As células que compõem o tumor podem interagir entre si, através da liberação e incorporação de vesículas extracelulares, muitas vezes contribuindo para a progressão tumoral. Dessa maneira, o presente trabalho teve como objetivo observar se as vesículas extracelulares , como as microvesículas e os exossomas liberados pelas células cancerosas em condições de estresse celular, após quimioterapia e indução de hipóxia conferem alguma vantagem adaptativa às células tumorais. Nossos resultados mostram que vesículas liberadas por células de melanoma humano em hipóxia ou normóxia apresentam tamanho médio característico de exossomos e microvesículas e não modulam os processos de proliferação, morte e migração celular. As vesículas liberadas pelas células após tratamento com o quimioterápico temozolamida também apresentam tamanho característico de exossomos e microvesículas; em adição, o tratamento com a temozolamida induziu um aumento na secreção dessas vesículas pelas células de melanoma. A incubação das células tumorais com vesículas oriundas da terapêutica com a temozolamida aumentou a proliferação celular, conferindo vantagem proliferativa às células de melanoma humano / Tumor cells can interact with each other by releasing and incorporating extracellular vesicles, contributing to tumor progression. Therefore, the aim of this study was to evaluate if extracellular vesicles, such as microvesicles and exossomes, released by cancer cells under cell stress conditions like chemotherapy and hypoxia, induce an adaptive advantage to tumor cells. Our results show that vesicles shed by human melanoma cells under hypoxia, or normoxia exhibit the characteristic size of exossomes and microvesicles and do not modulate cell proliferation, death or migration. The vesicles released by melanoma cells after temozolomide treatment also showed the average size of exossomes and microvesicles; moreover, temozolomide treatment induced an increase in extracellular vesicles shedding by tumor cells. Incubation of tumor cells with vesicles released under temozolamide therapeutics caused an increase in cell proliferation, providing a proliferative advantage to human melanoma cells

La thérapie photodynamique (PDT) est un traitement alternatif à la chirurgie en oncologie utilisant un photosensibilisateur (PS), la lumière visible et l’oxygène moléculaire. La méta-tétra(hydroxyphényl)chlorine (mTHPC) est l’un des PS de deuxième génération les plus utilisés en clinique en raison de son absorption dans le rouge lointain et d’un rendement quantique en 1O2 élevé. De par sa nature hydrophobe, la mTHPC est partiellement agrégée dans la circulation sanguine diminuant sa biodistribution. Dans le but d’améliorer la sélectivité tumorale de la mTHPC, différentes stratégies de vectorisation ont été développées. La formulation liposomale de mTHPC non PEGylée (Foslip®) améliore la biodistribution ainsi que les propriétés pharmacocinétiques de la mTHPC. Cependant, une rapide destruction des liposomes en circulation ainsi qu’une rapide libération de la mTHPC sont des inconvénients majeurs. Une alternative possible est l’utilisation de vésicules extracellulaires (VE). Dérivées des cellules, les VE possèdent une stabilité naturelle dans la circulation sanguine et une capacité à transporter et délivrer leur contenu de manière spécifique aux cellules cancéreuses. Cette vectorisation est intéressante en PDT en raison d’une importante capacité d’encapsulation des porphyrines. Le but de cette étude était d’évaluer l’intérêt des VE en tant que nanovecteur de la mTHPC dans divers modèles précliniques comparé au Foslip®. Contrairement au Foslip®, l’intégrité membranaire des VE est conservée en présence de 20% de plasma. In vitro, les mTHPC-VE ont montré une internalisation cellulaire par un mécanisme actif d’endocytose. Dans un modèle cellulaire en 3D de sphéroïdes multicellulaires, les mTHPC-VE ont permis d’accroitre l’accumulation cellulaire, la diffusion au sein de ce modèle ainsi que l’efficacité PDT. In vivo, les mTHPC-VE apparaissent plus efficace au niveau PDT avec un retard de croissance tumorale significativement augmenté. En conclusion, l’intégration de la mTHPC au sein des VE améliore l’efficacité PDT dans les différents modèles d’étude. Le suivi des mTHPC-VE à l’aide d’un traceur radioactif chez la souris ainsi que l’étude du ciblage de la vascularisation tumorale seront étudiés dans la suite du travail / Photodynamic therapy (PDT) is an alternative treatment to surgery in oncology using photosensitizer (PS), light and oxygen. Meta-tetra(hydroxylphenyl)chlorin (mTHPC) is one of the most used PS in clinics due to its high absorption in the deep red and high 1O2 quantum yield. In order to improve the mTHPC tumor selectivity different attempts of nanovectorisation were conducted. Non-PEGylated liposomal mTHPC (Foslip®) increase biodistribution and pharmacokinetic properties. However, the rapid liposome destruction during circulation and rapid mTHPC release are obvious shortcomings. Alternatively, mTHPC vectorization could be realized by extracellular vesicles (EVs). Derived from the cell, EVs possess a natural stability in bloodstream and ability to transport and deliver cargo molecules into cancer cells. This formulation is interesting for PDT due to the ability to encapsulate porphyrins. The aim of the present study was to determine the interest of EVs as mTHPC nanocarriers in various preclinical models compared to Foslip®. In contrast to Foslip®, membrane integrity of mTHPC-EVs was conserved in 20% of plasma. In vitro, mTHPC-EVs showed cellular internalization by an active endocytosis mechanism. In a 3D model of spheroids, mTHPC-EVs have improved cellular uptake, better diffusion inside spheroid and increased PDT efficacy. In vivo, mTHPC-EVs appeared to be more potent in terms of PDT efficacy, with a tumor growth delay significantly higher. In conclusion, integration of mTHPC in EVs improves PDT efficacy in various preclinical models. The tracking of mTHPC-EVs using a radioactive tracer in xenografted rodents as well as the study of vascularization targeting will be studied in the next step of this work

L’insuffisance cardiaque (IC) est un problème majeur de santé publique. La pénurie des greffons cardiaques et la résistance de nombreux patients aux traitements conventionnels ont poussé les chercheurs à développer de nouvelles thérapeutiques dont la thérapie cellulaire. Bien que l’idée initiale de la thérapie cellulaire ait été de repeupler la partie nécrosée du cœur par l’administration de cellules viables et fonctionnelles, leur disparition rapide alors que les bénéfices perdurent dans le temps a conduit à l’hypothèse que les cellules agiraient via un mécanisme paracrine. Les vésicules extracellulaires (VE), incluant les exosomes et les microparticules, seraient principalement impliquées dans ce processus. Elles agiraient ainsi comme de véritables navettes transportant des biomolécules actives permettant d’activer des voies de réparation endogènes dans le tissu traité. Ce projet de thèse a pu mettre en évidence : 1) La non-infériorité des VE issues de progéniteurs cardiovasculaires (Pg) dérivés de cellules souches embryonnaires humaines par rapport à leurs cellules d’origine dans un modèle murin d’IC chronique (ICC). Ces VE activeraient des voies de signalisation endogènes impliquées dans la stimulation de la prolifération cellulaire, la survie cellulaire, la réparation de l’ADN et la diminution de la fibrose. Leur contenu moléculaire spécifique, et notamment les microARN, pourrait être impliqué dans ces phénomènes. 2) L’importance du choix du type cellulaire dans la production de VE efficaces sur le plan thérapeutique puisque ni les VE dérivées de cardiomyocytes matures ni celles de cellules souches mésenchymateuses n’ont eu d’effets bénéfiques sur la fonction cardiaque de souris en ICC. 3) L’implication des VE dans l’effet paracrine des cellules, confirmée par l’amélioration de la fonction cardiaque chez des souris présentant une ICC traitées avec des VE issues de Pg dérivés d’iPS. Des tests fonctionnels in vitro ont montré que les VE auraient un rôle pro-angiogénique, pro-prolifératif et amélioreraient la survie des cellules. Une thérapie a-cellulaire aurait une réelle pertinence clinique en réglant une partie des problèmes techniques, immunologiques et sécuritaires associés aux greffes de cellules. Si cette hypothèse est confirmée, il pourrait en résulter une simplification des problèmes réglementaires, une diminution des coûts de production et de ce fait une plus grande diffusion clinique de la méthode. / Heart failure (HF) is a major public health concern. The lack of donor hearts and the resistance of numerous patients to conventional treatments has led scientists to develop new therapies such as cell therapy. The initial goal of cell therapy was to repopulate the infarcted heart by directly injecting viable and functional cells. However, the rapid disappearance of the transplanted cells contrasts with their long term, ongoing functional benefits, suggesting that cells may act through a paracrine mechanism. Extracellular vesicles (EV), including exosomes and microparticles, may be key to this process, acting as shuttles to transport bioactive macromolecules that stimulate endogenous repair pathways in the host tissue. This PhD project demonstrates: 1) The non-inferiority of EV secreted by cardiovascular progenitors (Pg) derived from human embryonic stem cells as compared to their parent cells in a mouse model of chronic HF (CHF). These EV could act by the activation of endogenous signaling pathways implicated in cell proliferation, survival, DNA repair and decreased fibrosis. Their specific content, such as miRNA, could be involved in these benefits. 2) The importance of the cell type in the production of therapeutically effective EV, since EV derived from mature cardiomyocytes and mesenchymal stem cells did not improve cardiac function in mice with CHF. 3) The importance of EV in paracrine effects of cells, confirmed by the improvement of cardiac function in mice with CHF treated with EV secreted by Pg derived from iPS cells. In vitro data shows that EV might have pro-angiogenic, pro-proliferative and pro-survival effects. An acellular therapy should be clinically relevant by reducing technical, immunological and safety problems associated with cell transplantation. If this hypothesis is confirmed, regulatory concerns would be simplified and production costs reduced, facilitating large-scale production.

Les cellules iNKT (de l’anglais invariant Natural Killer T) constituent un sous-type particulier de lymphocytes T caractérisé par un profil de type inné. Ces cellules répondent rapidement à des antigènes lipidiques et glycolipidique présentés par le CD1d, une glycoprotéine exprimée par les différentes cellules présentatrices d'antigène. Suite à l’activation, les cellules iNKT sont capables de produire de grandes quantités de cytokines anti-inflammatoires et pro-inflammatoires et elles sont impliquées dans différentes maladies, telles que l'allergie, l'auto-immunité, le cancer et les infections, parmi lesquelles la leishmaniose. Les parasites protozoaires de les espèces Leishmania sont les agents causaux de la leishmaniose, une maladie tropicale négligée dont la manifestation la plus grave affecte les organes viscéraux et qui peut être mortelle si elle n'est pas traitée. Le succès de l'infection dépend de la capacité du parasite à maitriser la réponse immunitaire de l'hôte. Récemment, quelques groupes, y compris le nôtre, ont observé que les parasites Leishmania libèrent des vésicules extracellulaires (VE). Les VE sont formées par une bicouche membranaire lipidique, contenant des lipides, des protéines et du matériel génétique et elles peuvent transmettre des molécules dérivées des pathogènes aux cellules hôte sans contact direct entre les cellules. Les VE produites par les parasites Leishmania et aussi par d’autres protozoaires ont été associés à des effets pro-parasite car elles favorisent un environnement plus permissif à l'établissement de l'infection. Dans cette thèse, nous avons étudié l'effet du matériel extracellulaire (ME), correspondant aux VE et aux molécules non-associées aux VE, libéré par les promastigotes de L. infantum sur les cellules iNKT. Dans le début de ce travail, il a été observé que le ME de L. infantum empêche l'expansion ex-vivo des cellules iNKT humaines à partir de cellules mononucléaires du sang périphérique. Cela a mis en évidence la communication entre les cellules iNKT et le ME de L. infantum, ce qui a été exploré par la suite. Le ME de L. infantum module la capacité très importante des cellules iNKT à produire des cytokines. En effet, le ME de L. infantum empêche la production des différentes cytokines par les cellules iNKT, comme par exemple IL-4 et IFNγ. De plus, nous avons aussi démontré que le ME de L. infantum compète avec l’α-GalCer, un agoniste très puissant des cellules iNKT, pour la liaison à la molécule CD1d, ce qui justifie l’effet inhibiteur dans l'activation des cellules iNKT. Nous avons aussi montré que les lipides qui sont présents dans chaque fraction du ME de L. infantum ont un rôle très important dans l’inhibition de l'activation et l'expansion des cellules iNKT. Ainsi, le ME de L. infantum, par ces lipides, peut participer à l’altération de l’activation des cellules iNKT dépendante du CD1d. Cela ajoute une nouvelle évidence de la contribution du ME de L. infantum dans la subversion de la réponse immunitaire de l’hôte. La communication entre le ME libéré par un pathogène et les cellules iNKT a été étudié pour la première fois, ce qui a suggéré un mécanisme de modulation de ces cellules qui n’avait jamais été décrit. Ce travail ouvre des perspectives pour l'étude de l'interaction de ME libéré par d'autres pathogènes avec des cellules iNKT. De plus, l'analyse des lipides contenus dans le ME de L. infantum pourra aboutir à la découverte de nouvelles molécules spécifiques pour inhiber les cellules iNKT. Cela apporterait des avantages significatifs dans les approches cliniques ciblant la modulation de l'activation des cellules iNKT. / The invariant natural killer T (iNKT) cells constitute a particular subset of T lymphocytes characterized by an innate-like profile. These cells rapidly respond to lipid and glycolipid antigens bound by the glycoprotein CD1d expressed by different antigen presenting cells. Once activated, they release large amounts of anti- and proinflammatory cytokines. Thus, iNKT cells are endowed with a remarkable immunomodulatory potential and they have been implicated in different disorders, such as allergy, autoimmunity, cancer and infection, among which is leishmaniasis. Leishmania spp. are a group of protozoan parasites that includes the causative agents of leishmaniasis. This is a neglected tropical disease in which the most severe form of manifestation affects visceral organs and could be fatal if left untreated. Importantly, the success of Leishmania infection relies on the capacity of the parasite to subvert host immune responses. Recently, a few groups, including ours, observed that Leishmania parasites release extracellular vesicles (EVs). EVs are vesicles formed by a lipid bilayer membrane, containing other lipids, proteins and genetic material on their surface as well as in their lumen. Due to their potential to transmit messages between pathogens and host cells without a direct cell contact, they have been a focus of great interest regarding infection. EVs derived from Leishmania and other protozoan parasites have been associated with pro-parasite effects, by creating a more permissive environment to the establishment of the infection. Herein, we studied the effect of the extracellular material (ExM), which encloses both EVs and vesicle-depleted material, released by L. infantum promastigotes in iNKT cells. In the first steps of this work, it was observed that L. infantum ExM is capable of impairing the expansion of human iNKT cells ex vivo from peripheral blood mononuclear cells. This evidenced the cross-talk between iNKT cells and L. infantum ExM that we explored further. L. infantum ExM also modulates the important capacity of iNKT cells to release cytokines, impairing the production of different cytokines, such as IL-4 and IFNγ by these cells. Furthermore, we also show that L. infantum ExM competes with α-GalCer, a potent iNKT cell agonist, for CD1d binding, which justifies its effect in the impairment of iNKT cell activation. Additionally, we also proved the lipids present in each fraction of L. infantum ExM take an important role in the inhibition of iNKT cell activation and expansion. Thus, L. infantum ExM, through their lipids, is suggested to participate in the impairment of CD1d-mediated activation of iNKT cells, adding a new evidence regarding the contribution of the parasite ExM to subvert host immune responses. To the best of our knowledge, this is the first time that the cross-talk between the ExM released by a microbe and iNKT cells was assessed, shedding light on a mechanism of iNKT cell modulation that remained unexplored so far. This opens new perspectives regarding the study of the interaction of the ExM released by other pathogens with iNKT cells. Moreover, a further analysis of the lipid content of L. infantum ExM might allow the finding of new inhibitory molecules specific to iNKT cells, which can bring significant advantages in clinical approaches targeting the modulation of iNKT cell activation.

Orientador: Lucilene Delazari dos Santos / Resumo: O uso de animais de grande porte como sorodoadores tem se mostrado de grande importância para a produção do selante de fibrina do Centro de Estudos de Venenos e Animais Peçonhentos (CEVAP). O objetivo deste trabalho foi certificar um plantel de bubalinos, realizar uma investigação sobre os potenciais candidatos à biomarcadores de brucelose em soro de búfalos e evidenciar o isolamento e a quantificação pioneira de exossomos (EVs) do soro de bubalinos com theileriose e babesiose. Realizaram-se os seguintes testes sorológicos: brucelose (BRU), leptospirose (LEP), febre aftosa (FMD), rinotraqueíte infecciosa bovina (IBR), diarréia viral bovina (BVD), varíola bovina (Pox) e tuberculose, língua azul (BTV), estomatite vesicular (EV) - sorotipos cocal (COCV) e alagoano (VSAV), leucose bovina (BLV), neospora (NC), toxoplasmose (TX) e testes bioquímicos laboratoriais. Todas as amostras de soro foram submetidas ao diagnóstico sorológico para detecção de brucelose, diagnóstico de reação em cadeia da polimerase para detecção de theileriose e babesiose, cromatografia líquida de afinidade, isolamento de exossomos, digestão de proteínas em solução, análise de espectrometria de massa e ferramentas de bioinformátca. Observamos um enriquecimento de 90,5% de proteínas nos soros de búfalos após este protocolo de depleção. A análise MS/MS evidenciou que as principais diferenças no proteoma dos animais com brucelose. No que se refere ao exossosmos isolados e quantififcados neste trabalho, nossa met... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The use of large animals as sorbozers has been shown to be of great importance for the production of fibrin sealant from the Center for the Study of Venoms and Poisonous Animals (CEVAP). The objective of this work was to certify a flock of buffaloes, to conduct an investigation of the potential candidates for brucellosis biomarkers in buffalo serum and to evidence the isolation and the pioneer quantification of buffalo serum exosomes (EVs) with theileriose and babesiosis. The following serological tests were carried out: brucellosis (BRU), leptospirosis (LEP), foot-and-mouth disease (FMD), infectious bovine rhinotracheitis (IBR), bovine viral diarrhea (BVD), bovine pox (Pox) and tuberculosis, blue tongue (BTV), vesicular stomatitis (EV) - cocal (COCV) and alagoan (VSAV) serotypes, bovine leukosis (BLV), neospora (NC), toxoplasmosis (TX) and laboratory biochemical tests. All serum samples were submitted: 1) serological test; 2) Polymerase chain reaction; 3) Depletion; 4) Isolation of exosomes; 5) Mass spectrometry and 6) Analysis and interpretation of the data. The MS / MS analysis showed that the major differences in the proteome of animals with brucellosis. Regarding the isolated and quantified exosmos in this work, our methodology is strongly encouraged for the isolation and characterization of EVs in Apicomplexa infections in farm animals. We conclude that this study on different fronts such as management, infectious diseases and parasitic diseases can be used in small pro... (Complete abstract click electronic access below) / Doutor

O sucesso no desenvolvimento de tumores não dependente somente de mutações, mas também é influenciado pelo microambiente do tumor; nele ocorre a interação entre as células tumorais e o estroma. Essa interação pode ser mediada por vesículas liberadas por essas células para o meio extracelular. Essas vesículas atuam na comunicação celular que pode influenciar a progressão tumoral. O objetivo deste estudo foi analisar as interações mediadas por vesículas entre células tumorais e fibroblastos normais. As células tumorais foram plaqueadas sobre a monocamada de fibroblastos e carregadas com diferentes corantes vitais. Nossos resultados evidenciaram a presença e a troca de vesículas entre as células em co-cultura. Vesículas isoladas mostraram tamanhos heterogêneos. Células tumorais possuem mais vesículas que as células normais. As vesículas são compostas pelas proteínas AHNAK e Anexinas. AHNAK foi detectada em vesículas trocadas e estava aumentada em tumores. AHNAK é molécula estrutural das vesículas extracelulares que pode influenciar a biologia dos tumores de mama. / The successful development of tumors is not only dependent on cell mutations, but also driven by the tissue microenvironment; relies on interaction of cells and their surrounding stroma. Some cell types release vesicular structures into the extracellular space that would be involved in cellular communication and tumor progression. The aim of this study was to analyze vesicle-mediated interactions between tumor cells and normal fibroblasts. Tumor cells were plated above fibroblasts monolayer and both loaded with different vital dyes. Our results evidenciated presence and exchange of vesicles between breast tumor cells and fibroblasts in co-culture. Vesicles isolated showed heterogeneous sizes. Tumor cell showed more vesicles than normal cells. These vesicles were composed of AHNAK and Annexins proteins. The protein AHNAK was detected in exchanged vesicles and was increased in tumors when compared to normal breast tissues. AHNAK could represent a vesicle structural molecule that would influence breast tumor biology.

O Melanoma é um tipo de neoplasia que se origina de melanócitos normalmente presentes na epiderme. Uma das características do melanoma é a capacidade de adquirir resistência a terapias. As células de melanoma podem aumentar a liberação de vesículas extracelulares (VEs) em resposta ao tratamento com quimioterápicos. A cisplatina (CDDP) e a temozolomida (TMZ) são drogas utilizadas para o tratamento de tumores. Ambas as drogas formam adutos no DNA, mas as vias de sinalização que deflagram a morte celular são distintas. O objetivo desse estudo é investigar a morte celular da linhagem B16-F10 na presença de VEs oriundas de células B16-F10 tratadas com cisplatina CDDP ou TMZ. Inicialmente as VEs oriundas de células de melanoma murino, B16-F10, tratadas com CDDP ou TMZ e seus controles, foram isoladas por ultracentrifugações sucessivas. Para os experimentos in vitro, as células foram tratadas com as drogas em combinação com as respectivas VEs. As amostras foram realizados avaliações de ciclo celular e de morte e ensaio clonogênico. Para os experimentos in vivo, as células B16-F10 foram pré-tratadas com VEs, e posteriormente, as células foram inoculadas via subcutânea em camundongos C57BL/6 e os tumores foram mensurados diariamente. Em nosso estudo concluimos que a metodologia do isolamento de VEs é eficiente. Além disso, observamos que o tratamento com CDDP ou TMZ aumenta a liberação de VEs por células tumorais. Apesar do resultado contraditorio, as VEs liberadas por células tumorais tratadas com quimioterápicos aumentam a capacidade de sobrevivência das células de melanoma in vitro. VEs oriundas de células de melanoma não participam inicialmente da sensibilização à morte de células tumorais causada pelas mesmas drogas, mas a longo prazo, as VEs oriundas de células tratadas com a TMZ podem conferir uma resposta celular de sobrevivência às células tumorais in vitro. In vivo, o resultado é inconclusivo, uma vez que para confirmar se as VEs fazem parte da adaptação tumoral conferindo fenômenos de sobrevivência celular in vivo, é necessário avaliar em outros modelos celulares e animais / Melanoma is a neoplasm derived from melanocytes normally present in the skin specifically in the epidermis. One of the malignancies of melanoma is the ability to acquire chemoresistance. Cisplatin (CDDP) and temozolomide (TMZ) are drugs used for the treatment of tumors. Both drugs can form alkylating adducts in DNA, however, the pathways that trigger cell death are distinct. Tumor cells, including melanoma, may increase the release of extracellular vesicles (EVs) in response to chemotherapeutic treatment. The aim of this study is to investigate the cell death phenomenon in B16-F10 cell line in presence of EVs derived from chemotherapeutic-treated B16-F10 cells. For in vitro experiments, the cells were treated with CDDP or TMZ in combination with EVs from chemotherapictreated samples. For in vivo experiments, B16-F10 cells were exposed to EVs and inoculated subcutaneously in C57BL/6 mice. The growth was measured daily. In this work, we established and characterized VEs released by melanoma cells treated with chemotherapics and we established chemotherapics treatments to isolate EVs for next EVs isolation. Our results showed that CDDP or TMZ treatment increase the release of EVs by tumor cells. The EVs released by melanoma cells after CDDP or TMZ treatment seem to increase the survival capacity of melanoma cells. Thus, we concluded that EVs derived from melanoma cells do not participate in the cell death sensitization induced by CDDP or TMZ. However, EVs derived from TMZ treated cells may offer a survival effect to tumor cells in vitro a long term. In vivo, The result is inconclusive since to confirm how VEs are part of the tumor adaptation conferring cellular survival phenomena in vivo, it is necessary to evaluate in other cellular and animal models

No description available.

Les vésicules extracellulaires (EVs) apparaissent depuis une dizaine d'années comme de nouveaux biomarqueurs à fort potentiel pour des applications de biopsie liquide. En effet, les EVs portent la signature de leurs cellules émettrices, par le transport de matériel génétique et protéique cellulaire, qui peut être exploité comme outil de diagnostic précoce. L’une des principales limitations actuelles à l'utilisation clinique des EVs est la difficulté à extraire ces nano-objets à partir de biofluides complexes et à standardiser les protocoles de préparation d'échantillon. En effet, de nouvelles technologies sont requises pour effectuer un isolement efficace, bas coût et rapide de sous-populations d'EVs, sans altérer leur intégrité et à partir de faibles volumes d'échantillon. La technique microfluidique de Déplacement Latéral Déterministe (DLD) apparaît comme une des technologies prometteuses pour atteindre ces performances grâce à une purification passive et sans marquage. Les dispositifs de DLD mettent en oeuvre un réseau de piliers générant un tri en taille des particules, et dont les paramètres géométriques permettent de contrôler précisément le diamètre de séparation. Parmi les nombreuses applications de cette technologie dans le secteur biomédical, aucune ne permet pour le moment de réaliser l'extraction complète d'EVs directement à partir du biofluide d'intérêt, sans étapes de purification intermédiaires par centrifugation par exemple. Dans cette perspective, nos développements technologiques ont pour but d'améliorer la fiablilité, l'efficacité et l'intégration des dispositifs de DLD. A partir d'études numériques et expérimentales, nous proposons ici de nouveaux modèles pour anticiper au mieux le comportement des particules lors de la conception de réseaux de DLD. Par ailleurs, dans une approche orientée système, nous proposons également un packaging fluidique des dispositifs de DLD. Plusieurs étapes de tri étant généralement requises pour la purification d’échantillons biologiques, nos développements portent également sur la façon d’interconnecter ces modules au sein d'une configuration en série. Deux applications biologiques sont adressées et démontrent la versatilité de la technologie de DLD : l'isolement de bactéries E. coli à partir de prélèvements sanguins humains - en vue du diagnostic du sepsis - et l'extraction d'EVs dans des milieux de culture cellulaires - avec en perspective la détection d'EVs spécifiques par biopsie liquide. L'étape de préparation d'échantillon ne peut être dissociée de l'étape de caractérisation. C'est pourquoi, l'isolement des EVs devra dans un second temps être couplé à leur analyse au sein d'un dispositif intégré, portable et autonome, ce qui pourrait ouvrir de nouvelles perspectives vers l'application clinique des recherches actuelles sur les EVs. / Over the past decades, Extracellular Vesicles (EVs) have demonstrated strong potential as new biomarkers for liquid biopsy. Indeed, since EVs are fingerprints of parent cells, they can be exploited as early diagnostic tools. However, owing to their small size and high heterogeneity, EVs are challenging to extract from biofluids. In particular, reproducible and standardized protocols are required to perform fast, efficient, and cost-effective preparation of undamaged EV subpopulations from limited sample volumes. Deterministic Lateral Displacement (DLD) appears to be a promising microfluidic technology for this preparation by means of passive and label-free separation. DLD performs size-based separation of particles around a critical diameter that can be fine-tuned according to design parameters in an array of micropillars. Across the numerous biotechnological applications of DLD, none has yet successfully performed the complete extraction of EVs from unprocessed biofluids. This is the underlying motivation of this thesis, which outlines technological enhancements that make DLD separation more predictable, efficient, and easy-to-integrate. Based on both numerical and experimental developments, predictive models are proposed in order to anticipate particle behavior and to help in the design of efficient DLD devices. In addition to the optimization of single DLD devices, this thesis also addresses the issue of system integration. An innovative approach of serial connection between DLD modules is proposed to address the sequential sorting of particles from a complex biofluid and ensure that there is no loss of function of individual DLD devices when operated alone or in series. Two biological applications illustrate the potential of DLD-based sample preparation systems: the isolation of E. coli bacteria from human blood samples for sepsis diagnostics and the extraction of EVs from cell culture media with the perspective of liquid biopsy applications. And as sample preparation cannot be dissociated from detection or characterization, this thesis moreover highlights the potential integration of DLD in an all-in-one microfluidic device for both sample preparation and analysis of extracted EVs. Such a portable and autonomous device could overcome some of the current limitations with regard to the clinical use of EVs.

There is a huge unmet clinical need to treat damaged articular cartilage such as that caused by osteoarthritis (OA) with an estimated 8.75 million people in the UK having sought treatment for OA (ARUK 2013). Embryonic stem cells (ESCs) offer a promising alternative therapeutic approach, potentially providing an unlimited source of chondrocytes capable of regenerating the damaged cartilage however this is limited by the efficiency of the chondrogenic differentiation protocol. An improved understanding of the posttranscriptional regulation of chondrogenesis by microRNAs (miRNAs) may enable us to improve hESC chondrogenesis. Also the recent discovery that miRNAs are selectively packaged into exosomes which can then be transferred to and be functionally active within neighbouring cells suggests they may have a role in cell-cell communication. This project investigated the regulation of miRNA expression in relation to the transcriptome during hESCs-directed chondrogenesis and the possible role for exosomes during differentiation and in stem cell maintenance of hESCs. Small RNA-seq and whole transcriptome sequencing was performed on distinct stages of hESC-directed chondrogenesis using the Directed Differentiation Protocol (DDP) developed in our lab. Also small RNA-seq was performed on exosomes isolated from hESCs and chondroprogenitors along with the donor cells that the exosomes originated from. This revealed significant changes in the expression of several miRNAs during hESC-directed chondrogenesis including: upregulation of miRNAs transcribed from the four Hox complexes, known cartilage associated miRNAs and the downregulation of pluripotency associated miRNAs. Overall miRome and transcriptome analysis revealed the two hESC lines exhibited slightly different miRome and transcriptome profiles during chondrogenesis, with Man7 displaying larger changes in miRNA and mRNA expression as it progressed through the DDP suggesting it may be more predisposed to undergo chondrogenesis. Integration of miRomes and transcriptomes generated during hESC-directed chondrogenesis identified four key functionally related clusters of co-expressed miRNAs and protein coding genes: pluripotency associated cluster, primitive streak cluster, limb development cluster and an extracellular matrix cluster. Further investigation of these gene/miRNA clusters allowed the identification of several potential novel regulators of hESC-directed chondrogenesis. In accordance with the reported literature the exosomal miRNAs from hESCs and hESC-chondroprogenitors were enriched with a guanine rich motif. Notably, several of these were enriched with targets associated with embryonic skeletal system development suggesting they may play a role in regulating differentiation. Preliminary functional experiments examining pluripotency-associated exosomes suggests they may have a role in regulating hESC stem cell maintenance. However the molecular mechanism by which this is achieved has not been investigated. This research identified main miRome and transcriptome changes during hESC-directed chondrogenesis leading to the identification of several potential novel regulators of chondrogenesis and pluripotency which can be further investigated. This project has also highlighted the potential of exosomal miRNAs to regulate hESC stem cell maintenance and differentiation.