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Dissertation
Thesis, COLLÉGIALITÉ
Authors: --- --- --- ---
Year: 2022 Publisher: Liège Université de Liège (ULiège)

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Abstract

Malignant Pleural Mesothelioma is an aggressive tumor arising from the pleura. The World Health Organization reported 30,870 new cases and 26,278 deaths in 2020, highlighting the extremely high mortality rate of this malignancy. The overall survival varies from 9 to 15 months depending on the histological subtype, the stage, and the treatment. For more than a decade, a combination of two chemotherapeutic agents (pemetrexed plus cisplatin) was the standard-of-care for malignant pleural mesothelioma. However, the survival remained poor (~12 months). Interestingly, in 2021, the Food and Drug Administration approved a combination of ipilimumab plus nivolumab for the treatment of this cancer, showing the benefit of immunotherapy in this context. The purpose of this present master thesis was the characterization of the immune checkpoint profile of pleural mesothelioma as well as of their immune microenvironment. Bioinformatic analyses, immunohistochemistry, western blot, and syngeneic models were performed/used to correctly characterize and select promising targets for further investigations. Collectively, in this project, we highlighted VISTA, CD200 and CD47 as potential promising targets which could be blocked by inhibitors (e.g. monoclonal antibodies). These data provide strong evidence for further exploring these “second-generation” immune checkpoints as potential novel immunotherapeutic targets in the context of malignant pleural mesothelioma.


Dissertation
Thesis, COLLÉGIALITÉ
Authors: --- --- --- ---
Year: 2022 Publisher: Liège Université de Liège (ULiège)

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Abstract

Non-small cell lung cancer (NSCLC) is one of the deadliest cancers worldwide, with patients presenting an overall 5-year survival lower than 15%. NSCLC is characterized by a multitude of tumor-promoting genetic alterations, such as mutations in KRAS, EGFR and TP53 genes. The high heterogeneity and plasticity of lung cancers is one of the main reasons for the failure of current treatment strategies. Importantly, genomic amplification of RICTOR frequently occurs in lung cancer. RICTOR is the defining component of mTOR complex 2 (mTORC2). Moreover, RICTOR-dependent activation of mTORC2 is essential to support lung cancer cell survival and tumor growth in vivo. Despite high therapeutic potential, directly targeting mTORC2 activity in patients remains challenging. Therefore, targeting mTORC2-dependent liabilities may represent a better option for the development of anticancer treatments. Preliminary work from our lab and results from the literature have positioned mTORC2 signaling at the crossroad between translation and metabolism. Hence, deciphering the mechanisms linking mTORC2-dependent translation to the acquisition of specific metabolic liabilities will highlight new therapeutic strategies for the treatment of lung cancer. In this study, I focused on understanding the molecular mechanisms that sustain the rewiring of cancer cell metabolism in the clinically relevant context of RICTOR-overexpressing (RICTOR OE) lung cancer. Using several models, I first evidenced an active role for RICTOR/mTORC2 in the regulation of cancer associated mRNA translation. Preliminary data from the lab indicated that RICTOR silencing in human lung cancer cells was associated with a negative enrichment of hypoxia signatures. Therefore, I first assessed the expression of the different hypoxia-inducible factors (HIF-1α, HIF-2α and HIF-1β) in RICTOR-depleted lung cancer cells. Strikingly, I found that expression of the transcription factor HIF-1β was significantly and consistently decreased upon RICTOR silencing. Importantly, RICTOR-dependent modulation of HIF-1β expression occurred at protein level and was observed in multiple cancer cell lines, highlighting HIF-1β as a potential RICTOR-dependent translational target in lung cancer. Using pharmacological and genetic inhibition of mTOR signaling (RICTOR, RAPTOR and SIN1 siRNAs; mTOR, AKT and PKC inhibitors) I further showed that RICTOR controlled HIF-1β expression through an mTOR-PKC signaling axis, independently of AKT activity. Finally, I demonstrated that HIF-1β levels correlated with mTORC2 activation in vivo, in a mouse model of RICTOR OE. Taken together, my results highlight HIF-1β as a clinically relevant target and support targeting of hypoxia-mediated metabolism as a potential therapeutic approach for the treatment of lung cancer.


Dissertation
Thesis, COLLÉGIALITÉ
Authors: --- --- --- ---
Year: 2022 Publisher: Liège Université de Liège (ULiège)

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Abstract

Le mésothéliome pleural malin (MPM) est un cancer agressif se développant au niveau du 
mésothélium pleural. Malheureusement, le standard thérapeutique actuel engendre l’émergence 
de résistances ce qui limite la survie des patients à 14 mois. Récemment, l’axe CCL5/CCR5 
s’est avéré être une cible thérapeutique prometteuse pour le traitement de divers cancers étant 
donné son implication dans la promotion tumorale et métastatique. L’objectif de cette recherche 
est de déterminer l’impact de l’inhibition de cet axe, à l’aide du Maraviroc, sur la croissance
tumorale et le recrutement macrophagique induit par les formes chimio-résistantes de MPM.
Des tests de migration en chambre de Boyden ont été réalisé afin d’évaluer l’influence de 
l’inhibition de l’axe CCL5/CCR5 sur la migration macrophagique in vitro. L’impact de ce 
traitement a également été évalué in vivo à l’aide de modèle murin de MPM chimio-résistant 
ou non ayant été traité ou non au Maraviroc. Les résultats mettent en lumière la capacité du 
Maraviroc à réduire la migration macrophagique in vitro ainsi qu’à réduire la croissance des 
tumeurs chimio-résistantes in vivo. Cependant, de plus amples analyses sont nécessaires afin de déterminer les mécanismes cellulaires à l’origine de cette diminution du volume tumoral. Malignant pleural mesothelioma (MPM) is an aggressive cancer that develops in the pleura
mesothelium. Unfortunately, the current standard of care results in the emergence of resistance, 
which limits patient survival to 14 months. Recently, the CCL5/CCR5 axis has been shown to 
be a promising therapeutic target for the treatment of various cancers due to its involvement in 
tumor and metastatic promotion. The objective of this research is to determine the impact of 
inhibiting this axis, using Maraviroc, on tumoral growth and macrophage recruitment induced 
by chemoresistant MPM. Boyden chamber-based cell migration assays were performed to 
evaluate in vitro the influence of this inhibition on macrophage migration. The impact of this 
treatment was also evaluated in vivo using a mouse model of chemoresistant MPM treated with 
Maraviroc. The results highlight the ability of Maraviroc to reduce macrophage migration in 
vitro and to reduce the growth of chemoresistant tumors in vivo. However, further analysis is 
needed to determine the cellular mechanisms behind this tumor volume reduction.


Dissertation
Thesis, COLLÉGIALITÉ
Authors: --- --- --- ---
Year: 2022 Publisher: Liège Université de Liège (ULiège)

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Abstract

Stem cells have for all time, and in the general consciousness, held out the promise of cell 
regeneration, treatment of genetic diseases, grafts of new functional tissues, etc. A global 
solution to very diverse pathologies, as the potential of these cells seems unlimited. 
Today, these very special cells have indeed allowed significant advances in clinical and 
translational medicine, on a small scale. It is therefore fundamental research that has finally 
been able to take advantage of the almost unlimited differentiation potential of these cells, 
making it possible to characterize pathological or cellular processes that were previously 
unanswered, while waiting for a new model.
In this context, this thesis will focus on the reprogramming of somatic blood cells from patients 
into induced pluripotent stem cells (hiPSC) and their differentiation into cardiac contractile 
cells. 
The objectives are multiple: The development and optimization of a protocol for the 
reprogramming of blood cells into pluripotent cells and their subsequent differentiation into 
cardiomyocytes. The characterization of cells at key stages of their development: from stem 
cells to cardiomyocytes. And finally, in the short term, the electrophysiological analysis of the 
induced cardiomyocytes to characterize the impact of specific inherited genetic mutations 
carried by patients with a ventricular arrhythmia phenotype.

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