Made available in DSpace on 2014-07-29T15:21:56Z (GMT). No. of bitstreams: 1 DIS J V S FILHO 2006.pdf: 804840 bytes, checksum: 74be1a5db70d292dc48c7621acb661f3 (MD5) Previous issue date: 2006-11-27 / Squamous cell carcinoma (SCC) is the most common malignant neoplasm of the bucal cavity, and one of its variants is verrucous carcinoma (VC), of low degree malignancy. The diagnosis of VC is difficult from the clinical as well as from the histopathological point of view, and an effective diagnosis is vital when deciding on the treatment and prognosis of this tumor. The aim of this research was to evaluate cell proliferation and investigate the presence of HPV in spindle cell carcinoma of the mouth so as to check for possible differences in the aetiopathogenesis and biological behavior of these lesions. Forty-seven samples were selected and divided as follows: 39 SCCs, 8 VCs and 9 control (CT). Cell proliferation was qualitatively evaluated according to the location of the expression of the immunomarker in the cell and epithelium layers and by quantitatively considering the percentage of positive cells expressed. The analysis of HPV+ carcinomas was undertaken by means of the polymerase chain reaction (PCR), having GP5+/6+ as primers for identification of the virus. The qualitative analysis showed that the immunomarking in the VC as well as in the control group was concentrated mainly in the basal and parabasal layers and the counting of the positive cells at the base of the epithelium showed a significant statistical difference in the expressions of all three markers (p<0,05). The quantitative analysis of the cell proliferation markers was calculated by means of the Mann-Whitney and Kruskal Wallis tests and through the Pearson and Spermans correlation. They pointed to differences between the SCC and VC groups for the PCNA and cyclin B1 markers (p<0,05). On considering the three groups, it was proved that there was a positive correlation between Ki67 and the cyclin B1 (r=0,56) but not between the PCNA and the Ki67. The PCNA immunomarking was greater in the control group (average=100%), and the Ki67 showed itself to be effective as a proliferation cell marker although it showed no significant difference between the carcinoma variants. Whereas the cyclin B1 showed a significant difference in the comparison between the SCC and the VC groups (p<0,05), and a positive correlation to the extent that the histological grading of the malignancy (WHO model) of the carcinomas increased (r=0,44). All tumor samples were negative for HPV. Although the lesions showed different biological behaviors, the cell proliferation index in both types of mouth carcinoma was higher than in the control group, as shown by the analysis of the Ki67 and cyclin B1 markers. On considering the total sample of carcinomas, independently of the tumor variety, cyclin B1 showed a positive correlation with the histological degree of malignancy according to WHO. There is a need for further study to be carried out in the field of cell proliferation and detection of HPV especially with regard to VC, because it is a rare variant of SCC. / O carcinoma espinocelular (CEC) é a neoplasia maligna mais comum na cavidade bucal, e uma de suas variantes é o carcinoma verrucoso (CV), considerado de baixo grau de malignidade. O diagnóstico do CV é difícil, tanto do ponto de vista clínico quanto histopatológico e um efetivo diagnóstico é fundamental para estabelecer o tratamento e o prognóstico desse tumor. Neste estudo foi avaliada a proliferação celular e investigada a presença de HPV em carcinomas espinocelulares de boca com intuito de verificar possíveis diferenças na etiopatogênese e comportamento biológico destas lesões. Foram selecionadas 47 amostras de CEC assim distribuídas: 39 CECs, 8 CVs e 9 controles (CT). A proliferação celular foi avaliada qualitativamente de acordo com a localização da expressão do imunomarcador na célula e nas camadas do epitélio e quantitativamente considerando o percentual de células positivas expressas. A análise de carcinomas HPV+ foi realizada por meio da reação em cadeia da polimerase (PCR), tendo como primers GP5+/6+ na identificação do vírus. A análise qualitativa revelou que a imunomarcação tanto no CV como no controle concentrava se principalmente nas camadas basal e parabasal e a contagem das células positivas na base do epitélio mostraram diferença estatisticamente significativa na expressão dos três marcadores (p<0,05). A análise quantitativa dos marcadores de proliferação celular foi calculada pelos testes estatísticos Mann-Whitney, Kruskal Wallis, correlação de Pearson e Spermans, que revelaram diferenças entre o grupo CEC e CV para os marcadores PCNA e ciclina B1 (p<0,05). Considerando os três grupos, verificou-se correlação positiva entre Ki67 e a ciclina B1 (r=0,56) e inexistência de correlação entre o PCNA e Ki67. A imunomarcação do PCNA foi maior no grupo controle (média=100%), e o Ki67, mostrou-se efetivo como marcador de proliferação celular, entretanto, não mostrou diferença significativa entre as variantes de carcinomas. Já a ciclina B1 apresentou diferença significativa na comparação entre o grupo CEC e o grupo CV (p<0,05) e correlação positiva na medida em que a gradação histológica de malignidade (padrão OMS) dos carcinomas aumentava (r=0,44). Todas as amostras de tumores foram negativas para o HPV. Embora as lesões apresentem comportamento biológico diferente, o índice de proliferação celular nos dois tipos de carcinomas de boca mostrou ser superior ao do grupo controle, por meio da análise dos marcadores Ki67 e ciclina B1. Quando considerada a amostra total de carcinomas, independente da variante tumoral, a ciclina B1 mostrou correlação positiva com o grau histológico de malignidade segundo a OMS. Há necessidade que mais estudos possam ser empreendidos na área de proliferação celular e detecção de HPV em especial com relação ao CV, por se tratar de uma variante rara do CEC.

The progression of replication forks can be slowed down or paused by various external and internal factors during DNA replication. This phenomenon is referred to as replication stress and substantially contributes to genomic instability that is a hallmark of cancer. Transcription complex belongs to the internal replication-interfering factors and represents a barrier for progression of the replication complex. The replication forks are slowed down or paused while passing through the transcriptionally active regions of the genome that can lead to subsequent collapse of stalled forks and formation of DNA double-strand breaks, especially under conditions of increased replication stress. DNA helicase RECQ5 is significantly involved in maintenance of genomic stability during replication stress, but the mechanisms of its action are not clear. In this diploma theses, we have shown that RECQ5 helicase, in collaboration with BRCA1 protein, participates in the resolution of collisions between replication and transcription complexes. BRCA1 protein is a key factor in the homologous recombination process, which is essential for the restart of stalled replication forks. Furthermore, we have shown that RECQ5 helicase is involved in ubiquitination of PCNA protein at stalled replication forks. Key words DNA...

In teleosts, elevated temperature during embryogenesis can act on germline cell development, which in turn plays a role for sexual fate. In Nile tilapia, a species with high-temperature-induced masculinization, little is known about the effects of increased temperature on gonadal development in non-masculinized females. The aim of the present work was to investigate persistent effects on the germline of genetically female (XX) Nile tilapia reared at normal (28 ° C) or elevated temperature (36°C) during the critical time of gonadal sex differentiation at 10 to 20 days post fertilization. Nonsex-reversed females were compared to control females to determine persistent effects of temperature on subsequent ovarian development using histological approaches. Germline stem cells were identified using the germline marker Vasa in combination with the proliferation marker PCNA. Vasa- and PCNA-positive germline stem cells were found in ovaries of both high-temperature-treated and control females. In both groups, ovarian germline stem cells were located at the germinal epithelium of the ovigerous lamellae. Although no detrimental effects of high temperature on gonadal development in female Nile tilapia were observed, implications on the reproductive fitness caused by elevated temperature need to be investigated in greater depth.

Keimzellen entwickeln sich aus den sogenannten Urkeimzellen, die auch als primordiale Keimzellen (PGC) bezeichnet werden. PGC entwickeln sich während der Embryonalentwicklung und wandern dann in die Gonadenanlagen, wo sie sich vermehren und bei getrenntgeschlechtlichen Arten in Spermien in Männchen und Oozyten bei Weibchen differenzieren. Während der Geschlechtsdifferenzierung sind die Gonaden anfällig für den Einfluss externer Faktoren, wie z. B. der Wassertemperatur. Eine Erhöhung der Wassertemperatur von 28°C auf 36°C während der kritischen Phase der Geschlechtsdifferenzierung, vom 10. bis zum 20. Tag nach der Befruchtung kann zu einer Vermännlichung genetisch-weiblicher Tilapien führen. In der ersten Studie führte eine entsprechende Temperaturbehandlung bei genetisch weiblichen Tilapien zu einem Anteil funktioneller Männchen von 37%. Makromorphologisch konnten die Gonaden 90 Tage alter Weibchen aus Kontroll- und Behandlungsgruppen als unreife Ovarien klassifiziert werden. Erste Reifungsprozesse bis hin zur Oogenese begannen 120 Tage nach der Befruchtung. Die Oogenese konnte mikro-morphologisch weiterhin in folgende Stadien eingeteilt werden: Chromatin Nukleolus, Peri-Nukleolus, kortikale Alveolus, Vitellogenese und reife Eizelle. Oozyten in den Phasen des Chromatin Nukleolus und des Peri-Nukleolus, welche auch die primäre Wachstumsphase darstellen, wurden bei weiblichen Fischen aller Altersgruppen festgestellt. Während weiter fortgeschrittenen Oozytenstadien erst ab einem Alter von 120 Tagen festgestellt werden konnten. Oozyten in der Phase des kortikalen Alveolus wurden demnach frühestens am 120. Lebenstag gefunden. In der Vitellogenese befindliche Oozyten traten erst nach 150 Tagen auf. Reife Eizellen wurden ab einem Alter von 180 dpf festgestellt. Es konnten keine signifikanten Unterschiede in der Eizellentwicklungsstadien zwischen Kontroll- und Behandlungstieren festgestellt werden. Das Ziel der zweiten Studie war die Identifikation von Keimbahn-Stammzellen bei Tilapien, die während der Geschlechtsdifferenzierung verschiedenen Aufzuchttemperaturen ausgesetzt waren. Die Identifizierung der Keimbahn-Stammzellen erfolgte anhand von Immunohistochemie mittels Vasa und PCNA (Proliferierendes Cell Nuclear Antigen) Antikörperfärbung. Es wurden zunächst histologische Schnitte von in Paraffin eingebettetem Ovargewebe hergestellt. Keimbahn-Stammzellen wurden im Keimepithel der Ovarien identifiziert, wobei diese in einzelner, isolierter oder in Clusterform vorlagen. Keimbahn-Stammzellen wurden sowohl bei weiblichen Tieren aus Kontroll- als auch Behandlungsgruppen identifiziert. Zusammenfassend, konnten erstmalig Keimbahn-Stammzellen und ihre Lage in den Gonaden genetisch weiblicher Tilapien, aus Kontroll- und Behandlungsgruppen, mittels Vasa und PCNA Antikörperfärbung charakterisiert werden.

Objetivos do Estudo: O aumento do crescimento de melanoma foi avaliado em camundongos expostos a hipóxia intermitente. As proteínas que caracterizam a agressividade do tumor ainda não foram investigadas. O estudo teve como objetivo verificar se a hipóxia intermitente simulada pela apneia do sono afeta marcadores de melanoma na progressão tumoral. Desenho: Estudo prospectivo controlado em animais. Senário: Hospital Universitário. Participantes: Doze camundongos C57BL/6. Intervenções: Camundongos foram expostos a hipóxia intermitente ou simulada. Durante 8 horas por dia, o grupo hipóxia foi submetido a um total de 480 ciclos de 30 segundos de hipóxia progressiva SpO2 nadir de 8 ± 1%, seguidos por 30 segundos de normóxia. Um milhão de células de melanoma B16F10 foi injetado por via subcutânea. No dia 14, após a eutanásia, os tumores foram removidos, fixados e corados. Médias e resultados: coloração imunohistoquímica de Ki-67, PCNA, S100-B, HMB-45, Melan-A, TGF, Caspase-1 e HIF-1α foi quantificada por dois observadores que utilizaram captura digital e processamento em três lâminas de cada animal para cada marcador. O tamanho e o peso dos tumores foram semelhantes nas experiências de hipóxia e simulada. A percentagem da mediana [25-75 quartis] de área positiva corada para Ki-67 foi de 23% [15-28] no grupo hipóxia e 0,3% [0,2-1,1] no grupo controle (P = 0,02); para PCNA, as percentagens foram 31% [25-38] e 7% [5-18], respectivamente (P = 0,009). As diferenças entre os grupos para os marcadores restantes não foram significativas. Conclusões: Os marcadores da transcrição do RNA ribossomal e da síntese de DNA são mais expressos em tumores de camundongos expostos a hipóxia intermitente do que em controles, indicando que a apneia do sono pode levar a uma maior agressividade do tumor. / Study Objectives: Increased melanoma growth has been reported in mice exposed to intermittent hypoxia. Proteins that characterize tumor aggressiveness have not been investigated. The study aims to verify whether intermittent hypoxia mimicking sleep apnea affects markers of melanoma tumor progression. Design: Prospective controlled animal study. Settings: University hospital. Participants: Twelve C57bl/6 mice. Interventions: Mice were exposed to intermittent or sham hypoxia. During 8 hours per day, the hypoxia group was submitted to a total of 480 cycles of 30 seconds of progressive hypoxia to a nadir FIO2 of 8±1%, followed by 30 seconds of normoxia. One million B16F10 melanoma cells were injected subcutaneously. On the 14th day, after euthanasia, tumors were removed, fixed and stained. Measurements and Results: Immunohistochemistry staining for Ki-67, PCNA, S100-B, HMB-45, Melan-A, TGFβ, Caspase-1 and HIF-1α was quantified by two observers using digital capture and processing in three slides from each animal for each marker. The size and weight of the tumors were similar in hypoxia and simulated experiments. Median [25-75 quartiles] percentage of positive area stained for Ki-67 was 23% [15-28] in the hypoxia group and 0.3% [0.2-1.1] the control group (P=0.02); for PCNA, the percentages were 31% [25-38] e 7% [5-18], respectively (P=0.009). The differences between the groups for the remaining markers were not significant. Conclusions: Markers of ribosomal RNA transcription and of DNA synthesis are more expressed in tumors of mice exposed to intermittent hypoxia than of controls, indicating that sleep apnea can lead to greater tumor aggressiveness.

Les gènes de la famille ING : « INhibitor of Growth » (ING1-5) jouent un rôle crucial dans l'inhibition de la prolifération cellulaire, en régulant notamment le cycle cellulaire, l'apoptose et la sénescence. De plus, plusieurs études (portant majoritairement sur ING1) montrent que ces gènes sont fréquemment perdus dans de nombreux cancers. Ils pourraient donc être impliqués dans l'émergence et le développement de tumeurs. Ainsi, l'objectif de mon projet de thèse était d'étudier le gène ING2, afin d'évaluer son intérêt en cancérogénèse. Nous avons tout d'abord montré que l'expression d'ING2 (ARN et protéique) est perdue dans plus de la moitié des cancers bronchiques non à petites cellules, confortant ainsi un rôle d'ING2 comme gène suppresseur de tumeurs. Par ailleurs, nous avons montré que l'inhibition de l'expression d'ING2 conduit à des défauts de réplication et à une forte augmentation de l'instabilité génomique, mettant ainsi en évidence pour la première fois qu'ING2 est un gène suppresseur de tumeurs de type « caretaker ». Ceci permet aussi pour la première fois d'expliquer comment l'inactivation des ING, observée dans les tumeurs, pourrait contribuer à la cancérogénèse. Enfin, nous avons mis en évidence le premier mécanisme de régulation post-traductionnelle d'ING2. En effet, ING2 peut être sumoylée, et cette sumoylation est nécessaire pour son association avec le complexe de régulation Sin3A/HDAC afin de cibler ce dernier au niveau des promoteurs de gènes pour réguler leur expression. Ces travaux ont donc contribué à démontrer l'intérêt d'ING2 en cancérogénèse et à mieux comprendre ses fonctions suppressives de tumeurs. De plus, ils ont permis d'ouvrir plusieurs voies d'investigation sur les fonctions et les mécanismes de régulation des protéines ING.

In Saccharomyces cerevisiae DNA postreplication repair (PRR) functions to bypass replication-blocking lesions to prevent damage-induced cell death. PRR employs two different mechanisms to bypass damaged DNA. While translesion synthesis (TLS) has been well characterized, little is known about the molecular events involved in error-free bypass although it has been assumed that homologous recombination (HR) is required for such a mode of lesion bypass. We undertook a genome-wide, synthetic genetic array (SGA) screen for novel genes involved in PRR and observed evidence of genetic interactions between error-free PRR and HR. We were screening for synthetic lethality which occurs when the combination of two mutations leads to an inviable organism, however, either single mutation allows for cell viability. In addition, we screened for conditionally synthetic lethal interaction which occurs when the combination of two mutations is inviable only in the presence of a DNA-damaging agent. This screen identified and assigned four genes, CSM2, PSY3, SHU1 and SHU2, whose products form a stable Shu complex, to the error-free PRR pathway. Previous studies have indicated that the Shu complex is required for efficient HR and that inactivation of any one of these genes is able to suppress the severe phenotypes of top3 and sgs1. We confirmed and further extended some of the reported observations and demonstrated that error-free PRR mutations are also epistatic to sgs1. Based on the above analyses, we propose a model in which error-free PRR utilizes the Shu complex to recruit HR to facilitate template switching, followed by double-Holliday junction resolution by Sgs1-Top3. Null mutations of HR genes including rad51, 52, 54, 55 and 57 are known to confer characteristic synergistic interactions with TLS mutations. To our surprise, null mutations of genes encoding the Mre11-Rad50-Xrs2 (MRX) complex, which is also required for HR, are epistatic to TLS mutations. The MRX complex confers an endo/exonuclease activity required for the detection and processing of DNA double-strand breaks (DSBs). Our results suggest that the MRX complex functions in both TLS and error-free PRR and that this function requires the nuclease activity of Mre11. This is in sharp contrast to other known HR genes that only function downstream of error-free PRR. Furthermore, we found that inactivation of SGS1 significantly inhibits proliferating cell nuclear antigen (PCNA) monoubiquitination and is epistatic to mutations in TLS, suggesting that Sgs1 also functions at earlier steps in DNA lesion bypass. We also examined the roles of Sae2 and Exo1, two accessory nucleases involved in DSB resection, in PRR. We found that while Sae2 is primarily required for TLS, Exo1 is exclusively involved in error-free PRR. In light of the distinct and overlapping activities of the above nucleases in the resection of DSBs, we propose that the distinct single-strand nuclease activities of MRX, Sae2 and Exo1 dictate the preference between TLS and error-free PRR for lesion bypass. While both PRR pathways are dependent on the ubiquitination of PCNA, error-free PRR utilizes non-canonical Lys63-linked polyubiquitinated PCNA to signal lesion bypass. This mechanism is dependent on the Mms2-Ubc13 complex being in close proximity to PCNA, a process thought to be dependent on Rad5. Rad5 is a member of the SWI/SNF family of ATPases that contains a RING finger motif characteristic of an E3 Ub ligase. Previous in vitro experiments demonstrated the ability of Rad5 to promote replication fork regression, a function dependent on its helicase/ATPase activity. We therefore created site-specific mutants defective in either Rad5 RING finger or helicase/ATPase activity, or both, in order to examine their genetic interactions with known TLS and error-free PRR genes. Our results indicate that both the Rad5 RING finger motif and the helicase/ATPase activity are exclusively involved in error-free PRR. To our surprise, like the Rad5 RING finger, lack of the helicase/ATPase activity also abolishes the Lys63-linked PCNA polyubiquitin chain formation, suggesting that either the Rad5 helicase/ATPase-promoted replication fork regression signals PCNA polyubiquitination or this domain has a yet unidentified activity. In summary, results obtained from this thesis dissertation have revealed novel mechanisms of yeast PRR in S. cerevisiae, a mechanism that appears to be evolutionarily conserved throughout eukaryotes, from yeast to humans.

In Saccharomyces cerevisiae DNA postreplication repair (PRR) functions to bypass replication-blocking lesions to prevent damage-induced cell death. PRR employs two different mechanisms to bypass damaged DNA. While translesion synthesis (TLS) has been well characterized, little is known about the molecular events involved in error-free bypass although it has been assumed that homologous recombination (HR) is required for such a mode of lesion bypass. We undertook a genome-wide, synthetic genetic array (SGA) screen for novel genes involved in PRR and observed evidence of genetic interactions between error-free PRR and HR. We were screening for synthetic lethality which occurs when the combination of two mutations leads to an inviable organism, however, either single mutation allows for cell viability. In addition, we screened for conditionally synthetic lethal interaction which occurs when the combination of two mutations is inviable only in the presence of a DNA-damaging agent. This screen identified and assigned four genes, CSM2, PSY3, SHU1 and SHU2, whose products form a stable Shu complex, to the error-free PRR pathway. Previous studies have indicated that the Shu complex is required for efficient HR and that inactivation of any one of these genes is able to suppress the severe phenotypes of top3 and sgs1. We confirmed and further extended some of the reported observations and demonstrated that error-free PRR mutations are also epistatic to sgs1. Based on the above analyses, we propose a model in which error-free PRR utilizes the Shu complex to recruit HR to facilitate template switching, followed by double-Holliday junction resolution by Sgs1-Top3. Null mutations of HR genes including rad51, 52, 54, 55 and 57 are known to confer characteristic synergistic interactions with TLS mutations. To our surprise, null mutations of genes encoding the Mre11-Rad50-Xrs2 (MRX) complex, which is also required for HR, are epistatic to TLS mutations. The MRX complex confers an endo/exonuclease activity required for the detection and processing of DNA double-strand breaks (DSBs). Our results suggest that the MRX complex functions in both TLS and error-free PRR and that this function requires the nuclease activity of Mre11. This is in sharp contrast to other known HR genes that only function downstream of error-free PRR. Furthermore, we found that inactivation of SGS1 significantly inhibits proliferating cell nuclear antigen (PCNA) monoubiquitination and is epistatic to mutations in TLS, suggesting that Sgs1 also functions at earlier steps in DNA lesion bypass. We also examined the roles of Sae2 and Exo1, two accessory nucleases involved in DSB resection, in PRR. We found that while Sae2 is primarily required for TLS, Exo1 is exclusively involved in error-free PRR. In light of the distinct and overlapping activities of the above nucleases in the resection of DSBs, we propose that the distinct single-strand nuclease activities of MRX, Sae2 and Exo1 dictate the preference between TLS and error-free PRR for lesion bypass. While both PRR pathways are dependent on the ubiquitination of PCNA, error-free PRR utilizes non-canonical Lys63-linked polyubiquitinated PCNA to signal lesion bypass. This mechanism is dependent on the Mms2-Ubc13 complex being in close proximity to PCNA, a process thought to be dependent on Rad5. Rad5 is a member of the SWI/SNF family of ATPases that contains a RING finger motif characteristic of an E3 Ub ligase. Previous in vitro experiments demonstrated the ability of Rad5 to promote replication fork regression, a function dependent on its helicase/ATPase activity. We therefore created site-specific mutants defective in either Rad5 RING finger or helicase/ATPase activity, or both, in order to examine their genetic interactions with known TLS and error-free PRR genes. Our results indicate that both the Rad5 RING finger motif and the helicase/ATPase activity are exclusively involved in error-free PRR. To our surprise, like the Rad5 RING finger, lack of the helicase/ATPase activity also abolishes the Lys63-linked PCNA polyubiquitin chain formation, suggesting that either the Rad5 helicase/ATPase-promoted replication fork regression signals PCNA polyubiquitination or this domain has a yet unidentified activity. In summary, results obtained from this thesis dissertation have revealed novel mechanisms of yeast PRR in S. cerevisiae, a mechanism that appears to be evolutionarily conserved throughout eukaryotes, from yeast to humans.

Objetivos do Estudo: O aumento do crescimento de melanoma foi avaliado em camundongos expostos a hipóxia intermitente. As proteínas que caracterizam a agressividade do tumor ainda não foram investigadas. O estudo teve como objetivo verificar se a hipóxia intermitente simulada pela apneia do sono afeta marcadores de melanoma na progressão tumoral. Desenho: Estudo prospectivo controlado em animais. Senário: Hospital Universitário. Participantes: Doze camundongos C57BL/6. Intervenções: Camundongos foram expostos a hipóxia intermitente ou simulada. Durante 8 horas por dia, o grupo hipóxia foi submetido a um total de 480 ciclos de 30 segundos de hipóxia progressiva SpO2 nadir de 8 ± 1%, seguidos por 30 segundos de normóxia. Um milhão de células de melanoma B16F10 foi injetado por via subcutânea. No dia 14, após a eutanásia, os tumores foram removidos, fixados e corados. Médias e resultados: coloração imunohistoquímica de Ki-67, PCNA, S100-B, HMB-45, Melan-A, TGF, Caspase-1 e HIF-1α foi quantificada por dois observadores que utilizaram captura digital e processamento em três lâminas de cada animal para cada marcador. O tamanho e o peso dos tumores foram semelhantes nas experiências de hipóxia e simulada. A percentagem da mediana [25-75 quartis] de área positiva corada para Ki-67 foi de 23% [15-28] no grupo hipóxia e 0,3% [0,2-1,1] no grupo controle (P = 0,02); para PCNA, as percentagens foram 31% [25-38] e 7% [5-18], respectivamente (P = 0,009). As diferenças entre os grupos para os marcadores restantes não foram significativas. Conclusões: Os marcadores da transcrição do RNA ribossomal e da síntese de DNA são mais expressos em tumores de camundongos expostos a hipóxia intermitente do que em controles, indicando que a apneia do sono pode levar a uma maior agressividade do tumor. / Study Objectives: Increased melanoma growth has been reported in mice exposed to intermittent hypoxia. Proteins that characterize tumor aggressiveness have not been investigated. The study aims to verify whether intermittent hypoxia mimicking sleep apnea affects markers of melanoma tumor progression. Design: Prospective controlled animal study. Settings: University hospital. Participants: Twelve C57bl/6 mice. Interventions: Mice were exposed to intermittent or sham hypoxia. During 8 hours per day, the hypoxia group was submitted to a total of 480 cycles of 30 seconds of progressive hypoxia to a nadir FIO2 of 8±1%, followed by 30 seconds of normoxia. One million B16F10 melanoma cells were injected subcutaneously. On the 14th day, after euthanasia, tumors were removed, fixed and stained. Measurements and Results: Immunohistochemistry staining for Ki-67, PCNA, S100-B, HMB-45, Melan-A, TGFβ, Caspase-1 and HIF-1α was quantified by two observers using digital capture and processing in three slides from each animal for each marker. The size and weight of the tumors were similar in hypoxia and simulated experiments. Median [25-75 quartiles] percentage of positive area stained for Ki-67 was 23% [15-28] in the hypoxia group and 0.3% [0.2-1.1] the control group (P=0.02); for PCNA, the percentages were 31% [25-38] e 7% [5-18], respectively (P=0.009). The differences between the groups for the remaining markers were not significant. Conclusions: Markers of ribosomal RNA transcription and of DNA synthesis are more expressed in tumors of mice exposed to intermittent hypoxia than of controls, indicating that sleep apnea can lead to greater tumor aggressiveness.

Objetivos do Estudo: O aumento do crescimento de melanoma foi avaliado em camundongos expostos a hipóxia intermitente. As proteínas que caracterizam a agressividade do tumor ainda não foram investigadas. O estudo teve como objetivo verificar se a hipóxia intermitente simulada pela apneia do sono afeta marcadores de melanoma na progressão tumoral. Desenho: Estudo prospectivo controlado em animais. Senário: Hospital Universitário. Participantes: Doze camundongos C57BL/6. Intervenções: Camundongos foram expostos a hipóxia intermitente ou simulada. Durante 8 horas por dia, o grupo hipóxia foi submetido a um total de 480 ciclos de 30 segundos de hipóxia progressiva SpO2 nadir de 8 ± 1%, seguidos por 30 segundos de normóxia. Um milhão de células de melanoma B16F10 foi injetado por via subcutânea. No dia 14, após a eutanásia, os tumores foram removidos, fixados e corados. Médias e resultados: coloração imunohistoquímica de Ki-67, PCNA, S100-B, HMB-45, Melan-A, TGF, Caspase-1 e HIF-1α foi quantificada por dois observadores que utilizaram captura digital e processamento em três lâminas de cada animal para cada marcador. O tamanho e o peso dos tumores foram semelhantes nas experiências de hipóxia e simulada. A percentagem da mediana [25-75 quartis] de área positiva corada para Ki-67 foi de 23% [15-28] no grupo hipóxia e 0,3% [0,2-1,1] no grupo controle (P = 0,02); para PCNA, as percentagens foram 31% [25-38] e 7% [5-18], respectivamente (P = 0,009). As diferenças entre os grupos para os marcadores restantes não foram significativas. Conclusões: Os marcadores da transcrição do RNA ribossomal e da síntese de DNA são mais expressos em tumores de camundongos expostos a hipóxia intermitente do que em controles, indicando que a apneia do sono pode levar a uma maior agressividade do tumor. / Study Objectives: Increased melanoma growth has been reported in mice exposed to intermittent hypoxia. Proteins that characterize tumor aggressiveness have not been investigated. The study aims to verify whether intermittent hypoxia mimicking sleep apnea affects markers of melanoma tumor progression. Design: Prospective controlled animal study. Settings: University hospital. Participants: Twelve C57bl/6 mice. Interventions: Mice were exposed to intermittent or sham hypoxia. During 8 hours per day, the hypoxia group was submitted to a total of 480 cycles of 30 seconds of progressive hypoxia to a nadir FIO2 of 8±1%, followed by 30 seconds of normoxia. One million B16F10 melanoma cells were injected subcutaneously. On the 14th day, after euthanasia, tumors were removed, fixed and stained. Measurements and Results: Immunohistochemistry staining for Ki-67, PCNA, S100-B, HMB-45, Melan-A, TGFβ, Caspase-1 and HIF-1α was quantified by two observers using digital capture and processing in three slides from each animal for each marker. The size and weight of the tumors were similar in hypoxia and simulated experiments. Median [25-75 quartiles] percentage of positive area stained for Ki-67 was 23% [15-28] in the hypoxia group and 0.3% [0.2-1.1] the control group (P=0.02); for PCNA, the percentages were 31% [25-38] e 7% [5-18], respectively (P=0.009). The differences between the groups for the remaining markers were not significant. Conclusions: Markers of ribosomal RNA transcription and of DNA synthesis are more expressed in tumors of mice exposed to intermittent hypoxia than of controls, indicating that sleep apnea can lead to greater tumor aggressiveness.