Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UCB |
Texto Completo: | https://bdtd.ucb.br:8443/jspui/handle/tede/2458 |
Resumo: | Antimicrobial peptides (AMPs) are part of the innate immune system. Genetic modifications can lead to the imbalance in the production of AMPs, which in turn, can lead to several inflammatory and/or infectious conditions. In this context, the identification and characterization of AMPs variants caused by point mutations are important to medical monitoring of bearers of such mutations; mainly due to the fact that the effectiveness of conventional antimicrobial agents has been reduced due to the development of resistance by bacteria, a breakthrough of new drugs is made. In this context, synthetic AMPs, generated through several rational design methods, have been proposed as an alternative. Thus, aiming at solutions to this scenario, the present work presents two new approaches, which consist of a model for the prediction of activities of variants of human defensins; and the computer-aided design of plant peptides. In the first approach, it was elaborated a system of median lethal dose prediction, correlating previously published data and the solvation potential energy of the variants. This model was applied to human defenses, HD5 and HBD1, which in turn showed that several variants may be less potent and consequently their carriers may be more susceptible to bacterial infections. In this way, in the second approach, the guava peptide, Pg-AMP1, was used as a model for the development of new synthetic peptides, the guavanins. Structural analyzes of Pg- AMP1 indicated an extremely flexible and variable structure. Thus, a genetic algorithm for computer-aided rational design was applied to obtain a more stable structure. The prototype, guavanin 2, presented ??-helix structuring in hydrophobic environments, and showed 100% efficacy against Gram-negative bacteria at low concentrations through the rupture of the bacterial membrane and causing hyperpolarization of the same. In sum, the methodologies and the molecules developed here bring new perspectives for the treatment of infections. |
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Franco, Oct??vio Luizhttp://lattes.cnpq.br/8598274096498065http://lattes.cnpq.br/3805678825705332Porto, William Farias2018-08-14T21:37:33Z2017-08-08PORTO, William Farias. Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos. 2017. 209 f. Tese (Programa Stricto Sensu em Ci??ncias Gen??micas e Biotecnologia) - Universidade Cat??lica de Bras??lia, Bras??lia, 2017.https://bdtd.ucb.br:8443/jspui/handle/tede/2458Antimicrobial peptides (AMPs) are part of the innate immune system. Genetic modifications can lead to the imbalance in the production of AMPs, which in turn, can lead to several inflammatory and/or infectious conditions. In this context, the identification and characterization of AMPs variants caused by point mutations are important to medical monitoring of bearers of such mutations; mainly due to the fact that the effectiveness of conventional antimicrobial agents has been reduced due to the development of resistance by bacteria, a breakthrough of new drugs is made. In this context, synthetic AMPs, generated through several rational design methods, have been proposed as an alternative. Thus, aiming at solutions to this scenario, the present work presents two new approaches, which consist of a model for the prediction of activities of variants of human defensins; and the computer-aided design of plant peptides. In the first approach, it was elaborated a system of median lethal dose prediction, correlating previously published data and the solvation potential energy of the variants. This model was applied to human defenses, HD5 and HBD1, which in turn showed that several variants may be less potent and consequently their carriers may be more susceptible to bacterial infections. In this way, in the second approach, the guava peptide, Pg-AMP1, was used as a model for the development of new synthetic peptides, the guavanins. Structural analyzes of Pg- AMP1 indicated an extremely flexible and variable structure. Thus, a genetic algorithm for computer-aided rational design was applied to obtain a more stable structure. The prototype, guavanin 2, presented ??-helix structuring in hydrophobic environments, and showed 100% efficacy against Gram-negative bacteria at low concentrations through the rupture of the bacterial membrane and causing hyperpolarization of the same. In sum, the methodologies and the molecules developed here bring new perspectives for the treatment of infections.Os pept??deos antimicrobianos (PAMs) fazem parte do sistema imune inato. Altera????es gen??ticas podem levar ao desequil??brio em sua produ????o, podendo gerar diversos quadros inflamat??rios e/ou infecciosos. Neste contexto, a identifica????o e caracteriza????o de variantes de PAMs geradas por muta????es pontuais em seus respectivos genes s??o importantes para o acompanhamento m??dico dos portadores destas muta????es; principalmente pelo fato de que a efic??cia dos antimicrobianos convencionais est?? sendo reduzida devido ao desenvolvimento de resist??ncia por parte das bact??rias, tornando necess??rio o desenvolvimento de novos f??rmacos. Desta forma, PAMs sint??ticos, gerados por meio de m??todos de desenho racional, t??m sido propostos como uma alternativa. Assim, visando desenvolver solu????es para este cen??rio, o presente trabalho apresenta duas novas abordagens, que consistem em um modelo para predi????o de atividade de variantes de defensinas humanas; e o desenho assistido por computador de pept??deos de planta. Na primeira abordagem foi elaborado um sistema de predi????o de dose letal mediana correlacionando dados previamente publicados e a energia potencial de solvata????o das variantes. Este modelo foi aplicado a defensinas humanas, HD5 e HBD1, indicando que diversas variantes s??o menos potentes e consequentemente seus portadores podem ser mais suscept??veis ??s infec????es bacterianas. Neste sentido, na segunda abordagem, o pept??deo de goiaba, Pg-AMP1, foi utilizado como modelo para o desenvolvimento de novos pept??deos sint??ticos, as guavaninas. As an??lises estruturais do Pg-AMP1 indicaram uma estrutura extremamente flex??vel e vari??vel. Desse modo, um algoritmo gen??tico para o desenho racional assistido por computador foi aplicado para a obten????o de uma estrutura mais est??vel. O prot??tipo, guavanina 2, apresentou estrutura????o em ??-h??lice em ambientes hidrof??bicos, e mostrou efic??cia de 100% contra bact??rias Gram-negativas em baixas concentra????es atrav??s do rompimento da membrana bacteriana e causando hiperpolariza????o da mesma. Em suma, as metodologias e as mol??culas desenvolvidas aqui trazem novas perspectivas para o tratamento de infec????es.Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2018-08-14T21:36:36Z No. of bitstreams: 1 WilliamFariasPortoTese2017.pdf: 13965916 bytes, checksum: 627497be290e274ade4f2d64a0b0d119 (MD5)Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2018-08-14T21:37:32Z (GMT) No. of bitstreams: 1 WilliamFariasPortoTese2017.pdf: 13965916 bytes, checksum: 627497be290e274ade4f2d64a0b0d119 (MD5)Made available in DSpace on 2018-08-14T21:37:33Z (GMT). No. of bitstreams: 1 WilliamFariasPortoTese2017.pdf: 13965916 bytes, checksum: 627497be290e274ade4f2d64a0b0d119 (MD5) Previous issue date: 2017-08-08application/pdfhttps://bdtd.ucb.br:8443/jspui/retrieve/5898/WilliamFariasPortoTese2017.pdf.jpgporUniversidade Cat??lica de Bras??liaPrograma Stricto Sensu em Ci??ncias Gen??micas e BiotecnologiaUCBBrasilEscola de Sa??de e MedicinaAlgoritmo gen??ticoAn??lises estruturaisInfec????es bacterianasPept??deos antimicrobianos - PAMsSNPsBacterial infectionsStructural analysisGenetic algorithmCNPQ::CIENCIAS BIOLOGICAS::GENETICAPredi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianosinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UCBinstname:Universidade Católica de Brasília (UCB)instacron:UCBLICENSElicense.txtlicense.txttext/plain; charset=utf-81905https://200.214.135.178:8443/jspui/bitstream/tede/2458/1/license.txt75558dcf859532757239878b42f1c2c7MD51ORIGINALWilliamFariasPortoTese2017.pdfWilliamFariasPortoTese2017.pdfapplication/pdf13965916https://200.214.135.178:8443/jspui/bitstream/tede/2458/2/WilliamFariasPortoTese2017.pdf627497be290e274ade4f2d64a0b0d119MD52TEXTWilliamFariasPortoTese2017.pdf.txtWilliamFariasPortoTese2017.pdf.txttext/plain414878https://200.214.135.178:8443/jspui/bitstream/tede/2458/3/WilliamFariasPortoTese2017.pdf.txt0ad58cdd69d3861e32d174bb6d484600MD53THUMBNAILWilliamFariasPortoTese2017.pdf.jpgWilliamFariasPortoTese2017.pdf.jpgimage/jpeg5553https://200.214.135.178:8443/jspui/bitstream/tede/2458/4/WilliamFariasPortoTese2017.pdf.jpg9b4c6fd2d7b9e4eed8063d311edde995MD54tede/24582018-08-15 01:07:25.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 Digital de Teses e Dissertaçõeshttps://bdtd.ucb.br:8443/jspui/ |
dc.title.por.fl_str_mv |
Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos |
title |
Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos |
spellingShingle |
Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos Porto, William Farias Algoritmo gen??tico An??lises estruturais Infec????es bacterianas Pept??deos antimicrobianos - PAMs SNPs Bacterial infections Structural analysis Genetic algorithm CNPQ::CIENCIAS BIOLOGICAS::GENETICA |
title_short |
Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos |
title_full |
Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos |
title_fullStr |
Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos |
title_full_unstemmed |
Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos |
title_sort |
Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos |
author |
Porto, William Farias |
author_facet |
Porto, William Farias |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Franco, Oct??vio Luiz |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8598274096498065 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3805678825705332 |
dc.contributor.author.fl_str_mv |
Porto, William Farias |
contributor_str_mv |
Franco, Oct??vio Luiz |
dc.subject.por.fl_str_mv |
Algoritmo gen??tico An??lises estruturais Infec????es bacterianas Pept??deos antimicrobianos - PAMs SNPs |
topic |
Algoritmo gen??tico An??lises estruturais Infec????es bacterianas Pept??deos antimicrobianos - PAMs SNPs Bacterial infections Structural analysis Genetic algorithm CNPQ::CIENCIAS BIOLOGICAS::GENETICA |
dc.subject.eng.fl_str_mv |
Bacterial infections Structural analysis Genetic algorithm |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS BIOLOGICAS::GENETICA |
dc.description.abstract.eng.fl_txt_mv |
Antimicrobial peptides (AMPs) are part of the innate immune system. Genetic modifications can lead to the imbalance in the production of AMPs, which in turn, can lead to several inflammatory and/or infectious conditions. In this context, the identification and characterization of AMPs variants caused by point mutations are important to medical monitoring of bearers of such mutations; mainly due to the fact that the effectiveness of conventional antimicrobial agents has been reduced due to the development of resistance by bacteria, a breakthrough of new drugs is made. In this context, synthetic AMPs, generated through several rational design methods, have been proposed as an alternative. Thus, aiming at solutions to this scenario, the present work presents two new approaches, which consist of a model for the prediction of activities of variants of human defensins; and the computer-aided design of plant peptides. In the first approach, it was elaborated a system of median lethal dose prediction, correlating previously published data and the solvation potential energy of the variants. This model was applied to human defenses, HD5 and HBD1, which in turn showed that several variants may be less potent and consequently their carriers may be more susceptible to bacterial infections. In this way, in the second approach, the guava peptide, Pg-AMP1, was used as a model for the development of new synthetic peptides, the guavanins. Structural analyzes of Pg- AMP1 indicated an extremely flexible and variable structure. Thus, a genetic algorithm for computer-aided rational design was applied to obtain a more stable structure. The prototype, guavanin 2, presented ??-helix structuring in hydrophobic environments, and showed 100% efficacy against Gram-negative bacteria at low concentrations through the rupture of the bacterial membrane and causing hyperpolarization of the same. In sum, the methodologies and the molecules developed here bring new perspectives for the treatment of infections. |
dc.description.abstract.por.fl_txt_mv |
Os pept??deos antimicrobianos (PAMs) fazem parte do sistema imune inato. Altera????es gen??ticas podem levar ao desequil??brio em sua produ????o, podendo gerar diversos quadros inflamat??rios e/ou infecciosos. Neste contexto, a identifica????o e caracteriza????o de variantes de PAMs geradas por muta????es pontuais em seus respectivos genes s??o importantes para o acompanhamento m??dico dos portadores destas muta????es; principalmente pelo fato de que a efic??cia dos antimicrobianos convencionais est?? sendo reduzida devido ao desenvolvimento de resist??ncia por parte das bact??rias, tornando necess??rio o desenvolvimento de novos f??rmacos. Desta forma, PAMs sint??ticos, gerados por meio de m??todos de desenho racional, t??m sido propostos como uma alternativa. Assim, visando desenvolver solu????es para este cen??rio, o presente trabalho apresenta duas novas abordagens, que consistem em um modelo para predi????o de atividade de variantes de defensinas humanas; e o desenho assistido por computador de pept??deos de planta. Na primeira abordagem foi elaborado um sistema de predi????o de dose letal mediana correlacionando dados previamente publicados e a energia potencial de solvata????o das variantes. Este modelo foi aplicado a defensinas humanas, HD5 e HBD1, indicando que diversas variantes s??o menos potentes e consequentemente seus portadores podem ser mais suscept??veis ??s infec????es bacterianas. Neste sentido, na segunda abordagem, o pept??deo de goiaba, Pg-AMP1, foi utilizado como modelo para o desenvolvimento de novos pept??deos sint??ticos, as guavaninas. As an??lises estruturais do Pg-AMP1 indicaram uma estrutura extremamente flex??vel e vari??vel. Desse modo, um algoritmo gen??tico para o desenho racional assistido por computador foi aplicado para a obten????o de uma estrutura mais est??vel. O prot??tipo, guavanina 2, apresentou estrutura????o em ??-h??lice em ambientes hidrof??bicos, e mostrou efic??cia de 100% contra bact??rias Gram-negativas em baixas concentra????es atrav??s do rompimento da membrana bacteriana e causando hiperpolariza????o da mesma. Em suma, as metodologias e as mol??culas desenvolvidas aqui trazem novas perspectivas para o tratamento de infec????es. |
description |
Antimicrobial peptides (AMPs) are part of the innate immune system. Genetic modifications can lead to the imbalance in the production of AMPs, which in turn, can lead to several inflammatory and/or infectious conditions. In this context, the identification and characterization of AMPs variants caused by point mutations are important to medical monitoring of bearers of such mutations; mainly due to the fact that the effectiveness of conventional antimicrobial agents has been reduced due to the development of resistance by bacteria, a breakthrough of new drugs is made. In this context, synthetic AMPs, generated through several rational design methods, have been proposed as an alternative. Thus, aiming at solutions to this scenario, the present work presents two new approaches, which consist of a model for the prediction of activities of variants of human defensins; and the computer-aided design of plant peptides. In the first approach, it was elaborated a system of median lethal dose prediction, correlating previously published data and the solvation potential energy of the variants. This model was applied to human defenses, HD5 and HBD1, which in turn showed that several variants may be less potent and consequently their carriers may be more susceptible to bacterial infections. In this way, in the second approach, the guava peptide, Pg-AMP1, was used as a model for the development of new synthetic peptides, the guavanins. Structural analyzes of Pg- AMP1 indicated an extremely flexible and variable structure. Thus, a genetic algorithm for computer-aided rational design was applied to obtain a more stable structure. The prototype, guavanin 2, presented ??-helix structuring in hydrophobic environments, and showed 100% efficacy against Gram-negative bacteria at low concentrations through the rupture of the bacterial membrane and causing hyperpolarization of the same. In sum, the methodologies and the molecules developed here bring new perspectives for the treatment of infections. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-08-08 |
dc.date.accessioned.fl_str_mv |
2018-08-14T21:37:33Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
status_str |
publishedVersion |
format |
doctoralThesis |
dc.identifier.citation.fl_str_mv |
PORTO, William Farias. Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos. 2017. 209 f. Tese (Programa Stricto Sensu em Ci??ncias Gen??micas e Biotecnologia) - Universidade Cat??lica de Bras??lia, Bras??lia, 2017. |
dc.identifier.uri.fl_str_mv |
https://bdtd.ucb.br:8443/jspui/handle/tede/2458 |
identifier_str_mv |
PORTO, William Farias. Predi????o e desenho racional assistido por computador para bioprospec????o de novos pept??deos antimicrobianos. 2017. 209 f. Tese (Programa Stricto Sensu em Ci??ncias Gen??micas e Biotecnologia) - Universidade Cat??lica de Bras??lia, Bras??lia, 2017. |
url |
https://bdtd.ucb.br:8443/jspui/handle/tede/2458 |
dc.language.iso.fl_str_mv |
por |
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por |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade Cat??lica de Bras??lia |
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Programa Stricto Sensu em Ci??ncias Gen??micas e Biotecnologia |
dc.publisher.initials.fl_str_mv |
UCB |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Escola de Sa??de e Medicina |
publisher.none.fl_str_mv |
Universidade Cat??lica de Bras??lia |
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