Endomorphin (Endo) 1 and 2, two tetrapeptides isolated from the bovine and human brain, have been proposed to be the endogenous ligand for the μ- opiate receptor. A multi-disciplinary study was undertaken to address the issues of localization, release and biological action of Endo with respect to the rat dorsal horn. First, immunohistochemical studies showed that Endo-1- or Endo-2-like immunoreactivity (Endo-1- or Endo-2-LI) is selectively expressed in fiber-like elements occupying the superficial layers of the rat dorsal horn, which also exhibit a high level of μ-opiate receptor immunoreactivity. Second, release of immunoreactive Endo-2-like substances (irEndo) from the in vitro rat spinal cords upon electrical stimulation of dorsal root afferent fibers was detected by the immobilized antibody microprobe technique. The site of release corresponded to laminae I and II where the highest density of Endo-2-LI fibers was localized. Lastly, whole- cell patch clamp recordings from substantia gelatinosa (SG) neurons of rat lumbar spinal cord slices revealed two distinct actions of exogenous Endo-1 and Endo-2: (1) depression of excitatory and/or inhibitory postsynaptic potentials evoked by stimulation of dorsal root entry zone, and (2) hyperpolarization of SG neurons. These two effects were prevented by the selective μ-opiate receptor antagonist β-funaltrexamine. The localization of endomorphin-positive fibers in superficial layers of the dorsal horn and the release of irEndo upon stimulation of dorsal root afferents together with the observation that Endo inhibits the activity of SG neurons by interacting with μ-opiate receptors provide additional support of a role of Endo as the endogenous ligand for the μ-opiate receptor in the rat dorsal horn.

Charles University Faculty of Pharmacy in Hradec Králové Department of Pharmaceutical Chemistry and Pharmaceutical Analysis University of Porto Faculty of Pharmacy Department of Chemical Sciences Department of Biological Sciences Candidate: Kristína Morgošová Supervisor: assoc. prof. PharmDr. Radim Kučera, Ph.D. Consultants: prof. Maria da Conceição Branco da Silva, Ph.D. prof. Maria Alice dos Santos Silva Gomes Martins, Ph.D. Susana Maria Santos Rocha, Ph.D. Title of diploma thesis: Development and characterization of modified polysulfone hemodialysis membranes by means of immobilized neutrophil elastase inhibitors. Chronic kidney disease (CKD) is a major health and financial burden, mainly because of the costly renal replacement therapy and treatment associated. The last stage, end-stage renal disease, is associated with high morbidity and mortality rate, generally due to cardiovascular complications. Chronic inflammation is frequently present in CKD patients, which is enhanced by the long term intra-dialytic recurrent contact between blood and hemodialysis (HD) membrane and further contributes to development of atherosclerosis. Contact with the artificial material of HD membranes leads to oxidative stress and neutrophil activation with release of neutrophil serine proteases such as human...

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第20976号 / 医博第4322号 / 新制||医||1026(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 髙折 晃史, 教授 岩田 想, 教授 中川 一路 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Die Nicht-alkoholische Fettlebererkrankung (NAFLD) ist eine der häufigsten chronischen Lebererkrankungen der westlichen Welt. Die Pathogenese der Erkrankung ist noch nicht vollständig erforscht und wirksame medikamentöse Therapien sind bisher nicht zugelassen. Wachsende Evidenz zeigt, dass das Interleukin-6-Typ-Zytokin Oncostatin M (OSM) eine wichtige Rolle in der Pathogenese der NAFLD spielt. Die japanische Arbeitsgruppe um Komori et al. zeigte an OSM-Rezeptor-β-defizienten (Osmr-KO-) Mäusen sowie durch OSM-Behandlung von genetisch und ernährungsbedingt adipösen Mäusen, dass OSM vor einer hepatischen Steatose und metabolischer Komorbidität schützen kann. Andere Publikationen suggerieren, dass OSM an NAFLD-Entwicklung und -Progression beteiligt ist, indem es die Expression von Genen der β-Oxidation und Very-Low-Density-Lipoprotein (VLDL-) Sekretion reprimiert und die Expression profibrogenetischer Gene fördert. Low-Density-Lipoprotein-Rezeptor-defiziente- (Ldlr-KO-) Mäuse sind seit Langem als Atherosklerose-Modell etabliert und wurden zuletzt auch als physiologisches Modell für NAFLD identifiziert. Um die Rolle von OSM in der NAFLD-Pathogenese zu beleuchten, wurden Osmr-KO-Mäuse auf Wildtyp- (WT-) und Ldlr-KO-Hintergrund untersucht, die über 12 Wochen eine fett- und cholesterinreiche Western Diet erhielten und anschließend für die Organentnahme geopfert wurden. Im Vorfeld dieser Arbeit wurden Körpergewicht, Blutglukose, Serum-Cholesterin und Lebergewicht der Tiere gemessen. Hierbei zeigte sich ein erhöhtes Körpergewicht, unveränderte Blutglukose, erhöhtes Serum-Cholesterin sowie ein erhöhtes Lebergewicht in Osmr-KO- gegenüber WT-Mäusen. Andersherum waren Körpergewicht, Blutglukose, Serum-Cholesterin und Lebergewicht in Ldlr-Osmr-KO- gegenüber Ldlr-KO-Mäusen vermindert. Im Rahmen der vorliegenden Arbeit erfolgte die histologische Untersuchung des Lebergewebes, die Messung von Serum-Triglyzeriden und Fettsäuren sowie die Untersuchung der hepatischen Genexpression. An kultivierten Zellen der humanen Hepatom-Zelllinie HepG2 wurde eine mögliche Regulation der CYP7A1-Genexpression durch OSM untersucht. CYP7A1 ist als Schrittmacherenzym der Gallensäuresynthese an der hepatischen Cholesterin-Clearance beteiligt. Osmr-KO-Mäuse zeigten gegenüber WT-Mäusen histologisch eine verstärkte hepatische Steatose. Bei der Untersuchung der mRNA-Expression von Genen mit Beteiligung an der hepatischen Lipidhomöostase zeigte sich eine Minderexpression von Ldlr in Osmr-KO-Mäusen. Weiterhin zeigte sich eine etwas geringere Expression von Cyp7a1 in Osmr-KO-Mäusen. Die Expression aller anderen untersuchten Gene, die an Fettsäuresynthese, Cholesterintransport und –metabolismus beteiligt sind, lieferten keine Erklärung für eine erhöhte hepatische Lipidakkumulation in Osmr-KO-Mäusen. Ldlr-Osmr-KO-Mäuse hatten gegenüber Ldlr-KO-Mäusen eine geringer ausgeprägte hepatische Steatose. Die mRNA-Expression von Genen der Fettsäuresynthese, der Cholesterinbiosynthese und des Cholesterintransports waren in Ldlr-Osmr-KO- gegenüber Ldlr-KO-Mäusen nicht wesentlich verändert. Allerdings fiel eine deutliche Hochregulation von Cyp7a1 in Ldlr-Osmr-KO-Mäusen auf. Darüber hinaus war Osm in Ldlr-KO-Mäusen gegenüber WT-Mäusen stärker exprimiert. Um eine Regulation von CYP7A1 durch OSM nachzuweisen, wurde die Genexpression in HepG2-Zellen nach Stimulation mit OSM untersucht. Hierbei zeigte sich, dass OSM die mRNA-Expression von CYP7A1 supprimierte. Dieser Effekt war durch die Zugabe von Inhibitoren der Januskinasen (JAK), Mitogen Activated Protein Kinase/ERK-Kinase (MEK) und Extracellular-signal Regulated Kinase ½ (ERK1/2) reversibel. Die CYP7A1-Suppression durch OSM ging mit einer verminderten Expression des Transkriptionsfaktor-Gens HNF4A einher. Osmr-KO-Mäuse zeigten gegenüber WT-Mäusen nach 12 Wochen Western Diet verstärkte Adipositas, Dyslipidämie sowie eine hepatische Steatose. Die Analyse der hepatischen mRNA-Expression legt nahe, dass die Minderexpression von Ldlr in Osmr-KO-Mäusen im Vergleich zu WT-Mäusen zur Verstärkung der Dyslipidämie und hepatischen Steatose beigetragen hat. Weiterhin kann die geringere Expression von Cyp7a1 in Osmr-KO-Mäusen durch daraus resultierende Akkumulation von Cholesterin zur erhöhten hepatischen Lipidakkumulation in diesen Mäusen beigetragen haben. Ldlr-KO-Mäuse zeigten nach 12 Wochen Western Diet ebenfalls eine hepatische Steatose. Diese war in Ldlr-Osmr-KO-Mäusen gegenüber Ldlr-KO-Mäusen geringer ausgeprägt. Die erhöhte Expression von Cyp7a1 in Ldlr-Osmr-KO-Mäusen kann die Verbesserung von hepatischer Lipidakkumulation und Dyslipidämie durch erhöhte Cholesterinmetabolisierung zu Gallensäuren erklären. Übereinstimmend mit der Cyp7a1-Regulation in LDLR-defizienten Mäusen zeigte sich in vitro, dass OSM die Expression von CYP7A1 in HepG2-Zellen vermindert und sich so negativ auf die hepatische Lipidhomöostase auswirken kann. Insgesamt implizieren diese Ergebnisse eine divergierende Rolle von OSM bei der Entwicklung einer hepatischen Steatose abhängig vom genetischen Hintergrund. OSM scheint bei WT-Mäusen für die Erhaltung der metabolischen Gesundheit wichtig zu sein. Bei Ldlr-KO-Mäusen hingegen scheint OSM die Entwicklung von Adipositas, Dyslipidämie und hepatischer Steatose zu fördern. Die differenzielle Rolle in WT- und Ldlr-KO-Mäusen könnte durch unterschiedliche Osm-Expressionsspiegel zustande kommen: Während basale OSMRβ-Signaltransduktion durch geringe OSM-Spiegel in WT-Mäusen für die Lipidhomöostase essenziell zu sein scheint, könnte erhöhte oder prolongierte OSMRβ-Signaltransduktion durch höhere OSM-Spiegel in Ldlr-KO-Mäusen das Fortschreiten der hepatischen Steatose fördern. Dies stellt OSM als mögliches NAFLD-Therapeutikum in Frage. Um die Hypothese zu überprüfen, dass OSM abhängig von der Höhe und Kinetik der Spiegel günstige oder ungünstige Effekte auf die NAFLD-Entwicklung hat, sollte in zukünftigen Experimenten der Einfluss kurz- und langfristiger Behandlung von WT-Mäusen mit OSM unterschiedlicher Konzentrationen auf die Entwicklung einer hepatischen Steatose untersucht werden. / Non-alcoholic fatty liver disease (NAFLD) is among the most common chronic liver diseases in Western societies. Pathogenetic mechanisms are not fully elucidated and to date there is no approved drug therapy available. There is mounting evidence that the Interleukin-6-type-cytokine Oncostatin M (OSM) plays a crucial role in the pathogenesis of NAFLD. The Japanese working group of Komori et al. had shown that OSM has favorable effects on metabolism und protects against hepatic steatosis using OSM-receptor-β-deficient (Osmr-KO-) mice as well as OSM treatment of genetically or diet-induced obese mice. Other publications suggest that OSM contributes to the pathogenesis and progression of NAFLD by reducing the expression of genes involved in β-oxidation and Very-Low-Density-Lipoprotein (VLDL) secretion and inducing the expression of genes involved in fibrogenesis. Recently Low-Density-Lipoprotein-Receptor-deficient (Ldlr-KO-) mice, which are a well-established model for atherosclerosis, have also been considered a physiological model for NAFLD. To further investigate the role of OSM in NAFLD pathogenesis Osmr-KO mice on either wild type- (WT-) or Ldlr-KO-background were fed a high-fat and high-cholesterol Western diet for 12 weeks and were then sacrificed for tissue collection. Prior to the present thesis body weight, blood glucose levels, serum cholesterol and liver weight of the mice were measured. Osmr-KO mice showed increased body weight, serum cholesterol levels and liver weight compared to WT mice, whereas blood glucose levels did not differ. On the contrary, Ldlr-Osmr-KO mice showed decreased values in all parameters compared to Ldlr-KO mice, including body weight, blood glucose levels, serum cholesterol levels and liver weight. In the present thesis a histological examination of the liver tissue was made, serum levels of triglycerides and fatty acids were measured, and hepatic gene expression was analyzed. In cultured cells of the human hepatoma cell line HepG2 a potential regulation of CYP7A1 gene expression by OSM was examined. CYP7A1 is the rate limiting enzyme of bile acid synthesis and is therefore involved in hepatic cholesterol clearance. Osmr-KO mice showed enhanced hepatic steatosis compared to WT mice. Examination of gene expression involved in hepatic lipid homeostasis revealed reduced Ldlr expression levels in Osmr-KO mice. Furthermore, a slightly decreased Cyp7a1 expression was observed. The expression of other genes involved in fatty acid synthesis, cholesterol transport and cholesterol metabolism did not explain the enhanced hepatic lipid accumulation in Osmr-KO mice. In Ldlr-Osmr-KO mice hepatic steatosis was reduced compared to Ldlr-KO mice. The expression of genes involved in fatty acid synthesis, cholesterol synthesis and cholesterol transport was not considerably altered in Ldlr-Osmr-KO compared to Ldlr-KO mice. However, Cyp7a1 was markedly upregulated in Ldlr-Osmr-KO mice. In addition, Osm expression was increased in Ldlr-KO mice compared to WT mice. To prove the regulation of CYP7A1 by OSM, gene expression was determined in OSM-treated HepG2 cells. The results show that OSM attenuated CYP7A1 expression. This effect was reversed by the addition of inhibitors of either januskinases (JAK), mitogen-activated protein kinase/ERK-kinase (MEK) or extracellular-signal regulated kinase 1/2 (ERK1/2). CYP7A1-suppression by OSM was accompanied by reduced expression levels of the transcription factor gene HNF4A. After 12 weeks of Western diet Osmr-KO mice showed enhanced obesity, dyslipidemia and hepatic steatosis compared to WT mice. Determination of hepatic gene expression suggests that decreased expression of Ldlr in Osmr-KO mice compared to WT mice contributes to dyslipidemia and hepatic steatosis. Furthermore, the decreased expression of Cyp7a1 in Osmr-KO mice may contribute to cholesterol accumulation and accordingly to hepatic lipid accumulation in these mice. Ldlr-KO mice also showed hepatic steatosis after 12 weeks of Western diet. In comparison, hepatic steatosis was markedly reduced in Ldlr-Osmr-KO mice. Increased expression levels of Cyp7a1 and hence enhanced metabolization of cholesterol to bile acids in Ldlr-Osmr-KO mice can explain improved hepatic lipid accumulation and dyslipidemia in these mice compared to Ldlr-KO mice. Consistent with the discovered Cyp7a1 regulation in LDLR-deficient mice, OSM decreased the expression of CYP7A1 in HepG2 cells and therefore may have detrimental effects on hepatic lipid homeostasis. Altogether the results implicate a diverging role of OSM in the pathogenesis of hepatic steatosis depending on the genetic background. In WT mice OSM seems to convey protective effects on lipid homeostasis, whereas in Ldlr-KO mice OSM seems to promote the development of obesity, dyslipidemia and hepatic steatosis. The differential role of OSM in WT and Ldlr-KO mice might be caused by diverging Osm expression levels: Basal OSMRβ signal transduction caused by low OSM levels seems to be essential for lipid homeostasis, whereas enhanced or prolonged OSMRβ signal transduction caused by higher OSM levels might foster the progression of hepatic steatosis. These findings question OSM as a putative therapeutic agent for NAFLD. To test the hypothesis that OSM has beneficial or detrimental effects on NAFLD pathogenesis depending on OSM levels and kinetics, future studies should examine the effect of short- and long-term administration of OSM in different concentrations on the development of hepatic steatosis in WT mice.

Temperamental self-regulation is typically associated with adaptive outcomes, but considerably less is known about the correlates of rudimentary self-regulation—regulatory capacity—in infancy. Some theoretical frameworks also suggest that low and high levels of inhibitory control—one component of temperamental self-regulation—may be related to negative outcomes, and further that this may depend on individual differences in shyness. In this dissertation, I examined the functional correlates of infants’ regulatory capacity moderated by physiological regulation (Chapter 2), the negative consequences of low and high levels of inhibitory control on preschoolers’ social and psychological outcomes (Chapter 3), and the social (Chapter 4) and contextual (Chapter 5) factors modifying the impact of inhibitory control on shy children’s interpersonal outcomes. In Chapter 2, I found that infants’ regulatory capacity was only negatively related to behavior problems when infants displayed high levels of physiological regulation during an emotionally salient stressor. In Chapter 3, I found that very low and high levels of inhibitory control were related to the highest levels of avoidant social behavior and internalizing and externalizing problems in preschoolers. In Chapter 4, I found that preschoolers’ shyness was only negatively associated with their own observed approach behavior when their own inhibitory control was high (actor effects), and this pattern of results differed when examining the partner’s observed behavior (partner effects). In Chapter 5, I found that shyness was negatively associated with social support seeking when preschoolers displayed high levels of inhibitory control in an unfamiliar context, and this pattern of results differed in a familiar context. These studies challenge the longstanding belief that self-regulatory processes are adaptive for all children all the time, and suggest that developmental, temperamental, and contextual factors may influence whether self-regulation acts as a resiliency or risk factor. / Dissertation / Doctor of Philosophy (PhD) / Self-regulation refers to children’s ability to control their behavior and attention to achieve goals and is an important part of personality. Although self-regulation is typically associated with positive outcomes during the preschool period, less is known about the consequences of self-regulation during infancy, and some research has suggested that low and high self-regulation may have negative consequences for children. In this dissertation, I examined whether physiological regulation during infancy influenced the relation between self-regulation and behavior problems, and then I examined whether low and high levels of self-regulation are associated with children’s problematic social and psychological outcomes and whether these relations depend on children’s shyness and their social partner’s characteristics. Together, this work challenges the belief that self-regulation is always protective for all children all the time and suggests that personality and contextual factors may determine whether self-regulation acts as a protective or a risk factor.

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Yes / This study examined whether the proposed bilingual advantage in inhibitory control and working memory can be extended to a trilingual advantage, and assessed any age-related effects on a continuum in young adults to older adults. Trilinguals, bilinguals and monolinguals’ performance on the Simon task and a numerical version of the N-back task was compared. On the Simon task, there was no language group difference observed, although the data show an age-related decline in inhibitory control only in trilinguals, but not in bilinguals or monolinguals. No clear language group differences were observed between trilinguals and bilinguals on the N-back task, however an overall trilingual and bilingual disadvantage, compared to monolinguals, was observed. Together the results suggest that managing two or three languages, compared to just one, may have a negative impact on inhibitory control and working memory performance. Importantly, they highlight the need to control for a possible confounding effect of including trilinguals/multilinguals in bilingual cohorts and to ensure that participants in monolingual cohorts speak only one language.

An interactive framework of working memory and inhibitory control has been endorsed for examining cognitive development across the lifespan (Roberts & Pennington, 1996). According to this framework, the interaction between working memory and inhibitory control (WMIC) is necessary for adaptive daily functioning (Roberts & Pennington, 1996) and crucial for the development of executive functioning in childhood (Brocki & Bohlin, 2004). Empirical work from early developmental periods supports the interactive WMIC framework (e.g., Bell, 2001; Diamond, Kirkham, & Amso, 2002) and has identified sources of variability (brain electrical activity, temperament, and language) associated with WMIC functioning in infancy and early childhood (Wolfe & Bell, 2004). Although there is some evidence to suggest the interdependent nature of working memory and inhibitory control in late childhood and adulthood (Diamond, 2002; Luna, Garver, Urban, Lazar, & Sweeney, 2004), work in these later developmental periods has focused primarily on the independent processes of working memory (WM) and inhibitory control (IC) and the interactive WMIC framework has not been directly investigated from late childhood onward. Therefore, the first goal of the current study was to examine the interactive framework in a late childhood sample. The second goal of the study was to examine sources of variability in WMIC functioning in late childhood, with the intention of determining which sources of variability were associated with and contributed unique variance in explaining WMIC performance. Thirty-eight children (19 male) completed four age-appropriate interactive WMIC tasks (the color-word Stroop, the Fruit Stroop, the counting go/no-go and the Wisconsin Card Sort Test) and two language tasks. Both parents and children responded to a temperament questionnaire. Brain electrical activity was collected via EEG recordings during a two-minute baseline and WMIC tasks. The four interactive WMIC tasks were tested for relation of the independent (WM, IC) and combined (WMIC) components within tasks and across tasks. The four WMIC tasks were not correlated with one another. However, the independent (WM, IC) components were correlated both with one another and with the combined WMIC measure within each task, providing some support for an interactive framework in late childhood. The sources of variability associated with the independent (WM, IC) and combined (WMIC) components of each task were identified. These sources were used to explain both collective and unique variance in WMIC functioning for each task. Different sources of variability explained independent (WM, IC) and combined (WMIC) performance across tasks. Unique and shared contributors within and across tasks (the color-word Stroop, the Fruit Stroop, the counting go/no-go and the Wisconsin Card Sort Test) and components (WM, IC, WMIC) are discussed in an effort to determine how sources of variability may be related to WMIC functioning. / Ph. D.

The current study investigated the nature of executive function (EF) abilities in preschoolers using confirmatory factor analysis; potential antecedents and outcomes were examined as well. Executive function refers to higher order cognitive abilities necessary to consciously and deliberately persist in a task; these abilities are associated with a wide variety of important developmental outcomes. Within the developmental literature, studies on EF development in early childhood have focused most often on the constructs of working memory (WM) and inhibitory control (IC). Whether WM and IC are dissociable cognitive abilities is an unresolved issue within the literature; accordingly, performance on a battery of EF tasks at ages 2 and 4 was assessed to determine if EF structure at these ages is best described by a single factor or two factors consisting of working memory and inhibitory control. At both ages, a unitary model fit the data well. Longitudinal relations between attention in infancy, preschool EF, and school readiness and social competency at age 4 were also examined. Although infant attention measures failed to significantly predict later EF, pathways between age 4 EF (but not age 2 EF) and all age 4 outcomes were significant and in the expected direction. Understanding the nature of EF and the factors associated with optimal regulatory abilities is necessary for both theoretical and practical purposes, and given the considerable improvements that happen to EF abilities during this time period in early childhood, longitudinal studies such as this one are necessary to address issues of developmental change. / Ph. D.