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Biomedical subjects

B Salomon

Publications and source records attributed to B Salomon.

At least 55 records · Page 3Linked to original sources

A truncated herpes simplex virus thymidine kinase phosphorylates thymidine and nucleoside analogs and does not cause sterility in transgenic mice.

Dividing eukaryotic cells expressing the herpes simplex virus type 1 thymidine kinase (TK) gene are sensitive to the cytotoxic effect of nucleoside analogs such as acyclovir or ganciclovir (GCV). Transgenic mice with cell-targeted expression of this conditional toxin have been used to create animals with temporally controlled cell-specific ablation. In these animal models, which allow the study of the physiological importance of a cell type, males are sterile. In this study, we showed that this phenomenon is due to testis-specific high-level expression of short TK transcripts initiated mainly upstream of the second internal ATG of the TK gene. This expression is DNA methylation independent. To obtain a suicide gene that does not cause male infertility, we generated and analyzed the properties of a truncated TK (delta TK) lacking the sequences upstream of the second ATG. We showed that when expressed at sufficient levels, the functional properties of delta TK are similar to those of TK in terms of thymidine or GCV phosphorylation. This translated into a similar GCV-dependent toxicity for delta TK- or TK-expressing cells, both in vitro and in transgenic mice. However, delta TK behaved differently from TK in two ways. First, it did not cause sterility in delta TK transgenic males. Second, low-level delta TK RNA expression did not confer sensitivity to GCV. The uses of delta TK in cell-specific ablation in transgenic mice and in gene therapy are discussed.

Animals↗

[Dendritic cells and tumor cell therapy].

Antigen presentation to T lymphocytes appears to be one of the deficient step in the induction of anti-tumoral immune responses. To overcome this deficit, it should be possible to use the professional antigen presenting dendritic cells. The principle of this strategy would be to purify dendritic cells, to prime them ex vivo with tumoral antigen, and to re-inject them to patient. The purification of dendritic cells can be achieved from the spleen, bone marrow, and peripheral or cord blood. Their sensitization to tumoral antigen could be obtained using various antigeneic preparation such as crude tumoral extract, or purified antigen, that will lead to an MHC class II restricted antigenic presentation to CD4+ T cells. Gene transfer can be used in the case of a cloned antigen and would lead to the restricted MHC class I priming of CD8+ T cells. The mode of administration, the nature of the dendritic cells used, the number of sensitized cells to inject, might depend on the nature and the location of the tumour. In vitro, it has been shown that dendritic cells sensitized with tumoral antigen are capable of triggering proliferative immune responses as well as cytotoxic T cells. In vivo, injection of dendritic cells primed with tumour cell lysate leads to protection of mice against a tumour challenge. Finally, gene transfer to dendritic cells is shown hereby to be possible, although the efficacy of transduction is still very low, and must be improved. Altogether, it should soon be feasible to use ex vivo primed dendritic cells for triggering otherwise inefficient immune responses in pathologies such as cancer or HIV infection.

Antigens, Neoplasm↗

Conditional ablation of dendritic cells in transgenic mice.

Dendritic cells (DC) are professional Ag-presenting cells that play a major role in T cell-mediated immune responses and in thymocyte differentiation. To better analyze their physiological importance, we sought to generate transgenic mice presenting a conditional DC deficiency. We used a strategy based on the cell-specific expression of a suicide gene. The DC-targeted expression is obtained using HIV regulatory sequences; indirect evidence has suggested that these sequences control a preferential expression in DC. The suicide gene is the herpes simplex virus type 1 thymidine kinase (HSV1-TK) which allows conditional ablation of dividing HSV1-TK-expressing cells by converting nucleoside analogs such as ganciclovir (GCV) into toxic molecules. We generated transgenic mice expressing an HSV1-TK gene transcribed from HIV regulatory sequences. A low but significant HSV1-TK expression was observed in mature DC and DC precursors grown from granulocyte-macrophage colony-stimulating factor-supplemented bone marrow cultures. These HSV1-TK-expressing DC precursors are specifically killed by GCV. We next treated transgenic mice with GCV, and obtained a specific ablation of DC in spleen and thymus. Ninety percent of spleen DC could be depleted within a week, indicating a turnover rate of approximately 15% per day. Interestingly, this DC depletion always correlated with a major thymic atrophy and disappearance of CD4+CD8+ thymocytes. This animal model should help to assess the physiological role of DC in the immune response and in thymocyte differentiation. It should also help to appreciate the consequences of DC dysfunction in pathological situations, such as HIV-infection or allograft rejection.

Animals↗

Performance of the dot visual acuity test with uncorrected ametropia resulting in target blur.

The dot visual acuity test is used to test the acuity of children between the ages of 2 and 4 years who do not respond to the tumbling E test. Because the test involves the detection of a black dot on a white background it is appropriate to ask if the detection threshold is lowered artificially in the presence of target blur. Twenty-one children (42 eyes) were used in the study. Refractive errors were fully corrected and each subject's lag of accommodation was measured. A monotonic decrease in acuity was found with increasing amounts of optical blur. The explanation for the decreased acuity is found in the reduced retinal image contrast of the blurred target.

Accommodation, Ocular↗

Cavernous sinus thrombosis in two Papua New Guineans.

Bilateral cavernous sinus thrombosis developed following minor forehead abrasions in two adult Melanesians in Papua New Guinea. In both cases diagnosis and the institution of appropriate treatment were delayed. The first patient died but the second survived with residual 6th cranial nerve palsy. Whenever this condition is suspected, because of the high case fatality rate, high-dose, intravenous antibiotic treatment which should include an agent effective against penicillinresistant staphylococci should be commenced without delay pending further investigation.

Adolescent↗

Donovanosis (granuloma inguinale) with vulval pseudo-elephantiasis.

A 24 year old Melanesian female from the Eastern Highlands of Papua New Guinea presented with chronic painless ulcers of the external genitalia, anus and thighs of many years' duration and marked left labial hypertrophy for one year. Scrapings from the ulcers contained large foamy mononuclear cells in which Donovan bodies were demonstrated. The ulcers responded to tetracycline therapy however she absconded after three weeks before surgical correction of the labial pseudo-elephantiasis could be carried out. Vulval pseudo elephantiasis of the magnitude present in this case is rarely seen in Papua New Guinea.

Adult↗

[Diagram for the prognosis of cephalo-pelvic disproportions. Application in 300 cases of pelvic contraction].

The authors using the information obtained by X-ray pelvimetry and ultrasound cephalometry in 300 cases of contracted pelves, suggest a diagram of cephalo-pelvic disproportion that can be used in the great majority of cases of contracted pelves. It is not applicable to those where there is significant deformation of the middle strait or an abnormality of presentation. It is divided into three zones: 1. A superior zone, favourable, into which the majority (60%) of cases of contracted pelvis fit. The risk of a serious dystocia during delivery is so small (less than 2%) that it can be considered scarcely different from those found in women with a normal pelvis. 2. An intermediate zone into which 24% of cases of contracted pelvis fit where the prognosis is uncertain. The labour should be considered as an "at risk" labour and a trial of labour conducted. 3. A lower zone into which 16% of the cases fit and which consists of two categories: --those in which the biparietal diameter is equal to or less than 90 mm. Prophylactic caesarean section should be avoided in these cases where disproportion is rare and where there is a risk of delivering a premature infant: and --those more numerous (9 out of 10) where the biparietal diameter is more than 90 mm and where, unless there is a clinically definitely favourable prognosis, it is justifiable to carry out prophylactic caesarean section. If this line is followed: one can avoid a large number of trials of labour, all of which are inconvenient and some of which are dangerous for the child; few unnecessary caesarean sections are carried out.

Adult↗

Utility of the creatinine prior to intravenous contrast studies in the emergency department.

The purpose of this study was to determine if it is possible to identify patients who have underlying renal insufficiency by evaluating their risk factors prior to receiving intravenous contrast in the emergency department (ED). This would allow selective ordering of a creatinine, resulting in a cost and time savings. This prospective study involved 640 consecutive adult patients presenting to the ED with a clinical indication for an intravenous contrast study. Physicians completed a study form evaluating a patient's risk factors for renal insufficiency. A serum creatinine was then obtained on all patients with a level of 1.6 mg/dl or greater considered abnormal. Thirty-five (5.5%) had an abnormal creatinine. Of these 35 patients, 27 (4.2%) had identifiable risk factors for renal insufficiency. Eight (1.3%) had no identifiable risk factors for renal insufficiency. In conclusion, it is possible to identify approximately 99% of ED patients at risk for contrast induced nephropathy by evaluation of risk factors.

Adolescent↗