Publications by authors named "Legendre P"

Introduction: Chronic cassava-derived cyanide poisoning is associated with the appearance of konzo, a tropical spastic paraparesis due to selective upper motor neuron damage. Whether the disease is caused by a direct action of cyanide or its metabolites is still an open question. This preliminary study assessed the neurotoxic effects of thiocyanate (SCN) and cyanate (OCN), two cyanide metabolites hypothesized to be plausible toxic agents in konzo.

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EBV-positive inflammatory follicular dendritic cell sarcoma (EBV+ inflammatory FDCS) is a rare neoplasm almost exclusively located in the spleen or liver. It is characterized by a proliferation of EBV-positive spindle-shaped cells bearing follicular dendritic cell markers, associated with an abundant lymphoplasmacytic infiltrate. EBV+ inflammatory FDCS is often asymptomatic or responsible for mild symptoms.

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  • - The study examined the characteristics of granulomatosis with polyangiitis (GPA) in patients who experienced induction failure, focusing on different treatments and how effective salvage therapies were from 2006 to 2021.
  • - A total of 51 patients with GPA and induction failure were analyzed, revealing that those treated with intravenous cyclophosphamide often had more severe symptoms like relapsing disease and orbital masses compared to controls, while those on rituximab showed significant renal complications.
  • - After trying salvage therapies, 69% of patients achieved remission, with a notable success in switching therapies; 50% of those inadequately responding to cyclophosphamide improved with rituximab, while patients progressing
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  • The study aimed to identify homogeneous subgroups among patients with anti-PM-scleroderma-antibodies (PM-Scl-Abs) across various autoimmune diseases.
  • Data from 142 patients were analyzed and categorized into three distinct clusters based on their clinical and biological characteristics, focusing on skin and lung involvement.
  • The findings suggest that these subgroups exhibit differing clinical features and outcomes, with skin thickening and non-specific interstitial pneumonia (NSIP) being key factors for classification.
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  • The study aimed to compare the prevalence and characteristics of patients with anti-topoisomerase 1 antibodies (ATA) and limited cutaneous systemic sclerosis (lSSc) versus those with anti-centromere antibodies (ACA) and diffuse cutaneous systemic sclerosis (dSSc).
  • Among the 1,040 patients analyzed, ACA dSSc was found in 1.1% and ATA lSSc in 8.9%, with ACA patients showing more cardiac and muscle involvement but less interstitial lung disease (ILD) than ATA patients.
  • The 5-year survival rates varied significantly: 95% for ATA lSSc, 71% for ACA dSSc, 84% for ACA lS
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  • KP (Klebsiella pneumoniae) is the leading cause of endogenous endophthalmitis (EE) in Asia, and this study looks at eight cases from France, indicating it may be on the rise in Europe.
  • Researchers analyzed EE cases from 2014 to 2021, finding that 24% were caused by KP, primarily the hypervirulent strain, with most cases occurring recently.
  • Patients with KP EE often had multiple infections outside the eyes, particularly notable liver abscesses, and a significant portion also experienced cerebral complications, with poor visual outcomes for all involved.
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Objective: To determine the frequency of elevated D-dimer plasma concentration (>500 ng/mL) in patients with systemic sclerosis and evaluate its association with systemic sclerosis-specific microvascular and macrovascular complications.

Methods: Retrospective observational study of patients with systemic sclerosis followed in a tertiary referral center with at least one measurement of D-dimer between 2010 and 2018.

Results: A total of 214 patients were analyzed.

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Unlabelled: This report describes the first case of splenic injury in a patient with p.V1316M-associated von Willebrand disease type 2B (VWD2B) with chronic thrombocytopenia, successfully treated with nonoperative management including von Willebrand factor (VWF) replacement therapy, and platelet transfusions relayed by a thrombopoietin receptor agonist (TPO-RA, Eltrombopag). Eltrombopag was initially introduced to rescue an unusual post-platelet-transfusion reaction exacerbating the thrombocytopenia.

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Erythroblastic synartesis is a rare cause of acquired dyserythropoiesis. Only 9 cases have been previously reported. We hereby report 3 cases of patients diagnosed with erythroblastic synartesis associated with monoclonal immunoglobulin and an overt malignant lymphoid disorder.

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Background: Fecal microbiota transplantation (FMT) is now evaluated in various diseases. However, large-scale population treatment may encounter feasibility issues in terms of acceptance. We aim to evaluate patient knowledge of gut microbiota and the acceptability of FMT in various diseases.

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  • The study aimed to evaluate the effectiveness and safety of rituximab and methotrexate (RTX/MTX) combination therapy in treating ANCA-associated vasculitis (AAV), specifically granulomatosis with polyangiitis (GPA).
  • A total of 17 patients with GPA participated, with most having previously failed other treatments; after 6 months, 88% showed a positive response, and by the end of the study, 94% had responded to the therapy.
  • While the combination therapy was generally well-tolerated, 41% of patients experienced severe side effects, but it was considered effective for managing persistent GPA symptoms.
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  • The survival of animals relies on their ability to choose the right behaviors in response to various stimuli, with specific neural circuits involved in these decisions.
  • Research highlights a pathway in the habenulo-interpeduncular nucleus (Hb-IPN) that plays a key role in mediating distinct aversive behaviors through cholinergic and non-cholinergic neurons.
  • Findings show that cholinergic neurons trigger excitatory signals in IPN neurons, which then inhibit non-cholinergic neuron activity, suggesting a competitive interaction between these neural populations that shapes aversive responses.
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  • * Research found that NEPs, particularly those in the floor plate of the spinal cord, can generate large action potentials through the activation of T-type calcium channels and are interconnected via gap junctions, forming a functional electrical syncytium.
  • * Acetylcholine released from motoneurons triggers these action potentials in floor-plate NEPs, leading to the propagation of calcium waves throughout the spinal cord, indicating a unique mechanism for electrical signaling independent of neurons.
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The microbiome composition of living organisms is closely linked to essential functions determining the fitness of the host for thriving and adapting to a particular ecosystem. Although multiple factors, including the developmental stage, the diet, and host-microbe coevolution have been reported to drive compositional changes in the microbiome structures, very few attempts have been made to disentangle their various contributions in a global approach. Here, we focus on the emerald ash borer (EAB), an herbivorous pest and a real threat to North American ash tree species, to explore the responses of the adult EAB gut microbiome to ash leaf properties, and to identify potential predictors of EAB microbial variations.

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  • Subglottic stenosis (SGS) and tracheal stenosis (TS) are airway narrowing issues studied in non-traumatic and non-tumoral cases to understand their characteristics and outcomes.
  • The study involved 81 patients, with significant findings linking SGS/TS to granulomatosis with polyangiitis (GPA) and relapsing polychondritis (RP), each presenting with distinct features and complication rates.
  • Despite treatments like glucocorticoids and methotrexate, a high relapse rate (76%) was observed, and three patients died due to complications from these conditions, emphasizing their severity.
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  • GABA receptors are chloride channels that play a key role in inhibiting neuronal activity, influencing how communication occurs in the brain.
  • These receptors exhibit complex properties that allow them to manage various types of inhibitory currents and are regulated by factors like membrane voltage and ion levels.
  • There are many GABA receptor subtypes, each differing in structure and function, which leads to significant variations in neural responses and contributes to the overall electrical activity of neurons.
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Super-resolution imaging has revealed that key synaptic proteins are dynamically organized within sub-synaptic domains (SSDs). To examine how different inhibitory receptors are regulated, we carried out dual-color direct stochastic optical reconstruction microscopy (dSTORM) of GlyRs and GABA Rs at mixed inhibitory synapses in spinal cord neurons. We show that endogenous GlyRs and GABA Rs as well as their common scaffold protein gephyrin form SSDs that align with pre-synaptic RIM1/2, thus creating trans-synaptic nanocolumns.

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  • Renshaw cells (V1) in the spinal cord are active soon after they settle next to motoneurons and show functional differences throughout their development.
  • The study used various experimental methods along with modeling to investigate the changes in V1's electrical properties during early mouse embryonic stages (E11.5-E16.5).
  • Key findings indicate that the diversity in firing patterns of embryonic V1 is influenced by the balance of sodium and potassium conductances, leading to a phase where these cells temporarily lose their ability to sustain continuous firing.
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Aims: Von Willebrand factor (VWF) is a plasma glycoprotein involved in primary haemostasis, while also having additional roles beyond haemostasis namely in cancer, inflammation, angiogenesis, and potentially in vascular smooth muscle cell (VSMC) proliferation. Here, we addressed how VWF modulates VSMC proliferation and investigated the underlying molecular pathways and the in vivo pathophysiological relevance.

Methods And Results: VWF induced proliferation of human aortic VSMCs and also promoted VSMC migration.

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Genome-wide association studies linked expression of the human neutrophil antigen 3b (HNA-3b) epitope on the Slc44a2 protein with a 30% decreased risk of venous thrombosis (VT) in humans. Slc44a2 is a ubiquitous transmembrane protein identified as a receptor for von Willebrand factor (VWF). To explain the link between Slc44a2 and VT, we wanted to determine how Slc44a2 expressing either HNA-3a or HNA-3b on neutrophils could modulate their adhesion and activation on VWF under flow.

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