Neuroblastoma is a childhood cancer of the peripheral sympathetic nervous system, emerging from cells of the neural crest. In Sweden, neuroblastoma accounts for 20 cases out of all, 300-350, pediatric cancer cases each year (Barncancerfonden 2019, Turup on behalf of Cancer Centrum 2019). This cancer often appears in the sympathetic ganglia and/or the adrenal gland and has a high rate of metastasis that often results in morbidity (Matthay et al. 2016). Recent findings implicating a mutation in the Rho/Rac signaling pathway, a pathway involved in neural crest differentiation and migration, were found in every fourth neuroblastoma patient (Dyberg et al. 2017) These mutations tend to shift Rho to a more active state which is believed to lead to more downstream Rho-associated Kinase (ROCK) activation. While inhibition of ROCK has been seen to promote MYCN protein degradation, induce neuroblastoma cell differentiation and repress neuroblastoma growth in vitro and in vivo (Dyberg et al. 2017). Rho/ROCK signaling pathway effects on cytoskeletal arrangement and cell shape have also been suggested to be involved in tumor promoted changes of the TME (Johan and Samuel, 2018). In this master’s thesis project, we explore the effects of the Rho/ROCK pathway on the tumor microenvironment (TME) and immune response (IR) in neuroblastoma. More specifically we are focusing on populations of T cells, macrophages and fibroblasts in tumors, and looking into tumor vascular structure (such as blood vessel) and extracellular matrix (ECM) formation after ROCK inhibitor treatment within neuroblastoma tumors from transgenic mice model TH-MYCN and multi-cellular tumor spheroids (MCTS), a three-dimensional (3D) in vitro model simulating TME in neuroblastoma cell lines. Through our studies we hope to find insights into the Rho/ROCK signaling pathway and involvement of the tumor microenvironment in cancer therapy, while elucidating potential new drugs and drug targets for improving outcomes in neuroblastoma treatment.

Parkinsons sjukdom är en av de vanligaste progressiva neurodegenerativa sjukdomer som drabbar upp till tio miljoner människor i världen. Sjukdomen orsakas av död av de nervceller som producerar signalämnet dopamin. För att kompensera bristen på dopamin, får patienter läkemedlet levodopa som är en precursor för dopamin. Men tyvärr leder denna behandling till ett ännu svårare tillstånd – levodopa-inducerad dyskinesi (LID). Dyskinesier innebär onormala ofrivilliga rörelser. För att förstå mekanismer som orsakar LID har djurmodeller utvecklats som simulerar Parkinsons sjukdom. Många studier har påpekat att LID uppstår på grund av ökad fosforylering av extracellulära signalreglerade kinaser 1 och 2 (ERK1/2). Det är viktigt att förstå hur ERK1/2 aktiveras vid Parkinsons sjukdom via dopaminreceptorer på cellmembranet hos nervceller i striatum för att utveckla någon rimlig behandling av LID eller för att förhindra det tillståndet. Syftet med denna studie var att undersöka signalvägar som induceras av dopamin D1-receptorn i vävnadsprov från regionen striatum i hjärnan från lesionerade råttor. Nivån av fosforylation ERK1/2 mättes med hjälp av Western blot. Genom att blockera målmolekyler kunde olika signalvägar blockeras, och resultaten tyder på att det finns tydliga förändringar i dopamin D1-receptor inducerade signalvägar. Aktivering av dopamin D1 receptor inducerade fosforylering av ERK1/2, dopamin D1-receptor inducerad fosforylering av ERK1/2 visade sig att vara beroende av calcium signalering, och det var möjligt att reglera fosforylering av ERK1/2 via signalväg som är inducerad av Grupp 1 metabotropiska glutamatreceptorer. Projektet är inte slutfört och fler målmolekyler behöver testas för att dra definitiva slutsatser om hur signalvägarna interagerar med varandra och hur man på ett effektivt sätt kan reglera dessa. Under arbetets gång hade Western blot-tekniken förbättrats och optimiserats. / Parkinson's disease is one of the most common neurodegenerative diseases affecting up to ten million people worldwide. The disease is caused by the death of neurons that produce the neurotransmitter dopamine. To compensate the lack of dopamine, patients are treated with levodopa, a precursor of dopamine. Levodopa invariably causes a troublesome complication in the form of unwanted involuntary movements known as “levodopa-induced dyskinesia”. Many studies have pointed out that levodopa-induced dyskinesia occurs due to increased phosphorylation of extracellular signal regulated kinases 1 and 2 (ERK1/2). It is important to understand how ERK1/2 is activated in Parkinson's disease by dopamine receptors in order to develop a reasonable treatment for LID or to prevent this condition in levodopa-treatment of Parkinsonian patients. The aim of this study was to investigate the pathways induced by the dopamine D1 receptor in striatal “slices” from parkinsonian rats. The level of phosphorylation of ERK1/2 (pERK 1/2) was measured by Western blot. Along the pathways leading to the activation of pERK 1/2 different target molecules were blocked. The clear alterations in the dopamine D1 induced signaling pathways were observed. Activation of the dopamine D1 receptor induced phosphorylation of ERK1/2, the dopamine D1 receptor-mediated increase of pERK was shown to be dependent on calcium signaling, and the DA D1 receptor-induced phosphorylation of ERK1/2 was possible to modulate via Group 1 metabotropic glutamate receptor pathway. The project is to be continued in the future and more target molecules should be tested in order to draw definite conclusions about how these signaling pathways interact with each other and how to regulate them effectively. During the project, Western blot technique was improved and optimized for the future experiments of the present study.