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Legrand A, Guery C, Faugeroux J, Fontaine E, Beugnon C, Gianfermi A, Loisel-Ferreira I, Verpont MC, Adham S, Mirault T, Hadchouel J, Jeunemaitre X. Comparative therapeutic strategies for preventing aortic rupture in a mouse model of vascular Ehlers-Danlos syndrome. PLoS Genet 2022; 18:e1010059. [PMID: 35245290 PMCID: PMC8926273 DOI: 10.1371/journal.pgen.1010059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 03/16/2022] [Accepted: 01/28/2022] [Indexed: 11/21/2022] Open
Abstract
Vascular Ehlers-Danlos syndrome is a rare inherited disorder caused by genetic variants in type III collagen. Its prognosis is especially hampered by unpredictable arterial ruptures and there is no therapeutic consensus. We created a knock-in Col3a1+/G182R mouse model and performed a complete genetic, molecular and biochemical characterization. Several therapeutic strategies were also tested. Col3a1+/G182R mice showed a spontaneous mortality caused by thoracic aortic rupture that recapitulates the vascular Ehlers-Danlos syndrome with a lower survival rate in males, thin non-inflammatory arteries and an altered arterial collagen. Transcriptomic analysis of aortas showed upregulation of genes related to inflammation and cell stress response. Compared to water, survival rate of Col3a1+/G182R mice was not affected by beta-blockers (propranolol or celiprolol). Two other vasodilating anti-hypertensive agents (hydralazine, amlodipine) gave opposite results on aortic rupture and mortality rate. There was a spectacular beneficial effect of losartan, reversed by the cessation of its administration, and a marked deleterious effect of exogenous angiotensin II. These results suggest that blockade of the renin angiotensin system should be tested as a first-line medical therapy in patients with vascular Ehlers-Danlos syndrome. Vascular Ehlers-Danlos syndrome (vEDS) is a rare vascular genetic disease leading to life-threatening arterial and colonic fragility in young adulthood. We created a new mutant mouse with a typical disease-causing variant in the gene responsible for vEDS. This mouse recapitulates the vEDS vascular features with spontaneous mortality due to aortic rupture. We also tested several antihypertensive therapeutic strategies to improve the survival of this mouse. Only one of the 5 tested medications, losartan, which blocks the activity of angiotensin II, a vasoconstricting hormone, improves the survival of this mouse. Moreover, the deleterious effect of angiotensin II administration further highlights the role of angiotensin II on susceptibility to aortic rupture in this mouse. These results support the interest of a therapeutic trial in vEDS patients using angiotensin II receptor blockers.
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Affiliation(s)
- Anne Legrand
- Université de Paris, INSERM, U970, Paris Cardiovascular Research Centre, Paris, France
- Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Service de Génétique et Centre de Référence des Maladies Vasculaires Rares, Paris, France
| | - Charline Guery
- Université de Paris, INSERM, U970, Paris Cardiovascular Research Centre, Paris, France
| | - Julie Faugeroux
- Université de Paris, INSERM, U970, Paris Cardiovascular Research Centre, Paris, France
| | - Erika Fontaine
- Université de Paris, INSERM, U970, Paris Cardiovascular Research Centre, Paris, France
| | - Carole Beugnon
- Université de Paris, INSERM, U970, Paris Cardiovascular Research Centre, Paris, France
| | - Amélie Gianfermi
- Université de Paris, INSERM, U970, Paris Cardiovascular Research Centre, Paris, France
| | | | | | - Salma Adham
- Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Service de Génétique et Centre de Référence des Maladies Vasculaires Rares, Paris, France
| | - Tristan Mirault
- Université de Paris, INSERM, U970, Paris Cardiovascular Research Centre, Paris, France
- Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Service de Génétique et Centre de Référence des Maladies Vasculaires Rares, Paris, France
- Assistance Publique–Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Service de Médecine Vasculaire, Paris, France
| | | | - Xavier Jeunemaitre
- Université de Paris, INSERM, U970, Paris Cardiovascular Research Centre, Paris, France
- Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Service de Génétique et Centre de Référence des Maladies Vasculaires Rares, Paris, France
- * E-mail:
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Joly F, Quilliot D, Chambrier C, Schneider S, Fotsing G, Poullenot F, Layec S, Flori N, Thibault R, Fontaine E, Ressiot E, Campana V, Schmidely N, Seguy D. EQUATIVE : étude française de la qualité de vie des adultes atteints d’un syndrome de grêle court sous Teduglutide. NUTR CLIN METAB 2022. [DOI: 10.1016/j.nupar.2021.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Boutiere M, Lamarche F, Cottet-Rousselle C, Fontaine E, Moinard C. La chimiothérapie impacte directement le métabolisme protéino-énergétique au niveau hépatique. NUTR CLIN METAB 2022. [DOI: 10.1016/j.nupar.2021.12.094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Joly F, Quilliot D, Chambrier C, Schneider S, Fotsing G, Poullenot F, Layec S, Flori N, Thibault R, Fontaine E, Ressiot E, Campana V, Schmidely N, Seguy D. Equative: quality of life in adult patients with short bowel syndrome treated by teduglutide, a french real-world study. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Davies JB, Fontaine E, Sprigge K. P.84 Managing maternal anaemia at Royal Cornwall Hospital: Iterative improvements year on year. Int J Obstet Anesth 2021. [DOI: 10.1016/j.ijoa.2021.103082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Boutiere M, Vial G, Lamarche F, Dubouchaud H, Fontaine E, Moinard C, Breuillard C. Perturbation du métabolisme mitochondriale hépatique et musculaire, et du métabolisme énergétique, dans un modèle murin de cancer du côlon et de chimiothérapie. NUTR CLIN METAB 2021. [DOI: 10.1016/j.nupar.2021.01.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Vaillant MF, Agier L, Martineau C, Philipponneau M, Romand D, Masdoua V, Behar M, Nesseler C, Gâté M, Laubé V, Lambert K, Dusquesnoy-Nauli M, Bosson JL, Fontaine E. NutriCoviD30 : étude nationale sur l’évaluation de l’état de santé et la prise en charge nutritionnelle à 1 mois d’une hospitalisation pour COVID-19. NUTR CLIN METAB 2021. [PMCID: PMC8043367 DOI: 10.1016/j.nupar.2021.01.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/30/2022]
Abstract
Introduction et but de l’étude Matériel et méthodes Résultats et analyse statistique Conclusion
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Such M, Lavolle A, Popelin MB, Thibault C, Fontaine E, Dariane C, Oudard S, Mejean A, Timsit MO, Audenet F. Administration of neoadjuvant chemotherapy for muscle-invasive bladder cancer in real life: Are urologists still too cautious? Prog Urol 2021; 31:332-339. [PMID: 33468415 DOI: 10.1016/j.purol.2020.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Revised: 11/30/2020] [Accepted: 12/04/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Neoadjuvant chemotherapy (NAC) is now recommended to treat muscle-invasive bladder cancer (MIBC) but is not always executed in real life. This study aims to evaluate the proportion of patients with MIBC who receive an optimal NAC, and to present the predictive factors of its achievement. METHODS This monocenter retrospective study included all the patients who underwent radical cystectomy for≥pT2NxM0 MIBC between 2013, January and 2018, December. NAC consisted in 4-6 cycles of MVAC (methotrexate, vinblastine, adriamycin, and cisplatin) or 4 cycles of GC (gemcitabin, and carboplatin). Demographic (sex, age, ECOG-PS, glomerular filtration rate [GFR], and cN stage), surgical (urinary derivation, time of surgery, blood loss, and complications), and oncological characteristics were analyzed. Multivariate analysis are made to find predictors of administration of NAC. RESULTS One hundred and twenty-seven patients were included. Thirty received CNA (24%). Patients who underwent CNA were younger, with better ECOG and better GFR. Multivariate analysis showed that cN+ stage and better GFR were significantly associated to administration of NAC. Eight patients (27%) couldn't receive an optimal treatment due to toxicity. Perioperative complication rates were similar, with or without NAC. Patients who underwent NAC had a worse GFR after treatment (-17 versus +5mL/min, P<0.01). CONCLUSION Due to the risks of toxicity, NAC can only be proposed to selected population, which is not the current patients. Immunotherapy could allow to treat more patients because of better tolerance. LEVEL OF EVIDENCE 3.
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Affiliation(s)
- M Such
- Service d'urologie, université de Paris, hôpital européen Georges-Pompidou, AP-HP centre, 20, rue Leblanc, 75015 Paris, France.
| | - A Lavolle
- Service d'urologie, université de Paris, hôpital européen Georges-Pompidou, AP-HP centre, 20, rue Leblanc, 75015 Paris, France
| | - M-B Popelin
- Service d'urologie, université de Paris, hôpital européen Georges-Pompidou, AP-HP centre, 20, rue Leblanc, 75015 Paris, France
| | - C Thibault
- Service d'oncologie médicale, université de Paris, hôpital européen Georges-Pompidou, AP-HP centre, Paris, France
| | - E Fontaine
- Service d'urologie, université de Paris, hôpital européen Georges-Pompidou, AP-HP centre, 20, rue Leblanc, 75015 Paris, France
| | - C Dariane
- Service d'urologie, université de Paris, hôpital européen Georges-Pompidou, AP-HP centre, 20, rue Leblanc, 75015 Paris, France
| | - S Oudard
- Service d'oncologie médicale, université de Paris, hôpital européen Georges-Pompidou, AP-HP centre, Paris, France
| | - A Mejean
- Service d'urologie, université de Paris, hôpital européen Georges-Pompidou, AP-HP centre, 20, rue Leblanc, 75015 Paris, France
| | - M-O Timsit
- Service d'urologie, université de Paris, hôpital européen Georges-Pompidou, AP-HP centre, 20, rue Leblanc, 75015 Paris, France
| | - F Audenet
- Service d'urologie, université de Paris, hôpital européen Georges-Pompidou, AP-HP centre, 20, rue Leblanc, 75015 Paris, France
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Boutiere M, Vial G, Lamarche F, Dubouchaud H, Fontaine E, Moinard C, Breuillard C. Hepatic and muscular mitochondrial dysfunction and energy metabolism disturbances in a murine colon ward cancer and chemotherapy model. Clin Nutr ESPEN 2020. [DOI: 10.1016/j.clnesp.2020.09.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Ronin C, Fontaine E. L’impédancemétrie dans une population d’anorexique mentale : développement d’un outil validé pour une population avec IMC < 18 ? NUTR CLIN METAB 2020. [DOI: 10.1016/j.nupar.2020.02.244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Martin B, Lamarche F, Fontaine E, Moinard C, Breuillard C. Le cancer et la chimiothérapie affectent la fonction mitochondriale hépatique dans un modèle murin de cancer colique. NUTR CLIN METAB 2019. [DOI: 10.1016/j.nupar.2019.01.351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Meyer C, Joly L, Gaude A, Langlais S, Lirot C, Fontaine E. Le changement d’offre du petit déjeuner améliore la satisfaction du patient. NUTR CLIN METAB 2019. [DOI: 10.1016/j.nupar.2019.01.298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Pierret T, Toffart AC, Moro-Sibilot D, Ferrer L, Giaj-Levra M, Fontaine E. Dénutrition sévère et cancer broncho-pulmonaire, le poids seul facteur pronostic ? NUTR CLIN METAB 2018. [DOI: 10.1016/j.nupar.2018.09.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Anract J, Dariane C, Soutif A, Verkarre V, Pettenati C, Wiedemann L, Rembeyo G, Le Guilchet T, Hurel S, Mandron E, Fontaine E, Mejean A, Timsit M. Analyse de la cellularité du liquide intrakystique lors des néphrectomies partielles et élargies pour kystes rénaux Bosniak III ou IV. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Schaff JB, Fontaine E, Dariane C, Mejean A, Lantieri L, Hivelin M. Secondary bladder exstrophy repair with a bilateral gracilis muscle flap in an adult female patient: Case report of an original procedure. ANN CHIR PLAST ESTH 2018; 64:120-123. [PMID: 29980317 DOI: 10.1016/j.anplas.2018.06.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 06/13/2018] [Indexed: 12/01/2022]
Abstract
Classical bladder exstrophy (CBE), affecting 1 birth out of 30,000, is characterized by an evaginated bladder plate through a defect in the lower abdominal wall, multiple abdominal wall anomalies including a pubic bone arch dehiscence. Numerous approaches from childhood to adulthood are thus required, depending on the severity of the deformity, including the associated genital anomalies. We report the case of a 19-year-old woman with CBE with a history of three-failed primary closure. We performed a secondary neck closure with a concomitant suspension of the bladder neck and reconstruction of the lower abdominal wall using a bilateral gracilis muscle flap transposition. The early postoperative course was uneventful. The patient was discharged at day ten postoperatively. The upper part of the genital sutures (labia minora) secondary healed in three weeks. Assessment at 2, 6 and 16 months postoperatively, respectively noticed a complete healing with successful sexual intercourses, perceived gracilis contraction by the patient, and finally, recent attempts to get pregnant. Neither urinary infection nor urinary leaks occurred. Bilateral crossed gracilis muscles transfer linking both rectus abdominis muscle in front of the reconstructed bladder neck might benefit to bladder exstrophy patients.
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Affiliation(s)
- J-B Schaff
- Chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
| | - E Fontaine
- Service de chirurgie urologique, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France; Université Paris-Descartes, 75006 Paris, France.
| | - C Dariane
- Service de chirurgie urologique, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France; Université Paris-Descartes, 75006 Paris, France.
| | - A Mejean
- Service de chirurgie urologique, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France; Université Paris-Descartes, 75006 Paris, France.
| | - L Lantieri
- Service de chirurgie plastique reconstructrice et esthétique, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
| | - M Hivelin
- Service de chirurgie plastique reconstructrice et esthétique, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
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Rembeyo G, Timsit M, Correas J, Fontaine E, Mejean A, Le Guilchet T. Traitement mini-invasif des tumeurs rénales de plus de 4 cm. Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Couchet M, Pestour S, Breuillard C, Lamarche F, Corne C, Fontaine E, Moinard C. OR07: Hypoxia Increase Citrulline Production by Human Enterocytes: An in Vitro Study. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30780-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Goron A, Blanchet S, Fontaine E, Moinard C. SUN-P280: Reallocation of Energy Flux to Protein Synthesis by Citrulline in Muscle Cells. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30350-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Howitt S, Hassan I, Fontaine E, Malagon I. Microbiological culture and 16-S polymerase chain reaction analyses of bronchoalveolar lavage samples to identify airway colonisation before lung resection surgery. J Cardiothorac Vasc Anesth 2017. [DOI: 10.1053/j.jvca.2017.02.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Quiclet C, Siti F, Batandier C, Vial G, Berthon P, Rieusset J, Dubouchaud H, Fontaine E, Couturier K. Effets de l’exercice maternel sur l’homéostasie du glucose et la fonction pancréatique de la descendance à l’âge de 3semaines et 7mois. NUTR CLIN METAB 2017. [DOI: 10.1016/j.nupar.2016.10.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Lebacle C, Audenet F, Dariane C, Le guilchet T, Beaugerie A, Hurel S, Fontaine E, Timsit M, Mejean A. Rôle pronostique des caractéristiques anthropométriques dans les carcinomes à cellules rénales. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Sapetti J, Audenet F, Wiskirski P, Le-Guilchet T, Beaugerie A, Hurel S, Fontaine E, Timsit M, Mejean A. Corrélation radio-histologique des kystes rénaux Bosniak 3 opérés dans une série contemporaine. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Quiclet C, Siti F, Dubouchaud H, Sanchez H, Vial G, Berthon P, Fontaine E, Batandier C, Couturier K. SUN-P221: Effects of Maternal Exercise Before and During Gestation or During Lactation on Offspring Metabolic Health: Body Composition Pancreatic Function and Energy Substrates Management. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30564-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Beaugerie A, Verkarre V, Audenet F, Le Guilchet T, Hurel S, Richard S, Corréas J, Fontaine E, Méjean A, Timsit M. Dépistage oncogénétique des patients atteints de tumeurs rénales multiples : quelle pratique pour quels résultats ? Prog Urol 2016; 26:442-9. [DOI: 10.1016/j.purol.2016.06.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2015] [Revised: 03/28/2016] [Accepted: 06/03/2016] [Indexed: 01/20/2023]
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Marquet A, Guiet A, Fontaine E, Aupee M, Rouzic N, Ansart S, Tattevin P, Chacou M, Piriou G. BPC-02 - Formations antibiologie en EHPAD : comment mobiliser les médecins ? Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30319-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Affiliation(s)
- E Fontaine
- University Grenoble Alpes, LBFA, Grenoble F-38000, France.,INSERM, U1055, Grenoble F-38000, France
| | - D Detaille
- INSERM U1045, LIRYC (L'Institut de Rythmologie et Modélisation Cardiaque), Pessac F-33600, France
| | - G Vial
- INSERM U1060, Laboratoire CarMeN, Université Lyon 1, INRA 1235, INSA de Lyon, Facultés de Médecine Charles Mérieux Lyon-Sud et Rockfeller, Lyon F-69003, France
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Polisca A, Troisi A, Fontaine E, Menchetti L, Fontbonne A. A retrospective study of canine prostatic diseases from 2002 to 2009 at the Alfort Veterinary College in France. Theriogenology 2016; 85:835-840. [PMID: 26613854 DOI: 10.1016/j.theriogenology.2015.10.030] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2015] [Revised: 10/12/2015] [Accepted: 10/25/2015] [Indexed: 11/27/2022]
Abstract
A retrospective study was used to investigate the incidence of prostatic diseases in a large population of dogs at Alfort Veterinary Hospital and to clarify epidemiologic features, which might be of a great help to veterinarians in managing and discriminating prostatic disorders. During the investigation period, a total of 72,300 male dogs (coming mainly from the Ile-de-France region) were registered in the Alfort Veterinary College database, and 481 of them (0.7%) were found to have prostatic disorder. The diagnosis was carried out on the basis of clinical signs and ultrasound findings. Among dogs experiencing a prostatic disorder, most frequently recorded diseases were benign prostatic hyperplasia (45.9%) and prostatitis (38.5%), followed by abscesses (7.7%), cysts (5.0%), neoplasia (2.6%), and squamous metaplasia (0.2%). Our study revealed an incidence of 0.3% of prostatic disorders observed in intact male dogs, except in the case of prostatic neoplasia. The mean age of the dogs experiencing prostatic disorders was 8.6 ± 3.2 years. This was significantly different (P < 0.001). Large dogs were significantly more affected by prostatic disorders (P < 0.05), except for prostatic neoplasia. A breed predisposition was suspected in German Shepherd (odds ratio [OR] = 2.1; 95% confidence interval [CI]: 1.5-2.9), Rottweiler (OR = 1.8; 95% CI: 1.2-2.7), American Staffordshire Terrier (OR = 3.8; 95% CI: 2.5-5.8), Berger de Beauce (OR = 3.7; 95% CI: 2.2-6.1), and Bernese Mountain Dog (OR = 2.5; 95% CI: 1.3-4.7).
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Affiliation(s)
- A Polisca
- Department of Veterinary Medicine, University of Perugia, Perugia, Italy.
| | - A Troisi
- Department of Veterinary Medicine, University of Perugia, Perugia, Italy
| | - E Fontaine
- Centre d'Etude de Reproduction des Carnivores (CERCA), Alfort Veterinary College, Paris, France; UMR 1198 INRA, Alfort Veterinary College, Paris, France
| | - L Menchetti
- Department of Veterinary Medicine, University of Perugia, Perugia, Italy
| | - A Fontbonne
- Centre d'Etude de Reproduction des Carnivores (CERCA), Alfort Veterinary College, Paris, France
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Le Guilchet T, Audenet F, Hurel S, Beaugerie A, Fontaine E, Terrier N, Timsit MO, Mejean A. [Conservative management of upper tract urinary fistulae using ureteral trans-vesico-parietal stent]. Prog Urol 2016; 26:152-8. [PMID: 26874826 DOI: 10.1016/j.purol.2016.01.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Revised: 12/20/2015] [Accepted: 01/09/2016] [Indexed: 12/30/2022]
Abstract
OBJECTIVES Ureteral stents and ureteral catheters externalized through the urethra are not ideal solutions to manage complicated upper urinary tract fistulae. We sought an effective method of drainage, minimally invasive, reproducible allowing a rapid patient's discharge. PATIENTS AND METHODS Between November 2013 and February 2015, an ureteral stent was exteriorized in trans-vesico-parietal by an endoscopic and percutaneous access in patients with complicated upper urinary tract fistulae. Monitoring of tolerance, complications and urinary fistula healing was performed. RESULTS Nine consecutive patients had an ureteral stent exteriorized in trans-vesico-parietal to manage complicated upper urinary tract fistulae. There was no failure in introducing the catheter, or postoperative complication. Catheters were left in place on average 36.1days (24-55). The patients were able to return home with the catheter in place in 77.8% of cases. The tolerance of the catheter was good. All fistulae were able to be treated conservatively at the end of the drainage period. CONCLUSION Trans-vesico-parietal ureteral catheters enable efficient and reproducible conservative treatment of upper tract urinary fistulae regardless of their cause. LEVEL OF EVIDENCE 5.
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Affiliation(s)
- T Le Guilchet
- Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
| | - F Audenet
- Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
| | - S Hurel
- Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
| | - A Beaugerie
- Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
| | - E Fontaine
- Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
| | - N Terrier
- Service d'urologie, CHU Grenoble-Alpes, 38700 La Tronche, France.
| | - M O Timsit
- Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
| | - A Mejean
- Service d'urologie, hôpital européen Georges-Pompidou, université Paris Descartes, 20, rue Leblanc, 75015 Paris, France.
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De Saint Aubert N, Méjean A, Verkarre V, Fontaine E, Ariane M, Audenet F, Timsit M. Comparaison des résultats de la chirurgie conservatrice vs totale dans le traitement des carcinomes à cellules rénales classés cT2. Prog Urol 2015; 25:825-6. [DOI: 10.1016/j.purol.2015.08.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Cholley I, Correas J, Sanchez S, Ariane M, Fontaine E, Thiounn N, Hurel S, Le Guilchet T, Champy C, Audenet F, Pietak M, Méjean A, Timsit M. Comparaison de la chirurgie conservatrice vs ablation par radiofréquence pour le traitement du carcinome à cellules rénales après 75ans. Prog Urol 2015; 25:827-8. [DOI: 10.1016/j.purol.2015.08.220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Le guilchet T, Audenet F, Hurel S, Beaugerie A, Fontaine E, Terrier N, Timsit M, Mejean A. Traitement conservateur des fistules urinaires du haut appareil par sonde urétérale trans-vésico-pariétale mise en place par voie percutanée. Prog Urol 2015; 25:818. [DOI: 10.1016/j.purol.2015.08.207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Borges P, Fontaine E, Maenhoudt C, Payan‐Carreira R, Santos N, Leblond E, Fontaine C, Fontbonne A. Fertility in Adult Bitches Previously Treated with a 4.7 mg Subcutaneous Deslorelin Implant. Reprod Domest Anim 2015; 50:965-71. [DOI: 10.1111/rda.12616] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2015] [Accepted: 08/27/2015] [Indexed: 11/28/2022]
Affiliation(s)
- P Borges
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
| | - E Fontaine
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
| | - C Maenhoudt
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
| | - R Payan‐Carreira
- CECAV Universidade de Trás‐os‐Montes e Alto Douro Vila Real Portugal
| | - N Santos
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
| | - E Leblond
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
| | | | - A Fontbonne
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
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Quiclet C, Sanchez H, Batandier C, Dubouchaud H, Berthon P, Fondraz E, Siti F, Vial G, Rieusset J, Fontaine E, Couturier K. SUN-PP031: Effect of Maternal Exercise During Gestation on High-Fat High-Sucrose Diet-Fed Offspring: Body Composition, Glucose Tolerance and Energy Substrates Management. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30182-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Goron A, Dubouchaud H, Corne C, Couturier K, Quiclet C, Fontaine E, Moinard C. MON-PP278: Combined Effects of Citrulline Supplementation and Physical Training in Healthy Adult Rats. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30710-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Shafaat M, Nicholson S, Fontaine E, Doran H, Rammohan K. F-101NEGATIVE PLEURAL BIOPSIES FOR SUSPECTED PLEURAL MALIGNANCY: TO TRUST OR NOT TO TRUST? Interact Cardiovasc Thorac Surg 2015. [DOI: 10.1093/icvts/ivv204.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Goron A, Dubouchaud H, Fontaine E, Moinard C. P206: La citrulline : un régulateur direct de la fonction mitochondriale via une inhibition du complexe I. NUTR CLIN METAB 2014. [DOI: 10.1016/s0985-0562(14)70848-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Quiclet C, Siti F, Batandier C, Vial G, Rieusset J, Dubouchaud H, Berthon P, Fontaine E, Couturier K. P114: Effets de l’exercice maternel sur l’homéostasie du glucose et la fonction pancréatique de la descendance à l’âge de 3 semaines et 7 mois. NUTR CLIN METAB 2014. [DOI: 10.1016/s0985-0562(14)70756-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Cuaz-Pérolin C, Debeuret C, Dumont JC, Fontaine E, Freville JC, Lescut D, Neuville S, Renucci S, Schneider S. P078: Consommation des poches de mélanges ternaires standardisés de nutrition parentérale rapportée au nombre de journées d’hospitalisation en MCO dans cinq établissements publics de santé français. NUTR CLIN METAB 2014. [DOI: 10.1016/s0985-0562(14)70721-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Champy C, Audenet F, Timsit M, Ariane M, Le Guilchet T, Hurel S, Fontaine E, Mejean A. La tumorectomie rénale remplit aussi bien les objectifs du « TRIFECTA » que la néphrectomie élargie lors de la prise en charge des carcinomes à cellules rénales pT3a de découverte fortuite. Prog Urol 2014; 24:824. [DOI: 10.1016/j.purol.2014.08.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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40
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Marchal C, Fontaine E, Corbice C, Magnin V, Feham N, Khelif D, Delattre E. Utilisation de la tomographie conique d’un accélérateur pour la curiethérapie de haut débit de dose (contrôle du positionnement des applicateurs puis réalisation de la planification de dose), une première au centre hospitalier universitaire de la Réunion. Cancer Radiother 2014. [DOI: 10.1016/j.canrad.2014.07.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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41
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Quiclet C, Farida S, Batandier C, Vial G, Rieusset J, Dubouchaud H, Fontaine E, Couturier K. PP004-SUN: Effect of Maternal Exercise on Offspring Glucose Homeostasis and Pancreatic Function. Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50046-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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42
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Fontaine E, Mir F, Vannier F, Gérardin A, Albouy M, Navarro C, Fontbonne A. Erratum to “Induction of fertile oestrus in the bitch using Deslorelin, a GnRH agonist”. Theriogenology 2014. [DOI: 10.1016/j.theriogenology.2012.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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43
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Lefort H, Travers S, Ernouf C, Maurin O, Distinguin B, Fontaine E, Lemaire M, Margerin S, Jost D, Tourtier J, Domanski L. The Role of Hemostatic Product-Impregnated Dressings in the Pre-Hospital Control of External Bleeding. Prospective Observational Study. J Emerg Med 2014. [DOI: 10.1016/j.jemermed.2013.11.035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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44
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Lerebours E, Joly F, Chambrier C, Schneider S, Séguy D, Fontaine E, Armengol-Debeir L, Blot J, Roth H. O53 Étude de l’efficacité d’un verrou taurolidine dans la prévention secondaire des infections liées à la voie veineuse centrale en nutrition parentérale à domicile. Résultat d’une étude prospective randomisée multicentrique. NUTR CLIN METAB 2013. [DOI: 10.1016/s0985-0562(13)70325-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Lahlaidi K, Ariane MM, Fontaine E. [Up-to-date on the treatment of benign prostatic hyperplasia. Which adenoma to treat and how to do it?]. Rev Med Interne 2013; 35:189-95. [PMID: 24262410 DOI: 10.1016/j.revmed.2013.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2013] [Accepted: 10/03/2013] [Indexed: 11/18/2022]
Abstract
Benign prostatic hyperplasia is a state of the nature rather than a disease. It affects mainly men over 50 years and represents a public health problem. A literature review on the therapeutic management of benign prostatic hyperplasia was carried out from a selection of publications with the highest level of evidence. Medical treatment is based on herbal medicine, alpha-blockers and 5-alpha-reductase inhibitors. Surgical treatment is used in case of complications or failure of medical management. Surgical options are numerous. Transurethral prostate resection and prostate adenomectomy are the most usual procedures. Due to their significant morbidity, other less invasive procedures have recently been developed. The choice of treatment will depend on prostate volume and anatomy and patient's comorbidities.
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Affiliation(s)
- K Lahlaidi
- Service d'urologie, hôpital européen Georges-Pompidou, AP-HP, 20, rue Leblanc, 75015 Paris, France
| | - M M Ariane
- Service d'urologie, hôpital européen Georges-Pompidou, AP-HP, 20, rue Leblanc, 75015 Paris, France
| | - E Fontaine
- Service d'urologie, hôpital européen Georges-Pompidou, AP-HP, 20, rue Leblanc, 75015 Paris, France.
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Bassard S, Ariane M, Verkarre V, Fontaine E, Correas J, Mejean A, Timsit M. Marges focales positives après chirurgie conservatrice du rein : quel devenir oncologique ? Prog Urol 2013. [DOI: 10.1016/j.purol.2013.08.203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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47
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Maenhoudt C, Santos NR, Fontaine E, Mir F, Reynaud K, Navarro C, Fontbonne A. Results of GnRH Agonist Implants in Oestrous Induction and Oestrous Suppression in Bitches and Queens. Reprod Domest Anim 2012; 47 Suppl 6:393-7. [DOI: 10.1111/rda.12041] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - NR Santos
- UP Reproduction Animale; CERCA (Centre d'Etudes en Reproduction des Carnivores); Alfort National Veterinary College; Maisons-Alfort Cedex; France
| | | | - F Mir
- UP Reproduction Animale; CERCA (Centre d'Etudes en Reproduction des Carnivores); Alfort National Veterinary College; Maisons-Alfort Cedex; France
| | - K Reynaud
- UMR 1198 INRA/ENVA; Alfort National Veterinary College; Maisons-Alfort Cedex; France
| | - C Navarro
- Medical Department; Virbac SA; Carros; France
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Ariane M, Timsit M, Joly D, Correas J, Verkarre V, Wiskirsky P, Bonniol R, Alenda O, Fontaine E, Mejean A. Morbidité de l’embolisation artérielle sélective dans la prise en charge des angiomyolipomes rénaux : reste-t-il une place pour la chirurgie conservatrice ? Prog Urol 2012. [DOI: 10.1016/j.purol.2012.08.204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Mir F, Fontaine E, Reyes-Gomez E, Carlus M, Fontbonne A. Subclinical leishmaniasis associated with infertility and chronic prostatitis in a dog. J Small Anim Pract 2012; 53:419-22. [PMID: 22690941 DOI: 10.1111/j.1748-5827.2012.01224.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2011] [Revised: 03/07/2012] [Accepted: 03/28/2012] [Indexed: 11/27/2022]
Abstract
A stud dog was presented for acquired infertility. Haematospermia and teratozoospermia were found on two ejaculates 2 weeks apart. A presumptive diagnosis of prostatitis was made follo-wing ultrasound examination. An ultrasound-guided needle core biopsy was performed under general anaesthesia, revealing a mild chronic macrophagic and plasma cell prostatitis with intracytoplasmic amastigotes consistent with Leishmania spp. infection. Presence of Leishmania infantum, Leishmania donovani or Leishmania chagasi was confirmed by polymerase chain reaction in seminal plasma. Serology and serum protein electrophoresis confirmed the diagnosis of a subclinical active systemic leishmaniasis. A meglumine antimoniate and allopurinol treatment was given which clearly improved within 3 months both general condition and the quality of sperm. To the authors' knowledge, this is the first reported case of a prostatitis secondary to a Leishmania spp. infection. Subclinical systemic leishmaniasis should be considered in the differential diagnosis of infertility in dogs suffering from semen alterations.
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Affiliation(s)
- F Mir
- Centre d'Études en Reproduction des Carnivores, Alfort Veterinary School, Maisons Alfort, France
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Wagner F, Vogt J, Wachter U, Weber S, Stahl B, Groeger M, McCook O, Georgieff M, Fouqueray P, Kuhn T, Calzia E, Radermacher P, Fontaine E, Wagner K. Effects of the anti-diabetic imeglimin in hyperglycemic mice with septic shock. Crit Care 2012. [PMCID: PMC3363439 DOI: 10.1186/cc10628] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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