Das Frühsommer-Meningoezephalitis-Virus (FSMEV) ist eines der wichtigsten vektorübertragenen Viren in Europa und Asien. Die häufigste Übertragung erfolgt durch den Stich einer infizierten Zecke, gelegentlich werden FSME Infektionen auch durch den Genuss von Rohmilchprodukten infizierter Tiere verursacht. Die Pathogenese von Caco-2 Monolayer Epithelzellen zeigten nach Infektion mit FSMEV morphologische Änderungen mit signifikanter Vakuolisierung. Ultrastrukturanalysen zeigten eine Ausdehnung des rauen ER und das Auftreten FSMEV haltiger Kavernen. Monolayer von Caco-2 Zellen bildeten eine Barriere mit stabilem transepithelialem elektrischem Widerstand (TEER). Auch traten Viren im basolateralen Medium auf, die über einen Tanscystose pathway (PW) aufgenommen wurden. Der Zelleintritt von FSMEV konnte durch verschiedene Inhibitoren wirksam blockiert werden, was darauf hinweist, dass Aktinfilamente und Mikrotubuli wichtig für die PI3K-abhängige Endozytose sind. Die experimentelle Flüssigkeitsaufnahme zeigte erhöhte intrazelluläre Ansammlungen von FITC-Dextran haltigen Vesikeln und die Co-Lokalisation von FSME-Viren mit frühem Endosom Antigen-1 und mit sorting nexin-5. Was auf die Makropinozytose als Transportmechanismus hinweist. Während der Infektion wurden weitere Hinweise für die Virustranslokation über den parazellulären Weg gefunden. Das konnte den FSMEV Pathomechanismus in humanen Intestinalepithelzellen über Nahrungsmittel näher aufklären. Die Untersuchung der zwei UPR „signaling PWs“ während der FSMEV Infektion in VeroE6 Zellen zeigte, dass die Menge von „heat shock protein“ 72 im Verlauf der FSMEV Infektion ansteigt, und eine FSMEV Infektion den „IRE1- und den ATF6 PW“ aktiviert. Auch die Hemmung des „IRE1 PW“ wirkt auf die FSMEV Infektion, was darauf hinweist, dass eine FSMEV Infektion die beiden „UPR signaling PWs“ aktiviert. Diese Hemmung der FSMEV Replikation durch UPR Inhibitoren könnte ein neuer Ansatz für spezifische Therapien gegen FSME sein. / Tick-borne encephalitis virus (TBEV) is one of the most important vector-borne viruses in Europe and Asia. The transmission mainly occurs by the bite of an infected tick. Consuming of rough milk products from infected livestock animals also occasionally cause TBE cases. Human intestinal Caco-2 cells were used to investigate the pathogenesis caused by TBEV. During TBEV infection Caco-2 monolayers showed morphological changes with significant vacuolization. Ultrastructural analysis revealed dilatation of the rough endoplasmic reticulum and further enlargement to TBEV containing caverns. Caco-2 monolayers showed an intact epithelial barrier with stable transepithelial electrical resistance (TER). Concomitantly, viruses were detected in the basolateral medium, taken up via a transcytosis pathway. TBEV cell entry was efficiently blocked with different inhibitors, suggesting that actin filaments and microtubules are important for PI3K-dependent endocytosis. Moreover, experimental fluid uptake assay showed increased intracellular accumulation of FITC-dextran containing vesicles and co-localization of TBEV with early endosome antigen-1 and with sorting nexin-5 could confirm macropinocytosis as trafficking mechanism. In the late phase of infection, further evidence was found for translocation of virus via the paracellular pathway. Thus, TBEV pathomechanisms in human intestinal epithelial cells and its transmission via the alimentary route were enlightened. In addition, I investigated the effects of the two unfolded protein response (UPR) signaling pathways upon TBEV infection in Vero E6 cells. I showed that the amount of heat shock protein 72 increased in the course of TBEV infection. I then confirmed that TBEV infection activates the IRE1 pathway and ATF6 pathway. These findings provide the first evidence that TBEV infection activates the two UPR signaling pathways. Moreover, inhibition of UPR may provide a novel therapeutic strategy against TBE.

Endocytosis, a process of plasma membrane invaginations, is a fundamental cellular mechanism, ensuring uptake of nutrients, enhanced communication between cells, protective functions against invasive pathogens and remodelling of the plasma membrane composition. In turn, endocytic mechanisms are exploited by pathogens to enter their host cells. Endocytosis comprises multiple forms of which our molecular understanding has mostly advanced with respect to clathrin-mediated endocytosis and phagocytosis. Studies on the small GTPase Rab5 have provided important insights into the molecular mechanism of endocytosis and transport in the early stages of the endocytic pathways. Rab5 is a key regulator of clathrin-mediated endocytosis, but in addition, localises to several distinct endocytic carriers including phagosomes and pinocytic vesicles. On early endosomes, Rab5 coordinates within a spatially restricted domain enriched in phosphatidylinositol-3 phosphate PI(3)P a complex network of effectors, including PI3-Kinase (PI3-K), the FYVE-finger proteins EEA1 and Rabenosyn-5 that functionally cooperate in membrane transport. Moreover, Rab5 regulates endocytosis from the apical and basolateral plasma membrane in polarised epithelial cells. During my PhD thesis, I investigated the molecular mechanisms of endocytosis both in polarised and non-polarised cells. I obtained new insights into the molecular mechanisms of endocytosis and their coordination through the functional characterization of a novel Rab5 effector, termed Rabankyrin-5. I could demonstrated that Rabankyrin-5 is a novel PI(3)P-binding Rab5 effector that localises to early endosomes and stimulates their fusion activity in vitro. The latter activity depends on the oligomerisation of Rabankyrin-5 on the endosomal membrane via the N-terminal BTB/POZ domain. In addition to early endosomes, however, Rabankyrin-5 localises to large vacuolar structures that correspond to macropinosomes in epithelial cells and fibroblasts. Overexpression of Rabankyrin-5 increases the number of macropinosomes and stimulates fluid phase uptake whereas its downregulation through RNA interference inhibits these processes. In polarised epithelial cells, the function of Rabankyrin-5 is primarily restricted to the apical membrane. It localises to large pinocytic structures underneath the apical surface of kidney proximal tubule cells and its overexpression in polarised MDCK cells specifically stimulates apical but not basolateral, non-clathrin mediated pinocytosis. In demonstrating a regulatory role in endosome fusion and (macro)-pinocytosis, my studies suggest that Rab5 regulates and coordinates different endocytic mechanisms through its effector Rabankyrin-5. Furthermore, the active role in apical pinocytosis in epithelial cells suggests an important function of Rabankyrin-5 in the physiology of polarised cells. The results obtained in this thesis are central not only for our understanding of the basic principles underlying the regulation of multiple endocytic mechanisms. They are also relevant for the biomedical field, since actin-dependent (macro)-pinocytosis is an important mechanism for the physiology of cells and organisms and is upregulated under certain pathological conditions (e.g. cancer).

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Monocytes and macrophages are mediator cells of cartilage and bone erosion in the synovia of rheumatoid arthritis (RA) patients due to secretion of the inflammatory cytokine Interleukin-1β (IL-1β). Calcium, phosphate and fetuin are liberated from the affected bone matrix, and the formation of calciproteinparticles (CPPs) is likely. IL-1β production in monocytes in vitro is stimulated by high concentrations of extracellular calcium. Additionally, the rise of extracellular calcium concentrations leads to increased macropinocytosis in mononuclear phagocytes. Flow cytometry analyses in this study show that peripheral blood monocytes from patients with RA perform more calcium stimulated macropinocytosis of the fluorescent dye calcein than monocytes from healthy donors. Stimulation of monocytes with calcium and preformed CPPs leads to more IL-1β production, quantified using ELISA, by monocytes from RA patients. Experiments with macrophages show similar results. Furthermore calcium-stimulated macropinocytosis and IL-1β secretion are significantly positively correlated. However, there was no connection of in vitro findings and the severity of RA in patients.:Abbildungsverzeichnis IV Tabellenverzeichnis VI Abkürzungsverzeichnis VII 1 Einleitung 1 1.1 Rheumatoide Arthritis 1 1.1.1 Epidemiologie und Klinik der rheumatoiden Arthritis 1 1.1.2 Ätiopathogenese der rheumatoiden Arthritis 1 1.2 Monozyten und Makrophagen 3 1.2.1 Inflammasomaktivierung und Interleukin-1β-Sekretion in Monozyten und Makrophagen 4 1.2.2 Makropinozytose in Monozyten und Makrophagen 6 1.2.3 Beitrag der Monozyten und Makrophagen zur rheumatoiden Arthritis 7 1.3 Kalzium – lokale Dysregulation trotz systemischer Regulation 9 1.3.1 Entstehung von Kalziumproteinpartikeln 10 1.3.2 Kurzportrait des G-Protein-gekoppelten Kalziumrezeptors CaSR 11 2 Fragestellungen 13 3 Forschungsdesign, Material und Methoden 15 3.1 Forschungsdesign 15 3.2 Materialien 15 3.2.1 Laborgeräte 16 3.2.2 Verbrauchsmaterialien 17 3.2.3 Materialien und Chemikalien 17 3.2.4 Medien, Lösungen und Puffer 19 3.2.5 Stimulanzien und Inhibitoren 20 3.2.6 Fluoreszenzfarbstoffe 20 3.2.7 Software 20 3.3 Methoden 21 3.3.1 Separation von PBMCs mittels Ficolldichtegradientenzentrifugation 21 3.3.2 Separation von Monozyten mittels negativer Magnetseparation 22 3.3.3 Differenzierung von Monozyten zu Makrophagen in Zellkulturbeuteln 23 3.3.4 Makropinozytose von Monozyten und Makrophagen in der Durchflusszytometrie 23 3.3.4.1 Makropinozytose von Calcein in Monozyten 24 3.3.4.2 Makropinozytose fluoreszenzgefärbter Kalziumproteinpartikel in Monozyten und Makrophagen 25 3.3.4.3 Inhibition der Makropinozytose in Monozyten 26 3.3.4.4 Auswertung der am Durchflusszytometer generierten Rohdaten mit FlowJo 26 3.3.5 Makropinozytose von Monozyten in der Fluoreszenzmikroskopie 28 3.3.6 Bestimmung der Interleukin-1β-Produktion von Monozyten und Makrophagen mittels ELISA 29 3.3.7 Erhebung des DAS28 33 3.3.8 Bestimmung von Laborparametern 33 3.4 Statistische Auswertung 33 4 Ergebnisse 35 4.1 Charakterisierung der Kohorten 35 4.2 Vorversuche zur Auswahl eines geeigneten Fluoreszenzfarbstoffes für die Detektion der Makropinozytose 37 4.3 Stimulation von Monozyten mit Kalzium zur Makropinozytose und Interleukin-1β-Produktion 39 4.3.1 Kalziumstimulierte Calceinaufnahme von Monozyten 39 4.3.2 Kalziumstimulierte Interleukin-1β-Produktion von Monozyten 44 4.4 Stimulation von Monozyten mit Kalzium zur Makropinozytose und Interleukin-1β-Produktion unter Zugabe von Kalziumproteinpartikeln 47 4.4.1 Kalziumstimulierte Aufnahme fluoreszierender Kalziumproteinpartikel 47 4.4.2 Kalziumstimulierte Interleukin-1β-Produktion in Monozyten unter Zugabe von Kalziumproteinpartikeln 51 4.5 Stimulation von Makrophagen mit Kalzium zur Makropinozytose und Interleukin-1β-Produktion 53 4.5.1 Kalziumstimulierte Makropinozytose von fluoreszierenden Kalziumproteinpartikeln in Makrophagen 53 4.5.2 Kalziumstimulierte Interleukin-1β-Produktion mit und ohne Zugabe von Kalziumproteinpartikeln in Makrophagen 54 4.5.3. Visualisierung von Monozyten und Makrophagen nach 16 Stunden Inkubation 57 4.6 Korrelation zwischen kalziumstimulierter Makropinozytose und Interleukin-1β-Sekretion 59 5 Diskussion 61 5.1 Kalziumstimulierte Makropinozytoseaktivität von Monozyten und Makrophagen 61 5.2 Kalziumstimulierte Interleukin-1β-Sekretion von Monozyten und Makrophagen 64 5.2.1 Auswirkung der Phosphatkonzentration im Zellkulturmedium auf die kalziumstimulierte Interleukin-1β-Sekretion von Monozyten und Makrophagen 65 5.2.2 Kalziumstimulierte Interleukin-1β-Sekretion von Monozyten und Makrophagen von RA-Patienten und Kontrollprobanden 66 5.3 Zusammenhang von kalziumstimulierter Makropinozytose und Interleukin-1β-Sekretion in Monozyten und Makrophagen von RA-Patienten und Kontrollprobanden 70 5.4 Ausblick und offene Fragen 71 6 Zusammenfassung der Arbeit 73 8 Erklärung über die eigenständige Abfassung der Arbeit 88 9 Danksagung 89

Endocytosis, a process of plasma membrane invaginations, is a fundamental cellular mechanism, ensuring uptake of nutrients, enhanced communication between cells, protective functions against invasive pathogens and remodelling of the plasma membrane composition. In turn, endocytic mechanisms are exploited by pathogens to enter their host cells. Endocytosis comprises multiple forms of which our molecular understanding has mostly advanced with respect to clathrin-mediated endocytosis and phagocytosis. Studies on the small GTPase Rab5 have provided important insights into the molecular mechanism of endocytosis and transport in the early stages of the endocytic pathways. Rab5 is a key regulator of clathrin-mediated endocytosis, but in addition, localises to several distinct endocytic carriers including phagosomes and pinocytic vesicles. On early endosomes, Rab5 coordinates within a spatially restricted domain enriched in phosphatidylinositol-3 phosphate PI(3)P a complex network of effectors, including PI3-Kinase (PI3-K), the FYVE-finger proteins EEA1 and Rabenosyn-5 that functionally cooperate in membrane transport. Moreover, Rab5 regulates endocytosis from the apical and basolateral plasma membrane in polarised epithelial cells. During my PhD thesis, I investigated the molecular mechanisms of endocytosis both in polarised and non-polarised cells. I obtained new insights into the molecular mechanisms of endocytosis and their coordination through the functional characterization of a novel Rab5 effector, termed Rabankyrin-5. I could demonstrated that Rabankyrin-5 is a novel PI(3)P-binding Rab5 effector that localises to early endosomes and stimulates their fusion activity in vitro. The latter activity depends on the oligomerisation of Rabankyrin-5 on the endosomal membrane via the N-terminal BTB/POZ domain. In addition to early endosomes, however, Rabankyrin-5 localises to large vacuolar structures that correspond to macropinosomes in epithelial cells and fibroblasts. Overexpression of Rabankyrin-5 increases the number of macropinosomes and stimulates fluid phase uptake whereas its downregulation through RNA interference inhibits these processes. In polarised epithelial cells, the function of Rabankyrin-5 is primarily restricted to the apical membrane. It localises to large pinocytic structures underneath the apical surface of kidney proximal tubule cells and its overexpression in polarised MDCK cells specifically stimulates apical but not basolateral, non-clathrin mediated pinocytosis. In demonstrating a regulatory role in endosome fusion and (macro)-pinocytosis, my studies suggest that Rab5 regulates and coordinates different endocytic mechanisms through its effector Rabankyrin-5. Furthermore, the active role in apical pinocytosis in epithelial cells suggests an important function of Rabankyrin-5 in the physiology of polarised cells. The results obtained in this thesis are central not only for our understanding of the basic principles underlying the regulation of multiple endocytic mechanisms. They are also relevant for the biomedical field, since actin-dependent (macro)-pinocytosis is an important mechanism for the physiology of cells and organisms and is upregulated under certain pathological conditions (e.g. cancer).