Inactivation of p53 by mutation occurs in half of human tumours. The majority of these mutations affect the DNA-binding core domain and hence impair DNA binding and hinder transcription of p53 target genes. A wealth of data indicates that even cancers carrying wild type p53 protein, evolve mechanisms to render the p53 pathway inactive. Thus, inactivation of the p53 response, either by mutation or the alternative mechanisms, allows unpurturbed tumour growth. Recent work identified Anterior Gradient-2 (AGR2) as a protein overexpressed in wild type p53 expressing tumours and it was subsequently shown that AGR2 inhibits p53 pathway. In this study I confirmed that AGR2 protein inhibits p53 and AGR2 depletion potentiates p53-dependent DNA damage response. As there were no physiological signals known that regulate the AGR2-p53 axis, here I set out to identify pathways that activate or inhibit AGR2. I found that transforming growth factor β(TGF- β) triggers AGR2 protein reduction and this is concomitant with the stabilisation and increased activity of p53 protein. TGF-β halts AGR2 transcription in a SMAD4- dependent manner and triggers AGR2 protein degradation involving an ATM kinase. I found that SMAD nuclear interacting protein (SNIP1) mediated the ATMdependent AGR2 degradation. Interestingly, SNIP1 overexpression by itself promoted AGR2 protein degradation. I found that AGR2 protein degradation was proteasome independent and involed autophagy-lysosomal degradation pathway. As the mechanism of p53 inhibition by AGR2 is not known, I reasoned that identifying interactors of AGR2 may potentially further our understanding of the mechanism accounting for AGR2-mediated p53 inhibtion. I isolated the ATP binding protein Reptin in the yeast two-hybrid system and subsequently validated it as an AGR2 binding partner. Mutations of the two ATP binding motifs in Reptin resulted in altered oligomerization and thermostability of Reptin and affected the AGR2-Reptin complex stability. I also identified the Reptin docking site and it was mapped to a divergent octapeptide loop. I found that AGR2-Reptin complex coimmunoprecipitated with the p53 protein. Subsequently, I showed that Reptin protein can influence p53 activity, and depending on local concentration, either inhibit the transcription of p53-genes or chaperone its DNA binding activity. Interestingly, I found that Reptin formed a stable complex, independent of AGR2, with p53 R175H, p53 F270A, p53 S269D and p53 S269A, which has implication for the Reptin function in cancers bearing mutant form of p53 protein.

Le carcinome hépatocellulaire (CHC) est le principal cancer primitif du foie et est associé à un très mauvais pronostic. Notre équipe a mis en évidence que la Reptine et la Pontine, des AAA+ ATPases homologues, sont surexprimées dans le CHC par rapport au foie non tumoral. Au cours de ce travail de thèse, j’ai contribué à démontrer que l’extinction de la Reptine par l’induction de shRNA suffit à arrêter la croissance de tumeurs déjà établies, et même à induire leur régression dans des xénogreffes chez la souris. Ces résultats encourageants suggèrent que la Reptine pourrait être une cible thérapeutique dans le CHC. L’utilisation de siRNA en thérapeutique n’étant pas envisageable actuellement, il parait plus pertinent de tenter de cibler la Reptine via son activité ATPase. Le principal objectif de ma thèse était donc de déterminer l’implication de l’activité ATPase de la Reptine pour ses propriétés oncogéniques dans le CHC. Nos résultats ont montré que des mutants inactifs de la Reptine (D299N et E300G) ont un effet dominant négatif et ne sont pas capables de complémenter l’absence de la Reptine endogène, ce qui conduit à une diminution significative de la croissance des cellules HuH7 et Hep3B, et à une induction de l’apoptose. Ceci indique que l’activité ATPase de la Reptine est nécessaire pour la croissance et la survie des cellules de CHC. Enfin, grâce à une étude transcriptomique, nous avons identifié de nouveaux gènes dont l’expression est régulée par la Reptine et/ou la Pontine. Parmi ces gènes, certains pourraient être impliqués dans les fonctions oncogéniques de la Reptine et/ou de la Pontine dans le CHC. Finalement, ce travail a permis de mettre en évidence l’implication de l’activité ATPase de la Reptine, et d’apporter des éléments permettant de mieux comprendre le mécanisme d’action de la Reptine dans le CHC. / Hepatocellular carcinoma (HCC) is the main primary cancer of the liver and is often associated with poor prognosis. Our team has demonstrated that Reptin and Pontin, two AA+ ATPases, are overexpressed in HCC compared to normal liver. Moreover this overexpression is also associated with poor prognosis. In the course of my PhD, I demonstrated that shRNA-mediated silencing of Reptin is sufficient to inhibit tumor growth and even can promote their regression in xenografted mice. These encouraging results suggest that Reptin might represent a novel therapeutic target in HCC. As the use of siRNA as therapeutic tools is still debated, the targeting of Reptin enzymatic activity might represent a more relevant approach to impair its functions. To this end I first proposed to determine the involvement of Reptin ATPase activity in HCC oncogenesis. My results show that ATPase inactive Reptin mutants (D299N and E300G) play dominant negative roles toward Reptin functions and are unable to complement for the depletion of endogenous Reptin, thereby leading to a significant decrease of cell growth and to a significant increase of apoptosis in HuH7 and Hep3B cells. These results show that Reptin’s ATPase activity is necessary for HCC cell growth and survival. Moreover, using a transcriptomic approach that compared gene expression upon siRNA-mediated Reptin or Pontin silencing, we identified specific genes whose expression is under the control of those proteins and whose functions might provide mechanistic explanation to Reptin’s involvement in HCC. Collectively, the results obtained during my PhD thesis have characterized the contribution of Reptin ATPase activity to HCC growth and development and might represent a founding step in the understanding of Reptin’s biology in cancer development.

Les travaux antérieurs du laboratoire ont montré que la Reptine, une AAA+ ATPase, est surexprimée dans le carcinome hépatocellulaire où elle est nécessaire à la prolifération et la survie cellulaire. Il est connu que la Reptine joue un rôle crucial dans la stabilité de la kinase mTOR, mais son rôle physiopathologique in vivo reste inconnu. Les objectifs de ma thèse étaient d’étudier le rôle de la Reptine dans le métabolisme et la régénération hépatique grâce à un nouveau modèle murin d’invalidation hépato-spécifique de la Reptine (Reptin LKO). Nous avons montré que la Reptine régule la stabilité de la protéine mTOR in vivo, via son activité ATPase. De manière inattendue, la délétion ou l’inhibition pharmacologique de la Reptine induisent une inhibition de l’activité mTORC1 et une augmentation de l’activité mTORC2, associées à une inhibition de la lipogenèse et de la production de glucose hépatique. La délétion de la Reptine supprime complètement les phénotypes pathologiques associés au syndrome métabolique induit par un régime riche en graisses. Ainsi, l’inhibition de l’ATPase Reptine pourrait représenter une nouvelle stratégie thérapeutique pour le syndrome métabolique. Dans le modèle Reptin LKO, nous avons observé une perte progressive de l’invalidation de la Reptine associée à un phénomène de régénération hépatique. Nos résultats préliminaires suggèrent que la Reptine est nécessaire à la survie des hépatocytes et est requise pour la prolifération des hépatocytes durant la régénération hépatique après hépatectomie partielle. Pour conclure, l’ensemble de nos résultats suggèrent que la Reptine joue un rôle crucial dans l’homéostasie glucido-lipidique du foie, ainsi que dans la prolifération et la survie des hépatocytes. / Previous studies of the laboratory have shown that Reptin, an AAA+ ATPase, is overexpressed in hepatocellular carcinoma where it is necessary for proliferation and cell survival. It is known that Reptin plays a critical role in the stabilization of the mTOR kinase, but its pathophysiological role in vivo remains unknown. The objectives of my thesis were to study the role of Reptin in liver metabolism and regeneration using a new hepato-specific Reptin knock-out murine model (Reptin LKO). We have shown that hepatic Reptin maintains mTOR protein level in vivo through its ATPase activity. Unexpectedly, loss or pharmacological inhibition of Reptin induces an inhibition of mTORC1 activity and an increase of mTORC2 activity, associated with inhibition of lipogenesis and hepatic glucose production. The deletion of Reptin completely rescued pathological phenotypes associated with the metabolic syndrome induced by a high fat diet. Thus, inhibition of Reptin ATPase could represent a new therapeutic perspective for the metabolic syndrome. In Reptin LKO model, we have observed a progressive loss of Reptin invalidation associated with a liver regeneration phenomenon. Our preliminary data suggest that Reptin is necessary for hepatocyte survival and is required for hepatocyte proliferation during liver regeneration after partial hepatectomy. To conclude, altogether our results suggest that Reptin plays a crucial role in glucose and lipid metabolism in the liver, and in hepatocyte proliferation and survival.

An understanding of the underlying mechanisms by which proteins engage and communicate within the complex cellular environment is critical to the elucidation of the molecular basis of disease states and the development of safer, more efficacious drug therapies. Diverse cellular functions, including replication, transcription, cell growth and intracellular signal transduction, are governed by extensive networks of protein-protein interactions (PPIs). Disruption of the finely-tuned cellular networks due to the formation of aberrant or unregulated PPIs is implicated in the development and progression of cancer. As a result, over the last decade, PPI modulation has developed as an attractive molecular target for novel cancer therapies and as a powerful research tool in chemical biology to provide insight into the cellular transformations involved in carcinogenesis. Chapter 1 provides a review of the physiological importance of PPIs and the role they play in the development and progression of cancer. A summary of the challenges associated with targeting PPIs is given, highlighting the changing perception regarding the drugabbility of PPIs and the technological and conceptual advances driving this transformation. A brief overview of the approaches used to identify PPI modulators links the reader to the appropriate chapter for further discussion and utilisation of a selection of these methods. Chapter 2 describes the application of a virtual screening approach to discover PPI modulators. In particular, the development of an in silico – in vitro screening method to identify modulators of the protein interactome of the AAA+ protein reptin. The synthesis and optimisation of two hit compounds is outlined, with a discussion of their predicted binding modes, mode of action, potential as chemical tools and lead molecules for an anti-cancer drug discovery programme. Chapter 3 highlights the potential to discover PPI modulators from Nature's rich source of structurally complex, bioactive molecules. A synthetic approach to a sub-family of tetramic acid natural products is outlined, involving the development of a short, asymmetric synthesis of unnatural 4,4-disubstituted glutamic acid derivatives. The first total syntheses of the potent siderophore harzianic acid and the PAC3 PPI inhibitor JBIR-22 are reported. In addition, the potential role of a Diels-Alderase enzyme in the biosynthesis of JBIR-22 and the development of a chiral catalysed intramolecular Diels-Alder of an advanced JBIR-22 intermediate is investigated. Chapter 4 discusses the use of structure based design techniques in the development of PPI modulators. The process involved in the design of two series of inhibitors of PICK PDZ domain mediated interactions is outlined. This leads to the development and optimisation of synthetic routes to both series of inhibitors, including the utilisation of a strategic sp3-sp2 cross coupling reaction. Finally, preliminary biological assessment of the inhibitors is reported. Chapter 5 gives a brief overview of high-throughput screening (HTS) methods used to identify PPI modulators. The utilisation of a forward chemical genetics screen to identify the p53 activator MJ05 is described. A racemic and asymmetric route to MJ05 is developed and biochemical analysis of the two enantiomers of MJ05 is reported including the investigation of MJ05 as an adjuvant therapy for the treatment of cancer. Chapter 6 provides a general overview of the outcome of the different approaches used in this research to discover PPI modulators. Particular emphasis is placed on the development of chemical tools for the elucidation and dissection of the physiological role of protein-protein interactions and the identification of novel drug targets, in addition to the identification of lead molecules for PPI drug development programmes.