Rôles des kinases IKK et IKK-related dans les maladies inflammatoires chroniques : implications dans l’athérosclérose et la réponse hypoxique

Inflammation is a complex process that allows elimination of tissular damaging agents and thus facilitates wound repair. Persistance of a damaging agent or the incapacity to resolve the inflammatory state leads to chronic homeostatic deregulation with putative incidence on morbidity and mortality. Atherosclerosis is an inflammatory state of blood vessels which origins are multifactorial. Hypertension and the infectious state represent classical and emerging factors of atherosclerosis development, respectively. The innate immune response takes place in the initial steps of inflammation, and represents the first cellular line of defense against danger signals. The goal of this thesis is to examine the pro-inflammatory roles of the IkB kinases (IKK) and the IKK-related kinases, which are essential innate immune response protein kinases. IKKalpha and IKKbeta form, together with NEMO/IKKgamma, the IKK complex. This complex is responsible of the phosphorylation of the inhibitor of NF-kappaB, IkappaBalpha, a process that leads to its degradation and NF-kappaB release. By immunoprecipitation of NEMO and assessment of the IKK complex activity in vitro, we show that the vasoactive peptide angiotensin II (AngII) induces IKKbeta phosphotransferase activity in vascular smooth muscle cells (VSMC). The use of RNA interference (RNAi) against IKKbeta reveals that this kinase is responsible for p65/RelA phosphorylation. AngII modulation of NF-kappaB is atypical since it does not modulate IkappaB. Moreover, the use of pharmacological inhibitors shows that p65 induction is independent of both MEK-ERK-RSK and PI3K pathways, and that it does not involve EGF receptor transactivation. IKK-related kinases Tank-binding kinase 1 (TBK1) and IKK-i are known to be induced by bacterial and viral infections.  These kinases are able to phosphorylate directly interferon regulatory factor (IRF)-3 transcription factor. Human cytomegalovirus (HCMV) seropositivity was shown to be linked to atherosclerosis development. We show that TBK1 activity is induced in HCMV-infected VSMC. RNAi directed against TBK1 and IKK-i reveals that both kinases are required for IRF-3 activation. The use of a VSMC line that express a dominant negative version if IRF-3 shows that this transcription factor is involved in the induction of RANTES and IP-10 chemokines, as assessed by RT-PCR. In addition, IKK-related kinases were recently shown to be implicated in oncogenic transformation. TBK1 was also shown to be pro-angiogenic. Angiogenesis is known to be regulated by the hypoxic response, a common condition of inflammatory processes. Hypoxia-inducible factor (HIF)-1 is a transcription factor that modulates angiogenesis, inflammation and cell survival. We show with the use of Tbk1 and Ikbke -/- cells combined with the use of a lentiviral approach that TBK1 is specifically involved in HIF-1alpha translational induction under hypoxic stress. We also show that TBK1 expression is enhanced under theses conditions, and that this kinase modulates the phosphorylation of ERK, RSK, Akt and TSC1. In conclusion, the results presented in this thesis show that the IKK and IKK-related kinases are both pro-inflammatory, and exert their actions by distinct mechanisms.

Keyphrases: atherosclerosis, TBK1, IKK, IRF-3, NF-kappaB, HIF-1, cytomegalovirus, angiotensin II, cytokines, hypoxie, hypoxia