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Multidisciplinary team dedicated to suspected heritable pulmonary fibrosis 多学科团队致力于疑似遗传性肺纤维化
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa2233
R. Borie, C. Kannengiesser, S. Amselem, O. Brugière, D. Bouvry, A. Clément, V. Cottin, P. Dieudé, C. Dupin, R. Epaud, L. Gouya, P. Fanen, F. Fontbrune, L. Wémeau-Stervinou, N. Nathan, B. Crestani
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引用次数: 4
Functional assessment of newly identified SFTPA1 and SFTPA2 mutations in patients with idiopathic interstitial pneumonia (IIP) and lung cancer 新发现的SFTPA1和SFTPA2突变在特发性间质性肺炎(IIP)和肺癌患者中的功能评估
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2235
N. Nathan, M. Legendre, Emilie Filhol-Blin, R. Borie, D. Bouvry, C. Kannengiesser, K. Ahmad, J. Albuisson, N. Allou, K. Borensztajn, Afifaa Butt, B. Copin, V. Cottin, B. Crestani, J. Dalphin, F. Moal, C. Delacourt, P. Vuyst, P. Duquesnoy, V. Giraud, Carine Gomez, L. Gouya, V. Nau, H. Nunes, C. Picard, G. Prévôt, P. Reix, M. Reynaud‐Gaubert, J. Traclet, A. L'hermine, A. Clément, S. Amselem
Background: Heterozygous mutations in the SFTPA1 and SFTPA2 genes, encoding the surfactant protein SP-A1 and SP-A2 have been associated with rare forms of familial IIP and lung adenocarcinoma. We previously described 11 new heterozygous SFTPA1 and SFTPA2 variations in 13 unrelated patients including one newborn. The study aims to analyze the pathogenicity of those variations. Methods: We first analyzed the intrafamilial segregation of the identified variations with IIP and lung cancer. The production and the secretion of the mutant proteins were subsequently studied in HEK293T cells transiently expressing the SP-A proteins carrying the variations. Finally, SP-A expression was assessed on lung tissues of the patients. Results: In the studied families (38 adults, 3 children), the variations segregated with either IIP and/or lung cancer (37%) with an incomplete penetrance of the disease phenotype. The mean age at onset of the IIP was 45 years (0-68). Nine of the variations were located in the highly conserved carbohydrate recognition domain of the protein. In vitro, the mutant proteins were produced but their secretion was absent (n=9) or altered (n=2). The lung expression of SP-A studied in 3 unrelated patients showed an increased expression of SP-A in the cytoplasm of hypertrophic type 2 alveolar cells. Discussion and conclusion: The 11 identified SFTPA1 and SFTPA2 variations are pathogenic. They are associated with IIP and with an increased risk of lung cancer. They were identified mainly in adults but also in children. The pathophysiological consequences of their abnormal secretion/expression remain to be elucidated.
背景:编码表面活性剂蛋白SP-A1和SP-A2的SFTPA1和SFTPA2基因的杂合突变与罕见的家族性IIP和肺腺癌有关。我们之前在13名不相关的患者(包括一名新生儿)中描述了11个新的SFTPA1和SFTPA2杂合变异。本研究旨在分析这些变异的致病性。方法:我们首先分析了IIP和肺癌的家族内分离变异。随后,在瞬时表达SP-A蛋白的HEK293T细胞中研究了突变蛋白的产生和分泌。最后,检测SP-A在患者肺组织中的表达。结果:在研究的家庭(38名成人,3名儿童)中,这些变异与IIP和/或肺癌分离(37%),疾病表型不完全外显。IIP发病的平均年龄为45岁(0-68岁)。其中9个变异位于蛋白质高度保守的碳水化合物识别区域。在体外,产生了突变蛋白,但其分泌缺失(n=9)或改变(n=2)。SP-A在3例不相关患者肺组织表达的研究显示,增生性2型肺泡细胞细胞质中SP-A的表达增加。讨论与结论:鉴定出的11个SFTPA1和SFTPA2变异具有致病性。它们与IIP和肺癌风险增加有关。它们主要发生在成人身上,但也发生在儿童身上。其异常分泌/表达的病理生理后果仍有待阐明。
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引用次数: 0
Genetic interstitial lung disease: an unusual case 遗传性间质性肺疾病1例
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3022
Marion Gros, A. Becdelièvre, D. Lehalle, C. Delestrain, Annick Le Floch, B. Funalot, P. Fanen, R. Epaud
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引用次数: 0
Characterization of the gene network driving the whole lung lavage (WLL) outcome in Pulmonary Alveolar Proteinosis (PAP). 肺泡蛋白沉积症(PAP)中驱动全肺灌洗(WLL)结果的基因网络的表征。
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.OA3784
M. Zorzetto, F. Bonella, F. Mariani, Elena Paracchini, Zamir Kadija, M. Grassi, F. Meloni, I. Campo
Rationale: PAP is a an ultra-rare disease where a perturbation in surfactant homeostasis results in its accumulation within airspaces, thus impairing gas transfer. WLL currently remains the therapeutic standard, even if it may induce complete resolution of the disorder only in 30% of patients. Aim: To characterize the gene network able to predict the outcome of the WLL, i.e. total resolution/persistent improvement vs transient resolution/progressive deterioration. Methods: We conducted a gene interaction network analysis, with web-based software (esyN), to calculate hub and bottleneck genes previously investigated by a microarray analysis (1), performed on the PBMCs of 16 PAP patients treated with WLL and followed for 24 months. Hub genes were identified by the number of interactions within the network. Bottleneck genes were identified by calculating the betweenness centrality index (BCI) for each gene in the network. BCI reflects the amount of control that a gene exerts over the interactions of other genes in the network. Results: We found that SMAD3, which acts as a mediator of the profibrotic signals initiated by TGF-β and SYNCRIP, which plays a role in multiple aspects of mRNA maturation, are top ranked hubs genes. Interestingly, SMAD3 is also the top ranked bottleneck gene. Conclusion: The SMAD3 transcription factor seems to be the central mediator and conductor of the gene network involved in the response to the WLL treatment in PAP patients. 1- M Zorzetto, et al. A gene network to predict the clinical response to whole lung lavage (WLL), in pulmonary alveolar proteinosis (PAP). ERS Annual Congress, Milano, Italy, September 9-13, 2017.
理论依据:PAP是一种极其罕见的疾病,表面活性剂稳态的扰动导致其在空气空间内积聚,从而损害气体转移。WLL目前仍然是治疗标准,即使它可能仅在30%的患者中引起疾病的完全解决。目的:描述能够预测WLL预后的基因网络,即完全缓解/持续改善vs短暂缓解/进行性恶化。方法:我们使用基于web的软件(esyN)进行了基因相互作用网络分析,以计算先前通过微阵列分析(1)研究的枢纽和瓶颈基因,对16名接受WLL治疗的PAP患者的pbmc进行了研究,并随访了24个月。通过网络内相互作用的数量来确定枢纽基因。通过计算网络中每个基因的中间中心性指数(BCI)来识别瓶颈基因。脑机接口反映了一个基因对网络中其他基因相互作用的控制程度。结果:我们发现SMAD3作为TGF-β和SYNCRIP引发的纤维化信号的中介,在mRNA成熟的多个方面发挥作用,是排名最高的枢纽基因。有趣的是,SMAD3也是排名最高的瓶颈基因。结论:SMAD3转录因子可能是参与PAP患者对WLL治疗反应的基因网络的中心介质和传导因子。1- M Zorzetto等。预测肺泡蛋白沉积症(PAP)患者全肺灌洗(WLL)临床反应的基因网络。2017年9月9-13日,意大利米兰。
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引用次数: 0
Down syndrome and pulmonary hemosiderosis: an under-recognized association 唐氏综合症和肺含铁血黄素沉着:一种未被充分认识的关联
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2237
Aurélia Alimi, J. Taytard, R. A. Taam, V. Houdouin, Aude Forgeron, M. L. Lavadera, P. Cros, I. Gibertini, J. Derelle, A. Deschildre, C. Thumerelle, R. Epaud, P. Reix, M. Fayon, S. Roullaud, F. Troussier, M. Renoux, J. Blic, Sophie Leyronnas, G. Thouvenin, C. Perisson, A. Ravel, A. Clément, H. Corvol, N. Nathan
Introduction: Pulmonary hemosiderosis is a rare cause of interstitial lung disease in children. The French experience had previously highlighted that 20% of the 25 included children also had Down syndrome (DS). In this study populations, the main features of the patients with hemosiderosis were unspecific stigmata of autoimmune disease. This study aims to investigate the relationships between pulmonary hemosiderosis and DS. Material and methods: Patients with pulmonary hemosiderosis followed is one of RespiRare network and younger than 20 years old at diagnosis were selected. The following data were collected : DS status, clinical, biological, functional, and radiological findings. Results: Nine of the 34 included patients (26%) had DS. They were a girl predominance (72%) in the non-DS group, and a male predominance in the DS group (56%). The mean age at the diagnosis was 3.80±3.30 with no significant difference between DS and non-DS patients. DS patients tended to present a more severe form of the disease with more dyspnoea (p=0.03) and more pulmonary arterial hypertension (PAH) (p=0.0003). The 3 (9%) patients who died were DS patients (p=0.0003). Discussion and conclusions: DS seem to be a risk factor for hemosiderosis. Hemosiderosis in DS patients is more severe at presentation, and at follow-up. Several hypotheses can be proposed for such association: an increased fragility of the lung capillary, a higher susceptibility to autoimmune lesions, and a higher risk of chronic hypoxia, leading to PAH. In DS, hemosiderosis should be considered in patients with anaemia of unknown origin.
肺含铁血黄素沉着症是儿童间质性肺疾病的罕见病因。法国的经验先前强调,25名包括儿童的20%也患有唐氏综合症(DS)。在本研究人群中,含铁血黄素沉着患者的主要特征是自身免疫性疾病的非特异性污点。本研究旨在探讨肺含铁血黄素沉着症与退行性痴呆的关系。材料与方法:选择诊断年龄小于20岁的肺含铁血黄素沉着症患者。收集以下数据:DS状态、临床、生物学、功能和放射学表现。结果:34例患者中有9例(26%)患有退行性椎体滑移。非DS组以女孩为主(72%),DS组以男性为主(56%)。诊断时的平均年龄为3.80±3.30岁,两组间差异无统计学意义。DS患者往往表现出更严重的疾病形式,呼吸困难(p=0.03)和肺动脉高压(PAH)发生率更高(p=0.0003)。死亡3例(9%)为DS患者(p=0.0003)。讨论与结论:退行性椎体滑移似乎是含铁血黄素沉着症的危险因素。退行性椎体滑移患者的含铁血黄素沉着在就诊时和随访时更为严重。对于这种关联,可以提出几种假设:肺毛细血管的脆弱性增加,对自身免疫性病变的易感性增加,慢性缺氧的风险增加,从而导致多环芳烃。在退行性椎体滑移中,不明原因贫血患者应考虑含铁血黄素沉着。
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引用次数: 1
COPA syndrome restricted to life-threatening alveolar hemorrhages: clinical, pathological, molecular and biological characterization COPA综合征仅限于危及生命的肺泡出血:临床、病理、分子和生物学特征
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2236
N. Nathan, M. Legendre, S. Amselem, A. Clément, Emilie Filhol-Blin, N. Richard, S. Roullaud, M. Fayon, G. Rice, D. Duffy, V. Bondet, Aurore Coulomb l’Hermine, B. Neven, M. Frémond, Y. Crow
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引用次数: 1
Pleural effusion in patients with IgG4-related disease: new insights from a case series igg4相关疾病患者的胸腔积液:来自病例系列的新见解
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2243
O. Wand, Osnat Moreh Rahav, O. Shtraichman, M. Kramer
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引用次数: 0
Alveolar hemorrhage syndrome in children 儿童肺泡出血综合征
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA2239
A. Bogorad, Y. Mizernitsky, Nadejda Rosinova, N. Lev, L. Sokolova, Svetlana Djakova, I. Zorina, Margarita Kostiutchenko
{"title":"Alveolar hemorrhage syndrome in children","authors":"A. Bogorad, Y. Mizernitsky, Nadejda Rosinova, N. Lev, L. Sokolova, Svetlana Djakova, I. Zorina, Margarita Kostiutchenko","doi":"10.1183/13993003.CONGRESS-2018.PA2239","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA2239","url":null,"abstract":"","PeriodicalId":267660,"journal":{"name":"Rare ILD/DPLD","volume":"255 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121324015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Our cases with pulmonary alveolar proteinosis 我们的肺泡蛋白沉积症病例
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA3018
G. Okumus, Z. Bingol, G. Öcal, E. Kıyan
{"title":"Our cases with pulmonary alveolar proteinosis","authors":"G. Okumus, Z. Bingol, G. Öcal, E. Kıyan","doi":"10.1183/13993003.CONGRESS-2018.PA3018","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA3018","url":null,"abstract":"","PeriodicalId":267660,"journal":{"name":"Rare ILD/DPLD","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126652580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lung disease caused by non-null ABCA3 mutations: long-term follow-up 非空ABCA3突变引起的肺部疾病:长期随访
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa3020
E. Manali, N. Nathan, C. Kannengiesser, P. Tomos, A. Coulomb-L'Hermine, P. Korkolopoulou, P. Foukas, L. Kolilekas, K. Kagouridis, M. Maniati, S. Argentos, I. Korbila, I. Tomos, Nikolaos Roussakis, M. Kallieri, A. Schams, M. Griese, T. Tsiligiannis, A. Karakatsani, S. Loukides, Georgios N. Koutsocheras, Angeliki Androu, M. Legendre, S. Amselem, R. Borie, B. Crestani, S. Papiris
{"title":"Lung disease caused by non-null ABCA3 mutations: long-term follow-up","authors":"E. Manali, N. Nathan, C. Kannengiesser, P. Tomos, A. Coulomb-L'Hermine, P. Korkolopoulou, P. Foukas, L. Kolilekas, K. Kagouridis, M. Maniati, S. Argentos, I. Korbila, I. Tomos, Nikolaos Roussakis, M. Kallieri, A. Schams, M. Griese, T. Tsiligiannis, A. Karakatsani, S. Loukides, Georgios N. Koutsocheras, Angeliki Androu, M. Legendre, S. Amselem, R. Borie, B. Crestani, S. Papiris","doi":"10.1183/13993003.congress-2018.pa3020","DOIUrl":"https://doi.org/10.1183/13993003.congress-2018.pa3020","url":null,"abstract":"","PeriodicalId":267660,"journal":{"name":"Rare ILD/DPLD","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125272299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Rare ILD/DPLD
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