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Biomedical subjects

C Hamel

Publications and source records attributed to C Hamel.

8 recordsLinked to original sources

Development and characterization of monoclonal antibodies directed against the retinal pigment epithelial cell.

The retinal pigment epithelium consists of a unicellular layer of neuroepithelial cells that are essential for the maintenance of normal function of the neural retina. In order to evaluate more critically this cell in health and disease, we prepared monoclonal antibodies against human retinal pigment epithelial (RPE) cells. Balb/c mice were immunized with human RPE cells. Spleen cells were fused with myeloma cells and resultant hybridomas were selected for antibody production. Supernatants were assayed by immunoperoxidase on frozen sections of human eye tissues. Two hybrids were cloned and ascites were generated in mice. These IgG antibodies react only with RPE cells and show no cross-reactivity with other cells in the eye or with human brain, kidney, skin, salivary glands, lymphocytes or monocytes. These antibodies recognize cell surface molecules that are highly conserved since they can be found in man, monkey, rat, cow, chicken and frog. SDS gel electrophoresis and immunoblot analysis showed that one of the antibodies reacted with a 42,000 MW polypeptide. Evaluation of the developing rat retina revealed that the epitopes are not detected at birth, are weakly present at day 6 and are highly recognized by day 9. These immunoglobulins will allow us to evaluate RPE cells in disease (proliferation, migration) and to probe the bioregulatory functions (phagocytosis, vitamin A transport) of these cells.

Animals

[A misunderstood treatment for hyperhidrosis: ionization. Principles, material, methodology, early results].

Based on a new and specific apparatus developed by one of the authors, an original method of treatment of palmoplantar hyperhidrosis, either essential or associated with acrocyanosis, is described in detail. The extremities to be treated are placed in tanks containing tap water ensuring conduction fo current between epidermis and electrode. The recommended current of 20 milli-amperes is obtained by adjustment of a potentiometer. Treatment sessions (20 minutes for hands or feet, 40 for all four extremities) take place with a well defined frequency: 3 the first week, 2 the second, I the following two weeks. Maintenance sessions are necessary when sweating recurs. In a longitudinal series of 29 patients, 28 (96.5%) were significantly improved. From the 5th session onwards, the decrease in hyperhidrosis was evaluated by patients as very pronounced in 5 cases (17.2%) and as complete in 21 cases (72.5%). In 5 of the 6 patients with hyperhidrosis associated with acrocyanosis, the patients reported attenuation of cyanotic coloration of skin and relative warming up of extremities treated. Tolerance was excellent in 28 cases, incidents being rare and minor. Patients with pacemakers cannot be treated by this method.

Adolescent

Treatment of bilateral spontaneous dural carotid-cavernous fistulas by coils and sclerotherapy. Case report.

A case of bilateral spontaneous carotid-cavernous fistulas producing increased intraocular pressure is reported. The fistulas lay between the meningeal branches of the internal carotid artery (ICA) and the cavernous sinus, but the ICA itself was not involved. Successful treatment was accomplished by the introduction of steel coils and a sclerotic liquid into the cavernous sinus via the distal superior ophthalmic vein.

Arteriovenous Fistula

[Ionophoresis: effective and misunderstood treatment in hyperhidrosis. Principles, material, methodology and results].

The development of a modern and specific device, using the principle of ionophoresis, enables now to treat a symptom, sometimes severely disabling, before which physicians felt helpless until now: hyperhidrosis. The methodology is simple, and the treatment well tolerated. The efficacy, demonstrated by our study, is particularly impressive, if a strict protocol is followed.

Adolescent