Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Aims: The aims of this study were to compare short-and long-term outcomes for clinical T2N0 oesophageal cancer with analysis of (i) primary surgery (S) versus neoadjuvant therapy plus surgery (NS), (ii) squamous cell carcinoma and adenocarcinoma subsets; and (iii) neoadjuvant chemoradiotherapy versus neoadjuvant chemotherapy.Methods: Data were collected from 30 European centres from 2000 to 2010. Among 2944 included patients, 355 patients (12.1%) had cT2N0 disease; 285 (S) and 70 (NS), were compared in terms of short-and long-term outcomes. Propensity score matching analyses were used to compensate for differences in baseline characteristics.Results: No significant differences between the groups were shown in terms of in hospital morbidity and mortality. Nodal disease was observed in 50% of S-group at the time of surgery, with 20% pN2/N3. Utilisation of neoadjuvant therapy was associated with significant tumour downstaging as reflected by increases in pT0, pN0 and pTNM stage 0 disease, this effect was further enhanced with neoadjuvant chemoradiotherapy. After adjustment on propensity score and confounding factors, for all patients and subset analysis of squamous cell and adenocarcinoma, neoadjuvant therapy had no significant effect upon survival or recurrence (overall, loco-regional, distant or mixed) compared to surgery alone. There were no significant differences between neoadjuvant chemotherapy and chemoradiotherapy in short-or long-term outcomes.Conclusion: The results of this study suggest that a surgery alone treatment approach should be recommended as the primary treatment approach for cT2N0 oesophageal cancer despite 50% of patients having nodal disease at the time of surgery.
ISSN: 0959-8049

hal-01666517
https://hal.univ-lorraine.fr/hal-01666517
DOI : 10.1016/j.ejca.2015.11.024

Éditeur(s) : HAL CCSD Society for the Study of Reproduction
Résumé : International audience
Spermmotility notably depends on the structural integrity of the flagellum and the regulation ofmicrotubule dynamics. Although researchers have started to use " omics" techniques to characterize the human sperm's molecular landscape, the constituents responsible for the assembly, organization, and dynamics of the flagellum microtubule have yet to be fully defined. In this study, we defined a core set of 116 gene products associated with the human sperm microtubulome (including products potentially involved in abnormal ciliary phenotypes and male infertility disorders). To this end, we designed and applied an integrated genomics workflow and combined relevant proteomics, transcriptomics, and interactomics datasets to reconstruct a dynamic interactome map. By further integrating phenotypic information, we defined a disease-interaction network; this enabled us to highlight a number of novel factors potentially associated with altered sperm motility and male fertility. Lastly, we experimentally validated the expression pattern of two candidate genes (CUL3 and DCDC2C) that had never previously been associated with male germline differentiation. Our analysis suggested that CUL3 and DCDC2C's products have important roles in the sperm flagellum. Taken as a whole, our results demonstrate that an integrated genomics strategy can highlight relevant molecular factors in specific sperm components. This approach could be easily extended by including other " omics" data (from asthenozoospermic men, for example) and identifying other critical proteins from the human sperm microtubulome. Summary Sentence Although researchers have started to use "omics" techniques to characterize the human sperm's molecular landscape, the constituents responsible for the assembly, organization, and dynamics of the flagellum microtubule have yet to be fully defined.
ISSN: 0006-3363

hal-01515563
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01515563
DOI : 10.1095/biolreprod.116.143479
PUBMED : 28395323

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
The crust of the Paleoproterozoic West African Craton in northern Ghana is dominantly made of Tonalite-Trondhjemite-Granodiorite (TTG) suites, low-K to high-K calc-alkaline granites, with minor LILE-enriched diorites, and chemically related lavas. Results of zircon U-Pb dating indicate that all these different rock types were formed together over a prolonged period of ca. 100 Ma, between 2.21 and 2.11 Ga. Zircon Hf isotope compositions of five samples are supra-chondritic (εHft from +1 to +6) indicating that the granitoids derive from the reworking of juvenile crustal components as old as 2.60 Ga. Geochemical data show that the TTGs were derived from the reworking of a low-K mafic crust, while biotite granites formed by the reworking of older felsic crustal rocks, and diorites derived from the melting of LILE-enriched mantle sources.The combined datasets support a three-step model for the formation of the crust of the West African craton in northern Ghana: (1) a juvenile, mafic proto-crust was extracted from the depleted mantle between 2.60 and 2.30 Ga, in an oceanic environment remote from any pre-existing continental nucleus; (2) the mafic proto-crust was reworked in several primitive magmatic arcs or in accreted oceanic plateaux. Crustal reworking initially produced minor felsic magmatism between 2.35 and 2.21 Ga, followed by the 2.21–2.15 Ga emplacement of low- to medium-P TTG and K-rich calc-alkaline granitoid suites, and was coeval with the formation of an enriched mantle source. (3) Various proto-continental terranes collided during the Eburnean orogeny between 2.14 and 2.11 Ga, triggering intense reworking of the composite crust and mantle reservoirs formed in the previous two steps, i.e. remnants of the juvenile mafic crust, older TTGs and biotite granites, and previously enriched mantle sources. The emplacement of high-P TTGs, granites and LILE-enriched diorites resulted from lower crustal heating in response to the delamination of the lower crust and lithospheric mantle. The Eburnean collision therefore marks the final stages of a 200–500 Ma long period of juvenile continental crust formation and stabilisation. The datasets further reveal that the Paleoproterozoic West African Craton comprises a minimum of two distinct crustal blocks, with north-western Ghana lying at their interface.
ISSN: 0301-9268

hal-01467999
https://hal.archives-ouvertes.fr/hal-01467999
DOI : 10.1016/j.precamres.2016.10.011

Éditeur(s) : HAL CCSD IEEE
Résumé : International audience
The main challenge in prostate cancer radiotherapy is to deliver the prescribed dose to the clinical target while minimizing the dose to the neighboring organs at risk and thus avoiding subsequent toxicity-related events. With the aim of improving toxicity prediction following prostate cancer radiotherapy, the goal of our work is to propose a new predictive variable computed with independent component analysis to predict late rectal toxicity, and to compare its performance to other models (logistic regression, normal tissue complication probability model and recent principal component analysis approach). Clinical data and dose-volume histograms were collected from 216 patients having received 3D conformal radiation for prostate cancer with at least two years of follow-up. Independent component analysis was trained to predict the risk of 3-year rectal bleeding Grade extgreater= 2. The performance of all the models was assessed by computing the area under the receiving operating characteristic curve. Clinical parameters combined with the new variable were found to be predictors of rectal bleeding. The mean area under the receiving operating curve for our proposed approach was 0:75. The AUC values for the logistic regression, the Lyman-Kutcher-Burman model and the recent principal component analysis approach were 0:62, 0:53 and 0:62, respectively. Our proposed new variable may be an useful new tool in predicting late rectal toxicity. It appears as a strong predictive variable to improve classical models
2015 37th annual international conference of the IEEE Engineering in Medicine and Biology Society
Milan, Italy

hal-01304750
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01304750