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Based on genetic association and functional imaging studies, reduced function of tryptophan hydroxylase-2 (TPH2) has been shown to be critically involved in the pathophysiology of anxiety-disorders and depression. In order to elucidate the impact of a complete neuronal 5-HT deficiency, mice with a targeted inactivation of the gene encoding Tph2 were generated. Interestingly, survival of Tph2-/- mice, the formation of serotonergic neurons and the pathfinding of their projections was not impaired. Within this thesis, I investigated the influence of 5-HT deficiency on the γ-amino butyric acid (GABA) system. The GABAergic system is implicated in the pathophysiology of anxiety disorders. Therefore, measurement of GABA concentrations in different limbic brain regions was carried out. These measurements were combined with immunohistochemical estimation of GABAergic cell subpopulations in the dorsal hippocampus and amygdala. In Tph2-/- mice GABA concentrations were increased exclusively in the dorsal hippocampus. In heterozygous Tph2+/- mice concentrations of GABA were increased in the amygdala compared to Tph2-/- and wt control mice, while the reverse was found in the prefrontal cortex. The changes in GABA concentrations were accompanied by altered cell density of GABAergic neurons within the basolateral complex of the amygdala and parvalbumin (PV) neurons of the dorsal hippocampus and by adaptational changes of 5-HT receptors. Thus, adaptive changes during the development on the GABA system may reflect altered anxiety-like and depressive-like behavior in adulthood. Moreover, chronic mild stress (CMS) rescues the depressive-like effects induced by 5-HT deficiency. In contrast, 5-HT is important in mediating an increased innate anxiety-like behavior under CMS conditions. This is in line with a proposed dual role of 5-HT acting through different mechanisms on anxiety and depressive-like behavior, which is influenced by gene-environment interaction effects. Further research is needed to disentangle these complex networks in the future.
Um eine mögliche elektrophysiologische, kardiale Ursache für den plötzlichen Tod von STIM2 Knock-Out Mäusen zu prüfen, wurde eine elektrophysiologische Charakterisierung mittels Ruhe- und Stress-EKG, telemetrischem Langzeit-EKG sowie Elektrophysiologischer Untersuchung durchgeführt. Hierbei konnte keine kardial-elektrophysiologische Grundlage für den plötzlichen Tod dieser Tiere gefunden werden.
SPRED proteins are inhibitors of the Ras/ERK/MAPK signaling pathway, an evolutionary highly conserved and very widespread signaling cascade regulating cell proliferation, differentiation, and growth. To elucidate physiological consequences of SPRED2 deficiency, SPRED2 KO mice were generated by a gene trap approach. An initial phenotypical characterization of KO mice aged up to five months identified SPRED2 as a regulator of chondrocyte differentiation and bone growth. Here, the loss of SPRED2 leads to an augmented FGFR-dependent ERK activity, which in turn causes hypochondroplasia-like dwarfism. However, long term observations of older KO mice revealed a generally bad state of health and manifold further symptoms, including excessive grooming associated with severe self-inflicted wounds, an abnormally high water uptake, clear morphological signs of kidney deterioration, and a reduced survival due to sudden death. Based on these observations, the aim of this study was to discover an elicitor of this complex and versatile phenotype.
The observed kidney degeneration in our SPRED2 KO mice was ascribed to hydronephrosis characterized by severe kidney atrophy and apoptosis of renal tubular cells. Kidney damage prompted us to analyze drinking behavior and routine serum parameters. Despite polydipsia, which was characterized by a nearly doubled daily water uptake, the significantly elevated Na+ and Cl- levels and the resulting serum hyperosmolality could not be compensated in SPRED2 KOs. Since salt and water balance is primarily under hormonal control of aldosterone and AVP, we analyzed both hormone levels. While serum AVP was similar in WTs and KOs, even after experimental water deprivation and an extreme loss of body fluid, serum aldosterone was doubled in SPRED2 KO mice. Systematic investigation of contributing upstream hormone axes demonstrated that hyperaldosteronism developed independently of an overactivated Renin-Angiotensin system as indicated by halved serum Ang II levels in KO mice. However, aldosterone synthase expression in the adrenal gland was substantially augmented. Serum corticosterone, which is like aldosterone released from the adrenal cortex, was more than doubled in SPRED2 KOs, too. Similar to corticosterone, the production of aldosterone is at least in part under control of pituitary ACTH, which is further regulated by upstream hypothalamic CRH release. In fact, stress hormone secretion from this complete hypothalamic-pituitary-adrenal axis was upregulated because serum ACTH, the mid acting pituitary hormone, and hypothalamic CRH, the upstream hormonal inductor of HPA axis activity, were also elevated by 30% in SPRED2 KO mice. This was accompanied by an upregulated ERK activity in paraventricular nucleus-containing hypothalamic brain regions and by augmented hypothalamic CRH mRNA levels in our SPRED2 KO mice. In vitro studies using the hypothalamic cell line mHypoE-44 further demonstrated that both SPRED1 and SPRED2 were able to downregulate CRH promoter activity, CRH secretion, and Ets factor-dependent CRH transcription. This was in line with the presence of various Ets factor binding sites in the CRH promoter region, especially for Ets1.
Thus, this study shows for the first time that SPRED2-dependent inhibition of Ras/ERK/MAPK signaling by suppression of ERK activity leads to a downregulation of Ets1 factor-dependent transcription, which further results in inhibition of CRH promoter activity, CRH transcription, and CRH release from the hypothalamus. The consecutive hyperactivity of the complete HPA axis in our SPRED2 KO mice reflects an elevated endogenous stress response becoming manifest by excessive grooming behavior and self-inflicted skin lesions on the one hand; on the other hand, in combination with elevated aldosterone synthase expression, this upregulated HPA hormone release explains hyperaldosteronism and the associated salt and water imbalances. Both hyperaldosteronism and polydipsia very likely contribute further to the observed kidney damage.
Taken together, this study initially demonstrates that SPRED2 is essential for the appropriate regulation of HPA axis activity and of body homeostasis.
To further enlighten and compare consequences of SPRED2 deficiency in mice and particularly in humans, two follow-up studies investigating SPRED2 function especially in heart and brain, and a genetic screen to identify human SPRED2 loss-of-function mutations are already in progress.
Hey1, Hey2 and HeyL are downstream effectors of the Notch signalling pathway. Hey genes play decisive roles during embryonic development for example in cardiovascular development. However, the precise transcriptional programmes and genes, which are affected by each single Hey gene, are still poorly understood. One drawback for the analysis of Hey1, Hey2 or HeyL single gene function is that these genes are co-expressed in many tissues and share a high degree of functional redundancy. Thus, it was necessary to establish a system, which is either devoid of Hey expression, or just comprises one single Hey gene family member. For this, Hey1(fl/fl)/Hey2(-/-)/HeyL(-/-)- as well as Hey-triple- knock out (KO)-ES cells (embryonic stem cells) were generated in this work, because ES cells and their differentiation as EBs (embryoid bodies) represent a valuable tool for the in vitro analysis of embryonic developmental processes. After the establishment of Hey1(fl/fl)/Hey2(-/-)/HeyL(-/-)- and Hey-triple- KO-ES cells, it could be seen by ALP staining and pluripotency marker expression that loss of Hey expression did not affect ES cell pluripotency features. Thus, these ES cells represent bona fide ES cells and could be further used for the differentiation as EBs. Here, differences in gene expression between Hey1(fl/fl)/Hey2(-/-)/HeyL(-/-)- and Hey-triple- KO-ES cells (after the loss of Hey1) could be observed in realtime-RT-PCR analysis for the endodermal marker AFP as well as for neural and myogenic markers in d10 EBs. However, the establishment of inducible Hey1, Hey2 or HeyL ES cell lines will be essential to confirm these findings and to search for novel Hey target genes. To get further insight into the mode of Hey action, the analysis of Hey interaction partners is necessary. One such binding partner, the Bre protein, has previously been found in a yeast-two-hybrid screen. Bre has been described to be a member of two distinct complexes (i.e. the nuclear BRCA1-A complex with a function in DNA damage response and the cytoplasmic BRISC complex), to directly interact with the TNF-receptor and Fas and to interfere with apoptotic signalling. The Hey-Bre interaction could be further corroborated in this work; yet, it was not possible to narrow down the interaction site of Bre with Hey1. It rather seems that non-overlapping parts of the Bre protein may bind to Hey. This interaction may be direct– pointing to more than one interaction site inside the Bre protein – or via a common binding partner such as the endogenous Bre protein itself. Besides the interaction studies, functional assays were performed for a more detailed characterisation of Hey1 and Bre interaction. Here, it could be shown that Hey1 over-expression did not have any influence on Bre sub-cellular localisation. Interestingly, it could be demonstrated that Bre positively interfered with Hey1 repressive function in luciferase assays at three of four promoters analysed. Moreover, interaction with Bre seems to lead to a stabilisation of Hey1. As Bre has been described to modulate the E3-ligase activity intrinsic to the BRCC complex it was analysed whether Bre over-expression results in an ubiquitination of Hey1. Yet, this could not be observed in the present work. Furthermore, an interaction of Bre with ubiquitinated proteins could not be demonstrated in an ubiquitin binding assay. To obtain a better insight into Bre function, Bre LacZ gene trap-ES cells and animals were generated. However, realtime-RT-analyses revealed that these cells and mice did not show a loss of Bre expression on mRNA level indicating that insertion mutagenesis did not occur as expected. However, embryos derived from these mice could nevertheless be used for the detection of tissues with Bre expression by β-galactosidase staining. Bre deficiency on mRNA levels was only achieved after the deletion of the floxed exon 3 resulting in the generation of Bre del-mice. Bre del-mice were fertile and without any obvious phenotype and they were used for the generation of Bre del- and wt-MEFs (murine embryonic fibroblasts). Characterisation of these cells showed that proliferation was not affected after loss of Bre (neither under normal nor under stress conditions). However, loss of Bre notably resulted in a reduction in the BRCA1 DNA damage response, in a slightly increased sensitivity towards apoptosis induction by FasL treatment and in an increase in the K63-poly-ubiquitin content in Bre del-cytoplasmic fractions, probably linked to a change in the BRISC de-ubiquitinase activity. Even though these results have the same tendencies as observed in former studies, the effects in the present work are less striking. Further studies as well as intercrossing of Bre del- to Hey KO-animals will be necessary to further understand the functional relevance of Hey and Bre interaction.
LINC, the human homologue of an evolutionary conserved complex, regulates the transcription of a set of genes essential during the G2/M transition (Osterloh et al., 2007; Schmit et al., 2007). One component of the LINC core module is LIN-9. LIN-9 is essential for the transcriptional activation of LINC target genes and also promotes differentiation in association with pRB (Gagrica et al., 2004). However, nothing is known about its function in vivo. Histological and molecular analysis revealed that Lin9 is ubiquitously expressed throughout embryonic development and in all examined adult organs. Additionally, Lin9 mRNA is expressed in ES cells and blastocysts. Moreover the analogous distribution of the other LINC components suggested that they all function in the same cells and most likely in the same pathway. To deeper investigate the role of LIN9 in cell cycle and differentiation in vivo, a Lin9 gene trap mouse model (GT) was successfully generated and examined. Heterozygouse Lin9GT/+ mice were inconspicuous and develop normally. However, homozygouse knockout embryos were never obtained. The Lin9GT/GT embryos die at peri-implantation, probably due to a defect in the development of the epiblast, which could be shown with in situ hybridization with specific lineage markers. In vitro, the ICM of Lin9-deficient blastocysts did not develop properly. These data suggest that the loss of Lin9 leads to embryonic lethality at peri-implantation, and indicates that LIN9 is required for proper formation of the epiblast. In parallel, the first conditional Lin9 mouse model based on the Cre-loxP technology was generated. The Lin9fl/fl allele can be deleted by Cre-recombinase, in vivo and in vitro. Therefore an inducible system with Lin9fl/fl mice harboring Cre-ERT2 was established. The MEFs generated from these transgenic mice carried a nearly complete knockout upon induction with tamoxifen. Deletion of LIN9 in MEFs had a major impact upon the cell cycle and growth rates. Specifically, they arrested in G2/M phase and stopped to proliferate. Taken together, I was able to generate a lin9 gene trap and a lin9 conditional knockout mouse model. All results obtained so far demonstrate, that Lin9 is an essential gene for embryonic development and cell cycle control. It will be of great interest to further investigate Lin9-deficiency to gain insights into the mechanism of cell cycle control in early embryonic development and cell differentiation.
The actin cytoskeleton is essential for many cellular functions, such as the regulation of cell morphology, cell migration and vesicle transport processes. The functional diversity of actin structures is reflected in a variety of distinct molecular mechanisms regulating the polymerization of actin filaments. The spontaneous polymerization of actin however is inhibited, by both the instability of small actin oligomers and by actin monomer binding proteins, which prevent the formation of such oligomers. Actin nucleation factors help to overcome this kinetic barrier of filament initiation and are essential for the generation of novel actin filaments at specified subcellular compartments. Spir proteins are the founding members of the novel class of WH2 domain containing actin nucleation factors. They initiate actin polymerization by binding of actin monomers to four WH2 domains in the central part of the protein. Despite their ability to nucleate actin polymerization in vitro by themselves, Spir proteins form a regulatory complex with the distinct actin nucleators of the formin subgroup of formins. Spir functions in the regulation of vesicular originated filamentous actin structures, vesicle transport processes and the assembly of the cleavage furrow during asymmetric meiotic cell divisions. The mammalian genome encodes two spir genes, spir-1 and spir-2. The corresponding proteins have an identical structural array and share a high degree of homology. In order to elucidate the Spir function in developing and adult mouse tissues, the yet unknown expression of the mouse spir-2 gene was addressed. Real-time PCR analysis revealed highest expression of spir-2 in oocytes, the brain, throughout the gastrointestinal tract, testis and kidney of adult mice. In situ hybridizations were performed to substantiate the cellular nature of spir gene expression. During embryogenesis in situ hybridizations show spir-2 to be expressed in the developing nervous system and intestine. In adult mouse tissues highest expression of spir-2 was detected in the epithelial cells of the digestive tract, in neuronal cells of the nervous system and in spermatocytes. In contrast to the more restricted expression of the mouse spir-1 gene, which is mainly found in the nervous system, oocytes and testis, the data presented here show a distinct and broader expression pattern of the spir-2 gene and by this support a more general cell biological function of the novel actin nucleators. In order to address the function of Spir proteins in the developing and adult nervous system, Spir-1 deficient mice were generated by a gene trap method. Spir-1 deficient mice are viable and provide a perfect tool to address the neurobiological function of the Spir-1 protein. Analyses of primary cortical neurons from Spir-1 deficient mice revealed a specific reduction of dendritic branchpoints and are the first description of a neuronal Spir-1 function. Further, a transgenic mouse line (thy1-GFP-M) was employed that expresses the green fluorescent protein (GFP) under the control of neuron specific elements from the thy1 promoter. GFP is thereby expressed in only a subset of neurons and labels the neurons in their entirety. Spir-1 deficient mice carrying the GFP transgene were generated and analyzed. It was found that Spir-1 deficient mice exhibit a reduced number of dendritic spines in the entorhinal cortex compared to wildtype littermates. All together this study gives novel information about the cell biological function of Spir and provides insights how cytoskeletal functions structure the mammalian neuronal network.
Serotonin (5-HT) is an important modulator of many physiological, behavioural and developmental processes and it plays an important role in stress coping reactions. Anxiety disorders and depression are stress-related disorders and they are associated with a malfunction of the 5-HT system, in which the 5-HT transporter (5-HTT) plays an important role. 5-Htt knockout (KO) mice represent an artificially hyperserotonergic environment, show an increased anxiety-like behaviour and seem to be a good model to investigate the role of the 5-HT system concerning stress reactions and anxiety disorders. As synaptic proteins (SPs) seem to be involved in stress reactions, the effect of acute immobilization stress on the expression of the three SPs Synaptotagmin (Syt) I, Syt IV and Syntaxin (Stx) 1A was studied in the 5-Htt KO mouse model as well as the expression of the two immediate early genes (IEGs) FBJ osteosarcoma oncogene (c-Fos) and fos-like antigen 2 (Fra-2). Additionally, the expression of the corticotrophin releasing hormone (CRH) and its two receptors CRHR1 and CRHR2 was investigated as part of the hypothalamic-pituitary-adrenal (HPA) stress system. Based on gender- and genotype-dependent differences in corticosterone levels, expression differences in the brain were investigated by performing a quantitative real time-PCR study using primer pairs specific for these SPs and for the IEGs c-Fos and Fra-2 in five different brain regions in 5-Htt KO and 5-Htt wild-type (WT) mice. Mainly gender-dependent differences could be found and weaker stress effects on the expression of SPs could be demonstrated. Regarding the expression of IEGs, stress-, gender- and genotype-dependent differences were found mainly in the hypothalamus. Also in the hypothalamus, gender effects were found concerning the expression of CRH and its both receptors. Additionally, in a second study, male 5-Htt WT and male 5-Htt deficient mice were subjected to a resident-intruder-paradigm which stresses the animals through a loser experience. The morphological changes of neurons were subsequently analyzed in Golgi-Cox-stained sections of limbic brain areas in stressed and unstressed animals of both genotypes using the computer-based microscopy system Neurolucida (Microbrightfield, Inc.). While no differences concerning dendritic length, branching patterns and spine density were found in the hippocampus and no differences concerning dendritic length and branching patterns could be shown in the cingulate cortex (CG), pyramidal neurons in the infralimbic cortex (IL) of stressed 5-Htt WT mice displayed longer dendrites compared to unstressed 5-Htt WT mice. The results indicate that, although in this model drastic alterations of neuronal morphology are absent, subtle changes can be found in specific brain areas involved in stress- and anxiety-related behaviour which may represent neural substrates underlying behavioural phenomena.
Untersuchung zur NO/cGMP-Signaltransduktion in der glatten Muskulatur von NO-GC-defizienten Mäusen
(2013)
Die Stickstoffmonoxid (NO)/cGMP-Signaltransduktion besitzt eine entscheidende Rolle bei der Tonusregulation der glatten Muskulatur. Dabei ist NO neben seiner herausragenden Bedeutung für das vaskuläre System einer der wichtigsten inhibitorischen Neurotransmitter im Gastrointestinaltrakt. Die Wirkung von NO beruht hauptsächlich auf der Aktivierung der NO-sensitiven Guanylyl-Cyclase (NO-GC), die aus zwei Untereinheiten aufgebaut ist (α und ß). Die Deletion der ß1-Untereinheit in Mäusen resultiert in einem vollständigen NO-GC-Knockout (GCKO). Im Gastrointestinaltrakt ist die Expression von NO-GC in glatten Muskelzellen (SMC), interstitiellen Zellen von Cajal (ICC) und Fibroblasten-ähnlichen Zellen (FLC) nachgewiesen. In dieser Arbeit wurde die Bedeutung des NO/cGMP-Signalweges für die Regulation von Kontraktion und Relaxation innerhalb dieser drei Zelltypen anhand von zellspezifischen GCKO-Tieren untersucht. SMC- und ICC-spezifische GCKO-Tiere waren bereits vorhanden. FLC-spezifische GCKO-Tiere wurden generiert und mit den vorhandenen ICC- und SMC-GCKO-Linien gekreuzt, um Doppel- und Tripel-Knockout-Tiere zu erhalten. FLC-GCKO-Tiere zeigen eine NO-induzierte Relaxation glattmuskulären Gewebes, die der von WT-Tieren gleicht. Auch Gewebe von FLC/ICC- und FLC/SM-GCKO-Tieren kann durch NO relaxiert werden. Erst die Deletion der NO-GC in allen drei Zelltypen (Tripel-GCKO) führt zu einer Unterbrechung der NO-Relaxation, wie sie aus GCKO-Tieren bekannt ist. Überraschenderweise zeigt sich bei FLC-GCKO-Tieren eine beschleunigte Darmpassagezeit. Die Ergebnisse dieser Arbeit lassen darauf schließen, dass die NO-GC in allen drei Zelltypen des Gastrointestinaltrakts an der nitrergen Signaltransduktion beteiligt ist, wenn auch auf unterschiedliche Weise. Es besteht demnach eine Interaktion zwischen den verschiedenen Zelltypen, die durch weiterführende Versuche mit den vorhandenen Doppel-Knockout-Tieren sowie der Tripel-GCKO-Linie nähergehend untersucht werden muss. Der zweite Teil der Arbeit beschäftigte sich mit der Rolle der NO-GC im unteren Harntrakt. Dort liegt die NO-GC in verschieden Zelltypen vor. In Urethra-Gewebe wird die NO-GC ausschließlich in SMC exprimiert, während sie in der Harnblase einzig in interstitiellen Zellen, nicht aber in SMC, befindet. Funktionell hat dies zur Folge, dass die NO-induzierte Urethra-Relaxation ausschließlich von glatten Muskelzellen vermittelt wird. Die Harnblasenmuskulatur hingegen zeigt keine Relaxation auf NO-Gabe hin. Die Identifizierung der NO-GC-exprimierenden interstitiellen Zellen sowie ihre Funktion sind bislang ungeklärt. In einem dritten Projekt wurden Untersuchungen zur Effektivität der NO-GC-Inhibitoren ODQ und NS2028 durchgeführt. Die Ergebnisse zeigen, dass bei einem Einsatz der Inhibitoren nicht von einer vollständigen Hemmung der NO-GC ausgegangen werden sollte. Drei Faktoren beeinflussen nachhaltig die Inhibitor-Effektivität: (1) die Klasse des NO-Donors, (2) die Inkubationszeit mit dem Inhibitor und dem NO-Donor sowie (3) die Stärke der Vorkontraktion bei Versuchen mit Glattmuskelgewebe. Die Wahl dieser Parameter bestimmt, in welchem Ausmaß ODQ und NS2028 die NO-stimulierte NO GC inhibieren können. Aus diesem Projektteil resultiert, dass man den Einsatz dieser Inhibitoren nicht, wie vielfach in der Literatur vorzufinden, als Beweis für cGMP unabhängige Effekte nutzen sollte.
Die Detektion von Umweltsignalen und die gezielte zelluläre Reaktion ist eine zentrale und für das Überleben aller Lebewesen essentielle Fähigkeit. Candida albicans, als dominierender humanpathogener Pilz, ist hochgradig verschiedenen biochemischen und physikalischen Umweltbedingungen ausgesetzt, welche sowohl die Zellmorphologie als auch die Virulenz dieses Erregers beeinflussen. In der vorliegenden Arbeit wurde der Einfluss von Kohlendioxid, als ubiquitär vorkommendes Gasmolekül, auf die Zellmorphologie und Virulenz untersucht. Erhöhte Konzentrationen von Kohlendioxid stellen ein äußerst robustes Umweltsignal dar, welches die morphologische Transition vom Hefewachstum zum hyphalen Wachstum, einem Hauptvirulenzfaktor, in Candida albicans stimuliert. In diesem Zusammenhang wurde die Rolle der putativen Carboanhydrase Nce103 durch die Generation von knock – out Mutanten untersucht. Die Disruption von NCE103 in C. albicans führt zu einem Kohlendioxid – abhängigen Phänotyp, welcher Wachstum unter aeroben Bedingungen (ca. 0,033% CO2) nicht zulässt, jedoch unter Bedingungen mit einem erhöhten CO2 Gehalt von ca. 5% ermöglicht. NCE103 ist also für das Wachstum von C. albicans in Wirtsnischen mit aeroben Bedingungen essentiell. Durch Untersuchungen zur Enzymkinetik mittels Stopped – flow wurde in dieser Arbeit gezeigt, dass Nce103 die Funktion einer Carboanhydrase erfüllt. Die biochemische Funktion dieser Carboanhydrase besteht in der Fixation von CO2 bzw. HCO3ˉ in der Zelle zur Unterhaltung der wesentlichen metabolischen Reaktionen. Weiterhin konnte gezeigt werden, dass die Induktion hyphalen Wachstums durch CO2 in C. albicans nicht durch den Transport von CO2 mittels des Aquaporins Aqy1 beeinflusst wird. CO2 bzw. HCO3ˉ aktiviert in der Zelle direkt eine Adenylylcyclase (Cdc35), welche sich grundlegend von den bisher gut charakterisierten G-Protein gekoppelten Adenylylcylasen unterscheidet. Die Generation von cAMP beeinflusst in der Folge direkt die Transkription hyphenspezifischer Gene und nachfolgend die morphologische Transition vom Hefewachstum zum elongierten, hyphalen Wachstum. Dieser Mechanismus konnte sowohl in Candida albicans als auch in Cryptococcus neoformans nachgewiesen werden, was auf einen panfungal konservierten Signaltransduktionsmechanismus schliessen lässt. Die Inhibition dieser spezifischen Kaskade eröffnet neue Ansätze zur Entwicklung spezifischer antimykotischer Wirkstoffe.
Kardialer Phänotyp und SUDEP durch Knockout des Nav1.1 Kanalgens (SCN1A) in einem Dravet-Mausmodell
(2018)
SUDEP bezeichnet den plötzlichen und unerwarteten Epilepsietod ohne offensichtliche kausale Todesursache. Junge Patienten, die an der schweren infantilen enzephalo-pathischen Epilepsieform des Dravet-Syndroms (SMEI) leiden, tragen besonderes
Risiko an SUDEP zu versterben. Die pathophysiologische Ursache für das Dravet-Syndrom liegt in einem Defekt des brain-type Natriumkanals Nav1.1. Neuere Studien zeigen, dass der ursprünglich als hirnspezifisch geltende Kanal nicht explizit in
neuronalem Gewebe, sondern auch im Herzen exprimiert wird.
Ziel dieser Arbeit war es daher, die Auswirkungen des Nav1.1-Defektes auf kardialer Ebene zu evaluieren, um eine mögliche Beteiligung von Herzrhythmusstörungen an der Ätiologie des SUDEP aufzudecken. Dazu wurde ein Knockout-Mausmodell hinsichtlich seines kardialen Phänotyps charakterisiert. Mit Hilfe elektrokardiographischer
Untersuchungen (EKG) konnte eine gesteigerte Herzfrequenz unter Stressbedingungen festgestellt werden. Die Frequenz lag sowohl bei den Versuchen unter pharmakologischem Stress mittels Isoproterenol als auch unter induziertem Stress mittels
Hyperthermie bei den Dravet-Syndrom-Mäusen höher als in dem wildtypischen
Kontrollkollektiv. Elektrophysiologische Untersuchungen (EPU) zeigten neben einem erhöhten Schweregrad der induzierbaren Arrhythmien, gemessen anhand eines
Arrhythmie-Scores, auch eine erhöhte Quantität ausgelöster Herzrhythmusstörungen. Sowohl unter Ruhebedingungen als auch nach Induktion von Hyperthermie überwogen die aufgezeichneten Arrhythmien bei Dravet-Syndrom-Mäusen.
Die Erkenntnisse dieser Studie helfen die Rolle des Nav1.1-Defektes an einer kardialen Beteiligung im Rahmen von SUDEP bei Dravet-Patienten zu beschreiben. Sie zeigen ver-schiedene kardiale Auswirkungen bei Knockout des primär neuronalen Natrium¬kanalgens SCN1A. Weitere Einsichten in diesen Bereich werden angemessene Risikostratifizierung für Epilepsie-Patienten hinsichtlich Ihres SUDEP-Risikos ermöglichen und moderne The-rapieansätze anregen.