Role Of Chloride In Modulating Autophagy

Chloride levels are stringently regulated by chloride channels such as cystic fibrosis transmembrane regulator (CFTR), the CLC family of channels or calcium activated chloride channels. A dysregulation of chloride concentrations or transport has been reported to be linked to several diseases including cystic fibrosis (CF), myotonia, epilepsy, hyperekplexia or deafness. All these diseases belong to the family of lysosomal storage pathologies which are characterized by a defect in the autophagic process.The pulmonary epithelial cells of CF patients show a defect of autophagy. The combination of two products: cysteamine and epigallocathecin gallate (EGCG) has been shown to restore the autophagic function of these cells and to improve the symptoms of the disease. We have tried to enhance this combination by screening inducers of autophagy for their ability to interact with cysteamine and for better treatment efficacy. We found that amiodarone, similarly to EGCG, was able to engage in a cooperative interaction with cysteamine to stimulate autophagy in cell lines. In addition, amiodarone has been found to be relatively effective in restoring expression of a mature and functional Del F508 CFTR protein in epithelial cells.In the second part of this thesis, we explored the relationships between the modulation of intracellular chloride concentration and autophagy. Three complementary approaches were used (i) the depletion/reduction of chloride in the cell culture medium (ii) the reduction of the expression of the CLCN7 gene encoding the only chloride transporter known to be present in lysosomes and (iii) the use of synthetic carriers of chloride ions. We have shown that the modulation of the concentration of Cl- modulates autophagy. This was observed when we depleted chloride from the cell culture medium or when we abolished the chloride gradient using Synthetic Chloride Transporters (SCTs). We have also shown that SCTs modify the structure and function of mitochondria. In addition, we have shown that anti-oxidants restore mitochondrial function and inhibit the stimulation of autophagy, allowing us to see in a new light the role that chloride could play in different stress response pathways.