N011 Culture et délivrance au niveau du tissu cardiaque de cardiomyocytes issus de cellules souches embryonnaires humaines au moyen de matrices tridimensionelles poreuses à base de polysaccharides

Un intérêt particulier a été porté ces dernières années à la thérapie cellulaire réparatrice cardiaque. Les cellules souches embryonnaires humaines (hES) sont une source prouvée de cardiomyocytes et les premières données in vivo suggèrent leurs capacités fonctionnelles à type d’effet pacemaker ou réparatrices d’infarctus du myocarde. Nous avons étudié un mode de délivrance des cellules hES dans le tissu cardiaque basé sur une matrice 3D servant de support à la fois pour la culture des cellules et pour leur implantation au contact du myocarde.Des matrices poreuses de polysaccharides (pullulane et dextrane) ont été préparées par réticulation chimique permettant de réaliser des films avec des pores de 100 à 200 microns. Les matrices ont été recouvertes de différentes protéines; les cellules hES indifférenciées ont été cultivées sur fibroblastes murins, en milieu supplémenté avec du sérum knock-out et du FGF2. Dans une première partie in vitro, nous avons mis en évidence par q-RT-PCR, observation microscopique et imagerie confocale, la différenciation en cardiomyocytes de cellules hES directement cultivées dans les matrices en présence d’un milieu inducteur de différentiation; les matrices permettaient aussi la culture, l’expansion et la survie à long terme de parties battantes obtenues à partir de corps embryoïdes issus d’hES et isolées manuellement. Nous avons ensuite étudié le devenir des cellules hES dans un modèle de lésions cardiaques par dépôt de films poreux cellularisés sur les cœurs infarcis de souris NOD SCID. L’identification est confirmée pour les cardiomyocytes issus d’ES d’une lignée de cellules hES H9 GFP+ ainsi que d’une lignée de cellules hES dans laquelle l’expression de la GFP est sous contrôle d’un promoteur spécifique du tissu cardiaque, Nkx2.5. Nous avons ainsi mis en évidence la migration des cellules ES à différents stades de différenciation à partir des matrices 3D vers les souris NOD SCID ainsi que leur différenciation en cardiomyocytes. Les données de PCR quantitative sur la base du transgène GFP mettent en évidence une meilleure survie des ES délivrées par l’intermédiaire des matrices 3D en comparaison avec une administration directe. Une étude fonctionnelle comparative est en cours

Séparation et spéciation des éléments dans des échantillons nucléaires par couplage entre l'électrophorèse capillaire et la spectrométrie de masse à source plasma et à multicollection

International audienceLa détermination précise des compositions élémentaires et isotopiques dans des échantillons nucléaires est indispensable pour la gestion des combustibles nucléaires et des déchets radioactifs. Cette détermination isotopique et élémentaire porte notamment sur l'uranium, le plutonium et les lanthanides et est effectuée par spectrométrie de masse après séparations chimiques afin d’éliminer les interférences isobariques. L'Électrophorèse capillaire est une technique séparative particulièrement attractive pour ces applications, du fait des très hautes efficacités, des courts temps d'analyse et des micro volumes mis en jeu. Des études menées précédemment au laboratoire ont démontré la faisabilité de séparations U/Pu/Lanthanides et de séparations U/Th en utilisant un électrolyte d'acide acétique et en couplage direct avec un spectromètre de masse Multi-collecteurs a source plasma. La complexité et la diversité des échantillons nucléaires imposent un suivi de la spéciation des éléments d’intérêts dans les conditions développées afin de garantir le succès des analyses. L’étude de spéciation qui sera présentée ici a permis d'expliquer les facteurs influençant le comportement électro-optique des éléments d’intérêt. Ces études de spéciation peuvent être étendues a d'autres électrolytes afin de développer des séparations pour les éléments présents dans les échantillons nucléaires

Long term surgical results of 154 petroclival meningiomas: A retrospective multicenter study

BACKGROUND: Outcomes of petroclival meningiomas (PCM) (morbidity, permanent cranial nerves deficit, tumor removal and recurrence) are inconsistent in the literature, making it a challenge to predict surgical morbidity. METHODS: A multicenter study of patients with PCMs larger than 2.5cm between 1984 and 2017 was conducted. The authors retrospectively reviewed the patients\u27 medical records, imaging studies and pathology reports to analyze presentation, surgical approach, neurological outcomes, complications, recurrence rates and predictive factors. RESULTS: There were 154 patients. The follow-up was 76.8 months on average (range 8-380 months). Gross total resection (GTR) was achieved in 40 (26.0%) patients, subtotal resection (STR) in 101 (65.6%), and partial resection in 13 (8.3%). Six (2.6%) perioperative deaths occurred. The 5-year, 10-year and 15-year progression-free survival (PFS) of GTR and STR with radiation therapy (RT) was similar (100%, 90% and 75%). PFS of STR without adjuvant radiation was associated with progression in 71%, 51% and 31%, respectively. Anterior petrosectomy and combined petrosectomy were associated with higher postoperative CN V and CN VI deficits compared to the retrosigmoid approach. The latter had a significantly higher risk of CN VII, CN VIII and LCN deficit. Temporal lobe dysfunction (seizure and aphasia) were significantly associated with the anterior petrosectomy approach. CONCLUSIONS: Our study shows that optimal subtotal resection of PCMs associated with postoperative RT or stereotactic radiosurgery results in long-term tumor control to equivalent radical surgery. Case selection and appropriate intraoperative judgement are required to reduce the morbidity

Clinical applications of B-type natriuretic peptide (BNP) testing

Many claims have been made in recent years regarding the utility of plasma B-type natriuretic peptide (BNP) concentration measurements in the diagnosis, risk stratification and monitoring of patients with heart failure. This paper summarizes the current evidence and provides guidance for practising clinicians. Overall, plasma BNP testing appears to be of most value in the diagnostic arena, where it is likely to improve the performance of non-specialist physicians in diagnosing heart failure. In clinical practice, BNP testing is best used as a ‘rule out' test for suspected cases of new heart failure in breathless patients presenting to either the outpatient or emergency care settings; it is not a replacement for echocardiography and full cardiological assessment, which will be required for patients with an elevated BNP concentration. Although work is ongoing in establishing the ‘normal' values of BNP, heart failure appears to be highly unlikely below a plasma concentration of 100pg/ml. However, as BNP levels rise with age and are affected by gender, comorbidity and drug therapy, the plasma BNP measurement should not be used in isolation from the clinical contex

Rapport préliminaire sur les activités de la mission archéologique franco-syrienne dans la micro-région d'Al-Rawda (Shamiyeh) : quatrième et cinquième campagnes (2005 et 2006)

This preliminary report presents the results of two campaigns of excavation and survey in 2005and 2006 on the site of AI-Rawda (West-Central Syria) and in the micro-region of 100 km2 around it. Thesite is a pre-planned circular new town. It was founded around 2400 BCE, in the steppe zone and was inhabitedonly during EB IV, until the end of the 3rd millennium. The work of 2005 and 2006 involved furtherextensive excavation of a sanctuary consisting of two temples and a temenos togeiher with aIl associatedinstallations (including a betyl in situ). The eastem gate of the town was excavated and four lines of defencehave been identified. A stratigraphie sounding in the southwest clarifies the origin of the town. In the necropolisassociated with the site, the excavation of a collective pit burial is presented. Intensive survey wascontinued outside the ancient town, with particular attention to sites that were occupied at the same time asAI-Rawda, to burials, which have been classified by type, and to installations that can be linked to agricultureor pastoralism. This work was supplemented by archaeobotanical, archaeozoological and geo-archaeologicalresearch, as weIl as a study of the environment.Ce rapport préliminaire présente les résultats de deux campagnes de fouilles et de prospection conduites en 2005 et 2006 sur le site d’Al-Rawda (Syrie du centre-ouest) et dans la microrégion de 100 km2 qui l’entoure. Le site, une ville neuve circulaire au plan d’urbanisme préconçu fondé vers 2500 av. J.-C., se trouve en zone steppique. Il n’est habité que durant le Bronze ancien IV, jusqu’à la fin du 3e millénaire.Les travaux en 2005 et 2006 ont porté sur la poursuite du dégagement extensif d’un sanctuaire qui regroupe deux temples et un temenos, avec l’ensemble des installations qu’ils contiennent (dont un bétyle in situ). À l’est, a été mise au jour la porte orientale de la ville tandis que quatre lignes de défense ont été identifiées. Un sondage stratigraphique au sud-ouest éclaire l’origine de la ville. Dans la nécropole associée au site, la fouille d’une tombe en puits collective est présentée.Parallèlement, la prospection intensive autour de la ville antique a été poursuivie en mettant l’accent sur les sites d’habitat contemporains d’Al-Rawda, les tombes caractérisées par type et les aménagements qui peuvent être liés à une mise en valeur agricole du territoire et au pastoralisme. Ces travaux ont été complétés par des études archéobotanique, archéozoologique, géoarchéologique et par une étude des milieux

Stuttered swallowing: Electric stimulation of the right insula interferes with water swallowing. A case report

<p>Abstract</p> <p>Background</p> <p>Various functional resonance imaging, magnetoencephalographic and lesion studies suggest the involvement of the insular cortex in the control of swallowing. However, the exact location of insular activation during swallowing and its functional significance remain unclear.</p> <p>Case presentation</p> <p>Invasive electroencephalographic monitoring was performed in a 24-year-old man with medically intractable stereotyped nocturnal hypermotor seizures due to a ganglioglioma. During stimulation of the right inferior posterior insular cortex with depth electrodes the patient spontaneously reported a perception of a "stutter in swallowing". Stimulation of the inferior posterior insular cortex at highest intensity (4 mA) was also associated with irregular and delayed swallows. Swallowing was not impaired during stimulation of the superior posterior insular cortex, regardless of stimulation intensity.</p> <p>Conclusions</p> <p>These results indicate that the right inferior posterior insular cortex is involved in the neural circuitry underlying the control of swallowing.</p

Advances in heterometallic ring-opening (co)polymerisation catalysis

Truly sustainable plastics require renewable feedstocks coupled with efficient production and end-of-life degradation/recycling processes. Some of the most useful degradable materials are aliphatic polyesters, polycarbonates and polyamides, which are often prepared via ring-opening (co)polymerisation (RO(CO)P) using an organometallic catalyst. While there has been extensive research into ligand development, heterometallic cooperativity offers an equally promising yet underexplored strategy to improve catalyst performance, as heterometallic catalysts often exhibit significant activity and selectivity enhancements compared to their homometallic counterparts. This review describes advances in heterometallic RO(CO)P catalyst design, highlighting the overarching structure-activity trends and reactivity patterns to inform future catalyst design

Neuropsychological patterns following lesions of the anterior insula in a series of forty neurosurgical patients

In the present study we investigated the effects of lesions affecting mainly the anterior insula in a series of 22 patients with lesions in the left hemisphere (LH), and 18 patients with lesions involving the right hemisphere (RH). The site of the lesion was established by performing an overlap of the probabilistic cytoarchitectonic maps of the posterior insula. Here we report the patients\u2019 neuropsychological profile and an analysis of their pre-surgical symptoms. We found that pre-operatory symptoms significantly differed in patients depending on whether the lesion affected the right or left insula and a strict parallelism between the patterns emerged in the pre-surgery symptoms analysis, and the patients\u2019 cognitive profile. In particular, we found that LH patients showed cognitive deficits. By contrast, the RH patients, with the exception of one case showing an impaired performance at the visuo-spatial planning test were within the normal range in performing all the tests. In addition, a sub-group of patients underwent to the post-surgery follow-up examination

Physiological aspects of the determination of comprehensive arterial inflows in the lower abdomen assessed by Doppler ultrasound

Non-invasive measurement of splanchnic hemodynamics has been utilized in the clinical setting for diagnosis of gastro-intestinal disease, and for determining reserve blood flow (BF) distribution. However, previous studies that measured BF in a "single vessel with small size volume", such as the superior mesenteric and coeliac arteries, were concerned solely with the target organ in the gastrointestinal area, and therefore evaluation of alterations in these single arterial BFs under various states was sometimes limited to "small blood volumes", even though there was a relatively large change in flow. BF in the lower abdomen (BFAb) is potentially a useful indicator of the influence of comprehensive BF redistribution in cardiovascular and hepato-gastrointestinal disease, in the postprandial period, and in relation to physical exercise. BFAb can be determined theoretically using Doppler ultrasound by subtracting BF in the bilateral proximal femoral arteries (FAs) from BF in the upper abdominal aorta (Ao) above the coeliac trunk. Prior to acceptance of this method of determining a true BFAb value, it is necessary to obtain validated normal physiological data that represent the hemodynamic relationship between the three arteries. In determining BFAb, relative reliability was acceptably high (range in intra-class correlation coefficient: 0.85-0.97) for three arterial hemodynamic parameters (blood velocity, vessel diameter, and BF) in three repeated measurements obtained over three different days. Bland-Altman analysis of the three repeated measurements revealed that day-to-day physiological variation (potentially including measurement error) was within the acceptable minimum range (95% of confidence interval), calculated as the difference in hemodynamics between two measurements. Mean BF (ml/min) was 2951 ± 767 in Ao, 316 ± 97 in left FA, 313 ± 83 in right FA, and 2323 ± 703 in BFAb, which is in agreement with a previous study that measured the sum of BF in the major part of the coeliac, mesenteric, and renal arteries. This review presents the methodological concept that underlies BFAb, and aspects of its day-to-day relative reliability in terms of the hemodynamics of the three target arteries, relationship with body surface area, respiratory effects, and potential clinical usefulness and application, in relation to data previously reported in original dedicated research