Rôle des informations proprioceptives dans l’équilibre à la marche chez les personnes en santé et hémiparétiques

L'utilisation des informations proprioceptives pour le contrôle de l’équilibre à la marche est encore mal comprise chez les sujets en santé ou hémiparétiques suite à un accident vasculaire cérébral. Le but de cette étude était d’évaluer le rôle des informations proprioceptives dans le maintien de l'équilibre à la marche chez les patients en santé et hémiparétiques. Une analyse de mouvement en trois dimensions a été faite chez treize participants en santé et six hémiparétiques qui marchaient sur un tapis roulant instrumenté pour déterminer leur difficulté à maintenir l’équilibre postural et dynamique, évaluée respectivement par les forces stabilisante et déstabilisante. Des vibrations étaient appliquées en continu ou pendant la phase d’appui sur les muscles postérieurs du cou et sur le triceps sural du côté non-dominant/parétique. La vibration continue ou à l’appui du triceps sural a diminué, chez les sujets en santé, la difficulté à maintenir l’équilibre dynamique et postural (p.17). Aucun effet des vibrations n'a été mesuré chez les patients hémiparétiques (p> 0,45). Les informations proprioceptives sont donc bien utilisées lors de la marche, mais leur rôle dépendrait des conditions de marche et des afférences visuelles disponibles. Un changement dans les capacités d’intégration expliquerait l'absence d'effet des vibrations chez les patients hémiparétiques. D’autres études sont nécessaires pour comprendre l’intégration des informations proprioceptives et visuelles dans le contrôle de l’équilibre à la marche.Proprioceptive information is important for balance control, but little is known about how it is used during gait, or how stroke affects this use. The aim of this study was to evaluate the role of neck and ankle proprioception in balance during gait in healthy participants and after stroke. Thirteen healthy and 6 hemiparetic participants walked on an instrumented treadmill in a fully lit room, while whole-body three-dimension kinematics was quantified. Vibration was applied on the posterior neck muscles and triceps surae tendon on the non-dominant/paretic side, continuously or during the stance phase only. Difficulty to maintain dynamic and postural balance was evaluated using the stabilizing and destabilizing forces, respectively. Summary data of gait kinematics and kinetics were also reported. Continuous and stance phase vibration of the triceps surae decreased, in healthy patients, the difficulty to maintain both dynamic and postural balance in healthy participants (p.17). None of the vibration conditions affected balance or gait parameters in stroke participants. The results confirmed that proprioception information is used for control balance during gait. Its importance depends on the walking and visual conditions. Changes in sensory integration capacities likely explain the results after stroke. Further study is needed to understand the integration of proprioception and vision information to control balance during gait

MexXY Multidrug Efflux System Is More Frequently Overexpressed in Ciprofloxacin Resistant French Clinical Isolates Compared to Hospital Environment Ones

Modulation of the membrane permeability through a decrease in porin-mediated antibiotic entry and/or an increase in antibiotic efflux is one of the resistance mechanisms to antibiotics evolved by Gram-negative bacteria. To assess whether the outer membrane porin OprD and Resistance-Nodulation-Division (RND) efflux pumps were similarly expressed in 33 ciprofloxacin-resistant clinical strains of Pseudomonas aeruginosa and in 30 non-clinical strains originating from the hospital environment (mainly waterborne Pseudomonas aeruginosa), the expression of oprD, mexB, mexF, and mexY genes was investigated. Overall, the expression of oprD was not detected by RT-qPCR in 14 (22%) strains and underexpressed in 35 (56%) more. No significant difference in oprD expression was detected between clinical and non-clinical strains. As for efflux pumps, 23 (70%) of the clinical strains overexpressed at least one of the tested RND genes. Overexpression of mexB, mexF and mexY was detected in 27, 12, and 45% of the clinical strains, respectively. In the 30 non-clinical strains, no overexpression could be found for mexB, mexF, or mexY. On the contrary, a global underexpression of the tested efflux pump genes was recorded. In both clinical and environmental strains, a positive correlation was found between the expressions of oprD and mexB. Similarly, the expressions of oprD and mexF were positively correlated. This result contrasts with the inverse correlation between both MexAB-OprM/MexEF-OprN and OprD previously described in carbapenem-resistant P. aeruginosa strains. The only positive correlation between phenotypic ciprofloxacin minimum inhibitory concentrations (MICs) and the expression of efflux pump gene was witnessed with mexY (analysis on pooled results for clinical and environmental strains). However, in clinical strains, no statistically significant link could be found between the degree of reduction in ciprofloxacin MICs witnessed with Phenylalanine-Arginine β-naphthylamide (PAβN) and the expression of any of the 3 RND genes tested

Enantiomerically pure amino-alcohol quinolines: in vitro anti-malarial activity in combination with dihydroartemisinin, cytotoxicity and in vivo efficacy in a Plasmodium berghei mouse model

International audienceBackground: As resistance to marketed anti-malarial drugs continues to spread, the need for new molecules active on Plasmodium falciparum-resistant strains grows. Pure (S) enantiomers of amino-alcohol quinolines previously displayed a good in vitro anti-malarial activity. Therefore, a more thorough assessment of their potential clinical use through a rodent model and an in vitro evaluation of their combination with artemisinin was undertaken. Methods: Screening on a panel of P. falciparum clones with varying resistance profiles and regional origins was performed for the (S)-pentyl and (S)-heptyl substituted quinoline derivatives, followed by an in vitro assessment of their combination with dihydroartemisinin (DHA) on the 3D7 clone and an in vivo assay in a mouse model infected with Plasmodium berghei. Their haemolytic activity was also determined. Results: A steady anti-malarial activity of the compounds tested was found, whatever the resistance profile or the regional origin of the strain. (S)-quinoline derivatives were at least three times more potent than mefloquine (MQ), their structurally close parent. The in vitro combination with DHA yielded an additive or synergic effect for both that was as good as that of the DHA/MQ combination. In vivo, survival rates were similar to those of MQ for the two compounds at a lower dose, despite a lack of clearance of the parasite blood stages. A 50% haemolysis was observed for concentrations at least 1,000-fold higher than the antiplasmodial IC 50 s. Conclusions: The results obtained make those two (S)-amino-alcohol quinoline derivatives good candidates for the development of new artemisinin-based combination therapy (ACT), hopefully with fewer neurologic side effects than those currently marketed ACT, including MQ

Increased and sex-selective avian predation of desert locusts Schistocerca gregaria treated with Metarhizium acridum

The entomopathogenic fungus Metarhizium acridum in oil-based formulations (Green Muscle® (GM)) is a biopesticide for locust control lacking side-effects on biodiversity, unlike chemical insecticides. Under controlled conditions, GM-treated locusts and grasshoppers attract predators, a complementary advantage in locust control. We assessed avian predation on a population of desert locusts in northern Niger aerially sprayed operationally with GM with 107 g viable conidia ha-1. Populations of adult locusts and birds and vegetation greenness were assessed simultaneously along two transects from 12 days before until 23 days after treatment. Common kestrels Falco tinnunculus and lanners F. biarmicus were the predominant avian predators. Regurgitated pellets and prey remains were collected daily beneath “plucking posts” of kestrels. Locusts started dying five days post-spray and GM had its maximum effect one-two weeks after the spray, with 80% efficacy at day 21. After spraying, bird numbers increased significantly (P<0.05) concurrent with decreasing desert locust densities. Locust numbers decreased significantly (P<0.001) with both time since spraying and decreasing greenness. Before spraying, kestrel food remains under plucking posts accounted for 34.3 ±13.4 prey items day-1, of which 31.0 ±11.9 were adult desert locusts (90.3%), reducing post-spray to 21.1 ±7.3 prey items day-1, of which19.5 ±6.7 were adult desert locusts (92.5%), attributable to decreased use of the plucking-posts by the kestrels rather than an effect of the spray. After spraying, kestrels took significantly (P<0.05) more larger female (75–80%) than smaller male (20–25%) locusts. Avian predation probably enhanced the impact of the GM on the desert locust population, especially by removing large adult females. No direct or indirect adverse side-effects were observed on non-target organisms including locust predators such as ants and birds. These substantial ecological advantages should also be considered when choosing between conventional chemical and biopesticide-based locust control

Differences in anti-malarial activity of 4-aminoalcohol quinoline enantiomers and investigation of the presumed underlying mechanism of action

International audienc

Individual variation in migratory movements and winter behaviour of Iberian Lesser Kestrels Falco naumanni revealed by geolocators

The population decline of the Lesser Kestrel Falco naumanni has been the subject of studies across its Western Palaearctic breeding range, but little is known about its use of pre-migratory areas or African wintering quarters. We used geolocators to describe the temporal and spatial patterns of Portuguese Lesser Kestrel migration and wintering behaviour. Data on the complete migration were obtained from four individuals and another three provided further information. Prior to southward migration, Lesser Kestrels showed two different behaviours: northward-orientated movements to Spain and movements in the proximity of the breeding area. Autumn migration took place mostly in late September; spring departures occurred mainly in the first half of February. Wintering grounds included Senegal, Mauritania and Mali, with individuals overlapping considerably in Senegal. Movements registered within the wintering grounds suggest itinerant behaviour in relation to local flushes of prey. During spring migration, birds crossed the Sahara Desert through Mauritania, Western Sahara and Morocco before passing over the Mediterranean to reach Portugal. Autumn migration lasted 4.8 ± 1.1 days, and spring migration lasted 4.1 ± 0.3 days. The mean daily flight range varied between approximately 300 and 850 km for an entire journey of around 2500 km. Effective protection of roosting sites in both pre-migratory and wintering areas and maintaining grasshopper populations in Sahelian wintering quarters appear crucial in preserving this threatened migratory raptor across its African–Eurasian flyway. There was no evidence of any deleterious effects of fitting birds with loggers

Supporting information of the PhD thesis: Don't kill your allies. The impact of chemical and biological locust- and grasshopper control on birds

S1 Table. Birds recorded at Aghéliough (plus records from Arlit only). S2 Table. Prey remains found under plucking posts K1TREE and K2TREE Belongs to: Chapter 5. Increased and sex-selective avian predation of Desert Locusts Schistocerca gregaria treated with Metarhizium acridu

Brass Alloys: Copper-Bottomed Solutions against Hospital-Acquired Infections?

Copper has been used for its antimicrobial properties since Antiquity. Nowadays, touch surfaces made of copper-based alloys such as brasses are used in healthcare settings in an attempt to reduce the bioburden and limit environmental transmission of nosocomial pathogens. After a brief history of brass uses, the various mechanisms that are thought to be at the basis of brass antimicrobial action will be described. Evidence shows that direct contact with the surface as well as cupric and cuprous ions arising from brass surfaces are instrumental in the antimicrobial effectiveness. These copper ions can lead to oxidative stress, membrane alterations, protein malfunctions, and/or DNA damages. Laboratory studies back up a broad spectrum of activity of brass surfaces on bacteria with the possible exception of bacteria in their sporulated form. Various parameters influencing the antimicrobial activity such as relative humidity, temperature, wet/dry inoculation or wear have been identified, making it mandatory to standardize antibacterial testing. Field trials using brass and copper surfaces consistently report reductions in the bacterial bioburden but, evidence is still sparse as to a significant impact on hospital acquired infections. Further work is also needed to assess the long-term effects of chemical/physical wear on their antimicrobial effectiveness