NPM1C, Une Cible Dans Le Traitement Des Leucémies Aigues Myéloides Rita Hleihel
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NPM1C, une cible dans le traitement des leucémies aigues myéloides Rita Hleihel To cite this version: Rita Hleihel. NPM1C, une cible dans le traitement des leucémies aigues myéloides. Médecine humaine et pathologie. Université Sorbonne Paris Cité, 2019. Français. NNT : 2019USPCC095. tel-03036805 HAL Id: tel-03036805 https://tel.archives-ouvertes.fr/tel-03036805 Submitted on 2 Dec 2020 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. Hleihel Rita – Thèse de doctorat - 2019 Thèse de doctorat de l’Université Sorbonne Paris Cité Préparée à l’Université Paris Diderot Ecole doctorale Hématologie, Oncogenèse, et Biothérapies U944 / Chaire d’Oncologie Cellulaire et Moléculaire NPM1c, une cible dans le traitement des leucémies aigues myéloïdes (LAM) Par RITA HLEIHEL Doctorat Hématologie et Oncologie Thèse co-dirigée par le Pr Ali BAZARBACHI et le Pr Hugues DE THE Présentée et soutenue publiquement à Paris le 11 Juillet 2019 Président du jury : François Sigaux MD, PhD Université Paris Diderot, Sorbonne Paris Cité Rapporteur : Claude Preudhomme, PhD CHU Lille, Lille, France Rapporteur: Eric Solary, MD, PhD Gustave Roussy, Villejuif, France Examinateur: Saverio Minucci, MD, PhD University of Milan, Italy Examinatrice: Hiba El Hajj, PhD American University of Beirut, Lebanon Directeur de thèse : Hugues de Thé, MD, PhD Collège de France Co-directeur de thèse: Ali Bazarbachi, MD, PhD American University of Beirut, Lebanon 1 Hleihel Rita – Thèse de doctorat - 2019 ACKNOWLEDGMENTS 2 Hleihel Rita – Thèse de doctorat - 2019 I would like to start by expressing my appreciation to all my thesis defense jury members, Dr François Sigaux, Dr Claude Preudhomme, Dr Eric Solary, Dr Saverio Minucci and Dr Hiba El Hajj, for putting the time and effort to serve on my committee. My deepest gratitude goes to Dr. Ali Bazarbachi and Dr Hugues de Thé for not only directing my work but also providing great role models and inspiration for me to grow as a scientist and an individual. I appreciate all the efforts and trust they put in me of which without I wouldn’t have been able to reach this point in my career. I am indebted to Dr. Hiba El Hajj who not only provided me with scientific support but also the much needed friendly atmosphere and emotional support in the lab. I cannot thank her enough for all her efforts and friendliness, without her my journey in Dr. Bazarbachi’s lab wouldn’t have been as pleasant. Dr. Marwan El Sabban has not been only a mentor, but also a friend and a confidant. I am very grateful for all the discussions I had with him. He was a friend like a father, but also fun and friendly like a brother, and a scientist who I can see has the features of a genius. I thank him for every word he said, for every argument we have had and for every time he supported me on a road full of pitfalls. Your science and your soul are unparalleled. The people in Dr. Sabban’s lab are not far from their mentor. They are among the most pleasant and the most helpful people I knew. Mohammad Harake, John Saliba, Jamal El Saghir, Layal Hajjar and the rest are not only members in Dr. Sabbans lab but also great friends. Iam very happy and grateful I have met. 3 Hleihel Rita – Thèse de doctorat - 2019 I want to extend my thanks to Dr. Zeina Dassouki and Dr. Margret Shirinian. Science only thrives when the medium allows, and I thank both of them for providing a great niche for scientific discussions in a most friendly possible environment. I have never felt so attached to people in my life as much as I felt towards my previous colleagues. I want to thank Martin Karam, Nadim Tawil, Lea Maalouf, Lama Hamadeh, and Sana El Sayed for the love and friendliness and beyond. These people cannot be described in words, they are just incredible and words fall short to describe them. Working with them felt like a feast. Seeing them every day made working in the lab the more exciting and rewarding experience I ever had. I love them beyond words. As I moved forward in my studies, I met incredible people that influenced me positively and marked themselves in my life. I particularly want to mention Maguy Hamieh, the shy sweetheart, the innocent, loving and caring person. She not only was a colleague but also a sister and a friend of whom I could rely on blindly and be sure she always got my back. I appreciate her and I cherish the time we spend together. In these few recent years I also met Dr. Abdo Akkouche who had a positive impact to my career and development through interesting discussions and collegiality and collaboration. He is a person I am happy to work with and share the time I spend in the lab in a most productive and meaningful fashion. I want to thank the members of the labs of Dr. Hugues de Thé, Dr. Ali Bazarbachi, and Dr. Hiba El Hajj for the interaction and collegiality. I particularly want to mention Hala Skayneh and Batoul Jishi who lately witnessed all my ups and downs. These two adorable girls boosted my mood and made each day in the lab a 4 Hleihel Rita – Thèse de doctorat - 2019 better one. I want to thank them for all the love and support that they have showered upon me. Hala, Batoul, I was and I will always be there for you. I also want to thank CJ and Caroline from Dr. Hugues’ lab who, despite the distance from Lebanon to France, were close colleagues and friends. I learned a lot from them. I want to thank my friends: Berthe and Jessica Hayar, Fatima Ghamlouch, Farah Gamlouch, Dr Ghina Rammal, Assil Fahs, Dr. Hassan Zalzali, Mohammad Harajli. These people are the best kind of friends, the kind that makes a person feel lucky to be present in a certain place at a certain time to meet them and get to know them and become friends with them. I can’t express how lucky I feel to have them in my life. I am grateful for the core facilities of both the American University of Beirut, Saint-Louis Hospital-France and College de France, for providing all the necessary and much needed equipment and expertise. I also want to thank the administrative staff of AUB-FM and Saint-Louis hospital in particular Ms. Rana Habli and Ms. Soniah Raharinosy for their efforts, making tedious administrative work seem doable and for doing it in the friendliest way. Finally, the greatest appreciation of all goes to those that were not with me in the lab but were with me in every single step I make, every decision I take supporting me and loving me unconditionally. My brother SAMI is God’s gift to me, an angel disguised in a man’s form. I love him beyond the capacity of my heart to love. In this light I also want to thank my number one supporter, JOSEPH, the person I chose to be my partner in life which turned to be the best decision I made my entire life. He not only accepted me, but also accepted all the long working hours, all 5 Hleihel Rita – Thèse de doctorat - 2019 the missed holidays, and all the time I could be spending with him, putting me and my career ahead of everything else. I thank him for being who he is and for showing me that love overcomes everything. I thank my mother ELHAM, my father SLEIMAN and my sisters, DARINE, LARA and ALINE for being the people sitting in the first rows to cheer for me at every achievement and trial. They saw my broken side and helped it mend. I can’t thank them enough. Their families, are my families, my nieces (LEA, LINE, RITA- MARIA, CLARA, RITA and ELMA) and nephews (TONY and CHARBEL) are my own kids, they make life happier, and they show me that no matter how things get hard, I can always laugh and forget my exhaustion or sadness during the times I spend with them. 6 Hleihel Rita – Thèse de doctorat - 2019 ABSTRACT 7 Hleihel Rita – Thèse de doctorat - 2019 Acute myeloid leukemia (AML) is a genetically heterogeneous disease. Despite improvements in understanding the biology of AML, survival rates remain quite low. Prognosis of AML patients largely depends on acquired cytogenetic and molecular abnormalities. Nucleophosmin-1 (NPM1) is an essential gene encoding for a nucleocytoplasmic shuttling protein mainly localized to the nucleolus. Among several functions, NPM1 plays major roles in stabilization of the p14ARF tumor suppressor protein, regulation of ribosome biogenesis, control of centrosome duplication, response to stress stimuli and P53 activation. NPM1 is one of the most frequently mutated genes in AML accounting for around one third of patients (NPM1c AML). In mutant NPM1c proteins, critical tryptophan residues in the C-terminus are lost and a de novo nuclear export signal is created. This leads to ectopic and aberrant accumulation of NPM1c, along with normal NPM1, in the cytoplasm of AML blasts, thus playing a major role in leukemogenesis. The promyelocytic leukemia protein (PML) tumor suppressor organizes nuclear bodies (NB) domains that control proteolysis and P53-driven senescence.