Dissertation
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Dissertation Baricitinib reduces inflammation and improves cell homeostasis of HGPS fibroblasts by inhibiting JAK-STAT signaling Chang Liu Fakultät für Medizin Lehrstuhl Epigenetik der Hautalterung Baricitinib reduces inflammation and improves cell homeostasis of HGPS fibroblasts by inhibiting JAK-STAT signaling Chang Liu Vollständiger Abdruck der von der Fakultät für Medizin der Technischen Universität München zur Erlangung des akademischen Grades eines Doktors der Naturwissenschaften (Dr. rer. nat.) genehmigten Dissertation. Vorsitzende(r): Prof. Dr. Jürgen Ruland Prüfer der Dissertation: 1. Prof. Dr. Karima Djabali 2. Prof. Dr. Thomas Brück Die Dissertation wurde am 30.09.2020 bei der Technischen Universität München eingereicht und durch die Fakultät für Medizin am 16.02.2021 angenommen. Table of Contents Table of Contents Abstract ................................................................................................................................ - 5 - 1. Introduction ................................................................................................................... - 7 - 1.1. Theories of senescence ................................................................................... - 7 - 1.2. Hutchinson–Gilford progeria syndrome .......................................................... - 8 - 1.3. The nuclear lamin protein ............................................................................. - 10 - 1.4. Lamin protein family and genetic diseases ................................................... - 14 - 1.5. Vascular disease ............................................................................................ - 17 - 1.5.1. Vascular disease in HGPS .......................................................................... - 17 - 1.5.2. Pathogenesis of vascular diseases ............................................................ - 18 - 1.5.3. Drugs for vascular diseases ...................................................................... - 20 - 1.6. Arthritis .......................................................................................................... - 21 - 1.6.1. Arthritis in HGPS ....................................................................................... - 21 - 1.6.2. Pathogenesis of arthritis ........................................................................... - 22 - 1.6.3. Drugs for arthritis ..................................................................................... - 23 - 1.7. Lipodystrophy ................................................................................................ - 24 - 1.7.1. Lipodystrophy in HGPS ............................................................................. - 24 - 1.7.2. Pathogenesis of lipodystrophy ................................................................. - 24 - 1.7.3. Drugs for lipodystrophy ............................................................................ - 25 - 1.8. Alopecia ......................................................................................................... - 26 - 1.8.1. Alopecia in HGPS ...................................................................................... - 26 - 1.8.2. Pathogenesis of alopecia .......................................................................... - 26 - 1.8.3. Drugs for alopecia..................................................................................... - 27 - 1.9. The JAK-STAT pathway ................................................................................... - 28 - 1.9.1. The JAK-STAT pathway in general ............................................................. - 28 - 1.9.2. The composition and mechanism of the JAK-STAT pathway .................... - 29 - 1.9.3. The potential connection between the JAK-STAT pathway and HGPS ..... - 30 - - I - Table of Contents 1.10. Current HGPS therapies ................................................................................. - 32 - 1.10.1. HGPS therapeutics in general ................................................................. - 32 - 1.10.2. The farnesyltransferase inhibitor (FTI) lonafarnib .................................. - 32 - 1.10.3. The autophagy-activating drugs: rapamycin and sulforaphane ............. - 34 - 1.10.4. Cholesterol biosynthesis pathway inhibitor: statins .............................. - 35 - 1.11. Baricitinib ....................................................................................................... - 35 - 1.11.1. Baricitinib in general ............................................................................... - 35 - 1.11.2. Baricitinib with four phenotypes ............................................................ - 36 - 1.11.3. Baricitinib is more suitable for HGPS patients ....................................... - 37 - 2. Aim of the Thesis ......................................................................................................... - 39 - 3. Materials and Methods ............................................................................................... - 41 - 3.1. Materials ........................................................................................................ - 41 - 3.1.1. Equipment .............................................................................................. - 41 - 3.1.2. Consumables .......................................................................................... - 42 - 3.1.3. Reagents ................................................................................................. - 43 - 3.1.4. Kits .......................................................................................................... - 44 - 3.1.5. Antibodies............................................................................................... - 45 - 3.1.6. DNA oligonucleotides ............................................................................. - 46 - 3.1.7. Cell culture media ................................................................................... - 48 - 3.1.8. Buffers .................................................................................................... - 49 - 3.2. Text mining study ........................................................................................... - 52 - 3.3. Identification of the signaling pathways ....................................................... - 54 - 3.4. STRING analysis ............................................................................................. - 55 - 3.5. Identification of the signaling pathway ......................................................... - 55 - 3.6. Cell culture and drug treatments .................................................................. - 56 - 3.7. Determination of cumulative population doubling ...................................... - 58 - 3.8. Senescence-associated β-galactosidase assay .............................................. - 58 - 3.9. Cell cytotoxicity ............................................................................................. - 59 - - II - Table of Contents 3.10. Cell cycle analysis .......................................................................................... - 60 - 3.11. Measurement of proteasome activity in fibroblasts ..................................... - 62 - 3.12. Measurement of autophagy activity in fibroblasts ....................................... - 63 - 3.13. Measurement of reactive oxygen species in fibroblasts ............................... - 64 - 3.14. Measurement of ATP in fibroblasts ............................................................... - 64 - 3.15. Gene expression analysis............................................................................... - 66 - 3.15.1. The extraction of RNA ..................................................................... - 66 - 3.15.2. The synthesis of cDNA ..................................................................... - 66 - 3.15.3. The validation of primers ................................................................ - 67 - 3.15.4. Reverse transcription PCR ............................................................... - 68 - 3.15.5. Real-time PCR .................................................................................. - 69 - 3.16. Western blot analysis .................................................................................... - 71 - 3.16.1. Sample collection for the Western blot .......................................... - 71 - 3.16.2. Protein quantification by Bradford analysis .................................... - 71 - 3.16.3. SDS-PAGE ......................................................................................... - 72 - 3.16.4. Image scanning and data analysis ................................................... - 75 - 3.17. Immunocytochemistry .................................................................................. - 76 - 3.18. Statistical analysis .......................................................................................... - 77 - 4. Results ......................................................................................................................... - 78 - 4.1. The identification of genes altered in vascular disease, arthritis, alopecia and lipodystrophy. ............................................................................................................. - 78 - 4.2. Identification of the signaling pathway ......................................................... - 91 - 4.3. Cell-based ageing model to investigate normal and premature