Although human liver tumor cells have reduced metabolic functions as compared to primary human hepatocytes (PHH) they are widely used for pre-screening tests of drug metabolism and toxicity. The aim of the present study was to modify liver cancer cell lines in order to improve their drug-metabolizing activities towards PHH. It is well-known that epigenetics is strongly modified in tumor cells and that epigenetic regulators influence the expression and function of Cytochrome P450 (CYP) enzymes through altering crucial transcription factors responsible for drug-metabolizing enzymes. Therefore, we screened the epigenetic status of four different liver cancer cell lines (Huh7, HLE, HepG2 and AKN-1) which were reported to have metabolizing drug activities. Our results showed that HepG2 cells demonstrated the highest similarity compared to PHH. Thus, we modified the epigenetic status of HepG2 cells towards ‘normal’ liver cells by 5-Azacytidine (5-AZA) and Vitamin C exposure. Then, mRNA expression of Epithelial-mesenchymal transition (EMT) marker SNAIL and CYP enzymes were measured by PCR and determinate specific drug metabolites, associated with CYP enzymes by LC/MS. Our results demonstrated an epigenetic shift in HepG2 cells towards PHH after exposure to 5-AZA and Vitamin C which resulted in a higher expression and activity of specific drug metabolizing CYP enzymes. Finally, we observed that 5-AZA and Vitamin C led to an increased expression of Hepatocyte nuclear factor 4α (HNF4α) and E-Cadherin and a significant down regulation of Snail1 (SNAIL), the key transcriptional repressor of E-Cadherin. Our study shows, that certain phase I genes and their enzyme activities are increased by epigenetic modification in HepG2 cells with a concomitant reduction of EMT marker gene SNAIL. The enhancing of liver specific functions in hepatoma cells using epigenetic modifiers opens new opportunities for the usage of cell lines as a potential liver in vitro model for drug testing and development.

Without therapeutic intervention acute liver failure (ALF) is the consequence of a progredient destruction of the liver parenchyma due to metabolic exhaustion of the hepatocytes. Perivenous hepatocytes are responsible for the detoxification of noxious compounds via the cytochrome P450 enzyme system. Liver transplantation is the only remaining therapeutic option in the end-stage of the disease. Assuming that metabolic capacity could be provided by healthy hepatocytes and thus substitute for the genuine parenchymal cells hepatocyte transplantation since quite some time is considered to be an alternative to whole liver transplantation. While this hypothesis achieved proof-of-concept in animal trials clinical breakthrough is still awaiting success, the reasons of which are ongoing matter of debate. In recent times mesenchymal stem cells (MSC) came into focus as a transplantable cell source to treat ALF. Interestingly, as demonstrated in various rodent animal models their mode of action is rather based on trophic support of hepatocytes remaining in the damaged host parenchyma rather than substitution of tissue loss. Mechanistically, either direct or indirect paracrine effects from the transplanted cells acting pro-proliferative, anti-apoptotic, and anti-inflammatory seem to trigger the regenerative response of the residual healthy hepatocytes in the otherwise lethally injured liver parenchyma. Thus, allogeneic MSC may be the best choice for the treatment of ALF taking advantage of their short-term benefit to sustain the critical phase of the acute insult avoiding long-term immunosuppression.

L'hépatite C pose un problème de santé publique majeur, dans la mesure où le risque de développer une infection chronique est relativement élevé (40 à 60%) et où la résistance au traitement de choix - l’interféron alpha pégylé et la ribavirine - touche près de la moitié des patients. Cette persistence virale repose avant tout sur de puissantes stratégies d’évasion du système immunitaire inné de l’hôte par le virus. Dans ce projet, nous nous sommes intéressés à la caractérisation de la réponse antivirale dans des hépatocytes primaires humains normaux et chroniquement infectés avec le VHC, un domaine encore largement inconnu dû à la difficulté d’obtenir ce type de matériel primaire. Nous avons étudié la fonctionnalité de deux voies majeures de détection des pathogènes viraux suite à l’exposition d’hépatocytes primaires humains à de l’ARNdb intracellulaire, via le récepteur et adaptateur RIG-I/MDA5-CARDIF, et extracellulaire via TLR3-TRIF, mimant ainsi les étapes précoces de la détection d’un virus par la cellule hôte. Nous avons établi par RT-PCR quantitatif et analyse transcriptomique par microarray, que ces deux voies de stimulation sont fonctionnelles dans des hépatocytes primaires normaux et que leur activation entraîne à la fois l’expression de gènes antiviraux communs (ISG56, ISG15, CXCL10, …) mais aussi spécifiques avec les gènes IL28A, IL28B et IL29 qui sont une signature de l’activation de la voie de détection de l’ARNdb intracellulaire. La protéine virale NS3/4A joue un rôle majeur à la fois dans le clivage de la polyprotéine virale initiale, mais aussi en interférant avec les cascades de signalisation engagées suite à la détection par la cellule hôte de l’ARN du VHC. Plus particulièrement, nous avons démontré que l’expression ectopique de NS3/4A dans des hépatocytes primaires humains normaux entraîne une diminution significative de l’induction des gènes antiviraux dûe au clivage de CARDIF au cours de l’activation de la voie de signalisation médiée par RIG-I. Nous avons également démontré que l’expression de la NS3/4A entraîne des modifications de l’expression de gènes-clé impliqués dans la régulation de l’apoptose et du programme de mort cellulaire, en particulier lorsque la voie TLR3 est induite. L’ensemble de ces effets sont abolis en présence de BILN2061, inhibiteur spécifique de NS3/4A. Malgré les stratégies de subversion de l’immunité innée par le VHC, nous avons démontré l’induction significative de plusieurs ISGs et chemokines dans des hepatocytes primaires provenant de patients chroniquement infectés avec le VHC, sans toutefois détecter d’interférons de type I, III ou certains gènes antiviraux précoces comme CCL5. Ces observations, concomitantes avec une diminution de l’expression de CARDIF et une correlation inverse entre les niveaux d’ARNm des ISGs et l’ARN viral révèlent une réponse antivirale partielle dûe à des mécanismes interférents sous-jacents. Cette réponse antivirale détectable mais inefficace est à mettre en lien avec l’échec du traitement classique PEG-IFN-ribavirine chez la moitié des patients traités, mais aussi en lien avec l’inflammation chronique et les dommages hépatiques qui mènent ultimement au développement d’une fibrose puis d’une cirrhose chez une grande proportion de patients chroniquement infectés. / Hepatitis C infection is a worldwide health problem since the risk to develop a persistent infection is relatively elevated (40 to 60%) and nearly half of the infected patients do not respond to the classical anti-HCV therapy based on a combination of PEG-IFNα and ribavirin. Viral persistence is based on powerful evasion strategies of the host’s innate immune system. In our study, we characterized antiviral response in primary human normal and chronically HCV-infected hepatocytes, a cutting-edge in our field due to the difficulty to isolate this particular cell type. In order to better define the antiviral response in freshly isolated human primary hepatocytes, we stimulated these cells with extracellular and intracellular dsRNA to trigger TLR3/TRIF and RIG-I-MDA5/CARDIF-mediated antiviral signaling pathways. By using qRT-PCR and microarray analysis, we report that both detection pathways are functional in normal human hepatocytes, their activation leading to the expression of both common (IFIT1, OASL, ISG15 and CXCL10) and specific genes (IL28A, IL28B and IL29), these last ones being a signature of the intracellular dsRNA-mediated pathway. HCV NS3/4A plays a key role in the viral polyprotein processing and upon viral RNA detection by interfering with the host’s antiviral signalling cascades. We report that major antiviral genes induction following activation of RIG-I mediated pathway are severely impaired in ectopically NS3/4A expressing normal hepatocytes due to CARDIF cleavage, but can be restored by specific NS3/4A inhibitor BILN2061. Our microarray analysis also revealed a role for NS3/4A following TRL3-mediated pathway activation on regulation of apoptosis and programmed cell death, which could be linked to strategies for the virus to persist in its host. Despite HCV strategies to circumvent the host’s immune defense system, we observed significant upregulation of ISGs and chemokines in liver biopsies and corresponding isolated hepatocytes from chronically HCV-infected patients. However, no type I and III interferon, neither key-antiviral genes (e.g., CCL5) were detected, underlying an ongoing –but inefficient- antiviral response unable to eradicate the virus. Moreover, we obtained significant inverse correlations between ISGs mRNAs and viral RNA in addition to CARDIF decrease, clearly unravelling efficient viral interfering strategies in a context of chronic HCV infection. This sustained -albeit incomplete- hepatic innate immune response is certainly associated to the failure of the classical IFN-based therapy in half of the infected patients and to the chronic inflammation causing liver damages and eventually leading to hepatocarcinoma which is often observed at late stage of the disease.

Os corantes sintéticos são amplamente empregados em indústrias têxteis, de cosméticos, alimentícia, farmacêutica, dentre diversas outras. Entretanto, vários destes compostos apresentam elevada toxicidade intrínseca, e são precursores de intermediários tóxicos e/ou mutagênicos gerados durante a metabolização. Portanto, o emprego de corantes naturais destaca-se como uma alternativa aos sintéticos, na busca por compostos seguros para a saúde humana e ambiental. Neste contexto, no presente trabalho nós investigamos o potencial toxicológico e ecotoxicológico do corante natural eritrostominona (Ery), uma naftoquinona extraída de micro-organismo, utilizando modelos alternativos à experimentação animal. Adicionalmente, foi avaliada a ecotoxicidade do Basic Red 51 (BR51), um corante sintético azo utilizado em indústrias têxteis e de cosméticos, e do Ery degradado (EryD) após a exposição à luz, visando uma alternativa simples para o tratamento de efluentes industriais contendo o corante. As avaliações ecotoxicológicas foram realizadas em diferentes níveis tróficos: nos microcrustáceos Daphnia magna e nos estágios iniciais de desenvolvimento de zebrafish (Danio rerio). As avaliações toxicológicas do Ery foram realizadas em linhagem hepatocelular humana (HepG2) como órgão-alvo de metabolização de xenobióticos, e em epiderme humana equivalente (EHE), um modelo 3D construído com queratinócitos humanos imortalizados (HaCaT), visto que é esperado o contato dérmico devido ao potencial uso como corante de cosmético. Nossos resultados mostraram que o Ery e o BR51 são tóxicos para D. magna e zebrafish. O BR51 induziu alterações na imobilidade, na reprodução, no consumo de oxigênio e no comportamento de D. magna em concentrações até 200 vezes superiores às do Ery capazes de alterar a imobilidade, reprodução e comportamento. Todavia, para embriões e larvas de zebrafish ambos os corantes apresentaram efeitos tóxicos em concentrações próximas, com alterações do desenvolvimento embrionário e do comportamento, indução de efeitos pró-oxidantes e alterações no balanço energético dos organismos. O EryD interessantemente não apresentou nenhum efeito tóxico para os organismos aquáticos, demonstrando que a luz foi capaz de reduzir e/ou inativar a toxicidade da estrutura inicial. Para as linhagens celulares humanas, o Ery foi citotóxico para HepG2, tendo a apoptose como a principal causa de morte celular. O Ery também causou um atraso no ciclo celular de HepG2, em particular na fase da mitose (G2/M), diminuindo a proliferação das células. Por outro lado, o Ery não apresentou potencial genotóxico e mutagênico para HepG2 e não induziu citotoxicidade e genotoxicidade após exposições por períodos curtos em EHE. Em conclusão, o Ery e o BR51 são classificados como tóxicos e muito tóxicos para o ambiente aquático, respectivamente. O Ery também induz efeitos pró-apoptóticos, o qual pode estar ligado à estrutura química das quinonas. No entanto, o Ery apresenta potencial aplicabilidade industrial como um corante eco-friendly, com destaque para a simples e rápida fotodegradação, e como um corante não genotóxico e mutagênico para células humanas. Avaliações adicionais sobre os mecanismos de apoptose devem ser realizadas para assegurar a segurança à saúde humana / Synthetic dyes are widely used by textiles, cosmetic, food and pharmaceutical industries. However, several compounds have high inherent toxicity, and many are precursors of mutagenic and/or carcinogenic intermediates produced during metabolism. Thereby, the use of natural dyes became an alternative to the synthetic ones, in search of safe compounds for human and environmentl health. In this context, we aimed to investigate the toxicological and ecotoxicological potential of the natural dye erythrostominone (Ery), a naphthoquinone compound extracted from microorganism, using alternative methods to animal experimentation. Additionally, it was assessed the ecotoxicity of the Basic Red 51 (BR51), an azo synthetic dye used bu cosmetic and textile industries, and the Ery degraded (EryD) after exposure to light, aiming an easy alternative to industrial effluent treatments containing the dye. Ecotoxicological assessment was performed at different trophic levels: in the microcrutaceans Daphnia magna and in zebrafish (Danio rerio) early life stages. Toxicological assessment of Ery was also performed in human hepatocellular line (HepG2) as target organ of xenobiotic metabolism, and in equivalent human epidermis (EHE), a 3D model constructed with immortalized human keratinocytes (HaCaT), since dermal contact is expected due to potential use as cosmetic dye. Our results showed that Ery and BR51 are toxic for D. magna and zebrafish. BR51 induced alterations in immobility, reproduction, oxygen uptake and behavior of D. magna at concentrations up to 200-fold higher than those of Ery able to impair immobility, reproduction and behavior. However, for zebrafish embryos and larvae, both dyes showed toxic effects at close concentrations, with changes in embryo development and behavior, induction of pro-oxidant effects and changes in the energy balance of organisms. Interestingly, EryD showed no toxic effect on aquatic organisms, demonstrating that light was able to reduce and/or inactivate the toxicity of the initial chemical structure. For human cell lines, Ery showed to be cytotoxic to HepG2, with apoptosis being the main source of cell death. Ery also induced a delay in HepG2 cell cycle, particularly in the mitosis phase (G2/M), decreasing cell proliferation. On the other hand, Ery presented no genotoxic and mutagenic potential for HepG2 and did not induce cytotoxicity and genotoxicity after short-term exposure to EHE. In conclusion, Ery and BR51 are classified as toxic and very toxic to the aquatic environment, respectively. Ery also induces pro-apoptotic effects, which may be linked to the chemical structure of quinones. Therefore, Ery presents potential industrial applicability as an eco-friendly dye, highlighting the easy and rapid photodegradation, and the non-genotoxic and mutagenic effects for human cells. Further assessment of apoptosis mechanisms should be performed to ensure safety to human health

Der nach Leberoperation und -transplantation auftretende Ischämie-/ Reperfusionsschaden (I/R) und die konsekutive Inflammation des Lebergewebes stellen ein bedeutendes klinisches Problem dar. In der vorliegenden Arbeit wurden Einflüsse der warmen und kalten Ischämie (100% N2 bei 37°C bzw. 4°C) sowie der Exposition inflammatorischer Zytokine und Endotoxin (IL-1beta, 10 U/ml; IFN-gamma, 100 U/ml; TNF-alpha, 500 U/ml; LPS, 5 µg/ml) auf die Expression der Hämoxygenase-1 (HO- 1) mRNA und seines Proteins, einem Vertreter der Hitze-Schock-Proteine mit potentiell antioxidativer Wirkung, in humanen Hepatozytenprimärkulturen untersucht. Warme und kalte Ischämie stimulierten die HO-1 mRNA Expression in humanen Hepatozyten nach 0,5 bis 1h. Das HO-1 Protein wurde über 0,5-6h maximal exprimiert. Der Zellschaden, gemessen an der AST und LDH Freisetzung unter ischämischen Bedingungen wurde insbesondere nach 24 h beobachtet. Nach Zytokinexposition wurde die höchste Expressionsrate der mRNA durch IFN-gamma hervorgerufen, gefolgt von TNF-alpha, LPS und IL-1beta. Jedes einzelne Zytokin stimulierte die HO-1 mRNA Expression nach 0,5 h, erreichte ein Maximum nach 3 h und fiel nach 6 h ab. Nach Stimulation mit einem Zytokinmix (CM; IFN-gamma, TNF-alpha, IL-1beta, LPS) trat ein Maximum der HO-1 mRNA Expression erst nach 6 h ein, wobei ein signifikanter Zellschaden nach 12 h beobachtet wurde. Die HO-1 mRNA und Proteinexpression war nach Exposition von 6 h des Sauerstoffperoxides (H2O2, 200- 1000 µM) erhöht. Die HO-1 mRNA und Proteinexpression war nach S- nitrosoacetylpenicillamin (0.5 mM) Exposition, einem NO Donator, für 3-12 h verstärkt. Nach Cobalt-protoporphyrin (CoPP, 1µM) Exposition, einem potenten HO-1 Induktor, wurde eine erhöhte mRNA- und Proteinexpression beobachtet. Dass CoPP die HO-1 mRNA- und Proteinneusynthese induziert, konnte durch die selektive Blockade mit Actinomycin D und Cycloheximide bewiesen werden. Die Neusynthese konnte ebenfalls unter warmer und kalter Ischämie gezeigt werden. Hemin (10 µM), ein weiterer Induktor der HO-1, induzierte die HO-1 mRNA nach 3 h und das Protein nach 6 h. Die HO-1 Enzymaktivität wurde mittels Bilirubinbildung und Messung des Fe2+ Gehalts der Zellen bestimmt. Bei der Bilirubinbildung wurde die höchste Aktivität nach warmer Ischämie gemessen, gefolgt von kalter Ischämie, CM und der Kontrollgruppe. Die intrazelluläre Fe2+ Messung ergab ebenfalls die höchste Enzymaktivität nach warmer Ischämie. Die Vorbehandlung humaner Hepatozyten mit CoPP (1-50 µM) für 8 h, schützte die Zellen teilweise vor einer warmen und kalten Ischämie. Zusammenfassend zeigt diese Arbeit, dass die pharmakologische Induktion der HO-1 somit bei großen allgemeinchirurgischen Eingriffen, wie der Leberteilresektion oder der Transplantation, einen protektiven Effekt entfalten könnte. / Hepatic injury induced by ischemia/ reperfusion (I/R) and inflammation following surgeries or transplantations creates important clinical problems. In this study, the effect of inflammatory conditions such as cytokine/ endotoxin exposure (IL-1beta, IFN-gamma, TNF-alpha, LPS), warm and cold ischemia on HO-1 mRNA and protein, a member of heat shock proteins, was investigated. It was observed that IFN-gamma caused the highest HO-1 mRNA expression, followed by TNF-alpha, LPS and IL- 1beta. Each stimuli increased HO-1 mRNA expression after 0.5 h, peaked at 3 h and decreased after 6 h. Highest HO-1 protein expression was observed after 0.5 to 1 h of stimulation with IFN-gamma, which was followed by LPS, TNF-alpha and IL-1beta. The peak of HO-1 expression using all four stimuli (CM) was after 6 h. CM caused a significant increase in LDH and AST after 12 h. Warm and cold ischemia stimulated HO-1 mRNA expression in human hepatocytes at 0.5-1 h. HO-1 protein expression had its maximum between 0.5-6 h. Cellular damage measured as the release of LDH and AST was significant after 24 h. Mimicking oxydative stress, hepatocytes were exposed to 200-1000 µM H2O2 for 6 h which also showed an increased HO-1 mRNA and protein expression. HO-1 mRNA and protein expression revealed an increase after SNAP exposure at 3-12 h. Results with CoPP (10 µM), a potent inducer of HO- 1, displayed an increase in HO-1 mRNA and protein expression. It was proved, that CoPP induced new synthesis of mRNA and protein by its blocking agents such as actinomycin D and cycloheximide, respectively. Hemin (10 µM), another inducer of HO-1, triggered HO-1 mRNA expression after 3 h and protein expression after 6 h. The HO-1 enzyme activity was measured by bilirubin production after exposure to CM, as well as warm and cold ischemia. The highest enzyme activity was found after warm ischemia, followed by cold ischemia, CM and then by the control group. Fe2+ content of the cells, used as another method to judge HO-1 activity, confirmed our findings. Pre-treatment of human hepatocytes with different concentrations of CoPP (1-50 µM) protect cells against warm or cold ischemia. Therefore, we conclude that pharmacological induction of HO-1 may have therapeutic potential under inflammatory conditions such as seen during liver resection or liver transplantation.

Hämoxygenasen (HO) katalysieren unter der Aufnahme von molekularen Sauerstoff und der Freisetzung von Kohlenmonoxid (CO) und Eisen (Fe2+) die Oxidation von Häm zu Biliverdin. HO-1, eine induzierbare Isoform der HO, wird durch ihre Aktivität mit zellschützenden, antiinflammatorischen und antiapoptotischen Eigenschaften in Verbindung gebracht. Dabei gilt insbesondere das CO als Mediator dieser Eigenschaften. Die molekularen Wechselwirkungen und genregulatorischen Funktionen von CO sind allerdings noch weitgehend unbekannt. In dieser Arbeit wurden mittels cDNA Microarray-Technologie Gene identifiziert, die in der murinen Leber nach Inhalation von CO oder nach pharmakologischer Induktion von mHO-1 eine differentielle Expression der mRNA aufwiesen. Diese Gene konnten in einen Zusammenhang mit der circadianen Uhr gebracht werden und führten zu der Hypothese, dass CO einen direkten Einfluss auf den molekularen Oszillator der Inneren Uhr hat. Dies konnte in primären Hepatozyten durch eine veränderte circadiane Expression der essentiellen Uhrgene mPer2 und mRev-erba nach CO-Behandlung bestätigt werden. Weiterhin wurde für mHo-1 eine, bisher unbekannte, circadian regulierte Genexpression in primären Hepatozyten und der murinen Leber gezeigt. Es konnte die Funktionalität einer speziesübergreifend, konservierten E-Box im Promotor von mHo-1 nachgewiesen werden, die diese Regulation initiieren kann. Bezüglich der circadianen Oszillation von essentiellen Komponenten der circadianen Uhr zeigten mHo-1 Knockout-Fibroblasten eine veränderte Genexpression. Die Ergebnisse dieser Arbeit demonstrieren eine enge Kopplung des Häm-Metabolismus mit der circadianen Uhr. HO-1 scheint dabei in diesem regulativen Netzwerk eine funktionale Rolle zu spielen. Einerseits könnte diese Verbindung eine weitere Kommunikation der circadianen Uhr mit metabolischen Prozessen darstellen und bietet andererseits eine neue Sichtweise bezüglich der Aufklärung der zellschützenden Eigenschaften von HO-1. / Heme oxygenases (HO) catalyze the oxidation of heme and generate the bile pigment biliverdin, ferric iron and carbon monoxide (CO). Endogenous produced CO, especially due to the activity of the inducible isoform HO-1, has been associated with cytoprotective, anti-inflammatory and –apoptotic functions. CO is a signalling molecule, but the molecular interactions and gene regulatory functions are still unknown. In the present thesis a cDNA microarray identified genes in murine liver which were expressed differentially after inhalation of CO and pharmacological induction of HO-1. Interestingly, the expression of the candidate genes is directly controlled by the molecular circadian clockwork, and led to the hypothesis that CO has an influence on the molecular oscillator of the circadian clock. It was shown, that CO influences the gene expression of essential clock genes in primary hepatocytes. Furthermore, it was demonstrated that the gene expression and activity of mHO-1 is circadian regulated in primary hepatocytes and liver, and is reasonably based on a functional E-box in the promoter of the mHO-1 gene. The deficiency of HO-1 in HO-1 knockout mice displayed differential gene expression profiles in magnitude and amplitude of the circadian oscillations of essential clock and output genes. In this work it was shown, that the heme metabolism is coupled very close to the molecular circadian oscillator. HO-1 plays a functional role in the regulation of this regulatory network, which could provide insights into the understanding of cytoprotective properties of HO-1.

Chan Chun-pong. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (leaves 171-176). / Abstracts in English and Chinese. / Acknowledgements --- p.i / Abstract --- p.ii / 摘要 --- p.iii / Abbreviation --- p.iv / Table of contents --- p.v / List of figures --- p.xi / List of tables --- p.xvi / Chapter Chapter 1 --- introduction / Chapter 1.1 --- Traditional Chinese medicines (TCMs) --- p.2 / Chapter 1.2 --- Liver disorders in Asia Pacific region --- p.3 / Chapter 1.3 --- Classification of liver disorders --- p.7 / Chapter 1.3.1 --- Hepatitis --- p.8 / Chapter 1.3.1.1 --- Hepatitis A virus infection --- p.8 / Chapter 1.3.1.2 --- Hepatitis B virus infection --- p.9 / Chapter 1.3.1.3 --- Hepatitis C virus infection --- p.11 / Chapter 1.3.1.4 --- Hepatitis D virus infection --- p.12 / Chapter 1.3.1.5 --- Hepatitis E virus infection --- p.12 / Chapter 1.3.2 --- Cancer of the liver --- p.13 / Chapter 1.3.2.1 --- Hepatocellular carcinoma --- p.13 / Chapter 1.3.2.2 --- Cholangiocarcinoma --- p.14 / Chapter 1.3.2.3 --- Metastatic liver cancer --- p.14 / Chapter 1.4 --- Conventional treatment of liver disorders --- p.14 / Chapter 1.5 --- Role of traditional Chinese medicines in hepatoprotective functions --- p.16 / Chapter 1.5.1 --- Abri Herba (Abrus Cantoniensis Hance) --- p.17 / Chapter 1.5.2 --- Rhizoma Coptidis (Coptidis chinensis Franch) --- p.18 / Chapter 1.5.3 --- Fructus Forsythia (Forsythia suspense (Thunb) Vahl) --- p.22 / Chapter 1.6 --- Molecular studies of hepatoprotective effects of TCMs --- p.26 / Chapter 1.6.1 --- Roles of detoxofication enzymes in hepatoprotection --- p.27 / Chapter 1.6.2 --- Studies of growth-related genes in cell cycle control --- p.29 / Chapter 1.7 --- Aims of project --- p.32 / Chapter 1.8 --- Application of the project --- p.33 / Chapter Chapter 2 --- Methods and materials --- p.34 / Chapter 2.1 --- Screening of traditional Chinese medicines --- p.35 / Chapter 2.2 --- Preparation of TCMs --- p.35 / Chapter 2.2.1 --- Preparation of aqueous extracts of TCMs --- p.35 / Chapter 2.2.2 --- Preparation of active components of TCMs --- p.36 / Chapter 2.3 --- In vitro assays --- p.40 / Chapter 2.3.1 --- Cell culture --- p.40 / Chapter 2.3.2 --- Cytotoxicity test --- p.40 / Chapter 2.4 --- Screening of expressed gene induced by TCMs --- p.41 / Chapter 2.4.1 --- RNA preparation --- p.41 / Chapter 2.4.2 --- cDNA array hybridization --- p.42 / Chapter 2.4.3 --- Reverse Transcription --- p.43 / Chapter 2.5 --- Confirmation of expressed genes induced by TCMs --- p.44 / Chapter 2.5.1 --- Semi-quantitative PCR analysis --- p.44 / Chapter 2.5.2 --- Northern blot analysis --- p.46 / Chapter 2.6 --- Studies of effects of TCMs in gene expression --- p.47 / Chapter 2.6.1 --- Dosage-course study --- p.47 / Chapter 2.6.2 --- Time-course study --- p.48 / Chapter Chapter 3 --- Results --- p.50 / Chapter 3.1 --- "Cytotoxicity test of A.H., R.C. and F.F" --- p.51 / Chapter 3.2 --- "Molecular screening of expressed gene induced by A.H., R.C., F.F" --- p.58 / Chapter 3.3 --- Confirmation of expressed gene using semi-quantitative RT- PCR --- p.70 / Chapter 3.3.1 --- Dosage-course and time-course studies of A.H. using RT- PCR --- p.70 / Chapter 3.3.2 --- Dosage-course and time-course studies of R.C. using RT- PCR --- p.94 / Chapter 3.3.3 --- Dosage-course and time-course studies of A.H. using RT- PCR --- p.113 / Chapter 3.4 --- Confirmation of expressed gene using northern blot anaylsis --- p.118 / Chapter 3.4.1 --- Dosage-course and time-course studies of effects of A.H. and L- abrine in Northern blot analysis --- p.118 / Chapter 3.4.2 --- Dosage-course and time-course studies of effects of R.C. and berberine in Northern blot analysis --- p.129 / Chapter 3.4.3 --- Dosage-course and time-course studies of effects of F.Fin Northern blot analysis --- p.147 / Chapter Chapter 4 --- Discussion --- p.152 / Chapter 4.1 --- "Roles of A.H., R.C. and F.F. in treatment and prevention of liver disorders" --- p.153 / Chapter 4.2 --- "Cytotoxicity effect A.H., R.C., and F.F. in liver cells" --- p.153 / Chapter 4.3 --- Effects of herbal medicines on the transcription of mRNA in liver cells --- p.155 / Chapter 4.3.1 --- Effects of treatment of A.H. in liver at transcriptional level … --- p.155 / Chapter 4.3.2 --- Effects of treatment of R.C. in liver at transcriptional level … --- p.156 / Chapter 4.3.3 --- Effects of treatment of R.C. in liver at transcriptional level --- p.157 / Chapter 4.4 --- Comparison of results of RT-PCR and Northern blot analysis --- p.157 / Chapter 4.4.1 --- Comparison of the effects of time and dosage-course studies of DTD expression induced by A.H. and L-abrine --- p.157 / Chapter 4.4.2 --- Comparison of the effects of time and dosage-course studies of p21;cip;waf1 expression induced by A.H. and L-abrine --- p.158 / Chapter 4.4.3 --- Comparison of the effects of time and dosage-course studies of c-myc responsive protein; rcl expression induced by R.C. and berberine --- p.159 / Chapter 4.4.4 --- Comparison of the effects of time and dosage-course studies of GST Ya expression induced by R.C. and berberine --- p.160 / Chapter 4.4.5 --- Comparison of the effects of time and dosage-course studies of GST 7-7 expression induced by F.F --- p.160 / Chapter 4.5 --- Biochemical significance of genes induced by hepatoprotective TCMs --- p.161 / Chapter 4.5.1 --- Roles of significant expression of detoxifying enzymes induced by TCMs in liver cells --- p.161 / Chapter 4.5.2 --- Roles of induction of growth-related c-myc responsive protein; rcl in R.C. treated liver cells --- p.167 / Chapter 4.5.3 --- Roles of increased p21;cip;waf1 expression in A.H. treated liver cells --- p.168 / Chapter 4.6 --- Conclusion --- p.169

Zhu, Jinyong. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2012. / Includes bibliographical references (leaves 128-139). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract also in Chinese.

L’interleukine (IL)-17 et le TNFa sont deux cytokines pro-inflammatoires jouant un rôle important dans diverses maladies inflammatoires systémiques et auto-immunes affectant différents organes et tissus comme le foie et les muscles. Cependant, les rôles de l’IL-17 et du TNFa restent encore mal compris dans les muscles et le foie, qui est impliqué dans la réponse en phase aiguë. En utilisant des cultures de myoblastes, d’hépatocytes et de cellules stellaires hépatiques humaines, nous avons trouvé que l’IL-17 et le TNFa augmentent en synergie la sécrétion de la cytokine pro-inflammatoire IL-6 et de plusieurs chimiokines. Dans les myoblastes, l’IL-17 et le TNFa induisent un stress oxydatif et une dérégulation de calcium montrant ainsi que les processus pathologiques immuns et non-immuns interagissent. Dans les hépatocytes, en augmentant en synergie les niveaux de la CRP et des transaminases, l’IL-17 et le TNFa participent à l’inflammation systémique et aux dommages cellulaires. Etant donné que des infiltrats de cellules immunitaires sont retrouvés lors d’atteintes inflammatoires, les interactions cellulaires contribuent certainement à la chronicité de l’inflammation. Des cellules mononuclées du sang périphérique activées ou non ont ainsi été placées en co-cultures avec les myoblastes, les hépatocytes et les cellules stellaires. Par comparaison aux monocultures, les productions de l’IL-6 et de la chimiokine IL-8 étaient augmentées dans les co-cultures. L’IL-17 et le TNFa contribuaient partiellement à ces effets. Les effets systémiques de l’IL-17 et du TNFa en font donc des cibles thérapeutiques attrayantes pour le traitement des nombreuses maladies inflammatoires systémiques / Interleukin-17A (IL-17) and tumor necrosis factor-a (TNFa) are two pro-inflammatory cytokines playing an important role in various systemic inflammatory and autoimmune disorders affecting different organs and tissues including the liver and the muscles. However, the roles of IL-17 and TNFa are not fully understood in the muscles and also in liver, which is crucial in the acute phase response. By using cultures of human myoblasts, primary human hepatocytes, human HepaRG cells and LX-2 hepatic stellate cells, we found that IL-17 and TNFa increase in synergy the production of the pro-inflammatory cytokine IL-6 and chemokines (IL-8, CCL20, MCP-1). In myoblasts, the IL-17 and TNFa stimulation induces endoplasmic reticulum stress and calcium dysregulation showing that immune and non-immune pathogenic mechanisms interplay. In hepatocytes, IL-17 and TNFa mediate systemic inflammation and cell damage by increasing in synergy the CRP acute-phase protein and transaminase levels through the induction of IL-6. Since active liver and muscle disorders are characterized by inflammatory infiltrates of immune cells, the cell interactions play certainly an important role in the chronicity of the inflammation. Peripheral blood mononuclear cells activated or not were therefore co-cultured with myoblasts, hepatocytes and/or hepatic stellate cells to assess the inflammatory role of the cell-cell interactions. Co-cultures enhance the production of IL-6 and IL-8 compared to monocultures. IL-17 and TNFa contribute partially to these inductions. The systemic effects of IL-17 and/or TNFa make them attractive therapeutic targets for the treatment of various systemic inflammatory disorders

La phénylcétonurie (PCU est une maladie métabolique génétique causée par une déficience d'activité phénylalanine hydroxylase (PAH). Une hypomyélinisation du cerveau a été documentée chez les patients non traités, mais sa pathophysiologie reste floue. Nous avons investigué l'influence de la phénylalanine (Phe), phénylpyruvate (PP) et phénylacétate (PA) sur les oligodendrocytes. Nous avons premièrement montré dans un modèle murin de PCU que le nombre d'oligodendrocytes n'était pas différent dans le corps calleux entre animaux PCU et sains. Ensuite, en utilisant la technique des co-cultures myélinisantes nous avons pu déterminer que Phe, PP et PA n'ont pas d'effet direct sur la synthèse des gaines de myéline. Ces données indiquent que ces trois composés n'exercent probablement pas de rôle direct dans l'hypomyélinisation du système nerveux central constatée dans le cadre de la PCU. Ces données suggèrent donc des mécanismes d'action indirects. De plus, nous avons investigué la faisabilité d'un modèle de thérapie génique pour la PCU. Celui-ci implique la transduction ex vivo d'hépatocytes ou cellules souches mésenchymateuses par un vecteur lentiviral puis leur implantation dans le foie de l'organisme receveur. Phenylketonuria (PKU) is a metabolic genetic disease characterized by deficient phenylalanine hydroxylase (PAH) enzymatic activity. Brain hypomyelination has been reported in untreated patients, but its mechanism remains unclear. We therefore investigated the influence of phenylalanine (Phe), phenylpyruvate (PP), and phenylacetate (PA) on oligodendrocytes. We fisrt showed in a mouse model of PKU that the number of oligodendrocytes is not different in corpus callosum sections from adult mutants or from control brains. Then, using enriched oligodendroglial cultures, we detected no cytotoxic effect of high concentrations of Phe, PP, or PA. Finally, we analyzed the impact of Phe, PP, and PA on the myelination process in myelinating cocultures using both an in vitro index of myelination, based on activation of the myelin basic protein (MBP) promoter, and the direct quantification of myelin sheaths by both optical measurement and a bioinformatics method. None of these parameters was affected by the increased levels of Phe or its derivatives. Taken together, our data demonstrate that high levels of Phe, such as in PKU, are unlikely to directly induce brain hypomyelination, suggesting involvement of alternative mechanisms in this myelination defect. Moreover, we investigated the feasibility of a gene therapy for phenylketonuria. This project involved the ex vivo transduction of hepatocytes and mesenchymal stem cells with lentivirus vector and the engraftment of these cells in the liver's recipient.