Research Topics
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Publications
Pulmonary arterial hypertension in patients treated by dasatinibDavid Montani
Service de Pneumologie et Reanimation Respiratoire, Hopital Bicetre, 78 rue du General Leclerc, 94270 Le Kremlin Bicetre, France
Circulation 125:2128-37. 2012..Isolated cases of precapillary PH have been reported in patients who have chronic myelogenous leukemia treated with the tyrosine kinase inhibitor dasatinib...
Increased oxidative stress and severe arterial remodeling induced by permanent high-flow challenge in experimental pulmonary hypertensionPeter Dorfmuller
Universite Paris Sud, Faculte de Medecine, Kremlin Bicetre, F 94276, France
Respir Res 12:119. 2011..The impact of OS on vascular remodeling in PH is still to be determined. We hypothesized, that augmented blood-flow could increase OS and might thereby contribute to DC/inflammatory cell-recruitment and smooth-muscle-cell-proliferation...
Absence of influence of gender and BMPR2 mutation type on clinical phenotypes of pulmonary arterial hypertensionBarbara Girerd
Faculte de Medecine, Universite Paris Sud, Kremlin Bicetre, F 94276, France
Respir Res 11:73. 2010..A recent report has suggested that this may only be the case for females and that patients with missense mutations in BMPR2 gene have more severe disease than patients with truncating mutations...
Systemic sclerosis-associated pulmonary hypertension: why disease-specific composite endpoints are neededChristopher P Denton
Centre for Rheumatology, Royal Free Campus, University College Medical School, London, NW3 2PF, UK
Arthritis Res Ther 13:114. 2011..Failure to take this into account may compromise progress in managing PAH in SSc...
[A critical analysis of survival in idiopathic pulmonary arterial hypertension]Marc Humbert
Universite Paris Sud XI, Orsay, France
Presse Med 39:1S41-5. 2010..Modern survival figures also highlight the relevance of lung transplantation in eligible PAH patients refractory to current best standard of care...
Mediators involved in HIV-related pulmonary arterial hypertensionMarc Humbert
UPRES EA2705 and INSERM U764, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Universite Paris Sud, Assistance Publique Hopitaux de Paris, Clamart, France
AIDS 22:S41-7. 2008..Recent results from studies into other potential mediators of PAH offer the possibility of new targets for therapy in this progressive and serious condition...
Treatment of pulmonary arterial hypertensionMarc Humbert
Centre des Maladies Vasculaires Pulmonaires, , , , , Clamart, France
N Engl J Med 351:1425-36. 2004
Update in pulmonary arterial hypertension 2007Marc Humbert
, , 157 rue de la Porte de Trivaux, 92140 Clamart, France
Am J Respir Crit Care Med 177:574-9. 2008
[Targeted immunologic therapies for severe asthma]Marc Humbert
Service de Pneumologie et Reanimation Respiratoire, AP HP, Hopital Antoine Beclere, Universite Paris Sud, F 92140 Clamart, France
Presse Med 37:173-81. 2008..The first targeted treatment approved for severe difficult-to-control allergic asthma is an anti-IgE monoclonal antibody (omalizumab)...
Pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension: pathophysiologyM Humbert
Univ Paris Sud, Faculte de Medecine, Kremlin Bicetre, 2AP HP, Centre National de Référence de l Hypertension Pulmonaire Sévère, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Clamart, France
Eur Respir Rev 19:59-63. 2010..Further research into these similarities is needed to assist the development of targeted pharmacological therapies for patients with inoperable CTEPH and patients who have persistent pulmonary hypertension after endarterectomy...
Survival in incident and prevalent cohorts of patients with pulmonary arterial hypertensionM Humbert
Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Universite Paris Sud 11, 157 rue de la Porte de Trivaux, 92140 Clamart, France
Eur Respir J 36:549-55. 2010..Survival of idiopathic, familial and anorexigen-associated PAH can be characterised by means of a novel risk-prediction equation using patients' characteristics at diagnosis...
Endothelial cell dysfunction and cross talk between endothelium and smooth muscle cells in pulmonary arterial hypertensionMarc Humbert
Universite Paris Sud 11, Centre National de Référence de l Hypertension Artérielle Pulmonaire, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Assistance Publique des Hopitaux de Paris, Clamart, France
Vascul Pharmacol 49:113-8. 2008..A greater understanding of the role of the endothelium in PAH will presumably facilitate the evolution of newer, targeted therapies...
[Anti IgE antibodies for the treatment of difficult asthma]M Humbert
Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Universite Paris Sud, Assistance Publique Hopitaux de Paris, Clamart, France
Rev Mal Respir 22:983-90. 2005..It remains unknown whether the beneficial effects of omalizumab could be extended to patients with severe non allergic (so-called "intrinsic") asthma, a variant of the disease which is often difficult to control...
Screening for pulmonary arterial hypertension in patients with systemic sclerosis: clinical characteristics at diagnosis and long-term survivalMarc Humbert
Universite Paris Sud, Le Kremlin Bicetre, France AP HP Hôpital Antoine Béclère, Clamart, France
Arthritis Rheum 63:3522-30. 2011..However, little is known about the impact of detection programs on patients with SSc-PAH. This study was undertaken to assess the clinical characteristics of patients with SSc-PAH at diagnosis and their long-term outcomes...
Inflammation in pulmonary arterial hypertensionLaura C Price
Faculte de Medecine, Universite Paris Sud, Kremlin Bicetre, France
Chest 141:210-21. 2012..The potential benefit of antiinflammatory therapies in iPAH is of importance and requires further study...
Pulmonary arterial hypertension in France: results from a national registryMarc Humbert
UPRES EA 2705, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Universite Paris Sud, 157 rue de la Porte de Trivaux, 92140 Clamart, France
Am J Respir Crit Care Med 173:1023-30. 2006..Pulmonary arterial hypertension (PAH) is an orphan disease for which the trend is for management in designated centers with multidisciplinary teams working in a shared-care approach...
Survival in patients with idiopathic, familial, and anorexigen-associated pulmonary arterial hypertension in the modern management eraMarc Humbert
Service de Pneumologie et Reanimation Respiratoire, Faculte de Medecine, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Universite Paris Sud 11, 92140 Clamart, France
Circulation 122:156-63. 2010..We conducted a study to characterize mortality in a multicenter prospective cohort of patients diagnosed with idiopathic, familial, or anorexigen-associated pulmonary arterial hypertension in the modern management era...
Pulmonary arterial hypertension associated with fenfluramine exposure: report of 109 casesR Souza
Université Pains Sud, UPRES EA 2705 Pneumology Dept and French National Reference Centre for Pulmonary Hypertension, Antoine Beclere Hospital, Clamart, Paris, France
Eur Respir J 31:343-8. 2008..Therefore, the present authors conclude that fenfluramine exposure characterises a potent trigger for pulmonary arterial hypertension without influencing its clinical course...
[Pulmonary artery hypertension associated with connective tissue diseases]O Sanchez
Centre des Maladies Vasculaires Pulmonaires (UPRES EA 2705, , , 157 rue de la Porte de Trivaux, 92140 Clamart
Presse Med 32:789-99. 2003..IN PRACTICE: PH is a severe complication of connective tissue diseases. Early detection of this complication should allow an earlier and more aggressive therapeutic approach in these patients, before irreversible vascular lesions occur...
Pulmonary veno-occlusive diseaseD Montani
Centre National de Référence de l Hypertension Artérielle Pulmonaire, Department of Pneumology and Intensive Care, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Universite Paris Sud, Clamart, France
Eur Respir J 33:189-200. 2009..Lung transplantation is the treatment of choice. Cautious use of specific PAH therapy can, however, be helpful in some patients...
[Guidelines for the diagnosis and treatment of pulmonary hypertension]O Sanchez
Service de Pneumologie et Soins Intensifs, Hopital Europeen Georges Pompidou, AP HP, Faculte de Medecine, Universite Paris Descartes, 20, rue Leblanc, 75015 Paris, France
Rev Mal Respir 27:141-50. 2010..A joint Task Force of the ESC and of the ERS has developed guidelines on the diagnosis and treatment of pulmonary hypertension (PH) to provide updated information on the management of patients with this condition...
Fractalkine-induced smooth muscle cell proliferation in pulmonary hypertensionF Perros
UPRES EA2705, Service de Pneumologie, Centre National de Référence de l Hypertension Artérielle Pulmonaire, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Universite Paris Sud 11, Robinson, France
Eur Respir J 29:937-43. 2007..In conclusion, the current authors proposed that fractalkine may act as a growth factor for pulmonary artery smooth muscle cells. Chemokines may thus play a role in pulmonary artery remodelling...
Risk factors for pulmonary arterial hypertensionM Humbert
Service de Pneumologie et Reanimation Respiratoire, Centre des Maladies Vasculaires Pulmonaires, Hopital Antoine Beclere, Universite Paris Sud, Clamart, France
Clin Chest Med 22:459-75. 2001....
[Treatments for pulmonary arterial hypertension.]D Montani
Centre des Maladies Vasculaires Pulmonaires, UPRES EA2705, , , , , 157, rue de la Porte-de-Trivaux, 92140 Clamart, France
Rev Med Interne 25:720-31. 2004..FUTURE PROSPECTS AND PROJECTS: The evolution of therapy from vasodilators to antiproliferative agents reflects the advancement in our understanding of the mechanisms mediating pulmonary arterial hypertension...
Survival in patients with class III idiopathic pulmonary arterial hypertension treated with first line oral bosentan compared with an historical cohort of patients started on intravenous epoprostenolO Sitbon
Centre des Maladies Vasculaires Pulmonaires, Hopital Antoine Beclere, Universite Paris Sud, 157 rue de la Porte de Trivaux, 92141 Clamart, France
Thorax 60:1025-30. 2005....
Cautious epoprostenol therapy is a safe bridge to lung transplantation in pulmonary veno-occlusive diseaseD Montani
Universite Paris Sud, Faculte de Medecine, Centre National de Référence de l Hypertension Pulmonaire Sévère, Service de Pneumologie et Reanimation Respiratoire, AP HP, INSERM U999, Hopital Antoine Beclere, Clamart, France
Eur Respir J 34:1348-56. 2009..Cautious use of continuous intravenous epoprostenol improved clinical and haemodynamic parameters in PVOD patients at 3-4 months without commonly causing pulmonary oedema, and may be a useful bridge to urgent lung transplantation...
[The treatment of idiopathic pulmonary artery hypertension and its relation to systemic scleroderma]M Humbert
Centre des Maladies Vasculaires Pulmonaires, UPRES EA 2705, , , AP-HOP, , 157 rue de la Porte-de-Trivaux, 92140 Clamart, France
Rev Med Interne 28:S273-6. 2007
Changes in exercise haemodynamics during treatment in pulmonary arterial hypertensionS Provencher
Hopital Antoine Beclere, 157 rue de la Porte de Trivaux, 92140 Clamart, France
Eur Respir J 32:393-8. 2008..Improvement in exercise tolerance with chronic therapy is independently related to improvement in pulmonary haemodynamics measured in exercise but not in resting conditions...
Cirrhosis ameliorates monocrotaline-induced pulmonary hypertension in ratsJ Le Pavec
Hopital Marie Lannelongue, Universite Paris Sud, Le Plessis Robinson, France
Eur Respir J 34:731-9. 2009..Biliary cirrhosis induces pulmonary vasodilation that ameliorates MCT-induced PH and improves survival. Upregulation of inducible NO synthase and ET(B) receptor and downregulation of ET(A) receptor may be involved...
[Treatment of pulmonary arterial hypertension]D Montani
, , UPRES EA2705, , , AP-HP, Clamart
Presse Med 34:1445-55. 2005..The evolution of therapy from vasodilators to antiproliferative agents reflects the advancement in our understanding of the mechanisms mediating pulmonary arterial hypertension...
Pulmonary arterial hypertension masquerading as severe refractory asthmaL Achouh
Universite Paris Sud 11, Centre National de Référence de l Hypertension Artérielle Pulmonaire, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Clamart, France
Eur Respir J 32:513-6. 2008..The present observations add dilatation of the central pulmonary arteries with compression of the mainstem bronchi to the list of masqueraders of asthma in patients with pulmonary arterial hypertension...
Long-term effects of bosentan in patients with HIV-associated pulmonary arterial hypertensionB Degano
Department of Respiratory and Intensive Care Medicine, Universite Paris Sud 11, National Reference Centre for Pulmonary Arterial Hypertension, Institut Paris Sud Cytokines, Hopital Antoine Beclere, Clamart, France
Eur Respir J 33:92-8. 2009..The present data confirm the long-term benefits of bosentan therapy in HIV-associated pulmonary arterial hypertension patients with improvements in symptoms, 6-min walk distance and haemodynamics, and with favourable overall survival...
Prognostic factors of acute heart failure in patients with pulmonary arterial hypertensionB Sztrymf
Service de Pneumologie et Reanimation Respiratoire, Centre des Maladies Vasculaires Pulmonaires, Hopital Antoine Beclere, Assistance Publique, Hopitaux de Paris, 92140 Clamart, France
Eur Respir J 35:1286-93. 2010..Whether these parameters can guide therapy needs to be further investigated...
[Postembolic pulmonary hypertension]X Jais
Centre de Référence de l Hypertension Artérielle Pulmonaire, Unité Propre de Recherche de l Enseignement Supérieur EA2705, Hopital Antoine Beclere, Universite Paris Sud, Assistance Publique Hopitaux de Paris, Clamart, France
Rev Mal Respir 24:497-508. 2007....
Splenectomy and chronic thromboembolic pulmonary hypertensionX Jais
UPRES EA 2705, Centre des Maladies Vasculaires Pulmonaires, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, 157 rue de la Porte de Trivaux, 92140 Clamart, France
Thorax 60:1031-4. 2005....
[Pulmonary arterial hypertension]D Montani
Centre des Maladies Vasculaires Pulmonaires, UPRES EA2705, , , , Assistance Publique, , Clamart, France
Rev Mal Respir 22:651-66. 2005..The evolution of therapy from vasodilators to antiproliferative agents reflects the advancement in our understanding of the mechanisms mediating pulmonary arterial hypertension...
Pulmonary hypertension associated with sarcoidosis: mechanisms, haemodynamics and prognosisH Nunes
UPRES EA 2363, Service de Pneumologie, Hopital Avicenne, Assistance Publique Hopitaux de Paris, Universite Paris 13, 125 rue de Stalingrad, 93009 Bobigny, France
Thorax 61:68-74. 2006..Pulmonary hypertension (PH) is a rare complication of sarcoidosis, although it is not uncommon in advanced disease...
Bosentan for the treatment of pulmonary arterial hypertension associated with congenital heart defectsO Sitbon
Hopital Antoine Beclere, Service de Pneumologie, Clamart, France
Eur J Clin Invest 36:25-31. 2006..Pre-clinical data support the rationale for the potential benefit of bosentan in PAH associated with congenital heart disease (CHD)...
Pathobiology of pulmonary hypertension. The role of platelets and thrombosisP Herve
Service de Pneumologie et Reanimation Respiratoire, Centre des Maladies Vasculaires Pulmonaires, Hôpital Antoine Béclère et Hôpital Marie Lannelongue, Universite Paris Sud, Clamart, France
Clin Chest Med 22:451-8. 2001..Activated platelets interact with the PA wall and may contribute to the functional and structural alterations of pulmonary vessels by releasing vasoactive factors and mitogenic mediators...
Reversibility of pulmonary arterial hypertension in HIV/HHV8-associated Castleman's diseaseD Montani
Centre des Maladies Vasculaires Pulmonaires, UPRES EA 2705, , , , , Clamart, France
Eur Respir J 26:969-72. 2005..In conclusion, further studies should help in characterising the best candidates for anti-inflammatory treatment in the setting of pulmonary arterial hypertension...
Pulmonary hypertension associated with myeloproliferative disorders: a retrospective study of ten casesP Guilpain
Department of Clinical Hematology, Hopital Necker Enfants Malades, Assistance Publique Hopitaux de Paris, Universite Paris V, Paris, France
Respiration 76:295-302. 2008..Some studies have suggested an association between PH and myeloproliferative diseases (MPD)...
[Pulmonary arterial hypertension due to tumor emboli]J M Dot
Centre national de référence de l hypertension pulmonaire, UPRES EA 2705, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Universite Paris Sud, Clamart, France
Rev Mal Respir 24:359-66. 2007..Pulmonary arterial hypertension (PAH) is rare in the presence of malignancy and tumour embolisation is one of several possible pathological mechanisms...
Benefits of omalizumab as add-on therapy in patients with severe persistent asthma who are inadequately controlled despite best available therapy (GINA 2002 step 4 treatment): INNOVATEM Humbert
, Clamart, France
Allergy 60:309-16. 2005..Omalizumab is effective and should be considered as add-on therapy for patients with inadequately controlled severe persistent asthma who have a significant unmet need despite best available therapy...
[Clinical, haemodynamic and genetic features of familial pulmonary arterial hypertension.]B Sztrymf
, UPRES EA 2705, Centre des Maladies Vasculaires Pulmonaires, , , , Paris, France
Rev Mal Respir 21:909-15. 2004..We do not propose that familial PAH should be treated any differently from the idiopathic form. Genetic counselling will need to be developed in line with the progress being made in the understanding of this condition...
[Investigation of pulmonary hypertension]D Natali
Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Universite Paris Sud 11, 92141 Clamart Cedex, France
Rev Pneumol Clin 64:151-61. 2008..Characterization of PH is essential in the management of PH because it determines the appropriate treatment: an etiological treatment in passive, obstructive or hypoxemic PH, or vasodilatator and antiproliferative therapies in PAH...
[Pulmonary hypertension complicating systemic diseases other than connective tissue diseases]O Sanchez
Centre des Maladies Vasculaires Pulmonaires (UPRES EA 2705, , , 157 rue de la Porte de Trivaux, 92140 Clamart
Presse Med 32:800-3. 2003..The physiopathological mechanisms responsible are unclear (specific parenchymal fibrosis, isolated vascular involvement...). Globally, available treatments are disappointing...
The association between resting and mild-to-moderate exercise pulmonary artery pressureK Whyte
Service des Explorations Fonctionnelles, Hopital Antoine Beclere, 157 rue de la Porte de Trivaux, 92 140, Clamart, France E mail
Eur Respir J 39:313-8. 2012..The clinical relevance of such findings deserves further long-term follow-up studies...
[Genetics of pulmonary arterial hypertension: recent data and practical applications]B Sztrymf
UPRES EA 2705, Service de Pneumologie et Reanimation Respiratoire, Centre des Maladies Vasculaires Pulmonaires, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Universite Paris Sud, France
Rev Mal Respir 22:796-805. 2005..Beside idiopathic PAHT and that associated with other conditions, a familial form has been identified...
Combination of bosentan with epoprostenol in pulmonary arterial hypertension: BREATHE-2M Humbert
Hopital Antoine Beclere, Assistance Publique, Hopitaux de Paris, Universite Paris Sud, 157 rue de la Porte de Trivaux, 92140, Clamart, France
Eur Respir J 24:353-9. 2004..Several cases of early and late major complications were reported. Additional information is needed to evaluate the risk/benefit ratio of combined bosentan-epoprostenol therapy in pulmonary arterial hypertension...
Targeting of c-kit+ haematopoietic progenitor cells prevents hypoxic pulmonary hypertensionN Gambaryan
Faculte de Medecine, Universite Paris Sud, Kremlin Bicetre, France
Eur Respir J 37:1392-9. 2011..This study offers important pathophysiological insights into the role of haematopoietic c-kit+ progenitors in hypoxia-induced vascular remodelling and may have therapeutic implications for PH...
Implementing the ESC/ERS pulmonary hypertension guidelines: real-life cases from a national referral centreD Montani
Univ Paris Sud, Faculte de Medecine, Kremlin Bicetre, AP HP, Centre National de Référence de l Hypertension Pulmonaire Sévère, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Clamart
Eur Respir Rev 18:272-90. 2009..Appropriate investigation and therapeutic strategies for patients with chronic thromboembolic disease and PH that is associated with congenital heart disease, pulmonary veno-occlusive disease and systemic sclerosis are also highlighted...
Update on the roles of distal airways in asthmaP R Burgel
Hopital Cochin, AP HP, Universite Paris Descartes, Paris, France
Eur Respir Rev 18:80-95. 2009..However, available studies have not yet demonstrated that extra-fine inhaled medications offer increased benefit compared with usual aerosols in asthmatic patients...
Dendritic cell recruitment in lesions of human and experimental pulmonary hypertensionF Perros
UPRES EA2705, Service de Pneumologie, Centre National de Référence de l Hypertension Artérielle Pulmonaire, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Universite Paris Sud, France
Eur Respir J 29:462-8. 2007..The results support the concept that immature dendritic cells accumulate in remodelled pulmonary vessels and hence could be involved in the immunopathology of pulmonary hypertension...
Noncardiothoracic nonobstetric surgery in mild-to-moderate pulmonary hypertensionL C Price
Faculte de Medecine, University Paris Sud, Kremlin Bicetre, France
Eur Respir J 35:1294-302. 2010..Emergency procedures, major surgery and long operations were associated with increased risk...
[The relationship between inflammation and symptoms in asthma]D Montani
Universite Paris Sud 11, Hopital Antoine Beclere, Clamart, France
Rev Mal Respir 25:933-51. 2008..A French expert group has undertaken a study of the association between inflammation and asthma symptoms by carrying out a critical review of the international literature...
Dexamethasone reverses monocrotaline-induced pulmonary arterial hypertension in ratsL C Price
Faculte de Medecine, Universite Paris Sud, Paris, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Clamart, France
Eur Respir J 37:813-22. 2011..In this model, mechanisms may involve reduction of IL-6-expressing inflammatory cells, restoration of pulmonary BMPR2 expression and reduced proliferation of vascular smooth muscle cells...
Occult alveolar haemorrhage in pulmonary veno-occlusive diseaseA Rabiller
Centre des Maladies Vasculaires Pulmonaires, Service de Pneumologie, , , Clamart, France
Eur Respir J 27:108-13. 2006..It was concluded that occult alveolar haemorrhage is a common feature of pulmonary veno-occlusive disease. Detecting occult alveolar haemorrhage may be of interest in the diagnostic approach of pulmonary veno-occlusive disease...
Chemokine receptor expression on allergen-specific T cells in asthma and allergic bronchopulmonary aspergillosisG Garcia
Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, France
Allergy 62:170-7. 2007..Allergic bronchopulmonary aspergillosis (ABPA) is a rare variant of severe asthma resulting from hypersensitivity to Aspergillus fumigatus (Asp f) present in the airways...
Add-on omalizumab improves day-to-day symptoms in inadequately controlled severe persistent allergic asthmaM Humbert
Universite Paris Sud 11, Service de Pneumologie, Hopital Antoine Beclere, Clamart, France
Allergy 63:592-6. 2008..However, as exacerbations are relatively infrequent, assessment of efficacy on day-to-day symptoms is warranted...
Masitinib, a c-kit/PDGF receptor tyrosine kinase inhibitor, improves disease control in severe corticosteroid-dependent asthmaticsM Humbert
Universite Paris Sud 11, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Assistance Publique des Hopitaux de Paris, 157 rue de la Porte de Trivaux, Clamart 92140, France
Allergy 64:1194-201. 2009..We hypothesized that c-kit and PDGF receptor inhibition may decrease bronchial inflammation and interfere with airway remodeling, which are crucial features of severe asthma...
Omalizumab therapy: patients who achieve greatest benefit for their asthma experience greatest benefit for rhinitisM Humbert
Université Paris Sud 11 Hôpital Antoine Béclère, Clamart, France
Allergy 64:81-4. 2009..However, despite being shown to often co-exist, they are typically treated as independent conditions. Omalizumab, an anti-IgE antibody, has proven effective in the treatment of both asthma and rhinitis...
BMPR2 germline mutations in pulmonary hypertension associated with fenfluramine derivativesM Humbert
Service de Pneumologie, Hĵpital Antoine Béclère, Clamart, France
Eur Respir J 20:518-23. 2002....
[Adult asthma exacerbations in questions]D Montani
Service de Pneumologie et de Reanimation Respiratoire, Hopital Antoine Beclere, Universite Paris Sud 11, AP HP, 157 rue de la Porte de Trivaux, 92140 Clamart, France
Rev Mal Respir 27:1175-94. 2010..The efficacy of inhaled corticosteroids has been demonstrated on reduction of the number of exacerbations and the number of asthma-related deaths. This treatment is cost-effective, especially in terms of reduction of exacerbations...
[Pulmonary hypertension and obesity]B Sztrymf
Service de Pneumologie et Reanimation Respiratoire, Centre des Maladies Vasculaires Pulmonaires, UPRES EA 2705, Hopital Antoine Béclere AP HP, Universite Paris Sud, 157, rue de la Porte de Trivaux, 92140 Clamart
Rev Pneumol Clin 58:104-10. 2002..There is also a possible relationship with left ventricular failure, hypoxemia, and other respiratory disorders (including obstructive sleep apnea), hypothyroidism, and thomboembolism...
Primary pulmonary hypertension: Current therapyOlivier Sitbon
, Pulmonary Vascular Center, , , , Clamart, France
Prog Cardiovasc Dis 45:115-28. 2002..In such patients with severe pulmonary hypertension refractory to medical therapy, atrioseptostomy and lung transplantation can be indicated...
Long-term intravenous epoprostenol infusion in primary pulmonary hypertension: prognostic factors and survivalOlivier Sitbon
Service de Pneumologie et Reanimation, UPRES EA 2705 on Pulmonary Vascular Diseases, Hopital Antoine Beclere, Universite Paris Sud, Clamart, France
J Am Coll Cardiol 40:780-8. 2002..We sought to determine the factors associated with long-term survival in patients with primary pulmonary hypertension (PPH) treated with continuous epoprostenol infusion...
[HIV-related pulmonary arterial hypertension]L Savale
Universite Paris Sud, Faculte de Medecine, 94276 Kremlin Bicêtre, France Centre de référence de l hypertension pulmonaire sévère, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, AP HP, 157, rue de la Porte de Trivaux, 92140 Clamart, France Inserm U999, hypertension artérielle pulmonaire, physiopathologie et innovation thérapeutique, 92350 Le Plessis Robinson, France
Rev Mal Respir 29:491-500. 2012..Other PAH-specific therapies remain to be evaluated. The advent of HAART associated with the development of PAH-specific therapies has improved the prognosis of patients HIV-related PAH, with a survival rate of about 70% at 3 years...
[Treatment for pulmonary arterial hypertension under the new French hospital financing system. Recommendations of the Pulmonary Vascular Diseases Working Group of the French Society of Pulmonary Medicine]O Sitbon
Centre de référence national sur l HTAP, Service de Pneumologie et Reanimation, UPRES EA2705, Universite Paris Sud, Hopital Antoine Beclere, AP HP, Clamart
Presse Med 34:1456-64. 2005..The Pulmonary Vascular Diseases working group of the French Society of Pulmonary Medicine has developed guidelines for the best practices in use of these drugs...
[Hilar adenopathy compressing the pulmonary arteries in the course of sarcoidosis]A Dumas de la Roque
Service de Radiologie, Hopital Antoine Beclere, Clamart, France
Rev Mal Respir 24:1151-4. 2007..In pulmonary sarcoidosis, vascular involvement is usually limited to the small and medium-sized vessels. Enlarged hilar lymph nodes are usually considered to be soft and hence unlikely to cause pressure on adjacent bronchi or blood vessels...
[Pulmonary hypertension: from genetics to treatments]M Humbert
Service de Pneumologie et Reanimation Respiratoire, Centre des Maladies Vasculaires Pulmonaires, UPRES EA 2705, Réseau INSERM AFM sur l hypertension artérielle pulmonaire, Hopital Antoine Beclere, Clamart
Rev Pneumol Clin 60:196-201. 2004..Inhaled iloprost and type 5 phosphodiesterase inhibitors should be evaluated for this indication. Lung transplantation is reserved for patients unresponsive to medical treatment...
[Intrinsic asthma]M Humbert
Service de Pneumologie et Reanimation Respiratoire, Clinique de l Asthme, Hopital Antoine Beclere, 157, rue de la Porte de Trivaux, 92140 Clamart
Rev Pneumol Clin 59:84-8. 2003....
Evidence for the use of combination targeted therapeutic approaches for the management of pulmonary arterial hypertensionDermot S O'Callaghan
Universite Paris Sud, Faculte de Medecine, Kremlin Bicêtre F 94276, France
Respir Med 104:S74-80. 2010..This review details the rationale for the different combination strategies and examines the clinical evidence in favour of some of the approaches that have been evaluated...
Prognostic factors for survival in human immunodeficiency virus-associated pulmonary arterial hypertensionHilario Nunes
UPRES 2705, Centre des Maladies Vasculaires Pulmonaires, , , , , Clamart, France
Am J Respir Crit Care Med 167:1433-9. 2003..These results suggest that patients with severe human immunodeficiency virus-associated PAH should be considered for long-term epoprostenol infusion in association with CART...
Cross talk between endothelial and smooth muscle cells in pulmonary hypertension: critical role for serotonin-induced smooth muscle hyperplasiaSaadia Eddahibi
INSERM U651, Departement de Physiologie, Hôpital H Mondor, AP HP, Creteil, France
Circulation 113:1857-64. 2006..We investigated the role of pulmonary microvascular endothelial cells (P-ECs) in controlling PA-SMC growth...
Phosphodiesterase type 5 inhibitors in pulmonary arterial hypertensionDavid Montani
Universite Paris Sud, Orsay, France
Adv Ther 26:813-25. 2009..Due to their clinical effectiveness, tolerance profile, and their oral administration, sildenafil and tadalafil are two of the recommended first-line therapies for PAH patients in World Health Organization functional classes II or III...
Intravenous epoprostenol in inoperable chronic thromboembolic pulmonary hypertensionSégolène Cabrol
Centre des Maladies Vasculaires Pulmonaires UPRES EA 2705, Service de Pneumologie et Reanimation, AP HP, Universite Paris Sud, Hopital Antoine Beclere, Clamart, France
J Heart Lung Transplant 26:357-62. 2007..Vascular remodeling lesions can be found in lungs of patients with CTEPH. Little is known about epoprostenol therapy in inoperable distal CTEPH patients...
Pulmonary veno-occlusive disease: clinical, functional, radiologic, and hemodynamic characteristics and outcome of 24 cases confirmed by histologyDavid Montani
Universite Paris Sud 11, UPRES EA 2705, Centre des Maladies Vasculaires Pulmonaires, Paris, France
Medicine (Baltimore) 87:220-33. 2008..Clinical outcomes of PVOD patients were worse than those of PAH patients...
Clinical outcomes of pulmonary arterial hypertension in carriers of BMPR2 mutationBenjamin Sztrymf
Universite Paris Sud 11, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, 157 rue de la Porte de Trivaux, 92140 Clamart, France
Am J Respir Crit Care Med 177:1377-83. 2008..Germline mutations in the gene encoding for bone morphogenetic protein receptor 2 (BMPR2) are a cause of pulmonary arterial hypertension (PAH)...
Clinical outcomes of pulmonary arterial hypertension in patients carrying an ACVRL1 (ALK1) mutationBarbara Girerd
Universite Paris Sud, Faculte de Medecine, Kremlin Bicetre, 92140 Clamart, France
Am J Respir Crit Care Med 181:851-61. 2010..Activin A receptor type II-like kinase-1 (ACVRL1, also known as ALK1) mutation is a cause of hereditary hemorrhagic telangiectasia (HHT) and/or heritable pulmonary arterial hypertension (PAH)...
Heart rate responses during the 6-minute walk test in pulmonary arterial hypertensionS Provencher
Centre des Maladies Vasculaires Pulmonaires UPRES EA 2705, Service de Pneumologie et Reanimation Respiratoire, AP HP Université Paris Sud IX, Hopital Antoine Beclere, Clamart, France
Eur Respir J 27:114-20. 2006..The lack of chronotropic response may reflect the loss in normal physiological reserve in more unwell patients...
Fatal rupture of pulmonary arteriovenous malformation in hereditary haemorrhagic telangiectasis and severe PAHD Montani
Universite Paris Sud, Centre National de Référence de l Hypertension Artérielle Pulmonaire, Hopital Antoine Beclere, France
Eur Respir Rev 18:42-6. 2009....
Predicting and evaluating response to omalizumab in patients with severe allergic asthmaJ Bousquet
Service de Pneumologie, Hopital Arnaud de Villeneuve, 371 Avenue du Doyen G Giraud, Montpellier 34295, France
Respir Med 101:1483-92. 2007..Omalizumab is a monoclonal antibody indicated for treatment of severe persistent allergic asthma inadequately controlled despite optimal controller therapy. We investigated whether patient selection could be targeted further...
Pulmonary veno-occlusive disease: the bête noire of pulmonary hypertension in connective tissue diseases?Dermot S O'Callaghan
Faculte de Medecine, Universite Paris Sud, 94276 Kremlin Bicêtre, France
Presse Med 40:e65-78. 2011..This review summarises the epidemiologic, clinico-pathologic and imaging characteristics of PVOD in the setting of CTD and discusses potential management approaches...
Pulmonary veno-occlusive disease: advances in clinical management and treatmentsAlice Huertas
Universite Paris Sud, Faculte de Medecine, Kremlin Bicetre, F 94276, France
Expert Rev Respir Med 5:217-29; quiz 230-1. 2011..PVOD is characterized by a poor prognosis and the possibility of developing severe pulmonary edema with specific PAH therapy. Lung transplantation remains the treatment of choice...
Pulmonary veno-occlusive disease: recent progress and current challengesDavid Montani
Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Universite Paris Sud 11, INSERM U999, Centre National de Référence de l Hypertension Pulmonaire Sévère, 92140 Clamart, France
Respir Med 104:S23-32. 2010..Unfortunately, the long term effects of these agents are variable and lung transplantation remains the treatment of choice...
[Treatment of pulmonary arterial hypertension in 2011: what's new since the 2009 ERS/ESC guidelines?]Laurent Savale
Universite Paris Sud, Faculte de Medecine, Le Kremlin Bicetre, France
Presse Med 40:1S54-60. 2011..Finally, clinical trials evaluating combinations of treatments have shown encouraging results...
CX(3)C chemokine fractalkine in pulmonary arterial hypertensionKarl Balabanian
INSERM U131, UPRES EA2705, Centre des Maladies Vasculaires Pulmonaires, Service de Pneumologie et Reanimation Respiratoire, Institut Paris Sud sur les Cytokines, Hopital Antoine Beclere, Universite Paris Sud, Clamart, France
Am J Respir Crit Care Med 165:1419-25. 2002..Fractalkine mRNA and protein product are expressed in pulmonary artery endothelial cells. We conclude that inflammatory mechanisms involving chemokine fractalkine and its receptor CX(3)CR1 may have a role in the natural history of PAH...
Pulmonary arterial hypertension: thin-section CT predictors of epoprostenol therapy failureArnaud Resten
Department of Radiology, Hopital Antoine Beclere, 157 rue de la Porte de Trivaux, 92140 Clamart, France
Radiology 222:782-8. 2002..To correlate pretherapeutic thin-section computed tomographic (CT) findings in patients with pulmonary hypertension with the risk of fatality with treatment with epoprostenol...
[Pulmonary arterial hypertension]Xavier Jais
Centre de référence de l hypertension pulmonaire sévère, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, 92141 Clamart Cedex, France
Rev Prat 58:1997-2010. 2008..The evolution of therapy from vasodilators to antiproliferative agents reflects the advancement in our understanding of the mechanisms mediating pulmonary arterial hypertension...
Bosentan for the treatment of human immunodeficiency virus-associated pulmonary arterial hypertensionOlivier Sitbon
Hopital Antoine Beclere, 157 rue de la Porte de Trivaux, 92140 Clamart, France
Am J Respir Crit Care Med 170:1212-7. 2004....
Characterization of pulmonary arterial hypertension patients walking more than 450 m in 6 min at diagnosisBruno Degano
Service de Pneumologie, Hopital Antoine Beclere, 157 rue de la Porte de Trivaux, 92141 Clamart, France
Chest 137:1297-303. 2010..Because they are generally excluded from randomized controlled trials, little is known about these patients...
Cellular and molecular pathobiology of pulmonary arterial hypertensionMarc Humbert
Service de Pneumologie et Reanimation Respiratoire, Centre des Maladies Vasculaires Pulmonaires, UPRES EA2705, Hopital Antoine Beclere, Universite Paris Sud, Clamart, France
J Am Coll Cardiol 43:13S-24S. 2004..Disordered proteolysis of the extracellular matrix is also evident in PAH. Future studies are required to find which if any of these abnormalities initiates PAH and which ones are best targeted to cure the disease...
Evaluation of various empirical formulas for estimating mean pulmonary artery pressure by using systolic pulmonary artery pressure in adultsDenis Chemla
Paris Sud University EA4046, Medical Intensive Care Unit, Paris, France
Chest 135:760-8. 2009..Our study evaluated the accuracy and precision of various empirical formulas relating mPAP and sPAP in resting adults...
[Pulmonary arterial hypertension associated with common diseases: connective-tissue diseases, HIV infection and portal hypertension]Olivier Sitbon
Centre de référence national de l HTAP, Service de Pneumologie, UPRES EA2705, Hopital Antoine Beclere, AP HP, Université Paris XI Sud, 92141 Clamart Cedex, France
Rev Prat 58:2011-8. 2008..However, their prognosis differs greatly: it is poor in scleroderma, and much better in congenital heart diseases...
Endothelial-derived FGF2 contributes to the progression of pulmonary hypertension in humans and rodentsMohamed Izikki
INSERM U841, Faculte de Medecine, 8 Avenue du General Sarrail, 94010 Creteil, France
J Clin Invest 119:512-23. 2009..Thus, endothelial FGF2 is overproduced in IPH and contributes to SMC hyperplasia in IPH, identifying FGF2 as a promising target for new treatments against PH...
Idiopathic pulmonary arterial hypertension and pulmonary veno-occlusive disease: similarities and differencesDavid Montani
Universite Paris Sud 11, Centre National de Référence de l Hypertension Artérielle Pulmonaire, Service de Pneumologie et Reanimation Respiratoire, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Clamart, France
Semin Respir Crit Care Med 30:411-20. 2009..Lung transplantation remains the treatment of choice, but cautious use of specific PAH therapy can be helpful in select patients while awaiting this intervention...
[Pulmonary hypertension associated with systemic sclerosis]Olivier Sanchez
, UPRES EA 2705 Maladies vasculaires pulmonaires, , 157, rue de la Porte-de-Trivaux, 92140 Clamart, France
Ann Med Interne (Paris) 153:250-9. 2002..Novel therapies including oral, sub-cutaneous or inhaled stable prostacyclin analogues and endothelin receptor antagonists are currently evaluated in large placebo-controlled trials...
HIV-associated pulmonary arterial hypertension: survival and prognostic factors in the modern therapeutic eraBruno Degano
Centre National de Référence de l Hypertension Artérielle Pulmonaire, Service de Pneumologie, Hopital Antoine Beclere, Assistance Publique Hopitaux de Paris, Universite Paris Sud 11, Clamart, France
AIDS 24:67-75. 2010....
[Pulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis]David Montani
Univ Paris Sud, Faculte de Medecine, Kremlin Bicetre, F 94276, France
Presse Med 39:134-43. 2010..In patients with the most severe disease, the prudent use of continuous intravenous epoprostenol, can serve as bridge-therapy while awaiting a lung transplant...
