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91.
92.
S1P1 downregulation tailors CD8+ T‐cell residence time in lymph nodes to the strength of the antigenic stimulation
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T cells are sequestered for several days in lymph nodes following antigen recognition but the precise mechanism regulating their timing of egress is not fully understood. In particular, whether interactions with antigen‐presenting cells (APCs) and/or strength of the TCR stimulation shape T‐cell residence time is unclear. We report here that the probability of T‐cell egress decreases upon stimulation with high affinity TCR ligands. In contrast, low affinity peptides favor early egress, a phenomenon that could be reversed by sustaining antigen availability. The delayed egress of high affinity T cells could not be accounted by physical sequestration by APCs. Instead, we found that the sphingosine‐1‐phosphate receptor (S1P1) downregulation mirrors the strength and persistence of the TCR stimulation, limiting egress of high affinity T cells. We propose that S1P1 acts as a rheostat to tailor T‐cell residence time in the lymph node to the local availability of antigen and to optimize the expansion of high affinity T cells. 相似文献
93.
HBV carriage in children born from HIV‐seropositive mothers in Senegal: The need of birth‐dose HBV vaccination
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94.
95.
Oleg Mediannikov Cristina Socolovschi Sophie Edouard Florence Fenollar Nadjet Mouffok Hubert Bassene Georges Diatta Adama Tall Hamidou Niangaly Ogobara Doumbo Jean Bernard Lekana-Douki Abir Znazen M’hammed Sarih Pavel Ratmanov Herve Richet Mamadou O. Ndiath Cheikh Sokhna Philippe Parola Didier Raoult 《Emerging infectious diseases》2013,19(11):1775-1783
This study aimed to compare the epidemiology of Rickettsia felis infection and malaria in France, North Africa, and sub-Saharan Africa and to identify a common vector. Blood specimens from 3,122 febrile patients and from 500 nonfebrile persons were analyzed for R. felis and Plasmodium spp. We observed a significant linear trend (p<0.0001) of increasing risk for R. felis infection. The risks were lowest in France, Tunisia, and Algeria (1%), and highest in rural Senegal (15%). Co-infections with R. felis and Plasmodium spp. and occurrences of R. felis relapses or reinfections were identified. This study demonstrates a correlation between malaria and R. felis infection regarding geographic distribution, seasonality, asymptomatic infections, and a potential vector. R. felis infection should be suspected in these geographical areas where malaria is endemic. Doxycycline chemoprophylaxis against malaria in travelers to sub-Saharan Africa also protects against rickettsioses; thus, empirical treatment strategies for febrile illness for travelers and residents in sub-Saharan Africa may require reevaluation. 相似文献
96.
Labarrère A Gueye A Ouaki F Pires C Pierre F Fritel X 《Gynécologie, obstétrique & fertilité》2011,39(5):328-331
Obstetric vesicovaginal fistula is nowadays rare in developed countries. We are reporting two cases of patients with obstetric vesicovaginal fistula that occurred after operative vaginal deliveries performed in a French hospital. Early postpartum symptoms were vaginal urine leakage and infectious syndrome. The fistula has been cured by vaginal surgery one case and combined (laparotomy and vagina surgery) in the other case. Patients were totally healed a few months following the surgery. 相似文献
97.
98.
Laurent Ducros Eric Vicaut Christian Soleil Morgan Le Guen Papa Gueye Thomas Poussant Alexandre Mebazaa Didier Payen Patrick Plaisance 《The Journal of emergency medicine》2011,41(5):453-459
Background: Infusion of a vasopressor during cardiopulmonary resuscitation (CPR) in humans increases end decompression (diastolic) arterial blood pressure, and consequently increases vital organ perfusion pressure and survival. Several vasoactive drugs have been tested alone or in combination, but their hemodynamic effects have not been investigated clinically in humans. Study Objective: We tested the hypothesis that epinephrine (1 mg) co-administered with vasopressin (40 IU) ± nitroglycerin (300 μg) results in higher diastolic blood pressure than epinephrine alone. Study Design: A prospective, randomized, double-blinded controlled trial in the prehospital setting. The study included 48 patients with witnessed cardiac arrest. Patients received either epinephrine alone (E alone) or epinephrine plus vasopressin (E+V) or epinephrine plus vasopressin plus nitroglycerin (E+V+N). A femoral arterial catheter was inserted for arterial pressure measurement. Outcome Measures: The primary end point was diastolic blood pressure during CPR, 15 min after the first drug administration (T = 15 min). Results: After exclusions, a total of 44 patients were enrolled. Diastolic blood pressures (mm Hg) at T = 15 min were not statistically different between groups (median [interquartile range]: 20 [10], 15 [6], and 15 [13] for E alone, E+V, and E+V+N, respectively. The rate of return of spontaneous circulation was 63% (n = 10) in the epinephrine group, 43% (n = 6) in the epinephrine plus vasopressin group, and 36% (n = 5) in the triple therapy group (NS). Conclusions: Addition of vasopressin or vasopressin plus nitroglycerin to epinephrine did not increase perfusion blood pressure compared to epinephrine alone in humans in cardiac arrest, suggesting the absence of benefit in using these drug combination(s). 相似文献
99.
Irit Avivi Yael C. Cohen Anna Suska Tamir Shragai Gabor Mikala Laurent Garderet Gueye M. Seny Sophia Glickman David S. Jayabalan Ruben Niesvizky Alessandro Gozzetti Katarzyna Wiśniewska-Piąty Anna Waszczuk-Gajda Lidia Usnarska-Zubkiewicz Iwona Hus Renata Guzicka Jakub Radocha Vibor Milunovic Julio Davila Massimo Gentile Jorge J. Castillo Artur Jurczyszyn 《American journal of hematology》2019,94(10):1132-1140
The current study assesses the characteristics and outcomes of multiple myeloma (MM) patients, treated with novel agents for hematogenous extramedullary (HEMM) relapse. Consecutive patients diagnosed with HEMM between 2010-2018 were included. Patients' characteristics at diagnosis and at HEMM presentation, response to treatment, survival and factors predicting survival were recorded and analyzed. A group of 127 patients, all diagnosed with HEMM by imaging (87.3%) and/or biopsy (79%), were included. Of those, 44% were initially diagnosed with ISS3, 57% presented with plasmacytomas, and 30% had high-risk cytogenetics. Median time to HEMM was 32 months. In multivariate analysis, ISS3 and bone plasmacytoma predicted shorter time to HEMM (P = .005 and P = .008, respectively). Upfront autograft was associated with longer time to HEMM (P = .002). At HEMM, 32% of patients had no BM plasmacytosis, 20% had non-secretory disease and 43% had light-chain disease. Multiple HEMM sites were reported in 52% of patients, mostly involving soft tissue, skin (29%), and pleura/lung (25%). First treatment for HEMM included proteasome inhibitors (50%), immunomodulatory drugs (IMiDs) (39%), monoclonal antibodies (10%), and chemotherapy (53%). Overall response rate (ORR) was 57%. IMiDs were associated with higher ORR (HR 2.2, 95% CI 1.02-4.7, P = .04). Median survival from HEMM was 6 months (CI 95% 4.8-7.2). Failure to achieve ≥VGPR was the only significant factor for worse OS in multivariate analyses (HR = 9.87, CI 95% 2.35 - 39, P = .001). In conclusion, HEMM occurs within 3 years of initial myeloma diagnosis and is associated with dismal outcome. The IMiDs might provide a higher response rate, and achievement of ≥VGPR predicts longer survival. 相似文献
100.
Margoni Monica Pagani Elisabetta Preziosa Paolo Palombo Marco Gueye Mor Azzimonti Matteo Filippi Massimo Rocca Maria Assunta 《Journal of neurology》2023,270(1):433-445
Journal of Neurology - Soma and neurite density imaging (SANDI) is a new biophysical model that incorporates soma in addition to neurite density, thus possibly providing more specific information... 相似文献