SUMMARY The aim of the study was to evaluate the effectiveness of physical therapy after anterior cruciate ligament repair using different grafts. The goals of the study: to evaluate a functional state of the knee joint (according to Lysholm knee scale), to evaluate the knee joint motions’ amplitude at different physical therapeutics stages (6 weeks, 3 months and 7 months after the surgery), to compare the influence of different methods used in reconstructive surgeries on the rehabilitation of the knee joint’s functions. Organization and methods of the study. Two groups of patients underwent examination. 28 patients ( 15 men and 13 women) underwent anterior cruciate ligament repair where the semitendinosus and gracilis tendon graft (SG) was used . The second group, 23 patients, ( 14 men and 9 women) underwent anterior cruciate ligament repair where patella ligament (PL) was used. Examination of the patients was performed 6 weeks, 3 months and 7 months after the surgery. Every time the Lysholm knee scale was used and range of motions of the knee was estimated. The both groups of patients underwent the same physical therapy programme. Results. While evaluating a function of the knee joint (according to Lysholm knee scale) after 6 weeks and 3 months after the surgery , a statistically reliable difference between the groups concerning pain was established (p<0,05). There were found more patients in the PL group who suffered pain in the knee joint. While... [to full text]

No description available.

Type 2 diabetes (T2D) is a growing health-care and economic burden. Obesity is a risk factor for developing T2D, but the underlying molecular mechanisms are not well understood. However, mechanisms such as lipotoxicity, endoplasmic reticulum stress and inflammation are becoming increasingly well-recognised in obesity, and may underlie the development and progression of T2D. A central player in these mechanisms is Protein Kinase R (PKR), proposed to have a role within nutrient- and pathogen-sensing pathways, and is activated by ER stress and lipotoxicity. A small molecule inhibitor Compound-16, adenoviral vectors and RNAi techniques in BRIN-BD11 rodent pancreatic β-cells, were used to demonstrate that PKR knockdown affords significant protection against palmitate-induced cell death. Furthermore, PKR knockdown potentiates palmitoleate cytoprotection during lipotoxicity, suggesting the cytotoxic and cytoprotective actions of long-chain fatty acid species may function via the PKR signalling pathway. The use of a novel 1.1B4 human pancreatic β-cell line has shown that important differences exist between human and rodent cell responses to fatty acids in vitro. In 1.1B4 cells, long-chain saturated and monounsaturated fatty acids do not provide increasing protection as their chain-length increases, in contrast to rodent cell models. Furthermore, methyl-saturated fatty acid species are well tolerated, and methyl-monounsaturated fatty acids are cytoprotective to 1.1B4 β-cells. TXNIP overexpression in an INS-TXNIP β-cell model has a proapoptotic role in conditions of glucotoxicity, but not glucolipotoxicity. Furthermore, in this cell model, succinate is cytoprotective against glucotoxicity, but not glucolipotoxicity. By contrast in 1.1B4 β-cells, succinate significantly protects against apoptosis induced by both glucotoxic and glucolipotoxic conditions. Chronic inflammation has been implicated in the development and progression of T2D. At the centre of this response is the pro-inflammatory cytokine IL-1β. The cellular origin of IL-1β is unclear, but IL-1β secretion has been linked to activation of the NLRP3 inflammasome, recently implicated in pancreatic β-cell death in T2D. Results suggest that IL-1β is secreted by INS-TXNIP and 1.1B4 pancreatic β-cells under lipotoxic conditions, thus offering a potential role for targeted IL-1β therapy in T2D.

Tuberculosis (TB) is a critical infectious disease world-wide, and the increasing development of antibiotic resistance drives the search for effective host-directed therapies. One molecular target of potential host-directed therapy is Type 1 Interferon, (IFN-I or IFNβ), an excess of which correlates with TB progression. The mechanisms underlying IFNβ overproduction are still unclear. In this dissertation we review cellular mechanisms, including mitochondrial function and metabolism, oxidative stress, and the Integrated Stress Response, which are involved in IFNβ production and macrophage function. We also describe an experimental model of human-like TB, the B6J.C3-Sst1C3HeB/Fej Krmn (B6.Sst1S) mouse, which provides a unique and convenient system for studying mechanisms of necrosis in TB granulomas. We use primary macrophages from the B6.Sst1S mouse to establish a mechanism that links the B6.Sst1S genotype to a cascade of dysregulation that drives IFNβ superinduction and susceptibility to TB infection. TNF is necessary for granuloma formation in vivo, but in the context of transcriptional dysregulation and excess free iron, it drives oxidative stress, which amplifies IFNβ induction to pathologic levels. This induction is maintained by positive feedback through the double stranded RNA-dependent Protein Kinase (PKR). We demonstrate that interruption of this cascade by iron chelation or inhibition of lipid peroxidation attenuates IFNβ induction and improves subsequent infection outcomes. We conclude by comparing the in vitro model system to an in vivo necrotic TB granuloma, describing similarities between our system and human TB, and discussing the connections between IFN-I and autoimmune and degenerative disease and the broader application of the B6.Sst1S model system to studies of human immunity.

A dor associada ao câncer pode ser causada não somente pelos efeitos diretos ou indiretos da patologia primária, mas também pelo tratamento quimioterápico. A Cisplatina é um dos medicamentos anti-neoplásicos mais efetivos e mais comumente usados no tratamento de tumores sólidos. Entretanto, um de seus principais efeitos colaterais é a neurotoxicidade periférica. Os mecanismos celulares e moleculares da dor crônica induzida por quimioterápico são ainda bastante obscuros. Investigamos o papel da proteína quinase dependente de RNA (PKR) nos diferentes mecanismos neurobiológicos associados à dor crônica induzida pelo quimioterápico Cisplatina. O presente estudo avaliou: (1) O desenvolvimento de alodínia mecânica e hipernocicepção térmica em camundongos PKR-/- e PKR+/+ submetidos à administração do quimioterápico Cisplatina; (2) O estado de fosforilação das MAPKs (Erk1,2, p38 e JNK/SAP) e o fator de transcrição STAT-3 nas células do gânglio da raiz dorsal de animais tratados com Cisplatina; (3) Alterações na resistência e força muscular dos camundongos PKR-/- e PKR+/+ submetidos a administração do quimioterápico Cisplatina; (4) A proteólise muscular em músculos EDL (glicolíticos) e soleus (oxidativos) de camundongos PKR-/- e PKR+/+ após tratamento com Cisplatina (5) A síntese proteica através de Western Blot das proteínas Akt, FoxO 1 e FoxO 4, S6k1 e a S6 em células C2C12 analisando temporalmente o efeito da Cisplatina (6h, 12h e 24h); (6) O estresse oxidativo mitocondrial em células do gânglio da raiz dorsal e do músculo Soleus de camundongos PKR-/- e PKR+/+ após tratamento com Cisplatina. Os resultados obtidos foram: (1) Que com o tratamento com cisplatina produziu hipernocicepção térmica e alodínia mecânica nos animais PKR+/+; (2) A reduz da fosforilação do p38 não justifica o quadro de hipernocicepção e a hipernocicepção pode ocorrer a partir do aumento da fosforilação de STAT 3; (3) Animais que não tem a PKR são menos vulneráveis à ação deletéria da cisplatina sobre o músculo pois todos os testes comportamentais para atividade motora; (4) Não houve diferença na proteólise total mas sim na síntese proteica em animais PKR tratados com cisplatina; (5) Há alteração na via Akt quando analisa temporalmente a ação da cisplatina; (6) animais PKR -/- apresentaram índices mais altos da respiração mitocondrial comparados aos PKR +/+. Este estudo combinou métodos de biologia celular e molecular com paradigmas comportamentais a fim de investigar os possíveis mecanismos de ação da PKR no desenvolvimento de hipersensibilidade sensorial após o tratamento com quimioterápico. Os resultados deste trabalho devem evidenciar novos mecanismos neurobiológicos que contribuam para o entendimento da fisiopatologia da dor crônica de origem neurotóxica e apontar novas estratégias terapêuticas para o tratamento da dor crônica causada por quimioterapia / Pain associated with cancer can be caused by only direct or indirect products of the primary pathology, but also by chemotherapeutic treatment. Cisplatin is one of the most effective and most common anti-neoplastic drugs without the treatment of solid tumors. However, one of its major side effects is peripheral neurotoxicity. The cellular and molecular mechanisms of chronic pain induced by chemotherapy are still rather obscure. Investigators of role of RNA-dependent protein kinase (PKR) in the different neurobiological mechanisms associated with chronic pain induced by the chemotherapeutic Cisplatin. The present study evaluated: (1) the development of mechanical allodynia and thermal hypernociception in mice PKR - / - and PKR + / + submitted to chemotherapy Cisplatin; (2) The state of phosphorylation of the MAPKs (Erk1,2, p38 and JNK / SAP) and the transcription factor STAT-3 in the cells dorsal root ganglion of Cisplatin-treated animals; (3) Changes in muscle strength and strength of mice PKR - / - and PKR + / + submitted to the administration of the chemotherapeutic Cisplatin; (4) Muscle protein in EDL (glycolytic) and soleus (oxidative) muscles of mice PKR - / - and PKR + / + after treatment with Cisplatin (5) Western Blot Synthesis Protein of Akt, FoxO 1 and FoxO 4 S6k1 proteins and S6 in C2C12 cells by temporarily analyzing the effect of Cisplatin (6h, 12h and 24h); (6) Mitochondrial oxidative stress in dorsal root ganglion and Soleil muscle cells of PKR - / - and PKR + / + mice after treatment with Cisplatin. The results obtained were: (1) That with the treatment with cisplatin produced thermal hypernociception and mechanical allodynia in the animals PKR + / +; (2) The reduced phosphorylation of p38 does not justify the hyperencouragement and hypernociception can occur from increased STAT 3 phosphorylation; (3) Animals that do not have a PKR are less vulnerable to the deleterious action of cisplatin on muscle for all behavioral tests for motor activities; (4) There was no difference in total proteolysis but in protein synthesis in PKR animals treated with cisplatin; (5) There is alteration in the Akt pathway when the action of cisplatin is temporarily analyzed; (6) Animals PKR - / - had higher mitochondrial respiration rates compared to PKR + / +. This study combined methods of cellular and molecular biology with behavioral paradigms to investigate the possible mechanisms of action of PKR in the development of sensory hypersensitivity after treatment with chemotherapy. The results of this program are mandatory, which are responsible for the development of medicines for health and human health

L’autophagie est un mécanisme vacuolaire de dégradation de matériel cytoplasmique permettant le maintien de l’homéostasie cellulaire, mais elle peut être également activée par de nombreux stress, comme l’infection virale. Le virus de l’Herpès Simplex de type 1 (HSV 1) est capable de contrecarrer ce mécanisme de défense antivirale. HSV-1 possède une protéine ICP34.5 capable d’inhiber l’autophagie en se liant à Beclin 1, une protéine de la machinerie autophagique. Nous avons mis en évidence une deuxième protéine d’HSV-1 capable d’inhiber l’autophagie, la protéine tardive Us11, qui pourrait avoir un rôle complémentaire à celui d’ICP34.5 dans le contrôle de l’autophagie par le virus.Nous montrons que l’expression ectopique d’Us11 permet de bloquer l’autophagie induite par différents stimuli, et ce de manière similaire à ICP34.5. De plus, dans un contexte viral, l’expression précoce d’Us11 dans des cellules infectées par un virusICP34.5 permet un contrôle de l’autophagie comparable à celui d’un virus sauvage. Nous avons ensuite recherché le mécanisme d’action d’Us11. La protéine Us11 a été décrite comme pouvant interagir avec la kinase dépendante de l’ARN double brin PKR, empêchant ainsi la phosphorylation de son substrat eIF2, un facteur d’initiation de la traduction. Nous avons observé qu’en l’absence de PKR, Us11 n’est plus capable d’inhiber l’autophagie. Nous avons pu confirmer qu’Us11 a besoin de se lier à PKR pour exercer son activité inhibitrice par la construction de formes tronquées d’Us11, permettant de montrer l’importance de son domaine d’interaction avec PKR dans l’inhibition de l’autophagie. L’étude des formes tronquées d’Us11 a soulevé le fait que le domaine N-terminal était également nécessaire. Aucune interaction de ce domaine avec une protéine cellulaire n’a été identifiée à ce jour, mais il pourrait permettre l’interaction d’Us11 avec une autre protéine de la machinerie autophagique. Cependant, nous avons montré qu’Us11 n’interagissait pas avec Beclin 1 et n’avait pas d’effet sur la kinase mTOR, une autre voie importante de l’autophagie. Enfin, nous avons étudié la modulation de la voie PKR/eIF2 lors de la stimulation de l’autophagie par la carence, et nos résultats suggèrent que cette voie joue un rôle sous-estimé dans la réponse à la carence.Le mécanisme d’action de la protéine Us11, qui consiste en un blocage de l’autophagie en inhibant PKR, n’avait jamais été décrit auparavant. Ce travail ouvre de nombreuses perspectives dans l’étude de la voie PKR/eIF2 vis à vis de la régulation de l’autophagie, ainsi que dans la compréhension de l’implication de l’autophagie dans la neurovirulence d’HSV-1. / Autophagy is an evolutionary conserved vacuolar mechanism allowing to degrade cytoplasmic components and to maintaining cellular homeostasis, but it can also be triggered by a variety of stress-related conditions, including viral infection. The herpes simplex virus 1 (HSV-1) is able to counteract this antiviral mechanism. Notably, HSV-1 encodes a protein, IPC34.5, which inhibits autophagy through its interaction with the autophagy machinery protein Beclin 1. In the present work, we uncovered a second anti-autophagic protein from HSV-1, the late protein Us11, which likely plays a complementary role to ICP34.5 regarding the inhibition of autophagy by the virus. We demonstrated that ectopic expression of Us11 inhibited autophagy triggered by different stimuli, as observed for ICP34.5. Moreover, during viral infection, early expression of Us11 was sufficient to block autophagy in cells infected with a ICP34.5 virus, similarly to the wild-type virus. We then explored the mechanism of action of Us11. Us11 has been described as capable of interacting with the dsRNA-dependent kinase PKR, therefore preventing it to phosphorylate its substrate eIF2, a translation initiation factor. We demonstrated that Us11 was no longer able to inhibit autophagy when expressed in PKR-deficient cells. We confirmed that Us11 binding to PKR was necessary for its function by constructing various truncated forms of Us11 that showed that the PKR-binding domain was crucial. We also unveiled the importance of a domain located within the N-terminal part of Us11. This domain has no cellular molecular partner known, but it can allow Us11 to interact with another protein of the autophagy machinery. However, we further showed that Us11 did not interact with Beclin 1 nor affected the kinase activity of mTOR, another important pathway regulating autophagy. In our work, we also gained insights into regulatory mechanisms of starvation-induced autophagy.The inhibition of autophagy through the specific blockade of PKR by Us11 had never been previously described. This work thus paves the way for studying the involvement of PKR/eIF2 pathway in the regulation of autophagy and for exploring the role of autophagy in HSV-1 neurovirulence.

La mise au point de médicaments ciblant la neuroinflammation, une composante importante de la physiopathologie des maladies neurodégénératives, fait l’objet de nombreuses recherches. Dans ce travail de thèse, nous avons étudié les effets de deux molécules potentiellement anti-inflammatoires et neuroprotectrices : l’hémine, un inducteur de l’hème oxygénase 1(HO-1) et ; le C16, un inhibiteur de la protéine kinase activée par l’ARN (PKR) dans un modèle de neuroinflammation in vivo par injection intrastriatale d’acide quinolinique (AQ) chez le rat. Nos résultats ont montré que l’induction de la HO-1 produit des effets délétères tandis que l’inhibition de la PKR induit des effets neuroprotecteurs et antiapoptotiques. Ce travail a par ailleurs permis de décrire l’évolution cinétique de la neuroinflammation sur 90 jours dans le modèle AQ, la capacité du tissu cérébral à se régénérer après la lésion et l’intérêt de ce modèle dans l’étude des effets d’agents neuroprotecteurs administrés au long cours. / Neuroinflammation is a key part of the physiopathology of neurodegenerative diseases and is an interesting target in their treatment. In this PhD work, we studied the effects of two potentially anti-inflammatory and neuroprotective molecules, hemin and C16, in an in vivo rat model of neuroinflammation by intrastriatal injection of quinolinic acid (QA). We showed that heme oxygenase 1 (HO-1) induction by hemin has deleterious effects whereas inhibition of the protein kinase RNA activated (PKR) by C16 treatment induced neuroprotective and anti-inflammatory effects. Concurrently, we evaluated longitudinal evolution of neuroinflammation in our model. Results showed the kinetic of the inflammatory phenomena; the ability of cerebral tissue to recover integrity and the capability of this model to evaluate potential neuroprotective and anti-inflammatory drugs in a long-time study.

A dor associada ao câncer pode ser causada não somente pelos efeitos diretos ou indiretos da patologia primária, mas também pelo tratamento quimioterápico. A Cisplatina é um dos medicamentos anti-neoplásicos mais efetivos e mais comumente usados no tratamento de tumores sólidos. Entretanto, um de seus principais efeitos colaterais é a neurotoxicidade periférica. Os mecanismos celulares e moleculares da dor crônica induzida por quimioterápico são ainda bastante obscuros. Investigamos o papel da proteína quinase dependente de RNA (PKR) nos diferentes mecanismos neurobiológicos associados à dor crônica induzida pelo quimioterápico Cisplatina. O presente estudo avaliou: (1) O desenvolvimento de alodínia mecânica e hipernocicepção térmica em camundongos PKR-/- e PKR+/+ submetidos à administração do quimioterápico Cisplatina; (2) O estado de fosforilação das MAPKs (Erk1,2, p38 e JNK/SAP) e o fator de transcrição STAT-3 nas células do gânglio da raiz dorsal de animais tratados com Cisplatina; (3) Alterações na resistência e força muscular dos camundongos PKR-/- e PKR+/+ submetidos a administração do quimioterápico Cisplatina; (4) A proteólise muscular em músculos EDL (glicolíticos) e soleus (oxidativos) de camundongos PKR-/- e PKR+/+ após tratamento com Cisplatina (5) A síntese proteica através de Western Blot das proteínas Akt, FoxO 1 e FoxO 4, S6k1 e a S6 em células C2C12 analisando temporalmente o efeito da Cisplatina (6h, 12h e 24h); (6) O estresse oxidativo mitocondrial em células do gânglio da raiz dorsal e do músculo Soleus de camundongos PKR-/- e PKR+/+ após tratamento com Cisplatina. Os resultados obtidos foram: (1) Que com o tratamento com cisplatina produziu hipernocicepção térmica e alodínia mecânica nos animais PKR+/+; (2) A reduz da fosforilação do p38 não justifica o quadro de hipernocicepção e a hipernocicepção pode ocorrer a partir do aumento da fosforilação de STAT 3; (3) Animais que não tem a PKR são menos vulneráveis à ação deletéria da cisplatina sobre o músculo pois todos os testes comportamentais para atividade motora; (4) Não houve diferença na proteólise total mas sim na síntese proteica em animais PKR tratados com cisplatina; (5) Há alteração na via Akt quando analisa temporalmente a ação da cisplatina; (6) animais PKR -/- apresentaram índices mais altos da respiração mitocondrial comparados aos PKR +/+. Este estudo combinou métodos de biologia celular e molecular com paradigmas comportamentais a fim de investigar os possíveis mecanismos de ação da PKR no desenvolvimento de hipersensibilidade sensorial após o tratamento com quimioterápico. Os resultados deste trabalho devem evidenciar novos mecanismos neurobiológicos que contribuam para o entendimento da fisiopatologia da dor crônica de origem neurotóxica e apontar novas estratégias terapêuticas para o tratamento da dor crônica causada por quimioterapia / Pain associated with cancer can be caused by only direct or indirect products of the primary pathology, but also by chemotherapeutic treatment. Cisplatin is one of the most effective and most common anti-neoplastic drugs without the treatment of solid tumors. However, one of its major side effects is peripheral neurotoxicity. The cellular and molecular mechanisms of chronic pain induced by chemotherapy are still rather obscure. Investigators of role of RNA-dependent protein kinase (PKR) in the different neurobiological mechanisms associated with chronic pain induced by the chemotherapeutic Cisplatin. The present study evaluated: (1) the development of mechanical allodynia and thermal hypernociception in mice PKR - / - and PKR + / + submitted to chemotherapy Cisplatin; (2) The state of phosphorylation of the MAPKs (Erk1,2, p38 and JNK / SAP) and the transcription factor STAT-3 in the cells dorsal root ganglion of Cisplatin-treated animals; (3) Changes in muscle strength and strength of mice PKR - / - and PKR + / + submitted to the administration of the chemotherapeutic Cisplatin; (4) Muscle protein in EDL (glycolytic) and soleus (oxidative) muscles of mice PKR - / - and PKR + / + after treatment with Cisplatin (5) Western Blot Synthesis Protein of Akt, FoxO 1 and FoxO 4 S6k1 proteins and S6 in C2C12 cells by temporarily analyzing the effect of Cisplatin (6h, 12h and 24h); (6) Mitochondrial oxidative stress in dorsal root ganglion and Soleil muscle cells of PKR - / - and PKR + / + mice after treatment with Cisplatin. The results obtained were: (1) That with the treatment with cisplatin produced thermal hypernociception and mechanical allodynia in the animals PKR + / +; (2) The reduced phosphorylation of p38 does not justify the hyperencouragement and hypernociception can occur from increased STAT 3 phosphorylation; (3) Animals that do not have a PKR are less vulnerable to the deleterious action of cisplatin on muscle for all behavioral tests for motor activities; (4) There was no difference in total proteolysis but in protein synthesis in PKR animals treated with cisplatin; (5) There is alteration in the Akt pathway when the action of cisplatin is temporarily analyzed; (6) Animals PKR - / - had higher mitochondrial respiration rates compared to PKR + / +. This study combined methods of cellular and molecular biology with behavioral paradigms to investigate the possible mechanisms of action of PKR in the development of sensory hypersensitivity after treatment with chemotherapy. The results of this program are mandatory, which are responsible for the development of medicines for health and human health

Dans un contexte d’augmentation du nombre d’amétropes dans la population mondiale, et en conséquence, de l’accroissement du recours aux techniques de corrections chirurgicales, la compréhension et l’amélioration de celles-ci sont un enjeu crucial. Nous avons cherché à améliorer la prédictibilité de certains résultats postopératoires dans le cas d’un LASIK (Laser-Assisted In-Situ Keratomileusis), d’une PKR (Photorefractive Keratectomy) ou d'une chirurgie de la cataracte, et ainsi formuler des recommandations pratiques qui contribueraient au développement de stratégies de traitement davantage personnalisés. Pour cela, nous avons utilisé prospectivement des méthodologies de « contrôle de qualité » des chirurgies sur de larges échantillons de patients. Dans un premier temps, nous avons étudié la dynamique pupillaire dans le cadre de chirurgies au LASIK et notamment le rôle du centre pupillaire, point de référence important dans les stratégies de centrage. Nous avons également évalué la dynamique du diamètre pupillaire et les modifications du segment antérieur sur des yeux subissant une chirurgie de la cataracte. La seconde partie du travail s’est focalisée sur le rôle de l’épithélium dans la topographique cornéenne. Nous avons comparé les topographies spéculaires de l'épithélium et de la couche de Bowman sur des cornées saines et des cornées kératoconiques, présentant une myopie faible à modérée corrigée par PKR. Enfin, dans la dernière partie de notre recherche, nous nous sommes intéressés aux changements de paramètres anatomiques de l'oeil, des performances visuelles et de la qualité de vision subjective survenant dans un échantillon d’yeux myopes après un LASIK réalisé avec le laser WaveLight® Refractive Suite (Alcon® Laboratories Inc., USA). / While the number of ametropic eyes in the world’s population and consequently the use of surgical correction techniques is increasing, understanding and improving these techniques is a crucial issue. We sought to improve the predictability of certain postoperative results in the case of LASIK (Laser-Assisted In-Situ Keratomileusis), PRK (Photorefractive Keratectomy) and cataract surgery, and thus to formulate practical recommendations that would contribute to the development of more personalized treatment strategies. To achieve this objective, we have prospectively used "quality control" methodologies to assess surgeries performed on large samples of patients. First, we studied the pupillary dynamics in LASIK surgery and in particular the role of the pupillary centre, an important point of reference in the centration strategies. We also assessed the dynamics of pupillary diameter and anterior segment changes on eyes undergoing cataract surgery. The second part of the work focused on the role of the epithelium in the corneal topography. We compared specular topographies of the epithelium and Bowman's layer in healthy and keratoconus corneas with mild to moderate myopia corrected by PRK. Finally, in the last part of our research, we were interested in the changes in anatomical parameters of the eye, visual performance and subjective quality of vision occurring in a sample of myopic eyes after LASIK performed with the WaveLight® Refractive Suite (Alcon® Laboratories Inc., USA).

No description available.