L'altération de glycosylation est l'une des caractéristiques du cancer du sein. Ainsi le défaut de glycosylation affecte différentes protéines glycosylées responsables des différents processus cancéreux. Les canaux SOC (Store operated channels) constituent la voie majeure de l'entrée du calcium dans les cellules et sont impliqués dans la prolifération, la migration et la survie des cellules cancéreuses du sein. CO-OCS est un nouvel inhibiteur de la glycosylation avec plus de sélectivité vis-à-vis des α-glucosidases, et montre des activités anticancéreuses des cellules cancéreuses du sein, sans affecter les cellules mammaires normales. L'objectif de ma thèse est d'étudier les mécanismes moléculaires par lesquels CO-OCS induit ses effets anti-tumoraux. CO-OCS inhibe la migration des cellules cancéreuses à fort potentiel métastatique. Cet effet anti-migratoire est dû à une réduction de l'expression de la β1-intégrine, de Stim1, et de l'activation des voies de signalisation FAK et ERK1/2 par CO-OCS. Dans les cellules cancéreuses peu invasives, CO-OCS diminue la prolifération et augmente la mortalité de ces cellules en affectant l'expression de 3 protéines : Stim1 et Orai1 : protéines N-glycosylées au niveau du réticulum endoplasmique (RE), et GRP78, protéine de stress du RE. Ainsi en supprimant complétement l'expression de Stim1, CO-OCS réduit la prolifération en accumulant les cellules dans les phases G1 et G2/M du cycle cellulaire. Alors que la réduction de l'expression de GRP78 et d'Orai1 par le CO-OCS augmente respectivement l'apoptose et la nécrose. Par ailleurs, l'invalidation de Stim1 atténue l'effet apoptotique induit par CO-OCS. CO-OCS réduit aussi le contenu calcique du RE. Cette réduction du calcium réticulaire est due à une fuite de calcium par le Translocon. En effet, l'Anisomycine, inhibiteur du Translocon, restore de contenu calcique réticulaire et antagonise l'apoptose induite par le CO-OCS. En conclusion, CO-OCS induit une accumulation de protéines mal-repliées dans le RE induisant ainsi un stress réticulaire. Trois cibles du CO-OCS ont été identifiées : l'expression de Stim1 favorise la prolifération tandis que celle d'Orai1 et de GRP78 protègent respectivement les cellules de l'apoptose et de la nécrose induites par CO-OCS. De plus, en diminuant l'expression de GRP78, CO-OCS induit une fuite du calcium du RE par le Translocon / Alteration in glycosylation pattern is one of the hallmarks of breast cancer. The levels and the abnormal expressions of glycan were found in breast cancer patients. Glycosylation defect can affect different glycosylated proteins which are implicated in cancerogenesis. Changes in intracellular Ca2+ levels can regulate different cellular processes. SOC channels are implicated in breast cancer proliferation, migration and survival. CO-OCS is a new glycosylation inhibitor with more selectivity toward theα- glucosidases exhibited anti-cancer activities in breast cancer cells without affecting the normal mammary cells. The objective of my thesis is investigating the related molecular mechanisms by which CO-OCS induced its anti-tumour effects.CO-OCS impaired breast cancer migration through decrease β1-integrin expression and the activation of FAK and ERK1/2 signalling pathways. CO-OCS also induced anti-migratory effect via Stim1 protein expression down-regulation leading to inhibition of SOCE. Additionally, CO-OCS affected the expression of both Orai1 and Stim1 proteins leading to anti-proliferative effects and cell cycle arrest in G1 and G2/M phase respectively. Moreover, CO-OCS affected the expression of Stim1 at the protein level without affecting its transcript level. GRP78 implicated in CO-OCS apoptotic death. The expression of Stim1 regulated the apoptosis induced by CO-OCS via modulating GRP78 expression. Orai1 down-regulation promoted CO-OCS necrotic effect. CO-OCS induced ER- calcium depletion due to increase in ER calcium leak via the Translocon; Anisomycin (Translocon inhibitor) decreased the apoptosis induced by CO-OCS. In conclusion, these results show that in breast cancer, by targeting Stim1, Orai1 and GRP78, CO-OCS reduced cell proliferation and induced apoptosis and necrosis cell death. Stim1 favours CO-OCS apoptotic effect while Orai1 protected from necrosis induced by CO-OCS. The inhibition of Translocon decreased CO-OCS apoptotic cell death via restoring the ER calcium homeostasis

Diabetic nephropathy (DN) is a complication associated with diabetes and is characterized by proteinuria and a progressive loss of kidney function. The disease morphologically manifests as an increase in the extracellular matrix (ECM) produced by kidney cells including specialized mesangial cells found in the kidney glomeruli. The mesangial cells undergo increased proliferation and hypertrophy, produce ECM components at an elevated rate and in turn the ECM itself is broken down at a reduced rate. This leads to fibrosis, or the scarring of the glomeruli. The process of fibrosis is known to be promoted by pro-fibrotic factors such as transforming growth factor beta-1 (TGF-β1), which is activated by various proteins including thrombospondin-1 (TSP-1). Both of these proteins are known to have an increased rate of expression and activation in a high glucose environment and in the kidneys of diabetic patients. Glucose-regulate protein 78 (GRP78) is another protein altered by high glucose, as it is translocated to cell surface in DN (cell surface GRP78, csGRP78). In this study, we investigate the role csGRP78 has in the regulation of TSP-1 and downstream signaling by high glucose, using primary rat mesangial cell cultures. Our results confirm that TSP-1 protein levels are increased in the cell lysate and in the ECM of cells treated with high glucose. We further show that inhibitors of csGRP78 and downstream PI3K/Akt reduce the high glucose-induced increase in TSP1 at both protein and transcript levels, and attenuate TGF-β1 signaling. / Thesis / Master of Science (MSc) / Diabetic nephropathy is a condition that is associated with a gradual loss of kidney function as well as the presence of protein in the urine. As the name implies, diabetic nephropathy occurs as a result of diabetes mellitus. The disease causes the mesangial cells in the kidney to produce excess extracellular matrix leading to scarring in the kidney, a process called fibrosis. One of the key fibrotic proteins is called transforming growth factor beta-1 (TGF-β1), stored in a latent form. A major activator of TGF-β1 is thrombospondin-1 (TSP-1). Our results demonstrate that the cell surface localization of glucose regulated protein 78 (GRP78) is required for the upregulation of TSP-1 in a high glucose environment, leading to activation of profibrotic pathways that are well known to perpetuate the fibrotic phenotype seen in diabetic nephropathy.

Diabetic nephropathy represents the leading cause of end stage renal disease worldwide and requires a kidney transplant or dialysis to survive. The number of patients suffering from diabetes is expected to increase, thus the number of patients with diabetic nephropathy is expected to concomitantly increase. Current treatment for diabetic nephropathy is not sufficient to prevent disease progression in most patients thus there is a need to develop novel therapies to treat diabetic nephropathy. The earliest changes that occur during the pathogenesis of diabetes occur in the glomerulus. The mesangial cells are a subpopulation of cells in the glomerulus that are responsible for coordinating responses with other nearby cell types. Transforming growth factor (TGF)-β1 is a cytokine that mesangial cells secrete, and has been identified as a profibrotic factor during the pathogenesis of diabetic nephropathy. Concerns have been raised in the use of direct anti-TGF-β1 therapy due to adverse events (such as dyspepsia and diarrhea) and lack of efficacy of anti-TGF-β1 monoclonal antibody LY2382770 in patients with diabetic nephropathy. Thus, therapy aimed at modulating TGF-β1 expression or activity may be efficacious in the treatment of diabetic nephropathy while avoiding potential adverse effects. The hypothesis of this thesis is that SREBP-1 and cell surface GRP78 are novel regulators of TGF-β1 signaling in mesangial cells. Our first study aims to define a novel pathway by which SREBP-1 regulates TGF-β1 signaling in kidney mesangial cells. Our results indicate that SREBP-1 regulates the expression of the type I TGF-β1 receptor through its secretion in exosomes. Our second study expands on these findings and aims to determine if inhibition of SREBP in vivo with the inhibitor fatostatin may prevent diabetic nephropathy. Our results indicate that treatment with fatostatin does not prevent diabetic nephropathy, but accentuates kidney injury in non-diabetic mice. Preliminary results from our lab have indicated that under diabetic conditions, GRP78 is upregulated at the cell surface and may contribute to the activation of SREBP-1 in an ER-stress dependent mechanism. Our third study thus aims to characterize the expression of cell surface GRP78 in diabetic conditions, and to determine its pathological relevance in the development of diabetic nephropathy. Our results have established novel pathways by which TGF-β1 signaling is regulated in mesangial cells. This will assist in identification of novel therapeutic targets that may be of use in the treatment of diabetic nephropathy. / Thesis / Doctor of Philosophy (PhD) / Diabetic kidney disease is the leading cause of end stage renal disease and represents an important risk factor for mortality. The goal of this thesis is to understand and describe the pathways and mechanisms that contribute to the development of diabetic kidney disease in order to identify novel therapeutic targets. This thesis has identified the protein sterol regulatory element binding protein (SREBP)-1 and the cell surface presentation of another protein, the 78 kDa glucose regulated protein (GRP78), as contributors to diabetic kidney disease. Furthermore, this thesis has demonstrated that anti-SREBP therapy with the drug fatostatin did not prevent diabetic kidney disease. These studies show that while inhibiting SREBP-1 and cell surface GRP78 may be effective in the treatment of diabetic kidney disease, the drug fatostatin should not be used for treatment.

Diabetic nephropathy (DN) affects around 40% of diabetic patients worldwide and has become a major health concern due to its high morbidity and mortality. The progression of DN is characterized by the thickening of glomerular basement membrane, albuminuria and the development of glomerulosclerosis. Renal function is eventually compromised. Due to various hemodynamic and metabolic changes, especially the elevated blood glucose level in diabetic patients, glomerular mesangial cells have been shown to upregulate transforming growth factor-β1 (TGF-β1) level and signaling, resulting in the excessive production of extracellular matrix (ECM) proteins. The atypical expression of the 78-kDa glucose-regulated protein (GRP78) on the cell surface may be associated with this pro-fibrotic effect through its interaction with the TGF-β1 activation process. However, there is no current literature demonstrating the role of cell surface GRP78 (csGRP78) in the pathogenesis of diabetic renal diseases. The purpose of my MSc project was to determine the role of csGRP78 in TGF-β1 synthesis and activation and thereby in the progression of DN. We hypothesized that the increased expression of csGRP78 in response to high glucose exposure stimulates TGF-β1 upregulation through intracellular signaling, as well as its activation through interaction with the latent complex, which leads to the expansion of mesangial matrix. / Thesis / Master of Science (MSc) / Diabetic kidney disease affects around 40% of diabetic patients worldwide and is a major health concern. A major feature of the disease is glomerulosclerosis, which is the scarring of glomeruli. The glomeruli filter blood passing through blood vessels in the kidneys to remove waste, which will then be excreted into urine. In diabetic patients, high blood glucose causes the fibrosis of glomeruli and damages the filtration barrier. As a result, a large amount of proteins leak from the blood into the urine. It has been discovered that TGF-β1 is one of the key molecules mediating the generation of scar tissue in the glomerulus. It promotes the growth of mesangial cells, a major type of kidney glomerular cells, and stimulates their production of extracellular matrix proteins. Our results showed that GRP78, a protein that is primarily expressed in the endoplasmic reticulum and assists with protein folding, moves from the inside of cells to the surface in response to a high glucose environment. Here, we found that it facilitated TGF-β1 signaling. Based on our studies, we propose that when GRP78 is at the cell surface, it enables the release of latent TGF-β1, increasing TGF-β1 activity and thus promoting the development of disease.

Leishmania spp. são protozoários parasitas transmitidos a vertebrados pela picada de insetos flebotomíneos fêmeas. Apresentam duas formas principais em seu ciclo de vida: promastigotas e amastigotas. Os promastigotas vivem no intestino do hospedeiro invertebrado. Os amastigotas vivem preferencialmente no interior de macrófagos, fagócitos profissionais capazes de destruir patógenos. Para isso, são capazes de burlar a atividade microbicida desses macrófagos, sobreviver e se multiplicar em seu interior. Essa capacidade se deve a diversas moléculas produzidas pelo parasita, denominadas fatores de virulência, que ajudam em sua internalizarão e proliferação na célula hospedeira. A proteína LaLRR17 de Leishmania (L.) amazonensis recebeu esse nome porque contém em sua região central seis repetições ricas em leucina (LRRs) e por seu gene se localizar no cromossomo 17. Os motivos LRR de diversos organismos estão normalmente envolvidos em interações proteicas. A LaLRR17 é expressa em promastigotas e amastigotas, e foi detectada no citoplasma do macrófago infectado. Parasitas superexpressores dessa proteína apresentaram aumento da infectividade in vitro. Acreditamos que a proteína LaLRR17 participa de interações com moléculas de macrófagos, e que essas interações estão associadas à virulência dessa proteína. No entanto, não eram conhecidas moléculas do macrófago interagiam com a LaLRR17. O Phage Display é uma técnica baseada na expressão de proteínas sintéticas nos capsídeos de fagos que tem sido utilizada para identificação de ligantes de proteínas. A aplicação do Phage Display sobre a LaLRR17 recombinante permitiu identificar potenciais ligantes dessa proteína no macrófago, e aliada a cromatografia de afinidade, apontou diversos candidatos que podem participar do aumento de virulência conferido pela LaLRR17, entre eles o mais promissor, GRP78 do macrófago, que tem papel efetivo na fagocitose da Leishmania mediada pela LaLRR17. / Leishmania spp. are protozoan parasites transmitted to vertebrates by the bite of female phlebotomine insects. They present two main forms in their life cycle: promastigotes and amastigotes. Promastigotes live in the gut of the invertebrate host. The amastigotes live preferably in macrophages, \"professional phagocytes\" capable of destroying pathogens. They are able to circumvent the microbicidal activity of macrophages, survive and multiply inside them. This ability is due to several molecules produced by the parasite, called virulence factors, which help their internalization and proliferation inside the host cell. The protein LaLRR17 of L. (L) amazonensis was named because contains in its central region six leucine-rich repeats (LRRs) and its gene locates on chromosome 17. LRR motifs of various organisms are usually involved in protein-protein interactions. LaLRR17 is expressed in promastigotes and amastigotes, and was detected in the cytoplasm of the infected macrophage. Parasites overexpressing this protein showed increased infectivity in vitro. We believe that LaLRR17 participates in interactions with macrophages molecules, and that these interactions are associated with the virulence this protein. However, we do not know which molecules from the macrophage interact with LaLRR17. Phage Display is a technique based on the expression of synthetic proteins in phage capsids that has been used to identify protein binders. The application of Phage Display on recombinant LaLRR17 allowed the identification of potential ligands of this protein in the macrophage, and allied to affinity chromatography, pointed out several candidates that could participate in the increased virulence conferred by LaLRR17, among them the most promising macrophage GRP78, which plays an effective role in LaLRR17-mediated Leishmania phagocytosis.

Erste tumorassoziierte Veränderungen finden im Glykosilierungsmuster von Glykoproteinen und Glykolipiden statt. Die dabei entstehenden tumorassoziierten Carbohydrat-Antigene sind prominente Zielstrukturen der natürlichen Tumorimmunität (Immune Surveillance) und gewinnen in der Onkologie als immunogene Epitope zunehmend an Bedeutung. Der humane monoklonale IgM-Antikörper SAM-6 ist Teil der tumorspezifischen Immunität. Er wurde mit Hilfe der konventionellen Hybridomatechnologie direkt aus einem an Magenkarzinom erkrankten Menschen isoliert. Neben der Erforschung seines außergewöhnlichen Apoptose-mechanismus konnte innerhalb dieser Arbeit eine Zielstruktur des Antikörpers identifiziert und charakterisiert werden. Der humane monoklonale IgM-Antikörper SAM-6 bindet an eine neue Isoform des Hitzeschockproteins GRP78 (GRP78SAM-6). Das Antigen wurde über mehrstufige chromatographische Verfahren aus Tumorzellmembranextrakten aufgereinigt und nach tryptischen Verdau über die Methode des Peptidmassen-Fingerprinting eindeutig als humanes GRP78 identifiziert. Die auf der Zellmembran lokalisierte Variante des GRP78 besitzt ein Molekulargewicht von 82 kD und wird auf vielfältigen Tumorgeweben stabil exprimiert. GRP78SAM-6 liegt parallel zur 78 kD-Wildtyp-Variante co-exprimiert vor und konnte im Gegensatz zur Wildtyp-Variante nicht auf gesundem Gewebe nachgewiesen werden. Bei der SAM-6-spezifischen Variante des GRP78 handelt es sich um eine posttranslational modifizierte Form des GRP78, die spezifisch auf der Zellmembran lokalisiert ist, nicht jedoch intrazellulär zu finden ist. Sie unterscheidet sich durch zusätzliche Glykosilierungen vom GRP78-Wildtypen, wobei O-glykosidisch verknüpfte Glykane für die Bindung und die Reaktion mit dem SAM-6 Antikörper essentiell sind. Der SAM-6-Rezeptor stellt eine tumorspezifische Isoform des Hitzeschockproteins GRP78 dar, deren O-glykosilierte Carbohydrat-Regionen als Epitop fungieren. Durch die Bindung an GRP78SAM-6 hemmt der Antikörper SAM-6 in vitro als auch in vivo konzentrationsabhängig das Wachstum von Magen- und Pankreaskarzinomzellen und induziert eine neue Art des apoptotischen Zelltodes, die sog. Lipoptose. Es handelt sich um einen durch den Antikörper vermittelten direkten Effekt, der sich ausschließlich auf malignes Gewebe beschränkt. Schlüsselpunkt der apoptotischen Wirkung ist die Akkumulation zytotoxischer Mengen an Cholesterol und Triglyceridestern, die nach Bindung an den Antikörper in Form von Lipoprotein-Partikeln in die Tumorzelle gelangen. Der pentamere IgM-Antikörper bindet neben membranständigem GRP78SAM-6 der Tumorzelle, die ApoB 100-haltigen Lipoproteine VLDL und LDL. Insbesondere oxidativ modifizierte Formen des LDL (oxLDL) zeigten dabei die höchste Bindungsaffinität zum SAM-6 Antikörper. In deren Anwesenheit war ein maximaler lipotoxischer Effekt zu beobachten. Im Rahmen dieser Arbeit ist es gelungen, weite Teile des Lipoptose-Mechanismus aufzuklären. Eigenen Immunfluoreszenzstudien zufolge wird der SAM-6 Antikörper über rezeptorvermittelte Endozytose internalisiert. Die GRP78-vermittelte Internalisierung von oxLDL-beladenem Antikörper scheint daher plausibel und für die tödliche Anhäufung der Lipide verantwortlich zu sein. Die SAM-6-induzierte Apoptose verläuft anschließend über einen spezifischen Signalweg, der Gemeinsamkeiten mit dem intrinsischen Signalweg aufweist, jedoch wie beim extrinsischen Signalweg über externe pro-apoptotische Liganden angeregt wird. Infolge der unphysiologisch hohen intrazellulären Konzentration an oxLDL kommt es zur Induktion einer Caspasenkaskade, die nach der initialen Freisetzung von Cytochrom C aus den Mitochondrien über die Initiatorcaspasen 8 und 9 verläuft und letztendlich durch die Aktivierung der terminalen Caspasen 3 und 6 den apoptotischen Zelltod einleitet. Die Entdeckung von extrazellulär exprimiertem GRP78 auf Tumorzellen bietet die Möglichkeit neuer Therapieansätze in der Onkologie. Die SAM-6-spezifische Variante des GRP78 bietet insbesondere die Möglichkeit eines gezielten Angriffs auf die Tumorzelle, ohne gesunde Zellen zu tangieren. Sie wird auf Tumorgeweben verschiedenster Ätiologie stabil exprimiert und infolge ihres tumorspezifischen Auftretens zur optimalen Zielstruktur der natürlichen körpereigenen Immunantwort gegen Tumore. Der natürliche IgM-Antikörper ist Teil der natürlichen Immunität. Diese verfügt über ein breites Repertoire an Rezeptoren und garantiert die permanente Überwachung und Reaktion gegen modifizierte körpereigene Zellen. Sie ist dafür verantwortlich, dass Tumore sich nur in Ausnahmefällen manifestieren. / Tumor-associated modifications occur first in the glycosylation pattern of glycoproteins and glycolipids. These tumor-associated carbohydrate antigens are prominent targets of the natural tumor immunity (immune surveillance) and as immunogen epitopes they become more important for oncology therapies. The human monoclonal IgM antibody SAM-6 is part of this tumor specific immunity. It was isolated from a gastric cancer patient by using the conventional human hybridoma technology. Beside the investigation of its unique apoptosis mechanism, further goal of this study was the identification and characterization of the SAM-6 target. The human monoclonal IgM antibody SAM-6 binds to a new isoform of the GRP78 heat-shock protein (GRP78SAM-6). The SAM-6 antigen was purified from membrane extracts of stomach carcinoma cells using size exclusion and ion exchange chromatography. After tryptic digestion and peptide mass mapping it was definitely identified as human GRP78. The membrane bound variant of GRP78 has a molecular weight of 82 kD and is specifically over expressed in a wide range of cancer types. GRP78SAM-6 is co-expressed with wild-type GRP78 and is in contrast to its wild-type variant absent from normal tissues. The SAM-6 specific variant of GRP78 is a post-transcriptionally modified variant of GRP78, which is specifically expressed on the cell surface, but not found intracellularly. In contrast to the wild-type, GRP78SAM-6 is additionally glycosylated, whereas O-linked carbohydrates are essential for binding and reaction with the SAM-6 antibody. The SAM-6 receptor is a tumor specific isoform of the heat-shock protein GRP78, its epitopes are O-linked carbohydrate-moieties. After binding to GRPSAM-6, the antibody SAM-6 inhibits the growth of stomach and pancreas carcinoma cells in vitro and in vivo and induces a new kind of apoptotic cell death, the so-called lipoptosis. This direct and antibody induced effect is limited exclusively to malignant tissues. The crucial factor of the apoptotic effect is the accumulation of cytotoxic amounts of cholesterol and triglyceride esters, which get into the tumor cells in form of lipoprotein particles. The pentameric IgM antibody binds to GRPSAM-6 located on the tumor cell surface and to apoB 100, which is constituent of the lipoproteins VLDL and LDL. In particular, oxidatively modified LDL particles (oxLDL) showed the highest binding affinity to the SAM-6 antibody. In their presence the highest lipotoxic effect was observed. Within this study, important parts of this tumor specific lipoptosis mechanism could be explored. Own immunofluorescence studies revealed that the SAM-6 antibody is internalized via receptor mediated endocytosis. GRP78 mediated internalization of oxLDL-loaded antibody might be feasible and responsible for the deadly accumulation of lipids. The SAM-6 antibody induces a specific apoptotic pathway, which has similarities to the intrinsic pathway, but is activated by external pro-apoptotic ligands as it is know from the extrinsic pathway. Shortly after internalization of the antibody-LDL complex the unphysiologically high concentration of intracellular lipids initiates the release of mitochondrial cytochrom c followed by the activation of a cascade of caspases, such as initiator caspases 8 and 9 and finally the terminal caspases 3 and 6 leading to cell death. The discovery of extracellularly located GRP78 on tumor cells offers the opportunity of new oncological therapies. Especially the SAM-6 specific variant of GRP78 promises a targeted therapy against tumor cells, without hitting healthy cells. It is stable expressed on a variety of tumor tissues and in consequence of its tumor specific expression an ideal target of human innate immune responses against tumors. The natural IgM antibody SAM-6 is part of this natural immunity. It uses a broad repertoire of receptors and guaranties a permanent control and reaction against modified self-structures. Innate immunity is the reason that tumors only occur in exceptional cases.

<p>The chaperone protein GRP78 is primarily expressed in the endoplasmic reticulum, but it is also aberrantly expressed on the surface of cells under pathological conditions. One the cell membrane, GRP78 acts as a signaling molecule with unique properties. The amino-terminal domain acts as a growth factor receptor-like protein, while the carboxyl-terminal domain functions as a death-signaling receptor-like protein to extrinsically induce apoptosis. Autoantibodies that react with cell-surface GRP78 on many tumor cell lines occur in the sera of patients with prostate cancer, melanoma, and ovarian cancer. These autoantibodies are a negative prognostic factor in prostate cancer and melanoma, and when purified, stimulate tumor cell proliferation in vitro. It is unclear, however, whether these IgGs are merely a biomarker, or if they actually promote tumor growth in vivo. We immunized C57Bl/6 mice with recombinant GRP78 and then implanted the B16F1 murine melanoma cell line as flank tumors. We employed the antisera from these mice for in vitro cell signaling and proliferation assays. The immunodominant epitope in human cancer patients was well represented in the antibody repertoire of these immunized mice. We observed significantly accelerated tumor growth, as well as shortened survival in GRP78-immunized mice as compared to controls. Furthermore, antisera from these mice, as well as purified anti-GRP78 IgG from similarly immunized mice, stimulate Akt phosphorylation and proliferation in B16F1 and human DM6 melanoma cells in culture. These studies demonstrate a causal link between a humoral response to GRP78 and the progression of cancer in a murine melanoma model. They support the hypothesis that such autoantibodies are involved in the progression of human cancers and are not simply a biomarker. Because GRP78 is present on the surface of many types of cancer cells, this hypothesis has broad clinical and therapeutic implications.</p><p>We generated and characterized a panel of monoclonal murine antibodies (mAbs) against GRP78 with the goal of identifying therapeutic candidate IgGs. We developed three stable hybridomas that produce interesting antibodies. The N88 IgG reacts with the NH2-terminal domain and is an agonist. The C38 IgG reacts with the COOH-terminal domain and is an antagonist of NH2-terminal signaling. The C107 IgG binds the COOH-terminal domain and induces apoptosis. </p><p>We examined the effect of these three mAbs on the growth of B16 flank tumors. N88 accelerated and C107 slowed tumor growth, while C38 had no net effect. We are currently developing these antibodies and derivatives thereof as therapeutics for melanoma as well as for cancers of the brain, breast, ovary, and prostate. In fact, any tumor cell that over-expresses GRP78 on its surface is a potential therapeutic target for our future studies.</p> / Dissertation

Damage to the endothelium is an important contributor to the initiation and progression of atherosclerosis. GRP78 is an endoplasmic reticulum (ER)-resident molecular chaperone in normal healthy endothelium that functions to assist in the correct folding of newly synthesized proteins and to prevent the aggregation of folding intermediates. In addition, GRP78 is present as a transmembrane protein on the surface of lesion-resident endothelial cells. Surface GRP78 is known to act as a surface signaling receptor in cancer cells and is activated by anti-GRP78 autoantibodies (GRP78a-Abs) isolated from the serum of cancer patients. However, the role of cell surface GRP78 on endothelial cells and the influence of GRP78a-Abs in atherosclerosis is unknown. The objectives of this study were to investigate the effects of GRP78a-Abs on lesion development, examine whether engagement of cell surface GRP78 by GRP78a-Abs modulates endothelial cell function, and determine whether GRP78a-Abs were associated with cardiovascular disease (CVD) in humans. This research showed that ApoE-/- mice with advanced atherosclerotic lesions have elevated serum levels of GRP78a-Abs and ApoE-/- mice immunized against recombinant GRP78 demonstrated a significant increase in GRP78a-Abs titers as well as accelerated lesion growth. Furthermore, this work demonstrated that activation of surface GRP78 on endothelial cells by GRP78a-Abs significantly increases gene expression of adhesion molecules ICAM-1 and VCAM-1 as well as leukocyte adhesion through the NFκB pathway. Additionally, middle-aged to elderly adults at risk for CVD showed a tendency toward elevated circulating GRP78a-Ab levels. Our results suggest that signaling through cell surface GRP78 can activate intracellular pathways that contribute to endothelial cell activation and augment atherosclerotic lesion development. These findings demonstrate a novel role for GRP78a-Abs and surface GRP78 receptor activity in endothelial cell function and the early stages of lesion development, as well as establish an initial framework for future work involving circulating GRP78a-Abs and atherosclerotic disease in humans. Furthermore, this work indicates inhibiting the interaction of GRP78a-Abs with cell surface GRP78 could present a novel therapeutic strategy to modulate lesion growth, thereby reducing the risk for atherosclerosis and cardiovascular disease. / Thesis / Doctor of Philosophy (PhD)

No description available.

Depuis 2011, pas moins de 7 nouvelles thérapies ont été acceptées pour le traitement du mélanome métastatique. Ces nouvelles thérapies, composées de 4 inhibiteurs de B-Raf et MEK et de 3 anticorps, ont amélioré significativement la durée de vie des patients. Néanmoins, la forme résistante de la maladie est toujours problématique et aucun traitement à l’heure actuelle ne permet d’éradiquer la maladie. Dans ce contexte, ces travaux présentent la synthèse et la caractérisation de nouveaux dérivés 4-phényl-2-aminothiazole, actifs contre les formes résistantes du mélanome. 3 points structuraux clés ont été modulés : les extrémités (position 2 du thiazole et positions 3 et 4 du noyau phényle) et le coeur bis-aryle du squelette. Les analogues synthétisés ont été évalués sur des cellules A375 de mélanome pour étudier les relations structure-activités de cette nouvelle série de dérivés. Des dérivés jusqu’à 10 fois plus actifs que le hit initial ont été développés. La cible moléculaire de cette nouvelle série a été identifiée et le mode d’action caractérisé. Il s’agit de GRP78, une protéine chaperonne dont l’inhibition provoque un fort niveau d’activation de la voie de l’unfolded protein response, menant à la mort cellulaire par un mécanisme concomitant d’apoptose et d’autophagie. Ce mode d’action innovant permet à cette série d’être active contre plusieurs formes de cancers (mélanome, pancréas, LMC, colon etc.) indépendamment du statut mutationnel. A l’issue de ces travaux, un potentiel candidat clinique a été identifié et pourrait être évalué ultérieurement pour le traitement de cancers résistants et agressifs / Since 2011, 7 new anti-melanoma therapies have been approved. They are composed of 4 B-Raf or MEK inhibitors and 3 antibodies, and allowed considerable improvements in the patients’ life span. Nevertheless, the treatment of the resistant form of the melanoma is still an unmet challenge. In this context, this manuscript reports the synthesis and the characterization of new 4-phenyl-2-aminothiazole derivatives active against resistant melanoma. We focused our attention on the modification of the position 2 of the thiazole, the positions 3 and 4 of the phenyl ring, and finally the bis-aryl core. Several derivatives were synthetized and assessed against A375 melanoma cells to depict the structure-activity relationship studies of this new series. Thus, we succeeded in a 10-fold improvement in cytotoxic activity against cancer cells compared with the initial hit, reaching a 0.5 μM EC50 against A375 cell line. Strikingly, lead derivative exerted strong in vivo anti-tumoral activity in mice tumor xenograft experiments. This new series of compound inhibits GRP78, a chaperone protein, resulting in the strong activation level of unfolded protein response and leading to cell death by concomitant apoptotic and autophagy mechanisms. This innovative mode of action confers to our compounds a high cytotoxic activity on various cancer cells (melanoma, pancreatic, CML, colon etc.), regardless to their mutational status. Ultimately, we found a potential clinical candidate that could embody a new solution for the treatment of resistant and aggressive forms of cancer