@article{RiedelMofoloAvotaetal.2013, author = {Riedel, Alice and Mofolo, Boitumelo and Avota, Elita and Schneider-Schaulies, Sibylle and Meintjes, Ayton and Mulder, Nicola and Kneitz, Susanne}, title = {Accumulation of Splice Variants and Transcripts in Response to PI3K Inhibition in T Cells}, series = {PLoS ONE}, volume = {8}, journal = {PLoS ONE}, number = {2}, doi = {10.1371/journal.pone.0050695}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-130335}, pages = {e50695}, year = {2013}, abstract = {Background Measles virus (MV) causes T cell suppression by interference with phosphatidylinositol-3-kinase (PI3K) activation. We previously found that this interference affected the activity of splice regulatory proteins and a T cell inhibitory protein isoform was produced from an alternatively spliced pre-mRNA. Hypothesis Differentially regulated and alternatively splice variant transcripts accumulating in response to PI3K abrogation in T cells potentially encode proteins involved in T cell silencing. Methods To test this hypothesis at the cellular level, we performed a Human Exon 1.0 ST Array on RNAs isolated from T cells stimulated only or stimulated after PI3K inhibition. We developed a simple algorithm based on a splicing index to detect genes that undergo alternative splicing (AS) or are differentially regulated (RG) upon T cell suppression. Results Applying our algorithm to the data, 9\% of the genes were assigned as AS, while only 3\% were attributed to RG. Though there are overlaps, AS and RG genes differed with regard to functional regulation, and were found to be enriched in different functional groups. AS genes targeted extracellular matrix (ECM)-receptor interaction and focal adhesion pathways, while RG genes were mainly enriched in cytokine-receptor interaction and Jak-STAT. When combined, AS/RG dependent alterations targeted pathways essential for T cell receptor signaling, cytoskeletal dynamics and cell cycle entry. Conclusions PI3K abrogation interferes with key T cell activation processes through both differential expression and alternative splicing, which together actively contribute to T cell suppression.}, language = {en} } @article{SchoenbergerLudwigWildneretal.2013, author = {Sch{\"o}nberger, Katharina and Ludwig, Maria-Sabine and Wildner, Manfred and Weissbrich, Benedikt}, title = {Epidemiology of Subacute Sclerosing Panencephalitis (SSPE) in Germany from 2003 to 2009: A Risk Estimation}, series = {PLoS ONE}, volume = {8}, journal = {PLoS ONE}, number = {7}, doi = {10.1371/journal.pone.0068909}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-130089}, pages = {e68909}, year = {2013}, abstract = {Subacute sclerosing panencephalitis (SSPE) is a fatal long-term complication of measles infection. We performed an estimation of the total number of SSPE cases in Germany for the period 2003 to 2009 and calculated the risk of SSPE after an acute measles infection. SSPE cases were collected from the Surveillance Unit for Rare Paediatric Diseases in Germany and the Institute of Virology and Immunobiology at the University of W{\"u}rzburg. The total number of SSPE cases was estimated by capture-recapture analysis. For the period 2003 to 2009, 31 children with SSPE who were treated at German hospitals were identified. The capture-recapture estimate was 39 cases (95\% confidence interval: 29.2-48.0). The risk of developing SSPE for children contracting measles infection below 5 years of age was calculated as 1∶1700 to 1∶3300. This risk is in the same order of magnitude as the risk of a fatal acute measles infection.}, language = {en} } @article{HornSchellerduPlessisetal.2013, author = {Horn, Anne and Scheller, Carsten and du Plessis, Stefan and Arendt, Gabriele and Nolting, Thorsten and Joska, John and Sopper, Sieghart and Maschke, Matthias and Obermann, Mark and Husstedt, Ingo W. and Hain, Johannes and Maponga, Tongai and Riederer, Peter and Koutsilieri, Eleni}, title = {Increases in CSF dopamine in HIV patients are due to the dopamine transporter 10/10-repeat allele which is more frequent in HIV-infected individuals}, series = {Journal of Neural Transmission}, volume = {120}, journal = {Journal of Neural Transmission}, doi = {10.1007/s00702-013-1086-x}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-132385}, pages = {1411-1419}, year = {2013}, abstract = {Dysfunction of dopaminergic neurotransmission has been implicated in HIV infection. We showed previously increased dopamine (DA) levels in CSF of therapy-na{\"i}ve HIV patients and an inverse correlation between CSF DA and CD4 counts in the periphery, suggesting adverse effects of high levels of DA on HIV infection. In the current study including a total of 167 HIV-positive and negative donors from Germany and South Africa (SA), we investigated the mechanistic background for the increase of CSF DA in HIV individuals. Interestingly, we found that the DAT 10/10-repeat allele is present more frequently within HIV individuals than in uninfected subjects. Logistic regression analysis adjusted for gender and ethnicity showed an odds ratio for HIV infection in DAT 10/10 allele carriers of 3.93 (95 \% CI 1.72-8.96; p = 0.001, Fishers exact test). 42.6 \% HIV-infected patients harbored the DAT 10/10 allele compared to only 10.5 \% uninfected DAT 10/10 carriers in SA (odds ratio 6.31), whereas 68.1 versus 40.9 \%, respectively, in Germany (odds ratio 3.08). Subjects homozygous for the 10-repeat allele had higher amounts of CSF DA and reduced DAT mRNA expression but similar disease severity compared with those carrying other DAT genotypes. These intriguing and novel findings show the mutual interaction between DA and HIV, suggesting caution in the interpretation of CNS DA alterations in HIV infection solely as a secondary phenomenon to the virus and open the door for larger studies investigating consequences of the DAT functional polymorphism on HIV epidemiology and progression of disease.}, language = {en} } @article{KoutsilieriLutzScheller2013, author = {Koutsilieri, E. and Lutz, M. B. and Scheller, C.}, title = {Autoimmunity, dendritic cells and relevance for Parkinson's disease}, series = {Journal of Neural Transmission}, volume = {120}, journal = {Journal of Neural Transmission}, doi = {10.1007/s00702-012-0842-7}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-132308}, pages = {75-81}, year = {2013}, abstract = {Innate and adaptive immune responses in neurodegenerative diseases have become recently a focus of research and discussions. Parkinson's disease (PD) is a neurodegenerative disorder without known etiopathogenesis. The past decade has generated evidence for an involvement of the immune system in PD pathogenesis. Both inflammatory and autoimmune mechanisms have been recognized and studies have emphasized the role of activated microglia and T-cell infiltration. In this short review, we focus on dendritic cells, on their role in initiation of autoimmune responses, we discuss aspects of neuroinflammation and autoimmunity in PD, and we report new evidence for the involvement of neuromelanin in these processes.}, language = {en} } @article{KuehlhornRathSchmoeckeletal.2013, author = {K{\"u}hlhorn, Franziska and Rath, Matthias and Schmoeckel, Katrin and Cziupka, Katharina and Nguyen, Huu Hung and Hildebrandt, Petra and H{\"u}nig, Thomas and Sparwasser, Tim and Huehn, Jochen and P{\"o}tschke, Christian and Br{\"o}ker, Barbara M.}, title = {\(Foxp3^+\) Regulatory T Cells Are Required for Recovery from Severe Sepsis}, series = {PLoS ONE}, volume = {8}, journal = {PLoS ONE}, number = {5}, doi = {10.1371/journal.pone.0065109}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-130940}, pages = {e65109}, year = {2013}, abstract = {The role of regulatory T cells (Tregs) in bacterial sepsis remains controversial because antibody-mediated depletion experiments gave conflicting results. We employed DEREG mice (DEpletion of REGulatory T cells) and a caecal ligation and puncture model to elucidate the role of \(CD4^+Foxp3^+\) Tregs in sepsis. In DEREG mice natural Tregs can be visualized easily and selectively depleted by diphtheria toxin because the animals express the diphtheria toxin receptor and enhanced green fluorescent protein as a fusion protein under the control of the foxp3 locus. We confirmed rapid Treg-activation and an increased ratio of Tregs to Teffs in sepsis. Nevertheless, 24 h after sepsis induction, Treg-depleted and control mice showed equally strong inflammation, immune cell immigration into the peritoneum and bacterial dissemination. During the first 36 h of disease survival was not influenced by Treg-depletion. Later, however, only Treg-competent animals recovered from the insult. We conclude that the suppressive capacity of Tregs is not sufficient to control overwhelming inflammation and early mortality, but is a prerequisite for the recovery from severe sepsis.}, language = {en} } @article{PrifertStrengKrempletal.2013, author = {Prifert, Christiane and Streng, Andrea and Krempl, Christine D. and Liese, Johannes and Weissbrich, Benedikt}, title = {Novel Respiratory Syncytial Virus A Genotype, Germany, 2011-2012}, series = {Emerging Infectious Diseases}, volume = {19}, journal = {Emerging Infectious Diseases}, number = {6}, doi = {10.3201/eid1906.121582}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-129041}, pages = {1029-1030}, year = {2013}, abstract = {No abstract available.}, language = {en} } @article{GundaKasangKidenyaetal.2013, author = {Gunda, Daniel W. and Kasang, Christa and Kidenya, Benson R. and Kabangila, Rodrick and Mshana, Stephen E. and Kidola, Jeremiah and Kalluvya, Samuel E. and Kongola, Gilbert W. and Klinker, Hartwig}, title = {Plasma Concentrations of Efavirenz and Nevirapine among HIV-Infected Patients with Immunological Failure Attending a Tertiary Hospital in North-Western Tanzania}, series = {PLOS ONE}, volume = {8}, journal = {PLOS ONE}, number = {9}, issn = {1932-6203}, doi = {10.1371/journal.pone.0075118}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-128456}, pages = {e75118}, year = {2013}, abstract = {Background: Sub-therapeutic and supra-therapeutic plasma concentrations of antriretrovirals are the significant causes of treatment failure and toxicity respectively among HIV-infected patients. We conducted this study to determine the pattern of efavirenz and nevirapine plasma drug concentrations among adult HIV-infected patients with immunological failure attending at a tertiary hospital in North-western Tanzania. Materials and Methods: A cross-sectional study was conducted among adult HIV-infected patients with immunological failure who have been on either efavirenz or nevirapine based antiretroviral regimen for more than 6 months. Patients were serially enrolled through routine Care and Treatment Clinic (CTC) activities. Plasma drug concentrations for efavirenz and nevirapine were determined by high performance liquid chromatography (HPLC) and Gas Chromatography (GC) respectively. Demographic, clinical and laboratory data such as viral load and CD4 counts were collected. Data analysis was done using STATA 12. Results: Of the 152 patients with immunological failure enrolled, the sub-therapeutic, therapeutic and supra-therapeutic plasma antiretroviral drug concentrations were found in 43/152 (28.3\%), 76/152 (50.0\%) and 33/152 (21.7\%) respectively. Half of the patients were outside therapeutic window with either sub-therapeutic or supra-therapeutic plasma ARV drug concentrations. There was a significant difference in distribution of ARV adherence (p-value<0.001), NRTI backbone (p-value = 0.039), HIV stage (p-value = 0.026) and viral load (p-value = 0.007) within sub-therapeutic, therapeutic and supratherapeutic ARV plasma drug concentrations. Conclusion: There is a wide inter-individual variability of plasma ARV concentrations among HIV patients with immunological failure, with a large proportion of patients being outside therapeutic window. This variability is significant based on ARV adherence, NRTI backbone, viral load and HIV stage. Routine therapeutic drug monitoring (TDM) could assist identifying these patients early and making timely correction to avoid virological failure, poor immunological outcome and prevent associated drug toxicities. Nonetheless, ARV adherence should be strictly emphasized on HIV patients with immunological failure.}, language = {en} } @phdthesis{Kasang2013, author = {Kasang, Christa}, title = {Untersuchung der Effekte von Prednisolon auf die HIV-Progression und Ermittlung der Medikamentenresistenz in antiretroviral-unbehandelten HIV-Patienten in Tansania}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-85638}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2013}, abstract = {Die Progression der HIV Infektion ist vermutlich bedingt von einer unspezifischen generalisierten Immunaktivierung des Patienten (Sousa, Carneiro et al. 2002; Hazenberg, Otto et al. 2003). Somit k{\"o}nnte ein immunsuppressives Medikament wie das Kortisonpr{\"a}parat Prednisolon die Progression der Erkrankung verlangsamen. Im Rahmen nicht-kontrollierter Studien konnte die Stabilisierung der CD4+ T-Lymphozyten in HIV-Patienten durch den Einsatz von Kortison beobachtet werden (Andrieu, Lu et al. 1995; Lu, Salerno-Goncalves et al. 1995). Dieser Effekt konnte auch mit niedrig dosiertem Prednisolon (5 mg/Tag) nachgewiesen werden (Ulmer, Muller et al. 2005). Jedoch zeigen neuere Ergebnisse, dass der CD4+ T-Lymphozytenwert bei Studien zu Immunmodulatoren kein verl{\"a}sslicher Surrogatmarker f{\"u}r die Progression ist (Abrams, Levy et al. 2009). In der vorliegenden Arbeit sollte untersucht werden, ob sich zum Einen der stabilisierende Effekt von niedrig dosiertem Prednisolon (5 mg pro Tag) auf CD4+ T-Lymphozyten in einer kontrollierten Studie best{\"a}tigt, ob zum Zweiten die CD4+ T-Lymphozytenstabilisierung auf eine Senkung der Immunaktivierung zur{\"u}ckgef{\"u}hrt werden kann und ob zum Dritten die CD4+ TLymphozytenstabilisierung die klinische Krankheitsprogression verlangsamt. Im Rahmen der ProCort-Studie sollte außerdem eine Bestimmung der Pr{\"a}valenz medikamentenresistenter HIV-Infektionen bei ART unbehandelten Patienten erfolgen. Hierbei wurden die WHO Kriterien {\"u}berpr{\"u}ft, die als Einschlusskriterien f{\"u}r Patienten in Resistenz-{\"U}berwachungsstudien ein H{\"o}chstalter von 25 Jahren festgelegt hat. In unserer Untersuchung wurden demgegen{\"u}ber Proben von Patienten mit h{\"o}herem Alter und bereits therapierten Partnern analysiert.Methoden: Im Rahmen einer doppelblinden randomisierten klinischen Studie (ProCort1) im Bugando Medical Center (BMC) in Mwanza, Tansania, wurden 326 HIV-Patienten eingeschlossen, die zuvor noch nie mit ART behandelt wurden und einen CD4+ TLymphozytenwert von mindestens 300/μl aufwiesen. In 14 Visiten wurden, w{\"a}hrend einer zweij{\"a}hrigen Behandlungsdauer entweder mit 5mg Prednisolon t{\"a}glich oder mit Placebo, die CD4+ T-Lymphozytenwerte und das Auftreten von Progression der HIV-Infektion bestimmt. Prim{\"a}rer Studienendpunkt war die Krankheitsprogression, definiert als ein Unterschreiten von 200 CD4-Zellen/μl oder dem Auftreten AIDS-definierender Erkrankungen. Um die immunologische Wirkungsweise von Prednisolon in HIV-infizierten Patienten zu untersuchen wurden sowohl in den tansanischen Studienpatienten als auch in einer mit 5 mg Prednisolon behandelten deutschen Kohorte die Lymphozytenaktivierungsmarker CD38/HLADR auf CD3/CD8-Zellen, der Monozytenaktivierungsmarker sCD14 und der Entz{\"u}ndungsmarker suPAR bestimmt. Um die Pr{\"a}valenz der HIV Medikamentenresistenz (HIVDR) in der ProCort Studienpopulation zu ermitteln wurden 88 Proben der ART unbehandelten Patienten sequenziert. Ergebnisse: Die Ergebnisse der ProCort Studie zeigten eine statistisch signifikante Stabilisierung der CD4+ T-Lymphozytenwerte im Vergleich zum Ausgangswert durch Einsatz einer niedrig dosierten Prednisolonbehandlung (5 mg t{\"a}glich). In der Intent to treat Analyse wurde ein Zugewinn von +20,1 Zellen/μl pro Jahr f{\"u}r den Prednisolonarm (p < 0.0001) im Vergleich zu -54,2 Zellen/μl pro Jahr f{\"u}r den Placeboarm (p < 0.0001) bestimmt. Die CD4+ T-Lymphozytenwerte zum Zeitpunkt der Startvisite waren im Prednisolonarm statistisch signifikant niedriger (Mean 512.14 Zellen/μl ± S.E.M. 13.39) als im Placeboarm (Mean 554.40 ± S.E.M 15.75; p = 0.042). Dies bedeutet eine schlechtere Ausgangslage f{\"u}r die mit Prednisolon behandelten Patienten. Trotzdem entwickelten nur vier Patienten mit Prednisolonbehandlung im Vergleich zu 11 Patienten mit Placebobehandlung AIDS, was eine statistisch signifikante Verringerung der Progressionsrate bedeutet (p=0.0196). In 16 Patienten versus 18 Patienten fielen die CD4+ T-Lymphozytenwerte unter die Werte von 200 Zellen/μl. Die Behandlung mit Prednisolon war nicht mit einer h{\"o}heren Rate von unerw{\"u}nschten Ereignissen oder h{\"o}herer Viruslast assoziiert.}, subject = {Retroviren}, language = {de} } @phdthesis{Zovko2013, author = {Zovko, Josip}, title = {Die E3-Ubiquitinligase HectD1 reguliert die Stabilit{\"a}t des antiapoptotischen Bcl-2-Familienmitglieds A1}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-87922}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2013}, abstract = {Die Bcl-2-Familienmitglieder A1 und sein humanes Homolog Bfl-1 gew{\"a}hrleisten das {\"U}berleben der Zelle. Gleichzeitig tr{\"a}gt eine Dysregulation der Expression von A1/ Bfl-1 zur Krebsentstehung bei. Die Stabilit{\"a}t von A1/ Bfl-1 wird durch deren Ubiquitinylierung sowie die anschließende proteosomale Degradation gesteuert. Mit Hilfe eines Yeast-Two-Hybrid-Screens wurde die E3-Ubiquitinligase HectD1 als potentieller Interaktionspartner von A1/ Bfl-1 identifiziert. Die Interaktion von A1 und HectD1 des Yeast-Two-Hybrid-Screens konnte in S{\"a}ugerzellen best{\"a}tigt werden. Desweiteren konnte gezeigt werden, dass lediglich 87 Aminos{\"a}uren f{\"u}r eine Interaktion von HectD1 und A1 n{\"o}tig sind. Da membrangebundenes HectD1 zu einer Translokation von zytosolischem A1 an die Zellmembran f{\"u}hrt, kann man davon ausgehen, dass beide Proteine auch in vivo miteinander interagieren. Eine dominant negative HectD1-Mutante schließlich beeinflusst die Ubiqutinylierung von A1 und f{\"u}hrt somit zu dessen Stabilisierung. Diese Daten legen nahe, dass HectD1 ein wichtiger negativer Regulator von A1/ Bfl-1 ist und dass HectD1 f{\"u}r die Regulierung der A1/ Bfl-1-Proteinmenge in (Krebs)zellen sehr wichtig ist.}, subject = {Zelltod}, language = {de} } @article{BodemRethwilm2013, author = {Bodem, Jochen and Rethwilm, Axel}, title = {Evolution of Foamy Viruses: The Most Ancient of All Retroviruses}, series = {Viruses}, journal = {Viruses}, doi = {10.3390/v5102349}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-97312}, year = {2013}, abstract = {Recent evidence indicates that foamy viruses (FVs) are the oldest retroviruses (RVs) that we know and coevolved with their hosts for several hundred million years. This coevolution may have contributed to the non-pathogenicity of FVs, an important factor in development of foamy viral vectors in gene therapy. However, various questions on the molecular evolution of FVs remain still unanswered. The analysis of the spectrum of animal species infected by exogenous FVs or harboring endogenous FV elements in their genome is pivotal. Furthermore, animal studies might reveal important issues, such as the identification of the FV in vivo target cells, which than require a detailed characterization, to resolve the molecular basis of the accuracy with which FVs copy their genome. The issues of the extent of FV viremia and of the nature of the virion genome (RNA vs. DNA) also need to be experimentally addressed.}, language = {en} }