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Quantitative analysis of ciliary beating in primary ciliary dyskinesia: a pilot study

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HAL Id: inserm-00752959

https://www.hal.inserm.fr/inserm-00752959

Submitted on 16 Nov 2012

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Quantitative analysis of ciliary beating in primary

ciliary dyskinesia: a pilot study

Jean-François Papon, Laurence Bassinet, Gwenaelle Cariou-Patron, Françoise

Zerah-Lancner, Anne-Marie Vojtek, Sylvain Blanchon, Bruno Crestani, Serge

Amselem, André Coste, Bruno Housset, et al.

To cite this version:

Jean-François Papon, Laurence Bassinet, Gwenaelle Cariou-Patron, Françoise Zerah-Lancner,

Anne-Marie Vojtek, et al.. Quantitative analysis of ciliary beating in primary ciliary dyskinesia: a pilot

study. First International Cilia in Development and Disease Scientific Conference, 2012, France.

pp.O3. �inserm-00752959�

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ORAL PRESENTATION

Open Access

Quantitative analysis of ciliary beating in primary

ciliary dyskinesia: a pilot study

J-F Papon

1,2*

, LB Bassinet

2

, GCP Cariou-Patron

1,2

, FZL Zerah-Lancner

1

, AMV Vojtek

2

, SB Blanchon

3

, BC Crestani

4

,

SA Amselem

5

, A Coste

1,2

, BH Housset

2

, EE Escudier

3

, BL Louis

6,7,8

From First International Cilia in Development and Disease Scientific Conference (2012)

London, UK. 16-18 May 2012

Primary ciliary dyskinesia (PCD) is a rare congenital respiratory disorder characterized by abnormal ciliary motility leading to chronic airway infections. Qualitative evaluation of ciliary beating based on digital high-speed videomicroscopy (DHSV) analysis has been proposed to screen patients with suspected PCD. Our assumption was that quantitative analysis of ciliary beating would allow more precise identification of ciliary beat pattern abnorm-alities. Nasal nitric oxide measurement, nasal brushings and biopsies were performed prospectively in 26 consecu-tive patients with suspected PCD. In combination with qualitative analysis, 12 quantitative parameters of ciliary beat pattern were determined on DHSV recordings of beat-ing ciliated edges. The“gold standard” (combination of cili-ary ultrastructural abnormalities with nasal nitric oxide levels) excluded PCD in 7 patients (non-PCD patients), confirmed PCD in 10 patients (PCD patients) and was inconclusive in 9 patients. Among the 12 parameters, the distance traveled by the cilium tip and the area swept by the cilium, weighted by the percentage of beating ciliated edges both presented 96% sensitivity and specificity.In the PCD patients, quantitative analysis was concordant with the“gold standard”, while the qualitative evaluation was discordant with the“gold standard” in 3/10 cases. Among the patients with an inconclusive“gold standard”, the use of quantitative parameters supported PCD diagnosis in 4/9 patients and PCD exclusion in 2/9 patients. This study sug-gests that quantitative parameters provide a more precise description of ciliary beat pattern than qualitative evalua-tion, especially when ciliary beat pattern is moderately impaired (up to 40 % of patients with suspected PCD).

Author details

1AP-HP, Hôpital H.-Mondor– A. Chenevier,France.2Hôpital intercommunal

de Creteil, France.3AP-HP, Hôpital Armand-Trousseau, France. 4AP-HP, Hôpital Bichat-Claude Bernard, France.5INSERM, U933, France. 6

INSERM, U955, France.7Universite Paris Est, Faculté de Médecine, France.

8CNRS, ERL 7240, France.

Published: 16 November 2012

doi:10.1186/2046-2530-1-S1-O3

Cite this article as: Papon et al.: Quantitative analysis of ciliary beating in primary ciliary dyskinesia: a pilot study.Cilia 2012 1(Suppl 1):O3.

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Submit your manuscript at www.biomedcentral.com/submit

* Correspondence: jean-francois.papon@hmn.aphp.fr

1AP-HP, Hôpital H.-Mondor– A. Chenevier,France

Full list of author information is available at the end of the article Paponet al. Cilia 2012, 1(Suppl 1):O3

http://www.ciliajournal.com/content/1/S1/O3

© 2012 Papon et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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