Méthodes alternatives in vitro pour l’étude des interactions hôte-pathogène du poumon

Les maladies respiratoires, qu’elles touchent les animaux et/ou les hommes, ont un impact sanitaire et économique considérable sur notre société. Pouvoir mieux les contrôler, les traiter et les prédire, nécessite de pouvoir les étudier. Pour cela des modèles d’études pertinents, reproductibles, efficaces aisés d’utilisation, et alternatifs à l’expérimentation animale doivent être proposés. D’énormes progrès méthodologiques ont été réalisés ces dernières années avec l’émergence de modèles in vitro qui miment le poumon en reproduisant la diversité des types cellulaires, l’architecture du tissu et certaines de ses fonctionnalités (activité ciliaire, sécrétion). Cette revue présente les avancées dans la génération de ces modèles chez le bovin : les organoïdes, les cultures Air-liquide-interface (ALI) et les coupes fines de poumon (PCLS). Ils sont utilisés pour mieux décrire et comprendre les processus physiopathologiques induits par des infections (virus, bactérie, parasite) respiratoires et permettent de tester des approches prophylactiques ou curatives

Experimental infection of cattle with Mycobacterium tuberculosis isolates shows the attenuation of the human tubercle bacillus for cattle

The Mycobacterium tuberculosis complex (MTBC) is the collective term given to the group of bacteria that cause tuberculosis (TB) in mammals. It has been reported that M. tuberculosis H37Rv, a standard reference MTBC strain, is attenuated in cattle compared to Mycobacterium bovis. However, as M. tuberculosis H37Rv was isolated in the early 1930s, and genetic variants are known to exist, we sought to revisit this question of attenuation of M. tuberculosis for cattle by performing a bovine experimental infection with a recent M. tuberculosis isolate. Here we report infection of cattle using M. bovis AF2122/97, M. tuberculosis H37Rv, and M. tuberculosis BTB1558, the latter isolated in 2008 during a TB surveillance project in Ethiopian cattle. We show that both M. tuberculosis strains caused reduced gross and histopathology in cattle compared to M. bovis. Using M. tuberculosis H37Rv and M. bovis AF2122/97 as the extremes in terms of infection outcome, we used RNA-Seq analysis to explore differences in the peripheral response to infection as a route to identify biomarkers of progressive disease in contrast to a more quiescent, latent infection. Our work shows the attenuation of M. tuberculosis strains for cattle, and emphasizes the potential of the bovine model as a ‘One Health’ approach to inform human TB biomarker development and post-exposure vaccine development

The ANTENATAL multicentre study to predict postnatal renal outcome in fetuses with posterior urethral valves: objectives and design

Abstract Background Posterior urethral valves (PUV) account for 17% of paediatric end-stage renal disease. A major issue in the management of PUV is prenatal prediction of postnatal renal function. Fetal ultrasound and fetal urine biochemistry are currently employed for this prediction, but clearly lack precision. We previously developed a fetal urine peptide signature that predicted in utero with high precision postnatal renal function in fetuses with PUV. We describe here the objectives and design of the prospective international multicentre ANTENATAL (multicentre validation of a fetal urine peptidome-based classifier to predict postnatal renal function in posterior urethral valves) study, set up to validate this fetal urine peptide signature. Methods Participants will be PUV pregnancies enrolled from 2017 to 2021 and followed up until 2023 in >30 European centres endorsed and supported by European reference networks for rare urological disorders (ERN eUROGEN) and rare kidney diseases (ERN ERKNet). The endpoint will be renal/patient survival at 2 years postnatally. Assuming α = 0.05, 1–β = 0.8 and a mean prevalence of severe renal outcome in PUV individuals of 0.35, 400 patients need to be enrolled to validate the previously reported sensitivity and specificity of the peptide signature. Results In this largest multicentre study of antenatally detected PUV, we anticipate bringing a novel tool to the clinic. Based on urinary peptides and potentially amended in the future with additional omics traits, this tool will be able to precisely quantify postnatal renal survival in PUV pregnancies. The main limitation of the employed approach is the need for specialized equipment. Conclusions Accurate risk assessment in the prenatal period should strongly improve the management of fetuses with PUV

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

<em>Mycobacterium leprae</em> PGL1 expression by BCG increases CR3 mediated entry into different myeloid cells

National audienc

<em>Mycobacterium leprae</em> PG-1 production by BCG favors CR3 mediated entry into mouse myeloid cells and incrases SYK-controlled cytokine production

National audienc

Reconstitution d'un modèle d'alvéole pulmonaire à partir de cellules primaires bovines pour étudier la physiopathologie de la tuberculose

Reconstitution d'un modèle d'alvéole pulmonaire à partir de cellules primaires bovines pour étudier la physiopathologie de la tuberculose. 4. Conférence du MycoClu

Mycobacteria-Infected Dendritic Cells Attract Neutrophils That Produce IL-10 and Specifically Shut Down Th17 CD4 T Cells through Their IL-10 Receptor

International audienceNeutrophils participate in the control of mycobacterial infection both by directly eliminating bacilli and by interacting with macrophages and dendritic cells (DCs). Despite host defenses, slow-growing mycobacteria can persist in the host for decades, mostly inside macrophages and DCs, and eventually destroy tissues after exacerbated inflammation. IL-17A-driven neutrophil recruitment may participate in this process. We report that mouse bone marrow-derived DCs infected with live Mycobacterium bovis Bacillus Calmette-Guerin (BCG) produced large amounts of CXCL1 and CXCL2, and attracted neutrophils. After physical contact with DCs infected with live BCG, the neutrophils produced large quantities of the immunosuppressive cytokine IL-10 via the MyD88 and spleen tyrosine kinase pathways. The CD11b integrin was involved in this neutrophil-DC interaction and allowed IL-10 production. TCR OVA transgenic mice immunized with a BCG strain producing OVA mounted an OVA-specific Th17 and Th1 CD4 response. Interestingly, IL-10-producing neutrophils specifically shut down IL-17A production by Th17 CD4 cells, but not IFN-gamma production by Th1 cells. This was due to Th17 CD4 cell-restricted expression of the receptor for IL-10. After neutrophil depletion, total mouse lung cells produced less IL-10 but more IL-17A; IFN-gamma production was not affected. Therefore, we suggest that during mycobacterial infection, regulatory neutrophils are instructed by infected reservoir DCs to produce IL-10 that specifically targets IL-10R alpha-expressing Th17 CD4 T cells. This could be important to control the otherwise exuberant Th17 response

Regulatory neutrophils are a possible signature of granuloma formation.

International audienceTuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), induces granuloma formation in the lung, which encapsulated form is the characteristic and final stage of the pathology. C3HeB/FeJ are the only mice able to form an encapsulated granuloma. This model also reproduces the dichotomy of physiopathology: active (uncontrolled) and latent (controlled) TB.Neutrophils play a key role in all stages of the granuloma's life. They are present in several subtypes. We discovered a population of regulatory neutrophils ((CD11b+/Ly6G+/MHCII+/PDL-1hi), which are phenotypically close to the classic, inflammatory neutrophils (CD11b+/Ly6G+/MHCII-/PDL-1lo), but differ in their functional capacity to suppress T lymphocytes (Doz-Deblauwe, Rambault et al., 2021).The role of inflammatory versus regulatory neutrophils, in the maturation and evolution of the TB granuloma, is yet unknown. We infected C3HeB/FeJ mice with the virulent Mtb HN878. 80% of the animals displayed limited survival, a high bacterial load and an hyperinflammation in the lungs. Lung lesions were extensive and poorly organized. The majority of neutrophils (90%) had an inflammatory phenotype. In contrast, animals that did not succumb to infection (20%) showed no signs of morbidity, had a lower bacterial load and less neutrophil recruitment in the lung. The majority of lesions were encapsulated, and correlated with a controlled bacterial load. Interestingly, regulatory neutrophils recruited represented 50% of total neutrophils and they strongly express PDL-1 (a major immune check point).Our results suggest that these regulatory neutrophils are a signature of efficient granuloma formation with infection control