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Cancer research is evolving. Historically concerned with the mechanisms by which malignant cells circumvent cell death signaling and maintain unchecked proliferation, focus has shifted to the complex interactions between the tumor cell and the surrounding microenvironment. Ovarian cancer has one of the highest incidence-to-death ratios of all cancers, and is typically asymptomatic until the later stages, often resulting in metastasis prior to discovery. Naturally occurring phenotypes like lactation and child-bearing (parity) reduce ovarian cancer incidence, but the mechanisms are not understood. As the primary site for ovarian cancer metastasis, and a secondary lymphoid organ capable of mounting potent innate and adaptive immune responses, we believe the omental fat band (OFB) provides a unique opportunity to study complex interactions within the tumor microenvironment. Additionally, we hypothesize that once understood, leukocyte populations within the OFB could be modulated to disrupt the pro-tumorigenic cascade. Using fluorescence-activated cell sorting (FACS) and quantitative realtime PCR (qRT-PCR), we comparatively evaluated the changes in the compositional immune profile of the OFB as a result of parity and cancer. Parous mice were associated with a reduction in macrophages and neutrophils in the OFB, resulting in an inherent "protective state" that was refractory to metastatic cancer cell growth after intraperitoneal implantation. This indicates that the leukocyte populations within the   OFB play an important role in tumor development. Therefore we utilized the potent TH1-type immunomodulatory cytokine IL-12 in a membrane-bound form to circumvent reported side effects, such as hepatic and renal damage, cardiotoxicity and death. Targeted IL-12 delivery to the OFB resulted in delayed disease development, although not protection from subsequent challenge. This was also associated with a reduction tumor-associated macrophages (TAMs) and neutrophils (TANs) within the OFB. Kinetic studies demonstrated that these changes were induced by a significant reduction in neutrophil and macrophage chemoattractants early on in the pro-tumorigenic cascade (7 days post-implantation). This work demonstrates that the OFB is a functionally plastic tissue that can be harnessed and re-mobilized to display an anti-tumorigenic microenvironment. / Ph. D.

O sistema NADPH oxidase é um complexo enzimático gerador de ânion superóxido formado pelas subunidades gp91-phox e p22-phox, p47-phox, p67-phox e p40-phox. O eixo IL-12/23-IFN-g é crítico para a ativação dos fagócitos e controle de infecções. Defeitos na ativação deste eixo resultam em infecções recorrentes e à MSMD, e podem levar à diminuição da expressão do componente gp91-phox. Em minha Dissertação de Mestrado (Aragão-Filho, 2009), vimos que as subunidades 1 e 2 do receptor do IFN-g são necessárias para a expressão dos genes NCF1 e NCF2 e para a ativação do sistema NADPH oxidase humano nos modelos experimentais de células humanas por nós utilizados. Assim, no presente trabalho de doutorado, continuamos a investigar o papel dos defeitos no eixo IL-12/23-IFN-g sobre o sistema NADPH oxidase utilizando novas linhagens celulares de pacientes com defeitos no eixo IL-12/23-IFN-g. Verificamos que há defeito secundário da ativação da NADPH oxidase em pacientes com defeitos no eixo IL-12/23-IFN-g, o que representa um novo mecanismo imunopatológico envolvido na MSMD. / The NADPH oxidase system is an enzymatic complex that generates superoxide anion, it is formed by gp91-phox, p22-phox, p47-phox, p67-phox and p40-phox subunits. The IL-12/23-IFN-g axis is critical for the phagocytes activation and infection control. Defects in this axis activation result in recurrent infections and MSMD, and can lead to decreased expression of gp91-phox component. In my Master Thesis (Aragão-Filho, 2009), we found that the subunits 1 and 2 of the IFN-g receptor are required for NCF1 and NCF2 gene expression and activation of human NADPH oxidase system in human experimental cell models that we used. Therefore, in the present doctoral work, we continue to investigate the role of IL-12/23-IFN-g axis defects on NADPH oxidase system using new cell lines from patients with IL-12/23-IFN-g axis defects. We verify that there is a secundary defect in the activation of the NADPH oxidase from patients with IL-12/23-IFN-g defects, what represents a new immunopathological mechanism involved in MSMD.

O sistema NADPH oxidase é um complexo enzimático gerador de ânion superóxido formado pelas subunidades gp91-phox e p22-phox, p47-phox, p67-phox e p40-phox. O eixo IL-12/23-IFN-g é crítico para a ativação dos fagócitos e controle de infecções. Defeitos na ativação deste eixo resultam em infecções recorrentes e à MSMD, e podem levar à diminuição da expressão do componente gp91-phox. Em minha Dissertação de Mestrado (Aragão-Filho, 2009), vimos que as subunidades 1 e 2 do receptor do IFN-g são necessárias para a expressão dos genes NCF1 e NCF2 e para a ativação do sistema NADPH oxidase humano nos modelos experimentais de células humanas por nós utilizados. Assim, no presente trabalho de doutorado, continuamos a investigar o papel dos defeitos no eixo IL-12/23-IFN-g sobre o sistema NADPH oxidase utilizando novas linhagens celulares de pacientes com defeitos no eixo IL-12/23-IFN-g. Verificamos que há defeito secundário da ativação da NADPH oxidase em pacientes com defeitos no eixo IL-12/23-IFN-g, o que representa um novo mecanismo imunopatológico envolvido na MSMD. / The NADPH oxidase system is an enzymatic complex that generates superoxide anion, it is formed by gp91-phox, p22-phox, p47-phox, p67-phox and p40-phox subunits. The IL-12/23-IFN-g axis is critical for the phagocytes activation and infection control. Defects in this axis activation result in recurrent infections and MSMD, and can lead to decreased expression of gp91-phox component. In my Master Thesis (Aragão-Filho, 2009), we found that the subunits 1 and 2 of the IFN-g receptor are required for NCF1 and NCF2 gene expression and activation of human NADPH oxidase system in human experimental cell models that we used. Therefore, in the present doctoral work, we continue to investigate the role of IL-12/23-IFN-g axis defects on NADPH oxidase system using new cell lines from patients with IL-12/23-IFN-g axis defects. We verify that there is a secundary defect in the activation of the NADPH oxidase from patients with IL-12/23-IFN-g defects, what represents a new immunopathological mechanism involved in MSMD.

Le paludisme tue un enfant toutes les 30 secondes en Afrique et 1 à 3 millions de personnes par an. Deux milliards d'individus sont exposés et on estime à 500 millions le nombre de cas cliniques survenant chaque année. Le paludisme étant une maladie multifactorielle, son évolution est soumise à l'influence d'effets environnementaux, à des variables telles que l'âge de l'individu, ainsi qu'à une combinaison de facteurs génétiques. De nombreux arguments sont en faveur d’un contrôle génétique de la résistance au paludisme, mais les gènes impliqués restent encore mal connus. Afin d’identifier de nouveaux gènes de résistance ou de susceptibilité au paludisme à Plasmodium falciparum, nous avons réalisé différentes études génétiques dans deux populations vivant en zone d’endémie palustre au Burkina Faso. Ainsi, des polymorphismes du gène IL12B situé dans une région chromosomique liée au paludisme (5q31-q33) ont été génotypés puis analysés. Nous n’avons pas décelé d’association allélique, mais ce travail a permis de confirmer l’existence d’une liaison génétique dans ce locus. Les données issues du génotypage du gène IL12B ainsi que celles d’études antérieures ont été utilisées pour évaluer les interactions génétiques entre la mutation provoquant l’hémoglobine C et 11 autres polymorphismes situés dans 5 gènes précédemment associés à la résistance au paludisme. En utilisant 3 phénotypes liés à l’infection palustre, nous avons ainsi pu observer 43 combinaisons multilocus significatives incluant des polymorphismes des gènes IL12B, IL4, TNF, NCR3 et LTA. Ces résultats d’interactions démontrent l’intérêt de développer ce type d’approches pour élucider le contrôle génétique de la résistance humaine au paludisme.Une approche par clonage positionnel, suivie d’une approche « gène candidat » nous a permis de mettre en évidence une liaison génétique entre la région 17p11-p13 et la parasitémie, puis une association allélique entre les gènes candidats HS3ST3A1 et HS3ST3B1 et la parasitémie. Ces gènes codent pour des isoenzymes transférant un groupement sulfate à des protéoglycanes afin de former des molécules d’héparane sulfates. L’implication potentielle de ces récepteurs, dans le contrôle génétique du paludisme suggère le rôle déterminant qu’ils pourraient jouer dans le déclenchement de l’infection, et fournit un nouveau terrain d’investigation pour l’identification de gènes contrôlant l’évolution de l’infection palustre. A notre connaissance, il s’agit de la première étude d’association entre un phénotype lié à l’infection palustre et des gènes impliqués dans la synthèse des héparane sulfates. / Malaria kills a child every 30 seconds in Africa and 1 to 3 million people per year. Two billion people are exposed and an estimated 500 million of clinical cases occur each year. Malaria being a multifactorial disease, its evolution is subject to the influence of environmental effects, variables such as age of the individual, and a combination of genetic factors. Many arguments are in favor of a genetic control of resistance to malaria, but the genes involved are still poorly understood. In order to identify new genes for resistance or susceptibility to Plasmodium falciparum, we performed genetic studies in two different populations living in malaria endemic area in Burkina Faso. Thus, polymorphisms of the IL12B gene located in a chromosomal region associated with malaria (5q31-q33) were genotyped and analyzed. We did not detect allelic association, but this work has confirmed the existence of a genetic linkage at this locus. Genotype data from IL12B gene and those of previous studies were used to evaluate interactions between the genetic mutation causing hemoglobin C and 11 other polymorphisms located in five genes previously associated with resistance to malaria. Using 3 phenotypes related to malaria infection, we were able to observe 43 significant multilocus combinations including IL12B gene polymorphisms, IL4, TNF, LTA and NCR3. These results demonstrate the interest to develop such approaches for elucidating the genetic control of human resistance to malaria. A positional cloning approach followed by a "candidate gene" approach allowed us to identify a genetic link between the region 17p11-p13 and parasitemia, and allelic association between candidate genes HS3ST3A1 and HS3ST3B1 and parasitemia. These genes encode isoenzymes transferring a sulfate group to proteoglycans to form molecules of heparan sulfates. The potential involvement of these receptors in the genetic control of malaria suggests the crucial role they might play in the onset of infection, and provides a new field of investigation for the identification of genes controlling the development of malaria infection. To our knowledge this is the first study of association between a phenotype associated with malaria infection and genes involved in the synthesis of heparan sulfates.

L’arsenic inorganique est un contaminant environnemental, cancérogène pour l’homme, mais également un métalloïde étudié, aujourd’hui, dans le traitement de maladies inflammatoires chroniques. Il possède des propriétés immunosuppressives pouvant déréguler les mécanismes physiologiques de défense ou bloquer l’exacerbation de réponses inflammatoires chroniques. L’arsenic inorganique altère principalement les fonctions des lymphocytes T et des macrophages. En revanche, l’impact du métalloïde sur la physiologie des cellules dendritiques (DCs) est peu connu. Pourtant, ces cellules présentatrices d’antigène jouent un rôle fondamental dans les processus d’immunosurveillance et sont très impliquées dans la physiopathologie des maladies inflammatoires chroniques. Dans ce contexte, les objectifs de mon travail de thèse étaient d’étudier les effets de l’arsenic inorganique sur la différenciation et la maturation in vitro de DCs générées à partir de monocytes humains. Nos résultats démontrent principalement que des concentrations de métalloïde, compatibles avec les taux plasmatiques d’arsenic mesurés chez les individus exposés, répriment la capacité des DCs à sécréter différentes cytokines pro-inflammatoires jouant un rôle essentiel dans l’activation et la polarisation des lymphocytes T. En particulier, l’arsenic inhibe l’expression et la sécrétion de l’interleukine-12 par un mécanisme moléculaire impliquant le facteur de transcription Nrf2. Au total, ces travaux de thèse démontrent que l’arsenic inorganique possède des propriétés immunosuppressives sur la physiologie in vitro des DCs humaines. Cette immunotoxicité pourrait contribuer à la toxicité du métalloïde chez l’homme exposé par voie environnementale, et être prise en compte pour déterminer les effets de l’arsenic dans le traitement de certaines maladies inflammatoires chroniques / Inorganic arsenic is an environmental human carcinogen, but is also studied these days because of its potential effectiveness in curing chronic inflammatory disease. Indeed, this metalloid possesses immunosuppressive properties which can dysregulate physiological mechanisms involved in immune defense, or reduce inflammation associated with those inflammatory diseases. Inorganic arsenic is known mainly to alter functions of T cells and macrophages. However, it is unknown whether arsenic targets dendritic cells (DCs). Yet, this antigen presenting cells plays a major role in the immunosurveillance, and is involved in the physiopathology of chronic inflammatory diseases. So, the aim of my thesis work was to study the effects of inorganic arsenic on in vitro differenciation and maturation of dendritic cells from human monocytes. Our results mainly shows that concentrations corresponding to those measured in environmentally exposed people, inhibits DCs secretion of proinflammatory cytokines, which plays a major role in activation and polarization of T cells. Particularly, arsenic strongly impairs expression and secretion of interleukine 12 (IL-12) by an underlying molecular mechanism involving Nrf2. Finally, this work shows that inorganic arsenic has immunosuppressive properties on the physiology in vitro of human dendritic cells. Immunotoxicity may then contribute to the metalloid toxicity in environmentally exposed people. This element could be taken into account when determining arsenic effects in curing some chronic inflammatory diseases.

Dendritic cells (DCs) are a migratory group of bone-marrow-derived leukocytes specialized for uptake, transport, processing and presentation of antigens to T cells. Exposure of DCs to bacterial pathogens can induce DC maturation characterized by cytokine production, up-regulation of co-stimulatory molecules and an increased ability to activate T cells. DCs have the ability to restrict growth of L. pneumophila (Lp), an intracellular Gram-negative bacillus that causes a severe form of pneumonia known as Legionnaires' disease, in murine ER-derived organelles (121) but replicate in human DCs (145). Even in human cells, however, lysis of the DCs does not occur for at least 24 hours which may allow DCs time to participate in the transition from innate to adaptive immunity (145). The primary polyphenol in green tea extract is the catechin (-)-epigallocatechin-3-gallate (EGCG) which accounts for most of the numerous reported biological effects of green tea catechins, including anti-bacterial, anti-tumor, and neuroprotective effects. Primary murine bone marrow derived DCs from BALB/c mice were treated in vitro with Lp, or stimulated for comparison with Escherichia coli lipopolysaccharide (LPS). CD11c, considered an important marker of mouse DCs, and surface expression of co-stimulatory molecules CD40, CD80, CD86, as well as class I/ II MHC molecules was determined by flow cytometry. Treatment of the cells with EGCG inhibited the microbial antigen induced up-regulation of CD11c, CD40, CD80, CD86 and MHC I/ II molecules. EGCG also inhibited, in a dose dependent manner, induced production of the Th1 helper cell activating cytokine, IL-12, and the chemokines RANTES, MIP1a, and MCP-1. However, EGCG upregulated TNFa production. In addition, EGCG inhibited both Lp and LPS induced expression of both TLR2 and TLR4 as well as LPS-induced NF-kB activation; all of which are important mediators of DC maturation. The modulation of phenotype and function of DCs by EGCG has implications for host interaction with microbial pathogens like Lp, which involve TLR interaction.

Although the etiology surrounding many autoimmune diseases remains unknown, the underlying characteristic of many of these diseases is a disruption in the balance of pro- and anti- inflammatory cytokines It is well established that the dysregulation of the IL-12 family of cytokines, an increase in IL-12/IL-23 and a decrease in IL-27 production has been implicated in these conditions. We used ELISA, RT-PCR, Immunofluorescence and Western immunoblotting in conjunction with pharmalogical inhibitors and siRNA to demonstrate the role of SHP-1/Src in the regulation of IL-12, IL-23, IL-27 and IL-10 in LPS-stimulated human THP-1 cells, monocytes and MDMs. My results show for the first time that Src kinase activity relies on SHP-1 activity, and together this complex functions in TLR4-mediated MyD88 and TRIF pathways. Furthermore Src exhibits a dual role as a positive regulator for anti-inflammatory IL-10/IL-27 and as a negative regulator of pro-inflammatory IL-12/IL-23 downstream of TLR4. Moreover, the involvement of PI3K and JNK MAPK, dependent on SHP-1/Src complex, in the regulation of IL-12 family and IL-10 downstream of TLR4 was shown.

IL-12, an immunoregulatory cytokine, plays a key role in the development of cell-mediated immune responses. However, very little is known about the regulation and induction of the other members of this family, particularly IL-23 and IL-27. The regulation of these cytokines was studied in the human primary monocytes and monocyte-derived macrophages (MDMs) as they play a key role in innate and adaptive immune responses. THP-1 promonocytic cells were employed as a model system to confirm the results obtained with monocytes and MDMs. Two stimuli IFN-γ and LPS were used as both are strong inducers of IL-12 family cytokines. My results show that IFN-γ induced the production of IL-12/23p40 and IL-23p19 mRNA as well as IL-12p40 and IL-23 proteins in primary human monocytes isolated by positive selection. IFN-γ-induced IL-23 and IL-12/23p40 expression was positively regulated by the p38 mitogen-activated protein kinases (MAPK), independent of the Janus kinase (Jak)/signal transducers and activators of transcription (STAT) signaling. In contrast, IL-12 and IL-23 were negatively regulated by the Jak/STAT, phosphoinositide-3 kinase (PI3K) and the c-Jun-N-terminal kinase (JNK) MAPKs in IFN-γ-stimulated monocytes. LPS significantly stimulated IL-23p19 and IL-12/23p40 mRNA expression as well as IL-12/23p40 and IL-23 protein production in THP-1 cells, while IFN-γ stimulation alone did not affect IL-23 mRNA or protein levels. THP-1 cells were pre-treated with ERK, JNK or p38 MAPK inhibitors and then stimulated with LPS. LPS-induced IL-12p40 and IL-23 proteins were positively regulated by the p38 and JNK MAPKs and PI3K, whereas LPS-induced IL-23p19 mRNA expression was negatively regulated by these kinases. These results were confirmed using siRNA in LPS-stimulated THP-1 cells. My results also show that IFN-γ/LPS-induced IL-23 expression is not regulated through MAPK or PI3K signaling pathways in human MDMs. My results also show for the first time that IFN-γ alone without any second stimulus induced IL-27p28 gene expression and IL-27 protein production in human monocytic cells. I investigated the signalling pathways governing the regulation of IL-27 protein and its subunit IL-27p28 following stimulation with IFN-γ in primary human monocytic cells. IFN-γ-mediated IL-27 protein, but not IL-27p28 gene expression was positively regulated by JNK MAPK and PI3K, independent of JAK/STAT signaling in primary human monocytes. I also investigated the signalling pathways governing the regulation of IL-27 and its α subunit, IL-27p28 following stimulation with IFN-γ alone or IFN-γ-primed LPS-stimulated macrophages (IFN-γ/LPS) and THP-1 cells. A differential regulation of IL-27p28 and IL-27 in response to stimulation by either IFN-γ or IFN-γ/LPS was observed. IFN-γ- and IFN-γ/LPS induced IL-27 expression was positively regulated by the JNK, p38 MAPK and PI3K, independent of Jak/STAT signaling in human MDMs and THP-1 cells. Taken together, my results show that IL-23 induction is differentially regulated by different pathways in response to different stimuli, whereas IL-27 expression is regulated by JNK, p38 MAPK and PI3K regardless in the stimulus in human myeloid cells. These results may provide additional strategies aimed at targeting disease, autoimmune disorders and cancer.

La cryptosporidiose est une zoonose intestinale qui affecte les ruminants nouveau-nés et les individus immunodéficients (enfants, immunodéprimés) et pour laquelle les traitements sont limités et ne sont pas totalement efficaces. Le développement du parasite peut être contrôlé par une réponse immunitaire protectrice dans laquelle les productions d’IL-12 et d’IFNγ sont prépondérantes. Les laboratoires AIM, IPV et la société VitamFero ont décidé de mettre leurs compétences en commun pour évaluer si l’administration d’une souche vaccinale de Toxoplasma gondii atténuée (Toxo Mic1-3KO) pouvait permettre de stimuler efficacement le système immunitaire des nouveau-nés et favoriser le contrôle de la cryptosporidiose. La première partie des travaux de ma thèse Cifre a permis d’obtenir une preuve de concept. En effet, des expérimentations préliminaires sur souriceaux et agneaux dans lesquelles la souche Toxo Mic1-3KO s’était développée suffisamment montraient une diminution de la charge parasitaire suite à une infection d’épreuve par C. parvum. Fort de ces résultats, nous avons souhaité développer deux axes complémentaires pour nous aider à améliorer la souche vaccinale et son utilisation chez les nouveau-nés. / Cryptosporidiosis is a zoonotic disease that affects newborn ruminants and young or immunocompromised individuals and for which treatments are limited and are not fully effective. Parasite development can be controlled by a protective immune response in which IL-12 and IFN-gamma productions are essentials. Laboratories AIM, IPV and VitamFero Start-up Company decided to pool their skills to evaluate whether the administration of an attenuated vaccine strain of Toxoplasma gondii (MIC1-3KO) could stimulate the immune system of neonates and favor the control of cryptosporidiosis. The first part of the work of my Cifre thesis was performed to obtain a proof of concept. Indeed, preliminary experiments on mice and lambs in which MIC1-3KO strain had developed sufficiently showed a decrease in parasite burden following an infectious challenge with C. parvum. Based on these encouraging results we decided to develop two complementary approaches to further improve the vaccine strain and our knowledge on newborn immune response to T.