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J L Gaillard

Publications and source records attributed to J L Gaillard.

137 records · Page 8Linked to original sources
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Is the perinatal lethal form of Gaucher disease more common than classic type 2 Gaucher disease?

In recent years there has been increased recognition of a severe perinatal lethal form of Gaucher disease, the inherited deficiency of lysosomal glucocerebrosidase. We previously reported a case of severe type 2 Gaucher disease which was seen in a medical center in Rotterdam and now present three new cases from two other families seen at the same center. Mutational analyses of these cases revealed two novel mutations, H311R and V398F, located in exons 8 and 9, respectively. The identification of four cases of lethal type 2 Gaucher disease in a single center seems to be a function of increased awareness of this phenotype, rather than of geographic clustering. The actual incidence of lethal type 2 Gaucher disease may be underestimated, as many cases may have been misclassified as collodion babies or hydrops of unknown cause.

DNA Mutational Analysis↗
PubMedDate not supplied

Equine ovarian aromatase: evidence for a species specificity.

Mare granulosa cells and cyclic corpus luteum microsomes are reported to aromatize 19-norandrogens more efficiently than androgens. However, 16 alpha-hydroxytestosterone and epitestosterone were not aromatized by the equine corpus luteum microsomal estrogen synthetase. These results indicate that the equine aromatase system would be different from the human placental microsomal estrogen synthetase, which aromatizes 16 alpha-hydroxyandrogens and epitestosterone but not 19-norandrogens. Furthermore, our data show that the rates of aromatization of androgens and 19-norandrogens were not additive and that 19-norandrogens competitively inhibited the aromatization of androgens, suggesting that a single enzymic system would be involved in the aromatization of androstenedione, 19-norandrostenedione, testosterone, and 19-nortestosterone. Our findings, which are identical to those previously reported for stallion testis and mare placental estrogen synthetases, provide evidence for a strong species specificity of the equine aromatase system.

Androstenedione↗
PubMedDate not supplied

Conventional and nonconventional modes of vancomycin administration to decontaminate the internal surface of catheters colonized with coagulase-negative staphylococci.

Using a quantitative in vitro model simulating clinical conditions, we studied the efficacy of conventional and nonconventional 3-day therapies involving vancomycin for treating the internal surface of catheters colonized with a slime-producing strain of Staphylococcus epidermidis. When infused for 1 hr every 8 hr through the catheter at the daily dose recommended for a 10-kg child (450 mg), vancomycin alone reduced bacterial colonization but failed to sterilize the inserts. Vancomycin was more active in combination with netilmicin (25 mg for 1 hr every 8 hr), rifampin (150 mg for 90 min every 12 hr), or fosfomycin (500 mg for 4 hr every 6 hr), but the catheters were inconsistently decontaminated after 3 days of treatment. Two nonconventional modes of antibiotic administration were tested for their capacity to ensure high levels of vancomycin in the catheter lumen over a prolonged time. Vancomycin infused continuously through the catheter at a daily dose of 450 mg had the same poor sterilizing effect as vancomycin administered intermittently. On the contrary, catheters were totally decontaminated when 2.5 mg of vancomycin in a volume of 0.5 ml were injected twice daily into noninfused catheters, confirming that the antibiotic-lock technique is an approach of great interest to sterilize the internal surface of catheters colonized with staphylococci.

Catheters, Indwelling↗