[Can academic structures improve access to CAR-T cells?] / Les structures académiques peuvent-elles permettre une amélioration de l'accessibilité aux CAR-T cells ?

In France, hospital cell therapy units have not been authorised to routinely produce chimeric antigen receptor T lymphocytes (CAR-T cells), which would then be referred to as academic CAR-T cells. CAR-T cells are classified as advanced therapy medicinal products and correspond to genetically modified T lymphocytes ex vivo. The CAR-T cell production process is complex and requires scientific and technical expertise to meet the acceptance criteria of the pharmaceutical quality system. The most commonly used method for genetically modifying T lymphocytes is viral transduction (lentiviral or retroviral), which requires prior access to a batch of good manufacturing practice (GMP) grade viral vector. Because of its cost, this reagent is the main limiting factor for developing CAR-T cells. A CAR-T cell produced by an industrial company is expensive (around €350,000 per injection) and the time taken by the manufacturer to make it available to the clinician can vary from three to five weeks. By meeting the economic and ecological challenges, can academic structures improve access to CAR-T cells? In this article, we present the elements necessary for the feasibility of setting up CAR-T cell production in an academic structure.

[Illustrated case study of a patient with pediatric multisystem inflammatory syndrome]. / Cas clinique illustré autour d'un patient atteint d'un syndrome inflammatoire multisystémique pédiatrique.

Between November 2020 and June 2021, twelve children were treated at a university hospital in western France for pediatric multisystem inflammatory syndrome (PIMS). While the clinical presentation may have been reminiscent of Kawasaki disease, PIMS, a new nosological entity, was mentioned in the media in the context of the Covid-19 pandemic. In 2023, research into this syndrome will continue in France and Europe.

Microplastic study reveals the presence of natural and synthetic fibres in the diet of King Penguins (Aptenodytes patagonicus) foraging from South Georgia.

Marine ecosystems are experiencing substantial disturbances due to climate change and overfishing, and plastic pollution is an additional growing threat. Microfibres are among the most pervasive pollutants in the marine environment, including in the Southern Ocean. However, evidence for microfibre contamination in the diet of top predators in the Southern Ocean is rare. King Penguins (Aptenodytes patagonicus) feed on mesopelagic fish, which undergo diel vertical migrations towards the surface at night. Microfibres are concentrated in surface waters and sediments but can also be concentrated in fish, therefore acting as contamination vectors for diving predators feeding at depth. In this study, we investigate microfibre contamination of King Penguin faecal samples collected in February and March 2017 at South Georgia across three groups: incubating, chick-rearing and non-breeding birds. After a KOH digestion to dissolve the organic matter and a density separation step using a NaCl solution, the samples were filtered to collect microfibres. A total of 77% of the penguin faecal samples (36 of 47) contained microfibres. Fibres were measured and characterized using Fourier-Transform Infrared spectroscopy to determine their polymeric identity. Most fibres (88%) were made of natural cellulosic materials (e.g. cotton, linen), with only 12% synthetic (e.g. polyester, nylon) or semi-synthetic (e.g. rayon). An average of 21.9 ±â€¯5.8 microfibres g-1 of faeces (lab dried mass) was found, with concentrations more than twice as high in incubating penguins than in penguins rearing chicks. Incubating birds forage further north at the Antarctic Polar Front and travel longer distances from South Georgia than chick-rearing birds. This suggests that long-distance travelling penguins are probably more exposed to the risk of ingesting microfibres when feeding north of the Antarctic Polar Front, which might act as a semi-permeable barrier for microfibres. Microfibres could therefore provide a signature for foraging location in King Penguins.

Reproductive performance and diving behaviour share a common sea-ice concentration optimum in Adélie penguins (Pygoscelis adeliae).

The Southern Ocean is currently experiencing major environmental changes, including in sea-ice cover. Such changes strongly influence ecosystem structure and functioning and affect the survival and reproduction of predators such as seabirds. These effects are likely mediated by reduced availability of food resources. As such, seabirds are reliable eco-indicators of environmental conditions in the Antarctic region. Here, based on 9 years of sea-ice data, we found that the breeding success of Adélie penguins (Pygoscelis adeliae) reaches a peak at intermediate sea-ice cover (ca. 20%). We further examined the effects of sea-ice conditions on the foraging activity of penguins, measured at multiple scales from individual dives to foraging trips. Analysis of temporal organisation of dives, including fractal and bout analyses, revealed an increasingly consistent behaviour during years with extensive sea-ice cover. The relationship between several dive parameters and sea-ice cover in the foraging area appears to be quadratic. In years of low and high sea-ice cover, individuals adjusted their diving effort by generally diving deeper, more frequently and by resting at the surface between dives for shorter periods of time than in years with intermediate sea-ice cover. Our study therefore suggests that sea-ice cover is likely to affect the reproductive performance of Adélie penguins through its effects on foraging behaviour, as breeding success and most diving parameters share a common optimum. Some years, however, deviated from this general trend, suggesting that other factors (e.g. precipitation during the breeding season) might sometimes become preponderant over the sea-ice effects on breeding and foraging performance. Our study highlights the value of monitoring fitness parameters and individual behaviour concomitantly over the long-term to better characterize optimal environmental conditions and potential resilience of wildlife. Such an approach is crucial if we want to anticipate the effects of environmental change on Antarctic penguin populations.