Nous avons découvert que les DC pathologiques (LCH DC) qui s’accumulent dans les granulomes de patients atteints d’histiocytose langerhansienne (LCH) produisent l’IL-17A (Coury et al, Nat Med 2008). In vitro, les LCH DC fusionnent en cellules géantes (MGC) sous l’influence de leur production autocrine d’IL-17A. In vivo, les granulomes de LCH DC et MGC détruisent les tissus. Pendant la thèse, nous avons étudié les transcriptomes des monocytes, DC, traitées ou non par l’IL-17A et des LCH DC. L’IL-17A induit BCL2A1, un membre de la famille Bcl-2 qui prolonge la survie des DC. Elle induit aussi les chémokines CCL20 et CCL2, qui regroupent les DC avant leur fusion. L’induction du récepteur nucléaire LXR-α, de protéines impliquées dans le métabolisme, le transport et le stockage des lipides témoignent d’un profond remodelage lipidique. Après la confirmation de ces régulations par PCR et western, les goutelettes lipidiques sont quantifiées à l’huile rouge, puis l’analyse lipidomique révèle l’augmentation de phospholipides, triglycérides, esters de cholestérol et cholestérol par l’IL-17A dans les DC qui sont aussi capables de capturer du palmitate extracellulaire fluorescent. Les transcriptomes des DC traitées à l’IL-17A et des LCH DC sont similaires. La simvastatine qui bloque la synthèse de cholestérol tue les LCH DC. Ce travail établit pour la première fois que l’IL-17A affecte profondément le métabolisme lipidique des DC, une activité qui pourrait avoir d’importantes applications dans les maladies chroniques inflammations associées à une dérégulation lipidique comme l’athérosclérose, l’obésité, la tuberculose et la LCH / We found that the pathological DCs (DC LCH), accumulating in the granulomas of patients affected with Langerhans cell histiocytosis (LCH), produce IL-17A (Coury et al, Nat Med 2008). In vitro, LCH DCs form multinucleated giant cells (MGC) by a fusion process, under the influence of their IL-17A autocrine production. In vivo, granulomas, which are mainly composed of LCH DCs and MGCs, destroy tissues of the patients. During the PhD, we studied the transcriptomes of monocytes, DCs, treated or not with IL-17A, and LCH DCs. IL-17A induceed BCL2A1, a member of the Bcl-2 family that prolonged DC survival. It also induced the CCL2 and CCL20 chemokines that clustered DC, a process required to license DC fusion. The inductions of LXR-α nuclear receptors, proteins involved in metabolism, transport and storage of lipids signed a deep lipid remodeling induced by IL-17A in DCs. We confirmed these regulations by PCR and western studies, then the lipid droplets were quantified after Oil Red-O staining. Further lipidomic analysis revealed an increase of phospholipids, triglycerides, cholesteryl esters and cholesterol by IL-17A in DCs, which are also able to capture extracellular fluorescent palmitate. Transcriptomes of DCs treated with IL-17A and LCH DCs were similar. Simvastatin, which inhibits the synthesis of cholesterol, killed LCH DC. For the first time, this work establishes that IL-17A profoundly affects the lipid metabolism of DCs, an activity that may have important applications in chronic inflammations associated with lipid deregulations such as atherosclerosis, obesity, tuberculosis and LCH

Introdução: A doença arterial coronária (DAC) decorrente da aterosclerose é uma das principais causas de comprometimento do envelhecimento saudável e sobrevida do idoso.Entre os principais fatores de risco da DAC estão o diabetes mellitus tipo 2 (DM) e as dislipidemias. O HDL-colesterol baixo é fator de risco importante, mas aspectos funcionais e metabólicos da HDL devem ser avaliados, já que esta lipoproteína tem várias ações anti-aterogênicas. Neste sentido, a transferência de lípides de outras lipoproteínas para a HDL, mediada pela proteína de transferência de ésteres de colesterol (CETP), é passo importante na formação e metabolismo da HDL e está relacionada com a presença de DAC. Objetivo: Avaliar o impacto da idade nas transferências de lípides para HDL e outros parâmetros relacionados com o metabolismo da HDL em indivíduos idosos e as mudanças nesses parâmetros em idosos com DAC e com DAC e DM. Métodos: Foram estudados 25 jovens (JOV), 35 idosos sem DAC e sem DM (IDS), 35 idosos com DAC (IDS-DAC) e 34 idosos com DAC e DM (IDS-DAC-DM). Foram determinados perfil lipídico e apolipoproteínas plasmáticas, concentração plasmática da CETP e da lecitina-colesterol aciltransferase (LCAT), composição lipídica e diâmetro da HDL e marcadores inflamatórios. A transferência de colesterol esterificado e livre, fosfolípides e triglicérides para a HDL foi realizada por ensaio \"in vitro\" com uma nanopartícula marcada com lípides radioativos como partícula doadora de lípides. Após a precipitação química das outras lipoproteínas e da nanopartícula doadora, o sobrenadante contendo HDL foi separadoe medida a radioatividade. Resultados: IDS apresentou IMC maior que JOV. LDL-colesterol e não-HDL-colesterol, IL-6 e IL-8 foram mais altos, IL-1β mais baixo e a transferência de fosfolípides para a HDL foi maior em IDS do que em JOV, mas as diferenças desapareceram quando corrigidas pelo IMC. Entre IDS-DAC e IDS não houve diferenças nos lípides plasmáticos, mas no IDS-DAC a transferência de colesterol livre, triglicérides e fosfolípides foi menor e a de colesterol esterificado foi maior. A concentração de CETP foi maior no IDS-DAC, onde houve maior % de colesterol esterificado e triglicérides e menor % de fosfolípides na HDL. Em IDS-DAC-DM, apoB foi maior que em IDS-DAC, mas LDL-colesterol foi igual. Houve menor transferência de colesterol esterificado em IDS-DAC-DM comparado a IDS-DAC e maior de fosfolípides. IDS-DAC-DM teve CETP mais baixa e LCAT mais alta do que IDS-DAC. Em IDS-DAC-DM houve menor proporção de colesterol esterificado e livre e maior de fosfolípides na HDL. Marcadores inflamatórios não diferiram entre IDS-DAC-DM e IDS-DAC. Conclusões: As alterações nos parâmetros de transferência de lípides sinalizaram tanto a presença de DAC nos idosos quanto diferenciaram idosos com DAC associada a DM daqueles apenas com DAC. A redução da transferência de colesterol livre nos idosos com DAC é aterogênica, como foi mostrado em trabalho anteriorem indivíduos de 40-50 anos com DAC precoce. Esses dados podem ter aplicação tanto na prevenção quanto na terapêutica da DAC, por meio de medicamentos que modulem a transferência de lípides para a HDL e assim melhorem a função anti-aterogênica desta lipoproteína. / Introduction: Coronary artery disease (CAD) resulting from atherosclerosis is one of the main causes of compromised healthy aging and lifespan in elderly people. Amongst the main risk factors for CAD are type 2 diabetes mellitus (DM) and dyslipidemias. Low HDL-cholesterol is an important risk factor, but functional and metabolic aspects of HDL must be evaluated, since this lipoprotein has several anti-atherogenic actions. In this regard, lipid transfer from other lipoproteins to HDL, mediated by cholesteryl ester transfer protein (CETP), is an important step towards the formation and metabolism of HDL and is related to the presence of CAD. Objective: To evaluate the impact of age in lipid transfer to HDL and other parameters related to HDL metabolism in elderly individuals and the changes in these parameters in elderly individuals with CAD and with CAD and DM. Methods: 25 young (YOUNG), 35 elderly without CAD and DM (ELDERLY), 35 elderly with CAD (ELDERLY-CAD) and 34 elderly with CAD and DM (ELDERLY-CAD-DM) subjects were studied. The lipid profile, the apolipoprotein, CETP and lecithin-cholesterol acyltransferase (LCAT) plasma concentration,theHDL lipid composition and diameter and inflammatory markers were evaluated.The transfer of esterified and free cholesterol, phospholipids and triglycerides to HDL was assayed in vitro with a donor lipid nanoparticle labeled with radioactive lipids.After chemical precipitation of the other lipoproteins and the donor lipid nanoparticle, the supernatant containing HDL was separated and the radioactivity was measured. Results: ELDERLY presented greater BMI than YOUNG. LDL-cholesterol and non-HDL-cholesterol, IL-6 and IL-8 were higher, IL-1β was lower and phospholipid transfer to HDL was higher in ELDERLY than in YOUNG, but the differences disappeared when corrected by BMI. There were no differences in plasmatic lipids between ELDERLY-CAD and ELDERLY, but in ELDERLY-CAD the transfer of free cholesterol, triglycerides and phospholipids was lower and of esterified cholesterol was higher. CETP concentration was higher in ELDERLY-CAD, where there was higher % of esterified cholesterol and triglycerides and lower % of phospholipids in HDL. In ELDERLY-CAD-DM, apo B was higher than in ELDERLY-CAD, but LDL-cholesterol was equal. There was lower transfer of esterified cholesterol in ELDERLY-CAD-DM compared to ELDERLY-CAD and higher transfer of phospholipids. ELDERLY-CAD-DM had lower CETP and higher LCAT than ELDERLY-CAD. In ELDERLY-CAD-DM there was a smaller proportion of esterified and free cholesterol and greater proportion of phospholipids in HDL. Inflammatory markers did not differ between ELDERLY-CAD-DM and ELDERLY-CAD. Conclusions: The alterations in the parameters of lipid transfer not only signalled the presence of CAD in the elderly but also differentiated the elderly with CAD and DM from those with CAD only. The reduction of free cholesterol transfer in the elderly with CAD is atherogenic, as shown in a previous work on individuals of 40-50 years of agewith precocious CAD. This data may be applied both to the prevention and the therapeutics of CAD, by means of medicines that modulate lipid transfer to HDL and thus improve the anti-atherogenic function of this lipoprotein.

Introdução - A soja e outras leguminosas são consideradas como alimentos funcionais por apresentarem propriedades hipocolesterlemizantes. Esta propriedade, porém, ainda não foi relatada para o feijão caupi. Um possível componente deste grão responsável pelo feito redutor de colesterol é sua proteína. Objetivo - Produzir isolado protéico de feijão caupi e verificar a influência do grão integral e de sua proteína isolada no metabolismo lipídico de hamsters hipercolesterolemizados pela dieta. Métodos - O isolado protéico de feijão caupi foi produzido por precipitação isoelétrica, utilizando-se pH 8,5 para solubilização da proteína e 4,5 para a sua precipitação, obtendo-se um isolado com 92 % de proteína. O isolado protéico (IP) e o feijão caupi integral (FCI) foram utilizados como fonte protéica em dietas experimentais para hamsters que tiveram hipercolesterolemia induzida por dieta contendo 20 % de caseína, 13,5 % de gordura saturada e 0,1 % de colesterol, por 3 semanas. Os animais foram distribuídos em três grupos, recebendo cada grupo dieta com 20 % de caseína (controle), dieta com 20 % de proteína de isolado de feijão caupi e dieta com 20% de proteína de feijão caupi integral, por 4 semanas. Resultados - Comparando-se à dieta controle, a dieta com FCI e IP provocaram reduções significativas no colesterol total (49 % e 20 %, respectivamente) e colesterol não-HDL (54 % e 22 %, respectivamente). Análises histológicas do fígado foram realizadas e observou-se que IP e o FCI proporcionaram efeito hepatoprotetor comparado à caseína, pois o grupo que recebeu caseína apresentou em média esteatose difusa e intensa, enquanto grupo com feijão e isolado apresentaram esteatose focal e, em alguns casos, ausentes. Alguns possíveis mecanismos envolvidos para o efeito benéfico no metabolismo lipídico foram investigados. A digestibilidade verdadeira do IP foi igual à da caseína, enquanto a do feijão integral foi menor. A excreção de ácidos biliares e colesterol foi inversamente proporcional aos níveis plasmáticos do colesterol dos animais submetidos às diferentes dietas. Os animais com a dieta de feijão integral apresentaram a maior excreção de ácidos biliares e colesterol nas fezes; valores estatisticamente diferentes aos dos animais da dieta com caseína. Conclusões - O feijão caupi e sua proteína isolada reduzem o colesterol plasmático e proporcionam efeito hepatoprotetor. A digestibilidade, excreção de ácidos biliares e colesterol não estão relacionados com a redução do colesterol provocada pelo IP. O mecanismo envolvido na redução do colesterol nestes experimentos ainda não está totalmente elucidado, sugerindo que a proteína isolada do feijão caupi atue na síntese de colesterol, pois não foi observado aumento na sua excreção. / Introduction - Soya and other legume seeds are considered functional food because of their hypocholesterolemic properties. This property, however, is not reported yet for cowpea. A possible component present in this grain that could respond for the hypocholesterolemic effect is the protein fraction. Objective - To produce protein isolate of cowpea and to verify the influence of the whole seed and its isolated protein on the lipid metabolism of diet hypercholesterolemized hamsters. Methods - The cowpea protein isolate was prepared by isoelectric precipitation, using pH 8.5 for solubilization and pH 4.5 for protein precipitation. The isolate obtained presented protein content of about 92%. The protein isolate (PI) and cowpea whole seed (CWS) were used as protein source in experimental diets fed to hamsters that previously had their blood cholesterol increased by a diet containing 20 % of casein, 13,5 % of saturated fat and 0,1 % of cholesterol during 3 weeks. Animals were divided into 3 groups and fed on diets containing: 20 % casein (control), 20 % isolate protein of cowpea and 20 % of cowpea whole seed for 4 wks. Results - The results showed that for hamster that fed on diets containing PI and CWS occurred a significant decrease in total cholesterol (49 % and 20 %, respectively) and non-HDL cholesterol (54 % and 22 %, respectively), as compared to casein group. Histological analysis of hepatic tissue was performed and showed that PI and CWS presented reduction in hepatic lipotoxicity as compared to the casein group. Therefore, the group that received casein presented steatosis widely distributed throughout the hepatic lobule, while whole seed cowpea and protein isolate meal groups produced only focal steatosis and, in some cases, it was absent. Some mechanisms involved in lowering plasma cholesterol were investigated. Digestibility for PI was equal for casein group, while it was significantly lower for CWS group. The bile acids and cholesterol excretion in the feces were inversely proportional to plasma cholesterol levels. Animals on CWS presented higher levels of feces bile acids and cholesterol; these values were statistically different from animals on casein diet. Conclusions - Whole seed cowpea and its protein isolate reduce plasma cholesterol and hepatic lipotoxicity. Digestibility, the bile acids and cholesterol excretion are not related to hypocholesterolemic effect of protein isolate of cowpea. The mechanisms involved cholesterol reduction in these experiments is not yet fully elucidated. It is suggested that protein isolate of cowpea is related to the cholesterol syntheses, as it was not verified any increase in cholesterol excretion in the animals on protein isolate diet.

Introdução: O café é uma das bebidas mais apreciadas e consumidas no mundo, por suas características organolépticas e efeito estimulante. Pelos potenciais efeitos na saúde causados por esta bebida surgiu, desde cedo, o interesse da comunidade científica. Como ainda ha controvérsias a respeito do café quanto aos seus reais efeitos, justifica-se este estudo em voluntários saudáveis e consumidores habituais de café. Objetivo: Comparar o consumo de dois diferentes graus de torras de café (torra média e escura) em 3 tipos de café: 100% arábica, blend e blend descafeinado e seus efeitos sobre o perfil metabólico em indivíduos saudáveis. Métodos: Em estudo prospectivo, foram avaliados 70 indivíduos sem qualquer doença associada, sendo 50 mulheres, com idade média de 47 ± 12 anos. Durante o período de seguimento no estudo, os voluntários que preencheram os critérios de inclusão, assinaram o Termo de Consentimento Livre e Esclarecido e iniciaram no estudo, que teve um total de 77 dias. Cada voluntário realizou quatro visitas (T0, T1, T2 e T3). Primeiramente, os participantes foram randomizados para cada tipo de café: 100% arábica, blend ou blend descafeinado. Depois uma nova randomização foi feita para estabelecer a ordem de consumo dos dois graus de torra (média e escura), num estudo do tipo crossover. Na visita T0, o participante foi orientado a parar a ingestão do café ou qualquer alimento fonte de cafeína por 21 dias. Na visita T1 foram randomizados para iniciar o consumo de café filtrado primeiro com um tipo de torra (torra média ou torra escura) por 4 semanas e então com \"crossover\" para o outro tipo (visita T2), com um período total de 8 semanas de consumo de café. O café foi fornecido aos pacientes, sendo do mesmo tipo, do mesmo produtor e com a forma de preparo padronizada e consumo diário de café de 450-600 ml/dia. Após período de \"washout\" (basal) e após cada período de tomada de café por tipo de torra, os pacientes foram submetidos aos exames laboratoriais (Colesterol total e frações, triglicérides, glicemia de jejum, PCR, Lp(a), homocisteína e acido fólico) e avaliação antropométrica (peso e IMC). Resultados: Foi observado aumento do colesterol total, do LDL e do HDL no grupo que consumiu café do tipo Blend, para os dois tipos de torra quando comparados ao basal. Houve aumento significativo da homocisteína no grupo que consumiu café 100% arábica e Blend. No grupo que consumiu café 100% arábica houve aumento significativo da homocisteína somente na torra média quando comparado ao basal. Já no grupo que consumiu o café tipo blend a diferença significativa foi apenas entre as duas torras escura e média, na qual a escura apresentou valor menor que a torra média. Conclusão: Café promove aumento discreto nas dosagens de homocisteína quando consumido o café blend e 100% arábica. Aumentou também o colesterol total, LDL, e ao mesmo tempo o HDL, quando consumido café tipo Blend. Apesar de significativas, as alterações no perfil metabólico foram muito discretas. Seria muito difícil determinar a influência que o café tem no metabolismo lipídico dos indivíduos, mas talvez esse discreto aumento juntamente com algum efeito antioxidante pode contribuir para a redução de morte por doenças cardiovasculares como já foi observado em estudos epidemiológicos / Introduction: Coffee is one of the most popular beverages in the world. Given its high consumption, potential health effects caused by this beverage brought the interest of the scientific community. Considering the current knowledge and controversies about drinking coffee daily, justifies this study in healthy volunteers and habitual coffee drinkers. Objectives: To compare the consumption of two different coffee roasts degrees (medium and dark roast) on 3 types of coffee: 100% arabic, blend and decaffeinated blend coffee and its effects on metabolic profile in healthy subjects. Results: 70 healthy subjects, age 47 ± 12 years old participated in the trial. Most subjects were female (71,4%). This randomized crossover clinical trial lasted 77 days. All the volunteers performed four visits (T0 - T1 - T2 -T3). In the visits, the participants had blood samples taken, held clinical examinations and nutritional evaluation, aside from receiving orientation. Randomly, participants should drink 100% Arabic, blend coffee or decaffeinated coffee. Then, in a second stage, again randomly, volunteers were draw to see which roast they would start drinking. In T0, subjects were oriented to stop consuming all the foods and beverages, which contained coffee or caffeine for 21 days. In T1 subjects start consuming medium or dark roast paper-filtered coffee for 4 weeks. In T2 they start the other roast for another additional 4 weeks. In T3, subjects stopped the coffee consumption, thus the study was completed. Participants received the coffee powder according to randomization criteria previously described. It is the same kind of coffee from the same producer and way to prepare. The coffee daily consumption were between 450 -600 ml. After \"washout\" period and after each period drinking coffee, all the subjects had sample bloods taken, to assess total cholesterol and fractions, triglycerides, glycaemia, homocisteine, acid folic and anthropometric (weight and BMI - body mass index). After analyzing the results, we observed an increase in total cholesterol, LDL and HDL levels after blend coffee intake. A significative increase in homocisteine levels after 100% Arabic and blend coffee intake. The significant difference in the group that consumed 100% arabic coffee were in between basal and medium roast. But in in group that consumed blend coffee this significant difference in homocisteine were in between the two roasts, higher during medium roast. Conclusions: Those results demonstrate a slight increase in homocisteine, when consumed blend coffee and 100% Arabic coffee. Also increased total cholesterol and LDL but at the same time increased the HDL, when they drank blend coffee. Despite significant, those metabolic alterations were discrete. It is difficult to determine the coffee influence on lipid metabolism, but maybe this slight increase tin HDL together with some antioxidant effect can contribute to the reduction of death from cardiovascular disease as already noted in epidemiologic studies

Concentração de apolipoproteína A-1 (1.5±0.3; 1.5±0.2g/l). O tamanho da HDL também foi igual entre os dois grupos (8.8±0.8; 9.0±0.5 nm, respectivamente). A menopausa também não afetou a transferência de lípides da LDE para a HDL (em % total de radioatividade/10mg HDL/h), CE (0.5±0.3; 0.5±0.2, respectivamente), CL (0.9±0.2; 0.9±0.2), TG (0.6±0.2;0.6±0.2) e PL (3.0±0.7; 3.3±1.0). Conclusão: A menopausa não Introdução: A concentração plasmática da HDL é um fator de risco importante e independente para a prevenção da doença aterosclerótica, principalmente na mulher. Seu metabolismo e suas características estruturais e funcionais também têm sido estudados como fatores de risco. Neste estudo, foram comparadas mulheres de mesma faixa etária na pré e na pós-menopausa, para determinar a influência da menopausa sobre o tamanho da HDL e sobre a habilidade desta lipoproteína em receber lipídios de lipoproteínas doadoras, um processo que depende de proteínas de transferência e da composição e estrutura da HDL. Métodos: Vinte e duas mulheres saudáveis, normolipidêmicas na pré e dezoito na pós-menopausa, de idades entre 40-50 anos foram estudadas. Os grupos não diferiam em IMC, glicemia, colesterol total, LDL, triglicérides, apo A1 e apo B. Uma nanoemulsão artificial foi usada como modelo de LDL (LDE) para doar lípides para a HDL. LDE marcada radioativamente com 3 H-triglicérides (TG) e 14 C-colesterol livre (CL) ou 3 H- ésteres colesterol (CE) e 14 C-fosfolipídios (PL) foram incubados com as amostras de plasma por 1 hora. Após a precipitação química do sobrenadante contendo HDL, foi contada a radioatividade. O tamanho da HDL foi medido por espalhamento da luz laser. Resultados: A concentração da HDL nos dois grupos não diferiu, demonstrada pela concentração de HDL colesterol (61±12; 61±14 mg/dl respectivamente) e influenciou o tamanho das partículas HDL e um importante parâmetro funcional que é a habilidade da HDL de receber lipídios. / Objective: HDL levels are important for atherosclerosis prevention especially in the female gender, but functional aspects of the lipoprotein are also important. In this study, post-menopausal were compared to pre-menopausal women in the same age range to determine the influence of menopause upon the HDL size and ability of the lipoprotein to receive lipids from donor lipoproteins, a process that depends on transfer proteins and on HDL composition and structure. Methods: Twenty-two pre and eighteen postmenopausal, healthy and normolipidemic women, aged 40-50 yr. Both groups did not differ in BMI and plasma glucose, total and HDL cholesterol, triglycerides and apo B concentration. An artificial nanoemulsion (LDE) was used as a model of LDL to donate lipids to HDL. LDE labeled with 3 H-triglicerides (TG) and 14 C-free cholesterol (FC) or 3 H-cholesteryl esters (CE) and 14 C-phospholipids (PL) incubated with plasma samples for 1h. After chemical precipitation, the supernatant containing HDL was counted for radioactivity. HDL size was measured by laser-light-scattering. Results: HDL concentration of pre and post menopausal women did not differ as estimated by HDL cholesterol (61±12; 61±14 mg/dl respectively) and apo A1 concentration (1.5±0.3; 1.5±0.2g/l). HDL size also did not differ (8.8±0.8; 9.0±0.5 nm, respectively). Menopause also did not affect the transfer of lipids from LDE to HDL (in % of total radioactivity/10mg HDL/h), namely CE (0.5±0.3; 0.5±0.2, respectively), FC (0.9±0.2; 0.9±0.2), TG (0.6±0.2;0.6±0.2) and PL (3.0±0.7; 3.3±1.0). Conclusion: The menopause does not affect the size and an important functional parameter that is the ability of HDL to receive lipids.

Made available in DSpace on 2017-07-10T14:17:02Z (GMT). No. of bitstreams: 1 adriana.pdf: 2337170 bytes, checksum: e5390349b6b7e1277dc2720b1b76d735 (MD5) Previous issue date: 2013-07-01 / The effects of periodontal disease in the oral cavity are well known, however, they can also produce systemic side effects, including the association with the acquired cardiovascular disease. It may be possible to accept as mechanisms of this interrelation, the changes in the lipid metabolism, the inflammatory markers action, which are common to both diseases, and also the direct action of oral bacteria in the atherosclerosis process. Thus, due to the biological associations between diseases and the fact of the atherosclerosis to begin in the childhood period, a behavior based on oral health care and metabolic control, from an early age, is essential for patients with cardiovascular disease. The aim of this research was to evaluate the effectiveness of two periodontal treatment methods, such as the conventional scaling and root planing (SRP) and the full-mouth scaling and root planing (FMSRP), applied to children suffering from periodontal disease with congenital heart disease and structurally normal heart. In this study, the treatments were related to the clinical periodontal parameters [plaque index (PI), gingival index (GI), probing depth (PD), clinical attachment level (CAL) and bleeding on probing (BOP)] as well as the blood parameters, such as lipid profile [total cholesterol (TC) and fractions, triglycerides (TRG)] and inflammatory markers [fibrinogen (FGN), C-reactive protein (CRP ULTRA), interleukin 6 (IL6), and tumor necrosis factor alpha (TNF&#61537;)]. The patients were divided into 4 groups: group 1 (17) - Congenital Heart Disease and SRP, group 2 (14) - Normal Heart and SRP, group 3 (16) Congenital Heart Disease and FMSRP and group 4 (15) - Normal Heart and FMSRP. The results showed a significant improvement in clinical periodontal parameters (p <0.05) in the studied groups. Considering the lipid parameters, there was a greater evidence in the TC, TRG and VLDL parameters results, with a significant improvement (p <0.05). There was also an improvement in PCR ULTRA with the congenital heart disease and also normal children treated with SRP (p <0,05). The FGN and IL6 parameters (p <0.05) were really improved in all groups. Thus, within these results, we conclude that both periodontal treatments were effective in these children groups / Os efeitos da doença periodontal sobre a cavidade oral são bem conhecidos, contudo, os mesmos também podem produzir efeitos sistêmicos, incluindo a associação com a doença cardiovascular adquirida. Aceitam-se como possíveis mecanismos desta inter-relação as alterações do metabolismo lipídico, a ação de marcadores inflamatórios, que são comuns a ambas as doenças, e até mesmo a ação direta de bactérias orais no processo da aterosclerose. Sendo assim, devido às associações biológicas entre as doenças e o fato da doença aterosclerótica iniciar-se na infância, um comportamento voltado aos cuidados com a saúde oral e controle metabólico, desde a mais tenra idade, é essencial para pacientes portadores de doenças cardiovasculares. O objetivo desta pesquisa foi avaliar a efetividade de duas modalidades de tratamento, a saber, a Raspagem e Alisamento Radicular Convencional (RAR) e a Desinfecção Total de Boca em Estágio Único (DBEU), aplicados a crianças portadoras de doença periodontal com cardiopatia congênita e com coração estruturalmente normal. Neste estudo relacionou-se os tratamentos tanto com parâmetros clínicos periodontais [índice de placa (IP), índice gengival (IG), profundidade de sondagem (PS), nível de inserção clínica (NI) e sangramento à sondagem (SS)], quanto com parâmetros sanguíneos de perfil lipídico [colesterol total (CT) e frações, triglicerídeos (TRG)] e marcadores inflamatórios [fibrinogênio (FGN), proteína C reativa ultrassensível (PCR ULTRA), interleucina 6 (IL6), fator de necrose tumoral alfa (TNF&#61537;)]. Os pacientes foram distribuídos em 4 grupos, grupo 1 (17) Cardiopatia Congênita e RAR, grupo 2 (14) Coração Normal e RAR, grupo 3 (16) Cardiopatia Congênita e DBEU e grupo 4 (15) Coração Normal e DBEU. Os resultados demonstraram uma significante melhora nos parâmetros clínicos periodontais (p<0.05) nos grupos estudados. Quanto aos parâmetros lipídicos, houve destaque maior, com melhora significativa (p<0.05) nos parâmetros de CT, TRG e VLDL. Houve também melhora do PCR ULTRA nos grupos de pacientes com cardiopatia congênita e crianças normais tratados com RAR (p<0.05). Destaques ocorreram nos parâmetros de FGN e IL6 (p<0.05) com a melhora em todos os grupos. Assim, dentro desses resultados, podemos concluir que ambos os tratamentos periodontais foram efetivos nesses grupos de crianças

Une population mondiale croissante et l’épuisement des ressources fossiles a conduit à une augmentation de la demande alimentaire et énergétique. Si les plantes oléagineuses sont majoritairement exploitées pour leurs fruits et leurs graines riches en huiles dans le secteur agroalimentaire, elles sont également valorisées comme alternative aux produits pétrosourcés (biolubrifiants, biocarburants). La production de lipides et d’acides gras inhabituels a rapidement suscité un intérêt envers les organismes unicellulaires : les levures. L’objectif de ce travail consiste à étudier deux modèles biologiques : la graine de lin (Linum usitatissimum), dont l’huile est constituée à 57% d’oméga-3, et la levure oléagineuse Yarrowia lipolytica, exploitée comme châssis biotechnologique. L’approche utilisée pour appréhender le métabolisme lipidique est la fluxomique. De plus, la conception d’un modèle prédictif reposant sur un marquage isotopique (MFA) ou la contrainte (FBA) permet une analyse dynamique du métabolisme. L’étude comparative de trois lignées de lin (teneurs en huile et oméga-3 différentes) a permis une meilleure compréhension des mécanismes menant à l’accumulation des lipides (jusqu’à 44,2 g.100g-1 MS). Ainsi, nous avons pu montrer que l’assimilation du saccharose et la remobilisation de l’amidon sont essentiels à la synthèse des précurseurs et du NADPH nécessaires à la synthèse des AG. Une forte implication de la glycolyse cytosolique et de la voie des pentoses phosphate plastidiale a pu être notée, tandis que la synthèse des protéines et de la paroi cellulaire a été une étape plutôt limitante. De plus, la PDAT semblerait être une enzyme essentielle à l’incorporation d’acides gras polyinsaturés dans les TAG. L’étude de trois souches de Yarrowia lipolytica a également permis d’appréhender le métabolisme de la levure. L’assimilation d’une source de carbone alternative au glucose (glycérol) a entraîné une redirection métabolique majeure vers la néoglucogénèse. Le flux majoritaire pour la synthèse des TAG emprunte la glycolyse et une partie du cycle de Krebs, afin de convertir le citrate en acétyl-CoA. L’optimisation de la voie Kennedy (GPD1 et DGA2) a permis une amélioration du contenu en lipides : +72% par rapport à une souche optimisée pour la synthèse des acides gras inhabituels (expression du gène LRO1, codant pour une PDAT). Les principales voies compétitives sont la synthèse de glucides de réserve et la sécrétion de citrate, réprimée ici grâce à une assimilation de glucose modérée. La PDAT est là encore impliquée dans l’accumulation des acides gras inhabituels. / Growing world population and depletion of fossil resources have led to an increasing food and energy demand. While oleaginous plants are mostly cultivated for their fruits or their seeds in food industry, they are also valued in as an alternative to petrochemicals (biolubricant, biofuels). The production of lipids and unusual fatty acids increased the interest for unicellular organisms: yeasts. The aim of this work is to study two biological models: flax seed (Linum usitatissimum), whose oil is made up of 57% omega-3, and yeast Yarrowia lipolytica, exploited as a biotechnological chassis. The approach used to understand lipid metabolism is fluxomics. In addition, the development of a predictive model based on isotopic labelling (MFA) or constraint-based one (FBA) allows a dynamic analysis of the metabolism. The comparative study of three flax lines (with different oil and omega-3 levels) provided a better understanding of the mechanisms leading to lipid accumulation (up to 44.2 g.100 gDW-1). Therefore, we have been able to show that sucrose assimilation and starch remobilization are essential for fatty acid precursors and cofactors synthesis. Strong involvements of cytosolic glycolysis (G3P, acetyl-CoA) and pentose phosphate pathway (NADPH) have been noted, while protein and cell wall synthesis are limiting steps. In addition, PDAT would be a central enzyme for the incorporation of PUFA into TAGs. The study of three Yarrowia lipolytica strains also helped us to better understand yeast metabolism. The assimilation of an alternative carbone source to glucose, glycerol, led to a major metabolic redirection towards gluconeogenesis. The TAG synthesis flux especially uses glycolysis and a part of TCA cycle to convert citrate into acetyl-CoA. Kennedy pathway optimizations (GPD1 and DGA2 gene overexpression) allowed a lipid content improvement: +72% compared to a strain optimized for the synthesis of unusual fatty acids (LRO1 gene expression, encoding for a PDAT enzyme). The main competitive pathways are carbohydrate synthesis (glycogen) and citrate secretion (here repressed thanks to slow glucose assimilation. PDAT (LRO1 gene) also led to unusual fatty acid accumulation.

Introdução: no contexto das doenças crônicas não transmissíveis (DCNT), vários estudos associam a presença de determinados polimorfismos de nucleotídeo único (SNP) ao risco de desfechos metabólicos, como a obesidade e a dislipidemia. Objetivo: avaliar a presença de SNP associados à adiposidade corporal e ao metabolismo lipídico sobre o índice de massa corporal (IMC), o consumo alimentar, o perfil lipídico e a concentração plasmática de biomarcadores inflamatórios em indivíduos adultos participantes do estudo de base populacional (ISA-Capital). Métodos: 244 indivíduos adultos de ambos os gêneros (idade entre 20-59 anos) participaram do estudo, no qual foram realizadas as avaliações antropométricas e do consumo alimentar por meio do questionário de 24 horas (R24h) e a coleta de sangue para avaliação da concentração de biomarcadores inflamatórios. O índice de qualidade da dieta revisado (IQDR) foi utilizado no estudo. Foi realizada a genotipagem de oito genes e 13 SNP (FTO rs9939609, rs8050136, rs9930506; LDLR rs688, rs5925; APOB rs693, rs1367117, APOA5 rs662799; LIPC rs2070895, rs1800588; FADS1 rs174546; MYRF rs174537 e ELOVL2 rs953413) pelo sistema TaqMan Open Array. A partir dos resultados da genotipagem, foi elaborado um escore de risco genético (ERG). Resultados: foi verificada associação negativa entre o consumo de vegetais totais (P=0,004) e vegetais verdes-escuros e alaranjados e leguminosas (P=0,002) e leite e derivados (P=0,009) com o IMC. O consumo de cereais totais (P=0,029) e de carboidratos totais (P=0,011) mostrou interação negativa para o ERG, enquanto o consumo de carnes, ovos e leguminosas teve interação positiva (P=0,028) ao influenciar o IMC. As concentrações plasmáticas de HDL-c tiveram associação negativa (P=0,026) com o IQDR e associação positiva (P=0,007) com o componente Gord_AA (valor energético proveniente da gordura sólida, álcool e açúcar de adição). Foi encontrada interação significativa entre o consumo de óleos (lipídios insaturados) (P=0,019) e de Gord_AA (P<0,001). Concentrações plasmáticas de HDL-c e de LDL-c são significativamente menores nos carreadores do alelo variante T para os SNP que correspondem às atividades das enzimas dessaturases (FADS1 e MYRF). As concentrações do ácido oleico foram maiores nos indivíduos com genótipo CT/TT no gene da FADS1 e AG/GG no gene da ELOVL2 em relação aos genótipos selvagens. Apenas os carreadores do alelo T tanto em FADS1 quanto em MYRF tiveram concentrações de ácido linoleico e linolênico superiores em relação aos genótipos selvagens. Por outro lado, as concentrações de ácido araquidônico, de ácido docosapentaenoico (DPA), de ácidos graxos saturados e de poli-insaturados totais foram menores nos indivíduos carreadores dos alelos variantes para os três polimorfismos avaliados. O conteúdo de ácido eicosapentaenoico (EPA) foi menor nos carreadores do alelo T dos genes FADS1 e MYRF, enquanto o conteúdo de ácido esteárico foi menor apenas nos carreadores do alelo G do gene ELOVL2, sendo que nestes indivíduos as concentrações plasmáticas do conteúdo total de ácidos monoinsaturados foram significativamente maiores quando comparados ao genótipo selvagem (AA). Observou-se também que a atividade estimada da enzima estearoil CoA dessaturase (SDC_18) é maior nos genótipos CT/TT da FADS1 e da ELOVL2. Contudo, a estimativa da atividade da enzima delta-5 dessaturase (D5D) foi estatisticamente menor na presença do alelo polimórfico para os três SNP estudados (FADS1 CT/TT; MYRF GT/TT; ELOVL2 AG/GG). Apenas para os carreadores do alelo T da FADS1 (CT/TT), a estimativa da atividade da enzima delta-6 dessaturase (D6D) foi estatisticamente menor em relação ao genótipo selvagem CC. Conclusões: a presença dos SNP estudados na população de São Paulo mostraram associações em relação ao aumento do risco para adiposidade corporal e dislipidemias, podendo também apresentar associações com a qualidade da dieta dos participantes. Nesse sentido, a aplicação do IQDR junto com o ERG pode ser uma ferramenta útil na identificação de associações entre gene-nutriente e o impacto nas doenças metabólicas. / Introduction: excess weight and changes in lipid profile may be associated with environmental factors, such as diet quality, and non-modifiable factors, such as genetic inheritance. In the context of chronic noncommunicable diseases (NCDs), several studies associate the presence of certain single nucleotide polymorphisms (SNP) to the risk of metabolic outcomes, such as obesity and dyslipidemia. Objective: to evaluate the presence of SNP associated with body fat and lipid metabolism on body mass index (BMI), dietary intake, lipid profile and plasma concentration of inflammatory biomarkers in adult individuals participating in the population-based study (ISA-Capital). Methods: 244 adult subjects of both genders (ages 20-59 years) participated in the study, in which the anthropometric traits were evaluated, and food consumption evaluations were performed using the 24- hour questionnaire (R24h) and blood collection for evaluation of concentration of inflammatory biomarkers. The Brazilian healthy eating index revised (BHEIR) was used in the study. Genotyping of eight genes and 13 SNP (FTO rs9939609, rs8050136, rs9930506; LDLR rs688, rs5925; APOB rs693, rs1367117, APOA5 rs662799; LIPC rs2070895, rs1800588; FADS1 rs174546; MYRF rs174537 and ELOVL2 rs953413) were performed by the TaqMan Open Array system. From the results of the genotyping, a genetic risk score (GRS) was elaborated. Results: there was a negative association between the consumption of total vegetables (p = 0.004) and dark green and orange vegetables and legumes (p = 0.002), milk and dairy (p=0.009) with BMI. Total cereal consumption (p = 0.029) and total carbohydrates (p = 0.011) showed negative interaction for GRS (categories 3 to 5), while meat, egg and legume consumption had a positive interaction (p = 0.028) influence BMI. Of the BHEIR components, plasma HDL-c concentrations were negatively associated (p = 0.026) with the BHEIR and positive association (p = 0.007) with the SoFAAS component (energy value from solid fat, alcohol and addition sugar). Significant interaction was observed between the consumption of oils (unsaturated lipids) (p = 0.019) and SoFAAS (p <0.001). About the enzymes associated with biosynthesis of omega 3 and polyunsaturated fatty acids 6, plasma HDL-c and LDL-c plasma concentrations are significantly lower in carriers of the T variant allele for SNP that correspond to the activities of desaturases (FADS1 and MYRF). Oleic acid concentrations were statistically higher in individuals with CT / TT genotypes in the FADS1 and AG / GG gene in the ELOVL2 gene in relation to wild genotypes. In addition, only the T allele carriers in both FADS1 and MYRF had higher concentrations of linoleic and linolenic acid than wild genotypes. The concentrations of arachidonic acid, docosapentaenoic acid (DPA), saturated fatty acids and total polyunsaturated fatty acids were lower in the carriers of the variant alleles for the three evaluated polymorphisms. The eicosapentaenoic acid (EPA) content was lower in the T allele carriers of the FADS1 and MYRF genes, while the stearic acid content was lower only in the G allele carriers of the ELOVL2 gene, where in these individuals the plasma concentrations of the total content of monounsaturated acids were significantly higher when compared to the wild-type (AA) genotype. It was also observed that the estimated activity of the stearoyl CoA desaturase enzyme (SDC_18) is higher in the CT / TT genotypes of FADS1 and ELOVL2. However, the estimate of the activity of the enzyme delta-5 desaturase (D5D) was statistically lower in the presence of the polymorphic allele for the three SNP studied (FADS1 CT/ TT; MYRF GT / TT; ELOVL2 AG / GG). Only for the FADS1 (CT / TT) allele carriers, the estimate of the activity of the enzyme delta-6 desaturase (D6D) was statistically lower than the wild-type CC genotype. Conclusions: the presence of SNP studied in the population of São Paulo showed associations in relation to the increased risk for body fatness and dyslipidemia and may also present associations with the quality of the participants\' diet. In this sense, the application of BHEIR together with GRS may be a useful tool in the identification of genenutrient associations and the impact on metabolic diseases.

Dietas ricas em gordura ou carboidrato têm sido difundidas e consumidas nas últimas décadas, entretanto pouco é conhecido sobre as consequências metabólicas destas em longo prazo. Neste estudo, foram analisados a quantidade de gordura intramiocelular (IMCL), a função endotelial, além da lipemia, glicemia, insulinemia e resistência à insulina após semanas de dieta rica em gordura ou carboidrato, perdendo ou mantendo peso. De 43 mulheres triadas com sobrepeso (25< BMI <29.9 Kg/m2), 22 foram randomizadas para duas diferentes sequências de dietas. O IMCL foi medido através de espectroscopia por ressonância magnética 1H e a função endotelial pela pletismografia. Após 4 semanas de dieta rica em carboidrato, mantendo peso, foi observado aumento no IMCL do músculo tibial anterior (2.06 ± 1.27 vs. 3.52 ± 1.92, p=0.04) e na insulinemia em jejum (11.55 ± 4.43 vs. 14.03 ± 5.23, p=0.04), enquanto a dieta rica em gordura, no mesmo período, ocasionou aumento no HDL-C (37.06 ± 8.42 vs. 42.5 ± 9.32, p=0.003) e redução nos níveis de triglicerídeos em jejum (102,83 ± 34,10 vs. 75,83 ± 20,91, p=0,02). A função endotelial, colesterol total, LDL-C e resistência à insulina não mudaram durante esta fase. A perda de peso (média de 5%, por 8 semanas), não promoveu modificações nos parâmetros metabólicos vistos com a dieta de manutenção de peso. A partir destes resultados, concluiu-se que a ingestão de dieta rica em carboidrato, por 4 semanas de manutenção de peso, aumenta a insulinemia em jejum e o IMCL do músculo tibial anterior, enquanto a dieta rica em gordura pelo mesmo período aumenta o HDL-C e reduz triglicerídeos em mulheres saudáveis com sobrepeso. / High fat or high carbohydrate (cab) diet have been widely difunded and consumed during last decades; however it is not clear their metabolic effects in long term. In the present study we analyzed intramyocellular lipids (IMCL), endothelial function, plasma lipids, glucose, insulin and insulin resistance after high fat or high cab diet during weeks, maintaining or losing weight. 43 overweight women (25< BMI <29.9 Kg/m2) were screened, 22 of them were randomized to two different diet sequence. IMCL was measured by using 1H magnetic resonance spectroscopy and endothelial function by using plethysmography method. Tibialis anterior IMCL (2.06 ± 1.27 vs. 3.52 ± 1.92, p=0.04) and fasting insulinemia increased (11.55 ± 4.43 vs. 14.03 ± 5.23, p=0.04) after four weeks of high cab diet after maintenance phase, while fasting HDL-C increased (37.06 ± 8.42 vs. 42.5 ± 9.32, p=0.003) and triglycerides levels decreased (102.83 ± 34.10 vs. 75.83 ± 20.91, p=0.02) after maintenance phase of high fat diet. Endothelial function, total cholesterol, LDL-C and insulin resistance did not alter during maintenance phase. A weight loss of 5%, after eight weeks, did not promote changes in the metabolic parameters, as seen during maintenance phase. Based on these results, it was concluded that high cab diet, four weeks with no weight change, increases tibialis anterior IMCL and fasting insulinemia, while high fat diet during same period increases HDL-C and decreases triglycerides in a healthy overweight women population.

The purpose of lactation is for nutrient provision and also importantly for protection from various environmental stressors. Milk polar lipids reduce cholesterol, protect against bacterial infection, reduce inflammation and help maintain gut integrity. Dynamic interactions within dietary fat, lipid metabolism, gut permeability and inflammatory cytokines remain unclear in the context of obesity and systemic inflammation. A rat model and three mouse models were developed to test the hypotheses that dietary milk polar lipids may affect lipid metabolism and intestinal integrity and may protect against systemic inflammation in the context of stressful diet, systemic inflammation, and obesity. The milk polar lipids isolates had complex effects on lipid metabolism and associated gene expression in the rat model. There were complex dynamics in lipid metabolism, gut permeability and systemic inflammation at different time points in all mouse models. The milk phospholipids increased gut permeability in genetic and diet-induced obesity and during the lipopolysaccharide (LPS) -induced inflammation. The phospholipids increased the plasma LPS level in genetic obesity and during the LPS stress. The phospholipids reduced liver mass and liver lipids in genetic obesity and during the LPS-induced inflammation. The phospholipids increased the body fat in the diet-induced obesity model. The milk gangliosides did not significantly affect gut permeability, systemic inflammation, and lipid metabolism in all three mouse models. Current estimate by the Centers for Disease Control is that about 1/3 Americans are obese (body mass index, BMI ≥ 30) and 1/3 Americans are overweight (25 ≤ BMI < 30). More than 25% of Americans today have a fatty liver which could lead to further health problems. The data from this dissertation shed light on the complicated interrelationships between gut permeability, systemic inflammation, and lipid metabolism in obesity. The results contribute to our understanding of the bioactivities of milk polar lipids and provide scientific evidence for the role of milk polar lipids rich materials in affecting biological functions. The study of the influence of milk polar lipids on gut barrier integrity adds new information on understanding the mechanisms of gut leakiness and recovery. The investigation of the impact of milk polar lipids on lipid metabolism reveals new perspectives for the development of diet-induced obesity.