No / Not available

Yes / The behavior of a linear copolymer of N-isopropyl acrylamide with pendant vancomycin functionality was compared to an analogous highly branched copolymer with vancomycin functionality at the chain ends. Highly branched poly(N-isopropylacrylamide) modified with vancomycin (HB-PNIPAM-van) was synthesized by functionalization of the HB-PNIPAM, prepared using reversible addition-fragmentation chain transfer polymerization. Linear PNIPAM with pendant vancomycin functionality (L-PNIPAM-van) was synthesized by functionalization of poly(N-isopropyl acrylamide-co-vinyl benzoic acid). HB-PNIPAM-van aggregated S. aureus effectively whereas the L-PNIPAM-van polymer did not. It was found that when the HB-PNIPAM-van was incubated with S. aureus the resultant phase transition provided an increase in the intensity of fluorescence of a solvatochromic dye, nile red, added to the system. In contrast, a significantly lower increase in fluorescence intensity was obtained when L-PNIPAM-van was incubated with S. aureus. These data showed that the degree of desolvation of HB-PNIPAM-van was much greater than the desolvation of the linear version. Using microCalorimetry it was shown that there were no significant differences in the affinities of the polymer ligands for D-Ala-D-Ala and therefore differences in the interactions with bacteria were associated with changes in the probability of access of the polymer bound ligands to the D-Ala-D-Ala dipeptide. The data support the hypothesis that generation of polymer systems that respond to cellular targets, for applications such as cell targeting, detection of pathogens etc., requires the use of branched polymers with ligands situated at the chain ends. / MRC

Yes / African trypanosomes, except Trypanosoma brucei gambiense and Trypanosoma brucei rhodesiense, which cause human African trypanosomiasis, are lysed by the human serum protein apolipoprotein L1 (ApoL1). These two subspecies can resist human ApoL1 because they express the serum resistance proteins T. b. gambiense glycoprotein (TgsGP) and serum resistance-associated protein (SRA), respectively. Whereas in T. b. rhodesiense, SRA is necessary and sufficient to inhibit ApoL1, in T. b. gambiense, TgsGP cannot protect against high ApoL1 uptake, so different additional mechanisms contribute to limit this uptake. Here we report a complex interplay between trypanosomes and an ApoL1 variant, revealing important insights into innate human immunity against these parasites. Using whole-genome sequencing, we characterized an atypical T. b. gambiense infection in a patient in Ghana. We show that the infecting trypanosome has diverged from the classical T. b. gambiense strains and lacks the TgsGP defense mechanism against human serum. By sequencing the ApoL1 gene of the patient and subsequent in vitro mutagenesis experiments, we demonstrate that a homozygous missense substitution (N264K) in the membrane-addressing domain of this ApoL1 variant knocks down the trypanolytic activity, allowing the trypanosome to avoid ApoL1-mediated immunity. IMPORTANCE. Most African trypanosomes are lysed by the ApoL1 protein in human serum. Only the subspecies Trypanosoma b. gambiense and T. b. rhodesiense can resist lysis by ApoL1 because they express specific serum resistance proteins. We here report a complex interplay between trypanosomes and an ApoL1 variant characterized by a homozygous missense substitution (N264K) in the domain that we hypothesize interacts with the endolysosomal membranes of trypanosomes. The N264K substitution knocks down the lytic activity of ApoL1 against T. b. gambiense strains lacking the TgsGP defense mechanism and against T. b. rhodesiense if N264K is accompanied by additional substitutions in the SRA-interacting domain. Our data suggest that populations with high frequencies of the homozygous N264K ApoL1 variant may be at increased risk of contracting human African trypanosomiasis. / This work, including the efforts of Stijn Deborggraeve, was funded by Research Foundation Flanders (1501413N). This work, including the efforts of Bart Cuypers, was funded by Research Foundation Flanders (11O1614N). This work, including the efforts of Jean-Claude Dujardin and Etienne Pays, was funded by Interuniversity Attraction Poles Program of Belgian Science Policy (P7/41). This work, including the efforts of Jean-Claude Dujardin, was funded by Flemish Ministry of Sciences (SOFI-B SINGLE). This work, including the efforts of Etienne Pays, was funded by EC | European Research Council (ERC) (APOLs 669007).

Yes / Objective: this research seeks to investigate the impact the Industrial Revolution had on the population of England. Materials: Pre-existing skeletal data from 1154 pre-Industrial (1066–1700AD) and 4157 industrial (1700–1905) skeletons from 21 cemeteries (N = 5411). Methods: Context number, sex, age-at-death, stature and presence/absence of selected pathological conditions were collated. The data were compared using chi square, Kolmogorov-Smirnov, t-tests and logistic regression (α = 0.01). Results: There was a statistically significant increase in cribra orbitalia, periosteal reactions, rib lesions, fractures, rickets, osteoporosis, osteoarthritis, enamel hypoplasia, dental caries and periapical lesions in the industrial period. Osteomyelitis decreased from the pre-industrial to industrial period. Conclusion: Our results confirm the Industrial Revolution had a significant negative impact on human health, however the prevalence of TB, treponemal disease, maxillary sinusitis, osteomalacia, scurvy, gout and DISH did not change, suggesting these diseases were not impacted by the change in environmental conditions. Significance: This is the largest study of health in the Industrial Revolution that includes non-adults and adults and considers age-at-death alongside disease status to date. This data supports the hypothesis that the Rise of Industry was associated with a significant decline in general health, but not an increase in all pathologies. Limitations: This meta-analysis relies upon previously gathered data and diagnosis from a large number of researchers. Incomplete skeletons were often excluded from analyses. Few rural cemeteries were available for inclusion. Suggestions for further research: Data from unpublished and ongoing excavations should be investigated. Comparison with historical data is encouraged. / Funded by the Royal Society (IES\R1\180138)

Prolonged or untreated intracranial pressure (ICP) can have devastating and life threatening effects. If left untreated, significant brain damage or death can occur as a result of a vicious cycle of destruction. Although clinical signs and symptoms are present with increases in intracranial pressure, ICP monitoring is the "gold standard" for assessment of intracranial pressure. Unfortunately, ICP monitoring is utilized only 50% of the time that it is indicated in the U.S. due to risks such as hemorrhage, infection, and technical malfunctions. Findings in the literature identify variables associated with infection risk when ICP monitoring devices are utilized. Factors associated with an increased risk of infection include indications for monitoring (subarachnoid or intraventricular hemorrhage), concurrent infection, duration and number of devices utilized, manipulation, and dislodgement. Other factors that may be associated with infection risk included corticosteroid use and location where the device is placed. Catheters impregnated with silver or antibiotics are associated with a decreased risk of infection. Variables deemed unimportant in regard to infection risk included age, gender, severity of illness, GCS score, CSF leak, who places the device, routine CSF sampling, prophylactic antibiotics, antibiotic irrigation, and prophylactic catheter exchange. None of the current literature is focused on nursing care. This is unfortunate, as the care nurses provide is integral to infection prevention associated with such devices. Future nursing research must address this lack of imperative information.

HTLV-1 est l’agent étiologique de la leucémie/ lymphome T de l’adulte (ATLL). In vivo, ce virus infecte les lymphocytes T CD4+ et CD8+. Cependant, l’ATLL est presque toujours de phénotype CD4+. HTLV-1 se réplique essentiellement par expansion clonale des cellules T infectées. Cette expansion clonale repose sur deux mécanismes distincts dépendants du phénotype lymphocytaire : HTLV-1 induit la mise en cycle des lymphocytes T CD4+ et la résistance à l’apoptose des lymphocytes T CD8+. En plus d’une prolifération accrue, les cellules T CD4+ infectées in vivo présentent des ponts interchromatiniens caractéristiques d’une instabilité génétique. Ainsi, l’infection par HTLV-1 établit un phénotype préleucémique restreint aux lymphocytes T CD4+ infectés. Les objectifs de ma thèse étaient de comprendre les évènements moléculaires et cellulaires qui sous-tendent l’expansion clonale des cellules T CD4+ et CD8+ au cours de l’infection par HTLV-1. Dans un premier temps, dans l’hypothèse d’un effet général de l’infection sur l’expansion clonale des cellules T infectées et non infectées, nous avons comparé les effets d’une infection in vitro à ceux observés dans des lymphocytes T CD4+ et CD8+ issus d’individus infectés depuis plus de 6 à 26 ans. Cette étude nous a permis de montrer que les interactions directes virus-cellules sont suffisantes pour entraîner une résistance des lymphocytes T CD8+ à l’apoptose mais pas pour l’établissement d’un phénotype préleucémique des lymphocytes T CD4+ in vivo. Dans un deuxième temps, nous avons mis en évidence que les lymphocytes T CD8+ infectés in vivo résistent à l’apoptose médiée par Fas. La surexpression du gène antiapoptotique cIAP-2 mais pas celle de c-FLIP(L) est impliquée dans la résistance à l’apoptose médiée par Fas des lymphocytes T CD8+ infectés et donc dans leur expansion clonale. / HTLV-1 is the etiological agent of Adult T-cell Leukemia/Lymphoma (ATLL). In vivo this virus infects CD4+ and CD8+ T lymphocytes yet ATLL is regularly of the CD4+phenotype. HTLV-1 mainly replicates via the clonal expansion of infected cells. Clonal 3 expansion relies on two distinct mechanisms with respect to the T-cell phenotype: HTLV-1 recruits CD4+ infected T cells into the cell cycle while preventing cell death in CD8+ infected T cells. Furthermore, infected tax-expressing CD4+ lymphocytes display morphological changes characteristic of genetic instability. Therefore, HTLV-1 infection establishes a Tax-dependent CD4+-restricted preleukemic phenotype. The objectives of my work were to investigate the molecular and cellular events that underlie clonal expansion of CD4+ versus CD8+ T cells upon HTLV-1 infection. We hypothesized that the infection could have consequences on both infected and uninfected T cells. Therefore, we first compared the effects of a recent experimental infection performed in vitro with those observed in cloned T cells from patients infected since > 6-26 years. Our findings suggest that the sole virus-cell interactions are sufficient for the resistance to apoptosis in CD8+infected T lymphocytes but not enough for the establishment of a CD4+-restricted preleukemic phenotype in vivo. Next, we evidenced that the CD8+ infected T cells resist to Fas-mediated cell death. Finally, cIAP-2 but not c-FLIP(L) overexpression in these cells appears involved in apoptosis resistance of CD8+ infected T cells and thereby in their clonal expansion.

Early function of a temperature-sensitive mutant of staphylophage 44A HJD was examined during the twenty-five-minute period following infection. Host cell and phage DNA were labeled with C and3H respectively. DNA was separated into linear and covalently closed circular (CCC) forms by density-gradient centrifugation. The host, S. aureus, shows no CCC DNA, and apparently carries no plasmid. Following infection with wild type phage, CCC DNA forms occur in tritiated and 1 C DNA fractions 10 to 15 min after infection. Infection with mutant at permissive temperature also demonstrates CCC DNA with both labels. Infection with mutant at nonpermissive temperature produced no CCC DNA during the first 25 min after infection. The impaired function in this mutant may be a linker protein.

L’infection à VIH-1 est associée à une forte déplétion des lymphocytes T CD4+ à polarisation Th17 au niveau des tissus lymphoïdes associés aux muqueuses intestinales (GALT, gut-associated lymphoid tissues). Ceci conduit à la translocation microbienne, qui est une cause d’activation immunitaire chronique et de progression de la maladie. Les cellules épithéliales (CE) jouent un rôle critique dans le maintien de l’intégrité et de l’homéostasie au niveau des muqueuses intestinales via le recrutement des cellules de l’immunité innée (e.g., neutrophiles) et adaptative (e.g., cellules Th17). Les neutrophiles produisent des molécules antivirales (e.g., défensines-) et ont la capacité de limiter la réplication virale au niveau des muqueuses. Les cellules Th17 jouent un double rôle lors de l’infection à VIH. Elles contribuent d’une part à la défense contre différents pathogènes opportunistes en augmentant, via la production d’IL-17, la capacité des CE à attirer les cellules Th17 et les neutrophiles. D’autre part, les cellules Th17 jouent un rôle délétère en tant que cibles de réplication virale et sources de cytokines pro-inflammatoires. La fréquence des cellules Th17 est diminuée dans les GALT mais pas dans les poumons des patients infectés par le VIH, suggérant qu’il existe des mécanismes différents par lesquels les cellules Th17 sont recrutées vers ces sites anatomiques. Nous avons testé l’hypothèse selon laquelle le VIH interfère avec la capacité des CE intestinales et non pas pulmonaires à produire des chimiokines (CK) responsables de l’attraction des cellules Th17 et des neutrophiles. Nous avons démontré que les CE intestinales et pulmonaires produisent des CK spécifiques pour les cellules Th17 (CCL20) et les neutrophiles (CXCL8) en réponse à des stimuli pro-inflammatoires tels que l’IL-1 et le TNF-. Le TNF- agit en synergie avec l’IL-17, un « signal de danger » récemment identifié, et augmente la capacité des CE intestinales mais pas pulmonaires à produire la chimiokine CCL20. Cette synergie s’explique par l’augmentation préférentielle de l’expression du récepteur à l’IL-17 à la surface des CE intestinales suite à la stimulation par le TNF-. L’exposition au VIH n’affecte pas la production de CCL20 et de CXCL8 par les CE intestinales, mais altère la capacité des CE alvéolaires à produire ces chimiokines en accord avec la permissivité sélective de ces dernières à l’infection par le VIH. En conclusion, nos résultats démontrent que (i) le VIH n’interfère pas directement avec la capacité des CE intestinales à recruter des cellules Th17 et des neutrophils et que (ii) la production de CCL20 par ces cellules est dépendantes de la synergie entre le TNF- et l’IL-17. Ainsi, la déplétion des cellules Th17 et la pénurie en IL-17 dans les GALT des sujets infectés pourrait causer de façon préférentielle des altérations fonctionnelles au niveau des CE intestinales, se traduisant par l’altération du recrutement des cellules Th17 en réponse au CCL20. / The HIV-1 infection is associated with a severe loss of CD4+ T-cells with Th17 polarization from the gut-associated lymphoid tissues (GALT). These alterations lead to microbial translocation, which is a cause of chronic immune activation and disease progression in HIV-infected subjects. Epithelial cells (EC) play a critical role in maintaining mucosal integrity and homeostasis in the GALT by mechanisms including recruitment of innate (e.g., neutrophils) and adaptive immunity cells (e.g., Th17 cells). Neutrophils produce antiviral molecules (e.g., -defensins) that may limit HIV replication at mucosal sites. Th17 cells play a dual role in HIV pathogenesis. Th17 cells contribute to the defence against different opportunistic pathogens by increasing the ability of epithelial cells to attract neutrophils in an IL-17-dependent manner. On the other hand, Th17 cells play a deleterious role in HIV pathogenesis as they are sites of productive viral replication and a source of pro-inflammatory cytokines. The frequency of Th17 cells is decreased in the GALT but not in the lungs of HIV-infected individuals, suggesting distinct mechanisms of Th17 recruitment in these anatomic sites in the context of HIV pathogenesis. In this manuscript we tested the hypothesis that HIV differentially interfere with the ability of intestinal but not pulmonary EC to produce chemokines that attract Th17 cells and neutrophils. We demonstrated that both intestinal and pulmonary EC produce chemokines that specifically attract Th17 cells (CCL20) and neutrophils (CXCL8) upon stimulation with the pro-inflammatory cytokines IL-1 and TNF- . TNF-α acted in synergy with IL-17, a recently identified « danger signal », and increases the capacity of intestinal but not pulmonary EC to produce CCL20. This synergistic effect can be explained by the preferential upregulation of IL-17 receptor expression on intestinal EC upon TNF- stimulation. The exposure of intestinal EC to HIV did not affect their ability to produce CCL20 and CXCL8; however, exposure to HIV altered the production of these chemokines by alveolar EC, consistent with their selective permissiveness to infection. In conclusion, our results demonstrate that (i) HIV does not interfere directly with the ability of intestinal EC to attract Th17 cells and neutrophils and that (ii) the ability of intestinal EC to recruit the Th17 cells via CCL20 production is selectively dependent on the synergy between TNF- and IL-17. Thus, the depletion of Th17 cells and the shortage in IL-17 in the GALT of HIV-infected subjects may preferentially lead to functional alterations of the intestinal barrier resulting by the alteration of Th17 recruitment in response to CCL20.

Thèse numérisée par la Direction des bibliothèques de l'Université de Montréal.

La plaie tumorale est une infiltration par des cellules tumorales du tissu cutané, des vaisseaux sanguins et/ou lymphatiques. Ces plaies peuvent se présenter sous des aspects très différents accompagnés de symptômes variés. Outre les risques d'infection locale, les odeurs nauséabondes posent des problèmes récurrents d'isolement social, de difficultés conjugales et entrainent une sensation de dégout, de pourriture, voire de mort imminente. Elles influencent même le comportement médical. La colonisation bactérienne, les odeurs et les risques infectieux semblent intimement liés chez ces patients porteurs de plaie, dont l'immunité est le plus souvent affaiblie par l'administration de traitements anticancéreux. Ce projet a consisté à : 1) créer un fichier dynamique de données et prélever les patients porteurs de plaies tumorales, dans le cadre d'un travail de recherche clinique, 2) par une approche expérimentale personnelle et collaborative: caractériser la flore microbienne, la présence éventuelle de biofilm et les composés volatils des plaies, 3) analyser l'ensemble des données en mettant en évidence, si elles existent, les corrélations entre résultats des prélèvements et observations cliniques, 4) proposer de premières hypothèses, des pistes de solution, une adaptation des pratiques de soins.Une flore mixte composée de 54 bactéries différentes a été retrouvée sur les plaies et la présence de biofilm mise en évidence dans 35% des cas. 91 composés volatils ont été identifiés. Aucune infection n'a été relevée durant la période d'évaluation. Les conséquences de l'interactivité entre les bactéries, le biofilm et les composés volatils nous amènent à penser qu'il serait nécessaire de: 1) développer de nouvelles stratégies et topiques, 2) poursuivre les travaux sur le biofilm, 3) construire des projets en liens avec des psycho-oncologues et neuropsychiatres, 4) progresser vers la conception d'outils diagnostics et l'identification de biomarqueurs. / The malignant wound is an infiltration by tumoral cells of the cutaneous tissue, the blood and/or lymphatic vessels. These wounds can appear in different forms and and be accompagnied by various symptoms. Independently of the septic risk, the presence of nauseating odors induces social, family and conjugal difficulties, expressed mostly by disgust, a sensation of dirt or decay. It influences the medical behavior.Bacterial colonisation, odors and septic risks seem to be connected and mainly occur in patients who have a chronic wound and are immunodepressed by the anticancer therapies. This projetc [was] consisted in: 1) create a case report form and sample the malignant wound (clinical research), 2) characterize the microbial flora, the biofilm, and the volatile compounds with an experimental and collaborative approach, 3) analyse the results and the potential correlation between [the] laboratory's results and the clinical aspect of the wound, 4), propose potential solutions, hypothetis, and improvements of the clinical practice.A mixed flora, composed of 54 different bacterial types was identified; a biofilm was caracterized in 35% of cases. 91 volatile compounds were identified. No infection occurred during the evaluation period. The consequences of the interactivity of the bacteria, the biofilm and the volatils compounds suggest to: 1) develop new strategies and topics, 2) continue the research on the biofilm, 3) propose a research program with psycho-oncologists and neuropsychiatrics, 4) progress toward diagnostic tests conception and biomarkers identification.