Ratoon stunting disease (RSD) is a serious disease that affects all sugarcane producing countries. The major symptom of RSD is plant growth reduction, which is only seen in ratoon plants, causing up to 80% biomass reduction depending on environmental conditions. The disease is due to Leifsonia xyli subsp. xyli (Lxx), a gram-positive and nutritionally fastidious bacterium that so far has been found to specifically colonize the xylem vessels of sugarcane. However, the successful early detection of this pathogen is currently the main challenge for RSD prevention. Breeding for resistance to RSD, although not in practice, is a viable control measure. Since sugarcane varieties differ in relation to their degree of colonization by Lxx and losses are directly related to population densities of the pathogen in the plant, a promising breeding strategy would be to select for genotypes that are resistant to bacterial multiplication. Thus, knowledge on the responses of sugarcane to RSD at the \"omics\" level is an essential starting step to identify key metabolic targets for breeding resistant varieties. The overall goal of this study is to determine the metabolic profiles of a susceptible (CB49-260) and resistant (SP80-3280) variety inoculated or not with Lxx and to compare the results with existing proteomic and transcriptomic data to define a core of targets (proteins, genes, and metabolites) that can be tested as markers of resistance in a collection of sugarcane varieties. Bacterial titers were quantified by Real-Time PCR (qPCR). The metabolites were profiled from the leaves and from the xylem saps collected at 30 and 120 days after inoculation (DAI). Untargeted analysis were performed with Gas Chromatography - Mass Spectrometry (GC-MS) and were carried out on leaves and sap from 120 DAI. Targeted analysis was executed with Liquid Chromatography - Tandem Mass Spectrometry (LC-MS/MS) on both tissues at both timepoints. To validate metabolomics results, a set of metabolites was chosen to be tested in vitro, in order to detect growth alterations caused to Lxx. qPCR confirmed the susceptibility of CB49-260 as it had higher titers than SP80-3280. Global analysis revealed that both varieties and tissues have different metabolic profiles but that those differences are more quantitative than qualitative. The targeted approach identified more amino acids, sugars, organic acids and phosphorylated compounds in the non-inoculated susceptible genotype, while the resistant one had higher abundance of phenolics. It was also shown that inoculation with Lxx results in more relative abundance of amino acids, organic acids, phosphorylated compounds and phenolics. Furthermore, a key amino acid for Lxx survival was related to inoculation on both varieties, as well as a known phenolic compound related to plant defense. Distinguished phenolics resulting from the targeted analysis were selected to evaluate their effect on Lxx growth in vitro. Although some compounds caused inhibition, further optimization of the methodology is needed to confirm these results. / O Raquitismo-da-soqueira (RSD) é uma grave doença que afeta todos os paises produtores de cana-de-açúcar. O principal sintoma do RSD é tamanho reduzido das plantas, observado apenas nas plantas-soca, o que pode resultar em perdas de biomassa em até 80%, dependendo das condições climáticas. A doença é causada por Leifsonia xyli subsp. xyli (Lxx), uma bactéria gram-positiva e fastidiosa, descrita até o presente momento como hospedeira natural apenas da cana-de-açúcar, colonizando principalmente os vasos do xilema. Todavia, a detecção precoce deste patógeno é o principal desafio para prevenção do RSD. O melhoramento genético para resistência ao RSD, apesar de viável, não é uma medida de controle adotada na prática. Como existe diferenças entre as variedades de cana em relação ao grau de colonização por Lxx e as perdas estão diretamente relacionadas ao título bacteriano, uma estratégia de melhoramento promissora é a seleção de genótipos que apresentam resistência à multiplicação bacteriana. Portanto, o conhecimento das respostas da cana-de-açúcar ao RSD em termos \"ômicos\" é um passo inicial primordial para a identificação de alvos-chave para melhorar variedades resistentes. O objetivo geral deste estudo foi determinar os perfis metabólicos de duas variedade, uma suscetível (CB49-260) e uma resistente (SP80-3280) inoculada ou não com Lxx e comparar os resultados com dados já existentes de proteômica e transcriptômica para definir um núcleo de alvos (proteínas, genes e metabólitos) que possam ser testados como marcadores de resistência em uma coleção de cana-de-açúcar. Os títulos bacterianos foram quantificados por PCR em tempo real (qPCR). Os perfis metabólicos foram elaborados a partir de folhas e fluído xilemático coletados aos 30 e 120 dias após inoculação (DAI). A análise não-direcionada foi realizada por cromatografia gasosa acoplada à espectrometria de massas (GC-MS), usando folhas e extratos coletados aos 120 DAI. Já a análise direcionada foi efetivada via cromatografia líquida acoplada à espectrometria de massas em tandem (LC-MS/MS), em ambos tecidos e tempos de coleta. Para validar os resultados de metabolômica, um grupo de metabólitos destacado nas análises de metabolômica foi escolhido para testes in vitro e por fim detectar alterações no crescimento de Lxx. O resultado do qPCR confirmou a suscetibilidade da CB49-260, pois esta continha títulos superiores à SP80-3280. A análise global revelou que ambos variedades e tecidos possuem perfis metabólicos distintos, porém essas diferenças foram mais quantitativas que qualitativas. A análise direcionada identificou mais aminoácidos, açúcares, ácidos organicos e compostos fosforilados no genótipo suscetível não-inoculado, enquanto que o resistente apresentou maior abundância de compostos fenólicos. Também foi demonstrado que a inoculação com Lxx resultou em maior quantidade de aminoácidos, ácidos orgânicos, compostos fosforilados e fenólicos. Ademais, um aminoácido essencial à sobrevivência de Lxx foi relacionado à inoculação de ambas variedades, assim como um composto fenólico relacionado a defesa de plantas. O teste in vitro mostrou que, apesar de alguns compostos causarem inibição, é necessário aprimorar a metodologia utilizada para confirmar os resultados obtidos.

Les maladies cardiovasculaires (MCV) sont la première cause de décès dans le monde. Les problèmes majeurs dans la gestion de ces patients sont le diagnostic et la prédiction du pronostic. Les microARN (miARN) sont de petits ARN simple brin non codants qui inhibent l’expression des gènes. Les miARN circulants sont apparus comme biomarqueurs potentiels des MCV. Les miARN pourraient être également utiles pour la réparation cardiaque post infarctus du myocarde (IM). Nous avons émis l’hypothèse que les miARN pourraient être utilisés comme biomarqueurs des MCV et outils thérapeutiques dans la réparation cardiaque post-IM. Nous avons évalué la capacité diagnostique des miARN chez des patients avec douleurs thoraciques. Les miR-208b et miR-499 sont de potentiels biomarqueurs diagnostiques chez les patients avec IM mais n’améliorent pas la valeur diagnostique des biomarqueurs traditionnels. Le miR-423-5p permet de prédire la réhospitalisation des patients atteints d’insuffisance cardiaque aiguë et les miR-21 et miR-122 sont associés aux séquelles neurologiques de patients après arrêt cardiaque. Les miARN circulants seraient de potentiels biomarqueurs diagnostiques/pronostiques des MCV. Nous avons également montré qu’inhiber le miR-16 permet de stimuler la prolifération, la différenciation et les capacités pro-angiogéniques des cellules endothéliales progénitrices et que le miR-150 est impliqué dans l’effet de l’adénosine sur leur recrutement post-IM. Les miARN pourraient être utilisés pour améliorer la revascularisation post-IM. En conclusion, nos études contribuent à la caractérisation de plusieurs miARN dont l’utilité clinique dans le domaine cardiovasculaire reste à confirmer. / Cardiovascular diseases are the leading cause of death in the world. Major issues in the management of these patients lie on the diagnosis and the prediction of the prognosis. MicroRNAs (miRNAs) are small single-stranded non-coding RNAs that inhibit gene expression. Circulating miRNAs appeared as potentials biomarkers of cardiovascular diseases. MicroRNAs could be also useful to stimulate cardiac repair. We hypothesized that miRNAs could be used as biomarkers of cardiovascular diseases, and also as therapeutic tools to improve cardiac repair after myocardial infarction. We evaluated the diagnostic capacity of miRNAs in patients with chest pain. MicroRNA-208b and miR-499 were potential diagnostic biomarkers in patients with myocardial infarction, without improving the diagnostic accuracy of traditional biomarkers. MicroRNA-423-5p predicted the rehospitalization of patients with acute heart failure and miR-21 and miR-122 are associated with neurological damage after cardiac arrest. Overall, our results indicate that circulating miRNAs could be useful diagnostic and prognostic biomarkers of cardiovascular diseases. We also showed that inhibiting miR-16 could stimulate the proliferation, differentiation and pro-angiogenic capacities of endothelial progenitor cells and that miR-150 is involved in the effect of adenosine on the recruitment of these cells after myocardial infarction. These results suggest that miRNAs could be used to improve the revascularization after myocardial infarction. In conclusion, our studies contributed to the characterization of several miRNAs, which clinical utility in the cardiovascular field remains to be confirmed.

Antimicrobial peptides are an ancient form of innate defense and is present in all ways of life. In humans they are present as cathelicidins and defensins. Both are important for the immune system and they exhibit activity against viruses, bacteria and fungi. Defensins exhibit less cytotoxicity and are better characterized and are thus more easily developed as therapeutic tools. Defensins are apt at doing a multitude of things, from inhibiting Herpes simplex virus replication and preventing anthrax’ lethality to helping with wound closure and acting as biomarkers for a variety of ailments. Defensins have consistently shown good results in a laboratory setting but have less than exemplary in vivo results. Defensins’ multifunctionality as well as the complex environment in living organisms makes characterizing why defensins are not performing as well in vivo difficult. They can also exhibit negative side-effects such as increasing the infectivity of the HIV and inhibiting anti-viral molecules of the innate immune system. Nevertheless, they exhibit big potential as complementary drugs, adjuvants, biomarkers, wound treatment and much more. Further characterization and development is absolutely necessary in these times of increasing antibiotic resistance.

O presente trabalho objetivou explorar a eventual variação da expressão do mRNA e da proteína S100b no hipocampo, cerebelo e córtex cerebral de ratos neonatos em condições de anóxia, comparativamente à condições controle. Este estudo foi desenvolvido em ratos albinos, divididos em dois grupos: o grupo Experimental Anóxia (EA) e o grupo Experimental Controle (EC), que por sua vez foram subdivididos em tempos de 2, 4, 6, 12 e 24 horas no que se refere à coleta de amostras após a aplicação dos estímulos pré-estabelecidos para cada grupo. Dos períodos avaliados, nossos resultados indicaram que a anóxia proporcionou um pico na expressão gênica de S100b após duas horas e proteica após 4 horas nas áreas do hipocampo e cerebelo. O córtex cerebral do grupo EA quando comparado ao grupo EC, não apresentou nenhum aumento significante de S100b nos períodos avaliados. Os resultados obtidos contribuem de forma crucial para elucidação do papel da proteína S100b como biomarcadora na EHI, bem como no esclarecimento parcial da função deste gene com relação à fisiopatologia da doença. / The aim of the present study was to investigate the temporal variation in the expression of S100b mRNA and protein in the hippocampus, cerebellum, and cerebral cortex of newborn rats under conditions of anoxia compared with control rats. The study was performed using two groups albino rats: Experimental Anoxia (EA) and Experimental Control (EC). The animals in both EA and EC were distributed in the following subgroups relative to the time elapsed since the application of the stimuli predefined for each group: two, four, six, 12, and 24 hours. Anoxia induced a peak in the S100b gene expression after two hours and protein expression after 4 hours in the hippocampus and cerebellum. With respect to the cerebral cortex, S100b never exhibited a significant increase in the EA group compared with the EC group. The results of the present study represent a crucial contribution to the elucidation of the role protein S100b plays as a biomarker in HIE, as well as a contribution to the elucidation of the role the corresponding gene plays in the physiopathology of the disease.

Gastrointestinal (GI) alpha-synuclein (ASN) detection may represent a clinically useful biomarker of Parkinson's disease (PD), but this has been challenged by conflicting results of recent studies employing different immunohistochemical (IHC) methods and reporting diverse morphological patterns with variable biological interpretation. To increase sensitivity and specificity, we applied three different techniques to detect different possible conformations of ASN in GI tissue derived from biopsies of the GI tract, which were obtained from a longitudinally followed, clinically well-characterized cohort of PD subjects and healthy controls (HC) (Oxford Discovery study). With IHC, we used antibodies reactive for total (T-ASN-Abs), phosphorylated (P-ASN-Abs) and oligomeric (O-ASN-Abs) ASN; with the ASN Proximity Ligation Assay (AS-PLA), we targeted oligomeric ASN species specifically; finally, with the Paraffin-Embedded Tissue Blot (PET-Blot) we aimed to detect fibrillary conformations of ASN specifically. Optimisation and validation of the PET-Blot and PLA techniques was carried out with studies on brain tissue from subjects with ASN pathology, and these experiments were used to gain insight into morphology and distribution of different conformational variants of ASN in the brain of subjects with Lewy pathology. We specified all the detected morphological staining patterns with each technique interpreting them as pathologic or non-specific. Correlation to clinical symptoms was assessed to investigate the potential predictive or diagnostic value of specific staining patterns as biomarkers. A total of 163 GI tissue blocks were collected from 51 PD patients (113 blocks) and 21 healthy controls (50 blocks). In 31 PD patients, GI biopsies had been taken before PD diagnosis (Prodromal PD group); while in 20 PD patients biopsies were obtained after PD diagnosis (Manifest PD group). The majority of these tissues blocks were from large intestine (62%), followed by small intestine (21%), stomach (10%) and oesophagus (7%). With IHC, four ASN staining patterns were detected in GI tissue (Neuritic, Ganglionic, Epithelial, and Cellular), while two distinct staining patterns were detected with AS-PLA (cellular and diffuse signal) and with AS-PET-Blot (ASN-localised and peri-crypt signal). The level of agreement between different techniques was generally low, and no single technique or staining pattern was able to reliably distinguish PD patients (Prodromal or Manifest) from HC. Overall, our study suggests that even specific detection of ASN conformational variants currently considered pathologic was not adequate for the prediction of PD. Future studies with these or other novel techniques focusing on the upper part of the GI tract could overcome current limitations in sensitivity and specificity.

Background: Systemic lupus erythematosus (SLE) is a multi-system autoimmune disease characterised by autoantibody production and variable clinical features, ranging from mild to severe disease. Patients with SLE are at increased risk of developing accelerated atherosclerosis. Biomarkers have potential utility in SLE as markers of disease or predictors of future clinical events and mortality. Objective The aim of this thesis was to identify serological biomarkers predictive for erosive arthritis (EA), cardiovascular events (CVEs), mortality and subclinical atherosclerosis in SLE. Methods: In chapters 2 to 4, study subjects were SLE patients from Bath. Anti-cyclic citrullinated peptide antibodies (ACPA) and HLA-DR and -DQ were studied for markers of EA, and anticardiolipin (aCL) and lipoprotein profiles for markers of CVEs and mortality. In chapters 5 and 6, study subjects were women with SLE from Manchester. B-mode ultrasound scans of subjects' carotid arteries were performed at baseline and follow-up time-points to detect atherosclerotic plaque. Baseline IgG and IgM antiphospholipid (aPL) antibodies and CV risk factors were studied for markers of subclinical atherosclerosis. Clinical data collected for all studies included SLE features and auto-antibody profiles. Results: ACPA was identified as a marker of a SLE phenotype with EA - "rhupus". Patients with major erosive arthritis were HLA-DQB1*0302 carriers. Increased aCL GPL levels and total cholesterol : high density lipoprotein-C (TC : HDL-C) ratio were markers for future CVEs, and increased TC : HDL ratio, aCL GPL and lipoprotein(a) concentrations were markers for increased mortality. Lower HDL-C concentrations and anti-annexin A5 (anti-AnxA5) GPL were markers of carotid plaque progression. Conclusion: This thesis identified new markers for EA, subclinical atherosclerosis and future CVE and mortality risk in SLE. Strategies to incorporate these new CV markers into clinical CV risk assessments may assist in distinguishing the subset of SLE patients most at risk of developing accelerated atherosclerosis.

The introduction of prostate-specific antigen (PSA) testing about 3 decades ago led to the possibility of early detection of prostate cancer (PCa). Although PSA testing reduced the mortality rate, it is also associated with high risk of over diagnosis in patients with and without PCa. Despite the current drawbacks, it would be a challenge to replace PSA testing entirely. Instead, there is a need to develop parallel testing of other potential biomarkers that can complement the results from PSA tests. To address alternative biomarker sensing, this thesis highlights on the development of oligonucleotide-based biosensors for the detection of different biomarkers of PCa. Using PSA as a gold standard, the first study of this dissertation investigates the use of DNA aptamers to detect PSA using electrochemical impedance spectroscopy (EIS). The study compares 6-mercapto 1-hexanol chemistry with sulfo-betaine chemistry for the development of PSA aptasensor in terms of performance and selectivity. The second study focuses on glycoprofiling in order to complement PSA quantification as an additional information for reliable PCa diagnosis. This strategy was developed in a microfluidic channel with an optical read out using chemiluminescence. This study addresses one of the major problems of cross-reactivity with lectins in glycoprofiling, which can be solved using DNA aptamers. A third study concentrates on the development of an aptasensor for Alpha-Methylacyl-CoA Racemase (AMACR). AMACR has been reported for its high specificity and sensitivity to PCa. For the fabrication of the biosensor, a new strategy using polyethylene glycol was developed by electrochemical grafting it to a polypyrrole film. Since PCa diagnosis can be improved by looking at different biomarkers, an electrochemical platform for miRNA/DNA detection using a gold nanoparticle amplification strategy was also investigated. The sensor was fabricated using peptide nucleic acids (PNA) probes on gold electrodes. The study presents non-Faradaic EIS and amperometric techniques in order to exploit the inherent charges of nucleic acids. In conclusion, this thesis wants to serve as a potential orientation for overcoming the shortcomings of the current PCa testing and contribute towards the development of oligonucleotide-based biosensors for PCa biomarker detection and hopefully enhance the diagnosis and prognosis of PCa.

Les mangroves sont de plus en plus mentionnées comme outil de bioremédiation potentiel dans le traitement des eaux usées (EU). Actuellement, les effets des rejets d’EU sur la macrofaune, et plus particulièrement sur les crabes de mangrove, ne sont pas clairs. Ces espèces sont dites ingénieurs de cet écosystème, notamment grâce à leur activité de bioturbation qui permet, entre autres, l’infiltration des EU dans le sédiment via leurs terriers. L’objectif ont donc été d’étudier l’impact du rejet d’EU domestiques sur la physiologie (osmorégulation, métabolisme et balance oxydative) de 3 espèces de crabe (2 Sesarmidae et 1 Ocypodidae) par une approche combinant expérimentations en laboratoire et sur le terrain en utilisant un site pilote expérimental sur l’île de Mayotte. Ces crabes qui vivent dans la zone intertidale ont un mode de vie bimodal et font fréquemment face à des salinités variables. Ils sont de bons hyper-hypo-osmorégulateurs et sont adaptés à cette vie à l’interface entre terre et eau aussi bien au niveau de la régulation ionique que de la respiration. Les résultats indiquent que la densité des terriers diminue dans les zones d’écoulement des EU et que la communauté des espèces est modifiée avec la dominance de Parasesarma guttatum (PG) qui n’est pas une espèce bioturbatrice. Les EU induisent donc une modification potentielle du fonctionnement de l’écosystème. PG diminue son métabolisme alors que les deux autres espèces étudiées l’augmentent significativement. Immergées dans les EU, les trois espèces étudiées présentent des atteintes de la fonction osmorégulatrice (activité de la Na+/K+-ATPase et épaisseur d’épithélium branchiale) et de la balance oxydative (formation d’espèces réactives de l’oxygène dans l’hémolymphe et enzymes antioxydantes des branchies) en laboratoire mais des effets moins marqués sont observés chez les crabes maintenus in situ dans des terriers artificiels. Les biomarqueurs étudiés peuvent ainsi être utilisés pour mesurer l’état physiologique des crabes soumis à des rejets d’EU domestiques. Ces atteintes qui entraînent des coûts métaboliques supplémentaires peuvent mener à la réduction de leur fitness, contribuant à expliquer les observations écologiques. De plus, les résultats montrent que les crabes violonistes sont les plus sensibles, suivis des deux Sesarmidae alors que PG semble mieux adapté pour éviter les EU. Si aucun dysfonctionnement majeur n’a été observé à l’échelle de l’écosystème jusqu’à présent, il convient de maintenir un suivi régulier de ces espèces, en tenant compte de leur spécificité en termes d’activité bioturbatrice et de santé physiologique. / Mangroves are increasingly proposed as a bioremediation tool for wastewater (WW) treatment. However, this practice can impact mangrove crabs which are key engineer species of the ecosystem through their bioturbation activities. Their burrows are directly involved in the bioremediation process allowing WW infiltration in the sediment. This study aimed to determine the effects of WW on the physiology (osmoregulation, bioenergetics, oxidative balance) of 3 species of crabs (2 Sesarmidae and 1 Ocypodidae) with laboratory and in situ experiments (burrow density and caging experiment in an experimental area with controlled WW releases on a mangrove located on the island of Mayotte). These crabs inhabit the intertidal area of variable salinity with a bimodal life (aquatic and terrestrial). They are good hyper-hypo-osmoregulators and well adapted to terrestrial life both in terms of osmotic and aerial breathing capacities. Burrow density decreases in flat areas where WW flows and crab community is altered with a marked dominance of Parasesarma guttatum (PG) (a species with no bioturbation activity). This change may induce drastic alterations of the ecosystem functioning. The bioenergetic response of PG is totally different from the other studied species. PG decreases its metabolic rate in WW but the other species have increased metabolic activity. Moreover, after laboratory exposure the 3 species show impairments in their osmoregulatory capacity (Na+/K+-ATPase activity and epithelium gill thickness) and oxidative balance (reactive oxygen species formation in haemolymph and antioxidant enzyme activity in gills) due to WW exposure in laboratory conditions. In situ, encaged crabs showed a similar but reduced pattern. These effects could decrease their fitness and may also explain the observed ecological changes. The biomarkers used in this study may be a useful tool to monitor crab populations. Moreover, our results show that fiddler crabs are the most sensitive to WW followed by other Sesarmidae. PG seems better adapted to avoid WW exposure. Even if no major dysfunction is observed at the ecosystem level yet, WW release should be carefully monitored nevertheless with an emphasis on crab bioturbation activity and their physiological health according to species sensitivity.

A pneumonia nosocomial é uma infecção prevalente e associada com elevados custos e morbi-mortalidade. A maioria destes episódios ocorre em pacientes criticamente doentes em ventilação mecânica. Os biomarcadores, como a proteína C-reativa, tem se mostrado uteis na avaliação da evolução dos pacientes, podendo se descrever padrões de resposta associados ao sucesso da terapia antimicrobiana e ao prognostico de paciente com pneumonia associada a ventilação mecânica. Nesta tese, apresenta-se uma revisão da literatura abordando aspectos da fisiopatologia, diagnostico e manejo da pneumonia associada a ventilação mecânica. Além disso, é feita a análise do uso de biomarcadores em duas populações especificas de pacientes criticamente doentes (pacientes com doença critica cronica e pacientes idosos). Foram avaliados 405 pacientes com diagnostico clínico de pneumonia associada a ventilação mecânica. Descreve-se que pacientes com doença critica crônica apresentam episódios de pneumonia associada a ventilação mecânica com pior prognostico do que pacientes que não apresentam doença critica crônica. Entretanto, esses achados não parecem associados a um comprometimento da resposta inflamatória, uma vez que nao houve diferença significativa nem nos níveis basais, nem na evolução dos níveis de proteína C-reativa comparando episódios de pacientes com doença critica crônica com aqueles sem esta condição, sugerindo que seu uso é válido nessa população de pacientes. Ainda, descreve-se a evolução dos pacientes com pneumonia associada a ventilação mecânica de acordo com a idade. A partir dos 65 anos, parece haver um efeito da idade na mortalidade dos pacientes com PAV. No entanto, não houve alteração na resposta da PCR ou na sua cinética nas primeiras 96h quando comparamos pacientes com diferentes faixas etárias a partir de um ponto de corte de 65 anos, também sugerindo a validade do uso deste biomarcador nesta população de pacientes. Estes achados originais permitem que estudos futuros avaliem intervenções baseadas em biomarcadores em pacientes com pneumonia nosocomial levando em consideração estas populações especificas de pacientes não avaliadas previamente na literatura. / Nosocomial pneumonia is a prevalent infection associated with higher costs and worse outcomes. Most episodes occur in mechanically ventilated critically ill patients. Biomarkers, such as C-reactive protein, are useful to assess patients evolution, allowing identification of patterns associated with antimicrobial treatment success and prognosis in ventilator-associated pneumonia patients. In this thesis, a literature review is presented evaluating aspects of pathopsysiology, diagnosis and management of ventilator-associated pneumonia patients. In addition, biomarker use in two specific populations (chronic critical illness and elderly) was assessed. Four hundred and five patients with ventilator associated pneumonia clinical diagnosis were evaluated. Patients with chronic critical illness presented ventilator-associated pneumonia episodes associated with worse prognosis. However, these findings were not associated with a compromise of inflamatory response, assessed by comparison of C-reactive protein basal levels and kinetis evolution in patients with and wihtout chronic critical illness, suggesting its use remains valid in this specific population. Still, evolution of ventilator-associated pneumonia according to age is described. After 65 years old, our data suggest an effect of age on mortality in ventilator-associated pneumonia patients. However, no change in C-reactive protein basal levels, response or kinetics within 96h was found when comparing patients younger and older than 65 years old, also suggesting this biomarker usefulness in this specific population. These original findings allow that future studies assessing intervention based on biomarkers evolution in patients with nosocomial pneumonia consider these specific populations, never assessed before in literature.

Uma das maiores dificuldades das terapias de reprodução assistida é a seleção de células germinativas de boa qualidade para posterior fertilização e implantação. Atualmente, a seleção de oócitos se dá basicamente por avaliação morfológica, que não reflete satisfatoriamente a competência oocitária. Assim, a busca por bioindicadores da qualidade oocitária é necessária. O cumulus oophorus forma um conjunto de células somáticas que circundam o oócito no folículo antral,mantendo uma relação íntima com a célula germinativa, com comunicação direta via junções tipo GAP. As células do cumulus oophorus são descartadas após técnicas de fertilização in vitro, o que as torna um material de fácil acesso, livre de conflitos éticos. Uma série de metodologias de análise das células do cumulus foram propostas para identificação de anormalidades no oócito. Porém, nenhuma delas é rotineiramente utilizada na clínica. Os processos celulares das células do cumulus refletem as condições do microambiente folicular, e podem, assim, trazer evidências das condições oocitárias. Nosso grupo analisou as células do cumulus primeiramente por meio de abordagens de bioinformática, que revelaram processos celulares relacionados ao desenvolvimento de embriões até o estágio de blastocisto. Com base nestes resultados, análises de parâmetros bioquímicos e expressão gênica das células do cumulus foram realizadas e permitiram a identificação de possíveis biomarcadores da qualidade do oócito que levam em consideração as características clínicas das pacientes. Estas análises indicaram que expressão do gene PTGS2 e a atividade da enzima Glutationa-S-Transferase como indicadores da formação de blastocistos em pacientes com diferentes variáveis clínicas (backgrounds) analisados. Se confirmados, estes parâmetros poderão ser utilizados como biomarcadores no ambiente clínico, elevando as taxas de sucesso em técnicas de reprodução assistida. / One of the great challenges in assisted reproduction techniques is the selection of appropriate germ cells for fertilization and implantation. Nowadays, oocyte selection occurs basically through morphological evaluation, which does not reflect satisfactorily the oocyte competence. Therefore, the search for bioindicators of oocyte quality is necessary. The cumulus oophorus forms a set of somatic cells that surround the oocyte in the antral follicle, participating in the processes of oocyte maturation and folliculogenesis. These cells maintain an intimate relationship with the germ cell, with direct communication via GAP junctions. Cumulus oophorus cells are discarded in in vitro fertilization techniques, which makes them an easy-access material that can be collected in a free-of-ethicalissues way. A series of cumulus cell analysis methodologies were proposed to identify abnormalities in the oocyte. However, none of them is routinely used in clinical environment. The cellular processes of cumulus cells reflect the conditions of the follicular microenvironment, and may thus bring evidences of oocyte conditions. Our group analyzed cumulus cells in search of predictors of oocyte quality primarily through bioinformatics approaches, which revealed cellular processes related to the development of embryos up to the blastocyst stage. Based on these results, analyzes of biochemical parameters and gene expression of cumulus cells were performed and allowed the identification of possible biomarkers of oocyte quality that takes into consideration patients clinical variables. These analysis indicated PTGS2 expression and Glutathione-S-Transferase activity as indicators of blastocyst formation in all patient profiles (backgrounds) analyzed. If confirmed, these parameters may be used as biomarkers in clinical environment, improving assisted reproduction success rates.