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Biomedical subjects

J L Binet

Publications and source records attributed to J L Binet.

At least 109 records · Page 6Linked to original sources
PubMed1982

[Various aspects of blood cells in the 19th century].

Although the erythrocytes are known since the 17th century, their quantification and their way of production could only be described in the 19th century. As the result of the first cytological and histological colorations at that time, the different types of leucocytes were discovered and the first clinico-cytological descriptions of leukemia and of ganglionic disturbances could be made. The platelets were also identified, the knowledge of their functions and of their pathological aspects, however, was still very fragmentary.

Blood Cells↗
PubMed1982

Automated recognition of B and T lymphocytes by immunoperoxidase on the hemalog D system and its applications.

A new automated immunoperoxidase assay for the recognition of B and T lymphocytes on the Hemalog system is proposed. Lymphoïd cells are incubated with peroxidase labeled antibodies, and after manual washing, cells are run through the flow system of the machine which automatically stains the cells for peroxidase and, according to their staining for this enzyme, separates positive from negative cells. Using this method we have been able to recognize B and T lymphocytes and to count them as accurately as by routine immunological methods. Very preliminary results, concerning a few cases of chronic lymphocytic leukemia, prolymphocytic leukemia and Waldenström's macroglobulinemia are also reported. The usefulness of this new method which allows processing of 60 samples per hour is discussed.

Animals↗
PubMed1981

A new prognostic classification of chronic lymphocytic leukemia derived from a multivariate survival analysis.

Survivals of two series of CLL patients (99 from a retrospective series and 196 from a prospective series) were studied separately. The three main staging systems (Rai, Binet, Rundles) agreed well, but as far as survival is concerned, too many stages are defined. The authors performed a Cox multivariate analysis of survival in order to isolate important prognostic factors at diagnosis and to use them to build a simple three-stage classification. Thrombopenia and anemia appeared as the most important risk factors. Among the nonanemic and nonthrombopenic patients, the number of involved areas was clearly related to prognosis in the authors' two series. This study allowed the authors to propose a new classification in three prognostic groups. Group C: anemia (Hb less than 10 g) and/or thrombopenia (platelets less than 100,000/mm3); about 15% of the patients; median of 2 years. Group B: no anemia, no thrombopenia, three or more involved areas (counting as one each of the following: axillary, cervical, inguinal, lymph nodes, whether unilateral or bilateral, spleen and liver); about 30% of patients; median of 7 years. Group A: no anemia, no thrombopenia, less than three involved areas; about 55% of patients; the survival of this group does not seem different from that of the French population of the same age and sex distribution. This three-stage classification only requires clinical examination and routine hemogram, has a good prognostic value which was confirmed on the series of Montserrat and Rozman (146 patients), and should therefore be helpful in planning new clinical trials.

Aged↗
PubMed1981

[Neuropathy in angioimmunoblastic lymphadenopathy (author's transl)].

Four cases of angioimmunoblastic lymphadenopathy associated to peripheral neuropathy are described. The neuropathy was mixed, sensory and motor, more or less extensive, always asymetrical. In two cases, the clinical symptomatology and the clinical course were very peculiar, characterized by sensory disorders of a precise topography, circumscribed and sometimes suspended and by a relapsing and remitting course. In the third case, the neurological signs were acute and rapidly extensive with mandatory respiratory assistance. In this case, death occurred after a few weeks and the exact diagnosis was only attained at post-mortem examination. In the fourth case the neuropathy was very painful but the course was slow. In all four cases marked and extensive pain was present prior to the neurological disorders. Electrophysiological abnormalities were a constant feature with a marked slowing down of nerve conduction velocity. CSF was normal at the beginning in one case but was otherwise markedly pathological with an increased number of cells due to a large number of lymphocytes ranging from 6 to 40 cells while protein ranged from 60 to 160 mg per 100 ml. Nerve and muscle biopsies were non specific, i.e. neurogenous muscular atrophy and demyelination, except in case n. 4 where specific angioimmunoblastic lymphadenopathy infiltrates were present both in nerve and muscle. In cases 1 and 3 a non specific lymphohistiocytic infiltrate was present in spinal roots and meninges. Corticotherapy was used and efficient in two cases. These data are compared with a review of the literature. Since 1976, 7 cases of angioimmunoblastic lymphadenopathy associated to peripheral neuropathy have been reported. Clinical, electrophysiological and biological features are similar. Only one case underwent a post mortem examination of the central nervous system: a non specific lymphocytic infiltration in the spinal roots and meninges was mentioned. The role of the dysproteinemia associated with the AIL in the occurrence of the neuropathies is discussed. It remains a possible factor only. The role of a massive specific localization of the pathological process is well established in only one case (case 4). Such localization in lymphomas are not unusual. In 2 of our cases as well as in 2 from the literature the pathological findings are non specific: mild lymphoplasmocytic infiltrates of spinal roots and meninges. Those lesions are similar to neuropathies associated to non metastasizing neoplasms or malignant hemopathies.

Aged↗
PubMed1981

Differentiation ability of the CLL lymphocyte: an immature lymphocyte or an abnormal leukemic cell?

The present study is concerned with the patterns of cell differentiation in chronic lymphocytic leukemia. Most cases correspond to the proliferation of a B-cell clone. In contrast to the normal B-lymphocyte, the B-cell CLL lymphocyte is characterized by: (1) very low amounts of monoclonal surface Ig; (2) the presence of receptors for mouse red blood cells; (3) the presence in a high percentage of cases of dual B and T markers. T-cell CLL is a rare event and is defined by a peculiar clinical and hematological picture including the presence of receptors for sheep erythrocytes, the reactivity with anti-T sera, and negative or very low values of terminal transferase. Different studies have conflicted in their findings on the incidence of null-cell CLL; however, these cases appear to be rare. Perhaps more sensitive methods of study must be employed before concluding that the null-cell CLL exists and before establishing its incidence. Even though great progress has been made in the understanding of this disease, two main questions remain unresolved: 1. Does the proliferating clone correspond to an immature B-lymphocyte, or does it merely represent an abnormal leukemic cell? 2. What is the role of T cells in B-cell CLL?

B-Lymphocytes↗
PubMed1980

Hemoglobin Pitie-Salpetriere beta 34 (B16) Val replaced by Phe. A new high oxygen affinity variant associated with familial erythrocytosis.

Hemoglobin Pitie-Salpetriere was detected by routine isoelectric focusing. It moved up on isoelectric focusing between hemoglobin A and hemoglobin F, near Hb F. On cellulose acetate strips at pH 8.6, it moved as hemoglobin A. This new variant exhibits a high oxygen affinity associated with familial erythrocytosis. The valine residue in position beta 34 has been replaced by a phenylalanine residue. This residue is involved in the alpha 1 beta 1 contact.

Amino Acid Sequence↗
PubMed1980

[Rapidly progressing basal-cell naevi (author's transl)].

Basal-cell epitheliomas are of primary importance when discussing a case of multiple naevi. Two factors have to be considered to explain therapeutic failures: --Firstly, the very active local malignancy of these basal-cell epitheliomas; --Secondly, the long delay in applying drastic treatment such as wide excision and immediate repair, and the danger arising from divergent therapy because of lack of a common decision between the various specialists concerned: dermatologist, ophthalmologist, radiotherapist, and plastic or maxillofacial surgeon.

Adult↗
PubMed1980

Individual cell-by-cell quantitation of lymphocyte surface membrane Ig in normal and CLL lymphocyte and during ontogeny of mouse B lymphocytes by immunoperoxidase assay.

A new quantitative immunoperoxidase method is presented for determining absolute amounts of peroxidase and, consequently, surface antigen densities of individual cells in B lymphocytes from normal individuals, from subjects with CLL and prolymphocytic leukemia, and during ontogeny of B lympocytes in the mouse. The following results were observed: (1) The density of B antigenic sites were lower on CLL than on normal B lymphocytes. (2) The B antigens density of leukemic lymphocytes varied less from cell to cell, forming a homogeneous peak on histograms. (3) In a very rare case of CLL, the antigen density was measured at the time of initial diagnosis (22,500 sites or 647 U) and during the development of a blastic crisis (135,000 sites or 2576 U). The cell by cell distribution changed from a homogeneous peak with a low number of antigenic sites per cell to a heterogeneous peak with a high number of antigenic sites per cell. (4) In prolymphocytic leukemia, the density of B antigenic sites was greater than on normal B lymphocytes and much more heterogeneous than on CLL lymphocytes. (5) During ontogeny of B lymphocytes in the mouse, maturation is associated with the appearance of a population of cells of intermediate to high Smig density. The finding of a decrease in, and altered distribution of, surface markers in CLL is compared with these ontologic findings in the mouse, and the concept that a monoclonal B lymphocyte in CLL may be arrested at a particular stage in its differentiation is discussed.

Animals↗
PubMed1980

Two new applications of the immunoperoxidase method: cell-by-cell quantitation of surface immunoglobulins and automated recognition of B-lymphocytes.

Two new applications of the immunoperoxidase method are reported. In the first one, cells after incubation with antibodies coupled with peroxidase washing and staining by carbazol are cytocentrifuged and individually analyzed for their content on surface immunoglobulin (Ig) in two photometric microscopes. The results included the following: 1. Maturation of mice B-lymphocytes during ontogeny is accompanied by the appearance of a population containing intermediate to high amounts of SIg. 2. The CLL B-lymphocyte pattern as compared with that of normal B-lymphocytes shows a decrease of SIg and a homogeneous distribution. In the second application, mice splenic lymphocytes are incubated with antimouse Ig coupled with peroxidase and analyzed through Hemalog D. B-lymphocytes are separated from T-lymphocytes in a distinct population since they become positive for peroxidase.

Aging↗
PubMed1980

[Prognostic value of the study of lymphocytic volumes in chronic lymphocytic leukemia (author's transl)].

The modal volume of peripheral blood lymphocytes from 23 patients with chronic lymphoid leukemia (CLL) was measured by a Coulter ZBI linked to a channalyzer C 1000, varied from 140 to 262 mu3. A statistical correlation between the modal volume and anatomo-clinical forms of the disease was determined: a modal volume below 190 mu3 was statistically found among early forms while a volume over this threshold corresponded to advanced forms. Since Sipe et al. postulated that cell volume might be relayed to the cell kinetics, we attempted to determine the volume distribution law of lymphocytes from 12 CLL cases by applying the chi-square distance test. The best adjustment was observed with the two log-normal populations model, but this adjustment was acceptable for only five cases over twelve. The instability in the determination of the percentage of the second population made it impossible + relate it with the proliferative cell fraction. Moreover, this model did not provide more significant information than the single modal volume.

Aged↗
PubMed1979

Detection and quantification of platelet-bound antibodies with immunoperoxidase.

The use of immunocytochemical techniques enables one to quantify antibodies bound to cell membranes. We have tested the platelets of subjects with immune thrombocytopenic purpura by this method. The washed platelets were incubated in the presence of antiglobulin conjugated with an equimolar amount of peroxidase. The fixed peroxidase was revealed and quantified by an enzymatic reaction using orthodianizidine-H2O2. From the results the number of immunoglobulin molecules per platelet was calculated. The test was calibrated so as to eliminate non-specific fixation of the reagent. Under these conditions the platelets of subjects with idiopathic thrombocytopenic purpura bound a much large amount of detectable immunoglobulin (800-21 000 molecules per platelet) than those of normal subjects (235 +/- 74 sites per platelet) or subjects with non-immune thrombocytopenia (395 +/- 203 molecules per platelet).

Antibodies↗
PubMed1979

Biochemical and histological analysis of bone marrow collagen in myelofibrosis.

Total protein, collagen (hydroxyproline) and glycoproteins (hexosamine) content of control and myelofibrosis (MF) bone marrow samples was determined using a sequential extraction procedure. MF marrow extracts contained higher amounts of collagen than control extracts. The collagen content appeared to increase with the duration of the disease. In more recent MF cases (less than 2 years) at least 60% of the total collagen was extracted in 0.5 M NaCl. this proportion decreases to 33% in older cases (greater than 4 years), indicating a progressive insolubilization (crosslinking) of collagen. The hexosamine content of the extracts decreased in MF as compared to controls reflecting a decrease in glycosaminoglycans (and possibly of structural glycoproteins). The reticulin content of the same bone marrows was estimated by a quantitative morphometric procedure. There was a positive correlation between the morphometrically estimated reticulin surface and the total hydroxyproline content of the marrow samples. The slopes of the least square lines correlating increase of reticulin surface to hydroxyproline content were, however, significantly different in control and MF marrows, indicating a 44% higher increase in histochemically detectable reticulin per unit increase in hydroxyproline content than in the control marrows. This result may indicate a more efficient fibrogenetic process in MF marrow than in normal bone marrow. The above results confirm the collagenous nature of the fibrous reticulin like material deposited in MR marrows and suggests a correlation between the progression of the disease and the rate of synthesis and deposition of collagen fibres.

Adult↗