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<p>The pathophysiology of how a maternal infection induces fetal inflammation and subsequently premature birth is a growing area of research. The <em>ex-vivo</em> dual closed-loop placental perfusion model has been widely used to study placental physiology. To address the association between bacterial chorioamnionitis and fetal inflammation, TNF-α induction following lipopolysaccharide (LPS) challenge – a pyrogen of Gram-negative origin – was measured in the perfusion model. Preliminary analysis of perfusates unexpectedly revealed markedly elevated levels of TNF-α in control and LPS-treated groups indicating contamination of material(s) capable of activating innate immune responses.</p> <p>To identify source(s) driving high background TNF-α expression in perfusates, bovine serum albumin (BSA) – the chief component of the perfusion media – the perfusion system and the materno-feto-placental unit were independently examined. To validate a cleaning protocol effective in LPS removal, acid-base and oxidative depyrogenation techniques were also additionally assessed in the perfusion system.</p> <p>Using TNF-α as a surrogate marker of contamination, high background TNF-α expression in previously conducted placental perfusions were attributed to (1) LPS contaminated perfusion media and (2) LPS build up in the perfusion system. Additionally, results from depyrogenation experiments revealed both acid-base and oxidative techniques effectively reduced LPS buildup in the perfusion system to levels that were in accordance with FDA guidelines for medical equipment (< 0.5 EU/mL). Thus, to circumvent LPS-derived contamination placentas should be perfused using endotoxin-free perfusion media and the perfusion system should be cleaned with acid-base or oxidative depyrogenation techniques prior to its use.</p> / Master of Science (MSc)

Each year, 7.9 million babies are born with birth defects. Seventy percent of those could be prevented, ameliorated, or repaired; yet 3.2 million children still die by the age of three (March of Dimes Global Report 2006). We have found that non-specific maternal immune stimulation with the cytokine interferon-gamma (IFN-gamma) can successfully ameliorate some of these defects in the C57BL/6N mouse model. We have observed a reduction in the distal limb malformations syndactyly, polydactyly, and webbing by 47%, 100%, and 63% respectively when IFN-gamma is given 2 days prior to MNU administration. We have also observed that IFN-gamma works at the placental level to protect against MNU-induced damage. Trophoblast loss and associated cytokine alterations occur in gestation day (GD) 14 placenta following GD9 MNU exposure, showing that fetal-maternal communication can be hindered due to MNU. In the labyrinthine layer of the placenta, we observed multifocal fibrinous necrosis of endothelial cells due to MNU, however IFN-gamma almost completely protected the trophoblast and endothelial cells when given to the dam as an immune stimulant. To determine the genes participating in these processes, gene microarray studies were conducted. Hepatocyte growth factor (HGF), interleukin 1 beta (IL1&#914;), and insulin-like growth factor 2 (IGF2) were elucidated as genes that were significantly expressed in GD12 placenta. These genes are similar in that they are all connected to the Jak-Stat signaling pathway. These findings provide a possible mechanism for birth defect reduction by maternal immune stimulation with IFN-gamma in MNU-challenged mice. / Master of Science

Thèse numérisée par la Direction des bibliothèques de l'Université de Montréal.

京都大学 / 新制・論文博士 / 博士(医学) / 乙第13610号 / 論医博第2320号 / 新制||医||1073(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 川口 義弥, 教授 伊達 洋至, 教授 長船 健二 / 学位規則第4条第2項該当 / Doctor of Medical Science / Kyoto University / DFAM

Eine Dysbalance zwischen regulatorischen und proinflammatorischen T-Helferzellen kann zu Autoimmunerkrankungen führen. In dieser methodischen Arbeit wurde die Polarisierbarkeit von peripheren T-Lymphozyten durch verschiedene Zytokin-Stimuli untersucht. Hauptziel war es, CD4+CD25-CD127- Lymphozyten durch Stimulation mit einem IL-2 und TGFβ-beinhaltenden Zytokin-Cocktail (Treg-Cocktail) zu iTregs zu polarisieren und deren Suppressionsfunktion auf autologe Effektor-Leukozyten zu untersuchen. Es erfolgte eine Phänotypisierung der PBMCs gesunder Probanden, insbesondere im Hinblick auf die Verteilung der T-Lymphozyten-Subpopulationen, deren Zytokinproduktion und FoxP3-Expression. Zudem wurden aus den PBMCs der Probanden Tregs (CD4+CD25+CD127low/-) sowie CD4+CD25-CD127- Zellen isoliert und deren Funktionsfähigkeit durch die Untersuchung ihrer Suppressionsfunktion auf autologe Effektor-Lymphozyten analysiert. Die Zellen wurden mittels verschiedener Zytokin-Cocktails in Richtung Treg sowie in Richtung Th17-Zellen polarisiert; anschließend wurde die Funktionsfähigkeit der polarisierten Zellen in Suppression-Assays gemessen. Wir konnten zeigen, dass die CD4+CD25+CD127low/- Zellen Tregs mit der Fähigkeit zur Suppression der Proliferation autologer Effektor-Lymphozyten waren. Bei den CD4+CD25-CD127-Zellen handelte es sich um T-Lymphozyten ohne Suppressionsfunktion. Nach Stimulation der CD4+CD25-CD127-Zellen mit dem Treg-Cocktail zeigten die Zellen eine mit den Tregs vergleichbare Suppressionsfunktion. Mit dieser Studie haben wir eine aktuelle methodische Quelle für die Untersuchung von Phänotyp und Funktion regulatorischer T-Zellen sowie für die Stimulation peripherer T-Lymphozyten hin zu Tregs geschaffen, die als Basis für Folgeversuche dienen soll, in denen Zellen von Patienten mit Autoimmunkrankheiten untersucht werden sollen. Da sich die Inflammation bei Autoimmunerkrankungen insbesondere in den betroffenen Geweben abspielt, wäre eine Studie anzustreben, in der aus dem Blut isolierte T-Lymphozyten den Zellen aus den entzündeten Geweben gegenübergestellt werden. Ergänzend sollte eine Phänotypisierung der Tregs und der CD4+CD25-CD127- Zellen nach der Zytokin-Stimulation erfolgen. Zusammenfassend konnte die Plastizität peripherer T-Lymphozyten in Richtung Treg gezeigt werden. Besonders hervorzuheben ist die bislang wenig untersuchte Zellpopulation der CD4+CD25-CD127- Zellen, die eine vielversprechende Zellpopulation für die in vitro Induktion von Tregs darstellt. / Imbalance between regulatory and proinflammatory T helper cells can lead to autoimmune diseases. In this methodical study, the ability of different cytokine stimuli to polarize peripheral T lymphocytes was investigated. The main aim was to polarize CD4+CD25-CD127- lymphocytes into iTregs by stimulation with an IL-2 and TGFβ-containing cytokine cocktail (Treg cocktail) and to investigate their suppressive function on autologous effector leukocytes. The PBMC phenotype of healthy volunteers was investigated, with special focus on the distribution of T lymphocyte subpopulations along with their cytokine production and their FoxP3 expression. In addition, Tregs (CD4+CD25+CD127low/-) and CD4+CD25-CD127- cells were isolated from the same samples and their functionality was analyzed by investigating their suppressive function on autologous effector lymphocytes. The cells were polarized into Treg and Th17 cells using different cytokine cocktails. In the following, the functionality of the polarized cells was assessed using suppression assays. We were able to show that the CD4+CD25+CD127low/- cells were Tregs with the ability to suppress the proliferation of autologous effector lymphocytes, while CD4+CD25-CD127- cells were T lymphocytes without suppressive function. However, after stimulation of CD4+CD25-CD127- cells with the Treg cocktail, these cells also showed suppressive function which was comparable to Treg mediated suppression. With this study, we have created a new methodical source for the investigation of the phenotype and function of regulatory T cells and for the polarization of peripheral T lymphocytes into Tregs. This study can serve as a foundation for follow-up experiments investigating cells from patients with autoimmune diseases. Moreover, since inflammation in autoimmune diseases is most prominent in the affected tissues, a study should be performed in which T lymphocytes isolated from blood are compared to T lymphocytes from inflamed tissues. In addition, the phenotype of Tregs and CD4+CD25-CD127- cells after cytokine stimulation should be analyzed. In conclusion, this study demonstrated the plasticity of peripheral T lymphocytes towards Treg. Moreover, it emphasizes the previously only rarely studied CD4+CD25-CD127- cells as a promising cell population for the in vitro induction of Tregs.

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

Les interférons de Type I (IFN) sont des cytokines produites par les cellules en réponse à une infection virale. Les IFNs ont des effets pleïotropiques et parfois paradoxaux, protecteur ou néfaste pour l’immunité Innée ou adaptative. Certains facteurs intrinsèques (type cellulaire) peuvent expliquer une partie ces discordances. Mon travail de thèse s’est intéressé à l‘effet du microenvironnement cytokinique sur la réponse IFN. En utilisant des analyses à large échelle, nous avons étudié la réponse IFN dans 4 contextes de polarisation des lymphocytes T auxiliaires (Th). Nous avons identifié 1/ un programme de transcription conservé et 2/ une réponse IFN flexible, modulant spécifiquement les principales fonctions des Th (cytokines, chemokines) en fonction du contexte polarisant. La réponse antivirale apparait aussi flexible avec une moins bonne protection des Th2 et Th17 contre l’infection par HIV-1et HIV-2. Nos résultats suggèrent que l’environnement cytokinique contrôle en partie la réponse IFN et peut ainsi moduler cette dernière dans différents contextes physiopathologiques. / Type I IFN (IFN) are innate cytokines produced by host cells during viral infection. Ithas pleiotropic and sometimes opposing, protective or detrimental effects, on both innateand adaptive immunity that remain poorly understood. Parts of IFN response may be explain by intrinsic effect (cell-­‐specificity). My thesis was focused on the effect of the microenvironment, as present during T Helper cell differentiation, on IFN response. Using a systems level approach, we studied IFN responses during Four Human T Helper cell differentiation. We identified 1/ a conserved IFN-­‐induced transcriptional program comprising mostly antiviral genes 2/ a flexible IFN response, leading to a different pattern of chemokine and cytokine induction by IFN in distinct Th environments. Antiviral response was also flexible with a lesser protection to HIV-1 and HIV-2 infection in Th2 and Th17 contexts. Our in vitro results suggested that environmental control might shape the effects of IFN in different physiopathological contexts.

Mycobacterium tuberculosis (Mtb), one of the major pathogens of mankind, kills approximately 2 million people each year. Mtb induces inflammation at the site of infection, leading to leakage of serum proteins, which in turn, are likely to come in contact with the pathogen, thus modulate the pathogenesis of tuberculosis. We studied some of these proteins such as surfactant protein D (SP-D), complement protein C1q and fibronectin, which are either produced locally or they leak-out from serum during inflammation, for their interaction with M.smegmatis and BCG. These non-pathogenic mycobacteria were used as model for Mtb. In this study, the recombinant form of truncated human surfactant protein D (rhSP-D) and three globular heads of human C1q (ghA, ghB, and ghC) were expressed in E.coli. The interaction of each of these proteins with mycobacteria and human monocytic cell line THP-1, was examined via ELISA. We demonstrated that rhSP-D, C1q, three globular heads of C1q and fibronectin bind with both mycobacteria and THP-1 cells. Moreover, using rhSP-D and globular heads of C1q, the binding of SP-D and C1q was localised to C-terminal globular regions. The direct effect for each of these proteins on mycobacterial growth, their effect on the uptake and intracellular fate of mycobacteria inside THP-1 cells were also investigated. Direct interaction of rhSP-D and C1q inhibited mycobacterial growth, whereas fibronectin interaction with the mycobacteria increased their growth. RhSP-D inhibited the uptake and growth of mycobacteria inside THP-1 cells, whereas C1q and each individual globular heads of C1q enhanced the uptake of mycobacteria by THP-1 cells. However, C1q protein inhibited BCG growth but enhanced M.smegmatis growth inside these cells and the later activity was localised to ghA. Fibronectin increased the uptake and growth of mycobacteria inside THP-1 cells. Examining the gene expression of inducible nitric oxide synthase, pro-inflammatory and anti-inflammatory cytokines produced by THP-1 cells infected with the proteins treated and untreated mycobacteria, along with cytokine neutralization experiments, suggest that the nitric oxide components and cytokines could be responsible for mycobacterial growth control inside THP-1 cells. These novel and interesting functions of SP-D, C1q, and fibronectin on mycobacteria provide an insight into the modulatory function of these proteins on Mtb infection, and, therefore, in the pathogenesis of tuberculosis.