Introdução: A epilepsia do lobo temporal (ELT) é a forma mais frequente de epilepsia em adultos. Um modelo experimental de ELT consiste na indução de status epilepticus (SE) em animais por administração de Pilocarpina. Este modelo induz mudanças patofisiológicas e comportamentais em ratos muito semelhantes às observadas em seres humanos com ELT. Apesar da literatura apresentar dados relacionados às respostas celulares, pouco se conhece a respeito do envolvimento de cascatas de sinalização com insultos epileptogênicos no sistema nervoso. A enzima fosfatidilinositol-3-cinase (PI3K) está envolvida na ativação da cascata de sinalização intracelular da Akt. A Akt é uma proteína cinase especifíca de serina/treonina cuja forma ativa proporciona um controle no crescimento e proliferação celular, bem como induz um sinal de sobrevivência para a proteção de células contra a apoptose. Alguns estudos mostram que a ativação da PI3K é inibida por potentes drogas, tais como a LY294002 e a Wortmanina. A PI3K ativa a Akt e a cascata de sinais extra e intracelulares neuroprotetores pós-insultos. O estudo da ação de inibidores da PI3K em modelos de epilepsia pode fornecer dados sobre o envolvimento da Akt em sinais neuroprotetores. Objetivos: Avaliar o efeito do SE por injeção intra-hipocampal de Pilocarpina na ativação da Akt, bem como os efeitos do bloqueio desta cascata sobre as alterações patológicas observadas no hipocampo de ratos na fase aguda pós-SE. Metodologia: Ratos da cepa Wistar machos (250-300 g) foram divididos em grupos de tratamento, sendo tratados com injeções ipsilaterais na região posterior do hipocampo, com uma hora de intervalo entre drogas, das drogas: Salina e Pilocarpina (grupo Sal+Pilo), LY294002 e Pilocarpina (LY+Pilo) e Wortmanina e Pilocarpina (Wort+Pilo). No grupo considerado como controle foram injetadas as seguintes drogas: Salina e Salina (grupo Sal+Sal) ou Dimetilsulfóxido e Salina (grupo DMSO+Sal). O tempo de SE induzido por Pilocarpina foi fixado em 2 horas. Grupos de animais foram sacrificados nos instantes de 1 dia e 7 dias após o SE e seus encéfalos foram processados objetivando a imuno-histoquímica para NeuN, GFAP e Akt (pan). Resultados: A densidade neuronial na região do hilo do hipocampo foi menor no grupo Sal+Pilo, seguido dos grupos LY+Pilo e Wort+Pilo, avaliando-se os vários níveis de formação hipocampal e região posterior. Para a análise da astrogliose, na camada granular, o grupo LY+Pilo apresentou maior número de astrócitos positivos; na região do hilo hipocampal, os grupos LY+Pilo e Wort+Pilo apresentaram baixa expressão para a proteína Akt, comparados aos grupos Controles; assim como o grupo Wort+Pilo, em CA2, apresentou baixa expressão da proteína Akt somente na região posterior. Os animais Sal+Pilo sobrevida-7dias pós-SE revelaram maior expressão da Akt quando comparados com o grupo Sal+Pilo sobrevida-1dia pós-SE. Quanto à análise comportamental, o grupo Wort+Pilo apresentou maior latência para o início do SE que o grupo Sal+Pilo, não sendo observado diferença de severidade, uma vez atingido o SE. Conclusões: Na hipótese de trabalho, o uso de inibidores da fosforilação de Akt resultaria em maior morte neuronial, astrogliose e expressão inalterada da Akt. Ao contrário do esperado, os grupos que receberam injeções intra-hipocampais de inibidores de Akt, antes da indução de SE, exibiram menor perda neuronial, menor astrogliose e menor expressão da Akt para os vários níveis de formação hipocampal e no hipocampo posterior. Porém, o grupo Sal+Pilo sobrevida-7 dias pós-SE exibiu maior expressão para Akt quando comparado com o grupo Sal+Pilo de sobrevida-1 dia pós-SE. Além disso, o pré-tratamento com Wortmanina demonstrou um maior tempo de latência para o início do SE, o que nos sugere uma maior neuroproteção do que LY294002. / Introduction: Temporal lobe epilepsy (TLE) is the most frequent type of adult human epilepsy. An experimental model of TLE, the Pilocarpine induced epilepsy, followed by pathofisiologic and behavioural alterations in rats resembling human diagnosis with TLE. Although there are several data on cell response in literature, few information exist on the cascade of signals involved in epileptogenesis process of central nervous system. The phosphatidylinositol-3-kinase (PI3K) is involved in activation of Akt intracellular signaling cascade. The serine/threonine kinase Akt, that in active form promote a control of growth and cell proliferation, such as survival sign protecting cells from apoptosis. Some studies have shown that activation of PI3K is blocked by potents pharmacological inhibitors, for example the LY294002 and Wortmannin. PI3K activate Akt and both extra and intracellular cascade signals involved in neuroprotection after seizures. The study of inhibitors mechanism in model of epilepsy can provide information on the involvement of Akt in signals of neuroprotection. Objectives: To evaluate the effects of SE by the intrahippocampal injection of Pilocarpine in Akt activation, and the effects of the blockade of this cascade on pathologic alterations observed in hippocampus of rats in acute phase after SE as well. Methods: Male Wistar rats (weighing 250 to 300 g) were divided in groups treated ipsilaterally with injections in the posterior region of hippocampus with an elapsed time of one hour subsequently after each injection of following substances: Physiological Saline and Pilocarpine (group Sal+Pilo), LY294002 and Pilocarpine (LY+Pilo), and Wortmannin and Pilocarpine (Wort+Pilo). Control groups were treated with the following drugs Saline + Saline (group Sal+Sal) or Dimethylsulphoxide + Saline (DMSO+Sal). A fixed time of 2 hours was considered for evaluating the SE induced by Pilocarpine. Animals were sacrificed 1 day and 7 days after SE, and their brains were processed imunohistochemically for NeuN, GFAP and Akt (pan) detecting. Results: The neuronal density in the hippocampal hilus was lower in the Sal+Pilo group, followed by LY+Pilo and Wort+Pilo groups, this evaluate various levels of hippocampal formation and posterior region. For the analysis of reactive astrogliosis of the granular cell layer, the LY+Pilo group presented a great number of GFAP-positive astrocytes. In the hilar region, the LY+Pilo and Wort+Pilo groups presented a reduced Akt expression compared to the Control group, such as the group Wort+Pilo in CA2, presented a reduced Akt expression only in posterior region. The Sal+Pilo animals with a survival time of 7 days after SE revealed higher Akt expression when compared to the Sal+Pilo animals with a survival time of 1 day. In behavioural analysis, the Wort+Pilo group presented major time of latency to SE than Sal+Pilo group, without differences in the disease severity, once reached the SE. Conclusions: On the contrary to the original hypothesis of this work, the use of inhibitors of Akt phosphorylating resulted in an unaltered neuronal death, astrogliosis and Akt expression. The groups that received intrahippocampal injection of Akt inhibitors before inducing SE exhibited a reduced neuronal loss, astrogliosis and Akt expression to the various levels of hippocampal formation and posterior region. But, to the Sal+Pilo group with a survival time of 7 days after SE induction exhibited greater Akt expression than Sal+Pilo group with a survival time of 1 day after SE induction. However, the pretreatment with Wortmannin displayed major time of latency to SE induction, suggesting this substance as a better neuroprotector than LY294002, according to the methodology applied in this study.

Introdução: A epilepsia do lobo temporal (ELT) é a forma mais frequente de epilepsia em adultos. Um modelo experimental de ELT consiste na indução de status epilepticus (SE) em animais por administração de Pilocarpina. Este modelo induz mudanças patofisiológicas e comportamentais em ratos muito semelhantes às observadas em seres humanos com ELT. Apesar da literatura apresentar dados relacionados às respostas celulares, pouco se conhece a respeito do envolvimento de cascatas de sinalização com insultos epileptogênicos no sistema nervoso. A enzima fosfatidilinositol-3-cinase (PI3K) está envolvida na ativação da cascata de sinalização intracelular da Akt. A Akt é uma proteína cinase especifíca de serina/treonina cuja forma ativa proporciona um controle no crescimento e proliferação celular, bem como induz um sinal de sobrevivência para a proteção de células contra a apoptose. Alguns estudos mostram que a ativação da PI3K é inibida por potentes drogas, tais como a LY294002 e a Wortmanina. A PI3K ativa a Akt e a cascata de sinais extra e intracelulares neuroprotetores pós-insultos. O estudo da ação de inibidores da PI3K em modelos de epilepsia pode fornecer dados sobre o envolvimento da Akt em sinais neuroprotetores. Objetivos: Avaliar o efeito do SE por injeção intra-hipocampal de Pilocarpina na ativação da Akt, bem como os efeitos do bloqueio desta cascata sobre as alterações patológicas observadas no hipocampo de ratos na fase aguda pós-SE. Metodologia: Ratos da cepa Wistar machos (250-300 g) foram divididos em grupos de tratamento, sendo tratados com injeções ipsilaterais na região posterior do hipocampo, com uma hora de intervalo entre drogas, das drogas: Salina e Pilocarpina (grupo Sal+Pilo), LY294002 e Pilocarpina (LY+Pilo) e Wortmanina e Pilocarpina (Wort+Pilo). No grupo considerado como controle foram injetadas as seguintes drogas: Salina e Salina (grupo Sal+Sal) ou Dimetilsulfóxido e Salina (grupo DMSO+Sal). O tempo de SE induzido por Pilocarpina foi fixado em 2 horas. Grupos de animais foram sacrificados nos instantes de 1 dia e 7 dias após o SE e seus encéfalos foram processados objetivando a imuno-histoquímica para NeuN, GFAP e Akt (pan). Resultados: A densidade neuronial na região do hilo do hipocampo foi menor no grupo Sal+Pilo, seguido dos grupos LY+Pilo e Wort+Pilo, avaliando-se os vários níveis de formação hipocampal e região posterior. Para a análise da astrogliose, na camada granular, o grupo LY+Pilo apresentou maior número de astrócitos positivos; na região do hilo hipocampal, os grupos LY+Pilo e Wort+Pilo apresentaram baixa expressão para a proteína Akt, comparados aos grupos Controles; assim como o grupo Wort+Pilo, em CA2, apresentou baixa expressão da proteína Akt somente na região posterior. Os animais Sal+Pilo sobrevida-7dias pós-SE revelaram maior expressão da Akt quando comparados com o grupo Sal+Pilo sobrevida-1dia pós-SE. Quanto à análise comportamental, o grupo Wort+Pilo apresentou maior latência para o início do SE que o grupo Sal+Pilo, não sendo observado diferença de severidade, uma vez atingido o SE. Conclusões: Na hipótese de trabalho, o uso de inibidores da fosforilação de Akt resultaria em maior morte neuronial, astrogliose e expressão inalterada da Akt. Ao contrário do esperado, os grupos que receberam injeções intra-hipocampais de inibidores de Akt, antes da indução de SE, exibiram menor perda neuronial, menor astrogliose e menor expressão da Akt para os vários níveis de formação hipocampal e no hipocampo posterior. Porém, o grupo Sal+Pilo sobrevida-7 dias pós-SE exibiu maior expressão para Akt quando comparado com o grupo Sal+Pilo de sobrevida-1 dia pós-SE. Além disso, o pré-tratamento com Wortmanina demonstrou um maior tempo de latência para o início do SE, o que nos sugere uma maior neuroproteção do que LY294002. / Introduction: Temporal lobe epilepsy (TLE) is the most frequent type of adult human epilepsy. An experimental model of TLE, the Pilocarpine induced epilepsy, followed by pathofisiologic and behavioural alterations in rats resembling human diagnosis with TLE. Although there are several data on cell response in literature, few information exist on the cascade of signals involved in epileptogenesis process of central nervous system. The phosphatidylinositol-3-kinase (PI3K) is involved in activation of Akt intracellular signaling cascade. The serine/threonine kinase Akt, that in active form promote a control of growth and cell proliferation, such as survival sign protecting cells from apoptosis. Some studies have shown that activation of PI3K is blocked by potents pharmacological inhibitors, for example the LY294002 and Wortmannin. PI3K activate Akt and both extra and intracellular cascade signals involved in neuroprotection after seizures. The study of inhibitors mechanism in model of epilepsy can provide information on the involvement of Akt in signals of neuroprotection. Objectives: To evaluate the effects of SE by the intrahippocampal injection of Pilocarpine in Akt activation, and the effects of the blockade of this cascade on pathologic alterations observed in hippocampus of rats in acute phase after SE as well. Methods: Male Wistar rats (weighing 250 to 300 g) were divided in groups treated ipsilaterally with injections in the posterior region of hippocampus with an elapsed time of one hour subsequently after each injection of following substances: Physiological Saline and Pilocarpine (group Sal+Pilo), LY294002 and Pilocarpine (LY+Pilo), and Wortmannin and Pilocarpine (Wort+Pilo). Control groups were treated with the following drugs Saline + Saline (group Sal+Sal) or Dimethylsulphoxide + Saline (DMSO+Sal). A fixed time of 2 hours was considered for evaluating the SE induced by Pilocarpine. Animals were sacrificed 1 day and 7 days after SE, and their brains were processed imunohistochemically for NeuN, GFAP and Akt (pan) detecting. Results: The neuronal density in the hippocampal hilus was lower in the Sal+Pilo group, followed by LY+Pilo and Wort+Pilo groups, this evaluate various levels of hippocampal formation and posterior region. For the analysis of reactive astrogliosis of the granular cell layer, the LY+Pilo group presented a great number of GFAP-positive astrocytes. In the hilar region, the LY+Pilo and Wort+Pilo groups presented a reduced Akt expression compared to the Control group, such as the group Wort+Pilo in CA2, presented a reduced Akt expression only in posterior region. The Sal+Pilo animals with a survival time of 7 days after SE revealed higher Akt expression when compared to the Sal+Pilo animals with a survival time of 1 day. In behavioural analysis, the Wort+Pilo group presented major time of latency to SE than Sal+Pilo group, without differences in the disease severity, once reached the SE. Conclusions: On the contrary to the original hypothesis of this work, the use of inhibitors of Akt phosphorylating resulted in an unaltered neuronal death, astrogliosis and Akt expression. The groups that received intrahippocampal injection of Akt inhibitors before inducing SE exhibited a reduced neuronal loss, astrogliosis and Akt expression to the various levels of hippocampal formation and posterior region. But, to the Sal+Pilo group with a survival time of 7 days after SE induction exhibited greater Akt expression than Sal+Pilo group with a survival time of 1 day after SE induction. However, the pretreatment with Wortmannin displayed major time of latency to SE induction, suggesting this substance as a better neuroprotector than LY294002, according to the methodology applied in this study.

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

No description available.

Cardiovascular diseases are among the leading causes of death worldwide and particularly in the developed World. The search for new therapeutic approaches for improving the functions of the damaged heart is therefore a critical endeavour. Myocardial infarction, which can lead to heart failure, is associated with irreversible loss of functional cardiomyocytes. The loss of cardiomyocytes poses a major difficulty for treating the damaged heart since terminally differentiated cardiomyocytes have very limited regeneration potential. Currently, the only effective treatment for severe heart failure is heart transplantation but this option is limited by the acute shortage of donor hearts. The high incidence of heart diseases and the scarcity donor hearts underline the urgent need to find alternative therapeutic approaches for treating cardiovascular diseases. Pluripotent embryonic stem (ES) cells can differentiate into functional cardiomyocytes. Therefore the engraftment of ES cell-derived functional cardiomyocytes or cardiac progenitor cells into the damaged heart to regenerate healthy myocardial tissues may be used to treat damaged hearts. Stem cell-based therapy therefore holds a great potential as a very attractive alternative to heart transplant for treating heart failure and other cardiovascular diseases. A major obstacle to the realisation of stem cell-based therapy is the lack of donor cells and this in turn is due to the fact that, currently, the molecular mechanisms or the regulatory signal transduction mechanisms that are responsible for mediating ES cell differentiation into cardiomyocytes are not well understood. Overcoming this huge scientific challenge is absolutely necessary before the use of stem cell-derived cardiomyocytes to treat the damaged heart can become a reality. Therefore the aim of this thesis was to investigate the signal transduction pathways that are involved in the differentiation of stem cells into cardiomyocytes. The first objective was the establishment and use of cardiomyocyte differentiation models using H9c2 cells and P19 stem cells to accomplish the specific objectives of the thesis. The specific objectives of the thesis were, the investigation of the roles of (i) nitric oxide (ii) protein kinase C (PKC), (iii) p38 mitogen-activated protein kinase (p38 MAPK) (vi) phosphoinositide 3-kinase (PI3K) and (vi) nuclear factor-kappa B (NF-kB) signalling pathways in the differentiation of stem cells to cardiomyocytes and, more importantly, to identify where possible any points of convergence and potential cross-talk between pathways that may be critical for differentiation to occur. P19 cells were routinely cultured in alpha minimal essential medium (α-MEM) supplemented with 100 units/ml penicillin /100 μg/ml streptomycin and 10% foetal bovine serum (FBS). P19 cell differentiation was initiated by culturing the cells in microbiological plates in medium containing 0.8 % DMSO to form embryoid bodies (EB). This was followed by transfer of EBs to cell culture grade dishes after four days. H9c2 cells were cultured in Dulbecco’s Modified Eagle’s medium (DMEM) supplemented with 10% FBS. Differentiation was initiated by incubating the cells in medium containing 1% FBS. In both models, when drugs were employed, they were added to cells for one hour prior to initiating differentiation. Cell monolayers were monitored daily over a period of 12 or 14 days. H9c2 cells were monitored for morphological changes and P19 cells were monitored for beating cardiomyocytes. Lysates were generated in parallel for western blot analysis of changes in cardiac myosin heavy chain (MHC), ventricular myosin chain light chain 1(MLC-1v) or troponin I (cTnI) using specific monoclonal antibodies. H9c2 cells cultured in 1% serum underwent differentiation as shown by the timedependent formation of myotubes, accompanied by a parallel increase in expression of both MHC and MLC-1v. These changes were however not apparent until 4 to 6 days after growth arrest and increased with time, reaching a peak at day 12 to 14. P19 stem cells cultured in DMSO containing medium differentiated as shown by the timedependent appearance of beating cardiomyocytes and this was accompanied by the expression of cTnI. The differentiation of both P19 stem cells and H9c2 into cardiomyocytes was blocked by the PI3K inhibitor LY294002, PKC inhibitor BIM-I and the p38 MAPK inhibitor SB2035800. However when LY294002, BIM-I or SB2035800 were added after the initiation of DMSO-induced P19 stem cell differentiation, each inhibitor failed to block the cell differentiation into beating cardiomyocytes. The NF-kB activation inhibitor, CAPE, blocked H9c2 cell differentiation into cardiomyocytes. Fast nitric oxide releasing donors (SIN-1 and NOC-5) markedly delayed the onset of differentiation of H9c2 cells into cardiomyocytes while slow nitric oxide releasing donors (SNAP and NOC-18) were less effective in delaying the onset of differentiation or long term differentiation of H9c2 cells into cardiomyocytes. Akt (protein kinase B) is the key downstream target of PI3K. Our cross-talk data also showed that PKC inhibition and p38 MAPK inhibition respectively enhanced and reduced the activation of Akt, as determined by the phosphorylation of Akt at serine residue 473. In conclusion, PKC, PI3K, p38 MAPK and NF-kB are relevant for the differentiation of stem cells into cardiomyocytes. Our data also show that the PKC, PI3K and p38 MAPK signalling pathways are activated as very early events during the differentiation of stem cells into cardiomyocytes. Our data also suggest that PKC may negatively regulate Akt activation while p38 MAPK inhibition inhibits Akt activation. Our fast NO releasing donor data suggest that nitric oxide may negatively regulate H9c2 cell differentiation.