Chronic exposure to manganese (Mn) causes the neurodegenerative movement disorder, manganism. A mouse model was developed to elucidate mechanisms involved in the etiology and progression of injury. Twelve-week old female C57Bl/6J mice were exposed to MnCl2 (100 mg/kg/day) by oral gavage daily for 8 weeks. After the experiment striatal dopamine (DA) content was decreased with the manifestation of hypoactivity. A distinct population of neurons was vulnerable to the effects of Mn, including enkephalin (ENK)-positive projection neurons, interneurons expressing neuronal nitric oxide synthetase (nNOS/NOS1), and choline acetyltransferase (ChAT)-expressing interneurons. Activation of surrounding astrocytes occurred with expression of inducible nitric oxide synthase (iNOS/NOS2) and production of nitric oxide (NO)/peroxynitrite (ONOO-). Activated astrocytes were detected primarily near the microvasculature in both the striatum and globus pallidus (GP). It is suggested that Mn exposure may damage the blood-brain barrier (BBB) and induce astrocytosis and NOS2 expression, subsequent NO production may cause the death of adjacent neurons. This hypothesis was also tested in an in vitro co-culture model. Differentiated pheochromocytoma cells (PC12 cells) were co-cultured with primary astrocytes and exposed to Mn and inflammatory cytokines. Mn and cytokines induced NOS2 expression and NO production in astrocytes, which correlated with apoptosis of PC12 cells. Apoptosis of PC12 cells was prevented by overexpression of a phosphorylation-deficient mutant of IκBα that inhibited NOS2 expression in astrocytes. It is concluded that Mn-and cytokine-dependent apoptosis in PC12 cells requires astrocyte-derived NO and nuclear factor κB (NF-κB)-dependent expression of NOS2. To explore possible means of interdicting this inflammatory process in astrocytes, a noval pharmacologic ligands of the peroxisome proliferator-activated receptor gamma (PPARγ) agonist, 1,1-Bis(3'-indolyl)-1-(p-trifluoromethylphenyl) methane (DIM-C-pPhCF3) were used in the same co-culture system. DIM-C-pPhCF3 protected PC12 cells from apoptosis through inhibition of NOS2 expression in astrocytes after Mn and cytokines exposure. By contrast, the PPARγ antagonist, 2-chloro-5-nitrobenzanilide (GW9622), had the opposite effect, increasing both NO production in astrocytes and neuronal injury. It is concluded that PPARγ is involved in the regulation of NOS2 expression in astrocytes and that agonists of PPARγ may represent a potential treatment method for Mn neurotoxicity.

Chronic exposure to manganese (Mn) causes the neurodegenerative movement disorder, manganism. A mouse model was developed to elucidate mechanisms involved in the etiology and progression of injury. Twelve-week old female C57Bl/6J mice were exposed to MnCl2 (100 mg/kg/day) by oral gavage daily for 8 weeks. After the experiment striatal dopamine (DA) content was decreased with the manifestation of hypoactivity. A distinct population of neurons was vulnerable to the effects of Mn, including enkephalin (ENK)-positive projection neurons, interneurons expressing neuronal nitric oxide synthetase (nNOS/NOS1), and choline acetyltransferase (ChAT)-expressing interneurons. Activation of surrounding astrocytes occurred with expression of inducible nitric oxide synthase (iNOS/NOS2) and production of nitric oxide (NO)/peroxynitrite (ONOO-). Activated astrocytes were detected primarily near the microvasculature in both the striatum and globus pallidus (GP). It is suggested that Mn exposure may damage the blood-brain barrier (BBB) and induce astrocytosis and NOS2 expression, subsequent NO production may cause the death of adjacent neurons. This hypothesis was also tested in an in vitro co-culture model. Differentiated pheochromocytoma cells (PC12 cells) were co-cultured with primary astrocytes and exposed to Mn and inflammatory cytokines. Mn and cytokines induced NOS2 expression and NO production in astrocytes, which correlated with apoptosis of PC12 cells. Apoptosis of PC12 cells was prevented by overexpression of a phosphorylation-deficient mutant of IκBα that inhibited NOS2 expression in astrocytes. It is concluded that Mn-and cytokine-dependent apoptosis in PC12 cells requires astrocyte-derived NO and nuclear factor κB (NF-κB)-dependent expression of NOS2. To explore possible means of interdicting this inflammatory process in astrocytes, a noval pharmacologic ligands of the peroxisome proliferator-activated receptor gamma (PPARγ) agonist, 1,1-Bis(3'-indolyl)-1-(p-trifluoromethylphenyl) methane (DIM-C-pPhCF3) were used in the same co-culture system. DIM-C-pPhCF3 protected PC12 cells from apoptosis through inhibition of NOS2 expression in astrocytes after Mn and cytokines exposure. By contrast, the PPARγ antagonist, 2-chloro-5-nitrobenzanilide (GW9622), had the opposite effect, increasing both NO production in astrocytes and neuronal injury. It is concluded that PPARγ is involved in the regulation of NOS2 expression in astrocytes and that agonists of PPARγ may represent a potential treatment method for Mn neurotoxicity.

共著者あり。共著者名:Hizawa Nobuyuki, Yamaguchi Etsuro, Jinushi Eisei, Nishimura Masaharu. / Hokkaido University (北海道大学) / 博士 / 医学

Le système immunitaire joue un rôle complexe, tantôt protecteur, tantôt facilitateur dans la relation hôte-tumeur. La souris transgénique pour le proto-oncogène humain RET développe un mélanome spontané et métastatique et constitue un remarquable modèle pour étudier les facteurs immunitaires et génétiques de la réponse de l’hôte. Ce modèle a été essentiellement examiné sur le fond C57BL/6. La tumeur primaire se situe au niveau de l’œil et se propage ensuite à la face et au dos ainsi qu’aux viscères. La pathogenèse du mélanome est cependant multifactorielle et le contexte génétique peut donc moduler de façon déterminante l’expression du transgène, la surveillance immunitaire et l’évolutivité des tumeurs. Par croisements en retour, nous avons transféré le transgène RET du fond génétique B6 sur le fond NOD (Non-Obese Diabetic), connu par sa propension à l’auto-immunité. Une accélération du développement tumoral a été observée chez les souris NOD.RET+, au site primitif et surtout à distance, par comparaison aux souris B6.RET+. L’objectif de ce travail était ensuite de caractériser les modifications immunitaires en relation avec le fond pro-inflammatoire de la souris NOD et l’accélération du développement tumoral. Nous avons observé une augmentation des cellules T régulatrices, CD4+Foxp3+ dans les tumeurs des souris NOD.RET+ comparées aux souris B6.RET+. Cette augmentation était corrélée avec celle des cellules CD8 exprimant l’interféron-gamma (IFNγ). Surtout, le phénotype agressif chez les souris NOD.RET+ était associé à une perte de l’expression de la Dectin-1 sur les cellules myéloïdes. La Dectin-1 est un récepteur de type C-lectine, connu pour son rôle essentiel dans la réponse anti-infectieuse. De ce fait, le traitement des souris avec le curdlan, un ligand de la Dectin-1, prévenait le développement des métastases. Par ailleurs, l’inactivation du gène Nos2, codant la synthase du monoxyde d’azote de type 2, protégeait également les souris vis-à-vis des métastases. De façon remarquable, l’expression de la Dectin-1 était restaurée chez les souris Nos2-KO, suggérant pour la première fois un lien entre ce récepteur et la voie Nos2. Parallèlement, une étude de la valeur pronostique de l’expression quantitative du gène NOS2 a été entreprise par qPCR sur des biopsies de tumeurs humaines obtenues chez 108 patients tunisiens (sein, n=27 ; côlon/Rectum, 24 ; cavum, 28 ; mélanome, 29). D’une façon générale, l’expression de NOS2 était plus élevée dans les tumeurs du sein comparées à celle du côlon et du cavum, et surtout aux mélanomes où NOS2 était faiblement exprimé. De plus, l’expression de NOS2 était plutôt de mauvais pronostic. En effet, elle était corrélée avec l’indice de Breslow, le niveau de Clark et le sous-type histologique dans les mélanomes. Dans le cancer du cavum, elle était corrélée avec l’âge, le stade TNM, la présence de métastases, la réponse au traitement et l’expression de COX-2. Dans les cancers coliques, elle était corrélée avec le stade TNM, la taille et la localisation des tumeurs et leur type histologique. Dans le cancer du sein, elle était associée avec la taille des tumeurs, le stade tumoral, le grade SBR et les cas triples négatifs. Notre étude a ainsi permis d’établir un nouveau modèle murin de mélanome spontané et agressif, la souris NOD.RET+, qui devrait permettre de mieux comprendre les facteurs de l’hôte qui influencent le pronostic des mélanomes murins et donc peut-être humains et plus généralement la relation hôte-tumeur. Par ailleurs, le rôle de NOS2 a été souligné et surtout relié à l’expression de la Dectin-1. Ces deux protéines pourraient constituer des cibles thérapeutiques intéressantes, d’autant plus que nous avons confirmé la valeur de mauvais pronostic de l’expression de NOS2 dans quatre cancers humains d’origine épithéliale. / Mice transgenic for the RET oncogene provide a remarkable model for investigating the mechanisms underlying the promotion and the development of melanoma. This model was established on the C57BL/6 genetic background. In the present study, we investigated an effect of the strongly proinflammatory and autoimmune genetic makeup of the non-obese diabetic (NOD) strain. We bred (NODxB6)F1 mice and backcrossed them with NOD mice. F1 mice and mice at subsequent generations of backcrossing showed marked acceleration of tumor development, in particular with a more frequent and earlier extension of the primary uveal melanoma. In close relation with this severe evolution, we observed a profound drop in Dectin-1 expression on CD11b+Ly6G+ granulocytic myeloid cells correlating with an expansion of CD4+Foxp3+ T regulatory cell and of interferon (IFN)-γ producing CD8+ T cell subsets in tumors. IFNγ is a major inducer of the type 2 nitric-oxide synthase (Nos2) gene whose products are known to be tumorigenic. Germline inactivation of the Nos2 gene was associated with a dramatically improved tumor prognosis and a restoration of Dectin-1 expression on myeloid cells. Moreover, in vivo treatment of (NODxB6)F1.RET+ mice with curdlan, a glucose polymer that binds Dectin-1, prevented tumor extension and was associated with marked reduction of the CD4+Foxp3+ T cell subset. In parallel, we study the prognostic value of iNOS expression in four types of human tumors of 108 Tunisian patients: (breast n=27, colorectal=24, nasopharyngeal=28, and melanoma=29). The level of iNOS was measured by RT-QPCR in tumor specimens. We showed that the expression of iNOS was higher in breast compared to colorectal and nasopharyngeal tumors whereas in melanoma, the level of iNOS expression was low. Furthermore, iNOS expression correlated with the Breslow thickness, Clark level and histological subtype in melanoma while in nasopharyngeal carcinoma, significant association was seen with age at diagnosis, TNM, metastasis, response to treatment and expression of COX-2. Furthermore, the expression of iNOS correlated with tumor size, TNM, tumor location, and histological type in colorectal cancer, and with tumor size, tumor stage, SBR grade and triple negative cases in breast cancer. These observations highlight the (NODxB6)F1.RET+ mice as a new model to investigate the role of the immune system in the host-tumor relationship. Furthermore, the role of NOS2 was emphasized and mainly related to the expression of the Dectin-1. These two proteins could constitute a potentially promising therapeutic target, especially as we confirmed the poor prognostic value of the expression of NOS2 in four epithelial human cancers.