Publications by authors named "Sebastien Aubert"

In 2024, the French Society of Endocrinology, the French speaking association of endocrine surgery, and the French society of nuclear medicine have elaborated a joint consensus statement on primary hyperparathyroidism, which was presented at the last congress of the French Society of Endocrinology, in October 2024, and subsequently published as 15 individual chapters in the Annals of Endocrinology. This consensus statement is a fruit of a joint effort by over 80 French-speaking experts in the field, including adult and pediatric endocrinologists, endocrine and pediatric surgeons, radiologists, nuclear medicine specialists, biologists and geneticists, and has been endorsed by the Belgian and Swiss endocrine societies. This document summarizes the recommendations, subdivided into 15 sections each preceded by a brief introduction.

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Background: Bone sarcomas other than osteosarcoma, chondrosarcoma, and Ewing sarcoma represent a challenge in care because they are uncommon, especially in children, adolescents, and young adults (AYA).

Methods: We conducted a retrospective review of patients aged 0-25 years treated for non-osteosarcoma, non-chondrosarcoma, non-Ewing (and related) primary bone sarcomas in France between 2011 and 2021. Patients were identified through the French databases: ResOs and Conticabase.

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The latest 2022 WHO classification of the parathyroid tumors incorporates recent data on parathyroid pathophysiology, in particular from genetic sequencing. It highlights histological features potentially indicative of underlying genetic abnormalities, because of their implications for patient management. Immunohistochemical markers can help characterize parathyroid lesions and molecular screening.

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  • This study investigates the prevalence of endocrine tumors and related conditions in patients with neurofibromatosis type 1 (NF1) through systematic screening of 108 patients.
  • The results showed that 22.2% of patients had pheochromocytomas, with a smaller percentage presenting with gastroenteropancreatic neuroendocrine tumors (GEP-NETs) and gastrointestinal stromal tumors (GISTs).
  • The findings suggest that pheochromocytomas are more common in NF1 patients than previously thought, highlighting the importance of regular screening, particularly for young women.
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The aim of this study was to better characterize head and neck solitary fibrous tumors (SFTs) and to evaluate surgical treatment. This retrospective study included patients who presented with head and neck SFTs. Clinical, radiological, and histological information and data regarding the treatments performed were collected.

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Context: Pheochromocytomas and paragangliomas (PPGLs) with SDHx pathogenic variants (PVs) are characterized by a higher intratissular succinate/fumarate ratio (RS/F) than non-SDHx-mutated ones. Also, an increase in serum succinate levels has been reported in patients with germline SDHB or SDHD PV.

Objective: To assess whether measurement of serum succinate, fumarate levels, and RS/F might aid identification of an SDHx germline PV/likely pathogenic variant (LPV) in patients with PPGL or in asymptomatic relatives; and to guide identification of a PV/LPV among the variants of unknown significance (VUS) identified in SDHx by next-generation sequencing.

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  • - The study examined the bone resorption and immune microenvironment of jaw osteosarcomas (JO) in 50 biopsy samples, focusing on various biomarkers' impact on patient outcomes.
  • - Key findings indicated that high levels of CD163 were linked to poorer overall survival (OS) and disease-free survival (DFS), while RANK and RANKL levels were also associated with lower DFS.
  • - The results suggest that targeting CD163+ tumor-associated macrophages (TAMs) could be a promising treatment approach for improving prognosis in patients with JO.
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Background: Lymph node dissection (LND) in primary treatment of differentiated thyroid carcinoma is controversial. The aim of our retrospective study was to analyse the risk factors of post-thyroidectomy complications and to assess the morbidity of lymph node dissection, especially in the central neck compartment, since prophylactic central lymph node dissection has not been proven to bring an overall survival benefit. Methods: We performed a retrospective analysis of postoperative complications from 1547 consecutive patients with differentiated thyroid carcinoma in an academic department of endocrine surgery over a period of 10 years.

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Advanced adrenocortical carcinoma (ACC) has poor but heterogeneous prognosis. Apart from Ki67 index, no prognostic or predictive biomarker has been validated in advanced ACC, so far. We aimed at analyzing expression of a large panel of proteins involved in known altered pathways in ACC (cell cycle, Wnt/ß-catenin, methylation) to identify and prioritize potential prognostic or predictive parameters metastatic ACC population.

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Aims: First described in 2014, renal cell carcinoma (RCC) with TFEB amplification (6p21) is a rare molecular subgroup whose diagnosis is challenging. The prognosis and therapeutic implications remain unclear.

Methods: We report here the clinical, histological, immunohistochemical, and genetic features of nine novel cases.

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  • Clear cell renal cell carcinoma (ccRCC) is a common and treatment-resistant kidney cancer characterized by abnormal lipid accumulation, with a focus on the oncogenic miRNA miR-21 and its target, PPAR-α, a key lipid metabolism regulator.
  • In a study of 52 ccRCC samples, researchers found that higher levels of miR-21 were linked to lower levels of PPAR-α, and laboratory experiments showed that boosting PPAR-α reduced miR-21 levels and affected related transcription factors, while increasing tumor suppressor genes.
  • The research highlighted a complex feedback loop between miR-21 and PPAR-α, suggesting that targeting miR-21 could be a potential therapeutic strategy to enhance P
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The Sphingosine kinase-1/Sphingosine 1-Phosphate (SphK1/S1P) signaling pathway is overexpressed in various cancers, and is instrumental for the adaptation to hypoxia in a number of solid tumor models, but no data are available in osteosarcoma. Here we report that SphK1 and the S1P receptor are involved in HIF-1α accumulation in hypoxic osteosarcoma cells. FTY720 (Fingolimod), which targets SphK1 and S1P prevented HIF-1α accumulation, and also inhibited cell proliferation in both normoxia and hypoxia unlike conventional chemotherapy.

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Bone tissue can be involved by primitive or metastatic tumors and requires a specific processing both at the department of pathology and during multidisciplinary meetings. The development of fine-needle percutaneous biopsies and of molecular techniques in bone tumor pathology requires a specific management. Moreover, decalcification of samples is crucial but can be deleterious if not controlled or not appropriate.

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YAP1-TFE3-fused hemangioendothelioma is an extremely rare malignant vascular tumor. We present the largest multi-institutional clinicopathologic study of YAP1-TFE3-fused hemangioendothelioma to date. The 24 cases of YAP1-TFE3-fused hemangioendothelioma showed a female predominance (17 female, 7 male) across a wide age range (20-78 years old, median 44).

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  • A study was conducted on a 4-generation family with Hyperparathyroidism-Jaw Tumor syndrome (HPT-JT) linked to a specific deletion in the CDC73 gene, revealing variable clinical presentations among family members.
  • Of the 24 relatives studied, 13 had the gene deletion, with about 50% of individuals showing symptoms of hyperparathyroidism by age 40, leading to surgery in seven patients for parathyroid adenomas.
  • Findings included high calcium levels, kidney issues in over half the patients, presence of atypical adenomas, and notable variations in disease expression, even among identical twins, indicating genetics play a significant role in disease severity and manifestation.
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In contrast to obesity, which is very frequent, lipomatosis and lipodystrophy syndromes are rare diseases of adipose tissue. Lipodystrophy syndromes are characterized by metabolic abnormalities associated with partial or generalized lipoatrophy. Lipomatosis is defined by the presence of several body lipomas without lipoatrophy.

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  • Since 2010, doctors in France have been collecting and studying cases of sarcomas and related tumors to better understand their numbers and types.
  • Between 2013 and 2016, they found over 25,000 patients with different types of sarcomas, and the overall number was higher than they expected.
  • The findings suggest that rare tumors are less likely to be included in clinical studies, which help create new treatments for these diseases.
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  • Aging is a significant risk factor for cancer, yet its relationship with the phospholipase A2 receptor (PLA2R1), which influences cellular senescence, remains underexplored.
  • In experiments with old PLA2R1 knockout mice, researchers found these mice were more likely to develop tumors and had higher levels of PARP1, a key player in DNA repair, suggesting a link between PLA2R1 and tumor suppression.
  • The study indicates that PLA2R1 acts to prevent aging-related tumors by inhibiting PARP1 through a reactive oxygen species-Rb signaling pathway, thereby promoting DNA damage responses that help suppress cancer development.
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Nodular fasciitis, primary aneurysmal bone cyst, myositis ossificans, and their related lesions are benign tumors that share common histological features and a chromosomal rearrangement involving the ubiquitin-specific peptidase 6 (USP6) gene. The identification of an increasing number of new partners implicated in USP6 rearrangements demonstrates a complex tumorogenesis of this tumor spectrum. In this study on a series of 77 tumors (28 nodular fasciitis, 42 aneurysmal bone cysts, and 7 myositis ossificans) from the database of the French Sarcoma Group, we describe 7 new partners of the USP6 gene.

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Sepsis is the leading cause of acute kidney injury (AKI) in critical care patients. A cornerstone of sepsis-associated AKI is dysregulated inflammation driven by excessive activation of Toll-like receptor 4 (TLR4) pathway. MUC1, a membrane-bound mucin expressed in both epithelial tubular cells and renal macrophages, has been shown to be involved in the regulation of TLRs.

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Cellular senescence is induced by stresses and results in a stable proliferation arrest accompanied by a pro-inflammatory secretome. Senescent cells accumulate during aging, promoting various age-related pathologies and limiting lifespan. The endoplasmic reticulum (ER) inositol 1,4,5-trisphosphate receptor, type 2 (ITPR2) calcium-release channel and calcium fluxes from the ER to the mitochondria are drivers of senescence in human cells.

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  • Biological and histopathological techniques revealed that osteoclasts and macrophages are affected by zoledronic acid (ZA), which did not benefit patients in the French OS2006 trial.
  • A study analyzed biopsies from 124 OS2006 patients and 17 additional samples, finding significant differences in markers like TRAP and CSF-1R that correlate with chemotherapy response and patient prognosis.
  • The findings suggest that while ZA negatively influences osteoclasts and protective macrophages, the presence of specific macrophage types may serve as new potential therapeutic targets.
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Benign and malign tumors can affect the temporomandibular joint (TMJ) as any other articulation. Nevertheless, TMJ tumors are rare and mostly benign. Their clinical expression is varied including symptomatology similar to TMJ dysfunctional disorders, otologic or neurologic pathologies.

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