Les TNE-GEPs constituent un groupe de tumeurs hétérogènes pour lesquelles il convient d'élargir les approches thérapeutiques. Les thérapies ciblées, particulièrement l'inhibition de la voie mTOR par l'évérolimus, sont la référence pour les TNE-GEPs pancréatiques. Néanmoins, le bénéfice thérapeutique de l'évérolimus n'a pas été évalué dans le sous-groupe des carcinomes neuroendocrines GEPs peu différenciés (pdCNE-GEPs). A travers un modèle préclinique in vivo, nous montrons que l'inhibition de mTOR pourrait constituer une option thérapeutique pour les pdCNEGEPs. Ensuite, une étude protéomique a mis en évidence de nouveaux facteurs impliqués dans la progression de TNE-GEPs. Certaines protéines identifiées présentent un rôle dans la régulation du cytosquelette. Parmi celles-ci, CRMP2 est un acteur clé de la voie de signalisation des sémaphorines de classe 3 (sema3). Un profil d'expression de ces sema3 montre que l'expression de la sema3F est diminuée dans les TNE-GEPs. La ré-expression de ce facteur dans des modèles cellulaires de TNEGEPs montre que la sema3F induit une baisse de la survie et de la prolifération. In vivo, la sema3F permet de ralentir le développement tumoral. Des études complémentaires sont nécessaires pour mieux comprendre le rôle de la voie de signalisation de la sema3F dans la progression des TNE-GEPs

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L’infarctus du myocarde, problème majeur de santé publique, est caractérisé par une nécrose cardiomyocytaire. Des séries d’occlusions-reperfusions courtes, réalisées avant l’ischémie (Préconditionnement (PréC) ischémique) ou au moment de la reperfusion (Postconditionnement (PostC) ischémique), protègent le coeur contre des lésions d’ischémie-reperfusion (IR). Les mécanismes intracellulaires impliqués restent obscurs. Nous avons étudié la signalisation intracellulaire du PréC et du PostC, et la cardioprotection qui en découle, sur un modèle de coeur isolé perfusé de souris. Le PréC ischémique peut être mimé par une activation directe du canal potassique mitochondrial ATP dépendant (mitoKATP), entraînant la mise en place d’une boucle d’auto-amplification incluant l’activation d’Akt, l’inhibition de GSK-3β et l’ouverture du mitoKATP. Cette réponse est liée à la production modérée d’espèces dérivées de l’oxygène par le mitoKATP et aboutie à une cardioprotection. La voie de développement Wnt est capable de moduler le PréC via GSK-3β. La voie de survie mTOR, cible de GSK-3β est aussi impliquée et pourrait induire des modifications traductionnelles lors de la réponse adaptative à l’IR. Le PostC ischémique peut également être mimé par activation directe du mitoKATP lors de la reperfusion, engendrant une protection du coeur et la mise en place d’une boucle d’auto-amplification similaire à celle du PréC, comprenant Akt, GSK-3β et le mitoKATP. Le PostC est dépendant de GSK-3β, mais contrairement au PréC, il n’impliquerait pas les voies Wnt et mTOR. Cette étude est la première démontrant que le PréC implique les voies de survie mTOR et de développement Wnt avec un rôle central de GSK-3β. / Myocardial infarction is a major problem of public health, whose prognosis is related to the extent of the infarcted territory. Transient episodes of ischemia/reperfusion before ischemia (ischemic PreConditioning (PreC)), or at the onset of reperfusion (ischemic PostConditioning (PostC)) confer myocardium resistance to lethal ischemia. However the exact mechanism of PreC and PostC remains obscure. Our objectives were to examine signaling events during PreC and PostC and their effects on cardioprotection in an isolated mouse heart model. We provide evidence that pharmacological PreC by direct activation of mitoKATP, like ischemic PreC, involve an amplification loop involving ROS production and resulting in a sustained down-regulation of GSK-3β via Akt activation and a constant opening of mitoKATP. The mTOR pathway is a target of this loop and participates to cardioprotection. Disruption of Wnt pathway by sFRP1 modulates this loop inducing GSK-3β activation. This is the first evidence that PreC involves both a pro-survival mTOR pathway and an embryonic developmental Wnt pathway targeting GSK-3β. During ischemic and pharmacological PostC, the same amplification loop is activated, including Akt, GSK-3β and the mitoKATP. Unlike PreC, PostC did not induce the mTOR survival pathway: neither phosphorylation of mTOR nor of its targets p70S6K and 4E-BP1 were observed. However, cardiac overexpression of a Wnt antagonist, impairing PreC through GSK3-β, was unable to abolish cardioprotection afforded by PostC. PostC signaling differs from the preC pathway. Despite these discrepancies, GSK-3β plays a key role in both types of cardioprotection.

Cancer continues to be a leading cause death in the United States despite improved treatments. Cancerous lesions form after acquiring oncogenic driver mutations or losing tumor suppressor function in normal cells. Traditional therapies have included use of genotoxic substances that take advantage of the increased growth rate and loss of tumor suppressor function to cause cell death. One such drug is the anthracycline antibiotic doxorubicin (DOX). DOX interchelates into DNA and disrupts transcriptional machinery while also poisoning topoisomerase II. This results in single and double stranded DNA breaks, which if severe enough leads to either necrotic or apoptotic cell death. DOX has been very effective at treating several different cancers and is still widely used today however its clinical use is limited due to cumulative dose dependent cardiotoxicity. Therefore, combination therapy targeting survival pathways is utilized to minimize the cumulative dose of DOX without ameliorating its anti-tumor effects. We investigated the potential anti-cancer effects of combining the dual PI3K/mTOR inhibitor, BEZ235 (BEZ), with DOX in pancreatic, breast and other cancer cells lines as well as its associated effects on the heart. Our results showed that co-treatment of BEZ with DOX increased apoptosis in a manner that was dependent on inhibition of the AKT survival pathway. Moreover, BEZ co-treatment with DOX had additive effects towards cell viability while it significantly enhanced necrotic cell death compared to either drug alone. Furthermore, we observed that physiological concentrations of BEZ inhibited ABCB1 efflux resulting in increased intracellular accumulation of DOX, which led to increased DNA damage. In addition, BEZ in combination with gemcitabine (Gem) reduced cell proliferation but did not enhance necrosis or apoptosis. Treatment with BEZ and DOX in mice bearing tumor xenographs reduced tumor growth as compared to BEZ, DOX or Gem. Moreover, BEZ reduced DOX toxicity in rat myoblast cells and did not potentiate the effects of DOX in tumor-bearing mice. We propose that combining BEZ with DOX could be a novel therapeutic approach for the treatment of patients with cancer in the hope of improving the prognosis of this deadly disease.

Orientador: Edson Luis Maistro / Resumo: Das sementes de Pentaclethra macroloba (Willd.) Kuntze, popularmente conhecida como Pracaxi, é possível a extração de um óleo que vem sendo utilizado no Brasil e em outros países para fins terapêuticos e cosméticos. Este vegetal é endêmico da região amazônica e frequentemente utilizado pela população ribeirinha como agente cicatrizante tópico, aplicado principalmente em parturientes e em picadas de serpentes, devido à sua ação antiofídica. Apesar do uso popular desse óleo, na literatura encontram-se poucos estudos avaliando seu potencial citotóxico e genotóxico. Frente a esta lacuna científica, o objetivo deste estudo foi investigar os efeitos deste óleo em células humanas HepG2/C3A in vitro, sob os aspectos de citotoxicidade, genotoxicidade, influência sobre o ciclo celular, apoptose e expressão de genes do metabolismo de xenobióticos e outras vias de sinalização celulares. Os testes do cometa e do micronúcleo foram utilizados na avaliação da genotoxicidade e mutagênese, citometria de fluxo na avaliação dos efeitos sobre o ciclo celular e apoptose, bem como a avaliação da expressão de alguns genes envolvidos nesses processos. Os resultados obtidos revelaram que o óleo não reduz a viabilidade celular nas concentrações de 31, 125 e 500 µg/mL. Nos ensaios do cometa e do micronúcleo, o óleo não apresentou efeitos genotóxico nas concentrações testadas. Além disso, a citometria de fluxo revelou que o óleo não induz apoptose nas células. A análise da expressão gênica revelou que, d... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: From the Pentaclethra macroloba (Willd.) Kuntze seeds, popularly known as Pracaxi, it is possible to extract an oil that is being used in Brazil and in other countries for therapeutic and cosmetic purposes. This plant is endemic to the Amazon region and is frequently used by the riverine population as a topical healing agent, applied mainly to parturients and snake bites due to its antiofidic action. Despite the popular use of this oil, there are few studies in the literature evaluating its cytotoxic and genotoxic potential. The objective of this study was to investigate the effects of this oil on human HepG2 / C3A cells in vitro, under the aspects of cytotoxicity, genotoxicity, influence on the cell cycle, apoptosis and expression of xenobiotic and other metabolism genes cellular signaling pathways. The comet and micronucleus tests were used in the evaluation of genotoxicity and mutagenesis, flow cytometry in the evaluation of effects on the cell cycle and apoptosis, as well as the evaluation of the expression of some genes involved in these processes. The results showed that the oil did not reduce cell viability at concentrations of 31, 125 and 500 μg / mL. In the comet and micronucleus tests, the oil had no genotoxic effects at the concentrations tested. In addition, flow cytometry revealed that the oil does not induce apoptosis in cells. Analysis of gene expression revealed that of all genes tested, those that underwent stimulation were responsible for the metabolism of x... (Complete abstract click electronic access below) / Doutor

Background: Recent research has demonstrated the presence of heat being an effective stimulus for increasing skeletal muscle and strength. The exposure of increased environmental temperature combined with resistance training has been shown to amplify muscle adaptation for hypertrophy and strength. However, research into the potential effects of using heat stress combined with resistance training to increase performance criteria, such as speed and agility, are minimal. Utilizing a hot environment coupled with an intense exercise regime has been considered as a potential aid for sport preparation given the evidence that heat stress has on promoting hypertrophy and strength. The desired result is to enhance athletic performance. Aim: The aim of this study was to examine if (a) performing resistance training in a hot environment for 10 weeks induces greater increases in muscle mass and (b) whether this combination improves performance in speed, agility and strength compared to resistance training in a standard temperate environment. Methods: 17 healthy male adults, who have undergone a consistent regime of resistance training in the six months leading up to the study, were distributed at random into two groups; (1) Intervention group (Heat n=8) training in 40°C and (2) control group (Con, n=9) training in 23°C. Each group would follow a 10-week resistance exercise protocol. To monitor time-course adaptations, lean body mass, speed, agility and strength were measured at baseline, week 5 and week 10. Results: Over the selected training period, there was no statistically significant difference observed between the two groups or time x group interaction, over the 10-week exercise duration with respect to lean body mass, speed, agility or strength. Conclusion: Compared to the resistance training regime in the standard temperature condition of 23°C (group two), training results suggest heat stress in the hot environment at 40°C (group one) had no effective stimulus in amplifying hypertrophic adaptations in skeletal muscle nor in increasing performance in speed, agility or strength. Certain hypothetical factors were implicated for heat stress being ineffective such as potential counter-productive aspects from heat exposure or flawed methodology. / Heat Effects on Adaptations to Resistance Training, Victoria University

In this study, we investigated differential activation and the role of two mTOR complexes in cell migration of prostate cancer cells. Specific knock-down of endogenous RAPTOR and RICTOR by siRNA resulted in decreased cell migration in LNCaP, DU145, and PC3 cells indicating that both mTORC1 and mTORC2 are required for cell migration. EGF treatment induced the activation of both mTORC1 and mTORC2 as determined by complex-specific phosphorylation of mTOR protein. Specific knock-down or inhibition of Rac1 activity in PC3 cells blocked EGF-induced activation of mTORC2, but had no effect on mTORC1 activation. Furthermore, the over-expression of constitutively active Rac1 (Rac1Q61L) resulted in significant increase in cell migration and activation of mTORC2 in PC3 cells, but had no effect on mTORC1 activation. Constitutively active Rac1 (Rac1Q61L) in PC3 cells was localized in the plasma membrane and was found to be in a protein complex which contained mTOR and RICTOR proteins, but not RAPTOR. In conclusion, we suggested that EGF-induced activation of Rac1 causes the phosphorylation/activation of mTORC2 via RICTOR, specific regulator of mTORC2 activation in numerous cancer cells. The major role played by mTOR in a wide array of cancers has in the recent decades led to the development of numerous mTOR inhibitors. One of the drawback of these first generation mTOR inhibitors are that m TORC1 activity is inhibited but effect on mTORC2 activity require high dosages and prolonged exposure in different cancer cell types including HeLa, PC3, LNCaP, and A549. High dosage of rapamycin and its associated rapalogs required for mTORC2 inhibition is clinically unsuitable. Studies have shown that the dual mTORC1/C2 inhibitors trigger feedback loops causing metastasis and affect the cell viability of normal tissues in vitro and in vivo. There is a need for specific mTORC1 and mTORC2 inhibitor, which overcome the disadvantages of the previously developed mTOR inhibitors. The Rac1-RICTOR axis suggested in this study could be used as a potential target for the development of mTORC2 inhibitor and lead to a potential therapeutic treatment for aggressive prostate cancer.

<p>Multiple myeloma (MM) is an incurable B-cell malignancy mainly localized to the bone marrow. Our aim was to examine the growth- and survival-promoting role of the IGF-IR and its downstream signaling components in MM cells to identify potential targets for therapy. </p><p>Octreotide, a somatostatin analog that has been demonstrated to interfere with the actions of IGF-I, induced growth inhibition in both IL-6-dependent and IL-6-independent MM cell lines expressing the somatostatin receptors sst2, sst3 and sst5. Additionally, a slight pro-apoptotic effect could be observed in a few cell lines. In primary MM cells octreotide induced apoptosis, an effect that was abrogated by exogenously added IGF-I, but not by IL-6.</p><p>Inhibition of IGF-I signaling in Karpas 707 cells, using either the anti-IGF-IR antibody αIR3 or the PI 3-K inhibitors LY294002 and wortmannin, increased sensitivity to apoptosis induced by dexamethasone. Exogenously added IGF-I prevented dexamethasone-induced apoptosis, an effect that could partly be mimicked by the pharmacological GSK-3β inhibitors LiCl and SB415286. Thus, we suggest the GSK-3β as an important mediator of the anti-apoptotic effects of IGF-IR signaling in MM.</p><p>Using rapamycin we selectively inhibited mTOR, a phosphoprotein downstream of the IGF-IR. In MM cell lines rapamycin induced G0/G1-arrest, an effect being associated with an increase of the cyclin-dependent kinase inhibitor p27 and a decrease of the cyclins D2, D3 and E. Interestingly, in primary MM cells rapamycin induced apoptosis. Moreover, rapamycin potentiated dexamethasone-induced apoptosis, an effect that was associated with a downregulation of the anti-apoptotic protein survivin. Strikingly, the combinatorial treatment with rapamycin and dexamethasone suppressed the anti-apoptotic effects of exogenously added IGF-I and IL-6, thus suggesting this drug-combination to be active also in vivo. </p><p>Two newly developed, selective IGF-I RTK inhibitors proved to be very effective in MM cell lines and in primary MM cells providing 50-90% growth inhibition within 48 h of incubation. The inhibitors induced massive apoptosis together with a prominent cell cycle arrest in the G2/M-phase. Importantly, the IGF-I RTK inhibitors downregulated the tyrosine phosphorylation of the IGF-IR β-chain but not of the insulin receptor β-chain. </p><p>In conclusion, the IGF-IR potently promotes growth and survival of MM cells. Therefore, interfering with the IGF-IR signaling pathway might be a suitable strategy to improve MM treatment.</p>

Multiple myeloma (MM) is an incurable B-cell malignancy mainly localized to the bone marrow. Our aim was to examine the growth- and survival-promoting role of the IGF-IR and its downstream signaling components in MM cells to identify potential targets for therapy. Octreotide, a somatostatin analog that has been demonstrated to interfere with the actions of IGF-I, induced growth inhibition in both IL-6-dependent and IL-6-independent MM cell lines expressing the somatostatin receptors sst2, sst3 and sst5. Additionally, a slight pro-apoptotic effect could be observed in a few cell lines. In primary MM cells octreotide induced apoptosis, an effect that was abrogated by exogenously added IGF-I, but not by IL-6. Inhibition of IGF-I signaling in Karpas 707 cells, using either the anti-IGF-IR antibody αIR3 or the PI 3-K inhibitors LY294002 and wortmannin, increased sensitivity to apoptosis induced by dexamethasone. Exogenously added IGF-I prevented dexamethasone-induced apoptosis, an effect that could partly be mimicked by the pharmacological GSK-3β inhibitors LiCl and SB415286. Thus, we suggest the GSK-3β as an important mediator of the anti-apoptotic effects of IGF-IR signaling in MM. Using rapamycin we selectively inhibited mTOR, a phosphoprotein downstream of the IGF-IR. In MM cell lines rapamycin induced G0/G1-arrest, an effect being associated with an increase of the cyclin-dependent kinase inhibitor p27 and a decrease of the cyclins D2, D3 and E. Interestingly, in primary MM cells rapamycin induced apoptosis. Moreover, rapamycin potentiated dexamethasone-induced apoptosis, an effect that was associated with a downregulation of the anti-apoptotic protein survivin. Strikingly, the combinatorial treatment with rapamycin and dexamethasone suppressed the anti-apoptotic effects of exogenously added IGF-I and IL-6, thus suggesting this drug-combination to be active also in vivo. Two newly developed, selective IGF-I RTK inhibitors proved to be very effective in MM cell lines and in primary MM cells providing 50-90% growth inhibition within 48 h of incubation. The inhibitors induced massive apoptosis together with a prominent cell cycle arrest in the G2/M-phase. Importantly, the IGF-I RTK inhibitors downregulated the tyrosine phosphorylation of the IGF-IR β-chain but not of the insulin receptor β-chain. In conclusion, the IGF-IR potently promotes growth and survival of MM cells. Therefore, interfering with the IGF-IR signaling pathway might be a suitable strategy to improve MM treatment.

L'endométriose concerne 8 à 10% des femmes en âge de procréer et est responsable de douleurs pelviennes chroniques et d'infertilité. Seule l'exérèse chirurgicale des lésions permet un traitement curatif de la maladie. Dans le cas de l'endométriose profonde avec atteinte rectale la chirurgie est extensive et associée à une morbidité significative. Les traitements médicaux reposent sur une hormonothérapie visant à bloquer la fonction ovarienne dont l'effet n'est que suspensif et transitoire. Il n'existe à ce jour aucun traitement ciblant les mécanismes à l'origine de la maladie. L'objectif de notre travail était d'explorer différents mécanismes potentiellement impliqués dans le développement de la maladie et d'identifier des molécules capables d'intervenir sur ces mécanismes. Dans un premier temps nous avons exploré le phénotype hyperprolifératif des cellules endométriosiques profondes et cherché un lien avec différentes voies métaboliques impliquées dans la prolifération cellulaire telles que le stress oxydant, la voie ERK et la voie Akt. Dans un deuxième temps, nous avons exploré le recrutement des cellules endométriales au sein de la cavité péritonéale au travers de l'interaction CXCR4-CXCL12. Des cultures cellulaires ont été réalisées à partir de prélèvements humains de nodules endométriosiques profonds, d'endomètre eutopique et d'endomètre sain. Des lames histologiques ont été préparées à partir de nodules endométriosiques profonds. Des prélèvements de liquide péritonéal de femmes endométriosiques et de témoins ont été congelés. La prolifération cellulaire a été étudiée par incorporation de thymidine tritiée. La production des FRO a été évaluée par spectrofluorimétrie. La voie ERK a été évaluée par western blot, ELISA et immunohistochimie. La voie Akt été évaluée par western blot et immunohistochimie. Nous avons montré un phénotype hyperprolifératif des cellules endométriosiques profondes en rapport avec une activation de la voie ERK par le biais du stress oxydant et à une activation de la voie Akt. Nous avons montré qu'un anti-oxydant (NAC), un inhibiteur de protéines kinases (A771726), un inhibiteur de Raf (sorafenib), un inhibiteur de mTOR (temsirolimus), un agoniste des cannabinoïdes (WIN 55212-2) et un anti-métabolite (5-FU) pouvaient contôler la prolifération des cellules endométriosiques profondes in vitro et la progression de nodules endométriosiques profonds implantés dans des souris Nudes. L'interaction CXCR4-CXCL12 a été étudiée par western blot, analyse de migration, cytométrie de flux et ELISA. Nous avons montré une attraction spécifique des cellules endométriosiques profondes sur-exprimant le CXCR4 par la chimiokine CXCL12 présente en quantité accrue dans le liquide péritonéal des femmes endométriosiques. En conclusion, nous avons montré que le traitement médical de l'endométriose pouvait être non hormonal et que le stress oxydant, la voie ERK et la voie Akt constituaient de nouvelles pistes thérapeutiques à évaluer dans le cadre d'essais cliniques. Nous avons également montré comment la modification constitutive des cellules de l'endomètre eutopique pouvait favoriser leur recrutement dans la cavité péritonéale.