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Sroussi J, Bourret A, Pourcelot AG, Thubert T, Rousseau A, Tuffet S, Lesavre M, Legendre G, Benifla JL. Hyaluronic Acid Gel Reduces the Rate of Intrauterine Adhesions After Dilatation and Curettage in Women with Miscarriage: Multicentric Prospective Randomized Controlled Trial (Hyfaco Study). J Minim Invasive Gynecol 2019. [DOI: 10.1016/j.jmig.2019.09.052] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Pérot P, Biton A, Marchetta J, Pourcelot AG, Nazac A, Marret H, Hébert T, Chrétien D, Demazoin MC, Falguières M, Arowas L, Laude H, Heard I, Eloit M. Broad-Range Papillomavirus Transcriptome as a Biomarker of Papillomavirus-Associated Cervical High-Grade Cytology. J Mol Diagn 2019; 21:768-781. [PMID: 31416693 DOI: 10.1016/j.jmoldx.2019.04.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Revised: 03/07/2019] [Accepted: 04/02/2019] [Indexed: 10/26/2022] Open
Abstract
Human papillomaviruses (HPVs) are responsible for >99% of cervical cancers. Molecular diagnostic tests based on the detection of viral DNA or RNA have low positive predictive values for the identification of cancer or precancerous lesions. Triage with the Papanicolaou test lacks sensitivity; and even when combined with molecular detection of high-risk HPV, this results in a significant number of unnecessary colposcopies. We have developed a broad-range detection test of HPV transcripts to take a snapshot of the transcriptome of 16 high-risk or putative high-risk HPVs in cervical lesions (HPVs 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68, 73, and 82). The purpose of this novel molecular assay, named HPV RNA-Seq, is to detect and type HPV-positive samples and to determine a combination of HPV reads at certain specific viral spliced junctions that can better correlate with high-grade cytology, reflecting the presence of precancerous cells. In a proof-of-concept study conducted on 55 patients, starting from cervical smears, we have shown that HPV RNA-Seq can detect papillomaviruses with performances comparable to a widely used HPV reference molecular diagnostic kit; and a combination of the number of sequencing reads at specific early versus late HPV transcripts can be used as a marker of high-grade cytology, with encouraging diagnostic performances as a triage test.
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Affiliation(s)
- Philippe Pérot
- Pathogen Discovery Laboratory, Biology of Infection Unit, Institut Pasteur, Paris, France
| | - Anne Biton
- Bioinformatics and Biostatistics Hub (C3BI), Institut Pasteur, Paris, France
| | | | | | - André Nazac
- Hôpital Le Kremlin-Bicêtre, Le Kremlin-Bicêtre, France
| | - Henri Marret
- Centre Olympe de Gouges, Centre Hospitalier Universitaire Bretonneau, Tours, France
| | - Thomas Hébert
- Centre Olympe de Gouges, Centre Hospitalier Universitaire Bretonneau, Tours, France
| | - Delphine Chrétien
- Pathogen Discovery Laboratory, Biology of Infection Unit, Institut Pasteur, Paris, France
| | - Marie-Christine Demazoin
- French Human Papillomavirus Reference Laboratory (Centre National de Référence des Papillomavirus Humains), Institut Pasteur, Paris, France
| | - Michaël Falguières
- French Human Papillomavirus Reference Laboratory (Centre National de Référence des Papillomavirus Humains), Institut Pasteur, Paris, France
| | - Laurence Arowas
- French Human Papillomavirus Reference Laboratory (Centre National de Référence des Papillomavirus Humains), Institut Pasteur, Paris, France
| | - Hélène Laude
- French Human Papillomavirus Reference Laboratory (Centre National de Référence des Papillomavirus Humains), Institut Pasteur, Paris, France
| | - Isabelle Heard
- French Human Papillomavirus Reference Laboratory (Centre National de Référence des Papillomavirus Humains), Institut Pasteur, Paris, France
| | - Marc Eloit
- Pathogen Discovery Laboratory, Biology of Infection Unit, Institut Pasteur, Paris, France; National Veterinary School of Alfort, Paris-Est University, Maisons-Alfort, France.
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Schmitz T, Pourcelot AG, Moutafoff C, Biran V, Sibony O, Oury JF. Cervical ripening with low-dose prostaglandins in planned vaginal birth after cesarean. PLoS One 2013; 8:e80903. [PMID: 24260505 PMCID: PMC3834249 DOI: 10.1371/journal.pone.0080903] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Accepted: 10/17/2013] [Indexed: 12/04/2022] Open
Abstract
Objectives To compare uterine rupture, maternal and perinatal morbidity rates in women with one single previous cesarean after spontaneous onset of labor or low-dose prostaglandin-induced cervical ripening for unfavourable cervix. Study Design This was a retrospective cohort study of 4,137 women with one single previous cesarean over a 22-year period. Inpatient prostaglandin administration consisted in single daily local applications. Results Vaginal delivery was planned for 3,544 (85.7%) patients, 2,704 (76.3%) of whom delivered vaginally (vaginal birth after Cesarean (VBAC) rate = 65.4%). Among women receiving prostaglandins (n=515), 323 (62.7%) delivered vaginally. Uterine rupture (0.7% compared with 0.8%, OR 1.1, 95% CI 0.4-3.4, p=0.88), maternal (0.9% compared with 1.2%, OR 1.3, 95% CI 0.5-3.2, p=0.63) and perinatal (0.3% compared with 0.8%, OR 2.4, 95% CI 0.7-8.5, p=0.18) morbidity rates did not differ significantly between patients with spontaneous onset of labor and those receiving prostaglandins, nor did these rates differ according to the planned mode of delivery. Conclusion In comparison with patients with spontaneous labor, inducing cervical ripening with low-dose prostaglandins in case of unfavourable cervix is not associated with appreciable increase in uterine rupture, maternal or perinatal morbidity.
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Affiliation(s)
- Thomas Schmitz
- Service de Gynécologie Obstétrique, Hôpital Robert Debré, AP-HP, Paris, France
- Université Paris Diderot, Paris, France
- * E-mail:
| | - Anne-Gaelle Pourcelot
- Service de Gynécologie Obstétrique, Hôpital Robert Debré, AP-HP, Paris, France
- Université Paris Diderot, Paris, France
| | - Constance Moutafoff
- Service de Gynécologie Obstétrique, Hôpital Robert Debré, AP-HP, Paris, France
- Université Paris Diderot, Paris, France
| | - Valérie Biran
- Université Paris Diderot, Paris, France
- Service de Néonatalogie, Hôpital Robert Debré, AP-HP, Paris, France
| | - Olivier Sibony
- Service de Gynécologie Obstétrique, Hôpital Robert Debré, AP-HP, Paris, France
- Université Paris Diderot, Paris, France
| | - Jean-François Oury
- Service de Gynécologie Obstétrique, Hôpital Robert Debré, AP-HP, Paris, France
- Université Paris Diderot, Paris, France
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