A dor e o prurido são sensações sensoriais que auxiliam na defesa do organismo. Apesar das ações anti-nociceptivas do novo gasotransmissor endógeno H2S, nada se sabe sobre seu efeito no prurido. Avaliou-se aqui o efeito de doadores de H2S (Na2S e reagente de Lawesson - LR) no prurido e inflamação induzidos pela injeção i.d. de histamina e composto 48/80 (C48/80) na pele de camundongos. Verificou-se a produção do H2S e a expressão de suas enzimas (CBS e CSE) na pele. A injeção i.d. de histamina ou C48/80 aumentou significativamente a frequência de coceira e induziu extravasamento plasmático e influxo de leucócitos na pele dos animais em relação ao veículo. A co-injeção do Na2S ou LR reduziu (P<0.05) o extravasamento plasmático evocado por ambos agentes, mas somente o prurido induzido por histamina foi inibido. Conclui-se que a suplementação exógena de H2S inibe o extravasamento plasmático induzido por histamina e C48/80, mas somente inibiu o prurido evocado por histamina. As enzimas CSE e CBS estão expressas constitutivamente na pele e sintetizam o H2S local. / Pain and pruritus are sensory sensations that help in defending the organism. Despite the anti-nociceptive actions of the new gasotransmitter H2S, little is known about its effect on pruritus. We evaluated the effect of H2S donors (Na2S and Lawesson\'s reagent - LR) in itching and inflammation induced by i.d. injection of histamine and compound 48/80 (C48/80) in mouse dorsal skin. We also investigated the production of H2S and expression of its enzymes (CBS and CSE) in the mouse skin. The i.d. injection of histamine or C48/80 significantly increased the frequency of itching and induced plasma leakage and leukocyte influx into the skin in relation to vehicle. Co-injection of Na2S or LR decreased (P<0.05) plasma extravasation evoked by both agents, but only the itching induced by histamine was inhibited. In conclusion, the exogenous supplementation of H2S inhibits plasma extravasation induced by histamine and C48/80, but only inhibited histamine-induced pruritus. CSE and CBS are constitutively expressed in the skin and are responsible for local H2S synthesis.

no / Interleukin-33 has recently gained much attention due to its role in allergic responses. It has been shown to amplify Th2 responses and to act as a damage-associated molecular pattern. IL-33 acts on a broad range of cells and has been proposed to link innate and adaptive features of allergic responses. It was the aim of this study to investigate this property of IL-33 in the inflammatory response characterising atopic dermatitis (AD). We have analysed the response of skin-resident cells derived from patients with AD and healthy donors with regard to the expression of IL-33 and its receptor ST2. The functional impact of IL-33 on CD4+ T cells was investigated. Keratinocytes and dermal fibroblasts clearly differ in their regulation of IL-33. In fibroblasts, the concerted action of TNF-α and IL-1β was the strongest inducer, whereas IFN-γ is clearly the key molecule that upregulates IL-33 in keratinocytes with a more pronounced response of cells derived from patients with AD. Keratinocytes from patients with AD showed a markedly higher constitutive expression level of surface ST2. CD4+ T cells respond to IL-33. Unexpectedly, IL-33 failed to induce a significant secretion of IL-5 or IL-13. By contrast, high amounts of IFN-γ were detectable if IL-33 was added to the T-cell receptor-stimulated cells or in combination with IL-12. These results suggest that IL-33 and IFN-γ are closely interlinked in epidermal AD inflammation. IFN-γ induces IL-33 in keratinocytes and IL-33 acts on activated T cells to further increase the release of IFN-γ, therefore contributing to drive skin inflammation towards chronic responses.

Submitted by isabela.moljf@hotmail.com (isabela.moljf@hotmail.com) on 2017-04-27T15:03:55Z No. of bitstreams: 1 josianemellodasilva.pdf: 3247422 bytes, checksum: 485b2562114e70ff7d059e0faa2e1b97 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2017-05-12T15:49:44Z (GMT) No. of bitstreams: 1 josianemellodasilva.pdf: 3247422 bytes, checksum: 485b2562114e70ff7d059e0faa2e1b97 (MD5) / Made available in DSpace on 2017-05-12T15:49:44Z (GMT). No. of bitstreams: 1 josianemellodasilva.pdf: 3247422 bytes, checksum: 485b2562114e70ff7d059e0faa2e1b97 (MD5) Previous issue date: 2015-03-13 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / A espécie arbórea e nativa Lacistema pubescens Mart. (Lacistemataceae) apresenta-se distribuída em vários estados brasileiros e é conhecida popularmente, conforme a região em que se encontra, como espeto-vermelho, canela-vermelha, sabonete e cafezinho. Esse trabalho descreve o estudo fitoquímico e as atividades citotóxicas frente a linhagens tumorais e não tumorais, leishmanicida e anti-inflamatória tópica da partição hexânica das folhas de L. pubescens. A partição em hexano (PHEX) foi submetida a um fracionamento cromatográfico e originou 17 frações (FH1 a FH17). Na avaliação da atividade citotóxica, as frações FH7, FH9, FH13 e FH16 foram as mais ativas para células tumorais. As frações FH7 e FH9F3 (obtida após fracionamento de FH9) tiveram o valor de CI50 determinado, sendo FH9F3 a fração que apresentou a maior resposta frente à linhagem HL60 e Jurkat. O fracionamento de PHEX foi também biomonitorado para a atividade leishmanicida. As frações obtidas da PHEX mais seletivas para as formas promastigotas foram FH7, FH9 e FH13. A PHEX e FH7 tiveram sua atividade antiamastigota determinada sobre L. amazonensis. Com relação à atividade anti-inflamatória observou-se que a PHEX, administrada topicamente, apresentou resultados significativos no modelo do edema de orelha induzido pelo óleo de cróton, fenol, histamina, ácido araquidônico e etil fenil propionato (EPP), em camundongos. Estes resultados foram confirmados através de análises histopatológicas e ensaio enzimático. Uma formulação farmacêutica com PHEX (proPHEX) foi eficaz em processo inflamatório crônico. Além disso, PHEX apresentou segurança para administração por via tópica, uma vez que não apresentou toxidade no modelo de irritação/corrosão dérmica, em ratos. A PHEX também não apresentou os efeitos adversos, quando comparada à dexametasona, nos modelos de atrofia cutânea e cicatrização de feridas. A atividade anti-inflamatória pode ser atribuída, ao menos em parte, às frações FH7 e FH9F3, as quais foram testadas no modelo do edema de orelha induzido pelo óleo de cróton e fenol. A fração FH7 é rica em fitol e FH9F3 é rica em sitosterol, as quais foram identificadas por métodos cromatográficos e espectrométricos. / Lacistema pubescens Mart. (Lacistemataceae), an arborea native species, is distributed in several Brazilian states and is popularly known as “espeto-vermelho, canela – vermelha, sabonete e cafezinho”. This work describes the phytochemical and cytotoxic studies against tumor cell lines, and anti-leishmanial and anti-inflammatory activities of the leaves of L. pubescens. The hexane partition (PHEX) was subjected to a chromatographic fractionation and originated 17 fractions (FH1 to FH17). Regarding to the cytotoxic activity, FH7, FH9 and FH16 fractions were more selective for tumor cells. The IC50 value was determined for FH7 and FH9F3 fractions (obtained after FH9 fractionation), and FH9F3 presented the highest response against HL60 and Jurkat cell lines. PHEX fractionation was also biomonitored for anti-leishmanial activity. The fractions FH7 and FH9 were the most selective for promastigotes. The antiamastigota activity against L. amazonensis was determined for PHEX and FH7. Regarding to the anti-inflammatory activity, it was observed that topical application of PHEX showed significant results in ear edema model induced by croton oil, phenol, histamine, arachidonic acid and ethyl phenylpropionate (EPP) in mice. These results were confirmed by histopathological analysis and enzymatic assay. A pharmaceutical formulation contained PHEX (proPHEX) was effective for chronic inflammatory process. Moreover, PHEX presented safety for topical administration, since it showed no toxicity in the irritation/corrosion model in rats. PHEX did not show the adverse effects observed for dexamethasone in cutaneous atrophy and wound healing models. The anti-inflammatory activity may be attributed, at least in part, to FH7 and FH9F3 fractions, which were tested on the ear edema induced by croton oil and phenol models. Sitosterol-rich fraction (FH9F3) and Phytol-rich fraction (FH7) were obtained from PHEX fractionation and were identified by spectroscopic methods.

JNK1 (c-Jun N-terminal kinase 1) has been studied in numerous biological phenomena, but its role in skin inflammation diseases has not been fully defined yet. We therefore evaluated the role of JNK1 in imiquimod-induced dermatitis, a classical model that shares many features with human psoriasis. We showed that JNK1 was necessary for the expression of inflammatory markers and for acanthosis induced by imiquimod. We demonstrated that the loss of JNK1 in dendritic cells or myeloid cells reduced inflammatory markers but did not affect acanthosis induced by imiquimod. In vitro experiments in bone marrow-derived macrophages (BMMs) supported the role of JNK1 in the activation of the inflammasome pathway by the Aldara® cream. Next, we observed that the loss of JNK1 in keratinocytes did not reduce imiquimod-induced expression of most inflammatory markers but acanthosis and proliferation of epidermal cells was decreased. To better understand the role of JNK1 in keratinocytes, we evaluated the transcriptome and the epigenomic landscape of JNK1-deficient epidermal cells from mice treated with imiquimod. These data highlighted the potential role of JNK1 downstream of the EGFR pathway. We further observed that the inhibition of the EGFR pathway decreased imiquimod-induced acanthosis. Our work shows the dual role of JNK1 in skin inflammation induced by imiquimod. On one hand, JNK1 influences the expression of inflammatory mediators by myeloid cells, probably through the inflammasome pathway. On the other hand, JNK1 modulates the response of keratinocytes to EGFR ligands. Taken together, these data suggest that JNK1 could represent a valuable therapeutic target for the management of psoriasis. / Doctorat en Sciences médicales (Médecine) / info:eu-repo/semantics/nonPublished

Depuis plusieurs années, la vectorisation de molécules est considérée comme la stratégie la plus prometteuse pour améliorer la pénétration cutanée des principes actifs et pour cibler et contrôler leur libération, augmentant ainsi l'efficacité thérapeutique des traitements tout en limitant leurs effets secondaires. Les nanoparticules polymériques ont fait l'objet de nombreuses études car elles possèdent une très grande stabilité et une capacité supérieure aux autres vecteurs à libérer les principes actifs de façon prolongée. Récemment, le laboratoire de Pharmacie Galénique de Besançon a montré, in vivo, que les nanoparticules polymériques de diamètre inférieure ou égale à 100 nm pénétraient spécifiquement dans la peau inflammée de la souris, alors qu'aucune pénétration n'était observée dans la peau saine. Le premier objectif de cette thèse était de confirmer ces hypothèses dans la peau inflammée d'un autre animal, le porc. Les résultats de notre étude in vivo confirment l'absence de pénétration des nanoparticules polymériques dans la peau saine du porc et montrent une pénétration taille dépendante dans la peau inflammée. Le second objectif poursuivi était de vérifier ces résultats chez l'Homme. Pour cela, une preuve de concept a été mise en place dans le service de Dermatologie du CHRU de Besançon. Les premiers résultats de cette étude clinique semblent confirmer l'absence de pénétration des nanoparticules polymérique de I 00 nm dans la peau des volontaires sains et dans la peau non lésée des patients souffrant de dermatite atopique. A l'inverse, une forte pénétration des nanoparticules est observée au niveau des plaques d'eczéma des patients. Si les résultats de l'étude clinique se confirment, nous prévoyons d'encapsuler un anti­inflammatoire ou un immunosuppresseur pour vérifier l'intérêt thérapeutique de ces vecteurs en médecine humaine dans le traitement de la dermatite atopique. Parallèlement, une évaluation pourrait être réalisée en médecine vétérinaire pour le traitement de cette pathologie fréquente chez le chien, et dont le traitement actuel repose sur l'administration per os de corticoïdes à l'origine de nombreux effets secondaires. / For several years now, nanocarriers have been considered as the most promising strategy to improve skin penetration of active ingredients. Moreover, these carriers are more efficient at targeting and controlling drug release into the skin, which leads to increased treatment efficiency and reduced side effects. Polymeric nanoparticles have been the object of an increasing number of studies due to their good physicochemical stability and prolonged release of active ingredients which is superior to any other carriers. Recently, the Laboratory of Pharmaceutical Engineering at Besançon proved in vivo, that polymeric nanoparticles with a diameter smaller or equivalent to I 00 nm specifically penetrated in inflamed skin of mice whilst no penetration was observed in healthy skin. The first aim ofthis thesis was to confirm this hypothesis on another animal's inflamed skin, in instance the pig. Our results confirm the poor penetration of polymeric nanoparticles in healthy skin ofpigs and show various degree ofpenetration depending on the size of the nanoparticles into the inflamed skin area. The second objective ofthis work was to evaluate the skin penetration of our polymeric nanoparticles in humans. A proof of concept has been developed in the Department of Dermatology at Besancon University Hospital. The first results ofthis clinical trial tend to confim1 the greater penetration ofour carrier, specifically in inflamed skin. In fact, no penetration of polymeric nanoparticles with a size close to 100 nm was observed in healthy skin ofvolunteers or in the non-inflamed skin of patients suffering from atopic dennatitis. Conversely, a high penetration ofthese carriers was observed in the skin lesions of patients with atopic dermatitis. If the results ofthis clinical trial are confirmed, we plan to load an anti-inflammatory or an immunosuppressive drug into the nanoparticles to evaluate the therapeutic value ofthese nanocarriers in human medicine in the treatment ofatopic dermatitis. Meanwhile, a similar study may be undertaken in veterinary medicine for the treatment of atopic dermatitis in dogs which is a common disease whose current treatment is based on the oral administration of corticosteroids and cause many undesirable side effects.

Die Haut ist das größte Organ des Menschen und bildet die Barriere gegenüber Einwirkungen aus der Umwelt. Die Störung der Hautbarriere durch exogene und endogene Reize führt zu einer Entzündungsreaktion in der Haut. In der Folge können Hauterkrankungen wie die irritative oder Atopische Dermatitis entstehen. Der Tumor Nekrose Faktor-α (TNF-α) ist ein pleiotrop wirksames Zytokin, das eine zentrale Rolle bei entzündlichen Prozessen spielt. Ziel der vorgelegten Promotionsarbeit war zu untersuchen, ob und wie TNF-α zu Entzündungsgeschehen, ausgelöst durch exogene und endogene Faktoren, beiträgt. Die Bedeutung von TNF-α wurde in TNF-ko Mäusen in verschiedenen Hautmodellen untersucht. Für das Irritationsmodell wurden chemische und physikalische Reize verwendet. TSLP (Thymic stromal lymphopoietin) wurde durch die verschiedenen Stimuli signifikant induziert. Diese Induktion war unabhängig von der endogenen TNF-α Produktion, gezeigt durch den Einsatz von TNF- ko Mäusen . Da endogenes TNF-α für die Hautirritation keine notwendige Bedingung darstellte, wurde die Bedeutung von TNF-α bei der atopischen Dermatitis (AD) untersucht. TNF-α defiziente Mäuse zeigen verstärkt Ekzeme im Vergleich zu Wildtyp Mäusen. Die Behandlung von TNF-ko Mäusen mit einem TSLP Antikörper führte zu einer Verminderung des Ekzems. Mastzellen wurden vermehrt in läsionaler Haut gefunden und korrelierten mit dem Schweregrad des atopischen Ekzems sowie der TSLP-Expression. / The skin is the largest organ of an individuum and builds the barrier for a host against the environment. Skin barrier disruption by exogenous or endogenous stimuli can lead to skin inflammation. As a consequence, irritant or atopic eczema, frequent skin diseases, may evolve. Tumor necrosis factor-α (TNF-α) is a pleiotropic cytokine which plays a central role in inflammatory processes. The main aim of this thesis was to clarify whether and how endogenous TNF-α is contributing to skin inflammation driven by exogenous and endogenous triggers. The role of endogenous TNF-α was studied using TNF knockout (-/-) mice. In an irritation model, chemical and physical stimuli were applied on to mouse skin. Thymic stromal lymphopoietin (TSLP) was significantly induced by the used irritants. This TSLP induction was independent from endogenous TNF-α proven by using TNF-/- mice. Next the role of TNF-α in atopic dermatitis (AD) promoting an allergic skin inflammation was investigated. TNF-/- mice developed more severe AD compared to the wildtype mice and TSLP was significantly increased and correlated with the severity of the eczema. To prove the pathophysiological role of TSLP for AD progression, TNF-/- mice were pretreated with an TSLP antibody. Indeed, these mice developed less AD symptoms compared to the control mice. Mast cells (MCs) were also significantly increased in lesional skin in the AD model and moreover, correlated with AD severity, but also with TSLP expression.

Die Haut ist das größte Organ des Menschen und stellt die primäre Barriere gegen Umwelteinflüsse und Pathogene dar. Eine Dysbalance der Hautbarriere birgt die Gefahr einer nachfolgenden Entzündungsreaktion. Bleibt diese bestehen, können sich Hautkrankheiten wie zum Beispiel die atopische Dermatitis (AD) entwickeln. Verschiedene Zytokine wie Thymic Stromal Lymphopoietin (TSLP) werden bei entzündlichen Hauterkrankungen eine bedeutende Rolle zugeschrieben. Die Bedeutung von TSLP wurde zunächst anhand mehrerer Knockout-Mausstämme untersucht. Hier zeigte sich, dass TSLPR-KO und TNF-TSLPR-DKO Mäuse im Gegensatz zu TNF-KO Mäusen keine bzw. weniger Zeichen einer Entzündungsreaktion in der Haut entwickeln. Die Rolle äußerer Einflüsse auf die TSLP-Produktion wurde anhand eines Irritationsmodells ebenfalls in Mäusen untersucht. Dabei führte die Hautirritation, ausgelöst durch Abtragen der oberen Hautschichten mittels eines Tesa-Abriss, zu einem signifikanten Anstieg von TSLP in der Haut?. Mit Hilfe von Agonisten und Inhibitoren konnte gezeigt werden, dass dieser Irritations-vermittelte TSLP-Anstieg über Interleukin-1 (IL-1) und Protease Activated Receptor 2 (PAR-2) vermittelt wird. In diesem Zusammenhang wurde auch gezeigt, dass die Aktivierung von IL-1- sowie PAR-2-abhängigen Signalwegen zu einer gesteigerten Aktivität des TSLP-Promotors führte. Die Untersuchung der Wirkung verschiedener Mastzellmediatoren auf die TSLP-Expression ergab, dass Tryptase, über die Aktivierung von PAR-2, der wichtigste Mediator für den Anstieg von TSLP nach der Degranulation von Mastzellen ist. Dieses Ergebnis wurde mittels verschiedener in vitro, in vivo und ex vivo Experimentalansätze belegt. So konnte in einem c48/80-abhängigen Degranulationsmodell in Mäusen gezeigt werden, dss PAR-2- sowie Mastzell-KO Mäuse im Vergleich zu Wildtypen nach Injektion von c48/80 signifikant weniger TSLP exprimierten. / The skin is the first line of defense against environmental or microbial pathogens. A deviation of the skin barrier homeostasis by any kind of insult can result in an inflammatory response. The inflammatory response in turn can promote the development of an eczemaincluding atopic eczema. Thymic stromal lymphopoietin (TSLP) due to its pleiotropic nature play an important role in inflammatory disorders. The major aim of this thesis was to better understand the underlying mechanisms of TSLP production in the context of skin irritation and mast cell (MC) mediators and their contribution in the development of atopic dermatitis (AD). The role of TSLP was studied using TSLPR-/- mice. The data show that TSLPR-/- and TNF-/-/TSLPR-/- mice were protected from AD development, by contrast TNF-/- mice exhibited severe AD. The role of exogenous triggers was studied using tape stripping mediated skin irritation mouse models. Skin irritation resulted in significant enhanced TSLP production. TSLP induction was identified to depend on interleukin (IL)-1 and protease activated receptor (PAR)-2 pathways proven by using exogenous activators or inhibitors of these pathways. Moreover, PAR-2 and IL-1 concomitantly promoted NF-κB binding to the human TSLP promoter which in turn resulted in an increased TSLP promoter activity. Additionally, the role of mast cell mediators in the context of TSLP induction was investigated. Tryptase turned out to be the trigger responsible for the enhanced TSLP response by activating the PAR-2 pathway. This finding was proven by employing in vitro, ex vivo and in vivo approaches. In detail PAR-2-/- and MC-/- mice were used in a compound 48/80 (C48/80) dependent MCs degranulation model. PAR-2-/- and MC-/- mice produced significantly less TSLP in comparison to control mice.