Les Contrôleurs du VIH sont de rares individus capables de contrôler spontanément la réplication virale en l’absence de traitement. De nombreuses études montrent que les Contrôleurs développent des réponses T antivirales remarquablement efficaces. Les cellules T CD4+ spécifiques de Gag pourraient jouer un rôle particulier car cette population est préservée en comparaison aux patients traités et corrèle négativement avec la charge virale. Afin d’étudier cette population, nous avons réalisé une analyse transcriptionnelle et protéique multiplexée sur cellule unique, à partir de cellules T CD4+ détectées ex vivo par marquage tétramère de CMH-II contre le peptide Gag293 (Tet+). Nous avons comparé l’expression de 44 gènes et 6 protéines membranaires chez 9 patients Contrôleurs et 9 patients traités. Nous avons d’une part validé la forte fréquence de cellules T CD4+ Tet+ chez les Contrôleurs en comparaison aux patients traités et, d’autre part, montré que les cellules T CD4+ Tet+ des Contrôleurs, étaient activées et engagées dans une différenciation Th1 avancée et présentant un profil cytotoxique. De plus, les cellules T CD4+ Tet+ de Contrôleurs ont montré un état d’épuisement limité, reflété par une expression faible de PD-1, qui pourrait être l’une des raisons du maintien de leur fréquence et de leurs fonctions. Dans une deuxième étude, nous avons étudié les cellules T folliculaires « helper » (Tfh) dans la population T CD4+ spécifique de Gag chez les Contrôleurs du VIH. Les Tfh jouent un rôle essentiel dans la maturation d’affinité des anticorps en aidant les cellules B. Afin de déterminer si ce sous-type cellulaire joue un rôle dans le contrôle de l’infection à VIH, nous avons analysé le phénotype et la fonction des Tfh circulantes (cTfh) : cellules T CD4+ CD45RA- CXCR5+). Nous avons utilisé un marquage tétramère de CMH-II contre le peptide Gag293, pour détecter les cTfh spécifiques du VIH (cTfh Tet+), et nous avons montré que cette population est préférentiellement maintenue chez les Contrôleurs du VIH. L’analyse phénotypique de la population cTfh Tet+ a montré une intensité d’expression (MFI) de PD-1 plus importante dans le groupe de patients traités, suggérant une activation immune anormale chez ces patients. La fonction des cTfh, analysée pour leur capacité à induire la sécrétion d’IgG en coculture avec des cellules B mémoires autologues, n’a pas montré de différences majeures entre les groupes en terme de production d’IgG totales. Cependant, la production d’IgG spécifiques anti-VIH est significativement plus efficace chez les Contrôleurs, en particulier pour la réponse anti-Env qui est plus de 30 fois supérieure à celle des patients traités. Enfin, la fréquence des cTfh Tet+ a corrélé positivement avec la production d’IgG spécifiques, supportant l'idée d'un rôle important de la fonction Tfh dans la réponse humorale anti-VIH. L’ensemble de ces résultats indique que la population T CD4+ spécifique de Gag supporte chez les Contrôleurs les deux bras de la réponse immunitaire antivirale : d’une part, une réponse de type cellulaire Th1 montrant un profil cytotoxique et, d’autre part, une réponse de type humorale, reflétée par des interactions cTfh/B préservées, résultant en une réponse B mémoire vigoureuse. Le maintien de la fonction et de la fréquence de ces cellules spécifiques de Gag pourrait donc jouer un rôle important dans le contrôle du VIH / HIV Controllers are rare individuals able to spontaneously control viral replication in the absence of treatment. Several studies showed that controllers develop effective anti-viral T cell responses. Gag-specific CD4+ T cells could play a particular role in HIV control, because this population is preserved in comparison with the treated patients and correlates negatively with the viral load. In order to study this population, we performed a multiplexed single cell transcriptional and protein analysis from CD4+ T cells detected ex vivo by MHC-II tetramer labeling against the Gag293 peptide (Tet+). We compared the expression of 44 genes and 6 surface proteins in 9 Controllers patients and 9 treated patients. Firstly, we validated the high frequency of Tet+ CD4+ T cells in controllers compared to the treated patients, then we showed that Tet+ CD4+ T cells from controllers were activated and engaged in advanced Th1 differentiation with a cytotoxic profile. In addition, Tet+ CD4+ T cells from controllers showed a limited state of exhaustion, reflected by a lower expression of PD-1, which could be one of the reasons for maintaining their frequency and functions. In a second study, we studied follicular helper T cells (Tfh) among the Gag-specific CD4+ T cell population of HIV controllers. Tfh plays an essential role in the affinity maturation of the antibody response by providing help to B cells. To determine whether this CD4+ T cell subset may contribute to the spontaneous control of HIV infection, we analyzed the phenotype and function of circulating Tfh (cTfh: T cells CD4+ CD45RA- CXCR5+). We performed a MHC-II tetramer labeling against Gag293 peptide to detect HIV-specific cTfh (cTfh Tet +), and showed that this population is preferentially maintained in HIV controllers. Phenotypic analysis of Tet+ cTfh population showed a higher intensity of PD-1 expression (MFI) in the treated group suggesting abnormal immune activation in these patients. The function of cTfh, analyzed by the capacity to promote IgG secretion in cocultures with autologous memory B cells, did not show major differences between groups in terms of total IgG production. However, the production of HIV-specific IgG is significantly more efficient in the controller group, especially for the anti-Env response that is more than 30-fold greater than those of the treated patients. Finally, the frequency of Tet+ cTfh correlated positively with the production of specific IgG, supporting the idea of an important role of Tfh function in the humoral antiHIV response. Taken together, these results indicate that Gag-specific CD4+ T cell population supports the two arms of the antiviral immune response in HIV controllers: the cell-mediated response through a preferential differentiation toward Th1 cell type showing a cytotoxic profile, and the humoral response, reflected by preserved cTfh / B interactions, resulting in a vigorous memory response. Maintaining the function and frequency of these Gag-specific CD4+ T cells could therefore play an important role in HIV control

L’injection de cellules immunologiquement compétentes à un hôte histo-incompatible amène une réaction qui peut se traduire par la maladie du greffon-contre-l’hôte (GVHD). La GVHD demeure une barrière importante à une utilisation plus répandue de la greffe allogénique de cellules hématopoïétiques (AHCT), pourtant un traitement efficace pour traiter de nombreuses maladies. Une meilleure compréhension des mécanismes qui sous-tendent cette pathologie pourrait en faciliter le traitement et la prévention. L’Interféron-gamma (IFN-γ) et le Transforming Growth Factor-béta (TGF-β) sont deux cytokines maîtresses de l’immunité impliquées dans la fonction et l’homéostasie des cellules greffées. Nous démontrons chez la souris que l’IFN-γ limite la reconstitution lympho-hématopoïétique de façon dose-dépendante en mobilisant des mécanismes d’apoptose et en inhibant la prolifération cellulaire. Le TGF-β est quant à lui généralement connu comme un immunosuppresseur qui contrôle l’immunité en utilisant plusieurs voies de signalisation. Le rôle relatif de ces voies en AHCT est inconnu. Nous avons étudié une de ces voies en greffant des cellules provenant de donneurs déficients pour le gène SMAD3 (SMAD3-KO), un médiateur central de la voie canonique du TGF-β, à des souris histo-incompatibles. Bien que l’absence de SMAD3 ne cause aucune maladie chez nos souris donneuses, l’injection de cellules SMAD3-KO amène une GVHD du colon sévère chez le receveur. Cette atteinte est caractérisée par une différenciation Th1 et une infiltration massive de granulocytes témoignant d’un rôle central de SMAD3 dans la physiologie des lymphocytes T CD4 et des cellules myéloïdes. Nous avons focalisé ensuite nos efforts sur le rôle de SMAD3 chez les lymphocytes T CD4 en sachant que SMAD3 était actif chez les lymphocytes T CD4 tolérants. Nous avons découvert que SMAD3 était rapidement inactivé après une activation des cellules T, suggérant que l’inactivation de SMAD3 était fonctionnellement importante pour briser l’état de tolérance. Des études de micro-puces d’ADNc nous ont montré que SMAD3 contrôlait en effet l’expression de nombreux transcrits de gènes connus comme étant reliés à la tolérance et/ou à des processus biologiques dont les rôles dans le maintien de la tolérance sont plausibles. / The injection of immuno-competent cells into a histo-incompatible host can result in the development of Graft-versus-Host disease (GVHD). GVHD is the most significant barrier to a more widespread use of allogeneic hematopoietic cell transplantation (AHCT), a potent treatment for several diseases. A better understanding of the pathophysiological underpinnings of GVHD would facilitate the design of rational approaches to treat and prevent this complication of AHCT. Gamma-interferon (IFN-γ) and Transforming Growth Factor-beta (TGF-β) are master cytokines of immunity and have a role in the function and homeostasis of transplanted cells. Using a murine model, we show that IFN-γ curtails lympho-hamatopoitic reconstitution in a dose-dependent fashion by increasing apoptosis and by limiting donor cell proliferation. TGF-β is an immunosuppressive cytokine that controls immune cells through multiple signaling pathways. The relative contribution of these pathways in AHCT is unknown. We specifically studied the role of one of these pathways by transplanting SMAD3 deficient cells (SMAD3-KO) in histo-incompatible hosts. SMAD3 is a key mediator of the so-called canonical TGF-β signaling pathway. Although SMAD3-KO donor mice are healthy, the injection of SMAD3-KO cells leads to severe GVHD in the hosts, characterized by intestinal involvement associated with Th1 skewing and massive granulocyte infiltration. These findings hint at a crucial role for SMAD3 in CD4 T-cell and myeloid cell biology. We then focalized on the role of SMAD3 in CD4 T cells knowing that SMAD3 is active in tolerant, resting CD4 T cells. We found that SMAD3 was rapidly inactivated upon T cell activation, suggesting that SMAD3 inactivation was functionally important to break the state of tolerance. Our cDNA microarray experiments show that indeed, SMAD3 regulates the transcript levels of multiple genes known to be involved in T cell tolerance and in biological processes plausibly related to immune tolerance.

Submitted by Simone Souza (simonecgsouza@hotmail.com) on 2017-09-22T15:04:46Z No. of bitstreams: 1 DISS_2014_Samantha Soares Ourives.pdf: 1603897 bytes, checksum: 16aacb8659dc1e9902e5038014c2c0ac (MD5) / Approved for entry into archive by Jordan (jordanbiblio@gmail.com) on 2017-09-26T14:26:40Z (GMT) No. of bitstreams: 1 DISS_2014_Samantha Soares Ourives.pdf: 1603897 bytes, checksum: 16aacb8659dc1e9902e5038014c2c0ac (MD5) / Made available in DSpace on 2017-09-26T14:26:40Z (GMT). No. of bitstreams: 1 DISS_2014_Samantha Soares Ourives.pdf: 1603897 bytes, checksum: 16aacb8659dc1e9902e5038014c2c0ac (MD5) Previous issue date: 2014-04-25 / CNPq / A malária é uma das doenças parasitárias de maior importância global e é responsável pelas principais causas de morbidade e mortalidade nas áreas tropicais e subtropicais do mundo. Apesar dos esforços para o controle da infecção em diferentes áreas endêmicas, a malária continua em expansão, e as medidas tradicionais de controle da transmissão são pouco eficazes. A resposta imune na malária é complexa, e os mecanismos de ativação e regulação de linfócitos T e suas citocinas ainda são pouco compreendidos. O objetivo deste trabalho foi avaliar a correlação da parasitemia com o número de plaquetas e leucócitos, e identificar e quantificar as subpopulações específicas de células Th1, Th2, Th17 e Treg, durante a infecção por P. vivax. Avaliando a parasitemia e o número de plaquetas, foi verificado que existe correlação negativa (p<0,0005) entre esses parâmetros e que, dependendo da quantidade de parasitas, os pacientes com malária vivax apresentavam um maior grau de plaquetopenia (p<0,0001). Avaliando o número de parasitas e de leucócitos totais, foi verificada ausência de correlação entre esses parâmetros em pacientes com malária vivax. Além disso, também não foi detectada alteração no número de leucócitos totais quando comparado aos controles sadios. Posteriormente, foi realizada, por meio de citometria de fluxo, a identificação e quantificação das subpopulações de células T: Th1 (CD3+CD4+IFN-γ+), Th2 (CD3+CD4+IL4+), Th17 (CD3+CD4+IL-17+), Treg (CD4+CD25+CD127-) e citotóxica (CD3+CD8+), em pacientes com malária vivax e em controles sadios após cultura de linfócitos previamente isolados do sangue periférico, para verificar a alteração do número dessas subpopulações de linfócitos pela infecção por P. vivax. O percentual da citocina IL-10 também foi avaliado nas células Treg (CD4+CD25+CD127-IL-10+). Os indivíduos infectados por P. vivax apresentaram percentual de células T citotóxica e Th1 aumentadas. Já o percentual de células Th2, Th17 e Tregs não apresentaram diferenças entre os grupos. Porém, o percentual de células Treg que produziam a citocina IL-10 estava aumentado em pacientes com malária vivax, quando comparado aos controles sadios. Finalmente, a avaliação do número de células T CD4+ e T CD8+, indicou que não houve diferenças entre a proporção desses linfócitos em controles sadios e nem durante o processo infeccioso induzido por P. vivax. Em conclusão, pacientes com malária vivax apresentam um aumento no número de células T citotóxicas, Th1 e de células Treg (CD4+CD25+CD127-) produtoras de interleucina-10, indicando que a infecção por P. vivax ativa células específicas que podem participar na imunorregulação contra esse parasita. / Malaria is a parasitic disease of major global importance and is responsible for leading causes of morbidity and mortality in tropical and subtropical areas of the world. Despite efforts to control the infection in different endemic areas, malaria continues to expand, and the traditional transmission control measures are ineffective. The immune response in malaria is complex, and the mechanisms of activation and regulation of T lymphocytes and their cytokines are still poorly understood. The objective of this study was to evaluate the correlation of parasitemia with the number of platelets and leukocytes, and identify and quantify specific subpopulations of Th1, Th2, Th17 and Treg cells in infection by P. vivax. Evaluating the parasitemia and the number of platelets was verified that there is a negative correlation (p<0,0005) between these parameters and that, dependent of the number of parasites, vivax malaria patients showed higher degree of thrombocytopenia (p<0,0001). Evaluating the number of parasites and total leukocytes was observed no correlation between these parameters in patients with vivax malaria. Moreover, it was also not detected change in the number of total leukocytes when compared to healthy controls. Subsequently, was performed by flow cytometry, identification and quantification of T cell subsets: Th1 (CD3+CD4+IFN-γ+), Th2 (CD3+CD4+IL4+), Th17 (CD3+CD4+IL-17+), Treg (CD4+CD25+CD127-) and cytotoxic (CD3+CD8+) in patients with vivax malaria and healthy controls after lymphocyte culture previously isolated from peripheral blood, to verify the change in the number of these subpopulations lymphocytes by infection with P. vivax. The percentage of IL-10 was also evaluated on Treg cells (CD4+CD25+CD127+IL-10). Individuals infected with P. vivax showed increased percentage of Th1 and cytotoxic T cells. The percentage of Th2, Th17 and Treg cells did not differ between groups. However, the percentage of Treg cells that produce IL-10 cytokine was increased in patients with vivax malaria compared to healthy controls. Finally, the evaluation of the number of CD4+ T and CD8+ T cells indicated that there were no differences between the proportion of these lymphocytes in healthy controls or during the infectious process induced by P. vivax. In conclusion, vivax malaria patients show an increase in the number of cytotoxic T cell, Th1 and Treg cells (CD4+CD25+CD127-) producers of interleukin-10, indicating that infection with P. vivax activate specific cells which can participate in the immunoregulation against this parasite.

As doenças periodontais (DP) afetam os tecidos de suporte dos dentes e são desencadeadas por micro-organismos gram-negativos anaeróbios presentes no biofilme periodontal. A evolução da doença é influenciada pela resposta inflamatória e imunológica do hospedeiro e envolve a participação de diversos tipos celulares, que atuam no micro ambiente local modulando a resposta do hospedeiro em busca do controle da infecção. Acredita-se que citocinas inflamatórias, quimiocinas e seus receptores estão envolvidos na migração celular para os tecidos periodontais, contudo, pouco se sabe sobre os mecanismos de determinação de resistência ou susceptibilidade às DP; ou no desencadeamento do dano tecidual decorrente da resposta. Neste projeto, avaliou-se o papel das células CCR5+ na DP experimental induzida pela inoculação oral de Aggregatibacter actinomycetemcomitans em camundongos C57BL/6 wild type e camundongos CCR5-knockout. Os resultados mostram que a maioria das células CCR5+ possuem fenótipo compatível com células T do subtipo Th1, devido a co-expressão de CD3 e CXCR3; além de co-expressarem RANKL. Na ausência das células CCR5+, houve uma significativa diminuição da migração de células inflamatórias totais e RANKL+ para os tecidos periodontais, diminuição da reabsorção óssea alveolar, diminuição dos níveis de expressão de citocinas pró-inflamatórias TNF&#945;-, IL-1&#946; e IFN-&#947;, assim como diminuição na expressão de MMP-1, MMP-2 e MMP-13. Sua ausência não interferiu no controle da infecção periodontal apesar da diminuição dos níveis de iNOS. Estes resultados conduzem à conclusão de que a maioria das células CCR5+ são células T do subtipo Th1, que atuam como importantes moduladoras das citocinas TNF&#945;-, IL-1&#946; e IFN-&#947;, das metaloproteinases de matriz MMP-1, MMP-2 e MMP-13, e que também expressam e modulam a expressão de RANKL, tendo participação importante na imunopatogenese da DP experimental, sem interferir no controle da infecção periodontal. Estes fatos tornam as células CCR5+ potenciais alvos para intervenção terapêutica visando ao controle das doenças periodontais. / The periodontal diseases (PD) affect the supportive tissues of the teeth and are triggered by periodontopathogens present in the dental biofilm. The clinical outcome is highly influenced by the host inflammatory and immune response with participation of many cellular types, that act in the local microenvironment modulating the host response to control the infection. Inflammatory cytokines, chemokines and its receptors are thought to be involved in the cellular migration to the periodontal tissues, but there is little knowledge about the mechanisms of determination of resistance or susceptibility to the PD and in the triggering of tissue damage by immune response components. This study evaluated the role of CCR5+ cells in the experimental PD induced by oral inoculation of Aggregatibacter actinomycetemcomitans in C57BL/6 wild type mice and CCR5-knockout mice. The phenotypic analysis of inflammatory infiltrate demonstrated that the most of CCR5+ cells coexpress CD3 and CXCR3, suggesting a phenotype compatible with Th1-type cells, and also co-express RANKL. In the absence of CCR5+ cells there was a significant overall reduction of inflammatory cells and RANKL+ cells influx to the periodontal tissues, reduction in the alveolar bone resorption, reduction in the levels of pro-inflammatory cytokines TNF&#945;-, IL-1&#946; and IFN-&#947; expression, as a reduction in the expression of MMP-1, MMP-2 and MMP-13. The absence of CCR5+ cells did not impair the control of periodontal infection, despite the reduction of iNOS levels. In conclusion, these data demonstrate that the most of CCR5+ cells are Th1 cells, which act as important modulators of TNF&#945;-, IL-1&#946; and IFN-&#947;, MMP-1, MMP- 2 and MMP-13 levels, and which also express and modulate the expression of RANKL, playing an important role in the immunopathogenesis of experimental PD, without impairing the control of periodontal infection. These facts point to CCR5+ cells as potentials targets to therapeutic interventions aimed to control periodontal diseases.

Diabetes tipo 1 (DM1) e uma doenca autoimune que se inicia devido a defeitos na tolerancia imunologica a auto-antigenos, resultando na destruicao autoimune das celulas pancreaticas em individuos geneticamente suscetiveis. Os receptores NOD-like (NLRs) sao receptores intracelulares responsaveis pelo reconhecimento de padroes moleculares associados a patogenos (PAMPs) e padroes moleculares associados ao dano (DAMPs). Estudos recentes tem demonstrado que os receptores NOD1 e NOD2 desempenham um importante papel na ativacao da imunidade inata contra patogenos e na regulacao da imunidade adaptativa, uma vez que sua ativacao leva a producao de citocinas relacionadas a diferenciacao de linfocitos T auxiliares produtores de IL-17 (Th17). Porem, a importancia desses receptores no DM1 ainda e incerto. Nesse sentido, investigamos o papel dos receptores NOD1 e NOD2 na patogenese do DM1, com enfoque na diferenciacao de linfocitos Treg/Th17/Th1 e na plasticidade desses subtipos celulares. Nossos resultados mostram que camundongos deficientes de NOD2, mas nao NOD1 ou RIP2, sao resistentes ao DM1, como comprovado por menor incidencia, hiperglicemia, diminuicao do infiltrado inflamatorio e normalizacao dos niveis de insulina quando comparado aos controles. Foi observado tambem que animais NOD2-/- tiveram uma reducao da populacao de linfocitos Th17, Tc17, Th1 e T citotoxicos nos linfonodos pancreaticos, o que correlaciona com a inibicao da producao de IL-23p19 e IFN- no pancreas. Em paralelo, foi evidenciado o aumento do numero de celulas T reguladoras, macrofagos do perfil M2 nos linfonodos pancreaticos e elevada producao de IL-10 no pancreas de animais NOD2-/-. Alem disso, foi observado que animais NOD2-/- apresentaram uma menor populacao de linfocitos T duplo-positivos (Foxp3+RORt+ e IL-17+IFN+). Posteriormente, foi detectado menor producao de IL- 1, IL-6, IL-23p19 e IL-12p40 por celulas dendriticas de animais deficientes de NOD2. De forma interessante, foi observada a translocacao de bacterias para os linfonodos pancreaticos de animais diabeticos. Adicionalmente, animais tratados com antibioticos tornaram-se resistentes ao DM1, o que nos fornece indicios da contribuicao da microbiota intestinal na inducao da doenca. Por fim, comprovamos alta expressao genica de NOD2 nos linfonodos pancreaticos e no pancreas na fase inicial (pre-diabetica) em outro modelo de DM1, utilizando camundongos NOD (nonobese diabetic mice). Portanto, nossos dados indicam que a ativacao do receptor NOD2 por componentes bacterianos da microbiota intestinal induz a producao de citocinas pro-inflamatorias com subsequente diferenciacao/conversao de linfocitos do perfil Th17/Th1 e progressao do DM1. Dessa forma, estes dados apontam o bloqueio do receptor NOD2 como uma potencial terapia imunomoduladora para o DM1 em humanos. / Type 1 diabetes is an autoimmune disease that precipitates due to defects in the self tolerance to auto- antigens, resulting in the autoimmune destruction of the pancreatic cells in genetically susceptible individuals. NOD-like (NLRs) receptors are intracellular receptors responsible for the recognition of pathogen associated molecular patterns (PAMPs) and damage associated molecular patterns (DAMPs). Recent studies have shown a role of NOD1 and NOD2 receptors in the innate immune response against pathogens and in the adaptive immune response, since its activation leads to the generation of cytokines related to the differentiation of IL-17-producing T helper cells (Th17). However, the role of these receptors in T1D remains elusive. Therefore, we investigated the role of NOD1 and NOD2 receptors in the pathogenesis of T1D, focusing on the differentiation of Treg/Th1/Th17 lymphocytes and in the plasticity of these subtypes. Our data demonstrate that NOD2-/- mice, but not NOD1-/- or RIP2-/-, are resistant to T1D, as shown by the lower incidence, hyperglycemia, less insulitis and normal insulin production when compared to wild type mice. It was also observed that NOD2-/- mice have a reduction in the Th17, Tc17, Th1 and cytotoxic T lymphocyte population within the pancreatic lymph nodes (PLNs), which correlates with the inhibition of IL-23p19 and IFN production in the pancreas. In parallel, there was an increase in Treg cells, M2 macrophages in the PLNs and IL-10 production in the pancreatic tissue of NOD2-/- mice. Also, NOD2-/- mice presented a downregulation of Foxp3+RORt+ and IL-17+IFN+ double-positive T cells. Later, it was shown that IL-1, IL-6, IL-23p19 and IL-12p40 production was downregulated in mice deficient to the NOD2 receptor. Interestingly, we observed a bacterial translocation to the pancreatic lymph nodes in diabetic mice, what could be triggering NOD2 activation, thus contributing to T1D development. As expected, mice pre-treated with antibiotics failed to become diabetic, suggesting a possible role of the gut microbiota in the development of the disease. Lastly, we observed a higher relative expression of NOD2 in the PLNs and pancreas of pre-diabetic mice, using another mouse model of the disease, the nonobese diabetic (NOD) mouse. Collectively, our data suggest that components from the gut microbiota are capable of translocating to the PLNs, thus triggering the activation of NOD2, which in turn induces the production of proinflammatory cytokines related to the differentiation of Th1/Th17 cells, thus contributing to T1D development in a mouse model of the disease. Therefore, the blockade of NOD2 appears as an interesting therapeutical target in the treatment of type 1 diabetes in humans.

A malária permanece um sério problema de saúde em países subdesenvolvidos. O estágio sanguíneo da infecção é responsável por todos os sintomas associados com a malária. Recentemente, tem sido mostrado que receptores imunes inatos são capazes de detectar sinais de dano, tais como a adenosina trifosfato ATP. O receptor P2X7 detecta altas concentrações de ATP extracelular. Ao avaliarmos a parasitemia e os parâmetros clínicos da doença em camundongos C57BL/6 e P2X7-/-, observamos uma semelhança em ambos os grupos até o dia 7 p.i., mas após este período os camundongos P2X7-/- tiveram dificuldade de controlar a parasitemia e restaurar os parâmetros clínicos. O ineficiente controle da parasitemia durante o período agudo e crônico em camundongos P2X7-/- foi associado com a baixa produção de IFN&#947;. Além disso, o receptor P2X7 aumenta a expressão de T-bet em células Th1 e controla o número de células Tfh. Este estudo mostra que o equilíbrio mediado pelo receptor P2X7 entre os fatores de transcrição Bcl-6 e T-bet ajusta a imunidade celular e humoral na malária. / Malaria remains a serious healthcare problem in developing countries. The blood stage of infection is responsible for all symptoms associated with malaria. Recently, it has been shown that innate immune receptors are able to detect signals as adenosine triphosphate (ATP). P2X7 receptor detects high levels of extracellular ATP. Evaluating the parasitemia and clinical parameters in C57BL/6 (B6) and P2X7-/- mice, we observed a similarity in both groups to day 7 p.i., but after this period the P2X7-/- mice had difficulty in controlling the parasitemia and restoring the clinical parameters. The inefficient parasite control in acutely and chronically infected P2X7-/- mice was associated with low production of IFN&#947;. Furthermore, P2X7 receptor increases the expression of T-bet in Th1 cells and controls the Tfh cell number. This study provides a new insight into immunology by showing that the balance between T-bet and Bcl-6 transcriptional factors tunes the cellular and humoral immunity in malaria.

0 objetivo deste trabalho foi definir se a carga parasitaria na fase aguda da doenga de Chagas experimental afeta a parasitemia, a patologia e a resposta imune na fase cr6nica. Para obtengelo de diferentes cargas parasitoirias na fase aguda, camundongos A/J foram infectados corn 103 OU 105 formas tripomastigotas de T. cruzi e analisados urn ano depois. Os animais cr6nicos infectados corn 105 formas tripomastigotas apresentaram maior nivel de parasitemia residual, maior intensidade de inflamagclo no coragtio e no moscuio esquel6tico e maior grau de ativa95o do sistema imune do que os animais infectados corn 103 formas. Em reiagclo aos parametros imuno16gicos analisados, observou-se nos animais infectados corn 105 formas: i) expansio das populag6es B220-CD5- e CD8\'; ii) freq0@ncia maior de blastos nas populag6es linfocit@rias B220\', CD8\' e CD4\'; iii) mudanga acentuada nas c61ulas CD4+ para o fen6tipo CD4+CD45RBI-ow, indicando urn aumento das c61ulas efetoras elou de mem6ria; iv) freqGC=ncias elevadas de blastos CD4+CD45RB Hig\' e CD4+CD45RB Low; vi) nomero superior de c61ulas secretoras de lg principaimente IgG2a; v) niveis superiores de anticorpos IgG2a e IgGl especificos e vii) maior produgclo de IFN-Y e de IL-4. Estes resultados indicam que a carga parasitaria na fase aguda da infecggto influencia a ativagclo do sistema imune e o desenvolvimento da patologia na fase cr6nica da doenga de Chagas. / The objective of this project is to evaluate if the parasite load in the acute phase experimental Chagas\' disease affects the parasitemias, the pathology and the immune response in the chronic phase. To obtain low- and high-parasite loads in the acute phase of the disease, AlJ mice were infected with 103 or 105 T. cruzi trypomastigotes of the Y strain, and treated on day 6 with Benzonidazol. One year later, chronic mice were screened for subpatent parasitemias, tissue pathology and immune response. Mice infected with the high parasite inoculum showed higher levels of chronic parasitemias, heart and striated muscle inflammation and activation of the immune system when compared to mice infected with the low¬dose inoculum. Concerning the activation of the immune system, the main findings in high-dose infected mice were: i) increased numbers of splenocytes, with preferential expansion of CD8+ and B220-CDS- cells, many of them bearing a macrophage phenotype; ii) higher frequencies of B (B220+), CD4+ and CD8+ large lymphocytes; iii) a shift of CD4+ cells towards a CD4SRBLow phenotype; iv) increased frequencies of both CD4SRBLow and CD4SRBHigh large CD4+ cells; v) augmented numbers of total Ig-secreting cells, with predominance of IgG2a¬producing cells, and; vi) increased production of IFN-y and IL-4. In addition, these mice presented lower IgM and higher IgG2a and IgG1 parasite-specific serum antibody levels. Our results indicate that the parasite load at the acute phase of T. cruzi infection influences the activation of the immune system and development of Chagas pathology at the late chronic phase of the disease.

Produzida por macrófagos e células dendríticas, a IL-27 é uma citocina heterodimérica capaz de induzir células Tr1 produtoras de IL-10 e consequentemente regular linfócitos Th1, Th2 e Th17, dependendo da doença envolvida. Partindo-se do pressuposto de que a infecção causada por Trypanosoma cruzi normalmente induz miocardite refletida pela migração intensa de linfócitos Th1 para o tecido cardíaco, nós analisamos o papel regulador da IL-27 nesta condição inflamatória. Nós inicialmente verificamos que a IL-27 foi prontamente induzida in vitro em células infectadas com T. cruzi. Para gerar miocardite intensa coordenada por linfócitos Th1, nós polarizamos linfócitos T naïves para o padrão Th1 na ausência de moléculas relacionadas ao perfil Th17 (camundongos IL-17R-/-, IL-23-/- e IL-6-/-). Como esperado, a inflamação cardíaca intensa e o dano tecidual foram observados na ausência das moléculas do padrão Th17, o que contribuiu para a morte prematura dos animais IL-17R-/-, IL-23-/- e IL-6-/-, precisa e notoriamente pela indução da migração excessiva de linfócitos Th1 para o tecido cardíaco via CXCL-9 e CXCL-10. Para explorar os mecanismos pelos quais a IL-27 controla a miocardite induzida pelo T. cruzi, nós encontramos um recrutamento substancial de macrófagos produtores de IL-27 para o tecido cardíaco, o qual foi mediado pelas quimiocinas CCL3 e CCL4 na ausência de moléculas do padrão Th17. Para determinar quais os receptores necessários para a produção de IL-27, nós observamos que macrófagos derivados da medula óssea de camundongos deficientes de TLR4-/-, TLR9-/- e NLRP3-/- aboliram completamente a produção desta citocina após a infecção in vitro com T. cruzi, enquanto o receptor TLR2 foi dispensável. Nós também verificamos que macrófagos produtores de IL-27 suprimiram linfócitos Th1 através da indução de células Tr1 produtoras de IL-10 após a infecção com T. cruzi. Em seguida, nós avaliamos se a IL-27 foi correlacionada com a proteção cardíaca durante a doença de Chagas. Nós observamos níveis séricos elevados de IL-27 tanto em pacientes com a forma clínica indeterminada ou cardíaca leve, enquanto pacientes com cardiomiopatia moderada ou grave produziram níveis reduzidos de IL-27. Neste estudo, nós descrevemos um novo mecanismo regulador desempenhado por macrófagos produtores de IL-27 no controle da miocardite induzida por T. cruzi. Macrófagos produtores de IL-27 podem suprimir processos inflamatórios desencadeados por linfócitos Th1, os principais vilões na doença de Chagas. / IL-27 is a heterodimeric cytokine produced by macrophages and dendritic cells known to induce IL-10-producing Tr1 cells and to regulate Th1, Th2, and Th17 lymphocytes, depending on the underlying disease. Because the infection caused by Trypanosoma cruzi normally induces myocarditis mirrored by an outstanding migration of Th1 cells to the heart tissue, we analyzed the regulatory role of IL-27 in this inflammatory condition. We firstly verified that IL-27 was promptly induced by in vitro T. cruzi-infected spleen cells. To generate a robust myocarditis coordinated by Th1 lymphocytes, we polarized lymphocytes to a Th1 pattern by infecting mice in the absence of Th17-related molecules (IL-17R-/-, IL-23-/-, and IL-6-/- mice). As expected, an impressive cardiac inflammation and damage was observed in the absence of Th17-related molecules, leading IL-17R-/-, IL-23-/-, and IL-6-/- mice to the premature death, precisely and notably by inducing an exuberant Th1 migration to the heart tissue via CXCL9 and CXCL10 chemokines. To explore the mechanisms by which IL-27 controls T. cruzi-induced myocarditis, we found a striking recruitment of IL-27-producing macrophages to the heart tissue mediated by increased levels of CCL3 and CCL4 chemokines in the absence of Th17-associated molecules. To gain further insights into the receptors required to IL-27 production, we observed that bone marrow-derived macrophages from TLR4-/-, TLR9-/-, and NLRP3-/- mice completely abolished IL-27 production after in vitro T. cruzi infection, while TLR2 was dispensable. We also verified that IL-27-producing macrophages supressed Th1 lymphocytes by inducing IL-10-producing Tr1 cells after T. cruzi infection. We next assessed whether IL-27 was correlated to cardiac protection during Chagas Disease. We observed augmented serum levels of IL-27 in either patients with indeterminate (asymptomatic) form or mild cardiac form, whereas patients with moderate or severe cardiomyopathy were poor producers of IL-27. Here, we described a novel regulatory mechanism developed by IL-27-producing macrophages in the control of T. cruzi-induced myocarditis. IL-27-producing macrophages can suppress inflammatory processes caused by Th1 lymphocytes, the bona fide culprits of Chagas Disease.

La Néphropathie à IgA est la glomérulonéphrite primitive la plus fréquente, responsable d’une évolution vers l’insuffisance rénale terminale dans 10 à 30% des cas après 20 ans d’évolution. Les déterminants de cette maladie sont nombreux, impliquant de multiples acteurs de l’inflammation, qu’ils soient cellulaires ou humoraux. La physiopathologie générale de la maladie est actuellement considérée comme se déroulant en quatre « coups », (i) la production d’IgA1 polymériques présentant un déficit de galactosylation de la région charnière, (ii) l’existence d’un élément circulant capable de complexer ces IgA1 anormales, pouvant être une IgG anti-glycane ou la portion soluble du récepteur de type I aux IgA (sCD89), (iii) la constitution de complexes immuns circulants et (iv) le dépôt glomérulaire de ces complexes, générant des lésions inflammatoires puis cicatricielles responsables de l’évolution vers la maladie rénale chronique. La médiation inflammatoire est impliquée à différents niveaux comprenant entre autres le rôle de l’infiltration de macrophages dans le tissu rénal, l’orchestration de cette réponse inflammatoire glomérulaire par les sous-populations de lymphocytes T et l’importance de l’activation du complément sur le déterminisme des lésions glomérulaires inflammatoires médiées par les complexes immuns déposés. Au cours de ce travail de thèse, l’implication de ces différents acteurs a été explorée. Les macrophages expriment le récepteur de type I aux IgA (CD89, issu du gène FCAR), dont une mutation de la portion intracytoplasmique modifie in vitro la transduction du signal. La première étude a visé à évaluer sur une grande cohorte rétrospective l’impact de cette mutation sur le risque d’occurrence de la maladie ainsi que son impact pronostique. Le rôle des sous-populations T a été abordé au cours d’une seconde étude, suivant l’hypothèse que l’orientation pro inflammatoire au cours de la NIgA pourrait être liée à un déficit de régulation par une sous-population de lymphocytes T, les Tregs. Cette étude prospective a évalué la représentation de la sous-population CD4+CD25+CD127low et le profil d’expression génique de gènes prototypiques des sous-populations Th1, Tregs et Th17. Le rôle du complément comme médiateur inflammatoire à l’interface entre les complexes immuns à IgA1 et les cellules mésangiales a été exploré par une étude in vitro. La mutation 844 A->G de FCAR n’a pas été associée à un risque supplémentaire de développer la maladie et n’impactait pas le pronostic des patients. L’étude des lymphocytes T n’a pas montré de différence de quantité de cellulesCD4+CD25+CD127low entre patients et volontaires sains et ne suggérait qu’une tendance en faveur d’un déficit fonctionnel de régulation (plus faible expression des gènes FoxP3, IL10, TGFβ chez les patients). Enfin, des fragments issus de l’activation et de la protéolyse par le facteur I de C3 ont été mis en évidence par immunoblot et spectrométrie de masse au sein des complexes immuns générés artificiellement en présence de serum. Ces études suggèrent qu’une modification du rôle fonctionnel du CD89 n’impacte pas le devenir de la NIgA, ce qui est en défaveur d’un rôle critique de ce récepteur dans la pathogénie de la maladie. La tendance au déficit fonctionnel Tregs nécessite d’être confirmée au sein d’un effectif plus conséquent et présentant une forme plus active de la maladie, mais elle corrobore deux autres études comparables dans leur méthodologie. Enfin, le rôle du complément se situe à l’interface entre les complexes immuns et les effecteurs inflammatoires glomérulaires tels que les cellules mésangiales / IgA Nephropathy (IgAN) is the most common primary glomerulonephritis, leading to end stage renal failure in 10 to 30% of cases after 20 years. This disease is determined by numerous inflammatory players, including cells and molecules. The pathogeny of the disease is likely to be driven by a 4 « hits » model, (i) increased systemic production of aberrantly O galactosylated polymeric IgA1, (ii) the existence of circulating abnormal IgA1 binding element, which could be either an anti-glycan IgG or the soluble fragment of the main IgA receptor (sCD89), (iii) the formation of circulating immune complexes, and (iv) the glomerular deposition of these complexes, that accounts for a variable local inflammation leading to scarring processes and finally to the chronic kidney disease. Inflammatory mechanisms operate at several levels, including the macrophage cells infiltration in the kidney tissue, the orchestration of the immune response by T-cells subsets, including regulatory T-cells, and the role of complement activation to induce the glomerular inflammatory response from the immune complexes deposition. In the present work, we aimed to explore the implication of these inflammation response players. Macrophages express the type I IgA receptor (CD89, downstream from its gene FCAR), whose function can be affected in vitro by a common mutation of its intracytoplasmic portion. A first study evaluated the impact of this mutation on the risk to develop the disease as well as on the global prognosis. A second study evaluated the role of T-cell subsets during IgAN, following the hypothesis that the pro-inflammatory balance of the disease could be a consequence of a defect in the immune regulation by the Tregs. This prospective study aimed to assessing the frequency of CD4+CD25+CD127low cells in peripheral blood and the characteristic gene expression profile from Th1, Th17 and Tregs subsets. The role of complement as an inflammatory player at the interface between IgA1 containing immune complexes and mesangial cells was explored by an in vitro study. The single nucleotide polymorphism 844 A->G of FCAR had no impact neither on disease risk of occurrence neither on the renal survival. The T-cell subsets study failed to demonstrate any difference in the proportion of CD4+CD25+CD127low cells and only suggested a defect in functional activity of Tregs, according to a lower expression of FoxP3, IL10, TGFβ genes. The third in vitro study demonstrated by immunoblot and mass spectrometry the presence of C3 breakdown products accompanying IgA1 based engineered immune complexes formed in presence of normal immunoglobulin depleted serum. The lack of effect of the mutation of FCAR on the IgAN prognosis is not in favour to a critical role of this receptor on the pathogeny of the disease. The trend in the functional defect of Tregs subset needs to be confirmed in a larger study, including patients with a more severe form of their disease. This result is however consistent with two other studies displaying a similar methodology. The role of complement is confirmed to be a key player, as it is likely to act at the interface between the IgAN particular immune complexes and mesangial cells

No presente trabalho investigamos a relevância dos mediadores lipídicos (Leucotrienos) gerados pela enzima 5-Lipoxigenase (5-LO) na susceptibilidade ou resistência de camundongos ao Melanoma experimental com células tumorais B16-F0, utilizando como modelo camundongos produtores de leucotrienos (129_WT) e camundongos geneticamente deficientes \"knockout\" de 5-LO (129_5-LO KO). Primeiramente, verificamos que leucócitos peritoneais provenientes de animais WT implantados com melanoma B16-F0, apresentam aumento da expressão do gene para 5-LO (Alox5). Nossos resultados mostram que animais 5-LO KO, deficientes de 5-LO são mais eficientes no controle da progressão do tumor e apresentam significativo aumento na sobrevivência, quando comparados a animais WT, produtores de 5-LO. A nossa análise do perfil imunológico em células esplênicas indicam que a maior eficiência dos camundongos 5-LO KO no controle do crescimento de células tumorais B16-F0 estariam associados à presença numérica aumentada de neutrófilos (Gr-1+), células apresentadoras de antígeno (I-Ab+) majoritariamente CD19+CD80+ e esplenócitos capacitados para produção de altos níveis de citocinas pró-inflamatórias/efetoras como a IL-6, TNF?, IFN-? e baixos níveis de citocinas regulatórias como IL-10, 15 dias pós-implantação do tumor; a rápida geração da resposta imune polarizada para produção elevada de citocinas Th1 (IFN-?), mas não, citocinas Th2 (IL-10) e presença de maiores números de linfócitos T CD4+ e CD8+ efetoras, expressando o fenótipo CD44high ou CD44highCD62Llow. Ainda, verificamos que a deficiência genética da 5-LO ou a inibição da 5-LO pelo MK886 em células LAK, aumenta significativamente sua atividade citotóxica em células do melanoma B16-F0. Nossos resultados em conjunto, indicam que leucotrienos gerados pela enzima 5-LO, modulam negativamente a geração de resposta imune protetora em camundongos para o Melanoma B16-F0. / In the present work we examine the contribution of 5-lipoxigenase-derived lipid mediators during experimental melanoma (B16-F0) in 5-LO gene knockout (KO) mice and wild-type (WT) mice. The 5-LO KO mice presented delayed tumor growth, lesser tumor volume and delayed mortality. The greater resistance of 5-LO KO mice correlated with the following: High splenic Gr-1+ leukocytes counts, High and dominant presence of splenic IAb+CD19+CD80+ antigen-presenting cells counts and capacity of spleen cell to produce high levels of IL-6, TNF-?, IFN-? and lower levels of IL-10 early after tumor cells implantation; rapid T-cell polarization to secret high quantities of Th1 type cytokine IFN-? and low quantities of Th2 type cytokine IL-10; rapid generation and greater numbers of CD4+ and CD8+ activated T cells expressing CD45RB or CD44 markers; and also CD4+ and CD8+ CD44high or CD44highCD62Llow effector T cells. Herein, IL-2 induced splenic LAK cells from 5-LO KO mice, compared with splenic LAK cells from WT mice, were more efficient at killing B16-F0 melanoma cells. The increased B16-F0 melanoma cells killing activity were also found by treatment of splenic LAK cells from WT mice with a 5-LO activity inhibitor, MK886. Our findings suggest that 5-LO deficiency altered antigen-presenting cells profile, IFN-? and IL-10 production during skin cancer disease favoring the generation of protective immune responses and also provide evidence that 5-LO-derived LTs negatively affect the host survival during experimental B16-F0 melanoma.