Oestrogen receptors (ER) have classically been described as ligand-inducible nuclear transcription factors. The pleiotrophic effects of ER function have a predominant role in the direct regulation of the growth, differentiation and development of tissues of the human reproductive system. There are two ER subtypes, ER and ER which differ in their specificity for ligand and the consequent actions they orchestrate. Moreover, the latter exists in multiple splice variants of which ER is the only fully functional homologue. Research into the underlying differences in subtype responses to ligand has involved examination of the intranuclear dynamics of individual receptor subtypes. Studies into the mobility of ER in response to ligand have exclusively focused on studies of full length ER and ER independently in transfected cell lines. The studies described in this thesis have investigated the kinetics of ER using Fluorescence Recovery After Photobleaching (FRAP) in infected cell lines which lends itself to more precise expression of the subtype of interest. The morphological impact of natural oestrogenic and synthetic ligands on ERs was examined and the influence on the intranuclear dynamics assessed. Further to this, the effect of co-expression of different ER subtype combinations was examined. Studies on the intranuclear mobility of ER have confirmed and extended the findings of others. Previous work on the development of ER agonists and antagonists has been to target specific overexpressing ER subtypes in a physiological setting. In this study, we demonstrated for the first time an overwhelming ER -selective effect in slowing the rate of mobility within the nucleus, suggesting the study of intranuclear dynamics is an important parameter for the examination of efficacy of a compound. Differential responses to ligand based on co-infected partnerships indicate that heterodimerisation has a profound effect in augmenting ligand-dependent regulation and activity.

Resistance to endocrine treatments in oestrogen receptor positive (ER+) breast cancer (BC) significantly contribute to patient morbidity and mortality. ER+ BC constitute 60% of all breast cancers although there is considerable clinico-pathological diversity within this group. Breast cancer initiating cells (BCICs) are implicated in tumour relapse and metastasis and are postulated to drive resistance to standard anti-cancer therapies. However little is known about the sensitivity of BCICs to endocrine therapies. We assessed the effect of tamoxifen treatment and acquired tamoxifen resistance on BCIC frequency in vitro and in vivo using breast cancer cell lines and, importantly, patient derived samples of early and metastatic ER+ breast cancer. In ER+ breast cancer, BCICs may be prospectively enriched in vitro by selecting cells by CD44+/CD24lo/ESA+ phenotype or by mammosphere initiating capacity (MIC). However the gold standard assay to determine BCIC frequency is limiting dilution transplantation in vivo. In the past it has been historically difficult to generate xenograft models of ER+ breast cancer using patient samples. In this thesis, using a novel experimental technique, patient-derived xenografts (PDX) of early and metastatic ER+ BC were generated with almost 85% efficiency in NOD/SCID IL2gammaR-/- (NSG) mice. PDX expressed ER and were able to undergo serial in vivo passage, matching the phenotype of the tumour from which they were derived. In this work, two patterns of response to tamoxifen treatment were observed in ER+ cell lines, patient derived breast cancer samples and xenografts during BCIC assays in vitro and in vivo; Limited Sensitivity (LS) or Resistance (R). In the LS group there was no change or a significant diminution in BCIC frequency in the presence of tamoxifen. In the R group, a significant increase in BCIC frequency was observed in the presence of tamoxifen. Furthermore BCIC activity was shown be enhanced by the acquisition of tamoxifen resistance using cell line models. Cellular populations enriched for BCICs in ER+ cell lines were shown to express low levels of ER compared to non-BCICs. Finally Notch (gamma-secretase inhibitor) and EGFR (gefitinib) pathway inhibitors were tested alone or in combination with tamoxifen against a panel of established and novel cell lines and ER+ patient-derived breast cancer samples for anti-BCIC activity. Tamoxifen treatment can increase BCIC frequency in vitro assays of cell lines and patient-derived samples and in vivo using patient-derived xenografts of ER+ breast cancer. However phenotypic diversity of BCIC may be present within the ER+ BC population. A pharmaceutical strategy to effectively treat BCICs alongside standard endocrine therapy is necessary for the effective future treatment of ER+ breast cancer.

Dihydronicotinamide riboside (NRH) quinone oxidoreductase 2 (NQO2) is involved in quinone metabolism reducing quinone to hydroquinone. Quinones are products of oestrogen metabolism and are responsible for the oestrogen-initiated breast carcinogenesis. It has been demonstrated that oestrogen quinones are endogenous biological substrates of NQO2 which acting as a detoxification enzyme catalyses the reduction of oestrogen quinones to hydroquinone. Hydroquinone can then be removed by conjugation to glutathione or glucuronic acid. In this study, the oestrogen dependent and oestrogen independent effects of NQO2 in a variety of networks implicated in breast tumorigenesis were investigated aiming to understand the potential role of NQO2 overexpression in mammary carcinomas. The use of NRH as a cofactor for NQO2 is being studied in parallel with the Î2-oestradiol and tamoxifen treatments. The MCF-7, T47D, MDA-MB-231 and MDA-MB-468 breast cancer cells were transfected with increasing amounts of NQO2 and its biological activity in regulating ERα transcriptional activity, reactive oxygen species (ROS) generation, cell cycle control, mitochondrial membrane potential and antioxidant activities including catalase activity, glutathione (GSH) levels and glutathione peroxidase (GPx) activity were studied. NQO2 overexpression in MDA-MB-231 and T47D cells reduced ROS generation. Increasing amounts of transfected NQO2 induced the ERα transcriptional activity in Î2-oestradiol treated MCF-7 and T47D cells and decreased cyclin D1 protein levels in these cells treated with Î2-oestradiol compared to untransfected cells. Reduction of catalase activity was detected in tamoxifen treated T47D cells overexpressing NQO2, an effect that was not evident in Î2-oestradiol treated cells, whereas NQO2 mediated reduction of GSH levels was detected in these cells treated with Î2-oestradiol but not with tamoxifen. Finally, NQO2 affected mitochondrial membrane depolarization in Î2-oestradiol treated MDA-MB-231 cells. Given the fact that NRH is not physiologically synthesized in humans, the results presented in this study are valuable from the fundamental science point of view indicating the existence of a potential link between NQO2 and estrogens affecting a number of biological pathways important for breast carcinogenesis and as such from the clinical angle it could be assumed that NQO2 effects could impact the design of personalised breast cancer treatment of oestrogen receptor positive and negative breast cancers.

[Truncated abstract] Our understanding of the actions of oestrogen on the vasculature has recently been questioned following the results of large clinical trials revealing a negative effect of hormone replacement therapy (HRT) on cardiovascular disease (CVD) risk amongst postmenopausal women. It is important to determine how a hormone with numerous positive effects on intermediate pathways of atherosclerosis fails to offer cardioprotection. Further investigation into the actions of oestrogen in the vasculature may add to our current understanding of the pathogenesis of atherosclerosis and oestrogen biology. The primary aim of this thesis was to investigate involvement of the oestrogen receptors (ERs) in atherosclerotic CVD and to provide further insight into the actions of oestrogen on the vasculature by studying the actions of oestrogen on the regulation of an oestrogen-responsive gene within human vascular cells. Following confirmation of ERa and ERß expression at the RNA and protein level in human aorta sections, correlations of receptor expression with age and atherosclerosis were examined. Significantly strong negative relationships of ERa, androgen receptor (AR), and progesterone receptor (PR) with age in both males and females were detected. No trend was detected between ERß expression and age. These findings suggest that the receptor-mediated actions of hormones in the vasculature may change with age. Further, this thesis compared for the first time sex hormone receptor expression in normal and adjacent atherosclerotic aortic tissue providing a critical assessment of receptor differences due to atherosclerosis. Results revealed reductions of all hormone receptors in early atherosclerotic versus normal aorta tissue. ... These results suggest that the 3'-UTR SNPS may have more of an influence on carotid thickening when oestrogen levels are lower, suggesting the importance of both genetic variation of the ERß gene and oestrogen status on carotid thickening. Finally, this was the first study to investigate oestrogen-induced regulation of angiotensinogen (AGT), a candidate gene for CVD, in human vascular cells. Oestrogen influenced AGT transcription in a cell specific manner. The overall influence of oestrogen on AGT transcription in the vasculature is unknown. This thesis adds to the knowledge of oestrogen and atherosclerosis by suggesting the involvement of the sex hormone receptors (ERa, ERß, PR and AR) in atherosclerosis, presenting ERß as a potentially important candidate gene for atherosclerosis, revealing interactions between estrogen status and associations of ERß SNPs with carotid thickening, and demonstrating vascular cell-specific actions of oestrogen on the regulation of a candidate gene for CVD. These factors may have contributed to the lack of cardio-protection following HRT, as revealed by large clinical trials.

Submitted by Erika Demachki (erikademachki@gmail.com) on 2017-01-02T16:23:41Z No. of bitstreams: 2 Dissertação - Janaína Ribeiro Costa - 2016.pdf: 3702249 bytes, checksum: c5c72df64f423c647fbe09f7ed58d147 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Erika Demachki (erikademachki@gmail.com) on 2017-01-02T16:40:21Z (GMT) No. of bitstreams: 2 Dissertação - Janaína Ribeiro Costa - 2016.pdf: 3702249 bytes, checksum: c5c72df64f423c647fbe09f7ed58d147 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2017-01-02T16:40:21Z (GMT). No. of bitstreams: 2 Dissertação - Janaína Ribeiro Costa - 2016.pdf: 3702249 bytes, checksum: c5c72df64f423c647fbe09f7ed58d147 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-10-25 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / The prostate is an accessory gland of the mammalian reproductive system with important role in reproduction. The prostatic tissue is regulated by hormones with its homeostasis dependent on a balanced hormonal interaction. The exposure to environmental chemicals with hormonal activities can cause disorders in the prostate increasing the probability of this gland to develop major lesions. Hormonally active chemicals are present in the environment in substantial amounts and forms. Amongst them are the parabens, a class of preservatives with antifungal and antimicrobial activities commonly used in the cosmetic, pharmaceutical and food industry. They are known for affecting the reproductive system and act as endocrine disruptors that mimics the physiological effects of estrogens. Up their, it is unclear whether the exposure to parabens alters the prostate morphophysiology. Therefore, it is relevant to comprehend whether the methylparaben can lead to the development of lesions in the prostate in adult gerbils. Thus, the aim of this work was to evaluate the prostate of adult gerbils exposed to methylparaben. For this, males and females aging 90 days received, through gavage, 500 mg/kg of methylparaben diluted in 1% hydroxyethyl cellulose. These animals were divided into three subgroups that were euthanized after 3 (3P), 7 (7P) and 21 days of treatment (21P). The prostates were collected for structural, cytochemical and immunohistochemical analysis. The results demonstrated that the exposure to methylparaben reduced the body weight of males of 3P and 7P groups, and testis weight of 7P and 21P groups. In the females we observed an increase in the prostatic complex weight of the 21P group. In both sexes, Gömöri’s reticulin staining showed a remodeling of the stromal compartment with reticular fibers disorganization and collagen fibers increase. Besides, males and females presented important morphological alterations as hyperplasic growth foci. In females, it was observed the presence of prostatic intraepithelial neoplasia, stromal inflammatory foci and an increase of ERα-positive cells. Immunohistochemical data showed an increase of ARpositive cells and in the proliferation rates for both genders. Altogether, these data demonstrate that methylparaben was capable to interfere in androgenic and estrogenic receptors, suggesting that this chemical might have estrogenic and anti-androgenic activity in the prostate. In males there was an intense immunostaining for MGMT in all treated groups whereas in females only in the 3P group. The immunostaining for MGMT in the prostate of males and females suggests that the exposure to methylparaben made the gland more susceptible to epigenetic modifications. The results obtained with this study are alarming, as they indicate that the increasing consumption of parabens by urban population can be related with the arising of morphophysiological alterations in prostate. / A próstata é uma glândula acessória do aparelho reprodutor dos mamíferos e tem importante função na reprodução. O tecido prostático é regulado por hormônios esteroides, sendo que sua homeostase depende de uma interação hormonal equilibrada. A exposição a químicos ambientais que apresentam atividade hormonal pode ocasionar distúrbios na próstata, aumentando a probabilidade dessa glândula desenvolver lesões. Compostos químicos hormonalmente ativos estão presentes em grande quantidade e de diversas formas no meio ambiente. Dentre estas substâncias estão os parabenos, uma classe de conservantes com ação antimicrobiana e antifúngica amplamente utilizada na indústria cosmética, farmacêutica e alimentícia. Os parabenos são conhecidos por perturbar o sistema reprodutivo e agir como desreguladores endócrinos que mimetizam os efeitos fisiológicos dos estrógenos. Até o momento, não está claro se os parabenos podem alterar a morfofisiologia da próstata. Portanto, é relevante entender se o metilparabeno pode predispor a próstata a desenvolver lesões na idade adulta. Assim, o objetivo desse trabalho foi avaliar a próstata de gerbilos adultos expostos ao metilparabeno. Para isto, machos e fêmeas com 90 dias de idade receberam, por gavagem, 500 mg/kg de metilparabeno diluídos em hidroxietil-celulose a 1%. Estes animais foram divididos em três subgrupos que foram sacrificados após 3, 7 e 21 dias de tratamento. As próstatas foram coletadas para análises estruturais, citoquímicas e imunohistoquímicas. Os resultados monstraram que a exposição ao metilparabeno diminuiu o peso dos testículos dos grupos 7 e 21 dias. Nas fêmeas houve aumento do peso do complexo prostático do grupo de 21 dias. Em ambos os sexos, a Reticulina de Gömöri mostrou um remodelamento do compartimento estromal com desorganização das fibras reticulares e aumento das fibras colágenas. Além disso, machos e fêmeas apresentaram alterações morfológicas importantes como focos de crescimento hiperplásico do epitélio secretor. Nas fêmeas observou-se a presença de neoplasia intraepitelial prostática, focos inflamatórios estromais, e aumento de células ERα- positivas. Houve um aumento do número de células AR-positivas, e aumento das taxas de proliferação celular em ambos os sexos. Em conjunto, estes dados indicam que o metilparabeno foi capaz de interferir com receptores androgênicos e estrogênicos, sugerindo que este químico pode ter atividade estrogênica e antiandrogênica na próstata. Nos machos houve uma intensa imunomarcação para MGMT (O6-Metilguanina-DNAMetiltransferase) em todos os grupos tratados e nas fêmeas apenas no grupo 3P. A imunomarcação para MGMT na próstata masculina e feminina sugere que a exposição ao metilparabeno tornou a glândula mais suscetível a modificações epigenéticas. Os resultados obtidos com este estudo são relevantes, pois demonstram que o consumo crescente de parabenos pelas populações humanas pode estar relacionado com o surgimento de alterações morfofisiológicas da próstata.

Angiogenesis is thought to play a pivotal role in the cycling endometrium. Coordinated by oestrogen and progesterone, endometrial blood vessel development is primarily mediated by vascular endothelial growth factor-A (VEGF-A), which promotes endothelial cell (EC) proliferation and protects ECs from induced apoptosis. Studying changes at transcript level in human endometrial endothelial cells (HEECs) in response to mitogenic and inhibitory stimuli is one way towards understanding the regulation of physiological endometrial angiogenesis. Endometriosis, the presence of endometrial-like tissue outside the uterine cavity, is a common gynaecological disorder in women of reproductive age, often causing pelvic pain and reduced fertility. Chronic inflammation in the peritoneal environment and defective endometrial protein expression are some of the contributors to the complex pathophysiology of endometriosis. The aim of this work was to study the changes in the transcriptome induced by VEGF-A and partial serum deprivation in primary HEECs, and to investigate biochemical factors associated with subfertility and chronic pelvic pain in endometriosis patients. Exposing primary HEECs to VEGF-A, and serum withdrawal was found to regulate transcripts associated with survival, migration, apoptosis and progression through the cell cycle, when assessed using microarray technology and bioinformatic tools. A subset of 88 transcripts was reciprocally regulated under the two experimental conditions; thus probably important in HEEC biology. Higher endometrial epithelial staining scores of oestrogen receptor-α and reduced staining of progesterone receptors were seen in subfertile endometriosis patients. Lower levels of the receptivity biomarker leukaemia inhibitory factor (LIF) and its receptor, as well as signs of dysregulated αB-crystallin expression and increased peritoneal fluid concentrations of interleukin (IL)-1α and IL-6 were associated with reduced pregnancy rates. Endometriosis patients with chronic pelvic pain had higher levels of vasoactive intestinal peptide (VIP) in eutopic endometria and in endometriotic lesions compared with patients without chronic pain. The presence of chronic pelvic pain was also associated with increased concentrations of VIP and IL-6 in peritoneal fluid. The present results may constitute a basis for further investigation of regulatory pathways in endometrial angiogenesis as well as for studies of endometrial receptivity and pain in women with endometriosis.

Cytochrome P450 enzymes (P450s) are involved in cancer development and treatment due to their roles in the oxidative metabolism of various endogenous (e.g. oestrogen) and exogenous (e.g. tamoxifen) compounds. It is well-known that intermediate P450 metabolites derived from oestrogen metabolism are associated with breast carcinogenesis. The main aim of this project was to profile the cytochrome P450 and P450-regulatory nuclear receptor mRNAs in a series of breast cancer cell lines (BCCs) and compare this profile with normal breast cells. This study used the qualitative reverse transcriptasepolymerase chain reaction (RT-PCR) to detect mRNA expression of target genes. Results showed CYP1B1, CYP2D6, CYP2J2, CYP2R1, CYP2U1 and CYP4X1 mRNA to be present in all cell lines. CYP2A6, CYP2C8, CYP2C18, CYP2F1 and CYP4Z1 mRNA were expressed in oestrogen receptor (ER)-positiveCaucasian and ER-negative Afro- Caribbean BCCs. Although no differences in P450 mRNA were observed between the different ethnic groups, these preliminary findings suggest potential similarities in the ERpositive Caucasian and ER-negative Afro-Caribbean BCCs which warrant further investigation The CYP4Z1 PCR product was identified as two distinct bands. Specific primer sets were used to demonstrate potential intron retention in CYP4Z1. Using established in vitro models for the study of regulatory mechanisms of CYP4Z1, T47D and ZR-75-1 breast cancer cell lines were used to determine the appropriate nuclear receptors (i.e. progesterone receptor, glucocorticoid receptor or peroxisome proliferator-activated receptor alpha ). These findings suggest that there may be an alternative receptor mechanism involved in CYP4Z1 mRNA induction in these cells. In conjunction, pre-treatment of these two cell lines with the RNA synthesis inhibitor actinomycin D followed by the agonists showed a significant reduction (p < 0.05) of CYP4Z1 mRNA levels and inhibited CYP4Z1 induction by either progesterone, dexamethasone or pirinixic acid, indicating that these agonists have effects on CYP4Z1 mRNA transcription or stability. In contrast, cycloheximide differentially affected the level of CYP4Z1 mRNA induction by these agonists. Taken together, these results suggest that CYP4Z1 mRNA induction in T47D and ZR-75-1 is mediated through differential cell type specific regulatory mechanisms and there is evidence for differential regulation of the splice variants.

Das Ziel dieser Arbeit war zunächst in der Methodenoptimierung eines bereits grundlegend etablierten Protokolls zur Isolierung und Kultur equiner endometrialer Epithel (EEZ) und Stromazellen (ESZ) (BUSCHATZ 2007) zu sehen. Zudem wurde die Entwicklung weiterer Möglichkeiten des Handlings angestrebt (Passagierung, Kryokonservierung). So sollten den Zellen optimierte Rahmenbedingungen in vitro geboten werden, welche den Verhältnissen im Organismus weitgehend nahe kommen. Im Anschluss daran wurden die Zellen in vitro hinsichtlich ihrer morphologisch-funktionellen Charakteristika untersucht und die Befunde vergleichend zu den Gegebenheiten in situ betrachtet. Besonderes Augenmerk galt dabei der Expression von Progesteron- (PR) und Östrogenrezeptor-α (ERα) und von Inhibin-α. Wären vergleichbare Konstellationen in vitro und in vivo anzutreffen, könnte ein solches Kultursystem als Modell zum Studium interzellulärer Wechselwirkungen oder pathogenetischer Abläufe am Endometrium dienen. Voraussetzung hierfür wäre jedoch eine fortgeschrittene zelluläre Differenzierung, wie sie beispielsweise durch die Expression von Inhibin-α und der Steroidhormonrezeptoren angezeigt wird. Es wurden transzervikale Uterusbioptate und vollständige Uteri euthanasierter Stuten für die Zellaufreinigung sowie die vergleichende histologische Untersuchung gewonnen. Einer mechanischen und enzymatischen Dissoziation des Gewebes folgte die Separation beider Zellarten durch Filtration, Dichtegradientenzentrifugation und Differenzialadhärenz. Die Kultur erfolgte in wasserdampfgesättigter Raumluft bei 37 °C in 5 % CO2-Atmosphäre. Als Kulturmedium diente DMEM/Ham´s F-12 unter Zusatz von 2,5 % fötalem Kälberserums und diverser Additive. Es wurde eine morphologische Charakterisierung der Zellen während der Kultur vorgenommen und zudem ERα, PR und Inhibin-α an allen Kulturen und Gewebeproben immunhistologisch bestimmt. Das Ablösen der Zellen zur Passagierung erfolgte mit Trypsin-EDTA (ESZ) bzw. Alfazyme® (EEZ). Entsprechend abgelöste Zellen wurden zudem in DMSO-haltigem Nährmedium kryokonserviert. Die Kultivierung von EEZ und ESZ gelang sowohl bei Verwendung transzervikaler Uterusbioptate als auch bei Uteri euthanasierter Pferde. Zudem konnten alle physiologischerweise bei der Stute auftretenden Zyklusstände (Anöstrus, Interöstrus, Östrus) sowie ein gravider Uterus kultiviert werden. Die Konfluenz wird von EEZ nach 4 bis 16 d und von ESZ innerhalb von 7 bis 18 d erreicht, wobei Zellen aus ursprünglich proliferativen endometrialen Funktionszuständen tendenziell eher konfluent sind als sekretorisch aktive. Während der Kultur kann eine eindeutige morphologische Unterscheidung beider Zellarten voneinander erfolgen. ESZ besitzen eine spindelige, teils sternförmige, insgesamt „fibroblastenartige“ Gestalt. EEZ sind in zwei morphologischen Subtypen anzutreffen. Der monomorphe Zelltyp „A“ stellt kleine, polygonale Zellen mit regulären und regelmäßigen Zellgrenzen dar. Zelltyp „B“ ist größer, pleomorph, ebenfalls polygonal, mehrkernig und besitzt unregelmäßige, schlecht erkennbare Zellgrenzen. Subkultivierungen waren bis zu 20 (ESZ) bzw. 24 mal (EEZ) möglich. Zudem konnten beide Zellarten in flüssigem Stickstoff gelagert (kryokonserviert) und danach erfolgreich kultiviert werden. Weiterhin gelang der Nachweis von Inhibin-α im Uterus des Pferdes. Hierbei wurde eine zyklische Dynamik in der Expression festgestellt (stärkere Expression während der sekretorischen Phase), welche als Hinweis für eine sekretorische Differenzierung der EEZ anzusehen ist. Ebenfalls konnte dieses Protein in kultivierten EEZ und in viel geringerem Maße auch in den ESZ gefunden werden. Darüber hinaus war erstmalig der Nachweis von PR und ERα in beiden Zellarten in vitro möglich. Insgesamt ist die Expression dieser drei für uterines Gewebe essentiellen Rezeptoren/Proteine in kultivierten EEZ und ESZ als Hinweis für eine fortgeschrittene Differenzierung anzusehen, welche mit der vorgestellten Methode der Isolierung und Kultur auch erreicht werden konnte. Im Hinblick auf die Wachstumsgeschwindigkeit in vitro fanden sich zudem Hinweise auf eine Beibehaltung der ursprünglich im Gewebeverband erlangten zellulären Differenzierung, welche sich bei der Expression von ERα, PR bzw. Inhibin-α allerdings nicht nachvollziehen ließ. Abschließend betrachtet, deuten die vorliegenden Ergebnisse somit auf eine partielle Beibehaltung in situ erlangter endometrialer Funktionen und Spezifika hin, welche als Grundlage für weitere Arbeiten an endometrialen Zellkulturen des Pferdes anzusehen sind.

(EN) Analogously to normal stem cells within the tissues, cancer stem cells (CSCs) have been proposed to be responsible for maintenance and growth of tumours. CSCs represent a small fraction of cells within the tumour, which is characterised by self-renewal capacity and ability to give rise to a tumour when grafted into immunocompromised mice. Cells with increased stemness properties are believed to be responsible for tumour resistance, metastases formation and relapse after tumour treatment. The first part of this work concentrates on resistance of the tumours, which is often associated with increased expression of ATP-binding cassete (ABC) transporters pumping chemotherapeutics out of the cells. For the purposes of this study, we utilized an in vitro model of CSCs, based on cultivation of cells as 3D "spheres". Expression profiling demonstrates that our model of CSCs derived from breast and prostate cancer cell lines express higher mRNA level of ABC transporters, particularly ABCA1, ABCA3, ABCA5, ABCA12, ABCA13, ABCB7, ABCB9, ABCB10, ABCC1, ABCC2, ABCC3, ABCC5, ABCC8, ABCC10, ABCC11 and ABCG2 among the cell lines tested. The protein level of ABC transporters tested in breast CSCs showed higher expression of ABCB8, ABCC1, ABCC2, ABCC10 and ABCG2 but downregulation of ABCB10 and ABCF2 proteins....

Das Ziel dieser Arbeit war zunächst in der Methodenoptimierung eines bereits grundlegend etablierten Protokolls zur Isolierung und Kultur equiner endometrialer Epithel (EEZ) und Stromazellen (ESZ) (BUSCHATZ 2007) zu sehen. Zudem wurde die Entwicklung weiterer Möglichkeiten des Handlings angestrebt (Passagierung, Kryokonservierung). So sollten den Zellen optimierte Rahmenbedingungen in vitro geboten werden, welche den Verhältnissen im Organismus weitgehend nahe kommen. Im Anschluss daran wurden die Zellen in vitro hinsichtlich ihrer morphologisch-funktionellen Charakteristika untersucht und die Befunde vergleichend zu den Gegebenheiten in situ betrachtet. Besonderes Augenmerk galt dabei der Expression von Progesteron- (PR) und Östrogenrezeptor-α (ERα) und von Inhibin-α. Wären vergleichbare Konstellationen in vitro und in vivo anzutreffen, könnte ein solches Kultursystem als Modell zum Studium interzellulärer Wechselwirkungen oder pathogenetischer Abläufe am Endometrium dienen. Voraussetzung hierfür wäre jedoch eine fortgeschrittene zelluläre Differenzierung, wie sie beispielsweise durch die Expression von Inhibin-α und der Steroidhormonrezeptoren angezeigt wird. Es wurden transzervikale Uterusbioptate und vollständige Uteri euthanasierter Stuten für die Zellaufreinigung sowie die vergleichende histologische Untersuchung gewonnen. Einer mechanischen und enzymatischen Dissoziation des Gewebes folgte die Separation beider Zellarten durch Filtration, Dichtegradientenzentrifugation und Differenzialadhärenz. Die Kultur erfolgte in wasserdampfgesättigter Raumluft bei 37 °C in 5 % CO2-Atmosphäre. Als Kulturmedium diente DMEM/Ham´s F-12 unter Zusatz von 2,5 % fötalem Kälberserums und diverser Additive. Es wurde eine morphologische Charakterisierung der Zellen während der Kultur vorgenommen und zudem ERα, PR und Inhibin-α an allen Kulturen und Gewebeproben immunhistologisch bestimmt. Das Ablösen der Zellen zur Passagierung erfolgte mit Trypsin-EDTA (ESZ) bzw. Alfazyme® (EEZ). Entsprechend abgelöste Zellen wurden zudem in DMSO-haltigem Nährmedium kryokonserviert. Die Kultivierung von EEZ und ESZ gelang sowohl bei Verwendung transzervikaler Uterusbioptate als auch bei Uteri euthanasierter Pferde. Zudem konnten alle physiologischerweise bei der Stute auftretenden Zyklusstände (Anöstrus, Interöstrus, Östrus) sowie ein gravider Uterus kultiviert werden. Die Konfluenz wird von EEZ nach 4 bis 16 d und von ESZ innerhalb von 7 bis 18 d erreicht, wobei Zellen aus ursprünglich proliferativen endometrialen Funktionszuständen tendenziell eher konfluent sind als sekretorisch aktive. Während der Kultur kann eine eindeutige morphologische Unterscheidung beider Zellarten voneinander erfolgen. ESZ besitzen eine spindelige, teils sternförmige, insgesamt „fibroblastenartige“ Gestalt. EEZ sind in zwei morphologischen Subtypen anzutreffen. Der monomorphe Zelltyp „A“ stellt kleine, polygonale Zellen mit regulären und regelmäßigen Zellgrenzen dar. Zelltyp „B“ ist größer, pleomorph, ebenfalls polygonal, mehrkernig und besitzt unregelmäßige, schlecht erkennbare Zellgrenzen. Subkultivierungen waren bis zu 20 (ESZ) bzw. 24 mal (EEZ) möglich. Zudem konnten beide Zellarten in flüssigem Stickstoff gelagert (kryokonserviert) und danach erfolgreich kultiviert werden. Weiterhin gelang der Nachweis von Inhibin-α im Uterus des Pferdes. Hierbei wurde eine zyklische Dynamik in der Expression festgestellt (stärkere Expression während der sekretorischen Phase), welche als Hinweis für eine sekretorische Differenzierung der EEZ anzusehen ist. Ebenfalls konnte dieses Protein in kultivierten EEZ und in viel geringerem Maße auch in den ESZ gefunden werden. Darüber hinaus war erstmalig der Nachweis von PR und ERα in beiden Zellarten in vitro möglich. Insgesamt ist die Expression dieser drei für uterines Gewebe essentiellen Rezeptoren/Proteine in kultivierten EEZ und ESZ als Hinweis für eine fortgeschrittene Differenzierung anzusehen, welche mit der vorgestellten Methode der Isolierung und Kultur auch erreicht werden konnte. Im Hinblick auf die Wachstumsgeschwindigkeit in vitro fanden sich zudem Hinweise auf eine Beibehaltung der ursprünglich im Gewebeverband erlangten zellulären Differenzierung, welche sich bei der Expression von ERα, PR bzw. Inhibin-α allerdings nicht nachvollziehen ließ. Abschließend betrachtet, deuten die vorliegenden Ergebnisse somit auf eine partielle Beibehaltung in situ erlangter endometrialer Funktionen und Spezifika hin, welche als Grundlage für weitere Arbeiten an endometrialen Zellkulturen des Pferdes anzusehen sind.