Publications by authors named "Bernard Staumont"

Digital twins represent a key technology for precision health. Medical digital twins consist of computational models that represent the health state of individual patients over time, enabling optimal therapeutics and forecasting patient prognosis. Many health conditions involve the immune system, so it is crucial to include its key features when designing medical digital twins.

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Background: Although the incidence of anaplastic thyroid carcinoma (ATC) is low (2.5% of thyroid cancer cases), this cancer has a very poor prognosis (survival rates < 5 months) and accounts for 14-39% of deaths. Conventional therapies based on surgery in combination with radiotherapy or chemotherapy showed limited effectiveness primarily due to the robust and protective DNA damage response in thyroid cancer cells.

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Adverse Outcome Pathways (AOPs) are conceptual frameworks that tie an initial perturbation (molecular initiating event) to a phenotypic toxicological manifestation (adverse outcome), through a series of steps (key events). They provide therefore a standardized way to map and organize toxicological mechanistic information. As such, AOPs inform on key events underlying toxicity, thus supporting the development of New Approach Methodologies (NAMs), which aim to reduce the use of animal testing for toxicology purposes.

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In Silico Trials methodologies will play a growing and fundamental role in the development and de-risking of new medical devices in the future. While the regulatory pathway for Digital Patient and Personal Health Forecasting solutions is clear, it is more complex for In Silico Trials solutions, and therefore deserves a deeper analysis. In this position paper, we investigate the current state of the art towards the regulatory system for in silico trials applied to medical devices while exploring the European regulatory system toward this topic.

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Disorders of consciousness (DoC) are the hallmark of severe acquired brain injuries characterized by abnormal activity in important brain areas and disruption within and between brain networks. As DoC's therapeutic arsenal is limited, new potential therapies such as transcutaneous auricular vagal nerve stimulation (taVNS) have recently been explored. The potential of taVNS in the process of consciousness recovery has been highlighted in recent studies with DoC patients.

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: There is no standard chemotherapy for refractory or relapsing malignant pleural mesothelioma (MPM). Our previous reports nevertheless indicated that a combination of an anthracycline (doxorubicin) and a lysine deacetylase inhibitor (valproic acid, VPA) synergize to induce the apoptosis of MPM cells and reduce tumor growth in mouse models. A Phase I/II clinical trial indicated that this regimen is a promising therapeutic option for a proportion of MPM patients.

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Article Synopsis
  • Various animal models like rats, transgenic mice, and macaques have been used to study Human T-lymphotropic Virus (HTLV) pathogenesis, but they face limitations such as lack of disease relevance and specific immune responses.
  • A comparative virology approach suggests studying related viruses like bovine leukemia virus (BLV), which is evolutionarily connected to HTLV-1.
  • BLV causes lymphoproliferative disorders in cattle, offering insights into viral persistence, genetic factors in disease development, and potential new therapies for HTLV-related issues.*
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Article Synopsis
  • Doctors are looking for better ways to treat a serious lung cancer called malignant pleural mesothelioma (MPM) because current treatments aren't very effective.
  • One promising option is immunotherapy, which uses the body’s immune system to fight the cancer, but it has some challenges that make it hard to use.
  • The review talks about parts of the immune system and how new methods, like changing how genes work, can help make immunotherapy better for treating MPM.
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