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1.
Zootaxa ; 5048(2): 151-175, 2021 Oct 06.
Article in English | MEDLINE | ID: mdl-34810808

ABSTRACT

Two new Haploops species are described from the North Atlantic Ocean: a blind species Haploops faroensis spec. nov. and Haploops truncata spec. nov. with a single pair of corneal lenses. In addition, Haploops vallifera Stephensen 1925 and Haploops similis Stephensen 1925, are re-described and the status of Haploops spinosa Shoemaker 1931, is re-established as a valid species. A table is given of the 75 morphological characters of the studied species.


Subject(s)
Amphipoda , Fabaceae , Animals , Atlantic Ocean
2.
Zootaxa ; 4483(3): 480-496, 2018 Sep 24.
Article in English | MEDLINE | ID: mdl-30313778

ABSTRACT

Two new Haploops species are described, both from the North Atlantic Ocean: Haploops bjarnii nov. sp. from around the Faeroe Islands and Iceland, and Haploops quebecoisis nov. sp. from the Saint Lawrence Gulf, off Canada. Haploops bjarnii is a species morphologically close to H. islandica Kaim-Malka, Bellan-Santini Dauvin, 2016. These are two blind Haploops species, with long antennae. Haploops quebecoisis is morphologically similar to H. sibirica Gurjanova 1929, both species having 2 pairs of corneal lenses in the same position. A table of the 75 morphological characters is presented that can be used permitting to distinguish the new species from similar species.


Subject(s)
Amphipoda , Animals , Atlantic Ocean , Canada , Denmark , Iceland
3.
Zootaxa ; 4179(1): 42-76, 2016 Oct 28.
Article in English | MEDLINE | ID: mdl-27811690

ABSTRACT

Four Haploops species collected in the North Atlantic Ocean are studied. One of them, H. islandica is a new species for the science. The three other species, H. carinata, H. setosa, H. robusta, were described from a long time, but many confusions exist about these species because their morphological nearness. The four species are described and illustrated in detail, and their distribution around the Iceland is specified. A key of the 23 species known nowadays is given permetting to separate the different species of the Haploops genus.


Subject(s)
Amphipoda/anatomy & histology , Amphipoda/classification , Animals , Atlantic Ocean , Female , Male , Species Specificity
4.
Zootaxa ; 3821(5): 551-66, 2014 Jun 25.
Article in English | MEDLINE | ID: mdl-24989766

ABSTRACT

Two new lysianassoid amphipod species, Ambasia anophthalma n. sp. and Bathyamaryllis biscayensis n. sp., are described based on adult females collected in the North Eastern Atlantic Ocean (Bay of Biscay) by an autonomous bait system deployed on the sea bottom at a depth of 1460-1550 m. These two species are characterized by the absence of eyes (blind species). They belong to genera which include very few species.


Subject(s)
Amphipoda/classification , Amphipoda/anatomy & histology , Amphipoda/growth & development , Animal Distribution , Animal Structures/anatomy & histology , Animal Structures/growth & development , Animals , Atlantic Ocean , Body Size , Female , Male , Organ Size
5.
J Immunol ; 190(7): 3500-9, 2013 Apr 01.
Article in English | MEDLINE | ID: mdl-23475218

ABSTRACT

In this study, we assessed the involvement of IL-1ß in early angiogenic responses induced by malignant cells using Matrigel plugs supplemented with B16 melanoma cells. We found that during the angiogenic response, IL-1ß and vascular endothelial growth factor (VEGF) interact in a newly described autoinduction circuit, in which each of these cytokines induces the other. The IL-1ß and VEGF circuit acts through interactions between bone marrow-derived VEGF receptor 1(+)/IL-1R1(+) immature myeloid cells and tissue endothelial cells. Myeloid cells produce IL-1ß and additional proinflammatory cytokines, which subsequently activate endothelial cells to produce VEGF and other proangiogenic factors and provide the inflammatory microenvironment for angiogenesis and tumor progression. These mechanisms were also observed in a nontumor early angiogenic response elicited in Matrigel plugs by either rIL-1ß or recombinant VEGF. We have shown that IL-1ß inhibition stably reduces tumor growth by limiting inflammation and inducing the maturation of immature myeloid cells into M1 macrophages. In sharp contrast, only transient inhibition of tumor growth was observed after VEGF neutralization, followed by tumor recurrence mediated by rebound angiogenesis. This occurs via the reprogramming of VEGF receptor 1(+)/IL-1R1(+) cells to express hypoxia inducible factor-1α, VEGF, and other angiogenic factors, thereby directly supporting proliferation of endothelial cells and blood vessel formation in a paracrine manner. We suggest using IL-1ß inhibition as an effective antitumor therapy and are currently optimizing the conditions for its application in the clinic.


Subject(s)
Interleukin-1beta/metabolism , Melanoma, Experimental/metabolism , Neovascularization, Pathologic/metabolism , Animals , Antibodies, Monoclonal/pharmacology , Cytokines/pharmacology , Disease Progression , Gene Expression , Interleukin-1beta/antagonists & inhibitors , Interleukin-1beta/genetics , Melanoma, Experimental/genetics , Mice , Mice, Knockout , Myeloid Cells/metabolism , Neovascularization, Pathologic/genetics , Phenotype , Tumor Microenvironment/genetics , Vascular Endothelial Growth Factor A/antagonists & inhibitors , Vascular Endothelial Growth Factor A/genetics , Vascular Endothelial Growth Factor A/metabolism , Vascular Endothelial Growth Factor Receptor-1/metabolism , Vascular Endothelial Growth Factor Receptor-2/metabolism
6.
J Immunol ; 187(9): 4835-43, 2011 Nov 01.
Article in English | MEDLINE | ID: mdl-21930960

ABSTRACT

The immune system has evolved to protect the host from invading pathogens and to maintain tissue homeostasis. Although the inflammatory process involving pathogens is well documented, the intrinsic compounds that initiate sterile inflammation and how its progression is mediated are still not clear. Because tissue injury is usually associated with ischemia and the accompanied hypoxia, the microenvironment of various pathologies involves anaerobic metabolites and products of necrotic cells. In the current study, we assessed in a comparative manner the role of IL-1α and IL-1ß in the initiation and propagation of sterile inflammation induced by products of hypoxic cells. We found that following hypoxia, the precursor form of IL-1α, and not IL-1ß, is upregulated and subsequently released from dying cells. Using an inflammation-monitoring system consisting of Matrigel mixed with supernatants of hypoxic cells, we noted accumulation of IL-1α in the initial phase, which correlated with the infiltration of neutrophils, and the expression of IL-1ß correlated with later migration of macrophages. In addition, we were able to show that IL-1 molecules from cells transfected with either precursor IL-1α or mature IL-1ß can recruit neutrophils or macrophages, respectively. Taken together, these data suggest that IL-1α, released from dying cells, initiates sterile inflammation by inducing recruitment of neutrophils, whereas IL-1ß promotes the recruitment and retention of macrophages. Overall, our data provide new insight into the biology of IL-1 molecules as well as on the regulation of sterile inflammation.


Subject(s)
Chemotaxis, Leukocyte/immunology , Inflammation Mediators/physiology , Interleukin-1alpha/physiology , Interleukin-1beta/physiology , Myeloid Cells/immunology , Animals , Cells, Cultured , Chemotaxis, Leukocyte/genetics , HEK293 Cells , Humans , Inflammation/classification , Inflammation/immunology , Inflammation/pathology , Inflammation Mediators/classification , Interleukin-1alpha/deficiency , Interleukin-1alpha/genetics , Interleukin-1beta/deficiency , Interleukin-1beta/genetics , Macrophages/immunology , Macrophages/metabolism , Macrophages/pathology , Male , Mice , Mice, Inbred C57BL , Mice, Knockout , Mice, Transgenic , Myeloid Cells/metabolism , Myeloid Cells/pathology , Neutrophils/immunology , Neutrophils/metabolism , Neutrophils/pathology
8.
Proc Natl Acad Sci U S A ; 107(6): 2574-9, 2010 Feb 09.
Article in English | MEDLINE | ID: mdl-20133797

ABSTRACT

IL-1alpha, like IL-1beta, possesses multiple inflammatory and immune properties. However, unlike IL-1beta, the cytokine is present intracellularly in healthy tissues and is not actively secreted. Rather, IL-1alpha translocates to the nucleus and participates in transcription. Here we show that intracellular IL-1alpha is a chromatin-associated cytokine and highly dynamic in the nucleus of living cells. During apoptosis, IL-1alpha concentrates in dense nuclear foci, which markedly reduces its mobile nature. In apoptotic cells, IL-1alpha is retained within the chromatin fraction and is not released along with the cytoplasmic contents. To simulate the in vivo inflammatory response to cells undergoing different mechanisms of death, lysates of cells were embedded in Matrigel plugs and implanted into mice. Lysates from cells undergoing necrosis recruited cells of the myeloid lineage into the Matrigel, whereas lysates of necrotic cells lacking IL-1alpha failed to recruit an infiltrate. In contrast, lysates of cells undergoing apoptotic death were inactive. Cells infiltrating the Matrigel were due to low concentrations (20-50 pg) of the IL-1alpha precursor containing the receptor interacting C-terminal, whereas the N-terminal propiece containing the nuclear localization site failed to do so. When normal keratinocytes were subjected to hypoxia, the constitutive IL-1alpha precursor was released into the supernatant. Thus, after an ischemic event, the IL-1alpha precursor is released by hypoxic cells and incites an inflammatory response by recruiting myeloid cells into the area. Tissues surrounding the necrotic site also sustain damage from the myeloid cells. Nuclear trafficking and differential release during necrosis vs. apoptosis demonstrate that inflammation by IL-1alpha is tightly controlled.


Subject(s)
Apoptosis , Chromatin/metabolism , Interleukin-1alpha/metabolism , Animals , Blotting, Western , Cell Hypoxia , Cell Line, Tumor , Cell Nucleus/metabolism , Cells, Cultured , Culture Media, Conditioned/chemistry , Culture Media, Conditioned/pharmacology , Fibroblasts/cytology , Fibroblasts/metabolism , Fluorescence Recovery After Photobleaching , Green Fluorescent Proteins/genetics , Green Fluorescent Proteins/metabolism , Interleukin-1alpha/genetics , Interleukin-1alpha/pharmacology , Keratinocytes/cytology , Keratinocytes/metabolism , Mice , Mice, Inbred C57BL , Mice, Knockout , Microscopy, Confocal , Myeloid Cells/drug effects , Myeloid Cells/metabolism , Myeloid Cells/pathology , Necrosis , Protein Transport , Transfection
9.
J Immunol ; 183(7): 4705-14, 2009 Oct 01.
Article in English | MEDLINE | ID: mdl-19752225

ABSTRACT

Inflammation and angiogenesis are pivotal processes in the progression of many diseases, including malignancies. A hypoxic microenvironment often results in a milieu of proinflammatory and proangiogenic cytokines produced by infiltrating cells. We assessed the role of macrophage-derived hypoxia-associated cytokines in promoting inflammation and angiogenesis. Supernatants of macrophages, stimulated under hypoxia with or without an inflammatory stimulus (LPS), promoted angiogenesis when incorporated into Matrigel plugs. However, neutralization of IL-1 in the supernatants, particularly IL-1beta, completely abrogated cell infiltration and angiogenesis in Matrigel plugs and reduced vascular endothelial growth factor (VEGF) levels by 85%. Similarly, supernatants from macrophages of IL-1beta knockout mice did not induce inflammatory or angiogenic responses. The importance of IL-1 signaling in the host was demonstrated by the dramatic reduction of inflammatory and angiogenic responses in Matrigel plugs that contained macrophage supernatants from control mice which had been implanted in IL-1 receptor type I knockout mice. Myeloid cells infiltrating into Matrigel plugs were of bone marrow origin and represented the major source of IL-1 and other cytokines/chemokines in the plugs. Cells of endothelial lineage were the main source of VEGF and were recruited mainly from neighboring tissues, rather than from the bone marrow. Using the aortic ring sprouting assay, it was shown that in this experimental system, IL-1 does not directly activate endothelial cell migration, proliferation and organization into blood vessel-like structures, but rather activates infiltrating cells to produce endothelial cell activating factors, such as VEGF. Thus, targeting IL-1beta has the potential to inhibit angiogenesis in pathological situations and may be of considerable clinical value.


Subject(s)
Angiogenic Proteins/physiology , Cell Migration Inhibition/immunology , Interleukin-1alpha/physiology , Interleukin-1beta/physiology , Macrophages, Peritoneal/immunology , Macrophages, Peritoneal/metabolism , Neovascularization, Physiologic/immunology , Angiogenic Proteins/antagonists & inhibitors , Angiogenic Proteins/deficiency , Animals , Cells, Cultured , Collagen/physiology , Drug Combinations , Endothelial Cells/cytology , Endothelial Cells/immunology , Endothelial Cells/metabolism , Inflammation Mediators/physiology , Interleukin-1alpha/deficiency , Interleukin-1alpha/genetics , Interleukin-1beta/antagonists & inhibitors , Interleukin-1beta/deficiency , Laminin/physiology , Lipopolysaccharides/physiology , Male , Mice , Mice, Inbred C57BL , Mice, Knockout , Mice, Transgenic , Myeloid Cells/cytology , Myeloid Cells/immunology , Myeloid Cells/metabolism , Neovascularization, Pathologic/immunology , Neovascularization, Pathologic/pathology , Neovascularization, Physiologic/genetics , Proteoglycans/physiology , Vascular Endothelial Growth Factor A/antagonists & inhibitors , Vascular Endothelial Growth Factor A/biosynthesis
10.
J Immunol ; 182(8): 4874-81, 2009 Apr 15.
Article in English | MEDLINE | ID: mdl-19342666

ABSTRACT

Using IL-1/IL-1Ra knockout BALB/c mice, we showed that 3-methylcholatrene (3-MCA)-induced carcinogenesis is dependent on IL-1beta-induced inflammatory responses. Patterns of local inflammation and tumorigenicity were similar in wild-type (WT) and IL-1alpha(-/-) mice, while in IL-1beta(-/-) mice, tumorigenicity was attenuated and in IL-1Ra(-/-) mice accentuated. 3-MCA-induced fibrosarcoma cell lines from WT mice developed into progressive tumors in WT mice, while surprisingly, lines from IL-1alpha(-/-) mice formed tumors only in immunocompromized mice. 3-MCA-induced fibrosarcoma cell lines from IL-1alpha(-/-) mice, compared with lines from WT mice, manifested higher expression levels of "global" surface molecules related to Ag presentation and interactions with immune surveillance cells (MHC class I, B7.1, B7.2, L-selectin, and NKG2D ligands) and were eradicated mainly by CD4(+)- and CD8(+)-dependent T cell responses. Concomitantly, at the injection site of 3-MCA-induced fibrosarcoma cells derived from IL-1alpha(-/-) mice, a leukocyte infiltrate, subsequently replaced by a scar-like tissue, was observed. Immune aberrations in NK cell maturation, antitumor specific immunity and killing capacity of effector cells were observed in IL-1alpha(-/-) mice, in contrast to WT mice. Thus, we demonstrate in this study the significance of host-derived IL-1alpha in cancer immunoediting, by affecting innate and specific immunosurveillance mechanisms. Overall, the results presented in this study, together with our previous studies, attest to differential involvement of IL-1alpha and IL-1beta in tumorigenesis; host-derived IL-1beta mainly controls inflammation, while concomitantly, IL-1alpha controls immunosurveillance of the arising malignant cells. Elucidation of the involvement of the IL-1 molecules in the malignant process will hopefully lead to the development of novel approaches for chemoprevention and immunotherapy.


Subject(s)
Interleukin-1alpha/immunology , Methylcholanthrene/pharmacology , Neoplasms/immunology , Animals , Biomarkers , Female , Immunity, Innate/immunology , Interleukin-1alpha/deficiency , Interleukin-1alpha/genetics , Interleukin-1alpha/metabolism , Mice , Mice, Inbred BALB C , Mice, Knockout , Neoplasms/chemically induced , Neoplasms/genetics , Neoplasms/metabolism , Tumor Cells, Cultured
11.
Cancer Metastasis Rev ; 25(3): 387-408, 2006 Sep.
Article in English | MEDLINE | ID: mdl-17043764

ABSTRACT

Interleukin-1 (IL-1) includes a family of closely related genes; the two major agonistic proteins, IL-1alpha and IL-1beta, are pleiotropic and affect mainly inflammation, immunity and hemopoiesis. The IL-1Ra antagonist is a physiological inhibitor of pre-formed IL-1. Recombinant IL-1alpha and IL-1beta bind to the same receptors and induce the same biological functions. As such, the IL-1 molecules have been considered identical in normal homeostasis and in disease. However, the IL-1 molecules differ in their compartmentalization within the producing cell or the microenvironment. Thus, IL-1beta is solely active in its secreted form, whereas IL-1alpha is mainly active in cell-associated forms (intracellular precursor and membrane-bound IL-1alpha) and only rarely as a secreted cytokine, as it is secreted only in a limited manner. IL-1 is abundant at tumor sites, where it may affect the process of carcinogenesis, tumor growth and invasiveness and also the patterns of tumor-host interactions. Here, we review the effects of microenvironment- and tumor cell-derived IL-1 on malignant processes in experimental tumor models and in cancer patients. We propose that membrane-associated IL-1alpha expressed on malignant cells stimulates anti-tumor immunity, while secretable IL-1beta, derived from the microenvironment or the malignant cells, activates inflammation that promotes invasiveness and also induces tumor-mediated suppression. Inhibition of the function of IL-1 by the IL-1Ra, reduces tumor invasiveness and alleviates tumor-mediated suppression, pointing to its feasibility in cancer therapy. Differential manipulation of IL-1alpha and IL-1beta in malignant cells or in the tumor's microenvironment can open new avenues for using IL-1 in cancer therapy.


Subject(s)
Cell Transformation, Neoplastic/metabolism , Interleukin-1alpha/physiology , Interleukin-1beta/physiology , Neoplasms/metabolism , Neoplasms/pathology , Autocrine Communication , Cell Transformation, Neoplastic/genetics , Humans , Interleukin-1alpha/genetics , Interleukin-1beta/genetics , Neoplasm Invasiveness , Neoplasm Metastasis , Paracrine Communication
12.
J Immunol Methods ; 215(1-2): 187-90, 1998 Jun 01.
Article in English | MEDLINE | ID: mdl-9744761

ABSTRACT

The mixed leukocyte reaction (MLR) is an in vitro test commonly performed in a serum-containing medium (SCM), and used to study allorecognition and cellular immunity accompanied by cytokine release. We investigated the possibility of performing the MLR test in serum-free media (SFM) by comparing human leukocyte proliferation and cytokine release in MLRs performed in SFM and SCM. Of the four SFM tested, only Biotarget- was as effective as SCM in supporting leukocyte proliferation and IL-2 secretion. Both phenomena were observed only in allogeneic combinations. The levels of IL-1, IL-6, and TNFalpha in allogeneic MLR combinations in SFM were half those in SCM cultures; the kinetics of their release were the same. With the exception of IL-2, a high degree of spontaneous release of the other three cytokines analyzed was observed in responder cells, in irradiated stimulator cells, and in autologous combinations cultured in both SCM and SFM. It appears that unlike IL-2, the cytokines IL-1, IL-6, and TNFalpha are nonspecifically produced in MLR and cannot serve as sensitive indices of HLA disparity.


Subject(s)
Cytokines/biosynthesis , Lymphocyte Culture Test, Mixed/methods , Culture Media, Serum-Free , Humans , Lymphocyte Activation
13.
Br J Psychiatry Suppl ; (15): 66-71, 1992 Feb.
Article in English | MEDLINE | ID: mdl-1389025

ABSTRACT

Alcohol interferes with the central metabolism of the catecholamines and especially with indolamines (5-HT). Thus, the use of an antidepressant such as tianeptine, whose main neurochemical effect is to increase the reuptake of 5-HT, seems to be particularly indicated for the continued treatment of depressed patients after alcohol withdrawal. This study evaluated the therapeutic efficacy and acceptability during long-term administration of tianeptine in depressed patients (major depressive episode or dysthymic disorder) in a multicentre trial, after withdrawal from alcohol abuse or dependence. The results relate to 130 depressed patients, who abstained from alcohol and received treatment for a year. Only one patient dropped-out because of side-effects, and medication was interrupted in 5% of subjects because of alcoholic relapses. Prescribed in the long term, tianeptine did not produce orthostatic hypotension, changes in bodyweight, or alterations in the ECG. All changes found in haematological and biochemical investigations suggested an improvement in patients' physical state. This, and other studies, indicate that tianeptine appears to have the potential to be a safe antidepressant, which might be particularly useful in those patients who are susceptible to the side-effects of psychotropic drugs.


Subject(s)
Alcoholism/rehabilitation , Antidepressive Agents, Tricyclic/administration & dosage , Depressive Disorder/drug therapy , Ethanol/adverse effects , Substance Withdrawal Syndrome/drug therapy , Thiazepines/administration & dosage , Adolescent , Adult , Aged , Alcoholism/psychology , Antidepressive Agents, Tricyclic/adverse effects , Depressive Disorder/psychology , Female , Follow-Up Studies , Humans , Long-Term Care , Male , Middle Aged , Personality Inventory , Recurrence , Substance Withdrawal Syndrome/psychology , Thiazepines/adverse effects
14.
Br J Psychiatry Suppl ; (15): 61-5, 1992 Feb.
Article in English | MEDLINE | ID: mdl-1389024

ABSTRACT

Tianeptine is a new tricyclic compound whose principal action is to increase the reuptake of serotonin. In a multicentre trial in which 380 depressed patients were treated for one year, tianeptine produced a significant reduction in the MADRS scores from day 14, with a sustained reduction maintained for up to 12 months; other measures of efficacy (HRSA, HSCL, and CGI) also reflected the improvement. Only 11% of patients withdrew because of recurrence of depression and 2% because of side-effects, which were mainly drowsiness, irritability, and gastrointestinal disturbance. Apart from a minor reduction in heart rate, unaccompanied by any conduction changes, no clinically relevant changes in vital signs or laboratory tests were seen. Seven subjects who attempted suicide by tianeptine overdose had favourable outcomes, in spite of also taking other psychotropic drugs or alcohol. No evidence of tolerance or withdrawal symptoms was seen after treatment was stopped. These results suggest that tianeptine has the potential to provide safe antidepressant activity in both the acute and chronic phases of treatment.


Subject(s)
Antidepressive Agents, Tricyclic/administration & dosage , Depressive Disorder/drug therapy , Thiazepines/administration & dosage , Adolescent , Adult , Aged , Aged, 80 and over , Alcoholism/psychology , Alcoholism/rehabilitation , Antidepressive Agents, Tricyclic/adverse effects , Depressive Disorder/psychology , Female , Follow-Up Studies , Humans , Long-Term Care , Male , Middle Aged , Personality Inventory , Thiazepines/adverse effects
15.
Presse Med ; 20(37): 1864-8, 1991 Nov 14.
Article in French | MEDLINE | ID: mdl-1836620

ABSTRACT

The potential activity of tianeptine in the prevention of depressive relapses or recurrences was evaluated in the course of a long-term multicenter study. Five hundred and ten patients were treated for a one-year period. During the first six months, 22 percent of patients responders to the treatment relapsed into depression or had a methodological equivalent of depressive relapse (a MADRS score equal to or higher than 25). This percentage of depressive relapses is comparable to those obtained with other antidepressants. After six months of treatment, 7 percent of patients with a stabilized recovery recurred into depression or had a methodological equivalent of depressive recurrence (a MADRS score equal to or higher than 25). An analysis compared this percentage with those obtained in the course of other studies. These percentages are classically more important. The role of diagnoses of depression was analysed. Percentages of depressive relapses and recurrences were also evaluated in the sub-sample of patients treated with tianeptine alone.


Subject(s)
Depressive Disorder/prevention & control , Thiazepines/therapeutic use , Adult , Aged , Antidepressive Agents, Tricyclic/administration & dosage , Antidepressive Agents, Tricyclic/therapeutic use , Female , Follow-Up Studies , Humans , Male , Middle Aged , Psychotropic Drugs/therapeutic use , Recurrence , Thiazepines/administration & dosage
16.
Encephale ; 17(4): 295-300, 1991.
Article in French | MEDLINE | ID: mdl-1959498

ABSTRACT

The anxiolytic efficacy of tetrabamate was evaluated in a multicentric double-blind study versus lorazepam and placebo, in 269 patients with a generalized anxiety disorder according to DSM III-R criteria. The anxiolytic activity of tetrabamate (at 900 mg/day) was significantly superior than that of placebo from day 7 of treatment and equivalent to lorazepam efficacy (at 4.5 mg/day). In the tetrabamate group, 55.3% were considered as "good responders" (as defined by a HARS score reduction equal or superior to 50%), versus 51.3 and 32.9% respectively in the lorazepam and the placebo groups (chi-square = 9.63, p = 0.008). Sheehan's scales (parts 1 and 2), Norris visual analogue scales, CHESS 84, CHESS complement 82 for withdrawal evaluation, physician's overall evaluation of efficacy and tolerance, were also used to assess the clinical effects of tetrabamate. The data on these measures confirmed the anxiolytic efficacy of tetrabamate and showed some advantages in the tetrabamate group in comparison with the lorazepam group: a better global tolerance at the study end point (day 35), a greater efficacy on some anxiety somatic items and lesser frequency and severity of withdrawal symptoms during treatment tapering off.


Subject(s)
Anxiety Disorders/drug therapy , Barbiturates/therapeutic use , Lorazepam/therapeutic use , Phenobarbital/therapeutic use , Psychotropic Drugs/therapeutic use , Adult , Aged , Barbiturates/adverse effects , Double-Blind Method , Drug Combinations , Female , Humans , Lorazepam/adverse effects , Male , Middle Aged , Phenobarbital/adverse effects , Placebos , Psychiatric Status Rating Scales , Psychotropic Drugs/adverse effects , Substance Withdrawal Syndrome/physiopathology , Time Factors
17.
Encephale ; 14(5): 379-84, 1988.
Article in French | MEDLINE | ID: mdl-3063511

ABSTRACT

Numerous authors insist on the need for prolonged prescription of antidepressant drugs. Legislation develops and now requires long-term controls for psychotropic drugs. In order to assess long-term efficacy and safety of tianeptine, a clinical trial was undertaken with the objective of 100 patients completing one year of treatment. This multicentered study involves 157 psychiatrists all over France, under the responsibility of a national coordinator and 19 regional coordinators. The methodology is explained, as well as the various means that have been planned to set up the protocol, to follow the case reports and to analyse the results. The use of a central computer assisted monitoring and the organization of national and regional meetings with the investigators seem to take an important part in the management of the study. Preliminary results after 6 months of treatment for 478 patients are discussed. They confirm the prolonged efficacy and the safety of tianeptine. The effective contribution made by the logistic support should allow the study to reach its objectives. When completed, it should be a pilot study for further long-term studies with antidepressants.


Subject(s)
Antidepressive Agents, Tricyclic/therapeutic use , Thiazepines/therapeutic use , Adult , Aged , Aged, 80 and over , Clinical Trials as Topic , Consumer Behavior , Depression/classification , Depression/drug therapy , Electroencephalography , Female , France , Humans , Male , Middle Aged , Multicenter Studies as Topic , Time Factors
18.
Neuropsychobiology ; 19(2): 79-85, 1988.
Article in English | MEDLINE | ID: mdl-3067116

ABSTRACT

129 chronic alcoholic patients, withdrawn from alcohol and presenting major depression or dysthymic disorder, were treated for 4-8 weeks under double-blind conditions either with a new antidepressant, tianeptine (37.5 mg per day), or with amitriptyline (75 mg per day). Both groups presented steady improvement of the symptoms of depression during treatment, as scored on the Montgomery and Asberg Depression Rating Scale and the Hopkins Symptom Checklist self-evaluation; for the latter scale, the improvement was significantly greater in the tianeptine group. In addition to the improvement of mood, tianeptine also produced significant reduction of the somatic complaints of the depressed patients. Furthermore, tianeptine possesses anxiolytic activity, as shown by the change of the Hamilton Anxiety Rating Scale global score, similar to that produced by amitriptyline. The anxiolytic activity of tianeptine was not accompanied by any impairment of vigilance, unlike that of amitriptyline. Tianeptine produced rare, mild anticholinergic effects. The results obtained show that tianeptine is an effective anxiolytic antidepressant, with better safety than amitriptyline, suitable for use in the treatment of mood disorders following alcohol withdrawal.


Subject(s)
Alcoholism/complications , Amitriptyline/therapeutic use , Antidepressive Agents, Tricyclic/therapeutic use , Depressive Disorder/drug therapy , Thiazepines/therapeutic use , Adult , Alcoholism/psychology , Clinical Trials as Topic , Depressive Disorder/psychology , Double-Blind Method , Female , Humans , Male , Psychological Tests , Random Allocation
19.
Clin Neuropharmacol ; 11 Suppl 2: S69-73, 1988.
Article in English | MEDLINE | ID: mdl-3052826

ABSTRACT

Drug therapies are often used in therapeutic programs for alcoholics. This paper focuses on the use of psychotropic agents which can be used at different stages in the alcoholic disease process. It does not cover specific drug therapies for alcoholism (aversion, chemical restraint, dissuasion), nor nonspecific drug therapies (vitamins, magnesium) the interest and limits of which are well known. All types of psychotropic drugs, antianxiety drugs, antidepressants, thymoregulators, neuroleptics, and beta-blockers are used, with two main indications: (a) to prevent or to treat the withdrawal syndrome and (b) to diminish the psychopathological factors related to alcoholism (anxiety or depression, for example), in order to avoid pathological recourse to alcohol. Recently, attempts have been made to decrease the craving for alcohol in humans after detoxification. Although psychotropic drugs are often used in the management of alcoholics, such management is not limited to them, but also includes psychotherapy and social measures.


Subject(s)
Alcoholism/drug therapy , Anxiety Disorders/drug therapy , Depression/drug therapy , Humans
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