Essentielle à l'équilibre énergétique de la cellule, la mitochondrie, véritable sentinelle, joue, un rôle majeur dans le destin de la cellule, en modulant les voies de signalisation de mort cellulaire mis en jeu dans l'atrophie musculaire. L'objectif de cette thèse est de proposer des cibles thérapeutiques centrées sur la mitochondrie dans deux modèles murins dont la physiopathologie est caractérisée par une dysfonction mitochondriale associée à une atrophie musculaire : le vieillissement et la dystrophie musculaire de Duchenne (DMD). Pour lutter contre la perte de masse musculaire liée à l'âge, la déficience en myostatine (mstn), associée à un phénotype hypermusculé, est une stratégie thérapeutique prometteuse. Mais, l'altération du métabolisme mitochondrial et oxydatif induite par cette déficience réduit les effets bénéfiques d'une telle stratégie. Nous avons donc testé l'intérêt de l'utilisation de la molécule pharmacologique AICAR, activateur connu de l'AMPK, afin de « booster » la fonction mitochondriale chez la souris âgée KO mstn. Les résultats montrent chez la souris KO mstn, une amélioration du temps d'endurance de course. Au niveau signalétique, le traitement induit des effets bénéfiques mais limités sur la fonction mitochondriale. Les mécanismes restent à préciser mais tendent vers l'hypothèse d'un effet bénéfique de l'AICAR sur le stress du réticulum endoplasmique (RE). Le dysfonctionnement mitochondrial a été également largement impliqué dans la physiopathologie de la DMD. Dans notre seconde étude, ce même traitement à l'AICAR chez le modèle murin de la DMD, la souris mdx atténue le phénotype dystrophique et améliore la fonction contractile du diaphragme. Nous montrons que ces effets bénéfiques sont associés à une induction de mécanisme de survie, l'autophagie, et une limitation des phénomènes d'apoptose induit par la mitochondrie, mettant en évidence une amélioration de l'intégrité mitochondriale par stimulation de leur renouvellement dans des fibres musculaires dystrophiques. Enfin, ce travail a mis en avant pour la première fois la présence à l'état basal de stress du RE chez la mdx, propsant une nouvelle cible thérapeutique. L'impact de ce stress dans la fibre musculaire normal et pathologique est très mal connu. Nos résultats montrent que le stress du RE modifie les liens entre le réticulum sarcoplasmique et la mitochondrie, perturbe l'homéostasie calcique et active les voies de mort cellulaire associées à une dysfonction contractile. Ces résultats ouvrent une perspective de stratégie thérapeutique dans les pathologies musculaire impliquant un stress du RE, comme la DMD. Ce travail de thèse a mis en avant l'importance de développer des thérapies pharmacologiques dans les pathologies musculaires, permettant d'améliorer la fonction à la fois métabolique et de sentinelle de la mitochondrie. / Fundamental for the energetic balance of the cell, mitochondria play a key role for modulation of cell death pathway related to muscular atrophy. Thus, the purpose of this PhD is to find therapeutic strategy focus on mitochondria in two different murine models where the physiopathology is characterized by a mitochondria dysfunction associated with muscle atrophy: Aging process and Duchenne Muscular Dystrophy (DMD).To prevent loss of muscle mass associated with aging, the lack of myostatin, inducing a hypermuscular phenotype, is a promising therapeutic strategy. However, loss of myostatin is associated with a strong reduction of mitochondrial and oxidative metabolism in skeletal muscle, and this strategy need to be potentiated. In this context, we explore if mitochondrial alteration in aged wild-type mice or in aged mstn KO mice are rescued by chronic AMPK-activating treatment, using the synthetic agonist AICAR, considered as “an mimetic of exercise”. Our results show an improvement of aerobic running performance in mstn KO mice. Concerning to signaling pathways, AICAR treatment induces beneficial but limited effects on mitochondrial metabolism. Mechanisms are still under investigation but our results suggest a reduction in ER stress. Moreover, mitochondria dysfunction has been widely implicated in DMD physiopathology. This same treatment of AICAR, in the murine model of DMD, improves the diaphragm histopathology as well as maximal force generating capacity. These beneficial effects were linked with autophagy activation and apoptosis limitation, without inducing muscle fiber atrophy, and promoting the elimination of defective mitochondria.Finally, the last part of this study highlight for the first time, an increase of ER stress at basal level, suggesting a new therapeutic target. Nevertheless, ER stress impact in skeletal muscle fibers is sparsely known. The preliminary results show that ER stress decrease the link between RE and mitochondria, which have an impact on calcium homeostasis and stimulate cell death pathway with a decrease of contractile function.This study highlights the importance to develop pharmacological therapies in muscular pathology, focus on metabolic and sentinel mitochondria function.

O transplante de ilhotas pancreáticas é uma terapia promissora para o tratamento da diabetes mellitus tipo 1 (DM1). No entanto, ilhotas transplantadas estão sujeitas à rejeição pelo sistema imune dos pacientes receptores, portanto faz-se necessário o desenvolvimento de mecanismos moleculares que protejam essas células. Estudos mostraram que o hormônio prolactina (PRL) é capaz de inibir a apoptose desencadeada por citocinas pró-inflamatórias sobre células beta pancreáticas e que este processo citoprotetor depende da presença da chaperona HSPB1. Foi observado que durante o desenvolvimento do DM1, as células beta pancreáticas sofrem estresse de retículo endoplasmático e que isso contribui para desencadear apoptose. O estresse de retículo endoplasmático é caracterizado pelo acúmulo de proteínas mal dobradas nessa organela resultando na ativação da resposta a proteínas mal dobradas (UPR) que tem como finalidade recuperar a homeostase celular. No presente estudo mostramos, pela primeira vez, que PRL foi capaz de proteger células beta pancreáticas contra estresse de retículo endoplasmático promovido tanto por citocinas pró-inflamatórias (TNFα, IFNγ e IL1β) quanto pelos estressores de retículo endoplasmático: tunicamicina e tapsigargina; e que HSPB1 é essencial nesse mecanismo de citoproteção. No contexto do DM1, esse hormônio parece ter um efeito modulador da UPR aumentando os níveis de BiP, antecipando a ativação de ATF6 e PERK, mantendo a via de PERK ativa por mais tempo, inibindo a via de IRE1α, e diminuindo os níveis de CHOP em tempos maiores. Coletivamente, os resultados aqui apresentados aprofundam os conhecimentos sobre a função de HSPB1, conduzindo para o desenvolvimento de estratégias que visam à atenuação da morte de células beta por meio da modulação de uma via de proteção endógena, a qual é independente da modulação do sistema imunológico. / The islet transplantation is a promising therapy for the treatment of type 1 diabetes mellitus (T1DM). However, transplanted islets are subject to rejection by the immune system of the recipient patients, therefore the development of molecular mechanisms that protect these cells is necessary. Studies have shown that the hormone prolactin (PRL) is capable of inhibiting apoptosis triggered by pro-inflammatory cytokines on pancreatic beta cells and that this cytoprotective process depends on the presence of the chaperone HSPB1. It was observed that during the development of type 1 diabetes, pancreatic beta cells undergo endoplasmic reticulum stress and that this contributes to trigger apoptosis. The endoplasmic reticulum stress is characterized by accumulation of misfolded proteins in this organelle resulting in the activation of unfolded protein response (UPR) that aims to restore cellular homeostasis. In the present study, we show for the first time that PRL was able to protect pancreatic beta cells against endoplasmic reticulum stress promoted by both pro-inflammatory cytokines (TNFα, IFNγ and IL1β) as the endoplasmic reticulum stressors: tunicamycin and thapsigargin; and HSPB1 is essential that cytoprotective mechanism. In the context of T1DM, PRL appears to have a modulating effect of the UPR by increasing the levels of BiP, anticipating the activation of ATF6 and PERK, keeping the PERK pathway active for longer, inhibiting the pathway IRE1α, and decreasing the levels of CHOP for longer times. Collectively, the results presented here deepen the knowledge of the HSPB1 function, leading to the development of strategies inducing attenuation of beta cells death through modulation of endogenous protection means, which are independent of the modulation of the immune system.

L'un des enjeux majeurs de la recherche anti-cancéreuse est de développer de nouvelles thérapies en direction des tumeurs réfractaires aux traitements conventionnels. Dans ce contexte, l'identification récente de l'activité anti-tumorale PPARgamma-indépendante des thiazolidinediones ouvre de nouvelles perspectives thérapeutiques. Au sein du laboratoire, il a été montré qu'un analogue inactif de la TGZ, la delta2-TGZ, induit une dégradation protéasome-dépendante du récepteur alpha aux oestrogènes de manière PPARgamma-indépendante. A partir de ces données, les objectifs de ma thèse ont été 1) de participer à la caractérisation de nouveaux composés à activité anti-cancéreuse 2) de mieux comprendre les mécanismes PPARgamma-indépendants mis en jeu dans l'effet anti-cancéreux des TZD. Lors de ce travail de thèse, nous avons caractérisé de nouveaux composés plus efficaces que la delta2-TGZ pour l'inhibition de la prolifération des cellules cancéreuses mammaires MCF-7 et MDA-MB-231 et faiblement toxiques sur des cultures primaires d'hépatocytes humains. De plus, nous avons montré que la delta2-TGZ est capable d'induire un stress du réticulum endoplasmique à des temps précoces dès 3 heures et une apoptose à des temps plus tardifs 48 heures. Cependant, nous n'avons pas pu conclure à l'existence d'un lien entre les deux mécanismes. Enfin, nous avons montré que la biotinylation d'un ligand naturel de PPARgamma, la 15d-PGJ2, accroît son effet anti-prolifératif sur les cellules cancéreuses mammaires MCF-7 et MDA-MB-231 et conduit à un stress du réticulum endoplasmique et à une mort par apoptose. Ces effets sont partiellement dépendants de PPARgamma pour le stress du réticulum endoplasmique mais strictement PPARgamma-indépendants pour l'apoptose. Ce travail pourrait permettre de constituer de nouveaux outils thérapeutiques dans le traitement du cancer du sein / One of the main goals of the anti-cancer research is to develop new therapeutic option for resistant tumor. In this context, the recent discovery of thiazolidinedione devoid of PPARgamma activity with a strong anti-cancer effect opens new perspectives. In a previous study, the laboratory showed that an inactive derivative of PPARgamma, the delta2-TGZ, induce a proteasome-dependent degradation of estrogen receptor alpha in PPARgamma-independent way. Thus, during my thesis we aimed 1) to participate in the study of new compounds less toxic and more effective to inhibit the proliferation of mammary cancer cells, 2) to better understand PPARgamma-independent mechanisms involved in the anti-cancer effect of the TZD. In the present work, we characterise new compounds more effective than delta2-TGZ to inhibit the proliferation of the breast cancer cells MCF-7 and MDA-MB-231 and are less toxic on primary culture of human hepatocytes. We pursued the study on mechanisms involved in PPARgamma-independent anti-proliferative activity of delta2-TGZ. We showed that delta2-TGZ is able to induce endoplasmic reticulum stress as soon as 3 hours and apoptosis in later times 48 hours of treatment. Nevertheless we could not conclude of the existence of a link between these two pathways. Finally, we studied the effect of the biotinylation of a natural ligand of PPAR?: the 15d-PGJ2. This modification drive to an increased effect of the 15d-PGJ2 on the anti-proliferative effect of breast cancer cells, reticulum endoplasmic stress and death by apoptosis. These effects are partially PPARgamma-dependent for reticulum endoplasmic stress and only PPARgamma-independent for apoptosis. This work highlighted new promising tools of breast cancers treatment

Na gestação há aumento da proliferação e redução da apoptose das células b pancreáticas. Prolactina (PRL) desencadeia estas mudanças, que são revertidas após o parto mesmo na presença de PRL. In vitro, dexametasona (DEX) se contrapõe a PRL. Avaliamos se o estresse do retículo endoplasmático (ERE) está envolvido na apoptose do pós-parto e se os glicocorticóides (GC) participam deste mecanismo. A fragmentação do DNA aumenta no 3° dia pós-parto (L3), em paralelo com a diminuição de pAKT e aumento do TRB3, indutor da apoptose por ERE. BiP, ATF4, CHOP, e a ligação de CHOP e CHOP-ATF4 no promotor do TRB3 aumentam em L3. O inibidor do ERE PBA restaurou os níveis de pAKT e CHOP e inibiu a apoptose. Células RINm5F tratadas com DEX (24h) têm aumento de BiP e ATF4, de p-eIF2 e do XBP-1 ativo. DEX também induz TRB3, mas inibe a ligação de CHOP ao TRB3. O tratamento por 72h não altera p-eIF2a, diminui XBP-1 ativo e promove apoptose, único evento revertido pela PRL. Concluímos que a apoptose das ilhotas em L3 é desencadeada por ERE, mas os GC não induzem este mecanismo. / During gestation occurs increase on the proliferation and apoptosis reduction of pancreatic b cells. Prolactin (PRL) promotes these changes which are reverted after delivery. Dexametasone (DEX) in vitro opposed to PRL. We evaluate whether endoplasmatic reticulum stress (ERS) was involved on post-delivery apoptosis and glycocorticoids (GC) participate on this mechanism. DNA fragmentation increased on the 3rd day post-delivery (L3), in parallel with pAKT diminution and inductor of apoptosis-TRB3 augment by ERS. BiP, ATF4, CHOP along with binding of CHOP and CHOP-ATF4 to the TRB3 promoter increased in L3. ERS inhibitor-PBA restored pAKT, CHOP levels and inhibited apoptosis. RINm5F cells with DEX (24h) showed increase in BiP, ATF4, p-eIF2 and in active XBP-1. DEX induced TRB3, but inhibited the binding of CHOP to TRB3. The 72h treatment did not alter p-eIF2a, diminished active XBP-1 and promoted apoptosis; the unique event reverted by PRL. We concluded that apoptosis of islets in L3 is generated by ERS; nevertheless this mechanism is not induced by GC.

O fator 2 derivado de células estromais, SDF2 (do inglês Stromal cell derived fator 2) é um gene de função ainda desconhecida, conservado em mamíferos e descrito primeiramente por Hamada et al. (1996). Neste estudo, observamos que a proteína Sdf2 de camundongo possui a alta similaridade de sequência em relação ao SDF2-like(L)1 humano e murino e de estrutura preditiva também similar em relação ao SDF2-like de Arabidopsis thaliana. A proteína mostrou-se sublocalizada no retículo endoplasmático e apresentou ampla distribuição nos tecidos e órgãos de camundongos. O mapeamento da expressão de Sdf2 ao longo da gestação humana e de camundongo nos mostrou que a proteína está presente em todas as etapas e compartimentos da placenta, com expressão em diversos tipos celulares. Nossos resultados sugerem que o SDF2 participa dos processos de diferenciação de células trofoblásticas humanas e murinas de maneira oposta. Em humanos, onde o processo é dependente da ativação de caspase-8 observou-se um aumento da expressão de SDF2. Em camundongos, onde o processo é por endoreduplicação, houve diminuição da expressão da proteína. A participação do SDF2 na via de estresse de retículo endoplasmático (RE) nas células trofoblásticas também foi analisada. Fatores adversos que podem levar à perda da homeostase do RE e levar a um acúmulo de proteínas mal enoveladas geram o fenômeno conhecido como Estresse de RE. O estresse de RE ativa a via de Resposta a Proteínas Mal Enoveladas (UPR, em inglês Unfolded Protein Response), que atua em diferentes vias de sinalização para aumentar a produção de chaperonas, a degradação das proteínas mal enoveladas e a diminuição da produção de novas proteínas. Estas respostas aumentam as chances de sobrevivência celular. Se, no entanto, a célula não recuperar sua homeostase, vias que levam à apoptose serão ativadas. A geração de estresse de RE pelo agente tunicamicina alterou significativamente a expressão de SDF2. Além disso, o silenciamento do gene SDF2 alterou a expressão dos principais fatores de controle de sobrevivência e apoptose da UPR. Desta forma, estes achados sugerem que o SDF2 desempenha um papel na regulação de sobrevivência/apoptose das células trofoblásticas pela via UPR. / The stromal cell derived factor 2 (SDF2) was first described by Hamada et al.(1996), is well conserved in mammals but its function is still unknown. In this study, we observed the predicted aminoacid sequence os Sdf2 is similar to human and mouse SDF2L1 sequence and the predicted Sdf2 structure is similar to SDF2-like from Arabidopsis thaliana. The protein is sublocalizes in the ER and it is widely expressed in mouse tissue and organs. The expression of Sdf2 throughout human and mouse gestation showed the protein is present in all gestational phases and compartments analysed and it is expressed by several cell types in the placenta. In trophoblast functional assays, SDF2 showed opposite expression patterns in human and mouse differentiation processes. In humans, where the process is dependent of caspase-8 activation, the protein is upregulated. Im mouse, the process is dependent of endoreduplication, the protein is downregulated. The participation of SDF2 in Endoplasmic Reticulum (ER) stress in trophoblastic cells was also evaluated. Adverse environmental conditions may lead to disruption of ER homeostasis causing accumulation of unfolded/misfolded proteins in ER, a phenomenon known as ER stress. ER stress activates the Unfolded Protein Response (UPR) that acts in several signaling cascades to improve chaperone production, misfolded protein degradation and to downregulate new protein production. These responses increase the capacity of cells to maintain alive even in stress conditions. Whether cells fail on restore homeostasis, the UPR activates apoptosis. We were able to observed that when gene silencing assays was used for SDF2, modifications in UPR cell survival/apoptosis markers were observed. In conclusion, we propose that SDF2 is playing a role in ER stress cell survival/apoptosis control in trophoblast cells.

Diante da ausência de dados prévios, foi pretendido estabelecer uma correlação entre as possíveis modificações metabólicas e moleculares na resistência insulínica e inflamação em modelos animais de obesidade, induzida pela dieta, recebendo a suplementação de ômega 3/ALA. Além disto, pretendeu-se obter dados que permitam uma melhor elucidação dos mecanismos envolvidos na resistência insulínica neste modelo e um possível efeito preventivo da administração de ALA sobre este processo, podendo, desta forma, auxiliar no desenvolvimento de novas terapias. O objetivo do estudo foi demonstrar que a suplementação ALA reduz a resistência à insulina e a inflamação em modelo animal de obesidade. Foram divididos 40 camundongos machos (C57/BL6) em 4 grupos: controle (C), controle + ômega 3/ALA (CW), obesos (O) e obesas + ômega 3/ALA (OW). Por um período de oito semanas, os grupos O e OW receberam uma dieta hiperlipídica com 60% de lipídeos, enquanto o C e CW receberam ração padrão. Depois, os grupos CW e OW receberam suplementação de 10% de ômega 3/ALA liofilizado, extraído de semente de linhaça, diariamente, por mais 8 semanas. Observando os resultados, todos os grupos de animais tiveram o mesmo ganho de peso, assim como consumo alimentar, eficiência enérgica e eficiência alimentar. O uso do ALA diminuiu o peso da gordura subcutânea no grupo OW comparado ao O e manteve os valores semelhantes entre os outros grupos, no entanto, as comparações do peso do fígado, gordura epididimal, pâncreas e músculo gastrocnemio, foram semelhantes entre todos os grupos. Observou-se uma diminuição na resistência insulínica nos animais OW comparado ao O pelo teste de IPGTT, sendo a área sob a curva de glicose similar entre C e CW. Além disso, os níveis totais de gordura no fígado foram significativamente menores no CW e OW, em comparação com C e O, estes resultados são reforçados pela análise dos tecidos em avaliação histopatológica. Os níveis séricos de glicemia e insulina, ao final do estudo, mostraram uma redução importante em OW comparado a CW, porém, não foi observado diferenças entre os animais obesos suplementados ou não com ômega-3/ALA. Entretanto, quanto à avaliação de resistência insulínica pelo cálculo do HOMA IR, este mostrou-se menor comprando-se OW com O. Os níveis séricos de colesterol total e HDL foram maiores no grupo CW comparados ao C, sendo que os níveis de colesterol total foram menores, também, no grupo OW comparados ao O. No entanto, os valores de triglicérides séricos foram semelhantes entre todos os grupos, assim como valores de triglicérides hepáticos. Colesterol total hepático teve um aumento significativo entre OW e O. As dosagens séricas de IL1, IL6 e MCP1 mostraram uma redução importante em O comparadas com OW. Já quanto a IL17 e TNF, ambas foram equivalentes, nas comparações entre diferentes grupos. A avaliação da ativação do estresse do retículo endoplasmático mostrou que a proteína BIP teve um aumento importante tanto na comparação entre C e CW e também entre O e OW. A também chaperona HSP70 mostrou aumento significativo em ambas as comparações entre grupos, tanto em C e CW quanto em O e OW. GRP94 e IRE1 tiveram resultados semelhantes, sem diferenças entre os grupos, assim como a DAPK1. CHOP teve diminuição importante comparando-se C e CW, e O e OW. Em contrapartida, XBP1 teve diminuição importante na comparação entre os grupos C e CW. Por fim, a suplementação de ômega 3/ALA mostrou ser eficaz na prevenção de esteatose hepática, redução de resistência insulínica, diminuição do processo inflamatório, e redução da ativação do estresse do retículo endoplasmático em tecido hepático. / Given the absence of previous data, it is intended to establish a possible correlation between metabolic and molecular changes in insulin resistance and inflammation in animals receiving supplementation of -linoleic acid (ALA) found in flaxseeds oil. Furthermore, we intend to obtain data for an elucidation of the mechanisms involved in insulin resistance and preventive effect of administration of ALA on this process and may thus aid the development of new therapies. The aim of study was prove the ALA supplementation reduces insulin resistance and inflammation in an obesity animal model. 40 male mice (C57/BL6) were divided into 4 groups: control (C), control + omega 3/ALA (CW), obese (O) + omega 3/ALA and obese (OW). For a period of eight weeks, the groups O and OW received a high-fat diet with 60% fat, while the C and CW received regular chow. Then, the CW and OW groups were supplemented with 10% omega 3/ALA lyophilized, extracted from flaxseed daily, for another 8 weeks. Analyzing the results, all groups of animals had the same weight gain, and food consumption, food efficiency and energetic efficiency. The use of ALA decreased subcutaneous fat weight in group OW compared to O and remained similar values between the other groups, however, comparisons of the size of liver tissue, epididymal fat, pancreas and gastrocnemius muscle were similar among all groups. There was a decrease in insulin resistance in animals OW compared to O by GTT test, with an area under the curve of glucose similar between C and CW. Moreover, the total liver fat levels were significantly lower in CW and OW compared to C and O, these results are reinforced by histopathological tissues analysis. Serum glucose and insulin levels, at the end of the study, showed a significant reduction in OW compared to CW, however, no differences were observed between the obese animals supplemented or not with omega 3/ALA. Meanwhile, about the valuation of insulin resistance calculating by HOMA IR, this was lower in OW compared with O. Serum total cholesterol and HDL levels were higher in CW compared to the group C, and total cholesterol levels were also lower in the OW group compared to O. However, the serum levels of triglyceride were similar among all groups as well as hepatic triglycerides values. Hepatic total cholesterol increased significantly between OW and O. Serum levels of IL1, IL6 and MCP1 showed a significant reduction in O compared to OW. As for IL17 and TNF were similar for both comparisons between different groups. The evaluation of endoplasmic reticulum stress activation showed the BIP protein had a significant increase in the comparison between CW and C and also between OW and O. The also chaperone HSP70 showed a significant increase in both comparisons between groups, both in C and CW as for O and OW. GRP94 and IRE1 had similar results, with no differences between groups, as well as DAPK1. CHOP had significant decrease comparing CW and C, and O and OW. In contrast, XBP1 had significant reduction in the comparison between groups C and CW. Finally, omega 3/ALA supplementation showed to be effective in preventing hepatic esteatose, the reduction of insulin resistance, inflammation decrease, and reduction of activation of endoplasmic reticulum stress in liver tissue.

Les maladies inflammatoires chroniques de l'intestin (MICI) se caractérisent par une inflammation sévère de l'intestin grêle et du côlon et comprennent la maladie de Crohn (MC) et la rectocolite hémorragique (RCH). Les MICI sont des maladies complexes faisant intervenir des facteurs génétiques : certains senseurs bactériens, l'autophagie et le stress du réticulum endoplasmique. Un défaut de barrière de l'épithélium digestif est également fortement impliqué dans la physiopathologie du processus inflammatoire. La fonction barrière de l'épithélium digestif est assurée par plusieurs types cellulaires, synthétisant entre autres, des peptides antimicrobiens (PAM) et des mucines. Dans les MICI, une augmentation de la perméabilité intestinale et une perte de muco-sécrétion ont été décrites. Les protéases jouent un rôle fondamental dans la digestion du bol alimentaire mais également dans le maintien de l'homéostasie intestinale en activant ou dégradant divers motifs moléculaires, ou in induisant des signaux spécifiques aux cellules par l'activation de quatre récepteurs : les PARs (Protease-Activated Receptor). Dans les MICI, un excès d'activité protéolytique de type trypsine est observé. L'origine de cette activité est théoriquement attribuée aux cellules immunitaires, à une surproduction pancréatique ou au microbiote, mais les cellules épithéliales intestinales semblent également être une source majeure de protéases. L'objectif de mon projet de thèse visait à étudier l'impact des principales voies impliquées dans les MICI sur l'homéostasie des protéases épithéliales et le rôle de celles-ci dans la déstabilisation de la fonction de barrière. Nos résultats ont confirmé un excès de protéases à sérine dans les cellules épithéliales de patients atteint de MC ou de RCH. In vitro, sur des monocouches de cellules Caco-2, l'induction de l'autophagie diminuait la libération apicale de protéase de type trypsine, alors que le senseur bactériens NOD2 n'avait aucun effet. A l'inverse, une stimulation du Stress du réticulum endoplasmique (SRE) par la Thapsigargin, induisait une libération accrue de protéases actives de type trypsine au pôle apical des cellules. [...] / Crohn's disease (CD) and Ulcerative colitis (UC) are two forms of Inflammatory Bowel Disease (IBD), a chronic inflammatory pathology affecting the digestive tract. Patients suffer from relapsing flares, diarrhea, abdominal pain and bleeding. Although the molecular mechanisms of IBD are poorly understood, recent data suggest that IBD occurs in genetically predisposed individuals developing an abnormal immune response to intestinal microbes after, being exposed to specific environmental triggers. Genetic studies have reported more than 170 polymorphisms susceptible to be involved in IBD pathogenesis. The strongest associations have highlighted three main pathways altered in IBD including bacterial sensing (NOD2, CD), autophagy (ATG16L1 and IRGM, CD) and endoplasmic reticulum stress (ER-Stress) (XBP1, UC). The role of intestinal barrier function is also strongly implicated in IBD pathogenesis, and is modulated by factors present in the lumen derived from microbiota, food or at a molecular level, by factors such as proteases. In IBD pathophysiology, the inflammatory process is characterized by impaired intestinal biology including disruption of tight junctions and leaky gut, decreased amount of Paneth and Goblet cells, and translocation of luminal antigens triggering inflammation. Previous studies have demonstrated an increased level of active serine proteases in the stools and tissues of IBD patients, supposing that proteases originate from infiltrated immune cells, pancreatic secretion or microbiota. However, our team has reported that intestinal epithelial cells are a major source of serine proteases, in particular trypsin-like enzymes, are released by a stressed epithelium in pathogenic context such as irritable bowel syndrome. In this project, we aimed at better understanding whether the three main pathways involved in IBD (Nod2, autophagy, ER-stress) could be linked to an epithelial release of trypsin and reciprocally, if epithelial trypsin is able to induce or modulate these three IBD pathways. We confirmed that trypsin-like activity was significantly higher in biopsies from UC and CD patients compared to healthy controls. In Caco-2 monolayers cultured in transwells, secreted trypsin-like proteolytic activity remained stable upon NOD2 stimulation but decreased under autophagy induction. Thapsigargin (Tg) stimulation a well-known ER-stress inducer, enhanced the apical release of trypsin-like activity in Caco2 cells. [...]

La fibrose hépatique est la conséquence de toutes les maladies chroniques du foie et se caractérise par un dépôt excessif de matrice extracellulaire synthétisée par les myofibroblastes. Les myofibroblastes portaux (MFP), l'une des sous populations de myofibroblastes, jouent un rôle majeur dans la progression de la fibrose et sont pro-angiogéniques. Des études ont montré un rôle important du stress du réticulum endoplasmique (RE) dans la fibrose du foie. Nos objectifs étaient de déterminer si un stress du RE survient dans les MFP lors de la fibrose et affecte les fonctions de ces cellules, et d'étudier l'effet du TUDCA, une molécule chaperonne utilisée en clinique dans les maladies biliaires, sur le stress du RE. Le phénotype de MFP activés in vivo, isolés à partir de foie de rats fibreux après cholestase, a été comparé à celui de MFP contrôles que nous avons préalablement bien caractérisés. Nos résultats montrent que les MFP activés in vivo subissent un stress du RE se traduisant par l'activation de la voie PERK. Ce stress du RE n'a pas d'effet sur la différenciation myofibroblastique, diminue les capacités de prolifération et de migration des MFP mais augmente leur pouvoir angiogénique. En revanche, le TUDCA n'a aucun effet sur les paramètres étudiés. Les MFP subissent donc un stress du RE lors de leur activation myofibroblastique qui stimule leur propriété pro-angiogénique et pourrait ainsi favoriser la progression de la fibrose. Cependant le stress du RE inhibe également leurs fonctions de prolifération et de migration ce qui pourrait induire une boucle de contrôle négative limitant leur expansion. / Hepatic fibrosis is the consequence of all chronic liver diseases and is characterized by an abnormal extra cellular matrix deposition by myofibroblasts. Portal myofibroblasts (PMF), a subpopulation of hepatic myofibroblasts, play a major role in fibrosis progression and angiogenesis. Accumulating evidences indicate an important role of endoplasmic reticulum (ER) stress in hepatic fibrosis. The aims of this study were to determine whether an ER stress occured in PMF during fibrosis and affected the functions of these cells, and to study the effect of the molecular chaperone TUDCA used in biliary diseases, on ER stress. The phenotype of in vivo activated-PMF obtained from rat fibrotic liver after cholestasis was compared with the phenotype of control PMF that we previously characterized. Our results showed that in vivo activated-PMF underwent ER stress with PERK pathway activation. This ER stress had no effect on myofibroblastic differentiation but reduced PMF proliferation and migration and increased PMF angiogenesis capacity. TUDCA had no effect on these parameters. In conclusion, PMF display ER stress during their activation. ER stress stimulates their pro-angiogenic proprieties and thereby may promote fibrosis progression. However, ER stress also inhibits their proliferation and migration functions, and thereby could provide a negative control loop to restrict their expansion.

Pancreatic beta-cells are responsible for secreting insulin into the circulation to maintain whole body glucose homeostasis. While pancreatic beta-cells have a large capacity to secrete insulin, their function progressively deteriorates during the pathogenesis of type 2 diabetes as a result of both genetic predisposition and environmental factors. Obesity is the largest risk factor for developing type 2 diabetes and is associated with various conditions that can impair normal beta-cell function, including excess free fatty acids, inflammation and insulin resistance. Accumulating evidence in the literature suggests that endoplasmic reticulum (ER) stress contributes to the molecular mechanism of pancreatic beta-cell failure during the progression of type 2 diabetes. In this thesis, I have examined the role of the ER stress sensor ATF6-alpha and also the ER-resident chaperone GRP78 in pancreatic beta-cell homeostasis and function. Work presented in Chapter 2 examined the function of naturally occurring ATF6-alpha protein variants associated with type 2 diabetes. I also examined the role of endogenous ATF6-alpha in pancreatic beta-cells, which is described in Chapter 3. Results from these analyses suggest that the ATF6-alpha gene is not a type 2 diabetes susceptibility gene; however, ATF6-alpha protein expression is important to beta-cell function and survival. Finally, ER stress markers have been detected in pancreatic beta-cells and insulin sensitive tissues (such as adipose and liver), which promote beta-cell dysfunction and insulin resistance, respectively. In Chapter 4, I examined the contribution of ER stress in beta-cell dysfunction specifically by generating transgenic mice over-expressing GRP78. The mice were subsequently challenged by high fat diet to determine their susceptibility to developing symptoms of type 2 diabetes. Indeed increased chaperone capacity in pancreatic beta-cells protected against obesity-induced glucose intolerance and insulin resistance. Overall, these data support the hypothesis that ER stress contributes to beta-cell dysfunction in type 2 diabetes progression.

Na gestação há aumento da proliferação e redução da apoptose das células b pancreáticas. Prolactina (PRL) desencadeia estas mudanças, que são revertidas após o parto mesmo na presença de PRL. In vitro, dexametasona (DEX) se contrapõe a PRL. Avaliamos se o estresse do retículo endoplasmático (ERE) está envolvido na apoptose do pós-parto e se os glicocorticóides (GC) participam deste mecanismo. A fragmentação do DNA aumenta no 3° dia pós-parto (L3), em paralelo com a diminuição de pAKT e aumento do TRB3, indutor da apoptose por ERE. BiP, ATF4, CHOP, e a ligação de CHOP e CHOP-ATF4 no promotor do TRB3 aumentam em L3. O inibidor do ERE PBA restaurou os níveis de pAKT e CHOP e inibiu a apoptose. Células RINm5F tratadas com DEX (24h) têm aumento de BiP e ATF4, de p-eIF2 e do XBP-1 ativo. DEX também induz TRB3, mas inibe a ligação de CHOP ao TRB3. O tratamento por 72h não altera p-eIF2a, diminui XBP-1 ativo e promove apoptose, único evento revertido pela PRL. Concluímos que a apoptose das ilhotas em L3 é desencadeada por ERE, mas os GC não induzem este mecanismo. / During gestation occurs increase on the proliferation and apoptosis reduction of pancreatic b cells. Prolactin (PRL) promotes these changes which are reverted after delivery. Dexametasone (DEX) in vitro opposed to PRL. We evaluate whether endoplasmatic reticulum stress (ERS) was involved on post-delivery apoptosis and glycocorticoids (GC) participate on this mechanism. DNA fragmentation increased on the 3rd day post-delivery (L3), in parallel with pAKT diminution and inductor of apoptosis-TRB3 augment by ERS. BiP, ATF4, CHOP along with binding of CHOP and CHOP-ATF4 to the TRB3 promoter increased in L3. ERS inhibitor-PBA restored pAKT, CHOP levels and inhibited apoptosis. RINm5F cells with DEX (24h) showed increase in BiP, ATF4, p-eIF2 and in active XBP-1. DEX induced TRB3, but inhibited the binding of CHOP to TRB3. The 72h treatment did not alter p-eIF2a, diminished active XBP-1 and promoted apoptosis; the unique event reverted by PRL. We concluded that apoptosis of islets in L3 is generated by ERS; nevertheless this mechanism is not induced by GC.