Idebenone is an antioxidant, a synthetic derivative of coenzyme Q10, with several applications, such as neuroprotection. However, this drug has low solubility in water, besides is irritant substance and has chemical instability. Hence, idebenone-loaded nano-organized systems have been developed, such as polymeric nanocapsules (NC). Vegetable oils containing antioxidants such as coconut oil and palm oil can be interesting for the composition of these particles. In this way, the aim of this work was to develop NC suspensions containing different oils as core (palm, coconut or medium chain triglycerides) for delivery of neuroprotective agent idebenone in order to compare the behavior of these systems concerning physico-chemical stability, photostability, controlled release, and conversion to redispersible solid dosage forms (lyophilized products). The nanocapsules were prepared by interfacial deposition of preformed polymer. As the results, it was possible to prepare poly(Ɛ-caprolactone) NC suspensions and palm oil (PO/PCL) or Eudragit® RS100 and coconut oil (OC/EUD) containing idebenone (1.0 mg/mL) with appropriate physico-chemical characteristics. Parameters such as the proportion of aqueous phase/organic phase, type of both surfactant (low HLB) and polymer influenced the optimization of these systems. For comparison, corresponding formulations were prepared with medium chain triglycerides (TCM/PCL or TCM/EUD), using the same conditions. The suspensions had an average diameter between 166 and 216nm, low polydispersity index (0.085 to 0.142), positive or negative zeta potential, depending on the characteristics of the polymer, and high encapsulation efficiency. The maintenance of average particle diameter and low polydispersity index have be verified during stability study (room temperature and exposed or not to light) for 75 days. However, the idebenone content significantly decreased in this period, with influence on the type of polymer. Thereafter, photostability study has shown that the suspensions NC OP/PCL (UVC/UVA) and TCM/PCL (UVA) were able to significantly reduce the degradation of idebenone (content: 53,7-76,1%) compared to an aqueous micellar (content: 31,2-63,1%) dispersion containing the drug. In addition, these systems were able to promoting drug controlled release (t1/2 26 h), without burst effect, showing monoexponential profile (t1/2< 3.0 h for free drug). The lyophilization of suspensions, employing trehalose as soluble carbohydrate, resulted in suitable and redispersible products (content of 96-100%, less than 3.6% moisture; 0.8-1.2 index), presenting several spherical structures, including in colloidal range, featuring the presence of NC in these dried products. In the stability study (room temperature/protection from light and moisture), it was observed that the lyophilized products were able to delay or decrease the degradation of idebenone compared to suspensions of origin, regardless of the both type of polymer (PCL/EUD) and oil (OP/OC/TCM). In conclusion, the developed systems are promising for the controlled release of neuroprotective drug idebenone. / A idebenona é um antioxidante, derivado sintético da coenzima Q10, com várias aplicações, como em neuroproteção. No entanto, este fármaco possui baixa solubilidade em água, potencial irritativo e instabilidade química, fato que tem despertado o interesse em sua associação a sistemas nano-organizados. Dentre estes, destacam-se as nanocápsulas poliméricas (NC). Óleos vegetais, contendo compostos antioxidantes, como óleo de coco e de palma, podem ser interessantes para a composição destas partículas. Neste sentido, o objetivo deste trabalho foi desenvolver suspensões de NC contendo diferentes óleos como núcleo (palma, coco ou triglicerídeos de cadeia média), almejando à veiculação do neuroprotetor idebenona, de forma a comparar o comportamento dos sistemas quanto à estabilidade físico-química, fotoestabilidade, controle de liberação, além da conversão em formas farmacêuticas sólidas redispersíveis (liofilizados). As NC foram preparadas pelo método de deposição interfacial de polímero pré-formado. Conforme os resultados, foi possível preparar suspensões de NC de poli(ε-caprolactona) e óleo de palma (OP/PCL) ou de Eudragit® RS100 e óleo de coco (OC/EUD), contendo idebenona (1,0 mg/mL), com características físico-químicas adequadas, sendo que fatores como proporção das fases aquosa/orgânica, tipo de tensoativo de baixo EHL e de polímero influenciaram a otimização dos sistemas. Para fins comparativos, formulações correspondentes foram preparadas com triglicerídeos de cadeia média (TCM/PCL ou TCM/EUD), empregando as mesmas condições. As suspensões apresentaram diâmetros médios entre 166 e 216 nm, baixos índices de polidispersão (0,085-0,142), potencial zeta positivo ou negativo, dependendo das características do polímero e elevada eficiência de encapsulamento. Quando estas suspensões foram submetidas a estudo de estabilidade, à temperatura ambiente e expostas ou não à luz, durante 75 dias, verificou-se manutenção dos diâmetros médios de partículas e baixos índices de polidispersão. Entretanto, o teor de idebenona decaiu significativamente neste período, com influência significativa do tipo de polímero. Após, estudo de fotoestabilidade demonstrou que as suspensões de NC OP/PCL (UVC/UVA) e TCM/PCL (UVA) foram capazes de reduzir significativamente a degradação da idebenona (teor remanescente: 53,7-76,1%) em comparação a uma dispersão micelar aquosa contendo o fármaco (teor remanescente: 31,2-63,1%), além de promoverem liberação controlada da mesma (t1/2 26 h), sem efeito burst, com perfil ajustado ao modelo monoexponencial (t1/2<3,0 h para fármaco livre). A liofilização das suspensões, empregando trealose, um carboidrato solúvel, resultou em produtos adequados (teor entre 96-100 %; umidade inferior a 3,6 %), redispersíveis (índice de ressuspensão entre 0,8-1,2) e com a presença de inúmeras estruturas esféricas, inclusive na faixa coloidal, caracterizando a presença das NC nestes produtos secos. No estudo de estabilidade (temperatura ambiente/proteção da luz e da umidade), observou-se que os produtos liofilizados foram capazes de retardar ou diminuir significativamente a degradação da idebenona em comparação às suspensões de origem, independentemente do tipo de polímero (PCL/EUD) e de óleo (OP/OC/TCM). Sendo assim, os sistemas desenvolvidos são promissores para a liberação controlada do neuroprotetor idebenona.

Estudos prévios demonstram que intervenções precoces levam a alterações comportamentais e neuroendócrinas na vida adulta. Nossos achados anteriores demonstram que animais manipulados no período neonatal consomem mais alimento palatável na vida adulta e apresentam um menor aumento do depósito de gordura abdominal, após exposição crônica a dieta palatável (chocolate) em relação aos animais intactos. Neste trabalho de tese, nosso objetivo foi avaliar os efeitos da manipulação neonatal sobre a preferência alimentar bem como sobre a regulação metabólica de ratas adultas. Para isso, investigamos parâmetros metabólicos e neuroquímicos em resposta à exposição crônica a uma dieta hipercalórica e palatável, assim como a um período de abstinência desse tipo de alimento em ratas fêmeas adultas expostas ou não à manipulação neonatal (10 min/dia, 10 primeiros dias de vida). A manipulação neonatal induziu maior ingestão de alimento palatável após um curto período de privação. Entretanto, o consumo durante a exposição crônica a essa dieta não diferiu entre os grupos experimentais. Também observamos que ratas fêmeas manipuladas, quando cronicamente expostas à dieta palatável na vida adulta, têm menor aumento da gordura abdominal e esse efeito persiste após a privação da dieta. Ratas não-manipuladas apresentaram níveis mais elevados de colinesterases no soro após exposição crônica a dieta palatável, entretanto, sem alterações na atividade de colinesterases no córtex cerebral. Foi identificado, após exposição crônica a dieta palatável, uma redução na atividade da enzima Na+,K+-ATPse no hipocampo e na amígdala e um aumento nos níveis plasmáticos de S100B em ratas não-manipuladas no período neonatal. Após as primeiras 24h de privação do alimento palatável, ratas fêmeas não-manipuladas demonstraram maior frequência de sinais de abstinência (tremores de cabeça) em comparação com ratas manipuladas no período neonatal. Assim, esses achados sugerem que a manipulação neonatal determina alterações persistentes no comportamento alimentar e previne algumas alterações periféricas e centrais induzidas pela exposição crônica a uma dieta hiperpalatável, modulando a resposta metabólica de modo a reduzir a vulnerabilidade de dano metabólico e neural. / Previous studies have demonstrated that an intervention early in life leads to behavior and neuroendocrine alterations in adulthood. According to our previous findings neonatallyhandled animals have an increased consumption of palatable food, as well as a lower increase in abdominal fat accumulation after being chronically exposed to a highly palatable diet (chocolate) as compared with intact rats. In the present study, our aim was to evaluate the effects of neonatal handling on food preference and metabolic regulation in adult female rats. Therefore, we investigated metabolic and neurochemical parameters in response to a chronic exposure to a highly palatable diet, and to its withdrawal in adult female rats exposed or not to neonatal handling procedure (10 min/day, 10 first days of life). We observed an effect of neonatal handling inducing an increased palatable food intake after one week of chocolate withdrawal. However, chocolate consumption during long-term exposure to this type of diet did not differ between experimental groups. After a 30-days-period of chocolate exposure, non-handled female rats exhibited an increased abdominal fat deposition in comparison to neonatally-handled rats, and this effect persisted even after chocolate withdrawal. Nonhandled rats had increased serum cholinesterase levels after chronic exposure to palatable diet, without alterations in cerebral cortex cholinesterase activity. We also observed that chocolate consumption lead to a reduced Na+,K+-ATPse activity in hippocampus and amygdala, as well as an increased plasma S100B levels in non-handled females rats. After the first 24h of chocolate withdrawal, non-handled female rats exhibited an increased frequency of head shakes, during the Open Field task, in comparison to handled rats. Therefore, these findings suggest that neonatal handling leads to persistent alterations in feeding behavior, and also prevents some peripheral and central alterations induced by chronic exposure to a highly palatable diet; modulating the metabolic response in order to reduce the vulnerability to metabolic and neuronal damage in adulthood.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / O transtorno do estresse pós-traumático (TEPT) e alterações lipídicas são as temáticas principais dessa Dissertação. Seu objetivo principal foi investigar a associação entre o TEPT e as concentrações séricas de colesterol total (CT), lipoproteína de baixa densidade (LDL), lipoproteína de alta densidade (HDL) e triglicerídeos (TG) através de uma revisão sistemática da literatura seguida de metanálise. Adicionalmente, a relação entre essas variáveis lipídicas e os grupos de sintomas do TEPT revivescência, esquiva/entorpecimento emocional e hiperestimulação autonômica foi avaliada em um segundo estudo com dados primários. A metanálise incluiu 18 artigos, totalizando 2.110 indivíduos com TEPT e 17.550 indivíduos sem TEPT. As diferenças de médias ponderadas (DMP) mg/dL dos parâmetros lipídicos foram calculadas por modelos de efeitos aleatórios e modelos de meta-regressão foram ajustados para investigar possíveis fontes de heterogeneidade. O estudo encontrou que o TEPT foi associado a um pior perfil lipídico quando comparados a controles sem o transtorno (DMPCT= 20,57, IC 95% 12,21 28,93; DMPLDL= 12,11, IC 95% 5,89 18,32; DMPHDL= -3,73, IC 95% -5,97 -1,49; DMPTG= 35,87, IC 95% 21,12 50,61). A heterogeneidade estatística entre os resultados dos estudos foi alta para todos os parâmetros lipídicos e a variável que mais pareceu explicar essas inconsistências foi idade. O segundo artigo faz parte de um estudo maior conduzido em 2004 com 157 policiais do sexo masculino do Batalhão de Choque da Polícia Militar do Estado de Goiás (BPMCHOQUE). Somente oficiais de férias ou em dispensa inclusive dispensa médica não foram avaliados. O instrumento utilizado para o rastreio do TEPT foi a versão em português para civis da Post-Traumatic Stress Disorder Checklist (PCL-C). Trinta e nove participantes (25%) foram excluídos do estudo: dois porque falharam no preenchimento dos questionários e 37 cujas amostras de sangue não foram coletadas por vários motivos. Neste trabalho, encontrou-se uma forte correlação positiva entre as concentrações séricas de CT e LDL com o grupo de sintomas de hiperestimulação autonômica, somente no grupo TEPT: &#961;= 0,89 (p<0,01) e &#961; =0,92 (p<0,01), respectivamente. Em suma, espera-se que os resultados dessa Dissertação possam colaborar para o estabelecimento de um melhor acompanhamento clínico de pacientes com TEPT, particularmente porque estes parecem estar sob um maior risco de doenças cardiovasculares devido a um pior perfil lipídico. / Post-traumatic stress disorder (PTSD) and lipid profile changes are the main themes of this Dissertation, whose main purpose was to investigate the association between PTSD and serum lipid concentrations of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) and Triglycerides (TGs). Additionally, the relationship between these serum lipid parameters and PTSD symptom clusters - re-experiencing, avoidance and hyperarousal was assessed in a second study with primary data. The meta-analysis included 18 articles, for an overall number of 2,110 people with PTSD and 17,550 individuals without PTSD. Pooled weighted mean differences (WMD) - mg/dL - of serum lipid parameters were calculated using random effects model and meta-regression models were fitted to investigate the sources of heterogeneity. The study showed that PTSD was associated with worsened lipid profile when compared to controls without PTSD (DMPCT= 20.57, IC 95% 12.21 28.93; DMPLDL= 12.11, IC 95% 5.89 18.32; DMPHDL= -3.73, IC 95% -5.97 -1.49; DMPTG= 35.87, IC 95% 21.12 50.61). Statistical heterogeneity between the results of the studies was high for all lipid parameters and the variable that most explained these inconsistencies was age. The second article is part of a larger study conducted in 2004 with 157 active duty male police officers of an elite unit of the Police Force of the State of Goiás-Brazil (BPMCHOQUE). Only officers on vacation or on leave including those on sick leave were not assessed. The diagnostic tool applied to screen for PTSD was a Portuguese version of the PTSD Checklist Civilian Version (PCL-C). Thirty nine (25%) participants were excluded: 2 respondents who failed to fill out the questionnaires and 37 whose blood samples were not collected for various reasons. The study found a significant and strong positive correlation between TC and LDL-C with hyperarousal symptom cluster, only in the full PTSD group: &#961;= 0.89 (p<.01) and &#961;= 0.92 (p<.01), respectively. As a synthesis, the results found in this Dissertation can contribute to a better clinical follow-up of PTSD patients, especially because they appear to be at higher risk for cardiovascular diseases due to worsened serum lipid profile.

Estudos prévios demonstram que intervenções precoces levam a alterações comportamentais e neuroendócrinas na vida adulta. Nossos achados anteriores demonstram que animais manipulados no período neonatal consomem mais alimento palatável na vida adulta e apresentam um menor aumento do depósito de gordura abdominal, após exposição crônica a dieta palatável (chocolate) em relação aos animais intactos. Neste trabalho de tese, nosso objetivo foi avaliar os efeitos da manipulação neonatal sobre a preferência alimentar bem como sobre a regulação metabólica de ratas adultas. Para isso, investigamos parâmetros metabólicos e neuroquímicos em resposta à exposição crônica a uma dieta hipercalórica e palatável, assim como a um período de abstinência desse tipo de alimento em ratas fêmeas adultas expostas ou não à manipulação neonatal (10 min/dia, 10 primeiros dias de vida). A manipulação neonatal induziu maior ingestão de alimento palatável após um curto período de privação. Entretanto, o consumo durante a exposição crônica a essa dieta não diferiu entre os grupos experimentais. Também observamos que ratas fêmeas manipuladas, quando cronicamente expostas à dieta palatável na vida adulta, têm menor aumento da gordura abdominal e esse efeito persiste após a privação da dieta. Ratas não-manipuladas apresentaram níveis mais elevados de colinesterases no soro após exposição crônica a dieta palatável, entretanto, sem alterações na atividade de colinesterases no córtex cerebral. Foi identificado, após exposição crônica a dieta palatável, uma redução na atividade da enzima Na+,K+-ATPse no hipocampo e na amígdala e um aumento nos níveis plasmáticos de S100B em ratas não-manipuladas no período neonatal. Após as primeiras 24h de privação do alimento palatável, ratas fêmeas não-manipuladas demonstraram maior frequência de sinais de abstinência (tremores de cabeça) em comparação com ratas manipuladas no período neonatal. Assim, esses achados sugerem que a manipulação neonatal determina alterações persistentes no comportamento alimentar e previne algumas alterações periféricas e centrais induzidas pela exposição crônica a uma dieta hiperpalatável, modulando a resposta metabólica de modo a reduzir a vulnerabilidade de dano metabólico e neural. / Previous studies have demonstrated that an intervention early in life leads to behavior and neuroendocrine alterations in adulthood. According to our previous findings neonatallyhandled animals have an increased consumption of palatable food, as well as a lower increase in abdominal fat accumulation after being chronically exposed to a highly palatable diet (chocolate) as compared with intact rats. In the present study, our aim was to evaluate the effects of neonatal handling on food preference and metabolic regulation in adult female rats. Therefore, we investigated metabolic and neurochemical parameters in response to a chronic exposure to a highly palatable diet, and to its withdrawal in adult female rats exposed or not to neonatal handling procedure (10 min/day, 10 first days of life). We observed an effect of neonatal handling inducing an increased palatable food intake after one week of chocolate withdrawal. However, chocolate consumption during long-term exposure to this type of diet did not differ between experimental groups. After a 30-days-period of chocolate exposure, non-handled female rats exhibited an increased abdominal fat deposition in comparison to neonatally-handled rats, and this effect persisted even after chocolate withdrawal. Nonhandled rats had increased serum cholinesterase levels after chronic exposure to palatable diet, without alterations in cerebral cortex cholinesterase activity. We also observed that chocolate consumption lead to a reduced Na+,K+-ATPse activity in hippocampus and amygdala, as well as an increased plasma S100B levels in non-handled females rats. After the first 24h of chocolate withdrawal, non-handled female rats exhibited an increased frequency of head shakes, during the Open Field task, in comparison to handled rats. Therefore, these findings suggest that neonatal handling leads to persistent alterations in feeding behavior, and also prevents some peripheral and central alterations induced by chronic exposure to a highly palatable diet; modulating the metabolic response in order to reduce the vulnerability to metabolic and neuronal damage in adulthood.

Introdução: A doença hepática gordurosa não alcoólica é caracterizada pelo acúmulo hepático de lipídeos, principalmente na forma de triglicerídeos. Devido à atividade inflamatória progressiva pode evoluir para uma forma mais grave, a esteatohepatite não alcoólica. Os ácidos graxos poli-insaturados ômega-3 são associados a efeitos metabólicos positivos para redução da esteatose hepática, no entanto, são mais susceptíveis a peroxidação lipídica. Os triglicerídeos de cadeia média (TCMs) promovem a prevenção do bloqueio da beta-oxidação de ácidos graxos e redução da peroxidação lipídica, no entanto os efeitos na redução da esteatose ainda são controversos. Objetivo: O objetivo do estudo foi avaliar as implicações da dieta hiperlipídica (HL+) com óleo de peixe ou com óleo de TCM no desenvolvimento da esteatose hepática, no perfil de ácidos graxos hepáticos e no estresse oxidativo em ratos. Metodologia: Cinquenta ratos machos da linhagem wistar foram divididos em 5 grupos. Os animais receberam água e comida a vontade durante 45 dias. A adaptação a dieta HL+ foi realizada nos primeiros 15 dias. A composição da dieta do grupo que recebeu somente a gordura animal (HL+GA) era de 50% de gordura animal, e a dieta dos grupos HL+OS, HL+TCM e HL+OP era composta por 35% de gordura animal e 15% de óleo de soja, óleo de TCM e óleo de peixe, respectivamente. Resultados: Todos os grupos que receberam as dietas hiperlipídicas apresentaram maior acúmulo de gordura total e de triglicerídes hepaticos e somente os grupos HL+GA e HL+TCM apresentaram maior acúmulo de colesterol total hepático em relação ao controle. O grupo HL+TCM apresentou maior acúmulo percentual de gordura e um exacerbado acúmulo de triglicerídeos hepáticos em relação aos grupos alimentados com as dietas HL+. A redução do colesterol total sérico foi observada nos grupos HL+TCM e HL+OP, comparados ao controle. A maior incorporação hepática dos ácidos graxos EPA e DHA no grupo HL+OP contribuiu para o aumento do Índice de Peroxibilidade dos ácidos graxos e das substâncias reativas ao ácido tiobarbitúrico livres e totais e para a depleção da vitamina E no fígado. A maior razão AGS/AGPI hepática observada no grupo HL+TCM contribuiu para a preservação dos antioxidantes hepáticos. A alanina aminotransferase, um marcador de dano hepático, apresentou-se aumentada em todos os grupos que receberam as dietas HL+. Conclusões: A dieta hiperlipídica foi eficiente na indução do acúmulo de gordura hepática. O uso do óleo de TCM foi associado a uma maior concentração de lipídeos e preservação dos antioxidantes hepáticos. A dieta hiperlipídica com óleo de peixe foi associada ao aumento significativo na peroxidação lipídica, apesar do menor acúmulo de colesterol e triglicerídeos hepaticos. / Introduction: The Non-alcoholic Fatty liver disease is characterized by hepatic accumulation of lipids, mainly in the form of triglycerides. The disease may progress to a more severe form, the Non-alcoholic steatohepatitis, due to progressive inflammatory activity. Many authors have shown positive metabolic effects associated with the use of polyunsaturated omega-3 fatty acids and reduction in hepatic steatosis. However, these fatty acids are more susceptible to lipid peroxidation. The medium chain triglycerides (MCTs) are able to block beta-oxidation of fatty acids and reduce lipid peroxidation, but the MCT effects in steatosis are still controversial. Objective: The aim of this study was to assess the implications of high-fat diet (HF+) with fish oil or with MCT oil in the development of hepatic steatosis, liver fatty acid profile and oxidative stress markers in rats. Methodology: Fifty wistar male rats were divided into 5 groups. The animals had free access to food and water for 45 days. The first 15 days was dedicated for adaptation to high-fat diet. The HF+AF group received high-fat diet with 50% of animal fat and the other high-fat diets were made with 35% of animal fat plus 15% of other types of fat: soybean oil (HF+SO), MCT oil (HF+MCT) and fish oil (HF+FO). Results: The high-fat groups had higher hepatic total fat and triglycerides accumulation and only the groups HF+AF and HF+MCT had higher accumulation of hepatic cholesterol compared to control. The HF+MCT group had the highest percentage of hepatic fat accumulation and an exacerbated triglyceride accumulation in the liver among HF+ groups. The serum total cholesterol decreased in groups HF+MCT and HF+FO compared with the control group. The highest incorporation of hepatic fatty acids EPA and DHA in the HF+FO group contributed to the increased fatty acids peroxidizability index and total and free hepatic TBARS and depletion of hepatic vitamin E. The biggest ratio SFA/PUFA of liver fatty acids observed in the HF+MCT group contributed to the preservation of hepatic antioxidants. The alanine aminotransferase is a liver damage marker and was increased in all high-fat groups. Conclusions: The high-fat diet was effective to increase the hepatic fat concentration. The consumption of MCT oil can increase the hepatic lipid concentration and hepatic antioxidants. There was a significant increase in hepatic lipid peroxidation in the HF+FO group, although hepatic cholesterol and triglycerides were decreased.

Estudos recentes têm demonstrado uma participação importante do receptor toll-like 4 (TLR4) na evolução de doenças envolvendo desordens metabólicas, como a doença do fígado gorduroso não-alcoólico (NAFLD). No entanto, as alterações do metabolismo lipídico que poderiam ser influenciadas pela ativação do TLR4 são desconhecidas. Neste estudo propomos caracterizar o papel do receptor TLR4 no metabolismo de lipídios no fígado de camundongos deficientes para o receptor de LDL, um modelo que desenvolve NAFLD quando submetido a uma dieta rica em gordura saturada e colesterol. Camundongos controle (C57 black6), deficientes para o receptor de LDL (LDLrKO), deficientes para o receptor TLR4 (TLR4KO) ou deficientes para ambos (duplo KO) receberam dieta controle ou hiperlipídica por quatro, oito ou doze semanas. Após o tratamento e sacrifício dos animais, avaliamos o perfil de lipídios plasmáticos, o conteúdo de lipídios do fígado e a expressão gênica de enzimas relacionadas à síntese e degradação de triglicerídeos (TG) e colesterol no fígado. O perfil inflamatório no fígado também foi avaliado. A dieta hiperlipídica induziu uma hipertrigliceridemia e hipercolesterolemia nos animais LDLr KO e duplo KO, sendo que o grupo duplo KO apresentou níveis séricos inferiores de triglicérides (TG) e ácidos graxos livres a partir de oito semanas de tratamento em comparação aos animais LDLrKO. A dieta hiperlipídica também induziu um aumento significativo no conteúdo de TG e de colesterol no fígado de todos os grupos. Na análise da expressão gênica não foram encontradas diferenças na expressão de proteínas relacionadas à síntese de triglicérides e colesterol (ApoB100, MTTP, GPAT1 e GPAT4) entre os grupos. Porém houve aumento significativo na expressão de proteínas relacionadas à oxidação de ácidos graxos (CPT1, MTP, ACOX, PBE, tiolase) e à síntese de ácidos biliares (CYP7a1) no grupo duplo KO em comparação ao grupo LDLr KO. No perfil inflamatório, a expressão de F4/80 demonstrou infiltração de macrófagos significativamente elevada no grupo LDLrKO tratado com a dieta hiperlipídica comparada a todos os outros grupos. No entanto, houve maior expressão de IL-6, IL-1beta e TNF-alfa no grupo duplo KO em comparação ao grupo LDLr KO. Nossos dados sugerem que a ativação do TLR4 no fígado de animais alimentados com uma dieta hiperlipídica pode contribuir para o acúmulo de lipídios e início da esteatose hepática. Estratégias para a inativação hepática do TLR4 podem diminuir a NAFLD não somente devido a diminuição da inflamação, mas por aumentar a oxidação de ácidos graxos no fígado / Recent studies have shown an important role of toll-like receptor 4 (TLR4) in the evolution of diseases involving metabolic disorders, such as non-alcoholic fatty liver disease (NAFLD). However, changes in lipid metabolism regulated by TLR4 activation are still unknown. In this study, we characterized the role of TLR4 receptor in hepatic lipid metabolism of mice deficient for the LDL receptor, a model that develops NAFLD when exposed to a diet rich in saturated fat and cholesterol. We investigated the role of TLR4 activation in the pathogenesis of diet-induced NAFLD by crossing LDLr KO mice with the TLR4 knockout mice (double KO). Animals were fed for 4, 8 or 12 weeks with high-fat diet (HFD) containing 18% saturated fat and 1.25% cholesterol. We evaluated plasma lipid profile, hepatic lipid content and gene expression of enzymes related to the synthesis and degradation of triglycerides and cholesterol in the liver. Liver inflammatory status was also investigated. We observed that HFD induced hypertriglyceri-demia and hypercholesterolemia in LDLr KO and double KO mice, but double KO animals presented lower serum levels of triglycerides and free fatty acids after eight weeks of treatment. HFD also induced a significant increase in liver contents of triglycerides (TG) and of cholesterol in all groups. We did not find differences in the expression of proteins related to triglycerides and cholesterol synthesis (ApoB100, MTTP, GPAT1, GPAT4) between the groups. However, we observed a significant increase in the expression of proteins related to fatty acid oxidation (CPT1, MTP, ACOX, PBE, tiolase ) and bile acid synthesis (CYP7a1) in double KO group in comparison to LDLr KO. Regarding the inflammatory process, F4/80 expression was elevated in LDLr KO mice fed HFD when compared to all groups. On the other hand, IL-6, IL-1beta e TNF-alfa expression was induced by HFD only in double KO mice. Taken together, our results show that TLR4 activation in liver from mice fed on a high-fat diet may contribute to lipid accumulation and steatosis onset. Strategies regarding localized TLR4 inactivation may increase the oxidation of fatty acids and improve NAFLD not only due to decreased inflammation

En spectroscopie de résonance magnétique (SRM) in vivo, les principales méthodes utilisées permettent la quantification des concentrations de métabolites en utilisant des signaux à une dimension spectrale. Les travaux réalisés dans le cadre de cette thèse portent sur le développement de méthodes de SRM à deux dimensions spectrales (SRM 2D) de corrélation localisée afin d’accroître le pouvoir de résolution spectrale et la précision de la quantification de la SRM in vivo. Le premier axe de cette thèse concerne le développement d’une méthode fondée sur la spectroscopie 2D de corrélation localisée pour l’exploration des métabolites cérébraux. La séquence L-COSY (spectroscopie de corrélation localisée) est implantée sur imageur petit animal et étudiée. Une procédure de quantification dédiée aux signaux de corrélation acquis est développée. Cette dernière opère dans le domaine d’acquisition du signal, et s’appuie sur : 1) une connaissance a priori forte obtenue par simulation de l’effet quantique des séquences sur les spins des composés présents dans le spectre 2) un modèle de pondération lié aux effets de relaxation agissant sur le signal de SRM 2D. 3) une contrainte sur la relaxation liée aux effets d’inhomogénéités supposés toucher tous les spins de la même manière. Les résultats présentés s’attachent à étudier les performances quantitatives de la SRM 2D de corrélation, en comparaison à la SRM 2D dite J-résolue (avec la séquence JPRESS), de manière expérimentale, sur fantômes de métabolites mais aussi à travers la théorie des bornes de Cramér-Rao (CRBs). La quantification des signaux L-COSY, bien que défavorisée par une perte théorique du rapport signal sur bruit par unité de temps, présente des CRBs théoriques relatives du même ordre de grandeurs voire, pour certains métabolites couplés (e.g la glutamine, le GABA) plus petites que celles correspondantes à la spectroscopie J-résolue pour un même temps d’acquisition. Le second axe de cette thèse porte sur l’adaptation la SRM 2D de corrélation pour l’étude in vivo du métabolisme lipidique du foie et des tissus adipeux sous-cutanés sur un modèle de souris obèse à 7T. Cette application inédite montre la faisabilité de la SRM 2D de corrélation à être acquise sur un tel organe mouvant et sa capacité à être quantitative pour l’étude et la caractérisation des triglycérides hépatiques et sous-cutanées. / In in vivo Magnetic Resonance Spectroscopy (MRS), the main methods used allow metabolite concentration quantification using signals having one spectral dimension. This work focuses on the development of in vivo two dimensional correlated MRS in order to increase spectral resolution and quantification precision. The first axis is about the development of a method based on a 2D localized correlation MRS (L-COSY) for brain metabolite exploration. The L-COSY is implemented and studied on a small animal scanner. A dedicated quantification procedure operating in the acquisition domain is described. This latter is based on 1) a strong prior knowledge obtained by quantum mechanically simulate the effect of sequence on metabolite spin systems 2) a model function taking into account the relaxation weighting 3) constraints on the relaxation term linked to the field inhomogeneity effects which are assumed to act the same way on all the spins. Results are given experimentally using metabolites phantoms and through a comparison to other existing 2D MRS method, namely the J-resolved MRS (with the JPRESS sequence) using the Cramer Rao Lower Bounds (CRBs) theory. Although its inherent loss of signal to noise ratio is a disadvantage compared to J-PRESS, L-COSY quantification shows theoretically competitive relative CRBs, and even smaller CRBs for some coupled metabolites (e.g Glutamine or GABA), for an acquisition time similar to JPRESS. Second axis is about the adaptation of the 2D correlation MRS for the in vivo lipid metabolism study in the liver and subcutaneous adipose tissues of obese mice at 7T. This application shows the feasibility of 2D correlated MRS to be acquired on a moving organ and its quantitative relevance for triglyceride quantification and characterization in fatty liver and subcutaneous tissue.

The TRIB1 locus (8q24.13) is a novel locus associated with plasma TGs and CAD risk. Trib1 is a regulator of MAPK activity, and has been shown to regulate hepatic lipogenesis and VLDL production in mice. However, the functional relationship between common SNPs at the TRIB1 locus and plasma lipid traits is unknown; TRIB1 has not been identified as an eQTL. This cluster of SNPs falls within an intergenic region 25kb to 50kb downstream of the TRIB1 coding region. By phylogenetic footprinting analysis and DNA genotyping, we identified an evolutionarily conserved region (CNS1) within the risk locus that harbours two common SNPs in tight LD with GWAS risk SNPs and significantly associated with CAD. We investigated the regulatory function of CNS1 by luciferase reporter assays in HepG2 cells and demonstrate that this region has promoter activity. In addition, the rs2001844 risk allele significantly reduces luciferase activity, suggesting that altered expression of the EST-based gene may be associated with plasma TGs. We identified an EST within the risk locus directly downstream of CNS1. We performed 5'/3' RACE using HepG2 RNA, identified multiple variants of this EST-based gene, and confirmed its transcription start site within CNS1. We hypothesize that this EST is a long noncoding RNA due to low abundance, poor conservation, and absence of significant ORF. Over-expression of a short variant implicates its function in the regulation of target gene transcription, although the mechanism of action remains unknown. We conclude that the risk locus at 8q24.13 harbours a novel EST-based gene that may explain the relationship between GWAS SNPs at this locus and plasma lipid traits.

Le récepteur CAR, Constitutive Androstane Receptor, appartient à la-famille NR1 des récepteurs nucléaires. Initialement décrit comme un récepteur orphelin, CAR est en fait activé par un grand nombre de molécules exogènes et une des fonctions principales de CAR est celle de xénosenseur. L’activation CAR par ses différents ligands stimule la transcription des enzymes de phase I, II et III nécessaires à la détoxification et à l’élimination des xénobiotiques. Parallèlement, CAR a fait l’objet de nombreux travaux indépendants qui ont démontré son implication dans le métabolisme de molécules endogènes comme les acides biliaires, la bilirubine et les hormones thyroïdiennes. Plus récemment un impact de CAR sur des voies métaboliques fondamentales comme la néoglucogenèse, la lipogenèse et le métabolisme des lipoprotéines a été mis en évidence faisant de CAR au même titre que les récepteurs du groupe NR1 (LXR et FXR) une cible potentielle pour l’étude et le traitement du syndrome métabolique et des maladies cardio-vasculaires. Dans le cadre de ce mémoire nous avons étudié l’impact d’une stimulation chronique de CAR par un agoniste spécifique le TCPOBOP sur le transport reverse du cholestérol, le métabolisme des lipoprotéines et la susceptibilité à l’athérosclérose dans un contexte de surcharge alimentaire en cholestérol. Chez les souris dyslipidémiques déficientes pour le gène du récepteur aux lipoprotéines de faible densité (Ldlr-/-) ou bien déficientes pour l’apoprotéine E l’activation spécifique de CAR par l’agoniste TCPOBOP (3,3’,5,5’-Tétrachloro-1,4-bis (pyridyloxy )benzene), 1) diminue la lipogenèse via l’induction du facteur Insig1 et la répression du facteur de transcription Srebp1c et de ses gènes cibles. Cela se traduit par une diminution de la triglycéridémie plasmatique associée à une diminution du contenu hépatique en triglycérides et une diminution de la sécrétion de lipoprotéines riches en triglycérides, 2) stimule la conversion et l’élimination fécale du cholestérol sous forme d’acides biliaires ce qui se traduit par une élimination accrue du cholestérol dérivé des HDL dans les fèces, dernière étape du transport reverse du cholestérol, 3) diminue le taux de cholestérol associé aux LDL chez les souris Ldlr-/- probablement par stimulation de l’expression hépatique du récepteur aux lipoprotéines de très basse densité. La diminution de l’athérogénicité du profil lipoprotéique et la stimulation du transport reverse du cholestérol sont associées à une réduction des lésions athéromateuses au niveau des valves et de la crosse aortique chez les souris Ldlr-/-. Une diminution des lésions athéromateuses uniquement au niveau de la crosse aortique est également observée chez les souris ApoE-/- L’ensemble des travaux présentés et les récentes études publiées suggèrent que CAR peut être considéré comme un acteur central du métabolisme lipidique et font de ce récepteur nucléaire une nouvelle cible potentielle pour l’étude et le traitement des désordres métaboliques comme le diabète, l’obésité, la stéatose hépatique et l’athérosclérose / The Constitutive Androstane Receptor (CAR) belongs to the subfamily of nuclear receptors NR1. Initially described as an orphan receptor, CAR is activated by a large number of exogenous molecules and acts as a xenosensor. The activation of CAR by these ligands stimulates transcription of phase I, II and III enzymes required for the detoxification and elimination of xenobiotics. Furthermore CAR is also involved in the metabolism of endogenous molecules such as bile acids, bilirubin or thyroid hormones. CAR has recently been the subject of numerous independent studies that have highlighted his involvement in major metabolic pathways including gluconeogenesis, lipogenesis and lipoprotein metabolism, making CAR as well as others NR1 nuclear receptors potential targets for the study and the treatment of metabolic syndrome and cardiovascular diseases. The goal of our work was to determine the impact of a chronic CAR activation on reverse cholesterol transport, lipoprotein metabolism and susceptibility to atherosclerosis in a context of dietary cholesterol overload. In dyslipidemic mice deficient for the low density lipoprotein receptor (Ldlr-/-) or for apolipoprotein E (ApoE-/-), pharmalogical activation of CAR by its specific agonist TCPOBOP (3,3',5,5'-Tetrachloro-1, 4-bis (pyridyloxy) benzene) 1) reduces lipogenesis through the induction of Insig1 and the repression of the transcription factor Srebp1c (meaning..) and its target genes. This results in a decrease in plasma triglyceride levels associated with a reduced hepatic triglycerides concentration and a decreased secretion of triglyceride-rich lipoproteins, 2) stimulates the conversion and fecal cholesterol elimination as bile acids and consequently the last step of reverse cholesterol transport, 3) in Ldlr-/- mice, CAR activation decreases LDL-cholesterol probably through the stimulation of hepatic expression of very low density lipoprotein receptor.Reduction in the atherogenicity of the lipoprotein profile and increase of reverse cholesterol transport lead to a reduction in the size of atherosclerotic lesions in heart valves and aorta in Ldlr-/- mice. Reduction of aortic lesions in aortic arches only was also observed in apoE-/- mice. The present work as well as recent studies suggests that CAR is as central player in lipid metabolism. CAR appears therefore to be a new potential target for the study and the treatment of metabolic disorders like diabetes, obesity, fatty liver and atherosclerosis

La spectrométrie de masse est une technique analytique permettant de mesurer le ratio masse sur charge d’un ion. Cette technique, très répandue en chimie analytique permet d’élucider la composition moléculaire de mélanges complexes à partir de systèmes homogénéisés. De ce fait, toute l’information sur la distribution spatiale des molécules est perdue. L’imagerie par spectrométrie de masse (IMS) a été inventée afin de résoudre ce problème et permettre d’élucider la distribution spatiale de molécules cibles sur des sections tissulaires minces provenant de tissus biologiques tels que de mammifères ou de plantes. L’un des grands avantages de l’IMS est sa complémentarité à l’histopathologie, technique permettant de révéler la structure ainsi que la localisation de certaines biomolécules à partir de sections tissulaires minces. Cependant, cette dernière se limite principalement aux protéines et aux molécules pouvant avoir une interaction spécifique avec un anticorps. L’IMS permet la détection d’une vaste gamme de biomolécules allant des petits métabolites aux polymères de haut poids moléculaire. Parmi les biomolécules détectables par IMS, les lipides attirent de plus en plus l’attention des analystes. En effet, ils occupent différentes fonctions clés au sein des systèmes biologiques, autant structurales que métaboliques, comme constituants des parois cellulaires, acteurs de la signalisation cellulaires ainsi que dans le stockage d’énergie. Leur intérêt est d’autant plus important qu’aucune technique histologique classique ne permet actuellement de détecter de façon spécifique les différentes classes de lipides. De façon générale, l’IMS de lipides est effectuée en utilisant la désorption-ionisation laser assistée par matrice (MALDI). Ce procédé permet de révéler l’emplacement de ii différentes classes de molécules en exploitant l’affinité que ces dernières ont pour une matrice particulière. Au-delà du choix de la matrice, d’autres paramètres tels que le mode de déposition de la matrice, le choix des solvants ainsi que le type de lavage utilisé vont également affecter le type de molécules détectés lors d’une analyse MALDI. Malgré les très bonnes performances du MALDI pour l’analyse de lipides, ce mode d’analyse se limite souvent aux lipides polaires facilement ionisables. Les lipides neutres comme le cholestérol (CHO) et les triacylglycérols (TAGs) sont impliqués à différents niveaux de fonctions biologiques fondamentales. Ainsi, nous avons développé trois stratégies permettant l’analyse de ces lipides neutres et de faibles abondances comme les gangliosides, directement à partir de sections tissulaires minces par MALDI ainsi que par désorption-ionisation laser classique (LDI). L’implication du cholestérol en tant que molécule structurale et précurseur de la synthèse de diverses hormones et vitamines, en fait une cible de choix pour l’analyse par IMS. Historiquement, l’analyse du cholestérol par MALDI permettait de le détecter sous sa forme déshydratée. De ce fait, il était impossible de le distinguer des autres métabolites tels que ses esters qui produisaient le même fragment. Afin de permettre l’IMS du cholestérol intact nous avons développé une nouvelle technique de préparation d’échantillons reposant sur le dépôt d’une couche nanométrique d’argent (16±2 nm) sur une section tissulaire mince par pulvérisation. Cette technique permet d’ioniser spécifiquement le cholestérol intact ainsi que divers acides gras sous forme d’adduits d’argent, et ce, avec une haute résolution spatiale (5 µm). iii Au-delà du cholestérol et des acides gras, une autre classe de lipides neutres très abondants, les triglycérides, reste difficilement analysable par MALDI IMS. En effet, les TAGs constituent la principale classe de lipides impliqués dans le stockage énergétique au niveau cellulaire. Ce rôle comme source d’énergie fait des TAGs un acteur incontournable de plusieurs maladies métaboliques telles que la stéatose hépatique, l’athérosclérose ainsi que la maladie d’Alzheimer. La difficulté d’analyser les TAGs par IMS provient de leur fragilité en milieu acide ainsi que de leur faible tendance à former des adduits sodium nécessaire à leurs analyses. En considérant ces limites, nous avons développé une méthodologie de préparation d’échantillon en deux étapes permettant l’analyse hautement spécifique des TAGs par LDI IMS. Dans un premier temps, les sections tissulaires minces sont initialement exposées à une solution aqueuse contenant un tampon carbonate à base de sodium (pH 10.3, 85 mM) ainsi que d’acétate de sodium (250 mM) afin de facilité la formation d’adduit sodium et de limiter la fragmentation des TAGs en source. Par la suite, une couche nanométrique d’or (28±3 nm) est déposée sur la section afin de permettre l’analyse des TAGs par IMS à haute résolution spatiale (> 10 µm). Lorsque ces derniers ont une abondance réduite dans les sections tissulaires, cette méthode permet aussi l’analyse d’esters de cholestérol (CE). La maladie de Hunter est une maladie génétique caractérisée par l’accumulation de glycosaminoglycanes (GAGs) ainsi que de l’accumulation secondaire de gangliosides. Ce phénomène est dû à l’absence de l’enzyme iduronate-2-sulfatase (IdS) qui permet la dégradation des GAGs. L’accumulation des GAGs et des gangliosides a pour conséquence l’apparition de problèmes fonctionnels et neurologiques majeurs entrainant la mort. Il existe une thérapie de remplacement enzymatique où une forme recombinante de l’enzyme IdS est injectée aux patients. Cette thérapie permet de rétablir le métabolisme normal des GAGs et iv gangliosides dans tous les organes sauf le cerveau où la barrière hémato-encéphalique empêche l’IdS recombinante d’atteindre les zones affectées. L’étude de la composition moléculaire des dépôts de GAGs et gangliosides au niveau cérébral constitue un défi important afin de comprendre la progression des troubles neurologiques engendrés par cette accumulation. À cette fin, nous avons développé une méthode MALDI spécifique à l’analyse des gangliosides à partir de sections tissulaires minces de cerveau de souris simulant la maladie Hunter (IdS-KO). Cette méthode d’analyse par MALDI IMS permet une révélation immuno-histochimique (IHC) des dépôts suivant l’analyse IMS. Nous avons pu visualiser cinq types de gangliosides dont quatre spécifiques au dépôt présent dans les cerveaux révélés par IHC sur la même section tissulaire. Cette étude nous a permis de distinguer pour la première fois des GM3 et GM2 selon la composition de leur chaine latérale et non de leur chaine polysaccharidique révélée par l’analyse IHC. / Mass spectrometry (MS) is an analytical technique that measures the mass-to-charge ratio of ions. This technique is widely used in analytical chemistry to solve the molecular composition of complex homogenized samples. The use of homogenized samples means that all the information with respect to the initial distribution of analytes is lost. Imaging mass spectrometry (IMS) is an MS technique which is able to provide the spatial localization of a given analyte on a surface, such as thin tissue sections from various animal sources. One of the greatest advantages of IMS is its complementarity with histopathology which normally reveals the general structure of thin tissue sections as well as the localization of certain biomolecules such as proteins or of any molecules capable of specific interactions with an antibody. On the other hand, IMS is capable of imaging a wide variety of biomolecules ranging from small metabolites to the high molecular weight proteins and polymers. Among these, lipids are of particular interest for their key involvements in many biological processes. Their interest is even greater when considering that lipid imaging by classical histology is unable to differentiate between all lipid species. IMS of lipids is typically performed using matrix assisted laser desorption/ionization (MALDI). MALDI IMS can differentiate various classes of lipids and their localization within a thin tissue section by taking advantage of the specific affinity that different classes of lipids have for different matrices. The matrix deposition process, along with the choice of solvents, are key parameters that need to be considered in MALDI IMS. While MALDI offers great coverage of the phospholipidome, it fails miserably for neutral lipid analysis. Indeed, cholesterol and triacylglycerols (TAGs) are two classes of neutral lipids with very important vi biological roles which are extremely difficult to image by MALDI. We have developed three new strategies that enables the detection of neutral lipids, some of which are expressed in low abundance such as gangliosides, directly from thin tissue section using either MALDI or laser desorption/ionization (LDI). Cholesterol is a precursor of many key biomolecules such as vitamins and hormones. It’s also a major component of the cellular membrane. MALDI IMS allows in some cases imaging of the dehydrated form of cholesterol. Unfortunately, detecting cholesterol as such makes it impossible to distinguish some of its metabolites which ionize in a similar fashion and dissociate to produce the same ions. To address this issue, we have developed a new sample preparation method involving the deposition of a nanometer scale silver layer (16±2 nm) over a thin tissue section. This enables the detection by LDI MS of intact cholesterol and some fatty acid species as silver adducts with up to 5 µm in spatial resolution. Beyond cholesterol and fatty acids, TAGs is another class of highly abundant neutral lipids still poorly detected by MALDI IMS. As TAGs are the main molecules involved in energy storage of cells, they have been implicated in many metabolic diseases such as non- alcoholic fatty liver disease, atherosclerosis and even Alzheimer’s disease. The reason why TAGs are poorly detected by MALDI comes from two key factors. First, TAGs are unstable in acidic environments, typical of MALDI matrices. Second, competition effects for the ionizing proton provided by the MALDI matrix prevent TAGs from easily ionizing through this main ionization process. To overcome these limitations, we have developed a new two-step sample preparation method for TAG LDI IMS. We initially deposited a solution of carbonate buffer (pH 10.3, 85 mM) and sodium acetate (250 mM) on the tissue section to increase the amount vii of available sodium for enhanced TAG ionization. The second step consisted of sputtering a nanometer scale UV absorbing gold layer (28±3 nm) that allows for the detection of TAGs by LDI IMS with spatial resolution as low as 10 µm. When TAGs are present in low amounts in the tissue section, this method also enables the detection of cholesterol esters. Hunter’s disease is a genetic disease characterized by the abnormal accumulation of glucoaminoglycans (GAGs) and the secondary accumulation of gangliosides due to the lack of iduronate-2-sulfatase (IdS) enzyme which controls their degradation. The accumulation of both GAGs and gangliosides form deposits which induces various functional issues to different organs as well as neurologic disorders. To minimize these effects, an enzyme replacement therapy has been developed. Unfortunately, it shows efficacy in all organs except the brain due to the inability of the recombinant enzyme to cross the blood-brain barrier. To further our knowledge of the progression of the disease, using a mouse model of Hunter’s disease we have developed a MALDI based method to specifically image gangliosides in brain deposits with a spatial resolution of 5 µm. This method also permits subsequent ganglioside staining by immunohistochemtry of the tissue section. With this method, we have identified four types of ganglioside which are specific to the Hunter’s disease pathology. We were also able to detect two types of deposits, one which is enriched in short chain gangliosides and the other in long chain gangliosides.