Introdução: A doença hepática alcóolica (DHA) e a doença hepática gordurosa não alcóolica (DHGNA) estão entre as principais causas de morte por doenças hepáticas no mundo. Apesar das etiologias distintas, sendo a DHA causada pelo consumo excessivo de álcool e a DHGNA por dieta inadequada e sedentarismo, apresentam curso de doença semelhante, que pode evoluir de esteatose, para esteato-hepatite, fibrose, cirrose e carcinoma hepatocelular. Tanto a DHA quanto a DHGNA estão relacionadas à disbiose, aumento de permeabilidade intestinal, inflamação e dano hepático. Entretanto, ainda não está claro se a doença hepática precede as alterações no epitélio intestinal ou se é o aumento da permeabilidade que promove o dano hepático. Objetivo: Avaliar a expressão gênica de Tight Junctions em modelo de DHA e DHGNA em zebrafish (Danio rerio). Métodos: No modelo de DHA, os peixes foram divididos em dois grupos: Etanol (n=30), expostos a 0,5% de etanol por 28 dias e controle (n=30). No modelo de DHGNA, os peixes foram divididos também em dois grupos: Frutose (n=24), expostos à frutose 6% durante 2 horas por 14 dias e controle (n=24). Ao término dos experimentos os animais foram eutanasiados e coletados fígados, para avaliação histológica por coloração hematoxilina-eosina (HE) e de esteatose por Oil Red, e intestinos para avaliação da expressão gênica dos marcadores de permeabilidade intestinal cldnC, cldn15a, cldn15b e f11r por Real Time qPcr. Resultados: Tanto os animais expostos ao álcool quanto à frutose apresentaram esteatose hepática por coloração HE e Oil Red quando comparados aos seus respectivos controles, sem sinais de infiltrados inflamatórios e de fibrose hepática à microscopia óptica. Não houve diferença significativa na expressão gênica das tight junctions intestinais, tanto para a DHA quanto DHGNA (p  0,05). Conclusão: Os resultados sugerem que em estágios iniciais de DHA e DHGNA não ocorre alteração da permeabilidade intestinal, e que possivelmente o dano hepático precede o dano intestinal. / Introduction: Alcoholic liver disease (ALD) and non-alcoholic fatty liver disease (NAFLD) are among the leading causes of death from liver disease worldwide. Despite the different etiologies, ALD is caused by excessive alcohol consumption and NAFLD is due to inadequate diet and sedentary lifestyle, they have a similar disease course, which can progress from steatosis to steatohepatitis, fibrosis, cirrhosis and hepatocellular carcinoma. Both ALD and NAFLD are related to dysbiosis, increased gut permeability, inflammation, and liver damage. However, it is not yet clear whether liver disease precedes changes in the intestinal epithelium or whether it is the increased permeability that promotes liver damage. Objective: To evaluate the gene expression of tight junctions in ALD and NAFLD models in zebrafish (Danio rerio). Methods: In the ALD model, fish were divided into two groups: Ethanol (n=30), exposed to 0.5% ethanol for 28 days and control (n=30). In the NAFLD model, fish were also divided into two groups: Fructose (n=24), exposed to 6% fructose for 2 hours for 14 days and control (n=24). At the end of the experiments the animals were euthanized and livers were collected for histological evaluation by hematoxylin-eosin (HE) staining and steatosis by oil red staining and intestines for evaluation of the gene expression of gut permeability markers cldnC, cldn15a, cldn15b and f11r by Real Time qPcr. Results: Both animals exposed to alcohol and fructose presented hepatic steatosis by HE and Oil Red staining when compared to their respective controls, without signs of inflammatory infiltrates under optical microscopy. There was no significant difference in the gene expression of the tight junctions for both ALD and NAFLD (p0.05) Conclusion: The results suggest that in the early stages of ALD and NAFLD there are no changes in intestinal tight junctions, and that possibly liver damage precedes intestinal damage.

Durante o período de 2010 e 2011 dois experimentos foram conduzidos na Embrapa Clima Temperado, em Capão do Leão/RS. O primeiro envolveu a adição de citrato de sódio e bicarbonato de sódio na dieta de vacas Jersey, com o intuito de verificar influência destes aditivos no controle da incidência de LINA, como alegado por parte da(s) indústria(s) comercializadora (s) dos produtos. Dezessete vacas foram divididas em três tratamentos, em dois períodos experimentais com diferentes dietas. Grupo controle: 5 vacas sem receber aditivos na dieta; grupo Citrato: 6 vacas recebendo 100 g diárias de citrato de sódio; grupo Bicarbonato: 6 vacas com 40 g diárias de bicarbonato de sódio na dieta. Foram medidos os teores plasmáticos de glicose e ureia e o pH urinário, para monitoramento da fisiologia dos animais, assim como se determinou a composição físico-química do leite e a contagem de células somáticas. Não foi detectado efeito da adição de bicarbonato de sódio e citrato de sódio em nenhum dos parâmetros avaliados, demonstrando a ineficácia do uso destes aditivos no controle da incidência de LINA. Um segundo experimento, com duração de cinco semanas, também envolvendo vacas da raça Jersey, foi elaborado com o objetivo de determinar alterações na permeabilidade das tigh tjunctions das células epiteliais da glândula mamária provocadas por restrição alimentar severa. Doze vacas foram divididas em dois tratamentos contendo seis vacas cada: grupo Controle: animais recebendo dieta atendendo suas exigências nutricionais durante todo o experimento; grupo Restrição: animais recebendo dieta restrita em 50% somente durante a terceira semana. Determinou-se a permeabilidade das tight junctions através da mensuração dos níveis plasmáticos de lactose e dos teores lácteos de lactose e sódio. Foi determinada também a composição físico-química do leite e a contagem de células somáticas das amostras, assim como os teores de cortisol plasmático, para identificação da condição de estresse às quais os animais em restrição alimentar estavam submetidos. A restrição alimentar promoveu estresse aos animais do grupo Restrição, resultando em maior permeabilidade das tight junctions das células da glândula mamária, com efeitos sobre a redução da estabilidade do leite no teste do álcool. / In the period between 2010 and 2011 two experiments were conducted at Embrapa Clima Temperado, in Capão do Leão/RS. The first study involved the inclusion of sodium citrate and sodium bicarbonate in Jersey cow diet to determine the influence of this inclusion on the incidence of unstable non-acid milk (LINA). Seventeen animals were divided into three groups, in two experimental periods with different diets: Control group: 5 animals without the inclusion of additives in the diet; Citrate group: 6 animals receiving each 100 g of sodium citrate per day in the diet; Bicarbonate group: 6 animals receiving 40 g of sodium bicarbonate per day. Plasma concentration of glucose, urea as well as urine pH was measured to assess the animals’ physiologic status. Milk’s physical-chemical composition and somatic cell count were also determined. The inclusion of sodium citrate and sodium bicarbonate had no influence on any of the parameters evaluated, demonstrating the inefficiency of this technique in controlling the incidence of LINA. A second experiment, with five weeks duration also using Jersey cows, was carried out to define alterations in the permeability of mammary gland cells tight junctions due severe feeding restriction. Twelve animals were divided into two treatments with 6 cows each: Control group: animals receiving full diet during the entire study; Restriction group: animals receiving a 50% restricted diet only during the third week. Tight junction permeability was determined through plasma and milk levels of lactose and milk levels of sodium. Milk physical-chemical composition and somatic cell count were also determined. Cortisol concentration was measured to assess the animals stress condition. Feeding restriction induced stress in animals in the Restriction group, which promoted higher permeability of mammary gland cell tight junctions, with influences on the reduction of milk stability to the ethanol test.

Doctor of Philosophy / Department of Biochemistry / Bruce D. Schultz / John M. Tomich / NC-1059 is a synthetic channel-forming peptide that provides for ion transport across, and transiently reduces barrier integrity of, cultured epithelial monolayers derived from canine kidney (MDCK cells; Broughman, J. R. et al; Am J Physiol Cell Physiol 286: C1312-23). In this first study experiments were conducted to determine whether epithelial cells derived from other sources were similarly affected. Human (T84, Calu-3) and non-human (IPEC-J2, PVD9902) epithelial cells derived from intestinal (T84, IPEC-J2), airway (Calu-3), and genitourinary (PVD9902) tissues were grown on permeable supports. Ion transport and barrier function were assessed electrically in a modified Ussing chamber. Basal short circuit current (I[subscript sc]) was typically less than 3 [Mu]A cm[superscript-2]. Apical NC-1059 exposure caused, in all cell types, an increase in I[subscript sc] to >15 [Mu]A cm[superscript-2], indicative of net anion secretion or cation absorption that was followed by an increase in transepithelial conductance (g[subscript te] in mS cm[superscript-2]; T-84, 1.6 to 62; PVD9902, 0.2 to 51; IPEC-J2, 0.3 to 26; Calu-3, 2.2 to 13). NC-1059 induces a concentration dependent change in the I[subscript sc] and g[subscript te] across these epithelia. The results in all cases were consistent with both a transcellular and a paracellular effect of the peptide. NC-1059 enhanced permeation of dextrans ranging from 10 kDa to 70 kDa across all epithelia tested. These results document an effect of NC-1059 on the paracellular route of epithelial barriers. Immunolabeling, confocal microscopy and immunoblotting methods were used in a second study to assess the molecular changes associated with increased paracellular permeability. NC-1059 induced a substantial reorganization of actin within 60 minutes of exposure. Confocal microscopy revealed that the changes in actin organization were accompanied by a pronounced change in the abundance and distribution of tight junction proteins occludin and ZO-1. Immunoblotting results suggest a time and concentration dependent effect on cellular abundance of these tight junction proteins. The effects on g[subscript te] and junctional proteins are transient with > 85% of recovery in 24 hours post exposure and full recovery within 48 hours. The reversible modulation of the epithelial tight junctions has therapeutic potential to increase the efficiency of drug delivery across barrier membranes.

The direct endothelial contact with adjacent astrocytic end-feet is believed to establish blood-brain barrier (BBB) typical characteristics in endothelial cells of the central nervous system (CNS). However, this contact is only present in capillary vessels of the brain parenchyma and absent in larger veins, arteries and vessels within the meninges. To investigate a potential impact of direct endothelial interactions with adjacent astrocytic end-feet on the molecular tight junction (TJ) composition and ultrastructure, we performed a systematic analysis of endothelial cell contacts within the vascular tree of parenchymal and leptomeningeal vessels. Immunofluorescence labeling for claudin-3, claudin-5, zonula occludens-1 and occludin was used to compare the molecular composition, without showing significant differences in their distribution along the vascular tree of parenchymal and leptomeningeal vessels. Furthermore, electron microscopy in combination with quantitative analyses was performed to investigate the endothelial ultrastructure revealing significant differences within the length of endothelial overlaps between the different vessel types. Here, parenchymal arteries exhibit noticeably longer cell contacts compared to capillaries, which could not be observed in leptomeningeal vessels. It was also observed that arterial vessels regularly contain a higher density of endothelial vesicles throughout the parenchyma and meninges as a sign for transendothelial traffic. Hence, endothelial expression of blood-brain barrier typical TJs is not limited to capillary vessels with an intimate contact to surrounding astrocytes, but is also observed in arteries and veins of the brain parenchyma as well as the meninges, the latter of which are lacking a direct astrocyte-endothelial interaction. These vessel-specific characteristics can now be used to address and compare alterations of the BBB in different settings of CNS pathologies.:Table of Content 1. INTRODUCTION 4 1.1 THE BLOOD-BRAIN BARRIER 4 1.2 HISTORY 5 1.3 STRUCTURE AND COMPOSITION 6 1.4 THE ROLE OF THE MICROENVIRONMENT 8 1.4.1 ASTROCYTES 8 1.4.2 PERICYTES 9 1.5 BLOOD BRAIN BARRIER FUNCTION 10 1.5.1 PHYSIOLOGIC CONDITIONS 10 1. 5.2 PATHOLOGIC CONDITIONS 11 2. OPEN QUESTIONS AND SCIENTIFIC APPROACH 12 3. PUBLICATIONS 13 3.1 DIFFERENT SEGMENTS OF THE CEREBRAL VASCULATURE REVEAL SPECIFIC ENDOTHELIAL SPECIFICATIONS, WHILE TIGHT JUNCTION PROTEINS APPEAR EQUALLY DISTRIBUTED 13 3.2 THE BLOOD-BRAIN BARRIER 28 4. SUMMARY 40 5. REFERENCES 43 6. PROOF OF SIGNIFICANT CONTRIBUTION 48 7. DECLARATION OF ACADEMIC HONESTY 49 8. ACKNOWLEDGMENT 50 9. CURRICULUM VITAE 51

Background and Aim: Bacterial infections are a well described complication of cirrhosis and occur in 37% of hospitalized patients. Culture positive infections in addition to the presence of bacterial products and DNA lead to loss of liver function and decompensation in cirrhosis. The mechanisms and molecular pathways associated with Bacterial Translocation (BT) are unknown. The aims of this study were to determine: i. macrophage phenotype and molecular pathways associated with bacterial translocation ii. if intestinal macrophages in liver cirrhosis are capable of modulating intestinal permeability.iii. structural integrity of the epithelial barrier. Methods: Duodenal biopsies and serum samples were collected from 29 patients with decompensated cirrhosis, 15 patients with compensated and 19 controls. Duodenal macrophages were characterized by means of flow cytometry and IHC. Gene expression analysis was performed to determine molecular pathways involved in BT. Inflammatory cytokine determination was done in serum and culture supernatant by means of customized cytometric bead arrays. Results: Patients with decompensated cirrhosis demonstrated: increased frequency of CD33+/CD14+/TREM-1+ and iNOS+ macrophages in their duodenum, elevated mRNA levels of nitric oxide synthase 2 (NOS2), chemokine ligand 2 (CCL2), chemokine ligand 13 (CCL13) and interleukin 8 (IL8) and increased serum levels of interleukin 6 (IL6), IL8 and lipopolysaccharides (LPS). Additionally, patients with decompensated cirrhosis showed an increase in NO, IL6, IL8 and CCL2 levels in culture supernatant after short term duodenal biopsy culture. Although the epithelial barrier on EM seemed intact, significantly increased expression of the “pore” forming tight junction claudin 2 was observed. Conclusion: This study showed the presence of activated CD14+Trem- 1+iNOS+ intestinal macrophages and increased levels of NO, IL-6 and claudin-2 levels in the duodenum of patients with decompensated liver cirrhosis, suggesting that these factors enhance intestinal permeability to bacterial products. / Afrikaans: Inleiding: Bakteriele infeksie is ‘n beskryfde komplikasie van lewersirrose wat in 37% van gehospitaliseerde pasiente voorkom. Kultuur positiewe infeksies asook die teenwoordigheid van bakteriele produkte en DNA lei tot verlies van lewerfunksie en dekompensasie. Die molekulere meganismes wat verband hou met bakteriele translokasie is nog onbekend. Die doel van hierdie studie was om: i. Makrofaag fenotipe en molekulere meganismes geassosieerd met bakteriele translokasie te beskryf, ii. te bepaal of intestinale makrofage dermdeurlaatbaarheid beinvloed, asook iii. om die struktruele integriteit van die dermwand te bepaal. Methods: Serum en dunderm biopsies was verkry van 29 pasiente met gedekompenseerde lewer sirrose, 15 pasiente met gekompenseerde sirrose en 19 kontroles. Dunderm makrofage was gekarakteriseer met behulp van vloeisitometrie en immunohistochemie. Molekulere meganisms belangrik tydens bakteriele translokasie was bepaal met behulp van geneekspressie. Serum en selkultuur supernatant sitokien bepalings was met Bioplex assays gedoen. Resultate: Pasiente met gedekompenseerde sirrose demonstreer: ‘n verhoogde frekwensie van CD33+/CD14+/TREM-1+ en iNOS+ makrofage in hul dunderm, verhoogde mRNA vlakke van NOS2, CCL2, CCL13 en IL8 asook verhoogde serum vlakke van IL6, IL8, LPS. Addisioneel het pasiente met gedekompenseerde sirrose vehoogde supernatant vlakke van NO, IL6, IL8 and CCL2 na kort termyn dunderm biopsie kulture. Alhoewel elekronmikroskopie gewys het dat die dundermwand intak is, was daar statisties-beduidend verhoogde ekspressie van die “porie” vormende vasteaansluitings- proteien, claudin 2 sigbaar. Gevolgtrekking: Gesamentlik het die studie gewys dat geaktiveerde CD14+/Trem-1+/iNOS+ intestinale makrofage asook verhoogde vlakke van NO, IL-6 en claudin-2 teenwoordig is in die dunderm van pasiente met gedekompenseerde sirrose. Dit dui daarop dat diè faktore derm deurlaatbaarheid vir bakteriele produkte kan verhoog. / Dissertation (MSc)--University of Pretoria, 2011. / Immunology / MSc / Unrestricted

Active and passive transport of substances between the microcirculation in the brain and the central nervous system is regulated by the Blood-Brain Barrier (BBB). This barrier allows for chronic and acute modulation of the CNS microenvironment, and protects the brain from potentially noxious compounds carried in the circulatory system. In-vitro modeling of the BBB has become the target of much research over the past decade, as there are many unanswered questions regarding modulations in the permeability of this barrier. Additionally, the development of a practical and inexpensive model of the BBB would facilitate a much more efficient drug development process. The goal of this project is to investigate the formation of the BBB through assessment of tight junction formation and endothelial cell monolayer permeability. Accomplishment of this goal will include completion of the two primary aims of this thesis, which are 1) development of an immunohistochemical staining protocol for the labeling of tight junctional proteins, and 2) characterization of permeability across a porous membrane co-cultured with bovine aortic endothelial cells (BAECs) and C6 glioma cells. Both of these aims were met, as a reliable IF protocol for tight junctional staining was developed, and permeability values across a permeable membrane seeded with BAECs and C6s were collected. The completion of these aims has helped to accomplish the goal of investigating the formation of tight junctions in an in-vitro model of the BBB. The IF protocol that has been developed, along with the collected permeability data will aid the development of a more dynamic in-vitro model of the BBB to aid in research surrounding acute modulation of the BBB, along with facilitating a timelier drug development process.

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Necrotic enteritis (NE) is a major enteric disease in commercial poultry and manifests itself in clinical and subclinical forms. Despite years of research, NE is still among the leading diseases with the greatest economic impact on poultry production. Subclinical forms lead to poor performance (reduced feed intake, weight gain and eventually higher feed conversion ratio) but usually occurs with low mortality rates. The use of antibiotic growth promoters (AGPs) is proving to be an effective tool in maintaining gut health and modifying gut microbiota, thus improving broiler performance and reducing NE. Removal of AGPs has led to an increase in NE occurrence, particularly the subclinical forms. The lack of alternative strategies to control NE is mainly due to limited insight into the relationship between NE pathogenesis, the host microbiome and its immune responses. Therefore, key to overcoming NE is to define the cellular and molecular mechanisms that are involved in the progression of the disease, especially with regard to mucosal immune responses and gut microbiome. Also, assessing the impact of these changes on gut cell metabolism and function is of great importance. This information would be a valuable guide to prevent the onset or alleviate the negative impact of NE on bird's health and performance. In a series of experiments conducted for this project, the effect of single or multi-strain probiotics as well as multi-component additives were tested during NE challenge in order to define the cellular and molecular mechanisms that are involved in the progression of the disease. Results of these experiments revealed that challenging broilers with a 'naturally occurring' NE led to differential expression of tight junction (TJ) proteins in the jejunum compared to non-challenged birds. Supplementation of certain additives reduced NE lesion scores, improved performance and increased mRNA abundance of claudin-3, a key epithelial TJ protein. Multi-strain probiotics and multi-component additives (including a symbiotic and a product containing probiotics, prebiotics and essential oils) were more effective than single-strain probiotics or prebiotics. The aforementioned additives were also more effective in modulating immune responses to NE, especially by decreasing the mRNA abundance of IFN-γ and IL-10 in the jejunum. Furthermore, supplementation of these additives led to an increase in the expression of nutrient transporters (SGLT-1) and regulators of energy metabolism (PGC-1α, mTOR and AMPK); thus, improving nutrients absorption and metabolism. Microbial profiling using 16S rRNA sequencing showed that supplementation of each specific additive led to a signature-like microbiome in the ileal scrapings of broilers. However, supplementation of multi-component additives (including a symbiotic and a product containing probiotics, prebiotics and essential oils) modified the ileal microbiome in association with lower NE lesion scores, better performance and modulated immune responses. These additives reduced the relative abundance of bacteria such as ASF356, Bacteroides, Clostridium sensu stricto 1, Faecalibaculum, Lachnospiraceae UCG-001, Muribaculum, Oscillibacter, Parabacteroides, Rikenellaceae RC9 gut group, Ruminococcaceae UCG-014, and Ruminiclostridium 9 and increased the relative abundance of Lactobacillus compared to NE challenged birds. Collectively, these data indicate that during a subclinical naturally occurring NE, the use of multi-strain probiotics or multi-component additives, compared to single-strain probiotics or prebiotics, would be a more promising strategy in alleviating the effect of this enteric disease. / Doctor of Philosophy / Necrotic enteritis, an enteric disease, is one of the major diseases that negatively impacts the poultry industry and producers' profitability. The growing ban on the use of antibiotics that were used to prevent this disease has increased the number of necrotic enteritis outbreaks worldwide. Having a better understanding of the cellular and molecular mechanisms that are involved in the onset of this disease is of crucial importance and could lead to finding more effective ways to control this disease without drugs. The gut is the site of digestion and absorption of nutrients so any damage would lead to poor bird performance. In a series of experiments conducted for this project, several combinations of beneficial bacteria and nutrient sources that help bacterial growth in the gut (prebiotics) improved gut health leading to better performance during the grow-out period (days 0-42) when birds reach market age. These supplements protected the gut lining and reduced damages due to necrotic enteritis with less severe lesions. Barrier function of the gut was also improved by supplementing the diet with combination of beneficial bacteria and nutrients that help their growth in the gut. There are special types of proteins (called tight junctions) that seal up the space between intestinal cells (enterocytes) and prevent pathogens in the gut lumen from entering the body, thus preventing inflammation and disease. This helps the body to use the absorbed nutrients for growth rather than spending energy to fight pathogens, which collectively results in better growth performance. Concurrent supplementation of beneficial bacteria plus nutrients that help their growth balanced the immune responses in the gut by increasing the copy number of cytokines. Cytokines are proteins that orchestrate immune responses that the host mounts against pathogens. Certain cytokines regulate such responses by preventing the immune system from overreacting and mounting unnecessary reactions, thus preserving energy and nutrients for growth while reducing inflammation. Nutrient uptake from the gut lumen is facilitated by nutrient transporter proteins that reside on intestinal cells (enterocytes). Birds concurrently supplemented with beneficial bacteria and nutrients that help their growth in the gut increased the abundance of these proteins, resulting in improved nutrient uptake and performance compared to the control birds. Co-supplementation of beneficial bacteria and nutrient sources that help their growth modified the type and number of bacteria that are present in the gut lumen. The modified bacterial community were able to produce metabolites such as butyrate and propionate, which are beneficial for the health and growth of the intestinal cells, thus improving the bird's health and its performance. Overall, compared to beneficial bacteria alone, co-supplementation of beneficial bacteria with the nutrients that help their growth in the gut significantly reduced intestinal lesions and improved performance of broiler chickens during the production period. Moreover, dietary addition of these supplements improved gut barrier function by regulating the gene expression of tight junction proteins and gut mucosal immune responses as well as modifying the bacterial community of the gut. Therefore, such combination supplements hold promise in controlling necrotic enteritis in poultry and sustain good overall performance that translates into higher profitability to producers.