L'impact de la fréquentation de la garderie sur les compétences sociales des enfants lors de leur passage à la maternelle

Québec Université Laval, Bibliothèque 201

Human epithelial stem cells persist within tissue-engineered skin produced by the self-assembly approach

To adequately and permanently restore organ function after grafting, human tissue-engineered skin substitutes (TESs) must ultimately contain and preserve functional epithelial stem cells (SCs). It is therefore essential that a maximum of SCs be preserved during each in vitro step leading to the production of TESs such as the culture process and the elaboration of a skin cell bank by cryopreservation. To investigate the presence and functionality of epithelial SCs within the human TESs made by the self-assembly approach, slow-cycling cells were identified using 5′-bromo-2′-deoxyuridine (BrdU) in the three-dimensional construct. A subset of basal epithelial cells retained the BrdU label and was positive for the SC-associated marker keratin 19 within TESs after a chase of 21 days in culture post-BrdU labeling. Moreover, keratinocytes harvested from TESs gave rise to SC-like colonies in secondary monolayer subcultures, indicating that SCs were preserved within TESs. To evaluate the effect of cryopreservation with dimethyl sulfoxide and storage in liquid nitrogen on SCs, human epithelial cells were extracted from skin samples, amplified in culture, and used to produce TESs, before cryopreservation as well as after thawing. We found that the proportion and the growth potential of epithelial SCs in monolayer culture and in TESs remained constant before and after cryopreservation. Further, the functionality of these substitutes was demonstrated by successfully grafting human TESs on athymic mice for 6 months. We conclude that human epithelial skin SCs are adequately preserved upon human tissue reconstruction. Thus, these TESs produced by the self-assembly approach are suitable for clinical applications

The montérégie connection: Linking landscapes, biodiversity, and ecosystem services to improve decision making

To maximize specific ecosystem services (ES) such as food production, people alter landscape structure, i.e., the types of ecosystems present, their relative proportions, and their spatial arrangement across landscapes. This can have significant, and sometimes unexpected, effects on biodiversity and ES. Communities need information about how land-use activities and changes to landscape structure are likely to affect biodiversity and ES, but current scientific understanding of these effects is incomplete. The Montérégie Connection (MC) project has used the rapidly suburbanizing agricultural Montérégien landscape just east of Montreal, Québec, Canada, to investigate how current and historic landscape structure influences ES provision. Our results highlight the importance of forest connectivity and functional diversity on ES provision, and show that ES provision can vary significantly even within single land-use types in response to changes in landscape structure. Our historical analysis reveals that levels of ES provision, as well as relationships among individual ES, can change dramatically through time. We are using these results to build quantitative ES-landscape structure models to assess four future landscape scenarios for the region: Periurban Development, Demand for Energy, Whole-System Crisis, and Green Development. These scenarios integrate empirical and historical data on ES provision with local stakeholder input about global and local social and ecological drivers to explore how land-use decisions could affect ES provision and human well-being across the region to the year 2045. By integrating empirical data, quantitative models, and scenarios we have achieved the central goals of the MC project: (1) increasing understanding of the effects of landscape structure on biodiversity and ES provision, (2) effectively linking this knowledge to decision making to better manage for biodiversity and ES, and (3) creating a vision for a more sustainable social-ecological system in the region

Outcomes of BRAF V600E pediatric gliomas treated with targeted BRAF inhibition

Purpose: Children with pediatric gliomas harboring a BRAF V600E mutation have poor outcomes with current chemoradiotherapy strategies. Our aim was to study the role of targeted BRAF inhibition in these tumors.Patients and methods: We collected clinical, imaging, molecular, and outcome information from patients with BRAF V600E-mutated glioma treated with BRAF inhibition across 29 centers from multiple countries.Results: Sixty-seven patients were treated with BRAF inhibition (pediatric low-grade gliomas [PLGGs], n = 56; pediatric high-grade gliomas [PHGGs], n = 11) for up to 5.6 years. Objective responses were observed in 80% of PLGGs, compared with 28% observed with conventional chemotherapy (P \u3c .001). These responses were rapid (median, 4 months) and sustained in 86% of tumors up to 5 years while receiving therapy. After discontinuation of BRAF inhibition, 76.5% (13 of 17) of patients with PLGG experienced rapid progression (median, 2.3 months). However, upon rechallenge with BRAF inhibition, 90% achieved an objective response. Poor prognostic factors in conventional therapies, such as concomitant homozygous deletion of CDKN2A, were not associated with lack of response to BRAF inhibition. In contrast, only 36% of those with PHGG responded to BRAF inhibition, with all but one tumor progressing within 18 months. In PLGG, responses translated to 3-year progression-free survival of 49.6% (95% CI, 35.3% to 69.5%) versus 29.8% (95% CI, 20% to 44.4%) for BRAF inhibition versus chemotherapy, respectively (P = .02).Conclusion: Use of BRAF inhibition results in robust and durable responses in BRAF V600E-mutated PLGG. Prospective studies are required to determine long-term survival and functional outcomes with BRAF inhibitor therapy in childhood gliomas