1,133 results match your criteria: "Hopital Universitaire Necker Enfants Malades[Affiliation]"

We have previously developed seven fluorinated analogues of A-836339 as new PET tracers for cannabinoid type 2 receptor (CBR) imaging, among which ()--(3-(2-(2-[F]fluoroethoxy)ethyl)-4,5-dimethylthiazol-2(3)-ylidene)-2,2,3,3-tetramethylcyclopropane-1-carboxamide ([F]FC0324) displayed high affinity and selectivity for CBR in healthy rats. In the present study, we have further evaluated the imaging and metabolic properties of [F]FC0324 in a rat model of human CBR overexpression in the brain (AAV-CB) and in non-human primates (NHPs). Autoradiography with AAV-CB rat brain sections exhibited a signal of [F]FC0324 8-fold higher in the ipsilateral region than in the contralateral region.

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Article Synopsis
  • A historical report found in archives includes 352 operative reports from the otorhinolaryngology department at Armand-Trousseau Children's Hospital in Paris, covering the years 1912 to 1920.
  • * The most frequently performed surgery documented was mastoidectomy for mastoiditis.
  • * This collection highlights the surgical practices, working conditions of the time, and the advancements in the field over the past century.*
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[Glaucoma in PAX6-related congenital aniridia: A review of the literature].

J Fr Ophtalmol

October 2024

Faculté Paris Cité, hôpital universitaire Necker-Enfants Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; UMRS1138, centre de recherche des Cordeliers, équipe 17, Inserm, Sorbonne université, 15, rue de l'École-de-Médecine, 75006 Paris, France. Electronic address:

Article Synopsis
  • PAX6-related congenital aniridia is a genetic eye condition leading to absent or underdeveloped iris and fovea, potentially causing ocular hypertension and glaucoma, though the exact causes are still not fully understood.* -
  • New imaging techniques have revealed possible reasons for glaucoma in these patients, including trabecular dysfunction and angle closure, but accurate diagnosis can be complicated by factors like corneal opacity and significant nystagmus.* -
  • Glaucoma treatment mainly involves medication, and any surgical options must be carefully assessed to weigh potential risks against benefits, considering the unique challenges posed by congenital aniridia.*
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Avoidable general anesthesia for nonobstetric surgery during pregnancy: A retrospective cohort pilot study (2011-2020).

Int J Obstet Anesth

September 2024

Department of Pediatric and Obstetrical Anesthesia and Critical Care, Hôpital Universitaire Necker Enfants Malades, 149, Rue de Sèvres, 75015, Paris, France; UPR 7323 "Pharmacologie et évaluation des thérapeutiques chez l'enfant et la femme enceinte", Université Paris Cité, 75006 Paris, France.

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Recent Developments in the Treatment of Pediatric Distal Renal Tubular Acidosis.

Paediatr Drugs

November 2024

Néphrologie Pédiatrique, Centre de Référence des Maladies Rénales Héréditaires de l'Enfant et l'Adulte (MARHEA), Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (APHP), Institut Imagine, Laboratory of Hereditary Kidney Diseases, INSERM U1163, Université Paris Cité, 149 Rue de Sèvres, 75015, Paris, France.

Article Synopsis
  • - Distal renal tubular acidosis (dRTA) is a condition where the kidneys can't properly excrete acids, leading to metabolic acidosis, low potassium levels, and high calcium in urine, often due to genetic defects in specific genes or acquired causes like autoimmune disorders or drugs.
  • - The complications of dRTA include kidney stones, damage to the kidneys, weakened bones, and stunted growth, making treatment essential for overall health.
  • - Recent developments include ADV7103, an investigational drug approved by the European Medicine Agency, which offers a new way to manage dRTA by helping to correct acid-base imbalances and improve adherence compared to traditional treatments.
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Unlabelled: Systemic juvenile idiopathic arthritis (sJIA) and adult-onset Still's disease (AOSD) are considered the same disease, but a common approach for diagnosis and management is still missing.

Methods: In May 2022, EULAR and PReS endorsed a proposal for a joint task force (TF) to develop recommendations for the diagnosis and management of sJIA and AOSD. The TF agreed during a first meeting to address four topics: similarity between sJIA and AOSD, diagnostic biomarkers, therapeutic targets and strategies and complications including macrophage activation syndrome (MAS).

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Purpose: Defects in the gene encoding selenocysteine insertion sequence binding protein 2, SECISBP2, result in global impaired selenoprotein synthesis manifesting a complex syndrome with characteristic serum thyroid function tests due to impaired thyroid hormone metabolism. Knowledge about this multisystemic defect remains limited.

Methods: Genetic and laboratory investigations were performed in affected members from 6 families presenting with short stature and failure to thrive.

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Standardized emergency protocols to improve the management of patients with suspected or confirmed inherited metabolic disorders (IMDs): An initiative of the French IMDs Healthcare Network for Rare Diseases.

Mol Genet Metab

October 2024

Centre de référence des maladies héréditaires du métabolisme, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Institut Imagine, Université Paris Cité, 75015 Paris, France; Filière nationale de santé maladies rares G2M-Maladies Héréditaires du Métabolisme, France; MetabERN: European Reference Network for Rare Hereditary Metabolic Disorders, France; INSERM, Institut Necker-Enfants Malades, 75015 Paris, France. Electronic address:

Objectives: Patients with inherited metabolic disorders (IMDs) may require emergency hospital care to prevent life-threatening situations such as metabolic decompensation. To date, over one thousand different rare IMDs have been identified, which means that healthcare professionals (HCPs) initiating emergency treatment may not be familiar with these conditions. The objective of this initiative was to provide HCPs with practical guidance for the acute management of children and adults with IMDs who need emergency care, regardless of the underlying reason.

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Effect of timing of advanced life support on out-of-hospital cardiac arrests at home: do not mix time and place!

Am J Emerg Med

January 2025

SAMU de Paris, Service d'Anesthésie Réanimation, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, and Université de Paris, Paris, France.

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Article Synopsis
  • The human immune system continues to develop for several years after birth, affecting how young children respond to infections, such as SARS-CoV-2.
  • Researchers studied T cell responses in children and adults before, during, and after SARS-CoV-2 infection, revealing that younger children (under 5) had a weaker CD4 T cell response compared to older children and adults with mild disease.
  • Following infection, preschool-age children produced similar neutralizing antibodies to adults but had different T cell characteristics and fewer memory B cells, indicating a gradual maturation of their adaptive immune responses.
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Article Synopsis
  • First branchial cleft anomalies are rare issues in the head and neck area that some kids are born with, and there's not much info on how to classify or treat them properly.
  • * Expert doctors worked together to come up with better ways to identify and manage these anomalies using a method called the Delphi method.
  • * They created a new classification system and treatment guidelines to help doctors give better care to kids with these conditions.
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Description, clinical impact and early outcome of S. maltophilia respiratory tract infections after lung transplantation, A retrospective observational study.

Respir Med Res

November 2024

Service de Pneumologie et Transplantation Pulmonaire, Hôpitaux Saint-Joseph et Marie-Lannelongue, 133 avenue de la Résistance, 92350 Le Plessis-Robinson, France; Université Paris-Saclay, Faculté de Médecine, 63 rue Gabriel Péri, 94270 Le Kremlin Bicêtre, France; INSERM UMR_S 999, Hôpital Marie Lannelongue, 133 avenue de la Résistance, 92350 Le Plessis-Robinson, France.

Background And Research Question: S. maltophilia infections are associated with significant morbidity and mortality. Little is known regarding its presentation, management, and outcome in lung transplant recipients.

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To biopsy or not to biopsy a teenager with typical idiopathic nephrotic syndrome? Start steroids first.

Pediatr Nephrol

February 2025

Néphrologie Pédiatrique, Centre de Référence du Syndrome Néphrotique Idiopathique de L'enfant Et L'adulte, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique - Hôpitaux de Paris (APHP), Institut Imagine, INSERM U1163, Université Paris Cité, 149 Rue de Sèvres, 75015, Paris, France.

Article Synopsis
  • - Minimal change disease (MCD) and focal segmental glomerulosclerosis are common in children with idiopathic nephrotic syndrome, with MCD being highly responsive to steroids and generally not requiring a kidney biopsy at diagnosis.
  • - Kidney biopsies should be reserved for atypical symptoms, steroid resistance, or to investigate possible systemic diseases, as they are invasive and can cause complications.
  • - New non-invasive biomarkers are being developed to reduce the need for biopsies, and starting steroid treatment in teenagers with typical nephrotic syndrome is a sensible approach.
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WT1 encodes a podocyte transcription factor whose variants can cause an untreatable glomerular disease in early childhood. Although WT1 regulates many podocyte genes, it is poorly understood which of them are initiators in disease and how they subsequently influence other cell-types in the glomerulus. We hypothesised that this could be resolved using single-cell RNA sequencing (scRNA-seq) and ligand-receptor analysis to profile glomerular cell-cell communication during the early stages of disease in mice harbouring an orthologous human mutation in WT1 (Wt1).

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The management of extensive tracheal resection followed by circumferential replacement remains a surgical challenge. Numerous techniques are proposed with mixed results. Partial decellularization of the trachea with the removal of the mucosal and submucosal cells is a promising method, reducing immunogenicity while preserving the biomechanical properties of the final matrix.

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Article Synopsis
  • - The study focuses on the impact of Hepatocyte Nuclear Factor 1-beta (HNF1B) gene variants and chromosome 17q12 deletion (17q12del) on kidney disease progression, particularly chronic kidney disease (CKD), in a large cohort of 521 patients.
  • - Findings reveal that patients with the 17q12del experience a significant delay in the progression to CKD stage 3 compared to those with other HNF1B variants, with specific mutations in the DNA-binding domains correlating with even better outcomes.
  • - Additionally, the 17q12del is linked to lower magnesium levels (hypomagnesemia) and higher likelihood of elevated uric acid levels (hyperuric
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Article Synopsis
  • Pulmonary alveolar proteinosis (PAP) is a rare lung syndrome characterized by the accumulation of proteinaceous material, leading to symptoms like progressive dyspnea and hypoxemia, with various diagnostic methods such as CT scans, bronchoalveolar lavage, and genetic testing suggested for evaluation.
  • A European Respiratory Society Task Force, comprised of diverse experts, developed evidence-based guidelines for diagnosing and managing PAP using a systematic review of literature and the GRADE approach for assessing the strength of recommendations.
  • The Task Force provided specific management recommendations, including whole lung lavage, GM-CSF therapy, and potential treatments like rituximab, alongside diagnostic approaches involving GM-CSF antibody
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Heterozygosity for loss-of-function variants in LZTR1 is associated with isolated multiple café-au-lait macules.

Genet Med

November 2024

Medical Genetics Division, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy. Electronic address:

Purpose: Pathogenic LZTR1 variants cause schwannomatosis and dominant/recessive Noonan syndrome (NS). We aim to establish an association between heterozygous loss-of-function LZTR1 alleles and isolated multiple café-au-lait macules (CaLMs).

Methods: A total of 849 unrelated participants with multiple CaLMs, lacking pathogenic/likely pathogenic NF1 and SPRED1 variants, underwent RASopathy gene panel sequencing.

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Background: Epstein-Barr virus (EBV) is a herpesvirus linked to nine different human tumors and lymphoproliferative disorders. Immunosuppression promotes EBV-driven malignancies. The most frequent EBV-induced malignancies are lymphomas and nasopharyngeal carcinoma.

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Cellular mechanisms of acute rhabdomyolysis in inherited metabolic diseases.

J Inherit Metab Dis

January 2025

INSERM U1151, Institut Necker Enfants-Malades (INEM), Université Paris Cité, Paris, France.

Acute rhabdomyolysis (RM) constitutes a life-threatening emergency resulting from the (acute) breakdown of skeletal myofibers, characterized by a plasma creatine kinase (CK) level exceeding 1000 IU/L in response to a precipitating factor. Genetic predisposition, particularly inherited metabolic diseases, often underlie RM, contributing to recurrent episodes. Both sporadic and congenital forms of RM share common triggers.

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Word of caution: early life-threatening complication linked to pulmonary flow restrictors.

Eur J Cardiothorac Surg

September 2024

Department of Pediatric Cardiac Surgery, Heart Centre of Excellence, Al Jalila Children's Specialty Hospital, Dubai, United Arab Emirates.

A 2-month-old female (3.4 kg, 50 cm) with Down syndrome and left-to-right shunting congenital heart defects underwent an unsuccessful transcatheter ductal closure, followed by bilateral implantation of manually modified microvascular plugs (MVP-9Q) from Medtronic (Minneapolis, MN, USA), used as pulmonary flow restrictors. Post-procedure, she developed febrile respiratory distress, leading to admission to the intensive care unit.

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Duloxetine enhances PAX6 expression and suppresses innate immune responses in murine LPS-induced corneal inflammation.

Ocul Surf

October 2024

Division of Ophthalmology, Department of Biomedical and Clinical Sciences, Linköping University, 581 83, Linköping, Sweden. Electronic address:

Background-aim: PAX6 is a key regulator of eye development and epithelial homeostasis in the cornea. When deficient, chronic corneal inflammation, neovascularization and limbal stem cell deficiency can occur. Here we investigated the potential of duloxetine, a generic serotonin reuptake inhibitor that can upregulate PAX6 in vitro, for its in vivo activity in the context of corneal inflammation.

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Climate change and children's respiratory health.

Paediatr Respir Rev

July 2024

Université Paris Cité, Paris, France; Service de pneumologie et d'allergologie pédiatrique, hôpital universitaire Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Inserm UMR 1138, équipe HeKA, Centre de Recherche des Cordeliers, France. Electronic address:

Climate change has significant consequences for children's respiratory health. Rising temperatures and extreme weather events increase children's exposure to allergens, mould, and air pollutants. Children are particularly vulnerable to these airborne particles due to their higher ventilation per unit of body weight, more frequent mouth breathing, and outdoor activities.

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