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Institute
- Graduate School of Life Sciences (123)
- Theodor-Boveri-Institut für Biowissenschaften (37)
- Institut für Anorganische Chemie (19)
- Klinik und Poliklinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie (Chirurgische Klinik I) (19)
- Medizinische Klinik und Poliklinik I (18)
- Neurologische Klinik und Poliklinik (18)
- Physikalisches Institut (16)
- Medizinische Klinik und Poliklinik II (15)
- Institut für Organische Chemie (14)
- Klinik und Poliklinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie (Chirurgische Klinik II) (14)
Schriftenreihe
Sonstige beteiligte Institutionen
- Klinikum Fulda (2)
- Airbus Defence and Space GmbH (1)
- Biomedical Center Munich, Department of Physiological Chemistry, Ludwig-Maximilians-Universität München (1)
- Comprehensive Cancer Center Mainfranken (1)
- Department of Veterinary Sciences, Experimental Parasitology, Ludwig-Maximilians-Universität München (1)
- Deutsches Zentrum für Luft- und Raumfahrt (1)
- European Molecular Biology Laboratory, Heidelberg, Germany (1)
- FHNW Hochschule für Musik / Schola Cantorum Basiliensis (1)
- Fakultät für Chemie und chemische Biologie, Technische Universität Dortmund (1)
- Fraunhofer (1)
After examining suitable parameters for a newly designed system, dynamic SIPGP could be developed. For the first time, SIPGP was performed while applying a constant flow of monomer solution through the reaction system. This added a new parameter: the flow rate (rfl). Accordingly, this parameter was examined, comparing dynamic to static SIPGP. It could be shown, that by applying higher rfl to the system, the contact angle increases, which indicates a slower coating. The flow patterns inside the reactor were then modelled and calculated. These calculations indicated, that, due to higher flow velocities, the contact angle on the coated samples would be lower on the sides of the sample and higher in the middle. This finding was verified by contact angle measurements. The influence of dynamic SIPGP on the temperature inside the reaction chamber during the reaction was examined by temperature sensors inside the reactor. This showed, that the constant flow of monomer solution can be utilized to decrease the warming of the reaction solution during the reaction. Finally it was shown, that dynamic SIPGP can decrease the formation of bulk polymer on the sample, which is forming during the reaction. This enables SIPGP to fabricate more homogeneous coatings by applying a constant monomer flow.
Articular cartilage damage caused by sports accidents, trauma or gradual wear and tear can lead to degeneration and the development of osteoarthritis because cartilage tissue has only limited capacity for intrinsic healing. Osteoarthritis causes reduction of mobility and chronic pain and is one of the leading causes of disability in the elderly population. Current clinical treatment options can reduce pain and restore mobility for some time, but the formed repair tissue has mostly inferior functionality compared to healthy articular cartilage and does not last long-term. Articular cartilage tissue engineering is a promising approach for the improvement of the quality of cartilage repair tissue and regeneration. In this thesis, a promising new cell type for articular cartilage tissue engineering, the so-called articular cartilage progenitor cell (ACPC), was investigated for the first time in the two different hydrogels agarose and HA-SH/P(AGE-co-G) in comparison to mesenchymal stromal cells (MSCs). In agarose, ACPCs´ and MSCs´ chondrogenic capacity was investigated under normoxic (21 % oxygen) and hypoxic (2 % oxygen) conditions in monoculture constructs and in zonally layered co-culture constructs with ACPCs in the upper layer and MSCs in the lower layer. In the newly developed hyaluronic acid (HA)-based hydrogel HA-SH/P(AGE-co-G), chondrogenesis of ACPCs and MSCs was also evaluated in monoculture constructs and in zonally layered co-culture constructs like in agarose hydrogel. Additionally, the contribution of the bioactive molecule hyaluronic acid to chondrogenic gene expression of MSCs was investigated in 2D monolayer, 3D pellet and HA-SH hydrogel culture. It was shown that both ACPCs and MSCs could chondrogenically differentiate in agarose and HA-SH/P(AGE-co-G) hydrogels. In agarose hydrogel, ACPCs produced a more articular cartilage-like tissue than MSCs that contained more glycosaminoglycan (GAG), less type I collagen and only little alkaline phosphatase (ALP) activity. Hypoxic conditions did not increase extracellular matrix (ECM) production of ACPCs and MSCs significantly but improved the quality of the neo-cartilage tissue produced by MSCs. The creation of zonal agarose constructs with ACPCs in the upper layer and MSCs in the lower layer led to an ECM production in zonal hydrogels that lay in general in between the ECM production of non-zonal ACPC and MSC hydrogels. Even though zonal co-culture of ACPCs and MSCs did not increase ECM production, the two cell types influenced each other and, for example, modulated the staining intensities of type II and type I collagen in comparison to non-zonal constructs under normoxic and hypoxic conditions. In HA-SH/P(AGE-co-G) hydrogel, MSCs produced more ECM than ACPCs, but the ECM was limited to the pericellular region for both cell types. Zonal HASH/P(AGE-co-G) hydrogels resulted in a native-like zonal distribution of ECM as MSCs in the lower zone produced more ECM than ACPCs in the upper zone. It appeared that chondrogenesis of ACPCs was supported by hydrogels without biological attachment sites such as agarose, and that chondrogenesis of MSCs benefited from hydrogels with biological cues like HA. As HA is an attractive material for cartilage tissue engineering, and the HA-based hydrogel HA-SH/P(AGE-co-G) appeared to be beneficial for MSC chondrogenic differentiation, the contribution of HA to chondrogenic gene expression of MSCs was investigated. An upregulation of chondrogenic gene expression was found in 2D monolayer and 3D pellet culture of MSCs in response to HA supplementation, while gene expression of osteogenic and adipogenic transcription factors was not upregulated. MSCs, encapsulated in a HA-based hydrogel, showed upregulation of gene expression for chondrogenic, osteogenic and adipogenic differentiation markers as well as for stemness markers. In a 3D bioprinting process, using the HA-based hydrogel, gene expression levels of MSCs mostly did not change. Nevertheless, expression of three tested genes (COL2A1, SOX2, CD168) was downregulated in printed in comparison to cast constructs, underscoring the importance of closely monitoring cellular behaviour during and after the printing process. In summary, it was confirmed that ACPCs are a promising cell source for articular cartilage engineering with advantages over MSCs when they were cultured in a suitable hydrogel like agarose. The performance of the cells was strongly dependent on the hydrogel environment they were cultured in. The different chondrogenic performance of ACPCs and MSCs in agarose and HA-SH/P(AGE-co-G) hydrogels highlighted the importance of choosing suitable hydrogels for the different cell types used in articular cartilage tissue engineering. Hydrogels with high polymer content, such as the investigated HA-SH/P(AGE-co-G) hydrogels, can limit ECM distribution to the pericellular area and should be developed further towards less polymer content, leading to more homogenous ECM distribution of the cultured cells. The influence of HA on chondrogenic gene expression and on the balance between differentiation and maintenance of stemness in MSCs was demonstrated. More studies should be performed in the future to further elucidate the signalling functions of HA and the effects of 3D bioprinting in HA-based hydrogels. Taken together, the results of this thesis expand the knowledge in the area of articular cartilage engineering with regard to the rational combination of cell types and hydrogel materials and open up new possible approaches to the regeneration of articular cartilage tissue.
Morbidität und Mortalität der Lebererkrankung im Rahmen der Cystischen Fiborse (Cystic fibrosis liver disease, CFLD) sind vornehmlich von Ausmaß und Progredienz der Leberfibrose abhängig. Aufgrund der fehlenden Genauigkeit der bisherigen diagnostischen Verfahren werden viele der an CF erkrankten Menschen erst in fortgeschrittenen Stadien diagnostiziert. Schwere Komplikationen einer Leberzirrhose treten häufig bereits im Kindesalter auf. Die Quantitative Sonoelastographie, hier die Acoustic Radiation Force Impulse (ARFI)-Elastographie, ist ein vielversprechendes, nicht-invasives und strahlenfreies Verfahren zur Messung der Gewebesteifigkeit.
Anhand dieser retrospektiven, monozentrischen Studie soll die ARFI-Elastographie im Hinblick auf den klinischen Einsatz bei der CFLD-Diagnostik untersucht werden. Es wurde eruiert, ob sich mittels ARFI-Elastographie Rückschlüsse auf eine CFLD und deren Schweregrade ziehen lassen.
Hierfür wurden die ARFI-Messungen verschiedener Lebersegmente von 62 an CF erkrankten und 19 lebergesunden Kindern und Jugendlichen verglichen. Zudem erfolgte die Korrelation der Ergebnisse mit zwei etablierten klinischen Leberfibrose-Scores (APRI, Williams-Score).
Im Patientenkollektiv konnten tendenziell erhöhte Scherwellengeschwindigkeiten, entsprechend einer fibrotischen Aktivität, gemessen werden. Die transkostale Messposition in Segment VII/VIII (TC VII/VIII) erwies sich als zuverlässigste Position zur Differenzierung zwischen einer CF-Hepatopathie und einem gesunden Leberparenchym. Hingegen war das Errechnen von Cut-off Werten zur Graduierung von Fibrosestadien nicht möglich. Auch war keine Korrelation zu Leberfiborsescores feststellbar.
Insgesamt zeigt sich, dass die Diagnosestellung einer CFLD aktuell nur in Kombination mit bisherigen Messmethoden wie der klinischen Untersuchung, der Laboranalytik und der Sonographie möglich ist. Die Interpretation der ARFI-cut-off Werte bleibt aufgrund mangelnder Sensitivität und Spezifität und vor dem Hintergrund der CF-typischen heterogenen Leberpathologie erschwert. Die ARFI-Elastographie kann als zusätzlicher Baustein in der Diagnostik der CFLD, bei unklaren Befundkonstellationen oder zum Therapie-Monitoring herangezogen werden. Um einen klaren klinischen Einsatz in der Routinediagnostik zu definieren bedarf es weiterer großer, multizentrischer und prospektiver Studien.
Remote sensing time series is the collection or acquisition of remote sensing data in a
fixed equally spaced time period over a particular area or for the whole world. Near
daily high spatial resolution data is very much needed for remote sensing applications
such as agriculture monitoring, phenology change detection, environmental
monitoring and so on. Remote sensing applications can produce better and accurate
results if they are provided with dense and accurate time series of data. The current
remote sensing satellite architecture is still not capable of providing near daily
or daily high spatial resolution images to fulfill the needs of the above mentioned
remote sensing applications. Limitations in sensors, high development, operational
costs of satellites and presence of clouds blocking the area of observation are some
of the reasons that makes near daily or daily high spatial resolution optical remote
sensing data highly challenging to achieve. With developments in the optical sensor
systems and well planned remote sensing satellite constellations, this condition
can be improved but it comes at a cost. Even then the issue will not be completely
resolved and thus the growing need for high temporal and high spatial resolution
data cannot be fulfilled entirely. Because the data collection process relies on satellites
which are physical system, these can fail unpredictably due to various reasons
and cause a complete loss of observation for a given period of time making a gap
in the time series. Moreover, to observe the long term trend in phenology change
due to rapidly changing environmental conditions, the remote sensing data from
the present is not just sufficient, the data from the past is also important. A better
alternative solution for this issue can be the generation of remote sensing time series
by fusing data from multiple remote sensing satellite which has different spatial and
temporal resolutions. This approach will be effective and efficient. In this method
a high temporal low spatial resolution image from a satellite such as Sentinel-2 can
be fused with a low temporal and high spatial resolution image from a satellite such
as the Sentinel-3 to generate a synthetic high temporal high spatial resolution data.
Remote sensing time series generation by data fusion methods can be applied to
the satellite images captured currently as well as the images captured by the satellites
in the past. This will provide the much needed high temporal and high spatial
resolution images for remote sensing applications. This approach with its simplistic
nature is cost effective and provides the researchers the means to generate the
data needed for their application on their own from the limited source of data available
to them. An efficient data fusion approach in combination with a well planned
satellite constellation can offer a solution which will ensure near daily time series of
remote sensing data with out any gap. The aim of this research work is to develop
an efficient data fusion approaches to achieve dense remote sensing time series.
Im Rahmen dieser Arbeit war es möglich, diverse dinukleare Platinphosphankomplexe darzustellen, wodurch unteranderem neuartige unsymmetrische (N- Aminoboryl)aminoboryl Pt-Komplexe, Borandiyl- und Diboran-1,2-diyl-verbrückte Diplatin-A-Frame Komplexe synthetisiert und charakterisiert werden konnten. Der abschließende Teil dieser Arbeit befasst sich mit den ersten Versuchen zur Darstellung von Polyboranen durch eine Palladium-vermittelte Kreuzkupplungsreaktion.
In deafness, which is caused by the malfunctioning of the inner ear, an implantation of a cochlear implant (CI) is able to restore hearing. The CI is a neural prosthesis that is located within the cochlea. It replaces the function of the inner hair cells by direct electrical stimulation of the auditory nerve fibers. The CI enables many deaf or severe hearing-impaired people to achieve a good speech perception. Nevertheless, there is a lot of potential for further improvements. Compared to normal-hearing listeners rate pitch discrimination is much worse. Rate pitch discrimination is the ability to distinguish the pitch of two stimuli with two different pulse rates. This ability is important for enjoying music as well as speech perception (in noise). Further, the small dynamic range in electrical hearing (compared to normal-hearing listeners) and therefore the small intensity resolution limits the performance of CI users. Both, rate pitch coding and dynamic range were investigated in this doctoral thesis.
For the first issue, a pitch discrimination task was designed to determine the just-noticeable-difference (JND) in pitch with 200 and 400 pps as reference. Additionally to the default biphasic pulse (single pulse) the experiment was performed with double pulses. The double pulse consists out of two biphasic pulses directly after each other and a small interpulse interval (IPI) in between. Three different IPIs (15, 50, and 150 µs) were tested. The statistical analysis of JNDs revealed no significant effects between stimulation with single-pulse or double-pulse trains.
A follow-up study investigated an alternating pulse train consisting of single and double pulses. To investigate if the 400 pps alternating pulse train is comparable in pitch with the 400 pps single-pulse train, a pairwise pitch comparison test was conducted. The alternating pulse train was compared with single-pulse trains at 200, 300 and 400 pps. The results showed that the alternating pulse train is for most subjects similar in pitch with the 200 pps single-pulse train. Therefore, pitch perception seemed to be dominated by the double pulses within the pulse train.
Accordingly, double pulses with different amplitudes were tested. Based on the facilitation effect, a larger neuronal response was expected by stimulating with two pulses with a short IPI within the temporal facilitation range. In other studies, this effect was shown to be maximal in CIs of the manufacturer Cochlear, with first pulse amplitudes set at or slightly below the electrically evoked compound action potential (ECAP) threshold. The second pulse amplitude did not influence the facilitation effect and therefore could be choose at will. Similarly, this effect was tested in this thesis with CIs of the manufacturer MED-EL. Nevertheless, to achieve a proper signal-to-noise ratio, technical issues had to be addressed like a high noise floor, resulting in incorrect determination of the ECAP threshold. After solving this issues, the maximum facilitation effect was around the ECAP threshold as in the previous study with Cochlear. For future studies this effect could be used in a modified double pulse rate pitch experiment with the first pulse amplitude at ECAP threshold and the second pulse amplitude variable to set the most comfortable loudness level (MCL).
The last study within this thesis investigated the loudness perception at two different loudness levels and the resulting dynamic range for different interphase-gaps (IPG). A larger IPG can reduce the amplitude at same loudness level to save battery power. However, it was unknown if the IPG has an influence on the dynamic range. Different IPGs (10 and 30 µs) were compared with the default IPG (2.1 µs) in a loudness matching experiment. The experiment was performed at the most comfortable loudness level (MCL) of the subject and the amplitude of half the dynamic range (50%-ADR). An upper dynamic range was calculated from the results of MCL and 50%-ADR (therefore not the whole dynamic range was covered). As expected from previous studies a larger IPG resulted in smaller amplitudes. However, the observed effect was larger at MCL than at 50%-ADR which resulted in a smaller upper dynamic range. This is the first time a decrease of this dynamic range was shown.
Das Ziel dieser Arbeit war die Entwicklung und Weiterentwicklung von Laserlichtquellen basierend auf der Interbandkaskadentechnologie in einem Wellenlängenbereich von ca. 3 bis 6 µm. Der Fokus lag dabei auf der Entwicklung von Kantenemitter-Halbleiterlasern, welche bei verschiedensten Emissionswellenlängen erfolgreich hergestellt werden konnten. Dabei wurde auf jeweilige Herausforderungen eingegangen, welche entweder durch die Herstellung selbst oder der anwendungstechnischen Zielsetzung bedingt war. Im Rahmen dieser Arbeit wurden verschiedene, spektral einzelmodige Halbleiterlaser im angesprochenen Wellenlängenbereich entwickelt und hergestellt. Basierend auf dem jeweiligen Epitaxiematerial und der angestrebten Emissionswellenlänge wurden Simulationen der optischen Lasermode durchgeführt und die grundlegenden für die Herstellung notwendigen Parameter bestimmt und experimentell umgesetzt. Des Weiteren wurden die verwendeten Verfahren für den jeweiligen Herstellungsprozess angepasst und optimiert. Das umfasst die in den ersten Kapiteln beschriebenen Schritte wie optische Lithografie, Elektronenstrahllithografie, reaktives Trockenätzen und verschiedene Arten der Materialdeposition. Mit einer Emissionswellenlänge von 2,8 µm wurde beispielsweise der bislang kurzwelligste bei Raumtemperatur im Dauerstrichbetrieb betriebene einzelmodige Interbandkaskadenlaser hergestellt. Dessen Leistungsmerkmale sind mit Diodenlasern im entsprechenden Emissionsbereich vergleichbar. Somit ergänzt die Interbandkaskadentechnologie bestehende Technologien nahtlos und es ist eine lückenlose Wellenlängenabdeckung bis in den mittleren Infrarotbereich möglich. Je nach Herstellungsprozess wurde außerdem auf die verteilte Rückkopplung eingegangen und die Leistungsfähigkeit des verwendeten Metallgitterkonzeptes anhand von Messungen an spektral einzelmodigen Bauteile aufgezeigt. Es wurden aber auch die je nach Zielsetzung unterschiedlichen Herausforderungen aufgezeigt und diskutiert. Für eine Anwendung wurden spezielle Laserchips mit zwei einzelmodigen Emissionswellenlängen bei 3928 nm und 4009 nm entwickelt. Die beiden Wellenlängen sind für die Detektion von Schwefeldioxid und Schwefelwasserstoff geeignet, welche zur Überwachung und Optimierung der Schwefelgewinnung durch das Claus-Verfahren notwendig sind. Bei der Umsetzung wurden auf einzelnen Chips zwei Laseremitter in einem Abstand von 70 µm platziert und mit je einem Metallgitter versehen. Das verwendete Epitaxiematerial war so konzipiert, dass es optimal für beide Zielwellenlängen verwendet werden kann. Die geforderten Eigenschaften wurden erfüllt und die Bauteile konnten erfolgreich hergestellt werden. Die Emissionseigenschaften und das spektrale Verhalten wurde bei beiden Zielwellenlängen bestimmt. Einzeln betrachtet erfüllen beide Emitter die notwendigen Eigenschaften um für spektroskopische Anwendungen eingesetzt werden zu können. Ergänzend wurde zum einen das Abstimmverhalten der Emissionswellenlänge in Abhängigkeit der Modulationsfrequenz des Betriebsstromes untersucht und zusätzlich die thermische Abhängigkeit der Betriebsparameter beider Kanäle zueinander bestimmt. Diese Abhängigkeit ist für eine simultane Messung mit beiden Kanälen notwendig. Das Konzept mit mehreren Stegwellenleitern pro Laserchip wurde in einem weiteren Fall noch stärker ausgearbeitet. Denn je nach Komplexität eines Gasgemisches sind zur Bestimmung der einzelnen Komponenten mehr Messpunkte bzw. Wellenlängen notwendig. Im zweiten Fall ist die Analyse der Kohlenwasserstoffe Methan, Ethan, Propan, Butan, Iso-Butan, Pentan und Iso-Pentan von Interesse, welche als Hauptbestandteile von Erdgas z.B. in Erdgasaufbereitungsanlagen oder zur Bestimmung des Heizwertes analysiert werden müssen. Die genannten Kohlenwasserstoffe zeigen ein starkes Absorptionsverhalten im Wellenlängenbereich von 3,3 bis 3,5 µm. Auf dem entsprechend angepassten Interbandkaskadenmaterial wurden Bauteile mit neun Wellenleitern pro Laserchip hergestellt. Mithilfe der neun einzelmodigen Emissionskanäle konnte ein Bereich von bis zu 190 nm (21 meV, 167 cm-1) adressiert werden. Außerdem wurde der sich mit zunehmender Wellenlänge ändernde Schichtaufbau und dessen Einfluss auf die Bauteileigenschaften diskutiert. Die Leistungsdaten der langwelligsten Epitaxie waren im Vergleich deutlich schwächer. Um diesen Nachteil zu kompensieren, wurde eine spezielle Wellenleitergeometrie mit doppeltem Steg genutzt. Die Eigenschaften des Konzeptes wurden zuerst mittels Simulation untersucht und ein entsprechendes Herstellungsverfahren entwickelt. Mit der Simulation als Grundlage wurden die verschiedenen Prozessparameter über mehrere Prozessläufe iterativ optimiert und somit die Performance der Laser verbessert. Auch mit diesem Verfahren konnte ausreichende Kopplung an das Metallgitter erzielt werden. Abschließend wurden mit diesem Herstellungsverfahren einzelmodige Laser im Wellenlängenbereich von 5,9 bis über 6 Mikrometern realisiert. Diese Laser emittierten im Dauerstrichbetrieb bei einer maximalen Betriebstemperatur von -2 °C. Insgesamt wurde anhand der im Rahmen dieser Arbeit entwickelten Bauteilen und de ren Charakterisierung gezeigt, dass diese die Anforderungen von TLAS Anwendungen erfüllen. Jedoch konnte nur auf einen Teil der Möglichkeiten eingegangen werden, den die Interbandkaskadentechnologie bietet, denn die angesprochenen Einsatzgebiete stellen nur einzelne grundlegende Möglichkeiten dieser Technologie mit Schwerpunkt auf laserbasierte Lichtquellen dar. Zusammenfassend kann allerdings gesagt werden, dass sich die Interbandkaskadentechnologie etabliert hat. Gerade durch die gezeigten Leistungsdaten bei den Wellenlängen um 2,9 µm, 3,4 µm und 4,0 µm im Dauerstrichbetrieb bei Raumtemperatur wird ersichtlich, dass im Bereich der Sensorik die ICL Technologie in Bezug auf niedriger Strom- bzw. Leistungsaufnahme quasi konkurrenzlos ist. Sicherlich werden die Anwendungsgebiete in Zukunft noch vielfältiger. Denn es sind auf jeden Fall weitere Fortschritte in Richtung höherer Emissionswellenlängen, deutlich höherer Betriebstemperaturen, verbreiterte Emissionsbereiche oder gänzlich andere Bauteil Konzepte wie z.B. für Frequenzkämme bzw. Terahertz Anwendungen zu erwarten. Diese Entwicklung betrifft nicht nur den Einsatz als Lichtquelle, denn auch Interbandkaskadendetektoren bzw. Solarzellen wurden schon realisiert und werden weiterentwickelt.
Design of novel IL-4 antagonists employing site-specific chemical and biosynthetic glycosylation
(2021)
The cytokines interleukin 4 (IL-4) and IL-13 are important mediators in the humoral immune response and play a crucial role in the pathogenesis of chronic inflammatory diseases, such as asthma, allergies, and atopic dermatitis. Hence, IL-4 and IL-13 are key targets for treatment of such atopic diseases.
For cell signalling IL-4 can use two transmembrane receptor assemblies, the type I receptor consisting of receptors IL-4R and γc, and type II receptor consisting of receptors IL-4R and IL-13R1. The type II receptor is also the functional receptor of IL-13, receptor sharing being the molecular basis for the partially overlapping effects of IL-4 and IL-13. Since both cytokines require the IL-4R receptor for signal transduction, this allows the dual inhibition of both IL-4 and IL-13 by specifically blocking the receptor IL-4R.
This study describes the design and synthesis of novel antagonistic variants of human IL-4. Chemical modification was used to target positions localized in IL-4 binding sites for γc and IL-13R1 but outside of the binding epitope for IL-4R. In contrast to existing studies, which used synthetic chemical compounds like polyethylene glycol for modification of IL-4, we employed glycan molecules as a natural alternative. Since glycosylation can improve important pharmacological parameters of protein therapeutics, such as immunogenicity and serum half-life, the introduced glycan molecules thus would not only confer a steric hindrance based inhibitory effect but simultaneously might improve the pharmacokinetic profile of the IL-4 antagonist.
For chemical conjugation of glycan molecules, IL-4 variants containing additional cysteine residues were produced employing prokaryotic, as well as eukaryotic expression systems. The thiol-groups of the engineered cysteines thereby allow highly specific modification. Different strategies were developed enabling site-directed coupling of amine- or thiol- functionalized monosaccharides to introduced cysteine residues in IL-4. A linker-based coupling procedure and an approach requiring phenylselenyl bromide activation of IL-4 thiol-groups were hampered by several drawbacks, limiting their feasibility. Surprisingly, a third strategy, which involved refolding of IL-4 cysteine variants in the presence of thiol- glycans, readily allowed synthesis of IL-4 glycoconjugates in form of mixed disulphides in milligram amount. This approach, therefore, has the potential for large-scale synthesis of IL-4 antagonists with highly defined glycosylation. Obtaining a homogenous glycoconjugate with exactly defined glycan pattern would allow using the attached glycan structures for fine-tuning of pharmacokinetic properties of the IL-4 antagonist, such as absorption and metabolic stability.
The IL-4 glycoconjugates generated in this work proved to be highly effective antagonists inhibiting IL-4 and/or IL-13 dependent responses in cell-based experiments and in in vitro binding studies. Glycoengineered IL-4 antagonists thus present valuable alternatives to IL-4 inhibitors used for treatment of atopic diseases such as the neutralizing anti-IL-4R antibody Dupilumab.
Der hepatische Ischämie-Reperfusionsschaden stellt ein großes Problem in der Transplantations- und Leberchirurgie dar: Insbesondere durch Fibrose, Steatose oder Entzündungsprozesse vorgeschädigte Organe zeigen eine erhöhte Vulnerabilität für den Reperfusionsschaden. Protektive Effekte einer Therapie mit mesenchymalen Stammzellen konnten bereits in Vorversuchen gezeigt werden. Ein direkter Vergleich mit den morphologisch sehr ähnlichen Fibroblasten wurde bisher nicht durchgeführt. Diese Wirkung scheint nach aktuellem Forschungsstand nicht durch zellgebundene, sondern parakrine Effekte vermittelt zu werden. Eine präemptive Injektion von Extrazellulärvesikel aus dem Überstand von Zellkulturen zeigte ähnliche Effekte wie eine Therapie mit Stammzellen. Das in dieser Arbeit durchgeführte Tierversuchsmodell basiert auf einer chirurgisch induzierten 70% Ischämie der Mausleber mit präemptiver Injektion von mesenchymalen Stammzellen, Fibroblasten, sowie deren jeweilige Extrazellulärvesikel. Eine präemptive Therapie mit mesenchymalen Stammzellen und deren Extrazellulärvesikeln verringerte den Leberzellschaden, gemessen anhand der Serumtransaminasenspiegel und Ausprägung der Nekrosefläche innerhalb Ischämie-exponierter Leberabschnitte, und konnte die Leberzellregeneration durch vermehrte Ausbildung von Lipid-Microdroplets und erhöhte Zellproliferationsraten der Hepatozyten bis in die Spätphase des Ischämie-Reperfusionsschadens beschleunigen. In Tieren mit einer präemptiven Injektion von Fibroblasten und deren Extrazellulärvesikel konnten diese Effekte nicht nachgewiesen werden. Es konnte kein Unterschied zwischen einer Therapie mit mesenchymalen Stammzellen und deren Extrazellulärvesikeln festgestellt werden.
The incidence of cancer cases is rising steadily, while improved early detection and new cancer-specific therapies are reducing the mortality rate. In addition to curing cancer or prolonging life, increasing the quality of life is thus an important goal of oncology, which is why the burdens of cancer and treatment are becoming more important. A common side effect of cancer and its therapy is cancer-related fatigue, a tiredness that manifests itself on physical, emotional and cognitive levels and is not in proportion to previous physical efforts. Since the etiology of fatigue has not yet been fully clarified, symptom-oriented therapy is preferable to cause-specific therapy. In addition to activity management, sleep hygiene, and cognitive behavioral therapy, mind-body interventions such as yoga are recommended for reducing fatigue.
Previous studies with small sample sizes were able to examine the efficacy of yoga regarding fatigue predominantly in patients with breast cancer. Long-term effects of yoga have rarely been studied and there have been no attempts to increase long-term effects through interventions such as reminder e-mails. This dissertation takes a closer look at these mentioned aspects of the study sample and long-term effects. An 8-week randomized controlled yoga intervention was conducted, including patients with different cancer types reporting mild to severe fatigue. Following the 8-week yoga therapy, a randomized group of participants received weekly reminder e-mails for 6 months for regular yoga practice, whereas the control group did not receive reminder e-mails.
The first paper is a protocol article, which addresses the design and planned implementation of the research project this dissertation is based upon. This serves to ensure better replicability and comparability with other yoga studies. Due to a very low consent rate of patients in the pilot phase, it was necessary to deviate from the protocol article in the actual implementation and the planned inclusion criterion of fatigue >5 was reduced to fatigue >1.
The second paper examines the efficacy of the eight-week yoga intervention. Patients in the intervention group who participated in the yoga classes seven times or more showed a significantly greater reduction in general and physical fatigue than those who participated less often. The efficacy of yoga was related to the number of attended yoga sessions. Women with breast cancer who participated in yoga reported greater reductions in fatigue than women with other cancer types. There was also an improvement for depression and quality of life after eight weeks of yoga therapy compared to no yoga therapy. These results imply that yoga is helpful in reducing depression and cancer-related fatigue, especially in terms of physical aspects and improving quality of life.
The third paper focuses on the efficacy of reminder e-mails in terms of fatigue and practice frequency. Patients who received reminder e-mails reported greater reductions in general and emotional fatigue, as well as significant increases in practice frequency, compared to patients who did not receive reminder e-mails. Compared to fatigue scores before yoga, significantly lower fatigue and depression scores and higher quality of life were reported after yoga therapy and at follow-up six months later. Weekly e-mail reminders after yoga therapy may have positive effects on general and emotional fatigue and help cancer patients with fatigue establish a regular yoga practice at home. However, higher practice frequency did not lead to higher improvement in physical fatigue as found in Paper 2. This may indicate other factors that influence the efficacy of yoga practice on physical fatigue, such as mindfulness or side effects of therapy.
This research project provides insight into the efficacy of yoga therapy for oncology patients with fatigue. It is important that such interventions be offered early, while fatigue symptoms are not too severe. Regular guided yoga practice can reduce physical fatigue, but subsequent yoga practice at home does not further reduce physical fatigue. Reminder emails after completed yoga therapy could only reduce patients' emotional fatigue. It may be that physical fatigue was reduced as much as possible by the previous yoga therapy and that there was a floor effect, or it may be that reminder emails are not suitable as an intervention to reduce physical fatigue at all. Further research is needed to examine the mechanisms of the different interventions in more detail and to find appropriate interventions that reduce all levels of fatigue equally.