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Le cancer du sein est considéré comme le cancer le plus dangereux jamais diagnostiqué chez les femmes dans le monde. Plusieurs équipes de recherche essaient de délivrer le mystère de ce cancer en étudiant plusieurs facteurs qui y sont impliqués. Dans notre laboratoire on a essayé d'étudier les interactions entre les gènes antioxydants : SOD l , SOD2, GPx 1 et CA T et de comprendre la relation qui peut exister entre ces gènes et le cancer du sein. Ces enzymes, malgré qu'elles accomplissent des fonctions similaires, elles se localisent dans des compartiments cellulaires différents. Pour cette étude on a utilisé des outils bio-informatiques jugés de très intéressants et très efficaces pour répondre à trois questions principales: a) Les quels des différents variants de SOD2 et de GPxI qui sont surexprimés dans les cellules mammaires cancéreuses (ER+)? b)Y'a-t-il des régions similaires entre les différentes régions codantes et non codantes entre ces gènes, si oui, est-ce que ces ressemblances ont des effets sur leurs niveaux d'expressions et est ce que ces ressemblances peuvent expliquer les mécanismes de régulation de nos quatre gènes et déterminer par quel moyen ils communiquent entre eux? c) Est-ce que la régulation de l'expression de nos quatre gènes peut être due à certains facteurs de transcription communs entre eux, si oui les quels? Notre étude a réussi à répondre à ces trois questions pour donner des bonnes perspectives au niveau des études scientifiques sur ce type de cancer, mais des études plus approfondis en laboratoire seront très intéressants pour mieux comprendre la relation entre les gènes antioxydants et le cancer du sein.

Water stress is the most critical environmental factor limiting crop production in the US Piedmont. The presence of humic substances in composted organic amendments may increase crop tolerance to water stress through their hormone-like effects on plant metabolism. The objectives of this study were to calculate N mineralization rates of composted and non-composted organic materials used in this long-term field study, and to determine differences in soil physiochemical properties, corn and soybean leaf physical and biochemical properties yield and seed quality between organically amended and inorganically fertilized treatments. Nitrogen mineralization rates were greatest in the poultry litter (21%) and Panorama yard waste compost (4.5%) amended plots. Nitrogen uptake (120 mg/pot, 133 mg/pot, respectively) in these treatments were greater than that in the control (0N) (91.3 mg/pot) treatment. Wolf Creek biosolids compost and Huck's Hen Blend yard waste compost induced N immobilization (-5.0% and 0.18%, respectively), and had N uptake values similar to the control (92.6 mg/pot and 95.7 mg/pot). Rivanna biosolids compost immobilized N (-14.8%) but N uptake (136 mg/pot) was greater than that in the control due to the relatively high inorganic N content in the amendment. The total N concentration and C:N values were less reliable variables in predicting N mineralization when a significant portion of the total N was in the inorganic form. The annual application of poultry litter, Rivanna biosolids compost, and Panorama yard waste compost at 100% agronomic nitrogen and 30 % agronomic nitrogen rates in the field study improved soil fertility and increased total organic and humified carbon contents relative to the inorganically fertilized and control treatments. The amended treatments had slightly greater plant available water contents (average 10.0 cm/15 cm) than the control (8.38 cm/15 cm). Leaf water potential measurements revealed that neither crop experienced water stress during the sampling season. Treatment differences in leaf antioxidant activity were only observed in corn. All corn plants that were fertilized with amendments supplying the crop's nitrogen needs, regardless of the source, had greater leaf nitrogen (+29%), chlorophyll (+33%), and protein contents (+37%), lower superoxide dismutase (-29%) and ascorbate peroxidase (-17%) activities, and lower malondialdehyde (-33%) contents relative to the control and low nitrogen treatments. There were no observed differences in catalase activity, which was likely due to the evolutionary advantage of C4 metabolism. Yield was strongly related to midseason leaf nitrogen contents (R2=0.87, p<0.0001) and not soil humified carbon (R2=0.02, p=0.0543). There were no observed treatment differences in soybean leaf physiology and metabolism. Differences, however, were observed over time. As the leaves senesced, leaf chlorophyll, protein, superoxide dismutase and catalase activities decreased, and the malondialdehyde content increased. Ascorbate peroxidase activity slightly increased with time. Catalase activity in soybean was primarily driven by the oxidation of glycolate, a product of photorespiration, and not the formation of reactive oxygen species in the chloroplasts. The organically amended treatments had higher yields (9-21% increase), greater protein contents (4-9% increase), and seed weights (5-14% increase) relative to the fertilizer and control treatments. It was concluded that differences in soybean yield and seed quality were due to non-nutritive benefits of the organic amendments and not available water or plant nutrition. / Master of Science

Le stress oxydant est un acteur clé dans les réponses des plantes à des conditions contraignantes. En raison de la complexité de la régulation de l’état redox cellulaire, il reste beaucoup à élucider concernant les interactions entre différentes composantes dans ces conditions. Grâce à une approche de génétique inverse basée sur un mutant d’Arabidopsis déficient en catalase (cat2) qui présente des modifications d’état redox prévisibles et bien définies, cette étude a exploré les interactions entre le stress oxydant et (1) un gène spécifique impliqué dans la déphosphorylation des protéines, (2) des enzymes spécifiques impliquées dans les systèmes antioxydants réducteurs. Les résultats obtenus révèlent que la sous-unité B'γ de la protéine phosphatase de type 2A (PP2A-B'γ) est importante dans la détermination des phénotypes et des réponses de défense photopériode-dépendantes chez cat2. En conditions de jours courts (SD), un double cat2 pp2a-b'γ mutant montrait une gamme de réponses qui n’étaient pas observées chez cat2. Ces effets comprenaient l’apparition de lésions ainsi que l’accumulation de l’acide salicylique et d’autres composés de défense. Des analyses métabolomiques et protéomiques ont permis de démontrer que ces effets étaient accompagnés de modifications de l’abondance de métabolites et protéines spécifiques, ainsi que des changements dans le statut de phosphorylation de certains polypeptides. Dans un deuxième volet du travail, l’importance d’une enzyme productrice du NADPH a été évaluée en produisant des doubles cat2 nadp-me2 mutants chez lesquels l’isoforme majeure de l’enzyme malique cytosolique n’est plus exprimée. Malgré une induction de cette enzyme par le stress oxydant aux niveaux de transcrits et d’activité, et une diminution importante de l’activité foliaire associée aux mutations nadp-me2, peu de différence a été observée entre les lignées cat2 et cat2 nadp-me2. De même, la mutation nadp-me2 n’a pas affecté la réponse phénotypique de plantes exposées à l’ozone. Dans la troisième partie du travail, le couplage entre les pools ascorbate et glutathion lors du stress oxydant a été exploré par l’introduction de mutations pour la déshydroascorbate réductase (DHAR) dans le fond génétique cat2. L’activité extractible de cette enzyme a été diminuée à des niveaux très faibles chez des lignées portant à la fois les mutations dhar1 et dhar3. Cependant, peu de différence a été observée dans les phénotypes et les statuts d’ascorbate et de glutathion chez un triple mutant cat2 dhar1 dhar3 par rapport à cat2. Des analyses préliminaires d’un quadruple cat2 dhar1 dhar2 dhar3 mutant semblent pourtant indiquer que les trois DHARs jouent des rôles fonctionnellement redondants dans le stress oxydant. Dans son ensemble, ces travaux apportent des données nouvelles sur les enzymes qui régulent les réponses aux stress oxydants et ont généré des outils intéressants pour des études ultérieures. / Oxidative stress is a key player in plant responses to challenging environmental conditions. The intricate nature of the regulation of cellular redox state means that much remains to be elucidated on interactions between different components in these conditions. By using a genetic approach based on a catalase-deficient Arabidopsis mutant (cat2) that presents well-defined, predictable changes in redox state, this study explored interactions between oxidative stress and (1) a specific gene involved in protein dephosphorylation, and (2) specific enzymes involved in the antioxidative/reducing system. The results showed that protein phosphatase 2 subunit B'γ (PP2A-B'γ) is involved in determining day length-dependent phenotypes and related defense responses in cat2. A cat2 pp2A-B'γ double mutant showed a range of responses that were not observed in cat2 grown in short days, including lesion formation and accumulation of salicylic acid (SA) and related metabolites. Metabolomics and proteomics analyses showed that these effects were associated with altered abundance of specific metabolites and proteins, as well as changes in protein phosphorylation status. A second part of the study investigated the importance of NADP-generating enzymes in oxidative stress by production of cat2 nadp-me2 double mutants, in which the cytosolic isoform of NADP-malic enzyme is knocked out. Although NADP-ME2 was shown to be induced by oxidative stress, and mutants for this gene had much decreased leaf NADP-malic enzyme activity, no effects on cat2 phenotypes or redox profiles were apparent. Similarly, phenotypic responses to ozone were not affected in an nadp-me2 single mutant. In the third part, coupling between ascorbate and glutathione pools during oxidative stress was investigated by introduction of loss of function mutations for dehydroascorbate reductase (DHAR) into the cat2 background. In lines carrying a combination of dhar1 and dhar3 mutations, extractable leaf activity was decreased to very low levels. Despite this, cat2 dhar1 dhar3 and cat2 phenotypes and ascorbate and glutathione pools were similar. However, preliminary functional analysis of a cat2 dhar1 dhar2 dhar3 quadruple mutant suggested that the three DHARs play functionally redundant roles in oxidative stress. Overall, the work provides new data on enzymes that regulate responses to oxidative stress and has produced interesting genetic tools for further study.

Au cours de l’évolution, les plantes ont développé des mécanismes pour percevoir et s'adapter aux conditions de stress. Les formes actives de l'oxygène (FAO) sont des facteurs importants de l'état redox cellulaire et sont impliquées dans ces réponses. Le peroxyde d'hydrogène (H2O2), une FAO majeure des voies de signalisation oxydative, peut être produit rapidement dans la photorespiration. Chez Arabidopsis, le H2O2 produit dans la photorespiration est métabolisé notamment par la CATALASE2 (CAT2). Dans le contexte du mutant cat2 déficient pour cette catalase, les réponses au stress oxydatif induit par la production conditionnelle du H2O2 sont fortement dépendante de la photopériode. En particulier, la formation de lésions, accompagnée de réponses similaires à celles d' attaques pathogènes, sont spécifiques des conditions de culture en jours longs (JL). Ces effets ne sont pas observés en jours courts (JC) malgré un stress oxydant qui semble être aussi prononcé qu’en JL. Une approche transcriptomique globale a été utilisée pour explorer les patterns d’expression génique associées à ces effets. Elle a permis de mettre en évidence des interactions entre photopériode et H2O2 ou entre photopériode et CO2. En particulier, la majorité des gènes répondant à l' H2O2 dans le mutant cat2 sont induits lorsque les plantes sont cultivées en JC alors que un plus petit nombre sont induits par l’ H2O2 spécifiquement en JL. De façon générale, ces analyses ont mis en évidence des relations étroites entre les ressources carbonées, la lumière et l'état redox cellulaire dans les réponses aux changements environnementaux. Un gène induit par le H2O2 spécifiquement en JL, l’AZELAIC ACID INDUCED 1 (AZI1), a été sélectionné pour des analyses fonctionnelles à l’aide d’approches génétique, biochimique et transcriptomique. L’analyse de mutants cat2 azi1 a révélé que AZI1 ne semble pas jouer un rôle majeur dans les réponses des plantes à un stress oxydatif durable. Cependant, ce gène semble jouer un rôle important lorsque le stress oxydatif est déclenchée de façon abrupte par le transfert des plantes de conditions de culture en fort CO2 vers l'air ambiant. De plus, cette étude montre que la communication de feuille à feuille est impliquée dans la régulation de l'expansion de la mort cellulaire en réponse a l'H2O2 issue de la photorespiration. Dans la régulation de l'expansion des lésions, nous proposons que AZI1 agirait d'une part localement pour induire la mort cellulaire et d'autre en inhibant la mort cellulaire d'une façon systémique. Dans des fonds génétiques sauvage Col-0 ou mutant cat2, l’analyse comparative de mutants d'insertion ADN-T pour les principaux photochromes (phyA , phyB) et cryptochromes (cry1, cry2) a permis d'étudier les interactions entre les stress et les fonctions des photorécepteurs. Il est apparu que, la mutation des gènes PHY comme CRY conduit a une stimulation de l’accumulation de glutathion H2O2 dépendante. En revanche, dans le fond génétique cat2 contrairement à la perte des fonctions PHY, la mutation des gènes cry conduit a une modulation du profil transcritomique induit par l’ H2O2. De plus, un criblage de conditions de stress sur les simples mutants cry a révélé une plus forte sensibilité de ces génotypes au stress osmotique, a l’ H2O2 et au paraquat. Globalement, ces données indiquent que l’ensemble des photorécepteurs et plus particulièrement les cryptochromes peuvent jouer un rôle dans la réponse à l’ H2O2 intracellulaire suggérant ainsi l’existence d’un réseau complexe permettant l’intégration de conditions environnementales et la détermination de réponses appropriées au stress. / During evolution, plants have developed mechanisms to perceive and respond to stress conditions. Reactive oxygen species (ROS) are important components of cell redox state that have been implicated in these responses. H2O2, an important ROS molecule in oxidative signalling, can be produced rapidly in photorespiration. In Arabidopsis, photorespiratory H2O2 is notably metabolized by CATALASE2 (CAT2). Responses to oxidative stress induced conditionally by photorespiratory H2O2 in the catalase-deficient mutant, cat2, are highly determined by growth daylength. In particular, lesion formation, accompanied by induction of a range of pathogenesis responses, is specific to the long day (LD) photoperiod: these responses are not observed in short days (SD), even though oxidative stress seems to be as marked as in LD. A whole-genome transcriptomics approach was used to explore gene expression patterns underlying these effects, and identified interactions between daylength and H2O2 and between daylength and CO2. In particular, the majority of H2O2-responsive genes in cat2 were up-regulated more strongly in SD air, though a subset of H2O2-induced genes showed a LD-specific response. Overall, this analysis indicates close networking between carbon status, light, and redox state in environmental responses. The most strongly H2O2-induced gene in LD was azelaic acid induced 1 (AZI1) and this gene was chosen for functional analysis using a genetic, biochemical and transcript profiling approach. Analysis of cat2 azi1 mutants revealed that AZI1 does not seem to play an important role in the plant response to sustained, continuous oxidative stress, but is influential when oxidative stress is abruptly induced, in this case, by transferring plants from high CO2 to air. Moreover, this study provided evidence that leaf-to-leaf communication is involved in regulating cell death spread in response to photorespiratory H2O2. In the regulation of this lesion spread, it is proposed that AZI1 acts both locally to promote cell death as well as systemically to inhibit it. Using a comparative analysis of T-DNA insertion mutants for the major phytochromes (phyA, phyB) and cryptochromes (cry1, cry2) introduced into the Col-0 or cat2 background, interactions between stress and photoreceptor function were analyzed. A stimulatory effect of both phy and cry mutations on H2O2-triggered glutathione accumulation was apparent. In contrast to loss of PHY function, both cry mutations modulated daylength-dependent H2O2-triggered transcriptome profiles in cat2. In addition, stress screening of single cry mutants revealed effects on osmotic, H2O2 and paraquat sensitivity. Overall, these data show that both kinds of photoreceptor, but particularly cryptochromes, can play a role in the response to intracellular H2O2, suggesting that there is an intricate network allowing integration of environmental information to determine appropriate responses to stress.

Há mais de 20 anos a Catuama® vem sendo utilizada contra fadiga física e mental, disfunção sexual e astenia muscular. Nos últimos anos, diversos estudos demonstraram efeitos como ação antinociceptiva, antidepressiva, neuroprotetora, vasodilatadora e dilatadora dos corpos cavernosos. Dados do Laboratório de Investigação Médica da Disciplina de Emergências Clínicas da FMUSP (LIM-51) demonstraram que a Catuama® é capaz de reverter e prevenir a fibrilação ventricular (FV) induzida em coração isolado de coelho. Tendo em vista a comprovação de que a Catuama® possui efeito cardíaco significativo, tornou-se necessário investigar mais a fundo outras potenciais propriedades cardioprotetoras. Investigamos então se a Catuama® e a Trichila catigua podem oferecer proteção ao miocárdio submetido a isquemia e reperfusão em coração isolado de ratos quando administrados cronicamente. Ratos Wistar machos e adultos foram submetidos a um tratamento de 14 dias com Catuama®, T. catigua, Água destilada ou Tween 80 por gavagem. Ao término do tratamento, os animais foram anestesiados com pentobarbital e os corações retirados e perfundidos com solução de Krebs-Henseleit (KHB) pela aorta em sistema de Langendorff. Foi mantido fluxo constante de 8mL/minuto, temperatura de 36º C e oxigenação com 95% de oxigênio e 5% de gás carbônico. Os corações foram submetidos a uma isquemia global através de interrupção da perfusão por 30 minutos seguida de 2 horas de reperfusão. Para avaliar o grau de lesão causada pelo protocolo, analisamos os aspectos hemodinâmicos e biomoleculares. Foi possível observar uma melhora significativa em muitos dos parâmetros analisados. Os grupos que receberam os extratos de Catuama® e T. catigua mostraram área de necrose inferior a 16% da área total, enquanto os grupos Tween 80 e Água destilada apresentaram uma necrose superior a 60%. Além disso, a pressão desenvolvida no ventrículo esquerdo também apresentou melhora nos primeiros minutos de reperfusão, alcançando uma recuperação próxima de 70% da pressão préisquemica nos animais tratados com os extratos, enquanto os animais dos grupos Tween 80 e Água destilada apresentaram uma recuperação em torno de 20% da pressão desenvolvida. O mesmo ocorreu com a pressão diastólica dos grupos que receberam os extratos: nos primeiros minutos de reperfusão a pressão diastólica foi reduzida para valores inferiores a 30 mmHg durante a reperfusão, próximos dos pré-isquemicos, enquanto os outros dois grupos mantiveram valores elevados de pressão diastólica durante toda a reperfusão (Água destilada: 69,56+10,05 mmHg; Tween 80: 101,69+19,80 mmHg). Os grupos tratados com os extratos também apresentaram aumento na expressão de proteínas totais e de Catalase. Por outro lado, houve uma diminuição da peroxidação lipídica e de subprodutos do óxido nítrico. A Catuama® e a T. catigua já são amplamente usadas pela população e, devido a sua popularidade e acessibilidade, podem tornar-se aliadas para seres humanos com risco de doença cardíaca isquêmica. / For over 20 years Catuama® has been used against physical and mental fatigue, muscular asthenia and sexual dysfunction. In the last years, several studies have shown effects such as antinociceptive action, antidepressant, neuroprotective, vasodilator and effects in erectile-dysfunction. Data from the Medical Research Laboratory in the Department of Clinical Emergency demonstrated that Catuama® is able to reverse and prevent ventricular fibrillation (VF) induced in isolated rabbit hearts. Given the evidence that Catuama® has significant cardiac effects, it became necessary to proceed a deeper investigation on other potential cardioprotective properties. We investigated if Catuama® and Trichilia catigua may offer protection to the myocardium subjected to ischemia and reperfusion in the isolated rat heart. Adult male Wistar rats were treated during 14 days with Catuama®, T. catigua, Distilled Water or Tween 80 by gavage. At the end of the treatment, the animals were anesthetized with pentobarbital and their hearts removed and perfused with Krebs-Henseleit (KHB) through the aorta in a Langendorff system. Perfusion flow was kept constant at 8mL/minute, temperature 36° C; the preparation was aerated with 95% oxygen and 5% carbon dioxide. The hearts were submitted to global ischemia by stopping perfusion for 30 minutes followed by 2 hours of reperfusion. To assess the extension of the injury caused by the protocol, we analyzed the hemodynamic and molecular aspects. It was possible to observe a significant improvement in many parameters. The groups that received the extracts Catuama® and T. catigua showed necrotic area inferior to 16% of the total area, while the groups Tween 80 and Distilled Water showed higher than 60% necrosis. In addition, left ventricular developed pressure also improved in the first minutes of reperfusion, reaching a recovery of about 70% of pre-ischemic values in animals treated with the extracts, while animals in groups Tween 80 and Distilled Water showed a recovery around 20% of the developed pressure. The same occurred with diastolic pressure of the groups that received the extracts: in the first minutes of reperfusion, the diastolic pressure was reduced to below 30 mmHg during reperfusion, close to the pre-ischemic values, while in the other two groups diastolic pressure remained elevated throughout reperfusion (Distilled Water: 69.56 +10.05 mmHg; Tween 80: 101.69 +19.80mmHg). The groups treated with the extracts also showed increased expression of total protein and catalase. On the other hand, there was a decrease in lipid peroxidation products and nitric oxide. Catuama® and T. catigua are already widely used by the population and, due to their popularity and accessibility can become allies to humans at risk for ischemic heart disease.

A nefropatia diabética (ND) é uma das principais causas de nefropatia crônica, o que torna o diabetes mellitus (DM) responsável por 44% da prevalência de doença renal crônica (DRC) no mundo. O papel do estresse oxidativo na patogênese da ND está bem estabelecido e genes pertencentes a vias pró- e antioxidantes são possíveis candidatos a conferirem susceptibilidade genética a essa e a outras complicações crônicas. Além do estresse oxidativo, o transporte intracelular de glicose, mediado por transportadores específicos, também parece exercer influência sobre a ND e outras complicações. O objetivo deste trabalho foi avaliar a associação entre ND e alguns polimorfismos de um único nucleotídeo (SNPs) em genes que codificam proteínas transportadoras de glicose (GLUT2 [SLC2A2]), proteínas pró-oxidantes (p22phox [CYBA] e NOX-2 [CYBB]) e proteínas antioxidantes (glutationa peroxidase-4 [GPX4] e catalase [CAT]) em uma coorte brasileira (n=453; 45,8% de pacientes com ND) e três coortes francesas (SURGENE [n=340; 17,7% de pacientes com ND na fase basal], GENEDIAB [n=313; 66,7% de pacientes com ND] e GENESIS [n=636; 49,7% de pacientes com ND]) de pacientes portadores de DM tipo 1. Os SNPs foram genotipados com o uso da técnica de reação em cadeia da polimerase (PCR) em tempo real e os resultados expressos em odds ratio (OR) ou hazard ratio (HR), com seus respectivos intervalos de confiança (IC), determinados em modelos ajustados de regressão logística politômica ou regressão de risco proporcional de Cox, respectivamente. A razão albumina/creatinina urinária (ACR) ou a taxa de excreção urinária de albumina (EUA) foram utilizadas para definir os estágios de ND e os pacientes foram classificados de acordo com a presença ou ausência de ND incipiente (ACR 30 - 300 mg/g de creatinina ou EUA 20 - 200 ?g/min ou 20 - 200 mg/L) e creatinina plasmática <1,7 mg/dL), ND estabilizada (ACR >300 mg/g de creatinina ou EUA > 200 ug/min ou > 200 mg/L e creatinina plasmática < 1,7 mg/dL ) ou ND avançada (ACR > 300 mg/g de creatinina ou EUA > 200 ug/min ou > 200 mg/L e creatinina plasmática > 1,7 mg/dL ou qualquer terapia de reposição renal) e também foram avaliadas associações dos SNPs com a taxa de filtração glomerular estimada (TFGe). O alelo raro A do SNP rs6610650 no gene CYBB foi associado com valores baixos de TFGe em mulheres na coorte brasileira e com a prevalência de ND estabilizada/avançada em mulheres da coorte francesa (OR 1,75; IC 95% 1,11 - 2,78; p=0,016). O alelo raro T do SNP rs713041 no gene GPX4 foi inversamente associado com a prevalência de ND estabilizada/avançada em homens na coorte brasileira (OR 0,30, IC95% 0,13 - 0,68, p=0,004) e com valores elevados de TFGe em homens na coorte francesa. O alelo raro A do SNP rs7947841 no gene CAT foi associado com a prevalência de ND incipiente (OR 2,79; IC95% 1,21 - 6,24; p=0,01) e ND estabilizada/avançada (OR 5,72; IC95% 1,62 - 22,03; p=0,007), bem como com a incidência de eventos renais, definidos como novos casos de microalbuminúria ou progressão para um estágio mais grave de ND durante o seguimento de estudo, na coorte SURGENE (HR 1,82; IC95% 1,13 - 2,81; p=0,01). O mesmo alelo de risco associou-se com a prevalência de ND incipiente (OR 3,13; IC95% 1,42 - 7,24; p=0,004) e com a incidência de insuficiência renal crônica terminal (IRCT) na coorte GENEDIAB (HR 2,11; IC95% 1,23 - 3,60; p=0,008) e com a prevalência de ND incipiente (OR 2,16; IC95% 1,14 - 4,10, p=0,02) e ND estabilizada/avançada (OR 2,71; IC95% 1,38 - 5,42; p=0,004) na coorte brasileira. O alelo raro T do SNP rs9932581 no gene CYBA foi inversamente associado com a prevalência de ND estabilizada/avançada (OR 0,60; IC95% 0,46 - 0,78; p=0,0001) e com valores mais baixos de TFGe nos pacientes de descendência europeia da coorte GENESIS/GENEDIAB. Este mesmo alelo foi associado com a incidência de eventos renais e de IRCT nas coortes SURGENE (HR 0,63; IC95% 0,46 - 0,86; p=0,003) e GENESIS/GENEDIAB (HR 0,51; IC95% 0,31 - 0,78; p=0,002), respectivamente. Entretanto estes resultados não foram replicados na coorte brasileira. O alelo raro T do SNP rs11924032 no gene SLC2A2 foi inversamente associado com a perda da TFGe ao logo do tempo (0,02%/ano vs 2,18%/ano para os pacientes portadores do genótipo GG; p=0,005), na coorte SURGENE. Este mesmo alelo foi inversamente associado com a incidência de IRCT nas coortes GENESIS/GENEDIAB (HR 0,53; IC95% 0,29 - 0,89; p=0,01). Os resultados observados para o gene SLC2A2 não forneceram fortes indícios para afirmarmos que este gene exerça um papel relevante no desenvolvimento da ND nos pacientes com DM tipo 1 nas coortes francesas estudadas. Em contrapartida, os SNPs nos genes que codificam as proteínas pró-oxidantes CYBA e CYBB e as proteínas antioxidantes GPX-4 e CAT foram capazes de modular o risco para doença renal em pacientes portadores de DM tipo 1, sendo que os SNPs presentes nos genes CYBB, GPX4 e CAT tiveram seus resultados replicados em coortes independentes, o que corrobora a importância destes genes e, consequentemente, do estresse oxidativo, na patogênese da ND / Diabetic nephropathy (DN) is a major cause of chronic nephropathy, with diabetes mellitus (DM) accounting for 44% of the prevalence of chronic kidney disease (CKD) in the world. The role of oxidative stress in the pathogenesis of DN is well established and genes belonging to pro- and antioxidant pathways are possible candidates to confer genetic susceptibility to this and other chronic complications. Besides oxidative stress, intracellular glucose transport mediated by specific transporters, also appears to influence DN and other complications. The aim of this study was to evaluate the association between DN and some single nucleotide polymorphisms (SNPs) present in genes encoding glucose transport proteins (GLUT2 [SLC2A2]), pro- (p22phox [CYBA] and NOX-2 [CYBB]) and antioxidants (glutathione peroxidase-4 [GPX4] and catalase [CAT]) proteins, in a Brazilian cohort [n= 453; 45.8% f patients with DN], and three French cohorts (SURGENE [n=340; 17.7% of patients with DN at baseline], GENEDIAB [n=313; 66.7% of patients with DN], and GENESIS [n=636; 49.7% of patients with DN]) of patients with type 1 DM. The SNPs were genotyped using the technique of real time polymerase chain reaction (PCR) and results expressed as odds ratio (OR) and hazard ratio (HR), with their respectively 95% confidence intervals (CI), determined by adjusted models of polytomic logistic regression and Cox proportional hazard regression, respectively. The albumin/creatinine ratio (ACR) or the urinary albumin excretion (UAE) rate were used to define the DN stages and the patients were classified according to the presence or absence of incipient DN (ACR 30 - 300 mg/g of creatinine or UAE 20 - 200 ug/min or 20 - 200 mg/L) and plasmatic creatinine < 1,7 mg/dL), established DN (ACR > 300 mg/g of creatinine or EUA > 200 ug/min or > 200 mg/L and plasmatic creatinine <1,7 mg/dL) or advanced DN (ACR >300 mg/g of creatinine or UAE > 200 ug/min or > 200 mg/L and plasmatic creatinine > 1,7 mg/dL or any renal replacement therapy). Associations for the estimated glomerular filtration rate (eGFR) were also evaluated. The rare allele A of the SNP rs6610650 in CYBB gene was associated with low values of eGFR in women in the Brazilian cohort and with the prevalence of established/advanced DN in women in the French cohort (OR 1.75, 95%CI 1.11 - 2.78, p=0.016). The rare allele T of the SNP rs713041 in GPX4 gene was inversely associated with the prevalence of established/advanced DN in men in the Brazilian cohort (OR 0.30, 95%CI 0.13 - 0.68, p=0.004) and with higher values of eGFR in men in the French cohort. The rare allele A of the SNP rs7947841 in CAT gene was associated with the prevalence of incipient DN (OR 2.79, 95%CI 1.21 - 6.24, p=0.01) and established/advanced DN (OR 5.72; 95%CI 1.62 - 22.03, p=0.007) as well as the incidence of renal events, defined as new cases of microalbuminuria or progression to a more severe stage during the follow-up study, in SURGENE cohort (HR 1.82, 95%CI 1.13 - 2.81, p=0.01). The same risk allele was associated with the prevalence of incipient DN (OR 3.13, 95%CI 1.42 - 7.24, p=0.004), the incidence of end-stage renal disease (ESRD) in the cohort GENEDIAB (HR 2.11, 95%CI 1.23 - 3.60, p=0.008) and with the prevalence of incipient DN (OR 2.16, 95%CI 1.14 - 4.10, p=0.02) and established/advanced DN (OR 2.71, 95%CI 1.38 - 5.42, p=0.004) in the Brazilian cohort. The rare T allele of the SNP rs9932581 in CYBA gene was inversely associated with the prevalence of established/advanced DN (OR: 0.60, 95%CI: 0.46 - .78, p=0.0001) and associated with lower values of eGFR in patients of GENESIS/GENEDIAB cohort. The same allele was inversely associated with the incidence of renal events and ESRD in SURGENE (HR 0.63, 95%CI 0.46 - 0.86, p=0.003) and GENESIS/GENEDIAB (HR 0.51, 95%CI 0.31 - 0.78, p=0.002) cohorts. However, these results were not replicated in the Brazilian cohort. The rare T allele of the SNP rs11924032 in SLC2A2 gene was inversely associated with the loss of eGFR during the follow-up (0.02%/year vs. 2.18%/year for patients with the GG genotype, p=0.005) in the SURGENE cohort. The same allele was inversely associated with the incidence of ESRD in the GENESIS/GENEDIAB cohorts (HR 0.53, 95%CI 0.29 - 0.89, p=0.01). The results observed for the SLC2A2 gene, in this study, did not provide strong evidence to state that this gene exerts a relevant role in the development of DN in patients with type 1 DM in the studied cohorts. However, SNPs in genes encoding the pro-oxidant proteins CYBA and CYBB, and the antioxidants proteins GPX-4 and CAT were able to modulate the risk of renal disease in patients with type 1 DM. The studied SNPs in CYBB, GPX4 and CAT genes had their results replicated in independent cohorts, which confirms the importance of these genes and, hence, of the oxidative stress in the pathogenesis of DN

Há mais de 20 anos a Catuama® vem sendo utilizada contra fadiga física e mental, disfunção sexual e astenia muscular. Nos últimos anos, diversos estudos demonstraram efeitos como ação antinociceptiva, antidepressiva, neuroprotetora, vasodilatadora e dilatadora dos corpos cavernosos. Dados do Laboratório de Investigação Médica da Disciplina de Emergências Clínicas da FMUSP (LIM-51) demonstraram que a Catuama® é capaz de reverter e prevenir a fibrilação ventricular (FV) induzida em coração isolado de coelho. Tendo em vista a comprovação de que a Catuama® possui efeito cardíaco significativo, tornou-se necessário investigar mais a fundo outras potenciais propriedades cardioprotetoras. Investigamos então se a Catuama® e a Trichila catigua podem oferecer proteção ao miocárdio submetido a isquemia e reperfusão em coração isolado de ratos quando administrados cronicamente. Ratos Wistar machos e adultos foram submetidos a um tratamento de 14 dias com Catuama®, T. catigua, Água destilada ou Tween 80 por gavagem. Ao término do tratamento, os animais foram anestesiados com pentobarbital e os corações retirados e perfundidos com solução de Krebs-Henseleit (KHB) pela aorta em sistema de Langendorff. Foi mantido fluxo constante de 8mL/minuto, temperatura de 36º C e oxigenação com 95% de oxigênio e 5% de gás carbônico. Os corações foram submetidos a uma isquemia global através de interrupção da perfusão por 30 minutos seguida de 2 horas de reperfusão. Para avaliar o grau de lesão causada pelo protocolo, analisamos os aspectos hemodinâmicos e biomoleculares. Foi possível observar uma melhora significativa em muitos dos parâmetros analisados. Os grupos que receberam os extratos de Catuama® e T. catigua mostraram área de necrose inferior a 16% da área total, enquanto os grupos Tween 80 e Água destilada apresentaram uma necrose superior a 60%. Além disso, a pressão desenvolvida no ventrículo esquerdo também apresentou melhora nos primeiros minutos de reperfusão, alcançando uma recuperação próxima de 70% da pressão préisquemica nos animais tratados com os extratos, enquanto os animais dos grupos Tween 80 e Água destilada apresentaram uma recuperação em torno de 20% da pressão desenvolvida. O mesmo ocorreu com a pressão diastólica dos grupos que receberam os extratos: nos primeiros minutos de reperfusão a pressão diastólica foi reduzida para valores inferiores a 30 mmHg durante a reperfusão, próximos dos pré-isquemicos, enquanto os outros dois grupos mantiveram valores elevados de pressão diastólica durante toda a reperfusão (Água destilada: 69,56+10,05 mmHg; Tween 80: 101,69+19,80 mmHg). Os grupos tratados com os extratos também apresentaram aumento na expressão de proteínas totais e de Catalase. Por outro lado, houve uma diminuição da peroxidação lipídica e de subprodutos do óxido nítrico. A Catuama® e a T. catigua já são amplamente usadas pela população e, devido a sua popularidade e acessibilidade, podem tornar-se aliadas para seres humanos com risco de doença cardíaca isquêmica. / For over 20 years Catuama® has been used against physical and mental fatigue, muscular asthenia and sexual dysfunction. In the last years, several studies have shown effects such as antinociceptive action, antidepressant, neuroprotective, vasodilator and effects in erectile-dysfunction. Data from the Medical Research Laboratory in the Department of Clinical Emergency demonstrated that Catuama® is able to reverse and prevent ventricular fibrillation (VF) induced in isolated rabbit hearts. Given the evidence that Catuama® has significant cardiac effects, it became necessary to proceed a deeper investigation on other potential cardioprotective properties. We investigated if Catuama® and Trichilia catigua may offer protection to the myocardium subjected to ischemia and reperfusion in the isolated rat heart. Adult male Wistar rats were treated during 14 days with Catuama®, T. catigua, Distilled Water or Tween 80 by gavage. At the end of the treatment, the animals were anesthetized with pentobarbital and their hearts removed and perfused with Krebs-Henseleit (KHB) through the aorta in a Langendorff system. Perfusion flow was kept constant at 8mL/minute, temperature 36° C; the preparation was aerated with 95% oxygen and 5% carbon dioxide. The hearts were submitted to global ischemia by stopping perfusion for 30 minutes followed by 2 hours of reperfusion. To assess the extension of the injury caused by the protocol, we analyzed the hemodynamic and molecular aspects. It was possible to observe a significant improvement in many parameters. The groups that received the extracts Catuama® and T. catigua showed necrotic area inferior to 16% of the total area, while the groups Tween 80 and Distilled Water showed higher than 60% necrosis. In addition, left ventricular developed pressure also improved in the first minutes of reperfusion, reaching a recovery of about 70% of pre-ischemic values in animals treated with the extracts, while animals in groups Tween 80 and Distilled Water showed a recovery around 20% of the developed pressure. The same occurred with diastolic pressure of the groups that received the extracts: in the first minutes of reperfusion, the diastolic pressure was reduced to below 30 mmHg during reperfusion, close to the pre-ischemic values, while in the other two groups diastolic pressure remained elevated throughout reperfusion (Distilled Water: 69.56 +10.05 mmHg; Tween 80: 101.69 +19.80mmHg). The groups treated with the extracts also showed increased expression of total protein and catalase. On the other hand, there was a decrease in lipid peroxidation products and nitric oxide. Catuama® and T. catigua are already widely used by the population and, due to their popularity and accessibility can become allies to humans at risk for ischemic heart disease.

Made available in DSpace on 2017-07-21T19:59:47Z (GMT). No. of bitstreams: 1 Tatiane Dobrzanski.pdf: 2071508 bytes, checksum: e3c3a02783ca0c1929ed8b2a83555230 (MD5) Previous issue date: 2015-02-25 / Excessive use of herbicides for weed control in agriculture causes a selective pressure on soil microbiota and waters near application area, changing environmental balance. Some microorganisms have developed metabolic pathways for degradation of these xenobiotics, although tolerance and degradation processes can generate free radicals and affect survival. This study aimed to analyze the system of responses from soil and water strains, submitted to selective pressure by the herbicide Callisto®. Strains CCT7729 and CCT7730, isolated from soil and water, respectively, were identified as Bacillus sp., and showed different degradation routes, with different metabolites, already described in the literature. Mesotrione and its metabolites, and especially its commercial product Callisto, affected cell viability and altered cell membrane lipids from the tested strains, however, Bacillus sp. CCT7729 presented a more efficient system of responses to oxidative stress. This strain exhibited a greater efficiency to degrade mesotrione, lower rates of peroxide, lower rates of MDA, SOD high activity and low activity of catalase, when compared to Bacillus sp. CCT7730. Changes in membrane lipids can be considered as a defense against oxidative stress strategy. These results indicated the existence from a variety of metabolic pathways for mesotrione degradation to Bacillus sp. Probably metabolites induce different levels of toxicity in bacteria, and Bacillus sp. CCT7730 possibly degraded mesotrione in even harmful compounds, unlike the water line. It is possible that these different responses are related to the home environments of each strain, suggesting plasticity responses of Bacillus sp. for adaptation to toxic substances in different environmental contexts. / O uso intenso de herbicidas para controle de ervas daninhas na agricultura provoca uma pressão seletiva na microbiota do solo e de águas próximas à área de aplicação, alterando o equilíbrio ambiental. Alguns microrganismos apresentam vias metabólicas de degradação desses xenobióticos, entretanto, a tolerância e os processos de degradação podem gerar radicais livres capazes de afetar a sobrevivência. Este trabalho teve como objetivo analisar o sistema de respostas de linhagens provenientes de solo e água, e que foram submetidas a pressão seletiva pelo herbicida Callisto. Uma linhagem isolada de cada um destes ambientes, identificadas respectivamente, como Bacillus sp. CCT7729 e Bacillus sp. CCT7730, apresentaram rotas de degradação diferenciadas, com metabólitos diferentes dos já descritos na literatura. O mesotrione, seus metabólitos, e principalmente o Callisto, afetaram a viabilidade celular das linhagens deste estudo e alteraram os lipídios de membrana celular, no entanto, Bacillus sp. CCT7729 apresentou um sistema de respostas ao estresse oxidativo mais eficiente. Esta linhagem exibiu uma maior eficiência em degradar o mesotrione, menores taxas de peróxido, menores taxas de MDA, atividade SOD elevada e uma baixa atividade da catalase, ao contrário de Bacillus sp. CCT7730. Modificações nos lipídios de membrana podem ser consideradas como uma estratégia de defesa contra estresse oxidativo. Os resultados também indicaram uma diversidade de vias metabólicas nas duas linhagens de Bacillus sp. para a degradação do mesotrione. Provavelmente os metabólitos induziram diferentes níveis de toxicidade nas bactérias, sendo que Bacillus sp. CCT7730 possivelmente degradou o mesotrione em compostos ainda nocivos, ao contrário da linhagem de água. É possível que essas diferentes respostas estejam relacionadas com os ambientes de origem de cada linhagem, sugerindo uma plasticidade de respostas apresentadas por linhagens Bacillus sp. para adaptação a substâncias tóxicas em diferentes contextos ambientais.

A nefropatia diabética (ND) é uma das principais causas de nefropatia crônica, o que torna o diabetes mellitus (DM) responsável por 44% da prevalência de doença renal crônica (DRC) no mundo. O papel do estresse oxidativo na patogênese da ND está bem estabelecido e genes pertencentes a vias pró- e antioxidantes são possíveis candidatos a conferirem susceptibilidade genética a essa e a outras complicações crônicas. Além do estresse oxidativo, o transporte intracelular de glicose, mediado por transportadores específicos, também parece exercer influência sobre a ND e outras complicações. O objetivo deste trabalho foi avaliar a associação entre ND e alguns polimorfismos de um único nucleotídeo (SNPs) em genes que codificam proteínas transportadoras de glicose (GLUT2 [SLC2A2]), proteínas pró-oxidantes (p22phox [CYBA] e NOX-2 [CYBB]) e proteínas antioxidantes (glutationa peroxidase-4 [GPX4] e catalase [CAT]) em uma coorte brasileira (n=453; 45,8% de pacientes com ND) e três coortes francesas (SURGENE [n=340; 17,7% de pacientes com ND na fase basal], GENEDIAB [n=313; 66,7% de pacientes com ND] e GENESIS [n=636; 49,7% de pacientes com ND]) de pacientes portadores de DM tipo 1. Os SNPs foram genotipados com o uso da técnica de reação em cadeia da polimerase (PCR) em tempo real e os resultados expressos em odds ratio (OR) ou hazard ratio (HR), com seus respectivos intervalos de confiança (IC), determinados em modelos ajustados de regressão logística politômica ou regressão de risco proporcional de Cox, respectivamente. A razão albumina/creatinina urinária (ACR) ou a taxa de excreção urinária de albumina (EUA) foram utilizadas para definir os estágios de ND e os pacientes foram classificados de acordo com a presença ou ausência de ND incipiente (ACR 30 - 300 mg/g de creatinina ou EUA 20 - 200 ?g/min ou 20 - 200 mg/L) e creatinina plasmática <1,7 mg/dL), ND estabilizada (ACR >300 mg/g de creatinina ou EUA > 200 ug/min ou > 200 mg/L e creatinina plasmática < 1,7 mg/dL ) ou ND avançada (ACR > 300 mg/g de creatinina ou EUA > 200 ug/min ou > 200 mg/L e creatinina plasmática > 1,7 mg/dL ou qualquer terapia de reposição renal) e também foram avaliadas associações dos SNPs com a taxa de filtração glomerular estimada (TFGe). O alelo raro A do SNP rs6610650 no gene CYBB foi associado com valores baixos de TFGe em mulheres na coorte brasileira e com a prevalência de ND estabilizada/avançada em mulheres da coorte francesa (OR 1,75; IC 95% 1,11 - 2,78; p=0,016). O alelo raro T do SNP rs713041 no gene GPX4 foi inversamente associado com a prevalência de ND estabilizada/avançada em homens na coorte brasileira (OR 0,30, IC95% 0,13 - 0,68, p=0,004) e com valores elevados de TFGe em homens na coorte francesa. O alelo raro A do SNP rs7947841 no gene CAT foi associado com a prevalência de ND incipiente (OR 2,79; IC95% 1,21 - 6,24; p=0,01) e ND estabilizada/avançada (OR 5,72; IC95% 1,62 - 22,03; p=0,007), bem como com a incidência de eventos renais, definidos como novos casos de microalbuminúria ou progressão para um estágio mais grave de ND durante o seguimento de estudo, na coorte SURGENE (HR 1,82; IC95% 1,13 - 2,81; p=0,01). O mesmo alelo de risco associou-se com a prevalência de ND incipiente (OR 3,13; IC95% 1,42 - 7,24; p=0,004) e com a incidência de insuficiência renal crônica terminal (IRCT) na coorte GENEDIAB (HR 2,11; IC95% 1,23 - 3,60; p=0,008) e com a prevalência de ND incipiente (OR 2,16; IC95% 1,14 - 4,10, p=0,02) e ND estabilizada/avançada (OR 2,71; IC95% 1,38 - 5,42; p=0,004) na coorte brasileira. O alelo raro T do SNP rs9932581 no gene CYBA foi inversamente associado com a prevalência de ND estabilizada/avançada (OR 0,60; IC95% 0,46 - 0,78; p=0,0001) e com valores mais baixos de TFGe nos pacientes de descendência europeia da coorte GENESIS/GENEDIAB. Este mesmo alelo foi associado com a incidência de eventos renais e de IRCT nas coortes SURGENE (HR 0,63; IC95% 0,46 - 0,86; p=0,003) e GENESIS/GENEDIAB (HR 0,51; IC95% 0,31 - 0,78; p=0,002), respectivamente. Entretanto estes resultados não foram replicados na coorte brasileira. O alelo raro T do SNP rs11924032 no gene SLC2A2 foi inversamente associado com a perda da TFGe ao logo do tempo (0,02%/ano vs 2,18%/ano para os pacientes portadores do genótipo GG; p=0,005), na coorte SURGENE. Este mesmo alelo foi inversamente associado com a incidência de IRCT nas coortes GENESIS/GENEDIAB (HR 0,53; IC95% 0,29 - 0,89; p=0,01). Os resultados observados para o gene SLC2A2 não forneceram fortes indícios para afirmarmos que este gene exerça um papel relevante no desenvolvimento da ND nos pacientes com DM tipo 1 nas coortes francesas estudadas. Em contrapartida, os SNPs nos genes que codificam as proteínas pró-oxidantes CYBA e CYBB e as proteínas antioxidantes GPX-4 e CAT foram capazes de modular o risco para doença renal em pacientes portadores de DM tipo 1, sendo que os SNPs presentes nos genes CYBB, GPX4 e CAT tiveram seus resultados replicados em coortes independentes, o que corrobora a importância destes genes e, consequentemente, do estresse oxidativo, na patogênese da ND / Diabetic nephropathy (DN) is a major cause of chronic nephropathy, with diabetes mellitus (DM) accounting for 44% of the prevalence of chronic kidney disease (CKD) in the world. The role of oxidative stress in the pathogenesis of DN is well established and genes belonging to pro- and antioxidant pathways are possible candidates to confer genetic susceptibility to this and other chronic complications. Besides oxidative stress, intracellular glucose transport mediated by specific transporters, also appears to influence DN and other complications. The aim of this study was to evaluate the association between DN and some single nucleotide polymorphisms (SNPs) present in genes encoding glucose transport proteins (GLUT2 [SLC2A2]), pro- (p22phox [CYBA] and NOX-2 [CYBB]) and antioxidants (glutathione peroxidase-4 [GPX4] and catalase [CAT]) proteins, in a Brazilian cohort [n= 453; 45.8% f patients with DN], and three French cohorts (SURGENE [n=340; 17.7% of patients with DN at baseline], GENEDIAB [n=313; 66.7% of patients with DN], and GENESIS [n=636; 49.7% of patients with DN]) of patients with type 1 DM. The SNPs were genotyped using the technique of real time polymerase chain reaction (PCR) and results expressed as odds ratio (OR) and hazard ratio (HR), with their respectively 95% confidence intervals (CI), determined by adjusted models of polytomic logistic regression and Cox proportional hazard regression, respectively. The albumin/creatinine ratio (ACR) or the urinary albumin excretion (UAE) rate were used to define the DN stages and the patients were classified according to the presence or absence of incipient DN (ACR 30 - 300 mg/g of creatinine or UAE 20 - 200 ug/min or 20 - 200 mg/L) and plasmatic creatinine < 1,7 mg/dL), established DN (ACR > 300 mg/g of creatinine or EUA > 200 ug/min or > 200 mg/L and plasmatic creatinine <1,7 mg/dL) or advanced DN (ACR >300 mg/g of creatinine or UAE > 200 ug/min or > 200 mg/L and plasmatic creatinine > 1,7 mg/dL or any renal replacement therapy). Associations for the estimated glomerular filtration rate (eGFR) were also evaluated. The rare allele A of the SNP rs6610650 in CYBB gene was associated with low values of eGFR in women in the Brazilian cohort and with the prevalence of established/advanced DN in women in the French cohort (OR 1.75, 95%CI 1.11 - 2.78, p=0.016). The rare allele T of the SNP rs713041 in GPX4 gene was inversely associated with the prevalence of established/advanced DN in men in the Brazilian cohort (OR 0.30, 95%CI 0.13 - 0.68, p=0.004) and with higher values of eGFR in men in the French cohort. The rare allele A of the SNP rs7947841 in CAT gene was associated with the prevalence of incipient DN (OR 2.79, 95%CI 1.21 - 6.24, p=0.01) and established/advanced DN (OR 5.72; 95%CI 1.62 - 22.03, p=0.007) as well as the incidence of renal events, defined as new cases of microalbuminuria or progression to a more severe stage during the follow-up study, in SURGENE cohort (HR 1.82, 95%CI 1.13 - 2.81, p=0.01). The same risk allele was associated with the prevalence of incipient DN (OR 3.13, 95%CI 1.42 - 7.24, p=0.004), the incidence of end-stage renal disease (ESRD) in the cohort GENEDIAB (HR 2.11, 95%CI 1.23 - 3.60, p=0.008) and with the prevalence of incipient DN (OR 2.16, 95%CI 1.14 - 4.10, p=0.02) and established/advanced DN (OR 2.71, 95%CI 1.38 - 5.42, p=0.004) in the Brazilian cohort. The rare T allele of the SNP rs9932581 in CYBA gene was inversely associated with the prevalence of established/advanced DN (OR: 0.60, 95%CI: 0.46 - .78, p=0.0001) and associated with lower values of eGFR in patients of GENESIS/GENEDIAB cohort. The same allele was inversely associated with the incidence of renal events and ESRD in SURGENE (HR 0.63, 95%CI 0.46 - 0.86, p=0.003) and GENESIS/GENEDIAB (HR 0.51, 95%CI 0.31 - 0.78, p=0.002) cohorts. However, these results were not replicated in the Brazilian cohort. The rare T allele of the SNP rs11924032 in SLC2A2 gene was inversely associated with the loss of eGFR during the follow-up (0.02%/year vs. 2.18%/year for patients with the GG genotype, p=0.005) in the SURGENE cohort. The same allele was inversely associated with the incidence of ESRD in the GENESIS/GENEDIAB cohorts (HR 0.53, 95%CI 0.29 - 0.89, p=0.01). The results observed for the SLC2A2 gene, in this study, did not provide strong evidence to state that this gene exerts a relevant role in the development of DN in patients with type 1 DM in the studied cohorts. However, SNPs in genes encoding the pro-oxidant proteins CYBA and CYBB, and the antioxidants proteins GPX-4 and CAT were able to modulate the risk of renal disease in patients with type 1 DM. The studied SNPs in CYBB, GPX4 and CAT genes had their results replicated in independent cohorts, which confirms the importance of these genes and, hence, of the oxidative stress in the pathogenesis of DN