Éditeur(s) : HAL CCSD WB Saunders
Résumé : International audience
OBJECTIVE: We hypothesized that, in Human Immunodeficiency Virus and Hepatitis C Virus (HIV/HCV) co-infected patients who did not respond to peg-interferon and ribavirin, a maintenance therapy with peg-interferon could induce fibrosis regression. METHODS: This was a randomized study with two parallel groups. HIV/HCV co-infected patients received peg-interferon α-2a at 180 μg/week or remained on observation for 96 weeks. The primary endpoint was the percentage of patients who experienced a decrease of at least one point in their Metavir fibrosis score between initial and final liver biopsies. Secondary endpoints included plasma fibrosis markers at week 96, occurrence of HCV-related complications, and survival. RESULTS: A total of 52 patients were randomized (peg-interferon: 25; control: 27) including 18 with cirrhosis. The median (interquartile range) age was 44 (40-46) years, and 69% were male. A total of 64% had ALT levels >1.5 normal values, and the CD4 cell count was 391 (296-537) cells/mm(3); 67% of patients had HIV RNA <200 copies/mL at entry. The main endpoint was assessed in 41 patients. Response rates were 3/20 (15%) and 4/21 (19%) in the peg-interferon and control groups, respectively (p = 0.99). There was no significant difference between peg-interferon and control groups on plasma fibrosis markers at the final visit. Severe liver-related complications were observed in 2 and 5 patients in peg-interferon and control groups, respectively. Three deaths were observed, all in the control group. CONCLUSIONS: A maintenance therapy with peg-interferon α-2a over 96 weeks in HIV/HCV co-infected patients, who were non-responders to HCV treatment, did not change liver fibrosis. ClinicalTrials.gov Identifier: NCT00122616.
ISSN: 0163-4453

hal-00875067
https://hal.archives-ouvertes.fr/hal-00875067
DOI : 10.1016/j.jinf.2013.05.007
PUBMED : 23800784

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
BACKGROUND AND AIMS: Infection by hepatitis C virus is a worldwide health problem. An inadequate Th2 cytokine response promotes the fibrosis-cirrhosis fate. Immune-modulating molecules favoring a Th2 profile, such as HLA-G molecules of the HLA class Ib family, may play a role in chronic hepatitis. HLA-G contributes to the escape of tumors, and their involvement in viral infections has been increasingly described. The aim of this work was to study the expression of HLA-G in the liver, its cellular source and its regulation in cases of chronic C hepatitis. METHODS: HLA-G cells in blocks of liver derived from patients infected with HCV were labeled by immunohistochemistry and enumerated. Double immunofluorescence allowed the identification of the cellular source. HLA-G secretion by a human mast cell line was quantified by ELISA after various stimulations. After treatment with IFN-α real-time PCR was performed to determine the kinetics of cytokine expression profiles, followed by heat map clustering analysis. RESULTS: The number of HLA-G + cells was significantly associated with the area of fibrosis. For the first time, we identify the HLA-G+ cells as being mast cells. HLA-G secretion was significantly induced in human mast cells stimulated by IL-10 or interferons of class I. The transcriptome of the secretome of this cell line stimulated by IFN-α revealed that i) the HLA-G gene is upregulated late, ii) T lymphocytes and NK cells are recruited. CONCLUSIONS: These findings suggest an autocrine loop in the genesis of HCV liver fibrosis, based on mast cells expressing HLA-G.
ISSN: 0168-8278

hal-00874106
https://hal.archives-ouvertes.fr/hal-00874106
https://hal.archives-ouvertes.fr/hal-00874106/document
https://hal.archives-ouvertes.fr/hal-00874106/file/Amiot-Expression-HLA-G-revised.pdf
DOI : 10.1016/j.jhep.2013.09.006

Résumé : Les départements et territoires d'outre mer sont généralement l'objet d'enjeux économiques importants, et de conflits d'activités liés au développement touristique, aquacole, agricole et industriel. Les études font généralement état d'une lente dégradation de l'environnement marin avec diminution des coraux et de la faune associée, au profit d'une augmentation de la couverture algale. On constate parfois un envasement ou un ensablement des sites, la présence dans l'eau de polluants organiques, dont des pesticides, des métaux ainsi que des microorganismes d'origine fécale. En Martinique, ce dernier aspect, lié à l'assainissement des zones rurales, urbaines et touristiques est actuellement considéré comme une préoccupation majeure pour les prochaines années. L'étude réalisée sur le site de la baie de Fort de France en Martinique, en 1990 - 1993, avait pour objectif de définir l'impact des activités sur la qualité bactériologique des eaux de la baie. Ce travail comporte plusieurs aspects : - l'estimation des concentrations en bactéries d'origine fécale des principaux rejets ou rivières situées autour de la baie, - l'étude de la circulation des masses d'eaux dans la baie pour l'établissement d'un modèle hydrodynamique, - l'estimation des temps de mortalité des bactéries d'origine fécale dans les eaux martiniquaises en fonction des conditions locales (ensoleillement, température de l'eau, teneur en matière en suspension ... ).

Droits : 1994 Ifremer
http://archimer.ifremer.fr/doc/00132/24303/22301.pdf
http://archimer.ifremer.fr/doc/00132/24303/

Éditeur(s) : Elsevier
Résumé : In order to provide reliable scientific advice and support for fisheries management, it is necessary to evaluate the biological and economic sustainability of complex fisheries, such as multi-species multi-fleet fisheries. Existing policy-screening modelling tools are not fully suitable in this purpose due to either an over-simplified description of population dynamics, or due to the lack of consideration of economic aspects. In this paper, we present a package that enables quantitative bioeconomic assessment of management scenarios. Population dynamics is described through spatially- and seasonally-explicit models. Exploitation dynamics is characterized by several fishing activities with specific spatial and seasonal features, and practiced by several kinds of vessels with specific technical characteristics. Exploitation costs and revenues are considered at several levels: the fishing trip, the fishing unit (vessel and crew), and the vessel owner. The model is generic and can be used for different types of fisheries. A database is attached to the software for the storage and updating of information for each fishery. This includes the specification of model dimensions and of the parameters describing populations and exploitation. Several model assumptions regarding either population or exploitation may be adapted to suit a specific fishery. Both policies and corresponding fishers' response may be interactively specified through JAVA (TM) scripts. This version of ISIS-Fish allows for the calculation of biological and economic consequences of a range of policies, including conventional ones like catch and effort controls, and alternative policies such as marine protected areas. To facilitate policy-screening in a high-dimension parameter space, the software includes features, like interfaces for sensitivity analysis and simulation queues. (C) 2009 Elsevier B.V. All rights reserved.
Ecological Modelling (0304-3800) (Elsevier), 2009-04 , Vol. 220 , N. 7 , P. 1013-1033

Droits : 2009 Elsevier B.V. All rights reserved.
http://archimer.ifremer.fr/doc/2009/publication-6782.pdf
DOI:10.1016/j.ecolmodel.2009.01.007
http://archimer.ifremer.fr/doc/00000/6782/

Éditeur(s) : HAL CCSD
Rencontres Biologie Physique RBPGO4
Berder, France

hal-00919259
https://hal.archives-ouvertes.fr/hal-00919259