Made available in DSpace on 2016-03-15T14:17:03Z (GMT). No. of bitstreams: 2 7.pdf: 1019934 bytes, checksum: df1b248bb9c258918248c73b73272de2 (MD5) license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) Previous issue date: 2015 / Fundação Oswaldo Cruz. Instituto de Tecnologia em Fármacos/Farmanguinhos. Rio de Janeiro, RJ, Brasil. / Uridina 5'-trifosfato trissódica (UTPt) e citidina 5'-monofosfato dissódica (CMPd) são nucleotídeos pirimidínicos do ácido nucleico. Eficácia e segurança de fármacos baseados na UTPt e CMPd, usados no tratamento para neuropatias periféricas já foram estudadas, no entanto informações sobre farmacocinética desses fármacos ainda não são conhecidas. O objetivo deste estudo foi propor metodologias para quantificar UTPt e CMPd em matrizes biológicas, baseando-se numa revisão sistemática da literatura. Levando em consideração que a biodisponibilidade das pirimidinas, durante as neuropatias periféricas é diferente da observada em voluntários sadios, os dados disponíveis acerca das concentrações plasmáticas do UTPt e CMPd não devem ser usados para estimar a dose de fármacos baseados nessas pirimidinas. Para diferenciar pirimidinas endógenas e exógenas em matrizes biológicas, estas últimas devem ser marcadas, antes da administração, com material radioativo tais como trício [3H] ou carbono 14 [14C]. Além disso, a cromatografia líquida de alta performance é a técnica mais aplicada para identificação e quantificação de pirimidinas radioativas. Nós concluímos que a radiomarcação de UTPt e CMPd, seguida de separação cromatográfica e detecção por UV e cintilografia líquida, seria uma metodologia factível para estudos de detecção e quantificação de derivados de UTPt e CMPd em matriz biológica / Pyrimidines uridine 5'-triphosphate trisodium (UTPt) and cytidine 5'-monophosphate disodium (CMPd) are standard nucleosides which make up nucleic acids. Efficacy and safety from UTPt and CMPd based drugs on peripheral neuropathies has already been studied. However, information regarding pharmacokinetics of UTPt and CMPd based drugs during pathological condition remains unknown. The aim of this study was to propose methodologies to quantify UTPt and CMPd in biological matrices, based on a systematic literature review. Concerning that the bioavailability of pyrimidines during peripheral neuropathies is different of observed in healthy volunteers, the available data regarding plasmatic levels of UTPt and CMPd should not be used to estimate the dose of UTPt and CMPd based drugs. Furthermore, to differentiate endogenous and exogenous pyrimidines in biological matrices the exogenous pyrimidines must be labeled with [3H] or [14C] before administration. Next, high-performance liquid chromatography (HPLC) has been the most applied technique for identification and quantitation of radiolabeled pyrimidines. We concluded that UTPt and CMPd radiolabelling, followed by chromatographic separation and detection by UV and liquid scintigraphy, is a feasible methodology for detection and quantitation of UTPt and CMPd derivatives in biological matrices.

A persistência bacteriana correlacionada à formação de biofilmes bacterianos é, há algum tempo, fonte de grande preocupação médica em virtude de sua ampla associação com a dificuldade de tratamento de infecções crônicas. Por outro lado, as perspectivas de utilização de biofilmes bacterianos em novas aplicações biotecnológicas e até mesmo para fins terapêuticos são promissoras. Há, portanto, grande interesse em compreender os mecanismos que levam as células bacterianas a deixar o estado planctônico, de vida livre, e associarem-se nesses conglomerados celulares altamente complexos. Ao longo das últimas décadas, o segundo mensageiro c-di-GMP – em conjunto com as moléculas que catalisam sua síntese (diguanilato ciclases) e sua degradação (fosfodiesterases) e seus receptores – estabeleceu-se como um elemento central de regulação de uma série de respostas celulares que determinam a formação ou a dispersão de biofilmes. Curiosamente, as proteínas que participam do metabolismo deste segundo mensageiro estão, frequentemente, codificadas múltiplas vezes em um mesmo genoma bacteriano. Em vista dessa observação, estudos mais recentes apontam que, para reger paralelamente uma variedade tão ampla de fenótipos, este sistema opera em modo de alta especificidade de sinalização e que, portanto, o sinal metabolizado por determinados conjuntos de diguanilato ciclases e fosfodiesterases tem alvos celulares específicos. Evidências robustas, porém isoladas até o momento, apontaram que um dos meios pelo qual ocorre a segregação entre sinal produzido e alvo específico é a interação direta entre as proteínas componentes das vias de sinalização. Mais, demonstrou-se que, em algumas vias, a transmissão de sinal ocorre exclusivamente via interação proteica, dispensando a intermediação do sinalizador em si. Para avaliar a validade e relevância global deste mecanismo, propôs-se, neste estudo, a investigação da rede total de interações entre as proteínas tipicamente associadas às vias de sinalização por c-di-GMP em Pseudomonas aeruginosa, utilizando ensaios de duplo-hibrido bacteriano. Para tanto, foram construídas duas bibliotecas de DNA direcionadas e foram feitos testes de interação de forma estratégica para possibilitar o esgotamento e averiguação de todas as possíveis interações entre as proteínas alvo identificadas. O resultado obtido, um mapa inicial, porém abrangente, da rede de interações proteicas em P. aeruginosa, indica uma grande probabilidade de que os mecanismos previamente descritos sejam realmente recorrentes e relevantes para o intermédio da sinalização nesse organismo. Algumas das interações mais robustas encontradas são bastante interessantes e serão, em estudos futuros, mais extensivamente estudadas. / Persister bacteria are correlated to biofilm formation and have been a source of great medical concern due to its close association with the impairment of traditional treatment in combating chronic infections. On the other hand, using bacterial biofilms to create original biotechnological applications or even as a means of therapeutic treatment in medical settings constitutes a promising prospect. There is, therefore, a great interest in understanding the mechanisms that allow bacteria to leave the free-living planktonic lifestyle and associate in these highly complex cellular aggregates. Over the last decades, the second messenger c-di-GMP – and also the molecules involved in its synthesis (diguanylate ciclases) and degradation (phosphodiesterases) along with its receptors – has been established as a key element implicated in regulation of a series of cellular responses that determine biofilm formation or dispersion. Curiously, the proteins that play a part in the metabolism of this second messenger are frequently coded multiple times in single bacterial genomes. Taking this into account, recent studies indicate that, in order to control such a wide range of phenotypes, this system operates via high specificity of signaling – which means that the signal metabolized by a certain set of diguanylate ciclases and phosphodiesterases has specific cellular targets. Robust but yet isolated evidence indicate that a means by which a signal is segregated with its correlated phenotypic response is through direct protein-protein interaction involving the components of these signaling pathways. Even more, there has been strikingly evidence that, in some of these pathways, signal transduction occurs exclusively through protein-protein interaction, entirely dismissing any mediation by the signal molecule. In order to validate and evaluate the global relevance of this type of mechanism, this study proposed the investigation of the entire network of interactions between proteins typically associated with c-di-GMP signaling pathways of Pseudomonas aeruginosa by employing bacterial two-hybrid system assays. To make that possible, two DNA libraries were constructed and interaction essays were performed in a strategic way so that all possibilities of interaction between target proteins were explored. The results obtained from these experiments allowed the construction of a broad map of interactions that, although still primitive, indicates that, chances are, the mechanisms previously described are both recurrent and relevant to signaling regulation in this organism. Some of the interaction partners found are particularly interesting and will be further investigated in future studies.

The discovery of cyclic AMP (cAMP), nearly 50 years ago by Sutherland radically altered the appreciation of metabolic regulation. Since then the presence of cAMP and its tremendous physiological impact has been demonstrated in many prokaryotic systems. In fact, virulence mechanisms of several pathogens known today exploit cAMP dependent pathways. Interestingly the genome of Mycobacterium tuberculosis H37Rv, the causative agent of tuberculosis, encodes as many as 16 adenylyl cyclases (enzymes that convert ATP to 3’, 5’-cAMP) and 10 cyclic-nucleotide binding proteins. Recent reports show that bacterial-derived cAMP manipulates host signaling for bacterial survival, suggesting an important role for cAMP in the pathogenesis of M. tuberculosis. A large number of non-pathogenic species of mycobacteria also share and conserve several of these cAMP metabolism genes, suggesting that cAMP is not only important for pathogenesis but also may play a critical physiological role in the genus. The work carried out in this thesis aims at a better understanding of the role of cAMP by studying the adenylyl cyclases and cyclic AMP receptor proteins (CRPs) from Mycobacterium smegmatis, a non-pathogenic member of the genus. Intracellular cAMP levels in a cell are precisely maintained by modulating the activities of the adenylyl cyclases (cAMP synthesising enzymes), the phosphodiesterases (cAMP hydrolysing enzymes) and the secretion machinery, if any. To assess the role of cAMP in mycobacteria, cAMP levels were measured in M. smegmatis during growth and under various stress conditions. The results show that cAMP levels peak at log phase of growth and decline thereafter. Under acidic conditions or on perturbing the cell-wall, cellular cAMP levels are altered, which indicate a possible role of cAMP in stress adaptation. Earlier work in our laboratory has led to the identification of multiple adenylyl cyclases in the mycobacterial genomes. These cyclases are similar in sequence to the mammalian enzymes and several of them have been shown to be active in vitro displaying a diverse range of biochemical properties. The M. smegmatis genome encodes 10 adenylyl cyclase-like genes. In order to understand the role of cAMP in M. smegmatis, individual cyclases were analysed for their biochemical properties and physiological functions. The work presented in this thesis is concerned with the functional characterization of MSMEG_3578 and MSMEG_3780, two of the several adenylyl cyclases from M. smegmatis. MSMEG_3578 encodes for a protein that comprises two transmembrane domains, an extracellular receptor-like domain, a membrane anchoring HAMP domain and an intracellular cyclase domain. The cyclase domain is closely related to mammalian cyclases but lacks the canonical residues that are critical for the catalysis of class III cyclases. Interestingly, the stop codon of this gene overlaps with the start codon of the downstream gene, MSMEG_3579 (a putative cyclic nucleotide gated mechanosensitive ion channel), suggesting a functional link between the two genes. The conservation of this gene pair across the mycobacterial genus indicates the importance of this putative receptor-effector pair in the physiology of mycobacteria. Additionally, microarray analysis by various groups have shown that this gene pair in Mycobacterium tuberculosis is differentially regulated in conditions that mimic stress the bacteria may experience during infection. In order to ascertain the physiological role of MSMEG_3578, a knock-out M. smegmatis strain was generated and tested for growth and cAMP defects. The knock-out strain showed growth and cAMP profiles similar to the wild-type strain. Over-expression of MSMEG_3578 in M. smegmatis resulted in a significant rise in cAMP levels. Interestingly, over-expression of the MSMEG_3578 adenylyl cyclase in E. coli did not lead to an elevation in cAMP levels indicating that other mycobacterial proteins may be required for the activity of MSMEG_3578 in vivo. In agreement with this, the purified adenylyl cyclase domain of MSMEG_3578 was found to be biochemically inactive in vitro. Additionally, the over-expressing strain has altered colony morphology as compared to the wild type strain. Perturbation of cAMP levels by over-expression of other cyclases also leads to a similar colony morphology phenotype, indicating the phenotype to be controlled by cAMP in general rather than by a specific cyclase in the cell. MSMEG_3780 is a highly conserved, biochemically active adenylyl cyclase, speculated to play a house-keeping function in M. smegmatis. Its orthologs from M. tuberculosis (Rv1647) and M. leprae (ML1399) have been biochemically characterized earlier in our laboratory. To unravel the role of this gene in vivo, the ∆MSMEG_3780 strain was tested for growth and cAMP defects under various conditions. The deletion strain did not show any difference in growth rate or morphology when compared to the wild-type strain. However it showed a reduction in intracellular cAMP levels at the log-phase of growth. Reintroduction of the MSMEG_3780 gene in the deletion strain restored cAMP to wild-type levels, thus indicating a crucial role for this adenylyl cyclase in the maintenance of intracellular cAMP levels during logarithmic growth. In order to investigate the regulation of the MSMEG_3780 gene, its promoter activity was tested under various stress-conditions. Acid-stress specifically resulted in the repression of the MSMEG_3780 promoter activity, a condition which also leads to a decrease in cAMP levels in the cells. Further evidence for the susceptibility of the MSMEG_3780 gene to acid-stress was obtained when the ∆MSMEG_3780 strain failed to reduce intracellular cAMP content upon sustained acid-stress conditions. Since Rv1647 shares similar biochemical properties with MSMEG_3780 and can also heterodimerize with the MSMEG_3780 protein in vitro, it was interesting to test whether the M. tuberculosis ortholog could functionally complement MSMEG_3780. To assess this, a complement strain was generated that contained the Rv1647 gene under the control of MSMEG_3780 promoter, integrated into the genome of ∆MSMEG_3780 strain. Rv1647 protein was able to restore the cAMP phenotype seen on acid stress as well as the cAMP levels in the mutant strain at the log phase of growth. This study indicated the role of cAMP and MSMEG_3780 in acid adaptation and also suggested a non-redundancy of adenylyl cyclases in mycobacteria, where different individual cyclases may have unique functions in the cells. Since Rv1647 could complement the cAMP defective phenotype in ∆MSMEG_3780, this suggests functional parallels between the proteins from the two species. Bacterial adaptation to environmental stress is brought about by a rapid change in its gene expression profile. Cyclic AMP plays an important role by binding to and activating a transcriptional factor, cAMP receptor protein or CRP. We have identified two CRPs from M. smegmatis, viz., MSMEG_0539 and MSMEG_6189 that possess high similarity at the amino acid level (78% overall sequence identity). The CRP ortholog from M. tuberculosis, Rv3676 has been characterized structurally, biochemically and functionally earlier. Western blot and RT-PCR analyses showed that CRPs in M. smegmatis were present during all phases of growth. Both the CRPs were cloned, expressed and shown to bind cAMP. Since the DNA binding domains of Rv3676 and the two M. smegmatis CRPs are nearly identical, the CRPs from M. smegmatis were predicted to bind similar target sequences. Interestingly, a CRP site was identified in the promoter of the MSMEG_3780 gene, suggesting a possible feed-forward or feed-back loop, where the enzymatic product of the adenylyl cyclase now governs its own gene expression. We performed Electrophoretic Mobility Gel Shift Assays (EMSAs) with M. smegmatis lysates to show that CRP binds to the MSMEG_3780 promoter at the CRP site. Subsequent Chromatin Immunoprecipitation (ChIP) assays confirmed that CRP binding to the MSMEG_3780 promoter occurred in vivo. To investigate the role of CRP in the regulation of the MSMEG_3780 gene, luciferase reporter assays with the wild-type and CRP site mutant promoters were carried out. Results suggest that CRP regulates the MSMEG_3780 gene under osmotic stress. However, CRP did not play any role in basal expression of MSMEG_3780 during growth. To assess which CRP of the two is functionally linked to the MSMEG_3780 promoter, we carried out a footprint assay with purified CRPs. It was intriguing to note that both the CRPs were in fact able to bind the promoter albeit under different conditions. Whereas MSMEG_6189 bound the promoter both in the presence and absence of cAMP, MSMEG_0539 bound the promoter only in the presence of cAMP. MSMEG_6189 thus deviates from the accepted CRP paradigm that seeks an absolute requirement of cAMP for specific DNA binding. The present study identifies cAMP as an important stress signal in M. smegmatis. Using MSMEG_3780 as a model gene, the role of cAMP in mycobacteria was studied. The two divergent CRPs that were characterized may function and dictate cAMP-mediated and perhaps independent functions in cells. Taken together, our results provide compelling evidence for the important role of cAMP in the general physiology and stress adaptation in M. smegmatis.

Tuberculosis continues to be one of the major causes of morbidity and mortality worldwide. Several mycobacterial species such as M. tuberculosis and M. africanum are responsible for causing this disease in humans. Reports of high cAMP levels in mycobacterial species (as compared to other bacteria such as E. coli) suggested that this second messenger may play an important role in the biology of mycobacteria. Further, it was reported that infection with mycobacteria led to an increase in the cAMP levels within the host macrophage. More recent studies have shown that this cAMP increase may be due to bacterially derived cAMP, hinting at a role for cAMP in mycobacterial pathogenesis. Given this background, the study of cAMP in mycobacteria proves to be an interesting field of research. Signalling through cAMP involves an interaction of this cyclic nucleotide with a cAMP-binding protein. These proteins typically contain a cyclic nucleotide-binding domain (CNB domain) linked to another (effector) domain. The CNB domain is thought to allosterically control the activity of the effector domain, thus mediating cellular responses to altered cAMP levels. For example, in the case of eukaryotic protein kinase A (PKA), binding of cAMP to the CNB domain results in relieving the inhibitory effects of the regulatory subunit on the catalytic subunit. The catalytic subunit then phosphorylates its target substrates, eliciting a variety of cellular responses. This work involves the characterisation of novel cAMP-binding proteins from mycobacteria, in an attempt to better understand cAMP signalling mechanisms in these organisms. The genome of M .tuberculosis H37Rv is predicted to code for ten CNB domain-containing proteins. One of these genes is Rv0998 (KATmt). KATmt was found to contain a GCN5 related N-acetyltransferase (GNAT) domain linked to a CNB domain. KATmt finds orthologues throughout the genus Mycobacterium, thereby suggesting its role in the basic physiology of these organisms. In addition, such a domain fusion is unique to mycobacteria and hence promises to deliver insights into the biology of this medically important genus. Presented here are the biochemical and functional characterisation of KATmt and its orthologue from M. smegmatis, MSMEG_5458 (KATms). Recombinant KATms bound cAMP with high affinity, validating the functionality of its CNB domain. Mutational and analogue-binding studies showed that the biochemical properties of the CNB domain were similar to mammalian protein kinase A and G-like CNB domains. The substrate for the GNAT acetyltransferase domain was identified to be a universal stress protein from M. smegmatis (MSMEG_4207). MSMEG_4207 was acetylated at a single lysine residue (Lys 104) by KATms in vitro. Further, cAMP binding to KATms increased the initial rate of acetylation of MSMEG_4207 by 2.5-fold, suggesting allosteric control of acetyltransferase activity by the CNB domain. To ascertain that KATms acetylated MEMEG_4207 in vivo, an in-frame deletion of the KATms gene was generated in M. smegmatis (ΔKATms). MSMEG_4207 was immunoprecipitated from wild-type M. smegmatis and the ΔKATms strains, followed by mass spectrometric analysis. Acetylated MSMEG_4207 was only present in the wild-type strain, confirming that KATms and MSMEG_4207 is an in vivo enzyme-substrate pair. Key biochemical differences were observed between KATms and KATmt. KATmt had an affinity for cAMP in the micromolar range, close to three log orders lower than that of KATms. In addition, KATmt showed strictly cAMP-dependent acetylation of MSMEG_4207. This demonstrates that orthologous proteins often evolve under varied selective pressures, resulting in divergent properties. Using a combination of bioluminescence resonance energy transfer (BRET) and amide hydrogen/deuterium exchange mass spectrometry (HDXMS), the conformational changes that occur upon cAMP binding to the CNB domain of KATms were monitored. A BRET-based conformation sensor was constructed for KATms by inserting KATms between GFP2 (green fluorescent protein) and Rluc (Renilla luciferase). An increase in BRET upon cAMP binding to the sensor was observed. HDXMS analysis revealed that besides the CNB domain, the only other region that showed conformational changes in KATms upon cAMP-binding was the linker region. To confirm that the linker region was important in propagating the effects of cAMP-binding to the acetyltransferase domain, an additional construct for BRET analysis encompassing the CNB domain and the linker region was generated. The magnitude of the increase in BRET was similar to the full length BRET-based sensor, validating the crucial role of the linker region in propagating cAMP-mediated conformational changes. A ‘PXXP’ motif found in the linker region, showed maximum exchange in HDXMS analysis. Mutation of both these proline residues to alanine in KATms, as well as KATmt, resulted in decoupling of cAMP-binding and allosteric potentiation of acetyltransferase activity. In contrast to the intricate parallel allosteric relays observed in other CNB domain-containing proteins, the CNB domain in KATms functions as a simpler cyclic nucleotide binding-induced switch involving stabilization of the CNB and linker domain alone. Therefore, KATms is an example of a primordial CNB domain where conformational changes are a consequence of binding-induced ordering alone. Using a computational approach, putative substrate proteins of KATmt from M. tuberculosis were identified. The substrate specificity of lysine acetyltransferases is determined loosely by a consensus sequence around the lysine residue which is acetylated. Using this property of protein acetyltransferases, the genome of M. tuberculosis H37Rv was mined for proteins harboring lysine residues in a similar sequence context as seen in MSMEG_4207. In vitro biochemical analysis of some of the predicted substrates helped confirm a subset of enzymes belonging to the fatty acyl CoA synthetase (FadD) class as substrates of KATmt. The acetylation of FadDs by KATmt was cAMP-dependent. In each of the four proteins tested, acetylation was found to occur at a single conserved lysine residue. To confirm that FadDs were acetylated by KATmt in vivo, BCG_1055, the orthologue of KATmt in M. bovis BCG, was deleted using the specialised transduction method. FadD13, one of the FadDs acetylated by KATmt in vitro, was immunoprecipitated from wild-type M. bovis and the ΔBCG_1055 strains using a FadD13-specific polyclonal antibody. Acetylated FadD13 was almost completely absent in ΔBCG_1055 but substantial amounts of acetylated FadD13 were present in the wild-type strain, indicating that FadD13 was indeed an in vivo substrate of KATmt. The functional consequences of acetylation of FadDs were analysed using an in vitro fatty acyl CoA synthetase assay. The activities of FadD2 and FadD13 were inhibited on acetylation with KATmt, while acetylation of FadD5 resulted in the formation of a novel product. Therefore, modification of the highly conserved lysine residue in these enzymes by acetylation led to loss or alteration of their enzymatic activity, suggesting that acetylation may be used as a regulatory mechanism to modulate the activities of some of the FadDs by KATmt in a cAMP-dependent manner. Given the extensive role of FadDs in cell wall biosynthesis and lipid degradation in mycobacteria, it seems possible that post-translational control by KATmt in a cAMP-dependent manner constitutes a novel mechanism utilised by these bacteria to regulate these pathways. This direct regulation of protein lysine acetylation by cAMP appears to be unique to mycobacteria, as orthologues of KATmt are not found outside this genus. In addition, the biochemical differences between KATmt and its orthologue from M. smegmatis KATms, indicate species specific variation, on a common theme. This study is the first report of protein lysine acetylation in mycobacteria. In addition to the identification of several proteins subject to this post-translational modification, the effect of acetylation on the enzymatic activities of some of them has been elucidated.

Les opioïdes sont les analgésiques les plus efficaces mais leur utilisation est limitée par la tolérance, un processus lié en partie à la désensibilisation des récepteurs. Le rôle de la présente étude était de mieux caractériser le processus de désensibilisation des récepteurs et plus particulièrement, d’étudier le rôle de la tyrosine kinase Src sur la régulation de la signalisation des récepteurs delta opioïdes. Nos résultats démontrent que l’inhibition pharmacologique avec PP2 (à faible concentration : 20- 40µM) ou encore l’inhibition moléculaire de la kinase avec de faibles concentrations d’ADN d’un mutant dominant inactif de Src (0,2µg/ml) potentialise l’amplitude et la durée de l’activation de la cascade ERK lorsqu’un agoniste, DPDPE (1µM; 5 min), se lie aux récepteurs. Nous avons également démontré que de fortes concentrations d’inhibiteurs de Src (80 et 100µM de PP2 ou 1µg/ml d’ADN du mutant dominant négatif) bloquent la cascade des MAPK suivant la stimulation de DOR par l’agoniste DPDPE. Ces observations indiquent que Src a un effet biphasique sur l’activité de ERK : l’inhibition complète de Src inhibe l’activité de la cascade MAPK alors qu’une inhibition modérée potentialise cette même cascade. Nous pensons aussi que de fortes concentrations des bloqueurs de Src interfèrent avec l’activation de ERK alors que de faibles concentrations interfèrent avec la désensibilisation des récepteurs. Cette possibilité a été testée à l’aide d’essais d’accumulation d’AMPc qui visaient à évaluer l’effet des bloqueurs de Src (PP2, 20 µM; 1h) sur la désensibilisation induite par un agoniste. L'activation de DOR par DPDPE inhibe la production d’AMPc, préalablement stimulée par du forskolin, de façon dose-dépendante. Le maximum d'inhibition observé est de 61%, mais lors d’un prétraitement au DPDPE (1 µM, 30 min) l’inhibition maximale est réduite à 72% de l’inhibition initiale observée. Cependant, un prétraitement des cellules au PP2 (20µM pendant 1 heure) avant d’effectuer la désensibilisation protège contre cette désensibilisation. L’effet protecteur des bloqueurs de Src n’entraîne pas de changement au niveau de l’internalisation des DOR mais l’altération de leur internalisation via un mutant tronqué du DOR ou via un milieu sucré hypertonique (0.4M de saccharose) réduit cette protection. Ces données suggèrent alors que l’internalisation optimale du récepteur est nécessaire pour que l’effet protecteur prenne place. Nous concluons donc que Src contribue à la désensibilisation de DOR après que l’internalisation du DOR soit survenue. / Opioids are the most effective analgesics available but their use is limited by tolerance. Tolerance is related, at least in part, to receptor desensitization. Hence, the role of the present study was to better characterize the desensitization process, in particular concerning the role of the tyrosine kinase Src on regulation of delta opioid receptor signalling. Our results show that pharmacological inhibition with PP2 (administered at low concentration: 20-40µM) or molecular inhibition of the kinase with low expression levels of a dominant negative mutant of Src (0,2µg of DNA) potentiate the magnitude and duration of agonist-dependent (DPDPE; 1µM; 5 min) activation of the ERK pathway. We also showed that higher concentrations of Src inhibitors (80 and 100µM of PP2 or 1µg/ml of dominant negative mutant DNA) block the MAPK cascade following DOR stimulation by DPDPE. These observations indicate that Src has a biphasic effect on ERK activity, respectively potentiating or inhibiting agonist stimulation of the MAPK cascade at low and high levels of Src inhibition. We reasoned that high levels of Src blockers were interfering with ERK activation mechanism while low levels of inhibition were interfering with receptor desensitization. This possibility was tested by using cAMP accumulation assays to evaluate the effect of Src blockers (PP2, 20 µM; 1h) on agonist-induced desensitization. DOR stimulation by DPDPE inhibited forskolin stimulated cAMP production in a dose dependent manner with a maximal reduction of 61%. This inhibitory response was reduced by 72% following pre-exposure to DPDPE (1 µM, 30 min), an effect that was blocked by pre-treating cells with PP2 (PP2, 20 µM; 1 h) before desensitization. The protective effect of Src blockers did not involve changes in DOR internalization but interfering with internalization by using an internalization-deficient DOR mutant or hypertonic medium (0.4M sucrose) reduced this protection, indicating the need for optimal internalization in order for the protective effect of Src blockers to take place. Based on the latter observation it was possible to conclude that Src contribution to DOR desensitization is post-endocytic.

En raison de leurs propriétés physiques uniques, les matériaux chiraux trouvent des applications aussi bien en physique, qu’en chimie ou biologie. Ici, nous nous intéressons à la synthèse de nanoobjets inorganiques chiraux et à leur utilisation en tant que systèmes nano-électromécaniques.Différents auto-assemblages à base de surfactants Gemini et de contre-ions chiraux (nucleotide ou tartrate) formant dans l’eau des hélices micrométriques et nanométriques sont étudiés. Ces auto-assemblages sont ensuite utilisés comme structures directrices pour la formation d’hélices de silice par transcription inorganique. Le contrôle de la réactivité du précurseur inorganique est crucial pour parvenir aux caractéristiques mécaniques souhaitées.Enfin, une minéralisation secondaire des nano-hélices avec du TiO2 et du ZnO a lieu afin de créer des matériaux fonctionnels aux propriétés électroniques ou piézoélectriques. Différentes approches de synthèse et l’optimisation des procédés sont présentées. / Due to their unique physical properties chiral materials are used in a wide range of applications in chemistry, physics and biology. In this work we focus on the fabrication of chiral functional materials for NanoElectroMechanical systems based on the inorganic transcription of self-assembled surfactants.At first we introduce a new Nucleoamphiphile based system that self-assembles into micrometer sized helical fibers in aqueous medium. The effect of a wide range of chemical and physical parameters on the morphology of the aggregates was investigated. Then the synthesis of chiral silica structures based on the organic micro- and nanohelices as templates was studied to achieve the required mechanical properties of the material. Control over the precursor reactivity is crucial for the transcription of the morphology of the template into the silica replica. Secondary mineralization with TiO2 or ZnO was performed to provide the necessary electrical properties and functionality to the chiral material. Different approaches and the optimization parameters are described in detail. Finally the measurement of the mechanical properties of the silica nanotubes and nanohelices by AFM as the first step of the NEMS development will be described.

Evaluating aerodynamic noise from aircraft engines is a design stage process, so that it conform to regulations at airports. Aerodynamic noise is also a principal source of structural vibration and internal noise in short/vertical take off and landing and rocket launches. Acoustic loads may be critical for the proper functioning of electronic and mechanical components. It is imperative to have tools with capability to predict noise generation from turbulent flows. Understanding the mechanism of noise generation is essential in identifying methods for noise reduction. Lighthill (1952) and Lighthill (1954) provided the first explanation for the mechanism of aerodynamic noise generation and a procedure to estimate the radiated sound field. Many such procedures, known as acoustic analogies are used for estimating the radiated sound field in terms of the turbulent fluid flow properties. In these methods, the governing equations of the fluid flow are rearranged into two parts, the acoustic sources and the propagation terms. The noise source terms and propagation terms are different in different approaches. A good description of the turbulent flow field and the noise sources is required to understand the mechanism of noise generation. Computational aeroacoustics (CAA) tools are used to calculate the radiated far field noise. The inputs to the CAA tools are results from CFD simulations which provide details of the turbulent flow field and noise sources. Reynolds-Averaged Navier Stokes (RANS) solutions can be used as inputs to CAA tools which require only time-averaged mean quantities. The output of such tools will also be mean quantities. While complete unsteady turbulent flow details can be obtained from Direct Numerical Simulation (DNS), the computation is limited to low or moderate Reynolds number flows. Large eddy simulations (LES) provide accurate description for the dynamics of a range of large scales. Most of the kinetic energy in a turbulent flow is accounted by the large-scale structures. It is also the large-scale structures which accounts for the maximum contribution towards the radiated sound field. The results from LES can be used as an input to a suitable CAA tool to calculate the sound field. Numerical prediction of turbulent flow field, the acoustic sources and the radiated sound field is at the focus of this study. LES based on explicit filtering method is used for the simulations. The method uses a low-pass compact filter to account for the sub-grid scale effects. A one-parameter fourth-order compact filter scheme from Lele (1992) is used for this purpose. LES has been carried out for four different flow situations: (i) round jet (ii) plane jet (iii) impinging round jet and (iv) impinging plane jet. LES has been used to calculate the unsteady flow evolution of these cases and the Lighthill’s acoustic sources. A compact difference scheme proposed by Hixon & Turkel (1998) which involves only bi-diagonal matrices are used for evaluating spatial derivatives. The scheme provides similar spectral resolution as standard tridiagonal compact schemes for the first spatial derivatives. The scheme is computationally less intensive as it involves only bi-diagonal matrices. Also, the scheme employs only a two-point stencil. To calculate the radiated sound field, the Helmholtz equation is solved using the Green’s function approach, in the form of the Kirchhoff-Helmholtz integral. The integral is performed over a surface which is present entirely in the linear region and covers the volume where acoustic sources are present. The time series data of pressure and the normal component of the pressure gradient on the surface are obtained from the CFD results. The Fourier transforms of the time series of pressure and pressure gradient are then calculated and are used as input for the Kirchhoff-Helmholtz integral. The flow evolution for free jets is characterised by the growth of the instability waves in the shear layer which then rolls up into large vortices. These large vortical structures then break down into smaller ones in a cascade which are convected downstream with the flow. The rms values of the Lighthill’s acoustic sources showed that the sources are located mainly at regions immediately downstream of jet break down. This corresponds to the large scale structures at break down. The radiated sound field from free jets contains two components of noise from the large scales and from the small scales. The large structures are the dominant source for the radiated sound field. The contribution from the large structures is directional, mainly at small angles to the downstream direction. To account for the difference in jet core length, the far field SPL are calculated at points suitably shifted based on the jet core length. The peak value for the radiated sound field occurs between 30°and 35°as reported in literature. Convection of acoustic sources causes the radiated sound field to be altered due to Doppler effect. Lighthills sources along the shear layer were examined in the form of (x, t) plots and phase velocity pattern in (ω, k) plots to analyse for their convective speeds. These revealed that there is no unique convective speeds for the acoustic sources. The median convective velocity Uc of the acoustic sources in the shear layer is proportional to the jet velocity Uj at the center of the nozzle as Uc ≈ 0.6Uj. Simulations of the round jet at Mach number 0.9 were used for validating the LES approach. Five different cases of the round jet were used to understand the effect of Reynolds number and inflow perturbation on the flow, acoustic sources and the radiated sound field. Simulations were carried out for an Euler and LES at Reynolds number 3600 and 88000 at two different inflow perturbations. The LES results for the mean flow field, turbulence profiles and SPL directivity were compared with DNS of Freund (2001) and experimental data available in literature. The LES results showed that an increase in inflow forcing and higher Reynolds number caused the jet core length to reduce. The turbulent energy spectra showed that the energy content in smaller scale is higher for higher Reynolds number. LES of plane jets were carried out for two different cases, one with a co-flow and one without co-flow. LES of plane jets were carried out to understand the effect of co-flow on the sound field. The plane jets were of Mach number 0.5 and Reynolds number of 3000 based on center-line velocity excess at the nozzle. This is similar to the DNS by Stanley et al. (2002). It was identified that the co-flow leads to a reduction in turbulence levels. This was also corroborated by the turbulent energy spectrum plots. The far field radiation for the case without co-flow is higher over all angles. The contribution from the low frequencies is directional, mainly towards the downstream direction. The range of dominant convective velocities of the acoustic sources were different along shear layers and center-line. The plane jet results were also used to bring out a qualitative comparison of flow and the radiation characteristics with round jets. For the round jet, the center-line velocity decays linearly with the stream-wise distance. In the plane jet case, it is the square of the center-line velocity excess which decays linearly with the stream-wise distance. The turbulence levels at any section scales with the center-line stream-wise velocity. The decay of turbulence level is slower for the plane jet and hence the acoustic sources are present for longer distance along the downstream direction. Subsonic impinging jets are composed of four regions, the jet core, the fully developed jet, the impingement zone and the wall jet. The presence of the second region (fully developed free jet) depends on the distance of the wall from the nozzle and the length of the jet core. In impinging jets, reflection from the wall and the wall jet are additional sources of noise compared to the free jets. The results are analysed for the contribution of the different regions of the flow towards the radiated sound field. LES simulations of impinging round jets and impinging plane jet were carried out for this purpose. In addition, the results have been compared with equivalent free jets. The directivity plots showed that the SPL levels are significantly higher for the impinging jets at all angles. For free jets, a typical time scale for the acoustic sources is the ratio of the nozzle size to the jet velocity. This is ro/Uj for round jets and h/Uj for plane jets. For impinging jets, the non-dimensionlised rms of Lighthill’s source indicates that the time scale for acoustic sources is the ratio of the height of the nozzle from the wall to the jet velocity be L/Uj. LES of impinging round jets was carried out for two cases with different inflow perturbations. The jets were at Reynolds number of 88000 and Mach number of 0.9, same as the free jet cases. The impingement wall was at a distance L = 24ro from the nozzle exit. For impinging round jets, the SPL levels are found to be higher than the equivalent free jets. From the SPL levels and radiated noise spectra it was shown that the contribution from the large scale structures and its reflection from the wall is directional and at small angles to the wall normal. The difference in the range of angles where the radiation from the large scale structures were observed shows the significance of refraction of sound waves inside the flow. The rms values of the Lighthill’s sources indicate two dominant regions for the sources, just downstream of jet breakdown and in the impingement zone. The LES of impinging plane jet was done for a jet of Mach number 0.5 and Reynolds number of 6000. The impingement wall was at a distance L = 10h from the nozzle exit. The radiated sound field appears to emanate from this impingement zone. The directivity and the spectrum plots of the far field SPL indicate that there is no preferred direction of radiation from the impingement zone. The Lighthill’s sources are concentrated mainly in the impingement zone. The rms values of the sources indicate that the peak values occur in the impingement zone. The results from the different flow situations demonstrates the capability of LES with explicit filtering method in predicting the turbulent flow and radiated noise field. The method is robust and has been successfully used for moderate Reynolds number and an Euler simulation. An important feature is that LES can be used to identify acoustic sources and its convective speeds. It has been shown that the Lighthill source calculations, the calculated sound field and the observed radiation patterns agree well. An explanation for these based on the different turbulent flow structures has also been provided.

Thèse numérisée par la Direction des bibliothèques de l'Université de Montréal. / L'anion superoxyde peut agir comme une molécule de signalisation ou comme un facteur préjudiciable selon sa concentration, l'organe cible, et selon la présence ou non d'antioxydants neutralisants. Actuellement, dans les cellules musculaires lisses (CMLs) vasculaires, les effets de l'anion superoxyde sur les différentes voies de transduction du signal et sur les interactions croisées entre ces voies ne sont pas encore définies. Par conséquent, une meilleure connaissance des effets de l'anion superoxyde sur les différentes voies de signalisation pourrait fournir une meilleure compréhension des mécanismes sous-jacents aux fonctions altérées des CMLs vasculaires observées dans des conditions pathologiques. L'objectif général de cette étude était de caractériser et d'évaluer le rôle modulateur de l'anion superoxyde, produit par la réaction de l'hypoxanthine avec la xanthine oxidase, sur les activités de différentes voies de signalisation dans les CMLs vasculaires, et de déterminer si la sensibilité de différentes voies de signalisation à l'anion superoxyde était altérée dans l'hypertension artérielle. Le projet de ce programme de recherche était basé sur les principaux postulats suivants : (1) l'anion superoxyde pourrait affecter sélectivement la production d'inositol 1,4,5-triphosphates (IP3), de GMPc, ou d'AMPc dans les CMLs vasculaires; (2) le rôle modulateur de l'anion superoxyde pourrait être dû à une altération des interactions croisées entre différentes voies de signalisation; et (3) les anomalies observées dans les CMLs vasculaires chez le rat spontanément hypertendu (SHR) pourraient être reliées à des altérations des différentes voies de signalisation induites par l'anion superoxyde. Une production augmentée d'1P3induite par l'anion superoxyde dans les CMLs d'aorte de rat ou d'artère mésentérique en culture a été démontrée pour la première fois dans cette étude. L'anion superoxyde a augmenté la formation d'IP3d'une manière concentration-dépendante et temps-dépendante. La superoxyde dismutase (SOD), mais non la catalase, a inhibé significativement la formation d'IP3 induite par l'anion superoxyde. L'inhibition de la phospholipase C (PLC) a aboli l'effet de l'anion superoxyde sur la formation d'1P3. La génistéine et la tyrphostine A25, deux inhibiteurs de la tyrosine kinase, ont aussi inhibé significativement la formation d'IP3induite par l'anion superoxyde. L'utilisation d'anticorps anti-PLCy a atténué significativement la formation d'1P3induite par l'anion superoxyde. De plus, le taux d'expression des protéines de la PLCy a été augmenté après l'exposition des CMLs à l'anion superoxyde. Ces observations suggèrent donc que dans les CMLs vasculaires la formation d'1P3 induite par l'anion superoxyde pourrait être en grande partie secondaire à une augmentation de l'activité de la tyrosine kinase liée aux voies de signalisation de la PLCy. En ce qui concerne la voie du GMPc, l'anion superoxyde a diminué significativement les niveaux de base de GMPc et supprimé aussi l'augmentation des niveaux de GMPc induite par des stimulateurs de la guanylyl cyclase, le nitroprussiate de sodium (NPS) ou la s-nitroso-nacétylpénicillamine (SNAP). La formation d'1P3stimulée par l'anion superoxyde a été significativement inhibée par le NPS ou la SNAP, mais potentialisée de façon importante par un inhibiteur de la guanylyl cyclase l'ODQ ou par le KT5823 (un inhibiteur de la protéine kinase dépendant du GMPc). Cependant, l'anion superoxyde n'a pas eu d'effet sur les niveaux de base d'AMPc ou sur la production d'AMPc induite par la forskoline et de plus, l'inhibition de l'adénylyl cyclase ou de la protéine kinase dépendante de l'AMPe n'a pas affecté la formation d'lP3stimulée par l'anion superoxyde. Ces données, par conséquent, suggèrent que l'inhibition de la formation de GMPc par l'anion superoxyde contribue probablement à l'activation de la formation d'1P3induite par l'anion superoxyde en atténuant le rétrocontrôle inhibiteur du GMPc sur les voies de signalisation liées à la PLC, tandis que la voie de signalisation de l'AMPc ne serait pas impliquée dans la formation d'EP3induite par l'anion superoxyde. Dans les CMLs vasculaires de rat SHR, les effets de l'anion superoxyde ont été plus puissants que dans les CMLs de rat WKY, en ce qui concerne l'augmentation de formation d'1P3, la diminution des taux de GMPc et la facilitation induite par l'anion superoxyde des interactions croisées entre les voies du GMPc et de 1'IP3. Dans les CMLs vasculaires des deux souches de rat, la formation d'IP3induite par l'anion superoxyde a été inhibée par une variété d'antioxydants, dont la N-acétylcystéine, l'acide a-lipoïque, la mélatonine et la SOD. Il apparaît donc vraisemblable que l'hypersensibilité à l'anion superoxyde des voies de 1'IP3et du GMPc puissent contribuer à l'augmentation du tonus vasculaire et de la réactivité des CMLs dans l'hypertension artérielle. Nous avons aussi investigué si l'effet de la mélatonine était dû à ses propriétés antioxydantes. Un effet inhibiteur plus important de la mélatonine sur la contraction aortique induite par la norépinéphrine (NE) a été observé chez les rats SHR en comparaison avec les rats Wistar-Kyoto (WKY). L'inhibition par la mélatonine de la formation d'IP induite par la NE a été aussi plus importante dans les CMLs aortiques de rat SHR que dans celles de rat WKY. Les effets plus puissants de la mélatonine chez le rat SHR, qui ont été aussi observés avec la SOD, mais non avec la catalase, ne sont pas dûs à l'activation des récepteurs à la mélatonine ou des récepteurs a-adrénergiques. Ces résultats indiquent que les effets anti-hypertenseurs de la mélatonine sont largement dûs à l'inactivation de l'anion superoxyde, et que les niveaux endogènes d' antioxydants ne parviennent pas à contrecarrer les niveaux accrus d'anion superoxyde produits chez le rat SHR. En conclusion, cette étude révèle une variété de nouveaux mécanismes de signalisation de l'anion superoxyde. Pour la première fois, il a été démontré que l'anion superoxyde active l'hydrolyse des phosphoinositides et augmente les taux d'IP3dans les CMLs vasculaires, principalement par la stimulation de la tyrosine kinase liée à la voie de signalisation de la PLCy. Il a aussi été observé que l'anion superoxyde réduit la formation de GMPc et supprime l'inhibition croisée de 1'1P3par le GMPc, facilitant ainsi la formation d'1P3. Les effets sélectifs de l'anion superoxyde sur les voies de 1'IP3et du GMPc, ainsi que l'existence d'une inhibition croisée de la formation d'1P3par la voie du GMPc, révèlent des mécanismes nouveaux pour expliquer le rôle modulateur de l'anion superoxyde sur les voies de signalisation dans les CMLs. Par conséquent, les effets plus puissants de l'anion superoxyde sur la signalisation de la voie de 1'IP3et de la voie du GMPc dans les CMLs vasculaires de rat SHR, effets qui ont été démontrés pour la première fois dans cette étude, pourraient être responsables des altérations des mécanismes de transduction du signal cellulaire chez le rat SHR et ainsi contribuer au développement et/ou au maintien de l'hypertension artérielle. Ces observations permettent donc d'imaginer de nouvelles orientations pour le développement de nouvelles stratégies pour la prévention ou le traitement de l'hypertension artérielle. / Superoxide anion can act as a signalling molecule or a detrimental factor depending on its concentration, the targeted organ, and the presence of counteracting antioxidants. The effects of superoxide on different signal transduction pathways and on the cross-talk interactions among these pathways in vascular smooth muscle cells (SMCs) are presently still unsettled. Therefore, a better knowledge on the effects of superoxide on different signalling pathways may provide a better understanding of the mechanisms underlying the altered functions in vascular SMCs observed in pathological conditions. The general objective of this study was to characterize and evaluate the modulating role of superoxide generated by the hypoxanthine and xanthine oxidase reaction on the activities of different signalling pathways in vascular SMCs and to investigate whether the sensitivities of different signalling pathways to superoxide were altered in hypertension. The design of the present research program was based on the following major postulates. (1) superoxide might selectively affect the generation of inositol 1,4,5-triphosphates (IP3), cGMP, or cAMP in vascular SMCs; (2) the modulating role of superoxide might be mediated by alteration in the cross-talk interactions among different signalling pathways; and (3) the abnormalities observed in vascular SMCs from spontaneously hypertensive rats (SHR) might be related to the alterations induced by superoxide on different signalling pathways. An enhanced production of 1P3induced by superoxide in cultured SMCs from rat aorta or mesenteric artery was demonstrated, for the first time, in this study. Superoxide increased 1P3 formation in a concentration- and time-dependent manner. Superoxide dismutase (SOD), but not catalase, significantly inhibited the superoxide-increased 1P3formation. The inhibition of phospholipase C (PLC) abolished the effect of superoxide on IP3formation. Genistein and tyrphostin A25, two tyrosine kinase inhibitors, also significantly inhibited the superoxideinduced IP3formation. The application of antibody against PLCI, significantly attenuated the superoxide-induced 1P3formation. Moreover, the expression level of PLC7proteins was increased after exposing SMCs to superoxide. These observations thus suggest that superoxideinduced IP3 formation may be in a great part secondary to an increase in the activity of tyrosine kinase-link PLCy signalling pathways in vascular SMCs. Concerning the cGMP pathway, superoxide significantly decreased the basal levels of cGMP and also suppressed the rise in cGMP levels induced by guanylyl cyclase stimulator sodium nitroprusside (SNP) or s-nitroso-n-acetylpenicillamine (SNAP). The superoxide-induced IP3 formation was significantly inhibited by SNP or SNAP, but markedly potentiated by a guanylyl cyclase inhibitor ODQ or KT5823 (a cGMP-dependent protein kinase inhibitor). However, superoxide had no effect on the basal levels of cAMP or the forskolin-induced cAMP production and moreover, the inhibition of adenylyl cyclase or cAMP-dependent protein kinase did not affect the superoxide-enhanced IP3formation. These data, therefore, suggest that the reduced cGMP formation by superoxide probably contributes to the superoxide induced activation of 1P3 formation by lifting the inhibitory feedback of cGMP on the PLC pathway(s), whereas, the cAMP pathway may not be involved in the superoxide-induced IP3formation. In vascular SMCs from SHR, the effects of superoxide were more potent than in SMCs from WKY, including the increase in 1P3 formation, the decrease in cGMP levels, and the superoxide-induced facilitation of the cross-talk interaction between cGMP and IP3pathways. The superoxide-induced 1P3formation was inhibited by a variety of antioxidants, including nacetylcysteine, cc-lipoic acid, melatonin and SOD, in vascular SMCs from both strains. It thus appears that the hypersensitivity of 1P3and cGMP pathways to superoxide is likely to contribute to the increased vascular tone and reactivity of SMCs in hypertension. Whether the effect of melatonin is due to its antioxidant properties was also explored. A greater inhibitory effect of melatonin on the norepinephrine (NE)-induced aortic contraction was observed in SHR than in Wistar-Kyoto rats (WKY). The inhibition of the NE-induced IP formation by melatonin was also greater in aortic SMCs from SHR than that from WKY. The enhanced effects of melatonin in SHR, which were found to be similarly enhanced with SOD but not with catalase, were not mediated by melatonin receptors or oc-adrenoceptors. These results indicate that the anti-hypertensive effects of melatonin are largely due to the scavenging of superoxide, and that the levels of endogenous antioxidants may not counteract the levels of overproduced superoxide in SHR. In conclusion, this study reveals a variety of novel signalling mechanisms for superoxide. For the first time, it was demonstrated that superoxide activates the hydrolysis of phosphoinositides and increases IP3levels in vascular SMCs mainly through the stimulation of tyrosine kinase-link PLCy signal pathway. It was also found that superoxide reduces cGMP formation and suppresses the cross-inhibition of IP3by cGMP, thus facilitating 1133formation. The selective effects of superoxide on 1133and cGMP pathways as well as the existence of a cross-inhibition of IP3formation by cGMP pathway provide novel mechanisms for the signalling role of superoxide in vascular SMCs. Therefore, the altered signalling effects of superoxide on the IP3pathway and the cGMP pathway, which were demonstrated in vascular SMCs from SHR for the first time in this study, could thus be responsible for the alterations in cellular signal transduction mechanisms in SHR and might contribute to the development and/or maintenance of hypertension. These observations could provide new avenues for the development of new strategies for the prevention or treatment of hypertension.

No description available.

Made available in DSpace on 2015-07-22T20:49:34Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-10-27 / A cafeína tem sido considerada um fator de risco para o crescimento dos cistos na Doença Renal Policística Autossômica Dominante (DRPAD) devido ao aumento de secreção de fluido e proliferação celular induzidos pelo acúmulo de adenosina monofosfato cíclico (AMPc’), resultante da inibição da fosfodiesterase. O presente estudo teve como objetivos quantificar a ingestão de cafeína discriminando entre suas fontes dietéticas, avaliar o conhecimento sobre a necessidade de restrição de cafeína pelos pacientes com DRPAD e determinar a associação entre o consumo de cafeína e os dados clínicos e laboratoriais destes pacientes. A avaliação dos hábitos alimentares e do consumo de cafeína foi realizada através de três recordatórios de 24 horas, em dias não consecutivos e o conhecimento sobre a restrição de cafeína, considerado como orientação prévia, foi avaliado ao término da última entrevista com o paciente. Foram incluídos no estudo 102 pacientes com DRPAD (68F/34M, 38±14 anos), acompanhados no Ambulatório de Rins Policísticos da Universidade Federal de São Paulo (UNIFESP) e 102 indivíduos saudáveis (74F/28M, 39±12 anos). Os dados clínicos, laboratoriais e parâmetros ultrassonográficos renais foram obtidos do prontuário destes pacientes. A ingestão de cafeína foi significantemente menor no grupo de pacientes DRPAD quando comparados aos controles (85,7 versus 134 mg/dia) e o volume renal não se correlacionou com a ingestão de cafeína. De acordo com as respostas, detectou-se que 63% dos pacientes DRPAD foram previamente orientados quanto à restrição de cafeína. Os pacientes nãoorientados, que consumiam significantemente mais cafeína do que os orientados, eram significantemente mais velhos, e apresentavam níveis significantemente maiores de creatinina sérica e menores de Taxa de Filtração Glomerular (TFG) estimada. A porcentagem de pacientes hipertensos e com Doença Renal Crônica (DRC) estágio 3 era maior neste grupo, porém sem atingir significância estatística. O volume renal tendeu a ser maior no grupo de pacientes não-orientados, mas sem significância estatística. A análise de regressão linear multivariada revelou que a idade, presença de hipertensão e DRC estágio 3 se associaram com o volume renal na amostra total. Em conclusão, o consumo de cafeína encontrou-se reduzido na presente amostra de pacientes com DRPAD, provavelmente, devido à orientação prévia quanto à necessidade de restrição. A cafeína não se associou de maneira independente com o volume renal, o qual sofreu maiores influências da idade, presença de hipertensão e DRC. / TEDE / BV UNIFESP: Teses e dissertações