L'axe hypothalamo-hypophyso-surrénalien (HPA) permet de maintenir l'homéostasie de l'organisme face à divers stress. Qu'ils soient de nature psychologique, physique ou inflammatoire/infectieux, les stress provoquent la synthèse et la libération de CRH par l'hypothalamus. Les cellules corticotropes hypophysaires perçoivent ce signal et en réaction, produisent et sécrètent l'ACTH. Ceci induit la synthèse des glucocorticoïdes (Gc) par le cortex surrénalien; ces stéroïdes mettent le système métabolique en état d’alerte pour la réponse au stress et à l’agression. Les Gc ont le rôle essentiel de contrôler les défenses de l'organisme, en plus d'exercer une rétro-inhibition sur l'axe HPA. L'ACTH est une petite hormone peptidique produite par le clivage d'un précurseur: la pro-opiomélanocortine (POMC). À cause de sa position critique dans la normalisation de l'homéostasie, le contrôle transcriptionnel du gène Pomc a fait l'objet d'études approfondies au cours des dernières décennies. Nous savons maintenant que la région promotrice du gène Pomc permet une expression ciblée dans les cellules POMC hypophysaires. L'étude du locus Pomc par des technologies génomiques m'a permis de découvrir un nouvel élément de régulation qui est conservé à travers l'évolution des mammifères. La caractérisation de cet enhancer a démontré qu'il dirige une expression restreinte à l'hypophyse, et plus particulièrement dans les cellules corticotropes. De façon intéressante, l'activité de cet élément dépend d'un nouveau site de liaison recrutant un homodimère du facteur de transcription Tpit, dont l'expression est également limitée aux cellules POMC de l'hypophyse. La découverte de cet enhancer ajoute une toute nouvelle dimension à la régulation de l'expression de POMC. Les cytokines pro-inflammatoires IL6/LIF et les Gc sont connus pour leur antagonisme sur la réaction inflammatoire et sur le promoteur Pomc via l'action des facteurs de transcription Stat3 et GR respectivement. L'analyse génomique des sites liés ii par ces deux facteurs nous a révélé une interrelation complexe et a permis de définir un code transcriptionnel entre ces voies de signalisation. En plus de leur action par interaction directe avec l’ADN au niveau des séquences régulatrices, ces facteurs interagissent directement entre eux avec des résultats transcriptionnels différents. Ainsi, le recrutement de GR par contact protéine:protéine (tethering) sur Stat3 étant lié à l'ADN provoque un antagonisme transcriptionnel. Inversement, le tethering de Stat3 sur GR supporte une action synergique, tout comme leur co-recrutement à l'ADN sur des sites contigus ou composites. Lors d'une activation soutenue, ce synergisme entre les voies IL6/LIF et Gc induit une réponse innée de défense cellulaire. Ainsi lors d'un stress majeur, ce mécanisme de défense est mis en branle dans toutes les cellules et tissus. En somme, les travaux présentés dans cette thèse définissent les mécanismes transcriptionnels engagés dans le combat de l'organisme contre les stress. Plus particulièrement, ces mécanismes ont été décrits au niveau de la réponse globale des corticotropes et du gène Pomc. Il est essentiel pour l'organisme d'induire adéquatement ces mécanismes afin de faire face aux stress et d'éviter des dérèglements comme les maladies inflammatoires et métaboliques. / The hypothalamo-pituitary-adrenal (HPA) axis regulates homeostasis in various conditions of stress contributing to both the stress response and its termination. Psychological, physical or inflammatory/infectious stresses all prompt the synthesis and secretion of hypothalamic CRH. The pituitary corticotrope cells receive this signal and in turn, secrete ACTH which triggers the synthesis of glucocorticoids (Gc) by the adrenal cortex; these steroids induce a general state of alertness in order to fight or flight aggressions and stresses. Glucocorticoids have the critical role to restrict the stress response by exerting a negative feedback on the HPA axis. ACTH is a small peptidic hormone produced after cleavage of a precursor protein: pro-opiomelanocortin (POMC). Due to its critical role in homeostasis, transcriptional control of the Pomc gene has been intensely studied during the last decades. Previous investigations identified a promoter region that is sufficient for expression of Pomc in the appropriate pituitary cells. Genome-wide studies of the Pomc locus led me to discover a novel regulatory element that is conserved throughout mammalian evolution. The activity of this enhancer is restricted to the pituitary, and more precisely to the corticotrope lineage. Interestingly, its activity depends on a novel transcription factor binding motif that binds homodimers of Tpit, a transcription factor that is only found in pituitary POMC cells. The discovery of this enhancer adds a new dimension in the control of pituitary Pomc expression. The IL6/LIF pro-inflammatory cytokines and the glucocorticoids are well known for their antagonism in control of the inflammatory response; at the Pomc promoter, their action is mediated by the transcription factors Stat3 and GR, respectively. The analysis of genomic sites bound by these two factors revealed a complex relationship and led us to define a transcription regulatory code linking these signalling pathways. In addition to their direct DNA interaction with cognate regulatory sequences, these factors iv interact with each other with different outcomes. Thus, the recruitment of GR on DNAbound Stat3 through protein:protein contacts (tethering) results in transcriptional antagonism. Conversely, Stat3 tethering to GR produces synergism; this is also the case when the two factors are co-recruited to DNA on contiguous or composite binding sites. Prolonged activation of the IL6/LIF and Gc pathways elicits a synergistic innate cell defense response in all cells and tissues. In summary, this doctoral work has defined transcriptional mechanisms that mediate and control the stress response. In particular, pituitary components of the stress response were defined at the level of the Pomc gene and as a global response of corticotrope cells. This response is critical for appropriate organism defense during stresses such as those produced in inflammatory and metabolic diseases.

Bacterial infections are a major cause of morbidity and mortality in both the community and nosocomial settings, particularly among the elderly and chronically ill. Sepsis is the body’s response to antigens and toxins released by the invasive pathogenic organisms that cause infection. When infection is not effectively controlled, sepsis may develop and progress to severe sepsis and septic shock. Early diagnosis and treatment is pivotal for survival in severe sepsis and particularly, septic shock. Our research focuses on developing a novel treatment strategy for septic shock by using single, ultra-high doses of aminoglycosides. In this project, the effect of a single, ultra-high dose of gentamicin in clearing bacteria from the blood and reducing the bacterial burden in vital organs was evaluated in a rat model of E. coli (Bort strain) induced peritonitis with severe sepsis/septic shock. Serum cytokine levels and serum lactate levels were serially measured. Further, the potential adverse effects of ultra-high dosing of aminoglycoside antibiotics in a short-term (9 h) invasive study and long term (180 days) non-invasive study were assessed. Neuromuscular paralyses due to ultra-high doses of aminoglycosides were assessed. In addition, renal injury markers such as serum creatinine and urinary Neutrophil Gelatinase Associated Lipocalin (NGAL) were assayed. The auditory and vestibular function was also assessed after ultra-high dosing of aminoglycoside in the long-term study. We conclude that animals can tolerate ultra-high doses of aminoglycosides with appropriate support. Animals were under neuromuscular paralysis for 28 – 50 minutes and were on ventilator support after single ultra-high doses (80 and 160 mg/kg) of aminoglycoside antibiotics (gentamicin and tobramycin). There was no significant acute or delayed renal or ototoxicity associated with the single, ultra-high dose aminoglycoside therapy. Histology studies of the kidneys and the cochlea of single, ultra-high aminoglycoside dosed animals and untreated control animals were performed after 180 days (6 months). Results indicated that there were no morphological differences between the treated and untreated control animals. Terminal deoxy-nucleotidyl transferase dUTP nick end labeling (TUNEL) assay of kidney tissue indicated that there was no apoptosis of endothelial cells in the tubular and glomerular regions with single, ultra- high dose of aminoglycosides consistent with an absence of ultrahigh dose induced nephrotoxicity. In the septic shock model, the E. coli Bort was below the limit of detection from the blood of the animals within minutes after single, ultra-high dose aminoglycoside administration. After necropsy, bacterial load was determined from all the vital organs and peritoneal fluid (site of infection). The bacterial levels were below the detection limit from the kidneys and there was a significant reduction in bacterial counts from all the remaining organs compared to the infected control animals. A decrease in serum cytokine and serum lactate levels compared to baseline was observed after ultra-high doses of aminoglycosides in the septic shock animals. Our studies have indicated that the ultra-high dose gentamicin is well tolerated by rats. It is highly effective in clearing E. coli Bort from the blood and reducing the bacterial burden in the organs in an experimental model of bacterial peritonitis/septic shock. Further studies in larger animals such as rabbits, sheep, pigs or dogs are required to confirm these results. If these findings are replicated in larger animals, this therapy may be developed further from ‘lab to bedside’ to treat septic shock patients in intensive care units (ICUs). / October 2015

La candidose oro-pharyngée (COP) est l’infection opportuniste la plus répandue chez les patients infectés au VIH-1. Un modèle de COP chez la souris transgénique (Tg) exprimant une partie du génome du VIH-1 (CD4C/HIVMutA) est maintenant disponible. Grâce à ce modèle, il est possible d’étudier les perturbations quantitatives et fonctionnelles des macrophages exprimant les gènes nef, rev et env du VIH-1 dans le contexte d’une COP. Cette étude démontre que la présence du transgène n’influence pas le pourcentage des macrophages dans la muqueuse buccale et le petit intestin, malgré le fait que la charge buccale de C. albicans soit significativement plus élevée chez les souris Tg. Cependant, l’expression du transgène cause une diminution de la production de H2O2 par les macrophages, ainsi que l’augmentation de la production de la cytokine proinflammatoire IL-6 et de la chimiokine MCP-1. / Oro-pharyngeal candidiasis (OPC) is the most common opportunistic infection in HIV-1 infected patients. An OPC model using transgenic mice (CD4C/HIVMutA) expressing selected genes of the HIV-1 genome is now available. Using this model, it is now possible to study potential quantitative and functional disturbances in macrophages expressing the nef, rev and env genes of HIV-1 in the context of OPC. This study shows that transgene expression does not affect quantitative percentage values of macrophages in the oral mucosa and the small intestine, although burdens of C. albicans loads are increased in Tg mice. Transgene expression does induce diminished H2O2 production in macrophages, while increasing production of the proinflammatory cytokine IL-6 and the chemokine MCP-1.

La polyarthrite rhumatoïde (PR) est une maladie auto-immune chronique. Elle est caractérisée par une inflammation persistante touchant de multiples petites articulations, causant douleurs, rougeurs, gonflements et déformations. Des études menées auprès de patients et d’animaux ont démontré que certains auto-anticorps, cytokines et enzymes tissue-déstructives sont des médiateurs importants dans le développement de la PR. Au cours des deux dernières décennies, les traitements de fond (DMARDs en anglais) ont été démontrés très efficaces pour traiter la PR. D'autre part, des effets secondaires ont été rapportés pour ces traitements, par exemple l'augmentation du risque d'infections opportunistes. L’objectif de ce travail est d’acquérir des connaissances sur le rôle du TL1A (TNF-like molécule 1 A; TNFSF15) et son partenaire Nob1 (Pno1 ; YOR145c) dans la pathogenèse de la PR afin de découvrir de nouveaux médicaments contre ces molécules dans l'avenir. TL1A est un membre de la famille du TNF. Il déclenche des signaux co-stimulateurs via le récepteur de mort 3 (DR3) et induit la prolifération ainsi que la production des cytokines pro inflammatoires par les lymphocytes. Des données multiples suggèrent l'implication de la cascade TL1A-DR3 dans plusieurs maladies auto-immunes. Donc, nous avons proposé les hypothèses suivantes:1) la production locale de TL1A dans les articulations est un composant d’un cercle vicieux qui aggrave la PR; 2) dans la PR, la production de TL1A dans les organes lymphoïde augmente la production d’auto-anticorps pathogénique. Au cours de ce travail, nous avons démontré que la TL1A aggrave la maladie chez les souris où l’arthrite a été induite par le collagène (AIC). Par ailleurs, nous avons constaté que l’expression de TL1A est élevée dans les tissus atteints de PR ainsi que dans les ganglions lymphatiques drainant de la souris AIC. Mécaniquement, nous avons découvert que la TL1A est induite par le TNF-α et IL-17 produits par les cellules T in vitro. Ces résultats montrent directement que les TL1A-DR3 jouent un rôle essentiel dans la pathogenèse de la PR. De plus, afin de poursuivre notre étude, la TL1A a été génétiquement supprimée dans les souris (TL1A KO). Nous avons montré que les souris TL1A KO n’ont aucune anomalie apparente et aucun dysfonctionnement du système immunitaire dans des conditions normales. Cependant, ces souris manifestent des AIC améliorées et une réduction significative des niveaux d'anticorps, anti-collagène du type II i dans le sérum. Nous avons trouvé que les ganglions lymphatiques de drainage (dLNs) de souris KO étaient plus petites avec une cellularité inférieure comparativement aux souris WT de 14 jours après l’immunisation. De plus, nous avons découvert que le DR3 a été exprimé par les cellules plasmatiques dans l’étape de la différenciation terminale et ces cellules surviennent mieux en présence de TL1A. La conclusion de cette étude apporte des nouvelles connaissances sur le rôle de TL1A qui amplifie les réponses humorales d’AIC. Nous avons suggéré que TL1A pourrait augmenter la réponse d’initiation d'anticorps contre collagène II (CII) ainsi que prolonger la survie des cellules plasmatiques. Une autre molécule qui nous intéresse est Pno1. Des études antérieures menées chez la levure ont suggéré que Pno1 est essentielle pour la néogénèse du protéasome et du ribosome Le protéasome étant crucial pour la différenciation terminale des cellules plasmatiques pendant les réponses humorales chez les mammifères, nous avons donc supposé que Pno1 joue un rôle dans la production d'anticorps pathogenique dans la PR via la voie du protéasome. Nous avons donc généré des souris génétiquement modifiées pour Pno1 afin d’étudier la fonction de Pno1 in vivo. Cependant, une mutation non-sens dans le Pno1 provoque une létalité embryonnaire à un stade très précoce chez les souris. D'autre part, une réduction de 50% de Pno1 ou une surexpression de Pno1 n’ont aucun effet ni sur le fonctionnent des cellules T et B, ni sur les activités du protéasome ainsi que sur la réponse humorale dans l’AIC. Ces résultats suggèrent que Pno1 est une molécule essentielle sans redondance. Par conséquent, il n’est pas une cible appropriée pour le développement de médicaments thérapeutiques. En conclusion, nos études ont révélé que la TL1A n’est pas essentielle pour maintenir les fonctions du système immunitaire dans des conditions normales. En revanche, il joue un rôle critique dans la pathogenèse de la PR en favorisant l'inflammation locale et la réponse humorale contre des auto-antigènes. Par conséquent, une inhibition de la TL1A pourrait être une stratégie thérapeutique pour le traitement de la PR. Au contraire, Pno1 est essentiel pour la fonction normale des cellules. Une délétion totale pourrait entraîner des conséquences graves. Il n’est pas une cible appropriée pour développer des médicaments de la PR. / Rheumatoid Arthritis (RA) is a chronic autoimmune disease characterized by persistent inflammation of multiple small joints, which manifests pain, redness, swelling, and deformation. Studies with patients and animal models have found that autoantibodies, cytokines and tissue-destructive enzymes are important mediators of the pathogenesis of RA. In the past two decades, biologic disease-modifying antirheumatic drugs (DMARDs) have achieved great success in the treatment of RA. On the other hand, they are also associated with adverse effect like increasing the chance of opportunistic infections. The aim of present work was to investigate the roles of TNF-like molecule 1A (TL1A; TNFSF15) and partner of Nob1 (Pno1; YOR145c) in the pathogenesis of RA for developing novel drugs based on these molecules in the future. TL1A is a member of the TNF superfamily. It triggers costimulatory signals though death receptor 3 (DR3) and induces the proliferation and pro-inflammatory cytokine production in lymphocytes. Multiple lines of evidence suggest the implication of TL1A-DR3 signaling in several autoimmune diseases. Therefore, We hypothesized that 1) local TL1A production in the joints is a component of a vicious circle aggravating RA; 2) in RA, TL1A production in lymphoid organs enhances pathogenic autoantibody production. We demonstrated that the TL1A aggravates disease in murine collagen-induced arthritis (CIA). Moreover, we found elevated TL1A expression in RA-affected tissues, as well as in the draining lymph nodes (dLNs) of CIA mice. Mechanistically, we discovered that TL1A induces TNF-α and IL-17 production by T cells in vitro. These findings provided direct evidence that TL1A-DR3 signaling plays a critical role in the pathogenesis of RA. TL1A knockout (TL1A KO) mice were generated to further our study. We showed that TL1A KO mice have no visual anomaly, and no malfunction of immune system under a normal circumstance. However, they display ameliorated CIA and significantly reduced anti-Collagen II antibody levels in sera. We found that the draining lymph nodes (dLNs) from KO mice were smaller in size and lower in cellularity compared with their WT counterparts 14 days after immunization. Furthermore, we discovered that terminally differentiated plasma cells express DR3 and they survive better in the presence of TL1A. Our findings in this study present novel knowledge about the role of iii TL1A promoting the humoral responses in CIA; we suggest that TL1A could elevate the initial Ab response against Collagen II (CII), as well as prolong the survival of plasma cells producing such pathogenic Abs. Another molecule we were interested in present study is Pno1. Previous studies conducted in yeast suggest that Pno1 is essential to the proteasome and ribosome neogenesis. Since proteasome is crucial for the terminal differentiation of plasma cells during the humoral response in mammals, we hypothesized that Pno1 plays a role in the pathogenic Ab production in RA by affecting the proteasome assembly. For this purpose, we generated pno1 gene- modified mice to investigate the function of Pno1 in vivo. However, null-mutation in pno1 causes embryonic lethality in mice at a very early stage. On the other hand, a half amount reduction or overexpression of Pno1 is neither harmful nor useful to the T and B cell function, proteasome activities as well as humoral immune responses in CIA. These findings suggest that Pno1 is a vital molecule with no redundancy and is absolutely required for cell function, but animals can function normally with a small fraction of the normal Pno1 expression level. Thus, it might not be an appropriate target for developing therapeutic drugs. In conclusion, our studies suggest that TL1A seems not essential in maintaining the immune functions under normal circumstances, but plays critical roles in the pathogenesis of RA by promoting local inflammation and humoral immune responses against autoantigens. Therefore, inhibiting TL1A could be a propitious therapeutic strategy for treating RA. In contrast, Pno1 is vital to the normal cell function, and its disruption could cause disastrous consequences. Thus, it might not be a good drug target for treating RA.

Des études antérieures ont indiqué que l’IL-27 supprime le développement de l’encéphalomyélite auto-immune expérimentale (EAE), un modèle murin de la sclérose en plaques (SEP). L’expression en ARNm d’IL-27 est maximale au pic du développement de l’EAE. Cependant, sa contribution dans la pathogenèse de la SEP demeure irrésolue. Nous avons investigué si l’IL-27 contribue à moduler les réponses immunes dans le système nerveux central (SNC) de patients SEP. Nos résultats d’immunohistochimie sur échantillons post-mortem de cerveaux humains ont révélé que la production des deux sous-unités d’IL-27 (EBI-3 et p28) est plus élevée chez des patients comparés à des contrôles. De plus, les astrocytes (GFAP) et les microglies/macrophages (Iba1) représentent des sources biologiques importantes de l’IL-27 dans les lésions. Les lymphocytes T CD4 et CD8 qui infiltrent le SNC des patients expriment d’ailleurs le récepteur de l’IL-27 composé des chaînes gp130 et TCCR, supportant le concept que ces cellules pourraient répondre aux sources locales d’IL-27. Nous avons également démontré que des combinaisons de cytokines pro-inflammatoires (IFNγ, IL-1β et TNF) augmentent l’expression in vitro d’IL-27 par les astrocytes et macrophages humains, et que les microglies/macrophages de phénotype M1 produisent l’IL-27. Enfin, nous avons démontré que les astrocytes humains expriment aussi le récepteur à l’IL-27 et répondent à l’IL-27 par la phosphorylation de STAT1, mais pas de STAT3. Une telle signalisation dans ces cellules mène à l’augmentation d’expression de la molécule de co-inhibition PD-L1 et de la sécrétion de la chimiokine CXCL10. / Multiple lines of evidence support the notion that IL-27 can dampen the severity of experimental autoimmune encephalomyelitis (EAE). Whether this cytokine contributes to the pathogenesis of the human disease multiple sclerosis (MS) is still unresolved. We investigated whether IL-27 locally contributes to modulate the immune responses in the central nervous system (CNS) of MS patients. We performed immunohistochemistry on human post-mortem brain tissue samples and observed that both IL-27 subunits (EBI-3 and p28) are elevated in MS brains compared to controls. Moreover, we identified that astrocytes (GFAP+ cells) as well as microglia/macrophages (Iba1+ cells) are important sources of IL-27 in MS brains. Infiltrating CD8 and CD4 T cells present in the CNS of MS patients express the receptor for IL-27, composed of gp130 and TCCR chains, supporting the notion that these cells can respond to the local sources of IL-27. We demonstrated that combinations of inflammatory cytokines (IFNγ, IL-1β and TNF) up-regulate in vitro IL-27 expression by human astrocytes and macrophages, and that M1 microglia/macrophages produce IL-27. Lastly, we demonstrated that human astrocytes also express IL-27R and respond to the cognate cytokine by triggering the phosphorylation of STAT1, but not STAT3. Such signaling leads to the upregulation of PD-L1 expression and CXCL10 production by astrocytes. Our data demonstrate that IL-27 and its receptor are elevated in the CNS of MS patients and that inflammatory mediators present in MS lesions contribute to up-regulate such expression. Finally, astrocytes are key mediators of the production of IL-27 but also respond to this cytokine.

Interleukin-1alpha (IL-1alpha) is a well-known proinflammatory mediator acting as a secreted molecule. However, in addition to its ability to activate its membrane-bound receptor, there is growing evidence on its noncanonical nuclear function, which classifies IL-1alpha as a "dual function cytokine". This nuclear action depends on the evolutionary conserved N-terminal domain of IL-1alpha. After proteolytic processing, the N-terminal domain of IL-1alpha translocates into nucleus. Histone acetyltransferase (HAT) complexes were previously identified as nuclear targets of IL-1alpha precursor. However, the specific protein which is responsible for the interaction between IL-1alpha and HAT complexes has not been identified yet. To dissect this interaction, the N-terminal domain of IL-1alpha was produced in yeast. Suitability of this experimental setup for testing the interaction between IL-1alpha and eukaryotic HAT complexes was evaluated in this study. IL-1alpha has been analyzed in this study using bioinformatics approaches as well. Putative amphipatic acidic helixes of IL-1alpha have been characterized. One of the potential binding partners of these domains is protein Ada2. Protein Ada2, mature IL-1alpha and IL-1alpha precursor in fusion with epitopes suitable for affinity purification were produced in...

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Knochenwachstumsfaktoren (Bone Morphogenetic Proteins, BMPs) sind ubiquitäre, sekretierte Proteine mit vielfältigen biologischen Funktionen. Die Vielfalt an zellulären Prozessen, die durch BMPs reguliert werden, von der Knochenentwicklung und Organhomöostase bis hin zur Neurogenese, erstaunt – und wirft angesichts von teils redundanten, teils spezifischen Funktionen der BMPs Fragen zu den Mechanismen ihrer Signalübermittlung auf. Die Signaltransduktion von BMPs erfolgt wie bei den strukturell verwandten TGF-βs und Activinen durch die ligandeninduzierte Oligomerisierung von transmembranen Serin/Threonin-Kinaserezeptoren, von denen zwei Typen – Typ I und Typ II – existieren. Einer Vielzahl von mehr als 18 BMP-Liganden stehen nach derzeitigem Erkenntnisstand nur vier Typ I und drei Typ II Rezeptorsubtypen für die Bildung von heteromeren Rezeptorkomplexen zur Verfügung. Ein BMP-Ligand kann hochspezifisch nur einen bestimmten Rezeptorsubtyp oder in einer promisken Art und Weise mehrere Rezeptorsubtypen binden. Trotz dieser Bindungspromiskuität üben BMPs ihre biologische Funktion überwiegend hochspezifisch aus, d.h. abhängig vom Liganden werden spezifische zelluläre Prozesse reguliert. Somit stellt sich die Frage, wie die Bildung von heteromeren Ligand-Rezeptor-Komplexen und die Aktivierung definierter intrazellulärer Signalkaskaden zusammenhängen und wie letztlich ein bestimmtes BMP-Signal durch einen „Flaschenhals“, repräsentiert durch die begrenzte Anzahl an Rezeptorsubtypen, in das Zellinnere übermittelt wird. Die Interaktionen zwischen BMP-2 / GDF-5 und den Typ I Rezeptoren BMPR-IA / BMPR-IB sind ein Paradebeispiel für Bindungspromiskuität und -spezifität. Während BMP-2 beide Rezeptoren BMPR-IA und BMPR-IB mit gleicher Bindungsaffinität bindet („promiske Interaktion“), zeigt GDF-5 eine 15-20fach höhere Bindungsaffinität zu BMPR-IB („spezifische“ Interaktion). Dieser Unterschied ist scheinbar gering, aber physiologisch überaus relevant. Um Einblick in die Mechanismen der molekularen Erkennung zwischen den Bindungspartnern zu gewinnen, wurden binäre und ternäre Komplexe aus den Liganden BMP-2 oder GDF-5, den extrazellulären Domänen der Typ I Rezeptoren BMPR-IA oder BMPR-IB sowie der extrazellulären Domäne des Typ II Rezeptors ActR-IIB untersucht. Die hier vorliegende Arbeit beschreibt die strukturelle und funktionelle Analyse dieser Ligand-Rezeptor-Komplexe. Um den Einfluss struktureller Flexibilität auf die BMP Typ I Rezeptor Erkennung näher zu analysieren, wurde zudem die Struktur von BMPRIA in freiem Zustand mittels NMR-Spektroskopie aufgeklärt. Aus Mutagenesedaten und der Kristallstruktur des GDF-5•BMPR-IB-Komplexes lassen sich im Vergleich zu bekannten Kristallstrukturen Merkmale ableiten, mit denen die Ligand-Rezeptor-Bindung und -Erkennung charakterisiert werden kann: (1) Die Hauptbindungsdeterminanten in Komplexen von BMPR-IA und BMPR-IB mit ihren Liganden sind unterschiedlich. Während in Komplexen mit BMPR-IB ein hydrophobes Motiv die Bindungsaffinität bestimmt, trägt in Komplexen mit BMPR-IA eine polare Interaktion signifikant zur Bindungsenergie bei. Ein Vergleich der Strukturen von freien und gebundenen Liganden und Typ I Rezeptoren zeigt, dass interessanterweise diese Hauptbindemotive erst bei der Ligand-Rezeptor-Interaktion entstehen, sodass ein „induced fit“ vorliegt und die Moleküle entsprechend „aufeinander falten“. (2) Die Bindungsspezifität wird durch periphere Schleifen in den Typ I Rezeptoren bestimmt. Wie Untersuchungen von Punktmutationen in BMPR-IA zeigen, die einer krebsartigen Darmerkrankung (Juvenile Polyposis) zugrunde liegen, führt erst die „richtige“ Kombination aus Flexibilität in den Schleifen und Rigidität des Rezeptorgrundgerüsts zu signalaktiven Typ I Rezeptoren mit einer potentiell den Liganden komplementären Oberfläche. Die mangelnde sterische Komplementarität von Ligand- und Rezeptoroberflächen führt zu der niedrigeren Bindungsaffinität von GDF-5 zu BMPR-IA im Vergleich zu BMPR-IB. Interessanterweise zeigen die hier vorgestellten, hochaufgelösten Strukturdaten, dass die Orientierungen/Positionen der Typ I Rezeptoren BMPR-IA und BMPR-IB in den Bindeepitopen der Liganden BMP-2 und GDF-5 variieren. Unter der Voraussetzung, dass die extrazelluläre Domäne, das Transmembransegment und die intrazelluläre Domäne der Typ I Rezeptoren ein starres Element bilden, sollte sich die unterschiedliche Orientierung der extrazellulären Domänen der Typ I Rezeptoren in der Anordnung der Kinasedomänen widerspiegeln und sich auf die Signaltransduktion auswirken. Möglicherweise ist eine bestimmte Anordnung der Kinasedomänen der Typ I und Typ II Rezeptoren für eine effiziente Phosphorylierung bzw. Signaltransduktion erforderlich. Der Vergleich mehrerer Ligand-Typ I Rezeptor-Komplexe zeigt, dass die unterschiedliche Orientierung dieser Rezeptoren möglicherweise vom Liganden abhängt. Angesichts der Bindungspromiskuität unter BMP-Liganden und -Rezeptoren könnten so spezifische Signale übermittelt und spezifische biologische Funktionen reguliert werden. Die in dieser Arbeit vorgestellten Erkenntnisse tragen wesentlich zur strukturellen Charakterisierung der Ligand-Rezeptor-Erkennung in der BMP-Familie bei. Die Frage, warum trotz strukturell hoch homologer Liganden und Rezeptoren und weitgehend konservierten Bindeepitopen eine teils promiske und teils spezifische Interaktion möglich ist, kann nun für die Liganden BMP-2 und GDF-5 sowie den beiden Typ I Rezeptoren BMPR-IA und BMPR-IB beantwortet werden. / Bone morphogenetic proteins (BMPs) are ubiquitous, secreted cytokines involved in a manifold of biological functions. The diversity of cellular processes regulated by BMPs, from bone development to tissue homeostasis and neuronal processes, is amazing – and raises questions about the mechanisms of signal transduction in the light of redundant functions on the one hand, and specific functions on the other hand. Similar to structurally related activins and TGF-βs, the signal transduction of BMPs is accomplished by ligand-induced oligomerization of transmembrane BMP type I and type II serine/threonine receptor kinases. According to current knowledge, only four type I and three type II receptor subtypes are available for BMP signal transduction, facing a multitude of more than 18 BMP ligands. Binding of BMP ligands to their receptors can be highly specific meaning that only one specific receptor of either subtype is used for signaling. In contrast, many BMP ligands can recruit more than one receptor subtype, which results in binding promiscuity. However, even though receptor subtypes are bound in a promiscuous manner, only certain biological functions are triggered. Dependent on the BMP ligand, specific cellular processes are activated and regulated. This discrepancy between unspecific binding and specific signaling events and the biological response raises the question how the formation of heteromeric ligand-receptor complexes is linked to the activation of defined intracellular signaling cascades, and finally, how a certain BMP signal is transduced into the interior of the cell through a „bottleneck“ represented by the limited number of receptor subtypes. The interaction between BMP-2 / GDF-5 and the BMP type I receptors BMPR-IA / BMPR-IB is a prime example for binding promiscuity and binding specificity. BMP-2 binds BMPR-IA and BMPRIB with almost equal binding affinity („promiscuous interaction“) while GDF-5 exhibits a 15-20fold higher binding affinity to BMPR-IB („specific interaction“). Although this difference is seemingly small, it is however of considerable relevance for the physiological role of these ligands. To gain insight into the mechanisms of molecular recognition between the binding partners, binary and ternary ligand-receptor complexes consisting of BMP-2 or GDF-5, the extracellular domains of the type I receptors BMPR-IA or BMPR-IB, and the extracellular domain of the type II receptor ActRIIB were investigated. The thesis presented here describes the structural and functional analysis of these ligand-receptor complexes. To analyse the effect of structural flexibility on BMP type I receptor recognition in more detail, the structure of free BMPR-IA was determined using NMR spectroscopy. Based on data from a limited mutagenesis and the crystal structure of the GDF-5•BMPR-IB complex several characteristics concerning ligand-receptor binding and recognition can be deduced: (1) The main binding determinants in complexes of BMPR-IA and BMPR-IB with their ligands BMP-2 and GDF-5 differ. A hydrophobic binding motif determines binding affinity in complexes of BMPR-IB, whereas a polar interaction significantly contributes to binding energy in complexes of BMPR-IA. These main binding motifs are only formed during complex formation as demonstrated by a comparison between structures of free and bound ligands as well as type I receptors. Both ligand and receptor fold „onto each other“ which suggests an induced fit mechanism. (2) Binding specificity is encoded on loops at the periphery of the binding epitope of the type I receptors. Only the „appropriate“ combination between structural flexibility in the receptor loops and structural rigidity of the receptor backbone results in signal active type I receptors, as shown by analysis of single polymorphisms in BMPR-IA causing juvenile polyposis syndrome, a cancerous disease of the intestine. A lack of steric surface complementarity between GDF-5 and BMPR-IA, that cannot be overcome by structural flexibility, leads to the lower binding affinity in comparison to BMPR-IB. Interestingly, the high resolution structure of the GDF-5•BMPR-IB complex shows that the orientations/positions of BMPR-IA in the binding epitope of BMP-2 and of BMPR-IB in the binding epitope of GDF-5 vary. Assuming that the extracellular domain, the transmembrane segment, and the intracellular domain of the type I receptors form a rigid element, the different orientations of the extracellular domains should also reflect the assembly of the kinase domains and therefore, affect signal transduction. One can assume that a defined arrangement of the kinase domains of type I and type II receptors is required to allow for efficient phosphorylation and signal transduction, respectively. The comparison of several BMP ligand-type I receptor complexes suggests that the different orientations of these receptors are likely dependent on the ligand. Considering the binding promiscuity among BMP ligands and receptors such a mechanism would represent a possible way for the transmission of specific signals and regulation of specific biological functions. The insights into molecular structure and function of BMP ligands and receptors presented in this thesis contribute significantly to a more detailed understanding of their binding properties. The question why the interaction of BMP ligands and receptors is promiscuous on the one hand and specific on the other hand in spite of structurally highly homologous molecules can now be answered for BMP-2 and GDF-5 as well as BMPR-IA and BMPR-IB.

A periodontite está relacionada à genética do hospedeiro, constituição do biofilme dental e fatores ambientais como o hábito de fumar. A metilação do DNA é um mecanismo de expressão genética que pode inibir ou silenciar a expressão do gene. Desta forma, vários pesquisadores têm se dedicado a estudar a influência genética sobre a suscetibilidade e/ou risco aumentado à doença periodontal. Estudos têm relatado associação entre vários biomarcadores epigenéticos com a inflamação periodontal. Considerando a hipótese de que existe associação do tabagismo com a metilação em genes relacionados à doença periodontal, o objetivo deste estudo foi verificar o padrão de metilação do DNA em células do epitélio oral de pacientes com periodontite crônica (CP) no promotor de um gene específico envolvido no controle da inflamação, como supressor da sinalização de citocinas (SOCS-1) em pacientes fumantes e não fumantes. O gene SOCS-1 é localizado no cromossomo 16p13.3, compostos por uma região amino-terminal, um domínio SH2 central e uma caixa SOCS. É um regulador negativo da via JAK / STAT. Inibe os efeitos biológicos de várias citocinas, incluindo IL-2, IL-3, IL-4, IL-6, interferão (INF) - γ e INF- α / β. Este foi um estudo caso-controle, comparando dois grupos, um grupo (teste) com consumo de 10 cigarros mínimos por dia, com diagnóstico de periodontite crônica e outro grupo controle que foram pacientes não fumantes com periodontite crônica. Para tal, DNA genômico foi purificado de células epiteliais bucais obtidas por meio de enxágue com sacarose 3%, por tempo único de coleta. O DNA foi modificado pelo bissulfito de Sódio e os padrões de metilação do DNA foram analisados com a técnica MS-PCR (Polymerase chain reaction). A análise estatística foi realizada pela plataforma estatística R version 3.3.2 Core Team (2016). Foi realizado Teste t de Student para amostras independentes e teste não paramétrico de Wilcoxon & Mann-Whitney para variáveis qualitativas; teste qui-quadrado e para a variável metilação, foi feito um teste exato de Fisher para testar a associação entre os grupos e a metilação. Os resultados indicaram que, para células epiteliais da mucosa bucal, a frequência de desmetilação no gene SOCS-1 é maior no grupo sem o hábito do fumo, em comparação ao grupo fumante. Foram detectadas diferenças no padrão de metilação entre os dois grupos. Ao estabelecer uma estimativa de risco relativo entre os grupos e a variável metilação, foi observado que pacientes fumantes têm 7,08 vezes (risco relativo) com um intervalo (1,95-51.46) de apresentar doença periodontal crônica, com um padrão de metilação no gene SOCS-1 / Periodontitis is related to host genetics, constitution of the dental biofilm and environmental factors such as smoking. DNA methylation is a mechanism of genetic expression that can inhibit or silence gene expression. In this way several researchers have been dedicated to study the genetic influence on the susceptibility and / or increased risk to periodontal disease. Studies have reported association between several epigenetic biomarkers with periodontal inflammation. Considering the hypothesis that there is an association between smoking and methylation in genes related to periodontal disease, the objective of this study was to verify the DNA methylation pattern in oral epithelial cells of patients with chronic periodontitis (ChP) in the promoter of a specific gene involved in the control of inflammation, as suppressor of cytokine signaling (SOCS-1) in smokers and nonsmokers patients. The SOCS-1 gene is located on chromosome 16p13.3 composed of an amino-terminal region, a central SH2 domain and a SOCS box. It is a negative regulator of the JAK / STAT path. It inhibits the biological effects of various cytokines, including IL-2, IL-3, IL-4, IL-6, interferon (INF) -γ and INF-α / β . This was an case-control type study, comparing two groups, a group with consumption of 10 minimum cigarettes per day, with a diagnosis of chronic periodontitis and another control group were non-smokers with chronic periodontitis. For this, genomic DNA was purified from oral epithelial cells obtained by rinsing with 3% sucrose, for a single time of collection. The DNA was modified by Sodium bisulfite and the methylation patterns of the DNA were analyzed with the MS-PCR technique (Polymerase chain reaction). Statistical analysis was performed by the statistical platform R version 3.3.2 Core Team (2016), Student\'s t-test was performed for independent samples and Wilcoxon\'s & Mann-Whitney non-parametric test for qualitative variables; chi-square test. For the methylation variable, an exact Fisher\'s test was performed to test the association between the groups and the methylation. The results indicated that, for oral mucosal epithelial cells, the frequency of demethylation in the SOCS-1 gene is higher in the non-smoking group as compared to the smoker group. statistically significant differences were detected in the methylation pattern between the two groups. When establishing an relative risk between the groups and the methylation variable, it was observed that smokers are 7.08 times (relative risk) of having chronic periodontal disease with a methylation pattern in the SOCS-1 gene

Lectinas consistem de um vasto grupo de proteínas de origem não-imunológica e de caráter não enzimático, que reconhecem carboidratos de modo específico e não-covalente. Além disso, essas proteínas participam de vários eventos fisiológicos e patológicos, com embriogenese, resposta imunológica, apoptose, diferenciação celular e câncer. Recentemente, foi purificada da peçonha da serpente Bothrops atrox uma lectina do tipo-C, ligante de lactose, com propriedades bioquímicas e funcionais semelhantes à de outras lectinas de serpentes do gênero, denominada Galatrox. O presente projeto teve como objetivos a investigação do envolvimento da Galatrox no processo inflamatório agudo através de experimentos in vivo e in vitro e a produção de anticorpos policlonais anti-Galatrox. A lectina isolada foi obtida através de dois processos cromatográficos, apresentando um valor final de recuperação protéica de 0,3% (mg) em relação ao conteúdo protéico da peçonha bruta. De modo interessante, a Galatrox conjugada ao fluorocromo FITC (8µg/mL) foi capaz de ligar-se a superfície de neutrófilos (91,47%±0,5650). Além disso, está proteína reconheceu a laminina imobilizada, e não a fibronectina, uma glicoproteína da matriz extracelular que contém sequencias de poli-N-acetillactosamina. Avaliando seu potencial inflamatório, Galatrox mostrou-se capaz de induzir a migração de neutrófilos humanos in vitro de forma dose-dependente, tendo máxima atividade quimiotática na concentração de 32µg/mL (41,57±3,42 neutrófilos por campo). Apesar da Galatrox induzir um discreto nível de burst oxidativo em neutrófilos humanos não primados, ela apresentou um efeito três vezes maior quando essas células foram primadas com fMLP. Esta lectina quando injetada na cavidade peritoneal de camundongos Balb/C provocou migração leucocitária, sendo que na dose (50g/cavidade) e no tempo (4 horas) ótimos ocorreu um influxo celular de 2,05x106±0,101 leucócitos/mL. Ainda, esse infiltrado celular mostrou-se, basicamentre, composto por neutrófilos. Avaliando o perfil de mediadores da resposta inflamatória nesse ensaio in vivo, nos lavados peritoneais foi indicada a liberação máxima de IL-1 e IL-6 após 4 horas de tratamento, mas não foram detectadas a presença de TNF- e óxido nitrico em qualquer tempo de resposta. Células de baços murinos tratados com Galatrox produziram as citocinas pró-inflamatórias TNF- e IFN- e não produziram IL-10 ou NO. A produção de anticorpos policlonais foi realizada por imunização de camundongos e purificação cromatografia de afinidade em colunas com Galatrox imobilizada. A monitoração por ELISA e Western blot comprovaram a produção de anticorpos da classe IgG anti-Galatrox reconhecedores da lectina em sua forma nativa e desnaturada além de suas formas monoméricas e diméricas. Em todos os ensaios biológicos que a Galatrox foi testada na presença da lactose (carboidrato ligante da Galatrox, 20 mM) ocorreram inibições significativas das atividades dessa lectina, indicando que o seu domínio de reconhecimento de carboidrato participa das funções dessa molécula. Com base nos resultados obtidos é possível sugerir que a Galatrox participe da resposta imune inata por mediar eventos biológicos da resposta inflamatória aguda. No entanto, a lectina mostrou-se como um moderado agente pró-inflamatória, quando relacionada à peçonha bruta tendo em vista a fisiopatologia inflamatória do envenenamento. O anticorpo anti-Galatrox poderá ser usado como uma importante ferramenta estudos moleculares e funcionais dessa lectina de serpente. / Lectins are proteins with no enzymatic activity and are able to bind specifically and non-covalently (reversible manner) to carbohydrates. In addition, these proteins are involved in several physiological and pathological events, as embryogenesis, immune response, cancer, and others. Galatrox, a lactose-binding protein, was purified from Bothrops atrox snake venom and partially characterized concerning its biochemical and functional properties. The present work aimed to investigate the involvement of Galatrox in the inflammatory process. In addition, was carry out the production of a polyclonal antibody against Galatrox. This lectin was purified by one chromatographic step with yield around 0.3% (w/w) of total protein from Bothrops atrox crude venom. Interestingly, Galatrox-FITC (8g/mL) binds on human neutrophil surface (91.47% ± 0.5650). Also, this lectin recognized laminin, but not fibronectin, a glycoprotein of the extracellular matrix that contains poly-N-acetyllactosamine sequences. Galatrox was able to induce human neutrophils migration in vitro in a dose-dependent manner, with maximum chemotactic activity at 32g/mL (41.57 ± 3.42 neutrophils per well). Galatrox is more efficient to induce oxidative burst on fMLP primed neutrophils rather than non-primed neutrophils. When injected into mouse peritoneal cavity, Galatrox induced dose and time-dependent leukocyte migration, with optimal effect at 50g/animal after 4 hours of the injection (2.05x106±0.101 leukocytes/mL). Galatrox also induced release of IL-1 and IL-6 up to 12 hours after injection in the peritoneal cavity. However, TNF- and NO were not detected. The treatment of splenocytes with Galatrox in vitro promotes the production of INF- and TNF-. The biological activities of Galatrox were inhibited by lactose (specific sugar, 20 mM), indicating that its recognition carbohydrate domain participates of its functions. The production of polyclonal antibody anti-Galatrox was performed by immunization of mice and purified by affinity chromatography using immobilized Galatrox resin. Gamma-globulins against Galatrox were able to recognize this lectin under native and reduced conditions, using ELISA and Western-blot, respectively. The antibody anti-Galatrox can be use as important tool to further molecular and functional characterization of this snake venom lectin. These results suggest that Galatrox is immunogenic and may participate in the acute inflammatory process, acting as a pro-inflammatory agent through its lectin property.