A neoplasia escamosa da superfície ocular constitui é uma das lesões mais frequentes que envolve a conjuntiva ou a córnea e tem como principais fatores de risco a exposição solar (radiação ultravioleta), a infecção pelo vírus do papiloma humano (HPV) e os estados de imunodeficiência, especialmente a infecção pelo vírus da imunodeficiência humana (HIV). Em suas formas mais avançadas, a neoplasia pode cursar com infiltração do globo ocular, da órbita e, mais raramente, com ocorrência de metástases para linfonodos ou a distância. O presente estudo teve como objetivo investigar os dados clínicos, histopatológicos, a presença de HPV e a expressão das proteínas p16 e p53 em 45 casos de neoplasia escamosa da superfície ocular diagnosticados no Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, no período de 2005-2015. Avaliação histopatológica das lesões, estudo imuno-histoquímico para a detecção das proteínas e hibridização in situ cromogênica (CISH) para a detecção do DNA de HPV de alto e baixo grau foram realizados em todas as amostras. As lesões foram mais frequentes em homens de cor branca, com idade superior a 40 anos. A avaliação histopatológica revelou 31 casos (69%) de carcinoma invasivo e 14 casos (31%) de carcinoma in situ. Em 6 casos (13%) foi detectado DNA de HPV de alto grau por CISH. A frequência de expressão de proteínas p53 e p16 foi alta nas lesões, 89% e 53%, respectivamente. Em nosso estudo, a neoplasia escamosa da superfície ocular predomina em homens de cor branca, com idade acima dos 40 anos, com presença de HPV de alto grau em 13% dos casos. A expressão de p16 não apresentou um valor preditivo positivo alto quanto a possibilidade de associação com o vírus. / Ocular surface squamous neoplasia (OSSN) is one the most frequent lesions involving the conjunctiva or cornea and its main risk factors are solar exposure (ultraviolet radiation), human papilloma virus (HPV) infection and immunodeficiency states, especially human immunodeficiency virus (HIV) infection. In advanced cases one can observe eyeball or orbital infiltration and, rarely, lymph node or distant metastases. The present study aimed to investigate the clinical and histopathological data, as well as the presence of HPV and the expression of proteins p16 e p53 in 45 cases of OSSN diagnosed at the Clinics Hospital of Ribeirão Preto Medical School, University of São Paulo, from 2005 through 2015. Histopathological examination, immunohistochemical study for proteins p16 and p53, and chromogenic in situ hybridization (CISH) for low and high grade HPV were performed in all samples. Lesions were more frequent in white males, above 40 years old. Histopathological examination revealed 31 cases (69%) of invasive carcinoma and 14 cases (31%) of carcinoma in situ. In 6 cases (13%) high grade HPV was detected by CISH. The expressions of p53 and p16 were high, 89% and 53%, respectively. In our study, increased incidence of OSSN was observed in white males, above 40 years old, with high grade HPV in 13% of the cases. The expression of p16 did not show a high positive predictive value for HPV positivity in OSSN.

Tanto hormônios glicocorticóides (GCs) como o gene supressor de tumor TP53, medeiam a resposta celular a uma diversidade de condições fisiológicas de estresse, sendo reguladores fundamentais do processo de vida/morte de diversos tipos celulares. A interação funcional entre estes fatores vem sendo explorada, recentemente, revelando que GCs exercem um efeito dual sobre p53. O modelo celular ST1/P7 de glioma de rato é particularmente interessante para investigar o papel de p53 na ação de GCs, já que estas linhagens apresentam respostas distintas a GCs. O tratamento com Hidrocortisona (Hy) leva as células ST1 a uma complexa reversão fenotípica tumoral→normal, enquanto as células P7 são altamente resistentes ao tratamento. Foi possível observar que a ativação de p53 por Hy ocorre apenas em células ST1, mas não em P7. Esta ativação é mediada pela indução de fosforilação da Ser15 de p53 e seu acúmulo nuclear, o que resulta no aumento de sua ligação a elementos responsivos a p53 no DNA e na sua capacidade de transativação de p53, levando a um aumento da expressão de alguns de seus genes-alvo. Contudo, o bloqueio de p53 através de siRNA não foi suficiente para alterar a resposta de células ST1 a GCs, indicando que a regulação positiva de p53 por GCs pode ser um evento secundário, mas não essencial, para a resposta anti-tumoral exercida por estes hormônios em células ST1. / Both glucocorticoid hormones (GCs) and the TP53 tumor suppressor gene mediate cellular responses to a diversity of physiological stress conditions, acting as crucial regulators of the life/death process in a wide variety of cell types. The ST1/P7 rat glioma model cell system is particularly interesting to investigate the role of p53 in the action of GCs, since these cell lines display opposite responses to GCs. Treatment with Hydrocortisone (Hy) leads ST1 cells to a complete tumoral→normal phenotypic reversion, while P7 cells are highly resistant to this treatment. It was possible to observe that activation of p53 by Hy occurs only in ST1 cells, but not in GC-resistant P7 cells. This activation is mediated by induction of phosphorylation of the Ser15 residue of p53 and its accumulation in the nucleus, resulting in increased binding of p53 to its responsive elements on the DNA and in activation of its transactivating potential, leading to increased expression of some of its target genes. However, blocking of p53 through siRNA was not sufficient to alter ST1 cells response to GCs, indicating that the positive regulation of p53 by GCs may be a secondary, non-essential, event for the anti-tumor response exerted by these hormones in ST1 cells.

O DNA é um alvo constante de modificações químicas, as quais resultam na ativação dos programas de reparo de danos no DNA. O DNA mitocondrial (DNAmt), uma molécula circular contendo aproximadamente 16,6 kb de extensão, é constantemente exposto às espécies reativas de oxigênio (EROs) devido a sua proximidade da cadeia transportadora de elétrons, presente na membrana mitocondrial interna. Quase todas as vias de reparo de DNA presentes no núcleo atuam também na mitocôndria, entretanto, a regulação das vias mitocondriais não é bem compreendida. As proteínas p53, ATM, mTOR e PGC1α participam, dentre outros papéis, do controle do metabolismo energético e das respostas a lesões no DNA nuclear. Dessa forma, decidimos gerar linhagens celulares com níveis reduzidos dessas proteínas como uma ferramenta para o estudo dos seus papéis na manutenção do DNAmt. Para isso, foram geradas linhagens celulares de HEK293 expressando constitutivamente shRNAs alvo-específicos, cuja diminuição da expressão das proteínas alvo foi confirmada através de western blotting. Neste trabalho, também foi estudado o papel de p53 na resposta ao estresse oxidativo mitocondrial provocado por azul de metileno (AM). O AM é um corante fotoativo capaz de atravessar membranas biológicas e, em células de mamíferos, se acumula em organelas, tais como a mitocôndria. Uma vez que p53 participa de diversas funções celulares e transloca para a mitocôndria sob condições de estresse, onde pode induzir apoptose ou modular o reparo de DNAmt, nós investigamos se p53 está envolvido na indução de morte celular após tratamento com AM fotoativado. Para isso, foram utilizados 2 clones com níveis reduzidos de p53 obtidos na primeira etapa deste trabalho. Sob condições normais, foi demonstrado que o silenciamento de p53 induziu uma forte redução do número de cópias de DNAmt e estimulou a proliferação celular quando fornecemos glicose ou galactose como substratos energéticos. A depleção de p53, ou a sua inibição farmacológica, resultaram em uma ligeira proteção quando as células foram submetidas ao tratamento com AM. Também foi demonstrado que AM provoca morte celular apoptótica de uma maneira dependente de p53, uma vez que a depleção dessa proteína protegeu a população do acúmulo de células em sub-G1. Portanto, nossos resultados sugerem que AM induz morte celular apoptótica em células HEK293, de uma maneira dependente de p53. Esse efeito pode ser mediado diretamente por p53, ou ainda, pelo seu papel na manutenção do número de cópias do DNAmt. / DNA is constantly being chemically modified, which results in activation of the DNA damage response program. The mitochondrial DNA (mtDNA), a circular molecule of 16.6 kb in length, is primary target of reactive oxygen species (ROS) due its proximity to the electron transport chain, in the mitochondrial inner membrane. Almost all known DNA damage repair pathways operating in the nucleus were also found in the mitochondrion; however, their regulation remains not well understood. The proteins p53, ATM, mTOR e PGC1α have many cellular functions, including control of energy metabolism and cell fate after stress. Thus, we hypothesized that those proteins could participate in maintaining of mtDNA, through direct or indirect roles. To test this hypothesis, we generated isogenic knockdown cell lines to further use them to study their role in the mtDNA damage response. For that, were generated HEK293 knockdown cell lines that stably express target-specific shRNAs. Efficient knockdown was checked using western blotting. Here, we also studied the role of p53 in the cellular response to mitochondrial oxidative stress induced by methylene blue (MB). MB is a photoactive dye that crosses biological membranes due to its lypophylic character and, in mammalian cells, accumulates in organelles such as mitochondria; however, its cytotoxic mechanism is not well understood. As the p53 protein participates in several cellular functions and translocates to mitochondria under stress conditions, where it can induce apoptosis or modulate mtDNA repair, we investigated whether p53 was involved in MB + light-induced cell death using p53 knockdown clones selected from the cell lines generated in the first phase of this work. Under normal conditions, p53 knockdown caused a decrease in mtDNA copy number and stimulated cellular growth supported by either glucose or galactose. After MB treatment, p53-kd cells showed a slight decrease in cell death compared to scrambled shRNA controls. Evaluation of cell death after MB treatment, using flow cytometry analysis, indicated that MB was able to induce significant levels of apoptotic cell death, which was dependent on p53 levels. Taken together, our results suggest that MB induces cell death, probably via apoptosis, in a p53 dependent manner. This effect may be mediated by p53 directly or by its role in mtDNA copy number maintenance.

La dysfonction du tissu adipeux lors de l’obésité participe au développement de la résistance à l’insuline. L’activation de p53 dans l’adipocyte a récemment été impliquée dans la résistance à l’insuline lors de l’obésité, par des mécanismes inconnus. Le microARN miR-34a participe à la réponse cellulaire induite par p53 dans différents types cellulaires. Parmi ses cibles figurent Vamp2 et Sirt1, deux protéines impliquées respectivement dans la translocation des transporteurs de glucose (Glut4) et la sensibilité à l’insuline. Nous montrons que l’expression de p53 est augmentée dans les adipocytes de souris rendues obèses par un régime riche en graisses. Nous observons une augmentation du nombre d’adipocytes avec des dommages à l’ADN et également plus de dommages dans les adipocytes provenant des souris obèses. L’induction de dommage à l’ADN par la doxorubicine et la stabilisation de p53 par la nutline inhibe le transport de glucose induit par l’insuline et la signalisation de l’insuline dans des adipocytes en culture d’origine murine et humaine. En accord avec l’activation de p53 dans l’adipocyte lors de l’obésité, nous montrons que l’expression de miR-34a est augmentée dans le TA et les adipocytes de souris obèses. La surexpression de miR-34a dans des adipocytes 3T3-L1 inhibe le transport de glucose en réponse à l’insuline, la signalisation insulinique, la lipolyse, et augmente l’expression de l’ARNm de la leptine. Nous montrons que l’inhibition de la signalisation insulinique est due à l’induction de l’ARNm et de la tyrosine phosphatase PTP1B par miR-34a. L’inhibition de la lipolyse s’accompagne d’une inhibition d’expression d’ATGL, l’enzyme limitante de la lipolyse. / Dysfunction of adipose tissue in obesity is involved in the development of insulin resistance. Activation of p53 in adipocytes has recently been implicated in insulin resistance in obesity, by unknown mechanisms. MicroRNA miR-34a is involved in the cellular response induced by p53 in different cell types. Among its targets, VAMP2 and Sirt1are two proteins involved respectively in the translocation of glucose transporters (Glut4) and the insulin sensitivity. We show that p53 expression is increased in adipocytes of obese mice. We are seeing an increased number of fat cells with DNA damage and also more damage in adipocytes from obese mice. The induction of DNA damage by doxorubicin and stabilization of p53 by Nutline inhibits glucose transport induced by insulin and the insulin signaling in murine and human adipocytes in vitro. Consistent with the p53 activation in adipocytes in obesity, we show that the expression of miR-34a is increased in the TA and obese mice adipocytes. Overexpression of miR-34a in 3T3-L1 adipocytes inhibits glucose transport in response to insulin, insulin signaling, lipolysis, and increases expression of the mRNA of leptin. We show that the inhibition of the insulin signaling is due to induction of the mRNA and the tyrosine phosphatase PTP1B by miR-34a. Inhibition of lipolysis is accompanied by inhibition of expression of ATGL, the rate-limiting enzyme in lipolysis. Common to all of these effects is the control of the expression of these proteins by Sirt1, a NAD + dependent deacetylase. However, inhibition of expression of miR-34a by Sirt1 can not account for all the observed effects.

El cáncer de vejiga es una enfermedad heterogénea. Los tumores se distribuyen en dos vías con cierto nivel de solapamiento: la vía papilar superficial caracterizada por alteraciones de FGFR3 y pérdida del cromosoma 9 y la vía no papilar invasiva caracterizada por alteraciones en las vías de p53 y pRb. Los tumores T1G3 representan el 10% de los tumores de vejiga diagnosticados y representan un desafío clínico debido a su alto riesgo de progresión y la falta de marcadores moleculares que predigan el pronóstico de los pacientes. El objetivo de la tesis ha sido caracterizar los tumores T1G3 y asociar los marcadores evaluados con el pronóstico de los pacientes. La caracterización de los tumores T1G3 ha identificado que la vía de p53 está alterada en un 85% de los casos, que los tumors muestran altos niveles de inestabilidad genómica y que tan sólo el marcador de inestabilidad FGA predice el pronóstico de los pacientes con tumores T1G3. Un nuevo marcador del cancer de vejiga se ha identificado: PIK3CA. / Bladder cancer is a heterogeneous disease distributed into two distinct but slightly overlapping pathways: a papillary superficial pathway characterized by alterations in FGFR3 and loss of chromosome 9 and a non-papillary invasive pathway characterized by alterations in the p53 and pRb pathways. T1G3 tumors are a subgroup of bladder cancers which represent 10% of diagnosed tumors and are a clinical challenge due to their high risk of progression and the lack of molecular markers to predict the prognosis of the patients. The aim of this thesis was to characterize T1G3 tumors and associate these markers with the outcome of the patients. The characterization of T1G3 tumors have shown that the p53 pathway is inactive in 85% of patients, that they have high levels of genomic instability and that only FGA predicts outcome among patients with T1G3 tumors. A novel marker for bladder cancer has been identified: PIK3CA.

名古屋大学博士学位論文 学位の種類:博士(医療技術学) (課程) 学位授与年月日:平成20年9月30日

Thesis (Ph. D.)--West Virginia University, 2001. / Title from document title page. Document formatted into pages; contains viii, 124 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references.

After almost two decades of research on direct repression by p53, I provide evidence that the transcription factor p53 solely acts as an activator of transcription. I evaluate the prominent models of transcriptional regulation by p53 based on a computational meta-analysis of genome-wide data. With this tool at hand, the major contradiction how p53 binding can result in activation of one target gene and repression of another is resolved. In contrast to most current models, solely genes activated by p53 are found to be enriched for p53 binding. Meta-analysis of large-scale data is unable to confirm reports on directly repressed p53 target genes and does not support models of direct repression. Consequently, as supported by experimental data, p53 is not a direct repressor of transcription, but solely activates its target genes. Moreover, models based on interference of p53 with activating transcription factors are also not supported by the meta-analysis. As an alternative to these models, the meta-analysis leads to the conclusion that p53 represses transcription indirectly by activation of the p53-p21- DREAM/RB pathway. Thus, results of the meta-analysis support only two models, namely activation by direct binding of p53 to target genes and repression through activating the p53-p21-DREAM/RB pathway.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2005. / Härtill 4 uppsatser.