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Auteur de référence en rhumatologie
50 articles scientifiques publiés — un praticien à la pointe de la recherche
En plein centre-ville
LE HAVRE (76600) — accessible depuis tout le bassin urbain
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119.2 rhumatos / 100 000 hab. — département bien doté
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UC-IRSA
160 R MASSILLON, 76600 LE HAVRE
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Blood advances · 2026
Abstract Congenital thrombotic thrombocytopenic purpura (cTTP) is caused by a severe inherited ADAMTS13 (a disintegrin and metalloprotease with thrombospondin type 1 motif, member 13) deficiency. Although acute episodes are life-threatening, long-term burden of ischemic complications, and effectiveness of prophylactic strategies remain underexplored. We conducted a 25-year national, multicenter study of 88 patients with cTTP enrolled in the French Thrombotic Microangiopathy registry. Patients were stratified by age and clinical context at disease onset: pediatric (n = 42), pregnancy (n = 33), and adult onset (n = 13). Clinical features, genotypes, treatment regimens, and long-term ischemic outcomes were analyzed. Pediatric patients exhibited early-onset disease (median age at diagnosis, 2 years [interquartile range, 0-13]) with recurrent episodes and a high burden of neurological complications. In patients with pregnancy-onset disease, no relapses were observed outside pregnancy. Adult-onset patients, typically diagnosed aged >50 years, showed prevalent cardiovascular disease, stroke, and kidney injury. Mental health disorders were common across all groups. Despite long-term plasma prophylaxis, organ dysfunction persisted, particularly in pediatric- and adult-onset groups. In pregnancy-onset cTTP, tailored midterm prophylaxis during pregnancy reduced maternal and fetal complications. Thirty-nine patients received recombinant human ADAMTS13 (rhADAMTS13) prophylaxis (median follow-up, 5 months [interquartile range, 6-17]). Prophylactic treatment significantly improved relapse-free survival, with a comparable outcome using intensive plasma-derived products and rhADAMTS13 in pediatric-onset cases, although adverse events were more prevalent using plasma therapy. Our findings highlight the clinical and genetic heterogeneity of cTTP and the burden of organ dysfunction. Intensive prophylaxis improves relapse-free survival. rhADAMTS13 represents a safe and promising first-line option that should help reduce long-term organ damage and improve quality of life.
Journal of sleep research · 2026
ABSTRACT Intermittent hypoxia (IH)‐mediated adipose tissue inflammation with M1 macrophage polarisation plays a key role in the pathogenesis of metabolic diseases in obstructive sleep apnoea (OSA). Effective treatment strategies are so far lacking. Here, we hypothesised that a glucagon‐like peptide (GLP)‐1 (Liraglutide)‐based weight loss regimen improves IH‐induced metabolic perturbations. To test the hypothesis, we employed a comprehensive translational approach consisting of an innovative IH system for cell cultures, a murine IH model of diet‐induced obese mice and a proof‐of‐concept randomised‐controlled study in OSA (NCT04186494). Liraglutide significantly attenuated IH‐mediated pro‐inflammatory polarisation of bone marrow‐derived murine macrophages in cell culture. However, this did not translate into improved IH‐induced insulin resistance in C57Bl/6 mice fed on a high‐fat diet despite significant weight loss. In OSA subjects without diabetes ( n = 30, 50 ± 7 years, 80% males, apnoea–hypopnoea index [AHI] 50 ± 19/h, body mass index [BMI] 35.0 ± 3 kg/m 2 ), Liraglutide in contrast to CPAP over 24 weeks led to improvement in insulin sensitivity (mean difference 1.91 ± 1.46 vs. −1.02 ± 2.75, p = 0.03) in correlation with reduction in anthropometric measures and visceral adipose tissue volume. However, in conjunction with its limited effect on OSA parameters, the combination of Liraglutide with CPAP therapy appeared superior to Liraglutide alone for improvement of other glycaemic parameters such as fasting glucose, glucose tolerance, or HbA1c. In summary, while Liraglutide is effective in mediating weight loss, a lack of improvement in IH‐triggered metabolic dysfunction does not support its role as monotherapy for metabolic diseases in OSA.
Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).
Heart rhythm · 2026 · Journal Article
Verhaeghe L, Ditac G, Johner N, Tetreault-Langlois M, et al.
Chiropractic & manual therapies · 2026 · Journal Article
Mégane P, Nathalie T, Wanda D, Lindsay M G, et al.
JHLT open · 2026 · Journal Article
Cherbi M, Maury P, Groussin P, Hamel-Bougault M, et al.
Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2026 · Journal Article
Alessia DR, Alice B, Renaud P, Justine L, et al.
Joint bone spine · 2026 · Journal Article
Molto A, Arnaud L, Chartier M, Panes A, et al.
European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026 · Journal Article
Gaudray E, Brac L, Agopian P, Arnaud I, et al.
Annales de biologie clinique · 2026 · English Abstract
Lelièvre B, Ciangura C, Zendjabil M, Arnaud J, et al.
Prenatal diagnosis · 2026 · Journal Article
Pecorelli S, Glenisson M, Peycelon M, Suply E, et al.
Annales d'endocrinologie · 2026 · Journal Article
Juven A, Vaurs-Barrière C, Court F, Montibus B, et al.
Current opinion in plant biology · 2026 · Journal Article
Bigot S, Laufs P, Arnaud N
Developmental medicine and child neurology · 2026 · Letter
Krägeloh-Mann I, de la Cruz J, Delobel-Ayoub M, Papavasiliou A, et al.
Frontiers in immunology · 2026 · Published Erratum
Zheng L, A X, Ma S, Xu B, et al.
NPJ Parkinson's disease · 2026 · Journal Article
Fiorillo L, Lombardi G, La Porta N, Arnaud L, et al.
The Science of the total environment · 2026 · Journal Article
Benjamin A, Bénédicte D, Chaumillon E, Rumpel C, et al.
Blood advances · 2026 · Journal Article
Joly BS, Joseph A, Bouzid R, Boisseau P, et al.
Journal of biophotonics · 2026 · Journal Article
Meriem A, Christian DC, Jonas O, Arnaud VB, et al.
American journal of hematology · 2026 · Journal Article
Liu W, Kassasseya C, Papamanolis L, Nguyen-Peyre KA, et al.
IJID regions · 2026 · Journal Article
Jacques Z, Abdoulaye S, Tôh S, Delphine ZP, et al.
Infection control and hospital epidemiology · 2026 · Journal Article
Rigaud BW, Benhajkassen N, Nkoumazok B, Arnaud I, et al.
Free radical biology & medicine · 2026 · Journal Article
Blachot-Minassian B, Paradis S, Bouyon S, Boutin A, et al.
The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026 · Journal Article
Karam M, Chouinard MC, Kevork M, Fleming R, et al.
Scientific reports · 2026 · Journal Article
Arcani R, Abellan M, Simoncini S, Dani V, et al.
Frontiers in immunology · 2026 · Published Erratum
Zheng L, A X, Ma S, Xu B, et al.
Plant physiology · 2026 · Journal Article
Fenech M, Zulian V, Moya-Cuevas J, Arnaud D, et al.
Orphanet journal of rare diseases · 2026 · Journal Article
Tauber M, Diene G, Fichaux-Bourin P, Pinto G, et al.
Anaesthesia, critical care & pain medicine · 2026 · Journal Article
Boisson M, Lesprit P, Allaouchiche B, Arnaud P, et al.
Annals of coloproctology · 2026 · Journal Article
Jeannot P, Roussel E, Dutoit A, Collard M, et al.
Heart rhythm O2 · 2026 · Journal Article
Arnaud M, Pambrun T, Bouteiller X, Sacristan B, et al.
JACC. Clinical electrophysiology · 2026 · Journal Article
Johner N, Tétreault-Langlois M, Sacristan B, Verhaeghe L, et al.
Journal of pediatric surgery · 2026 · Journal Article
Duchesne C, Verdier E, Aquilina L, Gaillot T, et al.
Vaccine · 2026 · Journal Article
Vargas-Zambrano JC, Arnaud M, Antunes A, Karzazi K, et al.
Journal of pediatric surgery · 2026 · Journal Article
Duchesne C, Bonnard A, Hameury F, Dariel A, et al.
Pediatric blood & cancer · 2026 · Journal Article
Sandrine V, Sophie B, Cécile R, Cyrielle C, et al.
The Lancet. Rheumatology · 2026 · Journal Article
Karakikla-Mitsakou Z, Cornet A, Andersen J, Dyball S, et al.
The Journal of rheumatology · 2026 · Journal Article
Aly S, Parastandehchehr G, Bernatsky S, Vinet É, et al.
Rheumatology (Oxford, England) · 2026 · Journal Article
Satrin A, Piga M, Gatto M, Fuentes-Silva Y, et al.
Rheumatology (Oxford, England) · 2026 · Journal Article
Morand EF, Furie R, Aringer M, Arnaud L, et al.
RMD open · 2026 · Journal Article
Fels E, Goncalves C, Jousse-Joulin S, Chiche L, et al.
Journal of pediatric surgery · 2026 · Journal Article
Duchesne C, Verdier E, Aquilina L, Gaillot T, et al.
Haemophilia : the official journal of the World Federation of Hemophilia · 2026 · Journal Article
Wheeler AP, Amos LE, Gupta S, Bozzi S, et al.
Vaccine · 2026 · Journal Article
Vargas-Zambrano JC, Arnaud M, Antunes A, Karzazi K, et al.
Clinical cancer research : an official journal of the American Association for Cancer Research · 2026 · Journal Article
Blanc-Durand F, Genestie C, Nikolaev S, Leman R, et al.
International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2026 · Journal Article
Beinse G, Leroy K, Just PA, Jeanne C, et al.
Sleep medicine · 2026 · Journal Article
Heinzer R, Pepin JL, Ryan S, Arnaud C, et al.
Journal of sleep research · 2026 · Journal Article
O'Donnell C, King A, Vial G, O'Neill E, et al.
Arthritis & rheumatology (Hoboken, N.J.) · 2026 · Journal Article
Xin P, Li W, A X, Shen J, et al.
Clinical cancer research : an official journal of the American Association for Cancer Research · 2026 · Journal Article
Blanc-Durand F, Genestie C, Nikolaev S, Leman R, et al.
Orphanet journal of rare diseases · 2026 · Journal Article
Mertz P, Sander O, Faria R, Crisafulli F, et al.
Virulence · 2026 · Journal Article
Nicole F, Legrand AF, Confort MP, Ratinier M, et al.
Rheumatology (Oxford, England) · 2026 · Journal Article
Floris A, Laconi R, Chadli S, Laymouna A, et al.
American journal of hematology · 2026 · Letter
Riez C, Leroux A, Lopes ME, Kamdem A, et al.
Pediatric research · 2026 · Journal Article
Boutalbi N, Dahan S, Rozalen W, Beretti T, et al.
Clinical rheumatology · 2026 · Journal Article
Quintana R, Bellomio V, Ugarte-Gil M, Fernandez D, et al.