In vitro characterisation and expansion of human regulatory T cells for their in vivo application in the induction of tolerance in haematopoietic stem cell and solid organ transplantation

Solid organ transplantation (SOT) is considered the treatment of choice for many end-stage organ diseases. Thus far, short term results are excellent, with patient survival rates greater than 90% one year post-surgery, but there are several problems with the long term acceptance and use of immunosuppressive drugs. Hematopoietic Stem Cells Transplantation (HSCT) concerns the infusion of haematopoietic stem cells to re-establish acquired and congenital disorders of the hematopoietic system. The main side effect is the Graft versus Host Disease (GvHD) where donor T cells can cause pathology involving the damage of host tissues. Patients undergoing acute or chronic GvHD receive immunosuppressive regimen that is responsible for several side effects. The use of immunosuppressive drugs in the setting of SOT and GvHD has markedly reduced the incidence of acute rejection and the tissue damage in GvHD however, the numerous adverse side effects observed boost the development of alternative strategies to improve the long-term outcome. To this effect, the use of CD4+CD25+FOXP3+ regulatory T cells (Treg) as a cellular therapy is an attractive approach for autoimmunity disease, GvHD and limiting immune responses to allograft after transplantation. Treg have a pivotal role in maintaining peripheral immunological tolerance, by preventing autoimmunity and chronic inflammation. Results of my thesis provide the characterization and cell processing of Tregs from healthy controls and patients in waiting list for liver transplantation, followed by the development of an efficient expansion-protocol and the investigation of the impact of the main immunosuppressive drugs on viability, proliferative capacity and function of expanded cells after expansion. The conclusion is that ex vivo expansion is necessary to infuse a high Treg dose and although many other factors in vivo can contribute to the success of Treg therapy, the infusion of Tregs during the administration of the highest dose of immunosuppressants should be carefully considered.

Unveiling the expansion history of the universe with cosmic chronometers and gravitational waves

This Thesis explores two novel and independent cosmological probes, Cosmic Chronometers (CCs) and Gravitational Waves (GWs), to measure the expansion history of the Universe. CCs provide direct and cosmology-independent measurements of the Hubble parameter H(z) up to z∼2. In parallel, GWs provide a direct measurement of the luminosity distance without requiring additional calibration, thus yielding a direct measurement of the Hubble constant H0=H(z=0). This Thesis extends the methodologies of both of these probes to maximize their scientific yield. This is achieved by accounting for the interplay of cosmological and astrophysical parameters to derive them jointly, study possible degeneracies, and eventually minimize potential systematic effects. As a legacy value, this work also provides interesting insights into galaxy evolution and compact binary population properties. The first part presents a detailed study of intermediate-redshift passive galaxies as CCs, with a focus on the selection process and the study of their stellar population properties using specific spectral features. From their differential aging, we derive a new measurement of the Hubble parameter H(z) and thoroughly assess potential systematics. In the second part, we develop a novel methodology and pipeline to obtain joint cosmological and astrophysical population constraints using GWs in combination with galaxy catalogs. This is applied to GW170817 to obtain a measurement of H0. We then perform realistic forecasts to predict joint cosmological and astrophysical constraints from black hole binary mergers for upcoming gravitational wave observatories and galaxy surveys. Using these two probes we provide an independent reconstruction of H(z) with direct measurements of H0 from GWs and H(z) up to z∼2 from CCs and demonstrate that they can be powerful independent probes to unveil the expansion history of the Universe.