Pre-operative Concomitant Radio-chemotherapy in Bulky Carcinoma of the Cervix: A Single Institution Study

Objective To evaluate the treatment results of patients (pts) with FIGO stage IB2, IIA, IIB cervical carcinoma (CC) treated with pre-operative radio-chemotherapy, followed by extended radical hysterectomy. Methods Retrospective study of 148 women treated to the Institut Curie for operable FIGO Stage IB2 to IIB, biopsy proved CC. Among them, 70 pts, median age 46 years, were treated using the same regimen associating primary radio-cisplatinum based chemotherapy, intracavitary LDR brachytherapy, followed by extended radical hysterectomy. Kaplan-Meier estimates were used to draw survival curves. Comparisons of survival distribution were assessed by the log-rank test. Results Complete histological local-regional response was obtained in 56% of the pts (n = 39). Residual macroscopic or microscopic disease in the cervix was observed in 28 pts (40%). All but one had in-situ microscopic residual CC. Lateral residual disease in the parametria was also present in 9 pts, all with residual CC. Pelvic lymph nodes were free from microscopic disease in 56 pts (80%). Eight of 55 (11%) radiological N0 patients had microscopic nodal involvement, as compared to 6/15 (40%) radiological N1 (p = 0.03). Seventeen pts (25%) had residual cervix disease but negative nodes. After median follow-up of 40 months (range, 8–141), 38/70 patients (54.1%) are still alive and free of disease, 6 (8.6%) alive with disease, and 11 (15.8%) patients were lost for follow-up but free of disease. In Conclusion The treatment of locally advanced CC needs a new multidisciplinary diagnostic and treatment approach using new therapeutic arms to improve the survival and treatment tolerance among women presenting this disease

The SIB Swiss Institute of Bioinformatics' resources: focus on curated databases

The SIB Swiss Institute of Bioinformatics (www.isb-sib.ch) provides world-class bioinformatics databases, software tools, services and training to the international life science community in academia and industry. These solutions allow life scientists to turn the exponentially growing amount of data into knowledge. Here, we provide an overview of SIB's resources and competence areas, with a strong focus on curated databases and SIB's most popular and widely used resources. In particular, SIB's Bioinformatics resource portal ExPASy features over 150 resources, including UniProtKB/Swiss-Prot, ENZYME, PROSITE, neXtProt, STRING, UniCarbKB, SugarBindDB, SwissRegulon, EPD, arrayMap, Bgee, SWISS-MODEL Repository, OMA, OrthoDB and other databases, which are briefly described in this article

LES NEURONES DOPAMINERGIQUES (LE GDNF ET LA NEURTURINE COMME FACTEURS DE SURVIE LA XENOTRANSPLANTATION COMME APPROCHE RESTAURATRICE)

NANTES-BU Sciences (441092104) / SudocSudocFranceF

Effects of symbiotic status on cellular immunity dynamics in Sitophilus oryzae

Many insects maintain intracellular symbiosis with mutualistic bacteria that improve their adaptivecapabilities in nutritionally poor habitats. Adaptation of insect immune systems to such associations hasbeen shown in several symbiotic consortia, including that of the rice weevil Sitophilus oryzae with thegammaproteobacterium Sodalis pierantonius. Although authors have mostly focused on the role of humoralimmunity in host-symbiont interactions, recent studies suggest that symbiotic bacteria may alsointerfere with the cellular, hemocyte-based, immunity. Here, we have explored hemocyte dynamics inS. oryzae in the presence or absence of S. pierantonius, and in response to bacterial challenges. We haveidentified five morphotypes within larval hemocytes, whose abundance and morphometry drasticallychange along insect development. We show that hemocytes make part of the weevil immune system byresponding to pathogenic infections. In contrast with previous results on other insect species, however,our analyses did not reveal any symbiotic-dependent modulation of the hemocyte global population

Improving Hepatocyte Engraftment Following Hepatocyte Transplantation Using Repeated Reversible Portal Vein Embolization in Rats

International audienceHepatocyte transplantation (HT) has emerged as a promising alternative to orthotopic liver transplantation, yet liver preconditioning is needed to promote hepatocyte engraftment. A method of temporary occlusion of the portal flow called reversible portal vein embolization (RPVE) has been demonstrated to be an efficient method of liver preconditioning. By providing an additional regenerative stimulus, repeated reversible portal vein embolization (RRPVE) could further boost liver engraftment. The aim of this study was to determine the efficiency of liver engraftment of transplanted hepatocytes after RPVE and RRPVE in a rat model. Green fluorescent protein-expressing hepatocytes were isolated from transgenic rats and transplanted into 3 groups of syngeneic recipient rats. HT was associated with RPVE in group 1, with RRPVE in group 2, and with sham embolization in the sham group. Liver engraftment was assessed at day 28 after HT on liver samples after immunostaining. Procedures were well tolerated in all groups. RRPVE resulted in increased engraftment rate in total liver parenchyma compared with RPVE (3.4% ± 0.81% versus 1.4% ± 0.34%; P < 0.001). In conclusion, RRPVE successfully enhanced hepatocyte engraftment after HT and could be helpful in the frame of failure of HT due to low cell engraftment

Systemic infection generates a local-like immune response of the bacteriome organ in insect symbiosis

Endosymbiosis is common in insects thriving in nutritionally unbalanced habitats. The cereal weevil, Sitophilus oryzae, houses Sodalis pierantonius, a Gram-negative intracellular symbiotic bacterium (endosymbiont), within a dedicated organ called a bacteriome. Recent data have shown that the bacteriome expresses certain immune genes that result in local symbiont tolerance and control. Here, we address the question of whether and how the bacteriome responds to insect infections involving exogenous bacteria. We have established an infection model by challenging weevil larvae with the Gram-negative bacterium Dickeya dadantii. We showed that D. dadantii infects host tissues and triggers a systemic immune response. Gene transcript analysis indicated that the bacteriome is also immune responsive, but it expresses immune effector genes to a lesser extent than the systemic and intestinal responses. Most genes putatively involved in immune pathways remain weakly expressed in the bacteriome following D. dadantii infection. Moreover, quantitative PCR experiments showed that the endosymbiont load is not affected by insect infection or the resulting bacteriome immune activation. Thus, the contained immune effector gene expression in the bacteriome may prevent potentially harmful effects of the immune response on endosymbionts, whilst efficiently protecting them from bacterial intruders

Patients With Severe Multiple Sclerosis Exhibit Functionally Altered CD8 + Regulatory T Cells

International audienceBackground and Objectives Multiple sclerosis (MS) is a chronic inflammatory and demyelinating disease of the CNS. Studies of immune dysfunction in MS have mostly focused on CD4 + Tregs, but the role of CD8 + Tregs remains largely unexplored. We previously evidenced the suppressive properties of rat and human CD8 + CD45RC low/neg Tregs from healthy individuals, expressing Forkhead box P3 (FOXP3) and acting through interferon-gamma (IFN-γ), transforming growth factor beta (TGFβ), and interleukin-34 (IL-34). secretions to regulate immune responses and control diseases such as transplant rejection. To better understand CD8 + CD45RC low/neg Tregs contribution to MS pathology, we further investigated their phenotype, function, and transcriptome in patients with MS. Methods We enrolled adults with relapsing-remitting MS and age-matched and sex-matched healthy volunteers (HVs). CD8 + T cells were segregated based on low or lack of expression of CD45RC. First, the frequency in CSF and blood, phenotype, transcriptome, and function of CD8 + CD45RC low and neg were investigated according to exacerbation status and secondarily, according to clinical severity based on the MS severity score (MSSS) in patients with nonexacerbating MS. We then induced active MOG 35-55 EAE in C57Bl/6 mice and performed adoptive transfer of fresh and expanded CD8 + CD45RC neg Tregs to assess their ability to mitigate neuroinflammation in vivo. Results Thirty-one untreated patients with relapsing-remitting MS were compared with 40 age-matched and sex-matched HVs. We demonstrated no difference of CSF CD8 + CD45RC low and CD8 + CD45RC neg proportions, but blood CD8 + CD45RC low frequency was lower in patients with MS exacerbation when compared with that in HVs. CD8 + CD45RC neg Tregs but not CD8 + CD45RC low showed higher suppressive capacities in vitro in MS patients with exacerbation than in patients without acute inflammatory attack. In vitro functional assays showed a compromised suppression capacity of CD8 + CD45RC low Tregs in patients with nonexacerbating severe MS, defined by the MSSS. We then characterized murine CD8 + CD45RC neg Tregs and demonstrated the potential of CD45RC neg cells to migrate to the CNS and mitigate experimental autoimmune encephalomyelitis in vivo. Discussion Altogether, these results suggest a defect in the number and function of CD8 + CD45RC low Tregs during MS relapse and an association of CD8 + CD45RC low Tregs dysfunction with MS severity. Thus, CD8 + CD45RC low/neg T cells might bring new insights into the pathophysiology and new therapeutic approaches of MS

Technical advances in the generation of transgenic animals and in their applications. Nantes, France, June 7th 2013

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Immunological characterization of dystrophin-deficient Dmd[mdx] rats

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Transgenic animals and genetic engineering techniques. Nantes, France, 2–3 July, 2015

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