Objetivo: Analisar através de metodologia molecular a microbiota fecal de recém-nascidos (RN) saudáveis, em aleitamento materno exclusivo. Materiais e métodos: Amostras fecais de dez RN foram avaliadas no 2º, 7º e 30º dias de vida (DV), através de sequenciamento do 16S rDNA bacteriano. Real-time PCR para bifidobacterias foi empregado nas amostras de 30 dias. Resultados: A diversidade bacteriana fecal aumentou do 2º para o 30º DV. E. coli predominou no 2º e 7º DV, e Clostridium no 30º DV. Usando real-time PCR, bifidobacterias foram identificadas em todas as amostras de 30 dias. Conclusão: Enterobacterias predominaram na primeira semana de vida. Aos 30 DV observou-se uma maior diversidade bacteriana, com predomínio de Clostridium.. A técnica inicial não permitiu identificar bifidobacterias. / Purpose: To evaluate by molecular methodology the fecal microbiota of healthy newborns, exclusively breastfed. Materials and methods: Fecal samples from ten neonates were analyzed on 2nd, 7th and 30th day of life, using 16S rDNA sequencing and real-time PCR for bifidobacteria. Results: The fecal bacteria diversity increased from the second to the 30th day of life. E. coli was predominant in the fecal samples from the 2nd and 7th day of life, and Clostridium.in the samples of the 30th day. Using real-time PCR bifidobacteria were identified in all 30th day samples. Conclusion: Enterobacteria were predominant in the first week of life. On 30th day of life a greater bacterial diversity was observed with predominance of Clostridium. The initial technique didnt allow the identification of bifidobacteria.

O presente trabalho teve por objetivo verificar o efeito de diferentes níveis de IGF-I no colostro de vacas que receberam rbST durante o período pré-parto, no desenvolvimento do trato intestinal e na expressão do gene do IGF-I e de seu receptor no fígado e intestino de bezerros. Quarenta e duas vacas da raça Holandesa, gestantes e multíparas foram distribuídas ao acaso em dois grupos de 21 animais, o grupo rbST que recebeu hormônio de crescimento (500 mg rbST) e o grupo controle que recebeu injeção de vitamina E. As aplicações tiveram início aos 35 dias pré-parto, em intervalos de 14 dias até a data de parição. Os bezerros recém-nascidos foram distribuídos aleatoriamente, de acordo com as seguintes idades em que foram abatidos: após o nascimento e sem a ingestão de colostro, dois e sete dias de vida com ingestão de colostro das respectivas mães. Após o abate, amostras do fígado e segmentos do intestino delgado (jejuno e íleo) foram coletadas para quantificação de DNA, RNA, proteína total e o RNAm do IGF-I e do receptor tipo I. O delineamento experimental utilizado foi o inteiramente casualizado, numa estrutura fatorial 2x3, correspondendo aos grupos das mães (rbST ou controle) e as idades dos bezerros (após o nascimento, dois e sete dias de vida). No fígado, as concentrações de RNA e proteína (mg/g tecido) foram maiores no segundo dia de vida e a relação proteína/RNA aumentou no sétimo dia de vida (P<0,05). O jejuno apresentou interações entre os tratamentos nas concentrações de DNA, proteína e relações proteína/RNA e RNA/DNA (P<0,05). Os bezerros que consumiram colostro proveniente de vacas que receberam rbST apresentaram, no jejuno, maiores concentrações de DNA no segundo dia de vida e diminuição a níveis intermediários entre nascimento e dois dias, comparados aos sete dias de vida. Este efeito também foi observado na relação proteína/RNA. No grupo controle, também se verificou aumento de DNA aos dois dias, mas não houve diferenças aos sete dias, e a relação proteína/RNA foi semelhante entre as idades. A concentração de proteína no jejuno do grupo rbST aumentou no segundo dia de vida e diminuiu no sétimo, enquanto que no grupo controle, este aumento foi verificado apenas no sétimo dia de vida. A relação RNA/DNA diminuiu apenas no grupo controle (P<0,05). A expressão do gene do IGF-I foi maior ao nascimento e aos sete dias de idade no fígado dos bezerros do grupo rbST (P<0,05). As concentrações do gene do receptor tipo I diminuíram com a idade dos bezerros (P<0,05). Ao nascimento, o intestino dos bezerros apresentou condição de resposta celular à presença do IGF-I proveniente do colostro. Os resultados sugerem que as células do jejuno de bezerros do grupo rbST apresentaram um diferente estágio de maturação. / The objective of this study was to verify the effect of different levels of IGF-I in colostrum of cows treated with rbST during dry period, in the development of the intestinal tract and IGF-I and receptor gene expression in the liver and intestine of calves. Forty-two Holstein cows, in gestation and multiparous, were randomly assigned in two groups of 21 animals. Group rbST received injection of growth hormone (rbST), and group control received vitamin E injection. Both treatments started 35 days pre-partum, and were administered every 14 days until parturition. Newborn calves were randomly assigned to the following ages of slaughter: just after birth and without colostrum ingestion; two and seven days of life with colostrum ingestion from their respective mothers. After slaughter, samples from liver and small intestine (jejunum and ileum) were collected for quantification of DNA, RNA, total protein and mRNA of IGF-I and receptor type I. A completely randomized design was used with 2X3 factorial arrangements of treatments, which the factors were the mother’s group (control and rbST) and age (just after birth, two and seven days of life). In the liver, RNA and protein concentrations (mg/g tissue) were higher in the second day of age and protein/RNA ratio increased in the seventh day (P<0.05). The jejunum showed interaction among the treatments in the concentrations of DNA and protein, and protein/RNA RNA/DNA ratios (P<0.05). Calves fed colostrum from mothers that received rbST presented, in jejunum, higher DNA concentration in the second day of life, and decrease to intermediate levels between birth and two days, compared to seven days of age. This effect was also observed in protein/RNA ratio. In the control group, it was also verified DNA increase at two days, but there was not difference in the seventh day, and protein/RNA ratio was similar among ages. Protein concentration in jejunum of rbST group increased in the second day and decreased in the seventh, but in the control group, this increase was verified only in the seventh day of age. RNA/DNA ratio decreased in the control group (P<0.05). Expression of IGF-I was higher at birth and seven days old in the liver of the calves from rbST group (P<0.05). The concentrations of receptor type I mRNA decreased with calves’ age (P<0.05). At birth, the small intestine of calves showed a condition of cellular response to the presence of IGF-I in colostrum. These results suggest that cells in jejunum of calves from rbST group presented a different phase of maturation.

O plexo mioentérico é uma vasta rede de nervos e gânglios localizado entre as camadas longitudinal e circular da túnica muscular externa de todo o trato gastrintestinal (TGI). A distrofia muscular de Duchenne (DMD) é uma miopatia ligada ao cromossomo X causada pela ausência da distrofina que, além dos evidentes efeitos degenerativos no músculo esquelético, causa severas alterações do TGI. No entanto as causas dessas alterações não são claras. Pesquisadores demonstraram que a distrofina é expressa nas fibras musculares lisas e também nos neurônios do plexo mioentérico, todavia não existe um consenso sobre o papel desta nessas estruturas. Desta forma pretende-se estudar os componentes do plexo mioentérico do intestino delgado de camundongos mdx (o modelo animal da DMD) nas idades de 4 e 10 semanas e de seus respectivos controles, camundongos C57BL/10. Os animais de ambos os grupos tiveram o intestino delgado retirado e seccionado em segmentos oral, médio e aboral para posterior avaliação através das técnicas histoquímicas de evidenciação neuronal: NADH-d, NADPH-d e AChE. Além disso, a musculatura lisa e os neurônios do plexo mioentérico foram analisados por MET. A análise quantitativa mostrou que o grupo MDX4 apresentou uma área total do intestino delgado significativamente maior que o C4 (p<0,05). Para as técnicas da NADH-d e NADPH-d foi observado um gradiente crescente de densidade numérica neuronal, no sentido oral-aboral, para todos os grupos estudados. O grupo MDX4 apresentou uma densidade neuronal significativamente menor que o C4 (p<0,05), todavia MDX10 e C10 foram iguais. Além disso, a densidade neuronal dos grupos de 10 semanas foi significativamente menor que dos de 4 semanas para ambas as técnicas (p<0,05). Em relação à estimativa do número total de neurônios, MDX10 e C10 apresentaram uma significativa redução de neurônios NADH-d positivos, quando comparada à dos grupos MDX4 e C4 (p<0,05), porém, para os neurônios NADPH-d positivos, a estimativa dos grupos de 10 semanas foi estatisticamente superior que à dos de 4 semanas (p<0,05). O grupo MDX4 apresentou uma área do perfil de neurônios nitrérgicos significativamente maior que o C4 (p<0,05). Na técnica da NADH-d, não foi detectada diferença significativa relativa à esse aspecto. Comparativamente ao grupo C4, os neurônios do grupo MDX4 não apresentaram intensa reatividade a AChE, mas foram iguais em 10 semanas. Referente à ultra-estrutura dos neurônios, esta apresentou-se preservada em todos os grupos, no entanto as fibras musculares lisas do grupo MDX apresentaram alterações morfológicas. / The myenteric plexus is an extensive network of nerve strands and ganglia located between the outer longitudinal and inner circular muscle layers of the external muscle coat of the gastrointestinal tract (GI). Duchenne muscular dystrophy (DMD) is a X-linked degenerative muscular myopathy caused by the absence of dystrophin which, apart from the obvious degenerative effects in skeletal muscle, causes severe alterations of gastrointestinal (GI) tract. However the causes of these changes remain unclear. Researchers have shown that dystrophin is expressed in both smooth muscle fibers and myenteric plexus neurons, however there is no consensus on the role of it in these structures. Thus, we intend to study the components of the myenteric plexus of the small intestine of mdx mice (an animal model for DMD) at the ages of 4 and 10 weeks and their respective controls, C57BL/10 mice. The animals of both groups had the small intestine removed and sectioned into oral, middle and aboral segments for further evaluation by histochemical techniques of neuronal evidencing: NADH-d, NADPH-d and AChE. In addition, smooth muscle and myenteric plexus neurons were analyzed by TEM. The quantitative analysis showed that the MDX4 group had a significantly higher small intestine total area than the C4 (p <0.05). For the techniques of NADH-d and NADPH-d was observed an increasing gradient of neuronal numerical density, in the oral-aboral direction, for all groups. The MDX4 group showed a significantly lower neuronal density than C4 (p<0.05), however MDX10 and C10 were the same. In addition, the neuronal density of 10 weeks groups was significantly lower than those of 4 weeks for both techniques (p <0.05). Considering the total estimative number of neurons, MDX10 and C10 showed a significant reduction of NADH-d positive neurons, compared to groups MDX4 and C4 (p <0.05), but for the NADPH-d positive neurons, the estimative of 10 weeks groups was statistically higher than that of 4 weeks (p <0.05). The MDX4 group showed an nitrergic neurons profile area significantly higher than the C4 (p <0.05). In the technique of the NADH-d, no significant difference was detected on this aspect. Compared to the C4 group, neurons of MDX4 group did not show intense AChE reactivity, but they were equal in 10 weeks. Concerning the neurons ultrastructure, it was preserved in all groups, however the smooth muscle fibers of MDX group showed morphological changes.

L’intestin joue un rôle clé dans le contrôle de l’homéostasie énergétique. Les entérocytes sont des cellules polarisées qui permettent les échanges entre la lumière intestinale (membrane apicale) et le compartiment lymphatique et sanguin (membrane baso-latérale). Dans cette thèse, nous nous sommes particulièrement intéressés au contrôle par les entérocytes de deux processus liés au métabolisme des lipides et du cholestérol : l’excrétion trans-intestinale de cholestérol (TICE) et l’absorption des lipides alimentaires.Très récemment, il a été montré que l’intestin contribue à 20-30% de l’excrétion fécale du cholestérol chez la souris. Ce mécanisme, appelé TICE, implique le passage direct du cholestérol provenant de la circulation sanguine à travers les entérocytes vers les fèces. De par son caractère modulable par des substances pharmacologiques comme l’ézétimibe et les statines, le TICE représente une cible thérapeutique potentielle pour corriger les dyslipidémies athérogènes du diabétique. Cependant, les mécanismes moléculaires gouvernant le transport rétrograde du cholestérol (du pôle baso-latéral au pôle apical) dans l’entérocyte lors du TICE, sont complètement inconnus. Dans une première étude, nous avons mis en évidence la lignée entérocytaire humaine Caco-2/TC7 comme un modèle d’étude des processus trans-entérocytaires liés au TICE. Nous avons d’abord montré que suite à l’incubation avec du plasma humain dans le compartiment baso-latéral et des micelles lipidiques dans le compartiment apical, les cellules Caco-2/TC7 miment des caractéristiques du TICE in vivo. De plus, grâce à ce modèle in vitro, nous avons pu identifier les microtubules comme acteurs nécessaires au transport rétrograde du cholestérol dans l’entérocyte. Dans une seconde étude, nous nous sommes intéressés au contrôle par le récepteur nucléaire Rev-erbα de la production des chylomicrons (CM) par les entérocytes. En effet, bien qu’essentiellement vue comme la conséquence d’une clairance retardée, des données émergentes présentent la surproduction de CM par l’intestin comme un contributeur majeur de la dyslipidémie chez l’insulino-résistant. Il existe une balance, au sein de l’entérocyte, entre l’utilisation des lipides absorbés pour un stockage transitoire sous forme de gouttelettes lipidiques (GL) cytosoliques ou pour l’assemblage de lipoprotéines riches en triglycérides (LRT). Le récepteur nucléaire Rev-erbα est un répresseur transcriptionnel impliqué dans le métabolisme énergétique et le rythme circadien. Rev-erbα contrôle particulièrement le métabolisme lipidique au niveau du foie et le catabolisme des LRT. Pour cette seconde étude, une lignée Caco-2/TC7 invalidée pour Rev-erbα (sh Rev-erbα) a donc été développée par infection lentivirale et différenciée sur insert. Les résultats indiquent que suite à l’incubation avec des micelles lipidiques dans le compartiment apical, les cellules Caco-2/TC7 sh Rev-erbα sécrètent plus de LRT dans le milieu baso-latéral et stockent moins de lipides sous la forme de GL cytosoliques. De plus, la lignée Caco-2/TC7 sh Rev-erbα présente une activité lipophagique plus importante et l’inhibition de l’autophagie par la bafilomycine dans cette lignée restaure la sécrétion baso-latérale de LRT et le stockage intracellulaire de GL aux mêmes niveaux que ceux de la lignée sh control. Cette seconde étude montre donc que l’invalidation de Rev-erbα dans l’entérocyte entraîne une augmentation de la mobilisation des lipides des GL via le processus de la lipophagie résultant en une augmentation de la sécrétion de LRT. Notre hypothèse est que Rev-erbα joue un rôle clé dans le contrôle de la balance GL/LRT et donc de la triglycéridémie post-prandiale.Les deux études présentées dans cette thèse permettent une meilleure compréhension des mécanismes liés au contrôle du métabolisme lipidique par l’intestin et mettent ainsi en avant l’intestin comme une cible thérapeutique potentielle pour corriger les dyslipidémies du diabétique. / The intestine plays a key role in the control of energy homeostasis. Enterocytes, which constitute the main cellular type of intestinal epithelium (> 90%), are polarized cells allowing exchanges between intestinal lumen (apical membrane) and lymph/blood compartment (basolateral membrane). In this thesis, cholesterol and lipid metabolism control by enterocytes was studied and particularly, trans intestinal cholesterol excretion (TICE) and dietary lipid absorption.Recently, it has been estimated that intestine contributes 20-30% of fecal neutral sterol excretion in chow-fed mice. This pathway called TICE involves the direct luminal secretion of plasma-derived cholesterol by enterocytes. Moreover, TICE can be pharmacologically modulated, for instance by ezetimibe and statins and so, represents a new therapeutic target in order to prevent atherosclerosis in type 2 diabetic patients. However, at present, the molecular mechanisms behind the trans-enterocytic process of TICE are still unknown, especially the steps sustaining cholesterol entry, trafficking and efflux in enterocytes. In the first study of this thesis, we highlighted the human enterocytic Caco-2/TC7 cell line as a suitable model to study the enterocyte-related processes of TICE. We have first shown that upon basolateral incubation with human plasma and apical incubation with lipid micelles, differentiated Caco-2/TC7 cells mimic some of the in vivo TICE features. Moreover, using this model, we have identified a key role of the microtubule network in the process.In the second study of this thesis, chylomicron secretion by enterocytes and its control by the nuclear receptor Rev-erbα were investigated. Indeed, although chylomicron remnant accumulation has been associated to a delayed clearance by the liver, some recent studies show that chylomicron overproduction by the intestine is a major contributor to dyslipidemia in insulin resistant patients. Dietary lipid absorption results from a balance between transient storage in enterocytes as cytosolic lipid droplets (LD) and secretion as triglyceride-rich lipoproteins (TRL). The nuclear receptor Rev-erbα is a transcriptional repressor involved in the energy metabolism and the circadian rhythm. Particularly, Rev-erbα controls lipid metabolism in the liver and thus the catabolism of TRL. The aim of this second study was to investigate the role of Rev-erbα in intestinal lipid metabolism and particularly in TRL secretion. To study that, Caco-2/TC7 cells infected with lentivirus encoding or not a shRNA targeting Rev-erbα (sh Rev-erbα) were grown on transwells. Compared to sh control, sh Rev-erbα Caco-2/TC7 cells secrete higher amounts of micelle-derived LRT in the basolateral medium and exhibit lower quantity of neutral lipids stored as cytosolic LD, whereas the apical uptake is not different. Activation of lipophagy in sh Rev-erbα compared to sh control cells was evidenced by a higher autophagic flux and an increased colocalization of the autophagy marker LC3 with LD. Finally, autophagy inhibition with bafilomycin in sh Rev-erbα cells restores lipid secretion to the same level as in sh control cells. This second study show that Rev-erbα knock-down in enterocytes leads to a higher lipophagy-mediated remobilization of intracellular lipids and an increased TRL secretion. Our hypothesis is that Rev-erbα may be a molecular gear in the control of chylomicron secretion and a major regulator of post-prandial triglyceridemia.In conclusion, these two studies allow to better understand lipid metabolism control by the intestine: the first one by identifying the contribution of the microtubule network in enterocytes for trans-enterocytic retrograde cholesterol transport; the second one by highlighting the nuclear receptor Rev-erbα as a regulator of TRL secretion by enterocytes. These two studies point out the intestine as a potential therapeutic target to treat dyslipidemia in type 2 diabetic patients.

Os últimos anos se caracterizaram pelo aumento significativo da população idosa mundial. Por esta razão, a preocupação com o idoso está se tornando uma constante em nossa sociedade, uma vez que o envelhecimento resulta em comprometimento das funções fisiológicas, acompanhado ou não de alterações estruturais. No trato gastrointestinal (TGI), o processo de envelhecimento pode provocar alterações morfofuncionais significativas. A regulação da motilidade do TGI é controlada principalmente pelos neurônios mioentéricos do sistema nervoso entérico. A diminuição na densidade destes neurônios no cólon pode levar à redução na frequência e na amplitude da contração colônica manifestada como constipação. As ações que visam diminuir os efeitos do envelhecimento no TGI incluem aquelas relacionadas à dieta alimentar, entre as quais se destaca a restrição calórica. A restrição calórica, além de apresentar efeito protetor nos neurônios mioentéricos durante o envelhecimento, também é responsável pela diminuição da morte neuronal por apoptose, processo este acentuado com o envelhecimento. Assim sendo, este trabalho teve por objetivo avaliar os efeitos de diferentes níveis de restrição calórica sobre a plasticidade dos neurônios mioentéricos NADPH e acetilcolinesterase positivos do cólon de ratos Wistar durante o processo de envelhecimento por meio das análises ultraestrutural (microscopia eletrônica de transmissão) e morfoquantitativa. Para tanto foram utilizados 40 ratos machos (Rattus norvegicus), da linhagem Wistar, distribuídos em quatro grupos (n= 10/grupo): CI- animais de seis meses; SR- animais de 18 meses alimentados com dieta normal; RCI- animais de 18 meses alimentados com dieta com 12% de restrição calórica; RCII- animais de 18 meses submetidos à restrição calórica de 30%. Aos seis meses de idade, os animais foram transferidos para o biotério setorial, onde permaneceram até aos 18 meses sob condições ambientais controladas de temperatura e de iluminação e água ad libitum. Foi possível observar que a RC em nível de 30% minimizou de forma eficaz os efeitos deletérios do envelhecimento nos neurônios mioentéricos, podendo ser adotada como alternativa contra os distúrbios gastrointestinais comuns em indivíduos idosos. / The last years were characterized by a significant increase in the elderly population. For this reason, concern for the elderly is becoming a constant in our society, since the aging results in impairment of bodily function, or not accompanied by structural changes. In the gastrointestinal tract (GI), the aging process can cause significant morphological changes. The regulation of motility of the gut is controlled mainly by myenteric neurons of the enteric nervous system. The decrease in the density of neurons in the colon can lead to a reduction in the frequency and amplitude of contraction expressed as colonic constipation. The actions aimed at reducing the effects of aging on the GI system include those related to diet, among which stands out caloric restriction. Caloric restriction, and have a protective effect on the myenteric neurons during aging, is also responsible for the decrease of neuronal death by apoptosis, a process accentuated with aging. Thus, this study was to evaluate the effects of different levels of calorie restriction on the plasticity of myenteric neurons NADPH and acetylcholinesterase positive of the colon of rats during the aging process by means of ultrastructural (transmission electron microscopy) and morphoquantitative analysis. Therefore, we used 40 male Wistar rats (Rattus norvegicus), divided into four groups (n = 10): CI- animals six months; SR- animals 18 month fed a normal diet; RCI - animals 18 months fed a diet with 12% caloric restriction; RCII- animals 18 months fed a diet with 30% caloric restriction. At six months, the animals were transferred to the vivarium sector, where they remained up to 18 months under controlled conditions of temperature and light and water ad libitum. It was observed that the RC level of 30% effectively minimized the deleterious effects of aging on myenteric neurons, which may be adopted as an alternative against the common gastrointestinal disorders in the elderly.

A distrofia muscular do Golden Retriever é uma doença degenerativa de caráter hereditário com alterações musculares semelhantes às descritas na distrofia muscular de Duchenne, sendo comprovada a existência de alterações na musculatura lisa do trato gastrointestinal destes animais. Alguns autores sugerem que um dos fatores responsáveis por essas alterações possa estar relacionado com a motililidade intestinal. Este trabalho tem como objetivo estudar os neurônios nitrérgicos e colinérgicos, além da expressão do receptor P2X7, no plexo mioentérico do cólon descendente de cães afetados e não afetados pela distrofia muscular. Foram utilizadas técnicas de imunohistoquímica para marcação das enzimas Óxido Nítrico Sintase (NOS) e Acetilcolina Transferase (ChAT) e da população neuronal total pelo HuC/D e analisada a presença do receptor P2X7. Também foram utilizadas técnicas de microscopia eletrônica de transmissão e histologia básica. Os resultados indicam que neurônios nitrérgicos tendem a ser maiores em cães distróficos e apresentam morfologia Dogiel tipo I; neurônios que expressam o receptor P2X7 colocalizam com neurônios nitrérgicos e colinérgicos. As análises qualitativas demonstram que cães distróficos apresentam maior quantidade de colágeno entre as fibras musculares, entre as camadas musculares circular e longitudinal e, ainda, no interior dos gânglios mioentéricos. Este estudo fornece base para futuras pesquisas e tratamentos da distrofia muscular do Golden Retriever e mais futuramente da Distrofia Muscular de Duchenne, além de poder auxiliar no entendimento das desordens gastrointestinais que são observadas nesta última. / The golden retriever muscular dystrophy is a hereditary degenerative disease characterized by muscle changes similar to those described in Duchenne muscular dystrophy, as well as by alterations in the smooth muscles of the gastrointestinal tract. Some authors suggest that these abnormalities may be associated with intestinal motility. This study evaluated nitrergic and cholinergic neurons in the myenteric plexus of the descending colon of dogs with and without muscular dystrophy, in addition to P2X7 receptor expression. Immunohistochemical techniques were used to label nitric oxide synthase (NOS) and acetylcholine transferase (ChAT), as well as to label total HuC/D-immunoreactive neurons and neurons containing the P2X7 receptor. Transmission electron microscopy and basic histology were used for analysis. Results showed that nitrergic neurons tend to be larger in dystrophic dogs and to be characterized by Dogiel type I morphology, and neurons that express the P2X7 receptor colocalize with nitrergic and cholinergic neurons. Transmission and light microscopy revealed higher collagen density between muscle fibers, between circular and longitudinal muscle layers and within myenteric ganglia of affected dogs. These findings provide support for future research and treatment of the golden retriever muscular dystrophy and hence of the Duchenne muscular dystrophy and contribute to the understanding of the gastrointestinal disorders found in these patients.

A fome e a subnutrição estão entre os mais devastadores problemas sociais e de saúde pública nos países em desenvolvimento, estando relacionadas a problemas socioeconômicos como pobreza, miséria, baixo nível educacional, ausência de programas de saúde, déficit no saneamento básico e tabus alimentares. Assim, o presente estudo teve por objetivo avaliar os efeitos da dieta básica da população de Moçambique (DM) e da renutrição proteica, nos componentes do plexo mioentérico dos segmentos proximal e distal do intestino grosso de ratos Wistar de 21 e 42 dias. Para tanto, os animais foram divididos em sete grupos: o controle, dieta AIN-93G com adição de 20% de caseína (NN21 e NN42); Dieta de Moçambique (DM21 e DM42); Dieta Moçambique suplementada, acrescida de 20% de caseína (NM21 e NM42) e o grupo renutrido (RM42), animais do grupo DM21 que, a partir do 22º dia, receberam a dieta NM até atingirem 42 dias de vida. As amostras dos segmentos proximal e distal do intestino grosso, foram coletadas e submetidas às técnicas histoquímicas da NADH-diaforase e NADPH-diaforase e imunohistoquímica (ChAT, Substância P e VIP), para avaliação qualitativa e quantitativa dos neurônios do plexo mioentérico. A estrutura, ultraestrutura e morfometria dos componentes ganglionares e da parede e mucosa intestinal, foram avaliadas com o uso de técnicas rotineiras de histologia (HE, Picro-sírius e Weigert) e de microscopia eletrônica de varredura e de transmissão. Os dados foram submetidos à análise de variância (ANOVA) e, dependendo do parâmetro a ser avaliado, utilizados dois ou três fatores (grupo, idade e segmento do intestino). Quando necessário, comparações múltiplas pelos métodos de Bonferroni ou Tukey foram aplicadas, com nível de significância p&lt;0,05. A análise qualitativa mostrou que todos os grupos experimentais, independentemente da idade (21 e 42 dias) e segmento intestinal (proximal e distal), apresentaram as camadas histológicas e seus constituintes preservados. Os animais do grupo DM apresentaram os menores valores para: peso e comprimento; dados metabólicos; área da parede e mucosa intestinal; comprimento e área do intestino. A renutrição não foi capaz de recuperar esses parâmetros. As fibras colágenas do tipo I predominaram no grupo DM e as do tipo III no grupo RM. As fibras elásticas não foram detectadas na cápsula dos gânglios mioentéricos do grupo DM aos 21 e 42 dias. A imunorreatividade dos neurônios mioentéricos à ChAT, SP e VIP, mostrou-se fraca no grupo DM. Sob o aspecto ultraestrutural, o grupo DM exibiu um atraso no desenvolvimento celular. A densidade de neurônios reativos à NADH-d e NADPH-d foi maior em todos os grupos de 21 em comparação aos grupos de 42 dias, independente do segmento. O grupo DM apresentou uma densidade numérica neuronal maior em relação aos outros grupos, independente do segmento e idade. Por outro lado, quando se avaliou a área do perfil neuronal, os grupos de 42 dias exibiram uma área maior em relação aos animais de 21 dias, independente do segmento. Entre os grupos da mesma faixa etária, independente do segmento, a área neuronal dos animais foi maior no grupo NN, e menor no grupo DM. O grupo RM não recuperou esse parâmetro. A estimativa do número total de neurônios da NADH-d aumentou com a idade em todos os grupos. Considerando a mesma faixa etária, não foram detectadas diferenças entre os grupos. Já a estimativa neuronal para a NADPH-d foi maior no grupo DM, independentemente da idade. / Hunger and malnutrition are among the most devastating social and public health problems in developing countries, being related to socioeconomic problems such as poverty, misery, poor education, absence of health programs, deficit in basics sanitation and food taboos. The aim of the present study was to evaluate the effects of Mozambique populations regular diet (DM) and the protein refeeding in the components of the myenteric plexus of proximal and distal segments of the large intestine of Wistar rats 21 and 42 days old. Animals were divided into seven groups: control, AIN-93G diet with 20% casein addition (NN21 and NN42); Diet Mozambique (DM21 and DM42) and Diet Mozambique supplemented with 20% casein (NM21 and NM42) and re-nourished group (RM42), animals from DM21 group, 22 days old, that received the NM diet until they reach 42 days old. Proximal and distal segments samples of the large intestine were collected and submitted to NADH-diaforase and NADPH-diaforase histochemical techniques and to immunohistochemistry (ChAT, Substance P and VIP), in order to demonstrate myenteric neurons. The structure and ultra-structure of ganglion components and intestinal wall were assessed using routine histology techniques (HE, Picrosirius and Weigert) and scanning and transmission electron microscopy. Data was analyzed by the analysis of variance (ANOVA) and, depending on the parameter to be assessed, two or three factors were used (group, age and bowel segment). When necessary, multiple comparisons by Bonferroni or Tukey methods were applied, considering p &lt;0.05 as significance level. Qualitative analysis showed that all groups, regardless of age (21 and 42 days), and intestinal segments (proximal and distal) showed histological layers and their constituents preserved. RM group did not recovered this parameter. DM group animals showed the smallest values for the following parameters: weight and length; metabolic data; intestinal mucosa and wall area; intestine length and area. Refeeding did not recovered these parameters. Type I collagen fibers were most frequent in DM group, whereas type III prevailed in RM group. Elastic fibers were not detected in the capsule of myenteric ganglion of DM group at 21 and 42 days. DM group showed low immune reactivity of myenteric neurons to ChAT, SP and VIP. As regards to ultrastructural aspects, DM group showed slow cellular development. Besides, NADH-d and NADPH-d analysis exhibited increased numeric neuronal density in 21 days old animals compared to 42 days old animals, despite segments. DM group showed higher neuronal numeric density than other groups, regardless of segment and age. On the other hand, when evaluating the neuronal profile area, 42 days groups showed greater area than 21 days animals, with both techniques and regardless of segment. Furthermore, DM group showed significantly lower neuronal area compared to the other groups, regardless of intestinal segment. RM group did not recovered this parameter. Total number of neurons directly increased according to age in all groups. No difference was found between groups of same age. NADPH-d neuronal estimative was higher in DM group, regardless of age.

Colorectal cancer (CRC) is the second most common cause of cancer-related death in the UK and Western world. More than 90% of sporadic CRCs harbour mutations in the multi-functional tumour suppressor gene Adenomatous polyposis coli (<i>Apc</i>). The most commonly studied function of APC is its role as a scaffold for the β-catenin destruction complex involved in Wnt signalling. However, APC binds many other proteins. For example, it directly binds to and stabilises microtubules and actin. These non-Wnt related functions of APC are poorly understood. My PhD examines non-Wnt functions of APC. To this end, I created degron-tagged APC in DT40 cells that allowed for the rapid, conditional degradation of endogenous APC. The aim was to identify the immediate effects on cellular processes. Then, to identify the contribution of different APC domains by measuring the ability to rescue any defects when reintroducing fragments of APC. However, creation of these degron-tagged <i>Apc </i>knock-in cell lines resulted in hypomorphic phenotypes and auxin-associated off-target effects. Nonetheless, I compared the response of APC^high, APC^low, and APC^minimal cells to DNA damaging agents and Taxol® but found no significant differences. Subsequently, I focused on the relationship between APC and apoptosis. Previous observations suggested that deficiency in <i>Apc </i>rendered cells less sensitive to low doses of Taxol®. However, <i>Apc </i>deficient cells were more readily killed when Taxol® was combined with the Bcl-2 inhibitor, ABT-737. One possible explanation is the increase in Bcl-2 protein upon <i>Apc </i>depletion. However, I found that ABT-737, Taxol® and <i>Apc </i>depletion each cause activation of the unfolded protein response. This suggests that these treatments elicit a stress response that can stimulate apoptosis. Moreover, the same treatments also cause changes in mitochondria. Importantly, all of these effects do not require an increase in the β-catenin protein. Together, my data reveal novel links between APC and apoptosis that could be exploited clinically.

Le tissu adipeux blanc (TA) joue un rôle central dans la physiopathologie de l'obésité et la résistance à l'insuline. Durant ma thèse, j’ai étudié la réponse cellulaire et moléculaire du TA au stress métabolique induit chez la souris par l'administration d'un isomère de l'acide linoléique (CLA). Nous avons utilisé l’isomère trans10,cis12 de l'acide linoléique (t10,c12-CLA) pour promouvoir un syndrome lipoatrophique chez la souris C57BL/6J. La dynamique de cette réponse a été explorée dans le TA, l'intestin et au niveau systémique, sur deux périodes consécutives de 7 jours d’administration de t10,c12-CLA puis d’interruption du traitement. Nos résultats montrent que t10,c12-CLA induit une dérégulation des gènes métaboliques et un dépôt de matrice extracellulaire (ECM) dans le TA. Le profil immunologique est perturbé, avec l'accumulation de macrophages M2 anti-inflammatoires. Ces altérations métaboliques, immunitaires et structurelles sont inversées, mais pas toujours normalisées, après 7 jours de récupération. La réversibilité des modifications observées dans le TA indique que cette réponse est plus adaptative que pathologique. Cependant, les altérations induites par t10, c12-CLA dans le TA sont temporellement liées à l'hyperinsulinémie, ce qui renforce l’idée que l'intégrité du TA est cruciale pour l'homéostasie glucidique. Bien qu’aucune réponse immunitaire n’ait été observée dans l'intestin, l’expression des gènes codant pour des protéines de jonctions serrées (claudine et occludine) est diminuée. Une partie des effets de t10,c12-CLA pourrait être relayée par l’augmentation de la perméabilité intestinale. Cette étude montre que, en réponse à un stress nutritionnel de courte durée, le TA regagne rapidement son homéostasie. Lorsque la contrainte est plus chronique, comme dans l'obésité, la plupart des interventions ne parviennent pas à inverser l'état dysfonctionnel du TA. Le grand défi dans les années à venir reste de trouver des stratégies thérapeutiques à long terme dans les maladies métaboliques. / White adipose tissue (WAT) plays a central role in the physiopathology of obesity and insulin resistance. During my PhD, I studied the cellular and molecular response of WAT to metabolic stress induced in mice by the administration of an isomer of linoleic acid (CLA). We used trans10,cis12 isomer of linoleic acid (t10,c12-CLA) as a tool to promote a lipoatrophic syndrome in C57BL/6J lean female mice. The short-term dynamics of this response was explored in WAT, gut and at systemic level, over two consecutive 7-day periods of t10,c12-CLA administration and withdrawal. Our results show that t10,C12-CLA-induced alterations in WAT included metabolic gene deregulation and extracellular matrix deposition. The immunological profile of WAT was markedly disturbed, with anti-inflammatory M2-polarized macrophage accumulation. Metabolic, immune and structural alteration were fully revered, but not always normalized after 7 days without treatment. The reversibility of WAT alterations indicates a more adaptive than pathological response to t10,C12-CLA. However, t10,c12-CLA-induced WAT deregulation is temporally linked to hyperinsulinemia supporting the primacy of WAT integrity for glucose homeostasis. No immune alteration was observed in response to t10,C12-CLA in the gut, where genes encoding tight junction proteins (claudin and occludin) were down regulated. Thus, part of the effects of t10,c12-CLA could be mediated by increased intestinal permeability. This study shows that in response to an acute nutritional stressor, WAT and glucose homeostasis could be rapidly regained. When the stress is more chronic, as in obesity, most of the interventions fail to reverse WAT dysfunctional state, underlining the big challenge in the years ahead of finding long-term therapeutic strategies in metabolic diseases.

A síndrome de emagrecimento progressivo (SEP) dos calitriquídeos representa importante causa de morbidade e mortalidade de sagüis mantidas em cativeiro. A etiologia dessa síndrome não está estabelecida e suas principais características são emagrecimento progressivo, diarréia, colite, anemia, paralisia dos membros posteriores e alopecia. Com esse estudo pretende-se responder se a síndrome é um processo de má-absorção ou de desnutrição protéico-calórica primária, caracterizar o quadro histológico intestinal de base e a resposta imunológica tecidual local. Foram estudados três grupos de sagüis: 1) 40 doentes com SEP pertencentes ao criadouro Mucky, 2) 9 controles vivos sadios, 3) 8 necrópsias de controles sem SEP. Foi realizado acompanhamento clínico, exame laboratorial das fezes, teste de absorção de D-xilose, avaliação da composição nutricional e digestibilidade da dieta, estudo anatomopatológico, incluindo avaliação semiquantitativa e análise morfométrica do jejuno de sagüis que foram a óbito naturalmente por SEP e dos controles. Os resultados alcançados permitiram caracterizar o perfil dos animais acometidos no nosso meio; os sinais clínicos maiores e menores da síndrome; identificar esteatorréia; o comprometimento da função digestiva e absortiva do intestino delgado dos sagüis com SEP; caracterizar o quadro histopatológico como uma enterite com atrofia semelhante à doença celíaca humana. A associação dos resultados clínicos, laboratoriais e histológicos permitiu definir a SEP como processo de má-absorção, por perda de superfície absortiva de intestino delgado, decorrente de enterite crônica imunomediada, de padrão celíaco-like que leva a progressiva e grave desnutrição secundária dos animais acometidos. / Wasting marmoset syndrome (WMS) is an important cause of morbidity and mortality of marmosets and tamarins kept in captivity. The etiology of this syndrome has not been established and its main features are progressive weight loss, diarrhea, colitis, anemia, hind limb paralysis, and alopecia. The aims of this research were to demonstrate that WMS is a malabsorption process, and to analyze the underlying histological lesion of the intestine and to characterize the local immune response of the small intestine. The sick marmosets (n=40) were compared to live normal controls (n=9) or to necropsied marmosets that died of other diseases than WMS (n=8), regarding clinical follow up, fecal analysis, D-xylose absorption test, evaluation of the nutritional composition and digestibility of the diet, gross and histological examination and morphometric approach of the jejune of wasters and control marmosets. These data revealed general features of WMS under our general captivity conditions, major and minor clinical signs of waster marmosets, impaired absorptive and digestive function of small intestine with steatorrhea and atrophic enteritis similar to celiac disease. The clinical and laboratory data associated with pathology examination demonstrated that WMS is a malabsorption process due to loss of absorptive surface area that results in progressive secondary malnutrition of the waster marmosets. The major immunologic mechanism underlying the celiac-like enteritis of WMS is a T-cell immune mediated response that affects intestine architecture