Lou, Pak Kin. / Thesis (M.D.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (leaves 136-170). / Abstracts in English and Chinese. / Abstract --- p.i / Acknowledgements --- p.v / Table of Contents --- p.vi / List of Figures --- p.x / List of Tables --- p.xiii / List of Publications --- p.xv / Chapter Chapter 1 --- Introduction --- p.1 / Chapter 1.1. --- Aims of Study --- p.1 / Chapter 1.2. --- Literature Review --- p.2 / Chapter 1.2.1. --- Nasopharyngeal Carcinoma --- p.2 / Chapter 1.2.1.1. --- Overview --- p.2 / Chapter 1.2.1.2. --- Histopathology --- p.2 / Chapter 1.2.1.3. --- Epidemiology --- p.3 / Chapter 1.2.1.4. --- Etiology --- p.5 / Chapter 1.2.1.4.1. --- Epstein-Barr Virus (EBV) Latent Infection --- p.5 / Chapter 1.2.1.4.2. --- Environmental Factors --- p.5 / Chapter 1.2.1.4.3. --- Genetic Factors --- p.6 / Chapter 1.2.1.5. --- Molecular Pathogenesis --- p.7 / Chapter 1.2.1.5.1. --- Chromosomal Alterations --- p.7 / Chapter 1.2.1.5.2. --- NPC-associated Tumour Suppressor Genes --- p.7 / Chapter 1.2.1.5.3. --- NPC-associated Oncogenes --- p.8 / Chapter 1.2.2. --- Epstein-Barr Virus --- p.9 / Chapter 1.2.2.1. --- Overview --- p.9 / Chapter 1.2.2.2. --- Lytic and Latent Infection of EBV --- p.9 / Chapter 1.2.2.3. --- EBV Latency Programs and Associated --- p.10 / Malignancies --- p.11 / Chapter 1.2.2.4. --- The Role of EBV in NPC --- p.12 / Chapter 1.2.3. --- NF-kB Signalling Pathways --- p.12 / Chapter 1.2.3.1. --- Overview --- p.12 / Chapter 1.2.3.2. --- Pathway Components --- p.12 / Chapter 1.2.3.2.1. --- NF-kB Subunits --- p.16 / Chapter 1.2.3.2.2. --- Inhibitors of kB (IkBs) --- p.16 / Chapter 1.2.3.2.3. --- IkB Kinases (IKKs) --- p.17 / Chapter 1.2.3.3. --- NF-kB Activation and Signalling --- p.17 / Chapter 1.2.3.3.1. --- The Canonical Pathway --- p.18 / Chapter 1.2.3.3.2. --- The Non-canonical Pathway --- p.18 / Chapter 1.2.3.3.3. --- Physiological Functions of NF-kB --- p.19 / Chapter 1.2.3.4. --- NF-kB Signalling and Tumourigenesis --- p.20 / Chapter 1.2.3.4.1. --- Oncogenic Activation of NF-kB in Hematological Malignancies --- p.20 / Chapter 1.2.3.4.2. --- Oncogenic Activation of NF-kB in Solid and Epithelial Tumours --- p.22 / Chapter Chapter 2 --- Material and Methods --- p.22 / Chapter 2.1. --- Tumour Specimens --- p.24 / Chapter 2.2. --- NPC Tumour Lines and Immortalized NP Cell Lines --- p.24 / Chapter 2.2.1. --- Cell Lines --- p.24 / Chapter 2.2.2. --- Xenografts --- p.27 / Chapter 2.3. --- DNA Sequence Analysis --- p.27 / Chapter 2.3.1. --- Genomic DNA Extraction --- p.27 / Chapter 2.3.2. --- Polymerase Chain Reaction (PCR) --- p.28 / Chapter 2.3.3. --- DNA Sequencing --- p.32 / Chapter 2.4. --- RNA Expression Analysis --- p.32 / Chapter 2.4.1. --- Total RNA Extraction and Reverse Transcription --- p.33 / Chapter 2.4.2. --- Quantitative Real-time Polymerase Chain Reaction (QRT-PCR) --- p.35 / Chapter 2.5. --- Protein Expression Analysis --- p.35 / Chapter 2.5.1. --- Total Protein Extraction --- p.35 / Chapter 2.5.2. --- Nuclear and Cytoplasmic Protein Isolation --- p.36 / Chapter 2.5.3. --- Western Blotting --- p.39 / Chapter 2.6. --- Immunohistochemical Staining --- p.41 / Chapter 2.7. --- Statistical Analysis --- p.41 / Chapter 2.8. --- Immunoprecipitation --- p.43 / Chapter 2.9. --- Electrophoretic Mobility Shift Assay (EMSA) and Supershift Assay --- p.44 / Chapter 2.10. --- Enzyme-Linked Immunosorbent Assay (ELISA) --- p.45 / Chapter 2.11. --- Plasmid Preparation --- p.45 / Chapter 2.11.1. --- Plasmids --- p.45 / Chapter 2.11.2. --- Bacterial Transformation and Plasmid DNA Extraction --- p.46 / Chapter 2.12. --- Transfections --- p.46 / Chapter 2.12.1. --- Transient Transfection --- p.46 / Chapter 2.12.2. --- Stable Transfection --- p.47 / Chapter 2.13. --- Immunofluorescence --- p.47 / Chapter 2.14. --- Cell Proliferation and Viability Analysis --- p.47 / Chapter 2.15. --- Small Interfering RNA (siRNA) Knockdown --- p.49 / Chapter 2.16. --- Expression Microarray --- p.49 / Chapter 2.16.1. --- Agilent Oligonucleotide Microarray --- p.50 / Chapter 2.16.2. --- Data Analysis --- p.51 / Chapter Chapter 3 --- Activation of NF-kB Signals in NPC --- p.51 / Chapter 3.1. --- Introduction --- p.52 / Chapter 3.2. --- Results --- p.52 / Chapter 3.2.1. --- Expression Pattern of NF-kB Subunits in NPC Tumour Lines --- p.55 / Chapter 3.2.2. --- Distinct NF-kB Complexes in NPC Tumour Lines --- p.60 / Chapter 3.2.3. --- Expression of NF-kB Subunits in NPC Primary Tumours --- p.67 / Chapter 3.3. --- Discussion / Chapter Chapter 4 --- Alterations of NF-kB Components in NPC --- p.71 / Chapter 4.1. --- Introduction --- p.72 / Chapter 4.2. --- Results --- p.72 / Chapter 4.2.1. --- Homozygous Deletion of IicBa and TRAF3 in NPC Tumour Lines --- p.76 / Chapter 4.2.2. --- Mutation of TRAF2 and A20 in NPC Tumour Lines / Chapter 4.2.3. --- Aberrant Expression of Multiple NF-kB Signalling Components in NPC Tumour Lines --- p.80 / Chapter 4.2.4. --- Expression of NF-kB Signalling Components in NPC --- p.85 / Primary Tumour --- p.92 / Chapter 4.3. --- Discussion --- p.99 / Chapter Chapter 5 --- Identification of Downstream Targets for NPC-associated NF-kB Signalling --- p.99 / Chapter 0.1. --- Introduction --- p.99 / Chapter 0.2. --- Results --- p.100 / Chapter 0.2.1. --- Target Genes Modulated by p50 --- p.100 / Chapter 0.2.2. --- Functional Annotation of p50 Target Genes --- p.105 / Chapter 0.2.3. --- Target Genes Modulated by RelB --- p.105 / Chapter 0.2.4. --- Functional Annotation of RelB Target Genes --- p.105 / Chapter 0.2.5. --- Functional Annotation of Genes Modulated by both p50 and RelB --- p.111 / Chapter 0.3. --- Discussion --- p.118 / Chapter Chapter 6 --- Functional Role of TRAF3 Inactivation in NPC --- p.118 / Chapter 0.1. --- Introduction --- p.118 / Chapter 0.2. --- Results --- p.118 / Chapter 0.2.1. --- Effect of TRAF3 Restoration on NF-kB Activity --- p.119 / Chapter 0.2.2. --- Effect of TRAF3 Expression on Cell Proliferation --- p.123 / Chapter 0.2.3. --- TRAF3 Expression Modulates Interferon Transcription in NPC Cells --- p.128 / Chapter 0.3. --- Discussion / Chapter Chapter 7 --- General Discussion --- p.132 / Chapter Chapter 8 --- Conclusion / Chapter Chapter 9 --- References / Appendix --- p.136

Wong, Ho Ting. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2008. / Includes bibliographical references (leaves 66-77). / Abstracts in English and Chinese. / Acknowledgement --- p.i / List of abbreviations --- p.ii / List of tables and figures --- p.iv / Abstract in English --- p.vi / Abstract in Chinese --- p.viii / Table of content --- p.x / Chapter Chapter 1 --- Literature review / Chapter 1.1 --- Nasopharyngeal carcinoma (NPC) and treatments --- p.1 / Chapter 1.2 --- EBV and NF-kB signaling in NPC / Chapter 1.2.1 --- Role of EBV and NF-kB in NPC --- p.2 / Chapter 1.2.2 --- NF-kB signaling in cancer --- p.4 / Chapter 1.2.3 --- NF-kB activation in NPC --- p.7 / Chapter 1.2.3.1 --- NF-kB activation by LMP1 --- p.8 / Chapter 1.2.3.2 --- NF-kB and LMP2A --- p.10 / Chapter 1.2.3.3 --- NF-kB activation by non-viral factors --- p.10 / Chapter 1.2.4 --- NF-kB target genes in NPC --- p.11 / Chapter 1.3 --- NF-kB targeting / Chapter 1.3.1 --- NF-kB targeting agents --- p.14 / Chapter 1.3.2 --- "DHMEQ, a novel blocker of NF-kB Transactivation" --- p.15 / Chapter Chapter 2 --- Aim of study and Research plan --- p.18 / Chapter Chapter 3 --- Materials and Methods / Chapter 3.1 --- Cell lines and Reagents --- p.20 / Chapter 3.2 --- Cell viability assay --- p.21 / Chapter 3.3 --- Cell apoptosis detection / Chapter 3.3.1 --- PARP cleavage --- p.22 / Chapter 3.3.2 --- DNA fragmentation --- p.22 / Chapter 3.4 --- Cell cycle analysis --- p.22 / Chapter 3.5 --- Transwell migration or Matrigel invasion assay --- p.23 / Chapter 3.6 --- Soft agar colony formation assay --- p.24 / Chapter 3.7 --- Drug treatment for western blotting --- p.25 / Chapter 3.8 --- "Protein extraction and quantification, SDS-PAGE and western blotting" / Chapter 3.8.1 --- Protein extraction and quantification --- p.25 / Chapter 3.8.2 --- SDS-PAGE and western blotting --- p.26 / Chapter 3.9 --- Fractionation --- p.28 / Chapter 3.10 --- NF-kB transcriptional activity assay / Chapter 3.10.1 --- Construction of NF-kB reporter system --- p.29 / Chapter 3.10.2 --- Luciferase assay --- p.29 / Chapter 3.11 --- Statistical Analysis --- p.30 / Chapter Chapter 4 --- Results / Chapter 4.1 --- Anti-tumor activity of DHMEQ in NPC / Chapter 4.1.1 --- Growth inhibition in NPC cell lines --- p.31 / Chapter 4.1.2 --- Apoptotic induction in NPC cell lines --- p.35 / Chapter 4.1.3 --- Cell cycle arrest in NPC cell lines --- p.38 / Chapter 4.1.4 --- Inhibition of migration and invasive behavior of NPC cell lines --- p.38 / Chapter 4.1.5 --- Abrogation of soft agar colony formation ability of NPC cell lines --- p.43 / Chapter 4.2 --- Mechanistic study of DHMEQ in NPC / Chapter 4.2.1 --- Blockade of p65 nuclear translocation --- p.48 / Chapter 4.2.2 --- Attenuation of NF-kB transcriptional activity --- p.48 / Chapter 4.2.3 --- Downregulation of NF-kB target genes --- p.53 / Chapter Chapter 5 --- Discussion --- p.54 / Chapter Chapter 6 --- Summary --- p.60 / Chapter Chapter 7 --- Future Study --- p.63 / Reference List --- p.66 / Appendix / Chapter Appendix 1 --- Construction of NF-kb report plasm id --- p.78 / Chapter Appendix 2 --- Wound healing assay --- p.86 / Chapter Appendix 3 --- Reverse-phase protein Array --- p.88

Thesis (M.S.)--West Virginia University, 2000. / Title from document title page. Document formatted into pages; contains ix, 70 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 63-68).

Thesis (Ph. D.)--West Virginia University, 2005. / Title from document title page. Document formatted into pages; contains viii, 95 p. : ill. (some col.). Includes abstract. Includes bibliographical references (p. 82-95).

Thesis (Ph. D.)--West Virginia University, 2006. / Title from document title page. Document formatted into pages; contains x, 202 p. : ill. (some col.). Includes abstract. Includes bibliographical references.

O perfil de ativação do NF-B foi avaliado em biópsias de 47 pacientes com diagnóstico clínico e laboratorial de hanseníase, seguidos no Ambulatório de Hanseníase do Centro de Referência Nacional em Dermatologia Tropical com Ênfase em Hanseníase do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto Universidade de São Paulo. O índice de ativação NF-B foi calculado de acordo com a porcentagem de positividade na histoquímica Southwestern. Índice de ativação NF-B >1 foi considerado representativo de ativação. Trinta e seis por cento dos pacientes apresentaram NF-B ativado na biópsia, o que foi mais frequente em multibacilares (54,6%) que em paucibacilares (20%), p=0,018. Hanseníase tuberculóide esteve associada com ausência de NF-B ativado (p=0,039). Forma dimorfa e neural pura estiveram associadas com ativação de NF-B, com odds ratio de 44 (p=0,014) e 30 (p=0,029), respectivamente. A ativação correlacionou-se com detecção in situ de fator de necrose tumoral por imuno-histoquímica (p=0,0064). Observou-se grande variação da ativação do NF-B nas formas clínicas de hanseníase. Ativação foi nula em granulomas de hanseníase tuberculóide, que representa a reação inflamatória mais efetiva contra o M. leprae. A ativação do NF-B ocorreu predominantemente em formas clínicas com maior suscetibilidade (multibacilares) e instabilidade imunológica (dimorfa), indicando condição favorável à infecção pela ativação do NF-B, por seus efeitos antiapoptóticos, visto que o bacilo depende das funções celulares para sobreviver. / NF-B activation profile was evaluated in cutaneous biopsies from 47 patients with clinical and laboratorial diagnosis of leprosy followed at a referral center for treatment of leprosy, the leprosy outpatient clinic of the Hospital of Clinics of Faculty of Medicine of Ribeirão Preto University of São Paulo. NF-B activation index (ranging from 0 to 4) was calculated according to the percentage of positivity in Southwestern histochemistry. Activation index >1 was considered representative of activation. Thirty-six percent of patients presented activated NF-B, which was more frequent in multibacillary (54,6%) than in paucibacillary (20%), p=.018. Tuberculoid leprosy was associated with absence of activated NF-B (p=.039). Borderline and pure neural leprosy clinical forms were associated with NF-B activation, with odds ratio of 44 (p=.014) and 30 (p=.029), respectively. NF-B activation was correlated with in situ detection of tumor necrosis factor- by immunohistochemistry (p=.0064). Great variation of NF-B activation was found in clinical forms of leprosy. Activation was absent in tuberculoid leprosys granulomas, which represent effective inflammatory reaction pattern against M. leprae. NF-B activation was present in clinical forms with increased susceptibility (multibacillary) and immunological instability (borderline), which suggests favorable conditions towards infection, probably due to the anti-apoptotic effects of NF-B, since bacillary survival is dependent of cellular functions.

O excesso de adenina na dieta (ADE) promove precipitação intratubular de cristais, levando à instalação de uma nefrite intersticial progressiva e perda da função renal. Observações recentes indicam que a sobrecarga de ADE em camundongos em que os genes para TLR-2, -4, MyD88, ASC ou caspase-1 foram inativados provoca menos dano renal do que quando administrado a camundongos selvagens, sugerindo a existência de um papel patogênico para a ativação de TLRs e a montagem de inflamassomas nesse modelo. O presente estudo foi concebido para investigar se outro importante componente da imunidade inata, o sistema NF-B, também exerce papel patogênico na nefropatia associada ao excesso de ADE. Ratos Munich-Wistar machos e adultos foram divididos em 3 grupos: C (N=17), ração padrão; ADE (N=17), ADE na ração, 0,7% durante 1 semana e 0,5% durante 2 semanas; ADE+PDTC (N=14), ADE administrada como descrito anteriormente, associada ao inibidor do NF-B, pirrolidina ditiocarbamato (PDTC), 120 mg/kg/dia na água do bebedouro. Após 3 semanas, observou-se deposição de numerosos cristais no tecido renal, em sua maioria no interior de granulomas de corpo estranho, acompanhada de intensa atividade proliferativa tubulointersticial. Uma parte dos cristais apareceu envolvida por uma camada de células aparentemente derivadas do epitélio tubular, que pareciam segregar os precipitados e, em alguns casos, expulsá-los ao interstício. Essas alterações associaram-se a uma grande expansão da área intersticial, com deposição de colágeno, além de hipotrofia glomerular. Foi possível ainda demonstrar um aumento da expressão da interleucina-6, do interferon-, da proteína específica de fibroblastos (FSP-1) e da proteína quimiotática para macrófagos (MCP-1). A abundância do IKK-, uma quinase ativadora do sistema NK-B, mostrou-se também acentuadamente elevada nesses ratos. O tratamento com PDTC normalizou a expressão do IKK-, diminuindo o número de granulomas e a proliferação celular, além de atenuar fortemente a fibrose e o declínio da função renal. Esses achados, que contribuem para elucidar os mecanismos de formação de granulomas no modelo de sobrecarga de adenina, são consistentes com o conceito de que o sistema NF-B é ativado pela precipitação intratubular de cristais e contribui, juntamente com outros mecanismos ligados à imunidade inata, para iniciar a intensa resposta inflamatória associada a esse modelo. Descritores: 1.Insuficiência renal crônica 2.Adenina 3.Imunidade inata 4.NF-kappa B 5.GranulomaO excesso de adenina na dieta (ADE) promove precipitação intratubular de cristais, levando à instalação de uma nefrite intersticial progressiva e perda da função renal. Observações recentes indicam que a sobrecarga de ADE em camundongos em que os genes para TLR-2, -4, MyD88, ASC ou caspase-1 foram inativados provoca menos dano renal do que quando administrado a camundongos selvagens, sugerindo a existência de um papel patogênico para a ativação de TLRs e a montagem de inflamassomas nesse modelo. O presente estudo foi concebido para investigar se outro importante componente da imunidade inata, o sistema NF-B, também exerce papel patogênico na nefropatia associada ao excesso de ADE. Ratos Munich-Wistar machos e adultos foram divididos em 3 grupos: C (N=17), ração padrão; ADE (N=17), ADE na ração, 0,7% durante 1 semana e 0,5% durante 2 semanas; ADE+PDTC (N=14), ADE administrada como descrito anteriormente, associada ao inibidor do NF-B, pirrolidina ditiocarbamato (PDTC), 120 mg/kg/dia na água do bebedouro. Após 3 semanas, observou-se deposição de numerosos cristais no tecido renal, em sua maioria no interior de granulomas de corpo estranho, acompanhada de intensa atividade proliferativa tubulointersticial. Uma parte dos cristais apareceu envolvida por uma camada de células aparentemente derivadas do epitélio tubular, que pareciam segregar os precipitados e, em alguns casos, expulsá-los ao interstício. Essas alterações associaram-se a uma grande expansão da área intersticial, com deposição de colágeno, além de hipotrofia glomerular. Foi possível ainda demonstrar um aumento da expressão da interleucina-6, do interferon-, da proteína específica de fibroblastos (FSP-1) e da proteína quimiotática para macrófagos (MCP-1). A abundância do IKK-, uma quinase ativadora do sistema NK-B, mostrou-se também acentuadamente elevada nesses ratos. O tratamento com PDTC normalizou a expressão do IKK-, diminuindo o número de granulomas e a proliferação celular, além de atenuar fortemente a fibrose e o declínio da função renal. Esses achados, que contribuem para elucidar os mecanismos de formação de granulomas no modelo de sobrecarga de adenina, são consistentes com o conceito de que o sistema NF-B é ativado pela precipitação intratubular de cristais e contribui, juntamente com outros mecanismos ligados à imunidade inata, para iniciar a intensa resposta inflamatória associada a esse modelo / Excessive dietary adenine (ADE) promotes intratubular precipitation of crystals, leading to the installation of progressive interstitial nephritis and renal function loss. Recent observations indicate that ADE overload in mice in which genes for TLR-2, -4, MyD88, ASC or caspase-1 were inactivated causes less renal damage than when administered to wild-type mice, suggesting the existence of a pathogenic role for the activation of TLRs and the assembly of inflamassomes in this model. The present study was designed to investigate whether another important component of innate immunity, the NF-B system, also plays a role in the pathogenesis of the nephropathy associated with excess ADE. Adult Male Munich-Wistar rats were distributed among three groups: C (n = 17), receiving standard diet; ADE (N = 17), given ADE in the diet at 0.7% for 1 week and 0.5% for 2 weeks; and ADE + PDTC (N = 14), receiving ADE as described above, associated with the NF-B inhibitor, pyrrolidine dithiocarbamate (PDTC), 120 mg/kg/ day in drinking water. After three weeks, there was widespread deposition of crystals in the renal tissue, mostly within granulomas, accompanied by florid tubulointerstitial proliferative activity. Part of these crystals was enclosed in a layer of cells apparently derived from the tubular epithelium, which appeared to segregate the precipitates, and in some cases, to extrude them to the interstitium. These changes were associated with marked interstitial expansion, collagen deposition, and glomerular hypotrophy. Increased expression of interleukin-6, interferon-, fibroblast specific protein (FSP-1) and macrophage chemoattractant protein (MCP-1) were also shown. The abundance of IKK-, a kinase that activates the NF-B system, was also markedly elevated in these mice. Treatment with PDTC normalized the expression of IKK-, reducing the number of granulomas and cell proliferation, and strongly attenuated interstitial fibrosis and the decline of renal function. These findings, which contribute to illuminate some mechanisms of granuloma formation in the ADE overload model, are consistent with the concept that the NF-B system is activated by intratubular precipitation of crystals and contributes, along with other mechanisms related to innate immunity, to initiate the intense inflammatory response associated with this model

Recentemente descrevemos que ratos tratados com o inibidor do sistema NF-?B pirrolidina ditiocarbamato (PDTC) durante a lactação desenvolvem uma hipertensão arterial na fase adulta, sem lesão renal aparente, caracterizando assim um novo modelo hipertensão essencial. No presente estudo, nós investigamos se a Uninefrectomia (UNx) associada a uma sobrecarga salina (SS) na dieta revelaria uma possível disfunção renal, agravando assim a hipetensão arterial e levando a lesões renais. Ratos Munich-Wistar recém-nascidos foram divididos em 2 grupos: Controle, sem qualquer tratamento; e PDTCLact, recebendo PDTC (280 mg/Kg/dia) na água do bebedouro do 0 aos 20 dias após o nascimento. Após 10 semanas de vida, 120 ratos machos submetidos à Uninefrectomia e foram estudados em dois protocolos. No protocolo 1, os ratos machos foram subdivididos em: UNx+NS, ratos Controle recebendo dieta padrão (NS); PDTCLact+UNx+NS, ratos PDTCLact recebendo NS; UNx+SS, ratos Controle recebendo SS; PDTCLact+UNx+SS, ratos PDTCLact recebendo SS. Após 12 semanas, os animais do Grupo UNx+SS apresentaram hipertensão, aumento da albuminúria e lesões renais moderadas. Nos animais do grupo PDTCLact+UNx+SS a hipertensão, esclerose glomerular e a deposição de Colágeno-1 intersticial apresentaram um aumentado exacerbado, juntamente com lesões arteriolares do tipo \"casca de cebola\", estresse oxidativo, ativação do NF-kB, intenso infiltrado de macrófagos, linfócitos e aumento de células positivas para Angiotensina II, mesmo com a renina plasmática reduzida. Para investigar o papel do sistema renina-angiotensina neste modelo, no protocolo 2, 40 ratos foram divididos em: PDTCLact+UNx+SS, como descrito no protocolo 1; PDTCLact+UNx+SS+L, ratos tratados com Losartan (50 mg/kg) na água do bebedouro. O tratamento com Losartan foi capaz de atenuar as lesões glomerulares e a inflamação renal. Esses resultados indicam que a integridade do sistema NF-kB é fundamental para o desenvolvimento adequado do rim e a manutenção da homeostase do sódio na fase adulta. Paradoxalmente, esse mesmo sistema contribui para o desenvolvimento da lesão renal quando a disfunção renal causada por sua inibição durante a nefrogênese é desmascarada por UNx associada ao SS / Recently we described that rats treated with the NF-?B inhibitor pyrrolidine dithiocarbamate (PDTC) during lactation develop high blood pressure hypertensive in adult life, without apparent functional or structural damage to the kidneys, thus providing a new model of essential hypertension. In the present study, we investigated whether uninephrectomy (UNx) associated with saline overload would unveil a possible renal dysfunction, thus aggravating arterial hypertension and leading to hemodynamically mediated renal injury. Munich-Wistar rat pups were divided into 2 groups: Control, receiving no treatment; and PDTCLact, receiving PDTC (280 mg/kg/ day) in the drinking water from 0 to 20 days after birth. At 10 weeks of age, 120 male rats underwent uninephrectomy and were studied in two protocols. In Protocol 1, rats were subdivided into: UNx+NS, control rats receiving normal salt (NS) diet; PDTCLact+UNx+NS, PDTCLact rats receiving NS; UNx+HS, control rats receiving high-salt (HS) diet; PDTCLact+UNx+HS, PDTCLact rats receiving HS. After 12 weeks, the UNx+HS animals were moderately hypertensive and exhibited mild albuminuria and renal injury. By contrast, arterial hypertension, glomerulosclerosis and cortical collagen-1 deposition were exacerbated in the PDTCLact+UNx+HS group, along with \"onion skin\" arteriolar lesions, evidence of oxidative stress, NF-kB activation and intense infiltration by macrophages, lymphocytes and angiotensin II-positive cells, even though circulating renin was depressed. To investigate the role of the renin-angiotensin system in this setting, 40 rats were divided into: PDTCLact+UNx+HS, treated as described before; and PDTCLact+UNx+HS+L, receiving in addition Losartan, 50 mg/kg in drinking water. Losartan treatment strongly atenuated glomerular injury and renal inflammation. The NF-kB system is essential for the kidneys to develop properly and maintain sodium homeostasis in adult life. Paradoxically, this same system contributes to renal injury when renal dysfunction caused by its inhibition during nephrogenesis is unmasked by UNx associated to HS

En premier lieu, en utilisant des inhibiteurs pharmacologiques du NF-[kappa]B, nous avons constaté que l'inhibition du facteur de transcription NF-[kappa]B chez ces cellules diminue de beaucoup l'expression génique et la sécrétion de diverses cytokines et chimiokines (TNF-[alpha], IL-8 ou CXCL8, Mip-1[alpha]/[bêta] induites par des stimuli tels que TNF-[alpha] ou LPS. Nous montrons ensuite que le complexe IKK (IKK[alpha], IKK[bêta], et IKK[gamma]) est aussi partiellement localisé dans le noyau, alors que les kinases reliées à IKK (IKK[epsilon] et TBK-1) sont cytoplasmiques; la kinase NIK, quant à elle, est strictement nucléaire. Suite à une activation des neutrophiles, IKK[bêta] et IKK[gamma] deviennent transitoirement phosphorylées dans le cytoplasme et le noyau, alors qu'IKK[alpha] disparaît temporairement de ces deux compartiments cellulaires d'une manière qui semble dépendante de IKK[bêta]. Ces réponses s'accompagnent, dans les deux compartiments, de la dégradation d'I[kappa]B[alpha] et de la phosphorylation du RelA sur la sérine 536. Bien que les deux protéines puissent être des substrats de IKK, l'inhibition de ce dernier empêche la dégradation d'I[kappa]B[alpha], tandis que le niveau de phosphorylation du RelA est essentiellement inchangé. Nous apportons enfin une preuve que des isoformes de IKK nucléaires s'associent à la chromatine suivant l'activation des neutrophiles, ce qui suggère un rôle potentiel dans la régulation de gènes. Deuxièmement, nous rapportons que les neutrophiles expriment la MAP3K, TAK1, ainsi que ses partenaires associés, TAB1/2, dans le cytoplasme et le noyau. La kinase TAK1 est associée de façon constitutive aux protéines TAB1 et TAB2, ainsi qu'au complexe IKK[alpha]/[bêta] dans les neutrophiles au repos. Le niveau d'interaction de ces complexes demeure inchangé suite au traitement des neutrophiles avec le TNF-[alpha] ou le LPS. La kinase TAK1 devient rapidement et transitoirement activée suite à une stimulation des cellules avec le TNF-[alpha] ou le LPS. L'inhibition de l'activité kinase de TAK1 avec un inhibiteur hautement sélectif (5z-7-oxozeaenol) a empêché la phosphorylation d'IKK[alpha]/[bêta], de RelA, et la dégradation de I[kappa]B[alpha] dans les fractions cytoplasmiques et nucléaires, ainsi que la liaison à l'ADN du NF-[kappa]B dans des neutrophiles activés.En conséquence, l'expression et la sécrétion de cytokines inflammatoires induites par le TNF-[alpha] ou le LPS ont été profondément altérées suivant une inhibition de TAK1.En revanche, la phosphorylation de IKK[gamma] induite par le LPS n'a pas été affectée par l'inhibition de TAK1. Finalement, nos résultats indiquent que l'activation du NF-[kappa]B et les réponses cellulaires dépendantes du NF-[kappa]B sont indépendantes des ROS endogènes dans les neutrophiles humains primaires ou dans la lignée promyélocytaire PLB-985, qui peut être différenciée en granulocytes et se comporte comme les neutrophiles. Parallèlement, nous avons optimisé les conditions de transfection des PLB-985 différenciées, ce qui nous a permis de montrer pour la première fois l'activation de promoteurs [kappa]B-dépendants chez des granulocytes humains. Ces travaux rendent par ailleurs possibles les études portant sur l'activation des promoteurs chez les granulocytes. Dans leur ensemble, ces observations démontrent l'importance du NF-[kappa]B dans la génération inductible de cytokines et chimiokines par les neutrophiles. Il s'agit de la première étude qui montre la présence et l'activation (phosphorylation) du complexe IKK et la phosphorylation des protéines NF-[kappa]B/Rel dans les neutrophiles humains. Plus important encore, nos résultats dévoilent un mode d'activation de la cascade de signalisation IKK/I[kappa]B/NF-[kappa]B dans le noyau de cellules primaires. Nos données établissent également le rôle central de TAK1 dans le contrôle de la cascade de signalisation IKK/I[kappa]B/NF-[kappa]B cytoplasmique et nucléaire dans les neutrophiles primaires humains, ce qui pourrait représenter une cible prometteuse pour une intervention thérapeutique considérant le rôle critique des neutrophiles dans plusieurs conditions inflammatoires.

INTRODUÇÃO: O tratamento padrão do câncer do colo uterino é a histerectomia radical para doença inicial e quimio-radioterapia para doença avançada. A radioterapia após a histerectomia radical tem impacto em ganho de sobrevida caso hajam fatores de risco histopatológicos para recidiva. Portanto, a busca de marcadores preditores de radiossensibilidade torna-se importante para a individualização do planejamento terapêutico. O HER-2/ErbB-2 faz parte da família de proteínas ErbB que formam um grupo de receptores de membrana e tem um papel crítico no controle de diversas funções celulares básicas como diferenciação, proliferação, migração e sobrevida celular. A ação do NF-B na carcinogênese pode ocorrer através da regulação da apoptose e controle do ciclo celular. Para ativação do NF-B é necessário a enzima quinase IKK e a atividade do NF-B foi relacionada com resistência tumoral a quimioterapia e radioterapia. A via PI3K/Akt mediada pela hiperexpressão de HER-2 pode estar envolvida na ativação do NF-B. Os objetivos foram: a) avaliar os padrões de expressão imunoistoquímica de HER-2, NF-B-p65, NF-B-p50 e IKK em pacientes portadores de câncer do colo uterino submetidos à radioterapia; b) avaliar o status do gene HER2 através de FISH; c) avaliar o papel da expressão imunoistoquímica de NF-B-p65, NF-B-p50, IKK e HER-2 como fator prognóstico para sobrevida livre de doença e sobrevida global. MATERIAIS E MÉTODOS: Trata-se de estudo retrospectivo que avaliou uma série de 32 pacientes portadores de câncer do colo do útero submetidos a tratamento com radioterapia seguido de histerectomia no período de janeiro de 1992 a junho de 2001. RESULTADOS: A idade mediana foi 45 anos (22-67). Um paciente apresentava-se no estádio IB2 (FIGO) e 31 (96,9%) estádio IIB. Todos os pacientes foram submetidos à teleterapia e braquiterapia com alta taxa de dose com caráter neoadjuvante à histerectomia radical (HR). Dezesseis (50%) pacientes apresentaram doença residual após radioterapia. O tempo de seguimento mediano foi de 73,5 meses. A sobrevida global da amostra foi de 66,5% em 5 anos. As expressões imunoistoquímicas de NF-B-p65 e NF-B-p50 em citoplasma nos tumores primários foram encontradas em respectivamente 90,6% e 96,9% dos casos. As expressões de NF-B-p65 e NF-B-p50 em núcleo nos tumores primários 59,4% dos casos em ambos. As expressões de NF-B-p65 e NF-B-p50 em citoplasma nos tumores residuais após tratamento com radioterapia foram encontradas 50% dos casos em ambos. A expressão em núcleo de NF-B-p50 nos tumores residuais após tratamento com radioterapia foi encontrada em 75% dos casos. Não houve expressão em núcleo de NF-B-p65 nos tumores residuais. A expressão imunoistoquímica de HER-2 nos tumores primários foi de encontrada em 21,9% dos casos. Não houve expressão imunoistoquímica de HER-2 nos tumores residuais do colo uterino. A amplificação gênica de HER-2 nos tumores primários foi encontrada em 1 (3,1%) caso. Não houve expressão imunoistoquímica de IKK nos tumores primários ou residuais. As expressões imunoistoquímicas de HER-2, NF-B-p65 e NF-B-p50 não se correlacionaram com a resposta ao tratamento radioterápico pré-operatório. As expressões imunoistoquímicas positivas de NF-B-p65, NF-B-p50, IKK e HER-2 não se associaram a piores taxas de sobrevida livre de doença e sobrevida global. CONCLUSÕES: Nossos dados sugerem que as expressões imunoistoquímicas de NF-B e HER-2 não são capazes de predizer resposta à radioterapia e não estão relacionadas com pior prognóstico. O NF-B parece ser constitutivamente ativado no câncer do colo uterino / INTRODUCTION: The standard treatment of early cervical cancer is radical hysterectomy and concomitant radiation therapy and chemotherapy for advanced stages. After radical hysterectomy, adjuvant radiation therapy is indicated if risk factors are present. HER-2 is part of protein membrane family that has a critical role in cellular differentiation, proliferation and survival. The NF-B regulates apoptosis, cellular cycle, adhesion and cellular migration. NF-B is activated by IKK kinase. NF-B activation is related to resistance to radiotherapy and chemotherapy. The overexpression of HER-2 may activate the NF-B pathway through PI3K/Akt. Our aims were: a) analyze the immunohistochemical expression of HER-2, NF-B-p50, NF-B-p65 and IKK in patients with cervical cancer treated with radiation therapy followed by radical hysterectomy; b) analyze the HER-2 amplification gene with FISH; c) evaluate the immunohistochemical expression of HER-2, NF-B-p50, NF- B-p65 and IKK as a prognostic factor to recurrence and death. MATERIALS AND METHODS: A retrospective analysis was carries out on 32 patients with cervical cancer submitted to radical hysterectomy after neoadjuvant radiotherapy from January 1992 to June 2001. RESULTS: The median age was 45 years (22-67). One patient was stage IB2 (FIGO) and 31 IIB (96,9%). All patients received external beam radiotherapy and high dose vaginal brachytherapy. Sixteen (50%) patients had residual pathological disease after radical hysterectomy. Median follow-up time was 73.5 months and overall 5-year survival was 66.5%. Immunohistochemical cytoplasmic expression of NF-B-p65 e NF-B-p50 before radiotherapy was found in respectively 90.6% and 96.9% of cases. Immunohistochemical nuclear expression of NF-B-p65 and NF-B-p50 before radiotherapy was found in both 59.4% of cases. Immunohistochemical cytoplasmic expression of NF-B-p65 and NF-B-p50 in the residual tumors after radiotherapy was found in both 50% of cases. Immunohistochemical nuclear expression of NF-B-p50 in the residual tumors was found in 75% of cases. There was no nuclear expression of NF-B-p65 in the residual tumors. Immunohistochemical expression of HER-2 was found in 21.9% of cases. However, gene amplification was found in one case (3.1%). There was no expression of IKK in neither primary nor residual tumors. HER-2 and NF-B were not correlated to the risk of residual tumor after radiotherapy. Immunohistochemical expression of HER-2 and NF-B were not correlated to risk of recurrence or death. CONCLUSIONS: Our data suggest that NF-kB is constitutively activated in advanced cervical cancer. NF-kB and HER-2 may not predict response to radiotherapy and do not correlate to poor outcome