High frequency ultrasound in the preoperative staging of primary melanoma: a statistical analysis

High frequency sonography has been shown to be a useful tool in the preoperative staging of malignant melanoma. In the present study sonometric and histometric data concerning tumour thickness were compared, using appropriate statistical methods, in order to assess the accuracy of ultrasonography. From December 1997 all pigmented lesions suspected of being melanoma were preoperatively assessed by a 20 MHz ultrasound B scan. The results of these ultrasound examinations were compared with histometric data. Pearson's correlation coefficient and absolute and relative differences were used for statistical analysis. Of the 261 examined lesions, 193 were malignant melanoma. A high correlation between sonometry and histometry was computed (r = 0.95), with an absolute difference of 0.32 +/- 0.03 mm (mean +/- SEM) and a mean relative difference of 27.2% (95% confidence interval 23-31.4%). The highest correlation was found in melanoma > or = 1.51 mm thick and the lowest correlation in melanoma < or = 0.75 mm. In conclusion, the high accuracy of this technique in the preoperative staging of malignant melanoma would offer a basis for defining the surgical margins of > or = 0.76 mm thick lesions. The limited accuracy of sonometry in the preoperative staging of thin melanoma < or = 0.75 mm has emerged by applying adequate statistical methods.

Spoligotype diversity of Mycobacterium bovis strains isolated in France from 1979 to 2000

The molecular fingerprints of 1,349 isolates of Mycobacterium bovis received between 1979 and August 2000 at Agence Française de Sécurité Sanitaire des Aliments (Afssa) have been obtained by spoligotyping. The majority of the isolates (1,266) were obtained from cattle living in France. An apparently high level of heterogeneity was observed between isolates. One hundred sixty-one spoligotypes were observed in total, of which 153 were from French isolates. The two predominant spoligotypes, designated BCG-like and GB54, accounted for 26 and 12% of the isolates, respectively. In addition, 84% of the spoligotypes were found fewer than 10 times. Analysis of the results by clustering and parsimony-based algorithms revealed that the majority of the spoligotypes were closely related. The predominant spoligotype was identical to that of the vaccine strain Mycobacterium bovis BCG, which was isolated in France at the end of the 19th century. Some spoligotypes were closely associated with restricted geographical areas. Interestingly, some spoligotypes, which were frequently observed in France, were also observed in neighboring countries. Conversely, few spoligotypes were common to France and England, and those that were shared were observed at very different frequencies. This last point illustrates the potential role for an international data bank, which could help trace the spread of M. bovis across national borders.

Mycobacterium avium and Mycobacterium intracellulare infection in mammals

Mycobacterium avium subsp. avium and M. intracellulare are ubiquitous organisms in the environment. The reservoir of M. avium subsp. avium is generally accepted to be environmental, in particular, water and soil are sources of the organism. In contrast to M. avium infection in wild and domestic birds, M. avium infection in mammals occurs only sporadically and is rarely transmissible. Generalised disease is usually uncommon, owing to the non-progressive, chronic character of the infection. However, some cases of disseminated disease have been reported, e.g. in captive non-domestic hoofed animals as well as in immunosuppressed dogs and cats. The majority of M. avium and M. intracellulare infections in livestock are detected at slaughter and the diagnosis is confirmed by bacteriological procedures. Condemnation of affected portions of the carcass can result in significant economic losses, although gross lesions are mostly restricted to lymph nodes close to the alimentary tract. Successful treatment with antibiotics in combination with surgery has been reported in some affected domestic cats, but is not considered to be effective or economical in other species. In the past, differentiation of M. avium bacteria from the closely related M. avium subsp. paratuberculosis was based on the mycobactin dependence and prolonged incubation period of the latter. More recently, amplification of the genomic insertion sequence IS900 has proved to be a powerful tool for identification of M. avium subsp. paratuberculosis. The potential zoonotic importance of M. avium infections has been indicated, but requires clarification.

Molecular typing of Mycobacterium bovis isolates from Cameroon

In order to gain a better understanding of the molecular epidemiology of Mycobacterium bovis isolates in Cameroon, 75 isolates of M. bovis collected in three provinces of northern Cameroon were studied by spoligotyping. For 65 of these isolates, typing was also carried out by pulsed-field gel electrophoresis (PFGE) with DraI, and 18 of the isolates were also typed by restriction fragment length polymorphism (RFLP) analysis with probe IS6110-RHS. Molecular typing of the isolates by these techniques revealed a high degree of homogeneity, with 10 spoligotypes for 75 isolates, four PFGE profiles for 65 isolates, and three RFLP types for 18 isolates. Some types were present in the three different provinces, while some were confined to one or two areas. These results suggest that geographical mapping of M. bovis strains could be helpful for the control of bovine tuberculosis at the regional level. An interesting feature of all the spoligotypes was the absence of spacer 30, suggesting a common origin for all of the Cameroon isolates tested; an evolutionary scenario for the isolates is discussed. In addition, a comparison of the three techniques showed that for M. bovis strain differentiation in Cameroon and in surrounding countries, spoligotyping would be a more discriminating and practical tool for molecular typing than the other two techniques used in this study.

Molecular characterization of environmental mycobacterium strains by PCR-restriction fragment length polymorphism of hsp65 and by sequencing of hsp65, and of 16S and ITS1 rDNA

Fifteen mycobacterial strains from the environment, not clearly identifiable by biochemical properties, were analyzed with molecular markers: PCR-restriction enzyme analysis of hsp65 and sequencing of hsp65, and of the internal transcribed spacer 1 (ITS1) and 16S rDNA. The 16S rDNA sequencing closely related the strains to a slow-growing mycobacterial group including Mycobacterium simiae, Mycobacterium lentiflavum, Mycobacterium genavense, Mycobacterium triplex and Mycobacterium heidelbergense. A stretch of T bases at the level of 16S rDNA enabled the separation of M. simiae and M. lentifiavum from M. genavense, M. triplex and M. heidelbergense; hence the attribution of some environmental strains to the first or second group. But the distances between the two clades were very short and the relative positions of environmental strains and of reference strains were not resolved in terms of node robustness (low bootstrap values) in the distance tree. However, the hsp65 restriction profiles suggested assigning six strains to the M. lentiflavum species, although these strains had been found closely related to M. genavense and M. triplex from 16S rDNA nucleotide signatures. The clustering of environmental strains into the same three clusters was deduced from analysis of three sequence data (hsp65, and ITS1 and 16S rDNA), but the taxonomic affiliation of environmental strains to reference strains remained tentative. Among environmental strains and reference strains, the distances found from hsp65 sequences had the same amplitude as those found between different strains of Mycobacterium gordonae. From ITS1 rDNA sequences, the distances found between the strains of the Mycobacterium avium complex also had the same amplitude as those found between environmental strains and reference strains. From our results, it appears that the environmental strains and the reference strains could constitute a complex of subspecies or closely related species. Their taxonomic status must be confirmed by DNA/DNA hybridization experiments.

Toxicity and activity of docetaxel in anthracycline-pretreated breast cancer patients: a phase II study

Docetaxel has proven effective in advanced breast cancer. Myelosuppression and cumulative fluid retention syndrome are troublesome, potentially avoidable toxicities. In this consecutive cohort study, docetaxel (100 mg/m2 by 1 hour i.v. infusion, q3 weeks) activity and toxicity was explored in 56 anthracycline-pretreated patients (eligible: 55: median age: 51 years [range: 28-68 years]; median performance status: 0 [range: 0-3]) with metastatic breast cancer, using two different granulocyte colony-stimulating factor and steroid pre- and postmedication schedules. Twenty-nine patients (group A) received a 5-day oral prednisone premedication, and 26 (group B) received 4-day low-dose i.m. dexamethasone; group B patients also received prophylactic granulocyte colony-stimulating factor. All patients were evaluable for toxicity and 53 for response. Prophylactic granulocyte colony-stimulating factor significantly lowered the incidence of grade III-IV neutropenia and neutropenic fever (p = 0.0001 and 0.01, respectively). The incidence of moderate-severe fluid retention syndrome was lower in patients receiving i.m. dexamethasone (p = 0.08). Overall response rate was 53% (4 complete responses/24 partial responses, 95% confidence interval 39.4-66.2%); 32% have stable disease and 15% progressive disease. In 21 anthracycline-refractory/resistant patients, as well as in 10 paclitaxel-pretreated patients, the overall response rate was 50%. Docetaxel is highly active in anthracycline- and paclitaxel-pretreated metastatic breast cancer, with manageable toxicity. Optimal use of both granulocyte colony-stimulating factor support and steroid premedication deserves further investigation.

[Plantar fibromatosis: ultrasonography results]

INTRODUCTION

Plantar fibromatosis, or Ledderhose's disease, is a fibrous proliferation arising within the plantar fascia end exhibiting typical clinical nodular features. The lesion appears as a firm single thickening or a nodule, occasionally painful, localized to the medial portion of the sole of the foot. This unusual condition has not been extensively studied with US and very little has been written about it.

MATERIAL AND METHODS

In 1998-99, six patients with plantar fibromatosis were submitted to US with 13 MHz linear array and 20 MHz mechanical annular array probes. All patients were examined in prone recumbency with the probe positioned on the sole of the foot. Only some of them were subsequently submitted to surgery.

RESULTS

Plantar fibromatosis exhibited an almost pathognomonic pattern and US proved to be a quick, noninvasive and cost-effective technique to confirm clinical diagnosis. The nodule is typically single and isoechoic, with maximum diameter of about 1 cm, inhomogeneous internal structure and few thin hyperechoic septa. The nodular fibrous proliferation adheres with the major axis along the plantar fascia; it exhibits clear-cut margins and US beam transmission is good. No calcifications or fluid collections are seen within the nodule. Color and power Doppler show no flow inside.

CONCLUSIONS

US is an adequate tool for the study of plantar fibromatosis.

[Role of high-definition and high frequency ultrasonography in determining tumor thickness in cutaneous malignant melanoma]

PURPOSE

We investigated the predictive capabilities of high frequency, high resolution ultrasound (US) in the preoperative assessment of tumor thickness in cutaneous malignant melanomas. This evaluation is a valuable help for correct surgical planning.

MATERIAL AND METHODS

December 1997 to August 1998, we studied with US over 120 pigmented skin lesions and collected the data, including the final histologic diagnosis, of 78 of them, which make our series. Sixty-six of 78 lesions were histologically defined as cutaneous malignant melanomas with superficial spread and the other 12 as melanocytic nevi. All examinations were carried out with an Esaotebiomedica AU 5 Harmonic scanner equipped with a 20-MHz annular array probe and a linear 13-MHz probe; B-mode, color and power Doppler images were always acquired.

RESULTS

The statistical analysis of the comparative US and histologic measurements of tumor thickness showed very good agreement, with a high Pearson's coefficient (R: .93). However, US frequently underestimated the actual thickness relative to histology, which is in contradiction with previous literature reports. We could study with US the melanoma in situ, which has never been described before. Last but not least, low-thickness melanomas had very few color and power Doppler signals.

CONCLUSIONS

US is the correct tool for the preoperative assessment of the thickness of cutaneous malignant melanomas because it provides high agreement with histologic data even in lesions thinner than 1 mm.

Isolation of Mycobacterium bovis from baboons, leopards and a sea-lion

This study reports on two series of cases of Mycobacterium bovis infection in zoo animals. The first was in a captive population of baboons (Papio hamadryas) and the second in a mixed group of wild mammals, including four leopards (Panthera uncia and Panthera pardus) and a sea-lion (Otaria byrona). The isolation and identification of strains of M. bovis confirmed the presence of M. bovis infections in both zoos. The epidemiological study using genetic markers such as the IS6110-based DNA fingerprinting system made it possible to differentiate between M. bovis strains. The M. bovis strains isolated from baboons were shown to contain a single IS6110 copy, as usually do cattle isolates, whereas the M. bovis strains isolated from the other exotic animals presented multiple copies. This finding suggests that the origin of the contamination for the baboons in zoo A could be related to cattle. The origin of the contamination for the leopards and sea-lion in zoo B is more difficult to determine. In conclusion, the authors suggest some recommendations for avoiding outbreaks of tuberculosis infections in zoos.

Mycobacterium avium infections in animals. Literature review

Mycobacterium avium causes tuberculosis in chickens and other fowls but can also infect an extensive range of different animal species. The authors reviewed the available literature on this organism to show the importance of M avium infection.

[Pathogenic organisms in milk and milk products: the situation in France and in Europe]

Milk and dairy products harbour a natural microbial flora and/or other micro-organisms, which vary within the wide range of products available on the French market. The origin of contamination by pathogenic bacteria varies with the type of product and the mode of production and processing. Contamination of milk and dairy products by pathogenic micro-organisms can be of endogenous origin, following excretion from the udder of an infected animal. Contamination may also be of exogenous origin, through direct contact with infected herds or through the environment (e.g. water, personnel). Treatment and processing of milk can inhibit or encourage the multiplication of micro-organisms. The authors describe the relevant aspects of bacterial physiology and ecology, the occurrence of bacteria in dairy products, and the public health significance for each of the principal micro-organisms found in such products. Bacteria most frequently involved are mycobacteria, Brucella sp., Listeria monocytogenes, Staphylococcus aureus and enterobacteria (including toxigenic Escherichia coli and Salmonella). At present, systems of testing and surveillance are required for the control of pathogenic bacteria in milk and dairy products, as specified by regulations currently being developed for all countries in the European Union. Preventive measures should take into account the well-established facts concerning the potential microbiological impact of pathogenic bacteria on milk and dairy products. There should be increased recourse to risk analysis methods to assess the threat to the consumer with regard to the presence of pathogenic bacteria in food.

Glycolipid antigen for use in diagnostic assays for bovine tuberculosis

A glycolipid antigen, was isolated, purified and characterized from Mycobacterium bovis An5. Chemical analysis (thin-layer chromatography, nuclear magnetic resonance and infrared spectra) showed that this glycolipid was a 2,3-di-O-acyl trehalose (DAT), similar to the DAT of M. tuberculosis. This antigen was used to establish ELISA-based serodiagnostic tests for M. bovis-infected cattle. The sensitivity and specificity of the assay were investigated using sera of cattle from tuberculosis-free herds and from tuberculosis-infected herds. No correlation was found between DAT-ELISA and the skin test, nor between DAT-ELISA and interferon-gamma with bovine purified protein derivative. The antibody titres were not related to cell-mediated immunity. Although the antigen was highly specific (95.9%), the sensitivity of DAT-ELISA, as judged from assays in bacteriologically confirmed tuberculosis, was low (29 to 36.8%). The low sensitivity of ELISA might also be attributed to a reciprocal relationship between B-cell proliferation and T-cell protective immunity.

[Use of the in vitro enzymatic amplification method for the detection of Mycobacterium paratuberculosis in feces]

A polymerase chain reaction was developed, using as target sequence an insertion element of 1,451 base pairs (IS 900), specific for Mycobacterium paratuberculosis (15-20 copies per genome). The test was performed in three stages: (1) extraction of bacterial deoxyribonucleic acid (DNA), from faeces stored at +4 degrees C, -20 degrees C, in 70% ethanol or in a buffer solution; (2) amplification of the target DNA by means of thermostable DNA polymerase; (3) detection of the amplified DNA by electrophoresis, confirmed by dot blot assay after hybridisation with an internal labelled oligonucleotide of digoxigenin. Reproducible results were obtained with DNA extracted from faeces stored at -20 degrees C or in 70% ethanol. The sensitivity and specificity of the method used, particularly double amplification and hybridisation, are discussed by comparing the results obtained by bacterial culture from faeces.

Isolation and characterization of serologically reactive lipooligosaccharides from Mycobacterium tuberculosis

Two major highly polar antigenic glycolipids were isolated from recent isolates of Mycobacterium tuberculosis from a wide range of geographical origins. The occurrence of these polar glycolipids was demonstrated by isolation, purification and chromatographic characterization and/or serological procedures in 12 strains. Based on their chromatographic properties, these polar glycolipids belong to the lipooligosaccharide family. Preliminary data on the use of these newly described antigens in the serodiagnosis of tuberculosis is presented.

Numerical taxonomy of mycobactin-dependent mycobacteria, emended description of Mycobacterium avium, and description of Mycobacterium avium subsp. avium subsp. nov., Mycobacterium avium subsp. paratuberculosis subsp. nov., and Mycobacterium avium subsp. silvaticum subsp. nov

We performed a numerical taxonomy analysis of 38 Mycobacterium paratuberculosis and related mycobacterial strains, including wood pigeon mycobacteria; this analysis was based on 22 tests, which were selected for their potential discriminative value from a total of 51 tests studied and produced four well-defined clusters. Cluster 1 contained the M. paratuberculosis strains, including two strains isolated from Crohn's disease patients; cluster 2 contained Mycobacterium avium and Mycobacterium intracellulare reference strains; cluster 3 consisted of the wood pigeon mycobacteria; and the only strain in cluster 4 was M. paratuberculosis 316F, which is used for antigen and vaccine production. Strains in cluster 1 were mycobactin dependent even when they were subcultured, whereas strains in cluster 3 were unable to grow on egg medium and their growth was stimulated by pH 5.5. Growth stimulation by pyruvate, resistance to D-cycloserine (50 micrograms/ml), and alkaline phosphatase activity also were characteristics that were useful for discriminating between clusters 1 and 3. The results of previous DNA-DNA hybridization studies have demonstrated that M. avium Chester 1901, M. paratuberculosis Bergey et al. 1923, and the wood pigeon mycobacteria belong to a single genomic species, and we propose that the name of this species should be M. avium. On the basis of the results of previous genomic analyses based on restriction fragment length, the results of polymorphism studies, and DNA patterns determined by field inversion gel electrophoresis as well as the results of our phenotypic study, we propose that the species should be divided into subspecies which correspond to pathogenicity and host range characteristics.(ABSTRACT TRUNCATED AT 250 WORDS)

Characterization of Mycobacterium paratuberculosis and "wood-pigeon" mycobacteria by isoenzyme profile and selective staining of immunoprecipitates

Cell-free extracts of various strains belonging to Mycobacterium paratuberculosis (Ptb) and "wood-pigeon" (WP) mycobacteria were compared by polyacrylamide gel electrophoresis and the various protein bands obtained were tested for peroxidase enzyme activity. One strain of Mycobacterium avium served as a control. Bacterial extracts were also analysed by crossed immunoelectrophoresis (CRIEP) and fused rocket immunoelectrophoresis (FRIEP) using antisera raised in rabbit against M. paratuberculosis and WP mycobacteria. The immunoprecipitates obtained both in CRIEP and FRIEP plates were subsequently stained for selective peroxidase enzyme staining. Our results showed that, although Ptb and WP mycobacteria shared common peroxidase isoenzymes and antigens, they also had specific immunoprecipitates showing the differences between the two groups of bacteria.

[Endodermal sinus tumor. Histological changes induced by chemotherapy]

The case of a child affected at birth sacrococcygeal teratoma is reported. Twenty-eight months following surgical resection, the tumor relapsed locally and liver metastases occurred. A biopsy of the sacrococcygeal mass was performed and histologic examination proved it to be an endodermal sinus (yolk sac) tumor. Chemotherapy consisting of etoposide and high-dose carboplatin was started. When a second operation was performed the mass had disappeared and the macroscopically involved areas of liver were removed. Histologic examination demonstrated that the complete necrosis of the tumor was partially replaced by a fibrous scar tissue. The child underwent adjuvant chemotherapy and now is in complete remission fourteen months after the last operation.

DNA polymorphism in Mycobacterium paratuberculosis, "wood pigeon mycobacteria," and related mycobacteria analyzed by field inversion gel electrophoresis

Mycobacterium paratuberculosis strains, mycobacteria from patients suffering from Crohn's disease, "wood pigeon mycobacteria," and representatives of Mycobacterium avium-Mycobacterium intracellulare were compared by restriction endonuclease DraI digestion and field inversion gel electrophoresis. Characteristic profiles were seen for M. paratuberculosis, including isolates from patients suffering from Crohn's disease, for wood pigeon mycobacteria, and for M. avium-M. intracellulare serotypes 2, 16, 18, and 19. Two M. paratuberculosis strains used for vaccine production (St 18 and 316 F) presented patterns different from those of the other M. paratuberculosis strains. Strains St 18 yielded a pattern identical to that of the M. avium type strain serotype 2, whereas 316 F gave a unique pattern. The method developed in this study represents a useful taxonomic tool for the identification and classification of mycobacteria.

Characterization of distinct layers of the Mycobacterium avium envelope in respect of their composition by fatty acids, proteins, oligosaccharides and antigens

The distribution of fatty acids, proteins, polysaccharides and antigens in subcellular fractions of Mycobacterium avium is described. Significant qualitative differences in the chemical composition of the various fractions have been used to further characterize the tripartite structure of the cell wall. In the outer dense layer (POL), in addition to previously described complex amphiphatic lipids, new oligosaccharides (lipooligosaccharides?) and a major glycoprotein were located; and it was found that tuberculostearic acid (TSA) esterified the phospholipids of this outerlayer. Judging from the data, it was proposed that the phospholipids formed a basic matrix monolayer in which other compounds of the POL intercalated. It was suggested that in an aqueous environment the hydrophobic ends of the phospholipids oriented to face the mycolic acid residues of the cell wall skeletons (or CWS) to form the 12 nm thick electron transparent layer. The purified CWS contained alpha-, keto-, and dicarboxylic mycolic acids; alanine, glutamic acid and diaminopimelic acid; and arabinose and galactose. Two additional nonidentified amino acids and an unidentified sugar were found in the CWS. Also, in the CWS the fatty acids: palmitic acid (21.8%), oleic acid (4.3%), stearic acid (9.2%) and TSA (4.3%), were detected. The main fatty acids detected in the cytoplasmic membrane (CM) were palmitic (20%), oleic (14.5%) and stearic (8.6%) acids. Mycolic acids and TSA were absent in the CM phospholipids. The major proteins of the CM (86, 40, and 26 Kd proteins) were distinct from the major proteins detected in the cytosol (CYT) fraction (43, 36, and 19 Kd proteins). A 58 Kd protein was present in both the CM and the CYT. The CYT and CM antigens were found absent in surface antigens extracted using sodium dodecyl sulphate (SDS).

Structure of the cell envelope of Mycobacterium avium

In this report the cell wall of Mycobacterium avium is shown as a triple-layered structure where the outermost layer was stained by the ruthenium red staining for polysaccharides. The outermost layer hindered the diffusion of chemotherapeutic agents across the wall thus causing multiple drug-resistance by exclusion. The concerted electron microscopy and chemical analysis of chloroform-methanol and Triton X-100 extracts indicated that the outer layer was made of diverse amphiphil glycolipids (mycosides C, glycolipids, peptidolipids, phospholipids) that formed a matrix in which proteins were embedded. The examination of a spontaneous rough mutant indicated that mutations blocking the synthesis of one or several of the amphiphils must leave unsubstituted mycolic acid residues, thus causing surface hydrophobicity and roughness. Judging from our data, a model describing the overall cell envelope of M. avium was proposed. From the comparative analysis of M. avium, its spontaneous rough mutant, and its spheroplasts, some of the functions of the outermost layer were disclosed.

Review of the occurrence of mycobactin dependence among mycobacteria species

Most mycobacteria are able to make mycobactin for themselves. But, Mycobacterium paratuberculosis, M. avium atypical like wood-pigeon mycobacteria and some strains of M. avium typical for the primary isolation, lack this capacity and require mycobactin for growth in the laboratory.

Specific surface antigens of SmT variants of Mycobacterium avium

SmT variants of Mycobacterium avium ATCC 15769 formed novel antigens which were absent in SmD variants.

[Comparative study of mycobactin-dependent strains of mycobacteria isolated from the wood-pigeon with Mycobacterium avium and M. paratuberculosis: study of biological and antigenic characteristics]

In this investigation three mycobacterial strains isolated in our laboratory from wood-pigeons were compared with one strain isolated by Matthews and another by Jorgensen from, respectively, a wood-pigeon and a roe-deer. The strains were also compared with various strains of Mycobacterium avium and M. paratuberculosis. The strains isolated from the wood-pigeons formed a relatively homogeneous group, which could be distinguished from M. avium and M. paratuberculosis. It was interesting to verify that most of the cultural and biochemical properties of the wood-pigeon mycobacteria were similar to those of M. paratuberculosis. The strains formed rough colonies and grew slowly in special mediums containing M. phlei extracts or mycobactin. However, one must recall that mycobactin dependence was also reported by Matthews for some strains of M. avium. The tween hydrolysis test (10 days), negative for M. avium, was positive for both the wood-pigeon mycobacteria and M. paratuberculosis. The trehalase test, which appears to be regularly positive for M. avium, was also positive for the wood-pigeon mycobacteria and M. paratuberculosis. In respect to drug susceptibility, no significant differences were observed. The organisms were resistant to most drugs studied, but were also resistant to cycloserine, in contrast to most M. avium strains. On the other hand, the organisms were not distinguished using sensitins, prepared from wood-pigeon mycobacteria and M. paratuberculosis using specifically sensitized guinea-pigs. However, the wood-pigeon mycobacteria could be clearly differentiated from M. paratuberculosis and M. avium using serology methods. Indeed, the wood-pigeon mycobacteria did not agglutinate in the presence of any of the sera defining the M. avium-intracellulare serovars (serovars 1 to 28); and by immunodiffusion in agar the wood-pigeon mycobacteria antigens formed two precipitation lines which were absent from M. paratuberculosis. Judging from our findings, the wood-pigeon mycobacteria are more closely related to M. paratuberculosis than to M. avium. It appears that biochemical and antigenic properties are not sufficient to completely differentiate these bacteria. Further studies are needed, and we plan to investigate in the near future their pathogenicity for rabbits, chicken and calves.

[Use of the macrophage migration inhibition test in the study of relationships between mycobacterial antigens]

In this study, 3 groups of 15 rabbits each were sensitized with killed Mycobacterium tuberculosis, M. kansasii or M. avium bacteria. The sensitization was performed through the footpad. Eighteen days after sensitization, cellular immunity of the rabbits was tested with total homologous and heterologous antigens by direct and indirect migration inhibition tests using spleen macrophages. The bacteria were sonicated and centrifuged at 100,000 g for 1 h. The supernatant was used as the cytoplasmic antigen. Assayed by indirect migration, the migration index (MI) for homologous antigens was highly specific compared to heterologous antigens (MI of 0,60-0,65 compared to 0,79-0,96). The patterns obtained for rabbits sensitized with M. tuberculosis or M. kansasii when assayed by direct migration in the presence of homologous antigens (MI of 0,58 and 0,61, respectively) were similar. M. avium gave a distinct pattern. The results obtained indicate that crossed activity with heterologous antigens would be due to the presence of common components in the total antigens of the mycobacteria in question. On the other hand, the lower specificity of the direct test would result from the role played by humoral factors and antibodies, which might influence simultaneously migration of the target macrophages.

Isolation of Mycobacterium africanum from monkeys

The first isolation of M. africanum from monkeys is reported. This finding leads the author to discuss the origin of the infection in monkeys, and to underline the potential public health hazard that animals may present for humans.

[Mycobacteria identified in a centre for veterinary research between 1973 and 1979 (author's transl)]

During the years 1973 to 1979 the Central Laboratory of Veterinary Research in Alfort identified 425 strains of mycobacteria: 93 were pure cultures received from other laboratories, and the remaining 332 were isolated in this laboratory from 590 pathological specimens of different origin and from 12 samples from the environment. Sixteen species were identified, using biochemical criteria and drug sensitivity. "Tuberculous" mycobacteria (Mycobacterium bovis, M. tuberculosis and M. africanum) where the most frequent (58.5%), and "non-tuberculous" mycobacteria (41,5%) were identified as M. avium-intracellulare (136 strains), M. peregrinum (10 strains), M. paratuberculosis (5 strains), M. terrae (5 strains), M. chelonei (4 strains), M. fortuitum (2 strains), and M. aurum, M. vaccae, M. marinum and M. gordonae (1 strain of each). From the specimens received for isolation the more frequent organisms isolated were M. bovis (55%) and M. avium-intracellular (32%).

[Comparative study of serotypes of "Mycobacterium avium" isolated from human and animal (author's transl)]

The large number of avian strains isolated from pathological samples lead us to use serologic method in order to compare the serotypes of animal and human strains. The results show that the serotypes identified in strains from man (1, 2, 8, 9, 12, 14, 16 and 20) are more numerous than those identified in strains from animals (1, 2, 3, 4 and 8), and that the serotypes 1, 2 and 3 are found in animals more often (98%) than in man (47%). The distribution of the identified serotypes are similar to Piening et al's and Schaefer's but with different proportion, and inverse to Nemoto's and Tsukamura's. The transmission of M. avium from animal to man by the intermediary of the environment is discussed.

[Use of two dimensional immunoelectrophoretic method in the study of the antigenic relationships of "Mycobacterium simiae" and "M. habana" (author's transl)]

Following the cultural, biochemical and serologic studies reported elsewhere, it was thought of interest to investigate the antigenic structure of these strains. In the present work, sonicated suspensions of the bacteria were used as antigens, together with rabbit immune serum antibodies. The optimal conditions to obtain the largest number and the sharpest lines possible, were established. In this manner, we were able to obtain on two dimensional electrophoresis patterns were obtained. Using an anti-M. habana 4238 antiserum, 36 lines of precipitation were obtained with M. habana 4238, 41 lines with M. simiae 29 and 29 lines with for M. simiae 59-IX-7. Subsequently, identity tests were performed to verify the occurrence of were common antigens. These tests revealed such commons antigens in all the three strains. The comparison between M. habana and M. simiae 29 showed the occurence of at least one Precipitation line, that is characteristic of M. habana. These results appear to agree with those of Meissner, who obtained a small amount of anti-M. habana specific agglutinins. However, this worker did not believe that this was sufficient evidence to separate M. simiae 29 from M. habana. The antigenic differences between M. habana and M. simiae 59-IX-7 are more significant and appear to justify their differentiation into 2 serotypes: M. habana 4238 and M. simiae 29 being of serotype 1, M. simiae 59-IX-7 of serotype 2. The difficulties experienced in the separation of the antigenic fractions in the immunoelectrophoretic diagrams, led to consider the purification of the antigens and then to attempt to isolate the specific antigenic fractions.