O câncer de mama é o tipo mais freqüente e o segundo mais letal no mundo. Embora ass taxas de sobrevida dos pacientes tenham aumentado consideravelmente nas últimas décadas, indicadores prognósticos desfavoráveis são associados a pacientes com diagnóstico em fase avançada e presença de metástases, frequentemente associadas à existência de células-tronco tumorais (CTT). As CTT são indiferenciadas e capazes de autorrenovação e diferenciação, o que as torna fundamentais para a manutenção da heterogeneidade celular intratumoral. As CTTs são altamente invasivas, tumorigênicas e resistentes a tratamentos convencionais, sendo frequentemente associadas ao surgimento de metástase e recidiva após tratamento. O microambiente tumoral modula as CTT por meio de células e da matriz extracelular (MEC), uma estrutura biologicamente dinâmica, complexa e que regula processos celulares como migração, invasão e diferenciação. A MEC é composta por uma grande variedade de moléculas, peptídeos e macromoléculas, sendo o colágeno seu componente mais abundante. A alta densidade mamográfica é frequentemente associada a elevada rigidez da MEC e deposição aumentada de colágeno fibrilar, principalmente colágeno tipo I (Col I), e é um dos maiores fatores de risco independentes para o desenvolvimento do câncer de mama. A alta densidade de Col I e rigidez da MEC também está associada à maior agressividade tumoral e metástase. Col I também induz o fenótipo tronco tumoral em diversos tipos celulares tumorais, embora o papel da densidade sobre este efeito seja pouco esclarecido. Nosso estudo avaliou a hipótese de a alta densidade de Col I induzir o fenótipo tronco tumoral. Cultivamos linhagens normais (MCF-10A) e tumorais (MDA-MB-231 e MCF-7) de mama em géis de baixa, média e alta densidade de Col I. Também cultivamos células em superfície bidimensional (2D) e em suspensão para geração de mamoesferas (ME), representando o cultivo tradicional e de enriquecimento de CTTs, respectivamente. Avaliamos os níveis do imunofenótipo tronco (CD44+CD24-), expressão gênica e proteica de marcadores de CTTs e de resposta mecânica ao substrato (mecanotransdução), bem como potencial clonogênico, autorrenovação celular e alinhamento fibrilar de géis de Col I. Alta densidade de Col I elevou os níveis da subpopulação CD44+CD24- e inibiu o alongamento celular da linhagem MDA-MB-231, porém não modulou a expressão de marcadores de CTT, bem como potencial clonogênico, autorrenovação celular e alinhamento fibrilar de géis de Col I. A alta densidade de Col I induziu aumento dos níveis totais da isoforma variante da glicoproteína CD44 (CD44v), receptor de estrógeno (RE &#945) e do fator de pluripotência Sox2 em linhagem MCF-7 derivada de ME. Entretanto, os níveis nucleares dos fatores de transcrição (RE &#945 e Sox2) permaneceram inalterados. Em comum, a alta densidade de Col I não elevou os níveis nucleares do mecanotransdutor YAP em linhagens MDAMB-231 e MCF-7 derivada de ME. Concluímos que a alta densidade de Col I induz parcialmente o fenótipo molecular, mas não o funcional, de células tumorais mamárias. / Breast cancer is the most frequent and second deadliest cancer type worldwide. Although patient survival rates have increased considerably in recent decades, unfavorable prognostic indicators are associated with patients with advanced disease stage at diagnosis and presence of metastases, frequently associated with the existence of cancer stem cells (CSC). CSC are undifferentiated and capable of self renewal and differentiation, making them fundamental for the maintenance of intratumoral cellular heterogeneity. CTTs are highly invasive, tumorigenic and resistant to conventional treatments, and are frequently associated with the onset of metastasis and relapse after treatment. The tumor microenvironment modulates CTT by means of cells and the extracellular matrix (ECM), a biologically complex and dynamic structure that regulates cell processes such as migration, invasion and differentiation. ECM is composed of a large variety of molecules, peptides and macromolecules, with collagen being its most abundant component. High mammographic density is often associated with high MEC stiffness and increased deposition of fibrillar collagen, mainly type I collagen (Coll I), and is one of the main independent risk factors for breast câncer development. High Coll I density and ECM stifness are also associated with increased tumor aggressiveness and metastasis. Coll I also induces tumor stemness in several tumor cell types, although the role of its density on this effect is unclear. Our study evaluated the hypothesis that high Coll I density induces the tumor stemness. We cultured normal-like- (MCF-10A) and tumoral (MDA-MB-231 and MCF-7) breast cell lines in low-, medium- and high-density Coll I gels. We also cultured cells in twodimensional (2D) surface and in suspension for the generation of mammospheres (MS), representing the traditional cell culture and CSC enrichment, respectively. We evaluated the levels of the CSC immunophenotype (CD44+CD24), gene/protein expression of CSC markers and mechanical response to the substrate (mechanotransduction), as well as the clonogenic potential, cell self-renewal and fibrillar alignment of Col I gels. High Coll I density increased the levels of the CD44+CD24- subpopulation and inhibited cell elongation of the MDA-MB-231 cell line, but did not modulate the expression of CSC markers as well as clonogenic potential, cell self-renewal and fibrillar alignment of Col I gels. High Coll I density increased total levels of the variant CD44 glycoprotein (CD44v), estrogen receptor (ER) and the pluripotency factor Sox2 in MS-derived MCF-7. However, the nuclear levels of the transcription factors (ER &#945 and Sox2) remained unchanged. In common, high Coll I density did not increase nuclear levels of the mechanotransducer YAP in MDA-MB- 231 and MS-derived cell lines. We conclude that high Coll I density partially induces the molecular stemness, but not the functional, phenotype of mammary tumor cells.

Les cellules cancéreuses sont confrontées à un microenvironnement capable de réguler le processus de progression tumorale. Le collagène de type I, un des facteurs d’adhésion de ce microenvironnement, joue un rôle important dans la régulation de la prolifération cellulaire en particulier. Au cours du vieillissement, cette protéine subit des modifications qui vont avoir un effet délétère sur son état fibrillaire, propriété indispensable pour activer les récepteurs DDR1 et DDR2. Le but de ce travail est d’étudier les effets du vieillissement du collagène de type I sur la prolifération et l’apoptose des cellules tumorales. Dans la première partie, nous montrons que le collagène adulte inhibe la prolifération des cellules de fibrosarcome humain HT-1080, comparé au collagène âgé. Ce processus est observé uniquement en matrice 3D. Le collagène adulte induit une activation plus importante de DDR2 et SHP-2. Cette dernière inhibe par la suite l’axe JAK2 / ERK1/2, et induit une augmentation de l’expression de p21CIP1. Dans la deuxième partie, nous montrons que le collagène de type I adulte induit l’apoptose dans les cellules de carcinome mammaire luminal non invasif, contrairement au collagène âgé. Nous mettons en évidence une activation plus importante de DDR1 par le collagène adulte, et cela uniquement en matrice 3D de collagène. Ceci conduit à une augmentation de l’expression de la protéine pro-apoptotique BIK, qui conduit à son tour à l’apoptose des cellules. Ces données suggèrent que le vieillissement du collagène de type I contribue à la perte de ses propriétés de suppresseur de tumeur, en diminuant l’activation des voies de signalisation relayées par DDR1 et DDR2. / Cancer cells are confronted to a microenvironment that regulates tumor progression. Type I collagen is one of the adhesion factors which control cell proliferation. During aging, this protein undergoes modifications which have a detrimental effect on its fibrillar organization. This property is crucial for the activation of DDR1 and DDR2. Here we address the effect of collagen aging on cell growth and apoptosis. In the first study, we provide evidence for an inhibitory effect of adult collagen, but not the old one, on proliferation of human fibrosarcoma HT-1080 cells. This process is observed only in 3D matrix culture model. At the opposite of the old collagen, adult collagen highly activates DDR2 and its downstream target, the phosphatase SHP-2. Then SHP-2 represses the JAK2/ERK1/2 signaling axis, leading to an increase in p21CIP1 expression, thus conferring to adult collagen a growth suppressor property, which is lost with aging. In the second study, we analyzed the effects of collagen aging on its apoptotic effect in luminal and non-invasive breast carcinoma. Adult collagen is able to induce apoptosis in MCF-7 and ZR-75-1, when compared to old collagen. This process is observed only in 3D matrix culture model. A significant increase in DDR1 activation is observed in the presence of adult collagen. This leads in turn to an increase in the pro-apoptotic protein BIK expression and consequently in collagen-induced apoptosis. Altogether, our data support the concept that aging contributes to the loss of type I collagen-induced cell growth suppression and apoptosis by downregulating DDR1 and DDR2 signaling pathways, but only in 3D cell confinement model.

Les invadosomes sont des structures d’invasion plastiques et dynamiques qui interagissent avec leur microenvironnement. Ils possèdent différentes fonctions telles que l’adhésion, la mécanotransduction ou encore la dégradation de la matrice extracellulaire (MEC). Mon travail de thèse s’est concentré sur i) l’étude globale de la composition des invadosomes par spectrométrie de masse et ii) sur l’impact d’éléments du microenvironnement dans la formation de ces structures d’invasion.i) Les invadosomes sont des complexes multi-protéiques dont tous les partenaires ne sont pas encore totalement identifiés. Au laboratoire, une nouvelle approche combinant la microdissection laser suivie d’une analyse par spectrométrie de masse, a été développée. Cette technique a été appliquée à l’étude des invadosomes rosettes. Nous avons ainsi mis en évidence une nouvelle fonction associée aux invadosomes, en les définissants comme des sites actifs de traduction protéique. Les invadosomes cependant, sont des structures plastiques dont la formation et la morphologie sont modulées par différents éléments de l’environnement. Nous souhaitons à présent déterminer les partenaires communs et spécifiques entre les différentes organisations des invadosomes afin d’identifier les molécules impliquées dans cette plasticité.ii) La formation des invadosomes peut être induite par différents éléments du microenvironnement comme des facteurs de croissance ou encore la composition et la rigidité de la MEC. Le TGF-β est un facteur de croissance impliqué dans la formation des invadosomes, dans la promotion de la rigidité de la MEC et dans la fibrose hépatique pouvant mener au développement du carcinome hépatocellulaire. Nous avons alors étudié l’impact du TGF-β dans la formation des invadosomes linéaires en contexte de collagène de type I. Nous montrons que le TGF-β module la machinerie moléculaire associée aux invadosomes linéaires en induisant l’expression de DDR1 et MT1-MMP, ainsi que des éléments impliqués dans leur formation tels que le collagène I. Ces modulations sont dépendantes de la voie de signalisation canonique du TGF-β passant par Smad4 et favorisent la formation et l’activité des invadosomes linéaires. De plus, le TGF-β induit une surexpression de la LOXL2 qui est une enzyme de réticulation du collagène, augmentant la rigidité de la matrice ce qui favorise la formation des invadosomes.Les résultats obtenus durant ma thèse auront permis de mieux définir les éléments impliqués dans la composition et la formation des invadosomes. / Invadosomes are plastic and dynamic invasive structures interacting with the microenvironement. Those structures are involved in several functions as adhesion, mecanotransduction and degradation of the extracellular matrix (ECM). My PhD work focuses on i) the study of the invadosomes composition by mass spectrometry and ii) on the impact of microenvironmental elements on the formation of those invasive structures.i) Invadosomes are multi-protein complexes in which all partners are not yet fully identified. In the laboratory, a new approach combining laser micordissection followed by mass spectrometry analysis was developed. This technique has been applied to the study of invadosome rosettes. We have demontrasted a new function associated with indosomes, defining them as active sites of protein translation. Invadosomes, however, are plastic structures whose formation and morphology are modulated by different elements of the environment. We now wish to determine the common and specific partners between the different invadosomes organizations in order to identify the molecules involved in their plasticity.The invadosomes formation can be induced by different elements of the microenvironment such as growth factors or the composition and rigidity of the ECM. TGF-β is a growth factor involved in the invadosomes formation, in the ECM rigidity and in liver fibrosis that can lead to the development of hepatocellular carcinoma. We have studied the impact of TGF-β in the formation of linear invadosomes in the context of type I collagen. We show that TGF-β modulates the molecular machinery associated with linear invadosomes by inducing the expression of DDR1 and MT1-MMP, as well as elements involved in their formation, such as collagen I. These modulations are dependent on the TGF-β canonical signaling pathway through Smad4 and promote the formation and activity of linear invadosomes. In addition, TGF-β induces an overexpression of LOXL2, which is a collagen cross-linking enzyme, increasing the matrix stiffness and promotes the formation of these structures.Taken together, these results enabled us to better define the elements involved in the composition and formation of invadosomes.

No description available.

Obesity is a worldwide epidemic increasing at an alarming rate among youth who are facing similar health problems as adults. Sleep Apnea Syndrome (SAS) is an underdiagnosed comorbidity of obesity, characterized by repetitive nocturnal interruptions in breathing. Obesity is associated with delayed skeletal maturation in overweight youth, but mechanisms contributing to this problem are unclear. Obesity and SAS both have been shown to disrupt regulatory hormones and cytokines that influence bone accretion during adolescence. PURPOSE: The purpose of this study was to assess the combined effects of excess body weight and SAS on bone mineral density (BMD) and content (BMC), bone turnover, and on the regulatory hormones leptin and IGF-1 known to potentially influence bone accretion during adolescence. METHODS: Men aged 18-28 years were assigned to groups as follows: normal weight controls (CON: AHI <3, n=8); overweight without SAS (OWT: BMI < 26 kg/m2 and AHI <3, n=9); and overweight with SAS (SAS: BMI >26 kg/m2 and AHI >5, n=8). The apnea/hypopnea index (AHI) expresses the score for disrupted nighttime breathing events/hr and was obtained in this study with results from a home sleep screening test. Health history and Epworth Sleepiness Scale (ESS) questionnaires also were administered. Bone mineral parameters and body composition variables were measured with dual-energy X-ray absorptiometry. Serum osteocalcin, leptin, IGF-1, and NTx-1 were measured, respectively, by radioimmunoassay and enzyme-linked immunoabsorbent assay. RESULTS: Fat-free mass, intra-abdominal fat, and fat mass were higher in the SAS and OWT groups (p<0.03). ESS scores revealed that SAS individuals were sleepier than CON and OWT groups (p<0.009). Total body and site-specific BMD and BMC values (lumbar spine, hip, and forearm) were similar between groups and did not relate to the estimated AHI score. Serum OC and NTx-1 did not differ between groups. Leptin levels were 30% higher in OWT and SAS than in the CON group (p<0.02), but did not correlate with the AHI score. Across all subjects (n=25), only lumbar spine BMC (p<0.005) was correlated to AHI (r=-.52; p<0.01). The preponderance of this relationship between AHI and lumbar spine BMC was attributable to the close inverse association of these two variables within the SAS group (r = -.81; p<0.001). CONCLUSION: The effects of SAS were not influenced by the amount of whole-body, intra-abdominal adiposity or lean body mass. Neither leptin nor IGF-1 predicted bone status across all groups. Daytime fatigue and sleepiness, a cardinal symptom of SAS, combined with overweight may contribute to lower lumbar BMC by chronically reducing weight-bearing physical activity and thereby reduce exposure time for mechanical loading of the spine in affected individuals. Further research is needed to explore the biochemical, physiological, and apparently the physical activity implications of SAS on skeletal status and turnover. / Master of Science

Le collagène de type I représente la protéine structurale la plus abondante au sein de l'organisme. Au cours du vieillissement, cette protéine à longue demi-vie biologique subit des modifications structurales et fonctionnelles qui affectent les propriétés biomécaniques des tissus. L'un des mécanismes majeurs est la réaction de glycation non enzymatique qui conduit à la formation des produits de glycation avancée (AGEs). Les AGEs entraînent une augmentation de la rigidité du collagène I qui se traduit par une désorganisation des réseaux fibrillaires et une perte d'élasticité tissulaire au cours du vieillissement. Dans cette étude, nous avons développé diverses approches biophotoniques afin d'étudier l'impact du vieillissement sur le collagène de type I, de façon rapide, directe et non destructive. Par microspectroscopies vibrationnelles infrarouge (IR) et Raman, des marqueurs spectroscopiques liés à l'accumulation des AGEs ont été mis en évidence au niveau des lyophilisats de collagènes de type I glyqués in vitro. Ces marqueurs sont retrouvés au niveau des lyophilisats de collagènes de type I d'âges différents et permettent une bonne discrimination des échantillons en fonction de l'âge. La bande spécifique des glucides apparaît ainsi comme un bon marqueur spectroscopique de la glycation, corrélant avec le taux d'AGEs fluorescents. Les pics spécifiques des résidus de proline permettent également de mettre en évidence les changements conformationnels dans la protéine dus à l'augmentation des liaisons croisées. L'imagerie IR appliquée aux tissus murins d'âges différents permet de retrouver ces différences spectrales in situ en fonction de l'âge. L'impact du vieillissement sur le comportement structural des fibrilles de collagène I a été étudié par microscopie multiphoton de second harmonique résolue en polarisation (PSHG). A l'échelle de la fibrille isolée, le vieillissement entraîne une perte de la complexité d'assemblage des fibrilles et une diminution de leur diamètre. L'effet de l'âge sur les propriétés biomécaniques du collagène de type I a été évalué sur des modèles de matrices 3D de collagène de type I, en présence de fibroblastes, par une technique de déformation des matrices et par tomographie à cohérence optique (OCT). Les résultats montrent une diminution du module d'élasticité et de la contraction du collagène avec le vieillissement, en accord avec les données de l'étude cinétique de la fibrillogenèse. Cette étude démontre la complémentarité des techniques biophotoniques employées et leur potentiel dans la caractérisation moléculaire et morphologique des effets de l'âge sur le collagène de type I, de manière directe, non invasive et multi-échelles. / Type I collagen represents the most abundant structural protein in the human body. During aging, this long half-life protein undergoes structural and functional changes which affect the biomechanical properties of tissues. One of the main mechanisms is the non enzymatic glycation leading to the formation of the so-called advanced glycation endprodutcs (AGEs). AGEs give rise to an increase of collagen I rigidity which is responsible for the fibrillar network disorganization and the loss of tissue elasticity with age. In this work, we applied various biophotonic approaches for studying the impact of aging on type I collagen, in a rapid, direct and non destructive way. Using vibrational infrared (IR) and Raman microspectroscopies, we highlighted spectroscopic markers linked to AGEs accumulation in freeze-dried samples of in vitro-glycated type I collagens. These markers were also detected in different-age freeze-dried type I collagens and allowed a clear discrimination of samples as a function of age. The band assigned to carbohydrates appears like a specific spectroscopic marker of glycation, in correlation with the fluorescent-AGEs quantification. The specific peaks for proline residues allow highlighting conformational changes in protein backbone due to a higher cross-linking. IR imaging applied to tissues from different-age rats can detect these spectral differences in situ as a function of age. Impact of aging on the structural behaviour of type I collagen fibrils was studied by polarization resolved second harmonic generation (PSHG) multiphoton microscopy. At the scale of single fibril, aging gives rise to a loss of fibril assembly complexity and a decrease of fibril diameter. Age effect on biomechanical properties of type I collagen was evaluated on 3D type I collagen matrice models in the presence of fibroblasts, using an indentation technique and optical coherence tomography (OCT). Results show a decrease of both elastic modulus and collagen contraction with aging, in agreement with kinetics of the fibrillogenesis process. This study demonstrates the complementarity of the different biophotonic techniques used in our multimodal approach and their potential for characterizing age effects on type I collagen, in a direct, non invasive and multi-scale way.

Objetivos: Determinar a incidência de perda de massa óssea em um ano em pacientes com lúpus na pré-menopausa e o valor preditor dos marcadores do metabolismo ósseo para essa complicação. Métodos: Sessenta e três pacientes foram avaliadas à entrada no estudo e após um ano de seguimento. Variações na densidade mineral óssea (DXA) acima da mínima variação significativa (MVS) foram consideradas significativas, como recomendado pela Sociedade Internacional de Densitometria Clínica (International Society for Clinical Densitometry). Os níveis séricos dos marcadores do metabolismo ósseo foram determinados no início do estudo: propeptídeo N-terminal do pro-colágeno tipo 1 (P1NP) e telopeptídeo C-terminal do colágeno tipo 1 (CTX) por eletroquimioluminescência; osteoprotegerina (OPG) e ligante do receptor ativador do fator nuclear kB (RANKL) por ELISA. Resultados: 36,5% dos pacientes apresentaram perda de massa óssea e 17,5% ganho de massa óssea na coluna lombar e/ou fêmur. Os pacientes foram divididos em três grupos: perda de massa óssea (P), massa óssea estável (E) e ganho de massa óssea (G). Pacientes com P e E tomaram doses cumulativa, média e máxima de glicocorticoide semelhantes durante o estudo, mas pacientes com G receberam doses menores (G vs. P e G vs. E, p < 0,05). Os níveis séricos basais de P1NP foram diferentes nos três grupos (P: 36,95 ± 23,37 vs. E: 54,63 ± 30,82 vs. G: 84,09 ± 43,85 ng/ml, p=0,001). Análises de múltiplas comparações demonstraram diferenças significativas nos níveis de P1NP entre P vs. E, p=0,031; P vs. G, p < 0,001 e E vs. G, p=0,039. Não houve diferença entre os grupos com relação aos níveis de CTX, OPG/RANKL, fatores de risco para osteoporose ou parâmetros relacionados à doença. Após análise multivariada, apenas níveis baixos de P1NP permaneceram como fator de risco independente para perda de massa óssea (p < 0,013). Conclusão: Este estudo fornece evidência original que níveis mais baixos de P1NP, o marcador de formação óssea mais específico, são preditores de perda de massa óssea em um ano em mulheres com lúpus na pré-menopausa / Objective: To determine the one-year incidence of bone loss in premenopausal lupus patients and the value of bone markers as predictors of this complication. Methods: Sixty-three premenopausal SLE patients were evaluated at baseline and after one-year of follow-up. Bone mineral density changes (DXA) above the least significant change (LSC) were considered significant, as recommended by International Society for Clinical Densitometry. Serum levels of bone markers were determined at baseline: N-terminal propeptide of type 1 collagen (P1NP) and C-terminal telopeptide of type 1 collagen (CTX) by electrochemiluminescence; osteoprotegerin (OPG) and receptor activator of nuclear factor kB ligand (RANKL) by ELISA. Results: 36.5% of patients presented bone loss and 17.5% bone gain at lumbar spine and/or femur. Patients were divided in three groups: bone mass loss (BL), no bone mass change (NC) and bone mass gain (BG). Patients with BL e NC took similar cumulative, mean and maximum GC doses during the study, but patients with BG took lower doses (BG vs. BL and BG vs. NC, p < 0.05). Baseline P1NP levels were different in the three groups (BL: 36.95 ± 23.37 vs. NC: 54.63 ± 30.82 vs. BG: 84.09 ± 43.85 ng/ml, p=0.001). Further multiple comparison analysis demonstrated significant differences in P1NP between BL vs. NC, p=0.031; BL vs. BG, p < 0.001 and NC vs. BG, p=0.039. No difference was observed concerning the levels of CTX, OPG/RANKL, risk factors for osteoporosis or disease related parameters. After multivariate analysis only lower P1NP levels remained as an independent risk factor for bone loss (p < 0.013). Conclusion: This study provides original evidence that lower levels of P1NP, the most specific bone formation marker, are predictive of bone loss in the next year in premenopausal SLE patients

Objetivo: investigar a capacidade osteoclastogênica de células mononucleares do sangue periférico (PBMCs) de pacientes do sexo masculino com espondilite anquilosante (EA), comparando com indivíduos saudáveis e determinar a relação da osteoclastogênese com parâmetros clínicos e laboratoriais. Métodos: células mononucleares do sangue periférico de 85 pacientes com espondilite anquilosante e 59 controles saudáveis (CT) foram marcadas para avaliar a presença de células CD16 positivas (precursores de osteoclastos). As PBMCs foram mantidas, in vitro, por 21 dias para indução da diferenciação em osteoclastos e avaliação da apoptose destas células. Os níveis séricos do ligante do receptor ativador de fator nuclear kB (RANKL), osteoprotegerina (OPG), telopeptídeo C-terminal do colágeno tipo I (CTX) e propeptídeo Nterminal do procolágeno tipo I (P1NP) foram também avaliados. Resultados: PBMCs de pacientes com EA apresentaram menor porcentagem de células CD16 positivas (25,06 ± 8,59 vs. 28,59 ± 10,20%; p = 0,026) e originaram menor número de osteoclastos comparados aos controles saudáveis (647,7 ± 669,4 vs. 764,4 ± 561,9 OC/poço; p = 0,014). A porcentagem de osteoclastos em apoptose foi menos frequente nos pacientes com EA versus CT (31,8 ± 32,5 vs. 44,5 ± 34,3%; p = 0,007). Menores relações RANKL/OPG e CTX/P1NP foram observadas nos pacientes com EA em relação aos CT (0,05 ± 0,03 vs. 0,07 ± 0,07; p = 0,046 e 0,008 ± 0,003 vs. 0,010 ± 0,003; p < 0,001, respectivamente). Pacientes com EA em uso de terapia de anti-inflamatório não-hormonal (AINH) não apresentaram diferença associada ao número de osteoclastos gerados e à porcentagem de células CD16 positivas comparados aos CT (p > 0,05). Entretanto, pacientes com EA em uso de terapia com inibidor de TNFalfa (iTNFalfa) demonstraram menor número de osteoclastos gerados comparados aos indivíduos saudáveis (582,51 ± 717,56 vs. 764,43 ± 561,9 OC/poço; p = 0,047). Observou-se uma correlação negativa entre número de osteoclastos gerados a partir de PBMC de pacientes com EA e duração de doença (R = -0,220, p = 0,043). Conclusões: os presentes resultados demonstraram que monócitos de pacientes com EA apresentam uma menor capacidade em gerar osteoclastos comparados a indivíduos saudáveis, e que a osteoclastogênese esteve correlacionada negativamente à duração de doença. Estes dados sugerem que os osteoclastos possuem um papel importante na fisiopatologia da doença óssea nos pacientes com EA / Objective: the aim of this study was to investigate if the osteoclastogenic capacity of PBMCs is different in AS patients compared to controls and the relationship between osteoclastogenesis and clinical/laboratory parameters. Methods: PBMCs from 85 male ankylosing spondylitis (AS) patients and 59 controls were tested for CD16+ cells and induced to differentiate into osteoclasts over 3 weeks in vitro. Serum levels of RANKL, osteoprotegerin (OPG), C-terminal telopeptide of type I collagen (CTX) and N-terminal propeptide of type 1 collagen (P1NP) were also evaluated. Results: PBMCs from AS patients had fewer CD16+ cells (25.06 ± 8.59 vs. 28.59 ± 10.20%; p = 0.026) and produced fewer osteoclasts (647.7 ± 669.4 vs. 764.4 ± 561.9 OC/well; p = 0.014) compared to controls. Apoptosis occurred less frequently in osteoclasts obtained from AS patients than in osteoclasts from the controls (31.8 ± 32.5 vs. 44.5 ± 34.3%; p = 0.007). A lower RANKL/OPG and CTX/P1NP were observed in AS patients compared to controls (0.05 ± 0.03 vs. 0.07 ± 0.07; p = 0.046 e 0.008 ± 0.003 vs. 0.010 ± 0.003; p < 0.001, respectively). AS patients taking NSAIDs presented no difference regarding the number of OCs produced and the percentage of CD16+ cells compared to controls (p > 0.05). However, patients taking TNFalpha inhibitors (TNFi) presented lower OC numbers than controls (582.51 ± 717.56 vs. 764.43 ± 561.9 OC/well; p = 0.047). A negative correlation was demonstrated between the number of osteoclasts generated from PBMCs of AS patients and disease duration (R = -0.220, p = 0.043). Conclusion: monocytes from male AS patients display a lower capacity to generate osteoclasts in vitro compared to cells from controls. Osteoclastogenesis was negatively correlated with disease duration. This finding supports the idea that osteoclasts play a role in the physiopathology of bone disease in AS patients

The skin provides protection and maintains homeostasis, making it essential for survival. Additionally, skin has the impressive ability to grow, as observed in children as they grow into adults. However, skin functions are compromised in large skin defects, a serious problem that can be fatal. The gold standard treatment is to use an autologous skin graft; however, due to donor site morbidity and limited availability, when full-thickness defects surpass 2% total body surface area (TBSA), skin substitutes are preferred. Unfortunately, current skin substitutes on the market: are slow to revascularize (2+ weeks), have low graft survival rates (<50% take), and lead to significant scarring and contracture. Fortunately, a promising solution is to prevascularize engineered skin substitutes in vitro, which has been shown to facilitate rapid tissue integration upon grafting by providing an intact vascular network that readily connects to the host’s circulation. However, current approaches for prevascularizing tissue constructs require long in vitro culture times or implement low extracellular matrix (ECM) density tissue constructs – both which are problematic in a clinical setting. To address this, we implemented a novel multitissue interface culture model to define the design parameters that were essential for rapid vascularization of soft tissue constructs in vitro. Here, we identified endothelial colony forming cell (ECFC) density and maintenance of cell-matrix tensional forces as important factors for rapid in vitro tissue vascularization (18% vessel volume percentage after 3 days of culture). We then applied these parameters to achieve rapid in vitro vascularization of dense, oligomer tissue constructs (12, 20, and 40 mg/mL). We demonstrated, for the first time, rapid in vitro vascularization at 3 days within dense matrices (ECM concentration > 10 mg/mL). Lastly, a rat full-thickness excisional wound model was developed to determine the acellular densified oligomer’s (20 and 40 mg/mL) ability to resist wound contraction and facilitate a wound healing response (recellularization and vascularization) when grafted into wounds. Future work will implement the vascularized, dense tissue constructs into the developed animal model to assess the vascularized graft’s efficacy on treating wounds to reduce scarring and contracture outcomes.

La galactosémie congénitale est une maladie métabolique affectant la voie du galactose. En effet, l'enzyme responsable de la transformation du galactose-1-phosphate en glucose-1-phosphate, la galactose-1-phosphate uridyltransférase, est déficiente et rend donc l'utilisation du galactose par l'organisme quasiment impossible. Ceci entraîne une accumulation de galactose ainsi que ses produits dérivés, le galactose-1-phosphate et le galactitol. Ainsi, notre hypothèse de travail est que les métabolites impliqués dans cette pathologie provoquent des modifications post-traductionnelles des protéines induisant ainsi leur vieillissement prématuré. Nous avons donc étudié l'impact de la « galactation » sur la structure du collagène de type I et montré que ces modifications structurales sont beaucoup plus importantes avec le galactose qu'avec le glucose à la même concentration, aussi bien sur la structure primaire que fibrillaire. Au contact du collagène « galacté », les fonctions des cellules inflammatoires sont modifiées. La technique de spectroscopie infrarouge a été utilisée pour caractériser les métabolites impliqués dans la galactosémie ainsi que les collagènes modifiés. Dans un but de dépistage, une étude en spectroscopie infrarouge de plasmas galactosémiques nous a permis de mettre en évidence le potentiel de cette technique, du fait de sa bonne sensibilité et de son faible coût de revient. En conclusion, les modifications post-traductionnelles des protéines semblent très fortement impliquées dans la physiopathologie de la galactosémie congénitale. / The congenital galactosemia is a metabolic disease involved in the galactose pathway. Indeed, the enzyme responsible of the galactose-1-phosphate transformation in glucose-1-phosphate, the galactose-1-phosphate uridyltransferase, is deficient and then leads to a use of galactose almost impossible. This leads to an accumulation of galactose and its derived products, the galactose-1-phosphate and the galactitol. Thus, our work hypothesis is that metabolites involved in this disease cause post-translational modifications of proteins inducing their premature aging. We then studied the impact of the « galactation » on the type I collagen and showed that the structural modifications are more important with galactose than with glucose at the same concentration, on both the primary and the fibrillar structure. On contact with « galacted » collagen, the inflammatory cells functions are also modified. The infrared spectroscopy technique has been used to characterize the metabolites involved in the galactosemia, just as the modified collagens. With the aim of screening, an infrared spectroscopy study of galactosemic plasmas allowed us to highlight the potential of this technique, with its good sensibility and its low cost price. To conclude, the post-translational modifications of proteins seem strongly involved in the physiopathology of the congenital galactosemia.