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Biomedical subjects

J Corberand

Publications and source records attributed to J Corberand.

At least 37 records · Page 2Linked to original sources

Effect of tobacco smoking on the functions of polymorphonuclear leukocytes.

Eight tests investigating the function of circulating polymorphonuclear leukocytes were performed in 68 subjects, half of whom smoked at least 20 cigarettes per day. Comparison of the two groups allowed determination of the in vivo effect of tobacco smoke on the nonspecific defense system of the body. Ingestion ability, oxygen consumption, and bactericidal activity were normal in smokers. Myeloperoxidase and neutrophil alkaline phosphatase activities also were unchanged. The nitroblue tetrazolium reduction and the serum lysozyme levels were slightly increased in smokers. The capillary tube random migration, though, was depressed, and intensive smoking further aggravated this change. It is suggested that tobacco smoke acts directly on one (or several) unidentified target site of polymorphonuclear leukocytes. This impairment, demonstrated in vivo, probably plays a role in the genesis of the bronchopulmonary diseases so frequent in heavy smokers.

Alkaline Phosphatase↗

Increase of neutrophil alkaline phosphatase in the mothers of leukemic children.

A comparative study of the polymorphonuclear neutrophiles of 62 parents of children suffering from acute leukemia and of 110 couples with normal children revealed a marked increased of Neutrophil Alkaline Phosphatase (p less than 0.05) in the mothers of the leukemic children. The other parameters (periodic acid Schiff and myeloperoxidase) were unchanged.

Acute Disease↗

[Respiratory signs linked to passive inhalation of tobacco smoke in infants (author's transl)].

Thirty observations done on infants formed the base of a review of the literature on the epidemiology, the clinical signs and the physiopathological mechanisms of passive smoking (PS). The main signal was a chronic cough but in infants under 12 months, PS also provoked, as well, an "asthmatoid bronchitis", progressing relentlessly since the coming out of maternity ward, in relation with the maternal tobacco addiction. In these patients, examinations failed to disclose the different causes of recurring respiratory infections. Among the granulocytic tests, only the spontaneous migration of neutrophil polykaryocytes in the absence of chemotactic stimulus was significantly lowered, by comparison with the controls. The authors did a review on epidemiological surveys done to this day; they revealed a direct relationship between the parent's addiction to tobacco and the frequency of recurring respiratory disorders. It was particularly evident when the mother smoked and the child was under 12 months. At this age it was independant from the infection eventually transmitted by the parent's cough. The constituants of tobacco smoke probably have a depressive action over the regional or perhaps the general means of immunitary defense as it is suggested by the decrease of leukocyte migration noted in parents with PS. It is therefore necessary in our country to define the true risks of PS in infants thanks to well organized epidemiological surveys and to obtain the means of an efficient preventive policy.

Adult↗

[Determination of mean platelet volume in pediatric hematology. Practical value (author's transl)].

Some particle counters give a routine determination of mean platelet volume. 272 determinations of this new parameter were performed on 107 hospitalized children in the hematology field. Giant platelets are a frequent sign in peripheral thrombocytopenia, and they are never observed in central thrombocytopenia. The determination of the mean platelet volume is of value in an emergency examination for thrombocytopenia, while awaiting the results of a myelogram, and in monitoring primary thrombocytopenic purpura. In this later condition, the persistance of an increased mean platelet volume in spite of an improvement in the number of platelets should lead to a suspicion of a relapse.

Acute Disease↗

Chronic granulomatous disease with leukocytic glucose-6-phosphate dehydrogenase deficiency in a 28-month-old girl.

A 28-month-old girl, whose parents are first cousins, was hospitalized following a series of severe infections. Results of functional granulocytic tests permitted the diagnosis of chronic granulomatous disease (lack of nitroblue tetrazolium dye reduction, impaired bactericidal activity for Staphylococcus aureus but normal activity for Streptococcus foecalis). Random migration was also impaired, and leukocytic glucose-6-phosphate dehydrogenase (G6PD) activity was decreased (37% of the normal mean). In contrast, erythrocytic G6PD activity was normal. Similar leukocytic studies of both parents revealed a moderate decrease of the mother's leukocytic G6PD activity (62% of the normal mean). This case represents an additional argument in favor of the recessive autosomal transmission of chronic granulomatous disease in females.

Cell Movement↗

Heterogeneity of erythrocyte pyruvate kinase deficiency and related metabolic disorders in patients with hematological diseases.

In several patients suffering from congenital non-spherocytic hemolytic anemia or from malignant hemotological disorder associated with erythrocyte pyruvate kinase (PK) deficiency, a metabolic study has been carried out involving the following biochemical determinations: assay of red cell enzyme activities; estimation of glucose consumption; measurement of the rate of glycolytic intermediates; and, in some cases, enzyme purification and characterization of the PK variant. Metabolic equilibrium most probably does not depend on kinetic characteristics of PK molecules. Furthermore, the data obtained allow separation of cases with congenital non-spherocytic hemolytic anemia (hereditary defect) and acquired PK deficiencies.

Adenine Nucleotides↗

Neutrophil function in rheumatoid arthritis.

In order to determine the endocytic ability and metabolic capacity of polymorphonuclear neutrophils, 45 patients with rheumatoid arthritis were compared with a series of control subjects. Two in vitro tests were performed in each patient: the phagocytic index (Brandt's technique) and the nitro-blue tetrazolium reduction test (Braehner & Nathan's technique). These two tests show a significant decrease in comparison with controls, the NBT reduction being modified only in stimulated leukocytes. This finding, in contrast to previously reported studies based on different techniques, underlines the existence of a functional modification of blood polymorphonuclear neutrophils in rheumatoid arthritis.

Arthritis, Rheumatoid↗

Leukocyte cytochemical reactions in preterm and small for date babies.

Four cytochemical reactions widely used for hematological diagnosis (Myeloperoxydase, leukocyte alkaline phosphatase, PAS and Sudan Black) were carried out in 46 infants admitted into a neonatology unit (14 preterm babies, 19 small for date newborn infants (SDB) and 13 preterm with retarded intra-uterine growth). The MPO, polymorphonuclear PAS and Sudan Black levels are comparable in the three groups of infants and the same as in normal full-term newborn babies. On the other hand, the LAP level, identical in preterms and SDB, is lower than in full-term infants but higher than in adults. Lymphocyte PAS value increases progressively with age. Better interpretation of results would be gained with knowledge of normal ranges for these four parameters in children. The authors suggest that these reactions should be used in the field of general metabolic diseases, susceptibility to infection and genetic diseases with or without chromosal abnomaly.

Alkaline Phosphatase↗

Distribution of G6PD types in the population of southwest France: common variants and new variants.

Glucose-6-phosphate dehydrogenase was purified from blood samples originating from 33 subjects living in the 'Midi-Pyrenees' region (Southwest France). Biochemical and electrophoretic characteristics of several enzymatic variants were revealed. The distribution of the mutations in the subjects studied gave the following results: (1) Meditteranean Gd(-) and Gd(-)A identified variants; they constitute the main part of our observations. (2) Two original variants confirmed by the WHO International Reference Laboratory, that is: Gd(-) Toulouse and Gd(+) Luz-Saint-Sauveur; the latter mutation did not produce any haematological disorder. Absence of chronic haemolytic anaemia as well as a high rate of favism could be found in the families studied. As it is generally observed in Mediterranean regions, Southwest France population is characterized by a certain heterogeneity in biochemical and genetic mutations.

Erythrocytes↗