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Biomedical subjects

C Ferec

Publications and source records attributed to C Ferec.

At least 91 records · Page 5Linked to original sources

[Post-transfusion malaria. Partial statistical data. Preventive approach to detecting blood donors at risk].

The authors demonstrate the reality of post-transfusion malaria, define the plasmodial species involved, and insist on the responsibility of Plasmodium falciparum in the occurrence of major complications. A prophylactic approach is proposed, by researching anti-malarial antibodies in donors at risk. An I. F. A. (Indirect Immunofluorescence Assay) is performed (Falciparum Spot I. F., Bio-Mérieux, Lyon, France). The screening procedure relies heavily on medical history taking, but subsequent results are satisfying; moreover it seems they could be bettered by using specific monoclonal antibodies.

Antibodies↗

Monoclonal antibody analysis of blood and cornea T lymphocyte subpopulations in herpes simplex keratitis.

There is now a great deal of evidence in favor of cell-mediated immunopathogenesis in herpes simplex (HS) keratitis. We used monoclonal antibodies specific for different cell subsets to analyze the blood and cornea-eluded lymphocyte subpopulations in HSV keratitis. There was a significant decrease in the proportion of cells expressing UCHT 1, OKT 4, and MID 4 antigens in the peripheral blood of patients as a whole, as opposed to sex- and age-matched controls. There was a slight decrease in OKT 4 cells in patients with herpetic keratouveitis when compared with patients with herpetic superficial keratitis, and a slight decrease in recurrent herpetic patients. Three corneal buttons showed a marked infiltration by suppressor/cytotoxic T cells, supporting the recent suggestion that lymphocytes might be cytotoxic for keratocytes.

Adult↗

Immunological effect of silica dust analyzed by monoclonal antibodies.

We found a significant decrease of OKT8 + ve cells in silicosis patients (18.1%), but also in unaffected exposed workers (19.0%), when compared with sex- and age-matched controls (22.8%). The proportion of OKT8 + ve cells was significantly lower in subjects with antinuclear antibodies (15.7%) and in those with IgG-rheumatoid factors (16.3%).

Adult↗

Diminished bactericidal activity in megalocytic interstitial nephritis.

The first case of favorable evolution under conservative treatment for acute renal failure caused by megalocytic interstitial nephritis and the ongoing transitory impairment of the polymorphonuclear bactericidal ability are described. This case report has been included in a critical overview of the cases previously reported.

Acute Kidney Injury↗

Antiperinuclear activity in lung carcinoma patients.

Antiperinuclear factor (APF) might be a specific serum rheumatoid factor directed towards keratohyaline granules. It was found to be present in 40 of 79 (50.6%) patients with primary and in 21 of 36 (58.3%) patients with metastatic lung cancer, compared with 12 of 95 (12.6%) sex- and age-matched normal controls. Additionally, APF frequency and titer correlated well with tumor dissemination, even though no relationship could be shown with histopathological type.

Adult↗

Evidence for relationships between antiperinuclear and IgG rheumatoid factor.

Antiperinuclear factor (APF) and IgG-rheumatoid factor (IgG-RF) has been found in 64% and 48% of cases of rheumatoid arthritis, 36% and 50% of cases of psoriasis and 31% and 45% of cases of primary Sjögren's syndrome. A close relationship between APF and IgG-RF is suggested by statistical and experimental data. Purified IgG-RF has some degree of APF activity.

Adult↗

Lowered Fc IgG receptor-bearing T lymphocytes correlate with non-organ-specific autoantibodies in silicosis.

A survey of silicosis patients and people exposed to silica dust was set up in an effort to look for any relationship between humoral and cell-mediated autoimmune phenomena. It was found that in both sets of subjects, the level of Fc IgG receptor-bearing T lymphocytes was significantly reduced, there was also an inverse correlation between these cell concentrations and IgG- and IgM-circulating immune complex levels. In addition, raised levels of various autoantibodies were found in both groups, however, none of the exposed subjects has developed silicosis to date.

Adolescent↗

[Serological profile in so-called seronegative rheumatoid arthritis].

89 cases of sero-negative rheumatoid arthritis (RA) were compared to 127 cases of sero-positive RA. Anti-perinuclear and anti-keratin antibodies were detected less frequently in the first group (51 vs 67% and 28 vs 33%, respectively), while the inverse was found for anti-nuclear antibodies (28 vs 24%). "Light" rheumatoid factors (RF)--IgG, IgM, IgE, IgA and IgD--were detected in 23.6, 21.3, 17.5, 11.3 and 0 per cent of cases of sero-negative R.A. The evolutive state of these cases was less severe. RF agglutinins were detected in 5 out of 12 samples of synovial fluid tested in cases of sero-negative RA.

Adult↗

[Study of blood T-lymphocyte subpopulations in ankylosing spondylarthritis using monoclonal antibodies].

Blood T lymphocyte subpopulations were studied by using various monoclonal antibodies in 20 patients with ankylosing spondylitis (AS) and in 20 age and sex matched controls. A significant decrease in OKT4 (p less than 0.04) and OKT8 (p less than 0.02) lymphocytes was demonstrated in AS patients. OKT4 cells were significantly decreased (p less than 0.02) in patients with a severe ankylosis and in those with the longest disease duration. This decrease was not explained by older ages. Thus there was an negative correlation between OKT4 cell ratio and disease duration. No modification in T cell subpopulations was noted when considering HLA B27 positivity or disease activity.

Adult↗

[Significance of antinuclear anti-histone antibodies].

The results of routine antihistone antibody (AHA) assay in a preliminary series of 189 sera are presented. There were 23 positive tests (systemic lupus erythematosus, 8 cases; drug induced SLE, 4 cases; rheumatoid arthritis 7 cases; and multiple sclerosis, 1 case; chronic active hepatitis, 1 case; systemic sclerosis, 1 case and primary biliary cirrhosis 1 case). The results of routine assay in 5 other patients groups are reported: 30 spontaneous SLE (9 positive AHA), 63 rheumatoid arthritis (2 positive AHA), 19 Sjögren syndrome (no AHA), 11 primary biliary cirrhosis (1 positive AHA) and 7 mixed connective tissue disease (no AHA).

Adolescent↗

The use of C3d as a means of monitoring clinical activity in systemic lupus erythematosus and rheumatoid arthritis.

Plasma samples from 44 patients with systemic lupus erythematosus (SLE) and 43 with rheumatoid arthritis (RA) were assayed for C3d, a breakdown product of the third component of complement (C3), which was also measured in parallel. Levels of C3d varied in direct proportion with disease activity in RA, whereas C3 showed little change. Although C3d values also increased with worsening clinical condition in SLE, this trend was not considered to be sufficiently clear to be useful and did not provide any advantage over the routinely performed C3 assay.

Arthritis, Rheumatoid↗

Dissociated impairment of neutrophil functions and recurrent infections.

This report concerns the study of a 43-year-old woman with a four-year history of recurrent infection caused primarily by staphylococci. The patient was treated with various antibiotic combinations without long-term success. We found phagocytosis, directed migration and the capacity to kill Staphylococcus aureus to be impaired; the capacity to adhere to nylon fibre was normal, the non-quantitative NBT reduction test was unaffected and we were unable to detect any humoral abnormality (e.g. in complement or immunoglobulins). The dissociated impairment of neutrophil functions was clearly improved by levamisole.

Adult↗

Definition of a "functional R domain" of the cystic fibrosis transmembrane conductance regulator.

The R domain of the cystic fibrosis transmembrane conductance regulator (CFTR) was originally defined as 241 amino acids, encoded by exon 13. Such exon/intron boundaries provide a convenient way to define the R domain, but do not necessarily reflect the corresponding functional domain within CFTR. A two-domain model was later proposed based on a comparison of the R-domain sequences from 10 species. While RD1, the N-terminal third of the R domain is highly conserved, RD2, the large central region of the R domain has less rigid structural requirements. Although this two-domain model was given strong support by recent functional analysis data, the simple observation that two of the four main phosphorylation sites are excluded from RD2 clearly indicates that RD2 still does not satisfy the requirements of a "functional R domain." Nevertheless, knowledge of the CFTR structure and function accumulated over the past decade and reevaluated in the context of a comprehensive sequence comparison of 15 CFTR homologues made it possible to define such a "functional R domain," i.e., amino acids C647 to D836. This definition is validated primarily because it contains all of the important potential consensus phosphorylation sequences. In addition, it includes the highly charged motif from E822 to D836. Finally, it includes all of the deletions/insertions in this region. This definition also aids in understanding the effects of missense mutations occurring within this domain.

Amino Acid Sequence↗

Identical intragenic microsatellite haplotype found in cystic fibrosis chromosomes bearing mutation G551D in Irish, English, Scottish, Breton and Czech patients.

Mutation G551D of exon 11 of the cystic fibrosis transmembrane conductance regulator gene is one of the most common mutations in patients of European origin. In order to test the hypothesis that the mutation is identical by descent in these patients, we have studied haplotypes for the three intragenic microsatellite markers IVS8CA, IVS17bTA and IVS17bCA from 92 patients bearing this mutation, who had been referred to laboratories in Ireland, Scotland, England, France (Brittany) and the Czech Republic. In all cases we found that only haplotype 16-7-17 is associated with mutation G551D. Our results support the hypothesis of identity by descent of all cystic fibrosis chromosomes bearing mutation G551D in these patient populations, and suggest that given the combined mutation rate of the microsatellite markers, there is a low probability (p < 0.05) that the haplotype where mutation G551D first occurred remained unaltered for more than 170 generations.

Cystic Fibrosis↗

Triosephosphate isomerase deficiency with elevated sweat chloride test: report of a case.

A 15-month-old girl with severe hemolytic anemia and progressive respiratory failure is presented. She was well until the age of six months when she developed a pulmonary infection. During the next six months, she had frequent respiratory infections and her paleness became evident. At the age of 12 months, she was observed to have easy fatigability and muscle weakness, and she received her first blood transfusion. She was referred to our hospital at the age of 15 months. The physical examination revealed a malnourished girl with hypotonia, nystagmus, generalized muscle weakness and severe breathing difficulty requiring ventilatory support The hemoglobin (Hb) was 9.7 g/dl; hematocrit (Hct) 29%, mean corpuscular volume (MCV) 101 fl and reticulocyte count 15%. Peripheral blood smear revealed macrocytosis and stomatocytosis (30% of the red cells) and polychromasia. Sweat chloride test was 90 and 94 mEq/L on two separate occasions. The serum vitamin E level was 0.26 mg/dl (N: 0.44-0.68). She was found to be heterozygous for factor V Leiden mutation. Although malnutrition, low serum vitamin E and elevated sweat chloride test were suggestive of cystic fibrosis, this diagnosis failed to account for all the findings in the patient. A search for a red cell enzyme deficiency revealed that the red cell triosephosphate isomerase (TPI) activity was low. DNA analysis showed the 315 G-C (105 Glu-Asp) TPI mutation, thus confirming the diagnosis of TPI deficiency.

Anemia, Hemolytic, Congenital Nonspherocytic↗