La prévalence de la déficience intellectuelle est estimée entre 1 à 3% de la population. En France, la déficience intellectuelle légère concerne entre 10 et 20 pour 1 000 personnes et la déficience intellectuelle sévère entre 3 à 4 pour 1 000 personnes. La déficience intellectuelle fait partie d’un groupe hétérogène de pathologies syndromiques et non syndromiques ayant en commun la limitation importante du fonctionnement intellectuel et du comportement adaptatif, apparaissant avant 18 ans et entrainant un handicap. Les causes de la déficience intellectuelle affectent la neurogénèse et/ou le fonctionnement neuronal. Environ 50% des déficiences intellectuelles sont encore à l’heure actuelle d’étiologie indéterminée. Les étiologies génétiques expliquent un grand nombre de déficiences intellectuelles et plus particulièrement les formes sévères. Les nouvellestechnologies, telles que les analyses chromosomiques sur puce à ADN et le séquençage à haut débit de l’ADN, ont permis d’augmenter le rendement diagnostique à 55-70% dans les déficiences intellectuelles modérées à sévères. C’est grâce à ces techniques que nous avons pu identifier puis caractériser deux nouveaux gènes impliqués dans des déficiences intellectuelles sévères syndromiques autosomiques récessives: le gène WDR73 responsable du syndrome de Galloway Mowat associant un déficience intellectuelle sévère et un syndrome néphrotique cortico-résistant et le gèneUBA5, impliqué dans le processus d’ufmylation, dans une encéphalopathie précoce. / The prevalence of intellectual disability is estimated between 1% and 3% of the population. In France, mild intellectual disability affects between 10 and 20 per 1,000 people and severe intellectual disability between from 3 to 4 per 1,000 people. Intellectual disability is part of a heterogeneous group of syndromic and nonsyndromic pathologies with limitation in intellectual functioning and adaptive behavior appearing before the age of 18 and causing a disability. The causes of intellectual disability affect neurogenesis and / or neuronal functions. About 50% of intellectual disabilities are still undetermined. Genetic etiologies explain a large number of intellectual disabilities and more particularly the severe forms. New technologies, such as Array- Based Comparative Genomic Hybridization and next generation sequencing, have increased the diagnostic yield to 55-70% in moderate to severe intellectualdisability. Thanks to these techniques, we have been able to identify and characterize two new genes involved in severe autosomal recessive syndrome: the WDR73 gene responsible for Galloway Mowat syndrome which associates severe intellectual disability with corticosteroid-resistant nephrotic syndrome, and the UBA5 gene, involved in the ufmylation process in early encephalopathy.

Orientador: Paula Rahal / Resumo: O vírus da Hepatite C (HCV) afeta cerca de 3% da população mundial. A cada ano, 3-4 milhões de novos casos são diagnosticados. A identificação de redes transmissão é complexa devido ao longo período de incubação, à falta de sintomas na fase aguda da doença e à heterogeneidade do HCV, que dificulta o estabelecimento de vínculos entre casos relacionados. Uma ampla caracterização das populações intra-hospedeiros pode ser realizada de forma eficiente através do sequenciamento de nova geração (NGS). Com base neste contexto, o sequenciamento de múltiplas regiões subgenômicas é uma solução às limitações impostas pela rápida evolução molecular do HCV. Variantes virais das regiões HVR1 e NS5A de 16 pacientes cronicamente infectados com o HCV, genótipos 1a e 1b, foram sequenciadas com a técnica de NGS. Os pacientes 1-7 compartilhavam fatores de risco, pertencendo ao mesmo grupo de usuários de drogas injetáveis, porém o parentesco genético desses casos não pode ser estabelecido com base apenas no sequenciamento da HVR1 (distância nucleotídica mínima entre 16-23). A amplificação de um fragmento maior (~450 pb), correspondente a um segmento da região NS5A, aprimorou a relação epidemiológica entre os pacientes 1-5, onde as distancias genéticas mínimas foram consideravelmente menores (9-13). Os pacientes 6 e 7 não compartilharam sequências com os outros cinco pacientes dessa rede, apresentando populações virais mais homogêneas. Adicionalmente, Median Joining Networks foram construídas para ... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The hepatitis C virus (HCV) affects approximately 3% of the world's population. Each year 3-4 million new cases are diagnosed. The identification of transmission networks is complicated due to the characteristic long incubation period, the lack of symptoms during the acute phase of the disease and the heterogeneity of HCV, making it challenging to link related cases to a common source of infection. Extensive characterization of intra-host populations can be reliably archived using next generation sequencing (NGS) approaches. Sequencing of multiple and longer subgenomic regions has been proposed as an alternative to overcome the limitations imposed by the rapid molecular evolution of the HCV HVR1. Thus, the NS5A and HVR1 regions of 16 chronically infected individuals, genotypes 1a and 1b, were sequenced using a NGS platform. Patients 1-7 shared risk factors and belonged to the same injection drug users network. However, genetic relatedness could not be established based on the HVR1 sequences (minimal nucleotide distance ranging from 16-23). Amplification and sequencing of a larger PCR fragment (~450 bp) targeting the NS5A region reestablished lost epidemiological links between patients 1-5. The minimum genetic distances in those patients were considerable smaller than the HVR1 counterparts (9-13). Patients 6 and 7 displayed a rather homogeneous viral population and were clearly not sharing any sequences with all other five patients in this network. Additionally, Median Joining... (Complete abstract click electronic access below) / Doutor

An interdisciplinary approach integrating micro and macroevolution, genomic, morphometric and morphological variation, systematics, quantitative genetics, and biogeography was employed to investigate the evolutionary history of the genus Holochilus (Rodentia: Sigmodontinae). Holochilus presents poorly defined species, with nomenclatural problems and phylogenetic relationships on species level unknown. The current species number possibly does not reflect its real diversity, and no work combining genetic and morphometric evidences from all its geographic range was performed. This genus belongs to the tribe Oryzomyini, and along with other 14 genera constitute the Oryzomyini clade D, the most comprehensive generic diversity of the tribe, occupying distinct environments. The internal phylogenetic relationship within this clade is still unclear and variable. Due to its broad geographic distribution, Holochilus also represents a key piece on the study of the evolution of oryzomines of open formations of South America. Based on a comprehensive sampling, I analyzed patterns of morphometric and genomic variation within Holochilus, in order to delimit the species belonging to this genus, as well as access the phylogenetic relationship between these lineages. I investigated the sexual and ontogenetic variation in this group, comparing natural and captive populations, seeking for understand the effect of the environmental differences in the pattern of variation and ontogenetic trajectories (Chapter 1). I also evaluated and compared the genomic variation among three species of Holochilus to verify the influence of the biomes and the climatic changes in the genomic signatures (Chapter 2). I applied a model-based approach to delimit species (Chapter 3). And finally, additional investigations were made to propose the phylogenetic relationship between members of clade D, and provide date intervals for the main diversifications events, as well as the possible process responsible for the biogeographic pattern current observed related with the forest and open areas occupation (Chapter 4). Sexual dimorphism exhibited small degree of variation among populations. The greater ontogenetic variation is found in the younger age classes, but oldest individuals also show larger degree of differentiation. There are also great differences in the ontogenetic trajectories among samples, where individuals from the captive population exhibited the lower degree of variation between all age classes. The quantitative genetic analysis showed that genomic differences are observed across the taxa, and it was associated with geography. Ecological niche models revealed that biomes with larger areas of stability also presented more genomic structure, suggesting that historical dimension impacted population isolation/connectivity. Results also shows that biomes not only differ geographically and environmentally (based on past climatic conditions), but also show significant association between the environmental space and the genetic variation that is not related with geography. Eight independent lineages within Holochilus were recovered, and the phylogenetic arrangement partially corroborates previous studies. Finally, the phylogeny proposed for the clade D presented some differences in comparisons with other previously reported, and suggest that most of the cladogenetic events happened during the Pleistocene, being the expansion of open environments an important driver of diversification in this group. / Uma abordagem interdisciplinar integrando micro e macroevolução, variação genômica, morfométrica e morfológica, sistemática, genética quantitativa e biogeografia foi empregada para investigar a história evolutiva do gênero Holochilus (Rodentia: Sigmodontinae). O gênero Holochilus apresenta espécies mal definidas, com problemas nomenclaturais e relações desconhecida. O número atual de espécies possivelmente não reflete a sua diversidade real e, até o momento, não foi realizado nenhum trabalho combinando evidências genéticas e morfométricas englobando toda a distribuição geográfica desse grupo. Este gênero pertence à tribo Oryzomyini, e juntamente com outros 14 gêneros (a diversidade genérica mais abrangente da tribo) formam o clado D. A relação filogenética interna dentro deste clado ainda é variável. Devido à sua ampla distribuição geográfica, Holochilus também representa uma peça chave no estudo da evolução dos oryzomíneos de formações abertas da América do Sul. Com base em uma amostragem abrangente, analisei padrões de variação morfométrica e genômica dentro de Holochilus, a fim de delimitar as espécies pertencentes a este gênero, bem como acessar a relação filogenética entre essas linhagens. Investiguei a variação sexual e ontogenética deste grupo, comparando populações naturais e de cativeiro, buscando entender o efeito das diferenças ambientais no padrão de variação e nas trajetórias ontogenéticas (Capítulo 1). Eu também avaliei e comparei a variação genômica entre três espécies de Holochilus a fim de verificar a influência dos biomas e das mudanças climáticas nas assinaturas genômicas das espécies (Capítulo 2). Em seguida eu apliquei uma abordagem baseada em modelos para delimitar as espécies (Capítulo 3). Finalmente, investigações adicionais foram realizadas para propor as relações filogenéticas entre os membros do clade D, fornecendo datas para os principais eventos de diversificação, e inferências sobre possíveis processos responsáveis pelo padrão biogeográfico atual, relacionado os mesmos com a ocupação florestal e áreas abertas (Capítulo 4). O dimorfismo sexual apresentou pequeno grau de variação entre as populações. A maior variação ontogenética é encontrada nas classes etárias mais jovens e mais velhas. Há também grandes diferenças nas trajetórias ontogenéticas entre as amostras, onde indivíduos da população cativeiro exibiram o menor grau de variação entre todas as classes etárias. A análise genética quantitativa mostrou que diferenças genômicas são observadas em todos os táxons e essa diferença está associada à geografia. Modelos de nichos ecológicos revelaram que os biomas com maiores áreas de estabilidade também apresentaram maior estruturação genômica, sugerindo que uma dimensão histórica impactou o isolamento/conectividade entre as populações. Os resultados também mostram que os biomas não só diferem geograficamente e ambientalmente (baseado em condições climáticas passadas), mas também mostram associação significativa entre o espaço ambiental e a variação genética que não está relacionada com a geografia. Adicionalmente, foi recuperado oito linhagens independentes dentro de Holochilus, e o arranjo filogenético parcialmente corrobora estudos anteriores. Finalmente, a filogenia proposta para o clado D apresentou algumas diferenças em comparação com outros estudos, e sugeriu que a maioria dos eventos cladogenéticos ocorreram durante o Pleistoceno, sendo a expansão dos ambientes abertos um importante motor de diversificação neste grupo.

A terapia antiagregante é comumente indicada na prevenção e tratamento de doenças cardiovasculares. A dupla antiagregação com clopidrogrel e ácido acetilsalicílico (AAS) tem sido frequentemente adotada em pacientes com Doença Arterial Coronariana (DAC), mas apresenta ineficácia em uma parcela significativa da população com genótipo de respondedores. Essa falha terapêutica nos leva a questionar se outros mecanismos moleculares podem estar influenciando na resposta a esses fármacos. Recentes estudos sugerem que pequenas sequências de RNA não codificantes denominadas microRNAs (miRNAs) podem estar fortemente relacionadas com resposta ao tratamento fármaco-terapêutico, controlando as proteínas envolvidas na farmacocinética e farmacodinâmica. Entretanto, os principais miRNAs que atuam na dinâmica da resposta medicamentosa ainda não foram bem definidos. O objetivo deste estudo foi avaliar o perfil de miRNAs no sangue total periférico, procurando melhor esclarecer os mecanismos envolvidos na resposta aos antiagregantes plaquetários AAS e clopidogrel. Para isso, selecionou-se pacientes com DAC, os quais apresentavam diferentes respostas à dupla terapia de antiagregação determinadas pelo teste de agregação plaquetária. Baseados nos fenótipos, os perfis de expressão de miRNAs foram comparados entre os valores da taxa de agregação categorizados em tercis (T) de resposta. O grupo T1 foi constituído de pacientes respondedores, o T2 de respondedores intermediários e o T3 de não respondedores. Os perfis de miRNAs foram obtidos após sequenciamento de última geração e os dados obtidos foram analisados pelo pacote Deseq2. Os resultados mostraram 18 miRNAs diferentemente expressos entre os dois tercis extremos. Dentre esses miRNAs, 10 deles apresentaram importantes alvos relacionados com vias de ativação e agregação plaquetária quando analisados pelo software Ingenuity®. Dos 10 miRNAs, 4 deles, os quais apresentaram-se menos expressos no sequenciamento, demonstraram os mesmos perfis de expressão quando analisados pela reação em cadeia pela polimerase quantitativa (qPCR): hsa-miR-423-3p, hsa-miR-744-5p, hsa-miR- 30a-5p e hsa-let-7g-5p. A partir das análises de predição de alvos, pôde-se observar que os quatro miRNAs, quando menos expressos simultaneamente, predizem ativação da agregação plaquetária. Além disso, os miRNAs hsa-miR- 423-5p, hsa-miR-744-5p e hsa-let-7g-5p mostraram correlação com o perfil lipídico dos pacientes que, por sua vez, apresentou influência nos valores de agregação compreendidos no T3 de resposta a ambos os medicamentos. Sendo assim, conclui-se que maiores taxas de agregação plaquetária podem estar indiretamente relacionadas com os padrões de expressão de hsa-miR- 423-3p, hsa-miR-744-5p e hsa-let-7g-5p. Sugere-se que a avaliação do perfil de expressão destes 3 miRNAs no sangue periférico de pacientes com DAC possa predizer resposta terapêutica inadequada ao AAS e ao clopidogrel / The antiplatelet therapy is often indicated for the prevention and treatment of cardiovascular diseases. Dual antiplatelet therapy with clopidogrel and acetylsalicylic acid (ASA) has often been adopted in patients with coronary artery disease (CAD), but it has been ineffective in a significant portion of the population with genotype of responders. This fact leads us to question whether other molecular mechanisms may be influencing the response to these drugs. Recent studies suggest that small non-coding RNA sequences known as microRNAs (miRNAs) may be closely related to response to drug-therapeutic treatment, controlling proteins involved in pharmacokinetics and pharmacodynamics. The aim of this study was to evaluate the profile of miRNAs in whole blood, looking to better clarify mechanisms involved in ASA and clopidogrel response. For this purpose, we selected CAD patients who showed different responses to dual antiplatelet therapy determined by aggregation test. Based on the phenotypes, the miRNA expression profiles were compared between the platelet aggregation values categorized into tertiles (T) of response. The T1 group consisted of responding patients, the T2 consisted of intermediate responders and the T3 consisted of non-responders. The miRNA profiles were obtained after next-generation sequencing and data were analyzed by Deseq2 package. Results showed that 18 miRNAs were differentially expressed between the two extreme tertiles. By Ingenuity® software prediction analysis, 10 miRNAs showed important targets related with activation and aggregation of blood platelets. Of the 10 miRNAs, 4 of them, which were down-expressed on sequencing, showed the same fold-regulation when expression profiles were analyzed by quantitative polymerase chain reaction (qPCR): hsa-miR-423-3p, hsa-miR-744-5p, hsa-miR-30a-5p and has-hsa- let-7g-5p. By target prediction analysis, it was observed that, when the four miRNAs are simultaneously down-expressed, they predict activation of platelet aggregation. Furthermore, hsa-miR-423-5p, hsa-miR-744-5p, and hsa-let-7g-5p showed correlation with the lipid profile of patients which, in turn, demonstrated influence in aggregation values reaching T3 of response to both drugs. Therefore, we concluded that increased platelet aggregation rates may be indirectly related to the expression profiles of hsa-miR-423-3p, hsa-miR-744-5p and hsa-let-7g-5p. It is suggested that the evaluation of the expression profile of these three miRNAs in the peripheral blood of patients with CAD may predict inadequate therapeutic response to aspirin and clopidogrel.

A cor da pele, olhos e cabelos são alguns dos traços fenotípicos mais aparentes quando nos referimos à identificação de características individuais. Essas características frequentemente são utilizadas na descrição de indivíduos em retratos falados usados em investigações policiais. Porém, em muitos casos as vítimas ou testemunhas não reconhecem o agressor, tornando inviável a produção desses retratos. Contudo, os vestígios biológicos deixados pelo criminoso poderiam ser utilizados na predição de suas características físicas, suprindo a falta ou complementando o retrato falado. Para que isso seja possível, é preciso conhecer as variáveis responsáveis pela formação desses fenótipos. No caso dos fenótipos de pigmentação há tanto um fator genético, quanto ambiental. Diversos genes participam da formação desses fenótipos, dentre eles está o gene MITF (Melanogenesis-associated transcription factor), um dos principais regulador da biossíntese de melanina nos melanócitos. Esse gene está fortemente associado às síndromes de Waadenburg e Tietz, as quais causam pigmentação anormal, principalmente na pele, e ao melanoma. No entanto, apesar do claro envolvimento do gene MITF na melanogênese, ainda não são conhecidas associações significativas de polimorfismos nesse gene com fenótipos de pigmentação. À vista disso, esse trabalho avaliou a relação da variabilidade do gene MITF com os fenótipos de pigmentação encontrados em uma amostra populacional do estado de São Paulo, por meio de sequenciamento de nova geração. Foram identificados 133 pontos de variação em toda a extensão do gene e sua região promotora, dos quais 21 estão associadas a pelo menos um fenótipo de pigmentação de pele, olhos ou cabelo. Adicionalmente foram encontradas associações com ao menos um fenótipo de pigmentação para 3 dos 17 haplótipos da região promotora, 7 dos 50 haplótipos da extensão que engloba a região 5UTR e codificante, e um dos 18 haplótipos encontrados na região 3UTR. Considerando os haplótipos encontrados para a extensão total do gene MITF e sua promotora, 20 dos 132 haplótipos encontrados estão associados a algum fenótipo de pigmentação. A maior parte das associações encontradas, tanto para alelos e genótipos quanto para haplótipos, são referentes a fenótipos mais escuros como cabelos castanhos escuros e pretos e pele escura. Associações com fenótipos mais claros, tais como olhos azuis e verdes e cabelos loiros e ruivos, também foram encontradas, porém envolvendo variantes e haplótipos de frequência baixa na população amostrada; tais associações, entretanto, representam achados falsos positivos. Os resultados confirmam a hipótese de que a variabilidade do gene MITF pode contribuir para a formação dos fenótipos de pigmentação de pele, olhos e cabelos dos indivíduos da população brasileira / Skin, eye and hair colors are some of the most noticeable phenotypes when referring to the identification of individual characteristics. These characteristics are often used to describe individuals in police sketches used in investigations. However, in many cases the victims or witnesses are unable to recognize the assaulter, making this sketches unfeasible. Nonetheless, biological traces left by the assaulter could be used to predict their physical characteristics, compensating or complementing these sketches. To make this possible, its necessary to know the variables responsible for the development of these traits. Pigmentation phenotype development relies on genetic and environmental aspects. A variety of genes contribute to the development of these phenotypes, among them MITF (Melanogenesis-associated transcription factor), one of the main regulators of melanin synthesis in melanocytes. This gene is strongly associated with Waardenburg and Tietz syndrome, which cause abnormal pigmentation, mostly in skin, and melanoma. Although MITFs clear involvement in melanogenesis, significant associations between this genes polymorphisms and pigmentation phenotypes are still unknown. Thus, this study evaluated the relation between MITF genetic variability and pigmentation phenotypes found in a population sample from the state of São Paulo, through next generation sequencing. There were identified 133 variation points through the whole gene and its promoter, from which 21 were associated with at least one skin, eye or hair pigmentation phenotype. Additionally, 3 of the 17 promoter haplotypes, 7 of the 50 haplotypes comprising the 5UTR and coding regions and one of the 18 3UTR haplotypes were associated with at least one pigmentation phenotype. Considering the haplotypes found for the whole gene and its promoter, 20 of the 132 haplotypes found were associated with at least one phenotype. The majority of the associations found for alleles, genotypes and haplotypes were related to darker phenotypes, like dark brown and black hair and dark skin. Associations with lighter phenotypes, like blue and green eyes and blonde and red hair, were also found, although involving variants and haplotypes with low frequencies in the studied population; these associations, however, represent false positives. The results corroborate the hypothesis that the MITF variability can contribute to the formation of pigmentation phenotypes in skin, eye and hair in the Brazilian population

Abstract: Recent advances in Next-Generation Sequencing protocols have opened a variety of ways to generate data. However, each newly developed methodology is most suited to represent a certain phenomenon or molecule. The object of this analysis is to identify the most appropriate way to generate and process data to study the snoRNAs, or small nucleolar RNA. Recently, snoRNAs have been revealed as taking part in a variety of unexpected alternative functions such as splicing, resistance to oxidative shock and chromatin unwinding. Finding a method to generate and treat a large quantity of data containing snoRNAs and their potential interactors could highlight some of their unexplored roles within the cell. To tackle the problem, a new protocol was put forward. This new pipeline relies on a reverse transcriptase isolated from a bacterial group II intron which boasts a better representation of structured small RNAs such as tRNAs and snoRNAs. Indeed, when compared to data created by using the standard small RNA preparation protocol, the sequencing data generated through the group II intron retrotranscriptase gives a much fairer representation. These improvements are also present in the bioinformatics pipeline. The workflow was changed to facilitate the detection of ncRNAs. These modifications rescue millions of reads, further increasing the power of the analysis. Ultimately, such corrections increase the predictive power of sequencing data. / Des avancées récentes dans le domaine du séquençage de prochaine génération ont ouvert une panoplie de façons de générer des données. Toutefois, chaque nouvelle méthode dévelopée est souvent appropriée à la caractérisation d’un seul type de phénomène ou de molécules. L’objectif de cette analyse est d’identifier la manière la plus appropriée de générer et traiter les données pour étudier les petits ARNs nucléolaires, snoRNAs. Récemment, ceux-ci ont été révélés comme des acteurs dans une variété de fonctions alternatives comme l’épissage alternatif, la résistance au choc oxidatif et l’état de la chromatine. Il est donc impératif de trouver une méthode qui puisse traiter une large quantité de données contenant les snoRNAs et leurs intéracteurs pour découvrir les rôles encore inexplorés des snoRNAs. Dans cette optique, un nouveau protocole a été élaboré. Cette nouvelle suite d’analyses s’appuie sur une reverse transcriptase isolée d’un intron de groupe II bactérien qui affiche une meilleure représentation des petits ARNs structurés comme les tRNAs et les snoRNAs. En effet, quand les données générées à travers la méthode de préparation des libraries pour petits ARNs standard est comparée à celle basée sur la reverse transcriptase bactérienne, cette dernière donne une meilleure représentation du compte des espèces. Ces avancées sont aussi présentes dans la méthode d’analyse informatique. La suite d’outils a été modifiée afin de permettre une meilleure détection des petits ARN non-codants. Ces modifications permettent de récupérer des millions de lectures par ensemble de données ce qui augmente le pouvoir prédictif de l’analyse.

Cancer related mortality is almost always due to metastatic dissemination of the primary disease. While research into the biological mechanisms that drive the metastatic cascade continues to unravel its molecular underpinnings, progress in our understanding of biological phenomena such as tumour heterogeneity and its relevance to the origins of distant recurrence or the emergence of resistance to therapy has been limited.In parallel to major breakthroughs in the development of high throughput molecular techniques, researchers have begun to utilise next generation sequencing to explore the relationship between primary and matched metastatic tumours in diverse types of neoplasia. Despite small cohort sizes and often, a limited number of matched metastases for each patient, pioneering studies have uncovered hitherto unknown biological processes such as the occurrence of organ specific metastatic lineages, polyclonal seeding and homing of metastatic cells to the primary tumour bed. While yet other studies continue to highlight the potential of genomic analyses, at the time this thesis was started, an in-depth knowledge of disease progression and metastatic dissemination was currently lacking in breast cancers.Herein, we employed phylogenetic inference methods to investigate intra-tumour heterogeneity and evolution of breast cancers. A combination of whole exome sequencing, custom ultra-deep resequencing and copy number profiling were applied to primary tumours and their associated metastases from ten autopsied breast cancer patients. Two modes of metastatic progression were observed. In the majority of cases, all distant metastases clustered on a branch separate from their primary lesion. Clonal frequency analysis of somatic mutations showed that the metastases had a monoclonal origin and descended from a common metastatic precursor. Alternatively, the primary tumour was clustered alongside metastases with early branches leading to distant organs. This dichotomy coincided with the clinical history of the patients whereby multiple seeding events from the primary tumour alongside cascading metastasis-to-metastasis disseminations occurred in treatment naïve de novo metastatic patients, whereas descent from a common metastatic precursor was observed in patients who underwent primary surgery followed by systemic treatment. The data also showed that a distant metastasis can be horizontally cross-seeded and finally revealed a correlation between the extent of somatic point mutations private to the distant lesions and patient overall survival. In an unrelated dataset of relapsed breast cancer patients with matched primary and distant lesions profiled using whole genome sequencing, the landscape of somatic alterations confirmed the time dependency of copy number aberrations implying that cancer phylogenies can be dated using a molecular clock.The work presented here harnesses the strength of high throughput genomic techniques and state of the art phylogenetic tools to tell the evolutionary history of breast cancers. Our results show that the linear and parallel models of metastatic dissemination which have been held as near doctrines for many years are overstated point of views of cancer progression. Beyond the biological insights, these results suggest that surgical excision of the primary tumour in de novo metastatic breast cancers might reduce dissemination in selected cases hence providing a potential biological rationale for this practice. Similarly, there is no strong evidence of benefit in overall survival from surgical resection of oligo-metastases in breast cancer. From our analyses, metastatic lesions constitute an additional source of seeding and heterogeneity in advanced breast cancer. The data presented here is too small to derive practice-changing evidence, but supports the concept that resecting isolated metastases may be of clinical benefit in oligo-metastatic breast cancer patients. In both cases, results from larger prospective studies are warranted. / Doctorat en Sciences biomédicales et pharmaceutiques (Médecine) / info:eu-repo/semantics/nonPublished

Ce travail de thèse illustre l’intérêt d’utiliser le séquençage de nouvelle génération (Next- Generation Sequencing ou NGS) pour améliorer le diagnostic moléculaire des formes de prédispositions aux cancers. Nous avons appliqué deux stratégies différentes, l’une basée sur l’analyse simultanée d’un panel de gènes impliqués dans une pathologie, l’autre sur l’analyse de toutes les parties codante du génome ou exome.Nous avons montré que le développement d’un panel de 10 gènes impliqués dans la carcinogenèse des cancers coliques a permis d’améliorer le diagnostic moléculaire de ces formes de cancers. Cette technologie a diminué le délai de rendu des résultats et est plus sensible que le séquençage Sanger et la QMPSF (Quantitative Multiplex PCR of Short Fragment).L’application d’une stratégie d’analyse d’exomes de trio par NGS, à l’analyse de deux formes de cancers sporadiques de phénotype extrême, cancers du sein et de l’ovaire, a permis la détection de mutations de novo portant sur des gènes impliqués dans l’oncogenèse. Pour mettre en cause ces mutations dans le phénotype, nous avons réalisé des tests fonctionnels et des études de récurrence. / The working thesis Illustre interest of the USE next generation sequencing (NGS Next- Generation Sequencing e) pay Improve Molecular diagnosis of predisposition to cancer forms. Have we applied two different strategies you in June based on the simultaneous analysis of genes not involved in panel A pathology, the Other on the analysis of all the parties of the coding genome e exome.Nous Have Shown que le development of a panel of 10 genes involved in carcinogenesis of colon cancer a Permit to improve the molecular diagnosis of forms of CES dE cancers. This technology has reduced the Delai rendering results and is more reasonable That Sanger sequencing and QMPSF (Quantitative Multiplex PCR of Short Fragment) .The application OF exomes an analysis by NGS trio Strategy at analysis of two forms of sporadic cancer phenotype extreme, breast cancer and ovarian cancer, permit the detection of de novo mutations on genes involved in oncogenesis. For Questioning mutations IN THESE phenotype, We Have made Functional testing and induction studies.

Observations of floral development indicate that floral organ initiation in pentapetalous flowers more commonly results in a medially positioned abaxial petal (MAB) than in a medially positioned adaxial petal (MAD), where the medial plane is defined by the stem and the bract during early floral development. It was proposed that the dominant MAB petal initiation might impose a developmental constraint that leads to the evolution of limited patterns of floral zygomorphy in Asteridae, a family in which the floral zygomorphy develops along the medial plane and results in a central ventral (CV) petal in mature flowers. Here, I investigate whether the pattern of floral organ initiation may limit patterns of floral zygomorphy to evolve in pentapetalous angiosperms. I analyzed floral diagrams representing 405 species in 330 genera of pentapetalous angiosperms to reconstruct the evolution of floral organ initiation and the evolution of developmental processes that give rise to floral zygomorphy on a phylogenetic framework. Results indicate that MAB petal initiation is the most common; it occupies 86.2% of diversity and represents the ancestral state of floral organ initiation in pentapetalous angiosperms. The MAD petal initiation evolved 28 times independently from the ancestral MAB petal initiation. Among the 34 independent originations of floral zygomorphy, 76.5% of these clades represent MAB petal initiation, among which only 47% of the clades result a CV petal in mature flowers. The discrepancy is explained by the existence of developmental processes that result in floral zygomorphy along oblique planes of floral symmetry in addition to along the medial plane. Findings suggest that although the early floral organ initiation plays a constraining role to the evolution of patterns of floral zygomorphy, the constraint diverges along phylogenetically distantly related groups that allow the independent originations of floral zygomorphy through distinct development processes in pentapetalous angiosperms. In additional study, the butterfly-like flowers of Schizanthus are adapted to pollination by bees, hummingbirds, and moths. I investigated the genetic basis of the zygomorphic corolla, for which development is key to the explosive pollen release mechanism found in the species of Schizanthus adapted to bee pollinators. I examined differential gene expression profiles across the zygomorphic corolla of Schizanthus pinnatus, a bee-pollinated species, by analyzing RNA transcriptome sequencing (RNA- seq). Data indicated that CYC2 is not expressed in the zygomorphic corolla of Sc. pinnatus, suggesting CYC2 is not involved in the development of floral zygomorphy in Schizanthus (Solanaceae). The data also indicated that a number of genes are differentially expressed across the corolla.

Brain disorders present a significant burden on affected individuals, their families and society at large. Existing diagnostic tests suffer from a lack of genetic biomarkers, particularly for substance use disorders, such as alcohol dependence (AD). Numerous studies have demonstrated that AD has a genetic heritability of 40-60%. The existing genetics literature of AD has primarily focused on linkage analyses in small family cohorts and more recently on genome-wide association analyses (GWAS) in large case-control cohorts, fueled by rapid advances in next generation sequencing (NGS). Numerous AD-associated genomic variations are present at a common frequency in the general population, making these variants of public health significance. However, known AD-associated variants explain only a fraction of the expected heritability. In this dissertation, we demonstrate that systems biology applications that integrate evolutionary genomics, rare variants and structural variation can dissect the genetic architecture of AD and elucidate its heritability. We identified several complex human diseases, including AD and other brain disorders, as potential targets of natural selection forces in diverse world populations. Further evidence of natural selection forces affecting AD was revealed when we identified an association between eye color, a trait under strong selection, and AD. These findings provide strong support for conducting GWAS on brain disorder phenotypes. However, with the ever-increasing abundance of rare genomic variants and large cohorts of multi-ethnic samples, population stratification becomes a serious confounding factor for GWAS. To address this problem, we designed a novel approach to identify ancestry informative single nucleotide polymorphisms (SNPs) for population stratification adjustment in association analyses. Furthermore, to leverage untyped variants from genotyping arrays – particularly rare variants – for GWAS and meta-analysis through rapid imputation, we designed a tool that converts genotype definitions across various array platforms. To further elucidate the genetic heritability of brain disorders, we designed approaches aimed at identifying Copy Number Variations (CNVs) and viral insertions into the human genome. We conducted the first CNV-based whole genome meta-analysis for AD. We also designed an integrated approach to estimate the sensitivity of NGS-based methods of viral insertion detection. For the first time in the literature, we identified herpesvirus in NGS data from an Alzheimer’s disease brain sample. The work in this dissertation represents a three-faceted advance in our understanding of brain disease etiology: 1) evolutionary genomic insights, 2) novel resources and tools to leverage rare variants, and 3) the discovery of disease-associated structural genomic aberrations. Our findings have broad implications on the genetics of complex human disease and hold promise for delivering clinically useful knowledge and resources.