Publications by authors named "Jean Louis Gueant"

Background: Early-life exposures including diet, and the gut microbiome have been proposed to predispose infants towards multifactorial diseases later in life. Delivery via Cesarian section disrupts the establishment of the gut microbiome and has been associated with negative long-term outcomes. Here, we hypothesize that Cesarian section delivery alters not only the composition of the developing infant gut microbiome but also its metabolic capabilities.

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Vitamin B deficiency is usually simple to diagnose. However, our patient demonstrates that in difficult cases, the ordinary clinician may need a transdisciplinary approach. The finding of a double haploinsufficiency as a possible cause of vitamin B deficiency in our patient, illustrates the usefulness of performing large panel clinical exome sequencing.

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Aim: This study evaluated the bias and accuracy of the CKD-EPI/CKiD and EKFC equations compared with the reference exogenous tracer-based assessment of glomerular filtration rate (GFR) in adult and pediatric patients according to their renal transplant status.

Methods: We assessed the bias and P accuracy of the CKD-EPI/CKiD and EKFC equations compared with iohexol-based GFR measurement.

Results: In the overall population (n = 59), the median age was 29 years (IQR, 16.

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  • Renal dysfunction frequently occurs in patients with cirrhosis, either due to acute illness or the progression of liver disease, but comprehensive evaluations of renal function markers have not been thoroughly studied.
  • A retrospective study was conducted on hospitalized cirrhosis patients from January 2021 to June 2023, involving a detailed assessment of renal function across 43 parameters.
  • The findings revealed that most patients exhibited renal abnormalities, with significant overestimations in estimated glomerular filtration rates compared to measured creatinine clearance, highlighting the importance of multiparametric assessments for properly evaluating kidney function in these patients.*
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  • Anaphylaxis is a severe allergic reaction initiated by allergens activating B-cells, but existing understanding of its mechanisms is incomplete, prompting a review of proteomic and metabolomic studies to identify new biomarkers.
  • A systematic search identified 12 relevant studies from 137 publications, which showed variations in protein expression related to neutrophil activation and platelet degranulation, along with common metabolites like arachidonic acid.
  • The findings suggest that neutrophils and platelets play a greater role in anaphylaxis than previously thought, but require further research with larger human study samples to validate and potentially develop new diagnostic biomarkers.
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  • - The study investigates the complex clinical and metabolic effects associated with inborn errors of cobalamin metabolism, particularly focusing on cblC and epi-cblC cases, to better understand their variability and underlying mechanisms.
  • - Researchers utilized metabolomic, genomic, proteomic, and post-translational modification analyses on fibroblasts from cblC and cblG patient cases, revealing notable disruptions in metabolic pathways such as the urea cycle and mitochondrial energy production.
  • - Findings highlight significant changes in enzyme expression and activity, which could explain clinical symptoms like neurological issues and developmental delays in patients; further research is needed to confirm these connections.
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Inborn errors of metabolism (IEMs) are a group of more than 1000 inherited diseases that are individually rare but have a cumulative global prevalence of 50 per 100,000 births. Recently, it has been recognized that like common diseases, patients with rare diseases can greatly vary in the manifestation and severity of symptoms. Here, we review omics-driven approaches that enable an integrated, holistic view of metabolic phenotypes in IEM patients.

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Background: MTR gene encodes the cytoplasmic enzyme methionine synthase, which plays a pivotal role in the methionine cycle of one-carbon metabolism. This cycle holds a significant importance in generating S-adenosylmethionine (SAM) and S-adenosylhomocysteine (SAH), the respective universal methyl donor and end-product of epigenetic transmethylation reactions. cblG type of inherited disorders of vitamin B12 metabolism due to mutations in MTR gene exhibits a wide spectrum of symptoms, including a retinopathy unresponsive to conventional therapies.

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Scope: Disruption of the one carbon metabolism during development, i.e., following a gestational vitamin B9 and B12 deficiencies, is involved in birth defects and brain development delay.

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Introduction: Meningiomas are the most common type of primary central nervous system tumors. In about 80% cases, these tumors are benign and grow very slowly, but the remainder 20% can unlock higher proliferation rates and become malignant. In this study we examined two miRs, miR-16 and miR-519, and evaluated their role in tumorigenesis and cell growth in human meningioma.

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Vitamin B9 (folate)/B12 (cobalamin) deficiency is known to induce brain structural and/or functional retardations. In many countries, folate supplementation, targeting the most severe outcomes such as neural tube defects, is discontinued after the first trimester. However, adverse effects may occur after birth because of some mild misregulations.

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Impairment of one-carbon metabolism during pregnancy, either due to nutritional deficiencies in B9 or B12 vitamins or caused by specific genetic defects, is often associated with neurological defects, including cognitive dysfunction that persists even after vitamin supplementation. Animal nutritional models do not allow for conclusions regarding the specific brain mechanisms that may be modulated by systemic compensations. Using the Cre-lox system associated to the neuronal promoter Thy1.

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Background: Neuromuscular blocking agents (NMBAs) are among the leading cause of perioperative anaphylaxis, and most of these reactions are IgE mediated. Allergic sensitisation induced by environmental exposure to other quaternary ammonium-containing compounds, such as pholcodine, has been suggested. The aim of this study was to assess the relationship between pholcodine exposure and NMBA-related anaphylaxis.

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Objective: The aim of this study was to systematically review the evidence across studies that assessed DNA methylome variations in association with food allergy (FA).

Design: A systematic review of the literature and meta-analysis were carried out within several databases. However, the risk of bias in the included articles was not evaluated.

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  • Clinical exome sequencing (CES) is a cost-effective method for analyzing disease-related genes, showing a diagnostic yield of about 37.6% in a study of 603 patients with various Mendelian phenotypes.
  • Key factors that predicted the utility of CES included the presence of severe phenotypes, having at least one family member tested, and prescriptions made by genetic experts.
  • The findings from this study suggest that using CES as a first-level genetic test can enhance diagnostic efficiency in detecting monogenic disorders.
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Medical biology is an essential part of patient care, both for the diagnosis and monitoring of diseases and for certain therapeutic advances. However, in recent years, it has been confronted with fundamental questions concerning its future. This report is the follow-up to the one published in 2018 by the National Academies of Medicine and Pharmacy and unfortunately only confirms a strong deterioration at all levels.

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  • Richter syndrome (RS) represents the transformation of chronic lymphocytic leukemia (CLL) into an aggressive form of lymphoma, primarily diffuse large B-cell lymphoma (DLBCL).
  • Researchers analyzed 58 primary RS samples using DNA methylation and transcriptome profiling, leading to the identification of epigenetic patterns and a method to assess CLL-RS clonal relationships without the original CLL tumor DNA.
  • The study developed classifiers based on DNA and transcriptomic data, revealing a poor-prognosis subset of DLBCL that shares similarities with RS, highlighting the potential to improve prognosis assessment and treatment strategies for affected patients.
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Purpose: To assess the association between plasma procalcitonin concentration at hospital admission and the risk of 50-day in-hospital mortality among patients with community-acquired bloodstream infections.

Methods: We carried out a retrospective, observational cohort study with all consecutive patients with bacteriologically confirmed community-acquired bloodstream infections hospitalized between 2006 and 2012. We aimed to assess the association between plasma procalcitonin at admission and 50-day in-hospital mortality.

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  • Vitamin B is super important for our health but isn't found in many plant-based foods, which can lead to a shortage for people who only eat plants, like vegetarians and vegans.
  • Many people, especially pregnant women or women of child-bearing age, may not be getting enough Vitamin B, which can cause serious health problems.
  • The guidelines in the UK for how much Vitamin B people should get don't take into account the needs of those on plant-based diets, so it's important for these individuals and their doctors to be careful about preventing Vitamin B deficiency.
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Stem cells are a population of undifferentiated cells with self-renewal and differentiation capacities. Normal and cancer stem cells share similar characteristics in relation to their stemness properties. One-carbon metabolism (OCM), a network of interconnected reactions, plays an important role in this dependence through its role in the endogenous synthesis of methionine and S-adenosylmethionine (SAM), the universal donor of methyl groups in eukaryotic cells.

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  • Thromboembolic events are more common in patients with severe hyperhomocysteinemia (>30 µmol/L) linked to genetic issues and vitamin B deficiencies, while moderate levels (15-30 µmol/L) show a slight increase in cardiovascular risk.
  • The debate over homocysteine's role as a cardiovascular risk factor continues, with earlier trials showing no benefits from lowering homocysteine levels, leading experts to reconsider its importance in cardiovascular assessments.
  • Most cardiovascular patients have moderate to severe hyperhomocysteinemia, often due to vitamin B12 or folate deficiency, suggesting a need for routine screening and treatment of these deficiencies in affected individuals.
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Inherited disorders of B metabolism produce a broad spectrum of manifestations, with limited knowledge of the influence of age and the function of related genes. We report a meta-analysis on 824 patients with a genetically proven diagnosis of an inherited disorder of vitamin B metabolism. Gene clusters and age categories are associated with patients' manifestations.

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