Chimiothérapie anticancéreuse chez le mâle: risques pour la descendance

Up to now, studies concerning the progeny of males undergoing chemotherapy have been difficult to interpret because of their heterogeneity and conflicting nature. Morever, the long term follow up of children has not been carried out. Experimental studies carried out with the cytostatic drug cyclophosphamide have shown that if mating of male rats takes place during the treatment, the frequency of post-implantation losses and fetal malformations increases. If this mating takes place after a recovery period of one to two seminiferous cycles, there is no malformation but only neonatal deaths, and behavioral disorders in adult progeny including diminished learning capacity. These abnormalities are inherited and can present the characteristics of dominant autosomic syndromes. Biochemical analyses of the brains of the first and second generation offspring from treated males show a decrease in two biochemical substrates of memory: hippocampal choline acetyltransferase and fronto-parietal cortex norepinephrine. Abnormalities can also present complex genetic rearrangements revealed in the third generation by, amongst other things, increases in weight gain. Finally, the experimental results suggest that genetic repair may be possible with time. These data and the uncertainty concerning the consequences of chemotherapy in males should systematically lead to:

- the cryopreservation of sperm before any mutagenic treatment;

- a minimum of two years contraception from the end of treatment;

- the long term follow up of children born from treated fathers.

     

Chronologie du Paléolithique supérieur dans le Nord-Est de la principale île du Japon

Palaeolithic archaeology in Tohoku region has long been discussed on constructing chronology, however it is difficult to build reliable chronological order because of poor stratigraphic excavations. In recent radiocarbon dating has advanced. In this paper I discuss the relation between chronology and radiocarbon dating in Tohoku region. At first, I categorize the Palaeolithic industries and establish the chronology by analyzing tool typology, lithic technology, and stratigraphic data. I correlate it with radiocarbon data from sites in Tohoku region. The result of analysis shows that Upper Palaeolithic industries are divided into 18 categories and 8 periods on chronology. The calibration curve IntCal 13 indicated that oldest Early Upper Palaeolithic site appeared around 37,000 cal BP, and late Upper Palaeolithic started about 27,000 cal BP. The pottery first appeared as far back as around 16,000 cal BP. Now we do not have enough radiocarbon data, so we have to gather and examine more ¹⁴C data.     

La dépression et le traitement antidépresseur: de la neurotoxicité à la neurogenèse

Major depressive disorder is characterized by structural and neurochemical changes in limbic structures, including the hippocampus that regulates mood and cognitive functions. Hippocampal atrophy is observed in patients with depression: structural changes in the hippocampus associated with depression include dendritic atrophy, decreased adult neurogenesis and reduced volume. Impairment of neuroplasticity in the hippocampus, amygdala and cortex is hypothesized to be the mechanism by which cognitive function, episodic verbal memory and emotions are altered in depression. Chronic stress exposure and depression leads to hippocampal atrophy and cell loss as well as to decreased expression of neurotrophic growth factors. All types of antidepressant drugs reverse or block the effects of stress. Chronic antidepressant administration upregulates neurogenesis and neuroplasticity in the adult hippocampus and these cellular responses are required for the effects of antidepressants in animal models of depression.     

Place de l’embolisation percutanée de la varicocèle dans le traitement de l’infertilité

Objectives

To describe percutaneous embolization of varicocele and to evaluate the effect on fertility disorders.

Materials and methods

One hundred nineteen patients, aged 11 to 48 years, underwent percutaneous embolization for varicocele indicated by a fertility disorder in 23% of cases. Correction of the varicocele and resolution of associated pain, improvement of testicular trophicity and the effect on fertility were studied and a review of the literature was performed.

Results

Percutaneous embolization was performed using neuroleptanalgesia on an outpatient basis. The technique combined venous sclerotherapy and placement of coils in the gonadal vein. The technique was successful in 95% of cases and one complication was observed. At 3 months, the varicocele and related pain had resolved in 98% of treated patients. According to previous reports in the literature, the relations between varicocele and fertility disorders are still unclear, but improvement of fertility (semen quality and conception rates) after varicocele repair has been established.

Conclusion

Although the consequences of varicocele on fertility have not been fully elucidated, treatment of varicocele appears to be beneficial. Percutaneous embolization of varicocele is a safe and effective alternative to surgery. This technique, based on a urological and radiological consensus, is the first-line treatment for varicocele in our institution.     

Effets immédiats du dimenhydrinate sur la contraction utérine e le rythme cardiaque foetal durant le travail.

The effects of intravenous administration of 100 mg of dimenhydrinate (Gravol) were studied in 20 patients during active spontaneous labour. The uterine activity and the fetal heart rate were monitored by an invasive technique. After administration of the medication the uterine activity increases significantly, and in 20% of the cases decelerations in the fetal heart rate of the hypoxic type occurred. Because of its unpredictable effects, this drug should be used with care during labour.     

Un cas de leishmaniose féline disséminée dans le sud de la France

We report a case of disseminated feline leishmaniasis in a FIV-seropositive 14-year-old male cat (Felis catus) living in the Alpes-Maritimes (south of France). The cat presented with erythematous ulcerated papules on the head and withers, and with an ulcerated proliferative lesion on the left pinnae. The condition was diagnosed, along with a squamous cell carcinoma of the pinnae, after histopathological examination of the cutaneous lesions. Total remission of the cutaneous lesions was obtained after oral administration of 100 mg of allopurinol once a day for four months. Necropsic samples revealed that the parasite was still present in the organism after six months of treatment. This case discusses of the cat sensibility to the leishmaniasis pathology and of his potential ability of being a reservoir host.     

Etude de la cholangiogénèse chez le foetus humain

Résumé Les auteurs, étudiant les régions périportales et centrolobulaires des foies d'un embryon et de quatre foetus humains, tendent à préciser quelques aspects de la formation des canaux biliaires intrahépatiques. Ils apportent ainsi une nouvelle contribution à la théorie hépatogène de la cholangiogénèse intrahépatique.

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Summary The present study describes the fine structure of tubules surrounded by parenchymal or biliary epithelial cells at the margin of the centrolobular or portal spaces. The hepatogenic theory of intrahepatic cholangiogenesis is discussed.

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Travail subventionné par le «Fonds National Suisse de la Recherche Scientifique», requête N 3731.

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Avec la collaboration technique de Mlles J. Braeutigam et M.-M. Bertholet et de Mme M. Schreyer.     

Etude de la cholangiogénèse chez le foetus humain

Résumé Les auteurs, étudiant les diverses cellules épithéliales rencontrées dans la région périportale du foie foetal humain, décrivent deux types d'éléments qui possèdent des caractères ultrastructuraux intermédiaires entre ceux de la cellule épithéliale biliaire et ceux de l'hépatocyte.Ils décrivent un type cellulaire à cytoplasme et noyau fortement denses, différents de ceux que l'on observe dans les «dark cells» de Steiner et coll. (1962b).

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Summary The fine structure of the different cells at the margin of the portal spaces was investigated in the foetal human liver. Two types of cells intermediate between biliary epithelial and parenchymal elements were described.In addition, a type of cell in which both the cytoplasm and nucleus are electron-dense was observed. This element is different from the dark cell of Steiner et al. (1962b).

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Travail subventionné par le «Fonds National Suisse de la Recherche Scientifique», requête N 3731.

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Avec la collaboration technique de Mme M. Schreyer et de Mlle M.-M. Bertholet.     

Réinnervation vagale sensitive et la composition du muscle sternocéphalique chez le lapin

The crossed nerve anastomosis between the peripheral end of the vagus nerve, cut above the nodose ganglion, and the peripheral end of the accessory nerve has demonstrated the capacity of some vagal afférents to reinnervate, via the accessory nerve stump, certain sternocephalicus muscle fibers in the rabbit. These results add to our understanding of the capacity of these afferents to counter the post-denervational atrophying process that occurs in the reinnervated muscles and to evaluate the changes induced in these muscles during reinnervation. Our work shows that within 3 months, the vagal sensory reinnervation of previously denervated sternocephalicus muscles induces their total weight recovery. This recovery is concomitant on the one hand with the hypertrophy of the four muscle fiber types (I, IIbd, IIc and IIa) identified histochemically in the normal muscles and, on the other, with the appearance of small newly formed myofibers, which are often underlined by characteristic central nuclei. The vagal sensory neurones induce important changes in the percentages and the muscle cross-sectional distribution of the fibers in reinnervated muscles. In these muscles we see also the disappearance of the fast myosin heavy chains MHCiib and MHCiid, the upholding of the fast MHCiia percentage and an increase in the slow MHCi isoform.     

Une nouvelle fonction pour la transferrine exprimée par le testicule

In men, oligozoospermia corresponds with a low level of transferrin in semen. Transferrin appears to be a relevant indicator of gonadal function. Transferrin expression in normal testes is perfectly controlled. Transferrin contributes to iron transport. However, recent results show the existence of a dimeric form, which acts as a powerful regulator of phagocytosis of residual bodies by Sertoli cells. A disturbance of this new highlighted function may account for some forms of oligozoospermia.     

Nouvelles données sur le déroulement de la mycose àNeozygites fumosa sur la cochenille du maniocPhenacoccus manihoti

Résumé Cet article présente les résultats obtenus en 1987 sur des points non encore abordés précédemment dans le cadre de l'étude des circonstances épidémiologiques favorisant le déroulement de l'Entomophthorose àNeozygites fumosa (Speare) Remaudière et Keller, pathogène de la cochenille du maniocPhenacoccus manihoti Matile-Ferrero (Hom.: Pseudococcidae). Il montre notamment que l'évolution de la maladie, très rapide, correspond à la succession de 2 phases: une première phase, d'implantation, fortement liée à la taille et à la structure des colonies et une deuxième phase (épizootique au sens strict) indépendante de leur taille et de leur structure. Son évolution appara?t plus liée à la régularité des pluies qu'à la quantité d'eau. Les conditions sont très favorables quand l'humidité relative est supérieure à 90% pendant au moins 5 heures par jour de fa?on régulière. Le r?le important joué par la durée d'humectation du feuillage est montré ici pour la première fois. La densité des conidies du pathogène dans l'air est proportionnelle aux taux de mycose observés dans les populations deP. manihoti.