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L’hyperglycémie et l’insulino-résistance constituent les altérations métaboliques des patients septiques associées à un pronostic défavorable, à une augmentation des dysfonctions cardiovasculaires et à une augmentation de la mortalité. Si plusieurs études démontrent quel’insulinothérapie à forte dose diminue la mortalité et prévient la dysfonction multi-organes, elle est souvent controversée car responsable d’hypoglycémies délétères. La Protéine Tyrosine Phosphatase1B (PTP1B) est un régulateur négatif de la voie de signalisation dépendante de l’insuline et de la voie de production du NO.L’idée développée dans le laboratoire est que l’inhibition de la PTP1B pourrait constituer une cible thérapeutique potentielle dans le sepsis en améliorant la sensibilité à l’insuline et ainsi les conséquences sur la fonction endothéliale et cardiaque. Bien qu’il ait été montré que la délétion génétique en PTP1B diminue la dysfonction cardiovasculaire lors du sepsis, les effets de cette délétion sur le métabolisme glucidique dans l’amélioration de la dysfonction cardiovasculaire restent méconnus et constituent l’objectif de notre travail.Dans un modèle de sepsis induit par Ligature et Perforation Caecale, nous avons pu mettre en évidence que la délétion génétique totale de PTP1B limite l’insulino-résistance induite par le sepsis,améliore la voie de signalisation dépendante de l’AMPK et la translocation des GLUT-4 et diminue l’inflammation. Ces effets s’accompagnent d’une diminution de la dysfonction endothéliale induite parle sepsis et améliore la production de NO. La délétion génétique endothéliale de PTP1B permet quant à elle une amélioration significative de la fonction endothéliale et de la sensibilité à l’insuline et au glucose.Ces travaux ont donc permis de mettre en évidence l’effet bénéfique de la délétion génétique en PTP1B dans le sepsis par amélioration de la sensibilité à l’insuline et des conséquences sur la fonction endothéliale et cardiaque. / Hyperglycemia and insulin resistance are septic metabolic alterations associated with poorprognosis, increased cardiovascular dysfunction and mortality. Several studies have demonstrated thathigh-dose insulin therapy reduces mortality and prevents multi-organ dysfunction but is controversialbecause it is often associated with deleterious hypoglycemia. Protein Tyrosine Phosphatase 1B (PTP1B)is a negative regulator of both insulin signaling and NO production.The concept developed in our laboratory is that PTP1B inhibition could be a potentialtherapeutic target in sepsis by improving both insulin sensitivity and these consequences onendothelial and cardiac function. PTP1B genetic deletion has been shown to decrease cardiovasculardysfunction in sepsis but the effects of this deletion on carbohydrate metabolism in the improvementof cardiovascular dysfunction remain unknown and constitute the objective of our work.In a sepsis model induced by Ligature and Caecal Perforation, we have demonstrated that thetotal PTP1B genetic deletion limits insulin resistance induced by sepsis, improves the AMPK signalingpathway, the GLUT-4 translocation and reduces inflammation. These effects are followed by decreasedendothelial dysfunction induced by sepsis and improves NO production. The endothelial PTP1B geneticdeletion, significantly improves endothelial function, insulin and glucose sensitivity.This work demonstrate the beneficial effect of the PTP1B genetic deletion in the sepsis byimprovement of the insulin sensibility and these consequences on endothelial and cardiac function.

Basal forebrain cholinergic neurons (BFCNs) are critical for learning and memory. Profound and early BFCN degeneration is a hallmark of aging and Alzheimer’s disease (AD). BFCNs depend for their survival on the retrograde axonal transport of neurotrophins, proteins critical for neuronal function. Neurotrophins like brain derived neurotrophic factor (BDNF) and pro-nerve growth factor (proNGF) are retrogradely transported to BFCNs from their synaptic targets. In AD, neurotrophin levels are increased within BFCN target areas and reduced in the basal forebrain, implicating dysfunctional neurotrophin transport in AD pathogenesis. However, neurotrophin transport within this highly susceptible neuronal population is currently poorly understood. We began by establishing protocols for the accurate quantification of axonal transport in BFCNs using microfluidic culture. We then determined the effect of age on neurotrophin transport. BFCNs were left in culture for up to 3 weeks to model aging in vitro. BFCNs initially displayed robust neurotrophin transport, which diminished with in vitro age. We observed that the levels of proNGF receptor tropomyosin-related kinase-A (TrkA) were reduced in aged neurons. Additionally, neurotrophin transport in BFCNs derived from 3xTg-AD mice, an AD model, was also impaired. Next, we sought to determine a mechanism for these transport deficits. First, we determined that proNGF transport was solely contingent upon the levels of TrkA. We then found that elevation of oxidative stress, an established AD contributor, significantly reduced both TrkA levels and proNGF retrograde transport. TrkA levels are partially regulated by protein tyrosine phosphatase-1B (PTP1B), an enzyme whose activity is reduced by oxidation. PTP1B antagonism significantly reduced TrkA levels and proNGF retrograde transport in BFCNs. Treatment of BFCNs with PTP1B-activating antioxidants rescued TrkA levels, proNGF transport, and proNGF-mediated axonal degeneration. Our results suggest that oxidative stress contributes to BFCN degeneration in aging and AD by impairing retrograde neurotrophin transport via oxidative PTP1B-mediated TrkA loss. / Thesis / Doctor of Philosophy (PhD) / During aging and Alzheimer’s disease (AD), the connections between neurons, a type of brain cell, break down, causing memory loss. This breakdown begins in a brain area called the basal forebrain. Basal forebrain neurons rely upon the transport of nutrients along their connections with other neurons, called axons, for proper function. This transport process becomes impaired in AD. Our goal was to understand why this happens. First, we determined that axonal transport was impaired with age and in basal forebrain neurons of mice genetically predisposed to develop AD. We recreated these impairments by increasing the levels of harmful molecules called reactive oxidative species (ROS). ROS levels increase with age and become abnormally high during AD. We found that increased ROS impair axonal transport and contribute to the breakdown of basal forebrain neurons. Our work suggests that reducing ROS will help prevent the breakdown of basal forebrain neurons in AD.

Although considered as a poison for long time, the importance of selenium as an essential trace element is now well recognized. In proteins, the redox active selenium moiety is incorportated as selenocysteine (Sec), the 21st amino acid. In mammals, selenium exerts its redox activities through several selenocysteine-containing enzymes, which include glutathione peroxidase (GPx), iodothyronine deiodinase (ID) and thioredoxin reductase (TrxR). Although these enzymes have Sec in their active sites, they catalyze completely different reactions and their substrate specificity and cofactor or co-substrate systems are significantly different. The most widely studied selenoenzyme GPx protects various organisms from oxidative stresses by catalyzing the reduction of hydroperoxides by using glutathione (GSH) as cofactor. The chemical aspects of the reduction of hydroperoxide by GPx have been extensively studied with the help of synthetic selenium and tellurium compounds. For example, 2-phenyl, 1, 2-benzoisoselenazol-3(2H)-one, commonly known as ebselen exhibits significant GPx activity by using GSH as cofactor. The anti-inflammatory, antiatherosclerotic and cytoprotective properties of ebselen have led to the design and synthesis of nex GPx mimics for potential therapeutic applications. In the first chapter, the importance of selenium in biochemistry in general and the function of selenoenzyme GPx and its synthetic mimics in particular are discussed. In the second chapter, the importance of ebselen as a GPx mimic and how thiol exchange reaction in the selenenyl sulfide intermediate deactivates its catalytic cycle and the possible ways to overcome thiol exchange reaction are described. The third chapter deals with the first synthetic chemical model that effectively mimics the unusual cyclization of sulfenic acid to a sulfenyl amide in protein Tyrosien Phosphatase 1B(PTP1B). PTP1B is a cysteine containing enzyme where the sulfenic acid (PTP1B-SOH) intermediate produced in response to its oxidation by H2O2 is rapidly converted into a sulfenyl amide species, in which sulfur atom of the catalytic cysteine is covalently bonded to the main chain nitrogen of an adjacent serine residue. This unusual protein modification in PTP1B has been proposed to protect the sulfur centre from irreversible oxidation to sulfinic acid and and sulfonic acids. In the fourth chapter, it is shown that not only the catalytic efficiency of ebselen but also its phosphatase like behavior is important for its antioxidant activity. Ebselen is regenerated from selenenic acid (R-SeOH) under a verity of conditions, which protects its selenium centre from irreversible oxidation and thus reduces its toxicity. The fifth chapter deals with spirodizaselenurane and Spirodiazatellurane. Although the chemistry of spirodioxyselenuranes and spirodiazasulfuranes has been studied extensively due to their interesting structural and stereochemical properties, there is no example of stable spirodiazaselenurane and its tellurium analogues. In the fifth chapter, the synthesis, structure and GPx-like activity of the spirodizzaselenurane and spirodiazatellurane are discussed. In summary, the synthetic sulfenic acids and seleneric acids undergo cyclization to their corresponding sulfenyl amides and selenenyl amides and thus protect their sulfur and selenium centers from irreversible inactivation. We have also observed that selenoxides and telluroxides with nearby amide moieties undergo cyclization to their corresponding cyclic spiro compounds. This unusual transformation of sulfenic acids has been recently discovered in PTP1B. As the redox regulation cycle of PTP1B and the catalytic cycle of GPx are similar we believe that GPx may involve a selenenyl amide intermediate in its catalytic cycle.