Publications by authors named "Emmanuelle Brochiero"

Background: The reported prevalence of cystic fibrosis (CF)-related liver disease (CFLD) reaches up to 40% in some cohorts. CFLD is the 3rd leading cause of mortality among patients with CF. The aims of this study were to evaluate the prevalence of CFLD in a cohort followed at a tertiary university center, to define the types of liver involvement, and to determine how non-invasive screening methods can be optimally integrated into clinical practice.

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Major histocompatibility complex class I (MHC I) molecules present peptides to CD8+ T-cells for immunosurveillance of infection and cancer. Recent studies indicate lineage-specific heterogeneity in MHC I expression. While respiratory diseases rank among the leading causes of mortality, studies in mice have shown that lung epithelial cells (LECs) express the lowest levels of MHC I in the lung.

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Article Synopsis
  • Lung parenchymal hypoxia is a key characteristic of idiopathic pulmonary fibrosis (IPF), which enhances cancer cell invasion and promotes lung fibrogenesis through LPA-dependent signaling.
  • Research shows that lung fibroblasts from IPF patients create invadosomes—structures that degrade the matrix—more effectively, suggesting a correlation between invadosome formation and fibrosis severity.
  • The study finds that hypoxia boosts invadosome formation through LPA and PDGFR-Akt signaling pathways, indicating potential therapeutic targets for reducing lung fibrosis.
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The acute exudative phase of acute respiratory distress syndrome (ARDS), a severe form of respiratory failure, is characterized by alveolar damage, pulmonary oedema, and an exacerbated inflammatory response. There is no effective treatment for this condition, but based on the major contribution of inflammation, anti-inflammatory strategies have been evaluated in animal models and clinical trials, with conflicting results. In COVID-19 ARDS patients, interleukin (IL)-1 and IL-6 receptor antagonists (IL-1Ra and IL-6Ra, kineret and tocilizumab, respectively) have shown some efficacy.

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Acute respiratory distress syndrome (ARDS) is characterized by an exacerbated inflammatory response, severe damage to the alveolar-capillary barrier and a secondary infiltration of protein-rich fluid into the airspaces, ultimately leading to respiratory failure. Resolution of ARDS depends on the ability of the alveolar epithelium to reabsorb lung fluid through active transepithelial ion transport, to control the inflammatory response, and to restore a cohesive and functional epithelium through effective repair processes. Interestingly, several lines of evidence have demonstrated the important role of potassium (K) channels in the regulation of epithelial repair processes.

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is the major bacterial pathogen colonizing the airways of adult patients with cystic fibrosis (CF) and causes chronic infections that persist despite antibiotic therapy. Intracellular bacteria may represent an unrecognized reservoir of bacteria that evade the immune system and antibiotic therapy. Although the ability of to invade and survive within epithelial cells has been described in different epithelial cell models, evidence of this intracellular lifestyle in human lung tissues is currently lacking.

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Objectives: Successful recovery from chronic rhinosinusitis (CRS) following endoscopic sinus surgery (ESS) can be characterized by minimal presence of symptoms and absence of disease on endoscopy. However, molecular markers of surgical success remain to be characterized. These could allow for better tailoring of perioperative therapy.

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Objective: Previous in vitro transcriptomic profiling suggests azithromycin exerts its effects in patients with chronic rhinosinusitis (CRS) via modulation of type 1 inflammation and restoration of epithelial barrier function. We wished to verify these postulated effects using in vitro models of epithelial repair and in vivo transcriptional profiling.

Study Design: Functional effects of azithromycin in CRS were verified using in vitro models of wounding.

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Background: Cystic fibrosis (CF) neutrophils fail to eradicate infection despite their massive recruitment into the lung. While studies mostly focus on pathogen clearance by normal density neutrophils in CF, the contribution of low-density neutrophil (LDNs) subpopulations to disease pathogenesis remains unclear.

Methods: LDNs were isolated from whole blood donations of clinically stable adult CF patients and from healthy donors.

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Alveolar ion and fluid absorption is essential for lung homeostasis in healthy conditions as well as for the resorption of lung edema, a key feature of acute respiratory distress syndrome. Liquid absorption is driven by active transepithelial sodium transport, through apical ENaC Na channels and basolateral Na/K-ATPase. Our previous work unveiled that KvLQT1 K channels also participate in the control of Na/liquid absorption in alveolar epithelial cells.

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Idiopathic pulmonary fibrosis (IPF) is characterized by abnormal fibroblast accumulation in the lung leading to extracellular matrix deposition and remodeling that compromise lung function. However, the mechanisms of interstitial invasion and remodeling by lung fibroblasts remain poorly understood. The invadosomes, initially described in cancer cells, consist of actin-based adhesive structures that coordinate with numerous other proteins to form a membrane protrusion capable of degrading the extracellular matrix to promote their invasive phenotype.

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Article Synopsis
  • Phasing of heterozygous alleles is essential for interpreting the effects of genetic variations related to cystic fibrosis (CF), and researchers sequenced 477 CF individuals to construct haplotypes using linked-read sequencing.
  • The resulting haplotypes are visualized in an interactive web app called CFTbaRcodes, allowing for exploration of complex CF gene variations.
  • Fine-mapping revealed that a specific 20-kb deletion and a missense variant are linked to an increased risk of CF-related meconium ileus and pancreatic issues, providing insights into the genetic mechanisms involved in both CF and non-CF pancreatitis.
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Primary graft dysfunction (PGD) is characterized by alveolar epithelial and vascular endothelial damage and inflammation, lung edema and hypoxemia. Up to one-third of recipients develop the most severe form of PGD (Grade 3; PGD3). Animal studies suggest that neutrophils contribute to the inflammatory process through neutrophil extracellular traps (NETs) release (NETosis).

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Idiopathic pulmonary fibrosis (IPF) is a progressive and fatal lung disease with no curative pharmacological treatment. Current preclinical models fail to accurately reproduce human pathophysiology and are therefore poor predictors of clinical outcomes. Here, we investigated whether the chick embryo chorioallantoic membrane (CAM) assay supports the implantation of xenografts derived from IPF lung tissue and primary IPF lung fibroblasts and can be used to evaluate the efficacy of antifibrotic drugs.

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Article Synopsis
  • - Over 400 variants in the CFTR gene cause cystic fibrosis (CF), and while CFTR modulators can help improve lung function, they don't work for everyone and don't address all variants.
  • - The study examines the SLC26A9 gene marker (rs7512462) and its relationship to lung function in CF patients before and after treatment, finding that certain genetic variants linked to SLC26A9 lead to better lung function and response to CFTR modulators.
  • - The research suggests that targeting SLC26A9 could offer new therapeutic options not just for CF but also for individuals with other lung conditions like chronic obstructive pulmonary disease (COPD).
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Different serological assays were rapidly generated to study humoral responses against the SARS-CoV-2 Spike glycoprotein. Due to the intrinsic difficulty of working with SARS-CoV-2 authentic virus, most serological assays use recombinant forms of the Spike glycoprotein or its receptor binding domain (RBD). Cell-based assays expressing different forms of the Spike, as well as pseudoviral assays, are also widely used.

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Background: Pulmonary hypertension (PH) complicating idiopathic pulmonary fibrosis (IPF) is associated to worse outcome. There is a great need for a non-invasive diagnostic modality to detect and evaluate the severity of pulmonary vascular disease (PVD). Tc-PulmoBind is a novel imaging agent that binds to the adrenomedullin (AM) receptor on the pulmonary microvascular endothelium.

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The seasonal nature of outbreaks of respiratory viral infections with increased transmission during low temperatures has been well established. Accordingly, temperature has been suggested to play a role on the viability and transmissibility of SARS-CoV-2, the virus responsible for the COVID-19 pandemic. The receptor-binding domain (RBD) of the Spike glycoprotein is known to bind to its host receptor angiotensin-converting enzyme 2 (ACE2) to initiate viral fusion.

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The seasonal nature in the outbreaks of respiratory viral infections with increased transmission during low temperatures has been well established. The current COVID-19 pandemic makes no exception, and temperature has been suggested to play a role on the viability and transmissibility of SARS-CoV-2. The receptor binding domain (RBD) of the Spike glycoprotein binds to the angiotensin-converting enzyme 2 (ACE2) to initiate viral fusion.

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New Findings: What is the central question of this study? How does the downregulation of ENaC, the major driving force for alveolar fluid clearance, impact acute lung injury outcomes induced by bleomycin, featuring alveolar damage, as observed during ARDS exudative phase? What is the main finding and its importance? ENaC downregulation in αENaC(-/-)Tg+ mice did not elicit a substantial worsening impact on the main bleomycin outcomes. In ARDS patients, both ENaC alteration and alveolar damage are observed. Thus, novel therapeutic avenues, favouring alveolar integrity restauration, in addition to lung oedema resolution capacity, mainly driven by ENaC, would be essential.

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Article Synopsis
  • Cystic fibrosis (CF) affects various organs, including the pancreas, which can lead to cystic fibrosis-related diabetes (CFRD), impacting survival rates if untreated.
  • Researchers built a CFRD prediction model using genetic data from a Canadian study and validated it with data from a French study, highlighting key predictors like sex and certain genetic variants.
  • The final model successfully identifies individuals at high risk for CFRD and has led to the creation of a web-based tool that helps doctors monitor and treat patients based on their specific risk levels.
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  • Cystic fibrosis (CF) is a genetic disorder that leads to chronic lung disease, and recent research highlights the role of small non-coding RNAs, particularly microRNAs (miRNAs), in the disease's dysfunctions.
  • The study sequenced miRNA profiles from various airway samples of CF patients and found that several miRNAs, especially miR-181a-5p and the miR-449 family, were significantly altered compared to healthy controls.
  • The findings suggest that these deregulated miRNAs influence key cellular processes, such as wound healing through the regulation of WISP1, and offer potential new targets for CF therapies.
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Studying posttranscriptional regulation is fundamental to understanding the modulation of a given messenger RNA (mRNA) and its impact on cell homeostasis and metabolism. Indeed, fluctuations in transcript expression could modify the translation efficiency and ultimately the cellular activity of a transcript. Several experimental approaches have been developed to investigate the half-life of mRNA although some of these methods have limitations that prevent the proper study of posttranscriptional modulation.

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