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Tard C, Bouhour F, Michaud M, Beltran S, Fournier M, Demurger F, Lagrange E, Nollet S, Sacconi S, Noury JB, Magot A, Cintas P, Renard D, Deibener-Kaminsky J, Lefeuvre C, Davion JB, Salort-Campana E, Arrassi A, Taouagh N, Spinazzi M, Attarian S, Laforêt P. Real-life effectiveness 1 year after switching to avalglucosidase alfa in late-onset Pompe disease patients worsening on alglucosidase alfa therapy: A French cohort study. Eur J Neurol 2024:e16292. [PMID: 38587143 DOI: 10.1111/ene.16292] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Revised: 02/17/2024] [Accepted: 03/14/2024] [Indexed: 04/09/2024]
Abstract
INTRODUCTION Late-onset Pompe disease (LOPD) is characterized by a progressive myopathy resulting from a deficiency of acid α-glucosidase enzyme activity. Enzyme replacement therapy has been shown to be effective, but long-term treatment results vary. Avalglucosidase alfa demonstrated non-inferiority to alglucosidase alfa in a phase 3 study, allowing in France compassionate access for advanced LOPD patients unresponsive to alglucosidase alfa. METHODS Data from the French Pompe registry were analyzed for patients who benefited from a switch to avalglucosidase alfa with at least 1 year of follow-up. Respiratory (forced vital capacity [FVC]) and motor functions (Six-Minute Walk Test [6MWT]) were assessed before and 1 year after switching. Individual changes in FVC and 6MWT were expressed as slopes and statistical analyses were performed to compare values. RESULTS Twenty-nine patients were included (mean age 56 years, 11 years of prior treatment). The FVC and 6MWT values remained stable. The individual analyses showed a stabilization of motor worsening: -1 m/year on the 6MWT after the switch versus -63 m/year the year before the switch (i.e., a worsening of 33%/year before vs. an improvement of 3%/year later). Respiratory data were not statistically different. DISCUSSION At the group level, gait parameters improved slightly with a stabilization of previous worsening, but respiratory parameters showed limited changes. At the individual level, results were discordant, with some patients with a good motor or respiratory response and some with further worsening. CONCLUSION Switching to avalglucosidase alfa demonstrated varied responses in advanced LOPD patients with failing alglucosidase alfa therapy, with a general improvement in motor stabilization.
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Affiliation(s)
- Céline Tard
- Inserm, CHU Lille, U1172 - LilNCog - Lille Neuroscience and Cognition, University of Lille, Lille, France
- Centre de Référence des Maladies NeuroMusculaires Nord - Est - Ile-de-France, Filnemus, Garches, France
| | - Françoise Bouhour
- Centre de Référence des Maladies NeuroMusculaires PACA Réunion Rhône Alpes, Filnemus, Marseille, France
- Service ENMG/Pathologies Neuromusculaires, Hospices Civils de Lyon, Lyon, France
| | - Maud Michaud
- Centre de Référence des Maladies NeuroMusculaires Nord - Est - Ile-de-France, Filnemus, Garches, France
- Service de Neurologie, CHU de Nancy, Nancy, France
| | | | - Maxime Fournier
- Centre de Référence des Maladies NeuroMusculaires Nord - Est - Ile-de-France, Filnemus, Garches, France
- CHU de Caen, Caen, France
| | | | - Emmeline Lagrange
- Rare Neuromuscular Disease Center EFSN Neurology Grenoble University Alpes Hospital, Grenoble, France
| | - Sylvain Nollet
- Centre de Référence des Maladies NeuroMusculaires Nord - Est - Ile-de-France, Filnemus, Garches, France
- Neurologie Electrophysiologie Clinique, CHRU Besançon, Besançon, France
| | - Sabrina Sacconi
- Centre Hospitalier Universitaire de Nice, Système Nerveux Périphérique and Muscle, Hôpital Pasteur 2, Université Côte d'Azur, Nice, France
| | - Jean-Baptiste Noury
- Centre de Référence des Maladies NeuroMusculaires AOC, Filnemus, Bordeaux, France
- Inserm, LBAI, UMR1227, CHRU de Brest, Brest, France
| | - Armelle Magot
- Centre de Référence des Maladies NeuroMusculaires AOC, Filnemus, Bordeaux, France
- Euro-NMD, CHU de Nantes, Nantes, France
| | | | - Dimitri Renard
- Centre de Référence des Maladies NeuroMusculaires AOC, Filnemus, Bordeaux, France
- CHU Nîmes, Université Montpellier, Montpellier, France
| | - Joëlle Deibener-Kaminsky
- Service de Médecine Interne et Immunologie Clinique, CHU Nancy Brabois, Vandœuvre-lès-Nancy, France
| | - Claire Lefeuvre
- Centre de Référence des Maladies NeuroMusculaires Nord - Est - Ile-de-France, Filnemus, Garches, France
- Neurology Department, APHP, Raymond Poincaré University Hospital, FHU PHENIX, Garches, France
| | - Jean-Baptiste Davion
- Inserm, CHU Lille, U1172 - LilNCog - Lille Neuroscience and Cognition, University of Lille, Lille, France
- Centre de Référence des Maladies NeuroMusculaires Nord - Est - Ile-de-France, Filnemus, Garches, France
| | - Emmanuelle Salort-Campana
- Centre de Référence des Maladies NeuroMusculaires PACA Réunion Rhône Alpes, Filnemus, Marseille, France
- Service de Neurologie du Professor Attarian, ERN Neuro-NMD, La Timone, Marseille, France
| | - Azzeddine Arrassi
- Institut de Myologie, Hôpital La Pitié-Salpétrière, FHU PHENIX, AP-HP, Paris, France
| | - Nadjib Taouagh
- Centre de Référence des Maladies NeuroMusculaires Nord - Est - Ile-de-France, Filnemus, Garches, France
- Neurology Department, APHP, Raymond Poincaré University Hospital, FHU PHENIX, Garches, France
| | - Marco Spinazzi
- Neuromuscular Reference Center, Department of Neurology, CHU d'Angers, Angers, France
| | - Shahram Attarian
- Centre de Référence des Maladies NeuroMusculaires PACA Réunion Rhône Alpes, Filnemus, Marseille, France
- Service de Neurologie du Professor Attarian, ERN Neuro-NMD, La Timone, Marseille, France
| | - Pascal Laforêt
- Centre de Référence des Maladies NeuroMusculaires Nord - Est - Ile-de-France, Filnemus, Garches, France
- Neurology Department, APHP, Raymond Poincaré University Hospital, FHU PHENIX, Garches, France
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Peultier-Celli L, Jaussaud R, Kaminsky P, Deibener-Kaminsky J, Feillet F, Perrin P. Balance control impairments in Fabry disease. Front Neurol 2022; 13:856946. [PMID: 36247762 PMCID: PMC9564708 DOI: 10.3389/fneur.2022.856946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 06/29/2022] [Indexed: 12/04/2022] Open
Abstract
Background Fabry disease (FD) is a rare inherited lysosomal storage disorder caused by the deficiency of the enzyme alpha-galactosidase A. This deficiency leads to an accumulation of glycosphingolipids leading to progressive and multisystemic disease, including renal, cardiac, and neurological damages. FD may also have neuro-otological and visual impairments, which can generate postural control alterations, inner ear, and vision being involved in this function. This study aimed to evaluate the impact of FD on postural control. Methods In total, fourteen adult patients (8 men/6 women, mean age = 37.6 ± 11.4 years) and two children (mean age = 11 years) with FD and 19 healthy adults (12 men/7 women, mean age = 36.5 ± 16.9 years) and two healthy children (mean age = 10.5 years) took part in this study. Postural control was evaluated by a sensory organization test combining three visual situations (eyes open, eyes closed, and sway referenced visual surround motion) with two platform situations (stable platform and sway referenced platform motion), aiming to calculate a composite equilibrium score (CES), a high score being representative of good postural control. Somatosensory (RSOM), visual (RVIS), and vestibular (RVEST) contributions to postural control were calculated, a low score reflecting a poor use of the indicated sensory input. Results The CES was lower in adult patients with FD compared with the healthy subjects (p < 0.001). RVIS (p = 0.001) and RVEST (p = 0.003) were lower in patients with FD compared with the control group, whereas no difference in RSOM was observed. Conclusion Inner ear and visual pathologies associated with the central nervous system impairments are factors of postural control impairments. Physical activities, which can also be rehabilitative, by maintaining or increasing the weight of proprioception, may help diminish dependency on altered sensorial inputs.
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Affiliation(s)
- Laetitia Peultier-Celli
- EA 3450 DevAH - Development, Adaptation and Handicap, Faculty of Medicine, University of Lorraine, Vandoeuvre-lès-Nancy, France
- Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, Vandoeuvre-lès-Nancy, France
| | - Roland Jaussaud
- EA 3450 DevAH - Development, Adaptation and Handicap, Faculty of Medicine, University of Lorraine, Vandoeuvre-lès-Nancy, France
- Department of Internal Medicine and Clinical Immunology, Vandoeuvre-lès-Nancy, France
| | - Pierre Kaminsky
- EA 3450 DevAH - Development, Adaptation and Handicap, Faculty of Medicine, University of Lorraine, Vandoeuvre-lès-Nancy, France
- Department of Internal Medicine and Clinical Immunology, Vandoeuvre-lès-Nancy, France
| | | | - François Feillet
- Reference Centre for Inborn Errors of Metabolism, Children Hospital, University Hospital of Nancy, Vandoeuvre-lès-Nancy, France
| | - Philippe Perrin
- EA 3450 DevAH - Development, Adaptation and Handicap, Faculty of Medicine, University of Lorraine, Vandoeuvre-lès-Nancy, France
- Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM), University Hospital of Nancy, Vandoeuvre-lès-Nancy, France
- Department of Pediatric Oto-Rhino-Laryngology, University Hospital of Nancy, Vandoeuvre-lès-Nancy, France
- *Correspondence: Philippe Perrin
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Campagne J, Kurt S, Moulinet T, Mohamed S, Deibener-Kaminsky J, Jaussaud R. Une couleur inhabituelle. Rev Med Interne 2020; 42:61-62. [PMID: 32709435 PMCID: PMC7374124 DOI: 10.1016/j.revmed.2020.05.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 05/21/2020] [Indexed: 11/24/2022]
Affiliation(s)
- J Campagne
- Département de Médecine Interne et Immunologie Clinique, Centre Hospitalo-Universitaire de Nancy, Hôpitaux de Brabois, Rue du Morvan, 54511 Vandœuvre-Lès-, Nancy Cedex., France
| | - S Kurt
- Service d'Hépato-Gastro-Entérologie, Centre Hospitalo-Universitaire de Nancy, Hôpitaux de Brabois, Rue du Morvan, 54511 Vandœuvre-Lès-, Nancy Cedex., France
| | - T Moulinet
- Département de Médecine Interne et Immunologie Clinique, Centre Hospitalo-Universitaire de Nancy, Hôpitaux de Brabois, Rue du Morvan, 54511 Vandœuvre-Lès-, Nancy Cedex., France.
| | - S Mohamed
- Département de Médecine Interne et Immunologie Clinique, Centre Hospitalo-Universitaire de Nancy, Hôpitaux de Brabois, Rue du Morvan, 54511 Vandœuvre-Lès-, Nancy Cedex., France
| | - J Deibener-Kaminsky
- Département de Médecine Interne et Immunologie Clinique, Centre Hospitalo-Universitaire de Nancy, Hôpitaux de Brabois, Rue du Morvan, 54511 Vandœuvre-Lès-, Nancy Cedex., France
| | - R Jaussaud
- Département de Médecine Interne et Immunologie Clinique, Centre Hospitalo-Universitaire de Nancy, Hôpitaux de Brabois, Rue du Morvan, 54511 Vandœuvre-Lès-, Nancy Cedex., France
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Moulinet T, Campagne J, Mohamed S, Deibener-Kaminsky J, Guesdon H, Gomez E, Jaussaud R. La Maladie de Duchenne au féminin. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.03.038] [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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Dziebowski L, Campagne J, Deibener-Kaminsky J, Moulinet T, Jaussaud R. Cérébellite carentielle: une cause rare de syndrome cérébelleux chez l’adulte. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.03.314] [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: 11/27/2022]
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Guichard S, Moulinet T, Clement-Filliatre L, Dor A, Sauvage A, Dziebowski L, Ziegler C, Deibener-Kaminsky J, Mohamed S, Campagne J, Feugier P, Jaussaud R. Polychondrite atrophiante et lymphoproliferation IgM : association fortuite ou syndrome paranéoplasique ? Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.03.157] [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: 10/26/2022]
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Letournel H, Campagne J, Moulinet T, Corriger J, Mohamed S, Deibener-Kaminsky J, Bursztejn A, Jaussaud R. Mastocytose cutanée ou systémique indolente associée à des manifestations auto-immunes : Étude sur 40 cas. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.10.232] [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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Marnai R, Revuz S, Moulinet T, Deibener-Kaminsky J, Mohamed S, Angioi-Duprez K, Jaussaud R. Choriorétinopathie de Birdshot : une série rétrospective française monocentrique de 10 patients. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.198] [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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Bourne-Watrin M, Moulinet T, Campagne J, Belan M, Tholin L, Mohamed S, Deibener-Kaminsky J, De Korwin J, Angioi-Duprez K, Jaussaud R. Manifestations oculaires de la sarcoïdose : à propos d’une série de 43 cas. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.332] [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: 10/14/2022]
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Tholin L, Moulinet T, Revuz S, Campagne J, Bourne-Watrin M, Belan M, Mohamed S, Deibener-Kaminsky J, Maurier F, De Korwin J, Angioi-Duprez K, Jaussaud R. Myosites orbitaires : à propos d’une série de 22 patients. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.216] [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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Belan M, Moulinet T, Campagne J, Bourne-Watrin M, Tholin L, Mohamed S, Deibener-Kaminsky J, De Korwin J, Jaussaud R. Effets secondaires de la corticothérapie au cours du traitement de l’artérite à cellules géantes. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.040] [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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Revuz S, Charbit L, Angioi-Duprez K, Mohamed S, Deibener-Kaminsky J, Jaussaud R. La pemphigoïde oculaire cicatricielle : une cause mal connue de cécité. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.235] [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: 11/16/2022]
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Charbit L, Bursztejn AC, Mohamed S, Kaminsky P, Lerondeau B, Barbaud A, Deibener-Kaminsky J, Schmutz JL. Nécroses digitales étendues au cours d’une dermatomyosite avec anticorps anti-MDA-5. Ann Dermatol Venereol 2016; 143:537-42. [DOI: 10.1016/j.annder.2016.03.018] [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: 08/19/2015] [Revised: 02/07/2016] [Accepted: 03/10/2016] [Indexed: 01/09/2023]
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Moulinet T, Mohamed S, Deibener-Kaminsky J, Jankowski R, Kaminsky P. High prevalence of arterial aneurysms in hereditary hemorrhagic telangiectasia. Int J Cardiol 2014; 176:1414-6. [PMID: 25150474 DOI: 10.1016/j.ijcard.2014.08.016] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2014] [Accepted: 08/02/2014] [Indexed: 10/24/2022]
Affiliation(s)
- T Moulinet
- Département de Médecine Interne et Immunologie Clinique, Pôle des Spécialités Médicales, Centre Hospitalier Universitaire de Nancy, Hôpitaux de Brabois, 54500 Vandoeuvre-lès-Nancy, France
| | - S Mohamed
- Département de Médecine Interne et Immunologie Clinique, Pôle des Spécialités Médicales, Centre Hospitalier Universitaire de Nancy, Hôpitaux de Brabois, 54500 Vandoeuvre-lès-Nancy, France
| | - J Deibener-Kaminsky
- Département de Médecine Interne et Immunologie Clinique, Pôle des Spécialités Médicales, Centre Hospitalier Universitaire de Nancy, Hôpitaux de Brabois, 54500 Vandoeuvre-lès-Nancy, France
| | - R Jankowski
- Service d'Oto Rhino Laryngologie, Pôle Tête et Cou, Centre Hospitalier Universitaire de Nancy, Hôpitaux de Brabois, 54500 Vandoeuvre-lès-Nancy, France
| | - P Kaminsky
- Département de Médecine Interne et Immunologie Clinique, Pôle des Spécialités Médicales, Centre Hospitalier Universitaire de Nancy, Hôpitaux de Brabois, 54500 Vandoeuvre-lès-Nancy, France; EA3450 «Développement - Adaptation - Handicap», Université de Lorraine, Vandoeuvre-lès-Nancy, France.
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Deibener-Kaminsky J, Lesesve JF, Grosset S, Pruna L, Schmall-Laurain MC, Benetos A, Kaminsky P. [Clinical relevance of leukocyte differential in patients with marked leukocytosis in the emergency room]. Rev Med Interne 2011; 32:406-10. [PMID: 21292359 DOI: 10.1016/j.revmed.2010.12.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2010] [Revised: 11/25/2010] [Accepted: 12/23/2010] [Indexed: 10/18/2022]
Abstract
PURPOSE We analyzed the characteristics of the leukocyte differential and the clinical outcome in patients admitted in an emergency department with marked leukocytosis greater than 20×10(9)G/L. METHODS We studied a case series of consecutive patients admitted in an emergency department. The medical records were retrospectively reviewed after patient discharge. Three groups were defined: patients with infectious disorders (group I), noninfectious disorders (group II), and trauma (group III). Admission in intensive care unit (ICU), consciousness impairment or death defined the subgroup S of high severity. RESULTS Groups I, II and III comprised, respectively, 150, 95 and 86 patients. The group I presented with higher temperature and neutrophilia (22,2±4.9 vs 20.9±4.0 and 21.1±3.9×10(9)G/L; P<0.001), and more profound eosinopenia (0.058±0.094 versus 0.098±0.170 and 0.092±0.104×10(9)G/L; P<0.001) and lymphopenia (1.16±0.98 vs 1.53±1.04 and 1.73±1.10×10(9)G/L; P<0.001) than the two other groups. Both neutrophilia and lymphopenia were independent predictors of infection by multivariate analysis. Frequencies of admission in ICU were, respectively, 8.7%, 40% and 43% (P<0.001). Leukocyte and neutrophil counts were significantly higher and basophil count significantly lower in subgroup S. Overall, 13.6% of the patients died and were characterized by basopenia. CONCLUSION Marked leukocytosis indicated severe illness. Lymphopenia, eosinopenia and temperature were significant predictors of infection. A more severe clinical course was correlated with higher neutrophilia and basopenia.
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Affiliation(s)
- J Deibener-Kaminsky
- Service de gériatrie et médecine interne, hôpitaux de Brabois, CHU de Nancy, rue du Morvan, 54511 Vandœuvre cedex, France
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