565 results match your criteria: "PELLEGRIN Hospital[Affiliation]"

Inverted direct allorecognition triggers early donor-specific antibody responses after transplantation.

Sci Transl Med

September 2022

CIRI, Centre International de Recherche en Infectiologie, Université de Lyon, INSERM U1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, ENS de Lyon, 69007 Lyon, France.

Article Synopsis
  • The study explores how recipient B cells produce donor-specific antibodies after organ transplantation, traditionally thought to require help from the recipient's own CD4 T cells.
  • Researchers found that even without these T cells, recipient mice after heart transplantation produced antibodies against donor MHC I molecules due to help from donor CD4 T cells present in the graft.
  • Similar mechanisms were observed in human kidney and lung transplants, suggesting that a new form of T cell interaction may explain early antibody responses and potentially worse transplant outcomes.
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Background: Patients with inflammatory rheumatic and musculoskeletal diseases (iRMD) receiving mycophenolic acid (MPA) may have a less favourable outcome from COVID-19 infection. Our aim was to investigate whether MPA treatment is associated with severe infection and/or death.

Methods: IRMD patients with and without MPA treatment with highly suspected/confirmed COVID-19 were included in this observational multicentre study.

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Background: Acute kidney injury (AKI) is one of the most common complications after cardiac surgery with cardiopulmonary bypass (CPB). Renal transplant recipients (RTRs) have a higher risk of cardiac surgery-associated AKI (CSA-AKI). A relationship has been strongly suggested between AKI and poor long-term graft survival.

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Objective: The Treatment of Brain Arteriovenous Malformations Study (TOBAS) is a pragmatic study that includes 2 randomized trials and registries of treated or conservatively managed patients. The authors report the results of the surgical registry.

Methods: TOBAS patients are managed according to an algorithm that combines clinical judgment and randomized allocation.

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Objective: To evaluate the evolution of voice quality in patients after type I-VI transoral CO laser cordectomy (TLC) by using validated voice outcome measures over a 12-month period.

Study Design: Prospective uncontrolled study.

Setting: Monocenter study.

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Usefulness of subcutaneous immunoglobulin therapy in the management of myasthenia gravis: a retrospective cohort study.

J Neurol

December 2022

Nerve-Muscle Unit, ALS Center, University Hospital (CHU) of Bordeaux (Pellegrin Hospital), University of Bordeaux, Bordeaux, France.

Article Synopsis
  • - The study evaluated the effectiveness of subcutaneous immunoglobulin (SCIg) for treating myasthenia gravis (MG) by analyzing patient data from a neuromuscular referral center in Bordeaux between 2014 and 2021.
  • - Sixteen MG patients participated, with 50% showing improvement in their condition after SCIg treatment, and the therapy helped reduce hospital stays and intubation days, indicating positive outcomes.
  • - While SCIg was well-tolerated and most patients preferred to continue the treatment, the authors highlighted the need for larger studies to further validate the findings.
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Multisystem T-cell Chronic Active Epstein-Barr Virus Infection: From the Eye to the Kidney.

Open Forum Infect Dis

August 2022

Department of Internal Medicine and Clinical Immunology, Saint Andre Hospital, University Hospital Centre of Bordeaux, Bordeaux, France.

Chronic active Epstein-Barr virus (CAEBV) infection is usually a fatal disease associated with clonal proliferation of EBV-infected T or NK cells. We present the case of a 33-year-old Peruvian patient who developed a multisystem CAEBV, notably responsible for exceptional ophthalmological and renal damage. We describe the clinicopathological features of EBV-induced lymphoproliferative disorder.

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Paroxysmal nocturnal hemoglobinuria (PNH) is a very rare clonal autoimmune disease manifesting with hemolysis, thrombosis, or bone marrow failure. We present an atypical association of myasthenia gravis, aplastic anemia, and PNH occurring years after thymectomy. While this association might be extremely rare, it may not be coincidental as there is a common pathophysiology between PNH and aplastic anemia, with the latter reported in several thymoma/thymectomy cases.

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KCNQ2 R144 variants cause neurodevelopmental disability with language impairment and autistic features without neonatal seizures through a gain-of-function mechanism.

EBioMedicine

July 2022

Applied & Translational Neurogenomics Group, VIB Center for Molecular Neurology, VIB, Antwerp, Belgium; Department of Neurology, University Hospital, Antwerp, Belgium; µNEURO Research Centre of Excellence, University of Antwerp, Antwerp, Belgium; Translational Neurosciences, Faculty of Medicine and Health Science, University of Antwerp, Antwerp, Belgium. Electronic address:

Background: Prior studies have revealed remarkable phenotypic heterogeneity in KCNQ2-related disorders, correlated with effects on biophysical features of heterologously expressed channels. Here, we assessed phenotypes and functional properties associated with KCNQ2 missense variants R144W, R144Q, and R144G. We also explored in vitro blockade of channels carrying R144Q mutant subunits by amitriptyline.

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Article Synopsis
  • * 50 patients were analyzed during posterior spinal fusion, measuring motor evoked potential latencies at key points in the surgery, with results showing no significant changes in latency throughout the procedure.
  • * The findings suggest that latency monitoring could be a dependable indicator of potential motor deficits after surgery, with low variability in results, indicating it may be a valuable tool in clinical practice.
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Polypharmacy and medication regimen complexity in older patients with hemophilia or von willebrand disease: the M'HEMORRH-AGE study.

Int J Clin Pharm

August 2022

PERMEDES Group « Plateforme d'Echange et de Recherche sur les MEdicaments DErivés du Sang », Société française de pharmacie clinique, Toulouse, France.

Background: In older patients, multiple chronic conditions lead topolypharmacy which is associated with a higher risk of adverse drug events. Nowadays, the medication exposure of older patients with bleeding disorders has been poorly explored.

Aim: The aim of this study was to assess the prevalence of polypharmacy and the medication regimen complexity in older community-dwelling patients with hemophilia or von Willebrand Disease (VWD).

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Study Design: A multicenter cross-sectional analytical retrospective study.

Purpose: To assess functional outcome (FO) after a spinal meningioma (SM) surgery.

Overview Of Literature: All studies report functional improvement after SM removal.

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Bi-allelic hydroxymethylbilane synthase inactivation defines a homogenous clinico-molecular subtype of hepatocellular carcinoma.

J Hepatol

October 2022

Centre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France; Nantes Université, Inserm UMR 1307, CNRS UMR 6075, Université d'Angers, CRCI2NA, Nantes, France. Electronic address:

Background & Aims: Acute intermittent porphyria (AIP), caused by heterozygous germline mutations of the heme synthesis pathway enzyme HMBS (hydroxymethylbilane synthase), confers a high risk of hepatocellular carcinoma (HCC) development. Yet, the role of HMBS in liver tumorigenesis remains unclear.

Methods: Herein, we explore HMBS alterations in a large series of 758 HCC cases, including 4 patients with AIP.

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Widening of myelin lamellae in polyneuropathy with immunoglobulin-M monoclonal gammopathy, without activity against myelin-associated glycoprotein, responsive to treatment.

Neuromuscul Disord

August 2022

Department of Neurology, Nerve-Muscle Unit, AOC National Reference Center for Neuromuscular Disorders, ALS Center, University Hospital of Bordeaux (CHU Bordeaux - Pellegrin Hospital), place Amélie Raba-Léon, Bordeaux 33000, France. Electronic address:

Article Synopsis
  • *The patient also has immunoglobulin-M monoclonal gammopathy but lacks antibodies against known myelin antigens.
  • *Nerve biopsy showed unusual changes in myelin, and treatment with plasma exchanges and rituximab was effective, indicating an autoimmune cause for the condition.*
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Are Miller Fisher syndrome and CANDA due to a paranodopathy?

J Neurol Sci

July 2022

Department of Neurology, Nerve-Muscle Unit, AOC National Reference Center for Neuromuscular Disorders, ALS Center, University Hospital of Bordeaux (CHU Bordeaux - Pellegrin Hospital), Place Amélie Raba-Léon, 33000 Bordeaux, SM, France. Electronic address:

Article Synopsis
  • This study investigates the pathological features of acute and chronic ataxic peripheral neuropathy, focusing on the node of Ranvier in nerve biopsies from two patients with different conditions: Miller Fisher syndrome (acute) and chronic ataxic neuropathies with disialosyl antibodies (CANDA).
  • Findings reveal that both patients exhibit lesions indicative of "paranodopathy," where the immune response negatively affects myelin and surrounding nerve structures.
  • The research concludes that immune-mediated peripheral neuropathies can be categorized as nodoparanodopathies, which involve various clinical presentations and may contribute to nerve damage through mechanisms related to anti-disialosyl antibodies.
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Purpose: In a previous cadaveric work, we identified and described useful and reproducible surface skin landmarks to lateral sulcus, central sulcus and preoccipital notch. Potential limitations of this cadaveric study have been raised. Thus, the objective of this study was to confirm radiologically the accuracy of these previously described surface skin landmarks on brain magnetic resonance imaging (MRI) of healthy subjects.

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Background And Purpose: Andersen-Tawil syndrome (ATS) is a skeletal muscle channelopathy caused by KCNJ2 mutations, characterized by a clinical triad of periodic paralysis, cardiac arrhythmias and dysmorphism. The muscle phenotype, particularly the atypical forms with prominent permanent weakness or predominantly painful symptoms, remains incompletely characterized.

Methods: A retrospective clinical, histological, electroneuromyography (ENMG) and genetic analysis of molecularly confirmed ATS patients, diagnosed and followed up at neuromuscular reference centers in France, was conducted.

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Chronic Inflammatory or Chronic Inflammatory Demyelinating Polyradiculoneuropathy?

Front Neurol

April 2022

Department of Neurology (Nerve-Muscle Unit), AOC National Reference Center for Neuromuscular Disorders, ALS Center, University Hospital of Bordeaux (CHU Bordeaux), Pellegrin Hospital, Bordeaux, France.

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MRI and rectal endoscopy sonography performance to diagnose the digestive depth infiltration of pelvic endometriosis.

Arch Gynecol Obstet

January 2023

CHU de Toulouse, Pôle Femme Mère Couple, Hôpital Paule de Viguier, 31059, Toulouse, France.

Introduction: The main objective of this study was to evaluate the performances of MRI and rectal endoscopy sonography (RES) in predicting the depth of bowel wall infiltration by deep infiltrating endometriosis (DIE).

Material And Method: We conducted a single center retrospective study from April 2014 to March 2020 including all patients who had undergone digestive tract resection (discoid or segmental) for DIE removal and who had benefited from full preoperative imaging workup based on both pelvic MRI and RES.

Results: Fifty two patients were enrolled in the study.

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Unlabelled: Oncogene activation leads to replication stress and promotes genomic instability. Here we combine optical mapping and whole-genome sequencing (WGS) to explore in depth the nature of structural variants (SV) induced by replication stress in cyclin-activated hepatocellular carcinomas (CCN-HCC). In addition to classical tandem duplications, CCN-HCC displayed frequent intra-chromosomal and interchromosomal templated insertion cycles (TIC), likely resulting from template switching events.

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Recessive PRDM13 mutations cause fatal perinatal brainstem dysfunction with cerebellar hypoplasia and disrupt Purkinje cell differentiation.

Am J Hum Genet

May 2022

Université Paris Cité, Developmental Brain Disorders Laboratory, Imagine Institute, INSERM UMR 1163, Paris 75015, France. Electronic address:

Article Synopsis
  • Pontocerebellar hypoplasias (PCHs) are genetic disorders that cause underdevelopment of the cerebellum and brainstem, leading to severe motor and cognitive issues in affected infants.
  • Four families with children exhibiting significant brainstem dysfunction were studied, uncovering different mutations in the PRDM13 gene linked to these developmental challenges and marked brain abnormalities observed through MRI and pathology.
  • PRDM13, previously unassociated with hindbrain development, is crucial for the specification of certain neurons, and its disruption in animal models shows a direct link to the reduction of essential brain structures, indicating mutations in this gene could be responsible for many cases of PCH.
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Objective: Spinal cord tumors constitute a small part of spinal surgery owing to their rarity. This retrospective study describes their current management.

Methods: Forty-eight patients were treated for an intramedullary tumor between 2014 and 2020 at a single institution.

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Objective: To describe and analysed the functional outcome (FO) after spinal meningioma (SM) surgery.

Methods: We processed the système national des données de santé (SNDS) i.e.

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Refractory cardiogenic shock caused by methadone poisoning and treated with hybrid extracorporeal membrane oxygenation.

Therapie

December 2022

CHU Bordeaux, Department of Anaesthesia and Critical Care, Magellan Medico-Surgical Centre, 33000 Bordeaux, France; University Bordeaux, INSERM, UMR 1034, Biology of Cardiovascular Diseases, 33600 Pessac, France.

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