[Respiratory disease in cystic fibrosis: from physiopathology to therapy. Kinesitherapy and pulmonary transplantation excluded].

Abstract:

:Respiratory disease is the major cause of morbidity and mortality in cystic fibrosis. Cystic fibrosis was long treated in the pediatric setting, but improved survival has led to the implication of adult pneumology in therapeutic management. Since the gene causing cystic fibrosis has been clone, our knowledge of the pathophysiology of the disease has literally exploded, particularly concerning the deleterious consequences of defective expression and distribution of CFTR (cystic fibrosis transmembrane conductance regulator) protein in chronic lung inflammation and infection. This knowledge has led to an optimization of existing therapeutic strategies and to the formulation of hypotheses for the development of new pharmaceutical reagents, allowing an assessment of disease outcome not only in terms of survival but also in terms of quality of life. Early in vivo clinical trials have been encouraging although the efficacy of gene transfer and expression remain modest and the optimal vector remains to be determined. Different potential pharmacological approaches are being studied in order to correct for defective CFTR function at different levels of gene mutation, and to modulate the disorder in transepithelial ionic transfer. One could expect in the near future to see combinations of complementary genotype-specific drugs used for the treatment of cystic fibrosis after patient genotyping to categorize the type of mutation.

journal_name

Rev Mal Respir

authors

Reynaud-Gaubert M

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

495-509

issue

4

eissn

0761-8425

issn

1776-2588

pii

MDOI-RMR-08-1999-16-4-0761-8425-101019-ART64

journal_volume

16

pub_type

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  • [Osmolarity of solutions used in nebulization].

    abstract::Inhaled medications are widely used in patients suffering from bronchial diseases. Beside their pharmacological properties, nebulised solutions have physico-chemical characteristics that can alter bronchial reactivity. Non-isotonic solutions can induce a bronchial hyperresponsiveness and/or a severe bronchonconstricti...

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    authors: Portel L,Tunon de Lara JM,Vernejoux JM,Weiss I,Taytard A

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  • [Pleuro-pulmonary blastoma. Report of 4 cases].

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    authors: Benouachane T,el Khorassani M,Nachef MN,Khattab M,Alhamany Z,Barahioui M,Msefer Alaoui F

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    authors: Gervais R,Le Guen Y,Le Caer H,Paillotin D,Chouaid C,GFPC.

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  • [The VQ11, a short health-related quality of life questionnaire for routine practice in COPD patients].

    abstract:OBJECTIVE:The management of COPD aims to improve integrated indices such as health-related quality of life (HRQoL). Experts recommend repeated and methodical assessment of HRQoL, particularly by the use of questionnaires. Though these tools give pertinent information for groups of patients, they have limitations in des...

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    authors: Ninot G,Soyez F,Fiocco S,Nassih K,Morin AJ,Prefaut C

    更新日期:2010-05-01 00:00:00

  • [Primary malignant melanoma of the trachea. Apropos of a case].

    abstract::Primary malignant melanoma of the lower airways is very rare. 24 cases have been collected over the past century. Our case was a patient of 52 years of age who had been discovered to have a tracheal tumour which was found to be a malignant melanoma and was treated with a Laser. The major problem is to establish that t...

    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章

    doi:

    authors: Kamel A,Chabbou A,Hakim F,Labbane N,Megdiche L,el Gharbi B

    更新日期:1990-01-01 00:00:00

  • [Severe pneumonia due to cytomegalovirus in chronic obstructive pulmonary disease].

    abstract:UNLABELLED:Severe pneumonia due to cytomegalovirus in chronic obstructive pulmonary disease. INTRODUCTION:We describe two cases of immunocompetent patients with chronic obstructive pulmonary disease (COPD) who developed severe cytomegalovirus (CMV) pneumonia. The clinical and radiological context and CMV replication i...

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  • [Pleurisy induced by atorvastatin].

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    journal_title:Revue des maladies respiratoires

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    abstract::Acquired hemophilia A (AHA) is a rare disease, defined by the production of anti-factor VIII antibodies causing disordered hemostasis. It is idiopathic in 50% of cases, but sometimes associated with solid tumors. We report a case where AHA led to the diagnosis of lung cancer. CASE REPORT:An 82-year-old man with spont...

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  • [Mycoplasma pneumoniae respiratory infections in hospitalized patients].

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    journal_title:Revue des maladies respiratoires

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    authors: Devouassoux G,Heyraud JD,Gontier C

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    journal_title:Revue des maladies respiratoires

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  • [Broncho-alveolar lavage. From technical aspects to standards of interpretation].

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    doi:

    authors: Wallaert B,De Vuyst P,Israel-Biet D

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  • [A survey of nebulization practices in France conducted in 2004 by the GAT].

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  • [Serotonin and pulmonary arterial hypertension].

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  • [Lung cancer and HIV infection].

    abstract::AIDS was the cause of the majority of deaths from HIV infection before 1996 but since the introduction of antiretroviral therapies the causes of mortality have changed considerably. In 2010, 75 % of deaths were due to diseases other than AIDS, the majority being cancers. Lung cancer is the most common in terms of both...

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  • [Perioperative treatment for resected non-small cell lung cancer: Which option in 2020?]

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  • [Assessment of three filters for respiratory function tests].

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  • [A multi-centre randomized controlled trial of domiciliary non-invasive ventilation vs long-term oxygen therapy in survivors of acute hypercapnic respiratory failure due to COPD. Non-invasive ventilation in obstructive lung disease (NIVOLD) study].

    abstract:BACKGROUND:Patients with chronic hypercapnic respiratory failure due to chronic obstructive pulmonary disease (COPD) are very likely to develop acute exacerbations. Non-invasive ventilation is often used to treat acute respiratory failure but little information is available about the benefits of domiciliary non-invasiv...

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  • [Tunnelled central venous catheter infection during treatment with epoprostenol].

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  • [Chemotaxis and cellular migration in respiratory pathology].

    abstract::Numerous types of cells have a capacity for movement in physiological or pathological situations. For example, this is the case for inflammatory cells in the lung, during acute lobar pneumonia, sarcoidosis and idiopathic pulmonary fibrosis. Cellular migration is a general process which rests on the interaction between...

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    authors: Martinet Y,Martinet N

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  • [Improved prognosis in non small cell lung cancer--myth or reality?].

    abstract::Some data suggest that survival in non small cell lung cancer (NSCLC) has improved in the last ten years. A comparison between large prospective therapeutic trials from 1979 to 2002 does show some progress but there are many biases, especially the Will Rogers effect, where stage migration due to new methods of diagnos...

    journal_title:Revue des maladies respiratoires

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    doi:

    authors: Milleron B,Lavolé A,Gounant V

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  • [Respiratory diseases related to passive smoking].

    abstract::Passive smoking, measured in practice by using specific biomarkers, is a well known factor of morbidity and mortality. The main victims are children, often starting from conception, but adults are not spared. Many respiratory diseases are caused and/or worsened by passive smoking and environmental tobacco smoke (ETS) ...

    journal_title:Revue des maladies respiratoires

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  • [Critical study of methods for the diagnosis of allergic asthma].

    abstract::A search for an allergic cause in asthma is fundamental to the diagnosis. Typically it is based on: A clinical history. Specific cutaneous and inhaled provocation tests which can produce a possible reaction (early and delayed) which are of great pathophysiological and therapeutic interest. In vitro tests (which enable...

    journal_title:Revue des maladies respiratoires

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    doi:

    authors: Molina CL,Mignot P,Janin-Mercier A,Kantelip B,Delage J

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  • [Electrostimulation in the rehabilitation of patients with severe COPD: pertinent or not].

    abstract:INTRODUCTION:The degree of dyspnoea and muscular dysfunction during an exacerbation of COPD are so severe in some patients that they are unable to follow a traditional exercise training programme based on whole body activity (walking, cycling). Some alternative strategies like electrostimulation may be considered to in...

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    doi:10.1016/j.rmr.2009.08.004

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  • [Bronchial cancer in anthracosilicosis and silicosis. Study of workers in coal fields in Wallonia].

    abstract::This study was carried out between 1973 and 1982 on the proportional mortality by lung cancer of a group of workers living either in Brussells or in Wallonia and receiving compensation for silicosis or anthrasilicosis. The majority of patients suffered from anthrasilicosis (more than 96%) and had been exposed to the r...

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    pub_type: 杂志文章

    doi:

    authors: Vande Weyer R,Arnold L,Boudewijns F,Petit P,Yernault JC

    更新日期:1984-01-01 00:00:00

  • [Features distinguishing ornithosis from avian acute hypersensitivity pneumonitis - a retrospective analysis].

    abstract:INTRODUCTION:The aim of our study was to compare the features at diagnosis in patients with ornithosis to patients with avian acute hypersensitivity pneumonitis (HP). Clinical, biological and radiological differences could potentially help clinicians to distinguish these diseases. METHODS:We conducted a retrospective ...

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  • [Hemoptysis disclosing a plasma cell granuloma with intra-bronchial involvement].

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    journal_title:Revue des maladies respiratoires

    pub_type: 杂志文章

    doi:

    authors: Rigault JY,Prevost JN,Brun J,Galateau F

    更新日期:1991-01-01 00:00:00

  • [Management of postoperative chylothorax].

    abstract:INTRODUCTION:A chylothorax can occur following any intrathoracic procedure. It is generally straightforward to make the diagnosis but optimal management can be problematic. METHODS:Between 1995 and 2002, three women and one man aged from 13 to 58 years were treated for chylothorax after thoracic surgery. Their initial...

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    pub_type: 杂志文章

    doi:10.1016/s0761-8425(06)71479-6

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