Leishmaniasis is a serious public health problem worldwide, requiring effective measures for its control and treatment. Visceral leishmaniasis is the most severe form and has a lethal potential. Depending on the interaction between the parasite and the host immune response, different clinical manifestations may develop: asymptomatic, oligosymptomatic and symptomatic. Macrophages play a central role in immune response. However, their microbicidal activity may be impaired, leading to the survival and proliferation of the parasites inside them. The objective of this study was to evaluate the leishmanicidal activity of macrophages isolated from treated and asymptomatic visceral leishmaniasis subjects after infection by Leishmania chagasi. Our hypothesis was that macrophages isolated from treated subjects were more susceptible to infection by Leishmania chagasi in relation to asymptomatic patients. From a cross-sectional study, 05 symptomatic patients and 02 asymptomatic were investigated at University Hospital. Mononuclear cells were isolated from peripheral blood of 07 patients in order to obtain monocytes and further differentiation into macrophages. These were infected with the isolated LVHSE-07 from L. chagasi for 2, 72 and 96 hours in conditions with and without stimulus of LPS and IFN-. To examine whether macrophages responded differently to the symptomatic patient's own Leishmania, 03 symptomatic and 02 asymptomatic patients were reconvened, so that their macrophages would be infected with Leishmania from symptomatic patients (LVHSE-24, LVHSE-28, LVHSE-37). Leishmanicide response of macrophages was assessed by determining the percentage of infected macrophages and the number of amastigotes inside macrophages. The results suggest that the macrophages of the symptomatic patients were more infected, especially when used patient's own Leishmania, and they did not control infection, even in the presence of stimulus, unlike asymptomatic's macrophages, which controlled infection, independently of what Leishmania was used. This study demonstrated that macrophages from symptomatic patients are more susceptible to infection by Leishmania chagasi, when compared with macrophages from asymptomatic patients; macrophages from symptomatic patients are more infected with their own isolated of L. chagasi; macrophages from asymptomatic patients are less infected with L. chagasi and have a parasitic load lower than the macrophages of symptomatic patients, regardless of the Leishmania isolated used in infection. It follows that macrophages are related to susceptibility or resistance to infection by Leishmania chagasi. / As leishmanioses são um grave problema de saúde pública no mundo, demandando medidas eficazes no seu controle e tratamento. A leishmaniose visceral é a forma mais grave e pode ser letal, caso não seja tratada. A depender da interação entre o parasita e a resposta imune do hospedeiro, podem-se desenvolver diferentes manifestações clínicas: forma assintomática, oligossintomática e sintomática. Os macrófagos desempenham um papel fundamental na resposta imune. Entretanto, suas atividades leishmanicidas podem estar prejudicadas, levando à sobrevivência e proliferação dos parasitas no seu interior. Assim, o objetivo geral deste trabalho foi avaliar a atividade leishmanicida de macrófagos infectados por Leishmania chagasi isolados de indivíduos tratados e assintomáticos para Leishmaniose visceral. A nossa hipótese era que macrófagos isolados de indivíduos tratados eram mais susceptíveis à infecção por Leishmania chagasi em relação aos de pacientes assintomáticos. A partir de um estudo transversal, foram investigados 05 indivíduos tratados e 02 assintomáticos do Hospital Universitário. Células mononucleares do sangue periférico foram isoladas dos 07 pacientes para obtenção de monócitos e posterior diferenciação em macrófagos. Estes foram infectados com o isolado LVHSE-07 de L. chagasi durante 2, 72 e 96 horas em condições sem e com estímulo de LPS e IFN-. Para analisar se os macrófagos respondiam de maneira diferenciada com a Leishmania do próprio indivíduo tratado, foram reconvocados 03 tratados e 02 assintomáticos para infectar seus macrófagos com as Leishmanias dos tratados (LVHSE-24, LVHSE-28, LVHSE-37). A resposta leishmanicida dos macrófagos foi analisada determinando-se o percentual de macrófagos infectados e o número de amastigotas no interior dos macrófagos. Os resultados sugerem que os macrófagos dos indivíduos tratados foram mais infectados, principalmente quando utilizada a Leishmania do próprio indivíduo, e não controlaram a infecção mesmo na presença do estímulo, ao contrário dos macrófagos dos assintomáticos que sugerem um controle da infecção independente da Leishmania utilizada. Este estudo mostrou que macrófagos de indivíduos tratados são mais susceptíveis à infecção por Leishmania chagasi quando comparados com macrófagos de pacientes assintomáticos; macrófagos indivíduos tratados são mais infectados com seus próprios isolados de L. chagasi; macrófagos de pacientes assintomáticos são menos infectados por L. chagasi e apresentam uma carga parasitária menor que os macrófagos de indivíduos tratados independente do isolado de Leishmania utilizado na infecção. Conclui-se que os macrófagos estão relacionados com a susceptibilidade ou resistência à infecção por Leishmania chagasi.

Os venenos de serpentes contêm concentrações elevadas de fosfolipases A2 secretadas (sFLA2), que apresentam homologia com as FLA2s de mamíferos, cujos níveis estão aumentados em doenças inflamatórias. Neste estudo, investigou-se a ativação e a expressão de fatores envolvidos na formação de corpúsculos lipídicos (CLs) em células fagociticas e o papel desses fatores na resposta imune inata, induzida pela MT-III, uma sFLA2s de veneno. A MT-III induziu aumento dos níveis de triacilglicerol, colesterol e lisofosfolipideos e a ativação e expressão dos fatores PPAR-g, PPAR-d/b, SREBP2 e do CD36. Sob estimulo da MT-III, o receptor PPAR-b/d, as enzimas DGAT, ACAT e FAS foram relevantes para a formação de CLs e para a expressão da PLIN2. O CD36 participa da expressão da COX-2, sem modificar a liberação de PGE2. O TLR2 e a MyD88 foram essenciais para a formação de CLs e síntese da IL-1b e IL-10. Ainda, o TLR2 foi relevante para a liberação de PGE2, PGD2 e LTB4, enquanto MyD88 foi fundamental somente para a liberação de PGE2 e expressão da PLIN2, induzidas pela MT-III. / Snake venoms contain high concentrations of secreted phospholipase A2 (sPLA2) with homology to mammalian PLA2s, whose levels are elevated in inflammatory diseases. In this study, we investigated activation and expression of factors involved in lipid droplets formation (LDs) and participation that factors in the innate immune response induced by MT-III, sPLA2s from snake venom, in phagocytic cells. MT-III induced increase of triacylglycerol, cholesterol and lysophospholipids levels and activation and expression of factors PPAR-g, PPAR-d/b, SREBP2 and CD36. PPAR-b/d receptor, DGAT, ACAT and FAS enzymes were relevant to LDs formation and critical to PLIN2 expression induced by MT-III. CD36 participates in COX-2 expression without modifying PGE2 release stimulated by MT-III. TLR2 and MyD88 were essential to LDs formation and IL-1b and IL-10 synthesis stimulated by MT-III. Moreover, TLR2 was relevant to PGE2, PGD2 and LTB4 biosynthesis, while MyD88 is essential only for PGE2 release and PLIN2 expression induced by MT-III.

O Histoplasma capsulatum é um fungo dimórfico, patogênico e responsável por graves lesões pulmonares. A infecção é adquirida pela inalação de conídios e posterior conversão para leveduras nos alvéolos e bronquíolos, onde são fagocitadas por macrófagos alveolares residentes e leucócitos que migram para o local da infecção. Recentemente, demonstramos que animais infectados com H. capsulatum e tratados com inibidor da síntese de prostaglandinas apresentaram diminuição de carga fúngica nos pulmões e baço, aumento da produção de nitrito e da fagocitose de leveduras por macrófagos alveolares, e maior sobrevivência, quando comparados com os animais somente infectados. Porém, neste estudo não foram determinados quais subtipos de prostaglandinas participam na patogênese da histoplasmose. Vários grupos de pesquisa têm demonstrado que PGD2 e PGE2 podem ter ações biológicas distintas quanto à remoção de microrganismos no hospedeiro. Desta maneira, é fundamental o entendimento do papel da PGD2 e da PGE2 nos mecanismos efetores dos macrófagos na defesa do hospedeiro, especialmente na histoplasmose. Portanto, o objetivo deste estudo foi investigar a participação da PGD2 e PGE2 na infecção experimental por H. capsulatum. Assim, demonstramos que a PGD2 aumentou a fagocitose e mecanismos microbicidas de macrófagos alveolares infectados in vitro com H. capsulatum. Observamos ainda que a 15dPGJ2, metabólito da PGD2, aumentou somente a fagocitose, e PGE2 inibiu os mecanismos efetores do macrófago. Mostramos ainda o aumento de BLT1 em macrófagos alveolares após adição de PGD2, e a possível ligação desta ao BLT1, e de LTB4 em DP2. Além disso, caracterizamos micropartículas de PLGA contendo PGD2 (MS-PGD2), e investigamos seus efeitos. O tamanho, carga elétrica e morfologia das micropartículas foram adequados para um tratamento intranasal e para fagocitose por macrófagos alveolares. As MS-PGD2 foram fagocitadas e capazes de ativar NF-B, e consequentemente, influenciar na produção de nitrito, IL-1, TNF-, IL-6 e TGF-. Com base nestes dados, avaliamos os efeitos do tratamento da MS-PGD2 ou da MS-PGE2 em animais infectados com H. capsulatum. Estas foram administradas via intranasal em animais infectados e tratados ou não com celecoxibe. Verificamos a diminuição da carga fúngica nos pulmões e baço, diminuição do infiltrador celular no espaço broncoalveolar e de citocinas inflamatórias no pulmão após tratamento com MS-PGD2. Contrariamente, após tratamento da MS-PGE2 observamos maior carga fúngica nos pulmões e baço, e aumento da inflamação no tecido e maior produção de IL-10. Além disso, demonstramos que no 21° dia após infecção, referente ao 7° dia após o término do tratamento com MS-PGD2, a carga fúngica manteve-se reduzida nos pulmões, comprovando assim a eficácia deste tratamento. Posteriormente, utilizando inibidores específicos, HQL-79 e CAY10526, mostramos respectivamente o papel protetor da PGD2 e o deletério da PGE2 na histoplasmose. Em conjunto, nossos dados contribuíram para o entendimento das funções antagônicas da PGD2 e PGE2 nesta micose. / Histoplasma capsulatum is a pathogenic dimorphic fungus and responsible for severe pulmonary lesions. Infection is acquired by inhalation of conidia and posterior conversion to yeasts in the alveoli and bronchioles, in which they are phagocyted by resident alveolar macrophages and leukocytes that migrate to the local infection. Recently, we demonstrate that mice infected by H. capsulatum and treated with inhibitor of prostaglandins synthesis presented a decrease in fungal burden in lungs and spleen, increase in nitrite production and uptake of yeasts by alveolar macrophages, and more survival, when compared with animals only infected. However, in this study, it was not determined what subtypes of prostaglandins participate in pathogenesis of histoplasmosis. Many research groups have demonstrated that PGD2 and PGE2 can have different biological effects regarding to microorganisms elimination in the host. Thus, it is primordial the understanding about the role of PGD2 and PGE2 on effector mechanisms of macrophages in host defense, especially in histoplasmosis. Therefore, the aim of this study was to investigate the role of PGD2 and PGE2 on experimental infection by H. capsulatum. So, we verify that PGD2 increased the uptake and microbicidal mechanisms of alveolar macrophages infected in vitro by H. capsulatum. 15dPGJ2, a PGD2 metabolite, increased only the phagocytosis, and PGE2 inhibited the effector mechanisms of macrophages. Among these results, we showed an increase of BLT1 expression on alveolar macrophages after addition of PGD2, and a possible binding of this mediator to BLT1, and of LTB4 to DP2. Later, as tool of therapeutic investigation, we used PGD2 encapsulation in biodegradable polymer, PLGA, in order to preserve its stability. Size, zeta potential and morphology were adequate for a possible intranasal treatment and uptake by alveolar macrophages. MS-PGD2 were phagocyted and able to activate NF-B, and consequently, to modulate nitrite, IL-1, TNF-, IL-6 and TGF- production. In this context, we purpose a treatment of the infection with MS-PGD2, in comparison to treatment with PGE2. MS-PGD2 were administrated via intranasal in infected mice, treated or not with celecoxib. We verify a decrease of fungal burden in lungs and spleen, less cellular infiltrate and decrease of some inflammatory cytokines. In contrast, after treatment of MS-PGE2, we observed greater fungal burden in the lungs and spleen, and an increase of the tissue inflammation and production of IL-10. Furthermore, we show that on day 21 after infection, referring to the 7th day after the treatment with MS-PGD2, fungal burden remained reduced in the lungs, thus proving the effectiveness of the treatment. Subsequently, using specific inhibitors, HQL-79 and CAY10526, respectively show the protective role of PGD2 and in deleterious to PGE2 in histoplasmosis. Together, our data contribute to the understanding of the antagonistic functions of PGD2 and PGE2 in this mycosis.

A diabetes tipo 1 (DT1) está associada `a inflamação estéril (IE) e maior susceptibilidade a sepse. A sepse induz a síndrome da resposta inflamatória sistêmica (SIRS) e a inflamação pulmonar aguda (ALI). O leucotrieno (LT) B4 produzido condições inflamatórias induz a expressão de MyD88 em macrófagos (MA). Hipotetizamos que a DT1 induz a síntese de LTB4 promovendo a IE e isto contribui para SIRS, susceptibilidade a sepse e ALI. Os diabéticos apresentaram níveis elevados de LTB4 e IL-1b no soro e seu MA expressaram mais MyD88/STAT-1. A expressão de STAT-1 foi induzida por c-Jun de forma dependente de LTB4. O tratamento com insulina restaurou os níveis de LTB4 e STAT-1/MyD88 e a inibição de LTB4 restaurou os níveis de MyD88 e IL-1b. Na sepse, a inibição de 5LO prolongou a sobrevida dos diabéticos e diminuiu a SIRS menos IL-1b e IL-10 no soro e TNF-a e IL-1b na cavidade peritoneal. O pulmão dos diabéticos apresentaram ALI menos intensa que se correlacionou com um altos níveis de SOCS-1, baixos níveis de MyD88 e falha na ativação de NFkB nos macrófagos alveolares. / Type 1 diabetes (T1D) is associated with sterile inflammation (SI) and increased sepsis susceptibility. Sepsis induces Systemic Inflammatory Response Syndrome (SIRS) and Acute Lung Injury (ALI). Leukotriene (LT) B4 is produced in inflammatory conditions and induces MyD88 expression in macrophages (MA). We hypothesized that T1D induce LB4 that promotes SI contributing to SIRS, sepsis susceptibility and ALI. Diabetics presented higher levels of LTB4 and e IL-1b in the serum and MA expressed more MyD88/STAT-1. STAT-1 expression was induced by c-Jun on LTB4 dependent manner. Insulin treatment restored LTB4 and STAT-1/MyD88 levels and inhibition of LTB4 restored MyD88 and IL-1b levels. During sepsis, 5LO inhibition increased diabetics survival and inhibited SIRS- lower levels of IL-1b and IL-10 in the serum and TNF-a and IL-1b in the peritoneal cavity. Lungs from diabetics presented milder ALI that correlated with high levels of SOCS-1, low levels of MyD88 and impaired NFkB activation in alveolar macrophages.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-03-02T15:00:57Z No. of bitstreams: 1 michelefernandesrodrigues.pdf: 2239638 bytes, checksum: a1bfd99261016639937e0a5a3ee8fb49 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-04-24T01:36:07Z (GMT) No. of bitstreams: 1 michelefernandesrodrigues.pdf: 2239638 bytes, checksum: a1bfd99261016639937e0a5a3ee8fb49 (MD5) / Made available in DSpace on 2016-04-24T01:36:07Z (GMT). No. of bitstreams: 1 michelefernandesrodrigues.pdf: 2239638 bytes, checksum: a1bfd99261016639937e0a5a3ee8fb49 (MD5) Previous issue date: 2013-04-10 / A tuberculose (TB) é uma doença de importância mundial. Os bacilos que causam a tuberculose entram no organismo principalmente pelas vias aéreas e a interação inicial nos pulmões é com os macrófagos alveolares, que servem como células hospedeiras. A morte dos macrófagos infectados por apoptose constitui uma alternativa de defesa do hospedeiro capaz de remover o ambiente de suporte para o crescimento bacteriano. No entanto, cepas virulentas de micobactérias parecem ser capazes de modular este processo. Alguns estudos tem destacado a importância do fator de necrose tumoral alpha (TNF-α) na modulação da apoptose de macrófagos infectados. O TNF-a exerce suas atividades biológicas através de dois receptores de superfície celular, TNFR1 e TNFR2, cujos domínios extracelulares podem ser clivados por proteólise formando receptores solúveis (sTNFR-1 e sTNFR-2). A sinalização através do TNFR1 desencadeia a maioria das funções biológicas do TNF-a, resultando em sobrevivência ou morte celular, enquanto que o TNFR2 induz a sobrevivência da célula. O objetivo deste estudo foi avaliar a influência do TNF e seus receptores na modulação da apoptose de macrófagos alveolares durante a fase inicial de infecção por cepas atenuada e virulenta de Mycobacterium bovis, bem como, a possível interferência da micobactéria na sinalização TNF-TNFR. Para tal, camundongos C57BL/6 foram infectados, via intratraqueal, com as cepas atenuada (BCG Moreau) ou virulenta (ATCC19274) de M. bovis. Após 3 e 7 dias de infecção, os seguintes parâmetros foram avaliados: (1) expressão de receptores de TNF (TNFR1 e TNFR2) na superfície de macrófagos alveolares, (2) expressão gênica dos receptores TNFR1 e TNFR2, (3) níveis dos receptores solúveis sTNFR1 e sTNFR2 no lavado broncoalveolar e níveis de TNF-a no pulmão (4) freqüência da apoptose de macrófagos alveolares e (5) número de bacilos nos macrófagos alveolares. Além disso, o efeito do bloqueio da sinalização TNF-TNFR1 na modulação da apoptose de macrófagos foi avaliado em camundongos deficientes em TNFR1 infectados com M. bovis BCG. Um aumento significativo da apoptose e da expressão superficial de TNFR1 foram observadas em macrófagos alveolares 3 e 7 dias após a infecção com M. bovis atenuado, mas apenas no 7º dia de infecção com o M. bovis virulento. Baixa expressão superficial de TNFR1 e aumento dos níveis de sTNFR1 no 3º dia após a infecção pela cepa virulenta foram associados com reduzidas taxas de macrófagos apoptóticos. Além disso, uma redução significativa da apoptose de macrófagos alveolares foi observada em camundongos TNFR1-/- no 3º dia após a infecção com BCG. Estes resultados sugerem um papel potencial do TNFR1 na apoptose de macrófagos durante a infecção pela micobactéria. Neste contexto, a clivagem do TNFR1 parece contribuir para a modulação da apoptose de macrófagos. / Tuberculosis (TB) is a disease of worldwide importance. The tubercle bacilli enter the organism mainly via respiratory tract and initial interaction in the lungs is with the alveolar macrophages, which serve as host cells. Apoptosis of the infected macrophages constitutes a host defense alternative capable of removing the environment supporting bacterial growth. However, virulent strains of mycobacteria appear to be capable of modulate this process. Some studies have highlighted the importance of tumor necrosis factor-a (TNF-α) in the modulation of apoptosis of infected macrophages. TNF-a exerts its biological activities via two distinct cell surface receptors, TNFR1 and TNFR2, whose extracellular domain can be released by proteolysis forming soluble TNF receptors (sTNFR-1 and sTNFR-2). The signaling through TNFR1 initiates the majority of the biological functions of TNF-a, leading to either survival or cell death, whereas TNFR2 induces survival. The aim of this study was to evaluate the influence of TNF-TNFR signaling in the modulation of apoptosis of alveolar macrophages during early stage of infection by virulent and attenuated strains of Mycobacterium bovis, as well as the possible interference of mycobacteria in this signaling. C57BL/6 mice were intratracheally infected with attenuated (BCG Moreau) or virulent (ATCC19274) strains of M. bovis. After 3 and 7 days of infection, the following parameters were assessed: (1) expression of TNF receptors (TNFR1 and TNFR2) on the surface of alveolar macrophages, (2) expression mRNA for TNF receptors, (3) levels of soluble receptors sTNFR1 e sTNFR2 in BAL and levels of TNF-a in lung (4) frequency of apoptosis alveolar macrophage and (5) number of bacilli in alveolar macrophages. Furthermore, the effect of abrogation of TNF-TNFR1 signaling in the modulation of macrophage apoptosis was assessed in TNFR1 deficient mice infected with M. bovis BCG. A significant increase of apoptosis and high expression of TNFR1 were observed in alveolar macrophages at 3 and 7 days after infection with attenuated M. bovis but only on day 7 in infection with the virulent M. bovis. Low surface expression of TNFR1 and increased levels of sTNFR1 on day 3 after infection by the virulent strain were associated with reduced rates of apoptotic macrophages. In addition, a significant reduction in apoptosis of alveolar macrophages was observed in TNFR1-/- mice at day 3 after BCG infection. These results suggest a potential role of TNFR1 in macrophage apoptosis during infection by mycobacteria. In this context, the shedding of TNFR1 appears to contribute to the modulation of macrophage apoptosis.

Les macrophages ont une contribution essentielle dans la bonne santé et la maladie. Comment les macrophages sont capables d'auto-renouvellement reste une question sans réponse. Au sein du laboratoire il a était démontré que les macrophages déficients pour MafB et c-Maf (Maf-DKO) ont la capacité de s'autorenouveller indéfiniment in vitro et ceci sans perdre leur identité de macrophages ni devenir cancéreux (Aziz et al. 2009). En utilisant les macrophages Maf-DKO comme outil d'étude de l'auto-renouvellement, nous avons pu identifier un réseau de genes qui permet l'auto-renouvellement des macrophages en absence de MafB. De plus nous montrons que des macrophages génétiquement non modifiés sont capables d'exprimer des genes du réseau d'auto-renouvellement des cellules souches embryoniques. Ce réseau d'auto-renouvellement est inhibé par MafB, qui peut-être sous exprimé in vivo. Les macrophages alvéolaires (MA) expriment constitutivement de faibles niveaux de MafB et c-Maf comme montré par Gautier et al. 2013. Les MA montrent une importante capacité d'auto-renouvellement, ils peuvent être amplifiés ex vivo. La surpression de MafB dans les MA in vitro et in vivo réduit la capacité d'auto-renouvellement de ces derniers. Nous avons finalement identifié GSK3 comme une cible pharmacologique pour l'inhibition de MafB dans les macrophages. Il a était montré que GSK3 tait nécessaire pour l'activation de MafB par phosphorylation directe. Nous avons montré que par inhibition de GSK3, les macrophages étaient capables s'auto-renouveler même s'ils exprimés de façon endogène/exogène MafB et c-Maf. / Macrophages contribute to essential functions in health and disease. Some macrophages are short lived but some macrophages are able to self-renew. However, in which manner macrophages are able to self-renew remains an open question. In our lab, we have demonstrated that macrophages deficient in MafB and c-Maf (Maf-DKO macrophages) can self-renew indefinitely in vitro, without neither loosing their macrophage identity nor becoming cancerous (Aziz et. al 2009).Using Maf-DKOs as a tool to study molecular mechanisms of self-renewal of macrophages, we have now been able to identify a network of genes, which allows macrophage self-renewal in the absence of MafB. We identified 25 genes, which affected only self-renewal. Additionally, we show that genetically unmodified macrophages are able to express self-renewal gene network. This self-renewal network is inhibited by MafB, which can be downregulated in vivo after mitogenic stimuli. Recently, Gautier et al., showed that Alveolar macrophages (AMs) constitutively express very low levels of MafB and c-Maf. We were able to demonstrate that AMs are able to self-renew in vitro and in vivo. Overexpression of MafB in AM in vitro and in vivo reduced the ability of AMs to self-renew. Additionally, we identified GSK3 as a pharmaceutical target for MafB regulation in macrophages. GSK3 has been shown to be required for Maf activation through direct phosphorylation. We showed that by inhibiting GSK3, macrophages were able to self-renew even if they were expressing endogenous or exogenous MafB and c-Maf.

A major factor in the success of Staphylococcus aureus as a pathogen is its vast arsenal of virulence determinants and, more importantly, the tight and precisely- timed regulation of these factors. Here we investigate the product of the S. aureus gene, SAUSA300_1984, encoding a putative transmembrane protein. This as yet uncharacterized protein belongs to the Abi (abortive infection) family, which are commonly annotated as CAAX-proteases, and are significantly understudied in prokaryotes. In S. aureus the disruption of SAUSA300_1984 results in a drastic reduction of proteolytic and hemolytic activity, as well as diminished pigmentation. This phenotype appears to be mediated through reduced agr expression, as determined by qPCR analysis. Importantly, known regulators of agr, such as CodY, MgrA, and ArlR, demonstrate no significant changes in transcription upon 1984 disruption, whilst major alterations were observed for downstream effectors of agr, such as sarS, RNAIII, rot and hla. Complementation and site-directed mutagenesis of 1984 demonstrated that proteolytic activity (via conserved EE residues) was not required for this phenotype, suggesting a potential protein-protein interaction mechanism of interaction. Proteome analysis of the 1984 mutant confirmed a number of our transcriptional observations, such as an increased abundance of Rot and surface associated proteins, as well as a marked decrease in Agr-system proteins levels, with the most striking being AgrB. Virulence profiling revealed a decreased ability of the 1984 mutant to evade constituents of the innate immune response, and impaired survival during murine models of infection. Given that SAUSA300_1984 is encoded 3 genes downstream of RNAIII, our current working hypothesis is that this Abi protein functions to control agr activity through communication with membrane components of this system, potentially via interaction with AgrB. Confirming this, and determining the upstream effectors of this regulatory system are studies currently ongoing in our laboratory.

Please read the abstract on page 3 in the dissertation. / Dissertation (MSc)--University of Pretoria, 2011. / Chemical Pathology / unrestricted

La Dégénérescence Maculaire Liée à l'Age (DMLA) constitue dans les pays industrialisés la 1ère cause de cécité chez les personnes de plus de 50 ans, et représente un enjeu majeur de santé publique d'autant plus important que le vieillissement de la population ne fait que s'accroître. La forme atrophique de cette maladie, pour laquelle il n'existe actuellement aucun traitement, est notamment caractérisée par une inflammation sous-rétinienne associée une dégénérescence des photorécepteurs, et conduit à une perte progressive de la vision centrale pouvant aller jusqu'à la cécité. Nos résultats montrent qu'au stade précoce de la maladie (MLA) on peut déjà observer de nombreux phagocytes mononucléaires (PM) dans l'espace sous-rétinien, en contact avec les drusen. Ces PM expriment de l'apolipoprotéine E (APOE), protéine impliquée dans l'homéostasie lipidique et la régulation de réponses inflammatoires, qui est retrouvée dans les drusen des patients atteints de DMLA, et dont le variant génétique APOε2 est associé à un risque élevé de développer une DMLA. Grâce à l'utilisation de souris Cx3cr1GFP/GFP déficientes en CX3CR1, un récepteur de chimiokine, et de souris humanisées APOε2, les travaux présentés ici démontrent que l'APOE exerce un rôle pro-inflammatoire conduisant de manière dose-dépendante à une altération du privilège immun sous-rétinien. Cet environnement immunosuppresseur est dépendant du FasL exprimé par l'épithélium pigmentaire rétinien (EPR), et empêche en condition physiologique la présence de cellules inflammatoires dans la rétine externe. Nos résultats montrent que l’APOE stimule de manière autocrine la sécrétion d’IL-6 par les PM, possiblement par un mécanisme impliquant une activation des Toll-like receptors (TLR) et de leur corécepteur CD36. Nous montrons que l’IL-6 inhibe l’expression de FasL sur l’EPR et altère sa capacité de clairance sous-rétinienne, ce qui facilite la survie des PM infiltrants au contact des photorécepteurs. La persistance de cette inflammation pathologique dans la rétine externe conduit au cours du vieillissement à une dégénérescence des photorécepteurs, phénomène qui peut est inhibé chez des souris déficientes en APOE. Ensemble, ces résultats permettent d’apporter une explication inédite au risque élevé de développer une DMLA pour les porteurs de l’allèle APOε2, et pourrait ouvrir la voie vers de nouvelles perspectives thérapeutiques. / Age-related Macular Degeneration (AMD) is the first cause of blindness in people over 50 year old in industrialized countries, and represents a major public health concern as the population of elderly is more and more increasing. The atrophic form of the disease, for which there is currently no treatment available, is characterized by subretinal inflammation associated with photoreceptor degeneration and leads to a progressive loss of central vision that can lead to blindness. Our results show many mononuclear phagocytes (MP) are already present at the early stage of the disease (MLA), in the subretinal space and in apposition with drusen. These PM express apolipoprotein E (APOE), a protein involved in lipid homeostasis and the regulation of inflammatory responses, which is found in drusen in patients with AMD, and whose genetic APOε2 variant is associated with a high risk of developing AMD. Using Cx3cr1GFP/GFP mice (deficient in CX3CR1, a chemokine receptor) and humanized APOε2 mice, the work presented herein demonstrates that APOE exerts a pro-inflammatory role leading to a dose-dependent alteration of the subretinal immune privilege. This immunosuppressive environment is dependent upon FasL expression by the retinal pigment epithelium (RPE), and prevents in physiological condition the presence of inflammatory cells in the outer retina. Our results show that APOE stimulates in an autocrine fashion the secretion of IL -6 by PM, possibly through a mechanism involving activation of Toll- like receptors (TLR) and their coreceptor CD36. We show that IL-6 inhibits the expression of FasL on the RPE and impairs its subretinal clearance capacity, which facilitates the survival of infiltrating PM in contact with photoreceptors. The persistence of a pathological inflammation in the outer retina leads to age-dependent photoreceptor degeneration, which can be inhibited in APOE-deficient mice. Taken together, these results provide novel rationale for the higher risk of developing AMD for APOε2allele carriers, and could allow the emergence of new therapeutic perspectives.

Heat shock protein (HSP)27 is traditionally described as an intracellular chaperone and signaling molecule, but growing evidence suggests it is released from immune cells where it plays an anti-inflammatory role during atherogenesis. Previously, the O’Brien lab found that overexpression of HSP27 led to augmented HSP27 serum levels in female apolipoprotein E knockout (ApoE-/-) mice, attenuated atherogenesis, and inhibited macrophage foam cell formation via physical binding with scavenger receptor (SR)-A. However, the precise mechanism of atheroprotection remained elusive. This thesis sought to ascertain the mechanism(s) by which HSP27 prevents foam cell formation, and determine if SR-A, a key receptor involved in the uptake of lipid into macrophages, plays an important role in HSP27-mediated atheroprotection. Pre-treatment of human macrophages with recombinant HSP27 (rHSP27) inhibited acytelated low density lipoprotein (acLDL) binding and uptake independent from receptor competition effect. Reduction in uptake was associated with attenuation of expression of SR-A mRNA, total protein, and cell surface expression. To explore the signaling mechanism by which HSP27 modulated SR-A expression it was hypothesized that nuclear factor-kappa B (NF-kB), a major regulator of many atherosclerosis gene programs, is altered by extracellular HSP27. Indeed, rHSP27 markedly activated NF-kB signaling in macrophages. Using an inhibitor of NF-kBsignaling there was an attenuation of rHSP27-induced inhibition of SR-A gene and protein expression, as well as lipid uptake, suggesting that SR-A expression is regulated by NF-kB activation. Lastly, to investigate if SR-A is required for HSP27-mediated atheroprotection in vivo, ApoE-/- and ApoE-/-SR-A-/- mice fed a high fat diet were treated with rHSP25, the mouse orthologue of HSP27, or PBS for 3 weeks. While rHSP25 therapy equally reduced serum cholesterol levels in the mouse cohorts, aortic atherogenesis, assessed using en face and sinus cross-sectional analyses, was attenuated in ApoE-/- mice but not ApoE-/-SR-A-/- mice. In conclusion, rHSP27 inhibits foam cell formation by downregulating SR-A expression. This effect may be associated with NF-kB activation. Reductions in atherosclerotic burden by rHSP27 require SR-A, and are independent of changes in serum cholesterol levels, highlighting the importance of macrophage lipid uptake in atherogenesis. Results presented in this thesis demonstrate that SR-A is a major target for HSP27 atheroprotection in the vessel wall, and provide an impetus for further studies that investigate the potential therapeutic value of HSP27.