This reseach firstly investigated iodine-induced apoptotic effects and the underlying mechanism in thyroid cancer cells. Results indicated that apoptosis induced by iodine, especially at high dose of iodine (100 muM), was mitochondrial-mediated, with the loss of mitochondrial membrane potential, Bak up-regulation, caspase 3 activation and cytochrome C release from mitochondria. Iodine treatment decreased the level of mutant p53 including the R273H mutant that possesses anti-apoptotic features while increased the p21 level. The block of p21 significantly prevented iodine-induced apoptosis. High doses of iodine also stimulated the transient activation of the subfamily members of MAPKs (ERK1/2, p38 and JNK1/2). The results showed the three subfamily members of MAPKs all worked as anti-apoptotic factors. Surprisingly, high doses of iodine promoted instead of suppressed the expression of anti-apoptotic protein Bcl-xL expression. The increase of Bc1-xL was likely to compensate the damage induced by iodine since the inhibition of Bc1-xL accelerated iodine-mediated apoptosis. Collectively, iodine induced mitochondrial-mediated apoptosis in thyroid cancer cells. This apoptotic pathway was involved in the activation of MAPKs pathways, which may subsequently up-regulate p21, Bc1-xL, and down-regulate anti-apoptotic mutant p53 expression. The findings provide solid molecular evidence to explain the epidemiological observation that iodine insufficiency promotes the thyroid tumor development. It may also reveal some novel molecular targets for the treatment of thyroid cancer. / Thyroid cancer is the most common endocrine malignancy and exhibits the full range of malignant behaviors from the relatively indolent occult differentiated thyroid cancer to uniformly aggressive and lethal anaplastic thyroid cancer. Iodine is a well known key element in thyroid normal function maintenance and thyroid cancer development. However, the mechanisms of iodine in thyroid cancer cells development are limited. Recent researches have indicated that iodine could induce cancer cells apoptosis, staying clear from the dysfunction of iodide-specific transportation systems in thyroid cancer cells. Thus, iodine-induced apoptosis may be an effective pathway for iodine to affect thyroid cancer development, but we know little about them. / To further explore iodine on the apoptotic effects of chemotherapeutic agents in thyroid cancer, anaplastic thyroid cancer cell line ARO was used. Anaplastic thyroid cancer is lethal because of its rapid progression and poor response to chemotherapy and radioiodine therapy. The study examined the effect of moderate dose of iodine (50 muM) on the apoptosis of ARO cells treated with doxorubicin (Dox) and histone deacetylase inhibitor sodium butyrate (NaB). The cytotoxic effect of either Dox or NaB alone was limited, but co-administration of NaB and Dox (NaB-Dox) significantly increased mitochondrial-mediated apoptosis. The effects of iodine to apoptosis-induced by the two agents were diversified. Iodine reduced the apoptosis induced by Dox or NaB-Dox but promoted apoptosis induced by NaB. To explain this diversifying finding, the experiment found that iodine exaggerated NaB-mediated Bcl-xL down-regulation. In contrast, it reduced the effect of Dox on the decrease of Bcl-xL expression. Further experiments showed that iodine regulated the level of Bcl-xL in ERK- or/and p38-related pathways. The balance between ERK and p38 may determine the iodine-modulated Bcl-xL expression. The high ERK/p38 activity ratio up-regulated Bc1-xL and enabled the tumor cells to resist chemotherapy, whereas the low ERK/p38 down-regulated Bc1-xL and sensitized the tumor cells to chemotherapy. Taken together, iodine plays a critical role in apoptosis of thyroid cancer cells induced by chemotherapeutic agents. The balance between ERK and p38 may determine cell survival and death through modulating Bcl-xL expression in thyroid cancer cells. The findings provide some new insights into the roles of iodine in chemotherapeutic agents-induced apoptosis in thyroid cancer cells. / To summarize, iodine-induced apoptotic effects on thyroid cancer cells is a key pathway for iodine to influence thyroid cancer development and chemotherapy. Meanwhile MAPKs-related mutant p53, p21 and Bcl-xL expression are critical in deciding thyroid cancer cells survival and death. Moreover, iodine can influence chemotherapeutic agents-induced apoptosis through ERK/p38-mediated Bcl-xL expression. / Liu, Xiaohong. / "December 2009." / Adviser: Charles Andrew van Hasselt. / Source: Dissertation Abstracts International, Volume: 72-01, Section: B, page: . / Thesis (Ph.D.)--Chinese University of Hong Kong, 2010. / Includes bibliographical references (leaves 111-146). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. Ann Arbor, MI : ProQuest Information and Learning Company, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese.

Dans la première partie du travail, nous avons étudié l’expression génique dans les cancers thyroïdiens survenus après l’explosion de la centrale nucléaire de Tchernobyl. L’incidence des cancers thyroïdiens papillaires a fortement augmenté après l’accident de Tchernobyl chez les enfants, offrant l’opportunité exceptionnelle d’étudier les caractéristiques moléculaires des cancers thyroïdiens radioinduits. Contrairement aux études précédentes qui comportaient toutes des facteurs confondants, nous avons pu investiguer l’expression des ARN messagers des tumeurs et de leurs tissus contra-latéraux normaux de patients exposés et de patients non exposés aux retombées radioactives, en utilisant une cohorte de patients appariés pour l’âge et l’ethnicité. L’irradiation d’une population conduit au développement de cancers dans une fraction de cette population. Les individus atteints peuvent l’avoir été de manière stochastique, ou à cause d’une prédisposition ou sensibilité particulière à l’irradiation. La comparaison des tumeurs exposées et non exposées permet d’étudier l’effet de l’irradiation, et celle des tissus normaux contralatéraux offre la possibilité d’étudier la susceptibilité aux radiations dont les implications sont nombreuses en médecine (radio-diagnostic, cancers secondaires) et en radioprotection. L’expression génomique complète a été analysée sur puces Affymetrix pour les tissus de 45 patients. Vingt-deux de ces patients ont été exposés aux retombées de Tchernobyl, vingt-trois autres, appariés selon l'âge et résidant dans les mêmes régions de l'Ukraine, n'ont pas été exposés à l’irradiation. Notre travail a mis en évidence l’existence d’une signature transcriptionnelle permettant de différencier les tissus normaux exposés des non exposés, les gènes qui composent cette signature ayant trait à la prolifération ;nos résultats suggèrent qu’un niveau plus élevé de prolifération dans les tissus normaux pourrait être associé aux cancers radioinduits, soit en tant que facteur prédisposant au cancer, soit en tant que conséquence de la radiation.<p><p>La deuxième partie du travail a été consacrée à la caractérisation in vitro de différentes lignées cellulaires humaines de cancers thyroïdiens. Ces lignées sont souvent employées comme modèles pour l’étude et le développement d’approches thérapeutiques pour ces cancers mais notre laboratoire a démontré que ces lignées s’étaient dédifférenciées au cours de leur propagation in vitro et que leurs profils transcriptionnels se rapprochaient essentiellement des tumeurs les plus dédifférenciées, les cancers anaplasiques. Nous avons tenté de ré-induire dans ces lignées l’expression des marqueurs de différenciation de la thyroïde au moyen d’agents épigénétiques, l’idée étant que ces gènes dont l’expression est caractéristique de la thyroïde ne s’expriment plus suite à l’action de mécanismes épigénétiques comme la méthylation au niveau de leurs promoteurs. Les cancers thyroïdiens dédifférenciés étant les plus agressifs et ayant perdu l’expression des facteurs de différenciation dont le transporteur sodium/iodure (NIS), ils sont inaccessibles au traitement par l’iode radioactif I131. La réexpression des marqueurs de différenciation thyroïdienne permettrait d’une part d’employer plus adéquatement les lignées comme modèle d’étude des cancers différenciés, et d’autre part d’envisager l’emploi de(s) substances(s) qui ont permis cette réexpression en tant que médicaments pour les cancers dédifférenciés. Nos travaux montrent que les traitements épigénétiques des lignées cancéreuses ne permettent pas une réinduction significative de la différenciation mais tendent à démontrer que l’inactivation épigénétique provoque dans ces lignées la perte de l’expression de gènes n’ayant aucun rôle utile pour la cellule au cours des milliers de réplications in vitro / In the first part of the work, we studied gene expression in thyroid cancers following the explosion of the Chernobyl nuclear power plant. The incidence of thyroid papillary cancers rose sharply after the Chernobyl accident in children, providing an exceptional opportunity to study the molecular characteristics of radiation-induced thyroid cancers. Unlike previous studies that included confounding factors, we were able to investigate the expression of messenger RNA from tumors and their normal contra-lateral tissue of patients exposed and not exposed to the fallout using a cohort of patients matched for age and ethnicity. The irradiation of a population leads to the development of cancer in a fraction of the population. Affected individuals may have been stochastically, or because of a particular predisposition or susceptibility to irradiation. Comparison of tumors exposed and unexposed allows to study the effect of irradiation, and the contra-lateral normal tissue offers the possibility to study the susceptibility to radiation whose implications are numerous: medical (radio - diagnosis, secondary cancers ) and radiation protection. The complete gene expression was analyzed on Affymetrix for tissues of 45 patients. Twenty- two of these patients were exposed to fallout from Chernobyl, twenty-three, matched for age and residing in the same regions of Ukraine have not been exposed to radiation. Our work has demonstrated the existence of a transcriptional signature allowing to differentiate exposed and unexposed normal tissues, and the genes that compose the signature are related to proliferation; our results suggest that a higher level of proliferation in normal tissues may be associated with radiation-induced cancers, either as a predisposing factor for cancer,or as a result of the radiation.<p><p>The second part was devoted to the in vitro characterization of different human cell lines of thyroid cancer. These lines are often used as models for the study and development of therapeutic approaches for these cancers, but our laboratory has demonstrated that these cell lines dedifferentiated during their in vitro propagation and their transcriptional profiles are essentially closer to the most dedifferentiated tumors, the anaplastic cancers. We tried to re- induce in these lines the expression of differentiation markers of thyroid using epigenetic agents, the idea being that these genes whose expression is characteristic of thyroid are no longer expressed due to epigenetic mechanisms such as methylation of their promoters. Dedifferentiated thyroid cancers are more aggressive and have lost the expression of differentiation factors including sodium/iodide transporter(NIS), they are inaccessible to treatment with radioactive iodine I131. Re-expression of thyroid differentiation markers could allow in one hand to use more adequately cell lines as models to study differentiated cancers, and secondly to consider the used substances that helped this re-expression as drugs for the dedifferentiated cancers. Our work shows that epigenetic treatments for cancer cell lines do not allow a significant re-induction of differentiation but tend to demonstrate that the epigenetic inactivation in these cell lines causes the loss of expression of genes that have no useful role in the cells over thousands of replication in vitro .<p><p> / Doctorat en Sciences biomédicales et pharmaceutiques / info:eu-repo/semantics/nonPublished