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1.
Colorectal Dis ; 25(9): 1863-1877, 2023 09.
Article in English | MEDLINE | ID: mdl-37525421

ABSTRACT

AIM: Robotic-assisted surgery (RAS) is becoming increasingly important in colorectal surgery. Recognition of the short, safe learning curve (LC) could potentially improve implementation. We evaluated the extent and safety of the LC in robotic resection for rectal cancer. METHOD: Consecutive rectal cancer resections (January 2018 to February 2021) were prospectively included from three French centres, involving nine surgeons. LC analyses only included surgeons who had performed more than 25 robotic rectal cancer surgeries. The primary endpoint was operating time LC and the secondary endpoint conversion rate LC. Interphase comparisons included demographic and intraoperative data, operating time, conversion rate, pathological specimen features and postoperative morbidity. RESULTS: In 174 patients (69% men; mean age 62.6 years) the mean operating time was 334.5 ± 92.1 min. Operative procedures included low anterior resection (n = 143) and intersphincteric resection (n = 31). For operating time, there were two or three (centre-dependent) LC phases. After 12-21 cases (learning phase), there was a significant decrease in total operating time (all centres) and an increase in the number of harvested lymph nodes (two centres). For conversion rate, there were two or four LC phases. After 9-14 cases (learning phase), the conversion rate decreased significantly in two centres; in one centre, there was a nonsignificant decrease despite the treatment of significantly more obese patients and patients with previous abdominal surgery. There were no significant differences in interphase comparisons. CONCLUSION: The LC for RAS in rectal cancer was achieved after 12-21 cases for the operating time and 9-14 cases for the conversion rate. RAS for rectal cancer was safe during this time, with no interphase differences in postoperative complications and circumferential resection margin.


Subject(s)
Rectal Neoplasms , Robotic Surgical Procedures , Female , Humans , Male , Middle Aged , Learning Curve , Prospective Studies , Rectal Neoplasms/pathology , Retrospective Studies , Robotic Surgical Procedures/adverse effects , Treatment Outcome
2.
NanoImpact ; 29: 100447, 2023 01.
Article in English | MEDLINE | ID: mdl-36563784

ABSTRACT

Tests using algae and/or cyanobacteria, invertebrates (crustaceans) and fish form the basic elements of an ecotoxicological assessment in a number of regulations, in particular for classification of a substance as hazardous or not to the aquatic environment according to the Globally Harmonised System of Classification and Labelling of Chemicals (GHS-CLP) (GHS, 2022) and the REACH regulation (Registration, Evaluation, Authorisation and Restriction of Chemicals, EC, 2006). Standardised test guidelines (TGs) of the Organisation for Economic Co-operation and Development (OECD) are available to address the regulatory relevant endpoints of growth inhibition in algae and cyanobacteria (TG 201), acute toxicity to invertebrates (TG 202), and acute toxicity in fish (TG 203). Applying these existing OECD TGs for testing two dimensional (2D) graphene nanoforms may require more attention, additional considerations and/or adaptations of the protocols, because graphene materials are often problematic to test due to their unique attributes. In this review a critical analysis of all existing studies and approaches to testing used has been performed in order to comment on the current state of the science on testing and the overall ecotoxicity of 2D graphene materials. Focusing on the specific tests and available guidance's, a complete evaluation of aquatic toxicity testing for hazard classification of 2D graphene materials, as well as the use of alternative tests in an integrated approach to testing and assessment, has been made. This information is essential to ensure future assessments generate meaningful data that will fulfil regulatory requirements for the safe use of this "wonder" material.


Subject(s)
Graphite , Organisation for Economic Co-Operation and Development , Animals , Toxicity Tests/methods , Fishes , Invertebrates
3.
Front Cell Dev Biol ; 11: 1293068, 2023.
Article in English | MEDLINE | ID: mdl-38304612

ABSTRACT

The stem cell niche plays a crucial role in the decision to either self-renew or differentiate. Recent observations lead to the hypothesis that O2 supply by blood and local O2 tension could be key components of the testicular niche of spermatogonial stem cells (SSCs). In this study, we investigated the impact of different hypoxic conditions (3.5%, 1%, and 0.1% O2 tension) on murine and human SSCs in culture. We observed a deleterious effect of severe hypoxia (1% O2 and 0.1% O2) on the capacity of murine SSCs to form germ cell clusters when plated at low density. Severe effects on SSCs proliferation occur at an O2 tension ≤1% and hypoxia was shown to induce a slight differentiation bias under 1% and 0.1% O2 conditions. Exposure to hypoxia did not appear to change the mitochondrial mass and the potential of membrane of mitochondria in SSCs, but induced the generation of mitochondrial ROS at 3.5% and 1% O2. In 3.5% O2 conditions, the capacity of SSCs to form colonies was maintained at the level of 21% O2 at low cell density, but it was impossible to amplify and maintain stem cell number in high cell density culture. In addition, we observed that 3.5% hypoxia did not improve the maintenance and propagation of human SSCs. Finally, our data tend to show that the transcription factors HIF-1α and HIF-2α are not involved in the SSCs cell autonomous response to hypoxia.

4.
J Genet Couns ; 27(1): 274-288, 2018 02.
Article in English | MEDLINE | ID: mdl-28916957

ABSTRACT

Prophylactic mastectomy is an effective strategy to reduce the risk of breast cancer for women carrying a BRCA1/2 germline mutation. This decision is complex and may raise various concerns. Women considering this surgery have reported their desire to discuss the implications of this procedure with women who have undergone prophylactic mastectomy. We conducted a qualitative study to describe the topics covered during a telephone-based peer support intervention between women considering prophylactic mastectomy (recipients) and women who had undergone this surgery (peers), and to explore their perspectives regarding the intervention. Thirteen dyads were formed and data from participant logbooks and evaluation questionnaires were analyzed using a thematic content analysis. Three main dimensions emerged: physical, psychological, and social. The most frequent topics discussed were: surgery (92%), recovery (77%), pain and physical comfort (69%), impacts on intimacy and sexuality (54%), cancer-related anxiety (54%), experience related to loss of breasts (46%). Peers and recipients report that sharing experiences and thoughts about prophylactic mastectomy and the sense of mutual support within the dyad contributed significantly to their satisfaction. Special attention should be paid to the similarities between personal and medical profiles in order to create harmonious matches.


Subject(s)
Breast Neoplasms/psychology , Counseling/methods , Mastectomy/psychology , Peer Group , Adaptation, Psychological , Adult , BRCA1 Protein , Breast Neoplasms/genetics , Breast Neoplasms/surgery , Decision Making , Elective Surgical Procedures/psychology , Female , Humans , Middle Aged , Telephone
5.
Clin Microbiol Infect ; 22(6): 562.e1-8, 2016 Jun.
Article in English | MEDLINE | ID: mdl-26899830

ABSTRACT

We evaluated the usefulness of a serum Aspergillus PCR assay for the diagnosis and prognosis of invasive aspergillosis in a study involving 941 patients for a total of 5146 serum samples. Fifty-one patients had proven/probable aspergillosis. We compared galactomannan (GM), PCR and mycologic analysis of pulmonary samples in both neutropenic and nonneutropenic patients. PCR performed in serum yielded 66.7% sensitivity, 98.7% specificity, 75.6% positive predictive value and 98.0% negative predictive value, while the GM index yielded 78.4% sensitivity, 87.5% specificity, 27% positive predictive value and 98.6% negative predictive value. The inclusion of PCR in the European Organization for Research and Treatment of Cancer (EORTC) and the Mycosis Study Group (MSG) mycologic criteria permitted the reclassification of nine other cases from possible to probable aspergillosis and increased the sensitivity to 71.7%. Combining the GM index with serum PCR increased the detection rate of invasive aspergillosis with 88.2% sensitivity. PCR was systematically negative in 16 patients with noninvasive forms of aspergillosis (namely aspergilloma and chronic aspergillosis). Remaining PCR positive after a period of 14 to 20 days of treatment was related to poor outcome at 30 and 90 days. Our results also indicate that, unlike the determination of the GM index, the initial fungus load as determined by PCR was highly predictive of 90-day mortality, with the rate of the latter being 15.8% for patients with <150 copies/mL vs. 73.2% for patients at or above that cutoff (p <0.0001). Therefore, PCR appears to be a powerful and interesting tool for the identification of patients with invasive aspergillosis who might benefit from more intense care.


Subject(s)
Aspergillus/isolation & purification , Invasive Pulmonary Aspergillosis/diagnosis , Molecular Diagnostic Techniques/methods , Polymerase Chain Reaction/methods , Serum/microbiology , Adult , Aged , Aged, 80 and over , Aspergillus/genetics , Female , Galactose/analogs & derivatives , Humans , Male , Mannans/blood , Middle Aged , Neoplasms/complications , Neutropenia/complications , Predictive Value of Tests , Prognosis , Retrospective Studies , Sensitivity and Specificity , Young Adult
6.
Chemosphere ; 139: 117-25, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26073702

ABSTRACT

The present investigation evaluates the recovery capabilities of Xenopus laevis following 12days of exposure to 30µg CdL(-1) and 1000µg ZnL(-1) alone or mixed, followed by a depuration phase in laboratory conditions. Focused endpoints, which were investigated at different times of depuration, are bioaccumulation of Cd and Zn, micronucleus induction, quantification of metallothioneins (MTs), and expression of genes involved in metal toxicity mechanisms. The results show that at the end of the contamination phase, there was higher metal bioaccumulation capability and MT synthesis in remaining tissues than in the liver. An increased expression of genes involved in detoxification and oxidative stress mechanisms was observed, suggesting an additive effect of both metals and a higher Zn regulation in the liver. During the depuration phase, the results show the recovery capability of Xenopus from 7days of depuration related to metamorphosis processes, which were observed at the end of the experiment. The results confirm the relevance of the amphibian model and the complementarities between a marker of genotoxicity, MT production, bioaccumulation and transcriptional analysis in the evaluation of the ecotoxicological impact. The results also highlight the reversible effects of Cd and Zn toxicity.


Subject(s)
Cadmium/toxicity , Micronuclei, Chromosome-Defective/chemically induced , Water Pollutants, Chemical/toxicity , Xenopus laevis/growth & development , Zinc/toxicity , Animals , Cadmium/metabolism , Ecotoxicology , Female , Gene Expression/drug effects , Inactivation, Metabolic , Liver/drug effects , Liver/metabolism , Male , Metallothionein/metabolism , Micronucleus Tests , Oxidative Stress/drug effects , Water Pollutants, Chemical/metabolism , Xenopus laevis/genetics , Xenopus laevis/metabolism , Zinc/metabolism
7.
Mol Pharm ; 12(6): 1863-71, 2015 Jun 01.
Article in English | MEDLINE | ID: mdl-25625323

ABSTRACT

Antibody-drug conjugates (ADCs) have demonstrated clinical benefits that have led to the recent FDA approval of KADCYLA and ADCETRIS. Most ADCs that are currently in clinical use or development, including ADCETRIS, are produced by chemical conjugation of a toxin via either lysine or cysteine residues, inevitably leading to heterogeneous products with variable drug-to-antibody ratios (DARs). Here, we describe the in vitro and in vivo characterization of four novel ADCs that are based on the anti-CD30 antibody cAC10, which has the same polypeptide backbone as ADCETRIS, and compare the results with the latter. Bacterial transglutaminase (BTG) was exploited to site-specifically conjugate derivatives of monomethyl auristatin E (all comprising a cleavable linker) to the glutamine at positions 295 and 297 of cAC10, thereby yielding homogeneous ADCs with a DAR of 4. In vitro cell toxicity experiments using two different CD30-positive cell lines (Karpas 299 and Raji-CD30(+)) revealed comparable EC50 values for ADCETRIS (1.8 ± 0.4 and 3.6 ± 0.6 ng/mL, respectively) and the four cAC10-based ADCs (2.0 ± 0.4 to 4.9 ± 1.0 ng/mL). Quantitative time-dependent in vivo biodistribution studies (3-96 h p.i.) in normal and xenografted (Karpas 299 cells) SCID mice were performed with a selected (125)I-radioiodinated cAC10 ADC and compared with that of (125)I-ADCETRIS. The chemo-enzymatically conjugated, radioiodinated ADC showed higher tumor uptake (17.84 ± 2.2% ID/g 24 h p.i.) than (125)I-ADCETRIS (10.5 ± 1.8% ID/g 24 h p.i.). Moreover, (125)I-ADCETRIS exhibited higher nontargeted liver and spleen uptake. In line with these results, the maximum tolerated dose of the BTG-coupled ADC (>60 mg/kg) was significantly higher than that of ADCETRIS (18 mg/kg) in rats. These results suggest that homogeneous ADCs display improved pharmacokinetics and better therapeutic indexes compared to those of chemically modified ADCs with variable DARs.


Subject(s)
Antibodies, Monoclonal/chemistry , Immunoconjugates/pharmacokinetics , Oligopeptides/chemistry , Animals , Brentuximab Vedotin , Cell Line, Tumor , Female , Humans , Immunoconjugates/adverse effects , Immunoconjugates/chemistry , Male , Mice , Mice, SCID , Rats , Rats, Wistar
8.
Bone Joint Res ; 2(8): 140-8, 2013.
Article in English | MEDLINE | ID: mdl-23913361

ABSTRACT

OBJECTIVES: To quantify and compare peri-acetabular bone mineral density (BMD) between a monoblock acetabular component using a metal-on-metal (MoM) bearing and a modular titanium shell with a polyethylene (PE) insert. The secondary outcome was to measure patient-reported clinical function. METHODS: A total of 50 patients (25 per group) were randomised to MoM or metal-on-polyethlene (MoP). There were 27 women (11 MoM) and 23 men (14 MoM) with a mean age of 61.6 years (47.7 to 73.2). Measurements of peri-prosthetic acetabular and contralateral hip (covariate) BMD were performed at baseline and at one and two years' follow-up. The Western Ontario and McMaster Universities osteoarthritis index (WOMAC), University of California, Los Angeles (UCLA) activity score, Harris hip score, and RAND-36 were also completed at these intervals. RESULTS: At two years, only zone 1 showed a loss in BMD (-2.5%) in MoM group compared with a gain in the MoP group (+2.2%). Zone 2 showed loss in both groups (-2.2% for MoM; -3.9% for MoP) and zones 3 and 4 a gain in both groups (+0.1% for MoM; +3.3% for MoP). No other between-group differences were detected. When adjusting for BMD of the contralateral hip, no differences in BMD were observed. The only significant differences in functional scores at two years were higher UCLA activity (7.3 (sd 1.2) vs 6.1 (sd 1.5); p = 0.01) and RAND-36 physical function (82.1 (sd 13.0) vs 64.5 (sd 26.4); p = 0.02) for MoM bearings versus MoP. One revision was performed in the MoM group, for aseptic acetabular loosening at 11 months. CONCLUSIONS: When controlling for systemic BMD, there were no significant differences between MoM and MoP groups in peri-acetabular BMD. However, increasing reports of adverse tissue reactions with large head MoM THR have restricted the use of the monoblock acetabular component to resurfacing only.

9.
J Fr Ophtalmol ; 35(3): 206-11, 2012 Mar.
Article in French | MEDLINE | ID: mdl-22386997

ABSTRACT

Excimer laser is the best and the more used technique for Astigmatism correction. Lasik is generally preferred to PRK and must be the choice for hyperopic and mix astigmatisms. Myopic astigmatisms are the easier cases to treat: the length of the photoablation is placed on the flat meridian. Hyperopic and mix astigmatisms are more difficult to correct because they are more technically demanding and because the optical zone of the photoablation must be large. Flying spots lasers are the best for these cases. The most important point is to trace the photoablation very precisely on the astigmatism axis. The use of eye trackers with iris recognition or a preoperative marking of the reference axis avoid cyclotorsion or a wrong position of the head. Irregular astigmatism are better corrected with topoguided or wavefront guided photoablations.


Subject(s)
Astigmatism/surgery , Lasers, Excimer/therapeutic use , Photorefractive Keratectomy/methods , Refractive Surgical Procedures/instrumentation , Refractive Surgical Procedures/methods , Astigmatism/classification , Astigmatism/diagnosis , Corneal Topography , Humans , Keratomileusis, Laser In Situ/methods , Treatment Outcome
10.
J Chem Theory Comput ; 8(4): 1165-70, 2012 Apr 10.
Article in English | MEDLINE | ID: mdl-26596735

ABSTRACT

The accurate yet efficient evaluation of the free energy profiles of ligand-target association is a long sought goal in rational drug design. Methods that calculate the free energy along realistic association pathways, such as metadynamics, have been shown to provide reliable profiles, while accounting properly for solvation and target flexibility. However, these approaches usually require prohibitive computational resources and expert human intervention. Here, we show how multiple walkers metadynamics, when performed with optimal path collective variables (PCV), provides in a predetermined amount of computer time an accurate set of free energy profiles for a series of p38 inhibitors. The chosen test set, spanning a wide range of activity, is a challenging benchmark, both for computational methods and for human intuition, as the correct order for the binding affinity cannot be easily guessed. An excellent ranking of the ligands was obtained with minimal human assistance, an important step toward a fully automated pharmaceutical work-flow.

11.
Ecotoxicol Environ Saf ; 74(1): 144-9, 2011 Jan.
Article in English | MEDLINE | ID: mdl-20828819

ABSTRACT

This study concerns a comparative analysis of the acridine orange and Giemsa staining procedures for the fish erythrocyte micronucleus assay. The goal was to optimize the assay in the context of field water monitoring. Fish (Carassius carassius) were exposed to a reference genotoxic agent, cyclophosphamide monohydrate 5 mg l(-1) for 2, 4, and 6 days before testing. Slides from each individual were scored using the two procedures. The results show that the assay was more sensitive when acridine orange was used. When slides were Giemsa stained, the presence of ambiguous artefacts, leading to false positives and increasing random variance, reduced the contrast between exposed and control samples. Acridine Orange staining was then applied in the context of water quality monitoring. Fish were exposed for 4 days to water sampled in two hydrological contexts: basal flow and spring flood. The results show that exposure to spring flood water in an agricultural stream can induce mutagenicity.


Subject(s)
Acridine Orange , Azure Stains , Cyclophosphamide/analysis , Goldfish/physiology , Micronucleus Tests/methods , Water Supply/analysis , Acridine Orange/chemistry , Animals , Azure Stains/chemistry , Cyclophosphamide/toxicity , Herbicides/analysis , Herbicides/toxicity , Microscopy, Fluorescence , Mutagens/analysis , Mutagens/toxicity , Time Factors , Validation Studies as Topic , Water Supply/standards
12.
Aquat Toxicol ; 101(1): 126-34, 2011 Jan 17.
Article in English | MEDLINE | ID: mdl-20970859

ABSTRACT

When heavy rainfall follows herbicide application, the intense surface runoff causes stream water contamination. Aquatic organisms are then briefly exposed to a complex mixture of contaminants. The aim of the present study is to investigate the genotoxic impact of such events on fish. A model fish, the Crucian carp (Carassius carassius) was exposed in controlled conditions, for 4 days, to water sampled daily in the Save River (France). The watershed of this stream is representative of agricultural areas in south-west France. Three hydrological conditions were compared: basal flow, winter flood, and spring flood. Chemical analysis of the water samples confirmed the higher contamination of the spring flood water, mainly explained by a peak of metolachlor. Genotoxicity was evaluated by micronucleus (MN) test and comet assay in peripheral erythrocytes. A significant increase in DNA breakdowns compared to controls was detected by the comet assay for all conditions. Exposure to spring flood water resulted in the highest damage induction. Moreover, induced chromosomal damage was only detected in this condition. In addition, fish were exposed, for 4 days, to an experimental mixture of 5 herbicides representative of the spring flood water contamination. Fish exhibited moderate DNA damage induction and no significant chromosomal damage. The mutagenicity induced by field-collected water is then suspected to be the result of numerous interactions between contaminants themselves and environmental factors, stressing the use of realistic exposure conditions. The results revealed a mutagenic impact of water contamination during the spring flood, emphasizing the need to consider these transient events in water quality monitoring programs.


Subject(s)
Carps , DNA Damage , Herbicides/toxicity , Seasons , Water Pollutants, Chemical/toxicity , Agriculture/methods , Analysis of Variance , Animals , Comet Assay , France , Micronucleus Tests , Rivers , Water Pollutants, Chemical/analysis
13.
J Hazard Mater ; 166(2-3): 945-53, 2009 Jul 30.
Article in English | MEDLINE | ID: mdl-19162394

ABSTRACT

Meat and Bone Meals (MBM) combustion residues (ashes) are calcium and phosphate-rich materials. The aim of this work is to evaluate ashes efficiency for remediation of cadmium-contaminated aqueous solutions, and to assess the bioavailability of cadmium on Xenopus laevis larvae. In this study both industrial (MBM-BA) and laboratory (MBM-LA) ashes are compared regarding their efficiency. Kinetic investigations reveal that cadmium ions are quickly immobilized, with a maximum cadmium uptake at 57 mg Cd(2+)/g of ashes for MBM-LA, two times higher than metal uptake quantity of MBM-BA, in our experimental conditions. Chemical and X-ray diffraction analysis (XRD) reveal that Cd(2+) is mainly immobilized as Ca(10-x)Cd(x)(PO(4))(6)(OH)(2) by both ashes, whereas otavite, Cd(CO(3)), is also involved for MBM-LA in cadmium uptake. Otavite formation could be explained by the presence of carbonates in MBM-LA, as observed by IR. Genotoxicity of cadmium solution on Xenopus larvae is observed at 0.02, 0.2 and 2mg Cd(2+)/L. However addition of only 0.1g/L MBM-LA inhibits these effects for the above concentration values whereas Cd(2+) bioaccumulation in larvae's liver is similar for both experiments, with and without ashes.


Subject(s)
Cadmium/isolation & purification , Charcoal , Environmental Restoration and Remediation , Water Pollutants/isolation & purification , Animals , Biological Products , Ecotoxicology , Incineration , Larva , Meat , Minerals , Mutagenicity Tests , Water Purification/methods , Xenopus laevis
14.
Biometals ; 21(4): 443-58, 2008 Aug.
Article in English | MEDLINE | ID: mdl-18253838

ABSTRACT

Lead (Pb) is a major chemical pollutant in the environment. The present investigation evaluates the possible use of Meat and Bone Meal Combustion Residues (MBMCR), to sequester Pb from the soil compartment using the heterozygous tobacco model (Nicotiana tabacum var. xanthi Dulieu) characterized by the a1+ /a1 a2+ /a2 system. The toxic potential of Pb-contaminations (50, 100, 1,000, 2,000 and 10,000 mg Pb kg(-1)) as Pb(NO3) in standard soil was investigated in lab conditions according to three endpoints: (i) acute toxicity of plants (mortality, height and surface area parameters), (ii) Pb-accumulation in roots, stems and leaves, and (iii) genetic effects as the expression of reversion in the leaf of plants. Moreover, chemical investigations of Pb interactions with soil were realized to complete the toxicity evaluation. The results demonstrated that: (i) MBMCR were not acutely toxic or genotoxic to tobacco plants, (ii) Pb is acutely toxic to tobacco plants at 10,000 mg Pb kg(-1) of soil, (ii) but is not genotoxic, and (iii) Pb-bioaccumulation is significant in leaves, stems and roots (from 1,000, 2,000, and 50 mg Pb kg(-1) of soil, respectively). In contrast, in the presence of MBMCR, the toxic impacts of Pb were inhibited and Pb-accumulation in tobacco plants was reduced. In complement, chemical analyses highlighted the high capacity of the standard soil to immobilize Pb. The results suggest that even if Pb is bioavailable from soils to plants, complex mechanisms could occur in plants protecting them from the toxic impact of Pb.


Subject(s)
Lead , Meat , Minerals/chemistry , Nicotiana/drug effects , Soil Pollutants , Biological Products/chemistry , Genes, Plant/drug effects , Humans , Lead/chemistry , Lead/toxicity , Mutagens/chemistry , Mutagens/toxicity , Plant Leaves/anatomy & histology , Plant Leaves/drug effects , Soil/analysis , Soil Pollutants/chemistry , Soil Pollutants/toxicity , Nicotiana/anatomy & histology , Nicotiana/chemistry , Nicotiana/genetics
15.
AJNR Am J Neuroradiol ; 29(2): 354-8, 2008 Feb.
Article in English | MEDLINE | ID: mdl-18024577

ABSTRACT

BACKGROUND AND PURPOSE: Methods have not been well developed and tested to predict the extent of remote degeneration in the central nervous system that follows cerebral infarction. We hypothesized that the extent of infarction overlap with the cerebral hemispheric course of the corticospinal tract (CST) on structural MR imaging predicts the extent of ipsilateral cerebral peduncular atrophy in patients with chronic stroke. MATERIALS AND METHODS: Hemiparetic patients (n = 34) with supratentorial unilateral infarctions who were at least 1 year poststroke onset and enrolled in research protocols of Constraint-Induced Movement therapy underwent volumetric T1 MR imaging of the brain. The following measures were calculated for each patient: 1) the maximal proportion of the CST in the cerebral hemisphere on axial section that was overlapped by infarction, 2) total infarction volume, and 3) the ratio of the cross-sectional area of the ipsilateral cerebral peduncle to the area of the contralateral cerebral peduncle (peduncular asymmetry ratio). Correlation analyses evaluated the predictive value of CST injury or infarction volume for the peduncular asymmetry ratio. RESULTS: CST injury correlated significantly with the peduncular asymmetry ratio (r = -0.65; P < .001), whereas infarction volume did not (r = -0.31; P = .09). CONCLUSIONS: The extent of postinfarction CST injury in the cerebral hemisphere predicts the extent of ipsilateral cerebral peduncular atrophy. More generally, the findings suggest that the extent of remote wallerian degeneration of a fiber tract is strongly related to its extent of injury directly at the site of infarction.


Subject(s)
Brain Ischemia/diagnosis , Cerebrum/injuries , Cerebrum/pathology , Magnetic Resonance Imaging/methods , Pyramidal Tracts/injuries , Pyramidal Tracts/pathology , Stroke/diagnosis , Tegmentum Mesencephali/pathology , Atrophy , Brain Ischemia/complications , Female , Humans , Male , Middle Aged , Paresis/complications , Paresis/diagnosis , Prognosis , Spinal Cord Injuries , Statistics as Topic , Stroke/complications
16.
Environ Toxicol ; 22(4): 422-35, 2007 Aug.
Article in English | MEDLINE | ID: mdl-17607733

ABSTRACT

The toxic and genotoxic potential of Cadmium (CdCl(2)) were evaluated by the micronucleus test (MNT) and comet assay (CA) using amphibian larvae (Xenopus laevis and Pleurodeles waltl). Acute toxicity results showed that Cd is toxic to Xenopus larvae exposed from 2 to 50 mg/L and to Pleurodeles from 5 to 50 mg/L, depending on the nature of the water (reconstituted water containing mineral salts or mineral water MW (Volvic)). The MNT results obtained in MW showed that Cd (2 mg/L) is genotoxic to Xenopus, whereas it was not genotoxic to Pleurodeles at all concentrations tested. The CA established that the genotoxicity of Cd to Xenopus and Pleurodeles larvae depends on the concentration, the exposure times, and the comet parameters (Tail DNA, ETM, OTM, and TL). The CA and MNT results were compared for their ability to detect genotoxic effects, considering the concentrations of Cd applied and the exposure time. The CA showed Cd to be genotoxic from the first day of exposure. In amphibians, the CA appears to be a sensitive and suitable method for detecting genotoxicity such as that caused by Cd.


Subject(s)
Cadmium/toxicity , Pleurodeles/embryology , Animals , Cadmium/administration & dosage , Comet Assay , Larva/drug effects , Larva/genetics , Micronucleus Tests , Pleurodeles/genetics , Toxicity Tests, Acute , Xenopus laevis
17.
J Hazard Mater ; 146(1-2): 227-36, 2007 Jul 19.
Article in English | MEDLINE | ID: mdl-17240054

ABSTRACT

As a result of bovine spongiform encephalopathy (BSE) crisis, meat and bone meal (MBM) production can no longer be used to feed cattle and must be safely disposed of or transformed. MBM specific incineration remains an alternative that could offer the opportunity to achieve both thermal valorization and solid waste recovery as ashes are calcium phosphate-rich material. The aim of this work is to evaluate ashes efficiency for in situ remediation of lead-contaminated aqueous solutions and soils, and to assess the bioavailability of lead using two biological models, amphibian Xenopus laevis larvae and Nicotiana tabaccum tobacco plant. With the amphibian model, no toxic or genotoxic effects of ashes are observed with concentrations from 0.1 to 5 g of ashes/L. If toxic and genotoxic effects of lead appear at concentration higher than 1 mg Pb/L (1 ppm), addition of only 100 mg of ashes/L neutralizes lead toxicity even with lead concentration up to 10 ppm. Chemical investigations (kinetics and X-ray diffraction (XRD) analysis) reveals that lead is quickly immobilized as pyromorphite [Pb10(PO4)6(OH)2] and lead carbonate dihydrate [PbCO(3).2H2O]. Tobacco experiments are realized on contaminated soils with 50, 100, 2000 and 10000 ppm of lead with and without ashes amendment (35.3g ashes/kg of soil). Tobacco measurements show that plant elongation is bigger in an ashes-amended soil contaminated with 10000 ppm of lead than on the reference soil alone. Tobacco model points out that ashes present two beneficial actions as they do not only neutralize lead toxicity but also act as a fertilizer.


Subject(s)
Industrial Waste , Lead/toxicity , Meat , Minerals , Soil Pollutants/toxicity , Water Pollutants, Chemical/toxicity , Abattoirs , Animals , Biological Products , Cattle , Fertilizers , Incineration , Larva/drug effects , Larva/genetics , Larva/growth & development , Lead/chemistry , Micronucleus Tests , Soil Pollutants/chemistry , Nicotiana/drug effects , Nicotiana/growth & development , Waste Management/methods , Water Pollutants, Chemical/chemistry , Xenopus laevis/genetics , Xenopus laevis/growth & development
18.
Biometals ; 20(2): 113-27, 2007 Apr.
Article in English | MEDLINE | ID: mdl-16823622

ABSTRACT

Lead (Pb) is a major chemical pollutant of the environment. It has been associated with human activities for the last 6000 years. Quite rightly, it remains a public health concern today. The present investigation evaluates the toxic potential of Pb in larvae of the toad Xenopus laevis after 12 days exposure in lab conditions. Acute toxicity, genotoxicity and Pb bioaccumulation were analyzed. The genotoxic effects were analyzed in the circulating blood from the levels of micronucleus induction according to the French standard micronucleus assay (AFNOR 2000 Association française de normalization. Norme NFT 90-325. Qualité de l'Eau. Evaluation de la génotoxicité au moyen de larves d'amphibien (Xenopus laevis, Pleurodeles waltl)). Lead bioaccumulation was analyzed in the liver of larvae at the end of exposure. Moreover, the toxic potential of lead, in aquatic media, was investigated in the presence of meat and bone meal combustion residues (MBMCR) known to be rich in phosphates and a potential immobiliser of lead. Previously, acute toxicity and genotoxicity of MBMCR alone were evaluated using Xenopus larvae. The results obtained in the present study demonstrated: (i) that lead is acutely toxic and genotoxic to amphibian larvae from 1 mg Pb/l and its bioaccumulation is significant in the liver of larvae from the lowest concentration of exposure (1 microg Pb/l), (ii) MBMCR were not acutely toxic nor genotoxic in Xenopus larvae, (iii) lead in presence of MBMCR induced inhibition or reduction of the toxic and genotoxic potential of lead in water at concentrations that do not exceed the capacity of MBMCR of Pb-binding (iv) Pb accumulation in larvae exposed to lead with MBMCR in water was lower than Pb-accumulation in larvae exposed to lead alone except at the concentration of 0.01 mg Pb/l suggesting complex mechanisms of MBMCR interaction in organisms. The results confirm the high toxicity and genotoxicity of lead in the aquatic compartment and suggest the potential utility of MBMCR for use in remediation.


Subject(s)
Larva/drug effects , Lead , Meat/analysis , Minerals/chemistry , Water Pollutants, Chemical , Xenopus laevis , Animals , Biodegradation, Environmental , Biological Products/chemistry , Evaluation Studies as Topic , Female , Humans , Lead/chemistry , Lead/toxicity , Male , Micronucleus Tests , Mutagens/chemistry , Mutagens/toxicity , Water Pollutants, Chemical/chemistry , Water Pollutants, Chemical/toxicity
19.
Aquat Toxicol ; 78(2): 157-66, 2006 Jun 15.
Article in English | MEDLINE | ID: mdl-16616381

ABSTRACT

The present investigation evaluates the toxic potential of Cd in larvae of the frog Xenopus laevis after 12 days of exposure to environmentally relevant contamination levels, close to those measured in the river Lot (France). Several genotoxic and detoxification mechanisms were analyzed in the larvae: clastogenic and/or aneugenic effects in the circulating blood by micronucleus (MN) induction, metallothionein (MT) production in whole larvae, gene analyses and Cd content in the liver and also in the whole larvae. The results show: (i) micronucleus induction at environmental levels of Cd contamination (2, 10, 30 microgL(-1)); (ii) an increased and concentration-dependent quantity of MT in the whole organism after contamination with 10 and 30 microgCdL(-1) (a three- and six-fold increase, respectively) although no significant difference was observed after contamination with 2 microgCdL(-1); (iii) Cd uptake by the whole organism and by the liver as a response to Cd exposure conditions; (4) up-regulation of the genes involved in detoxification processes and response to oxidative stress, while genes involved in DNA repair and apoptosis were repressed. The results confirm the relevance of the amphibian model and highlight the complementarity between a marker of genotoxicity, MT production, bioaccumulation and genetic analysis in the evaluation of the ecotoxicological impact.


Subject(s)
Cadmium/toxicity , Environmental Exposure , Gene Expression/drug effects , Water Pollutants, Chemical/toxicity , Xenopus laevis/physiology , Animals , Cadmium/analysis , Cadmium/pharmacokinetics , DNA Primers/chemistry , Gene Expression Regulation, Developmental/drug effects , Larva/drug effects , Larva/genetics , Liver/drug effects , Liver/metabolism , Metallothionein/analysis , Micronucleus Tests/veterinary , Mutagenicity Tests/veterinary , Oxidative Stress/drug effects , RNA, Messenger/metabolism , Reverse Transcriptase Polymerase Chain Reaction/veterinary , Up-Regulation , Water Pollutants, Chemical/analysis , Water Pollutants, Chemical/pharmacokinetics , Xenopus laevis/genetics
20.
Environ Toxicol ; 21(3): 264-77, 2006 Jun.
Article in English | MEDLINE | ID: mdl-16646022

ABSTRACT

Captan (N-trichloromethylthio-4-cyclohexene-1,2-dicarboximide) is a fungicide used to inhibit the growth of many types of fungi on plants used as foodstuffs. The toxic and genotoxic potentials of captan were evaluated with the micronucleus test (MNT; AFNOR,2000) and the comet assay (CA) using amphibian larvae (Xenopus laevis and Pleurodeles waltl). Acute toxicity results showed that captan was toxic (1) to Xenopus larvae exposed to from 2 mg/L to 125 or 62.5 microg/L, depending on the nature of the water [reconstituted water containing mineral salts or mineral water (MW; Volvic, Danone, France)] and (2) to Pleurodeles exposed to from 2 mg/L to 125 microg/L in both types of water. The MNT results obtained in MW showed that captan (62.5 microg/L) was genotoxic to Xenopus but not genotoxic to Pleurodeles at all concentrations tested. CA established that the genotoxicity of captan to Xenopus and Pleurodeles larvae depended on the concentration, the exposure times, and the comet parameters (tail DNA, TEM, OTM, and TL). The CA and MNT results were compared for their ability to detect DNA damage at the concentrations of captan and the exposure times applied. CA showed captan to be genotoxic from the first day of exposure. In amphibians, CA appears to be a sensitive and suitable method for detecting genotoxicity such as that caused by captan.


Subject(s)
Amphibians/embryology , Captan/toxicity , Pleurodeles/embryology , Soil Pollutants/toxicity , Water Pollutants, Chemical/toxicity , Xenopus laevis/embryology , Animals , Comet Assay/methods , DNA Damage , Environmental Monitoring , Fungicides, Industrial/toxicity , Larva/drug effects , Larva/growth & development , Micronucleus Tests/methods , Time Factors
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