Objective: Despite the advanced therapy with statins, antithrombotics, and antihypertensive agents, the medical treatment of atherosclerotic disease is less than optimal. Therefore, additional therapeutic antiatherosclerotic options are desirable. This pilot study was performed to assess the potential antiatherogenic effect of the peroxisome proliferator-activated receptor-γ agonist pioglitazone in nondiabetic patients. Methods: A total of 54 nondiabetic patients were observed in a prospective, double-blind, placebo-controlled study. Patients were randomized to pioglitazone or placebo. The following efficacy parameters were determined by serial analyses: artery pulse wave analysis and carotid-femoral pulse wave velocity (PWV), static and dynamic retinal vessel function, and the common carotid intima-media thickness (IMT). The main secondary endpoint was the change in different biochemical markers. Results: After 9 months, no relevant differences could be determined in the two treatment groups in PWV (pioglitazone 14.3 ± 4.4 m/s vs. placebo 14.2 ± 4.2 m/s), retinal arterial diameter (pioglitazone 112.1 ± 23.3 μm vs. placebo 117.9 ± 21.5 μm) or IMT (pioglitazone 0.85 ± 0.30 mm vs. placebo 0.79 ± 0.15 mm). Additionally, there were no differences in the change in biochemical markers like cholesteryl ester transfer protein, lowdensity lipoprotein cholesterol, high-sensitivity C-reactive protein or white blood cell count. Conclusions : Treatment with a peroxisome proliferator-activated receptor-γ agonist in nondiabetic patients did not improve the function of large and small peripheral vessels (PPP Trial, clinicaltrialsregister. eu: 2006-000186-11).

Le but de ce travail est de déterminer les liens éventuels existant entre la force et l’équilibre agoniste / antagoniste des muscles rotateurs médiaux et latéraux de l’articulation scapulohumérale, et la stabilité scapulo-humérale. La première partie de ce travail est un rappel d’anatomie fonctionnelle, de physiologie articulaire et de biomécanique de l’articulation scapulo-humérale, ainsi que des aspects pathologiques en rapport avec la problématique de sa stabilité et de son exploration. La deuxième partie propose une analyse critique de la technique d’exploration de la force musculaire par dynamométrie isocinétique, afin de déterminer un protocole d’évaluation fiable et reproductible. Ainsi, nous choisissons d’utiliser la position d’évaluation la plus reproductible et la plus adaptée pour l’évaluation de sujets pathologiques : la position assise avec 45° d’abduction dans le plan de la scapula avec correction de la gravité. La troisième partie a pour objet de rechercher, à partir d’études cliniques originales, les liens existant entre la force musculaire des rotateurs médiaux et latéraux de l’épaule et l’instabilité antérieure chronique post-traumatique d’une part, et les adaptations de cette force avec certaines sollicitations sportives d’autre part. Bien qu’un déficit de la force musculaire des rotateurs médiaux et latéraux soit associé à l’instabilité antérieure chronique, nos études ne rapportent pas d’association entre le déséquilibre agoniste/antagoniste et l’instabilité antérieure chronique. Dans le cadre de la pratique de sports sollicitant les membres supérieurs, les adaptations de la force, avec une augmentation de la force des muscles rotateurs médiaux et latéraux du côté dominant, sont inconstantes, et surtout, nos résultats ne rapportent aucun déséquilibre agoniste/antagoniste induit par la pratique sportive. En conclusion, notre travail de thèse met en évidence des adaptations de la force musculaire sans perturbation de l’équilibre agoniste/antagoniste des rotateurs médiaux et latéraux de l’articulation scapulo-humérale, associées à l’instabilité scapulo-humérale ou induites par la pratique de sports sollicitant cette articulation. Prenant en compte les limites de notre expérimentation, on peut faire l’hypothèse que les adaptations physiologiques induites par la pratique sportive n’interviendraient pas comme un mécanisme de désadaptation, ou un facteur de risque prédisposant, à l’origine des pathologies de l’articulation scapulo-humérale. Ainsi, notre conclusion serait que l’équilibre agoniste / antagoniste aurait un rôle protecteur de la stabilité articulaire ; la survenue d’un déséquilibre musculaire agoniste / antagoniste serait alors secondaire à une lésion anatomique et marquerait le signe de son évolution longue et/ou péjorative / The aim of this work is to determine the possible links between strength and agonist/antagonist balance of the shoulder internal and external rotators muscle, and the glenohumeral stability. The first part of this work is a reminder of functional anatomy, joint physiology and biomechanics of the glenohumeral joint, and pathological aspects related to the problem of its stability and its exploration. The second part propose a critical analysis of technical exploration of muscular strength by isokinetic dynamometer to determine a reliable and reproducible protocol. We choose to use the more reliable and more suitable position for evaluation of pathological subject: the seated position with 45° of shoulder abduction in the scapular plane, with gravity corrected. The third part is aimed to research, from original clinical studies, the relationship between shoulder internal and external rotators muscle strength and balance, and shoulder instability on the one hand, and adaptations of this strength with sports practice on the other hand. Although a deficit in rotators muscle strength is associated with recurrent anterior instability, our work reporte no association between agonist/antagonist imbalance and recurrent anterior instability. In overhead sports and sports seeking the upper limbs, adaptations of strength, with a rotator strength increase on the dominant side, are inconsistent, and most importantly, our results reporte no agonist/antagonist imbalance induced by the sports practice. In conclusion, this work highlights adaptations in strength and balance of the shoulder internal and external rotators muscle associated with the glenohumeral joint instability, or induced by the sports practice. Tacking into account the limits of our experiment, we can hypothesis that any physiological adaptations induced by sport practice would not intervene as a pathophysiological mechanisms of desadaptation, or not be considered a risk factor predisposing, to glenohumeral joint diseases. Thus, our conclusion is that the agonist/antagonist balance would have a protective role of the joint stability; the occurrence of a muscle agonist / antagonist imbalance may be secondary to an anatomical lesion and mark the sign of its long and/or pejorative evolution

Os inibidores do receptor de angiotensina II do tipo 1 (AT1R), fármacos da classe das sartanas, são muito utilizados na terapêutica da insuficiência cardíaca. Apesar de serem eficientes por baixarem a pressão arterial, esses inibidores diminuem a contratilidade do músculo cardíaco, acentuando a patologia. Nesse sentido, os agonistas enviesados para β-arrestina do AT1R surgem como uma solução para esse problema. Estudos com o mais promissor peptídeo com ação agonista enviesada (TRV120027) mostram que ele é capaz de diminuir a pressão arterial sem causar o efeito inotrópico negativo no coração. Tendo em vista esse novo e promissor mecanismo de ação e a característica peptídica do novo agonista enviesado que restringe sua utilização, o presente trabalho visou à busca de ligantes não peptídicos com potencial ação enviesada. Foram realizados estudos de ancoramento seguidos de dinâmica molecular, no AT1R, de sete peptídeos agonistas e agonistas enviesados descritos na literatura, empregando-se os programas Surflex-Dock 2.0 e o GROMACS 4.5, além de análises de campos de interação molecular no programa GRID. Os dados das interações intermoleculares retirados da dinâmica e dos campos de interação guiaram a construção de um farmacóforo que foi utilizado posteriormente em uma busca virtual na base de dados ZINC, com o módulo UNITY 3D do pacote Sybyl-X Suite 2.0. Após ancoramento e análise visual das moléculas selecionadas na busca, foram identificadas 15 moléculas promissoras, sendo cinco delas consideradas de maior interesse. As moléculas selecionadas na busca poderão ser futuramente testadas quanto ao perfil de ação enviesada em receptores AT1R. Os resultados obtidos nesse estudo podem levar à descoberta de um novo protótipo mais eficiente e seguro para o tratamento de doenças cardiovasculares, como a insuficiência cardíaca. / Angiotensin II type 1 receptor (AT1R) inhibitors, the sartans, are widely used in the treatment of heart failure. Although they are effective for lowering blood pressure, these inhibitors decrease the contractility of the heart muscle, accentuating the pathology. Accordingly, β-arrestin biased agonists for AT1R emerge as a solution to this problem. Studies with the most promising biased agonist peptide (TRV120027) show that it is able to lower blood pressure without causing negative inotropic effect on the heart. Given this promising new mechanism of action and the peptide feature of the new agonist that restricts its use, this work aims the search for non-peptide ligands with a potential biased action. Docking studies, followed by molecular dynamics simultions, were performed for seven full and biased agonists in the AT1R, using the Surflex-Dock 2.0 and 4.5 GROMACS programs, besides molecular interaction fields analysis with GRID software. The data of intermolecular interactions from the molecular dynamic\'s analysis and the molecular interaction fields guided to the construction of a pharmacophore model which was subsequently used in a virtual screening from ZINC database, employing the 3D UNITY module from Sybyl-X Suite 2.0 package. After a docking study and visual analysis of the primary selected molecules, 15 promising molecules have been identified, five of them considered of most interest. The molecules selected in the search can be further tested for biased action on AT1R. The results of this study may lead to the discovery of a more efficient and secure lead for the treatment of cardiovascular diseases, such as heart failure.

A moderna suinocultura vem nos últimos anos avançando no desenvolvimento e no emprego de tecnologias que visam o aumento da performance produtiva e econômica do segmento. As inovações associadas aos métodos de castração e modificadores metabólicos têm sido avaliadas, em particular o uso da imunocastração e dos repartidores de energia (ractopamina). Embora os ganhos zootécnicos e industriais destas tecnologias já estejam bem discutidos, o real impacto do emprego juntas ou isoladas sobre a qualidade tecnológica da carne pelo seu efeito na matriz bioquímica, necessita de estudos mais aprofundados. Desta forma, esta pesquisa científica foi direcionada para avaliar os efeitos, focando nas alterações dos perfis eletroforéticos da carne, advinda de animais produzidos comercialmente, utilizando concomitantemente ractopamina e imunocastração. Foram utilizados 48 suínos, criados comercialmente, sendo 8 suínos por tratamento (machos castrados cirurgicamente - CC, machos imunocastrados - IM, e fêmeas - F) recebendo dietas suplementadas com (CR) ou sem (SR) ractopamina na fase final da terminação. Avaliaram-se as características qualitativas da carne, tais como o pH, a cor objetiva, a capacidade de retenção de água (perda de água por gotejamento - drip loss, perda por cocção - PCOC, e perda por descongelamento - PDESC), maciez objetiva (força de cisalhamento) e perfil eletroforético. A utilização conjunta da imunocastração com a ractopamina influenciou o pH 24 horas do lombo suíno, a luminosidade (L*) e a força de cisalhamento, sendo que o pH e a força de cisalhamento foram maiores e a luminosidade menor em IC-CR na dieta. Porém, essa influência não foi verificada na análise eletroforética unidimensional. O perfil proteico foi significativamente influenciado pelo fornecimento do β-agonista adrenérgico. Diferenças na abundância de peptídeos foram verificadas para as variáveis qualitativas da carne maciez, capacidade de retenção de água (drip loss e descongelamento) e luminosidade. Aumento nos volumes normalizados dos peptídeos reduziu a PDESC e melhorou a maciez objetiva, enquanto que o drip loss aumentou quando não houve a suplementação com ractopamina na dieta. Os resultados demonstraram que somente o β-agonista adrenérgico foi o responsável pelas diferenças verificadas no perfil proteico. O efeito simultâneo imunocastração com a inclusão da ractopamina na dieta não propociou impactos na qualidade tecnológica da carne. / The modern swine industry has in recent years to advance the development and use of technologies aimed at increasing production and economic performance of the segment. Innovations associated methods of castration and metabolic modifiers have been evaluated, in special the use of immunocastration and feed additive (ractopamine). Although the production growth and industrial gains of these technologies are already well discussed, the real impact of employment together or isolated on the technological quality of meat by its effect on the biochemical matrix, requires further study. Therefore, this scientific research was directed to evaluate the effects, concentrating on changes in electrophoretic profiles of meat, resulting animals commercially produced concurrently using ractopamine and immunocastration. 48 animals were used commercially created, 8 per treatment (castrates - CC, immunocastrated - IM, and female - F) fed diets supplemented with (CR) or without (SR) ractopamine at the final stage of finishing. We evaluated the qualitative characteristics of meat, such as pH, color, water-holding capacity (drip loss, cooking loss - PCOC, and loss defrosting - PDESC) objective tenderness (shear force) and electrophoretic profile. The combined use of immunocastration with ractopamine influence pH 24h swine loin, the lightness (L*) and shear force, and pH, and shear force were higher and lower luminosity in IC-CR in the diet. However, this effect wasn\'t seen in the one-dimensional electrophoretic analysis. The protein profile was significantly influenced by the supply of β-adrenergic agonist. Differences in the abundance of peptides were checked for qualitative variables of meat tenderness, water retention capacity (drip loss and defrosting) and luminosity. The increase in the volume of standard peptides pDesc reduced and improved objective tenderness, while the drip loss increased when no supplementation with dietary ractopamine. The results demonstrate that only the β-adrenergic agonist was responsible for the observed differences in the protein profile. The effect simultaneously immunocastration with the addition of ractopamine in the diet not influence impacts on technological meat quality.

Aufgabe der elektrophysiologischen Studie zur Charakterisierung der neuronalen hypothalamischen Plastizität beim Haushuhn war es, den Einfluss des Alters sowie GABAerger Substanzen auf die Feuerrate und die Temperatursensitivität (thermischer Koeffizient: TC) von Hypothalamusneuronen mittels extrazellulärer Ableitungen in Hirnschnitten zu untersuchen. Im Vergleich zu adulten Vögeln und Säugetieren wurde bei juvenilen Hühnern eine hohe neuronale Kältesensitivität nachgewiesen, die offensichtlich eine spezifische Eigenschaft juveniler Vögel ist. Die Ontogenese der neuronalen hypothalamischen Thermosensitivität ist deutlich artspezifisch. Einige Neurone wiesen eine inherente Kältesensitivität auf. Eine mögliche zentrale Rolle kältesensitiver Neurone im Rahmen der Thermoregulation juveniler Hühner wurde postuliert. Muscimol und Baclofen hemmen signifikant die Feuerrate der Hypothalamusneurone, unabhängig von der jeweiligen Thermosensitivität. Demgegenüber bewirken Bicucullin und CGP35348 einem Anstieg der Feuerrate. Nur bei kältesensitiven Neuronen wurde der TC signifikant durch GABAB-Rezeptor-Liganden verändert (signifikant erhöht durch Baclofen und durch CGP35348 gehemmt). Der Effekt von Muscimol und Baclofen auf Feuerrate und TC wurde durch Co-Perfusion mit einer 10-fach höheren Konzentration der entsprechenden Antagonisten Bicucullin und CGP35348 aufgehoben. Der wesentliche GABAerge Einfluss auf thermosensitive und –insensitive Hypothalamusneurone ist mit dem bei Säugetieren nachgewiesenen vergleichbar. Der einzige Unterschied betrifft die GABAB-Rezeptor vermittelte Änderung des TC. Beim Hühnerküken betraf dies die kältesensitiven und beim Säugetier die wärmesensitiven Neurone. Der grundlegende Mechanismus der GABAergen Beeinflussung thermosensitiver und –insensitiver Neurone scheint einen älteren evolutionären Ursprung zu haben. Eine funktionelle Rolle GABAerger Substanzen im Rahmen der zentralen Kontrolle der Körpertemperatur beim Vogel ist möglich. / In the present electrophysiological studies, characterization of neuronal hypothalamic plasticity in the chicken aims to investigate the influence of age during development by extracellular recordings. High neuronal cold sensitivity has been found in juvenile chicken in contrast to adult mammals and birds. High hypothalamic cold sensitivity seems to be a specific characteristic feature in juvenile birds. Between species a species specificity of the early development of neuronal hypothalamic thermosensitivity could be clearly demonstrated. Existence of inherent nature to a certain degree suggests a possible thermoregulatory role of cold-sensitive neurons in chicken. The effects of the GABAergic substances on neuronal tonic activity (firing rate) and temperature sensitivity (temperature coefficient) in hypothalamic neurons have been examined. Muscimol and baclofen in equimolar concentrations significantly inhibited tonic activity, regardless of their type of thermosensitivity. In contrast bicuculline and CGP 35348 increased firing rate. Temperature coefficient was significantly changed by ligands of GABAB receptors, restricted to cold-sensitive neurons. The TC was significantly increased by baclofen and significantly decreased by CGP 35348. Effects of muscimol and baclofen on firing rate and TC were prevented by co-perfusion of appropriate antagonists bicuculline and CGP 35348, respectively in tenfold higher concentration. Thus the main effects of GABA in chicken are similar with that described in mammals. The only difference is in respect of the GABAB receptors mediated change restricted to cold-sensitive neurons in chicken but in mammals only seen in warm-sensitive neurons. However, the results indicate that the fundamental mechanism of GABAergic influence in chicken are conserved during evolution. The response of hypothalamic neurons to temperature changes suggest a possible functional role of GABAergic substances in the control of body temperature in birds.

Estudos anteriores de nosso laboratório demonstraram que a estimulação aguda dos receptores 2-adrenérgicos (2-AR) atenua a perda de massa muscular induzida pela desnervação motora (DEN) por meio de uma via dependente de AMPc/PKA. No entanto os mecanismos moleculares envolvidos na ativação crônica destes receptores ainda são pouco conhecidos. Por outro lado, a ativação desta via de sinalização também está envolvida no controle da estabilidade dos receptores nicotínicos (AChR) na junção neuromuscular (JNM), sugerindo que a densidade dos AChR possa estar sob controle neuro-humoral. Desta forma, aventou-se a possibilidade de que além dos efeitos protetores na massa muscular, a ativação dos receptores 2-AR pudesse mediar a estabilização dos AChR na placa motora. Para testar essa hipótese, camundongos foram submetidos à DEN através da secção do nervo ciático, um protocolo clássico de indução de atrofia muscular e desestabilização dos AChR, e tratados com salina ou clembuterol (CB), um 2-agonista seletivo, por até 14 dias. Após 3 dias de DEN, observou-se redução da massa muscular e aumento do conteúdo proteico e expressão do RNAm de genes relacionados à ativação do sistema Ubiquitina-Proteassoma (atrogina-1 e MuRF1) e do sistema autofágico/lisossomal (catepsina L e LC3). A DEN também promoveu aumento no turnover dos AChR, no número de vesículas endocíticas e na expressão do RNAm para a subunidade 1 dos AChR. Após 7 dias, a DEN reduziu a expressão dos genes relacionados à atrofia e aumentou a atividade da via do AMPc/PKA independentemente do tratamento com CB. Na tentativa de elucidar os sinais extracelulares que produziam esta resposta adaptativa, foi demonstrado que neurônios catecolaminérgicos trafegam ao longo do nervo ciático e sua ablação pela DEN reduziu o conteúdo de noradrenalina muscular. Baseados nestes resultados, foi postulado a existência de uma hipersenbilidade às catecolaminas em músculos desnervados cronicamente. O tratamento com CB por 3 dias aboliu o aumento da expressão dos atrogenes induzido pela DEN e este efeito foi associado ao maior conteúdo de AMPc e de substratos fosforilados pela PKA. Além disso, o CB diminuiu a hiperexpressão do RNAm para catepsina L e LC3 induzida pela DEN de 7 dias. Embora o CB não tenha alterado a meia-vida dos AChR em músculos inervados e desnervados, houve um total bloqueio do aumento do número de vesículas endocíticas contendo o AChR em músculos desnervados e tratados com CB. Corroborando estes dados, o CB aumentou a incorporação de AChR novos nas JNM e este efeito foi também associado à maior expressão do RNAm para a subunidade 1-AChR em músculos desnervados. Esta ação do CB no turnover dos AChR parece ser direta uma vez que neuroniôs catecolaminérgicos presentes no nervo ciático ativam receptores 2-ARe a produção de AMPc especificamente na JNM. Em estudos in vitro, foi demonstrado que a estimulação colinérgica produzida pelo carbacol (10-4M) diminuiu a velocidade de síntese de proteínas, aumentou a proteólise total e a atividade do sistema proteolítico Ca2+-dependente em músculos soleus de ratos por meio da ativação dos receptores nicotínicos. Este efeito catabólico do carbacol foi completamente bloqueado pela adição de CB (10-4M) ao meio de incubação. Os dados obtidos no presente estudo permitem sugerir que a estimulação crônica dos 2-AR no músculo esquelético induz um efeito anti-catabólico pela supressão dos sistemas proteolíticos proteassomal e lisossomal, provavelmente através da via de sinalização do AMPc/PKA. A inibição destes sistemas pode estar relacionada ao aumento do turnover dos AChR, uma vez que a velocidade de incorporação destes receptores na JNM foi aumentada pelo CB. Além disso, os achados que mostram a associação entre neurônios noradrenérgicos e colinérgicos no nervo ciático, que conjuntamente inervam as JNM, e a co-localização de receptores 2-AR e AChR na sinapse permitem sugerir a existência de uma interação funcional entre o sistema colinérgico e adrenérgico na manutenção da massa muscular e da placa motora. / Previous studies from our laboratory have shown that the acute stimulation of 2-adrenergic receptor (2-AR) attenuates the muscle loss induced by motor denervation (DEN) through a cAMP/PKA dependent pathway. However, the molecular mechanisms involved in the chronic activation of these receptors are poorly understood. Furthermore, the activation of this signaling pathway is also involved in controlling the stability of nicotinic receptors (AChR) at the neuromuscular junction (NMJ), suggesting that the density of AChR may be under neurohumoral control. Thus, we postulated that besides the protective effects on muscle mass the activation of 2-AR receptors could mediate the stabilization of AChR in the motor plate. To test this hypothesis, mice were submitted to DEN through of the sciatic nerve section, a classical protocol of induction muscle atrophy and destabilization of AChR, and were treated with saline or clenbuterol (CB), a selective 2-agonist for 14 days. DEN decreased the muscle mass and increased the protein content and mRNA expression of genes related to the activation of the ubiquitin-proteasome system (atrogin-1 and MuRF1) and autophagic/lysosomal system (cathepsin L and LC3). DEN also promoted an increase in the turnover of AChR, number of endocytic vesicles and the expression of mRNA for the 1 subunit of AChR. Interestingly, chronic DEN induced down-regulation of atrophy related-genes, and increased the activity of cAMP/PKA pathway independently of CB treatment. In an attempt to elucidate the extracellular signals that produced this adaptive response, it was demonstrated that catecholaminergic neurons travels along the sciatic nerve and its ablation by DEN reduces muscle norepinephrine content. Based on these results, it was postulated the existence of a muscle adrenergic hypersensitivity to circulating catecholamines induced by chronic DEN. CB treatment for 3 days completely abolished the higher expression of atrogenes and this effect was associated with increased Camp content and PKA phosphorylated substrates. Furthermore, CB decreased the DEN-induced hyperexpression of cathepsin L and LC3 mRNA at 7 days. Although CB has not altered the half-life of AChR in innervated and denervated muscles, it produced a total blockage of the increased number of endocytic vesicles containing the AChR in denervated muscles. Consistently, CB increased the incorporation of new AChR and this effect was associated with an increased expression of the 1-subunit AChR mRNA in denervated muscles. This action of CB on AChR turnover appears to be direct, since catecholaminergic neurons are present in the sciatic nerve stimulating 2-AR and cAMP production specifically in the NMJ. Furthermore, in vitro studies demonstrated that cholinergic stimulation produced by carbachol (10-4M) decreased the rate of protein synthesis and increased the proteolytic activity of Ca2+-dependent system in rat soleus muscle through activation of nicotinic receptors. This catabolic effect of carbachol was completely blocked by the addition of CB (10-4M) to the incubation medium. These data suggest that chronic stimulation of 2-AR in skeletal muscle induces an anti-catabolic effect by suppressing proteasomal and lysosomal proteolytic systems, probably through the cAMP/PKA signaling. The inhibition of these systems seems to be related to the increased AChR incorporation into NMJ induced by CB treatment. Moreover, the association between noradrenergic and cholinergic neurons in the sciatic nerve, both of which innervate the motor endplates, and the co-localization of AChR and 2-ARat the synapse suggest the existence of a functional interaction between cholinergic and adrenergic systems in the maintenance of muscle mass and motor endplate.

Os inibidores do receptor de angiotensina II do tipo 1 (AT1R), fármacos da classe das sartanas, são muito utilizados na terapêutica da insuficiência cardíaca. Apesar de serem eficientes por baixarem a pressão arterial, esses inibidores diminuem a contratilidade do músculo cardíaco, acentuando a patologia. Nesse sentido, os agonistas enviesados para β-arrestina do AT1R surgem como uma solução para esse problema. Estudos com o mais promissor peptídeo com ação agonista enviesada (TRV120027) mostram que ele é capaz de diminuir a pressão arterial sem causar o efeito inotrópico negativo no coração. Tendo em vista esse novo e promissor mecanismo de ação e a característica peptídica do novo agonista enviesado que restringe sua utilização, o presente trabalho visou à busca de ligantes não peptídicos com potencial ação enviesada. Foram realizados estudos de ancoramento seguidos de dinâmica molecular, no AT1R, de sete peptídeos agonistas e agonistas enviesados descritos na literatura, empregando-se os programas Surflex-Dock 2.0 e o GROMACS 4.5, além de análises de campos de interação molecular no programa GRID. Os dados das interações intermoleculares retirados da dinâmica e dos campos de interação guiaram a construção de um farmacóforo que foi utilizado posteriormente em uma busca virtual na base de dados ZINC, com o módulo UNITY 3D do pacote Sybyl-X Suite 2.0. Após ancoramento e análise visual das moléculas selecionadas na busca, foram identificadas 15 moléculas promissoras, sendo cinco delas consideradas de maior interesse. As moléculas selecionadas na busca poderão ser futuramente testadas quanto ao perfil de ação enviesada em receptores AT1R. Os resultados obtidos nesse estudo podem levar à descoberta de um novo protótipo mais eficiente e seguro para o tratamento de doenças cardiovasculares, como a insuficiência cardíaca. / Angiotensin II type 1 receptor (AT1R) inhibitors, the sartans, are widely used in the treatment of heart failure. Although they are effective for lowering blood pressure, these inhibitors decrease the contractility of the heart muscle, accentuating the pathology. Accordingly, β-arrestin biased agonists for AT1R emerge as a solution to this problem. Studies with the most promising biased agonist peptide (TRV120027) show that it is able to lower blood pressure without causing negative inotropic effect on the heart. Given this promising new mechanism of action and the peptide feature of the new agonist that restricts its use, this work aims the search for non-peptide ligands with a potential biased action. Docking studies, followed by molecular dynamics simultions, were performed for seven full and biased agonists in the AT1R, using the Surflex-Dock 2.0 and 4.5 GROMACS programs, besides molecular interaction fields analysis with GRID software. The data of intermolecular interactions from the molecular dynamic\'s analysis and the molecular interaction fields guided to the construction of a pharmacophore model which was subsequently used in a virtual screening from ZINC database, employing the 3D UNITY module from Sybyl-X Suite 2.0 package. After a docking study and visual analysis of the primary selected molecules, 15 promising molecules have been identified, five of them considered of most interest. The molecules selected in the search can be further tested for biased action on AT1R. The results of this study may lead to the discovery of a more efficient and secure lead for the treatment of cardiovascular diseases, such as heart failure.

Os receptores ativadores da proliferação de peroxissomos (PPARs) são fatores de transcrição dependentes da ligação de ligantes e possuem um papel chave no controle do metabolismo dos lipídios e da glicose. Existem três isotipos desse receptor: PPARα, PPARβ e PPARγ. O PPARγ é alvo molecular para os compostos TZDs, os quais são fármacos usados clinicamente no controle da diabetes do tipo 2, aumentando a sensibilidade à insulina. Enquanto que os fibratos são os fármacos que atuam no PPARα e são utilizados para diminuir os níveis de triglicerídeos. A maioria dos pacientes que sofrem com a diabetes do tipo 2 apresentam desordens no metabolismo de lipídios. Mesmo com a existência de fármacos capazes de controlar estas desordens metabólicas, a busca de um agonista dual para os PPARα e PPARγ é um grande desafio no controle da síndrome metabólica, uma vez que este composto pode combinar os dois efeitos terapêuticos em uma única molécula. O GL479 é um agonista dual que foi sintetizado com dois grupos farmacóforos, ligando-se tanto ao PPARα quanto ao PPARγ. Dentro desse contexto, este estudo apresenta as bases estruturais de interação do agonista dual GL479 aos PPARs por meio da determinação estrutural dos complexos PPARα-LBD:GL479 e PPARγ-LBD:GL479. A análise detalhada desses complexos revelou diferentes modos de interação do ligante em cada receptor, porém em ambos os casos o GL479 interage com a Tyr da H12. Na estrutura do PPARα-LBD, o ligante adquiriu a característica de um agonista total e no caso do PPARγ-LBD, o GL479 adotou características de um agonista parcial dependente da interação com a H12. Além das analises do agonista dual, 16 compostos foram identificados por docking como ligantes do PPARγ. Três desses ligantes (8, 10 e 15) foram caracterizados por ThermoFluor e fluorescência de polarização com valores de IC50 menor que 10 µM. Adicionalmente, um dos compostos identificados no docking (16) foi cocristalizado com PPARγ-LBD. A conformação adotada pelo ligante não permitiu que ele interagisse diretamente com a H12, sugerindo que este composto possa atuar como um agonista parcial independente da H12. Todas estas descobertas podem ser exploradas no desenho de novos moduladores dos PPARs com menores efeitos adversos ou até mesmo na busca de agonistas duais PPARα ⁄γ, que combine os efeitos terapêuticos no tratamento da diabetes do tipo 2 e da dislipidemia. / Peroxisome proliferator-activated receptors (PPARs) are ligand-dependent transcription factors that control various functions in human organism and they play key roles in the control of glucose and lipid metabolism. There are three different PPAR isotypes: PPARα, PPARβ e PPARγ. PPARγ is a molecular target of TZD agonists, which are clinically used drugs in the control of type 2 diabetes by increasing insulin sensitivity. Whereas fibrates are drugs that act on PPARα and are used to lower serum triglyceride levels. The most patients who have type 2 diabetes also display lipid metabolism disorders. Even with the existence of drugs that can control these metabolic disorders, the search of dual agonist for PPARα and PPAR γ is a major challenge in the control of metabolic syndrome, because this compound could combine both therapeutic effects in a single molecule. GL479 is a dual agonist that was synthesized based on a combination of two key pharmacophores, with the ability to bind in the both PPARs, α, and γ. Thus, this study reveals the structural basis for this dual agonist GL479 by structural determination of the complexes PPARα-LBD:GL479 and PPARγ-LBD:GL479. The detailed analysis of these complexes showed different ligand binding modes for each receptor, however, in the both cases the GL479 interacted with the Tyr of H12. In the PPARα-LBD structure the ligand acquired the features of full agonist and in the case of PPARγ-LBD, GL479 adopted features of a partial agonist dependent of H12 interaction. In addition to the dual agonist analysis, sixteen compounds were identified as PPARγ ligand by docking. Three of these ligands were characterized by ThermoFluor and fluorescence polarization, which resulted in IC50 values smaller than 10 µM. Additionally, one of the compounds, identified by docking, was co-crystallized with PPARγ. The ligand conformation adopted would not allow it a direct interaction with the H12. These contacts were mediated by one water molecule, suggesting this compound might also act as a partial agonist, independent of H12 interaction. All these findings may be explored for the design of PPARs novel modulators with lower side effects, as well, in the exploration of dual agonists PPARα ⁄ γ that combines the therapeutic effects in the treatment of type 2 diabetes and dyslipidemia.

La ghréline est une hormone de 28 acides aminés, synthétisée principalement par l'estomac. D'abord identifiée comme un sécretagogue de l'hormone de croissance, elle joue également un rôle central dans la prise alimentaire, la glycémie ainsi que dans certains processus liés à l'addiction. Ces effets sont médiés par un récepteur couplé aux protéines G : le GHS-R1a (Growth Hormone Secretagogue Receptor). Ce récepteur possède une activité constitutive élevée et un réseau de signalisation intra-cellulaire relativement complexe via l'activation de β-arrestines et de différentes isoformes de protéines G (Gq, Gi/o, G12/13). Compte tenu de ces multiples effets, les ligands du GHS-R1a présentent un intérêt thérapeutique certain.Cette thèse est consacrée au développement d'antagonistes et d'agonistes inverses du hGHS-R1a, dont la structure est basée sur le motif 1,2,4-triazole 3,4,5-trisubstitué. Grâce à une étude successive des différents substituants de cette plateforme peptido-mimétique nous avons identifié des antagonistes d'affinités nanomolaires ainsi que des agonistes inverses possédant une efficacité significative. Ces composés paraissent donc être des candidats intéressants pour des études in vivo sur des modèles de prise alimentaire ou d'addiction. D'autre part, une étude pharmacologique sophistiquée, menée sur nos composés, a démontré qu'il est possible d'obtenir des ligands biaisés sur la base du motif triazole. Ces résultats fournissent de nouvelles informations sur la sélectivité fonctionnelle du GHS-R1a. Ainsi, associés à des études in vivo complémentaires, ces données pourraient être précieuses pour la conception de nouveaux médicaments possédant des effets secondaires limités. / Ghrelin is a hormone of 28 amino acids, mostly synthesized in the stomach. Firstly identified as a growth hormone secretagogue, this peptide is also involved in food intake, blood glucose and in some processes related to addiction. Ghrelin effects are mediated by a G protein-coupled receptor: GHS-R1a (Growth Hormone Secretagogue Receptor). This receptor has a high constitutive activity and a complex intra-cellular signaling network via the activation of β-arrestin and different isoforms of G protein (Gq, Gi / o, G12 / 13). Given these multiple effects, ligands of GHS-R1a have a therapeutic interest.This thesis is devoted to the development of antagonists and inverse agonists of hGHS-R1a whose structure is based on the 3,4,5-trisubstituted 1,2,4-triazole scaffold. Thanks to a successive study of the various substituents of the peptidomimetic platform we identified antagonists with nanomolar affinity and inverse agonists with a significant efficiency. These compounds appear to be attractive candidates for in vivo studies on food intake or addiction models. On the other hand, a sophisticated pharmacological study, conducted on our compounds, has demonstrated that it is possible to obtain biased ligands based on the triazole motif. These results provide new informations about the functional selectivity of GHS-R1a. Thus, these data, combined with additional in vivo studies, could be useful for the design of new drugs with limited side effects.

Retinal ganglion cells play a crucial role in the relay of visual signals from the eye to the brain. This cell type is affected and eventually lost in the eye disease glaucoma, resulting in progressive and irreversible loss of vision. Studies of the molecular mechanisms leading to retinal ganglion cell death are important for the understanding of the disease and for designing future treatments. This thesis addresses and studies these molecular mechanisms, including alterations in gene expression after experimental retinal injuries. The effects of a neuroprotective drug, brimonidine, after transient retinal ischemia were also studied in order to help explain the mechanisms behind the protective properties of this drug. Several methods, including quantitative reverse transcriptase PCR, micro-arrays, western blot and immunohistochemistry, were used. The results showed that transient retinal ischemia triggers cell division in Müller cells and alters the gene expression of growth factors, their receptors, and intermediate filaments in the retina. Several genes related to the apoptosis process were less affected. Pre-treatment with brimonidine increased the levels of certain growth factors (BDNF, NT3, CNTF, FGF9) compared with vehicle. Brimonidine also had marked effects on genes related to progenitor cells, among them the recognized neural stem cell marker nestin. The increase in levels of nestin after ischemia was countered by brimonidine treatment. Moreover, retinal ganglion cell death following either optic nerve transection or optic nerve crush appears to involve the extrinsic apoptotic pathway although the gene expression response appears to differ between these injuries. The results obtained in this work contribute to an increased understanding of retinal injuries and highlight the importance of Müller cells in the endogenous defense against retinal injuries.