TY - JOUR A1 - Tony, Hans-Peter A1 - Burmester, Gerd A1 - Schulze-Koops, Hendrik A1 - Grunke, Mathias A1 - Henes, Joerg A1 - Kötter, Ina A1 - Haas, Judith A1 - Unger, Leonore A1 - Lovric, Svjetlana A1 - Haubitz, Marion A1 - Fischer-Betz, Rebecca A1 - Chehab, Gamal A1 - Rubbert-Roth, Andrea A1 - Specker, Christof A1 - Weinerth, Jutta A1 - Holle, Julia A1 - Müller-Ladner, Ulf A1 - König, Ramona A1 - Fiehn, Christoph A1 - Burgwinkel, Philip A1 - Budde, Klemens A1 - Sörensen, Helmut A1 - Meurer, Michael A1 - Aringer, Martin A1 - Kieseier, Bernd A1 - Erfurt-Berge, Cornelia A1 - Sticherling, Michael A1 - Veelken, Roland A1 - Ziemann, Ulf A1 - Strutz, Frank A1 - von Wussow, Praxis A1 - Meier, Florian MP A1 - Hunzelmann, Nico A1 - Schmidt, Enno A1 - Bergner, Raoul A1 - Schwarting, Andreas A1 - Eming, Rüdiger A1 - Schwarz-Eywill, Michael A1 - Wassenberg, Siegfried A1 - Fleck, Martin A1 - Metzler, Claudia A1 - Zettl, Uwe A1 - Westphal, Jens A1 - Heitmann, Stefan A1 - Herzog, Anna L. A1 - Wiendl, Heinz A1 - Jakob, Waltraud A1 - Schmidt, Elvira A1 - Freivogel, Klaus A1 - Dörner, Thomas A1 - Hertl, Michael A1 - Stadler, Rudolf T1 - Safety and clinical outcomes of rituximab therapy in patients with different autoimmune diseases: experience from a national registry (GRAID) JF - Arthritis Research & Therapy N2 - Introduction: Evidence from a number of open-label, uncontrolled studies has suggested that rituximab may benefit patients with autoimmune diseases who are refractory to standard-of-care. The objective of this study was to evaluate the safety and clinical outcomes of rituximab in several standard-of-care-refractory autoimmune diseases (within rheumatology, nephrology, dermatology and neurology) other than rheumatoid arthritis or non-Hodgkin’s lymphoma in a real-life clinical setting. Methods: Patients who received rituximab having shown an inadequate response to standard-of-care had their safety and clinical outcomes data retrospectively analysed as part of the German Registry of Autoimmune Diseases. The main outcome measures were safety and clinical response, as judged at the discretion of the investigators. Results: A total of 370 patients (299 patient-years) with various autoimmune diseases (23.0% with systemic lupus erythematosus, 15.7% antineutrophil cytoplasmic antibody-associated granulomatous vasculitides, 15.1% multiple sclerosis and 10.0% pemphigus) from 42 centres received a mean dose of 2,440 mg of rituximab over a median (range) of 194 (180 to 1,407) days. The overall rate of serious infections was 5.3 per 100 patient-years during rituximab therapy. Opportunistic infections were infrequent across the whole study population, and mostly occurred in patients with systemic lupus erythematosus. There were 11 deaths (3.0% of patients) after rituximab treatment (mean 11.6 months after first infusion, range 0.8 to 31.3 months), with most of the deaths caused by infections. Overall (n = 293), 13.3% of patients showed no response, 45.1% showed a partial response and 41.6% showed a complete response. Responses were also reflected by reduced use of glucocorticoids and various immunosuppressives during rituximab therapy and follow-up compared with before rituximab. Rituximab generally had a positive effect on patient well-being (physician’s visual analogue scale; mean improvement from baseline of 12.1 mm) KW - GRAID Y1 - 2011 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-142856 VL - 13 IS - R75 ER - TY - JOUR A1 - Braunschweig, Holger A1 - Constantinidis, Philipp A1 - Dellermann, Theresa A1 - Ewing, William A1 - Fischer, Ingo A1 - Hess, Merlin A1 - Knight, Fergus A1 - Rempel, Anna A1 - Schneider, Christoph A1 - Ullrich, Stefan A1 - Vargas, Alfredo A1 - Woolins, Derek T1 - Highly Strained Heterocycles Constructed from Boron–Boron Multiple Bonds and Heavy Chalcogens JF - Angewandte Chemie, International Edition N2 - The reactions of a diborene with elemental selenium or tellurium are shown to afford a diboraselenirane or diboratellurirane, respectively. These reactions are reminiscent of the sequestration of subvalent oxygen and nitrogen in the formation of oxiranes and aziridines; however, such reactivity is not known between alkenes and the heavy chalcogens. Although carbon is too electronegative to affect the reduction of elements with lower relative electronegativity, the highly reducing nature of the B B double bond enables reactions with Se0 and Te0. The capacity of multiple bonds between boron atoms to donate electron density is highlighted in reactions where diborynes behave as nucleophiles, attacking one of the two Te atoms of diaryltellurides, forming salts consisting of diboratellurenium cations and aryltelluride anions. KW - Boron KW - Heterocycles KW - Multiple bonds KW - Selenium KW - Tellurium KW - Bor KW - Heterocyclische Verbindungen KW - Selen KW - Tellur Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-138237 N1 - This is the peer reviewed version of the following article: Angew. Chem. Int. Ed. 2016, 55, 5606–5609, which has been published in final form at 10.1002/anie.201601691. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. N1 - Accepted Version VL - 55 IS - 18 SP - 5606 EP - 5609 ER - TY - THES A1 - Fischer, Anna T1 - Die Regulation aktivierender und hemmender Signalwege in humanen neutrophilen Granulozyten durch cAMP- und cGMP-erhöhende Vasodilatatoren T1 - Regulation of activatory and inhibitory signalling pathways in neutrophils mediated by cAMP- and cGMP-elevating vasolidators N2 - Neutrophile Granulozyten sind wichtige Effektorzellen des menschlichen Immunsystems. Eine Suppression der Neutrophilen kann zur Immundeffizienz mit Gefahr für bakterielle Erkrankungen und maligne Tumoren führen, eine Überstimulation dieser Zellen ist jedoch an der Entstehung der Autoimmunerkrankungen beteiligt. Im Rahmen dieser Arbeit wurden aktivierende und hemmende Wege untersucht, die für zukünftige Strategien in Prävention und Therapie dieser Erkrankungen eine wichtige Rolle spielen. Neutrophile Granulozyten enthalten VASP in hoher Konzentration. VASP ist ein bereits gut charakterisiertes Substrat der cAMP-PK und der cGMP-PK. Phosphorylierungsversuche mit cAMP-erhöhenden Substanzen ergaben eine rasche, reversible Phosphorylierung dieses Proteins an Ser-157 und Ser-239 in intakten humanen Neutrophilen Granulozyten. Versuche mit cGMP-erhöhenden Substanzen zeigten jedenfalls eine Phosphorylierung am Ser-157, jedoch keine Phosphorylierung am Ser-239. Diese Ergebnisse unterstreichen deutlich das Vorhandensein und die physiologische Funktion der cAMP-PK bezüglich der Phosphorylierung von VASP, stellen jedoch die Funktion der cGMP-PK in humanen Neutrophilen Granulozyten in Frage. Basierend auf der Methode der Immunfluoreszenz wurde gezeigt, dass VASP bei der Adhärenz der Neutrophilen eine entscheidende Rolle spielt. So ist mit Hilfe der spezifischen monoklonalen Antikörper eine Phosphorylierung am Ser-157 und am Ser-239 nach der Adhäsion der Neutrophilen an die Objektträger nachgewiesen worden. Nach zusätzlicher Stimulation mit PG-E1 zeigte sich kein wesentlicher Phosphorylierungsanstieg in adhärierten Neutrophilen. Zahlreiche chemotaktische Faktoren wie fMLP führen zur Phosphorylierung der p42/p44-, p38-MAPK sowie auch der PKB. Diese intrazellulären Signalmoleküle spielen eine zentrale Rolle bei der Neutrophilenaktivierung. Da es bereits von hemmenden Einflussen der Vasodilatatoren auf die Aktivierung der Neutrophilen Granulozyten berichtet worden ist, wurde in der vorliegenden Arbeit der Einfluss von cAMP- und cGMP-erhöhenden Substanzen auf die fMLP-induzierte Phosphorylierung der p42/p44-, p38-MAPK sowie der PKB untersucht. Flolan, ein cAMP-erhöhender Vasodilatator führte zur signifikanten Hemmung der fMLP-induzierten p42/p44-, p38- sowie PKB-Phosphorylierung. cGMP-erhöhender Vasodilatator SNP zeigte jedoch keinen Einfluss auf die fMLP-induzierte Aktivierung dieser Signalmoleküle. Physiologisch vorkommende cAMP-erhöhende Substanzen besitzen im menschlichen Körper eine wichtige regulatorische Funktion, die Neutrophile Granulozyten vor der „Überstimulation“ bewahrt. N2 - Neutrophil granulocytes are critical effector cells in human humoral and innate immunity and play a vital role in phagozytosis and bacterial killing. Patients with deficient function of neutrophils commonly suffer from repeated bacterial infections. Moreover, neutrophils are active in immunosurveillance against tumours. However, the capacity for bacterial killing carries with it an implicit capacity for host tissue destruction, as observed in autoimmune disease. This study is focussed on the characterization of activatory and inhibitory signalling pathways in neutrophils which will allow new approaches in the therapy of cancer, inflammatory and autoimmune diseases. Neutrophils contain high concentrations of VASP (vasodilator-stimulated phosphoprotein). VASP is an established substrate of both cAMP- and cGMP- dependent protein kinases. This study demonstrates that cAMP-elevating drugs cause reversible VASP phosphorylation at serine 157 and at serine 239 in intact human neutrophils, whereas cGMP-elevating drugs cause VASP phosphorylation only at serine 157 but not at serine 239. This indicates that cAMP-dependent protein kinases play a functional role in neutrophils, the physiologic role of cGMP-dependent protein kinases in these cells still remains unresolved. Furthermore, immunofluorescence microscopy demonstrated VASP phosphorylation at serine 157 and serine 239 during neutrophil adhesion. After stimulation of adherent neutrophils with PG-E1 no increase in VASP phosphorylation could be observed compared to unstimulated adherent cells. Multiple chemotactic factors including fMLP cause phosphorylation and activation of p42/p44-MAPK, p38-MAPK and protein kinase B (Akt-kinase, PKB). These are intracellular signalling molecules which play an important role in neutrophil activation. This study investigates the effects of cAMP- and cGMP-elevating drugs on the fMLP-induced phosphorylation of p42/p44-MAPK, p38-MAPK and PKB. The cAMP-elevating prostacyclin I2 (Flolan™) shows inhibition of fMLP-induced phosphorylation of p42/p44-MAPK, p38-MAPK and PKB. The cGMP-elevating drug sodium nitroprusside did not influence fMLP-induced phosphorylation of these signalling molecules. Therefore, physiological cAMP-elevating substances seem to play a regulatory role and prevent neutrophil granulocytes from “overstimulation”. KW - Neutrophile KW - VASP KW - MAPK KW - Vasodilatatoren KW - neutrophils KW - VASP KW - MAPK KW - vasodilators Y1 - 2004 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-13331 ER - TY - JOUR A1 - Wohlfarth, Carolin A1 - Schmitteckert, Stefanie A1 - Härtle, Janina D. A1 - Houghton, Lesley A. A1 - Dweep, Harsh A1 - Fortea, Marina A1 - Assadi, Ghazaleh A1 - Braun, Alexander A1 - Mederer, Tanja A1 - Pöhner, Sarina A1 - Becker, Philip P. A1 - Fischer, Christine A1 - Granzow, Martin A1 - Mönnikes, Hubert A1 - Mayer, Emeran A. A1 - Sayuk, Gregory A1 - Boeckxstaens, Guy A1 - Wouters, Mira M. A1 - Simrén, Magnus A1 - Lindberg, Greger A1 - Ohlsson, Bodil A1 - Schmidt, Peter Thelin A1 - Dlugosz, Aldona A1 - Agreus, Lars A1 - Andreasson, Anna A1 - D'Amato, Mauro A1 - Burwinkel, Barbara A1 - Bermejo, Justo Lorenzo A1 - Röth, Ralph A1 - Lasitschka, Felix A1 - Vicario, Maria A1 - Metzger, Marco A1 - Santos, Javier A1 - Rappold, Gudrun A. A1 - Martinez, Cristina A1 - Niesler, Beate T1 - miR-16 and miR-103 impact 5-HT4 receptor signalling and correlate with symptom profile in irritable bowel syndrome JF - Scientific Reports N2 - Irritable bowel syndrome (IBS) is a gut-brain disorder involving alterations in intestinal sensitivity and motility. Serotonin 5-HT4 receptors are promising candidates in IBS pathophysiology since they regulate gut motor function and stool consistency, and targeted 5-HT4R selective drug intervention has been proven beneficial in subgroups of patients. We identified a single nucleotide polymorphism (SNP) (rs201253747) c.*61 T > C within the 5-HT4 receptor gene \(HTR4\) to be predominantly present in diarrhoea-IBS patients (IBS-D). It affects a binding site for the miR-16 family and miR-103/miR-107 within the isoforms \({HTR4b/i}\) and putatively impairs \(HTR4\) expression. Subsequent miRNA profiling revealed downregulation of miR-16 and miR-103 in the jejunum of IBS-D patients correlating with symptoms. \(In\) \(vitro\) assays confirmed expression regulation via three 3′UTR binding sites. The novel isoform \(HTR4b\_2\) lacking two of the three miRNA binding sites escapes miR-16/103/107 regulationin SNP carriers. We provide the first evidence that \(HTR4\) expression is fine-tuned by miRNAs, and that this regulation is impaired either by the SNP c.*61 T > C or bydiminished levels of miR-16 and miR-103 suggesting that \(HTR4\) might be involved in the development of IBS-D. KW - Medicine KW - Gene regulation KW - Irritable bowel syndrome Y1 - 2017 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-173478 VL - 7 ER - TY - JOUR A1 - Schmid, Benedikt A1 - Griesel, Mirko A1 - Fischer, Anna-Lena A1 - Romero, Carolina S. A1 - Metzendorf, Maria-Inti A1 - Weibel, Stephanie A1 - Fichtner, Falk T1 - Awake prone positioning, high-flow nasal oxygen and non-invasive ventilation as non-invasive respiratory strategies in COVID-19 acute respiratory failure: a systematic review and meta-analysis JF - Journal of Clinical Medicine N2 - Background: Acute respiratory failure is the most important organ dysfunction of COVID-19 patients. While non-invasive ventilation (NIV) and high-flow nasal cannula (HFNC) oxygen are frequently used, efficacy and safety remain uncertain. Benefits and harms of awake prone positioning (APP) in COVID-19 patients are unknown. Methods: We searched for randomized controlled trials (RCTs) comparing HFNC vs. NIV and APP vs. standard care. We meta-analyzed data for mortality, intubation rate, and safety. Results: Five RCTs (2182 patients) were identified. While it remains uncertain whether HFNC compared to NIV alters mortality (RR: 0.92, 95% CI 0.65–1.33), HFNC may increase rate of intubation or death (composite endpoint; RR 1.22, 1.03–1.45). We do not know if HFNC alters risk for harm. APP compared to standard care probably decreases intubation rate (RR 0.83, 0.71–0.96) but may have little or no effect on mortality (RR: 1.08, 0.51–2.31). Conclusions: Certainty of evidence is moderate to very low. There is no compelling evidence for either HFNC or NIV, but both carry substantial risk for harm. The use of APP probably has benefits although mortality appears unaffected. KW - respiratory failure KW - non-invasive ventilation KW - high-flow nasal cannula KW - awake prone positioning KW - COVID-19 KW - systematic review Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-255225 SN - 2077-0383 VL - 11 IS - 2 ER - TY - RPRT A1 - Fischer, Doris A1 - Schaper, Anna-Katharina T1 - Does Gender Matter for the Entrepreneurship Fairy Tale? An Analysis of Chinese Unicorn Start-ups T2 - CBE Research Notes N2 - Start-up ecosystems around the world have created a large number of successful and innovative unicorn companies in recent years. Our research note focuses on the case of China and offers a global comparative perspective on the current status of Chinese unicorn start-ups and their founding structure. We identify a predominantly male unicorn founding structure and illustrate a worrying decline of female entrepreneurship in China. T3 - CBE Research Note - 2/2021 KW - female entrepreneurs KW - unicorns KW - China KW - economics KW - entrepreneurship KW - Women entrepreneurs KW - Start-up Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-244415 SN - 2747-8661 ER - TY - CHAP A1 - Nadler, Martin A1 - Fischer, Anna-Leena A1 - Scharl, Silviane ED - Husty, Ludwig ED - Link, Thomas ED - Pechtl, Joachim T1 - Ein Siedlungsplatz der ältesten und älteren Linearbandkeramik im Steinbruch Mörlbach, Gde. Gallmersgarten im nordwestlichen Mittelfranken (Lkr. Neustadt a. d. Aisch-Bad Windsheim) T2 - Neue Materialien des Bayerischen Neolithikums 4 - Tagung im Kloster Windberg vom 12. bis 14. November 2021 N2 - Am westlichen Rand der sogenannten Windsheimer Bucht wurde in den Jahren 2012–2019 der Randbereich einer, nach allgemeiner Befundlage wohl nur kurzfristig bestehenden, Siedlung der älteren Linearbandkeramik ausgegraben. Herausragende Einzelbefunde sind ein vollständiger und ein baugleicher halber Grundriss eines Langhauses mit Y-Pfostenstellung. Anhand der keramischen Funde ist eine Einordnung an den Beginn der Phase Flomborn möglich, ältestbandkeramische Elemente sind allerdings noch deutlich vertreten. Somit liegt ein wichtiger Fundplatz für diesen Übergangsbereich vor. Radiocarbondaten stützen eine Datierung ins 51. Jh. v. Chr. Beobachtungen zur Verfüllungsgeschichte und Sedimentgenese an den hausbegleitenden Gruben lassen Erkenntnisse zur Bauweise erwarten. N2 - In the years 2012–2019 in the western part of the so-called ‚Windsheimer-Bucht‘ microregion the peripheral sector of an early linear-pottery settlement could be excavated. Of special interest among the documented structures are two longhouses with Y-shaped post-setting in their ground-plan. According to the pottery finds they can be dated to the beginning of the linear pottery ‘Flomborn-Phase’. It is an important place for the understanding of the transition from the earliest LBK to this younger phase. Radiocarbon dates confirm a dating to the 51th century BC. Further evidence for the building-history can be expected from studies on taphonomic and sedimentological processes in the accompanying sunken features. KW - Neolithikum KW - Linienbandkeramik KW - Franken KW - Grundriss KW - Radiokarbondatierung KW - Neolithic KW - Linear Pottery KW - Franconia KW - ground-plan KW - radiocarbon dating Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-328830 PB - Würzburg University Press CY - Würzburg ER -