Etude de la dynamique de tau dans le compartiment synaptique dans un contexte physiologique et pathologique exemple de la maladie d'Alzheimer

La maladie d'Alzheimer est une pathologie neurodégénérative caractérisée par une perte progressive des fonctions cognitives. Cette perte des fonctions cognitives est directement liée à une atteinte neuronale et plus particulièrement synaptique. Deux caractéristiques histopathologiques en lien avec des dérégulations protéiques sont retrouvées chez les patients atteints de la MA : les plaques séniles extracellulaires composées de peptides b-amyloïdes (Ab) fibrillaires et la dégénérescence neurofibrillaire constituée d'agrégats intracellulaires de protéines tau hyper et anormalement phosphorylées. Les formes agrégées de ces protéines ont longtemps été considérées comme neurotoxiques, cependant, il est maintenant avéré que les formes solubles de ces protéines dérégulées étaient à l'origine de la pathologie. Les synapses excitatrices situées au niveau des épines dendritiques sont les cibles du peptide Ab sous forme soluble et oligomèrique (Abo). Ce dernier en altère la fonction et induit leurs pertes. Récemment, il a été montré que cette action synaptotoxique de l'Abo est dépendante de la protéine tau. De plus, dans un autre modèle de tauopathie, la démence fronto-temporale avec syndrome parkinsonien liée au chromosome 17 (FTDP-17), la synaptotoxicité de tau s'est révélée dépendante de son état de phosphorylation. Ainsi, il émerge le concept de tau synaptique dans un contexte pathologique. Cependant, des études plus récentes ont montré que, en condition physiologique, une petite portion de tau se retrouve au niveau de la synapse. Au regard de ces nouvelles données, il est possible que tau, en plus d'être une protéine axonale, nucléaire et membranaire, soit aussi synaptique. Dans ce contexte, les travaux présentés dans cette thèse visent à étudier l'implication de la protéine tau dans la fonction synaptique et les perturbations induites par la présence d'Abo. Ces travaux ont été effectués sur un modèle cellulaire de cultures primaires de neurones corticaux et sur tranche d'hippocampe de souris par des méthodes biochimiques et d'analyse dynamique en microscopie confocale sur cellules vivantes. Afin d'étudier l'impact d'une activation synaptique sur un système de culture neuronal, l'utilisation combinée de la bicuculline, antagoniste des récepteurs gabaergique GABAa et de 4-amino pyridine, bloqueur de canaux potassique, permet d'établir une potentialisation à long terme sur les synapses. Grâce à un protocole d'extraction permettant d'isoler le compartiment post-synaptique (fraction contenant la densité post synaptique dont le marqueur protéique PSD-95), nous avons montré que l'activation synaptique enrichit la fraction PSD en protéine tau suggérant son implication dans les phénomènes de plasticité synaptique. L'étude du cytosquelette d'actine prépondérant au niveau synaptique a révélé que l'actine filamenteuse est un partenaire de tau. Dans un contexte pathologique, l'incubation d'Abo induit le recrutement de tau à la synapse et perturbe l'organisation du cytosquelette d'actine. Ce changement structurel du cytosquelette d'actine pourrait être à l'origine des perturbations de la plasticité et du maintien synaptique induit par Abo. En conclusion, l'ensemble des résultats de cette thèse suggère que tau exerce une fonction physiologique au sein de la synapse impliquant une interaction avec le cytosquelette d'actine et qu'en conditions pathologiques (induites par Abo), on observe une altération fonctionnelle du rôle de tau à la synapse qui pourrait participer aux perturbations cognitives caractéristiques de la MA.Alzheimer's disease (AD) is a neurodegenerative disorder characterized by a progressive loss of cognitive functions. This loss of cognitive functions is directly related to neuronal impairment, and more specifically, synaptic dysfunction. Two histopathological features found in AD patients' brains are related to protein deregulation: extracellular neuritic plaques composed of fibrillar b-amyloid peptide (Ab) and intracellular aggregates composed of hyper-phosphorylated tau, named neurofibrillary tangles. Aggregated forms of these peptides have been considered neurotoxic, however, it is now recognized that soluble forms of these deregulated proteins are causal to the pathology. Soluble, oligomeric forms of Ab peptide (Abo) target excitatory synapses where they diminish synaptic function and cause loss of dendritic spines. Recently, it has been shown that the Abo synaptotoxicity is tau-dependent. Another tauopathy, fronto-temporal dementia with Parkinsonism linked to chromosome 17 (FTDP-17), exhibits synaptotoxicity, which has proved to be dependent on the phosphorylation state of tau. Thus, emerged the concept of synaptic tau in a pathological context. Recent studies have shown that a small quantity of tau is present in synapses under physiological conditions. These new data suggest that tau is a synaptic protein, in addition to being axonal, nuclear and membrane-associated. In this context, the work presented in this thesis characterizes the involvement of tau in synaptic function and its Abo-induced disturbances. This work was conducted using primary cortical neurons cultured from mice and hippocampus slices and employed biochemical methods and confocal live-cell imaging. To study the impact of a synaptic activation on synaptic tau, we combined bicuculline, an antagonist of GABAa receptors and 4-amino-pyridine, potassium channel blocker, to establish long-term synaptic potentiation. By isolating the post-synaptic compartment (i.e. the fraction containing the post synaptic density and its marker PSD-95), we have shown that synaptic activation induced an enrichment of tau in PSD. This suggests its involvement in synaptic plasticity. The study of the actin cytoskeleton, which is specifically enriched in dendritic spines, revealed that filamentous actin is a molecular partner of tau, which may provide a means of recruiting tau to the synapse. Turning our attention to a pathological context, exposure to Abo induced tau recruitment to the synapse and disrupts the actin cytoskeleton organization without exogenous synaptic stimulation. This structural modification of the actin cytoskeleton could underlie the disturbance of plasticity and synaptic maintenance induced by Abo. In conclusion, this thesis provides evidence that tau performs a physiological synaptic function that involves an interaction with the actin cytoskeleton. Further, the synaptic function of tau is altered in pathological conditions (i.e. exposure to Abo), and may contribute to the cognitive disturbances in AD.SAVOIE-SCD - Bib.électronique (730659901) / SudocGRENOBLE1/INP-Bib.électronique (384210012) / SudocGRENOBLE2/3-Bib.électronique (384219901) / SudocSudocFranceF

Tau mislocation in glucocorticoid-triggered hippocampal pathology

The exposure to high glucocorticoids (GC) triggers neuronal atrophy and cognitive deficits, but the exact cellular mechanisms underlying the GC-associated dendritic remodeling and spine loss are still poorly understood. Previous studies have implicated sustained GC elevations in neurodegenerative mechanisms through GC-evoked hyperphosphorylation of the cytoskeletal protein Tau while Tau mislocation has recently been proposed as relevant in Alzheimer's disease (AD) pathology. In light of the dual cytoplasmic and synaptic role of Tau, this study monitored the impact of prolonged GC treatment on Tau intracellular localization and its phosphorylation status in different cellular compartments. We demonstrate, both by biochemical and ultrastructural analysis, that GC administration led to cytosolic and dendritic Tau accumulation in rat hippocampus, and triggered Tau hyperphosphorylation in epitopes related to its malfunction (Ser396/404) and cytoskeletal pathology (e.g., Thr231 and Ser262). In addition, we show, for the first time, that chronic GC administration also increased Tau levels in synaptic compartment; however, at the synapse, there was an increase in phosphorylation of Ser396/404, but a decrease of Thr231. These GC-triggered Tau changes were paralleled by reduced levels of synaptic scaffolding proteins such as PSD-95 and Shank proteins as well as reduced dendritic branching and spine loss. These in vivo findings add to our limited knowledge about the underlying mechanisms of GC-evoked synaptic atrophy and neuronal disconnection implicating Tau missorting in mechanism(s) of synaptic damage, beyond AD pathology.We would like to thank Rui Fernandes for TEM technical support. IS was supported by the Portuguese Foundation for Science and Technology (FCT).This work was funded by the Portuguese Foundation for Science and Technology (FCT) (grant NMC-113934 to IS and grant SFRH/BPD/80118/2011 to JC), Canon Foundation and project DoIT - Desenvolvimento e Operacionalização da Investigação de Translação (N° do projeto 13853), funded by Fundo Europeu de Desenvolvimento Regional (FEDER) through the Programa Operacional Fatores de Competitividade (POFC).info:eu-repo/semantics/publishedVersio

Neuroplasticity-related correlates of environmental enrichment combined with physical activity differ between the sexes

In Press, Corrected ProofEnvironmental enrichment (EE), comprising positive physical (exercise) and cognitive stimuli, influences neuronal structure and usually improves brain function. The promise of EE as a preventative strategy against neuropsychiatric disease is especially high during early postnatal development when the brain is still amenable to reorganization. Despite the fact that male and female brains differ in terms of connectivity and function that may reflect early life experiences, knowledge of the neural substrates and mechanisms by which such changes arise remains limited. This study compared the impact of EE combined with physical activity on neuroplasticity and its functional consequences in adult male and female rats; EE was provided during the first 3 months of life and our analysis focused on the hippocampus, an area implicated in cognitive behavior as well as the neuroendocrine response to stress. Both male and female rats reared in EE displayed better object recognition memory than their control counterparts. Interestingly, sex differences were revealed in the effects of EE on time spent exploring the objects during this test. Independently of sex, EE increased hippocampal turnover rates of dopamine and serotonin and reduced expression of 5-HT1A receptors; in addition, EE upregulated expression of synaptophysin, a presynaptic protein, in the hippocampus. As compared to their respective controls, EE-exposed males exhibited parallel increases in phosphorylated Tau and the GluN2B receptor, whereas females responded to EE with reduced hippocampal levels of glutamate and GluN2B. Together, these observations provide further evidence on the differential effects of EE on markers of hippocampal neuroplasticity in males and females.This work was funded by an ``Education and Lifelong Learning, Supporting Postdoctoral Researchers”, co-financed by the European Social Fund (ESF) and the General Secretariat for Research and Technology, Greece. This work was also supported by the Portuguese North Regional Operational Program (ON.2) under the National Strategic Reference Framework (QREN), through the European Regional Development Fund (FEDER), the Project Estratégico co-funded by FCT (PEst-C/SAU/LA0026/2013) and the European Regional Development Fund COMPETE (FCOMP-01-0124-FEDER-037,298) as well as the project NORTE-01-0145-FEDER-000,013, supported by the Northern Portugal Regional Operational Programme (NORTE 2020), under the Portugal 2020 Partnership Agreement, through the European Regional Development Fund (FEDER)info:eu-repo/semantics/acceptedVersio

Study of the synaptic compartment in a physiologic and pathologic context : example of Alzheimer's disease

La maladie d'Alzheimer est une pathologie neurodégénérative caractérisée par une perte progressive des fonctions cognitives. Cette perte des fonctions cognitives est directement liée à une atteinte neuronale et plus particulièrement synaptique. Deux caractéristiques histopathologiques en lien avec des dérégulations protéiques sont retrouvées chez les patients atteints de la MA : les plaques séniles extracellulaires composées de peptides β-amyloïdes (Aβ) fibrillaires et la dégénérescence neurofibrillaire constituée d'agrégats intracellulaires de protéines tau hyper et anormalement phosphorylées. Les formes agrégées de ces protéines ont longtemps été considérées comme neurotoxiques, cependant, il est maintenant avéré que les formes solubles de ces protéines dérégulées étaient à l'origine de la pathologie. Les synapses excitatrices situées au niveau des épines dendritiques sont les cibles du peptide Aβ sous forme soluble et oligomèrique (Aβo). Ce dernier en altère la fonction et induit leurs pertes. Récemment, il a été montré que cette action synaptotoxique de l'Aβo est dépendante de la protéine tau. De plus, dans un autre modèle de tauopathie, la démence fronto-temporale avec syndrome parkinsonien liée au chromosome 17 (FTDP-17), la synaptotoxicité de tau s'est révélée dépendante de son état de phosphorylation. Ainsi, il émerge le concept de tau synaptique dans un contexte pathologique. Cependant, des études plus récentes ont montré que, en condition physiologique, une petite portion de tau se retrouve au niveau de la synapse. Au regard de ces nouvelles données, il est possible que tau, en plus d'être une protéine axonale, nucléaire et membranaire, soit aussi synaptique. Dans ce contexte, les travaux présentés dans cette thèse visent à étudier l'implication de la protéine tau dans la fonction synaptique et les perturbations induites par la présence d'Aβo. Ces travaux ont été effectués sur un modèle cellulaire de cultures primaires de neurones corticaux et sur tranche d'hippocampe de souris par des méthodes biochimiques et d'analyse dynamique en microscopie confocale sur cellules vivantes. Afin d'étudier l'impact d'une activation synaptique sur un système de culture neuronal, l'utilisation combinée de la bicuculline, antagoniste des récepteurs gabaergique GABAa et de 4-amino pyridine, bloqueur de canaux potassique, permet d'établir une potentialisation à long terme sur les synapses. Grâce à un protocole d'extraction permettant d'isoler le compartiment post-synaptique (fraction contenant la densité post synaptique dont le marqueur protéique PSD-95), nous avons montré que l'activation synaptique enrichit la fraction PSD en protéine tau suggérant son implication dans les phénomènes de plasticité synaptique. L'étude du cytosquelette d'actine prépondérant au niveau synaptique a révélé que l'actine filamenteuse est un partenaire de tau. Dans un contexte pathologique, l'incubation d'Aβo induit le recrutement de tau à la synapse et perturbe l'organisation du cytosquelette d'actine. Ce changement structurel du cytosquelette d'actine pourrait être à l'origine des perturbations de la plasticité et du maintien synaptique induit par Aβo. En conclusion, l'ensemble des résultats de cette thèse suggère que tau exerce une fonction physiologique au sein de la synapse impliquant une interaction avec le cytosquelette d'actine et qu'en conditions pathologiques (induites par Aβo), on observe une altération fonctionnelle du rôle de tau à la synapse qui pourrait participer aux perturbations cognitives caractéristiques de la MA.Alzheimer's disease (AD) is a neurodegenerative disorder characterized by a progressive loss of cognitive functions. This loss of cognitive functions is directly related to neuronal impairment, and more specifically, synaptic dysfunction. Two histopathological features found in AD patients' brains are related to protein deregulation: extracellular neuritic plaques composed of fibrillar β-amyloid peptide (Aβ) and intracellular aggregates composed of hyper-phosphorylated tau, named neurofibrillary tangles. Aggregated forms of these peptides have been considered neurotoxic, however, it is now recognized that soluble forms of these deregulated proteins are causal to the pathology. Soluble, oligomeric forms of Aβ peptide (Aβo) target excitatory synapses where they diminish synaptic function and cause loss of dendritic spines. Recently, it has been shown that the Aβo synaptotoxicity is tau-dependent. Another tauopathy, fronto-temporal dementia with Parkinsonism linked to chromosome 17 (FTDP-17), exhibits synaptotoxicity, which has proved to be dependent on the phosphorylation state of tau. Thus, emerged the concept of synaptic tau in a pathological context. Recent studies have shown that a small quantity of tau is present in synapses under physiological conditions. These new data suggest that tau is a synaptic protein, in addition to being axonal, nuclear and membrane-associated. In this context, the work presented in this thesis characterizes the involvement of tau in synaptic function and its Aβo-induced disturbances. This work was conducted using primary cortical neurons cultured from mice and hippocampus slices and employed biochemical methods and confocal live-cell imaging. To study the impact of a synaptic activation on synaptic tau, we combined bicuculline, an antagonist of GABAa receptors and 4-amino-pyridine, potassium channel blocker, to establish long-term synaptic potentiation. By isolating the post-synaptic compartment (i.e. the fraction containing the post synaptic density and its marker PSD-95), we have shown that synaptic activation induced an enrichment of tau in PSD. This suggests its involvement in synaptic plasticity. The study of the actin cytoskeleton, which is specifically enriched in dendritic spines, revealed that filamentous actin is a molecular partner of tau, which may provide a means of recruiting tau to the synapse. Turning our attention to a pathological context, exposure to Aβo induced tau recruitment to the synapse and disrupts the actin cytoskeleton organization without exogenous synaptic stimulation. This structural modification of the actin cytoskeleton could underlie the disturbance of plasticity and synaptic maintenance induced by Aβo. In conclusion, this thesis provides evidence that tau performs a physiological synaptic function that involves an interaction with the actin cytoskeleton. Further, the synaptic function of tau is altered in pathological conditions (i.e. exposure to Aβo), and may contribute to the cognitive disturbances in AD

Etude de la dynamique de tau dans le compartiment synaptique dans un contexte physiologique et pathologique exemple de la maladie d'Alzheimer

Alzheimer's disease (AD) is a neurodegenerative disorder characterized by a progressive loss of cognitive functions. This loss of cognitive functions is directly related to neuronal impairment, and more specifically, synaptic dysfunction. Two histopathological features found in AD patients' brains are related to protein deregulation: extracellular neuritic plaques composed of fibrillar β-amyloid peptide (Aβ) and intracellular aggregates composed of hyper-phosphorylated tau, named neurofibrillary tangles. Aggregated forms of these peptides have been considered neurotoxic, however, it is now recognized that soluble forms of these deregulated proteins are causal to the pathology. Soluble, oligomeric forms of Aβ peptide (Aβo) target excitatory synapses where they diminish synaptic function and cause loss of dendritic spines. Recently, it has been shown that the Aβo synaptotoxicity is tau-dependent. Another tauopathy, fronto-temporal dementia with Parkinsonism linked to chromosome 17 (FTDP-17), exhibits synaptotoxicity, which has proved to be dependent on the phosphorylation state of tau. Thus, emerged the concept of synaptic tau in a pathological context. Recent studies have shown that a small quantity of tau is present in synapses under physiological conditions. These new data suggest that tau is a synaptic protein, in addition to being axonal, nuclear and membrane-associated. In this context, the work presented in this thesis characterizes the involvement of tau in synaptic function and its Aβo-induced disturbances. This work was conducted using primary cortical neurons cultured from mice and hippocampus slices and employed biochemical methods and confocal live-cell imaging. To study the impact of a synaptic activation on synaptic tau, we combined bicuculline, an antagonist of GABAa receptors and 4-amino-pyridine, potassium channel blocker, to establish long-term synaptic potentiation. By isolating the post-synaptic compartment (i.e. the fraction containing the post synaptic density and its marker PSD-95), we have shown that synaptic activation induced an enrichment of tau in PSD. This suggests its involvement in synaptic plasticity. The study of the actin cytoskeleton, which is specifically enriched in dendritic spines, revealed that filamentous actin is a molecular partner of tau, which may provide a means of recruiting tau to the synapse. Turning our attention to a pathological context, exposure to Aβo induced tau recruitment to the synapse and disrupts the actin cytoskeleton organization without exogenous synaptic stimulation. This structural modification of the actin cytoskeleton could underlie the disturbance of plasticity and synaptic maintenance induced by Aβo. In conclusion, this thesis provides evidence that tau performs a physiological synaptic function that involves an interaction with the actin cytoskeleton. Further, the synaptic function of tau is altered in pathological conditions (i.e. exposure to Aβo), and may contribute to the cognitive disturbances in AD.La maladie d'Alzheimer est une pathologie neurodégénérative caractérisée par une perte progressive des fonctions cognitives. Cette perte des fonctions cognitives est directement liée à une atteinte neuronale et plus particulièrement synaptique. Deux caractéristiques histopathologiques en lien avec des dérégulations protéiques sont retrouvées chez les patients atteints de la MA : les plaques séniles extracellulaires composées de peptides β-amyloïdes (Aβ) fibrillaires et la dégénérescence neurofibrillaire constituée d'agrégats intracellulaires de protéines tau hyper et anormalement phosphorylées. Les formes agrégées de ces protéines ont longtemps été considérées comme neurotoxiques, cependant, il est maintenant avéré que les formes solubles de ces protéines dérégulées étaient à l'origine de la pathologie. Les synapses excitatrices situées au niveau des épines dendritiques sont les cibles du peptide Aβ sous forme soluble et oligomèrique (Aβo). Ce dernier en altère la fonction et induit leurs pertes. Récemment, il a été montré que cette action synaptotoxique de l'Aβo est dépendante de la protéine tau. De plus, dans un autre modèle de tauopathie, la démence fronto-temporale avec syndrome parkinsonien liée au chromosome 17 (FTDP-17), la synaptotoxicité de tau s'est révélée dépendante de son état de phosphorylation. Ainsi, il émerge le concept de tau synaptique dans un contexte pathologique. Cependant, des études plus récentes ont montré que, en condition physiologique, une petite portion de tau se retrouve au niveau de la synapse. Au regard de ces nouvelles données, il est possible que tau, en plus d'être une protéine axonale, nucléaire et membranaire, soit aussi synaptique. Dans ce contexte, les travaux présentés dans cette thèse visent à étudier l'implication de la protéine tau dans la fonction synaptique et les perturbations induites par la présence d'Aβo. Ces travaux ont été effectués sur un modèle cellulaire de cultures primaires de neurones corticaux et sur tranche d'hippocampe de souris par des méthodes biochimiques et d'analyse dynamique en microscopie confocale sur cellules vivantes. Afin d'étudier l'impact d'une activation synaptique sur un système de culture neuronal, l'utilisation combinée de la bicuculline, antagoniste des récepteurs gabaergique GABAa et de 4-amino pyridine, bloqueur de canaux potassique, permet d'établir une potentialisation à long terme sur les synapses. Grâce à un protocole d'extraction permettant d'isoler le compartiment post-synaptique (fraction contenant la densité post synaptique dont le marqueur protéique PSD-95), nous avons montré que l'activation synaptique enrichit la fraction PSD en protéine tau suggérant son implication dans les phénomènes de plasticité synaptique. L'étude du cytosquelette d'actine prépondérant au niveau synaptique a révélé que l'actine filamenteuse est un partenaire de tau. Dans un contexte pathologique, l'incubation d'Aβo induit le recrutement de tau à la synapse et perturbe l'organisation du cytosquelette d'actine. Ce changement structurel du cytosquelette d'actine pourrait être à l'origine des perturbations de la plasticité et du maintien synaptique induit par Aβo. En conclusion, l'ensemble des résultats de cette thèse suggère que tau exerce une fonction physiologique au sein de la synapse impliquant une interaction avec le cytosquelette d'actine et qu'en conditions pathologiques (induites par Aβo), on observe une altération fonctionnelle du rôle de tau à la synapse qui pourrait participer aux perturbations cognitives caractéristiques de la MA

Tracking Tau in neurons: How to transfect and track exogenous tau into primary neurons

Primary neurons have proved to be an essential tool for investigating neuronal polarity in general and polarized Tau distribution in particular. However, mature primary neurons are notoriously difficult to transfect with nonviral vectors and are very sensitive both to cytoskeletal manipulation and to imaging. Common nonviral transfections require the use of a monolayer of supportive glia or high density cultures, both of which complicate imaging. Here, we provide a simple nonviral transfection method enabling transfection of Tau to achieve expression levels comparable to endogenous Tau. This allows to investigate specific effects on, e.g., distribution and transport of Tau, without grossly affecting other cytoskeleton-based parameters such as microtubule density or microtubule-based transport

Identification of an acute functional cross-talk between amyloid-β and glucocorticoid receptors at hippocampal excitatory synapses

International audienc

A TIRF microscopy assay to decode how tau regulates EB's tracking at microtubule ends.

International audienceTau is a major microtubule-associated protein (MAP) mainly expressed in the brain. Tau binds the lattice of microtubules and favors their elongation and bundling. Recent studies have shown that tau is also a partner of end-binding proteins (EBs) in neurons. EBs belong to the protein family of the plus-end tracking proteins that preferentially associate with the growing plus-ends of microtubules and control microtubule end behavior and anchorage to intracellular organelles. Reconstituted cell-free systems using purified proteins are required to understand the precise mechanisms by which tau influences EB localization on microtubules and how the concerted activity of these two MAPs modulates microtubule dynamics. We developed an in vitro assay combining TIRF microscopy and site-directed mutagenesis to dissect the interaction of tau with EBs and to study how this interaction affects microtubule dynamics. Here, we describe the detailed procedures to purify proteins (tubulin, tau, and EBs), prepare the samples for TIRF microscopy, and analyze microtubule dynamics, and EB binding at microtubule ends in the presence of tau

Supervised Physical Activity Quickly Improves Social Dimension of Quality of Life in Breast Cancer Patients

PurposeThe objectives of the present study was to evaluate the implementation of the program in real life and the evolution of the quality of life (QoL) in breast cancer patients after 3 months of supervised PA in real life and to determine the factors associated with changes in various QoL dimensions.MethodsThis prospective cohort study was carried out in female patients with breast cancer diagnosed within a maximum of 3 yr. QoL and physical exertion intensity during the supervised physical activity (PA) sessions were assessed by the Quality of Life Questionnaire for Cancer and Borg scale, respectively. Statistical analyses comparing QoL scores between the start and the end of supervised PA program were assessed using paired Student's t-tests. Multivariate analysis was performed by linear regression with only variables with a P value ResultsA total of 93 patients were included in the analyses. There was a significant improvement of social functioning at T3 ( increment = 11.5; P < 0.001). The improvement of social functioning was significantly and independently associated with the Borg improvement (beta = 2.66 +/- 1.31, P = 0.046), chemotherapy (beta = 11.03 +/- 5.45, P = 0.046), hormone therapy (beta = -13.91 +/- 5.51, P = 0.013), social isolation (beta = -14.81 +/- 6.55, P = 0.026), and comorbidities (beta = -15.32 +/- 5.59, P = 0.007).ConclusionsWe observed a real enthusiasm and need among patients for practicing PA supervised by a sport trainer near their home. The increase in the intensity of exercise over time contributes to the improvement of the QoL, especially on the social functioning. These results, consistent with previous literature, reinforce the importance of exercise intensity on many dimensions of QoL. In addition, patients expressed great satisfaction with the supervised program, resulting in a strong desire to maintain long-term PA