Glaucoma is the leading cause of irreversible blindness worldwide with the most prevalent form, primary open-angle glaucoma (POAG), accounting for the vast majority of glaucoma cases. The main risk-factor for POAG is an elevated intraocular pressure (IOP), and is due to an increased resistance to aqueous humor outflow in the conventional outflow pathway at the juxtacanalicular region of the trabecular meshwork (TM) and the inner wall of Schlemm’s canal (SC). Reducing elevated IOP is the most effective method to prevent further loss of vision in glaucoma; therefore, it is important to understand how outflow resistance is regulated in the conventional outflow pathway in order to find effective methods to reduce ocular hypertension. Sphingosine-1-phosphate (S1P) is an endogenous lipid that reduces outflow facility in porcine eyes, thereby increasing resistance. S1P plays a major role in affecting cell migration, endothelial permeability, and junctional formation, processes that are intimately linked and regulated by cytoskeletal dynamics. Due to S1P’s known effect of decreasing endothelial permeability in vascular endothelial cells, the overall hypothesis of this dissertation is that the S1P-induced decrease in outflow facility occurs through a mechanism that involves S1P receptor activation in SC cells. The results from the studies within this dissertation demonstrate the expression of the S1P₁₋₃ receptor subtypes in SC and TM cells and a decrease of outflow facility by S1P in perfused human eyes. Additionally, S1P promotes F-actin formation and myosin light chain (MLC) phosphorylation at the SC cell cortex. The S1P-promoted MLC phosphorylation in both SC and TM cells, in addition to the S1P-induced decrease of outflow facility in porcine and human eyes, were blocked by the S1P₂ antagonist JTE-013. Results from these studies demonstrate S1P to actively regulate actomyosin dynamics in the cells of the outflow pathway through the S1P₂ receptor. S1P₂ also mediates the S1P-induced increase in outflow resistance. Therefore, S1P₂ is a novel pharmacological target in the conventional outflow pathway to reduce elevated IOP in glaucoma patients.

Le cerveau est très riche en acide docosahexaénoique (DHA, acide gras polyinsaturé (AGPI) n-3) et en acide arachidonique (AGPI n-6) qui sont de puissants immunomodulateurs. Ils pourraient être impliqués dans le contrôle de la neuroinflammation via leur conversion en dérivés lipidiques bioactifs. Dans ce contexte, notre objectif était de définir le rôle des médiateurs lipidiques dérivés des AGPI n-3 possédant des propriétés anti-inflammatoires et pro-résolutives dans la régulation de l’inflammation au niveau du cerveau. Nous avons d’abord caractérisé l’impact d’une modulation nutritionnelle en AGPI n-3 sur la composition lipidique cérébrale. Dans un modèle d’inflammation cérébrale, la consommation d’AGPI n-3 induit 1) une augmentation des métabolites lipidiques dérivés des AGPI n-3, 2) une diminution des métabolites lipidiques dérivés des AGPI n-6, et 3) une diminution de l’inflammation dans l’hippocampe. De plus, un apport en AGPI n-3 au cours de la période périnatale n’affecte pas la composition lipidique des cellules immunitaires du cerveau, les cellules microgliales. Ensuite, nous avons choisi une approche thérapeutique afin de démontrer in vitro dans un modèle de cellules microgliales que la RvD1, dérivée du DHA, en se fixant à son récepteur ALX/Fpr2, atténue l’inflammation via la régulation de la voie NFκB et de microARN. In vivo, l’injection i.c.v. de la RvD1 et du DHA atténue l’inflammation dans l’hippocampe par des processus différents. Les dérivés lipidiques bioactifs issus des AGPI n-3 pourraient être les médiateurs par lesquels les AGPI n-3 exercent leur effet bénéfique sur la régulation de l’inflammation au niveau du cerveau, la RvD1 étant fortement impliquée. / The brain is highly enriched in docosahexaenoic acid (DHA, n-3 polyunsaturated fatty acid, PUFA) and in arachidonic acid (n-6 PUFA) that are strong immunomodulators. They could be involved in the regulation of neuroinflammation through their conversion into bioactive lipid derivatives. Then, our objective was to define the role of n-3 PUFA derived lipid mediators that have anti-inflammatory and pro-resolutive properties in the regulation of brain inflammation. First, we characterized the impact of dietary n-3 PUFA modulation on brain lipid composition. In a central inflammatory model, n-3 PUFA intake induced 1) an increase in n-3 PUFA-derived lipid mediators, 2) a decrease in n-6 PUFA-derived lipid mediators, and 3) a decrease in inflammation in the hippocampus. Moreover, n-3 PUFA intake during the perinatal period did not affect lipid composition of brain immune microglial cells. Then, we chose a therapeutic approach to demonstrate in vitro in microglial cells that RvD1 derived from DHA, through the binding on its receptor ALX-Fpr2, attenuated inflammation via the regulation of NFκB pathway and microRNA expressions. In vivo, intracerebral injection of RvD1 and DHA reduced inflammation in the hippocampus by different pathways. Thus, the bioactive lipid derivatives from n-3 PUFA could be the mediators by which n-3 PUFA exert their beneficial effects on neuroinflammation, RvD1 playing a crucial role in this regulation.

No / The skin produces bioactive lipids that participate in physiological and pathological states, including homeostasis, induction, propagation, and resolution of inflammation. However, comprehension of the cutaneous lipid complement, and contribution to differing roles of the epidermal and dermal compartments, remains incomplete. We assessed the profiles of eicosanoids, endocannabinoids, N-acyl ethanolamides, and sphingolipids, in human dermis, epidermis, and suction blister fluid. We identified 18 prostanoids, 12 hydroxy-fatty acids, 9 endocannabinoids and N-acyl ethanolamides, and 21 non-hydroxylated ceramides and sphingoid bases, several demonstrating significantly different expression in the tissues assayed. The array of dermal and epidermal fatty acids was reflected in the lipid mediators produced, whereas similarities between lipid profiles in blister fluid and epidermis indicated a primarily epidermal origin of suction blister fluid. Supplementation with omega-3 fatty acids ex vivo showed that their action is mediated through perturbation of existing species and formation of other anti-inflammatory lipids. These findings demonstrate the diversity of lipid mediators involved in maintaining tissue homeostasis in resting skin and hint at their contribution to signaling, cross-support, and functions of different skin compartments. Profiling lipid mediators in biopsies and suction blister fluid can support studies investigating cutaneous inflammatory responses, dietary manipulation, and skin diseases lacking biomarkers and therapeutic targets.

Lipids are important for structural and physiological functions of neuronal cell membranes. They exhibit a range of biological effects many are bioactive lipid mediators derived from polyunsaturated fatty acids such as sphingolipids, fatty acid ethanolamides (FA-EA) and endocannabinoids (EC). These lipid mediators and oxysterols elicit potent bioactive functions in many physiological and pathological processes of the brain and neuronal tissues. They have been investigated for biomarker discovery of ageing, neuroinflammation and neurodegenerative disorders. The n-3 fatty acids EPA and DPA are thought to exhibit a range of neuroprotective effects many of which are mediated through production of such lipid mediators. The aims of this study were to evaluate the effects of n-3 EPA and n-3 DPA supplementation on RBC membranes and in this way assess dietary compliance and to investigate brain sphingomyelin species of adult and aged rats supplemented with n-3 EPA and n-3 DPA to evaluate the effects and benefits on age-related changes in the brain. Furthermore, to study the effects of lithium on the brain FA-EAs and ECs to further understand the neuroprotective effects of lithium neuroprotective action on neuroinflammation as induced by LPS. Finally to examine if circulating oxysterols are linked to the prevalence of ALS and whether RBC fatty acids are markers of this action in relation to age and disease stages. These analytes were extracted from tissue samples and analysed with GC, LC/ESI-MS/MS and GC-MS. It was found that aged rats exhibited a significant increase in brain AA and decrease in Σn-3 and Σn-6 PUFAs when compared to adult animals. The observed increase of brain AA was reversed following n-3 EPA and n-3 DPA supplementation. Sphingomyelin was significantly increased when aged animals were supplemented with n-3 DPA. LPS treatment following lithium supplementation increased LA-EA and ALA-EA, while it decreased DHA-EA. Both oxysterols 24-OH and 27-OH increased in ALS patients and SOD1-mice. Eicosadienoic acid was different in ASL-patients compared to aged SOD1-mice. These studies demonstrated that dietary intake of n-3 EPA and n-3DPA significantly altered RBC fatty acids and sphingolipids in rat brain. They suggest that n-3 DPA can be a potential storage form for EPA, as shown by retro-conversion of n-3 DPA into EPA in erythrocyte membranes, ensuring supply of n-3 EPA. Also, n-3 EPA and n-3 DPA supplementation can contribute to an increase in brain sphingomyelin species with implications for age effects and regulation of brain development. Effects of lithium highlight novel anti-neuroinflammatory treatment pathways. Both 24-hydroxycholesterol and eicosadienoic acid may be used as biomarkers in ALS thereby possibly helping to manage the progressive stages of disease.

Lipids are important for structural and physiological functions of neuronal cell membranes. They exhibit a range of biological effects many are bioactive lipid mediators derived from polyunsaturated fatty acids such as sphingolipids, fatty acid ethanolamides (FA-EA) and endocannabinoids (EC). These lipid mediators and oxysterols elicit potent bioactive functions in many physiological and pathological processes of the brain and neuronal tissues. They have been investigated for biomarker discovery of ageing, neuroinflammation and neurodegenerative disorders. The n-3 fatty acids EPA and DPA are thought to exhibit a range of neuroprotective effects many of which are mediated through production of such lipid mediators. The aims of this study were to evaluate the effects of n-3 EPA and n-3 DPA supplementation on RBC membranes and in this way assess dietary compliance and to investigate brain sphingomyelin species of adult and aged rats supplemented with n-3 EPA and n-3 DPA to evaluate the effects and benefits on age-related changes in the brain. Furthermore, to study the effects of lithium on the brain FA-EAs and ECs to further understand the neuroprotective effects of lithium neuroprotective action on neuroinflammation as induced by LPS. Finally to examine if circulating oxysterols are linked to the prevalence of ALS and whether RBC fatty acids are markers of this action in relation to age and disease stages. These analytes were extracted from tissue samples and analysed with GC, LC/ESI-MS/MS and GC-MS. It was found that aged rats exhibited a significant increase in brain AA and decrease in ¿n-3 and ¿n-6 PUFAs when compared to adult animals. The observed increase of brain AA was reversed following n-3 EPA and n-3 DPA supplementation. Sphingomyelin was significantly increased when aged animals were supplemented with n-3 DPA. LPS treatment following lithium supplementation increased LA-EA and ALA-EA, while it decreased DHA-EA. Both oxysterols 24-OH and 27-OH increased in ALS patients and SOD1-mice. Eicosadienoic acid was different in ASL-patients compared to aged SOD1-mice. These studies demonstrated that dietary intake of n-3 EPA and n-3DPA significantly altered RBC fatty acids and sphingolipids in rat brain. They suggest that n-3 DPA can be a potential storage form for EPA, as shown by retro-conversion of n-3 DPA into EPA in erythrocyte membranes, ensuring supply of n-3 EPA. Also, n-3 EPA and n-3 DPA supplementation can contribute to an increase in brain sphingomyelin species with implications for age effects and regulation of brain development. Effects of lithium highlight novel anti-neuroinflammatory treatment pathways. Both 24-hydroxycholesterol and eicosadienoic acid may be used as biomarkers in ALS thereby possibly helping to manage the progressive stages of disease. / Libyan Government