Publications by authors named "Jean Claude Alvarez"

Dietary risk assessment of food contaminants requires a well-established understanding of the exposure in a heterogeneous population. There are many methods for estimating human exposure to food contaminants, such as intake calculations and internal biomarkers of exposure measured in individuals. However, those methods are expensive, partly invasive, and often provide a momentary exposure snapshot.

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Octodrine, also known as dimethylhexylamine (DMHA), is a central nervous stimulant. When ingested by humans, octodrine is rapidly metabolized to heptaminol, the main compound present in the blood. Due to their stimulant activities, octodrine and its metabolite are specified substances in section S6b "specified stimulants" of the World Anti-Doping Agency (WADA) Prohibited List, prohibited in competition.

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Metals are used in orthopedic implants. The wear of arthroplasty implant can lead to the release of arthroprosthetic metals, both locally and systemically, after migration into the organs. While the toxicity of metal-on-metal arthroplasty implants is well-known and monitored, the toxicity associated with metal-on-polyethylene (MoP) ones is not as comprehensively understood.

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Objectives: Charaterization of the plasma concentrations of antiretrovirals in a 4-days-a-week maintenance treatment strategy in the ANRS-170-QUATUOR study.

Methods: Patients were randomized in two groups receiving triple therapy taken 4-days-ON and 3-days-OFF (4/7) or continuous therapy (7/7). Plasma antiretroviral concentrations were monitored during the 'ON-treatment period' (Day 3 or 4 of the 4-day treatment block) and the 'OFF-treatment period' (Day 3 of the 3-day drug cessation) for the 4/7 group, or before the daily drug intake for the 7/7 group, until week-48 (W48).

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Seafood products accumulate methylmercury throughout the food chain and are the main source of methylmercury exposure. Methylmercury may trigger a number of adverse health effects, such as neurodevelopmental or nephrotoxic effects, the risk of which cannot be ruled out for the French high consumers of seafood. The characterisation of methylmercury-related risks is generally based on short-term dietary exposure without considering changes in consumption and exposure over the lifetime.

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Ostarine, also known as MK-2866 or enobosarm, is a selective androgen receptor modulator (SARM). It has anabolic properties and as such is widely used in doping, accounting in 2021 for 25 % of the adverse analytical findings (AAF) among the class S1.2 "Other anabolic agents" of products banned by the World Anti-Doping Agency, to which it belongs.

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Tyrosine kinase inhibitors (TKIs) are used as targeted cancer therapies in adults and have an off-label pediatric application for the treatment of Langerhans cell histiocytosis. A multitarget LC-MS/MS method was developed and validated for the determination of alectinib, alectinib-M4, binimetinib, cobimetinib, crizotinib, dabrafenib, encorafenib, imatinib, lorlatinib, osimertinib, AZ5104, and trametinib. A total of 150 µL of internal standard methanolic solution was added to 50 µL of plasma sample to precipitate proteins.

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Article Synopsis
  • Kynurenine, a toxin that increases in patients with chronic kidney disease (CKD), has been linked to poor cardiovascular health outcomes and mortality.
  • In a study of over 2400 CKD patients, higher levels of serum-free kynurenine were found to increase the risk of cardiovascular events and mortality, independent of other factors.
  • The results suggest that serum-free kynurenine may play a significant role in cardiovascular risks among CKD patients, although it was not linked to overall mortality after adjusting for other compounds.
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  • Roxadustat is an oral medication that enhances the body's production of red blood cells, but it is banned in sports by WADA due to its performance-enhancing properties.
  • A case study of a 31-year-old female athlete revealed the presence of roxadustat in her urine at notable concentrations, suggesting possible use despite her previous negative test result just days earlier.
  • The athlete's urine and hair samples indicated low levels of roxadustat, which were potentially linked to a collagen supplement she was taking; however, tests showed that her levels were much higher than those in a control subject using the same supplement.
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Aims: To study the effect of inhaled cannabis on self-assessed predicted driving ability and its relation to reaction times and driving ability on a driving simulator.

Participants And Methods: 30 healthy male volunteers aged 18-34: 15 chronic (1-2 joints /day) and 15 occasional (1-2 joints/week) consumers. Self-assessed driving confidence (visual analog scale), vigilance (Karolinska), reaction time (mean reciprocal reaction time mRRT, psychomotor vigilance test), driving ability (standard deviation of lane position SDLP on a York driving simulator) and blood concentrations of delta-9-tétrahydrocannabinol (THC) were measured before and repeatedly after controlled inhalation of placebo, 10 mg or 30 mg of THC mixed with tobacco in a cigarette.

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  • - This study explores the link between dental health issues and uremic toxins in saliva among patients with chronic kidney disease (CKD), focusing on stages 2 to 5 without kidney replacement.
  • - Researchers analyzed concentrations of eight uremic toxins and three of their precursors using advanced techniques (LC-MS/MS) in the saliva of 88 CKD patients.
  • - The findings revealed associations between various dental health indicators and specific uremic toxins in saliva, highlighting the need for further studies to validate these results.
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  • This autopsy study analyzed 43 cases of individuals who had THC in their blood to investigate the link between cannabis use and cardiovascular risk over two years.
  • Researchers performed toxicological and hair analyses to categorize cannabis use and assess other drug exposures.
  • The study found significant associations between cannabis use and serious heart conditions, implying that cannabis might contribute to sudden deaths related to cardiac issues, often classified as accidents.
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Drug facilitated-crime or chemical submission (DFC/CS) is defined as the concealed or forced administration of psychoactive substances to a victim for criminal purposes. This is a national program set up in the early 2000 s in the form of a prospective multicenter survey, the results of which this manuscript presents. Over this 19-year period, 5487 cases were collected, analyzed and classified into 54 % of suspected cases, 29 % of chemical vulnerability (CV) cases and 17 % of proven DFC/CS cases.

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  • 2-Fluorodeschloroketamine (2F-DCK) is a ketamine derivative linked to serious health issues, prompting this study to explore its metabolism using human liver microsomes and authentic samples from drug users.
  • The analysis involved advanced techniques like liquid chromatography and high-resolution accurate mass spectrometry, identifying 26 potential metabolites, with 15 newly reported.
  • Key findings highlight the reliability of nor-2F-DCK as a target for testing, alongside new metabolites detected in urine and hair, confirming its presence in significant concentrations following chronic use.
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  • Roxadustat is an oral medication that stimulates the production of red blood cells and can be misused as a doping agent in sports.
  • The study aimed to develop a reliable method using liquid chromatography-tandem mass spectrometry (LC-MS/MS) to measure roxadustat levels in hair samples.
  • The method proved effective, providing consistent results in a patient undergoing treatment, suggesting it can be used for clinical applications or for detecting doping in athletes.
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Background: In a 4 days/week (4/7 days) maintenance strategy (ANRS-170 QUATUOR trial), the virological impact of an intermittent strategy was assessed by ultrasensitive virological analyses of reservoirs and resistance.

Methods: HIV-1 total DNA, ultra-sensitive plasma viral load (USpVL) and semen VL were measured in the first 121 participants. Sanger and ultra-deep sequencing (UDS) were performed on the HIV-1 genome (Illumina technology) according to the ANRS consensus.

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Use of proton-pump inhibitors (PPIs) is common in patients with chronic kidney disease (CKD). PPIs and many uremic toxins (UTs) are eliminated by the kidney's tubular organic anion transporter system. In a cross-sectional study, we sought to evaluate the association between PPI prescription and serum concentrations of various UTs.

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  • 3-Hydroxyeticyclidine (3-HO-PCE) is a lesser-known ketamine derivative that causes dissociative and euphoric effects, but its pharmacological properties and toxicity are not well understood.
  • A study investigated the metabolism of 3-HO-PCE for the first time, analyzing drug users' urine and hair samples to identify metabolites that could help in overdose detection.
  • The research found 15 metabolites, suggested two reliable biomarkers for urine and hair screening, and highlighted specific metabolites for targeted long-term monitoring and detection of 3-HO-PCE.
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Cannabidiol (CBD) is a phytocannabinoid present in cannabis, obtained either by extraction from the plant or by synthesis. The latter has the advantage of being pure and contains few impurities, unlike CBD of plant origin. It is used by inhalation, ingestion or skin application.

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The objective of the present study was to investigate the putative correlation between the saliva concentration and free serum concentration for 10 uremic toxins (UTs; eight protein-bound solutes: 3-carboxy-4-methyl-5-propyl-2-furanpropanoic acid (CMPF), hippuric acid (HA), indole-3-acetic acid (3-IAA), indoxyl sulfate (I3S), kynurenic acid (KA), kynurenine (KYN), p-cresyl glucuronide (pCG), and p-cresyl sulfate (pCS); two free, water-soluble, low-molecular weight solutes: phenylacetylglutamine (PAGN) and trimethylamine N-oxide (TMAO); and three precursors: tyrosine (Tyr), phenylalanine, and tryptophan). Saliva samples and blood samples were collected simultaneously from 18 healthy volunteers. After the addition of internal standards, 50 µL of saliva or serum were precipitated with methanol.

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