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Klitting R, Piorkowski G, Rousset D, Cabié A, Frumence E, Lagrave A, Lavergne A, Enfissi A, Dos Santos G, Fagour L, Césaire R, Jaffar-Bandjee MC, Traversier N, Gérardin P, Amaral R, Fournier L, Leon L, Dorléans F, Vincent M, Fontaine A, Failloux AB, Ayhan N, Pezzi L, Grard G, Durand GA, de Lamballerie X. Molecular epidemiology identifies the expansion of the DENV2 epidemic lineage from the French Caribbean Islands to French Guiana and mainland France, 2023 to 2024. Euro Surveill 2024; 29:2400123. [PMID: 38551097 PMCID: PMC10979529 DOI: 10.2807/1560-7917.es.2024.29.13.2400123] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2024] [Accepted: 03/27/2024] [Indexed: 04/01/2024] Open
Abstract
In 2023, dengue virus serotype 2 (DENV2) affected most French overseas territories. In the French Caribbean Islands, viral circulation continues with > 30,000 suspected infections by March 2024. Genome sequence analysis reveals that the epidemic lineage in the French Caribbean islands has also become established in French Guiana but not Réunion. It has moreover seeded autochthonous circulation events in mainland France. To guide prevention of further inter-territorial spread and DENV introduction in non-endemic settings, continued molecular surveillance and mosquito control are essential.
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Affiliation(s)
- Raphaëlle Klitting
- National Reference Center for Arboviruses, Inserm-IRBA, Marseille, France
- Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France
| | - Géraldine Piorkowski
- National Reference Center for Arboviruses, Inserm-IRBA, Marseille, France
- Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France
| | - Dominique Rousset
- Associated National Reference Center for Arboviruses, Virology unit, Institut Pasteur in French Guiana, Cayenne, French Guiana
| | - André Cabié
- Service de Maladies infectieuses et tropicales, CHU de Martinique, Fort-de-France, France
- PCCEI, Université de Montpellier, INSERM, EFS, Montpellier, France
- CIC Antilles Guyane, INSERM CIC1424, Fort-de-France, France
| | - Etienne Frumence
- Associated National Reference Center for Arboviruses, CHU de la Réunion-Site Nord, Saint-Denis, Réunion, France
- Laboratoire de microbiologie, CHU de la Réunion-Site Nord, Saint-Denis, Réunion, France
| | - Alisé Lagrave
- Associated National Reference Center for Arboviruses, Virology unit, Institut Pasteur in French Guiana, Cayenne, French Guiana
| | - Anne Lavergne
- Associated National Reference Center for Arboviruses, Virology unit, Institut Pasteur in French Guiana, Cayenne, French Guiana
| | - Antoine Enfissi
- Associated National Reference Center for Arboviruses, Virology unit, Institut Pasteur in French Guiana, Cayenne, French Guiana
| | - George Dos Santos
- PCCEI, Université de Montpellier, INSERM, EFS, Montpellier, France
- Laboratoire de virologie, CHU de Martinique, Fort-de-France, France
| | - Laurence Fagour
- PCCEI, Université de Montpellier, INSERM, EFS, Montpellier, France
- Laboratoire de virologie, CHU de Martinique, Fort-de-France, France
| | - Raymond Césaire
- Pôle de biologie territoriale, CHU de Guadeloupe, Pointe-à-Pitre, France
- PCCEI, Université de Montpellier, INSERM, EFS, Montpellier, France
| | - Marie-Christine Jaffar-Bandjee
- Associated National Reference Center for Arboviruses, CHU de la Réunion-Site Nord, Saint-Denis, Réunion, France
- Laboratoire de microbiologie, CHU de la Réunion-Site Nord, Saint-Denis, Réunion, France
| | - Nicolas Traversier
- Associated National Reference Center for Arboviruses, CHU de la Réunion-Site Nord, Saint-Denis, Réunion, France
- Laboratoire de microbiologie, CHU de la Réunion-Site Nord, Saint-Denis, Réunion, France
| | | | - Rayane Amaral
- Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France
| | | | - Lucie Leon
- Santé publique France, Cellule Antilles, Saint-Maurice, France
| | | | - Muriel Vincent
- Santé publique France - La Réunion, Saint-Denis, La Réunion, France
| | - Albin Fontaine
- Institut de Recherche Biomédicale des Armées (IRBA), Unité de virologie, Marseille, France
- Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France
| | - Anna-Bella Failloux
- Department of Virology, Arboviruses and Insect Vectors, Institut Pasteur, Paris, France
| | - Nazli Ayhan
- National Reference Center for Arboviruses, Inserm-IRBA, Marseille, France
- Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France
| | - Laura Pezzi
- National Reference Center for Arboviruses, Inserm-IRBA, Marseille, France
- Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France
| | - Gilda Grard
- National Reference Center for Arboviruses, Inserm-IRBA, Marseille, France
- Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France
| | - Guillaume André Durand
- National Reference Center for Arboviruses, Inserm-IRBA, Marseille, France
- Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France
| | - Xavier de Lamballerie
- National Reference Center for Arboviruses, Inserm-IRBA, Marseille, France
- Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France
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Andronico A, Menudier L, Salje H, Vincent M, Paireau J, de Valk H, Gallian P, Pastorino B, Brady O, de Lamballerie X, Lazarus C, Paty MC, Vilain P, Noel H, Cauchemez S. Comparing the Performance of Three Models Incorporating Weather Data to Forecast Dengue Epidemics in Reunion Island, 2018-2019. J Infect Dis 2024; 229:10-18. [PMID: 37988167 PMCID: PMC10786251 DOI: 10.1093/infdis/jiad468] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 10/27/2023] [Indexed: 11/23/2023] Open
Abstract
We developed mathematical models to analyze a large dengue virus (DENV) epidemic in Reunion Island in 2018-2019. Our models captured major drivers of uncertainty including the complex relationship between climate and DENV transmission, temperature trends, and underreporting. Early assessment correctly concluded that persistence of DENV transmission during the austral winter 2018 was likely and that the second epidemic wave would be larger than the first one. From November 2018, the detection probability was estimated at 10%-20% and, for this range of values, our projections were found to be remarkably accurate. Overall, we estimated that 8% and 18% of the population were infected during the first and second wave, respectively. Out of the 3 models considered, the best-fitting one was calibrated to laboratory entomological data, and accounted for temperature but not precipitation. This study showcases the contribution of modeling to strengthen risk assessments and planning of national and local authorities.
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Affiliation(s)
- Alessio Andronico
- Mathematical Modelling of Infectious Diseases Unit, Institut Pasteur, Université Paris Cité, UMR2000, CNRS, Paris, France
| | - Luce Menudier
- Regional Unit Saint-Denis de la Réunion, French Public Health Agency, Saint-Denis, Réunion Island, France
| | - Henrik Salje
- Department of Genetics, University of Cambridge, Cambridge, United Kingdom
| | - Muriel Vincent
- Regional Unit Saint-Denis de la Réunion, French Public Health Agency, Saint-Denis, Réunion Island, France
| | - Juliette Paireau
- Mathematical Modelling of Infectious Diseases Unit, Institut Pasteur, Université Paris Cité, UMR2000, CNRS, Paris, France
- Infectious Diseases Department, French Public Health Agency, Saint-Maurice, France
| | - Henriette de Valk
- Vectorborn, Foodborn and Zoonotic Infections Department, French Public Health Agency, Saint-Maurice, France
| | - Pierre Gallian
- Etablissement Français du Sang Provence Alpes Côte d’Azur et Corse, Marseille, France
- Unité des Virus Émergents, Aix-Marseille University, IRD 190, Inserm 1207, Marseille, France
| | - Boris Pastorino
- Unité des Virus Émergents, Aix-Marseille University, IRD 190, Inserm 1207, Marseille, France
| | - Oliver Brady
- Centre for the Mathematical Modelling of Infectious Disease, London School of Hygiene and Tropical Medicine, London, United Kingdom
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Xavier de Lamballerie
- Unité des Virus Émergents, Aix-Marseille University, IRD 190, Inserm 1207, Marseille, France
| | - Clément Lazarus
- Division of Surveillance and Health Security, Directorate General for Health, Ministry of Health, Paris, France
| | - Marie-Claire Paty
- Vectorborn, Foodborn and Zoonotic Infections Department, French Public Health Agency, Saint-Maurice, France
| | - Pascal Vilain
- Regional Unit Saint-Denis de la Réunion, French Public Health Agency, Saint-Denis, Réunion Island, France
| | - Harold Noel
- Vectorborn, Foodborn and Zoonotic Infections Department, French Public Health Agency, Saint-Maurice, France
| | - Simon Cauchemez
- Mathematical Modelling of Infectious Diseases Unit, Institut Pasteur, Université Paris Cité, UMR2000, CNRS, Paris, France
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Mbu-Nyamsi D, Vincent M, Perez-Fontana M, Best AL, Mesnard C, Villeroy F, Foucher A, Raffray L, Terrier CSP, Bertolotti A. Ophthalmic complications during the dengue epidemic in Reunion Island in 2020: a case series and review of the literature. BMC Infect Dis 2023; 23:506. [PMID: 37528344 PMCID: PMC10394947 DOI: 10.1186/s12879-023-08432-4] [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: 12/06/2022] [Accepted: 06/28/2023] [Indexed: 08/03/2023] Open
Abstract
INTRODUCTION Dengue is an arboviral disease transmitted by the dengue virus, whose vectors are Aedes aegypti and Aedes albopictus. The acute phase with its cohort of well-known symptoms is usually spontaneously favorable. Since 2020 in Reunion Island, a new symptom has appeared: the ocular damage of dengue fever, which has already been described in South Asia and South-East Asia. We therefore decided to describe the clinical, biological, ophthalmological, therapeutic, and outcomes of patients with ocular manifestations during dengue fever in Reunion Island in 2020. PATIENTS AND METHODS This was a retrospective observational study. Patients were included from January 2020 to August 2020 and then reassessed by teleconsultation 1 year later. The patients were identified from the French public health surveillance network by all ophthalmologists on the island. Medical data were collected directly from medical records. RESULTS Twenty-eight patients were included. The mean age was 41.9 years. Ocular involvement occurred approximately 9.2 days after the onset of dengue symptoms. The main symptoms were scotoma (71.4%) and sudden decrease of visual acuity (39.2%). Eighteen patients (64.2%) had macular involvement. Fourteen patients were treated with oral or intravenous corticosteroids. Twenty-two (78.5%) patients were evaluated by telephone one year later. Scotoma and decreased visual acuity persisted in 15 patients. Thirteen patients (59%) were bothered by night driving, 32% of patients had reading difficulties and 27% of patients became sensitive to prolonged exposure to screens. CONCLUSION Ocular complications of dengue require early and collegial management to limit the risk of long-term sequelae. Further studies on the characteristics and complications of dengue fever are needed to better understand this disease.
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Affiliation(s)
- Digé Mbu-Nyamsi
- Département de maladies infectieuses-médecine interne-dermatologie, CHU de La Réunion, Saint Pierre, La Réunion, France
| | - Muriel Vincent
- Santé Publique France, Océan Indien, Saint Denis, La Réunion, France
| | | | - Anne-Laurence Best
- Département d'ophtalmologie, CHU de La Réunion, Saint Pierre, La Réunion, France
| | - Charles Mesnard
- Département d'ophtalmologie, CHOR, Saint Paul, La Réunion, France
| | - Fréderic Villeroy
- Département d'ophtalmologie, CHU de La Réunion, Saint Denis, La Réunion, France
| | - Aurélie Foucher
- Département de maladies infectieuses-médecine interne-dermatologie, CHU de La Réunion, Saint Pierre, La Réunion, France
| | - Loic Raffray
- Département de médecine interne, CHU de La Réunion, Saint Denis, La Réunion, France
- Unité Mixte de Recherche Processus Infectieux en Milieu Insulaire Tropical (PIMIT), Université de La Réunion, INSERM UMR 1187, CNRS 9192, IRD 249, Plateforme CYROI, Sainte Clotilde, La Réunion, France
| | - Cécile Saint-Pastou Terrier
- Département de maladies infectieuses-médecine interne-dermatologie, CHU de La Réunion, Saint Pierre, La Réunion, France
| | - Antoine Bertolotti
- Département de maladies infectieuses-médecine interne-dermatologie, CHU de La Réunion, Saint Pierre, La Réunion, France.
- CHU de La Réunion, CIC-INSERM1410, Saint Pierre, La Réunion, France.
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Rhamati L, Marcolla A, Guerrot AM, Lerosey Y, Goldenberg A, Serey-Gaut M, Rio M, Cormier Daire V, Baujat G, Lyonnet S, Rubinato E, Jonard L, Rondeau S, Rouillon I, Couloignier V, Jacquemont ML, Dupin Deguine D, Moutton S, Vincent M, Isidor B, Ziegler A, Marie JP, Marlin S. Audiological phenotyping evaluation in KBG syndrome: Description of a multicenter review. Int J Pediatr Otorhinolaryngol 2023; 171:111606. [PMID: 37336020 DOI: 10.1016/j.ijporl.2023.111606] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 05/11/2023] [Accepted: 05/30/2023] [Indexed: 06/21/2023]
Abstract
OBJECTIVES Our objective was to reinforce clinical knowledge of hearing impairment in KBG syndrome. KBG syndrome is a rare genetic disorder due to monoallelic pathogenic variations of ANKRD11.The typical phenotype includes facial dysmorphism, costal and spinal malformation and developmental delay. Hearing loss in KBG patients has been reported for many years, but no study has evaluated audiological phenotyping from a clinical and an anatomical point of view. METHODS This French multicenter study included 32 KBG patients with retrospective collection of data on audiological features, ear imaging and genetic investigations. RESULTS We identified a typical audiological profil in KBG syndrome: conductive (71%), bilateral (81%), mild to moderate (84%) and stable (69%) hearing loss, with some audiological heterogeneity. Among patients with an abnormality on CT imaging (55%), ossicular chain impairment (67%), fixation of the stapes footplate (33%) and inner-ear malformations (33%) were the most common abnormalities. CONCLUSION We recommend a complete audiological and radiological evaluation and an ENT-follow up in all patients presenting with KBG Syndrome. Imaging evaluation is necessary to determine the nature of lesions in the middle and inner ear.
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Affiliation(s)
- L Rhamati
- Service d'ORL et Chirurgie Cervicofaciale et Audiophonologie, CHU Rouen, France
| | - A Marcolla
- Service d'ORL et Chirurgie Cervicofaciale et Audiophonologie, CHU Rouen, France; UR 3830 GRHVN, Université de Rouen Normandie, France
| | - A M Guerrot
- Département de Génétique, Centre de Référence des anomalies du Développement, Inserm U1245, FHU G4 Génomique, Normandie Université, UNIROUEN, CHU Rouen, France
| | - Y Lerosey
- Service d'ORL et Chirurgie Cervicofaciale et Audiophonologie, CHU Rouen, France; UR 3830 GRHVN, Université de Rouen Normandie, France
| | - A Goldenberg
- Département de Génétique, Centre de Référence des anomalies du Développement, Inserm U1245, FHU G4 Génomique, Normandie Université, UNIROUEN, CHU Rouen, France
| | - M Serey-Gaut
- Centre de Recherche en Audiologie, Hôpital Universitaire Necker-Enfants Malades, AP-HP.CUP, Paris, France; Centre de Référence Surdités Génétiques, UF Développement et Morphogénèse, Service de Médecine génomique des Maladies rares, Hôpital Universitaire Necker-Enfants Malades, AP-HP.CUP, Paris, France
| | - M Rio
- UF Neurodeveloppement-Neurologie Mitochondries-Métabolisme, Service de Médecine génomique des Maladies rares, Hôpital Universitaire Necker-Enfants Malades, AP-HP.CUP, Paris, France
| | - V Cormier Daire
- Institut Imagine, UMR-1163 INSERM, Université Paris Cité, Paris, France; Centre de Référence Maladies Osseuses Constitutionnels, UF Développement et Morphogénèse, Service de Médecine génomique des Maladies rares, Hôpital Universitaire Necker-Enfants Malades, AP-HP.CUP, Paris, France
| | - G Baujat
- Centre de Référence Maladies Osseuses Constitutionnels, UF Développement et Morphogénèse, Service de Médecine génomique des Maladies rares, Hôpital Universitaire Necker-Enfants Malades, AP-HP.CUP, Paris, France
| | - S Lyonnet
- Institut Imagine, UMR-1163 INSERM, Université Paris Cité, Paris, France; Centre de Référence Anomalies du Développement, UF Développement et Morphogénèse, Service de Médecine génomique des Maladies rares, Hôpital Universitaire Necker-Enfants Malades, AP-HP.CUP, Paris, France
| | - E Rubinato
- Centre de Référence Surdités Génétiques, UF Développement et Morphogénèse, Service de Médecine génomique des Maladies rares, Hôpital Universitaire Necker-Enfants Malades, AP-HP.CUP, Paris, France; Medical Genetics, Institute for Maternal and Child Health -IRCCS "Burlo Garofolo", Trieste, Italy
| | - L Jonard
- UF Développement et Morphogénèse, Service de Médecine génomique des Maladies rares, Hôpital Universitaire Necker-Enfants Malades, AP-HP.CUP, Paris, France
| | - S Rondeau
- UF Développement et Morphogénèse, Service de Médecine génomique des Maladies rares, Hôpital Universitaire Necker-Enfants Malades, AP-HP.CUP, Paris, France
| | - I Rouillon
- Service d'ORL pédiatrique, Hopital Universitaire Necker Enfants-Malades, AP-HP.CUP, Paris, France
| | - V Couloignier
- Service d'ORL pédiatrique, Hopital Universitaire Necker Enfants-Malades, AP-HP.CUP, Paris, France
| | - M L Jacquemont
- Génétique Médicale, Pôle femme-mère-enfant, CHU la Réunion, Saint Pierre, France
| | - D Dupin Deguine
- Service ORL, Otoneurologie et ORL pédiatrique, Hôpital Pierre Paul Riquet, CHU Purpan, Toulouse, France
| | - S Moutton
- Centre Pluridisciplinaire de Diagnostic PréNatal, Pôle mère enfant, Maison de Santé Protestante Bordeaux Bagatelle, Talence, France
| | - M Vincent
- Service de Génétique Médicale, CHU Nantes, Institut du thorax, INSERM, CNRS, UNIV Nantes, Nantes, France
| | - B Isidor
- Service de Génétique Médicale, CHU Nantes, Institut du thorax, INSERM, CNRS, UNIV Nantes, Nantes, France
| | - A Ziegler
- Service de Génétique, CHU d'Angers, Angers, France
| | - J P Marie
- Service d'ORL et Chirurgie Cervicofaciale et Audiophonologie, CHU Rouen, France; UR 3830 GRHVN, Université de Rouen Normandie, France
| | - S Marlin
- Centre de Référence Surdités Génétiques, UF Développement et Morphogénèse, Service de Médecine génomique des Maladies rares, Hôpital Universitaire Necker-Enfants Malades, AP-HP.CUP, Paris, France; Institut Imagine, UMR-1163 INSERM, Université Paris Cité, Paris, France.
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Vincent M, Paty MC, Gerardin P, Balleydier E, Etienne A, Daoudi J, Thouillot F, Jaffar-Bandjee MC, Menudier L. From dengue outbreaks to endemicity: Reunion Island, France, 2018 to 2021. Euro Surveill 2023; 28:2200769. [PMID: 37470738 PMCID: PMC10360367 DOI: 10.2807/1560-7917.es.2023.28.29.2200769] [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: 09/09/2022] [Accepted: 03/07/2023] [Indexed: 07/21/2023] Open
Abstract
BackgroundAfter 40 years of limited viral circulation, Reunion Island has since 2018 experienced recurrent dengue outbreaks of increasing intensity and severity.AimWe aimed to report on the epidemiology and characteristics of dengue in Reunion Island between 2018 and 2021.MethodsBetween 2018 and August 2021, we systematically collected data on dengue cases via an automated transmission system between the health authorities and the medical laboratories. We set up additional surveillance systems for dengue-related activity in primary care, in emergency departments and in inpatient departments.ResultsUntil 2020, despite numerous cases, outbreaks had a limited public health impact because of few severe cases, low lethality and no heavy burden for the health care system. In 2021, however, the number of severe cases increased (from 0.4% of all cases in 2018 to 0.8% in 2021), as did the number of paediatric cases (from 8% in 2018 to 15% in 2021) and atypical clinical forms of dengue (108 cases of post-dengue maculopathy). Of note, haemorrhagic forms were rare and multi-organ failure was the most frequent severity throughout the study period. In parallel, the dominant serotype switched from DENV2 to DENV1 in 2020 and DENV1 became the only serotype detected in 2021.ConclusionThese findings indicate that dengue is becoming endemic in Reunion Island. Since comorbidities associated with severity of dengue are common in the population, health authorities should carefully consider the impact of dengue when addressing public health policies.
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Affiliation(s)
| | | | | | | | | | - Jamel Daoudi
- Santé Publique France, Saint Denis, Réunion, France
| | - Fabian Thouillot
- Service de Lutte Anti-Vectorielle, ARS Réunion, Saint Denis, Réunion, France
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Deb W, Joubert M, Cogné B, Vincent M, Ghesh L, Bézieau S, Le Vaillant C, Beneteau C. NOTCH2 related disorders: Description and review of the fetal presentation. Eur J Med Genet 2023; 66:104769. [PMID: 37121269 DOI: 10.1016/j.ejmg.2023.104769] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 02/04/2023] [Accepted: 04/17/2023] [Indexed: 05/02/2023]
Abstract
Signs of skeletal dysplasias are relatively common in fetuses with abnormal ultrasound (US) findings. The diversity of congenital skeletal disorders, the possibility of late-onset severe phenotypes and overlapping syndromes can be a challenge in the way of diagnosis, even if prenatal high-throuput sequencing allows for a better diagnosis, prognosis and genetic counseling. Hajdu-Cheney spectrum pathologies are rarely described in prenatal, and the signs associated remain poorly known, and do not include specific postnatal signs as acro-osteolysis and premature osteoporosis. We hereby report a couple for whom a medical termination of pregnancy was performed because a severe polymalformative syndrome associating severely short limbs with bowed long bones, severe cardiopathy, hyperechogenic kidneys and dysmorphism. After fetopathological and radiological examinations, Exome Sequencing (ES) was performed and revealed a de novo truncating mutation in the last exon of NOTCH2, responsible for Hajdu-Cheney or Serpentine Fibula Polycystic Kidney syndromes.
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Affiliation(s)
- W Deb
- Nantes Université, CHU de Nantes, CNRS, INSERM, l'institut du Thorax, F-44000, Nantes, France; Nantes Université, CHU de Nantes, Service de Génétique Médicale, F-44000, Nantes, France.
| | - M Joubert
- CHU de Nantes, Service d'Anatomie et Cytologie Pathologiques, UF de Fœtopathologie et Génétique, F-44000, Nantes, France
| | - B Cogné
- Nantes Université, CHU de Nantes, CNRS, INSERM, l'institut du Thorax, F-44000, Nantes, France; Nantes Université, CHU de Nantes, Service de Génétique Médicale, F-44000, Nantes, France
| | - M Vincent
- Nantes Université, CHU de Nantes, CNRS, INSERM, l'institut du Thorax, F-44000, Nantes, France; Nantes Université, CHU de Nantes, Service de Génétique Médicale, F-44000, Nantes, France
| | - L Ghesh
- CHU de Nantes, Service de Génétique Médicale, UF de Fœtopathologie et Génétique, F-44000, Nantes, France
| | - S Bézieau
- Nantes Université, CHU de Nantes, CNRS, INSERM, l'institut du Thorax, F-44000, Nantes, France; Nantes Université, CHU de Nantes, Service de Génétique Médicale, F-44000, Nantes, France
| | - C Le Vaillant
- CHU de Nantes, Service de Gynécologie et Obstétrique, F-44000, Nantes, France
| | - C Beneteau
- CHU de Nantes, Service de Génétique Médicale, UF de Fœtopathologie et Génétique, F-44000, Nantes, France; CHU de CHU de Bordeaux, Service de Génétique Médicale, F-33076, Bordeaux, France
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7
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Fitoussi O, Roche JB, Riviere J, Wallerand H, Poulain JE, Gordien P, Galland S, Henriques B, Dupin C, Vincent M, Kuratle T, Saffarini M, Ramos-Pascual S. Accuracy of FDG-PET/CT for Response Evaluation of Muscle-Invasive Bladder Cancer following Neoadjuvant or Induction Chemotherapy. Urol Int 2023; 107:239-245. [PMID: 36657430 DOI: 10.1159/000528524] [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: 08/03/2022] [Accepted: 11/08/2022] [Indexed: 01/20/2023]
Abstract
INTRODUCTION The aim of the study was to confirm the diagnostic accuracy of a second FDG-PET/CT following neoadjuvant or induction chemotherapy (NAIC) prior to radical cystectomy for patients with localized muscle-invasive bladder cancer (MIBC). METHODS Retrospective review of 62 consecutive patients with MIBC, that had a first FDG-PET/CT between April 2016 and September 2021. Patients then underwent NAIC, followed by a second FDG-PET/CT and radical cystectomy. Patients with no hypermetabolism in the bladder and lymph nodes on the second FDG-PET/CT were considered metabolic complete responders, while patients with no evidence of residual disease on histopathology were considered pathologic complete responders. The accuracy of the second FDG-PET/CT to distinguish complete responders from patients with residual disease was calculated, with histopathology as gold standard. RESULTS Of 62 patients, 1 was lost to follow-up, 5 died before radical cystectomy, 5 had delay >2 months between the second FDG-PET/CT and radical cystectomy, and 6 did not undergo radical cystectomy and instead underwent alternative treatment. The study cohort comprised 45 patients, 39 males and 6 females, with an age of 66 ± 6 years. In comparison to histopathology, FDG-PET/CT provided (i) sensitivity of 95% and specificity of 42%, for the overall disease; (ii) sensitivity of 100% and specificity of 36%, for the primary tumor only; and (iii) sensitivity of 97% and specificity of 30%, for the lymph nodes only. CONCLUSION FDG-PET/CT has over 95% sensitivity for distinguishing complete responders from patients with residual disease. Thus, FDG-PET/CT can be used for early response evaluation following NAIC to identify patients that did not completely respond to chemotherapy and may require alternative treatment pathways.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Camille Dupin
- Laboratoire de Cytologie et d'anatomie pathologique CAP, Le Bouscat, France
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Kuruvilla S, Vincent M, Sachdeva R, Pencz A, Dang M, Younus J, McArthur E, Breadner D, Raphael J, Blanchette P, Sanatani M, Logan D, Nayak R, Fortin D, Inculet R, Qiabi M, Malthaner R. EP02.01-013 Real World Treatment Patterns, Prevalence and Outcomes in Patients with KRAS Mutated Non Small Cell Lung Cancer in Southwestern Ontario. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.340] [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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9
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Hafsia S, Haramboure M, Wilkinson DA, Baldet T, Yemadje-Menudier L, Vincent M, Tran A, Atyame C, Mavingui P. Overview of dengue outbreaks in the southwestern Indian Ocean and analysis of factors involved in the shift toward endemicity in Reunion Island: A systematic review. PLoS Negl Trop Dis 2022; 16:e0010547. [PMID: 35900991 PMCID: PMC9333208 DOI: 10.1371/journal.pntd.0010547] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [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] [Indexed: 12/29/2022] Open
Abstract
Background Dengue is the world’s most prevalent mosquito-borne viral disease. It is endemic in many tropical and subtropical countries and represents a significant global health burden. The first reports of dengue virus (DENV) circulation in the South West Indian Ocean (SWIO) islands date back to the early 1940s; however, an increase in DENV circulation has been reported in the SWIO in recent years. The aim of this review is to trace the history of DENV in the SWIO islands using available records from the Comoros, Madagascar, Mauritius, Mayotte, Seychelles, and Reunion. We focus in particular on the most extensive data from Reunion Island, highlighting factors that may explain the observed increasing incidence, and the potential shift from one-off outbreaks to endemic dengue transmission. Methods Following the PRISMA guidelines, the literature review focused queried different databases using the keywords “dengue” or “Aedes albopictus” combined with each of the following SWIO islands the Comoros, Madagascar, Mauritius, Mayotte, Seychelles, and Reunion. We also compiled case report data for dengue in Mayotte and Reunion in collaboration with the regional public health agencies in these French territories. References and data were discarded when original sources were not identified. We examined reports of climatic, anthropogenic, and mosquito-related factors that may influence the maintenance of dengue transmission independently of case importation linked to travel. Findings and conclusions The first report of dengue circulation in the SWIO was documented in 1943 in the Comoros. Then not until an outbreak in 1976 to 1977 that affected approximately 80% of the population of the Seychelles. DENV was also reported in 1977 to 1978 in Reunion with an estimate of nearly 30% of the population infected. In the following 40-year period, DENV circulation was qualified as interepidemic with sporadic cases. However, in recent years, the region has experienced uninterrupted DENV transmission at elevated incidence. Since 2017, Reunion witnessed the cocirculation of 3 serotypes (DENV-1, DENV-2 and DENV-3) and an increased number of cases with severe forms and deaths. Reinforced molecular and serological identification of DENV serotypes and genotypes circulating in the SWIO as well as vector control strategies is necessary to protect exposed human populations and limit the spread of dengue.
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Affiliation(s)
- Sarah Hafsia
- UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical) CNRS 9192-INSERM 1187-IRD 249-Université de La Réunion, île de La Réunion, France
| | - Marion Haramboure
- CIRAD, UMR TETIS, Sainte-Clotilde, île de La Réunion, France
- TETIS, Univ Montpellier, AgroParisTech, CIRAD, CNRS, INRAE, Sainte-Clotilde, île de La Réunion, France
- CIRAD, UMR ASTRE, Sainte-Clotilde, île de La Réunion, France
- ASTRE, Université Montpellier, CIRAD, INRAE, Sainte-Clotilde, île de La Réunion, France
| | - David Arthur Wilkinson
- UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical) CNRS 9192-INSERM 1187-IRD 249-Université de La Réunion, île de La Réunion, France
| | - Thierry Baldet
- CIRAD, UMR ASTRE, Sainte-Clotilde, île de La Réunion, France
- ASTRE, Université Montpellier, CIRAD, INRAE, Sainte-Clotilde, île de La Réunion, France
| | | | | | - Annelise Tran
- CIRAD, UMR TETIS, Sainte-Clotilde, île de La Réunion, France
- TETIS, Univ Montpellier, AgroParisTech, CIRAD, CNRS, INRAE, Sainte-Clotilde, île de La Réunion, France
- CIRAD, UMR ASTRE, Sainte-Clotilde, île de La Réunion, France
- ASTRE, Université Montpellier, CIRAD, INRAE, Sainte-Clotilde, île de La Réunion, France
| | - Célestine Atyame
- UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical) CNRS 9192-INSERM 1187-IRD 249-Université de La Réunion, île de La Réunion, France
| | - Patrick Mavingui
- UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical) CNRS 9192-INSERM 1187-IRD 249-Université de La Réunion, île de La Réunion, France
- * E-mail:
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Catinon M, Roux E, Auroux A, Trunfio-Sfarghiu AM, Lauro-Colleaux C, Watkin E, Sournies G, Vincent M. Corrigendum to "Confirmation of the systematic presence of tin particles in fallopian tubes or uterine horns of Essure implant explanted patients: A study of 18 cases with the same pathological process" [J. Trace Elem. Med. Biol. 69 (2022) 126891]. J Trace Elem Med Biol 2022; 72:126970. [PMID: 35567911 DOI: 10.1016/j.jtemb.2022.126970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- M Catinon
- Minapath Developpement, Insavalor CS: 52132, 69603 Villeurbanne, France.
| | - E Roux
- Minapath Developpement, Insavalor CS: 52132, 69603 Villeurbanne, France.
| | - A Auroux
- IRCELYON UMR 5256, CNRS, Université Claude Bernard Lyon 1, 69626 Villeurbanne, France.
| | | | - C Lauro-Colleaux
- Laboratoire Technipath, 41 allée des Cyprès, 69760 Limonest, France.
| | - E Watkin
- Laboratoire Cypath, 201 Route de Genas, 69100 Villeurbanne, France.
| | - G Sournies
- Natecia Service de gynécologie, 28 Avenue Rockfeller, 69008 Lyon, France.
| | - M Vincent
- Minapath Developpement, Insavalor CS: 52132, 69603 Villeurbanne, France.
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Mathieu L, Stockmann L, Haudin J, Monasse B, Vincent M, Barthez JM, Charmeau JY, Durand V, Gazonnet JP, Roux DC. Flow Marks in Injection Molding of PP. INT POLYM PROC 2022. [DOI: 10.1515/ipp-2001-0012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
Flow marks in injection moulding is quite often encountered on different type of polymers. This defects is known as successive and periodic bright and dull bands oriented perpendicular to the flow direction. Their appearances meanly depend on processing and observation conditions. This study was lead on two industrial polypropylene polymers with a simplified polished rectangular mould geometry. We show that this defect appears during the filling stage and comes from a local change of morphological and molecular orientation along the filling direction on the surface. An instability of the flow front due to a limited sliding at the contact combined to the strong changed of molecular orientation before and after the stagnation point are invoked to explain this instability.
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Affiliation(s)
- L. Mathieu
- Centre de mise en Forme des Matériaux, Ecole des Mines de Paris , Sophia-Antipolis , France
| | - L. Stockmann
- Centre de mise en Forme des Matériaux, Ecole des Mines de Paris , Sophia-Antipolis , France
| | - J.M. Haudin
- Centre de mise en Forme des Matériaux, Ecole des Mines de Paris , Sophia-Antipolis , France
| | - B. Monasse
- Centre de mise en Forme des Matériaux, Ecole des Mines de Paris , Sophia-Antipolis , France
| | - M. Vincent
- Centre de mise en Forme des Matériaux, Ecole des Mines de Paris , Sophia-Antipolis , France
| | - J.-M. Barthez
- Pôle Européen de Plasturgie, Ecole Supérieure de Plasturgie , Bellignat , France
| | - J.-Y. Charmeau
- Pôle Européen de Plasturgie, Ecole Supérieure de Plasturgie , Bellignat , France
| | - V. Durand
- Pôle Européen de Plasturgie, Ecole Supérieure de Plasturgie , Bellignat , France
| | - J.-P. Gazonnet
- Pôle Européen de Plasturgie, Ecole Supérieure de Plasturgie , Bellignat , France
| | - D. C. Roux
- Pôle Européen de Plasturgie, Ecole Supérieure de Plasturgie , Bellignat , France
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Blanc R, Philipon S, Vincent M, Agassant JF, Alglave H, Müller R, Froelich D. Injection Molding of Reinforced Thermosets. INT POLYM PROC 2022. [DOI: 10.1515/ipp-1987-0014] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
The orientation of glass fibers (initial length 20 mm) and the mold filling of reinforced unsaturated polyester compounds have been studied. Observations of the fiber orientation have been made in three molds where shear and elongational flows occur in variable ways. A part of the fibers are split and broken into filaments. Reinforcement can be more or less buckled. A thin skin layer without fibers is observed. The great thickness of a core region with an orientation perpendicular to the flow direction shows the importance of negative elongational flows. Efficiency of positive elongational flows to suppress buckling and to give a well flow aligned orientation is also observed. On the contrary the efficiency of shear flows is limited compared to elongational flows. The incidence of injection conditions on the pressure inside a rectangular plaque has been studied both experimentally and theoretically. Experimental difficulties due to the material heterogeneity leads to measure viscosity data of the uncured material on a special capillary rheometer and rheological kinetic data on a simplified compound. Numerical results are in good agreement with experimental measurements. For instance the effect of crosslinking which leads to a pressure rise at low flow rate or high mold temperature is well predicted.
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Affiliation(s)
- R. Blanc
- Centre de Mise en Forme des Materiaux, Ecole des Mines de Paris , Valbonne , France
| | - S. Philipon
- Centre de Mise en Forme des Materiaux, Ecole des Mines de Paris , Valbonne , France
| | - M. Vincent
- Centre de Mise en Forme des Materiaux, Ecole des Mines de Paris , Valbonne , France
| | - J. F. Agassant
- Centre de Mise en Forme des Materiaux, Ecole des Mines de Paris , Valbonne , France
| | - H. Alglave
- Institut Charles Sadron , Strasbourg , France
| | - R. Müller
- Institut Charles Sadron , Strasbourg , France
| | - D. Froelich
- Institut Charles Sadron , Strasbourg , France
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13
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Catinon M, Roux E, Auroux A, Trunfio-Sfarghiu AM, Lauro-Colleaux C, Watkin E, Sournies G, Vincent M. Confirmation of the systematic presence of tin particles in fallopian tubes or uterine horns of Essure implant explanted patients: A study of 18 cases with the same pathological process. J Trace Elem Med Biol 2022; 69:126891. [PMID: 34749033 DOI: 10.1016/j.jtemb.2021.126891] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 07/27/2021] [Accepted: 10/31/2021] [Indexed: 12/11/2022]
Abstract
OBJECTIVE To examine associations between local and systemic symptoms and the wear of the tin weld of Essure implants. DESIGN study of a series of cases. SETTINGS Two French hospitals. PARTICIPANTS Eighteen patients explanted by hysterectomy and salpingectomy for removal of their Essure implants between September 2019 and July 2020, have had a common anatomopathological process. MAIN OUTCOME MEASURES anatomopathological examination by optical microscopy and mineralogical analysis of the fallopian tube or uterine horn with scanning electron microscopy coupled with energy dispersive X-ray (SEM-EDX). Evaluation of local and systemic symptoms with a questionnaire. Examination of blood metal assays (nickel, chromium, and tin). RESULTS anatomopathological examination highlights foreign body granulomas, fibrosis, adenomyosis, nonspecific inflammation, cysts and myomas in the Fallopian tubes, uterine horns, or both and mentions the presence of foreign bodies in seven cases. SEM-EDX analyses showed, systematically, the presence of tin particles integrated in the wall near the weld, generally in clusters, and with a size ranging from about one micron to several dozen microns. The questionnaire shows that the most frequent local symptoms were pelvic pain, urinary disorders, bleeding, and pains during intercourse. The most common systemic symptoms were: asthenia, visual disturbances, amnesia, giddiness, dorsal pains, headaches, and joint pains. The majority of local and systemic symptoms decreased after explantation, but sometimes incompletely. Before explantation, high levels of nickel, tin and chromium were observed in 11/17, 1/7 and 2/17 patients. After explantation, tin levels were high in 3/11 patients. CONCLUSIONS our new anatomopathological process systematically demonstrates the presence of tin particles in tissue near the weld. These particles could be responsible for granulomatous inflammations as well as local symptoms. Many of the systemic symptoms are consistent with chronic organotin poisoning but further studies are needed to find out whether tin from the solder can be converted to organotin in the patients' bodies.
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Affiliation(s)
- M Catinon
- Minapath Developpement, Insavalor CS : 52132, 69603, Villeurbanne, France
| | - E Roux
- Minapath Developpement, Insavalor CS : 52132, 69603, Villeurbanne, France
| | - A Auroux
- IRCELYON UMR 5256, CNRS, Université Claude Bernard Lyon 1, 69626, Villeurbanne, France
| | | | - C Lauro-Colleaux
- Laboratoire Technipath, 41 allée des Cyprès, 69760, Limonest, France
| | - E Watkin
- Laboratoire Cypath, 201 Route de Genas, 69100, Villeurbanne, France
| | - G Sournies
- Natecia Service de gynécologie, 28 Avenue Rockfeller, 69008, Lyon, France
| | - M Vincent
- Minapath Developpement, Insavalor CS : 52132, 69603, Villeurbanne, France.
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Da BL, Suchman K, Roth N, Rizvi A, Vincent M, Trindade AJ, Bernstein D, Satapathy SK. Cholestatic liver injury in COVID-19 is a rare and distinct entity and is associated with increased mortality. J Intern Med 2021; 290:470-472. [PMID: 33786906 PMCID: PMC8250628 DOI: 10.1111/joim.13292] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 03/04/2021] [Accepted: 03/24/2021] [Indexed: 12/11/2022]
Affiliation(s)
- B L Da
- From the, Division of Hepatology, North Shore University Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Manhasset, NY, USA
| | - K Suchman
- Department of Internal Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Manhasset, NY, USA
| | - N Roth
- From the, Division of Hepatology, North Shore University Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Manhasset, NY, USA
| | - A Rizvi
- Division of Gastroenterology, Long Island Jewish Medical Center, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, NY, USA
| | - M Vincent
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
| | - A J Trindade
- Department of Internal Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Manhasset, NY, USA
| | - D Bernstein
- From the, Division of Hepatology, North Shore University Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Manhasset, NY, USA
| | - S K Satapathy
- From the, Division of Hepatology, North Shore University Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, Manhasset, NY, USA
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Vincent M, Jaffar M, Tetart N, Ramiandrisoa M, Etienne A, Menudier L. Dengue outbreaks: Report of short heterologous protection in Reunion Island. Int J Infect Dis 2020. [DOI: 10.1016/j.ijid.2020.11.087] [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] Open
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16
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Lui A, Garber L, Vincent M, Celi L, Masip J, Sionis A, Serpa Neto A, Keller N, Morrow D, Miller P, Van Diepen S, Smilowitz N, Alviar Restrepo C. Hyperoxia is associated with adverse outcomes in the cardiac intensive care unit: insights from the Medical Information Mart for Intensive Care (MIMI-III) database. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1837] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Hyperoxia produces reactive oxygen species, apoptosis, and vasoconstriction, and is associated with adverse outcomes in patients with heart failure and cardiac arrest. Our aim was to evaluate the association between hyperoxia and mortality in patients (pts) receiving positive pressure ventilation (PPV) in the cardiac intensive care unit (CICU).
Methods
Patients admitted to our medical center CICU who received any PPV (invasive or non-invasive) from 2001 through 2012 were included. Hyperoxia was defined as time-weighted mean of PaO2 >120mmHg and non-hyperoxia as PaO2 ≤120mmHg during CICU admission. Primary outcome was in-hospital mortality. Multivariable logistic regression was used to assess the association between hyperoxia and in-hospital mortality adjusted for age, female sex, Oxford Acute Severity of Illness Score, creatinine, lactate, pH, PaO2/FiO2 ratio, PCO2, PEEP, and estimated time spent on PEEP.
Results
Among 1493 patients, hyperoxia (median PaO2 147mmHg) during the CICU admission was observed in 702 (47.0%) pts. In-hospital mortality was 29.7% in the non-hyperoxia group and 33.9% in the hyperoxia group ((log rank test, p=0.0282, see figure). Using multivariable logistic regression, hyperoxia was independently associated with in-hospital mortality (OR 1.507, 95% CI 1.311–2.001, p=0.00508). Post-hoc analysis with PaO2 as a continuous variable was consistent with the primary analysis (OR 1.053 per 10mmHg increase in PaO2, 95% CI 1.024–1.082, p=0.0002).
Conclusions
In a large CICU cohort, hyperoxia was associated with increased mortality. Trials of titration of supplemental oxygen across the full spectrum of critically ill cardiac patients are warranted.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- A.Y Lui
- New York University School of Medicine, New York, United States of America
| | - L Garber
- New York University Langone Medical Center, New York, United States of America
| | - M Vincent
- New York University Langone Medical Center, New York, United States of America
| | - L Celi
- Beth Israel Deaconess Medical Center & Harvard Medical School, Critical Care Medicine, Boston, United States of America
| | - J Masip
- Hospital Sanitas CIMA, Barcelona, Spain
| | - A Sionis
- Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | - A Serpa Neto
- Hospital Israelita Albert Einstein, Sao Paulo, Brazil
| | - N Keller
- New York University Langone Medical Center, New York, United States of America
| | - D.A Morrow
- Brigham and Women'S Hospital, Harvard Medical School, Boston, United States of America
| | - P.E Miller
- Yale University, New Haven, United States of America
| | | | - N.R Smilowitz
- New York University Langone Medical Center, New York, United States of America
| | - C Alviar Restrepo
- New York University Langone Medical Center, New York, United States of America
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Yemadje-Menudier L, Vincent M, Tetart N, Ramiandrisoa M, Balleydier E, Jaffar-Bandjee M. Épidémie de la dengue en 2019 : co-circulation des sérotypes 1 et 2. Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.231] [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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Vincent M, Larrieu S, Vilain P, Etienne A, Solet JL, François C, Roquebert B, Jaffar Bandjee MC, Filleul L, Menudier L. From the threat to the large outbreak: dengue on Reunion Island, 2015 to 2018. ACTA ACUST UNITED AC 2020; 24. [PMID: 31771702 PMCID: PMC6885751 DOI: 10.2807/1560-7917.es.2019.24.47.1900346] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Background With more than 300 million infections estimated annually worldwide, dengue is the most prevalent arboviral infection. On Reunion Island, after a large outbreak in 1977–78, only limited episodes of viral circulation or sporadic cases were reported till 2015. Aim Our objective was to document and report on the circulation of dengue virus after the occurrence of a small outbreak during austral summer 2015/16 and until the large outbreak of 2018. Methods Beside the mandatory notification of biologically confirmed dengue cases, additional systems of surveillance were set up: estimation of dengue-like syndrome in people seeking care by their family doctor, surveillance of emergency department visits related to dengue, surveillance of hospitalised dengue patients and deaths classifications. Results After a moderate outbreak during summer 2015/16 with 231 cases, 2017 was characterised by limited viral circulation (97 cases) which, however, persisted during the austral winter. By February 2018, the number of cases had increased and led to a peak at the beginning of May 2018. More than 6,000 cases were reported this year (dengue virus type 2 only). In addition, six deaths of dengue patients were notified. Conclusion In 2017, the persistence of transmission during winter created favourable conditions for the emergence of an epidemic during summer 2018. After this moderate epidemic wave, the viral circulation persisted during winter 2018 for the second year, opening the door for the second wave in 2019 and for potential endemisation of the disease on Reunion Island in the near future.
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Fontaine-Delaruelle C, Mazières J, Cadranel J, Mastroianni B, Dubos-Arvis C, Dumont P, Monnet I, Pichon E, Locatelli-Sanchez M, Dixmier A, Coudert B, Fraboulet S, Foucher P, Dansin E, Baize N, Vincent M, Missy P, Morin F, Moro-Sibilot D, Couraud S. Somatic profile in lung cancers is associated to reproductive factors in never-smokers women: Results from the IFCT-1002 BioCAST study. Respir Med Res 2020; 77:58-66. [PMID: 32416585 DOI: 10.1016/j.resmer.2020.01.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 09/03/2019] [Revised: 12/30/2019] [Accepted: 01/24/2020] [Indexed: 01/07/2023]
Abstract
BACKGROUND Lung cancer in women is on the rise, with a higher proportion occurring in lifelong never-smokers. Lung cancer in never-smokers (LCINS) exhibits a high frequency of driver oncogene alterations. In this study, we aimed to investigate whether exposure to reproductive factors in women with LCINS may modulate the molecular pattern. METHODS All newly diagnosed LCINSs were included in a prospective, observational study (IFCT-1002 BioCAST). Each patient responded to a questionnaire including reproductive factors. Biomarker test results were also collected. RESULTS Two hundred and sixty women were included in this analysis, and 166 alterations were characterized. EGFR mutation frequency proved greater among patients with late menarche (74% in age>14 vs. 40% and 41% for 12-14 and ≤12 years, respectively; P=0.020) and tended to decrease with increasingly late age at menopause. In multivariate analysis, EGFR mutation frequency increased by 23% per increment of 1 year of age at menarche (P=0.048), and by 9% for each year at age at first birth (P=0.035). ALK alteration frequency was greater in women with high parity (50% in≥5 vs. 12% and 7% for 1-4 and nulliparity, respectively; P=0.021). CONCLUSION In a cohort of women LCINSs, female hormonal factors appear to impact molecular pattern.
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Affiliation(s)
- C Fontaine-Delaruelle
- Service de pneumologie aiguë spécialisée et cancérologie thoracique, hôpital Lyon Sud, institut de cancérologie des hospices civils de Lyon, Pierre-Bénite, France
| | - J Mazières
- Service de pneumologie, université Paul-Sabatier, hôpital Larrey, centre hospitalier universitaire, Toulouse, France
| | - J Cadranel
- Service de pneumologie, hôpital Tenon, AP-HP, Paris, France
| | - B Mastroianni
- Service de pneumologie, institut de cancérologie des hospices civils de Lyon, hôpital Louis-Pradel, Bron, France
| | - C Dubos-Arvis
- UCP d'oncologie thoracique, centre de lutte contre le cancer François-Baclesse, Caen, France
| | - P Dumont
- Service de pneumologie, centre hospitalier de Chauny, Chauny, France
| | - I Monnet
- OncoThoParisEst, service de pneumologie, CHI de Créteil, UPEC, Créteil, France
| | - E Pichon
- Service de pneumologie, hôpital Bretonneau, CHRU de Tours, Tours, France
| | - M Locatelli-Sanchez
- Service de pneumologie aiguë spécialisée et cancérologie thoracique, hôpital Lyon Sud, institut de cancérologie des hospices civils de Lyon, Pierre-Bénite, France
| | - A Dixmier
- Service de pneumologie et oncologie thoracique, centre hospitalier régional d'Orléans, Orléans, France
| | - B Coudert
- Oncologie médicale, centre G.F.-Leclerc, Dijon, France
| | - S Fraboulet
- Service de pneumologie, hôpital Foch, Suresnes, France
| | - P Foucher
- Fédération d'oncologie thoracique, hôpital du Bocage, CHU Dijon-Bourgogne, Dijon, France
| | - E Dansin
- Département de cancérologie générale, centre Oscar-Lambret, Lille, France
| | - N Baize
- Unité transversale de thérapeutiques innovantes en oncologie médicale (UTTIOM), CHU d'Angers, Angers, France
| | - M Vincent
- Service de pneumologie et cancérologie thoracique, centre hospitalier Saint-Joseph et Saint-Luc, Lyon, et Minapath Développement Insavalor, Villeurbanne, France
| | - P Missy
- Intergroupe francophone de cancérologie thoracique (IFCT), Paris, France
| | - F Morin
- Intergroupe francophone de cancérologie thoracique (IFCT), Paris, France
| | - D Moro-Sibilot
- Intergroupe francophone de cancérologie thoracique (IFCT), Paris, France; Clinique de pneumologie et oncologie thoracique, CHU Grenoble-Alpes, La Tronche, France
| | - S Couraud
- Service de pneumologie aiguë spécialisée et cancérologie thoracique, hôpital Lyon Sud, institut de cancérologie des hospices civils de Lyon, Pierre-Bénite, France; EMR 3738 ciblage thérapeutique en oncologie, faculté de médecine Lyon Sud, université Lyon 1, Oullins, France.
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Hopkins SA, Athauda P, Halliday A, Honney K, Jakupaj A, Kaneshamoorthy M, Mark H, Pampali C, Van der Poel L, Ondhia D, Balogun A, Vincent M, Fritz Z, Barclay S. 91 To What Extent are Patients’ Future Care Preferences Shared Between Secondary and Primary Care? A Retrospective Chart Review. Age Ageing 2020. [DOI: 10.1093/ageing/afz194.02] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
When a doctor is informed of a patient’s future care preferences if they were to lose capacity, there is an ethical and legal obligation to share this information with the treating medical team. In frail older patients, conversations about treatment preferences often occur during hospital admission. We sought to assess the communication of these preferences to the patient’s GP.
Methods
Retrospective chart review of consecutive discharges from acute geriatric wards across seven hospitals. Records were excluded if the patient was admitted for less than 48 hours, was under orthogeriatric care, or died in hospital.
Results
339 notes were included, 41-50 from each hospital. GPs were informed of the resuscitation status of 28% of all patients. 52% of patients had an inpatient DNACPR, the GP was informed of 54% of these. 36% of patients had an inpatient ceiling of treatment documented, of which GPs were informed of 19%. 53% of hospital DNACPRs were converted into community DNACPRs on discharge: GPs were informed of only 24% of new community DNACRPs. 47% of patients discharged with a new community DNACPR lacked capacity to be involved in that decision; for just 6% of these was the GP asked to review the DNACPR order in the community. Inpatient Advance Care Planning (ACP) discussions were held for 9% of patients, of which the GP was informed in 59% of cases. 49% of ACP conversations involved the next-of-kin but not the patient. Among patients who had a new DNACPR decision made during their admission (n=124), there was documentary evidence in only 25% that the patient or next-of-kin was informed whether this was time-limited or indefinite.
Conclusions
Communication from hospitals to GPs about resuscitation, ceiling of care and ACP discussions is very limited. For patients who have expressed ongoing future care preferences, there is a legal obligation to share this information with the treating medical team, which on discharge is the GP.
There is poor documentary evidence of discussions with patients about whether DNACPR decisions are time-limited or indefinite. Furthermore, many hospitalised frail patients lack capacity to make DNACPR decisions but they may subsequently regain capacity, particularly those with delirium. Despite this, GPs are rarely asked to review new community DNACPRs, including those made for patients without capacity.
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Affiliation(s)
- S A Hopkins
- Department of Public Health and Primary Care, University of Cambridge
| | | | | | - K Honney
- Queen Elizabeth Hospital, Kings Lynn
| | | | | | - H Mark
- North West Anglia Foundation Trust
| | | | | | - D Ondhia
- Queen Elizabeth Hospital, Kings Lynn
| | - A Balogun
- Queen Elizabeth Hospital, Kings Lynn
| | - M Vincent
- Queen Elizabeth Hospital, Kings Lynn
| | - Z Fritz
- Cambridge University Hospitals
| | - S Barclay
- Department of Public Health and Primary Care, University of Cambridge
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21
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Simon A, Othman N, Boissonnat G, Lazaro D, Garcia-Hernandez J, Berteloot L, Grevent D, Geryes BH, Gempp S, Desrousseaux J, Bigand E, Benkreira M, Vincent M, Capdeville S, Nigoul J, Farman B, Garnier E, Nomikossoff N. 56 Development and association of new metrics of dose and image quality for comparing and optimizing protocols in CT imaging. Phys Med 2019. [DOI: 10.1016/j.ejmp.2019.09.137] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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22
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Al-Sharqi A, Apun K, Vincent M, Kanakaraju D, Bilung LM, Sum MSH. Investigation of the antibacterial activity of Ag-NPs conjugated with a specific antibody against Staphylococcus aureus after photoactivation. J Appl Microbiol 2019; 128:102-115. [PMID: 31596989 DOI: 10.1111/jam.14471] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [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: 05/04/2019] [Revised: 09/11/2019] [Accepted: 09/26/2019] [Indexed: 11/26/2022]
Abstract
AIM This work reports a new method for the use of lasers for the selective killing of bacteria targeted using light-absorbing Silver nanoparticles (Ag-NPs) conjugated with a specific antibody against the Gram-positive bacterium Staphylococcus aureus (S. aureus). METHODS AND RESULTS Ag-NPs were synthesized using a chemical reduction method and characterized with respect to their surface plasmon resonance, surface morphology via transmission electron microscopy (TEM) and dynamic light scattering (DLS). The bacterial surface was targeted using 20 nm Ag-NPs conjugated with an anti-protein A antibody. Labelled bacteria were irradiated with blue visible laser at 2·04 W/cm2 . The antibacterial activity of functionalized Ag-NPs was investigated by fluorescence microscopy after irradiation, and morphological changes in S. aureus after laser treatment were assessed using scanning electron microscopy (SEM). The laser-irradiated, functionalized Ag-NPs exhibited significant bactericidal activity, and laser-induced bacterial damage was observed after 10 min of laser irradiation against S. aureus. The fluorescence microscopic analysis results supported that bacterial cell death occurred in the presence of the functionalized Ag-NPs. CONCLUSIONS The results of this study suggest that a novel method for the preparation of functionalized nanoparticles has potential as a potent antibacterial agent for the selective killing of resistant disease-causing bacteria. SIGNIFICANCE AND IMPACT OF THE STUDY This study shows that Ag-NPs functionalized with a specific antibody, could be used in combination with laser radiation as a novel treatment to target resistant bacterial and fungal pathogens with minimal impact on normal microflora.
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Affiliation(s)
- A Al-Sharqi
- Faculty of Resource Science and Technology, University Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysia
| | - K Apun
- Faculty of Resource Science and Technology, University Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysia
| | - M Vincent
- Faculty of Resource Science and Technology, University Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysia
| | - D Kanakaraju
- Faculty of Resource Science and Technology, University Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysia
| | | | - M S H Sum
- Institute of Health & Community Medicine, University Malaysia Sarawak, 94300, Kota Samarahan, Sarawak, Malaysia
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23
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Younus J, Raphael J, Blanchette P, Khan F, Sharma V, Black M, Vincent M, Kuruvilla S, Sanatani M. MA14.11 CareTrack: An Application-Based Method of Documentation for Improving Patient Communication in Cancer Care. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.618] [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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24
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Abstract
Gemcitabine is a chemotherapeutic agent used in a wide variety of solid tumours. Known side effects include a dose-limiting myelosuppressive toxicity, mild rash, and radiation-dependent dermatitis. Rarely, localized inflammation in the form of pseudocellulitis has also been observed. We present the case of a 77-year-old woman with a history of a Whipple procedure for pancreatic adenocarcinoma who presented to the emergency department after the start of gemcitabine therapy with increased erythema, swelling, and tenderness in her lower legs. Relevant past medical history included peripheral vascular disease, dyslipidemia, and hypertension. A diagnosis of gemcitabine-induced pseudocellulitis aggravated by venous stasis was confirmed after an extensive workup. This case report and the literature review describe this rare reaction, highlighting the need for increased recognition to avoid unnecessary therapeutic intervention.
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Affiliation(s)
- H Bami
- Schulich School of Medicine and Dentistry, London Regional Cancer Program, London, ON
| | - C Goodman
- Schulich School of Medicine and Dentistry, London Regional Cancer Program, London, ON.,Department of Medical Oncology, London Regional Cancer Program, London, ON
| | - G Boldt
- Department of Medical Oncology, London Regional Cancer Program, London, ON
| | - M Vincent
- Schulich School of Medicine and Dentistry, London Regional Cancer Program, London, ON.,Department of Medical Oncology, London Regional Cancer Program, London, ON
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25
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Yu E, Allan A, Sanatani M, Lewis D, Warner A, Dar A, Yaremko B, Bierer J, Lowes L, Palma D, Vincent M, Rodrigues G, Fortin D, Inculet R, Frechette E, Law J, Raphael J, Younus J, Malthaner R. Circulating Tumor Cells Predict Outcome in Trimodality Management of Advanced Non-Metastatic Esophageal Cancer: A Pre-planned Correlative Study from a Randomized Trial. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.2038] [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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26
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Simon L, Vincent M, Le Saux S, Lapinte V, Marcotte N, Morille M, Dorandeu C, Devoisselle JM, Bégu S. Polyoxazolines based mixed micelles as PEG free formulations for an effective quercetin antioxidant topical delivery. Int J Pharm 2019; 570:118516. [PMID: 31319148 DOI: 10.1016/j.ijpharm.2019.118516] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [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: 04/26/2019] [Revised: 07/09/2019] [Accepted: 07/10/2019] [Indexed: 12/13/2022]
Abstract
This study aims to prove the value of the polyoxazolines polymer family as surfactant in formulations for topical application and as an alternative to PEG overuse. The amphiphilic polyoxazolines (POx) were demonstrated to have less impact on cell viability of mice fibroblasts (NIH3T3) than their PEG counterparts. Mixed micelles, made of POx and phosphatidylcholine, were manufactured using thin film and high pressure homogenizer process. The mixed micelles were optimized to produce nanosized vesicles of about 20 nm with a spherical shape and stable over 28 days. The natural lipophilic antioxidant, quercetin, was successfully encapsulated (encapsulation efficiency 94 ± 4% and drug loading 3.6 ± 0.2%) in the mixed micelles with no morphological variation. Once loaded in the formulation, the quercetin impact on cell viability of NIH3T3 was decreased while its antioxidant activity remained unchanged. This work highlights the capacity of amphiphilic POx to create, in association with phospholipids, stable nanoformulations which show promise for topical delivery of antioxidant and ensure skin protection against oxidative stress.
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Affiliation(s)
- L Simon
- ICGM, Montpellier University, CNRS, ENSCM, Montpellier, France
| | - M Vincent
- ICGM, Montpellier University, CNRS, ENSCM, Montpellier, France
| | - S Le Saux
- ICGM, Montpellier University, CNRS, ENSCM, Montpellier, France
| | - V Lapinte
- ICGM, Montpellier University, CNRS, ENSCM, Montpellier, France
| | - N Marcotte
- ICGM, Montpellier University, CNRS, ENSCM, Montpellier, France
| | - M Morille
- ICGM, Montpellier University, CNRS, ENSCM, Montpellier, France
| | - C Dorandeu
- ICGM, Montpellier University, CNRS, ENSCM, Montpellier, France
| | - J M Devoisselle
- ICGM, Montpellier University, CNRS, ENSCM, Montpellier, France
| | - S Bégu
- ICGM, Montpellier University, CNRS, ENSCM, Montpellier, France
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27
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Verrier F, Etienne A, Vincent M, Vilain P, Hassani Y, Menudier L. Épidémie de dengue : exhaustivité de la surveillance des cas hospitalisés. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.273] [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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28
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Vincent M, Vilain P, Thébault H, Jaffar-Bandjee M, Menudier L. Surveillance de la dengue : évolution des dispositifs en contexte épidémique. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.101] [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: 10/26/2022]
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29
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Guttman-Yassky E, Pavel A, Page K, Diaz A, Banerjee A, King B, Zhang W, Zhu L, Banfield C, Cox L, Vincent M, Dowty M, Peeva E. 544 Alopecia areata lesions show significant changes in immune and keratin biomarkers that correlate with clinical improvement with oral Janus kinase inhibitors PF-06651600 (JAK3) and PF-06700841 (TYK2/JAK1). J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.03.620] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [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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30
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Ko YJ, Abdelsalam M, Kavan P, Lim H, Tang PA, Vincent M, Wong R, Kish M, Gill S. What is a clinically meaningful survival benefit in refractory metastatic colorectal cancer? ACTA ACUST UNITED AC 2019; 26:e255-e259. [PMID: 31043834 DOI: 10.3747/co.26.4753] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Assessment of the clinical benefit of cancer treatments can be highly subjective, influenced by both perspective and context. Such assessments are required in regulatory and policy decision-making, but consistency between jurisdictions is often lacking. Clear and consistent standards for determining when a treatment offers a meaningful benefit, relative to the current standard of care, can help to address issues of equity and transparency in health technology assessment. For metastatic colorectal cancer (mcrc), no standardized Canadian definition of clinically meaningful benefit has yet been proposed. Colorectal Cancer Canada therefore convened a group of medical oncologists expert in colorectal cancer to review the literature about clinical significance. The resulting consensus is intended to apply to any therapeutic agent being considered in the setting of chemotherapy-refractory mcrc. It was agreed that overall survival is the appropriate measure of clinical efficacy in chemorefractory mcrc. As quantitative targets for efficacy, an improvement of 2 months or more in median overall survival or a hazard ratio for survival of 0.75 or lower (or both) are proposed as the threshold for clinically meaningful benefit. That threshold could be influenced by a treatment's effect on quality of life. Treatment toxicity is also relevant to the assessment of clinical benefit in this setting, specifically when significant differences in treatment tolerability are evident.
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Affiliation(s)
- Y J Ko
- Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON
| | - M Abdelsalam
- Division of Medical Oncology, Department of Medicine, Dalhousie University, Halifax, NS
| | - P Kavan
- Department of Oncology, McGill University, Montreal, QC
| | - H Lim
- Division of Medical Oncology, Faculty of Medicine, University of British Columbia, Vancouver, BC
| | - P A Tang
- Department of Oncology, Tom Baker Cancer Centre, Cumming School of Medicine, University of Calgary, Calgary, AB
| | - M Vincent
- Division of Medical Oncology, London Regional Cancer Program, London, ON
| | - R Wong
- CancerCare Manitoba, Department of Hemato-Oncology, University of Manitoba, Winnipeg, MB
| | - M Kish
- Department of Pharmacology and Toxicology, University of Toronto, Toronto, ON
| | - S Gill
- BC Cancer, University of British Columbia, Vancouver, BC
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31
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Simon J, Maingon P, Francois E, Labib E, Vincent M, Alain N, Mihaï L, Christian M, Didier P. 1PV-0251 Inuit radiotherapy utilization: a multinational study of low-income regions in highincome countries. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30671-1] [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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32
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Sardo L, Daldoul W, Vincent M, Toulorge T. Simulations of Heat Transfer in Thermoplastic Injection Molds Manufactured by Additive Techniques. INT POLYM PROC 2019. [DOI: 10.3139/217.3594] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
AbstractThe cost and quality of complex thermoplastic parts manufactured by injection are traditionally limited by the design constraints on the mold cooling system. A possible way to overcome this problem is to produce the mold by additive manufacturing, which makes it possible to freely design the shape and position of the cooling channels. Such molds can have hollow spaces in order to reduce the manufacturing time by Selective Laser Melting and the use of costly materials. The complex geometry resulting from optimized cooling channels and hollow regions makes the prediction of the cooling system performance difficult. This work aims to devise a numerical methodology for the simulation of heat transfer phenomena between the polymer, the mold and the cooling channels. An Immersed Volume approach is chosen, where the different parts of the domain (i.e. the polymer, the cooling channels, the hollow regions and the mold) are represented implicitly and the thermo-mechanical properties of the materials vary smoothly at the interface between the parts. The energy and momentum equations are solved by a stabilized Finite Element method. In order to accurately resolve the large variations of material properties and the steep temperature gradients at interfaces, state-of-the art anisotropic mesh refinement techniques are employed. In a first step, we perform thermal calculations only. We then consider the proper thermo-mechanical coupling in the packing stage, as well as the ejection stage and the thermal contact resistance between the polymer part and the mold, in order to weight their influence on the part and the mold temperatures. The modeling strategy is first validated on a simple geometry of a center-gated disk and compared with experimental measurements. The agreement between the experimental results and the simulation is good. Simulations are then performed on an industrial case which illustrates the ability of the method to deal with complex geometries.
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Affiliation(s)
- L. Sardo
- 1Center for Material Forming (CEMEF), MINES ParisTech, PSL Research University, Sophia-Antipolis, France
| | - W. Daldoul
- 1Center for Material Forming (CEMEF), MINES ParisTech, PSL Research University, Sophia-Antipolis, France
| | - M. Vincent
- 1Center for Material Forming (CEMEF), MINES ParisTech, PSL Research University, Sophia-Antipolis, France
| | - T. Toulorge
- 1Center for Material Forming (CEMEF), MINES ParisTech, PSL Research University, Sophia-Antipolis, France
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33
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Frindte J, Ataseven B, Harter P, Göke G, Podkowinkski J, Vogt C, Bluni V, Vincent M, Traut A, Heitz F, Kümmel S, Prader S, Bommert M, Schneider S, du Bois A. Change of patient perceptions of chemotherapy side effects in breast and ovarian cancer patients. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- J Frindte
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
| | - B Ataseven
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
| | - P Harter
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
| | - G Göke
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
| | - J Podkowinkski
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
| | - C Vogt
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
| | - V Bluni
- Kliniken Essen Mitte, Senologie/Interdisziplinäres Brustzentrum, Essen, Deutschland
| | - M Vincent
- Kliniken Essen Mitte, Senologie/Interdisziplinäres Brustzentrum, Essen, Deutschland
| | - A Traut
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
| | - F Heitz
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
| | - S Kümmel
- Kliniken Essen Mitte, Senologie/Interdisziplinäres Brustzentrum, Essen, Deutschland
| | - S Prader
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
| | - M Bommert
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
| | - S Schneider
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
| | - A du Bois
- Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie, Essen, Deutschland
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34
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Melosky B, Cheema P, Agulnik J, Albadine R, Bebb DG, Blais N, Burkes R, Butts C, Card PB, Chan AMY, Hirsh V, Ionescu DN, Juergens R, Morzycki W, Poonja Z, Sangha R, Tehfe M, Tsao MS, Vincent M, Xu Z, Liu G. Canadian perspectives: update on inhibition of ALK-positive tumours in advanced non-small-cell lung cancer. Curr Oncol 2018; 25:317-328. [PMID: 30464681 PMCID: PMC6209554 DOI: 10.3747/co.25.4379] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [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] [Indexed: 12/12/2022] Open
Abstract
Background Inhibition of the anaplastic lymphoma kinase (alk) oncogenic driver in advanced non-small-cell lung carcinoma (nsclc) improves survival. In 2015, Canadian thoracic oncology specialists published a consensus guideline about the identification and treatment of ALK-positive patients, recommending use of the alk inhibitor crizotinib in the first line. New scientific literature warrants a consensus update. Methods Clinical trials of alk inhibitor were reviewed to assess benefits, risks, and implications relative to current Canadian guidance in patients with ALK-positive nsclc. Results Randomized phase iii trials have demonstrated clinical benefit for single-agent alectinib and ceritinib used in treatment-naïve patients and as second-line therapy after crizotinib. Phase ii trials have demonstrated activity for single-agent brigatinib and lorlatinib in further lines of therapy. Improved responses in brain metastases were observed for all second- and next/third-generation alk tyrosine kinase inhibitors in patients progressing on crizotinib. Canadian recommendations are therefore revised as follows:■ Patients with advanced nonsquamous nsclc have to be tested for the presence of an ALK rearrangement.■ Treatment-naïve patients with ALK-positive disease should initially be offered single-agent alectinib or ceritinib, or both sequentially.■ Crizotinib-refractory patients should be treated with single-agent alectinib or ceritinib, or both sequentially.■ Further treatments could include single-agent brigatinib or lorlatinib, or both sequentially.■ Patients progressing on alk tyrosine kinase inhibitors should be considered for pemetrexed-based chemotherapy.■ Other systemic therapies should be exhausted before immunotherapy is considered. Summary Multiple lines of alk inhibition are now recommended for patients with advanced nsclc with an ALK rearrangement.
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Affiliation(s)
- B Melosky
- BC Cancer-Vancouver Centre, Vancouver, BC
| | - P Cheema
- William Osler Health System, University of Toronto, Brampton, ON
| | - J Agulnik
- Sir Mortimer B. Davis Jewish General Hospital, McGill University, Montreal, QC
| | - R Albadine
- Centre hospitalier de l'Université de Montréal, Montreal, QC
| | - D G Bebb
- Tom Baker Cancer Centre and University of Calgary, Calgary, AB
| | - N Blais
- Centre hospitalier de l'Université de Montréal, Montreal, QC
| | - R Burkes
- Mount Sinai Hospital, Toronto, ON
| | - C Butts
- Cross Cancer Institute and University of Alberta, Edmonton, AB
| | - P B Card
- Kaleidoscope Strategic, Inc., Toronto, ON
| | - A M Y Chan
- Tom Baker Cancer Centre and University of Calgary, Calgary, AB
| | - V Hirsh
- Royal Victoria Hospital, McGill University Health Centre, Montreal, QC
| | | | - R Juergens
- Juravinski Cancer Centre, McMaster University, Hamilton, ON
| | - W Morzycki
- qeii Health Sciences Centre, Halifax, NS
| | - Z Poonja
- BC Cancer-Vancouver Island Center, Victoria, BC
| | - R Sangha
- Cross Cancer Institute and University of Alberta, Edmonton, AB
| | - M Tehfe
- Centre hospitalier de l'Université de Montréal, Montreal, QC
| | - M S Tsao
- University Health Network, Princess Margaret Cancer Centre, Toronto, ON
| | - M Vincent
- University of Western Ontario, London, ON
| | - Z Xu
- qeii Health Sciences Centre, Halifax, NS
| | - G Liu
- University Health Network, Princess Margaret Cancer Centre, Toronto, ON
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Raphael J, Batra A, Boldt G, Shah P, Blanchette P, Rodrigues G, Vincent M. P3.04-19 Do Advanced Lung Cancer Patients Derive Similar Survival Benefits from Immunotherapy? A Systematic Review and Meta-Analysis. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.1726] [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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Socinski M, Özgüroğlu M, Villegas A, Daniel D, Vicente D, Murakami S, Hui R, Gray J, Park K, Vincent M, Perrone F, Poole L, Wadsworth C, Dennis P, Antonia S. P1.16-04 Outcomes of Patients <70 or ≥70 Years of Age in PACIFIC. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.973] [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] [Indexed: 01/02/2023]
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Vincent M, Corazza F, Chasseur C, Bladt S, Romano M, Huygen K, Denis O, Michel O. Relationship between mold exposure, specific IgE sensitization, and clinical asthma: A case-control study. Ann Allergy Asthma Immunol 2018; 121:333-339. [PMID: 29944956 DOI: 10.1016/j.anai.2018.06.016] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2018] [Revised: 06/13/2018] [Accepted: 06/18/2018] [Indexed: 12/20/2022]
Abstract
BACKGROUND Most of the findings related to the noxious effect of mold sensitization on asthma come from investigations based on Alternaria alternata, Cladosporium herbarum, and Aspergillus fumigatus. However, species such as Penicillium spp, Cladosporium sphaerospermum, Cladosporium cladosporioides, or Aspergillus versicolor display a more pronounced indoor tropism, and their potential harmful respiratory effects cannot be neglected. OBJECTIVE The goal of this work was to relate mold sensitizations with asthma severity and with the level of indoor mold contamination among mold-sensitized patients with asthma and nonsensitized patients with asthma. METHODS A case-control study was conducted and several asthma severity markers were compared between patients with asthma with and without mold sensitization. Indoor contamination of patients' dwellings was also investigated. RESULTS Our findings confirmed the association between sensitization to A fumigatus and severity for patients with asthma in contrast with sensitization to other species. Indoor mold contamination was detected in approximately 90% of dwellings. Overall mold exposure was not associated with asthma severity. However, regardless of the sensitization, exposure to A fumigatus and Penicillium spp in dust was linked to an increased risk of severe asthma. CONCLUSION The harmful nature of mold sensitization and mold exposure for patients with asthma was not confirmed in this study. However, sensitization to A fumigatus was associated with an increased risk for severe asthma. A better investigation of the properties of Penicillium spp is recommended because its exposure was found to be associated with a more pronounced impairment of lung function.
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Affiliation(s)
- Muriel Vincent
- Program Allergology, Scientific Service Immunology, WIV-ISP (site Uccle), Brussels, Belgium.
| | - Francis Corazza
- Laboratory of Immunology and of Translational Research, CHU Brugmann (Université Libre de Bruxelles-ULB), Brussels, Belgium
| | - Camille Chasseur
- Program Health and Environment, Scientific Service Food, drugs and consumers security, WIV-ISP (site Ixelles), Brussels, Belgium
| | | | - Marta Romano
- Program Host-Pathogen Interaction, Scientific Service Immunology, WIV-ISP (site Uccle), Brussels, Belgium
| | - Kris Huygen
- Program Allergology, Scientific Service Immunology, WIV-ISP (site Uccle), Brussels, Belgium; Program Host-Pathogen Interaction, Scientific Service Immunology, WIV-ISP (site Uccle), Brussels, Belgium
| | - Olivier Denis
- Program Allergology, Scientific Service Immunology, WIV-ISP (site Uccle), Brussels, Belgium
| | - Olivier Michel
- Clinic of Immunology and Allergology, CHU Brugmann (Université Libre de Bruxelles-ULB), Brussels, Belgium
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Hondros V, Vincent M, Freire L, Boyer SAE, Haudin JM, Royer V, François G, Ville L. Analysis of the No-Flow Criterion Based on Accurate Crystallization Data for the Simulation of Injection Molding of Semi-Crystalline Thermoplastics. INT POLYM PROC 2018. [DOI: 10.3139/217.3593] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Abstract
It is well known in practice that the shape and dimensions of injected parts are highly dependent on the packing-holding stage. A major problem in semi-crystalline polymers is the prediction of the solidified layer, whose thickness has an important effect on shrinkage and warpage. We propose a pragmatic approach based on the concept of no-flow temperature. This temperature should be related to crystallization temperature, but the choice is not easy because it depends on cooling rate and pressure which are functions of time and position. The objective of the work is to evaluate the sensitivity of an injection molding computation to the no-flow temperature and to evaluate the relevance of its choice. The crystallization temperature of an isotactic polypropylene is determined as a function of cooling rate and pressure in laboratory experiments. The pressure dependence is measured using the original Cristapress cell. As a case study, we simulate the filling and post-filling of a plate mold using Rem3D, a 3D code for injection molding. Three no-flow temperatures and two sets of parameters for temperature dependence of viscosity are tested. Their respective influences on the pressure evolution are shown, and the crystallization temperature calculated a posteriori using the experimental material data is compared to the “arbitrary” no-flow temperature.
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Affiliation(s)
- V. Hondros
- MINES ParisTech , PSL Research University, CEMEF, CNRS, Sophia Antipolis , France
| | - M. Vincent
- MINES ParisTech , PSL Research University, CEMEF, CNRS, Sophia Antipolis , France
| | - L. Freire
- MINES ParisTech , PSL Research University, CEMEF, CNRS, Sophia Antipolis , France
| | - S. A. E. Boyer
- MINES ParisTech , PSL Research University, CEMEF, CNRS, Sophia Antipolis , France
| | - J.-M. Haudin
- MINES ParisTech , PSL Research University, CEMEF, CNRS, Sophia Antipolis , France
| | - V. Royer
- Transvalor S. A. , Sophia Antipolis , France
| | - G. François
- Transvalor S. A. , Sophia Antipolis , France
| | - L. Ville
- Transvalor S. A. , Sophia Antipolis , France
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Mohammadi H, Vincent M, Marand H. Investigating the equilibrium melting temperature of linear polyethylene using the non-linear Hoffman-Weeks approach. POLYMER 2018. [DOI: 10.1016/j.polymer.2018.05.049] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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40
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Cavalin C, Ballerie A, Lescoat A, Macchi O, Catinon M, Chemarin C, Olivier M, Semerano L, Vincent M, Boissier M, Jego P, Rosental P. Analyse sociodémographique des expositions à des particules inorganiques dans la sclérodermie systémique et la polyarthrite rhumatoïde : une enquête en population générale (n= 2911) croisée avec le suivi de patients en CHU. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.280] [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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41
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Gooderham M, Forman S, Bissonnette R, Beebe J, Zhang W, Banfield C, Zhu L, Papacharalambus J, Vincent M, Peeva E. 554 The Janus kinase 1 (JAK1) inhibitor PF-04965842 reduces signs and symptoms of moderate to severe atopic dermatitis (AD). J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.562] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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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42
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Raphael J, Vincent M, Boldt G, Shah P, Rodrigues G, Blanchette P. 133PD Adjuvant epidermal growth factor receptor tyrosine kinase inhibitors (EGFR TKIs) for non-small cell lung cancer (NSCLC): A systematic review and meta-analysis. J Thorac Oncol 2018. [DOI: 10.1016/s1556-0864(18)30408-8] [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: 10/17/2022]
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43
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Vincent M, Duval RE, Hartemann P, Engels-Deutsch M. Contact killing and antimicrobial properties of copper. J Appl Microbiol 2018; 124:1032-1046. [PMID: 29280540 DOI: 10.1111/jam.13681] [Citation(s) in RCA: 249] [Impact Index Per Article: 41.5] [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: 09/17/2017] [Revised: 12/06/2017] [Accepted: 12/20/2017] [Indexed: 12/15/2022]
Abstract
With the emergence of antibiotic resistance, the interest for antimicrobial agents has recently increased again in public health. Copper was recognized in 2008 by the United States Environmental Protection Agency (EPA) as the first metallic antimicrobial agent. This led to many investigations of the various properties of copper as an antibacterial, antifungal and antiviral agent. This review summarizes the latest findings about 'contact killing', the mechanism of action of copper nanoparticles and the different ways micro-organisms develop resistance to copper.
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Affiliation(s)
- M Vincent
- CNRS, LEMTA, UMR 7563, Vandœuvre-lès-Nancy, France.,Université de Lorraine, LEMTA, UMR 7563, Vandœuvre-lès Nancy, France
| | - R E Duval
- CNRS, UMR 7565, SRSMC, Vandœuvre-lès-Nancy, France.,Université de Lorraine, UMR 7565, SRSMC, Nancy, France.,ABC Platform®, Nancy, France
| | - P Hartemann
- Faculté de Médecine, EA 7298, ERAMBO, DESP, Vandœuvre-lès-Nancy, France
| | - M Engels-Deutsch
- CNRS, LEMTA, UMR 7563, Vandœuvre-lès-Nancy, France.,Université de Lorraine, LEMTA, UMR 7563, Vandœuvre-lès Nancy, France.,Faculté de Médecine, EA 7298, ERAMBO, DESP, Vandœuvre-lès-Nancy, France
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44
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Catinon M, Busser B, Thivolet F, Kambouchner M, Bernaudin J, Freynet O, Valeyre D, Cavalin C, Rosental P, Sfarghiu A, Arbib F, Pison C, Bonneterre V, Motto-Ros V, Vincent M. Analyse minéralogique par microscopie électronique et par Laser Induced Breakdown Spectroscopy (LIBS) chez deux patients atteints de sarcoïdose issus de l’étude MINASARC. Rev Mal Respir 2018. [DOI: 10.1016/j.rmr.2017.10.268] [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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45
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Cavalin C, Lescoat A, Ballerie A, Macchi O, Catinon M, Chemarin C, Olivier M, Jego P, Vincent M, Rosental P. ELIPSSilice : une enquête en population générale pour explorer le rôle possible des expositions aux particules inorganiques dans la survenue de maladies systémiques. Rev Med Interne 2017. [DOI: 10.1016/j.revmed.2017.10.319] [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: 11/15/2022]
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46
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Baux D, Vaché C, Blanchet C, Willems M, Baudoin C, Moclyn M, Faugère V, Touraine R, Isidor B, Dupin-Deguine D, Nizon M, Vincent M, Mercier S, Calais C, García-García G, Azher Z, Lambert L, Perdomo-Trujillo Y, Giuliano F, Claustres M, Koenig M, Mondain M, Roux AF. Combined genetic approaches yield a 48% diagnostic rate in a large cohort of French hearing-impaired patients. Sci Rep 2017; 7:16783. [PMID: 29196752 PMCID: PMC5711943 DOI: 10.1038/s41598-017-16846-9] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [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: 09/12/2017] [Accepted: 11/17/2017] [Indexed: 11/22/2022] Open
Abstract
Hearing loss is the most common sensory disorder and because of its high genetic heterogeneity, implementation of Massively Parallel Sequencing (MPS) in diagnostic laboratories is greatly improving the possibilities of offering optimal care to patients. We present the results of a two-year period of molecular diagnosis that included 207 French families referred for non-syndromic hearing loss. Our multi-step strategy involved (i) DFNB1 locus analysis, (ii) MPS of 74 genes, and (iii) additional approaches including Copy Number Variations, in silico analyses, minigene studies coupled when appropriate with complete gene sequencing, and a specific assay for STRC. This comprehensive screening yielded an overall diagnostic rate of 48%, equally distributed between DFNB1 (24%) and the other genes (24%). Pathogenic genotypes were identified in 19 different genes, with a high prevalence of GJB2, STRC, MYO15A, OTOF, TMC1, MYO7A and USH2A. Involvement of an Usher gene was reported in 16% of the genotyped cohort. Four de novo variants were identified. This study highlights the need to develop several molecular approaches for efficient molecular diagnosis of hearing loss, as this is crucial for genetic counselling, audiological rehabilitation and the detection of syndromic forms.
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Affiliation(s)
- D Baux
- Laboratoire de Génétique Moléculaire, CHU Montpellier, Montpellier, France
| | - C Vaché
- Laboratoire de Génétique Moléculaire, CHU Montpellier, Montpellier, France
| | - C Blanchet
- Service ORL, CHU Montpellier, Montpellier, France.,Centre National de Référence Maladies Rares "Affections Sensorielles Génétiques", CHU Montpellier, Montpellier, France
| | - M Willems
- Génétique Médicale, CHU Montpellier, Montpellier, France
| | - C Baudoin
- Laboratoire de Génétique Moléculaire, CHU Montpellier, Montpellier, France
| | - M Moclyn
- Laboratoire de Génétique Moléculaire, CHU Montpellier, Montpellier, France
| | - V Faugère
- Laboratoire de Génétique Moléculaire, CHU Montpellier, Montpellier, France
| | - R Touraine
- Service de Génétique, CHU-Hôpital Nord, Saint-Etienne, France
| | - B Isidor
- Service de Génétique Médicale, CHU Nantes, Nantes, France
| | - D Dupin-Deguine
- Service de Génétique Médicale, CHU Toulouse, Toulouse, France.,Service d'ORL, Otoneurologie et ORL pédiatrique CHU Toulouse, Toulouse, France
| | - M Nizon
- Service de Génétique Médicale, CHU Nantes, Nantes, France
| | - M Vincent
- Service de Génétique Médicale, CHU Nantes, Nantes, France
| | - S Mercier
- Service de Génétique Médicale, CHU Nantes, Nantes, France
| | - C Calais
- Service d'ORL, CHU Nantes, Nantes, France
| | - G García-García
- Laboratoire de Génétique de Maladies Rares (LGMR) EA7402, Université de Montpellier, Montpellier, France
| | - Z Azher
- Laboratoire de Génétique de Maladies Rares (LGMR) EA7402, Université de Montpellier, Montpellier, France
| | - L Lambert
- Génétique Médicale, Centre de Compétence des Surdités Génétiques, site constitutif du Centre de Référence des Anomalies du Développement et Syndromes Malformatifs de l'Est, CHRU Nancy, Nancy, France
| | - Y Perdomo-Trujillo
- Service de Génétique Médicale, Centre de Référence pour les Affections Rares en Génétique Ophtalmologique (CARGO), Hôpital Civil, Strasbourg, France
| | - F Giuliano
- Service de Génétique Médicale, CHU Nice, Nice, France
| | - M Claustres
- Laboratoire de Génétique Moléculaire, CHU Montpellier, Montpellier, France.,Laboratoire de Génétique de Maladies Rares (LGMR) EA7402, Université de Montpellier, Montpellier, France
| | - M Koenig
- Laboratoire de Génétique Moléculaire, CHU Montpellier, Montpellier, France.,Laboratoire de Génétique de Maladies Rares (LGMR) EA7402, Université de Montpellier, Montpellier, France
| | - M Mondain
- Service ORL, CHU Montpellier, Montpellier, France.,Centre National de Référence Maladies Rares "Affections Sensorielles Génétiques", CHU Montpellier, Montpellier, France
| | - A F Roux
- Laboratoire de Génétique Moléculaire, CHU Montpellier, Montpellier, France. .,Laboratoire de Génétique de Maladies Rares (LGMR) EA7402, Université de Montpellier, Montpellier, France.
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Wu J, Egeberg A, Solomon J, Osuntokun O, Goldblum O, Moriarty S, Zhao F, Korman N, Vincent M. 396 Ixekizumab treatment shows a neutral impact on the glucose and lipid profile of patients with moderate-to-severe psoriasis: Results from UNCOVER-1,-2, and -3. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.07.591] [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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Labrosse R, Vincent M, Nguyen UP, Chartrand C, Di Liddo L, Pastore Y. Using a standardised protocol was effective in reducing hospitalisation and treatment use in children with newly diagnosed immune thrombocytopenia. Acta Paediatr 2017; 106:1617-1623. [PMID: 28370250 DOI: 10.1111/apa.13859] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2017] [Revised: 03/21/2017] [Accepted: 03/28/2017] [Indexed: 01/23/2023]
Abstract
AIM Childhood immune thrombocytopenia (ITP) has been associated with low bleeding rates and a high frequency of spontaneous remission. Although current guidelines suggest that most patients are just observed, children still receive platelet-enhancing therapies for fear of bleeding complications. We hypothesised that a standardised protocol with a step-down approach would reduce hospitalisation and treatment use. METHOD A retrospective chart review was performed on patients diagnosed with acute ITP between January 2010 and December 2014, before (n = 54) and after (n = 37) the standardised protocol, which was introduced in January 2013. Management and events during the first 3 months following diagnosis were recorded. RESULTS The protocol resulted in a 34% decrease in the hospitalisation rate (p < 0.001) at diagnosis. Prednisone treatment duration at diagnosis was also significantly reduced (13.1 versus 5.8 days, p = 0.004). Children over 3 years of age were 3.8 times less likely to be hospitalised (95% CI 1.94-7.61) and 2.3 times less likely to receive treatment (95% CI 1.2-4.3). There was no difference in the rate of persistent ITP (38% versus 30%, p = 0.43) or serious bleeding complications (7% versus 5%, p = 0.70). CONCLUSION Our ITP management protocol significantly reduced hospitalisation rates and length of prednisone treatment without any increase in disease complications.
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Affiliation(s)
- R Labrosse
- Division of Allergy & Clinical Immunology; Paediatric Department; CHU Sainte-Justine; University of Montreal; Montreal QC Canada
| | - M Vincent
- Division of General Paediatrics; Paediatric Department; CHU Sainte-Justine; University of Montreal; Montreal QC Canada
| | - U-P Nguyen
- Division of General Paediatrics; Paediatric Department; CHU Sainte-Justine; University of Montreal; Montreal QC Canada
| | - C Chartrand
- Division of General Paediatrics; Paediatric Department; CHU Sainte-Justine; University of Montreal; Montreal QC Canada
| | - L Di Liddo
- Division of Emergency; Paediatric Department; CHU Sainte-Justine; University of Montreal; Montreal QC Canada
| | - Y Pastore
- Division of Haematology & Oncology; Paediatric Department; CHU Sainte-Justine; University of Montreal; Montreal QC Canada
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Vincent M, Percier P, De Prins S, Huygen K, Potemberg G, Muraille E, Romano M, Michel O, Denis O. Investigation of inflammatory and allergic responses to common mold species: Results from in vitro experiments, from a mouse model of asthma, and from a group of asthmatic patients. Indoor Air 2017; 27:933-945. [PMID: 28370571 DOI: 10.1111/ina.12385] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2016] [Accepted: 03/25/2017] [Indexed: 06/07/2023]
Abstract
Most studies on molds focus on Alternaria alternata and Aspergillus fumigatus. Here, we report on inflammatory and allergenic properties of more typical indoor species Aspergillus versicolor, P. chrysogenum, C. cladosporioïdes, and C. sphaerospermum that were compared to A. alternata and A. fumigatus. In a mouse model, after intranasal instillation, A. alternaria, A. versicolor, and C. sphaerospermum induced the early recruitment of neutrophils and the strong expression of inflammatory markers in the bronchoalveolar lavages fluids. A. fumigatus also induced the early accumulation of neutrophils but with lower levels of inflammatory markers. Chronic treatment induced variable response according to species: P. chrysogenum and A. fumigatus appeared strong pro-allergenic inducers compared to A. alternata and C. sphaerospermum while A. versicolor and C. cladosporioides induced a mixed pro-allergenic/pro-inflammatory response. In mold-sensitized asthmatics, mold-specific Immunoglobulin E (IgE) were detected with an in-house dot-blot assay. A. fumigatus and A. alternata were the most frequent sensitizers. Altogether, P. chrysogenum, P. brevicompactum, C. sphaerospermum, and C. cladosporïoides were the "major sensitizer" (defined as the strongest response against a single mold species) for almost 30% of the asthmatics. These results show that, not only A. alternata and A. fumigatus, but also indoor species have strong inflammatory and allergic properties and a harmful potency.
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Affiliation(s)
- M Vincent
- Scientific Service Immunology, WIV-ISP, Bruxelles, Belgium
| | - P Percier
- Scientific Service Immunology, WIV-ISP, Bruxelles, Belgium
| | - S De Prins
- Scientific Service Immunology, WIV-ISP, Bruxelles, Belgium
| | - K Huygen
- Scientific Service Immunology, WIV-ISP, Bruxelles, Belgium
| | - G Potemberg
- Unité de Recherche en Biologie des Microorganismes, Laboratoire d'Immunologie et de Microbiologie, NARILIS, Université de Namur, Namur, Belgium
| | - E Muraille
- Unité de Recherche en Biologie des Microorganismes, Laboratoire d'Immunologie et de Microbiologie, NARILIS, Université de Namur, Namur, Belgium
- Laboratoire de Parasitologie, Faculté de Médecine, Université Libre de Bruxelles, Bruxelles, Belgium
| | - M Romano
- Scientific Service Immunology, WIV-ISP, Bruxelles, Belgium
| | - O Michel
- Clinic of Immunology and Allergology, CHU Brugmann, Université Libre de Bruxelles, Bruxelles, Belgium
| | - O Denis
- Scientific Service Immunology, WIV-ISP, Bruxelles, Belgium
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50
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Farley St-Amand B, DTrottier E, Autmizguine J, Tremblay S, Vincent M, Chevalier I, Gouin S. THE EFFICACY OF HIGH DOSE CEPHALEXIN IN THE OUTPATIENT MANAGEMENT OF MODERATE CELLULITIS FOR PEDIATRIC PATIENTS. Paediatr Child Health 2017. [DOI: 10.1093/pch/pxx086.086] [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: 11/13/2022] Open
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