Multimeric ligands have the potential to be developed as targeted imaging agents and therapeutics for the diagnosis and treatment of cancer. Multimeric ligands consist of multiple binding residues tethered together by a linker and are capable of simultaneous binding to multiple receptors. This dissertation details the proof-of-principle experiments that establish that multimeric ligands bind with an increased affinity and cooperativity compared to their monomeric counterparts. We have chosen to evaluate combinations of ligands for the human melanocortin 4 receptor (hMC4R), human delta-opioid receptor (hdOR), cholecystokinin-B receptor (CCK-BR), and oxytocin receptor (OTR).Multivalent ligands can be homomeric, meaning that all ligands bind to the same receptor type, or they may be heteromeric, meaning that they bind to different types of receptors. We have evaluated homodimer and homotrimer binding to hMC4Rs, and heterodimer binding to hMC4Rs and hdORs. Ligands for the receptors were tethered together using backbones constructed of polyethylene glycol (PEG) units or different combinations of amino acid repeats. The effects of linker length and rigidity on the binding of multivalent ligands have been evaluated. Additionally, this dissertation details the development of a new lanthanide based binding method used to monitor receptor-ligand interactions. This assay makes use of lanthanide labels attached to a peptide that binds specifically to the receptor of interest. The amount of bound ligand is detected using time-resolved fluorescence (TRF). This assay produces results which are highly reproducible, require less setup time and reagents and do not require special waste disposal, all advantages over the traditional radioligand binding assays. This lanthanide based binding assay has been adapted to evaluate ligand binding to the hMC4R and hdOR.

Résumé : L’IL-7 et l’IL-15 sont des cytokines impliquées dans l’homéostasie des lymphocytes T CD8 naïfs et mémoires respectivement. Lors d’une réponse immunitaire, certaines cytokines pro-inflammatoires, comme l’IL-6 et l’IL-21, sont produites par les cellules du système immunitaire inné. Nous avons observé que certaines cytokines de ces deux groupes (homéostasie et pro-inflammatoires), peuvent avoir un effet synergique sur la fonction des lymphocytes T CD8. Spécifiquement, l’incubation des lymphocytes T CD8 naïfs avec l’IL-6 ou l’IL-21, en présence d’IL-7 ou d’IL-15 cause une forte prolifération qui est indépendante de l’antigène. De plus, la combinaison d’IL-15 avec l’IL-6 ou l’IL-21 entraîne une prolifération préférentielle des lymphocytes T mémoires, tandis que la combinaison avec l’IL-7 entraîne une prolifération des lymphocytes T naïfs. La stimulation des lymphocytes T CD8 avec l’IL-6 ou l’IL-21, en présence d’IL-7 ou d’IL-15, entraîne une augmentation de la phosphorylation en tyrosine de STAT5 ainsi qu’une augmentation de liaison à l’ADN. Nous avons étudié l’effet d’une pré-stimulation des cellules T CD8 naïves par les cytokines synergiques sur leur réponse subséquente à un antigène. Nous avons observé qu’une pré-stimulation avec l’IL-6 ou l’IL-21, en présence d’IL-7 ou d’IL-15, même pour une courte durée de 24 heures, augmente leur sensibilité aux antigènes, entraînant une robuste prolifération et une forte augmentation de cytotoxité spécifique à l’antigène gp33. Nous avons observé que les cytokines pro-inflammatoires en combinaison avec l’IL-7 induisent une augmentation accrue de la prolifération chez les lymphocytes T CD8 exprimant un TCR transgénique de forte affinité (P14), ainsi que les cellules exprimant un TCR de faible affinité (H-Y). De plus, la combinaison synergique de cytokines entraîne une forte expression du récepteur de l’IL-2R[gamma] (CD132), ainsi qu’une augmentation de la production d’IL-2 après stimulation antigénique. Une forte augmentation de l’expression de CD8 et de CD45, ainsi qu’une diminution drastique de l’expression de CD5 peut expliquer l’augmentation de l’avidité fonctionnelle du TCR suite à une stimulation avec les combinaisons de cytokines synergiques. La stimulation des lymphocytes T CD8 avec les combinaisons de cytokines, induit une augmentation de la phosphorylation de LAT ainsi qu‘AKT. Cependant, la stimulation subséquente du CD3 n’entraîne pas d’augmentation de la phosphorylation de LAT ainsi qu’AKT chez les lymphocytes T CD8 pré-stimulés avec les combinaisons de cytokines. Nous avons aussi observé que les lymphocytes T CD8 stimulés avec les combinaisons de cytokines augmentent l’expression de CD62L, ce qui peut favoriser leur migration vers les ganglions lymphatiques. En conclusion, la production de cytokines pro-inflammatoires (IL-6, IL-15, IL-21) par les cellules du système immunitaire inné lors d’une infection ou d’une inflammation, ainsi que la présence constitutive d’IL-7, peuvent stimuler la prolifération et l’activation des lymphocytes T CD8 de façon non spécifique à l’antigène. Cette stimulation entraîne une augmentation de l’avidité fonctionnelle de leur TCR causant ainsi une forte prolifération ainsi que l’acquisition de fonctions effectrices spécifiques. Cette liaison entre le système immunitaire inné et adaptatif, médiée par les cytokines pro-inflammatoires et les cytokines homéostatiques joue un rôle très important dans l’élimination des pathogènes ainsi que dans le développement de maladies auto-immunitaires. / Abstract : Homeostasis of naive and memory CD8[superscript +] T lymphocytes is dependent on two cytokines IL-7 and IL-15, respectively. During an immune response to an infection, cells of the innate immune system produce several pro-inflammatory cytokines. We have observed that these two groups of cytokines, namely proinflammatory and homeostatic, can have a synergistic effect on CD8 T lymphocytes. Specifically, incubation of naive CD8 T cells with IL-6 or IL-21 in the presence of IL-7 or IL-15 induced strong proliferation in an antigen independent manner. While the combination of IL-6 or IL-21 with IL-15 induced strong proliferation of memory CD8 T cells, naïve CD8 T cells responded better to the combination with IL-7. These stimulatory cytokine combinations elicited strong STAT5 phosphorylation and it’s binding to DNA in CD8 T cells. We investigated the effect of priming CD8 T cells with the synergistic combination of IL-6 or IL-21 and IL-7 on their subsequent response to antigen. We observed that cytokine priming for only 24 hours enhanced their sensitivity to antigen, resulting in strong proliferation, effectors functions and cytotoxicity. These effects were observed with CD8 T cells expressing transgenic TCR with strong (P14) or weak (H-Y) affinity towards cognate peptide antigens. Priming CD8 T cells with the synergistic combination of cytokines increased the expression of IL-2 receptor gamma (CD132) and augmented the production of IL-2 when stimulated with antigen. These cells also expressed elevated levels of CD8 and CD45, as well as down modulate CD5, and these events may underlie the increased TCR avidity. Stimulation of CD8 T cells with the synergistic combination of cytokines induced phosphorylation of LAT and AKT. However, subsequent TCR stimulation did not further increase these phosphorylation events. We have observed that C D8 T cells primed with the synergistic combinations of cytokines up regulated CD62L, which could promote their migration through lymph nodes. In conclusion, inflammatory cytokines such as (IL-6, IL-15, IL-21) secreted by cells of the innate immune system during an infection or non-infectious inflammation, and basal levels of the homeostatic cytokine IL-7 can act in synergy with inflammatory cytokines to activate CD8 T lymphocytes in an antigen independent manner. This stimulation also results in an increase in the functional avidity of their TCR, as indicated by strong antigen responsiveness with increased proliferation and display of effectors functions. This connection between the innate and adaptive system mediated by inflammatory cytokines may play an important role in pathogen clearance and possibly in the development of autoimmune diseases.

Die vorliegende Arbeit hatte das Ziel, die Korrelation zwischen der Avidität der Anti-Masern-IgG-Antikörper und deren In-Vitro-Neutralisationsfähigkeit zu untersuchen, sowie mittels Datenbankanalyse die Seroprävalenz von schützenden Antikörpern gegen Masern und den Impfstatus der Kinder- und Jugendlichen festzustellen. Die lineare Korrelation zwischen Neutralisationsfähigkeit und Avidität war in dieser Stichprobe schwach (ρ=0,240, p=0,006). Für hohe IgG Konzentrationen über 1000 mIU/ml fand sich eine mittlere Korrelation zwischen Avidität und Neutralisationstiter (ρ=0,612; p<0,001). Bei den untersuchten Jahren von 1997 bis 2013 zur Seroprävalenz (n=8611) wiesen im Durchschnitt 93,4 % der Patienten IgG-Konzentrationen im positiven Bereich (>200 mIU/ml) auf. In allen Jahrgängen lag der Anteil über 90 %. Zur Ermittlung des Impfstatus wurde eine Stichprobe 2- bis 18-Jähriger aus dem Jahr 2012 untersucht. Insgesamt hatten 81,1 % die erste Masernimpfung erhalten. Die zweite Masernimpfung erhielten noch 59,7 % der Kinder und Jugendlichen.

A toxoplasmose é uma infecção mundial que é transmitida por carne contendo cistos teciduais, água ou legumes crus contaminados com oocistos, contato com felinos, ou transmissão vertical. A toxoplasmose é usualmente assintomática, mas pode causar doença severa no feto quando transmitida durante fase aguda na mãe. O rastreamento da toxoplasmose congênita é normalmente executado durante o pré-natal, pela detecção de anticorpos IgM específico ou pela demonstração de aumento dos títulos de anticorpos IgG para T.gondii. Neste trabalho, 160 mães IgM positivas em rastreamento externo foram avaliadas para IgM, IgG, IgA e avidez dos anticorpos IgG em ensaios usando Uréia e NH4SCN como agente caotrópico, e extrato salino e uma proteína recombinante ROP2 como antígeno. A maioria das mães com resultado positivo de IgM eram negativas (124) quando retestadas, 16 negativas para todos os testes e somente 36 casos de IgM e IgG positivos. Nossa reação foi convalidada pelo Kit VIDAS Toxo IgG (Biomerieux), as 15 amostras aleatórias foram concordantes na maioria das amostras, incluindo as 3 de baixa avidez. A maioria das mães com IgG e IgM positivas confirmadas apresentaram índices intermediário e alto de avidez, e apenas 3 com índice baixo de avidez, que é sugestivo de infecção aguda. O uso de proteína recombinante Rop2 como antígeno resultou em muitos falsos negativos. O rastreamento de toxoplasmose congênita em áreas de alta prevalência induz uma baixa eficiência da sorologia, altos índices de pacientes tratados e baixa detecção. Ensaios de avidez são promissores, mas a sua padronização é obrigatória. / Toxoplasmosis is a worldwide infection transmitted by meat containing tissue cysts, water or crude vegetables contaminated with oocysts, contact with feline or vertical transmission. Toxoplasmosis is usually asymptomatic, but it can cause severe disease to the fetus during acute mother infection. The screening of congenital toxoplasmosis is usually been performed during prenatal, by detecting specific IgM antibodies or by demonstration of a significant increase specific IgG antibodies. In this work, 160 confirmed IgM positive mothers by external screening were evaluated for IgM, IgG, IgA, and avidity by several approaches using Urea and NH4SCN as chaotropic agents, and saline extract and a recombinant protein Rop2 as antigen. Most mother (124) were IgM negative when retested, 16 negative for all T.gondii tests and only 36 IgM and IgG positive. Our avidity reaction was convalidated by Kit VIDAS Toxo IgG (Biomerieux), 15 aleatory samples were concordant in most samples, including the 03 low avidity. Most of confirmed IgG and IgM positive mothers presented intermediary or high avidity indexes, only 3 presenting low avidity index, sugestive of acute infection. Use of recombinant proteins Rop 2 as antigen resulted in high false negative. Screening congenital toxoplasmosis in high prevalent areas by IgM serology showed low efficiency, higher treatment rates and low detection of acute infection. Avidity assays are promising markers of recent infection, but false negatives could be frequent.

Resumo: A toxoplasmose na maioria dos casos é assintomática, porém pode causar seqüelas graves no feto, quando transmitida durante a fase aguda da infecção pela gestante. Diante disso, é de fundamental importância o acompanhamento sorológico de gestantes, a fim de definir o momento em que houve a aquisição da infecção por T. gondii, possibilitando assim, o tratamento precoce e diminuindo, portanto, o risco de transmissão congênita. No período de Janeiro a Novembro de 2005, avaliou-se a metodologia sorológica do teste de avidez de IgG anti-Toxoplasma gondii na rotina laboratorial entre as gestantes com teste sorológico negativo para anticorpos IgM anti-Toxoplasma (n = 200) e gestantes com teste sorológico positivo (n = 33) durante o pré-natal, em Araraquara-SP, no Laboratório de Imunologia Clínica e Biologia Molecular NAC-FCF/UNESP. Os resultados foram avaliados, segundo o perfil sorológico das gestantes participantes da pesquisa e a variação do índice de avidez de IgG entre as soropositivas para IgM e sua relação com o tratamento antiparasitário. Baseando-se nos resultados ressaltou-se a importância da adoção de medidas profiláticas para a redução da transmissão congênita. Todos os resultados para anticorpos IgG e IgM devem ser notificados na ficha da paciente, outros testes complementares devem ser realizados e a interpretação utilizada para o teste de avidez de IgG, precisa ser padronizada. Concluiu-se que alguns profissionais de saúde realizaram desnecessariamente o tratamento antiparasitário nas gestantes. Embora as gestantes realizem em sua maioria, o pré-natal no primeiro trimestre de gestação, a prevalência para toxoplasmose entre as gestantes de Araraquara-SP foi elevada, necessitando, portanto, de melhor acompanhamento da gestante e do recém-nascido e conscientização da importância da assistência à saúde pelos serviços de saúde. / Abstract: Toxoplasmosis usually is asymptomatic but can cause serious sequels in the fetus, when transmitted during the acute stage by the pregnant woman. Therefore, the serological screening of pregnant women has fundamental importance, in order to define the moment of contamination by T. gondii, and thus facilitating the precocious treatment and decreasing the risk of congenital transmission. During the period of January to November of 2005, we evaluated the serological methodology of IgG avidity test for toxoplasmosis in the routine laboratory, among pregnant women, with negative serological test for anti-Toxoplasma IgM antibodies (n = 200) and pregnant with serological test positive (n = 33), during the prenatal, in Araraquara-SP, in Immunology Clinic's Laboratory and Molecular Biology NAC-FCF/UNESP. The results in this study were evaluated, according to the serological profile of the pregnant women and the variation of anti-Toxoplasma IgG avidity index among the pregnant women with positive IgM antibodies and its relationship with the antiparasitic treatment. According to our results, we reinforce the importance of use prophylactics measures to reduce congenital transmission. All results for IgG and IgM antibodies must be notified, other complementary tests should be accomplished and the interpretation used for the IgG avidity test should be standardized. We concluded that some professionals realized unnecessary antiparasitic treatment. Although most of pregnant women at Araraquara-SP accomplish the prenatal in the first trimester of gestation, the prevalence for toxoplasmosis are elevated, needing therefore, a better accompaniment of the pregnant women and of the newly born and conscientiousness about the importance of health assistance during pregnancy by health services. / Orientador: Maria Jacira Silva Simões / Coorientador: Paulo Inácio da Costa / Banca: Semíramis Guimarães Ferraz Vianna / Banca: Herminia Yohko Kanamura / Mestre

<p>Despite high vaccination rates and effective adaptive immune responses from the part of infected individuals, influenza A viruses cause significant morbidity and mortality annually. This is due to influenza's rapid antigenic evolution, whereby continual mutations occurring in epitope regions of the virus's hemagglutinin protein result in the diminishment of long-term antibody recognition, in a process that has been termed `antigenic drift'. Although it is clear that antigenic drift enables previously infected individuals to become reinfected, the mechanism that is responsible for influenza's antigenic drift is still under debate. As recently as 2009, a new hypothesis of antigenic drift was put forward that argues that binding avidity changes in the viral hemagglutinin result in antigenic drift as a side effect. This hypothesis stands in contrast to the traditionally accepted hypothesis that mutations in epitope regions are positively selected for their ability to evade immune recognition. This thesis focuses on the use of epidemiological models and empirical data analysis to explore different hypotheses of antigenic drift. </p><p>In the first chapter, I am asking what effects on antigenic drift rate would be produced under the new hypothesis. I mathematically formulate the hypothesis that antigenic drift is simply a side effect of cellular receptor binding avidity changes that occur as the virus is transmitted between individuals of different immune status levels. I then use this formulation to explore how influenza's rate of antigenic drift depends on different epidemiological factors, including host contact rate, host lifespan, and the duration of infection. Finally, I use the model to assess alternative vaccination strategies by the impact they have on rates of antigenic drift and therewith rates of disease incidence/</p><p>In the second chapter, I critically evaluate the binding avidity hypothesis by comparing predictions of the hypothesis against empirical data. I first use a `phylodynamic' extension of the model presented in the first chapter to determine whether the hypothesis is consistent with the ladderlike phylogeny of influenza's hemagglutinin protein. I then use viral sequence data and metadata to determine whether older aged individuals (with a higher number of previous infections) harbor viruses with higher binding avidity than younger aged individuals (with a lower number of previous infections), a prediction made by the binding avidity hypothesis. Finally, I perform a phylogenetic analysis to determine how rapidly binding avidity changes occur. From these analyses, I conclude that the binding avidity hypothesis is not well supported by empirical data.</p><p>In the third chapter, I develop an integrated viral life cycle model, in which viral replication depends on three viral phenotypes: receptor binding avidity, neuraminidase activity, and antigenicity. This integrated model recognizes that receptor binding avidity changes will influence viral replication, but also allows for antigenic evolution to be brought about directly by epitope changes. I first use this model to show how the evolutionary dynamics of these phenotypes are dependent on one another and how antigenic drift can be interpreted within this framework. I then return to some of the questions addressed in the first chapter to ask how different epidemiological factors impact influenza's rate of antigenic drift.</p><p>Together, these three chapters highlight the importance of viral phenotypes other than antigenicity in contributing to influenza's antigenic evolution, and, more generally, the importance of computational and mathematical research in understanding constraints on viral adaptation.</p> / Dissertation

The present research focused on the development of a new methodology to assess the strength of the interaction between vaccine antigens and elicited polyclonal antibodies through SPR biosensors. Quantifying the binding strength of polyclonal antibodies is of first importance to evaluate the quality of the vaccine as well as to increase the scientific knowledge of immune protection mechanisms. To now the development of such tool has been complicated by the non-specific binding caused by high protein abundance in the blood and serum samples but also by the way of interpreting the data resulting from multi-interaction events measured at the same time. At first, we unsuccessfully tried to segregate the individual affinity contribution of each antibody population by measuring the signal as the sum of singular interactions. Differentiation of the singular contribution would have needed the fulfillment of the “additivity” hypothesis, meaning that each antibody bind identically alone or in mixture with other antibody. This hypothesis was not met and mathematical assessment by the sum of singular contribution led to fitting results that did not reflect the biological reality. It was therefore decided to switch the analysis method and to measure the end association binding level reached by the different samples injected at the same specific antibody content. The dissociation behavior was interpreted by the percentage of binding after long and fixed dissociation time. In a first application, we compared the antibodies elicited by two different commercially available vaccines and we showed that the binding interaction was not concentration dependent as, highly different levels were reached when injecting identical antibody concentration. No statistical significant difference was observed between both vaccines. Research firstly focused on the decrease of the non-specific binding and we found that ionic strength was a key parameter, increasing the buffer salt concentration reduced the non-specific binding without diminishing the binding strength. The sample composition was also a key parameter and purifying the IgG allowed to decrease dramatically the undesired binding events. A second application aimed at showing the equivalence between two different antigen constructions for two antibodies population. Even if identical antigen level immobilization is a challenge, the methodology is completely suitable to perform a 2-dimensional comparison (ligand and analyte). A last application was dedicated to the comparison between D and Q-pan Flu vaccines, and results showed that there was no statistical evidence of significant differences between both vaccines. End association level correlated well with haemagglutination inhibition assay at least when serum samples were not diluted at the same antibody content. This last application also showed that throughput may be extended to more than 50 samples per 80 hours / Doctorat en Sciences agronomiques et ingénierie biologique / info:eu-repo/semantics/nonPublished

Made available in DSpace on 2014-06-11T19:25:19Z (GMT). No. of bitstreams: 0 Previous issue date: 2006-08-18Bitstream added on 2014-06-13T20:53:02Z : No. of bitstreams: 1 isabel_tf_me_arafcf.pdf: 1862116 bytes, checksum: d792133dba66b88c4e71af8a6e774544 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A toxoplasmose na maioria dos casos é assintomática, porém pode causar seqüelas graves no feto, quando transmitida durante a fase aguda da infecção pela gestante. Diante disso, é de fundamental importância o acompanhamento sorológico de gestantes, a fim de definir o momento em que houve a aquisição da infecção por T. gondii, possibilitando assim, o tratamento precoce e diminuindo, portanto, o risco de transmissão congênita. No período de Janeiro a Novembro de 2005, avaliou-se a metodologia sorológica do teste de avidez de IgG anti-Toxoplasma gondii na rotina laboratorial entre as gestantes com teste sorológico negativo para anticorpos IgM anti-Toxoplasma (n = 200) e gestantes com teste sorológico positivo (n = 33) durante o pré-natal, em Araraquara-SP, no Laboratório de Imunologia Clínica e Biologia Molecular NAC-FCF/UNESP. Os resultados foram avaliados, segundo o perfil sorológico das gestantes participantes da pesquisa e a variação do índice de avidez de IgG entre as soropositivas para IgM e sua relação com o tratamento antiparasitário. Baseando-se nos resultados ressaltou-se a importância da adoção de medidas profiláticas para a redução da transmissão congênita. Todos os resultados para anticorpos IgG e IgM devem ser notificados na ficha da paciente, outros testes complementares devem ser realizados e a interpretação utilizada para o teste de avidez de IgG, precisa ser padronizada. Concluiu-se que alguns profissionais de saúde realizaram desnecessariamente o tratamento antiparasitário nas gestantes. Embora as gestantes realizem em sua maioria, o pré-natal no primeiro trimestre de gestação, a prevalência para toxoplasmose entre as gestantes de Araraquara-SP foi elevada, necessitando, portanto, de melhor acompanhamento da gestante e do recém-nascido e conscientização da importância da assistência à saúde pelos serviços de saúde. / Toxoplasmosis usually is asymptomatic but can cause serious sequels in the fetus, when transmitted during the acute stage by the pregnant woman. Therefore, the serological screening of pregnant women has fundamental importance, in order to define the moment of contamination by T. gondii, and thus facilitating the precocious treatment and decreasing the risk of congenital transmission. During the period of January to November of 2005, we evaluated the serological methodology of IgG avidity test for toxoplasmosis in the routine laboratory, among pregnant women, with negative serological test for anti-Toxoplasma IgM antibodies (n = 200) and pregnant with serological test positive (n = 33), during the prenatal, in Araraquara-SP, in Immunology Clinic's Laboratory and Molecular Biology NAC-FCF/UNESP. The results in this study were evaluated, according to the serological profile of the pregnant women and the variation of anti-Toxoplasma IgG avidity index among the pregnant women with positive IgM antibodies and its relationship with the antiparasitic treatment. According to our results, we reinforce the importance of use prophylactics measures to reduce congenital transmission. All results for IgG and IgM antibodies must be notified, other complementary tests should be accomplished and the interpretation used for the IgG avidity test should be standardized. We concluded that some professionals realized unnecessary antiparasitic treatment. Although most of pregnant women at Araraquara-SP accomplish the prenatal in the first trimester of gestation, the prevalence for toxoplasmosis are elevated, needing therefore, a better accompaniment of the pregnant women and of the newly born and conscientiousness about the importance of health assistance during pregnancy by health services.

A toxoplasmose é uma infecção mundial que é transmitida por carne contendo cistos teciduais, água ou legumes crus contaminados com oocistos, contato com felinos, ou transmissão vertical. A toxoplasmose é usualmente assintomática, mas pode causar doença severa no feto quando transmitida durante fase aguda na mãe. O rastreamento da toxoplasmose congênita é normalmente executado durante o pré-natal, pela detecção de anticorpos IgM específico ou pela demonstração de aumento dos títulos de anticorpos IgG para T.gondii. Neste trabalho, 160 mães IgM positivas em rastreamento externo foram avaliadas para IgM, IgG, IgA e avidez dos anticorpos IgG em ensaios usando Uréia e NH4SCN como agente caotrópico, e extrato salino e uma proteína recombinante ROP2 como antígeno. A maioria das mães com resultado positivo de IgM eram negativas (124) quando retestadas, 16 negativas para todos os testes e somente 36 casos de IgM e IgG positivos. Nossa reação foi convalidada pelo Kit VIDAS Toxo IgG (Biomerieux), as 15 amostras aleatórias foram concordantes na maioria das amostras, incluindo as 3 de baixa avidez. A maioria das mães com IgG e IgM positivas confirmadas apresentaram índices intermediário e alto de avidez, e apenas 3 com índice baixo de avidez, que é sugestivo de infecção aguda. O uso de proteína recombinante Rop2 como antígeno resultou em muitos falsos negativos. O rastreamento de toxoplasmose congênita em áreas de alta prevalência induz uma baixa eficiência da sorologia, altos índices de pacientes tratados e baixa detecção. Ensaios de avidez são promissores, mas a sua padronização é obrigatória. / Toxoplasmosis is a worldwide infection transmitted by meat containing tissue cysts, water or crude vegetables contaminated with oocysts, contact with feline or vertical transmission. Toxoplasmosis is usually asymptomatic, but it can cause severe disease to the fetus during acute mother infection. The screening of congenital toxoplasmosis is usually been performed during prenatal, by detecting specific IgM antibodies or by demonstration of a significant increase specific IgG antibodies. In this work, 160 confirmed IgM positive mothers by external screening were evaluated for IgM, IgG, IgA, and avidity by several approaches using Urea and NH4SCN as chaotropic agents, and saline extract and a recombinant protein Rop2 as antigen. Most mother (124) were IgM negative when retested, 16 negative for all T.gondii tests and only 36 IgM and IgG positive. Our avidity reaction was convalidated by Kit VIDAS Toxo IgG (Biomerieux), 15 aleatory samples were concordant in most samples, including the 03 low avidity. Most of confirmed IgG and IgM positive mothers presented intermediary or high avidity indexes, only 3 presenting low avidity index, sugestive of acute infection. Use of recombinant proteins Rop 2 as antigen resulted in high false negative. Screening congenital toxoplasmosis in high prevalent areas by IgM serology showed low efficiency, higher treatment rates and low detection of acute infection. Avidity assays are promising markers of recent infection, but false negatives could be frequent.

Les lectines de type C (CLRs) sont des récepteurs impliqués dans la reconnaissance d’oligosaccharides et principalement exprimés à la surface des cellules présentatrices d’antigène (APCs) et notamment des cellules dendritiques (DCs), véritable sentinelle de notre système immunitaire. Elles sont impliquées dans la reconnaissance de motifs spécifiques exprimés à la surface d’agents pathogènes et sont capables de stimuler le système immunitaire afin de déclencher une réponse adaptée. Ce rôle crucial joué par les CLRs dans l’équilibre de la réponse immunitaire confère aux interactions CLR/glycane des perspectives d’applications pharmaceutiques. L’objectif à long-terme du projet de recherche dans lequel cette thèse s’intègre consiste à utiliser ces CLRs pour modeler les réponses du système immunitaire. A cette fin, des néoglycoconjugués spécifiques de chaque CLR doivent être développés. Au cours de cette thèse, 9 CLRs ont été produits BDCA2, DC-SIGN, DC-SIGNR, dectin-1, dectin-2, langerin, LSECtin, MCL and Mincle. Différentes stratégies de production ont été testées en parallèle, incluant des techniques d’adressage au périplasme en vue d’obtenir des protéines solubles et fonctionnelles et de l’expression cytoplasmique, sous forme de corps d’inclusion suivie d’étapes de renaturation qui s’est révélé la plus efficace au final. Une stratégie permettant de construire des tétramères artificiels de CLRs, appelés TETRALEC, a été mise au point. Cet outil permettant le criblage et la caractérisation des lectines a été obtenu avec DC-SIGNR par un marquage spécifique de la lectine. Le complexe TETRALEC a été caractérisé au niveau structural et des tests fonctionnels ont été menés sur des puces à glycanes et des cellules pathogènes. La série de CLRs que nous avons produites a été utilisée pour cribler des puces à glycanes et à glycomimétiques. Ces études nous ont permis de mettre en évidence des interactions dépendantes de l’environnement du glycane et d’identifier de nouveaux glycanes ou glycomimétiques spécifiques de certains CLRs. En effet, de manière étonnante, plusieurs des CLRs testés sont capables, pour un glycane donné, de discriminer des isomères de position ouvrant ainsi de nouveaux questionnements sur la signification biologique de cette sélectivité. De plus des glycomimétiques reconnaissant préférentiellement dectin-2 par rapport à DC-SIGN, DCSIGNR et langerin ont été identifiés. Le choix des glycomimétiques et l’évaluation des étapes de leur optimisation ont été permis par diverses études biophysiques qui ont quantifié la force et la spécificité des interactions. Ceci a permis le développement d’un ligand optimisé sélectif de DC-SIGN. La co-cristallisation de la protéine avec ce ligand a révélé un intéressant mode de liaison qui amène également de nouvelles questions. Simultanément à l’optimisation de ligands monovalents, un premier pas a été réalisé vers la conception d’une molécule pour permettre une vaccination contre le cancer médiée par les CLRs. Les résultats de SPR ont identifié des candidats potentiellement intéressants et des tests biologiques préliminaires ont été réalisés. / C-type Lectin Receptors (CLRs) are carbohydrate-binding proteins mainly expressed on Antigen Presenting Cells (APCs), including dendritic Cells (DCs), the sentinel of the innate immune system. They recognize pathogens or damaged cells by interacting with glycan features and the encounter between the CLR and its ligand constitutes a necessary step for the activation of the adaptive immune system. This crucial role played by CLRs in the balance of immune responses offers to CLR-glycan interactions pharmaceutical applications. The long-term objective of the research project in which this PhD is included is to use these CLRs as modulators in order to tailor the immune system responses. To do so, neoglyco-conjugates selective to each individual CLR have to be developed.Nine different CLRs were produced in this work: BDCA2, DC-SIGN, DC-SIGNR, dectin-1, dectin-2, langerin, LSECtin, MCL and Mincle.Several approaches have been explored in parallel for CLR production, ranking from bacterial periplasmic targeting, aiming to express soluble and functional protein, to inclusion bodies production into the bacterial cytoplasm, with subsequent protein refolding. Our collection of CLRs were used to screen glycan and glycomimetic arrays, highlighting context-dependent binding and identifying natural ligands or glycomimetics selective to each CLRs. Thus, several CLRs were surprisingly able to differentiate between positional isomers of a given N-Glycan, which opens new questions regarding the biological significance. Moreover, glycomimetics with a selectivity towards dectin-2 over DC-SIGN, DC-SIGNR and langerin CLRs have been identified.To guide the choice of the glycomimetics and estimate their optimisation, diverse biophysical studies were performed to evaluate the strength and specificity of the interaction. This enabled the development of an ultimate ligand selective towards DC-SIGN. A co-crystallised structure of the protein with this ligand revealed an interesting binding mode that also opens new questions.Simultaneously to monovalent ligand optimization, a first step towards the design of a highly defined molecule for cancer vaccination by CLR targeting was made. SPR results revealed potential candidates to exploit and preliminary biological assays were performed. Finally, a strategy for tetrameric lectin engineering as been explored, termed TETRALEC. This tool for screening and lectin characterization, has been obtained with one the lectin of the study, DC-SIGNR, by a site-specific labelling of the lectin. The TETRALEC complex was structurally characterised and functional assays were performed on glycan array and pathogen cells.