115 research outputs found

    Identification of natural killer markers associated with fatal outcome in COVID-19 patients

    Get PDF
    IntroductionIncreasing evidence has shown that coronavirus disease 19 (COVID-19) severity is driven by a dysregulated immunological response. Previous studies have demonstrated that natural killer (NK) cell dysfunction underpins severe illness in COVID-19 patients, but have lacked an in-depth analysis of NK cell markers as a driver of death in the most critically ill patients.MethodsWe enrolled 50 non-vaccinated hospitalized patients infected with the initial virus or the alpha variant of SARS-CoV-2 with moderate or severe illness, to evaluate phenotypic and functional features of NK cells.ResultsHere, we show that, consistent with previous studies, evolution NK cells from COVID-19 patients are more activated, with the decreased activation of natural cytotoxicity receptors and impaired cytotoxicity and IFN-γ production, in association with disease regardless of the SARS-CoV-2 strain. Fatality was observed in 6 of 17 patients with severe disease; NK cells from all of these patients displayed a peculiar phenotype of an activated memory-like phenotype associated with massive TNF-α production.DiscussionThese data suggest that fatal COVID-19 infection is driven by an uncoordinated inflammatory response in part mediated by a specific subset of activated NK cells

    Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome associated with COVID-19: An Emulated Target Trial Analysis.

    Get PDF
    RATIONALE: Whether COVID patients may benefit from extracorporeal membrane oxygenation (ECMO) compared with conventional invasive mechanical ventilation (IMV) remains unknown. OBJECTIVES: To estimate the effect of ECMO on 90-Day mortality vs IMV only Methods: Among 4,244 critically ill adult patients with COVID-19 included in a multicenter cohort study, we emulated a target trial comparing the treatment strategies of initiating ECMO vs. no ECMO within 7 days of IMV in patients with severe acute respiratory distress syndrome (PaO2/FiO2 <80 or PaCO2 ≥60 mmHg). We controlled for confounding using a multivariable Cox model based on predefined variables. MAIN RESULTS: 1,235 patients met the full eligibility criteria for the emulated trial, among whom 164 patients initiated ECMO. The ECMO strategy had a higher survival probability at Day-7 from the onset of eligibility criteria (87% vs 83%, risk difference: 4%, 95% CI 0;9%) which decreased during follow-up (survival at Day-90: 63% vs 65%, risk difference: -2%, 95% CI -10;5%). However, ECMO was associated with higher survival when performed in high-volume ECMO centers or in regions where a specific ECMO network organization was set up to handle high demand, and when initiated within the first 4 days of MV and in profoundly hypoxemic patients. CONCLUSIONS: In an emulated trial based on a nationwide COVID-19 cohort, we found differential survival over time of an ECMO compared with a no-ECMO strategy. However, ECMO was consistently associated with better outcomes when performed in high-volume centers and in regions with ECMO capacities specifically organized to handle high demand. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)

    Functionalization of cocoa shell (CS) surfaces using nanoparticles and their application in CO2 storage

    No full text
    International audienc

    Advances in Amine-Surface Functionalization of Inorganic Adsorbents for Water Treatment and Antimicrobial Activities: A Review

    No full text
    In the last decade, adsorption has exhibited promising and effective outcomes as a treatment technique for wastewater contaminated with many types of pollutants such as heavy metals, dyes, pharmaceuticals, and bacteria. To achieve such effectiveness, a number of potential adsorbents have been synthesized and applied for water remediation and antimicrobial activities. Among these inorganic adsorbents (INAD), activated carbon, silica, metal oxide, metal nanoparticles, metal&ndash;organic fibers, and graphene oxide have been evaluated. In recent years, significant efforts have been made in the development of highly efficient adsorbent materials for gas and liquid phases. For gas capture and water decontamination, the most popular and known functionalization strategy is the chemical grafting of amine, due to its low cost, ecofriendliness, and effectiveness. In this context, various amines such as 3-aminopropyltriethoxysilane (APTES), diethanolamine (DEA), dendrimer-based polyamidoamine (PAMAM), branched polyethyleneimine (PEI), and others are employed for the surface modification of INADs to constitute a large panel of resource and low-cost materials usable as an alternative to conventional treatments aimed at removing organic and inorganic pollutants and pathogenic bacteria. Amine-grafted INAD has long been considered as a promising approach for the adsorption of both inorganic and organic pollutants. The goal of this review is to provide an overview of surface modifications through amine grafting and their adsorption behavior under diverse conditions. Amine grafting strategies are investigated in terms of the effects of the solvent, temperature, and the concentration precursor. The literature survey presented in this work provides evidence of the significant potential of amine-grafted INAD to remove not only various contaminants separately from polluted water, but also to remove pollutant mixtures and bacteria

    Modification and Uses of Synthetic and Biobased Polymeric Materials

    No full text
    The surface engineering of polymers is still in development in order to modulate their properties to meet the requirements of the targeted applications. Lignocellulosic and agro-waste materials are increasingly studied as alternative to conventional ones employed for pollution remediation but also to develop original composites. In both cases, the surface of the material could be modified by coating or by covalent grafting. The diazonium chemistry has been successfully employed to modify the surface of carbon and metallic materials but its application to organic surfaces is still incipient. This chapter provides an overview of the recent developments in diazonium chemistry to modify polymer and biomass surfaces and its application in biosensor design, catalysis, and pollution removal

    Micro-Doppler Signal Representation for Drone Classification by Deep Learning

    No full text
    International audienceThere are numerous formats which represent the micro-Doppler signature. Our goal is to determine which one is the most adapted to classify small UAV (Unmanned Aerial Vehicules) with Deep Learning. To achieve this goal, we compare drone classification results with the different micro-Doppler signatures for a given neural network. This comparison has been performed on data obtained during a radar measurement campaign. We evaluate the classification performance in function of different use conditions we identified with a given neural network. According to the experiments conducted, the recommended format is a spectrum issued from long observations as its classification results are better for most criteria
    corecore