Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 235
Filtrar
1.
Sci Rep ; 14(1): 8138, 2024 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-38584162

RESUMO

Despite decades of research, the role of the lattice and its coupling to the magnetisation during ultrafast demagnetisation processes is still not fully understood. Here we report on studies of both explicit and implicit lattice effects on laser induced ultrafast demagnetisation of bcc Fe and fcc Co. We do this using atomistic spin- and lattice dynamics simulations following a heat-conserving three-temperature model. We show that this type of Langevin-based simulation is able to reproduce observed trends of the ultrafast magnetization dynamics of fcc Co and bcc Fe. The parameters used in our models are all obtained from electronic structure theory, with the exception of the lattice dynamics damping term, where a range of parameters were investigated. It was found that while the explicit spin-lattice coupling in the studied systems does not impact the demagnetisation process notably, the lattice damping has a large influence on the details of the magnetization dynamics. The dynamics of Fe and Co following the absorption of a femtosecond laser pulse are compared with previous results for Ni and similarities and differences in the materials' behavior are analysed. For all elements investigated so far with this model, we obtain a linear relationship between the value of the maximally demagnetized state and the fluence of the laser pulse , which is in agreement with experiments. Moreover, we demonstrate that the demagnetization amplitude is largest for Ni and smallest for Co. This holds over a wide range of the reported electron-phonon couplings, and this demagnetization trend is in agreement with recent experiments.

2.
Parasitol Res ; 118(12): 3359-3370, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31729575

RESUMO

A new species of naidid oligochaete, Dero rwandae, detected in the bladder and the Wolffian ducts of reed frogs Hyperolius kivuensis from Rwanda, is described. Until now, D. bauchiensis was the only endoparasitic Dero known to infect African frogs infesting the eyes and Harderian glands. To the best of our knowledge, the finding of D. rwandae is the first record of an African Dero species infecting the urinary tract of anurans. In general morphology, the two African Dero parasites resemble each other, but differences in the features of ventral setae morphology exist. Parts of the mitochondrial 16S rRNA locus and the nuclear 18S and 28S rRNA loci were sequenced to assess the phylogenetic relationships to other Dero spp. Among those few species, that are barcoded so far, the closest relative of the new taxon is D. superterrenus, a free-living South American species. The species groups formerly termed subgenera Allodero, Aulophorus and Dero within the genus Dero do not represent distinct evolutionary lineages and the genus is paraphyletic including Branchiodrilus.


Assuntos
Anuros/parasitologia , Oligoquetos/classificação , Doenças Parasitárias em Animais/parasitologia , Bexiga Urinária/parasitologia , Animais , Sequência de Bases , Oligoquetos/genética , Filogenia , RNA Ribossômico/genética , RNA Ribossômico 16S/genética , RNA Ribossômico 28S/genética , Ruanda
3.
J Helminthol ; 93(3): 332-341, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-29502544

RESUMO

The helminth endoparasites of many European amphibian species are often known exclusively from morphological descriptions. A molecular library of DNA sequence data linked to morphological identifications is still in its infancy. In this paper, we aim to contribute to such a library on the smooth newt Lissotriton vulgaris, the intermediate and definitive host of 31 helminth parasites, according to evidence published so far. Newts (n = 69) were collected at two study sites in western Germany and examined for the presence of helminths. A total of five helminth species were detected in 56 (81%) of the newts, but only one or two species infected a single host. Four out of five helminth species were identified morphologically and based on DNA sequences as Parastrigea robusta (metacercariae), Oswaldocruzia filiformis, Megalobatrachonema terdentatum (adults and larvae) and Cosmocerca longicauda, and the corresponding sequences were provided subsequently. Oswaldocruzia molgeta was confirmed to be a junior synonym of O. filiformis. Molecular data on a fifth species (a cosmocercid nematode) that could not be identified at species level were added to GenBank. These findings increased the molecular library on morphologically identified smooth newt parasites significantly, from 12 to 15 entries.


Assuntos
Helmintos/classificação , Helmintos/isolamento & purificação , Salamandridae/parasitologia , Animais , Alemanha , Helmintos/anatomia & histologia , Helmintos/genética , Microscopia , Filogenia , Prevalência
4.
Curr Opin Microbiol ; 31: 58-62, 2016 06.
Artigo em Inglês | MEDLINE | ID: mdl-27016694

RESUMO

A lot of endocytobionts (or endosymbionts) have been discovered within free-living amoebae in recent years. In this article the results of a long lasting effort to derive valuable data about an extraordinary spore-like infectious microorganism (endocytobiont, endosymbiont) within host amoebae (Acanthamoeba sp.) recently isolated from the contact lens case of a patient with keratitis, are presented. It took some time until this endocytobiont could be attributed to the genus Pandoravirus following a publication of two other pandoraviruses isolated from aquatic environments. Consequently the molecular biological investigation led to the taxonomic affiliation of the endocytobiont with the genus Pandoravirus and to the description of a new Pandoravirus species, Pandoravirus inopinatum after whole-genome sequencing in 2015. The fact that it was isolated from a contact lens container of a keratitis patient gives another dimension to these findings showing paradigmatically, how readily these 'new' giant viruses get to humans.


Assuntos
Acanthamoeba/virologia , Vírus Gigantes/classificação , Vírus Gigantes/isolamento & purificação , Ceratite/virologia , Cristalino/virologia , Células A549 , Animais , Linhagem Celular , Chlorocebus aethiops , Cães , Genoma Viral/genética , Vírus Gigantes/genética , Humanos , Células Madin Darby de Rim Canino , Simbiose/fisiologia , Células Vero
5.
Genome Announc ; 3(2)2015 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-25814595

RESUMO

Following the recent discovery of two Pandoravirus species in 2013, a previously described endocytobiont isolated from the inflamed eye of a patient with keratitis was subjected to whole-genome sequencing (WGS). Here, we present the complete genome sequence of a new Pandoravirus isolate.

6.
Rev Mal Respir ; 27(5): 421-30, 2010 May.
Artigo em Francês | MEDLINE | ID: mdl-20569874

RESUMO

BACKGROUND: Lung cancer in the elderly is considerably increasing in frequency, representing a public health issue. Those patients are underrepresented in clinical trials and probably not optimally treated. METHODS: We performed a survey of the management and the outcome of lung cancer patients aged 70 and more in France between August 2002 and September 2003 according to age categories (70-74, 75-79 and > or =80 years). One thousand six hundred and twenty-seven patients were analysed for descriptive data and 1595 for survival. RESULTS: Median age was 75 (70-96) and male:female ratio was 4.26 with a decrease across the age categories from 5.1 to 3.0. Tobacco-linked comorbidities were frequent. The median value of Charlson's index was 2. About 58% had a performance status (PS) 0 or 1, 30% a PS 2 and 12% a PS>2. The proportion of never-smokers (11.6%) increased significantly with age categories. Regarding imaging procedures, as much as 83.3% of the patients had at least a chest CT-scan and a brain CT-scan (or MRI) and an abdominal ultrasound or CT-scan. Best Supportive Care (BSC) as only treatment was administered to 16.1% of the patients. Among patients specifically treated, 22.9% were operated, 21.8% received mediastinal irradiation and 71.5% chemotherapy. Overall, median survival time was 9.14 months with 23.5% deaths occurring before 3 months. Low category of age, good PS, non-smoking and high body mass index (BMI) were favorable independent prognostic factors of survival. Age, PS and tobacco smoking were prognostic of early death. CONCLUSIONS: A large majority of elderly lung cancer patients in France are managed like younger counterparts regarding diagnostic procedures and treatment. Age remains an independent prognostic factor as well for overall survival as for early death.


Assuntos
Neoplasias Pulmonares , Idoso , Idoso de 80 Anos ou mais , Feminino , França , Pesquisas sobre Atenção à Saúde , Humanos , Neoplasias Pulmonares/mortalidade , Neoplasias Pulmonares/terapia , Masculino , Estudos Prospectivos , Taxa de Sobrevida
7.
Med Mal Infect ; 40(2): 106-11, 2010 Feb.
Artigo em Francês | MEDLINE | ID: mdl-19818570

RESUMO

OBJECTIVES: The Antibiolor network assessed the good use of fluoroquinolones (FQ) in the French Lorraine region by a relevance review. METHODS: At the beginning of 2008, the experts in voluntary hospitals filled out a standard card mentioning the indication, FQ name, route, and duration according to prescriptions in the last 3 months. Two experts checked the relevance of prescriptions according to the local Antibioguide, and determined a score of therapeutic adequacy index for each card. Each establishment was given its results. Corrective measures were adopted at a meeting of the regional antibiotics commission in January 2009. RESULTS: One hundred and twenty-four units (61 medical, 33 surgical, 17 ICU, 2 ER, 11 long-stay hospital) in 28 hospitals filled 1538 cards. The most frequent indications were: pulmonary (632), urinary (445), digestive (130). The FQ indication was non-conform for 36% of the cards (n=554). When the FQ indication was justified (984 cards), the chosen molecule was non-conform in 222 cases (23%), dose in 115 cases (12%), duration in 250 cases (25%), and route of administration in 83 cases (8%). The prescriptions were entirely conform for 425 cards (28%). CONCLUSION: The Lorraine hospitals massively took part in this study. The second survey will use the same methodology. The objective will be to reduce the number of unjustified FQ prescriptions and to increase the number of conform cards.


Assuntos
Antibacterianos/uso terapêutico , Fluoroquinolonas/uso terapêutico , Prescrições de Medicamentos/normas , França , Humanos , Estudos Retrospectivos
8.
Parasitol Res ; 102(5): 945-50, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18210154

RESUMO

In the present article, the detection and the development of a parasitic endocytobiont within host amoebae (Acanthamoeba sp.) recently isolated from the contact lens and the inflamed eye of a patient with keratitis is presented. An otherwise healthy 55-year-old female patient presented with keratitis in her inflamed left eye. She was a contact lens wearer and had no history of a corneal trauma. Acanthamoebae as well as other smaller free-living amoebae could be detected from the fluid of the contact lens storage cases by culture methods. A successful therapy could be provided consequently. Two of these Acanthamoeba strains showed intracellular aggregating organisms. Within 2 to 3 days, the host amoebae ruptured, and numerous microorganisms were released. We succeeded in detecting the mechanism of infection and intrusion of this organisms by using light and electron microscopy. Infection with this endocytobiont is a suitable model for studying the host-parasite relations while the parasites use their hosts as so-called Trojan horses (see Barker, Lambert, Brown, Infect Immun 61:3503-3510, 1992).


Assuntos
Ceratite por Acanthamoeba/parasitologia , Acanthamoeba/isolamento & purificação , Acanthamoeba/microbiologia , Simbiose , Acanthamoeba/classificação , Acanthamoeba/crescimento & desenvolvimento , Animais , Soluções para Lentes de Contato , Lentes de Contato Hidrofílicas/parasitologia , Meios de Cultura , Feminino , Humanos , Microscopia Eletrônica de Transmissão , Pessoa de Meia-Idade , Trofozoítos/microbiologia , Trofozoítos/parasitologia , Trofozoítos/ultraestrutura
9.
Parasitol Res ; 101(4): 1097-102, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17579885

RESUMO

Free-living amoebae (FLA) occur ubiquitously in many aquatic habitats and humid soils as well as in "artificial" water samples. In addition to their role as pathogens, FLA are known to serve as natural hosts and vehicles of transmission for various intracellular organisms. An otherwise healthy 24-year-old female patient presented with keratitis in her inflamed left eye. She was a contact lens wearer and had no history of corneal trauma. No acanthamoebae could be determined by culture methods. A Vannella strain (called VanAun0) isolated from corneal scrapings showed intracellular aggregating organisms. Within 1-2 days, the host amoebae ruptured, and numerous coccoid organisms (called Kaun1) were released. We succeeded in detecting the mechanisms of infection and intrusion of this eukaryotic organism, growing within the nucleus of the FLA, by light and electron microscopy. It could be shown that the spores at the cell membrane of strain KAun1 resemble Microsporidia and were taken up into the Amoeba by phagocytosis after adhesion of the spores and food cup formation (infective phase). The spores were transported into the cytoplasm of the vannellae in food vacuoles. Phase contrast microscopy revealed early stages of the parasites moving through the cytoplasm into the nucleus of the host amoeba. Electron microscopy showed the proliferation of polymorphic stages within the karyoplasm. The life cycle of these microsporidian-like organisms ended up with a sporogenic phase in which a terminal differentiation took place and numerous spores were released by rupture of the host cell wall. With the rupture of the host amoeba's cell membrane, the cycle started again from the beginning, the released infectious spores being ingested by other host amoebae. In particular, the morphology of the organelles made visible by electron microscopy finally allowed us to classify the endocytobionts as a microsporidan-like organism. Infection of Vannella sp. with the microsporidia-like organism strain KAun1 is a suitable model for studying the host-parasite relations of organisms using their hosts as so-called Trojan horses.


Assuntos
Ceratite por Acanthamoeba/parasitologia , Núcleo Celular/microbiologia , Lobosea/isolamento & purificação , Lobosea/microbiologia , Microsporídios/fisiologia , Trofozoítos/microbiologia , Adulto , Animais , Feminino , Humanos , Lobosea/crescimento & desenvolvimento , Lobosea/ultraestrutura , Microscopia Eletrônica de Transmissão , Microsporídios/isolamento & purificação , Microsporídios/ultraestrutura , Esporos Fúngicos/ultraestrutura , Trofozoítos/ultraestrutura
10.
J Egypt Soc Parasitol ; 36(3): 749-62, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-17153693

RESUMO

Infectious diseases are among the most common diseases suffered by soldiers while serving in missions away from their home countries. The diagnosis of theses diseases requires special procedures and expertise, both of which are provided by field microbiological laboratories. In order to support the diagnostic process by means of telemedicine, a modification of the standard telemedicine workstation, i.e. a telemicrobiology module with special equipment, camera and software, has been designed and validated. This module, currently in use in two operational theaters, has stood the test in routine practice. It enables the transmission of high-quality static images of microscopic specimens or overgrown nutrient media in a matter of seconds. The inclusion of experts into diagnostic analysis through the use of telemedicine improves diagnostic specificity by avoiding false positive results and, particularly in medical parasitology, allows a treatment-essential diagnosis without the dispatch of specimens to Germany. Telemicrobiology allows the control of the entire microbiology diagnostic process by expert workstation even with only a microbiological technician on site.


Assuntos
Doenças Transmissíveis/diagnóstico , Telemedicina/instrumentação , Telemedicina/métodos , Humanos , Sensibilidade e Especificidade , Avaliação da Tecnologia Biomédica
11.
Respir Physiol Neurobiol ; 143(2-3): 199-214, 2004 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-15519556

RESUMO

Electrical coupling of neurones is believed to promote synchronized activity. It may, however, also be a requirement for the maintenance of endogenous rhythmic activity in some systems. In en bloc isolated brainstem-spinal cord of the neonatal rat simultaneous whole cell recordings from pairs of LC neurones (n = 47 pairs) disclosed for the most part strongly synchronized activity which could take the form of tonic spiking or phasic bursts. Simultaneous whole cell recording from LC neurones and glia also revealed synchronized waves of depolarization in 7 of 17 pairs. This synchrony was partly due to respiratory-phased synaptic input and partly due to mechanisms, which were not dependent on chemical synapses. The gap junction uncoupler carbenoxolone suppressed non-synaptic rhythmic activity in LC neurones, but did not suppress either respiratory-phased synaptic input to these neurones or their excitatory response to increased CO(2). We give preliminary direct evidence for the existence of a current pathway between LC neurones, which is inhibited by carbenoxolone. Within the LC nucleus carbenoxolone-sensitive electrical coupling, which may involve neurone-glia as well as neurone-neurone interactions, may be required not just for synchronization, but also for the maintenance of rhythm.


Assuntos
Locus Cerúleo/citologia , Neurônios/fisiologia , Periodicidade , Sinapses/fisiologia , Potenciais de Ação/efeitos dos fármacos , Potenciais de Ação/fisiologia , Potenciais de Ação/efeitos da radiação , Anestésicos Locais/farmacologia , Animais , Animais Recém-Nascidos , Bário/farmacologia , Carbenoxolona/farmacologia , Interações Medicamentosas , Estimulação Elétrica/métodos , Hipocapnia/fisiopatologia , Técnicas In Vitro , Locus Cerúleo/efeitos dos fármacos , Locus Cerúleo/fisiologia , Rede Nervosa/fisiologia , Neuroglia/efeitos dos fármacos , Neuroglia/fisiologia , Neuroglia/efeitos da radiação , Neurônios/efeitos dos fármacos , Neurônios/efeitos da radiação , Técnicas de Patch-Clamp/métodos , Ratos , Análise Espectral , Sinapses/efeitos dos fármacos , Sinapses/efeitos da radiação , Tetrodotoxina/farmacologia
12.
Scand J Gastroenterol ; 38(11): 1136-43, 2003 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-14686716

RESUMO

BACKGROUND: In developed countries one-third of the population is infected with the gastric pathogen Helicobacter pylori. In the early stages of H. pylori-induced gastritis, typical symptoms include gastric erosions and mucus depletions. Artificial mucus depletion was generated, demonstrating both consequent irritation and recovery processes in the mucosa. METHODS: The mucus depletion was examined by removing a small cylinder of mucus from the surface of the explanted guinea pig corpus mucosa, leaving the epithelial surface intact. pH microelectrodes were inserted into the mucosa in vitro, measuring the epicellular mucus pH, the pH(i) of the underlying epithelial cells and the pH inside the gastric glands during mucus regeneration. Using infrared microscopy, the same process of mucus layer renewal was followed in anaesthetized animals. RESULTS: The depletion exposed the tissue surface to low luminal pH levels. At a luminal pH of 2.5, a decrease was observed in the crypt outlet pH and surface cell pH(i), while deeper cells were less affected. However, a subsequent neutralization in the deep gland lumen was found. During the repair process, a quarter of the mucus layer was regenerated within the first 5 min. This newly secreted mucus formed a structure similar to that before depletion. Within 45 min, pH(i) and tissue-near pH values had fully recovered. CONCLUSION: Following mucus depletion, there is a decrease in surface cell pH(i) and crypt outlet pH values. The repair process is then characterized by extensive mucus secretion and local cessation of acid secretion.


Assuntos
Mucosa Gástrica/fisiologia , Muco/fisiologia , Animais , Transporte Biológico/fisiologia , Células Epiteliais/metabolismo , Determinação da Acidez Gástrica , Mucosa Gástrica/citologia , Mucosa Gástrica/metabolismo , Cobaias , Concentração de Íons de Hidrogênio , Masculino , Potenciais da Membrana/fisiologia , Modelos Animais , Muco/citologia , Muco/metabolismo , Recuperação de Função Fisiológica
13.
Rev Mal Respir ; 20(4): 515-20, 2003 Sep.
Artigo em Francês | MEDLINE | ID: mdl-14528153

RESUMO

INTRODUCTION: High dose rate brachytherapy (HDR-BT) is an option for treatment of small invasive endobronchial carcinoma and carcinoma in situ. This retrospective study describes the results of 33 consecutive patients treated with curative intent and followed up for more than one year. METHODS: Between July 1994 and October 1999, 35 tumours were treated with HDR-BT alone using a standard protocol delivering 6 fractions of 5 Gy delivered across 1cm from the catheters over 3 to 6 weeks. In 31 patients, surgical treatment was ruled out because of histology (in situ carcinoma), history of pneumonectomy or significant co-morbidity. Two patients were treated for positive resection margins following pneumonectomy. All the tumours were Tis or T1 N0. RESULTS: The locations of tumours were: trachea - 2, main bronchus - 5, lobar - 20, and segmental - 8. Only one catheter was needed in 15 cases, 2 in 13 cases, 3 in 6 cases and 4 in 1 case. The median follow-up was 17 months (range, 5-53 months). The recurrence-free rate was 94.3% at 2 months and 86.2% at 6 months after the treatment. 15 patients (45.5%) developed local recurrence at a median time of 9 months. Three patients developed metastases. The 1-year and 2-year overall survival rate were 71.4% and 53.8% respectively and specific survival rates were 69.4% and 59%. One patient developed an acute pneumothorax, and late complications included 6 infections and 12 bronchial stenoses. There were no episodes of haemoptysis nor lethal complications. CONCLUSIONS: With strict selection criteria, HDR-BT can be a curative treatment for early invasive or in situ endobronchial carcinoma without serious toxicity. It is therefore a good alternative treatment with curative intent for inoperable patients.


Assuntos
Braquiterapia/métodos , Carcinoma in Situ/radioterapia , Neoplasias Pulmonares/radioterapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Fracionamento da Dose de Radiação , Feminino , Humanos , Neoplasias Pulmonares/cirurgia , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Pneumonectomia , Estudos Retrospectivos , Resultado do Tratamento
15.
Rev Mal Respir ; 19(5 Pt 2): S87-90, 2002 Oct.
Artigo em Francês | MEDLINE | ID: mdl-12599664
16.
Respir Physiol ; 129(1-2): 5-12, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11738642

RESUMO

In this introductory article we make use of the work reviewed in detail by a number of contributors to this Special Issue (Respir. Physiol., 2001) to provide an outline of current approaches to identifying brainstem CO(2)/pH-chemosensitive neurones. The section headings which we have adopted are intended to reflect particular issues rather than experimental techniques, though some of these issues arise out of the choice of preparation and the advantages and limitations which follow from such a choice. We have also considered whether, in spite of the diversity in the kinds of neurones usually considered to be chemosensitive, there are any indications for shared or uniform features. Again, this is based on the material published together in this volume. Finally, and more speculatively, we suggest that the dendritic organization of chemosensitive neurones may play an important role in chemoreception, not simply as a means of sampling the stimulus but also as a way of compartmentalizing the effects of pH in relation to other aspects of a neurone's activity.


Assuntos
Encéfalo/fisiologia , Células Quimiorreceptoras/fisiologia , Fenômenos Fisiológicos Respiratórios , Animais , Dendritos/fisiologia , Concentração de Íons de Hidrogênio , Neurônios/fisiologia
17.
Respir Physiol ; 129(1-2): 123-40, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11738650

RESUMO

The activity of locus coeruleus (LC) neurons was examined in the en bloc isolated brainstem-spinal cord of the neonatal rat using paired whole cell or whole cell plus extracellular recording. In artificial cerebrospinal fluid (ACSF) LC neurons were synchronized by their respiratory innervation and in some neurons showing tonic or burst patterns of discharge these patterns of discharge could also be synchronized. Replacing ACSF with low Ca(2+)-high Mg(2+) generated synchronized rhythmic bursts which remained synchronized at high CO(2) (up to 20%). This rhythm was suppressed by TTX. Substitution of Ba(2+) for Ca(2+) in ACSF generated a synchronized rhythm which was TTX-insensitive. The frequency of this rhythm increased by 31+/-16% on raising CO(2) concentration from 2 to 10%. We conclude that the capacity of chemosensitive LC neurons to generate a synchronized rhythm depends on their electrical coupling, but not on chemical synaptic transmission.


Assuntos
Células Quimiorreceptoras/fisiologia , Locus Cerúleo/fisiologia , Neurônios/fisiologia , Periodicidade , Animais , Bário/farmacologia , Cálcio/administração & dosagem , Cálcio/farmacologia , Dióxido de Carbono/farmacologia , Relação Dose-Resposta a Droga , Sinergismo Farmacológico , Condutividade Elétrica , Eletrofisiologia , Técnicas In Vitro , Locus Cerúleo/citologia , Magnésio/administração & dosagem , Magnésio/farmacologia , Potenciais da Membrana , Neurônios/efeitos dos fármacos , Oscilometria , Ratos , Ratos Sprague-Dawley , Sódio/fisiologia , Transmissão Sináptica/fisiologia , Tetrodotoxina/farmacologia , Fatores de Tempo
20.
Rev Pneumol Clin ; 57(3): 193-9, 2001 Jun.
Artigo em Francês | MEDLINE | ID: mdl-11416802

RESUMO

Lung cancer, with a high incidence and a 14% survival rate at 5 years is the leading cause of death in France. Because of past and present smoking habits in the French population and the lack of real expectations for significant therapeutic progress within a short or mid-term delay, the only reasonable way to try to limit the predictable hecatomb in the next 2 decades is to reduce exposure to the main risk factors (tobacco smoke, asbestos.), implement an early and effective (radiographic and/or endoscopic) screening system, and/or determine an active chemoprevention scheme. The principle of chemoprevention is based on the fundamental concept that since lung cancer develops through several stages, subjects exposed to risk factors could be given a compound or compounds counteracting the deleterious effect of carcinogenic substances on DNA and/or blocking the subsequent cascade of molecular events. Two families of products have been considered as potential chemoprevention agents: antioxidants (selenium, beta-caroten, vitamin E, and N-acetyl-cystein) and vitamin A and its analogs. Unfortunately, despite promising experimental data, large-scale clinical trials have not evidenced any protective effect of these compounds that have even been observed to produce opposing effects. To date, no chemopreventive substance can be reasonable proposed for subjects at risk. Due to the lack of proof of the efficacy of the different screening systems proposed, the only preventive action with proven efficacy is to limit exposure to risk factors. All health care givers must actively participate in the fight against active and passive smoking.


Assuntos
Quimioprevenção/métodos , Neoplasias Pulmonares/prevenção & controle , Antioxidantes/uso terapêutico , Causas de Morte , Quimioprevenção/tendências , Cocarcinogênese , Medicina Baseada em Evidências , Previsões , França/epidemiologia , Humanos , Incidência , Neoplasias Pulmonares/epidemiologia , Neoplasias Pulmonares/etiologia , Programas de Rastreamento , Prevenção Primária/métodos , Prevenção Primária/tendências , Fatores de Risco , Fumar/efeitos adversos , Fumar/epidemiologia , Análise de Sobrevida
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA