Submitted by Bruna Rodrigues (bruna92rodrigues@yahoo.com.br) on 2016-09-23T12:35:49Z No. of bitstreams: 1 DissJMIM.pdf: 1160970 bytes, checksum: 5d770f3bd6013be1ec19d00de0a6da90 (MD5) / Approved for entry into archive by Marina Freitas (marinapf@ufscar.br) on 2016-10-04T17:59:57Z (GMT) No. of bitstreams: 1 DissJMIM.pdf: 1160970 bytes, checksum: 5d770f3bd6013be1ec19d00de0a6da90 (MD5) / Approved for entry into archive by Marina Freitas (marinapf@ufscar.br) on 2016-10-04T18:00:03Z (GMT) No. of bitstreams: 1 DissJMIM.pdf: 1160970 bytes, checksum: 5d770f3bd6013be1ec19d00de0a6da90 (MD5) / Made available in DSpace on 2016-10-04T18:00:10Z (GMT). No. of bitstreams: 1 DissJMIM.pdf: 1160970 bytes, checksum: 5d770f3bd6013be1ec19d00de0a6da90 (MD5) Previous issue date: 2015-09-04 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Locus coeruleus (LC) is a pontine noradrenergic group that acts as a central chemoreceptor to CO2/pH and it is involved in the cognitive aspects of stress response and it is associated with a large number of physiological and behavioral processes, including sleepwake cycle, feeding, cardiovascular and respiratory control, nociception, thermoregulation and learning. The LC has also been implicated in the cognitive aspects of stress responses, in part through the action of corticotropin releasing factor (CRF), which when released in these situations increases the firing frequency of LC noradrenergic neurons. CRF is the largest stimulator of the pituitary secretion of ACTH (adrenocorticotropic hormone) and their receptors (types 1 and 2) are widely distributed in the central nervous system, including the LC. Thus, we tested the involvement of CRF1 receptors (CRF1) located in the LC in the ventilatory and thermal responses induced by hypercapnia (7%CO2) in rats. To this end, we injected antalarmin (a CRF1 antagonist, 0.05 and 0,1 μg/0.1 μL) into the LC of male Wistar rats. Pulmonary ventilation (VE) and body temperature (Tb, dataloggers) were measured in air and followed by 7% CO2 in unanesthetized rats. There were no differences in body temperature between groups under normocapnia and hypercapnia. We observed an increased ventilation in normocapnia, at 5 to 15 minutes after microinjection of antalarmin (dose 0.1 μg / 0.1 μL) compared to the control, due to an increase in tidal volume. The hypercapnic response in antalarmine treated animals was higher compared to control groups. The dose of 0.05 μg / 0.1 μL caused an increase in ventilation 15 min after CO2 exposure and this response increased further with the dose of 0.1 μg / 0.1 μL at 30 minutes after hypercapnia, due to an increased tidal volume. Our results suggest that CRF1 receptors in the LC exert a tonic inhibitory role in the ventilation and the inhibitory modulation of the respiratory response to CO2. / O locus coeruleus (LC) é um grupamento noradrenérgico pontino que atua como um quimiorreceptor central a CO2/pH e está associado a um grande número de processos fisiológicos e comportamentais, entre eles, ciclo sono-vigília, alimentação, controle respiratório e cardiovascular, nocicepção, termorregulação e aprendizado. O LC tem sido também implicado nos aspectos cognitivos na resposta ao stress, em parte por meio da ação do fator liberador de corticotrofina (CRF) que, ao ser liberado nessas situações, aumenta a frequência de disparo dos neurônios noradrenérgicos do LC. O CRF é o maior estimulador da secreção hipofisária de ACTH (hormônio adrenocorticotrófico), sendo que seus receptores (tipos 1 e 2) estão difusamente distribuídos no sistema nervoso central (SNC), incluindo o LC. Neste contexto, nós testamos o envolvimento dos receptores CRF1 no LC na resposta respiratória ao CO2 em ratos adultos não anestesiados, por meio da microinjeção de antalarmina (antagonista de CRF1) no LC (0,05 e 0,1 μg / 0,1 μL). A ventilação pulmonar (VE) e a temperatura corporal (Tc, dataloggers) foram medidas no ar e seguido de 7% CO2 em ratos não anestesiados. Não houve alteração na Tc entre os grupos em normocapnia e hipercapnia. Observamos aumento da ventilação em normocapnia, nos tempos de 5 a 15 minutos após a microinjeção de antalarmina (dose 0,1 μg / 0,1 μL) em comparação ao controle, devido a um aumento do volume corrente. A resposta hipercápnica de animais tratados com o antagonista de CRF1 foi maior em ambas as doses administradas, a dose de 0,05 μg / 0,1 μL provocou um aumento da ventilação em 15 min após a exposição CO2, e essa resposta aumentou ainda mais na dose de 0,1 μg / 0,1 μL em 30 minutos após a exposição CO2 em comparação com animais tratados com veículos, devido a um aumento do volume corrente. Nossos resultados sugerem que os receptores CRF1 no LC exercem um papel inibitório tônico na ventilação e a modulação inibitória na resposta respiratória ao CO2.

It has been postulated that alcoholism is associated with abnormalities in glutamatergic neurotransmission. This study examined the density of glutamate NMDA receptor subunits and its associated proteins in the noradrenergic locus coeruleus (LC) in deceased alcoholic subjects. Our previous research indicated that the NMDA receptor in the human LC is composed of obligatory NR1 and regulatory NR2C subunits. At synapses, NMDA receptors are stabilized through interactions with postsynaptic density protein (PSD-95). PSD-95 provides structural and functional coupling of the NMDA receptor with neuronal nitric oxide synthase (nNOS), an intracellular mediator of NMDA receptor activation. LC tissue was obtained from 10 alcohol-dependent subjects and eight psychiatrically healthy controls. Concentrations of NR1 and NR2C subunits, as well as PSD-95 and nNOS, were measured using Western blotting. In addition, we have examined tyrosine hydroxylase (TH), the rate-limiting enzyme in the synthesis of norepinephrine. The amount of NR1 was lower in the rostral (-30%) and middle (-41%) portions of the LC of alcoholics as compared to control subjects. No differences in the amounts of NR2C, PSD-95, nNOS and TH were detected comparing alcoholic to control subjects. Lower levels of NR1 subunit of the NMDA receptor in the LC implicates altered glutamate-norepinephrine interactions in alcoholism.

In order to attain a better understanding of the sprouting response of noradrenergic fibers in the central nervous system (CNS), noradrenergic innervation to the cerebellum was observed by the glyoxylic acid method after a variety of manipulations and in a genetic variant of mouse classified as "Purkinje cell degeneration" (pcd/pcd). It has been found that a midbrain lesion in rats at birth will result in a collateral sprouting response of noradrenergic fibers in the cerebellum at 8 weeks, as indicated by the increased number of histofluorescent fibers observed in the molecular layer of the cerebellar cortex. Another procedure, treatment of neonatal rats with nerve growth factor alone appears to produce a temporary stimulation of noradrenergic fiber growth in the cerebellum, as observed by the histofluorescent method, although the innervation at 6 weeks or later is ultimately unchanged from the control group. In contrast, NGF (500 units) given to rats in combination with 6-hydroxydopa (6-OHDOPA) (60 μg/g IP) at 3 days postbirth produces a hyperinnervation of the cerebellum by noradrenergic fibers by 2 weeks of age and until at least 8 weeks of age. A third procedure, locus coeruleus implantation, was generally unsuccessful using the procedures described, since the implant was usually non-viable after several days. In a few instances where histofluorescent nuclei were found within the implant, there was an abundance of histofluorescent fibers within and adjacent to the implant, with fibers appearing to grow into host cerebellum. In the final procedure, it was noted that the density of noradrenergic input to the molecular layer of the cerebellar cortex was markedly increased in a genetic mutant mouse, classified as "Purkinje cell degeneration" (pcd/pcd), which is characterized by the absence of Purkinje cells of the cerebellum in adulthood. However, because of the tissue shrinkage that occurs after loss of Purkinje cells during postnatal development, it is unclear as to whether this observation represents hyperinnervation or a normal complement of fibers in a smaller brain space. The above procedures demonstrate the plasticity of noradrenergic fibers in neonatal cerebellum, a brain region that undergoes considerable postnatal development. The cerebellum is thought to be a good site for studying development/ regeneration/sprouting of noradrenergic fibers in particular, and central axonal processes in general.

Dysfunction of the central noradrenergic and dopaminergic systems is the primary neurobiological characteristic of Parkinson’s disease (PD). Importantly, neuronal loss in the locus coeruleus (LC) that occurs in early stages of PD may accelerate progressive loss of dopaminergic neurons. Therefore, restoring the activity and function of the deficient noradrenergic system may be an important therapeutic strategy for early PD. In the present study, the lentiviral constructions of transcription factors Phox2a/2b, Hand2 and Gata3, either alone or in combination, were microinjected into the LC region of the PD model VMAT2 Lo mice at 12 and 18 month age. Biochemical analysis showed that microinjection of lentiviral expression cassettes into the LC significantly increased mRNA levels of Phox2a, and Phox2b, which were accompanied by parallel increases of mRNA and proteins of dopamine β-hydroxylase (DBH) and tyrosine hydroxylase (TH) in the LC. Furthermore, there was considerable enhancement of DBH protein levels in the frontal cortex and hippocampus, as well as enhanced TH protein levels in the striatum and substantia nigra. Moreover, these manipulations profoundly increased norepinephrine and dopamine concentrations in the striatum, which was followed by a remarkable improvement of the spatial memory and locomotor behavior. These results reveal that over-expression of these transcription factors in the LC improves noradrenergic and dopaminergic activities and functions in this rodent model of PD. It provides the necessary groundwork for the development of gene therapies of PD, and expands our understanding of the link between the LC-norepinephrine and dopamine systems during the progression of PD.

Post-traumatic stress disorder (PTSD) is a heterogenous psychiatric condition that affects thousands of individuals each year. Of those who experience this condition, military members including members of the Canadian Armed Forces (CAF) are particularly vulnerable, demonstrating high prevalence rates of PTSD-related symptoms. Moreover, individuals with PTSD are at increased risk for comorbid conditions and are at greater risk for suicide due to the overwhelming, debilitating nature of PTSD symptoms. In previous research, hyperarousal symptoms associated with PTSD have been linked to dysregulation in the locus coeruleus norepinephrine (LC-NE) system, a vast neuromodulatory system responsible for regulating arousal, attention, autonomic and memory-related functions. Advancements in neuroimaging methods have advanced our ability to study connectivity in vivo such that small structures like the LC can be further studied in human samples. Specifically, neuromelanin-sensitive MRI (NM-MRI), a novel, non-invasive neuroimaging method has been shown to detect changes in neuromelanin (NM)-related signal in both the LC and substantia nigra (SN). NM is a dark pigment that accumulates over the lifespan in catecholamine-dominant centers such as the LC and SN and is the by-product of catecholamine oxidation. NM-MRI can be used to image these centers in vivo due to the paramagnetic properties offered by NM. Furthermore, when excess cytosolic catecholamine levels are present in select neurons, NM production is thought to be increased, resulting in increased NM signal from the LC. This could potentially be a marker for dysregulation as many conditions have been associated with variability of this system. Previously, NM-MRI has been used in other clinical settings such as in Parkinson’s disease (PD), Alzheimer’s disease (AD), schizophrenia and depression; however, this current investigation is the first to utilize this imaging modality in the context of PTSD. Specifically, we hypothesized that increased NM-MRI signal in the LC would correlate with increasing severity of hyperarousal symptoms in individuals with PTSD. We also predicted that the opposite would be true for comorbid depression symptom severity, as reduced LC signal has been previously correlated with clinical measures of comorbid depression using NM-MRI. As per our primary hypothesis, we observed a significant positive correlation between NM-MRI signals in the caudal elements of the LC with hyperarousal symptom severity in 22 PTSD subjects (r= 0.54, p= 0.017; partial correlation controlling for depression symptom severity, age, and sex). In contrast, we did not find any evidence to support our secondary hypothesis, because a non-significant trend correlating LC NM-MRI signal and depression symptom severity was obtained (r= -0.30, p=0.22; partial correlation controlling for hyperarousal severity, age, and sex). Based on these results, we were able to build on previously conducted work to further investigate the utility of NM-MRI in the detection of variability in LC-NE system as it pertains to psychiatric conditions known to show dysregulation of this system such as PTSD. In addition, this thesis provides further evidence to support the automation of NM-MRI analytical methods, thus supporting their potential utility for future clinical research. Our findings also provide support for the use of NM-MRI as a potential measure of NE activity; further, this work provided preliminary evidence supporting the use of NM-MRI in a clinical, psychiatric setting, where the technique may serve as a biomarker of PTSD pathology. With these findings in mind, additional validation studies can be conducted to verify the use of NM-MRI as a biomarker for NE system dysregulation. This would potentially allow for advancements in targeted treatment options for PTSD, particularly those targeting the LC-NE system, thus potentially increasing patient stratification and treatment efficacy.

The role that norepinephrine plays in regulating the concentration of different proteins in the parietal cortex, hippocampus and cerebellum was assessed by investigating the effects of either a bilateral lesion of the locus coeruleus or neonatal administration of 6-hydroxydopamine. Two weeks after lesioning the locus coeruleus, the concentration of two different proteins was elevated in the hippocampus; a third protein was reduced in concentration in this brain area as a result of the lesion. Three proteins were affected in concentration in the cerebellum after the locus coeruleus lesion - two were elevated in concentration and one was reduced in concentration. No proteins were altered in concentration in the parietal cortex as a result of the lesion. Seventy days after neonatal treatment with 6-hydroxydopamine, a total of 6 proteins were found to be changed. Four of these (one in the hippocampus and 3 in the parietal cortex) were reduced in concentration while two proteins (both in the cerebellum) were elevated in concentration after neonatal treatment with the catecholamine neurotoxin. There was little overlap between those proteins affected in concentration by the bilateral lesion of the locus coeruleus and those changed by neonatal treatment with 6-hydroxydopamine. These results suggest that the concentration of a number of different proteins may, under normal physiological conditions, be regulated in vivo by norepinephrine in the brain.

The locus coeruleus (LC) of the rat was lesioned by microinjection of selective neurotoxins into the brainstem. 6‐Hydroxydopamine (6‐OHDA), 3 μg/μl, given unilaterally at two sites 0.6 mm apart on the rostro‐caudal axis of the LC, was used to lesion catecholamine‐containing neuronal elements. Ibotenic acid, 2.5 μg/0.5 μl, administered similarly was used to lesion nerve cell bodies. Two weeks after administration of the neurotoxin, lesion efficacy was determined based on the norepinephrine content of the cerebral cortex ipsi‐ and contralateral to the lesion. 6‐OHDA lesions of the LC caused a 46% reduction in ipsilateral cortical norepinephrine and a 60% reduction in specific 125I‐[Sar1, Ile8]‐angiotensin II (125I‐SIAII) binding in the LC. Ibotenic acid lesions of the LC caused a 73% reduction in ipsilateral cortical norepinephrine and a 81% reduction in specific 125I‐SIAII binding in the LC. These results indicate that All receptor binding sites in the LC are localized on noradrenergic nerve cell bodies or their dendritic and axonal ramifications within the LC.

O gás monóxido de carbono (CO) possui diversas funções no sistema nervoso central (SNC) funcionando como neuromodulador, como por exemplo da regulação da temperatura corporal, da nocicepção e mais recentemente, do comportamento emocional. Este neuromodulador gasoso é produzido pela ação da enzima heme oxigenase (HO), a qual é encontrada em diferentes áreas do SNC. Com destaque, esta enzima tem alta expressão no locus coeruleus (LC), o que sugere o envolvimento do CO na modulação de funções desempenhadas por esta estrutura. O LC localiza-se na ponte, sendo a maior origem da inervação noradrenérgica do SNC. Esta estrutura tem participação ativa na modulação das respostas relacionadas ao estresse, em particular, na modulação do comportamento emocional, desde que integra o Sistema de Inibição Comportamental (SIC), o qual inclui ainda o sistema septo-hipocampal e os núcleos da rafe. O SIC é responsável por comandar respostas defensivas de avaliação de risco, alerta e atenção, as quais podem ser eliciadas pela ansiedade. Dentro desta perspectiva, o presente estudo teve como objetivo avaliar se a ativação sistêmica da via HO-CO pode modular o comportamento emocional de ratos, e se há participação do LC. Assim, este trabalho avaliou se o tratamento sistêmico via intraperitoneal (i.p.) agudo (3 h antes) ou crônico (10 dias/2 vezes ao dia) com um liberador de monóxido de carbono (CORM-2), ou com indutor da enzima HO (CoPP), altera as respostas comportamentais no teste do labirinto em cruz elevado (LCE) e no teste claro-escuro (TCE) em ratos, bem como a expressão da enzima HO no LC. Em uma segunda etapa foi avaliado se a administração aguda de CORM-2 ou CoPP altera o comportamento avaliado no LCE e no TCE de ratos submetidos ao estresse crônico variado (ECV) por 10 dias. Os resultados mostraram que o CO induzido pela administração aguda ou crônica de CORM-2 ou CoPP possui efeito ansiolítico. Ainda, o tratamento com CORM-2 ou CoPP aumentou a expressão da enzima HO-1 em células localizadas no LC, sem alterar a imunorreatividade à enzima HO-2. Considerando os grupos submetidos ao estresse ECV, nem a ativação da via HO-CO ou o ECV apresentaram efeitos significativos nos comportamentos avaliados nos testes LCE e TCE. Os resultados do presente estudo sugerem que o tratamento sistêmico com drogas que modulam a liberação de CO possui claro efeito ansiolítico. Assim, é possível que o CO possa ser uma droga com potencial terapêutico para o tratamento de desordens neuropsiquiátricas. / The carbon monoxide gas (CO) has several functions in the central nervous system acting as a neuromodulator, such as in the body temperature regulation, nociception and more recently, in the emotional behavior modulation. This gas is produced by the action of the heme oxigenase enzyme (HO), which is found in different areas of the central nervous system (CNS). It is important to note that this enzyme has high expression in the locus coeruleus (LC), suggesting the involvement of CO in the modulation functions performed by this midbrain structure. LC is located in the pons, being the source of majority of the noradrenergic innervation of the CNS. This structure is intimately involved in the stress modulation responses, particularly in the emotional behavior regulation, since it integrates the Behavioral Inhibition System (BIS), which also includes septum-hippocampal system and raphe nucleus. The BIS is responsible for defensive responses like the risk assessment and alertness trigged by anxiety. Within this perspective, the present study was designed to evaluate whether the systemic HO-CO pathway can modulate emotional behavior of rats, and if the HO enzyme of the neurons located into LC is involved in this response. Thus, this study evaluated whether the acute systemic i.p. treatment (3 hours before) or chronic (10 days / 2 times a day) with a carbon monoxide releaser (CORM-2) or inducer of heme enzyme oxygenase (CoPP), is able to alter the behavioral responses in the elevated plus maze (EPM) and in the light-dark box test (LDB) in rats, and the HO enzyme expression in the LC. Furthermore, the effect of the acute administration of CORM-2 or CoPP was evaluated in the emotional behavior assessed in the EPM and LDB by rats submitted to unpredictable chronic stress (during 10 days). The results showed that the CO induced by acute or chronic administration of CORM-2 or CoPP has an anxiolytic-like effect. Furthermore, treatment with CORM-2 or CoPP promoted an increase of HO-1 enzyme expression in cells located in the LC without altering the immunoreactivity of HO-2 enzyme. Still, considering the rats subjected to stress UCS neither the activation of HO-CO pathway nor the UCS protocol altered the emotional behavior evaluated in the EPM and LDB tests. The results of this study suggest that systemic treatment with drugs that modulate the CO release has anxiolytic effect. Thus, it is possible that CO can be a potential drug therapeutic target for neuropsychiatric disorders.

INTRODUÇÃO: A doença de Parkinson é causada pela perda significativa de neurônios dopaminérgicos na substância nigra e perda celular no locus cerúleo, com perda do neurotransmissor dopamina e continuada deposição de inclusões proteicas nos tecidos cerebrais. A doença tem progressão caudo-rostral, iniciando-se no núcleo dorsal do nervo vago e, em grau menor, nos sistema olfativo, com evolução para o mesencéfalo e posteriormente para o prosencéfalo e neocórtex. Cerca de 90% dos casos são idiopáticos e o principal fator de risco é o envelhecimento. Para se compreender a interação genoma-ambiente e o mecanismo molecular nessa doença têm sido conduzidas investigações dos perfis de expressão gênica global em diversos tecidos-alvo. Essa abordagem de genômica funcional utiliza a tecnologia de DNA microarrays para estudo da expressão gênica e ferramentas de bioinformática para análise dos dados gerados. Neste trabalho foi feita uma análise das redes de interação transcricional em tecidos-alvo da doença de Parkinson utilizando-se amostras post mortem de tecidos cerebrais obtidas de pacientes e controles livres da doença. MÉTODOS: Estudo comparativo das redes de interação transcricional no núcleo dorsal do nervo vago, locus cerúleo e substância nigra entre pacientes com doença de Parkinson idiopática nos estágios Braak 4-5 e controles livres da doença utilizando material de necropsia. Foram utilizados DNA microarrays Agilent de 44 K e a análise estatística comparativa de dos transcritos válidos (TMEV) foi feita no vetor paciente X controle para cada região anatômica sob estudo. Para a análise das redes de interação transcricional dos grupos de pacientes e controles em cada região anatômica utilizou-se o software FunNet e as anotações genômicas do Gene Ontology Consortium. RESULTADOS: Os genes com maior número de ligações gene-gene em cada rede transcricional, ou hubs, foram identificados e correlacionados com sua função biológica e possível papel na doença de Parkinson. A análise comparativa entre o perfil de hubs (número de ligações, posição na rede) em cada região anatômica para pacientes e controles revelou que: i) no núcleo dorsal do nervo vago os hubs principais nas redes de controles e pacientes estão relacionados a funções de manutenção da homeostase cerebral e organização neuronal, ii) no locus cerúleo os hubs principais dos controles são genes ligados à manutenção das funções cerebrais, mobilização de células progenitoras (pericitos) e controle de vias inflamatórias, enquanto que na rede de pacientes esses hubs estão ligados aos processos de endo e exocitose, desenvolvimento neuronal e controle do estresse oxidativo e degradação de proteínas; iii) finalmente, na substância nigra os principais hubs da rede de controles estão envolvidos na proteção contra estresse oxidativo e proteínas não dobradas e na manutenção do sistema dopaminérgico mesodiencefálico, enquanto que na rede de pacientes predominam hubs ligados a processos epigenéticos de envelhecimento mitocondrial, transporte vesicular, neurogênese, inflamação e morte neuronal. CONCLUSÕES: Os resultados da análise de redes de interação transcricional de pacientes e controles em diferentes regiões anatômicas são compatíveis com o modelo de progressão caudo-rostral da doença de Parkinson e apontam para mecanismos compensatórios no núcleo dorsal do nervo vago e locus cerúleo / INTRODUCTION: Parkinson\'s disease is caused by a substantial loss of dopaminergic neurons in the substantia nigra and cell loss in locus coeruleus, concomitant loss of dopamine neurotransmitter and continuing deposition of protein within the brain as intracellular inclusions. The disease has a caudal-rostral progression, beginning in the dorsal nucleus of vagus nerve and, in a less extent, in the olfactory system, progressing to the midbrain and finally to the basal forebrain and the neocortex. About 90% of the cases are idiopathic and the main risk factor is ageing. In order to have a better understanding of the genome-environment interactions and of the molecular mechanisms involved in this disease, the investigation of global gene expression in different target tissues has been conducted. This functional genomic approach is based on DNA microarray technology and on the use of bioinformatics for analyzing the data. In the present work an analysis of transcriptional interaction networks in Parkinson\'s disease target tissues was conducted in post mortem cerebral tissue samples obtained from patients and disease-free controls. METHODS: Comparative study of transcriptional interaction networks in the dorsal nucleus of vagus nerve, locus coeruleus, and substantia nigra of idiopathic Parkinson\'s disease patients in Braak stages 4-5 and disease-free controls using post mortem tissue samples. Agilent 44 K DNA microarrays were used and the statistical comparative analysis of valid transcripts was accomplished (TMEV) in the vector patient X control for each anatomic region under study. In order to analyze the transcriptional interaction networks for patient and control groups in each anatomic region the FunNet software and the Gene Ontology genomic annotations were used. RESULTS: The genes with high number of gene-gene connections in each transcriptional network, or hubs, were identified and related to their biological function and putative role in Parkinson\'s disease. The comparative analysis between hub profiles (number of connections, position in the network) in each anatomic region for patients and controls revealed that: i) in the dorsal nucleus of vagus nerve the main hubs in patient and control networks are related to the maintenance of brain homeostasis and to neuronal organization; ii) in the locus coeruleus the main hubs of control network are related to the maintenance of brain functions, mobilization of progenitor cells (pericytes) and control of inflammatory pathways, whereas in the patient network the main hubs are linked to exo and endocytosis processes, neuronal development and control of oxidative stress and protein degradation; iii) finally, in the substantia nigra the main hubs in the control network are related to protection against oxidative stress and unfolded/misfolded proteins and in the maintenance of the midbrain dopaminergic system, whereas in the patient network the main hubs are related to epigenetic processes of mitochondrial ageing, vesicular transport, neurogenesis and inflammation and neuronal death. DISCUSSION: The results of transcriptional interaction networks analyses performed for patient and control groups in different anatomic regions are compatible with the caudal-rostral model of Parkinson\'s disease progression and point out to compensatory mechanisms acting in vagus nerve and locus coeruleus

INTRODUÇÃO: A doença de Parkinson é causada pela perda significativa de neurônios dopaminérgicos na substância nigra e perda celular no locus cerúleo, com perda do neurotransmissor dopamina e continuada deposição de inclusões proteicas nos tecidos cerebrais. A doença tem progressão caudo-rostral, iniciando-se no núcleo dorsal do nervo vago e, em grau menor, nos sistema olfativo, com evolução para o mesencéfalo e posteriormente para o prosencéfalo e neocórtex. Cerca de 90% dos casos são idiopáticos e o principal fator de risco é o envelhecimento. Para se compreender a interação genoma-ambiente e o mecanismo molecular nessa doença têm sido conduzidas investigações dos perfis de expressão gênica global em diversos tecidos-alvo. Essa abordagem de genômica funcional utiliza a tecnologia de DNA microarrays para estudo da expressão gênica e ferramentas de bioinformática para análise dos dados gerados. Neste trabalho foi feita uma análise das redes de interação transcricional em tecidos-alvo da doença de Parkinson utilizando-se amostras post mortem de tecidos cerebrais obtidas de pacientes e controles livres da doença. MÉTODOS: Estudo comparativo das redes de interação transcricional no núcleo dorsal do nervo vago, locus cerúleo e substância nigra entre pacientes com doença de Parkinson idiopática nos estágios Braak 4-5 e controles livres da doença utilizando material de necropsia. Foram utilizados DNA microarrays Agilent de 44 K e a análise estatística comparativa de dos transcritos válidos (TMEV) foi feita no vetor paciente X controle para cada região anatômica sob estudo. Para a análise das redes de interação transcricional dos grupos de pacientes e controles em cada região anatômica utilizou-se o software FunNet e as anotações genômicas do Gene Ontology Consortium. RESULTADOS: Os genes com maior número de ligações gene-gene em cada rede transcricional, ou hubs, foram identificados e correlacionados com sua função biológica e possível papel na doença de Parkinson. A análise comparativa entre o perfil de hubs (número de ligações, posição na rede) em cada região anatômica para pacientes e controles revelou que: i) no núcleo dorsal do nervo vago os hubs principais nas redes de controles e pacientes estão relacionados a funções de manutenção da homeostase cerebral e organização neuronal, ii) no locus cerúleo os hubs principais dos controles são genes ligados à manutenção das funções cerebrais, mobilização de células progenitoras (pericitos) e controle de vias inflamatórias, enquanto que na rede de pacientes esses hubs estão ligados aos processos de endo e exocitose, desenvolvimento neuronal e controle do estresse oxidativo e degradação de proteínas; iii) finalmente, na substância nigra os principais hubs da rede de controles estão envolvidos na proteção contra estresse oxidativo e proteínas não dobradas e na manutenção do sistema dopaminérgico mesodiencefálico, enquanto que na rede de pacientes predominam hubs ligados a processos epigenéticos de envelhecimento mitocondrial, transporte vesicular, neurogênese, inflamação e morte neuronal. CONCLUSÕES: Os resultados da análise de redes de interação transcricional de pacientes e controles em diferentes regiões anatômicas são compatíveis com o modelo de progressão caudo-rostral da doença de Parkinson e apontam para mecanismos compensatórios no núcleo dorsal do nervo vago e locus cerúleo / INTRODUCTION: Parkinson\'s disease is caused by a substantial loss of dopaminergic neurons in the substantia nigra and cell loss in locus coeruleus, concomitant loss of dopamine neurotransmitter and continuing deposition of protein within the brain as intracellular inclusions. The disease has a caudal-rostral progression, beginning in the dorsal nucleus of vagus nerve and, in a less extent, in the olfactory system, progressing to the midbrain and finally to the basal forebrain and the neocortex. About 90% of the cases are idiopathic and the main risk factor is ageing. In order to have a better understanding of the genome-environment interactions and of the molecular mechanisms involved in this disease, the investigation of global gene expression in different target tissues has been conducted. This functional genomic approach is based on DNA microarray technology and on the use of bioinformatics for analyzing the data. In the present work an analysis of transcriptional interaction networks in Parkinson\'s disease target tissues was conducted in post mortem cerebral tissue samples obtained from patients and disease-free controls. METHODS: Comparative study of transcriptional interaction networks in the dorsal nucleus of vagus nerve, locus coeruleus, and substantia nigra of idiopathic Parkinson\'s disease patients in Braak stages 4-5 and disease-free controls using post mortem tissue samples. Agilent 44 K DNA microarrays were used and the statistical comparative analysis of valid transcripts was accomplished (TMEV) in the vector patient X control for each anatomic region under study. In order to analyze the transcriptional interaction networks for patient and control groups in each anatomic region the FunNet software and the Gene Ontology genomic annotations were used. RESULTS: The genes with high number of gene-gene connections in each transcriptional network, or hubs, were identified and related to their biological function and putative role in Parkinson\'s disease. The comparative analysis between hub profiles (number of connections, position in the network) in each anatomic region for patients and controls revealed that: i) in the dorsal nucleus of vagus nerve the main hubs in patient and control networks are related to the maintenance of brain homeostasis and to neuronal organization; ii) in the locus coeruleus the main hubs of control network are related to the maintenance of brain functions, mobilization of progenitor cells (pericytes) and control of inflammatory pathways, whereas in the patient network the main hubs are linked to exo and endocytosis processes, neuronal development and control of oxidative stress and protein degradation; iii) finally, in the substantia nigra the main hubs in the control network are related to protection against oxidative stress and unfolded/misfolded proteins and in the maintenance of the midbrain dopaminergic system, whereas in the patient network the main hubs are related to epigenetic processes of mitochondrial ageing, vesicular transport, neurogenesis and inflammation and neuronal death. DISCUSSION: The results of transcriptional interaction networks analyses performed for patient and control groups in different anatomic regions are compatible with the caudal-rostral model of Parkinson\'s disease progression and point out to compensatory mechanisms acting in vagus nerve and locus coeruleus