37 results match your criteria: "University Hospital Croix-Rousse[Affiliation]"

IFN-γ licenses normal and pathogenic ALPK1/TIFA pathway in human monocytes.

iScience

January 2025

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

Alpha-kinase 1 (ALPK1) is an immune receptor sensing the bacterial nucleotide sugar ADP-heptose. ALPK1 phosphorylates TIFA leading to its oligomerization and downstream NF-κB activation. Specific mutations in are associated with an autoinflammatory syndrome termed ROSAH and with spiradenoma (skin cancers with sweat gland differentiation).

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Article Synopsis
  • Late postnatal steroids, specifically betamethasone (BTM), are given to extremely preterm infants to help them transition from invasive ventilation and reduce the risk of developing bronchopulmonary dysplasia (BPD), while also addressing patent ductus arteriosus (PDA).
  • In a study of 51 infants born before 29 weeks gestation, most were successfully extubated after receiving BTM, with nearly all showing closure or improved PDA status post-treatment.
  • Although BTM treatment resulted in some transient side effects like hypertension and hyperglycemia, the findings suggest it may reduce the need for more invasive surgical options in this vulnerable population.
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Background: Difficulties in distinguishing fibrosis from tumor in borderline and locally advanced pancreatic adenocarcinoma (PDAC) justify surgical exploration to assess resectability. This issue is especially relevant after neoadjuvant treatments (NAT) prior to pancreaticoduodenectomy (PD) although outcomes of aborted PD are unknown.

Objectives: This study aimed to evaluate early outcomes after aborted PD in patients with PDAC.

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Weak Correlation Between Perceived and Measured Intensive Care Unit Nursing Workload: An Observational Study.

J Nurs Care Qual

May 2024

Author Affiliations: Department of Anesthesiology and Intensive Care (Dr Wallet, and Messrs Bonnet, Thiriaud, and Caillet, Dr Piriou, Dr Vacheron, and Dr Friggeri), University Hospital Lyon Sud, Hospices Civils de Lyon, Pierre-Bénite, France; RESHAPE-INSERM U1290 (Dr Wallet and Drs Piriou and Dziadzko), Claude Bernard Lyon 1 University, Lyon, France; Department of Biostatistics, Bioinformatics and Public Health (Dr Vacheron), Hospices Civils de Lyon, Lyon, France; International Research Center in Infectiology (Dr Friggeri), INSERM U1111, CNRS UMR5308, ENS Lyon, Claude Bernard Lyon 1 University, Lyon, France; and Department of Anesthesiology (Dr Dziadzko), Intensive Care and Pain Management, University Hospital Croix Rousse, Hospices Civils de Lyon, Lyon, France.

Article Synopsis
  • - Efficient management of nursing workload in the ICU is crucial for patient safety and nurse well-being, but current assessment methods don't fully capture the complexity of nursing activities and workload perceptions.
  • - This study aimed to investigate the relationship between ICU nurses' perceived workload and the Nine Equivalents of Nursing Manpower Use Score (NEMS) using data from a 45-bed adult ICU.
  • - Results showed a weak positive correlation between nurses' perceived workload and the NEMS, highlighting the importance of acknowledging the diverse nature of nursing tasks and individual experiences in workload assessment.
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  • PRSS1 is a gene linked to chronic pancreatitis, and its variants can be difficult to classify due to differences in their effects on the enzyme's function.
  • The study analyzed 100 variants of the PRSS1 gene, categorizing them based on genetic impact and clinical significance using a new classification system.
  • Findings indicate that many PRSS1 variants can be classified as pathogenic, likely pathogenic, or benign, which could help improve how these variants are reported in medical databases.
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Mutations in the PNLIP gene have recently been implicated in chronic pancreatitis. Several PNLIP missense variants have been reported to cause protein misfolding and endoplasmic reticulum stress although genetic evidence supporting their association with chronic pancreatitis is currently lacking. Protease-sensitive PNLIP missense variants have also been associated with early-onset chronic pancreatitis although the underlying pathological mechanism remains enigmatic.

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Mutations in the B30.2 and the central helical scaffold domains of pyrin differentially affect inflammasome activation.

Cell Death Dis

March 2023

CIRI, Centre International de Recherche en Infectiologie, Univ Lyon, Inserm U1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, ENS de Lyon, F-69007, LYON, France.

Article Synopsis
  • - Familial Mediterranean Fever (FMF) is caused by mutations in the MEFV gene, particularly in exon 10, which codes for the B30.2 domain of the pyrin protein, a key player in the body’s inflammatory response.
  • - Researchers found that the B30.2 domain is not essential for activating the pyrin inflammasome in response to bacterial toxins; instead, it acts as a negative regulator.
  • - They also identified the central helical scaffold (CHS) domain, which, along with B30.2, provides distinct regulatory controls on the inflammasome activation, revealing how different mutations can affect inflammation responses in FMF patients.
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The PRSS3P2 and TRY7 deletion copy number variant modifies risk for chronic pancreatitis.

Pancreatology

January 2023

Univ Brest, Inserm, EFS, UMR 1078, GGB, F-29200, Brest, France. Electronic address:

Article Synopsis
  • Variants in the PRSS1 and PRSS2 genes are linked to chronic pancreatitis (CP), prompting research into whether a deletion variant affecting two trypsinogen pseudogenes (PRSS3P2 and TRY7) might influence CP risk.
  • A study analyzed this deletion in over 4,000 participants from different countries and found that it is associated with a protective effect against CP, especially in French, German, and Japanese populations.
  • The research suggests that the deletion enhances the function of remaining genes, leading to regulated PRSS2 expression, which could be crucial in understanding CP susceptibility.
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Background: Around 50% of gastric cancers are diagnosed at an advanced stage. Several chemotherapy regimens are now internationally validated. Few data are available on the routine daily management of advanced gastric or gastroesophageal junction cancers.

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Article Synopsis
  • Hemophagocytic lymphohistiocytosis (HLH) is a serious syndrome marked by excessive immune activation, and its diagnosis often relies on the HLH-2004 criteria and the Hscore.
  • This study introduces a machine learning model designed to identify HLH utilizing a dataset of 207 adult patients, specifically focusing on those with glycosylated ferritin measurements.
  • The model achieved a sensitivity of 71.4% and excellent predictive values, but more research with larger, diverse groups is needed to enhance its diagnostic capability.
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Steroid hormone catabolites activate the pyrin inflammasome through a non-canonical mechanism.

Cell Rep

October 2022

CIRI, Centre International de Recherche en Infectiologie, Inserm U1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, ENS de Lyon, University Lyon, 69007 Lyon, France. Electronic address:

The pyrin inflammasome acts as a guard of RhoA GTPases and is central to immune defenses against RhoA-manipulating pathogens. Pyrin activation proceeds in two steps. Yet, the second step is still poorly understood.

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Extreme Hyperferritinemia: Causes and Prognosis.

J Clin Med

September 2022

Department of Internal Medicine, University Hospital Croix-Rousse, Lyon 1 University, 69004 Lyon, France.

The significance of extreme hyperferritinemia and its association with certain diagnoses and prognoses are not well characterized. We performed a retrospective analysis of adult patients with at least one total serum ferritin (TSF) measurement ≥ 5000 µg/L over 2 years, in three university hospitals. Conditions associated with hyperferritinemia were collected, and patients were classified into 10 etiological groups.

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Glycosylated ferritin (GF) has been reported as a good diagnostic biomarker for adult-onset Still’s disease (AOSD), but only a few studies have validated its performance. We performed a retrospective study of all adult patients with at least one GF measurement over a 2-year period in one hospital laboratory. The diagnosis of AOSD was based on the expert opinion of the treating physician and validated by two independent investigators.

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Background: Social withdrawal is a risk indicator for infant development with both organic and non-organic causes. Cleft lip and palate (CLP) impose a higher risk of physical and emotional distress in infants and alters parent-infant relationships. The ADBB scale is a screening tool to identify social withdrawal as a sign of distress in infants.

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Infant Social Withdrawal Behavior: A Key for Adaptation in the Face of Relational Adversity.

Front Psychol

June 2022

Institut de Psychologie Laboratoire de Psychopathologie et Processus de Santé, LPPS, EA 4057, Université de Paris, Paris, France.

As a result of evolution, human babies are born with outstanding abilities for human communication and cooperation. The other side of the coin is their great sensitivity to any clear and durable violation in their relationship with caregivers. Infant sustained social withdrawal behavior (ISSWB) was first described in infants who had been separated from their caregivers, as in Spitz's description of "hospitalism" and "anaclitic depression.

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The pyrin inflammasome detects effectors and toxins that inhibit RhoA GTPases and triggers inflammatory cytokines release and a fast cell death termed pyroptosis. Ancient plague pandemics in the Mediterranean basin have selected in the human population pyrin variants that can trigger an autoinflammatory disease termed familial Mediterranean fever (FMF). In addition, distinct mutations in MEFV, the gene encoding pyrin, cause a different rare autoinflammatory disease termed pyrin-associated autoinflammation with neutrophilic dermatosis (PAAND).

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Introduction: Mother-child interactions during the first years of life have a significant impact on the emotional and cognitive development of the child. In this work, we study how a prenatal diagnosis of malformation may affect maternal representations and the quality of these early interactions. To this end, we conducted a longitudinal observational study of mother-child interactions from the gestational stage until the baby completed 12 months of age.

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Background: MicroRNAs (miRNAs) are small noncoding RNAs involved in posttranscriptional regulation. miRNAs can be secreted and found in many body fluids, and although they are particularly abundant in breastmilk, their functions remain elusive. Human milk (HM) miRNAs start to raise considerable interest, but a comprehensive understanding of the repertoire and expression profiles along lactation has not been well characterized.

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ALPK1 Gene Mutations Drive Autoinflammation with Ectodermal Dysplasia and Progressive Vision Loss.

J Clin Immunol

October 2021

Institute for Neurosciences of Montpellier U1051, National Center in Rare Diseases, Genetics of Sensory Diseases, Montpellier University Hospital, University of Montpellier, Montpellier, France.

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Are colorectal cancer patients at risk for COVID-19 infection during the postoperative period? The Covid-GRECCAR study.

Int J Colorectal Dis

March 2021

Department of Digestive Surgical Oncology, Department of Mini Invasive Interventions (DIMI), Paoli Calmettes Institute, Marseille, France.

Introduction: During the COVID-19 pandemic, cancer patients have been regarded as having a high risk of severe events if they are infected with SARS-CoV-2, particularly those under medical or surgical treatment. The aim of this study was to assess the posttreatment risk of infection by SARS-CoV-2 in a population of patients operated on for colorectal cancer 3 months before the COVID-19 outbreak and who after hospitalization returned to an environment where the virus was circulating.

Materials And Methods: This French, multicenter cohort study included consecutive patients undergoing elective surgery for colorectal cancer between January 1 and March 31, 2020, at 19 GRECCAR hospitals.

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Fast diagnostic test for familial Mediterranean fever based on a kinase inhibitor.

Ann Rheum Dis

January 2021

Centre International de Recherche en Infectiologie (CIRI), Inserm U1111, Université Claude Bernard-Lyon 1, CNRS, Ecole Normale Supérieure de Lyon, Lyon, France

Background And Objective: Familial Mediterranean fever (FMF) is the most frequent hereditary autoinflammatory disease. Its diagnosis relies on a set of clinical criteria and a genetic confirmation on identification of biallelic pathogenic variants. encodes pyrin, an inflammasome sensor.

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Low glycosylated ferritin is a sensitive biomarker of severe COVID-19.

Cell Mol Immunol

November 2020

CIRI (International Centre for Research in Infectiology), Inserm U1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, ENS de Lyon, Lyon, France.

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Background: The extent of the COVID-19 pandemic and the resulting response has varied globally. The European and African Hepato-Pancreato-Biliary Association (E-AHPBA), the premier representative body for practicing HPB surgeons in Europe and Africa, conducted this survey to assess the impact of COVID-19 on HPB surgery.

Methods: An online survey was disseminated to all E-AHPBA members to assess the effects of the pandemic on unit capacity, management of HPB cancers, use of COVID-19 screening and other aspects of service delivery.

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Strategies for liver transplantation during the SARS-CoV-2 outbreak: Preliminary experience from a single center in France.

Am J Transplant

November 2020

Department of Digestive Surgery and Transplantation, University Hospital Croix Rousse, Hospices Civils de Lyon, University of Lyon I, Lyon, France.

Liver transplantation (LT) during the ongoing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is challenging given the urgent need to reallocate resources to other areas of patient care. Available guidelines recommend reorganizing transplant care, but data on clinical experience in the context of SARS-CoV-2 pandemic are scarce. Thus, we report strategies and preliminary results in LT during the peak of the SARS-CoV-2 pandemic from a single center in France.

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