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Biomedical subjects

J P Touboul

Publications and source records attributed to J P Touboul.

18 recordsLinked to original sources

Circadian rhythms in circulating T lymphocyte subtypes and plasma testosterone, total and free cortisol in five healthy men.

Circadian variations of circulating T lymphocyte subtypes and their possible relations with those of endogenous cortisol or testosterone were investigated in five healthy young men. Venous blood (40 ml) was obtained every 4 h for 24 h from each subject in January, March, June, August and November. Leucocyte and differential counts were measured. Mononuclear cells were isolated on Ficoll-Paque gradient, and samples were incubated with OKT3, OKT4 or OKT8 monoclonal antibodies for characterizing all T, T helper and T suppressor-cytotoxic lymphocytes respectively. The proportion of labelled lymphocytes was determined under an epifluorescence microscope and the counts of circulating lymphocyte subsets (cells/mm3) computed. Total and free cortisol and testosterone were also determined in the corresponding plasma samples. Results from analysis of variance and cosinor indicated statistically significant differences (P less than 0.001) as a function of both individual subject and circadian sampling time for all variables. Circadian rhythms (with a period, tau = 24 h) were validated for total, T and T helper lymphocytes and for the T helper: T suppressor-cytotoxic ratio (P less than 0.001), with double amplitudes (2A, total extent of variation accounted for by the fitted cosine function) ranging from 25% up to 50% of the 24 h mean (M), and acrophases (phi, time of maximum) localized near 0100 h. A rhythm with tau = 12 h characterized circulating T suppressor-cytotoxic lymphocytes (P less than 0.001; 2A = 36% of M; phi = 0830 and 2030 h). Circadian rhythms were also found for plasma cortisol (either total or free) and testosterone (P less than 0.001). No correlation was found however between time-qualified data of these hormones and the immunological variables herein investigated (162 pairs of data) whether or not a 4 h or an 8 h lag time was considered to allow for hormonal actions to operate. This suggests that neither the circadian organization of the adrenal cortex nor that of the testis play a prominent role in the circadian time structure of the circulation of T lymphocytes.

Adult↗

[Uveitis in acquired syphilis].

Syphilis is a well-established cause of uveal disease and is thought to be responsible for several distinct types of intraocular inflammation. Four cases of acquired syphilitic uveitis are reported. The diagnosis was essentially based on the clinical picture, the elimination of other possible causes, the results of reliable blood immunologic tests eg, the TPHA, FTA and Nelson tests, and the rapid response to penicillin therapy. Evaluation of anti-Treponema pallidum antibodies in the aqueous humor does not contribute to the diagnosis of syphilitic uveitis. Two cases needed large amounts of penicillin (total dosage, 440 million units). Oral steroids were used to control the associated inflammatory reaction and to prevent a Herxheimer reaction. All the patients responded well to therapy.

Adolescent↗

Immunochemical study and cellular localization of human pepsinogens during ontogenesis and in gastric cancers.

Gastric pepsinogens were studied by immunoenzymologic and immunohistochemical methods in non-cancerous adult gastric mucosa, in fetal stomach, and in gastric carcinomas. In noncancerous adult mucosa, immunoenzymologic methods showed that pepsinogen II (previously called Pg I-II) was found mostly in fundic or mediogastric extracts, whereas Pg IV was predominant in antropyloric extracts. Pg II was localized by immunofluorescence techniques in the chief cells of deep glands found near the muscularis. Pg II was localized by immunofluorescence techniques in the chief cells of deep glands found near the muscularis. Pg III was present in the superficial zone of deep glands and Pg IV in the surface epithelium and in the superficial glands of the mucosa. In fetal stomach, only Pg IV (which we called the "fetal pepsinogen") was identified by standard immunoelectrophoresis. It was localized by immunofluorescence in the superficial epithelium. However, bidimensional immunoelectrophoresis and immunofluorescence did reveal low levels of Pg II and Pg III by the 8th or 9th week of ontogenesis. Pg II and Pg III were localized in the rudimentary glands near the superficial epithelium. Important differences were noted when gastric carcinomas were compared with normal mucosa. Pg II or Pg III were often absent in the tumor extracts, but Pg IV was regularly and, at times, exclusively identified regardless of the location of the tumor. By immunofluorescence Pg IV was often the only pepsinogen that was characterized in dedifferentiated cancerous cells; this was also true of the calciform cells of some metaplastic gastric mucosa. Pg III was observed rarely, and Pg II never, in cancerous cells. The biochemical modifications of the cancerous tissue closely resemble those of fetal tissue.

Epithelium↗