Le programme RNPC®, une thérapeutique non-médicamenteuse pour la prise en charge des patients atteints de surcharge pondérale

Ces dernières années, de nombreux travaux de recherche ont montré que la répartition des graisses au niveau du corps, plus que leur quantité totale, permettait d’estimer de façon plus fiable les risques liés à l’excès de poids. Les graisses localisées dans la cavité abdominale sont notamment particulièrement néfastes pour la santé. En effet, le tissu adipeux intra-abdominal (ou viscéral) est aujourd’hui reconnu comme un véritable tissu paracrine et endocrine qui secrète de façon continue des molécules potentiellement toxiques pour notre organisme car impliquées dans la genèse de nombreuses pathologies chroniques telles que les maladies cardiovasculaires, le diabète de type 2 et le cancer. La circonférence abdominale est fortement corrélée à la proportion de tissu adipeux viscéral. Le fait que même des personnes ayant un indice de masse corporelle (IMC) normal voient leur risque de mortalité accru à cause d’un périmètre abdominal élevé devrait fortement encourager les médecins à mesurer le tour de taille de tous leurs patients en plus de calculer leur IMC.These last years, many research studies have shown that the distribution of body fat, more than the total amount, enabled to undertake a more reliable assessment of overweight-associated risks. risks. Fats located in the abdominal cavity are particularly detrimental to health. In fact, intraabdominal (or visceral) adipose tissue is today recognized as a true paracrine and endocrine tissue that continuously secretes molecules potentially toxic for our organism because involved in the genesis of many chronic pathologies such as cardiovascular diseases, type 2 diabetes and cancer. Abdominal circumference is highly correlated with the proportion of visceral adipose tissue. The fact that even people with normal body mass index (BMI). Have an increased mortality risk due to their high abdominal perimeter should strongly encourage physicians to measure waist circumference in all their patients in addition to calculating their BMI. Regarding overweight management, French physicians admit lacking time during a consultation as well as expertise in dietetics. The RNPC® centers fully meet physicians’ needs by offering them the alternative to recommend the RNPC® program, specifically designed for patients that their overweight or obesity expose to a major cardiometabolic risk

IIAC – Laboratoire d’anthropologie et d’histoire de l’institution de la culture (LAHIC)

Marie Scarpa, professeur à l’Université de Metz/Paul-VerlaineJean-Marie Privat, professeur à l’Université de Metz/Paul-VerlaineThierry Wendling, chargé de recherche au CNRSDaniel Fabre, directeur d’étudesFranck Beuvier, Odile Vincent, ingénieurs d’études Marie Scarpa, professeur à l’Université de Metz/Paul-Verlaine Jean-Marie Privat, professeur à l’Université de Metz/Paul-Verlaine Ethnocritique de la littérature Marie Scarpa a poursuivi son étude de la situation de ces personnages des seuils ..

IIAC-LAHIC – Laboratoire d’anthropologie et d’histoire de l’institution de la culture

Jean-Marie Privat, Marie Scarpa, professeurs à l’Université de Metz/Paul-Verlaine Ethnocritique de la littérature Les premières séances ont poursuivi l’investigation de la littérature à la croisée de signes culturellement prédictifs ou plus généralement de systèmes de créances et de contraintes sémiotiques liées au(x) processus même de la narrativité et de la fiction. Jean-Marie Privat a repris son travail de cartographie des espaces discursifs (littéraires ou non) qui configurent des partage..

Mass Spectrometry-based Absolute Quantification of 20S Proteasome Status for Controlled Ex-vivo Expansion of Human Adipose-derived Mesenchymal Stromal/Stem Cells

International audienceIn Brief 20S proteasomes are very heterogeneous protein complexes involved in many cellular processes. In the present study, we combined an MRM-based assay with the production and purification of entire SILAC labelled pro-teasome to monitor absolute quantities of the different 20S proteasome subtypes in various human cells and tissues. This method applied to adipocyte-derived stem cells (ADSCs) amplified under various conditions highlights an increased expression of immunoproteasome when this type of cell is primed with IFN␥ or amplified in a 20% O 2 environment. Graphical Abstract Highlights • Design of an MRM assay to determine the absolute quantity and stoichiometry of ubiquitous and tissue-specific human 20S proteasome subtypes. • Use of purified isotopically labelled 20S proteasome as internal standard for accurate quantification. • Variation in the expression of immunoproteasome in adipocyte-derived stem cells (ADSCs) grown under different O 2 levels might be causal for change in cells differentiation capacity. • The status of 20S proteasome during ADSCs expansion might constitute an additional relevant quality control parameter to contribute to predict, among other quality markers, their therapeutic capacity

PIP30/FAM192A is a novel regulator of the nuclear proteasome activator PA28γ

PA28γ is a nuclear activator of the 20S proteasome involved in the regulation of several essential cellular processes, such as cell proliferation, apoptosis, nuclear dynamics, and cellular stress response. Unlike the 19S regulator of the proteasome, which specifically recognizes ubiquitylated proteins, PA28γ promotes the degradation of several substrates by the proteasome in an ATP- and ubiquitin-independent manner. However, its exact mechanisms of action are unclear and likely involve additional partners that remain to be identified. Here we report the identification of a cofactor of PA28γ, PIP30/FAM192A. PIP30 binds directly and specifically via its C-terminal end and in an interaction stabilized by casein kinase 2 phosphorylation to both free and 20S proteasome-associated PA28γ. Its recruitment to proteasome-containing complexes depends on PA28γ and its expression increases the association of PA28γ with the 20S proteasome in cells. Further dissection of its possible roles shows that PIP30 alters PA28γ-dependent activation of peptide degradation by the 20S proteasome in vitro and negatively controls in cells the presence of PA28γ in Cajal bodies by inhibition of its association with the key Cajal body component coilin. Taken together, our data show that PIP30 deeply affects PA28γ interactions with cellular proteins, including the 20S proteasome, demonstrating that it is an important regulator of PA28γ in cells and thus a new player in the control of the multiple functions of the proteasome within the nucleus

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

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

Role of latent endoribonuclease (RNase L) in innate immunity and chronic inflammation during insulin resistance development

L'insulinorésistance, caractérisée par l'incapacité des organes impliqués dans le métabolisme énergétique (tissu adipeux, muscles squelettiques et foie) à répondre à l'insuline, tient une place centrale dans la physiopathologie des complications métaboliques de l'obésité. L'apparition d'une insulinorésistance chez un sujet obèse est plurifactorielle et les mécanismes moléculaires impliqués ne sont à ce jour pas complètement élucidés.L'expansion majoritairement hyperplasique du tissu adipeux conduit à une hypoxie et un stress des adipocytes, induisant un relargage accru de cytokines inflammatoires et d'acides gras libres (AGL). Les AGL se fixent eux-mêmes sur les récepteurs toll-like (TLRs) de l'immunité innée, dont l'activation aboutit également à la sécrétion de cytokines inflammatoires. Ces AGL et cytokines, véhiculés par la circulation systémique, contribuent, avec la coopération des macrophages infiltrant le tissu adipeux, au développement d'une inflammation chronique de bas grade. Ainsi, les perturbations de l'homéostasie énergétique, associées à une activation du système immunitaire sont à l'origine d'une atteinte globale de la sensibilité à l'insuline de l'organisme, particulièrement délétère au métabolisme musculaire.Cette étude porte sur le rôle d'un effecteur de l'immunité innée, l'endoribonucléase latente (RNase L), dont l'expression est régulée par les interférons de type I et l'activation, par un oligoadénylate, le 2-5A. La RNase L clive les ARNs cellulaires conduisant à l'inhibition spécifique de l'expression de certains gènes. Nous montrons par ce travail l'implication de la RNase L dans le contrôle de la différenciation cellulaire et la pathogenèse de l'insulinorésistance associée à l'obésité, via la régulation des voies de l'inflammation au niveau des tissus adipeux et musculaire.Insulin resistance, which is characterized by the incapacity of organs involved in the energetic metabolism (adipose tissue, skeletal muscles and liver) to respond to insulin, has a central place in the pathophysiology of the metabolic complications associated to obesity. The onset of insulin resistance in obese subjects is multifactorial and the molecular mechanisms involved have not yet been completely elucidated.The mainly hyperplasic expansion of white adipose tissue leads to hypoxia and stress in adipocytes, inducing an increased release of inflammatory cytokines and free fatty acids (FFA). FFA bind and activate the toll-like receptors (TLR) of the innate immunity system, leading to the secretion of inflammatory cytokines. These FFA and cytokines, taken by the systemic circulation, contribute, with the cooperation of macrophages infiltrating the adipose tissue, to the development of a chronic low-grade inflammation. Thus, the disturbances of the energetic homeostasis, associated with an activation of the immune system cause a global impairment of insulin sensitivity of the body, with particularly deleterious effects on muscular metabolism.This study focuses on the role of an effector of innate immunity, the latent endoribonuclease (RNase L). RNase L expression is regulated by type I interferons and is activated by the 2-5A oligoadenylate. RNase L splits cellular RNA, thus leading to the specific inhibition of the expression of certain genes. In this study, we demonstrate the implication of RNase L in the control of cell differentiation and the pathogenesis of obesity-associated insulin resistance, via the regulation of inflammatory pathways in the adipose and muscular tissues

Rôle de l'endoribonucléase latente (RNase L) dans l'immunité innée et l'inflammation chronique lors du développement de l'insulinorésistance

L'insulinorésistance, caractérisée par l'incapacité des organes impliqués dans le métabolisme énergétique (tissu adipeux, muscles squelettiques et foie) à répondre à l'insuline, tient une place centrale dans la physiopathologie des complications métaboliques de l'obésité. L'apparition d'une insulinorésistance chez un sujet obèse est plurifactorielle et les mécanismes moléculaires impliqués ne sont à ce jour pas complètement élucidés.L'expansion majoritairement hyperplasique du tissu adipeux conduit à une hypoxie et un stress des adipocytes, induisant un relargage accru de cytokines inflammatoires et d'acides gras libres (AGL). Les AGL se fixent eux-mêmes sur les récepteurs toll-like (TLRs) de l'immunité innée, dont l'activation aboutit également à la sécrétion de cytokines inflammatoires. Ces AGL et cytokines, véhiculés par la circulation systémique, contribuent, avec la coopération des macrophages infiltrant le tissu adipeux, au développement d'une inflammation chronique de bas grade. Ainsi, les perturbations de l'homéostasie énergétique, associées à une activation du système immunitaire sont à l'origine d'une atteinte globale de la sensibilité à l'insuline de l'organisme, particulièrement délétère au métabolisme musculaire.Cette étude porte sur le rôle d'un effecteur de l'immunité innée, l'endoribonucléase latente (RNase L), dont l'expression est régulée par les interférons de type I et l'activation, par un oligoadénylate, le 2-5A. La RNase L clive les ARNs cellulaires conduisant à l'inhibition spécifique de l'expression de certains gènes. Nous montrons par ce travail l'implication de la RNase L dans le contrôle de la différenciation cellulaire et la pathogenèse de l'insulinorésistance associée à l'obésité, via la régulation des voies de l'inflammation au niveau des tissus adipeux et musculaire.Insulin resistance, which is characterized by the incapacity of organs involved in the energetic metabolism (adipose tissue, skeletal muscles and liver) to respond to insulin, has a central place in the pathophysiology of the metabolic complications associated to obesity. The onset of insulin resistance in obese subjects is multifactorial and the molecular mechanisms involved have not yet been completely elucidated.The mainly hyperplasic expansion of white adipose tissue leads to hypoxia and stress in adipocytes, inducing an increased release of inflammatory cytokines and free fatty acids (FFA). FFA bind and activate the toll-like receptors (TLR) of the innate immunity system, leading to the secretion of inflammatory cytokines. These FFA and cytokines, taken by the systemic circulation, contribute, with the cooperation of macrophages infiltrating the adipose tissue, to the development of a chronic low-grade inflammation. Thus, the disturbances of the energetic homeostasis, associated with an activation of the immune system cause a global impairment of insulin sensitivity of the body, with particularly deleterious effects on muscular metabolism.This study focuses on the role of an effector of innate immunity, the latent endoribonuclease (RNase L). RNase L expression is regulated by type I interferons and is activated by the 2-5A oligoadenylate. RNase L splits cellular RNA, thus leading to the specific inhibition of the expression of certain genes. In this study, we demonstrate the implication of RNase L in the control of cell differentiation and the pathogenesis of obesity-associated insulin resistance, via the regulation of inflammatory pathways in the adipose and muscular tissues.MONTPELLIER-BU Pharmacie (341722105) / SudocSudocFranceF

Myotoxicite des statines (de la cellule au patient)

MONTPELLIER-BU Pharmacie (341722105) / SudocSudocFranceF

Muscle Contraction Induces Acute Hydroxymethylation of the Exercise-Responsive Gene <i>Nr4a3</i>

Exercise training triggers numerous positive adaptations through the regulation of genes controlling muscle structure and function. Epigenetic modifications, including DNA methylation, participate in transcriptional activation by allowing the recruitment of the transcription machinery to gene promoters. Exercise induces dynamic DNA demethylation at gene promoters; however, the contribution of the demethylation precursor hydroxymethylcytosine is unknown. Given the evanescent nature of hydroxymethylcytosine, a muscle contraction model that allows for the collection of samples that are repeatedly stimulated over time is required to determine whether contraction-induced demethylation is preceded by changes in the hydroxymethylcytosine level. Here, we established an acute skeletal muscle contraction model to mimic the effects of acute exercise on gene expression. We used this model to investigate the effect of muscle contraction on DNA demethylation and hydroxymethylation. First, we performed an acute exercise study in healthy humans to identify an exercise-responsive gene that we could study in culture. We identified the nuclear receptor subfamily 4 group A member 3 (Nr4a3) gene with the highest fold-expression increase after acute exercise. We then refined an electrical pulse stimulation (EPS) protocol that could induce expression of the Nr4a3 gene in C2C12 myotubes. Using targeted bisulfite sequencing, we found that in response to EPS, a region of the Nr4a3 promoter is rapidly demethylated at 60 min and re-methylated at 120 min. Of interest, hydroxymethylation of the differentially methylated region of Nr4a3 promoter after EPS was elevated immediately after EPS, with lowest levels reached at 60 min after EPS. In conclusion, we have established a cell culture-based protocol to mimic the acute transcriptional responses to exercise. Furthermore, we provide insight into the mechanism by which the exercise-responsive gene Nr4a3 is demethylated after muscle contraction