A Natural Variant of the Signaling Molecule Vav1 Enhances Susceptibility to Myasthenia Gravis and Influences the T Cell Receptor Repertoire

The guanine nucleotide exchange factor Vav1 is essential for transducing T cell receptor (TCR) signals and plays an important role in T cell development and activation. Previous genetic studies identified a natural variant of Vav1 characterized by the substitution of an arginine (R) residue by a tryptophane (W) at position 63 (Vav1R63W). This variant impacts Vav1 adaptor functions and controls susceptibility to T cell-mediated neuroinflammation. To assess the implication of this Vav1 variant on the susceptibility to antibody-mediated diseases, we used the animal model of myasthenia gravis, experimental autoimmune myasthenia gravis (EAMG). To this end, we generated a knock-in (KI) mouse model bearing a R to W substitution in the Vav1 gene (Vav1R63W) and immunized it with either torpedo acetylcholine receptor (tAChR) or the α146-162 immunodominant peptide. We observed that the Vav1R63W conferred increased susceptibility to EAMG, revealed by a higher AChR loss together with an increased production of effector cytokines (IFN-γ, IL-17A, GM-CSF) by antigen-specific CD4+ T cells, as well as an increased frequency of antigen-specific CD4+ T cells. This correlated with the emergence of a dominant antigen-specific T cell clone in KI mice that was not present in wild-type mice, suggesting an impact on thymic selection and/or a different clonal selection threshold following antigen encounter. Our results highlight the key role of Vav1 in the pathophysiology of EAMG and this was associated with an impact on the TCR repertoire of AChR reactive T lymphocytes

Rôle du gène Vav1 et du probiotique Escherichia coli Nissle 1917 dans la susceptibilité à l'inflammation du système nerveux central

La Sclérose en Plaques (SEP) est une maladie d'origine multifactorielle qui se développe chez des individus génétiquement susceptibles en présence de facteurs environnementaux inducteurs. Ma thèse avait pour objectif d'analyser les effets d'un facteur génétique, le variant R63W du gène Vav1 et d'un facteur environnemental, la souche "Escherichia coli Nissle 1917", sur le développement de l'encéphalomyélite auto-immune expérimentale (EAE), un modèle animal de la SEP. Une région de 1cM comportant un polymorphisme dans le gène Vav1 a en effet été identifiée au laboratoire comme étant responsable de la résistance des rats Brown-Norway à l'EAE. Afin d'établir formellement le rôle de ce polymorphisme dans ce modèle, une souris Knock-In Vav1R63W a été générée. Nous avons montré que les souris Vav1R63W développent une EAE moins sévère. Ceci est associé à un défaut de production de cytokines inflammatoires intrinsèque aux lymphocytes T (LT) CD4 qui n'est pas lié à une augmentation de la fréquence de LT régulateurs. Sur le plan moléculaire, Vav1R63W présente une activité adaptatrice défectueuse conduisant à la diminution de la phosphorylation de ERK, AKT et p38 mais à une activité enzymatique normale. Nos résultats montrent un rôle de la fonction adaptatrice de Vav1 dans les fonctions des LT CD4 et son implication dans la susceptibilité à l'inflammation du système nerveux central (SNC). L'analyse de l'effet d'un traitement oral par le probiotique E. coli Nissle 1917 (ECN) montre un effet bénéfique sur le développement de l'EAE. Ceci est associé à un défaut de la sécrétion de cytokines par les LT CD4, ainsi qu'à une diminution de l'infiltration de LT CD4 auto-réactifs dans le SNC. De plus, la barrière intestinale est moins altérée chez les souris traitées par ECN au cours du développement de l'EAE. L'effet bénéfique de ECN semble être dû à la production d'une génotoxine, la colibactine. Par contre, la colonisation néonatale des souris C57BL/6 par ECN ne reproduit pas le même effet observé à l'âge adulte. Dans l'ensemble, nos résultats montrent un effet bénéfique du changement de la fonction de Vav1 ainsi que du traitement par ECN sur le développement de l'EAE. L'analyse approfondie des mécanismes mis en jeu, permettra une meilleure compréhension de la pathogenèse de la SEP et pourrait contribuer à l'identification de nouvelles options thérapeutiques.Multiple sclerosis (MS) is a demyelinating disease of the central nervous system. It develops in genetically susceptible individuals when they encounter specific environmental factors. The aim of my thesis was to analyze the role of a genetic factor (Vav1R63W variant) and an environmental factor (Escherichia coli Nissle 1917) in the development of experimental autoimmune encephalomyelitis (EAE), an animal model of MS. Previous genetic studies of my team suggest the implication of a polymorphism in the Vav1 gene in the resistance of Brown-Norway rats to EAE. In order to analyze the role of the identified polymorphism in the susceptibility to EAE, we generated a Knock-In mouse bearing the same polymorphism (Vav1R63W). Using this model, we showed that Vav1R63W mice develop less severe EAE due to a defect in cytokine production by CD4 T cells. This defect is intrinsic to CD4 T cells and is not linked to the increased proportion of regulatory T cells observed in Vav1R63W mice. We also showed that Vav1R63W present an altered adaptor function as shown by reduced ERK and AKT phosphorylation and decreased calcium flux after TCR stimulation, with no effect on Vav1 enzymatic activity. Thus, our results highlight the role of Vav1 adaptor function in CD4 T cell functions and susceptibility to central nervous system inflammation. Next, I analyzed the impact of the treatment with the probiotic E. coli Nissle 1917 (ECN) on EAE development. Our results showed that the daily oral treatment of adult C57BL/6 mice with ECN ameliorates the course of the disease. In addition to their defect in cytokines production, MOG specific CD4 T cells from ECN treated mice were increased in the periphery. Consequently, ECN treated mice exhibited reduced CD4 T cell infiltration in their central nervous system. Furthermore, analysis of intestinal permeability revealed that its alteration after MOG immunization was partially reversed after ECN treatment. The reduced EAE seems to be due to the secretion of a genotoxin by ECN, the colibactin. In contrast, neonatal colonization of C57BL/6 mice did not protect against EAE. Together, our data showed a beneficial role of the imbalance of Vav1 function and ECN treatment in EAE development. Further analysis of the involved mechanisms will help us to better understand the pathogenesis of MS and to develop new therapeutic strategies for MS

Role of the Vav1 gene and the probiotic Escherichia coli Nissle 1917 in the susceptibility to central nervous system inflammation

La Sclérose en Plaques (SEP) est une maladie d'origine multifactorielle qui se développe chez des individus génétiquement susceptibles en présence de facteurs environnementaux inducteurs. Ma thèse avait pour objectif d'analyser les effets d'un facteur génétique, le variant R63W du gène Vav1 et d'un facteur environnemental, la souche "Escherichia coli Nissle 1917", sur le développement de l'encéphalomyélite auto-immune expérimentale (EAE), un modèle animal de la SEP. Une région de 1cM comportant un polymorphisme dans le gène Vav1 a en effet été identifiée au laboratoire comme étant responsable de la résistance des rats Brown-Norway à l'EAE. Afin d'établir formellement le rôle de ce polymorphisme dans ce modèle, une souris Knock-In Vav1R63W a été générée. Nous avons montré que les souris Vav1R63W développent une EAE moins sévère. Ceci est associé à un défaut de production de cytokines inflammatoires intrinsèque aux lymphocytes T (LT) CD4 qui n'est pas lié à une augmentation de la fréquence de LT régulateurs. Sur le plan moléculaire, Vav1R63W présente une activité adaptatrice défectueuse conduisant à la diminution de la phosphorylation de ERK, AKT et p38 mais à une activité enzymatique normale. Nos résultats montrent un rôle de la fonction adaptatrice de Vav1 dans les fonctions des LT CD4 et son implication dans la susceptibilité à l'inflammation du système nerveux central (SNC). L'analyse de l'effet d'un traitement oral par le probiotique E. coli Nissle 1917 (ECN) montre un effet bénéfique sur le développement de l'EAE. Ceci est associé à un défaut de la sécrétion de cytokines par les LT CD4, ainsi qu'à une diminution de l'infiltration de LT CD4 auto-réactifs dans le SNC. De plus, la barrière intestinale est moins altérée chez les souris traitées par ECN au cours du développement de l'EAE. L'effet bénéfique de ECN semble être dû à la production d'une génotoxine, la colibactine. Par contre, la colonisation néonatale des souris C57BL/6 par ECN ne reproduit pas le même effet observé à l'âge adulte. Dans l'ensemble, nos résultats montrent un effet bénéfique du changement de la fonction de Vav1 ainsi que du traitement par ECN sur le développement de l'EAE. L'analyse approfondie des mécanismes mis en jeu, permettra une meilleure compréhension de la pathogenèse de la SEP et pourrait contribuer à l'identification de nouvelles options thérapeutiques.Multiple sclerosis (MS) is a demyelinating disease of the central nervous system. It develops in genetically susceptible individuals when they encounter specific environmental factors. The aim of my thesis was to analyze the role of a genetic factor (Vav1R63W variant) and an environmental factor (Escherichia coli Nissle 1917) in the development of experimental autoimmune encephalomyelitis (EAE), an animal model of MS. Previous genetic studies of my team suggest the implication of a polymorphism in the Vav1 gene in the resistance of Brown-Norway rats to EAE. In order to analyze the role of the identified polymorphism in the susceptibility to EAE, we generated a Knock-In mouse bearing the same polymorphism (Vav1R63W). Using this model, we showed that Vav1R63W mice develop less severe EAE due to a defect in cytokine production by CD4 T cells. This defect is intrinsic to CD4 T cells and is not linked to the increased proportion of regulatory T cells observed in Vav1R63W mice. We also showed that Vav1R63W present an altered adaptor function as shown by reduced ERK and AKT phosphorylation and decreased calcium flux after TCR stimulation, with no effect on Vav1 enzymatic activity. Thus, our results highlight the role of Vav1 adaptor function in CD4 T cell functions and susceptibility to central nervous system inflammation. Next, I analyzed the impact of the treatment with the probiotic E. coli Nissle 1917 (ECN) on EAE development. Our results showed that the daily oral treatment of adult C57BL/6 mice with ECN ameliorates the course of the disease. In addition to their defect in cytokines production, MOG specific CD4 T cells from ECN treated mice were increased in the periphery. Consequently, ECN treated mice exhibited reduced CD4 T cell infiltration in their central nervous system. Furthermore, analysis of intestinal permeability revealed that its alteration after MOG immunization was partially reversed after ECN treatment. The reduced EAE seems to be due to the secretion of a genotoxin by ECN, the colibactin. In contrast, neonatal colonization of C57BL/6 mice did not protect against EAE. Together, our data showed a beneficial role of the imbalance of Vav1 function and ECN treatment in EAE development. Further analysis of the involved mechanisms will help us to better understand the pathogenesis of MS and to develop new therapeutic strategies for MS

Electronic structure with dipole moment and rovibrational calculations of the MgLi and MgNa Molecules

We investigate an orderly study of the adiabatic potential energy curves for 29 and 30 low-lying 2s+1Λ+/- electronic states of the molecules MgLi and MgNa respectively. The calculation has been done by using the Complete Active Space Self Consistent Field (CASSCF) followed by Multi-Reference Configuration Interaction with Davidson correction (MRCI+Q). For the investigated electronic states, the static and transition dipole moment curves are calculated along with the Einstein coefficients, the emission oscillator strength, the spontaneous radiative life time, the line strength, the classical radiative decay rate of the single-electron oscillator, the spectroscopic constants Te, ωe, ωeXe, Be, Re, and the equilibrium dissociation energy De. By means of the canonical functions approach, the ro-vibrational constants Ev, Bv, Dv and the abscissas of the turning points R_min and R_max, have been calculated for the considered electronic states up to the vibrational level v = 79. The Franck-Condon factors have been calculated and plotted for the transition between the low-lying electronic states of the two considered molecules. A good agreement is revealed between our calculated values and those available in literature. Fifty new electronic states are investigated in the present work for the first time.The accepted manuscript in pdf format is listed with the files at the bottom of this page. The presentation of the authors' names and (or) special characters in the title of the manuscript may differ slightly between what is listed on this page and what is listed in the pdf file of the accepted manuscript; that in the pdf file of the accepted manuscript is what was submitted by the author

Rho-GTPases as key regulators of T lymphocyte biology

International audienceRho-GTPases belong to the Ras superfamily and are crucial signal transducing proteins downstream of many receptors. In general, the Rho-GTPases function as molecular switches, cycling between inactive (GDP-bound) and active (GTP-bound) states. The activated GTP bound Rho-GTPases interact with a broad spectrum of effectors to regulate a plethora of biological pathways including cytoskeletal dynamics, motility, cytokinesis, cell growth, apoptosis, transcriptional activity and nuclear signaling. Recently, gene targeting in mice allowed the selective inactivation of different Rho-GTPases and has advanced our understanding of the physiological role of these proteins, particularly in the immune system. Particularly, these proteins are key signaling molecules in T lymphocytes, which are generated in the thymus and are major players in the immune system. The scope of this review is to discuss recent data obtained in Rho-GTPases deficient mice by focusing on the role-played by Rho-GTPases in T-lymphocyte development, migration, activation and differentiation

Occurrence of sleep related breathing disorders in Egyptian patients with tachyarrhythmia without heart failure

Obstructive sleep apnea hypopnea syndrome (OSAHS) has been implicated in the pathogenesis of many cardiovascular diseases. Over the last decade, the association between OSAHS and cardiac rhythm disorders has garnered the attention of cardiologists and researchers from different clinical subspecialties. Aim of the work: The aim of the study was to assess the occurrence of OSAHS in Egyptian patients with tachyarrhythmia, and to describe characteristics of patients with concomitant OSAHS and tachyarrhythmia. Methods: We enrolled 32 patients with tachyarrhythmia. In addition to standard examination, investigations and echocardiography to exclude possible causes for arrhythmia all patients underwent an over-night sleep study (level III) to diagnose OSAHS. Manual scoring was performed by two specialists according to criteria established by the American Academy of Sleep Medicine 2012. We considered AHI of 15/h as a cutoff point for diagnosing OSAHS. Results: Of the 32 patients: seventeen had rapid atrial fibrillation (AF), eight had premature ventricular contractions, five had persistent sinus tachycardia and three had paroxysmal supraventricular tachycardia. OSAHS was present in 27 patients (84.4%), three patients of them had obesity hypoventilation also. Dividing OSAHS patients according to the disease severity showed that moderate OSAHS in 29.6% patients, and severe OSAHS in 70.4% patients. Studying characteristics of patients with OSAHS revealed that the mean ± SD of neck circumference (NC) was 39.9 ± 2.47 cm, BMI was 36.3 ± 9.17 kg/m2, Waist/hip ratio was 0.91 ± 0.08, Epworth Sleepiness Scale (ESS) was 10.85 ± 4.5, Mallampati score (MS) was 2.11 ± 0.84, clinical apnea score was 2.8 ± 1.5, and STOP BANG score was 4.03 ± 1.99. Apnea hypopnea index (AHI) was 49.3 ± 33.2, oxygen desaturation index [3%] (ODI) was 39.9 ± 31, mean O2 saturation was 93.6 ± 8.84 and minimal O2 saturation was 7.9 ± 14.49. Nocturnal bradytachyarrhythmia was found in most of patients, the minimal pulse rate during sleep ranges from 22 to 82/min while the maximal pulse rate ranges from 77 to 254/min. Both AHI and ODI were found to be significantly directly correlated with each of BMI, NC, waist/hip ratio, clinical apnea score, STOP BANG score, ESS, MS and mean pulse rate. Linear regression analysis of potential predictors of increased apnea hypopnea index revealed that triglyceride level is the highest predictor followed by NC then BMI. Conclusions: OSAHS is highly prevalent in patients with tachyarrhythmia. High triglyceride, NC and BMI are the most predictors of presence of OSAHS. AF is the most common form of the arrhythmia in patients with OSAHS. Clinical implications: OSAHS should be considered as part of the workup of patients with tachyarrhythmia. Both clinical apnea score and STOP BANG are good screening questionnaire to choose patients who need sleep study

Incidence and Risk Factors of Uterine Scar Dehiscence Identified at Elective Repeat Cesarean Delivery: A Case-Control Study

info:eu-repo/semantics/publishe

Oral Administration of the Probiotic Strain Escherichia coli Nissle 1917 Reduces Susceptibility to Neuroinflammation and Repairs Experimental Autoimmune Encephalomyelitis-Induced Intestinal Barrier Dysfunction

Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system (CNS) with an increasing incidence in developed countries. Recent reports suggest that modulation of the gut microbiota might be one promising therapy for MS. Here, we investigated whether the probiotic Escherichia coli strain Nissle 1917 (ECN) could modulate the outcome of experimental autoimmune encephalomyelitis (EAE), a murine model of MS. We evidenced that daily oral treatment with ECN, but not with the archetypal K12 E. coli strain MG1655, reduced the severity of EAE induced by immunization with the MOG35–55 peptide. This beneficial effect was associated with a decreased secretion of inflammatory cytokines and an increased production of the anti-inflammatory cytokine IL-10 by autoreactive CD4 T cells, both in peripheral lymph nodes and CNS. Interestingly, ECN-treated mice exhibited increased numbers of MOG-specific CD4+ T cells in the periphery contrasting with severely reduced numbers in the CNS, suggesting that ECN might affect T cell migration from the periphery to the CNS through a modulation of their activation and/or differentiation. In addition, we demonstrated that EAE is associated with a profound defect in the intestinal barrier function and that treatment with ECN, but not with MG1655, repaired intestinal permeability dysfunction. Collectively, our data reveal that EAE induces a disruption of the intestinal homeostasis and that ECN protects from disease and restores the intestinal barrier function

A Virus Hosted in Malaria-Infected Blood Protects against T Cell-Mediated Inflammatory Diseases by Impairing DC Function in a Type I IFN-Dependent Manner

Any infection modifies the host immune status, potentially ameliorating or aggravating the pathophysiology of a simultaneous inflammatory condition. In the course of investigating how malaria infection modulates the severity of contemporaneous inflammatory diseases, we identified a nonpathogenic mouse virus in stabilates of two widely used rodent parasite lines: Plasmodium berghei K173 and Plasmodium yoelii 17X YM. We established that the protective effects of these Plasmodium lines on cerebral malaria and multiple sclerosis are exclusively due to this virus. The virus induces a massive type I interferon (IFN-I) response and causes quantitative and qualitative defects in the ability of dendritic cells to promote pathogenic T cell responses. Beyond revealing a possible confounding factor in rodent malaria models, our work uncovers some bases by which a seemingly innocuous viral (co)infection profoundly changes the immunopathophysiology of inflammatory diseases.Coinfections shape immunity and influence the development of inflammatory diseases, resulting in detrimental or beneficial outcome. Coinfections with concurrent Plasmodium species can alter malaria clinical evolution, and malaria infection itself can modulate autoimmune reactions. Yet, the underlying mechanisms remain ill defined. Here, we demonstrate that the protective effects of some rodent malaria strains on T cell-mediated inflammatory pathologies are due to an RNA virus cohosted in malaria-parasitized blood. We show that live and extracts of blood parasitized by Plasmodium berghei K173 or Plasmodium yoelii 17X YM, protect against P. berghei ANKA-induced experimental cerebral malaria (ECM) and myelin oligodendrocyte glycoprotein (MOG)/complete Freund’s adjuvant (CFA)-induced experimental autoimmune encephalomyelitis (EAE), and that protection is associated with a strong type I interferon (IFN-I) signature. We detected the presence of the RNA virus lactate dehydrogenase-elevating virus (LDV) in the protective Plasmodium stabilates and we established that LDV infection alone was necessary and sufficient to recapitulate the protective effects on ECM and EAE. In ECM, protection resulted from an IFN-I-mediated reduction in the abundance of splenic conventional dendritic cell and impairment of their ability to produce interleukin (IL)-12p70, leading to a decrease in pathogenic CD4+ Th1 responses. In EAE, LDV infection induced IFN-I-mediated abrogation of IL-23, thereby preventing the differentiation of granulocyte-macrophage colony-stimulating factor (GM-CSF)-producing encephalitogenic CD4+ T cells. Our work identifies a virus cohosted in several Plasmodium stabilates across the community and deciphers its major consequences on the host immune system. More generally, our data emphasize the importance of considering contemporaneous infections for the understanding of malaria-associated and autoimmune diseases

An epistatic interaction between <em>Themis1</em> and <em>Vav1</em> modulates regulatory T cell function and inflammatory bowel disease development

International audienceThe development of inflammatory diseases depends on complex interactions between several genes and various environmental factors. Discovering new genetic risk factors and understanding the mechanisms whereby they influence disease development is of paramount importance. We previously reported that deficiency in Themis1, a new actor of TCR signaling, impairs regulatory T cell (Treg) function and predisposes Brown-Norway (BN) rats to spontaneous inflammatory bowel disease (IBD). In this study, we reveal that the epistasis between Themis1 and Vav1 controls the occurrence of these phenotypes. Indeed, by contrast with BN rats, Themis1 deficiency in Lewis rats neither impairs Treg suppressive functions nor induces pathological manifestations. By using congenic lines on the BN genomic background, we show that the impact of Themis1 deficiency on Treg suppressive functions depends on a 117-kb interval coding for a R63W polymorphism that impacts Vav1 expression and functions. Indeed, the introduction of a 117-kb interval containing the Lewis Vav1-R63 variant restores Treg function and protects Themis1-deficient BN rats from spontaneous IBD development. We further show that Themis1 binds more efficiently to the BN Vav1-W63 variant and is required to stabilize its recruitment to the transmembrane adaptor LAT and to fully promote the activation of Erk kinases. Together, these results highlight the importance of the signaling pathway involving epistasis between Themis1 and Vav1 in the control of Treg suppressive function and susceptibility to IBD development