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Biomedical subjects

F Pontet

Publications and source records attributed to F Pontet.

At least 19 recordsLinked to original sources

Implication of the first and third extracellular loops of the mu-opioid receptor in the formation of the ligand binding site: a study using chimeric mu-opioid/angiotensin receptors.

Recent studies on chimeric mu/delta-, mu/kappa- and delta/kappa-opioid receptors have suggested that extracellular loops of the receptors were involved in the discriminatory binding of selective ligands by controlling their entry into the transmembrane binding site. Since homochimeric opioid receptors are mostly informative in terms of selectivity, the role of extracellular loops was examined here by studying heterochimeric mu receptors where the totality or parts of extracellular loops were replaced by the corresponding regions of the receptor for angiotensin II. Chimeric mu receptors with extracellular loop EL1 or EL3 originating from the angiotensin receptor had 100-fold decreased affinities for opioids; the length of the first extracellular loop, which is one residue longer in angiotensin than mu receptors, was shown to be responsible for this situation. Substitution of the mu receptor second extracellular loop by that of the angiotensin receptor diminished by approximately 10-fold the affinities for opioids. Since all chimeras had altered affinities for selective and nonselective ligands, we propose that extracellular domains of the mu receptor, particularly the first and third loops, constrain the relative positioning of the connected transmembrane domains where selective as well as nonselective contact points form the opioid binding site.

Amino Acid Sequence↗

Qualitative immunoglobulin abnormalities in HIV-positive patients: long-term follow-up.

We studied the immunoglobulins of a cohort of 212 HIV-positive patients followed-up for 13 years. The qualitative study of immunoglobulins by immunoelectrophoresis and immunofixation distinguished three groups of patients: those with monoclonal immunoglobulins, those with minor abnormalities of immunoglobulins and those with polyclonal immunoglobulins. We characterized these groups according to age, sex, immunoglobulin isotypes, and survival curves. The results show that this population of immunoglobulinopathies has distinctive characteristics. In particular, the presence of immunoglobulin abnormalities has no significant prognostic value.

Adult↗

Biclonal immunoglobulin M dysglobulinaemia: evolving aspects in a case of primary Sjögren's syndrome.

The observation of suggestive clinical symptoms in a patient suffering from a Gougerot-Sjögren syndrome led to a search for a cryoglobulin. Unusual physico-chemical features of this cryoglobulin were discovered, using standard electrophoresis, immunoelectrophoresis, immunofixation and electroimmunotransfer. The main unusual finding was that the cryoprecipitate was made up of a biclonal IgM kappa associated to polyclonal IgG. Therefore, we suggest that this new form of cryoglobulin be classified as a subtype IIb, thus distinguishing two subtypes in the usual classification.

Aged↗

[Serum determination of IgG, IgA, IgM, transferrin and haptoglobin. I. Attempt at normalization of results].

This study demonstrates the advantages and limitations of normalizing results for five serum proteins (IgG, IgA, IgM, transferrin and haptoglobin), analysed in liquid phase on ten different systems (open clinical chemistry and dedicated protein analysers). Seven sets of results from normal and pathological sera (without monoclonal proteins) were compared using: - calibrators supplied by each manufacturer; - - serial dilutions of a single stabilized pool of liquid serum. In addition to validating the quality of the stabilised serum, we have been able to identify: - significant variations in results using different analytical systems for the same sample; - a major reduction in these variations, often greater than 50%, through normalization using a common serum pool. In some two thirds of the cases, this reduction brought the degree of variation into an acceptable range.

Blood Chemical Analysis↗

[Serum levels of IgG, IgA, IgM, transferrin and haptoglobin. III. Results obtained with monoclonal immunoglobulins].

This study is the third part of a multicenter evaluation carried out with ten analysers. Five proteins (IgG, IgA, IgM, transferrin, haptoglobin) were assayed in three sera, each containing one monoclonal Ig (IgG, IgA, or IgM). The expected agreement was not obtained with these particular sera, except in the case of haptoglobin. The marked imprecision of the monoclonal Ig quantification is highlighted, including the fact that many erroneous results are due to the antigen excess phenomenon. It is also shown that in the serum containing monoclonal IgM, quantification of the other proteins, remaining polyclonal Ig, as well as transferrin and haptoglobin, is difficult. The authors recall that electrophoresis and immunoelectrophoresis, which are indispensable for the characterization of the monoclonal components, are of great help in solving such difficulties.

Blood Chemical Analysis↗

[Reference material (CRM 470) for serum proteins: preparation, characteristics and conditions of use].

Several national and international quality assurance schemes clearly demonstrated the discrepancies between the results given by different analytical systems designed for the immunochemical measurement of proteins. Thus, the need for the preparation of a new international secondary reference material appeared urgent to the International Federation for Clinical Chemistry (IFCC). In this paper, the authors describe the different steps of the preparation of the new standard CRM 470. This work financed by the Bureau Communautaire de Référence (BCR) has been done in collaboration with the College of American Pathologists (CAP). The physicochemical properties of the proteins present in the CRM 470 and the various controls undertaken on the preparation are described. The CRM 470 material (40,000 lyophylised 1 ml vials) is now certified for the 14 plasma proteins of major interest in clinical chemistry. The worldwide introduction of this material will considerably improve the accuracy of immunochemical proteins' determination and will allow the determination of the reference values as a function of age and sex.

Blood Proteins↗

[Multicenter study of commercial kits for the determination of human IgG subclasses, using the ELISA technique].

We evaluated two commercially available sandwich type Elisa procedures for the measurement of IgG subclasses in human serum. Assay kits from The Binding Site and the Central Laboratory of the Netherlands Red Cross Blood Transfusion Service were tested in six laboratories. The performance of spectrophotometers, pipettes and dilutors were assessed at each center. Within-run precision was estimated according to the Valtec method (Société Française de Biologie Clinique). The overall coefficient of variation ranged from 4 to 50% depending on subclass and kit. We also evaluated the IgG2 and IgG4 specificity using four sera containing a monoclonal IgG2 or IgG4 (kappa or lambda type). Using total IgG and immunoelectrophoresis as a comparative technique, IgG2 kappa and IgG4 kappa were both underestimated, IgG2 lambda was overestimated while IgG4 lambda compared favorably. Polyclonal IgG subclasses were frequently overestimated in these sera suggesting cross-reactions with either monoclonal IgG or other polyclonal IgG. Antigen excess was investigated and not encountered with either kit. Our results demonstrate that these procedures are insufficiently accurate or precise for routine clinical use.

Enzyme-Linked Immunosorbent Assay↗

[Structure an functions of IgG subclasses].

This review first deals with IgG subclasses according to the aspects that ascribe them their common class properties: general structure, enzymatic cleavage, synthesis, Gm allotypes. Then the subclass specific characteristics are described, comparing the main structural features (domains, hinge, disulfide bridges, kappa/lambda ratio). The IgG subclasses are further compared according to their effector functions, stressing those resulting from structural differences: classical pathway of complement activation, binding to Fc receptors, to protein A and to rheumatoid factors. Finally, a survey of the prolific works about antibody functions of IgG subclasses, allows a glimpse of the wide possible applications in this field.

Age Factors↗

Study of six antisera used for the immunonephelometric assay of human IgG.

The composition and performance of six commercial antisera for the immunonephelometric assay of IgG were studied. The analysis of the protein content of these reagents revealed significant differences in composition: the total protein contents ranged from 41 to over 130 g/l and gamma-globulins were twice to thirteen times higher than in a normal serum of the species. The antibodies found in these reagents were mostly IgG, with traces of IgM, and no IgA. Precipitation curves yielded by these antisera with a standard nephelometer showed a great diversity of performance. The very different shapes, the span of antigen concentrations and antibody dilutions necessary to obtain comparable quantities of precipitates further demonstrated the wide differences between these reagents. A method previously proposed by other authors was found to be inadequate. The failure of this method is attributed to the different conditions for the antigen-antibody reaction, as determined by the instrumentation used. It is concluded that the fundamental and classical criteria for testing antisera remain valid: specificity and the study of the precipitation curve to define the quantitative limits of the reaction. A simple universal method is inapplicable.

Antibodies, Anti-Idiotypic↗

[Comparison of protein concentrations in saliva and serum].

Saliva and serum protein profiles composed of 12 proteins: IgA, IgG, IgM, albumin, transferrin, alpha 1-glycoprotein acid, alpha 2-macroglobulin, alpha 1-proteinase inhibitor, haptoglobine, C3C, C4 and CRP were obtained by laser nephelometry of aliquots of samples of non-stimulated whole saliva and blood taken at the same time. The population of 138 controls of both sexes was divided into 4 age groups: 1 (20 to 29 years), 2 (30 to 39 years), 3 (40 to 49 years), 4 (50 to 60 years). Using the techniques developed for saliva assay, 10 proteins were measurable: IgA, IgG, IgM, albumin, transferrin, alpha 1-glycoprotein acid, alpha 2-macroglobulin, alpha 1-proteinase inhibitor, haptoglobulin and C3C. The C4 fraction and CRP were present at concentrations lower than the detection limit i.e. at 1.8 and 2.05 mg/l. In the serum 11 proteins were analysed, CRP occurring at less than 0.01 g/l. The statistical two-factor variance analysis test (sex and age) demonstrated the statistically significant influence of age in the saliva for alpha 1-PI and alpha 2-M in the serum for Tf, alpha 2-M and alpha 1-PI, and sex in the serum for IgG, IgM, alpha 1-PI, alpha 2-M and also the interaction of both factors in the serum for alpha 2-M.

Adult↗

Rapid evolution in the immunochemical findings of a gamma heavy chain disease.

We noted the following major immunochemical changes in the final course of a gamma heavy-chain disease associated with a myelomonocytic leukemia: an important oligoclonal increase of IgG1/kappa, during sepsis development, whereas the lambda molecules decreased and IgG2 and IgG3 completely disappeared in a one-month interval. Initial concentrations of IgG4 were stable during that period, and gamma 1 heavy chains were slightly increased. This is a very unusual observation of the successive immunochemical events terminating a gamma heavy-chain disease.

Aged↗

Changes in LV papillary muscle performance and myosin composition with aortic insufficiency in rats.

Aortic insufficiency was induced in rats. Left ventricular papillary muscle function was studied after 5, 12, and 40 wk and compared with the papillary muscles from sham-operated animals. The maximum unloaded velocity of shortening, Vmax, was decreased in the rats with aortic insufficiency relative to controls by 15, 20, and 34% at 5, 12, and 40 wk, respectively. The decrease in Vmax occurred concomitantly with a change in the myosin isoenzyme composition such that the V1 isoform content decreased and the V3 isoform increased. Relative to age-matched controls, the V3 content in the hearts with aortic insufficiency had increased by 80, 180, and 125% at 5, 12, and 40 wk, respectively. The decrease in Vmax in the aortic insufficiency group muscles correlated with the change in myosin isozyme composition and could not be explained by changes in collagen content. Thus aortic insufficiency induced changes in myosin isozyme content and Vmax similar to those previously observed with aortic stenosis, thus suggesting a common mechanism of myocardial adaptation to different types of mechanical overload.

Animals↗

New approaches to the detection of locally produced antiviral antibodies in the aqueous of patients with endogenous uveitis.

A local synthesis of IgG antibodies against herpes simplex virus, cytomegalovirus, varicella-zoster virus and Chlamydia trachomatis was assayed for in aqueous humor and sera from 226 patients with various clinical types of uveitis. Comparison of the ratios of specific antibodies tested for in aqueous humor and serum (C') and the evaluation of the Goldmann-Witmer coefficient (C) to each specific antibody were simultaneously studied in each case. The combination of these two methods allowed for the diagnosis of viral uveitis in 37.7% of selected uveitis patients and in 13.27% of randomized uveitis patients.

Adolescent↗

Six approaches to routine quantification of human monoclonal immunoglobulin M compared.

Six routine techniques for the determination of monoclonal IgM are compared: standard electrophoresis, the Technicon AIP system, Hyland laser nephelometry, Beckman Immunochemistry System, Behring laser nephelometry, and radial immunodiffusion. The data are evaluated by use of a nonparametric statistical analysis of variance by ranks (Friedman test) and Wilcoxon's test. The 27 sera containing monoclonal IgM that we studied yielded different results by the various techniques. Sera from a "reference" population of 15 subjects having above-normal polyclonal IgM yielded identical results for all techniques. These statistical findings agree with the biophysical mechanisms involved in the various ways of quantifying IgM. We conclude that these different systems are equivalent for estimating polyclonal IgM, but cannot (and should not) yield identical values when used in monoclonal IgM evaluations. Results for monoclonal IgM must be interpreted in terms of the molecular forms and immunological specificities of the assayed IgM.

Antibodies, Monoclonal↗

[Value of the immunoenzyme method (ELISA) in determining serum and aqueous humor antiherpes immunoglobulin levels (apropos of 155 cases)].

Immuno-enzymatic assay of aqueous humor and serum antiherpetic antibodies was performed in 155 patients with all types of uveitis and with keratitis. Globulin levels were also determined in the two fluids, employing an original nephelometry-laser technique. This immuno-enzymatic technique, which possesses greater reliability, reproducibility, and sensitivity than passive hemagglutination, appears suitable for microassay in aqueous humor, and demonstrates the production of anti-herpes antibodies in this fluid to the exclusion of other specificity. Applying limits of at least 1/40e for H.A. antibody levels, and at least 10 for the immunity load coefficient, these antibodies could be demonstrated in half of the cases of clinically confirmed herpes, in one-third of clinically suspected cases, and in two intermediary cases of uveitis where no predictive signs of herpes were present. In contrast, specific antibodies were never detected in 70 cases of anterior or total uveitis. Measuring anti-herpes antibodies in aqueous humor and serum by the ELISA method, in association with immunity load coefficients determination in the two fluides, appears to be a very useful method for the future etiological diagnosis of anterior and intermediary uveitis when the etiology is uncertain but clinical signs suggest a possible herpetic origin.

Adolescent↗