Procoagulant extracellular vesicles (EV) and platelet activation have been associated with gestational vascular complications. EV-induced platelet-mediated placental inflammasome activation has been shown to cause preeclampsia-like symptoms in mice. However, the effect of EV-mediated placental thrombo-inflammation on trophoblast differentiation remains unknown. Here, we identify that the EV-induced thrombo-inflammatory pathway modulates trophoblast morphology and differentiation. EVs and platelets reduce syncytiotrophoblast differentiation while increasing giant trophoblast and spongiotrophoblast including the glycogen-rich cells. These effects are plateletdependent and mediated by the NLRP3 inflammasome. In humans, inflammasome activation was negatively correlated with trophoblast differentiation marker GCM1 and positively correlated with blood pressure. These data identify a crucial role of EV-induced placental thrombo-inflammation on altering trophoblast differentiation and suggest platelet activation or inflammasome activation as a therapeutic target in order to achieve successful placentation.

No description available.

No description available.

No description available.

Les infections génitales par les virus du papillome humains (HPV) sont les infections virales sexuellement transmises, les plus communes chez les femmes en âge de procréer. Il est désormais bien établi que l’infection persistante par les HPV classés «à haut risque» est l’un des facteurs indispensables au développement de lésions précancéreuses et cancéreuses du col de l’utérus. Ces HPV semblent aussi être impliqués dans le développement d’autres cancers de la région ano-génitale et pourraient être également impliqués dans les cancers de la tête et du cou. Durant cette dernière décennie, des études croissantes tendent à établir un rôle étiologique des HPV dans les dysfonctionnements gestationnels. La détection des ADN HPV dans les placentas issus d’avortements spontanés et leur capacité exceptionnelle à se répliquer in vitro dans les cellules trophoblastiques cultivées en monocouche, ont apporté de nouvelles perspectives quant à la possibilité que le placenta pourrait constituer aussi un tropisme naturel des infections par HPV.<p>Six jours après la fécondation et suite à l’accolement du blastocyste à l’épithélium utérin, le trophoblaste s’engage dans des processus actifs de prolifération, d’invasion et de différenciation complexe pour la construction de l’interface physiologique indispensable aux échanges essentiels entre la mère et l’enfant ;le placenta. De façon intéressante, ses propriétés sont similaires à celles de la cellule tumorale maligne. Néanmoins, ses mécanismes sont étroitement régulés dans le trophoblaste, à la fois dans l’espace et le temps, assurant un développement normal à chaque étape de la grossesse.<p>Devant toutes ces données, nous avions émis l’hypothèse que l’expression des protéines précoces E5, E6 et E7 d’HPV de type 16 (de haut risque), pourraient modifier le développement des trophoblastes infectés. Les résultats obtenus durant ce travail de doctorat démontrent que la protéine virale E5, hautement hydrophobe, est cytotoxique et affecte la viabilité du trophoblaste. Cette cytotoxicité est neutralisée, et la viabilité est améliorée, lorsque les oncoprotéines majeures E6 et E7 sont exprimées en présence de la protéine E5. Lorsque toutes les protéines précoces sont exprimées sous le contrôle de leur propre promoteur (LCR), la viabilité est favorisée. Ces observations ont été confirmées dans les cellules cervicales également. Il a été précédemment rapporté que les oncoprotéines E6 et E7 affectaient l’adhésion du trophoblaste aux cellules endométriales. Dans le présent travail, il a été retrouvé que la protéine E5 diminuait elle aussi l’adhésion, non seulement aux cellules endométriales, mais aussi au support de culture cellulaire. Les capacités de migration et d’invasion de la matrice extracellulaire sont augmentées par l’expression de E5 et dans une plus large proportion par l’expression de E6 et E7. Des résultats similaires ont été obtenus lorsque toutes les protéines de la région précoces sont exprimées sous le contrôle de leur propre promoteur (LCR). La diminution de l’expression de la E-cadhérine est considérée comme un marqueur de malignité et de mauvais pronostic pour les cancers. Nous avons démontré que l’expression de E5, E6 ou de E7, inhibait l’expression de la E-cadhérine, reflétant l’impact des oncoprotéines du virus HPV-16 sur la diminution de l’adhésion et l’augmentation du pouvoir invasif des cellules trophoblastiques. L’investigation d’autres marqueurs de malignité et de tolérance immunitaire, l’étude de l’impact du virus HPV-6 (de bas risque) sur la migration et l’invasion des cellules trophoblastiques, et l’étude de la capacité des protéines précoces d’HPV-16 à influencer l’entrée des particules virales, ont fait l’objet de résultats préliminaires, ouvrant de larges perspectives.<p><p><p>Genital Human Papillomavirus (HPV) infections are the most common sexually transmitted infections amongst women on the age of reproduction. It is well established that persistent infection with high-risk HPVs is the necessary factor in the causation of precancerous and cancerous cervical lesions. High-risk HPVs have also been reported to be involved in the causation of head and neck cancers and other anogenital cancers. On this last decade, growing data are attempting to study the potential etiological association of HPV with gestational dysfunctions. The detection of HPV DNA in placentas resulting from spontaneous abortions and the unique ability of multiple HPV types to replicate in vitro in trophoblastic cells cultured in a monolayer system, rise new questions over the HPV tropism. <p>Six days following fertilization and once the apposition of the blastocyst on the uterine wall takes place, the trophoblast, in a very active and complex process, starts to proliferate, invade and to differentiate in order to build a physiological interface; the placenta, from where multiple mother/foetus exchanges occur. Interestingly, the way that the trophoblast behaves is very similar to malignant tumoural cells. However, the trophoblast obeys to strict spatial-temporal regulatory confines, insuring a proper development all along the pregnancy.<p>In regard to these data, we hypothesised that the expression of the high-risk HPV type 16 oncoproteins E5, E6 and E7, might modify the development of the infected trophoblast. During my Ph.D study, I demonstrated that the highly hydrophobic protein E5 is localized in many interne membranes compartments of the transfected trophoblast. E5 affects the viability of transiently and stably transfected trophoblastic cells. E6 and E7, favouring cell growth, neutralised the E5 cytotoxic effect. All HPV-16 early proteins, when expressed under the control of their endogenous promoter (LCR), favoured trophoblastic growth. These observations were also observed in cervical cell lines. In addition, E5 decreased the adhesiveness of trophoblastic cells to the tissue culture plastic and to endometrial cells similarly as previously described for E6 and E7. Cells expressing E6, E7 and in less extend E5 favoured chemotaxic migration and matrigel invasion compared to the cells expressing the LacZ control. These effects were also observed when early proteins were expressed under the control of their own viral promoter (LCR). Interestingly, the E-cadherin was down regulated in trophoblastic cells expressing E5, E6 and E7. In conclusion, HPV-16 early proteins enhanced trophoblastic growth and intensify the malignant phenotype by impairing cell adhesion leading to increased cellular motile and invasive properties. HPV-16 E5 participated, with E6 and E7, in these changes by impairing E-cadherin expression, a hallmark of malignant progression. Additional preliminary results consisting on the investigation of other markers of malignancy and immune tolerance, on studying the impact of the low-risk HPV type 6 early proteins on the migratory and invasive properties of trophoblastic cells and on the study of the ability of HPV-16 to influence the entry of virus particules, allowed to open wide perspectives.<p><p><p> / Doctorat en Sciences / info:eu-repo/semantics/nonPublished

No description available.

CD146 est une glycoprotéine appartenant à la superfamille des immunoglobulines, exprimée de manière ubiquitaire sur l'endothélium, principalement au niveau des jonctions. Une forme soluble de CD146 (CD146s) est générée par clivage de la forme membranaire par un mécanisme dépendant des métalloprotéases. CD146 et CD146s interviennent dans le maintien de l'intégrité de l'endothélium, la transmigration endothéliale des monocytes et possèdent des propriétés angiogéniques. Les concentrations sériques de CD146s varient au cours de pathologies liées à une atteinte vasculaire. Notre travail a pour but d'étudier l'implication de CD146s dans deux contextes indépendants: la physiopathologie obstétricale et la sclérodermie systémique. La première partie de notre travail a consisté à analyser le rôle de la molécule au cours de la grossesse. Dans le placenta normal, l'expression de CD146 est restreinte aux trophoblastes possédant des capacités de migration et d'invasion, les trophoblastes extra-villeux (EVT). Ces EVT remodèlent les artères utérines spiralées afin d'établir une circulation foeto-maternelle. Au cours de ce processus, appelé pseudo-vasculogenèse, les EVT acquièrent un phénotype endothélial. De plus, l'expression placentaire de CD146 et les concentrations de CD146s varient au cours de grossesses pathologiques. L'hypothèse de notre travail est que CD146s régulerait les capacités invasives des EVT et interviendrait dans le développement placentaire. / CD146 is a member of the immunoglobulin superfamily. This is a membrane glycoprotein localized at the endothelial junction. CD146 also exists as a soluble form in the plasma (sCD146), generated by proteolysis of membrane CD146 through a mechanism involving metalloproteinases. CD146 and sCD146 are involved in endothelium integrity, monocyte transmigration and display angiogenic properties. CD146s level variations are observed in vascular pathologies. The aim of our work was to investigate the role of sCD146 in obstetrical physiopathology and in systemic sclerosis. In a first part, the involvement of our molecule was analyzed during pregnancy. In normal placenta, CD146 is expressed in intermediate and extra-villous trophoblasts (EVT), presenting migratory and invasive properties. EVT invade the spiral arteries and convert from an epithelial to an endothelial phenotype during the pseudo-vasculogenesis process. Moreover, CD146 placental expression and sCD146 levels are modified during pathologic pregnancies. We hypothesized that sCD146 could regulate EVT invasiveness and placental development. Using placental villous explants, we demonstrated that sCD146 inhibits EVT outgrowth. Consistently, we showed that sCD146 inhibits the ability of EVT cells (HTR8/SVneo) to migrate, invade and form tubes in Matrigel®. The involvement of sCD146 in human pregnancy was investigated by evaluation of sCD146 levels in 50 pregnant women. We observed physiological down-regulation of sCD146 throughout pregnancy. These results prompted us to investigate the effect of prolonged sCD146 administration in a rat model of pregnancy.

A implantação embrionária e a placentação em cobaios são caracterizadas pela presença trofoblastos que se destacam da placenta principal, semelhantes ao trofoblasto extra-viloso de humanos. Nestes animais ultrapassam os limites, e podem ser encontrados infiltrados no profundamente no endométrio e no em ambiente externo ultrapassando aos limites da parede uterina. A cobaia desenvolve uma importante estrutura fisiológica de troca materno-embrionária, denominada de placenta vitelina invertida, definidas como membrana fetal destituída parcial ou totalmente do revestimento trofoblástico que permite a exposição do endoderma extra-embrionário em contato direto com o tecido materno. Tais características denotam um mecanismo de controle da resposta imune materna distinta dos paradigmas estabelecidos na reprodução humana e de roedores, assim como ratos e camundongos. Sendo a mais intrigante, a destituição do trofoblasto como célula da interface-materno-fetal que controla a tolerância imune-materna.No presente trabalho, procurou-se estabelecer a organização da placenta vitelina de cobaios a partir da identificação das células que compõe esta membrana extra-embrionária e identificar em que momento ocorre à remoção das células trofoblásticas, e a subseqüente forma de interação das células da placenta vitelina na interface com o tecido materno. Para tanto foram utilizados cobaias fêmeas com idade gestacional conhecida, sacrificadas para coleta de segmentos uterinos nos períodos iniciais da gestação e destinados ao processamento histotógico de embebição em parafina. Na ausência de marcadores celulares específicos conhecidos para cobaios, foram realizados testes prospectivos com reações: citoquímicas de PAS e azul de toluidina (AT; um painel de lectinas biotinadas com afinidade específica para diferentes açúcares; e imunocitoquímica para citoqueratina. As reações realizadas com PAS e AT não identificaram populações celulares com marcação seletiva. Contudo dentre as lectinas tetadas, a Erytrina cristagali lectin (ECL) apresentou reação altamente seletiva para a população de trofoblasto mural (TM) que se origina do trofectoderma, mantendo esta reatividade ao longo da gestação. Esta marcação permitiu avaliar temporal e espacialmente o destino destas células que ao longo da gestação eram mantidas como monocamada de TM revestindo externamente a placenta vitelina e, portanto, não expondo as células do endoderma parietal ou visceral ao ecido materno. Pelo acompanhamento do desenvolvimento embrionário nos cortes seriados, foi constatada no interior do blastocisto a organização de duas massas celulares internas em pólos opostos desde a fase de pré-eclosão. Uma das massas celulares constituída de embrioblastos que dará origem aos os folhetos embrionários nas fases subseqüentes, enquanto a outra formada as células tronco trofoblásticas precursora do cone ectoplacentário (CE). A cavidade da blastocele que separa estas duas massas celulares tem a sua parede revestida pelo endoderma parietal em fase tardia, após a formação da cavidade amniótica. Estes achados demonstram a pecularidade da embriogênese no cobaio, diferente daquelas descritas para humanos e outros roedores, não permitem analogias diretas, o que pode ter contribuído para o equívoco na descrição clássica da organização e constituição da placenta vitelina invertida de constituição córion-amniótica. Isto é, o trofoblasto participa da organização da placenta vitelina inicial e permanece na membrana âmnion-córion-vitelina perfazendo todo o limite do embrião ao longo da gestação. Portanto a hipótese da placenta vitelina parcial ou totalmente invertida baseada na descrição clássica em cobaios é decorrente da interpretação equivocada da embriogênese destes animais. / The guinea pig embryo implantation and placentation is characterized by trophoblast cells detaching from the main placenta in a similar way of human extra-villous trophobasts that deeply intrude inside the endometrium and sometimes also found outside the uterine wall. Furthermore, this animal also develops inverted yolk sac placenta defined as fetal membrane partially or fully devoided of trophoblast sheet that allows extra-embryonic endoderma direct exposition to the maternal environment. These characteristics denote a distinct control mechanism of maternal immune response from the established paradigm for human and rodents (rat and mouse) reproduction, being most intriguing the depriving of trophoblast as cells of maternal-fetal interface regulating the maternal immune tolerance. The present work aimed to establish the organization of guinea pig yolk sac based on identification of cell populations composing this membrane and identification if, or, when the trophoblast cells are removed from and subsequent interaction way of yolk sac cell in interface with maternal tissue. It was used pregnant guinea pig sacrificed on established gestational day to collect uterine fragments on early pregnancy stage and processed by conventional paraffin embedding. Due to absence of known specific cell markers for guinea pig, was performed the prospective evaluation using PAS and toluidine blue (TB) cytochemistry and a screening using a panel of biotinylated lectin specific for different sugars and, anti-cytokeratin. The PAS and TB staining did not identify any specific cell population, however, among the lectins used, Erytrina cristagali lectin (ECL) showed high selective labeling to the trophoblast cells originated from the trophectoderm that was kept through the gestational period. This reaction pattern was useful to evaluate chronologically and topologically the fate of this cell and confirmed the constancy of these cells layering the yolk sac placenta in contact with maternal tissue and therefore, endodermal cells were not exposed to maternal environment. Evaluation of embryo development step by step in the serial sections showed the presence of two inner cell mass in opposite sites inside the pre-hatched blastocyst. One of this, was formed with embryoblast that latter will originate the embryonic sheets and the other formed with trophoblast stem cells (ST) will originate the ectoplacental-cone. The wall of blastocele cavity separate these two inner cell mass was initially covered by a single ECL positive mural trophoblast and only later after the amniotic cavity is formed the extraembyonic endodermal cells migrate from the embryonic sheets to cover internally the blastocele cavity to organize the yolk sac placenta. These findings show the peculiarity of guinea pig embryogenesis, quite different from those described for human and rodents and therefore, does not allow direct analogy and seems to contribute in the misunderstanding of classic description of inverted yolk sac placenta and its cellular organization. It means, the trophoblast cell participates in the early organization of yolk sac placenta and remains in chorioamniotic yolk sac fetal membrane constantly limiting the embryo surface in contact with maternal environment. Therefore, the hypothesis of complete or partially inverted yolk sac placenta seems to be a miss understanding of guinea pig embryogenesis.

Analisamos a expressão de IL-10, IFN-<font face=\"symbol\">g e, seus receptores pelas células trofoblásticas de camundongos, citocinas anti e pró-inflamatórias. Cones ectoplacentários aos 7,5 dias de gestação foram cultivados por 48 h e em seguida tratados com 100 U/mL IFN-<font face=\"symbol\">g ou 10 <font face=\"symbol\">hg/mL IL-10. Após 6 h e 14 h, as amostras foram processadas para análise da expressão gênica por RT-PCR e protéica por imunohistoquímica, respectivamente. Grupos controle não receberam tratamento. IFN-<font face=\"symbol\">g aumentou a expressão de IL-10R1 mas não a de IL-10 nas células trofoblásticas. IL-10, ao contrário, aumentou a expressão de IFN-<font face=\"symbol\">g, mas diminuiu IFN-<font face=\"symbol\">gR<font face=\"symbol\">a e não alterou IFN-<font face=\"symbol\">gR<font face=\"symbol\">b. Reações imunohistoquímicas confirmaram os resultados de expressão gênica. Isto sugere que o trofoblasto pode participar da imunidade da interface materno-placentária aumentando a expressão de IFN-<font face=\"symbol\">g em situações em que no meio há aumento de citocinas anti-inflamatórias, o que deve ser o reflexo da necessidade e importância desta citocina para o sucesso da gestação. / Key cytokines such as IL-10 and IFN-<font face=\"symbol\">g, essential for immune response regulation, have also been found locally at maternal-placental interface during mouse pregnancy. Particularly, levels of IL-10 characterize an anti-inflammatory environment associated to the inhibition of T helper-1 lymphocytes (Th1) development and the proliferative stimulation of the B lymphocytes (humoral response). On the other hand, increases in IFN-<font face=\"symbol\">g profile prevent T helper-2 lymphocytes (Th2) activation leading to an inflammatory response that favors a Th1 response. The local production of these cytokines by NK uterine cells and T gd lymphocytes are relevant, but not exclusive. Thus, this study analyzed the potential contribution of the trophoblast in the maintenance of Th1/Th2 balance in the maternal-placental interface, represented, respectively by the expression of IL-10 and IFN-<font face=\"symbol\">g cytokines. The expression of the anti-inflammatory cytokine IL-10 and its receptor was evaluated in the presence of an inflammatory environment mimetized by IFN-<font face=\"symbol\">g addition to the culture medium. On contrary, the expression of the IFN-<font face=\"symbol\">g (and its receptor) was evaluated in the presence of IL-10 characterizing an anti-inflammatory condition. Mouse trophoblast cells were isolated from implantation sites at gestational day 7.5 and cultured in standard conditions. Gene and protein expression were determined by immunohistochemistry and RT-PCR. IL-10 and IFN-<font face=\"symbol\">g and their receptors were expressed in cultured trophoblast cells in the absence or presence of IFN-<font face=\"symbol\">g and IL-10, respectively. IFN-<font face=\"symbol\">g treatment increased IL-10R1 expression but do not alter IL-10 expression. On contrary, in the presence of IL-10 the IFN-<font face=\"symbol\">g expression increased significantly while the expression of its receptor decreased. These results suggest that a proinflammatory environment increases trophoblast responsiveness to IL-10 whereas an anti-inflammatory condition seems to reinforce the importance of IFN-<font face=\"symbol\">g expression at the maternal-placental interface, on the initial periods of gestation.

O fator 2 derivado de células estromais, SDF2 (do inglês Stromal cell derived fator 2) é um gene de função ainda desconhecida, conservado em mamíferos e descrito primeiramente por Hamada et al. (1996). Neste estudo, observamos que a proteína Sdf2 de camundongo possui a alta similaridade de sequência em relação ao SDF2-like(L)1 humano e murino e de estrutura preditiva também similar em relação ao SDF2-like de Arabidopsis thaliana. A proteína mostrou-se sublocalizada no retículo endoplasmático e apresentou ampla distribuição nos tecidos e órgãos de camundongos. O mapeamento da expressão de Sdf2 ao longo da gestação humana e de camundongo nos mostrou que a proteína está presente em todas as etapas e compartimentos da placenta, com expressão em diversos tipos celulares. Nossos resultados sugerem que o SDF2 participa dos processos de diferenciação de células trofoblásticas humanas e murinas de maneira oposta. Em humanos, onde o processo é dependente da ativação de caspase-8 observou-se um aumento da expressão de SDF2. Em camundongos, onde o processo é por endoreduplicação, houve diminuição da expressão da proteína. A participação do SDF2 na via de estresse de retículo endoplasmático (RE) nas células trofoblásticas também foi analisada. Fatores adversos que podem levar à perda da homeostase do RE e levar a um acúmulo de proteínas mal enoveladas geram o fenômeno conhecido como Estresse de RE. O estresse de RE ativa a via de Resposta a Proteínas Mal Enoveladas (UPR, em inglês Unfolded Protein Response), que atua em diferentes vias de sinalização para aumentar a produção de chaperonas, a degradação das proteínas mal enoveladas e a diminuição da produção de novas proteínas. Estas respostas aumentam as chances de sobrevivência celular. Se, no entanto, a célula não recuperar sua homeostase, vias que levam à apoptose serão ativadas. A geração de estresse de RE pelo agente tunicamicina alterou significativamente a expressão de SDF2. Além disso, o silenciamento do gene SDF2 alterou a expressão dos principais fatores de controle de sobrevivência e apoptose da UPR. Desta forma, estes achados sugerem que o SDF2 desempenha um papel na regulação de sobrevivência/apoptose das células trofoblásticas pela via UPR. / The stromal cell derived factor 2 (SDF2) was first described by Hamada et al.(1996), is well conserved in mammals but its function is still unknown. In this study, we observed the predicted aminoacid sequence os Sdf2 is similar to human and mouse SDF2L1 sequence and the predicted Sdf2 structure is similar to SDF2-like from Arabidopsis thaliana. The protein is sublocalizes in the ER and it is widely expressed in mouse tissue and organs. The expression of Sdf2 throughout human and mouse gestation showed the protein is present in all gestational phases and compartments analysed and it is expressed by several cell types in the placenta. In trophoblast functional assays, SDF2 showed opposite expression patterns in human and mouse differentiation processes. In humans, where the process is dependent of caspase-8 activation, the protein is upregulated. Im mouse, the process is dependent of endoreduplication, the protein is downregulated. The participation of SDF2 in Endoplasmic Reticulum (ER) stress in trophoblastic cells was also evaluated. Adverse environmental conditions may lead to disruption of ER homeostasis causing accumulation of unfolded/misfolded proteins in ER, a phenomenon known as ER stress. ER stress activates the Unfolded Protein Response (UPR) that acts in several signaling cascades to improve chaperone production, misfolded protein degradation and to downregulate new protein production. These responses increase the capacity of cells to maintain alive even in stress conditions. Whether cells fail on restore homeostasis, the UPR activates apoptosis. We were able to observed that when gene silencing assays was used for SDF2, modifications in UPR cell survival/apoptosis markers were observed. In conclusion, we propose that SDF2 is playing a role in ER stress cell survival/apoptosis control in trophoblast cells.