Made available in DSpace on 2015-07-22T20:50:15Z (GMT). No. of bitstreams: 0 Previous issue date: 2008-03-26. Added 1 bitstream(s) on 2015-08-11T03:25:44Z : No. of bitstreams: 1 Publico-10777.pdf: 584483 bytes, checksum: e11ab9839fe48602b080e48c338291cc (MD5) / Introdução: A cefaléia crônica diária é constituída por um grupo de cefaléias, dentre elas a enxaqueca crônica, comórbida com patologias como a depressão, o abuso de medicamentos, a obesidade e, mais recentemente, associada a casos de hipertensão intracraniana idiopática sem edema de papila. Objetivos: Determinar a prevalência de hipertensão intracraniana idiopática sem edema de papila e os níveis liquóricos de glutamato e ácido gama-aminobutírico em pacientes com enxaqueca crônica comparado a outros grupos de pacientes. Métodos: Foram estudados pacientes com enxaqueca crônica, mediante a realização do exame do líquido cefalorraquidiano com medida da pressão de abertura e dosagens dos níveis liquóricos dos aminoácidos glutamato e ácido gama-aminobutírico pela técnica de cromatografia líquida de alta resolução. Resultados: Dos pacientes submetidos a punção lombar, seis pacientes, em grupo de sessenta, tiveram elevação na pressão liquórica maior que 200 mm H20 sem acusar edema de papila à fundoscopia. Os pacientes que abusavam de triptanos mostraram níveis liquóricos de glutamato menores que aqueles com uso abusivo de outros tipos de medicações analgésicas e pacientes que não abusavam de nenhum tipo de medicação. Quanto aos níveis de ácido gamaaminobutírico no líquido cefalorraquidiano, esses foram menores nos pacientes com enxaqueca crônica e depressão quando comparados aos pacientes que tinham apenas enxaqueca crônica. Conclusões: A realização do estudo do líquido cefalorraquidiano foi importante em pacientes com enxaqueca crônica para a exclusão da hipertensão intracraniana idiopática sem papiledema, possibilitando perspectivas futuras para o entendimento da fisiopatogênese e desenvolvimento de novas terapias medicamentosas para a enxaqueca e suas comorbidades. / Introduction: Chronic daily headaches consist of a group of headaches, among them chronic migraine, that is comorbid with depression, overuse of medication, obesity and recently, cases of idiopathic intracranial hypertension without papilloedema. Objectives: To establish idiopathic intracranial hypertension without papilloedema prevalence and glutamate and gamma-aminobutyric acid levels in cerebrospinal fluid from patients with chronic migraine compared to other groups of patients. Methods: We studied patients with chronic migraine, who underwent lumbar puncture to rule out idiopathic intracranial hypertension without papilloedema. Amino acids glutamate and gamma-aminobutyric acid levels were measured by high performance liquid chromatography in cerebrospinal fluid. Results: Six patients, among sixty, had CSF open pressure higher than 200 mm H20 without papilloedema on fundoscopy. Patients who overused triptans had glutamate levels lower than those with abuse of other analgesic types and nonoverusers. The gamma-aminobutyric acid levels in cerebrospinal fluid were lower in depressed patients when compared to patients without depression and controls. Conclusions: The study of the cerebrospinal fluid was important in patients with chronic migraine for the exclusion of idiopathic intracranial hypertension without papilloedema, opening perspectives for the understanding of the physiopathology and development of new drug therapies for migraine and its comorbidities. / TEDE / BV UNIFESP: Teses e dissertações

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / A riparina I, alcamida isolada do fruto verde de Aniba riparia, foi avaliada em modelos animais clÃssicos para screening de drogas com atividades antinociceptiva, antiinflamatÃria e antiulcerogÃnica, tais como, contorÃÃes abdominais induzidas por Ãcido acÃtico, teste da formalina, placa quente, edema de pata induzido por carragenina e dextrano, Ãlcera gÃstrica induzida por etanol e indometacina, edema de pata e nocicepÃÃo induzidos por glutamato, como tambÃm em modelos comportamentais que permitam excluir a possibilidade de uma atividade central induzir falsos-positivos nos modelos anteriores, tais como testes do campo aberto, rota rod e tempo de sono induzido por pentobarbital. A riparina I foi administrada de forma aguda em todos os testes, nas doses de 25 e 50 mg/kg, atravÃs das vias oral e intraperitoneal. Os resultados mostraram que esta alcamida nÃo alterou a atividade locomotora no teste do campo aberto, nem diminuiu o nÃmero de quedas no teste do rota rod, descartando a possibilidade de haver sedaÃÃo ou incoordenaÃÃo motora por parte de riparina I, de modo que tais parÃmetros gerassem falsos-positivos nos testes de nocicepÃÃo e inflamaÃÃo. A avaliaÃÃo sedativa/hipnÃtica da riparina I, no teste do tempo de sono induzido por pentobarbital, mostrou uma potencializaÃÃo do sono, que parece estar envolvido com processos farmacocinÃticos ou com mecanismos de regulaÃÃo do sono, jà que o efeito sedativo nÃo foi corroborado no campo aberto. No teste das contorÃÃes induzidas por Ãcido acÃtico, riparina I inibiu significativamente o nÃmero de contorÃÃes, sugerindo uma atividade antinociceptiva. Como este teste à inespecÃfico, jà que vÃrias classes de drogas revertem estas contorÃÃes, foram utilizados modelos mais especÃficos para avaliar a atividade antinociceptiva. No teste da formalina, riparina I inibiu significativamente o tempo de lambedura da pata, tanto na fase nociceptiva do teste, como na fase inflamatÃria. No entanto, o papel antinociceptivo de riparina I parece ser devido sua atividade antiinflamatÃria, jà que a naloxona, um antagonista opiÃide, nÃo foi capaz de reverter o efeito antinociceptivo de riparina I, porÃm, a L-arginina, substrato para o mediador inflamatÃrio Ãxido nÃtrico, foi capaz de reverter este efeito. Para melhor avaliar o papel antiinflamatÃrio de riparina I, utilizaram-se outros modelos mais especÃficos. No edema de pata induzido por carragenina, riparina I foi capaz de reverter significativamente o volume de edema, nos tempos estudados, sugerindo que possa estar inibindo a produÃÃo de histamina, bradicinina, serotonina e prostaglandinas, mediadores inflamatÃrios secretados durante o processo. Como a bradicinina à um mediador nociceptivo comum a primeira fase do teste da formalina e ao edema de carragenina, este resultado sugere uma razÃo para a reversÃo significativa no tempo de lambedura de pata na primeira fase do teste da formalina. Riparina I tambÃm foi capaz de reverter, de maneira significativa, o edema de pata induzido por dextrano, sugerindo que esteja inibindo a produÃÃo de histamina e serotonina, mediadores inflamatÃrios secretados no processo. Riparina I inibiu significativamente o percentual de Ãrea ulcerada tanto em Ãlceras induzidas por indometacina como por etanol, ressaltando sua utilidade como antiinflamatÃrio nÃo ulcerogÃnico. Por fim, riparina I tambÃm foi capaz de diminuir tanto a nocicepÃÃo quanto o volume do edema de pata induzidos por glutamato, sugerindo que possa estar atuando como antagonista dos receptores glutamatÃrgicos envolvidos no processo inflamatÃrio. Concluindo, riparina I parece apresentar propriedades antiinflamatÃrias pela inibiÃÃo de mediadores como histamina, serotonina, bradicinina, prostaglandinas, glutamato e Ãxido nÃtrico, descartando o envolvimento do sistema opiÃide neste processo. / Riparin I, an alkamide isolated from unripe fruit of Aniba riparia, was evaluated in animal classical models for screening of drugs with antinociceptive, antiinflammatory and antiulcerogenic effects. These models are acetic acid-induced writhing test, formalin test, hot plate test, carrageenan-induced paw oedema, dextran-induced paw oedema, glutamate-induced nociception and paw oedema, indomethacin- and ethanol-induced gastric ulcer. Some behavioral models were used to evaluate if a central activity of drug were involved in antiinflammatory and antinociceptive properties of riparin I. These models are open field, rota rod and pentobarbital-induced sleeping time. Riparin I was administered with doses of 25 and 50 mg/kg, orally and intraperitoneally. The results show that this alkamide did not have effects neither on open field test nor on the rota rod test, discarding the possibility of sedation or motor incordination have influence in antiinflammatory/antinociceptive effects of riparin I. The sedative/hypnotic evaluation in pentobarbital-induced sleeping time shows an increase in sleeping time, probably due pharmacokynetics or sleeping regulation mechanisms, because the sedative effect was not corroborated in the open field test. The open field test is considered more specific than pentobarbital-induced sleeping time. In acetic acid-induced writhing test, riparin I decrease the number of writhies, suggesting an antinociceptive effect. This test is a non-specific test, because antiinflammatory, antidepressant and opioid drugs can decrease the number of writhies. In formalin test, riparin I decrease pawÂs licking time in both phases of test, suggesting antinociceptive and antiinflammatory effects. The antinociceptive effect of riparin I seems to be due their antiinflamatory properties, since naloxone could not abolish the antinociceptive effect of riparin I, but, L-arginine could. In the carrageenan-induced paw oedema test, riparin I decrease this parameter, suggesting that riparin I acts inhibiting the syntesis of bradykinin, serotonin, hystamin and prostaglandins, mediators involved in this test. This result probably indicates why riparin I decrease the pawÂs licking time in first phase of formalin test, since bradykinin is a common mediator involved in first phase of formalin test and carrageenan-induced paw oedema test. In the dextran-induced paw oedema test, riparin I decrease this parameter, suggesting that riparin I acts inhibiting the syntesis of serotonin and hystamin, mediators involved in this test. Riparin I decreased the ulcerated area induced by indomethacin and ethanol, outstanding your properties like antiinflammatory drug, but not like an ulcerogenic drug. Riparin I could decrease the nociception and the paw oedema, both induced by glutamate, suggesting that riparin I can inhibit the glutamatergic receptors involved in inflammatory processes. In conclusion, riparin I seems act by inhibition of inflammatory mediators like hystamin, serotonin, bradykinin, prostaglandins, glutamate and nitric oxide and seems do not act by opioid system.

No / Drugs which upregulate astrocyte glutamate transport may be useful neuroprotective compounds by preventing excitotoxicity. We set up a new system to identify potential neuroprotective drugs which act through GLT-1. Primary mouse striatal astrocytes grown in the presence of the growth-factor supplement G5 express high levels of the functional glutamate transporter, GLT-1 (also known as EAAT2) as assessed by Western blotting and (3)H-glutamate uptake assay, and levels decline following growth factor withdrawal. The GLT-1 transcriptional enhancer dexamethasone (0.1 or 1 muM) was able to prevent loss of GLT-1 levels and activity following growth factor withdrawal. In contrast, ceftriaxone, a compound previously reported to enhance GLT-1 expression, failed to regulate GLT-1 in this system. The neuroprotective compound riluzole (100 muM) upregulated GLT-1 levels and activity, through a mechanism that was not dependent on blockade of voltage-sensitive ion channels, since zonasimide (1 mM) did not regulate GLT-1. Finally, CDP-choline (10 muM-1 mM), a compound which promotes association of GLT-1/EAAT2 with lipid rafts was unable to prevent GLT-1 loss under these conditions. This observation extends the known pharmacological actions of riluzole, and suggests that this compound may exert its neuroprotective effects through an astrocyte-dependent mechanism.

Die vorliegende Arbeit beschäftigt sich mit der Synthese und den Eigenschaften von doppelthydrophilen Blockcopolymeren und ihrer Anwendung in einem biomimetischen Mineralisationsprozeß von Calciumcarbonat und Bariumsulfat. Doppelthydrophile Blockcopolymere bestehen aus einem hydrophilen Block, der nicht mit Mineralien wechselwirkt und einem zweiten Polyelektrolyt-Block, der stark mit Mineraloberflächen wechselwirkt. Diese Blockcopolymere wurden durch ringöffnende Polymerisation von N-carboxyanhydriden (NCA′s) und a-methoxy-ω-amino[poly(ethylene glycol)] PEG-NH2 als Initiator hergestellt.<br /> Die hergestellten Blockcopolymere wurden als effektive Wachstumsmodifikatoren für die Kristallisation von Calciumcarbonat und Bariumsulfat Mineralien eingesetzt. Die so erhaltenen Mineralpartikel (Kugeln, Hantel, eiförmige Partikel) wurden durch Lichtmikroskopie in Lösung, SEM und TEM charakterisiert. Röntgenweitwinkelstreuung (WAXS) wurde verwendet, um die Modifikation von Calciumcarbonat zu ermitteln und die Größe der Calciumcarbonat- und Bariumsulfat-Nanopartikel zu ermitteln. / This work describes the synthesis and characterization of double hydrophilic block copolymers and their use in a biomimetic mineralization process of Calcium Carbonate and Barium Sulfate.<br /> Double hydrophilic block copolymers consist of a hydrophilic block that does not interact with minerals and another hydrophilic polyelectrolyte block that strongly interacts with mineral surfaces. These polymers were synthesised via ring opening polymerisation of N-carboxyanhydride (NCA), and the first hydrophilic block a-methoxy-ω-amino[poly(ethylene glycol)] PEG-NH2 was used as an initiator.<br /> The prepared block copolymers were used as effective crystal growth modifiers to control the crystallization of Calcium Carbonate and Barium Sulfate minerals. The resulting mineral particles (spheres, dumbbells, egg-like particles) were characterised by light microscopy in solution, by SEM, and by TEM. X-Ray scattering measurements (WAXS) were used to prove the modification of Calcium Carbonate particles and to calculate the size of Calcium Carbonate and Barium Sulfate nanoparticles.

蛋白激酶CK2（Casine kinase 2）為四單體所構成，針對配受質蛋白之絲胺酸或蘇胺酸位置進行磷酸化，先前研究已經發現在紋狀體腦區之CK2的表現量與活性皆高於大腦中其餘腦區，而紋狀體腦區主要神經細胞為-氨基丁酸神經元（GABAergic neurons）的medium spiny neuron（MSN），會受到來自黑質多巴胺神經細胞（dopaminergic neurons）的調控。此外，DARPP-32（dopamine- and cAMP-regulated phosphoprotein, Mr 32 kDA）蛋白亦被發現大量表現於在MSN細胞中，且為CK2之受質蛋白質。雖然CK2已被證實參與多巴胺神經元的神經保護機制，但是否參與MSN細胞對運動行為調控之生理機制仍未清楚。由於已有研究發現施予1-甲基-4-苯基-1,2,3,6-四氢吡啶（MPTP）藥物處理造成黑質-紋狀體腦區受損之老鼠腦內-氨基丁酸（GABA）的生合成酵素─麩胺酸脫羧酵素67（GAD67）表現量與正常老鼠不同，因此本論文研究的主題擬在大鼠實驗模式中利用MPP+造成投射至紋狀體之多巴胺神經細胞受損，探討當多巴胺調控紋狀體神經細胞能力缺失的狀態下，MSN細胞之CK2、DARPP-32和GAD蛋白表現與動物運動行為之相關性。 實驗結果發現，直接於紋狀體給予1-甲基-4-苯基碘化啶 （MPP+ Iodide）皆會造成CK2、DARPP-32以及GAD67之蛋白質含量的減少，多巴胺及其代謝物和GABA等神經化學傳遞物質亦有減少的現象；另外，在MPP+給予前分別操弄CK2或DARPP-32 胺基酸Ser102磷酸化的表現，皆會改變GAD67蛋白質含量與黑質酪胺酸羥化酶（Tyrosine Hydroxylase, TH）蛋白質含量，同時神經化學傳遞物質的含量或代謝亦有改變。由現有之結果推測CK2/DARPP-32/GAD67細胞訊息傳遞機制可能參與巴金森氏症運動行為失常之細胞層面的調控。 / Protein kinase CK2 is a heterotetrameric and serine/threonine protein kinase. Its protein levels and activity are found to be elevated in the striatum when compared to other brain areas. CK2 is known to involve in the neuroprotective effects of dopaminergic neurons, whether it also regulates the neuronal function relative to motor behaviors is still unclear. DARPP-32 protein is known as one of the substrates for CK2 and is highly expressed in the GABAergic medium spiny neurons (MSN) responsible for dopamine stimulation in the striatum. Furthermore, other studies have indicated that the expression of glutamic acid decarboxylase 67 (GAD67) mRNA and protein was different in the striatum of MPTP vs. naïve animals, which is one of the enzymes responsible for the synthesis of neurotransmitter GABA. In the present study, we observed that the parallel changes in protein levels of CK2, DARPP-32 and GAD67 in the striatum and TH in the substantia nigra of MPP+-treated. We also found that manipulation of CK2 or DARPP-32 gene expression aggravated the MPP+-induced neuropathological dificts. The present results suggest that CK2/DARPP-32/GAD67 signaling pathway might involve in the cellular mechanism of motor-deficit in Parkinson’s disease.

Le repliement des protéines est principalement gouverné par les interactions spécifiques des structures secondaires. 1, 2 Toutefois, il existe expérimentalement peu d’informations sur les propriétés mécaniques fondamentales des hélices α et des feuillets β isolées. Les recherches antérieures sur l'étude du déploiement des hélices sont peu concluantes 3-5 et à notre connaissance l'étude des propriétés mécaniques d'un feuillet β isolé, intramoléculaire est sans précédent. Les copolymères PEG114-b-poly(L-lysine)134-(2-pyridyl disulfure),PEG114-b-poly(L-lysine)-b-PEG114 et poly(L-acide glutamique)85-b-(2-pyridyldisulfure) été synthétisés et utilisés comme systèmes modèles pour tester les propriétés mécaniques des motifs secondaires de type hélice α et feuillet β. Les résultats obtenus se sont révélés être en bon accord avec les résultats théoriques obtenus en utilisant un modèle statistique basé sur AGAGIR 6. La différence de force de déroulement comparant les hélices de poly(L-Lysine) ≈ 30 pN et de poly(L-acide glutamique) ≈ 20 pN des copolymères diblocs a été attribuée à l'hydrophobicité différente des chaînes latérales. La plus grande hydrophobie dumotif lysine conduit à de plus grandes interactions entre les chaînes latérales qui empêchent les fluctuations aléatoires au sein de l’hélice, et conduisent à une stabilité supérieure de l'hélice α. Lorsque les expériences ont été conduites dans des conditions favorisant la solubilité des chaînes latérales de lysine, les interactions ont diminué à une force de ≈ 20 pN, similaire à la force des interactions observées pour le poly(L-acide glutamique). Nous supposons qu'un minimum de ≈ 20 pN est nécessaire pour rompre la liaison hydrogène en maintenant l'hélice α, car cette force a été obtenue dans des conditions où les interactions de la chaîne latérale étaient minimisées. La présence de plateaux de force constants et d'inflexions correspondantes démontre une force de dépliement indépendante de la longueur, qui supporte un mécanisme de déroulement tour-par-tour pour l'hélice. De plus, la plus grande hydrophobie des chaînes latérales a été suggérée non seulement pour stabiliser la structure en hélice, mais également pour inhiber la formation d'une structure de type β-turn métastable intermédiaire lorsque les forces entropiques dominent. Des études préliminaires ont été effectuées sur le système de PEG114-bpoly(L-Lysine)134-(2-pyridyl disulfure) après induction d’une transition - β par un traitement thermique dans des conditions basiques. Une inflexion à une force≈ 70 pN a été obtenue, ce qui suggère la formation d'une interaction de type feuillet β. Une stratégie bottom-up a ainsi été proposée avec succès, démontrant le potentiel d'utilisation de tels systèmes artificiels pour simplifier et modéliser des systèmes biologiques réels. La compréhension de ces modèles isolés plus simples aidera sans doute la compréhension de systèmes plus complexes. / Proteins fold by the initial, preferential folding of secondarystructures 1, 2, however surprisingly little is known about the basic mechanicalproperties of isolated α-helices and β-sheets from an experimental standpoint.Previous investigations into studying the generic unfolding behaviour of α-heliceshave proved inconclusive 3-5, and to our knowledge the study of an isolated,intramolecular β-sheet is unprecedented.Bioinspired PEG114-b-poly(L-glutamic acid)85-(2-pyridyl disulphide),PEG114-b-poly(L-lysine)134-(2-pyridyl disulphide) and PEG114-b-poly(Llysine)134–b-PEG114 were designed, synthesized and utilized as model systems toprobe the mechanical properties of α-helix and β-sheet secondary motifs. Theobtained results were shown to be in good agreement with theoretical resultsobtained by utilizing a AGAGIR-based statistical mechanical model 6. Thedifference in unravelling force comparing the helices of poly(L-Lysine) ≈30 pNand poly(L-glutamic acid) ≈20 pN diblock copolymers was attributed to thediffering hydrophobicity of the side chains. The greater hydrophobicity of thelysine allowed greater interactions between the side chains and sterically hinderedrandom helix-coil fluctuations, which lead to a superior α-helix stability. Whenexperiments were conducted in conditions promoting the solubility of the lysineside chains, the interactions decreased to a force of ≈20 pN, similar to the force ofinteractions observed for the poly(L-glutamic acid). We infer that a minimum of≈20 pN is needed to rupture the hydrogen bonding maintaining the α-helix as thisforce was obtained in conditions where the side chain interactions wereminimized.The presence of constant force plateaus and corresponding inflectionsdemonstrates a length independent unfolding force, which supports a turn-by-turnunfolding mechanism for the α-helix.In addition, the greater hydrophobicity of the side chains was suggestedto not only stabilize the α-helix structure, but also to inhibit the formation of anintermediate metastable β-hairpin-like structure when entropic forces dominate.Preliminary studies were also conducted on the PEG114-b-poly(LLysine)134-(2-pyridyl disulphide) system after a α-β transition had been inducedby heat in basic conditions, where an inflection at a much higher force of ≈ 70 pNwas obtained suggesting the formation of a β-sheet interaction.A bottom-up, investigative strategy has thus been successfully proposeddemonstrating the potential of utilizing such artificial systems to simplify andexemplify real biological systems. The comprehension of these simpler isolatedmodels will no doubt aid the understanding of more complex systems.

There has been an awareness of nerve poisons from ancient times. At the dawn of the twentieth century, the actions and mechanisms of these poisons were uncovered by modern physiological and biochemical experimentation. However, the era of selective neurotoxins began with the pioneering studies of R. Levi-Montalcini through her studies of the neurotrophin "nerve growth factor" (NGF), a protein promoting growth and development of sensory and sympathetic noradrenergic nerves. An antibody to NGF, namely, anti-NGF - developed in the 1950s in a collaboration with S. Cohen - was shown to produce an "immunosympathectomy" and virtual lifelong sympathetic denervation. These Nobel Laureates thus developed and characterized the first identifiable selective neurotoxin. Other selective neurotoxins were soon discovered, and the compendium of selective neurotoxins continues to grow, so that today there are numerous selective neurotoxins, with the potential to destroy or produce dysfunction of a variety of phenotypic nerves. Selective neurotoxins are of value because of their ability to selectively destroy or disable a common group of nerves possessing (1) a particular neural transporter, (2) a unique set of enzymes or vesicular transporter, (3) a specific type of receptor or (4) membranous protein, or (5) other uniqueness. The era of selective neurotoxins has developed to such an extent that the very definition of a "selective" neurotoxin has warped. For example, (1) N-methyl-D- aspartate receptor (NMDA-R) antagonists, considered to be neuroprotectants by virtue of their prevention of excitotoxicity from glutamate receptor agonists, actually lead to the demise of populations of neurons with NMDA receptors, when administered during ontogenetic development. The mere lack of natural excitation of this nerve population, consequent to NMDA-R block, sends a message that these nerves are redundant - and an apoptotic cascade is set in motion to eliminate these nerves. (2) The rodenticide rotenone, a global cytotoxin that acts mainly to inhibit complex I in the respiratory transport chain, is now used in low dose over a period of weeks to months to produce relatively selective destruction of substantia nigra dopaminergic nerves and promote alpha-synuclein deposition in brain to thus model Parkinson's disease. Similarly, (3) glial toxins, affecting oligodendrocytes or other satellite cells, can lead to the damage or dysfunction of identifiable groups of neurons. Consequently, these toxins might also be considered as "selective neurotoxins," despite the fact that the targeted cell is nonneuronal. Likewise, (4) the dopamine D2-receptor agonist quinpirole, administered daily for a week or more, leads to development of D2-receptor supersensitivity - exaggerated responses to the D2-receptor agonist, an effect persisting lifelong. Thus, neuroprotectants can become "selective" neurotoxins; nonspecific cytotoxins can become classified as "selective" neurotoxins; and receptor agonists, under defined dosing conditions, can supersensitize and thus be classified as "selective" neurotoxins. More examples will be uncovered as the area of selective neurotoxins expands. The description and characterization of selective neurotoxins, with unmasking of their mechanisms of action, have led to a level of understanding of neuronal activity and reactivity that could not be understood by conventional physiological observations. This chapter will be useful as an introduction to the scope of the field of selective neurotoxins and provide insight for in-depth analysis in later chapters with full descriptions of selective neurotoxins.

[ES] Los tumores malignos del cerebro y del sistema nervioso central representan el 21% de los tumores en niños y son la segunda causa principal de muerte por cáncer pediátrico después de la leucemia. Los gliomas de alto grado siguen siendo incurables y poseen altas tasas de mortalidad: una supervivencia a cinco años del 4,7 % para pacientes con glioblastoma multiforme (GBM) y menos de un año en pacientes con glioma pontino intrínseco difuso (DIPG). Los bajos niveles de penetración del fármaco a través de la barrera hematoencefálica y la baja tasa de supervivencia asociada resaltan en la necesidad de nuevas propuestas de tratamiento para esta necesidad clínica no cubierta. La administración intranasal ofrece un enfoque no invasivo prometedor que elude el metabolismo hepato-gastrointestinal y la barrera hematoencefálica, constituyendo una ruta directa de la nariz al cerebro. Los poliglutamatos (PGA) representan excelentes candidatos para la administración de agentes terapéuticos en el cerebro debido a su biodegradabilidad y multivalencia, lo que permite la unión covalente de fármacos y grupos directores que puedan contribuir a cruzar las diferentes barreras biológicas existentes desde la nariz hasta el cerebro. La conjugación covalente del agente terapéutico a la cadena polimérica ofrece una estabilidad prolongada en la circulación sanguínea y un mayor control sobre la liberación del fármaco en el microambiente tumoral. Esta tesis se centra en el diseño racional y desarrollo de nuevos conjugados PGA-fármaco y una plataforma intranasal segura y eficiente para la administración dirigida y la liberación del fármaco en el cerebro como tratamiento del glioma pediátrico. Se desarrolló una familia de conjugados de poliglutamatos que incorporan palbociclib, un inhibidor de CDK, utilizando diferentes espaciadores sensibles a estímulos, así como diferente carga de fármacos. Estudiamos el efecto de la carga y conjugación de un fármaco sobre la conformación en solución de PGAs lineales y en forma de estrella. Con dispersión de rayos X de ángulo pequeño y dicroísmo circular, demostramos la evolución del conjugado polipeptídico al aumentar la carga de fármaco. Además, establecimos el vínculo entre la conformación de los conjugados y su actividad biológica en células GBM y DIPG derivadas de pacientes. Nuestros hallazgos ilustran la necesidad de una comprensión profunda de las propiedades fisicoquímicas de los nanosistemas estudiados que pueden ayudar a predecir su resultado biológico. Para el cribado rápido y la validación de la formulación intranasal, establecimos con éxito una plataforma de detección ex vivo basada en células de difusión verticales de Franz con mucosa nasal de oveja. Varios sistemas basados en PGA lineal y en forma de estrella modificadas con diferentes ligandos (incluyendo el ácido docosahexaenoico, ácido hialurónico (HA), odorranalectina), así como sistemas entrecruzados del PGA en forma de estrella y la mezcla física con un HA entrecruzado (HA-CP®). A continuación, se realizó estudios de biodistribución mediante administración intranasal de los candidatos seleccionados, seguidos de la cuantificación ex vivo con la técnica IVIS y el ensayo de fluorescencia estándar después de la homogeneización de órganos y los estudios histológicos del cerebro. Los datos obtenidos mostraron claramente la presencia de las diferentes plataformas en el cerebro e, su internalización en células del bulbo olfativo y una buena difusión en el cerebro a través de diferentes áreas, llegando incluso a detectarse en el hipocampo. Los candidatos seleccionados se han escalado y en la actualidad su evaluación biológica en un modelo in vivo está en curso. En conclusión, se ha diseñado, desarrollado y validado diferentes plataformas basadas en PGA capaces de llegar al cerebro a través de la administración intranasal, constituyendo una base prometedora para el tratamiento de múltiples trastornos relacionados con el cerebro. / [CA] Els tumors malignes del cervell i del sistema nerviós central representen el 21% dels tumors en nens i són la segona causa principal de mort per càncer pediàtric després de la leucèmia. Els gliomes d'alt grau que continuen sent incurables amb taxes de mortalitat altes: una supervivència a cinc anys del 4,7 % per a pacients amb glioblastoma multiforme (GBM) i menys d'un any en pacients amb glioma pontí intrínsec difús (DIPG). Els nivells baixos de penetració del fàrmac a través de la barrera hematoencefàlica i la baixa taxa de supervivència associada ressalten en la necessitat de noves propostes de tractament per a una necessitat clínica no satisfeta. L'administració intranasal ofereix un enfocament no invasiu prometedor que eludeix el metabolisme hepatogastrointestinal i la barrera hematoencefàlica, cosa que permet l'administració directa del nas al cervell. Els poliglutamats (PGA) representen excel·lents candidats per a l'administració al cervell a causa de la seva biodegradabilitat i multivalència, la qual cosa dóna suport a la introducció covalent de fàrmacs i grups objectiu i pot facilitar la transició del nas al cervell. La conjugació covalent de l'agent terapèutic a la cadena polimèrica ofereix una estabilitat prolongada en la circulació sanguínia i un major control sobre l'alliberament del fàrmac al microambient tumoral. Aquesta tesi se centra en el desenvolupament de nous conjugats PGA-fàrmac dissenyats racionalment i una plataforma intranasal segura i eficient per a l'administració dirigida i l'alliberament del fàrmac al cervell com a tractament del glioma pediàtric. Es va desenvolupar una família de conjugats de poliglutamat que incorporen l'inhibidor de CDK palbociclib, utilitzant diferents enllaçadors sensibles a estímuls i nivells variables de càrrega de fàrmacs. Estudiem l'efecte del fàrmac hidrofòbic conjugat sobre la conformació en solució de PGA lineals i en forma d'estrella. Amb dispersió de raigs X d'angle petit i dicroisme circular, demostrem l'evolució del sistema conjugat en augmentar la càrrega de fàrmac. A més, establim el vincle entre la conformació dels conjugats i la seva activitat biològica provada en cèl·lules GBM i DIPG derivades de pacients. Les nostres troballes van il·lustrar la necessitat d'una comprensió profunda de les propietats fisicoquímiques dels nanosistemes estudiats que poden ajudar a predir-ne el resultat biològic. Per a la detecció ràpida de la formulació intranasal basada en els portadors de PGA, vam establir amb èxit una plataforma de detecció ex vivo basada en cèl·lules de difusió verticals de Franz amb mucosa d'ovella. Diversos sistemes basats en PGA lineal i en forma d'estrella amb fraccions conjugades (inclòs l'àcid docosahexaenoic, àcid hialurònic (HA), odorranalectina), així com partícules reticulades (a través de cicloaddició azida-alquí o enllaços disulfur) i la barreja física amb un HA es van provar els polímers creuats (HA-CP®). Els estudis de biodistribució després de l'administració intranasal es van fer en candidats seleccionats, seguits de la quantificació ex vivo amb la tècnica IVIS i l'assaig de fluorescència estàndard després de l'homogeneïtzació d'òrgans i els estudis histològics del cervell. Les dades obtingudes van mostrar clarament el transport del nas al cervell, la internalització cel·lular dels conjugats al bulb olfactiu i, el que és més interessant, una bona difusió del cervell a través de diferents àrees, arribant fins i tot a l'hipocamp. Els sistemes seleccionats es van ampliar i la preparació per a l'avaluació biològica en un model in vivo està en curs. En general, vam ser capaços de dissenyar, desenvolupar i validar diferents plataformes basades en PGA capaces d'arribar al cervell mitjançant l'administració intranasal, la qual cosa podria ser la base per al tractament de múltiples trastorns relacionats amb el cervell. / [EN] Malignant brain and central nervous system tumors account for ~21% of tumors in children and represent the second leading cause of pediatric cancer deaths after leukemia. Standard chemotherapy allows a ~95% five-year survival rate for patients with low-grade gliomas. Unfortunately, high-grade gliomas remain generally incurable and suffer from high mortality rates - a 4.7% five-year survival for glioblastoma multiform (GBM) patients and less than one year in patients with diffuse intrinsic pontine glioma (DIPG). Low levels of drug delivery through the blood-brain barrier (BBB) and the associated poor survival rate highlight the necessity for novel treatment approaches for an unmet clinical need. Intranasal administration offers a promising non-invasive approach that circumvents hepato-gastrointestinal metabolism and the BBB, thereby enabling direct nose-to-brain delivery. Polyglutamates (PGAs), represent excellent candidates for brain delivery due to their biodegradability and multivalency, which supports the covalent introduction of drugs and targeting moieties to facilitate the nose-to-brain transition. Covalent conjugation of therapeutic agents to the polymeric main chain offers prolonged stability in the blood circulation and increased control over the drug release in the tumor microenvironment if adequately designed considering endogenous triggers, including acidic pH, an increased reductive environment, or the overexpression of specific proteases. This thesis focuses on developing novel, rationally-designed PGA-drug conjugates as a safe and efficient intranasal platform for targeted delivery and drug release in the brain as a pediatric glioma treatment. We developed a family of PGA-drug conjugates incorporating the CDK inhibitor palbociclib that employed different stimuli-responsive linkers and varying drug loading levels and studied the effect of drug loading on the solution conformation of linear and star-shaped PGAs. We demonstrated system evolution upon increased drug loading with SAXS and CD. Moreover, we established a link between conjugate conformation and their biological activity, as evaluated in patient-derived GBM and DIPG cells. Our findings illustrated the necessity of a deep understanding of the physico-chemical properties of studied nanosystems that can aid in predicting their biological outcome. For the development of an intranasal formulation, we successfully established an ex vivo screening platform based on vertical Franz diffusion cells with sheep mucosa. We evaluated several systems based on linear and star-shaped PGA with conjugated moieties (including docosahexaenoic acid, hyaluronic acid, odorranalectin), crosslinked particles (via azide-alkyne cycloaddition or disulfide bonds), and physical mixtures with a hyaluronic acid cross polymer (HA-CP®). After intranasal administration with selected candidates, we performed biodistribution studies, followed by ex vivo quantification with the IVIS spectrum in vivo imaging system and fluorescent assays after organ homogenization and brain histological studies. The obtained data demonstrated nose-to-brain transportation, internalization of conjugates in the olfactory bulb and robust diffusion through different brain areas, even reaching the hippocampus. We also scaled up selected systems and preparations for biological evaluation in an in vivo model that is currently ongoing. Overall, we were able to design, develop, and validate different PGA-based platforms capable of arriving at the brain via intranasal, which might be the base for the treatment of multiple brain-related disorders. / Melnyk, T. (2024). Drug Dellivery to the Brain Using Polymer Therapeutics as an Intranasal Platform for Pediatric Glioblastoma Treatment [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/203498