GASP1 modulerait le trafic intracellulaire des RCPG après endocytose provoquée par les ligands. Au cours de ce travail nous nous sommes focalisés sur l’interaction de GASP-1 avec le récepteur beta2-adrénergique (B2AR) et ses conséquences fonctionnelles. Les agonistes du récepteur B2AR sont des bronchodilatateurs puissants utilisés dans le traitement de l’asthme. Avec le Dr N. Frossard, nous avons montré qu'un traitement chronique avec un agoniste B2AR induit le développement d'une hyper-réactivitée bronchique chez les souris sauvages mais pas chez les KO GASP1. Ce phénotype n’est pas relié à une différence dans la dégradation du récepteur B2AR entre les souris sauvages et KO GASP-1 mais est corrélé avec une augmentation du niveau de collagène dans les poumons des souris sauvages. Nos résultats indiquent que GASP1 joue un rôle important dans ce phénomène adaptatif qui serait relié à un remaniement des tissus bronchiques dépendant de cette protéine. / GASP1 have been shown to modulate the postendocytic sorting of different GPCRs.In order to better understand the role of GASP1 in regulating the activity and intracellular traffic king of GPCRs, we have focused our project on the functional consequences of the interaction between GASP1 and beta2-adrenergic receptor (B2AR). B2AR agonists are potent bronchodilators used in the treatment of asthma. With Dr. N. Frossard, we have shown that achronic treatment with a B2AR agonist induces the development of bronchial hyperresponsiveness in wild-type but not in KO GASP1 mice. Furthermore, we have shown that this phenotype is not related to a difference of B2AR receptor degradation between wild type and KO animals but correlates with an increase in collagen levels in the lungs of wild type mice that is not observed in GASP1KO animals. Altogether, our data suggest thatGASP1 is critically involved in these adaptations, which could be related to a GASP1-dependent modification of lung tissues.

Congenital myasthenic syndromes (CMS) are a rare group of heterogeneous disorders, characterised by compromised neuromuscular transmission and symptoms of fatiguable muscle weakness. CMS is caused by mutations in genes that affect the structure and function of the neuromuscular junction (NMJ). In about 20% of CMS cases, patients have mutations in the gene DOK7; the protein product, DOK7, is crucial for maintaining the dense aggregation of acetylcholine receptor (AChR) clusters at the NMJ. DOK7-CMS patients do not respond to treatment with acetylcholinesterase inhibitors which are the first line treatment for most forms of CMS. Instead, a dramatic response to beta-2 adrenergic receptor (ADRB2) agonists, such as salbutamol, is observed. The aim of this project was to investigate the molecular mechanisms that underlie the beneficial effects of ADRB2 agonists. Firstly, NMJ functioning was modelled in vitro by studying AChR clusters formed on cultured C2C12 mouse myotubes in the presence of WT DOK7. Overexpression of mutant DOK7 led to a significant reduction in the number of AChR clusters, explaining the pathogenic effect of the mutation. Importantly, incubation of myotubes with salbutamol increased the number of AChR clusters and their stability. The results provide the first evidence that ADRB2 agonists directly affect proteins located at the NMJ. However, this disease model suffers from limitations. The rest of the thesis focussed on developing alternative cell culture models to explore the AChR clustering pathway. The first model combined optogenetics and fluorescence lifetime microscopy to study the effects of ADRB2 activation on AChR cluster stability in single live cells. The second used CRISPR/Cas9 genome editing tools to directly introduce Dok7 mutations to the genome of C2C12 cells, thereby overcoming some of the drawbacks associated with DOK7 overexpression. Further manipulations of these novel model systems will be used in the future to examine in more detail the molecular events underlying the pathogenic effects of DOK7 mutations and the mechanisms of ADRB2 agonists.

and keywords The aim of this work was to evaluate the effect on rat myocardial β-adrenergic system of short-term (10 hours and 3 days) and long-term (5 weeks) cold exposure of rats with possible subsequent two-week recovery at normal temperature. The subtypes of β-adrenergic receptors (β-AR), their cognate G-proteins and adenylate cyclase have been characterized. β-AR are important components of cardiac regulatory mechanisms. They are involved in stimulating G-protein (Gs) and adenylate cyclase to increase cardiac contractility and frequency during stressful situations, including cold exposure. Heart tissue contains all three β-AR subtypes (β1-AR, β2-AR, β3-AR). While β1-AR couples with only Gs, β2-AR and β3-AR interact with the inhibitory G-protein (Gi). Electrophoresis and Western blotting showed a significant increase in β1-AR after a three-day exposure to cold. There was also a significant increase in β3-AR concentrations after a five-week cold exposure and this increase lasted for two weeks. There were no significant changes in the amnounts of β-AR cognate G-proteins (Gαs, Gβ, Gαi1/2 a Gαi3). In contrast, expression of adenylyl cyclase isoform V and VI significantly decreased during short-term exposure to cold. Using the saturation experiment with the β-antagonist [3H]CGP 12177, β-AR were...

Le trouble anxieux généralisé (TAG) est un problème majeur de santé publique. Il est fréquemment sous ou mal diagnostiqué, notamment chez les personnes âgées. Il est souvent comorbide et source d’incapacité et présente un faible taux de rémission complète. Malgré des conséquences socio-économiques et sanitaires importantes, les recherches sur les déterminants du TAG en population générale âgée restent limitées. L'objectif de cette thèse était d’étudier les caractéristiques cliniques et étiologiques du TAG à partir de l'étude prospective ESPRIT, constituée de 2259 personnes âgées de 65 ans et plus et examinées à 6 reprises pendant 12 ans.La prévalence du TAG des 6 derniers mois était de 4,6 %, 14% des cas présentant une comorbidité avec une dépression majeure et 35% avec une phobie mais les facteurs associés sont différents. Au cours des 12 ans de suivi, 8,4% des participants ont présenté un TAG incident (10 pour 1000 personnes-années), qui était un premier épisode dans 80% des cas. Plusieurs facteurs prédictifs de TAG ont été identifiés à partir de modèles statistiques multivariés : le sexe féminin, la survenue d’événements de vie stressants récents ou anciens (pendant l’enfance), certaines maladies chroniques (troubles respiratoires, cognitifs, arythmie et insuffisance cardiaque, dyslipidémie, adiposité) et troubles psychiatriques (dépression majeure, phobie, antécédents de TAG). Certains variants génétiques des récepteurs adrénergiques augmentent le risque de TAG (mais pas de phobie) et peuvent moduler l'effet des événements stressants. Le TAG apparaît comme un trouble affectif multifactoriel lié au stress résultant de facteurs de risque proximaux et distaux et cliniquement distinct des autres troubles psychiatriques majeurs de la personne âgée.Ce travail apporte de nouvelles connaissances sur les déterminants du TAG avec des implications cliniques en termes de diagnostic et d’étiologie. Il pourrait permettre le développement de stratégies originales de prévention et d'intervention chez le sujet âgé, avec des conséquences majeures en santé publique. / Generalized anxiety disorder (GAD) is a major public health concern. It is frequently under-recognized or misdiagnosed, especially in the elderly. It is associated with high comorbidity and disability, and a low rate of full remission. Despite substantial socioeconomic and public health consequences, there has been little research to identify GAD determinants in general elderly populations. The aim of this thesis was to provide a deeper understanding of the clinical characteristics and risk factors for GAD in late life from the prospective ESPRIT study of 2259 community-dwelling French elderly (aged 65 years and over) examined six times over 12 years.The 6-month current prevalence of GAD was 4.6%, 14% of the cases were comorbid with major depression and 35% with phobia but the factors associated with these disorders differed. During the 12-year follow-up, 8.4% of the participants experienced incident GAD (10 per 1000 person-years) of which 80% were first episodes. Multivariate statistical models showed that the main predictors for late-life GAD were being female, reporting recent and childhood adverse life events, having chronic physical (respiratory disorders, arrhythmia and heart failure, cognitive impairment, dyslipidemia, and adiposity), and mental (major depression, phobia, and past GAD) disorders. Specific genetic variants of adrenergic receptors increase the risk of GAD (but not phobia) and moderate the effect of adverse life events. GAD can be characterized as a multifactorial stress-related affective disorder resulting from both proximal and distal risk factors, and is clinically distinct from other major psychiatric disorders in the elderly.This work provides new knowledge on GAD determinants with clinical implications for diagnosis and etiology. It could also contribute to developing novel preventative and intervention strategies in the elderly, with major potential consequences for overall health and daily functioning.

The morbidity of and the mortality from cardiac disease are higher in diabetic patients. Clinical and experimental evidence suggests that diabetes-induced changes at the level of myocardium can, at least partially, contribute to these cardiac problems. The mechanism(s) involved in this diabetic cardiomyopathy is still unclear, but one defect appears to occur in the alpha₁-adrenoceptor system. Altered myocardial sensitivity and responsiveness to alpha₁-adrenoceptor agonists have been reported in experimental diabetes mellitus. Stimulation of alpha₁-adrenoceptors is known to produce a positive inotropic effect and has been recently shown to stimulate the hydrolysis of phosphoinositides. To evaluate the possibility that the changes in the inotropic responsiveness to alpha₁-adrenoceptor stimulation in the diabetic heart could be linked to altered alpha₁-adrenoceptor-stimulated phosphoinositide turnover and further to the development of diabetic cardiomyopathy, we studied contractility and receptor-stimulated phosphoinositide turnover following norepinephrine (in the presence of propranolol) stimulation in right ventricles from male Wistar rats (200-225 g) which were made diabetic with streptozotocin (55 mg/kg, i.v.). Rats were sacrificed six weeks after the induction of diabetes. Diabetic rats were characterized by decreased body weight gain, hypoinsulinemia, hyperglycemia and hyperlipidemia. Stimulation of alpha₁-adrenoceptors by norepinephrine (in the presence of propranolol) in right ventricles resulted in the formation of inositol monophosphate (measured with a radioisotope method) and inositol 1,4,5-trisphosphate (measured with an inositol 1,4,5-trisphosphate protein binding assay kit) in a time- and concentration-dependent manner in both control and diabetic rats. The increase in inositol 1,4,5-trisphosphate levels preceded the increase in the alpha₁-adrenoceptor-mediated positive inotropic effect. Diabetic hearts showed a greater maximum inotropic response to norepinephrine stimulation and also had a higher inositol 1,4,5-trisphosphate levels. However, with the radioisotope method, a decreased inositol monophosphate formation was shown in diabetic hearts compared with controls. Omega-3 fatty acids supplementation (Promega[symbol omitted], 0.5 ml/kg/day) had no significant effect on the changes in norepinephrine-stimulated inositol monophosphate formation in diabetic hearts. In the presence of the cyclooxygenase inhibitor indomethacin or the thromboxane synthetase inhibitor imidazole, the norepinephrine-stimulated positive inotropic effect and inositol 1,4,5-trisphosphate formation were significantly increased in control hearts, but were unaltered in the hearts from diabetics. The addition of the prostacyclin synthetase inhibitor tranylcypromine reduced the norepinephrine-stimulated positive inotropic effect and inositol 1,4,5-trisphosphate formation only in diabetic hearts and had no effect in the controls. While inositol 1,4,5-trisphosphate may be able to mediate only transient inotropic effects produced by alpha₁-adrenoceptor stimulation, diacylglycerol may provoke a sustained positive inotropic effect by activating slow Ca²⁺ channels through stimulation of protein kinase C. Our results showed that the diabetic hearts had a higher protein kinase C activity in the membrane fraction compared with controls and this was accompanied by a decrease in cytosolic protein kinase C activity. The present study suggests that the increases in inositol 1,4,5-trisphosphate levels and the membrane fraction protein kinase C activity may be implicated in the increased inotropic responsiveness to alpha₁-adrenoceptor stimulation in the hearts of the streptozotocin-diabetic rats. The increases in inositol 1,4,5-trisphosphate level and protein kinase C activity could induce Ca²⁺ overload in the diabetic heart which might be involved in the development of diabetic cardiomyopathy. The results from the omega-3 fatty acid study indicate that the changes in cardiac alpha₁-adrenoceptor-mediated inositol phosphates formation cannot contribute to the previously described improved cardiac function of omega-3 fatty acid-treated streptozotocin-diabetic rats. The nature and physiological significance of the enhanced positive inotropic effect and inositol 1,4,5-trisphosphate formation in the control heart with the addition of indomethacin and imidazole is still unclear. The effect of tranylcypromine may indicate the participation of prostaglandins in mediating the enhanced alpha₁-inotropic effect of norepinephrine in the diabetic heart. / Pharmaceutical Sciences, Faculty of / Graduate

Vasoconstriction can be initiated via the interaction of a number of chemicals with specific "receptive sites" known as the receptors. This thesis examines two distinctly different modes by which drugs initiate a contractile response, namely, (i) the interaction of angiotensin analogues with a heterogeneous population of angiotensin receptors in vascular smooth muscles, and (ii) the conditions whereby B-adrenoceptor antagonists interact with a-adrenoceptor antagonists thereby causing a pressor response. Conscious, unrestrained, instrumented-rats were used for the study. It has been suggested that angiotensin receptors in vascular and non-vascular tissues may not be of a homogeneous population. The first study examined whether a heterogeneous population of angiotensin receptors was responsible for increasing vascular tone. Dose-response curves were constructed for angiotensin II (ANG II) and des Asp¹ angiotensin II (ANG III) on mean arterial pressure (MAP) and mean circulatory filling pressure (MCFP), an index of total body venous tone, in the presence or absence of [Sar¹, Ile⁸]ANG II. The i.v. infusion of ANG II or ANG III caused dose-dependent increases in MAP and MCFP. In the presence of [Sar¹, Ile⁸]ANG II, the MAP and MCFP curves for ANG II were displaced to the right with pA₂ values of 9.2 and 8.4 for the arterioles and veins, respectively. However, the antagonist displaced dose-MCFP but not the dose-MAP response curve of ANG III. This suggests that ANG II and ANG III act on the same receptor in veins but not arterioles. This concept was further investigated by obtaining dose-MAP and dose-MCFP response curves for ANG II in the presence of ANG II or ANG III. Dose-MAP response curve to ANG II was displaced to the right in the presence of ANG II but not ANG III. Dose-MCFP response curve for ANG II was displaced to the right in the presence of ANG III but not ANG II. These results again suggest that ANG III acts on the same receptors as ANG II in the veins but not arterioles. In the last series of experiments two analogues of angiotensin III were compared as antagonists of the pressor response to ANG II and ANG III. In the presence of [Ile⁷]ANG III, the dose-MAP response curves for ANG II and ANG III were displaced to the right while in the presence of [Sar¹, Ile⁷]ANG III, the dose-MAP response curve for ANG III but not ANG II was displaced. This suggests that [Sar¹, Ile⁷]ANG III is a selective antagonist of ANG III in the arterioles. In summary, the results indicate that ANG III acts on a different sub-class of angiotensin receptors than ANG II in the arterioles but it may act as a partial agonist on the same type of receptors as ANG II in the venous bed. Thus, ANG II receptors in the arterioles appear to be different from those in veins. The administration of a non-selective β-antagonist propranolol into animals subjected to non-selective α-blockade has been observed to cause a paradoxical pressor response. This second study examines whether the paradoxical pressor response to β-antagonists was due to: (i) an interaction of a β-antagonist with an α-antagonist, (ii) blockade of vasodilator β₂-adrenoceptors or (iii) an increase in the release of catecholamines. Cumulative dose-response curves for propranolol, atenolol (β₁-antagonist) and ICI 118,551 (β₂-antagonist) were obtained in rats subjected to a continuous i.v. infusion of phentolamine, a non-selective α-antagonist. The administration of each of the β-antagonists caused a dose-dependent increase in MAP suggesting that the pressor response was not due to the blockade of vasodilator β₂-adrenoceptors. Another four groups of phentolamine-treated rats were given a single i.v. bolus injection of saline, propranolol, atenolol or ICI 118,551, and sampling of arterial blood for the determination of adrenaline (A) and noradrenaline (NA) concentration by HPLC/ec. Phentolamine caused a decrease in MAP and an increase in the plasma levels of A and NA. Subsequent injection of propranolol, atenolol and ICI 118,551 but not saline increased MAP. Neither saline nor any of the β-antagonists increased plasma NA or A levels suggesting that the pressor response was not associated with an acute increase in the release of catecholamines. It was also shown that prior injection of a β-antagonist partially antagonized the hypotensive effect of phentolamine suggesting that the pressor response was related to an interaction between α- and β-antagonists. It was further shown that a continuous infusion of either prazosin or rauwolseine caused a small but not significant decrease in MAP which was reversed by propranolol. Concurrent infusions of prazosin and rauwolscine caused a large decrease in MAP. Subsequent injection of propranolol caused a large pressor response. On the contrary, sodium nitroprusside or metha-choline each decreased MAP but the hypotension was not antagonized by propranolol. These results were consistent with the existence of a specific interaction between α- and β-antagonists. These experiments demonstrated that although the mechanisms involved in the initiation of a change in vascular tone did not share a common pathway, the final outcome shared a common denomination. / Medicine, Faculty of / Anesthesiology, Pharmacology and Therapeutics, Department of / Graduate

No description available.

Orientador: Paulo Sergio Patto dos Santos / Resumo: Objetivou-se com este trabalho avaliar os efeitos na hemodinâmica, respiração, motilidade ruminal e sedação, da associação de detomidina e nalbufina em ovinos. Foram utilizados 8 ovinos hígidos, jovens, fêmeas ou machos, pesando 54,85 ± 20,31kg. Foi instalado na veia jugular esquerda um introdutor e, posteriormente, posicionado um cateter de Swan-Ganz com a extremidade distal alocada no lumen da artéria pulmonar. Foi administrado pela via intramuscular detomidina (10μg/kg) associado a nalbufina (0,1mg/kg). Foram avaliadas FC, PAS, PAD, PAM, PVC, PAPm, IC, IS, IRVS, FR, pH, PaO2, PaCO2, HCO3, TC, sedação e motilidade ruminal antes do início da administração dos fármacos (MB) e a cada quinze minutos após a aplicação durante sessenta minutos (M15, M30, M45 e M60). Houve redução do IC, FR e aumento da PAS, PAPm, temperatura central, PaCO2 e HCO3 após administração dos fármacos. A sedação foi considerada satisfatória durante 45 minutos. Com os resultados obtidos neste estudo, conclui-se que a neuroleptoanalgesia promovida pela associação de detomidina e nalbufina em ovinos, nas doses utilizadas, promove sedação satisfatória. As alterações hemodinâmicas, respiratórias e na motilidade ruminal observadas podem ser bem toleradas por animais sadios. / Abstract: The aim of this study was to evaluate the effects on hemodynamics, respiration, ruminal motility and sedation of the combination of detomidine and nalbuphine in sheep. Were used eight healthy young, female or male sheep, weighing 54.85 ± 20.31kg. A Percutaneous Sheath Introducer was placed in the left jugular vein and then a Swan-Ganz catheter was positioned with the distal port allocated to the lumen of the pulmonary artery. Association of detomidine (10µg/kg) and nalbuphine (0,1mg/kg) was administered intramuscular. HR, SAP, DAP, MAP, CVP, MPAP, CI, SI, SVRI, RR, pH, PaO2, PaCO2, HCO3, CT, sedation and ruminal motility before drug administration (MB) and at each fifteen minutes after application for sixty minutes (M15, M30, M45 and M60). There was a reduction in CI, RR and increase in SAP, mPAP, CT, PaCO2 and HCO3 after drug administration. Sedation was considered satisfactory for 45 minutes. The results of this study allowed us to conclude that neuroleptoanalgesia promoted by the association of detomidine and nalbuphine in sheep at the doses used, promotes satisfactory sedation for short procedures. The hemodynamic, respiratory and ruminal motility changes observed can be well tolerated by healthy animals. / Mestre

京都大学 / 0048 / 新制・課程博士 / 博士(農学) / 甲第22073号 / 農博第2365号 / 新制||農||1072(附属図書館) / 学位論文||R1||N5227(農学部図書室) / 京都大学大学院農学研究科食品生物科学専攻 / (主査)教授 井上 和生, 教授 保川 清, 教授 谷 史人 / 学位規則第4条第1項該当 / Doctor of Agricultural Science / Kyoto University / DFAM

Acute cold exposure is a significant stressor activating heat production by shivering after the prolonged exposure cellular oxidative stress increases. Chronic exposure to cold lasting at least 2 weeks leads to the development of cold acclimatization. The main thermogenic role is taken over by non-shivering thermogenesis taking place in brown adipose tissue, which significantly increases its weight due to cold. Cardiac hypertrophy, hypertension and impaired renal function are frequently observed pathologies of acclimatization at 4-5 řC. Our laboratory recently introduced a model of mild chronic cold acclimatization at 8 řC, during which no damage to the heart or kidneys occurs and has proven cardioprotective effect on reducing infarct size. Hence, the influence of this cold acclimatization model on the other cellular and molecular processes needs to be investigated. The cardioprotective effect of cold acclimatization includes changes in β-AR signaling, activation of anti-apoptotic pathways or augmentation of the antioxidant system. The aim of this thesis was to investigate the effect of cold acclimation and subsequent reacclimation on proteins regulating Ca2+ levels in the rat heart (SERCA2 and phospholamban) and on the stimulation of regulatory proteins β-arrestin 1/2 and protein kinase PDPK1. The...