45 research outputs found

    COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

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    Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≀ 18 years: 69, 48, 23; 85%), older adults (≄ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

    Engineering Dynamic Hydrogels For In Vitro Organoid Culture

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    Over the past decade, methods to culture stem cells in three dimensions have opened up a plethora of new opportunities for basic and translational research in the life sciences. In particular, the use of natural extracellular matrix (ECM) surrogates, such as mouse tumour-derived Matrigel, unleashed the possibility to recapitulate complex multicellular behaviours in vitro, culminating in the successful derivation of miniaturized organs, termed organoids. While organoids hold tremendous potential as model systems in basic biology, the translational potential of these systems is hampered by their strict dependency on animal-derived matrices that suffer from batch-to-batch variability, potential immunogenicity, and ethical concerns. Recent efforts in engineering covalently crosslinked synthetic hydrogels have attempted to substitute these ill-defined organoid culture systems. However, although these bio-artificial matrices have shown significant potential for 3D organoid culture, their stability and their inherent elastic nature hamper organoid development. Indeed, the native ECM, just like Matrigel, is a highly viscoelastic and dynamic 3D milieu that can relax in response to tissue-induced stress by breaking and subsequently rearranging its network, thus permitting cellular remodelling without compromising the macroscopic stability of the material over time. Therefore, there is a need to develop the next generation of synthetic organoid culture matrices, exhibiting in vivo-like stress-relaxation properties. This thesis provides a perspective on how chemically defined, bio-inspired hydrogels can be designed as potential replacements for native ECM-based matrices for 3D organoid culture. In contrast to traditional synthetic hydrogels that cannot accommodate the dynamic mechanical changes occurring during organoid development, four types of synthetic matrices were developed that are crosslinked, either fully or partially, through dynamic physical bonds. The introduction of such network dynamics is shown to facilitate key morphogenetic processes, such as tissue budding, that are normally absent in purely elastic networks. A unifying hypothesis emerging from these results is that stress relaxation is a crucial requirement for 3D organoid culture. The mechanisms by which stress relaxation influence ISC fate and organoid development remain to be further studied. Preliminary experiments indicated that the stem cells may sense and respond to these characteristics through differential activation of mechanosensing pathways including the transcriptional co-activator YAP. The dynamic hydrogels developed in this thesis hold great promise as tunable environments for stem cell-based self-organization, enabling morphogenetic processes that may be suppressed in conventional synthetic hydrogels systems predominantly used in 3D cell culture applications

    Bioinspired Hydrogels for 3D Organoid Culture

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    Organoids have stepped into the limelight as unique in vitro systems for modeling organ development, function and disease. This review provides a perspective on how chemically defined, bio-inspired hydrogels could be used for replacing ill-defined matrices derived from the native extracellular matrix (ECM) that are used for generating organoids in 3D stem cell culture. In particular, we propose the use of self-healing and light-responsive matrices that should afford control over the inherently stochastic self-organization process that currently underlies organoid morphogenesis. Such designer ECMs could accelerate the translation of organoid technology from the laboratory into various real-life applications

    Bioinspired Hydrogels for 3D Organoid Culture

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    Une machine de Ramsden au lycée Cavour de Rome

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    Parcours pédagogique sur l\u27histoire de l\u27électricité (XVIIe - XXe siÚcle). Ce parcours, ouvert à tous, est particuliÚrement destiné aux enseignants du secondaire et du supérieur. Il contient des cours, des vidéos démonstratives, des ateliers, des animations permettant de créer des parcours pour les élÚves

    Discrimination of agonists versus antagonists of nicotinic ligands based on docking onto AChBP structures.

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    International audienceNumerous high-resolution crystallographic structures of the acetylcholine binding protein (AChBP), a molluscan cholinergic protein, homologous to the extracellular domain of nicotinic acetylcholine receptors, are available. This offers opportunities to model the interaction between various ligands and the acetylcholine binding site. Herein we present a study of the interplay between ligand binding and motions of the C-loop capping the binding site. Nicotinic agonists and antagonists were docked on AChBP X-ray structures. It is shown that the studied agonists and antagonists can be discriminated according to their higher affinities for structures respectively obtained in the presence of agonists or antagonists, highlighting the fact that AChBP structures retain a pharmacological footprint of the compound used in crystallography experiments. A detailed analysis of the binding site cavities suggests that this property is mainly related to the shape of the cavities

    Self-organization of the vesicular stomatitis virus nucleocapsid into a bullet shape.

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    International audienceThe typical bullet shape of Rhabdoviruses is thought to rely on the matrix protein for stabilizing the nucleocapsid coil. Here we scrutinize the morphology of purified and recombinant nucleocapsids of vesicular stomatitis virus in vitro. We elucidate pH and ionic strength conditions for their folding into conical tips and further growth into whole bullets, and provide cryo-electron microscopy reconstructions of the bullet tip and the helical trunk. We address conformational variability of the reconstituted nucleocapsids and the issue of constraints imposed by the binding of matrix protein. Our findings bridge the gap between the isolated nucleoprotein-RNA string in its form of an undulating ribbon, and the tight bullet-shaped virion skeleton

    Identification of Cinnamic Acid Derivatives As Novel Antagonists of the Prokaryotic Proton-Gated Ion Channel GLIC

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    International audiencePentameric ligand gated ion channels (pLGICs) mediate signal transduction. The binding of an extracellular ligand is coupled to the transmembrane channel opening. So far, all known agonists bind at the interface between subunits in a topologically conserved "orthosteric site" whose amino acid composition defines the pharmacological specificity of pLGIC subtypes. A striking exception is the bacterial proton-activated GLIC protein, exhibiting an uncommon orthosteric binding site in terms of sequence and local architecture. Among a library of Gloeobacter violaceus metabolites, we identified a series of cinnamic acid derivatives, which antagonize the GLIC proton-elicited response. Structure-activity analysis shows a key contribution of the carboxylate moiety to GLIC inhibition. Molecular docking coupled to site-directed mutagenesis support that the binding pocket is located below the classical orthosteric site. These antagonists provide new tools to modulate conformation of GLIC, currently used as a prototypic pLGIC, and opens new avenues to study the signal transduction mechanism
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