Abstract Colorectal cancer is the second most common malignancy in the Western World. The overall 5-year survival is still only 50–60%. Thus, better prognostic markers are needed to improve survival of the disease. Most colorectal cancers develop from pre-existing adenomas including conventional, flat and serrated adenomas. The most important prognostic factors include tumour stage, histologic subtype and poor differentiation. The prognosis of colorectal cancer depends mainly on tumour stage. The growth of colorectal cancer is determined by cell proliferation, differentation and apoptosis. The progression of colorectal cancer is associated with the growth pattern of colorectal cancer and its invasive margin. Cancer cell budding means the presence of cells scattered in the stroma at the invasive margin, and is associated with β-catenin, an adhesion protein involved in the nuclear Wnt/β-catenin pathway. Hormones may be directly involved in the growth of a cancer, for example sex hormones play an important role in the development of most gynaecological cancers. The knowledge about the dependency of cancers on other hormones, such as thyroid hormones, is limited. This thesis focuses on factors affecting growth and prognosis in colorectal cancer. Antibodies for Ki-67, caspase cleavage site for keratin 18, β-catenin and TRβ1 were used to determine their possible associations with colorectal cancer growth patterns and the characteristics of the invasive margin. Apoptosis and proliferation were decreased at the invasive margin, particularly in serrated adenocarcinomas. The invasive margin showed a presence of budding cell clusters in 24.0% of the cases and this predicted a very poor 5-year-survival (15.4%, P < 0.00001), but nuclear β-catenin accumulation did not predict budding. Thyroid hormone receptor TRβ1 was associated with polypoid growth, presence of KRAS mutations and also with a higher WHO histological grade and advanced Dukes' stage, and in in vitro analysis, thyroid hormone T3 had a modulatory effect on colorectal cancer cell protein synthesis and apoptosis. In conclusion, the growth type of colorectal cancer, i.e. conventional polypoid, flat or serrated, has an association with the characteristics of the invasive margin. Budding margin is associated with poor prognosis in colorectal cancer, and could be utilised in diagnostic pathology. Association of TRβ1 expression with polypoid growth pattern and the presence of KRAS mutations suggest that abnormalities in thyroid hormone signalling involving TRβ1 play a role in the development of some types of colorectal adenocarcinomas.

The work presented herein is a method optimization for biomolecule detection and identification using Matrix-Assisted Laser Desorption/Ionization-Mass Spectrometry Imaging (MALDI-MSI). MALDI-MSI is a unique form of mass spectrometry that is highly multiplexed; it can simultaneously retain location information of the mass of multiple ions, allowing for correlation of morphology or pathology to reconstructed ion heat maps. There were three main objectives for the research - 1) A method optimization of sample preparation techniques for bottom-up proteomic MALDI-MSI was performed. This included the optimization of tissue wash steps, trypsin digestion incubation times, and matrix deposition techniques. The results included identifying the appropriate pH for the wash steps to optimize trypsin digestion, an overnight trypsin incubation to allow for complete digestion, and the inclusion of MCAEF – Matrix Coating Assisted by an Electric Field – during matrix coating for enhanced spectra. 2) An unbiased statistical data processing workflow for simultaneous processing of multiple datasets was performed. This was done using a thyroid hormone treated tadpole dataset to gain insight into the metabolism of anuran metamorphosis. Results found included a finalized data processing workflow that detected 5000 metabolite features from five organs were detected in pre-metamorphic tadpoles. Of these detected metabolites, 136 were significantly affected upon exposure to thyroid hormone and 64 metabolites were putatively identified. 3) A sample preparation technique for metabolomic analysis of formalin-fixed paraffin embedded (FFPE) colorectal liver metastasis samples was performed. Results included the importance of using a high mass resolution mass spectrometer while emphasizing more appropriate use of fresh-frozen tissue sections for metabolomic analysis. / Graduate

L'ostéochondrose (OC) est une affection ostéo-articulaire juvénile caractérisée par une perturbation locale de la maturation du cartilage créant des zones de fragilité. L'OC a été décrite chez de nombreuses espèces dont l'Homme, le Chien, le Porc, le Poulet et le Cheval. Chez le cheval les lésions s'installent progressivement, sans symptômes, avant l'âge d'un an et les manifestations cliniques ne se manifestent que tardivement, souvent à l'entraînement. L'OC affecte 10 à 30 % de la population équine représentant ainsi un souci majeur pour la filière tant sur le plan du bien être animal que sur le plan économique. Son étiologie, multifactorielle, est encore mal comprise et implique des composantes génétiques et environnementales ainsi que traumatiques. Les objectifs des travaux présentés étaient d'améliorer la compréhension de la physiopathologie de l'OC équine et de mettre en évidence les processus biologiques perturbés. L'ensemble des résultats a permis de préciser la définition des différentes entités de l'OC et pourraient également être pertinentes dans l'amélioration du diagnostic et le dévelopement de nouveaux traitements. Un défaut constitutif de l'os et du cartilage a été mis en évidence chez les individus atteints d'OC, notamment associé à une perturbation du métabolisme énergénique et un stress du reticulum endoplasmique. De plus, selon le type de lésions, des mécanismes moléculaires sous-jacents différents sont impliqués dans leur développement. D'autre part, les microARNs (miRNAs) semblent également jouer un rôle dans la physiopathologie de l'OC et certains d'entre eux pourraient constituer de bonnes cibles thérapeutiques ou être utilisés comme biomarqueurs diagnostics. / Osteochondrosis (OC) is a juvenile osteo-articular disease characterized by a focal failure of cartilage maturation leading to weak areas. OC has been described in several species including Human, Dog, Swine, Poultry and Horse. In horse, lesions develop gradually without symptoms before one year old and clinical manifestations occur tardily during training. OC affects 10 to 30% of equine population and constitutes a major concern in terms of animal welfare and economy. Its multifactorial etiology remains poorly understood and involved several factors including genetics, environment and traumas. The aim of this current work was to improve the comprehension of equine OC physiopathology and highlight biological pathways disrupted. Taken together, our results made it possible to refine the definition of OC entities and our data could be relevant to improve diagnosis and develop new therapies. A constitutive defect was found in cartilage and bone of OC-affected horses and particularly a defective energy metabolism and a endoplasmic reticulum stress. Moreover, in function of lesion type, different underlying molecular mechanisms are involved in their development. Secondly, mircoRNAs (miRNAs) seem to take part in the OC physiopathology and some miRNAs could constitute a relevant therapeutic target or be used as diagnosis biomarkers.

Orientador: Munir Salomão Skaf / Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Química / Made available in DSpace on 2018-08-22T05:21:38Z (GMT). No. of bitstreams: 1 Souza_PauloCesarTellesde_D.pdf: 16006519 bytes, checksum: 82d3ddc86356ae8c995467ed56947170 (MD5) Previous issue date: 2013 / Resumo: Receptores Nucleares (NRs) são proteínas que regulam a transcrição de genes, sendo alvos importantes para o desenho de fármacos. NRs são formados por quatro domínios, sendo o mais essencial deles, o Domínio de Ligação com o Ligante (LBD), responsável pelo reconhecimento seletivo de ligantes e ativação de sua função. Nesta Tese são utilizadas simulações de Dinâmica Molecular (MD) para o estudo do LBD de dois importantes NRs: Receptor do Hormônio Tireoideano (TR) e Receptor de Estrogênios (ER). Os estudos envolvendo o LBD do TR iniciaram-se pela investigação de um novo segundo sítio de ligação dos hormônios tireoideanos (T3 e T4). Foi mostrado que os hormônios se mantêm ancorados ao segundo sítio, possuindo grande mobilidade e múltiplos modos de ligação. Estimativas do DG de dissociação indicam que este novo sítio deve existir em solução aquosa, sendo T4 o hormônio com maior afinidade e candidato a ligante natural. O segundo objetivo da Tese foi a modelagem molecular da estrutura do LBD do TR sem ligantes (apo-TR) através da combinação de resultados de simulações de MD e experimentos de troca de hidrogênio/deutério. O modelo do apo-TR obtido mostra que a-hélice H12 ancora-se na H3, o que explica as mudanças de hidratação nesta região apontadas pelos experimentos. O terceiro objetivo da Tese foi elucidar os mecanismos moleculares que levam a alterações da atividade em duas mutações dos TRs: M369Ra e P452Lb. As simulações de M369Raindicam que o resíduo mutado interage com T3 no segundo sítio, o que pode explicar o aumento de sua afinidade por este ligante. As simulações de P452Lbsugeriram que esta mutação altera a posição da H12, levando a redução da cavidade de interação com co-ativadores e das interações do T3 com o primeiro sítio. O último estudo da Tese investigou uma conformação alternativa do LBD do ERb , que tem potencial para explicar como este subtipo promove repressão parcial da transcrição de genes regulada pelo ERa. Os cálculos de DG entre as conformaçõs clássica e alternativa indicam que a alternativa é estável, sendo o mínimo global de energia livre. / Abstract: Nuclear receptors (NRs) are proteins that regulate the gene transcription and thus are important targets for drug development. NRs are composed of four structural domains. The most important of them is the Ligand Binding Domain (LBD), responsible for the selective recognition of ligands and activation of NR function. In this Doctoral Thesis, Molecular Dynamics (MD) Simulation are used to study two important NRs LBD: Thyroid Hormone Receptor (TR) and Estrogen Receptor (ER). Studies involving TR began by investigating a new second binding site of thyroid hormones (T3 and T4) in the TR LBD. It has been shown that hormones remain anchored to the second site and have high mobility and multiple binding modes. Estimates of dissociation DG indicate that this new site can exist in aqueous solution. T4 has the higher affinity and may be the natural ligand of this site. The second objetive of the Thesis was the molecular modeling of the TR LBD structure without ligands (apo-TR) by combining results of MD simulations and hydrogen deuterium exchange experiments. The obtained model of apo-TR shows that H12 a-helix is anchored in H3 which explains the hydration changes in this region indicated by the experiments. The third goal was to elucidate the molecular mechanisms that lead to changes in the activity of two TR mutations: M369Ra and P452Lb. Simulations of M369Ra indicate that the mutated residue can interact directly with T3 in the second binding site, explaining the increase of its affinity. Simulations of P452Lbsuggested that this mutation changes the H12 position, leading to loss of ligand interaction with the rst binding site and reduction of coactivator cavity. The last study investigated a new alternative conformation of ERb LBD, which has the potential to explain how this subtype promotes the partial repression of ERagene transcription. Calculation of DG between classic and alternative conformations indicate that the alternative is stable and the global minimum of free energy. / Doutorado / Físico-Química / Doutor em Ciências

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Achievement of endothernic capacity is vital for independence from ambient temperature changes, sustained activity, optimal biochemical reactions and optimization of parental care. During early avian development, the core tenets of transition from ectothermy to endothermy are development of metabolic capacity (oxygen consumption, mitochondrial bioenergetics), enhanced cardiovascular function (heart rate and cardiac output), pulmonary ventilation and thermogenic capacity. Thyroid hormones, particularly T3, are key metabolic regulators of basal metabolism, thermogenesis, pulmonary ventilation and mitochondrial respiration. Thyroid hormone fluctuation patterns during both precocial and altricial avian endothermic transition suggest a prominent role in maturation of endothermy, cardiovascular, respiratory and skeletal muscle physiology. This body of work explores effects of T3 manipulations in two avian species: the precocial Pekin duck and the altricial Red-winged Blackbird. Increased plasma T3 during late incubation resulted in increased cardiac mass, elevated resting and intrinsic heart rate, intrinsic mean arterial pressure, increased cholinergic tone and blunted alpha-adrenergic tone in the precocial Pekin duck. In both Pekin duck and Red-winged blackbird, plasma T3 levels correlated with changes in the trajectory of endothermic ontogeny, systemic oxygen consumption, thermogenesis, maturation of pulmonary ventilatory function, altered growth and effects on skeletal and cardiac mitochondrial bioenergetics. These observations support the role of thyroid hormones as metabolic and developmental regulators at the time of attainment of endothermy during the perinatal period in precocial and altricial avian species. Insights into the role of thyroid hormone as a metabolic and development regulator at the time of avian endothermic attainment provide a more thorough understanding of metabolic and physical transitions a hatchling bird must undergo to reach the adult endothermic phenotype. Such insights also deepen understanding of the complex role thyroid hormones play in homeostasis and offer implications about the evolutionary history of endothermic capacity.

Sabe-se que a ativação do Sistema Nervoso Simpático (SNS) induz osteopenia via adrenoceptores b2 (b2-AR). Para investigar se o hormônio tireoideano (HT) interage com o SNS para regular a massa óssea, estudamos o efeito do HT em associação com isoproterenol ou propranolol (agonista e antagonista b-adrenérgicos) e avaliamos o efeito do HT em camundongos com elevado tônus simpático, devido à dupla inativação gênica do a2A-AR e a2C-AR (a2A/a2C-AR-/-), autorreceptores que inibem a liberação de noradrenalina. Vimos que esses animais apresentam um fenótipo de alta massa óssea, apesar do elevado tônus simpático e de intacta sinalização b2-adrenérgica, sugerindo que o a2A-AR e/ou a2C-AR, além do b2-AR, possam mediar ações do SNS no osso. O propranolol limitou e o isoproterenol acentuou os efeitos deletérios do HT no esqueleto, já os animais a2A/a2C-AR-/- apresentaram resistência à osteopenia induzida pela tireotoxicose, o que sugere que há interação entre SNS e o HT para regular a massa óssea, e que esta depende tanto do b2-AR como do a2A- e/ou a2C-AR. / It is known that the sympathetic nervous system (SNS) activation induces ostepenia, via b2-adrenoceptors (b2AR). To investigate if thyroid hormone (TH) interacts with the SNS to regulate bone mass, we studied the effect of TH in association with isoproterenol or propranolol (b-adrenergic agonist and antagonist) and evaluated the effect of TH in mice with a chronic elevated sympathetic tone, due to double disruption of a2A-AR and a2C-AR (a2a/a2c-AR-/-), autoreceptors that inhibit noradrenalin release. We showed that KO mice present a high bone mass phenotype in spite of an elevated sympathetic tone and of intact b2-adrenergic signaling, which suggests that a2A- and/or a2C-AR, besides b2-AR, may also mediate the SNS actions in the bone. Propranolol limited and isoproterenol accentuated the deleterious effects of TH in the skeleton, while a2A/a2C-AR-/- mice presented resistance to the T3-induced osteopenia, which suggest that there is an interaction between the SNS and TH to regulate bone mass, and that it is dependent on b2-AR and a2A-AR and/or a2C-AR signaling.

Os hormônios tireoidianos atuam sobre o metabolismo dos diversos tecidos do organismo e participam da regulação do consumo de glicose pelas células. Estudos já evidenciaram que o T3 atua, dependendo do tipo celular, aumentando a expressão de algumas isoformas dos transportadores de glicose (GLUTs) e a translocação do GLUT4 para a membrana plasmática, melhorando, também, a captação de glicose (CGlic) em poucos minutos. Os mecanismos envolvidos nessas ações do T3, contudo, ainda não estão bem esclarecidos. O objetivo do presente estudo foi investigar as possíveis vias de sinalização envolvidas na ação aguda do T3 sobre a CGlic em células adiposas 3T3-L1. Nossos dados demonstraram que o T3 promove aumento na CGlic, com pico aos 10 min, retornando ao nível do controle após 30 min de incubação das células com o hormônio. Sugerimos que essa ação depende, ao menos, de duas vias de sinalização. Uma delas envolve a ativação das proteínas Src, PI3K e Akt. A outra, aparentemente, é iniciada a partir da membrana plasmática via integrina aVb3 / Thyroid hormones act on the metabolism of many tissues and participate in the regulation of glucose consumption by cells. Studies from this and other laboratories have demonstrated in muscle and adipose cells that T3 increases, in a short period (minutes), the expression of some glucose transporter (GLUTs) isoforms and GLUT4 translocation to the plasma membrane leading to an improvement of glucose uptake. However, the mechanisms involved in these T3 actions are still not clear. The aim of this study was to investigate the possible signaling pathways involved in the acute T3 action on glucose uptake in 3T3-L1 adipocytes. Our results have shown that T3 increases glucose uptake with a peak at 10 min returning to the control level after 30 min of the cell incubation with the hormone. We suggest that this action depends on at least two parallel signaling pathways. One involves the activation of Src, PI3K and Akt proteins, while the other involves another mechanism triggered by T3, apparently, from the plasma membrane at aVb3 integrin.

Evidências sugerem interação entre o hormônio tireoideano (T3) e os fatores de crescimento fibroblásticos (FGF) no desenvolvimento esquelético. Para estudarmos essa interação, avaliamos o efeito do T3 e do seu antagonista NH3 em células mesenquimais periósticas humanas de pacientes normais e portadores da Síndrome de Apert (SA), que é caracterizada por craniossinostose e causada por mutações no receptor de FGF tipo 2 (FGFR2). Nas células SA, o T3 aumentou o número de células e o NH3 bloqueou esse efeito do T3. O T3 e/ou NH3 aumentaram a atividade da fosfatase alcalina durante a diferenciação osteoblástica das células normais, mas não das mutadas. O T3 aumentou a diferenciação osteoblástica e o NH3 bloqueou esse efeito do T3 em células normais. Nas células mutadas, o NH3 limitou a diferenciação osteoblástica, enquanto o T3 não teve efeito. Concluímos que as células mesenquimais periósticas humanas normais e SA são responsivas ao T3 e NH3, e que o T3 e FGF podem atuar através de vias de sinalização comuns na regulação da diferenciação osteoblástica. / Evidence suggests that there is an interaction between the thyroid hormone (T3) and fibroblast growth factors (FGFs) in the skeletal development. To study this interaction, we evaluated the effect of T3 and its antagonist, NH3, in human periosteal mesenchymal cells from normal and Apert Syndrome (AS) patients, which is characterized by craniosynostosis and is caused by mutations in FGF receptor type 2 (FGFR2). In AS cells, the T3 increased the number of cells and NH3 blocked this effect of T3. T3 and/or NH3 increased the alkaline phosphatase activity in osteoblast differentiation of normal cells, but not in the mutated cells. T3 increased osteoblast differentiation and NH3 blocked this effect of T3 on normal cells. In the mutated cells, NH3 limited osteoblast differentiation while T3 had no effect. We concluded that normal and AS human periosteal mesenchymal cells are responsive to T3 and NH3, and T3 and FGF may act through common signaling pathways in the regulation of osteoblastic differentiation.

A hipótese do presente estudo é que as ações cardioprotetoras da Angiotensina1-7 (Ang1-7) consigam atenuar os efeitos cardíacos dos hormônios tireoidianos. Ratos selvagens ou transgênicos que superexpressam Ang1-7 foram induzidos ao hipertireoidismo por injeções intraperitoneais de triiodotironina (T3) (7µg/100g/dia). Parâmetros de morfologia e função cardíaca foram avaliados, bem como os componentes do Sistema-Renina-Angiotensina no coração. Os elevados níveis de Ang1-7 nos animais transgênicos atenuaram os efeitos tróficos do T3 e o hiperdinamismo cardíaco, além de promover a melhora da função cardíaca. Os animais hipertireoideos apresentaram aumento da Angiotensina II, do receptor AT1 e da atividade da ECA2 no coração. In vitro, o tratamento com Ang1-7 (1000nM) foi capaz de impedir o aumento da área de superfície celular em cultura primária de cardiomiócitos neonatos tratados com T3 (10nM) por 24 horas. Sendo assim, estes dados demonstram, pela primeira vez na literatura, ações cardioprotetoras da Ang1-7 frente às ações cardíacas e hipertróficas do T3. / The aim of this study is to verify if Angiotensin1-7 (Ang1-7) may influence the cardiovascular effects induced by thyroid hormone. Wild or Transgenic rats that constitutively overexpress Ang1-7 (TGR-L3292) received intraperitoneal injections of T3 (7µg/100g/day) for 14 days in order to develop hyperthyroidism. Cardiac morphology, function parameters and RAS components were evaluated in the heart. High levels of Ang1-7 attenuated cardiac hypertrophy and hemodynamic parameters induced by T3. Ang1-7 treatment improved the cardiac function of hyperthyroid animals. Moreover, high levels of T3 increased Angiotensin II levels, AT1 receptor and ACE2 activity in the heart. Anti-hypertrophic effects of Ang1-7 were also observed in vitro. Ang1-7 treatment (1000nM) prevented the increase in cell surface area in primary cultures of neonatal cardiomyocytes treated with T3 (10nM) for 24 hours. For the first time, cardioprotective actions of Ang1-7 were observed in the heart of hyperthyroid animals.