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1.
Phytopathology ; 109(4): 512-530, 2019 Apr.
Article in English | MEDLINE | ID: mdl-30461350

ABSTRACT

The Fusarium oxysporum species complex includes both plant pathogenic and nonpathogenic strains, which are commonly found in soils. F. oxysporum has received considerable attention from plant pathologists for more than a century owing to its broad host range and the economic losses it causes. The narrow host specificity of pathogenic strains has led to the concept of formae speciales, each forma specialis grouping strains with the same host range. Initially restricted to one plant species, this host range was later found to be broader for many formae speciales. In addition, races were identified in some formae speciales, generally with cultivar-level specialization. In 1981, Armstrong and Armstrong listed 79 F. oxysporum formae speciales and mentioned races in 16 of them. Since then, the known host range of F. oxysporum has considerably increased, and many new formae speciales and races have been identified. We carried out a comprehensive search of the literature to propose this review of F. oxysporum formae speciales and races. We recorded 106 well-characterized formae speciales, together with 37 insufficiently documented ones, and updated knowledge on races and host ranges. We also recorded 58 plant species/genera susceptible to F. oxysporum but for which a forma specialis has not been characterized yet. This review raises issues regarding the nomenclature and the description of F. oxysporum formae speciales and races.


Subject(s)
Fusarium , Host Specificity , Fusarium/classification , Fusarium/pathogenicity , Plant Diseases , Plants
2.
Phys Chem Chem Phys ; 16(24): 12228-36, 2014 Jun 28.
Article in English | MEDLINE | ID: mdl-24818591

ABSTRACT

High-resolution single crystal X-ray diffraction is used for the first time to obtain the charge density distribution in dehydrated Na-X zeolite. The electron density is extracted according to the Hansen & Coppens multipolar-model, from which Pval-κ-type atomic charges are derived. In order to compare the experimental electron density with theoretical calculations on zeolites and other minerals, a topological analysis is performed to derive AIM charges and electron density properties at bond critical points. The results are compared with that described in the literature. Finally, the electrostatic potential is evaluated in a periodic, mean field approach (disordered cation distribution in the Fd3[combining macron] space group) and for a given distribution of the cations (space group P1). The electrostatic energy is, then, derived in the neighbourhood of cation sites where the molecules are usually physisorbed.

3.
Pharmacoepidemiol Drug Saf ; 21(12): 1344-9, 2012 Dec.
Article in English | MEDLINE | ID: mdl-23111820

ABSTRACT

UNLABELLED: Computerized hospital databases are used for clinical and economic research. In France, the hospital administrative database, Programme de médicalisation des systèmes d'information (PMSI), could be an interesting means for identifying cases of abuse and dependence in hospitals. PURPOSE: To assess the capability of PMSI to identify cases of abuse and dependence (medicines or illicit drugs; tobacco and alcohol not included). METHODS: Cross-sectional study, from October 1 to December 31, 2008, in teaching hospitals of Bordeaux. All hospitalizations with an ICD-10 code related to possible abuse or dependence were selected. Cases were validated by a committee composed of three pharmacologists using discharge summaries. RESULTS: Among the 34 816 patients registered in the PMSI during the study period, a total of 227 patients were pre-selected as potential cases; 21 patients, hospitalized for abuse or dependence, or complications of which, were included in the analysis. Mean age was 35 years. Substances implicated were buprenorphine (n = 8), benzodiazepines (n = 7), cannabis (n = 6), cocaine (n = 4), heroin (n = 3), amphetamine, ecstasy, morphine, codeine, and tramadol (n = 1, respectively); there was polydrug use in six cases. CONCLUSIONS: The PMSI database can be useful to identify certain cases of abuse and dependence. This pilot study has been conducted at a local level; as the PMSI is available in all hospital settings in France, further analysis could be done at the regional and national levels. Such data could be a valuable indicator to analyze trends and assess the medical consequences of substance abuse.


Subject(s)
Medical Records Systems, Computerized , Substance-Related Disorders/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Cross-Sectional Studies , Female , France/epidemiology , Hospitals , Humans , Infant , Infant, Newborn , Male , Middle Aged
4.
J Helminthol ; 85(3): 339-44, 2011 Sep.
Article in English | MEDLINE | ID: mdl-21062527

ABSTRACT

The tapeworm Ligula intestinalis commonly infests roach (Rutilus rutilus) and is responsible for the inhibition of gonad development. In order to better understand the effect of the plerocercoid on fish physiology, and to discriminate parasitization effects from those of endocrine-disrupting compounds (EDC), Cyp19b and Cyp19a aromatase expression was investigated by real-time quantitative polymerase chain reaction (PCR) in brain and gonads of ligulosed roach, caught from a reference site. Data were compared to reproductive and endocrine endpoints previously reported in a larger cohort study (including the sampled population of the present one), such as gonadosomatic index, Fulton index, gonadal histology, plasma sex steroid levels and brain aromatase activity. A decrease in Cyp19b expression in the brain of infected fish was demonstrated, in agreement with the reduction of aromatase activity previously described. In contrast, Cyp19a expression in the gonads appeared to be enhanced in ligulosed fish, in accordance with the presence of immature but differentiated sexual tissues. Together these results show that: (1) L. intestinalis infestation results in an alteration of aromatase expression which, in particular, may have profound effects on the fish brain; and (2) L. intestinalis infection must be considered as a major confounding factor in ecotoxicological studies using aromatase expression as an EDC biomarker. Moreover, the concordance between activity and expression--investigated for the first time in the same population--gives a functional relevance to the transcript aromatase dosage in the brain. Finally, quantitative PCR was confirmed as a sensitive approach, enabling aromatase status to be defined in the poorly developed gonads of ligulosed individuals.


Subject(s)
Aromatase/biosynthesis , Cestoda/isolation & purification , Cestoda/pathogenicity , Cyprinidae/parasitology , Animals , Brain/enzymology , DNA, Helminth/genetics , Female , Gonads/enzymology , Male , Polymerase Chain Reaction/methods , Zebrafish , Zebrafish Proteins/biosynthesis
5.
Talanta ; 221: 121601, 2021 Jan 01.
Article in English | MEDLINE | ID: mdl-33076132

ABSTRACT

A simple, efficient matrix solid phase dispersive extraction (MSPD) method was optimised to analyse simultaneously polycyclic aromatic hydrocarbons (PAHs) and polychlorobiphenyls (PCBs) from sediments, and was compared to microwave-assisted extraction (MAE). New dispersing agents were tested to improve MSPD extraction. 3-chloropropyl-bonded silica particles, in addition to Florisil, increased significantly the polyaromatics desorption capacity. A compromise was found for eluting both families of compounds from sediments, using a small volume of hexane/acetone. Low procedural detection limits could be reached (0.06-0.22 ng g-1 and 0.3-1.1 ng g-1 for PAHs and PCBs, respectively). Mean total extraction recoveries were good for PAHs (>67%, depending on the sediment) and for PCBs (>89%), with good precision (6-9% and 4-10% inter-day precision for PAHs and PCBs, respectively). Higher recoveries for PCBs could be reached in comparison with formerly developed sonication or Soxhlet extraction methods, but also with MAE. MSPD offered significant decrease of sample amount, of solvent consumption and allowed more efficient cleaning of the sediment matrix, leading to less matrix effects compared to MAE, removing lots of interfering compounds without additional purification step. The robustness of the MSPD methodology could be demonstrated extracting quantitatively sediments from different sources and with various mineralogical characteristics.

6.
Parasitology ; 137(4): 697-704, 2010 Apr.
Article in English | MEDLINE | ID: mdl-19961656

ABSTRACT

The effects of parasite infection by the cestode Ligula intestinalis on the reproductive function and endocrine system of wild roach Rutilus rutilus were evaluated. Gonad maturation, plasma vitellogenin, plasma steroid concentrations (i.e. progesterone, 11-keto-testosterone and 17-beta-estradiol) and brain aromatase activity were investigated in relation with parasitization. A low prevalence (8%) of ligulosed roach and a moderate impact of parasitization (mean parasitization index of 8.8%) were found in the studied population. Inhibition of gonad maturation generally resulted from infestation but 5% of the ligulosed roach nevertheless reached maturity. Main sex steroid plasma content was depleted in both genders. Male 11-keto-testosterone, female 17-beta-estradiol and progesterone plasma concentrations of both genders were, respectively, 27, 5 and 3 times lower in ligulosed fish when compared to their non-infected counterparts. Progesterone levels were negatively correlated with the parasitization index in females. Brain aromatase activity of infected roach was reduced to 50% of that of the non-infected fish. These results demonstrate significant negative effects on the reproductive function of wild roach infected by the tapeworm L. intestinalis collected from a site with low contamination.


Subject(s)
Cestoda/physiology , Cyprinidae/parasitology , Endocrine System/parasitology , Host-Parasite Interactions , Reproduction , Animals , Aromatase/metabolism , Brain/enzymology , Cyprinidae/blood , Cyprinidae/physiology , Female , Male , Population Density , Steroids/blood , Vitellogenins/blood
7.
Ann Chir Plast Esthet ; 55(1): 78-81, 2010 Feb.
Article in French | MEDLINE | ID: mdl-19272689

ABSTRACT

The necrotizing fasciitis (NF) is a soft tissue infection affecting the superficial fascia, the subcutaneous tissue and the skin, the latter being affected tardively. This diagnosis is confirmed only after surgery, which consists of debridement of the necrotized tissue. The discordance between the symptomatology and physical exam made that the diagnosis is mistaken in 35% of cases. However, it seems important to remember that the prompt recognition and surgical treatment depend on the morbidity and mortality. We report the case of a patient with NF of the upper limb after a right elbow blunt trauma.


Subject(s)
Fasciitis, Necrotizing/etiology , Skin Transplantation/methods , Wounds, Nonpenetrating/complications , Amoxicillin-Potassium Clavulanate Combination/therapeutic use , Anti-Infective Agents/therapeutic use , Fasciitis, Necrotizing/microbiology , Fasciitis, Necrotizing/therapy , Female , Humans , Middle Aged , Streptococcal Infections/complications , Streptococcus pyogenes/isolation & purification
8.
Inorg Chem ; 48(11): 4729-36, 2009 Jun 01.
Article in English | MEDLINE | ID: mdl-19374370

ABSTRACT

Two pseudo-octahedral iron(II) complexes, Fe(stpy)(4)(NCSe)(2), containing photoresponsive ligands (cis <--> trans isomerization of -CHCH-) were prepared with trans- or cis-styrylpyridine (stpy) isomers. The magnetic behavior of the polycrystalline solids was previously shown to depend on the configuration of the stpy ligand. The crystal X-ray structures were determined at 293 and 104 K for both isomers. The all-trans and all-cis compounds crystallize in the orthorhombic (Pna2(1)) and the monoclinic space groups (C2/c), respectively. No symmetry change occurs upon cooling to 104 K. The Fe(II) centers lie in axially compressed octahedra with NCSe anions in the apical position and the four pyridinic nitrogens in the meridional plane. The variation of metal-ligand bond lengths as a function of temperature reflects the thermal S = 0 <--> S = 2 crossover of all-trans complexes and the S = 2 ground state of all-cis complexes. The unit-cell volumes per metal ion also change accordingly, and the relative variation due to the spin-crossover compares those associated with the formal change of configuration of the four stpy isomers. The photomagnetic responses were investigated at 130 K with doped polymer thin films containing all-cis (high-spin) or all-trans species (partly low-spin). The 130 K illumination of these doped poly(methyl methacrylate) (PMMA) films leads to the UV-vis absorption features typical for the cis <--> trans photoisomerization of the stilbenoid moiety. The direct magnetic measurements have unambiguously established the photomagnetic effect named ligand-driven light-induced spin change (LD-LISC). The 355 nm excitation of doped thin films produces very long lifetime states that are manifested by high-spin to low-spin (all-cis complex) and low-spin to high-spin (all-trans complex) changes of the Fe(II) magnetic behavior; the process is bidirectional. A structural analysis based on the single-crystal X-ray diffraction data has been proposed to rationalize the LD-LISC activity detected here for doped PMMA thin films.

9.
Chemosphere ; 228: 744-755, 2019 Aug.
Article in English | MEDLINE | ID: mdl-31071561

ABSTRACT

Electrokinetic (EK) remediation is often developed for metal decontamination but shows limitations for polycyclic aromatic hydrocarbons (PAHs) and polychlorobiphenyls (PCBs) which are nonionic and involve low aqueous solubility. This paper reports many laboratory studies devoted to the investigations of EK efficiency on the mobility and the removal of metals, PAHs and PCBs from dredged sediments, using a mixture of chelating agent and surfactants. The results showed that increasing chelating agent concentration was favorable for both metal and PAH removal. Applying a periodic voltage gradient associated to a low concentration of additives provided the best removal of Zn, Cd and Pb and also the 16 priority PAHs. The tested fresh harbor sediment was highly resistant to metals and organics mobilization and transport because of an aged contamination, a high buffering capacity, a very low hydraulic permeability and a high organic matter content. However, experiments performed on a former sediment which was deposited many years ago provided better removal results, involving low organic matter and carbonates content. The efficiency of the EK process was also assessed by measuring the acute toxicity of the EK-treated sediment on the copepod Eurytemora affinis exposed to sediment elutriates.


Subject(s)
Copepoda/drug effects , Environmental Restoration and Remediation/methods , Geologic Sediments/chemistry , Water Pollutants, Chemical/toxicity , Animals , Chelating Agents/chemistry , Electrochemistry/methods , France , Hydrogen-Ion Concentration , Metals/isolation & purification , Polychlorinated Biphenyls/isolation & purification , Polycyclic Aromatic Hydrocarbons/isolation & purification , Surface-Active Agents/chemistry , Toxicity Tests, Acute , Water Pollutants, Chemical/chemistry , Water Pollutants, Chemical/isolation & purification
10.
Transplant Proc ; 39(8): 2578-9, 2007 Oct.
Article in English | MEDLINE | ID: mdl-17954180

ABSTRACT

All over the world, transplant teams are looking for ways to increase and improve the donor pool. Non-heart-beating donation may increase the number of donors, even if some technical, logistical, and emotional problems are still encountered. The results obtained by our team should stimulate other centers to implement this kind of donation in their hospitals. Herein we have described our experience with non-heart-beating donation.


Subject(s)
Death, Sudden, Cardiac , Heart Arrest , Islets of Langerhans Transplantation/physiology , Kidney Transplantation/physiology , Liver Transplantation/physiology , Tissue Donors/statistics & numerical data , Belgium , Humans , Retrospective Studies , Treatment Outcome
11.
Ann Endocrinol (Paris) ; 68(1): 45-50, 2007 Feb.
Article in English | MEDLINE | ID: mdl-17316546

ABSTRACT

BACKGROUND: Polycystic ovary syndrome (PCOS) is a frequent cause of infertility. Despite an impressive number of reports, few have evaluated the influence of age upon fertility. We present the outcomes of three infertile women with PCOS who achieved spontaneous pregnancies when ageing. CASE REPORTS: Three patients with PCOS were monitored for more than 20 years. PCOS was confirmed by clinical data (oligo/amenorrhoea, infertility, hirsutism), hormonal measures and ovarian ultrasonography. All three infertile patients were treated for several years using numerous ovulation induction protocols with varying responses. When ageing, they gained more regular cycles and spontaneously became pregnant at 39, 40 1/2 and 36 years of age, more than 5 years after induction treatment was stopped, and in spite of increasing weight in each of them. CONCLUSIONS: These clinical observations suggest improved fertility in some PCOS ageing women. The positive impact of ageing on cycle regularisation in PCOS has recently been claimed but the fertility outcome was not evaluated. Ovary ageing results in diminution of the follicular cohort in both normal and PCOS women, associated with decreased inhibin B and anti-müllerian hormone (AMH) levels. Lower inhibin B levels induce FSH enhancement, with a rise in FSH rate per follicle which may determine better follicle maturation, regular and ovulatory cycles in PCOS ageing women. The best proof of this improved fertility was the occurrence of spontaneous pregnancies which never occurred previously.


Subject(s)
Aging/physiology , Fertility/physiology , Polycystic Ovary Syndrome/physiopathology , Reproduction/physiology , Adult , Amenorrhea/etiology , Female , Follicle Stimulating Hormone/blood , Follow-Up Studies , Humans , Infertility, Female/etiology , Luteinizing Hormone/blood , Middle Aged , Polycystic Ovary Syndrome/blood , Testosterone/blood , Time Factors
12.
Sci Total Environ ; 607-608: 944-953, 2017 Dec 31.
Article in English | MEDLINE | ID: mdl-28724226

ABSTRACT

Electrokinetic (EK) remediation can be a suitable technology for treating contaminated dredged harbor sediment, stored on terrestrial disposal sites. Citric acid (CA) and biosurfactants (rhamnolipids and saponin) were chosen as enhancing agents for simultaneous metal (Cd, Cr, Cu, Pb, Zn) and PAH/PCB removal by EK because of their potential low toxicity with a view to site restoration. Three EK runs were performed using a periodic voltage (1Vcm-1) and various concentrations of agents. The best combination of CA (0.2molL-1) and saponin (0.85gL-1) did not remove high amounts of metals (4.4-15.8%) and provided only slightly better results for PAH and PCB removal (29.2% and 38.2%, respectively). The harbor sediment was highly resistant to metal and organics mobilization and transport because of an aged contamination, a high buffering capacity, a very low hydraulic permeability and a high organic matter content. The efficiency of the EK process was also assessed by measuring the acute toxicity of the EK-treated sediment on E. affinis copepods exposed to sediment elutriates. Fortunately, the use of CA and biosurfactants did not significantly impact on sediment toxicity. Some treated sediment sections, particularly those near the anode compartment, were statistically more toxic than the raw sediment. More particularly, E. affinis copepods were significantly sensitive to low pH values and oxidative conditions, to Cu, and to a lesser extent to Pb amounts. The speciation of these metals probably changed in these pH and redox conditions so that they became more easily leachable and bioavailable. In contrast, toxicity was negatively correlated to PAH and PCB amounts after EK treatment, probably due to the production of oxidized metabolites of PAHs and PCBs.


Subject(s)
Environmental Pollutants/analysis , Environmental Restoration and Remediation , Geologic Sediments/analysis , Metals, Heavy/analysis , Polychlorinated Biphenyls/analysis , Polycyclic Aromatic Hydrocarbons/analysis , Animals , Biological Assay , Copepoda , Toxicity Tests, Acute
13.
Mech Dev ; 99(1-2): 163-6, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11091086

ABSTRACT

We have isolated a novel gene from Xenopus, denominated xSim, which encodes a protein of 760 amino acids containing a basic helix-loop-helix (bHLH) motif contiguous to a PAS domain characteristic of an emerging family of transcriptional regulators so called bHLH/PAS. xSim shares a strong amino acid sequence identity with the Drosophila Single-minded (dSim) and with the murine Sim1 and Sim2 proteins. Phylogenetic analysis reveals that xSim gene is an ortholog gene of the mSim2 gene. Spatio-temporal analysis shows a maternal and a zygotic expression of xSim throughout early Xenopus development. In situ hybridization assays reveal that the transcripts are enriched in the animal hemisphere until blastula stage and extend to the marginal zone at early gastrula stage. As development proceeds, xSim is mainly restricted to the central nervous system.


Subject(s)
DNA-Binding Proteins/biosynthesis , DNA-Binding Proteins/genetics , Drosophila/genetics , Nuclear Proteins/biosynthesis , Nuclear Proteins/genetics , Transcription Factors/biosynthesis , Transcription Factors/genetics , Xenopus Proteins , Xenopus laevis/embryology , Amino Acid Sequence , Animals , Basic Helix-Loop-Helix Transcription Factors , DNA, Complementary/metabolism , Drosophila Proteins , In Situ Hybridization , Mice , Molecular Sequence Data , Phylogeny , Protein Biosynthesis , RNA/metabolism , Rabbits , Reticulocytes/metabolism , Sequence Homology, Amino Acid , Time Factors
14.
J Phys Chem B ; 109(7): 2723-32, 2005 Feb 24.
Article in English | MEDLINE | ID: mdl-16851280

ABSTRACT

High-resolution X-ray diffraction and polarized neutron diffraction experiments have been performed on the Y-semiquinonate complex, Y(HBPz3)2(DTBSQ), in order to determine the charge and spin densities in the paramagnetic ground state, S = (1/2). The aim of these combined studies is to bring new insights to the antiferromagnetic coupling mechanism between the semiquinonate radical and the rare earth ion in the isomorphous Gd(HBPz3)2(DTBSQ) complex. The experimental charge density at 106 K yields detailed information about the bonding between the Y3+ ion and the semiquinonate ligand; the topological charge of the yttrium atom indicates a transfer of about 1.5 electrons from the radical toward the Y3+ ion in the complex, in agreement with DFT calculations. The electron density deformation map reveals well-resolved oxygen lone pairs with one lobe polarized toward the yttrium atom. The determination of the induced spin density at 1.9 K under an applied magnetic field of 9.5 T permits the visualization of the delocalized magnetic orbital of the radical throughout the entire molecule. The spin is mainly distributed on the oxygen atoms [O1 (0.12(1) mu B), O2(0.11(1) mu B)] and the carbon atoms [C21 (0.24(1) mu B), C22(0.20(1) mu B), C24(0.16(1) mu B), C25(0.12(1) mu B)] of the carbonyl ring. A significant spin delocalization on the yttrium site of 0.08(2) mu B is observed, proving that a direct overlap with the radical magnetic orbital can occur at the rare earth site and lead to antiferromagnetic coupling. The DFT calculations are in good quantitative agreement with the experimental charge density results, but they underestimate the spin delocalization of the oxygen toward the yttrium and the carbon atoms of the carbonyl ring.

15.
Transplant Proc ; 37(6): 2821-2, 2005.
Article in English | MEDLINE | ID: mdl-16182819

ABSTRACT

The shortage of donated organs has become a problem in transplantation throughout the world. Transplant teams are looking for other ways to increase and improve the donor pool. Non-heart-beating donation may be a source to increase the number of donors, even if some technical, logistical, and emotional problems are encountered. The results obtained by our team should stimulate other centers to implement this kind of donation in their hospitals. We describe our experience in the policy of non-heart-beating donation and encourage transplant centers to develop such a program.


Subject(s)
Heart Arrest , Organ Transplantation/physiology , Tissue Donors/statistics & numerical data , Belgium , Brain Death , Humans , Organ Transplantation/methods , Retrospective Studies , Tissue and Organ Procurement/methods , Treatment Outcome
16.
FEBS Lett ; 469(2-3): 179-85, 2000 Mar 10.
Article in English | MEDLINE | ID: mdl-10713267

ABSTRACT

Maurocalcine is a novel toxin isolated from the venom of the chactid scorpion Scorpio maurus palmatus. It is a 33-mer basic peptide cross-linked by three disulfide bridges, which shares 82% sequence identity with imperatoxin A, a scorpion toxin from the venom of Pandinus imperator. Maurocalcine is peculiar in terms of structural properties since it does not possess any consensus motif reported so far in other scorpion toxins. Due to its low concentration in venom (0.5% of the proteins), maurocalcine was chemically synthesized by means of an optimized solid-phase method, and purified after folding/oxidation by using both C18 reversed-phase and ion exchange high-pressure liquid chromatographies. The synthetic product (sMCa) was characterized. The half-cystine pairing pattern of sMCa was identified by enzyme-based cleavage and Edman sequencing. The pairings were Cys3-Cys17, Cys10-Cys21, and Cys16-Cys32. In vivo, the sMCa was lethal to mice following intracerebroventricular inoculation (LD(50), 20 microg/mouse). In vitro, electrophysiological experiments based on recordings of single channels incorporated into planar lipid bilayers showed that sMCa potently and reversibly modifies channel gating behavior of the type 1 ryanodine receptor by inducing prominent subconductance behavior.


Subject(s)
Ryanodine Receptor Calcium Release Channel/chemistry , Scorpion Venoms/chemical synthesis , Amino Acid Sequence , Animals , Chromatography, High Pressure Liquid , Cystine/chemistry , Electrophysiology , Injections, Intraventricular , Ion Channel Gating , Lethal Dose 50 , Lipid Bilayers , Mice , Molecular Sequence Data , Scorpion Venoms/chemistry , Scorpion Venoms/toxicity , Sequence Analysis, Protein , Sequence Homology, Amino Acid
17.
Medicine (Baltimore) ; 76(3): 170-84, 1997 May.
Article in English | MEDLINE | ID: mdl-9193452

ABSTRACT

Whipple disease is a rare, multiorgan disease with prominent intestinal manifestations. We report a retrospective clinical study of 52 patients recruited in various parts of France from 1967 to 1994. Seventy-three percent of the patients were male. Clinical manifestations preceding the diagnosis were articular for 35 patients (67%), digestive for 8 patients (15%), general for 7 patients (14%), and neurologic for 2 patients (4%). At a later stage of the disease, 44 patients (85%) presented diarrhea, weight loss, and malabsorption, while 8 patients (15%) did not show any gastrointestinal symptom throughout the development of the disease. Forty-three patients (83%) presented arthralgia or arthritis, and 11 (21%) had prominent neurologic symptoms. In addition, cardiovascular symptoms were present in 9 patients (17%); mucocutaneous symptoms, in 9 patients (17%); pleuropulmonary symptoms, in 7 patients (13%); and ophthalmologic symptoms, in 5 patients (10%). All patients but 1 were given a positive diagnosis on histopathologic criteria: jejunal biopsy for 46 patients (90%), lymph node biopsy for 3 patients (6%), brain biopsy for 1 patient (2%), postmortem jejunal and cerebral biopsy for 1 patient (2%). With treatment, the disease evolved favorably in 47 patients (90%), while 5 patients (10%) had unfavorable outcomes (2 deaths from neurologic involvement, 1 patient with chronic dementia, and 2 patients with digestive symptoms insensitive to antimicrobial therapy). Of the 41 patients initially treated successfully and whose treatment has been completed, clinical evolution after discontinuation of treatment was favorable in 34 cases (83%). Clinical relapses occurred in 7 patients. No relapse was observed after treatment by trimethoprim-sulfamethoxazole, alone or following a combination of penicillin and streptomycin, or after the combination of penicillin and streptomycin, whatever the oral follow-up treatment prescribed. The evolution of patients showing a relapse was favorable in all cases after reintroduction of antibiotic therapy. These results are discussed in the light of previously published series and case reports of Whipple disease. The diagnosis of the disease remains difficult at an early phase or when digestive symptoms are absent. It is noteworthy that proximal enteroscopy is sometimes misleading, considered normal on macroscopic examination and nonspecific on pathologic grounds. A normal erythrocyte sedimentation rate represents another pitfall. Histopathology is the key for positive and differential diagnosis, and may require multiple and repeated biopsies. Findings from molecular biology confirm the central role of an uncultured Gram-positive bacillus which was named in 1992 Tropheryma whippelii. A recent report suggests that polymerase chain reaction (PCR) analysis of peripheral blood might allow the diagnosis of Whipple disease in some cases. However, immunologic or cellular parameters such as macrophagic function may play an important, although not clearly elucidated, role in the pathogeny of the disease. Trimethoprim-sulfamethoxazole should be considered the antimicrobial agent of choice in the treatment of Whipple disease, minimizing the risk of cerebral involvement and relapses.


Subject(s)
Whipple Disease/diagnosis , Whipple Disease/physiopathology , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Retrospective Studies , Treatment Outcome , Whipple Disease/therapy
18.
Biochimie ; 80(2): 151-4, 1998 Feb.
Article in English | MEDLINE | ID: mdl-9587672

ABSTRACT

In the last decade, numerous polypeptide toxins acting on ion channels have been isolated and characterized from diverse scorpion venoms. These toxins are useful pharmacological probes to study ion-specific channel proteins because they interact selectively with these channels and modulate their activities. Since low amounts of natural toxins can be isolated from scorpion venoms, the chemical synthesis approach is extremely useful to produce larger quantities of toxins and toxin analogs. This report is a succinct overview of the possibilities offered by the chemical synthesis to investigate pharmacological and structural properties of these compounds.


Subject(s)
Neurotoxins/chemistry , Peptides/chemistry , Potassium Channel Blockers , Scorpion Venoms/chemistry , Amino Acid Sequence , Animals , Humans , Molecular Sequence Data , Neurotoxins/pharmacology , Peptides/pharmacology , Scorpion Venoms/pharmacology , Structure-Activity Relationship
19.
Eur J Endocrinol ; 141(3): 225-30, 1999 Sep.
Article in English | MEDLINE | ID: mdl-10474119

ABSTRACT

The biological diagnosis of polycystic ovary syndrome (PCO) remains questionable, and a single immunological hLH (ihLH) determination can be misleading. In order better to characterize these patients, we studied hLH pulsatility every 10 min for 4h using a radioimmunoassay and then compared the results with others we obtained with a biological method. Radioimmunological and biological profiles were similar in patients with PCO and in controls. We also studied pulsatility characteristics - frequency and amplitude - and calculated the area under the curve (AUC). There was no significant increase in frequency in our 10 patients with PCO but, as in other studies, increased amplitude of hLH pulses was observed. The most discriminating parameter was the AUC. For practical purposes, we propose that hLH in patients with PCO could be assessed efficiently by taking four samples every 10 min, with computerized calculation of the AUC.


Subject(s)
Luteinizing Hormone/metabolism , Polycystic Ovary Syndrome/diagnosis , Adolescent , Adult , Antibodies, Monoclonal , Area Under Curve , Biological Assay , Case-Control Studies , Female , Humans , Luteinizing Hormone/blood , Luteinizing Hormone/immunology , Radioimmunoassay , Sensitivity and Specificity
20.
Arch Virol Suppl ; 3: 149-56, 1991.
Article in English | MEDLINE | ID: mdl-9210936

ABSTRACT

Using a panel of monoclonal antibodies (MAbs) previously characterized by seroneutralization, immunofluorescence and radioimmunoprecipitation, we have identified Pestivirus proteins useful for diagnostic purposes from the cytopathic Osloss isolate of bovine viral diarrhea virus (BVDV). Proteins that should be useful for vaccination have also been analysed. Cell-free translation of RNA from glycoprotein-coding cDNA fragments produced, when synthesized in the presence of canine pancreatic microsomes, two glycosylated proteins that were independently recognized and immunoprecipitated by two distinct classes of neutralizing MAbs. A similar in vitro procedure was carried out on nonstructural protein-coding sequences and allowed to identify a viral translation product that specifically reacted with MAbs directed against the 80 kDA protein of a number of Pestivirus strains. Its positioning within the polyprotein encoded by the viral genome was refined by epitope scanning using synthetic hexameric peptides. This viral antigen was further expressed in E. coli, produced as inclusion bodies and used successfully as an ELISA antigen in both competitive and indirect assays for the detection of BVD antibodies in cattle sera.


Subject(s)
Bovine Virus Diarrhea-Mucosal Disease/diagnosis , Diarrhea Viruses, Bovine Viral/immunology , Viral Proteins/analysis , Viral Vaccines/immunology , Animals , Antibodies, Monoclonal/immunology , Antibodies, Viral/analysis , Bovine Virus Diarrhea-Mucosal Disease/prevention & control , Cattle , Dogs , Enzyme-Linked Immunosorbent Assay , Vaccination , Viral Nonstructural Proteins/analysis , Viral Proteins/immunology
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