[Experience of a care pathway for psychological and behavioral symptoms of dementia]. / Expérience d'un parcours de soins des symptômes psychologiques et comportementaux des démences.

Behavioral and psychological symptoms of dementia (BPSD) are present in more than eighty percent of patients, resulting in a significant decrease of quality of life of patients and caregivers. To provide the most appropriate and early response to behavioral disorders, a specific care pathway, unique in France, has been created within the Memory Center at the Hospices Civils of Lyon. It includes a consultation "Behavior" aimed to intervention and guidance, a Cognitive-Behavioral Unit for pharmacological and non-pharmacological interventions in a comprehensive care of the patient during 3 to 4 weeks, and an Alzheimer's disease mobile team, which can assess the BPSD in the patient's living environment at home or in nursing homes, appraise drug treatments and environment, and give training for caregivers. This care pathway is aimed to provide individualized and early care for behavioral crises secondary prevention, taking into account the psychological, neuropsychological and somatic context of the behavioral disorders occurrence.

A universal RNA polymerase II CTD cycle is orchestrated by complex interplays between kinase, phosphatase, and isomerase enzymes along genes.

Transcription by RNA polymerase II (RNAPII) is coupled to mRNA processing and chromatin modifications via the C-terminal domain (CTD) of its largest subunit, consisting of multiple repeats of the heptapeptide YSPTSPS. Pioneering studies showed that CTD serines are differentially phosphorylated along genes in a prescribed pattern during the transcription cycle. Genome-wide analyses challenged this idea, suggesting that this cycle is not uniform among different genes. Moreover, the respective role of enzymes responsible for CTD modifications remains controversial. Here, we systematically profiled the location of the RNAPII phosphoisoforms in wild-type cells and mutants for most CTD modifying enzymes. Together with results of in vitro assays, these data reveal a complex interplay between the modifying enzymes, and provide evidence that the CTD cycle is uniform across genes. We also identify Ssu72 as the Ser7 phosphatase and show that proline isomerization is a key regulator of CTD dephosphorylation at the end of genes.

Energy gains predict the distribution of plains bison across populations and ecosystems.

Developing tools that help predict animal distribution in the face of environmental change is central to understanding ecosystem function, but it remains a significant ecological challenge. We tested whether a single foraging currency could explain bison (Bison bison) distribution in dissimilar environments: a largely forested environment in Prince Albert National Park (Saskatchewan, Canada) and a prairie environment in Grasslands National Park (Saskatchewan, Canada). We blended extensive behavioral observations, relocations of radio-collared bison, vegetation surveys, and laboratory analyses to spatially link bison distribution in the two parks and expected gains for different nutritional currencies. In Prince Albert National Park, bison were more closely associated with the distribution of plants that maximized their instantaneous energy intake rate (IDE) than their daily intake of digestible energy. This result reflected both bison's intensity of use of individual meadows and their selection of foraging sites within meadows. On this basis, we tested whether IDE could explain the spatial dynamics of bison reintroduced to Grasslands National Park. As predicted, bison distribution in this park best matched spatial patterns of plants offering rapid IDE rather than rapid sodium intake, phosphorus intake, or daily intake of digestible energy. Because the two study areas have very different plant communities, a phenomenological model of resource selection developed in one area could not be used to predict animal distribution in the other. We were able, however, to successfully infer the distribution of bison from their foraging objective. This consistency in foraging currency across ecosystems and populations provides a strong basis for forecasting animal distributions in novel and dynamic environments.

The euchromatic and heterochromatic landscapes are shaped by antagonizing effects of transcription on H2A.Z deposition.

A role for variant histone H2A.Z in gene expression is now well established but little is known about the mechanisms by which it operates. Using a combination of ChIP-chip, knockdown and expression profiling experiments, we show that upon gene induction, human H2A.Z associates with gene promoters and helps in recruiting the transcriptional machinery. Surprisingly, we also found that H2A.Z is randomly incorporated in the genome at low levels and that active transcription antagonizes this incorporation in transcribed regions. After cessation of transcription, random H2A.Z quickly reappears on genes, demonstrating that this incorporation utilizes an active mechanism. Within facultative heterochromatin, we observe a hyper accumulation of the variant histone, which might be due to the lack of transcription in these regions. These results show how chromatin structure and transcription can antagonize each other, therefore shaping chromatin and controlling gene expression.

Group-size-mediated habitat selection and group fusion-fission dynamics of bison under predation risk.

For gregarious animals the cost-benefit trade-offs that drive habitat selection may vary dynamically with group size, which plays an important role in foraging and predator avoidance strategies. We examined how habitat selection by bison (Bison bison) varied as a function of group size and interpreted these patterns by testing whether habitat selection was more strongly driven by the competing demands of forage intake vs. predator avoidance behavior. We developed an analytical framework that integrated group size into resource selection functions (RSFs). These group-size-dependent RSFs were based on a matched case-control design and were estimated using conditional logistic regression (mixed and population-averaged models). Fitting RSF models to bison revealed that bison groups responded to multiple aspects of landscape heterogeneity and that selection varied seasonally and as a function of group size. For example, roads were selected in summer, but not in winter. Bison groups avoided areas of high snow water equivalent in winter. They selected areas composed of a large proportion of meadow area within a 700-m radius, and within those areas, bison selected meadows. Importantly, the strength of selection for meadows varied as a function of group size, with stronger selection being observed in larger groups. Hence the bison-habitat relationship depended in part on the dynamics of group formation and division. Group formation was most likely in meadows. In contrast, risk of group fission increased when bison moved into the forest and was higher during the time of day when movements are generally longer and more variable among individuals. We also found that stronger selection for meadows by large rather than small bison groups was caused by longer residence time in individual meadows by larger groups and that departure from meadows appears unlikely to result from a depression in food intake rate. These group-size-dependent patterns were consistent with the hypothesis that avoidance of predation risk is the strongest driver of habitat selection.

Modulation of GJA1 turnover and intercellular communication by proinflammatory cytokines in the anterior pituitary folliculostellate cell line TtT/GF.

Our previous studies have advanced the idea that the folliculostellate cell GJA1 (gap junction membrane channel protein alpha1; previously known as connexin 43)-mediated gap junctions contribute to the establishment of an intercellular network that regulates the paracrine messages and the endocrine response within the anterior pituitary. The folliculostellate cells are targets for growth factors and cytokines that modulate hormone secretion. Proinflammatory cytokines modulate the cell-to-cell communication in many tissues of the body. The present study measured the effect of the proinflammatory cytokines tumor necrosis factor and interleukin-1 on the GJA1-mediated intercellular communication, specifically the expression, localization, degradation, and phosphorylation status of GJA1 in the folliculostellate cell line TtT/GF. The GJA1 localized to the plasma membrane and to minute cytoplasmic vesicles in the perinuclear area. Using different antibodies that recognize distinctly the nonphosphorylated from the phosphorylated forms of GJA1, we showed that nonphosphorylated GJA1 in Ser-368 (NP-GJA1) localized chiefly in the cytoplasm, whereas GJA1 phosphorylated in Ser-368 (P-GJA1) localized to the plasma membrane in controls. The cytokine treatment transiently increased 1) GJA1, NP-GJA1, and P-GJA1 levels; 2) NP-GJA1 and P-GJA1 degradation by both the lysosomal and proteasomal pathways; and 3) cell-to-cell communication in TtT/GF cells. The results suggest that the cytokine-evoked, transient enhancement of folliculostellate cell-mediated intercellular communication contributes to the coordination of the response among folliculostellate cells.