La régulation de l'homéostasie intestinale est de la plus haute importance en raison de la constante exposition de l'intestin aux antigènes alimentaires et à la flore commensale. La perturbation de la flore intestinale est souvent associée à diverses maladies telles que l'allergie, l'obésité et certaines maladies inflammatoires. La plupart des individus sont tolérant aux antigènes alimentaires et ne développe pas de réponse immunitaire sauf en cas de prédisposition génétique ou d'exposition à un environnement défavorable. La réponse allergique se caractérise par la production d'IgE stimulé par les lymphocytes Th2. Les symptômes allergiques sont très variés et affectent plusieurs parties de l'organisme. La plupart des travaux de recherche se sont focalisé jusqu'à présent sur le rôle des cellules de l'immunité adaptative dans le développement de l'allergie en sous-estimant le rôle majeur des cellules épithéliales et des cellules de l'immunité innée. L'objectif de ce projet est de comprendre comment les cellules épithéliales intestinales modulent la réponse immunitaire à distance vers la muqueuse pulmonaire ou la peau après stimulation allergique. L'ingestion de l'antigène associé à l'adjuvant de la toxine cholérique permet d'étudier la réponse allergique chez l'animal. Nous avons démontré sur ce modèle animal que l'absence de la kinase inhibitrice IKKb dans la voie de signalisation du facteur de transcription NF-kB altère la composition de la flore intestinal d'une part et transforme la réponse immunitaire inflammatoire au niveau pulmonaire et de la peau grâce à la présence d'IgA et de lymphocyte Th17 d'autre part. En adéquation avec les observations cliniques rapportées chez les patients allergiques (allergies alimentaires, asthme, dermatite atopique), nos résultats identifient IKKb dans la cellule épithéliale intestinale comme cible potentielle pour traiter les allergies alimentaires. De futurs efforts devront être faits pour développer de nouvelles stratégies thérapeutiques qui considèrent la muqueuse intestinale, la production d'IgA et l'importance des bactéries commensales dans le traitement des allergies. / Immune homeostasis is of paramount importance in the gastrointestinal tract, which is constantly exposed to ingested antigens and commensal microbiota. The gut microbiota can be perturbed by endogenous or exogenous factors and it is now established that microbial dysbiosis is associated with allergy, obesity, and inflammatory diseases. Ingestion of food antigens generally fails to promote brisk immune responses but rather results in a state of immune tolerance. However, aberrant immune responses can develop in individuals with a genetic predisposition. Food allergies are generally regarded as pathologic responses to food antigens mediated by excessive Th2 responses and antigen-specific IgE antibody responses. Clinical manifestations of food allergies are very broad and symptoms can affect different organs. While past research on allergy focused on the role of cells and molecules involved in adaptive immunity, epithelial cells lining the sites of antigen entry and innate immune responses have recently emerged as important players in allergy. This project was undertaken to understand the mechanisms employed by intestinal epithelial cells (IECs) to shape immune responses to allergens and influence allergic manifestations in distant mucosal sites such as the airways or the skin. Oral administration of food antigen with cholera toxin as adjuvant in experimental animals is a well-accepted model to study allergic sensitization to food antigens. Using this model, we show that a localized impairment of the canonical NF-κB pathway through deletion of IkB kinase (IKKβ) in IECs alters the gut microbiota during oral allergic sensitization and regulates the magnitude of allergic inflammatory responses at distant sites of the airway and the skin through enhancement of IgA Abs and Th17 responses. Consistent with the clinical observations linking atopic diseases (food allergy, allergic asthma, atopic dermatitis), our results identify IKKβ in IECs as a potential therapeutic target for treatment of food allergies and subsequent disease. They also suggest that future efforts for controlling allergic responses in the airways and the skin could include strategies that use the gut microbiota and promote IgA Ab responses and prevent IL-17 responses.

Escherichia coli enteroinvasora (EIEC) é um dos agentes etiológicos da disenteria bacilar, caracteriza-se pela destruição do epitélio do cólon provocado pela resposta inflamatória induzida após invasão da mucosa por bactérias. Cepas de EIEC são bioquímica, genética e patogênica semelhante a Shigella spp. A patogenicidade de EIEC e Shigella dependem da presença da pInv plasmídeo, que contém os genes necessários para a colonização bacteriana na mucosa intestinal. Recentemente, demonstrou-se que genes plasmidias ospC1, ospG e ospF de S. flexneri estão envolvidos na inibição da resposta inflamatória em células epiteliais intestinais, um fator importante na iniciação da colonização bacteriana e produção de doença. Como a EIEC mostrou doença menos grave, foi analisada as sequências de aminoácido, avaliada a transcrição destes genes plasmídiais e resposta inflamatória modulada por este micro-organismo na célula epitelial intestinal Caco-2. As células Caco-2 foram infectadas em momentos diferentes com 11 sorotipos de EIEC e S. flexneri (M90T). Os dados sobre a capacidade de invasão e sobrevivência de bactérias, expressão de genes de bactérias e da quimiocina IL-8 foram obtidos por CFU, RT-PCR, e ELISA, respectivamente. A significância estatística foi avaliada por ANOVA de dois fatores. Os 11 sorotipos de EIEC estudados apresentaram similaridade de 100% com S.flexneri para OspC1 e OspF,contudo, foram diferentes na homologia do OspG. Quando comparamos as sequências de aminoácido dos 11 sorotipos observamos 100% de similaridade entre eles para OspG, sugerindo o envolvimento destas proteínas na modulação da resposta imune induzida por estes micro-organismos. Os sorotipos de EIEC apresentam diferenças na capacidade de invasão dos enterócitos. Algumas diferenças significativas foram observadas na transcrição dos genes e na produção de IL-8. Os sorotipos de EIEC O29: H-e O167: H-apresentou um baixo transcrição de genes ospC1 e ospF, e um aumento significativo na produção de IL-8 quando comparado com outros sorotipos. Além disso, demonstrou que a maior transcrição destes genes por alguns sorotipos de EIEC parecem estar relacionados com a menor indução de IL-8. Estes dados sugerem que as proteínas OspC1 e OspF desempenham um papel na resposta inflamatória. No entanto, não se observou relação na transcrição ospG para a produção de IL-8. Estes resultados sugerem que as proteinas efetoras OspC1 e OspF estão envolvidas na inibição da resposta inflamatória em células epiteliais do intestino favorecendo a invasão da EIEC. / Enteroinvasive E. coli (EIEC) is one of the etiological agents of bacillary dysentery, it is characterized by the destruction of the colonic epithelium caused by the inflammatory response induced upon invasion of the mucosa by bacteria. Strains of EIEC are biochemical, genetic and pathogenic similar to Shigella spp. The pathogenecity of EIEC and Shigella depend on the presence of the plasmid pInv, which contains the genes necessary for bacterial colonization in the intestinal mucosa. Recently, it was demonstrated that the plasmid genes ospC1, ospG and ospF of S. flexneri are involved in inhibition of the inflammatory response in intestinal epithelial cells, an important factor in the initiation of bacterial colonization and production of disease. As EIEC has showed less severe disease, we evaluated the transcription of these plasmid genes and inflammatory response modulated by this microorganism in the intestinal epithelial cell Caco-2. The Caco-2 cells were infected in different times with 11 serotypes of EIEC and S. flexneri M90T strain. The data about sequences of amino acids, invasiveness and survival of bacteria, bacterial genes expression, and chemokine IL-8 were obtained by CFU, RT-PCR, and ELISA, respectively. The statistical significance was evaluated by two-way ANOVA. All EIEC serotypes studied showed 100% similarity with S.flexneri to OspC1 and OSPF, however, were different in the homology of OspG. Compared the amino acid sequences of the 11 serotypes observed 100% similarity between them to OspG, suggesting the involvement of them in modulating of the immune response induced by these microorganisms. There were no differences in the invasion the enterocytes among EIEC serotypes. However, some significant differences were observed in the transcription of those genes and production of IL-8. The EIEC serotypes O29:H- and O167:H- showed a low transcription of genes ospC1 and ospF, and a significant increase in production of IL-8 when compared with other serotypes. Furthermore, it was shown that the high transcription of ospF and ospC1 by some EIEC serotypes are related to low induction of IL-8. These data suggested that the proteins OspC1 and OspF play a role in the inflammatory response. However, we did not observed association between ospG transcription to the production of IL-8. These results lead us to believe that the effector proteins OspF and OspC1 are involved in inhibition of the inflammatory response in intestinal epithelial cells favoring the EIEC invasion.

Die Zahl der Kolonkarzinome in den westlichen Industrieländern steigt in den letzten Jahren stetig an. Zu den Verbindungen, die mit der Zubereitung der Nahrung entstehen, mit ihr aufgenommen werden und die Kolonkanzerogenese möglicherweise begünstigen, gehört das heterozyklische aromatische PhIP, das bei der Erhitzung proteinreicher Nahrungsmittel entsteht. Neben zahlreichen Fütterungsversuchen an Nagern existieren auch Zellkulturmodelle zur Untersuchung der molekularen Mechanismen der PhIP-induzierten Kolonkanzerogenese. Die chemische Transformation von Zellen sollte durch wiederholte Exposition gegenüber dem hydroxylierten Metaboliten des Kanzerogens (N2-OH-PhIP) erzielt werden. Es wurden IEC-18-Zellen der Ratte und HCEC-Zellen des Menschen zur Untersuchung verwendet. Die Behandlung der IEC-18-Zellen führt nach 25 Behandlungszyklen mit Konzentrationen von 5 bis 20 µM nicht zur Transformation der Zellen. Die Anwesenheit von N2-OH-PhIP führt zu einer zehnfach erhöhten Induktion der GST-Aktivität, insbesondere der Untereinheiten GST-A1, -A3, -Pi und -T2, die für die effiziente Detoxifizierung des N-Acetoxy-Metaboliten vom N2-OH-PhIP verantwortlich sind. Bereits nach drei Behandlungen mit 1,5 µM N2-OH-PhIP konnte eine maligne Transformation der HCEC-Zellen erzielt werden. Die Zellen zeigten die charakteristischen Zeichen der Transformation: veränderte Wachstumseigenschaften wie klonales dreidimensionales Zellwachstum („pilling up“), Hemmung der Zell-Zell-Kontaktinhibierung, verkürzte Populationsverdopplungszeiten und tumorigene und metastasierende Eigenschaften. Außerdem exprimierten die N2-OH-PhIP-exponierten humanen Kolonzellen mit steigender Anzahl der Behandlungen größere Mengen des trunkierten APC-Proteins. Die bekannten PhIP-spezifischen Mutationen im APC-Gen resultieren in der Expression eines trunkierten Proteinproduktes und werden als frühe Ereignisse in der Kolonkanzerogenese betrachtet. Die zusammenfassende Betrachtung aller Ergebnisse zeigt, dass die IEC-18-Zelllinie zur chemischen Transformation durch N2-OH-PhIP ungeeignet ist. Dagegen wurde erstmalig eine vollständige chemische Transformation von Humandickdarmepithelzellen in vitro durch Exposition der humanen Kolonepithelzelllinie HCEC gegenüber dem Kolonkarzinogen N2-OH-PhIP erzielt. / In the last few years a strong increase in the incidence of colorectal cancer has been observed. As to the specific components in processed food responsible for the induction of colon cancerogenesis / it has been suggested that heterocyclic aromatic amines (HAA), e.g. the most abundant HAA 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine (PhIP), which is formed in protein rich food, when it is cooked at high temperatures or over an open flame, might be involved in this process. Whereas a number of in vivo-models to study PhIP-mediated colon carcinogenesis are known, only a limited number of cell culture systems to study the HAA-mediated transformation of intestinal epithelial cells do in fact exist. In the present study IEC-18 cells (rat intestinal epithelial cells) and HCEC cells (human colon epithelial cells) were incubated with N2-OH-PhIP, the N-hydroxylated metabolite of PhIP. The IEC-18 cells could not be transformed despite 25 treatment cycles with 5 to 20 µM N2-OH-PhIP. This might be due to the fact that GST activity as well as the expression of the GST -A1, -A3, -Pi and -T2 units, which are responsible for the detoxication of the N-acetoxy derivative of PhIP were strongly induced by N2-OH-PhIP. In contrast, HCEC cells were malignantly transformed when exposed three times to 1.5 µM N2-OH-PhIP. The chemically-treated cells showed a reduced population doubling time, they lost cell-cell contact inhibition and started pilling up. Furthermore, if HCEC cells were injected subcutaneously into SCID mice tumors developed at the site of injection in all animals tested. The transformed HCEC cells also express high amounts of truncated APC protein, which in vivo appears at an early stage of colon cancerogenesis. Taken together, it has been shown that IEC-18 cells are not suitable for chemical transformation studies with the HAA metabolite N2-OH-PhIP. For the first time it has been shown that the HAA metabolite N2-OH-PhIP is indeed able to malignantly transform human colon epithelial cells in vitro.

Escherichia coli enteroinvasora (EIEC) é um dos agentes etiológicos da disenteria bacilar, caracteriza-se pela destruição do epitélio do cólon provocado pela resposta inflamatória induzida após invasão da mucosa por bactérias. Cepas de EIEC são bioquímica, genética e patogênica semelhante a Shigella spp. A patogenicidade de EIEC e Shigella dependem da presença da pInv plasmídeo, que contém os genes necessários para a colonização bacteriana na mucosa intestinal. Recentemente, demonstrou-se que genes plasmidias ospC1, ospG e ospF de S. flexneri estão envolvidos na inibição da resposta inflamatória em células epiteliais intestinais, um fator importante na iniciação da colonização bacteriana e produção de doença. Como a EIEC mostrou doença menos grave, foi analisada as sequências de aminoácido, avaliada a transcrição destes genes plasmídiais e resposta inflamatória modulada por este micro-organismo na célula epitelial intestinal Caco-2. As células Caco-2 foram infectadas em momentos diferentes com 11 sorotipos de EIEC e S. flexneri (M90T). Os dados sobre a capacidade de invasão e sobrevivência de bactérias, expressão de genes de bactérias e da quimiocina IL-8 foram obtidos por CFU, RT-PCR, e ELISA, respectivamente. A significância estatística foi avaliada por ANOVA de dois fatores. Os 11 sorotipos de EIEC estudados apresentaram similaridade de 100% com S.flexneri para OspC1 e OspF,contudo, foram diferentes na homologia do OspG. Quando comparamos as sequências de aminoácido dos 11 sorotipos observamos 100% de similaridade entre eles para OspG, sugerindo o envolvimento destas proteínas na modulação da resposta imune induzida por estes micro-organismos. Os sorotipos de EIEC apresentam diferenças na capacidade de invasão dos enterócitos. Algumas diferenças significativas foram observadas na transcrição dos genes e na produção de IL-8. Os sorotipos de EIEC O29: H-e O167: H-apresentou um baixo transcrição de genes ospC1 e ospF, e um aumento significativo na produção de IL-8 quando comparado com outros sorotipos. Além disso, demonstrou que a maior transcrição destes genes por alguns sorotipos de EIEC parecem estar relacionados com a menor indução de IL-8. Estes dados sugerem que as proteínas OspC1 e OspF desempenham um papel na resposta inflamatória. No entanto, não se observou relação na transcrição ospG para a produção de IL-8. Estes resultados sugerem que as proteinas efetoras OspC1 e OspF estão envolvidas na inibição da resposta inflamatória em células epiteliais do intestino favorecendo a invasão da EIEC. / Enteroinvasive E. coli (EIEC) is one of the etiological agents of bacillary dysentery, it is characterized by the destruction of the colonic epithelium caused by the inflammatory response induced upon invasion of the mucosa by bacteria. Strains of EIEC are biochemical, genetic and pathogenic similar to Shigella spp. The pathogenecity of EIEC and Shigella depend on the presence of the plasmid pInv, which contains the genes necessary for bacterial colonization in the intestinal mucosa. Recently, it was demonstrated that the plasmid genes ospC1, ospG and ospF of S. flexneri are involved in inhibition of the inflammatory response in intestinal epithelial cells, an important factor in the initiation of bacterial colonization and production of disease. As EIEC has showed less severe disease, we evaluated the transcription of these plasmid genes and inflammatory response modulated by this microorganism in the intestinal epithelial cell Caco-2. The Caco-2 cells were infected in different times with 11 serotypes of EIEC and S. flexneri M90T strain. The data about sequences of amino acids, invasiveness and survival of bacteria, bacterial genes expression, and chemokine IL-8 were obtained by CFU, RT-PCR, and ELISA, respectively. The statistical significance was evaluated by two-way ANOVA. All EIEC serotypes studied showed 100% similarity with S.flexneri to OspC1 and OSPF, however, were different in the homology of OspG. Compared the amino acid sequences of the 11 serotypes observed 100% similarity between them to OspG, suggesting the involvement of them in modulating of the immune response induced by these microorganisms. There were no differences in the invasion the enterocytes among EIEC serotypes. However, some significant differences were observed in the transcription of those genes and production of IL-8. The EIEC serotypes O29:H- and O167:H- showed a low transcription of genes ospC1 and ospF, and a significant increase in production of IL-8 when compared with other serotypes. Furthermore, it was shown that the high transcription of ospF and ospC1 by some EIEC serotypes are related to low induction of IL-8. These data suggested that the proteins OspC1 and OspF play a role in the inflammatory response. However, we did not observed association between ospG transcription to the production of IL-8. These results lead us to believe that the effector proteins OspF and OspC1 are involved in inhibition of the inflammatory response in intestinal epithelial cells favoring the EIEC invasion.

Early innate response of intestinal epithelial cells is the first line defense against enteric pathogens. Toxoplasma gondii infections acquired naturally via the peroral route, encounter intestinal epithelial cells early post-infection. Although the population structure of T. gondii is known to be highly clonal, clinical strains of T. gondii have been classified into three genotypes based on their virulence. In this study we investigated whether human intestinal epithelial cell immune response to T. gondii is virulence dependent. We demonstrated distinct virulence of the three T. gondii genotype strains evaluated in human intestinal epithelial cells by their capacity to replicate and induce host cell cytotoxicity. The early host innate mechanisms such as activation of signaling pathways and induction of innate effectors were likewise differentially elicited by the three T. gondii strains. Low levels of TLR dependent NF-kB activation and a failure to rapidly up-regulate innate cytokine and chemokine genes was observed after virulent Type I strain infection. In contrast, early innate response to the less virulent Type II strain was rapid, efficient and led to high levels of IL-8 and IL-6 secretion, whereas response to Type III parasites was intermediate. Early expression of b-defensin 2 gene was suppressed specifically by virulent Type I strain and its activation prior to infection in intestinal epithelial cells led to decreased parasite viability. These findings provide evidence for T. gondii strain virulence dependent down-modulation of early human intestinal epithelial cell innate responses and highlight the importance of these cells in host defense against this infection. / Doctorat en Sciences biomédicales et pharmaceutiques / info:eu-repo/semantics/nonPublished

Alteration of gut microbiota has been associated with development of immune mediated diseases, such as allergy. In part, this could be due to the influence of microbes in shaping the immune response. In paper I, we investigated the association of early-life gut colonization with bacteria, and numbers of IL-4, IL-10 and IFN-γ producing cells at two years of age in response to PBMC stimulation with phytohemagglutinin (PHA) in vitro. Early Staphylococcus (S) aureus colonization was directly proportional to increased numbers of IL-4 and IL-10 secreting cells, while early co-colonization with lactobacilli and S. aureus associated with a decrease in IL-4, IL-10 and IFN-γ secreting cells compared to S. aureus alone. This was also confirmed in in vitro stimulations of PBMC with Lactobacillus and/or S. aureus strains, where S. aureus-induced IFN-γ production by Th cells was down regulated by co-stimulation with Lactobacillus. In paper II, we investigated the effects of UV-killed and/or culture supernatant (sn) of Lactobacillus strains and S. aureus strains on IEC and immune cell responses. IEC exposed to S. aureus-sn produced CXCL-1/GRO-α and CXCL-8/IL-8, while UV-killed bacteria had no effect. Further, PBMC from healthy donors exposed to Lactobacillus-sn and S. aureus-sn were able to produce a plethora of cytokines, but only S. aureus induced the T-cell associated cytokines: IL-2, IL-17, IFN-γ and TNF-α; which were down regulated by co-stimulation with any of the different Lactobacillus strains. Intracellular staining verified S. aureus-induced IFN-γ and IL-17 production by Th cells, and increased CTLA-4 expression and IL-10 production by T reg cells. In conclusion, we show that colonization with gut microbiota at early age modulates the cytokine response in infancy. In addition, bacterial species influence cytokine response in a species-specific manner and we demonstrate that lactobacilli modulate S. aureus-induced immune response away from an inflammatory phenotype.

The apicomplexan Cryptosporidium parvum causes thousands of human deaths yearly. Since bovines represent the most important reservoir of C. parvum, the analysis of infected bovine small intestinal (BSI) explants cultured under physioxia offers a realistic model to study C. parvum–host cell–microbiome interactions. Here, C. parvum-infected BSI explants and primary bovine small intestinal epithelial cells were analysed for parasite development and metabolic reactions. Metabolic conversion rates in supernatants of BSI explants were measured after infection, documenting an immediate parasite-driven metabolic interference. Given that oxygen concentrations affect cellular metabolism, measurements were performed at both 5% O2 (physiological intestinal conditions) and 21% O2 (commonly used, hyperoxic lab conditions). Overall, analyses of C. parvum-infected BSI explants revealed a downregulation of conversion rates of key metabolites—such as glucose, lactate, pyruvate, alanine, and aspartate—at 3 hpi, followed by a rapid increase in the same conversion rates at 6 hpi. Moreover, PCA revealed physioxia as a driving factor of metabolic responses in C. parvum-infected BSI explants. Overall, the ex vivo model described here may allow scientists to address pending questions as to how host cell–microbiome alliances influence intestinal epithelial integrity and support the development of protective intestinal immune reactions against C. parvum infections in a realistic scenario under physioxic conditions.

No description available.

La clairance des cellules apoptotiques par les macrophages est à l’origine d’un microenvironnement pro-résolutif composé de différents facteurs solubles, permettant de stopper la réaction inflammatoire et d’engager la réparation tissulaire. La résolution de l’inflammation est parfois défaillante et concourt au développement de pathologies inflammatoires chroniques, comme les maladies inflammatoires chroniques de l’intestin (MICI), qui regroupent la maladie de Crohn (MC) et la rectocolite hémorragique (RCH). Dans ce contexte, nous proposons d’évaluer l’efficacité thérapeutique de l’injection de ces facteurs pro-résolutifs dans le traitement des MICI. Ce produit issu de la culture de macrophages avec des cellules apoptotiques, appelé SuperMApo (Supernatant issued from Macrophage Apoptotic cell culture) (Brevet # WO2014106666-A1, 2013) contient des facteurs pro-résolutifs semblables à ce qu’on retrouve dans le processus physiologique de résolution de l’inflammation, et qui peuvent être absents ou inefficaces chez ces patients.Lors de ce travail, nous avons mise en évidence une efficacité thérapeutique de SuperMApo à l’aide de deux modèles expérimentaux de colite. Pour évaluer la pertinence de ces modèles par rapport à la pratique clinique, nous avons mise en place la vidéo-endoscopie souple. On a montré que l’efficacité de SuperMApo se traduit par diminution du score clinique, endoscopique et histologique des souris colitiques, accompagnée d’une amélioration de la perméabilité intestinale, et de la cicatrisation muqueuse. Cette efficacité thérapeutique est liée en partie à une reprogrammation des cellules présentatrices d’antigènes (APC) notamment de cDC et de macrophages qui présentent moins de réponse aux ligands de TLR, favorisent l’induction de Treg et inhibent la production de Th1. Par ailleurs, SuperMApo induit une cicatrisation nette de la muqueuse intestinale associée à la fois à une activation des myofibroblastes (la forme active des fibroblastes) et des cellules intestinales épithéliales (IEC). Concrètement, SuperMApo augmente les propriétés de migration, de prolifération et de cicatrisation de ces deux types cellulaire. Cet effet dépend en partie des facteurs de croissance au sein de SuperMApo comme le TGF-β, l’IGF-I et le VEGF. Finalement des résultats préliminaires montrent que SuperMApo induit un profil réparateur sur des fibroblastes issus de patients atteints de MICI. L’ensemble de ces résultats montrent, que l’injection de ces facteurs pro-résolutifs permet de mettre en œuvre des mécanismes capables de mettre en place un processus de résolution de l’inflammation et ouvre vers une utilisation clinique de cette approche dans le traitement de MICI. / Inflammation is a natural body defence reaction in response to injuries. The clearance of apoptotic cells by macrophages is at the origin of a pro-resolving microenvironment composed of various soluble factors, allow the arrest of the inflammatory response and to initiate tissue repair. The resolution of inflammation is sometimes defective and contributes to the development of chronic inflammatory diseases, such as chronic inflammatory bowel disease (IBD), which include Crohn's disease (CD) and ulcerative colitis (UC). In this context, we propose to evaluate the therapeutic effect of these pro-resolving factors in the treatment of IBD. This factors derived from the culture of macrophages with apoptotic cells, and called SuperMApo (Supernatant issued from Macrophage Apoptotic cell culture) (Patent # WO2014106666-A1, 2013) contains pro-resolving factors similar to those found in the physiological process of inflammatory resolution, and which may be absent or ineffective in these patients.In this work, we have demonstrated the therapeutic effect of SuperMApo using two experimental models of colitis. To assess the relevance of these models to clinical practice, we have implemented flexible video endoscopy. The therapeutic effect of SuperMApo has been shown to decrease the clinical, endoscopic and histological score of colitis mice, accompanied by improved intestinal permeability and mucosal healing in vivo. This therapeutic effect is related in part to reprogramming of antigen presenting cells (APC), in particular cDC and macrophages, which exhibit less response to TLR ligands, promote induction of Treg and inhibit Th1 production. In addition, SuperMApo induces a marked tissue repair of the intestinal mucosa associated with activation of myofibroblasts, the active form of fibroblasts, and the epithelial intestinal cells (IEC). In particular, SuperMApo increases the migration, proliferation and wound healing properties of these two cell types. This effect depends in part on the growth factors contained in SuperMApo such as TGF-β, IGF-I and VEGF. Finally, preliminary results show that SuperMApo induces a repairing state on fibroblasts from patients with IBD. This opens widely the use of SuperMApo as a clinically approach to propose this new therapeutic option to refractory patients suffering from IBD

La découverte du virus de l'immunodéficience humaine de type 1 (VIH-1) en 1983 a été suivie d'avancées majeures dans la compréhension de la pathogenèse de la maladie et la caractérisation moléculaire du cycle de réplication virale. Ces connaissances ont permis la conception et l’implantation de thérapies antirétrovirales (TAR) capables de contrôler efficacement la réplication virale à des niveaux plasmatiques indétectables, réduisant ainsi fortement le risque de transmission et transformant l'épidémie mortelle en une maladie chronique gérable. Malgré ces progrès, l'infection par le VIH-1 demeure un problème de santé important au niveau international. Le principal obstacle à la guérison du VIH-1 comprend la persistance de réservoirs viraux dans les cellules immunitaires à longue durée de vie, nécessitant ainsi un traitement à vie chez les personnes vivant avec le VIH (PVVIH). Au cours de l'infection par le VIH, une déplétion progressive des lymphocytes T CD4+ est observée. Une fraction de ces cellules retrouvée majoritairement aux muqueuses sous l’appellation Th17 représente la première cible de l'infection par le VIH, ce qui mène à leur déplétion dans le tractus gastro-intestinal. Les cellules Th17 sont essentielles au maintien de l'homéostasie intestinale; par conséquent, l'infection par le VIH provoque des altérations majeures de l'immunité intestinale. Malgré des stratégies thérapeutiques efficaces capables de supprimer la réplication du VIH, les cellules Th17 ne sont pas reconstituées dans l'intestin, et ce, même lors d’une initiation précoce de la TAR. La perte des cellules Th17 dans l'intestin des PVVIH entraîne une translocation microbienne et une inflammation systémique et, de ce fait, peut contribuer à des comorbidités non liées au SIDA chez des individus virologiquement supprimés. Malgré leur appauvrissement, il a été démontré que des sous-ensembles spécifiques de cellules Th17 à longue durée de vie supportent un réservoir viral chez les PVVIH sous TAR. En effet, nous avons montré qu'une sous-population de cellules CCR6+ Th17 infiltrant le côlon est un réservoir de VIH enrichi chez les PVVIH sous TAR. Cette permissivité à l’infection et cette contribution à la persistance virale appuient l’hypothèse selon laquelle les cellules Th17 jouent un rôle fondamental dans l’immunopathologie du VIH. Afin de mieux comprendre l’interrelation entre ces cellules immunitaires et le VIH, dans la première partie de cette thèse, je me suis intéressé à déterminer l'effet de l'IL-17A, la cytokine clé de ce compartiment cellulaire, sur la capacité des cellules épithéliales intestinales à favoriser l'infection et la réactivation du réservoir viral. Nous avons observé que l'IL-17A agit en synergie avec le TNF pour favoriser la production de CCL20, une chimiokine dont le récepteur, CCR6, est fortement exprimé par les cellules Th17. Cette activité synergique promeut également la trans-infection par le VIH des cellules T CD4 + et l’expansion virale dans les cellules de PVVIH sous TAR. Par ailleurs, l'IL-17A médie une signature moléculaire pro-inflammatoire et provirale caractérisée par une diminution de l'expression des facteurs de restriction du VIH induits par l'interféron de type I. Ces résultats soutiennent que, malgré le rôle bénéfique de l'IL-17A sur l'homéostasie muqueuse, cette cytokine peut contribuer à la dissémination et à la persistance du VIH. Puisque le développement et la différenciation des cellules Th17 dépendent fondamentalement de l'expression du facteur de transcription RORC2, dans la deuxième partie de cette thèse, nous évaluons l’Implication de RORC2 comme facteur de dépendance de la réplication du VIH et de la réactivation virale. Nous avons constaté que RORC2 joue un rôle majeur lors de l'infection par le VIH et que son inhibition pharmacologique à l'aide de petites molécules qui se lient au domaine de liaison du ligand RORC2 réduit la réplication du VIH dans la lignée cellulaire Jukart et dans les cellules primaires T CD4 infectées in vitro. De plus, l’interférence génétique de l’expression de RORC2 prévient la réplication du VIH, tandis que sa surexpression a l’effet opposé. Dans les cellules de PVVIH traitées, il a été constaté que les lymphocytes T CD4 exprimant RORC2 étaient surreprésentés dans le réservoir viral par rapport aux lymphocytes T CD4 RORC2-. Tout comme dans les cellules infectées in vitro, l'inhibition pharmacologique de RORC2 dans les lymphocytes T CD4 de ces participants bloque l'excroissance du VIH. Ces résultats suggèrent que ce régulateur transcriptionnel central aux cellules Th17 représente une cible à ce compartiment cellulaire pour le traitement du VIH. Enfin, la déplétion des cellules Th17 au niveau de la muqueuse intestinale est un moteur crucial de la translocation microbienne et de l'activation immunitaire chronique. Cette activation immunitaire est d’ailleurs associé à la survenue de comorbidités non liées au SIDA. Ainsi, dans la troisième partie de la thèse, nous avons cherché à identifier une signature immunologique liée à l'athérosclérose subclinique chez les PVVIH sous TAR. Nous avons constaté que les PVVIH atteintes d'athérosclérose subclinique présentaient une augmentation des taux plasmatiques de fibrinogène, une réduction de la fréquence des Th17 et des rapports Th17/Treg, ainsi qu'une augmentation de la fréquence des monocytes non classiques à phénotype CCR9low HLADRhigh. En conclusion, les travaux de cette thèse ont permis d’approfondir les connaissances sur l'importance des cellules Th17 au cours de l'évolution de l'infection par le VIH, notamment dans l'établissement de comorbidités non liées au SIDA, telles que les maladies cardiovasculaires. Ces nouveaux résultats se montrent essentiels dans la considération des cellules Th17 comme une nouvelle cible potentielle d'interventions thérapeutiques pour la rémission et la guérison du VIH. / The discovery of human immunodeficiency virus type 1 (HIV-1) in 1983 was followed by major advances in understanding disease pathogenesis and the elucidation of the viral replication cycle at the molecular level. This knowledge allowed the design and implementation of antiretroviral therapy (ART) that efficiently controls viral replication at undetectable plasma levels, thus robustly reducing the risk of transmission and transforming the deadly epidemic into a manageable chronic disease. Despite these advances, HIV-1 infection remains a significant health issue at the international level. The major barrier to HIV-1 cure is the persistence of viral reservoirs in long-lived immune cells, therefore requiring life-long treatment in people living with HIV (PLWH). During HIV infection, there is a progressive depletion of CD4+ T-cells. A subset of mucosal CD4+ T-cells denominated Th17 cells are the first targets of HIV infection and are depleted in the gastrointestinal tract. Th17 cells are critical for maintaining intestinal homeostasis; therefore, HIV infection causes major disruptions of intestinal immunity. Despite effective ART regimens able to suppress HIV replication, Th17 cells are not replenished in the intestine, not even when ART is initiated during the early phases of acute infection. The depletion of Th17 cells in the gut of PLWH leads to microbial translocation and systemic inflammation and, therefore, may contribute to non-AIDS co-morbidities in fully virological suppressed subjects. Despite their depletion, specific subsets of long-lived Th17 cells were demonstrated to carry viral reservoirs in ART-treated PLWH. Previous studies by our group and others have shown that CD4+ T-cells expressing the Th17 marker CCR6 are enriched in HIV reservoirs in the blood and the colon of ART-treated PLWH. This evidence supports the hypothesis that Th17 features play a pivotal role in HIV immunopathology and viral reservoir persistence during ART. Considering the importance of Th17 cells in HIV infection, in the first part of this thesis, I was interested in determining the effect of IL-17A, the Th17 hallmark cytokine, on intestinal epithelial cells (IEC) ability to promote HIV trans infection and viral reservoir reactivation in CD4+ T-cells. We observed that IL-17A acts in synergy with TNF to promote the production of CCL20, a Th17-attractant chemokine, and promote HIV trans-infection of CD4+ T cells and HIV outgrowth from cells of ART-treated PLWH. IL-17A-mediated a pro-inflammatory and pro-viral molecular signature. The pro-viral molecular signature was characterized by a decreased expression of type I interferon-induced HIV restriction factors. These results demonstrate that despite the beneficial role of IL-17A on mucosal homeostasis, it also contributes to HIV dissemination and viral reservoir reactivation. Since Th17 development and differentiation depend on the expression of the master transcriptional regulator RORC2, in the second part of this thesis, we evaluate RORC2 as a positive regulator of HIV replication and viral reactivation. We found that RORC2 is a critical host dependency factor during HIV infection. The pharmacological inhibition of RORC2 using small molecules that bind to the RORC2 ligand-binding domain (LBD) reduced HIV replication in Jurkat cells and primary CD4+T cells in vitro. Additionally, the genetic interference with RORC2 expression inhibited HIV replication, while RORC2 overexpression boosted it. In people living with HIV receiving ART, RORC2+ were enriched in HIV reservoirs compared to RORC2- CD4+ T-cells. The pharmacological inhibition of RORC2 blocked HIV outgrowth in CD4+ T-cells from ART-treated PLWH. These results suggest that the Th17 master transcriptional regulator RORC2 represents a novel putative Th17-specific target for HIV therapy. Finally, Th17 cell depletion at the intestinal mucosal level is a crucial driver of microbial translocation and chronic immune activation. The latest was associated with the occurrence of non-AIDS comorbidities. Thus, in the third part of the thesis, we sought to identify an immunological signature associated with subclinical atherosclerosis in PLWH receiving ART. We found that PLWH with subclinical atherosclerosis had increased plasma fibrinogen levels, reduced Th17 frequency and Th17/Treg ratios, and increased frequencies of CCR9lowHLADRhigh nonclassical monocytes. In conclusion, the work of this thesis extends the knowledge of the relevance of Th17 cells during the course of HIV infection, including the establishment of non-AIDS comorbidities such as cardiovascular disease. This knowledge is vital when considering Th17 cells as a novel potential target of therapeutic interventions for HIV remission and cure.