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Institute
- Theodor-Boveri-Institut für Biowissenschaften (1882) (remove)
Sonstige beteiligte Institutionen
- Institut für Tierökologie und Tropenbiologie (2)
- Mildred-Scheel-Nachwuchszentrum (2)
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ResearcherID
- D-1221-2009 (1)
- J-8841-2015 (1)
- N-2030-2015 (1)
Transforming-Growth-Factor-beta1 (TGF-b1) is a multifunctional cytokine that regulates cell growth and differentiation in many types of cells. TGF-b1 is especially known to exert a variety of regulatory functions in the immune system, such as T cell differentiation and T cell function. Signal transduction of TGF-b1 is mediated by phosphorylation of receptorassociated Smad proteins (R-Smads). R-Smads are phosphorylated by the activated type I receptor, which is itself phosphorylated by the high affinity type II receptor upon ligand binding. The phosphorylated R-Smads then associate with Co-Smads. Heterooligomers of R- and Co-Smads translocate into the nucleus where they regulate transcription of target genes in concert with other transcription factors such as CBP/p300 or AP-1. Recent findings suggest that the pleiotropic effects of TGF-b1 are conferred by crosstalks to other signal transduction pathways such as the MAP-kinases or the STAT-pathway. Here we describe the effect of long-term exposure to TGF-b1 on the effector function of differentially stimulated primary murine splenocytes and purified primary murine CD8+ cytotoxic T cells. Long-term exposure to TGF-b1 results in non-responsiveness to TGF-b1- induced Smad2 phosphorylation. This is seen either by no phosphorylation or sustained phosphorylation of Smad2. Furthermore, we observed a strong correlation between sustained Smad2 phosphorylation and resistance to TGF-b1 mediated growth inhibition. In contrast, splenocyte cultures strongly growth inhibited by TGF-b1 showed no Smad2 phosphorylation. Lytic activity of these cultures, however, was found to be suppressed regardless of proliferation properties and Smad2 phosphorylation pattern. We also describe that a functional MEK-1 pathway is a prerequisite for rendering murine splenocytes unresponsive to TGF-b1 mediated growth inhibition, and that inhibition of the MEK-1 cascade alters the Smad2 phosphorylation pattern. In addition, we show that resistance to TGF-b1 mediated growth inhibition correlates with the activation of the JNK pathway. However, the resistant phenotype was found unable to be reverted upon administration of exogeneous IFNg and/or aCD28 antibody. In human or mouse T cell lines, however, the described correlation between the type of stimulation and TGF-b growth resistance or growth sensitivity is not present. Thus, this correlation is specific for primary T cells. We also cloned a chimeric dominantnegative TGF-b receptor which is coupled to a suicide gene, in order to render T cells resistant to TGF-b mediated effects.These findings shed light on how TGF-b1 mediates its immunosuppressive role, and may help to gain knowledge of averting these TGF-b1 effects in the course of tumor therapy.
Transforming growth factor-ß (TGF-ß) is a multifunctional cytokine that is engaged in regulating versatile cellular processes that are pivotal for development and homeostasis of most tissues in multicellular organisms. TGF-ß signal transduction is initially propagated by binding of TGF-ß to transmembrane serine/threonine kinase receptors, designated TßRI and TßRII. Upon activation, the receptors phosphorylate Smad proteins which serve as downstream mediators that enter the nucleus and finally trigger transcriptional responses of specific genes. During the past years, it became evident that signaling cascades do not proceed in a linear fashion but rather represent a complex network of numerous pathways that mutually influence each other. Along these lines, members of the TGF-ß superfamily are attributed to synergize with neurotrophins. Together, they mediate neurotrophic effects in different populations of the nervous system, suggesting that an interdependence exists between TGF-ßs on the one hand and neurotrophins on the other. In the present work, the crosstalk of NGF and TGF-ß/Smad signaling pathways is characterized in rat pheochromocytoma cells (PC12) which are frequently used as a model system for neuronal differentiation. PC12 cells were found to be unresponsive to TGF-ß due to limiting levels of TßRII. However, stimulation with NGF results in initiation of Smad-mediated transcription independent of TGF-ß. Binding of NGF to functional TrkA receptors triggers activation of Smad3. This NGF-dependent Smad activation occurs by a mechanism which is different from being induced by TGF-ß receptors in that it provokes a different phosphorylation pattern of R-Smads. Together with an inferior role of TßRI, Smad3 is proposed to serve as a substrate for cellular kinases other than TßRI. Based on the presented involvement of components of both, the MAPK/Erk and the TAK1/MKK6 cascade, signal mediators of these pathways rank as candidates to mediate direct activation of Smad3. Smad3 is subsequently translocated to the nucleus and activates transcription in a Smad4-dependent manner. Negative regulation is provided by Smad7 which was found to act as a potent inhibitor of Smad signaling not only in TGF-ß- but also in NGF-mediated cascades. The potential of NGF to activate the Smad pathway independent of TGF-ß might be of special importance in regulating expression of genes that are essential for the development and function of neuronal cells or of other NGF-sensitive cells, in particular those which are TGF-ß-resistant.
Characterization of memories and ignorant (S6KII) mutants in operant conditioning in the heat-box
(2002)
Learning and memory processes of operant conditioning in the heat-box were analysed. Age, sex, and larval desity were not critical parameters influencing memory, while low or high activity levels of flies were negatively correlated with their performance. In a search for conditioning parameters leading to high retention scores, intermittent training was shown to give better results than continuous training. As the memory test is the immediate continuation of the conditioning phase just omitting reinforcement, we obtain a memory which consists of two components: a spatial preference for one side of the chamber and a stay-where-you-are effect in which the side preference is contaminated by the persistence of heat avoidance. Intermittent training strengthens the latter. In the next part, memory retention was investigated. Flies were trained in one chamber and tested in a second one after a brief reminder training. With this direct transfer, memory scores reflect an associative learning process in the first chamber. To investigate memory retention after extended time periods, indirect transfer experiments were performed. The fly was transferred to a different environment between training and test phases. With this procedure an after-effect of the training was still observed two hours later. Surprisingly, exposure to the chamber without conditioning also lead to a memory effect in the indirect transfer experiment. This exposure effect revealed a dispositional change that facilitates operant learning during the reminder training. The various memory effects are independent of the mushroom bodies. The transfer experiments and yoked controls proved that the heat-box records an associative memory. Even two hours after the operant conditioning procedure, the fly remembers that its position in the chamber controls temperature. The cAMP signaling cascade is involved in heat-box learning. Thus, amnesiac, rutabaga, and dunce mutants have an impaired learning / memory. Searching for, yet unknown, genes and signaling cascades involved in operant conditioning, a Drosophila melanogaster mutant screen with 1221 viable X-chromosome P-element lines was performed. 29 lines with consistently reduced heat avoidance/ learning or memory scores were isolated. Among those, three lines have the p[lacW] located in the amnesiac ORF, confirming that with the chosen candidate criteria the heat-box is a useful tool to screen for learning and /or memory mutants. The mutant line ignP1 (8522), which is defective in the gene encoding p90 ribosomal S6 kinase (S6KII), was investigated. The P-insertion of line ignP1 is the first Drosophila mutation in the ignorant (S6KII) gene. It has the transposon inserted in the first exon. Mutant males are characterized by low training performance, while females perform well in the standard experiment. Several deletion mutants of the ignorant gene have been generated. In precise jumpouts the phenotype was reverted. Imprecise jumpouts with a partial loss of the coding region were defective in operant conditioning. Surprisingly, null mutants showed wild-type behavior. This might indicate an indirect effect of the mutated ignorant gene on learning processes. In classical odor avoidance conditioning, ignorant null mutants showed a defect in the 3-min, 30-min, and 3-hr memory, while the precise jumpout of the transposon resulted in a reversion of the behavioral phenotype. Deviating results from operant and classical conditioning indicate different roles for S6KII in the two types of learning.
The hematopoietic-specific Rho-family GTP exchange factor (GEF) Vav-1 is a regulator of lymphocyte antigen receptor signaling and mediates normal maturation and activation of B and T cells. Recent findings suggest that Vav-1 also forms part of signaling pathways required for natural and antibody dependent cellular cytotoxicity (ADCC) of human NK cells. In this study, I show that Vav-1 is also expressed in murine NK cells. Vav-1-/- mice had normal numbers of splenic NK cells, and these displayed a similar expression profile of NK cell receptors as cells from wild type mice. Unexpectedly, IL-2-activated Vav-1-/- NK cells retained normal ADCC. Fc-receptor mediated activation of ERK, JNK, and p38 was also normal. In contrast, Vav-1-/- NK cells exhibited reduced natural cytotoxicity against EL4, C4.4.25, RMA and RMA/S. Together, these results demonstrate that Vav-1 is dispensable for mainstream NK cell development, but is required for NK cell natural cytotoxicity. Vav-2, a protein homologous to Vav-1 has also been implicated in NK cell functions. However, NK cells from Vav-2-/- mice have normal cytotoxic activities and NK cells that lack both Vav-1 and Vav-2 exhibit similar defect as Vav-1-/- cells. Thus Vav-2 has no apparent function in the development and the activation of NK cells. Although NK cell development is normal in Vav-1-/- mice, their numbers of NKT cells were dramatically diminished. Furthermore, NKT cells from Vav-1 mutant mice failed to produce IL-4 and IFNg following in vivo CD3 stimulation. A similar loss of NKT cells was observed in Vav-1-/-Vav-2-/- mice, but not in Vav-2-/- mice, suggesting that only Vav-1, and not Vav-2, is an essential regulator of NKT cell development and NK cell cytotoxicity. Similar to Vav-1, Lsc is a Rho GEF that is expressed specifically in the hematopoietic system. It contains a regulator of G-protein signaling (RGS) domain which negatively regulates the Ga12 and Ga13 subunits of G-protein coupled receptors (GPCRs). This study shows that NK and NKT cell development are normal in Lsc-/- mice. However, NK cells from mutant mice display enhanced cytotoxic responses towards a panel of tumor cells. These data implicate for the first time a RGS-containing Rho GEF in cytotoxic responses and suggest that Lsc down-modulate NK cell activation.
OMB and ORG-1
(2002)
Members of the T-box gene family encode transcription factors that play key roles during embryonic development and organogenesis of invertebrates and vertebrates. The defining feature of T-box proteins is an about 200 aa large, conserved DNA binding motif, the T domain. Their importance for proper development is highlighted by the dramatic phenotypes of T-box mutant animals. My thesis was mainly focused on two Drosophila T-box genes, optomotor-blind (omb) and optomotor-blind related 1 (org-1), and included (i) a genetic analysis of org-1 and (ii) the identification of molecular determinants within OMB and ORG-1 that confer functional specificity. (i) Genetic analysis of org-1 initially based on a behavioral Drosophila mutant, C31. C31 is a X-linked, recessive mutant and was mapped to 7E-F, the cytological region of org-1. This pleiotropic mutant is manifested in walking defects, structural aberrations in the central brain, and "held-out" wings. Molecular analysis revealed that C31 contains an insertion of a 5' truncated I retrotransposon within the 3' untranslated transcript of org-1, suggesting that C31 might represent the first org-1 mutant. Based on this hypothesis, we screened 44.500 F1 female offspring of EMS mutagenized males and C31 females for the "held-out" phenotype, but failed to isolate any C31 or org-1 mutant, although this mutagenesis was functional per se. Since we could not exclude the possibility that our failure is due to an idiosyncracy of C31, we intended not to rely on C31 in further genetic experiments and followed a reverse genetic strategy . All P element lines cytologically mapping to 7E-7F were characterized for their precise insertion sites. 13 of the 19 analyzed lines had P element insertions within a hot-spot 37 kb downstream of org-1. No P element insertions within org-1 could be identified, but several P element insertions were determined on either side of org-1. The org-1 nearest insertions were used for local-hop experiments, in which we associated 6 new genes with P insertions, but failed to target org-1. The closest P elements are still 10 kb away from org-1. Subsequently, we employed org-1 flanking P elements to induce precise deletions in 7E-F spanning org-1. Two org-1 flanking P elements were brought together on a recombinant chromosome. Remobilization of P elements in cis configuration frequently results in deletions with the P element insertion sites as deficiency endpoints. In a first attempt, we expected to identify deficiencies by screening for C31 alleles. 8 new C31 alleles could be isolated. The new C31 chromosomes, however, did not carry the desired deletion. Molecular analysis indicated that C31 is not caused by aberrations in org-1, but by mutations in a distal locus. We repeated the P element remobilization and screened for the absence of P element markers. 4 lethal chromosomes could be isolated with a deletion of the org-1 locus. (ii) The consequences of ectopic org-1 were analyzed using UAS-org-1 transgenic flies and a number of different Gal4 driver lines. Misexpression of org-1 during imaginal development interfered with the normal development of many organs and resulted in flies with a plethora of phenotypes. These include a homeotic transformation of distal antenna (flagellum) into distal leg structures, a strong size reduction of the legs along their proximo-distal axis, and stunted wings. Like ectopic org-1, ectopic omb leads to dramatic changes of normal developmental pathways in Drosophila as well. dpp-Gal4/ UAS-omb flies are late pupal lethal and show an ectopic pair of wings and largely reduced eyes. GMR-Gal4 driven ectopic omb expression in the developing eye causes a degeneration of the photoreceptor cells, while GMR-Gal4/ UAS-org-1 flies have intact eyes. Hence, ectopic org-1 and omb induce profound phenotypes that are qualitatively different for these homologous genes. To begin to address the question where within OMB and ORG-1 the specificity determinants reside, we conceptionally subdivided both proteins into three domains and tested the relevance ofthese domains for functional specificity in vivo. The single domains were cloned and used as modules to assemble all possible omb-org-1 chimeric trans- genes. A method was developed to determine the relative expression strength of different UAS-transgenes, allowing to compare the various transgenic constructs for qualitative differences only, excluding different transgene quantities. Analysis of chimeric omb-org-1 transgenes with the GMR-Gal4 driver revealed that all three OMB domains contribute to functional specificity.
In this thesis, I examined honey bee nectar foraging with emphasis on the communication system. To document how a honey bee colony adjusts its daily nectar foraging effort, I observed a random sample of individually marked workers during the entire day, and then estimated the number and activity of all nectar foragers in the colony. The total number of active nectar foragers in a colony changed frequently between days. Foraging activity did not usually change between days. A honey bee colony adjusts its daily foraging effort by changing the number of its nectar foragers rather than their activity. I tested whether volatiles produced by a foraging colony activated nectar foragers of a non-foraging colony by connecting with a glass tube two colonies. Each colony had access to a different green house. In 50% of all experiments, volatile substances from the foraging colony stimulated nectar foragers of the non-foraging colony to fly to an empty feeder. The results of this study show that honey bees can produce a chemical signal or cue that activates nectar foragers. However, more experiments are needed to establish the significance of the activating volatiles for the foraging communication system. The brief piping signal of nectar foragers inhibits forager recruitment by stopping waggle dances (Nieh 1993, Kirchner 1993). However, I observed that many piping signals (approximately 43%) were produced off the dance floor, a restricted area in the hive where most waggle dances are performed. If the inhibition of waggle dances would be the only function of the brief piping signal, tremble dancers should produce piping signals mainly on the dance floor, where the probability to encounter waggle dancers is highest. To therefore investigate the piping signal in more detail, I experimentally established the foraging context of the brief piping signal, characterized its acoustic properties, and documented for the first time the unique behavior of piping nectar foragers by observing foragers throughout their entire stay in the hive. Piping nectar foragers usually began to tremble dance immediately upon their return into the hive, spent more time in the hive, more time dancing, had longer unloading latencies, and were the only foragers that sometimes unloaded their nectar directly into cells instead of giving it to a nectar receiver bee. Most of the brief piping signals (approximately 99%) were produced by tremble dancers, yet not all tremble dancers (approximately 48%) piped. This suggests that piping and tremble dancing have related, but not identical functions in the foraging system. Thus, the brief piping signals may not only inhibit forager recruitment, but have an additional function both on and off the dance floor. In particular, the piping signal might function 1. to stop the recruitment of additional nectar foragers, and 2. as a modulatory signal to alter the response threshold of signal receivers to the tremble dance. The observation that piping tremble dancers often did not experience long unloading delays before they started to dance gave rise to a question. A forager’s unloading delay provides reliable information about the relative work capacities of nectar foragers and nectar receivers, because each returning forager unloads her nectar to a nectar receiver before she takes off for the next foraging trip. Queuing delays for either foragers or receivers lower foraging efficiency and can be eliminated by recruiting workers to the group in shortage. Short unloading delays indicate to the nectar forager a shortage of foragers and stimulate waggle dancing which recruits nectar foragers. Long unloading delays indicate a shortage of nectar receivers and stimulate tremble dancing which recruits nectar receivers (Seeley 1992, Seeley et al. 1996). Because the short unloading delays of piping tremble dancers indicated that tremble dancing can be elicited by other factors than long unloading delays, I tested whether a hive-external stimulus, the density of foragers at the food source, stimulated tremble dancing directly. The experiments show that tremble dancing can be caused directly by a high density of foragers at the food source and suggest that tremble dancing can be elicited by a decrease of foraging efficiency either inside (e.g. shortage of receiver bees) or outside (e.g. difficulty of loading nectar) the hive. Tremble dancing as a reaction to hive-external stimuli seems to occur under natural conditions and can thus be expected to have some adaptive significance. The results imply that if the hive-external factors that elicit tremble dancing do not indicate a shortage of nectar receiver bees in the hive, the function of the tremble dance may not be restricted to the recruitment of additional nectar receivers, but might be the inhibition or re-organization of nectar foraging.
In the various groups of social bees, different systems of communication about food sources occur. These communication systems are different solutions to a common problem of social insects: efficiently allocating the necessary number of workers first to the task of foraging and second to the most profitable food sources. The solution chosen by each species depends on the particular ecological circumstances as well as the evolutionary history of that species. For example, the outstanding difference between the bumble bee and the honey bee system is that honey bees can communicate the location of profitable food sources to nestmates, which bumble bees cannot. To identify possible selection pressures that could explain this difference, I have quantified the benefits of communicating location in honey bees. I show that these strongly depend on the habitat, and that communicating location might not benefit bees in temperate habitats. This could be due to the differing spatial distributions of resources in different habitats, in particular between temperate and tropical regions. These distributions may be the reason why the mostly temperate-living bumble bees have never evolved a communication system that allows them to transfer information on location of food sources, whereas most tropical social bees (all honey bees and many stingless bees) are able to recruit nestmates to specific points in their foraging range. Nevertheless, I show that in bumble bees the allocation of workers to foraging is also regulated by communication. Successful foragers distribute in the nest a pheromone which alerts other bees to the presence of food. This pheromone stems from a tergite gland, the function of which had not been identified previously. Usage of a pheromone in the nest to alert other individuals to forage has not been described in other social insects, and might constitute a new mode of communicating about food sources. The signal might be modulated depending on the quality of the food source. Bees in the nest sample the nectar that has been brought into the nest. Their decision whether to go out and forage depends not only on the pheromone signal, but also on the quality of the nectar they have sampled. In this way, foraging activity of a bumble bee colony is adjusted to foraging conditions, which means most bees are allocated to foraging only if high-quality food sources are available. In addition, foraging activity is adjusted to the amount of food already stored. In a colony with full honeypots, no new bees are allocated to foraging. These results help us understand how the allocation of workers to the task of food collection is regulated according to external and internal nest conditions in bumble bees.
Clinical evaluation of novel methods to determine dialysis parameters using conductivity cells
(2002)
Eine die letzten beiden Jahrzehnte anhaltende Diskussion über die erforderliche Dosis Dialyse, die ein Patient benötigt, ergab, daß der Harnstoff-basierte Kt/V-Wert signifikant mit der Morbidität von ‚end stage renal deasease' (ESRD)- Patienten korreliert. Wenn auch nicht vollständig akzeptiert, so scheint es doch zunehmende Übereinkunft zwischen Nephrologen, daß eine angemessene Dialysebehandlung von Patienten ohne Restdiurese im Rahmen eines 3x4 Stunden pro Woche- Schemas mindestens einen Kt/V-Wert von 1.2 bis 1.3 ergeben sollte, um auf lange Sicht die Lebensqualität zu sichern und die Morbidität und Mortalität niedrig zu halten. K ist die vom Dialysesystem erbrachte Clearance, t die Behandlungszeit und V das Harnstoff-Verteilungsvolumen, welches dem Gesamt-Körperwasser nahezu gleicht. Kt/V wird in der Dosiseinheit (ml Medikament pro ml Körperwasser) ausgedrückt und daher auch häufig als Dialyse-‚Dosis' bezeichnet, auch wenn darüber wegen der Zusammenfassung in nur einer Harnstoff-korrelierten Zahl konträr diskutiert wird. Diese Arbeit besitzt eine eher technische Prämisse und möchte sich nicht an dieser Diskussion beteiligen. Sie möchte dem interessierten Nephrologen lediglich eine patientenfreundliche, präzise, kostenneutrale und leicht zu handhabende technische Lösung an die Hand geben, um kontinuierlich die in Kt/V ausgedrückte Dialysedosis zu überwachen. Natürlich ist damit auch die Hoffnung verbunden, daß die Langzeit-Sterblichkeit verringert werden kann, wenn eine flächendeckende, zeitnahe Erfolgskontrolle der Dialyse ermöglicht wird. Die gewählte technische Lösung basiert auf der Äquivalenz der Diffusionskoeffizienten von gelöstem Harnstoff und Natriumchlorid. Es ist das zentrale Anliegen dieser Studie, festzustellen, ob das Diffusionsverhalten von NaCl und Harnstoff beim Durchtritt durch die Membran des Dialysefilters gleich ist. Der entscheidende Vorteil, der das Verfahren so leicht handhabbar macht, besteht darin, daß NaCl-Konzentrationen sehr genau durch die ohnehin in großer Zahl in Dialysegeräten verwendeten Leitfähigkeitsmeßzellen bestimmt werden können. Um die NaCl-Massenbilanz über den Dialysefilter zu bestimmen, benötigt man lediglich eine weitere Meßzelle, die stromab des Filters zu installieren ist. Die Messung von Harnstoff, die indirekt über die enzymatische Zerlegung in Ammonium-Ionen und das anschließende Erzeugen eines hoch zu verstärkenden elektrischen Potentials an einer Membran geschieht, ist komplizierter. Zudem ist eine geschlossene Kühlkette für das Enzym sicher zu stellen. Um eine leitfähigkeitsbasierte technische Lösung abzusichern, wurden zwei klinische Studien durchgeführt. In der ersten Studie wurde die Leitfähigkeit in Form von konstanten Stufenprofilen variiert. Sie wurde ausgehend von der Grundlinie für 7 min erhöht und anschließend für 7 min erniedrigt. Das Prinzip einer solchen Messung wurde erstmals 1982 in einer Patentschrift beschrieben. In einer Sequenz von 494 solchen Messungen in 206 automatisch aufgezeichneten Dialysesitzungen an 22 Patienten wurde gefunden, daß sich die Harnstoff- Clearance elektrolytisch mit einer Genauigkeit von -1.46+/-4.75% (Fehler+/-Standardabweichung) messen ließ. Die Messung von Kt/V gemäß dem Ein-Kompartment-Modell ergab eine ähnliche Genauigkeit von 2.88+/-4.15%. Obgleich diese Ergebnisse in Übereinstimmung mit anderen Studien stehen, wurde ein Effekt bemerkt, der nicht in Einklang mit der zunächst bestehenden Theorie zu bringen war. Dieser Effekt besteht darin, daß die Genauigkeit der elektrolytischen Clearancemessung vom beim Patienten vorhandenen Harnstoff-Verteilungsvolumen abhängig war. Weiter war es nicht bedeutungslos, welchen Teil des dreiteiligen Stufenprofils man zur Auswertung heranzog: Den Grundlinie-Hoch- Übergang, den von der Grundlinie zum Niedrig-Nieveau oder den Hoch-Niedrig- Übergang. Dies deutete auf einen Mangel an theoretischem Verständnis hin. Eine genaue weitere Untersuchung führte zu dem Ergebnis, daß unerwünschter NaCl-Transfer vom und zum Patienten die Ursache für die Abhängigkeit vom Verteilungsvolumen war. Es wurde daraufhin die Theorie dahingehend erweitert, daß dieser Effekt korrekt und plausibel beschrieben werden konnte. Aus dieser Erweiterung ergab sich die neue Forderung, den NaCl-Transfer bei der Messung weitestgehend zu minimieren. Die Benutzung von Stufenprofilen stellte hier jedoch an sich eine Limitierung dar, da in der zum Einnehmen eines stabilen Zustandes erforderlichen Zeit zuviel NaCl über die Membran transferiert wurde. Die Konsequenz war, von den Stufenprofilen auf kurze, dynamische Leitfähigkeitsboli überzugehen, die erlaubten, die NaCl-Gabe auf das Maß zu verringern, welches aufgrund der technischen Auflösung erforderlich war. Hierzu mußten jedoch die notwendigen mathematischen Algorithmen neu zugeschnitten werden. Nach diesem Schritt wurde eine weitere klinische Studie gestartet, die den Zweck verfolgte, das neue Verfahren am Patienten zu verifizieren. In dieser Studie mit 10 Patienten und 93 Dialysesitzungen, 264 Stufenprofil- und 173 Bolus-Dialysancemesssungen wurde gefunden, daß die Bolus-Messungen ihre zugehörigen blutseitigen Referenzmessungen mit außergewöhnlicher Genauigkeit von 0.06+/-4.76% trafen. Student's t-Test für gepaarte Daten ergab, daß sich die Datensätze nicht signifikant unterschieden (p=0.87). Die blutseitige Kt/V-Referenz auf der Basis des equilibrierten Einkompartment-Modells mit variablem Volumen wurde mit 5.32+/-3.9% getroffen, wobei eine Korrelation von 0.98 erzielt wurde. Die verbleibende Differenz von 5.32% wird der Vernachlässigung der Harnstoff-Erzeugung während der Messung zugeschrieben. Auch das Stufenprofil zeigte trotz seiner Abhängigkeit vom Verteilungsvolumen gegenüber dem gleichen Modell einen mittleren Fehler von 0.05+/-5% bei einer Korrelation von 0.96. Jedoch konnte es die Vernachlässigung der Harnstoff-Erzeugung nicht korrekt abbilden. Die kontinuierlich aufgenommenen Daten wurden auch nach dem 2-pool Modell untersucht, welches auch die Harnstoff-Erzeugung enthält sowie eine innere Kompartimentierung des Patienten annimmt und damit die tatsächlichen Verhältnisse besser beschreibt. Danach weicht das Bolus-Meßprinzip -3.04+/-14.3% von der Referenz ab (n.s.,p=0.13). Die relativ hohe Standardabweichung wird mit der Komplexität des Modells erklärt. Weiter ist aus der Theorie zum Na-Transfer eine vereinfachende Methode zur Messung des Na-Verteilungsvolumens abgeleitet worden. Diese Methode wurde in-vitro gegen ein Behältnis mit einer bekannten Menge an Dialysat geprüft. Es wurde ein mittlerer Fehler von -19.9+/-34% gefunden. Die Korrelation war 0.92 (n.s., p=0.916). Die gleiche Prüfung fand in-vivo gegen das Harnstoff-Verteilungsvolumen statt und ergab einen mittleren Fehler von -7.4+/-23.2% (r=0.71, n.s., p=0.39). Es hat den Anschein, als würden sich gemäß der Theorie der Dilution die Verteilungsvolumina für Natrium und für Harnstoff scheinbar nur wenig unterscheiden, obwohl sie sich absolut natürlich deutlich unterscheiden. In Anbetracht der erheblichen Vereinfachungen, die bei der Ableitung dieses Ansatzes gemacht wurden, scheint es ausgesprochen ermutigend, auf diesem Weg möglicherweise ein Verfahren entwickeln zu können, welches auf rein elektrolytischem Wege nun nicht mehr nur K, sondern auch V und damit alle zur Quantifizierung gesuchten Größen analytisch ermitteln kann. Weiter wurde im Rahmen dieser Arbeit anhand der analytisch ermittelten Volumina verglichen, ob man mit Hilfe anthropometrischer Formeln zur Ermittlung des Harnstoff-Verteilungsvolumens zu einer guten Abschätzung kommen kann. Es wurde gefunden, daß man das Ergebnis der Watson-Formel um ca. 13% vermindern kann und dann zu einem recht guten Wert für das tatsächliche Harnstoff-Verteilungsvolumen gelangt. Dies ist jedoch mit Vorsicht und Erfahrung zu tun, da sich damit Kt/V rechnerisch zum Nachteil des Patienten verändert. Auch ein elektrolytisches Verfahren mit empirischen Komponenten zur Ermittlung des Plasma-Natriums des Patienten wurde erprobt und konnte mit einer Genauigkeit von 4.3+/-1.2% den Laborwert vorhersagen. Zusammenfassend kann gesagt werden, daß sich im Rahmen dieser Arbeit die leitfähigkeitsbasierten Methoden zur Messung von einigen wichtigen Dialyseparametern als sehr nützlich für die klinische Praxis erwiesen haben und zudem mit keinem Zusatzaufwand für die Beteiligten verbunden sind. Das Ergebnis dieser Arbeit ist mittlerweile in größeren Stückzahlen in frei erhältliche Dialysegeräte implementiert worden. Die Erfahrung der ersten Zeit zeigt, daß das verwendete Prinzip von den Klinikern gut angenommen wird.
Implications of Advanced Glycation Endproducts in Oxidative Stress and Neurodegenerative Disorders
(2001)
The reactions of reducing sugars with primary amino groups are the most common nonenzymatic modifications of proteins. Subsequent rearrangements, oxidations, and dehydrations yield a heterogeneous group of mostly colored and fluorescent compounds, termed "Maillard products" or advanced glycation end products (AGEs). AGE formation has been observed on long-lived proteins such as collagen, eye lens crystalline, and in pathological protein deposits in Alzheimer's (AD) and Parkinson's disease (PD) and dialysis-related amyloidosis. AGE-modified proteins are also involved in the complications of diabetes. AGEs accumulate in the the ß-amyloid plaques and neurofibrillary tangles (NFT) associated with AD and in the Lewy bodies characteristic of PD. Increasing evidence supports a role for oxidative stress in neurodegenerative disorders such as AD and PD. AGEs have been shown to contribute towards oxidative damage and chronic inflammation, whereby activated microglia secrete cytokines and free radicals, including nitric oxide (NO). Roles proposed for NO in the pathophysiology of the central nervous system are increasingly diverse and range from intercellular signaling, through necrosis of cells and invading pathogens, to the involvement of NO in apoptosis. Using in vitro experiments, it was shown that AGE-modified bovine serum albumin (BSA-AGE) and AGE-modified ß-amyloid, but not their unmodified proteins, induce NO production in N-11 murine microglia cells. This was mediated by the receptor for AGEs (RAGE) and upregulation of the inducible nitric oxide synthase (iNOS). AGE-induced enzyme activation and NO production could be blocked by intracellular-acting antioxidants: Ginkgo biloba special extract EGb 761, the estrogen derivative, 17ß-estradiol, R-(+)-thioctic acid, and a nitrone-based free radical trap, N-tert.-butyl-*-phenylnitrone (PBN). Methylglyoxal (MG) and 3-deoxyglucosone (3-DG), common precursors in the Maillard reaction, were also tested for their ability to induce the production of NO in N-11 microglia. However, no significant changes in nitrite levels were detected in the cell culture medium. The significance of these findings was supported by in vivo immunostaining of AD brains. Single and double immunostaining of cryostat sections of normal aged and AD brains was performed with polyclonal antibodies to AGEs and iNOS and monoclonal antibodies to Aß and PHF-1 (marker for NFT) and reactive microglia. In aged normal individuals as well as early stage AD brains (i.e. no pathological findings in isocortical areas), a few astrocytes showed co-localisation of AGE and iNOS in the upper neuronal layers of the temporal (Area 22) and entorhinal (Area 28, 34) cortices compared with no astrocytes detected in young controls. In late AD brains, there was a much denser accumulation of astrocytes co-localised with AGE and iNOS in the deeper and particularly upper neuronal layers. Also, numerous neurons with diffuse AGE but not iNOS reactivity and some AGE and iNOS-positive microglia were demonstrated, compared with only a few AGE-reactive neurons and no microglia in controls. Finally, astrocytes co-localised with AGE and iNOS as well as AGE and ß-amyloid were found surrounding mature but not diffuse ß-amyloid plaques in the AD brain. Parts of NFT were AGE-immunoreactive. Immunohistochemical staining of cryostat sections of normal aged and PD brains was performed with polyclonal antibodies to AGEs. The sections were counterstained with monoclonal antibodies to neurofilament components and a-synuclein. AGEs and a-synuclein were colocalized in very early Lewy bodies in the substantia nigra of cases with incidental Lewy body disease. These results support an AGE-induced oxidative damage due to the action of free radicals, such as NO, occurring in the AD and PD brains. Furthermore, the involvement of astrocytes and microglia in this pathological process was confirmed immunohistochemically in the AD brain. It is suggested that oxidative stress and AGEs participate in the very early steps of Lewy body formation and resulting cell death in PD. Since the iNOS gene can be regulated by redox-sensitive transcription factors, the use of membrane permeable antioxidants could be a promising strategy for the treatment and prevention of chronic inflammation in neurodegenerative disorders.