Danger signals in traumatic hemorrhagic shock and new lines for clinical applications

Hemorrhage is the leading cause of death in severe trauma injuries. When organs or tissues are subjected to prolonged hypoxia, danger signals—known as damage-associated molecular patterns (DAMPs)—are released into the intercellular environment. The endothelium is both the target and a major provider of damage-associated molecular patterns, which are directly involved in immuno-inflammatory dysregulation and the associated tissue suffering. Although damage-associated molecular patterns release begins very early after trauma, this release and its consequences continue beyond the initial treatment. Here we review a few examples of damage-associated molecular patterns to illustrate their pathophysiological roles, with emphasis on emerging therapeutic interventions in the context of severe trauma. Therapeutic intervention administered at precise points during damage-associated molecular patterns release may have beneficial effects by calming the inflammatory storm triggered by traumatic hemorrhagic shock

Mesenchymal Stromal Cells Based Therapy in Systemic Sclerosis: Rational and Challenges

Systemic Sclerosis (SSc) is a rare chronic disease, related to autoimmune connective tissue diseases such as Systemic Lupus Erythematosus and Sjögren's Syndrome. Although its clinical heterogeneity, main features of the disease are: extensive tissue fibrosis with increase matrix deposition in skin and internal organ, microvascular alterations and activation of the immune system with autoantibodies against various cellular antigens. In the diffuse cutaneous scleroderma subtype, the disease is rapidly progressive with a poor prognosis, leading to failure of almost any internal organ, especially lung which is the leading cause of death. Primary trigger is unknown but may involve an immune process against mesenchymal cells in a genetically receptive host. Pathophysiology reveals a pivotal role of fibrosis and inflammation alterations implicating different cell subtypes, cytokines and growth factors, autoantibodies and reactive oxygen species. Despite improvement, the overall survival of SSc patients is still lower than that of other inflammatory diseases. Recommended drugs are agents capable of modulating fibrotic and inflammatory pathways. Cellular therapy has recently emerged as a credible option. Besides autologous hematopoietic stem cell transplantation which demonstrated remarkable improvement, mesenchymal stromal cells (MSCs) represent promising therapeutic candidates. Indeed, these cells possess anti-inflammatory, antiproliferative, antifibrotic, and immunomodulary properties especially by secreting a large panel of bioactive molecules, addressing the most important key points of the SSc. In addition, these cells are very sensitive to their environment and are able to modulate their activity according to the pathophysiological context in which they are located. Autologous or allogeneic MSCs from various sources have been tested in many trials in different auto-immune diseases such as multiple sclerosis, Crohn's disease or systemic lupus erythematosus. They are characterized by a broad availability and no or low acute toxicity. However, few randomized prospective clinical trials were published and their production under ATMP regulatory procedures is complex and time-consuming. Many aspects have still to be addressed to ascertain their potential as well as the potential of their derived products in the management of SSc, probably in association with other therapies

Study on the effects of Glycosaminoglycan Mimetics on progenitors and mesenchymal stem cells properties, potential uses in regenerative medicine

Résumé français manquantScientific background: GAGs mimetics properties on regenerative process.Glycosaminoglycans (GAGs) are sulfated polysaccharides actually considered as major structural components of the extracellular matrix as well as regulators of cells functions during homeostatic and pathological processes. These GAGs activities are based on their ability to interact with heparin binding growth-factors (HBGF), chemokines and enzymes, to protect them from proteolytic degradation and to potentialyze their interaction with cell surface specific receptors and/or other components of the ECM. GAGs are characterized by their extensive structural diversity, based on the number and location of sulfate or acetylate groups, that would determine specific biological interactions.As comparative tool to study the relationship between the complexity of GAGs chemical structures and their biological functions, we used synthetic GAGs mimetics, derivate from a polymer of dextran and functionalized with carboxylate, sulfate and/or acetate groups. They are structurally and functionally related to natural heparan sulfates. These compounds improved both the rate and quality of regenerative process in numerous animal models of injury after topical treatment.Our hypothesize is that specific HS cooperative interactions with HBGF and ECM compounds could influence both therapeutic progenitors and stem cells properties by compartmentalizing them to specific microenvironment niches, and protecting them against deleterious signals. Such abilities to modulate stem cell biology could be a new way to explain and to take advantage of regenerative properties of these compounds. The principal aim of this work was to demonstrate the effects of GAGs mimetics on Mesenchymal Stem Cells (MSC) properties for application in bone repair. GAGs mimetics as new potentializing agents of mesenchymal stem cells propertiesDuring osteogenesis, a controlled expression of functional HS is required to interact and regulate the activity of growth promoting and osteogenic differentiation factors. However effects of GAGs on MSC properties remain to be analyzed. We focus on two GAGs mimetics leader molecules [OTR4131] and [OTR4120], with distinct chemical characteristics, since sulfated mimetic [OTR4120] was previously shown to stimulate bone repair in vivo. We demonstrate that its acetylated and sulfated counterpart [OTR4131] enhances proliferation, whereas [OTR4120] clearly stimulates migration and osteogenic differentiation properties of rat MSC in vitro, that could explain its bone regenerative effect in vivo. This indicates that GAGs mimetics would be of great interest for potential application in therapy, since according to their structural signature they could modulate specific activities of progenitors and stem cells, and represent an alternative to exogenous growth factor treatments. New matricial strategy for bone repair associating GAGs mimetics to biomaterials and human MSCCell based therapy associated to biomaterials for repair of bone defects are promising but not enough efficient. We proposed to develop matricial strategy, associating efficient micro-environment molecules such as GAGs mimetics, to optimize cell therapeutic approaches. First we validated that GAGs mimetics are effective on human MSC proliferation, migration and differentiation properties in vitro. We demonstrated that colonization efficiency of hydroxyapatite/β-tricalcium phosphate biomaterial scaffolds by human MSC was improved when scaffolds are functionalized with GAGs mimetics in vitro. Finally osteoformation in vivo was evaluated after ectopic transplantation of functionalized and/or cellularized biomaterials in nude mice: few effects were observed on bone formation, whereas osteoclastogenesis and vascularization were clearly modulated by GAGs mimetics immobilized. GAGs mimetics as new mobilizing agents of stem cells..

Potentialisation des propriétés de cellules souches mésenchymateuses par des mimétiques de glycosaminoglycannes et leur application en thérapie osseuse en association à des biomatériaux.

Résumé français manquantScientific background: GAGs mimetics properties on regenerative process.Glycosaminoglycans (GAGs) are sulfated polysaccharides actually considered as major structural components of the extracellular matrix as well as regulators of cells functions during homeostatic and pathological processes. These GAGs activities are based on their ability to interact with heparin binding growth-factors (HBGF), chemokines and enzymes, to protect them from proteolytic degradation and to potentialyze their interaction with cell surface specific receptors and/or other components of the ECM. GAGs are characterized by their extensive structural diversity, based on the number and location of sulfate or acetylate groups, that would determine specific biological interactions.As comparative tool to study the relationship between the complexity of GAGs chemical structures and their biological functions, we used synthetic GAGs mimetics, derivate from a polymer of dextran and functionalized with carboxylate, sulfate and/or acetate groups. They are structurally and functionally related to natural heparan sulfates. These compounds improved both the rate and quality of regenerative process in numerous animal models of injury after topical treatment.Our hypothesize is that specific HS cooperative interactions with HBGF and ECM compounds could influence both therapeutic progenitors and stem cells properties by compartmentalizing them to specific microenvironment niches, and protecting them against deleterious signals. Such abilities to modulate stem cell biology could be a new way to explain and to take advantage of regenerative properties of these compounds. The principal aim of this work was to demonstrate the effects of GAGs mimetics on Mesenchymal Stem Cells (MSC) properties for application in bone repair. GAGs mimetics as new potentializing agents of mesenchymal stem cells propertiesDuring osteogenesis, a controlled expression of functional HS is required to interact and regulate the activity of growth promoting and osteogenic differentiation factors. However effects of GAGs on MSC properties remain to be analyzed. We focus on two GAGs mimetics leader molecules [OTR4131] and [OTR4120], with distinct chemical characteristics, since sulfated mimetic [OTR4120] was previously shown to stimulate bone repair in vivo. We demonstrate that its acetylated and sulfated counterpart [OTR4131] enhances proliferation, whereas [OTR4120] clearly stimulates migration and osteogenic differentiation properties of rat MSC in vitro, that could explain its bone regenerative effect in vivo. This indicates that GAGs mimetics would be of great interest for potential application in therapy, since according to their structural signature they could modulate specific activities of progenitors and stem cells, and represent an alternative to exogenous growth factor treatments. New matricial strategy for bone repair associating GAGs mimetics to biomaterials and human MSCCell based therapy associated to biomaterials for repair of bone defects are promising but not enough efficient. We proposed to develop matricial strategy, associating efficient micro-environment molecules such as GAGs mimetics, to optimize cell therapeutic approaches. First we validated that GAGs mimetics are effective on human MSC proliferation, migration and differentiation properties in vitro. We demonstrated that colonization efficiency of hydroxyapatite/b-tricalcium phosphate biomaterial scaffolds by human MSC was improved when scaffolds are functionalized with GAGs mimetics in vitro. Finally osteoformation in vivo was evaluated after ectopic transplantation of functionalized and/or cellularized biomaterials in nude mice: few effects were observed on bone formation, whereas osteoclastogenesis and vascularization were clearly modulated by GAGs mimetics immobilized. GAGs mimetics as new mobilizing agents of stem cells...PARIS-EST-Université (770839901) / SudocSudocFranceF

Comparative Study between Direct and Indirect Treatment with Cold Atmospheric Plasma on In Vitro and In Vivo Models of Wound Healing

International audienceCold-atmospheric plasma (CAP) produces a mixture of molecular, ionic, and radical species as well as electric field visible and ultraviolet lights. Biological effects of CAP and its therapeutic potential have been studied in disciplines such as dermatology, oncology, and dentistry. This study investigates both in vitro and in vivo effects of direct and indirect plasma treatment and their influences on wound healing. The effect of plasma treatment on cellular viability, migration, and proliferation are studied using keratinocytes, fibroblasts, and endothelial cells. Plasma is generated in a helium jet using an alternating-current 50-Hz power supply at 32 kV and 90 mW. Results show that 1-min direct CAP treatment stimulates skin cell migration; however, cellular proliferation remains unchanged. Treatment > 3 min leads to cell death. Using the same treatment parameters, notably exposure time, indirect treatment using a plasma-activated medium fails to stimulate cellular migration. A murine model of full-thickness excisional wound healing is used to study the effect of CAP on wound closure. In vivo studies demonstrate that both direct and indirect treatment do not affect acute wound closure in mice. Taken together, these results suggest that direct plasma treatment with homemade plasma devices has the potential to positively influence wound healing, but optimum parameters and suitable wound models must be identified and validated

A Murine Model of a Burn Wound Reconstructed with an Allogeneic Skin Graft

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Complete Genome Sequences of Bioluminescent Staphylococcus aureus Strains Xen31 and Xen36, Derived from Two Clinical Isolates

International audienceHere, we report complete genome sequences of two clinical isolates of Staphylococcus aureus , namely, Xen31 and Xen36, which have been genetically modified to express an optimized Photorhabdus luminescens luciferase operon. Xen31 and Xen36 are bioluminescent strains used widely for investigation of bacterial pathogenesis, drug discovery, and development of novel therapies

Epilepsy and toxocariasis: a case-control study in Burundi.

International audiencePURPOSE: A case-control study to assess the relationship between epilepsy and toxocariasis was carried out in the Kiremba population, Burundi. METHODS: People with epilepsy (PWE) were diagnosed according to the definition proposed by the International League Against Epilepsy (ILAE). Seizures were classified according to the classification proposed by ILAE in 1981. One control per case was selected matched by age (+/-5 years). Control subjects also lived in Kiremba, had neither neurological disorders nor kinship with the PWE. Cases and controls were assessed serologically for antibodies against Toxocara canis by an immunoblotting assay. Odds ratios (ORs) and 95% CI were determined using conditional regression analysis for matched case-control study. RESULTS: One hundred ninety-one PWE (99 men and 92 women) and 191 age-matched controls (72 men and 112 women) were enrolled in the study. Of the 191 PWE, 113 presented partial seizures while 73 generalized seizures and five were unclassifiable. Antibodies anti T. canis were found in 114 PWE (59.7%) and in 97 controls (50.8%). Multivariate analysis (conditional logistic regression) showed a significant association between positivity for T canis and epilepsy with an adjusted OR of 2.13 (95% CI 1.18-3.83; p-value 0.01). CONCLUSIONS: We found a significant association between toxocariasis and epilepsy. In agreement with a previous study, our finding suggests that toxocariasis may increase the risk of developing epilepsy in endemic areas and could participate to the high burden of epilepsy in tropical areas

Cold Atmospheric Plasma Promotes Killing of Staphylococcus aureus by Macrophages

International audienceMacrophages are important immune cells that are involved in the elimination of microbial pathogens. Following host invasion, macrophages are recruited to the site of infection, where they launch antimicrobial defense mechanisms. Effective microbial clearance by macrophages depends on phagocytosis and phagolysosomal killing mediated by oxidative burst, acidification, and degradative enzymes. However, some pathogenic microorganisms, including some drug-resistant bacteria, have evolved sophisticated mechanisms to prevent phagocytosis or escape intracellular degradation. Cold atmospheric plasma (CAP) is an emerging technology with promising bactericidal effects. Here, we investigated the effect of CAP on Staphylococcus aureus phagocytosis by RAW 264.7 macrophage-like cells. We demonstrate that CAP treatment increases intracellular concentrations of reactive oxygen species (ROS) and nitric oxide and promotes the elimination of both antibiotic-sensitive and antibiotic-resistant S. aureus by RAW 264.7 cells. This effect was inhibited by antioxidants indicating that the bactericidal effect of CAP was mediated by oxidative killing of intracellular bacteria. Furthermore, we show that CAP promotes the association of S. aureus to lysosomal-associated membrane protein 1 (LAMP-1)-positive phagosomes, in which bacteria are exposed to low pH and cathepsin D hydrolase. Taken together, our results provide the first evidence that CAP activates defense mechanisms of macrophages, ultimately leading to bacterial elimination. IMPORTANCE Staphylococcus aureus is the most frequent cause of skin and soft tissue infections. Treatment failures are increasingly common due to antibiotic resistance and the emergence of resistant strains. Macrophages participate in the first line of immune defense and are critical for coordinated defense against pathogenic bacteria. However, S. aureus has evolved sophisticated mechanisms to escape macrophage killing. In the quest to identify novel antimicrobial therapeutic approaches, we investigated the activity of cold atmospheric plasma (CAP) on macrophages infected with S. aureus. Here, we show that CAP treatment promotes macrophage ability to eliminate internalized bacteria. Importantly, CAP could trigger killing of both antibiotic-sensitive and antibiotic-resistant strains of S. aureus. While CAP did not affect the internalization capacity of macrophages, it increased oxidative-dependent bactericidal activity and promoted the formation of degradative phagosomes. Our study shows that CAP has beneficial effects on macrophage defense mechanisms and may potentially be useful in adjuvant antimicrobial therapies