TY - JOUR A1 - Steigerwald, Frank A1 - Timmermann, Lars A1 - Kühn, Andrea A1 - Schnitzler, Alfons A1 - Reich, Martin M. A1 - Kirsch, Anna Dalal A1 - Barbe, Michael Thomas A1 - Visser-Vandewalle, Veerle A1 - Hübl, Julius A1 - van Riesen, Christoph A1 - Groiss, Stefan Jun A1 - Moldovan, Alexia-Sabine A1 - Lin, Sherry A1 - Carcieri, Stephen A1 - Manola, Ljubomir A1 - Volkmann, Jens T1 - Pulse duration settings in subthalamic stimulation for Parkinson's disease JF - Movement Disorders N2 - Background Stimulation parameters in deep brain stimulation (DBS) of the subthalamic nucleus for Parkinson's disease (PD) are rarely tested in double-blind conditions. Evidence-based recommendations on optimal stimulator settings are needed. Results from the CUSTOM-DBS study are reported, comparing 2 pulse durations. Methods A total of 15 patients were programmed using a pulse width of 30 µs (test) or 60 µs (control). Efficacy and side-effect thresholds and unified PD rating scale (UPDRS) III were measured in meds-off (primary outcome). The therapeutic window was the difference between patients’ efficacy and side effect thresholds. Results The therapeutic window was significantly larger at 30 µs than 60 µs (P = ·0009) and the efficacy (UPDRS III score) was noninferior (P = .00008). Interpretation Subthalamic neurostimulation at 30 µs versus 60 µs pulse width is equally effective on PD motor signs, is more energy efficient, and has less likelihood of stimulation-related side effects. © 2017 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society. KW - deep brain stimulation KW - Parkinson's disease; KW - pulse width KW - stimulation parameters KW - subthalamic Y1 - 2018 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-239402 VL - 33 ER - TY - JOUR A1 - Arlotti, Mattia A1 - Palmisano, Chiara A1 - Minafra, Brigida A1 - Todisco, Massimiliano A1 - Pacchetti, Claudio A1 - Canessa, Andrea A1 - Pozzi, Nicoló G. A1 - Cilia, Roberto A1 - Prenassi, Marco A1 - Marceglia, Sara A1 - Priori, Alberto A1 - Rampini, Paolo A1 - Barbieri, Sergio A1 - Servello, Domenico A1 - Volkmann, Jens A1 - Pezzoli, Gianni A1 - Isaias, Ioannis U. T1 - Monitoring subthalamic oscillations for 24 hours in a freely moving Parkinson's disease patient JF - Movement Disorders N2 - No abstract available Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-221249 VL - 34 ER - TY - JOUR A1 - Zeiner, Pia S. A1 - Preusse, Corinna A1 - Golebiewska, Anna A1 - Zinke, Jenny A1 - Iriondo, Ane A1 - Muller, Arnaud A1 - Kaoma, Tony A1 - Filipski, Katharina A1 - Müller-Eschner, Monika A1 - Bernatz, Simon A1 - Blank, Anna-Eva A1 - Baumgarten, Peter A1 - Ilina, Elena A1 - Grote, Anne A1 - Hansmann, Martin L. A1 - Verhoff, Marcel A. A1 - Franz, Kea A1 - Feuerhake, Friedrich A1 - Steinbach, Joachim P. A1 - Wischhusen, Jörg A1 - Stenzel, Werner A1 - Niclou, Simone P. A1 - Harter, Patrick N. A1 - Mittelbronn, Michel T1 - Distribution and prognostic impact of microglia/macrophage subpopulations in gliomas JF - Brain Pathology N2 - While the central nervous system is considered an immunoprivileged site and brain tumors display immunosuppressive features, both innate and adaptive immune responses affect glioblastoma (GBM) growth and treatment resistance. However, the impact of the major immune cell population in gliomas, represented by glioma-associated microglia/macrophages (GAMs), on patients’ clinical course is still unclear. Thus, we aimed at assessing the immunohistochemical expression of selected microglia and macrophage markers in 344 gliomas (including gliomas from WHO grade I–IV). Furthermore, we analyzed a cohort of 241 IDH1R132H-non-mutant GBM patients for association of GAM subtypes and patient overall survival. Phenotypical properties of GAMs, isolated from high-grade astrocytomas by CD11b-based magnetic cell sorting, were analyzed by immunocytochemistry, mRNA microarray, qRT-PCR and bioinformatic analyses. A higher amount of CD68-, CD163- and CD206-positive GAMs in the vital tumor core was associated with beneficial patient survival. The mRNA expression profile of GAMs displayed an upregulation of factors that are considered as pro-inflammatory M1 (eg, CCL2, CCL3L3, CCL4, PTGS2) and anti-inflammatory M2 polarization markers (eg, MRC1, LGMN, CD163, IL10, MSR1), the latter rather being associated with phagocytic functions in the GBM microenvironment. In summary, we present evidence that human GBMs contain mixed M1/M2-like polarized GAMs and that the levels of different GAM subpopulations in the tumor core are positively associated with overall survival of patients with IDH1R132H-non-mutant GBMs. KW - glioma KW - glioma-associated microglia and macrophages; KW - immune polarization KW - tumor microenvironment Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-233897 VL - 29 ER - TY - JOUR A1 - Ingendoh-Tsakmakidis, Alexandra A1 - Mikolai, Carina A1 - Winkel, Andreas A1 - Szafrański, Szymon P. A1 - Flak, Christine S. A1 - Rossi, Angela A1 - Walles, Heike A1 - Stiesch, Meike T1 - Commensal and pathogenic biofilms differently modulate peri-implant oral mucosa in an organotypic model JF - Cellular Microbiology N2 - The impact of oral commensal and pathogenic bacteria on peri-implant mucosa is not well understood, despite the high prevalence of peri-implant infections. Hence, we investigated responses of the peri-implant mucosa to Streptococcus oralis or Aggregatibacter actinomycetemcomitans biofilms using a novel in vitro peri-implant mucosa-biofilm model. Our 3D model combined three components, organotypic oral mucosa, implant material, and oral biofilm, with structural assembly close to native situation. S. oralis induced a protective stress response in the peri-implant mucosa through upregulation of heat shock protein (HSP70) genes. Attenuated inflammatory response was indicated by reduced cytokine levels of interleukin-6 (IL-6), interleukin-8 (CXCL8), and monocyte chemoattractant protein-1 (CCL2). The inflammatory balance was preserved through increased levels of tumor necrosis factor-alpha (TNF-α). A. actinomycetemcomitans induced downregulation of genes important for cell survival and host inflammatory response. The reduced cytokine levels of chemokine ligand 1 (CXCL1), CXCL8, and CCL2 also indicated a diminished inflammatory response. The induced immune balance by S. oralis may support oral health, whereas the reduced inflammatory response to A. actinomycetemcomitans may provide colonisation advantage and facilitate later tissue invasion. The comprehensive characterisation of peri-implant mucosa-biofilm interactions using our 3D model can provide new knowledge to improve strategies for prevention and therapy of peri-implant disease. KW - Aggregatibacter actinomycetemcomitans KW - dental implants KW - host modulation KW - organotypic oral mucosa KW - Streptococcus oralis Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-323077 VL - 21 ER - TY - JOUR A1 - Mazon, Melody A1 - Larouche, Valérie A1 - St-Louis, Maryse A1 - Schindler, Detlev A1 - Carreau, Madeleine T1 - Elevated blood levels of Dickkopf-1 are associated with acute infections JF - Immunity, Inflammation and Disease N2 - Introduction Dickkopf-1 (DKK1) is a soluble protein and antagonist of the Wnt/β-catenin signaling pathway. DKK1 is found elevated in serum from patients affected with various types of cancers and in some instances, it is considered a diagnostic and prognostic biomarker. Elevated serum levels of DKK1 have also been detected in animal models of chronic inflammatory diseases. Previous work from our laboratory has demonstrated upregulation of DKK1 in cells and mouse models of the bone marrow failure (BMF) and cancer-prone disease Fanconi anemia (FA). The present study aimed to investigate whether DKK1 blood levels in patients are associated with FA or inflammatory responses to acute infections. Methods Plasma samples were collected from 58 children admitted to the Centre Mère-Enfant Soleil du Centre Hospitalier de Québec-Université Laval with signs of acute infections. Blood plasma specimens were also collected from healthy blood donors at the Héma-Québec blood donor clinic. Plasmas from patients diagnosed with FA were also included in the study. DKK1 levels in blood plasmas were assessed by standard ELISA. Results Patients with acute infections showed dramatically high levels of DKK1 (6072 ± 518 pg/ml) in their blood compared to healthy blood donors (1726 ± 95 pg/ml). No correlations were found between DKK1 levels and C reactive protein (CRP) concentration, platelet numbers, or white blood cell counts. Patients with FA showed higher DKK1 plasma levels (3419 ± 147.5 pg/ml) than healthy blood donors (1726 ± 95 pg/ml) but significantly lower than patients with acute infections. Conclusion These findings suggest that blood DKK1 is elevated in response to infections and perhaps to inflammatory responses. KW - blood plasma KW - Dickkopf-1 KW - ELISA KW - Fanconi anemia KW - infections Y1 - 2018 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-222171 VL - 6 ER - TY - JOUR A1 - Van Assche, Nele A1 - Fickl, Stefan A1 - Francisco, Helena A1 - Gurzawska, Katarzyna A1 - Milinkovic, Iva A1 - Navarro, Jose M. A1 - Torsello, Ferruccio A1 - Thoma, Daniel S. T1 - Guidelines for development of Implant Dentistry in the next 10 years regarding innovation, education, certification, and associations JF - Clinical Oral Implants Research N2 - Background During the third Summer Camp of European Association of Osseointegration (EAO), 40 junior representatives from various European societies and associations were brought together to discuss and explore the following topics in Implant Dentistry in the next 10 years: (I) certification, (II) societies and associations, (III) continuing education, and (IV) innovations. Aims The aims of all working groups were to identify and outline the present situation in the area of the selected topic and to propose improvements and innovations to be implemented in the following 10 years. Materials and methods Four different groups were assigned randomly to one of the four working units. The method to discuss the selected topics was World Cafè. The summaries of four topics were then given to all participants for peer review. Results and conclusions All four groups presented the conclusions and guidelines accordingly: (I) The recognition for Implant Dentistry and accreditation of training programs would lead to an improvement of the quality of care to the benefit of the patients; (II) Dental associations and societies have to continuously improve communication to meet needs of dental students, professionals, and patients (III) European Dental Board should be installed and become responsible for continue dental education; (IV) dental engineering, peri-implant diseases, and digital workflow in dentistry currently have limited tools that do not guarantee predictable results. Y1 - 2018 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-232150 VL - 29 ER -