Avec plus de 100 milliards de globules rouges produits chaque jour, le lignage érythroïde présente la plus grande capacité de production cellulaire chez le mammifère adulte. Cette production requiert une balance fine entre la prolifération cellulaire, régulée principalement par la voie de signalisation érythropoïétine (Epo)/PI3K/Akt, et la différenciation érythroïde induite par le couple de facteurs de transcription GATA-1/FOG-1. Des interconnexions entre ces deux grands systèmes ont été décrites dans le laboratoire : 1) le facteur de transcription GATA-1 est phosphorylé par Akt en réponse à l’Epo et cette phosphorylation semble avoir un rôle dans la différenciation érythroïde ; 2) GATA-1 est capable d’interagir avec la protéine du rétinoblastome pRb, impliquée dans la régulation du cycle cellulaire, et le complexe formé est nécessaire à l’érythropoïèse terminale.L'objectif de ma thèse était d’étudier les mécanismes moléculaires impliqués dans la balance prolifération/différenciation cellulaire au cours de l’érythropoïèse, et en particulier de déterminer le rôle moléculaire et physiologique de la phosphorylation de GATA-1 par Akt en réponse à l’Epo. Nos travaux ont montré que cette phosphorylation est une des clefs de la dynamique de l’érythropoïèse. Dans sa forme non phosphorylée, GATA-1 ralentit le cycle cellulaire via le complexe GATA-1/pRb/E2F. Cette étape préliminaire est nécessaire à la mise en place de la différenciation érythroïde terminale. La phosphorylation de GATA-1 induit d’une part la dissociation de GATA-1/pRb/E2F favorisant l’expansion cellulaire, et d’autre part la formation du complexe GATA-1/FOG-1 nécessaire à l’activation des gènes érythroïdes. Ce modèle apporte une explication moléculaire au blocage de la différenciation érythroïde terminale induite par le mutant GATA-1V205G qui n’interagit pas avec FOG-1. Ainsi, la phosphorylation constitutive de GATA-1V205G et l’augmentation de la quantité relative de FOG-1 permettent de restaurer la différenciation érythroïde induite par ce mutant in vitro. Enfin, l’étude d’un modèle murin exprimant une protéine GATA-1 non phosphorylable par Akt montre l’apparition d’une anémie létale lorsque la voie IGF-1 est inhibée. Cela démontre l’importance de la dynamique moléculaire induite par la phosphorylation de GATA-1, et met en évidence le rôle majeur de l’IGF-1 dans l’érythropoïèse in vivo.En conclusion, nous proposons un nouveau modèle moléculaire de la régulation de la balance prolifération/différenciation érythroïde dans lequel la phosphorylation de GATA-1 par Akt coordonne la distribution de GATA-1 dans deux complexes protéiques fonctionnels différents : GATA-1/pRb/E2F versus GATA-1/FOG-1. Nous mettons également en évidence l’IGF-1 comme acteur central de la compensation mise en place in vivo pour pallier à l’absence de phosphorylation de GATA-1. / With more than 100 billion red blood cells generated every day, the erythroid lineage has the largest output of cell production in adult mammals. This production requires a tight balance between cell proliferation, mainly controlled by erythropoietin (Epo)/PI3K/Akt signaling pathway, and erythroid differentiation induced by GATA-1 and FOG-1 transcription factors. Various links between these two processes have been previously demonstrated in the laboratory: 1) Epo-activated Akt directly phosphorylates GATA-1 transcription factors, and this phosphorylation seems to be involved in erythroid differentiation; 2) GATA-1 binds to the cell cycle regulator retinoblastoma protein (pRb), and the resulting complex is essential for terminal erythropoiesis.We investigated the molecular mechanisms involved in the cell proliferation/differentiation balance during terminal erythropoiesis; in particular, we studied the molecular and physiological role of Epo-induced GATA-1 phosphorylation. Our findings suggest that this phosphorylation is one of the key processes in erythropoiesis dynamics. In its unphosphorylated form, GATA-1 can break cell cycle progression via GATA-1/pRb/E2F complex. This preliminary step is necessary for terminal erythroid differentiation. GATA-1 phosphorylation promotes GATA-1/pRb/E2F dissociation, allowing cell cycle progression, and GATA-1/FOG-1 binding, necessary to activate erythroid genes. Our model provides a molecular explanation for the arrest of terminal erythroid differentiation observed in the non-FOG-1-binding mutant GATA-1V205G. We show that the constitutive phosphorylation of GATA-1V205G and the increase of FOG-1 protein amount rescue erythroid differentiation in vitro. Finally, knock-in expression of unphosphorylatable GATA-1 in mice leads to lethal anemia when the IGF-1 signaling pathway is inhibited. This shows the importance of the molecular dynamics of GATA-1 phosphorylation, and highlights the major role of IGF-1 in erythropoiesis, in vivo.In conclusion, we propose a new molecular model for the control of the balance between proliferation and erythroid differentiation. GATA-1 phosphorylation by Akt coordinates the involvement of GATA-1 in two different functional protein complexes: GATA-1/pRb/E2F and GATA-1/FOG-1. We also highlight the major role of IGF-1 in compensating for the lack of GATA-1 phosphorylation in vivo.

Avaliou-se neste estudo o efeito do tratamento com somatotrofina recombinante bovina (bST) na população folicular, na taxa de recuperação e qualidade dos oócitos e na produção in vitro de embriões bubalinos. A hipótese foi de que o bST aumenta o número de folículos recrutados e a qualidade oocitária, melhorando a eficiência da técnica de aspiração folicular em fêmeas bubalinas. Foram utilizadas 10 novilhas bubalinas, sendo que o grupo bST (n=5) recebeu 500mg de bST em intervalos regulares, enquanto o grupo Controle (n=5) não recebeu tratamento adicional. Ambos os grupos foram submetidos a 10 sessões de aspiração duas vezes por semana. Foram quantificados o número total de folículos e o tamanho destes a cada sessão. Os oócitos recuperados foram quantificados e classificados de acordo com a sua qualidade (A, B, C, D, E), sendo os A+B+C considerados de boa qualidade. Os embriões produzidos foram vitrificados, e uma parte destes, transferidos em tempo fixo. Foram colhidas amostras de sangue para mensuração de IGF-I plasmático durante o estudo. O bST aumentou o número de folículos observados (12,2 vs. 8,7; p<0,05) e o número de oócitos recuperados (5,2 vs. 4,1; p=0,07), no entanto não afetou a qualidade destes, bem como a sua capacidade de desenvolvimento (p>0,05). Observou-se efeito significativo (p<0,05) de sessão de aspiração no número de folículos observados, de folículos aspirados e de oócitos recuperados. As concentrações plasmáticas de IGF-I não apresentaram efeito de tratamento (p>0,05), no entanto sofreram efeitos de sessão e também da interação entres sessão e tratamento (p<0,05). Obteve-se taxa de concepção de 10,53 % (2/19) após a inovulação dos embriões, gerando o nascimento de dois bezerros normais. Os resultados são sugestivos de que o tratamento com bST aumenta o número de folículos recrutados por onda de crescimento folicular, demonstrando seu potencial em aumentar a eficiência da técnica de aspiração folicular na espécie bubalina / The aim of this experiment was evaluated the effect of recombinant bovine somatotropin (bST) on follicular population, oocyte recovery rates and quality, and on in vitro buffaloes embryo production. The hypothesis was that bST improves the number of follicles per follicular growth wave and oocyte quality, enhancing the results in buffalos females submitted to ovum pick-up programs. A total of ten heifers were assigned in two experimental groups (bST Group that received 500mg of bST in regular intervals and Control Group that did not received any additional treatment). Both groups were submitted to 10 OPU sessions twice weekly (every 3 or 4 days). The number of follicles and its diameters were recoded in all OPU. The oocytes harvest were counted and classified in five categories (A, B, C, D, E). The A+B+C categories were considered as good quality oocyte. The embryos produced were vitrified and some of these embryos were transferred of fixed time. Blood samples for IGF-I were obtained every once weekly. The bST improved the follicular population (12.2 vs. 8.7; p<0.05) and the number of oocytes per session (5.2 vs. 4.1; p=0.07), however the treatment did not affect the oocyte quality and its in vitro development capacity (p>0.05). A significant effect (p<0.05) of OPU session was observed in follicular population, number of aspirated follicles and number of oocyte recovered. The plasma IGF-I was not affected (p>0.05) by treatment, however presented a significant effect of OPU session and also of the treatment by OPU session interaction (p<0.05). The conception rate was 10.5% (2/19) and two healthy and normal calves were born from transferred embryo. These results indicate the viability of bST treatment to improve the follicular recruitment and its potential application in buffaloes donors submitted to OPU programs

Os hormônios de crescimento, principalmente os do eixo GH/IGF-I são responsáveis pelo crescimento tecidual e estrutural desde o nascimento. O GH produzido na hipófise é um hormônio com funções metabólicas e anabólicas e é o principal estimulador da síntese e liberação do IGF-I no fígado que tem suas ações endócrinas, parácrinas e autócrinas mediadas pelas IGFBPs. O exercício físico está intimamente ligado à função anabólica, estimulando a secreção e a ação dos hormônios do eixo GH/IGF-I.Existe a hipótese de haver um comportamento bifásico do eixo durante uma temporada de treinamento,caracterizado por uma fase catabólica, seguida de uma fase anabólica dependendo das fases do treinamento, porém vários estudos têm resultados controversos. O objetivo desse projeto foi investigar o impacto de uma temporada de treinamento em atletas de voleibol sobre o eixo GH/IGF-I e IGFBP-3 e sua relação com desempenho em testes físicos. A amostra foi composta por 10 jogadores de Voleibol categoria adulto da equipe de Franca-SP que foram analisados no início(A1), durante(A2) e ao final(A3) de 15 semanas de treinamento. Foram analisados dados antropométricos, altura de salto e potência de membros inferiores no Squat Jump (SJ), Counter Moviment Jump(CMJ)e Drop Jump 40 cm (DJ40), Índice de Força Reativa (IFR), Razão de Utilização Excêntrica (RUE) e concentrações deIGF-I e IGFBP-3. Para as análises estatísticas foram utilziadas ANOVA de medidas repetidas, Magnitude de Efeito (ES) e Probabilidade Quantitativa de Chances (QC). Os resultados mostram redução dos valores de Massa Coporal Total (MCT), Percentual de Gordura Coporal (%GC), Massa Magra (MM) e Massa Gorda (MG), com menor valor em A3, os resultados dos saltos apresentaram aumento linear com diferença estatísitca (p < 0,05) no DJ40 em A3. A sessão de treino não teve influência sobre as concentrações de IGF-I e IGFBP-3, indicando que a intensidade de disputa dessa modalide não é capaz de alterar as concentrações desses hormônios. Não foi verificada diferença estatísitca (p < 0,05) entre as coletas durante o período de treinamento, mas, as análises de ES e QC indicam tendência de aumento do IGF-I em A3. O comportamento bifásico do eixo GH/IGF-I não foi observado nesse estudo, possivelmente devido a forma de planejamento do período de treinamento, contudo, o IGF-I apresentou maiores concentrações em A3 coincidindo com os maiores resultados de altura de salto. Com esses resultados foi possível inferir que a concentração de IGF-I está correlacionada positivamente com o desempenho físico de atletas de voleibol e que a redução ou a incapacidade de aumento de IGF-I pode ser um sinal de alerta para atletas e treinadores. Ainda assim, são necessários novos estudos para investigar se o treinamento terá efeitos semelhantes durante longos períodos de treinamento, períodos de treinamento com maior intensidade, diferentes fases durante o período de preparação ou competição produzirão respostas hormonais semelhantes / Growth hormones, especially the GH/IGF-I axis is responsible for tissue and structural growth from birth. GH produced in the pituitary gland is a hormone with metabolic and anabolic functions and is the main stimulator for the synthesis and release of IGF-I in the liver that has its endocrine, paracrine and autocrine actions mediated by IGFBPs. Physical exercise is closely linked to anabolic function, stimulating the secretion and action of the hormones of the GH/IGF-I axis. There is a hypothesis of a biphasic behavior of the axis during a training season, characterized by a catabolic phase, followed by an anabolic phase depending on the training phases, but several studies have controversial results. The objective of this project was to investigate the impact of a training season on volleyball athletes on the GH/IGF-I axis and IGFBP-3 and its relation to performance in physical tests. The sample consisted of 10 adult category Volleyball players from the Franca-SP team who were analyzed at baseline (A1), during (A2) and at the end (A3) of 15 weeks of training. Anthropometric data, jump height and power of lower body in Squat Jump (SJ), Counter Movement Jump (CMJ) e Drop Jump 40 cm (DJ40), Reactive Force Index (RFI), Eccentric Usability Ratio (EUR) and IGF-I and IGFBP-3 concentrations were analyzed. Statistical analyzes were performed using repeated measures ANOVA, Effect Size test (ES) and Probability of Quantitative Chances(QC). The results show a reduction in Total Body Mass (TBM) values, Percentage of Body Fat (%BF), Lean Mass (LM) and Fat Mass (FM), with a lower value in A3, the jump results showed a linear increase with a statistical difference (p <0.05) in DJ40 in A3. The training session had no influence on the concentrations of IGF-I and IGFBP-3, indicating that the intensity of contention of this modality is not able to alter the concentrations of these hormones. There was no statistically significant difference (p <0.05) between the collections during the training period, but the ES and QC analyzes indicated an upward trend in IGF-I in A3. The biphasic behavior of the GH/IGF-I axis was not observed in this study, possibly due to the planning of the training period, however, IGF-I presented higher concentrations in A3 coinciding with higher jump height results. With these results it was possible to infer that the concentration of IGF-I is positively correlated with the physical performance of volleyball athletes and that the reduction or inability to increase IGF-I may be a warning signal for athletes and coaches. Still, further studies are needed to investigate whether training will have similar effects during long periods of training, more intense training periods, different phases during the preparation or competition period will produce similar hormonal responses.

Made available in DSpace on 2016-08-19T18:16:07Z (GMT). No. of bitstreams: 1 DISSERTACAO MAIRA.pdf: 706708 bytes, checksum: 0ae6f734ee7cfd71c849264ca85c1efa (MD5) Previous issue date: 2012-06-18 / Several studies have associated acromegaly with an increased risk of benign and malignant tumors. While simple and multinodular goiters are common findings in acromegaly, the prevalence of thyroid cancer is uncertain. The objective of this study was to estimate the prevalence of thyroid cancer in a series of acromegalic patients from three hospitals in northeast of Brazil. The methodology used included morphological, cytological and histological thyroid analysis of acromegalic patients and volunteers over 18 years, matched for age and sex and with nodule (s) &#8805; 1 cm. The subjects of this study were 124 acromegalic patients, including 76 females (61.3%) and 48 men (38.7%), with a mean age 45.1 years. Results of the study showed that thyroid ultrasonography was normal in 31 cases (25%), 25 had diffuse goiter (20.1%), 67 had nodules (54%) and one agenesis of the right lobe (0.8%). Thirty six patients underwent fine needle aspiration biopsy (FNAB) of their nodules and 9 cases of papillary cancer were found (7.2%). The control group consisted of 263 subjects, 156 females (59.3%) and 107 males (40.7%), mean age 44.7 years. In ultrasound assessment, 96 had nodules (36.5%). Of these, 13 were punctured and 2 cases of papillary carcinoma were found (0.7%). These results gave an odds ratio of 10.21 (p = 0.0011, 95% CI 2.17 to 48.01). These findings demonstrate an increased prevalence of thyroid cancer, statistically significant when compared to our control group. Thus, it is suggested that acromegalic patients should be routinely submitted to thyroid ultrasound evaluation, followed by FNAB of nodules when indicated. / Vários estudos têm associado acromegalia a um risco aumentado de tumores benignos e malignos. Enquanto bócios simples e multinodulares são achados comuns em acromegálicos, a prevalência de câncer de tireóide é incerta. O objetivo deste estudo foi estimar a prevalência de câncer de tireóide em uma série de pacientes com acromegalia de três hospitais do nordeste brasileiro. A metodologia utilizada incluiu a análise morfológica, citológica e histopatológica da tiróide de pacientes acromegálicos e voluntários com mais de 18 anos, pareados por idade e sexo e com nódulo (s) &#8805; 1 cm. Foram avaliados 124 pacientes com acromegalia, incluindo 76 mulheres (61,3%) e 48 homens (38,7%), com idade média de 45,1 anos. Ao estudo ultrassonográfico da tiróide evidenciou-se normalidade em 31 casos (25%), 25 tinham bócio difuso (20,1%), 67 apresentavam nódulos (54%) e um agenesia do lobo direito (0,8%). Trinta e seis pacientes foram submetidos a biópsia aspirativa por agulha fina (PAAF) de seus nódulos e 9 casos de carcinoma papilífero foram encontrados (7,2%). O grupo controle consistiu de 263 indivíduos, 156 do sexo feminino (59,3%) e 107 do sexo masculino (40,7%), com idade média de 44,7 anos. Na avaliação ultrassonográfica, 96 apresentavam nódulos (36,5%). Destes, 13 foram puncionados e 2 casos de carcinoma papilífero foram encontrados (0,7%). Estes resultados conferiram um odds ratio de 10,21 (p = 0,0011, IC 95% 2,17- 48,01). Estes resultados demonstraram uma prevalência aumentada de câncer de tiróide, estatisticamente significativa, quando comparado ao nosso grupo controle. Desta forma, sugere-se que pacientes acromegálicos devam rotineiramente ser submetidos a exame ultrassonográfico da tiróide, seguido por PAAF de nódulos quando indicado.

O eixo GH/IGF-I (hormônio do crescimento - fatores de crescimento insulina-símile) é um sistema de mediadores de crescimento, receptores e proteínas de ligação que controlam o crescimento somático e tecidual em muitas espécies e programas de exercícios estão relacionados a esta função anabólica por meio da ação deste eixo. Partindo deste pressuposto, o objetivo do presente estudo foi analisar a cinética das concentrações séricas de IGF-I, IGFBP-3 e ALS, das citocinas IL-6, IL-10 e TNF-? e comparar com o desempenho físico e a composição corporal de nadadores adolescentes nas diferentes fases de uma temporada de treinamento. A amostra foi composta por 9 nadadores adolescentes do sexo masculino com idade entre 16 e 19 anos, que faziam parte de uma equipe de natação universitária da cidade de Ribeirão Preto. Os níveis de IGF-I, IGFBP-3, ALS, IL-6, IL-10 e TNF-? foram determinados na fase básica, específica e final do polimento. A fim de comparar a cinética do sistema IGF-I/IGFBP-3-ALS e das citocinas com o desempenho físico e a composição corporal dos atletas, também foram avaliadas a resistência aeróbia em nado livre, a aptidão anaeróbia em nado atado, a massa corporal, o percentual de gordura e a massa magra nos diferentes momentos da temporada. Para a análise da cinética do sistema IGF-I/IGFBP-3-ALS e das citocinas nas diferentes fases do treinamento e antes e após a sessão de treino padronizada foram utilizados os testes não-paramétricos de Friedman e Wilcoxon, respectivamente, adotando-se um nível de significância de 0,05. A correlação entre duas variáveis foi analisada por meio do coeficiente de correlação de Spearman. Resultados: o IGF-I é sensível aos efeitos agudos e crônicos do treinamento, apresentando um comportamento em duas fases ao longo da temporada - uma fase catabólica (fase específica) e uma fase anabólica (polimento). O IGFBP-3 mostrou-se sensível apenas aos efeitos crônicos do treinamento, não sendo possível identificar um comportamento diferenciado intra-fase (pré x pós). A ALS manteve-se constante, mostrando que não foi afetada pelos efeitos agudos ou crônicos do treinamento. A IL-10 mostrou-se sensível aos efeitos agudos e crônicos do treinamento, aumentando significativamente durante a fase de polimento. A IL-6 não apresentou variação significante em resposta a uma sessão de treinamento (efeito agudo), apesar disso, apresentou uma correlação negativa com o IGF-I na fase específica de treinamento. O TNF-? apresentou concentrações mais estáveis ao longo da temporada. A composição corporal e a condição cardiorrespiratória dos nadadores não foram alteradas ao longo da temporada. O Pico de Força e a Força Média acompanharam a variação do IGF-I e do IGFBP-3, ou seja, diminuíram durante a fase específica e apresentaram uma elevação significativa durante o polimento. Conclusão: o IGF-I e a IGFBP-3 podem ser considerados um dos sensíveis marcadores de estado de treinamento, podendo orientar treinadores e atletas a dosar a intensidade de treinamento, especialmente de jovens que se encontram na puberdade. Foi possível observar algumas faces de interação com as citocinas, onde a soma das ações das citocinas provavelmente explicariam as mudanças nas concentrações séricas de IGF-I e IGFBP-3. / The GH/IGF-I axis is a system of growth mediators, receptors, and binding proteins that regulate somatic and tissue growth; and it has been shown that exercise programs are related to the anabolic function of this axis. The aim of this study was to analyse the kinetics of serum IGF-I, IGFBP-3, ALS, IL-6, IL-10 and TNF-? concentration in adolescent swimmers at different stages of a training season, and compare them with physical performance parameters and body composition of the athletes. Nine male athletes, aged 16 to 19 years and who trained regularly throughout the season were included in this study. Serum IGF-I, IGFBP-3, ALS, IL- 6, IL-10, and TNF-? concentrations were recorded before and after (pre x post) standardized training sessions during the different stages of a training season (extensive x intensive x tapering). Aerobic endurance in freestyle, anaerobic fitness in tied swimming (Peak Force and Average Force), body mass, fat percentage, and lean body mass were also analysed at the different stages of training in order to compare the behaviour of the IGF-I/IGFBP/ALS system with the physical performance and body composition of the athletes. Variations in the cytokines and IGF-I/IGFBP-3/ALS system before and after a standardized training session, and at the different stages of training were analysed by the Wilcoxon and Friedman nonparametric tests, respectively. The correlation between the two variables was analysed by the Spearman\'s correlation coefficient. Significance was considered at P<0.05. Results: IGF-I was sensitive to the acute and chronic effects of training, exhibiting biphasic behaviour throughout the season. The catabolic phase was characterized by a reduction in serum IGF-I levels during the intensive stage while the anabolic phase was marked by an increase in posttraining serum IGF-I levels during the tapering stage. IGFBP-3 was only sensitive to the chronic effects of training, with a reduction in post-training serum levels during the intensive stage and an increase during the tapering stage. No difference was observed in pre- or posttraining IGFBP-3 levels at the different stages. ALS and TNF-? remained estable throughout the training season. IL-10 was sensitive to the acute and chronic effects of training, increasing significantly during the tapering phase. IL-6 showed no variation in response to a training session (acute effect); nevertheless, it had a negative correlation to IGF-I at the intensive phase. The body composition and cardiorespiratory function of the swimmers remained unaltered throughout the season. Peak Force and Average Force followed IGF-I and IGFBP-3 variations, with a decrease during the intensive stage and a significant increase during the tapering stage. The body composition and cardiorespiratory condition of the swimmers did not vary significantly throughout the season, exhibiting behaviour independent of IGF-I or IGFBP-3. Conclusion: Serum IGF-I and IGFPB-3 concentrations have proven to be sensitive markers of training status and, thus, may be used as guides for coaches and athletes in the challenging task of modulating training intensity in young athletes. The cytokine interactions observed suggest that the combined effects of these cytokines may be responsible for the serum IGF-I and IGFBP-3 variations recorded.

Atualmente reagrupou-se sob o nome de subnutrição calórico-protéica uma série de afecções de carência antigamente descritas com diversos nomes e que tinham uma etiologia comum, a insuficiência alimentar, acarretando, ao mesmo tempo um emagrecimento e um esgotamento progressivo do estoque de proteínas do organismo. A partir de alterações na quantidade e qualidades dos alimentos ingeridos, o organismo busca regular seu metabolismo visando atingir a homeostase, na qual os hormônios desempenham papel fundamental. Dessa maneira, a desnutrição protéica e a secreção de insulina foram aqui correlacionados na avaliação morfológica e funcional do epitélio oral, representando, respectivamente, grave alteração nutricional (à semelhança da que acomete a população, especialmente, de países subdesenvolvidos e em desenvolvimento) e resposta produzida pela alteração do metabolismo energético das células. Os fatores de crescimento insulino-símile tipos 1 e 2 (IGF-I e IGF-II) são os principais fatores endócrinos determinantes do crescimento fetal. A maioria das ações conhecidas do IGF-I é mediada via um receptor tirosina-quinase, conhecido como IGF-IR. Recentemente, a insensibilidade ao IGF-I foi identificada como uma das causas de retardo de crescimento sem recuperação espontânea do desenvolvimento na vida pós-natal. Sendo assim, o presente trabalho tem o objetivo de estudar, através de métodos morfométricos, na mucosa palatina de ratos Wistar na fase púbere submetidos à desnutrição protéica pré e pós-natal e a renutrição pós-natal, o padrão celular e o componente colágeno da lâmina própria, bem como a expressão do IGF-I, do IGF-IR e da insulina e seu receptor, no intuito de encontrar possível correspondência entre as alterações metabólicas e morfofuncionais, decorrentes da depleção protéica. Para tanto, foram formados os seguintes grupos experimentais constituídos por animais heterogênicos (n=3) de acordo com a ração oferecida, protéica ou hipoprotéica: nutridos (N) e desnutridos (D) com 60 dias de idade, por ser essa a fase do final do período púbere, e renutridos (R), formado por animais do grupo D que, a partir do 21º dia (época do desmame) foram submetidos à ração protéica até atingirem 60 dias de idade. Os espécimes foram processados rotineiramente para microscopia de luz (HE, Azo-carmin e Pircro-sírius) e para imunohistoquímica (IGF-I, IGF-IR e insulina e seu receptor) e os dados morfoquantitativos analisados estatisticamente. Os resultados demonstraram que os parâmetros metabólicos tais como: alimentar, massa corporal, excreção de fezes, urina e ingestão de água, diferiram em todos os grupos semana após semana (S1&#8800;S2&#8800;S3&#8800;S4&#8800;S5&#8800;S6). A densidade de células epiteliais fora constatada pelo método de coloração H.E. e imunomarcadas com insulina e IGF-I e seus respectivos receptores. A subnutrição determinou um aumento significativo de células reativas a insulina (I) e seu receptor (IR) em relação ao grupo renutrido e nutrido (I: S &#8800;R; p<0.05) e (IR: S&#8800;N; S&#8800;R; p<0.05). O grupo R não obeteve aumento significativo de células imunomarcadas, assim, diferiu significativamente em relação ao grupo N para os hormônios IGF-I e seu receptor IGF-IR (R&#8800;N;p<0.05). O número de células da mucosa palatina modifica-se pouco na fase púbere e o seu desenvolvimento normal é sensível à depleção protéica, de modo que o tecido não é capaz de responder ao restabelecimento protéico. / Currently it has been grouped and named protein-caloric under nutrition a series of deficiency described in the past under several denominations with similar etiology, the food deficiency which leads simultaneously to a weight loss and progressive decrease of protein storage in the body. From the changes in the quantity and quality of ingested food, the organism tries to regulate its metabolism in order to homeostasis, in which the hormones play a fundamental role. This way, the protein under nutrition and the insulin secretion were here correlated in the morphological and functional evaluation of the oral epithelium representing high nutritional change (similarly to one which affect people specially from under developed countries) and response produced by changes in the energetic metabolism of the cells respectively. The grown factors insuline-símile type 1 and 2 (IGF-I and IGF-II) are the principal endocrine factors which determine the fetal growth. Many known actions of the IGF-I are mediated via tyrosine-kinase receptor known as IGF-IR. Recently, the insensibility to IGF-I was identified as one of the reason for the regrowth without abrupt recovery of the development in the post-natal life. Therefore, the present work aims to study, the cellular standard and the collagen of lamina propria, as well as the expression of the IGF-I, of the IGF-IR and the insulin and its receptor, using morphometric methods in the palatine mucosa of wistar rats in the pubertal phase subject to protein under nutrition pre and post natal and post-natal re-feeding with the objective of finding possible association between metabolic and morph functional changes coming from protein depletion. For this purpose, the following experimental groups were formed: heterogenic animals (n=3) according to the diet offered protein or hyperprotein diet: nourished (N) and undernourished (D) with 60 days of age (finish of pubertal phase), and re-nourished (R), formed by animals of D group that, from the 21st day (weaning day) were subject to protein diet up to 60 days of age. The specimens were processed routinely for light microscopy (HE, Azo-carmin and Pircro-sírius) and for immunohistochemistry (IGF-I, IGF-IR and insulin and its receptor) and the morph quantitative data statistically analyzed. The results demonstrate that the metabolic parameters such as: food, body mass, feces excretion, urine and water ingestion differ in all groups weekly (S1&#8800;S2&#8800;S3&#8800;S4&#8800;S5&#8800;S6). The density of epithelial was observed by HE method and immune-marked with insulin and IGF-I and their respective receptors. The under nutrition determined a significant increase of the cells reacting to insulin (I) and its receptor (IR) in relation to re-nourished and nourished groups (I: S &#8800;R; p<0.05) and (IR: S&#8800;N; S&#8800;R; p<0.05). No significant increase of immune-marked cells was observed in the R group, thus, differing significantly when comparing to N group for the hormones IGF-I and its receptor IGF-IR (R&#8800;N;p<0.05). The number of palatine mucosal cells has changed little in the pubertal phase and its normal development is sensitive to protein depletion, so the tissue cannot respond to the protein replacement.

Early Effects of Castration Therapy in Non-malignant and Malignant Prostate Tissue BACKGROUND. Androgen ablation, the standard treatment for advanced prostate cancer, results in increased apoptosis, decreased cell proliferation and subsequent involution of the prostate gland. The mechanisms behind these responses are largely unknown, but effects in the prostatic epithelium are believed to be mediated by primary changes in the stroma. The purpose of this thesis was to investigate short-term cellular effects of castration-induced prostate tissue involution in mice and humans. METHODS. Prostate tissue factors affected by castration were investigated using cDNA-arrays, micro-dissection, RT-PCR, immunohistochemistry and Western blot analysis. The effects of local insulin-like growth factor-1 (IGF-1) administration were investigated in intact and castrated mice. Non-malignant and malignant epithelial and stromal cells were micro-dissected from human prostate biopsies taken before and within two weeks after castration treatment from patients with advanced prostate cancer. These tissue compartments were analyzed by RT-PCR and/or immunohistochemistry for IGF-1, IGF-1 receptor, androgen receptor (AR) and prostate specific antigen (PSA) expression. Treatment-induced changes in these factors were related to apoptosis and proliferation as well as to clinical data and cancer specific survival. RESULTS. Similar to our observations in mouse ventral prostate (VP), non-malignant and malignant human prostate tissues responded with increased epithelial cell apoptosis and decreased proliferation after androgen withdrawal. Also, the PSA mRNA levels were reduced within the first days after therapy both in non-malignant and malignant human prostate epithelial cells. However, neither of these changes was related to subsequent nadir serum PSA or to survival. Locally injected IGF-1 increased epithelial cell proliferation and vascular volume in intact but not in castrated mice. IGF-1 was found to be mostly, but not exclusively, expressed in the stroma, and it decreased rapidly after castration in both humans and mice. This decrease was, however, largely absent in prostate tumor stroma, and tumor stroma cells showed lower pre-treatment levels of AR than stroma surrounding normal epithelial glands. Furthermore, decreased levels of IGF-1 mRNA in the non-malignant and tumor stroma cells, and in tumor epithelial cells in response to castration, were associated with high levels of apoptosis in epithelial cells after therapy. CONCLUSIONS. In the prostate, IGF-1 may be an important mediator of stroma-epithelial cell interaction that is involved in castration-induced epithelial and vascular involution. Moreover, reduced AR in the tumor stroma may play an important role in prostate cancer progression towards androgen-independency, resulting in inadequate IGF-1 reduction and apoptosis induction in response to castration. Most primary tumors initially respond to castration with markedly decreased PSA synthesis and cell proliferation, and moderately increased apoptosis. Death due to metastatic disease is, however, still common, despite primary tumor regression. This may suggest that tumor cells in metastases respond differently to treatment than primary tumor cells, probably influenced by a different and possibly androgen-independent stroma. Further studies should test the hypothesis that the effect of castration therapy can be enhanced by simultaneous blocking of IGF-1 signaling.

L’adénovirus a été étudié dans l’optique de développer de nouveaux traitements pour différentes maladies. Les vecteurs adénoviraux (AdV) sont des outils intéressants du fait qu’ils peuvent être produits en grandes quantités (1X1012 particules par millilitre) et de par leur capacité à infecter des cellules quiescentes ou en division rapide. Les AdVs ont subi bon nombre de modifications pour leur permettre de traiter des cellules tumorales ou pour transporter des séquences génétiques exogènes essentielles pour le traitement de maladies monogéniques. Toutefois, les faibles niveaux d’expression du récepteur primaire de l’adénovirus, le CAR (récepteur à l’adénovirus et au virus coxsackie), réduit grandement l’efficacité de transduction dans plusieurs tumeurs. De plus, certains tissus normaux comme les muscles n’expriment que très peu de CAR, rendant l’utilisation des AdVs moins significative. Pour pallier à cette limitation, plusieurs modifications ont été générées sur les capsides virales. L’objectif de ces modifications était d’augmenter l’affinité des AdVs pour des récepteurs cellulaires spécifiques surexprimés dans les tumeurs et qui seraient exempts dans les tissus sains avoisinant. On peut mentionner dans les approches étudiées: l’utilisation de ligands bispécifiques, l’incorporation de peptides dans différentes régions de la fibre ou la substitution par une fibre de sérotypes différents. Notre hypothèse était que les domaines d’interaction complémentaire (K-Coil et ECoil) permettraient aux ligands de s’associer aux particules virales et d’altérer le tropisme de l’AdV. Pour ce faire, nous avons inclus un domaine d’interaction synthétique, le K-Coil,dans différentes régions de la fibre virale en plus de générer des mutations spécifiques pour abolir le tropisme naturel. Pour permettre la liaison avec les récepteurs d’intérêt dont l’EGF-R, l’IGF-IR et le CEA6, nous avons fusionné le domaine d’interaction complémentaire, le E-Coil, soit dans les ligands des récepteurs ciblés dont l’EGF et l’IGF-I, soit sur un anticorps à un seul domaine reconnaissant la protéine membranaire CEA6, l’AFAI. Suite à la construction des différents ligands de même que des différentes fibres virales modifiées, nous avons determiné tout d’abord que les différents ligands de même que les virus modifiés pouvaient être produits et que les différentes composantes pouvaient interagir ensemble. Les productions virales ont été optimisées par l’utilisation d’un nouveau protocole utilisant l’iodixanol. Ensuite, nous avons démontré que l’association des ligands avec le virus arborant une fibre modifiée pouvait entraîner une augmentation de transduction de 2 à 21 fois dans différentes lignées cellulaires. À cause de la difficulté des adénovirus à infecter les fibres musculaires occasionnée par l’absence du CAR, nous avons cherché à savoir si le changement de tropisme pourrait accroître l’infectivité des AdVs. Nous avons démontré que l’association avec le ligand bispécifique IGF-E5 permettait d’accroître la transduction autant dans les myoblastes que dans les myotubes de souris. Nous avons finalement réussi à démontrer que notre système pouvait induire une augmentation de 1,6 fois de la transduction suite à l’infection des muscles de souriceaux MDX. Ces résultats nous amènent à la conclusion que le système est fonctionnel et qu’il pourrait être évalué dans des AdVs encodant pour différents gènes thérapeutiques. / Adenoviruses have been studied as a way to develop new treatments for different diseases. Adenoviral vectors (AdV) are considered interesting tools for this propose, because they can be produced at high titers (1X1012 particles per millilitre) in laboratory and they have the capacity to infect non-dividing and dividing cells. AdV have been often modified in order to obtain the ability to kill tumour cells or to deliver exogenous genetic sequences essential to treat monogenic disease. However, weak expression of the primary adenovirus receptor, the CAR (Coxsackie and adenovirus receptor) reduces greatly the transduction efficiency of AdV for the tumour cells. Moreover, some normal tissues express low amount of CAR, like the skeletal muscle, reducing the appeal of using AdV as a gene delivery vehicle for this tissue. To address this problematic, many modifications were done on the adenoviral capsid. The goal of these modifications were to generate an AdV able to target specific cellular receptors that were expressed in tumour cells but not in normal cells. Several approaches were done to modify the tropism of AdV, such as incubation with a bispecific ligands, incorporation of peptides within the adenoviral fiber structure or substitution of the viral fiber with a different serotype fiber. The hypothesis of my project was to determine if an interaction domain fused within a ligand could bind the complementary domain incorporated on a virus and change the tropism of the AdV. The first step was to include a synthetic interaction domain, the K-Coil, within specific region of the adenoviral fiber, as well as inserting two point mutations to abolish the natural tropism. To target the EGF-R, IGF-IR and the CEA6, we fused the complementary interaction domain, the E-Coil, to the respective ligand known as the EGF and the IGF-I or to a single domain antibody (known as AFAI) that bind specifically to CEA6. The specific interaction between the E-Coil and K-Coil was used to associate the ligand with the fiber in order to retarget the AdV toward the selected receptor. We showed that the different ligands as well as the modified fibers could be produced and that both E-Coil and K-Coil expressing partners could interact together. We optimized the viral production by using an iodixanol purification protocol. More importantly, we clearly demonstrated that the ligand association with the fiber could increase the transduction efficiency between 2 to 21 fold against various tumour cells. The difficulty of adenovirus to infect muscle cells because of the lack of CAR expression brought us to evaluate the potential of our retargeted AdV to increase the transduction for the tissue. We showed that the use of IGF-E5 could increase the transduction efficiency in myoblasts as wells as in myotubes. We finally demonstrated that our retargeting system could increase the transduction efficiency for skeletal muscle by 1,6 fold in new born MDX mice. In conclusion, our results show that the retargeting system is indeed functional. This system could be assessed using vectors that express therapeutic genes.

Responsable de 1,6 million de décès par an dans le monde, le cancer du poumon constitue aujourd’hui la première cause de mortalité par cancer. Les cancers bronchiques non-à-petites cellules représentent 85% des cancers du poumon et ont un pronostic vital très mauvais. Les EGFR-TKI (inhibiteurs de l’activité tyrosine kinase de l’EGFR, gefitinib) constituent un réel progrès thérapeutique pour le traitement des cancers du poumon. Cependant, ces traitements ne sont efficaces que dans un petit sous-groupe de patients. Un des enjeux actuels est donc d’identifier les mécanismes de résistance primaire mis en jeu par les tumeurs.Les récepteurs à activité tyrosine kinase (RTK) activent des voies de signalisation intracellulaires depuis la membrane plasmique. Ces dernières années, une translocation nucléaire des RTK a également été mise en évidence. Ces travaux récents suggèrent que la signalisation nucléaire des RTK pourrait contribuer à la résistance des tumeurs en réponse aux thérapies anti-cancéreuses.Dans l’équipe, il a été montré que l’activation de l’IGF-1R est associée à la progression tumorale des adénocarcinomes pulmonaires et que le gefitinib induit une accumulation nucléaire de l’IGF-1R dans un modèle d’adénocarcinome mucineux. Sur la base de ces résultats, nous avons émis l’hypothèse que l’IGF-1R nucléaire pourrait jouer un rôle dans la résistance aux EGFR-TKI des adénocarcinomes pulmonaires mucineux.Nos résultats indiquent que plus de 70% des adénocarcinomes pulmonaires présentent un marquage nucléaire de l’IGF-1R. A l’aide de différents modèles cellulaires résistants aux EGFR-TKI, nous montrons que le gefitinib induit l’accumulation nucléaire de l’IGF-1R dans les adénocarcinomes pulmonaires mucineux. Cette translocation nucléaire implique l’endocytose clathrines-dépendante de l’IGF-1R et la formation d’un complexe entre l’IGF-1R, l’importine β1 et la pro-amphiréguline. La neutralisation de l’amphiréguline prévient le transport nucléaire de l’IGF-1R et resensibilise les cellules à l’apoptose induite par le gefitinib in vitro et in vivo. L’ensemble de ces résultats identifient le trafic intracellulaire de l’IGF-1R comme un nouveau composant de la réponse aux EGFR-TKI et suggèrent que la signalisation nucléaire IGF-1R/Areg contribue à la progression des adénocarcinomes mucineux sous EGFR-TKI. / Responsible of 1.6 million deaths each year worldwide, lung cancer is today the leading cause of cancer mortality in the world. Non-small-cell lung cancers account for about 85% of lung cancer and have a very bad prognosis (5-year survival rate inferior to 10%). EGFR-TKI (EGFR tyrosine kinase inhibitors, gefitinib) are a real medical advance for lung cancers treatment. However, these treatments are efficient in a small subgroup of patients. So, one of the current issues is to identify primary resistance mechanisms involved in tumors.Tyrosine kinase receptors (RTK) activate intracellular signaling pathways from the plasma membrane. These last years, a nuclear translocation of the RTK was shown. Recent works suggest that RTK nuclear signaling could contribute to tumors resistance in response to anti-cancerous therapies.In our team, it was shown that activation of IGF-1R signaling is associated with lung adenocarcinoma progression and that gefitinib induces IGF-1R nuclear accumulation in a mucinous adenocarcinoma cell line. On the basis of these results, we hypothesize that nuclear IGF-1R could play a role in the resistance of mucinous lung adenocarcinoma to EGFR-TKI.Our results indicate that more than 70% lung adenocarcinoma tumors present a positive IGF-1R nuclear staining. Thanks to EGFR-TKI-resistant cell lines, we show that gefitinib induces the nuclear accumulation of IGF-1R in mucinous adenocarcinoma. This nuclear translocation involves clathrin-mediated endocytosis and a complex between IGF-1R, importin β1 and pro-amphiregulin. Amphiregulin silencing prevents IGF-1R nuclear translocation in response to gefitinib and restores gefitinib-induced apoptosis in vitro and in vivo. Our whole results identify that IGF-1R intracellular trafficking is a new component of response to EGFR-TKI and strongly suggest that a nuclear IGF-1R/amphiregulin signaling contributes to mucinous lung adenocarcinoma progression in response to EGFR-TKI.

Le cancer du sein est un problème majeur de santé publique qui touche 1 femme sur 5. Quatre-vingt percent des cancers sont hormono-dépendants et son traités par hormonothérapies qui cible les oestrogènes ou le récepteur des oestrogènes (ERa) et inhibent leurs effets tumorigènes. En parallèle de la voie génomique des oestrogènes, il existe une voie non génomique dans laquelle ERa recrute Src et PI3K à la membrane, et active des cacades de phosphorylation comme Akt, qui aboutit à la survie et la prolifération des cellules cancéreuses. Notre équipe a montré que la méthylation de l’arginine 260 par les oestrogènes, est un prérequis à la formation du complexe non génomique régulant la prolifération cellulaire. En 2012, l’équipe a montré que la signalisation non génomique des oestrogènes est activée dans les tumeurs mammaires agressives, représentant de nouvelles cibles thérapeutiques. Le crosstalk entre les oestrogènes et les facteurs de croissance impliquant des phosphorylations a été largement décrit. C’est pourquoi nous avons cherché si la méthylation d’ERa sur l’arginine 260 pouvait être impliquée dans ce crosstalk. Parmi plusieurs facteurs de croissance, nous avons mis en évidence que IGF-1 était le seul facteur capable d’induire la méthylation d’ERa de façon oestrogéno-indépendante. En effet, comme pour les oestrogènes, IGF-1 induit une méthylation rapide et transitoire par l’arginine méthyltransférase 1 (PRMT1), et la formation du complexe ERa/Src/PI3K. En utilisant plusieurs approches, nous avons obtenu des résultats intéressants, montrant que PRMT1 probablement via la méthylation d’ERa, joue un rôle crucial dans la signalisation d’IGF-1. D’autre part, nous avons montré qu’IGF1 phosphoryle ERa au niveau de son domaine de liaison à l’ADN, modulant l’interaction son interaction avec IGF-1R. De plus, l’analyse d’une cohorte de 440 tumeurs mammaires a mis en évidence que l’expression d’IGF-1 est corrélée à l’activation de la voie non-génomique des oestrogènes, renforçant les résultats obtenus in vitro et ouvrant de nouvelles perspectives thérapeutiques qui cibleraient les 2 voies de signalisation / Breast cancer is a major health problem currently affecting 1 out of 5 women. Seventy percent of breast cancers are hormone-dependent, and are treated by hormonal therapies targeting estrogen receptor and consequently the inhibition of its pro-tumorigenic effects. In parallel to the genomic estrogen signaling, non-genomic signaling has been described, where ERa recruits Src kinase and PI3K at the plasma membrane and thus activates downstream phosphorylation cascades like AKT, which in turn leads to survival and proliferation of cancer cells. Our team has found that estrogen-induced methylation of arginine 260 of ERa is a prerequisite for the formation of this non-genomic complex, regulating cell proliferation. In 2012, we have shown that this pathway is activated in aggressive breast tumors representing a new potential target for breast cancer therapy. Crosstalk between estrogen and growth factors signaling involving phosphorylation has been largely described. For this reason, we investigated if ERa R260 methylation could be involved in this crosstalk. Among several growth factors, we found that IGF-1 was the only one able to induce methylation of ERa in an estrogen-independent manner. Similarly to estrogen, IGF-1 induces a rapid and transient methylation of ERa by the Protein Arginine Methyltransferase (PRMT1) concomitant with the formation of ERa/Src/PI3K complex. Using several approaches, we found significant results showing that PRMT1 probably via ERa methylation plays a crucial role in IGF-1 signaling. Interestingly, we have recently found also that receptor tyrosine kinase IGF-1R phosphorylates the DNA binding domain (DBD) of ERa that could modulate the latter downstream signaling. In line with these results, we found on TMAs of a cohort of 440 breast tumors that IGF-1 expression is correlated with ERa non-genomic signaling. These results report new insight into estrogen and IGF-1 interference, which open new perspectives of combining therapies targeting the two pathways