifically in a single neuron placed closest to the electrode, while leaving the HCN expression in other neurons of the neuropil at the baseline level. Expectedly, we did not find significant changes in LFP amplitude or phase, but we did find a significant lag in the spike phase preference of the neuron that underwent an upregulation of HCN conductance. Another physiological scenario is when the rat experiences a reward or exhibits anxiety-like behaviour, which can lead to changes in hormonal or neuromodulator concentrations. These changes, functioning through the activation of G-protein coupled receptors and the consequent elevation of cytosolic cyclic adenosine monophosphate (cAMP) concentrations, could shift the half-maximal activation voltage ( V1/2 ) of HCN channels to a more depolarized potential. Would such a shift in V1/2 impact LFPs and spike phases in a manner similar to that observed with increasing the conductance of HCN channels? Assessing this within our modeling framework, we found that shifting the V1/2 by +5 mV resulted in an increased lead in the LFP phase, an increased lag in the spike phase and an enhanced spike phase coherence compared to the case with a hyperpolarized V1/2 . What are the biophysical mechanisms that underlie these robust changes observed in LFPs and spike phases observed as a consequence of these several ways of increasing the current through HCN channels? We reasoned that our observations could be explained by one of the two distinct changes conferred on CA1 pyramidal neuron physiology by the presence of HCN channels. First, in the presence of HCN channels, the voltage response of CA1 pyramidal neurons shows a phase lead with reference to a sinusoidal current input (inductive phase lead) in the theta frequency range. Second, HCN channels regulate the excitability of these cells by decreasing the input resistance and impedance amplitude. To delineate the differential role of the inductive changes vs. changes in excitability, we replaced HCN channels by a faster variant (HCNFast) such that neuronal excitability remained the same while abolishing the inductive phase lead in the theta band. On doing so, we found that the lead in the LFP phase and the lag in the spike phase brought about by HCN channels was partially reversed when HCN conductance values were low. However the reversal was not substantial when HCN conductance values were high, suggesting that the inductive phase component dominates at lower HCN channel conductances, whereas the excitability component plays a critical role at higher HCN conductances. Akin to intrinsic plasticity mentioned above, under certain pathological conditions, an entire population of neurons can undergo scaling of their excitatory or inhibitory synapses. In assessing the implications for such synaptic plasticity, we first found that our conclusions on the roles of HCN channels in introducing a lead in the LFP phase, a lag in the spike phase and an enhancement of spike phase coherence were invariant to the specific values of synaptic conductances, or the phase difference between excitatory and inhibitory theta-modulated inputs. While these observations further established the robustness of the changes brought about by HCN channels to LFPs and associated spikes, we next asked whether synaptic plasticity, mediated by changes in subthreshold synaptic conductances, could itself bring about changes in the LFP and spike phase. Expectedly, we found that scaling up of excitatory synapses introduced a mild lag in the LFP phase and a lead in the spike phase, whereas scaling up of inhibitory synapses introduced a lead in the LFP phase and a lag in the spike phase. Finally, we observed a critical role of the arrival phase of inhibition with reference to excitation in altering both, the stratum pyramidale LFP and associated spike phases, with the magnitude of change in both the LFP and the spike phase roughly following the magnitude of the shift in the excitatory-inhibitory phase difference. However, in contrast to changes observed with HCN-channel plasticity, there was no significant change in spike phase coherence with any of the three forms of synaptic changes explored. Together, our results identify definite roles for HCN channels and synaptic receptors in phase-coding schemas and in the formation and dynamic reconfiguration of neuronal cell assemblies and present a clear case for the incorporation of subthreshold-activated ion channels, their gradients, and their plasticity into the computation of LFPs. Given the rich expression of several subthreshold ion channels — including HCN, A-type potassium and T-type calcium — in neuronal dendrites, future work could focus on the impact of subthreshold channels on LFPs recorded in different brain regions under different behavioral states. This thesis is organized into seven chapters. Chapter 1 provides the motivations for the study, introduces the aim of the study and poses the specific questions asked in our endeavor to understand the role of subthreshold conductances in regulating LFPs and spike phases. Chapter 2 discusses the physiological foundations and relevant literature that places the questions posed in the first chapter in the context of the aim of the thesis, with an emphasis on the literature on HCN channels. In chapter 3, we introduce the computational and theoretical foundations required to model neurons and to compute LFPs. In chapter 4, we look at the consequences of the presence of a non-uniform density of somatodendritic HCN channels on LFPs and spike phase and test the robustness of the effects observed. In chapter 5, we present our assessment of the impact of intrinsic plasticity/modulation of HCN channels on LFPs and spike phases, also exploring the biophysical mechanisms underlying such an impact. In chapter 6, we test if the observed effects still hold under synaptic plasticity, and assess the regulation of LFPs and spike phases by synaptic changes. In chapter 7, we summarize and conclude the results presented in the preceding chapters and provide some potential directions for future studies.

Le vieillissement normal s’accompagne d’une diminution du contenu du cholestérol cérébral. Au contraire, une accumulation de cholestérol est associée aux processus toxiques dans plusieurs pathologies dégénératives (maladie d’Huntington, maladie de Parkinson, épilepsie, maladie de Niemann Pick de type C, maladie d’Alzheimer). De plus, les parallèles étroits existent entre la physiopathologie moléculaire de la maladie d’Alzheimer et celle de la maladie de Niemann Pick de type C, maladie de l’homéostasie du cholestérol. Ainsi on retrouve dans ces deux pathologies une hyperphosphorylation de la protéine Tau, associée à une augmentation des endosomes élargis et à la production de peptides A. L’ensemble de ces éléments évoque le rôle potentiel de la surcharge en cholestérol cérébral comme facteur favorisant le développement de la maladie d’Alzheimer. L’objectif de mon travail de doctorat a été de déterminer si une surcharge en cholestérol in vivo dans les neurones de l’hippocampe, région précocement touchée par la maladie d’Alzheimer, pouvait être à l’origine de processus neurotoxiques et de modifications biochimiques et neuropathologiques proches de ceux qui sont observés dans cette pathologie. La quasi-totalité du cholestérol cérébral est synthétisée in situ, la barrière hémato-encéphalique ne permettant qu’un apport minime du cholestérol périphérique. L’excès de cholestérol est exporté de la circulation sanguine sous la forme du 24-hydroxycholestérol, un métabolite produit exclusivement dans les neurones par la cholestérol-24-hydroxylase codée par le gène Cyp46a1.La surcharge en cholestérol a été induite in vivo par inhibition de la cholestérol-24-hydroxylase, dans l’hippocampe par une stratégie d’ARN interférence délivré par une injection stéréotaxique d’un vecteur AAV5. Nous avons étudié, d’une part la capacité d’une accumulation de cholestérol à induire chez la souris normale, un phénotype clinique et neuropathologique proche de la maladie d’Alzheimer et d’autre part si cette même accumulation de cholestérol neuronal pouvait aggraver ou compléter le phénotype Alzheimer d’un modèle murin de la maladie, la souris APP23. L’injection du vecteur AAV5-shCYP46A1 dans la stratum lacunosum moleculare de l’hippocampe conduit à une inhibition significative de l'expression du gène Cyp46a1, associée à une diminution de la concentration du 24-hydroxycholestérol et une augmentation du contenu en cholestérol dans les neurones de l’hippocampe, 3 semaines après l’injection. En réponse à cet excès de cholestérol, des mécanismes régulateurs permettent de diminuer, d’une part l’import et d’augmenter l’export du cholestérol de la cellule et d’autre part d’augmenter le contenu en phosphatidylcholine afin de rétablir un ratio phospholipide/cholestérol physiologique. Cependant, l'accumulation majeure de cholestérol intracellulaire conduit, 3 semaines après l’injection, à une activation de la réponse UPR (Unfolded Protein Response ou stress du réticulum endoplasmique) caractérisée par l'expression des gènes codant les facteurs XBP1s, ATF6, GRP78 associée à celles des protéines PERK phosphorylée, CHOP et caspase 12, entraînant l'activation des caspases 9 et 3. Elle est associée à la phosphorylation des protéines GSK3 (Tyr216) et Tau (Thr231). En parallèle, l’augmentation du cholestérol induit, 3 semaines après l’injection, une augmentation de l’expression de la protéine Rab5 (marqueur des endosomes précoces) et une relocalisation de la protéine APP dans les fractions de radeaux lipidiques associées à l'activation de la voie amyloïdogénique (production des fragments-CTF et des peptides A42). L’étude lipidomique met en évidence, 4 semaines après l’injection, une augmentation du contenu en céramide à longues chaînes et à une augmentation des gangliosides. Tous ces éléments aboutissent à un processus de perte neuronale associée à un recrutement des astrocytes dès la quatrième semaine après l’injection.... / An increasing number of arguments suggest a close and complex link between cholesterol metabolism and neurodegenerative diseases, particularly with Alzheimer’s disease. Normal ageing is associated with a decrease of brain cholesterol content. Conversly, accumulation of brain cholesterol is associated with several neurodegenerative diseases (Huntington disease, Parkinson disease, epilepsy, Niemann Pick C disease, Alzheimer’s disease). Moreover, close connections exist between molecular physiopathology of AD and that of Niemann Pick, a disease of cholesterol homeostasis. Altogether, these results suggest that cholesterol overload might play a role, as an initiating factor for the development of AD.In the brain, cholesterol metabolism is tightly controlled. In adults, cholesterol is mainly synthetized by astrocytes, then shuttles to neurons where it is used. All cholesterol excess must be eliminated. Cholesterol cannot cross freely the blood-brain-barrier. To be metabolized, brain cholesterol must be converted in 24-hydroxy-cholesterol by the cholesterol-24 hydroxylase enzyme, coded by CYP46A1 gene. The objective of my PhD project was to determine if cholesterol accumulation in vivo in hippocampal neurons, a region early involved in AD pathology, could trigger neurotoxic processes with biochemical and neuropathological modifications close to what is observed in AD. Cholesterol overload in vivo was induced by inhibiting cholesterol 24-hydroxylase enzyme activity, using an RNA interference strategy. Stereotactic injection of an AAV5- shCYP46A1 vector in the stratum lacunosum moleculare of the hippocampus led to significant and rapid (as soon as 3 weeks after injection) inhibition of the Cyp46a1 gene in the hippocampus with an absence of RNA interference off-target effect. This inhibition was associated with a decrease of 24-hydroxycholesterol content and an increase of the cholesterol content. In response to this cholesterol excess, cell control mechanisms were initiated leading to decrease import and increase export of cholesterol, accompanied with an increase of phosphatidylcholine content to restore a physiological ratio of phospholipide/cholesterol. However, major accumulation of cholesterol led to neuronal death with activation of caspases 9 et 3, suggesting an apoptotic process. The cholesterol overload drives to an endoplasmic reticulum stress, with activation of the unfolded protein response (UPR) and expression of spliced XBP1, ATF6, GRP78, phosphorylated PERK, CHOP and caspase 12. These modifications were associated with phosphorylation of GSK3 (Tyr 216) and tau (Thr 231) proteins. In parallel, cholesterol accumulation led to increased expression of Rab5 (early endosome marker) and relocalization of APP in rafts domains associated to activation of amyloid pathway (production of -CTF fragments and A42 peptides). Lipidomic analysis showed an increase of ceramides and gangliosides content. All these modifications were associated with neuronal death 4 weeks after injection and astrocytosis, leading to an EEG theta rhythm accelerated to beta frequencies, memory deficits and hippocampal atrophy. In a mouse model of Alzheimer disease, the APP23 mouse, cholesterol accumulation led to major aggravation of the phenotype, with increased production of A peptides, occurring of tau phosphorylation and UPR response, leading to accelerated neuronal death. Altogether, these results suggest a direct link between cholesterol accumulation in the brain and Alzheimer’s disease. Brain cholesterol accumulation could seed the sows to the development of Alzheimer’s pathology. Reducing cerebral cholesterol could thus be a relevant therapeutic strategy to prevent the development, or at least slow down the evolution of the pathology in Alzheimer’s disease.

Proton MR spectroscopy is a non-invasive tool for measuring in vivo concentrations of several metabolites. The aim of this thesis was to test its applicability and reliability in neurosurgical praxis. In the first part of the study multiple MR spectroscopy methods were applied in a group of patients after surgery and oncologic treatment for high-grade glioma to test which method performed best in discriminating recurrent tumor from radionecrosis in the presence of a new enhancing lesion. The best diagnostic yield was achieved by comparison of choline, creatine and lactate between lesion and contralateral side (sensitivity 93.3%, specificity 78.6%). Creatine was significantly decreased in patients compared to controls. The inhibiting effect of ongoing oncologic treatment on cerebral and tumoral metabolism makes differential diagnosis trickier. Therefore, a diagnosis of radionecrosis assessed during ongoing radio- and chemotherapy should be confirmed after its completion. In the second part of the study MR spectroscopy data was compared with MR hippocampal volumetry and transcranial doppler examination in a cohort of patients with unilateral occlusion of the internal carotid artery. The N-acetylaspartate/choline ratio and hippocampal volume were significantly lower in both hemispheres of patients...