O comportamento alimentar de uma espécie é determinado por um conjunto de características filogenéticas, ontogenéticas, e epigenéticas, e regulado por fatores internos e externos ao organismo. Os fenômenos naturais que regem a vida no nosso planeta são periódicos em sua maioria, e a oferta de alimentos não é exceção. Cada safra é seguida de uma entressafra, e este ritmo sincroniza diversos outros ritmos, exógenos e endógenos, capazes de determinar a sobrevivência de espécies. Uma das estratégias adaptativas mais primitivas e bem sucedidas na dinâmica oscilatória da natureza é o acúmulo de reservas. Nossa espécie, nos últimos 50 anos, vive uma situação de grande oferta de alimentos, período este extremamente pequeno, se visto sob a ordem de grandeza da evolução humana. Este fenômeno tem sido determinante na prevalência do depósito de energia e em decorrência, do surgimento da obesidade e suas consequentes patologias. O hipotálamo está intimamente associado à homeostase energética e ao comportamento alimentar. No núcleo arqueado hipotalâmico encontram-se populações neuronais orexigênicas e anorexigênicas, dentre as quais, as que expressam os neuroreceptores POMC, NPY e o substrato de receptor de insulina IRS2. A modificação da expressão destas proteínas tem sido associada à alterações do comportamento alimentar, bem como à impressão e programação metabólica, capazes de induzir obesidade em ratos adultos. A correlação desta circuitaria neuronal com o comportamento alimentar, porém, ainda não está suficientemente compreendida. A detecção do estado de fome-saciedade nos ratos, fundamental no estudo da neurofisiologia relacionada ao comportamento alimentar, vem sendo obtida via de regra, por meio de procedimentos complexos de observação comportamental. O presente estudo contribui para o conhecimento de padrões de alimentação determinados por condições nutricionais, e sua relação com a expressão neurofisiológica hipotalâmica dos neurônios POMC, NPY e IRS2. Utilizando o modelo de programação metabólica de Plagemann (1999) obtivemos animais com 25% de sobrepeso em relação aos animais controle, hiperfágicos, e com padrões de tamanho e ritmo circadiano de refeição, distintos. Apesar dos níveis hormonais elevados de leptina (>100%, p<0,001) e insulina (>90%, p<0,05) em relação ao grupo controle, estes animais apresentaram baixa expressão no estado de fome, e alta expressão, na saciedade, de NPY hipotalâmico, sugerindo que o POMC estaria mais comprometido, a longo prazo, com a regulação do ritmo alimentar. A hiperinsulinemia e hiperleptinemia plasmática associada à reduzida expressão de POMC e IRS2 no ARC, corroboraram esta conclusão. Demonstramos também padrões de alimentação distintos. O método de registro da alimentação, baseado no som da roída foi validado como excelente, pelos registros obtidos nos vídeos, e mostrou-se eficiente. Quando os estados de fome-saciedade foram discriminados nos grupos controle e sobrepeso, os resultados da expressão hipotalâmica dos neuroreceptores estudados se mostraram associados aos particulares padrões de alimentação. / The feeding behavior of a specie is determined by a group of phylogenetic, ontogenetic, and epigenetic features, and regulated by internal and external factors to the organism. The natural phenomena that govern life in our planet are mainly periodic, and the food stocks is not an exception. Each harvest is followed by a time between harvests, and this rhythm synchronizes other several exogenous and endogenous rhythms, capable of determining the survival of species. One of the most primitive strategies of adaptative evolution of species, and what usually happens regarding the oscillatory dynamics of nature, is the reserve accumulation. Our species, in the last 50 years, has been living a situation of great food offer, such period is extremely small if analysed under the greatness order of the human evolution. This phenomenon has been decisive in the prevalence of the energy deposit and, in consequence, determining the appearance of obesity and its consequent pathologies. The hypothalamus is intimately associated to the energy homeostasis and the feeding behavior. In the arcuate nucleous are orexigenic and anorexigenic neuronal populations, that express the neuroreceptors POMC, NPY and insulin receptor substratum IRS2. The modification of these proteins expression, has been associated to alterations of the feeding behavior, as well as to the metabolic imprinting and programming, capable to induce obesity in adult rats. The correlation of this neuronal circuits with the alimentary behavior, however, it is not yet sufficiently understood. The detection of the hunger-satiation state in the rat, crucial in the neurophysiology studies related to the alimentary behavior, has been obtained through complex procedures of behavioral observation. The present study contributed to the knowledge of certain feeding patterns for nutritional conditions, and its relationship with the neurophysiological expression of POMC, NPY and IRS2 neurons. Using the metabolic programming model of Plagemann (1999) animals with 25% of overweight in relation to the control animals were obtained, hyperphagics, and with different size patterns and meal circadian rhythm. In spite of the high hormonal levels of leptin (>100%, p < 0,001) and insulin (>90%, p < 0,05) in relation to the control groups, these animals presented low expression in the hunger state, and high expression in the satiation of hypothalamic NPY, suggesting that POMC would be more committed, in the long term, with the regulation of the feeding rhythm. The hyperinsulinemia and plasmatic hyperleptinemia associated to the reduced POMC and IRS2 expression in the ARC, corroborated this conclusion. We also demonstrated different feeding patterns. The feeding registration method, based on the gnaw sound was validated as excellent, when comparedto a gold pattern, the registrations obtained in the videos, and it were considered efficient. When the hunger-satiation states were discriminated in the control and overweight groups, the results of the hypothalamic neuroreceptors expression studied showed association to the feeding patterns.

O comportamento alimentar de uma espécie é determinado por um conjunto de características filogenéticas, ontogenéticas, e epigenéticas, e regulado por fatores internos e externos ao organismo. Os fenômenos naturais que regem a vida no nosso planeta são periódicos em sua maioria, e a oferta de alimentos não é exceção. Cada safra é seguida de uma entressafra, e este ritmo sincroniza diversos outros ritmos, exógenos e endógenos, capazes de determinar a sobrevivência de espécies. Uma das estratégias adaptativas mais primitivas e bem sucedidas na dinâmica oscilatória da natureza é o acúmulo de reservas. Nossa espécie, nos últimos 50 anos, vive uma situação de grande oferta de alimentos, período este extremamente pequeno, se visto sob a ordem de grandeza da evolução humana. Este fenômeno tem sido determinante na prevalência do depósito de energia e em decorrência, do surgimento da obesidade e suas consequentes patologias. O hipotálamo está intimamente associado à homeostase energética e ao comportamento alimentar. No núcleo arqueado hipotalâmico encontram-se populações neuronais orexigênicas e anorexigênicas, dentre as quais, as que expressam os neuroreceptores POMC, NPY e o substrato de receptor de insulina IRS2. A modificação da expressão destas proteínas tem sido associada à alterações do comportamento alimentar, bem como à impressão e programação metabólica, capazes de induzir obesidade em ratos adultos. A correlação desta circuitaria neuronal com o comportamento alimentar, porém, ainda não está suficientemente compreendida. A detecção do estado de fome-saciedade nos ratos, fundamental no estudo da neurofisiologia relacionada ao comportamento alimentar, vem sendo obtida via de regra, por meio de procedimentos complexos de observação comportamental. O presente estudo contribui para o conhecimento de padrões de alimentação determinados por condições nutricionais, e sua relação com a expressão neurofisiológica hipotalâmica dos neurônios POMC, NPY e IRS2. Utilizando o modelo de programação metabólica de Plagemann (1999) obtivemos animais com 25% de sobrepeso em relação aos animais controle, hiperfágicos, e com padrões de tamanho e ritmo circadiano de refeição, distintos. Apesar dos níveis hormonais elevados de leptina (>100%, p<0,001) e insulina (>90%, p<0,05) em relação ao grupo controle, estes animais apresentaram baixa expressão no estado de fome, e alta expressão, na saciedade, de NPY hipotalâmico, sugerindo que o POMC estaria mais comprometido, a longo prazo, com a regulação do ritmo alimentar. A hiperinsulinemia e hiperleptinemia plasmática associada à reduzida expressão de POMC e IRS2 no ARC, corroboraram esta conclusão. Demonstramos também padrões de alimentação distintos. O método de registro da alimentação, baseado no som da roída foi validado como excelente, pelos registros obtidos nos vídeos, e mostrou-se eficiente. Quando os estados de fome-saciedade foram discriminados nos grupos controle e sobrepeso, os resultados da expressão hipotalâmica dos neuroreceptores estudados se mostraram associados aos particulares padrões de alimentação. / The feeding behavior of a specie is determined by a group of phylogenetic, ontogenetic, and epigenetic features, and regulated by internal and external factors to the organism. The natural phenomena that govern life in our planet are mainly periodic, and the food stocks is not an exception. Each harvest is followed by a time between harvests, and this rhythm synchronizes other several exogenous and endogenous rhythms, capable of determining the survival of species. One of the most primitive strategies of adaptative evolution of species, and what usually happens regarding the oscillatory dynamics of nature, is the reserve accumulation. Our species, in the last 50 years, has been living a situation of great food offer, such period is extremely small if analysed under the greatness order of the human evolution. This phenomenon has been decisive in the prevalence of the energy deposit and, in consequence, determining the appearance of obesity and its consequent pathologies. The hypothalamus is intimately associated to the energy homeostasis and the feeding behavior. In the arcuate nucleous are orexigenic and anorexigenic neuronal populations, that express the neuroreceptors POMC, NPY and insulin receptor substratum IRS2. The modification of these proteins expression, has been associated to alterations of the feeding behavior, as well as to the metabolic imprinting and programming, capable to induce obesity in adult rats. The correlation of this neuronal circuits with the alimentary behavior, however, it is not yet sufficiently understood. The detection of the hunger-satiation state in the rat, crucial in the neurophysiology studies related to the alimentary behavior, has been obtained through complex procedures of behavioral observation. The present study contributed to the knowledge of certain feeding patterns for nutritional conditions, and its relationship with the neurophysiological expression of POMC, NPY and IRS2 neurons. Using the metabolic programming model of Plagemann (1999) animals with 25% of overweight in relation to the control animals were obtained, hyperphagics, and with different size patterns and meal circadian rhythm. In spite of the high hormonal levels of leptin (>100%, p < 0,001) and insulin (>90%, p < 0,05) in relation to the control groups, these animals presented low expression in the hunger state, and high expression in the satiation of hypothalamic NPY, suggesting that POMC would be more committed, in the long term, with the regulation of the feeding rhythm. The hyperinsulinemia and plasmatic hyperleptinemia associated to the reduced POMC and IRS2 expression in the ARC, corroborated this conclusion. We also demonstrated different feeding patterns. The feeding registration method, based on the gnaw sound was validated as excellent, when comparedto a gold pattern, the registrations obtained in the videos, and it were considered efficient. When the hunger-satiation states were discriminated in the control and overweight groups, the results of the hypothalamic neuroreceptors expression studied showed association to the feeding patterns.

Title: Acipimox during Short-Term Exercise Exerts A Negative Feedback of Growth Hormone on Ghrelin Secretion in Patients with Bulimia Nervosa and in Healthy Women: The Role of Lipolysis Objective: Eating disorders, such as bulimia nervosa (BN) and anorexia nervosa (AN), are characterized by abnormal eating behavior. The main features of BN are binge-eating and inappropriate compensatory methods to prevent weight gain. The appetite-modulating peptide ghrelin is secreted by the stomach and shows a strong release of growth hormone (GH). A potential GH-ghrelin feedback loop between stomach and the pituitary has been recently reported. Acipimox (Aci), an analogue of nicotinic acid, inhibits lipolysis in adipose tissue (AT) and reduces plasma glycerol and free fatty acids (FFA) levels. Exercise and Aci are stimulators of GH secretion. We suppose that a negative feedback from increased GH levels during exercise may play a role in reducing plasma ghrelin levels. We surmised that altered baseline activity and exercise-induced activation of the sympathetic nervous system (SNS) results in excessive stimulation of lipolysis associated with negative energy balance and may lead to abnormal AT metabolism in patients with BN. Disruption of the gut-brain-AT axis might be involved in the pathogenesis of BN. The...

Diabetes melito ou intolerância à glicose estão presentes em até 80% dos pacientes com adenocarcinoma de pâncreas. Portadores desta neoplasia têm resistência à insulina e alteração na secreção de insulina em resposta à glicose, o que pode levar ao aparecimento ou piora de diabetes. Para identificar genes diferencialmente expressos, que podem representar fatores diabetogênicos produzidos pelo adenocarcinoma de pâncreas, utilizou-se a comparação de microarranjos de oligonucleotídeos hibridizados com RNA complementar (cRNA) de tumores pancreáticos de pacientes com e sem diabetes melito no pré-operatório. Uma lâmina foi hibridizada com cRNA de dois pacientes portadores de diabetes melito, e outra com cRNA de dois pacientes com tolerância normal à glicose pelo teste oral. Considerando a expressão ajustada para os controles internos dos microarranjos, 293 genes estavam duas ou mais vezes mais expressos na lâmina dos portadores de diabetes melito; destes, 25 genes estavam pelo menos cinco vezes mais expressos. Duzentos e noventa e sete genes estavam pelo menos duas vezes mais expressos na lâmina dos pacientes com tolerância normal à glicose, dos quais 54 genes estavam cinco ou mais vezes mais expressos nestes indivíduos. Dos genes mais expressos nos tumores dos indivíduos portadores de diabetes melito, três deles, FAM3D, do inglês Family with Sequence Similarity number 3 member D, neuropeptídeo Y (NPY), e proteína de ligação do cálcio S100A8, foram estudados por reação em cadeia da polimerase em tempo real. A expressão do FAM3D foi 4070 (1000-37588) nas amostras de tumores de pacientes com diabetes melito, contra 109 (10-1112) nas de pacientes não-diabéticos (com intolerância à glicose ou com tolerância normal à glicose) (p<0,05). A expressão do NPY foi 0,46 (0,19-0,91) nos tumores dos portadores de diabetes, contra 0,32 (0,21- 0,58) nos tumores dos não-diabéticos (p = NS). Quanto à expressão de S100A8, foi 0,52 (0,27-0,60) nos tumores dos diabéticos, e 0,34 (0,16-1,44) nos não-diabéticos. Estudo imunohistoquímico mostrou que o FAM3D está expresso no núcleo e no citoplasma de células de tumores pancreáticos, tanto de indivíduos com diabetes melito quanto de não-diabéticos, assim como no citoplasma de células de ilhotas pancreáticas e de células ductais normais do pâncreas. Concluímos que o FAM3D é uma proteína expressa em tecido pancreático normal e tumoral, e que existe maior conteúdo do mRNA do FAM3D nos adenocarcinomas de pâncreas de portadores de diabetes melito do que nos de não-diabéticos. / Pancreatic ductal adenocarcinoma is closely related to diabetes mellitus; up to 80% of pancreas adenocarcinoma patients have diabetes or impaired glucose tolerance. Pancreas adenocarcinoma patients have both insulin resistance and altered insulin secretion in response to glucose, and impaired glucose metabolism has been reported in muscle of tumor patients, involving glycogen metabolism and post-receptor insulin signaling. But despite progress in research about this issue, precise mechanisms responsible for the interaction of pancreatic adenocarcinoma and diabetes mellitus remain unknown. The aim of this study was to identify differentially expressed genes between pancreas adenocarcinoma of patients who had and who did not have diabetes mellitus before surgery. Clinical and laboratorial data of 33 patients with pancreatic adenocarcinoma were evaluated, and tumor gene expression was analyzed by microarray method between two patients who had diabetes mellitus and two who did not have glycemic homeostasis impairment, and later used quantitative reverse transcriptase polymerase chain reaction (RT-qPCR) in twelve tumor fragments mRNA to confirm obtained data. Pancreatic adenocarcinoma patients who had diabetes mellitus had higher HOMA-IR (p < 0.05) and a trend to lower HOMA-beta indexes than non-diabetic patients. icroarray revealed 293 genes twice more expressed in the pool of diabetic patients as compared to the pool of normal glucose tolerance patients. Of these, 25 were five times more expressed in diabetic patients? pancreatic adenocarcinomas. Three genes were chosen for RT-qPCR: Family with Sequence Similarity number 3 member D (FAM3D), neuropeptide Y (NPY), and calcium-binding protein S100A8. FAM3D expression was 4070 (1000-37588) in diabetic patients tumors versus 109 (10-1112) in non-diabetic (impaired glucose and normal glucose tolerance) patients? tumors (p<0.05). NPY expression was 0.46 (0.19- 0.91) in diabetic patients and 0.32 (0.21-0.58) in non-diabetic patients? tumors (p=NS). Calcium-binding protein S100A8 expression was 0.52 (0.27-0.60) in diabetic and 0.34 (0.16-1.44) in non-diabetic patients (p=NS). Immunohistochemistry revealed that FAM3D protein was expressed in pancreatic adenocarcinoma cells in a diffuse nuclear and cytoplasmic pattern. It was also expressed in the cytoplasm of islets of Langerhans and normal pancreatic ducts cells. The present study indicates that cytokine-like FAM3D protein is expressed in normal and tumoral pancreatic tissue, and that FAM3D mRNA content is higher in pancreatic adenocarcinoma in diabetic than in non-diabetic patients.

To survive, animals must adapt to a complex and challenging world in a way that is flexible and responsive, while maintaining internal homeostasis. Neuromodulators provide a means to systemically alter behavioral or physiological state based on intrinsic or extrinsic cues, however dysregulated neuroendocrine signaling has negative consequences for fitness and survival. Here I examine neuroendocrine function and dysfunction using the escape response in Caenorhabditis elegans. The RFamide neuropeptide FLP-18 is a co-transmitter with the monoamine tyramine and functions both synergistically and antagonistically to tyramine in coordinating escape behavior. Using behavioral analysis and calcium imaging, I show that FLP-18 functions primarily through the G-protein coupled receptor (GPCR) NPR-5 to increase calcium levels in muscle, enhancing locomotion rate, bending and reversal behavior during the escape response. Furthermore, I examine the relationship between persistent acute stress and resilience using repeated activation of the escape response as a model of neuroendocrine dysregulation. Repeated activation of the escape response shortens lifespan and renders animals more susceptible to thermal, oxidative, and nutritional stress. Tyramine release is necessary and sufficient for this effect and activity of the tyraminergic RIM neurons is differentially regulated by acute versus long-term stressors. Impaired stress resistance requires both the GPCR TYRA-3 in the intestine and intestinal neuropeptide release. Activation of the insulin receptor DAF-2 is downstream of TYRA-3 and inhibits the transcription factors DAF-16/FOXO, SKN-1/Nrf2 and HSF-1, linking monoamine signaling in acute stress to the insulin signaling pathway and impaired resilience to long-term stressors.

Title: Acipimox during Short-Term Exercise Exerts A Negative Feedback of Growth Hormone on Ghrelin Secretion in Patients with Bulimia Nervosa and in Healthy Women: The Role of Lipolysis Objective: Eating disorders, such as bulimia nervosa (BN) and anorexia nervosa (AN), are characterized by abnormal eating behavior. The main features of BN are binge-eating and inappropriate compensatory methods to prevent weight gain. The appetite-modulating peptide ghrelin is secreted by the stomach and shows a strong release of growth hormone (GH). A potential GH-ghrelin feedback loop between stomach and the pituitary has been recently reported. Acipimox (Aci), an analogue of nicotinic acid, inhibits lipolysis in adipose tissue (AT) and reduces plasma glycerol and free fatty acids (FFA) levels. Exercise and Aci are stimulators of GH secretion. We suppose that a negative feedback from increased GH levels during exercise may play a role in reducing plasma ghrelin levels. We surmised that altered baseline activity and exercise-induced activation of the sympathetic nervous system (SNS) results in excessive stimulation of lipolysis associated with negative energy balance and may lead to abnormal AT metabolism in patients with BN. Disruption of the gut-brain-AT axis might be involved in the pathogenesis of BN. The...

High visual sensitivity is a common but important characteristic of animal eyes. It is especially critical for night vision. In animal eyes, photoreceptors are the first to receive the incoming rays of light and they convert the light signals to electrical signals before passing the information to interneurons in the eye and finally to the brain. To function in dim light conditions, photoreceptors have developed high sensitivities to light. It is reported that both mammalian rod photoreceptors and Drosophilaphotoreceptors can detect single photons. The high sensitivities of photoreceptors largely depend on a high content of rhodopsin, a light-stimulated G protein-coupled receptor (GPCR), in light sensory organelles, outer segments in mammals and rhabdomeres in Drosophila. Two shared characteristics, the tightly packed photoreceptive membrane and the high concentration of rhodopsin in the membrane, work together to enable the photoreceptors to achieve the high content of rhodopsin in photosensory organelles in both mammals and Drosophila. In this thesis, I have used the Drosophilaeye as a model system to study the molecular mechanisms required for the maintenance of these two characteristics. In the second chapter, I present a new molecular mechanism of preventing Gq-mediated rhabdomeral degeneration. A new gene named tadr (for torn and diminished rhabdomeres), when mutated, leads to visual sensitivity reduction and photoreceptor degeneration. Degeneration in the tadr mutant is characterized by shrunken and disrupted rhabdomeres. The TADR protein interacts in vitro with the major light receptor Rh1 rhodopsin, and genetic reduction of the Rh1 level suppresses the tadr-induced degeneration, suggesting the degeneration is Rh1-dependent. Nonetheless, removal of phospholipase C (PLC), a key enzyme in phototransduction, and that of Arr2 fail to inhibit rhabdomeral degeneration in the tadr mutant background. Biochemical analyses reveal that, in the tadr mutant, the Gq protein of Rh1 is defective in dissociation from the membrane during light stimulation. Importantly, reduction of Gq level by introducing a hypomorphic allele of Gαq gene greatly inhibits the tadr degeneration phenotype. These results may suggest that loss of a potential TADR-Rh1 interaction leads to an abnormality in the Gqsignaling, which in turn triggers rhabdomeral degeneration independent of the PLC phototransduction cascade. We propose that TADR-like proteins may also protect photoreceptors from degeneration in mammals including humans. In the third chapter, I present a Drosophila CUB- and LDLa-domain transmembrane protein CULD that counteracts the visual arrestin Arr1-mediated endocytosis to retain rhodopsin in rhabdomeral membrane. CULD is mostly localized in rhabdomeres, but is also detected in scarce rhodopsin endocytic vesicles that contain Arr1. An intracellular region of CULD interacts with Arr1 in vitro. In both culdmutant and knockdown flies, a large amount of rhodopsin is mislocalized in the cell body of photoreceptors through lightdependent, Arr1-mediated endocytosis, leading to reduction of photoreceptor sensitivity. Expressing a wild-type CULD protein in photoreceptors, but not a mutant variant lacking the Arr1-interacting site, rescues both the rhodopsin mislocalization and the low sensitivity phenotypes. Once rhodopsin has been internalized in adult mutant flies, it is reversed only by expression of CULD but not by blocking endocytosis, suggesting that CULD promotes recycling of endocytosed rhodopsin to the rhabdomere. Our results demonstrate an important role of CULD in the maintenance of membrane rhodopsin density and photoreceptor sensitivity. We propose that a common cellular function of CUB- and LDLa-domain proteins, in both mammals and invertebrates, is to concentrate receptors including GPCRs in particular regions of cell membrane. In summary, the work addressed in this thesis has identified new molecular mechavii nisms underlying the maintenance of visual sensitivity in Drosophila, either through preventing Gq-mediated rhabdomeral degeneration or through antagonizing arrestin-mediated rhodopsin endocytosis. This work has advanced our understanding of visual biology and the general regulatory mechanisms of GPCR signaling, and may provide valuable clues to pathologic studies of human retinal degeneration disorders.

L'asma és una malaltia d'etiologia complexa, formada per factors genètics i ambientals, on la interrelació de ambdós factors mitjançant interaccions gen-ambient juga un paper clau. L'objectiu d'aquesta tesi ha sigut aprofundir en el coneixement del paper dels polimorfismes genètics, i la seva interacció amb factors ambientals, en la ocurrència d'asma, atòpia i hiperreactivitat bronquial. Aquest objectiu ha estat desenvolupat a través de la replicació de variants genètiques prèviament identificades, l'avaluació d'interaccions gen-ambient i la identificació de nous gens de susceptibilitat mitjançant un disseny basat en el genotipatge de variants genètiques all llarg del genoma en pools d'ADN. La tesi ha estat majoritàriament duta a terme dins l'estudi European Community Respiratory Health Survey (ECRHS) que està comprès per 5.000 individus seguits durant 9 anys, pels quals es disposa d'un qüestionari complet sobre símptomes respiratoris, avaluacions clíniques, informació sobre exposicions ambientals i mostres de ADN. Aquesta tesi a replicat l'associació del polimorfismes dels gens TNFA i NPSR1 amb asma. A més s'han establert les interaccions entre TNFA i obesitat, NQO1 i contaminació atmosfèrica, i NPSR1 i edat d'inici d'asma. L'anàlisi de pools d' ADN ha permès associar la regió on es situa el gen SGK493 amb atòpia. Aquesta tesi contribueix al coneixement de l'etiologia d'asma amb la identificació i replicació d'associacions genètiques i interaccions gen-ambient. / Asthma is a disease with a complex etiology, involving multiple genetic and environmental factors, and with an important role of the interplay of these factors through gene-environment interactions. In this thesis I aimed to advance our knowledge on the importance of genetic polymorphisms and their interaction with environmental data for the occurrence of asthma and related phenotypes (atopy and bronchial hyperreactivity). This objective was developed through the replication of genetic associations previously reported, the assessment of gene-environment interactions and the identification of new susceptibility genes using genome-wide analysis based on a pooling DNA strategy. The thesis was, mostly, performed within the European Community Respiratory Health Survey (ECRHS). This cohort has information and DNA samples from approximately 5,000 adult subjects followed-up for 9 years, with extensive questionnaires on respiratory symptoms, clinical evaluations and information on environmental exposures. This thesis replicates previous effects on asthma of polymorphisms in TNFA and NPSR1 genes. In addition, interactions have been established between TNFA and obesity, NQO1 and air-pollution, and NPSR1 and age at onset of asthma. The approach based on genome-wide analysis of DNA pools identified the SGK493 region being associated with atopy. This thesis contributes to the understanding of the etiology of asthma through the identification and replication of genetic associations and gene-environment interactions.

No description available.

Despite a high proportion of the population experiencing traumatic events within their lifetime, the number of individuals who go on to develop posttraumatic stress disorder (PTSD) is comparatively small; herein highlighting the importance of individual differences in imparting risk and resilience towards the development and maintenance of PTSD. Existing literature illustrates that biological and ecological factors are important in predicting PTSD development, with pathological vulnerabilities excepting their effects at pre- peri- and post trauma stages. Whilst cognitive and emotion based models of PTSD account for the role of a minority of known pre-trauma risk factors, individual differences in peri- and post trauma processes are held as critical to the development of PTSD. The broad range of risk factors implicated in the empirical literature, and necessity of traumatic exposure to PTSD, implicates the utility of a diathesis-stress conceptualisation of PTSD development. The current thesis employed an analogue VR-trauma paradigm to investigate the respective importance of vulnerability factors at each stage, in the prediction of analogue PTSD symptoms (memory problems, startle responses, re-exposure fear habituation), whilst measuring affective and electrophysiological concomitance. Findings supported the importance of peri-traumatic responses in the prediction of PTSD, where present, showing increased predictive capacities over pre- and post-trauma factors. Biological and ecological factors also illustrated important predictive associations, with genetic SNPs implicated in reflex startle and cardiac responses towards intrusive memories. Moreover, peri-traumatic HR decelerations and accelerations mediated the association between pre-trauma factors and cued recall inaccuracy and intrusion severity respectively. Results support existing cognitive and emotional models in their emphasis on peri-traumatic processes but suggest the added utility of a diathesis stress conceptualisation of the development of PTSD, in highlighting the importance of pre-trauma biological and ecological risk and resilience factors.