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Functional and genetic dissection of mechanosensory organs of \(Drosophila\) \(melanogaster\)
(2016)
In Drosophila larvae and adults, chordotonal organs (chos) are highly versatile mechanosensors
that are essential for proprioception, touch sensation and hearing. Chos share molecular,
anatomical and functional properties with the inner ear hair cells of mammals. These multiple
similarities make chos powerful models for the molecular study of mechanosensation.
In the present study, I have developed a preparation to directly record from the sensory neurons
of larval chos (from the lateral chos or lch5) and managed to correlate defined mechanical inputs
with the corresponding electrical outputs. The findings of this setup are described in several case
studies.
(1) The basal functional lch5 parameters, including the time course of response during continuous
mechanical stimulation and the recovery time between successive bouts of stimulation, was
characterized.
(2) The calcium-independent receptor of α-latrotoxin (dCIRL/Latrophilin), an Adhesion class G
protein-coupled receptor (aGPCR), is identified as a modulator of the mechanical signals
perceived by lch5 neurons. The results indicate that dCIRL/Latrophilin is required for the
perception of external and internal mechanical stimuli and shapes the sensitivity of neuronal
mechanosensation.
(3) By combining this setup with optogenetics, I have confirmed that dCIRL modulates lch5
neuronal activity at the level of their receptor current (sensory encoding) rather than their ability
to generate action potentials.
(4) dCIRL´s structural properties (e.g. ectodomain length) are essential for the mechanosensitive
properties of chordotonal neurons.
(5) The versatility of chos also provides an opportunity to study multimodalities at multiple levels.
In this context, I performed an experiment to directly record neuronal activities at different
temperatures. The results show that both spontaneous and mechanically evoked activity increase
in proportion to temperature, suggesting that dCIRL is not required for thermosensation in chos.
These findings, from the development of an assay of sound/vibration sensation, to neuronal
signal processing, to molecular aspects of mechanosensory transduction, have provided the first
insights into the mechanosensitivity of dCIRL.
In addition to the functional screening of peripheral sensory neurons, another
electrophysiological approach was applied in the central nervous system: dCIRL may impact the
excitability of the motor neurons in the ventral nerve cord (VNC). In the second part of my work,
whole-cell patch clamp recordings of motor neuron somata demonstrated that action potential
firing in the dCirl\(^K\)\(^O\) did not differ from control samples, indicating comparable membrane
excitability.
Comparative transcriptomics and post-transcriptional regulation in \(Campylobacter\) \(jejuni\)
(2016)
The transcriptome is defined as the set of all RNA molecules transcribed in a cell. These include protein-coding messenger RNAs (mRNAs) as well as non-coding RNAs, such as ribosomal RNAs (rRNAs), transfer RNAs (tRNAs), and small non-coding RNAs (sRNAs). sRNAs are known to play an important role in regulating gene expression and virulence in pathogens. In this thesis, the transcriptome of the food-borne pathogen Campylobacter jejuni was characterized at single nucleotide resolution by use of next-generation sequencing approaches. The first genome of a C. jejuni strain was published in the year 2000. However, its transcriptome remained uncharacterized at large.
C. jejuni can survive in a variety of ecological niches and hosts. However, how strain-specific transcriptional changes contribute to such adaptation is not known. In this study, the global transcriptome maps of four closely related C. jejuni strains were defined using a differential RNA-seq (dRNA-seq) approach. This analysis also included a novel automated method to annotate the transcriptional start sites (TSS) at a genome-wide scale. Next, the transcriptomes of four strains were simultaneously mapped and compared by the use of a common coordinate system derived from whole-genome alignment, termed as SuperGenome. This approach helped to refine the promoter maps by comparison of TSS within strains. Most of the TSS were found to be conserved among all four strains, but some single-nucleotide-polymorphisms (SNPs) around promoter regions led to strain-specific transcriptional output. Most of these SNPs altered transcription only slightly, but some others led to a complete abrogation of transcription leading to differential molecular phenotypes. These in turn might help the strains to adapt to their specific host or microniche. The transcriptome also unveiled a plethora of sRNAs, some of which were conserved among the four strains while others were strain specific. Furthermore, a Cas9-dependent minimal type-II CRISPR-Cas system with only three Cas genes and multiple promoters to drive the transcription of the CRISPR locus was also characterized in C. jejuni using the dRNA-seq dataset.
Apart from sRNAs, the role of global RNA binding proteins (RBPs) is also unclear in C. jejuni. Aided by the global transcriptome data, the role of RBPs in post-transcriptional regulation of C. jejuni was studied at a global scale. Two of the most widely studied RNA binding proteins in bacteria are Hfq and CsrA. The RNA interactome of the translational regulator CsrA was defined using another global deep-sequencing technique that combines co-immunoprecipitation (coIP) with RNA sequencing (RIP-seq). Using this interactome dataset, the direct targets of this widespread global post-transcriptional regulator were defined, revealing a significant enrichment for mRNAs encoding genes involved in flagella biosynthesis. Unlike Gammaproteobacteria, where sRNAs such as CsrB/C, antagonize CsrA activity, no sRNAs were enriched in the CsrA-coIP in C. jejuni, indicating absence of any sRNA antagonists and novel modes of CsrA activity regulation. Instead, the CsrA regulatory pathway revealed flaA mRNA, encoding the major flagellin, as a dual-function mRNA. flaA mRNA was the main target of CsrA but it also served to antagonize CsrA activity along with the protein antagonist FliW previously identified in the Gram-positive bacterium Bacillus subtilis. Furthermore, this regulatory mRNA was also shown in this thesis to localize to the poles of elongating C. jejuni cells in a translation-dependent manner. It was also shown that this localization is dependent on the CsrA-FliW regulon, which controls the translation of flaA mRNA. The role and mechanism of flaA mRNA localization or mRNA localization in general is not yet clear in bacteria when compared to their eukaryotic counterparts.
Overall, this study provides first insights into riboregulation of the bacterial pathogen C. jejuni. The work presented in this thesis unveils several novel modes of riboregulation in C. jejuni, which could be applicable more generally. Moreover, this study also lays out several unsolved intriguing questions, which may pave the way for interesting studies to come.
microRNAs in chronic pain
(2016)
Chronic pain is a common problem in clinical practice, not well understood clinically, and frequently tough to satisfactorily diagnose. Because the pathophysiology is so complex, finding effective treatments for people with chronic pain has been overall less than successful and typically reduced to an unsatisfactory trial-and-error process, all of which translates into a significant burden to society. Knowledge of the mechanisms underlying the development of chronic pain, and moreover why some patients experience pain and others not, may aid in developing specific treatment regimens. Although nerve injuries are major contributors to pain chronification, they cannot explain the entire phenomenon. Considerable research has underscored the importance of the immune system for the development and maintenance of chronic pain, albeit the exact factors regulating inflammatory reactions remain unclear. Understanding the putative molecular and cellular regulator switches of inflammatory reactions will open novel opportunities for immune modulatory analgesics with putatively higher specificity and less adverse effects. It has become clear that small, non- coding RNA molecules known as microRNAs are in fact potent regulators of many thousands of genes and possibly cross-communicate between cellular pathways in multiple systems acting as so-called “master-switches”. Aberrant expression of miRNAs is now implicated in numerous disorders, including nerve injuries as well as in inflammatory processes. Moreover, compelling evidence supports the idea that miRNAs also regulate pain, and in analogy to the oncology field aid in the differential diagnosis of disease subtypes. In fact, first reports describing characteristic miRNA expression profiles in blood or cerebrospinal fluid of patients with distinct pain conditions are starting to emerge, however evidence linking specific miRNA expression profiles to specific pain disorders is still insufficient. The present thesis aimed at first, identifying specific miRNA signatures in two distinct chronic pain conditions, namely peripheral neuropathies of different etiologies and fibromyalgia syndrome. Second, it aimed at identifying miRNA profiles to better understand potential factors that differentiate painful from painless neuropathies and third, study the mechanistic role of miRNAs in the pathophysiology of pain, to pave the way for new druggable targets.
Three studies were conducted in order to identify miRNA expression signatures that are characteristic for the given chronic pain disorder. The first study measured expression of miR-21, miR-146a and miR-155 in white blood cells, skin and nerve biopsies of patients with peripheral neuropathies. It shows that peripheral neuropathies of different etiologies are associated with increased peripheral miR-21 and miR-146a, but decreased miR-155 expression. More importantly, it was shown that painful neuropathies have increased sural nerve miR-21 and miR-155 expression, but reduced miR-146a and miR-155 expression in distal skin of painful neuropathies. These results point towards the potential use of miRNAs profiles to stratify painful neuropathies. The seconds study extends these findings and first analyzed the role of miR-132-3p in patients and subsequently in an animal model of neuropathic pain. Interestingly, miR-132-3p was upregulated in white blood cells and sural nerve biopsies of patients with painful neuropathies and in animals after spared nerve injury. Pharmacologically modulating the expression of miR-132-3p dose-dependently reversed pain behavior and pain aversion, indicating the pro-nociceptive effect of miR-132-3p in chronic pain. This study thus demonstrates the potential analgesic impact by modulating miRNA expression. Fibromyalgia is associated with chronic widespread pain and, at least in a subgroup, impairment in small nerve fiber morphology and function. Interestingly, the disease probably comprises subgroups with different underlying pathomechanisms. In accordance with this notion, the third study shows that fibromyalgia is associated with both aberrant white blood cell and cutaneous miRNA expression. Being the first of its kind, this study identified miR-let-7d and its downstream target IGF-1R as potential culprit for impaired small nerve fiber homeostasis in a subset of patients with decreased intra-epidermal nerve fiber density. The work presented in this thesis is a substantial contribution towards the goal of better characterizing chronic pain based on miRNA expression signatures and thus pave the way for new druggable targets.
Kardiovaskuläre Erkrankungen, wie beispielsweise der Herzinfarkt, sind die häufigste Todesursache weltweit. Bei einem Herzinfarkt sterben Areale des Herzens aufgrund einer Unterversorgung mit Blut ab. Da das Herzmuskelgewebe ein sogenanntes terminal differenziertes Gewebe ist, kommt es zu keiner Regeneration des Gewebes, mit der Folge einer Herzinsuffizienz beziehungsweise dem Tod des Patienten. Eine alternative Behandlungsmöglichkeit zu einer Herztransplantation stellt das Tissue Engineering dar. Mit Hilfe des Tissue Engineerings können dreidimensionale Gewebe aufgebaut und kultiviert werden, um auf diese Weise ein funktionelles Gewebe zu erhalten, durch welches das abgestorbene Gewebeareal des Herzens zukünftig auch ersetzt werden könnte.
In der vorliegenden Arbeit wurden notwendige Technologien für den Aufbau von Geweben entwickelt sowie erste Versuche für die Erzeugung eines funktionellen Herzmuskelgewebes durchgeführt. Beim Aufbau von dreidimensionalen Geweben finden Trägerstrukturen Anwendung, die mit Zellen besiedelt werden. Solche Trägerstrukturen können aus biologischen oder synthetischen Polymeren hergestellt sein oder aus der extrazellulären Matrix eines dezellularisierten Gewebes bestehen. Für eine standardisierte Dezellularisierung von Geweben wurde eine computergesteuerte Pumpeneinheit, für die Herstellung von Nanofaserscaffolds eine Elektrospinninganlage entwickelt. Mit Hilfe der Dezellularisierungseinheit können komplexe Organe, wie ein Herz im Ganzen, reproduzierbar dezellularisiert werden. Untersuchungen der mittels Elektrospinning hergestellten Nanofaserscaffolds, welche als Alternative zu der dezellularisierten, natürlichen Matrix eingesetzt werden können, zeigten bei allen hergestellten Zusammensetzungen eine Orientierung der Zellen entlang der Fasern.
Die Kultivierung von Zellmatrixkonstrukten erfolgt im Tissue Engineering häufig unter dynamischen Bedingungen. Hierfür wurde ein mobiler Stand Alone Inkubator mit der erforderlichen Peripherie für eine Kultur unter Perfusion des Gewebes entwickelt. Als Weiterentwicklung des Stand Alone Inkubators ist eine modulare Bioreaktorplattform, bestehend aus Wärmetauscher, Beutelpumpe und Gasaustauscher, aufgebaut worden. In dieses System kann über Standard Anschlüsse jegliche Art von Bioreaktor in das System eingebunden werden. Durch die Kompaktheit des Systems ist es möglich mehrere Ansätze parallel auf engem Raum durchzuführen. Die Funktion der Plattform, wurde in der vorliegenden Arbeit durch die Gewebekultur einer nativen porzinen Karotis nachgewiesen.
Für den Aufbau des kardialen Gewebes dient die small intestinal submucosa ohne Serosa (SISser) als Trägerstruktur. Der Aufbau des Gewebekonstrukts erfolgte in verschiedenen Ansätzen unter Einsatz verschiedener Zellarten. Native, aus Herzbiopsien generierte Cardiosphere derived cells (CDCs) verteilten sich gleichmäßige über die Oberfläche der Matrix, jedoch konnten immunhistologisch keine spezifischen kardialen Marker bei den artifiziellen Geweben nachgewiesen werden. Zellmatrixkonstrukte aus einer Mono Kultur von Kardiomyozyten, differenziert aus induzierten pluripotenten Stammzellen (iPS Zellen) sowie einer Co Kultur dieser Kardiomyozyten mit mesenchymalen Stammzellen und Zellen aus einer Herzbiopsie zeigten nach wenigen Tagen in Kultur ein kontraktiles Verhalten. Immunhistologische Färbungen der beiden Gewebe bestätigten die Expression der spezifischen kardialen Marker, wie beispielsweise kardiales Troponin T, kardiales Troponin C und alpha Actinin. Die Kardiomyozyten der Mono Kultur sind jedoch nicht über die gesamte Matrixoberfläche verteilt, sondern bilden Aggregate. Bei der Co Kultur kann eine gleichmäßige Verteilung der Zellen auf der Matrix beobachtet werden. Der vielversprechendste Ansatz für den Aufbau eines Herzmuskelgewebes, welches als Implantat oder Testsystem eingesetzt werden kann, bildet nach den in dieser Arbeit erzielten Ergebnissen, ein Konstrukt aus der SISser und der Co Kultur der Zellen. Allerdings muss die Zusammensetzung der Co Kultur sowie das Verhältnis der Zellzahlen optimiert werden.
To simplify a judgment, people often base it on easily accessible information. One cue that is usually readily available is processing fluency – a metacognitive feeling of ease of cognitive processing. Consequently, processing fluency is used as a cue for many different types of judgment, such as judgment of truth, confidence, and novelty. The present work describes results of three studies investigating various aspects of processing fluency effects on judgment.
Processing fluency has been sometimes equated with speed of a cognitive process. Therefore, response times have been used for evaluation of processing fluency. However, response times in experimental tasks often do not encompass only the time needed for a given process, but also the time needed for a decision based on the resulting information. The study described in Chapter II uses a novel experimental method that enables separation of reading and decision times. The results show that people make a decision about liking of pseudowords faster when the pseudowords are hard-to-pronounce (i.e., disfluent) than when they are moderate in pronounceability. This suggests that response times cannot be used as a proxy for processing fluency when they include the time needed to make a decision.
One of the studies of judgmental effects of processing fluency showed that food additives with easier pronounceable names are judged to be less harmful than those with hard-to-pronounce names. While people encounter food additives that are safe more often, this environmental association may be in the opposite direction for some categories of objects. For example, people are more likely to see names of especially dangerous criminals in the news. Chapter III describes a study which initially tested whether the fluency-safety association may be in the opposite direction for some categories of objects as a consequence of this selective exposure to especially dangerous exemplars. The results did not show support for this hypothesis. Furthermore, subsequent studies suggest that the previously found association between fluency and safety is replicable with the original stimuli used in the previous research, but not with newly constructed stimuli.
Chapter IV describes a study which applied a finding from the processing fluency literature to a positive psychology exercise in order to increase its effectiveness. Namely, the experiment manipulated the number of good things that participants listed daily for two weeks as part of the exercise. While listing more things was considered harder, the number of things listed each day had no effect on effectiveness of the exercise.
Traditional species identification based on morphological characters is laborious
and requires expert knowledge. It is further complicated in the case of
species assemblages or degraded and processed material. DNA-barcoding,
species identification based on genetic data, has become a suitable alternative,
yet species assemblages are still difficult to study. In the past decade
meta-barcoding has widely been adopted for the study of species communities,
due to technological advances in modern sequencing platforms and
because manual separation of individual specimen is not required. Here,
meta-barcoding is put into context and applied to the study of bee-collected
pollen as well as bacterial communities. These studies provide the basis
for a critical evaluation of the powers and limitations of meta-barcoding. Advantages
identified include species identification without the need for expert
knowledge as well as the high throughput of samples and sequences. In
microbiology, meta-barcoding can facilitate directed cultivation of taxa of interest
identified with meta-barcoding data. Disadvantages include insufficient
species resolution due to short read lengths and incomplete reference
databases, as well as limitations in abundance estimation of taxa and functional
profiling. Despite these, meta-barcoding is a powerful method for the
analysis of species communities and holds high potential especially for automated
biomonitoring.
Das Schädel-Hirn-Trauma (SHT) entsteht durch äußere Gewalteinwirkung auf den Kopf und verursacht mechanisch eine Schädigung des Hirngewebes. Zusätzlich tragen sekundäre Pathomechanismen, wie Entzündungsprozesse und die Schädigung der Blut-Hirn-Schranke (BHS), dazu bei, dass sich das initial geschädigte Läsionsareal im Laufe der Zeit vergrößert. Vor allem bei jungen Erwachsenen ist das SHT eine der häufigsten Ursachen für bleibende Behinderungen und Todesfälle. Aufgrund der schweren Auswirkungen des SHT und der bislang fehlenden Therapieoptionen ist die Identifizierung neuer Zielstrukturen für eine kausale Therapie von größter Bedeutung. Ausgehend von tierexperimentellen Studien ist das Kallikrein-Kinin-System (KKS) ein besonders erfolgversprechender Angriffspunkt zur Behandlung des SHT. Die Aktivierung des KKS über den Gerinnungsfaktor XII (FXII) und die darauf folgende Bildung von Bradykinin sind mit dem Entstehen von Hirnödemen und Entzündungsreaktionen assoziiert. Vorangegangene Studien haben weiterhin die Frage aufgeworfen, ob und in welchem Maße thrombotische Prozesse einen Einfluss auf die Pathophysiologie und die sekundären Hirnschädigungen nach SHT haben. Da FXII sowohl das KKS als auch die intrinsische plasmatische Gerinnungskaskade initiiert und somit zur Fibrinbildung beiträgt, stand FXII im Mittelpunkt der Untersuchungen dieser Dissertation. Die vorliegende Arbeit beschäftigt sich mit den Fragen, (I) inwiefern FXII eine Rolle bei der sekundären Hirnschädigung nach Trauma spielt und (II) ob thrombotische Prozesse ein pathophysiologisches Merkmal nach Trauma darstellen. In zwei unterschiedlichen Trauma-Modellen wurden FXII-defiziente Tiere und mit einem spezifischen Inhibitor des aktivierten FXII (FXIIa) behandelte Tiere gegen Kontrolltiere nach SHT verglichen. Die Analyse der funktionellen Ausfallerscheinungen und des Ausmaßes an neuronaler Degeneration zeigte, dass FXII-Defizienz und FXIIa-Inhibition vor den Auswirkungen eines SHT schützen. Als zugrundeliegende Mechanismen wurden die Reduktion von thrombotisch verschlossenen Gefäßen in der Mikrovaskulatur des Gehirns sowie der Schutz vor BHS-Störungen und verringerte inflammatorische Prozesse identifiziert. Weiterhin wurde festgestellt, dass eine Blockade der intrinsischen Gerinnungskaskade über FXII keine intrazerebralen Blutungen auslöst. In Gewebeproben von Patienten mit SHT wurde gezeigt, dass Thrombozytenaggregate auch im klinischen Verlauf auftreten und sich somit die tierexperimentellen Befunde auf die humane Situation übertragen lassen. Insgesamt tragen die Ergebnisse dazu bei, die komplexen und vielfältigen Pathomechanismen nach SHT besser zu verstehen und vor allem die Relevanz thrombo-inflammatorischer Prozesse nach SHT aufzuzeigen. Die gezielte Blockade des FXII(a) könnte als therapeutisches Prinzip zur Abschwächung der Sekundärschaden nach SHT geeignet sein.
Das Raf kinase inhibitor protein (RKIP) ist ein Kinaseregulator, der im Herzen eine Präferenz für die G-Protein-gekoppelte Rezeptorkinase 2 (GRK2) zeigt. Die Regulation erfolgt durch direkte Interaktion beider Proteine, wird durch eine PKC-Phosphorylierung an Serin 153 des RKIP induziert und inhibiert die GRK2-vermittelte Phosphorylierung von G-Protein-gekoppelten Rezeptoren (GPCR). Die GRK2 desensitiviert GPCR und eine Hemmung der GRK2-Aktivität wirkt sich so positiv auf die Ansprechbarkeit von GPCR aus. Die \textbeta-adrenergen Rezeptoren (\textbeta AR) sind im Herzen maßgeblich an der Regulation der kardialen Kontraktilität beteiligt. Erste Zusammenhänge zwischen der RKIP-Expression und der kontraktilen Antwort von Kardiomyozyten wurden bereits in einer früheren Arbeit untersucht und bestätigt. Sie begründen die Fragestellung nach Effekten einer verstärkten RKIP-Expression auf \textbeta-adrenerge Rezeptorsignale, Herzfunktion und die Entwicklung der Herzinsuffizienz.
Im Rahmen dieses Projektes konnten die Effekte des RKIP auf \textbeta-adrenerge Signalwege detaillierter beschrieben werden. Dabei erwies sich die inhibitorische Funktion auf die GRK2 als rezeptorspezifisch ohne Einfluss auf zytosolische Angriffspunkte der GRK2 zu nehmen. Verstärkte \textbeta-adrenerge Signale zeigten sich in neonatalen Kardiomyozyten an Hand der erhöhten cAMP-Level, PKA-Aktivität, sowie Kontraktionsrate und Relaxationsgeschwindigkeit nach \textbeta-adrenerger Stimulation. Im Einklang damit konnte eine erhöhte PKA- und CaMKII-Aktivität und eine positive Inotropie in transgenen Tieren, mit herzspezifischer Überexpression von RKIP, beobachtet werden. Durch Messung des Calcium-\textit{Cyclings} in Kardiomyozyten konnte der Phänotyp auf eine verbesserte Rückführung des Calciums, einer daraus resultierenden erhöhten Calciumbeladung des sarkoplasmatischen Retikulums und einem gesteigerten systolischen Calciumspiegel, zurückgeführt werden. Die Untersuchung der Phosphorylierung von Calciumkanälen, L-Typ-Calciumkanal und Ryanodin-Rezeptor 2, die den einwärtsgerichteten Calciumstrom vermitteln konnte ihre Beteiligung an der positiv inotropen Wirkung ausschließen.
Neben dem kontraktilen Phänotyp konnten zusätzliche protektive Effekte beobachtet werden. In Modellen, die eine chronische \textbeta-adrenerge Stimulation imitieren, bzw. eine Nachlasterhöhung induzieren konnte eine Verringerung der interstitiellen Fibrose und der damit assoziierten Marker, gezeigt werden. Mit Hilfe von \textit{in vivo} EKG-Messungen konnte die Neigung zur Ausbildung von Arrhythmien untersucht werden. Auch im Hinblick auf die Anzahl der Extrasystolen waren RKIP-transgene Tiere geschützt. Infolge der Untersuchung der Phänotypen in Deletionshintergründen der einzelnen \textbeta AR-Subtypen (\textbeta\textsubscript{1}AR, \textbeta\textsubscript{2}AR) konnte die positive Inotropie mit den spezifischen Signalwegen des \textbeta\textsubscript{1}AR assoziiert und die protektiven Effekte gegenüber den Umbauprozessen und der Arrhythmieneigung dem \textbeta\textsubscript{2}-adrenergen Signalen zugeschrieben werden. Zusätzlich bestätigt sich eine besondere Rolle der G\textalpha\textsubscript{i}-Kopplung des \textbeta\textsubscript{2}AR, durch die er einen hemmenden Einfluss auf die \textbeta\textsubscript{1}AR-Singale nehmen kann.
Die Untersuchung einiger Marker, die eine physiologische von einer pathologischen Hypertrophie unterscheiden, konnte das in den RKIP-transgenen Mäusen auftretende Wachstum der Kardiomyozyten als kompensatorische und physiologische Hypertrophie charakterisieren. Zusammengenommen weisen diese Ergebnisse auf eine ausgeglichene Aktivierung der beiden Rezeptoren hin, die sich gegenseitig regulieren und durch die Inhibition der GRK2 in ihrer Anregbarkeit erhalten bleiben. Mittels einer AAV9-vermittelten Gentherapie konnte das therapeutische Potential dieses Prinzips weiter bestätigt werden, da es die prominentesten Veränderungen während der Herzinsuffizienzentwicklung, wie die Verschlechterung der linksventrikulären Funktion, die Dilatation des linken Ventrikels, die Ausbildung von Lungenödemen und interstitieller Fibrose sowie die Expression von Herzinsuffizienz-assoziierten Genen, verhindern konnte. Auch konnten die Auswirkungen der Deletion des RKIP, die sich durch eine beschleunigte und gravierendere Herzinsuffizienzentwicklung auszeichnet, durch Reexpression von RKIP verhindert werden.
Diese Arbeit kann somit zeigen, dass das RKIP eine ausgeglichene Verstärkung von \textbeta-adrenergen Signalwegen verursacht, die positiv inotrop und gleichzeitig protektiv wirkt. Dieses Wirkprinzip könnte ferner eine Strategie zur Erhöhung der Kontraktilität in der Herzinsuffizienz darstellen, die entgegen etablierter Theorien auf der Stimulation beider \textbeta AR basiert.
Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by symptoms of inattentiveness and hyperactivity/impulsivity. Besides, increasing evidence points to ADHD patients showing emotional dysfunctions and concomitant problems in social life. However, systematic research on emotional dysfunctions in ADHD is still rare, and to date most studies lack conceptual differentiation between emotion processing and emotion regulation. The aim of this thesis was to systematically investigate emotion processing and emotion regulation in adult ADHD in a virtual reality paradigm implementing social interaction. Emotional reactions were assessed on experiential, physiological, and behavioral levels.
Experiment 1 was conducted to develop a virtual penalty kicking paradigm implying social feedback and to test it in a healthy sample. This paradigm should then be applied in ADHD patients later on. Pleasant and unpleasant trials in this paradigm consisted of hits respectively misses and subsequent feedback from a virtual coach. In neutral trials, participants were teleported to different spots of the virtual stadium. Results indicated increased positive affectivity (higher valence and arousal ratings, higher zygomaticus activations, and higher expression rates of positive emotional behavior) in response to pleasant compared to neutral trials. Reactions to unpleasant trials were contradictory, indicating increased levels of both positive and negative affectivity, compared to neutral trials. Unpleasant vs. neutral trials revealed lower valence ratings, higher arousal ratings, higher zygomaticus activations, slightly lower corrugator activations, and higher expression rates of both positive and negative emotional behavior. The intensity of emotional reactions correlated with experienced presence in the virtual reality.
To better understand the impact of hits or misses per se vs. hits or misses with coach feedback healthy participants’ emotional reactions, only 50% of all shots were followed by coach feedback in experiment 2. Neutral trials consisted of shots over the free soccer field which were followed by coach feedback in 50 % of all trials. Shots and feedback evoked more extreme valence and arousal ratings, higher zygomaticus activations, lower corrugator activations, and higher skin conductance responses than shots alone across emotional conditions. Again, results speak for the induction of positive emotions in pleasant trials whereas the induction of negative emotions in unpleasant trials seems ambiguous. Technical improvements of the virtual reality were reflected in higher presence ratings than in experiment 1.
Experiment 3 investigated emotional reactions of adult ADHD patients and healthy controls after emotion processing and response-focused emotion regulation. Participants successively
went through an ostensible online ball-tossing game (cyber ball) inducing negative emotions, and an adapted version of the virtual penalty kicking game. Throughout cyber ball, participants were included or ostracized by two other players in different experimental blocks. Participants were instructed to explicitly show, not regulate, or hide their emotions in different experimental blocks. Results provided some evidence for deficient processing of positive emotions in ADHD. Patients reported slightly lower positive affect than controls during cyber ball, gave lower valence ratings than controls in response to pleasant penalty kicking trials, and showed lower zygomaticus activations than controls especially during penalty kicking. Patients in comparison with controls showed slightly increased processing of unpleasant events during cyber ball (higher ratings of negative affect, especially in response to ostracism), but not during penalty kicking. Patients showed lower baseline skin conductance levels than controls, and impaired skin conductance modulations. Compared to controls, patients showed slight over-expression of positive as well as negative emotional behavior. Emotion regulation analyses revealed no major difficulties of ADHD vs. controls in altering their emotional reactions through deliberate response modulation. Moreover, patients reported to habitually apply adaptive emotion regulation strategies even more frequently than controls. The analyses of genetic high-risk vs. low-risk groups for ADHD across the whole sample revealed similar results as analyses for patients vs. controls for zygomaticus modulations during emotion processing, and for modulations of emotional reactions due to emotion regulation.
To sum up, the virtual penalty kicking paradigm proved to be successful for the induction of positive, but not negative emotions. The importance of presence in virtual reality for the intensity of induced emotions could be replicated. ADHD patients showed impaired processing of primarily positive emotions. Aberrations in negative emotional responding were less clear and need further investigation. Results point to adult ADHD in comparison to healthy controls suffering from baseline deficits in autonomic arousal and deficits in arousal modulation. Deficits of ADHD in the deliberate application of response-focused emotion regulation could not be found.
Frontal asymmetry, a construct invented by Richard Davidson, linking positive and negative valence as well as approach and withdrawal motivation to lateralized frontal brain activation has been investigated for over thirty years. The frontal activation patterns described as relevant were measured via alpha-band frequency activity (8-13 Hz) as a measurement of deactivation in electroencephalography (EEG) for homologous electrode pairs, especially for the electrode position F4/ F3 to account for the frontal relative lateralized brain activation.
Three different theories about frontal activation patterns linked to motivational states were investigated in two studies. The valence theory of Davidson (1984; 1998a; 1998b) and its extension to the motivational direction theory by Harmon-Jones and Allen (1998) refers to the approach motivation with relative left frontal brain activity (indicated by relative right frontal alpha activity) and to withdrawal motivation with relative right frontal brain activation (indicated by relative left frontal alpha activity). The second theory proposed by Hewig and colleagues (2004; 2005; 2006) integrates the findings of Davidson and Harmon – Jones and Allen with the reinforcement sensitivity theory of Jeffrey A. Gray (1982, 1991). Hewig sees the lateralized frontal approach system and withdrawal system proposed by Davidson as subsystems of the behavioral activation system proposed by Gray and bilateral frontal activation as a biological marker for the behavioral activation system. The third theory investigated in the present studies is the theory from Wacker and colleagues (2003; 2008; 2010) where the frontal asymmetrical brain activation patterns are linked to the revised reinforcement sensitivity theory of Gray and McNaughton (2000). Here, right frontal brain activity (indicated by lower relative right frontal alpha activity) accounts for conflict, behavioral inhibition and activity of the revised behavioral inhibition system, while left frontal brain activation (indicated by lower relative left frontal alpha activity) stands for active behavior and the activity of the revised behavioral activation system as well as the activation of the revised flight fight freezing system. In order to investigate these three theories, a virtual reality T-maze paradigm was introduced to evoke motivational states in the participants, offering the opportunity to measure frontal brain activation patterns via EEG and behavior simultaneously in the first study. In the second study the virtual reality paradigm was additionally compared to mental imagery and a movie paradigm, two well-known state inducing paradigms in the research field of frontal asymmetry.
In the two studies, there was confirming evidence for the theory of Hewig and colleages (2004; 2005; 2006), showing higher bilateral frontal activation for active behavior and lateralized frontal activation patterns for approach (left frontal brain activation) and avoidance (right frontal brain activation) behavior. Additionally a limitation for the capability model of anterior brain asymmetry proposed by Coan and colleagues (2006), where the frontal asymmetry should be dependent on the relevant traits driving the frontal asymmetry pattern if a relevant situation occurs, could be found. As the very intense virtual reality paradigm did not lead to a difference of frontal brain activation patterns compared to the mental imagery paradigm or the movie paradigm for the traits of the participants, the trait dependency of the frontal asymmetry in a relevant situation might not be given, if the intensity of the situation exceeds a certain level. Nevertheless there was an influence of the traits in the virtual reality T-maze paradigm, because the shown behavior in the maze was trait-dependent.
The implications of the findings are multifarious, leading from possible objective personality testing via diversification of the virtual reality paradigm to even clinical implications for depression treatments based on changes in the lateralized frontal brain activation patterns for changes in the motivational aspects, but also for changes in bilateral frontal brain activation when it comes to the drive and preparedness for action in patients. Finally, with the limitation of the capability model, additional variance in the different findings about frontal asymmetry can be explained by taking the intensity of a state manipulation into account.