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L Marin

Publications and source records attributed to L Marin.

At least 19 recordsLinked to original sources
PubMed2003

Impact of HLA-C on acute rejection in liver transplantation.

Although liver transplants show a special tolerogenic behaviour, rejection remains an important problem that involves several immunological mechanisms, some of which are unknown. Our study sought to analyze the influence of HLA-C polymorphism on short-term liver graft acceptance by HLA-C genotyping of 100 orthotopic liver transplant recipient-donor pairs. Recipients were statified according to the occurrence of acute rejection. HLA-Cw*06 allele appeared to be underrepresented among recipients without versus those with acute rejection or those in control groups. With regard to HLA-C allelic compatibility, the frequency of acute rejection or those in episodes decreased with fewer HLA-C mismatches. These findings suggest the participation of HLA-C molecules in liver graft alloresponses, involving HLA-C genotyping, as well as compatibility.

Alleles↗
PubMed2003

Subtalar distraction arthrodesis using a ramp cage.

Subtalar distraction bone block arthrodesis has been described to treat late complications of displaced calcaneal fractures. A "ramp cage" can be used to restore the talocalcaneal relationship by providing stable correction in the coronal and sagittal dimensions.

Adult↗
PubMed2002

Report of recombinations between HLA loci within two families: utility of high resolution typing.

We have analysed two Caucasian families in which recombinant individuals have been identified. In both families, initial low resolution typing of class I and II antigens of possible patients referred for bone marrow transplantation and their respective potential donors (based on inherited haplotypes analysis) revealed them to be HLA identical and supposedly inheriting-non-recombinant haplotypes. The mothers were found to be DRB1*04 generic allele homozygous, but possessing two DRB1*04 specific alleles, DRB1*0403 and DRB1*0404 (family A) and DRB1*0401 and DRB1*0402 (family B). In both cases the patients inherited a maternal haplotype that is the result of a recombination event between the mother's HLA-DRB1 and -B genes on their chromosomes. Based on linkage disequilibrium it is likely that the recombinant haplotypes are present in the patients rather than their brothers. In both families, the results of the MLC in terms of relative response was positive. Thus, these cases illustrate the importance of high resolution DNA class II typing when assignment of MHC antigens is of extreme importance (i.e. bone marrow transplantation).

Adult↗
PubMed2001

The effect of expertise in gymnastics on postural control.

The goal of this paper was (1) to investigate if gymnasts have a more stable standing posture than experts in other sports, and (2) to determine how much gymnasts are affected by the removal of vision in different postural tasks. Six expert gymnasts and six experts in other non-gymnastic sports were asked to maintain balance in three standing postures of increasing difficulty: bipedal, unipedal, and unipedal + unstable support (i.e. 7 cm thick foam surface). Each posture was tested successively with and without vision. Based on the displacement of the center of pressure (range and mean average speed), the results showed that when visual cues were available, postural sway increased with the difficulty of the task, but both groups had comparable performance in all the tasks. When vision was removed, although both groups demonstrated larger postural sway in the unipedal tasks, this effect was less accentuated for the gymnasts. We concluded that gymnasts are able to use the remaining sensory modalities to compensate for the lack of vision in unstable postures.

Adult↗
PubMed2001

Incidence and predisposing factors for incisional hernia in patients with liver transplantation.

BACKGROUND: Cirrhotic patients who are transplanted have a high risk of developing incisional hernia (IH). MATERIALS AND METHODS: We have analysed the incidence and treatment of IH in 465 patients with liver transplantation (LT). In order to find predisposing factors, we compared these patients with a similar group of patients with LT without IH. Fifty-four patients (11.6%) developed an IH. Forty-six of these (85%) were males, and in 37% the entire laparotomy incision was involved. Forty patients have been operated on for the hernia, three by primary repair and 37 (92.5%) with a polypropylene mesh. After a follow-up of 42 months, 6 (15%) IHs recurred. Comparing groups, IH patients were older (P<0.05), of male gender (P<0.001), and received more steroids (P<0.01). The IH rate was not related to suture material. CONCLUSIONS: Our rate of IH is perhaps reasonable in these high risk patients. It appears that IH can be reduced if steroids are reduced or avoided. We recommend a large mesh for repair.

Adult↗
PubMed2001

Polymorphism in the upstream regulatory region of the HLA-DQB1 gene in liver graft recipients.

HLA-DQB1*0302 allele frequency is increased in liver graft recipients with acute rejection. We investigated polymorphism in the upstream regulatory regions (URRs) of the DQB1 gene to determine whether polymorphism in the DQB1 promoter region influences liver graft acceptance. A combination of typing protocols based on the polymerase chain reaction were used in 103 first-time liver transplants and 108 healthy Spanish controls. The QBP3.21 allele frequency and QBP3.21-DQB1*0302 haplotype were significantly different in recipients with acute rejection compared to those with good graft acceptance and to controls. Of major interest for acute rejection development are the promoter "splits" of DQB1*0302 (QBP3.21, QBP3.22, and QBP3.3 alleles), which are in linkage disequilibrium with DQB1*0302. The promoter splits were equally distributed in all groups. Thus, although there are significant differences in the frequencies of the QBP alleles and QBP-DQB1 haplotypes between recipients with and without acute rejection and controls, the composition of these haplotypes is essentially the same in all groups. In conclusion, our data show that the polymorphism in the DQB1 promoter region does not clearly influence liver graft acceptance, and, as occurs in other populations, QBP alleles exhibit strong linkage disequilibrium with the DQB1 locus.

Alleles↗
PubMed2001

Fludarabine, arabinosyl cytosine and idarubicin (FLAI) for remission induction in poor-risk acute myeloid leukemia.

Progress in treatment of acute myeloid leukemia (AML) is slow and treatment intensification alone has limited effects, particularly in poor-risk cases. Poor-risk cases, that are identified mainly by prior history, leukemic cell mass and cytogenetic abnormalities, share multiple mechanisms of drug resistance that are responsible for treatment failure. Since Pgp-mediated resistance to anthracycline can be reduced with Idarubicin (IDA) and resistance to arabinosyl cytosine (AC) can be reduced with Fludarabine (FLUDA), we tested a combination of high dose AC (2000 mg/sqm, 5 doses), FLUDA (30 mg/sqm, 5 doses) and IDA (12 mg/sqm, 3 doses) for remission induction and consolidation in 45 consecutive cases of poor-risk AML. The complete remission (CR) rate was 71% after the first course and 82% overall, with a projected 2-year survival and relapse-free survival of 44% and 50% respectively. Non-hematologic toxicity was very mild, that is very important in elderly patients, but hemopoietic toxicity was substantial, with a time to hematologic recovery of 3 to 4 weeks and two cases of death in CR. Peripheral blood stem cells (PBSC) could be mobilized and collected successfully only in 11 cases. This three-drug combination is effective and has a limited non-hematologic toxicity, but FLUDA may increase the difficulty of obtaining PBSC early after remission induction.

Acute Disease↗
PubMed2000

Control of locomotion in expert gymnasts in the absence of vision.

The main aim of this study was to determine how gymnasts are affected by the removal of vision when executing simple moves. A secondary aim was to establish whether crucial sensory cues exist for blindfolded gymnasts. Eight expert gymnasts were asked to maintain a straight displacement during three types of blindfolded locomotion: walking, steering a wheelchair and verbally ordering a second person pushing their wheelchair. In the first two conditions, active displacement made proprioceptive cues available to update the body trajectory. In the last condition, however, proprioceptive cues were greatly reduced, since the gymnasts displaced passively. The performance of the gymnasts was compared to that of eight experts in other non-gymnastic sports (control group). The results showed that the participants veered in all conditions. However, except in the verbal condition, the gymnasts departed less from linearity than the controls. We conclude that: (1) even for a simple motor task, gymnasts' performance is altered by eliminating vision; (2) compared with other sportsmen and women, gymnasts are better able to deal with the absence of vision when proprioceptive cues are available. These findings suggest two possible explanations: (1) gymnasts are more able to 'pick up' crucial information and (2) a gymnast's proprioceptive system is more sensitive.

Adolescent↗
PubMed2000

P-Element repression in Drosophila melanogaster by a naturally occurring defective telomeric P copy.

In Drosophila melanogaster, hybrid dysgenesis occurs in progeny from crosses between females lacking P elements and males carrying P elements scattered throughout the genome. We have genetically isolated a naturally occurring P insertion at cytological location 1A, from a Tunisian population. The Nasr'Allah-P(1A) element [NA-P(1A)] has a deletion of the first 871 bp including the P promoter. It is flanked at the 3' end by telomeric associated sequences and at the 5' end by a HeT-A element sequence. The NA-P(1A) element strongly represses dysgenic sterility and P transposition. However, when testing P-promoter repression, NA-P(1A) was unable to repress a germinally expressed P-lacZ construct bearing no 5'-homology with it. Conversely, a second P-lacZ construct, in which the fusion with lacZ takes place in exon 3 of P, was successfully repressed by NA-P(1A). This suggests that NA-P(1A) repression involves a homology-dependent component.

Alleles↗
PubMed2000

Effects of gymnastics expertise on the perception of body orientation in the pitch dimension.

The purpose of this study was to investigate how experts in motor skills requiring a fine postural control perceive their body orientation with few gravity based sensory cues. In Experiment 1, expert gymnasts and controls had to detect their body tilt when pitching at a velocity of 0.05 deg.s(-1), in two conditions of body restriction (strapped and body cast altering the somatosensory cues). Contrary to the experts, the controls exhibited a larger body tilt when totally restrained in the body cast. In Experiment 2, subjects had to estimate their Subjective Postural Vertical (SPV) starting from different angles of pitch tilt. The controls exhibited significant errors of SPV judgement whereas the experts were very precise. These results suggest that 1) somatosensory cues are more informative than otolithic cues for the perception of body orientation, and 2) the efficiency of otolithic and/or interoceptive inputs can be improved through a specific training to compensate for the lack of somatosensory cues.

Adolescent↗
PubMed1999

Veering in human locomotion: the role of the effectors.

Without visual information, human subjects are not able to maintain displacement in a straight line. This tendency is called veering. The goal of this paper was to investigate the origin of veering in a population of subjects who were homotropic during walking (i.e. veering consistently in the same direction on repeated trials). Three types of locomotion were compared, each one required a specific set of effectors: (i) walking (LEG); (ii) propelling on a wheelchair (ARM) and (iii) verbally ordering a second person pushing the wheelchair (VERB). After 15 m displacement, all subjects (n = 8) exhibited large deviations from the initial direction (2.5 m in LEG, 3.2 m in ARM and 4 m in VERB). We also observed that all participants were homotropic in ARM, but only half of them continued to veer in the same direction than in LEG. By contrast in VERB, deviations occurred randomly. We concluded that systematic deviations occurring in two-limb displacements originate from a peripheral mechanism (slight different properties of the right and left limbs) rather than a central mechanism (systematic bias in the perceived body trajectory).

Adaptation, Physiological↗
PubMed1999

Postural coordination modes considered as emergent phenomena.

The coordination of multiple body segments (torso and legs) in the control of standing posture during a suprapostural task was studied. The analysis was motivated by dynamical theories of motor coordination. In 2 experiments it was found that multisegment postural coordination could be described by the relative phase of rotations around the hip and ankle joints. The effective length of the feet, the height of the center of mass, and the amplitude of head motions in a visual tracking task were varied. Across these variations, 2 modes of hip-ankle coordination were observed: in-phase and anti-phase. The emergence of these modes was influenced by constraints imposed by the suprapostural tracking task, supporting the idea that such tasks influence postural control in an adaptive manner. Results are interpreted in terms of a dynamical approach to coordination in which postural coordination modes can be viewed as emergent phenomena.

Adult↗
PubMed1999

Level of gymnastic skill as an intrinsic constraint on postural coordination.

In this study, we considered the interacting effects of expertise in gymnastics, the type of support surface and the required frequency of head movement on the emergence of postural modes of coordination. A group of elite female gymnasts and a control group of non-gymnasts were asked to track the fore-aft motion of a target with their heads. Two support surface conditions (a balance beam vs the floor) were crossed with four frequencies of target motion. The relative phase between the angular motion of the ankles and hips was analysed. Two stable patterns emerged: an in-phase mode and an anti-phase mode, with the hip-ankle relative phase close to 0 degrees and 180 degrees, respectively. Increasing target frequency produced a change from in-phase to anti-phase coordination, in conditions where no instructions were given to the participants (Experiment 1) as well as in those where participants were instructed to maintain an in-phase mode for as long as possible (Experiment 2). This change, however, occurred earlier for the non-gymnasts than for the gymnasts. We conclude that 0 degrees and 180 degrees are two stable postural coordination modes, that expertise in gymnastics leads to a functional modification of existing patterns of coordination, and that expertise in general can be considered an intrinsic constraint on coordination.

Adaptation, Physiological↗