TY - JOUR A1 - Hauser, Anna Si-Lu A1 - Tiegna, Janneke T1 - “Local self-regulation between democracy and hierarchy. Varieties of structure and values”. Digital Mercator Workshop of the DFG Research Unit 2757/Local Self-Governance in the context of Weak Statehood in Antiquity and the Modern Era (LoSAM) from 18–19th March 2021 JF - Zeitschrift für Vergleichende Politikwissenschaft N2 - No abstract available. KW - self-governance KW - self-organisation KW - democracy KW - hierarchy Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-270096 SN - 1865-2654 VL - 15 IS - 2 ER - TY - JOUR A1 - Wetzel, Britta A1 - Pryss, Rüdiger A1 - Baumeister, Harald A1 - Edler, Johanna-Sophie A1 - Gonçalves, Ana Sofia Oliveira A1 - Cohrdes, Caroline T1 - “How come you don’t call me?” Smartphone communication app usage as an indicator of loneliness and social well-being across the adult lifespan during the COVID-19 pandemic JF - International Journal of Environmental Research and Public Health N2 - Loneliness and lack of social well-being are associated with adverse health outcomes and have increased during the COVID-19 pandemic. Smartphone communication data have been suggested to help monitor loneliness, but this requires further evidence. We investigated the informative value of smartphone communication app data for predicting subjective loneliness and social well-being in a sample of 364 participants ranging from 18 to 78 years of age (52.2% female; mean age = 42.54, SD = 13.22) derived from the CORONA HEALTH APP study from July to December 2020 in Germany. The participants experienced relatively high levels of loneliness and low social well-being during the time period characterized by the COVID-19 pandemic. Apart from positive associations with phone call use times, smartphone communication app use was associated with social well-being and loneliness only when considering the age of participants. Younger participants with higher use times tended to report less social well-being and higher loneliness, while the opposite association was found for older adults. Thus, the informative value of smartphone communication use time was rather small and became evident only in consideration of age. The results highlight the need for further investigations and the need to address several limitations in order to draw conclusions at the population level. KW - loneliness KW - social well-being KW - passive data KW - app KW - smartphone communication KW - COVID-19 KW - social media use KW - age differences KW - public mental health KW - mental health monitoring Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-241033 SN - 1660-4601 VL - 18 IS - 12 ER - TY - JOUR A1 - Carolus, Astrid A1 - Wienrich, Carolin A1 - Törke, Anna A1 - Friedel, Tobias A1 - Schwietering, Christian A1 - Sperzel, Mareike T1 - ‘Alexa, I feel for you!’ Observers’ empathetic reactions towards a conversational agent JF - Frontiers in Computer Science N2 - Conversational agents and smart speakers have grown in popularity offering a variety of options for use, which are available through intuitive speech operation. In contrast to the standard dyad of a single user and a device, voice-controlled operations can be observed by further attendees resulting in new, more social usage scenarios. Referring to the concept of ‘media equation’ and to research on the idea of ‘computers as social actors,’ which describes the potential of technology to trigger emotional reactions in users, this paper asks for the capacity of smart speakers to elicit empathy in observers of interactions. In a 2 × 2 online experiment, 140 participants watched a video of a man talking to an Amazon Echo either rudely or neutrally (factor 1), addressing it as ‘Alexa’ or ‘Computer’ (factor 2). Controlling for participants’ trait empathy, the rude treatment results in participants’ significantly higher ratings of empathy with the device, compared to the neutral treatment. The form of address had no significant effect. Results were independent of the participants’ gender and usage experience indicating a rather universal effect, which confirms the basic idea of the media equation. Implications for users, developers and researchers were discussed in the light of (future) omnipresent voice-based technology interaction scenarios. KW - conversational agent KW - empathy KW - smart speaker KW - media equation KW - computers as social actors KW - human-computer interaction Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-258807 VL - 3 ER - TY - BOOK A1 - Macedo, José Marcos A1 - Kölligan, Daniel A1 - Barbieri, Pedro T1 - Πολυώνυμοι - A Lexicon of the Divine Epithets in the Orphic Hymns T1 - Polyṓnymoi - A Lexicon of the Divine Epithets in the Orphic Hymns N2 - The Orphic Hymns consist of a prooemium and 87 hymns addressed to several deities in a late Orphic initiation of sorts. They were composed probably in Asia Minor during the second or third century CE. The bulk of these hymns are made up of divine epithets often linked together in chains of considerable length. The lexicon attempts to give a comprehensive account of the roughly 850 epithets, bringing together the most relevant information scattered in the scholarly literature and adding others from various sources (literary, epigraphic, lexicographic, scholia etc.) in order to provide an overview of their usage and the main details of their models. KW - Orphica KW - Hymni KW - Beiname KW - Götter KW - epithets KW - orphism KW - hymns KW - Greek language KW - Griechisch KW - Orphismus KW - Hymnen KW - Lexikon Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-220613 SN - 978-3-95826-154-9 SN - 978-3-95826-155-6 N1 - Parallel erschienen als Druckausgabe in Würzburg University Press, ISBN 978-3-95826-154-9, 28,90 EUR PB - Würzburg University Press CY - Würzburg ET - 1. Auflage ER - TY - JOUR A1 - Schumann, S. A1 - Eberlein, U. A1 - Lapa, C. A1 - Müller, J. A1 - Serfling, S. A1 - Lassmann, M. A1 - Scherthan, H. T1 - α-Particle-induced DNA damage tracks in peripheral blood mononuclear cells of [\(^{223}\)Ra]RaCl\(_{2}\)-treated prostate cancer patients JF - European Journal of Nuclear Medicine and Molecular Imaging N2 - Purpose One therapy option for prostate cancer patients with bone metastases is the use of [\(^{223}\)Ra]RaCl\(_{2}\). The α-emitter \(^{223}\)Ra creates DNA damage tracks along α-particle trajectories (α-tracks) in exposed cells that can be revealed by immunofluorescent staining of γ-H2AX+53BP1 DNA double-strand break markers. We investigated the time- and absorbed dose-dependency of the number of α-tracks in peripheral blood mononuclear cells (PBMCs) of patients undergoing their first therapy with [\(^{223}\)Ra]RaCl\(_{2}\). Methods Multiple blood samples from nine prostate cancer patients were collected before and after administration of [\(^{223}\)Ra]RaCl\(_{2}\), up to 4 weeks after treatment. γ-H2AX- and 53BP1-positive α-tracks were microscopically quantified in isolated and immuno-stained PBMCs. Results The absorbed doses to the blood were less than 6 mGy up to 4 h after administration and maximally 16 mGy in total. Up to 4 h after administration, the α-track frequency was significantly increased relative to baseline and correlated with the absorbed dose to the blood in the dose range < 3 mGy. In most of the late samples (24 h - 4 weeks after administration), the α-track frequency remained elevated. Conclusion The γ-H2AX+53BP1 assay is a potent method for detection of α-particle-induced DNA damages during treatment with or after accidental incorporation of radionuclides even at low absorbed doses. It may serve as a biomarker discriminating α- from β-emitters based on damage geometry. KW - γ-H2AX KW - DNA damage KW - nuclear medicine KW - dosimetry KW - α-Emitter KW - biokinetics KW - prostate cancer KW - [\(^{223}\)Ra]RaCl\(_{2}\) KW - 53BP1 Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-265462 SN - 1619-7089 VL - 48 IS - 9 ER - TY - JOUR A1 - Zhang, Fangyuan A1 - Radacki, Krzysztof A1 - Braunschweig, Holger A1 - Lambert, Christoph A1 - Ravat, Prince T1 - Zinc-[7]helicenocyanine and its discrete π-stacked homochiral Dimer JF - Angewandte Chemie International Edition N2 - In this communication, we demonstrate a novel approach to prepare a discrete dimer of chiral phthalocyanine (Pc) by exploiting the flexible molecular geometry of helicenes, which enables structural interlocking and strong aggregation tendency of Pcs. Synthesized [7]helicene-Pc hybrid molecular structure, zinc-[7]helicenocyanine (Zn-7HPc), exclusively forms a stable dimeric pair consisting of two homochiral molecules. The dimerization constants were estimated to be as high as 8.96×10\(^6\) M\(^{−1}\) and 3.42×107 M\(^{−1}\) in THF and DMSO, respectively, indicating remarkable stability of dimer. In addition, Zn\(^{-7}\)HPc exhibited chiral self-sorting behavior, which resulted in preferential formation of a homochiral dimer also in the racemic sample. Two phthalocyanine subunits in the dimeric form strongly communicate with each other as revealed by a large comproportionation constant and observation of an IV-CT band for the thermodynamically stable mixed-valence state. KW - organic chemistry KW - supramolecular assembly KW - chirality KW - helicenes KW - homochiral dimer KW - phthalocyanines Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-256534 VL - 60 ER - TY - JOUR A1 - Bauer, Benedikt A1 - Mally, Angela A1 - Liedtke, Daniel T1 - Zebrafish embryos and larvae as alternative animal models for toxicity testing JF - International Journal of Molecular Sciences N2 - Prerequisite to any biological laboratory assay employing living animals is consideration about its necessity, feasibility, ethics and the potential harm caused during an experiment. The imperative of these thoughts has led to the formulation of the 3R-principle, which today is a pivotal scientific standard of animal experimentation worldwide. The rising amount of laboratory investigations utilizing living animals throughout the last decades, either for regulatory concerns or for basic science, demands the development of alternative methods in accordance with 3R to help reduce experiments in mammals. This demand has resulted in investigation of additional vertebrate species displaying favourable biological properties. One prominent species among these is the zebrafish (Danio rerio), as these small laboratory ray-finned fish are well established in science today and feature outstanding biological characteristics. In this review, we highlight the advantages and general prerequisites of zebrafish embryos and larvae before free-feeding stages for toxicological testing, with a particular focus on cardio-, neuro, hepato- and nephrotoxicity. Furthermore, we discuss toxicokinetics, current advances in utilizing zebrafish for organ toxicity testing and highlight how advanced laboratory methods (such as automation, advanced imaging and genetic techniques) can refine future toxicological studies in this species. KW - danio rerio KW - alternative methods KW - organ toxicity KW - 3R KW - transgenic animals Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-284225 SN - 1422-0067 VL - 22 IS - 24 ER - TY - JOUR A1 - Wabbels, Bettina A1 - Fricke, Julia A1 - Schittkowski, Michael A1 - Gräf, Michael A1 - Lorenz, Birgit A1 - Bau, Viktoria A1 - Nentwich, Martin M. A1 - Atili, Abed A1 - Eckstein, Anja A1 - Sturm, Veit A1 - Beisse, Christina A1 - Sterker, Ina A1 - Neppert, Birte A1 - Mauschitz, Matthias M. T1 - Yokoyama procedure for esotropia associated with high myopia: real‐world data from a large‐scale multicentre analysis JF - Acta Ophthalmologica N2 - Purpose High myopic patients may develop strabismus due to globe dislocation out of the normal extraocular muscle cone. Surgical correction of this strabismus type is possible by joining the superior and lateral rectus muscles without the need for a scleral suture called the Yokoyama procedure. Data from large patient samples and the evaluation of a potential effect of an additional medial rectus recession (MRR) have been lacking so far. Methods We pooled retrospective patient data of 14 departments of ophthalmology in Germany and Switzerland and analysed determinants of postoperative results using multivariable regression models. Results We included 133 patients (mean age: 59.7 ± 13.4 years, surgery between 2008 and 2017) with a mean preoperative esotropia (both Yokoyama with and without MRR) of 23.8°±4.6°. The angle of preoperative esotropia increased with age. The postoperative esotropia was 8.7° ± 9.9°, and six patients were overcorrected. While preoperative esotropia was highly associated with postoperative results, we found no association of additional MRR with any of our postoperative outcome measures. The Yokoyama procedure had a higher absolute effect in patients with higher preoperative esotropia. Conclusion Our study confirms the positive effect of the Yokoyama procedure on strabismus due to high myopia in large‐scale real‐world data. In some cases, MRR may be needed because of muscle contracture, although additional MRR statistically did not affect the postoperative outcome. In patients with bilateral high myopic strabismus, correction of both eyes seems beneficial. The effect size of the Yokoyama procedure appears to be mainly driven by preoperative esotropia. KW - esohypotropia KW - heavy eye KW - high myopia KW - muscle dislocation KW - strabismus fixus Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-239939 VL - 99 IS - 8 SP - e1340 EP - e1347 ER - TY - JOUR A1 - Zetzl, Teresa A1 - Pittig, Andre A1 - Renner, Agnes A1 - van Oorschott, Birgitt A1 - Jentschke, Elisabeth T1 - Yoga therapy to reduce fatigue in cancer: effects of reminder e-mails and long-term efficacy JF - Supportive Care in Cancer N2 - Objective To examine the efficacy of reminder e-mails to continue yoga therapy on practice frequency and fatigue in cancer patients and long-term effects of yoga on fatigue, depression, and quality of life. Methology One hundred two cancer patients who completed an 8-week yoga therapy were randomly allocated to two groups: reminder (N = 51) vs. no-reminder group (N = 51). After completing yoga therapy, the reminder group received weekly e-mails for 24 weeks, which reminded them of practicing yoga, whereas the no-reminder group did not. Primary outcomes were fatigue and practice frequency, and long-term outcomes were fatigue, depression, and quality of life. Data were assessed using questionnaires after yoga therapy (T1) and 6 months after completing yoga therapy (T2). Result A significantly stronger reduction of general (p = 0.038, d = 0.42) and emotional fatigue (p = 0.004, d = 0.59) and a higher increase of practice frequency (p = 0.015, d = 0.52) between T1 and T2 were found for the reminder group compared to the no-reminder group. In the mediation model, practice frequency as a mediator partially explained the changes in emotional fatigue (indirect effect B =  - 0.10). Long-term effects of yoga therapy regarding fatigue, depression, and quality of life were found (F > 7.46, p < 0.001, d > 0.54). Conclusion Weekly reminder e-mails after yoga therapy can positively affect general and emotional fatigue and help cancer patients with fatigue establish a regular yoga practice at home. However, higher practice frequency did not lead to higher physical or cognitive fatigue improvement, suggesting other factors that mediate efficacy on physical or cognitive fatigue, such as mindfulness or side effects of therapy. KW - reminder e-mails KW - mind–body intervention KW - complementary alternative medicine KW - long-term effects KW - Yoga KW - fatigue Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-268415 SN - 1433-7339 VL - 29 IS - 12 ER - TY - JOUR A1 - Zetzl, Teresa A1 - Renner, Agnes A1 - Pittig, Andre A1 - Jentschke, Elisabeth A1 - Roch, Carmen A1 - van Oorschot, Birgitt T1 - Yoga effectively reduces fatigue and symptoms of depression in patients with different types of cancer JF - Supportive Care in Cancer N2 - Purpose Examine the effects of an 8-week yoga therapy on fatigue in patients with different types of cancer. Methods A total of 173 cancer patients suffering from mild to severe fatigue were randomly allocated to yoga intervention (n = 84) (IG) versus waitlist control group (CG) (n = 88). Yoga therapy consisted of eight weekly sessions with 60 min each. The primary outcome was self-reported fatigue symptoms. Secondary outcomes were symptoms of depression and quality of life (QoL). Data were assessed using questionnaires before (T0) and after yoga therapy for IG versus waiting period for CG (T1). Results A stronger reduction of general fatigue (P = .033), physical fatigue (P = .048), and depression (P < .001) as well as a stronger increase in QoL (P = .002) was found for patients who attended 7 or 8 sessions compared with controls. Within the yoga group, both higher attendance rate and lower T0-fatigue were significant predictors of lower T1-fatigue (P ≤ .001). Exploratory results revealed that women with breast cancer report a higher reduction of fatigue than women with other types of cancer (P = .016) after yoga therapy. Conclusion The findings support the assumption that yoga therapy is useful to reduce cancer-related fatigue, especially for the physical aspects of fatigue. Women with breast cancer seem to benefit most, and higher attendance rate results in greater reduction of fatigue. Trial registration German Clinical Trials Register DRKS00016034 KW - yoga KW - complementary alternative medicine KW - mind-body intervention KW - fatigue KW - depression KW - quality of live Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-235415 SN - 0941-4355 VL - 29 ER - TY - JOUR A1 - Helfrich-Förster, C. A1 - Monecke, S. A1 - Spiousas, I. A1 - Hovestadt, T. A1 - Mitesser, O. A1 - Wehr, T. A. T1 - Women temporarily synchronize their menstrual cycles with the luminance and gravimetric cycles of the Moon JF - Science Advances N2 - Many species synchronize reproductive behavior with a particular phase of the lunar cycle to increase reproductive success. In humans, a lunar influence on reproductive behavior remains controversial, although the human menstrual cycle has a period close to that of the lunar cycle. Here, we analyzed long-term menstrual recordings of individual women with distinct methods for biological rhythm analysis. We show that women’s menstrual cycles with a period longer than 27 days were intermittently synchronous with the Moon’s luminance and/or gravimetric cycles. With age and upon exposure to artificial nocturnal light, menstrual cycles shortened and lost this synchrony. We hypothesize that in ancient times, human reproductive behavior was synchronous with the Moon but that our modern lifestyles have changed reproductive physiology and behavior. KW - moon KW - menstrual cycles Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-231479 VL - 7 IS - 5 ER - TY - JOUR A1 - Weich, Alexander A1 - Rogoll, Dorothee A1 - Gawlas, Sophia A1 - Mayer, Lars A1 - Weich, Wolfgang A1 - Pongracz, Judit A1 - Kudlich, Theodor A1 - Meining, Alexander A1 - Scheurlen, Michael T1 - Wnt/β-catenin signaling regulates CXCR4 expression and [\(^{68}\)Ga] Pentixafor internalization in neuroendocrine tumor cells JF - Diagnostics N2 - Loss of Somatostatin Receptor 2 (SSTR2) expression and rising CXC Chemokine Receptor Type 4 (CXCR4) expression are associated with dedifferentiation in neuroendocrine tumors (NET). In NET, CXCR4 expression is associated with enhanced metastatic and invasive potential and worse prognosis but might be a theragnostic target. Likewise, activation of Wnt/β-catenin signaling may promote a more aggressive phenotype in NET. We hypothesized an interaction of the Wnt/β-catenin pathway with CXCR4 expression and function in NET. The NET cell lines BON-1, QGP-1, and MS-18 were exposed to Wnt inhibitors (5-aza-CdR, quercetin, and niclosamide) or the Wnt activator LiCl. The expressions of Wnt pathway genes and of CXCR4 were studied by qRT-PCR, Western blot, and immunohistochemistry. The effects of Wnt modulators on uptake of the CXCR4 ligand [\(^{68}\)Ga] Pentixafor were measured. The Wnt activator LiCl induced upregulation of CXCR4 and Wnt target gene expression. Treatment with the Wnt inhibitors had opposite effects. LiCl significantly increased [\(^{68}\)Ga] Pentixafor uptake, while treatment with Wnt inhibitors decreased radiopeptide uptake. Wnt pathway modulation influences CXCR4 expression and function in NET cell lines. Wnt modulation might be a tool to enhance the efficacy of CXCR4-directed therapies in NET or to inhibit CXCR4-dependent proliferative signaling. The underlying mechanisms for the interaction of the Wnt pathway with CXCR4 expression and function have yet to be clarified. KW - neuroendocrine tumor KW - NET KW - Wnt KW - β-catenin KW - CXCR4 KW - [\(^{68}\)Ga] Pentixafor KW - BON-1 KW - QGP-1 KW - MS-18 Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-228914 SN - 2075-4418 VL - 11 IS - 2 ER - TY - JOUR A1 - Fiore, Piera Filomena A1 - Vacca, Paola A1 - Tumino, Nicola A1 - Besi, Francesca A1 - Pelosi, Andrea A1 - Munari, Enrico A1 - Marconi, Marcella A1 - Caruana, Ignazio A1 - Pistoia, Vito A1 - Moretta, Lorenzo A1 - Azzarone, Bruno T1 - Wilms' tumor primary cells display potent immunoregulatory properties on NK cells and macrophages JF - Cancers N2 - The immune response plays a crucial defensive role in cancer growth and metastasis and is a promising target in different tumors. The role of the immune system in Wilm’s Tumor (WT), a common pediatric renal malignancy, is still to be explored. The characterization of the immune environment in WT could allow the identification of new therapeutic strategies for targeting possible inhibitory mechanisms and/or lowering toxicity of the current treatments. In this study, we stabilized four WT primary cultures expressing either a blastematous (CD56\(^+\)/CD133\(^−\)) or an epithelial (CD56\(^−\)/CD133\(^+\)) phenotype and investigated their interactions with innate immune cells, namely NK cells and monocytes. We show that cytokine-activated NK cells efficiently kill WT cells. However, after co-culture with WT primary cells, NK cells displayed an impaired cytotoxic activity, decreased production of IFNγ and expression of CD107a, DNAM-1 and NKp30. Analysis of the effects of the interaction between WT cells and monocytes revealed their polarization towards alternatively activated macrophages (M2) that, in turn, further impaired NK cell functions. In conclusion, we show that both WT blastematous and epithelial components may contribute directly and indirectly to a tumor immunosuppressive microenvironment that is likely to play a role in tumor progression. KW - Wilm's tumor KW - NK cells KW - macrophages KW - tumor microenvironment KW - Wilms' tumor Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-222981 SN - 2072-6694 VL - 13 IS - 2 ER - TY - JOUR A1 - Boelch, Sebastian P. A1 - Gurok, Anna A1 - Gilbert, Fabian A1 - Weißenberger, Manuel A1 - Rudert, Maximilian A1 - Barthel, Thomas A1 - Reppenhagen, Stephan T1 - Why compromise the patella? Five-year follow-up results of medial patellofemoral ligament reconstruction with soft tissue patellar fixation JF - International Orthopaedics N2 - Purpose This study investigates the redislocation rate and functional outcome at a minimum follow-up of five years after medial patellofemoral ligament (MPFL) reconstruction with soft tissue patellar fixation for patella instability. Methods Patients were retrospectively identified and knees were evaluated for trochlea dysplasia according to Dejour, for presence of patella alta and for presence of cartilage lesion at surgery. At a minimum follow-up of five years, information about an incident of redislocation was obtained. Kujala, Lysholm, and Tegner questionnaires as well as range of motion were used to measure functional outcome. Results Eighty-nine knees were included. Follow-up rate for redislocation was 79.8% and for functional outcome 58.4%. After a mean follow-up of 5.8 years, the redislocation rate was 5.6%. There was significant improvement of the Kujala score (68.8 to 88.2, p = 0.000) and of the Lysholm score (71.3 to 88.4, p = 0.000). Range of motion at follow-up was 149.0° (115–165). 77.5% of the knees had patella alta and 52.9% trochlear dysplasia types B, C, or D. Patellar cartilage legions were present in 54.2%. Redislocations occurred in knees with trochlear dysplasia type C in combination with patella alta. Conclusion MPFL reconstruction with soft tissue patellar fixation leads to significant improvement of knee function and low midterm redislocation rate. Patients with high-grade trochlear dysplasia should be considered for additional osseous correction. KW - MPFL KW - medial patellofemoral ligament KW - patella instability KW - patella dislocation KW - trochlear dysplasia KW - patella alta Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-235751 SN - 0341-2695 VL - 45 ER - TY - JOUR A1 - Fröhlich, Matthias A1 - Serfling, Sebastian A1 - Higuchi, Takahiro A1 - Pomper, Martin G. A1 - Rowe, Steven P. A1 - Schmalzing, Marc A1 - Tony, Hans-Peter A1 - Gernert, Michael A1 - Strunz, Patrick-Pascal A1 - Portegys, Jan A1 - Schwaneck, Eva-Christina A1 - Gadeholt, Ottar A1 - Weich, Alexander A1 - Buck, Andreas K. A1 - Bley, Thorsten A. A1 - Guggenberger, Konstanze V. A1 - Werner, Rudolf A. T1 - Whole-Body [\(^{18}\)F]FDG PET/CT Can Alter Diagnosis in Patients with Suspected Rheumatic Disease JF - Diagnostics N2 - The 2-deoxy-d-[\(^{18}\)F]fluoro-D-glucose (FDG) positron emission tomography/computed tomography (PET/CT) is widely utilized to assess the vascular and articular inflammatory burden of patients with a suspected diagnosis of rheumatic disease. We aimed to elucidate the impact of [\(^{18}\)F]FDG PET/CT on change in initially suspected diagnosis in patients at the time of the scan. Thirty-four patients, who had undergone [\(^{18}\)F]FDG PET/CT, were enrolled and the initially suspected diagnosis prior to [18F]FDG PET/CT was compared to the final diagnosis. In addition, a semi-quantitative analysis including vessel wall-to-liver (VLR) and joint-to-liver (JLR) ratios was also conducted. Prior to [\(^{18}\)F]FDG PET/CT, 22/34 (64.7%) of patients did not have an established diagnosis, whereas in 7/34 (20.6%), polymyalgia rheumatica (PMR) was suspected, and in 5/34 (14.7%), giant cell arteritis (GCA) was suspected by the referring rheumatologists. After [\(^{18}\)F]FDG PET/CT, the diagnosis was GCA in 19/34 (55.9%), combined GCA and PMR (GCA + PMR) in 9/34 (26.5%) and PMR in the remaining 6/34 (17.6%). As such, [\(^{18}\)F]FDG PET/CT altered suspected diagnosis in 28/34 (82.4%), including in all unclear cases. VLR of patients whose final diagnosis was GCA tended to be significantly higher when compared to VLR in PMR (GCA, 1.01 ± 0.08 (95%CI, 0.95–1.1) vs. PMR, 0.92 ± 0.1 (95%CI, 0.85–0.99), p = 0.07), but not when compared to PMR + GCA (1.04 ± 0.14 (95%CI, 0.95–1.13), p = 1). JLR of individuals finally diagnosed with PMR (0.94 ± 0.16, (95%CI, 0.83–1.06)), however, was significantly increased relative to JLR in GCA (0.58 ± 0.04 (95%CI, 0.55–0.61)) and GCA + PMR (0.64 ± 0.09 (95%CI, 0.57–0.71); p < 0.0001, respectively). In individuals with a suspected diagnosis of rheumatic disease, an inflammatory-directed [\(^{18}\)F]FDG PET/CT can alter diagnosis in the majority of the cases, particularly in subjects who were referred because of diagnostic uncertainty. Semi-quantitative assessment may be helpful in establishing a final diagnosis of PMR, supporting the notion that a quantitative whole-body read-out may be useful in unclear cases. KW - giant cell arteritis KW - GCA KW - [18F]FDG PET/CT KW - vasculature KW - inflammation KW - polymyalgia rheumatica KW - PMR KW - vasculitis Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-250227 SN - 2075-4418 VL - 11 IS - 11 ER - TY - JOUR A1 - Sequeira, Vasco T1 - When fat meets the engine: implications of dietary rumenic acid on myosin-targeting therapies in heart failure JF - Journal of Physiology N2 - No abstract available. KW - rumenic acid KW - cardiomyopathy KW - mavacamten KW - myosin KW - omecamtiv mecarbil Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-259693 VL - 599 IS - 15 ER - TY - JOUR A1 - Basile, Vittoria A1 - Puglisi, Soraya A1 - Altieri, Barbara A1 - Canu, Letizia A1 - Libè, Rossella A1 - Ceccato, Filippo A1 - Beuschlein, Felix A1 - Quinkler, Marcus A1 - Calabrese, Anna A1 - Perotti, Paola A1 - Berchialla, Paola A1 - Dischinger, Ulrich A1 - Megerle, Felix A1 - Baudin, Eric A1 - Bourdeau, Isabelle A1 - Lacroix, André A1 - Loli, Paola A1 - Berruti, Alfredo A1 - Kastelan, Darko A1 - Haak, Harm R. A1 - Fassnacht, Martin A1 - Terzolo, Massimo T1 - What is the optimal duration of adjuvant mitotane therapy in adrenocortical carcinoma? An unanswered question JF - Journal of Personalized Medicine N2 - A relevant issue on the treatment of adrenocortical carcinoma (ACC) concerns the optimal duration of adjuvant mitotane treatment. We tried to address this question, assessing whether a correlation exists between the duration of adjuvant mitotane treatment and recurrence-free survival (RFS) of patients with ACC. We conducted a multicenter retrospective analysis on 154 ACC patients treated for ≥12 months with adjuvant mitotane after radical surgery and who were free of disease at the mitotane stop. During a median follow-up of 38 months, 19 patients (12.3%) experienced recurrence. We calculated the RFS after mitotane (RFSAM), from the landmark time-point of mitotane discontinuation, to overcome immortal time bias. We found a wide variability in the duration of adjuvant mitotane treatment among different centers and also among patients cared for at the same center, reflecting heterogeneous practice. We did not find any survival advantage in patients treated for longer than 24 months. Moreover, the relationship between treatment duration and the frequency of ACC recurrence was not linear after stratifying our patients in tertiles of length of adjuvant treatment. In conclusion, the present findings do not support the concept that extending adjuvant mitotane treatment over two years is beneficial for ACC patients with low to moderate risk of recurrence. KW - mitotane KW - adjuvant treatment KW - adrenocortical cancer KW - recurrence KW - recurrence free survival KW - timing Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-236507 SN - 2075-4426 VL - 11 IS - 4 ER - TY - JOUR A1 - Hagge, Jonas A1 - Müller, Jörg A1 - Birkemoe, Tone A1 - Buse, Jörn A1 - Christensen, Rune Haubo Bojesen A1 - Gossner, Martin M. A1 - Gruppe, Axel A1 - Heibl, Christoph A1 - Jarzabek‐Müller, Andrea A1 - Seibold, Sebastian A1 - Siitonen, Juha A1 - Soutinho, João Gonçalo A1 - Sverdrup‐Thygeson, Anne A1 - Thorn, Simon A1 - Drag, Lukas T1 - What does a threatened saproxylic beetle look like? Modelling extinction risk using a new morphological trait database JF - Journal of Animal Ecology N2 - The extinction of species is a non‐random process, and understanding why some species are more likely to go extinct than others is critical for conservation efforts. Functional trait‐based approaches offer a promising tool to achieve this goal. In forests, deadwood‐dependent (saproxylic) beetles comprise a major part of threatened species, but analyses of their extinction risk have been hindered by the availability of suitable morphological traits. To better understand the mechanisms underlying extinction in insects, we investigated the relationships between morphological features and the extinction risk of saproxylic beetles. Specifically, we hypothesised that species darker in colour, with a larger and rounder body, a lower mobility, lower sensory perception and more robust mandibles are at higher risk. We first developed a protocol for morphological trait measurements and present a database of 37 traits for 1,157 European saproxylic beetle species. Based on 13 selected, independent traits characterising aspects of colour, body shape, locomotion, sensory perception and foraging, we used a proportional‐odds multiple linear mixed‐effects model to model the German Red List categories of 744 species as an ordinal index of extinction risk. Six out of 13 traits correlated significantly with extinction risk. Larger species as well as species with a broad and round body had a higher extinction risk than small, slim and flattened species. Species with short wings had a higher extinction risk than those with long wings. On the contrary, extinction risk increased with decreasing wing load and with higher mandibular aspect ratio (shorter and more robust mandibles). Our study provides new insights into how morphological traits, beyond the widely used body size, determine the extinction risk of saproxylic beetles. Moreover, our approach shows that the morphological characteristics of beetles can be comprehensively represented by a selection of 13 traits. We recommend them as a starting point for functional analyses in the rapidly growing field of ecological and conservation studies of deadwood. KW - deadwood KW - extinction risk KW - forest biodiversity KW - forestry KW - functional traits KW - morphometry KW - red lists KW - saproxylic beetles Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-244717 VL - 90 IS - 8 SP - 1934 EP - 1947 ER - TY - JOUR A1 - Schlevogt, Bernhard A1 - Boeker, Klaus H. W. A1 - Mauss, Stefan A1 - Klinker, Hartwig A1 - Heyne, Renate A1 - Link, Ralph A1 - Simon, Karl-Georg A1 - Sarrazin, Christoph A1 - Serfert, Yvonne A1 - Manns, Michael P. A1 - Wedemeyer, Heiner T1 - Weight gain after interferon-free treatment of chronic hepatitis C — results from the German Hepatitis C-Registry (DHC-R) JF - Biomedicines N2 - Chronic hepatitis C can be treated very effectively with direct-acting antivirals (DAA) with only minor side effects compared to an interferon-containing treatment regimen. The significance of metabolic comorbidities after HCV cure is not well defined. This study aims to investigate short- and long-term weight change of patients receiving interferon-free antiviral treatment for chronic hepatitis C. The German Hepatitis C-registry (DHC-R) is a national multicenter real-world cohort. A total of 5111 patients were followed prospectively after DAA treatment for up to 3 years. Weight change compared to baseline was analyzed at end of treatment and at years 1, 2, and 3 after completion of antiviral therapy. Regression analysis was performed to identify baseline predictors for weight change. While there was no relevant mean weight change (−0.2 kg, SD 4.3 kg) at the end of antiviral treatment, weight started to increase during long-term follow-up reaching +1.7 kg (SD 8.0 kg, p < 0.001) compared to baseline at 3 years (follow-up year 3, FU3) after completion of antiviral therapy. 48%, 31%, and 22% of patients had a weight gain greater than 1, 3, and 5 kg at FU3, respectively. During follow-up, a body mass index (BMI) <30 proved to be the only consistent predictor for weight gain. DAA treatment is followed by a substantial weight gain (+3 kg or more) in one-third of the patients during long-term follow-up. Non-obese patients seemed to be most vulnerable to weight gain. The body compartment involved in weight gain as well as the mechanism of weight gain remain to be elucidated. KW - chronic hepatitis C KW - direct-acting antivirals KW - interferon-free KW - HCV cure KW - weight gain KW - German Hepatitis C-Registry Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-248476 SN - 2227-9059 VL - 9 IS - 10 ER - TY - THES A1 - Fritze, Lars T1 - Ways to Novel Inorganic-Organic Hybrid Materials Applying New B–C Bond Formation Strategies T1 - Wege zu neuartigen anorganisch-organischen Hybridmaterialien durch Anwendung von neuen B–C Kupplungsstrategien N2 - π-Conjugated oligomers and polymers with tricoordinate boron centers incorporated into the main chain have attracted considerable attention as the interaction of the vacant p orbital on boron with an adjacent π system of the chain leads to conjugated materials with intriguing optical and electronic properties. This enables applicability in organic electronics and optoelectronics (OLEDs, OFETs, photovoltaics) or as sensory materials. The potential of our B–C coupling protocol using metal-free catalytic Si/B exchange condensation is demonstrated by the synthesis of a series of π-conjugated monodisperse (het)aryl oligoboranes. Variation of the (het)aryl moieties allowed for tunability of the optoelectronic properties of the materials. Additionally, catalytic C–C cross-coupling strategies were applied to synthesize oligofuryl-based mono- and bisboranes, as well as polymers. These studies led to very robust and highly emissive compounds (f up to 97 %), which allow for tuning of their emission color from blue to orange. Furthermore, this work includes investigations of reaction routes to a kinetically stabilized tetraoxaporphyrinogen. Being a key aspect of this work, a full investigation of the mechanism of the catalytic Si/B exchange was carried out. Additionally, this work presents the use of borenium cations to perform B–C coupling via intermolecular electrophilic borylation. Similar to the Si/B exchange, this route is capable of giving access to diaryl(bromo)boranes. N2 - π-konjugierte Oligomere und Polymere mit dreifach koordinierten Bor-Zentren, die in die Hauptkette eingebaut sind, haben große Aufmerksamkeit erregt, da die Wechselwirkung des vakanten p-Orbitals am Bor mit dem π-System der Kette zu konjugierten Materialien mit faszinierenden optischen und elektronischen Eigenschaften führt. Dies ermöglicht die Anwendbarkeit in organischer Elektronik und Optoelektronik (OLEDs, OFETs, Photovoltaik) oder als sensorische Materialien. Das Potenzial unseres B–C-Kupplungsprotokolls unter Verwendung der metallfreien katalytischen Si/B-Austauschskondensation wird durch die Synthese einer Reihe von π-konjugierten monodispersen (Het)aryl-Oligoboranen demonstriert. Durch Variation der (Het)aryl-Anteile konnten die optoelektronischen Eigenschaften der Materialien eingestellt werden. Zusätzlich wurden katalytische C–C-Kreuzkupplungsstrategien angewandt, um Oligofuryl-basierte Mono- und Bisborane sowie Polymere zu synthetisieren. Diese Untersuchungen führten zu sehr robusten und stark emittierenden Verbindungen (f bis zu 97 %), die die Einstellung ihrer Emissionsfarbe von blau bis orange ermöglichen. Weiterhin beinhaltet diese Arbeit Untersuchungen von Reaktionswegen zu einem kinetisch stabilisierten Tetraoxaporphyrinogen. Als ein Schlüsselaspekt dieser Arbeit wurde eine vollständige Untersuchung des Mechanismus des katalytischen Si/B-Austauschs durchgeführt. Zusätzlich wird in dieser Arbeit die Verwendung von Borenium-Kationen zur Durchführung von B–C-Kupplungen über intermolekulare elektrophile Borylierungen vorgestellt. Ähnlich wie beim Si/B-Austausch kann dieser Weg genutzt werden, um Zugang zu Diaryl(bromo)boranen zu geben. KW - Konjugierte Polymere KW - Borverbindungen KW - Kation KW - Furanderivate KW - Silizium-Bor-Austausch KW - B–C-Kupplung KW - C–C-Kupplung KW - Furylborane KW - C–H Aktivierung KW - Silicon-Boron exchange KW - B–C coupling KW - C–C coupling KW - Furylboranes KW - C–H activation Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-242173 ER - TY - THES A1 - Richter, Julian Alexander Jürgen T1 - Wave-CAIPI for Accelerated Dynamic MRI of the Thorax T1 - Beschleunigte Dynamische MR-Bildgebung des Thorax mit wave-CAIPI N2 - In summary, the wave-CAIPI k-space trajectory presents an efficient sampling strategy for accelerated MR acquisitions. Using wave-CAIPI in parallel imaging reconstructions leads to a reduced noise level in the reconstructed images, compared to the Cartesian standard trajectory. This effect could be quantified by means of noise and SNR calculations. An SNR gain can be traded for a reduced scan time, i.e., additional undersampling, or for an enhanced image quality, keeping scan time constant. Acceleration of MR imaging is especially important in dynamic applications, since these examinations are inherently time-consuming. The impact of wave-CAIPI sampling on image quality and its potential for scan time reduction was investigated for two dynamic applications: self-gated dynamic 3D lung MRI during free breathing and cardiac 4D flow MRI. Dynamic 3D Lung MRI By employing wave-CAIPI sampling in self-gated, free-breathing dynamic 3D lung MRI for the purpose of radiotherapy treatment planning, the image quality of accelerated scans could be enhanced. Volunteer examinations were used to quantify image quality by means of similarity between accelerated and reference images. To this end, the normalized mutual information and the root-mean-square error were chosen as quantitative image similarity measures. The wave-CAIPI sampling was shown to exhibit superior quality, especially for short scan times. The values of the normalized mutual information were (10.2 +- 7.3)% higher in the wave-CAIPI case -- the root-mean-square error was (18.9 +- 13.2)% lower on average. SNR calculations suggest an average SNR benefit of around 14% for the wave-CAIPI, compared to Cartesian sampling. Resolution of the lung in 8 breathing states can be achieved in only 2 minutes. By using the wave-CAIPI k-space trajectory, precise tumor delineation and assessment of respiration-induced displacement is facilitated. Cardiac 4D Flow MRI In 4D flow MRI, acceleration of the image acquisition is essential to incorporate the corresponding scan protocols into clinical routine. In this work, a retrospective 6-fold acceleration of the image acquisition was realized. Cartesian and wave-CAIPI 4D flow examinations of healthy volunteers were used to quantify uncertainties in flow parameters for the respective sampling schemes. By employing wave-CAIPI sampling, the estimated errors in flow parameters in 6-fold accelerated scans could be reduced by up to 55%. Noise calculations showed that the noise level in 6-fold accelerated 4D flow acquisitions with wave-CAIPI is 43% lower, compared to Cartesian sampling. Comparisons between Cartesian and wave-CAIPI 4D flow examinations with a prospective acceleration factor R=2 revealed small, but partly statistically significant discrepancies. Differences between 2-fold and 6-fold accelerated wave-CAIPI scans are comparable to the differences between Cartesian and wave-CAIPI examinations at R=2. Wave-CAIPI 4D flow acquisitions of the aorta could be performed with an average, simulated scan time of under 4 minutes, with reduced uncertainties in flow parameters. Important visualizations of hemodynamic flow patterns in the aorta were only slightly affected by undersampling in the wave-CAIPI case, whereas for Cartesian sampling, considerable discrepancies were observed. N2 - Die wave-CAIPI k-Raum Trajektorie stellt eine effiziente Methode für beschleunigte MRT Akquisitionen dar. Die Benutzung der wave-CAIPI Trajektorie anstelle der kartesischen Standardmethode in der parallelen Bildgebung führt zu einem reduzierten Rausch-Niveau in den rekonstruierten Bildern. Dieser Effekt kann durch Berechnungen des Rauschpegels und des Signal-zu-Rausch Verhältnisses (SNR) quantifiziert werden. Das höhere Signal-zu-Rausch Verhältnis kann genutzt werden, um entweder die Akquisition durch eine höhere Unterabtastung zu beschleunigen, oder um die Bildqualität zu verbessern. Die Beschleunigung von MRT Akquisitionen ist besonders in dynamischen Anwendungen wichtig, da diese Untersuchungen inhärent sehr zeitaufwendig sind. Der Einfluss der wave-CAIPI Methode auf die Bildqualität und das Beschleunigungspotenzial der Messung wurde in dieser Arbeit sowohl für selbst-navigierte, dynamische 3D Lungenbildgebung, als auch für 4D Fluss MRTs des Herzens untersucht Dynamische 3D Lungen MRT Durch die Verwendung der wave-CAIPI Samplingmethode konnte die Bildqualität von selbst-navigierten, dynamischen 3D Lungen MRTs bei freier Atmung verbessert werden. Eine wichtige Anwendung dieser Technik liegt im Bereich der Strahlentherapieplanung. Dabei wurde im Rahmen einer Probandenstudie die Bildqualität anhand der Ähnlichkeit zwischen beschleunigten Bildern und den jeweiligen Referenzen quantifiziert. Zu diesem Zweck wurden die normalized mutual information und der root-mean-square error als quantitative Maße gewählt. Es konnte gezeigt werden, dass -- besonders bei kurzen Akquisitionszeiten -- die wave-CAIPI Methode zu besserer Bildqualität führte, verglichen mit dem kartesischen Standard. Berechnungen der normalized mutual information ergaben im Mittel (10.2 +- 7.3)% höhere Werte für die wave-CAIPI Methode -- der root-mean-square error war (18.9 +- 13.2)% geringer. Darüber hinaus lieferte die wave-CAIPI ein um etwa 14% höheres mittleres SNR. In 2 Minuten konnte die Atembewegung der Lunge in 8 Atemzustände aufgelöst werden. Eine präzise Tumor-Abgrenzung und die Evaluierung von respirationsinduzierten Tumorbewegungen wird durch die Verwendung der wave-CAIPI Methode vereinfacht. 4D Fluss Herz MRT Die Beschleunigung von 4D Fluss MRTs ist essentiell, um solche Untersuchungen in die klinische Routine zu integrieren. In der präsentierten Arbeit wurde eine 6-fache retrospektive Beschleunigung realisiert. 4D Fluss Untersuchungen von gesunden Probanden mit der wave-CAIPI und mit der kartesischen Samplingmethode wurden verwendet, um Unsicherheiten in verschiedenen Flussparametern für die beiden Samplingmethoden zu berechnen. Dabei zeigte sich, dass die geschätzten Fehler in den Flussparametern der 6-fach beschleunigten wave-CAIPI Untersuchungen bis zu 55% geringer sind als die Fehler der kartesischen Messungen. Ferner zeigten Rausch-Analysen, dass die beschleunigten wave-CAIPI Aufnahmen ein um 43% geringeres Rausch-Niveau aufweisen. Vergleiche zwischen Flussparametern, die aus 2-fach beschleunigten wave-CAIPI und kartesischen Messungen berechnet wurden, zeigten kleine, aber teilweise statistisch signifikante Unterschiede zwischen den beiden Methoden. Unterschiede zwischen 2-fach und 6-fach beschleunigten wave-CAIPI Aufnahmen sind vergleichbar mit den Unterschieden zwischen der wave-CAIPI Methode und der kartesischen Methode bei R=2. Wave-CAIPI 4D Fluss Aufnahmen des Herzens konnten mit einer mittleren, simulierten Aufnahmezeit von unter 4 Minuten durchgeführt werden. Die effizientere Samplingmethode ermöglichte dabei erheblich reduzierte Unsicherheiten in den berechneten Flussparametern. Wichtige Visualisierungen des Blutflusses in der Aorta wurden im Falle der wave-CAIPI Methode kaum von der Unterabtastung beeinflusst. Hingegen wiesen die Visualisierungen der beschleunigten kartesischen Messungen erhebliche Diskrepanzen auf. KW - Magnetresonanztomographie KW - Lunge KW - Herz KW - Fluss KW - Lung KW - Heart KW - Flow Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-232071 ER - TY - JOUR A1 - Röll, Alexander A1 - Ramesha, Mundre N. A1 - Link, Roman M. A1 - Hertel, Dietrich A1 - Schuldt, Bernhard A1 - Patil, Shekhargouda L. A1 - Hölscher, Dirk T1 - Water availability controls the biomass increment of Melia dubia in South India JF - Forests N2 - Farmland tree cultivation is considered an important option for enhancing wood production. In South India, the native leaf-deciduous tree species Melia dubia is popular for short-rotation plantations. Across a rainfall gradient from 420 to 2170 mm year\(^{–1}\), we studied 186 farmland woodlots between one and nine years in age. The objectives were to identify the main factors controlling aboveground biomass (AGB) and growth rates. A power-law growth model predicts an average stand-level AGB of 93.8 Mg ha\(^{–1}\) for nine-year-old woodlots. The resulting average annual AGB increment over the length of the rotation cycle is 10.4 Mg ha\(^{–1}\) year\(^{–1}\), which falls within the range reported for other tropical tree plantations. When expressing the parameters of the growth model as functions of management, climate and soil variables, it explains 65% of the variance in AGB. The results indicate that water availability is the main driver of the growth of M. dubia. Compared to the effects of water availability, the effects of soil nutrients are 26% to 60% smaller. We conclude that because of its high biomass accumulation rates in farm forestry, M. dubia is a promising candidate for short-rotation plantations in South India and beyond. KW - aboveground biomass KW - climatological water deficit KW - farm forestry KW - farmland woodlots KW - rainfall gradient KW - soil KW - wood production Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-250150 SN - 1999-4907 VL - 12 IS - 12 ER - TY - JOUR A1 - Eckert, Ina N. A1 - Ribechini, Eliana A1 - Jarick, Katja J. A1 - Strozniak, Sandra A1 - Potter, Sarah J. A1 - Beilhack, Andreas A1 - Lutz, Manfred B. T1 - VLA-1 Binding to Collagen IV Controls Effector T Cell Suppression by Myeloid-Derived Suppressor Cells in the Splenic Red Pulp JF - Frontiers in Immunology N2 - Myeloid-derived suppressor cells (MDSCs) represent a major population controlling T cell immune responses. However, little is known about their molecular requirements for homing and T cell interaction to mediate suppression. Here, we investigated the functional role of the homing and collagen IV receptor VLA-1 (α1β1-integrin) on in vitro GM-CSF generated murine MDSCs from wild-type (WT) and CD49a/α1-integrin (Itga1\(^{−/−}\)) gene-deficient mice. Here, we found that effector (Teff) but not naive (Tn) CD4\(^+\) T cells express VLA-1 and monocytes further up-regulated their expression after culture in GM-CSF when they differentiated into the monocytic subset of resting MDSCs (R-MDSCs). Subsequent activation of R-MDSCs by LPS+IFN-γ (A-MDSCs) showed increased in vitro suppressor potential, which was independent of VLA-1. Surprisingly, VLA-1 deficiency did not influence A-MDSC motility or migration on collagen IV in vitro. However, interaction times of Itga1\(^{−/−}\) A-MDSCs with Teff were shorter than with WT A-MDSCs on collagen IV but not on fibronectin substrate in vitro. After injection, A-MDSCs homed to the splenic red pulp where they co-localized with Teff and showed immediate suppression already after 6 h as shown by inhibition of T cell proliferation and induction of apoptosis. Injection of A-MDSCs from Itga1\(^{−/−}\) mice showed equivalent homing into the spleen but a reduced suppressive effect. Interaction studies of A-MDSCs with Teff in the subcapsular red pulp with intravital two-photon microscopy revealed also here that MDSC motility and migration parameters were not altered by VLA-1 deficiency, but the interaction times with Teff were reduced. Together, our data point to a new role of VLA-1 adhesion to collagen IV as a prerequisite for extended contact times with Teff required for suppression. KW - myeloid-derived suppressor cells (MDSCs) KW - T cells KW - VLA-1 KW - homing KW - spleen Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-222671 SN - 1664-3224 VL - 11 ER - TY - JOUR A1 - Föcker, Manuel A1 - Timmesfeld, Nina A1 - Bühlmeier, Judith A1 - Zwanziger, Denise A1 - Führer, Dagmar A1 - Grasemann, Corinna A1 - Ehrlich, Stefan A1 - Egberts, Karin A1 - Fleischhaker, Christian A1 - Wewetzer, Christoph A1 - Wessing, Ida A1 - Seitz, Jochen A1 - Herpertz-Dahlmann, Beate A1 - Hebebrand, Johannes A1 - Libuda, Lars T1 - Vitamin D level trajectories of adolescent patients with anorexia nervosa at inpatient admission, during treatment, and at one year follow up: association with depressive symptoms JF - Nutrients N2 - (1) Background: Evidence has accumulated that patients with anorexia nervosa (AN) are at higher risk for vitamin D deficiency than healthy controls. In epidemiologic studies, low 25(OH) vitamin D (25(OH)D) levels were associated with depression. This study analyzed the relationship between 25(OH)D serum levels in adolescent patients and AN and depressive symptoms over the course of treatment. (2) Methods: 25(OH)D levels and depressive symptoms were analyzed in 93 adolescent (in-)patients with AN from the Anorexia Nervosa Day patient versus Inpatient (ANDI) multicenter trial at clinic admission, discharge, and 1 year follow up. Mixed regression models were used to analyze the relationship between 25(OH)D levels and depressive symptoms assessed by the Beck Depression Inventory (BDI-II). (3) Results: Although mean 25(OH)D levels constantly remained in recommended ranges (≥50 nmol/L) during AN treatment, levels decreased from (in)patient admission to 1 year follow up. Levels of 25(OH)D were neither cross-sectionally, prospectively, nor longitudinally associated with the BDI-II score. (4) Conclusions: This study did not confirm that 25(OH)D levels are associated with depressive symptoms in patients with AN. However, increasing risks of vitamin D deficiency over the course of AN treatment indicate that clinicians should monitor 25(OH)D levels. KW - vitamin D KW - supplements KW - anorexia nervosa KW - depressive symptoms KW - adolescents Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-242662 SN - 2072-6643 VL - 13 IS - 7 ER - TY - JOUR A1 - Wagner, Martin A1 - Slaghuis, Jörg A1 - Göbel, Werner A1 - Vázquez-Boland, José Antonio A1 - Rychli, Kathrin A1 - Schmitz-Esser, Stephan T1 - Virulence pattern analysis of three Listeria monocytogenes lineage I epidemic strains with distinct outbreak histories JF - Microorganisms N2 - Strains of the food-borne pathogen Listeria (L.) monocytogenes have diverse virulence potential. This study focused on the virulence of three outbreak strains: the CC1 strain PF49 (serovar 4b) from a cheese-associated outbreak in Switzerland, the clinical CC2 strain F80594 (serovar 4b), and strain G6006 (CC3, serovar 1/2a), responsible for a large gastroenteritis outbreak in the USA due to chocolate milk. We analysed the genomes and characterized the virulence in vitro and in vivo. Whole-genome sequencing revealed a high conservation of the major virulence genes. Minor deviations of the gene contents were found in the autolysins Ami, Auto, and IspC. Moreover, different ActA variants were present. Strain PF49 and F80594 showed prolonged survival in the liver of infected mice. Invasion and intracellular proliferation were similar for all strains, but the CC1 and CC2 strains showed increased spreading in intestinal epithelial Caco2 cells compared to strain G6006. Overall, this study revealed long-term survival of serovar 4b strains F80594 and PF49 in the liver of mice. Future work will be needed to determine the genes and molecular mechanism behind the long-term survival of L. monocytogenes strains in organs. KW - pathogenicity KW - whole-genome analysis KW - prolonged survival Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-245093 SN - 2076-2607 VL - 9 IS - 8 ER - TY - JOUR A1 - McIlroy, Benjamin A1 - Passfield, Louis A1 - Holmberg, Hans-Christer A1 - Sperlich, Billy T1 - Virtual training of endurance cycling – A summary of strengths, weaknesses, opportunities and threats JF - Frontiers in Sports and Active Living N2 - Virtual online training has emerged as one of the top 20 worldwide fitness trends for 2021 and continues to develop rapidly. Although this allows the cycling community to engage in virtual training and competition, critical evaluation of virtual training platforms is limited. Here, we discuss the strengths, weaknesses, opportunities and threats associated with virtual training technology and cycling in an attempt to enhance awareness of such aspects. Strengths include immersive worlds, innovative drafting mechanics, and versatility. Weaknesses include questionable data accuracy, inadequate strength and reliability of power-speed algorithms. Opportunities exist for expanding strategic partnerships with major cycling races, brands, and sponsors and improving user experience with the addition of video capture and “e-coaching.” Threats are present in the form of cheating during competition, and a lack of uptake and acceptance by a broader community. KW - algorithms KW - cycling KW - e-coach KW - e-health KW - ergometer KW - simulation KW - virtual training KW - SWOT Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-258876 VL - 3 ER - TY - THES A1 - Pinzner, Florian T1 - Vicinal and Double Chemoselective Biofunctionalization of Polyoxazolines T1 - Vicinale und doppelt chemoselektive Biofunktionalisierung von Polyoxazolinen N2 - In this work, a toolbox was provided to create three-component polymer conjugates with a defined architecture, designed to bear different biocomponents that can interact with larger biological systems in biomacromolecular recognition experiments. The target architecture is the attachment of two biomolecule ‘arms’ to the alpha telechelic end point of a polymer and fixating the conjugate to the gold surface of SAW and SPR sensor chips with the polymer’s other omega chain end. This specific design of a conjugate will be implemented by using a strategy to yield novel double alpha as well as omega telechelic functionalized POx and the success of all cascade reaction steps leading to the final conjugation product will be proven through affinity measurements between covalently bound mannose and ConA. All reactions were performed on a low molecular model level first and then transferred to telechelic and also side chain functionalized polymer systems. N2 - In der vorliegenden Arbeit wurden hydrophile Polymere und Biomakromoleküle chemoselektiv und vicinal miteinander an einer Bindungsstelle verknüpft. Die Kombination der Native Chemical Ligation (NCL) mit der Thiol–En-Reaktion stellte hierfür eine geeignete Methode dar. Ein Machbarkeitsbeweis wurde anhand einer niedermolekularen Modellreaktion erbracht und nachfolgend unter der Verwendung von Polyoxazolinen auf makromolekulare Polymersysteme übertragen. Die erfolgreiche Darstellung der Konjugate wurde durch biomakromolekulare Bindungsaffinitäts-Messungen zu dem Lektin ConA bestätigt. KW - Polyoxazoline KW - Polyoxazolines Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-229758 ER - TY - JOUR A1 - Krajka, Victor A1 - Naujock, Maximilian A1 - Pauly, Martje G. A1 - Stengel, Felix A1 - Meier, Britta A1 - Stanslowsky, Nancy A1 - Klein, Christine A1 - Seibler, Philip A1 - Wegner, Florian A1 - Capetian, Philipp T1 - Ventral Telencephalic Patterning Protocols for Induced Pluripotent Stem Cells JF - Frontiers in Cell and Developmental Biology N2 - The differentiation of human induced pluripotent stem cells (hiPSCs) into specific cell types for disease modeling and restorative therapies is a key research agenda and offers the possibility to obtain patient-specific cells of interest for a wide range of diseases. Basal forebrain cholinergic neurons (BFCNs) play a particular role in the pathophysiology of Alzheimer’s dementia and isolated dystonias. In this work, various directed differentiation protocols based on monolayer neural induction were tested for their effectiveness in promoting a ventral telencephalic phenotype and generating BFCN. Ventralizing factors [i.e., purmorphamine and Sonic hedgehog (SHH)] were applied at different time points, time intervals, and concentrations. In addition, caudal identity was prevented by the use of a small molecule XAV-939 that inhibits the Wnt-pathway. After patterning, gene expression profiles were analyzed by quantitative PCR (qPCR). Rostro-ventral patterning is most effective when initiated simultaneously with neural induction. The most promising combination of patterning factors was 0.5 μM of purmorphamine and 1 μM of XAV-939, which induces the highest expression of transcription factors specific for the medial ganglionic eminence, the source of GABAergic inter- and cholinergic neurons in the telencephalon. Upon maturation of cells, the immune phenotype, as well as electrophysiological properties were investigated showing the presence of marker proteins specific for BFCN (choline acetyltransferase, ISL1, p75, and NKX2.1) and GABAergic neurons. Moreover, a considerable fraction of measured cells displayed mature electrophysiological properties. Synaptic boutons containing the vesicular acetylcholine transporter (VACHT) could be observed in the vicinity of the cells. This work will help to generate basal forebrain interneurons from hiPSCs, providing a promising platform for modeling neurological diseases, such as Alzheimer’s disease or Dystonia. KW - induced pluripotent stem cells KW - medial ganglionic eminence KW - Sonic hedgehog KW - XAV-939 KW - purmorphamine KW - basal forebrain cholinergic neurons KW - GABAergic neurons KW - electrophysiology Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-244607 SN - 2296-634X VL - 9 ER - TY - JOUR A1 - Khare, Suyash A1 - Latifi, Hooman A1 - Khare, Siddhartha T1 - Vegetation growth analysis of UNESCO World Heritage Hyrcanian forests using multi-sensor optical remote sensing data JF - Remote Sensing N2 - Freely available satellite data at Google Earth Engine (GEE) cloud platform enables vegetation phenology analysis across different scales very efficiently. We evaluated seasonal and annual phenology of the old-growth Hyrcanian forests (HF) of northern Iran covering an area of ca. 1.9 million ha, and also focused on 15 UNESCO World Heritage Sites. We extracted bi-weekly MODIS-NDVI between 2017 and 2020 in GEE, which was used to identify the range of NDVI between two temporal stages. Then, changes in phenology and growth were analyzed by Sentinel 2-derived Temporal Normalized Phenology Index. We modelled between seasonal phenology and growth by additionally considering elevation, surface temperature, and monthly precipitation. Results indicated considerable difference in onset of forests along the longitudinal gradient of the HF. Faster growth was observed in low- and uplands of the western zone, whereas it was lower in both the mid-elevations and the western outskirts. Longitudinal range was a major driver of vegetation growth, to which environmental factors also differently but significantly contributed (p < 0.0001) along the west-east gradient. Our study developed at GEE provides a benchmark to examine the effects of environmental parameters on the vegetation growth of HF, which cover mountainous areas with partly no or limited accessibility. KW - Hyrcanian forest KW - NDVI KW - phenology KW - Sentinel-2 KW - TNPI KW - World Heritage Sites KW - Google Earth Engine Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-248398 SN - 2072-4292 VL - 13 IS - 19 ER - TY - JOUR A1 - Kouhestani, Dina A1 - Geis, Maria A1 - Alsouri, Saed A1 - Bumm, Thomas G. P. A1 - Einsele, Hermann A1 - Sauer, Markus A1 - Stuhler, Gernot T1 - Variant signaling topology at the cancer cell–T-cell interface induced by a two-component T-cell engager JF - Cellular & Molecular Immunology N2 - No abstract available. KW - immunotherapy KW - tumour immunology Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-241189 VL - 18 ER - TY - JOUR A1 - Franke, Maximilian A1 - Bieber, Michael A1 - Stoll, Guido A1 - Schuhmann, Michael Klaus T1 - Validity and Efficacy of Methods to Define Blood Brain Barrier Integrity in Experimental Ischemic Strokes: A Comparison of Albumin Western Blot, IgG Western Blot and Albumin Immunofluorescence JF - Methods and Protocols N2 - The clinical and preclinical research of ischemic strokes (IS) is becoming increasingly comprehensive, especially with the emerging evidence of complex thrombotic and inflammatory interactions. Within these, the blood brain barrier (BBB) plays an important role in regulating the cellular interactions at the vascular interface and is therefore the object of many IS-related questions. Consequently, valid, economic and responsible methods to define BBB integrity are necessary. Therefore, we compared the three ex-vivo setups albumin Western blot (WB), IgG WB and albumin intensity measurement (AIM) with regard to validity as well as temporal and economic efficacy. While the informative value of the three methods correlated significantly, the efficacy of the IgG WB dominated. KW - IgG KW - albumin KW - immunohistochemistry KW - Western blot KW - stroke KW - tMCAO KW - blood brain barrier KW - neuroinflammation Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-234214 SN - 2409-9279 VL - 4 IS - 1 ER - TY - JOUR A1 - Reiners, Philipp A1 - Asam, Sarah A1 - Frey, Corinne A1 - Holzwarth, Stefanie A1 - Bachmann, Martin A1 - Sobrino, Jose A1 - Göttsche, Frank-M. A1 - Bendix, Jörg A1 - Kuenzer, Claudia T1 - Validation of AVHRR Land Surface Temperature with MODIS and in situ LST — a TIMELINE thematic processor JF - Remote Sensing N2 - Land Surface Temperature (LST) is an important parameter for tracing the impact of changing climatic conditions on our environment. Describing the interface between long- and shortwave radiation fluxes, as well as between turbulent heat fluxes and the ground heat flux, LST plays a crucial role in the global heat balance. Satellite-derived LST is an indispensable tool for monitoring these changes consistently over large areas and for long time periods. Data from the AVHRR (Advanced Very High-Resolution Radiometer) sensors have been available since the early 1980s. In the TIMELINE project, LST is derived for the entire operating period of AVHRR sensors over Europe at a 1 km spatial resolution. In this study, we present the validation results for the TIMELINE AVHRR daytime LST. The validation approach consists of an assessment of the temporal consistency of the AVHRR LST time series, an inter-comparison between AVHRR LST and in situ LST, and a comparison of the AVHRR LST product with concurrent MODIS (Moderate Resolution Imaging Spectroradiometer) LST. The results indicate the successful derivation of stable LST time series from multi-decadal AVHRR data. The validation results were investigated regarding different LST, TCWV and VA, as well as land cover classes. The comparisons between the TIMELINE LST product and the reference datasets show seasonal and land cover-related patterns. The LST level was found to be the most determinative factor of the error. On average, an absolute deviation of the AVHRR LST by 1.83 K from in situ LST, as well as a difference of 2.34 K from the MODIS product, was observed. KW - Land Surface Temperature KW - AVHRR KW - MODIS KW - time series KW - Europe KW - validation KW - TIMELINE Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-246051 SN - 2072-4292 VL - 13 IS - 17 ER - TY - JOUR A1 - Wamser, Florian A1 - Seufert, Anika A1 - Hall, Andrew A1 - Wunderer, Stefan A1 - Hoßfeld, Tobias T1 - Valid statements by the crowd: statistical measures for precision in crowdsourced mobile measurements JF - Network N2 - Crowdsourced network measurements (CNMs) are becoming increasingly popular as they assess the performance of a mobile network from the end user's perspective on a large scale. Here, network measurements are performed directly on the end-users' devices, thus taking advantage of the real-world conditions end-users encounter. However, this type of uncontrolled measurement raises questions about its validity and reliability. The problem lies in the nature of this type of data collection. In CNMs, mobile network subscribers are involved to a large extent in the measurement process, and collect data themselves for the operator. The collection of data on user devices in arbitrary locations and at uncontrolled times requires means to ensure validity and reliability. To address this issue, our paper defines concepts and guidelines for analyzing the precision of CNMs; specifically, the number of measurements required to make valid statements. In addition to the formal definition of the aspect, we illustrate the problem and use an extensive sample data set to show possible assessment approaches. This data set consists of more than 20.4 million crowdsourced mobile measurements from across France, measured by a commercial data provider. KW - mobile networks KW - crowdsourced measurements KW - statistical validity Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-284154 SN - 2673-8732 VL - 1 IS - 2 SP - 215 EP - 232 ER - TY - JOUR A1 - Maas, Moritz A1 - Mischinger, Johannes A1 - Compérat, Eva A1 - Scharpf, Marcus A1 - Fend, Falko A1 - Todenhöfer, Timlan A1 - Stenzl, Arnulf A1 - Gakis, Georgios A1 - Rausch, Steffen T1 - Utility of pT3 substaging in lymph node-negative urothelial carcinoma of the bladder: do pathologic parameters add to prognostic sub-stratification? JF - World Journal of Urology N2 - Purpose The value of bladder cancer (BC) substaging into macroscopic (pT3b) and microscopic (pT3a) perivesical fat extension in lymph node (Ln)-negative patients is controversially discussed and limited evidence for prognostic relevance of additional histopathological factors in pT3 BC exists. We evaluated the prognostic value of pT3 substaging and established pathological and clinical parameters with focus on tumor invasive front (TIF) and tumor size. Methods Specimens of 52 patients treated with radical cystectomy (RC) for pT3 a/b muscle-invasive BC were reviewed and re-evaluated by a pathologist specialized in uropathology. Clinical variables and standard histopathologic characteristics were assessed including TIF and tumor size. Their value as prognosticators for overall survival (OS) and recurrence-free survival (RFS) was evaluated. Results Mean age of patients was 67.55 years. Tumors were staged pT3a in 28 patients (53.8%) and pT3b in 24 (46.8%). Median OS was 34.51 months. Median tumor size was 3.2 cm, median TIF was 11.0 mm. Differences in OS between pT3a and pT3b were not significant (p = 0.45). Carcinoma in situ (CIS) and lymphovascular invasion (LVI) were significantly associated with pT3b tumors. Univariate analysis could not identify pathological prognosticators like TIF or tumor size for OS and RFS (p for all > 0.05). Conclusion No significant differences in OS or RFS were observed comparing Ln-negative pT3 BC following radical cystectomy. Additional pathologic variables like TIF could not be identified as prognosticator. Relevance of pT3 BC substaging needs reevaluation in larger prospective cohorts. KW - tumor invasion front KW - muscle-invasive bladder cancer KW - pathological staging KW - patient outcome KW - perivesical extension Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-266535 SN - 1433-8726 VL - 39 IS - 11 ER - TY - JOUR A1 - Prieto-Garcia, Cristian A1 - Tomašković, Ines A1 - Shah, Varun Jayeshkumar A1 - Dikic, Ivan A1 - Diefenbacher, Markus T1 - USP28: oncogene or tumor suppressor? a unifying paradigm for squamous cell carcinoma JF - Cells N2 - Squamous cell carcinomas are therapeutically challenging tumor entities. Low response rates to radiotherapy and chemotherapy are commonly observed in squamous patients and, accordingly, the mortality rate is relatively high compared to other tumor entities. Recently, targeting USP28 has been emerged as a potential alternative to improve the therapeutic response and clinical outcomes of squamous patients. USP28 is a catalytically active deubiquitinase that governs a plethora of biological processes, including cellular proliferation, DNA damage repair, apoptosis and oncogenesis. In squamous cell carcinoma, USP28 is strongly expressed and stabilizes the essential squamous transcription factor ΔNp63, together with important oncogenic factors, such as NOTCH1, c-MYC and c-JUN. It is presumed that USP28 is an oncoprotein; however, recent data suggest that the deubiquitinase also has an antineoplastic effect regulating important tumor suppressor proteins, such as p53 and CHK2. In this review, we discuss: (1) The emerging role of USP28 in cancer. (2) The complexity and mutational landscape of squamous tumors. (3) The genetic alterations and cellular pathways that determine the function of USP28 in squamous cancer. (4) The development and current state of novel USP28 inhibitors. KW - USP28 KW - SCC KW - USP25 KW - FBXW7 KW - Tp63 KW - c-MYC KW - ΔNp63 KW - p53 KW - cancer KW - DUB inhibitor KW - squamous Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-248409 SN - 2073-4409 VL - 10 IS - 10 ER - TY - THES A1 - Schleier, Domenik T1 - Using Photoionization to Investigate Reactive Boron Species and the Kinetics of Hydrocarbon Radicals T1 - Die Untersuchung von Reaktiven Borspezies und die Kinetik von Kohlenwassterstoffradikalen mittels Photoionization N2 - This thesis highlights the importance of isomer-selective approaches for the complete analysis of chemical processes. The method of choice is photoelectron/photoion coincidence spectroscopy, which allows simultaneous detection of electrons and ions coming from a single ionization event. Ionization techniques are sensitive and can record multiple species simultaneously, rendering them ideal tools to probe molecular transformations. Coupling these setups to synchrotron radiation allows one to analyze complex mixtures with isomer selectivity, based on ionization energies and vibrational structure in the cation, without any prior separation steps. Only few setups exist that can be used to gather these data, although their impact and applicability is growing steadily in various fields. For closed-shell species an easier and more widely used method is gas-chromatography, but most open shell species would not survive the separation process. Due to the reactivity of radicals they have to be created by selectively converting stable precursor molecules. Depending on the radical generation method different properties can be investigated ranging from thermodynamic data, over concentrations in high temperature environments, to chemical kinetics. The first part of this thesis deals with the determination of bimolecular rate constants. Isomeric hydrocarbon radicals were generated by a high intense UV light pulses and their kinetics with oxygen was measured. The pressure dependence of different isomers in the falloff region was compared to theoretical models, and their reactivity could be explained. The second part deals with boron containing compounds in various electronic situations. The corresponding precursors were successfully synthesized or could be bought. They were subjected to fluorine atoms in chemical reactors or destroyed pyrolytically at high temperatures. Most investigated species exhibited vibronic effects that could be elucidated using high level computations. N2 - Die vorliegende Arbeit lässt sich in zwei Unterkategorien gliedern. Sie befasst sich zum einen mit der isomerenselektiven Identifikation von hochreaktiven anorganischen Verbindungen. Zum anderen werden Ratenkonstanten für die Reaktionen verschiedener Kohlenwasserstoffradikale mit Sauerstoff ermittelt. Beide Bereiche sind durch die Frage der Energiespeicherung und -gewinnung in der Zukunft unmittelbar miteinander verbunden. Die Herausforderung reaktive Moleküle zu untersuchen, liegt oft darin sie in einer inerten Atmosphäre erzeugen zu müssen. Nur unter diesen Bedingungen hat ihre Reaktivität kaum Möglichkeiten sich zu entfalten. Hierzu wurden stabile Vorläufermoleküle in die Gasphase überführt und in einer verdünnten Umgebung möglichst selektiv in die gewünschte Radikalspezies überführt. Sowohl deren isomereselektive Identifikation als auch die Bestimmung der Ratenkonstanten wurde mittels Schwellenphotoelektronenspektroskopie durchgeführt. Mit Hilfe eines Photoelektron/Photoion Koinzidenz (PEPICO) Aufbaus konnten massenselektive Signale detektiert werden. Diese Methode benötigt eine Lichtquelle, die eine hohe Repetitionsrate aufweist und im VUV-Bereich komplett spektral durchstimmbar ist. Diese Voraussetzungen sind an Synchrotron-Strahlungsquellen verfügbar, weshalb die Experimente in dieser Arbeit an den entsprechenden Strahllinien an der SwissLightSource oder am Synchrotron SOLEIL durchgeführt wurden. Zur Unterstützung der experimentellen Daten wurden durch quantenchemische Rechnungen und Simulationen durchgeführt, aus denen eine klare isomerenselektive Zuordnung des jeweiligen Signals erfolgt. Die gesuchten Ratenkonstanten konnten mittels geeigneter Programme aus den Kinetikdaten extrahiert werden, wobei auch die Ratenkonstanten der Seitenreaktionen berücksichtigt wurden. KW - Biradikal KW - Kinetics KW - Spectroscopy KW - Photolysis KW - Radicals KW - Biradicals KW - Fotoionisation KW - Fotolyse KW - Synchrotronstrahlung KW - Synchrotron Radiation Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-242137 ER - TY - JOUR A1 - Atiyas, Izak A1 - Doganoglu, Toker A1 - Inceoglu, Firat T1 - Upstream Competition with Complex and Unobservable Contracts JF - Review of Industrial Organization N2 - This paper examines situations where two vertically integrated firms consider supplying an input to an independent downstream competitor via privately observed contracts. We identify equilibria where competition in the upstream market emerges—the downstream competitor gets supplied—as well as when the downstream firm does not receive the input and is excluded from the market. The likelihood of the outcome in which the downstream firm does not get supplied depends not only on demand parameters, but also on contractual flexibility and observability. We show that when contracts are unobservable, downstream entry will occur less often. Furthermore, our results suggest that permitting contracts that enable the contracting parties to coordinate their behavior in the downstream market may improve welfare by increasing the likelihood that the downstream firm is supplied. KW - collective refusal to supply KW - foreclosure KW - unobservable contracts KW - upstream competition Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-241161 VL - 58 ER - TY - JOUR A1 - Loh, Frank A1 - Poignée, Fabian A1 - Wamser, Florian A1 - Leidinger, Ferdinand A1 - Hoßfeld, Tobias T1 - Uplink vs. Downlink: Machine Learning-Based Quality Prediction for HTTP Adaptive Video Streaming JF - Sensors N2 - Streaming video is responsible for the bulk of Internet traffic these days. For this reason, Internet providers and network operators try to make predictions and assessments about the streaming quality for an end user. Current monitoring solutions are based on a variety of different machine learning approaches. The challenge for providers and operators nowadays is that existing approaches require large amounts of data. In this work, the most relevant quality of experience metrics, i.e., the initial playback delay, the video streaming quality, video quality changes, and video rebuffering events, are examined using a voluminous data set of more than 13,000 YouTube video streaming runs that were collected with the native YouTube mobile app. Three Machine Learning models are developed and compared to estimate playback behavior based on uplink request information. The main focus has been on developing a lightweight approach using as few features and as little data as possible, while maintaining state-of-the-art performance. KW - HTTP adaptive video streaming KW - quality of experience prediction KW - machine learning Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-241121 SN - 1424-8220 VL - 21 IS - 12 ER - TY - JOUR A1 - Heimberg, Linda A1 - Knop, Stefan T1 - Updated Perspectives on the Management of Relapsed and Refractory Multiple Myeloma JF - Oncology Research and Treatment N2 - Background: With the availability of T-cell-directed therapy and next-generation compounds of established classes of drugs, the treatment of relapsed/refractory (r/r) myeloma is getting more complex. However, treatment options in practice are limited by availability, approval, and patient comorbidity. The aim of this article is to provide a practical approach toward the choice of treatment for r/r myeloma patients. Summary: Regarding market authorization and current guidelines, at least in Germany, most patients nowadays will have received a doublet or triplet combination as first-line therapy containing a proteasome inhibitor and an immunomodulatory drug, mostly lenalidomide. We focus on the treatment options for patients that are ineligible for (another) stem cell transplantation. We will review treatment options for relapse after first- or second-line therapy and beyond third-line. Key Messages: There is promising data supporting the efficacy and safety of triplet combinations containing anti-CD38-monoclonal antibodies (anti-CD38 mAbs) at first or second relapse in combination with next-generation compounds. For the treatment beyond third-line, comparative studies are scarce but some promising compounds are available via conditional authorization, and there is more to come in the future. We will present some early phase trials featuring promising results. KW - lenalidomide-refractory patients KW - myeloma Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-249773 SN - 2296-5270 SN - 2296-5262 VL - 44 IS - 12 ER - TY - JOUR A1 - Lux, Michael P. A1 - Schneeweiss, Andreas A1 - Hartkopf, Andreas D. A1 - Müller, Volkmar A1 - Janni, Wolfgang A1 - Belleville, Erik A1 - Stickeler, Elmar A1 - Thill, Marc A1 - Fasching, Peter A. A1 - Kolberg, Hans-Christian A1 - Untch, Michael A1 - Harbeck, Nadia A1 - Wöckel, Achim A1 - Thomssen, Christoph A1 - Schulmeyer, Carla E. A1 - Welslau, Manfred A1 - Overkamp, Friedrich A1 - Schütz, Florian A1 - Lüftner, Diana A1 - Ditsch, Nina T1 - Update Breast Cancer 2020 Part 5 – Moving Therapies From Advanced to Early Breast Cancer Patients JF - Geburtshilfe und Frauenheilkunde N2 - In recent years, significant progress has been made in new therapeutic approaches to breast cancer, particularly in patients with HER2-positive and HER2-negative/hormone receptor-positive (HR+) breast cancer. In the case of HER2-positive tumours, these approaches have included, in particular, treatment with pertuzumab, T-DM1, neratinib and, soon, also tucatinib and trastuzumab deruxtecan (neither of which has yet been authorised in Europe). In patients with HER2−/HR+ breast cancer, CDK4/6 inhibitors and the PIK3CA inhibitor alpelisib are of particular importance. Further novel therapies, such as Akt kinase inhibitors and oral SERDs (selective estrogen receptor down regulators), are already being investigated in ongoing clinical trials. These therapeutic agents are not only being introduced into curative, (neo-)adjuvant therapeutic settings for HER2-positive tumours; a first favourable study on abemaciclib as an adjuvant therapy has now also been published. In patients with triple-negative breast cancer, after many years of negative study results with the Trop-2 antibody drug conjugate (ADC) sacituzumab govitecan, a randomised study has been published that may represent a significant therapeutic advance. This review describes the latest developments in breast cancer subsequent to the ESMO Congress 2020. KW - early breast cancer KW - therapy KW - prognosis KW - immune therapy KW - digital medicine Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-369989 VL - 81 ER - TY - JOUR A1 - Almeida, R. A1 - Hristova, S. A1 - Dashkovskiy, S. T1 - Uniform bounded input bounded output stability of fractional‐order delay nonlinear systems with input JF - International Journal of Robust and Nonlinear Control N2 - The bounded input bounded output (BIBO) stability for a nonlinear Caputo fractional system with time‐varying bounded delay and nonlinear output is studied. Utilizing the Razumikhin method, Lyapunov functions and appropriate fractional derivatives of Lyapunov functions some new bounded input bounded output stability criteria are derived. Also, explicit and independent on the initial time bounds of the output are provided. Uniform BIBO stability and uniform BIBO stability with input threshold are studied. A numerical simulation is carried out to show the system's dynamic response, and demonstrate the effectiveness of our theoretical results. KW - bounded input bounded output stability KW - Caputo fractional derivative KW - Lyapunov functions KW - Razumikhin method KW - time‐varying delay Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-218554 VL - 31 IS - 1 SP - 225 EP - 249 ER - TY - JOUR A1 - Schuster, Sarah A1 - Lisack, Jaime A1 - Subota, Ines A1 - Zimmermann, Henriette A1 - Reuter, Christian A1 - Mueller, Tobias A1 - Morriswood, Brooke A1 - Engstler, Markus T1 - Unexpected plasiticty in the life cycle of Trypanosoma brucei JF - eLife N2 - African trypanosomes cause sleeping sickness in humans and nagana in cattle. These unicellular parasites are transmitted by the bloodsucking tsetse fly. In the mammalian host’s circulation, proliferating slender stage cells differentiate into cell cycle-arrested stumpy stage cells when they reach high population densities. This stage transition is thought to fulfil two main functions: first, it auto-regulates the parasite load in the host; second, the stumpy stage is regarded as the only stage capable of successful vector transmission. Here, we show that proliferating slender stage trypanosomes express the mRNA and protein of a known stumpy stage marker, complete the complex life cycle in the fly as successfully as the stumpy stage, and require only a single parasite for productive infection. These findings suggest a reassessment of the traditional view of the trypanosome life cycle. They may also provide a solution to a long-lasting paradox, namely the successful transmission of parasites in chronic infections, despite low parasitemia. KW - trypanosoma KW - sleeping sickness KW - tsetse fly KW - transmission KW - life cycle KW - development Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-261744 VL - 10 ER - TY - JOUR A1 - Matarranz, Beatriz A1 - Ghosh, Goutam A1 - Kandanelli, Ramesh A1 - Sampedro, Angel A1 - Kartha, Kalathil K. A1 - Fernández, Gustavo T1 - Understanding the role of conjugation length on the self-assembly behaviour of oligophenyleneethynylenes JF - Chemical Communications N2 - Oligophenyleneethynylenes (OPEs) are prominent building blocks with exciting optical and supramolecular properties. However, their generally small spectroscopic changes upon aggregation make the analysis of their self-assembly challenging, especially in the absence of additional hydrogen bonds. Herein, by investigating a series of OPEs of increasing size, we have unravelled the role of the conjugation length on the self-assembly properties of OPEs. Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-370444 VL - 57 ER - TY - THES A1 - Liess [née Eller], Anna Katharina Luise T1 - Understanding the regulation of the ubiquitin-conjugating enzyme UBE2S T1 - Die Regulation des Ubiquitin-konjugierenden Enzyms UBE2S N2 - The ubiquitination of proteins serves as molecular signal to control an enormous number of physiological processes and its dysregulation is connected to human diseases like cancer. The versatility of this signal stems from the diverse ways by which ubiquitin can be attached to its targets. Thus, specificity and tight regulation of the ubiquitination are pivotal requirements of ubiquitin signaling. Ubiquitin-conjugating enzymes (E2s) act at the heart of the ubiquitination cascade, transferring ubiquitin from a ubiquitin-activating enzyme (E1) to a ubiquitin ligase (E3) or substrate. When cooperating with a RING-type E3, ubiquitin-conjugating enzymes can determine linkage specificity in ubiquitin chain formation. Our understanding of the regulation of E2 activities is still limited at a structural level. The work described here identifies two regulation mechanisms in UBE2S, a cognate E2 of the human RING-type E3 anaphase-promoting complex/cyclosome (APC/C). UBE2S elongates ubiquitin chains on APC/C substrates in a Lys11 linkage-specific manner, thereby targeting these substrates for degradation and driving mitotic progression. In addition, UBE2S was found to have a role in DNA repair by enhancing non-homologous end-joining (NHEJ) and causing transcriptional arrest at DNA damage sites in homologous recombination (HR). Furthermore, UBE2S overexpression is a characteristic feature of many cancer types and is connected to poor prognosis and diminished response to therapy. The first regulatory mechanism uncovered in this thesis involves the intramolecular auto-ubiquitination of a particular lysine residue (Lys+5) close to the active site cysteine, presumably through conformational flexibility of the active site region. The Lys+5-linked ubiquitin molecule adopts a donor-like, ‘closed’ orientation towards UBE2S, thereby conferring auto-inhibition. Notably, Lys+5 is a major physiological ubiquitination site in ~25% of the human E2 enzymes, thus providing regulatory opportunities beyond UBE2S. Besides the active, monomeric state and the auto-inhibited state caused by auto-ubiquitination, I discovered that UBE2S can adopt a dimeric state. The latter also provides an auto-inhibited state, in which ubiquitin transfer is blocked via the obstruction of donor binding. UBE2S dimerization is promoted by its unique C-terminal extension, suppresses auto-ubiquitination and thereby the proteasomal degradation of UBE2S. Taken together, the data provided in this thesis illustrate the intricate ways by which UBE2S activity is fine-tuned and the notion that structurally diverse mechanisms have evolved to restrict the first step in the catalytic cycle of E2 enzymes. N2 - Die Ubiquitinierung von Proteinen fungiert als molekulares Signal zur Kontrolle einer Vielzahl physiologischer Prozesse, wobei eine gestörte Regulation der Ubiquitinierung eng mit zahlreichen Erkrankungen, wie beispielsweise Krebs, verbunden ist. Aufgrund der verschiedenen Verknüpfungsmöglichkeiten von Ubiquitin, die das zelluläre Schicksal des Zielproteins bestimmen, sind Spezifität und stringente Regulation unabkömmliche Voraussetzungen im Ubiquitinierungsprozess. Ubiquitin-konjugierende Enzyme (E2s) fungieren in der Mitte der Ubiquitinierungskaskade. Sie übernehmen ein Ubiquitinmolekül vom Ubiquitin-aktivierenden Enzym (E1) und übertragen es auf eine Ubiquitin-Ligase (E3) oder direkt auf das Zielprotein. Arbeiten Ubiquitin-konjugierende Enzyme mit E3s des RING-Typus zusammen, so bestimmen E2s die Art der Verknüpfung. Die Regulation der Aktivität Ubiquitin-konjugierender Enzyme auf struktureller Ebene ist jedoch bisher nur bedingt verstanden. Die hier dargelegte Arbeit umfasst die Identifizierung zweier Regulationsmechanismen des Ubiquitin-konjugierenden Enzyms UBE2S. UBE2S arbeitet mit einem humanen E3 des RING-Typus‚ dem ‚Anaphase Promoting Complex/Cyclosome‘ (APC/C) zusammen und bildet Lys11-spezifische Ubiquitinketten auf Substraten des APC/Cs. Hierdurch werden die Substrate für den Abbau durch das Proteasom markiert, was das Fortschreiten der Mitose bedingt. Zusätzlich wird UBE2S eine Rolle in der DNS-Reparatur zugeschrieben. Hierbei verstärkt UBE2S die nicht-homologe Rekombination (NHEJ) und verhindert außerdem die Transkription an DNS-Bruchstellen, die durch Homologe Rekombination (HR) repariert werden. Die Überexpression von UBE2S ist ein Charakteristikum verschiedenster Krebsarten, vermindert den Erfolg herkömmlicher Krebstherapien, und führt somit zu schlechten Prognosen für betroffenen Patienten. Der erste hier beschriebene Regulationsmechanismus beinhaltet die intramolekulare Ubiquitinierung eines Lysins (Lys+5) nahe des katalytischen Cysteins, mutmaßlich durch strukturelle Flexibilität der Region des aktiven Zentrums. Das Lys+5-verknüpfte Ubiquitin nimmt eine Donorubiquitin-ähnliche Position auf UBE2S ein, wodurch UBE2S gehemmt wird. Da ein Lysin an der Position +5 in ~25% der humanen E2-Enzyme vorhanden und eine physiologische Ubiquitinierungsstelle ist, birgt dieser Mechanismus Regulationsmöglichkeiten über UBE2S hinaus. Zusätzlich zum aktiven monomeren Zustand und dem durch Autoubiquitinierung ausgelösten inhibierten Zustand, kann UBE2S auch als Dimer vorliegen. In diesem Zustand ist es ebenfalls inaktiv, da die Donorubiquitin-Bindestelle auf UBE2S durch ein zweites Molekül des E2s blockiert wird. Begünstigt wird die Dimerisierung durch die C-terminale Verlängerung von UBE2S und verhindert so deren Autoubiquitinierung, und folglich den proteasomalen Abbau von UBE2S. Es handelt sich hierbei somit um einen zweiten Regulationsmechanismus von UBE2S. Zusammenfassend veranschaulichen die in dieser Arbeit dargelegten Daten die komplexen Möglichkeiten, durch die die Aktivität von UBE2S reguliert werden kann, sowie die Erkenntnis, dass strukturell unterschiedliche Mechanismen existieren, um den ersten Schritt der von Ubiquitin-konjugierenden Enzymen katalysierten Reaktion zu hemmen. KW - E2 KW - Regulation KW - Ubiquitin KW - Mechanismus KW - UBE2S KW - structural mechanism KW - Ubiquitin-conjugating enzyme KW - regulation Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-204190 ER - TY - JOUR A1 - Karimi, Sohail M. A1 - Freund, Matthias A1 - Wager, Brittney M. A1 - Knoblauch, Michael A1 - Fromm, Jörg A1 - M. Mueller, Heike A1 - Ache, Peter A1 - Krischke, Markus A1 - Mueller, Martin J. A1 - Müller, Tobias A1 - Dittrich, Marcus A1 - Geilfus, Christoph-Martin A1 - Alfaran, Ahmed H. A1 - Hedrich, Rainer A1 - Deeken, Rosalia T1 - Under salt stress guard cells rewire ion transport and abscisic acid signaling JF - New Phytologist N2 - Soil salinity is an increasingly global problem which hampers plant growth and crop yield. Plant productivity depends on optimal water-use efficiency and photosynthetic capacity balanced by stomatal conductance. Whether and how stomatal behavior contributes to salt sensitivity or tolerance is currently unknown. This work identifies guard cell-specific signaling networks exerted by a salt-sensitive and salt-tolerant plant under ionic and osmotic stress conditions accompanied by increasing NaCl loads. We challenged soil-grown Arabidopsis thaliana and Thellungiella salsuginea plants with short- and long-term salinity stress and monitored genome-wide gene expression and signals of guard cells that determine their function. Arabidopsis plants suffered from both salt regimes and showed reduced stomatal conductance while Thellungiella displayed no obvious stress symptoms. The salt-dependent gene expression changes of guard cells supported the ability of the halophyte to maintain high potassium to sodium ratios and to attenuate the abscisic acid (ABA) signaling pathway which the glycophyte kept activated despite fading ABA concentrations. Our study shows that salinity stress and even the different tolerances are manifested on a single cell level. Halophytic guard cells are less sensitive than glycophytic guard cells, providing opportunities to manipulate stomatal behavior and improve plant productivity. KW - soil KW - stomata KW - abscisic acid (ABA) KW - glycophyte Arabidopsis KW - guard cell KW - halophyte Thellungiella/Eutrema KW - ion transport KW - salt stress Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-259635 VL - 231 IS - 3 ER - TY - JOUR A1 - Tamihardja, Jörg A1 - Lutyj, Paul A1 - Kraft, Johannes A1 - Lisowski, Dominik A1 - Weick, Stefan A1 - Flentje, Michael A1 - Polat, Bülent T1 - Two-Weekly High-Dose-Rate Brachytherapy Boost After External Beam Radiotherapy for Localized Prostate Cancer: Long-Term Outcome and Toxicity Analysis JF - Frontiers in Oncology N2 - Purpose Evaluation of clinical outcome of two-weekly high-dose-rate brachytherapy boost after external beam radiotherapy (EBRT) for localized prostate cancer. Methods 338 patients with localized prostate cancer receiving definitive EBRT followed by a two-weekly high-dose-rate brachytherapy boost (HDR-BT boost) in the period of 2002 to 2019 were analyzed. EBRT, delivered in 46 Gy (DMean) in conventional fractionation, was followed by two fractions HDR-BT boost with 9 Gy (D90%) two and four weeks after EBRT. Androgen deprivation therapy (ADT) was added in 176 (52.1%) patients. Genitourinary (GU)/gastrointestinal (GI) toxicity was evaluated utilizing the Common Toxicity Criteria for Adverse Events (version 5.0) and biochemical failure was defined according to the Phoenix definition. Results Median follow-up was 101.8 months. 15 (4.4%)/115 (34.0%)/208 (61.5%) patients had low-/intermediate-/high-risk cancer according to the D`Amico risk classification. Estimated 5-year and 10-year biochemical relapse-free survival (bRFS) was 84.7% and 75.9% for all patients. The estimated 5-year bRFS was 93.3%, 93.4% and 79.5% for low-, intermediate- and high-risk disease, respectively. The estimated 10-year freedom from distant metastasis (FFM) and overall survival (OS) rates were 86.5% and 70.0%. Cumulative 5-year late GU toxicity and late GI toxicity grade ≥ 2 was observed in 19.3% and 5.0% of the patients, respectively. Cumulative 5-year late grade 3 GU/GI toxicity occurred in 3.6%/0.3%. Conclusions Two-weekly HDR-BT boost after EBRT for localized prostate cancer showed an excellent toxicity profile with low GU/GI toxicity rates and effective long-term biochemical control. KW - prostate cancer KW - high-dose-rate (HDR) brachytherapy KW - radiotherapy KW - long-term outcome KW - toxicity KW - external beam radiotherapy (EBRT) KW - biochemical relapse free survival Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-250992 SN - 2234-943X VL - 11 ER - TY - JOUR A1 - Schubert, Jonathan A1 - Schulze, Andrea A1 - Prodromou, Chrisostomos A1 - Neuweiler, Hannes T1 - Two-colour single-molecule photoinduced electron transfer fluorescence imaging microscopy of chaperone dynamics JF - Nature Communications N2 - Many proteins are molecular machines, whose function is dependent on multiple conformational changes that are initiated and tightly controlled through biochemical stimuli. Their mechanistic understanding calls for spectroscopy that can probe simultaneously such structural coordinates. Here we present two-colour fluorescence microscopy in combination with photoinduced electron transfer (PET) probes as a method that simultaneously detects two structural coordinates in single protein molecules, one colour per coordinate. This contrasts with the commonly applied resonance energy transfer (FRET) technique that requires two colours per coordinate. We demonstrate the technique by directly and simultaneously observing three critical structural changes within the Hsp90 molecular chaperone machinery. Our results reveal synchronicity of conformational motions at remote sites during ATPase-driven closure of the Hsp90 molecular clamp, providing evidence for a cooperativity mechanism in the chaperone’s catalytic cycle. Single-molecule PET fluorescence microscopy opens up avenues in the multi-dimensional exploration of protein dynamics and allosteric mechanisms. KW - chaperones KW - fluorescence spectroscopy KW - molecular conformation KW - single-molecule biophysics KW - total internal reflection microscopy Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-265754 VL - 12 ER - TY - JOUR A1 - Kiem, Dominik A1 - Leisch, Michael A1 - Neureiter, Daniel A1 - Haslauer, Theresa A1 - Egle, Alexander A1 - Melchardt, Thomas A1 - Topp, Max S. A1 - Greil, Richard T1 - Two cases of pancytopenia with Coombs-negative hemolytic anemia after chimeric antigen receptor T-cell therapy JF - International Journal of Molecular Sciences N2 - Background: Chimeric antigen receptor (CAR) T-cells are changing the therapeutic landscape of hematologic malignancies. Severe side effects include cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS), but prolonged cytopenia has also been reported. The underlying mechanism for prolonged cytopenia is poorly understood so far. Cases: Severe pancytopenia with grade 2-3 anemia was marked 2–3 months after treatment. Laboratory evaluation revealed undetectable levels of haptoglobin with increased reticulocyte counts. Coomb's tests were negative, no schistocytes were detected on blood smear, and infectious causes were ruled out. Increased erythropoiesis without lymphoma infiltration was noted on bone marrow biopsy. A spontaneous increase in haptoglobin and hemoglobin levels was observed after several weeks. For one patient, peripheral CAR-T levels were monitored over time. We observed a decline at the same time as hemoglobin levels began to rise, implying a potential causality. Conclusion: To our knowledge, we describe the first two cases of Coombs-negative hemolytic anemia after CAR-T treatment for B-cell lymphoma. We encourage routine monitoring for hemolytic anemia after CAR-T treatment and also encourage further investigations on the underlying mechanism. KW - CAR T-cell KW - hemolytic anemia KW - prolonged cytopenia Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-284977 SN - 1422-0067 VL - 22 IS - 11 ER - TY - JOUR A1 - Schmidt, Paul A1 - Fantuzzi, Felipe A1 - Klopf, Jonas A1 - Schröder, Niklas B. A1 - Dewhurst, Rian D. A1 - Braunschweig, Holger A1 - Engel, Volker A1 - Engels, Bernd T1 - Twisting versus delocalization in CAAC- and NHC-stabilized boron-based biradicals: the roles of sterics and electronics JF - Chemistry - A European Journal N2 - Twisted boron-based biradicals featuring unsaturated C\(_2\)R\(_2\) (R=Et, Me) bridges and stabilization by cyclic (alkyl)(amino)carbenes (CAACs) were recently prepared. These species show remarkable geometrical and electronic differences with respect to their unbridged counterparts. Herein, a thorough computational investigation on the origin of their distinct electrostructural properties is performed. It is shown that steric effects are mostly responsible for the preference for twisted over planar structures. The ground-state multiplicity of the twisted structure is modulated by the σ framework of the bridge, and different R groups lead to distinct multiplicities. In line with the experimental data, a planar structure driven by delocalization effects is observed as global minimum for R=H. The synthetic elusiveness of C\(_2\)R\(_2\)-bridged systems featuring N-heterocyclic carbenes (NHCs) was also investigated. These results could contribute to the engineering of novel main group biradicals. KW - chemistry KW - radicals KW - ab initio calculations KW - boron KW - carbene ligands KW - density functional calculations Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-256636 VL - 27 IS - 16 ER - TY - JOUR A1 - Grunz, Jan-Peter A1 - Pennig, Lenhard A1 - Fieber, Tabea A1 - Gietzen, Carsten Herbert A1 - Heidenreich, Julius Frederik A1 - Huflage, Henner A1 - Gruschwitz, Philipp A1 - Kuhl, Philipp Josef A1 - Petritsch, Bernhard A1 - Kosmala, Aleksander A1 - Bley, Thorsten Alexander A1 - Gassenmaier, Tobias T1 - Twin robotic x-ray system in small bone and joint trauma: Impact of cone-beam computed tomography on treatment decisions JF - European Radiology N2 - Objectives Trauma evaluation of extremities can be challenging in conventional radiography. A multi-use x-ray system with cone-beam CT (CBCT) option facilitates ancillary 3-D imaging without repositioning. We assessed the clinical value of CBCT scans by analyzing the influence of additional findings on therapy. Methods Ninety-two patients underwent radiography and subsequent CBCT imaging with the twin robotic scanner (76 wrist/hand/finger and 16 ankle/foot/toe trauma scans). Reports by on-call radiologists before and after CBCT were compared regarding fracture detection, joint affliction, comminuted injuries, and diagnostic confidence. An orthopedic surgeon recommended therapy based on reported findings. Surgical reports (N = 52) and clinical follow-up (N = 85) were used as reference standard. Results CBCT detected more fractures (83/64 of 85), joint involvements (69/53 of 71), and multi-fragment situations (68/50 of 70) than radiography (all p < 0.001). Six fractures suspected in radiographs were ruled out by CBCT. Treatment changes based on additional information from CBCT were recommended in 29 patients (31.5%). While agreement between advised therapy before CBCT and actual treatment was moderate (κ = 0.41 [95% confidence interval 0.35–0.47]; p < 0.001), agreement after CBCT was almost perfect (κ = 0.88 [0.83–0.93]; p < 0.001). Diagnostic confidence increased considerably for CBCT studies (p < 0.001). Median effective dose for CBCT was 4.3 μSv [3.3–5.3 μSv] compared to 0.2 μSv [0.1–0.2 μSv] for radiography. Conclusions CBCT provides advantages for the evaluation of acute small bone and joint trauma by detecting and excluding extremity fractures and fracture-related findings more reliably than radiographs. Additional findings induced therapy change in one third of patients, suggesting substantial clinical impact. KW - cone-beamcomputed tomography KW - extremities KW - fractures, bone KW - radiography Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-235233 SN - 0938-7994 VL - 31 ER - TY - JOUR A1 - Haider, Malik Salman A1 - Ahmad, Taufiq A1 - Yang, Mengshi A1 - Hu, Chen A1 - Hahn, Lukas A1 - Stahlhut, Philipp A1 - Groll, Jürgen A1 - Luxenhofer, Robert T1 - Tuning the thermogelation and rheology of poly(2-oxazoline)/poly(2-oxazine)s based thermosensitive hydrogels for 3D bioprinting JF - Gels N2 - As one kind of “smart” material, thermogelling polymers find applications in biofabrication, drug delivery and regenerative medicine. In this work, we report a thermosensitive poly(2-oxazoline)/poly(2-oxazine) based diblock copolymer comprising thermosensitive/moderately hydrophobic poly(2-N-propyl-2-oxazine) (pPrOzi) and thermosensitive/moderately hydrophilic poly(2-ethyl-2-oxazoline) (pEtOx). Hydrogels were only formed when block length exceeded certain length (≈100 repeat units). The tube inversion and rheological tests showed that the material has then a reversible sol-gel transition above 25 wt.% concentration. Rheological tests further revealed a gel strength around 3 kPa, high shear thinning property and rapid shear recovery after stress, which are highly desirable properties for extrusion based three-dimensional (3D) (bio) printing. Attributed to the rheology profile, well resolved printability and high stackability (with added laponite) was also possible. (Cryo) scanning electron microscopy exhibited a highly porous, interconnected, 3D network. The sol-state at lower temperatures (in ice bath) facilitated the homogeneous distribution of (fluorescently labelled) human adipose derived stem cells (hADSCs) in the hydrogel matrix. Post-printing live/dead assays revealed that the hADSCs encapsulated within the hydrogel remained viable (≈97%). This thermoreversible and (bio) printable hydrogel demonstrated promising properties for use in tissue engineering applications. KW - poly(2-ethyl-2-oxazoline) KW - shear thinning KW - shape fidelity KW - cyto-compatibility KW - bio-printability Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-241781 SN - 2310-2861 VL - 7 IS - 3 ER - TY - JOUR A1 - Lackner, L. A1 - Dusel, M. A1 - Egorov, O. A. A1 - Han, B. A1 - Knopf, H. A1 - Eilenberger, F. A1 - Schröder, S. A1 - Watanabe, K. A1 - Taniguchi, T. A1 - Tongay, S. A1 - Anton-Solanas, C. A1 - Höfling, S. A1 - Schneider, C. T1 - Tunable exciton-polaritons emerging from WS2 monolayer excitons in a photonic lattice at room temperature JF - Nature Communications N2 - Engineering non-linear hybrid light-matter states in tailored lattices is a central research strategy for the simulation of complex Hamiltonians. Excitons in atomically thin crystals are an ideal active medium for such purposes, since they couple strongly with light and bear the potential to harness giant non-linearities and interactions while presenting a simple sample-processing and room temperature operability. We demonstrate lattice polaritons, based on an open, high-quality optical cavity, with an imprinted photonic lattice strongly coupled to excitons in a WS2 monolayer. We experimentally observe the emergence of the canonical band-structure of particles in a one-dimensional lattice at room temperature, and demonstrate frequency reconfigurability over a spectral window exceeding 85 meV, as well as the systematic variation of the nearest-neighbour coupling, reflected by a tunability in the bandwidth of the p-band polaritons by 7 meV. The technology presented in this work is a critical demonstration towards reconfigurable photonic emulators operated with non-linear photonic fluids, offering a simple experimental implementation and working at ambient conditions. KW - Bose–Einstein condensates KW - nonlinear optics Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-363080 VL - 12 ER - TY - JOUR A1 - Gehrke, Thomas A1 - Hackenberg, Stephan A1 - Tecle, Nyat A1 - Hagen, Rudolf A1 - Scherzad, Agmal T1 - Tuberculosis in the Head and Neck: Changing Trends and Age-Related Patterns JF - The Laryngoscope N2 - Objective To evaluate changing trends in patient collectives, age-related patterns of manifestation, and diagnostic pathways of patients with extrapulmonary head and neck tuberculosis (TB), and to provide strategies to fasten diagnosis in these patients. Study design Case control study. Methods A 10-year retrospective analysis of 35 patients diagnosed with extrapulmonary TB in the head and neck at a tertiary university institution from 2009 to 2019, with special focus on the influence of the patient's age on consideration of TB and clinical patterns. Results The vast majority of patients younger than 40 years had their origin in countries with high TB burden (P = .0003), and TB was considered very early as a differential diagnosis (P = .0068), while most patients older than 40 years were domestic citizens initially suspected for a malignancy, who more often had an underlying immunosuppressive condition (0.0472). Most frequent manifestations in both groups were the lymph nodes, larynx, and oropharynx. Surprisingly, no differences in the rates of open TB or history of TB infection in the family anamnesis were found. Conclusion The two groups of patients found most often are younger patients migrating from regions with high TB burden and elderly domestic patients suffering from immunosuppressive conditions, with the latter often being misdiagnosed as malignancies. TB remains an important but difficult differential diagnosis, due to the initially unspecific symptoms and the great variety in the presentation of manifestations in the head and neck. KW - lymph node tuberculosis KW - Tuberculosis KW - head and neck KW - extrapulmonary tuberculosis KW - laryngeal tuberculosis Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-257524 VL - 131 IS - 12 ER - TY - JOUR A1 - Kalogirou, Charis A1 - Schwinger, Marcel A1 - Kocot, Arkadius A1 - Riedmiller, Hubertus T1 - Troubleshooting of failed continence mechanisms in the ileocecal pouch: Operative technique and long-term results of the intussuscepted ileal nipple valve JF - International Journal of Urology N2 - Objectives To provide a detailed step-by-step operative technique, and to report on long-term functional and metabolic outcomes in secondary continence mechanisms in the form of secondary intussuscepted ileal nipple valves in revisional surgery of ileocecal pouches. Methods From May 1997 to May 2015, 18 female and 10 male patients suffering from dysfunctional primary continence mechanisms of their ileocecal pouch underwent revisonal surgery to create a secondary ileal nipple valve at our tertiary referral center. The average follow-up period was 65.4 months. Results After surgery, 24 patients were continent by day and night, and four patients showed minor incontinence with the use of a safety pad. The average frequency of clean intermittent catheterization decreased both during the day and at night. The diameter of the catheters used for clean intermittent catheterization increased significantly. No patient showed stomal stenosis, change of stool habits or metabolic situation in the follow-up period. Furthermore, the creation of the secondary ileal nipple valves did not affect the capacity of the reservoir. In the long-term follow up, two patients required the construction of a third continence mechanism, making for an overall success rate of 92% in the study group. Conclusion To our knowledge, this is the first study of long-term results after the creation of secondary ileal nipple valves. We provide evidence that the creation of a secondary ileal nipple valve is a safe and reliable procedure for continence restoration in ileocecal pouches with excellent functional and metabolic long-term outcomes. KW - revisional surgery KW - continence mechanism KW - continent cutaneous urinary diversion KW - MAINZPouch KW - pouch Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-259431 VL - 28 IS - 11 ER - TY - JOUR A1 - Föhrenbacher, Steffen A. A1 - Krahfuss, Mirjam J. A1 - Zapf, Ludwig A1 - Friedrich, Alexandra A1 - Ignat'ev, Nikolai V. A1 - Finze, Maik A1 - Radius, Udo T1 - Tris(pentafluoroethyl)difluorophosphorane: a versatile fluoride acceptor for transition metal chemistry JF - Chemistry Europe N2 - Fluoride abstraction from different types of transition metal fluoride complexes [L\(_n\)MF] (M=Ti, Ni, Cu) by the Lewis acid tris(pentafluoroethyl)difluorophosphorane (C\(_2\)F\(_5\))\(_3\)PF\(_2\) to yield cationic transition metal complexes with the tris(pentafluoroethyl)trifluorophosphate counterion (FAP anion, [(C\(_2\)F\(_5\))\(_3\)PF\(_3\)]\(^-\)) is reported. (C\(_2\)F\(_5\))\(_3\)PF\(_2\) reacted with trans-[Ni(iPr\(_2\)Im)\(_2\)(Ar\(^F\))F] (iPr2Im=1,3-diisopropylimidazolin-2-ylidene; Ar\(^F\)=C\(_6\)F\(_5\), 1 a; 4-CF\(_3\)-C\(_6\)F\(_4\), 1 b; 4-C\(_6\)F\(_5\)-C\(_6\)F\(_4\), 1 c) through fluoride transfer to form the complex salts trans-[Ni(iPr\(_2\)Im)\(_2\)(solv)(Ar\(^F\))]FAP (2 a-c[solv]; solv=Et\(_2\)O, CH\(_2\)Cl\(_2\), THF) depending on the reaction medium. In the presence of stronger Lewis bases such as carbenes or PPh\(_3\), solvent coordination was suppressed and the complexes trans-[Ni(iPr\(_2\)Im)\(_2\)(PPh\(_3\))(C\(_6\)F\(_5\))]FAP (trans-2 a[PPh\(_3\)]) and cis-[Ni(iPr\(_2\)Im)\(_2\)(Dipp\(_2\)Im)(C\(_6\)F\(_5\))]FAP (cis-2 a[Dipp\(_2\)Im]) (Dipp\(_2\)Im=1,3-bis(2,6-diisopropylphenyl)imidazolin-2-ylidene) were isolated. Fluoride abstraction from [(Dipp\(_2\)Im)CuF] (3) in CH\(_2\)Cl\(_2\) or 1,2-difluorobenzene led to the isolation of [{(Dipp\(_2\)Im)Cu}\(_2\)]\(^2\)\(^+\)2 FAP\(^-\) (4). Subsequent reaction of 4 with PPh\(_3\) and different carbenes resulted in the complexes [(Dipp\(_2\)Im)Cu(LB)]FAP (5 a–e, LB=Lewis base). In the presence of C6Me6, fluoride transfer afforded [(Dipp\(_2\)Im)Cu(C\(_6\)Me\(_6\))]FAP (5 f), which serves as a source of [(Dipp\(_2\)Im)Cu)]\(^+\). Fluoride abstraction of [Cp\(_2\)TiF\(_2\)] (7) resulted in the formation of dinuclear [FCp\(_2\)Ti(μ-F)TiCp\(_2\)F]FAP (8) (Cp=η\(^5\)-C\(_5\)H\(_5\)) with one terminal fluoride ligand at each titanium atom and an additional bridging fluoride ligand. KW - inorganic chemistry KW - copper KW - nickel KW - phosphoranes KW - titanium KW - weakly coordinating anions Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-256665 VL - 27 IS - 10 ER - TY - JOUR A1 - Föhrenbacher, Steffen A. A1 - Zeh, Vivien A1 - Krahfuss, Mirjam J. A1 - Ignat'ev, Nikolai V. A1 - Finze, Maik A1 - Radius, Udo T1 - Tris(pentafluoroethyl)difluorophosphorane and N‐Heterocyclic Carbenes: Adduct Formation and Frustrated Lewis Pair Reactivity JF - European Journal of Inorganic Chemistry N2 - The synthesis and characterization of Lewis acid/base adducts between tris(pentafluoroethyl)difluorophosphorane PF\(_{2}\)(C\(_{2}\)F\(_{5}\))\(_{3}\) and selected N-heterocyclic carbenes (NHCs) R\(_{2}\)Im (1,3-di-organyl-imidazolin-2-ylidene) and phosphines are reported. For NHCs with small alkyl substituents at nitrogen (R=Me, nPr, iPr) the adducts NHC ⋅ PF\(_{2}\)(C\(_{2}\)F\(_{5}\))\(_{3}\) (2 a–h) were isolated. The reaction with the sterically more demanding NHCs Dipp\(_{2}\)Im (1,3-bis-(2,6-di-iso-propylphenyl)-imidazolin-2-ylidene) (1 i) and tBu\(_{2}\)Im (1,3-di-tert-butyl-imidazolin-2-ylidene) (1 j) afforded the aNHC adducts 3 i and 3 j (a denotes “abnormal” NHC coordination via a backbone carbon atom). The use of tBuMeIm (1-tert-butyl-3-methyl-imidazolin-2-ylidene) (1 m) led to partial decomposition of the NHC and formation of the salt [tBuMeIm−H][MeIm ⋅ PF\(_{2}\)(C\(_{2}\)F\(_{5}\))\(_{3}\)] (4 m). The phosphorane PF\(_{2}\)(C\(_{2}\)F\(_{5}\))\(_{3}\) forms adducts with PMe\(_{3}\) but does not react with PPh\(_{3}\) or PCy\(_{3}\). The mer-cis isomer of literature-known Me\(_{3}\)P ⋅ PF\(_{2}\)(C\(_{2}\)F\(_{5}\))\(_{3}\) (5 a) was structurally characterized. Mixtures of the phosphorane PF\(_{2}\)(C\(_{2}\)F\(_{5}\))\(_{3}\) and the sterically encumbered NHCs tBu\(_{2}\)Im, Dipp\(_{2}\)Im, and Dipp\(_{2}\)Im\(^{H2}\) (1,3-bis-(2,6-di-iso-propylphenyl)-imidazolidin-2-ylidene) (1 k) showed properties of FLPs (Frustrated Lewis Pairs) as these mixtures were able to open the ring of THF (tetrahydrofuran) to yield NHC−(CH\(_{2}\))\(_{4}\)O−PF\(_{2}\)(C\(_{2}\)F\(_{5}\))\(_{3}\) 6 i–k. Furthermore, the deprotonation of the weak C−H acids CH\(_{3}\)CN, acetone, and ethyl acetate was achieved, which led to the formation of the corresponding imidazolium salts and the phosphates [PF\(_{2}\)(C\(_{2}\)F\(_{5}\))\(_{3}\)(CH\(_{2}\)CN)]\(^{-}\) (7), [PF\(_{2}\)(C\(_{2}\)F\(_{5}\))\(_{3}\)(OC(=CH\(_{2}\))CH\(_{3}\))]\(^{-}\) (8) and [PF\(_{2}\)(C\(_{2}\)F\(_{5}\))\(_{3}\)(CH\(_{2}\)CO\(_{2}\)Et)]\(^{-}\) (9). KW - C-H activation KW - N-Heterocyclic Carbene Adducts KW - N-Heterocyclic Carbenes KW - Frustrated Lewis Pairs KW - Fluoro(perfluoroalkyl) phosphoranes Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-257386 VL - 2021 IS - 20 ER - TY - JOUR A1 - Heydarian, Motaharehsadat A1 - Schweinlin, Matthias A1 - Schwarz, Thomas A1 - Rawal, Ravisha A1 - Walles, Heike A1 - Metzger, Marco A1 - Rudel, Thomas A1 - Kozjak-Pavlovic, Vera T1 - Triple co-culture and perfusion bioreactor for studying the interaction between Neisseria gonorrhoeae and neutrophils: A novel 3D tissue model for bacterial infection and immunity JF - Journal of Tissue Engineering N2 - Gonorrhea, a sexually transmitted disease caused by the bacteria Neisseria gonorrhoeae, is characterized by a large number of neutrophils recruited to the site of infection. Therefore, proper modeling of the N. gonorrhoeae interaction with neutrophils is very important for investigating and understanding the mechanisms that gonococci use to evade the immune response. We have used a combination of a unique human 3D tissue model together with a dynamic culture system to study neutrophil transmigration to the site of N. gonorrhoeae infection. The triple co-culture model consisted of epithelial cells (T84 human colorectal carcinoma cells), human primary dermal fibroblasts, and human umbilical vein endothelial cells on a biological scaffold (SIS). After the infection of the tissue model with N. gonorrhoeae, we introduced primary human neutrophils to the endothelial side of the model using a perfusion-based bioreactor system. By this approach, we were able to demonstrate the activation and transmigration of neutrophils across the 3D tissue model and their recruitment to the site of infection. In summary, the triple co-culture model supplemented by neutrophils represents a promising tool for investigating N. gonorrhoeae and other bacterial infections and interactions with the innate immunity cells under conditions closely resembling the native tissue environment. KW - Triple co-culture KW - biomimetic 3D tissue model KW - Neisseria gonorrhoeae KW - perfusion-based bioreactor system KW - neutrophil transmigration Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-259032 VL - 12 ER - TY - JOUR A1 - Ban, Željka A1 - Karačić, Zrinka A1 - Tomić, Sanja A1 - Amini, Hashem A1 - Marder, Todd B. A1 - Piantanida, Ivo T1 - Triarylborane dyes as a novel non-covalent and non-inhibitive fluorimetric markers for DPP III enzyme JF - Molecules N2 - Novel dyes were prepared by simple “click CuAAC” attachment of a triarylborane–alkyne to the azide side chain of an amino acid yielding triarylborane dye 1 which was conjugated with pyrene (dye 2) forming a triarylborane–pyrene FRET pair. In contrast to previous cationic triarylboranes, the novel neutral dyes interact only with proteins, while their affinity to DNA/RNA is completely abolished. Both the reference triarylborane amino acid and triarylborane–pyrene conjugate bind to BSA and the hDPP III enzyme with high affinities, exhibiting a strong (up to 100-fold) fluorescence increase, whereby the triarylborane–pyrene conjugate additionally retained FRET upon binding to the protein. Furthermore, the triarylborane dyes, upon binding to the hDPP III enzyme, did not impair its enzymatic activity under a wide range of experimental conditions, thus being the first non-covalent fluorimetric markers for hDPP III, also applicable during enzymatic reactions with hDPP III substrates. KW - triarylborane KW - pyrene KW - click CuAAC synthesis KW - DPP III enzyme KW - BSA KW - fluorescence Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-245046 SN - 1420-3049 VL - 26 IS - 16 ER - TY - JOUR A1 - Riemer, Manuel A1 - Kranke, Peter A1 - Helf, Antonia A1 - Mayer, Debora A1 - Popp, Maria A1 - Schlesinger, Tobias A1 - Meybohm, Patrick A1 - Weibel, Stephanie T1 - Trial registration and selective outcome reporting in 585 clinical trials investigating drugs for prevention of postoperative nausea and vomiting JF - BMC Anesthesiology N2 - Background: Selective outcome reporting in clinical trials introduces bias in the body of evidence distorting clinical decision making. Trial registration aims to prevent this bias and is suggested by the International Committee of Medical Journal Editors (ICMJE) since 2004. Methods: The 585 randomized controlled trials (RCTs) published between 1965 and 2017 that were included in a recently published Cochrane review on antiemetic drugs for prevention of postoperative nausea and vomiting were selected. In a retrospective study, we assessed trial registration and selective outcome reporting by comparing study publications with their registered protocols according to the ‘Cochrane Risk of bias’ assessment tool 1.0. Results: In the Cochrane review, the first study which referred to a registered trial protocol was published in 2004. Of all 585 trials included in the Cochrane review, 334 RCTs were published in 2004 or later, of which only 22% (75/334) were registered. Among the registered trials, 36% (27/75) were pro- and 64% (48/75) were retrospectively registered. 41% (11/27) of the prospectively registered trials were free of selective outcome reporting bias, 22% (6/27) were incompletely registered and assessed as unclear risk, and 37% (10/27) were assessed as high risk. Major outcome discrepancies between registered and published high risk trials were a change from the registered primary to a published secondary outcome (32%), a new primary outcome (26%), and different outcome assessment times (26%). Among trials with high risk of selective outcome reporting 80% favoured at least one statistically significant result. Registered trials were assessed more often as ‘overall low risk of bias’ compared to non-registered trials (64% vs 28%). Conclusions: In 2017, 13 years after the ICMJE declared prospective protocol registration a necessity for reliable clinical studies, the frequency and quality of trial registration in the field of PONV is very poor. Selective outcome reporting reduces trustworthiness in findings of clinical trials. Investigators and clinicians should be aware that only following a properly registered protocol and transparently reporting of predefined outcomes, regardless of the direction and significance of the result, will ultimately strengthen the body of evidence in the field of PONV research in the future. KW - clinical trial KW - postoperative nausea and vomiting KW - selective outcome reporting KW - systematic review KW - trial registration Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-265518 VL - 21 ER - TY - JOUR A1 - Gessler, Florian A1 - Lehmann, Felix A1 - Bösel, Julian A1 - Fuhrer, Hannah A1 - Neugebauer, Hermann A1 - Wartenberg, Katja E. A1 - Wolf, Stefan A1 - Bernstock, Joshua D. A1 - Niesen, Wolf-Dirk A1 - Schuss, Patrick T1 - Triage and Allocation of Neurocritical Care Resources During the COVID 19 Pandemic - A National Survey JF - Frontiers in Neurology N2 - Objective: In light of the ongoing COVID-19 pandemic and the associated hospitalization of an overwhelming number of ventilator-dependent patients, medical and/or ethical patient triage paradigms have become essential. While guidelines on the allocation of scarce resources do exist, such work within the subdisciplines of intensive care (e.g., neurocritical care) remains limited. Methods: A 16-item questionnaire was developed that sought to explore/quantify the expert opinions of German neurointensivists with regard to triage decisions. The anonymous survey was conducted via a web-based platform and in total, 96 members of the Initiative of German Neurointensive Trial Engagement (IGNITE)-study group were contacted via e-mail. The IGNITE consortium consists of an interdisciplinary panel of specialists with expertise in neuro-critical care (i.e., anesthetists, neurologists and neurosurgeons). Results: Fifty members of the IGNITE consortium responded to the questionnaire; in total the respondents were in charge of more than 500 Neuro ICU beds throughout Germany. Common determinants reported which affected triage decisions included known patient wishes (98%), the state of health before admission (96%), SOFA-score (85%) and patient age (69%). Interestingly, other principles of allocation, such as a treatment of “youngest first” (61%) and members of the healthcare sector (50%) were also noted. While these were the most accepted parameters affecting the triage of patients, a “first-come, first-served” principle appeared to be more accepted than a lottery for the allocation of ICU beds which contradicts much of what has been reported within the literature. The respondents also felt that at least one neurointensivist should serve on any interdisciplinary triage team. Conclusions: The data gathered in the context of this survey reveal the estimation/perception of triage algorithms among neurointensive care specialists facing COVID-19. Further, it is apparent that German neurointensivists strongly feel that they should be involved in any triage decisions at an institutional level given the unique resources needed to treat patients within the Neuro ICU. KW - COVID-19 KW - SARS-CoV KW - pandemic KW - patient triage KW - neurocritical care Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-221593 SN - 1664-2295 VL - 11 ER - TY - JOUR A1 - Philipp, Marius A1 - Dietz, Andreas A1 - Buchelt, Sebastian A1 - Kuenzer, Claudia T1 - Trends in satellite earth observation for permafrost related analyses — A review JF - Remote Sensing N2 - Climate change and associated Arctic amplification cause a degradation of permafrost which in turn has major implications for the environment. The potential turnover of frozen ground from a carbon sink to a carbon source, eroding coastlines, landslides, amplified surface deformation and endangerment of human infrastructure are some of the consequences connected with thawing permafrost. Satellite remote sensing is hereby a powerful tool to identify and monitor these features and processes on a spatially explicit, cheap, operational, long-term basis and up to circum-Arctic scale. By filtering after a selection of relevant keywords, a total of 325 articles from 30 international journals published during the last two decades were analyzed based on study location, spatio- temporal resolution of applied remote sensing data, platform, sensor combination and studied environmental focus for a comprehensive overview of past achievements, current efforts, together with future challenges and opportunities. The temporal development of publication frequency, utilized platforms/sensors and the addressed environmental topic is thereby highlighted. The total number of publications more than doubled since 2015. Distinct geographical study hot spots were revealed, while at the same time large portions of the continuous permafrost zone are still only sparsely covered by satellite remote sensing investigations. Moreover, studies related to Arctic greenhouse gas emissions in the context of permafrost degradation appear heavily underrepresented. New tools (e.g., Google Earth Engine (GEE)), methodologies (e.g., deep learning or data fusion etc.)and satellite data (e.g., the Methane Remote Sensing LiDAR Mission (Merlin) and the Sentinel-fleet)will thereby enable future studies to further investigate the distribution of permafrost, its thermal state and its implications on the environment such as thermokarst features and greenhouse gas emission rates on increasingly larger spatial and temporal scales. KW - satellite remote sensing KW - permafrost KW - degradation KW - thaw KW - thermokarst Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-234198 VL - 13 IS - 6 ER - TY - JOUR A1 - Baum, Petra A1 - Koj, Severin A1 - Klöting, Nora A1 - Blüher, Matthias A1 - Classen, Joseph A1 - Paeschke, Sabine A1 - Gericke, Martin A1 - Toyka, Klaus V. A1 - Nowicki, Marcin A1 - Kosacka, Joanna T1 - Treatment-induced neuropathy in diabetes (TIND) — Developing a disease model in type 1 diabetic rats JF - International Journal of Molecular Sciences N2 - Treatment-induced neuropathy in diabetes (TIND) is defined by the occurrence of an acute neuropathy within 8 weeks of an abrupt decrease in glycated hemoglobin-A1c (HbA1c). The underlying pathogenic mechanisms are still incompletely understood with only one mouse model being explored to date. The aim of this study was to further explore the hypothesis that an abrupt insulin-induced fall in HbA1c may be the prime causal factor of developing TIND. BB/OKL (bio breeding/OKL, Ottawa Karlsburg Leipzig) diabetic rats were randomized in three groups, receiving insulin treatment by implanted subcutaneous osmotic insulin pumps for 3 months, as follows: Group one received 2 units per day; group two 1 unit per day: and group three 1 unit per day in the first month, followed by 2 units per day in the last two months. We serially examined blood glucose and HbA1c levels, motor- and sensory/mixed afferent conduction velocities (mNCV and csNCV) and peripheral nerve morphology, including intraepidermal nerve fiber density and numbers of Iba-1 (ionized calcium binding adaptor molecule 1) positive macrophages in the sciatic nerve. Only in BB/OKL rats of group three, with a rapid decrease in HbA1c of more than 2%, did we find a significant decrease in mNCV in sciatic nerves (81% of initial values) after three months of treatment as compared to those group three rats with a less marked decrease in HbA1c <2% (mNCV 106% of initial values, p ≤ 0.01). A similar trend was observed for sensory/mixed afferent nerve conduction velocities: csNCV were reduced in BB/OKL rats with a rapid decrease in HbA1c >2% (csNCV 90% of initial values), compared to those rats with a mild decrease <2% (csNCV 112% of initial values, p ≤ 0.01). Moreover, BB/OKL rats of group three with a decrease in HbA1c >2% showed significantly greater infiltration of macrophages by about 50% (p ≤ 0.01) and a decreased amount of calcitonin gene related peptide (CGRP) positive nerve fibers as compared to the animals with a milder decrease in HbA1c. We conclude that a mild acute neuropathy with inflammatory components was induced in BB/OKL rats as a consequence of an abrupt decrease in HbA1c caused by high-dose insulin treatment. This experimentally induced neuropathy shares some features with TIND in humans and may be further explored in studies into the pathogenesis and treatment of TIND. KW - BB/OKL rats KW - peripheral neuropathy KW - sciatic nerve KW - TIND KW - Type 1 diabetes Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-285793 SN - 1422-0067 VL - 22 IS - 4 ER - TY - JOUR A1 - Bieber, Michael A1 - Foerster, Kathrin I. A1 - Haefeli, Walter E. A1 - Pham, Mirko A1 - Schuhmann, Michael K. A1 - Kraft, Peter T1 - Treatment with edoxaban attenuates acute stroke severity in mice by reducing blood–brain barrier damage and inflammation JF - International Journal of Molecular Sciences N2 - Patients with atrial fibrillation and previous ischemic stroke (IS) are at increased risk of cerebrovascular events despite anticoagulation. In these patients, treatment with non-vitamin K oral anticoagulants (NOAC) such as edoxaban reduced the probability and severity of further IS without increasing the risk of major bleeding. However, the detailed protective mechanism of edoxaban has not yet been investigated in a model of ischemia/reperfusion injury. Therefore, in the current study we aimed to assess in a clinically relevant setting whether treatment with edoxaban attenuates stroke severity, and whether edoxaban has an impact on the local cerebral inflammatory response and blood–brain barrier (BBB) function after experimental IS in mice. Focal cerebral ischemia was induced by transient middle cerebral artery occlusion in male mice receiving edoxaban, phenprocoumon or vehicle. Infarct volumes, functional outcome and the occurrence of intracerebral hemorrhage were assessed. BBB damage and the extent of local inflammatory response were determined. Treatment with edoxaban significantly reduced infarct volumes and improved neurological outcome and BBB function on day 1 and attenuated brain tissue inflammation. In summary, our study provides evidence that edoxaban might exert its protective effect in human IS by modulating different key steps of IS pathophysiology, but further studies are warranted. KW - edoxaban KW - thrombo-inflammation KW - blood–brain barrier KW - tMCAO KW - experimental stroke KW - hemorrhagic transformation KW - NOAC Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-284481 SN - 1422-0067 VL - 22 IS - 18 ER - TY - THES A1 - Breunig, Daniel Manfred T1 - Transport properties and proximity effect of topological hybrid structures T1 - Transporteigenschaften und Proximity-Effekt von topologischen Hybridstrukturen N2 - Over the last two decades, accompanied by their prediction and ensuing realization, topological non-trivial materials like topological insulators, Dirac semimetals, and Weyl semimetals have been in the focus of mesoscopic condensed matter research. While hosting a plethora of intriguing physical phenomena all on their own, even more fascinating features emerge when superconducting order is included. Their intrinsically pronounced spin-orbit coupling leads to peculiar, time-reversal symmetry protected surface states, unconventional superconductivity, and even to the emergence of exotic bound states in appropriate setups. This Thesis explores various junctions built from - or incorporating - topological materials in contact with superconducting order, placing particular emphasis on the transport properties and the proximity effect. We begin with the analysis of Josephson junctions where planar samples of mercury telluride are sandwiched between conventional superconducting contacts. The surprising observation of pronounced excess currents in experiments, which can be well described by the Blonder-Tinkham-Klapwijk theory, has long been an ambiguous issue in this field, since the necessary presumptions are seemingly not met. We propose a resolution to this predicament by demonstrating that the interface properties in hybrid nanostructures of distinctly different materials yet corroborate these assumptions and explain the outcome. An experimental realization is feasible by gating the contacts. We then proceed with NSN junctions based on time-reversal symmetry broken Weyl semimetals and including superconducting order. Due to the anisotropy of the electron band structure, both the transport properties as well as the proximity effect depend substantially on the orientation of the interfaces between the materials. Moreover, an imbalance can be induced in the electron population between Weyl nodes of opposite chirality, resulting in a non-vanishing spin polarization of the Cooper pairs leaking into the normal contacts. We show that such a system features a tunable dipole character with possible applications in spintronics. Finally, we consider partially superconducting surface states of three-dimensional topological insulators. Tuning such a system into the so-called bipolar setup, this results in the formation of equal-spin Cooper pairs inside the superconductor, while simultaneously acting as a filter for non-local singlet pairing. The creation and manipulation of these spin-polarized Cooper pairs can be achieved by mere electronic switching processes and in the absence of any magnetic order, rendering such a nanostructure an interesting system for superconducting spintronics. The inherent spin-orbit coupling of the surface state is crucial for this observation, as is the bipolar setup which strongly promotes non-local Andreev processes. N2 - Seit nun gut zwei Jahrzehnten stehen Materialien wie Topologische Isolatoren, Dirac Halbmetalle und Weyl Halbmetalle im Fokus der Forschung der mesoskopischen Festkörperphysik. Diese topologisch nicht-trivialen Materialien weisen sich durch eine Vielzahl faszinierender Eigenschaften aus, insbesondere, wenn sie in Kombination mit supraleitender Ordnung untersucht werden. Die intrinsisch sehr stark ausgeprägte Spin-Bahn Kopplung führt zu charakteristischen Oberflächenzuständen, die durch die Zeitumkehrsymmetrie geschützt sind, zu unkonventioneller Supraleitung und sogar zur Ausbildung exotischer, gebundener Zustände in entsprechenden Strukturen. Diese Dissertation untersucht die Transporteigenschaften als auch den Proximity-Effekt in verschiedenen Kontakten aus topologischen Materialien und Supraleitern. Zu Beginn befassen wir uns mit Josephson-Kontakten, in denen planare Proben aus Quecksilbertellurid in Kontakt mit konventionellen Supraleitern gebracht werden. In solchen Nanostrukturen wurden ausgeprägte Exzessströme gemessen, die zudem in guter Übereinstimmung mit der Blonder-Tinkham-Klapwijk Theorie stehen. Diese Beobachtungen sind jedoch kontraintuitiv, da die Voraussetzungen für den Formalismus scheinbar nicht gegeben sind. Wir zeigen anhand der Grenzflächeneigenschaften zwischen sich deutlich unterscheidenden Materialien, dass diese Annahmen dennoch korrekt sind und die Messergebnisse erklären. Dies lässt sich mit Hilfe von Seitenkontakten in einem Experiment nachweisen. Des Weiteren untersuchen wir Weyl Halbmetalle mit gebrochener Zeitumkehrsymmetrie und im Kontakt mit einem zentralen Supraleiter. Die Transporteigenschaften, wie auch der Proximity-Effekt, hängen wegen der Anisotropie der Bandstruktur stark von der Ausrichtung der Grenzflächen zwischen den Materialien ab. Zudem lässt sich ein Ungleichgewicht in der Elektronenpopulation zwischen Weylknoten unterschiedlicher Chiralität einstellen, was zu einer endlichen Spinpolarisation der Cooper-Paare führt, die in die normalleitenden Kontakte eindringen. Das System weist dann einen steuerbaren Dipolcharakter auf, welcher interessant für Anwendungen in der Spintronik ist. Schlussendlich analysieren wir den Oberflächenzustand eines dreidimensionalen topologischen Isolators, der lokal supraleitende Ordnung aufweist. Wird ein solches System in den sogenannten bipolaren Setup eingestellt, kann es zur Erzeugung und Manipulation von Triplet-Cooper-Paaren mit endlicher Spinpolarisation im Supraleiter verwendet werden. Gleichzeitig stellt es einen Filter für nicht-lokale Spin-Singlet-Paarung dar. Realisiert wird dies mit Hilfe elektrischer Spannung, und bedarf insbesondere keiner magnetische Ordnung zur Ausrichtung des Spin. Stattdessen verlassen wir uns auf die starke Spin-Bahn-Kopplung des Oberflächenzustands sowie den bipolaren Setup, welcher den nicht-lokalen Transport deutlich verstärkt. KW - Supraleitung KW - Elektronischer Transport KW - Topological Materials KW - Superconductivity KW - Mesoscopic Transport Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-250546 ER - TY - JOUR A1 - Ryma, Matthias A1 - Tylek, Tina A1 - Liebscher, Julia A1 - Blum, Carina A1 - Fernandez, Robin A1 - Böhm, Christoph A1 - Kastenmüller, Wolfgang A1 - Gasteiger, Georg A1 - Groll, Jürgen T1 - Translation of collagen ultrastructure to biomaterial fabrication for material-independent but highly efficient topographic immunomodulation JF - Advanced materials N2 - Supplement-free induction of cellular differentiation and polarization solely through the topography of materials is an auspicious strategy but has so far significantly lagged behind the efficiency and intensity of media-supplementation-based protocols. Consistent with the idea that 3D structural motifs in the extracellular matrix possess immunomodulatory capacity as part of the natural healing process, it is found in this study that human-monocyte-derived macrophages show a strong M2a-like prohealing polarization when cultured on type I rat-tail collagen fibers but not on collagen I films. Therefore, it is hypothesized that highly aligned nanofibrils also of synthetic polymers, if packed into larger bundles in 3D topographical biomimetic similarity to native collagen I, would induce a localized macrophage polarization. For the automated fabrication of such bundles in a 3D printing manner, the strategy of “melt electrofibrillation” is pioneered by the integration of flow-directed polymer phase separation into melt electrowriting and subsequent selective dissolution of the matrix polymer postprocessing. This process yields nanofiber bundles with a remarkable structural similarity to native collagen I fibers, particularly for medical-grade poly(ε-caprolactone). These biomimetic fibrillar structures indeed induce a pronounced elongation of human-monocyte-derived macrophages and unprecedentedly trigger their M2-like polarization similar in efficacy as interleukin-4 treatment. KW - biofabrication KW - extracellular matrix KW - immunomodulation KW - macrophages KW - melt electrofibrillation KW - melt electrowriting Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-256381 VL - 33 IS - 33 ER - TY - JOUR A1 - Jotz Lean, Madeleine A1 - Mackenzie, Kirill C. H. T1 - Transitive double Lie algebroids via core diagrams JF - Journal of Geometric Mechanics N2 - The core diagram of a double Lie algebroid consists of the core of the double Lie algebroid, together with the two core-anchor maps to the sides of the double Lie algebroid. If these two core-anchors are surjective, then the double Lie algebroid and its core diagram are called transitive. This paper establishes an equivalence between transitive double Lie algebroids, and transitive core diagrams over a fixed base manifold. In other words, it proves that a transitive double Lie algebroid is completely determined by its core diagram. The comma double Lie algebroid associated to a morphism of Lie algebroids is defined. If the latter morphism is one of the core-anchors of a transitive core diagram, then the comma double algebroid can be quotiented out by the second core-anchor, yielding a transitive double Lie algebroid, which is the one that is equivalent to the transitive core diagram. Brown's and Mackenzie's equivalence of transitive core diagrams (of Lie groupoids) with transitive double Lie groupoids is then used in order to show that a transitive double Lie algebroid with integrable sides and core is automatically integrable to a transitive double Lie groupoid. KW - double Lie algebroids KW - double Lie groupoids KW - comma category KW - representations up to homotopy KW - matched pairs KW - Lie bialgebroids KW - infinitesimal ideal systems KW - integration Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-363224 VL - 13 ER - TY - JOUR A1 - Liu, Zhiqiang A1 - Kole, Goutam Kumar A1 - Budiman, Yudha P. A1 - Tian, Ya-Ming A1 - Friedrich, Alexandra A1 - Luo, Xiaoling A1 - Westcott, Stephen A. A1 - Radius, Udo A1 - Marder, Todd B. T1 - Transition metal catalyst-free, base-promoted 1,2-additions of polyfluorophenylboronates to aldehydes and ketones JF - Angewandte Chemie International Edition N2 - A novel protocol for the transition metal-free 1,2-addition of polyfluoroaryl boronate esters to aldehydes and ketones is reported, which provides secondary alcohols, tertiary alcohols, and ketones. Control experiments and DFT calculations indicate that both the ortho-F substituents on the polyfluorophenyl boronates and the counterion K\(^+\) in the carbonate base are critical. The distinguishing features of this procedure include the employment of commercially available starting materials and the broad scope of the reaction with a wide variety of carbonyl compounds giving moderate to excellent yields. Intriguing structural features involving O−H⋅⋅⋅O and O−H⋅⋅⋅N hydrogen bonding, as well as arene-perfluoroarene interactions, in this series of racemic polyfluoroaryl carbinols have also been addressed. KW - inorganic chemistry KW - transition metal-free KW - alcohol KW - 1,2-additionreaction KW - boronateesters KW - fluoroarene Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-256487 VL - 60 IS - 30 ER - TY - JOUR A1 - Geisinger, Adriana A1 - Rodríguez-Casuriaga, Rosana A1 - Benavente, Ricardo T1 - Transcriptomics of Meiosis in the Male Mouse JF - Frontiers in Cell and Developmental Biology N2 - Molecular studies of meiosis in mammals have been long relegated due to some intrinsic obstacles, namely the impossibility to reproduce the process in vitro, and the difficulty to obtain highly pure isolated cells of the different meiotic stages. In the recent years, some technical advances, from the improvement of flow cytometry sorting protocols to single-cell RNAseq, are enabling to profile the transcriptome and its fluctuations along the meiotic process. In this mini-review we will outline the diverse methodological approaches that have been employed, and some of the main findings that have started to arise from these studies. As for practical reasons most studies have been carried out in males, and mostly using mouse as a model, our focus will be on murine male meiosis, although also including specific comments about humans. Particularly, we will center on the controversy about gene expression during early meiotic prophase; the widespread existing gap between transcription and translation in meiotic cells; the expression patterns and potential roles of meiotic long non-coding RNAs; and the visualization of meiotic sex chromosome inactivation from the RNAseq perspective. KW - meiosis KW - transcriptomics KW - RNAseq KW - meiotic prophase KW - spermatogenesis KW - lncRNAs KW - MSCI KW - spermatogenic cell sorting Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-231032 SN - 2296-634X VL - 9 ER - TY - JOUR A1 - Habenstein, Jens A1 - Schmitt, Franziska A1 - Liessem, Sander A1 - Ly, Alice A1 - Trede, Dennis A1 - Wegener, Christian A1 - Predel, Reinhard A1 - Rössler, Wolfgang A1 - Neupert, Susanne T1 - Transcriptomic, peptidomic, and mass spectrometry imaging analysis of the brain in the ant Cataglyphis nodus JF - Journal of Neurochemistry N2 - Behavioral flexibility is an important cornerstone for the ecological success of animals. Social Cataglyphis nodus ants with their age‐related polyethism characterized by age‐related behavioral phenotypes represent a prime example for behavioral flexibility. We propose neuropeptides as powerful candidates for the flexible modulation of age‐related behavioral transitions in individual ants. As the neuropeptidome of C. nodus was unknown, we collected a comprehensive peptidomic data set obtained by transcriptome analysis of the ants’ central nervous system combined with brain extract analysis by Q‐Exactive Orbitrap mass spectrometry (MS) and direct tissue profiling of different regions of the brain by matrix‐assisted laser desorption/ionization time‐of‐flight (MALDI‐TOF) MS. In total, we identified 71 peptides with likely bioactive function, encoded on 49 neuropeptide‐, neuropeptide‐like, and protein hormone prepropeptide genes, including a novel neuropeptide‐like gene (fliktin). We next characterized the spatial distribution of a subset of peptides encoded on 16 precursor proteins with high resolution by MALDI MS imaging (MALDI MSI) on 14 µm brain sections. The accuracy of our MSI data were confirmed by matching the immunostaining patterns for tachykinins with MSI ion images from consecutive brain sections. Our data provide a solid framework for future research into spatially resolved qualitative and quantitative peptidomic changes associated with stage‐specific behavioral transitions and the functional role of neuropeptides in Cataglyphis ants. KW - brain KW - MALDI imaging KW - neuropeptides KW - neuropeptidomics KW - social insect KW - transcriptomics Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-239917 VL - 158 IS - 2 SP - 391 EP - 412 ER - TY - JOUR A1 - Bielmeier, Christina B. A1 - Roth, Saskia A1 - Schmitt, Sabrina I. A1 - Boneva, Stefaniya K. A1 - Schlecht, Anja A1 - Vallon, Mario A1 - Tamm, Ernst R. A1 - Ergün, Süleyman A1 - Neueder, Andreas A1 - Braunger, Barbara M. T1 - Transcriptional profiling identifies upregulation of neuroprotective pathways in retinitis pigmentosa JF - International Journal of Molecular Sciences N2 - Hereditary retinal degenerations like retinitis pigmentosa (RP) are among the leading causes of blindness in younger patients. To enable in vivo investigation of cellular and molecular mechanisms responsible for photoreceptor cell death and to allow testing of therapeutic strategies that could prevent retinal degeneration, animal models have been created. In this study, we deeply characterized the transcriptional profile of mice carrying the transgene rhodopsin V20G/P23H/P27L (VPP), which is a model for autosomal dominant RP. We examined the degree of photoreceptor degeneration and studied the impact of the VPP transgene-induced retinal degeneration on the transcriptome level of the retina using next generation RNA sequencing (RNASeq) analyses followed by weighted correlation network analysis (WGCNA). We furthermore identified cellular subpopulations responsible for some of the observed dysregulations using in situ hybridizations, immunofluorescence staining, and 3D reconstruction. Using RNASeq analysis, we identified 9256 dysregulated genes and six significantly associated gene modules in the subsequently performed WGCNA. Gene ontology enrichment showed, among others, dysregulation of genes involved in TGF-β regulated extracellular matrix organization, the (ocular) immune system/response, and cellular homeostasis. Moreover, heatmaps confirmed clustering of significantly dysregulated genes coding for components of the TGF-β, G-protein activated, and VEGF signaling pathway. 3D reconstructions of immunostained/in situ hybridized sections revealed retinal neurons and Müller cells as the major cellular population expressing representative components of these signaling pathways. The predominant effect of VPP-induced photoreceptor degeneration pointed towards induction of neuroinflammation and the upregulation of neuroprotective pathways like TGF-β, G-protein activated, and VEGF signaling. Thus, modulation of these processes and signaling pathways might represent new therapeutic options to delay the degeneration of photoreceptors in diseases like RP. KW - retinitis pigmentosa KW - VPP mouse model KW - in-situ hybridization KW - neurodegeneration KW - neuroinflammation KW - extracellular matrix disorganisation KW - neuroprotective pathways Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-260769 SN - 1422-0067 VL - 22 IS - 12 ER - TY - JOUR A1 - Abboud, Tammam A1 - Asendorf, Thomas A1 - Heinrich, Jutta A1 - Faust, Katharina A1 - Krieg, Sandro M. A1 - Seidel, Kathleen A1 - Mielke, Dorothee A1 - Matthies, Cordola A1 - Ringel, Florian A1 - Rohde, Veit A1 - Szelényi, Andrea T1 - Transcranial versus direct cortical stimulation for motor-evoked potentials during resection of supratentorial tumors under general anesthesia (the TRANSEKT-trial): study protocol for a randomized controlled trial JF - Biomedicines N2 - Background: Monitoring of motor function during surgery for supratentorial tumors under general anesthesia applies either transcranial electrical stimulation (TES) or direct cortical stimulation (DCS) to elicit motor-evoked potentials. To date, there is no guideline that favor one method over the other. Therefore, we designed this randomized study to compare between both methods regarding the prediction of postoperative motor deficits and extent of tumor resection. Methods: This is a multicenter (six centers in Germany and one in Switzerland), double blind, parallel group, exploratory, randomized controlled clinical trial. Patients without or with mild paresis, who are scheduled for surgical resection of motor-eloquent brain tumors under general anesthesia will be randomized to surgical resection under TES or surgical resection under DCS. The primary endpoint is sensitivity and specificity in prognosis of motor function 7 days after surgery. The main secondary endpoint is the extent of tumor resection. The study is planned to include 120 patients within 2 years. Discussion: The present exploratory study should compare TES and DCS regarding sensitivity and specificity in predicting postoperative motor deficit and extent of tumor resection to calculate the required number of patients in a confirmatory trial to test the superiority of one method over the other. KW - threshold criterion KW - amplitude criterion KW - intraoperative monitoring KW - transcranial motor-evoked potentials KW - direct cortical stimulation KW - threshold level Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-248513 SN - 2227-9059 VL - 9 IS - 10 ER - TY - JOUR A1 - Jordan, Martin C. A1 - Jäckle, Veronika A1 - Scheidt, Sebastian A1 - Gilbert, Fabian A1 - Hölscher-Doht, Stefanie A1 - Ergün, Süleyman A1 - Meffert, Rainer H. A1 - Heintel, Timo M. T1 - Trans-obturator cable fixation of open book pelvic injuries JF - Scientific Reports N2 - Operative treatment of ruptured pubic symphysis by plating is often accompanied by complications. Trans-obturator cable fixation might be a more reliable technique; however, have not yet been tested for stabilization of ruptured pubic symphysis. This study compares symphyseal trans-obturator cable fixation versus plating through biomechanical testing and evaluates safety in a cadaver experiment. APC type II injuries were generated in synthetic pelvic models and subsequently separated into three different groups. The anterior pelvic ring was fixed using a four-hole steel plate in Group A, a stainless steel cable in Group B, and a titan band in Group C. Biomechanical testing was conducted by a single-leg-stance model using a material testing machine under physiological load levels. A cadaver study was carried out to analyze the trans-obturator surgical approach. Peak-to-peak displacement, total displacement, plastic deformation and stiffness revealed a tendency for higher stability for trans-obturator cable/band fixation but no statistical difference to plating was detected. The cadaver study revealed a safe zone for cable passage with sufficient distance to the obturator canal. Trans-obturator cable fixation has the potential to become an alternative for symphyseal fixation with less complications. KW - anatomy KW - medical research Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-261212 VL - 11 IS - 1 ER - TY - JOUR A1 - Albert, Judith A1 - Lezius, Susanne A1 - Störk, Stefan A1 - Morbach, Caroline A1 - Güder, Gülmisal A1 - Frantz, Stefan A1 - Wegscheider, Karl A1 - Ertl, Georg A1 - Angermann, Christiane E. T1 - Trajectories of Left Ventricular Ejection Fraction After Acute Decompensation for Systolic Heart Failure: Concomitant Echocardiographic and Systemic Changes, Predictors, and Impact on Clinical Outcomes JF - Journal of the American Heart Association N2 - Prospective longitudinal follow‐up of left ventricular ejection fraction (LVEF) trajectories after acute cardiac decompensation of heart failure is lacking. We investigated changes in LVEF and covariates at 6‐months' follow‐up in patients with a predischarge LVEF ≤40%, and determined predictors and prognostic implications of LVEF changes through 18‐months' follow‐up. Methods and Results Interdisciplinary Network Heart Failure program participants (n=633) were categorized into subgroups based on LVEF at 6‐months' follow‐up: normalized LVEF (>50%; heart failure with normalized ejection fraction, n=147); midrange LVEF (41%–50%; heart failure with midrange ejection fraction, n=195), or persistently reduced LVEF (≤40%; heart failure with persistently reduced LVEF , n=291). All received guideline‐directed medical therapies. At 6‐months' follow‐up, compared with patients with heart failure with persistently reduced LVEF, heart failure with normalized LVEF or heart failure with midrange LVEF subgroups showed greater reductions in LV end‐diastolic/end‐systolic diameters (both P<0.001), and left atrial systolic diameter (P=0.002), more increased septal/posterior end‐diastolic wall‐thickness (both P<0.001), and significantly greater improvement in diastolic function, biomarkers, symptoms, and health status. Heart failure duration <1 year, female sex, higher predischarge blood pressure, and baseline LVEF were independent predictors of LVEF improvement. Mortality and event‐free survival rates were lower in patients with heart failure with normalized LVEF (P=0.002). Overall, LVEF increased further at 18‐months' follow‐up (P<0.001), while LV end‐diastolic diameter decreased (P=0.048). However, LVEF worsened (P=0.002) and LV end‐diastolic diameter increased (P=0.047) in patients with heart failure with normalized LVEF hospitalized between 6‐months' follow‐up and 18‐months' follow‐up. Conclusions Six‐month survivors of acute cardiac decompensation for systolic heart failure showed variable LVEF trajectories, with >50% showing improvements by ≥1 LVEF category. LVEF changes correlated with various parameters, suggesting multilevel reverse remodeling, were predictable from several baseline characteristics, and were associated with clinical outcomes at 18‐months' follow‐up. Repeat hospitalizations were associated with attenuation of reverse remodeling." KW - acute heart failure KW - left ventricular ejection fraction KW - morbidity KW - mortality KW - natriuretic peptide KW - recovery Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-230210 VL - 10 ER - TY - JOUR A1 - Becht, Alexander A1 - Schollmayer, Curd A1 - Monakhova, Yulia A1 - Holzgrabe, Ulrike T1 - Tracing the origin of paracetamol tablets by near-infrared, mid-infrared, and nuclear magnetic resonance spectroscopy using principal component analysis and linear discriminant analysis JF - Analytical and Bioanalytical Chemistry N2 - Most drugs are no longer produced in their own countries by the pharmaceutical companies, but by contract manufacturers or at manufacturing sites in countries that can produce more cheaply. This not only makes it difficult to trace them back but also leaves room for criminal organizations to fake them unnoticed. For these reasons, it is becoming increasingly difficult to determine the exact origin of drugs. The goal of this work was to investigate how exactly this is possible by using different spectroscopic methods like nuclear magnetic resonance and near- and mid-infrared spectroscopy in combination with multivariate data analysis. As an example, 56 out of 64 different paracetamol preparations, collected from 19 countries around the world, were chosen to investigate whether it is possible to determine the pharmaceutical company, manufacturing site, or country of origin. By means of suitable pre-processing of the spectra and the different information contained in each method, principal component analysis was able to evaluate manufacturing relationships between individual companies and to differentiate between production sites or formulations. Linear discriminant analysis showed different results depending on the spectral method and purpose. For all spectroscopic methods, it was found that the classification of the preparations to their manufacturer achieves better results than the classification to their pharmaceutical company. The best results were obtained with nuclear magnetic resonance and near-infrared data, with 94.6%/99.6% and 98.7/100% of the spectra of the preparations correctly assigned to their pharmaceutical company or manufacturer. KW - \(^{1}\)HNMR KW - IR KW - manufacturer KW - linear discriminant analysis KW - principal component analysis Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-265400 VL - 413 IS - 11 ER - TY - JOUR A1 - Kraft, Robin A1 - Reichert, Manfred A1 - Pryss, Rüdiger T1 - Towards the interpretation of sound measurements from smartphones collected with mobile crowdsensing in the healthcare domain: an experiment with Android devices JF - Sensors N2 - The ubiquity of mobile devices fosters the combined use of ecological momentary assessments (EMA) and mobile crowdsensing (MCS) in the field of healthcare. This combination not only allows researchers to collect ecologically valid data, but also to use smartphone sensors to capture the context in which these data are collected. The TrackYourTinnitus (TYT) platform uses EMA to track users' individual subjective tinnitus perception and MCS to capture an objective environmental sound level while the EMA questionnaire is filled in. However, the sound level data cannot be used directly among the different smartphones used by TYT users, since uncalibrated raw values are stored. This work describes an approach towards making these values comparable. In the described setting, the evaluation of sensor measurements from different smartphone users becomes increasingly prevalent. Therefore, the shown approach can be also considered as a more general solution as it not only shows how it helped to interpret TYT sound level data, but may also stimulate other researchers, especially those who need to interpret sensor data in a similar setting. Altogether, the approach will show that measuring sound levels with mobile devices is possible in healthcare scenarios, but there are many challenges to ensuring that the measured values are interpretable. KW - mHealth KW - crowdsensing KW - tinnitus KW - noise measurement KW - environmental sound Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-252246 SN - 1424-8220 VL - 22 IS - 1 ER - TY - THES A1 - Schönwetter, Elisabeth Sofie T1 - Towards an understanding of the intricate interaction network of TFIIH T1 - Auf dem Weg zum Verständnis des komplexen TFIIH Interaktionsnetzwerkes N2 - The integrity of its DNA is fundamental for every living cell. However, DNA is constantly threatened by exogenous and endogenous damaging agents that can cause a variety of different DNA lesions. The severe consequences of an accumulation of DNA lesions are reflected in cancerogenesis and aging. Several DNA repair mechanisms ensure the repair of DNA lesions and thus maintain DNA integrity. One of these DNA repair mechanisms is nucleotide excision repair (NER), which is famous for its ability to address a large variety of structurally unrelated DNA lesions. A key component of eukaryotic NER is the transcription factor II H (TFIIH) complex, which is not only essential for DNA repair but also for transcription. The TFIIH complex is composed of ten subunits. How these subunits work together during NER to unwind the DNA around the lesion is, however, not yet fully understood. High-resolution structural data and biochemical insights into the function of every subunit are thus indispensable to understand the functional networks within TFIIH. The importance of an intact TFIIH complex is reflected in the severe consequences of patient mutations in the TFIIH subunits XPB, XPD or p8 leading to the hallmark diseases xeroderma pigmentosum, Cockayne syndrome and trichothiodystrophy. Defects in the NER pathway are further associated with several types of cancer including skin cancer. The herein described work focused on five TFIIH subunits derived from the thermophilic fungus Chaetomium thermophilum, the p34/p44 pair and the ternary XPB/p52/p8 complex. The interaction between p34 and p44 was characterized based on a high-resolution structure of the p34_vWA/p44_RING minimal complex. Biochemical studies of the p34/p44 interaction led to the disclosure of an additional interaction between the p34 and p44 subunits, which had not been characterized so far. The p34/p44 interaction was shown to be central to TFIIH, which justifies the presence of several redundant interfaces to safeguard the interaction between the two proteins and might explain why so far, no patient mutations in these subunits have been identified. The p52 subunit of TFIIH was known to be crucial to stimulate the ATPase activity of XPB, which is required during NER. This work presents the first entire atomic resolution structural characterization of p52, which was derived of several crystal structures of p52 variants and a p52/p8 variant thereby demonstrating the interaction between p52 and p8. The precise structural model of p52 offered the possibility to investigate interactions with other TFIIH subunits in more detail. The middle domain 2 of p52 and the N-terminal domain of XPB were shown to mediate the main interaction between the two subunits. An analysis of the p52 crystal structures within recently published cryo-electron microscopy structures of TFIIH provides a model of how p52 and p8 stimulate the ATPase activity of XPB, which is essential for NER and transcription. The structural and biochemical findings of this work provide an additional building block towards the uncovering of the architecture and function of this essential transcription factor. N2 - Die Unversehrtheit ihrer DNA ist für jede lebende Zelle elementar. Die DNA ist jedoch fortwährend exogenen und endogenen Toxinen ausgeliefert, die eine Vielfalt unterschiedlicher DNA-Schäden verursachen. Die sehr ernsthaften Konsequenzen einer Anhäufung von DNA-Schäden spiegeln sich in der Entstehung von Tumorerkrankungen und Alterung wider. Verschiedene DNA-Reparaturmechanismen sorgen für die Reparatur von DNA-Schäden und erhalten so die Unversehrtheit der DNA. Einer dieser DNA-Reparaturmechanismen ist die Nukleotid-Exzisions-Reparatur (NER), die bekannt dafür ist, eine Vielfalt an strukturell unterschiedlichen DNA-Schäden zu adressieren. Eine Schlüsselkomponente der eukaryotischen NER ist der Transkriptionsfaktor II H (TFIIH), welcher nicht nur für die DNA-Reparatur, sondern auch für die Transkription essentiell ist. Der TFIIH Komplex besteht aus zehn Untereinheiten. Wie diese Untereinheiten zusammenarbeiten, um die DNA um den Schaden herum zu entwinden, ist jedoch noch nicht hinreichend bekannt. Hochaufgelöste Strukturdaten und biochemische Einblicke in die Funktion jeder Untereinheit sind daher unabkömmlich, um das funktionelle Netzwerk innerhalb dieses Transkriptionsfaktors zu verstehen. Die Bedeutung eines intakten TFIIH Komplexes spiegelt sich in den verheerenden Folgen von Patientenmutationen in den TFIIH Untereinheiten XPB, XPD oder p8 wider, die zu den kennzeichnenden Krankheitsbildern von Xeroderma Pigmentosum, Cockayne Syndrom und Trichothiodystrophie führen. Ein fehlerhafter NER Reparaturweg ist ferner mit einigen Krebsarten wie Hautkrebs assoziiert. Die hier beschriebene Arbeit hat sich auf fünf TFIIH Untereinheiten konzentriert, die aus dem thermophilen Pilz Chaetomium thermophilum stammen, das p34/p44 Heterodimer und der ternäre XPB/p52/p8 Komplex. Die Interaktion zwischen p34 und p44 wurde basierend auf einer hochaufgelösten Kristallstruktur des p34_vWA/p44_RING Minimalkomplexes charakterisiert. Biochemische Studien der p34/p44 Interaktion haben zur Aufdeckung einer weiteren Interaktion zwischen p34 und p44 geführt, die bisher noch nicht charakterisiert wurde. Die p34/p44 Interaktion ist von zentraler Bedeutung für TFIIH, was die Gegenwart mehrerer redundanter Schnittstellen zwischen p34 und p44, um die p34/p44 Interaktion abzusichern, rechtfertigt und erklären könnte, warum bislang keine Patientenmutationen in diesen Untereinheiten identifiziert wurden. Die p52 Untereinheit von TFIIH ist bekannt dafür, die ATPase-Aktivität von XPB zu stimulieren, die während der NER benötigt wird. Diese Arbeit zeigt die erste vollständige atomare strukturelle Charakterisierung von p52, die aus verschiedenen Kristallstrukturen von p52 Varianten und einer p52/p8 Variante, welche die Interaktion zwischen p52 und p8 darstellt, stammt. Das Strukturmodel von p52 bietet die Möglichkeit Interaktionen mit anderen TFIIH Untereinheiten zu analysieren. Es wurde gezeigt, dass die mittlere Domäne 2 von p52 und die N-terminale Domäne von XPB die hauptsächliche Interaktion zwischen den beiden Untereinheiten vermitteln. Eine Analyse der p52 Kristallstrukturen in neuesten publizierten cryo-Elektronenmikroskopie TFIIH-Strukturen ermöglichte die Erstellung eines Models, das zeigt, wie p52 und p8 die ATPase-Aktivität von XPB stimulieren, welche essentiell für die NER und die Transkription ist. Die strukturellen und biochemischen Erkenntnisse dieser Arbeit bieten einen wichtigen Beitrag zur Enthüllung der Architektur und Funktion von TFIIH, einem essentiellen zellulären Komplex. KW - DNS-Reparatur KW - Röntgenkristallographie KW - Strukturbiologie KW - DNA repair KW - TFIIH KW - Nucleotide excision repair KW - Nukleotid-Exzisions-Reparatur Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-168926 ER - TY - JOUR A1 - Dischinger, Ulrich A1 - Hasinger, Julia A1 - Königsrainer, Malina A1 - Corteville, Carolin A1 - Otto, Christoph A1 - Fassnacht, Martin A1 - Hankir, Mohamed A1 - Seyfried, Florian Johannes David T1 - Toward a Medical Gastric Bypass: Chronic Feeding Studies With Liraglutide + PYY\(_{3-36}\) Combination Therapy in Diet-Induced Obese Rats JF - Frontiers in Endocrinology N2 - Background Combination therapies of anorectic gut hormones partially mimic the beneficial effects of bariatric surgery. Thus far, the effects of a combined chronic systemic administration of Glucagon-like peptide-1 (GLP-1) and peptide tyrosine tyrosine 3-36 (PYY\(_{3-36}\)) have not been directly compared to Roux-en-Y gastric bypass (RYGB) in a standardized experimental setting. Methods High-fat diet (HFD)-induced obese male Wistar rats were randomized into six treatment groups: (1) RYGB, (2) sham-operation (shams), (3) liraglutide, (4) PYY\(_{3-36}\), (5) PYY\(_{3-36}\)+liraglutide (6), saline. Animals were kept on a free choice high- and low-fat diet. Food intake, preference, and body weight were measured daily for 4 weeks. Open field (OP) and elevated plus maze (EPM) tests were performed. Results RYGB reduced food intake and achieved sustained weight loss. Combined PYY\(_{3-36}\)+liraglutide treatment led to similar and plateaued weight loss compared to RYGB. Combined PYY\(_{3-36}\)+liraglutide treatment was superior to PYY\(_{3-36}\) (p ≤ 0.0001) and liraglutide (p ≤ 0.05 or p ≤ 0.01) mono-therapy. PYY\(_{3-36}\)+liraglutide treatment and RYGB also reduced overall food intake and (less pronounced) high-fat preference compared to controls. The animals showed no signs of abnormal behavior in OF or EPM. Conclusions Liraglutide and PYY\(_{3-36}\) combination therapy vastly mimics reduced food intake, food choice and weight reducing benefits of RYGB. KW - obesity KW - rygb KW - liraglutide KW - peptide tyrosine tyrosine (PYY) KW - treatment KW - gastric bypass KW - peptide tyrosine tyrosine 3-36 (PYY3-36) Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-223113 SN - 1664-2392 VL - 11 ER - TY - THES A1 - Shamburger, William T1 - Total Synthesis of Mono- and Dimeric Naphthylisoquinoline Alkaloids and Related Analogs T1 - Totalsynthese von monomeren und dimeren Naphthylisochinolin-Alkaloiden und davon abgeleiteten Analoga N2 - Our research group focusses on the isolation, structural elucidation, and synthesis of bioactive natural products, among others, the naphthylisoquinoline alkaloids from tropical lianas. This intriguing class of compounds comprises representatives with activities against, e.g. P. falciparum, the cause of Malaria tropica, against the neglected disease leishmaniasis, and, as discovered more recently, against different types of cancer cells. Based on the high potency of theses extraordinary secondary metabolites, this thesis was devoted to the total synthesis of bioactive natural products and closely related analogs. N2 - Die bemerkenswerte Substanzklasse der Naphthylisochinolin-Alkaloide enthält Wirkstoffe mit Aktivitäten gegen P. falciparum, den Erreger der Malaria tropica, gegen Leishmaniose und, wie erst kürzlich entdeckt, Wirkstoffe mit Aktivität gegenüber Zelllinien verschiedener Krebsarten. Aufgrund der hohen Wirksamkeit dieser außergewöhnlichen Sekundärmetabolite wurde die vorliegende Doktorarbeit auf die Totalsynthese bioaktiver Naphthylisochinoline und davon abgeleiteter Derivate ausgerichtet. KW - Naphthylisochinolinalkaloide KW - Totalsynthese KW - Dioncophylline C KW - 5'-O-Methyldioncophylline D KW - Ancistrolikokine E3 KW - Jozimine A2 KW - Naphthyl Isoquinolines KW - Total Synthesis Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-250612 ER - TY - JOUR A1 - Osmanoglu, Özge A1 - Khaled AlSeiari, Mariam A1 - AlKhoori, Hasa Abduljaleel A1 - Shams, Shabana A1 - Bencurova, Elena A1 - Dandekar, Thomas A1 - Naseem, Muhammad T1 - Topological Analysis of the Carbon-Concentrating CETCH Cycle and a Photorespiratory Bypass Reveals Boosted CO\(_2\)-Sequestration by Plants JF - Frontiers in Bioengineering and Biotechnology N2 - Synthetically designed alternative photorespiratory pathways increase the biomass of tobacco and rice plants. Likewise, some in planta–tested synthetic carbon-concentrating cycles (CCCs) hold promise to increase plant biomass while diminishing atmospheric carbon dioxide burden. Taking these individual contributions into account, we hypothesize that the integration of bypasses and CCCs will further increase plant productivity. To test this in silico, we reconstructed a metabolic model by integrating photorespiration and photosynthesis with the synthetically designed alternative pathway 3 (AP3) enzymes and transporters. We calculated fluxes of the native plant system and those of AP3 combined with the inhibition of the glycolate/glycerate transporter by using the YANAsquare package. The activity values corresponding to each enzyme in photosynthesis, photorespiration, and for synthetically designed alternative pathways were estimated. Next, we modeled the effect of the crotonyl-CoA/ethylmalonyl-CoA/hydroxybutyryl-CoA cycle (CETCH), which is a set of natural and synthetically designed enzymes that fix CO₂ manifold more than the native Calvin–Benson–Bassham (CBB) cycle. We compared estimated fluxes across various pathways in the native model and under an introduced CETCH cycle. Moreover, we combined CETCH and AP3-w/plgg1RNAi, and calculated the fluxes. We anticipate higher carbon dioxide–harvesting potential in plants with an AP3 bypass and CETCH–AP3 combination. We discuss the in vivo implementation of these strategies for the improvement of C3 plants and in natural high carbon harvesters. KW - CO2-sequestration KW - photorespiration KW - elementary modes KW - synthetic pathways KW - carboxylation KW - metabolic modeling KW - CETCH cycle Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-249260 SN - 2296-4185 VL - 9 ER - TY - JOUR A1 - Herbert, S. L. A1 - Wöckel, A. A1 - Kreienberg, R. A1 - Kühn, T. A1 - Flock, F. A1 - Felberbaum, R. A1 - Janni, W. A1 - Curtaz, C. A1 - Kiesel, M. A1 - Stüber, T. A1 - Diessner, J. A1 - Salmen, J. A1 - Schwentner, L. A1 - Fink, V. A1 - Bekes, I. A1 - Leinert, E. A1 - Lato, K. A1 - Polasik, A. A1 - Schochter, F. A1 - Singer, S. T1 - To which extent do breast cancer survivors feel well informed about disease and treatment 5 years after diagnosis? JF - Breast Cancer Research and Treatment N2 - Objective In this study, we investigated to which extent patients feel well informed about their disease and treatment, which areas they wish more or less information and which variables are associated with a need for information about the disease, medical tests and treatment. Methods In a German multi-centre prospective study, we enrolled 759 female breast cancer patients at the time of cancer diagnosis (baseline). Data on information were captured at 5 years after diagnosis with the European Organisation for Research and Treatment of Cancer (EORTC) Information Module (EORTC QLQ-INFO24). Good information predictors were analysed using linear regression models. Results There were 456 patients who participated at the 5-year follow-up. They reported to feel well informed about medical tests (mean score 78.5) and the disease itself (69.3) but relatively poorly about other services (44.3) and about different places of care (31.3). The survivors expressed a need for more information concerning: side effects and long-term consequences of therapy, more information in general, information about aftercare, prognosis, complementary medicine, disease and therapy. Patients with higher incomes were better informed about medical tests (β 0.26, p 0.04) and worse informed with increasing levels of fear of treatment (β − 0.11, p 0.02). Information about treatment was reported to be worse by survivors > 70 years old (β -0.34, p 0.03) and by immigrants (β -0.11, p 0.02). Survivors who had received additional written information felt better informed about disease, medical tests, treatment and other services (β 0.19/0.19/0.20/0.25; each p < 0.01). Conclusion Health care providers have to reconsider how and what kind of information they provide. Providing written information, in addition to oral information, may improve meeting those information needs. KW - breast cancer KW - survivors KW - unmet needs KW - health care providers Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-232356 SN - 0167-6806 VL - 185 ER - TY - JOUR A1 - Link, Fabian A1 - Borges, Alyssa R. A1 - Jones, Nicola G. A1 - Engstler, Markus T1 - To the Surface and Back: Exo- and Endocytic Pathways in Trypanosoma brucei JF - Frontiers in Cell and Developmental Biology N2 - Trypanosoma brucei is one of only a few unicellular pathogens that thrives extracellularly in the vertebrate host. Consequently, the cell surface plays a critical role in both immune recognition and immune evasion. The variant surface glycoprotein (VSG) coats the entire surface of the parasite and acts as a flexible shield to protect invariant proteins against immune recognition. Antigenic variation of the VSG coat is the major virulence mechanism of trypanosomes. In addition, incessant motility of the parasite contributes to its immune evasion, as the resulting fluid flow on the cell surface drags immunocomplexes toward the flagellar pocket, where they are internalized. The flagellar pocket is the sole site of endo- and exocytosis in this organism. After internalization, VSG is rapidly recycled back to the surface, whereas host antibodies are thought to be transported to the lysosome for degradation. For this essential step to work, effective machineries for both sorting and recycling of VSGs must have evolved in trypanosomes. Our understanding of the mechanisms behind VSG recycling and VSG secretion, is by far not complete. This review provides an overview of the trypanosome secretory and endosomal pathways. Longstanding questions are pinpointed that, with the advent of novel technologies, might be answered in the near future. KW - cell surface KW - African trypanosomes KW - endocytosis KW - exocytosis KW - membrane recycling KW - Rab KW - clathrin Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-244682 SN - 2296-634X VL - 9 ER - TY - JOUR A1 - Graser, Stephanie A1 - Liedtke, Daniel A1 - Jakob, Franz T1 - TNAP as a new player in chronic inflammatory conditions and metabolism JF - International Journal of Molecular Sciences N2 - This review summarizes important information on the ectoenzyme tissue-nonspecific alkaline phosphatase (TNAP) and gives a brief insight into the symptoms, diagnostics, and treatment of the rare disease Hypophosphatasia (HPP), which is resulting from mutations in the TNAP encoding ALPL gene. We emphasize the role of TNAP beyond its well-known contribution to mineralization processes. Therefore, above all, the impact of the enzyme on central molecular processes in the nervous system and on inflammation is presented here. KW - TNAP KW - Hypophosphatasia KW - HPP KW - mineralization KW - nervous system KW - inflammation Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-258888 SN - 1422-0067 VL - 22 IS - 2 ER - TY - THES A1 - Lindenberg [verh. Schubert], Annekathrin T1 - Timing of sensory preferences in \(Camponotus\) Ants T1 - Zeitliche Anpassung sensorischer Präferenzen in \(Camponotus\) Ameisen N2 - Ants belong to the most successful insects living on our planet earth. One criterion of their tremendous success is the division of labor among workers that can be related to age (age¬– or temporal polyethism) and/ or body size (size–related polymorphism). Young ants care for the queen and brood in the nest interior and switch to foraging tasks in the outside environment with ongoing age. This highly flexible interior–exterior transition probably allows the ant workers to properly match the colony needs and is one of the most impressive behaviors a single worker undergoes during its life. As environmental stimuli are changing with this transition, workers are required to perform a new behavioral repertoire. This requires significant adaptions in sensory and higher¬–order integration centers in the brain, like the mushroom bodies. Furthermore, foragers need proper time measuring mechanisms to cope with daily environmental changes and to adapt their own mode of life. Therefore, they possess a functional endogenous clock that generates rhythms with a period length of approximately 24 hours. The species–rich genus of Camponotus ants constitute a rewarding model to study how behavioral duties of division of labor were performed and modulated within the colony and how synaptic plasticity in the brain is processed, as they can divide their labor to both, age and body size, simultaneously. In my PhD thesis, I started to investigate the behavioral repertoire (like foraging and locomotor activity) of two sympatric Camponotus species, C. mus and C. rufipes workers under natural and under controlled conditions. Furthermore, I focused on the division of labor in C. rufipes workers and started to examine structural and ultrastructural changes of neuronal architectures in the brain that are accompanied by the interior–exterior transition of C. rufipes ants. In the first part of my thesis, I started to analyze the temporal organization of task allocation throughout the life of single C. rufipes workers. Constant video–tracking of individually labeled workers for up to 11 weeks, revealed an age–related division of labor of interior and exterior workers. After emergence, young individuals are tended to by older ones within the first 48 hours of their lives before they themselves start nurturing larvae and pupae. Around 52% switch to foraging duties at an age of 14–20 days. The workers that switched to foraging tasks are mainly media–sized workers and seem to be more specialized than nurses. Variations in proportion and the age of switching workers between and within different subcolonies indicate how highly flexible and plastic the age–related division of labor occurs in this ant species. Most of the observed workers were engaged in foraging tasks exclusively during nighttime. As the experiments were conducted in the laboratory, they are completely lacking environmental stimuli of the ants´ natural habitat. I therefore asked in a second study, how workers of the two closely related Camponotus species, C. rufipes and C. mus, adapt their daily activity patterns (foraging and locomotor activity) under natural (in Uruguay, South America) and controlled (in the laboratory) conditions to changing thermal conditions. Monitoring the foraging activity of both Camponotus species in a field experiment revealed, that C. mus workers are exclusively diurnal, whereas C. rufipes foragers are predominantly nocturnal. However, some nests showed an elevated daytime activity, which could be an adaption to seasonally cold night temperatures. To further investigate the impact of temperature and light on the differing foraging activity patterns in the field, workers of both Camponotus species were artificially exposed to different thermal regimes in the laboratory, simulating local winter and summer conditions. Here again, C. mus workers display solely diurnal locomotor activity, whereas workers of C. rufipes shifted their locomotor activity from diurnal under thermal winter conditions to nocturnal under thermal summer conditions. Hence, the combination of both, field work and laboratory studies, shows that daily activity is mostly shaped by thermal conditions and that temperature cycles are not just limiting foraging activity but can be used as zeitgeber to schedule the outside activities of the nests. Once an individual worker switches from indoor duties to exterior foraging tasks, it is confronted with an entirely new set of sensory information. To cope with changes of the environmental conditions and to facilitate the behavioral switch, workers need a highly flexible and plastic neuronal system. Hence, my thesis further focuses on the underlying neuronal adaptations of the visual system, including the optic lobes as the primary visual neuropil and the mushroom bodies as secondary visual brain neuropil, that are accompanied with the behavioral switch from nursing to foraging. The optic lobes as well as the mushroom bodies of light–deprived workers show an `experience–independent´ volume increase during the first two weeks of adulthood. An additional light exposure for 4 days induces an `experience–dependent´ decrease of synaptic complexes in the mushroom body collar, followed by an increase after extended light exposure for 14 days. I therefore conclude, that the plasticity of the central visual system represents important components for the optimal timing of the interior–exterior transitions and flexibility of the age–related division of labor. These remarkable structural changes of synaptic complexes suggest an active involvement of the mushroom body neuropil in the lifetime plasticity that promotes the interior–exterior transition of Camponotus rufipes ants. Beside these investigations of neuronal plasticity of synaptic complexes in the mushroom bodies on a structural level, I further started to examine mushroom body synaptic structures at the ultrastructural level. Until recently, the detection of synaptic components in projection neuron axonal boutons were below resolution using classical Transmission Electron Microscopy. Therefore, I started to implement Electron Tomography to increase the synaptic resolution to understand architectural changes in neuronal plasticity process. By acquiring double tilt series and consecutive computation of the acquired tilt information, I am now able to resolve individual clear–core and dense–core vesicles within the projection neuron cytoplasm of C. rufipes ants. I additionally was able to reveal single postsynaptic Kenyon cell dendritic spines (~62) that surround one individual projection neuron bouton. With this, I could reveal first insights into the complex neuronal architecture of single projection neuron boutons in the olfactory mushroom body lip region. The high resolution images of synaptic architectures at the ultrastructural level, received with Electron Tomography would promote the understanding of architectural changes in neuronal plasticity. In my PhD thesis, I demonstrate that the temporal organization within Camponotus colonies involves the perfect timing of different tasks. Temperature seems to be the most scheduling abiotic factors of foraging and locomotor activity. The ants do not only need to adapt their behavioral repertoire in accordance to the interior–exterior switch, also the parts in the peripheral and central that process visual information need to adapt to the new sensory environment. N2 - Ameisen gehören zu den erfolgreichsten Insekten unserer Erde. Hauptverantwortlich für ihren enormen Erfolg ist die Arbeitsteilung der Arbeiterinnenkaste. Ameisenarbeiterinnen können sich ihre Aufgaben abhängig ihrer Körpergröße teilen (Größenpolymorphismus), indem unterschiedlich große Tiere verschiedenen Aufgaben in der Kolonie nachgehen. Zusätzlich kann die Arbeitsteilung aber auch altersbedingt sein (auch genannt Alters– oder zeitlicher Polyethismus): Junge Ameisen kümmern sich um die Königin und Brut innerhalb des Nestes, bevor sie mit zunehmendem Alter das Nest verlassen und zu Futtersammlerinnen (Furageuren) werden. Der extrem anpassungsfähige Wechsel von Innen¬– zu Außendiensttieren ist einer der erstaunlichsten Verhaltensweisen, die Arbeiterinnen an den Tag legen und ermöglicht es ihnen, den unterschiedlichen Bedürfnissen ihrer Kolonie nachzugehen. Der Übergang der Ammentätigkeit zum Furagieren ist mit beträchtlichen Veränderungen der sensorischen Umgebung der einzelnen Arbeiterinnen verbunden und erfordert eine Verhaltensanpassung an diese neuen Gegebenheiten. Wenn sich die Verhaltensweisen der Arbeiterinnen ändert, führt das zu Anpassungen der sensorischen und höheren Verschaltungszentren in bestimmten Gehirnarealen. Eines dieser sensorischen Verarbeitungszentren sind die Pilzkörper. Außerdem müssen Furageure in der Lage sein, tägliche Veränderungen ihrer Umwelt wahrzunehmen, um ihre Verhaltensweisen stets optimal an die sich ändernde Umwelt anzupassen. Dafür brauchen sie eine funktionierende innere Uhr, die rhythmisch mit einer Periodenlänge von ca. 24 Stunden läuft. Die artenreiche Gattung der Camponotus Ameisen ist ein geeigneter Organismus, um die Verhaltensweisen die mit der Arbeitsteilung der Arbeiterinnenkaste einhergehen, zu untersuchen, da sowohl der Größenpolymorphismus als auch der Alterspolyethismus zeitgleich in dieser Gattung auftauchen können. Dadurch eignen sich Camponotus Ameisen auch hervorragend, um strukturelle Veränderungen synaptischer Komplexe im Gehirn, die sich durch die Arbeitsteilung ändern können, zu untersuchen. In meiner Doktorarbeit habe ich damit angefangen, die Verteilung von bestimmten Aufgaben (Ammen und Furageure) von C. rufipes Arbeiterinnen zu untersuchen. Mithilfe von Videoaufnahmen über elf Wochen, konnte ich sowohl eine altersabhängige, als auch eine größenabhängige Arbeitsteilung zwischen Ammen und Furageuren für diese Art zeigen. Frisch geschlüpfte Tiere wurden innerhalb der ersten 48 Stunden von anderen Ammen umsorgt, bevor sie selbst zu Ammen wurden und Aufgaben wie Brutpflege übernommen haben. Nach rund 14–20 Tagen sind 53% der Ammen zu Furageuren gewechselt. Zusätzlich zu der altersabhängigen Arbeitsteilung konnte ich zeigen, dass die Körpergröße der Ammen deutlich breiter gestreut ist als die der Furageure, was in einer höheren Spezialisierung der Furageure resultiert. Proportionale Unterschiede des Alters und der Größe der Tiere, die diesen Wechsel vollzogen haben zeigen, wie hoch flexibel und anpassungsfähig die Arbeitsteilung innerhalb der Arbeiterinnenkaste sein kann. Die meisten der beobachteten Furageure waren außerdem fast ausschließlich nachtaktiv. Da ich diese Experimente im Labor durchgeführt habe, fehlt es komplett an der natürlichen sensorischen Umgebung der Tiere. In dem zweiten Teil meiner Doktorarbeit habe ich mich damit beschäftigt, ob sich tägliche Aktivitätsmuster (Furagier– und Bewegungsaktivität) von Arbeiterinnen zweier nah verwandter Camponotus Arten (C. rufipes und C. mus) unter natürlichen Bedingungen (in Uruguay, Südamerika) und unter kontrollierten Bedingungen (im Labor), in Abhängigkeit von den abiotischen Faktoren Licht und Temperatur, verändern können. Meine Ergebnisse zeigen, dass C. mus Arbeiterinnen unter natürlichen Bedingungen strikt tagaktiv sind, wohingegen C. rufipes Arbeiterinnen vornehmlich nachts furagierten. Ein paar C. rufipes Nester zeigten allerdings eine erhöhte Furagieraktivität tagsüber, was auf die saisonal kalten Nächte zurückzuführen sein könnte. Um den Einfluss von Licht und Temperatur, der sich auf die Furagieraktivität im Feld gezeigt hat, genauer untersuchen zu können, wurden Arbeiterinnen beider Camponotus Arten verschiedenen Licht– und Temperaturbedingungen im Labor ausgesetzt. Auch hier zeigten Arbeiterinnen der Gattung C. mus eine strikt tagaktive Bewegungsaktivität, wohingegen C. rufipes Arbeiterinnen von tagaktiv unter Winter Temperaturbedingungen zu nachaktiv unter Sommer Temperaturbedingungen wechselten. Die Kombination aus den Ergebnissen der Feld– und Laborstudien zeigen deutlich, dass die generelle Aktivität der beiden Arten hauptsächlich durch Licht und Temperatur beeinflusst wird und dass Temperaturzyklen nicht nur ein limitierender Faktor der Furagieraktivität sind, sondern auch als Zeitgeber dienen können um Aktivität generell zu regulieren. Wenn der Übergang von Innen– zu Außendiensttieren stattgefunden hat, ändert sich die komplette sensorische Umgebung der Furageure. Um diese Veränderungen verarbeiten zu können, brauchen Arbeiterinnen ein hoch anpassungsfähiges und flexibles neuronales System. Daher beschäftigte ich mich in meiner Doktorarbeit außerdem mit den zugrundeliegenden neuronalen Anpassungen der visuellen Verarbeitungsregionen im Gehirn, wie die optischen Loben und die Pilzkörper, die mit dem Wechsel von Ammen zu Furageuren einhergehen. Ich konnte zeigen, dass die optischen Loben und die Pilzkörper von im Dunkeln gehaltenen Arbeiterinnen eine `Erfahrungs–unabhängige´ Volumenszunahme innerhalb der ersten zwei Wochen nach dem Schlupf zeigen. Eine folgende Lichtexposition von vier Tagen führte zu einer `Erfahrungs–abhängigen´ Abnahme der synaptischen Strukturen im Pilzkörper, die allerdings durch eine länger anhaltende Lichtexposition von 14 Tagen wieder anstieg. Diese Plastizität des zentralen visuellen Nervensystems repräsentiert eine wichtige Komponente für die optimale zeitliche Anpassung des Wechsels von Ammen zu Furageuren und die enorme Flexibilität der altersabhängigen Arbeitsteilung. Außerdem scheinen die Pilzkörper durch diese beeindruckenden strukturellen Veränderungen der synaptischen Komplexe aktiv an dieser neuronalen Plastizität beteiligt zu sein und daher den Übergang von Innen– zu Außendiensttieren in C. rufipes Ameisen zu unterstützen. Neben meinen Untersuchungen zur neuronalen Plastizität synaptischer Komplexe im Pilzkörper auf der strukturellen Ebene, habe ich damit begonnen, diese Plastizität der neuronalen Komplexe auch auf Ultrastruktur Ebene zu untersuchen. Durch die zu geringe Auflösungsmöglichkeit der klassischen Transmissions Elektronenmikroskopie, konnten bisher einzelne synaptischer Komponenten in den axonalen Endigungen der Projektionsneurone nicht detektiert werden. Deswegen habe ich damit angefangen, die Methode der Elektronen Tomographie zu etablieren um die Auflösung synaptischer Komplexe zu verbessern. Mit dieser höheren Auflösung ist es möglich, bauliche Veränderungen der synaptischen Komplexe in Plastizitätsprozessen besser zu verstehen. Mit der Durchführung von `double tilt´ Serien und der anschließenden Verarbeitung der erhaltenen Bildinformation, war es mir möglich, einzelne `clear–core´ und `dense–core´ Vesikel innerhalb des Zytoplasmas der Projektionsneurone von C. rufipes Ameisen detektieren. Außerdem konnte ich mit dieser Methode einzelne postsynaptische dendritische Dornen der Kenyon Zellen (~62) identifizieren, die ein einzelnes Endknöpfchen eines Projektionsneurons umgeben. In diesem Teil meiner Arbeit konnte ich erste Einblicke in die komplexe neuronale Bauweise einzelner Endigungen der Projektionsneurone in der olfaktorischen Region der Pilzkörper zeigen. Die hochauflösenden Bilder synaptischer Komplexe auf dem Ultrastruktur Level, die man mit der Elektronen Tomographie erzielen kann, bringen das Verständnis baulicher Veränderungen innerhalb der neuronales Plastizität voran. In meiner Doktorarbeit konnte ich zeigen, dass die zeitliche Organisation verschiedener Aufgaben innerhalb der Kolonien von Camponotus Ameisen einer perfekten Zeitplanung bedarf. Hier scheinen die abiotischen Faktoren Temperatur und Licht den größten Einfluss auf die Furagieraktivität und die generelle Aktivität zu haben. Die Ameisenarbeiterinnen müssen nicht nur ihre Verhaltensweise nach dem Übergang von Ammen zu Furageuren anpassen, es müssen sich auch die Teile des Gehirns, die für die Verarbeitung visueller Reize zuständig sind, dieser neuen sensorischen Umgebung anpassen. KW - Rossameise KW - Pilzkörper KW - Arbeitsteilung KW - Furagieraktivität KW - foraging activity KW - Neuronales visuelles System KW - neuronal visual system KW - Camponotus rufipes Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-160948 ER - TY - THES A1 - Rücker, Viktoria T1 - Time trends and determinants of stroke mortality in Germany T1 - Zeitliche Trends und Einflussfaktoren auf die Schlaganfall-Sterblichkeit in Deutschland N2 - In several countries, a decline in mortality, case-fatality and recurrence rates of stroke was observed. However, studies investigating sex-specific and subtype-specific (pathological and etiological) time trends in stroke mortality, case-fatality and recurrence rates are scarce, especially in Germany. The decline in ischemic stroke mortality and case-fatality might be associated with the high quality of acute care of ischemic stroke, but the exact determinants of early outcome remains unknown for Germany. Therefore, as first step of this thesis, we investigated the time trends of subtype- and sex-specific age- standardized stroke mortality rates in Germany from 1998 to 2015, by applying joinpoint regression on official causes of death statistics, provided by the Federal Statistical Office. Furthermore, a regional comparison of the time trends in stroke mortality between East and West was conducted. In the second step, time trends in case-fatality and stroke recurrence rates were analyzed using data from a population- based stroke register in Germany between 1996 and 2015. The analysis was stratified by sex and etiological subtype of ischemic stroke. In the third step, quality of stroke care and the association between adherence to measures of quality of acute ischemic stroke care and in-hospital mortality was estimated based on data from nine regional hospital-based stroke registers in Germany from the years 2015 and 2016. We showed that in Germany, age-standardized stroke mortality declined by over 50% from 1998 to 2015 both, in women and men. Stratified by the pathological subtypes of stroke, the decrease in mortality was larger in ischemic stroke compared to hemorrhagic stroke. Different patterns in the time trends of stroke were observed for stroke subtypes, regions in Germany (former Eastern part of Germany (EG), former Western part of Germany (WG)) and sex, but in all strata a decline was found. By applying joinpoint regression, the number of changes in time trend differed between the regions and up to three changes in the trend in ischemic stroke mortality were detected. Trends in hemorrhagic stroke were in parallel between the regions with up to one change (in women) in joinpoint regression. Comparing the regions, stroke mortality was higher in EG compared to WG throughout the whole observed time period, however the differences between the regions started to diminish from 2007 onwards. Further it was found that, based on the population-based Erlangen Stroke Project (ESPro), case-fatality and recurrence rates in ischemic stroke patients are still high in Germany. 46% died and 20% got a recurrent stroke within the first five years after stroke. Case-fatality rates declined statistically significant from 1996 to 2015 across all ischemic stroke patients and all etiological subtypes of ischemic stroke. Based on Cox regression no statistically significant decrease in stroke recurrence was observed. Based on the pooled data of nine regional hospital-based stroke registers from the years 2015 and 2016 covering about 80% of all hospitalized stroke patients in Germany, a high quality of care of acute ischemic stroke patients, measured via 11 evidence-based quality indicators (QI) of process of care, was observed. Across all registers, most QI reached the predefined target values for good quality of stroke care. 9 out of 11 QI showed a significant association with 7-day in-hospital mortality. An inverse linear association between overall adherence to QI and 7-day in-hospital mortality was observed. In conclusion, stroke mortality and case-fatality showed a favorable development over time in Germany, which might partly be due to improvements in acute treatment. This is supported by the association between overall adherence to quality of care and in-hospital mortality. However, there might be room for improvements in long-term secondary prevention, as no clear reduction in recurrence rates was observed. N2 - Ein Rückgang der Mortalität-, Letalität- und Rezidivraten nach einem Schlaganfall konnte in einigen Ländern in den letzten Jahren beobachtet werden. Es gibt, insbesondere für Deutschland, jedoch nur wenige Daten, die diese zeitlichen Trends stratifiziert nach Geschlecht und Schlaganfallsubtyp (pathologischer und ätiologischer Subtyp) ausgewertet haben. Der Rückgang der Mortalität und Letalität nach ischämischem Schlaganfall könnte mit der beobachteten hohen Qualität der Versorgung des akuten ischämischen Schlaganfalls zusammenhängen, jedoch sind für Deutschland die genauen Determinanten der frühen Sterblichkeit nach Schlaganfall noch unbekannt. Aus diesem Grunde wurden in der vorliegenden Dissertation, im ersten Schritt zeitliche Trends von 1998 bis 2015 der altersstandardisierten und nach Subtyp und Geschlecht stratifizierten Mortalitätsraten untersucht. Dazu wurden die vom Statistischen Bundesamtes bereitgestellten Daten zur Todesursachenstatistik mittels Joinpoint Regression ausgewertet. Zusätzlich wurde ein regionaler Vergleich der zeitlichen Trends in der Schlaganfallmortalität zwischen der östlichen und westlichen Region von Deutschland durchgeführt. Im zweiten Schritt, wurde basierend auf einem deutschem bevölkerungsbasierten Schlaganfallregister mittels Cox Regression die zeitlichen Trends der Letalitätsraten und Rezidivraten des ischämischen Schlaganfalls zwischen 1996 und 2015 geschätzt. Die Analyse wurde stratifiziert nach Geschlecht und ätiologischem Subtyp des ischämischen Schlaganfalls. Im dritten Schritt wurde, basierend auf Daten von neun regionalen krankenhausbasierten Schlaganfallregistern der Jahre 2015 und 2016, die Qualität der Behandlung des akuten ischämischen gemessen und ein möglicher Zusammenhang zwischen dem Grad der Erfüllung von evidenzbasierten Qualitätsindikatoren und der Krankenhaussterblichkeit untersucht. Wir konnten zeigen, dass von 1998 bis 2015 die altersstandardisierten Schlaganfall Mortalitätsraten über 50%, sowohl bei Männern als auch bei Frauen, abgenommen haben. Stratifiziert nach pathologischem Schlaganfallsubtyp zeigte sich ein stärkerer Rückgang in den Mortalitätsraten nach ischämischem Schlaganfall als in der Mortalitätsrate nach hämorrhagischem Schlaganfall. In allen Strata sind die Mortalitätsraten gesunken, jedoch unterschieden sich die zeitlichen Verläufe zwischen den Strata (Geschlecht, Region). Die mittels Joinpoint Regression geschätzten Anzahlen an Änderungen im zeitlichen Trend der ischämischen Schlaganfall Mortalitätsraten variierten zwischen 0 und maximal 3 Änderungen, zwischen den Regionen und Geschlechtern. Die zeitlichen Trends der Mortalitätsraten nach hämorrhagischem Schlaganfall der beiden Regionen verliefen hingegen parallel zueinander und es zeigte sich nur bei Frauen eine Änderung in der Mortalitätsrate nach der Joinpoint Regression. Die Schlaganfall Mortalitätsraten im östlichen Teil von Deutschland waren über die gesamte Zeit hinweg höher als im westlichen Teil von Deutschland, jedoch glichen sich die Raten ab 2007 immer mehr einander an und es zeigte sich nur noch ein geringer Unterschied in 2015. Die altersadjustierten Letalitätsraten und Rezidivraten nach ischämischem Schlaganfall waren in Deutschland, basierend auf Daten des bevölkerungsbasierten Erlanger Schlaganfall Registers, relativ hoch. Innerhalb der ersten fünf Jahre nach einem ischämischen Schlaganfall sterben 46% und 20% aller Patienten bekommen einen erneuten Schlaganfall. Von 1996 bis 2015 haben die Letalitätsraten nach Schlaganfall signifikant abgenommen, dies zeigte sich in allen Subtypen des ischämischen Schlaganfalls. Die Rezidivraten zeigten keinen signifikanten Rückgang. Basierend auf gepoolten Daten aus den Jahren 2015/2016 von neun krankenhausbasierten Schlaganfall Registern in Deutschland, die ca. 80% aller hospitalisierten Schlaganfälle in Deutschland abdecken, ist die, mittels 11 evidenzbasierter Prozessindikatoren gemessene Qualität der Behandlung des ischämischen Schlaganfalls, hoch. In allen Registern lagen die meisten Qualitätsindikatoren über dem vorabdefinierten Referenzwert für eine gute Qualität an Schlaganfallversorgung. Ein Zusammenhang zwischen 7-Tage Krankenhaussterblichkeit und Erfüllung von einzelnen Qualitätsindikatoren, konnte bei 9 von 11 Qualitätsindikatoren gezeigt werden. Zusätzlich zeigte sich ein inverser Zusammenhang zwischen der Gesamteinhaltung von Qualitätsindikatoren und 7-Tage Krankenhaussterblichkeit. Schlaganfall Mortalitätsrate und Letalitätsraten zeigten eine positive Entwicklung in allen Subtypen des Schlaganfalls über die letzten 20 Jahre. Dies könnte mit Verbesserungen in der Behandlung des akuten ischämischen Schlaganfalls im Krankenhaus zusammenhängen, da ein Zusammenhang zwischen der Erfüllung von Qualitätsindikatoren und der Krankenhaussterblichkeit besteht. Jedoch besteht möglicherweise noch Verbesserungspotenzial in der langfristigen Sekundärprävention, da in den Rezidivraten kein klarer Rückgang erkennbar war. KW - Schlaganfall KW - Sterblichkeit KW - Rezidiv KW - Letalität KW - Trend KW - Qualitätsindikator Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-233116 ER - TY - JOUR A1 - Porubsky, Stefan A1 - Popovic, Zoran V. A1 - Badve, Sunil A1 - Banz, Yara A1 - Berezowska, Sabina A1 - Borchert, Dietmar A1 - Brüggemann, Monika A1 - Gaiser, Timo A1 - Graeter, Thomas A1 - Hollaus, Peter A1 - Huettl, Katrin S. A1 - Kotrova, Michaela A1 - Kreft, Andreas A1 - Kugler, Christian A1 - Lötscher, Fabian A1 - Möller, Burkhard A1 - Ott, German A1 - Preissler, Gerhard A1 - Roessner, Eric A1 - Rosenwald, Andreas A1 - Ströbel, Philipp A1 - Marx, Alexander T1 - Thymic hyperplasia with lymphoepithelial sialadenitis (LESA)-like features: strong association with lymphomas and non-myasthenic autoimmune diseases JF - Cancers N2 - Thymic hyperplasia (TH) with lymphoepithelial sialadenitis (LESA)-like features (LESA-like TH) has been described as a tumor-like, benign proliferation of thymic epithelial cells and lymphoid follicles. We aimed to determine the frequency of lymphoma and autoimmunity in LESA-like TH and performed retrospective analysis of cases with LESA-like TH and/or thymic MALT-lymphoma. Among 36 patients (21 males) with LESA-like TH (age 52 years, 32–80; lesion diameter 7.0 cm, 1–14.5; median, range), five (14%) showed associated lymphomas, including four (11%) thymic MALT lymphomas and one (3%) diffuse large B-cell lymphoma. One additional case showed a clonal B-cell-receptor rearrangement without evidence of lymphoma. Twelve (33%) patients (7 women) suffered from partially overlapping autoimmune diseases: systemic lupus erythematosus (n = 4, 11%), rheumatoid arthritis (n = 3, 8%), myasthenia gravis (n = 2, 6%), asthma (n = 2, 6%), scleroderma, Sjögren syndrome, pure red cell aplasia, Grave’s disease and anti-IgLON5 syndrome (each n = 1, 3%). Among 11 primary thymic MALT lymphomas, remnants of LESA-like TH were found in two cases (18%). In summary, LESA-like TH shows a striking association with autoimmunity and predisposes to lymphomas. Thus, a hematologic and rheumatologic workup should become standard in patients diagnosed with LESA-like TH. Radiologists and clinicians should be aware of LESA-like TH as a differential diagnosis for mediastinal mass lesions in patients with autoimmune diseases. KW - autoimmune disease KW - imaging KW - LESA KW - lymphoma KW - myasthenia KW - pathology KW - surgery KW - thymus KW - thymic epithelial tumor KW - thymitis Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-223049 SN - 2072-6694 VL - 13 IS - 2 ER - TY - JOUR A1 - Kunz, Julius A1 - Kneisel, Christof T1 - Three‐dimensional investigation of an open‐ and a closed‐system Pingo in northwestern Canada JF - Permafrost and Periglacial Processes N2 - The present study presents three-dimensional investigations of a hydrostatic pingo in the Mackenzie Delta region and a hydraulic pingo in the Ogilvie Mountains and contributes to a better understanding about the internal structures of the two pingo types. A combined approach using quasi-three-dimensional electrical resistivity tomography, ground-penetrating radar and frost probing allowed a clear delineation of frozen and unfrozen areas in the subsurface. At the hydrostatic pingo a massive ice core as well as a surrounding talik could be detected, but the location of the ice core and the talik differs from previous published assumptions. In contrast to acknowledged theory, at our site the massive ice core is not located in the center of the pingo but at the western edge, whereas the eastern flank is underlain by a talik, which surrounds the massive ice core. At the hydraulic pingo, the expected internal structure could be confirmed and the pathway of upwelling water could also be detected. The combined approach of the applied methods represents the first known three-dimensional geoelectrical investigation of pingos and provides new insights into the internal structure and architecture of the two different pingo types. The chosen approach allows further conclusions on the formation of these permafrost-affected landforms. KW - near surface multidimensional geophysics KW - pingos KW - permafrost hydrology KW - permafrost Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-257678 VL - 32 IS - 4 ER - TY - JOUR A1 - Dorji, Yonten A1 - Schuldt, Bernhard A1 - Neudam, Liane A1 - Dorji, Rinzin A1 - Middleby, Kali A1 - Isasa, Emilie A1 - Körber, Klaus A1 - Ammer, Christian A1 - Annighöfer, Peter A1 - Seidel, Dominik T1 - Three-dimensional quantification of tree architecture from mobile laser scanning and geometry analysis JF - Trees N2 - Key message Mobile laser scanning and geometrical analysis revealed relationships between tree geometry and seed dispersal mechanism, latitude of origin, as well as growth. Abstract The structure and dynamics of a forest are defined by the architecture and growth patterns of its individual trees. In turn, tree architecture and growth result from the interplay between the genetic building plans and environmental factors. We set out to investigate whether (1) latitudinal adaptations of the crown shape occur due to characteristic solar elevation angles at a species’ origin, (2) architectural differences in trees are related to seed dispersal strategies, and (3) tree architecture relates to tree growth performance. We used mobile laser scanning (MLS) to scan 473 trees and generated three-dimensional data of each tree. Tree architectural complexity was then characterized by fractal analysis using the box-dimension approach along with a topological measure of the top heaviness of a tree. The tree species studied originated from various latitudinal ranges, but were grown in the same environmental settings in the arboretum. We found that trees originating from higher latitudes had significantly less top-heavy geometries than those from lower latitudes. Therefore, to a certain degree, the crown shape of tree species seems to be determined by their original habitat. We also found that tree species with wind-dispersed seeds had a higher structural complexity than those with animal-dispersed seeds (p < 0.001). Furthermore, tree architectural complexity was positively related to the growth performance of the trees (p < 0.001). We conclude that the use of 3D data from MLS in combination with geometrical analysis, including fractal analysis, is a promising tool to investigate tree architecture. KW - tree architecture KW - LiDAR KW - fractal analysis KW - seed dispersal strategy KW - latitude KW - tree growth Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-307501 SN - 0931-1890 SN - 1432-2285 VL - 35 IS - 4 ER - TY - THES A1 - Lauton, Felix T1 - Three Essays on the Procurement of Essential Medicines in Developing Countries T1 - Drei Aufsätze zur Beschaffung unentbehrlicher Medikamente in Entwicklungsländern N2 - The first problem is that of the optimal volume allocation in procurement. The choice of this problem was motivated by a study whose objective was to support decision-making at two procurement organizations for the procurement of Depot Medroxyprogesterone Acetate (DMPA), an injectable contraceptive. At the time of this study, only one supplier that had undergone the costly and lengthy process of WHO pre-qualification was available to these organizations. However, a new entrant supplier was expected to receive WHO qualification within the next year, thus becoming a viable second source for DMPA procurement. When deciding how to allocate the procurement volume between the two suppliers, the buyers had to consider the impact on price as well as risk. Higher allocations to one supplier yield lower prices but expose a buyer to higher supply risks, while an even allocation will result in lower supply risk but also reduce competitive pressure, resulting in higher prices. Our research investigates this single- versus dual-sourcing problem and quantifies in one model the impact of the procurement volume on competition and risk. To support decision-makers, we develop a mathematical framework that accounts for the characteristics of donor-funded global health markets and models the effects of an entrant on purchasing costs and supply risks. Our in-depth analysis provides insights into how the optimal allocation decision is affected by various parameters and explores the trade-off between competition and supply risk. For example, we find that, even if the entrant supplier introduces longer leads times and a higher default risk, the buyer still benefits from dual sourcing. However, these risk-diversification benefits depend heavily on the entrant’s in-country registration: If the buyer can ship the entrant’s product to only a selected number of countries, the buyer does not benefit from dual sourcing as much as it would if entrant’s product could be shipped to all supplied countries. We show that the buyer should be interested in qualifying the entrant’s product in countries with high demand first. In the second problem we explore a new tendering mechanism called the postponement tender, which can be useful when buyers in the global health industry want to contract new generics suppliers with uncertain product quality. The mechanism allows a buyer to postpone part of the procurement volume’s allocation so the buyer can learn about the unknown quality before allocating the remaining volume to the best supplier in terms of both price and quality. We develop a mathematical model to capture the decision-maker’s trade-offs in setting the right split between the initial volume and the postponed volume. Our analysis shows that a buyer can benefit from this mechanism more than it can from a single-sourcing format, as it can decrease the risk of receiving poor quality (in terms of product quality and logistics performance) and even increase competitive pressure between the suppliers, thereby lowering the purchasing costs. By considering market parameters like the buyer’s size, the suppliers’ value (difference between quality and cost), quality uncertainty, and minimum order volumes, we derive optimal sourcing strategies for various market structures and explore how competition is affected by the buyer’s learning about the suppliers’ quality through the initial volume. The third problem considers the repeated procurement problem of pharmacies in Kenya that have multi-product inventories. Coordinating orders allows pharmacies to achieve lower procurement prices by using the quantity discounts manufacturers offer and sharing fixed ordering costs, such as logistics costs. However, coordinating and optimizing orders for multiple products is complex and costly. To solve the coordinated procurement problem, also known as the Joint Replenishment Problem (JRP) with quantity discounts, a novel, data-driven inventory policy using sample-average approximation is proposed. The inventory policy is developed based on renewal theory and is evaluated using real-world sales data from Kenyan pharmacies. Multiple benchmarks are used to evaluate the performance of the approach. First, it is compared to the theoretically optimal policy --- that is, a dynamic-programming policy --- in the single-product setting without quantity discounts to show that the proposed policy results in comparable inventory costs. Second, the policy is evaluated for the original multi-product setting with quantity discounts and compared to ex-post optimal costs. The evaluation shows that the policy’s performance in the multi-product setting is similar to its performance in the single-product setting (with respect to ex-post optimal costs), suggesting that the proposed policy offers a promising, data-driven solution to these types of multi-product inventory problems. N2 - Der erste Teil, welcher eine gemeinsame Arbeit mit Dr. Alexander Rothkopf und Prof. Dr. Richard Pibernik entstanden ist, ist durch eine Studie motiviert, die Entscheidungsträgern zweier Einkaufsorganisationen beim Einkauf von Depot Medroxyprogesterone Acetate (DMPA), einem länger wirkenden Verhütungsmittel, unterstützen sollte. Zum Zeitpunkt der Studie stand den Organisationen nur ein qualifizierter Lieferant zur Verfügung. Ein zweiter Zulieferer stand kurz vor der Zulassung. Ziel der Arbeit war es den Mehrwert des neuen Lieferanten zu quantifizieren und die optimale Aufteilung der Bestellmengen zwischen beiden Lieferanten zu ermitteln. Hierbei spielt die Abwägung von Preisen (getrieben durch den Wettbewerb zwischen beiden Lieferanten) und Risiko (getrieben durch unsichere Lieferzeiten und Ausfallwahrscheinlichkeiten) eine entscheidende Rolle. In unserer Arbeit zeigen wir wie sich die optimale Aufteilung anhand diverser Parameter, wie Lieferzuverlässigkeit, Kosten und Kapazität, verändert, und untersuchen die Abwägungsentscheidung zwischen Wettbewerb und Risiken. Im zweiten Teil, der ebenfalls eine gemeinsame Arbeit mit Dr. Alexander Rothkopf und Prof. Dr. Richard Pibernik ist, untersuchen wir einen innovativen Einkaufsmechanismus den wir "Postponement Tender" nennen. Das zugrundeliegende Problem ist das eines Einkäufers, welcher mit der unsicheren Qualität eines neuen Lieferanten konfrontiert ist, und der daraus resultierenden Allokationsentscheidung zwischen bestehendem und neuen Lieferanten. Anstatt alles auf einmal zu vergeben, kann der Einkäufer auch zuerst einen Teil des Volumens an beide Lieferanten vergeben, um die unsichere Qualität des neuen Lieferanten besser einzuschätzen. Nachdem die Lieferanten die ersten Volumina geliefert haben kann der Einkäufer die Qualität der Lieferanten besser beurteilen und kauft dann die nachgelagerte Menge vom besseren Lieferanten. Da die Lieferanten bereits zu Beginn Preise festlegen müssen, kann der Einkäufer durch diesen Mechanismus sowohl durch verbesserten Wettbewerb profitieren als auch von einem niedrigeren Qualitätsrisiko, da er dabei etwas über die Qualität der Lieferanten lernt. Wir zeigen in einer detaillierten Analyse wie, abhängig von Einkaufs- und Wettbewerbssituation, die Aufteilung zwischen dem ersten und dem zweiten Teil erfolgen sollte und unter welchen Bedingungen der "Postponement Tender" besser als eine klassische Einzelquellenbeschaffung ist. Der dritte Teil ist durch den Business Case kenianischer Apotheken motiviert: diese können durch die Koordination von Bestellungen niedrigere Einkaufspreise aufgrund von Mengenrabatten bei Lieferanten erzielen sowie fixe Bestellkosten wie Logistikkosten teilen. Aufgrund einer Vielzahl von Produkten ist diese Koordination allerdings sehr komplex und mit einem hohen Aufwand sowie Kosten verbunden. Um diese Hürde zu überwinden entwickle ich eine neue, datengetriebene Bestellpolitik für mehrperiodische Bestandsmanagementprobleme mit mehreren Produkten und Skaleneffekten in fixen sowie variablen Bestellkosten. Die entwickelte Politik beruht auf den Prinzipien von Erneuerungstheorie und Sample Average Approximation. Des Weiteren analysiere ich die Performance dieser Politik anhand realer Daten aus dem zugrundeliegenden Business Case. In einer ersten Auswertung zeigt sich, dass die resultierenden Kosten nah an denen der theoretisch optimalen Bestellpolitik liegen. Weiter wird gezeigt, dass sich das Verhältnis zu ex-post optimalen Kosten in Szenarien, in denen es keine theoretisch optimale Bestellpolitik gibt (mehrere Produkte und Mengenrabatte) im selben Rahmen befindet wie in Szenarien mit optimaler Bestellpolitik. Insgesamt zeigt der entwickelte Ansatz viel Potential für die Lösung komplexer Bestandsplanungsprobleme. KW - Entwicklungsländer KW - Beschaffung KW - Gesundheitswesen KW - Global Health KW - Procurement KW - Supply Chain KW - Data Driven Operations KW - Supply Chain Management KW - Einkauf KW - Modellierung KW - Operations Management Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-220631 ER - TY - JOUR A1 - Solymosi, László T1 - Three Decades of Success for Clinical Neuroradiology JF - Clinical Neuroradiology N2 - No abstract available. KW - Clinical Neuroradiology KW - journal KW - editorial board Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-264772 VL - 31 IS - 3 ER - TY - JOUR A1 - Buerger, Arne A1 - Vloet, Timo D. A1 - Haber, Lisa A1 - Geissler, Julia M. T1 - Third-wave interventions for eating disorders in adolescence - systematic review with meta-analysis JF - Borderline Personality Disorder and Emotion Dysregulation N2 - Context: Third-wave therapies have demonstrated efficacy as a treatment option for EDs in adulthood. Data on the suitability for EDs in adolescence are lacking. Objective: To estimate the efficacy of third-wave interventions to reduce ED symptoms in adolescents in randomized controlled trials (RCTs) and uncontrolled studies. Data sources: We systematically reviewed the databases PubMed (1976-January 2021), PsycINFO (1943-January 2021), and the Cochrane database (1995-January 2021) for English-language articles on third-wave therapies. References were screened for further publications of interest. Study selection: RCTs and pre-post studies without control group, comprising patients aged 11-21 years (mean age = 15.6 years) with an ED diagnosis (anorexia nervosa, bulimia nervosa, binge eating disorder, eating disorder not otherwise specified) investigating the efficacy of third-wave psychological interventions were included. Efficacy had to be evaluated according to the Eating Disorder Examination or Eating Disorder Examination-Questionnaire, the Eating Disorder Inventory-2, the Eating Disorder Inventory-3, or the Structured Interview for Anorexic and Bulimic Disorders for DSM-IV and ICD-10. The outcome assessed in the meta-analysis was the EDE total score. Data extraction: Independent extraction of data by two authors according to a pre-specified data extraction sheet and quality indicators. Data synthesis: We identified 1000 studies after removal of duplicates, assessed the full texts of 48 articles for eligibility, and included 12 studies with a total of 487 participants (female 97.3%/male 2.6%) in the qualitative synthesis and seven studies in the meta-analysis. Articles predominantly reported uncontrolled pre-post trials of low quality, with only two published RCTs. Treatments focused strongly on dialectical behaviour therapy (n = 11). We found moderate effects of third-wave therapies on EDE total score interview/questionnaire for all EDs (d = - 0.67; z = - 5.53; CI95% = - 0.83 to - 0.59). Descriptively, the effects appeared to be stronger in patients with BN and BED. Conclusion: At this stage, it is not feasible to draw conclusions regarding the efficacy of third-wave interventions for the treatment of EDs in adolescence due to the low quality of the empirical evidence. Since almost all of the identified studies used DBT, it is unfortunately not possible to assess other third-wave treatments' efficacy. KW - DBT KW - adolescence KW - eating disorders KW - third-wave psychotherapy KW - meta-analysis KW - review Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-260545 VL - 8 ER - TY - JOUR A1 - Gromer, Daniel A1 - Kiser, Dominik P. A1 - Pauli, Paul T1 - Thigmotaxis in a virtual human open field test JF - Scientific Reports N2 - Animal models are used to study neurobiological mechanisms in mental disorders. Although there has been significant progress in the understanding of neurobiological underpinnings of threat-related behaviors and anxiety, little progress was made with regard to new or improved treatments for mental disorders. A possible reason for this lack of success is the unknown predictive and cross-species translational validity of animal models used in preclinical studies. Re-translational approaches, therefore, seek to establish cross-species translational validity by identifying behavioral operations shared across species. To this end, we implemented a human open field test in virtual reality and measured behavioral indices derived from animal studies in three experiments (N=31, N=30, and N=80). In addition, we investigated the associations between anxious traits and such behaviors. Results indicated a strong similarity in behavior across species, i.e., participants in our study-like rodents in animal studies-preferred to stay in the outer region of the open field, as indexed by multiple behavioral parameters. However, correlational analyses did not clearly indicate that these behaviors were a function of anxious traits of participants. We conclude that the realized virtual open field test is able to elicit thigmotaxis and thus demonstrates cross-species validity of this aspect of the test. Modulatory effects of anxiety on human open field behavior should be examined further by incorporating possible threats in the virtual scenario and/or by examining participants with higher anxiety levels or anxiety disorder patients. KW - anxiety KW - human behavior KW - anciety-like behavior KW - approach-avoidance conflict KW - elevated plus-maze KW - spatial navigation KW - mental disorders KW - fear KW - threat KW - circuits KW - reality KW - metaanalysis Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-259850 VL - 11 ER - TY - JOUR A1 - Nowotny, Hanna A1 - Ahmed, S. Faisal A1 - Bensing, Sophie A1 - Beun, Johan G. A1 - Brösamle, Manuela A1 - Chifu, Irina A1 - Claahsen van der Grinten, Hedi A1 - Clemente, Maria A1 - Falhammar, Henrik A1 - Hahner, Stefanie A1 - Husebye, Eystein A1 - Kristensen, Jette A1 - Loli, Paola A1 - Lajic, Svetlana A1 - Reisch, Nicole T1 - Therapy options for adrenal insufficiency and recommendations for the management of adrenal crisis JF - Endocrine N2 - Adrenal insufficiency (AI) is a life-threatening condition requiring life-long glucocorticoid (GC) substitution therapy, as well as stress adaptation to prevent adrenal crises. The number of individuals with primary and secondary adrenal insufficiency in Europe is estimated to be 20–50/100.000. A growing number of AI cases are due to side effects of GC treatment used in different treatment strategies for cancer and to immunotherapy in cancer treatment. The benefit of hormone replacement therapy is evident but long-term adverse effects may arise due to the non-physiological GC doses and treatment regimens used. Given multiple GC replacement formulations available comprising short-acting, intermediate, long-acting and novel modified-release hydrocortisone as well as subcutaneous formulations, this review offers a concise summary on the latest therapeutic improvements for treatment of AI and prevention of adrenal crises. As availability of various glucocorticoid formulations and access to expert centers across Europe varies widely, European Reference Networks on rare endocrine conditions aim at harmonizing treatment and ensure access to specialized patient care for individual case-by-case treatment decisions. To improve the availability across Europe to cost effective oral and parenteral formulations of hydrocortisone will save lives. KW - adrenal insufficiency KW - congenital adrenal hyperplasia KW - adrenal crisis KW - glucocorticoid replacement KW - hydrocortisone KW - stress instructions Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-308769 SN - 1355-008X SN - 1559-0100 VL - 71 IS - 3 ER - TY - JOUR A1 - Stetter, Christian A1 - Weidner, Franziska A1 - Lilla, Nadine A1 - Weiland, Judith A1 - Kunze, Ekkehard A1 - Ernestus, Ralf-Ingo A1 - Muellenbach, Ralf Michael A1 - Westermaier, Thomas T1 - Therapeutic hypercapnia for prevention of secondary ischemia after severe subarachnoid hemorrhage: physiological responses to continuous hypercapnia JF - Scientific Reports N2 - Temporary hypercapnia has been shown to increase cerebral blood flow (CBF) and might be used as a therapeutical tool in patients with severe subarachnoid hemorrhage (SAH). It was the aim of this study was to investigate the optimum duration of hypercapnia. This point is assumed to be the time at which buffer systems become active, cause an adaptation to changes of the arterial partial pressure of carbon dioxide (PaCO2) and annihilate a possible therapeutic effect. In this prospective interventional study in a neurosurgical ICU the arterial partial pressure of carbon dioxide (PaCO\(_2\)) was increased to a target range of 55 mmHg for 120 min by modification of the respiratory minute volume (RMV) one time a day between day 4 and 14 in 12 mechanically ventilated poor-grade SAH-patients. Arterial blood gases were measured every 15 min. CBF and brain tissue oxygen saturation (StiO\(_2\)) were the primary and secondary end points. Intracranial pressure (ICP) was controlled by an external ventricular drainage. Under continuous hypercapnia (PaCO\(_2\) of 53.17 ± 5.07), CBF was significantly elevated between 15 and 120 min after the start of hypercapnia. During the course of the trial intervention, cardiac output also increased significantly. To assess the direct effect of hypercapnia on brain perfusion, the increase of CBF was corrected by the parallel increase of cardiac output. The maximum direct CBF enhancing effect of hypercapnia of 32% was noted at 45 min after the start of hypercapnia. Thereafter, the CBF enhancing slowly declined. No relevant adverse effects were observed. CBF and StiO\(_2\) reproducibly increased by controlled hypercapnia in all patients. After 45 min, the curve of CBF enhancement showed an inflection point when corrected by cardiac output. It is concluded that 45 min might be the optimum duration for a therapeutic use and may provide an optimal balance between the benefits of hypercapnia and risks of a negative rebound effect after return to normal ventilation parameters. KW - cerebrovascular disorders KW - clinical trials KW - neurology KW - neurovascular disorders KW - Phase II trials Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-260779 VL - 11 IS - 1 ER - TY - JOUR A1 - Werner, Rudolf A. A1 - Higuchi, Takahiro A1 - Pomper, Martin G. A1 - Rowe, Steven P. T1 - Theranostics in oncology — thriving, now more than ever JF - Diagnostics N2 - Tracing its roots back to the 1940s, theranostics in nuclear oncology has proved successful mainly due to the beneficial effects of image-guided therapeutic concepts for patients afflicted with a variety of different cancers. The majority of these treatments are not only characterized by substantial prolongation of progression-free and overall survival, but are also generally safe, rendering theranostic agents as an attractive treatment option in various clinical scenarios in oncology. In this Special Issue Novel Theranostic Agents, nine original articles from around the globe provide further evidence on the use of the theranostic concept for neuroendocrine neoplasm (NEN), prostate cancer (PC), meningioma, and neuroblastoma. The investigated diagnostic and therapeutic radiotracers target not only established structures, such as somatostatin receptor, prostate-specific membrane antigen or norepinephrine transporter, but also recently emerging targets such as the C-X-C motif chemokine receptor 4. Moreover, the presented original articles also combine the concept of theranostics with in-depth read-out techniques such as radiomics or novel reconstruction algorithms on pretherapeutic scans, e.g., for outcome prediction. Even 80 years after its initial clinical introduction, theranostics in oncology continues to thrive, now more than ever. KW - theranostics KW - somatostatin receptor (SSTR) KW - prostate-specific membrane antigen (PSMA) KW - prostate cancer KW - neuroendocrine neoplasms (NEN) KW - neuroendocrine tumors (NET) KW - meningioma KW - norepinephrine transporter KW - neuroblastoma Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-236662 SN - 2075-4418 VL - 11 IS - 5 ER - TY - THES A1 - Bartsch, Jan T1 - Theoretical and numerical investigation of optimal control problems governed by kinetic models T1 - Theoretische und numerische Untersuchung von Optimalsteuerungsproblemen mit kinetischen Modellen N2 - This thesis is devoted to the numerical and theoretical analysis of ensemble optimal control problems governed by kinetic models. The formulation and study of these problems have been put forward in recent years by R.W. Brockett with the motivation that ensemble control may provide a more general and robust control framework for dynamical systems. Following this formulation, a Liouville (or continuity) equation with an unbounded drift function is considered together with a class of cost functionals that include tracking of ensembles of trajectories of dynamical systems and different control costs. Specifically, $L^2$, $H^1$ and $L^1$ control costs are taken into account which leads to non--smooth optimization problems. For the theoretical investigation of the resulting optimal control problems, a well--posedness theory in weighted Sobolev spaces is presented for Liouville and related transport equations. Specifically, existence and uniqueness results for these equations and energy estimates in suitable norms are provided; in particular norms in weighted Sobolev spaces. Then, non--smooth optimal control problems governed by the Liouville equation are formulated with a control mechanism in the drift function. Further, box--constraints on the control are imposed. The control--to--state map is introduced, that associates to any control the unique solution of the corresponding Liouville equation. Important properties of this map are investigated, specifically, that it is well--defined, continuous and Frechet differentiable. Using the first two properties, the existence of solutions to the optimal control problems is shown. While proving the differentiability, a loss of regularity is encountered, that is natural to hyperbolic equations. This leads to the need of the investigation of the control--to--state map in the topology of weighted Sobolev spaces. Exploiting the Frechet differentiability, it is possible to characterize solutions to the optimal control problem as solutions to an optimality system. This system consists of the Liouville equation, its optimization adjoint in the form of a transport equation, and a gradient inequality. Numerical methodologies for solving Liouville and transport equations are presented that are based on a non--smooth Lagrange optimization framework. For this purpose, approximation and solution schemes for such equations are developed and analyzed. For the approximation of the Liouville model and its optimization adjoint, a combination of a Kurganov--Tadmor method, a Runge--Kutta scheme, and a Strang splitting method are discussed. Stability and second--order accuracy of these resulting schemes are proven in the discrete $L^1$ norm. In addition, conservation of mass and positivity preservation are confirmed for the solution method of the Liouville model. As numerical optimization strategy, an adapted Krylow--Newton method is applied. Since the control is considered to be an element of $H^1$ and to obey certain box--constraints, a method for calculating a $H^1$ projection is presented. Since the optimal control problem is non-smooth, a semi-smooth adaption of Newton's method is taken into account. Results of numerical experiments are presented that successfully validate the proposed deterministic framework. After the discussion of deterministic schemes, the linear space--homogeneous Keilson--Storer master equation is investigated. This equation was originally developed for the modelling of Brownian motion of particles immersed in a fluid and is a representative model of the class of linear Boltzmann equations. The well--posedness of the Keilson--Storer master equation is investigated and energy estimates in different topologies are derived. To solve this equation numerically, Monte Carlo methods are considered. Such methods take advantage of the kinetic formulation of the Liouville equation and directly implement the behaviour of the system of particles under consideration. This includes the probabilistic behaviour of the collisions between particles. Optimal control problems are formulated with an objective that is constituted of certain expected values in velocity space and the $L^2$ and $H^1$ costs of the control. The problems are governed by the Keilson--Storer master equation and the control mechanism is considered to be within the collision kernel. The objective of the optimal control of this model is to drive an ensemble of particles to acquire a desired mean velocity and to achieve a desired final velocity configuration. Existence of solutions of the optimal control problem is proven and a Keilson--Storer optimality system characterizing the solution of the proposed optimal control problem is obtained. The optimality system is used to construct a gradient--based optimization strategy in the framework of Monte--Carlo methods. This task requires to accommodate the resulting adjoint Keilson--Storer model in a form that is consistent with the kinetic formulation. For this reason, we derive an adjoint Keilson--Storer collision kernel and an additional source term. A similar approach is presented in the case of a linear space--inhomogeneous kinetic model with external forces and with Keilson--Storer collision term. In this framework, a control mechanism in the form of an external space--dependent force is investigated. The purpose of this control is to steer the multi--particle system to follow a desired mean velocity and position and to reach a desired final configuration in phase space. An optimal control problem using the formulation of ensemble controls is stated with an objective that is constituted of expected values in phase space and $H^1$ costs of the control. For solving the optimal control problems, a gradient--based computational strategy in the framework of Monte Carlo methods is developed. Part of this is the denoising of the distribution functions calculated by Monte Carlo algorithms using methods of the realm of partial differential equations. A standalone C++ code is presented that implements the developed non--linear conjugated gradient strategy. Results of numerical experiments confirm the ability of the designed probabilistic control framework to operate as desired. An outlook section about optimal control problems governed by non--linear space--inhomogeneous kinetic models completes this thesis. N2 - Diese Arbeit widmet sich der numerischen und theoretischen Analyse von Proble- men der optimalen Kontrolle von Ensembles, die durch kinetische Modelle gesteuert werden. Die Formulierung und Untersuchung von Ensemble–Kontrollproblemen wur- den in den letzten Jahren von R.W. Brockett vorgeschlagen und vorangetrieben, mit der Motivation, dass Ensemblekontrolle einen allgemeineren und robusteren Rahmen für die Kontrolle von dynamischen Systemen bieten kann. In Anlehnung an diese Formulierung der Ensemble–Steuerung werden eine Liouville– (oder Kontinuitäts– ) Gleichung mit unbeschränkter Driftfunktion und eine Klasse von Kostenfunk- tionalen miteinbezogen, die das Nachverfolgen der Ensembles und verschiedener Kon- trollkosten berücksichtigen. Insbesondere werden L2, H1 und L1 Kontrollkosten be- trachtet. Für die theoretische Untersuchung der resultierenden Optimalsteuerungs- problemen wird eine Gutgestelltheitstheorie in gewichteten Sobolev–Räumen für die Liouville– und Transportgleichungen vorgestellt. Insbesondere werden Existenz– und Eindeutigkeitsresultate sowie Energieabschätzungen in geeigneten Normen präsen- tiert; insbesondere in gewichteten Sobolev–Räumen. Dann wird eine Klasse von nicht–glatten Optimalsteuerungsproblemen formuliert mit der Liouville–Gleichung als Nebenbedingung und einem Kontrollmechanismus in der Driftfunktion. Weiter- hin werden Box–Einschränkungen angenommen. ... KW - Optimale Kontrolle KW - Optimierung / Nebenbedingung KW - Liouville and transport equations KW - Ensemble optimal control Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-249066 ER - TY - JOUR A1 - Mottola, Austin A1 - Ramírez-Zavala, Bernardo A1 - Hünninger, Kerstin A1 - Kurzai, Oliver A1 - Morschhäuser, Joachim T1 - The zinc cluster transcription factor Czf1 regulates cell wall architecture and integrity in Candida albicans JF - Molecular Microbiology N2 - The fungal cell wall is essential for the maintenance of cellular integrity and mediates interactions of the cells with the environment. It is a highly flexible organelle whose composition and organization is modulated in response to changing growth conditions. In the pathogenic yeast Candida albicans, a network of signaling pathways regulates the structure of the cell wall, and mutants with defects in these pathways are hypersensitive to cell wall stress. By harnessing a library of genetically activated forms of all C. albicans zinc cluster transcription factors, we found that a hyperactive Czf1 rescued the hypersensitivity to cell wall stress of different protein kinase deletion mutants. The hyperactive Czf1 induced the expression of many genes with cell wall-related functions and caused visible changes in the cell wall structure. C. albicans czf1Δ mutants were hypersensitive to the antifungal drug caspofungin, which inhibits cell wall biosynthesis. The changes in cell wall architecture caused by hyperactivity or absence of Czf1 resulted in an increased recognition of C. albicans by human neutrophils. Our results show that Czf1, which is known as a regulator of filamentous growth and white-opaque switching, controls the expression of cell wall genes and modulates the architecture of the cell wall. KW - cell wall KW - zinc cluster transcription factor KW - Candida albicans KW - protein kinases Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-259583 VL - 116 IS - 2 ER - TY - THES A1 - Königer, Tobias T1 - The Vessel Wall and Beyond: Characterization of Myeloid Progenitors in the Adult Mouse Brain T1 - Die Gefäßwand und darüber hinaus: Charakterisierung myeloider Vorläufer im adulten Mäusehirn N2 - After almost two decades of extensive research, some controversy has remained regarding the self-renewal of resident macrophages of the central nervous system (CNS). Concurrently, the vessel wall has emerged as a potentially ubiquitous niche for stem and progenitor cells, including committed macrophage precursors. It is conceivable that their occurrence in the CNS might explain the brain-resident hematopoietic potential, which has repeatedly been observed but not yet characterized in detail. In this work, the presence of hematopoietic progenitors inside and outside the vessel wall was studied in the adult mouse brain, as well as their possible contribution to the resident macrophage pool. An immunohistological analysis did not corroborate CD45+ SCA-1+ macrophage progenitors, which have been characterized in peripheral arteries, in the circle of Willis. Accordingly, the ex vivo culture of CNS vessels did not provide evidence for de novo formation of macrophages, but for the extensive proliferative capacity of mature cells. However, when analyzing whole brain suspensions in colony-forming unit (CFU) assays, rare Iba1- Cx3cr1- (immature) clonogenic cells were detected, which were enriched at the cerebral surface/meninges and differentiated into macrophages in culture. Intravenous antibody injection and cell sorting confirmed their residence behind the blood-brain barrier. Intriguingly, brain-derived CFUs produced a unique pattern of colony types compared to cells from bone marrow (BM) or blood. Still they displayed the same immunophenotype as BM-resident myeloid progenitors (CD45lo, LIN-, SCA-1-, IL7Rα-, c-KIT+) and could be further stratified into a progenitor hierarchy giving rise to all erythro-myeloid cell types in vitro. This similarity was substantiated by labeling of their progeny in Flt3Cre x Rosa26mT/mG mice, which indicated a descendance from hematopoietic stem cells. While forced repopulation of brain macrophages using the CSF-1R inhibitor PLX5622 did not point to a role of progenitors in in vivo microglia/macrophage maintenance, recent advances in hematology imply that they might be involved in CNS immunosurveillance. In conclusion, though there was no evidence for adventitial macrophage precursors in the CNS, this study confirms the presence of myeloid progenitors in the adult brain and provides the anatomical and phenotypical details necessary to elucidate their relevance in neuroinflammation. N2 - Nach fast zwei Jahrzehnten intensiver Forschung wird der Selbsterhalt residenter Makrophagen im zentralen Nervensystem (ZNS) immer noch kontrovers diskutiert. Gleichzeitig hat sich die Gefäßwand als eine potentiell ubiquitäre Nische für Stamm- und Vorläuferzellen herausgestellt, einschließlich determinierter Vorläufer für Makrophagen. Dass diese auch im ZNS vorhanden sind, könnte die wiederholten Berichte über hämatopoetisches Potenzial im Gehirn erklären, welches bisher nicht genau charakterisiert wurde. In der vorliegenden Arbeit wurde daher die Existenz hämatopoetischer Vorläuferzellen sowohl innerhalb als auch außerhalb der Gefäßwände des Gehirns erwachsener Mäuse untersucht. Weiterhin wurde deren Beitrag zu residenten Makrophagen-Populationen überprüft. Eine immunhistologische Analyse konnte CD45+ SCA-1+ Makrophagen-Vorläufer, wie sie in peripheren Arterien beschrieben wurden, im Circulus arteriosus Willisii nicht bestätigen. Entsprechend lieferte die Kultur von ZNS-Gefäßen keine Hinweise auf eine Neubildung von Makrophagen, zeigte aber ein hohes Teilungsvermögen reifer Zellen auf. Allerdings wurden in colony-forming unit assays mit Hirnzellsuspensionen seltene Iba1- Cx3cr1- (unreife) klonogene Zellen detektiert, die im Bereich der Hirnhaut angereichert waren und in Kultur zu Makrophagen differenzierten. Eine intravenöse Antikörperinjektion und Zellsortierung belegten, dass sie sich hinter der Blut-Hirn-Schranke befanden. Klonogene Zellen des Hirns erzeugten ein eigentümliches Muster an Kolonietypen, welches sich von dem des Knochenmarks und des Blutes unterschied. Trotzdem glichen sie in ihrem Immunphänotyp myeloiden Vorläuferzellen des Knochenmarks (CD45lo, LIN-, SCA-1-, IL7Rα-, c-KIT+) und konnten weiter in eine Hierarchie von Vorläufern aufgespalten werden, die in vitro alle erythro-myeloiden Zelltypen hervorbrachte. Diese Ähnlichkeit wurde dadurch unterstrichen, dass ihre Nachkommen in Flt3Cre x Rosa26mT/mG Mäusen markiert wurden, was eine Abstammung von hämatopoetischen Stammzellen anzeigte. Während die induzierte Repopulation von Hirn-Makrophagen mit Hilfe des CSF-1R Inhibitors PLX5622 keine Vorläuferbeteiligung beim Erhalt von Mikroglia/Makrophagen in vivo vermuten ließ, deuten neue Erkenntnisse im Bereich der Hämatologie darauf hin, dass die beschriebenen Vorläufer in die immunologische Überwachung des ZNS involviert sein könnten. Wenngleich keine Anhaltspunkte für adventitielle Makrophagen-Vorläufer im ZNS gefunden wurden, bestätigt diese Arbeit die Existenz myeloider Vorläufer im adulten Hirn und liefert notwendige anatomische und phänotypische Informationen, um deren Bedeutung im Rahmen entzündlicher Prozesse des ZNS aufzuklären. KW - Gehirn KW - Vorläufer KW - Gefäßwand KW - Hirnhaut KW - Brain KW - Myeloid KW - Progenitor KW - Vessel wall KW - Meninges KW - Microglia KW - Depletion Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-186465 ER - TY - JOUR A1 - Tongsomporn, Janyarak A1 - Wananiyakul, Saeree A1 - Steuding, Jörn T1 - The values of the periodic zeta-function at the nontrivial zeros of Riemann's zeta-function JF - Symmetry N2 - In this paper, we prove an asymptotic formula for the sum of the values of the periodic zeta-function at the nontrivial zeros of the Riemann zeta-function (up to some height) which are symmetrical on the real line and the critical line. This is an extension of the previous results due to Garunkštis, Kalpokas, and, more recently, Sowa. Whereas Sowa's approach was assuming the yet unproved Riemann hypothesis, our result holds unconditionally. KW - zeta-functions KW - Riemann hypothesis Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-252261 SN - 2073-8994 VL - 13 IS - 12 ER - TY - THES A1 - Blank, Felix T1 - The use of the Hypercube Queueing Model for the location optimization decision of Emergency Medical Service systems T1 - Der Einsatz des Hypercube Queueing Modells zur optimalen Standortentscheidung von medizinischen Notfallsystemen N2 - Die strategische Planung von medizinischen Notfallsystemen steht in einem unmittelbaren Zusammenhang mit der Überlebenswahrscheinlichkeit von betroffenen Patienten. Die Forschung hat zahlreiche Kenngrößen und Evaluationsparameter entwickelt, die zur Bewertung verwendet werden können. Darunter fallen beispielsweise die Reaktionszeit, die Systemauslastung, diverse Wartezeitenparameter sowie der Anteil der Nachfrage, der nicht unmittelbar bedient werden kann. Dabei ist das Hypercube Queueing Modell eines der am häufigsten verwendeten Modelle. Aufgrund seines theoretischen Hintergrundes und der damit verbundenen hohen notwendigen Rechenzeiten wurde das Hypercube Queueing Modell erst in der jüngeren Vergangenheit häufiger zur Optimierung von medizinischen Notfallsystemen verwendet. Gleichermaßen wurden nur wenige Systemparameter mit Hilfe des Modelles berechnet und das volle Potenzial demnach noch nicht ausgeschöpft. Die meisten der bereits vorhandenen Studien im Bereich der Optimierung unter Zuhilfenahme eines Hypercube Queueing Modells nutzen die zu erwartende Reaktionszeit des Systems als Zielparameter. Obwohl die Verwendung von diesem eine zumeist ausgeglichene Systemkonfiguration zur Folge hat, wurden andere Zielparameter identifziert. Die Verwendung des Hypercube Queueing Modells in den Modellen der robusten Optimierung sowie des robusten Goal Programmings haben versucht einen ganzheitlicheren Blick, durch die Verwendung von unterschiedlichen Tageszeiten, zu offerieren. Dabei hat sich gezeigt, dass das Verhalten von medizinischen Notfallsystemen sowie die Parameter stark von diesen abhängen. Daher sollte die Analyse und gegebenenfalls Optimierung dieser Systeme unterschiedliche Verteilungen der Nachfrage, in Abhängigkeit ihrer Menge und räumlichen Verteilung, unbedingt berücksichtigen um eine möglichst ganzheitliche Entscheidungsgrundlage zu garantieren. N2 - The strategic planning of Emergency Medical Service systems is directly related to the probability of surviving of the affected humans. Academic research has contributed to the evaluation of these systems by defining a variety of key performance metrics. The average response time, the workload of the system, several waiting time parameters as well as the fraction of demand that cannot immediately be served are among the most important examples. The Hypercube Queueing Model is one of the most applied models in this field. Due to its theoretical background and the implied high computational times, the Hypercube Queueing Model has only been recently used for the optimization of Emergency Medical Service systems. Likewise, only a few system performance metrics were calculated with the help of the model and the full potential therefore has not yet been reached. Most of the existing studies in the field of optimization with the help of a Hypercube Queueing Model apply the expected response time of the system as their objective function. While it leads to oftentimes balanced system configurations, other influencing factors were identified. The embedding of the Hypercube Queueing Model in the Robust Optimization as well as the Robust Goal Programming intended to offer a more holistic view through the use of different day times. It was shown that the behavior of Emergency Medical Service systems as well as the corresponding parameters are highly subjective to them. The analysis and optimization of such systems should therefore consider the different distributions of the demand, with regard to their quantity and location, in order to derive a holistic basis for the decision-making. KW - Warteschlangentheorie KW - Medizinische Versorgung KW - Standortplanung KW - Emergency Medical Service System KW - Hypercube Queueing Model KW - Location Optimization KW - Metaheuristic KW - Multi-objective optimization KW - Mehrkriterielle Optimierung KW - Metaheuristik KW - Notfallmedizin Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-249093 ER - TY - JOUR A1 - Wienrich, Carolin A1 - Reitelbach, Clemens A1 - Carolus, Astrid T1 - The Trustworthiness of Voice Assistants in the Context of Healthcare Investigating the Effect of Perceived Expertise on the Trustworthiness of Voice Assistants, Providers, Data Receivers, and Automatic Speech Recognition JF - Frontiers in Computer Science N2 - As an emerging market for voice assistants (VA), the healthcare sector imposes increasing requirements on the users’ trust in the technological system. To encourage patients to reveal sensitive data requires patients to trust in the technological counterpart. In an experimental laboratory study, participants were presented a VA, which was introduced as either a “specialist” or a “generalist” tool for sexual health. In both conditions, the VA asked the exact same health-related questions. Afterwards, participants assessed the trustworthiness of the tool and further source layers (provider, platform provider, automatic speech recognition in general, data receiver) and reported individual characteristics (disposition to trust and disclose sexual information). Results revealed that perceiving the VA as a specialist resulted in higher trustworthiness of the VA and of the provider, the platform provider and automatic speech recognition in general. Furthermore, the provider’s trustworthiness affected the perceived trustworthiness of the VA. Presenting both a theoretical line of reasoning and empirical data, the study points out the importance of the users’ perspective on the assistant. In sum, this paper argues for further analyses of trustworthiness in voice-based systems and its effects on the usage behavior as well as the impact on responsible design of future technology. KW - voice assistant KW - trustworthiness KW - trust KW - anamnesis tool KW - expertise framing (Min5-Max 8) Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-260209 VL - 3 ER -