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Biomedical subjects

O Bertrand

Publications and source records attributed to O Bertrand.

At least 55 records · Page 3Linked to original sources
PubMed1997

Immunochemical analysis of the Kx protein from human red cells of different Kell phenotypes using antibodies raised against synthetic peptides.

The Kx protein is an erythrocyte membrane polypeptide which is deficient in rare individuals suffering from the McLeod syndrome. The gene encoding this protein has been recently cloned and the Kx protein independently purified as a covalent complex with the Kell blood group protein. To further study the Kx membrane protein, antisera raised in rabbits against six synthetic peptides derived from the primary sequence of this protein were characterized. All antisera but two precipitated the recombinant Kx protein synthesized in coupled transcription-translation in vitro. Three antisera reacted on immunoblots with the 37 kD Kx protein present in the purified Kell-Kx complex and in SDS red cell membrane lysates from variants with different Kell blood group phenotypes, including Ko, which lack the Kell protein of 93 kD. However, no reactivity was found with McLeod preparations lacking Kx protein, thus clearly indicating that these antibodies have a Kx specificity. Unexpectedly, the relative amount of Kx protein in Ko cells was found to be lower than in red cells with common Kell phenotypes, suggesting that the absence of the Kell protein may alter the amount of Kx in the membrane.

Antibodies↗
PubMed1997

Long- and medium-chain triglycerides during parenteral nutrition in critically ill patients.

Due to their special metabolic pathway, medium-chain triglycerides (MCT) have been claimed to be oxidized more extensively, compared with long-chain triglycerides (LCT), when administered as a parenteral nutritional support. This enhanced lipid oxidation rate of MCT emulsions could be particularly disclosed in hyperglycemic and hyperinsulinemic conditions. In an attempt to further elucidate this question, we measured substrate oxidation rates in critically ill patients liable to experience such metabolic conditions, that is to say postoperative patients after esophageal resection receiving 1.5 times their measured energy expenditure (n = 12) or after liver transplantation (n = 8). These patients received either LCT or MCT-LCT emulsions. The metabolic measurements were performed simultaneously by two methods, namely indirect calorimetry and isotopic methods based on natural abundance of nutrients. Although both groups of patients were hyperglycemic and hyperinsulinemic, the measured carbohydrate and lipid oxidation rates were not different with whatever type of lipid was administered. The MCT-LCT emulsions did not offer clear-cut advantages over LCT emulsions in critically ill patients when lipid energetic fate was considered.

Aged↗
PubMed1997

Successful management of acute aortic dissection in a heart transplant recipient.

A case of type III aortic dissection which occurred fourteen months after heart transplantation is presented. Medical therapy was instituted to achieve controlled hypotension. The evolution was favorable and the patient could be discharged after one month. Hypertension and increased ejection fraction after transplantation could have been predisposing factors via an increase of the shear stress in the aorta.

Aged↗
PubMed1997

Effects of altitude hypoxia on middle latency auditory evoked potentials in humans.

BACKGROUND: This paper presents an investigation of auditory evoked responses in humans subjected to high altitude hypoxic conditions. METHODS: Middle latency (MLAEPs) as well as short latency (BAEPs) evoked potentials were recorded in 10 healthy subjects, first at sea level (N), then 24 h (H1) and 72 h (H3) after their arrival at an altitude of 4350 m. At the same time, arterial blood parameters (PaO2, PaCO2 and pH) were measured and the clinical status of the subjects was assessed. RESULTS: In altitude conditions, the amplitude of BAEP peak V decreased (-17%). The MLAEP waves showed variations in the shape of their latest waveforms. Their amplitudes, however, were not affected. The Pa-Nb interpeak latency significantly decreased (-2.2 ms) between N and H1, and remained stable during the stay at high altitude. CONCLUSION: A correlation was found between the relative decrease of PaCO2 and the shortening of Nb wave latency, suggesting that the variations in MLAEPs could be preferentially related to the ventilatory response of the subjects in hypoxic conditions. However, no correlation was found between the clinical status of the subjects (Acute Mountain Sickness score) and the parameters of the waves.

Adaptation, Physiological↗
PubMed1996

Separation of proteases: old and new approaches.

All methods of protein separations can be applied to proteases. Some emphasis is put in this review on a powerful technique specific to proteases purification: cyclic peptide antibiotics may be seen as general affinity ligands for proteases. Also, some examples of affinity chromatography of proteases on ligands with narrower specificity are given. The special interest of hydrophobic interaction chromatography for proteases purification is discussed. The merits of immobilized dye chromatography for proteases purification and the interest in empirically screening many immobilized dyes, as well as several eluents are discussed.

Anti-Bacterial Agents↗
PubMed1996

Stimulus specificity of phase-locked and non-phase-locked 40 Hz visual responses in human.

Considerable interest has been raised by non-phase-locked episodes of synchronization in the gamma-band (30-60 Hz). One of their putative roles in the visual modality is feature-binding. We tested the stimulus specificity of high-frequency oscillations in humans using three types of visual stimuli: two coherent stimuli (a Kanizsa and a real triangle) and a noncoherent stimulus ("no-triangle stimulus"). The task of the subject was to count the occurrences of a curved illusory triangle. A time-frequency analysis of single-trial EEG data recorded from eight human subjects was performed to characterize phase-locked as well as non-phase-locked high-frequency activities. We found in early phase-locked 40 Hz component, maximal at electrodes Cz-C4, which does not vary with stimulation type. We describe a second 40 Hz component, appearing around 280 msec, that is not phase-locked to stimulus onset. This component is stronger in response to a coherent triangle, whether real or illusory: it could reflect, therefore, a mechanism of feature binding based on high-frequency synchronization. Because both the illusory and the real triangle are more target-like, it could also correspond to an oscillatory mechanism for testing the match between stimulus and target. At the same latencies, the low-frequency evoked response components phase-locked to stimulus onset behave differently, suggesting that low- and high-frequency activities have different functional roles.

Adult↗
PubMed1996

Percutaneous balloon pericardiotomy: a case report and analysis of mechanism of action.

A 33-year-old man with acquired immunodeficiency syndrome (AIDS) and cardiac tamponade underwent percutaneous balloon pericardiotomy. To elucidate the pathway of fluid elimination, at the end of the procedure, we injected methylene blue into the pericardial space. Contrary to previous belief, we found no blue discoloration of the pleural fluids, and thus we postulate that most of the fluid was eliminated by peritoneal resorption.

Acquired Immunodeficiency Syndrome↗
PubMed1996

Acute diverticulitis in heart transplant recipients.

Immunosuppressed patients are susceptible to complicated diverticulitis, but reports of this complication are scarce in heart graft recipients. To estimate the prevalence of acute diverticulitis in heart graft recipients, we retrospectively reviewed the cases of diverticulitis in a series of 143 patients who underwent orthotopic heart transplantation in a period of 10 years. Six (4%) of these developed acute diverticulitis and required colectomy. All of them were male patients and were older than 50 years. Four patients underwent urgent laparotomy and colon resection with end colostomy (Hartmann procedure). The two other patients suffered from diverticulitis without generalized peritonitis and underwent laparoscopic sigmoidectomy with direct transanal end-to-end anastomosis. The postoperative outcomes of these six patients were satisfactory. As are other immunosuppressed patients, heart graft recipients are susceptible to diverticulitis. Early surgical management may be safe in well-compensated patients.

Abscess↗
PubMed1996

Improved dipole localization using local mesh refinement of realistic head geometries: an EEG simulation study.

A systematic evaluation of dipole localization accuracy using the boundary element method is presented. EEG simulations are carried out with dipoles located in the right parietal and temporal regions of the head. Uniformly meshed and locally refined head models are considered in both spherical and realistic geometries. An initial study determines the influence upon the localization accuracy of the dipole depth below the brain surface, of its orientation (radial and tangential), and of the global and local mesh densities. Simulated potential data are computed analytically in the spherical case, and numerically using a very fine (locally refined) model in the realistic case. Results in both geometries show that in order to get localization errors of about 2-4 mm, uniformly meshed models may be used for dipoles located at depths greater than 20 mm, whereas locally refined models should be used for shallower dipoles. Two other studies show how the localization accuracy depends upon the size of the local refinement area and upon the number of electrodes (19, 32, 63). Results show that a large number of electrodes brings significant improvements, especially for shallow and tangential dipoles.

Brain↗
PubMed1995

Cell-type-specific ras mutations but no microsatellite instability in chemically induced mouse skin tumors and transformed 3T3 cells.

In mouse skin, both papillomas/carcinomas or fibrosarcomas can be induced by 7,12-dimethylbenz[alpha]anthracene (DMBA) depending on the mode of administration. Thus, upon DMBA painting (or transplacental exposure by i.p. injection to pregnant mothers) followed by 12-O-tetradecanoylphorbol-13-acetate applications to the skin of CD1 mice, papillomas and carcinomas appeared, whereas fibrosarcomas were induced when DMBA was s.c. injected. Molecular analysis of these tumors revealed that the majority of papillomas (17/20) and carcinomas (9/10) showed DMBA-specific mutations (A to T transversion at the 61st codon) in the Ha-ras gene. On the other hand, many fibrosarcomas (5/9) showed the same mutation only in the Ki-ras gene. When microsatellites were studied in these tumors at nine loci containing CA repeats, none of them showed an instability. In addition, when we analyzed 14 BALB/c 3T3 cell lines transformed by various carcinogens (including 3 clones induced by DMBA which have the A to T mutation in the Ki-ras gene), no changes in CA repeats were observed. These results suggest that DMBA-induced mouse tumors/transformed cells show cell-type-specific ras gene mutations, and these occur independently in the absence of microsatellite instability. While murine cells are considered to be relatively susceptible to cancer induction partially due to genomic instability, our results indicate that microsatellite instability is not induced in these cells by chemical carcinogens.

3T3 Cells↗
PubMed1995

Gamma-range activity evoked by coherent visual stimuli in humans.

We tested the hypothesis of a role of gamma-range synchronized oscillatory activity in visual feature binding by recording evoked potentials from 12 subjects to three stimuli: two coherent ones (a Kanizsa triangle and a real triangle) and a non-coherent one (a Kanizsa triangle in which the inducing disks had been rotated so that no triangle could be perceived). The evoked potentials were analysed by convoluting the signal for each subject and each stimulation type by Gabor wavelets centred from 28 up to 46 Hz, providing a continuous measure of frequency-specific power over time. A first peak of activity was found around 38 Hz and 100 ms with a maximum at electrode Cz in each experimental condition. A second peak of activity occurred around 30 Hz and 230 ms, with a maximum at O1 in response to the real triangle and a maximum at Cz in the case of the illusory triangle. At 100 ms we did not find any variations of the gamma-band component of the evoked potential with stimulation type, but the power of the 30 Hz component of the evoked potential between 210 and 290 ms differed from noise only in the case of a coherent triangle, no matter whether real or illusory. We thus found a 30 Hz component whose power correlates with stimulus coherency, which supports the hypothesis of a functional role of high-frequency synchronization in feature binding.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1995

Purification and partial characterization of the erythrocyte Kx protein deficient in McLeod patients.

A 37-kDa protein was immunopurified from human erythrocytes as a complex with a monoclonal antibody directed against the Kell blood group protein of 93 kDa. A rabbit antibody raised against the purified complex reacted on a Western blot with the 93-kDa and 37-kDa proteins and was able to immunoprecipitate the 37-kDa component from K0 erythrocytes which express large amount of the Kx antigen, but not from erythrocytes of patients suffering from McLeod syndrome, a X-linked disorder in which the Kx antigen is lacking. Additional studies have shown that the 37-kDa protein is not glycosylated, and permitted the sequence of the 22 first N-terminal amino acids to be established. This sequence was identical to the predicted protein product of the XK gene cloned recently, which is deleted or mutated in McLeod patients [Ho, M., Chelly, J., Carter, N., Danek, A., Crocker, P. & Monaco, A. P. (1994) Cell 77, 869-880]. Our findings provide strong evidence that the 37-kDa red cell membrane protein is identical to the Kx protein produced by the XK structural gene and demonstrate that Kx and Kell proteins are two subunits expressed as a complex hold by disulfide bond(s) at the red cell surface.

Amino Acid Sequence↗
PubMed1995

Clinical validation of the Deltatrac monitoring system in mechanically ventilated patients.

OBJECTIVE: To evaluate a monitor of pulmonary gas exchange (Deltatrac, Datex) in a clinical setting. DESIGN: After in vitro evaluation, comparison over 2 min between VO2 and VCO2 values measured by the Deltatrac and the Douglas bag technique. Comparisons were also achieved over 8 h periods between the Deltatrac and a system using a mass-spectrometer. SETTING: Polyvalent intensive care unit (ICU 15 beds) in a 1200 bed general hospital. PATIENTS: Comparison with the Douglas bag technique in 10 patients undergoing controlled ventilation. Comparison with the mass-spectrometer system in 25 other patients undergoing controlled or pressure support ventilation. MEASUREMENTS AND RESULTS: Compared to the results obtained by the Douglas bag technique, the bias (+/- 2 SD) for VO2 and VCO2 was -3.5 +/- 26.6 and 6.1 +/- 12.7 ml.min-1, respectively. By comparison with the mass-spectrometer system, the bias for VO2 and RQ was -5.8 +/- 16.0 ml.min-1 and 0.018 +/- 0.048, respectively. No drift between the two systems was observed over time. CONCLUSIONS: The Deltatrac appears suitable for VO2 and VCO2 measurements in ventilated patients and equivalent to a mass-spectrometer system for long term measurements.

Analysis of Variance↗
PubMed1995

Specific tonotopic organizations of different areas of the human auditory cortex revealed by simultaneous magnetic and electric recordings.

This paper presents data concerning auditory evoked responses in the middle latency range (wave Pam/Pa) and slow latency range (wave N1m/N1) recorded from 12 subjects. It is the first group study to report multi-channel data of both MEG and EEG recordings from the human auditory cortex. The experimental procedure involved potential and current density topographical brain mapping as well as magnetic and electric source analysis. Responses were compared for the following 3 stimulus frequencies: 500, 1000 and 4000 Hz. It was found that two areas of the auditory cortex showed mirrored tonotopic organization; one area, the source of N1m/N1 wave, exhibited higher frequencies at progressively deeper locations, while the second area, the source of the Pam/Pa wave, exhibited higher frequencies at progressively more superficial locations. The Pa tonotopic map was located in the primary auditory cortex anterior to the N1m/N1 mirror map. It is likely that N1m/N1 results from activation of secondary auditory areas. The location of the Pa map in A1, and its N1 mirror image in secondary auditory areas is in agreement with observations from animal studies.

Acoustic Stimulation↗
PubMed1995

Improved forward EEG calculations using local mesh refinement of realistic head geometries.

A method for semi-automatically constructing realistic surface meshes of 3 head structures--scalp, skull and brain--from a stack of MR images is described. Then an evaluation is given for both spherical and realistic dipolar models, using the boundary element method (BEM). In both cases, locally refined models were considered. Two characteristic mesh parameters were defined: the global and the local mesh densities (in triangles per cm2). In spherical geometries, numerical and analytical solutions were compared, and in the realistic case, all models were compared to a highly refined one, considered as a reference. Both geometries gave comparable results. It was found that for "deep dipoles" located at more than 20-30 mm under the brain surface, meshes with a global density of 0.5 tri/cm2 gave "acceptable" results, whereas for more superficial dipoles (2-3 mm < depth < 20-30 mm), it was necessary to locally refine meshes near the source location up to a local density of about 5-8 tri/cm2, to get comparable results.

Electroencephalography↗
PubMed1995

Tonotopic organization of the human auditory cortex: N100 topography and multiple dipole model analysis.

The tonotopic organization of the human auditory cortex has been investigated by means of scalp potential mapping and dipole modelling of the evoked response occurring around 100 msec after the stimulus onset. The major characteristics of the topographical changes observed with increasing stimulus frequency were statistically demonstrated. Using a 3-concentric sphere head model, the scalp potential distributions can be explained in first approximation by two equivalent current dipoles, located in the supratemporal plane and mimicking the activity of both auditory cortices. To take into account the temporal aspects of the brain activities, 3 time-varying dipole strategies were tested. Frequency dependence of the dipole orientation has been evidenced in both hemispheres with the 3 models, whereas no significant change in dipole position was found. The tilt in dipole orientation could be related to the folding geometry of Heschl's gyrus, which varies with depth. In agreement with previous MEG findings, this brings new evidence for a tonotopic organization of the auditory cortical area involved in the N100 wave generation. Moreover, distinct frequency dependences of the equivalent current dipoles were observed in the early and the late parts of the N100. This study demonstrates that simple dipolar models, applied on electrical data, make it possible to reveal functionally distinct cortical areas.

Adult↗