Éditeur(s) : HAL CCSD American Medical Association (AMA)
Résumé : International audience
IMPORTANCE Although frequently used in treating intensive care unit (ICU) patients with sepsis, empirical antifungal therapy, initiated for suspected fungal infection, has not been shown to improve outcome. OBJECTIVE To determine whether empirical micafungin reduces invasive fungal infection (IFI)-free survival at day 28. DESIGN, SETTING, AND PARTICIPANTS Multicenter double-blind placebo-controlled study of 260 nonneutropenic, nontransplanted, critically ill patients with ICU-acquired sepsis, multiple Candida colonization, multiple organ failure, exposed to broad-spectrum antibacterial agents, and enrolled between July 2012 and February 2015 in 19 French ICUs. INTERVENTIONS Empirical treatment with micafungin (100mg, once daily, for 14 days) (n = 131) vs placebo (n = 129). MAIN OUTCOMES AND MEASURES The primary end pointwas survival without proven IFI 28 days after randomization. Key secondary end points included new proven fungal infections, survival at day 28 and day 90, organ failure, serum (1-3)-beta-D-glucan level evolution, and incidence of ventilator-associated bacterial pneumonia. RESULTS Among 260 patients (mean age 63 years; 91 [35%] women), 251 (128, micafungin group; 123, placebo group) were included in the modified intent-to-treat analysis. Median values were 8 for Sequential Organ Failure Assessment (SOFA) score, 3 for number of Candida-colonized sites, and 99 pg/mL for level of (1-3)-beta-D-glucan. On day 28, there were 82 (68%) patients in the micafungin group vs 79 (60.2%) in the placebo group who were alive and IFI free (hazard ratio [HR], 1.35 [95% CI, 0.87-2.08]). Results were similar among patients with a (1-3)-beta-D-glucan level of greater than 80 pg/mL (n = 175; HR, 1.41 [95% CI, 0.85-2.33]). Day-28 IFI-free survival in patients with a high SOFA score (> 8) was not significantly different when compared between the micafungin vs placebo groups (HR, 1.69 [95% CI, 0.96-2.94]). Use of empirical micafungin decreased the rate of new invasive fungal infection in 4 of 128 patients (3%) in the micafungin group vs placebo (15/123 patients [12%]) (P =.008). CONCLUSIONS AND RELEVANCE Among nonneutropenic critically ill patients with ICU-acquired sepsis, Candida species colonization at multiple sites, and multiple organ failure, empirical treatment with micafungin, compared with placebo, did not increase fungal infection-free survival at day 28.
ISSN: 0098-7484

hal-01405822
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01405822
DOI : 10.1001/jama.2016.14655
PUBMED : 27706483

Éditeur(s) : HAL CCSD Wiley
Résumé : White-sand forests represent natural laboratories of evolution over their long history throughout Amazonia and the Guiana Shield and pose significant physiological challenges to the plants and animals they host. The study of diversification in plant lineages comprising species endemic to white-sand forest can therefore give insights into processes of evolution and community assembly in tropical forests. In this article, we synthesize recent studies of white-sand forests to integrate patterns of plant species distribution with processes of lineage diversification and community assembly in the white-sand flora. We contrast lineages that have radiated uniquely in these habitats (e.g., Pagamea, Rubiaceae), with cosmopolitan lineages comprising specialists to white-sand forests and other habitats that may have arisen via ecological speciation across habitat gradients (e.g., Protium, Burseraceae). In both cases, similar suites of functional traits have evolved, including investment in dense, long-lived tissues that are well-defended structurally and chemically. White-sand endemics, therefore, play an important role in biodiversity conservation because they represent unique combinations of functional and phylogenetic diversity. Furthermore, white-sand endemics may respond differently than other tropical forest plant species to contemporary global changes because they comprise resilient functional types that may better withstand increased drought, temperature, and invasions of exotic pests in these regions.
ISSN: 0006-3606

hal-01531635
https://hal.archives-ouvertes.fr/hal-01531635
DOI : 10.1111/btp.12301
PRODINRA : 353397

Éditeur(s) : HAL CCSD
Résumé : The mosquito species Aedes (Stegomyia) aegypti (Linnaeus 1762) was introduced into the Americas some 400 years ago from the African continent. Currently, this species is the primary agent behind dengue and chikungunya outbreaks in the pan-tropical area and its widespread distribution has likely played an important role in the recent expansion of the Zika virus. The biology of Ae. (Stg.) aegypti is particularly well known, which is not the case for its ecology. By adopting a cross-disciplinary approach I attempted to understand the relative contribution of biotic and abiotic factors as well as some evolutionary processes in the distribution of this species at the local and regional scales in French Guiana.Initially, I was interested in revising the core knowledge concerning the diversity of mosquitoes in French Guiana. By combining traditional and molecular taxonomy, this step allowed my colleagues and I to discover several new species and to create the appropriate tools to manage this type of entomological data.Secondly, we studied the spatio-temporal structure of resident aquatic macroinvertebrate communities in urban areas. This highlighted the existence of antagonistic and mutualistic interactions. In particular, the native mosquito Limatus durhamii Theobald 1901 appears to prevent the sustainable establishment of Ae. (Stg.) aegypti in slightly urbanized environments via a mechanism of competitive exclusion.
Le moustique Aedes (Stegomyia) aegypti (Linnaeus 1762) a été introduit dans les Amériques depuis le continent africain il y a environ 400 ans. Actuellement, cette espèce est la principale responsable des épidémies de dengue et de chikungunya dans la zone pantropicale et sa large répartition a très probablement joué un rôle important dans l’expansion récente du virus Zika. La biologie d’Ae. (Stg.) aegypti est particulièrement bien connue, ce qui n’est pas le cas de son écologie, en particulier de ses interactions avec les communautés résidentes. En adoptant une démarche pluridisciplinaire je me suis intéressé à la contribution relative des facteurs biotiques et abiotiques ainsi que de certains processus évolutifs dans la distribution de cette espèce à différentes échelles en Guyane française.Dans un premier temps j’ai participé à la révision des connaissances fondamentales sur la diversité des moustiques de Guyane. En alliant la taxonomie classique et moléculaire, cette étape a permis de découvrir plusieurs nouvelles espèces et de mettre en place des outils adaptés à la gestion de ce type de données, notamment pour une utilisation future.Dans un second temps la structuration spatio-temporelle des communautés résidentes de macro-invertébrés aquatiques a été étudiée en milieu urbain. Cela a permis de mettre en évidence l’existence d’interactions antagonistes et mutualistes avec les taxons des communautés résidentes. En particulier, le moustique autochtone Limatus durhamii Theobald 1901 semble empêcher l’établissement durable d’Ae. (Stg.) aegypti dans les milieux faiblement urbanisés via un mécanisme d’exclusion compétitive.
https://tel.archives-ouvertes.fr/tel-01405425

NNT : 2016YANE0001
tel-01405425
https://tel.archives-ouvertes.fr/tel-01405425
https://tel.archives-ouvertes.fr/tel-01405425/document
https://tel.archives-ouvertes.fr/tel-01405425/file/These_Def_Talaga.pdf

Éditeur(s) : Elsevier Sci Ltd
Résumé : Time-series studies have reported trophic cascades in land, freshwater and marine environments in many geographic areas. However, the spatial extent of habitats, a key metric of ecosystem structure, has not been mapped in these studies. Marine reserves can provide experimental, before-after and inside-outside (control-impacted), situations for assessing the impact of fishing on ecosystems. We mapped seabed habitats and their associated communities (biotopes) in New Zealand's oldest marine reserve for comparison with pre-reserve maps created about 30 years previously. Areas grazed bare by sea urchins were entirely replaced in the centre of the reserve by kelp, or alga turf, an intermediate biotope between heavily grazed encrusting algae and lightly grazed kelp. Urchins declined following increased abundance and body size of spiny (rock) lobsters and fish (especially snapper) in the reserve but maintained bare rock outside. While this gradient in habitat change matched the gradient of predator abundance, it also matched the extent of reef habitat area. Thus the trophic cascade may be influenced by the effect of habitat on the abundance and behavioural interactions of urchins and their predators. Further ecosystem changes may arise should the abundance of mega-predators, such as seals, cetaceans and large sharks, increase in the region; if parasites become pathogenic; and/or when invasive species reach the reserve. No-take marine reserves provide real-world experiments that show the importance of species in food webs, and the consequences of fishing for ecosystems. Because these changes in ecosystem structure may continue, and will vary with environment, climate and species distributions, reserves need to be permanent and replicated geographically. Habitat maps should be produced for all reserves to enable ecological changes in the ecosystem to be spatially quantified. (C) 2012 Elsevier Ltd. All rights reserved.
Biological Conservation (0006-3207) (Elsevier Sci Ltd), 2012-10 , Vol. 155 , P. 193-201

Droits : 2012 Elsevier Ltd. All rights reserved
http://archimer.ifremer.fr/doc/00107/21842/20067.pdf
DOI:10.1016/j.biocon.2012.05.009
http://archimer.ifremer.fr/doc/00107/21842/

Éditeur(s) : HAL CCSD Elsevier
Résumé : The Authors. Published by Elsevier Masson SAS on behalf of Institut Pasteur. This is an open access article under the CC BY-NC-ND license(http://creativecommons.org/licenses/by-nc-nd/4.0/)
Ehrlichia is a large genus of obligate intracellular Gram-negative bacteria transmitted by ticks that cause several emerging infectious diseases in humans and are pathogenic on rodents, ruminants, and dogs. Ehrlichia spp. invade and replicate either in endothelial cells, white blood cells, or within midgut cells and salivary glands of their vector ticks. In this review, we discuss the insights that functional studies are providing on how this group of bacteria exploits their host by subverting host innate immunity and hijacking cellular processes.
ISSN: 1286-4579

hal-01512099
https://hal.archives-ouvertes.fr/hal-01512099
https://hal.archives-ouvertes.fr/hal-01512099/document
https://hal.archives-ouvertes.fr/hal-01512099/file/Moumene%202016%20Microbes%20and%20Infection_%7BEFBE9395-9C1F-4C96-A09E-A017DC15F940%7D.pdf
DOI : 10.1016/j.micinf.2015.11.001

Éditeur(s) : HAL CCSD
Résumé : International audience
Many emerging infectious diseases are caused by generalist pathogens that infect and transmit via multiple host species with multiple dissemination routes, thus confounding the understanding of pathogen transmission pathways from wildlife reservoirs to humans. The emergence of these pathogens in human populations has frequently been associated with global changes, such as socio-economic, climate or biodiversity modifications, by allowing generalist pathogens to invade and persist in new ecological niches, infect new host species, and thus change the nature of transmission pathways. Using the case of Buruli ulcer disease, we review how land-use changes, climatic patterns and biodiversity alterations contribute to disease emergence in many parts of the world. Here we clearly show that Mycobacterium ulcerans is an environmental pathogen characterized by multi-host transmission dynamics and that its infectious pathways to humans rely on the local effects of global environmental changes. We show that the interplay between habitat changes (for example, deforestation and agricultural land-use changes) and climatic patterns (for example, rainfall events), applied in a local context, can lead to abiotic environmental changes and functional changes in local biodiversity that favor the pathogen’s prevalence in the environment and may explain disease emergence.
ISSN: 2222-1751

Droits : http://creativecommons.org/licenses/by/
hal-01528488
http://hal.upmc.fr/hal-01528488
http://hal.upmc.fr/hal-01528488/document
http://hal.upmc.fr/hal-01528488/file/emi20177a.pdf
DOI : 10.1038/emi.2017.7

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Background: Mass breast cancer screening is offered to French women between the ages of 50 and 74. In the French overseas department of Guadeloupe, where the population is of mostly African ancestry, a low age at diagnosis of breast cancer has been reported, as for African-Americans. This raises the question of whether breast cancer is more aggressive in the age group preceding that eligible for mass screening (4049) in Guadeloupe. Methods: We compared the tumor-related prognostic factors, first line therapy and overall survival rates of breast cancer cases diagnosed between the 40-49 and 50-74 age groups, based on reports of the cancer registry of Guadeloupe for the period 2008-2013. Results: The characteristics studied, risk of death after breast cancer (HR 0.84 [95% CI: 0.58-1.22] and overall survival, did not differ significantly between the two groups, except for higher tumor size (28.8 vs 24.0; p = 0.004) in the younger group. Conclusion: These results do not show a pattern of more aggressive breast cancer in the age group preceding that eligible for mass screening in Guadeloupe. (C) 2017 Elsevier Ltd. All rights reserved.
ISSN: 1877-7821

hal-01659244
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01659244
DOI : 10.1016/j.canep.2017.08.004
PUBMED : 29120835