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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
41

L’activation du PDGFR favorise le phénotype agressif des synoviocytes de patients atteints de polyarthrite rhumatoïde via la formation d’invadosomes / Platelet-derived growth factor receptor activation promotes the prodestructive invadosome-forming phenotype of synoviocytes from patients with rheumatoid arthritis

R. Lavoie, Roxane January 2017 (has links)
La polyarthrite rhumatoïde (PR) est une maladie auto-immune qui mène à une inflammation chronique et à une destruction progressive des articulations. Les effecteurs principaux de cette pathologie sont les synoviocytes de type fibroblastique (FLS). Ces derniers utilisent les invadosomes, des structures riches en actine et en métalloprotéases, afin de dégrader la matrice extracellulaire (ECM). Ce phénotype pro-destructif résulte d’une activation des FLS par différents facteurs de croissance, dont le PDGF et le TGF-β. Les récepteurs à activité tyrosine kinase, dont le PDGFR, sont impliqués dans la pathogenèse de plusieurs maladies, incluant le cancer et la PR. Une activation de ces récepteurs peut mener, entre autres, à la survie, à la différenciation et à la prolifération des cellules. L’étude présentée dans ce mémoire montre que parmi les RTK les plus communs, le PDGFR est spécifiquement phosphorylé chez les cellules synoviales de patients atteints de PR, contrairement aux cellules de patients non arthritiques ou atteints d’arthrose. De plus, l’activation du PDGFR résulte en une augmentation de la formation d’invadosomes par les FLS. Nous avons aussi démontré que la formation d’invadosomes par le PDGFR nécessite l’activation de la voie de signalisation PI3K/Akt faisant intervenir les isoformes α et δ de la PI3K. De plus, l'inhibition de l’activation du PDGFR ou la neutralisation du PDGF endogène inhibe la formation des invadosomes et la dégradation de l'ECM par les synoviocytes, ce qui suggère la présence d'une boucle d'activation autocrine impliquant le PDGF. Parmi les isoformes du PDGF, nous avons démontré que le PDGF-B est exprimé de façon significativement plus élevée dans les synoviocytes provenant de patients atteints de PR. Nos données indiquent également une association entre le PDGF et le TGF-β dans la formation des invadosomes. Cette dernière implique la production autocrine de ligands du PDGFR induite par le TGFβ via la signalisation TβR1/Smad et PI3K/Akt. L’inhibition des isoformes de PI3K de classe I indique que le PI3Kα est impliquée de façon sélective dans l'expression de PDGF-B. Ces résultats démontrent que le PDGFR est un RTK nécessaire au phénotype destructeur des cellules synoviales d’arthrite. Ils fournissent aussi des preuves d'une association entre le TGF-β et le PDGFR dans la formation d’invadosomes chez les synoviocytes de patients atteints de la PR. / Abstract : Rheumatoid arthritis (RA) is an autoimmune disease that leads to chronic inflammation and progressive joint destruction. The main effectors of this pathology are fibroblast-like synoviocytes (FLS). They use invadosomes, actin-rich structures that concentrate metalloproteinases to degrade the extracellular matrix (ECM). This pro-destructive phenotype is due to the activation of FLS by various growth factors, including PDGF and TGF-β. Receptor tyrosine kinases, including PDGFR, are involved in the pathogenesis of several diseases, including cancer and RA. Activation of these receptors may lead to cell survival, differentiation and proliferation. The study presented in this thesis shows that among the most common RTKs, PDGFR is specifically phosphorylated in synovial cells of RA patients, unlike cells of non-arthritic or osteoarthritic patients. In addition, activation of PDGFR results in an increase in invadosome formation by FLS. We also shown that formation of invadosome by PDGFR requires the activation of the signaling pathway PI3K/Akt, that specifically involves the α and δ isoforms of PI3K. In addition, inhibition of PDGFR activation or neutralization of endogenous PDGF inhibits the formation of invadosomes and the degradation of the ECM by synoviocytes, suggesting the presence of an autocrine activation loop involving PDGF. Among the PDGF isoforms, we demonstrate that PDGF-B expression is significantly higher in synoviocyte cell lines from RA patients. Our data also indicates an association between PDGF and TGF-β for invadosome formation that involves autocrine production of PDGF-B induced by TGF-β through the Smad/T β R1 and PI3K/Akt pathways. Inhibition of class I PI3K isoforms indicates that PI3K α is selectively involved in the expression of PDGF-B. These results demonstrate that PDGFR is an RTK necessary for the pro-destructive phenotype of RAFLS. They also provide evidence of an association between TGF-β and PDGFR in invadosome formation by synovial cells from RA patients.
42

TGF-β, WNT, AND FGF SIGNALING PATHWAYS DURING AXOLOTL TAIL REGENERATION AND FORELIMB BUD DEVELOPMENT

Qiu, Qingchao 01 January 2019 (has links)
Tgf-β, Wnt, and Fgf signaling pathways are required for many developmental processes. Here, I investigated the requirement of these signaling pathways during tail regeneration and limb development in the Mexican axolotl (Ambystoma mexicanum). Using small chemical inhibitors during tail regeneration, I found that the Tgf-β signaling pathway was required from 0-24 and 48-72 hours post tail amputation (hpa), the Wnt signaling pathway was required from 0-120 hpa, and the Fgf signaling pathway was required from 0-12hpa. Tgf-β1 was upregulated after amputation and thus may mediate Tgf-β signaling pathway during tail regeneration. Both Smad-mediated and non-Smad mediated Tgf-β signaling were activated as early as 1hpa. Smad-mediated Tgf-β signaling via activated pSmad2 and pSmad3, and via phosphorylated Erk and Akt. Two different Tgf-β signaling pathway inhibitors, SB505124 and Naringenin, differentially regulated pSmad2, pSmad3, p-Erk, and p-Akt, while SB505124 and Naringenin both inhibited tail regeneration; only SB505124 reduced cell proliferation. Wnt/β-Catenin signaling was increased and was enhanced by Wnt-C59. Disruption of the Wnt signaling pathway directly or indirectly activated Erk and Akt signaling. Disruption of the Fgf signaling pathway decreased p-Erk and increased p-Akt. All three signaling pathways affected cell proliferation and mitosis during tail regeneration. The Wnt pathway inhibitor Wnt-C59 prevented forelimb bud outgrowth. The critical window for Wnt signaling regulating forelimb bud outgrowth was approximately developmental stage 40-42. Wnt signaling ligand Wnt3a and tight junction protein Zo-1 were expressed in the epidermis of the forelimb bud and both were down-regulated by Wnt-C59. Moreover, both Wnt and Fgf signaling pathways affected cell proliferation and mitosis of mesodermal cells during forelimb bud outgrowth. Overall, my results show that Tgf-β, Wnt, and Fgf signaling pathways are required for axolotl tail regeneration. All three pathways affect Erk and Akt signaling and guide cell proliferation and mitosis. The Wnt signaling pathway is required for forelimb bud outgrowth, and it appears to regulate expression of Wnt3a and Zo1, and control cell proliferation and mitosis of mesodermal cells underlying the forelimb epidermis. These data enrich understanding of signaling network dynamics that underlie tissue regeneration and vertebrate limb development.
43

Smad7 in TGF-β Signalling

Brodin, Greger January 2002 (has links)
<p>Members of the transforming growth factor-β (TGF-β) superfamily of growth and differentiation factors regulate a vast array of biological functions in the adult, and are of great importance in governing cell fate determination and patterning in the developing embryo. The TGF-β signal is propagated intracellularly by Smad proteins resulting in transcriptional responses. Smad6 and Smad7 are inhibitory Smads known to downregulate the TGF-β signal and thereby possibly modulating the biological response. This thesis describes a functional analysis of the inhibitory Smad7 from an <i>in vitro </i>and <i>in vivo </i>perspective<i>.</i></p><p>The prostate gland is dependent on androgens for its growth and differentiation. Androgen withdrawal can cause regression and apoptosis in normal and malignant prostate. Previous studies suggest a role for TGF-β in the apoptotic mechanism. We investigated the expression levels of Smad proteins in the rat ventral prostate as well as in an androgen sensitive prostate tumor model (Dunning R3327 PAP) by immunohistochemistry. We observed an increased immunoreactivity for Smad3, Smad4 and phosphorylated Smad2 in the rat ventral prostate epithelial cells after castration, as well as in the prostate tumor cells. Expression of inhibitory Smad6 and Smad7 were also increased in both normal and malignant prostate in response to castration. </p><p>Several studies have shown that Smad7 is upregulated in response to TGF-β stimuli, suggesting a role in a negative feedback loop attenuating the TGF-β response. We investigated the molecular mechanism behind that response by studying the transcriptional regulation of the Smad7 gene. We identified a palindromic Smad binding element (SBE) in the promoter. Point mutations introduced into the SBE abolished transcriptional activation via TGF-β. We also observed that mutating or deleting binding motifs for Sp1 and AP-1, led to an attenuation of the TGF-β mediated transcriptional induction as well as the basal promoter activity.</p><p>Gene ablation of Smad proteins has revealed specific physiological and developmental roles. We analysed mice targeted on the Smad7 locus. The mice appeared viable and fertile with a slight reduction in litter size, suggesting a perinatal loss. Biochemical analysis of mouse embryonic fibroblasts (MEFs) showed no major difference between wild type and mutant MEFs. </p>
44

Smad7 in TGF-β Signalling

Brodin, Greger January 2002 (has links)
Members of the transforming growth factor-β (TGF-β) superfamily of growth and differentiation factors regulate a vast array of biological functions in the adult, and are of great importance in governing cell fate determination and patterning in the developing embryo. The TGF-β signal is propagated intracellularly by Smad proteins resulting in transcriptional responses. Smad6 and Smad7 are inhibitory Smads known to downregulate the TGF-β signal and thereby possibly modulating the biological response. This thesis describes a functional analysis of the inhibitory Smad7 from an in vitro and in vivo perspective. The prostate gland is dependent on androgens for its growth and differentiation. Androgen withdrawal can cause regression and apoptosis in normal and malignant prostate. Previous studies suggest a role for TGF-β in the apoptotic mechanism. We investigated the expression levels of Smad proteins in the rat ventral prostate as well as in an androgen sensitive prostate tumor model (Dunning R3327 PAP) by immunohistochemistry. We observed an increased immunoreactivity for Smad3, Smad4 and phosphorylated Smad2 in the rat ventral prostate epithelial cells after castration, as well as in the prostate tumor cells. Expression of inhibitory Smad6 and Smad7 were also increased in both normal and malignant prostate in response to castration. Several studies have shown that Smad7 is upregulated in response to TGF-β stimuli, suggesting a role in a negative feedback loop attenuating the TGF-β response. We investigated the molecular mechanism behind that response by studying the transcriptional regulation of the Smad7 gene. We identified a palindromic Smad binding element (SBE) in the promoter. Point mutations introduced into the SBE abolished transcriptional activation via TGF-β. We also observed that mutating or deleting binding motifs for Sp1 and AP-1, led to an attenuation of the TGF-β mediated transcriptional induction as well as the basal promoter activity. Gene ablation of Smad proteins has revealed specific physiological and developmental roles. We analysed mice targeted on the Smad7 locus. The mice appeared viable and fertile with a slight reduction in litter size, suggesting a perinatal loss. Biochemical analysis of mouse embryonic fibroblasts (MEFs) showed no major difference between wild type and mutant MEFs.
45

Protein Acetylation – A Multifunctional Regulator of TGF-β Signaling

Simonsson, Maria January 2007 (has links)
Transforming growth factor β (TGF-β) is a member of a large family of cytokines that regulate many crucial events in cells, including proliferation, differentiation, migration and apoptosis. Deregulated TGF-β signaling is associated with various forms of cancers and developmental disorders. TGF-β binds to a receptor complex at the surface of cells and activates a signaling cascade involving specific intracellular signaling proteins, known as Smads. Following receptor activation, the Smads are activated by phosphorylation and translocate to the nucleus, where they activate or repress the expression of specific genes. Posttranslational modifications regulate the function of proteins in a number of ways, including their activity, stability, localization, and/or interactions with other proteins. These modifications are important to modulate the strength and specificity of cellular signal transduction. Smad7, an important negative modulator of TGF-β signaling, has been shown to be acetylated by the acetyltransferase p300. My aim was to further explore the involvement of protein acetylation in TGF-β-dependent signaling. We could show that the acetylation of Smad7 is a reversible process. Interestingly, earlier work had shown that the acetylation of Smad7 prevented its degradation. In agreement with this observation, we found that the ubiquitylation and degradation of Smad7 was increased following cotransfection with HDAC1, a protein deacetylase. Based on our observations, we propose a model in which the stability of Smad7 is controlled by the balance between its acetylation, deacetylation and ubiquitylation. In a separate study, we found that also Smad2 and Smad3 are acetylated by p300/CBP and P/CAF upon TGF-β stimulation. Moreover, we found that the acetylation of the short isoform of Smad2 promoted its DNA binding activity, resulting in an increased transcriptional activity. Our results suggest that the increased DNA binding in response to acetylation is due to a conformational change in Smad2.
46

Expression of Proto-Oncogenes and Tumor Suppressor Genes in in vitro Cell Lines Derived from a Thymus, Thymoma, and Malignant Thymoma of Rats

MATSUYAMA, MUTSUSHI, UTSUMI, R. KAZUHIKO, MASUDA, AKIRA, TAKAHASHI, MASAHIDE, WAJJWALKUI, WORAWIDH, SAKAI, YOSHIHISA 03 1900 (has links)
No description available.
47

Application of Proximity Ligation Assay for Multidirectional Studies on Transforming Growth Factor-β Pathway

Zieba, Agata January 2012 (has links)
A comprehensive understanding of how the body and all its components function is essential when this knowledge is exploited for medical purposes. The achievements in biological and medical research during last decades has provided us with the complete human genome and identified signaling pathways that governs the cellular processes that facilitates the development and maintenance of higher order organisms. This has brought about the realization that diseases such as cancer is a consequence of genomic aberrations that effects these signaling pathways, endowing cancer cells with the capacity to circumvent homeostasis by acquiring features like self-sustained proliferation and insensitivity to apoptosis. The increased understanding of biology and medicine has been made possible by the development of advanced methods to carry out biological and clinical analyses. The demands of a method often differ regarding in what context it will be applied. It may be acceptable for method to be laborious and time consuming if it is used in basic research, but for medical purposes molecular methods need to be fast and straightforward to perform. Innovative technologies should preferentially address the demands of both researchers and clinicians and provide data not possible to obtain by other methods. An example of such a method is the in situ proximity ligation assay (in situ PLA). In this thesis I have used this method to determine the activity status, at the single-cell level, of the transforming growth factor-β (TGF-β) signaling pathway and activating protein-1 (AP-1) family of transcription factors.  Both of these pathways are frequently involved in cancer development and progression. In addition to this research I herein also present further modifications of in situ PLA, and analyses thereof, to increase the utility and resolution of this assay.
48

Is TGF-β playing a role in ectopic neuromuscular junction formation in the nematode Caenorhabditis elegans?

Rahman, Abir A 10 December 2012 (has links)
The neuromuscular junction (nmj) is a commonly studied synapse, used often to investigate reciprocal signaling between a motor neuron and the appropriate target muscle. In Caenorhabditis elegans, ectopic nmjs can be created by eliminating selected embryonic muscle cells that act as guideposts for the migration of post-embryonic muscles. The ectopic muscles are required to induce sprouting from DD motor neurons, indicating the presence of a muscle derived signaling molecule that interacts with the neurons. A TGF-β homolog, unc-129, is reported to be transiently expressed in the dorsal body wall muscles. The timing of the expression of TGF-β coincides with the time that the DD motor neurons respecify their synapses. In this study, we show that TGF-β is expressed by the ectopic muscle and that in unc-129 mutant animals, the ectopic muscle is unable to induce sprouting from the DD motor neurons. Therefore, we conclude that TGF-β is necessary for ectopic nmj formation in C.elegans.
49

The Role of MicroRNA-155 in Human Breast Cancer

Kong, William 20 July 2010 (has links)
Recent statistics reveal breast cancer as the most common cancer among women and accounts for approximately 41,000 mortalities per year. In diagnosis, features such as stage, grade, lymph node metastasis are important prognostic indicators that help guide physicians and oncologist towards optimal patient care. Presence of established pathological markers such as ER, PR, and Her2/neu status would indicate ideal adjuvant therapy situation. Although treatment of these types of breast cancer is well established, cancer that lack all three receptors, “triple negatives” or “basal like” do not respond to adjuvant therapy and are considered more aggressive in that patients tend to recur early and experience visceral metastasis. Although scientists have uncovered numerous molecular biology mechanisms in search of an understanding in cancer, leading to development of fields such as apoptosis or growth pathways; cell cycle; angiogenesis; metastasis; and more recently cancer stem cells, much work remains as cancer is still not eradicated. MicroRNAs (miRNAs) are post transcriptional regulators of gene expression. Their discovery and functional understanding have only been uncovered in the past ten years. Long pri-miRNAs are transcribed from the genome and processed into premiRNAs by Dicer; and then into short single stranded mature miRNAs complexed with Argonaute proteins to inhibit protein translation. The first link of miRNAs to cancer was made only relatively recently, but the field has expanded exponentially since. TGF- β induced Epithelial to Mesenchymal Transition model in Normal Mouse Mammary Gland Epithelia Cells (NMuMG) is a commonly used model to dissect the molecular processes of breast cancer metastasis. Using miRNA microarray, we demonstrated miR-155 was upregulated along with alterations of other miRNAs. This observation was validated with Northern and qRT-PCR analysis. Promoter and ChIP analysis revealed TGF- β activated the Smad4 transcriptional complex to induce the expression of miR-155. The reduction of RhoA protein levels by ubiquitination has been described to be a critical step during EMT, and we showed miR-155 down regulates RhoA proteins without degrading its mRNA levels; therefore, preventing de novo synthesis of RhoA proteins in the course of EMT. The interaction between miR-155 and RhoA’s 3’UTR was confirmed by reporter assays. In summary, we reported the importance of miR-155 during TGF β induced EMT in NMuMG cells. FOXO3a is a well studied tumor suppressor transcriptional factor and resides in the nucleus to transcribe pro-apoptotic genes such as Bim, or p27 in the active state. During conditions when cells are signaled to grow and divide, it is phosphorylated by oncogenes such as AKT or IKK β, becomes inactivated and translocates into the cytoplasm. We have shown for the first time that FOXO3a activity is also regulated by miRNAs, specifically miR-155. Western and Northern analysis revealed a correlation between FOXO3a protein and mature miR-155 RNA levels in breast cancer cell lines along with breast tumor and normal tissues. Specifically, miR-155 expression is low in BT474 and high in HS578T, and inversely correlates with endogenous FOXO3a protein levels. Overexpression of miR-155 decreased endogenous FOXO3a protein and knockdown of miR-155 HS578T rescued its expression. Reporter assay experiments validated the interaction between miR-155 and FOXO3a 3’UTR. More importantly, overexpression of miR-155 in BT474 protected the cells from apoptosis induced by drugs while knockdown of miR-155 in HS578T initiated cell death even in the absence of drugs. In summary, we have shown the importance of miR-155 in chemosensitivity by targeting FOXO3a in breast cancer. MiR-155 has been previously shown up-regulated in multiple types of malignancies, including breast cancer. In addition, miR-155 expression was reported to correlate very strongly to survival in lung and pancreatic cancer. We validated by qRTPCR and Northern analysis that miR-155 expression is detected only in breast tumors and not normal breast tissue. In situ hybridization of breast cancer tissue microarrays revealed similar results. In light of previous studies that showed a correlation between miR-155 and survival in lung and pancreatic cancers, we performed an X-tile analysis to determine an optimal cut point for miR-155 level in our breast cancer sample population that would correlate to ten years overall survival. Verification using Kaplan-Meier validated a cut point at 90.14 to significantly correlate to overall survival (P=0.007). In addition, Chi-square analysis revealed miR-155 expression to correlate with high tumor stage, grade and lymph node metastasis. However, miR-155 expression did not correspond to ER, PR, or HER2/neu status, but this is hardly surprising since computational analysis does not predict miR-155 to target these genes. In summary, we have shown deviant expression of miR-155 in breast cancer. Due to its correlation with overall survival; higher grade and stage; lymph node metastasis, and triple negative subtype, miR-155 may prove to be a valuable prognostic marker and therapeutic target for breast cancer intervention.
50

Resposta imune celular de portadores de hepa tite C antes e na 12ª semana de tratamento com interferon - alfa e ribavirina

Oliveira, Isabela Silva de January 2015 (has links)
Submitted by Pós Imunologia (ppgimicsufba@gmail.com) on 2017-02-17T18:25:36Z No. of bitstreams: 1 Tese Isabela.pdf: 1865877 bytes, checksum: cbd1986b7bda4dc09057f53feeaa35b2 (MD5) / Approved for entry into archive by Delba Rosa (delba@ufba.br) on 2017-05-02T12:43:10Z (GMT) No. of bitstreams: 1 Tese Isabela.pdf: 1865877 bytes, checksum: cbd1986b7bda4dc09057f53feeaa35b2 (MD5) / Made available in DSpace on 2017-05-02T12:43:10Z (GMT). No. of bitstreams: 1 Tese Isabela.pdf: 1865877 bytes, checksum: cbd1986b7bda4dc09057f53feeaa35b2 (MD5) / A hepatite C crônica (HCC) é um problema de saúde mundial, sendo uma das principais causas de transplantes de fígado. A maioria dos indivíduos infectados desenvolve a infecção crônica. Muitos trabalhos têm relatado a ocorrência de desregulação na resposta imune durante a infecção pelo HCV, o que implica na persistência viral. Alguns mecanismos de escape foram sugeridos, como: mascaramento de epítopos, interferência viral nas vias de sinalização de IFN e da resposta imune inata, exaustão e anergia de células T, supressão de resposta imune por ação das células T regulatórias ou ação de citocinas. O objetivo deste trabalho foi avaliar a resposta imune celular em portadores de hepatite C crônica antes e na 12ª semana de tratamento com interferon-α mais ribavirina. Este trabalho foi dividido em dois artigos. No primeiro artigo foi investigada a frequência de subpopulações de linfócitos no sangue periférico de portadores de HCC não tratados e após 12 semanas de tratamento antiviral com IFN-α e ribavirina. Uma elevada frequência de células B e frequências baixas de células T CD8+ e células NK foram encontrados nos indivíduos não tratados, mas não houve alteração nas frequências de células T CD4+ e células Tregs. Porém, portadores de HCC que tiveram positividade para crioglobulinas possuíam baixa frequência de células Treg CD4+CD25+FoxP3+ em comparação aos pacientes sem essas manifestações extra-hepáticas. Não houve diferença na frequência das subpopulações de linfócitos entre os portadores de HCC antes e na 12ª semana do tratamento duplo, mas houve aumento da frequência de células NK em pacientes com resposta virológica precoce. No segundo trabalho foi avaliada a produção das citocinas imunorregulatórias (IL-10 e TGF-β) e as relacionadas à resposta antiviral (IL-2 e IFN-γ) por células mononucleares do sangue periférico (CMSP) de portadores de HCC estimuladas com fitohemaglutinina e antígenos do HCV (core, NS3, NS4 e NS5), antes e na 12ª semana de tratamento antiviral com interferon e ribavirina. Foi demonstrado que o estímulo das CMSP desses pacientes com antígeno HCV-core causou um aumento na produção de IL-2, redução na produção de IFN-γ e produção aumentada de IL-10. Antígenos HCV-NS3 e HCV-NS5 estimularam apenas a produção de IL-10. Os antígenos do HCV não estimularam a produção de TGF-β pelas CMSP, e houve uma relação entre os níveis desta citocina e a carga viral do HCV dos pacientes antes do tratamento. Conclui-se que a resposta imune nos portadores de HCC está alterada, demonstrado pela diminuição na frequência de células CD8+ e NK, e pela aumentada produção de IL-10, baixa produção de IL-2 e IFN-γ provocada pelos antígenos virais. / Chronic hepatitis C (HCC) is a global health problem and a cause of liver transplants. Most infected individuals develop chronic infection. Altered immune response to hepatitis C virus (HCV) infection can be demonstrated in patients with chronic hepatitis C (CHC), which implies the viral persistence. Some escape mechanisms have been suggested, such as: masking epitopes, viral interference in the IFN signaling pathway and innate immune response, exhaustion and anergy of T cells response, suppression of immune response by action of regulatory T cells or action of cytokines. The aim of this study was to evaluate the cellular immune response in patients with chronic hepatitis C before and after 12 weeks of treatment with interferon-α plus ribavirin. This study has been divided into two papers. The first paper investigated the frequency of blood lymphocyte subsets in untreated HCV patients and after 12 weeks of antiviral treatment with IFN-α plus ribavirin. A high frequency of B cells and low frequencies of both CD8+ T cells and NK cells were found in untreated patients, but there was no change in the frequency of CD4 + T cells and Treg cells. However, patients with cryoglobulinemia had a lower frequency of CD4+CD25+FoxP3+ Treg cells compared to patients without these extrahepatic manifestations. There was no difference in the frequency of blood lymphocyte subsets among patients with HCC before and after 12 weeks of antiviral treatment, but there was an increase in the frequency of NK cells in patients with early virological response. The second study evaluated the production of immunoregulatory cytokines (IL-10 and TGF-β) and associated antiviral response (IL-2 and IFN-γ) in peripheral blood mononuclear cells (PBMC) from CHC patients stimulated with Phytohemagglutinin (PHA) and HCV antigens (core, NS3, NS4 e NS5), before and at 12 weeks of antiviral treatment with interferon plus ribavirin. It has been shown that stimulation of the PBMC of patients with HCV core antigen caused an increase in IL-2 production, reduction in IFN-γ and increased in IL-10 production. HCV-NS3 e HCV-NS5 antigens only stimulated IL-10 production. The HCV antigens did not stimulate TGF-β production. There was a relationship between the levels of this cytokine and the HCV viremia of the patients before treatment. In conclusion, the immune response in patients with HCC is disrupted, demonstrated by decrease in the frequency of CD8 +T cells and NK cells, and the increased production of IL-10, low IL-2 and IFN-γ production induced by the viral antigens.

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