@article{SongJiaZhangetal.2016,
  author    = {Song, Ning-Ning and Jia, Yun-Fang and Zhang, Lei and Zhang, Qiong and Huang, Ying and Liu, Xiao-Zhen and Hu, Ling and Lan, Wei and Chen, Ling and Lesch, Klaus-Peter and Chen, Xiaoyan and Xu, Lin and Ding, Yu-Qiang},
  title     = {Reducing central serotonin in adulthood promotes hippocampal neurogenesis},
  series = {Scientific Reports},
  volume    = {6},
  journal   = {Scientific Reports},
  number    = {20338},
  doi       = {10.1038/srep20338},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-168004},
  year      = {2016},
  abstract  = {Chronic administration of selective serotonin reuptake inhibitors (SSRIs), which up-regulates central serotonin (5-HT) system function, enhances adult hippocampal neurogenesis. However, the relationship between central 5-HT system and adult neurogenesis has not fully been understood. Here, we report that lowering 5-HT level in adulthood is also able to enhance adult hippocampal neurogenesis. We used tamoxifen (TM)-induced Cre in Pet1-CreER\(^{T2}\) mice to either deplete central serotonergic (5-HTergic) neurons or inactivate 5-HT synthesis in adulthood and explore the role of central 5-HT in adult hippocampal neurogenesis. A dramatic increase in hippocampal neurogenesis is present in these two central 5-HT-deficient mice and it is largely prevented by administration of agonist for 5-HTR2c receptor. In addition, the survival of new-born neurons in the hippocampus is enhanced. Furthermore, the adult 5-HT-deficient mice showed reduced depression-like behaviors but enhanced contextual fear memory. These findings demonstrate that lowering central 5-HT function in adulthood can also enhance adult hippocampal neurogenesis, thus revealing a new aspect of central 5-HT in regulating adult neurogenesis.},
  language  = {en}
}
@article{ZhangZhengZhengetal.2019,
  author    = {Zhang, Yonghong and Zheng, Lanlan and Zheng, Yan and Zhou, Chao and Huang, Ping and Xiao, Xiao and Zhao, Yongheng and Hao, Xincai and Hu, Zhubing and Chen, Qinhua and Li, Hongliang and Wang, Xuanbin and Fukushima, Kenji and Wang, Guodong and Li, Chen},
  title     = {Assembly and Annotation of a Draft Genome of the Medicinal Plant Polygonum cuspidatum},
  series = {Frontiers in Plant Science},
  volume    = {10},
  journal   = {Frontiers in Plant Science},
  issn      = {1664-462X},
  doi       = {10.3389/fpls.2019.01274},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-189279},
  pages     = {1274},
  year      = {2019},
  abstract  = {Polygonum cuspidatum (Japanese knotweed, also known as Huzhang in Chinese), a plant that produces bioactive components such as stilbenes and quinones, has long been recognized as important in traditional Chinese herbal medicine. To better understand the biological features of this plant and to gain genetic insight into the biosynthesis of its natural products, we assembled a draft genome of P. cuspidatum using Illumina sequencing technology. The draft genome is ca. 2.56 Gb long, with 71.54\% of the genome annotated as transposable elements. Integrated gene prediction suggested that the P. cuspidatum genome encodes 55,075 functional genes, including 6,776 gene families that are conserved in the five eudicot species examined and 2,386 that are unique to P. cuspidatum. Among the functional genes identified, 4,753 are predicted to encode transcription factors. We traced the gene duplication history of P. cuspidatum and determined that it has undergone two whole-genome duplication events about 65 and 6.6 million years ago. Roots are considered the primary medicinal tissue, and transcriptome analysis identified 2,173 genes that were expressed at higher levels in roots compared to aboveground tissues. Detailed phylogenetic analysis demonstrated expansion of the gene family encoding stilbene synthase and chalcone synthase enzymes in the phenylpropanoid metabolic pathway, which is associated with the biosynthesis of resveratrol, a pharmacologically important stilbene. Analysis of the draft genome identified 7 abscisic acid and water deficit stress-induced protein-coding genes and 14 cysteine-rich transmembrane module genes predicted to be involved in stress responses. The draft de novo genome assembly produced in this study represents a valuable resource for the molecular characterization of medicinal compounds in P. cuspidatum, the improvement of this important medicinal plant, and the exploration of its abiotic stress resistance.},
  language  = {en}
}
@article{ZhaoYuHuetal.2015,
  author    = {Zhao, De-Wei and Yu, Mang and Hu, Kai and Wang, Wei and Yang, Lei and Wang, Ben-Jie and Gao, Xiao-Hong and Guo, Yong-Ming and Xu, Yong-Qing and Wei, Yu-Shan and Tian, Si-Miao and Yang, Fan and Wang, Nan and Huang, Shi-Bo and Xie, Hui and Wei, Xiao-Wei and Jiang, Hai-Shen and Zang, Yu-Qiang and Ai, Jun and Chen, Yuan-Liang and Lei, Guang-Hua and Li, Yu-Jin and Tian, Geng and Li, Zong-Sheng and Cao, Yong and Ma, Li},
  title     = {Prevalence of Nontraumatic Osteonecrosis of the Femoral Head and its Associated Risk Factors in the Chinese Population: Results from a Nationally Representative Survey},
  series = {Chinese Medical Journal},
  volume    = {128},
  journal   = {Chinese Medical Journal},
  number    = {21},
  doi       = {10.4103/0366-6999.168017},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-138482},
  pages     = {2843-2850},
  year      = {2015},
  abstract  = {Background: Nontraumatic osteonecrosis of the femoral head (NONFH) is a debilitating disease that represents a significant financial burden for both individuals and healthcare systems. Despite its significance, however, its prevalence in the Chinese general population remains unknown. This study aimed to investigate the prevalence of NONFH and its associated risk factors in the Chinese population. Methods: A nationally representative survey of 30,030 respondents was undertaken from June 2012 to August 2013. All participants underwent a questionnaire investigation, physical examination of hip, and bilateral hip joint X-ray and/or magnetic resonance imaging examination. Blood samples were taken after overnight fasting to test serum total cholesterol, triglyceride, and high-density lipoprotein (HDL) and low-density lipoprotein (LDL) levels. We then used multivariate logistic regression analysis to investigate the associations between various metabolic, demographic, and lifestyle-related variables and NONFH. Results: NONFH was diagnosed in 218 subjects (0.725\%) and the estimated NONFH cases were 8.12 million among Chinese people aged 15 years and over. The prevalence of NONFH was significantly higher in males than in females (1.02\% vs. 0.51\%, \(\chi^2\) = 24.997, P < 0.001). Among NONFH patients, North residents were subjected to higher prevalence of NONFH than that of South residents (0.85\% vs. 0.61\%, \(\chi^2\) = 5.847, P = 0.016). Our multivariate regression analysis showed that high blood levels of triglycerides, total cholesterol, LDL-cholesterol, and non-HDL-cholesterol, male, urban residence, family history of osteonecrosis of the femoral head, heavy smoking, alcohol abuse and glucocorticoid intake, overweight, and obesity were all significantly associated with an increased risk of NONFH. Conclusions: Our findings highlight that NONFH is a significant public health challenge in China and underscore the need for policy measures on the national level. Furthermore, NONFH shares a number of risk factors with atherosclerosis.},
  language  = {en}
}
@phdthesis{Hu2022,
  author    = {Hu, Chen},
  title     = {Novel hybrid hydrogels based on poly(2-oxazoline)},
  doi       = {10.25972/OPUS-27935},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-279354},
  school      = {Universit{\"a}t W{\"u}rzburg},
  year      = {2022},
  abstract  = {Motivated by the great potential offered by the combination of additive manufacturing technology and hydrogels, especially in the field of tissue engineering and regenerative medicine, a series of novel hybrid hydrogel inks were developed based on the recently described thermogelling poly(2-oxazoline)s-block-poly(2-oxazine)s diblock copolymers, which may help to expand the platform of available hydrogel inks for this transformative 3D printing technology (Fig. 5.1). In the present thesis, the first reported thermogelling polymer solely consisting of POx and POzi, i.e., the diblock copolymer PMeOx-b-PnPrOzi comprising a hydrophilic block (PMeOx) and a thermoresponsive block (PnPrOzi), was selected and used as a proof-of-concept for the preparation of three novel hybrid hydrogels. Therefore, three batches of the diblock copolymers with a DP of 100 were synthesized for the study of three different hybrid hydrogels with a special focus on their suitability as (bio)inks for extrusion-based 3D printing. The PMeOx-b-PnPrOzi diblock copolymer solution shows a temperature induced reversible gelation behavior above a critical polymer concentration of 20 wt\%, as described for the Pluronic F127 solution but with a unique gelation mechanism, working through the formation of a bicontinuous sponge-like structure from the physically crosslinked vesicles. Specially, its intrinsic shear thinning behavior and excellent recovery property with a certain yield point make it a promising ink candidate for extrusion-based printing technology. Increasing the polymer concentration is the most traditional approach to improve the printability of an ink material, and serve as the major strategy available to improve the printability of PMeOx-b-PnPrOzi systems prior to this work. From the analysis of rheological properties related to printability, it came a conclusion that increasing the copolymer concentration does improve the hydrogel strength and thus the printability. However, such improvement is very limited and usually leads to other problems such as more viscous systems and stringent requirements on the printers, which are not ideal for the printing process and applications especially in the cell-embedded biofabrication field. POx-b-POzi/clay Hybrid Hydrogel An alternative method proposed to improve the printability of this thermoresponsive hydrogel ink is through nanoclay (Laponite XLG) addition, i.e., the first hybrid hydrogel system of PMeOx-b-PnPrOzi/clay (also named shortly as POx-b-POzi/clay) in this thesis. To optimize the viscoelastic properties of the ink material, Laponite XLG acted as a reinforcement additive and a physically crosslinker was blended with the copolymers. Compared with the pristine copolymer solution of PMeOx-b-PnPrOzi, the hybrid PMeOx-b-PnPrOzi/clay solution well retained the temperature induced gelation performance of the copolymers. The obtained hybrid hydrogels exhibited a rapid in situ reversible thermogelation at a physiological relevant Tgel of around 15 ℃ and a rapid recovery of viscoelastic properties within a few seconds. More importantly, with the addition of only a small amount of 1.2 wt\% clay, it exhibited obviously enhanced shear thinning character (n = 0.02), yield stress (240 Pa) and mechanical strength (storage modulus over 5 kPa). With this novel hybrid hydrogel, real three-dimensional constructs with multiple layers and various geometries are generation with greatly enhanced shape fidelity and resolution. In this context, the thermogelling properties of the hybrid hydrogels over a copolymer concentration range of 10-20 wt\% and a clay concentration of 0-4 wt\% were systematically investigated, and from which a printable window was obtained from the laboratory as a reference. In fact, the printing performance of an ink is not only determined by the intrinsic physicochemical properties of the material, but is also influenced by the external printing environments as well as the printer parameter settings. All the printing experiments in this study were conducted under a relatively optimized conditions obtained from preliminary experiments. In future work, the relationship between material rheology properties, printer parameters and printing performance could be systematically explored. Such a fundamental study will help to develop models that allows the prediction and comparison of printing results from different researches based on the parameters available through rheology, which is very beneficial for further development of more advanced ink systems. Although the printability has been significantly improved by the addition of nanoclay Laponite XLG, the hybrid hydrogels and their printed constructs still suffer from some major limitations. For example, these materials are still thermoresponsive, which will cause the printed constructs to collapse when the environment temperature changes below their Tgel. In addition, the formed hydrogel constructs are mechanical too weak for load-bearing applications, and the allowed incubation time is very limited during media exchange/addition as it will lead to dissolution of the hydrogels due to dilution effects. Therefore, it is essential to establish a second (chemical or physical) crosslinking mechanism that allows further solidification of the gels after printing. It should be kept in mind that the second crosslinking step will eliminate the thermoresponsive behavior of the gels and thus the possibility of cell recovery. In this case, besides through the traditional approach of copolymer modification to realize further crosslinking, like one of the well-known post-polymerization modification approach Diels-Alder reaction,[430] designing of interpenetrating networks (IPN) hydrogels serves as one of the major strategy for advanced (bio)ink preparation.[311] Therefore, the second hybrid hydrogel system of PMeOx-b-PnPrOzi/PDMAA/clay (also named shortly as POx-b-POzi/PDMAA/clay) was developed in this thesis, which is a 3D printable and highly stretchable ternary organic-inorganic IPN hydrogel. POx-b-POzi/PDMAA/clay Hybrid Hydrogel The nanocomposite IPN hydrogel combines a thermoresponsive hydrogel with clay described above and in situ polymerized poly(N, N-dimethylacrylamide). Before in situ polymerization, the thermoresponsive hydrogel precursors exhibited thermogelling behavior (Tgel ~ 25 ℃, G' ~ 6 kPa) and shear thinning properties, making the system well-suited for extrusion-based 3D printing. After chemical curing of the 3D-printed constructs by free radical polymerization, the resulting IPN hydrogels show excellent mechanical strength with a high stretchability to a tensile strain at break exceeding 550\%. The hybrid hydrogel can sustain a high stretching deformation and recover quickly due to the energy dissipation from the non-covalent interactions. With this hybrid hydrogel, integrating with the advanced 3D-printing technique, various 3D constructs can be printed and cured successfully with high shape fidelity and geometric accuracy. In this context, we also investigated the possibility of acrylic acid (AA) and 2-hydroxyethylmethacrylate (HEMA) as alternative hydrogel precursors. However, the addition of these two monomers affected the thermogelation of POx-b-POzi in an unfavorable manner, as these monomers competed more effectively with water molecules, preventing the hydration of nPrOzi block at lower temperatures and therefore, the liquefaction of the gels. Furthermore, the influence of the printing process and direction on the mechanical properties of the hydrogel was investigated and compared with the corresponding bulk materials obtained from a mold. No significant effects from the additive manufacturing process were observed due to a homogeneously adhesion and merging between sequentially deposited layers. In the future, further studies on the specific performance differences among hydrogels fabricated at different printing directions/speeds would be of great interest to the community, as this allows for a more accurately control and better predict of the printed structures. This newly developed hybrid IPN hydrogel is expected to expand the material toolbox available for hydrogel-based 3D printing, and may be interesting for a wide range of applications including tissue engineering, drug delivery, soft robotics, and additive manufacturing in general. However, in this case, the low toxicity from the monomer DMAA and other small molecules residuals in the polymerized hydrogels made this hybrid hydrogel not ideal for bioprinting in the field of biofabrication. For this problem, cyto-/biocompatible monomers such as polyethylene glycol diacrylate (PEGDA) can be used as an alternative, while the overall properties of the hydrogels including mechanical properties should be re-evaluated accordingly. Moreover, the swelling behavior of the hydrogels should also be taken into account, as it may most likely affect the mechanical strength and geometry size of the printed scaffold, but is often be overlooked after printing. For example, regarding the specific hybrid hydrogel POx-b-POzi/PDMAA/clay in this work, an equilibrium swelling ratio of 1100\% was determined. The printed hydrogel cuboid experienced a volume increasing over 6-fold after equilibrium swelling in water, and became mechanical fragile due to the formation of a swollen hydrogel network absorbing large amount of water. POx-b-POzi/Alg/clay Hybrid Hydrogel In the final part of this dissertation, to enable the cell-loaded bioprinting and long-term cell culture, the third hybrid hydrogel system POx-b-POzi/Alg/clay was introduced by replacing the monomer DMAA to the natural polysaccharides alginate. Initially, detailed rheological characterization and mechanical tests were performed to evaluate their printability and mechanically properties. Subsequently, some simple patterns were printed with the optimized hydrogel precursor solutions for the preliminary filament fusion and collapse test before proceeding to more complex printings. The fibers showed a sufficient stability which allows the creation of large structures with a height of a few centimeters and a suspended filament up to centimeter. Accordingly, various 3D constructs including suspended filaments were printed successfully with high stackability and shape fidelity. The structure after extrusion was physical crosslinked easily by soaking in CaCl2 solution and, thereafter exhibited a good mechanical flexibility and long-term stability. Interestingly, the mechanical strength and geometry size of the generated scaffolds were well maintained over a culture period of weeks in water, which is of great importance for clinical applications. In addition, the post-printing ionic crosslinking of alginate could also be realized by other di/trivalent cations such as Fe3+ and Tb3+. Subsequently, the cell-laden printing with this hybrid hydrogel and post-printing crosslinking by Ca2+ ions highlighting its feasibility for 3D bioprinting. WST-1 assay of fibroblast suggested no-dose dependent cytocompatibility of the hydrogel precursor solution. The cell distribution was uniform throughout the printed construct, and proliferated with high cell viability during the 21 days culture. The presented hybrid approach, utilizing the beneficial properties of the POx-b-POzi base material, could be interesting for a wide range of bioprinting applications and potentially enabling also other biological bioinks such as collagen, hyaluronic acid, decellularized extracellular matrix or cellulose based bioinks. Although the results look promising and the developed hydrogel is an important bioink candidate, the long-term in vitro cell studies with different cell lines and clinical model establishment are still under investigation, which remains a long road but is of great importance before realizing real clinical application. Last but not least, the improvement to the printability of thermogelling POx/POzi-based copolymers by the clay Laponite XLG was also demonstrated in another thermogelling copolymer PEtOx-b-PnPrOzi. This suggests that the addition of clay may be a general strategy to improve the printability of such polymers. Despite these advances in this work which significantly extended the (bio)material platform of additive manufacturing technology, the competition is still fierce and more work should be done in the further to reveal the potential and limitations of this kind of new and promising candidate (bio)ink materials. It is also highly expected for further creative works based on the thermogelling POx/POzi polymers, such as crosslinking in Ca2+ solution containing monomer acrylamide to prepare printable and mechanically tough hydrogels, research on POx-based support bath material, and print of clinically more relevant sophisticated structures such as 3D microvascular networks omnidirectionally.},
  subject      = {Funktionsgel},
  language  = {en}
}
@article{HaiderAhmadYangetal.2021,
  author    = {Haider, Malik Salman and Ahmad, Taufiq and Yang, Mengshi and Hu, Chen and Hahn, Lukas and Stahlhut, Philipp and Groll, J{\"u}rgen and Luxenhofer, Robert},
  title     = {Tuning the thermogelation and rheology of poly(2-oxazoline)/poly(2-oxazine)s based thermosensitive hydrogels for 3D bioprinting},
  series = {Gels},
  volume    = {7},
  journal   = {Gels},
  number    = {3},
  issn      = {2310-2861},
  doi       = {10.3390/gels7030078},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-241781},
  year      = {2021},
  abstract  = {As one kind of "smart" material, thermogelling polymers find applications in biofabrication, drug delivery and regenerative medicine. In this work, we report a thermosensitive poly(2-oxazoline)/poly(2-oxazine) based diblock copolymer comprising thermosensitive/moderately hydrophobic poly(2-N-propyl-2-oxazine) (pPrOzi) and thermosensitive/moderately hydrophilic poly(2-ethyl-2-oxazoline) (pEtOx). Hydrogels were only formed when block length exceeded certain length (≈100 repeat units). The tube inversion and rheological tests showed that the material has then a reversible sol-gel transition above 25 wt.\% concentration. Rheological tests further revealed a gel strength around 3 kPa, high shear thinning property and rapid shear recovery after stress, which are highly desirable properties for extrusion based three-dimensional (3D) (bio) printing. Attributed to the rheology profile, well resolved printability and high stackability (with added laponite) was also possible. (Cryo) scanning electron microscopy exhibited a highly porous, interconnected, 3D network. The sol-state at lower temperatures (in ice bath) facilitated the homogeneous distribution of (fluorescently labelled) human adipose derived stem cells (hADSCs) in the hydrogel matrix. Post-printing live/dead assays revealed that the hADSCs encapsulated within the hydrogel remained viable (≈97\%). This thermoreversible and (bio) printable hydrogel demonstrated promising properties for use in tissue engineering applications.},
  language  = {en}
}
@article{LuxHuBenKraiemetal.2019,
  author    = {Lux, Thomas J. and Hu, Xiawei and Ben-Kraiem, Adel and Blum, Robert and Chen, Jeremy Tsung-Chieh and Rittner, Heike L.},
  title     = {Regional differences in tight junction protein expression in the blood-DRG barrier and their alterations after nerve traumatic injury in rats},
  series = {International Journal of Molecular Sciences},
  volume    = {21},
  journal   = {International Journal of Molecular Sciences},
  number    = {1},
  issn      = {1422-0067},
  doi       = {10.3390/ijms21010270},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-285029},
  year      = {2019},
  abstract  = {The nervous system is shielded by special barriers. Nerve injury results in blood-nerve barrier breakdown with downregulation of certain tight junction proteins accompanying the painful neuropathic phenotype. The dorsal root ganglion (DRG) consists of a neuron-rich region (NRR, somata of somatosensory and nociceptive neurons) and a fibre-rich region (FRR), and their putative epi-/perineurium (EPN). Here, we analysed blood-DRG barrier (BDB) properties in these physiologically distinct regions in Wistar rats after chronic constriction injury (CCI). Cldn5, Cldn12, and Tjp1 (rats) mRNA were downregulated 1 week after traumatic nerve injury. Claudin-1 immunoreactivity (IR) found in the EPN, claudin-19-IR in the FRR, and ZO-1-IR in FRR-EPN were unaltered after CCI. However, laser-assisted, vessel specific qPCR, and IR studies confirmed a significant loss of claudin-5 in the NRR. The NRR was three-times more permeable compared to the FRR for high and low molecular weight markers. NRR permeability was not further increased 1-week after CCI, but significantly more CD68\(^+\) macrophages had migrated into the NRR. In summary, NRR and FRR are different in na{\"i}ve rats. Short-term traumatic nerve injury leaves the already highly permeable BDB in the NRR unaltered for small and large molecules. Claudin-5 is downregulated in the NRR. This could facilitate macrophage invasion, and thereby neuronal sensitisation and hyperalgesia. Targeting the stabilisation of claudin-5 in microvessels and the BDB barrier could be a future approach for neuropathic pain therapy.},
  language  = {en}
}
@article{HuHahnYangetal.2021,
  author    = {Hu, Chen and Hahn, Lukas and Yang, Mengshi and Altmann, Alexander and Stahlhut, Philipp and Groll, J{\"u}rgen and Luxenhofer, Robert},
  title     = {Improving printability of a thermoresponsive hydrogel biomaterial ink by nanoclay addition},
  series = {Journal of Materials Science},
  volume    = {56},
  journal   = {Journal of Materials Science},
  issn      = {0022-2461},
  doi       = {10.1007/s10853-020-05190-5},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-234894},
  pages     = {691-705},
  year      = {2021},
  abstract  = {As a promising biofabrication technology, extrusion-based bioprinting has gained significant attention in the last decade and major advances have been made in the development of bioinks. However, suitable synthetic and stimuli-responsive bioinks are underrepresented in this context. In this work, we described a hybrid system of nanoclay Laponite XLG and thermoresponsive block copolymer poly(2-methyl-2-oxazoline)-b-poly(2-n-propyl-2-oxazine) (PMeOx-b-PnPrOzi) as a novel biomaterial ink and discussed its critical properties relevant for extrusion-based bioprinting, including viscoelastic properties and printability. The hybrid hydrogel retains the thermogelling properties but is strengthened by the added clay (over 5 kPa of storage modulus and 240 Pa of yield stress). Importantly, the shear-thinning character is further enhanced, which, in combination with very rapid viscosity recovery (~ 1 s) and structure recovery (~ 10 s), is highly beneficial for extrusion-based 3D printing. Accordingly, various 3D patterns could be printed with markedly enhanced resolution and shape fidelity compared to the biomaterial ink without added clay.},
  language  = {en}
}
@article{ChenLiuWeidemannetal.2021,
  author    = {Chen, Menjia and Liu, Dan and Weidemann, Frank and Lengenfelder, Bj{\"o}rn Daniel and Ertl, Georg and Hu, Kai and Frantz, Stefan and Nordbeck, Peter},
  title     = {Echocardiographic risk factors of left ventricular thrombus in patients with acute anterior myocardial infarction},
  series = {ESC Heart Failure},
  volume    = {8},
  journal   = {ESC Heart Failure},
  number    = {6},
  doi       = {10.1002/ehf2.13605},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-261067},
  pages     = {5248-5258},
  year      = {2021},
  abstract  = {Aims This study aimed to identify echocardiographic determinants of left ventricular thrombus (LVT) formation after acute anterior myocardial infarction (MI). Methods and results This case-control study comprised 55 acute anterior MI patients with LVT as cases and 55 acute anterior MI patients without LVT as controls, who were selected from a cohort of consecutive patients with ischemic heart failure in our hospital. The cases and controls were matched for age, sex, and left ventricular ejection fraction. LVT was detected by routine/contrast echocardiography or cardiac magnetic resonance imaging during the first 3 months following MI. Formation of apical aneurysm after MI was independently associated with LVT formation [72.0\% vs. 43.5\%, odds ratio (OR) = 5.06, 95\% confidence interval (CI) 1.65-15.48, P = 0.005]. Echocardiographic risk factors associated with LVT formation included reduced mitral annular plane systolic excursion (<7 mm, OR = 4.69, 95\% CI 1.84-11.95, P = 0.001), moderate-severe diastolic dysfunction (OR = 2.71, 95\% CI 1.11-6.57, P = 0.028), and right ventricular (RV) dysfunction [reduced tricuspid annular plane systolic excursion < 17 mm (OR = 5.48, 95\% CI 2.12-14.13, P < 0.001), reduced RV fractional area change < 0.35 (OR = 3.32, 95\% CI 1.20-9.18, P = 0.021), and enlarged RV mid diameter (per 5 mm increase OR = 1.62, 95\% CI 1.12-2.34, P = 0.010)]. Reduced tricuspid annular plane systolic excursion (<17 mm) significantly associated with increased risk of LVT in anterior MI patients (OR = 3.84, 95\% CI 1.37-10.75, P = 0.010), especially in those patients without apical aneurysm (OR = 5.12, 95\% CI 1.45-18.08, P = 0.011), independent of body mass index, hypertension, anaemia, mitral annular plane systolic excursion, and moderate-severe diastolic dysfunction. Conclusions Right ventricular dysfunction as determined by reduced TAPSE or RV fractional area change is independently associated with LVT formation in acute anterior MI patients, especially in the setting of MI patients without the formation of an apical aneurysm. This study suggests that besides assessment of left ventricular abnormalities, assessment of concomitant RV dysfunction is of importance on risk stratification of LVT formation in patients with acute anterior MI.},
  language  = {en}
}
@article{LiuBonalumeGaoetal.2022,
  author    = {Liu, Sheng and Bonalume, Veronica and Gao, Qi and Chen, Jeremy Tsung-Chieh and Rohr, Karl and Hu, Jing and Carr, Richard},
  title     = {Pre-synaptic GABA\(_A\) in NaV1.8\(^+\) primary afferents is required for the development of punctate but not dynamic mechanical allodynia following CFA inflammation},
  series = {Cells},
  volume    = {11},
  journal   = {Cells},
  number    = {15},
  issn      = {2073-4409},
  doi       = {10.3390/cells11152390},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-286081},
  year      = {2022},
  abstract  = {Hypersensitivity to mechanical stimuli is a cardinal symptom of neuropathic and inflammatory pain. A reduction in spinal inhibition is generally considered a causal factor in the development of mechanical hypersensitivity after injury. However, the extent to which presynaptic inhibition contributes to altered spinal inhibition is less well established. Here, we used conditional deletion of GABA\(_A\) in NaV1.8-positive sensory neurons (Scn10a\(^{Cre}\);Gabrb3\(^{fl/fl}\)) to manipulate selectively presynaptic GABAergic inhibition. Behavioral testing showed that the development of inflammatory punctate allodynia was mitigated in mice lacking pre-synaptic GABA\(_A\). Dorsal horn cellular circuits were visualized in single slices using stimulus-tractable dual-labelling of c-fos mRNA for punctate and the cognate c-Fos protein for dynamic mechanical stimulation. This revealed a substantial reduction in the number of cells activated by punctate stimulation in mice lacking presynaptic GABA\(_A\) and an approximate 50\% overlap of the punctate with the dynamic circuit, the relative percentage of which did not change following inflammation. The reduction in dorsal horn cells activated by punctate stimuli was equally prevalent in parvalbumin- and calretinin-positive cells and across all laminae I-V, indicating a generalized reduction in spinal input. In peripheral DRG neurons, inflammation following complete Freund's adjuvant (CFA) led to an increase in axonal excitability responses to GABA, suggesting that presynaptic GABA effects in NaV1.8\(^+\) afferents switch from inhibition to excitation after CFA. In the days after inflammation, presynaptic GABA\(_A\) in NaV1.8\(^+\) nociceptors constitutes an "open gate" pathway allowing mechanoreceptors responding to punctate mechanical stimulation access to nociceptive dorsal horn circuits.},
  language  = {en}
}