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Orientadores: Maria de Fatima Sonati, Maricilda Palandi de Mello / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-10T14:17:59Z (GMT). No. of bitstreams: 1 Wenning_MarciaReginadeSouzaCossa_D.pdf: 2460425 bytes, checksum: bd59f41846de3b0439b17450b12154a1 (MD5) Previous issue date: 2007 / Resumo: A Doença da Hb H resulta da remoção ou inativação de três dos quatro genes da cadeia a da hemoglobina normalmente presentes no genoma diplóide e é caracterizada por anemia hemolítica crônica de intensidade moderada a grave. Os pacientes apresentam microcitose, hipocromia e poiquilocitose, com cerca de 25 a 30% de Hb Bart¿s (?4) ao nascimento e 5-30% de Hb H (ß4) na vida adulta. Embora a base molecular da doença tenha influência nos níveis de Hb H produzidos, uma heterogeneidade em relação a esse aspecto tem sido observada mesmo em pacientes com genótipos a idênticos, sugerindo que outros fatores contribuem para esta diversidade além dos determinantes talassêmicos. No presente trabalho, procuramos identificar transcritos diferencialmente expressos nos reticulócitos de dois pacientes com Doença da Hb H, irmãos, de origem étnica mista (chinesa e africana), um do sexo masculino, 21 anos de idade, com 18% de Hb H (MKS), e outro do sexo feminino, 19 anos, com 5% desta Hb (FKS), ambos com genótipo -a3.7/--SEA. O método envolveu a técnica de Differential Display Reverse Transcription-Polymerase Chain Reaction (DDRT-PCR) e a realização de Hibridização Subtrativa Supressiva (SSH). A validação dos achados foi feita pela Reação em Cadeia da Polimerase quantitativa em Tempo Real (qRT-PCR). Quatro perfis diferenciais de expressão foram selecionados, todos mais representados no paciente com maior nível de Hb H. Dois foram detectados por ambas as abordagens metodológicas: um transcrito altamente homólogo à parte do gene da PIP5KIIA (fosfatidilinositol 4-fosfato-5 quinase tipo II a) e outro ao gene da cadeia ß da hemoglobina humana. Os outros dois transcritos, selecionados apenas pela SSH, apresentararam similaridade ao gene FAM46C (Family with sequence similarity 46, member C), que corresponde a uma proteína hipotética de função indeterminada, e ao gene EIF4E-BP1 (eukariotic translation initiation factor 4E ¿ binding protein 1), que codifica uma proteína regulatória da tradução com capacidade de inibição do fator eIF4E (eukariotic translation initiation factor 4E). Na tentativa de identificar os mecanismos responsáveis pelo aumento dos transcritos da PIP5KIIA e da globina ß nos reticulócitos de MKSalguns outros genes, relacionados às vias de atuação ou ao processo de transcrição dos primeiros, tiveram sua expressão também avaliada pela qRT-PCR. Os resultados obtidos, embora não conclusivos, sugeriram que a diferença nos níveis de Hb H apresentada pelos pacientes aqui estudados está correlacionada com a taxa de síntese de cadeias ß, e que a enzima PIP5KIIA, provavelmente via sinalização celular pelo fosfatidilinositol, de alguma maneira participa de sua regulação. O significado destes achados e o papel dos transcritos dos genes FAM46C e EIF4E-BP1 devem ser futuramente investigados para uma melhor compreensão dos mecanismos de regulação da expressão dos genes da globina ß em pacientes com talassemia a / Abstract: Hb H disease results from the inactivation of three of the four a-globin genes normally present on diploid genome and it is characterized by a moderate to severe chronic hemolytic anemia. Patients usually present microcytosis, hypochromia and poikilocytosis, with 25 to 30% of Hb Bart¿s (?4) at birth and 5 to 30% of Hb H (ß4) in adult life. Although the molecular base of this disease influences the Hb H levels produced, some heterogeneity has been observed in relation to this aspect, even in patients with identical a genotypes, thus suggesting that other factors contribute to this diversity besides a-thalassemic determinants. The aim of the present study was to identify differentially expressed transcripts in the reticulocytes from two patients with Hb H disease, siblings, from Chinese and African origins, a 21-year- old male (MKS) with 18% of Hb H and a 19-year-old female (FKS) with 5% of Hb H, both with genotype -a3.7/--SEA. The methodology involved two techniques: the Differential Display Reverse Transcription-Polymerase Chain Reaction (DDRT-PCR) and the Suppression Subtractive Hybridization (SSH). Quantitative real time PCR (qRT-PCR) experiments were used to confirm some results. Four differentially expressed profiles were obtained, all of them better represented in the subject with the highest Hb H level. Two transcripts were detected by both methodological approaches, one being highly similar to PIP5KIIA gene (Phosphatidylinositol ¿ 4 phosphate 5-kinase, type II a) and the other one similar to human ß-globin gene. Two others transcripts were selected only by SSH and they showed to be to FAM 46C (Family with sequence similarity 46, member C) and EIF4E-BP1 (eukariotic translation initiation factor 4E-binding protein 1) gene homologues. In order to identify the mechanisms that are responsible for the transcripts PIP5KIIA and ß- globin increase in the reticulocytes from MKS patient, some other genes related to the transcriptional process also had its expression evaluated by qRT-PCR. Although not conclusive, our results suggest that the difference between the Hb H levels, showed by the subjects here studied, is correlated with ß-globin synthesis rate and that PIP5KIIA may participate of its regulation, probably by cell signalizing through Phosphatidylinositol. Studies, particularly involving a higher number of patients, and experiments aimed at elucidating the PIP5KIIA function in erythroid cells, should help to understand this process. The initiation factor -4E binding protein (EIF4E-BP1) and its capacity to bind to eIF4E, acts as negative regulator of cell growth. Its overexpression was detected in the patient with the highest HbH level. The significance of these findings and the role of the FAM46C and EIF4E-BP1 gene transcripts should be further investigated so that the regulating of the ß-globin gene expression in a-thalassemic patients can be better understood / Doutorado / Medicina Experimental / Doutor em Fisiopatologia Medica

Type I PIP kinases (phosphatidylinositol 4-phosphate 5-kinases, PIP5Ks) catalyse the majority of cellular synthesis of PI(4,5)P2. To date, three mammalian isoforms (r1, r2, r3) have been found. PIP5KIr is subject to complex C-terminal splice variation, enhancing its transcriptional diversity through evolution and producing at least 5 known spliceoforms in the mammals. This study addresses several important questions. (1) Several remarkable differences have been discovered between the neuronal splice variant PIP5KIr_i3 and its close variant, Ir_i2, whose peptide lacks a 26-AA insert near its C-terminus. This study attempts to map these behavioural differences onto motifs within the peptide insert. Furthermore, a site of point mutation is identified near the activation loop, which amplifies the above differences. (2) This study documents properties of the more recently discovered PIP5KIr_i3, about which relatively little is known, for example, the regulation of its subcellular localisation, kinase activity and post-translational modifications. By site-directed mutagenesis and examining more closely several crucial motifs, insight is gained into the putative relationship between the enzyme’s phosphorylation state, cellular localisation, lipid kinase activity and autophosphorylation. (3) The discovery of a new PIP5KIr splice variant, Ir_v6, is described. First discovered in rodents, PIP5KIr_i6 encompasses the 26-AA insert of Ir_i3, but lacks the common C-terminus of Ir_i2 and Ir_i3 which contains peptide motifs that have several roles in vivo. A polyclonal antibody against the C-terminus of Ir_i6 was also developed. Preliminary characterisation of Ir_i6 demonstrates a similar subcellular localisation, but a wider expression profile than its close relative, Ir_i3, suggesting potentially differential functions across tissues and at various developmental stages. (4) The existence of Ir_v3 and Ir_v6 is also confirmed in humans. In light of recent findings of other novel human spliceoforms, this is shown to be a case of intra-exonic splicing producing “alternative 5’ splice site” exons in the human. Overall, this thesis should help to better understand the regulation and physiological roles of PIP5KIr and, specifically, its different splice variants.

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