Growth and deposition of amyloid fibrils, polymers of proteins with a cross beta-sheet structure, are associated with a significant number of human pathologies including Alzheimer’s disease, Parkinson’s disease, prion diseases, type II diabetes, and senile systematic or dialysis-related amyloidoses. The broader objective of my research is to identify the basic mechanisms regulating nucleation and growth of amyloid fibrils. There is increasing evidence that amyloid formation may proceed along at least two distinct assembly pathways for the formation of rigid fibrils. One pathway involves the nucleated polymerization of the characteristic rigid fibrils from partially denatured monomers and the other proceeds via the growth of globular oligomers and their associated curvilinear fibrils (also known as protofibrils) which, in ways yet to be determined, transform into late-stage rigid fibrils. These oligomeric intermediates of fibril assembly, in particular, have been implicated as the predominant aggregate species causing cellular toxicity in amyloid diseases. Yet, amyloid oligomers and curvilinear fibrils are considered transient, metastable aggregates. This raises the question whether and how such transient aggregate species can be responsible for most of the cell/tissue toxicity? In this dissertation, I report on my investigation of several basic questions related to the mechanisms of amyloid formation. Using the model amyloid hen egg-white lysozyme, I participated in research to characterize the distinct kinetics of amyloid formation along distinct assembly pathways, to determine the morphological features of the various aggregate species emerging along either pathway, and to investigate the structural evolution of the monomers from their native state to the amyloid cross- sheet structure (chapter 3). Chapters 4-6 represent the core of my dissertation work. There I investigated whether amyloid aggregates from three different amyloid proteins, formed under denaturing condition, could undergo prion-like proliferation upon return to physiological solution conditions. I was also intimately involved in a project on the conditions inducing amyloid spherulites formation by polyglutamic acid and the mechanisms resulting in the formation of this often-overlooked amyloid aggregate structure (chapter 7). In the appendix I provide a short summary of the various experimental techniques I have used in the above experiments.

Protein therapeutics are available as cytokines, clotting factors, enzymes, hormones, growth factors, antibodies et al. They have been shown to be effective in treating a variety of important human diseases. Since human insulin was approved as the first recombinant protein therapeutic, this field has experienced rapid growth. One of the biggest challenges for protein therapeutics in clinical application is their short half-life. Except for monoclonal antibodies, which have serum half-life for weeks, most of the protein therapeutics have half-lives ranging from minutes to hours. Kidney filtration, proteasome degradation and liver metabolism are the main factors that attribute to their short half-lives. The short half-life of protein therapeutics requires a higher dose or frequent application to maintain therapeutic concentration over a certain period. However, higher dose is easy to cause large plasma concentration fluctuation, which is easy to cause side effects. Most of protein therapeutics are not orally bioavailable. Frequent application will increase the burden of patients, affect their life quality, and reduce patient compliance. Thus, it is important to generate long-lasting therapeutics with improved pharmacokinetic properties. The current half-life extension approaches for protein therapeutics include PEGylation, albumin fusion or binding and fusion to an immunoglobulin Fc region. Their primary aim is to increase the size of biotherapeutics or to implement recycling by the neonatal Fc receptor (FcRn). However, the half-life extension by PEGylation, albumin fusion or Fc fusion is at the cost of binding affinity reduction. And the increase of size has limited their application in the field of anticancer agents where tumor penetration is required. Noncovalent albumin binding using albumin binding ligands such as fatty acids could maintain the small size and binding affinity. However, it would increase hydrophobicity, therefore is not suitable for protein therapeutics with low solubility. Here, we present a new approach for half-life extension for biotherapeutics. Human interleukin 2 (IL-2), a low solubility cytokine, was used as a model protein. By conjugating IL-2 with a hydrophilic small molecule that binds reversibly to the serum protein transthyretin, we enhanced its circulation half-life in rodents while maintained its in vitro bioactivity. To the best of our knowledge, this is the first demonstration of a successful approach that harnesses a small molecule in extending the circulation half-life of a protein while at the same time maintains the small size and hydrophilicity.

According to the REACH regulation chemicals produced or imported to the European Union need to be assessed to manage the risk of potential hazard to human health and the environment. An increasing number of chemicals in commerce prompts the need for utilizing faster and cheaper alternative methods for this assessment, such as quantitative structure-activity or property relationships (QSARs or QSPRs). QSARs and QSPRs are models that seek correlation between data on chemicals molecular structure and a specific activity or property, such as environmental fate characteristics and (eco)toxicological effects. The aim of this thesis was to evaluate and develop models for the hazard assessment of industrial chemicals and the exposure assessment of pharmaceuticals. In focus were the identification of chemicals potentially demonstrating carcinogenic (C), mutagenic (M), or reprotoxic (R) effects, and endocrine disruption, the importance of metabolism in hazard identification, and the understanding of adsorption of ionisable chemicals to sludge with implications to the fate of pharmaceuticals in waste water treatment plants (WWTPs). Also, issues related to QSARs including consensus modelling, applicability domain, and ionisation of input structures were addressed. The main findings presented herein are as follows: QSARs were successful in identifying almost all carcinogens and most mutagens but worse in predicting chemicals toxic to reproduction. Metabolic activation is a key event in the identification of potentially hazardous chemicals, particularly for chemicals demonstrating estrogen (E) and transthyretin (T) related alterations of the endocrine system, but also for mutagens. The accuracy of currently available metabolism simulators is rather low for industrial chemicals. However, when combined with QSARs, the tool was found useful in identifying chemicals that demonstrated E- and T- related effects in vivo. We recommend using a consensus approach in final judgement about a compound’s toxicity that is to combine QSAR derived data to reach a consensus prediction. That is particularly useful for models based on data of slightly different molecular events or species. QSAR models need to have well-defined applicability domains (AD) to ensure their reliability, which can be reached by e.g. the conformal prediction (CP) method. By providing confidence metrics CP allows a better control over predictive boundaries of QSAR models than other distance-based AD methods. Pharmaceuticals can interact with sewage sludge by different intermolecular forces for which also the ionisation state has an impact. Developed models showed that sorption of neutral and positively-charged pharmaceuticals was mainly hydrophobicity-driven but also impacted by Pi-Pi and dipole-dipole forces. In contrast, negatively-charged molecules predominantly interacted via covalent bonding and ion-ion, ion-dipole, and dipole-dipole forces. Using ionised structures in multivariate modelling of sorption to sludge did not improve the model performance for positively- and negatively charged species but we noted an improvement for neutral chemicals that may be due to a more correct description of zwitterions.   Overall, the results provided insights on the current weaknesses and strengths of QSAR approaches in hazard and exposure assessment of chemicals. QSARs have a great potential to serve as commonly used tools in hazard identification to predict various responses demanded in chemical safety assessment. In combination with other tools they can provide fundaments for integrated testing strategies that gather and generate information about compound’s toxicity and provide insights of its potential hazard. The obtained results also show that QSARs can be utilized for pattern recognition that facilitates a better understanding of phenomena related to fate of chemicals in WWTP. / Enligt kemikalielagstiftningen REACH måste kemikalier som produceras i eller importeras till Europeiska unionen riskbedömas avseende hälso- och miljöfara. Den ökande mängden kemikalier som används i samhället kräver snabbare och billigare alternativa riskbedömningsmetoder, såsom kvantitativa struktur-aktivitets- eller egenskapssamband (QSARs eller QSPRs). QSARs och QSPRs är datamodeller där samband söks korrelationer mellan data för kemikaliers struktur-relaterade egenskaper och t.ex. kemikaliers persistens eller (eko)toxiska effekter. Målet med den här avhandlingen var att utvärdera och utveckla modeller för riskbedömning av industri kemikalier och läkemedel för att studera hur QSARs/QSPRs kan förbättra riskbedömningsprocessen. Fokus i avhandlingen var utveckling av metoder för identifiering av potentiellt cancerframkallande (C), mutagena (M), eller reproduktionstoxiska (R) kemikalier, och endokrint aktiva kemikalier, att studera betydelsen av metabolism vid riskbedömning och att öka vår förståelse för joniserbara kemikaliers adsorption till avloppsslam. Avhandlingen behandlar även konsensusmodellering, beskrivning av modellers giltighet och betydelsen av jonisering för kemiska deskriptorer. De huvudsakliga resultaten som presenteras i avhandlingen är: QSAR-modeller identifierade nästan alla cancerframkallande ämnen och de flesta mutagener men var sämre på att identifiera reproduktionstoxiska kemikalier. Metabolisk aktivering är av stor betydelse vid identifikationen av potentiellt toxiska kemikalier, speciellt för kemikalier som påvisar östrogen- (E) och sköldkörtel-relaterade (T) förändringar av det endokrina systemet men även för mutagener. Träffsäkerheten för de tillgängliga metabolismsimulatorerna är ganska låg för industriella kemikalier men i kombination med QSARs så var verktyget användbart för identifikation av kemikalier som påvisade E- och T-relaterade effekter in vivo. Vi rekommenderar att använda konsensusmodellering vid in silico baserad bedömning av kemikaliers toxicitet, d.v.s. att skapa en sammanvägd förutsägelse baserat på flera QSAR-modeller. Det är speciellt användbart för modeller som baseras på data från delvis olika mekanismer eller arter. QSAR-modeller måste ha ett väldefinierat giltighetsområde (AD) för att garantera dess pålitlighet vilket kan uppnås med t.ex. conformal prediction (CP)-metoden. CP-metoden ger en bättre kontroll över prediktiva gränser hos QSAR-modeller än andra distansbaserade AD-metoder. Läkemedel kan interagera med avloppsslam genom olika intermolekylära krafter som även påverkas av joniseringstillståndet. Modellerna visade att adsorptionen av neutrala och positivt laddade läkemedel var huvudsakligen hydrofobicitetsdrivna men också påverkade av Pi-Pi- och dipol-dipol-krafter. Negativt laddade molekyler interagerade huvudsakligen med slam via kovalent bindning och jon-jon-, jon-dipol-, och dipol-dipol-krafter. Kemiska deskriptorer baserade på joniserade molekyler förbättrade inte prestandan för adsorptionsmodeller för positiva och negativa joner men vi noterade en förbättring av modeller för neutrala substanser som kan bero på en mer korrekt beskrivning av zwitterjoner. Sammanfattningsvis visade resultaten på QSAR-modellers styrkor och svagheter för användning som verkyg vid risk- och exponeringsbedömning av kemikalier. QSARs har stor potential för bred användning vid riskidentifiering och för att förutsäga en mängd olika responser som krävs vid riskbedömning av kemikalier. I kombination med andra verktyg kan QSARs förse oss med data för användning vid integrerade bedömningar där data sammanvägs från olika metoder. De erhållna resultaten visar också att QSARs kan användas för att bedöma och ge en bättre förståelse för kemikaliers öde i vattenreningsverk.

Mais de quarenta proteínas humanas estão envolvidas em doenças amilóides, sendo a transtirretina (TTR) uma dessas. A dissociação do tetrâmero da TTR é a etapa limitante para sua via de agregação. Esta etapa pode ser dificultada pela ligação de pequenas moléculas a dois sítios na interface tetramérica da TTR e facilitada em variantes mutantes. A mutante V30M é a variante amiloidogênica mais frequente da TTR e, apesar da mutação não se encontrar no sítio de ligação de pequenas moléculas, pode limitar a interação de inibidores com esta proteína. Desta forma, a busca de inibidores da agregação da TTR tipo selvagem (TTRwt) e mutantes amiloidogênicas vem sendo realizada. Na presente tese, flavonóides, freqüentemente encontrados em alimentos, e agonistas sintéticos do receptor do hormônio tireoidiano, seletivos para a isoforma beta deste receptor, foram selecionados para testes de inibição da agregação da TTRwt e mutante V30M. A interação dos melhores inibidores com a TTR foi também caracterizada em detalhes. Para isto, um ensaio de agregação in vitro da TTR foi utilizado para triagem dos compostos; e a assinatura termodinâmica da interação dos melhores inibidores com a TTR, bem como as estruturas cristalográficas TTR:inibidores foram determinadas por calorimetria de titulação isotérmica e cristalografia de proteínas, respectivamente. Os compostos sintéticos, GC-1 e GC-24, mostraram-se inibidores eficazes, porém com potência moderada. Já as flavonas luteolina (LUT), apigenina (API) e crisina (CHR), a flavanona naringenina (NAR), o flavonol kaenferol (KAE) e a isoflavona genisteína (GEN) apresentaram boa potência e eficácia de inibição da agregação da TTR in vitro. Os inibidores NAR, CHR, GEN e KAE não mostraram mesma capacidade de inibição da mutante V30M e apresentaram cooperatividade negativa para ligação aos dois sítios da TTR. A posição dos inibidores no sítio, bem como a variabilidade química/ estrutural dos compostos testados parecem influenciar os mecanismos de interação com os dois sítios da TTR e a ligação à mutante V30M. Modificações no sítio da mutante V30M foram identificadas e são apontadas como a principal causa para a seletividade de alguns inibidores à forma selvagem da TTR. De modo geral, a investigação detalhada da interação de pequenas moléculas com a TTR permitiu propor as bases moleculares da cooperatividade entre os sítios desta proteína e das diferenças de interação dos inibidores com a forma selvagem e mutante V30M da TTR. / More than forty human proteins are involved in human amyloid diseases, being transthyretin (TTR) one of these. TTR tetramer dissociation is a limiting step for its aggregation pathway. This step can be delayed by small molecules binding to two binding sites in the TTR tetramer interface and enhanced in TTR amyloidogenic variants. The V30M mutant is the most frequent TTR amyloidogenic variant and, eventhough the mutation is not situated in the TTR binding site, this mutation can limit small molecule interaction with the V30M mutant. Therefore, the search for wild type (TTRwt) and amyloidogenic TTR mutant inhibitors is under investigation. In the present thesis, flavonoids, frequently found in food, and synthetic thyroid hormone receptor beta-selective agonists were selected for evaluation of their inhibition ability on TTRwt and V30M mutant aggregation. The interaction of the best inhibitors with TTR was also characterized in details. For this, an in vitro TTR aggregation assay was used for inhibitor screening, and the thermodynamic signature of interaction, as well the TTR:inhibitors crystal complexes were determined by isothermal titration calorimetry and protein crystallography, respectively. The synthetic compounds, GC-1 and GC-24, displayed high efficacy, however moderated inhibition potency. The flavones luteolin (LUT), apigenin (API), chrisin (CHR), the flavanone naringenin (NAR), the flavonol kaenferol (KAE) and the isoflavone genistein (GEN) showed good potency and efficacy of TTR aggregation inhibition in vitro. The inhibitors, CHR, NAR, GEN and KAE, had lower inhibition capacity to the V30M mutant, and displayed negative cooperativity of binding to the two TTR binding sites. The inhibitor position in the binding site, as well as the chemical/ structural variability of the tested compounds seems to influence the interaction mechanism with the two TTR binding sites and the binding to the V30M mutant. Modifications on the V30M mutant binding sites were identified and pointed as the main reasons for the selectivity of some inhibitors to the wild type TTR. Overall, the detailed inspection of small molecule interaction with TTR suggests the molecular basis of the cooperativity between the two TTR binding sites and also of the differences between the inhibitors interaction with the wild type and with the V30M mutant TTR.

A corticoterapia tem sido utilizada frequentemente nas éguas suscetíveis. O uso de isuflupredona melhora a taxa de prenhez e altera o perfil proteico do líquido endometrial em relação a éguas não tratadas. A utilização de dexametasona diminui o acúmulo de líquido pós-cobertura, reduz o edema do útero, porém, desconhecem-se seus efeitos no perfil proteico do líquido endometrial. O objetivo do presente estudo foi analisar o efeito da dexametasona em éguas suscetíveis à endometrite persistente póscobertura sobre perfil proteico do líquido endometrial na presença ou ausência de infecção. Nove éguas suscetíveis foram utilizados, com idade entre 7 a 30 anos. Após a verificação dos sinais de estro as éguas foram submetidas a quatro tratamentos: (C) éguas não receberam nenhum tipo de tratamento e serviram como controle; (D) éguas receberam 40mg de dexametasona (IV), no momento da cobertura, com coleta da amostras após 6 horas, (I-6 e I-24) infusão intra-uterina de 1 x 109 de S. zooepidemicus/mL, com coleta da amostra após 6 e 24 horas; (I/D-6 e I/D-24) infusão intra-uterina de 1 x 109 S. zooepidemicus/mL e administração de 40mg de dexametasona (IV), com coleta da amostra após 6 e 24 horas. Todas as éguas foram submetidas a todos os tratamentos. As amostras foram coletadas e submetidas à eletroforese bidimensional para separação proteica e espectrometria de massa para a identificação das bandas proteicas relevantes. A corticoterapia provocou alteração na proteômica do líquido endometrial de éguas suscetíveis, caracterizada pelo aumento (TTR) e/ou diminuição (ApoA1) na densidade óptica de proteínas da fase aguda da inflamação. Conclui-se que a utilização da dexametasona em éguas com e sem presença de infecção altera a proteômica do fluido endometrial de éguas suscetíveis. Sugere-se que a dosagem ou a frequência de aplicação da dexametasona deva ser aumentada. / Corticotherapy has often been used in susceptible mares. The use of isuflupredona improves pregnancy rate and alters the protein profile of the endometrial fluid in relation to untreated mares. The use of dexamethasone decreases the post breeding fluid accumulation, reduces the uterine edema, however is unaware of its effects on the protein profile of endometrial fluid. The aim of the present study was analyze the effect of dexamethasone in mares susceptible to post-breeding persistent endometritis on the protein profile of endometrial fluid in the presence or absence of infection. Nine susceptible mares were used, aged 7-30 years old. After checking the signs of estrus, mares were subjected to four treatments: (C) mares received no treatment and served as controls; (D) mares received 40 mg of dexamethasone at breeding time, with collection of samples after 6 hours; (I-6 and I-24) intrauterine infusion of 1 x 109 S. zooepidemicus/ml and the sample was collected after 6 and 24 hours; (I/D-6 and I/D-24) intrauterine infusion of 1 x 109 S. zooepidemicus/ml and 40 mg of dexamethasone administration, collecting the sample after 6 and 24 hours. All of the mares were subjected to all treatments. Samples were collected and subjected to two-dimensional electrophoresis for protein separation and mass spectrometry for the identification of relevant protein bands. Corticotherapy resulted in alteration of the protein profile of the endometrial fluid of susceptible mares, characterized by an increase (TTR) and/or decrease (ApoA1) in optical density of the acute phase of proteins of inflammation. We conclude that the use of dexamethasone in mares with and without the presence of infection alters the protein profile of endometrial fluid of susceptible mares. It is suggested that the dosage or frequency of application of dexamethasone should be increased.

<p>Over 20 different plasma proteins have been shown to have the capacity to undergo conformational changes and self-assemble into highly stable and insoluble amyloid fibrils. </p><p>One, transthyretin (TTR), consists of 127 amino acid residues arranged in eight β-strands (named A to H) and is involved in two different clinical forms of amyloidosis. In familial amyloidotic polyneuropathy (FAP), mutated TTR is found in the amyloid deposits while in senile systemic amyloidosis (SSA) only wild type TTR is present in the amyloid deposits.</p><p>In this study, we have identified a novel form of amyloidosis that is caused by the deposition of an N-terminal fragment of apolipoprotein A-IV (apoA-IV). Interestingly, apoA-IV amyloid was found deposited in a patient that also suffered from SSA. Thus, this patient had two biochemically distinct and concurrent forms of amyloidosis that were derived from apoA-IV and TTR. </p><p>We have also discovered that two different morphological deposition patterns (identified as patterns A and B) exist in TTR-derived amyloidosis. Pattern A, observed in all SSA patients studied and in half of the FAP patients examined contained large homogenous deposits that were composed of short randomly oriented fibrils. In contrast, pattern B was observed in the remaining FAP patients and was represented by smaller-sized deposits that consisted of longer fibrils that were arranged in parallel bundles. The predominant TTR component deposited also differed between the two amyloid patterns. Amyloid pattern A contained mainly C-terminal TTR fragments while pattern B amyloid consisted of full-length TTR. Our findings suggest that two different mechanisms of fibril formation may exist in TTR-derived amyloidosis. </p><p>We have found two epitopes, corresponding to strand C and H that are surface-exposed in TTR-derived amyloid fibrils but hidden and part of the hydrophobic core in the native molecular structure. This indicates that TTR undergoes partial unfolding during fibril formation. </p>

Over 20 different plasma proteins have been shown to have the capacity to undergo conformational changes and self-assemble into highly stable and insoluble amyloid fibrils. One, transthyretin (TTR), consists of 127 amino acid residues arranged in eight β-strands (named A to H) and is involved in two different clinical forms of amyloidosis. In familial amyloidotic polyneuropathy (FAP), mutated TTR is found in the amyloid deposits while in senile systemic amyloidosis (SSA) only wild type TTR is present in the amyloid deposits. In this study, we have identified a novel form of amyloidosis that is caused by the deposition of an N-terminal fragment of apolipoprotein A-IV (apoA-IV). Interestingly, apoA-IV amyloid was found deposited in a patient that also suffered from SSA. Thus, this patient had two biochemically distinct and concurrent forms of amyloidosis that were derived from apoA-IV and TTR. We have also discovered that two different morphological deposition patterns (identified as patterns A and B) exist in TTR-derived amyloidosis. Pattern A, observed in all SSA patients studied and in half of the FAP patients examined contained large homogenous deposits that were composed of short randomly oriented fibrils. In contrast, pattern B was observed in the remaining FAP patients and was represented by smaller-sized deposits that consisted of longer fibrils that were arranged in parallel bundles. The predominant TTR component deposited also differed between the two amyloid patterns. Amyloid pattern A contained mainly C-terminal TTR fragments while pattern B amyloid consisted of full-length TTR. Our findings suggest that two different mechanisms of fibril formation may exist in TTR-derived amyloidosis. We have found two epitopes, corresponding to strand C and H that are surface-exposed in TTR-derived amyloid fibrils but hidden and part of the hydrophobic core in the native molecular structure. This indicates that TTR undergoes partial unfolding during fibril formation.

A corticoterapia tem sido utilizada frequentemente nas éguas suscetíveis. O uso de isuflupredona melhora a taxa de prenhez e altera o perfil proteico do líquido endometrial em relação a éguas não tratadas. A utilização de dexametasona diminui o acúmulo de líquido pós-cobertura, reduz o edema do útero, porém, desconhecem-se seus efeitos no perfil proteico do líquido endometrial. O objetivo do presente estudo foi analisar o efeito da dexametasona em éguas suscetíveis à endometrite persistente póscobertura sobre perfil proteico do líquido endometrial na presença ou ausência de infecção. Nove éguas suscetíveis foram utilizados, com idade entre 7 a 30 anos. Após a verificação dos sinais de estro as éguas foram submetidas a quatro tratamentos: (C) éguas não receberam nenhum tipo de tratamento e serviram como controle; (D) éguas receberam 40mg de dexametasona (IV), no momento da cobertura, com coleta da amostras após 6 horas, (I-6 e I-24) infusão intra-uterina de 1 x 109 de S. zooepidemicus/mL, com coleta da amostra após 6 e 24 horas; (I/D-6 e I/D-24) infusão intra-uterina de 1 x 109 S. zooepidemicus/mL e administração de 40mg de dexametasona (IV), com coleta da amostra após 6 e 24 horas. Todas as éguas foram submetidas a todos os tratamentos. As amostras foram coletadas e submetidas à eletroforese bidimensional para separação proteica e espectrometria de massa para a identificação das bandas proteicas relevantes. A corticoterapia provocou alteração na proteômica do líquido endometrial de éguas suscetíveis, caracterizada pelo aumento (TTR) e/ou diminuição (ApoA1) na densidade óptica de proteínas da fase aguda da inflamação. Conclui-se que a utilização da dexametasona em éguas com e sem presença de infecção altera a proteômica do fluido endometrial de éguas suscetíveis. Sugere-se que a dosagem ou a frequência de aplicação da dexametasona deva ser aumentada. / Corticotherapy has often been used in susceptible mares. The use of isuflupredona improves pregnancy rate and alters the protein profile of the endometrial fluid in relation to untreated mares. The use of dexamethasone decreases the post breeding fluid accumulation, reduces the uterine edema, however is unaware of its effects on the protein profile of endometrial fluid. The aim of the present study was analyze the effect of dexamethasone in mares susceptible to post-breeding persistent endometritis on the protein profile of endometrial fluid in the presence or absence of infection. Nine susceptible mares were used, aged 7-30 years old. After checking the signs of estrus, mares were subjected to four treatments: (C) mares received no treatment and served as controls; (D) mares received 40 mg of dexamethasone at breeding time, with collection of samples after 6 hours; (I-6 and I-24) intrauterine infusion of 1 x 109 S. zooepidemicus/ml and the sample was collected after 6 and 24 hours; (I/D-6 and I/D-24) intrauterine infusion of 1 x 109 S. zooepidemicus/ml and 40 mg of dexamethasone administration, collecting the sample after 6 and 24 hours. All of the mares were subjected to all treatments. Samples were collected and subjected to two-dimensional electrophoresis for protein separation and mass spectrometry for the identification of relevant protein bands. Corticotherapy resulted in alteration of the protein profile of the endometrial fluid of susceptible mares, characterized by an increase (TTR) and/or decrease (ApoA1) in optical density of the acute phase of proteins of inflammation. We conclude that the use of dexamethasone in mares with and without the presence of infection alters the protein profile of endometrial fluid of susceptible mares. It is suggested that the dosage or frequency of application of dexamethasone should be increased.

A corticoterapia tem sido utilizada frequentemente nas éguas suscetíveis. O uso de isuflupredona melhora a taxa de prenhez e altera o perfil proteico do líquido endometrial em relação a éguas não tratadas. A utilização de dexametasona diminui o acúmulo de líquido pós-cobertura, reduz o edema do útero, porém, desconhecem-se seus efeitos no perfil proteico do líquido endometrial. O objetivo do presente estudo foi analisar o efeito da dexametasona em éguas suscetíveis à endometrite persistente póscobertura sobre perfil proteico do líquido endometrial na presença ou ausência de infecção. Nove éguas suscetíveis foram utilizados, com idade entre 7 a 30 anos. Após a verificação dos sinais de estro as éguas foram submetidas a quatro tratamentos: (C) éguas não receberam nenhum tipo de tratamento e serviram como controle; (D) éguas receberam 40mg de dexametasona (IV), no momento da cobertura, com coleta da amostras após 6 horas, (I-6 e I-24) infusão intra-uterina de 1 x 109 de S. zooepidemicus/mL, com coleta da amostra após 6 e 24 horas; (I/D-6 e I/D-24) infusão intra-uterina de 1 x 109 S. zooepidemicus/mL e administração de 40mg de dexametasona (IV), com coleta da amostra após 6 e 24 horas. Todas as éguas foram submetidas a todos os tratamentos. As amostras foram coletadas e submetidas à eletroforese bidimensional para separação proteica e espectrometria de massa para a identificação das bandas proteicas relevantes. A corticoterapia provocou alteração na proteômica do líquido endometrial de éguas suscetíveis, caracterizada pelo aumento (TTR) e/ou diminuição (ApoA1) na densidade óptica de proteínas da fase aguda da inflamação. Conclui-se que a utilização da dexametasona em éguas com e sem presença de infecção altera a proteômica do fluido endometrial de éguas suscetíveis. Sugere-se que a dosagem ou a frequência de aplicação da dexametasona deva ser aumentada. / Corticotherapy has often been used in susceptible mares. The use of isuflupredona improves pregnancy rate and alters the protein profile of the endometrial fluid in relation to untreated mares. The use of dexamethasone decreases the post breeding fluid accumulation, reduces the uterine edema, however is unaware of its effects on the protein profile of endometrial fluid. The aim of the present study was analyze the effect of dexamethasone in mares susceptible to post-breeding persistent endometritis on the protein profile of endometrial fluid in the presence or absence of infection. Nine susceptible mares were used, aged 7-30 years old. After checking the signs of estrus, mares were subjected to four treatments: (C) mares received no treatment and served as controls; (D) mares received 40 mg of dexamethasone at breeding time, with collection of samples after 6 hours; (I-6 and I-24) intrauterine infusion of 1 x 109 S. zooepidemicus/ml and the sample was collected after 6 and 24 hours; (I/D-6 and I/D-24) intrauterine infusion of 1 x 109 S. zooepidemicus/ml and 40 mg of dexamethasone administration, collecting the sample after 6 and 24 hours. All of the mares were subjected to all treatments. Samples were collected and subjected to two-dimensional electrophoresis for protein separation and mass spectrometry for the identification of relevant protein bands. Corticotherapy resulted in alteration of the protein profile of the endometrial fluid of susceptible mares, characterized by an increase (TTR) and/or decrease (ApoA1) in optical density of the acute phase of proteins of inflammation. We conclude that the use of dexamethasone in mares with and without the presence of infection alters the protein profile of endometrial fluid of susceptible mares. It is suggested that the dosage or frequency of application of dexamethasone should be increased.

Mais de quarenta proteínas humanas estão envolvidas em doenças amilóides, sendo a transtirretina (TTR) uma dessas. A dissociação do tetrâmero da TTR é a etapa limitante para sua via de agregação. Esta etapa pode ser dificultada pela ligação de pequenas moléculas a dois sítios na interface tetramérica da TTR e facilitada em variantes mutantes. A mutante V30M é a variante amiloidogênica mais frequente da TTR e, apesar da mutação não se encontrar no sítio de ligação de pequenas moléculas, pode limitar a interação de inibidores com esta proteína. Desta forma, a busca de inibidores da agregação da TTR tipo selvagem (TTRwt) e mutantes amiloidogênicas vem sendo realizada. Na presente tese, flavonóides, freqüentemente encontrados em alimentos, e agonistas sintéticos do receptor do hormônio tireoidiano, seletivos para a isoforma beta deste receptor, foram selecionados para testes de inibição da agregação da TTRwt e mutante V30M. A interação dos melhores inibidores com a TTR foi também caracterizada em detalhes. Para isto, um ensaio de agregação in vitro da TTR foi utilizado para triagem dos compostos; e a assinatura termodinâmica da interação dos melhores inibidores com a TTR, bem como as estruturas cristalográficas TTR:inibidores foram determinadas por calorimetria de titulação isotérmica e cristalografia de proteínas, respectivamente. Os compostos sintéticos, GC-1 e GC-24, mostraram-se inibidores eficazes, porém com potência moderada. Já as flavonas luteolina (LUT), apigenina (API) e crisina (CHR), a flavanona naringenina (NAR), o flavonol kaenferol (KAE) e a isoflavona genisteína (GEN) apresentaram boa potência e eficácia de inibição da agregação da TTR in vitro. Os inibidores NAR, CHR, GEN e KAE não mostraram mesma capacidade de inibição da mutante V30M e apresentaram cooperatividade negativa para ligação aos dois sítios da TTR. A posição dos inibidores no sítio, bem como a variabilidade química/ estrutural dos compostos testados parecem influenciar os mecanismos de interação com os dois sítios da TTR e a ligação à mutante V30M. Modificações no sítio da mutante V30M foram identificadas e são apontadas como a principal causa para a seletividade de alguns inibidores à forma selvagem da TTR. De modo geral, a investigação detalhada da interação de pequenas moléculas com a TTR permitiu propor as bases moleculares da cooperatividade entre os sítios desta proteína e das diferenças de interação dos inibidores com a forma selvagem e mutante V30M da TTR. / More than forty human proteins are involved in human amyloid diseases, being transthyretin (TTR) one of these. TTR tetramer dissociation is a limiting step for its aggregation pathway. This step can be delayed by small molecules binding to two binding sites in the TTR tetramer interface and enhanced in TTR amyloidogenic variants. The V30M mutant is the most frequent TTR amyloidogenic variant and, eventhough the mutation is not situated in the TTR binding site, this mutation can limit small molecule interaction with the V30M mutant. Therefore, the search for wild type (TTRwt) and amyloidogenic TTR mutant inhibitors is under investigation. In the present thesis, flavonoids, frequently found in food, and synthetic thyroid hormone receptor beta-selective agonists were selected for evaluation of their inhibition ability on TTRwt and V30M mutant aggregation. The interaction of the best inhibitors with TTR was also characterized in details. For this, an in vitro TTR aggregation assay was used for inhibitor screening, and the thermodynamic signature of interaction, as well the TTR:inhibitors crystal complexes were determined by isothermal titration calorimetry and protein crystallography, respectively. The synthetic compounds, GC-1 and GC-24, displayed high efficacy, however moderated inhibition potency. The flavones luteolin (LUT), apigenin (API), chrisin (CHR), the flavanone naringenin (NAR), the flavonol kaenferol (KAE) and the isoflavone genistein (GEN) showed good potency and efficacy of TTR aggregation inhibition in vitro. The inhibitors, CHR, NAR, GEN and KAE, had lower inhibition capacity to the V30M mutant, and displayed negative cooperativity of binding to the two TTR binding sites. The inhibitor position in the binding site, as well as the chemical/ structural variability of the tested compounds seems to influence the interaction mechanism with the two TTR binding sites and the binding to the V30M mutant. Modifications on the V30M mutant binding sites were identified and pointed as the main reasons for the selectivity of some inhibitors to the wild type TTR. Overall, the detailed inspection of small molecule interaction with TTR suggests the molecular basis of the cooperativity between the two TTR binding sites and also of the differences between the inhibitors interaction with the wild type and with the V30M mutant TTR.