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High prevalence of cholestasis, with increased conjugated bile acids in inflammatory bowel diseases patients

World Journal of Clinical Cases 2018年第4期6卷 44-53页

作者： Marc Girardin Antoine Hadengue jean-louis Frossard Service of Gastroenterology and Hepatology Geneva University Hospital

AIM To investigate the prevalence and causes of cholestasis in patients with inflammatory bowel diseases in the Swiss Inflammatory Bowel Diseases Cohort. METHODS A retrospective cohort study was performed of all the patients in the Swiss Inflammatory bowel disease Cohort. Total bile acid was measured for all patients and cholestasis was defined as a concentration > 8 μmol/L. The characteristics of patients with or without cholestasis were compared. Bile acid profiles were then determined for 80 patients with high total bile acid and 80 matched patients with low total bile acid. Bile acid profiles were compared for smokers vs nonsmokers, ileal vs colonic disease, and inflammatory vs non inflammatory *** Ninety-six patients had more than 8 μmol/L total bile acid, giving a prevalence of 7.15%. Patients with an obvious cause of cholestasis, such as primary sclerosing cholangitis, were then excluded, leaving 1190 participants with total bile acid 8 μmol/L. In multivariate analysis, calcium supplementation was significantly associated with cholestasis(odds ratio, 2.36, 95%CI: 1.00-5.21, P = 0.040) whereas current smoking significantly reduced the risk of cholestasis(odds ratio, 0.42, 95%CI: 0.17-0.91, P = 0.041). Levels of all conjugated bile acids were higher in the cholestasis group than in the control group. When we compared patients with ileal vs colonic disease, the former had higher levels of primary, secondary, and tertiary bile acids whereas patients with colonic disease had higher levels of conjugated bile *** Prevalence of cholestasis is high. Smoking appears to reduce cholestasis. Conjugated bile acids are higher in cholestasis and in colonic disease whereas unconjugated in ileal disease.

关键词： Lipid Liver Crohn’s disease Ulcerative colitis Cholestasis

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Induction of antiproliferative effect by diosgenin through activation of p53, release of apoptosis-inducing factor (AIF) and modulation of caspase-3 activity in different human cancer cells

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Cell Research 2004年第3期14卷 188-196页

作者： Cecile CORBIERE,Bertrand LIAGRE,Faraj TERRO,jean-louis BENEYTOUT Laboratoire de Biochimie UPRES EA 1085 Faculté de Pharmacie rue du Docteur Marcland 87025 Limoges Cedex France Laboratoire de Biochimie UPRES EA 1085 Faculté de Pharmacie rue du Docteur Marcland 87025 Limoges Cedex France Service d'Histologie et Biologic Cellulaire Faculte de Medecine rue du Docteur Marcland 87025 Limoges Cedex France Laboratoire de Biochimie UPRES EA 1085 Faculté de Pharmacie rue du Docteur Marcland 87025 Limoges Cedex France

Previously, we demonstrated that a plant steroid, diosgenin, altered cell cycle distribution and induced apoptosis in the human osteosarcoma 1547 cell line. The objective of this study was to investigate if the antiproliferative effect of diosgenin was similar for different human cancer cell lines such as laryngocarcinoma HEp-2 and melanoma M4Beu cells. Moreover, this work essentially focused on the mitochondrial pathway. We found that diosgenin had an important and similar antiproliferative effect on different types of cancer cells. In addition, our new results show that diosgenin-induced apoptosis is caspase-3 dependent with a fall of mitochondrial membrane potential, nuclear localization of AIF and poly (ADP-ribose) polymerase cleavage. Diosgenin treatment also induces p53 activation and cell cycle arrest in the different cell lines studied.

关键词： diosgenin apoptosis p53 AIF caspase cancer cells.

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Modelling of Electrical Conductivity of a Silver Plasma at Low Temperature

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Plasma Science and Technology 2016年第8期18卷 812-820页

作者： Pascal ANDRE William BUSSIERE Alain COULBOIS jean-louis GELET David ROCHETTE Université Clermont Auvergne LAEPT MERSEN 15 rue Jacques de Vaucanson

During the working of electrical fuses, inside the fuse element the silver ribbon first begins to melt, to vaporize and then a fuse arc appears between the two separated parts of the element. Second, the electrodes are struck and the burn-back phenomenon takes place. Usually, the silver ribbon is enclosed inside a cavity filled with silica sand. During the vaporization of the fuse element, one can consider that the volume is fixed so that the pressure increase appears to reach pressures higher than atmospheric pressure. Thus, in this paper two pressures, 1 atm and 10 atm, are considered. The electrical field inside the plasma can reach high values since the distance between the cathode surface and the anode surface varies with time. That is to say from zero cm to one cm order. So we consider various electrical fields： 102 V/m, 103 V/m, 5×103 V/m, 104 V/m at atmospheric pressure and 105 V/m at a pressure of 10 atm. This study is made in heavy species temperature range from 2,400 K to 10,000 K. To study the plasma created inside the electric fuse, we first need to determine some characteristics in order to justify some hypotheses. That is to say： are the classical approximations of the thermal plasmas physics justified？ In other words： plasma frequency, the ideality of the plasma, the Debye-Hückel approximation and the drift velocity versus thermal velocity. These characteristics and assumptions are discussed and commented on in this paper. Then, an evaluation of non-thermal equilibrium versus considered electrical fields is given. Finally, considering the high mobility of electrons, we evaluate the electrical conductivities.

关键词： electrical conductivity silver fuses non-ideal plasma Debye-Hiickelapproximation drift velocity thermal velocity thermal non-equilibrium electrical fields

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Representation of A15 composition and T_C in internal-Sn Nb_3Sn superconducting strands

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Science China(Technological Sciences) 2010年第11期53卷 3020-3026页

作者： Andre SULPICE jean-louis SOUBEYROUX Christophe VERWAERDE Gia Ky HOANG NEEL/CNRS-UJF ALSTOM 3 bis avenue des 3 Chenes 90018 Belfort France

Four sets of mono-element (ME) and two kinds of multifilament (MF) internal-Sn Nb3Sn superconducting strands were designed and fabricated through RRP method in which different compoment ratios, various composite configurations and some third element alloying were arranged. All the strand samples underwent a 210°C/50 h + 340°C/25 h thermal duration for Cu-Sn alloying. After that A15 phase formation heat treatment (HT) was applied for which the ME samples were chosen at three reaction temperatures of 675°C, 700°C and 725°C for 100 h and 200 h while the MF samples at four temperatures of 650°C, 675°C, 700°C and 725°C for 128 h and 200 h. The heat-treated samples were examined for A15 phase composition distribution by X-ray EDS. SQUID magnetization measurement was used to determine critical temperature TC. The obtained results demonstrate that for fully-reacted internal-Sn Nb3Sn superconductors the A15 phase composition and the intrinsic property TC are determined by the diffusion and solid state reaction mechanism and are independent of the factors including HT temperature, strand composite component and configuration arrangement, and the third element addition within the experimental range.

关键词： internal-Sn Nb3Sn strands A15 phase composition phase formation heat treatment composite configuration and design third element alloying

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Recurrent Clostridium difficile infections:The importance of the intestinal microbiota

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World Journal of Gastroenterology 2014年第23期20卷 7416-7423页

作者： Marie Céline Zanella Terrier Martine louis Simonet Philippe Bichard jean louis Frossard Service of General Internal Medicine Geneva University Hospital1211 GenevaSwitzerland Service of Gastroenterology and Hepatology Geneva University Hospital1211 GenevaSwitzerland

Clostridium difficile infections(CDI)are a leading cause of antibiotic-associated and nosocomial *** effective antibiotic treatments,recurrent infections are *** the recent emergence of hypervirulent isolates of ***,CDI is a growing epidemic with higher rates of recurrence,increasing severity and *** microbiota transplantation(FMT)is an alternative treatment for recurrent CDI.A better understanding of intestinal microbiota and its role in CDI has opened the door to this promising therapeutic *** is thought to resolve dysbiosis by restoring gut microbiota diversity thereby breaking the cycle of recurrent *** the first reported use of FMT for recurrent CDI in 1958,systematic reviews of case series and case report have shown its effectiveness with high resolution rates compared to standard antibiotic *** article focuses on current guidelines for CDI treatment,the role of intestinal microbiota in CDI recurrence and current evidence about FMT efficacy,adverse effects and acceptability.

关键词： Clostridium difficile infection Clostridium difficile recurrence Fecal microbiota transplantation Stool transplantation Microbiota

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Recent advances in the management of autoimmune pancreatitis in the era of artificial intelligence

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World Journal of Gastroenterology 2022年第48期28卷 6867-6874页

作者： Sahar Mack Yves Flattet Philippe Bichard jean louis Frossard Division of Gastroenterology Department of Medical SpecialtiesUniversity Hospital of GenevaGeneva 1205Switzerland

Autoimmune pancreatitis(AIP)is a type of immune-mediated pancreatitis subdivided into two subtypes,type 1 and type 2 ***,type 1 AIP is considered to be the pancreatic manifestation of the immunoglobulin G4(IgG4)-related ***,AIP is increasingly researched and recognized,although its diagnosis represents a challenge for several reasons:False positive ultrasound-guided cytological samples for a neoplastic process,difficult to interpret levels of IgG4,the absence of biological markers to diagnose type 2 AIP,and the challenging clinical identification of atypical ***,60%and 78%of type 1 and type 2 AIP,respectively,are retrospectively diagnosed on surgical specimens of resected pancreas for suspected *** distinguishing AIP from pancreatic ductal adenocarcinoma can be challenging,obtaining a definitive diagnosis can therefore prove difficult,since endoscopic ultrasound fine-needle aspiration or biopsy of the pancreas are *** paper focuses on recent innovations in the management of AIP with regard to the use of artificial intelligence,new serum markers,and new therapeutic approaches,while it also outlines the current management recommendations.A better knowledge of AIP can reduce the recourse to surgery and avoid its overuse,although such an approach requires close collaboration between gastroenterologists,surgeons and *** knowledge on AIP and IgG4-related disease remains necessary to diagnose and manage patients.

关键词： Autoimmune pancreatitis Pancreatic ductal adenocarcinoma Immunoglobulin G4-related disease Prednisone Rituximab Artificial intelligence Plasmablasts

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Flux pinning effect of cubic equiaxed morphology and its Ti stabilizing in Nb_3Sn superconductors

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Science China(Technological Sciences) 2009年第10期52卷 3071-3075页

作者： Andre SULPICE jean-louis SOUBEYROUX Christophe VERWAERDE Gia Ky HOANG NEEL/CNRS-UJF BP 166 38042 Grenoble ALSTOM 3 bis avenue des 3 Chenes 90018 Belfort

Two sets of internal-Sn Nb3Sn superconducting strands were fabricated through RRP method, one with 2 wt% of Ti alloyed in Sn core and the other just pure Sn. Four reaction temperatures of 650℃, 675℃, 700℃ and 725℃ and 128 h duration were applied for A15 phase formation heat treatment after Cu-Sn alloying procedure of 210℃/50 h + 340℃/25 h. For the heat-treated coil samples, transport non-Cu JC was examined through standard 4-probe technique and phase microstructure was observed by means of Field Emission Scanning Electronic Microscope (FESEM). The obtained results demonstrate that the transport critical current density JC of Nb3Sn superconductors is more importantly determined by the cubic equiaxed crystalline morphology than by grain size. Ti addition in Sn stabilizes the cubic equiaxed phase at lower temperature so that heat reaction temperature is effectively reduced, the flux pinning performance is largely reinforced and the transport critical current density JC is substantially promoted.

关键词： internal-Sn Nb3Sn strands cubic equiaxed morphology flux pinning Ti stabilizing transport non-Cu JC

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Selection of appropriate organic additives for enhancing Zn and Cd phytoextraction by hyperaccumulators

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Journal of Environmental Sciences 2006年第6期18卷 1113-1118页

作者： WU Qi-tang DENG Jin-chuan LONG Xin-xian MOREL jean-louis SCHWARTZ Christophe College of Natural Resource and Environment South China Agricultural University Guangzhou 510642 China Laboratoire Sol et Environnement ENSAIA-INRA 54505 Vandoeuvre-les-Nancy France

Chelant-enhanced phytoextraction is one of the most promising technologies to remove heavy metals from soil. The key of the technology is to choose suitable additives in combination with a suitable plant. In the present study, laboratory batch experiment of metal solubilization, cress seeds germination were undertaken to investigate the metal-mobilizing capability and the phytotoxicity of organic additives, including ethylene diamine triacetic acid （EDTA）, citric acid, acetic acid, oxalic acid, glutamine and monosodium glutamate waste liquid （MGWL） from food industry. Experiments in pots were carried out to study the effects of the additives on Zn and Cd phytoextraction. Furthermore, a leaching experiment with lysimeter was performed to evaluate the environmental risks of additive-induced leaching to underground water. The results showed that EDTA had a strong mobilizing ability for Zn and Cd, followed by mixed reagent （MR） and MGWL. MGWL and acetic acid at 5 mmol equivalent per liter resulted in seed germination index less than 2%. Experiments in pots verified the phytotoxicity of acetic acid and MGWL. Addition of the mixed reagent at 6--10 mmol/kg significantly increased Zn phytoextraction by Thlaspi caerulescens. The same for EDTA and the mixed reagent at 10 mmol/kg by Sedum dfredii. But only mixed reagents could significantly increase Cd phytoextraction by the studied hyperaccumulators. This suggested that the strong chelant was not always the good agent to enhance phytoextraction. S. alfredii combined with 2--10 mmol/kg soil MR was preferred for phytoremediation of Cd/Zn contaminated soils in southern China, this could result in high phytoextraction of Cd/Zn and reduce the leaching risk to underground water than EDTA assisted phytoextration.

关键词： enhanced phytoextraction heavy metals Thlaspi caerulescens Sedum alfredii EDTA organic acids mixed reagent leaching risk

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Determinants of invasive strategy in elderly patients with non-ST elevation myocardial infarction

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Journal of Geriatric Cardiology 2017年第7期14卷 465-472页

作者： Antonin Negers Jacques Boddaert Lucie Mora jean-louis Golmard Laura Moisi Ariel Cohen jean-Philippe Collet Alice Breining Acute Geriatric Care Unit Saint-Antoine University Hospital Paris France Department of Geriatrics Pitie-Salpetriere University Hospital Paris France Department of Biostatistics Pitie-Salpetriere University Hospital Paris France Department of Cardiology Saint-Antoine University Hospital Paris France Department of Cardiology Pitie-Salpetrere University Hospital Paris France Department of Geriatrics Charles Foix University Hospital Paris France

Background Knowledge gaps across literature prevent current guidelines from providing the profile of elderly patients most likely to derive benefit fi^om invasive strategy （IS） in non ST-elevation myocardial infarction （NSTEMI）. Furthermore, the benefit of IS in a real-world elderly population with NSTEMI remains unclear. The aims of this study were to determine factors that lead the cardiologist to opt for an IS in elderly patients with NSTEMI, and to assess the impact of IS on the 6-month all-cause mortality. Methods This multicenter prospective study enrolled all consecutive patients aged 〉 75 years old who presented a NSTEMI and were hospitalized in cardiology intensive care unit between February 2014 and February 2015. Patients were compared on the basis of reperfusion strategy （invasive or conservative） and living status at six months, in order to determine multivariate predictors of the realization of an IS and multivariate predictors of 6-month mor- tality. Results A total of 141 patients were included; 87 （62%） underwent an IS. The strongest independent determinants of IS were younger age [odds ratio （OR）： 0.85, 95%-confidence interval （CI）： 0.78-0.92; P 〈 0.001） and lower ＂Cumulative Illness Rating Scale-Geriatric＂ number of categories score （OR： 0.83, 95%CI： 0.73-0.95; P = 0.002）. IS was not significantly associated with 6-month survival （OR： 0.80, 95%CI： 0.27-2.38; P = 0.69）. Conclusions In real-world elderly patients with NSTEMI, younger patients with fewer comorbidities profited more often from an IS. However, IS did not modify 6-month all-cause mortality.

关键词： Comorbidity Coronary angiography Decision making Mortality Myocardial infarction

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Evaluating and quantifying the effect of various spruce budworm intervention strategies on forest carbon dynamics in Atlantic Canada

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Forest Ecosystems 2022年第4期9卷 547-557页

作者： Zelin Liu Changhui Peng David AMacLean louis De Grandpre jean-Noel Candau Daniel Kneeshaw School of Geographic Sciences Hunan Normal UniversityChangsha410081China Department of Biological Sciences University of Qu�ebec at MontrealMontrealQC H3C 3P8Canada Faculty of Forestry and Environmental Management University of New BrunswickFrederictonNB E3B 5A3Canada Laurentian Forestry Centre Canadian Forest ServiceNatural Resources CanadaQC G1V 4C7Canada Great Lake Forestry Centre Canadian Forest ServiceNatural Resources CanadaON P6A 2E5Canada

Spruce budworm (SBW) outbreaks are one of the most devastating natural disturbances in spruce-balsam fir forests of eastern North America. Both early intervention strategy (EIS) and foliage protection strategy (FP) are being tested to limit forest losses, but the quantitative impact on forest carbon (C) dynamics is still unclear. In this study, we designed 19 separate scenarios of no intervention or varying success of EIS, FP, and their combination on SBW caused defoliation and mortality. We then used the TRIPLEX-Insect model to quantify their effects on forest C dynamics in the forests of the four provinces of Atlantic Canada. A scenario applying FP to 10%of the area with the greatest potential C losses of living biomass, protecting foliage in 10%of the forests is more realistic than higher proportion of FP given the high cost and large areas involved, resulted in reducing average cumulative net ecosystem productivity (NEP) from 2020 to 2039 by 56%–127%compared to a no outbreak *** results showed that FP would have to be applied everywhere to reduce tree mortality and increase NEP more than 8 years of successful EIS applied. However, if EIS can be successfully implemented for 12 years, it will maintain more forest C than FP applied everywhere during a moderate outbreak. We also found that the combination of EIS followed by FP in 10%of the areas disturbed by the SBW could maintain average cumulative NEP at similar levels to no defoliation in every province of Atlantic Canada. Black/red spruce forests younger than 60years old underwent the smallest changes in C dynamics whether using EIS, FP, or both. This highlights the importance of forest species, forest age, and their interactions on the effectiveness of a treatment during SBW outbreak. Overall, 31%–76%of the study area in Atlantic Canada could convert from a C sink to a source by 2039,if no protective measures are used under the worst-case scenarios, thus contributing to future climate warming.

关键词： Annual defoliation Natural disturbance Forest protection Net ecosystem productivity TRIPLEX-Insect Conifers

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