Cardiovascular diseases affect one third of the U.S. population and are the number one cause of death globally. Acute myocardial infarction is one of the most catastrophic cardiovascular diseases that permanently alters patient's lives. Small molecule drugs, surgery, medical devices and lifestyle changes are the current treatment methods that only address symptoms and fail to cure cardiovascular disorders. Small therapeutic peptides are emerging methods to treat diseases ranging from cancer to auto-immune disorders. Due to their nature, they are non-toxic, non-immunogenic, biocompatible and highly target specific. However, because of their small size and lack of tertiary structure, they have a very short half-life. Alpha-carboxyl terminus 11 peptide (αCT11) is a 9 amino acid long small peptide that has shown to promote left ventricular function recovery when mouse hearts are perfused with the peptide prior to an ischemia-reperfusion injury. This study investigates the in vitro pharmacokinetics of αCT11 in rat plasma in the presence of protease and phosphatase inhibitor cocktails to provide a method to delay its degradation and to understand the degradation pattern of the peptide in vitro. The effect of time, temperature, presence of inhibitors and sex are investigated. Results have shown that while sex does not have a significant effect on αCT11 degradation, time and temperature significantly promote its degradation. Utilization of inhibitors also leads to a pronounced delay in αCT11 degradation, as the amount of αCT11 remaining in plasma increases from almost undetectable to 15-16% upon introduction of inhibitors. These results indicate that αCT11 degradation can be delayed significantly when inhibitor cocktails are used, bringing αCT11 closer to being used in a clinical setting to address ischemia-reperfusion injuries. / Master of Science / Cardiovascular diseases affect millions of people worldwide and they are the number one cause of death globally. Current treatments for cardiovascular diseases mainly focus on alleviating symptoms as they arise and delaying the disease progression using small molecule drugs and lifestyle changes, which unfortunately are unable to cure the diseases permanently. Peptide treatment is a novel method to address various traditionally incurable diseases, such as auto-immune disorders and cancer. These therapeutic peptides are highly target specific, typically non-toxic and highly biocompatible since they are designed based on native proteins. Even though small therapeutic peptides have numerous benefits, a major drawback is that they have a very short half-life in plasma. Alpha-carboxyl terminus 11 peptide (αCT11) is a small peptide derived from alpha-carboxyl terminus 1 peptide (αCT1), which is in phase 2 clinical trials for chronic wound healing. It has been shown that αCT11 has cardioprotective effects when the heart is perfused with the peptide before an ischemia-reperfusion injury, such as a heart attack. This study investigates the in vitro pharmacokinetic properties of αCT11 in rat plasma with respect to time, temperature and sex with the aim to provide an effective method to allow αCT11 to remain in plasma for a longer period of time. As a method to delay αCT11 degradation due to plasma enzymes, enzyme inhibitors are used, which delayed the αCT11 breakdown significantly. The results have also shown that time and temperature are the main factors affecting αCT11 degradation in rat plasma in vitro while sex is not a significant factor. These results indicate that this small peptide can be protected in plasma with the use of inhibitors. This discovery can be a stepping stone to use αCT11 in clinical settings to help treat cardiovascular diseases.

La Maladie de Huntington (MH) reste à ce jour une pathologie neurodégénérative dévastatrice pour laquelle aucun traitement n'est disponible. L'agrégation de la Huntingtine Mutante (Htt PolyQ) joue un rôle majeur dans les processus pathologiques. Dans ce contexte, des études récentes ont démontré que la partie N-terminale de la Huntingtine Humaine (Htt wt) ou de son Homologue drosophile (dHtt) sont toutes deux capables de réduire l'agrégation et la toxicité de Htt PolyQ. En se basant sur cette observation, le travail de thèse décrit dans ce manuscrit a mis au point un découpage du fragment N-terminal de Htt wt de manière à isoler en son sein, une courte séquence de 23 acides aminés (nommée P42), capable d'inhiber spécifiquement l'agrégation de Htt PolyQ en modèle cellulaire. L'effet protecteur de ce peptide a été confirmé in vivo, sur un modèle drosophile de la MH. Le potentiel thérapeutique que représente P42 a servi de point de départ à une étude menée sur le modèle murin R6/2 de la MH. L'effet de P42 a été potentialisé par l'ajout du peptide de transduction TAT de manière à faciliter son entrée dans les cellules cibles. Puis, la protéine fusion P42-TAT a été vectorisée sous forme de microémulsion de manière à assurer à la fois une administration simple de la molécule, et un accès au système nerveux central. Ce protocole original a permis d'observer des bénéfices sans précédent sur les phénotypes comportementaux, histologiques et moléculaires que présentent les souris R6/2.Au-delà de son aspect thérapeutique, P42 est avant tout une séquence méconnue située dans une région cruciale de la Huntingtine. L'étude du rôle physiologique de ce site, a mené à une meilleure compréhension de la fonction sauvage de la protéine toute entière. En outre, une analyse biochimique a montré la capacité du fragment N-terminal de Htt wt à se lier aux microtubules. Cette interaction avec le cytosquelette dépend de plusieurs processus (clivages, dimérisation) et semble affilier la Huntingtine à la grande famille des MAP.L'identification de P42 ouvre donc une voie nouvelle vers la compréhension du rôle physiologique de la Huntingtine, mais représente surtout un espoir thérapeutique captivant. / Huntington's disease (HD) is a devastating and incurable neurodegenerative disorder. Aggregation processes of mutant Huntingtin (Htt PolyQ) play a central part in the pathology onset. In this context, recent studies pointed out the capacities of wild-type Huntingtin N-terminus to reduce both aggregation and toxicity associated with Htt PolyQ. The drosophila Homologue shares the sames properties. Basing on these observations, the present work realised a cut of human Huntingtin N-terminus in order to identify the region responsible for therapeutic benefits. This screen highlighted a 23 amino-acid sequence (noted P42), that inhibits Htt PolyQ aggregation in a HeLa cells model. Then, the protective effect of this peptide was confirmed in vivo, in a HD drosophila model.P42 therapeutic potential was explored in the R6/2 HD mouse model. The entry of the peptide into cells, was potentialised by grafting to P42, the transduction sequence of TAT. Then, the fusion protein P42-TAT was vectorised in microemulsion, in order to enhance the delivery of the peptide to the brain by resorting to a non-invasive administration way. This original protocol exhibited highly-significant rescues on behavioural, histological and molecular R6/2 phenotypes..Over the therapeutic aspect, P42 also represents an important region of Huntingtin. The study of this site led to a better understanding of Huntingtin physiological function. Biochemestrial experiments underlined the binding of Htt N-terminus on microtubules networks. This interaction depends on a range of complex processes (dimerization, cleavage) and suggests that the Huntingtin belongs to the family of Structual MAPs.In summary, the identification of P42 enhances the knowledge about Huntingtin function, and opens a new promising therapeutical avenue for HD.

La mambaquarétine-1 (MQ-1), une toxine du mamba vert, est le tout premier peptide Kunitz à bloquer sélectivement l’activité du récepteur de type 2 à la vasopressine (V2R). Celui-ci contrôle la concentration finale des urines dans le rein. Impliqué dans plusieurs pathologies, son inhibition est actuellement considérée comme la meilleure stratégie thérapeutique dans le traitement de la polykystose rénale, une maladie génétique héréditaire. L’étude pharmacodynamique de MQ-1 sur des rats sains a confirmé son activité in vivo qui se traduit par un effet aquarétique dépendant de la dose. L’effet maximum est atteint 2 heures après injection intrapéritonéale et disparait avec un temps de demi-vie biologique variant de 1 à 4 heures selon la dose. L’administration quotidienne d’une faible dose a montré une accumulation de l’effet les trois premiers jours, avant un plateau, suggérant une activité résiduelle au-delà de 24 heures. Le criblage des trois autres venins de mambas ainsi qu’une analyse comparée des séquences peptidiques les plus proches dans les bases de données ont révélé l’existence d’un groupe phylogénétique de onze toxines Kunitz antagonistes de V2R. Une approche innovante, combinant tests de liaison de variants de MQ-1 et modélisation du complexe MQ-1-V2R, a permis de décrypter une partie du pharmacophore de la toxine. Les deux partenaires partagent une importante complémentarité ionique impliquant plusieurs boucles extracellulaires du récepteur, et une région hydrophobe de MQ-1 interagit au cœur de V2R à proximité de son site orthostérique supposé. Enfin, une première collaboration avec une industrie pharmaceutique a mis en évidence les points critiques à approfondir pour aboutir au développement thérapeutique de MQ-1. / Mambaquaretin-1 (MQ-1), a green mamba toxin, is the very first Kunitz peptide to selectively hinder the vasopressin type 2 receptor (V2R) activation. This receptor controls the final concentration of urine in kidneys. Involved in a number of pathologies, its inhibition is currently considered as the best therapeutic strategy in the treatment of polycystic kidney disease, a hereditary genetic disease. Pharmacodynamic study of MQ-1 carried out on healthy rats confirmed its in vivo activity which consists in inducing a dose-dependent aquaretic effect. Maximum effect is reached 2 hours after an intraperitoneal injection and disappears in a biological half-life ranging from 1 to 4 hours according to the dose. The daily injection of small quantities pointed to a cumulative effect over the first three days, leading to a plateau, which suggests a residual activity exceeding 24 hours. The screening of the three other mamba venoms along with a comparative analysis of the closest peptide sequences reported in databases revealed the existence of a phylogenetic group of eleven V2R antagonist Kunitz toxins. An innovative approach combining binding assays on MQ-1 variants and the modelling of the MQ-1-V2R complex has led to a partial deciphering of the pharmacophore of the toxin. The two partners share a significant ionic complementarity involving a number of extracellular loops of the receptor, and a hydrophobic region of MQ-1 interacts within V2R in the vicinity of its supposed orthosteric site. Lastly, a collaboration initiated with a pharmaceutical company brought out the need for the closer scrutiny of some crucial points to succeed in a therapeutic development of MQ-1.

Ce travail poursuit l’exploration du potentiel thérapeutique de peptides antagonistes des domaines transmembranaires (TM) de récepteurs impliqués dans la croissance tumorale. J’ai montré l’effet anti-angiogénique de MTP-NRP1, un peptide ciblant le récepteur Neuropline-1 et confirmé sa capacité d’inhibition de prolifération, migration et de croissance d’une lignée de glioblastome (GBM) humain. J’ai ensuite démontré que le récepteur Plexine-A1 est corrélé à l’agressivité des gliomes et semble être un marqueur pronostique négatif de la survie des patients atteints de GBM. J’ai démontré le rôle du segment TM de PlexA1 dans ses interactions. Le peptide MTP-PlexA1, inhibe la signalisation et la formation du complexe NRP1-PlexA1, réduit la prolifération et la migration des cellules de GBM, impacte la croissance tumorale in vivo y compris de cellules souches tumorales. J’ai décrit le rôle pro-angiogénique de PlexA1 par des tests d’angiogenèse et de CAM où MTP-PlexA1 bloque cette fonction. / This thesis work continues the exploration of the therapeutic potential using peptides targeting transmembrane (TM) domains of receptors involved in tumor growth. I showed the anti-angiogenic effect of MTP-NRP1, a peptide targeting Neuropilin-1 and confirmed its capability to impact proliferation, migration and in vivo growth of a human glioblastoma (GBM) cell line. Then, I demonstrated that the expression of Plexin-A1 is correlated with glioma aggressiveness and seems to be a bad prognosis marker for GBM patients. We described the importance of PlexA1 TM domain in the control of their interactions. The peptide MTP-PlexA1 inhibits complex formation and signaling of NRP1-PlexA1, impacts tumor growth in vivo and cancer stem cells engrafting and development. I demonstrated the pro-angiogenic role of PlexA1 with in vitro angiogenesis assays and CAM assay in which MTP-PlexA1 is able to block this function.