Orientador: Jose Andres Yunes / Dissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Biologia / Made available in DSpace on 2018-08-10T05:42:02Z (GMT). No. of bitstreams: 1 Laranjeira_AngeloBrunelliAlbertoni_M.pdf: 2767287 bytes, checksum: 8b66a1e06cad088fa256103c24e955a7 (MD5) Previous issue date: 2007 / Resumo: A resistência intrínseca ou adquirida aos compostos quimioterápicos é uma das mais importantes causas dos insucessos no tratamento das LLAs pediátricas. A interação da LLA com o microambiente da medula óssea contribui para a proliferação e resistência ao regime quimioterápico das células leucêmicas através de uma grande variedade de mecanismos celulares que provavelmente incluem: aumento da expressão de transportadores celulares, aumento no processo de reparo do DNA, diminuição na regulação dos alvos das drogas, mudanças na regulação do ciclo celular e alteração nas vias apoptóticas. No presente estudo observou-se que a interação estabelecida entre células estromais e células de LLA-B, promoveu a ativação destas como avaliado pela análise das moléculas de superfície das células leucêmicas ao longo dos períodos de cultivo, além da sobrevivência e/ou proliferação em mais de 60% dos casos in vitro. A comunicação entre os dois tipos celulares também mostrou a influência do estroma na modulação da expressão transcricional de 17 genes relacionados com a resistência e sensibilidade a quimioterápicos em células de LLA-B. A modulação teve como conseqüência o aumento nos níveis de expressão da maioria dos genes de resistência e a queda de expressão da maioria dos genes de sensibilidade. Sendo assim, a LLA, pela interação com as células estromais, apresentaram uma alteração que as levou a um fenótipo característico de células resistentes. Essa alteração de expressão mediada pelo contato com o estroma foi confirmada por estudos funcionais de dois genes relacionados com a resistência. O gene KCNN4 em linhagens celulares, que quando submetidas à ação do clotrimazol apresentaram maior viabilidade na presença do que na ausência do estroma; e a adição da proteína recombinante IGFBP-7 no sistema de co-cultura promoveu a resistência e até mesmo proliferação na presença da L-asparaginase. Esta proteína também se mostrou atuante na proliferação das células estromais. Estes resultados mostram dois genes de LLA, que quando modulados pelo contato com o estroma podem contribuir com a maior resistência ao regime quimioterápico, podendo vir a ser usados como alvo para posteriores terapias / Abstract: The intrinsic or acquired chemotherapy resistance composites one of the most important causes of failures in the treatment of pediatric ALL. The ALL and bone marrow microenvironment nteraction contributes for the proliferation and resistance to the chemotherapy regimen of leukemic cells probably through a great variety of cellular mechanisms, including increase of the expression of cellular transporters, increase in the process of DNA repair, downregulation of drugs targets, changes in the regulation of cellular cycle and alteration in the apoptotic ways. In the present study it was observed that the interaction established between stromal cells and pre-B ALL, evaluated through analysis of surface molecules in leukemic cells throughout the periods of culture, were important for the survival and/or proliferation in more than 50% of the cases in vitro. This interaction also showed the influence of stroma in the transcriptional profile of 17 genes related with the resistance and sensitivity to chemotherapeutic agents in pre-B ALL cells. The modulation had as consequence the increase in the levels of expression of the majority of the resistance genes and the decrease of expression of the majority of the sensitivity genes. Being thus, these cellular types, for the interaction with the stromal cells, had presented an alteration that took them to one phenotype characteristic of resistant cells. This stroma-mediated alteration was confirmed by functional studies of two genes related with the resistance. Gene KCNN4 three leukemic cell lines, that when submitted to the action of clotrimazole they had presented greater viability in the presence than in the absence of stroma; and the addition of recombinant protein IGFBP-7 in the co-culture system promoted the resistance and proliferation of primary ALL cells in the presence of the L-asparaginase. This protein also induced proliferation of stromal cells. These results show two genes of ALL, that when modulated for the contact with stroma, can contribute with a resistance to the chemotherapic regimen, becoming possible targets for posterior therapies / Mestrado / Genetica Animal e Evolução / Mestre em Genética e Biologia Molecular

Orientador: José Andrés Yunes / Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Biologia / Made available in DSpace on 2018-08-20T10:04:03Z (GMT). No. of bitstreams: 1 Laranjeira_AngeloBrunelliAlbertoni_D.pdf: 13248620 bytes, checksum: 729ec8e23331934ddd1e5803361b6fe6 (MD5) Previous issue date: 2012 / Resumo: A Leucemia Linfóide Aguda (LLA) é o tipo de câncer mais comum que acomete crianças. Sabe-se que a interação do tumor com o contexto celular do hospedeiro (microambiente tumoral) é recíproca, ou seja, na medida em que o tumor estimula o seu microambiente, este potencializa a sobrevivência, proliferação e invasividade tumoral. A interação da LLA com as células estromais da medula óssea tem um impacto positivo na resistência das células leucêmicas à quimioterapia. No presente estudo foi investigado a modulação de uma série genes de sensibilidade e resistência à asparaginase em células de LLA-B precursoras após co-cultura com as células estromais. Mostramos o aumento da expressão e secreção da IGFBP7 pelas células leucêmicas após co-cultivo com células do estroma da medula óssea. Em ensaios com o silenciamento do IGFBP7 em células leucêmicas e células estromais, mostramos que a IGFBP7 atua regulando positivamente o crescimento celular e aumenta a resistência a asparaginase. A IGFBP7 'leucêmica' junto com IGF/insulina atua sobre as células estromais, induzindo nestas células o aumento da produção de asparagina, e diminuindo a ação da asparaginase. Além deste mecanismo de resistência dependente das células estromais, mostramos que a IGFBP7 em conjunto com IGF/insulina promove a resistência das células leucêmicas à ação de outros compostos quimioterápicos (dexametasona e metotrexato) de forma independente da interação leucemia-estroma. Ainda pode ser observado que o plasma de crianças com LLA ao diagnóstico, apresenta maiores níveis de IGFBP7 do que em amostras controles. É importante ressaltar que níveis mais altos de mRNA IGFBP7 foram associados com menor sobrevida livre de leucemia (Modelo de regressão de Cox, P = 0,003), em células de LLAB Ph(-) presursoras / Abstract: Acute Lymphoblastic Leukemia (ALL) is the most common type of cancer that affects children. It is known that the interaction between tumor and the cellular context of the host (tumor microenvironment) is reciprocal, ie, to the extent that the tumor stimulates their microenvironment, this enhances the survival, proliferation and tumor invasiveness. The interaction of ALL with bone marrow stromal cells has a positive impact on leukemia resistance to chemotherapy. In the present study, we investigated the modulation of a series of putative asparaginase-resistance/sensitivity genes in B-precursor ALL upon co-culture with stromal cells. We showed an increase expression and secretion of IGFBP7 in leukemic cells after co-culture with BMSCs. Assays with IGFBP7 knockdown in leukemic cells and stromal cells, showed that IGFBP7 acts as a positive regulator of cell growth and increases resistance to asparaginase. 'Leukemic' IGFBP7 together with IGF/insulin acts on stromal cells, increasing asparagine production, thus reducing the asparaginase effect. Besides this mechanism of resistance dependent of stromal cells, we showed that IGFBP7 in conjunction with IGF/insulin promotes the resistance of leukemia cells to the action of other chemotherapeutic compounds (dexamethasone and methotrexate) independently of the interaction leukemia-stroma. We still observed that diagnostic BM plasma from children with ALL at diagnosis, have higher levels of IGFBP7 than control samples. Importantly, higher levels of IGFBP7 mRNA were associated with lower leukemia-free survival (Cox regression model, P = 0.003) in precursor B-ALL Ph (-) patients / Doutorado / Genetica Animal e Evolução / Doutor em Genetica e Biologia Molecular

Title of Dissertation: FUNCTION OF INSULIN-LIKE GROWTH FACTOR BINDING PROTEIN 7(IGFBP7) IN HEPATOCELLULAR CARCINOMA By Dong Chen. Purpose: Hepatocellular carcinoma (HCC) is a highly virulent malignancy with no effective treatment, thus requiring the development of innovative and effective targeted therapies. The oncogene Astrocyte Elevated Gene-1 (AEG-1) plays a seminal role in hepatocarcinogenesis and profoundly downregulates Insulin-like Growth Factor Binding Protein-7 (IGFBP7). The present study focuses on analyzing potential tumor suppressor functions of IGFBP7 in HCC and the relevance of IGFBP7 downregulation in mediating AEG-1 function. Experimental Design: IGFBP7 expression was detected by immunohistochemistry in HCC tissue microarrays by real-time PCR and ELISA in human HCC cell lines. Dual Fluorescence in situ hybridization was performed to detect loss of heterozygosity at the IGFBP7 locus. Stable IGFBP7- overexpressing clones were established in the background of AEG-1- overexpressing human HCC cells and were analyzed for in vitro proliferation, senescence, in vivo tumorigenesis and angiogenesis. HCC cell lines infected with an adenovirus expressing IGFBP7 (Ad.IGFBP7) were analyzed by using in vitro cell cycle, apoptosis, in vivo tumorigenesis assays. Results: IGFBP7 expression is significantly downregulated in both human HCC patients’ samples and cell lines compared to normal liver and hepatocytes. IGFBP7 expression was also found to inversely correlate with the stages and grade of HCC. Genomic deletion of IGFBP7 was identified in 26% of HCC patients. Forced overexpression of IGFBP7 in AEG-1 overexpressing HCC cells inhibited in vitro growth and induced senescence. When injected into nude mice, in vivo growth was profoundly suppressed, potentially as a result of inhibition of both angiogenesis and IGF1R activation by IGFBP7. Ad.IGFBP7 profoundly inhibited viability and induced apoptosis in multiple human HCC cell lines by inducing Reactive Oxygen Species (ROS) and activating a DNA damage response. N-acetylcysteine could neutralize ROS and rescue the cells from apoptosis. In early phase after Ad.IGFBP7 infection, activation of cell cycle control proteins like Rb, p53, ATM, ATR, CHK1 and CHK2 were identified and G2/M cell cycle arrest was recorded by FACS. Ad.IGFBP7 infection resulted in the activation of p38 MAPK, and a p38 MAPK inhibitor SB 203580 could block the apoptotic process. In orthotopic xenograft models of human HCC in athymic nude mice, intravenous administration of Ad.IGFBP7 profoundly inhibited primary tumor growth and intra-hepatic metastasis. In a nude mouse subcutaneous model, xenografts from human HCC cells were established in both flanks and only left- side tumors received intratumoral injection of Ad.IGFBP7. Ad.IGFBP7 markedly inhibit growth of both left-sided injected tumors and right-sided un- injected tumors by profound suppression of angiogenesis. Conclusion: The present findings provide evidence that IGFBP7 functions as a novel putative tumor suppressor for HCC and establish the corollary that IGFBP7 downregulation can effectively modify AEG-1 function. Targeted overexpression of IGFBP7 may be a potential novel and effective therapy for HCC.

In the present study, two insulin-like growth factor-binding protein 7 (IGFBP7) C-terminal-peptides were expressed as fusion proteins to bacterial verotoxin pentamerization domain as shown by Western blotting, ELISA and mass spectroscopy. Both in vivo-biotinylated recombinant products were purified from bacterial lysates by IMAC and used directly for panning along with the recombinant IGFBP7 protein using the LAC-M Camelidae naïve single domain antibody (sdAb) library. Target-specific sdAbs to both parental protein and peptide fusions were identified by phage ELISA. Twelve different clones were isolated by phage-ELISA screening and their sdAb genes were sequenced. Soluble sdAbs and their pentameric formats were expressed in TG1 E. coli, purified by IMAC and characterized by ELISA and SPR. Several sdAbs are currently under study, however anti-IGFBP7 (P12/M12) was extensively characterized and exhibited promising anti-tumorigenic effect on PANC-1 cell lines by blocking IGFBP7 promoting activity. This study provides the basis for developing a novel imaging/therapeutic reagent for targeting and treating brain tumor angiogenesis in early stages of tumorogenesis and can also be used as a molecular tool to monitor the degree of angiogenesis in gliomas which may help to improve the clinical management of brain tumors.

In the present study, two insulin-like growth factor-binding protein 7 (IGFBP7) C-terminal-peptides were expressed as fusion proteins to bacterial verotoxin pentamerization domain as shown by Western blotting, ELISA and mass spectroscopy. Both in vivo-biotinylated recombinant products were purified from bacterial lysates by IMAC and used directly for panning along with the recombinant IGFBP7 protein using the LAC-M Camelidae naïve single domain antibody (sdAb) library. Target-specific sdAbs to both parental protein and peptide fusions were identified by phage ELISA. Twelve different clones were isolated by phage-ELISA screening and their sdAb genes were sequenced. Soluble sdAbs and their pentameric formats were expressed in TG1 E. coli, purified by IMAC and characterized by ELISA and SPR. Several sdAbs are currently under study, however anti-IGFBP7 (P12/M12) was extensively characterized and exhibited promising anti-tumorigenic effect on PANC-1 cell lines by blocking IGFBP7 promoting activity. This study provides the basis for developing a novel imaging/therapeutic reagent for targeting and treating brain tumor angiogenesis in early stages of tumorogenesis and can also be used as a molecular tool to monitor the degree of angiogenesis in gliomas which may help to improve the clinical management of brain tumors.

Orientador: Daniela Ponce / Resumo: A prevalência da Lesão Renal Aguda (LRA) associada ao uso da vancomicina é muito variável e diferentes fatores relacionados ao paciente e ao tratamento (tempo e dose) podem potencializar a ocorrência da nefrotoxicidade. Estudos relacionaram o desempenho de biomarcadores urinários como preditores diagnósticos e prognósticos de LRA na insuficiência cardíaca (ICC), no pós-operatório de cirurgia cardíaca e na sepse, porém, pouco se sabe sobre o desempenho dos novos biomarcadores na LRA associada ao uso da vancomicina. / Abstract: The prevalence of acute kidney injury (AKI) related to vancomycin is variable and different risk factors related to the patient and the treatment (time and dose) may potentiate the occurrence of nephrotoxicity. Studies related the performance of urinary biomarkers as predictors of diagnostic and prognostic AKI in congestive heart failure (CHF), in the postoperative period of cardiac surgery and in sepsis, however, little is known about the performance of the new urinary biomarkers in vancomycin related AKI. / Mestre