Les récepteurs glutamatergiques de type N-Méthyl-D-Aspartate (RNMDA) jouent un rôle majeur dans de nombreux processus physiologiques, et leur implication dans la physiopathologie de certains troubles neuropsychiatriques tels que la schizophrénie est suggérée par un robuste faisceau de données cliniques et précliniques. Cependant, les mécanismes cellulaires et moléculaires conduisant à une telle dérégulation des RNMDA restent inexpliqués. La diffusion membranaire, mécanisme de contrôle spatial et temporel de la distribution des RNMDA à la surface des neurones, constitue un puissant régulateur de la transmission synaptique. Mon projet de thèse repose ainsi sur l’hypothèse originale qu’une altération de la diffusion de surface des RNMDA jouerait un rôle central dans l’émergence de troubles psychotiques. Afin d‘explorer cette piste, j’ai étudié l’impact de molécules aux propriétés psychomimétiques (i.e induisant un état psychotique) sur la diffusion de surface des RNMDA. Les résultats obtenus au cours de ma thèse démontrent que des molécules psychomimétiques, aux modes d’action distincts (antagonistes du RNMDA et autoanticorps anti-RNMDA), perturbent la diffusion membranaire ainsi que la localisation synaptique des RNMDA, conduisant à terme à des défauts de transmission glutamatergique. Mon travail de thèse propose donc qu’un défaut de diffusion membranaire des RNMDA conduirait à des altérations fonctionnelles pouvant contribuer à l’émergence de troubles psychotiques. L’ensemble de mon travail apporte ainsi un regard nouveau sur la mécanistique des troubles psychotiques et ouvre la voie à de nouvelles pistes thérapeutiques. / Glutamatergic N-Methyl-D-Aspartate receptors (NMDAR) play a key role in many physiological processes, and their implication in the pathophysiology of several neuropsychiatric disorders is now well established. Multiple lines of evidence converge towards a dysregulation of the NMDAR in psychotic disorders such as schizophrenia (SCZ). However, the molecular and cellular deficits underlying NMDAR dysfunction remain misunderstood. By tightly controlling NMDAR synaptic localization, surface trafficking represents a powerful regulator of synaptic transmission. Could an alteration of NMDAR surface trafficking underlie NMDAR dysfunction and contribute to the emergence of psychotic disorders? To tackle this question, my PhD project aimed at investigating the impact of different psychotomimetic molecules on NMDAR surface trafficking. In the first part of my project, I explored the impact of NMDAR autoantibodies (NMDAR-Ab) from SCZ and healthy subjects. My results revealed that NMDAR-Ab from SCZ patients rapidly disturb NMDAR synaptic trafficking and distribution, through a loss of NMDAR-EphrinB2 receptor interaction, eventually preventing the induction of synaptic plasticity. In the second part of my PhD project, I showed that psychotomimetic NMDAR antagonists also alter NMDAR synaptic mobility and localization. Downregulation of PSD proteins expression prevented NMDAR antagonists-induced deficits, suggesting that such alterations ensue from modifications of NMDAR intracellular interactions. Taken together, these results demonstrate that psychotomimetic molecules profoundly impact NMDAR surface trafficking, supporting a pathogenic role of this unsuspected process in the emergence of psychotic symptoms.

Chapter -I Introduction Salmonella is a pathogen well-known for its ability to infect a wide variety of hosts and causes disease ranging from mild gastroenteritis to typhoid fever. During infection, it is exposed to a myriad of conditions; from the aquatic environment, the gut lumen to the phagolysosome. The success of Salmonella as a pathogen lies in its ability to sense each of these environments and adapt itself for survival and proliferation accordingly. This is done mainly via the action of specific two-component systems (TCSs) which sense cues specific to each of these niches and trigger the appropriate transcriptional reprogramming. This reprogramming is best studied for the genes directly known to be involved in virulence. In the case of Salmonella, most of these genes are a part of specific clusters, acquired through horizontal gene transfer, known as Salmonella Pathogenicity Islands (SPIs). Of the various SPIs, the two most important are SPI-1 and SPI-2. SPI-1 is classically involved in orchestrating bacterial invasion of non-phagocytic cells in the gut, allowing the pathogen to invade the host. Furthermore, its role is well characterized in the classic inflammation associated with gastroenteritis. On the other hand, SPI-2 is specialized for survival within the harsh intracellular environment of host cells such as macrophages and epithelial cells. Other important virulence determinants include motility, chemotaxis as well as adhesins. The transcription of these virulence genes is under tight regulation and responsive to environmental conditions. Many small molecules such as short chain fatty acids, pp(p)Gpp, bile and acyl homoserine lactones among others are known to be potent regulators of virulence in Salmonella. Furthermore, the metabolic products of the normal flora in the gut also affect its virulence. Thus the metabolic status, of both the host as well as the pathogen, plays an important role in determining the outcome of the infection. Many metabolic enzymes and their products are now known to directly or indirectly affect virulence gene expression. In this study, we explore one such class of metabolic enzymes viz amino acid racemases. They catalyze the chiral conversion of L-amino acids to D-amino acids and vice versa. We have studied the biochemical properties of two such non-canonical racemases as well as their role in bacterial survival and pathogenesis. Chapter-II Identification and characterization of putative aspartate racemases in Salmonella Amino acid racemases, such as alanine and glutamate racemases, are ubiquitously found in all bacteria and they play an essential role in cell wall biosynthesis. Recently it has been found, that bacteria possess other amino acid racemases which produce non-canonical D-amino acids. These D-amino acids, upon secretion, further orchestrate various phenotypes such as cell wall remodeling and biofilm dispersal. In this study, we have explored the ability of Salmonella to produce such non-canonical D-amino acids. The genome of S. Typhimurium possesses genes encoding two putative aspartate racemases; ygeA and aspR. These genes were maximally expressed in mid-log phase of bacterial growth and their corresponding proteins ar localized in the outer membrane of the bacterium. The biochemical characterization of the proteins YgeA and AspR revealed that only the latter is catalytically active under in vitro conditions. AspR could catalyze the conversion of L-Aspartate to D-Aspartate and vice versa, however was unable to use any other amino acid as its substrate. With atleast one of the racemases showing catalytic activity, the profiling of the secreted D-amino acids in Salmonella conditioned medium was undertaken using LC-MS. It was observed that the bacterium actively secreted specific D-amino acids such as D-Ala and D-Met into the culture medium in a growth-phase dependent manner. Furthermore, analysis of the secreted D-amino acid profile of the strains lacking either one or both the racemases revealed that atleast a subset of the secreted D-amino acids were dependent on the activity of YgeA and AspR. Thus, D-amino acids secreted by S. Typhimurium might represent a novel class of signaling molecules. Chapter – III Role of aspartate racemases in growth and survival of S. Typhimurium In order to understand the role of ygeA and aspR in vivo, we created knockouts of these genes (both single as well as double knockout) in S. Typhimurium using λ Red recombinase strategy. These knockouts were then assessed for their growth and morphology. The aspartate racemase knockouts behave similar to the wild type during growth in LB as well as M9 minimal medium. While their gross morphology remained the same as the wild type, the size distribution of the racemase knockouts was slightly different in the stationary phase. Unlike the wild type bacteria, the mutants did not exhibit the characteristic reduction in cell size upon entry into stationary phase. In addition, the survival of the mutants in the presence of cell wall damaging agents such as bile and Triton-X 100 was compromised as compared to the wild type. This can be ascribed to changes in the cell wall of the bacterium, wherein the mutants accumulated peptidoglycan in the stationary phase of growth. This suggests that aspartate racemases might have an effect on cell wall biosynthesis in Salmonella in the stationary phase. Another important strategy employed by bacteria to survive in stress conditions is biofilm formation. It was seen that the mutants were compromised in their ability to form a biofilm at the liquid-air interface in vitro. This defect is due to a transcriptional downregulation of the genes required for biofilm formation. These results demonstrate that, contrary to the established inhibitory effects of D-amino acids on biofilms of various bacteria, the aspartate racemases appear to act as positive regulators of biofilm formation in Salmonella. Chapter – IV Involvement of aspartate racemases in the regulation of Salmonella pathogenesis Salmonella’s success as a pathogen can be broadly assessed by its ability to invade and replicate within two major cell types: epithelial cells and macrophage-like cells. We have studied the fate of the aspartate racemase knockout strains in both these cell types. While the mutants replicate as well as the wild type in macrophage cell lines, their ability to invade epithelial cell lines is highly compromised. This defect can be ascribed to the downregulation of the Salmonella Pathogenicity Island-1 (SPI-1) in the racemase knockouts at the transcriptional level. One of the major pathways that regulate SPI-1 activation is the flagellar pathway. It was observed that in addition to SPI-1, the motility of the racemase mutants was also highly compromised. The mutants did not possess any flagella and showed a high transcriptional downregulation of all the three classes of flagellar genes. Transcriptome analysis revealed a global reprogramming in the aspartate racemase mutants, resulting in the differential regulation of motility, adhesion, amino acid transport, cell wall biosynthesis and other pathways. Of the genes upregulated in the knockouts, FimZ is known for its negative effect on motility and might be responsible for the observed downregulation of the flagellar regulon. This suggests that ygeA and aspR might be repressors of fimbrial gene expression. In totality, the racemases affected the pathogenesis of Salmonella, where the double knockout was severely compromised in the colitis model of infection. Overall the study is the first to identify secretion of non-canonical D-amino acids by Salmonella and suggests that YgeA and AspR might be the source of the same. This is supported in part by in vitro studies with the purified proteins. Studies in vivo further highlight the possible substrates that might be utilized by these enzymes. Physiologically, the aspartate racemases appear to regulate cell wall remodeling and biofilm formation. In contrast to the established literature, aspartate racemases (and their possible D-amino acid products) seem to be essential for formation of biofilms and regulate this phenotype at the transcriptional level. Furthermore, our studies put forth aspartate racemases as novel positive regulators of Flagella and SPI-1, affecting the success of Salmonella in the colitis model of infection in mice. Transcriptome analysis hints at the pleiotropic effects of aspartate racemases in Salmonella, bringing forth hitherto unexplored roles for this class of enzymes in the biology of this pathogen.

Les relais de phosphorylation de type histidine/aspartate constituent des voies de signalisation impliquées dans la perception et la transduction des signaux jusqu’à la mise en place de réponses spécifiques. Ils mettent en jeu un récepteur ou Histidine aspartate Kinase (HK), des protéines navettes en charge de la transmission du phosphate (HPt) et des Régulateurs de Réponse (RR). L’implication d’un tel système dans la transduction du signal de la contrainte osmotique est avérée chez la levure et fortement suspectée chez Arabidopsis. Ce travail de thèse visait d’une part à caractériser l’implication de cette voie de transduction de la contrainte osmotique chez le peuplier, avec l’identification de partenaires HPt et RR en aval du récepteur HK1 et d’autre part à caractériser le mode de fonctionnement d’un RR de type-B. HK1, un osmosenseur membranaire détecterait le signal et le transmettrait à trois HPt préférentielles. De plus, un partenariat d’interaction se dégagerait entre ces trois HPt et certains RR-B. La régulation transcriptionnelle observée lors d’une contrainte osmotique pour deux des représentants des RR-B témoigne d’une possible implication de ces RR dans cette voie. Ces protéines sont des facteurs de transcription dont la fonction a été confirmée in planta pour l’un d’entre eux. La dimérisation du domaine receveur du RR et son interaction avec le domaine de fixation à l’ADN ou domaine GARP apparaissent comme des points de contrôle clés dans la régulation de l’activité effectrice des RR-B. De plus, la capacité d’un RR-B à se fixer sur ses motifs de reconnaissance (boîtes AGAT) a pu être vérifiée in vitro et la présence de ces séquences a d’ailleurs été retrouvée dans des gènes régulés par la contrainte osmotique. Ce travail prospectif ouvre des perspectives concernant l’implication des RR-B dans la voie de transduction du signal de la contrainte osmotique, et propose notamment des mécanismes fins pour l’élaboration d’une réponse hautement spécifique. / Multistep His-to-Asp phosphorelay systems are signaling pathways devoted to signal perception and transduction for establishment of specific responses. These systems are composed of three successive partners: Histidine-aspartate Kinases (HKs), Histidine-containing Phosphotransfer proteins (HPts), and Response Regulators (RRs). One of the best characterized corresponding systems is the osmo-responsive pathway in yeast. Such systems are also suspected in Arabidopsis. This work aimed to characterize the involvement of an osmosensing pathway in Populus by identifying HPt and RR elements downstream of HK1 and to reveal the underlying mechanisms for the activity of a RR-B. HK1, membrane osmosensor, is expected to be responsible for signal detection and propagation by triggering the activation of three preferential HPt. Furthermore, an interacting partnership between those HPts and particular B-type RRs was observed. Two of them appear to be regulated by an osmotic stress, suggesting their possible involvement in this pathway. The B-type RR members, the final output elements of the pathway, act as transcription factors, as shown for at least for one of them in planta. Taken together, the dimerization of the RR receiver domain and its interaction with its DNA binding domain (GARP), are likely key checkpoints in the regulation of RR-B activity. Besides, the ability of one RR-B to bind its cognate specific DNA sequences (AGAT boxes) was confirmed in vitro and those were found in promoters of osmotic response genes. This work opens up prospects for the involvement of RR-B in the osmotic stress signaling pathway and suggests mechanisms tuning induction of specific responses.

Little is known about higher order chromatin structures in the human brain and their function in transcription regulation. We employed chromosome conformation capture (3C) to analyze chromatin architecture within 700 Kb surrounding the transcription start site (TSS) of the NMDA receptor and schizophrenia susceptibility gene, GRIN2B, in human and mouse cerebral cortex. Remarkably, both species showed a higher interaction between the TSS and an intronic sequence, enriched for (KRAB) Krueppel associated Box domain binding sites and selectively targeted by the (H3K9) histone 3 lysine 9 specific methyltransferase ESET/SETDB1. Transgenic mice brain cortical nuclei over-expressing Setdb1 showed increased heterochromatin-protein 1 signal at the interacting regions coupled with decreased Grin2b expression. 3C further revealed three long distant chromatin loop interactions enriched with functional enhancer specific (H3K27Ac) histone 3 lysine 27 acetylation signal in GRIN2B expressing tissue (human cortical nuclei and Human Embryonic Kidney - HEK cells). Doxycycline-induced SETDB1 over-expression decreased 2 out of 3 loop interaction frequencies suggesting a possible SETDB1-mediated transcription repression. We also report a specific looping interaction between a region 50Kb upstream of the (GAD1) Glutamic Acid Decarboxylase – 1 gene TSS and the GAD1 TSS in human brain nuclei. GAD1 catalyzes the rate limiting step in (GABA) gamma amino-butyric acid synthesis and is quintessential for inhibitory signaling in the human brain. Clinical studies in schizophrenia brain samples reveal a decreased looping interaction frequency in correspondence with a decrease in gene expression. Our findings provide evidence for the existence of transcription relevant higher order chromatin structures in human brain.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.

Déficits cognitivos são frequentes em pacientes com esclerose múltipla (EM), especialmente a memória de longo prazo. Por outro lado, estudos de imagem por ressonância magnética têm correlacionado atrofia do hipocampo aos déficits mnésicos destes pacientes. Considerando-se a atrofia um marcador de dano neuronal tardio, justifica-se a investigação da fisiopatologia do dano hipocampal nas fases inicias da doença. Objetivo: Descrever os achados volumétricos e neuroquímicos da formação hipocampal de pacientes com EM recorrente-remitente (EMRR) em suas fases iniciais, comparando-os ao de um grupo de indivíduos saudáveis, e avaliar suas relações com a memória de longo prazo. Material e Métodos: Vinte e nove pacientes (19 mulheres, idade média 31 anos ± 8,7) com EMRR e um grupo controle composto por 26 indivíduos saudáveis (19 mulheres, idade média 30,7 anos ± 8,4) realizaram a 1H-ERM em magneto 3,0T. Foi utilizada técnica single-voxel e sequência PRESS com TR = 1500 ms, TE = 135 ms e dimensões fixas do voxel (6 cm3) localizado ao longo do hipocampo esquerdo para avaliação do N-acetil-aspartato (NAA), Colina (Cho) e Creatina (Cr), sendo a análise feita com o software LC Model. A avaliação volumétrica do encéfalo e da formação hipocampal foi realizada por meio do software FreeSurfer. Os indivíduos foram avaliados cognitivamente tendo sido criado um escore de memória verbal que avalia a evocação tardia (EMV-T), empregando-se a etapa de evocação tardia do Hopkins Verbal Learning Test-Revised e o Teste da Memória Lógica-II. Resultados: Observou-se atrofia em ambos os hipocampos dos pacientes com EM. Além disso, pacientes apresentaram menores níveis de NAA quando comparados aos do grupo de controles (F(1,51) = 4,089; p = 0,048), tendo sido observada correlação positiva entre NAA e o volume da formação hipocampal no grupo de pacientes (r = 0,372; p = 0,047). Por fim, pacientes apresentaram correlação negativa significante entre EMV-T e NAA (r = -0,408; p = 0,031), Cho (r = -0,509; p = 0,006) e Cr (r = -0,402; p = 0,034), enquanto que, nos controles, apenas foi observada leve tendência de correlação na direção oposta. Conclusões: Nossos resultados indicam, nas fases inicias da EM, atrofia e redução dos níveis de NAA na formação hipocampal, secundário à disfunção e/ou perda neuronal. O fato dos pacientes apresentarem relação entre metabólitos hipocampais e memória oposta ao que é esperado, para indivíduos saudáveis, está de acordo com a hipótese da presença de mecanismos compensatórios na função cognitiva de pacientes com EM / Cognitive deficits are common in patients with multiple sclerosis (MS), especially long-term memory. Moreover, magnetic resonance imaging studies have correlated hippocampal atrophy with mnemonic deficits in these patients. Considering atrophy a late marker of neuronal damage, investigation of the pathophysiology of hippocampal damage in the early stages of the disease is justified. Objective: Describe the volumetric and neurochemical findings of the hippocampal formation of early relapsing-remitting MS patients (RRMS), comparing it to a group of healthy subjects, and assess its relationships with long-term memory. Material and Methods: Twenty-nine patients (19 women, mean age 31 years ± 8,7) with RRMS and a control group of 26 healthy individuals (19 women, mean age 30,7 anos ± 8,4) underwent 1H-MRS in 3,0T scanner. Single-voxel PRESS sequence with repetition time of 1500 msec, echo time of 135 msec and fixed dimensions of the voxel (6 cm3) was located along the left hippocampus. Data were processed with LC Model software and the concentration of N-acetyl-aspartate (NAA), Choline (Cho) and Creatine (Cr) was calculated. Brain and hippocampal formation volumes were quantified using FreeSurfer software. Subjects were assessed cognitively and a verbal memory score assessing delayed recall (EMV-T) was developed, using Hopkins Verbal Learning Test-Revised delayed recall and Logical Memory-II test. Results: Atrophy was observed in both hippocampi of MS patients. In addition, MS patients had lower NAA levels compared to the control group (F (1,51) = 4,089, p = 0,048), and positive correlation between NAA and hippocampal formation volume was observed in patient group (r = 0.372, p = 0.047). Finally, patients showed a significant negative correlation between EMV-T and NAA (r = -0.408, p = 0.031), Cho (r = -0.509, p = 0.006) and Cr (r = -0.402, p = 0.034), while only a weak tendency to an association in the opposite direction was observed in the control group. Conclusion: Our results indicate, in early MS, atrophy and reduced levels of NAA in the hippocampal formation, secondary to neuronal loss and/or dysfunction. The fact that the observed relationship between hippocampal metabolites and memory was in the opposite direction as what it is expected for healthy subjects supports the hypothesis that compensatory mechanisms are present in cognitive function of MS patients

by Cheng Wai Ming. / Thesis submitted in: October, 1998. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1999. / Includes bibliographical references (leaves 54-68 (2nd gp.)). / Abstracts in English and Chinese. / ACKNOWLEDGEMENTS --- p.iv / ABSTRACT --- p.v / ABSTRACT (Chinese) --- p.vii / Chapter CHAPTER 1 --- LITERATURE REVIEW --- p.1 / Chapter 1.1 --- Ionotropic glutamate receptors --- p.1 / Chapter 1.1.1 --- AMP A receptor --- p.3 / Chapter 1.1.1.1 --- Structure of AMP A receptor --- p.3 / Chapter 1.1.1.2 --- Electrophysiological properties of AMPA receptor --- p.4 / Chapter 1.1.1.3 --- Pharmacology of AMPA receptors --- p.6 / Chapter 1.1.1.4 --- Kinetics of AMPA receptors --- p.8 / Chapter 1.1.2 --- NMDA receptor --- p.9 / Chapter 1.1.2.1 --- Structure of NMDA receptor --- p.9 / Chapter 1.1.2.2 --- Electrophysiological properties of NMDA receptor --- p.10 / Chapter 1.1.2.3 --- Pharmacology of NMDA receptor --- p.11 / Chapter 1.1.2.4 --- Kinetics of NMDA receptor --- p.12 / Chapter 1.2. --- The basal ganglia and the SNR --- p.12 / Chapter 1.3 --- Excitatory glutamatergic inputs on SNR --- p.16 / Chapter 1.4 --- Aim of study --- p.17 / Chapter CHAPTER 2 --- Electrophysiological properties of SNR neurones --- p.18 / Chapter 2.1 --- Introduction --- p.18 / Chapter 2.2 --- Methods --- p.19 / Chapter 2.2.1 --- In vitro slice preparation and maintenance --- p.19 / Chapter 2.2.2 --- Whole-cell patch-clamp recording --- p.20 / Chapter 2.2.3 --- Solutions and drugs --- p.21 / Chapter 2.2.4 --- Histological methods --- p.21 / Chapter 2.2.5 --- Data analysis --- p.22 / Chapter 2.3 --- Results --- p.22 / Chapter 2.3.1 --- Passive membrane properties of SNR neurones --- p.22 / Chapter 2.3.2 --- Firing rate and action potential characteristics --- p.23 / Chapter 2.3.3 --- Firing patterns --- p.23 / Chapter 2.3.4 --- Weak hyperpolarization activated inward rectification --- p.24 / Chapter 2.3.5 --- Slow aflerhyperpolarization --- p.25 / Chapter 2.3.6 --- Current-frequency relationship --- p.25 / Chapter 2.3.7 --- Morphology of labelled SNR neurones --- p.25 / Chapter 2.4 --- Discussion and conclusion --- p.26 / Chapter CHAPTER 3 --- AMPA and NMDA induced membrane responses --- p.30 / Chapter 3.1 --- Introduction --- p.30 / Chapter 3.2 --- Methods --- p.31 / Chapter 3.2.1 --- In vitro slice preparation and maintenance --- p.31 / Chapter 3.2.2 --- Whole-cell patch-clamp recording --- p.31 / Chapter 3.2.3 --- Solutions and drugs --- p.31 / Chapter 3.2.4 --- Drug application --- p.32 / Chapter 3.2.5 --- Immunocytochemistry --- p.32 / Chapter 3.2.6 --- Data analysis --- p.33 / Chapter 3.3 --- Results --- p.33 / Chapter 3.3.1 --- AMPA induced responses in SNR GABA neurones --- p.33 / Chapter 3.3.1.1 --- AMPA induced membrane depolarization --- p.33 / Chapter 3.3.1.2 --- AMPA induced membrane current --- p.34 / Chapter 3.3.1.3 --- Current-voltage relationship --- p.34 / Chapter 3.3.1.4 --- Effect of NBQX --- p.35 / Chapter 3.3.1.5 --- Effects of JSTX and spermine --- p.35 / Chapter 3.3.2 --- NMDA-induced response in SNR GABA neurones --- p.36 / Chapter 3.3.2.1 --- NMDA induced membrane depolarization --- p.36 / Chapter 3.3.2.2 --- NMDA induced membrane current --- p.36 / Chapter 3.3.2.3 --- APV blocked NMDA-induced current --- p.36 / Chapter 3.3.2.4 --- Effect of glycine on NMDA induced response --- p.37 / Chapter 3.3.2.5 --- Mg2+-sensitivity --- p.37 / Chapter 3.3.2.6 --- Current-voltage relationship --- p.38 / Chapter 3.3.3 --- GluR2 subunit immunostaining --- p.38 / Chapter 3.4 --- Discussion and conclusion --- p.39 / Chapter 3.4.1 --- AMPA receptors in SNR neurones --- p.39 / Chapter 3.4.2 --- NMDA receptors in SNR neurones --- p.41 / Chapter 3.4.3 --- Functional significance --- p.41 / Chapter CHAPTER 4 --- Glutamate-mediated synaptic currents in SNR --- p.43 / Chapter 4.1 --- Introduction --- p.43 / Chapter 4.2 --- Methods --- p.44 / Chapter 4.2.1 --- In vitro slice preparation and maintenance --- p.44 / Chapter 4.2.2 --- Electrophysiological recordings --- p.44 / Chapter 4.2.3 --- Electrical stimulation --- p.45 / Chapter 4.2.4 --- Solutions and drugs --- p.45 / Chapter 4.2.5 --- Data analysis --- p.46 / Chapter 4.3 --- Results --- p.46 / Chapter 4.3.1 --- Characteristics of spontaneous EPSCs --- p.46 / Chapter 4.3.1.1 --- General characteristics --- p.46 / Chapter 4.3.1.2 --- Kinetics --- p.47 / Chapter 4.3.1.3 --- Pharmacology --- p.47 / Chapter 4.3.2 --- Characteristics of evoked EPSCs --- p.48 / Chapter 4.3.2.1 --- General characteristics --- p.48 / Chapter 4.3.2.2 --- Pharmacological characterization --- p.49 / Chapter 4.3.2.3 --- Effects of bicuculline --- p.50 / Chapter 4.4 --- Discussion and conclusion --- p.50 / Chapter 4.4.1 --- Excitatory transmission onto SNR neurones --- p.50 / Chapter 4.4.2 --- Source of excitatory drive --- p.51 / Chapter 4.4.3 --- Interaction with GABA inputs --- p.52 / Chapter 4.4.4 --- Functional significance --- p.52 / REFERENCES --- p.54

Déficits cognitivos são frequentes em pacientes com esclerose múltipla (EM), especialmente a memória de longo prazo. Por outro lado, estudos de imagem por ressonância magnética têm correlacionado atrofia do hipocampo aos déficits mnésicos destes pacientes. Considerando-se a atrofia um marcador de dano neuronal tardio, justifica-se a investigação da fisiopatologia do dano hipocampal nas fases inicias da doença. Objetivo: Descrever os achados volumétricos e neuroquímicos da formação hipocampal de pacientes com EM recorrente-remitente (EMRR) em suas fases iniciais, comparando-os ao de um grupo de indivíduos saudáveis, e avaliar suas relações com a memória de longo prazo. Material e Métodos: Vinte e nove pacientes (19 mulheres, idade média 31 anos ± 8,7) com EMRR e um grupo controle composto por 26 indivíduos saudáveis (19 mulheres, idade média 30,7 anos ± 8,4) realizaram a 1H-ERM em magneto 3,0T. Foi utilizada técnica single-voxel e sequência PRESS com TR = 1500 ms, TE = 135 ms e dimensões fixas do voxel (6 cm3) localizado ao longo do hipocampo esquerdo para avaliação do N-acetil-aspartato (NAA), Colina (Cho) e Creatina (Cr), sendo a análise feita com o software LC Model. A avaliação volumétrica do encéfalo e da formação hipocampal foi realizada por meio do software FreeSurfer. Os indivíduos foram avaliados cognitivamente tendo sido criado um escore de memória verbal que avalia a evocação tardia (EMV-T), empregando-se a etapa de evocação tardia do Hopkins Verbal Learning Test-Revised e o Teste da Memória Lógica-II. Resultados: Observou-se atrofia em ambos os hipocampos dos pacientes com EM. Além disso, pacientes apresentaram menores níveis de NAA quando comparados aos do grupo de controles (F(1,51) = 4,089; p = 0,048), tendo sido observada correlação positiva entre NAA e o volume da formação hipocampal no grupo de pacientes (r = 0,372; p = 0,047). Por fim, pacientes apresentaram correlação negativa significante entre EMV-T e NAA (r = -0,408; p = 0,031), Cho (r = -0,509; p = 0,006) e Cr (r = -0,402; p = 0,034), enquanto que, nos controles, apenas foi observada leve tendência de correlação na direção oposta. Conclusões: Nossos resultados indicam, nas fases inicias da EM, atrofia e redução dos níveis de NAA na formação hipocampal, secundário à disfunção e/ou perda neuronal. O fato dos pacientes apresentarem relação entre metabólitos hipocampais e memória oposta ao que é esperado, para indivíduos saudáveis, está de acordo com a hipótese da presença de mecanismos compensatórios na função cognitiva de pacientes com EM / Cognitive deficits are common in patients with multiple sclerosis (MS), especially long-term memory. Moreover, magnetic resonance imaging studies have correlated hippocampal atrophy with mnemonic deficits in these patients. Considering atrophy a late marker of neuronal damage, investigation of the pathophysiology of hippocampal damage in the early stages of the disease is justified. Objective: Describe the volumetric and neurochemical findings of the hippocampal formation of early relapsing-remitting MS patients (RRMS), comparing it to a group of healthy subjects, and assess its relationships with long-term memory. Material and Methods: Twenty-nine patients (19 women, mean age 31 years ± 8,7) with RRMS and a control group of 26 healthy individuals (19 women, mean age 30,7 anos ± 8,4) underwent 1H-MRS in 3,0T scanner. Single-voxel PRESS sequence with repetition time of 1500 msec, echo time of 135 msec and fixed dimensions of the voxel (6 cm3) was located along the left hippocampus. Data were processed with LC Model software and the concentration of N-acetyl-aspartate (NAA), Choline (Cho) and Creatine (Cr) was calculated. Brain and hippocampal formation volumes were quantified using FreeSurfer software. Subjects were assessed cognitively and a verbal memory score assessing delayed recall (EMV-T) was developed, using Hopkins Verbal Learning Test-Revised delayed recall and Logical Memory-II test. Results: Atrophy was observed in both hippocampi of MS patients. In addition, MS patients had lower NAA levels compared to the control group (F (1,51) = 4,089, p = 0,048), and positive correlation between NAA and hippocampal formation volume was observed in patient group (r = 0.372, p = 0.047). Finally, patients showed a significant negative correlation between EMV-T and NAA (r = -0.408, p = 0.031), Cho (r = -0.509, p = 0.006) and Cr (r = -0.402, p = 0.034), while only a weak tendency to an association in the opposite direction was observed in the control group. Conclusion: Our results indicate, in early MS, atrophy and reduced levels of NAA in the hippocampal formation, secondary to neuronal loss and/or dysfunction. The fact that the observed relationship between hippocampal metabolites and memory was in the opposite direction as what it is expected for healthy subjects supports the hypothesis that compensatory mechanisms are present in cognitive function of MS patients

Thèse d'exercice : Médecine. Psychiatrie : Paris 12 : 2005. / Titre provenant de l'écran-titre. Bibliogr. f. 150-166.

<p>Camellia sinensis (tea) and Aspalathus linearis (rooibos) may improve reproductive function owing to their antioxidant properties. To test this<br /> hypothesis, male and female rats were given 2% and 5% green tea (Gt), black tea (Bt), unfermented rooibos (Ur) or fermented rooibos (Fr) as sole source of drinking for 52 and 21 days respectively. Control rats received tap water. In addition, TM3 Leydig cells were exposed to 0.025, 0.05, 0.1 and 0.5 % aqueous extracts of green tea, black tea, unfermented and fermented rooibos for 24h. In vitro analysis of tea and the herbal infusion revealed the phenolic property and antioxidant capacity (FRAP) in the order Gt &gt / Bt &gt / Ur &gt / Fr. Camellia sinensis and Aspalathus linearis revealed no significant effect on serum antioxidant capacity (p &gt / 0.05) and lipid peroxidation (MDA) in the kidney or liver in both male and female rats and in the testes of the male rats (p &gt / 0.05). In addition, the antioxidant levels were maintained in the testes, liver and kidneys in both the male and female rats. In the male rats, no significant alterations were observed in body weight gain, liver and reproductive organs weight, and serum testosterone (p &gt / 0.05). Only, 5% green tea significantly increased testosterone level (p &lt / 0.05). Seminiferous tubules displayed complete spermatogenesis with abundant sperm in the lumen in all treated groups. However, a significant decrease in diameter and germinal epithelial height of these tubules were observed (p &lt / 0.05). In the epididymides, epithelial height of caput region showed a significant increase (p &lt / 0.01), while the cauda region was increased by Camellia sinensis but decreased by Aspalathus linearis. Sperm concentration improved significantly by green tea and unfermented rooibos (p &lt / 0.05), while black tea and fermented rooibos produced a non significant effect (p &gt / 0.05). Sperm viability was enhanced in all treatment groups (p &lt / 0.05). Furthermore, green tea, black tea and unfermented rooibos significantly improved the motility of rat sperm (p &lt / 0.05) / fermented rooibos tended to improve it (p &gt / 0.05). In addition, green tea, black tea and fermented rooibos enhanced acrosome reaction (p &lt / 0.05). Creatinine activity was significantly higher in rats treated with black tea, unfermented rooibos or fermented rooibos (p &lt / 0.05), green tea tended to increase it (p &gt / 0.05) reflecting the significant increased kidney weight in the treatment groups at high concentrations. Liver markers, ALT and AST, decreased significantly in all treated groups (p &lt / 0.05), except in 5% fermented rooibos where a significant increase in AST level was observed (p &lt / 0.01). In the female rats, the body weight gain, and reproductive organs weight was no affected (p &gt / 0.05). However, 5% fermented rooibos reduced the ovarian weight (p &lt / 0.05), while 5% unfermented rooibos significantly increased the uterine weight (p &lt / 0.05). Liver weight increased significantly by black tea and unfermented rooibos (p &lt / 0.05) while the kidney weight increased significantly by 5% black tea (p &lt / 0.05). No significant effect was observed in the level of FSH produced, on the other hand, Camellia sinensis significantly lowered the level of LH (p &lt / 0.05), while Aspalathus linearis had no effect (p &gt / 0.05). Creatinine activity was enhanced significantly only by 5% fermented rooibos (p &lt / 0.05). Liver markers, ALT and AST were reduced in most treated groups except in fermented rooibos where an increase was observed. In addition, histological sections revealed no obvious alteration in the ovaries, uteri, kidneys and liver of all treated female rats. Camellia sinensis and Aspalathus linearis significantly reduced the level of testosterone produced in TM3 Leydig cells under stimulated conditions in vitro (p&lt / 0.05). Furthermore, both plants maintained the viability and morphology of the cells. However, at 0.5% of either plant extracts, a significant decrease in the viability (p &lt / 0.05) and altered morphology of the TM3 Leydig cells was observed. In conclusion, Camellia sinensis and Aspalathus linearis significantly improved certain sperm function which might be attributed to their high level of antioxidant activity. However, the prolonged exposure of both plant extracts might result in subtle structural changes in the male reproductive system and impair kidney function. In addition, fermented rooibos at high concentration may also impair the functions of the liver. In vitro, both plants were shown to possess anti-androgenic property on TM3 Leydig cells. Furthermore, both Camellia sinensis and Aspalathus linearis may be classified as weak phytoestrogens due to the changes in the weight of the uterus and ovaries observed.</p>