Charles University Faculty of Pharmacy in Hradec Králové Department of Pharmacology and Toxicology Student: Jan Juhász Supervisor: Prof. MUDr. Radomír Hrdina, CSc. Title of diploma thesis: Treatment of lower extremity peripheral artery disease The lower extremities ischemia is a disease caused most often by atherosclerosis during which the lumen in lower limb arteries becomes narrow. Its prevalence is increasing, especially in the developed countries. The disease can be asymptomatic and symptomatic. The symptoms are very unpleasant and decrease patient's quality of life. Advanced stages of the disease may be life threatening. Therefore, it is vital to timely and correctly diagnose the illness. During the therapy, it is possible to use pharmacological as well as non-pharmacological procedures, and, preferably, a combination of the two types of treatment. The pharmacotherapy can be divided into several parts. The prevention of atherosclerotic complications makes use of preventive measures and antiplatelet therapy to reduce the cardiovascular risk. The symptoms therapy focuses on improving patients' quality of life by prescribing the vasoactive medications cilostazol, naftidrofuryl or pentoxifylin. The critical limb ischemia therapy uses prostaglandin analogues alprostadil, iloprost, limaprost or...

With the advent of large scale genome sequencing efforts along with more sophisticated methods of genetic mapping, a number of loci have been identified that are associated with human diseases. Intriguingly, many genes identified in these loci remain uncharacterized. Although current annotation can provide a prediction of putative function of some of these proteins at a biochemical level, understanding their cellular roles require analysis at a single gene level. Bioinformatic analysis carried out in the laboratory during studies on cyclic nucleotide metabolism in mycobacteria identified putative Class III cyclic nucleotide phosphodiesterases (Class III cNMP PDEs) from the non-redundant database of proteins. One of the proteins identified was the Rv0805 gene product from Mycobacterium tuberculosis. Detailed biochemical characterization of this protein revealed that Rv0805 is indeed a phosphodiesterase (PDE) and could hydrolyze 3’, 5’-cyclic adenosine monophosphate (cAMP) as well as 3’, 5’-cyclic guanosine monophosphate (cGMP). Structural analysis of Rv0805 revealed a metallophosphoesterase (MPE) like fold and presence of two metal atoms at the binuclear metal centre of the protein. Moreover, overexpression of Rv0805 in E. coli and M. smegmatis reduced intracellular cAMP levels indicating that it possesses cAMP PDE activity in vivo. The majority of proteins identified in this bioinformatic analysis were of bacterial or archaebacterial in origin but it was interesting to find some mammalian proteins, since, till date, no Class III cNMP PDE has been found in higher eukaryotes. Interestingly, two genes were identified in the human genome. These genes, 239FB and 239AB, are expressed in the fetal brain and adult brain, respectively and have been annotated as metallophosphoesterases but there has been no biochemical or functional characterization of these proteins. The 239FB gene is present between the FSHB and PAX6 genes on chromosome 11. This gene locus is present within a deletion interval (11p13-14) that is associated with the mental retardation phenotype of WAGR syndrome (Wilms’ tumor, aniridia, genitourinary anomalies, mental retardation). Inspection of available sequenced mammalian genomes indicated a shared synteny of the genes in the WAGR locus, highlighting it’s evolutionary conservation. Most interestingly, nucleotide sequences within the WAGR locus (which include the 5 genes WT1, PAX6, RCN1, ELP4 and 239FB) are amongst the 481 ultra conserved regions of the human genome. Moreover, 239FB is one of only 24 instances where an ortholog of an ultra-conserved element could be partially traced back by sequence similarity in lower eukaryotes such as Ciona intestinalis, Drosophila melanogaster, or Caenorhabditis elegans. Although the function of the 239FB protein is unknown so far, the distinctive expression of the gene in the fetal brain and the presence of an “ancient conserved region” in this gene suggest that this gene may be vital for the development of the nervous system. The work carried out in this thesis has attempted to understand the physiological functions of the 239FB/AB gene family. Amino acid sequence comparison revealed two amino acids changes between the human and rat proteins indicating the extra-ordinary sequence conservation of these proteins. Therefore, to characterize the biochemical properties of 239FB and 239AB proteins, rat proteins were used as model enzymes. Reverse transcription-PCR analysis of RNA prepared from the fetal and adult rat brains as well as Western blot analysis on cytosolic fractions of rat brains from various developmental stages indicated that 239FB is predominantly expressed in fetal brain. Detailed biochemical analyses of the rat 239FB and 239AB proteins were performed which showed that they possess metallophosphodiesterase activity. 239FB showed activity only in the presence of Mn2+ and Co2+ as the added metal cofactors. Surprisingly, the Km for Mn2+ of 239FB was found to be 1.5 mM, which is nearly 60-fold higher than that of its mycobacterial ortholog, Rv0805. A systematic mutational analysis was performed to characterize the residues that are involved in binding either one or both the metals found in the catalytic site of 239FB. Although 239FB shares some of the residues that have been shown to be essential for metal binding and catalytic activity with other MPEs including Rv0805, there are some differences as well. One histidine residue that has been conserved in other MPEs and has been shown to be important for metal binding is replaced by glycine (Gly-252) in 239FB. To study the consequence of replacing the glycine with a histidine in 239FB, a 239FBGly252His mutant protein was generated and characterized. Interestingly, the single mutation of Gly-252 to a histidine residue not only increased the affinity of the protein for metals but increased catalytic activity as well with various phosphodiesters. Moreover, 239FBGly252His mutant protein showed significant activity with cAMP and cGMP which were not hydrolysed by wild type 239FB. Interestingly, in the 239AB protein, histidine 284 is present at a position equivalent to Gly-252 in the 239FB protein. Biochemical characterization of 239AB showed 2’, 3’-cAMP hydrolyzing activity similar to 239FBGly252His mutant protein. A rat 239FB protein with a mutation (His67Arg) corresponding to a single nucleotide polymorphism seen in human 239FB, led to complete inactivation of the protein. The occurrence of this SNP at a very low frequency and only as a heterozygous condition suggests that a complete loss-of-function mutation of 239FB in human populations cannot be tolerated. To gain insights into the function of 239FB in its physiological milieu, yeast two-hybrid screening was performed with 239FB using human fetal brain cDNA library. Dipeptidyl peptidase III, a zinc dependent metallopeptidase, was found as an interacting partner of 239FB in this analysis and the functional consequences of this interaction would be an interesting area of study in future. While a number of metallophosphoesterases have been characterized biochemically and structurally, their biological role(s) and in vivo substrate(s) remain elusive. In order to elucidate the physiological role of 239FB/AB family, the ortholog of 239FB/AB in D. melanogaster was characterized. Sequence comparison of Drosophila ortholog with both the mammalian proteins indicated that it may be an ortholog of 239AB and hence, it was named as d239AB. Enhancer-promoter analysis with a putative promoter region of the d239AB indicated the expression of d239AB in the mushroom bodies in brain and in enterocytes in mid gut. Characterization of a Drosophila line, BS#16242, with a piggybac element inserted in the intron of d239AB showed disruption of d239AB expression. This suggested that BS#16242 line can serve as a d239AB knockout line and hence, was selected for further phenotypic characterization to unravel the physiological roles of d239AB. Though, BS#16242 flies did not show any developmental defects, a severe reduction in the fecundity of these files was observed. Further analysis revealed defective ovulation as a probable reason for reduced fecundity of these flies. In addition to compromised fecundity, BS#16242 flies showed a significant reduction in the life span of male as well as female flies. Moreover, these flies showed less resistance to thermal stress and desiccation. Most interestingly, all these phenotypes were rescued upon neuronal expression of the d239AB transgene in BS#16242 flies indicating that neuronal function of d239AB is important for diverse physiological processes. The phenotypes observed in BS#16242 flies mimic the physiological state under increased insulin signaling, such as decrease in life span, and susceptibility to various stress conditions suggesting that d239AB could play a role in the insulin signaling pathway. Interestingly, overexpression of d239AB transgene in neurons reduced cAMP levels in the brains of Drosophila, indicating that the protein may have cAMP phosphodiesterase activity in vivo. This is the first analysis of the presence of a Class III phosphodiesterase in eukaryotes. Thus, d239AB mediated regulation of cAMP levels in a particular subsets of cells, such as neurons, could also be one of the molecular mechanisms responsible for reduced fecundity and longevity of BS#16242 flies. Interacting partners of d239AB were inspected in the Drosophila interactome (built on protein-protein interactions identified using a yeast two-hybrid approach). Strikingly, most of the d239AB interacting proteins were involved either in transcriptional or translational regulation indicating that d239AB could be involved in the regulation of expression of genes involved in diverse physiological processes. This could explain why disruption of d239AB led to various physiological defects such as reduced fecundity, decreased life span and compromised fitness. In summary, studies described in this thesis suggest that 239FB and 239AB proteins are the first Class III cyclic nucleotide phosphodiesterases reported in eukaryotes. Results shown here suggest the critical role of their ortholog in the physiology of Drosophila. Further genetic manipulation in D. melanogaster and other organisms which harbor orthologs of the 239FB/AB gene could throw light on the diverse biological roles of these enzymes in humans.

Orientador: Gilberto de Nucci / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-26T11:10:20Z (GMT). No. of bitstreams: 1 Arruda_AndreMoreiraMartins_M.pdf: 11172054 bytes, checksum: db7fb87cc200cb091d3be4733e8d8af5 (MD5) Previous issue date: 2013 / Resumo: A presença de um par de órgãos copuladores, os hemipênis, é a característica mais singular do grupo Squamata, que reúne as serpentes e os lagartos. Para que ocorra a ereção, o hemipênis sofre ingurgitamento dos corpos cavernosos por sangue e linfa, além de contar com o auxílio da contração do músculo propulsor do pênis e o relaxamento do músculo retrator. O coito nestes animais pode durar até 28 horas, porém, os mecanismos envolvidos, as estruturas e sua base farmacológica de funcionamento são ainda pouco conhecidas. O hemipênis consiste de dois corpos cavernosos funcionalmente concêntricos, um deles contendo feixes de fibras musculares lisas. Em mamíferos, sintases de NO neuronais e endoteliais estão presentes em estruturas neurais e no endotélio, respectivamente, enquanto a guanilato ciclase solúvel e PDE5 (fosfodiesterase tipo 5) estão expressas no músculo liso trabecular. Partindo disto, para investigar as vias presentes no tecido das cobras, foram construídas curvas concentração-resposta cumulativas de relaxamento para a acetilcolina (ACh), nitroprussiato de sódio (SNP), BAY41-2272 e tadalafil em corpos cavernosos de Crotalus (CCC) pré-contraídos com fenilefrina. Relaxamentos induzidos por estímulo elétrico (EFS) também foram feitos na ausência e presença de L-NAME (100 mm), ODQ (10 mM) e tetrodotoxina (TTX, 1 mM). Em CCC pré-contraídos, o relaxamento dependente de frequência, gerado por EFS, durou três vezes mais do que aqueles em CC mamíferos. Embora estes relaxamentos sejam praticamente abolidos por L-NAME ou ODQ, eles não foram afetados pela TTX. Em contraste, o EFS promoveu relaxamento em corpos cavernosos de sagui que haviam sido incubados com TTX / Abstract: The presence of a pair of copulatory organs, the hemipenes, is the most unique feature of the group Squamata, which includes snakes and lizards. For an erection to occur, the hemipenes suffer engorgement of the corpora cavernosa with blood and lymph, besides counting with the aid of contraction of the propellant muscle and relaxation of penis retractor muscle. Coitus in these animals can last up to 28 hours, however, the mechanisms involved, the structures and their pharmacological basis are still little known. The hemipenis consists of two concentric functionally cavernous bodies, one containing bundles of smooth muscle fibers. In mammals, neuronal NO synthases and endothelial cells are present in the endothelium and neuronal structures, respectively, whereas the soluble guanylate cyclase and PDE5 (phosphodiesterase type 5) are expressed in trabecular smooth muscle. To investigas the tissue were constructed cumulative concentration-response curves for relaxation to acetylcholine (Ach), sodium nitroprusside (SNP), BAY41-2272 and tadalafil in the corpora cavernosa of Crotalus (CCC) pre contracted with phenylephrine. Relaxations induced by electrical stimulation (EFS) was also tested in the presence and absence of L-NAME (100 mm), ODQ (10 mM) and tetrodotoxin (TTX, 1 mM). In precontracted CCC, dependent relaxation frequency generated by EFS last three-times more than those in DC mammals. Although these relaxations are virtually abolished by L-NAME or ODQ, they were not affected by TTX. In contrast, EFS caused a relaxation of the corpus cavernosum in marmosets that had been incubated with TTX / Mestrado / Farmacologia / Mestra em Farmacologia

L’AMPc est un second messager exerçant un rôle vasculoprotecteur majeur, par ses effets relaxants et inhibiteurs de la prolifération et de la migration cellulaires. Les concentrations intracellulaires d’AMPc sont finement régulées par leur synthèse via les adénylates cyclases et leur dégradation par les phosphodiestérases (PDEs). Nous avons évalué l’impact de l’environnement cellulaire sur la voie de signalisation couplée au récepteur β-adrénergique (β-AR/AMPc/PDE) dans les cellules musculaires lisses vasculaires (CMLVs), ainsi que les altérations potentielles de celle-ci en situation pathologique d’insuffisance cardiaque (IC).Notre première étude montre que dans les CMLs d’aorte de rat en culture, adoptant un phénotype synthétique, la voie de signalisation β-AR/AMPc/PDE est hautement modulée par la densité cellulaire Ainsi, une faible densité cellulaire est associée à une régulation négative de l’expression fonctionnelle du récepteur β1-AR, à une activité hydrolytique des PDEs-AMPc plus faible et à des concentrations d’AMPc intracellulaire plus élevées que celles observées dans des cellules confluentes.Notre deuxième étude montre que dans l’aorte de rat, l’IC est associée à une dysfonction endothéliale (DE), une hyperréactivité aux agents contractants et une altération de la fonction et de l’expression des PDEs-AMPc. Nos résultats suggèrent que l’altération de la voie du NO/GMPc suite à la DE conduit à une hyper-activation de la PDE3, qui masque la fonction de la PDE4 et altère la relaxation β-AR.L’ensemble de ce travail met en évidence le rôle critique de l'environnement cellulaire dans le contrôle de la voie β-AR/AMPc/PDE des CMLVsMots clés : Muscle lisse vasculaire, récepteur β-adrénergique, AMPc, phosphodiestérases, densité cellulaire, insuffisance cardiaque / CAMP is second messenger which plays a prominent vasculoprotective role by its relaxing effects and inhibition of cell proliferation and migration. Intracellular cAMP level is regulated by its synthesis by adenylate cyclase and its degradation by phosphodiesterases (PDEs). We evaluated the influence of cellular environment on signaling pathway coupled to β-adrenoceptors (β-AR/cAMP/PDE) on vascular smooth muscle cells (VSMCs), as well as potential alterations in heart failure (HF).The first study showed that in cultured rat aortic SMCs exhibiting synthetic phenotype, the β-AR/cAMP/PDE signaling pathway is highly modulated by the cellular density.Thus, the low density state being associated to a downregulation of the β1-AR, a lower cAMP-PDE activity and a higher basal [cAMP]i compared to confluent cells.Our second study showed that in rat aorta, HF is associated with endothelial dysfunction, hyper-reactivity to contractile agents and an alteration of function and expression of cAMP-PDEs. Our results suggest that NO/cGMP pathway alteration following the ED in HF leads to hyper-activation of PDE3 which masks PDE4 function and alters β-adrenoceptor relaxationThus, our works highlights the critical role of the cellular environment in controlling the vascular β-AR signaling.Keywords: Vascular smooth muscle, β-adrenoceptor, cAMP, phosphodiesterases, cellular density, heart failure.