TY - JOUR A1 - Suchotzki, Kristina A1 - Kakavand, Aileen A1 - Gamer, Matthias T1 - Validity of the reaction time concealed information test in a prison sample JF - Frontiers in Psychiatry N2 - Detecting whether a suspect possesses incriminating (e.g., crime-related) information can provide valuable decision aids in court. To this means, the Concealed Information Test (CIT) has been developed and is currently applied on a regular basis in Japan. But whereas research has revealed a high validity of the CIT in student and normal populations, research investigating its validity in forensic samples in scarce. This applies even more to the reaction time-based CIT (RT-CIT), where no such research is available so far. The current study tested the application of the RT-CIT for an imaginary mock crime scenario both in a sample of prisoners (n = 27) and a matched control group (n = 25). Results revealed a high validity of the RT-CIT for discriminating between crime-related and crime-unrelated information, visible in medium to very high effect sizes for error rates and reaction times. Interestingly, in accordance with theories that criminal offenders may have worse response inhibition capacities and that response inhibition plays a crucial role in the RT-CIT, CIT-effects in the error rates were even elevated in the prisoners compared to the control group. No support for this hypothesis could, however, be found in reaction time CIT-effects. Also, performance in a standard Stroop task, that was conducted to measure executive functioning, did not differ between both groups and no correlation was found between Stroop task performance and performance in the RT-CIT. Despite frequently raised concerns that the RT-CIT may not be applicable in non-student and forensic populations, our results thereby do suggest that such a use may be possible and that effects seem to be quite large. Future research should build up on these findings by increasing the realism of the crime and interrogation situation and by further investigating the replicability and the theoretical substantiation of increased effects in non-student and forensic samples. KW - concealed information test KW - deception KW - lying KW - reaction times KW - inmates KW - forensic sample Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-177714 VL - 9 IS - 745 ER - TY - JOUR A1 - Goos, Carina A1 - Dejung, Mario A1 - Wehman, Ann M. A1 - M-Natus, Elisabeth A1 - Schmidt, Johannes A1 - Sunter, Jack A1 - Engstler, Markus A1 - Butter, Falk A1 - Kramer, Susanne T1 - Trypanosomes can initiate nuclear export co-transcriptionally JF - Nucleic Acids Research N2 - The nuclear envelope serves as important messenger RNA (mRNA) surveillance system. In yeast and human, several control systems act in parallel to prevent nuclear export of unprocessed mRNAs. Trypanosomes lack homologues to most of the involved proteins and their nuclear mRNA metabolism is non-conventional exemplified by polycistronic transcription and mRNA processing by trans-splicing. We here visualized nuclear export in trypanosomes by intra- and intermolecular multi-colour single molecule FISH. We found that, in striking contrast to other eukaryotes, the initiation of nuclear export requires neither the completion of transcription nor splicing. Nevertheless, we show that unspliced mRNAs are mostly prevented from reaching the nucleus-distant cytoplasm and instead accumulate at the nuclear periphery in cytoplasmic nuclear periphery granules (NPGs). Further characterization of NPGs by electron microscopy and proteomics revealed that the granules are located at the cytoplasmic site of the nuclear pores and contain most cytoplasmic RNA-binding proteins but none of the major translation initiation factors, consistent with a function in preventing faulty mRNAs from reaching translation. Our data indicate that trypanosomes regulate the completion of nuclear export, rather than the initiation. Nuclear export control remains poorly understood, in any organism, and the described way of control may not be restricted to trypanosomes. KW - molecular biology KW - nuclear export KW - trypanosomes KW - mRNA KW - nuclear envelope Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-177709 VL - 47 IS - 1 ER - TY - RPRT A1 - Imgrund, Florian A1 - Janiesch, Christian A1 - Fischer, Marcus A1 - Winkelmann, Axel T1 - Success Factors for Process Modeling Projects: An Empirical Analysis N2 - Business process modeling is one of the most crucial activities of BPM and enables companies to realize various benefits in terms of communication, coordination, and distribution of organizational knowledge. While numerous techniques support process modeling, companies frequently face challenges when adopting BPM to their organization. Existing techniques are often modified or replaced by self-developed approaches so that companies cannot fully exploit the benefits of standardization. To explore the current state of the art in process modeling as well as emerging challenges and potential success factors, we conducted a large-scale quantitative study. We received feedback from 314 respondents who completed the survey between July 2 and September 6, 2017. Thus, our study provides in-depth insights into the status quo of process modeling and allows us to provide three major contributions. Our study suggests that the success of process modeling projects depends on four major factors, which we extracted using exploratory factor analysis. We found employee education, management involvement, usability of project results, and the companies’ degree of process orientation to be decisive for the success of a process modeling project. We conclude this report with a summary of results and present potential avenues for future research. We thereby emphasize the need of quantitative and qualitative insights to process modeling in practice is needed to strengthen the quality of process modeling in practice and to be able to react quickly to changing conditions, attitudes, and possible constraints that practitioners face. T3 - Working Paper Series of the Institute of Business Management - 6 KW - Business Process Modeling KW - Business Process Management KW - Success Factors KW - Empirical Analysis Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-179246 ER - TY - THES A1 - Gutjahr, Fabian Tobias T1 - Neue Methoden der physiologischen Magnet-Resonanz-Tomographie: Modellbasierte T1-Messungen und Darstellung von chemischem Austausch mit positivem Kontrast T1 - Novell Methods for Physiological MRI: Model based T1-Quantification and Positive Contrast Chemical Exchange Measurements N2 - Ziel dieser Arbeit war es, neue quantitative Messmethoden am Kleintier, insbesondere die Perfusionsmessung am Mäuseherz, zu etablieren. Hierfür wurde eine retrospektiv getriggerte T1-Messmethode entwickelt. Da bei retrospektiven Methoden keine vollständige Abtastung garantiert werden kann, wurde ein Verfahren gefunden, das mit Hilfe von Vorwissen über das gemessene Modell sehr effizient die fehlenden Daten interpolieren kann. Mit Hilfe dieser Technik werden dynamische T1-Messungen mit hoher räumlicher und zeitlicher Auflösung möglich. Dank der hohen Genauigkeit der T1-Messmethode lässt sich diese für die nichtinvasive Perfusionsmessung am Mäuseherz mittels der FAIR-ASL-Technik nutzen. Da auf Grund der retrospektiven Triggerung Daten an allen Positionen im Herzzyklus akquiriert werden, konnten T1- und Perfusionskarten nach der Messung zu beliebigen Punkten im Herzzyklus rekonstruiert werden. Es bietet sich an, Techniken, die für die myokardiale Perfusion angewandt werden, auch für die Nierenperfusionsmessung zu verwenden, da die Niere in ihrer Rinde (Cortex) eine ähnlich hohe Perfusion aufweist wie das Myokard. Gleichzeitig führen Nierenerkrankungen oftmals zu schlechter Kontrastmittelverträglichkeit, da diese bei Niereninsuffizienz u.U. zu lange im Körper verweilen und die Niere weiter schädigen. Auch deshalb sind die kontrastmittelfreien Spin-Labeling-Methoden hier interessant. Die FAIR-ASL-Technik ist jedoch an Mäusen in koronaler Ansicht für die Niere schlecht geeignet auf Grund des geringen Unterschieds zwischen dem markierten und dem Vergleichsexperiment. Als Lösung für dieses Problem wurde vorgeschlagen, die Markierungsschicht senkrecht zur Messschicht zu orientieren. Hiermit konnte die Sensitivität gesteigert und gleichzeitig die Variabilität der Methode deutlich verringert werden. Mit Hilfe von kontrastmittelgestützten Messungen konnten auch das regionale Blutvolumen und das Extrazellularvolumen bestimmt werden. In den letzten Jahren hat das Interesse an Extrazellularvolumenmessungen zugenommen, da das Extrazellularvolumen stellvertretend für diffuse Fibrose gemessen werden kann, die bis dahin nichtinvasiven Methoden nicht zugänglich war. Die bisher in der Literatur verwendeten Quantifizierungsmethoden missachten den Einfluss, den das Hämatokrit auf den ECV-Wert hat. Es wurde eine neue Korrektur vorgeschlagen, die allerdings zusätzlich zur ECV-Messung auch eine RBV-Messung benötigt. Durch gleichzeitige Messung beider Volumenanteile konnte auch erstmals das Extrazellulare-Extravaskuläre-Volumen bestimmt werden. Eine gänzlich andere kontrastmittelbasierte Methode in der MRT ist die Messung des chemischen Austauschs. Hierbei wirkt das Kontrastmittel nicht direkt beschleunigend auf die Relaxation, sondern der Effekt des Kontrastmittels wird gezielt durch HF-Pulse an- und ausgeschaltet. Durch den chemischen Austausch kann die Auswirkung der HF-Pulse akkumuliert werden. Bislang wurde bei solchen Messungen ein negativer Kontrast erzeugt, der ohne zusätzliche Vergleichsmessungen schwer detektierbar war. Im letzten Teil dieser Arbeit konnte eine neue Methode zur Messung des chemischen Austauschs gezeigt werden, die entgegen der aus der Literatur bekannten Methoden nicht Sättigung, sondern Anregung überträgt. Diese Änderung erlaubt es, einen echten positiven chemischen Austausch-Kontrast zu erzeugen, der nicht zwingend ein Vergleichsbild benötigt. Gleichzeitig ermöglicht die Technik, dadurch dass Anregung übertragen wird, die Phase der Anregung zu kontrollieren und nutzen. Eine mögliche Anwendung ist die Unterscheidung verschiedener Substanzen in einer Messung. In der Summe wurden im Rahmen dieser Arbeit verschiedene robuste Methoden eta- bliert, die die Möglichkeiten der quantitativen physiologischen MRT erweitern. N2 - The objective of this dissertation was to develop new methods for physiological magnetic resonance imaging. A new retrospectively triggered T1-method was developed. Due to the retrospectivity, full sampling of k-space can not be warranted. Therefore a model- based interpolation method was developed to reconstruct missing data efficiently. Using this technique, dynamic T1-measurements with high temporal and spatial resolution could be acquired. Due to the high precision of the developed T1-method, perfusion could be quantified using Arterial Spin Labeling. In comparison to the method established previously in our laboratory, the resolution could be doubled. Retrospective triggering enables reconstruc- tion of parameter maps on arbitrary positions in the heart cycle, as data are acquired continuously over several heart cycles. The perfusion measurement benefits from recon- struction on the end systole, as partial volume effects are decreased, due to the increased myocardial wall thickness. This serves as an effective increase in resolution. Furthermore, the data distributed over the whole heart cycle could be used to accelerate and stabilize the measurement. Cardiac and renal diseases can be directly related, as deficiency in one of the organs affects the other one. Additionally several diseases like hypertension or diabetes affect both organs. Moreover, kidneys are highly perfused, similar to the myocardium. Renal insufficiency can also lead to contrast agent intolerance, as clearance rates can be redu- ced. Therefore the FAIR-ASL technique lends itself to kidney perfusion measurements. It can, however, be problematic in small animals in coronal view, as the control-experiment inadvertently labels much of the same tissue and blood, as the labeling experiment. A modified FAIR-ASL measurement could be shown to increase sensitivity and reduce in- ter-measurement-variability by repositioning the inversion slice of the control experiment orthogonally to the measurement slice. The T1-method was used in combination with contrast agent based measurements to quantify the regional blood volume and the extracellular volume fraction. There has been an increased interest in extracellular volume fraction measurements as the extracel- lular volume is used as a proxy for the detection of diffuse fibrosis, which has previously been inaccessible to non-invasive methods. Several correction factors are used in volume fraction quantification, but the influence of hematocrit in ECV measurements has been neglected so far. In mice and rats, the regional blood volume is a major constituent of the ECV, leading to a significant influence of hematocrit. A new correction is proposed to account for the volume fraction taken up by hematocrit. For this ECV hematocrit correction, the RBV has to be measured as well. Using both measurements, the ex- tracellular volume fraction can be corrected and the extracellular-extravascular-volume- fraction quantified. A fundamentally different contrast-mechanism can be utilized using the measurement of chemical exchange. Instead of shortening relaxation times, the contrast provided by chemical exchange agents can be turned on and off using frequency selective rf-pulses. Due to the chemical exchange the effect of these pulses can be accumulated. Measure- ments exploiting this accumulation effect in general produce a negative contrast requiring a control-experiment for further evaluation. In the last part of this dissertation, a new technique transferring excitation instead of saturation could be demonstrated. By ge- nerating a real positive contrast, no control experiment is required. Other properties unavailable to previously published chemical exchange transfer methods can be exploi- ted. One example demonstrated in this dissertation is the separation of simultaneously excited compounds by their respective phase information imprinted by the excitation pulses. In summary, several robust methods could be implemented to further the capabilities of quantitative physiological MRI. KW - Physioloische MRT KW - Modellbasierte Rekonstruktion KW - FAIR-ASL KW - Perfusionsmessung KW - Chemischer Austausch KW - Physioloische MRT KW - Modellbasierte Rekonstruktion KW - FAIR-ASL KW - Chemischer Austausch KW - Regionales Blutvolumen KW - Extrazellularvolumen KW - T1-Quantifizierung KW - Kernspinresonanz KW - Myokardiale Perfusion KW - Niere Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-161061 ER - TY - BOOK ED - Kleinschrot, Dorothee ED - Hanig, Kristina T1 - Historische Erzlagerstätten und Mineralienfundorte des Harzes BT - Die Sammlung Peter C. Ruppert im Mineralogischen Museum der Universität Würzburg N2 - Der Harz ist eine Mittelgebirgsregion, die in Deutschland und Mitteleuropa auf faszinierende Weise hervorsticht: Kaum eine andere deutsche Landschaft kann mit einer solchen Vielfalt an Gesteinen und Erzen aufwarten. Diese Besonderheit wurzelt tief in der geologischen Entstehung der Region. Ihrer Geschichte will nun der Katalog auf die Spur kommen – anhand von ausgewählten Exponaten einer einzigartigen Sammlung. Aufgebaut wurde die umfangreiche Sammlung von Peter C. Ruppert. Der Kunstsammler und Würzburger Ehrenbürger sammelte über Jahrzehnte hinweg außergewöhnliche Mineralien und Gesteine aus den historischen Erzlagerstätten des Harzes. Seit Januar 2014 zeigt das Mineralogische Museum der Universität Würzburg die wertvollen Exponate – und widmet der Sammlung diesen Katalog. KW - Erzlagerstätte KW - Mineralien KW - Vorkommen KW - Harz KW - Mineralienfundort KW - Erz KW - Harz Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-170700 SN - 978-3-95826-100-6 SN - 978-3-95826-101-3 N1 - Parallel erschienen als Druckausgabe in Würzburg University Press, ISBN 978-3-95826-100-6, 44,90 EUR PB - Würzburg University Press CY - Würzburg ET - 1. Auflage ER - TY - JOUR A1 - Petschke, Danny A1 - Helm, Ricardo A1 - Staab, Torsten E.M. T1 - Data on pure tin by Positron Annihilation Lifetime Spectroscopy (PALS) acquired with a semi-analog/digital setup using DDRS4PALS JF - Data in Brief N2 - Positron annihilation lifetime spectroscopy (PALS) provides a powerful technique for non-destructive microstructure investigations in a broad field of material classes such as metals, semiconductors, polymers or porous glasses. Even though this method is well established for more than five decades, no proper standardization for the used setup configuration and subsequent data processing exists. Eventually, this could lead to an insufficiency of data reproducibility and avoidable deviations. Here we present experimentally obtained and simulated data of positron lifetime spectra at various statistics measured on pure tin (4N-Sn) by using a semi-analog/digital setup, where the digital section consists of the DRS4 evaluation board, “Design and performance of the 6 GHz waveform digitizing chip DRS4” [1]. The analog section consists of nuclear instrument modules (NIM), which externally trigger the DRS4 evaluation board to reduce the digitization and, thus, increase the acquisition efficiency. For the experimentally obtained lifetime spectra, 22Na sealed in Kapton foil served as a positron source, whereas 60Co was used for the acquisition of the prompt spectrum, i.e. the quasi instrument response function. Both types of measurements were carried out under the same conditions. All necessary data and information regarding the data acquisition and data reduction are provided to allow reproducibility by other research groups. KW - positron KW - positron annihilation lifetime spectroscopy KW - PALS Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-177698 VL - 22 ER - TY - JOUR A1 - Linsenmann, Thomas A1 - Monoranu, Camelia M. A1 - Alkonyi, Balint A1 - Westermaier, Thomas A1 - Hagemann, Carsten A1 - Kessler, Almuth F. A1 - Ernestus, Ralf-Ingo A1 - Löhr, Mario T1 - Cerebellar liponeurocytoma - molecular signature of a rare entity and the importance of an accurate diagnosis JF - Interdisciplinary Neurosurgery N2 - Background: Cerebellar liponeurocytoma is an extremely rare tumour entity of the central nervous system. It is histologically characterised by prominent neuronal/neurocytic differentiation with focal lipidisation and corresponding histologically to WHO grade II. It typically develops in adults, and usually shows a low proliferative potential. Recurrences have been reported in almost 50% of cases, and in some cases the recurrent tumour may display increased mitotic activity and proliferation index, vascular proliferations and necrosis. Thus pathological diagnosis of liponeurocytoma is challenging. This case presentation highlights the main clinical, radiographic and pathological features of a cerebellar liponeurocytoma. Case presentation: A 59-year-old, right-handed woman presented at our department with a short history of persistent headache, vertigo and gait disturbances. Examination at presentation revealed that the patient was awake, alert and fully oriented. The cranial nerve status was normal. Uncertainties were noted in the bilateral finger-to-nose testing with bradydiadochokinesis on both sides. Strength was full and no pronator drift was observed. Sensation was intact. No signs of pyramidal tract dysfunction were detected. Her gait appeared insecure. The patient underwent surgical resection. Afterward no further disturbances could be detected. Conclusions: To date >40 cases of liponeurocytoma have been reported, including cases with supratentorial location. A review of the 5 published cases of recurrent cerebellar. Liponeurocytoma revealed that the median interval between the first and second relapse was rather short, indicating uncertain malignant potential. The most recent WHO classification of brain tumours (2016) classifies the cerebellar liponeurocytoma as a separate entity and assigns the tumour to WHO grade II. Medulloblastoma is the most important differential diagnosis commonly seen in children and young adults. In contrast, cerebellar liponeurocytoma is typically diagnosed in adults. The importance of accurate diagnosis should not be underestimated especially in the view of possible further therapeutic interventions and for the determination of the patient's prognosis. KW - liponeurocytoma KW - neurocytoma KW - medulloblastoma KW - molecular signature Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-177652 VL - 16 ER - TY - JOUR A1 - Bratengeier, Klaus A1 - Holubyev, Kostyantyn A1 - Wegener, Sonja T1 - Steeper dose gradients resulting from reduced source to target distance—a planning system independent study JF - Journal of Applied Clinical Medical Physics N2 - Purpose: To quantify the contribution of penumbra in the improvement of healthy tissue sparing at reduced source‐to‐axis distance (SAD) for simple spherical target and different prescription isodoses (PI). Method: A TPS‐independent method was used to estimate three‐dimensional (3D) dose distribution for stereotactic treatment of spherical targets of 0.5 cm radius based on single beam two‐dimensional (2D) film dosimetry measurements. 1 cm target constitutes the worst case for the conformation with standard Multi‐Leaf Collimator (MLC) with 0.5 cm leaf width. The measured 2D transverse dose cross‐sections and the profiles in leaf and jaw directions were used to calculate radial dose distribution from isotropic beam arrangement, for both quadratic and circular beam openings, respectively. The results were compared for standard (100 cm) and reduced SAD 70 and 55 cm for different PI. Results: For practical reduction of SAD using quadratic openings, the improvement of healthy tissue sparing (HTS) at distances up to 3 times the PTV radius was at least 6%–12%; gradient indices (GI) were reduced by 3–39% for PI between 40% and 90%. Except for PI of 80% and 90%, quadratic apertures at SAD 70 cm improved the HTS by up to 20% compared to circular openings at 100 cm or were at least equivalent; GI were 3%–33% lower for reduced SAD in the PI range 40%–70%. For PI = 80% and 90% the results depend on the circular collimator model. Conclusion: Stereotactic treatments of spherical targets delivered at reduced SAD of 70 or 55 cm using MLC spare healthy tissue around the target at least as good as treatments at SAD 100 cm using circular collimators. The steeper beam penumbra at reduced SAD seems to be as important as perfect target conformity. The authors argue therefore that the beam penumbra width should be addressed in the stereotactic studies. KW - radiotherapy KW - stereotactic irradiation KW - penumbra KW - leaf width KW - virtual isocenter Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-177424 VL - 20 IS - 1 ER - TY - JOUR A1 - Beykan, Seval A1 - Fani, Melpomeni A1 - Jensen, Svend Borup A1 - Nicolas, Guillaume A1 - Wild, Damian A1 - Kaufmann, Jens A1 - Lassmann, Michael T1 - In vivo biokinetics of \(^{177}\)Lu-OPS201 in Mice and Pigs as a Model for Predicting Human Dosimetry JF - Contrast Media & Molecular Imaging N2 - Introduction. \(^{177}\)Lu-OPS201 is a high-affinity somatostatin receptor subtype 2 antagonist for PRRT in patients with neuroendocrine tumors. The aim is to find the optimal scaling for dosimetry and to compare the biokinetics of \(^{177}\)Lu-OPS201 in animals and humans. Methods. Data on biokinetics of \(^{177}\)Lu-OPS201 were analyzed in athymic nude Foxn1\(^{nu}\) mice (28 F, weight: 26 ± 1 g), Danish Landrace pigs (3 F-1 M, weight: 28 ± 2 kg), and patients (3 F-1 M, weight: 61 ± 17 kg) with administered activities of 0.19–0.27 MBq (mice), 97–113 MBq (pigs), and 850–1086 MBq (patients). After euthanizing mice (up to 168 h), the organ-specific activity contents (including blood) were measured. Multiple planar and SPECT/CT scans were performed until 250 h (pigs) and 72 h (patients) to quantify the uptake in the kidneys and liver. Blood samples were taken up to 23 h (patients) and 300 h (pigs). In pigs and patients, kidney protection was applied. Time-dependent uptake data sets were created for each species and organ/tissue. Biexponential fits were applied to compare the biokinetics in the kidneys, liver, and blood of each species. The time-integrated activity coefficients (TIACs) were calculated by using NUKFIT. To determine the optimal scaling, several methods (relative mass scaling, time scaling, combined mass and time scaling, and allometric scaling) were compared. Results. A fast blood clearance of the compound was observed in the first phase (<56 h) for all species. In comparison with patients, pigs showed higher liver retention. Based on the direct comparison of the TIACs, an underestimation in mice (liver and kidneys) and an overestimation in pigs’ kidneys compared to the patient data (kidney TIAC: mice = 1.4 h, pigs = 7.7 h, and patients = 5.8 h; liver TIAC: mice = 0.7 h, pigs = 4.1 h, and patients = 5.3 h) were observed. Most similar TIACs were obtained by applying time scaling (mice) and combined scaling (pigs) (kidney TIAC: mice = 3.9 h, pigs = 4.8 h, and patients = 5.8 h; liver TIAC: mice = 0.9 h, pigs = 4.7 h, and patients = 5.3 h). Conclusion. If the organ mass ratios between the species are high, the combined mass and time scaling method is optimal to minimize the interspecies differences. The analysis of the fit functions and the TIACs shows that pigs are better mimicking human biokinetics. KW - medicine KW - neuroendocrine tumors KW - biokinetics KW - \(^{177}\)Lu-OPS201 KW - dosimetry Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-177382 VL - 2019 ER - TY - JOUR A1 - Magyar, Attila A1 - Wagner, Martin A1 - Thomas, Phillip A1 - Malsch, Carolin A1 - Schneider, Reinhard A1 - Störk, Stefan A1 - Heuschmann, Peter U A1 - Leyh, Rainer G A1 - Oezkur, Mehmet T1 - HO-1 concentrations 24 hours after cardiac surgery are associated with the incidence of acute kidney injury: a prospective cohort study JF - International Journal of Nephrology and Renovascular Disease N2 - Background: Acute kidney injury (AKI) is a serious complication after cardiac surgery that is associated with increased mortality and morbidity. Heme oxygenase-1 (HO-1) is an enzyme synthesized in renal tubular cells as one of the most intense responses to oxidant stress linked with protective, anti-inflammatory properties. Yet, it is unknown if serum HO-1 induction following cardiac surgical procedure involving cardiopulmonary bypass (CPB) is associated with incidence and severity of AKI. Patients and methods: In the present study, we used data from a prospective cohort study of 150 adult cardiac surgical patients. HO-1 measurements were performed before, immediately after and 24 hours post-CPB. In univariate and multivariate analyses, the association between HO-1 and AKI was investigated. Results: AKI with an incidence of 23.3% (35 patients) was not associated with an early elevation of HO-1 after CPB in all patients (P=0.88), whereas patients suffering from AKI developed a second burst of HO-1 24 hours after CBP. In patients without AKI, the HO-1 concentrations dropped to baseline values (P=0.031). Furthermore, early HO-1 induction was associated with CPB time (P=0.046), while the ones 24 hours later lost this association (P=0.219). Conclusion: The association of the second HO-1 burst 24 hours after CBP might help to distinguish between the causality of AKI in patients undergoing CBP, thus helping to adapt patient stratification and management. KW - acute kidney injury KW - cardiac surgery KW - heme oxygenase-1 KW - cardiopulmonary bypass Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-177250 VL - 12 ER -