Publications by authors named "Philippe Alain Grange"

() has been implicated in inflammatory acne where highly mutated Christie-Atkins-Munch-Petersen factor (CAMP)1 displays strong toll like receptor (TLR)-2 binding activity. Using specific antibodies, we showed that CAMP1 production was independent of phylotype and involved in the induction of inflammation. We confirmed that TLR-2 bound both mutated and non-mutated recombinant CAMP1, and peptide array analysis showed that seven peptides (A14, A15, B1, B2, B3, C1 and C3) were involved in TLR-2 binding, located on the same side of the three-dimensional structure of CAMP1.

View Article and Find Full Text PDF

Objectives: We evaluated a real-time quantitative PCR (qPCR) for detection of the (TP) genome in clinical samples through simultaneous detection of two genomic targets.

Methods: We performed qPCR with TaqMan technology using two TP genes, and , as targets, with an internal positive control. The qPCR assay was compared with syphilis diagnosis based on a combination of clinical examination, serological results and inhouse nested PCR (nPCR).

View Article and Find Full Text PDF

is a member of the skin microbiota found predominantly in regions rich in sebaceous glands. It is involved in maintaining healthy skin and has long been considered a commensal bacterium. Its involvement in various infections has led to its emergence as an opportunist pathogen.

View Article and Find Full Text PDF
Article Synopsis
  • Benzathine penicillin G (BPG) is the standard treatment for early syphilis, but recent shortages have prompted the need for alternative therapies.
  • A study in France assessed genetic resistance of the syphilis-causing bacteria, Treponema pallidum, to macrolides and doxycycline using swabs from 146 patients.
  • Results showed a high level of macrolide resistance (85% of samples), while no resistance to doxycycline was found, suggesting doxycycline is a viable substitute for BPG in treating early syphilis.
View Article and Find Full Text PDF
Article Synopsis
  • Treponema pallidum subsp. pallidum, the bacteria causing syphilis, was genetically analyzed in 133 clinical samples from patients in France between 2010-2016 using a Multilocus Sequence Typing system.
  • The study identified 18 different allelic profiles among 112 fully typed samples, revealing notable genetic diversity, including several novel alleles.
  • Results showed that patients infected with Nichols-like strains were generally older and diagnosed with secondary syphilis more frequently, with specific genetic mutations linked to antibiotic resistance present in certain allelic profiles.
View Article and Find Full Text PDF
Article Synopsis
  • Treponema pallidum subsp. endemicum (TEN) is linked to bejel, a type of endemic syphilis, and a unique isolate (11q/j) was found in a patient returning to France from Pakistan with a syphilis-like genital lesion.
  • Researchers used advanced molecular techniques to analyze this isolate, discovering it clusters with known TEN strains but shows recombination at specific genetic loci, indicating genetic mixing with other Treponema species.
  • The findings highlight the importance of the 11q/j isolate in understanding TEN's evolutionary history and suggest that TEN strains may play a role in causing syphilis-like symptoms.
View Article and Find Full Text PDF

Background: Propionibacterium acnes (P. acnes) is an anaerobic, Gram-positive bacteria encountered in inflammatory acne lesions, particularly in the pilosebaceous follicle. P.

View Article and Find Full Text PDF

Background: The incidence of HIV-syphilis co-infection has risen since 2000, especially among men having sex with men (MSM). Syphilis reinfection can occur, but the clinical features of such events remain poorly characterized.

Objective: To compare the cutaneous lesions seen with syphilis reinfections with those of first episodes in HIV-infected patients.

View Article and Find Full Text PDF

Two major Treponema pallidum subtypes, 14 d/g and 14 d/f, were identified in a population of 119 patients with syphilis in Paris, France, characterized by a high proportion of men who have sex with men. A new subtype named 11 q/j was characterized, and a reinfection case was determined in 1 patient having consecuitve syphilis infection at 19-month interval.

View Article and Find Full Text PDF