L’ozone est un des polluants présents dans l’air que nous respirons. Les pics de ce polluant entrainent une augmentation des hospitalisations et des cas d’exacerbations d’asthme allergique. L’objectif de ce travail est d’étudier plus en détails les mécanismes inflammatoires mis en place après exposition à l’ozone. Cette étude s’est déroulée en trois axes, les deux premiers traitant du rôle de deux alarmines, l’IL-33 et l’IL-1α et le troisième se focalisant sur AhR, un récepteur impliqué dans la réponse à de nombreux polluants. Pour ce faire, des souris ont été exposées à l’ozone selon deux modèles, l’un aigu et l’autre chronique, puis les paramètres inflammatoires, le dommage tissulaire et les difficultés respiratoires ont été évalués. Nous montrons ici qu’une exposition aigüe à l’ozone induit la libération de molécules comme l’IL-33 et l’IL-1α. L’IL-33 agit au niveau de la barrière épithéliale, où elle permet l’expression et le maintien des jonctions serrées, qui sont augmentées en réponse à la pollution à l’ozone. L’IL-33 régule également l’infiltration des neutrophiles, alors que l’IL-1α l’induit. Ensuite nous avons montré que le récepteur AhR est activé après exposition chronique à l’ozone. AhR semble réguler la production de cytokines telles que l’IL-17A et l’IL-22 et ainsi protège d’une trop forte réponse inflammatoire. Pour conclure, nous avons montré que la production d’IL-33 et l’activation du récepteur AhR étaient nécessaires pour contrôler l’inflammation induite par l’ozone, alors que la production d’IL-1α l’induisait. Cette étude aura permis de mettre en évidence de potentielles cibles thérapeutiques pour soulager les maux provoqués par la pollution. / Ozone is a common ambient air polluant. Ozone peaks induce increase of asthma exacerbation, respiratory distress, emergencies and hospital admissions. The aim of this thesis project is to dissect inflammatory mechanisms induced after ozone exposure. This study is conducted according three axes, the first two dealing with the roles of two alarmines, IL-1α and IL-33 and the third is focused on the role of aryl hydrocarbon receptor (AhR), a receptor involved in several pollutant responses. Acute and chronic experimental models of ozone exposure were used to evaluate inflammatory parameters in lung, tissue damage and airway hyperresponsiveness. Here we show that acute ozone exposure induces IL-1α and IL-33 release. IL-33 acts on lung epithelial barrier, allowing the expression and maintenance of tight junctions induced after ozone exposure. Moreover, IL-33 represses neutrophils infiltration while IL-1α induces it. Furthermore we show that AhR is activated after chronic ozone exposure. AhR regulates cytokines production such as IL-17A and IL-22 and plays a protective role against higher inflammation. Overall, IL-33 production and AhR activation are necessary to control ozone-induced inflammation, in contrast to IL-1α. These findings highlight potential therapeutic targets for the treatment of lung inflammation following ozone exposure.

Implanted biomaterials often induce inflammation that frequently leads to the foreign body response, fibrosis, and the failure of the implant. Thus, it is important to evaluate how cells interact with materials to promote a more regenerative response. It is critical to determine how to modulate the response of tissue resident innate immune cells, as they are among the first cells to interact with implanted materials. Among tissue resident innate immune cells are mast cells, which are inflammatory sentinels that degranulate and orchestrate the fate of other cell populations, such as monocytes/macrophages and lymphocytes. Mast cells have also been reported to play a vital role in the foreign body response of implanted biomaterials as well as angiogenesis. The goal of this study was to determine how to modulate mast cell responses to electrospun scaffolds by altering scaffold architecture and composition to promote anti-inflammatory and regenerative cell-scaffold interactions. Scaffold architecture was manipulated by changing either fiber diameter or pore diameter and mast cell responses were mediated by endogenous and exogenous DAMPs (i.e. IL-33 and LPS, respectively). Particularly in response to IL-33, scaffolds with increased fiber and pore diameter promoted less inflammatory cytokine and chemokine release while increasing angiogenic cytokine release. Additionally, taking scaffolds that promoted increased inflammatory cytokine expression and increasing the pore diameter alone dampened inflammatory cytokine expression. The next question we wanted to answer was how might the degradative byproducts of scaffolds alter mast cell inflammatory responses. Given the widespread use of polylactic acid, we decided to investigate this question using lactic acid as a degradative byproduct. In the presence of physiologically relevant levels of lactic acid, IL-33- and IgE-mediated inflammatory cytokines and chemokines are suppressed, while angiogenic cytokines are enhanced. This response was shown to be pH- and MCT1-dependent and was recapitulated in primary human skin mast cells as well as in vivo. In summary, scaffold architecture and the presence of select polymer degradative byproducts have the potential of selectively suppressing inflammatory cytokines and enhancing angiogenic cytokines.

TGFβ is involved in many pathological conditions, including autoimmune disorders, cancer, and cardiovascular and allergic diseases. We have previously found that TGFβ can suppress IgE-mediated mast cell activation in human and mouse mast cells in vitro. IL-33 is a recently discovered member of the IL-1 family capable of inducing mast cell responses and enhancing IgE-mediated activation. In this study, we investigated the effects of TGFβ on IL-33-mediated mast cell activation. Bone marrow-derived mast cells cultured in TGFβ -1, -2, or -3 showed reduced IL-33-mediated production of TNF, IL-6, IL-13 and MCP-1, in a concentration-dependent manner. Furthermore, TGFβ also reduced expression of the T1/ST2 receptor as well as IL-33-mediated TAK1 and ERK phosphorylation. TGF-ß1 injection suppressed IL-33-mediated production of systemic inflammatory cytokines in vivo. The role of IL-33 in the pathogenesis of allergic diseases is incompletely understood. These findings, consistent with our previously reported effects of TGFβ on IgE-mediated activation, demonstrate that TGFβ can provide broad and substantial inhibitory signals to activated mast cells.

Mast cells are resident immune cells abundantly found in the tissue at the host-environment interface, where they play a critical role in inflammatory allergic responses. Mast cell responses may be regulated by the cytokine milieu at the site of inflammation. Recent studies have revealed microRNAs to be important in altering cytokine signaling in immune cells. Here, we demonstrate for the first time that IL-10 and IL-33 induce miR-155 and miR-146a, respectively, to alter mast cell functions. We report that IL-10 enhanced IgE induced activation of mast cells. IL-10 effects are dependent on Stat3 activation, which elicits miR-155 expression, resulting in a loss of suppressor of cytokine signaling-1 (SOCS-1). The importance of miR-155 was demonstrated by the inability of IL-10 to enhance anaphylaxis in miR-155–deficient mice. Additionally, we show that IL-33 treatment greatly enhances miR-146a expression in mast cells and in mast cell derived exosomes. miR-146a induction is dependent on MyD88 and NFκB and seems to negatively regulate ST2 signaling, which is demonstrated by the hyperresponsiveness of miR-146a knockout BMMC in response to IL-33. Our preliminary data suggest that miR-146a serves as a feedback negative regulator of IL-33 signaling by targeting IRAK proteins. miR-155 and miR-146a are key microRNAs that regulate a range of immune functions. Taken together, our results reveal two novel microRNA pathways that regulate mast cell IgE and IL-33 induced responses.

Regulatory T cells (Treg) play a crucial role in controlling immune homeostasis. Several inflammatory diseases including multiple sclerosis and inflammatory bowel disease have been associated with dysfunctional and/or reduced numbers of Treg. While several mechanisms of action have been discovered by which Treg can exert their function, disease-specific Treg requirements remain unknown. The Treg pool consists of highly diverse subpopulations, indicating that there is a potential to optimise Treg-targeted therapies if disease-relevant mechanisms can be established. Microarray data from our lab suggests a marked upregulation of the integrin αv as well as the IL-33 receptor ST2 in Treg retrieved from the inflamed central nervous system (CNS) during experimental autoimmune encephalomyelitis compared to peripheral lymphoid organs. These two molecules were further investigated within this PhD project with the aim to understand their role in Treg function during chronic inflammatory disease. αvβ integrins have been reported to be needed for effector T cell migration to inflamed sites through binding of extracellular matrix components and are involved in TGF-β activation by a variety of cell types. Conditional knockout mice lacking the integrin αv specifically in Foxpγ+ Treg were generated to address the role of αv integrins on regulatory T cells in inflammatory disease. αv-/- Treg showed a deficiency in activating latent TGF-β, but were able to suppress responder T cell proliferation in vitro as well as in vivo. αv-/- Treg were also able to migrate to the inflamed CNS during EAE and resolve disease. However, αv-/- Treg were detected at significantly lower numbers and proportions in the inflamed gut during a curative T cell transfer model of colitis; this led to a quantitative impairment in the ability of αv-/- Treg to cure colitis when compared to wild-type (WT) Treg. Whether this is a deficit in migration, survival, proliferation, or Foxp3 stability, remains to be investigated. IL-33 acts as an alarmin and is best studied as a cytokine released upon tissue damage that induces a potent type 2 immune response by acting on a multitude of immune cells. Expression of the IL-33 receptor ST2 on Treg has recently been associated with positive metabolic parameters in visceral adipose tissue, protection from gut inflammation, and tissue-restorative function in other inflamed tissues such as injured muscle or lung. This project showed that in steady state, ST2+ Treg expressed high levels of several markers which have been associated with potent regulatory function. When stimulated in vitro, ST2+ Treg showed a better survival and expansion rate compared to their ST2- counterparts, even more so in the presence of IL-33. T-bet deficiency in Treg resulted in an increased ST2+ Treg pool, and T-bet-associated cytokine IFN-γ was found to antagonise IL-33-induced expansion of the ST2+ Treg pool in a T-bet-independent manner. When ST2+ and ST2- Treg were tested for their respective suppressive capacity in vivo, ST2+ Treg were able to suppress responder T cell expansion despite being found only at low numbers in secondary lymphoid organs compared to ST2- Treg. However, in a curative model of T cell transfer colitis, ST2+ Treg were less capable of controlling the ongoing immune response than ST2- Treg. A possible explanation for the superiority of ST2- Treg in this setting can be found in the fact that injected ST2- Treg acquired a distribution of ST2 expression reminiscent of WT Treg over the course of disease. On the other hand, an increased starting pool of ST2+ Treg as occurs in T-bet-/- Treg significantly enhanced the capacity of Treg to control colitis compared to WT Treg. In conclusion, both ST2- and ST2+ Treg are likely to have a distinct, non-redundant role in suppressing T cell activation in secondary lymphoid organs and controlling ongoing inflammation in peripheral tissue, respectively.

Many parasites have evolved to release products that inhibit host defence mechanisms such as enzymes in the mammalian host, in order to promote and sustain their survival within the host. The human filarial nematode Brugia malayi produces larval microfilariae, which circulate in the blood stream. Their most abundant secreted product is a serine protease inhibitor Bm-SPN-2. Serine protease inhibitors (Serpins) are reported to be involved in how the nematodes avoid host immune defences, and in the case of Bm-SPN-2, the protein was found to specifically inhibit the enzymatic activity of human neutrophil elastase and cathepsin G in a dose-dependent manner. More recently, these two enzymes have been linked to the activation of a major innate cytokine IL-33, which is stored as a full-length 270-aa protein in the cell nucleus, and released as an active C-terminal domain upon stimulation. As full-length (FL) human and murine IL-33 are not commercially available, soluble murine and human FL-IL-33 were produced in transfected HEK 293T cells, following mutation of the nuclear binding motif. In this form, IL-33 is no longer retained in the nucleus and can be purified as a soluble protein. It was confirmed that once cleaved, recombinant human IL-33 was able to induce significant IL-6 secretion by mast cells. Bm-SPN-2 was then shown to block human full-length IL-33 cleavage by inhibiting human neutrophil cathepsin G in a dose dependent manner, supporting the hypothesis that Bm-SPN-2 may act in vivo to prevent IL-33 activation and the promotion of the TH2 immune response. However, in the in vivo setting, it was unexpectedly found that IL-33R (ST2) gene deficiency did not enhance the survival of B. pahangi microfilariae. Furthermore, in the absence of IL-33R, murine immune responses to microfilariae were not significantly altered compared to wild-type BALB/c mice, other than in a significant increase in IL-33 expression. Hence while Bm-SPN-2 can act in vitro to forestall one of the key events in TH2 induction, this has not yet been shown to be crucial to the immune response to the parasite in vivo.

Mast cells are tissue-resident immune cells known as effector cells for the innate and adaptive immune systems. Mast cells contribute to host defenses against parasites such as large roundworm parasites, bacterial pathogens, and toxins, and participate in wound healing, but they are mostly known for their role in allergic diseases. It has been well established that during allergic diseases, mast cells are stimulated by IgE cross-linkage to release proinflammatory mediators. However, a newly discovered cytokine, IL-33 has also been implicated in allergic disease. Recently, IL-33 has been implicated as a driver of several Type I sensitivities and previous studies have shown that IL-33 can stimulate mast cells in atopic inflammation. Although the importance of IL-33 has been established, there are still several things unknown about IL-33 signaling regulation or treatment. This dissertation will present two separate studies involving the modulation of IL-33-mediated mast cells function In the first study, the effects of fluvastatin are explored. In a previous study, fluvastatin was shown to inhibit proinflammatory functions of IgE crosslinked mast cells. Contrasting to IgE stimulation, fluvastatin augments IL-6 and TNF production in IL-33 stimulated mast cells, but suppressed MCP-1. This phenomenon was seen in mouse and human mast cells in vitro and replicated in a mast cell-dependent murine model of IL-33-induced inflammation in vivo. In the second study, IL-33 was found to induce miR-146a expression in mouse mast cells and mast cell-derived exosomes in vitro, and in plasma exosomes in vivo. IL-33 induced miR-146a was of interest because miR-146a is a known negative regulator of TLR signaling, which shares the MyD88 signaling pathway with IL-33. We found that miR-146a KO mast cells are hyperresponsive to IL-33 stimulation, data that were replicated by suppressing miR-146a-5p in WT mast cells. In an acute mast cell repopulation model, kitW-sh/W-sh mice containing miR-146a KO BMMC had increased IL-33 induced neutrophilia in comparison to their controls. Collectively, these data reveal new IL-33 signaling pathways and means of altering its inflammatory effects on mast cells. Because IL-33 has important roles in allergy and other Th2-mediated diseases, these results advance clinically relevant areas of immunology.

L’endométriose est une pathologie chronique, bénigne, caractérisée par la présence de tissu endométrial (glande et stroma) en dehors de l’utérus. La forte prévalence de cette maladie, sa symptomatologie invalidante et son coût annuel considérable en font un véritable enjeu de santé publique. Le traitement de l’endométriose comprend un volet chirurgical, potentiellement délabrant, et un volet médical, basé sur des produits anti-gonadotropes en première intention. L’endométriose est d’origine multifactorielle. Sa physiopathologie demeure mal connue. Alors que le reflux menstruel via les trompes semble être le primum movens, plusieurs étapes sont nécessaires à la formation des lésions d’endométriose : l’adhésion et l’implantation des cellules endométriales au mésothélium péritonéal, la prolifération cellulaire soutenue par un phénomène d’angiogenèse et enfin, la réaction inflammatoire. Ces étapes sont dépendantes de facteurs génétiques, immunologiques et environnementaux. L’inflammation joue un rôle clef dans la pathogénie de l’endométriose. Nous avons montré dans un premier temps, à l’aide d’une double approche de PCR quantitative et d’immunohistochimie, la surexpression du récepteur de la LH (LHCGR) dans les tissus endometriosiques ectopiques. A l’aide d’un modèle in vitro, nous avons démontré que la stimulation du LHCGR par l’hCG activait les MAPK (avec une augmentation du rapport pERK/ERK), exerçait une effet prolifératif et enfin, induisait la surexpression de nombreux gènes cibles : CYP19A1, NR5A1, INSL3, VEGFA et PTGS2. Ensuite, nous avons étudié les principaux acteurs de la voie des prostaglandines. Nous avons montré une nette perturbation de cette voie en faveur d’une augmentation de l’inflammation avec une surexpression de la PTGS2 ainsi que des récepteurs des prostaglandines PTGER2, 3 et 4 dans l’endomètre des patientes endométriosiques. Nous avons ensuite étudié la voie des sphingosines en analysant l’expression de ses acteurs clef (SPHK1-2, SGPP1-2, SGPL1, SPHAKAP, S1PR1-5). Nous avons mis en évidence pour la première fois l’existence d’une profonde dérégulation de l’expression des enzymes et des récepteurs de cette voie en faveur d’une diminution du catabolisme du Sphingosine-1phosphate. Cette perturbation est à l’origine de la réaction inflammatoire qui participe à l’entretien de la prolifération et de la croissance des cellules endométriosiques. Dans un deuxième temps, nous avons exploré le retentissement systémique de l’endométriose à l’aide du modèle d’une interleukine pro-inflammatoire et fibrosante, l’IL-33, et de deux interleukines anti-inflammatoires l’IL-19 et l’IL-22. L’IL-33 est significativement plus élevée dans le sérum des patientes endométriosiques en particulier en cas d’endométriose profonde. Nous avons également mis en évidence l’existence d’une corrélation significative avec le nombre et la sévérité des lésions profondes. En opposition, les interleukines anti-inflammatoires IL-19 et IL-22 sont significativement diminuées dans le sérum des patientes endométriosiques. En conclusion, nous avons montré l’existence d’une perturbation des voies inflammatoires : la voie de la PTGS2 et de celle des sphingosines ainsi que le rôle pro-inflammatoire du LCGHR. Nous avons également mis en évidence le déséquilibre de la balance des cytokines systémiques inflammatoires et anti-inflammatoires dans l’endométriose. Ainsi, ces médiateurs de l’inflammation pourraient être considérés comme de potentiels marqueurs évolutifs de l’endométriose. Leur utilisation pourrait permettre d’effectuer un diagnostic plus précoce, et d’envisager de nouvelles thérapeutiques ciblées. / Pas de résumé en anglais

Les analyses génomiques ont permis d’identifier des gènes et des protéinesimpliqués dans la maladie d’Alzheimer (MA). Au laboratoire, des approchesdifférentes ont mis en évidence deux gènes différentiellement exprimés dans lamaladie : le gène IL-33, retrouvé comme étant sous-exprimé chez les patientsatteints de MA, et le gène BIN1, identifié par des approches de GWAS et retrouvécomme étant sur-exprimés dans le cerveau des patients.Nous avons observé que la protéine IL-33 avait un impact sur le métabolismedu précurseur du peptide amyloïde (APP) de par sa fonction de facteur de régulationtranscriptionnelle. Nous avons alors cherché à identifier les gènes modulés par IL-33ainsi que des sites potentiels de fixation de la protéine sur l’ADN par des analyses àhaut débit. Il a été observé qu’IL-33 avait une forte implication dans la transcriptiondes gènes et pouvait agir directement sur l’ADN de par son impact sur les histones.De plus, IL-33 augmenterait l’expression de la préséniline 2, ce qui expliquerait alorsson impact sur le métabolisme de l’APP.Nous avons identifié un polymorphisme fonctionnel dans la région régulatricedu gène BIN1 associé à la maladie et pouvant expliquer la variation de sonexpression retrouvée dans le cerveau des patients. Nous avons également retrouvéune interaction de la protéine BIN1 avec Tau. BIN1 est alors le premier déterminantgénétique de la MA retrouvé comme étant associé à Tau et pourrait expliquer le lienentre la pathologie amyloïde et la pathologie Tau.Nos analyses nous ont donc permis, à partir des résultats d’analysesgénomiques, de mieux comprendre les mécanismes impliqués dans laphysiopathologie de la MA. / Genomic analyses allowed to identify genes and proteins involved inAlzheimer’s Disease (AD). In the laboratory, genetic and transcriptomic approachesrevealed two genes differentially expressed in AD: IL-33 gene, found to be underexpressedin AD cases brain, and BIN1 gene, found by GWAS analyses and overexpressedin brains of AD cases.As regards to IL-33, we observed that this protein have an impact on amyloidprecursor protein (APP) metabolism by its transcriptional regulation properties. So,we tried to identify the genes modulated by IL-33 using transcriptomic high-troughputanalyses and we identified IL-33 DNA binding sites by ChIP-on-chip approaches. Weobserved that IL-33 was involved in gene transcription and could act directly on DNAby interaction with histones. We also observed that IL-33 increase the expression ofpresenilin 2, which can explain its effect on APP metabolism.As regards to BIN1, we identified one functional polymorphism in regulatoryregion of this gene associated with AD and allowed to explain the expressionvariation of BIN1 in AD brains. We also found an interaction of BIN1 with Tau. So,BIN1 would be the first genetic risk factor for AD linked to the “Tau pathway” andcould explain the link between amyloid pathology and Tau pathology.The analyses performed in the laboratory allowed to, from genomic analysesresults, a better understanding of mechanisms involved in AD physiopathology.

Mast cells are critical effectors of allergic disease that can be activated by numerous stimuli. We have examined mast cell control by the inflammatory cytokine, IL-33, as well as IgG. In the first study reported here, we found that the synthetic glucocorticoid, dexamethasone, potently and rapidly suppressed IL-33-induced cytokine production from murine bone marrow–derived and peritoneal mast cells, as well as human mast cells. Dexamethasone also antagonized IL-33-mediated enhancement of IgE-induced cytokine production and migration. Although dexamethasone had no effect on IL-33-induced phosphorylation of MAP kinases or NFκB p65 subunit, it antagonized AP-1 and NFκB-mediated transcriptional activity. Finally, intraperitoneal administration of dexamethasone completely abrogated IL-33-mediated peritoneal neutrophil recruitment and prevented plasma IL-6 elevation. These data demonstrate that steroid therapy may be an effective means of antagonizing the effects of IL-33 on mast cells in vitro and in vivo, acting partly by suppressing IL-33-induced NFκB and AP-1 activity. In the second study reported here, we found that Fcγ receptor crosslinkage activated the transcription factor Stat5B through a Fyn kinase-dependent pathway. We then showed that STAT5B is critical for IgG-induced cytokine production by mast cells but not macrophages. To expand these studies, we employed the K/BxN model of inflammatory arthritis, which has roles for mast cells and macrophages. In this model, Fyn or STAT5B deficiency only affected the arthritic flare that primarily depends on mast cell degranulation, without affecting the severity of the joint swelling. By contrast, Lyn kinase deficiency significantly exacerbated arthritis. These studies indicate a clinically relevant, lineage-restricted role for the Lyn/Fyn-STAT5 cascade. Collectively, our work demonstrates that mast cell activation by diverse stimuli can be suppressed by steroid intervention and selectively targeted by disrupting kinase-transcription factor pathways.