Publications by authors named "Pronier C"

Article Synopsis
  • A study conducted in France during the 2023-24 RSV season analyzed the effectiveness of nirsevimab, a monoclonal antibody, in preventing RSV infections in infants, focusing on breakthrough cases.
  • Out of 695 RSV-infected infants, researchers sequenced the full-length RSV genome of 545 infants, identifying that 48% had breakthrough infections despite receiving nirsevimab.
  • While no resistance was found in RSV-A infections from nirsevimab-treated infants, two cases of RSV-B showed substitutions linked to resistance, indicating a potential concern for the antibody's effectiveness against this variant.
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  • The study compared two strategies for preventing cytomegalovirus (CMV) infections in high-risk liver transplant recipients: prophylaxis (P) and pre-emptive strategy (PS).
  • Results showed significantly more patients in the PS group developed CMV DNAemia compared to the P group, although the overall rate of CMV disease was similar.
  • Despite PS having a higher cost and longer treatment duration, both strategies had similar survival rates, but PS led to more cases of ganciclovir-resistant CMV.
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  • In head and neck squamous cell carcinoma, tumor hypoxia is linked to resistance to treatment and poor outcomes, while HPV-positive patients tend to have better responses and survival rates.
  • A study focused on patients with squamous cell carcinoma of the nasal cavity and sinuses assessed the expression of hypoxia-related proteins and their correlation with HPV status and overall survival.
  • Results showed high expression of CA-IX as a potential negative prognostic indicator, while no significant correlation was found between HPV status and the expression of hypoxia markers.
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  • Graft rejection poses a significant challenge in solid-organ transplants, but understanding the low immunogenicity of liver allografts, particularly through the role of HLA-G, may enhance tolerogenic properties in other organs.
  • In a study of 118 liver transplant patients, researchers found that HLA-G plasma levels increased in the first three months post-transplant and were linked to lower rejection rates, especially when levels exceeded 50 ng/ml on day eight post-transplant.
  • There was a noted association between high HLA-G levels and lower levels of donor-specific anti-HLA antibodies, suggesting that enhancing HLA-G levels might offer new therapeutic avenues for reducing rejection in organ transplants.
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Molecular biology amplification enables sensitive detection of most respiratory viruses through nasopharyngeal swabbing. We developed an innovative approach to detect viral genomes on used facial tissues. In 2 communities of children, used tissues were collected once weekly for 1 year.

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Hepatitis B virus (HBV) morphogenesis is characterized by a large over-production of subviral particles and recently described new forms in parallel of complete viral particles (VP). This study was designed to depict circulating viral forms in HBV infected patient plasmas, using velocity gradients and most sensitive viral markers. Plasmas from chronic hepatitis B (CHB) patients, HBeAg positive or negative, genotype D or E, were fractionated on velocity and equilibrium gradients with or without detergent treatment.

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Background: Despite an effective vaccine, hepatitis B remains a major global health problem due to its significant morbidity and mortality. Vaccination in immunosuppressed patients such as those treated for an inflammatory bowel disease (IBD) can be less effective. This case describes an uncommon original diagnosis of an acute hepatitis B infection occurring in a vaccinated but immunocompromised IBD patient under long-term infliximab treatment.

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Objectives: In early January 2021 an outbreak of nosocomial cases of coronavirus disease 2019 (COVID-19) emerged in Western France; RT-PCR tests were repeatedly negative on nasopharyngeal samples but positive on lower respiratory tract samples. Whole-genome sequencing (WGS) revealed a new variant, currently defining a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) lineage B.1.

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Cytomegalovirus (CMV) is a ubiquitous herpes virus that develops lifelong latency following primary infection and can be reactivated following immune suppression. CMV encephalopathy has been described in few reports after hematopoietic stem cell transplantation and in patients with acquired immunodeficiency syndrome. To the best of our knowledge, CMV encephalopathy following CAR-T cells infusion had not been previously reported.

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We conducted an observational retrospective study of all adults hospitalized for documented varicella-zoster virus (VZV) meningitis or encephalitis during years 2000-2015 in one referral centre. Thirty-six patients (21 males, 15 females) were included, with meningitis (n = 21), or meningoencephalitis (n = 15). Median age was 51 years [interquartile range, 35-76], and 6 patients (17%) were immunocompromised.

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We performed a prospective cohort study of 311 outpatients with non-severe COVID-19 (187 women, median age 39 years). Of the 214 (68.8%) who completed the 6-week follow-up questionnaire, 115 (53.

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Article Synopsis
  • The study aimed to evaluate the performance of the NeuMoDx™ system for quantifying viral loads of hepatitis B (HBV) and C (HCV), which is crucial for tracking disease progression and treatment effectiveness.
  • Clinical samples were tested against a standard system (Beckman-Veris) in both retrospective and parallel approaches, showing high agreement rates (74% for HBV and 94% for HCV) and strong correlation between the two methods.
  • NeuMoDx™ demonstrated good functionality with a quick turnaround time (72-96 minutes), making it a promising tool for reliable monitoring of HBV and HCV viral loads, although further validation is needed.
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Background: The link between influenza virus (IV) viral load (VL) in respiratory samples and disease severity is not clearly established. This study was designed to assess IV-VL in respiratory samples from flu patients admitted to intensive care unit (ICU).

Methods: Patients admitted to ICU for IV infection, as documented by RT-PCR, with respiratory failure were included in the study during 5 flu-seasons (2014-2018).

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Objectives: To determine the frequency and prognosis of invasive pulmonary aspergillosis in critically ill patients with severe influenza pneumonia.

Design: Retrospective multicenter cohort study.

Setting: Five French ICUs.

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Background: Influenza virus (IV)-related pathophysiology suggests that the prognosis of acute respiratory distress syndrome (ARDS) due to IV could be different from the prognosis of ARDS due to other causes. However, the impact of IV infection alone on the prognosis of ARDS patients compared to that of patients with other causes of ARDS has been poorly assessed.

Methods: We compared the 28-day survival from the diagnosis of ARDS with an arterial oxygen tension/inspiratory oxygen fraction ratio ≤150 mmHg between patients with and without IV infection alone.

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Background: Despite high overall population vaccine coverage, identified clusters of persons refraining from vaccination interfere with pursued measles elimination. Clinical diagnosis of measles is often obvious due to its typical rash. Yet, febrile rashes may occur during many viral infections.

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Because of in vitro studies, hydroxychloroquine has been evaluated as a preexposure or postexposure prophylaxis for coronavirus disease (COVID-19) and as a possible COVID-19 curative treatment. We report a case of COVID-19 in a patient with sarcoidosis who was receiving long-term hydroxychloroquine treatment and contracted COVID-19 despite adequate plasma concentrations.

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Background: Hepatitis B surface antigen (HBsAg) remains the main viral marker for screening and monitoring hepatitis B virus (HBV) infection. The quantification limit of most current HBsAg assays is around 0.05 IU/mL.

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