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1.
J Dairy Sci ; 106(1): 439-451, 2023 Jan.
Article in English | MEDLINE | ID: mdl-36333145

ABSTRACT

Reducing juvenile mortality in cattle is important for both economic and animal welfare reasons. Previous studies have revealed a large variability in mortality rates between breeds and sire progeny groups, with some extreme cases due to dominant mutations causing various syndromes among the descendants of mosaic bulls. The purpose of this study was to monitor sire-family calf mortality within the French and Walloon Holstein populations, and to use this information to detect genetic defects that might have been overlooked by lack of specific symptoms. In a population of heifers born from 1,001 bulls between 2017 and 2020, the average sire-family mortality rates were of 11.8% from birth to 1 year of age and of 4.2, 2.9, 3.1, and 3.2% for the perinatal, postnatal, preweaning, and postweaning subperiods, respectively. After outlining the 5 worst bulls per category, we paid particular attention to the bulls Mo and Pa, because they were half-brothers. Using a battery of approaches, including necropsies, karyotyping, genetic mapping, and whole-genome sequencing, we described 2 new independent genetic defects in their progeny and their molecular etiology. Mo was found to carry a de novo reciprocal translocation between chromosomes BTA26 and BTA29, leading to increased embryonic and juvenile mortality because of aneuploidy. Clinical examination of 2 calves that were monosomic for a large proportion of BTA29, including an orthologous segment deleted in human Jacobsen syndrome, revealed symptoms shared between species. In contrast, Pa was found to be mosaic for a dominant de novo nonsense mutation of GATA 6 binding protein (GATA6), causing severe cardiac malformations. In conclusion, our results highlight the power of monitoring juvenile mortality to identify dominant genetic defects due to de novo mutation events.


Subject(s)
Cattle Diseases , Pregnancy , Humans , Cattle , Animals , Female , Male , Cattle Diseases/genetics , Mutation
2.
Anim Genet ; 52(5): 725-729, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34157133

ABSTRACT

In this article, we analyzed pedigree information on males from 12 bovine breeds born in France between 2015 and 2019. We report an overall small number of paternal lineages with, for example, a minimal number of ancestors accounting for 95% of the Y-chromosome pool of their breed ranging from only 2 to 15 individuals. Then, we mined whole-genome sequence data from 811 sires (2 ≤ n ≤ 510 per breed) and built a median-joining network using 1411 SNPs. Most branches were breed-specific and in agreement with the geographic and genetic relatedness of these populations. The within-breed haplotype diversity was lower than expected based on genealogical information, which supports the existence of major male founder effects predating pedigree recording. In addition, we observed de novo mutation events among the descendants of the same ancestors, which are of interest to define paternal sub-lineages. Our results pave the way to future studies on the estimation of the effects of Y-chromosome haplotypes on male reproductive performances and on the conservation of Y-chromosome diversity.


Subject(s)
Cattle/genetics , Y Chromosome/genetics , Animals , Breeding , Founder Effect , France , Haplotypes , Male , Pedigree , Polymorphism, Single Nucleotide , Whole Genome Sequencing/veterinary
3.
J Dairy Sci ; 103(1): 607-612, 2020 Jan.
Article in English | MEDLINE | ID: mdl-31733857

ABSTRACT

A genome scan for homozygous haplotype deficiency coupled with whole-genome sequence data analysis is a very effective method to identify embryonic lethal mutations in cattle. Among other factors, the power of the approach depends on the availability of a greater amount of genotyping and sequencing data. In the present study, we analyzed the largest known panel of Illumina BovineSNP50 (Illumina Inc., San Diego, CA) genotypes, comprising 401,896 Holstein animals, and we report the mapping of a new embryonic lethal haplotype on chromosome 27, called HH7. We fine mapped the locus in a 2.0-Mb interval using an identical-by-descent approach and analyzed genome sequence data from 4 carrier and 143 noncarrier Holstein bulls to identify the causative mutation. We detected a strong candidate variant in the gene encoding centromere protein U (CENPU), a centromere component essential for proper chromosome segregation during mitosis. The mutant allele is a deletion of 4 nucleotides located at position +3 to +6 bp after the splicing donor site of exon 11. Cross-species nucleotide alignment revealed that the nucleotide at position +3 is entirely conserved among vertebrates, suggesting that it plays an important role in the regulation of CENPU splicing. For verification, we genotyped the candidate variant in 232,775 Holstein individuals and did not observe any homozygotes, whereas 16 were expected (Poisson P-value = 1.1 × 10-7; allele frequency = 0.8%). In addition, genotyping of 250,602 animals from 19 additional breeds revealed that the mutant allele is restricted to animals of Holstein descent. Finally, we estimated the effect of the candidate variant on 2 fertility traits in at-risk mating (i.e., between carrier bulls and daughters of carrier bulls) versus non-risk mating. In agreement with a recessive lethal inheritance pattern, we observed a marked reduction in both conception rate and 56-d nonreturn rate in heifers and cows. The effect on 56-d nonreturn rate suggests that a substantial proportion of homozygous mutants die before 35 d after insemination, which is consistent with the early embryonic death previously reported in CENPU-/- mouse embryos. In conclusion, we demonstrate that with more than 400,000 genotypes, we can map very rare recessive lethal mutations segregating at a frequency below 1% in the population. We recommend performing new analyses regularly as data are accumulating.


Subject(s)
Centromere/genetics , Embryo Loss/veterinary , Histones/genetics , Mutation , RNA Splice Sites/genetics , Alleles , Animals , Cattle , Embryo Loss/genetics , Female , Fertility/genetics , Fertilization , Genotype , Haplotypes , Homozygote , Phenotype
4.
J Dairy Sci ; 102(7): 6340-6356, 2019 Jul.
Article in English | MEDLINE | ID: mdl-31056337

ABSTRACT

We scanned the genome of 77,815 Normande cattle with different Illumina SNP chips (Illumina Inc., San Diego, CA) to map recessive embryonic lethal mutations using homozygous haplotype deficiency. We detected 2 novel haplotypes on chromosomes 11 and 24 but did not confirm 6 previously reported haplotypes. The one on chromosome 11 showed a marked reduction in conception rates and moderate decrease in nonreturn rate in at-risk versus control mating, supporting late embryonic mortality. After fine mapping and analyzing whole-genome sequences, we prioritized a missense mutation in CAD (g.72399397T>C; p.Tyr452Cys)-a gene encoding a protein (carbamoyl-phosphate synthetase 2, aspartate transcarbamylase, and dihydroorotase) essential for de novo pyrimidine biosynthesis-as a candidate causal variant. This transition mutation replaces a tyrosine residue, which is perfectly conserved among living organisms, with a cysteine residue in the carbamoyl-phosphate synthetase 2 domain of the protein. A single animal was confirmed to be homozygous for the mutation based on Sanger sequencing. However, large-scale genotyping of the candidate variant with the Illumina EuroG10k BeadChip revealed an absence of live homozygotes in a panel of 33,323 Normande animals and an absence of carriers in 348,593 animals from 19 other cattle breeds. These results support recessive embryonic lethality with nearly complete penetrance, as was previously reported in CAD mutants in several eukaryote species. The only homozygous cow had extremely poor udder conformation, suggesting a potential role of CAD in udder development, but no effect was detected when comparing daughter yield deviations of 250 heterozygous bulls with that of 2,912 homozygotes for the ancestral allele. Together, our results showed the importance of large-scale screening for homozygous haplotype deficiency with hundreds of thousands of animals, validating results with an independent data set, and considering unexpected live homozygotes, to avoid both false-positive and false-negative discoveries. These discoveries will be used primarily in mating decisions to avoid at-risk mating. In addition, we recommend including CAD in the breeding objectives of Normande cattle.


Subject(s)
Cattle/genetics , Deoxyribonucleases/genetics , Mutation, Missense , Reproduction , Alleles , Animals , Breeding , Cattle/physiology , Deoxyribonucleases/metabolism , Female , Fertilization , Haplotypes , Heterozygote , Homozygote , Male , Mutation , Polymorphism, Single Nucleotide
5.
Sci Rep ; 7(1): 11466, 2017 09 13.
Article in English | MEDLINE | ID: mdl-28904385

ABSTRACT

In humans, the clinical and molecular characterization of sporadic syndromes is often hindered by the small number of patients and the difficulty in developing animal models for severe dominant conditions. Here we show that the availability of large data sets of whole-genome sequences, high-density SNP chip genotypes and extensive recording of phenotype offers an unprecedented opportunity to quickly dissect the genetic architecture of severe dominant conditions in livestock. We report on the identification of seven dominant de novo mutations in CHD7, COL1A1, COL2A1, COPA, and MITF and exploit the structure of cattle populations to describe their clinical consequences and map modifier loci. Moreover, we demonstrate that the emergence of recessive genetic defects can be monitored by detecting de novo deleterious mutations in the genome of bulls used for artificial insemination. These results demonstrate the attractiveness of cattle as a model species in the post genomic era, particularly to confirm the genetic aetiology of isolated clinical case reports in humans.


Subject(s)
Genetic Association Studies , Livestock/genetics , Mutation , Phenotype , Animals , Cattle , DNA Mutational Analysis , Disease Models, Animal , Genetic Diseases, Inborn , Genetic Predisposition to Disease , Genomics/methods , Humans , Pedigree , Whole Genome Sequencing
6.
J Dairy Sci ; 99(10): 8203-8215, 2016 Oct.
Article in English | MEDLINE | ID: mdl-27474979

ABSTRACT

In the context of the PhénoFinLait project, a genome-wide analysis was performed to detect quantitative trait loci (QTL) that affect milk protein composition estimated using mid-infrared spectrometry in the Montbéliarde (MO), Normande (NO), and Holstein (HO) French dairy cattle breeds. The 6 main milk proteins (α-lactalbumin, ß-lactoglobulin, and αS1-, αS2-, ß-, and κ-caseins) expressed as grams per 100g of milk (% of milk) or as grams per 100g of protein (% of protein) were estimated in 848,068 test-day milk samples from 156,660 cows. Genotyping was performed for 2,773 MO, 2,673 NO, and 2,208 HO cows using the Illumina BovineSNP50 BeadChip (Illumina Inc., San Diego, CA). Individual test-day records were adjusted for environmental effects and then averaged per cow to define the phenotypes analyzed. Quantitative trait loci detection was performed within each breed using a linkage disequilibrium and linkage analysis approach. A total of 39 genomic regions distributed on 20 of the 29 Bos taurus autosomes (BTA) were significantly associated with milk protein composition at a genome-wide level of significance in at least 1 of the 3 breeds. The 9 most significant QTL were located on BTA2 (133 Mbp), BTA6 (38, 47, and 87 Mbp), BTA11 (103 Mbp), BTA14 (1.8 Mbp), BTA20 (32 and 58 Mbp), and BTA29 (8 Mbp). The BTA6 (87 Mbp), BTA11, and BTA20 (58 Mbp) QTL were found in all 3 breeds, and they had highly significant effects on κ-casein, ß-lactoglobulin, and α-lactalbumin, expressed as a percentage of protein, respectively. Each of these QTL explained between 13% (BTA14) and 51% (BTA11) of the genetic variance of the trait. Many other QTL regions were also identified in at least one breed. They were located on 14 additional chromosomes (1, 3, 4, 5, 7, 15, 17, 19, 21, 22, 24, 25, 26, and 27), and they explained 2 to 8% of the genetic variance of 1 or more protein composition traits. Concordance analyses, performed between QTL status and sequence-derived polymorphisms from 13 bulls, revealed previously known causal polymorphisms in LGB (BTA11) and GHR (BTA20 at 32 Mbp) and excluded some other previously described mutations. These results constitute a first step in identifying causal mutations and using routinely collected mid-infrared predictions in future genomic selection programs to improve bovine milk protein composition.


Subject(s)
Milk Proteins , Quantitative Trait Loci , Animals , Breeding , Cattle , Female , Genotype , Male , Milk/chemistry , Polymorphism, Single Nucleotide
7.
Anim Genet ; 47(2): 141-53, 2016 Apr.
Article in English | MEDLINE | ID: mdl-26662214

ABSTRACT

Preservation of specific and inheritable phenotypes of current or potential future importance is one of the main purposes of conservation of animal genetic resources. In this review, we investigate the issues behind the characterisation, utilisation and conservation of rare phenotypes, considering their multiple paths of relevance, variable levels of complexity and mode of inheritance. Accurately assessing the rarity of a given phenotype, especially a complex one, is not a simple task, because it requires the phenotypic and genetic characterisation of a large number of animals and populations and remains dependent of the scale of the study. Once characterised, specific phenotypes may contribute to various purposes (adaptedness, production, biological model, aesthetics, etc.) with adequate introgression programmes, which justifies the consideration of (real or potential) existence of such characteristics in in situ or ex situ conservation strategies. Recent biotechnological developments (genomic and genetic engineering) will undoubtedly bring important changes to the way phenotypes are characterised, introgressed and managed.


Subject(s)
Animals, Domestic/genetics , Genetic Variation , Phenotype , Agriculture , Animals , Biotechnology , Breeding , Conservation of Natural Resources , Genetic Engineering , Inheritance Patterns
8.
Reprod Fertil Dev ; 27(1): 14-21, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25472040

ABSTRACT

Fertility is a major concern in the dairy cattle industry and has been the subject of numerous studies over the past 20 years. Surprisingly, most of these studies focused on rough female phenotypes and, despite their important role in reproductive success, male- and embryo-related traits have been poorly investigated. In recent years, the rapid and important evolution of technologies in genetic research has led to the development of genomic selection. The generalisation of this method in combination with the achievements of the AI industry have led to the constitution of large databases of genotyping and sequencing data, as well as refined phenotypes and pedigree records. These resources offer unprecedented opportunities in terms of fundamental and applied research. Here we present five such examples with a focus on reproduction-related traits: (1) detection of quantitative trait loci (QTL) for male fertility and semen quality traits; (2) detection of QTL for refined phenotypes associated with female fertility; (3) identification of recessive embryonic lethal mutations by depletion of homozygous haplotypes; (4) identification of recessive embryonic lethal mutations by mining whole-genome sequencing data; and (5) the contribution of high-density single nucleotide polymorphism chips, whole-genome sequencing and imputation to increasing the power of QTL detection methods and to the identification of causal variants.


Subject(s)
Breeding/methods , Cattle/genetics , Cattle/physiology , Databases, Genetic , Fertility/physiology , Phenotype , Reproductive Techniques, Assisted/veterinary , Animals , Female , Fertility/genetics , Genotype , Haplotypes , Male , Mutation/genetics , Quantitative Trait Loci/genetics , Semen Analysis/veterinary
9.
Br J Cancer ; 110(11): 2662-8, 2014 May 27.
Article in English | MEDLINE | ID: mdl-24809779

ABSTRACT

BACKGROUND: Breast cancer susceptibility gene 1 (BRCA1) expression differentially affects outcome to platinum- and taxane-based chemotherapy. Mediator of DNA damage checkpoint protein 1 (MDC1), p53-binding protein 1 (53BP1), multiple myeloma SET domain (MMSET) and ubiquitin-conjugating enzyme 9 (UBC9) are involved in DNA repair and could modify the BRCA1 predictive model. METHODS: Mediator of DNA damage checkpoint protein 1, 53BP1, MMSET and UBC9 mRNA were assessed in gastric tumours from patients in whom BRCA1 levels had previously been determined. RESULTS: In vitro chemosensitivity assay, MMSET levels were higher in docetaxel-sensitive samples. In a separate cohort, survival was longer in those with low MMSET (12.3 vs 8.8 months; P=0.04) or UBC9 (12.4 vs 8.8 months; P=0.01) in patients receiving only folinic acid, fluorouracil (5-FU) and oxaliplatin (FOLFOX). Conversely, among patients receiving second-line docetaxel, longer survival was associated with high MMSET (19.1 vs 13.9 months; P=0.003). Patients with high MMSET and BRCA1 attained a median survival of 36.6 months, compared with 13.9 months for those with high BRCA1 and low MMSET (P=0.003). In the multivariate analyses, low MMSET (hazard ratio (HR), 0.59; P=0.04) and low UBC9 (HR, 0.52; P=0.01) levels were markers of longer survival to first-line FOLFOX, whereas palliative surgery (HR, 2.47; P=0.005), low BRCA1 (HR, 3.17; P=0.001) and low MMSET (HR, 2.52; P=0.004) levels were markers of shorter survival to second-line docetaxel. CONCLUSIONS: Breast cancer susceptibility gene 1, MMSET and UBC9 can be useful for customising chemotherapy in gastric cancer patients.


Subject(s)
Adenocarcinoma/metabolism , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Histone-Lysine N-Methyltransferase/genetics , Repressor Proteins/genetics , Stomach Neoplasms/metabolism , Adaptor Proteins, Signal Transducing , Adenocarcinoma/drug therapy , Adenocarcinoma/mortality , Adult , Aged , Aged, 80 and over , BRCA1 Protein/genetics , BRCA1 Protein/metabolism , Cell Cycle Proteins , Docetaxel , Female , Fluorouracil/therapeutic use , Gene Expression , Histone-Lysine N-Methyltransferase/metabolism , Humans , Intracellular Signaling Peptides and Proteins/genetics , Intracellular Signaling Peptides and Proteins/metabolism , Kaplan-Meier Estimate , Leucovorin/therapeutic use , Male , Middle Aged , Nuclear Proteins/genetics , Nuclear Proteins/metabolism , Organoplatinum Compounds/therapeutic use , Proportional Hazards Models , RNA, Messenger/genetics , RNA, Messenger/metabolism , Repressor Proteins/metabolism , Stomach Neoplasms/drug therapy , Stomach Neoplasms/mortality , Taxoids/administration & dosage , Trans-Activators/genetics , Trans-Activators/metabolism , Tumor Suppressor p53-Binding Protein 1 , Ubiquitin-Conjugating Enzymes/genetics , Ubiquitin-Conjugating Enzymes/metabolism , Young Adult
10.
Ann Oncol ; 22(1): 139-144, 2011 Jan.
Article in English | MEDLINE | ID: mdl-20603439

ABSTRACT

BACKGROUND: neoadjuvant chemotherapy has shown a modest benefit in muscle-invasive bladder cancer patients; however, the subset of patients most likely to benefit has not been identified. BRCA1 plays a central role in DNA repair pathways and low BRCA1 expression has been associated with sensitivity to cisplatin and longer survival in lung and ovarian cancer patients. PATIENTS AND METHODS: we assessed BRCA1 messenger RNA expression levels in paraffin-embedded pre-treatment tumor samples obtained by transurethral resection from 57 patients with locally advanced bladder cancer subsequently treated with neoadjuvant cisplatin-based chemotherapy. BRCA1 levels were divided into terciles and correlated with pathological response and survival. RESULTS: a significant pathological response (pT0-1) was attained in 66% (24 of 39) of patients with low/intermediate BRCA1 levels compared with 22% (4 of 18) of patients with high BRCA1 levels (P = 0.01). Median survival was 168 months in patients with low/intermediate levels and 34 months in patients with high BRCA1 levels (P = 0.002). In the multivariate analysis for survival, only BRCA1 expression levels and lymphovascular invasion emerged as independent prognostic factors. CONCLUSIONS: our data suggest that BRCA1 expression may predict the efficacy of cisplatin-based neoadjuvant chemotherapy and may help to customize therapy in bladder cancer patients.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , BRCA1 Protein/biosynthesis , RNA, Messenger/biosynthesis , Urinary Bladder Neoplasms/drug therapy , Urinary Bladder Neoplasms/genetics , Adult , Aged , Aged, 80 and over , BRCA1 Protein/genetics , Chemotherapy, Adjuvant , Cisplatin/administration & dosage , Female , Humans , Male , Methotrexate/administration & dosage , Middle Aged , Neoadjuvant Therapy , Neoplasm Staging , Paraffin Embedding , RNA, Messenger/genetics , Retrospective Studies , Survival Rate , Treatment Outcome , Urinary Bladder Neoplasms/metabolism , Urinary Bladder Neoplasms/surgery , Vinblastine/administration & dosage
11.
J Dairy Sci ; 90(6): 2980-8, 2007 Jun.
Article in English | MEDLINE | ID: mdl-17517739

ABSTRACT

A quantitative trait locus (QTL) underlying different milk production traits has been identified with a high significance threshold value in the genomic region containing the acylCoA:diacylglycerol acyltransferase (DGAT1) gene, in the 3 main French dairy cattle breeds: French Holstein, Normande, and Montbéliarde. Previous studies have confirmed that the K232A polymorphism in DGAT1 is responsible for a major QTL underlying several milk production traits in Holstein dairy cattle and several other bovine breeds. In this study, we estimate the frequency of the 2 alternative alleles, K and A, of the K232A polymorphism in French Holstein, Normande, and Montbéliarde breeds. Although the K allele segregates in French Holstein and Normande breeds with a similar effect on production traits, the existence of additional mutations contributing to the observed QTL effect is strongly suggested in both breeds by the existence of sires heterozygous at the QTL but homozygous at the K232A polymorphism. One allele at a variable number of tandem repeats (VNTR) locus in the 5' noncoding region of DGAT1 has been recently proposed as a putative causative variant. In our study, this marker was found to present a high mutation rate of 0.8% per gamete and per generation, making the allele diversity observed compatible with that expected under neutrality. Moreover, among the sires homozygous at the K232A polymorphism, no allele at the VNTR can fully explain their QTL status. Finally, no allele at the VNTR was found to be significantly associated with the fat percentage variation in the 3 breeds simultaneously after correction for the effect of the K232A polymorphism. Therefore, our results suggest the existence of at least one other causative polymorphism not yet described. Because the A allele is nearly fixed in the Montbéliarde breed, this breed represents an interesting model to identify and confirm other mutations that have a strong effect on milk production traits.


Subject(s)
Cattle/genetics , Diacylglycerol O-Acyltransferase/genetics , Lactation/genetics , Milk/chemistry , Minisatellite Repeats , Alleles , Animals , Breeding , Female , France , Genetic Variation , Genotype , Male , Milk/metabolism , Mutation , Polymorphism, Genetic , Quantitative Trait Loci
12.
Rev. Asoc. Esp. Espec. Med. Trab ; 10(3): 154-158, oct. 2001. tab
Article in Es | IBECS | ID: ibc-23438

ABSTRACT

La Incapacidad Laboral Temporal por enfermedad dentro del área otorrinolaringológica supone un alto porcentaje de todas las incapacidades temporales. En este artículo exponemos los periodos de menoscabo laboral temporal de toda la patología tanto quirúrgica como médica, existente en la práctica clínica habitual. Pretendemos servir como referencia y ayuda al médico de cabecera para que adecue el tiempo que el paciente tiene que estar incapacitado para realizar su actividad laboral (AU)


Subject(s)
Adult , Female , Male , Middle Aged , Humans , Sick Leave/trends , Sick Leave/statistics & numerical data , Sick Leave/classification , Occupational Risks/legislation & jurisprudence , Otorhinolaryngologic Diseases/complications , Otorhinolaryngologic Diseases/epidemiology , Rest/physiology , Disability Evaluation , Oropharynx/physiopathology , Oropharynx/pathology , Larynx/pathology , Ear/pathology , Ear Diseases/pathology
13.
O.R.L.-DIPS ; 27(4): 197-200, nov. 2000. tab
Article in Es | IBECS | ID: ibc-5879

ABSTRACT

La infección de la herida quirúrgica es la complicación postquirúrgica inmediata más frecuente. Repercute en la morbilidad del paciente así como en la prolongación de la estancia hospitalaria, con el consiguiente aumento en el gasto sanitario. La profilaxis antibiótica reduce de manera significativa la probabilidad de aparición de la infección postquirúrgica. En este artículo pretendemos consensuar una pauta de profilaxis, tras revisar las tendencias actuales (AU)


Subject(s)
Female , Male , Humans , Antibiotic Prophylaxis/classification , Antibiotic Prophylaxis/methods , Antibiotic Prophylaxis/trends , Antibiotic Prophylaxis , Postoperative Complications/prevention & control , Surgical Wound Infection/prevention & control , Amoxicillin/therapeutic use , Amoxicillin/standards , Cefazolin/therapeutic use , Clindamycin/therapeutic use , Gentamicins/therapeutic use , Enterocolitis, Pseudomembranous/drug therapy , Enterocolitis, Pseudomembranous/prevention & control , Otolaryngology/standards , Otolaryngology/trends , Otorhinolaryngologic Diseases/surgery , Otorhinolaryngologic Diseases/prevention & control , Length of Stay/economics , Length of Stay/trends , Quality of Life , Antibiotic Prophylaxis/statistics & numerical data , Antibiotic Prophylaxis/instrumentation
14.
Acta Otorrinolaringol Esp ; 51(3): 259-62, 2000 Apr.
Article in Spanish | MEDLINE | ID: mdl-10867404

ABSTRACT

Juvenile nasopharyngeal angiofibroma is a source of controversy with respect to therapy because of the many therapeutic modalities that exist, such as classic surgical techniques and newer techniques like nasal endoscopic surgery, which have emerged with the advent of new and better diagnostic techniques. Endoscopic surgery is less aggressive and produces less morbidity, but its use often depends on the size and extension of the tumor. A clinical case is presented with the subsequent diagnostic steps and surgical treatment. Rigid endoscopy was used for double cynoacrylate embolization, by angiography before operation and intratumoral injection during surgery.


Subject(s)
Angiofibroma/therapy , Embolization, Therapeutic/methods , Endoscopy/methods , Nasopharyngeal Neoplasms/therapy , Sphenoid Bone/surgery , Adult , Angiofibroma/diagnostic imaging , Humans , Male , Nasopharyngeal Neoplasms/diagnostic imaging , Tomography, X-Ray Computed
15.
Acta otorrinolaringol. esp ; 51(3): 259-262, abr. 2000. ilus
Article in Es | IBECS | ID: ibc-8077

ABSTRACT

El angiofibroma nasofaríngeo juvenil es motivo de controversia respecto a la actitud terapéutica a tomar, debido a las variadas modalidades que existen en la actualidad, entre las que están las técnicas quirúrgicas clásicas y otras más novedosas como la cirugía endoscópica nasal, surgidas por el advenimiento de nuevas y mejores técnicas diagnósticas. La cirugía endoscópica es menos agresiva, con menor morbilidad, pero muchas veces supeditada al tamaño y extensión del tumor. Se presenta un caso clínico, con los pasos diagnósticos realizados y posterior cirugía. En la intervencíón se usa el endoscopio rígido, tras doble embolización: mediante angiografía, previo a la intervención y durante la cirugía, inyectando intratumoralmente cianocrilato (AU)


Juvenile nasopharyngeal angiofibroma is a source of controversy with respect to therapy because of the many therapeutic modalities that exist, such as classic surgical techniques and newer techniques like nasal endoscopic surgery, which have emerged with the advent of new and better diagnostic techniques. Endoscopic surgery is less aggressive and produces less morbidity, but its use often depends on the size and extension of the tumor. A clinical case is presented with the subsequent diagnostic steps and surgical treatment. Rigid endoscopy was used for double cynoacrylate embolization, by angiography before operation and intratumoral injection during surgery (AU)


Subject(s)
Adult , Male , Humans , Sphenoid Bone/surgery , Angiofibroma/therapy , Endoscopy/methods , Embolization, Therapeutic , Nasopharyngeal Neoplasms/therapy , Tomography, X-Ray Computed
16.
Acta Otorrinolaringol Esp ; 49(4): 269-74, 1998 May.
Article in Spanish | MEDLINE | ID: mdl-9707734

ABSTRACT

The characteristics of in vitro synthesized cartilage tissue using tissue engineering techniques before and after cryopreservation are described. We determined cell survival, growth of extracellular matrix (collagen and proteoglycan) using a computer analysis system, and characterized the cell phenotype with a monoclonal antibody specific for collagen type II. Chondrocytes maintained a differentiated phenotype with collagen and proteoglycan synthesis before and after cryopreservation.


Subject(s)
Cartilage , Cryopreservation , Culture Techniques , Tissue Preservation , Freezing , Humans
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