Classification moléculaire des cancers du sein : utilité en clinique

In spite of the progress of treatments and the discovery of targeted therapies, breast cancer remains the leading cause of cancer mortality among women. It is also the first cancer to get benefits from target therapies against hormone receptors and now HER2. The anatomoclinical classification used to optimize the therapeutics is not always accurate and is a cause of overtreatments or of inappropriate treatments. Tumour cells genomic studies have shown the relationship between genomic alterations and the prognosis and the efficacy of treatments. The molecular classification which results from those studies allowed the emergence of numerous diagnostic tests. They use different technologies and different clinical approaches which should allow a better classification in order to be able to propose a personalized therapy. In this review, eight molecular tests are estimated compared to their scientific validation and to their clinical utility. Protein assays are also reviewed as uPA/PAI-1, the only prognostic marker validated with a level of evidence 1.     

L’évolution des premiers arbres : les stratégies dévoniennes

The earliest axes exceeding 10 cm in diameter, and presumed to represent small trees, evolved in the Middle Devonian (about 395 million years). They belong to the Cladoxylopsida, a basal group of ferns s.l. lacking leaves. These trees grow mainly vertically, the trunk producing short-lived branches at the top and adventitious roots at the base. They show a dissected vascularisation, and little if any secondary tissues. The Archaeopteridales that evolved at the end of the Middle Devonian, have leaves, abundant wood, and secondary phloem. Growth in the aerial and subterranean parts is tri-dimensional and extensive. Contrary to these two strategies that evolved several times independently during the history of terrestrial plants, that exhibited by the lycophytes became extinct at the end of the Mesozoic. These trees are characterized by a symmetrical development of the aerial and underground parts that branch dichotomously. Branch production by the trunk is relatively late. These trees show a narrow vascular system and a wide cortex.     

ALADIN : développement d’un outil sémantique d’analyse des documents textuels médicaux pour la détection d’infections associées aux soins

This paper summaries effort engaged in a research project aiming at developing a series of technologies to allow the monitoring of patient discharge summaries to detect possible hospital acquired infections issues. These technologies cover anonymization (document redaction), indexing of Medical Named Entities, temporal analysis and the formalisation of rules to detect and link pieces of evidence related to hospital acquired infections.     

Provenance d’artefacts en rhyolite corse : évaluation des méthodes d’analyse géochimique

Through the analysis of flint and obsidian artefacts, numerous studies have shown the links that existed between Corsica and Sardinia during Neolithic and Chalcolithic. However, we have almost no information about the movements and exchanges that took place in Corsica itself. Rhyolite, a siliceous volcanic rock, has been exploited in Corsica and disseminated throughout the territory from the early Neolithic. Up to now, only one major study has been conducted in the North of the island, in order to identify, by petrographic analysis, the raw material deposits of these rhyolite artefacts. Petrography is a destructive method; it is thus difficult to apply it to large series of archaeological objects. Our aim was therefore to investigate less invasive analytical methods, based on the geochemistry of rocks, in order to conduct future studies based on these rhyolite remains. We analysed 34 geological samples from four different sources, as well as 31 archaeological samples unearthed at three different archaeological areas. We show that EDXRF is an effective method to discriminate sources but also to characterise artefacts using nondestructive protocol. LA-ICP-MS encounters issues due to heterogeneity of the studied rocks. However, we show that by adjusting our testing protocol this method can complement the EDXRF analysis, which is ineffective on objects that are too thin.     

Anticorps anti-spermatozoïdes: techniques de dépistage et interprétation des résultats

Since the first publication on the detection of sperm-agglutinating antibodies in infertile men, multiple assays have been described. The most useful tests are able to detect antibodies bound to the sperm membrane of motile spermatozoa. The immunobeads test (IBT) is considered to be the most advantageous in terms of its sensitivity, the low incidence of false-positive results, and its ability to localize antibodies of different immunoglobulin classes on the sperm surface. The IBT assay can be used in parallel with the mixed antiglobulin reaction (MAR), to detect sperm-associated antibodies in the ejaculates of infertile men, the most rational way to test for antisperm antibodies (ASA) in males. In view of the high level of agreement between the two assays, MAR, the easier of the two, may be used as a first step in the detection of these antibodies. A positive MAR must be confirmed by IBT, as this assay is more specific for the detection of IgA antibodies. The clinical significance of sperm-associated antibodies is usually established according to the proportion of motile spermatozoa coated with immunobeads, its class and its localization on the sperm surface. However, binding of immunobeads does not provide any information about the antigens against which the antibodies are directed. As the functional effects of sperm-associated antibodies may vary as a function of their antigenic specificities, other assays, using purified fertilization related antigens, are necessary to establish, for each individual, the specific impact of the antibodies on the fertilization process. The indirect IBT assay has recently become the most widely used test to detect the various classes of ASA in serum and cervical mucus of infertile women and in the serum and seminal fluid of infertile men, in combination with the direct assay described above. However, in most laboratories, it is performed with only one dilution of the biological fluid tested, usually a low dilution, so that antibody levels of no significance for fertility could be detected. This may explain a recente debate (Human Reprod, 1999) on the significance of ASA as a cause of infertility. At present, and in the absence of standardized assays able to identify the antigens involved in each individual immune reaction, antibody assays, as detected by the IBT assay, in the serum and/or genital secretions of infertile subjects might provide useful clinical guidance.     

Classification des souches du groupeBacillus thuringiensis par la détermination de l'antigène flagellaire

Summary The serological study of 26 new strains ofBacillus thuringiensis (of which the biochemical features are also given) makes it possible to classify these strains into: 1^o Strains which are in concordance with the six serotypes previously described. 2^o Strains which have a new H antigen. Here, we describe two new serotypes: serotype 7 (aizawai), serotype 8 (morrisoni). On the other hand, the serological study of five new strains ofB. thuringiensis belonging to serotype 4 shows that the H₄ antigen must be divided into ?sub-factors?: ?4 a, 4b? to be found in the strains sotto, dendrolimus, T.84-A, L (Grig) and ?4 a, 4 c? to be found in the strains Pil 94, 1748 and Rhodesia. Table 6 gives the present statute of theB. thuringiensis strains' classification by the flagellar agglutination technic.

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Avec la collaboration technique deM. Lechevallier etT. Le Borgne. Nous remercions vivement les collègues qui ont bien voulu nous adresser des cultures et nous nous tenons à la disposition de tous ceux qui seraient intéresés par la détermination de l'antigène H de leurs souches. Nous remercions également notre collègueLe Minor pour ses précieux conseils.     

Distribution et activités des alcaloïdes défensifs des Coccinellidae

From a survey of 30 species and varieties of ladybugs the presence of alkaloids appears to be correlated with the existence of aposematic colour and not with being carnivorous or phytophagous. The alkaloids described until now all belong to the Coccinellini and are closely related, but other types of bases have been detected in some genera. The observed distributions are in agreement with the modern taxonomy of the family.Ladybug alkaloids constitute an effective defence against ants, Myrmica rubra, and quails, Coturnix coturnix, but all the beetles containing alkaloids do not possess the same degree of protection. Individual quail react differently towards moderately protected species.The bioassay used for the first isolation of coccinelin is described. The repulsive activities of aqueous solutions of coccinellin and convergin towards ants have been compared.     

Valeur de la TEP-FDG dans la détection précoce des métastases osseuses : étude d’une série de 20 cas

FDG-PET is useful for metabolic analysis of metastatic cells. Based on a retrospective study relating to 20 cases of osseous metastases (MO), and a literature review, we will try to specify the main characteristics of bone metastases detected with FDG-PET. In our study, the primary malignant findings included lymphoma (n = 7), lung cancer (n = 5), breast cancer (n = 4), colon cancer (n = 2), melanoma (n = 1), and nasopharyngeal cancer (n = 1). On FDG-PET, 4 patients had a solitary metastatic focus (20%), 1 patient had two metastatic focuses (5%) and 15 patients had multiple lesions (75%). Most of the lesions showed intense abnormal uptake with SUVmax > 4.0 (14 patients, 70%); 6 patients had both intense and moderate FDG uptake with SUVmax > 2.1. Only 6 patients had MO diagnosed with standard diagnostic procedures (SDP) before FDG-PET. However, FDG-PET consistently revealed more metastatic foci missed by SDP. We conclude that FDG-PET is better than SDP in detecting all bone metastases at all sites of the skeleton according to the data of the literature.     

Classification des stades de sommeil par des réseaux de neurones artificiels hiérarchiques

The goal of our work is to provide an automatic analysis and decision tool for sleep stages classification based on an artificial neural networks (ANN). The first difficulty lies in choosing the physiological signals representation and in particular the electroencephalogram (EEG). Once the representation adopted, the next step is to design the optimal neural network determined by a learning and validation process of data from a set of sleep records. We studied several configurations of conventional ANN giving results varying from 62 to 71 %, then we proposed a new hierarchical configuration, which gives a rate of 74 % correct classification for six stages. These results lead us to further explore this issue at the representation and design of ANNs to improve the performance of our tool.     

Cancer de la prostate : les niveaux de preuve des biomarqueurs de la détection précoce

As part of an overall review on the role of PSA and other emerging biomarkers in the detection, diagnosis and treatment of prostate cancer, we present here a part of a review of the literature made by the working group Biologie de la Prostate (AFU, CNBH, SFBC, SFMN) on the use of PSA and other biomarkers in the early detection of prostate cancer with an assessment of the level of evidence.     

Fusion d’images en médecine nucléaire : des concepts à l’application clinique

In this paper, the authors propose a short overview of image fusion techniques in nuclear medicine. First, the methodological concepts of image fusion are discussed. Then, a sample of applications in nuclear medicine is presented. These applications ranging from diagnosis to guided therapy and monitoring clearly exemplify the challenges of image fusion in nuclear medicine.