O lúpus eritematoso sistêmico (LES) é uma doença auto-imune caracterizada pela produção de múltiplos auto-anticorpos, com componentes celulares nucleares como principal alvo. De etiologia desconhecida, envolve fatores genéticos, imunológicos, hormonais e ambientais. A deficiência na lectina ligadora da manose (MBL), um dos componentes do sistema de complemento, pode produzir uma apresentação anormal de antígenos para o sistema imunológico. Os polimorfismos genéticos na região promotora e codificante do gene MBL2 estão fortemente correlacionados com os níveis séricos da proteína MBL, tendo um possível impacto no mecanismo de tolerância imunológica. A influência do tabagismo ainda não foi avaliada em pacientes que apresentam estas variações alélicas. Nosso objetivo foi investigar o papel dos haplótipos associados à produção de MBL e tabagista sobre os índices de atividade, cronicidade e dano em pacientes com LES. Investigamos a frequência haplótipica da MBL em 327 pacientes com LES, classificados em Euro e Afro-descendentes. O hábito tabagista, dados clínicos e laboratoriais foram retirados dos prontuários e protocolos de pesquisa. A genotipagem do promotor e das variantes do exon 1 da MBL2 foram feitas por PCR-SSP e PCR-RFLP, respectivamente. Os índices SLICC e SLEDAI foram analisados comparando tabagismo, maços/ano (MA) e haplótipos através do teste Kruskal-Wallis e quiquadrado com Bonferroni para as outras análises. O estudo foi aprovado pelo comitê de ética do HCPA. Quando comparados fumantes e não-fumantes, não encontramos associação entre SLEDAI e SLICC com tabagismo, MA e os haplótipos da MBL. Em uma subanálise, manifestações como serosite (p = 0.025), pericardite (p = 0.015), convulsões (p = 0.011) e presença de anticorpos anti-Sm (p = 0.016) apresentaram uma maior frequência em não-fumantes. Entre fumantes, foi observado uma associação significativa entre alterações imunológicas (p = 0.032) e anti-RNP (p = 0,013) em pacientes que fumam de 4-24.7 MA, em comparação com quem fuma menos de 4 ou mais de 24.7 MA. Quando estratificados por etnia e os haplótipos da MBL, Euro-descendentes com haplótipos para deficiência de MBL apresentaram uma maior frequência de anticoagulante lúpico em fumantes (p = 0.016) e pleurite (p = 0.001) entre os que nunca fumaram. Nos haplótipos associados à baixa MBL, encontramos uma associação positiva entre pericardite em não-fumantes (p= 0.027). Entre os haplótipos para alta MBL, vimos uma menor frequência de distúrbios neurológicos (p = 0.05) e imunológicos (p = 0.027) e presença de anticorpos anti-Sm (p = 0.035) em não-fumantes. Em relação aos Afro-descendentes com haplótipos para baixa MBL, observou-se uma associação significativa entre o anti-RNP (p = 0.017) e não-fumantes. Aqueles indivíduos com haplótipo para alta MBL tiveram uma pequena associação entre o VDRL em não-fumantes (p = 0.048). Contudo, quando ajustado o p-valor para a correção de Bonferroni, todas essas associações perderam significância. Os resultados não apresentaram evidências de que o tabagismo possa atuar como um modulador dos índices de atividade, cronicidade e dano em pacientes com LES relacionado aos haplótipos da MBL. / Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by multiple autoantibody production, with cellular nuclear components as the most notable targets. With an unknown etiology, it involves genetic, immunological, hormonal and environmental factors. Deficiencies in the mannose-binding lectin (MBL), a component of the complement system, can produce an abnormal presentation of antigens to the immune system. Genetic polymorphisms in the promoter and coding regions of the MBL2 gene are strongly correlated to serum levels of the MBL protein, with possible impact in the immunological tolerance mechanism. The influence of smoking has not been evaluated in patients who present these allelic variants. Our aim was to investigate the role of MBL haplotypes (divided as deficient, low and high serum level-associated haplotypes) and smoking habit on disease activity and damage indexes in SLE patients. We investigated the frequencies of haplotype variants in 327 European and African-descendants SLE patients. Smoking habits, clinical and laboratory data were revised from clinical charts and genotyping of the promoter and exon 1 variants of MBL2 were performed by PCR-SSP and PCR-RFLP, respectively. SLICC and SLEDAI score were analyzed comparing the haplotype, smoking habits and pack-years (PY) of smoking using Kruskal-Wallis test for quantitative variables and chi-square test with Bonferroni for other analysis. The study was approved by the local ethical committee. When comparing ever smokers vs. never smokers, we found a lack of association between SLICC and SLEDAI among smoking habit, PY and MBL haplotypes. Further subanalysis on SLE manifestations showed a higher frequency of serositis (p=0.025), pericarditis (p=0.015), convulsion (p=0,011) and presence of anti-Sm (p=0.016) on never smokers. Among ever smokers, a significant association was observed between immunologic disorders (p=0.032) and anti-RNP (p=0.013) in patients who smoke 4 – 24.7 PY, compared with less than 4 or more than 24.7 PY. When stratified by ethnicity and MBL haplotypes, European-descendants with deficient MBL haplotype showed a higher frequency of lupus anticoagulant in smokers (p=0.001) and pleuritis (p= 0.016) among never smokers. On low MBL haplotype, we found a positive association between pericarditis and never smokers (p= 0.027). Among high MBL haplotype we identified a smaller frequency of neurologic (p=0.05) and immunologic disorders (p= 0.027) and presence of anti-Sm (p= 0.035) in never smokers. In relation to African-descendants with low MBL haplotype, a significant association between anti-RNP (p=0.017) and never smokers was observed. Those with high MBL haplotype had small association between false positive VDRL and never smokers (p=0.048). However, by adjusting the p-value for Bonferroni correction, all these associations lost significance. Our findings presented no evidence that smoking may act as a modulator of disease activity and damage indexes on SLE patients associated to serum MBL haplotypes.

O lúpus eritematoso sistêmico (LES) é uma doença auto-imune caracterizada pela produção de múltiplos auto-anticorpos, com componentes celulares nucleares como principal alvo. De etiologia desconhecida, envolve fatores genéticos, imunológicos, hormonais e ambientais. A deficiência na lectina ligadora da manose (MBL), um dos componentes do sistema de complemento, pode produzir uma apresentação anormal de antígenos para o sistema imunológico. Os polimorfismos genéticos na região promotora e codificante do gene MBL2 estão fortemente correlacionados com os níveis séricos da proteína MBL, tendo um possível impacto no mecanismo de tolerância imunológica. A influência do tabagismo ainda não foi avaliada em pacientes que apresentam estas variações alélicas. Nosso objetivo foi investigar o papel dos haplótipos associados à produção de MBL e tabagista sobre os índices de atividade, cronicidade e dano em pacientes com LES. Investigamos a frequência haplótipica da MBL em 327 pacientes com LES, classificados em Euro e Afro-descendentes. O hábito tabagista, dados clínicos e laboratoriais foram retirados dos prontuários e protocolos de pesquisa. A genotipagem do promotor e das variantes do exon 1 da MBL2 foram feitas por PCR-SSP e PCR-RFLP, respectivamente. Os índices SLICC e SLEDAI foram analisados comparando tabagismo, maços/ano (MA) e haplótipos através do teste Kruskal-Wallis e quiquadrado com Bonferroni para as outras análises. O estudo foi aprovado pelo comitê de ética do HCPA. Quando comparados fumantes e não-fumantes, não encontramos associação entre SLEDAI e SLICC com tabagismo, MA e os haplótipos da MBL. Em uma subanálise, manifestações como serosite (p = 0.025), pericardite (p = 0.015), convulsões (p = 0.011) e presença de anticorpos anti-Sm (p = 0.016) apresentaram uma maior frequência em não-fumantes. Entre fumantes, foi observado uma associação significativa entre alterações imunológicas (p = 0.032) e anti-RNP (p = 0,013) em pacientes que fumam de 4-24.7 MA, em comparação com quem fuma menos de 4 ou mais de 24.7 MA. Quando estratificados por etnia e os haplótipos da MBL, Euro-descendentes com haplótipos para deficiência de MBL apresentaram uma maior frequência de anticoagulante lúpico em fumantes (p = 0.016) e pleurite (p = 0.001) entre os que nunca fumaram. Nos haplótipos associados à baixa MBL, encontramos uma associação positiva entre pericardite em não-fumantes (p= 0.027). Entre os haplótipos para alta MBL, vimos uma menor frequência de distúrbios neurológicos (p = 0.05) e imunológicos (p = 0.027) e presença de anticorpos anti-Sm (p = 0.035) em não-fumantes. Em relação aos Afro-descendentes com haplótipos para baixa MBL, observou-se uma associação significativa entre o anti-RNP (p = 0.017) e não-fumantes. Aqueles indivíduos com haplótipo para alta MBL tiveram uma pequena associação entre o VDRL em não-fumantes (p = 0.048). Contudo, quando ajustado o p-valor para a correção de Bonferroni, todas essas associações perderam significância. Os resultados não apresentaram evidências de que o tabagismo possa atuar como um modulador dos índices de atividade, cronicidade e dano em pacientes com LES relacionado aos haplótipos da MBL. / Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by multiple autoantibody production, with cellular nuclear components as the most notable targets. With an unknown etiology, it involves genetic, immunological, hormonal and environmental factors. Deficiencies in the mannose-binding lectin (MBL), a component of the complement system, can produce an abnormal presentation of antigens to the immune system. Genetic polymorphisms in the promoter and coding regions of the MBL2 gene are strongly correlated to serum levels of the MBL protein, with possible impact in the immunological tolerance mechanism. The influence of smoking has not been evaluated in patients who present these allelic variants. Our aim was to investigate the role of MBL haplotypes (divided as deficient, low and high serum level-associated haplotypes) and smoking habit on disease activity and damage indexes in SLE patients. We investigated the frequencies of haplotype variants in 327 European and African-descendants SLE patients. Smoking habits, clinical and laboratory data were revised from clinical charts and genotyping of the promoter and exon 1 variants of MBL2 were performed by PCR-SSP and PCR-RFLP, respectively. SLICC and SLEDAI score were analyzed comparing the haplotype, smoking habits and pack-years (PY) of smoking using Kruskal-Wallis test for quantitative variables and chi-square test with Bonferroni for other analysis. The study was approved by the local ethical committee. When comparing ever smokers vs. never smokers, we found a lack of association between SLICC and SLEDAI among smoking habit, PY and MBL haplotypes. Further subanalysis on SLE manifestations showed a higher frequency of serositis (p=0.025), pericarditis (p=0.015), convulsion (p=0,011) and presence of anti-Sm (p=0.016) on never smokers. Among ever smokers, a significant association was observed between immunologic disorders (p=0.032) and anti-RNP (p=0.013) in patients who smoke 4 – 24.7 PY, compared with less than 4 or more than 24.7 PY. When stratified by ethnicity and MBL haplotypes, European-descendants with deficient MBL haplotype showed a higher frequency of lupus anticoagulant in smokers (p=0.001) and pleuritis (p= 0.016) among never smokers. On low MBL haplotype, we found a positive association between pericarditis and never smokers (p= 0.027). Among high MBL haplotype we identified a smaller frequency of neurologic (p=0.05) and immunologic disorders (p= 0.027) and presence of anti-Sm (p= 0.035) in never smokers. In relation to African-descendants with low MBL haplotype, a significant association between anti-RNP (p=0.017) and never smokers was observed. Those with high MBL haplotype had small association between false positive VDRL and never smokers (p=0.048). However, by adjusting the p-value for Bonferroni correction, all these associations lost significance. Our findings presented no evidence that smoking may act as a modulator of disease activity and damage indexes on SLE patients associated to serum MBL haplotypes.

Submitted by (lucia.rodrigues@ufrpe.br) on 2016-06-02T14:14:51Z No. of bitstreams: 1 Flavio de Oliveira Silva.pdf: 1881383 bytes, checksum: d592819e85426667e7752e0e6bcbbf0f (MD5) / Made available in DSpace on 2016-06-02T14:14:51Z (GMT). No. of bitstreams: 1 Flavio de Oliveira Silva.pdf: 1881383 bytes, checksum: d592819e85426667e7752e0e6bcbbf0f (MD5) Previous issue date: 2012-02-02 / Lectins are proteins that bind specifically and reversibly to carbohydrates, showing several biological effects. In this work, we carried out a literature review about biological effects of lectin extracted from seeds of Canavalia brasiliensis (ConBr), a plant present in the northeastern and southern Brazil, which is popularly known as wild bean of Ceará. In addition, we carried out a study to analyze the modulating activity of ConBr on murine splenocytes, verifying its effect on cell viability and proliferation, cytokine and nitric oxide (NO) production. We have also performed a study to evaluate ConBr effect on B16F10 murine melanoma cells by analyzing the inhibition of cell proliferation and migration as well as apoptosis induction and synthesis of cytokines and NO. The results show that ConBr induced at concentrations of 2.5, 5.0 and 10 μg/ml promoted the proliferation of splenocytes, with high cell viability. Furthermore, the concentration of 10 μg/ml induced cytokine production and nitric oxide on B16F10 murine melanoma, it was observed that ConBr inhibited tumor cell proliferation inducing apoptosis. It was also observed nitric oxide and IL-12 production by B16F10 cells under stimulus. ConBr lectin possesses a biotechnological potential use as a mitogen and anti-tumor agent. / As lectinas são proteínas que apresentam a capacidade de se ligar de maneira específica e reversível a carboidratos, exibindo distintos efeitos biológicos. Neste trabalho, realizou-se uma revisão de literatura sobre os efeitos biológicos da lectina extraída das sementes da Canavalia brasiliensis (ConBr), uma planta presente no Nordeste e Sul do Brasil, que é conhecida popularmente como feijão bravo do Ceará. Além disso, realizou-se um estudo para analisar a atividade moduladora da ConBr sobre esplenócitos murinos, verificando-se sua ação sobre a proliferação e viabilidade celular, produção de citocinas e óxido nítrico (NO). Realizou-se também, um estudo para avaliar o efeito da ConBr sobre células B16F10 de melanoma murino, analisando-se a inibição da proliferação e migração celular, bem como a indução de apoptose e síntese de citocinas e NO. Os resultados demostraram que a ConBr induziu nas concentrações de 2.5, 5.0 e 10 μg/ml promoveu a proliferação de esplenócitos, com alto índice de viabilidade celular. Além disso, a concentração de 10 μg/ml induziu a produção de citocinas e óxido nítrico. Em células B16F10 de melanoma murino, observou-se que a ConBr inibiu a proliferação das células tumorais promovendo apoptose celular. Verificou-se ainda, a produção de óxido nítrico e da citocina IL-12 pelas células submetidas ao estímulo. A lectina ConBr possue um potencial uso biotecnológico como mitógeno e agente antitumoral.

Orientador: Francisco Benedito Teixeira Pessine / Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Química / Made available in DSpace on 2018-08-23T23:52:35Z (GMT). No. of bitstreams: 1 Sousa_Marcelode_D.pdf: 3494030 bytes, checksum: 462ff3b363ece6e2ff2f83e5d1028485 (MD5) Previous issue date: 2013 / Resumo: Nos dias atuais não há cura e nem vacina para as pessoas portadoras de HIV. A erradicação do vírus não é possível porque a maioria está depositado em órgãos que são de difícil acesso aos fármacos antirretrovirais. Uma alternativa seria direcionar os fármacos à estes órgãos por intermédio de nanocarreadores. Os fármacos utilizados neste trabalho foram a Nevirapina, o Saquinavir e o Efavirenz e o nanocarregador foi as Nanopartículas Lipídicas Sólidas (NLS). As NLS foram produzidas utilizando ácido esteárico, ácido mirístico e Compritol 888 ATO como matrizes dos nanocarregadores, brometo de cetiltrimetilamônio, Lipoid-S75 e Tween 80 como surfatantes e n-butanol como co-surfatante. A formulação otimizada foi obtida através de um planejamento experimental 2 com ponto central utilizando os surfatantes como variáveis. A molécula direcionadora adicionada na superfície das nanopartículas foi a d-manose, a qual estava ligada na octadecilamina. Este açúcar foi escolhido por que é receptor dos macrófagos/monócitos. A estratégia é que estas células capturem os nanocarregadores carregados com fármacos antirretrovirais e os enviem aos órgãos depósitos de HIV. Estas NLS foram caracterizados pelas técnicas de espalhamento dinâmico de luz, potencial Zeta, Calorimetria Diferencial de Varredura (DSC), Difratometria de raios-X e Microscopia Eletrônica de Varredura (MEV), além dos estudos de liberação in vitro. / Abstract: Nowadays there is neither cure nor vaccine for people living with HIV. However, virus eradication is not possible because most are deposited in organs that are difficult access to antiretroviral drugs. An alternative would be to target the drugs to these organs via nanocarriers. The drugs used in this work were Nevirapine, Saquinavir and Efavirenz and the nanocarriers were Solid Lipid Nanoparticles (SLN). The SLN were produced using stearic acid, myristic acid and Compritol 888 ATO as matrix of nanocarriers, cetyltrimethyl ammonium bromide, Lipoid-S75 and Tween 80 as surfactants and n-butanol as cosurfactant. The optimized formulation was obtained through an 2 experimental design with central point using surfactants as variable. The target molecule added in the nanocarriers surface was d-mannose, which was linked in the octadecylamine. This sugar was chosen because it is receptor of macrophages/monocytes. The strategy is that these cells capture the nanocarriers loaded antiretroviral drugs and it send deposit organs of HIV. These SLN were characterized by techniques dynamic light scattering (DLS), zeta Potential, Differential Scanning Calorimetry (DSC), X-ray diffraction and Scanning Electron Microscopy (MEV), beyond of in vitro released studies. / Doutorado / Físico-Química / Doutor em Ciências

For a long time, the scientific community underestimated the value of carbohydrates and the approach of most scientists to the complex world of glycans was apprehensive. The scenario, however, has changed today. With the development of new research tools and methodologies the study of carbohydrates and glycoconjugates has progressed rapidly, increasing our understanding of these molecules. Carbohydrates are most abundant amongst biological polymers in nature and vital for life processes. In their simplest form, they serve as a primary source of energy to most living organisms. In generalis, they exist as complex structures (glycans), and as conjugates of protein (glycoproteins, proteoglycans), lipids (glycolipids) and nucleosides (UDP-Glucose). Defined in the broadest sense, the study of glycans in all their forms and their interacting partners is termed “Glycobiology”. Glycans are ubiquitously found in nature decorating cells of almost all types with a “sugar coat”. They are also present within the cytoplasm, as well as in the extra-cellular matrix. They have key roles in a broad range of biological processes, including signal transduction, cell development and immune responses. All living organisms have evolved to express proteins that recognize discrete glycans and mediate specific physiological or pathological processes. One major class of such proteins is “Lectins”. Found in all forms of life, they are characterized by their ability to recognize carbohydrates. They are proteins of non-immune origin that bind glycans reversibly with a high degree of stereo-specificity in a non-catalytic manner. It must be emphasized that they are a different class from glycan-specific antibodies. Lectins were first discovered in plants and a large amount of work has been carried out on plant lectins to decipher their structural organization, mode of interaction with substrate and as models to study protein stability and folding. Study on animal and microbial lectins, on the other hand, gathered momentum only recently. In spite of this, more is known about their function in animals and micro-organisms rather than in plants. Lectin-glycan binding is implicated in several important biological processes such as protein folding, trafficking, host-pathogen interactions, immune cell responses and in malignancy and metastasis. Most lectins have one or more carbohydrate recognition domains (CRDs) which often share either 3-D structural features or amino acid sequence. New members of a family can be identified using either sequence or structural homology. Interestingly, it turns out that several plant and microbial lectins have structural or sequential similarity with animal lectins , revealing that these CRDs are evolutionarily related. This thesis, entitled “Structural, Biophysical and Biochemical Studies on Mannose-specific Lectins”, focuses on three lectins, Banana lectin (Banlec), Calreticulin (CRT) and Peptide-N-Glycanase (PNGase). Although all three lectins have distinct biological functions, they share a common ligand specificity at the monosaccharide level i.e. mannose. This thesis, besides characterizing these lectins, studies in detail, the difference in the mode of interaction with their ligands. Chapter 1 is a general introduction on lectins, glycan-lectin interactions and the various techniques that are employed to characterize these interactions. Several principles have emerged about the nature of glycan–lectin interactions. It has been observed that the binding sites for low molecular weight glycans are of relatively low affinity (Kd values in the high micromolar to low millimolar range). Selectivity is mostly achieved via a combination of hydrogen bonds and by van der Waals packing of the hydrophobic faces of monosaccharide rings against aromatic amino acid side chains. Further selectivity and enhanced affinity can be achieved by additional contacts between the glycan and the protein. It is notable that the actual region of contact between the saccharide and the polypeptide typically involves only one to three monosaccharide residues. As a consequence of all of the above, these lectin-binding sites tend to be of relatively low affinity, although they can exhibit high specificity. It is intriguing to observe that such low-affinity sites have the ability to mediate biologically relevant interactions. There are many different ways to study binding of glycans to proteins, and each approach has its advantages and disadvantages in terms of thermodynamic rigor, amounts of protein and glycan needed, and the speed of analysis. In examining these interactions, two broad categories of techniques are applied: (1) kinetic and near-equilibrium methods, such as titration calorimetry; and (2) non-equilibrium methods such as glycan microarray screening and ELISA-based approaches. Two of the most widely used biophysical approaches for examining glycan-lectin interactions at the molecular level are X-ray crystallography and nuclear magnetic resonance (NMR). However, as small molecules often co-crystallize with a lectin better than large molecules, a lot of our knowledge about glycan–lectin interactions at the atomic level is based on co-crystals of lectins with unnatural ligands. Thus, a great challenge exists in attempting to understand glycan–lectin interactions in the context of natural glycans present as glycoproteins, glycolipids, or proteoglycans. Chapter 2 introduces Banana lectin and describes the stability studies carried out. The unfolding pathway of Banlec was determined using GdnCl induced denaturation. Analysis of isothermal denaturation provided information on its conformational stability and the high values of ΔG of unfolding at various temperatures indicated the strength of inter-subunit interactions. It was found that Banlec is a very stable protein and denatures only at high chaotrope concentrations. The basis of the stability may be attributed to strong hydrogen bonds at the dimeric interface along with the presence of water bridges. This is a very unique example in proteins where subunit association is not a consequence of the predominance of hydrophobic interactions. High temperature molecular dynamics simulations have been utilized to monitor and understand early stages of thermally induced unfolding of Banlec. The present study investigates the behavior of the dimeric protein at four different temperatures. The process of unfolding was monitored by monitoring the radius of gyration, the rms deviation of each residue, change in relative solvent accessibility and the pattern of inter- and intra-subunit interactions. The overall study demonstrates that the Banlec dimer is a highly stable structure, the stability in most part contributed by interfacial interactions. The pattern of hydrogen bonding within the subunits and at the interface across different stages has been analyzed and has provided the rationale for its intrinsic high stability. In Chapter 3 the conformational and dynamic behaviour of three mannose containing oligosaccharides, a tetrasaccharide with α1→2, and α1→3, and a penta- and a heptasaccharide with α1→2, α1→3, and α1→6 linkages has been evaluated. Molecular mechanics, molecular dynamics simulations and NMR spectroscopy methods were used for evaluation. It is found that they display a fair amount of conformational freedom, with one major and one minor conformation per glycosidic linkage. The evaluation of their recognition by Banlec has been performed by STD NMR methods and a preliminary view of their putative interaction mode has been carried out by means of docking procedures. In Chapter 4 the conformational behaviour of three mannose containing oligosaccharides, namely, the α1→3[α1→6] trisaccharide, the heptasaccharide with α1→2, α1→3, and α1→6 linkages and the tetrasaccharide consisting of α1→3 and α1→2 linkages, when bound to Banlec has been evaluated by trNOE NMR methods and docking calculations. It is found that the molecular recognition event involves a conformational selection process, with only one of the conformations, among those available to the sugar in free state, being recognised at the lectin binding site. It is known that many proteins, including members of the Jacalin-related lectin family (of which Banlec is a member), bind the high-mannose saccharides found on the surface of the HIV-associated envelope glycoprotein, gp120, thus interfering with the viral life cycle, potentially providing a manner of controlling a variety of infections, including HIV. These proteins are thought to recognize the high-mannose type glycans with subtly different structures, although the precise specificities are yet to be clarified. This study was carried out to gain a better understanding of these protein-carbohydrate recognition events. Chapter 5 reports interactions of Calreticulin (CRT) with the trisaccharide Glcα1-3Manα1-2Man. Previously in our laboratory it was established using modeling studies the residues in CRT important for sugar binding. Here, the relative roles of Trp-319, Asp-317 and Asp-160 for sugar binding have been explored by using site-directed mutagenesis and isothermal titration calorimetry (ITC). Residues corresponding to Asp-160 and Asp-317 in calnexin (CNX) are known to play important roles in sugar binding. The present study demonstrates that Asp-160 is not involved in sugar binding, while Asp-317 plays a crucial role. Further, it is also validated that hydroxyl-pi interactions of the sugar with Trp-319 dictate sugar binding in CRT. This study defines further the binding site of CRT and also highlights its subtle differences with that of CNX. Additionally, mono-deoxy analogues of the trisaccharide unit Glcα1-3Manα1-2Man have been used to determine the role of various hydroxyl groups of the sugar substrate in sugar-CRT interactions. Using the thermodynamic data obtained by carrying out ITC of CRT with these analogues, it is demonstrated that the 3-OH group of Glc1 plays an important role in sugar-CRT binding, whereas the 6-OH group does not. Also, the 4-OH, 6-OH of Man2 and 3-OH, 4-OH of Man3 in the trisaccharide are involved in binding, of which 6-OH of Man2 and 4-OH of Man3 have a more significant role to play. Therefore, the interactions between the substrate sugar of glycoproteins and the lectin chaperone CRT are further delineated. Chapter 6 introduces Peptide-N-Glycanase (PNGase) and delineates the various interactions involved in the binding of oligomannose structures of glycoproteins to the C-terminal domain (the carbohydrate recognition module) of PNGase. ITC is used to characterize the interaction to oligosaccharides in terms of affinity, stoichiometry, enthalpy, entropy and heat capacity changes with the mouse PNGase C-terminal domain. Using the thermodynamic data obtained, it was determined that PNGase requires the tri-mannoside moiety of the native glycan on glycoproteins as the basic minimum entity for recognition and binding. Additional mannose moieties on the glycan do not significantly interact with PNGase and therefore no enhancement in binding affinity is observed (unlike CRT) which is in concordance with its role of stripping glycans from misfolded glycoproteins targeted for degradation via the ERAD (Endoplasmic reticulum assisted degradation) pathway. Chapter 7 briefly summarizes all the findings of the research carried out and presents a comparative analysis of the three lectins studied. Appendix A: Protein folding in the ER is assisted by molecular chaperones. Lectin chaperones such as CRT and CNX assist the folding of glycoproteins by their N-linked oligosaccharide chains. Dynamic processing of the original glycan chain of (GlcNAc)2(Man)9(Glc)3 to remove the terminal glucose moieties is essential for accurate folding. Proteins that attain their native conformation are then transported to the Golgi complex for further glycan modifications. In case of aberrant folding the proteins are retrotranslocated into the cytosol, ubiquitinated, deglycosylated and degraded by the proteasome. Peptide-N-glycanase is a cytosolic enzyme that releases N-glycans from glycoproteins and glycopeptides. PNGase is now widely recognized as a major participant in protein quality control machinery for ERAD or the proteasomal degradation of retrotranslocated glycoproteins. It is therefore desirable to synthesize fluorescently labeled glycoprotein substrates which will provide direct understanding of how, when and where, the interaction between the substrate and the enzyme occurs. Towards this goal, cloning of GFP and RFP tagged full length mouse and human PNGase and CRT was carried out which is described in this section.

Chronic granulomatous disease (CGD) is associated with defective function of the NADPH-oxidase system in conjunction with phagocytic defects which leads to granuloma formation and serious infectious complications. This is often associated with significant morbidity and mortality. The association of defective phagocyte function with other coincidental immune defects is unknown. Defects in innate pathways seen with CGD, including complement systems, and toll-like and dectin receptor pathways, have not been described before. We present the case of a 2-year old male patient hospitalized with recurrent pneumonia, a non-healing skin ulcer, necrotizing lung granulomas, and epididymo-orchitis. Defective neutrophil chemiluminescence was detected by dihydrorhodamine (DHR) testing. Further evaluation demonstrated characteristic molecular mutations of CYBB consistent with CGD. Immune evaluation demonstrated polyclonal hyperglobulinemia, but a greatly reduced mannose binding lectin (MBL) level. Six biallelic polymorphisms in MBL gene and its promoter were analyzed using Light Cycler™ Real-time PCR assay. The LXPA/LYPB haplotype of MBL was detected in our patient; the latter is the defective haplotype associated with low MBL levels. Due to the implications for innate immunity and the protection against bacterial, viral, and fungal infections provided by MBL, a deficiency of this protein may have disastrous consequences on the long term outcomes of CGD. MBL deficiency can also complicate other disorders affecting the immune system, significantly increasing the risk of infection in such patients. Further studies looking at the frequency and implications of MBL deficiency in CGD are needed. © 2012 Bentham Science Publishers.

Bacterial biofilms represent a challenge to the healthcare system because of their resilience against antimicrobials and immune attack. Biofilms consist of bacterial aggregates embedded in an extracellular polymeric substance (EPS) composed of polysaccharides, nucleic acids and proteins. We hypothesised that carbohydrates could contribute to immune recognition of Pseudomonas aeruginosa biofilms by engaging C-type lectins. Here we show binding of Dendritic Cell-Specific Intercellular adhesion molecule-3-Grabbing Non-integrin (DC-SIGN, CD209), mannose receptor (MR, CD206) and Dectin-2 to P. aeruginosa biofilms. We also demonstrate that DC-SIGN, unlike MR and Dectin-2, recognises planktonic P. aeruginosa cultures and this interaction depends on the presence of the common polysaccharide antigen. Within biofilms DC-SIGN, Dectin-2 and MR ligands appear as discrete clusters with dispersed DC-SIGN ligands also found among bacterial aggregates. DC-SIGN, MR and Dectin-2 bind to carbohydrates purified from P. aeruginosa biofilms, particularly the high molecular weight fraction (HMW; >132,000 Da), with Ks in the nM range. These HMW carbohydrates contain 74.9-80.9% mannose, display α-mannan segments, interfere with the endocytic activity of cell-associated DC-SIGN and MR and inhibit Dectin-2-mediated cellular activation. In addition, biofilm carbohydrates reduce the association of the DC-SIGN ligand Lewis, but not fucose, to human monocyte-derived dendritic cells (moDCs), and alter moDC morphology without affecting early cytokine production in response to lipopolysaccharide or P. aeruginosa cultures. This work identifies the presence of ligands for three important C-type lectins within P. aeruginosa biofilm structures and purified biofilm carbohydrates and highlights the potential for these receptors to impact immunity to P. aeruginosa infection.

Avaliou-se a expressão do gene mbl2 em 79 crianças e suas mães HIV positivas com o objetivo de avaliar a sua influência na transmissão vertical. Os pacientes divididos em dois grupos: crianças HIV positivas e suas mães (n=18) e crianças HIV negativas e suas mães (n=61) foram avaliados pelo CH50 e AP50 (ensaios hemolíticos), dosagem e avaliação funcional da MBL, ativação da cascata terminal do complemento (ELISA) e o gene mbl2 (PCR). Os resultados não mostraram diferença significante entre os níveis séricos, atividade funcional e o gene da MBL entre os grupos, excluindo a sua influência sobre a transmissão materno-fetal do HIV / It was evaluated the mbl2 gene expression in 79 children and their HIV positive mothers with the aim to evaluate its influence on mother-to-child HIV. The patients were divided in two groups: HIV positive children and their mothers (n=18) and HIV negative children and their mothers (n=61) were evaluated by CH50 and AP50 (hemolytic assays); levels and functional MBL and terminal complement cascade (ELISA) and mbl2 gene (PCR). The results didn't show significant difference amons serum levels, functional activities and MBL gene between the groups, excluding the influence in the mother-to child HIV transmission.

Avaliou-se a expressão do gene mbl2 em 79 crianças e suas mães HIV positivas com o objetivo de avaliar a sua influência na transmissão vertical. Os pacientes divididos em dois grupos: crianças HIV positivas e suas mães (n=18) e crianças HIV negativas e suas mães (n=61) foram avaliados pelo CH50 e AP50 (ensaios hemolíticos), dosagem e avaliação funcional da MBL, ativação da cascata terminal do complemento (ELISA) e o gene mbl2 (PCR). Os resultados não mostraram diferença significante entre os níveis séricos, atividade funcional e o gene da MBL entre os grupos, excluindo a sua influência sobre a transmissão materno-fetal do HIV / It was evaluated the mbl2 gene expression in 79 children and their HIV positive mothers with the aim to evaluate its influence on mother-to-child HIV. The patients were divided in two groups: HIV positive children and their mothers (n=18) and HIV negative children and their mothers (n=61) were evaluated by CH50 and AP50 (hemolytic assays); levels and functional MBL and terminal complement cascade (ELISA) and mbl2 gene (PCR). The results didn't show significant difference amons serum levels, functional activities and MBL gene between the groups, excluding the influence in the mother-to child HIV transmission.

A candidíase vulvovaginal corresponde a uma das mais frequentes infecções do trato reprodutivo. Estima-se que 75% das mulheres na idade reprodutiva experimentarão pelo menos um episódio de candidíase vulvovaginal durante suas vidas, a maioria evoluirá com episódios infrequentes, entretanto, 5% sofrerão recorrência, ou seja, quatro ou mais episódios de candidíase vulvovaginal comprovadas clínica e laboratorialmente no período de 1ano. Os mecanismos pelos quais as recorrências ocorrem ainda são pouco conhecidos, estando provavelmente relacionados à alterações na imunidade local. O presente estudo teve como objetivo avaliar as associações entre os polimorfismos nos genes que codificam a lecitina ligadora de manose (MBL) e do antagonista do receptor da interleucina 1 (IL1-Ra) com a candidíase vulvovaginal recorrente (CVVR) em mulheres brasileiras. Foram estudadas 100 mulheres portadoras de CVVR atendidas no Serviço de Imunologia Genética e Infecções do Trato Reprodutivo da Disciplina de Ginecologia da Faculdade de Medicina da Universidade de São Paulo. Para a análise dos polimorfismos nos genes que codificam para a MBL e o IL1-Ra realizou-se coleta de células bucais que foram enviadas para Division of Immunology and Infectious Diseases of Weill Medical College of Cornell University Resultados: Mulheres com candidíase vulvovaginal recorrente apresentaram maior frequência de polimorfismo no códon 54 do gene que codifica a MBL quando comparadas a mulheres saudáveis. Não foram observadas diferenças estatisticamente significativas na frequência do polimorfismo do gene que codifica o IL1-Ra entre os grupos estudados / Vulvovaginal candidiasis is the most common genital infection in women during their childbearing years. About 75% of women suffer at least one syntomatic episode during their lives. Most of them will have infrequent episodes, but 5% will suffer recurrent episode of vulvovaginal candidiasis. The mechanisms responsible for recurrent vulvovaginal candidiasis (RVCC) remain a matter of speculation, although an alteration in local immunity appears to be a major factor. The aim of this study was to assess the correlation between polymorphisms in the genes coding for mannose-binding lectin (MBL) and interleukin-1 receptor antagonist (IL1-Ra) and RVCC in women from São Paulo, Brazil. The study population consisted of 100 women with RVCC, who were seen at Serviço de Infecções do Trato Reprodutivo da Disciplina de Ginecologia da Faculdade de Medicina da Universidade de São Paulo. To analyse for the MBL códon 54 gene polymorphism and for IL1-Ra, buccal cells were obtained with a cotton swabs and shipped to New York at ambient temperature. The polymorphisms were identified in the Division of Immunology and Infectious Diseases of Weill Medical College of Cornell University. Results: Women with RVVC present a high frequency of polymorphisms at codon 54 in the gene coding for MBL; on the other hand there were no differences in polymorphism frequency in the gene coding for IL1-Ra when compared to control women