Résumé confidentiel / Confidential abstract

Le fer est un oligo-élément nécessaire pour le fonctionnement normal de toutes les cellules de l'organisme et joue un rôle essentiel dans de nombreuses fonctions biologiques. Cependant, le niveau de fer dans le corps doit être bien réglé, sinon la carence en fer entraine des divers états pathologiques tels que l'anémie et la diminution de l’immunité. D'autre part, une surcharge en fer potentialise la multiplication des germes, aggrave l’infection et la formation de radicaux libres ayant des effets toxiques sur les cellules et leurs composants, ce qui favorise les maladies cardio-vasculaires, l'inflammation et le cancer. L'hepcidine (HAMP), un régulateur négatif de l'absorption du fer, induit la dégradation de la ferroportine (FPN), le seul exportateur connu de fer ce qui réduit sa libération par les macrophages et inhibe son absorption gastro-intestinale. HAMP est synthétisé principalement par les hépatocytes, mais aussi par les macrophages. Cependant, il y a très peu de données sur la façon dont HAMP est régulé au niveau des macrophages. Plus récemment, nous avons constaté que l’induction de l’hepcidin dans le foie par le polysaccharide (LPS) est dépendante de la voie de signalisation médiée par « Toll-like receptor 4 » (TLR4). Grâce au TLR4, le LPS induit l'activation des macrophages qui sécrètent de nombreuses différentes cytokines inflammatoires, y compris Interleukine 6 (IL-6), responsable de l'expression de HAMP hépatique. Dans le premier chapitre de la présente étude, nous avons étudié la régulation de HAMP dans la lignée cellulaire macrophagique RAW264.7 et dans les macrophages péritonéaux murins stimulés par différents ligands des TLRs. Nous avons constaté que TLR2 et TLR4 par l'intermédiaire de la protéine adaptatrice « myeloid differentiation primary response gene 88 » (MyD88) activent l'expression de HAMP dans les cellules RAW264.7 et les macrophages péritonéaux sauvages murins, tandis que cette expression a été supprimée dans les macrophages isolés des souris TLR2-/-, TLR4-déficiente ou MyD88-/-. En outre, nous avons constaté que la production d'IL-6 par les cellules RAW264.7 stimulées avec du LPS a été renforcée par l’ajout des quantités élevées de fer dans le milieu de culture. Au cours de l’inflammation, le niveau de HAMP est fortement augmenté. Ainsi, lorsque l'inflammation persiste, l’expression de HAMP continue à être activée par des cytokines pro-inflammatoires conduisant à une hyposidérémie. Malgré que cette dernière soit considérée comme une défense de l'hôte pour priver les micro-organismes de fer, celle ci cause un développement d'anémies nommées anémies des maladies chroniques. Ainsi, dans le deuxième chapitre de la présente étude, nous avons étudié l'implication des TLRs et leurs protéines adaptatrices MyD88 et TIR-domain-containing adapter-inducing interferon-β (TRIF) dans le développement des hyposidérémies. En utilisant des souris déficientes en MyD88 et TRIF, nous avons montré que les voies de signalisations MyD88 et TRIF sont essentielles pour l’induction de HAMP par le LPS. Malgré l'absence de HAMP, les souris déficientes ont été capables de développer une hyposidérémie, mais la réponse des souris déficientes en MyD88 a été très légère, ce qui indique l'exigence de cette protéine pour assurer une réponse maximale au LPS. En outre, nous avons constaté que la signalisation MyD88 est nécessaire pour le stockage du fer au niveau de la rate, ainsi que l'induction de lipocaline 2 (LCN2), qui est une protéine impliquée dans la fixation du fer pour limiter la croissance bactérienne. Indépendamment de MyD88 ou TRIF, l'activation de TLR4 et TLR3 a conduit, au niveau de la rate, à une diminution rapide de l’expression de FPN et du « Human hemochromatosis protein » (HFE) qui est une protéine qui limite la séquestration du fer cellulaire à partir de la circulation. Cependant, malgré cette baisse d’expression, le manque de la signalisation MyD88 a altéré de manière significative la réponse hyposidérémique. En établissant le rôle des TLRs et de la protéine adaptatrice MyD88 dans la diminution du taux du fer sérique au cours de la réponse inflammatoire, nous avons remarqué qu’en réponse au surcharge en fer les souris déficientes en MyD88 accumulent de manière significative plus de fer hépatique par rapport aux souris sauvages, et cela indépendamment des TLRs. Ainsi, dans le troisième chapitre de la présente étude, nous avons étudié le phénotype observé chez les souris déficientes en MyD88. Nous avons trouvé que l'expression de HAMP chez ces souris a été plus faible que celle des souris de type sauvage. Pour cela, nous avons exploré la signalisation à travers la voie du « Bone Morphogenetic Proteins 6 » (BMP6) qui est considérée comme étant la voie fondamentale de la régulation de HAMP en réponse aux concentrations du fer intracellulaires et extracellulaires et nous avons trouvé que l'expression protéique de Smad4, un régulateur positif de l'expression de HAMP, est significativement plus faible chez les souris MyD88-/- par rapport aux souris sauvages. En outre, on a montré que MyD88 interagit avec « mothers against decapentaplegic, Drosophila, homolog 4 » (Smad4) et que cette interaction est essentielle pour l’induction de HAMP à travers la voie BMP6. En conclusion, notre étude montre que l'expression de HAMP dans les macrophages est régulée principalement par TLR2 et TLR4 à travers la voie MyD88 et que l'accumulation du fer dans les macrophages peut affecter les niveaux des cytokines pro-inflammatoires. En outre, nos analyses démontrent que le développement d’hyposidérémie en réponse au LPS se produit par l'intermédiaire d’un mécanisme dépendant de MyD88 qui est dissociée de la production de cytokines et de HAMP. En plus, nos recherches montrent que MyD88 est nécessaire pour l'expression de Smad4 et cela pour garantir une réponse optimale à travers la signalisation BMP6, conduisant ainsi à une expression adéquate de HAMP. Enfin, la protéine MyD88 joue un rôle crucial dans, la régulation de HAMP au niveau des macrophages, la diminution du taux du fer sérique en réponse au LPS et le maintien de l'homéostasie du fer. / Iron is an oligoelement necessary for normal functioning of all body cells and plays an essential role in many biological functions. However, the level of iron in the body must be well regulated, otherwise iron deficiency results in various pathological conditions such as anemia and decreased immunity. On the other hand, iron overload potentiates the multiplication of germs and infection worsens, and the formation of free radicals with toxic effects on cells and their components, thus promoting cardiovascular diseases, inflammation and cancer. Hepcidin (HAMP), a negative regulator of iron absorption, induces the degradation of the only known iron exporter ferroportin (FPN) resulting in the reduction of iron release by macrophages and in the inhibition of its gastrointestinal uptake. HAMP is synthesized mainly by hepatocytes but also by macrophages. However, there are very little data about how HAMP is regulated in macrophages. More recently, we found that HAMP induction in the liver by polysaccharide (LPS) is dependent on the signaling pathway mediated by Toll-like receptor 4 (TLR4). Through TLR4, LPS induces the activation of macrophages which will secrete many different inflammatory cytokines, including Interleukine 6 (IL-6), responsible of hepatic HAMP expression. In the first chapter of the present study, we investigated HAMP regulation in the RAW264.7 macrophage cell line and in murine peritoneal macrophages stimulated with different TLR ligands. We found that TLR2 and TLR4 signaling through the myeloid differentiation primary response gene 88 (MyD88) adaptor protein activate hepcidin expression in RAW264.7 cells and in wild-type murine peritoneal macrophages, while this expression was abolished in TLR2−/−, TLR4-deficient or MyD88−/− isolated macrophages. Moreover, we found that IL-6 production by RAW264.7 cells stimulated with LPS was enhanced by high amounts of iron present in the culture medium. During inflammation, the level of HAMP is greatly increased. Thus, when inflammation persists, HAMP expression continues to be activated by proinflammatory cytokines leading to hypoferremia. Despite that the latter is considered as host defence to deprive microorganisms of iron, this will cause the development of anemia of chronic disease. Thus, in the second chapter of the present study, we investigated the involvement of TLRs signaling through their adaptor proteins MyD88 and TIR-domain-containing adapter-inducing interferon-β (TRIF) in the development of hypoferremia. Using MyD88-deficient and TRIF-deficient mice, we show that MyD88 and TRIF signaling pathways are critical for HAMP up-regulation by LPS. Despite the lack of HAMP, both deficient mice were able to develop hypoferremia; however the response in MyD88 deficient mice was very mild, indicating the requirement of MyD88 adaptor protein for the acute hypoferremic response to LPS. Furthermore, we found that MyD88 signaling is required for iron sequestration in the spleen and the induction of lipocalin 2 (LCN2) which is a protein involved in iron sequestration that in turn limits bacterial growth. Independently of MyD88 or TRIF, the activation of TLR4 and TLR3 signaling resulted in rapid down-regulation of splenic FPN and the Human hemochromatosis protein (HFE) which is a protein that limit cellular iron uptake from the circulation. However, despite the latter down-regulation, the lack of MyD88 signaling significantly impaired the hypoferremic response. While establishing the role of TLRs signaling through MyD88 adaptor protein in the acute phase of hypoferemia, we noticed that MyD88-deficient mice accumulate significantly more iron in their livers than wild-type mice in response to iron loading, and this independently of TLRs. Thus, in this third chapter of the present study, we studied the phenotype observed in MyD88-deficient mice. We found that HAMP expression in MyD88-deficient mice was lower than wild-type mice. Regarding this result, we explored the Bone Morphogenetic Proteins 6 (BMP6) signaling which is considered to be the fundamental pathway regulating HAMP levels in response to intracellular and extracellular iron concentrations and we found by western blot that Smad4 expression is significantly lower in MyD88-/- mice when compared to wild-type mice. We further show that MyD88 interacts with the mothers against decapentaplegic, Drosophila, homolog 4 (Smad4), a positive regulator of HAMP expression, and that this interaction is critical for HAMP induction through the Smad4 iron-sensing pathway. In conclusion, our study shows that HAMP expression in macrophages is regulated mainly through TLR2 and TLR4 receptors via the MyD88-dependent signaling pathway and that autocrine regulation of iron accumulation in macrophages by HAMP may affect the levels of proinflammatory cytokine production. Furthermore, our analysis shows that the development of hypoferremia during LPS response occur via a MyD88-dependent mechanism that is dissociated from peripheral cytokine production and hepatic HAMP induction. This work shows that MyD88 is required for Smad4 expression to guarantee an optimum response to BMP6 signaling, leading to adequate HAMP expression. Finally, the MyD88 adopter protein plays a crucial role in the regulation of HAMP expression by macrophages, the development of the hypoferremic response by LPS and the maintenance of iron homeostasis.

Résumé confidentiel / Confidential abstract

La leptospirose, due aux bactéries Leptospira interrogans ou leptospires, est une zoonose ré-émergente de répartition mondiale et susceptible de se répandre en France en raison du réchauffement climatique. Les rongeurs, en particulier les rats, sont le réservoir asymptomatique des leptospires. Chez l’Homme, l’infection conduit soit à un syndrome pseudo-grippal bénin, soit à la maladie de Weil, qui se traduit par des déficiences hépatiques, rénales et pulmonaires sévères pouvant entraîner la mort. Le laboratoire a montré que les leptospires échappent à la détection par certains récepteurs de l’immunité innée de la famille des Toll-like (TLR). En effet, le lipopolysaccharide (LPS) des leptospires – composant majeur de la membrane externe – est atypique et n’est pas reconnu par le TLR4 humain, contrairement au LPS de la plupart des bactéries à Gram négatif. Cependant chez la souris, le LPS des leptospires est reconnu par le TLR4 et permet une élimination de la bactérie. Au cours de cette thèse, nous avons mis en évidence un nouveau mécanisme d’échappement des leptospires à la reconnaissance par les récepteurs de l’immunité innée Nod1 et Nod2, reconnaissant les fragments de dégradation du peptidoglycane bactérien, appelés muropeptides. Nous avons montré que la liaison au PG d’une lipoprotéine, la LipL21, spécifique de la membrane externe des leptospires, bloque la digestion en muropeptides et permet ainsi l’échappement des leptospires à la reconnaissance par les récepteurs Nods. Ceci constitue une nouvelle stratégie bactérienne d’échappement au système immunitaire inné. En effet, jusqu’alors seules des modifications des sucres ou de la chaîne peptidique du peptidoglycane entraînant le blocage de la reconnaissance par les récepteurs Nods avaient été mis en évidence. Par ailleurs, nous avons développé – grâce à la construction d’une souche de leptospires pathogènes bioluminescents – un nouveau modèle d’étude de la leptospirose aiguë et chronique chez la souris, qui à l’instar des rats et contrairement à ce que l’on pensait, est un porteur asymptomatique et chronique des leptospires dans les reins. Ce modèle biphasique de la leptospirose nous a permis de mettre en évidence que les leptospires sont protégés de l’action des antibiotiques lorsqu’ils sont dans les reins, alors qu’ils y sont sensibles lors de la phase aiguë. Ces résultats suggèrent deux mécanismes différents participant à l’échappement des leptospires au système immunitaire de l’hôte : d’une part, la lipoprotéine LipL21 joue un rôle dans le blocage de la reconnaissance du peptidoglycane par les récepteurs Nods et d’autre part, les leptospires échappent aux défenses de l'hôte par la colonisation rénale chez la souris. / Leptospirosis is a widespread zoonosis caused by the bacterium Leptospira interrogans (L interrogans). In humans, infection with L. interrogans can cause either a mild disease or in more severe cases, multi-organ failure potentially leading to death. Leptospires escape from the innate immune response by evading detection by Toll-like receptors (TLR). Indeed, the lipopolysaccharide (LPS) outer membrane component of Leptospira is atypical as, unlike most Gram-negative bacteria, it is not recognized by human TLR4. However, leptospiral LPS is recognized by murine TLR4, facilitating clearance of leptospires in mice. During my doctoral thesis, we revealed a new mechanism of leptospiral escape from recognition by Nod1 and Nod2 innate immune receptors. We have shown that a specific leptospiral outer membrane lipoprotein, LipL21, impairs muropeptides digestion and therefore avoids activation of Nod1 and Nod2 receptor-mediated pathways. This constitutes a new strategy of bacterial escape from Nod1 and Nod2 receptor recognition. Indeed, until now, only modification of the peptidoglycan sugar or peptide side-chain chemistry was shown to participate in evasion of Nod receptor recognition. Furthermore, through the construction of a bioluminescent pathogenic Leptospira strain, we were able to develop a new murine model to study acute and chronic leptospirosis. We found that, after the acute phase of leptospirosis, infected mice become asymptomatic, but exhibit chronic carriage of Leptospira in the kidneys, as in rat models of leptospirosis. This biphasic leptospirosis model allows us to highlight leptospiral renal colonization as a stealth escape strategy from the blood defenses and antibiotics. Our results reveal two new mechanisms that contribute to leptospiral escape from the host immune system: on one hand, LipL21 lipoprotein plays a role by facilitating evasion of peptidoglycan recognition through Nod1 and Nod2 receptors, and on the other hand, leptospires escape from host defenses by colonising a renal niche in mice. Together, these findings provide novel insight into the ability of Leptospira to cause serious and chronic morbidity in humans.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-10-05T19:38:54Z No. of bitstreams: 1 MeireKarlaMiguelCruz_DISSERT.pdf: 2036779 bytes, checksum: 473b18d2efcf87356709325b06611782 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-10-17T22:53:55Z (GMT) No. of bitstreams: 1 MeireKarlaMiguelCruz_DISSERT.pdf: 2036779 bytes, checksum: 473b18d2efcf87356709325b06611782 (MD5) / Made available in DSpace on 2017-10-17T22:53:55Z (GMT). No. of bitstreams: 1 MeireKarlaMiguelCruz_DISSERT.pdf: 2036779 bytes, checksum: 473b18d2efcf87356709325b06611782 (MD5) Previous issue date: 2017-02-23 / C?es s?o os reservat?rios prim?rios dos parasitos do g?nero Leishmania. Receptores da imunidade inata fazem a detec??o precoce do parasito e conduzem a imunidade adaptativa espec?fica na tentativa de controlar a infec??o. Entretanto, poucos estudos tem investigado a correla??o entre a express?o de receptores da imunidade inata e a resist?ncia ou susceptibilidade em c?es infectados por Leishmania infantum. O objetivo deste estudo foi correlacionar os achados cl?nicos em c?es naturalmente infectados por L. infantum ? express?o de receptores da imunidade inata (Toll Like Receptors-TLRs e Nod Like Receptors-NLRs). Inicialmente, o soro de 76 c?es foi coletado no Centro de Controle de Zoonoses de Natal, Rio Grande do Norte, Brasil. A positividade dos c?es para L. infantum foi confirmada pela reatividade nos testes de ELISA e DPP?. Os c?es foram clinicamente avaliados e classificados como sintom?ticos (n=19), oligossintom?ticos (n=19), assintom?ticos (n=19) e n?o infectados (n=19). Os c?es naturalmente infectados por L. infantum e controles n?o infectados foram eutanasiados e fragmentos de f?gado foram coletados para quantifica??o da express?o de RNAm de TLRs (TLR1-9), NLRs (NOD1, NOD2, NLRP1 e NLRP3) citocinas (IL1?, IL-6, IL-12, IL-10, TNF?, IFN-?) e iNOS com auxilio da t?cnica de PCR em tempo real. Os resultados demonstram o aumento na express?o da maioria dos receptores do tipo Toll e do tipo Nod nos c?es naturalmente infectados por L. infantum, comparado a animais n?o infectados. Entretanto, c?es sintom?ticos apresentaram maior express?o de TLR1, TLR2, TLR3, TLR4, TLR5, TLR7, TLR8, NLRP1, NLRP3, NOD1 e IL-1? quando comparado a animais assintom?ticos, mostrando significante aumento na transcri??o destas mol?culas com a progress?o da doen?a. Por outro lado, c?es assintom?ticos apresentaram maior express?o de RNAm de citocinas (IFN-?, IL-12) e iNOS quando comparado a animais oligossintom?ticos e sintom?ticos. Este estudo gerou novos conhecimentos envolvendo receptores da imunidade inata (TLRs, NLRs) na leishmaniose visceral canina (LVC), podendo servir de base para o melhor entendimento dos mecanismos de resist?ncia ou susceptibilidade ? infec??o por L. infantum em c?es, bem como dar subs?dio a estrat?gias profil?ticas para o controle da LVC. / Dogs are the primary reservoirs of parasites of the Leishmania genus. Innate immune receptors perform early detection of the parasite and lead to specific adaptive immune response in attempt to infection control. However, few studies have investigated a correlation between the expression of innate immunity receptors and the resistance or susceptibility pattern in dogs naturally infected with Leishmania infantum. The aim of this study was to correlate the clinical status of dogs naturally infected with L. infantum with the mRNA expression levels of innate imune receptors (Toll like receptors-TLRs and Nod Like Receptors-NLRs). Initially, serum of 76 dogs was collected at the Zoonoses Control Center in Natal, Rio Grande do Norte, Brazil. The L. infantum infection in dogs was confirmed by ELISA and DPP? tests. Subsequently, animals were clinially evaluated and classified as asymptomatic (n=19), oligosymptomatic (n=19), symptomatic (n=19) and uninfected (n=19). Dogs naturally infected by L. infantum and uninfected controls were euthanasied and liver samples were collected to quantify mRNA expression of TLRs (TLR1-9), Nod Like receptors-NLRs (NOD1, NOD2, NLRP1, NLRP3), cytokines (IL1?, IL-6, IL-12, IL-10, TNF?, IFN-?) and iNOS using real-time PCR. The results demonstrate the increased expression of almost all TLRs and NLRs in dogs naturally infected by L. infantum compared with uninfected animals. However, symptomatic dogs showed higher expression of TLR1, TLR2, TLR3, TLR4, TLR5, TLR7, TLR8 NLRP1, NLRP3, NOD1 and IL-1? than asymptomatic animals, revealing significant up regulation of transcription with disease progression. On the other hand, asymptomatic dogs presented greater cytokine mRNA expression (IFN-?, IL-12) and iNOS when compared to oligosymptomatic and asymptomatic animals. This study unveil new knowledge involving innate immunity receptors (TLRs, NLRs) and cytokines in canine visceral leishmaniasis and may be used as a basis for better understanding of resistance or susceptibility mechanisms in dogs infected with L. infantum, as well as prophylactic strategies to control canine visceral leishmaniasis.

Fundação de Amparo a Pesquisa do Estado de Minas Gerais / Neospora caninum is an intracellular parasite that has the dog as its definitive host and other mammals, especially cattle, as intermediate hosts. Economically, neosporosis is an important disease in Veterinary medicine due to the induction of relevant clinical signs, as abortions in cattle and neuromuscular paralysis in dogs. The aim of this study was to evaluate the role of the TLR adaptor protein TRIF in the resistance against N. caninum infection. For this, in vitro experiments with bone marrow derived macrophages (BMDMs) from C57BL/6 wild-type (WT) and TRIF knockout (TRIF-/-) mice, stimulated by tachyzoites and in vivo infections, were performed in order to investigate the production of cytokines and antibodies, cellular and tissue parasitism, histological changes during different phases of infection and survival analysis. We observed that TRIF-/- BMDMs presented notable defects in inflammatory cytokine production in relation to WT macrophages. Additionally, we found that the concentration of NO, IL-12p40, IFN-y and TNF were decreased in peritoneal fluids and lungs of TRIF-/- mice, while IL-2, IFN-γ, TNF and IL-17 were reduced in sera of these animals compared to WT mice. Higher parasite burden was observed in peritoneal cells, lungs and brain during the acute and chronic phases of infection, which were associated with inflammatory changes in the analyzed tissues, while TRIF-/- mice survival rate decreased 2-fold compared to WT. In conclusion, our results show that TRIF is required for resistance against the infection induced by N. caninum, regulating the production of key Th1 cytokines and participating in the control of the tissue parasitism and inflammatory lesions induced against the parasite. / Neospora caninum é um parasito intracelular que tem como hospedeiro definitivo o cão e outros mamíferos, especialmente bovinos, como hospedeiros intermediários. Economicamente, a neosporose é uma doença de grande importância na medicina veterinária por induzir relevantes sinais clínicos, como abortos em bovinos e paralisia neuromuscular em cães. O objetivo deste estudo foi avaliar o papel da molécula adaptadora TRIF da via de sinalização dos TLRs na resistência contra a infecção por N. caninum. Para isso, experimentos in vitro com macrófagos derivados de medula óssea (BMDMs) obtidos de camundongos do tipo selvagem (WT) e TRIF knockout (TRIF-/-) estimulados com taquizoítos e infecções in vivo foram realizadas a fim de se investigar a produção de citocinas e anticorpos, parasitismo celular e tecidual, alterações histológicas durante diferentes fases da infecção e análise de sobrevida. Nós observamos que BMDMs TRIF-/- apresentaram reduções significativas na produção de citocinas inflamatórias em relação a macrófagos WT. Adicionalmente, foi visto que as concentrações de NO, IL-12p40, IFN- e TNF foram diminuídas no lavado peritoneal e nos pulmões de camundongos TRIF-/-, enquanto que IL-2, IFN-γ, TNF e IL-17 foram reduzidas no soro desses animais em comparação aos WT. Alta carga parasitária foi encontrada nas células peritoneais, pulmões e cérebro durante as fases aguda e crônica da infecção, associada com alterações teciduais inflamatórias significativas nos pulmões. Além disso, camundongos TRIF-/- tiveram uma taxa de sobrevida 2 vezes menor quando comparada aos animais WT. Concluindo, nossos resultados mostram que TRIF é requerido para a resistência contra a infecção induzida por N. caninum, regulando a produção de citocinas chave do perfil Th1 de resposta imune e participando no controle do parasitismo tecidual e das lesões inflamatórias oriundas desta infecção. / Mestre em Imunologia e Parasitologia Aplicadas

Les plaquettes sanguines sont des cellules anucléées qui jouent un rôle majeur dans l’hémostase. Au-delà de cette fonction, elles possèdent une composante inflammatoire multifacette ; recouvrant la détection du signal de danger, la libération de cytokines et la migration leucocytaire. Dans ce contexte, la première partie de ces travaux met en avant la capacité des plaquettes à mettre en place une activation de type inflammatoire en réponse à un pathogène. En effet, lors de l’infection à HIV les plaquettes sont dans un état d’hyperréactivité et libèrent des facteurs immunomodulateurs pouvant participer à l’inflammation observée chez les patients infectées. D’une manière parallèle, les plaquettes présentent une sensibilité aux bactéries, faisant intervenir les TLR2 et 4 mais aussi les exotoxines, voire les bactéries entières. Le profil de la réponse inflammatoire induite est assez conséquent et diversifié pour participer à la physiopathologie du sepsis. La participation des plaquettes à l’inflammation concerne également leur interconnexion avec les neutrophiles. La seconde partie des travaux traite d’ailleurs de cette coopération qui ne semble pas s’arrêter à la barrière endothéliale, car lors de leur extravasation les neutrophiles transportent avec eux les plaquettes ; qui sont encore capables d’entretenir l’inflammation au niveau du site inflammatoire (ici, modèle de l’alvéole pulmonaire). La diversité du répertoire moléculaire plaquettaire, mis en avant au cours de cette thèse, qui participe à l’inflammation ouvre plusieurs possibilités quant à l’élaboration d’anti-plaquettaires qui pourraient moduler une réponse inflammatoire exacerbée / Blood platelets are anucleate cells which play an key role in haemostasis. In addition to this function, they participate in a number of other functions related to the inflammatory response including danger detection, cytokine release, and leukocyte transmigration. In the first part of the study, we highlight the ability of platelets to undergo an inflammatory activation response to a pathogen. Indeed during HIV infection, platelets are hyperresponsive and release immunomodulatory factors that can be involved in the inflammatory state seen in the patients. In a parallel way, platelets are also sensitive to bacteria, involving TLRs 2 and 4, exotoxins, as well as whole live bacteria. The inflammatory profile induced is sufficient, and quite diversified to participate in sepsis physiopathology. Platelet inflammatory functions also apply to their ability to crosstalk with neutrophils. Thus in the second part of our study, we focus on this interconnection, which does not appear to be stopping at the endothelial barrier, and can be seen during extravasation where neutrophils carry surface bound platelets in order to maintain inflammation directly onsite (alveolar inflammation model here).The diversity of platelet inflammatory activities highlighted in our work leads to several possibilities for the development of an antiplatelet therapeutic target which could modulate an exacerbated inflammatory response

This study examines how university academics understand and enact knowledge requirements embedded in official teacher education policies. The research probes faculty understandings of what constitutes ‘relevant and appropriate pedagogies’ in teacher education curricula, and the basis of such knowledge selections in the absence of a stable ‘knowledge base’ of teacher education. In teacher education, new national norms and standards are intended to guide curriculum processes in new programmes. However, policies remain open to wide interpretation and assume common understandings among the teacher education community with regard to knowledge, practices and values. This study, conducted in three university-based Faculties of Education, analyses the curriculum motivations, processes and practices of education academics, in an attempt to understand and explain their responses to policy requirements. The conceptual framework of Paul Trowler is employed to examine the Teaching and Learning Regimes (TLRs) at work in academic contexts. By lifting out the discursive repertoires, identities in interaction, tacit assumptions, connotative codes, implicit theories of teaching and learning, power relations, rules of appropriateness and recurrent practices among faculty members, this research demonstrates how knowledge is mediated in and through institutional contexts. Three parallel Faculty portraits elucidate stark differences in approaches to curricula and in curriculum processes, a consequence of the lack of a stable knowledge base and the perceived vagueness of policy directives. Significantly, institutional histories and traditions feature prominently as ‘shapers’ of academic responses to change, factors that, the study argues, government policies have not taken into account. / Thesis (PhD (Education Policy Studies))--University of Pretoria, 2006. / Education Management and Policy Studies / unrestricted

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This thesis concerns the investigation of novel immunotherapies for cancer eradication. CpG therapy was used in order to target antigen-presenting cells (APCs), facilitating antigen presentation and activation of T cells. Blockade of the two major immune checkpoint regulators (CTLA-4 and PD-1) was also studied to ensure proper and sustained T cell activation. The therapies were investigated alone and compared to BCG, the standard immunotherapy in the clinic today for bladder cancer. In addition, CpG as well as BCG was combined with CTLA-4 or PD-1 blockade to examine if the combination could improve therapy. Single and combination strategies were assessed in an experimental bladder cancer model. In addition, one of the therapies (local aCTLA-4 administration) was evaluated in an experimental pancreatic cancer model. To be able to study the effects of CpG in humans, a human whole blood loop system has been used. This allowed us to dissect the potential interplay between CpG and complement. CpG was found to be superior to the conventional therapy, BCG, in our experimental model and T cells were required in order for effective therapy to occur. Used as a monotherapy, CTLA-4 blockade but not PD-1 blockade, prolonged survival of mice. When CTLA-4 or PD-1 blockade was combined with CpG, survival was enhanced and elevated levels of activated T cells were found in treated mice. In addition, Treg levels were decreased in the tumor area compared to tumors in control treated mice. CTLA-4 blockade was also effective when administrated locally, in proximity to the tumor. Compared to systemic CTLA-4 blockade, local administration gave less adverse events and sustained therapeutic success. When CpG was investigated in a human whole blood loop system it was found to tightly interact with complement proteins. This is an interesting finding which warrants further investigation into the role of TLRs in complement biology. Tumor therapy could be affected either negatively or positively by this interaction. The results presented herein are a foundation for incorporating these combination therapies into the clinic, specifically for bladder cancer but in a broader perspective, also for other solid tumors such as pancreatic cancer.