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Sunahara KKS. Insulin influence upon autophagy in experimental model of diabetes [PhD Thesis]. São Paulo: “Faculdade de Medicina, Universidade de São Paulo”, 2014. Diabetes mellitus (DM) is characterized by hyperglycemia associated to a lack or ineffectiveness of insulin. DM is marked by changes in several cellular processes that need to be better understood. Autophagy pathway in macrophages from different tissues was studied with the purpose to verify whether treatment with insulin is capable of modulating this process. Bone marrow derived macrophages (BMM), bronchoalveolar lavage (BAL), and splenic tissue macrophages from Wistar rats, diabetic (alloxan, 42 mg/kg, iv, 10 days) and diabetic rats treated with insulin were studied. To characterize the model and evaluate the effect of insulin upon the autophagic process, the following analyzes were performed: (a) glucose levels, number of leukocytes in peripheral blood, BAL cell number; (b) concentrations of cytokines (interleukin (IL)-1β, tumor necrosis factor (TNF)-α, IL-6, IL-4, IL-10, cytokine-induced neutrophil chemoattractant (CINC)-1 and CINC-2 in the supernatant of BAL fluid by ELISA; (c) characterization of BAL alveolar macrophage (AM) surface antigens (MHCII, pan macrophage marker KiM2R, CD11b) and autophagic markers (microtubule-associated protein light chain (LC)3, gene/protein associated to autophagy (ATG) by flow cytometry and confocal microscopy (d) study of macrophages diferenciated from bone marrow by flow cytometry and confocal microscopy; (e) the architecture of spleen and macrophages from red pulp by immunohistochemical techniques associated to confocal microscopy. Evaluating these results together, the autophagic pathway appears to be innovative for therapeutic target. In this study, it was observed that insulin exerted diverse effects on macrophages from different tissues: increased expression of LC3 in AM recovered from BAL and was unable to change the autophagic activity of macrophages from the red pulp of the spleen in diabetic rats. BMM from diabetic rats behaved in an antagonistic way compared to control animals: BMM M1 type decreased their autophagy content while M2 macrophages increased autophagic levels and insulin treatment did not alter the level of LC3 expression. In conclusion, treatment with a single dose of insulin was able to induce autophagy in alveolar macrophages, but insufficient for recovering baseline levels of autophagy in bone marrow derived macrophages and macrophages from the red pulp of the spleen. Descriptors: Diabetes; Macrophages; Innate immunity; Insulin; Autophagy; Wistar rats Esta tese está de acordo com as seguintes normas:

Influência da insulina sobre a autofagia em modelo experimental de diabetes