Biochemistry and Pharmacology - Theses

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    Hexosamine-dependent growth and virulence in Leishmania major
    Heng, Joanne Soo Ping. (University of Melbourne, 2010)
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    The evolution of the structure and function of transthyretin-like protein
    Hennebry, Sarah Catherine. (University of Melbourne, 2007)
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    Functional roles of serum amyloid P component in amyloid diseases
    Stewart, Cameron Robert. (University of Melbourne, 2006)
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    Functional roles of serum amyloid P component in amyloid diseases
    Stewart, Cameron Robert. (University of Melbourne, 2006)
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    Using Artificial Intelligence to Improve the Diagnosis and Treatment of Cancer
    Aljarf, Raghad Mohammad S ( 2022-12)
    Cancer is a complex and heterogeneous disease driven by the accumulation of mutations at the genetic and epigenetic levels—making it particularly challenging to study and treat. Despite Whole-genome sequencing approaches identifying thousands of variations in cancer cells and their perturbations, fundamental gaps persist in understanding cancer causes and pathogenesis. Towards this, my PhD focused on developing computational approaches by leveraging genomic and experimental data to provide fundamental insights into cancer biology, improve patient diagnosis, and guide therapeutic development. The increased mutational burden in most cancers can make it challenging to identify mutations essential for tumorigenesis (drivers) and those that are just background accumulation (passenger), impacting the success of targeted treatments. To overcome this, I focused on using insights about the mutations at the protein sequence and 3D structure level to understand the genotype-phenotype relationship to tumorigenesis. I have looked at proteins that participate in two DNA repair processes: primarily non homologous end joining (NHEJ) along with eukaryotic homologous recombination (HR), where missense mutations have been linked to many diverse cancers. The molecular consequences of these mutations on protein dynamics, stability, and binding affinities to other interacting partners were evaluated using in silico biophysical tools. This highlighted that cancer-causing mutations were associated with structure destabilization and altered protein conformation and network topology, thus impacting cell signalling and function. Interestingly, my work on NHEJ DNA repair machinery highlighted diverse driving forces for carcinogenesis among core components like Ku70/80 and DNA-PKcs. Cancer-causing mutations in anchor proteins (Ku70/80) impacted crucial protein-protein interactions, while those in catalytic components (DNA-PKcs) were likely to occur in regions undergoing iii purifying selection. This insight led to a consensus predictor for identifying driving mutations in NHEJ. While when assessing the functional consequences of BRCA1 and BRCA2 genes of HR DNA repair at the protein sequence level, this methodology underlined that cancer-causing mutations typically clustered in well-established structural domains. Using this insight, I developed a more accurate predictor for classifying pathogenic mutations in HR repair compared to existing approaches. This broad heterogeneity of cancers complicates potential treatment opportunities. I, therefore, next explored the properties of compounds potentially active against one or various types of cancer, including screens against 74 distinct cancer cell lines originating from 9 tumour types. Overall, the identified active molecules were shown to be enriched in benzene rings, aligning with Lipinski's rule of five, although this might reflect screening library biases. These insights enabled the development of a predictive platform for anticancer activity, thereby optimizing screening libraries with potentially active anticancer molecules. Similarly, I used compounds' structural and molecular properties to accurately predict those compounds with increased teratogenicity early in the drug development process and prioritize drug combinations to augment combinatorial screening libraries, potentially alleviating acquired drug resistance. The outcomes of this doctoral work highlight the potential benefits of using computational approaches in unravelling the underlying mechanisms of carcinogenesis and guiding drug discovery for designing more effective therapies. Ultimately, the predictions generated by these tools would improve our understanding of the genotype-phenotype association, enabling promising patient diagnosis and treatment.
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    Development of an extracellular vesicle-based therapeutic for wound healing.
    Johnson, Jancy ( 2022)
    Chronic wounds are defined as wounds that fail to progress through the normal stages of wound healing and stay unhealed for longer than 4 weeks. Such wounds affect 1-2 % of the population are characterized by the presence of phenotypically abnormal cells and disruptions in the inflammatory and proliferative phases of normal wound healing. Current treatment options have been ineffective as they focus on wound management and do not adequately address the underlying physiological causes. For example, platelet-derivatives have been tested due to their rich growth factor content but have yielded varying efficacies. To date, chronic wounds are responsible for a lower-limb amputation every 30 seconds globally and no new treatments have been approved for use by the FDA since 1994, highlighting the need for a new and effective treatment modality. Although platelets are well-known for their role in coagulation following an injury, they are also potent inducers of tissue regeneration. More recently, platelets have been shown to exert these regenerative properties through the release of extracellular vesicles (EVs). Platelet-derived EVs (pEVs) are spherical vesicles surrounded by a lipid bilayer enclosing a myriad of bioactive molecules. pEVs represent a new therapeutic approach as they are not only enriched in numerous growth factors and nucleic acids but also possess unique biophysical properties that are advantageous as biologic medicines. However, the clinical development of EVs as a whole, has been hampered due to the lack of a suitable isolation method. For example, high-speed differential centrifugation is currently the most-widely used method for isolation of EVs and results in their aggregation and loss of functional activity. An ideal isolation method for the clinical manufacture of EVs would have to be effective, scalable, and amenable to Good Manufacturing Practice (GMP) without compromising the structural and functional integrity of the EVs isolated. To address this, Exopharm Ltd has developed a novel isolation technology based on ion-exchange chromatography (IEX) called Ligand Exosome Affinity Purification (LEAP) that could overcome the scalability and purity challenges posed by other methods. However, the use of LEAP to isolate pEVs had not been previously tested. Hence, the first aim of this study was to induce the release of pEVs from platelets using cold-activation and to isolate the resulting pEVs using LEAP. A proliferation assay using dermal fibroblasts was developed to assess LEAP-isolated pEVs for functional activity. pEVs isolated using LEAP were found to significantly induce fibroblast proliferation. pEVs were also characterized for size and morphology and were found to adhere to guidelines set by the International Society of Extracellular Vesicles (ISEV). The second aim of this study was to conduct proteomic and transcriptomic analyses on pEVs from cold-activated platelets and isolated using LEAP to characterize their content and identify key proteins and nucleic acids that positively modulate wound healing process. Proteomic analyses through mass spectrometry revealed the presence of growth factors such as IGF and TGF-b that induce pro-regenerative and -angiogenic properties in recipient cells. Transcriptomic analyses through RNA sequencing reported that pEVs are enriched for microRNAs such as mir-21 and mir-126 that have been previously found to be downregulated within chronic wounds. Hence, content characterization provided first evidence that pEVs from cold-activated platelets and isolated using LEAP contain proteins and microRNAs important for cellular functions involved in healthy wound healing. The third aim of this study was to assess the functional activity of pEVs in in vitro assays. pEV-treatment was found to significantly induce proliferation of dermal fibroblasts and bone-marrow derived mesenchymal stem cells, both cell types important for generating new tissue following wounding. pEVs were also shown to increase the migratory capacity of fibroblasts and angiogenic capacity of dermal endothelial cells. Hence, pEVs from cold-activated platelets were found to positively influence multiple cell processes that are necessary for the proliferative phase of wound healing, that are often impaired in chronic wounds. Lastly, the use of pEVs as therapeutic for wound healing was assessed in a Phase I clinical trial to observe safety and biological activity following administration. One participant was successfully enrolled in the study and was administered autologous pEVs following a skin punch biopsy. No adverse events were reported and pEV-treatment was deemed to be safe and well-tolerated. Furthermore, histological studies of wound tissues procured at Day 7 following treatment showed increased presence of macrophages, keratinocytes and proliferating cells within pEV-treated tissue compared to the untreated control. This study was the first-in-human application of pEVs from cold-activated platelets and support the clinical development of pEVs as a next-generation therapeutic for chronic wounds.
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    Legionnaires’ Disease - the impact of cigarette smoke and functional lung recovery
    Fleischmann, Markus Johannes ( 2022)
    Legionnaires’ Disease is a severe type of pneumonia most commonly caused by the bacterial species Legionella pneumophila and Legionella longbeachae. Epidemiological studies show that cigarette smoke is a major risk factor for susceptibility to Legionnaires’ Disease, but the underlying mechanisms for this connection are not known. During pneumonia, efficient oxygen uptake in the lung is compromised due to pathogen invasion and the resulting immune response. Some types of immune cells are known to resolve inflammation and promote regeneration of lung structure and function. However, the underlying mechanisms by which immune cells aid in lung recovery from bacterial pneumonia are not well understood. We used a mouse model of acute cigarette smoke exposure and Legionella infection to assess how cigarette smoke could impact the immune response towards Legionella and confer more severe disease. This work provides evidence that acute cigarette smoke exposure alone depleted alveolar macrophages (AM) in lungs of wild-type mice, which is contrary to the currently accepted view that smoking causes accumulation of AM within the airways. We investigated the cell death pathways that could be activated by cigarette smoke in AM and found that, in smoke-treated ASC-/- and NLRP3-/- mice, the smoke-induced AM depletion observed in wild-type mice was reversed. These results suggest an important role of NLRP3-dependent pyroptosis, a type of inflammatory cell death, in driving smoke-induced AM death in vivo. Legionella sp. subvert host immunity to establish a protected vacuole for bacterial replication within AM. Concurrent infection of smoke-treated mice with L. pneumophila caused more severe disease progression and significantly delayed bacterial clearance. In a model of clodronate-induced AM depletion, L. pneumophila clearance was similarly delayed in later stages of infection, despite limited bacterial replication early after infection due to the depletion of the bacteria’s replicative niche. In contrast, after concurrently infecting smoke-exposed mice with L. longbeachae, bacterial clearance was slightly accelerated. Therefore, smoke-induced AM death may be a risk factor for Legionnaires’ Disease caused by L. pneumophila. How AM mediate bacterial clearance under normal circumstances remains subject of future investigation. Using the mouse model of Legionnaires’ Disease, we assessed how immune cells impacted functional lung recovery. Surprisingly, we observed that neutrophils play an important role in the re-establishment of efficient oxygen uptake during the recovery phase from L. longbeachae infection. Neutrophils promoted the proliferation of type II alveolar epithelial cells, local progenitor cells that regenerate the alveolar epithelium. Mechanistically, neutrophils contributed to the production of several cytokines and growth factors associated with epithelial cell proliferation after pulmonary infection such as amphiregulin, TNF-alpha, or IL-1beta. These results provide novel insights into a regenerative role of neutrophils in the recovery phase of bacterial pneumonia.