The development of cancer is a multi-step process which involves a series of events, including activation of oncogenes and loss of tumor suppressor function, leading to cell immortalization and misregulated proliferation. In the last few years, the importance of epigenetic defects in cancer development has become increasingly recognized. While most epigenetic studies focus on silencing of tumor suppressors, this thesis addresses defects in the maintenance of silenced heterochromatin in cancer, particularly breast cancer. Breast cancer is a leading cause of cancer in women and many familial cases have been linked to mutations in the breast cancer susceptibility genes, BRCA1 and BRCA2. BRCA1 has been linked to DNA repair as well as multiple other cellular processes, including cell cycle checkpoints, ubiquitination, centrosome function, and meiotic silencing of the XY body. This work began with a particular interest in the report that BRCA1 was linked to the failed maintenance of random X-inactivation in female somatic cells, via a role in supporting XIST RNA localization to the inactive X chromosome (Xi). XIST RNA is a non-coding RNA that fully coats or “paints” the Xi and induces its silencing. Work presented in Chapter II substantially clarifies the relationship of BRCA1 to XIST RNA, based on several lines of experimentation. Loss of BRCA1 does not lead to loss of XIST RNA in these studies, nor did reconstitution of HCC1937 BRCA1-/- tumor cells with BRCA1 lead to XIST RNA localization on Xi, although an effect on XIST RNA transcription is possible. Studies of BRCA1 localization with Xi showed that BRCA1 has a limited association with the Xi in ~3-10% of cells, it rarely colocalizes with XIST RNA to a significant extent, but rather is in close apposition to a small part of the XIST RNA/Xi territory. Additionally, analysis of several breast cancer cell lines revealed mislocalization of XIST RNA in some breast cancer cell lines. Many studies have examined BRCA1 foci that form following DNA damage and demonstrated that these are sites of repair. However, whether the numerous large foci consistently present in normal S-phase nuclei were storage sites or had any function was unknown. In Chapter III, I demonstrate that the BRCA1 foci in normal S-phase nuclei associate overwhelmingly with specific heterochromatic regions of the genome. More specifically, BRCA1 foci often associate with centromeric or pericentromeric regions in both human and mouse cells. In human cells BRCA1 foci often appear juxtaposed to centromeric signal, whereas in mouse, BRCA1 often rings or paints the large chromocenters, clusters of DAPI-dense pericentric and centric heterochromatin. Using PCNA and BrdU as markers of replication, I demonstrate that BRCA1 preferentially associates with the chromocenters during their replication, although high-resolution analysis indicates that BRCA1 and PCNA foci rarely directly overlap. Interestingly, cells with defects in BRCA1 were found to have lagging chromosomes and DNA bridges which nearly always contained satellite DNA, which is consistent with the possibility that BRCA1 deficit contributes to failed separation of sister chromatids at the centromere. This is consistent with other recent reports that BRCA1 is necessary for DNA decatenation by topoisomerase II during routine replication and with my demonstration that topoisomerase II also accumulates on pericentric heterochromatin (PCH) during replication. Chapter IV presents recent work which reveals that RNA is commonly expressed from the centric/pericentric heterochromatin and appears to be linked to its replication. In mouse cells RNA from heterochromatic sequences is readily detected using a broad molecular cytological assay for repeat transcription (the COT-1 RNA assay). In addition to a more dispersed nucleoplasmic signal from euchromatic nuclear regions, distinct localized foci of repeat RNA are detected with COT1 probe or pancentromeric probe. Further analysis with the minor satellite (centromere proper) and the major satellite (comprising the larger pericentric heterochromatin) reveals that the large RNA foci often contain these satellite sequences, long thought to be essentially silent. These foci generally associate with the PCH of chromocenters, and produce various patterns similar to BRCA1- including a larger signal partially painting or ringing the chromocenter in a fraction of cells. In conjunction again with PCNA staining, it was possible to determine that the major satellite RNAs associate with the chromocenters during replication. While the satellite RNA co-localizes precisely with PCNA, neither of these co-localizes at high resolution with BRCA1, although they all are present on replicating chromocenters contemporaneously. These findings show that satellite RNAs are more widely expressed in normal cells than previously thought and link their expression to replication of centromere-linked heterochromatin. Finally, Chapter V presents three lines of recent results to support a major concept forwarded in this manuscript: that loss of Xi heterochromatin may reflect defects in the broader heterochromatic compartment, which may be manifest at multiple levels. I provide evidence using two new assays that both the peripheral heterochromatic compartment and the expression and silencing of satellite repeats is commonly compromised in cancer, although this appears to vary among cancer lines or types. The final results connect back to the question with which I began: what maintains XIST RNA localization to the chromosome in normal cells. These results demonstrate for the first time that Aurora B Kinase activity, mediated by Protein Phosphatase 1 (PP1) during interphase, controls the interphase retention and mitotic release of XIST RNA from the chromosome, likely linked to chromatin modifications such as H3Ser10 phosphorylation. As Aurora B Kinase is commonly over-expressed in cancer and is linked to chromatin changes, this exemplifies one type of mechanism whereby broad epigenetic changes in cancer may impact XIST RNA localization and the maintenance of heterochromatin more generally. This thesis represents a melding of cancer biology with the study of X inactivation and heterochromatin, with findings of fundamental interest to both of these fields.

Retinitis Pigmentosa (RP) is an inherited photoreceptor degenerative disease that leads to blindness and affects about 1 in 4000 people worldwide. The disease is predominantly caused by mutations in genes expressed exclusively in the night active rod photoreceptors; however, blindness results from the secondary loss of the day active cone photoreceptors, the mechanism of which remains elusive. Here, we show that the mammalian target of rapamycin complex 1 (mTORC1) is required to delay the progression of cone death during disease and that constitutive activation of mTORC1 is sufficient to maintain cone function and promote cone survival in RP. Activation of mTORC1 increased expression of genes that promote glucose uptake, retention and utilization, leading to increased NADPH levels; a key metabolite for cones. This protective effect was conserved in two mouse models of RP, indicating that the secondary loss of cones can be delayed by an approach that is independent of the primary mutation in rods. However, since mTORC1 is a negative regulator of autophagy, its constitutive activation led to an unwarranted secondary effect of shortage of amino acids due to incomplete digestion of autophagic cargo, which reduces the efficiency of cone survival over time. Moderate activation of mTORC1, which promotes expression of glycolytic genes, as well as maintains autophagy, provided more sustained cone survival. Together, our work addresses a long-standing question of non-autonomous cone death in RP and presents a novel, mutation-independent approach to extend vision in a disease that remains incurable.

No description available.

No description available.

The rapid increase in antibiotic resistance demands the identification of novel antibiotics with novel targets. One potential antibacterial target is the biosynthesis of peptidoglycan cell wall, which is both ubiquitous and necessary for bacterial survival. Both the caprazamycin-related compounds A-90289 and muraminomicin, as well as the capuramycin-related compounds A-503083 and A-102395 are potent inhibitors of the translocase I enzyme, one of the key enzymes required for cell wall biosynthesis. The caprazamycin-related compounds contain a core nonproteinogen b-hydroxy-a-amino acid referred to as 5’-C-glycyluridine (GlyU). Residing within the biosynthetic gene clusters of the aforementioned compounds is a shared open reading frame which encodes a putative serine hydroxymethyltransferase (SHMT). The revelation of this shared open reading frame resulted in the proposal that this putative SHMT catalyzes an aldol-type condensation reaction utilizing glycine and uridine-5’-aldehyde, resulting in the GlyU core. The enzyme LipK involved in A-90289 biosynthesis was used as a model to functionally assign this putative SHMT to reveal its functions as an l-threonine: uridine-5’-aldehyde transaldolases. Biochemical analysis indicates enzymatic activity is dependent upon pyridoxal-5’-phosphate, is non-reactive with alternative amino acids, and produces acetaldehyde as a co-product. Structural characterization of the enzymatic product is consistent with (5’S,6’S)-GlyU indicating that this enzyme orchestrates a C-C bond breaking and formation resulting in two new stereocenters to make a new l-a-amino acid. The same activity was demonstrated for the LipK homologues involved in the biosynthesis of muraminomicin, A-503083, and A-102395. This l-threonine: uridine-5’-aldehyde transaldolase was used with alternative aldehyde substrates to prepare unusual l-a-amino acids, suggesting the potential for exploiting this enzyme to make new compounds.

Résumé Cette thèse consiste en trois thèmes résumés dans les paragraphes ci-dessous. L’influence de différents groupements protecteurs du groupe hydroxyle lors des réactions d’ouverture des cis- et trans- 3-hydroxy-1,2-époxycycloalcanes a été étudiée. Il a été montré que Yb(OTf)3 constituait un catalyseur doux pour l’ouverture régiosélective de cycles afin d’obtenir les -anilino cycloalcanols correspondants avec de bons rendements. Le chauffage du milieu réactionnel dans le toluène comme solvant a permis d’augmenter la cinétique de la réaction, au dépend du rendement. La partie aniline a été régiosélectivement introduite en position vicinale du groupe hydroxyle ou éther afin d’obtenir un unique régioisomère. La même tendance a été observée avec les époxydes du 3-azidocyclohex-1-ène et du 3-carbamate correspondant. Le temps de réaction a été réduit lorsque Yb(OTf)3 a été dissous dans l’acétonitrile. Le triflate d’ytterbium (III) a également été utilisé comme catalyseur pour l’ouverture de cycle régiosélective d’aziridines non-activées sur des cyclohexanes portant des substituants azotures ou éthers de benzyle. L’ion azoture ou l’aniline forment les produits trans correspondants, donnant alors accès à des diamines vicinales avec de bons rendements. Un éther ω-alcoxy p-méthoxybenzylique racémique, inhibiteur de HDAC, a été ainsi préparé en huit étapes synthétiques (rendement total de 26%) à partir du 1-((tert-butyldiphénylsilyl)oxy)hept-6-èn-2-ol. Ceci représente un progrès par rapport à la précédente méthode (9 étapes, rendement total de 16%). La métathèse croisée se montre particulièrement efficace et pratique dans cette stratégie et l’alkylation par le trichloroacétimidate de p-méthoxybenzyle en présence de Sc(OTf)3 améliore le rendement global de la synthèse. Un aminoalcool présent dans la pactamycine et contenant le squelette carboné, les groupements fonctionnels et la stéréochimie requise a été synthétisé en 27 étapes à partir de la L-thréonine. La méthodologie décrite dans cette thèse permet la synthèse de cet intermédiaire clé à l’échelle multigramme. / Abstract Ring-opening reactions of epoxides and aziridines have been extensively studied. The influence of different protecting groups on the hydroxyl group in the ring-opening reactions of cis- and trans- 3-hydroxy-1,2-cycloalkane epoxides with aromatic amines was studied. It was shown that Yb(OTf)3 in toluene was a mild catalyst for regioselective ring-opening, to give -anilino cycloalkanols in good yields. Heating the reaction mixture accelerated the rate of the reaction, albeit at the expense of yield. The aniline moiety was regioselectively added at the carbon furthest from the hydroxyl or ether group to yield a single regioisomer. The same trend was also observed with 3-azidocyclohex-1-ene epoxides and the corresponding 3-carbamates. The reaction time became shorter when acetonitrile was used as solvent, possibly due to the homogeneous medium. Ytterbium(III) triflate has also been used as the catalyst for the regioselective ring-opening of unactivated aziridines in cyclohexanes having an azide or benzyl ether substituent. Azide ion or aniline forms the corresponding trans-products giving access to vicinal diamines in good yields. A racemic ω-alkoxy p-methoxy benzyl ether HDAC inhibitor has been prepared in 8 synthetic steps (26% overall yield) from 1-((tert-butyldiphenylsilyl)oxy)hept-6-en-2-ol. This is an improvement over the published method (9 steps, 16% overall yield). The cross-metathesis method proved to be efficient and practical in this strategy, and alkylation using p-methoxybenzyl trichloroacetimidate in the presence of Sc(OTf)3 improved the overall yield of the synthesis. An amino alcohol that contains all the core carbons, functional groups and the required stereochemistry present in pactamycin was obtained starting from L-threonine over 27 steps. The methodology described in this thesis allows for a synthesis of this key intermediate on a multigram scale.

La bactérie Streptococcus pneumoniae peut provoquer de sérieuses pathologies chez l'homme telles que des pneumonies, méningites ou septicémies. L'étude de cette bactérie constitue donc un enjeu de santé publique international. Ces dernières années, il a été mis en évidence que les bactéries exprimaient des Sérine/Thréonine Protéine‐Kinases de type eucaryote (STPKs) et que ces dernières intervenaient dans la régulation de nombreux processus cellulaires. Une approche prometteuse serait donc de cibler les mécanismes de régulation contrôlés par les STPKs pour lutter contre les infections à pneumocoque. L'analyse du génome de S. pneumoniae a montré que cette bactérie possède un seul gène codant pour une STPK, la protéine StkP. Mes travaux de thèse ont montré que StkP est un acteur majeur de la division cellulaire et de la morphogenèse du pneumocoque. J'ai montré que son activité kinase est dépendante de la protéine GpsB et qu'elle phosphoryle spécifiquement plusieurs protéines dont la protéine de division DivIVA. L'ensemble de mes travaux permet de proposer un modèle dans lequel la triade StkP/GpsB/DivIVA régulerait finement la division et l'élongation cellulaire du pneumocoque. À plus long terme, ces travaux pourront servir de base à des études plus structurales pour développer des molécules bloquant les processus dépendants de la phosphorylation assurée par StkP, et générer ainsi de nouvelles molécules affectant le pouvoir pathogène du pneumocoque / The bacterium Streptococcus pneumoniae is the causative agent of several diseases such as pneumonia, meningitis or septicemia. The study of this bacterium represents thus an international health challenge. Over the last decade, bacteria have been shown to produce eukaryotic‐like Serine/Threonine Protein‐Kinases (STPKs) that are involved in the regulation of several cellular processes. A promising approach would be to target the regulatory mechanisms controlled by STPKs to combat pneumococcal infections. The pneumococcus possesses a single gene encoding for a STPK, the protein StkP. The aim of my work was to characterize the biological function of StkP. My work shows that StkP plays crucial roles in the cell division and morphogenesis of S. pneumoniae. I show that the cell division protein GpsB is required for the kinase activity of StkP that, in turn, specifically phosphorylates the cell division protein DivIVA. Altogether, I propose a model in which the StkP/GpsB/DivIVA triad finely tunes S. pneumonia cell division and elongation. These data could provide the basis for future structural studies to develop specific inhibitors of StkP‐mediated phosphorylation and affecting pneumococcal virulence

La protéine kinase caséine kinase 2 (CK2) est une sérine/thréonine kinase hautement pléiotrope dont la liste des substrats est supérieure à 500 protéines, lesquelles sont impliquées dans un large éventail de fonctions cellulaires. Les sous-unités catalytiques de CK2 (alpha et/ou alpha') sont constitutivement actives soit seules soit en combinaison avec les sous-unités régulatrices béta pour former une protéine hétérotétramérique (holoenzyme). Une troisième isoforme de la sous-unité catalytique, désignée CK2α'', a été découverte plus récemment et peu d'informations sont actuellement disponibles. L'activité hautement constitutive de CK2 est suspectée de contribuer au phénomène de néoplasie. Une stratégie de conception d'inhibiteurs tétracycliques ciblant le site ATP de la CK2 a permis l'élaboration de trois séries de composés comportant le motif indéno[1,2-b]indole. Un procédé multi-étapes de synthèse a permis de fonctionnaliser précisément le cycle D du noyau indéno[1,2-b]indole et de générer une première chimiothèque de molécules originales. Toutes les molécules finales ont été testées sur la protéine kinase humaine CK2 (Muenster) et certaines ont présentées des CI50 de l'ordre du submicromolaire. L'analyse des Relations Structure-Activité (SAR) et la construction d'un modèle 3D-QSAR (Duesseldorf) a contribué à affiner le choix des substituants introduits sur le châssis moléculaire développé. Les indéno[1,2-b]indoles fonctionnalisés les plus prometteurs ont été également testés sur d'autres cibles biologiques comme la phosphatase CDC25A (Metz) et la kinase DYRK1B (Saarbruecken). Des études de modélisation moléculaire (Duesseldorf) utilisant les données cristallographiques disponibles de l'enzyme ont permis d'analyser les interactions ligand-protéine. Les inhibiteurs les plus puissants in vitro ont été testés sur quatre lignées cellulaires normales afin d'établir leur profil cytotoxique (Centre de Recherche en Cancérologie de Lyon) / Synthesis and evaluation of indéno[1,2-b]indole derivatives as potential inhibitors of human protein kinase CK2 Protein kinase casein kinase 2 (CK2) is a serine/threonine kinase highly pleiotropic listed substrates it is greater than 500 proteins, which are involved in a wide range of cellular functions. The catalytic subunits of CK2 (α and/or α') are constitutively active either alone or in combination with the regulatory subunits to form a hetero- beta protein holoenzyme). A third isoform of the catalytic subunit, designated CK2 α', was discovered more recently and little information is currently available. The high constitutive activity of CK2 is suspected of contributing to the phenomenal of neoplasia. A design strategy tetracyclic inhibitors targeting the ATP site of CK2 resulted in the development of three series of compounds containing the motif indeno[1,2-b]indole. A multi-step synthesis process has specifically functionalize the D ring of the core indeno[1,2-b]indole and generate a first combinatorial library of original molecules. All final compounds were tested on human protein kinase CK2 (Muenster), and some have reported IC50 of the order of sub-micromolar. Analysis of Structure-Activity Relationships (SAR) and the construction of a 3D-QSAR model (Duesseldorf) helped to refine the choice of substituents introduced into the moleculair frame developed. The indeno[1,2-b]indole the most promising functionalized indoles were also tested on other biological targets such as phosphatase CDC25 A (Metz) and kinase DYRK1B (Saarbruecken). Of molecular modeling studies (Duesseldorf) using the crystallographic data of the enzyme were used to analyze protein-ligand interactions. The most potent in vitro inhibitor were tested on four normal cell lines to determine their cytotoxic profile (Cancer Research Center of Lyon)

La bactérie pathogène, Streptococcus pneumoniae (ou pneumocoque), produit une sérinethréonine-kinase membranaire, StkP, et une tyrosine-kinase, CpsD, qui sont respectivement des régulateurs importants de la division cellulaire et de la synthèse de la capsule polysaccharidique. Ces observations ont été directement la base de mon projet de thèse. Au cours de mon étude, j'ai participé à la mise en évidence du mécanisme par lequel CpsD coordonne la synthèse de la capsule polysaccharidique avec le cycle cellulaire du pneumocoque, en contrôlant via son autophosphorylation la mobilité de la protéine ParB de la ségrégation du chromosome. Pour mieux comprendre le mécanisme moléculaire sous jacent, j'ai caractérisé un nouveau partenaire de CpsD et de ParB appelé RocS. J'ai montré que cette protéine est indispensable pour la ségrégation du chromosome. J'ai ensuite identifié que CpsD et RocS constituent un nouveau mécanisme de protection du nucléoïde, qui était jusque-là inconnu chez le pneumocoque. D'autre part, j'ai contribué à la caractérisation du rôle des sousdomaines PASTA du domaine extracellulaire de StkP dans la régulation de l'épaisseur de la paroi cellulaire septale ainsi que dans le degré d'activation de StkP. Plus particulièrement j'ai mis en évidence que le quatrième sous-domaine PASTA de StkP contrôle la fonction de l'hydrolase de la paroi cellulaire LytB, qui est nécessaire pour les étapes finales de la division cellulaire. Mon travail suggère donc l'existence de réseaux de régulation interconnectés du cycle cellulaire du pneumocoque impliquant ces deux protéine-kinases / The pathogenic bacterium, Streptococcus pneumoniae (the pneumococcus), produces a membrane serine threonine kinase, StkP, and a tyrosine kinase, CpsD, which are important regulators of cell division and polysaccharide capsule synthesis, respectively. These observations were directly at the basis of my thesis project. During my thesis, I participated in the identification of the mechanism by which CpsD coordinates the synthesis of the polysaccharide capsule with the cell cycle of the pneumococcus. Indeed, CpsD autophosphorylation controls the mobility of the chromosome partioning protein ParB protein of the chromosome segregation. To better understand the underlying molecular mechanism, I characterized a new CpsD and ParB partner that we called RocS. I showed that this protein is required for chromosome segregation. I also identified that CpsD and RocS form an atypical nucloied occlusion system, which was previously unknown in pneumococcus. On the other hand, I have contributed to the characterization of the role of the PASTA sub-domains of the StkP extracellular domain in the regulation of the septal cell wall thickness as well as in the degree of activation of StkP. More specifically I showed that the fourth PASTA sub domain of StkP controls the function of the cell wall hydrolase LytB, which is required for the final steps of cell division. My work therefore suggests the existence of interconnected regulation networks of the pneumococcal cell cycle and involving these two protein kinases

Objetivo: avaliar a ingestão de nutrientes no período pré-concepcional e níveis séricos de ácidos graxos, durante a gestação, em gestantes portadoras de fetos com gastrosquise e gestantes portadoras de fetos normais. Métodos: estudo prospectivo caso-controle realizado no período de Julho de 2013 a Julho de 2015 no setor de Medicina Fetal do Hospital das Clínicas. O grupo gastrosquise (GG) foi constituído de 57 gestantes com gestações únicas, idade gestacional inferior a 34 semanas e feto com gastrosquise isolada. O grupo controle (GC) foi constituído de 114 gestantes portadoras de fetos normais pareadas de acordo com idade materna (± 2 anos), idade gestacional (± 2 semanas) e mesma classificação de índice de massa corpórea (IMC) no período pré-concepcional. Os dados referentes ao consumo dietético das gestantes foram obtidos a partir do questionário de frequência e consumo alimentar (QFCA) e o cálculo da ingestão dos nutrientes (macronutrientes; micronutrientes, ácidos graxos e aminoácidos) foi obtido a partir de programas específicos: Dietwin Profissional 2.0® and Virtuanutri®. Para a avaliação de níveis séricos de ácidos graxos (AG), as gestantes foram submetidas à coleta de sangue na entrada no estudo e no momento do parto. A comparação de AG foi realizada durante a gestação e no momento do parto. Com o objetivo de avaliar se as diferenças entre os grupos eram mais frequentes na primeira ou na segunda metade da gestação, uma nova análise foi realizada subdividindo o período gestacional 25 semanas e < 34 semanas. Resultados: no período pré-concepcional, a media diária de calorias ingerida foi maior (2382,43 vs. 2198,81; p = 0,041) no GG em comparação com GC. O consumo médio de metionina (763,89 vs 906,34; p = 0,036), treonina (1248,34 vs. 1437,01; p = 0,018) e crômio (54,66 vs. 59,49 p = 0,014) foi menor no GG em comparação ao GC. Na análise de ácidos graxos, observa-se que o total AG (p = 0,008), AG insaturados (p = 0,002) e a razão C18:1n9/C18:00 (p = 0,021) foi menor no GG em comparação ao GC durante a gestação; entretanto, a razão C16:00 / C18:2n6 (p = 0,018) foi maior no GG em comparação ao GC no mesmo período. Total AG (p = 0,044) e AG insaturados (p = 0,024) foi menor no GG em comparação ao GC no período <= 25 . AG insaturados (p = 0,025) e a razão C18:1n9/C18:00 (p = 0,013) foi menor no GG em comparação ao GC no período > 25 semanas e < 34 semanas. Conclusão: gestantes portadoras de fetos com gastrosquise apresentam dieta de baixa qualidade nutricional, com alto valor calórico e pobre em aminoácidos essenciais, no período pré-concepcional, e baixos níveis séricos de ácidos graxos durante a gestação / Objective: To evaluate the nutrients intake during the preconceptional period and the serum fatty acid levels during the gestation period of pregnant women with fetuses with gastroschisis and pregnant women with normal fetuses. Methods: A prospective case-control study was conducted at the Fetal Medicine Unit at Hospital das Clínicas from July 2013 to July 2015. The gastroschisis group (GG) comprised 57 pregnant women with singleton pregnancies of less than 34 weeks with fetuses with isolated gastroschisis, and the control group (CG) comprised 114 pregnant women with normal fetuses matched for maternal age (± 2 years), gestational age (± 2 weeks), and the same preconceptional body mass index (BMI). Nutritional assessments related to the preconceptional period were obtained using the Food Consumption Frequency Questionnaire and nutrient intakes (macronutrient, micronutrient, fatty acid and amino acid) were calculated using nutrition programs: Dietwin Profissional 20 ® and Virtuanutri ®. For the evaluation of serum fatty acid levels (FA), a blood sample was collected from each subject at the time they entered the study and at the time of delivery. The FA comparison was performed during gestation and at the time of delivery. In order to evaluate whether the differences between both groups were more frequent in the first or second half of gestation, a new analysis was performed, subdividing gesta 25 weeks and < 34 weeks. Results: during the preconceptional period, the median daily calorie intake was higher (2382.43 versus 2198.81; p = 0.041) in the GG than in the CG. The median intakes of methionine (763.89 versus 906.34; p = 0.036), threonine (1248.34 versus 1437.01; p = 0.018) and chromium (54.66 versus 59.49 p = 0.014) were lower in the GG than in the CG. By analyzing the serum fatty acid levels, total FA (p = 0.008), unsaturated FA (p = 0.002) and the C18:1n9/C18:00 ratio (p = 0.021) were lower in the GG than in the CG during gestation; however, the C16:00 / C18:2n6 ratio (p = 0.018) was higher in the GG than in the CG during the indicated period. Total FA (p = 0.044) and unsaturated FA (p = 0.024) were lower in the GG than in the CG at period <= 25 w k , and unsaturated FA (p = 0.025) and the C18:1n9/C18:00 ratio (p = 0.013) were lower in the GG than in the CG at period > 25 weeks and < 34 weeks. Conclusion: Pregnant women with fetuses with gastroschisis have low-nutritional-quality diet, which is both high in calories and poor in essential amino acids during the preconceptional period, and have low serum FA levels during pregnancy