Diploma thesis deals with analysis of coefficient of friction in total hip prosthesis for several materials bearing with presence of bovine serum as substitute of synovial fluid occurred in natural joint. Behavior of coefficient of friction is observed on Mini Traction Machine. Results are plotted at graphs representing dependence of coefficient of friction on time. There are described effects of several kinematic conditions, the influence of used material and the effect of the method of contact lubrication. The experiments analyze how the formation of lubricant film with a layer of adsorbed protein affects coefficient of friction.

Idealizou-se o presente ensaio com o objetivo de padronizar o perfil hematológico, bioquímico, eletroforético (proteinograma sérico) e quantificação das células linfocitárias CD4, CD5, CD8 por citometria de fluxo de cães da raça Golden Retrivier normais (grupos GR) e de cães distróficos (grupos GRMD). Para tanto, considerou-se a divisão dos grupos de acordo com a idade dos animais, desde o nascimento até a idade adulta, compondo assim seis grupos, sendo eles GR I, II, III e GRMD I, II, III. No presente projeto realizamos os estudos eletroforéticos de cães pertencentes a todos os grupos, estudos hematológicos e bioquímicos dos cães pertencentes aos grupos GR II, III, GRMD II e III, imunofenotipagem linfocitária dos grupos GR III e GRMD III. Os resultados eritroleucométricos e trombométricos obtidos para os cães pertencentes aos grupos GR II e GR III apresentaram valores médios dentro normalidade. Com relação aos cães pertencentes aos grupos GRMD III, observamos que o eritrograma se encontra dentro dos valores de referência. Contudo, considerando o leucograma, os valores médios (3,79/ mm3) referentes à mensuração de basófilos apresentaram-se acima dos valores de normalidade, variando de 0 a 159/mm3. Ademais, considerando os valores máximos, alguns animais pertencentes ao grupo em questão, apresentaram leucocitose com neutrofilia sem desvio à esquerda, além de trombocitose, monocitose e linfopenia, no momento das coletas. As dosagens bioquímicas séricas de todos os cães afetados apresentaram valores médios acima dos valores de normalidade para a dosagem de AST, ALT e CK. Para o estudo das proteínas séricas, a técnica SDS-PAGE permitiu o fracionamento de vinte e três proteínas, cujos pesos moleculares variaram de 16.000 a 260.000 daltons em todos os grupos estudados. Destas, foi possível identificar nominalmente doze frações protéicas: IgA (PM 142.000 Da), proteína C-reativa (PM122.000 Da), ceruloplasmina (PM 110.000 Da), fosforilase (PM 95.000 Da), transferrina (PM 82.000 Da), hemopexina (PM 78.000 Da), albumina (PM 66.000 Da), alfa1 antitripsina (PM 62.000 Da), IgG de cadeia pesada (PM 55.000 Da), haptoglobina (PM 45.000 Da), glicoproteína ácida (PM 40.000 Da) e IgG de cadeia leve (PM 23.000 Da). As demais proteínas foram identificadas pelos respectivos pesos moleculares. Não foi possível identificar nominalmente as frações protéicas de pesos moleculares 260.000 Da, 230.000 Da, 180.000 Da, 165.000 Da, 158.000 Da, 91.000 Da, 35.000 Da, 30.000 Da, 28.000 Da e 16.000 Da. Dentre essas proteínas foi possível observar que a proteína de peso molecular 91.000 Da foi encontrada apenas nos grupos GR I e GRMD I não sendo identificada nos outros grupos estudados. Considerando as alterações encontradas com relação às proteínas de fase aguda, evidenciamos as respostas de fase aguda frente às lesões musculares que ocorrem progressivamente em cães distróficos, principalmente em animais distróficos jovens, podendo inferir que os mesmos apresentaram alterações protéicas perante a injúria tecidual como é relatado em vários processos inflamatórios relacionados com outras patologias. Da mesma forma, os animais afetados pela distrofia, possuem alterações imunoglobulínicas quando comparados a animais normais. Com relação a imunofenotipagem linfocitária foi confeccionado um histograma das populações de linfócitos CD4+, CD5+ e CD8+ a partir da região do gate de linfócitos. Todos os animais afetados pela distrofia apresentaram porcentagem significativamente maior com relação à população linfocitária CD4+ e CD5+ quando comparados aos cães normais. Desta forma, podemos inferir que o processo progressivo da distrofia, esta relacionado com alterações nas populações celulares que compõe o sistema imune dos pacientes, pois devido a ausência de distrofina o músculo fica mais susceptível á lesões, sendo que na sua ocorrência, há liberação de citocinas que estimulam as células hepáticas a secretarem as proteínas de fase aguda e a promoverem uma co-estimulação de linfócitos T. Assim, podemos sugerir que os resultados encontrados em nosso trabalho são conseqüências da resposta inflamatória gerada pela lesão muscular. Esperamos com esse estudo, fornecer mais informações sobre a fisiopatogenia da doença, bem como promover um maior entendimento sobre a avaliação imunológica e resposta inflamatória neste modelo de estudo. Ademais, que os valores de base encontrados possam auxiliar na avaliação de possíveis reações nos testes pré-clínicos, facilitando assim, o entendimento das reações benéficas ou adversas para validar e explicar o mecanismo de ação de uma terapia celular, gênica ou mesmo medicamentosa / Devised to test this in order to standardize the hematological, biochemical, electrophoretic (Serum protein) and quantification of CD4 lymphocyte cells, CD5, CD8 by flow cytometry of Golden Retriever dogs normal (group GR) and dogs dystrophic (GRMD groups). To this end, we considered the division of groups according to age of animals, from birth to adulthood, thus composing six groups, as Gr I, II, III and GRMD I, II, III. In this project we performed electrophoretic studies of dogs belonging to all groups, haematological and biochemical studies of dogs belonging to the groups GR II, III, II and III GRMD, lymphocyte immunophenotyping in groups III and GR GRMD III. The results obtained for trombometric, erythometric and dogs belonging to the groups and GR II GR III showed mean values within normal limits. With respect to dogs belonging to groups III GRMD, we observed that the erythrocyte is within the reference values. However, considering the WBC, the mean (3.79 / mm3) relating to the measurement of basophils were above normal values, ranging from 0 to 159/mm3. Moreover, considering the maximum, some animals belonging to the group in question had leukocytosis with neutrophilia without left shift, and thrombocytosis, monocytosis and lymphopenia at the time of collection. The biochemical serum of all affected dogs had mean values above the normal range for the determination of AST, ALT and CK. For the study of proteins, SDS-PAGE technique allowed the fractionation of twenty-three proteins whose molecular weights ranged from 16,000 to 260,000 daltons in all groups. These could be identified by name twelve fractions: IgA (PM 142,000 Da), C-reactive protein (PM122.000 Da), ceruloplasmin (PM 110,000 Da), phosphorylase (95,000 Da PM), transferrin (82,000 Da PM), hemopexin (PM 78 000 Da), albumin (66,000 Da PM), alpha1 antitrypsin (PM 62,000 Da), IgG heavy chain (55,000 Da PM), haptoglobin (PM 45,000 Da), glycoprotein (PM 40,000 Da) and IgG light chain (PM 23 000 Da). The other proteins were identified by their molecular weights. We could not identify by name the protein fractions of molecular weight 260,000 Da, 230,000 Da, 180,000 Da, 165,000 Da, 158,000 Da, 91,000 Da, 35,000 Da, 30,000 Da, 28,000 Da and 16,000 Da. Among these proteins was observed that the protein molecular weight of 91,000 Da was found only in groups GR I and GRMD I was not identified in other groups. Considering the changes found with relation to acute phase proteins, we noted the acute phase response in the face of muscle injuries that occur gradually in dystrophic dogs, especially in young dystrophic animals, which may infer that they had abnormal protein before tissue injury as reported in many inflammatory-related pathologies. Likewise, animals affected by muscular dystrophy, alterations immunoglobulin when compared to normal animals. With respect to lymphocyte immunophenotyping was made a histogram of the populations of CD4, CD5 and CD8 from the region of the gate of lymphocytes. All animals affected by muscular dystrophy showed significantly higher percentage with respect to CD4 and CD5 lymphocyte population compared to normal dogs. Thus, we can infer that the process of progressive muscular dystrophy, is associated with changes in cell populations that make up the immune system of patients, because due to the absence of dystrophin, the muscle is more susceptible to damage, and its occurrence , a release of cytokines that stimulate liver cells to secrete acute phase proteins and promote a co-stimulation of T lymphocytes Thus, we suggest that the findings in our study are consequences of the inflammatory response generated by muscle injury.We hope that this study, provide more information about the pathophysiolgy of the disease, and promote a greater understanding of the immune and inflammatory responde assessment in this study model. Moreover, the base values found could help in assessing possible responses in preclinical testing, aiding the understanding of the beneficial or adverse reactions to validate and explain the mechanism of action of a cell therapy, gene or drug treatments

Submitted by (lucia.rodrigues@ufrpe.br) on 2017-02-10T14:31:41Z No. of bitstreams: 1 Vania Freire Lemos.pdf: 1507844 bytes, checksum: cbb75eb979bd39586c08dadf5aea6579 (MD5) / Made available in DSpace on 2017-02-10T14:31:41Z (GMT). No. of bitstreams: 1 Vania Freire Lemos.pdf: 1507844 bytes, checksum: cbb75eb979bd39586c08dadf5aea6579 (MD5) Previous issue date: 2013-02-11 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / The objective of this work was to evaluate dynamics of the proteinogram of blood serum and whey protein of Santa Ines sheep breed following the antipartum period and during lactation, and to compare/to quantify proteins detected at eletrophoresis of the whey protein from healthy and infectious mammary glands in different phases of lactation. Thrirty four sheeps submitted to half-intensive system with same sanitary and nutritional management has been followed. For accomplishment of proteinogram of the sheep, they had been investigated during approximately 10 days from antipartum and 15, 30, 60 and 90 days postpartum, moments where clinical examination of mammary gland was carried through. Blood serum was evaluated at antipartum moment and proteinogram of whey protein at subsequent moments. Bacteriological culture and biochemist characterization of milk samples for confirmation of healthy and infected glands was performed. Separation of protein fractions was carried through using sodium dodecil sulphate polyacrylamide gel eletrophoresis (SDS-PAGE). For the blood serum it was observed quantification of nine proteins with significant influence in IgG. At whey protein, influence of the phases of lactation was identified eigth proteins, having albumin, IgG and β - lactoglobulin.. Comparing healthy and infected glands it was verified that hatptoglobin and α-1 acid glycoprotein, lactoferrin, albumin and immunoglobulins IgA and IgG in whey protein act as potentials biomarkers of infection in mammary gland of ovine species. / Objetivou-se neste trabalho avaliar a dinâmica do proteinograma do soro sangüíneo e lácteo de ovelhas da raça Santa Inês acompanhadas no período que antecedeu o parto e durante a lactação e comparar/quantificar as proteínas detectadas no traçado eletroforético do soro lácteo de glândulas mamárias sadias e infectadas em diferentes fases da lactação. Foram acompanhadas 34 ovelhas submetidas ao sistema de criação semi-intensivo, com mesmo manejo higiênico, sanitário e nutricional. Para a realização do proteinograma as ovelhas foram investigadas durante, aproximadamente 10 dias que precedeu o parto e 15, 30, 60 e 90 dias após o parto, momentos em que foi realizado o exame clínico da glândula mamária. O proteinograma sangüíneo foi efetuado a partir do momento pré parto e o proteinograma do soro lácteo nos momentos subseqüentes. Realizou-se o cultivo bacteriológico e a caracterização bioquímica das amostras de leite para confirmação de glândulas sadias e infectadas. A separação das frações protéicas foi realizada utilizando-se eletroforese em gel de poliacrilamida contendo dodecil sulfato de sódio (SDS-PAGE). Para o soro sanguíneo observou-se a quantificação de nove proteínas observando influência significativa somente na IgG; no soro lácteo identificou-se oito proteínas havendo influência das fases de lactação na albumina, IgG e β - lactoglobulina. Ccomparando glândulas sadias e infectadas verificou-se que a hatptoglobina, α-1 glicoproteína ácida, lactoferrina, albumina e as imunoglobulinas IgA e IgG presentes no soro lácteo atuam como biomarcadores de infecção na glândula mamária na espécie ovina.

Die Diagnostik eines Glioblastoms (GBM) stützt sich z.Z. neben klinischer Symptomatik auf bildgebende Diagnostik sowie die histologische Untersuchung. In letzter Zeit werden zuneh-mend Serumproteine beschrieben und untersucht, die mit einer GBM-Erkrankung assoziiert sind. Elstner, Stockhammer und Kollegen haben 2011 ein Serumproteinprofil identifiziert, das aus CXCL10/IP-10, BMP-2 und HSP70 besteht und in einem Kollektiv von 23 GBM-Erkrankten und 9 Gesunden eine Sensitivität von 89% und eine Spezifität von 96% besaß. Dieses Profil wurde nun in einer unizentrischen klinischen Studie an 35 GBM-Erkrankten und 37 Patienten mit differenzialdiagnostisch relevanten Erkrankungen (v. a. Hirnmetastasen und primären ZNS-Lymphomen) überprüft. Dabei wurden die präoperativ abgenommenen Blut-proben mittels des ELISA-Nachweisverfahrens untersucht und die jeweiligen Konzentratio-nen in die von Elstner et al. (2011) entwickelte Regel eingesetzt. In diesem Kollektiv konnte das Profil nicht zwischen einem GBM und seinen Differenzialdiagnosen unterscheiden (Sensitivität 31%, Spezifität 54%). Es ist nicht als Hilfsmittel zur Diagnostik von Glioblastomen geeignet.

Idealizou-se o presente ensaio com o objetivo de padronizar o perfil hematológico, bioquímico, eletroforético (proteinograma sérico) e quantificação das células linfocitárias CD4, CD5, CD8 por citometria de fluxo de cães da raça Golden Retrivier normais (grupos GR) e de cães distróficos (grupos GRMD). Para tanto, considerou-se a divisão dos grupos de acordo com a idade dos animais, desde o nascimento até a idade adulta, compondo assim seis grupos, sendo eles GR I, II, III e GRMD I, II, III. No presente projeto realizamos os estudos eletroforéticos de cães pertencentes a todos os grupos, estudos hematológicos e bioquímicos dos cães pertencentes aos grupos GR II, III, GRMD II e III, imunofenotipagem linfocitária dos grupos GR III e GRMD III. Os resultados eritroleucométricos e trombométricos obtidos para os cães pertencentes aos grupos GR II e GR III apresentaram valores médios dentro normalidade. Com relação aos cães pertencentes aos grupos GRMD III, observamos que o eritrograma se encontra dentro dos valores de referência. Contudo, considerando o leucograma, os valores médios (3,79/ mm3) referentes à mensuração de basófilos apresentaram-se acima dos valores de normalidade, variando de 0 a 159/mm3. Ademais, considerando os valores máximos, alguns animais pertencentes ao grupo em questão, apresentaram leucocitose com neutrofilia sem desvio à esquerda, além de trombocitose, monocitose e linfopenia, no momento das coletas. As dosagens bioquímicas séricas de todos os cães afetados apresentaram valores médios acima dos valores de normalidade para a dosagem de AST, ALT e CK. Para o estudo das proteínas séricas, a técnica SDS-PAGE permitiu o fracionamento de vinte e três proteínas, cujos pesos moleculares variaram de 16.000 a 260.000 daltons em todos os grupos estudados. Destas, foi possível identificar nominalmente doze frações protéicas: IgA (PM 142.000 Da), proteína C-reativa (PM122.000 Da), ceruloplasmina (PM 110.000 Da), fosforilase (PM 95.000 Da), transferrina (PM 82.000 Da), hemopexina (PM 78.000 Da), albumina (PM 66.000 Da), alfa1 antitripsina (PM 62.000 Da), IgG de cadeia pesada (PM 55.000 Da), haptoglobina (PM 45.000 Da), glicoproteína ácida (PM 40.000 Da) e IgG de cadeia leve (PM 23.000 Da). As demais proteínas foram identificadas pelos respectivos pesos moleculares. Não foi possível identificar nominalmente as frações protéicas de pesos moleculares 260.000 Da, 230.000 Da, 180.000 Da, 165.000 Da, 158.000 Da, 91.000 Da, 35.000 Da, 30.000 Da, 28.000 Da e 16.000 Da. Dentre essas proteínas foi possível observar que a proteína de peso molecular 91.000 Da foi encontrada apenas nos grupos GR I e GRMD I não sendo identificada nos outros grupos estudados. Considerando as alterações encontradas com relação às proteínas de fase aguda, evidenciamos as respostas de fase aguda frente às lesões musculares que ocorrem progressivamente em cães distróficos, principalmente em animais distróficos jovens, podendo inferir que os mesmos apresentaram alterações protéicas perante a injúria tecidual como é relatado em vários processos inflamatórios relacionados com outras patologias. Da mesma forma, os animais afetados pela distrofia, possuem alterações imunoglobulínicas quando comparados a animais normais. Com relação a imunofenotipagem linfocitária foi confeccionado um histograma das populações de linfócitos CD4+, CD5+ e CD8+ a partir da região do gate de linfócitos. Todos os animais afetados pela distrofia apresentaram porcentagem significativamente maior com relação à população linfocitária CD4+ e CD5+ quando comparados aos cães normais. Desta forma, podemos inferir que o processo progressivo da distrofia, esta relacionado com alterações nas populações celulares que compõe o sistema imune dos pacientes, pois devido a ausência de distrofina o músculo fica mais susceptível á lesões, sendo que na sua ocorrência, há liberação de citocinas que estimulam as células hepáticas a secretarem as proteínas de fase aguda e a promoverem uma co-estimulação de linfócitos T. Assim, podemos sugerir que os resultados encontrados em nosso trabalho são conseqüências da resposta inflamatória gerada pela lesão muscular. Esperamos com esse estudo, fornecer mais informações sobre a fisiopatogenia da doença, bem como promover um maior entendimento sobre a avaliação imunológica e resposta inflamatória neste modelo de estudo. Ademais, que os valores de base encontrados possam auxiliar na avaliação de possíveis reações nos testes pré-clínicos, facilitando assim, o entendimento das reações benéficas ou adversas para validar e explicar o mecanismo de ação de uma terapia celular, gênica ou mesmo medicamentosa / Devised to test this in order to standardize the hematological, biochemical, electrophoretic (Serum protein) and quantification of CD4 lymphocyte cells, CD5, CD8 by flow cytometry of Golden Retriever dogs normal (group GR) and dogs dystrophic (GRMD groups). To this end, we considered the division of groups according to age of animals, from birth to adulthood, thus composing six groups, as Gr I, II, III and GRMD I, II, III. In this project we performed electrophoretic studies of dogs belonging to all groups, haematological and biochemical studies of dogs belonging to the groups GR II, III, II and III GRMD, lymphocyte immunophenotyping in groups III and GR GRMD III. The results obtained for trombometric, erythometric and dogs belonging to the groups and GR II GR III showed mean values within normal limits. With respect to dogs belonging to groups III GRMD, we observed that the erythrocyte is within the reference values. However, considering the WBC, the mean (3.79 / mm3) relating to the measurement of basophils were above normal values, ranging from 0 to 159/mm3. Moreover, considering the maximum, some animals belonging to the group in question had leukocytosis with neutrophilia without left shift, and thrombocytosis, monocytosis and lymphopenia at the time of collection. The biochemical serum of all affected dogs had mean values above the normal range for the determination of AST, ALT and CK. For the study of proteins, SDS-PAGE technique allowed the fractionation of twenty-three proteins whose molecular weights ranged from 16,000 to 260,000 daltons in all groups. These could be identified by name twelve fractions: IgA (PM 142,000 Da), C-reactive protein (PM122.000 Da), ceruloplasmin (PM 110,000 Da), phosphorylase (95,000 Da PM), transferrin (82,000 Da PM), hemopexin (PM 78 000 Da), albumin (66,000 Da PM), alpha1 antitrypsin (PM 62,000 Da), IgG heavy chain (55,000 Da PM), haptoglobin (PM 45,000 Da), glycoprotein (PM 40,000 Da) and IgG light chain (PM 23 000 Da). The other proteins were identified by their molecular weights. We could not identify by name the protein fractions of molecular weight 260,000 Da, 230,000 Da, 180,000 Da, 165,000 Da, 158,000 Da, 91,000 Da, 35,000 Da, 30,000 Da, 28,000 Da and 16,000 Da. Among these proteins was observed that the protein molecular weight of 91,000 Da was found only in groups GR I and GRMD I was not identified in other groups. Considering the changes found with relation to acute phase proteins, we noted the acute phase response in the face of muscle injuries that occur gradually in dystrophic dogs, especially in young dystrophic animals, which may infer that they had abnormal protein before tissue injury as reported in many inflammatory-related pathologies. Likewise, animals affected by muscular dystrophy, alterations immunoglobulin when compared to normal animals. With respect to lymphocyte immunophenotyping was made a histogram of the populations of CD4, CD5 and CD8 from the region of the gate of lymphocytes. All animals affected by muscular dystrophy showed significantly higher percentage with respect to CD4 and CD5 lymphocyte population compared to normal dogs. Thus, we can infer that the process of progressive muscular dystrophy, is associated with changes in cell populations that make up the immune system of patients, because due to the absence of dystrophin, the muscle is more susceptible to damage, and its occurrence , a release of cytokines that stimulate liver cells to secrete acute phase proteins and promote a co-stimulation of T lymphocytes Thus, we suggest that the findings in our study are consequences of the inflammatory response generated by muscle injury.We hope that this study, provide more information about the pathophysiolgy of the disease, and promote a greater understanding of the immune and inflammatory responde assessment in this study model. Moreover, the base values found could help in assessing possible responses in preclinical testing, aiding the understanding of the beneficial or adverse reactions to validate and explain the mechanism of action of a cell therapy, gene or drug treatments

Alpha 2 agonists are frequently used in equine medicine. This study focused primarily on α2 agonist-induced changes in PCV and TSP. A secondary aim of this study was to investigate the effects of α2 agonist on selected serum biochemical parameters and splenic size in order to identify potential causes for the changes seen in PCV and TSP. Four healthy adult mares were treated in a blinded, randomized, cross-over design with a single dose of xylazine (0.5 mg/kg), romifidine (0.04 mg/kg) or detomidine (0.01 mg/kg) intravenously, or detomidine (0.02 mg/kg) intramuscularly. A 1-week washout period was allowed between treatments. Haematology, TSP, COP, plasma osmolality, glucose, BUN, serum lactate, electrolytes, venous blood pH, ultrasonographic splenic size and degree of clinical sedation were evaluated at different time points post-injection and compared to baseline values. All treatments induced similar clinical sedation in the mares. A significant change over time in PCV and TSP following each treatment was identified, with overall median (range) maximal reductions compared to baseline of 20.9% (12.9 - 27.3%) and 5.8% (3.0 - 10.3%), respectively. Additionally, changes over time were significant for RBC count, BUN, COP and Ca2+, which decreased; and glucose, plasma osmolality, Na+ and splenic size, which increased, when compared to baseline. There was no significant main effect of treatment on PCV, TSP or any other parameters measured except for glucose. This study concluded that changes in PCV, TSP and other biochemical parameters induced by α2 agonists should be taken into consideration when assessing critically ill horses that received these drugs. There was evidence of splenic RBC sequestration as well as fluid shifts; therefore, the results suggest a multifactorial cause for the changes in PCV and TSP. / Dissertation (MSc)--University of Pretoria, 2011. / Companion Animal Clinical Studies / unrestricted

La leucémie lymphoïde chronique (LLC) est le lymphome avec phase circulante le plus fréquent chez l’adulte dans les pays occidentaux. Elle est caractérisée par une grand hétérogénéité dans son évolution naturelle avec des formes indolentes ne nécessitant jamais de traitement spécifique et des formes agressives requérant une chimiothérapie rapidement après le diagnostic. Dans ce travail de thèse, nous avons posé la question du rôle des anomalies moléculaires et en particulier des gènes des immunoglobulines dans l’histoire naturelle de la maladie, tant au plan mécanistique que pour le pronostic. Nous avons étudié trois remaniements atypiques impliquant un gène des immunoglobulines et un partenaire inconnu dans la LLC/lymphome lymphocytique. Les points de cassure ont pu être identifiés et nous ont permis de mettre en évidence l’implication dans 2 cas d’ARN longs non codants en 17q25 et 8q24. De plus, deux cas ont des points de cassure dans une région chromosomique restreinte (espacés de 200 kb en 17q25). Il pourrait s’agir d’un locus important dans la lymphomagénèse, de même que pour la région 8q24 contenant MYC et de nombreux gènes non codants jusqu’ici peu explorés. Par ailleurs, dans l’ère du séquençage haut débit, de nombreux marqueurs pronostiques moléculaires sont décrits dans la LLC. Nous avons démontré que l’électrophorèse des protéines sériques normale (immunoglobulines polyclonales sans hypogammaglobulinémie) au diagnostic, un marqueur simple et peu couteux, reste dans l’ère du NGS, un marqueur indépendant de bon pronostic dans la LLC. Sa combinaison avec un statut IGHV muté identifie un groupe de patients qui n’auront probablement jamais besoin de traitement spécifique. Ce travail nous a conduit à mettre au point un outil performant de détection des anomalies de nombre de copies par séquençage haut débit. Celui-ci permet la mise en évidence de disomies uniparentales dont la signification pronostique n’est actuellement pas établie dans la LLC. Ces anomalies pourraient être le reflet d’une instabilité chromosomique et il serait intéressant d’étudier leur impact pronostique dans la LLC. / Chronic lymphocytic leukemia (CLL) is the most frequent lymphoma with leukemic phase in the elderly in Western countries. It is characterized by a great heterogeneity in its natural history with indolent forms never requiring any specific treatment and aggressive forms needing chemotherapy rapidly after diagnosis. In this work of thesis, we asked the question of the role of molecular abnormalities, and in particular of the immunoglobulin genes in the natural history of the disease, at mechanistic level and for prognosis. We studied three atypical rearrangements implicating an immunoglobulin gene and an unknown partner in CLL/lymphocytic lymphoma. The breakpoints have been identified and the implication of long non coding RNA was highlighted in two cases in 17q25 and 8q24. Moreover, two cases harboured breakpoints in a restricted chromosomic region (200 kb spaced in 17q25). It could be an important locus in lymphomagenesis, as is 8q24 region containing MYC and numerous other non coding genes poorly characterized by now. Furthermore, in high throughput sequencing (HTS) era, many molecular prognosis markers have been described in CLL. We demonstrated that normal serum protein electrophoresis (polyclonal immunoglobulin without hypogammaglobulinemia) at diagnosis, a simple and unexpensive marker, stays in HTS era an independent good prognosis marker in CLL. Its combination with unmutated IGHV genes status identifies a group of patients who will probably never require any specific treatment. This work led us to develop an efficient tool to detect copy number variations by THS. This tool allows to highlight uniparental disomy whose prognosis signification is not established in CLL. These abnormalities could reflect chromosomal instability and it could be interesting to study their prognosis impact in CLL.

Bei der Zellkultivierung wird dem artifiziell hergestellten Grundmedium meist tierisches Serum hinzugefügt, um ein adäquates Wachstum der Zellen zu gewährleisten. So liefert das Serum zusätzliche Nährstoffe, essenzielle Wachstumsfaktoren und eine Vielzahl weiterer Moleküle. Die Seren werden kommerziell aus tierischem Vollblut hergestellt und normalerweise vor ihrer Auslieferung auf bestimmte Parameter, wie zum Beispiel Aminosäure-Gehalt und Albumin-Konzentration, getestet. Trotz dieser Testung seitens der vertreibenden Unternehmen bestehen große Qualitätsunterschiede bei den Zellkulturanwendungen. Somit sind Forschungslabore häufig gezwungen Probeseren anzufordern und diese in eigenen zeitaufwendigen und kostenintensiven Zellkulturversuchen zu testen, bevor ein Serum ausgewählt und in den eigentlichen Versuchen eingesetzt werden kann. Auch die serumvertreibenden Unternehmen müssen demzufolge alle Serumchargen bis zum Abschluss der Testversuche in ausreichenden Mengen bereithalten, was einen bedeutenden Mehraufwand darstellt. Aus diesen Gründen wäre es eine entscheidende Vereinfachung, wenn ein geeigneter Biomarker zur Testung der Serumtauglichkeit gefunden werden könnte, der diese aufwendigen Vorversuche ersetzt. Ein potenzieller Biomarker könnte das Glycerophospholipid Lysophosphatidylcholin (LPC) sein. Seine stressbedingte Bildung, vorrangig aus Phosphatidylcholin (PC), im Rahmen von Entzündungen, oxidativem Stress oder ungünstigen Lagerungsbedingungen könnte als Indikator für qualitätsmindernde Prozesse im Serum dienen. Des Weiteren könnte das vermehrte LPC selbst einen entscheidenden Einfluss auf das Wachstum von Zellen haben und somit die Qualität der Seren widerspiegeln. Die Matrix-assisted laser desorption/ionization time-of-flight Massenspektrometrie (MALDI-TOF MS) eignet sich aufgrund ihrer Robustheit gegenüber Verunreinigungen und der hohen Messgeschwindigkeit für die Detektion beider Moleküle in biologischen Materialen. Zur weiteren Vereinfachung der Bestimmung der LPC-Konzentration mittels MALDI-TOF MS wird oft auf den Zusatz eines internen Standards verzichtet, um zusätzliche Fehlerquellen zu vermeiden. Hierbei wird LPC ausschließlich relativ zur PC-Konzentration ermittelt (PC/LPC-Verhältnis). Da es sich bei Serum um eine komplexe, biologische Probe handelt, könnten Molekülinteraktionen wie beispielsweise Protein-Lipid-Interaktionen Grund für unterschiedliche PC/LPC-Verhältnisse sein. Albumin als ubiquitär im Serum vorhandenes Protein kann eine Vielzahl von Molekülen binden, darunter auch bestimmte Lysophospholipide. Somit ist es wichtig zu klären, inwieweit Albumin eine adäquate Detektion von Lysophosphatidylcholin verhindern beziehungsweise beeinflussen kann. Die hier publizierte Arbeit konnte zeigen, dass Albumin-Zusatz (von Pferd und Rind) zu einem Anstieg des detektierten PC/LPC-Verhältnisses im „intakten“ Serum führt. Umgekehrt sinkt das PC/LPC-Verhältnis beim enzymatischen Verdau des Albumins wieder, weil nun mehr LPC detektiert werden kann. Der Einfluss von Pepsin und Trypsin, die durch den enzymatischen Verdau des Albumins zu einer verbesserten LPC-Detektion führen, wurde unter verschiedenen Bedingungen (Konzentration, Inkubationszeit, Temperatur) verglichen. Abschließend wurde ein verbessertes Protokoll für die MALDI-TOF MS-Messungen des PC/LPC-Verhältnisses im „intakten“ Serum durch einen vorausgehenden Pepsin-Verdau vorgeschlagen. Dabei muss vor allem darauf geachtet werden, möglichst niedrige Temperaturen zu verwenden, um die temperaturbedingte Konversion von PC zu LPC zu minimieren. Sowohl das ursprüngliche als auch das erweiterte Messprotokoll fand im zweiten Teil der Arbeit Anwendung. Hier wurde die aufwendige konventionelle Qualitätstestung von Pferdeseren mittels Zellkultur mit der massenspektrometrischen Messung von LPC als Biomarker verglichen, um eine etwaige Vereinfachung der Serumselektion zu evaluieren. Die verwendeten FDCPmix-Zellen sind murine hämatopoetische Vorläuferzellen, die beispielsweise zur Untersuchung der hämatopoetischen Stammzellnische verwendet werden. Ähnlich wie die hämatopoetischen Stammzellen selbst, stellen die FDCPmix-Zellen hohe Anforderungen an die Zellkulturbedingungen. Wird inadäquates Medium bzw. Serum verwendet, können Wachstum und Differenzierungspotential negativ beeinflusst werden, wodurch die Zellen nicht mehr für weitere Versuche geeignet sind. Folglich ist die achtsame Auswahl des Pferdeserums essenziell. Acht Pferdeseren von verschiedenen Anbietern wurden zur Kultivierung nach derzeitigem Goldstandard eingesetzt. Als Evaluationsparameter für die Qualität des jeweiligen Serums wurden Zellwachstum, Differenzierungspotenzial nach Kultivierung und die Fähigkeit Zellkolonien im semifesten Medium (colony forming units - CFUs) zu bilden, verwendet. Hierbei zeigten sich deutliche Unterschiede zwischen den verschiedenen Seren. Insbesondere in der Fähigkeit CFUs auszubilden und im Wachstum waren die größten Unterschiede zu erkennen. Diese Zellkultur-Ergebnisse wurden mit MALDI-TOF MS-Messungen des PC/LPC-Verhältnisses vor und nach Pepsinverdau im „intakten“ Serum verglichen. Jedoch korrelierte das PC/LPC-Verhältnis nicht mit den Ergebnissen der Zellkulturexperimente. Dies ist mit den Unterschieden in der PC-Konzentration zwischen den verschiedenen Seren zu erklären. Enthält ein Serum generell viel PC, so kann trotz eines hohen PC/LPC-Verhältnisses die LPC-Konzentration im Serum zu hoch sein und die Zellkultivierung negativ beeinflussen. Deshalb wurde LPC mit Hilfe eines internen Standards quantifiziert. Bei den für die Kultivierung ungeeigneten Seren lag, sowohl vor als auch nach Proteinverdau, eine hohe LPC-Konzentration vor. Umgekehrt konnten die Pferdeseren mit geringen LPC-Konzentrationen mit günstigen Zellkultur-Ergebnissen assoziiert werden. Dieser negative Einfluss einer hohen LPC-Konzentration konnte durch die artifizielle Zugabe von LPC zur Zellkultur weiter bestätigt werden. Im Gegensatz zum nicht manipulierten Kontrollmedium zeigten die Proben mit artifiziell erhöhter LPC-Konzentration vor allem eine deutlich geringere Fähigkeit CFUs auszubilden, welches ein Kernkriterium für die Verwendbarkeit des Serums ist. Insgesamt konnte folglich der negative Einfluss von LPC auf die Zellkultur gezeigt werden, was seine Eignung als Indikator für die Serumqualität bestätigt. Zusätzlich zur LPC-Konzentration wurden weitere Mediator- und Signalmoleküle untersucht, die im Zuge des PC/LPC-Stoffwechsels entstehen können und unter anderem Entzündungsprozesse beeinflussen. Bei der Konversion von PC zu LPC durch die Phospholipase A2 oder durch oxidativen Stress wird die Fettsäure (z.B. Arachidonsäure oder Linolsäure) an der sn-2-Position vom Glycerolrückgrat freigesetzt und steht zur weiteren Metabolisierung durch beispielsweise Cyclooxygenasen oder Lipoxygenasen zur Verfügung. Hierbei können Eikosanoide wie Thromboxane, Prostaglandine oder Leukotriene entstehen. Daher wurden die Pferdeseren weiterhin auf Eikosanoide mittels Flüssigchromatographie (LC)-MS/MS getestet. Hierbei zeigte sich, dass erhöhte Thromboxan B1-, Thromboxan B2- und 12-S-Hydroxy-Heptadecatriensäure-Konzentrationen ebenfalls auf eine ungünstige Serumqualität hinweisen. Zudem konnte gezeigt werden, dass die Seren mit hohen LPC-Konzentrationen und daher schlechten Zellkultur-Ergebnissen ebenfalls hohe Konzentrationen an Linolsäure aufweisen. Diese Fettsäure wird typischerweise bei der Konversion von im Pferdeserum vorkommenden PC zu LPC aus der sn-2-Position freigesetzt. Somit scheint neben der LPC-Konzentration auch das Eikosanoidprofil qualitative Aussagen über das jeweilige Pferdeserum zu erlauben. Zusammenfassend lässt sich sagen, dass sowohl niedrige absolute LPC- als auch niedrige entzündungsfördernde Eikosanoid-Level mit einer günstigen Serumqualität korrelieren. Jedoch benötigt die Bestimmung des Eikosanoidprofils im Gegensatz zur LPC-Bestimmung anspruchsvollere Messmethoden wie LC-MS/MS. Die LPC-Konzentration kann mittels MALDI-TOF MS zuverlässig ermittelt werden. Diese robuste, schnelle und preiswerte Methode ermöglicht die direkte Messung im „intakten“ Serum. Dabei ist die Zugabe eines internen Standards zur Bestimmung der absoluten LPC-Konzentration notwendig, da sich das PC/LPC-Verhältnis als ungeeignet für die Qualitätsevaluation von Zellkulturseren erwiesen hat.:Inhaltsverzeichnis Abkürzungsverzeichnis Abbildungsverzeichnis 1 Einführung 1.1 Allgemeine Einleitung 1.2 Factor dependent cells Paterson mixed potential (FDCPmix-Zelllinie) 1.3 Phosphatidylcholin und Lysophosphatidylcholin 1.4 Eikosanoide 1.5 Massenspektrometrie 1.5.1 MALDI-TOF Massenspektrometrie 1.5.2 ESI-IT Massenspektrometrie 1.6 Ziele der Dissertation 2 Publikationsmanuskripte 2.1 Determination of the Phosphatidylcholine/Lysophosphatidylcholine Ratio in Intact Serum by Matrix-Assisted Laser Desorption/Ionization Mass Spectrometry with Prior Enzymatic Albumin Digestion 2.2 Phospholipase A2 products predict the hematopoietic support capacity of horse serum 3 Zusammenfassung der Arbeit 4 Literaturverzeichnis 5 Nachweis über Anteile der Co-Autoren 6 Erklärung über die eigenständige Abfassung der Arbeit 7 Lebenslauf 8 Publikationen 9 Danksagung