Monocytes and macrophages are mediator cells of cartilage and bone erosion in the synovia of rheumatoid arthritis (RA) patients due to secretion of the inflammatory cytokine Interleukin-1β (IL-1β). Calcium, phosphate and fetuin are liberated from the affected bone matrix, and the formation of calciproteinparticles (CPPs) is likely. IL-1β production in monocytes in vitro is stimulated by high concentrations of extracellular calcium. Additionally, the rise of extracellular calcium concentrations leads to increased macropinocytosis in mononuclear phagocytes. Flow cytometry analyses in this study show that peripheral blood monocytes from patients with RA perform more calcium stimulated macropinocytosis of the fluorescent dye calcein than monocytes from healthy donors. Stimulation of monocytes with calcium and preformed CPPs leads to more IL-1β production, quantified using ELISA, by monocytes from RA patients. Experiments with macrophages show similar results. Furthermore calcium-stimulated macropinocytosis and IL-1β secretion are significantly positively correlated. However, there was no connection of in vitro findings and the severity of RA in patients.:Abbildungsverzeichnis IV Tabellenverzeichnis VI Abkürzungsverzeichnis VII 1 Einleitung 1 1.1 Rheumatoide Arthritis 1 1.1.1 Epidemiologie und Klinik der rheumatoiden Arthritis 1 1.1.2 Ätiopathogenese der rheumatoiden Arthritis 1 1.2 Monozyten und Makrophagen 3 1.2.1 Inflammasomaktivierung und Interleukin-1β-Sekretion in Monozyten und Makrophagen 4 1.2.2 Makropinozytose in Monozyten und Makrophagen 6 1.2.3 Beitrag der Monozyten und Makrophagen zur rheumatoiden Arthritis 7 1.3 Kalzium – lokale Dysregulation trotz systemischer Regulation 9 1.3.1 Entstehung von Kalziumproteinpartikeln 10 1.3.2 Kurzportrait des G-Protein-gekoppelten Kalziumrezeptors CaSR 11 2 Fragestellungen 13 3 Forschungsdesign, Material und Methoden 15 3.1 Forschungsdesign 15 3.2 Materialien 15 3.2.1 Laborgeräte 16 3.2.2 Verbrauchsmaterialien 17 3.2.3 Materialien und Chemikalien 17 3.2.4 Medien, Lösungen und Puffer 19 3.2.5 Stimulanzien und Inhibitoren 20 3.2.6 Fluoreszenzfarbstoffe 20 3.2.7 Software 20 3.3 Methoden 21 3.3.1 Separation von PBMCs mittels Ficolldichtegradientenzentrifugation 21 3.3.2 Separation von Monozyten mittels negativer Magnetseparation 22 3.3.3 Differenzierung von Monozyten zu Makrophagen in Zellkulturbeuteln 23 3.3.4 Makropinozytose von Monozyten und Makrophagen in der Durchflusszytometrie 23 3.3.4.1 Makropinozytose von Calcein in Monozyten 24 3.3.4.2 Makropinozytose fluoreszenzgefärbter Kalziumproteinpartikel in Monozyten und Makrophagen 25 3.3.4.3 Inhibition der Makropinozytose in Monozyten 26 3.3.4.4 Auswertung der am Durchflusszytometer generierten Rohdaten mit FlowJo 26 3.3.5 Makropinozytose von Monozyten in der Fluoreszenzmikroskopie 28 3.3.6 Bestimmung der Interleukin-1β-Produktion von Monozyten und Makrophagen mittels ELISA 29 3.3.7 Erhebung des DAS28 33 3.3.8 Bestimmung von Laborparametern 33 3.4 Statistische Auswertung 33 4 Ergebnisse 35 4.1 Charakterisierung der Kohorten 35 4.2 Vorversuche zur Auswahl eines geeigneten Fluoreszenzfarbstoffes für die Detektion der Makropinozytose 37 4.3 Stimulation von Monozyten mit Kalzium zur Makropinozytose und Interleukin-1β-Produktion 39 4.3.1 Kalziumstimulierte Calceinaufnahme von Monozyten 39 4.3.2 Kalziumstimulierte Interleukin-1β-Produktion von Monozyten 44 4.4 Stimulation von Monozyten mit Kalzium zur Makropinozytose und Interleukin-1β-Produktion unter Zugabe von Kalziumproteinpartikeln 47 4.4.1 Kalziumstimulierte Aufnahme fluoreszierender Kalziumproteinpartikel 47 4.4.2 Kalziumstimulierte Interleukin-1β-Produktion in Monozyten unter Zugabe von Kalziumproteinpartikeln 51 4.5 Stimulation von Makrophagen mit Kalzium zur Makropinozytose und Interleukin-1β-Produktion 53 4.5.1 Kalziumstimulierte Makropinozytose von fluoreszierenden Kalziumproteinpartikeln in Makrophagen 53 4.5.2 Kalziumstimulierte Interleukin-1β-Produktion mit und ohne Zugabe von Kalziumproteinpartikeln in Makrophagen 54 4.5.3. Visualisierung von Monozyten und Makrophagen nach 16 Stunden Inkubation 57 4.6 Korrelation zwischen kalziumstimulierter Makropinozytose und Interleukin-1β-Sekretion 59 5 Diskussion 61 5.1 Kalziumstimulierte Makropinozytoseaktivität von Monozyten und Makrophagen 61 5.2 Kalziumstimulierte Interleukin-1β-Sekretion von Monozyten und Makrophagen 64 5.2.1 Auswirkung der Phosphatkonzentration im Zellkulturmedium auf die kalziumstimulierte Interleukin-1β-Sekretion von Monozyten und Makrophagen 65 5.2.2 Kalziumstimulierte Interleukin-1β-Sekretion von Monozyten und Makrophagen von RA-Patienten und Kontrollprobanden 66 5.3 Zusammenhang von kalziumstimulierter Makropinozytose und Interleukin-1β-Sekretion in Monozyten und Makrophagen von RA-Patienten und Kontrollprobanden 70 5.4 Ausblick und offene Fragen 71 6 Zusammenfassung der Arbeit 73 8 Erklärung über die eigenständige Abfassung der Arbeit 88 9 Danksagung 89

Endocytosis, a process of plasma membrane invaginations, is a fundamental cellular mechanism, ensuring uptake of nutrients, enhanced communication between cells, protective functions against invasive pathogens and remodelling of the plasma membrane composition. In turn, endocytic mechanisms are exploited by pathogens to enter their host cells. Endocytosis comprises multiple forms of which our molecular understanding has mostly advanced with respect to clathrin-mediated endocytosis and phagocytosis. Studies on the small GTPase Rab5 have provided important insights into the molecular mechanism of endocytosis and transport in the early stages of the endocytic pathways. Rab5 is a key regulator of clathrin-mediated endocytosis, but in addition, localises to several distinct endocytic carriers including phagosomes and pinocytic vesicles. On early endosomes, Rab5 coordinates within a spatially restricted domain enriched in phosphatidylinositol-3 phosphate PI(3)P a complex network of effectors, including PI3-Kinase (PI3-K), the FYVE-finger proteins EEA1 and Rabenosyn-5 that functionally cooperate in membrane transport. Moreover, Rab5 regulates endocytosis from the apical and basolateral plasma membrane in polarised epithelial cells. During my PhD thesis, I investigated the molecular mechanisms of endocytosis both in polarised and non-polarised cells. I obtained new insights into the molecular mechanisms of endocytosis and their coordination through the functional characterization of a novel Rab5 effector, termed Rabankyrin-5. I could demonstrated that Rabankyrin-5 is a novel PI(3)P-binding Rab5 effector that localises to early endosomes and stimulates their fusion activity in vitro. The latter activity depends on the oligomerisation of Rabankyrin-5 on the endosomal membrane via the N-terminal BTB/POZ domain. In addition to early endosomes, however, Rabankyrin-5 localises to large vacuolar structures that correspond to macropinosomes in epithelial cells and fibroblasts. Overexpression of Rabankyrin-5 increases the number of macropinosomes and stimulates fluid phase uptake whereas its downregulation through RNA interference inhibits these processes. In polarised epithelial cells, the function of Rabankyrin-5 is primarily restricted to the apical membrane. It localises to large pinocytic structures underneath the apical surface of kidney proximal tubule cells and its overexpression in polarised MDCK cells specifically stimulates apical but not basolateral, non-clathrin mediated pinocytosis. In demonstrating a regulatory role in endosome fusion and (macro)-pinocytosis, my studies suggest that Rab5 regulates and coordinates different endocytic mechanisms through its effector Rabankyrin-5. Furthermore, the active role in apical pinocytosis in epithelial cells suggests an important function of Rabankyrin-5 in the physiology of polarised cells. The results obtained in this thesis are central not only for our understanding of the basic principles underlying the regulation of multiple endocytic mechanisms. They are also relevant for the biomedical field, since actin-dependent (macro)-pinocytosis is an important mechanism for the physiology of cells and organisms and is upregulated under certain pathological conditions (e.g. cancer).

Cotutelle - Mélanie Dieudé / L’ischémie-reperfusion inhérente à toute transplantation d’organe solide induit l’apoptose des cellules endothéliales. Les cellules endothéliales apoptotiques sécrètent des vésicules extracellulaires apoptotiques de type exosome (ApoExo). L’internalisation des ApoExo par les cellules endothéliales (CE) adjacentes conduit à des changements fonctionnels importants dont le dysfonctionnement endothélial. Cependant, les mécanismes d’internalisation des ApoExo par les CE sont méconnus. Des marqueurs fluorescents spécifiques aux protéines et à l’ARN ont été utilisés afin de marquer spécifiquement les ApoExo et étudier leur internalisation par microscopie confocale et cytométrie de flux. Les ApoExo ont été internalisés par les CE en fonction du temps et de la concentration. L’inhibition des voies classiques d’endocytose à l’aide d’inhibiteurs pharmacologiques et d’interférence par ARN n’a pas réduit les niveaux d’internalisation des ApoExo. Le blocage de la phosphatidylsérine des ApoExo avec l’annexine-V a réduit leur internalisation. L’analyse ultrastructurelle par microscopie électronique des CE a révélé la présence de structures lamellipodes importantes pour la macropinocytose dont l’inhibition a diminué le transfert d’ARN et de protéines dans les CE. L’analyse par RT-qPCR a révélé que l’ARNm PCSK5, le plus enrichi dans les ApoExo, est augmenté dans les CE traitées aux ApoExo. Cette augmentation est abolie avec ApoExo exempts d’ARNm PCSK5. Ces résultats démontrent que les ApoExo sont activement internalisés par macropinocytose dépendante de la phosphatidylsérine, favorisant leur internalisation en augmentant l’activité macropinocytique des CE. Les ApoExo transfèrent ainsi des ARN fonctionnels capables de moduler le protéome des CE. Ces résultats ouvrent de nouvelles portes pour la prévention de l’internalisation des ApoExo, et donc de la dysfonction endothéliale. / Ischemia-reperfusion injury inherent to solid organ transplantation induces endothelial apoptosis, releasing apoptotic exosome-like vesicles (ApoExo) which in turn induce endothelial dysfunction. We showed that ApoExo modulates gene expression, functions, and morphology of endothelial cells (EC) towards endothelial dysfunction. However, the mechanism by which EC internalize ApoExo remains unclear. Fluorescent probes specifically targeting proteins and RNA were used to track ApoExo uptake in EC by flow cytometry and confocal microscopy. Pharmacological inhibitors and gene silencing were used to probe uptake mechanisms. RNA and protein expression were quantified using Taqman RT-qPCR and immunoblot, respectively. Uptake of ApoExo by EC was observed in a time- and concentration-dependent manner. Inhibition of clathrin- and caveolae-dependent endocytosis did not decrease ApoExo internalization by EC. Blocking phosphatidylserine on ApoExo surface with annexin-V decreased ApoExo uptake. Ultrastructural analysis of serum-starved EC via electron microscopy revealed lamellipodia-like structures, hallmark of macropinocytosis, whose number increased following ApoExo exposure. Inhibition of macropinocytosis abrogated both RNA and protein transfers from ApoExo to EC. The most enriched mRNA in ApoExo, coding for PCSK5, showed enhanced levels in ApoExo-treated EC along with increased PCSK5 protein levels. This was abrogated by both macropinocytosis inhibition and depletion of PCSK5 mRNA in ApoExo. These results demonstrate that EC actively internalize ApoExo through phosphatidylserine-dependent macropinocytosis, and moreover, that ApoExo further increase macropinocytosis. These findings also show that functional RNAs can be delivered to EC through ApoExo. These results open new avenues for preventing ApoExo internalization and counteracting the development of endothelial dysfunction.

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