Fragmentación Del Adn Espermático Y Su Relación Con El Metabolismo Peptídico

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Fragmentación Del Adn Espermático Y Su Relación Con El Metabolismo Peptídico Facultad de Medicina y Enfermería Medikuntza eta Erizaintza Fakultatea Departamento de Fisiología Fisiologia Saila TESIS DOCTORAL FRAGMENTACIÓN DEL ADN ESPERMÁTICO Y SU RELACIÓN CON EL METABOLISMO PEPTÍDICO MEMORIA PRESENTADA POR: Mª Victoria Aparicio Prieto DIRIGIDA POR LOS DOCTORES: Luis Casis Saenz Nerea Subirán Ciudad 2018 TESIS DOCTORAL Facultad de Medicina y Enfermería Medikuntza eta Erizaintza Fakultatea Departamento de Fisiología Fisiologia Saila TESIS DOCTORAL FRAGMENTACIÓN DEL ADN ESPERMÁTICO Y SU RELACIÓN CON EL METABOLISMO PEPTÍDICO MEMORIA PRESENTADA POR: Mª Victoria Aparicio Prieto DIRIGIDA POR LOS DOCTORES: LUIS CASIS SAENZ NEREA SUBIRÁN CIUDAD 2018 Mª Victoria Aparicio Prieto 1 (cc)2018 Mª VICTORIA APARICIO PRIETO (cc by-nc 4.0) TESIS DOCTORAL Mª Victoria Aparicio Prieto 12 TESIS DOCTORAL AGRADECIMIENTOS No sólo los conocimientos científicos son importantes, sino que es tan importante tener al lado un gran equipo humano, generoso y entusiasta. Por lo que quiero decir “GRACIAS” a todas estas personas que han compartido conmigo este proyecto. En primer lugar, me gustaría agradecer este estudio al profesor Dr. Luis Casis, mi director, una gran persona no solo en el ámbito profesional y académico sino también en la parte humana. Gracias a él he podido realizar esta investigación. Ha sido mi compañero en los momentos de bloqueo y un buen tutor cuando necesitaba orientación y apoyo científico. Su amistad, ayuda incondicional más allá de lo que su papel como director exige, interés, actitud siempre positiva y dispuesta para que este proyecto avanzara. Mi agradecimiento a la Dra. Olga Ramón que fue mi codirectora de este proyecto hasta su fallecimiento. Mujer emblemática, luchadora incansable, que me dio la oportunidad de no declinar cuando las cosas se veían difíciles, y que a estas alturas de mi vida me animó a llevar a cabo este proyecto. Siempre tuve en ella un apoyo tanto en lo profesional como en lo personal, siempre sabré que está conmigo. Mi agradecimiento a la Dra. Nerea Subirán, por su interés, apoyo y conocimientos, y a todo el personal del departamento de fisiología. Quiero dar las gracias a mi familia, en primer lugar, a mis queridos padres a los cuales he perdido, pero que siempre me han apoyado y me han dado y me siguen dando fuerzas hasta en los momentos más difíciles, estoy segura que se sentirían felices de ver que había conseguido realizar este proyecto. Su mejor herencia ha sido la educación que me han dado con gran esfuerzo, frase que repito frecuentemente a mis tres hijos Gorka, Josu y Mikel a los cuales tengo que agradecer su apoyo, comprensión y ayuda. No quisiera olvidar a mi querida hermana Arantza que siempre me ha animado. Mi agradecimiento a Julio Morales, gracias por tus atenciones y amistad. Gracias, a mis amigos y compañeros que me han animado en este proyecto con su apoyo, y a los que no me han apoyado, también gracias, porque me ha dado fuerzas para continuar. Mª Victoria Aparicio Prieto 13 TESIS DOCTORAL Esta tesis fue posible gracias al apoyo recibido por Biobanco. No quisiera olvidar a nadie, pero pido disculpas si he olvidado sin querer a alguien. Sin vosotros esto no habría sido posible. A todos GRACIAS!!!!! Mª Victoria Aparicio Prieto 14 TESIS DOCTORAL INDICE Mª Victoria Aparicio Prieto 15 TESIS DOCTORAL Mª Victoria Aparicio Prieto 16 TESIS DOCTORAL INDICE I INTRODUCCIÓN 1. PEPTIDASAS ………………………………………………………….23 1.1. Clasificación y Nomenclatura de las Peptidasas ………………24 1.1.1. Las peptidasas como enzimas interconvertidoras de biopéptidos ……………………………………………………………………………25 1.1.2. Catabolismo proteico y acciones intracrinas de las Peptidasas …………………………………………………………………………….28 1.1.3. Otras acciones de las peptidasas …………………………………28 1.1.4. Las peptidasas en la fisiología y en la patología ...........………29 1.2. Papel de las peptidasas en la fertilidad ………………………….30 1.2.1. Regulación del ciclo sexual: modelo de liberación gonadotrópica ………………………………………………………………………..31 1.2.2. Sistemas de comunicación celular y fertilidad …………………33 2. CARACTERÍSTICAS MOLECULARES DE LAS AMINOPEPTIDASAS ESTUDIADAS ………………………………………...…….35 2.1. Endopeptidasa Neutra (NEP, CD10) (E.C.3.424.11) ...................35 2.2. Aminopeptidasa neutra (APN, CD13) (EC 3.4.11.2) …………….36 2.3. Aminopeptidasa sensible a puromicina (PSA) (EC 3.4.11.14) …………………………………………………………………………41 2.4. Aminopeptidasa B (APB) (EC 3.4.11.6) ……………….………….42 2.5. Dipeptidil Peptidasa IV (DPPIV) (EC 3.4.14.5.) ………………….43 2.6. Cistil aminopeptidasa (Cys-AP) (EC 2.4.11.3) …………………..46 2.7. Aspartil aminopeptidasa (Asp-AP) (EC 3.4.11.21) ……...………47 2.8. Glutamil aminopeptidasa (Glu-AP, APA) (EC 3.4.11.7) ………..48 2.9. Prolil endopeptidasa (PEP) (EC 3.4.21.26) ………………...…….50 3. SISTEMA OPIOIDE ……………………………………...……………52 3.1. Características de los receptores opioides ……………………..52 3.2. Sistema opioide endógeno …………………………………………55 3.3. Activación de los receptores de opioides ……………………….58 3.4. Señalización mediada por receptores de opioides …………….59 3.5. Biosíntesis, transporte, depósito, liberación y metabolismo de los péptidos opioides ……………………………………………………...………..60 Mª Victoria Aparicio Prieto 17 TESIS DOCTORAL 3.6. Acciones fisiológicas de los receptores de opioides …………60 3.7. Implicación del Sistema Opioide en la fertilidad masculina ….61 3.7.1. Control de las hormonas reproductoras mediante los opioides ………………………………………………………………………………..61 3.7.2. Control de la función testicular por los opioides ………………63 3.7.3. Control de la función espermática por los opioides …………..68 3.8. Regulación de la fertilidad femenina (opioides/aminopeptidasas) ……………………………………………………….70 4. SISTEMA RENINA-ANGIOTENSINA (SRA) ………………………74 4.1. Sistema renina angiotensina (SRA): de su concepto clásico o sistémico al descubrimiento de SRA local o tisular …………………………..74 4.2. SRA intracelular ………………………………………………………77 4.3. Ejes o vías que componen el SRA ………………………………..77 4.4. Componentes de SRA ……………………………………………….79 4.4.1. Angiotensinógeno y angiotensinas ……………………………....79 4.5. Receptores ……………………………………..……………………..80 4.6. El SRA en la fertilidad masculina …………………………………83 4.6.1. El SRA y su implicación en la función testicular ………………83 4.6.2. El SRA y su implicación en la función espermática …………..85 5. ESPERMATOGÉNESIS ……………………………………………...88 5.1. Espermatocitogénesis ………………………………………………89 5.2. Espermiogénesis…………………………………………..…………90 5.3. Regulación Endocrina y Paracrina de la Espermatogénesis ..92 6. ESTRUCTURA DE LOS ESPERMATOZOIDES ………………….93 7. FRAGMENTACIÓN DEL ADN ESPERMÁTICO ………………….97 7.1. Mecanismos por los que se produce la fragmentación del ADN …………………………………………………………………………………...100 7.1.1. Inducción de la apoptosis durante el proceso de la espermatogénesis …………………………………………………….….100 7.1.2. Rotura del ADN durante el proceso de espermiogénesis …..102 7.1.3. Fragmentación del ADN espermático post-testicular ………..103 7.1.4. Activación de Caspasas y Endonucleasas …………………….108 7.1.5. Daño del ADN inducido por la radioterapia y quimioterapia .110 7.1.6. Daño del ADN inducido por sustancias tóxicas ambientales.110 Mª Victoria Aparicio Prieto 18 TESIS DOCTORAL II OBJETIVOS ………………………………………………………………..113 III MATERIAL Y MÉTODOS ………………………………………………..117 1. Consentimientos y autorizaciones ………………………………117 1.1. Comite ética Universidad ………………………………………….118 1.2. Comite ética Cruces ………………………………………………..120 1.3. Carta Dra. Ramón ……………………………………………..……121 1.4. Consentimiento Dr. Matorras …………………………………….122 1.5. Hoja informativa …………………………………………………….124 1.6. Autorización …………………………………………………………126 2. Aspectos clínicos …………………………………………………..127 2.1. Inclusión ……………………………………………………………..127 2.2. Estimulación ovárica ………………………………………………127 2.3. Recogida de las muestras seminales …………………………..128 2.4. Preparación de las muestras seminales para uso clínico …..128 2.4.1. Evaluación de la muestra …………………………………………128 2.4.2. Preparación de la muestra ………………………………………..129 2.4.3. Análisis de la movilidad espermática …………………………..130 2.5. Inseminación Intrauterina …………………………………………133 2.6. Fase lutea …………………………………………………………….133 2.7. Definición de embarazo ……………………………………………133 2.8. Procesamiento de las muestras para el estudio ……………...133 2.8.1. Protocolo congelación …………………………………………….134 2.8.2. Protocolo descongelación ………………………………………..134 3. Fragmentación del ADN espermático …………………………..134 4. Columnas de Anexina ……………………………………………..137 5. Actividad enzimática ……………………………………………….139 5.1. Actividad enzimática por espectrofluorimetría .......................139 5.1.1. Análisis de la actividad por ensayos enzimáticos ……………143 5.1.2. Determinación de la actividad de las aminopeptidasas ……..144 5.1.3. Fundamento general ……………………………………………….145 5.1.4. Fundamento particular para cada enzima ……………………..146 5.1.5. Análisis de datos de las actividades peptidásicas …………..148 5.1.6. Técnica para la cuantificación de proteínas …………………..148 5.2. Actividad enzimática por citometría de flujo ………………….149 Mª Victoria Aparicio Prieto 19 TESIS DOCTORAL 5.2.1. Fundamento …………………………………………………………149 5.2.2. Preparación de las muestras (Citometría semi-cuantitativa).150 6. Receptores …………………………………………………………..153 6.1. Receptores sistema renina angiotensina. Inmunocitoquímica ………………………………………………………………...155 6.2. Receptores opioides. Inmunocitoquímica ……………………..156 IV RESULTADOS ……………………………………………………………159 1. Aspectos clínicos ………………………………………………….159 2. Resultados actividad enzimática ………………………………..163 2.1. Actividad enzimática por espectrofluorimetria ……………….163 2.2. Actividad enzimática por citometria de flujo ………………….171 3. Receptores …………………………………………………………..173
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