O infarto do miocárdio é atualmente considerado a etiologia que mais contribui para o aparecimento de insuficiência cardíaca (IC) em humanos. Em detrimento a hiperativação de fatores neuro-humorais, a progressão da IC é caracterizada por uma série de anormalidades celulares associadas à disfunção ventricular. Dentre estas anormalidades, alterações na função e dinâmica mitocondrial merecem destaque, uma vez que a homeostase da organela é essencial para a viabilidade celular e o bom funcionamento da bomba cardíaca. No presente estudo, caracterizamos em modelo animal de disfunção cardíaca associada ao infarto do miocárdio: a) fenótipo cardíaco; b) função mitocondrial; c) equilíbrio redox; e d) dinâmica mitocondrial. Nossos resultados nos permitem afirmar que doze semanas após a cirurgia de infarto do miocárdio, os animais desenvolveram importantes alterações fenotípicas como aumento da massa cardíaca, dilatação ventricular, hipertrofia do cardiomiócito e maior deposição de tecido fibroso cardíaco, que contribuíram para o estabelecimento da disfunção ventricular. Além disso, foi possível confirmar a instalação do quadro de disfunção mitocondrial cardíaca, representada pela redução na capacidade respiratória e perda da homeostase redox. Por fim, encontramos um aumento no número de mitocôndrias cardíacas com menor diâmetro, alterações que vieram acompanhadas de uma menor atividade das enzimas relacionadas à fusão mitocondrial. Uma vez caracterizada a função e a dinâmica mitocondrial na disfunção cardíaca, avaliamos o efeito do treinamento físico aeróbico (TF) nessas variáveis. O TF, atualmente utilizado como um adjuvante no tratamento das doenças cardiovasculares, foi eficaz em promover o remodelamento cardíaco reverso e melhorar a função cardíaca nos animais infartados. Além disso, melhorou a capacidade respiratória e reduziu o estresse oxidativo, restaurando a função mitocondrial. Aliado a esses achados, o TF normalizou a atividade das enzimas relacionadas à dinâmica mitocondrial, fato associado à normalização do número e tamanho da organela. Esses resultados demonstram que a disfunção cardíaca induzida por infarto do miocárdio está associada à um quadro de mitocondriopatia em ratos, com alterações tanto na função quanto estrutura mitocondrial, e que o TF desencadeia efeitos benéficos na manutenção da integridade/função mitocondrial e melhora da função contrátil cardíaca / Myocardial infarction is considered the etiology that most contributes to the onset of heart failure in humans. Among the ventricular dysfunction-associated cellular abnormalities, changes in mitochondrial function and dynamics are critical, since the organelle homeostasis is crucial in maintaining the metabolic, electrical and mechanical properties of the heart. In the present study, we characterized in cardiac dysfunction- induced myocardial infarction in rats: a) cardiac phenotype; b) mitochondrial metabolism; c) redox balance, and d) mitochondrial dynamics. Our results show that twelve weeks after myocardial surgery, the animals developed pathological cardiac remodeling-associated ventricular dysfunction. Furthermore, we observed a reduced mitochondrial respiratory capacity and loss of redox homeostasis. Finally, we found a lower activity of enzymes related to mitochondrial fusion, these changes were accompanied by an increase in the number of small mitochondria. Once characterized mitochondrial function and dynamics, we evaluated the effect of exercise training in these variables in rats with cardiac dysfunction. The exercise training, currently established as an important non-pharmacological treatment for cardiovascular diseases, reversed the pathological cardiac remodeling and minimized the ventricular dysfunction in infarcted animals. Furthermore, exercise training restored the mitochondrial function by increasing respiratory capacity and reducing oxidative stress. Finally, exercise training restored the activity of mitochondrial dynamics-related enzymes and morphology. Taken together, our findings uncover the potential benefits of exercise training in reversing the cardiac mitochondriopathy observed in failing hearts, reinforcing the importance of this intervention as a non-pharmacological tool for heart failure therapy

O quadro de resistência à insulina em humanos está fortemente relacionado ao acumulo de lipídeos intracelulares, a inatividade física e ao aumento de espécies reativas de oxigênio (ERO). O objetivo deste estudo foi verificar se o aumento na oferta de nutrientes incluindo glicose e ácido graxo palmítico pode alterar o potencial de membrana mitocondrial, a respiração, a produção de espécies reativas de oxigênio e a resposta a insulina em células do tecido muscular. Nossos resultados mostram que a exposição de células musculares a elevada disponibilidade de substratos resultou em diminuição do potencial de membrana mitocondrial, e aumento da respiração no estado IV e da expressão do RNAm da proteína desacopladora mitocondrial UCP-3. Mostrando a existência de um mecanismo de desacoplamento intrínseco em células do músculo esquelético ativado em situações de elevada oferta de nutrientes. Nessas condições observamos redução do acoplamento e da eficiência termodinâmica mitocondrial. Interessantemente, essa capacidade de desacoplamento parece ser perdida cronicamente como indicado pelos nossos resultados de consumo de oxigênio no período de 48h favorecendo uma menor atividade mitocondrial, aumento de EROs e redução da razão GSH/GSSG. Imagens de microscopia eletrônica em cultura primária e expressão gênica do PGC1-, um reconhecido gene regulador da biogênese mitocondrial, não demonstraram diferença entre controle e tratamento com palmitato. O ácido palmito resultou na redução da fosforilação de Akt, bem como, na captação de glicose estimulada por insulina. Nossos achados, portanto, sugerem que uma redução do acoplamento termodinâmico mitocondrial e do sistema antioxidante, juntamente com aumento do peróxido de hidrogênio, estão fortemente relacionados a redução da resposta a insulina. Deste modo, nosso estudo sugere um papel importante da mitocôndria na resposta a insulina. / The insulin resistance in human framework is strongly related to the accumulation of intracellular lipids, physical inactivity and increased reactive oxygen species (ROS). The aim of this study was to determine whether the increase in nutrient supply including glucose and palmitic fatty acid can change the mitochondrial membrane potential, respiration, production of reactive oxygen species and the insulin response in muscle tissue cells. Our results show that exposure of muscle cells to high availability of the substrate resulted in decreased mitochondrial membrane potential, in increased respiration in the state IV and mRNA expression of mitochondrial uncoupling protein UCP-3. Showing the existence of an intrinsic uncoupling mechanism of skeletal muscle cells activated in situations of high supply of nutrients. However, under these conditions we observed a reduction of the coupling and mitochondrial thermodynamic efficiency. Interestingly, this decoupling capacity was chronically lost as indicated by our results in the 48 hours period favoring a lower mitochondrial activity, increase of ROS and reduced GSH / GSSG ratio. Images from electron microscopy and gene expression of PGC1-, a recognized regulatory gene of mitochondrial biogenesis, showed no difference between control and treatment with palmitate. The palm acid resulted in reduced phosphorylation of Akt, as well as glucose uptake stimulated by insulin. Our findings thus suggest that a reduction in mitochondrial antioxidant and thermodynamic coupling system, along with increase in the hydrogen peroxide, are closely related to reducing insulin response. Thus, our findings suggest a role of mitochondria in insulin response.

Les pycnogonides sont une classe d’arthropodes marins comptant plus de 1 400 espèces, et dont nous connaissons mal la diversité et l’histoire évolutive. Cette thèse pluridisciplinaire sur les pycnogonides tropicaux s’articule autour de quatre axes de recherche : (i) description de neuf fossiles de Solnhofen (Jurassique supérieur), grâce à une nouvelle technique de visualisation des volumes ; (ii) analyses phylogénétiques des gènes CO1 et 18S à partir de 107 taxons ; (iii) séquençage Illumina par shotgun et assemblage de 103 nouveaux génomes mitochondriaux ; et (iv) taxonomie intégrative des pycnogonides de Martinique reposant sur 803 spécimens collectés lors de l’expédition Madibenthos (2016) et 172 séquences CO1. Tous les fossiles de Solnhofen étudiés sont rattachés aux pantopodes, marquant leur affinité avec la faune moderne. Deux espèces nouvelles sont décrites. Avec les fossiles de La Voulte-sur-Rhône, ils montrent que les pantopodes étaient déjà diversifiés dans des eaux profondes et lagunaires du Jurassique, suggérant une importante transition de faune entre Paléozoïque et Mésozoïque. De nombreux réarrangements du génome mitochondrial, impliquant principalement les gènes des ARNt, sont mis en évidence. Certains sont corrélés à des changements dans le biais de composition en bases qui peuvent impacter la reconstruction phylogénétique. Malgré ces problèmes, nous retrouvons la monophylie de toutes les familles excepté les Ascorhynchidae, Callipallenidae et Nymphonidae, et identifions des regroupements interfamiliaux, d’un côté entre Ammotheidae, Pallenopsidae, Endeidae et Phoxichilidiidae, et de l’autre, entre Callipallenidae et Nymphonidae. Un très grand nombre de relations intergénériques et interspécifiques est également révélé. Alors que 20 espèces étaient auparavant connues sur les côtes de Martinique, cette étude a permis de multiplier par quatre la diversité connue de l’île, soit un total de 73 espèces. Ces résultats suggèrent une diversité encore plus importante à l’échelle des Caraïbes, que l’on pensait pourtant bien explorées. / Sea spiders are a class of marine arthropods including more than 1,400 species. Their diversity and evolutionary history are still poorly known. In this thesis, tropical pycnogonids were studied using four approaches: (i) nine fossils from Solnhofen (Upper Jurassic) were examined using a new photographic technic improving visualization of body parts; (ii) for phylogeny, CO1 and 18S genes were analyzed for 107 taxa; (iii) 103 new mitochondrial genomes were assembled after Illumina shotgun sequencing; and (iv) 803 sea spiders collected during the Madibenthos expedition (2016) in Martinique were examined for integrative taxonomy using 172 CO1 sequences.All fossils from Sonhofen are shown to share strong affinities with the modern fauna, as they were identified as belonging to Pantopoda. Two new species are described. Together with fossils from La Voulte-sur-Rhône, these results suggest that Pantopoda were already diversified in shallow and deep Jurassic waters, indicating that an important faunal transition occurred between Palaeozoic and Mesozoic. The mitochondrial genome of sea spiders shows many different gene orders and most of the gene rearrangements involve tRNA genes. Some are correlated with changes in base composition bias, which can be misleading for phylogenetic reconstruction. Despite these problems, all families but Ascorhynchidae, Callipallenidae and Nymphonidae were found to be monophyletic. Furthermore, our analyses provide evidence for several interfamilial relationships (between Ammotheidae, Pallenopsidae, Endeidae and Phoxichilidiidae; and between Callipallenidae and Nymphonidae), and for many intergeneric and interspecific relationships. While only 20 pycnogonid species were previously known from Martinique, the number of species was multiplied by four after our study, i.e. 73. These results suggest that many species still remain to be discovered in the Caribbean Sea, whereas this region was thought to be well-explored regarding sea spiders.

O quadro de resistência à insulina em humanos está fortemente relacionado ao acumulo de lipídeos intracelulares, a inatividade física e ao aumento de espécies reativas de oxigênio (ERO). O objetivo deste estudo foi verificar se o aumento na oferta de nutrientes incluindo glicose e ácido graxo palmítico pode alterar o potencial de membrana mitocondrial, a respiração, a produção de espécies reativas de oxigênio e a resposta a insulina em células do tecido muscular. Nossos resultados mostram que a exposição de células musculares a elevada disponibilidade de substratos resultou em diminuição do potencial de membrana mitocondrial, e aumento da respiração no estado IV e da expressão do RNAm da proteína desacopladora mitocondrial UCP-3. Mostrando a existência de um mecanismo de desacoplamento intrínseco em células do músculo esquelético ativado em situações de elevada oferta de nutrientes. Nessas condições observamos redução do acoplamento e da eficiência termodinâmica mitocondrial. Interessantemente, essa capacidade de desacoplamento parece ser perdida cronicamente como indicado pelos nossos resultados de consumo de oxigênio no período de 48h favorecendo uma menor atividade mitocondrial, aumento de EROs e redução da razão GSH/GSSG. Imagens de microscopia eletrônica em cultura primária e expressão gênica do PGC1-, um reconhecido gene regulador da biogênese mitocondrial, não demonstraram diferença entre controle e tratamento com palmitato. O ácido palmito resultou na redução da fosforilação de Akt, bem como, na captação de glicose estimulada por insulina. Nossos achados, portanto, sugerem que uma redução do acoplamento termodinâmico mitocondrial e do sistema antioxidante, juntamente com aumento do peróxido de hidrogênio, estão fortemente relacionados a redução da resposta a insulina. Deste modo, nosso estudo sugere um papel importante da mitocôndria na resposta a insulina. / The insulin resistance in human framework is strongly related to the accumulation of intracellular lipids, physical inactivity and increased reactive oxygen species (ROS). The aim of this study was to determine whether the increase in nutrient supply including glucose and palmitic fatty acid can change the mitochondrial membrane potential, respiration, production of reactive oxygen species and the insulin response in muscle tissue cells. Our results show that exposure of muscle cells to high availability of the substrate resulted in decreased mitochondrial membrane potential, in increased respiration in the state IV and mRNA expression of mitochondrial uncoupling protein UCP-3. Showing the existence of an intrinsic uncoupling mechanism of skeletal muscle cells activated in situations of high supply of nutrients. However, under these conditions we observed a reduction of the coupling and mitochondrial thermodynamic efficiency. Interestingly, this decoupling capacity was chronically lost as indicated by our results in the 48 hours period favoring a lower mitochondrial activity, increase of ROS and reduced GSH / GSSG ratio. Images from electron microscopy and gene expression of PGC1-, a recognized regulatory gene of mitochondrial biogenesis, showed no difference between control and treatment with palmitate. The palm acid resulted in reduced phosphorylation of Akt, as well as glucose uptake stimulated by insulin. Our findings thus suggest that a reduction in mitochondrial antioxidant and thermodynamic coupling system, along with increase in the hydrogen peroxide, are closely related to reducing insulin response. Thus, our findings suggest a role of mitochondria in insulin response.

As mitocôndrias desempenham um papel fundamental na sobrevivência e morte celular. Alterações do DNA mitocondrial (DNAmt) - como, por exemplo, amplificação, mutação homoplásmica, deleção e depleção -, bem como suas implicações clínico-patológicas, tem sido analisadas em inúmeras neoplasias humanas. No intuito de se pesquisar alterações mitocondriais associadas à tumorigênese, o presente trabalho teve como objetivos analisar a expressão de genes implicados no metabolismo energético e envolvidos na replicação e transcrição mitocondriais, quantificar o número de organelas mitocondriais e de cópias de DNAmt e analisar a expressão dos genes em astrocitomas de diferentes graus de malignidade (23 OMS grau I, 26 grau II, 18 grau III e 84 grau IV ou GBM) em relação ao tecido cerebral não tumoral (22 amostras). As expressões relativas dos genes selecionados, bem como as quantificações relativa e absoluta do DNA mitocondrial, foram realizadas por PCR em tempo real. O aumento de expressão relativa de genes-chave da via glicolítica, alterações nos níveis de expressão dos genes do ciclo dos ácidos tricarboxílicos e hipoexpressão de genes da fosforilação oxidativa detectados corroboraram o efeito Warburg. Foi demonstrado que a redução do número de cópias do DNAmt está associada com o grau de malignidade dos astrocitomas difusamente infiltrativos, sendo GBM o mais depletado e independente do número de organelas. As médias observadas para tecido não tumoral, astrocitoma grau I, grau II, grau III e GBM foram, respectivamente, 1,28, 0,26, 0,45, 0,42 e 0,17. Níveis aumentados de expressão relativa dos genes dos fatores de transcrição mitocondriais A (TFAM), B1 (TFB1M), B2 (TFB2M) e da subunidade catalítica da polimerase mitocondrial (POLG) foram detectados em todos os graus de astrocitomas, exceto TFB2M em astrocitoma grau II. Embora exista forte correlação entre os fatores de transcrição mitocondriais, somente os níveis de expressão de POLG se correlacionaram inversamente com o número de cópias de DNAmt. A expressão elevada de TFAM está associada a uma maior sobrevida no grupo de pacientes com GBM, interpretada como compensatório. As hiperexpressões de TFAM e POLG estão relacionadas a um melhor prognóstico em pacientes com GBM. Embora nossos achados da disfunção do metabolismo intermediário e depleção do DNAmt em astrocitomas corroborem a literatura, ainda não está bem esclarecida sua implicação na iniciação e manutenção da transformação maligna. Investigações futuras são necessárias para o esclarecimento destas questões. / Mitochondria has a key role in cell survival and death. Mitochondrial DNA (mtDNA) alterations, for example, amplification, homoplasmic mutation, deletion and depletion, and their clinical and pathological implications have been analyzed in human malignancies. In order to search for mitochondrial alterations associated to tumorigenesis, this study aimed to analyze the expression levels of genes involved in energetic metabolism, and in mitochondrial replication and transcription, to quantify the number of mitochondrial organelle and mtDNA copy number in astrocytomas of different grades of malignancy (23 WHO grade I, 26 grade II, 18 grade III and 84 grade IV or GBM) related to non-neoplastic brain tissue (22 samples). The relative expression level of the selected genes as well as the relative and absolute quantification of mtDNA were performed by real-time PCR. Relative expression increase of glycolytic pathway key genes, change of citric acid cycle genes and hipoexpression of oxidative phosphorylation genes were detected, and confirmed the presence of Warburg effect. The reduced mtDNA copy number was associated to the grade of malignancy of diffusely infiltrating astrocytoma, being GBM the most depleted, and not related to parallel decrease in the number of organelle. The mean mtDNA copy number for non neoplastic tissue, astrocytoma grade I, grade II, grade III and GBM were respectively 1.28, 0.26, 0.45, 0.42 and 0.17. The increased relative gene expression of mitochondrial transcription factor A (TFAM), B1 (TFB1M), B2 (TFB2M) and the catalytic subunit of mitochondrial polymerase (POLG) were observed in all grades of astrocytoma, except TFB2M in grade II astrocytoma. Although a strong correlation was observed among the mitochondrial transcription factors, only the expression level of POLG correlated inversely to the mtDNA copy number. The overexpression of TFAM was associated with long-term survival in the GBM patients and interpreted as compensatory. TFAM and POLG overexpressions were related to better prognosis in GBM patients. Although our findings concerning the impairment of intermediary metabolism and depletion of mtDNA in astrocytomas confirmed previous reports, their role in initiation or maintenance of malignant transformation were not fully understood. Further investigations are needed to clarify these issues.

Les mutations dans le génome mitochondrial humain sont souvent associées à de graves maladies neuromusculaires. Mon projet de thèse a consisté tout d’abord au développement d’une stratégie thérapeutique basée sur l’import mitochondrial de molécules d’ARN. J’ai pu démontrer que l’expression stable de molécules d’ARN recombinantes dans les cellules humaines permet de diminuer le taux de mutations pathogéniques de l’ADN mitochondrial. Dans une seconde partie, j’ai élaboré une nouvelle méthode, CoLoC-seq, permettant l’identification à grande échelle des ARN localisés dans les mitochondries. En appliquant cette méthode sur des cellules humaines, j’ai pu confirmer l’adressage mitochondrial de certains ARN cytosoliques non-codant et identifier de nouveaux ARN potentiellement importés. Ces données permettront d’élargir les connaissances sur les voies d’adressage mitochondrial des ARN, leurs mécanismes et leur régulation, et d’optimiser les stratégies thérapeutiques basées sur l’import d’ARN. / Mutations in the human mitochondrial genome are often associated with severe neuromuscular disorders. The first part of my thesis project consisted in the development of a therapeutic strategy based on the mitochondrial import of RNA molecules. I demonstrated that the stable expression of recombinant RNA molecules in human cells induced the decrease of the pathogenic mutation load in mitochondrial DNA. In the second part, I developed a nex method, CoLoC-seq, for the large-scale identification of RNA species localized in the mitochondria. By applying this method to human cells, I confirmed the mitochondrial targeting of some non-coding cytosolic RNAs and identified new potentially imported RNAs. These data will broaden the knowledge on the pathway of RNA targeting into the mitochondria, its mechanisms and regulation, and will allow optimization of the therapeutic strategies based on RNA import.

BACKGROUND: Mitochondrial complex I deficiency often leads to a devastating neurodegenerative disorder of childhood. In most cases, the underlying genetic defect is unknown. Recessive nuclear gene mutations, rather than mitochondrial DNA mutations, account for the majority of cases. AIM: Our aim was to identify the genetic basis of complex I deficiency in 34 patients with isolated complex I deficiency, by studying six of the 39 nuclear encoded complex I subunit genes (NDUFV1, NDUFS1, NDUFS2, NDUFS4, NDUFS7 and NDUFS8). These genes have been conserved throughout evolution and carry out essential aspects of complex I function. METHODS: RNA was extracted from patient fibroblasts and cDNA made by reverse transcription. Overlapping amplicons that together spanned the entire coding area of each gene were amplified by PCR. The genes were screened for mutations using denaturing High Performance Liquid Chromatography (dHPLC). Patient samples with abnormal dHPLC profiles underwent direct DNA sequencing. RESULTS: Novel mutations were identified in six of 34 (18%) patients with isolated complex I deficiency. Five patients had two mutations identified and one patient had a single mutation in NDUFS4 identified. All patients with mutations had a progressive encephalopathy and five out of six had Leigh syndrome or Leigh like syndrome. Mutations were found in three nuclear encoded subunit genes, NDUFV1, NDUFS2 and NDUFS4. Three novel NDUFV1 mutations were identified (R386H, K111E and P252R). The R386H mutation was found in two apparently unrelated patients. Four novel NDUFS2 mutations were identified (R221X, M292T, R333Q and IVS9+4A&ltG). The novel NDUFS4 mutation c.221delC was found in two patients - one in homozygous form and the other heterozygous. Specific genotype and phenotype correlations were not identified. CONCLUSIONS: Nuclear encoded complex I subunit gene mutations are an important contributor to the aetiology of isolated complex I deficiency in childhood. Screening of these genes is an essential part of the investigation of complex I deficiency.

Le transfert d'ooplasme est une nouvelle technique de reproduction (NTR) qUI bouscule les fondements utilisés pour encadrer les modifications génétiques chez l'humain. Par l'intervention dans le matériel génétique contenu dans les mitochondries des cellules, ce nouveau procédé implique la création d'enfant issus du matériel génétique de trois parents. L'exemple est intéressant en ce qu'il permet à la fois d'analyser une situation spécifique aux enjeux éthiques et sociaux considérables, mais également de poser une réflexion plus générale sur les modes d'encadrement des NTR et leur impact sur la liberté de la recherche scientifique. Les théories sociologiques issues de l'analyse de la technoscience permettent de démontrer d'une part un enthousiasme pour la recherche et d'autre part les craintes de sa dérive. L'hypothèse du pluralisme normatif, issue de ces craintes et de l'incapacité du droit à parvenir à les calmer, permet de mettre en lumière la multiplication des normes destinées à encadrer la recherche scientifique. Cette pléthore de normes est responsable d'une confusion dans l'interprétation des différents principes qui les justifient (dignité humaine, innocuité, bienfait thérapeutique), d'autant plus qu'elles doivent être conciliées entre les niveaux international, régional et national. Cette réflexion éthique sur la limitation de la liberté de la recherche par l'encadrement des NTR permet la démonstration des véritables enjeux qu'impliquent la génétique de la reproduction et propose un regard neuf sur la façon de l'envisager. / Ooplasm transfer is a new reproductive technique that jostles the basis of human gene modification. This new fertility treatment involved the transplantation of genetic material included in mitochondrion, and results in new-born with DNA from three different persons. This technique brings important sociological and ethical dilemmas. It also raises a critical discussion on how new reproductive techniques are regulated and how that regulation limits the freedom of research. Sociological theories about technosciences have shown that there is a great enthusiasm for research in society, but also great concerns on its excess. Those concerns have generated a multiplication of norms in order to control possible abuses of researchers. The multiplication of norms limits not only the freedom of research, but is also responsible for the confusion in interpreting the principles that justify them (human dignity, innocuity, health benefits), especial1y when these principles have to be reconciled at the national, regional and international level. This study is an ethical reflection on limits imposed on the freedom of research in the new reproductive genetics area. By using ooplasmic transfer as an example, this work addresses main issues of reproductive genetic and proposes a new way of understanding and considering genetics in the socio-economical context of technoscientific societies. / "Mémoire présenté à la faculté des études supérieures en vue de l'obtention du grade de maîtrise en droit (LL.M.) option droit, biotechnologies et société"

No description available.

La résistance des cellules cancéreuses à la chimiothérapie est une cause majeure de l’échec thérapeutique. Des études suggèrent qu’une adaptation du métabolisme énergétique pourrait jouer un rôle dans cette résistance. Ce travail de thèse montre que la résistance des cellules cancéreuses mammaires MCF-7dox à la doxorubicine est associée à une diminution de l’activité du complexe I de la chaîne respiratoire mitochondriale et à un métabolisme des cardiolipines (CL) particulier (diminution de la quantité de CL et augmentation de la quantité de MLCL, la forme immature des CL). Nos résultats montrent aussi que les mitochondries des cellules MCF-7dox expriment deux pompes d’efflux ATP-dépendantes (BCRP et MRP1) qui participent à limiter la quantité de doxorubicine accumulée dans ces mitochondries. De plus, l’activité de ces deux transporteurs dépend partiellement de l’ATP mitochondrial dont l’efficacité de synthèse est améliorée dans les cellules MCF-7dox. D’autre part, nous montrons que l’effet sensibilisant du DHA à la doxorubicine dans les cellules MCF-7dox implique un stress oxydant mitochondrial et s’accompagne d’une diminution de l’efficacité de la synthèse d’ATP. / Resistance of cancer cells to chemotherapy is a major cause of treatment failure. Studies have suggested that an adaptation of energy metabolism may play a role in the development of this resistance. The present work shows that resistance of the breast cancer cell line MCF-7dox to doxorubicin is associated with decreased activity of the mitochondrial respiratory chain complex I and particularly altered cardiolipin (CL) metabolism, (decreased CL levels and increased MLCL levels, the immature form of the CL). Our results also show that mitochondria from MCF-7dox cells express two ATP-dependent efflux pumps (BCRP and MRP1) limiting the accumulation of doxorubicin in these mitochondria. In addition, the activity of these two transporters is partially dependent on mitochondrial ATP synthesis which efficiency is improved in MCF-7dox cells. Moreover, we show that the sensitizing effect of DHA to doxorubicin in MCF-7dox cells is regulated by mitochondrial oxidative stress and is accompanied by a decrease in ATP synthesis efficiency.