TY  - THES
A1  - Hartmann, Stefanie
T1  - Charakterisierung und Vergleich von Hämodynamik und Überleben bei vasoresponsiven und nicht vasoresponsiven Patienten mit pulmonalarterieller Hypertonie
T1  - Characterization and comparison of hemodynamics and survival in vasoresponsive and nonvasoresponsive patients with pulmonary arterial hypertension
N2  - Es war ein wichtiger Meilenstein in der Behandlung der pulmonalarteriellen Hypertonie, als herausgefunden wurde, dass gewisse Patienten mit positivem Vasoreagibilitätstest von einer Langzeittherapie mit Kalziumkanalantagonisten profitieren und eine deutlich erhöhte Lebenserwartung aufweisen. Seit 2018 werden diese Patienten einer eigenen Subklassifikation zugeordnet. Das Augenmerk dieser retrospektiven Studie lag daher insbesondere darauf, welche vasoresponsiven Patienten zur neuen Gruppe der Langzeit-Kalziumkanalblocker-Responder gehören und ob das Konzept der wiederholten Vasoreagibilitätstestungen in diesem Kollektiv umgesetzt wird.
N2  - It was an important milestone in the treatment of pulmonary arterial hypertension when it was found that certain patients with a positive vasoreactivity test benefit from long-term therapy with calcium channel antagonists and have a significantly longer life expectancy. Since 2018, these patients have been assigned their own subclassification. The focus of this retrospective study was therefore in particular which vasoresponsive patients belong to the new group of long-term calcium channel blocker responders and whether the concept of repeated vasoreactivity testing is implemented in this collective.
KW  - Pulmonale Hypertonie
KW  - Vasoreagibilität
Y1  - 2022
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-292282
ER  - 
TY  - JOUR
A1  - Schmidt, Stefanie
A1  - Ebner, Friederike
A1  - Rosen, Kerstin
A1  - Kniemeyer, Olaf
A1  - Brakhage, Axel A.
A1  - Löffler, Jürgen
A1  - Seif, Michelle
A1  - Springer, Jan
A1  - Schlosser, Josephine
A1  - Scharek‐Tedin, Lydia
A1  - Scheffold, Alexander
A1  - Bacher, Petra
A1  - Kühl, Anja A.
A1  - Rösler, Uwe
A1  - Hartmann, Susanne
T1  - The domestic pig as human‐relevant large animal model to study adaptive antifungal immune responses against airborne Aspergillus fumigatus
JF  - European Journal of Immunology
N2  - Pulmonary mucosal immune response is critical for preventing opportunistic Aspergillus fumigatus infections. Although fungus‐specific CD4\(^{+}\) T cells in blood are described to reflect the actual host–pathogen interaction status, little is known about Aspergillus‐specific pulmonary T‐cell responses. Here, we exploit the domestic pig as human‐relevant large animal model and introduce antigen‐specific T‐cell enrichment in pigs to address Aspergillus‐specific T cells in the lung compared to peripheral blood. In healthy, environmentally Aspergillus‐exposed pigs, the fungus‐specific T cells are detectable in blood in similar frequencies as observed in healthy humans and exhibit a Th1 phenotype. Exposing pigs to 10\(^{6}\) cfu/m\(^{3}\) conidia induces a long‐lasting accumulation of Aspergillus‐specific Th1 cells locally in the lung and also systemically. Temporary immunosuppression during Aspergillus‐exposure showed a drastic reduction in the lung‐infiltrating antifungal T‐cell responses more than 2 weeks after abrogation of the suppressive treatment. This was reflected in blood, but to a much lesser extent. In conclusion, by using the human‐relevant large animal model the pig, this study highlights that the blood clearly reflects the mucosal fungal‐specific T‐cell reactivity in environmentally exposed as well as experimentally exposed healthy pigs. But, immunosuppression significantly impacts the mucosal site in contrast to the initial systemic immune response.
KW  - fungal aerosolization
KW  - porcine large animal model
KW  - pulmonary immune response
KW  - T cells
KW  - Aspergillus fumigatus
Y1  - 2020
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-216085
VL  - 50
IS  - 11
SP  - 1712
EP  - 1728
ER  -