A disfunção cardíaca, decorrente de um prejuízo na contratilidade miocárdica, tem sido reconhecida como um fator importante que contribui para as altas taxas de mortalidade na sepse. Outro fato importante aponta para o envolvimento das calpaínas na inibição da via de sinalização PI3K/mTOR levando a uma diminuição potencial das taxas globais de síntese proteica através da redução da maquinaria de tradução disponível, o que reforça o envolvimento destes elementos na progressão da disfunção cardíaca na sepse. Metodologia: Foram utilizados camundongos da linhagem C57/BL6 para indução de sepse através da técnica de ligadura e perfuração do ceco separados em quatro grupos: controle com e sem tratamento e sepse moderada com e sem tratamento, o tratamento foi realizado 2 horas antes da cirurgia com inibidor da via mTOR, rapamicina. Foi realizada análise histopatológica em metacrilato e coloração picrosirius para colágeno, western blotting para quantificação da expressão proteica e real-time PCR para quantificação da expressão gênica, por fim realizamos análise funcional através da ecocardiografia. Resultados: Foi encontrado aumento das lesões teciduais e depósito de colágeno no grupo séptico tratado com rapamicina. A análise por western blotting e real-time PCR demonstrou redução das proteínas envolvidas na via mTOR nos grupos sépticos com e sem tratamento com ênfase no grupo tratado e por fim a avaliação funcional mostrou redução dos parâmetros débito cardíaco e fração de ejeção nos grupos sépticos com e sem tratamento. Conclusão: Nossos resultados demonstram que a via mTOR é de extrema importância na estrutura e função cardíacas, visto que sua inibição ocasionou o aumento de lesões e deposição de colágeno juntamente com alterações funcionais, podendo se transformar em um possível alvo terapêutico para futuras pesquisas clínicas em animais e humanos. / Cardiac dysfunction, due to impairment in myocardial contractility, has been recognized as an important factor contributing to the high mortality rates in sepsis. Another important fact is the involvement of the calpain in the inhibition of the PI3K / mTOR signaling pathway leading to a potential decrease in the overall rates of protein synthesis through the reduction of available translation machinery, which reinforces the involvement of these elements in the progression of cardiac dysfunction in sepsis. Methods: C57 / BL6 mice were used for induction of sepsis through the technique of ligation and perforation of the cecum separated into four groups: control with and without treatment and moderate sepsis with and without treatment, treatment was performed 2 hours before surgery with mTOR pathway inhibitor, rapamycin. Histopathological analysis was performed on methacrylate and picrosirius staining for collagen, western blotting for quantification of protein expression and real-time PCR for quantification of gene expression. Finally we performed functional analysis through echocardiography. Results: Increased tissue lesions and collagen deposition were found in the septic group treated with rapamycin. Western blotting and real-time PCR analysis showed reduction of the proteins involved in the mTOR pathway in the septic groups with and without treatment with emphasis in the treated group and finally the functional evaluation showed a reduction of the parameters cardiac output and ejection fraction in the septic groups with and without treatment. Conclusion: Our results demonstrate that the mTOR pathway is extremely important in cardiac structure and function, since its inhibition has resulted in increased lesions and collagen deposition along with functional alterations, and may become a possible therapeutic target for future clinical research in animals and humans.

O carcinoma de cabeça e pescoço é uma neoplasia maligna de origem epitelial que resulta em aproximadamente 500.000 novos casos por ano ao redor do mundo. Diversos estudos têm sido conduzidos de maneira a elucidar os mecanismos de proliferação e invasão desta doença, sendo a via de sinalização Akt/mTOR e proteínas relacionadas, apontada como uma das principais vias envolvidas em sua progressão. Sabe-se que células neoplásicas, bem como células de diferentes tecidos, podem ter seu comportamento modificado após terem sido irradiadas com laser em baixa intensidade (LLLT). Porém, os mecanismos de atuação da luz laser de baixa potência sobre estas células permanecem ainda não completamente esclarecidos. Portanto, o objetivo deste estudo foi o de analisar a viabilidade celular e expressão das proteínas Akt, pAkt, Hsp90, S6, pS6 e Ciclina D1 em duas linhagens celulares de carcinoma de boca (SCC9 e SCC25), bem como em uma linhagem de queratinócitos orais humanos com displasia (DOK) após irradiação com laser em baixa intensidade. O laser utilizado foi um diodo semicondutor de arseneto de Gálio e Alumínio (GaAlAs) operando nos comprimentos de onda vermelho (660nm) e infravermelho (780nm), com potência fixa em 40mW e três densidades de energia para cada comprimento de onda disponível: 2.05J/cm², 3.07J/cm² e 6.15J/cm². A análise de apoptose foi realizada por meio do teste de TUNEL e a expressão proteica foi obtida com imunofluorescência e western blotting. Após análise estatística por meio do método ANOVA dois critérios e testes de Tukey ou teste T de estudante, todos com nível de significância de 5%, pôde-se concluir que a LLLT induziu comportamentos distintos em cada uma das linhagens celulares utilizadas. Foi notado aumento, bem como diminuição da viabilidade celular, dependendo do comprimento de onda utilizado e das células irradiadas. A densidade de energia de 2.05J/cm² foi a que produziu efeitos mais significativos em SCC9. Para a linhagem celular SCC25, a dose mais relevante foi a de 3.07J/cm², enquanto que para a linhagem DOK, a dose de 6.15J/cm² causou efeitos mais proeminentes. Estas respectivas doses foram escolhidas para cada uma das linhagens para dar continuidade aos experimentos de Western Blotting e Imunofluorescência. Dentre os resultados mais relevantes obtidos com estas técnicas, pode-se citar a variação dos níveis de pS6 e Ciclina D1 para a linhagem DOK em determinados períodos. Já a linhagem SCC9 apresentou variação dos níveis de pAkt e Ciclina D1 nos períodos estudados. A linhagem SCC25 também teve as expressões de pAkt, pS6 e Ciclina D1 modificadas por LLLT. De maneira interessante, o aparecimento ou manutenção de uma isoforma de Hsp90 foi encontrado em SCC9 e SCC25 após irradiação laser. Por fim, a indução de apoptose foi detectada na linhagem SCC25. Em conclusão, pode-se dizer que a LLLT, como empregada neste estudo, foi capaz de aumentar a expressão de proteínas relacionadas à progressão e invasão em todas as linhagens estudadas. Além disso, a irradiação laser foi única, apesar de ter causado efeitos prolongados, algumas vezes até o último período estudado. / Head and neck squamous cell carcinoma (HNSCC) is an epithelial malignant neoplasm that accounts for approximately 500.000 new cases yearly around the world. Several studies have been conducted to elucidate the mechanisms of proliferation and invasion of this lesion, whereas the Akt/mTOR signaling pathway with its related proteins is being pointed out as one of the main pathways involved in HNSCC`s progression. Neoplastic cells, as well as cells that originate from different tissues may have their behavior modified by low level laser therapy (LLLT); however, the mechanisms through which the low level laser light interacts with these cells remain poorly understood. Thus, this study sought to evaluate the cell viability and the expression levels of Akt, pAkt, Hsp90, S6, pS6 and Cyclin D1 proteins in two oral squamous cell carcinoma cell lineages (SCC9 and SCC25) and in one oral dysplastic human keratinocyte cell line (DOK) after they had been treated with LLLT. The laser device was a semiconductor diode of Gallium and Aluminum Arsenate (GaAlAs), operating with wavelengths of 660nm (red) and 780nm (infrared), with a fixed power of 40mW and giving three different energy densities: 2.05J/cm², 3.07J/cm² and 6.15J/cm². Apoptosis was analyzed through TUNEL test and the protein expression was accessed with Immunofluorescence and Western blotting. After statistical analysis through two-way ANOVA and Tukey or Student`s T test, all of them with a level of significance of 5%, it was concluded that LLLT induced distinct behaviors to each of the studied cell lines. Increases and inhibitions in cell viabilities were detected depending on the wavelength and also on the irradiated cell line. The energy density of 2.05J/cm² produced the most significant findings over SCC9. On the other hand, in SCC25 the most relevant results were detected with 3.07J/cm², while the most prominent findings were seen with 6.15J/cm² when the cell line DOK was evaluated. In that way, these respective doses were chosen for each cell line to continue with Western blotting and Immunofluorescence. Among the most relevant findings, the variation of pS6 and Cyclin D1 levels can be cited for DOK in some evaluated periods. SCC9 presented both pAkt and Cyclin D1 variations in the studied periods. Besides that, SCC25 also had pAkt, pS6 and Cyclin D1 levels modified by LLLT. Interestingly, the appearance and maintenance of an Hsp90 isoform was found in SCC9 and SCC25 after laser irradiation. Moreover, the induction of apoptosis was detected for the SCC25 cell line. Finally, the LLLT employed herein was able to enhance the expression of proteins related to progression and invasion in all of the studied cell lines. In addition, there was a single laser irradiation, although it caused prolonged effects, sometimes through the latest evaluated period.

A desnutrição proteica (DP) pode ocasionar alterações na matriz extracelular (MEC) de diferentes órgãos e tecidos, inclusive o hematopoético, com comprometimento funcional. Estudos do nosso laboratório demonstraram, em modelo murino de DP, aumento da expressão proteica de fibronectina (FN) no estroma medular ósseo in vivo, principalmente na região subendosteal (local de fixação da célula tronco progenitora hemopoética). Já in vitro, no estroma medular ósseo, observou-se tanto o aumento quanto a diminuição de FN e a presença de suas isoformas. Essas alterações de FN parecem estar envolvidas com a hipoplasia da medula óssea (MO) em camundongos desnutridos. As modificações quantitativas de FN podem ser devidas: (i) à ação das metaloproteinases de matriz (MMP) responsáveis pela degradação das proteínas da MEC; (ii) aos inibidores de metaloproteinases (TIMP) que regulam a degradação da MEC; (iii) às alterações transcricionais, reguladas pela via de AKT/mTOR, que controla os splicing alternativos na FN, resultando em isoformas dessa proteína; (iv) a processos pós-transcricionais modulados por LC3, que aumenta a tradução do RNAm de FN. Assim, o objetivo deste estudo foi elucidar os mecanismos que alteram o turnover de FN no estroma medular ósseo em modelo murino de DP. Utilizamos camundongos, C57BL/6J machos, adultos, separados em dois grupos: controle e desnutrido, alimentados, ad libitum, com ração contendo 12% e 2% de proteína, respectivamente. Após cinco semanas de indução à desnutrição os camundongos foram eutanasiados, e coletado o material biológico. Avaliamos: o estado nutricional, o hematológico, a histologia da MO femoral bem como a determinação imunohistoquímica da FN, MMP-2 e MMP-9, determinação da expressão de FN e suas isoformas em células totais da MO, o estabelecimento do estroma medular ósseo in vitro, por 28 e 35 dias de cultivo. A partir das culturas foram avaliadas a expressão de RNAm de FN e suas isoformas, MMP-2, MMP-9, TIMP-1, TIMP-2, AKT, mTOR e LC3α e β, quantificação de MMP-2, MMP-9, TIMP-1, TIMP-2,TNFα, TGFβ e IL-1β e determinação de LC3β e proteínas da via de AKT/mTOR. Não observamos alterações na expressão do RNAm de FN e suas isoformas ex vivo e in vitro, mas um aumento da deposição de FN na MO.Também não observamos modificações na imunolocalização de MMP-2 e MMP-9 na MO e na atividade dessas proteínas no sobrenadante de culturas de células estromais in vitro, mas houve aumento da expressão do RNAm de MMP-9 em 28 dias de cultivo. Não detectamos alterações na expressão de RNAm e na concentração de TIMP-1 e TIMP-2 no sobrenadante das culturas. Houve redução significativa de TNFα e TGFβ no sobrenadante das culturas de 28 dias. Observamos aumento da expressão do RNAm de mTOR em culturas de 28 dias e LC3α e LC3β em 35 dias de células estromais. Encontramos menor fosforilação de PI3K, AKT, PTEN, mTOR e mTOR total e aumento de LC3β em culturas de 28 dias, mas redução de LC3β em 35 dias. Em função dos dados inferimos que a DP conduz a alterações da FN que não estão relacionadas à ação de MMPs e TIMPs e sim a modificações de LC3β e da via de AKT/mTOR. / Protein malnutrition (PM) can lead changes in extracellular matrix (ECM) from several organs and tissues, including hematopoietic, with functional impairments. Research from our laboratory demonstrated, in a murine model of protein malnutrition, increase in proteic expression of fibronectin (FN) in vivo bone marrow stroma, principally in subendosteal region (attachment site of hematopoietic stem/progenitor cell - HSPC). It was observed as both an increase and a decrease in the presence of FN and its isoforms in vitro bone marrow stroma. These FN changes seem to be related to bone marrow (BM) hypoplasia in malnourished mice. Quantitative FN changes may be due to: (i) action of matrix metalloproteinases (MMP) responsible for ECM proteins degradation; (ii) tissue inhibitors of metalloproteinases (TIMP) that regulate ECM degradation; (iii) transicional changes regulated by AKT/mTOR pathway, which controls alternative splicing in FN, resulting in isoforms from this protein; (iv) post-transcriptional processes modulated by LC3 that increases FN mRNA translation. Therefore, the aim of this study was to elucidade the mechanisms that changes the FN turnover in bone marrow stroma in a murine model of PM. C57BL/6J, adult and male mice were used and divided into two groups: control and malnourished, fed ad libitum with ration containing 12% and 2% of protein, respectively. After five weeks of induction malnutrition, mice were euthanized and the biological material was collected. We evaluated: nutritional and hematologic status, the femoral BM histology, immunohistochemistry determination of FN, MMP-2 and MMP-9, the FN and its isoforms expression determination in total BM cells, establishment of in vitro bone marrow stroma for 28 and 35 days of culture. From the cultures were evaluated FN mRNA expressions and its isoforms, MMP-2, MMP-9, TIMP-1, TIMP-2, AKT, mTOR, LC3α and β, quantification of MMP-2, MMP-9, TIMP-1, TIMP-2,TNFα, TGFβ and IL-1β and determination of LC3β and AKT/mTOR proteins. No changes were observed, ex vivo and in vitro, in the expression of FN mRNA and its isoforms, but there was a FN deposition increase in BM. We did not observe modifications in MMP-2 e MMP-9 immunolocalization in BM and in these proteins activity in the supernatant of in vitro stromal cell culture, but there was an increase in MMP-9 mRNA expression after 28 days of culture. We did not detect changes in mRNA and in TIMP-1 and TIMP-2 expressions in the supernatant of cultures. There was significant reduction of TNFα and TGFβ in the cultures supernatant of 28 days. We observed an increase of mTOR RNAm in 28 days cultures and also LC3α and LC3β in stromal cells with 35 days. We found lower phosphorylation of PI3K, AKT, PTEN, mTOR e total mTOR and an LC3β increase in 28 days cultures, yet an LC3β reduction in 35 days. According to the data we conclude that PM leads to FN changes that are not related to MMPs and TIMPs actions, but the LC3β and AKT/mTOR pathway modifications.

Das Eukaryotische-Initiations faktor-4E Bindungsprotein (4E-BP) ist ein Inhibitor der Translationsinitiation. Nicht-phosphoryliertes 4E-BP bindet an den eukaryotischen Initiationsfaktor 4E (eIF4E). Diese Bindung blockiert die Rekrutierung des Initiationskomplexes eIF4F an die Cap-Struktur des 5´Endes von eukaryotischen zellulären mRNAs, was die Initiation der Translation verhindert. Phosphorylierung von 4E-BP durch die mTOR Kinase führt zur Dissoziation des 4E-BP/eIF4E Komplexes und erhöht die Verfügbarkeit von eIF4E, dies wird mit Zellproliferation assoziiert. Die Aktivität von eIF4E wird nicht nur von 4E-BP, sondern auch durch Phosporylierung reguliert, welche wiederum durch die "MAP-Kinase-Interacting-Protein-Kinase" (MNK) reguliert wird. Drei Isoformen von 4E-BP sind bekannt: 4E-BP1, 4E-BP2 and 4E-BP3. 4E-BP1 und 4E-BP2 sind an oxidativem und adipogenetischen Stress beteiligt. Beide Proteine werden im h?matopoetischen System gleich exprimiert, wohingegen 4E-BP3 nicht detektiert wird. 4E-BP1 wird während der Erythroblasten-Proliferation phosphoryliert. Aus diesem Grund habe ich die Hämatopoese und die durch Phenylhydrazine (PHZ) induzierte Stress-Erythropoese in 4E-BP1 und 4E-BP2 Knock-Out Mäusen und 4E-BP1,2 Doppel-Knock-Out Mäusen analysiert. Ich konnte zeigen, dass die Hämatopoese in 4E-BPs defizienten Mäusen nicht beeinflusst wird. Allerdings zeigten 4E-BP1,2-/- und 4E-BP2-/- Mäuse eine verspätete Antwort auf Phenylhydrazin (PHZ) induzierten erythropoetischen Stress. Gleichzeitig war die mRNA Translation von GATA-1, ein essentieller erythropoetischer Transkriptionsfaktor in Erythroblasten runterreguliert. Die Signaltransduktionswege mTOR und MNK1 waren bei erythropoetischen Stress aktiviert. Diese Daten zeigen, dass 4E-BP2, aber nicht 4E-BP1, notwendig ist um auf erythropoetischen Stress zu reagieren und deuten an, dass die 4E-BP gesteuerte translations-regulierende Maschinerie eine Rolle in der Stress-Erythropoese spielt. / Translational regulation allows an organism to generate fast responses to environmental changes quickly. Eukaryotic initiation factor 4E binding protein (4E-BP) is an inhibitor of translation initiation. Unphosphorylated 4E-BP binds to eukaryotic initiation factor 4E (eIF4E) blocking recruitment of the initiation complex eIF4F to the cap structure at the 5´ terminus of eukaryotic cellular mRNAs. Thus initiation of translation is blocked. Phosphorylation of 4E-BP by the mTOR kinase causes disassociation of the 4E-BP/eIF4E complex and increases the availability of eIF4E. EIF4E activity is not only regulated by 4E-BP, but also phosphorylation which is regulated by MAP kinase - interacting protein kinase (MNK). Three isoforms of 4E-BP are known, termed 4E-BP1, 4E-BP2 and 4E-BP3. 4E-BP1 and 4E-BP2 are involved in oxidative and adipogenetic stresses in vivo. They are equally expressed in hematopoietic system, whereas 4E-BP3 is not detected. 4E-BP1 is phosphorylated during erythroblast proliferation. Erythroid differentiation is blocked by overexpresssion of eIF4E in tissue culture. These studies implied that 4E-BPs might play role in response to erythropoietic stress. I examined hematopoiesis and phenylhydrazine (PHZ) induced stress erythropoiesis in 4E-BP1 and 4E-BP2 individual knock out mice and 4E-BP1,2 compound knock out mice. I found that the hematopoiesis of 4E-BPs deficient mice were unaffected. However, 4E-BP1,2-/- and 4E-BP2-/- mice showed delayed response to phenylhydrazine (PHZ) induced erythropoietic stress. Simultaneously, the mRNA translation of GATA-1, which is the essential erythroid transcription factor, was downregulated in their erythroblasts. The signaling pathways through the mTOR and MNK1 were activated in erythropoietic stress. These data showed that 4E-BP2 but not 4E-BP1 was required for the response to erythropoietic stress and suggested that 4E-BP related translation regulatory machinery played a role in stress erythropoiesis.

Le muscle squelettique s'adapte en réponse à diverses influences en modulant sa masse et ses propriétés contractiles et métaboliques. Il est ainsi rapporté que l'hypoxie sévère a un effet délétère sur la masse et les capacités oxydatives du muscle, et pourrait ralentir la maturation du phénotype contractile au cours du développement post-natal. Cependant, les mécanismes de contrôle de cette plasticité musculaire ne sont pas clairement identifiés. Le but de ce travail était de déterminer le rôle de l'hypoxie environnementale sur le contrôle de la masse et l'adaptation du phénotype du muscle en croissance (hypertrophie de surcharge du plantaris après ablation de ses muscles agonistes et régénération du soléaire après lésions étendues induites par la notexine). L'exposition hypoxique limite transitoirement l'hypertrophie induite par la surcharge fonctionnelle, tandis qu'elle accentue la fonte musculaire en réprimant la formation et la croissance des néo-fibres au cours des étapes précoces de la régénération. Ces résultats seraient en partie expliqués par la désactivation partielle de la principale voie de protéosynthèse, la voie mTOR, par un mécanisme indépendant d'Akt. Parmi les inhibiteurs endogènes de mTOR étudiés (REDD1, BNIP-3 et l'AMPK), nous montrons que l'activation prononcée de l'AMPK en hypoxie pourrait réprimer l'activité de mTOR au cours de la régénération, alors que le mécanisme responsable de l'inhibition de mTOR n'a pas pu être identifié dans le modèle de surcharge. Le système protéolytique ubiquitine/protéasome-dépendant, évalué à partir de l'expression des atrogènes MURF1 et MAFbx, pourrait également expliquer en partie l'altération de l'hypertrophie de surcharge en hypoxie. Nos résultats soulignent par ailleurs que l'activité des cellules satellites serait réprimée au cours des premiers jours de régénération musculaire, conduisant à réduire la formation et la croissance des myotubes. Malgré cette perturbation précoce de la croissance musculaire, l'exposition prolongée en hypoxie ne limite pas l'hypertrophie de surcharge et la récupération de la masse du muscle lésé. Ceci démontre que les signaux anaboliques induits dans ces deux situations de croissance musculaire l'emportent très largement sur les signaux cataboliques de l'hypoxie. L'analyse des propriétés métaboliques et contractiles met en évidence que l'hypoxie altère les capacités oxydatives du muscle en croissance, mais les mécanismes impliqués dans cette réponse adaptative restent à identifier. Par ailleurs, l'hypoxie ne constitue pas un stimulus métabolique suffisant pour altérer la transition du phénotype contractile du muscle en surcharge et la récupération complète du phénotype contractile du muscle lésé. Elle contribue uniquement à ralentir très modérément et transitoirement l'adaptation phénotypique du muscle en surcharge, et à modifier le profil contractile du muscle durant la phase de dégénérescence musculaire. / Skeletal muscle adapts to various influences, by modulating both its mass and contractile and metabolic properties. It was reported that severe hypoxia impairs muscle mass and oxidative capacities and could reduce the fast-to-slow fiber transition during post-natal development. However, mechanisms involved in muscle plasticity during hypoxia exposure are not clearly identified. This work aimed to determine the role played by ambient hypoxia on the control of muscle mass and muscle phenotype during muscle growth (functional overload-induced hypertrophy of plantaris after removal of its synergist muscles and regeneration of soleus after extensive injury induced by notexin injection). Hypoxia exposure transiently minimizes the overload-induced hypertrophy, while it enhances the muscle-mass loss by repressing the formation and growth of nascent fibers during the early steps of regeneration. These results could be partly due to an impairment of the mTOR signaling activation, the main pathway involved in protein synthesis, independently of Akt. Among the endogenous repressors of mTOR studied (REDD1, BNIP-3 and AMPK), we show that the marked activation of AMPK in hypoxia could repress mTOR activity during regeneration, whereas the mechanism involved in mTOR inhibition remains unknown in the overload model. The ubiquitin/proteasome-dependant system, assessed from expression of the two atrogenes MURF1 and MAFbx, could also partly explain the hypoxia-induced alteration of muscle hypertrophy. Nevertheless, our findings show that activity of satellite cells could be repressed during the first days of regeneration, leading to reduce formation and growth of myotubes. Although muscle growth is early impaired, prolonged hypoxia exposure does not limit the overload-induced hypertrophy and the muscle mass recovery of injured muscle. This demonstrates that anabolic signals induced in these models of drastic muscle growth widely prevail on hypoxia-induced catabolic signals. The analysis of metabolic and contractile properties shows that hypoxia alters oxidative capacities in growing muscle, but mechanisms involved in this adaptive response remain to be elucidated. Moreover, hypoxia is not a sufficient metabolic stimulus to impair the fast-to-slow fiber transition in overloaded muscle, and the complete recovery of the contractile phenotype in injured muscle. It only contributes to transiently and modestly slow down the fast-to-slow fiber shift in overloaded muscle, and to modify the contractile profile of muscle during the degeneration phase.

A insuficiência cardíaca (IC) é a via final comum da maioria das cardiomiopatias e outras doenças do aparelho circulatório. Considerando a prevalência crescente e a morbimortalidade associada representa um importante problema de saúde pública. Em quadros mais avançados, além do comprometimento funcional, portadores de IC apresentam perda de massa muscular excessiva que pode culminar em caquexia cardíaca; condição que contribui para o mau prognóstico e a mortalidade aumentadas. A massa muscular é regulada pelo balanço entre estímulos anabólicos e catabólicos. A quinase Akt vêm sendo considerando uma importante quinase na regulação do crescimento muscular por controlar o anabolismo proteico. Dessa forma, ativadores da Akt (IGF-I e insulina), bem como proteínas alvo da sinalização da Akt (mTOR e GSK3) são importantes mediadores na manutenção da massa muscular e podem ser regulados por estímulos metabólicos, nutricionais e mecânicos. Assim, o objetivo desse estudo foi avaliar a contribuição da via de sinalização IGF-I/Akt/mTOR na atrofia muscular desencadeada pela IC tanto em humanos quanto em modelo experimental, bem como o efeito do treinamento físico aeróbico (TFA). Nossos resultados demonstraram que em biópsias do vasto lateral de pacientes portadores de IC classe II houve redução na expressão de mRNA de todas as isoformas de IGF-I e na expressão das proteínas IGFBP-3, Akt1, GSK3, pGSK3Ser9, mTOR e tendência a redução na pmTORSer2448 (p=0,08) e aumento na pAMPKThr172. Esses resultados foram acompanhados pela redução no VO2 pico desses pacientes. O TFA de 12 semanas levou a um aumento não significativo na expressão de mRNA da isoforma IGF-I Ea (p=0,07) e IGF-I PAM (p=0,06). Também observou-se aumento na pAMPKThr172 e tendência a aumento na Akt1 (p=0,07) e mTOR (p=0,06). Em modelo experimental de IC, no músculo sóleo observou-se redução na expressão das proteínas IGF-I, PI3K, pAktSer473,pGSK3Ser9 e aumento da pAMPKThr172. O TFA de 8 semanas promoveu aumento na expressão do mRNA das isoformas de IGF-I Ea, Eb e IGF-I PAM, bem como na expressão das proteínas IGFI, PI3K, pAktSer473, pmTORSer2448 e redução na pAMPKThr172. O conjunto de alterações promovido pelo TFA foi associado à maior tolerância ao esforço físico e ganho no desempenho motor em Rota Rod, além de prevenir a atrofia muscular. Quando esses animais foram tratados com rapamicina, um inibidor farmacológico da mTOR, o efeito do TFA na prevenção da atrofia muscular foi abolido. Juntos, esses resultados apoiam a hipótese de que a via de sinalização IGF-I/Akt/mTOR está envolvida no reestabelecimento muscular na IC induzida pelo TFA / Heart failure (HF) is a common ultimate consequence for the most cardiomyopathies and other diseases from circulatory system. Due its growing prevalence and morbimortality is an important public-health problem. In more advanced cases, besides functional impairment, HF patients present an excessive skeletal muscle loss which can lead to cardiac cachexia; a condition associated to a poor prognostic and increased mortality. Skeletal muscle mass is regulated by the balance between anabolic and catabolic stimuli. Akt kinase, although involved with the protein synthesis pathway, is able to regulates the skeletal muscle growth via anabolism and catabolism control. An importante role in the skeletal muscle growing has been attributed to the Akt kinase due its ability to control protein synthesis. Thus, activators (IGF-I and insulin) as well as target proteins in the Akt signaling pathway (mTOR and GSK3) are important mediators in the skeletal muscle mass homeostasis being regulated by anabolic, nutritional and mechanic stimuli. Therefore, the aim of the presente study was to evaluate the contribution of IGF-I/Akt/mTOR contribution to the muscle atrophy induced by HF in humans and mice. Additionally, the effect of aerobic exercise training were evaluated. Our data demonstrated that in biopsies obtained in the vastus lateral from class II IC patients occurred a reduction in the expression of all the forms of IGF investigated and in the expression of proteins such as IGFBP-3, Akt1, GSK3, pGSK3Ser9, mTOR, and tendency to reduce pmTORSer2448 (p=0.08) and to increase pAMPKThr172. These results were accompained by the reduction of peak VO2 in these patients. Twelve weeks of aerobic exercise training promoted a non-significant increase in the expression of the IGF-I Ea (p=0.07) and IGF-I PAM (p=0.06) mRNA expression. Moreover, it was observed an increase to pAMPKThr172, and tendency of increase for Akt1 (p=0.07) and mTOR (p=0.06) mRNA expression. In a experimental model of IC, it was observed a reduction in the expression of IGF I, PI3K, pAktSer473, pGSK3Ser9 and increase of pAMPKThr172. Eight weeks of aerobic exercise training increased the mRNA of IGF-I Ea, Eb and IGF-I PAM isoforms, as well as in the expression of IGF-I, PI3K, pAktSer473, pmTORSer2448 and pAMPKThr172 reduction. The changes induced by aerobic exercise training were associated with a higher tolerance to exercise and motor performance in rota rod besides prevent muscular atrophy. When treated with a inhibitor of mTOR, rapamycin, the adaptations induced by aerobic exercise training were blunted, supporting the hypothesis that the IGF-I/Akt/mTOR signaling pathway is involved in the recovering of muscle mass induced by physical training

Le muscle squelettique fait preuve d'une remarquable plasticité en réponse aux changements physiologiques, comme l’activité physique, et aux situations pathologiques. Il subit notamment une atrophie sévère lors de la cachexie qui accompagne diverses pathologies chroniques comme le cancer, le SIDA, etc. L’atrophie musculaire est aussi une composante de la sarcopénie qui survient lors du vieillissement normal, et se caractérise par un déclin de la force et de la masse musculaire. L'atrophie musculaire, qui entraîne une augmentation de la mortalité et diminue l’efficacité des traitements, constitue donc un problème de santé majeur.La fonte musculaire se caractérise par une altération de l’équilibre entre synthèse et dégradation protéiques dans les fibres adultes. Des taux particulièrement élevés de cytokines circulantes, dont le TNFα, qui affectent l’homéostasie du muscle via différentes voies de signalisation, semblent être à l’origine de l'atrophie. Les mécanismes de la réponse atrophique musculaire à ces taux circulants élevés sont cependant mal définis. Le TNFα a des effets complexes. Il peut activer de multiples voies de signalisation, parmi lesquelles l'induction de la synthèse de sphingolipides, et plus particulièrement de céramides, par la voie de novo et par l'activation des sphingomyélinases. Au niveau musculaire, les céramides sont connus pour leurs effets sur la signalisation de l'insuline, sur l'apoptose et sur la différenciation myogénique. Par contre, leur implication dans le cadre de l'atrophie n'avait jamais été prise en compte. L’objectif de ce travail a été dans un premier temps de démontrer le rôle des céramides dans l’atrophie. Dans un deuxième temps, nous avons caractérisé la voie de signalisation par laquelle l’augmentation intramusculaire de céramide induite par le TNFα aboutit à une chute de la synthèse protéique, couplée à une augmentation de la protéolyse. Dans ce but, nous avons mis au point des modèles in vitro d'atrophie, impliquant des myotubes traités par des concentrations physiologiques de TNF. Nous avons en parallèle étudié un modèle in vivo de cachexie induite chez la souris par l'implantation d’un adénocarcinome C26. L’analyse des sphingolipides nous a permis de montrer l’augmentation des taux de céramides concomitante à l’atrophie générée in vitro et in vivo. Le rôle des céramides dans l’atrophie a été démontré par l’effet protecteur des inhibiteurs de leur synthèse, dans les modèles in vitro et in vivo. Nous montrons de plus dans un modèle in vitro que les effets atrophiques des céramides sont dus à l’inhibition de la voie de signalisation Phospholipase D/mTOR/Akt. Nos résultats nous ont permis de prouver le rôle des sphingolipides dans le contrôle de l’homéostasie protéique du muscle. La modulation du métabolisme des sphingolipides apparaît donc comme une nouvelle cible thérapeutique prometteuse dans le traitement de la perte musculaire associée à diverses pathologies. / Skeletal muscle demonstrated a remarkable plasticity in response to physiological changes, such as physical activity, and pathological situations. He suffered such severe atrophy during cachexia that accompanies various pathologies such as cancer, AIDS, etc.. Muscle atrophy is also a component of sarcopenia that occurs during normal aging, and is characterized by a decline in strength and muscle mass. Muscle atrophy, which leads to increased mortality and decreased treatment efficacy, thus constitutes a health problem majeur.La muscle wasting is characterized by an impaired balance between protein synthesis and degradation in adult fibers. Particularly high levels of circulating cytokines, including TNF, which affect muscle homeostasis via different signaling pathways appear to be the cause of atrophy. Mechanisms of muscle atrophy response to these elevated circulating levels are however unclear. TNFa has complex effects. It may activate multiple signaling pathways, including the induction of the synthesis of sphingolipids, especially ceramides, for the de novo pathway and the activation of sphingomyelinases. In muscle, ceramides are known for their effects on insulin signaling on apoptosis and myogenic differentiation. By cons, their involvement in the context of atrophy was never taken into account. The objective of this work was firstly to demonstrate the role of ceramides in atrophy. In a second step, we characterized the signaling pathway by which increased intramuscular ceramide induced by TNF leads to a fall in protein synthesis, coupled with an increase in proteolysis. For this purpose, we have developed in vitro models of atrophy involving myotubes treated with physiological concentrations of TNF . We studied in parallel an in vivo model of cachexia induced in mice by implantation of adenocarcinoma C26. Analysis of sphingolipids we showed increased levels of ceramide concomitant atrophy generated in vitro and in vivo. The role of ceramide in atrophy has been demonstrated by the protective effect of inhibitors of their synthesis in the in vitro and in vivo. We show further in an in vitro model that atrophic effects of ceramides are due to inhibition of phospholipase D signaling pathway / mTOR / Akt. Our results allowed us to prove the role of sphingolipids in the homeostatic control of muscle protein. Modulation of sphingolipid metabolism appears to be a promising new therapeutic target in the treatment of muscle wasting associated with various pathologies.

Le chondrosarcome (CHS) est caractérisé par une grande chimio et radiorésistance ; il y a un besoin urgent de nouvelles stratégies thérapeutiques pour cette tumeur. Parmi celles-ci, certaines approches d'immunothérapie pourraient être d'un grand intérêt. Nous étudions actuellement l'implication du système immunitaire dans la progression du CHS et la réponse thérapeutique à la fois sur des échantillons humains et dans le modèle de chondrosarcome de rat (SRC).Dans le CHS humain et de rat, des infiltrats immunitaires composés de lymphocytes et macrophages ont été identifiés dans la zone péritumorale. L’infiltration immunitaire est en corrélation avec l’évolution de la tumeur (grade, envahissement et taille). L'expression de PD1 et PDL1 ont été détectée dans les infiltrats immunitaires et cellules tumorales du CHS chez l’homme et le rat. Le niveau d'expression PD-L1 en corrélation avec la survie des patients et le taux de rechute. Dans le model SRC, la déplétion sélective de lymphocytes T a entrainé une accélération de la progression tumorale, tandis que la déplétion de macrophages l’a ralenti. Les splénocytes isolés de rats porteurs de CHS ont montré une cytotoxicité spécifique dirigée contre les cellules de chondrosarcome (27%), qui a diminué de manière significative avec des rats appauvrie en CD3 (11%). La voie de signalisation PI3K/mTOR ne peut pas être associée à une immunothérapie car elle induit une action immunosuppressive in vivo.L'environnement immunitaire contribue à la progression du CHS à la fois chez l’homme et chez le rat, ce qui suggère que une approche immunomodulatrice avec des anticorps bloquant PDL1 pourrait être testée pour le CHS / Chondrosarcoma is highly resistant to chemotherapy and radiation and there is an urgent need in developing new therapeutic strategies for this malignancy; among these, some immunotherapy approaches could be of great interest. We are currently investigating the immune system implication in chondrosarcoma progression and therapeutic response both on human samples and in rat chondrosarcoma model (SRC). In human and rat chondrosarcoma, immune infiltrates composed of lymphocytes and macrophages were identified in the peritumoral area. Immune infiltrates composition was found correlated with tumors characteristics and evolution (grade, invasiveness and size). Expression of PD-1 and PD-L1 was detected in CHS immune infiltrates, both in human and rat (and on tumor cells). PD-L1 expression level correlated with patients survival and relapse rate. In SRC, T lymphocytes depletion resulted in an accelerated tumor progression, while CD163+ macrophages depletion slowed down tumor progression. Splenocytes isolated from CHS bearing SRC showed a specific cytotoxicity directed against chondrosarcoma cells (27%), which significantly decreased in CD3 depleted SRC (11%). The immune environment contributes to CHS progression in both human and animal models, this associated with expression of immune checkpoint PD1/PDL1 suggest that immunomodulatory approaches with PD-L1 blocking antibody could be applied in CHS; this approach is currently being tested in SRC

L'objectif principal de ma thèse a été la caractérisation de l'histoire évolutive des voies de signalisation au travers d'une double approche: (i) l'analyse phylogénétique de leurs composés; et (ii) l'identification et la caractérisation de leurs interactions par l'analyse des interactomes d'organismes modèles. Or, bien que de nombreux outils soient disponibles pour la reconstruction d'arbres de gènes individuels, peu de méthodes ont été développées pour l'étude d'un ensemble de protéines impliquées dans un même processus cellulaire. Pourtant, au sein de la cellule, la plupart des protéines agissent en interaction avec d'autres protéines. Dans un premier temps, j'ai étudié l'histoire évolutive de la famille des PI3K (Phosphatidylinositol 3-kinases). Cette première analyse phylogénétique détaillée m'a permis de mettre en place une méthodologie applicable aux voies de signalisation. Un problème important rencontré dans cette étude a consisté en la sélection de transcrits alternatifs et ceci m'a conduit à développer un logiciel dédié nommé BATfinder (\Best Aligned Transcript finder). Dans le but d'étudier la voie de signalisation AKT/mTOR, j'ai effectué l'implémentation de la méthodologie validée avec les PI3K. Cette implémentation a pris la forme d'un pipeline automatique nommé EPINe (Easy Phylogenetics for Interaction Networks). Ce pipeline est théoriquement utilisable pour l'analyse phylogénétique de tout réseau métabolique eucaryote / The main goal of my thesis was the characterization of the evolutionary history of signalling pathways through a twofold approach: (i) the phylogenetic analysis of their components; and (ii) the identification and characterization of their interactions by the analysis of model organisms interactomes. While many tools are available for single genes tree reconstruction, only a few methods have been developed for the study of a set of proteins involved in the same cellular process. However, inside the cell, most of proteins interact with others.Initially, I studied the evolutionary history of the PI3K family (Phosphati-dylinositol 3-kinases). This first detailed phylogenetic analysis allowed me to set up a methodology suitable for signalling pathways. One of the important problems encountered in this study was the selection of alternative transcripts and this led me to develop a software called BATfinder (Best Aligned Transcript finder ). In order to study the AKT/mTOR signalling pathway, I have implemented the methodology previously validated with PI3Ks. This implementation was carried out as an automated pipeline called EPINe (Easy Phylogenetics for Interaction Networks). This pipeline is theoretically usable for the phylogenetic analysis of any eukaryotic metabolic network

A desnutrição proteica (DP) pode ocasionar alterações na matriz extracelular (MEC) de diferentes órgãos e tecidos, inclusive o hematopoético, com comprometimento funcional. Estudos do nosso laboratório demonstraram, em modelo murino de DP, aumento da expressão proteica de fibronectina (FN) no estroma medular ósseo in vivo, principalmente na região subendosteal (local de fixação da célula tronco progenitora hemopoética). Já in vitro, no estroma medular ósseo, observou-se tanto o aumento quanto a diminuição de FN e a presença de suas isoformas. Essas alterações de FN parecem estar envolvidas com a hipoplasia da medula óssea (MO) em camundongos desnutridos. As modificações quantitativas de FN podem ser devidas: (i) à ação das metaloproteinases de matriz (MMP) responsáveis pela degradação das proteínas da MEC; (ii) aos inibidores de metaloproteinases (TIMP) que regulam a degradação da MEC; (iii) às alterações transcricionais, reguladas pela via de AKT/mTOR, que controla os splicing alternativos na FN, resultando em isoformas dessa proteína; (iv) a processos pós-transcricionais modulados por LC3, que aumenta a tradução do RNAm de FN. Assim, o objetivo deste estudo foi elucidar os mecanismos que alteram o turnover de FN no estroma medular ósseo em modelo murino de DP. Utilizamos camundongos, C57BL/6J machos, adultos, separados em dois grupos: controle e desnutrido, alimentados, ad libitum, com ração contendo 12% e 2% de proteína, respectivamente. Após cinco semanas de indução à desnutrição os camundongos foram eutanasiados, e coletado o material biológico. Avaliamos: o estado nutricional, o hematológico, a histologia da MO femoral bem como a determinação imunohistoquímica da FN, MMP-2 e MMP-9, determinação da expressão de FN e suas isoformas em células totais da MO, o estabelecimento do estroma medular ósseo in vitro, por 28 e 35 dias de cultivo. A partir das culturas foram avaliadas a expressão de RNAm de FN e suas isoformas, MMP-2, MMP-9, TIMP-1, TIMP-2, AKT, mTOR e LC3α e β, quantificação de MMP-2, MMP-9, TIMP-1, TIMP-2,TNFα, TGFβ e IL-1β e determinação de LC3β e proteínas da via de AKT/mTOR. Não observamos alterações na expressão do RNAm de FN e suas isoformas ex vivo e in vitro, mas um aumento da deposição de FN na MO.Também não observamos modificações na imunolocalização de MMP-2 e MMP-9 na MO e na atividade dessas proteínas no sobrenadante de culturas de células estromais in vitro, mas houve aumento da expressão do RNAm de MMP-9 em 28 dias de cultivo. Não detectamos alterações na expressão de RNAm e na concentração de TIMP-1 e TIMP-2 no sobrenadante das culturas. Houve redução significativa de TNFα e TGFβ no sobrenadante das culturas de 28 dias. Observamos aumento da expressão do RNAm de mTOR em culturas de 28 dias e LC3α e LC3β em 35 dias de células estromais. Encontramos menor fosforilação de PI3K, AKT, PTEN, mTOR e mTOR total e aumento de LC3β em culturas de 28 dias, mas redução de LC3β em 35 dias. Em função dos dados inferimos que a DP conduz a alterações da FN que não estão relacionadas à ação de MMPs e TIMPs e sim a modificações de LC3β e da via de AKT/mTOR. / Protein malnutrition (PM) can lead changes in extracellular matrix (ECM) from several organs and tissues, including hematopoietic, with functional impairments. Research from our laboratory demonstrated, in a murine model of protein malnutrition, increase in proteic expression of fibronectin (FN) in vivo bone marrow stroma, principally in subendosteal region (attachment site of hematopoietic stem/progenitor cell - HSPC). It was observed as both an increase and a decrease in the presence of FN and its isoforms in vitro bone marrow stroma. These FN changes seem to be related to bone marrow (BM) hypoplasia in malnourished mice. Quantitative FN changes may be due to: (i) action of matrix metalloproteinases (MMP) responsible for ECM proteins degradation; (ii) tissue inhibitors of metalloproteinases (TIMP) that regulate ECM degradation; (iii) transicional changes regulated by AKT/mTOR pathway, which controls alternative splicing in FN, resulting in isoforms from this protein; (iv) post-transcriptional processes modulated by LC3 that increases FN mRNA translation. Therefore, the aim of this study was to elucidade the mechanisms that changes the FN turnover in bone marrow stroma in a murine model of PM. C57BL/6J, adult and male mice were used and divided into two groups: control and malnourished, fed ad libitum with ration containing 12% and 2% of protein, respectively. After five weeks of induction malnutrition, mice were euthanized and the biological material was collected. We evaluated: nutritional and hematologic status, the femoral BM histology, immunohistochemistry determination of FN, MMP-2 and MMP-9, the FN and its isoforms expression determination in total BM cells, establishment of in vitro bone marrow stroma for 28 and 35 days of culture. From the cultures were evaluated FN mRNA expressions and its isoforms, MMP-2, MMP-9, TIMP-1, TIMP-2, AKT, mTOR, LC3α and β, quantification of MMP-2, MMP-9, TIMP-1, TIMP-2,TNFα, TGFβ and IL-1β and determination of LC3β and AKT/mTOR proteins. No changes were observed, ex vivo and in vitro, in the expression of FN mRNA and its isoforms, but there was a FN deposition increase in BM. We did not observe modifications in MMP-2 e MMP-9 immunolocalization in BM and in these proteins activity in the supernatant of in vitro stromal cell culture, but there was an increase in MMP-9 mRNA expression after 28 days of culture. We did not detect changes in mRNA and in TIMP-1 and TIMP-2 expressions in the supernatant of cultures. There was significant reduction of TNFα and TGFβ in the cultures supernatant of 28 days. We observed an increase of mTOR RNAm in 28 days cultures and also LC3α and LC3β in stromal cells with 35 days. We found lower phosphorylation of PI3K, AKT, PTEN, mTOR e total mTOR and an LC3β increase in 28 days cultures, yet an LC3β reduction in 35 days. According to the data we conclude that PM leads to FN changes that are not related to MMPs and TIMPs actions, but the LC3β and AKT/mTOR pathway modifications.