Studies presented in this dissertation were conducted to gain more insight into the role of phospholipid asymmetry and amyloid-β (Aβ)-induced oxidative stress in brain of subjects with amnestic mild cognitive impairment (aMCI) and Alzheimer disease (AD). AD is a largely sporadic, age-associated neurodegenerative disorder clinically characterized by the vast, progressive loss of memory and cognition commonly in populations over the age of ~65 years, with the exception of those with familial AD, which develop AD symptoms as early as ~30 years-old. Neuropathologically, both AD and FAD can be characterized by synapse and neuronal cell loss in conjunction with accumulation of neurofibrillary tangles and senile plaques. Elevated levels of oxidative stress and damage to brain proteins, lipids, and nucleic acids are observed, as well. Likewise, aMCI, arguably the earliest form of AD, displays many of these same clinical and pathological characteristics, with a few exceptions (e.g., no dementia) and to a lesser extent. Studies in this dissertation focused on the contributions of oxidative stress to the exposure of phosphatidylserine (PtdSer) to the outer-leaflet of the lipid membrane, how and when PtdSer asymmetric collapse contributes to the progression of aMCI, AD, and FAD, and the role played by methionine-35 (Met-35) of Aβ in oxidative stress and damage, as measured in a transgenic mouse model of Aβ pathology. Normally, the PtdSer is sequestered to the cytosolic, inner-leaflet of the bilayer by the adenosine triphosphate (ATP)-dependent, membrane-bound translocase, flippase, which unidirectionally transports PtdSer inward against its concentration gradient. Oxidative stress-induced modification of flippase and/or PtdSer, however, leads to prolonged extracellular exposure of PtdSer on the outer membrane leaflet, a known signal for both early apoptosis and selective recognition and mononuclear phagocytosis of dying cells. Within the inferior parietal lobule (IPL) of subjects with aMCI and AD, a significant collapse in PtdSer asymmetry was found in association with increased levels of both pro- and anti-apoptotic proteins, Bax, caspase-3, and Bcl-2. Moreover, a significant collapse in PtdSer asymmetry was also found in whole brain of human double-mutant knock-in mouse models of Aβ pathology, together with significantly reduced Mg2+ATPase activity, representing flippase activity, and increased levels of pro-apoptotic caspase-3. Significant PtdSer externalization corresponded to the age at which significant soluble Aβ(1-42) deposition occurs in this particular mouse model (9 months), and not of plaque deposition (12 months), suggesting that elevated levels of Aβ(1-42), together with increasing oxidative stress and apoptosis, may contribute to altered PtdSer membrane localization. Also in this dissertation, transgenic mice carrying Swedish and Indiana mutations on the human amyloid precursor protein (APPSw,In) and APPSw,In mice carrying a Met35Leu mutation on Aβ were derived to investigate the role of Met-35 in Aβ(1-42)-induced oxidative stress in vivo. Oxidative stress analyses revealed that Aβ-induced oxidative stress requires the presence of Met-35, as all indices of oxidative damage (i.e., protein carbonylation, nitration, and protein-bound 4-hydroxy-2-trans-nonenal [HNE]) in brain of Met35Leu mice were completely prevented. Moreover, immunohistochemical analyses indicated that the Met35Leu mutation influences plaque formation, as a clear reduction in Aβ-immunoreactive plaques in Met35Leu mice was found in conjunction with a significant increase in microglial activation. In contrast, behavioral analyses suggested that spatial learning and memory was independent of Met-35 of Aβ, as Met35Leu mice demonstrated inferior water-maze performance compared to non-transgenic mice. Differential expression and redox proteomic analyses to pinpoint proteins significantly altered by the APPSw,In and Met35Leu mutations was performed, as well. Expression proteomics showed significant increases and decreases in APPSw,In and Met35Leu mouse brain, respectively, in proteins involved in cell signaling, detoxification, structure, metabolism, molecular chaperoning, protein degradation, mitochondrial function, etc. Redox proteomics found many of these same proteins to be oxidatively modified (i.e., protein carbonylation and nitration) in both APPSw,In and Met35Leu mouse brain, providing additional insights into the critical nature of Met-35 of Aβ for in vivo oxidative stress in a mammalian species brain, and strongly suggesting similar importance of Met-35 of Aβ(1-42) in brain of subjects with aMCI and AD. Taken together, studies presented in this dissertation demonstrate the role of oxidative stress-induced alteration of PtdSer asymmetry and Met-35 in Aβ-induced oxidative stress in aMCI, AD, and FAD brain.

Une distribution lipidique hétérogène est essentielle à l’identité et fonction des organelles, mais l’échange par trafic vésiculaire tend à annuler cette distribution. Il existe donc des mécanismes qui assurent l’homéostasie des lipides. Les protéines Osh (S. cerevisiae) et les OSBP-Related Proteins (ORP, H. sapiens), sont des transporteurs de lipides. Osh4 est capable d’échanger de l’ergostérol contre le phosphatidylinositol-4-phosphate (PI4P), présent sur l’appareil de Golgi. Utilisant des outils fluorescents mesurant avec une précision inégalée le transport de stérol et de PI4P, nous démontrons qu’Osh4 transporte du stérol contre son gradient de concentration en utilisant l’énergie d’un gradient de PI4P. Un couplage au métabolisme du PI4P permettrait à Osh4 d’alimenter le Golgi avec du stérol, ainsi créant le gradient de stérol entre ces organelles. La protéine OSBP participe, via sa capacité à connecter la membrane du RE à celle du trans-Golgi, à la création de jonctions entre ces organelles. Nous avons montré qu’OSBP, par échange stérol/PI4P, utilise le PI4P pour transférer du cholestérol au Golgi, mais également pour autoréguler sa capacité à former les jonctions. Osh6 lie la phosphatidylsérine, nous permettant d’étudier un nouveau mécanisme d’échange. Nous avons résolu la structure cristallographique d’un complexe Osh6/PI4P et avons pu observer l’échange de ces deux ligands par Osh6 entre deux membranes. Cette étude nous permet de suggérer que l’échange de PI4P avec divers lipides, via les protéines Osh/ORP, serait un mécanisme général permettant aux cellules de maintenir le gradient lipidique entre le RE et les membranes tardives de la voie sécrétoire. / An uneven lipid distribution is essential for the function of eukaryotic organelles. However, exchange of material by vesicular trafficking has a tendency to perturb this distribution; mechanisms must though exist to ensure lipid homeostasis. Osh proteins (S. cerevisiae) and OSBP-Related Proteins (ORPs, H. sapiens), are lipid transfer proteins (LTPs). Osh4 is capable of exchanging ergosterol for phosphatidylinositol 4-phosphate (PI4P), found on the Golgi. Using novel fluorescent tools to measure with unprecedented precision the transport of sterol and PI4P, we find that Osh4 can transport sterol against its concentration gradient using the energy of a PI4P gradient. Coupled to phosphoinositide metabolism, this allows Osh4 to transport sterol to the trans-Golgi and create the sterol gradients observed between these organelles. OSBP participates in the creation of membrane contact sites (MCSs) via its capacity to connect ER membranes to those of the trans-Golgi. We have shown that it uses PI4P for transporting cholesterol from the ER to the trans-Golgi by sterol/PI4P counterexchange, hence also autoregulating its tethering activity. Finally, the identification of phosphatidylserine as a ligand for Osh6 allowed us to analyze the possible extrapolation of the PI4P counterexchange mechanism. We have solved the crystal structure of Osh6 in complex with PI4P and have been able to follow counterexchange of PI(4)P and PS in vitro. Concluding, our studies allow us to suggest a general mechanism for ORP/Osh-mediated counterexchange of PI4P for other lipids to maintain lipid gradients between the ER and late membranes of the secretory pathway.

Submitted by Ana Maria Fiscina Sampaio (fiscina@bahia.fiocruz.br) on 2013-11-06T14:31:55Z No. of bitstreams: 1 Jaqueline Franca Costa Aspectos imunopatogênicos da leishmaniose cutanêa...pdf: 1509776 bytes, checksum: 2d3824cc711f84d908e61378ac3d4a8c (MD5) / Made available in DSpace on 2013-11-06T14:31:55Z (GMT). No. of bitstreams: 1 Jaqueline Franca Costa Aspectos imunopatogênicos da leishmaniose cutanêa...pdf: 1509776 bytes, checksum: 2d3824cc711f84d908e61378ac3d4a8c (MD5) Previous issue date: 2013 / Universidade Federal da Bahia. Faculdade de Medicina da Bahia. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / A progressão crônica da LCD é atribuída à falta da imunidade mediada por células específica para antígeno de Leishmania e predominância de uma resposta do tipo Th2. Neste sentido, tanto fatores do parasita quanto do hospedeiro podem atuar na desativação da resposta imune favorecendo a replicação da Leishmania. Inicialmente avaliamos o papel da exposição de fosfatidilserina na infecção de macrófagos murinos com Leishmania amazonensis isolados de pacientes com LCD. Para isso, macrófagos peritoneais de camundongos F1(BALB/c x C57BL/6) foram infectados com os diferentes isolados obtidos de pacientes com LCD e LCL. Os isolados obtidos de pacientes com LCD apresentaram maior expressão de PS do que os isolados de pacientes com LCL após 24 horas de infecção. Em seguida, avaliamos a infectividade dos diferentes isolados. As amastigotas de pacientes com LCD apresentaram maior porcentagem de macrófagos infectados e índice de infecção, quando comparados com amastigotas de pacientes com LCL. Quanto ao mecanismo, o grupo infectado com os isolados de pacientes com LCD apresentou um aumento na relação TGF-β/TNF-α e IL-10/TNF-α em relação ao grupo LCL. A análise de correlação revelou que a porcentagem de macrófagos infectados, o índice de infecção, os índices de TGF-β/TNF-α e IL-10/TNF-α, bem como o tamanho dos vacúolos estão diretamente associados a maior exposição de PS. Além disso, o número de lesões e o tempo de doença dos pacientes com LCD também estão associados á exposição de PS. O reconhecimento de PS tem como consequência a produção de TGF, IL-10, IL-4 e PGE2, que ativam a via da enzima arginase e consequentemente a produção de poliaminas. Por isso buscamos investigar a participação de tais mediadores em pacientes com LCD. Os níveis da arginase I, ODC e TGF-β no plasma de pacientes com LCD estava elevados quando comparado com os pacientes com LCL ou o controle saudável da área endêmica. Por outro lado, os níveis de TNF-α, IL-12, MCP-1 e CXCL-10 estavam reduzidos no plasma de pacientes com LCD comparado aos pacientes com LCL. Os níveis de arginase apresentaram correlação positiva com ODC, TGF-β e PGE e correlação negativa com TNF-α, IL-12, MCP-1 e CXCL-10. A produção da arginase e ODC também foi avaliada nas lesões dos pacientes através de imunohistoquímica. As lesões dos pacientes com LCD apresentaram uma marcação mais intensa e difusa do que as de LCL. Além disso, a expressão da cicloxigenase 2 também estava aumentada nas lesões de LCD. A expressão do mRNA das enzimas fosfolipase A2, COX-2, prostaglandina sintase, espermina e espermidina sintase apresentaram uma relação positiva com a enzima arginase, indicando que esta interfere diretamente no metabolismo dos mediadores lipídicos e na via de síntese das poliaminas. A inibição das enzimas arginase e ODC com nor-NOHA e DFMO, respectivamente, reduziu a carga parasitária de macrófagos humanos infectados com L. amazonensis após 72 h de infecção. Além disso, os inibidores reduziram a produção de TGF e PGE2 no sobrenadante das culturas. Em conjunto, nossos dados sugerem que a liberação local e sistêmica de prostaglandinas e poliaminas associadas à via da arginase em pacientes com LCD deve estar associada com a inabilidade em montar uma resposta imune eficiente contra a infecção por Leishmania proporcionando um ambiente favorável para a replicação do parasita e disseminação da doença. Nossos resultados mostram também que este ambiente imunossuprimido pode ser induzido pela exposição de PS na superfície de L. amazonensis deflagrando uma resposta anti-inflamatória nos pacientes com LCD. / The chronic progression of DCL is attributed to the lack of specific cell-mediated immunity to Leishmania antigen and predominance of a Th2-type response. In this sense, both factors of the parasite and the host can act in the deactivation of immune response, favoring parasite replication. Initially we evaluate the role of phosphatidylserine exposure in murine macrophages infected with L. amazonensis isolated from patients with DCL. First, peritoneal macrophages of mice F1 (BALB/c x C57BL/6) were infected with different isolates from patients with DCL and LCL. The DCL isolates showed higher PS expression than the LCL isolates after 24 hours of infection.. The DCL-amastigotes patients showed a higher percentage of infected macrophages and the infectivity index when compared with patients with LCL- amastigotes. Regarding the mechanism, the group infected with isolates from patients with LCD showed an increase in TGF/TNF and IL-10/TNF when compared with LCL group. Correlation analysis revealed that the percentage of infected macrophages, the infectivity index, the rate of TGF/TNF and IL-10/TNF as well as the size of the vacuoles are directly associated with higher PS exposure. Moreover, the number of lesions and disease duration of DCL patients are also associated with PS exposure. Recognition of PS results in the production of TGF, IL-10, IL-4 and PGE2, molecules with anti-inflammatory role that activate the enzyme arginase and consequently the polyamines production. Therefore, we investigated the involvement of these mediators in patients with DCL. The plasma of DCL patients showed high levels of arginase, ODC and TGF compared to the LCL patients or healthy control from endemic area. On the other hand, the levels of TNF, IL-12, MCP-1 and CXCL-10 were reduced in the DCL patients plasma compared to patients with LCL. Arginase levels were positively correlated with ODC, TGF and PGE and negatively correlated with TNF, IL-12, MCP-1 and CXCL-10. The production of arginase and ODC was also evaluated in the lesions of patients by immunohistochemistry. The DCL lesions showed a more intense and diffuse staining than LCL lesions. Furthermore, the expression of cyclooxygenase-2 was also increased in lesions of DCL. The mRNA expression of the enzymes phospholipase A2, COX-2, prostaglandin synthase, spermine synthase and spermidine synthase showed a positive relationship with the arginase enzyme, indicating that it directly interferes with the metabolism of lipid mediators and in synthesis of polyamines. The inhibition of the enzyme arginase and ODC with nor-NOHA and DFMO, respectively, reduced the parasite load of L. amazonensis human infected macrophages 72 h after infection. Moreover, NOHA and DFMO reduced TGF and PGE2 production in the supernatant of cultures. Together, local and systemic release of prostaglandins, arginase and polyamines pathways in DCL should be associated with the inability of these patients to mount effective immune response against infection by Leishmania providing a favorable environment for replication and spread of the parasite disease. Our results also show that this immunosuppressed environment can be induced by PS exposure on the L. amazonensis surface triggering anti-inflammatory response in DCL patients.

No description available.

No description available.

The mechanism of microparticle shedding from the plasma membrane of calcium-loaded cells has been investigated in erythrocytes and platelets. Recent studies have revealed the physiological and clinical importance of microparticle release from nucleated cells such as lymphocytes and endothelium. The experiments of this study were designed to address whether simple mechanisms discovered in platelets and erythrocytes also apply to the more complex nucleated cells. Four such mechanisms were addressed: potassium efflux, transbilayer phosphatidylserine migration, cytoskeleton degradation, and membrane lipid order. The rate and amount of microparticle release in the presence of a calcium ionophore, ionomycin, was assayed by light scatter at 500 nm. To inhibit the calcium-activated potassium current, cells were exposed to 1 mM quinine or a high-potassium buffer. Both interventions substantially attenuated microparticle shedding induced by ionomycin. Microparticle release was also greatly reduced in a lymphocyte cell line deficient in the expression of scramblase, the enzyme responsible for calcium-stimulated phosphatidylserine migration to the cell surface. This result indicated that such phosphatidylserine exposure is also required for microparticle shedding. The importance of cytoskeletal rearrangement was evaluated through the use of E64-d, a calpain inhibitor, which appeared to have no affect on release. Thus, if cytoskeleton degradation is important for microparticle release, a different enzyme or protein must be involved. Finally, the effect of membrane physical properties was addressed by varying the experimental temperature (32–42 °C). A significant positive trend in the rate of microparticle release as a function of temperature was observed. Fluorescence experiments with trimethylammoniumdiphenylhexatriene and patman revealed significant differences in the level of apparent membrane order along that temperature range. Ionomycin treatment appeared to cause further disordering of the membrane, although the magnitude of this change was minimally temperature-sensitive. Thus, it was concluded that microparticle release depends more on the initial level of membrane order than on the change imposed by calcium uptake. In general, mechanisms involved in particle release from platelets and erythrocytes appeared relevant tolymphocytes with the exception of the hydrolytic enzyme involved in cytoskeletal degradation.

<p dir="ltr">The Ebola virus (EBOV) is a filamentous RNA virus which causes severe hemorrhagic fever. It is one of the most dangerous known pathogens with a high fatality rate. Multiple outbreaks of EBOV have occurred since the 1970s with the most widespread outbreak starting in December 2013. This outbreak continued through May of 2016 and had a fatality rate of approximately 50%. EBOV outbreaks are recurrent because the virus is still present in animal reservoirs. Despite multiple EBOV outbreaks we still lack a clear understanding of how new viral particles are formed and spread through virus assembly and release. Given the widespread global travel, EBOV now poses a threat to the entire world. EBOV encodes for the matrix protein, VP40, which is one of the most conserved viral proteins. VP40 can form different structures leading to different functions of the protein in different stages of the EBOV life cycle. The VP40 dimer traffics to the inner leaflet of the plasma membrane to facilitate assembly and budding. The VP40 octameric ring has been implicated in transcriptional regulation. This thesis focuses on understanding in further detail the determinates of VP40 plasma membrane assembly and exit from an infected cell.</p><p dir="ltr">The assembly and trafficking of VP40 to the plasma membrane requires a network of protein-protein and lipid-protein interactions (PPIs and LPIs). Studying these interfaces is important for understanding how VP40 structure and function regulates trafficking and assembly and can shed light on therapeutic strategies to target EBOV. The alteration of host cell Ca²⁺ levels is one of the strategies that viruses use to perturb the host cell signaling transduction mechanism in their favor. Evidence has emerged demonstrating that Ca²⁺ is important for the assembly and budding of EBOV in a VP40-dependent manner. The relationship between intracellular Ca²⁺ levels and EBOV matrix protein VP40 function is still unknown. In this work we utilize biophysical techniques to study the role of LPIs and intracellular Ca²⁺ on VP40 dynamics at the plasma membrane and key residues for assembly and budding. This work highlights the sensitivity of slight electrostatic changes on the VP40 surface for assembly and budding and a critical interaction between Ca²⁺ and the VP40 dimer that are important for lipid binding at the plasma membrane.</p>

Es ist eine allgemein akzeptierte Tatsache, dass der Kontakt von Proteinen mit synthetischen Materialien üblicherweise zur Proteinadsorption an der Materialoberfläche führt. Über den stattfindenden Prozess, insbesondere das Zusammenspiel zwischen Protein-Oberflächen-Wechselwirkungen und konformellen Änderungen der adsorbierten Proteine ist jedoch bisher nur wenig bekannt. In dieser Arbeit wird die ortsgerichtete Spinmarkierungstechnik (SDSL) auf die Strukturuntersuchung adsorbierter Proteine ausgeweitet. Diese nutzt das spezifische Einbringen einer spinmarkierte Seitenkette an gewünschte Positionen der Primärstruktur zur Analyse der Struktur und Dynamik diamagnetischer Proteine mittels der Elektronenspinresonanz(ESR)-Spektroskopie. Das globuläre Protein T4 Lysozym (T4L) wurde auf planare Modelloberflächen adsorbiert und strukturelle Änderungen in Abhängigkeit der physikalischen und chemischen Eigenschaften der Oberfläche verfolgt. Die spezifische Anbindung von T4L auf quarzgestützten zwitterionische Lipiddoppelschichten führt nur zu geringfügigen strukturellen Veränderungen des Proteins. Allerdings bildet sich eine makroskopisch geordnete Proteinschicht aus. Die Vorzugsrichtung der Proteine auf der Oberfläche kann durch Analyse der winkelabhängigen ESR-Spektren bestimmt werden. Die Wechselwirkung negativ geladener Oberflächen mit dem positiv geladenen T4L führt zu drastischeren Störungen der Proteinstruktur. Hierbei wird die Reaktion des Proteins auf den Kontakt mit einer fluiden quarzgestützten Lipiddoppelschicht, die das negativ geladenen Lipid Phosphatidylserin enthält, mit derer bei Adsorption auf einer ebenfalls negativ geladenen, jedoch rigiden Quarzoberfläche verglichen. Dass der Adsorptionsprozess auch das Substrat selbst beeinflussen kann, wird durch die Beobachtung einer Phasentrennung bei Proteinadsorption des Lipidgemischs aufgezeigt, das negativ geladene Lipide enthält. / Although it is commonly accepted that the exposition of proteins to man-made materials typically results in protein adsorption on the material surface, little is known about the interplay between the protein-surface interactions involved and the resulting conformational changes of the adsorbing protein. In this study the site-directed spin labeling (SDSL) approach has been extended to the investigation of proteins adsorbed to planar surfaces. The method involves the selective introduction of an artificial spin-labeled side-chain to a predefined residue of the amino acid sequence and allows the determination of the structure and dynamics of proteins by analysis of the electron paramagnetic resonance (EPR) spectra. The globular protein T4 Lysozyme (T4L) has been adsorbed to planar model surfaces to study the correlation between conformational changes of the protein and the physical and chemical properties of the surfaces. Tethering T4L to a planar quartz-supported zwitterionic lipid bilayer shows only minor changes in the structure of the protein. Furthermore, a macroscopic order of the adsorbed protein layer is proven by angular-dependent EPR spectra which allow the determination of the protein orientation. Offering surfaces that are net negatively charged to the highly positively charged T4L leads to the observation of more drastic conformational changes. Here, the conformation of T4L adsorbing to a fluid quartz-supported lipid bilayer containing negatively charged lipids is compared to the structure of T4L adsorbed to the negatively charged but rigid quartz surface. The adsorption process may also influence the substrate itself. This can be shown by the phase separation of the negatively charged lipid bilayer upon protein adsorption.

La tomographie par émission de positons (TEP) est une technique d’imagerie moléculaire avec de meilleures performances que la tomographie par émission monophotonique. Son utilisation contribue à l’amélioration des prises en charge des patients. Dans les centres dépourvus de cyclotrons, le 68Ga disponible à partir d’un générateur constitue une alternative pour le développement de traceurs TEP. Pour pouvoir développer des 68Ga-traceurs, un travail de caractérisation de la qualité des éluats a été effectué. Des méthodes de marquage adaptées ont été mises en place et validées. Nous nous sommes intéressés à trois cibles moléculaires particulièrement intéressantes dans les pathologies cardiovasculaires: les récepteurs de la somatostatine (SSTR) surexprimés dans les tumeurs neuroendocrines (TNE) mais constituant aussi une cible d’intérêt dans les pathologies cardiovasculaires à composante inflammatoire ; la phosphatidylsérine (PS), un marqueur de l’apoptose cellulaire et de l’activation plaquettaire ; la P-sélectine, un marqueur des activations plaquettaire et endothéliale. Les traceurs suivants ont été développés: 1) Analogues de la somatostatine ciblant les SSTR: a)68Ga-DOTANOC validé pour l’imagerie des TNE-Gastroentéropancréatiques dans le cadre d’un essai clinique multicentrique. b) 68Ga-NODAGANOC testé in vitro sur des cellules d’adénocarcinome pancréatique. Cette validation initiale dans l’application la plus fréquente(oncologie) a pour objectif de faciliter le passage vers des applications cardiovasculaires futures (athérosclérose, myocardite...) ; 2) Un peptide ciblant la PS : le 68Ga-P04087 ; 3) Un polysaccharide ciblant la P-sélectine: 68Ga-NODAGA-Asphy. Les deux derniers traceurs ont été testés sur un modèle d’endocardite infectieuse chez le rat. / The Positron emission tomography (PET) is a molecular imaging technique with usually better performances than Single-Photon Emission Computed Tomography. Consequently, the use of PET and appropriate tracers could enable clinicians to make a better therapeutic decision, thus improving the management of patients. In centers without cyclotrons, 68Ga available from a generator is an alternative for the development of PET tracers. In order to develop 68Ga labeled-molecules, a characterization of the quality of the eluates was performed. Radiolabeling techniques adapted to the quality of the starting material were developed and validated. In this thesis we focused on three particularly interesting molecular targets in cardiovascular pathologies: somatostatin receptors (SSTR), overexpressed in neuroendocrine tumors (NETs) but also constituting a target of interest in cardiovascular diseases with an inflammatory component; phosphatidylserine (PS), a marker of cell apoptosis and platelet activation; P-selectin, a marker of platelet and endothelial activation.The following tracers have been developed: 1) Somatostatin analogues which target SSTR: a) 68Ga-DOTANOC validated for Gastroenteropancreatic-NETs imaging and used in a multicenter clinical trial. b) 68Ga-NODAGANOC tested in vitro on pancreatic adenocarcinoma cells. This initial validation in the most common application (oncology) aims to facilitate the transition to future cardiovascular applications (atherosclerosis, myocarditis ...) 2) A peptide for PS targeting: 68Ga-P04087; 3) A polysaccharide for P-selectin targeting: 68Ga-NODAGA-Asphy. The last two radiolabeled molecules were tested in a rat model of infective endocarditis.

L’Annexine A5 (AnxA5) est une protéine soluble se liant aux membranes contenant de la phosphatidylsérine (PS) en présence de calcium (Ca2+). Le rôle central joué par l’AnxA5 dans les processus de réparation membranaire a été récemment mis en évidence. L’AnxA5 possède une très forte affinité pour les membranes biologiques contenant de la PS, cependant son mode de liaison aux membranes n’est pas encore élucidé.La première partie de mon travail de thèse a concerné le développement d’une approche originale d’étude de la liaison de l’AnxA5 à des microsphères de silice fonctionnalisées par une bicouche lipidique (µPSiO2@SLB pour supported lipid bilayer), par cytométrie en flux (FCM). Cette approche m’a permis d’étudier la liaison à l’équilibre et en cinétique à très faible concentration en AnxA5, de l’ordre du picomolaire. Cette approche représente une des méthodes les plus sensibles d’étude de liaison à l’équilibre et la première permettant d’accéder aux constantes cinétiques d’interaction pour l’AnxA5. Cette étude m’a également permis de mettre au point une stratégie de dosage indirect de liposomes contenant de la PS avec une sensibilité de l’ordre du nanogramme de lipides par millilitre.La seconde partie de ma thèse a concerné l’étude de microparticules (MP), fragments de membranes cellulaires présents dans les fluides biologiques. Dans le plasma sanguin la majorité des MP sont d’origine plaquettaire et exposent de la PS. Il existe une corrélation entre la concentration en MP plasmatiques exposant de la PS et le développement de pathologies thrombotiques. La FCM est la méthode de référence dans l’étude des MP cependant leur détection est rendue difficile par leur petite taille. J’ai appliqué aux MP plasmatiques le test de dosage développé pour les liposomes. Les résultats obtenus sont prometteurs et permettent d’envisager le développement d’un test de dosage de l’ensemble des MP exposant de la PS. / Annexin-A5 (AnxA5) is a soluble membrane binding protein that binds to phosphatidylserine (PS) containing membranes in a calcium dependent manner and plays a central role in cell membrane repair processes. AnxA5 has a remarkably high affinity for PS containing membranes, but its binding mechanism remains unclear.The first part of my PhD work was to develop a new method for studying AnxA5 binding using supported lipid bilayer functionalized silica microspheres (µPSiO2@SLB) and Flow Cytometry (FCM). This approach allowed me to describe in details both equilibrium and kinetics of AnxA5 binding at picomolar concentrations in AnxA5. This study is one of the most sensitive for equilibrium binding studies and the first allowing to measure binding kinetics constants for AnxA5. This study also led to the development of a new strategy for determination of liposome concentration with sensitivity in the range of one nanogram of lipid per milliliter. The second part of my work focused on microparticles (MP) that are cell membrane fragments found in biological fluids. In plasma, the vast majority of MP originates from platelets and expresses PS at their surface. There is a correlation between MP concentration in plasma and thrombotic risk. FCM is the “golden standard” of hæmatologic analysis but the majority of MPs are too small to be detected. I have applied the test developed with liposomes for the quantification of MP. The results are promising and allow foreseeing the development of a test able to give the absolute quantity of PS exposing MPs in plasma samples.