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<dc:title xml:lang="en">Peripheral Blood Mononuclear Cells (PBMCs) : mitochondrial respiration after heart transplantation (HTx) : potential links with cellular shift, mild diastolic dysfunction diagnosed using echocardiography and/or acute rejection</dc:title>
<dcterms:alternative xml:lang="fr">Cellules mononucléaires du sang périphérique (PBMC) : respiration mitochondriale après transplantation cardiaque (HTx) : liens potentiels avec le déplacement cellulaire, le dysfonctionnement diastolique léger diagnostiqué par échocardiographie et/ou rejet aigu</dcterms:alternative>
<dc:subject xml:lang="fr">Transplantation cardiaque</dc:subject>
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<dcterms:abstract xml:lang="fr">Les mitochondries sont la principale source d'ATP. Une pathologie cardiaque chronique s'accompagne d'une altération de la respiration du tissu mitochondrial, liée à la sévérité de la maladie. Ce diagnostic nécessite une biopsie invasive, mais l'analyse des mitochondries sur les cellules mononucléaires circulantes du sang périphérique (PBMC) pourrait être une alternative, en raison du reflet des lésions organiques sur les PBMC. Dans cette étude prospective réalisée chez des patients transplantés cardiaques, l'anion superoxyde est augmenté par rapport aux témoins accompagné d'une altération de la respiration mitochondriale liée au complexe II, et d'une stimulation du complexe IV. Ces résultats pourraient avoir des liens potentiels avec le déplacement cellulaire, une légère dysfonction diastolique diagnostiquée par échocardiographie et/ou un rejet aigu. Mon travail montre pour la première fois, une altération de la fonction mitochondriale des PBMCs chez les patients transplantés cardiaques.</dcterms:abstract>
<dcterms:abstract xml:lang="en">The mitochondria are the main source of ATP and oxygen free radicals. A chronic cardiac pathology is accompanied by an alteration of the mitochondrial tissue respiration, linked to the severity of the disease. This diagnosis requires an invasive biopsy, but mitochondrial analysis on circulating Peripheral Blood Mononuclear Cells (PBMCs) could be an alternative, due to the reflection of organ damage on PBMCs. In heart failure, this analysis is little explored, but is not for heart transplantation.In this prospective study carried out in heart transplant patients, superoxide anion is increased compared to the controls accompanied by an alteration of mitochondrial respiration linked to complex II, and a stimulation of complex IV. These results might have potential links with Cellular shift, Mild Diastolic Dysfunction Diagnosed using Echocardiography and/or Acute Rejection</dcterms:abstract>
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