TY - JOUR A1 - Subramanian, Hariharan A1 - Döring, Frank A1 - Kollert, Sina A1 - Rukoyatkina, Natalia A1 - Sturm, Julia A1 - Gambaryan, Stepan A1 - Stellzig-Eisenhauer, Angelika A1 - Meyer-Marcotty, Philipp A1 - Eigenthaler, Martin A1 - Wischmeyer, Erhard T1 - PTH1R Mutants Found in Patients with Primary Failure of Tooth Eruption Disrupt G-Protein Signaling JF - PLoS One N2 - Aim Primary failure of tooth eruption (PFE) is causally linked to heterozygous mutations of the parathyroid hormone receptor (PTH1R) gene. The mutants described so far lead to exchange of amino acids or truncation of the protein that may result in structural changes of the expressed PTH1R. However, functional effects of these mutations have not been investigated yet. Materials and Methods In HEK293 cells, PTH1R wild type was co-transfected with selected PTH1R mutants identified in patients with PFE. The effects on activation of PTH-regulated intracellular signaling pathways were analyzed by ELISA and Western immunoblotting. Differential effects of wild type and mutated PTH1R on TRESK ion channel regulation were analyzed by electrophysiological recordings in Xenopus laevis oocytes. Results In HEK293 cells, activation of PTH1R wild type increases cAMP and in response activates cAMP-stimulated protein kinase as detected by phosphorylation of the vasodilator stimulated phosphoprotein (VASP). In contrast, the PTH1R mutants are functionally inactive and mutant PTH1R/Gly452Glu has a dominant negative effect on the signaling of PTH1R wild type. Confocal imaging revealed that wild type PTH1R is expressed on the cell surface, whereas PTH1R/Gly452Glu mutant is mostly retained inside the cell. Furthermore, in contrast to wild type PTH1R which substantially augmented K+ currents of TRESK channels, coupling of mutated PTH1R to TRESK channels was completely abolished. Conclusions PTH1R mutations affect intracellular PTH-regulated signaling in vitro. In patients with primary failure of tooth eruption defective signaling of PTH1R mutations is suggested to occur in dento-alveolar cells and thus may lead to impaired tooth movement. KW - phosphorylation KW - xenopus oocytes KW - calcium signaling KW - intracellular receptors KW - mutation KW - teeth KW - tooth eruption KW - transfection Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-147967 VL - 11 IS - 11 ER - TY - THES A1 - Meyer, Frank T1 - Soft X-ray Spectroscopic Study of Amino Acid and Salt Solutions T1 - Weichröntgenspektroskopische Untersuchungen von Aminosäuren und Salzen in wässriger Lösung N2 - This thesis focuses on the investigation of the electronic structure of amino acids and salts in aqueous solution using X-ray spectroscopic methods. Both material groups are of fundamental importance with regards to many physiological reactions, especially for the Hofmeister effect which describes the solubility of proteins in salt solutions. Hence, the investigation of the electronic structure of amino acids and the influence of ions on the hydrogen bonding network of liquid water are important milestones to a deeper understanding of the Hofmeister series. Besides investigating the electronic structure of amino acids in aqueous solution, the spectra were used to develop a building block model of the spectral fingerprints of the functional groups and were compared to spectral signatures of suitable reference molecules. In the framework of this thesis, it is shown that the building block approach is a useful tool with allows the interpretation of spectral signatures of considerably more complex molecules In this work, the focus lies on the investigation of the occupied and unoccupied electronic states of molecules in solid state, as well as in aqueous solution. Hereby, different X-ray spectroscopic methods were applied. X-ray emission spectroscopy (XES) was used to probe the occupied electronic structure of the solution, while the unoccupied electronic structure was addressed by using X-ray absorption spectroscopy (XAS). Finally, resonant inelastic X-ray scattering (RIXS) as a combination of XAS and XES measurements provides the combined information about the unoccupied and occupied molecular levels. The element specific character of the three measurement methods is a feature which allows the investigation of the local electronic structure of a single functional group. With RIXS, also non-equivalent atoms of the same element can be addressed separately. Within this thesis firstly, a library of the XE spectra of all 20 proteinogenic amino acids in zwitterionic form is presented. From this sample-set XES fingerprints of the protonated alpha-amino group NH3+ and the deprotonated carboxylic group COO- were evaluated and used to identify the XES fingerprints of the nitrogen and oxygen containing functional groups of the side chains of the amino acids. The data is discussed based on a building block approach. Furthermore, the XE spectra of the functional groups of lysine and histidine, namely the NH2 group and the C3N2H4 ring structure, are both compared to XE spectra of suitable reference molecules (imidazole, ammonia and methylamine). It is found that the XE and RIXS spectra of the side chains of lysine and histidine show large similarities to the XE spectra of the reference molecules. This agreement in the XE and RIXS spectra allows a qualitative investigation of XE and RIXS spectra of more complex amino acids using the XE and RIXS spectra of suitable reference molecules. The chemical structure of histidine and proline is quite different from the structures of the other proteinogenic amino acids. Due to the unique chemical structure of the side chain which in both cases consists of a heterocyclic ring structure, these two amino acids were investigated in more detail. Zubavichus et al. [1] have shown that amino acids are decomposing while exposed to X-ray radiation of the experiment. The damage is irreversible and molecular fragments can adsorb on the membrane of the experimental setup. This contamination can also create a spectral signature which then overlaps with the signal of the solution and which complicates the interpretation of the data. To record spectra which are free from contributions of adsorbed molecular fragments on the membrane, the adsorption behavior was investigated. In contrast to the solid phase in which the amino acids are present as salts in one electronic conformation, the charge state of the amino acids can be manipulated in aqueous solution by tuning the pH-value. By doing this, all possible charge states are accessible (cation, anion, zwitterion). In this work it is shown that also the spectra of the different charge states can be modeled by the spectra of suitable reference molecules using the building block approach. The spectral changes occurring upon protonation and deprotonation of the functional groups are explored and verified by comparing them to theoretical calculations. The comparison with measurements of pyrrolidine show that the electronic structure which surrounds the nitrogen atom of proline is strongly influenced by the ring structure of the side chain. Furthermore, the proline, pyrrolidine, and histidine molecules are also degrading during the liquid sample measurements. This can be observed by the detection of a new spectral component which increases with the measurement time originating from the window membrane. In all cases, the speed of the agglomeration of molecular fragments at the membrane was observed to be highly sensitive to the pH value of the solution. To understand the Hofmeister series, also the impact of the salt ions have to be investigated. In this study the influence of potassium chloride (KCl) on the hydrogen bond network of water was studied by using non-resonantly excited XES as well as RIXS. A decreased dissociation of hydrogen molecules and changes in the molecular vibrations could be detected. These changes were interpreted with a molecular reorganization of the water molecules and a decreased number of hydrogen bonds. N2 - Im Rahmen dieser Arbeit werden Untersuchungen zur elektronischen Struktur von verschiedenen Aminosäuren sowohl in wässriger Lösung als auch als Festkörper präsentiert. Das Hauptaugenmerk liegt hierbei auf dem Erlangen eines fundamentalen Verständnisses über die elektronische Struktur der Aminosäuren in wässriger Lösung und der Entwicklung eines Baukastenprinzips für die qualitative Analyse der Röntgenemissions- und resonanten inelastischen Röntgenstreuungsspektren. In dieser Arbeit wird neben Aminosäuren auch der Einfluss von Salzionen auf das dynamische Wasserstoffbrückenbindungsnetzwerk des flüssigen Wassers untersucht. Beide Aspekte stellen wichtige Zwischenschritte auf dem Weg zu einem detaillierten Verständnis des Hofmeister-Effekts dar. In dieser Arbeit wurden röntgenspektroskopische Methoden verwendet, um die besetzten und unbesetzten Zustände der Moleküle sowohl im Festkörper als auch in wässriger Lösung zu untersuchen. Angewandt wurde dabei die Röntgenabsorptionsspektroskopie (XAS), welche die Untersuchung der unbesetzten Zustände erlaubt. Im Gegensatz dazu liefert die Röntgenemissionsspektroskopie (XES) Informationen über die besetzten Zustände. Die resonante inelastische Röntgenstreuung (RIXS) vereint diese beiden Techniken und enthält Informationen über die gesamte elektronische Struktur eines Systems. Der elementspezifische Charakter dieser Messmethoden muss dabei gesondert hervorgehoben werden, denn dadurch ist es möglich die lokale elektronische Struktur unterschiedlicher funktioneller Gruppen getrennt voneinander zu untersuchen. Im Rahmen dieser Arbeit wurde zunächst eine Bibliothek der XES-Spektren der zwanzig proteinogenen Aminosäuren angelegt. Daraus konnten spektrale Fingerabdrücke der einzelnen funktionellen Gruppen und der Stickstoff und Sauerstoff enthaltenden Seitenketten der Aminosäuren erstellt werden. Die Spektren der einzelnen funktionellen Gruppen von Lysin und Histidin wurden in einem zweiten Schritt mit den Spektren von kleineren Molekülen, welche die pure funktionelle Gruppe repräsentieren, verglichen. Durch die sehr gute Übereinstimmung konnte gezeigt werden, dass die Röntgenemissionsspektren der untersuchten Aminosäuren nach einem Baukastenprinzip durch die Spektren der kleineren und dadurch einfacheren Referenzmoleküle beschrieben werden können. Mit Hilfe dieses Baukastenprinzips wurde im weiteren Verlauf dieser Arbeit die detaillierte Untersuchung der elektronischen Struktur der Aminosäuren Prolin und Histidin möglich. Die Aminosäuren Histidin und Prolin wurden dabei wegen ihrer speziellen chemischen Struktur, welche sich durch eine Ringstruktur an der Seitenkette von der chemischen Struktur der restlichen Aminosäuren unterscheidet, für eine genauere Untersuchung ausgewählt. Sowohl Prolin als auch Histidin werden durch die starke Röntgenstrahlung während des Experiments irreparabel beschädigt, wodurch sich die spektrale Signatur der Moleküle sehr stark ändert. Um diese Beschädigungen zu erkennen und zu vermeiden wurden die Veränderungen der Spektren in Abhängigkeit der Belichtungszeit dokumentiert. Neben Festkörpermessungen, bei welchen die Aminosäuren nur in einer einzigen Konfiguration vorhanden sind (zwitterionisch), wurden die Aminosäuren auch in ihrer natürlichen Umgebung, der wässrigen Lösung, untersucht. Durch die Variation des pH-Wertes der Lösung kann die Konfiguration und damit die elektronische Struktur geändert werden (Kation, Anion, Zwitterion). Eine starke Veränderung in den Spektren in Abhängigkeit des pH-Wertes konnte festgestellt werden. Dabei fällt auf, dass die elektronische Struktur des Stickstoffs in der Aminosäure Prolin sehr stark durch die Ringstruktur der Seitenkette beeinflusst wird, was durch den Vergleich des Spektrums mit dem Spektrum des Pyrrolidin Moleküls gezeigt wurde. Des Weiteren konnte sowohl bei den Flüssigexperimenten mit Prolin als auch mit Histidin eine Kontamination der Membran festgestellt werden, welche durch Molekülfragmente entsteht. Dieser Kontaminierungsprozess konnte für Prolin und Histidin vor allem bei neutralem und hohem pH-Wert beobachtet werden. Dennoch konnten durch das Baukastenprinzip und die Untersuchungen der Referenzmoleküle Imidazol und Pyrrolidin Erkenntnisse über die elektronische Struktur von Histidin und Prolin gewonnen werden. Mit Hilfe der resonanten inelastischen Röntgenstreuung konnten die spektralen Fingerabdrücke der beiden nicht äquivalenten Stickstoffatome des Imidazols experimentell voneinander getrennt werden. Des Weiteren wurden innerhalb der RIXS-Spektren starke resonante Einflüsse beobachtet. Mit Hilfe von berechneten Spektren von isolierten Imidazol und Imidazolium Molekülen konnten die spektralen Signaturen sowohl im nicht resonanten Spektrum als auch im resonanten Spektrum erklärt werden und im Einzelnen auf die Struktur der Valenzorbitale zurückgeführt werden. Auf dem Weg zum Verständnis des Hofmeister-Effekts ist neben den Aminosäuren natürlich auch der Einfluss von Salzen auf die Lösung zu berücksichtigen. Im letzten Teil dieser Arbeit stehen daher die Auswirkungen der Ionen des Kaliumchlorids auf das Röntgenemissionsspektrum des Wassers im Fokus. Dazu wurden KCl Lösungen verschiedener Konzentrationen untersucht. Durch die Zugabe von Salz konnte eine Umorientierung der Wassermoleküle und des damit verbundenen Netzwerks von Wasserstoffbrückenbindungen beobachtet werden. KW - Aminosäuren KW - Elektronenstruktur KW - Röntgenspektroskopie KW - RIXS KW - resonant inelastic x-ray scattering KW - amino acids KW - aqueous solution KW - electronic structure KW - salt solutions KW - Elektronenstruktur KW - Röntgenspektroskopie KW - Salzlösung Y1 - 2015 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-124295 ER - TY - JOUR A1 - Hebestreit, Helge A1 - Zeidler, Cornelia A1 - Schippers, Christopher A1 - de Zwaan, Martina A1 - Deckert, Jürgen A1 - Heuschmann, Peter A1 - Krauth, Christian A1 - Bullinger, Monika A1 - Berger, Alexandra A1 - Berneburg, Mark A1 - Brandstetter, Lilly A1 - Deibele, Anna A1 - Dieris-Hirche, Jan A1 - Graessner, Holm A1 - Gündel, Harald A1 - Herpertz, Stephan A1 - Heuft, Gereon A1 - Lapstich, Anne-Marie A1 - Lücke, Thomas A1 - Maisch, Tim A1 - Mundlos, Christine A1 - Petermann-Meyer, Andrea A1 - Müller, Susanne A1 - Ott, Stephan A1 - Pfister, Lisa A1 - Quitmann, Julia A1 - Romanos, Marcel A1 - Rutsch, Frank A1 - Schaubert, Kristina A1 - Schubert, Katharina A1 - Schulz, Jörg B. A1 - Schweiger, Susann A1 - Tüscher, Oliver A1 - Ungethüm, Kathrin A1 - Wagner, Thomas O. F. A1 - Haas, Kirsten T1 - Dual guidance structure for evaluation of patients with unclear diagnosis in centers for rare diseases (ZSE-DUO): study protocol for a controlled multi-center cohort study JF - Orphanet Journal of Rare Diseases N2 - Background In individuals suffering from a rare disease the diagnostic process and the confirmation of a final diagnosis often extends over many years. Factors contributing to delayed diagnosis include health care professionals' limited knowledge of rare diseases and frequent (co-)occurrence of mental disorders that may complicate and delay the diagnostic process. The ZSE-DUO study aims to assess the benefits of a combination of a physician focusing on somatic aspects with a mental health expert working side by side as a tandem in the diagnostic process. Study design This multi-center, prospective controlled study has a two-phase cohort design. Methods Two cohorts of 682 patients each are sequentially recruited from 11 university-based German Centers for Rare Diseases (CRD): the standard care cohort (control, somatic expertise only) and the innovative care cohort (experimental, combined somatic and mental health expertise). Individuals aged 12 years and older presenting with symptoms and signs which are not explained by current diagnoses will be included. Data will be collected prior to the first visit to the CRD’s outpatient clinic (T0), at the first visit (T1) and 12 months thereafter (T2). Outcomes Primary outcome is the percentage of patients with one or more confirmed diagnoses covering the symptomatic spectrum presented. Sample size is calculated to detect a 10 percent increase from 30% in standard care to 40% in the innovative dual expert cohort. Secondary outcomes are (a) time to diagnosis/diagnoses explaining the symptomatology; (b) proportion of patients successfully referred from CRD to standard care; (c) costs of diagnosis including incremental cost effectiveness ratios; (d) predictive value of screening instruments administered at T0 to identify patients with mental disorders; (e) patients’ quality of life and evaluation of care; and f) physicians’ satisfaction with the innovative care approach. Conclusions This is the first multi-center study to investigate the effects of a mental health specialist working in tandem with a somatic expert physician in CRDs. If this innovative approach proves successful, it will be made available on a larger scale nationally and promoted internationally. In the best case, ZSE-DUO can significantly shorten the time to diagnosis for a suspected rare disease. KW - rare diseases KW - multi‑center cohort study KW - dual guidance Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-300440 VL - 17 IS - 1 ER - TY - JOUR A1 - Gschmack, Eva A1 - Monoranu, Camelia-Maria A1 - Marouf, Hecham A1 - Meyer, Sarah A1 - Lessel, Lena A1 - Idris, Raja A1 - Berg, Daniela A1 - Maetzler, Walter A1 - Steigerwald, Frank A1 - Volkmann, Jens A1 - Gerlach, Manfred A1 - Riederer, Peter A1 - Koutsilieri, Eleni A1 - Scheller, Carsten T1 - Plasma autoantibodies to glial fibrillary acidic protein (GFAP) react with brain areas according to Braak staging of Parkinson’s disease JF - Journal of Neural Transmission N2 - Idiopathic Parkinson’s disease (PD) is characterized by a progredient degeneration of the brain, starting at deep subcortical areas such as the dorsal motor nucleus of the glossopharyngeal and vagal nerves (DM) (stage 1), followed by the coeruleus–subcoeruleus complex; (stage 2), the substantia nigra (SN) (stage 3), the anteromedial temporal mesocortex (MC) (stage 4), high-order sensory association areas and prefrontal fields (HC) (stage 5) and finally first-order sensory association areas, premotor areas, as well as primary sensory and motor field (FC) (stage 6). Autoimmunity might play a role in PD pathogenesis. Here we analyzed whether anti-brain autoantibodies differentially recognize different human brain areas and identified autoantigens that correlate with the above-described dissemination of PD pathology in the brain. Brain tissue was obtained from deceased individuals with no history of neurological or psychiatric disease and no neuropathological abnormalities. Tissue homogenates from different brain regions (DM, SN, MC, HC, FC) were subjected to SDS-PAGE and Western blot. Blots were incubated with plasma samples from 30 PD patients and 30 control subjects and stained with anti-IgG antibodies to detect anti-brain autoantibodies. Signals were quantified. Prominent autoantigens were identified by 2D-gel-coupled mass spectrometry sequencing. Anti-brain autoantibodies are frequent and occur both in healthy controls and individuals with PD. Glial fibrillary acidic protein (GFAP) was identified as a prominent autoantigen recognized in all plasma samples. GFAP immunoreactivity was highest in DM areas and lowest in FC areas with no significant differences in anti-GFAP autoantibody titers between healthy controls and individuals with PD. The anti-GFAP autoimmunoreactivity of different brain areas correlates with the dissemination of histopathological neurodegeneration in PD. We hypothesize that GFAP autoantibodies are physiological but might be involved as a cofactor in PD pathogenesis secondary to a leakage of the blood–brain barrier. KW - Parkinson KW - GFAP KW - autoantibodies KW - Braak Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-325161 VL - 129 IS - 5-6 ER - TY - JOUR A1 - Evdokimov, Dimitar A1 - Frank, Johanna A1 - Klitsch, Alexander A1 - Unterecker, Stefan A1 - Warrings, Bodo A1 - Serra, Jordi A1 - Papagianni, Aikaterini A1 - Saffer, Nadine A1 - Meyer zu Altenschildesche, Caren A1 - Kampik, Daniel A1 - Malik, Rayaz A. A1 - Sommer, Claudia A1 - Üceyler, Nurcan T1 - Reduction of skin innervation is associated with a severe fibromyalgia phenotype JF - Annals of Neurology N2 - Objective: To assess patterns and impact of small nerve fiber dysfunction and pathology in patients with fibromyalgia syndrome (FMS). Methods: One hundred seventeen women with FMS underwent neurological examination, questionnaire assessment, neurophysiology assessment, and small fiber tests: skin punch biopsy, corneal confocal microscopy, microneurography, quantitative sensory testing including C-tactile afferents, and pain-related evoked potentials. Data were compared with those of women with major depressive disorder and chronic widespread pain (MD-P) and healthy women. Results: Intraepidermal nerve fiber density (IENFD) was reduced at different biopsy sites in 63% of FMS patients (MDP: 10%, controls: 18%; p < 0.001 for each). We found 4 patterns of skin innervation in FMS: normal, distally reduced, proximally reduced, and both distally and proximally reduced (p < 0.01 for each compared to controls). Microneurography revealed initial activity-dependent acceleration of conduction velocity upon low frequencies of stimulation in 1A fibers, besides 1B fiber spontaneous activity and mechanical sensitization in FMS patients. FMS patients had elevated warm detection thresholds (p < 0.01), impaired C-tactile afferents (p < 0.05), and reduced amplitudes (p < 0.001) of pain-related evoked potentials compared to controls. Compared to FMS patients with normal skin innervation, those with generalized IENFD reduction had higher pain intensity and impairment due to pain, higher disease burden, more stabbing pain and paresthesias, and more anxiety (p < 0.05 for each). FMS patients with generalized IENFD reduction also had lower corneal nerve fiber density (p < 0.01) and length (p < 0.05). Interpretation: The extent of small fiber pathology is related to symptom severity in FMS. This knowledge may have implications for the diagnostic classification and treatment of patients with FMS. KW - fibromyalgia Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-206168 VL - 86 IS - 4 ER - TY - JOUR A1 - Klitsch, Alexander A1 - Evdokimov, Dimitar A1 - Frank, Johanna A1 - Thomas, Dominique A1 - Saffer, Nadine A1 - Meyer zu Altenschildesche, Caren A1 - Sisignano, Marco A1 - Kampik, Daniel A1 - Malik, Rayaz A. A1 - Sommer, Claudia A1 - Üçeyler, Nurcan T1 - Reduced association between dendritic cells and corneal sub‐basal nerve fibers in patients with fibromyalgia syndrome JF - Journal of the Peripheral Nervous System N2 - In our study, we aimed at investigating corneal langerhans cells (LC) in patients with fibromyalgia syndrome (FMS) and small fiber neuropathy (SFN) as potential contributors to corneal small fiber pathology. We enrolled women with FMS (n = 134) and SFN (n = 41) who underwent neurological examination, neurophysiology, prostaglandin analysis in tear fluid, and corneal confocal microscopy (CCM). Data were compared with those of 60 age‐matched female controls. After screening for dry eye disease, corneal LC were counted and sub‐classified as dendritic (dLC) and non‐dendritic (ndLC) cells with or without nerve fiber association. We further analyzed corneal nerve fiber density (CNFD), length (CNFL), and branch density (CNBD). Neurological examination indicated deficits of small fiber function in patients with SFN. Nerve conduction studies were normal in all participants. Dry eye disease was more prevalent in FMS (17%) and SFN (28%) patients than in controls (5%). Tear fluid prostaglandin levels did not differ between FMS patients and controls. While corneal LC density in FMS and SFN patients was not different from controls, there were fewer dLC in association with nerve fibers in FMS and SFN patients than in controls (P < .01 each). Compared to controls, CNFL was lower in FMS and SFN patients (P < .05 each), CNFD was lower only in FMS patients (P < .05), and CNBD was lower only in SFN patients (P < .001). There was no difference in any CCM parameter between patients with and without dry eyes. Our data indicate changes in corneal innervation and LC distribution in FMS and SFN, potentially based on altered LC signaling. KW - corneal confocal microscopy KW - fibromyalgia syndrome KW - Langerhans cells KW - pain KW - small fiber neuropathy Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-214150 VL - 25 IS - 1 ER -