Les toxidermies médicamenteuses sont des réactions de toxicité cutanée déclenchées par la prise d’un ou de plusieurs médicament(s). Dans les cas les plus graves, ces effets indésirables médicamenteux menacent la vie des patients. La plupart des toxidermies ne seraient pas déclenchées par la substance médicamenteuse elle-même, mais par un ou plusieurs de ses métabolites cutanés suffisamment réactif(s) pour former un complexe antigénique avec les protéines épidermiques. Cette étape-clé serait le point de départ des mécanismes immunitaires à l’origine des toxidermies. L’objectif de ce travail de thèse a été d’étudier l’activation métabolique in situ de la Névirapine, un antirétroviral à l’origine de toxidermies chez 20% des patients. En utilisant une technique non invasive, la RMN HRMAS associée aux épidermes humains reconstruits, il a été possible de suivre l’éventuelle bioactivation épidermique de la Névirapine et de ses dérivés ainsi que la fixation de l’un d’eux dans l’épiderme. / Drug-induced toxidermia are cutaneous toxicity reactions caused by a drug therapy. In the most serious cases, these side effects of drugs are life-threatening.Most toxidermia are not induced by the parent drug, but by one or several skin metabolite(s) which may become antigenic by binding with epidermal proteins. This drug-protein conjugation step could be the starting point of immune responses leading to skin lesions.The aim of the PhD project was to study the in situ metabolic activation of Nevirapine, an anti-retroviral drug associated with toxidermia with an incidence of 20%. By using a non-invasive analysis technique, HR-MAS NMR spectroscopy on reconstructed human epidermis, it has been possible to follow the possible bioactivation of Nevirapine and its derivatives as well as the binding of one of them with the epidermis.

L’allergie de contact est une pathologie touchant de 15 à 20 % de la population occidentale. A l’heure actuelle il n’existe aucun traitement, la seule façon efficace de prévention étant l’éviction totale des allergènes. Les tests de sensibilisation de nouvelles molécules avant leur mise sur le marché ont été réalisés sur l’animal jusqu’à l’interdiction dans le 7ème amendement à la directive Européenne concernant l’industrie cosmétique. Dans ce contexte il est primordial de développer des méthodes alternatives. Ce travail de thèse propose d’analyser la problématique de l’allergie de contact en allant de la molécule au tissu pour les allergènes réagissant par voie radicalaire :In chemico : étude de la réactivité des hydroperoxydes allyliques vis-à-vis des acides aminés par la RMNIn situ : études de radicaux issus de ces composés sur des épidermes humains reconstitués par RPEIn cellulo : étude du stress oxydant sur les cellules dendritiques et la voie de signalisation Keap1/Nrf2/ARE. / Allergic contact dermatitis is a pathology affecting 15 to 20% of the Western population. Until now no treatment exists, the prevention is the eviction of allergens. In the past, tests concerning new molecules for the market were tested on animals until the prohibition in the 7th amendment of the European directive concerning the cosmetics industry. In this context it is essential to develop alternative methods to assess the allergenic potential of chemicals.This manuscript proposes to analyze the problem of the allergic contact dermatitis from the molecule to the tissue for allergens reacting through radical mechanisms:In chemico: study of the reactivity profile of allylic hydroperoxides toward amino acids by NMRIn situ: radical intermediates formation on reconstructed human epidermis from allylic hydroperoxides by EPR In cellulo: study of the oxidative stress from allylic hydroperoxides on dendritic cells trough the Keap1/Nrf2/ARE sensor pathway.

O presente trabalho teve o objetivo de desenvolver uma formulação tópica contendo os filtros solares benzofenona-3 e avobenzona microencapsulados em associação com filtro solar não encapsulado octocrileno e nanoparticulas lipídicas sólidas contendo rutina (formulação completa) e avaliar a eficácia fotoquimiopreventiva dessa formulação usando biópsias de pele humana e pele reconstruída in vitro. Microparticulas lipídicas sólidas contendo grandes quantidades de filtros solares, benzofenona-3 e avobenzona foram obtidas pela técnica do spray congealing com propriedades adequadas para aplicação tópica. Além disso, o processo de microencapsulação foi capaz de diminuir a penetração de benzofenona-3 na pele, aumentar a estabilidade da avobenzona frente à radiação ultravioleta A e a capacidade fotoprotetora desses filtros microencapsulados em formulações tópicas quando expostos a radiação ultravioleta. Nanopartículas lipídicas sólidas contendo o flavonóide rutina foram produzidas pelo processo de homogeneização a alta pressão e suas condições foram otimizadas pelo método da desejabilidade rendendo nanopartículas lipídicas sólidas com tamanho médio de 74,22 ±2,77 nm, índice de polispersividade de 0,161±0,03 e eficiência de encapsulação de 98,90 ±0,25 %. Em adição, as nanopartículas mostraram serem capazes de proteger a viabilidade celular de fibroblastos de ratos L929 irradiados com radiação ultravioleta A e B. Para a eficácia fotoquimiopreventiva a formulação completa foi capaz de evitar/diminuir a formação de células apoptóticas, caspase-3, dímeros de ciclobutanodipirimidina, metaloproteinases e peroxidação lipídica em pele humana e pele reconstruída expostos a UVB. O processo tecnológico de microencapsulação e nanoencapsulação dos ativos avaliados mostrou ser eficaz, não comprometendo as propriedades de fotoproteção dos filtros solares e rutina, apresentando resultados similares ou melhores do que as formulações contendo os ativos na forma livre. Portanto, o desenvolvimento de formulações contendo ativos microencapsulados e nanoencapsulados é uma alternativa interessante para o emprego em produtos comerciais para proteção solar, por diminuir as características indesejáveis como penetração e instabilidade, melhorando as propriedades fotoprotetoras e evitando a necessidade de desenvolver novos compostos com propriedades fotoprotetoras. / This study aimed the pharmaceutical development of a topical formulation containing an association of microencapsulated sunscreens benzophenone-3 and avobenzone, free sunscreen octocrylene and rutin flavonol solid lipid nanoparticles (complete formulation). This formulation was assessed for photochemoprotective ability using human skin obtained surgically and reconstructed human skin. Solid lipid microparticles containing large amounts of sunscreens benzophenone-3 and avobenzone were obtained by the spray congealing technique under conditions that allowed the manufacture of microparticles with suitable properties for topical application. The microencapsulation conditions were also able to reduce the penetration of benzophenone-3 through the skin, enhanced the stability of avobenzone against the ultraviolet radiation (UVR) and increased the photoprotective ability of both filters in topical formulations exposed to UVR. Solid lipid nanoparticles containing rutin were produced by the high pressure homogenization process whose conditions were optimized using the desirability method, yielding nanoparticles with size of 74.22 ± 2.77 nm, polispersivity index of 0.161 ± 0.03 and encapsulation efficiency of 98.90 ± 0.25%. In addition, the nanoparticles were able to avoid the death of L929 mice fibroblasts exposed to UVR A and B. For the photochemopreventive ability studies, the complete formulation was able to reduce/avoid the induction of apoptotic cells, caspase-3, CPDs, metalloproteinases and lipid peroxides in human skin obtained surgically and reconstructed human skin in vitro exposed to UVB.Thus, the micro and nanoencapsulation solved some intrinsic problems related to sunscreens and rutin without, however, compromising their photohemoprotective ability, since the results showed similar or better efficacy when compared to the formulations containing actives in free form. Therefore, the development of formulations containing microencapsulated and nanoencapsulated compounds is an interesting alternative for employment in commercial products for sun protection by decreasing the undesirable characteristics, such as penetration and instability, improving the photoprotective properties and avoiding the need to develop new compounds with photoprotective characteristics.

La dermatite atopique (DA) est une dermatose inflammatoire dont la prévalence élevée est en constante augmentation dans les pays industrialisés. La physiopathologie de la DA est complexe et associe des facteurs immunologiques, environnementaux et génétiques. L'ensemble de ces facteurs touchent principalement l'épiderme et sont responsables d'une altération de la fonction barrière, ce qui facilite la pénétration transcutanée des molécules en contact avec la peau et la sensibilisation des individus. Ce travail de thèse vise à mieux caractériser le rôle de l'épiderme dans la physiopathologie de la DA. Il repose sur l'utilisation d'un modèle in vitro d'épiderme reconstruit humain généré à partir de cellules progénitrices de follicules pileux prélevés chez des patients atteints de DA, ainsi que chez des individus sains. Ce travail a tout d'abord montré que les épidermes DA générés à partir de patients non porteurs de mutations pour le gène de la filaggrine (FLG+/+) se comportaient comme des épidermes normaux, (i) tant à l'homéostasie, (ii) que suite à une stimulation par de l'interleukine-1beta (IL-1 β) ou par un allergène majeur de la DA, tel qu'un extrait d'acarien (Dermatophagoïdes farinae). Cependant, de façon très intéressante, les épidermes- DA se sont avérés davantage sensibles à l'apoptose induite par une exposition aux ultraviolets (UV), que les épidermes normaux. A cet égard, nous avons observé une modulation différente de certains gènes impliqués dans l'induction/régulation de l'apoptose par les épidermes provenant de patients DA après exposition aux UV. En outre, ce travail a démontré que des épidermes normaux sont profondément affectés par l'IL-1 β qui induit un phénotype atopique caractéristique associant (i) la production de quantité notable de TSLP (thymic stromal lymphopoietin) et (ii) une altération de la fonction barrière. L'impact de l'IL-1 β sur la biologie de l'épiderme et la sensibilité accrue exprimée par les épidermes-DA à l'apoptose induite par les UV sont donc de nouveaux éléments qui confirment l'importance de l'épiderme dans la physiopathologie de la DA ce qui permettra certainement de nouvelles stratégies thérapeutiques / Atopic dermatitis (AD) is an inflammatory skin disease with a high prevalence constantly increased in developed countries. The AD physiopathology is complex and associated with immunological, environmental and genetic factors. These factors impact mainly the epidermis and are responsible of the impaired barrier function which increases antigen penetration and people sensitization. The aim of this work is to improve the understanding of the epidermis role in AD physiopathology. For this, we used an in vitro reconstructed human epidermis model generated from outer root sheath cells taken off AD patients or normal individuals.First of all, this work has shown that epidermis generated from AD patients (AD- epidermis) with no mutation on filaggrine gene (FLG+/+) behave like those from normal individuals (Normal- epidermis), (i) at the steady state, and (ii) after stimulation with interleukin-1beta (IL-1 β) or a major allergen found in AD, Dermatophagoïdes farinae. However, interestingly, AD-epidermis are more sensitized to ultra-violets radiation-induced (UVR) apoptosis than Normal-epidermis. In this regard, we observed a higher expression of genes involved in the induction / regulation of apoptosis by the epidermis from AD patients after UV exposure. Moreover, this work has demonstrated that normal epidermis are profoundly affected by IL-1 β which induces an AD like phenotype associating (i) production of large amount of TLSP (thymic stromal lymphopoietin) and (ii) alterated barrier function. The impact of IL-1 β on epidermis biology and the increased sensitivity that seems to express AD-epidermis to UVR-induced apoptosis are new evidences that confirm the importance of the epidermis in pathophysiology of AD which certainly will lead to new therapeutic strategies

Studien undersöker styvföräldrars upplevelse av vilka faktorer som påverkar relationerna och samspelet i styvfamiljen. Frågeställningen är: Vilka faktorer upplever styvföräldrar påverkar relationerna i styvfamiljen? Undersökningen är en kvalitativ studie med fem intervjuer av styvföräldrar. Intervjuerna har analyserats med hjälp av en tematisk analys. Resultat: I studien framkommer tre teman; relationsbyggande, konflikter och skuldkänslor.Studien visade att om det finns en stabil grund där tid har lagts ner på att bygga upp relationerna i styvfamiljen påverkar det relationerna positivt. Styvföräldrarollen behöver klargöras speciellt när det gäller förväntningar på rollen, ansvar och vilka befogenheter styvförälderns ska ha. Vid konflikter i styvfamiljen och inom familjesystemet kan styvföräldern inta en roll som neutral medlare vilket upplevs som positivt. Då konflikt finns mellan de biologiska föräldrarna kan barnen bli budbärare mellan system vilket har en negativ påverkan på styvfamiljen. En biologisk förälders brist på engagemang kan skapa skuldkänslor hos den andre föräldern. Då en förälder är långvarigt sjuk kan barnet ta ansvar för denna förälder vilket kan påverka så att barnet får en minskad eller obefintlig kontakt med den andre föräldern. / An investigation of stepparents experiences of what factors influence the stepfamily and the relationships in stepfamilies.Research question: Which are the factors that stepparents experience influence the relationships in the stepfamily?This study uses a qualitative methodology. Five stepparents have been interviewed and the interviews have been analyzed using thematic analysis.Results: Three themes appeared from the analysis; building relationships, conflicts and feelings of quilt. If the relationships in the stepfamily have been developed and been build up it influence the stepfamily in a positive way. The stepparent role needs to be clarified, especially when it comes to responsibility and powers of the stepparent. When conflicts occur in the stepfamily the stepparent can take the role of being a mediator that could be a positive factor. When there is a conflict between the biological parents the children could take different roles that influence the family in a negative way. If the biological parent is’t engaged in the children, feelings of guilt could be developed among the other parent. If a biological parent is long term sick the child can take responsibility for this parent and it can affect so that the child have less or no contact with the other parent.

It is currently a well-established fact that the dynamics of interacting fluid compartments of the central nervous system (CNS) may play a role in the CNS fluid physiology and pathology of a number of neurological disorders, including neurodegenerative diseases associated with accumulation of waste products in the brain. However, the mechanisms and routes of waste clearance from the brain are still unclear. One of the main components of this interacting cerebral fluids dynamics is blood flow. In the last decades, mathematical modeling and fluid dynamics simulations have become a valuable complementary tool to experimental approaches, contributing to a deeper understanding of the circulatory physiology and pathology. However, modeling blood flow in the brain remains a challenging and demanding task, due to the high complexity of cerebral vascular networks and the difficulties that consequently arise to describe and reproduce the blood flow dynamics in these vascular districts. The first part of this work is devoted to the development of efficient numerical strategies for blood flow simulations in complex vascular networks. In cardiovascular modeling, one-dimensional (1D) and lumped-parameter (0D) models of blood flow are nowadays well-established tools to predict flow patterns, pressure wave propagation and average velocities in vascular networks, with a good balance between accuracy and computational cost. Still, the purely 1D modeling of blood flow in complex and large networks can result in computationally expensive simulations, posing the need for extremely efficient numerical methods and solvers. To address these issues, we develop a novel modeling and computational framework to construct hybrid networks of coupled 1D and 0D vessels and to perform computationally efficient and accurate blood flow simulations in such networks. Starting from a 1D model and a family of nonlinear 0D models for blood flow, with either elastic or viscoelastic tube laws, this methodology is based on (i) suitable coupling equations ensuring conservation principles; (ii) efficient numerical methods and numerical coupling strategies to solve 1D, 0D and hybrid junctions of vessels; (iii) model selection criteria to construct hybrid networks, which provide a good trade-off between accuracy in the predicted results and computational cost of the simulations. By applying the proposed hybrid network solver to very complex and large vascular networks, we show how this methodology becomes crucial to gain computational efficiency when solving networks and models where the heterogeneity of spatial and/or temporal scales is relevant, still ensuring a good level of accuracy in the predicted results. Hence, the proposed hybrid network methodology represents a first step towards a high-performance modeling and computational framework to solve highly complex networks of 1D-0D vessels, where the complexity does not only depend on the anatomical detail by which a network is described, but also on the level at which physiological mechanisms and mechanical characteristics of the cardiovascular system are modeled. Then, in the second part of the thesis, we focus on the modeling and simulation of cerebral blood flow, with emphasis on the venous side. We develop a methodology that, departing from the high-resolution MRI data obtained from a novel in-vivo microvascular imaging technique of the human brain, allows to reconstruct detailed subject-specific cerebral networks of specific vascular districts which are suitable to perform blood flow simulations. First, we extract segmentations of cerebral districts of interest in a way that the arterio-venous separation is addressed and the continuity and connectivity of the vascular structures is ensured. Equipped with these segmentations, we propose an algorithm to extract a network of vessels suitable and good enough, i.e. with the necessary properties, to perform blood flow simulations. Here, we focus on the reconstruction of detailed venous vascular networks, given that the anatomy and patho-physiology of the venous circulation is of great interest from both clinical and modeling points of view. Then, after calibration and parametrization of the MRI-reconstructed venous networks, blood flow simulations are performed to validate the proposed methodology and assess the ability of such networks to predict physiologically reasonable results in the corresponding vascular territories. From the results obtained we conclude that this work represents a proof-of-concept study that demonstrates that it is possible to extract subject-specific cerebral networks from the novel high-resolution MRI data employed, setting the basis towards the definition of an effective processing pipeline for detailed blood flow simulations from subject-specific data, to explore and quantify cerebral blood flow dynamics, with focus on venous blood drainage.

A glicação não enzimática das proteínas é um fator comum para a fisiopatologia de uma série de transtornos relacionados ao envelhecimento e a doenças como o diabetes mellitus (DM). O geração dos produtos de glicação, os AGEs (do inglês: Advanced Glycation End Products) se dá através de reações de glicação da mariz extracelular (MEC) na derme e têm sido apontado como um dos fatores responsáveis pela perda de elasticidade e deficiência de cicatrização da pele. A permeação cutânea de compostos anti-AGE é uma limitação importante para eficiência terapêutica de compostos que devem atingir camadas mais profundas da pele. Modelos de pele reconstruída contendo equivalente dérmico glicado são estruturas tridimensionais geradas in vitro que mimetizam a pele humana e representam um eficiente modelo para o estudo de células e modificações provocadas na MEC no processo de envelhecimento e DM. O modelo 3D de pele reconstruída tem características metabólicas, de permeabilidade e atividade semelhantes à da pele original, potencializando seu papel nas investigações sobre permeabilidade de drogas, toxicidade, irritação, eficácia e segurança de compostos e diferenciação de queratinócitos. Uma série de compostos naturais ou sintéticos inibidores de AGEs têm sido descobertos e apresentados recentemente e podem representar inovação terapêutica no tratamento de modificações causadas pela a formação e acúmulo destes AGEs também na pele. Este estudo avaliou o desenvolvimento da pele reconstruída glicada e posteriormente, a avaliação da eficácia e toxicidade de compostos anti-glicação como aminoguanidina e carnosina em modelo de pele reconstruída glicada. Em perspectiva, este estudo contribuiu para o desenvolvimento de uma nova tecnologia in vitro, a pele reconstruída glicada, que auxiliará a compreensão da biologia da interação célula-MEC mimetizando processos fisiopatológicos importantes como o envelhecimento e o DM. / The Advanced Glycation End Products (AGEs) of proteins is a common factor to the pathophysiology of a number of disorders related to aging and diseases such as diabetes mellitus (DM). The generation of the AGEs products on skin occurs mainly through non-enzymatic glycation reactions of the dermal extracellular matrix and has been touted as one of the factors responsible for loss of elasticity and disability of skin healing. The skin permeation of compounds is an important limitation for therapeutic/cosmetic efficacy of anti-AGE compounds, which must reach the deepest layers of the skin. Reconstructed skin model containing dermal equivalent modified by in vitro glycation is able to mimic the elderly human skin and represent an efficient model for the study of cells interactions and changes in extracellular matrix induced by aging and diabetes. The 3D reconstructed skin model has metabolic characteristics, permeability and activity similar to the original skin, reinforcing its role in drug permeability of investigations toxicity, irritation, safety and efficacy evaluation of compounds and differentiation of keratinocytes. A number of natural or synthetic AGEs inhibitor compounds have been recently discovered and displayed and can represent therapeutic innovation for the treatment of changes caused by the aging of the skin. In this study we performed the development of reconstructed glycated skin model and evaluated the efficacy and toxicity of anti-glycation compounds such as aminoguanidine and carnosine. In perspective, this study has contributed to the development of a new technology in vitro, and for the understanding cell-extracellular matrix interaction during the aging of skin.

Diversos estudos têm demonstrado que os danos causados pela exposição da pele à radiação ultravioleta (RUV) são relacionados aos fotodanos ao DNA, geração de espécies reativas de oxigênio e ativação de mediadores do processo inflamatório. Há, portanto, um crescente interesse pelo uso de antioxidantes com potencial fotoquimiopreventivo, como o extrato de maçã e a rutina. O modelo mais utilizado para avaliação de agentes fotoquimiovreventivos é a exposição de camundongos sem pelos à RUV. Porém, os esforços para diminuir ou mesmo evitar a utilização de animais em ensaios científicos tem levado a busca por métodos alternativos à experimentação animal. Na primeira etapa desse trabalho visou-se a otimização de parâmetros relativos ao processo de extração do pó da maçã, bem como a caracterização do extrato obtido e da rutina. Assim, as condições de extração da maçã otimizadas foram tempo de extração de 22 h, teor de etanol no solvente de 60 % (p/p) e proporção solvente:planta de 18 (p/p). A concentração dos ativos presentes na maçã levou ao extrato enriquecido com polifenóis da maçã (EEPM), que apresentou elevada atividade antioxidante in vitro e teor de rutina de 6,1 ± 0.3 ?g/g de extrato. Ambos os ativos apresentaram baixa ou nenhuma toxicidade contra os fibroblastos MRC5, bem como protegeram os fibroblatos contra a morte induzida pela RUV e inibiram a formação de peróxidos lipídicos gerados pelas células irradiadas no tratamento com 4000 e 100 ?g/mL de EEPM e rutina, respectivamente. Na segunda etapa desse trabalho visou-se a avaliação do potencial fotoquimiopreventivo do EEPM e da rutina adicionados a uma formulação tópica em modelos de biópsia de pele humana e pele humana reconstruída in vitro e de camundongo sem pelos in vivo. O EEPM (1,25 %) e a rutina (0,75 %) em formulação foram avaliados quanto à retenção cutânea in vitro utilizando célula de difusão vertical de Franz e, embora não tenha sido possível detectar compostos do EEPM, foi demonstrado que 2,04 ± 0,19 ?g/cm2 da rutina ficou retida na biópsia de pele humana. Na avaliação da eficácia fotoquimiopreventiva em modelos de pele humana in vitro o EEPM e a rutina adicionados em formulação foram capazes de evitar/diminuir a formação de sunburn cells, a indução de caspase-3, dímeros de ciclobutanodipirimidina, metaloproteinases e peroxidação lipídica em pele exposta à RUV. Quanto a atividade funcional in vivo, o extrato enriquecido com polifenóis da maçã apresentou leve efeito inibidor do infiltrado inflamatório induzido pela RUV, enquanto que tanto a rutina como o extrato inibiram a depleção dos níveis de GSH endógeno, o que sugere uma potente atividade fotoquimiopreventiva para estes princípios ativos. Estes resultados são promissores e apontam para o uso do EEPM e da rutina na prevenção/tratamento dos danos induzidos pela RUV na pele. / Several studies have shown that the ultraviolet radiation (UVR) - induced skin damage are related to DNA photolesions, generation of reactive oxygen species and activation of inflammatory mediators. Therefore, there is an increasing interest in the use of antioxidants with photochemoprotective potential, such as apple extract and rutin. The most used model for evaluation of photochemoprotective agents is the exposure of hairless mice to UVR. However, efforts to reduce or even avoid the use of animals in scientific trials has pursued for alternative methods to replace/reduce animal testing. The first step of this work aimed to optimize parameters for the extraction of apple powder and the characterization of the obtained extract and rutin. Thus, the optimized apple extraction conditions were extraction time of 22 h, ethanol content of 60% (w/w) and plant:solvent ratio of 18 (w/w). The apple extract concentration led to an enriched apple polyphenols extract (EEPM), which showed strong in vitro antioxidant activity and rutin content of 6.1 ± 0.3 ?g / g. The actives showed low or no toxicity against MRC5 fibroblasts, protected these cells against UVR - induced death and inhibited lipid peroxidation in irradiated cells (treatment with 4000 and 100 ?g/mL of EEPM and rutin, respectively). The second step of this study aimed to evaluate the photochemoprotective potential of EEPM and rutin added in a topical formulation and assayed in in vitro models of human skin biopsy and human reconstructed skin and in vivo hairless mouse. The EEPM (1.25%) and rutin (0.75%) formulations were evaluated for skin retention in vitro using the Franz diffusion cell and, although it was not possible to detect compounds of EEPM, rutin was retained in the human skin biopsy (2.04 ± 0.19 mg/cm2). As regard the The photochemoprotective efficacy in in vitro models of human skin, EEPM and rutin formulations were able to prevent/reduce the formation of sunburn cells, induction of caspase-3, cyclobutane pyrimidine dimers, matrix metalloproteinases and lipid peroxidation in skin exposed to UVR. As for in vivo functional activity, EEPM showed a slight inhibitory effect of UVR-induced inflammatory infiltrate, while both EEPM and rutin completely inhibited endogenous GSH levels depletion. These results are promising and suggest the use of EEPM and rutin in the prevention/treatment of ultraviolet radiationinduced damage to the skin.

A glicação não enzimática das proteínas é um fator comum para a fisiopatologia de uma série de transtornos relacionados ao envelhecimento e a doenças como o diabetes mellitus (DM). O geração dos produtos de glicação, os AGEs (do inglês: Advanced Glycation End Products) se dá através de reações de glicação da mariz extracelular (MEC) na derme e têm sido apontado como um dos fatores responsáveis pela perda de elasticidade e deficiência de cicatrização da pele. A permeação cutânea de compostos anti-AGE é uma limitação importante para eficiência terapêutica de compostos que devem atingir camadas mais profundas da pele. Modelos de pele reconstruída contendo equivalente dérmico glicado são estruturas tridimensionais geradas in vitro que mimetizam a pele humana e representam um eficiente modelo para o estudo de células e modificações provocadas na MEC no processo de envelhecimento e DM. O modelo 3D de pele reconstruída tem características metabólicas, de permeabilidade e atividade semelhantes à da pele original, potencializando seu papel nas investigações sobre permeabilidade de drogas, toxicidade, irritação, eficácia e segurança de compostos e diferenciação de queratinócitos. Uma série de compostos naturais ou sintéticos inibidores de AGEs têm sido descobertos e apresentados recentemente e podem representar inovação terapêutica no tratamento de modificações causadas pela a formação e acúmulo destes AGEs também na pele. Este estudo avaliou o desenvolvimento da pele reconstruída glicada e posteriormente, a avaliação da eficácia e toxicidade de compostos anti-glicação como aminoguanidina e carnosina em modelo de pele reconstruída glicada. Em perspectiva, este estudo contribuiu para o desenvolvimento de uma nova tecnologia in vitro, a pele reconstruída glicada, que auxiliará a compreensão da biologia da interação célula-MEC mimetizando processos fisiopatológicos importantes como o envelhecimento e o DM. / The Advanced Glycation End Products (AGEs) of proteins is a common factor to the pathophysiology of a number of disorders related to aging and diseases such as diabetes mellitus (DM). The generation of the AGEs products on skin occurs mainly through non-enzymatic glycation reactions of the dermal extracellular matrix and has been touted as one of the factors responsible for loss of elasticity and disability of skin healing. The skin permeation of compounds is an important limitation for therapeutic/cosmetic efficacy of anti-AGE compounds, which must reach the deepest layers of the skin. Reconstructed skin model containing dermal equivalent modified by in vitro glycation is able to mimic the elderly human skin and represent an efficient model for the study of cells interactions and changes in extracellular matrix induced by aging and diabetes. The 3D reconstructed skin model has metabolic characteristics, permeability and activity similar to the original skin, reinforcing its role in drug permeability of investigations toxicity, irritation, safety and efficacy evaluation of compounds and differentiation of keratinocytes. A number of natural or synthetic AGEs inhibitor compounds have been recently discovered and displayed and can represent therapeutic innovation for the treatment of changes caused by the aging of the skin. In this study we performed the development of reconstructed glycated skin model and evaluated the efficacy and toxicity of anti-glycation compounds such as aminoguanidine and carnosine. In perspective, this study has contributed to the development of a new technology in vitro, and for the understanding cell-extracellular matrix interaction during the aging of skin.

L’allergie de contact est une pathologie de la peau particulièrement répandue dans les pays industrialisés. Aucune thérapie ne permet actuellement de la soigner et seule l’éviction de l’allergène permet de la prévenir. Historiquement, l’évaluation du potentiel sensibilisant des molécules mises sur le marché a toujours été réalisée au moyen de tests sur l’animal. Cependant, le champ d’action de ces tests est aujourd’hui limité en raison de la nouvelle législation européenne sur les cosmétiques. Dans ce contexte, le développement de méthodes alternatives ne reposant pas sur l’utilisation d’animaux devient capital. L’allergie de contact repose sur une étape chimique clé : la formation d’un complexe antigénique allergène-protéine capable d’activer le système immunitaire cutané. Le but de ce travail de thèse a été d’étudier le comportement in situ d’allergènes au sein d’épidermes reconstruits de type SkinEthic®. A l’aide d’une technique d’analyse non invasive, la spectroscopie RMN HRMAS, il a été possible de suivre le devenir de différents allergènes, de leur éventuelle activation par voie métabolique, jusqu’à leur fixation sur les protéines épidermiques. / Contact dermatitis is a skin pathology particularly prevalent in industrialized countries. No therapy currently exists and only complete avoidance of the particular allergen can prevent an allergic reaction. Historically, the assessment of skin sensitisation potential of molecules placed on the market was always carried out by animal testing. However, the scope of this testing method is now limited by the new European cosmetics legislation. In this way, the development of alternative methods, not based on animal experimentation, become an important issue. Contact dermatitis results of a chemical key step: the formation of an antigenic complex allergen-protein complexe able to activate the cutaneous immune system. The aim of this PhD work was to study the in situ behaviour of allergens in reconstructed human epidermis (SkinEthic® model). By using an appropriate non-invasive analysis technique, HR-MAS NMR spectroscopy, it has been possible to study the mode of action of different allergens, from their possible activation through the metabolic pathway to the binding with epidermal proteins.