Comment identifier le spermatozoïde vivant?

Testicular sperm extraction (TESE) has been used to retrieve spermatozoa in patients with secretory azoospermia for intracytoplasmic sperm injection (ICSI). However, testicular spermatozoa have poor motility that significantly decreases after cryopreservation and thawing. The major difficulty with testicular spermatozoa is to distinguish between living and dead spermatozoa, as most spermatozoa are immotile. The aim of this study was firstly to report the various methods used to explore spermatozoa vitality. Most tests assess the functional and structural integrity of the sperm membrane, such as staining methods and hypo-osmotic swelling test (HOS-test). We then evaluates the potential of pentoxifylline (PTX), a phosphodiesterase inhibitor of the methylxanthine group, to improve the distinction between living and dead immotile testicular spermatozoa by increasing the number of post-thawed motile spermatozoa. We also analysed the results of 100 ICSI cycles performed with frozen-thawed testicular (n=72) and epididymal (n=28) spermatozoa treated with 3.5 mM PTX. To test the effect of PTX on motility, 14 samples of frozen-thawed testicular spermatozoa from eight patients with secretory azoospermia and six patients with excretory azoospermia were divided into three equal samples: one sample treated with 3.5 mM PTX, one sample initially migrated on two-layer Percoll gradient and then divided into two aliquots (one treated with 3.5 mM PTX, one without treatment), and the last sample without migration and without PTX treatment. The number of motile spermatozoa was evaluated in 10 μL of each sample with an inverted microscope at 15, 30, 60, 120 minutes and 24 hours. We also compared the outcome of ICSI in 100 cycles using frozen-thawed epididymal or testicular spermatozoa between secretory and excretory patients. PTX significantly increased the number of motile frozen-thawed testicular spermatozoa in secretory and excretory azoospermia. In excretory azoospermia, the number of motile spermatozoa was further increased when PTX was associated with migration on Percoll gradient, while PTX alone gave the best results in secretory azoospermia. Fertilization and pregnancy rates as well as embryo quality and division stages were comparable in the two groups. By increasing the number of motile frozen-thawed testicular spermatozoa, PTX improves the selection of living spermatozoa.     

Les allergies alimentaires: Qui tester? Que tester? Comment tester?

La fréquence des allergies alimentaires a doublé en quinze ans. La prévalence dans la population générale est évaluée en France à 3,2%. Elle est trois fois plus élevée chez l’enfant que chez l’adulte: elle est estimée à 8,5% chez l’enfant d’age pré-scolaire. L’allergie alimentaire correspond à une réaction clinique à l’ingestion d’aliments initiée par un mécanisme immunologique. Les répercussions des allergies alimentaires sont multiples: familiales, sociales, scolaires ou professionnelles, voire financières.     

Comment l’imagerie nucléaire modifie-t-elle la prise en charge par radiothérapie des cancers de prostate ?

Using new tracers such as fluorocholine or gallium-PSMA, the definition of localized prostate cancers and tumor relapses is profoundly altered. Moreover, the definition of intra-prostatic tumor volume makes dose-painting radiotherapy technically feasible. In case of local relapse, local aggressive treatments are now routinely offered. In case of oligometastatic disease, irradiation occupies a growing place, which benefits directly from the best targeting offered by these new tracers.     

Comment on Altaba (2015): a case of species misidentification?

Previously in this journal, Altaba (2015) presented an original hypothesis on the dispersal of small wetland snails in Central Europe after the Last Glacial Maximum, based on the discovery of rare species of the genus Vallonia at the foot of the Devín Hill (Slovakia). On the basis of the evidence available to us, it is our opinion that the existence of Vallonia declivis, Vallonia suevica, Vallonia enniensis, and Vallonia tenuilabris at Devín Gate has not been established, and that the hypothesis advanced in Altaba (2015) is therefore unsubstantiated by hard evidence.