Macroparasite communities in European eels, Anguilla anguilla, from French Mediterranean lagoons, with special reference to the invasive species Anguillicola crassus and Pseudodactylogyrus spp.

European eel parasites, in particular invasive species, are suspected to play a role in the decline in the populations of their host. The aims of this work were to describe the parasitic fauna of eels in French Mediterranean lagoons and to study the epidemiological trends of the invasive helminth species, the nematode Anguillicola crassus and the monogenean Pseudodactylogyrus spp., in regard to spatio-temporal dynamics, host biological characteristics and parasite community. A total of 418 eels was sampled in eight lagoons between March 2003 and June 2005. Our results revealed a total macroparasite richness of 23 species: 1 Monogenea, 13 Digenea, 2 Cestoda, 3 Nematoda, 2 Acantocephala and 2 Crustacea. We found no variation in A. crassus abundance in Salses-Leucate lagoon in the same month across years. However, the nematode abundance was higher in eels caught in summer than in those caught in winter. Pseudodactylogyrus sp. was not found in Salses-Leucate lagoon, except in July 2004. Comparisons between the lagoons on the same date showed that they could be separated into two groups for both species' abundance: Grau-du-Roi, Mauguio, Palavas and Vaccarès lagoons, where abundance was rather high, against Bages-Sigean, Pierre-Blanche, Salses-Leucate and Thau lagoons, where abundance was rather low or nil. We found significant negative relationships between A. crassus abundance and the length and age of eels. We also found a significant positive relationship between A. crassus and Pseudodactylogyrus sp. abundance. Finally, our results showed significant positive relationships between both A. crassus and Pseudodactylogyrus sp. abundance and the abundance of the digeneans Prosorhynchus aculeatus and Lecithochirium gravidum. We discuss the results in regard to the dynamics of invasions, the characteristics of the parasite life cycles and the ecology of eels

Macroparasite communities in European eels, <i>Anguilla anguilla</i>, from French Mediterranean lagoons, with special reference to the invasive species <i>Anguillicola crassus</i> and <i>Pseudodactylogyrus</i> spp.

European eel parasites, in particular invasive species, are suspected to play a role in the decline in the populations of their host. The aims of this work were to describe the parasitic fauna of eels in French Mediterranean lagoons and to study the epidemiological trends of the invasive helminth species, the nematode Anguillicola crassus and the monogenean Pseudodactylogyrus spp., in regard to spatio-temporal dynamics, host biological characteristics and parasite community. A total of 418 eels was sampled in eight lagoons between March 2003 and June 2005. Our results revealed a total macroparasite richness of 23 species: 1 Monogenea, 13 Digenea, 2 Cestoda, 3 Nematoda, 2 Acantocephala and 2 Crustacea. We found no variation in A. crassus abundance in Salses-Leucate lagoon in the same month across years. However, the nematode abundance was higher in eels caught in summer than in those caught in winter. Pseudodactylogyrus sp. was not found in Salses-Leucate lagoon, except in July 2004. Comparisons between the lagoons on the same date showed that they could be separated into two groups for both species' abundance: Grau-du-Roi, Mauguio, Palavas and Vaccares lagoons, where abundance was rather high, against Bages-Sigean, Pierre-Blanche, Salses-Leucate and Thau lagoons, where abundance was rather low or nil. We found significant negative relationships between A. crassus abundance and the length and age of eels. We also found a significant positive relationship between A. crassus and Pseudodactylogyrus sp. abundance. Finally, our results showed significant positive relationships between both A. crassus and Pseudodactylogyrus sp. abundance and the abundance of the digeneans Prosorhynchus aculeatus and Lecithochirium gravidum. We discuss the results in regard to the dynamics of invasions, the characteristics of the parasite life cycles and the ecology of eels

Macroparasite communities in European eels, Anguilla anguilla

European eel parasites, in particular invasive species, are suspected to play a role in the decline in the populations of their host. The aims of this work were to describe the parasitic fauna of eels in French Mediterranean lagoons and to study the epidemiological trends of the invasive helminth species, the nematode Anguillicola crassus and the monogenean Pseudodactylogyrus spp., in regard to spatio-temporal dynamics, host biological characteristics and parasite community. A total of 418 eels was sampled in eight lagoons between March 2003 and June 2005. Our results revealed a total macroparasite richness of 23 species: 1 Monogenea, 13 Digenea, 2 Cestoda, 3 Nematoda, 2 Acantocephala and 2 Crustacea. We found no variation in A. crassus abundance in Salses-Leucate lagoon in the same month across years. However, the nematode abundance was higher in eels caught in summer than in those caught in winter. Pseudodactylogyrus sp. was not found in Salses-Leucate lagoon, except in July 2004. Comparisons between the lagoons on the same date showed that they could be separated into two groups for both species' abundance: Grau-du-Roi, Mauguio, Palavas and Vaccarès lagoons, where abundance was rather high, against Bages-Sigean, Pierre-Blanche, Salses-Leucate and Thau lagoons, where abundance was rather low or nil. We found significant negative relationships between A. crassus abundance and the length and age of eels. We also found a significant positive relationship between A. crassus and Pseudodactylogyrus sp. abundance. Finally, our results showed significant positive relationships between both A. crassus and Pseudodactylogyrus sp. abundance and the abundance of the digeneans Prosorhynchus aculeatus and Lecithochirium gravidum. We discuss the results in regard to the dynamics of invasions, the characteristics of the parasite life cycles and the ecology of eels

Macroparasite communities in European eels, Anguilla anguilla, from French Mediterranean lagoons, with special reference to the invasive species Anguillicola crassus and Pseudodactylogyrus spp.

European eel parasites, in particular invasive species, are suspected to play a role in the decline in the populations of their host. The aims of this work were to describe the parasitic fauna of eels in French Mediterranean lagoons and to study the epidemiological trends of the invasive helminth species, the nematode Anguillicola crassus and the monogenean Pseudodactylogyrus spp., in regard to spatio-temporal dynamics, host biological characteristics and parasite community. A total of 418 eels was sampled in eight lagoons between March 2003 and June 2005. Our results revealed a total macroparasite richness of 23 species: 1 Monogenea, 13 Digenea, 2 Cestoda, 3 Nematoda, 2 Acantocephala and 2 Crustacea. We found no variation in A. crassus abundance in Salses-Leucate lagoon in the same month across years. However, the nematode abundance was higher in eels caught in summer than in those caught in winter. Pseudodactylogyrus sp. was not found in Salses-Leucate lagoon, except in July 2004. Comparisons between the lagoons on the same date showed that they could be separated into two groups for both species' abundance: Grau-du-Roi, Mauguio, Palavas and Vaccarès lagoons, where abundance was rather high, against Bages-Sigean, Pierre-Blanche, Salses-Leucate and Thau lagoons, where abundance was rather low or nil. We found significant negative relationships between A. crassus abundance and the length and age of eels. We also found a significant positive relationship between A. crassus and Pseudodactylogyrus sp. abundance. Finally, our results showed significant positive relationships between both A. crassus and Pseudodactylogyrus sp. abundance and the abundance of the digeneans Prosorhynchus aculeatus and Lecithochirium gravidum. We discuss the results in regard to the dynamics of invasions, the characteristics of the parasite life cycles and the ecology of eels

Breast cancer patients treated with intrathecal therapy for leptomeningeal metastases in a large real-life database

International audienceBACKGROUND: Leptomeningeal metastasis (LM) is a rare complication of metastatic breast cancer (MBC), with high morbidity/mortality rates. Our study aimed to describe the largest-to-date real-life population of MBC patients treated with intrathecal (IT) therapy and to evaluate prognostic models. METHODS: The Epidemiological Strategy and Medical Economics (ESME) MBC database (NCT03275311) includes all consecutive patients who have initiated treatment for MBC since 2008. Overall survival (OS) of patients treated with IT therapy was estimated using the Kaplan-Meier method. Prognostic models were constructed using Cox proportional hazards models. Performance was evaluated using C-index and calibration plots. RESULTS: Of the 22 266 patients included in the database between 2008 and 2016, 312 received IT therapy and were selected for our analysis. Compared with non-IT-treated patients, IT-treated patients were younger at MBC relapse (median age: 52 years versus 61 years) and more often had lobular histology (23.4% versus 12.7%) or triple-negative subtype (24.7% versus 13.3%) (all P < 0.001). Median OS was 4.5 months [95% confidence interval (CI) 3.8-5.6] and 1-year survival rate was 25.6%. Significant prognostic factors associated with poorer outcome on multivariable analysis were triple-negative subtype (hazard ratio 1.81, 95% CI 1.32-2.47), treatment line ≥3 (hazard ratio 1.88, 95% CI 1.30-2.73), ≥3 other metastatic sites (hazard ratio 1.33, 95% CI 1.01-1.74) and IT cytarabine or thiotepa versus methotrexate (hazard ratio 1.68, 95% CI 1.28-2.22), while concomitant systemic therapy was associated with better OS (hazard ratio 0.47, 95% CI 0.35-0.62) (all P < 0.001). We validated two previously published prognostic scores, the Curie score and the Breast-graded prognostic assessment, both with C-index of 0.57. CONCLUSIONS: MBC patients with LM treated with IT therapy have a poor prognosis. We could identify a subgroup of patients with better prognosis, when concomitant systemic therapy and IT methotrexate were used

Prognostic and predictive role of CD8 and PD-L1 determination in lung tumor tissue of patients under anti-PD-1 therapy

International audienceBackgroundNo study has evaluated the predictive and prognostic role of CD8 and PD-L1 coexpression in non–small-cell lung cancer (NSCLC).MethodsWe analyzed RNA sequencing and/or immunohistochemistry staining in NSCLC patients from The Cancer Genome Atlas (n = 1016), and 34 metastatic NSCLC samples not treated by immunotherapy as prognostic cohorts. As predictive aspect of CD8 and PD-L1, we used 85 NSCLC patients treated with anti-PD-1. Two validation cohorts were used including 44 NSCLC patients treated with anti-PD-1 and an external cohort with different tumor types.ResultsIn prognostic cohorts, high CD8A expression was associated with longer OS (p = 0.02), while high CD274 mRNA was associated with poor prognosis (p = 0.05). In predictive cohort, high CD8 expression and CD8A mRNA were associated with longer progression-free survival (PFS) (p = 0.0002). There was no significant association between PD-L1 expression and PFS while high CD274 mRNA was associated with longer PFS (p = 0.009). A combination of CD8A and CD274 was highly predictive of outcome. These results were confirmed in the validation cohorts. This two-genes signature demonstrated similar results compared to gold standard signatures.ConclusionCD8 represents both a prognostic and predictive factor of outcomes, while PD-L1 share different prognostic and predictive roles