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In der mehr als einhundertjährigen Debatte über die Gründe und die Verantwortung für den Ausbruch des Ersten Weltkrieges blieb ein wesentlicher Faktor bislang unberücksichtigt: die französische Detailkenntnis des Schlieffenplans. Der Beitrag entwickelt die These, dass dieses Wissen um das seit 1913 alternativlose militärische Vorgehen des Deutschen Reiches sowie die sich hieraus ergebenden Handlungszwänge für Berlin zum Kompassbuch der Außen- und Militärpolitik Frankreichs vor dem Kriegsbeginn wurde. Als Ministerpräsident und als Staatspräsident verfolgte Poincaré eine Kriegsvorbereitungs- und Erpressungspolitik gegenüber Berlin. Sie sollte nicht nur die Sicherheit Frankreichs vor Deutschland verbürgen. Ihr Ziel und ihre Perspektive waren vielmehr die einer Revanche für 1870/71, um, analog zu Bismarcks Vorgehen in der „Hohenzollernkrise“, die Berliner Reichsleitung in eine Situation zu manövrieren, in der sich diese zur Flucht nach vorne in die Kriegsauslösung entschloss. Deshalb wurde die Entente Cordiale mit England zu einem de facto-Militärbündnis ausgebaut; deshalb agierte Poincaré als Geburtshelfer der Unterhandlungen für eine Marinekonvention zwischen London und Petersburg; und deshalb gab er der Pariser Balkanpolitik eine neue Ausrichtung, indem er die seit 1893/94 bestehende Beistandsautomatik gegenüber Rußland grundlegend modifizierte. Jetzt wurden die russischen Expansionsziele auf dem Balkan als handlungsleitendes Motiv der Pariser Politik adoptiert; jetzt wurde Petersburg angespornt, gegen Wien offensiv aufzutreten; jetzt bekamen die russischen Entscheidungsträger, anders als noch in der „bosnischen Annexionskrise“, die Versicherung uneingeschränkten französischen Beistands auf dem Balkan; und jetzt wurde mit Petersburg ein mit Anleihen unterfüttertes Kompensationsgeschäft abgeschlossen, das sich sowohl diplomatisch wie vor allem militärisch gegen Deutschland richtete und die Prämissen des Schlieffenplans zunehmend aushebelte. All diese Vorkehrungen dienten dazu, die Unzulänglichkeiten der eigenen militärstrategischen Aufstellung gemäß „Plan XVII“ auszubalancieren, die offene belgische Flanke abzudichten, die eminenten Bedenken der eigenen Generalität zu zerstreuen und Frankreich in einem Krieg an der Seite Russlands und Englands eine Siegchance zu verschaffen. Vor allem aber erfüllten sie den Zweck, Deutschland herauszufordern und unter enormen Handlungsdruck zu setzen. Die von Poincaré angeheizten Einkreisungsphobien in der deutschen Führungsspitze ebneten somit Berlin den Weg in die hochriskante und nicht beherrschbare Konfrontations- und Risikopolitik der „Julikrise“. Poincarés Kalkül erfüllt den Tatbestand einer indirekten Kriegsentfesselung.
Background
Anastomotic leakage (AL) is one of the most common and serious complications following visceral surgery. In recent years, endoluminal vacuum therapy has dramatically changed therapeutic options for AL, but its use has been limited to areas easily accessible by endoscope.
Case presentation
We describe the first use of endoluminal vacuum therapy in the small intestine employing a combined surgical and endoscopic “rendezvous technique” in which the surgeon assists the endoscopic placement of an endoluminal vacuum therapy sponge in the jejunum by means of a pullback string. This technique led to a completely closed AL after 27 days and 7 changes of the endosponge.
Conclusion
The combined surgical and endoscopic rendezvous technique can be useful in cases of otherwise difficult endosponge placement.
Der zur Familie der pentameren ligandengesteuerten Ionenkanäle zugehörige Glycinrezeptor (GlyR) ist ein wichtiger Vermittler synaptischer Inhibition im Zentralnervensystem von Säugetieren. GlyR-Mutationen führen zur neurologischen Bewegungsstörung Hyperekplexie. Aufgrund fehlender struktureller Daten ist die intrazelluläre Loop-Struktur zwischen den Transmembransegmenten 3 und 4 (TM3-4 Loop) eine weitgehend unerforschte Domäne des GlyR. Innerhalb dieser Domäne wurden Rezeptortrunkierungen sowie Punktmutationen identifiziert. Rezeptortrunkierung geht mit Funktionslosigkeit einher, welche jedoch durch Koexpression des fehlenden Sequenzabschnitts zum Teil wiederhergestellt werden kann. Innerhalb dieser Arbeit wurde die Interaktion zwischen trunkierten, funktionslosen GlyR und sukzessiv verkürzten Komplementationskonstrukten untersucht. Dabei wurden als Minimaldomänen für die Interaktion das C-terminalen basische Motive des TM3-4 Loops, die TM4 sowie der extrazelluläre C-Terminus identifiziert. Die Rückkreuzung transgener Mäuse, die das Komplementationskonstrukt iD-TM4 unter Kontrolle des GlyR-Promotors exprimierten, mit der oscillator-Maus spdot, die einen trunkierten GlyR exprimiert und 3 Wochen nach der Geburt verstirbt, hatte aufgrund fehlender Proteinexpression keinen Effekt auf die Letalität der Mutation. Des Weiteren wurde die Bedeutsamkeit der Integrität beider basischer Motive 316RFRRKRR322 und 385KKIDKISR392 im TM3-4 Loop in Kombination mit der Loop-Länge für die Funktionalität und das Desensitisierungsverhalten des humanen GlyRα1 anhand von chimären Rezeptoren identifiziert. Eine bisher unbekannte Patientenmutation P366L innerhalb des TM3-4 Loops wurde mit molekularbiologischen, biochemischen und elektrophysiologischen Methoden charakterisiert. Es wurde gezeigt, dass die mutierten Rezeptorkomplexe in vitro deutlich reduzierte Glycin-induzierte Maximalströme sowie eine beschleunigte Schließkinetik aufweisen. P366L hat im Gegensatz zu bereits charakterisierten Hyperekplexiemutationen innerhalb des TM3-4 Loops keinen Einfluss auf die Biogenese des Rezeptors. P366 ist Teil einer möglichen Poly-Prolin-Helix, die eine Erkennungssequenz für SH3-Domänen darstellt. Ein potenzieller Interaktionspartner des TM3-4 Loops des GlyRα1 ist Collybistin, welches eine wichtige Rolle bei der synaptischen Rezeptorintegration spielt und die Verbindung zum Zytoskelett vermittelt. An der inhibitorischen Synapse verursacht P366L durch die Reduzierung postsynaptischer Chloridströme, das beschleunigte Desensitisierungsverhalten des GlyRα1 sowie ein verändertes Interaktionsmotiv Störungen der glycinergen Transmission, die zur Ausprägung phänotypischer Symptome der Hyperekplexie führen.
After the terrorist attacks on November 13th, the French public, the whole of Europe and many parts of the world were waiting for president François Hollande to address his fellow “citoyens”. Being the most important political figure – both by constitution and by influence on public discourse – the president’s words bear great importance for the subsequent debate and interpretation of the events. Therefore, the question arises: How did the president shape the debate in the hours and days after the attacks? To answer this question, we have identified typical structures in Hollande’s rhetorical reaction to the attacks, performing a topos as well as a keyword analysis of the speeches the president held within two weeks after November 13th. In a contrastive analysis we have compared Hollande’s speeches to the Europarl Corpus. Using the software programme sketch engine, we have filtered out the 100 most frequent keywords and classified them into semantic fields (data-driven approach). All in all, terrorism, action and nation/identity are the three predominant semantic fields, whereas references to victimhood barely appear. These findings are congruent with the results of our topos analysis that reveals a predominance of argumentative structures that form a strong main topos of resilience, emphasising the greatness of France and its people and culture, calling to action and avoiding any tendencies of resignation.
Die akute lymphatische Leukämie ist die häufigste maligne Erkrankung im Kindesalter. Trotz systematischer Erhebung und Auswertung von Daten im Rahmen der ALL-BFM-Studiengruppe und der damit verbundenen kontinuierlichen Verbesserung der Prognose hat man noch immer keine Ursache für eine ALL gefunden. Daher nimmt eine umfangreiche Risikostratifizierung eine zentrale Rolle in der Behandlungsplanung einer ALL ein. Basierend auf einer exakten Stratifizierung kann die Therapie risikoadaptiert und individualisiert werden, um eine Übertherapie zu vermeiden und letztlich die Heilungschancen zu verbessern.
Pro- und antiinflammatorische Zytokine kommt in den komplexen Wirkungsmechanismen des Immunsystems eine Schlüsselrolle zu. Viele Infektions-, Auto-immun- oder Tumorerkrankungen werden durch das Produktionsprofil der Zyto-kine beeinflusst. Da genetisch determinierte Zytokingenpolymorphismen Krank-heitsverläufe beeinflussen und verändern, wurde untersucht, ob Zytokine einen Einfluss auf pädiatrische Patienten mit einer ALL haben.
Im Zuge dieser Arbeit wurden 95 pädiatrische Patienten mit ALL auf Polymorphismen der Zytokine TNF-α, TGF-β1, IL-10, IL-6 und IFN-γ analysiert, die im Zeitraum vom 21.06.2004 bis zum 30.04.2014 an der Kinderklinik des Universitätsklinikums Würzburg behandelt wurden. Mittels DNA-Extraktion, sequenz-spezifischer PCR und Gelelektropherese wurden 35 Proben bei Erstdiagnose und 93 zum Zeitpunkt der Remission mit folgender zentralen Fragestellung untersucht:
Gibt es genetische Risikofaktoren, die Einfluss auf
• die Risikogruppe
• die Art der Leukämie
• die Genfrequenz
• die Rezidivrate und
• das Gesamtüberleben
einer akuten lymphatische Leukämie im Kindesalter haben und sich zudem durch Einzelnukleotidpolymorphismen in pro- und antiinflammatorischen Zytokinen auszeichnen?
Im Rahmen dieser Studie konnte festgestellt werden, dass das immunsuppressive Zytokin IL-10 einen Einfluss auf die Genfrequenz, die Risikogruppe, die Rezidivrate sowie die Prognose bei Kindern mit ALL hat. Patienten mit niedrigen Zytokinexpressionsraten (Genotypen ACC/ACC und ACC/ATA) wurden häufiger in der Hochrisikogruppe therapiert, hatten mehr Rezidive und eine schlechtere Prognose als Patienten mit hohen Zytokinexpressionsraten. Dar-über hinaus ist der Genotyp GCC/ACC signifikant häufiger bei ALL-Patienten anzutreffen als im gesunden Kollektiv. Beim immunsuppressiven IL-6 konnte festgestellt werden, dass der Genotyp C/C signifikant häufiger bei Patienten mit einer ALL auftritt als bei gesunden Patienten. Ferner zeigte sich, dass es so-wohl für IL-6 als auch für TNF-α eine Änderung des Genotyps zwischen Erstdiagnose und in Remission auftrat, die Hinweise auf einen blastenspezifischen „immune-escape“-Mechanismus geben. Ebenfalls konnte gezeigt werden, dass das immunmodulatorische Zytokin TGF-β1 einen Einfluss auf die Risikogruppe sowie die Rezidivrate hat. Patienten, die eine T/T Kombination am Codon 10 aufwiesen wurden häufiger im Hochrisikozweig therapiert als Patienten mit den Genotypen T/C oder C/C. Des Weiteren wurde demonstriert, dass Patienten mit einem C/C an Codon 25 häufiger an Rezidiven erkrankten als Patienten mit ei-nem G/C oder G/G. Für die TH1 Zytokine IFN-γ sowie TNF-α wurde kein Zusammenhang zwischen der Genfrequenz, der Risikogruppe, der Art der Leukämie, der Rezidivrate oder dem Gesamtüberleben gefunden.
Auch wenn man bisher noch nicht genau weiß, wie Zytokingenpolymorphismen Einfluss auf pädiatrische ALL nehmen, wird anhand dieser Arbeit gezeigt, dass Zytokine einen Beitrag zur Pathogenese der ALL leisten und daher zukünftig für eine umfassendere Risikostratifizierung geeignet sind. Darüber hinaus können diese Ergebnisse dazu beitragen, dass Zytokine als biologische Marker etabliert werden, um eine weniger toxische immunmodulierende bzw. -suppressive Therapie zu gewährleisten. Dies führt dazu, dass eine Therapie anhand des Risikoprofils individuell und prognoseverbessernd abgestimmt werden kann. Je-doch wäre für eine nachfolgende Untersuchung eine größere multizentrische Stichprobe sowie eine prospektive Evaluation der Daten erstrebenswert. Gera-de bei hereditären Erkrankungen haben einzelne Gene nur einen geringen Einfluss auf das Gesamtrisiko, sodass größere Fallzahlen erforderlich wären, um auch schwache Effekte zu detektieren.
Das Körperselbstgefühl (KSG) bezeichnet das Gefühl, einen bestimmten Kör-perteil als dem eigenen Körper zugehörig zu empfinden. Es erscheint stabil und nicht störbar, lässt sich jedoch bei den meisten Menschen experimentell beein-flussen. Ein Beispiel hierfür ist die Puppenhandillusion (PHI), bei der die nicht sichtbare eigene Hand des Probanden und eine sichtbare Plastikhand in glei-cher Stellung an den gleichen Fingerstellen synchron mit zwei Pinseln bestri-chen wird, wodurch die Wahrnehmung entsteht, die Plastikhand sei die eigene. Veränderungen des KSG können jedoch auch im Rahmen neurodegenerativer Erkrankungen vorkommen. So nimmt beim kortikobasalen Syndrom (CBS) etwa die Hälfte der Patienten im Krankheitsverlauf einen Arm und seine Bewegungen als fremd war ("Alien-limb“-Phänomen). Das CBS beginnt oft einseitig und ist durch eine rasch fortschreitende, akinetisch-rigide Parkinson-Symptomatik, aber auch durch kortikale Funktionsstörungen gekennzeichnet, so dass es ne-ben einer Störung des KSG auch zu einer Störung der räumlichen Aufmerk-samkeit (Hemineglect) kommt. Bislang wurde der Zusammenhang zwischen Raumwahrnehmung, KSG und PHI bei gesunden älteren Menschen noch nicht systematisch untersucht. Ebenso wenig war bisher bekannt, inwieweit das KSG bei CBS-Patienten durch die PHI modulierbar ist. Wir untersuchten 65 gesunde ältere Probanden (60 - 90 Jahre) ohne neurologi-sche Vorerkrankungen sowie zehn Patienten zwischen 59 und 77 Jahren mit wahrscheinlichem oder möglichem CBS. Den kognitiven und orientierend seeli-schen Zustand eruierten wir mit Hilfe des PANDA- und des Uhrentests, die Raumwahrnehmung testeten wir mittels des Milner-Landmark-Tests sowie des Letter-Cancellation-Tests, das spontane Körperselbstgefühl wurde mittels eines Fragebogens erfasst. Der PHI-Versuch wurde mit synchroner sowie asynchro-ner taktiler Stimulation durchgeführt, das Auftreten eines Selbstgefühls für die Plastikhand wurde subjektiv über spontane Äußerungen und einen etablierten Fragebogen, objektiv über den sog. propriozeptiven Drift der stimulierten Hand erfasst. Unter den Kontrollprobanden fanden sich 12% mit einer wahrscheinlichen De-menz, wohingegen dies bei 80% der CBS-Patienten der Fall war. Im Milner-Landmark-Test zeigte sich bei den Kontrollprobanden eine Überschätzung des rechten Segmentes einer mittig geteilten Linie, entsprechend einem milden Hemineglect, bei den CBS-Patienten konnte keine einheitliche Tendenz festge-stellt werden. Das spontane Körperselbstgefühl stellte sich bei nahezu allen Probanden als intakt dar, während sich bei vier Patienten mit CBS Hinweise auf aktuelle oder intermittierende Störungen desselben ergaben. Die Puppenhandil-lusion war in der Gruppe gesunder Älterer bei synchroner Stimulation auslös-bar, nicht jedoch bei asynchroner Stimulation. Eine Lateralisierungstendenz zeigte sich nicht. Darüber hinaus konnte bei den Probanden eine positive Korre-lation zwischen dem propriozeptiven Drift der linken Hand nach synchroner Stimulation und dem Hemineglect nach links gefunden werden. Bei den CBS-Patienten fand sich unabhängig von der Stimulationsart (synchron oder asyn-chron) eine erhöhte Bereitschaft, die linke Puppenhand ins eigene Körperbild zu integrieren. Das Auftreten der PHI bei gesunden älteren Probanden ist vergleichbar mit den Daten jüngerer Probandengruppen. Hinweise auf eine hemisphärische Laterali-sierungstendenz der PHI ergaben sich nicht, jedoch scheint der in dieser Grup-pe festgestellte leichtgradige Hemineglect nach links den multisensorischen Prozess zu beeinflussen, eine künstliche Hand in das eigene Körperschema zu integrieren. Bei den CBS-Patienten war die PHI unabhängig vom Stimulations-modus links besser auslösbar als rechts, was mit vorwiegend rechtshemisphä-rischen krankheitsbedingten Veränderungen des multisensorischen Integrati-onsprozesses vereinbar ist.
In klinischen Studien wurden bereits positive Effekte des standardisierten Kiefernrindenextrakts Pycnogenol® auf die Symptome von Patienten mit milden Formen von Kniegelenks-Osteoarthritis ermittelt; hauptsächlich ausgedrückt durch Senkung des WOMAC-Scores. Der hinter dieser Symptomverbesserung zu Grunde liegende Mechanismus wurde jedoch noch nicht untersucht. Deshalb sollten in der vorliegenden Arbeit erstmalig die zellulären pharmakodynamischen Effekte des Nahrungsergänzungsmittels, in Hinblick auf wichtige Marker der Knorpelhomöostase, untersucht werden. Hierfür wurden 30 Patienten mit schweren Gonarthrose-Formen und Indikation zum Kniegelenksersatz in eine randomisiert-kontrollierte Studie eingeschlossen.
Die genaue Ursache der Erkrankung Osteoarthritis ist bis heute nicht geklärt, jedoch gilt ein Ungleichgewicht von Knorpelaufbau und –abbau in den betroffenen Gelenken als einer der zentralen Parameter der Pathogenese. Diese Imbalance resultiert in einem sukzessiven Knorpelverlust, der mit einem Entzündungsgeschehen im ganzen Gelenk, also auch unter Beteiligung von Synovium und subchondralen Knochen, einhergeht. Eine wichtige Rolle spielen hierbei die matrix-abbauenden Enzyme MMPs und ADAMTS sowie proinflammatorische Mediatoren, z.B. das IL-1β. Nach dreiwöchiger Einnahme von 200 mg Pycnogenol® am Tag, konnten wir, im Vergleich zur unbehandelten Kontrollgruppe, eine Senkung der relativen Genexpression von MMP-1, MMP-3 und MMP-13 im Knorpelgewebe feststellen. Bei MMP-3 und MMP 13 war diese Reduktion signifikant. Ebenso wurde die relative Expression von IL-1β statistisch signifikant gesenkt. Im Rahmen der Untersuchung der Entwicklung von Markerkonzentrationen im Serum im Verlauf der Studie wurde eine signifikante Senkung der ADAMTS-5-Konzentrationen bei behandelten Patienten, im Vergleich zur Kontrollgruppe, offenbar. Weiterhin wurden die MMP-13-Konzentrationen im Serum positiv durch Einnahme des Rindenextraktes beeinflusst. In der Körperflüssigkeit, die dem Erkrankungsgeschehen am nähesten kommt, der Synovialflüssigkeit, konnten ebenso hemmende Effekte auf knorpelabbauende Enzyme nach Einnahme von Pycnogenol® beobachtet werden. Hierbei sah man niedrigere Konzentrationen der Marker MMP-1 und MMP-13 sowie der Abbaumarker von Typ-II-Collagen und von Aggrecan in den Gelenkflüssigkeiten der Verum- im Vergleich zu denen der Kontrollgruppe. Im Rahmen von ex-vivo-Versuchen zeigten sich mit beiden Spezimen keine Unterschiede zwischen den beiden Studiengruppen. Die beobachteten Tendenzen konnten durch Korrelationsanalysen untermauert werden.
Die Ergebnisse der vorliegenden Arbeit liefern den ersten Ansatz zum Verständnis der zellulären Mechanismen, die für die positiven Einflüsse des standardisierten Kiefernrindenextraktes auf die Symptomatik der Gonarthrose verantwortlich sind. Weitere Studien mit einer größeren Studienpopulation und einer Anwendung von Pycnogenol® über einen längeren Zeitraum sind nötig, um diese zellulären Geschehnisse zu bestätigen und näher zu untersuchen. Auf Grund des günstigen Nebenwirkungsprofils von Pycnogenol® ist eine Langzeittherapie zur Verzögerung eines erstmaligen Kniegelenksersatzes durchaus denkbar. Dies hätte den Vorteil, dass das betroffene Gelenk weniger oft ausgetauscht werden müsste, was wegen der begrenzten Haltbarkeit in etwa alle 10 Jahre geschieht.
Aus epidemiologischen Studien ist schon seit Längerem bekannt, dass eine hohe tägliche Aufnahme von Polyphenolen über die Nahrung zu geringeren Inzidenzraten neurologischer Erkrankungen, wie z.B. Morbus Parkinson oder Morbus Alzheimer, führt. Auch Pycnogenol® hat in-vivo schon positive Effekte auf diverse neurologische Erkrankungsgeschehen gezeigt. Um zu verstehen, welcher Inhaltsstoff bzw. welche Inhaltsstoffe und/oder Metabolite die Blut-Hirn-Schranke passieren und für diese Wirkungen verantwortlich sein könnten, wurde in der vorliegenden Arbeit mit Hilfe eines cEND-in-vitro-Modells die Blut-Hirn-Schrankengängigkeit ausgewählter Bestandteile des Extraktes und des Metaboliten M1 untersucht. Dabei zeigte keine der untersuchten Substanzen unter den gewählten Versuchsbedingungen einen quantifizierbaren Übertritt durch den Zellkultur-Monolayer. Auf Grund unserer Versuche ist jedoch eine Aufnahme des M1 und von (+)-Catechin in die Endothelzellen durchaus denkbar. Diese Aufnahme scheint für den M1, in erleichterter Form, durch den GLUT-1-Transporter zu verlaufen.
Die positiven Effekte des Nahrungsergänzungsmittels auf neurologische Erkrankungen scheinen nicht durch direkte Einwirkungen im Gehirn selbst verursacht zu werden. Eine stabilisierende Wirkung auf die BHS, die eine wichtige Barriere zum Schutz des Gehirns vor äußeren Einflüssen ist, scheint dafür eine plausiblere Erklärung zu sein. Weiterführende in-vivo-Tierversuche können darüber Aufschluss geben.
Zusammenfassend konnte mit der vorliegenden Arbeit ein Beitrag zur Aufklärung der zellulären Effekte des standardisierten Kiefernrindenextraktes bei schwerer Kniegelenks-Osteoarthritis geleistet werden. Zusätzlich konnten wir, mit Hilfe eines rationalen Ansatzes zur Ermittlung der Blut-Hirn-Schrankengängigkeit ausgewählter Inhaltsstoffe von Pycnogenol®, das Verständnis für die positiven Wirkungen von Pycnogenol® im Rahmen neurologischer Erkrankungen erweitern.
Background
Xiphophorus fishes are represented by 26 live-bearing species of tropical fish that express many attributes (e.g., viviparity, genetic and phenotypic variation, ecological adaptation, varied sexual developmental mechanisms, ability to produce fertile interspecies hybrids) that have made attractive research models for over 85 years. Use of various interspecies hybrids to investigate the genetics underlying spontaneous and induced tumorigenesis has resulted in the development and maintenance of pedigreed Xiphophorus lines specifically bred for research. The recent availability of the X. maculatus reference genome assembly now provides unprecedented opportunities for novel and exciting comparative research studies among Xiphophorus species.
Results
We present sequencing, assembly and annotation of two new genomes representing Xiphophorus couchianus and Xiphophorus hellerii. The final X. couchianus and X. hellerii assemblies have total sizes of 708 Mb and 734 Mb and correspond to 98 % and 102 % of the X. maculatus Jp 163 A genome size, respectively. The rates of single nucleotide change range from 1 per 52 bp to 1 per 69 bp among the three genomes and the impact of putatively damaging variants are presented. In addition, a survey of transposable elements allowed us to deduce an ancestral TE landscape, uncovered potential active TEs and document a recent burst of TEs during evolution of this genus.
Conclusions
Two new Xiphophorus genomes and their corresponding transcriptomes were efficiently assembled, the former using a novel guided assembly approach. Three assembled genome sequences within this single vertebrate order of new world live-bearing fishes will accelerate our understanding of relationship between environmental adaptation and genome evolution. In addition, these genome resources provide capability to determine allele specific gene regulation among interspecies hybrids produced by crossing any of the three species that are known to produce progeny predisposed to tumor development.
Die ersten Landpflanzen standen vor der Herausforderung sich mit der wechselnden Verfügbarkeit von Wasser an Land arrangieren zu müssen. Daraus ergab sich die Notwendigkeit den Wasserverlust zu minimieren und dennoch ausreichend CO2 für die Photosynthese aufzunehmen (Raven, 2002). Im Laufe der Evolution der Pflanzen entstanden mehrere Anpassungen an diese neuen Gegebenheiten, die schließlich auch zur Entstehung von regulierbaren Öffnungen, den Stomata, in der Blattepidermis führte. Zwei Schließzellen umschließen das Stoma und regulieren über die Aufnahme oder Abgabe von osmotisch-aktiven Teilchen ihren Turgordruck und damit die Öffnungsweite des Stomas. Das Kation Kalium und die Anionen Chlorid und Nitrat repräsentieren die Hauptosmotika, die je nach Bedarf durch Transportproteine über die Plasmamembran der Schließzellen geschleust werden. In den Samenpflanzen wie zum Beispiel der Modellpflanze Arabidopsis thaliana, ist der Signalweg in Schließzellen, der bei Trockenheit zu einem schnellen Schluss des Stomas führt bereits sehr gut untersucht. Bei Wassermangel synthetisiert die Pflanze das Trockenstresshormon ABA (Abscisinsäure). Das Hormon wird durch ABA-Rezeptoren erkannt und resultiert schließlich in der Aktivität der Proteinkinase OST1. Daraufhin reguliert diese Kinase zum einen die Transkription ABA-abhängiger Gene, die der Pflanze eine langfristige Adaptation an Trockenheit und Austrocknungstoleranz verleiht. Zum anderen, phosphoryliert OST1 den Anionenkanal SLAC1 und aktiviert ihn so. Die Aktivität des Kanals initiiert schließlich den Stomaschluss durch einen Ausstrom von Anionen aus den Schließzellen, der mit einer Depolarisation der Schließzellmembran einhergeht.
Der ABA-Signalweg, der zur transkriptionellen Regulation von Genen und der damit verbunden Trockentoleranz führt ist ein sehr stark konservierter und evolutiv sehr alter Signalweg, der in allen Geweben von Pflanzen bei Trockenheit beschritten wird. Der schnelle ABA-Signalweg, der die Aktivität der SLAC1 Anionenkanäle reguliert, ist auf Schließzellen begrenzt. Da sich Schließzellen aber erst spät in der Evolution von Landpflanzen etablierten, erhob sich die Frage, wann in der Evolution geriet SLAC1 unter die Kontrolle das ABA-Signalwegs? Geht diese Regulation von SLAC1 mit der Entstehung von Schließzellen einher oder bestand dieser Regulationsmechanismus bereits in Pflanzen, die keine Schließzellen besitzen. Zur Beantwortung dieser Frage untersuchte ich die einzelnen Komponenten des Signalwegs und ihre Beziehungen zu einander im heterologen Expressionssystem der Xenopus laevis Oozyten.
Im Laufe dieser Arbeit wurden Schlüsselelemente des ABA-Signalwegs aus sechs verschiedenen Versuchspflanzen kloniert und in Oozyten charakterisiert. Für die Untersuchung der Evolution des schnellen ABA-Signalwegs wurden die sechs Versuchspflanzen aus je einem rezenten Vertreter der Grünalgen (Klebsormidium nitens), der Lebermoose (Marchantia polymorpha), der Laubmoose (Physcomitrella patens), der Lycophyten (Selaginella moellendorffii) und der Farne (Ceratopteris richardii) ausgewählt und mit der Samenpflanze Arabidopsis thaliana verglichen. Die sechs Pflanzengruppen spalteten sich an unterschiedlichen Zeitpunkten im Laufe der pflanzlichen Evolution von der Entwicklung der restlichen Pflanzen ab und erlauben so einen bestmöglichen Einblick in den jeweiligen Entwicklungsstand der Landpflanzen während der Entstehung der einzelnen Pflanzenfamilien. Obwohl sich die ersten Stomata erst in den Laubmoosen entwickelten, besitzen schon die Grünalgen OST1-Kinasen und SLAC1-Kanäle. Interessanterweise konnte wir zeigen, dass schon die frühen OST1-Kinasen aus Algen und Moosen dazu in der Lage sind, in den höher entwickelten Samenpflanzen die Rolle in der Regulation der ABA-abhängigen Expression von Genen zu übernehmen. Außerdem zeigte sich im Laufe meiner biophysikalischen Untersuchungen, dass alle dreizehn getesteten OST1-Kinasen aus den sechs unterschiedlichen Versuchspflanzenarten in Lage sind, den Anionenkanal SLAC1 aus Arabidopsis in Xenopus Oozyten zu aktivieren. Diese Austauschbarkeit von den AtSLAC1-aktivierenden Kinasen deutet auf eine sehr starke Konservierung der Struktur und Funktion von OST1 hin. Anders verhielt es sich bei der funktionellen Analyse der Anionenkanäle aus den verschiedenen Versuchspflanzen: Hier bildete nur der evolutionär gesehen jüngsten SLAC-Kanal AtSLAC1 aus Arabidopsis ein funktionelles Pärchen mit OST1. Die SLAC1 Kanäle aus der Grünalge, dem Lebermoos, den Lycophyten und dem Farn blieben ohne messbare Aktivität bei einer Co-expression mit den verschiedenen OST1 Kinasen. Nur beim Laubmoos (Physcomitrella patens) konnte noch ein funktionelles Kinase-Anionenkanal Pärchen gefunden werden. Struktur-Funktionsuntersuchungen erlaubten mir schließlich zu zeigen, dass bestimmte funktionelle Domänen sowohl im N-terminus als auch im C-terminus von SLAC1 erforderlich sind, um eine Aktivierung des Kanals durch OST1 Kinasen sicherzustellen.
Background
Musculoskeletal disorders are one of the most important causes of work disability. Various rehabilitation services and return-to-work programs have been developed in order to reduce sickness absence and increase sustainable return-to-work. As the effects of conventional medical rehabilitation programs on sickness absence duration were shown to be slight, work-related medical rehabilitation programs have been developed and tested. While such studies proved the efficacy of work-related medical rehabilitation compared with conventional medical rehabilitation in well-conducted randomized controlled trials, its effectiveness under real-life conditions has yet to be proved.
Methods/Design
The cohort study will be performed under real-life conditions with two parallel groups. Participants will receive either a conventional or a work-related medical rehabilitation program. Propensity score matching will be used to identify controls that are comparable to treated work-related medical rehabilitation patients. Over a period of three months, about 18,000 insured patients with permission to undergo a musculoskeletal rehabilitation program will be contacted. Of these, 15,000 will receive a conventional and 3,000 a work-related medical rehabilitation. We expect a participation rate of 40 % at baseline. Patients will be aged 18 to 65 years and have chronic musculoskeletal disorders, usually back pain. The control group will receive a conventional medical rehabilitation program without any explicit focus on work, work ability and return to work in diagnostics and therapy. The intervention group will receive a work-related medical rehabilitation program that in addition to common rehabilitation treatments contains 11 to 25 h of work-related treatment modules. Follow-up data will be assessed three and ten months after patients’ discharge from the rehabilitation center. Additionally, department characteristics will be assessed and administrative data records used. The primary outcomes are sick leave duration, stable return to work and subjective work ability. Secondary outcomes cover several dimensions of health, functioning and coping strategies.
Discussion
This study will determine the relative effectiveness of a complex, newly implemented work-related rehabilitation strategy for patients with musculoskeletal disorders.
Motilitätsstörungen des Magen-Darm-Traktes können bei kritisch kranken Patienten auf der Intensivstation zu einem lebensbedrohlichen Krankheitsbild führen. Dabei spielen eine Vielzahl von Pathomechanismen eine Rolle, wobei das Interesse dieser Arbeit den Wirkungen des Tag-Nacht-Hormons Melatonin gilt. Da aus anderen Untersuchungen eine protektive Funktion des Melatonins postuliert werden kann, ist sein Einfluss auf die Peristaltik am Meerschweinchendünndarm untersucht worden. Dabei wurde durch kontinuierliche Perfusion eines Dünndarmsegments im Organbad eine gerichtete Peristaltik induziert. Der Schwellendruck, bei dem eine Kontraktionswelle ausgelöst wurde, als Messparameter herangezogen. Durch Zugabe von Melatonin (in den Konzentrationen: 10 pM, 1nM, 0,1µM und 10 µM) in das Organbad konnte kein Einfluss auf dem Schwellendruck nachgewiesen werden. Auch der Melatoninrezeptorantagonist Luzindol führte zu keiner Änderung des Schwellendruckes. Ein signifikanter Anstieg des Schwellendruckes und damit ein inhibitorischer Einfluss auf die Dünndarmperistaltik konnte lediglich durch den partiellen Agonisten 2Phenylmelatonin nachgewiesen werden. Wesentliche Ergebnisse dieser Arbeit zeigen den Einfluss von Melatonin unter Hypoxiebedingungen des Dünndarmes, bei dem Luzindol den inhibitorischen Effekt auf die Darmperistaltik verstärkt. Die Melatoningabe führt zu keiner protektiven Wirkung auf die Darmperistaltik unter Hypoxiebedingungen. Damit ist zu vermuten, dass der protektive Effekt des Melatonins auf die Darmperistaltik nicht durch seine Eigenschaften als Radikalfänger, sondern über Melatoninrezeptoren vermittelt wird. In den Versuchen mit dem Opioid Fentanyl ist eine signifikante Hemmung der Dünndarmperistalik ebenso unter Blockade des Melatoninrezeptorantagonisten Luzindol festzustellen. Bei Versuchen mit Propofol wurde durch Zugabe von Melatonin oder Melatoninrezeptoragonisten eine Verstärkung der Hemmung der Dünndarmmotilität durch Propofol nachgewiesen. In unseren Versuchen bestätigten wir, dass Midazolam eine hemmende Wirkung auf die Dünndarmperistalik hat. Eine vorherige Zugabe von Melatonin hatte dabei keinen Einfluss auf die hemmende Wirkung von Midazolam, wohingegen Luzindol die Hemmwirkung von Midazolam verstärkte. Somit hat das endogene Melatonin möglicherweise einen protektiven Einfluss, der jedoch durch exogene Zugabe von Melatonin nicht verstärkt wird und nicht nachgeahmt werden kann. Insgesamt zeigen die Untersuchungen, dass Melatonin per se keinen gesicherten Einfluss auf die Peristaltik hat, möglicherweise aber in Wechselwirkung mit Anästhetika.
Whole Genome Duplications Shaped the Receptor Tyrosine Kinase Repertoire of Jawed Vertebrates
(2016)
The receptor tyrosine kinase (RTK) gene family, involved primarily in cell growth and differentiation, comprises proteins with a common enzymatic tyrosine kinase intracellular domain adjacent to a transmembrane region. The amino-terminal portion of RTKs is extracellular and made of different domains, the combination of which characterizes each of the 20 RTK subfamilies among mammals. We analyzed a total of 7,376 RTK sequences among 143 vertebrate species to provide here the first comprehensive census of the jawed vertebrate repertoire. We ascertained the 58 genes previously described in the human and mouse genomes and established their phylogenetic relationships. We also identified five additional RTKs amounting to a total of 63 genes in jawed vertebrates. We found that the vertebrate RTK gene family has been shaped by the two successive rounds of whole genome duplications (WGD) called 1R and 2R (1R/2R) that occurred at the base of the vertebrates. In addition, the Vegfr and Ephrin receptor subfamilies were expanded by single gene duplications. In teleost fish, 23 additional RTK genes have been retained after another expansion through the fish-specific third round (3R) of WGD. Several lineage-specific gene losses were observed. For instance, birds have lost three RTKs, and different genes are missing in several fish sublineages. The RTK gene family presents an unusual high gene retention rate from the vertebrate WGDs (58.75% after 1R/2R, 64.4% after 3R), resulting in an expansion that might be correlated with the evolution of complexity of vertebrate cellular communication and intracellular signaling.
Over the last 20 years, there has been increasing focus on the development of novel stem cell based therapies for the treatment of disorders and diseases affecting the enteric nervous system (ENS) of the gastrointestinal tract (so-called enteric neuropathies). Here, the idea is that ENS progenitor/stem cells could be transplanted into the gut wall to replace the damaged or absent neurons and glia of the ENS. This White Paper sets out experts' views on the commonly used methods and approaches to identify, isolate, purify, expand and optimize ENS stem cells, transplant them into the bowel, and assess transplant success, including restoration of gut function. We also highlight obstacles that must be overcome in order to progress from successful preclinical studies in animal models to ENS stem cell therapies in the clinic.
Previous research found that men conspicuously consume luxury products to attract a mate and to signal their mate value. However, these studies have yet neglected to investigate the function of male conspicuous consumption in same-sex competition. Given that intersexual selection and intrasexual selection are closely related processes, it stands to reason that a further function of male conspicuous consumption could be to impress and deter same-sex rivals. An 2 (intrasexual competition context vs. control) × 2 (conspicuous luxury vs. inconspicuous nonluxury) between-subjects experimental study conducted with an Amazon Mechanical Turk sample (N = 160) revealed that men reported both higher liking of and an intent to purchase a conspicuous luxury car compared to an inconspicuous nonluxury car due to increased feelings of social status. This effect was stronger in the intrasexual competition than in the control context. An additional perception study using a single-factor between-subjects design (conspicuous luxury vs. inconspicuous nonluxury car) among German men (N = 405) indicated that male participants rated a man who displayed a conspicuous luxury car more as a rival and mate poacher and less as a friend. They further perceived him to be superior on various mate value characteristics (i.e., attractiveness, intelligence, ambition, and status) and rated him as more oriented toward short-term mating. In sum, our findings add to previous research in the field of evolutionary consumer psychology by suggesting that male conspicuous consumption of luxuries may also serve a function in male–male competition.
Diese Arbeit befasst sich mit zeitaufgelösten Prozessen in molekularen Systemen. Dabei wurde sowohl die Wellenpaketdynamik nach Photoanregung betrachtet als auch spektrale Eigenschaften mittels Absorptions- und zweidimensionaler Spektroskopie untersucht.
Zunächst widmet sich die Arbeit der Wellenpaket- und Populationsdynamik in zwei diabatischen, gekoppelten Zuständen. Nach impulsiver Anregung aus dem zu Beginn besetzten Zustand treten in der Populationsdynamik zwei deutlich verschiedene Oszillationen auf. Der langsamer variierende Populationstransfer besitzt die Periodendauer der Vibrationsbewegung und ist auf einen Wechsel der Zustände beim Durchlaufen des Wellenpakets durch die Kreuzungsregion der diabatischen Potentiale zurückzuführen. Die ultraschnelle Komponente mit einer Periodendauer von etwa 4 fs lässt sich als eine Art Rabi-Oszillation beschreiben, die durch die (zeitunabhängige) Kopplung hervorgerufen wird. Sie wurde mit Hilfe von analytischen Berechnungen ausführlich charakterisiert. Damit dieser Prozess auftreten kann müssen mehrere Bedingungen erfüllt werden: Das Wellenpaket muss über die Dauer der Oszillationen annähernd örtlich lokalisiert bleiben; dies ist an den Umkehrpunkten der Wellenpaketsbewegung der Fall. Die Amplitude der Oszillationen in den Populationen ist proportional zum Verhältnis der Kopplung zum Energieabstand der Zustände. Deshalb muss an den stationären Stellen die Kopplung groß im Vergleich zum Energieabstand sein. Die Amplitude der Oszillationen hängt außerdem von dem Populationsverhältnis und den Phasen der Komponenten des Wellenpakets in den beiden Zuständen ab. Die ultraschnellen Oszillationen bleiben auch in mehrdimensionalen Systemen mit unterschiedlichen Vibrationsfrequenzen je Freiheitsgrad erhalten.
Das gleiche Modell wurde benutzt, um Ladungstransferprozesse mittels linearer und 2D-Spektroskopie zu untersuchen. Eine Kopplung an die Umgebung wurde, aufbauend auf einer Quanten-Master-Gleichung in Markov-Näherung, wellenfunktionsbasiert mittels eines Quantum-Jump-Algorithmus mit expliziter Dephasierung beschrieben. Dabei findet mit vorher definierten Wahrscheinlichkeiten zu jedem Zeitschritt einer von drei stochastischen Prozessen statt. Neben kohärenter Propagation können Sprünge in einen anderen Eigenzustand des Systems und Dephasierungen auftreten. Zwei Dissipationsparameter spielen dabei eine Rolle. Dies ist zum einen die Stärke der System-Bad-Kopplung, welche die Gesamtrate der Energierelaxation beschreibt. Weiterhin beeinflusst die Dephasierungskonstante den Verlust kohärenter Phasen ohne Energieänderung. Fallenzustände wurden identifiziert, die durch sehr geringe Sprungraten in niedrigere Zustände charakterisiert sind. Die Langlebigkeit kann durch die Form der Eigenfunktionen erklärt werden, die eine deutlich andere Wahrscheinlichkeitsverteilung als die der Nicht-Fallenzustände besitzen. Dadurch werden die in die Sprungraten eingehenden Matrixelemente klein. Das Absorptionsspektrum zeigt Peaks an der Stelle der Fallenzustände, da nur die Eigenfunktionen der Fallenzustände große Franck-Condon-Faktoren mit der Anfangswellenfunktion besitzen. Verschiedene Kombinationen der Dissipationsparameter führen zu Änderungen der relativen Peakintensitäten und der Peakbreiten.
Die 2D-Spektren des Ladungstransfersystems werden störungstheoretisch über die Polarisation dritter Ordnung berechnet. Sie zeigen viele eng nebeneinander liegende Peaks in einer schachbrettmusterförmigen Anordnung, die sich auf Übergänge unter Mitwirkung der Fallenzustände zurückführen lassen. Höhere System-Bad-Kopplungen führen aufgrund der effizienten Energiedissipation zu einer Verschiebung zu kleineren Energien. Peaks, die mit schneller zerfallenden Fallenzuständen korrespondieren, bleichen schneller aus. Höhere Dephasierungskonstanten resultieren in verbreiterten Peaks. Um den Einfluss der Dissipation genauer zu charakterisieren, wurden gefilterte 2D-Spektren betrachtet. Dazu wurden Ausschnitte der Polarisation dritter Ordnung zu verschiedenen Zeiten fouriertransformiert. Längere Zeiten führen zu einer effektiveren Energierelaxation entlang der entsprechenden Zeitvariablen. Die Entvölkerung der höher liegenden Zustände lässt sich somit zeit- und energieaufgelöst betrachten. Weiterhin wurde gezeigt, dass sich der Zerfall eines einzelnen Peaks mit dem Populationsabfall des damit korrespondierenden Eigenzustandes in Einklang bringen lässt, obwohl die Zuordnung der Peaks im 2D-Spektrum zu Übergängen zwischen definierten Eigenzuständen nicht eindeutig ist.
Mit dem benutzten eindimensionalen Modell können auch Ladungstransferprozesse in organischen gemischtvalenten Verbindungen beschrieben werden. Es wurde die Frage untersucht, welche Prozesse nach einem optisch induzierten Energietransfer in solchen Systemen ablaufen. Experimentelle Daten (aufgenommen im Arbeitskreis von Prof. Lambert) deuten auf eine schnelle interne Konversion (IC) gefolgt von Thermalisierung hin. Um dies theoretisch zu überprüfen, wurden Absorptionsspektren bei verschiedenen Temperaturen berechnet und mit den gemessenen transienten Spektren verglichen. Es findet sich, abhängig von der Stärke der elektronischen Kopplung, eine sehr gute bis gute Übereinstimmung, was die Annahme eines schnellen ICs stützt.
Im letzten Teil der Arbeit wurden vibronische 2D-Spektren von molekularen Aggregaten betrachtet. Dazu wurde die zeitabhängige Schrödingergleichung für ein Monomer-, Dimer- und Trimersystem mit der Multi-Configuration Time-Dependent Hartree-Methode gelöst und die Polarisation nicht-störungstheoretisch berechnet. Der Hamiltonoperator des Trimers umfasst hierbei sieben gekoppelte elektronische Zustände und drei bzw. sechs Vibrationsfreiheitsgrade. Der betrachtete Photonenecho-Beitrag der Polarisation wurde mittels phasencodierter Laserpulse extrahiert. Die resultierenden Spektren sind geometrieabhängig, ein Winkel zwischen den Übergangsdipolmomenten der Monomere von 0° (180°) resultiert in einem H-Aggregat (J-Aggregat). Die Lage und Intensität der Peaks im rein elektronischen Trimer wurde analytisch erläutert. Die Spektren unter Einbeziehung der Vibration zeigen eine ausgeprägte vibronische Struktur. Es wurde gezeigt, wie die Spektren für höhere Aggregationsgrade durch die höhere Dichte an vibronischen Zuständen komplexer werden. Im J-Aggregat ist mit zunehmender Aggregation eine stärkere Rotverschiebung zu sehen. Das Spektrum des H-Aggregats zeigt eine im Vergleich zum J-Aggregat kompliziertere Struktur. Die Verwendung zweier Vibrationsfreiheitsgrade je Monomer führt zu Spektren mit überlappenden Peaks und einer zusätzlichen vibronischen Progression. Der Vergleich von Spektren verschiedener Mischungen von Monomer, Dimer und Trimer, entsprechend einem von Temperatur und Konzentration abhängigen Aggregationsgrad, zeigt den Einfluss dieser experimentellen Faktoren. Schließlich wurden mögliche Ansätze aufgezeigt, anhand der Spektren auf den Aggregationsgrad zu schließen.
Diabolical points (spectral degeneracies) can naturally occur in spectra of two-dimensional quantum systems and classical wave resonators due to simple symmetries. Geometric Berry phase is associated with these spectral degeneracies. Here, we demonstrate a diabolical point and the corresponding Berry phase in the spectrum of hybrid light-matter quasiparticles—exciton-polaritons in semiconductor microcavities. It is well known that sufficiently strong optical pumping can drive exciton-polaritons to quantum degeneracy, whereby they form a macroscopically populated quantum coherent state similar to a Bose-Einstein condensate. By pumping a microcavity with a spatially structured light beam, we create a two-dimensional quantum billiard for the exciton-polariton condensate and demonstrate a diabolical point in the spectrum of the billiard eigenstates. The fully reconfigurable geometry of the potential walls controlled by the optical pump enables a striking experimental visualization of the Berry phase associated with the diabolical point. The Berry phase is observed and measured by direct imaging of the macroscopic exciton-polariton probability densities.
Visual Attention in Flies-Dopamine in the Mushroom Bodies Mediates the After-Effect of Cueing
(2016)
Visual environments may simultaneously comprise stimuli of different significance. Often such stimuli require incompatible responses. Selective visual attention allows an animal to respond exclusively to the stimuli at a certain location in the visual field. In the process of establishing its focus of attention the animal can be influenced by external cues. Here we characterize the behavioral properties and neural mechanism of cueing in the fly Drosophila melanogaster. A cue can be attractive, repulsive or ineffective depending upon (e.g.) its visual properties and location in the visual field. Dopamine signaling in the brain is required to maintain the effect of cueing once the cue has disappeared. Raising or lowering dopamine at the synapse abolishes this after-effect. Specifically, dopamine is necessary and sufficient in the αβ-lobes of the mushroom bodies. Evidence is provided for an involvement of the αβ\(_{posterior}\) Kenyon cells.
A visual stimulus at a particular location of the visual field may elicit a behavior while at the same time equally salient stimuli in other parts do not. This property of visual systems is known as selective visual attention (SVA). The animal is said to have a focus of attention (FoA) which it has shifted to a particular location. Visual attention normally involves an attention span at the location to which the FoA has been shifted. Here the attention span is measured in Drosophila. The fly is tethered and hence has its eyes fixed in space. It can shift its FoA internally. This shift is revealed using two simultaneous test stimuli with characteristic responses at their particular locations. In tethered flight a wild type fly keeps its FoA at a certain location for up to 4s. Flies with a mutation in the radish gene, that has been suggested to be involved in attention-like mechanisms, display a reduced attention span of only 1s.
Ziel der Arbeit ist es, verschiedene Knochenersatzmaterialien der Tympanoplastik Typ 3
(autogenes Gewebe, Titan, Ionomerzement) bezüglich ihres Langzeitverhaltens im Mittelohr zu vergleichen. Es werden zwischen dem 21.12.1995 und dem 30.04.2011 in der Hals-Nasen-Ohrenklinik des Städtischen Klinikums Solingen operierte Patienten nachuntersucht. Insgesamt handelt es sich um 957 mit einer Tympanoplastik Typ III versorgte Patienten, die in diesem Zeitraum insgesamt 1093mal operiert worden sind. 676mal ist die Kette mit einer Titanprothese rekonstruiert worden, davon 301mal mit einer PORP und 375mal mit einer TORP (davon 21 bei intakter Stapessuprastruktur). Zu Beginn des Beobachtungszeitraums sind 56 Ionomerzement-prothesen eingesetzt worden, so dass 40 Ionomerzement-PORP und 16 Ionomerzement-TORP mit berücksichtigt worden sind. In 19 Fällen sind „sonstige“ Methoden (z.B. Knorpelüberhöhung des Steigbügels) zur Gehörknöchelchenkettenrekonstruktion gewählt worden.
Die Untersuchung zeigt, dass zur Kettenrekonstruktion eine Transposition autogener Ossikel angestrebt werden sollte. Stehen diese nicht zur Verfügung, empfiehlt sich die Verwendung von Titan-Prothesen. Aufgrund ihres hervorragenden In-Situ-Verhaltens sowie der nachgewiesen guten audiologischen Resultate sind sie derzeit das Mittel der Wahl.
The animal diet of the carnivorous Venus flytrap, Dionaea muscipula, contains a sodium load that enters the capture organ via an HKT1-type sodium channel, expressed in special epithelia cells on the inner trap lobe surface. DmHKT1 expression and sodium uptake activity is induced upon prey contact. Here, we analyzed the HKT1 properties required for prey sodium osmolyte management of carnivorous Dionaea. Analyses were based on homology modeling, generation of model-derived point mutants, and their functional testing in Xenopus oocytes. We showed that the wild-type HKT1 and its Na\(^+\)- and K\(^+\)-permeable mutants function as ion channels rather than K\(^+\) transporters driven by proton or sodium gradients. These structural and biophysical features of a high-capacity, Na\(^+\)-selective ion channel enable Dionaea glands to manage prey-derived sodium loads without confounding the action potential-based information management of the flytrap.
Although the concept of botanical carnivory has been known since Darwin's time, the molecular mechanisms that allow animal feeding remain unknown, primarily due to a complete lack of genomic information. Here, we show that the transcriptomic landscape of the Dionaea trap is dramatically shifted toward signal transduction and nutrient transport upon insect feeding, with touch hormone signaling and protein secretion prevailing. At the same time, a massive induction of general defense responses is accompanied by the repression of cell death-related genes/processes. We hypothesize that the carnivory syndrome of Dionaea evolved by exaptation of ancient defense pathways, replacing cell death with nutrient acquisition.
Background
The vascular type represents a very rare, yet the clinically most fatal entity of Ehlers-Danlos syndrome (EDS). Patients are often admitted due to arterial bleedings and the friable tissue and the altered coagulation contribute to the challenge in treatment strategies. Until now there is little information about clotting characteristics that might influence hemostasis decisively and eventually worsen emergency situations.
Results
22 vascular type EDS patients were studied for hemoglobin, platelet volume and count, Quick and activated partial thromboplastin time, fibrinogen, factor XIII, von Willebrand disease, vitamin D and platelet aggregation by modern standard laboratory methods. Results show a high prevalence of over 50 % for platelet aggregation disorders in vascular type EDS patients, especially for collagen and epinephrine induced tests, whereas the plasmatic cascade did not show any alterations. Additionally, more than half of the tested subjects showed low vitamin D serum levels, which might additionally affect vascular wall integrity.
Conclusion
The presented data underline the importance of detailed laboratory screening methods in vascular type EDS patients in order to allow for targeted application of platelet-interacting substances that might be of decisive benefit in the emergency setting.
This doctoral thesis is concerned with the mathematical modeling of magnetoelastic materials and the analysis of PDE systems describing these materials and obtained from a variational approach.
The purpose is to capture the behavior of elastic particles that are not only magnetic but exhibit a magnetic domain structure which is well described by the micromagnetic energy and the Landau-Lifshitz-Gilbert equation of the magnetization. The equation of motion for the material’s velocity is derived in a continuum mechanical setting from an energy ansatz. In the modeling process, the focus is on the interplay between Lagrangian and Eulerian coordinate systems to combine elasticity and magnetism in one model without the assumption of small deformations.
The resulting general PDE system is simplified using special assumptions. Existence of weak solutions is proved for two variants of the PDE system, one including gradient flow dynamics on the magnetization, and the other featuring the Landau-Lifshitz-Gilbert equation. The proof is based on a Galerkin method and a fixed point argument. The analysis of the PDE system with the Landau-Lifshitz-Gilbert equation uses a more involved approach to obtain weak solutions based on G. Carbou and P. Fabrie 2001.
Background
The aim of this study was to quantify the variability in spinal radiosurgery (SRS) planning practices between five international institutions, all member of the Elekta Spine Radiosurgery Research Consortium.
Methods
Four institutions provided one representative patient case each consisting of the medical history, CT and MR imaging. A step-wise planning approach was used where, after each planning step a consensus was generated that formed the basis for the next planning step. This allowed independent analysis of all planning steps of CT-MR image registration, GTV definition, CTV definition, PTV definition and SRS treatment planning. In addition, each institution generated one additional SRS plan for each case based on intra-institutional image registration and contouring, independent of consensus results.
Results
Averaged over the four cases, image registration variability ranged between translational 1.1 mm and 2.4 mm and rotational 1.1° and 2.0° in all three directions. GTV delineation variability was 1.5 mm in axial and 1.6 mm in longitudinal direction averaged for the four cases. CTV delineation variability was 0.8 mm in axial and 1.2 mm in longitudinal direction. CTV-to-PTV margins ranged between 0 mm and 2 mm according to institutional protocol. Delineation variability was 1 mm in axial directions for the spinal cord. Average PTV coverage for a single fraction18 Gy prescription was 87 ± 5 %; Dmin to the PTV was 7.5 ± 1.8 Gy averaged over all cases and institutions. Average Dmax to the PRV_SC (spinal cord + 1 mm) was 10.5 ± 1.6 Gy and the average Paddick conformity index was 0.69 ± 0.06.
Conclusions
Results of this study reflect the variability in current practice of spine radiosurgery in large and highly experienced academic centers. Despite close methodical agreement in the daily workflow, clinically significant variability in all steps of the treatment planning process was demonstrated. This may translate into differences in patient clinical outcome and highlights the need for consensus and established delineation and planning criteria.
This thesis deals with value sets, i.e. the question of what the set of values that a set of functions can take in a prescribed point looks like.
Interest in such problems has been around for a long time; a first answer was given by the Schwarz lemma in the 19th century, and soon various refinements were proven.
Since the 1930s, a powerful method for solving such problems has been developed, namely Loewner theory. We make extensive use of this tool, as well as variation methods which go back to Schiffer to examine the following questions:
We describe the set of values a schlicht normalised function on the unit disc with prescribed derivative at the origin can take by applying Pontryagin's maximum principle to the radial Loewner equation.
We then determine the value ranges for the set of holomorphic, normalised, and bounded functions that have only real coefficients in their power series expansion around 0, and for the smaller set of functions which are additionally typically real.
Furthermore, we describe the values a univalent self-mapping of the upper half-plane with hydrodynamical normalization which is symmetric with respect to the imaginary axis can take.
Lastly, we give a necessary condition for a schlicht bounded function f on the unit disc to have extremal derivative in a point z where its value f(z) is fixed by using variation methods.
It has been proposed that the observed diphoton excess at 750 GeV could be explained within the constrained minimal supersymmetric standard model via resonantly produced stop bound states. We reanalyze this scenario critically and extend previous work to include the constraints from the stability of the electroweak vacuum and from the decays of the stoponium into a pair of Higgs bosons. It is shown that the interesting regions of parameter space with a light stop and Higgs of the desired mass are ruled out by these constraints. This conclusion is not affected by the presence of the bound states because the binding energy is usually very small in the regions of parameter space which can explain the Higgs mass. Thus, this also leads to strong constraints on the diphoton production cross section which is in general too small.
The mitotic spindle assembly checkpoint (SAC) maintains genome stability and marks an important target for antineoplastic therapies. However, it has remained unclear how cells execute cell fate decisions under conditions of SAC‐induced mitotic arrest. Here, we identify USP9X as the mitotic deubiquitinase of the X‐linked inhibitor of apoptosis protein (XIAP) and demonstrate that deubiquitylation and stabilization of XIAP by USP9X lead to increased resistance toward mitotic spindle poisons. We find that primary human aggressive B‐cell lymphoma samples exhibit high USP9X expression that correlate with XIAP overexpression. We show that high USP9X/XIAP expression is associated with shorter event‐free survival in patients treated with spindle poison‐containing chemotherapy. Accordingly, aggressive B‐cell lymphoma lines with USP9X and associated XIAP overexpression exhibit increased chemoresistance, reversed by specific inhibition of either USP9X or XIAP. Moreover, knockdown of USP9X or XIAP significantly delays lymphoma development and increases sensitivity to spindle poisons in a murine Eμ‐Myc lymphoma model. Together, we specify the USP9X–XIAP axis as a regulator of the mitotic cell fate decision and propose that USP9X and XIAP are potential prognostic biomarkers and therapeutic targets in aggressive B‐cell lymphoma.
Patients with genetic cardiomyopathy that involves myocardial hypertrophy often develop clinically relevant arrhythmias that increase the risk of sudden death. Consequently, guidelines for medical device therapy were established for hypertrophic cardiomyopathy, but not for conditions with only anecdotal evidence of arrhythmias, like Fabry cardiomyopathy. Patients with Fabry cardiomyopathy progressively develop myocardial fibrosis, and sudden cardiac death occurs regularly. Because 24-hour Holier electrocardiograms (ECGs) might not detect clinically important arrhythmias, we tested an implanted loop recorder for continuous heart rhythm surveillance and determined its impact on therapy. This prospective study included 16 patients (12 men) with advanced Fabry cardiomyopathy, relevant hypertrophy, and replacement fibrosis in "loco typico." No patients previously exhibited clinically relevant arrhythmias on Holier ECGs. Patients received an implantable loop recorder and were prospectively followed with telemedicine for a median of 1.2 years (range 0.3 to 2.0 years). The primary end point was a clinically meaningful event, which required a therapy change, captured with the loop recorder. Patients submitted data regularly (14 +/- 11 times per month). During follow-up, 21 events were detected (including 4 asystole, i.e., ECG pauses >= 3 seconds) and 7 bradycardia events; 5 episodes of intermittent atrial fibrillation (>3 minutes) and 5 episodes of ventricular tachycardia (3 sustained and 2 nonsustained). Subsequently, as defined in the primary end point, 15 events leaded to a change of therapy. These patients required therapy with a pacemaker or cardioverter defibrillator implantation and/or anticoagulation therapy for atrial fibrillation. In conclusion, clinically relevant arrhythmias that require further device and/or medical therapy are often missed with Holier ECGs in patients with advanced stage Fabry cardiomyopathy, but they can be detected by telemonitoring with an implantable loop recorder.
Increasing human land use for agriculture and housing leads to the loss of natural habitat and to widespread declines in wild bees. Bee foraging dynamics and fitness depend on the availability of resources in the surrounding landscape, but how precisely landscape related resource differences affect bee foraging patterns remains unclear. To investigate how landscape and its interaction with season and weather drive foraging and resource intake in social bees, we experimentally compared foraging activity, the allocation of foragers to different resources (pollen, nectar, and resin) and overall resource intake in the Australian stingless bee Tetragonula carbonaria (Apidae, Meliponini). Bee colonies were monitored in different seasons over two years. We compared foraging patterns and resource intake between the bees' natural habitat (forests) and two landscapes differently altered by humans (suburban gardens and agricultural macadamia plantations). We found foraging activity as well as pollen and nectar forager numbers to be highest in suburban gardens, intermediate in forests and low in plantations. Foraging patterns further differed between seasons, but seasonal variations strongly differed between landscapes. Sugar and pollen intake was low in plantations, but contrary with our predictions, it was even higher in gardens than in forests. In contrast, resin intake was similar across landscapes. Consequently, differences in resource availability between natural and altered landscapes strongly affect foraging patterns and thus resource intake in social bees. While agricultural monocultures largely reduce foraging success, suburban gardens can increase resource intake well above rates found in natural habitats of bees, indicating that human activities can both decrease and increase the availability of resources in a landscape and thus reduce or enhance bee fitness.
Zusammenfassung
Die vorliegende Arbeit wurde in drei Teilbereiche untergliedert. Der erste Teil beschäftigte sich mit der Untersuchung des anionischen Systems K[(OC)3M(PMe3)(SiR3)] (M = Fe, Ru, Os; R = Me, Et, Ph) und dessen Reaktivität gegenüber Dihalogenboranen. Der zweite Teil widmete sich der Untersuchung der Reaktivät des Eisenbis(borylen)komplexes 45 gegenüber verschiedenen Lewis-Basen und Lewis-Säuren. Im letzten Teil der Arbeit wurde die Insertion von Metallfragmenten der Übergangsmetalle der Gruppe 8 in die M=B-Doppelbindung des Borylenkomplexes 28 untersucht.
Durch Umsetzungen der anionischen Osmiumverbindung 64 mit Cl2BDur und Br2BDur konnten die Borylkomplexe 67 und 68 erhalten werden (SCHEMA 56). Die Untersuchungen zum sterischen Einfluss des Silylsubstituenten zeigten, dass die Osmiumkomplexe 65 und 66 mit SiEt3- bzw. SiPh3-Substituenten in die entsprechenden Borylkomplexe überführt werden können, wobei diese Spezies nicht analysenrein isoliert werden konnten.
Der Borylkomplex 68 konnte nachfolgend weder unter thermischen Bedingungen, noch unter Verwendung der Lewis-Base Pyridin bzw. des Halogenabstraktionsmittels Na[BArCl4] in einen terminalen Osmiumborylenkomplex umgewandelt werden (Schema 57).
Anfängliche Studien zur Reaktivität der anionischen Rutheniumverbindungen 81-83 gegenüber Dihalogenboranen haben sich auf den sterischen Einfluss der borgebundenen Arylsubstituenten konzentriert. Hierdurch konnte gezeigt werden, dass eine Ph-Substitution keine ausreichende Stabilisierung der entstehenden Borylkomplexe liefert. Im Gegensatz dazu erwies sich der sterische Anspruch von Duryl- und Mesitylsubsituenten als ideal für die Bildung stabiler Borylkomplexe, wohingegen die sterische Überfrachtung der Supermesityl- und Terphenylsubstituenten eine Salzeliminierungsreaktion von vornherein verhindert.
Der Einfluss des Halogensubstituenten in X2BDur (X = Cl, Br) wurde anhand der Reaktivität gegenüber 81 näher untersucht. In beiden Fällen konnten die entsprechenden Borylkomplexe 84 und 85 isoliert und charakterisiert werden. Da bei der Umsetzung mit Br2BDur auch noch weitere Produkte zu erkennen waren, wurde der sterische Einfluss des Silylsubstituenten in 82 und 83 auf die Produktverteilung bei Reaktion mit Br2BDur untersucht. Es hat sich gezeigt, dass die Wahl der Reaktionsbedingungen einen starken Einfluss auf den Reaktionsverlauf ausübt. So konnte durch regelmäßiges Entgasen der Reaktionslösung der Rutheniumborylenkomplex 86 erhalten werden, während eine thermische Reaktionsführung unter CO-Atmosphäre selektiv zu einer Silylboraneliminierung führte, dessen Produkt indirekt über die Bildung von [(OC)4Ru(PMe3)] (75) nachgewiesen werden konnte (Schema 59).
Während die Umsetzung der analogen Eisenspezies K[(OC)3Fe(PMe3)(SiEt3)] (92) mit Cl2BDur lediglich zu Zersetzung führte, konnte im Verlauf der Reaktion mit Br2BDur eine neue, sehr interessante Reaktivität beobachtet werden. Hier war die Salzeliminierungsreaktion mit einer Alkylboraneliminierung verbunden, wobei der intermediär entstehende Silylenkomplex (95) in situ zum dinuklearen, zweifach-verbrückten Bis(silylen)komplex 94 dimerisierte (SCHEMA 60). Unter photolytischen Bedingungen konnte 94 weiter in den dreifach-verbrückten Bis(silylen)komplex 96 überführt werden, welcher den ersten strukturell charaktersierten Komplex dieser Art darstellt.
In SCHEMA 61 sind alle relevanten Reaktivitäten des Systems K[(OC)3M(PMe3)(SiR3)] gegenüber X2BDur (X = Cl, Br) zusammen mit den Ergebnissen vorangegangener Arbeiten in einer Übersicht dargestellt.
Der zweite Teil dieser Arbeit beschäftigte sich mit der Reaktivität des Eisenbis(borylen)komplexes [(OC)3Fe(=BDur){=BN(SiMe3)2}] (45). Zunächst wurde 45 mit verschiedenen Lewis-Basen umgesetzt. Während die Umsetzungen mit verschiedenen NHCs (IMe, IMes, IDipp) nur zu Zersetzung führte, konnte durch die Reaktion mit cAACMe der außergewöhnliche Komplex 98 isoliert und vollständig charakterisiert werden (SCHEMA 62). Dieser stellt das erste Beispiel für eine intramolekulare Spaltung eines Carbonylliganden in einem einkernigen Komplex dar.
Anschließend wurde die Reaktivität von 45 gegenüber den Lewis-Säuren BBr3, AlBr3 und GaBr3 untersucht. Während die Umsetzung von 45 mit AlBr3 lediglich zu Zersetzung führte, konnte mit GaBr3 als Hauptprodukt Br2BDur nachgewiesen werden. In einem möglichen Reaktionsmechanismus ist die Reaktion mit einer 1,2-Addition des GaBr3 unter Bildung eines Gallylkomplexes verbunden, welcher nach Abspaltung von Br2BDur in einen instabilen Gallylenkomplex übergeht (SCHEMA 63).
Die Umsetzung von 45 mit BBr3 lieferte bei tiefen Temperaturen den zweikernigen Tris(borylen)komplex 100 (SCHEMA 64), welcher ein Analogon des wohlbekannten Fe2(CO)9 darstellt.
Das abschließende Kapitel dieser Arbeit befasste sich mit der Insertion von Metallfragmenten der Gruppe 8-Übergangsmetalle in die M=B-Doppelbindung von [(OC)5Mo=BN(SiMe3)2] (28). Während bei den Umsetzungen von 28 mit [(OC)4Fe(PMe3)] (90) und [(OC)4Ru(PMe3)] (75) die MOLPs 104 und 105 nur NMR-spektroskopisch nachgewiesen werden konnten, war die Isolierung des MOLPs 103 sowie dessen strukturelle Charakterisierung möglich (SCHEMA 65). Bemerkenswert ist hierbei, dass die Reaktion sowohl unter thermischen als auch unter photolytischen Bedingungen durchgeführt werden kann.
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.
Die Interaktion mit Gehirnendothelzellen stellt ein zentraler Schritt in der Infektionspathogenese von Neisseria meningitidis dar. In dieser Promotionsarbeit konnte gezeigt werden, dass die Infektion von menschlichen Gehirnendothelzellen mit N. meningitidis zu einer transienten Aktivierung der sauren Sphingomyelinase (ASM) gefolgt von einer vermehrten Ceramidproduktion führt. Als Antwort auf die Infektion mit N. meningitidis kommt es zu einer vermehrten Präsentation der ASM und von Ceramiden an der äusseren Seite der Plasmamembran und zu einer Ausbildung von großen Ceramid-reichen Membran-Domänen, welche mit cortical plaque assoziierten Proteinen kolokalisieren. Bei dieser N. meningitids vermittelten Aktivierung der ASM spielt das bakterielle Aussenmembranprotein Opc sowie die Aktivierung der Phosphatidylcholin-spezifische Phospholipase C über die Interaktion von Opc mit Heparansulfat-Proteoglykane eine entscheidende Rolle. Die pharmakologische oder genetische Inhibition der ASM Funktion führt zu einer geringeren Invasivität der Meningokokken ohne dabei die Adhärenz zu beeinflussen. Im Einklang mit diesen Ergebnissen steht die Beobachtung, dass die geringere Invasivität von ausgewählten Isolaten des ST-11/ST-8 Komplex in menschlichen Gehirnendothelzellen direkt mit ihrer eingeschränkter Fähigkeit korreliert, die ASM zu aktivieren bzw. eine Ceramidproduktion zu induzieren. Schlussfolgernd ist die ASM Aktivierung und eine nachfolgende Ceramidproduktion essenziell für die Internalisierung von Opc-exprimierende Meningokokken in Gehirnendothelzellen und bietet einen Erklärungsansatz für die unterschiedliche Invasivität von verschiedenen N. meningitidis Stämmen.
In einem ex vivo Modell wurde die Stabilität verschiedener Beugesehnennähte mit unterschiedlichen Nahtmaterialien und -methoden verglichen. Darunter eine knotenlose Technik mit Nahtmaterial mit Widerhaken. Des weiteren wurde der Stabilitätsvorteil durch eine zusätzliche Feinadaptionsnaht getestet. Angelehnt an eine frühe postoperative aktive Nachbehandlung wurde auch ein dynamisches Testmodell mit zyklischer Vorbelastung angewendet.
Das Ziel der Arbeit war zu untersuchen, ob der Stoffwechsel kolorektaler Karzi-nomzellen geeignete Targetstrukturen für mögliche therapeutische Ansätze aufweist. In Krebszellen induziert sowohl der Warburg-Effekt bei Normoxie als auch die anaerobe Glykolyse bei Hypoxie eine massive Bildung von Laktat. Wird die Krebszelle dauerhaft daran gehindert, die für die Glykolyse notwendi-gen Reduktionsäquivalente NADH+H+ mit Hilfe der Laktatdehydrogenase zu reoxidieren und/oder Laktat über die Transporter MCT1 und MCT4 nach außen zu schleusen, dann löst diese Kombination aus Mangelsituation und intrazellulärer Ansäuerung den apoptotischen Zelltod aus. Für die Situation in vivo ist entscheidend, dass auch Zellen von Normalgeweben zwar Laktat in Hypoxie bilden, dies jedoch keine vorherrschende physiologische Situation darstellt.
Die Hemmstoffe Natriumoxamat (NaOx) für die Laktatdehydrogenase und α-Cyano-4-Hydroxycinnamat (αCHC) für MCT1 und MCT4 wurden an den sechs humanen kolorektalen Karzinomzelllinien Colo741, HCT116, HT29, LS174T, SW620 und WiDr untersucht. Zusätzlich wurde der Glukoseverbrauch und die Laktatbildung bestimmt und die Funktion der Atmungskette überprüft. Die IC50-Werte für 5-FU, NaOx und αCHC wurden bestimmt und danach NaOx in einer Konzentration von 40x10-3 mol/L, αCHC in einer Konzentration von 2x10-3 mol/L und 5-FU in einer Konzentration von 5x10-6 mol/L eingesetzt. Die Zellen wurden bei tumorphysiologischen Sauerstoffkonzentrationen von 5 % und 1 % Sauerstoff für bis zu 120 Stunden inkubiert.
Die Funktion der Atmungskette in den Mitochondrien der kolorektalen Karzi-nomzellen wurde u. a. durch Bestimmung wichtiger Kenngrößen wie dem P:O Quotienten und des respiratorischen Kontrollindex (RKI) nachgewiesen. Fünf der sechs Karzinomzelllinien wiesen im Vergleich zur Kontrollzelllinie J774 einen verringerten P:O-Quotienten und respiratorischen Kontrollindex (RKI) auf, was darauf hindeutet, dass die Funktion der Mitochondrien dieser Zellen im Vergleich zu Kontrollzellen zwar verringert war, aber nicht vollständig aufgehoben. Dieses Ergebnis stützt die allgemein akzeptierte Auffassung, dass die meisten Tumore über funktionelle Mitochondrien verfügen.
Durch die Analyse des Glukosestoffwechsels wurden die sechs kolorektalen Zelllinien, die einen unterschiedlich stark ausgeprägten glykolytischen Phänotyp aufwiesen, nach der Stärke der Laktatbildung bei 5 % Sauerstoff in drei Kategorien eingeordnet. Zudem wurde für jede der sechs Zelllinien die Expression von LDH-A, LDH-B sowie MCT-1 und MCT-4 auf Proteinebene nachgewiesen.
Wesentliches Ziel der Untersuchungen war die Überprüfung des antiprolife-rativen Potentials der beiden Inhibitoren NaOx und αCHC einzeln oder in Kombination mit 5-FU bei den tumorspezifischen Sauerstoffkonzentrationen von 5 % und 1 %. Die Kombination aus NaOx und αCHC induzierte bei 1 % Sauerstoff nach 9 Tagen in Kultur zytotoxische Effekte und war damit so wirksam wie 5x10-6 mol/L 5-FU. Die Zugabe von 5-FU zur Kombination aus NaOx und αCHC führte zu keiner Steigerung des zelltoxischen Effektes. Die beiden Inhibitoren NaOx und αCHC waren für SW620 Zellen weniger wirksam als für Zellen der anderen fünf Zelllinien. Das mehr „oxidative“ Profil von SW620 Zellen (bester P:O-Quotient, geringste Laktatbildung bei 5 % und 1 % Sauerstoff; zudem die höchsten IC50-Werte für NaOx und αCHC) könnte erklären, warum die beiden Stoffwechselinhibitoren, die einen glykolytischen Phänotyp (starke Bildung von Laktat) erfordern, für SW620 Zellen von geringerer Wirksamkeit waren.
Für die Hemmstoffe NaOx und αCHC wurden zytostatische bzw. zytotoxische Effekte in kolorektalen Karzinomzellen gezeigt. Dies deutet darauf hin, dass Krebszellen auf einen ungehinderten glykolytischen Stoffwechsel angewiesen sind. Für beide Hemmstoffe wurde ebenfalls gezeigt, dass sie auch bei tumorre-levanten Sauerstoffkonzentrationen von 5 % und 1 % wirksam sind.
Marginalzonen-Lymphome (MZL) gehören zur Gruppe der indolenten Non-Hodgkin-Lymphome der B-Zell-Reihe, zu denen nach der aktuellen WHO-Klassifikation auch die primär kutane Marginalzonen-Lymphome (PCMZL) zählen. Eine klonale Leicht- und Schwerkettenexpression kann immunhistochemisch speziell in MZL mit sekretorischer/plasmozytoider Differenzierung (unabhängig von ihrer Primärlokalisation) nachgewiesen werden. In Voruntersuchungen war aufgefallen, dass von primär kutanen MZL ungewöhnlich häufig IgG bzw. IgG4 exprimiert wird, während extrakutane MZL auch nach Literaturangaben eine präferentielle IgM-Expression aufweisen. In der hier vorgelegten Arbeit wurde die Prävalenz einer IgG4-Expression an einer großen Kohorte von sekretorisch/plasmazellulär differenzierten MZL untersucht. Hierzu wurde die Immunglobulinschwerkettenexpression an 169 MZL unterschiedlicher Primärlokalisationen immunhistochemisch analysiert. Es konnte gezeigt werden, dass PCMZL überzufällig häufig IgG exprimieren (78 %, 35/49), wobei der Anteil IgG4-positiver PCMZL mit 54 % (19 von 35) sogar über dem der anderen drei IgG-Subklassen lag (46 %, 16/35). Unter den 120 anderen, nicht kutanen MZL war lediglich ein okuläres MZL positiv für die Schwerkette IgG4.
Ferner wurde an dem in dieser Arbeit näher charakterisierten Kollektiv der PCMZL molekularbiologische Untersuchungen zur Frage einer MyD88 (L265P)-Mutation durchgeführt, die letztendlich in keinem der diesbezüglich auswertbaren 45 PCMZL nachgewiesen werden konnte.
Die Messung der Herzfrequenzvariabilität (HRV) stellt ein sensitives Verfahren dar, um die Aktivität des autonomen Nervensystems zu erfassen. Die HRV beschreibt die sich ständig wechselnden zeitlichen Unterschiede aufeinanderfolgender Herzschläge und unterliegt vor allem der Steuerung des sympathischen und des parasympathischen Nervensystems. Die Ermittlung der HRV erfolgt über Kurz- und Langzeit-EKG-Aufzeichnungen.
Störungen in der autonomen Kontrolle wurden mit vielen Krankheiten, v.a. mit einem erhöhten Risiko für kardiovaskuläre Erkrankungen, in Verbindung gebracht. Die Imbalance des autonomen Nervensystems, welche durch eine Hyperaktivität des sympathischen Nervensystems und einer verminderten Aktivität des parasympathischen Nervensystems charakterisiert ist, könnte einer der entscheidenden Faktoren sein, welcher zu einer erhöhten Morbidität und Mortalität von kardiovaskulären Erkrankungen führt. Ob diese Störungen in der autonomen Kontrolle zudem auch eine wichtige Rolle für das gehäufte Auftreten kardiovaskulärer Erkrankungen bei kleinwüchsigen Menschen einnehmen, ist Gegenstand heutiger Forschung.
Für ein besseres Verständnis der Verbindung zwischen Körpergröße und kardiovaskulärem Risiko wurden in dieser Arbeit HRV-Analysen aus 24h-Langzeit-EKG-Aufzeichungen ausgewertet.
Die Herzfrequenzvariabilität von 30 kleinwüchsigen Kindern (MWAlter = 6,3 ± 3,6 Jahre), darunter 17 ehemalige hypothrophe Neugeborene (sog. „Small for gestational age“, SGA), 11 Kinder mit einer konstitutionellen Entwicklungsverzögerung (KEV) und 2 Kinder mit einem nachgewiesenen idiopathischen isolierten Wachstumshormonmangel (Growth hormone deficiency, GHD) wurden hierfür mit einer Kontrollgruppe von 121 normwüchsigen und herzgesunden Kindern verglichen.
Zusätzlich wurde die HRV von 30 Kindern unter langjähriger Wachstumshormontherapie (MWAlter = 10,8 ± 3,7 Jahre), darunter 20 Kinder mit einer GHD und 10 SGA-Kinder, mit dieser Kontrollgruppe verglichen, um den Einfluss einer Substitutionstherapie auf das autonome Nervensystem zu ergründen.
Es zeigte sich, dass kleinwüchsige Kindern ab einem Alter von 9 Jahren eine signifikant herabgesetzte Herzfrequenzvariabilität haben. Die SDNN (Standard deviation of normal RR-intervals) als Maß der Gesamtvariabilität und die vagal modulierten HRV-Parameter RMSSD (Root mean squared of successive difference) und pNN50 (Percent NN differences over 50 ms) waren signifikant erniedrigt. Zudem zeigte sich bei diesen Kindern eine signifikant erhöhte Herzfrequenz bei Tag und Nacht.
Kleinwüchsige präpubertäre Kinder unter 9 Jahren zeigten dagegen keine Veränderungen der HRV und der Herzfrequenz im Vergleich zur Kontrollgruppe. Eine Therapie mit Wachstumshormonen bei Kindern mit einem idiopathischen isolierten Wachstumshormonmangel und SGA-Kindern ohne Aufholwachstum scheint dagegen keinen Einfluss auf die Herzfrequenzvariabilität zu haben. Diese blieb trotz Substitutionstherapie auch weiterhin erniedrigt.
Durch die Aufzeichnung von 24h-Langzeit-EKGs und anschließender HRV-Analyse während eines Clonidin-Wachstumshormonstimulationstests bei kleinwüchsigen Kindern sollte zudem die Rolle des zentralen α2-Adrenorezeptors in der Pathogense des Kleinwuchses untersucht werden.
Erstaunlicherweise kam es nur bei den Kindern mit einer konstitutionellen Entwicklungsverzögerung (KEV) zu einem erwarteten signifikanten Anstieg der vagal modulierten HRV-Parameter sowie zu einem Absinken des sympathisch modulierten HRV-Parameters LFn. Kinder mit einer GHD zeigten weder einen adäquaten Anstieg der Wachstumshormon-Ausschüttung noch eine Reaktion des sympathischen und des parasympathischen Nervensystems auf die Clonidingabe. Bei den SGA-Kindern konnte nur ein Anstieg der vagal modulierten Parameter, nicht jedoch ein Abfall der sympathisch modulierten Parameter, gemessen werden.
Es muss daher davon ausgegangen werden, dass der zentrale α2-Adrenorezeptor eine wichtige Rolle bei der Entstehung des Kleinwuchses, zumindest bei Kindern mit einem idiopathischen Wachstumshormonmangel und evtl. auch bei SGA-Kindern, einnimmt.
In der vorliegenden Arbeit wurden vorsprachliche, kognitive und motorische Fähigkeiten von Säuglingen mit isolierter Sagittalnahtsynostose im Alter von 5 bis 7 Monaten mit einer gleichaltrigen Kontrollgruppe verglichen.
Die Sagittalnahtsynostose ist eine spezielle Form der Kraniosynostose, unter der man allgemein eine vorzeitige Verknöcherung von Schädelnähten versteht, die zur Entstehung pathologischer Kopfformen führt.
Die isolierte Sagittalnahtsynostose ist mit 190 Erkrankten pro eine Million Lebendgeburten die häufigste Variante der Kraniosynostose (Lajeunie et al., 1996). In verschiedenen Studien der letzten 15 Jahre wurden erhöhte Risiken für Beeinträchtigungen in den Bereichen Sprache, Kognition und Motorik bei Patienten mit isolierter Kraniosynostose beschrieben (Boltshauser et al., 2003; Chieffo et al., 2010; Da Costa et al., 2012; Kapp-Simon et al., 2007; Knight et al., 2014; Korpilahti et al., 2012; Magge et al., 2002; Mendonca et al., 2009; Shipster et al., 2003; Starr et al., 2007; Virtanen et al., 1999). Hier wurde untersucht, ob bereits präoperativ anhand vorsprachlicher Leistungen korrespondierende Auffälligkeiten bei Säuglingen mit Sagittalnahtsynostose nachweisbar sind.
Die Untersuchung der Probanden fand im Rahmen eines interdisziplinären Forschungsprojekts an der Universitätsklinik Würzburg unter dem Titel „Dreidimensionale stereophotogrammetrische Diagnostik des Schädels und Evaluierung der Therapie bei Kindern mit kraniofazialen Fehlbildungen unter Berücksichtigung der psychomotorischen Entwicklung“ statt. Im Rahmen dieser klinischen Pilotstudie werden die Kopfmaße der Säuglingsschädel mithilfe eines non-invasiven 3D-Scans erfasst und anschließend digital ausgewertet.
Für die Untersuchungen der vorsprachlichen Entwicklung wurden akustische Eigenschaften spontan geäußerter Komfortvokalisationen der Probanden analysiert. Dies geschah am Zentrum für vorsprachliche Entwicklung und Entwicklungsstörungen (ZVES) an der Poliklinik für Kieferorthopädie. Hierbei wurden unterschiedliche Grundfrequenzparameter sowie Laut- und Pausenlängen von Babbellauten untersucht.
Die Analyse der Säuglingsvokalisationen dient der Identifizierung potentieller neurophysiologischer Störungen. Soweit dem Verfasser der vorliegenden Dissertation bekannt, ist dies die erste Anwendung dieses Analyseverfahrens bei Säuglingen mit isolierter Sagittalnahtsynostose.
Insgesamt wurden ca. 2000 Vokalisationen von 14 Säuglingen mit isolierter Sagittalnahtsynostose sowie von 14 Kontrollkindern im Signalanalyselabor des ZVES mithilfe spezifischer Analyseprogramme ausgewertet. Dabei wurden ausschließlich Komfortvokalisationen ausgewählt; Weinen und vegetative Laute wurden ausgeschlossen.
Bei den Ergebnissen der Lautanalysen zeigten sich keine signifikanten Unterschiede zwischen den beiden Untersuchungsgruppen. Hinweise auf neurophysiologische Defizite der Säuglinge mit Sagittalnahtsynostose im Alter von 6 Monaten konnten aufgrund der Ergebnisse der Vorsprachlichen Diagnostik in der vorliegenden Untersuchung nicht gefunden werden. Es wurde lediglich eine größere Variabilität in der PG gefunden. Das könnte darauf hinweisen, dass einzelne Kinder ein Risiko für eine nachfolgende Entwicklungsverzögerung aufzeigen. Diese Annahme sollte durch Nachuntersuchung verifiziert bzw. widerlegt werden.
Neben der Sprachentwicklung wurden die Probanden auch bezüglich ihrer kognitiven und motorischen Leistungsfähigkeit getestet hier ausgewertet. Hierfür wurde die deutsche Fassung des Entwicklungstests Bayley Scales of Infant Development II verwendet.
Die Auswertung der kognitiven und motorischen Tests bestätigte die Ergebnisse der Lautanalysen. Es lagen keine signifikanten Unterschiede zwischen den beiden Probandengruppen vor. Die motorischen und kognitiven Fähigkeiten können im Mittel bei beiden Gruppen als gleichwertig angesehen werden. Es wurden zusätzlich Korrelationsanalysen durchgeführt, um einen möglichen Zusammenhang zwischen kognitiven, motorischen und zephalometrischen Parameter und den Lautparametern zu erkennen. Es lagen keine signifikanten Zusammenhänge zwischen den Parametern vor.
Die vorliegende Arbeit hat aufgrund der geringen Stichprobenzahl und angesichts des Pioniercharakters begrenzte Aussagekraft. Sie liefert aber eine geeignete Grundlage für weiterführende Studien an einem größeren Probandenkollektiv.
Im Rahmen dieser Arbeit werden die Nebenläufigkeit, Konsistenz und Latenz in asynchronen
Interaktiven Echtzeitsystemen durch die Techniken des Profilings und des Model
Checkings untersucht. Zu Beginn wird erläutert, warum das asynchrone Modell das vielversprechendste
für die Nebenläufigkeit in einem Interaktiven Echtzeitsystem ist. Hierzu
wird ein Vergleich zu anderen Modellen gezogen. Darüber hinaus wird ein detaillierter
Vergleich von Synchronisationstechnologien, welche die Grundlage für Konsistenz
schaffen, durchgeführt. Auf der Grundlage dieser beiden Vergleiche und der Betrachtung
anderer Systeme wird ein Synchronisationskonzept entwickelt.
Auf dieser Basis wird die Nebenläufigkeit, Konsistenz und Latenz mit zwei Verfahren
untersucht. Die erste Technik ist das Profiling, wobei einige neue Darstellungsformen von
gemessenen Daten entwickelt werden. Diese neu entwickelten Darstellungsformen werden
in der Implementierung eines Profilers verwendet. Als zweite Technik wird das Model
Checking analysiert, welches bisher noch nicht im Kontext von Interaktiven Echtzeitsystemen
verwendet wurde. Model Checking dient dazu, die Verhaltensweise eines Interaktiven
Echtzeitsystems vorherzusagen. Diese Vorhersagen werden mit den Messungen aus
dem Profiler verglichen.
Cervical dystonia (CD) is a movement disorder which affects daily living of many patients. In clinical practice, several unmet treatment needs remain open. This article focuses on the four main aspects of treatment. We describe existing and emerging treatment approaches for CD, including botulinum toxin injections, surgical therapy, management of non-motor symptoms, and rehabilitation strategies. The unsolved issues regarding each of these treatments are identified and discussed, and possible future approaches and research lines are proposed.
Unique features of a global human ectoparasite identified through sequencing of the bed bug genome
(2016)
The bed bug, Cimex lectularius, has re-established itself as a ubiquitous human ectoparasite throughout much of the world during the past two decades. This global resurgence is likely linked to increased international travel and commerce in addition to widespread insecticide resistance. Analyses of the C. lectularius sequenced genome (650 Mb) and 14,220 predicted protein-coding genes provide a comprehensive representation of genes that are linked to traumatic insemination, a reduced chemosensory repertoire of genes related to obligate hematophagy, host–symbiont interactions, and several mechanisms of insecticide resistance. In addition, we document the presence of multiple putative lateral gene transfer events. Genome sequencing and annotation establish a solid foundation for future research on mechanisms of insecticide resistance, human–bed bug and symbiont–bed bug associations, and unique features of bed bug biology that contribute to the unprecedented success of C. lectularius as a human ectoparasite.
The global-local sustainable development and climate change adaptation policy, and the emerging political discourse on the value of local Adaptation, have positioned the local institutions and their governance space within the strategic enclaves of multilevel governance system. Such shifts have transformed the context for sustainable Nature Based Tourism (NBT) development and adaptation in Nepal in general, and its protected areas, in particular. The emerging institutional adaptation discourse suggests on the need to link tourism development, adaptation and governance within the sustainability concept, and also to recognize the justice and inclusive dimensions of local adaptation. However, sociological investigation of institutional adaptation, particularly at the interface between sustainability, justice and inclusive local adaptation is an undertheorized research topic.
This exploratory study examined the sociological process of the institutional adaptation, especially the social resilience and adaptive governance capacities of the NBT institutions, in 7 Village Development Committees of the Mustang district, a popular destination in the Annapurna Conservation Area, Nepal. Using the sphere (a dynamic social space concept) and quality of governance as the analytical framework, the integrative adaptation as the methodological approach and the case study action research method, the study investigated and generated a holistic picture on the state of the social resilience and adaptive governance capacities of the NBT institutions.
The findings show institutional social resilience capacities to be contingent on socio-political construction of adaptation knowledge and power. Factors influencing such constructions among NBT institutions include: the site and institutions specific political, economic and environmental dispositions; the associated socio-political processes of knowledge constructions and volition action; and the social relationships and interaction, operating within the spheres and at multiple governance levels. The adaptive governance capacities hinge on the institutional arrangements, the procedural aspects of adaptation governance and the governmentality. These are reflective of the diverse legal frameworks, the interiority perspective of the decision making and governance practices of the NBT institutions.
In conclusion, it is argued that effective local adaptation in the Mustang district is contingent on the adaptation and institutional dynamics of the NBT institutions, consisting of the cognitive, subjective, process and procedural aspects of the adaptation knowledge production and its use.
We investigate the dispersion properties of ridge Bragg-reflection waveguides to deduce their phasematching characteristics. These are crucial for exploiting them as sources of parametric down-conversion (PDC). In order to estimate the phasematching bandwidth we first determine the group refractive indices of the interacting modes via Fabry-Perot experiments in two distant wavelength regions. Second, by measuring the spectra of the emitted PDC photons, we gain access to their group index dispersion. Our results offer a simple approach for determining the PDC process parameters in the spectral domain, and provide important feedback for designing such sources, especially in the broadband case.
Various Mitsunobu conditions were investigated for a series of flavonolignans (silybin A, silybin B, isosilybin A, and silychristin A) to achieve either selective esterification in position C-23 or dehydration in a one-pot reaction yielding the biologically important enantiomers of hydnocarpin D, hydnocarpin and isohydnocarpin, respectively. This represents the only one-pot semi-synthetic method to access these flavonolignans in high yields.
Room temperature hydrogenation of an SIDep-stabilized diboryne (SIDep = 1,3-bis(diethylphenyl)-4,5-dihydroimidazol-2-ylidene) and a CAAC-supported diboracumulene (CAAC = 1-(2,6- diisopropylphenyl)-3,3,5,5-tetramethylpyrrolidin-2-ylidene) provided the first selective route to the corresponding 1,2-dihydrodiborenes. DFT calculations showed an overall exothermic (ΔG = 19.4 kcal mol\(^{-1}\) two-step asynchronous H\(_2\) addition mechanism proceeding via a bridging hydride.
Unaufhörliches Suchen – Gaddas Roman Quer pasticciaccio brutto de via Merulana als carmen perpetuum
(2016)
Gadda’s novel Quer Pasticciaccio brutto de Via Merulana tells the tale of two crimes committed in Rome in the 1920s. The search for the perpetrators turns into a pasticciaccio brutto (an awful mess), challenging the reader with its linguistic complexity and a myriad of references to history and culture; the large number of allusions to antiquity is particularly striking. References to Virgil’s Aeneid and to Rome’s mythical past do not constitute a mere transfer, but document a creative approach of transformational nature. Deformation and inversion are part of this process, changing the μορφή not only in formal terms, but also within the plot itself. These transformations of both form and content are read as Metamorphoses and analysed in comparison to Ovid’s homonymous work. The perpetual, never-ending quest for truth in Gadda’s novel necessitates a perpetual, never-ending narrative, which is conceptually related to Ovid’s carmen perpetuum.
Optical properties of modified type II W-shaped quantum wells have been investigated with the aim to be utilized in interband cascade lasers. The results show that introducing a tensely strained GaAsSb layer, instead of a commonly used compressively strained GaInSb, allows employing the active transition involving valence band states with a significant admixture of the light holes. Theoretical predictions of multiband k.p theory have been experimentally verified by using photoluminescence and polarization dependent photoreflectance measurements. These results open a pathway for practical realization of mid-infrared lasing devices with uncommon polarization properties including, for instance, polarization-independent midinfrared light emitters.
Trypanosomes are masters of adaptation to different host environments during their complex life cycle. Large-scale proteomic approaches provide information on changes at the cellular level, and in a systematic way. However, detailed work on single components is necessary to understand the adaptation mechanisms on a molecular level. Here, we have performed a detailed characterization of a bloodstream form (BSF) stage-specific putative flagellar host adaptation factor Tb927.11.2400, identified previously in a SILAC-based comparative proteome study. Tb927.11.2400 shares 38% amino acid identity with TbFlabarin (Tb927.11.2410), a procyclic form (PCF) stage-specific flagellar BAR domain protein. We named Tb927.11.2400 TbFlabarin-like (TbFlabarinL), and demonstrate that it originates from a gene duplication event, which occurred in the African trypanosomes. TbFlabarinL is not essential for the growth of the parasites under cell culture conditions and it is dispensable for developmental differentiation from BSF to the PCF in vitro. We generated TbFlabarinL-specific antibodies, and showed that it localizes in the flagellum. Co-immunoprecipitation experiments together with a biochemical cell fractionation suggest a dual association of TbFlabarinL with the flagellar membrane and the components of the paraflagellar rod.
This study investigates a two component decomposition technique for HH/VV-polarized PolSAR (Polarimetric Synthetic Aperture Radar) data. The approach is a straight forward adaption of the Yamaguchi decomposition and decomposes the data into two scattering contributions: surface and double bounce under the assumption of a negligible vegetation scattering component in Tundra environments. The dependencies between the features of this two and the classical three component Yamaguchi decomposition were investigated for Radarsat-2 (quad) and TerraSAR-X (HH/VV) data for the Mackenzie Delta Region, Canada. In situ data on land cover were used to derive the scattering characteristics and to analyze the correlation among the PolSAR features. The double bounce and surface scattering features of the two and three component scattering model (derived from pseudo-HH/VV- and quad-polarized data) showed similar scattering characteristics and positively correlated-R2 values of 0.60 (double bounce) and 0.88 (surface scattering) were observed. The presence of volume scattering led to differences between the features and these were minimized for land cover classes of low vegetation height that showed little volume scattering contribution. In terms of separability, the quad-polarized Radarsat-2 data offered the best separation of the examined tundra land cover types and will be best suited for the classification. This is anticipated as it represents the largest feature space of all tested ones. However; the classes “wetland” and “bare ground” showed clear positions in the feature spaces of the C- and X-Band HH/VV-polarized data and an accurate classification of these land cover types is promising. Among the possible dual-polarization modes of Radarsat-2 the HH/VV was found to be the favorable mode for the characterization of the aforementioned tundra land cover classes due to the coherent acquisition and the preserved co-pol. phase. Contrary, HH/HV-polarized and VV/VH-polarized data were found to be best suited for the characterization of mixed and shrub dominated tundra.
Background
Over the past two decades, there has been a rising trend in malignant melanoma incidence worldwide. In 2008, Germany introduced a nationwide skin cancer screening program starting at age 35. The aims of this study were to analyse the distribution of malignant melanoma tumour stages over time, as well as demographic and regional differences in stage distribution and survival of melanoma patients.
Methods
Pooled data from 61 895 malignant melanoma patients diagnosed between 2002 and 2011 and documented in 28 German population-based and hospital-based clinical cancer registries were analysed using descriptive methods, joinpoint regression, logistic regression and relative survival.
Results
The number of annually documented cases increased by 53.2% between 2002 (N = 4 779) and 2011 (N = 7 320). There was a statistically significant continuous positive trend in the proportion of stage UICC I cases diagnosed between 2002 and 2011, compared to a negative trend for stage UICC II. No trends were found for stages UICC III and IV respectively. Age (OR 0.97, 95% CI 0.97–0.97), sex (OR 1.18, 95% CI 1.11–1.25), date of diagnosis (OR 1.05, 95% CI 1.04–1.06), ‘diagnosis during screening’ (OR 3.24, 95% CI 2.50–4.19) and place of residence (OR 1.23, 95% CI 1.16–1.30) had a statistically significant influence on the tumour stage at diagnosis. The overall 5-year relative survival for invasive cases was 83.4% (95% CI 82.8–83.9%).
Conclusions
No distinct changes in the distribution of malignant melanoma tumour stages among those aged 35 and older were seen that could be directly attributed to the introduction of skin cancer screening in 2008.
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TRPC4α and TRPC4β Similarly Affect Neonatal Cardiomyocyte Survival during Chronic GPCR Stimulation
(2016)
The Transient Receptor Potential Channel Subunit 4 (TRPC4) has been considered as a crucial Ca\(^{2+}\) component in cardiomyocytes promoting structural and functional remodeling in the course of pathological cardiac hypertrophy. TRPC4 assembles as homo or hetero-tetramer in the plasma membrane, allowing a non-selective Na\(^{+}\) and Ca\(^{2+}\) influx. Gαq protein-coupled receptor (GPCR) stimulation is known to increase TRPC4 channel activity and a TRPC4-mediated Ca\(^{2+}\) influx which has been regarded as ideal Ca\(^{2+}\) source for calcineurin and subsequent nuclear factor of activated T-cells (NFAT) activation. Functional properties of TRPC4 are also based on the expression of the TRPC4 splice variants TRPC4α and TRPC4β. Aim of the present study was to analyze cytosolic Ca\(^{2+}\) signals, signaling, hypertrophy and vitality of cardiomyocytes in dependence on the expression level of either TRPC4α or TRPC4β. The analysis of Ca\(^{2+}\) transients in neonatal rat cardiomyocytes (NRCs) showed that TRPC4α and TRPC4β affected Ca\(^{2+}\) cycling in beating cardiomyocytes with both splice variants inducing an elevation of the Ca\(^{2+}\) transient amplitude at baseline and TRPC4β increasing the Ca\(^{2+}\) peak during angiotensin II (Ang II) stimulation. NRCs infected with TRPC4β (Ad-C4β) also responded with a sustained Ca\(^{2+}\) influx when treated with Ang II under non-pacing conditions. Consistent with the Ca\(^{2+}\) data, NRCs infected with TRPC4α (Ad-C4α) showed an elevated calcineurin/NFAT activity and a baseline hypertrophic phenotype but did not further develop hypertrophy during chronic Ang II/phenylephrine stimulation. Down-regulation of endogenous TRPC4α reversed these effects, resulting in less hypertrophy of NRCs at baseline but a markedly increased hypertrophic enlargement after chronic agonist stimulation. Ad-C4β NRCs did not exhibit baseline calcineurin/NFAT activity or hypertrophy but responded with an increased calcineurin/NFAT activity after GPCR stimulation. However, this effect was not translated into an increased propensity towards hypertrophy but rather less hypertrophy during GPCR stimulation. Further analyses revealed that, although hypertrophy was preserved in Ad-C4α NRCs and even attenuated in Ad-C4β NRCs, cardiomyocytes had an increased apoptosis rate and thus were less viable after chronic GPCR stimulation. These findings suggest that TRPC4α and TRPC4β differentially affect Ca\(^{2+}\) signals, calcineurin/NFAT signaling and hypertrophy but similarly impair cardiomyocyte viability during GPCR stimulation.
Das Ziel der vorliegenden Arbeit ist es, den Stellenwert von Trost im Umgang mit Patienten und Angehörigen aufzuzeigen und mittels einer empirischen Untersuchung zur Sterbebegleitung festzustellen, wie dies in der Realität im Klinikalltag umgesetzt wird. Hierfür wurde die Sterbebegleitung auf zwei unterschiedlichen Stationen innerhalb eines Krankenhauses qualitativ ausgewertet.
Der theoretische Teil der vorliegenden Arbeit zeigt anhand wissenschaftlicher Daten, welche unterschiedlichen Bedürfnisse schwerstkranke und sterbende Patienten und ihre Angehörigen an den Arzt im Hinblick auf Trost haben und wie diesen angemessen begegnet werden kann.
Mittels teilstrukturiertem Leitfadeninterview wurden Ärzte und Pflegekräfte als Experten dazu befragt, wie die Begleitung sterbender Patienten und ihrer Angehörigen aussieht und wie sie den Betroffenen Trost spenden. Die Aspekte Zeit, Raum, Personal und Ausbildung und ihr Einfluss auf die Begleitung wurden thematisiert. Zuletzt wurden die Experten nach ihrer Vorstellung von einem würdevollen Sterben im Krankenhaus und Ansätzen zur Verbesserung des Umgangs mit sterbenden Patienten und ihren Angehörigen gefragt.
Nach dem Prinzip des Theoretical Sampling der Grounded Theory nach Glaser und Strauss wurde die Sterbebegleitung auf einer Normal- und einer Palliativstation gegenübergestellt. Insgesamt wurden vier Ärzte und acht Pflegekräfte interviewt. Das Sampling pro Gruppe wurde beendet, nachdem die theoretische Sättigung erreicht war.
Die Auswertung der Interviews erfolgte nach dem Prinzip von Meuser und Nagel. Es wurde untersucht, wie Trost in der Begleitung sterbender Patienten und ihrer Angehörigen gestaltet wird. Unterschiede zwischen den beiden Stationen wurden herausgearbeitet und analysiert, worauf diese zurückzuführen sind. Lösungsansätze für eine Verbesserung der Situation im Krankenhaus wurden konzipiert.
Das Ergebnis der Untersuchung zeigt, dass sich alle befragten Ärzte und Pflegekräfte der existentiellen Ausnahmesituation von Sterbenden und Angehörigen bewusst sind und ein hohes Maß an Bereitschaft vorhanden ist, eine adäquate Begleitung zu gewährleisten.
Die Möglichkeiten der Sterbebegleitung auf der Palliativstation werden insgesamt als gut bewertet. Im Mittelpunkt steht die individuelle Begleitung des sterbenden Patienten und seiner Angehörigen. Bemängelt werden ein teilweise zu hoher Patientendurchlauf und eine zu geringe pflegerische Besetzung im Nachtdienst.
Im Gegensatz dazu wird die Arbeit der Begleiter auf der Normalstation durch den niedrigeren Personalschlüssel und die gegebenen Räumlichkeiten limitiert. Problematisch ist vor allem die mangelnde Ausbildung im Umgang mit Sterbenden und Angehörigen.
Um die Situation in Krankenhäusern, insbesondere auf den Normalstationen zu verbessern, sollte ein gesellschaftliches Umdenken stattfinden. Voraussetzung hierfür ist das Bewusstsein und die Akzeptanz, dass Sterben unabdingbar zum Leben gehört und somit auf jeder Station eines Krankenhauses stattfindet. Auf politischen Ebenen können entsprechende Maßnahmen in die Wege geleitet und die notwendigen Mittel bereitgestellt werden, damit nicht nur auf Palliativ- sondern auch auf Normalstationen geschultes Personal und geeignete Räumlichkeiten zur Verfügung stehen, um allen sterbenden Patienten und ihren Angehörigen eine bestmögliche Begleitung zuteilwerden zu lassen.
Treatment of an anionic dimanganaborylene complex ([{Cp(CO)\(_2\)Mn}\(_2\)B]\(^-\)) with coinage metal cations stabilized by a very weakly coordinating Lewis base (SMe\(_2\)) led to the coordination of the incoming metal and subsequent displacement of dimethylsulfide in the formation of hexametalladiborides featuring planar four-membered M\(_2\)B\(_2\) cores (M = Cu, Au) comparable to transition metal clusters constructed around four-membered rings composed solely of coinage metals. The analogies between compounds consisting of B\(_2\)M\(_2\) units and M\(_4\) (M = Cu, Au) units speak to the often overlooked metalloid nature of boron. Treatment of one of these compounds (M = Cu) with a Lewis-basic metal fragment (Pt(PCy\(_3\))\(_2\)) led to the formation of a tetrametallaboride featuring two manganese, one copper and one platinum atom, all bound to boron in a geometry not yet seen for this kind of compound. Computational examination suggests that this geometry is the result of d\(^{10}\)-d\(^{10}\) dispersion interactions between the copper and platinum fragments.
Magnetic Particle Imaging (MPI) ist eine noch sehr junge Technologie unter den nicht-invasiven tomographischen Verfahren. Seit der ersten Veröffentlichung 2005 wurden einige Scannertypen und Konzepte vorgestellt, welche durch die Messung des Antwortsignals von superparamagnetischen Eisennanopartikeln (SPIOs) auf wechselnde Magnetfelder ein dreidi-mensionales Bild ihrer Verteilung berechnen können. Durch die direkte Messung des Tracers handelt es sich beim MPI um eine sehr sensitive und hochspezifische bildgebende Methode.
Zu Beginn dieser Forschungsarbeit gab es nur wenige bekannte MPI-Scanner, die jedoch alle ein nur kleines Field-of-View (FOV) vorweisen konnten. Der Grund dafür liegt in der Ver-wendung von Permanentmagneten.
Das Ziel war es nun, ein neues Konzept auszuarbeiten und einen 3D-MPI-Scanner zu entwer-fen, der in der Lage ist, ein mausgroßes Objekt zu messen.
In dieser Arbeit wird ein alternatives Scannerkonzept für die dreidimensionale Bildge-bung superparamagnetischer Eisennanopartikel vorgestellt. Der Traveling Wave MPI-Scanner (TWMPI) basiert auf einem neu entwickelten Hauptspulensystem, welches aus mehreren Elektromagneten besteht. Dadurch ist die Hardware bereits in der Lage, eine Linie entlang der Symmetrieachse über einen großen Bereich dynamisch zu kodieren. Mit Hilfe weiterer Ab-lenkspulen kann schließlich ein FOV von 65 x 25 x 25 Millimetern dreidimensional abgetastet werden. Dazu stehen mehrere Scanverfahren zur Verfügung, welche das Probenvolumen li-nienweise oder ebenenweise abtasten und mit einer Auflösung von ca. 2 Millimetern die Ver-teilung der SPIOs in wenigen Millisekunden abbilden können.
Mit diesem neuen Hardwareansatz konnte erstmals ein MPI-Scanner mit einem MR-Tomographen (MRT) kombiniert werden. Das MPI/MRT-Hybridsystem liefert tomographi-sche Bilder des Gewebes (MRT) und zeigt die Verteilung des eisenhaltigen Kontrastmittels (MPI), ohne die Probe bewegen zu müssen.
In einer in-vivo Echtzeitmessung konnte der TWMPI-Scanner mit 20 Bildern pro Se-kunde die dynamische Verteilung eines eisenhaltigen Kontrastmittels im Körper und speziell im schlagenden Herzen eines Tieres darstellen. Diese Echtzeitfähigkeit eröffnet in der kardi-ovaskuläre Bildgebung neue Möglichkeiten.
Erste Messungen mit funktionalisierten Eisenpartikeln zeigen die spezifische Bildge-bung verschiedener Zelltypen und stellen einen interessanten Aspekt für die molekulare Bild-gebung dar. Die Sensitivität des Scanners liegt dabei im Bereich von wenigen Mikrogramm Eisen pro Milliliter, was für den Nachweis von wenigen 10.000 mit Eisen markierten Zellen ausreicht.
Neben Messungen an diversen Ferrofluiden und eisenhaltigen Kontrastmitteln konnte der Einfluss von massiven Materialen, wie Eisenstückchen oder Eisenspänen, auf die rekon-struierten Bilder untersucht werden.
Erste Messungen an Gestein zeigen die Verteilung von Eiseneinschlüssen und bieten die Möglichkeit einer weiteren zerstörungsfreien Untersuchungsmethode für Materialwissen-schaftler und Geologen. Weiterführende Testmessungen mit einer unabhängigen μMPI-Anlage zeigen erste Ergebnisse mit Auflösungen im Mikrometerbereich und liefern Erkennt-nisse für den Umgang und Messung mit starken Gradientenfeldern.
Eine Modifizierung der Messanlage erlaubt es, in gerade einmal 500 μs ein komplettes Bild aufzunehmen, womit die Bewegung eines Ferrofluidtropfens in Wasser sichtbar gemacht werden konnte. Damit ist diese TWMPI-Anlage das schnellste MPI-System und eröffnet die Möglichkeit grundlegende Erfahrungen in der Partikeldynamik zu erlangen.
Der vorgestellte Traveling Wave MPI-Scanner ist ein alternativer Scannertyp, welcher sich von anderen MPI-Scannern abhebt. Mit neuen Ansätzen ist in der Lage ein mausgroßes Objekt auf dynamische Weise sehr schnell abzutasten. Dabei konnten in verschiedenen Mes-sungen die Funktionalität und Leistungsfähigkeit des TWMPI-Konzeptes demonstriert wer-den, welche die gesteckten Ziele deutlich übertreffen.
Background
Spermatogenesis is a complex differentiation process that involves the successive and simultaneous execution of three different gene expression programs: mitotic proliferation of spermatogonia, meiosis, and spermiogenesis. Testicular cell heterogeneity has hindered its molecular analyses. Moreover, the characterization of short, poorly represented cell stages such as initial meiotic prophase ones (leptotene and zygotene) has remained elusive, despite their crucial importance for understanding the fundamentals of meiosis.
Results
We have developed a flow cytometry-based approach for obtaining highly pure stage-specific spermatogenic cell populations, including early meiotic prophase. Here we combined this methodology with next generation sequencing, which enabled the analysis of meiotic and postmeiotic gene expression signatures in mouse with unprecedented reliability. Interestingly, we found that a considerable number of genes involved in early as well as late meiotic processes are already on at early meiotic prophase, with a high proportion of them being expressed only for the short time lapse of lepto-zygotene stages. Besides, we observed a massive change in gene expression patterns during medium meiotic prophase (pachytene) when mostly genes related to spermiogenesis and sperm function are already turned on. This indicates that the transcriptional switch from meiosis to post-meiosis takes place very early, during meiotic prophase, thus disclosing a higher incidence of post-transcriptional regulation in spermatogenesis than previously reported. Moreover, we found that a good proportion of the differential gene expression in spermiogenesis corresponds to up-regulation of genes whose expression starts earlier, at pachytene stage; this includes transition protein-and protamine-coding genes, which have long been claimed to switch on during spermiogenesis. In addition, our results afford new insights concerning X chromosome meiotic inactivation and reactivation.
Conclusions
This work provides for the first time an overview of the time course for the massive onset and turning off of the meiotic and spermiogenic genetic programs. Importantly, our data represent a highly reliable information set about gene expression in pure testicular cell populations including early meiotic prophase, for further data mining towards the elucidation of the molecular bases of male reproduction in mammals.
Patients with panic and post-traumatic stress disorders seem to show increased psychophysiological reactions to conditions of unpredictable (U) threat, which has been discussed as a neurobiological marker of elevated levels of sustained fear in these disorders. Interestingly, a recent study found that the right inferior frontal gyrus (rIFG) is correlated to the successful regulation of sustained fear during U threat. Therefore this study aimed to examine the potential use of non-invasive brain stimulation to foster the rIFG by means of anodal transcranial direct current stimulation (tDCS) in order to reduce psychophysiological reactions to U threat. Twenty six participants were randomly assigned into an anodal and sham stimulation group in a double-blinded manner. Anodal and cathodal electrodes (7 * 5 cm) were positioned right frontal to target the rIFG. Stimulation intensity was I = 2 mA applied for 20 min during a task including U threat conditions (NPU-task). The effects of the NPU paradigm were measured by assessing the emotional startle modulation and the skin conductance response (SCR) at the outset of the different conditions. We found a significant interaction effect of condition × tDCS for the SCR (F(2,48) = 6.3, p < 0.01) without main effects of condition and tDCS. Post hoc tests revealed that the increase in SCR from neutral (N) to U condition was significantly reduced in verum compared to the sham tDCS group (t(24) = 3.84, p < 0.001). Our results emphasize the causal role of rIFG for emotional regulation and the potential use of tDCS to reduce apprehension during U threat conditions and therefore as a treatment for anxiety disorders.
Purpose: In hepatocellular carcinoma patients with large or multinodal tumors, where curative treatment options are not feasible, transarterial therapies play a major role. Transarterial chemoembolization (TACE) with drug-eluting beads (DEB-TACE) is a promising new approach due to higher intratumoral and lower systemic concentration of the chemotherapeutic agent compared to conventional TACE (cTACE).
Patients and methods: In a retrospective analysis, 32 patients with hepatocellular carcinoma who received either DEB or a cTACE were compared regarding survival time, disease recurrence, and side effects such as pain and fever.
Results: No significant differences could be detected between the cTACE and DEB-TACE groups with regard to mean hospital stay, appearance of postinterventional fever, or 30-day mortality. However, the application of intravenous analgesics as postinterventional pain medication was needed more often in patients treated with DEB-TACE (57.1% vs 12.5%, P=0.0281). The overall median survival after the initial procedure was 10.8 months in the cTACE group and 9.2 months in the DEB-TACE group, showing no significant difference.
Conclusion: No survival benefit for patients treated with either DEB-TACE or cTACE was observed. Surprisingly, a higher rate of postinterventional pain could be detected after DEB-TACE.
The standard property rights approach is focused on ex ante investment incentives, while there are no transaction costs that might restrain ex post negotiations. We explore the implications of such transaction costs. Prominent conclusions of the property rights theory may be overturned: A party may have stronger investment incentives when a non investing party is the owner, and joint ownership can be the uniquely optimal ownership structure. Intuitively, an ownership structure that is unattractive in the standard model may now be desirable, because it implies large gains from trade, such that the parties are more inclined to incur the transaction costs.
Well-developed phonological awareness skills are a core prerequisite for early literacy development. Although effective phonological awareness training programs exist, children at risk often do not reach similar levels of phonological awareness after the intervention as children with normally developed skills. Based on theoretical considerations and first promising results the present study explores effects of an early musical training in combination with a conventional phonological training in children with weak phonological awareness skills. Using a quasi-experimental pretest-posttest control group design and measurements across a period of 2 years, we tested the effects of two interventions: a consecutive combination of a musical and a phonological training and a phonological training alone. The design made it possible to disentangle effects of the musical training alone as well the effects of its combination with the phonological training. The outcome measures of these groups were compared with the control group with multivariate analyses, controlling for a number of background variables. The sample included N = 424 German-speaking children aged 4–5 years at the beginning of the study. We found a positive relationship between musical abilities and phonological awareness. Yet, whereas the well-established phonological training produced the expected effects, adding a musical training did not contribute significantly to phonological awareness development. Training effects were partly dependent on the initial level of phonological awareness. Possible reasons for the lack of training effects in the musical part of the combination condition as well as practical implications for early literacy education are discussed.
God as King is one of the metaphors that have been handed down in the biblical literature for centuries. In the Hellenistic period talk about God as king again undergoes a change that is the conse-quence of the Hellenistic kingdom as it evolved in its specific form after the death of Alexander. The conceptual implications of the Hellenistic kingdom for talk about God is shown by reference to the epithets: the king as ἐπιφανής (»Epiphanes«), as σωτήρ (»Savior«), as εὐεργέτης (»benefactor«) and as κτίστης (»Founder«). How those epithets have affected talk of God as king is demonstrated by reference to the original Greek writings of the LXX and connected with the question of God as παντοκράτωρ (»pantocrator«).
Decamethylcyclopentasiloxane (D5) is a cyclic siloxane used in the formulation of consumer products as well as an industrial intermediate. A summary of the previous studies on the toxicology of D5 is provided. Toxicokinetic studies with D5 after dermal administration demonstrate a very low uptake of due to rapid evaporation. Following inhalation exposure, exhalation of unchanged D5 and excretion of metabolites with urine are major pathways for clearance in mammals. Due to this rapid clearance by exhalation, the potential for bioaccumulation of D5 is considered unlikely. The available toxicity data on D5 adequately cover the relevant endpoints regarding potential human health hazards. D5 was not DNA reactive or mutagenic in standard in vitro and in vivo test systems. D5 also did not induce developmental and reproductive toxicity in appropriately performed studies. In repeated studies in rats with subacute, subchronic and chronic inhalation exposure, mild effects on the respiratory tract typically seen after inhalation of irritating materials, increases in liver weight (28- and 90-day inhalation studies), and a small increase in the incidence of uterine adenocarcinoma (uterine tumor) in female rats (two-year inhalation chronic bioassay) were observed. The liver effects induced by D5 were consistent with D5 as a weak "phenobarbital-like" inducer of xenobiotic metabolizing enzymes and these effects are considered to be an adaptive response. Mechanistic studies to elucidate the mode-of-action for uterine tumor induction suggest an interaction of D5 with dopamine signal transduction pathways altering the pituitary control of the estrus cycle. The resulting estrogen imbalance may cause the small increase in uterine tumor incidence at the highest D5-exposure concentration over that seen in control rats. A genotoxic mechanism or a direct endocrine activity of D5 is not supported as a mode-of-action to account for the induction of uterine tumors by the available data.
Toxic trace elements in maternal and cord blood and social determinants in a Bolivian mining city
(2016)
This study assessed lead, arsenic, and antimony in maternal and cord blood, and associations between maternal concentrations and social determinants in the Bolivian mining city of Oruro using the baseline assessment of the ToxBol/Mine-Niño birth cohort. We recruited 467 pregnant women, collecting venous blood and sociodemographic information as well as placental cord blood at birth. Metallic/semimetallic trace elements were measured using inductively coupled plasma mass spectrometry. Lead medians in maternal and cord blood were significantly correlated (Spearman coefficient = 0.59; p < 0.001; 19.35 and 13.50 μg/L, respectively). Arsenic concentrations were above detection limit (3.30 μg/L) in 17.9 % of maternal and 34.6 % of cord blood samples. They were not associated (Fischer’s p = 0.72). Antimony medians in maternal and cord blood were weakly correlated (Spearman coefficient = 0.15; p < 0.03; 9.00 and 8.62 μg/L, respectively). Higher concentrations of toxic elements in maternal blood were associated with maternal smoking, low educational level, and partner involved in mining.
Toxic trace elements in maternal and cord blood and social determinants in a Bolivian mining city
(2016)
This study assessed lead, arsenic, and antimony in maternal and cord blood, and associations between maternal concentrations and social determinants in the Bolivian mining city of Oruro using the baseline assessment of the ToxBol/Mine-Nino birth cohort. We recruited 467 pregnant women, collecting venous blood and sociodemographic information as well as placental cord blood at birth. Metallic/semimetallic trace elements were measured using inductively coupled plasma mass spectrometry. Lead medians in maternal and cord blood were significantly correlated (Spearman coefficient=0.59; p<0.001; 19.35 and 13.50 μg/L, respectively). Arsenic concentrations were above detection limit (3.30 μg/L) in 17.9% of maternal and 34.6% of cord blood samples. They were not associated (Fischer's p=0.72). Antimony medians in maternal and cord blood were weakly correlated (Spearman coefficient=0.15; p<0.03; 9.00 and 8.62 μg/L, respectively). Higher concentrations of toxic elements in maternal blood were associated with maternal smoking, low educational level, and partner involved in mining.
People with post-stroke motor aphasia know what they would like to say but cannot express it through motor pathways due to disruption of cortical circuits. We present a theoretical background for our hypothesized connection between attention and aphasia rehabilitation and suggest why in this context, Brain-Computer Interface (BCI) use might be beneficial for patients diagnosed with aphasia. Not only could BCI technology provide a communication tool, it might support neuronal plasticity by activating language circuits and thereby boost aphasia recovery. However, stroke may lead to heterogeneous symptoms that might hinder BCI use, which is why the feasibility of this approach needs to be investigated first. In this pilot study, we included five participants diagnosed with post-stroke aphasia. Four participants were initially unable to use the visual P300 speller paradigm. By adjusting the paradigm to their needs, participants could successfully learn to use the speller for communication with accuracies up to 100%. We describe necessary adjustments to the paradigm and present future steps to investigate further this approach.
Isolated generalized dystonia is a central motor network disorder characterized by twisted movements or postures. The most frequent genetic cause is a GAG deletion in the Tor1a (DYT1) gene encoding torsinA with a reduced penetrance of 30-40 % suggesting additional genetic or environmental modifiers. Development of dystonia-like movements after a standardized peripheral nerve crush lesion in wild type (wt) and Tor1a+/- mice, that express 50 % torsinA only, was assessed by scoring of hindlimb movements during tail suspension, by rotarod testing and by computer-assisted gait analysis. Western blot analysis was performed for dopamine transporter (DAT), D1 and D2 receptors from striatal and quantitative RT-PCR analysis for DAT from midbrain dissections. Autoradiography was used to assess the functional DAT binding in striatum. Striatal dopamine and its metabolites were analyzed by high performance liquid chromatography. After nerve crush injury, we found abnormal posturing in the lesioned hindlimb of both mutant and wt mice indicating the profound influence of the nerve lesion (15x vs. 12x relative to control) resembling human peripheral pseudodystonia. In mutant mice the phenotypic abnormalities were increased by about 40 % (p < 0.05). This was accompanied by complex alterations of striatal dopamine homeostasis. Pharmacological blockade of dopamine synthesis reduced severity of dystonia-like movements, whereas treatment with L-Dopa aggravated these but only in mutant mice suggesting a DYT1 related central component relevant to the development of abnormal involuntary movements. Our findings suggest that upon peripheral nerve injury reduced torsinA concentration and environmental stressors may act in concert in causing the central motor network dysfunction of DYT1 dystonia.
Schmerz gehört zu den Kardinalsymptomen einer Entzündung. Im Wesentlichen kann die Entstehung von Schmerz am Ort des Entzündungsgeschehens auf das Einwandern (Diapedese) von Leukozyten aus dem peripheren Blut-strom in das Gewebe zurückgeführt werden. Dort findet sowohl die Produktion von Zytokinen und Chemokinen statt, welche weitere Entzündungszellen rekrutieren und die Entzündungsreaktion verstärken, als auch die Freisetzung von Opioidpeptiden, die schmerzlindernd wirken.
In Vorarbeiten der Arbeitsgruppe konnte eine Opioidfreisetzung aus neutrophilen Granulozyten nach Stimulation mit bakteriellen Antigenen oder Chemokinen \(in\) \(vitro\) nachgewiesen werden. Diese führen \(in\) \(vivo\) eine Antinozizeption herbei. Für neutrophile Granulozyten wurden der Chemokinrezeptor CXCR1/2 sowie der Formylpep-tidrezeptor als Signal-transmittierende Rezeptoren identifiziert. Über den klassischen Mechanismus der Exozytose gelangt das Beta-Endorphin somit in das Gewebe und interagiert mit Opioidrezeptoren auf primär sensorischen Nervenendigungen. \(in\) \(vivo\) äußerte sich die Freisetzung des Opioidpeptids in einer Anhebung mechanischer Schmerzschwellen, die durch den Opioidrezeptorantagonisten Naloxon aufgehoben werden konnten. Die Bindung, vornehmlich an MOP, führt zur Erniedrigung des cAMP-Spiegels, zur Hyperpolarisation der Nervenzelle und zur Verminderung von Schmerzschwellen.
Im Mittelpunkt dieser Arbeit stehen Monozyten als führende Zellpopulation der späten Entzündungsphase. Es sollte untersucht werden, welche Rezeptoren eine Opioidfreisetzung aus Monozyten vermitteln sowie welche intrazellulären Signalwege involviert sind.
Humane Monozyten wurden isoliert und \(in\) \(vitro\) mit dem bakteriellen Antigen Lipopolysaccharide (LPS) stimuliert. Dieses steht exemplarisch für mikrobielles Infektgeschehen und Entzündung. In den Zellüberständen wurde mittels ELISA die Beta-Endorphin-Konzentration ermittelt. Weiterhin wurden Opioidgehalt und -freisetzung in der nicht-klassischen CD14+CD16+ Monozytensubpopulation im Vergleich zu klassischen CD14+CD16- Monozyten analysiert. Zur weiteren Aufklärung des Rezeptors, welcher die Opioidfreisetzung vermittelt, wurde der niedermolekulare TLR4-Antagonist TAK-242 genutzt.
Wir fanden eine Zunahme der Beta-Endorphin-Freisetzung nach Stimulation mit LPS im Vergleich zur unstimulierten Kontrolle. Eine Zugabe des TLR4-Inhibitors reduzierte die Beta-Endorphin-Freisetzung signifikant. TLR4 agiert somit als PRR für die Opioidfreisetzung aus Monozyten. CD14+CD16+ Monozyten enthalten einen geringeren Anteil an Beta-Endorphin und setzten dementsprechend weniger frei. Ihre Rolle als pro-inflammatorisch und ihre Beteiligung an der Genese inflammatorischer Krankheitsbilder wird dadurch gestützt.
Die Signalkaskade, über die diese Freisetzung erfolgt, konnte durch den Einsatz von Rezeptorinhibitoren dahingehend entschlüsselt werden, dass eine Beteiligung des IP3-Rezeptors sowie von intrazellulärem Calcium wichtig ist. Ferner wurde evident, dass auch eine basale Freisetzung existiert, die über denselben Weg verläuft.
Durch die Behandlung mit dem TLR4-Antagonisten TAK-242, der die Freisetzung von Beta-Endorphin \(in\) \(vitro\) unterdrückt, wird auch die analgetische Wirkung von LPS \(in\) \(vivo\) aufgehoben. TLR4 Agonisten sind daher potentielle alternative Analgetika, welche die endogene Schmerzkontrolle unterstützen könnten. Jedoch fließen viele Wechselwirkungen wie z.B. proalgetische Wirkungen von TLR4 in das komplexe Gefüge der Immunzellantwort ein. Diese wurden nicht weiter untersucht. Vor einer klinischen Anwendung müssten solche Effekte näher betrachtet werden.
Sepsis caused by Gram-positive bacterial pathogens is a major fatal disease but its molecular basis remains elusive. Toll-like receptor 2 (TLR2) has been implicated in the orchestration of inflammation and sepsis but its role appears to vary for different pathogen species and clones. Accordingly, Staphylococcus aureus clinical isolates differ substantially in their capacity to activate TLR2. Here we show that strong TLR2 stimulation depends on high-level production of phenol-soluble modulin (PSM) peptides in response to the global virulence activator Agr. PSMs are required for mobilizing lipoproteins, the TLR2 agonists, from the staphylococcal cytoplasmic membrane. Notably, the course of sepsis caused by PSM-deficient S. aureus is similar in wild-type and TLR2-deficient mice, but TLR2 is required for protection of mice against PSM-producing S. aureus. Thus, a crucial role of TLR2 depends on agonist release by bacterial surfactants. Modulation of this process may lead to new therapeutic strategies against Gram-positive infections.
Toll like receptor (TLR) signaling has been suggested to play an important role in the inflammatory microenvironment of solid tumors and through this inflammation-mediated tumor growth. Here, we studied the role of tumor cells in their process of self-maintaining TLR expression independent of inflammatory cells and cytokine milieu for autoregulative tumor growth signaling in pancreatic cancer. We analyzed the expression of TLR2, -4, and -9 in primary human cancers and their impact on tumor growth via induced activation in several established pancreatic cancers. TLR-stimulated pancreatic cancer cells were specifically investigated for activated signaling pathways of VEGF/PDGF and anti-apoptotic Bcl-xL expression as well as tumor cell growth. The primary pancreatic cancers and cell lines expressed TLR2, -4, and -9. TLR-specific stimulation resulted in activated MAP-kinase signaling, most likely via autoregulative stimulation of demonstrated TLR-induced VEGF and PDGF expression. Moreover, TLR activation prompted the expression of Bcl-xL and has been demonstrated for the first time to induce tumor cell proliferation in pancreatic cancer. These findings strongly suggest that pancreatic cancer cells use specific Toll like receptor signaling to promote tumor cell proliferation and emphasize the particular role of TLR2, -4, and -9 in this autoregulative process of tumor cell activation and proliferation in pancreatic cancer.
OBJECTIVES: This study evaluated the tolerability and feasibility of titration of 2 distinctly acting beta-blockers (BB) in elderly heart failure patients with preserved (HFpEF) and reduced (HFrEF) left ventricular ejection fraction.
BACKGROUND: Broad evidence supports the use of BB in HFrEF, whereas the evidence for beta blockade in HFpEF is uncertain.
METHODS: In the CIBIS-ELD (Cardiac Insufficiency Bisoprolol Study in Elderly) trial, patients >65 years of age with HFrEF (n = 626) or HFpEF (n = 250) were randomized to bisoprolol or carvedilol. Both BB were up-titrated to the target or maximum tolerated dose. Follow-up was performed after 12 weeks. HFrEF and HFpEF patients were compared regarding tolerability and clinical effects (heart rate, blood pressure, systolic and diastolic functions, New York Heart Association functional class, 6-minute-walk distance, quality of life, and N-terminal pro-B-type natriuretic peptide).
RESULTS: For both of the BBs, tolerability and daily dose at 12 weeks were similar. HFpEF patients demonstrated higher rates of dose escalation delays and treatment-related side effects. Similar HR reductions were observed in both groups (HFpEF: 6.6 beats/min; HFrEF: 6.9 beats/min, p = NS), whereas greater improvement in NYHA functional class was observed in HFrEF (HFpEF: 23% vs. HFrEF: 34%, p < 0.001). Mean E/e' and left atrial volume index did not change in either group, although E/A increased in HFpEF. CONCLUSIONS: BB tolerability was comparable between HFrEF and HFpEF. Relevant reductions of HR and blood pressure occurred in both groups. However, only HFrEF patients experienced considerable improvements in clinical parameters and Left ventricular function. Interestingly, beta-blockade had no effect on established and prognostic markers of diastolic function in either group. Long-term studies using modern diagnostic criteria for HFpEF are urgently needed to establish whether BB therapy exerts significant clinical benefit in HFpEF. (Comparison of Bisoprolol and Carvedilol in Elderly Heart Failure HF] Patients: A Randomised, Double-Blind Multicentre Study CIBIS-ELD]; ISRCTN34827306).
Neutralization or deletion of tumor necrosis factor (TNF) causes loss of control of intracellular pathogens in mice and humans, but the underlying mechanisms are incompletely understood. Here, we found that TNF antagonized alternative activation of macrophages and dendritic cells by IL-4. TNF inhibited IL-4-induced arginase 1 (Arg1) expression by decreasing histone acetylation, without affecting STAT6 phosphorylation and nuclear translocation. In Leishmania major-infected C57BL/6 wild-type mice, type 2 nitric oxide (NO) synthase (NOS2) was detected in inflammatory dendritic cells or macrophages, some of which co-expressed Arg1. In TNF-deficient mice, Arg1 was hyperexpressed, causing an impaired production of NO in situ. A similar phenotype was seen in L. major-infected BALB/c mice. Arg1 deletion in hematopoietic cells protected these mice from an otherwise lethal disease, although their disease-mediating T cell response (Th2, Treg) was maintained. Thus, deletion or TNF-mediated restriction of Arg1 unleashes the production of NO by NOS2, which is critical for pathogen control.
Titanium Dioxide Nanoparticles: Synthesis, X-Ray Line Analysis and Chemical Composition Study
(2016)
TiO2 nanoparticleshave been synthesized by the sol-gel method using titanium alkoxide and isopropanolas a precursor. The structural properties and chemical composition of the TiO2 nanoparticles were studied usingX-ray diffraction, scanning electron microscopy, and X-ray photoelectron spectroscopy.The X-ray powder diffraction pattern confirms that the particles are mainly composed of the anatase phase with the preferential orientation along [101] direction. The physical parameters such as strain, stress and energy density were investigated from the Williamson- Hall (W-H) plot assuming a uniform deformation model (UDM), and uniform deformation energy density model (UDEDM). The W-H analysis shows an anisotropic nature of the strain in nanopowders. The scanning electron microscopy image shows clear TiO2 nanoparticles with particle sizes varying from 60 to 80nm. The results of mean particle size of TiO2 nanoparticles show an inter correlation with the W-H analysis and SEM results. Our X-ray photoelectron spectroscopy spectra show that nearly a complete amount of titanium has reacted to TiO2
Background
Agalsidase beta is a form of enzyme replacement therapy for Fabry disease, a genetic disorder characterised by low alpha-galactosidase A activity, accumulation of glycosphingolipids and life-threatening cardiovascular, renal and cerebrovascular events. In clinical trials, agalsidase beta cleared glycolipid deposits from endothelial cells within 6 months; clearance from other cell types required sustained treatment. We hypothesised that there might be a 'lag time' to clinical benefit after initiating agalsidase beta treatment, and analysed the incidence of severe clinical events over time in patients receiving agalsidase beta.
Methods
The incidence of severe clinical events (renal failure, cardiac events, stroke, death) was studied in 1044 adult patients (641 men, 403 women) enrolled in the Fabry Registry who received agalsidase beta (average dose 1 mg/kg every 2 weeks) for up to 5 years.
Results
The incidence of all severe clinical events was 111 per 1000 person-years (95% CI 84 to 145) during the first 6 months. After 6 months, the incidence decreased and remained stable within the range of 40-58 events per 1000 patient-years. The largest decrease in incidence rates was among male patients and those aged >= 40 years when agalsidase beta was initiated.
Conclusions
Contrary to the expected increased incidence of severe clinical events with time, adult patients with Fabry disease had decreased incidence of severe clinical events after 6 months treatment with agalsidase beta 1 mg/kg every 2 weeks.
Tyrosine kinase inhibitors (TKI) have shown clinical effectiveness in iodine-refractory differentiated thyroid cancer (DTC). The corresponding role of serum thyroglobulin (Tg) in iodine-refractory DTC has not been investigated yet. 9 patients (3 female, 61 ± 8y) with progressive iodine-refractory DTC starting on lenvatinib were considered. Tumor restaging was performed every 2–3 months including contrast-enhanced computed tomography (CT, RECIST 1.1). Serum Tg was measured and compared to imaging findings. After treatment initiation, serum Tg levels dropped in all patients with a median reduction of 86.2%. During long-term follow-up (median, 25.2 months), fluctuations in Tg could be observed in 8/9 subjects. According to RECIST, 6/9 subjects achieved a partial response or stable disease with the remaining 3/9 experiencing progressive disease (2/3 with Tg levels rising above baseline). All of the patients with disease progression presented with a preceding continuous rise in serum Tg, whereas tumor marker oscillations in the subjects with controlled disease were only intermittent. Initiation of lenvatinib in iodine-refractory DTC patients is associated with a significant reduction in serum Tg levels as a marker of treatment response. In the course of treatment, transient Tg oscillations are a frequent phenomenon that may not necessarily reflect morphologic tumor progression.
Objectives
Investigating for the first time in Germany Diagnostic and Statistical Manual Fifth Edition (DSM-5) prevalences of adolescent full syndrome, Other Specified Feeding or Eating Disorder (OSFED), partial and subthreshold anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED).
Method
A national school-based cross-sectional survey with nine schools in Germany was undertaken that was aimed at students from grades 7 and 8. Of the 1775 students who were contacted to participate in the study, 1654 participated (participation rate: 93.2%). The sample consisted of 873 female and 781 male adolescents (mean age=13.4 years). Prevalence rates were established using direct symptom criteria with a structured inventory (SIAB-S) and an additional self-report questionnaire (Eating Disorder Inventory 2 (EDI-2)).
Results
Prevalences for full syndrome were 0.3% for AN, 0.4% for BN, 0.5% for BED and 3.6% for OSFED-atypical AN, 0% for BN (low frequency/limited duration), 0% for BED (low frequency/limited duration) and 1.9% for purging disorder (PD). Prevalences of partial syndrome were 10.9% for AN (7.1% established with cognitive symptoms only, excluding weight criteria), 0.2% for BN and 2.1% for BED, and of subthreshold syndrome were 0.8% for AN, 0.3% for BN and 0.2% for BED. Cases on EDI-2 scales were much more pronounced with 12.6–21.1% of the participants with significant sex differences.
Conclusions
The findings were in accordance with corresponding international studies but were in contrast to other German studies showing much higher prevalence rates. The study provides, for the first time, estimates for DSM-5 prevalences of eating disorders in adolescents for Germany, and evidence in favour of using valid measures for improving prevalence estimates."
Background
The key for successful delivery in minimally-invasive hip replacement lies in the exact knowledge about the surgical anatomy. The minimally-invasive direct anterior approach to the hip joint makes it necessary to clearly identify the tensor fasciae latae muscle in order to enter the Hueter interval without damaging the lateral femoral cutaneous nerve. However, due to the inherently restricted overview in minimally-invasive surgery, this can be difficult even for experienced surgeons.
Methods and Surgical Technique
In this technical note, we demonstrate for the first time how to use the tensor fasciae latae perforator as anatomical landmark to reliably identify the tensor fasciae latae muscle in orthopaedic surgery. Such perforators are used for flaps in plastic surgery as they are constant and can be found at the lateral third of the tensor fasciae latae muscle in a direct line from the anterior superior iliac spine.
Conclusion
As demonstrated in this article, a simple knowledge transfer between surgical disciplines can minimize the complication rate associated with minimally-invasive hip replacement.
The Venus Flytrap Dionaea muscipula Counts Prey-Induced Action Potentials to Induce Sodium Uptake
(2016)
Carnivorous plants, such as the Venus flytrap (Dionaea muscipula), depend on an animal diet when grown in nutrient-poor soils. When an insect visits the trap and tilts the mechanosensors on the inner surface, action potentials (APs) are fired. After a moving object elicits two APs, the trap snaps shut, encaging the victim. Panicking preys repeatedly touch the trigger hairs over the subsequent hours, leading to a hermetically closed trap, which via the gland-based endocrine system is flooded by a prey-decomposing acidic enzyme cocktail. Here, we asked the question as to how many times trigger hairs have to be stimulated (e.g., now many APs are required) for the flytrap to recognize an encaged object as potential food, thus making it worthwhile activating the glands. By applying a series of trigger-hair stimulations, we found that the touch hormone jasmonic acid (JA) signaling pathway is activated after the second stimulus, while more than three APs are required to trigger an expression of genes encoding prey-degrading hydrolases, and that this expression is proportional to the number of mechanical stimulations. A decomposing animal contains a sodium load, and we have found that these sodium ions enter the capture organ via glands. We identified a flytrap sodium channel DmHKT1 as responsible for this sodium acquisition, with the number of transcripts expressed being dependent on the number of mechano-electric stimulations. Hence, the number of APs a victim triggers while trying to break out of the trap identifies the moving prey as a struggling Na+-rich animal and nutrition for the plant.
The Venus flytrap Dionaea muscipula counts prey-induced action potentials to induce sodium uptake
(2016)
Carnivorous plants, such as the Venus flytrap (Dionaea muscipula), depend on an animal diet when grown in nutrient-poor soils. When an insect visits the trap and tilts the mechanosensors on the inner surface, action potentials (APs) are fired. After a moving object elicits two APs, the trap snaps shut, encaging the victim. Panicking preys repeatedly touch the trigger hairs over the subsequent hours, leading to a hermetically closed trap, which via the gland-based endocrine system is flooded by a prey-decomposing acidic enzyme cocktail. Here, we asked the question as to how many times trigger hairs have to be stimulated (e.g., now many APs are required) for the flytrap to recognize an encaged object as potential food, thus making it worthwhile activating the glands. By applying a series of trigger-hair stimulations, we found that the touch hormone jasmonic acid (JA) signaling pathway is activated after the second stimulus, while more than three APs are required to trigger an expression of genes encoding prey-degrading hydrolases, and that this expression is proportional to the number of mechanical stimulations. A decomposing animal contains a sodium load, and we have found that these sodium ions enter the capture organ via glands. We identified a flytrap sodium channel DmHKT1 as responsible for this sodium acquisition, with the number of transcripts expressed being dependent on the number of mechano-electric stimulations. Hence, the number of APs a victim triggers while trying to break out of the trap identifies the moving prey as a struggling Na\(^+\)-rich animal and nutrition for the plant.
Anxiety and aggression are part of the behavioral repertoire of humans and animals. However, in their exaggerated form both can become maladaptive and result in psychiatric disorders. On the one hand, genetic predisposition has been shown to play a crucial modulatory role in anxiety and aggression. On the other hand, social experiences have been implicated in the modulation of these traits. However, so far, mainly experiences in early life phases have been considered crucial for shaping anxiety-like and aggressive behavior, while the phase of adolescence has largely been neglected. Therefore, the aim of the present study was to elucidate how levels of anxiety-like and aggressive behavior are shaped by social experiences during adolescence and serotonin transporter (5-HTT) genotype. For this purpose, male mice of a 5-HTT knockout mouse model including all three genotypes (wildtype, heterozygous and homozygous 5-HTT knockout mice) were either exposed to an adverse social situation or a beneficial social environment during adolescence. This was accomplished in a custom-made cage system where mice experiencing the adverse environment were repeatedly introduced to the territory of a dominant opponent but had the possibility to escape to a refuge cage. Mice encountering beneficial social conditions had free access to a female mating partner. Afterwards, anxiety-like and aggressive behavior was assessed in a battery of tests. Surprisingly, unfavorable conditions during adolescence led to a decrease in anxiety-like behavior and an increase in exploratory locomotion. Additionally, aggressive behavior was augmented in animals that experienced social adversity. Concerning genotype, homozygous 5-HTT knockout mice were more anxious and less aggressive than heterozygous 5-HTT knockout and wildtype mice. In summary, adolescence is clearly an important phase in which anxiety-like and aggressive behavior can be shaped. Furthermore, it seems that having to cope with challenge during adolescence instead of experiencing throughout beneficial social conditions leads to reduced levels of anxiety-like behavior.
The transcriptional coactivator Bob1 promotes the development of follicular T helper cells via Bcl6
(2016)
Follicular T helper (Tfh) cells are key regulators of the germinal center reaction and long-term humoral immunity. Tfh cell differentiation requires the sustained expression of the transcriptional repressor Bcl6; however, its regulation in CD4\(^+\) T cells is incompletely understood. Here, we report that the transcriptional coactivator Bob1, encoded by the Pou2af1 gene, promotes Bcl6 expression and Tfh cell development. We found that Bob1 together with the octamer transcription factors Oct1/Oct2 can directly bind to and transactivate the Bcl6 and Btla promoters. Mixed bone marrow chimeras revealed that Bob1 is required for the expression of normal levels of Bcl6 and BTLA, thereby controlling the pool size and composition of the Tfh compartment in a T cell-intrinsic manner. Our data indicate that T cell-expressed Bob1 is directly involved in Tfh cell differentiation and required for mounting normal T cell-dependent B-cell responses.
Transposon insertion sequencing is a high-throughput technique for assaying large libraries of otherwise isogenic transposon mutants providing insight into gene essentiality, gene function and genetic interactions. We previously developed the Transposon Directed Insertion Sequencing (TraDIS) protocol for this purpose, which utilizes shearing of genomic DNA followed by specific PCR amplification of transposon-containing fragments and Illumina sequencing. Here we describe an optimized high-yield library preparation and sequencing protocol for TraDIS experiments and a novel software pipeline for analysis of the resulting data. The Bio-Tradis analysis pipeline is implemented as an extensible Perl library which can either be used as is, or as a basis for the development of more advanced analysis tools. This article can serve as a general reference for the application of the TraDIS methodology.
Model enteric bacteria such as Escherichia coli and Salmonella enterica express hundreds of small non-coding RNAs (sRNAs), targets for most of which are yet unknown. Some sRNAs are remarkably well conserved, indicating that they serve cellular functions that go beyond the necessities of a single species. One of these ‘core sRNAs’ of largely unknown function is the abundant ∼100-nucleotide SdsR sRNA which is transcribed by the general stress σ-factor, σ\(^{S}\) and accumulates in stationary phase. In Salmonella, SdsR was known to inhibit the synthesis of the species-specific porin, OmpD. However, sdsR genes are present in almost all enterobacterial genomes, suggesting that additional, conserved targets of this sRNA must exist. Here, we have combined SdsR pulse-expression with whole genome transcriptomics to discover 20 previously unknown candidate targets of SdsR which include mRNAs coding for physiologically important regulators such as the carbon utilization regulator, CRP, the nucleoid-associated chaperone, StpA and the antibiotic resistance transporter, TolC. Processing of SdsR by RNase E results in two cellular SdsR variants with distinct target spectra. While the overall physiological role of this orphan core sRNA remains to be fully understood, the new SdsR targets present valuable leads to determine sRNA functions in resting bacteria.
Patients in the early stage of hypertensive heart disease tend to have normal echocardiographic findings. The aim of this study was to investigate whether pathology-specific echocardiographic morphologic and functional parameters can help to detect subclinical hypertensive heart disease. One hundred ten consecutive patients without a history and medication for arterial hypertension (AH) or other cardiac diseases were enrolled. Standard echocardiography and two-dimensional speckle tracking -imaging analysis were performed. Resting blood pressure (BP) measurement, cycle ergometer test (CET), and 24-hour ambulatory BP monitoring (ABPM) were conducted. Patients were referred to "septal bulge (SB)" group (basal-septal wall thickness >= 2 mm thicker than mid-septal wall thickness) or "no-SB" group. Echocardiographic SB was found in 48 (43.6%) of 110 patients. In this SB group, 38 (79.2%) patients showed AH either by CET or ABPM. In contrast, in the no-SB group (n = 62), 59 (95.2%) patients had no positive test for AH by CET or ABPM. When AH was solely defined by resting BP, SB was a reasonable predictive sign for AH (sensitivity 73%, specificity 76%). However, when AH was confirmed by CET or ABPM the echocardiographic SB strongly predicted clinical AH (sensitivity 93%, specificity 86%). In addition, regional myocardial deformation of the basal-septum in SB group was significantly lower than in no-SB group (14 +/- 4% vs. 17 +/- 4%; P < .001). In conclusion, SB is a morphologic echocardiographic sign for early hypertensive heart disease. Sophisticated BP evaluation including resting BP, ABPM, and CET should be performed in all patients with an accidental finding of a SB in echocardiography.
The glycoprotein sclerostin has been identified as a negative regulator of bone growth. It exerts its function by interacting with the Wnt co-receptor LRP5/6, blocks the binding of Wnt factors and thereby inhibits Wnt signalling. Neutralizing anti-sclerostin antibodies are able to restore Wnt activity and enhance bone growth thereby presenting a new osteoanabolic therapy approach for diseases such as osteoporosis. We have generated various Fab antibodies against human and murine sclerostin using a phage display set-up. Biochemical analyses have identified one Fab developed against murine sclerostin, AbD09097 that efficiently neutralizes sclerostin's Wnt inhibitory activity. In vitro interaction analysis using sclerostin variants revealed that this neutralizing Fab binds to sclerostin's flexible second loop, which has been shown to harbour the LRP5/6 binding motif. Affinity maturation was then applied to AbD09097, providing a set of improved neutralizing Fab antibodies which particularly bind human sclerostin with enhanced affinity. Determining the crystal structure of AbD09097 provides first insights into how this antibody might recognize and neutralize sclerostin. Together with the structure–function relationship derived from affinity maturation these new data will foster the rational design of new and highly efficient anti-sclerostin antibodies for the therapy of bone loss diseases such as osteoporosis.
Staphylococcus aureus is a prevalent commensal bacterium which represents one of the leading causes in health care-associated bacterial infections worldwide and can cause a variety of different diseases ranging from simple abscesses to severe and life threatening infections including pneumonia, osteomyelitis and sepsis.
In recent times multi-resistant strains have emerged, causing severe problems in nosocomial as well as community-acquired (CA) infection settings, especially in the United States (USA). Therefore S. aureus has been termed as a superbug by the WHO, underlining the severe health risk originating from it. Today, infections in the USA are dominated by S. aureus genotypes which are classified as USA300 and USA400, respectively. Strains of genotype USA300 are responsible for about 70% of the CA infections.
The molecular mechanisms which render S. aureus such an effective pathogen are still not understood in its entirety. For decades S. aureus was thought to be a strictly extracellular pathogen relying on pore-forming toxins like α-hemolysin to damage human cells and tissue. Only recently it has been shown that S. aureus can enter non-professional phagocytes, using adhesins like the fibronectin-binding proteins which mediate an endocytotic uptake into the host cells. The bacteria are consequently localized to endosomes, where the degradation of enclosed bacterial cells through phagosome maturation would eventually occur.
S. aureus can avoid degradation, and translocate to the cellular cytoplasm, where it can replicate. The ability to cause this so-called phagosomal escape has mainly been attributed to a family of amphiphilic peptides called phenol soluble modulins (PSMs), but as studies have shown, they are not sufficient.
In this work I used a transposon mutant library in combination with automated fluorescence microscopy to screen for genes involved in the phagosomal escape process and intracellular survival of S. aureus. I thereby identified a number of genes, including a non-ribosomal peptide synthetase (NRPS). The NRPS, encoded by the genes ausA and ausB, produces two types of small peptides, phevalin and tyrvalin. Mutations in the ausAB genes lead to a drastic decrease in phagosomal escape rates in epithelial cells, which were readily restored by genetic complementation in trans as well as by supplementation of synthetic phevalin. In leukocytes, phevalin interferes with calcium fluxes and activation of neutrophils and promotes cytotoxicity of intracellular bacteria in both, macrophages and neutrophils. Further ausAB is involved in survival and virulence of the bacterium during mouse lung pneumoniae.
The here presented data demonstrates the contribution of the bacterial cyclic dipeptide phevalin to S. aureus virulence and suggests, that phevalin directly acts on a host cell target to promote cytotoxicity of intracellular bacteria.
Spermiogenesis describes the differentiation of haploid germ cells into motile, fertilization-competent spermatozoa. During this fundamental transition the species-specific sperm head is formed, which necessitates profound nuclear restructuring coincident with the assembly of sperm-specific structures and chromatin compaction. In the case of the mouse, it is characterized by reshaping of the early round spermatid nucleus into an elongated sickle-shaped sperm head. This tremendous shape change requires the transduction of cytoskeletal forces onto the nuclear envelope (NE) or even further into the nuclear interior. LINC (linkers of nucleoskeleton and cytoskeleton) complexes might be involved in this process, due to their general function in bridging the NE and thereby physically connecting the nucleus to the peripheral cytoskeleton.
LINC complexes consist of inner nuclear membrane integral SUN-domain proteins and outer nuclear membrane KASH-domain counterparts. SUN- and KASH-domain proteins are directly connected to each other within the perinuclear space, and are thus capable of transferring forces across the NE. To date, these protein complexes are known for their essential functions in nuclear migration, anchoring and positioning of the nucleus, and even for chromosome movements and the maintenance of cell polarity and nuclear shape.
In this study LINC complexes were investigated with regard to their potential role in sperm head formation, in order to gain further insight into the processes occurring during spermiogenesis. To this end, the behavior and function of the testis-specific SUN4 protein was studied. The SUN-domain protein SUN4, which had received limited characterization prior to this work, was found to be exclusively expressed in haploid stages during germ cell development. In these cell stages, it specifically localized to the posterior NE at regions decorated by the manchette, a spermatid-specific structure which was previously shown to be involved in nuclear shaping. Mice deficient for SUN4 exhibited severely disorganized manchette residues and gravely misshapen sperm heads. These defects resulted in a globozoospermia-like phenotype and male mice infertility. Therefore, SUN4 was not only found to be mandatory for the correct assembly and anchorage of the manchette, but also for the correct localization of SUN3 and Nesprin1, as well as of other NE components. Interaction studies revealed that SUN4 had the potential to interact with SUN3, Nesprin1, and itself, and as such is likely to build functional LINC complexes that anchor the manchette and transfer cytoskeletal forces onto the nucleus.
Taken together, the severe impact of SUN4 deficiency on the nucleocytoplasmic junction during sperm development provided direct evidence for a crucial role of SUN4 and other LINC complex components in mammalian sperm head formation and fertility.
Motoneuron diseases form a heterogeneous group of pathologies characterized by the progressive degeneration of motoneurons. More and more genetic factors associated with motoneuron diseases encode proteins that have a function in RNA metabolism, suggesting that disturbed RNA metabolism could be a common underlying problem in several, perhaps all, forms of motoneuron diseases. Recent results suggest that SMN interacts with hnRNP R and TDP-43 in neuronal processes, which are not part of the classical SMN complex. This point to an additional function of SMN, which could contribute to the high vulnerability of spinal motoneurons in spinal muscular atrophy (SMA) and amyotrophic lateral sclerosis (ALS). The current study elucidates functional links between SMN, the causative factor of SMA (spinal muscular atrophy), hnRNP R, and TDP-43, a genetic factor in ALS (amyotrophic lateral sclerosis). In order to characterize the functional interaction of SMN with hnRNP R and TDP-43, we produced recombinant proteins and investigated their interaction by co-immunoprecipitation. These proteins bind directly to each other, indicating that no other co-factors are needed for this interaction. SMN potentiates the ability of hnRNP R and TDP-43 to bind to ß-actin mRNA. Depletion of SMN alters the subcellular distribution of hnRNP R in motoneurons both in SMN-knockdown motoneurons and SMA mutant mouse (delta7 SMA). These data point to functions of SMN beyond snRNP assembly which could be crucial for recruitment and transport of RNA particles into axons and axon terminals, a mechanism which may contribute to SMA pathogenesis and ALS.
ALS and FTLD (frontotemporal lobar degeneration) are linked by several lines of evidence with respect to clinical and pathological characteristics. Both sporadic and familial forms are a feature of the ALS-FTLD spectrum, with numerous genes having been associated with these pathological conditions. Both diseases are characterized by the pathological cellular aggregation of proteins. Interestingly, some of these proteins such as TDP-43 and FUS have also common relations not only with ALS-FTLD but also with SMA. Intronic hexanucleotide expansions in C9ORF72 are common in ALS and FTLD but it is unknown whether loss of function, toxicity by the expanded RNA or dipeptides from non ATG-initiated translation is responsible for the pathophysiology. This study tries to characterize the cellular function of C9ORF72 protein. To address this, lentiviral based knockdown and overexpression of C9ORF72 was used in isolated mouse motoneurons. The results clearly show that survival of these motoneurons was not affected by altered C9ORF72 levels, whereas adverse effects on axon growth and growth cone size became apparent after C9ORF72 suppression. Determining the protein interactome revealed several proteins in complexes with C9ORF72. Interestingly, C9ORF72 is present in a complex with cofilin and other actin binding proteins that modulate actin dynamics. These interactions were confirmed both by co-precipitation analyses and in particular by functional studies showing altered actin dynamics in motoneurons with reduced levels of C9ORF72. Importantly, the phosphorylation of cofilin is enhanced in C9ORF72 depleted motoneurons and patient derived lymphoblastoid cells with reduced C9ORF72 levels. These findings indicate that C9ORF72 regulates axonal actin dynamics and the loss of this function could contribute to disease pathomechanisms in ALS and FTLD.
Panobinostat is an oral pan-histone deacetylase inhibitor developed by Novartis. Panobinostat acts via epigenetic modification and inhibition of the aggresome pathway. In August 2015, the European Commission authorized panobinostat for use in combination with bortezomib and dexamethasone for the treatment of relapsed or relapsed and refractory multiple myeloma (MM) in patients who have received aeyen2 prior regimens including bortezomib and an immunomodulatory drug. In January 2016, the National Institute for Health and Care Excellence recommended panobinostat for use in the same combination and patient population. The authorization and recommendation were based on results from the pivotal phase 3 PANORAMA 1 (NCT01023308) clinical trial, which demonstrated an improvement in median progression-free survival of 7.8 months for the three-drug combination compared with placebo plus bortezomib and dexamethasone in this patient population. This review will discuss the current treatment landscape for relapsed/refractory MM, the mechanism of action of panobinostat, clinical data supporting the European authorization, concerns about safety and strategies for mitigating toxicity, and how panobinostat fits into the current MM landscape in Europe.
The enteric nervous system (ENS) innervates the gastrointestinal (GI) tract and controls central aspects of GI physiology including contractility of the intestinal musculature, glandular secretion and intestinal blood flow. The ENS is composed of neurons that conduct electrical signals and of enteric glial cells (EGCs). EGCs resemble central nervous system (CNS) astrocytes in their morphology and in the expression of shared markers such as the intermediate filament protein glial fibrillary acidic protein (GFAP). They are strategically located at the interface of ENS neurons and their effector cells to modulate intestinal motility, epithelial barrier stability and inflammatory processes. The specific contributions of EGCs to the maintenance of intestinal homeostasis are subject of current research.
From a clinical point of view EGC involvement in pathophysiological processes such as intestinal inflammation is highly relevant. Like CNS astrocytes ECGs can acquire a reactive, tissue-protective phenotype in response to intestinal injury. In patients with chronic inflammatory bowel diseases (IBD) such as Crohn's disease and ulcerative colitis, alterations in the EGC network are well known, particularly a differential expression of GFAP, which is a hallmark of reactive gliosis in the CNS.
With increasing recognition of the role of EGCs in intestinal health and disease comes the need to study the glial population in its complexity. The overall aim of this thesis was to comprehensively study EGCs with focus on the reactive GFAP-expressing subpopulation under inflammatory conditions in vivo and in vitro. In a first step, a novel in vivo rat model of acute systemic inflammation mimicking sepsis was employed to investigate rapidly occuring responses of EGCs to inflammation. This study revealed that within a short time frame of a few hours, EGCs responded to the inflammation with an upregulation of Gfap gene expression. This inflammation-induced upregulation was confined to the myenteric plexus and varied in intensity along the intestinal rostro-caudal axis. This highly responsive myenteric GFAP-expressing EGC population was further characterized in vivo andin vitro using a transgenic mouse model (hGFAP-eGFP mice). Primary purified murine GFAP-EGC cultures in vitro were established and it was assessed how the transcriptomic and proteomic profiles of these cells change upon inflammatory stimulation. Here, myenteric GFAP-EGCs were found to undergo a shift in gene expression profile that predominantly affects expression of genes associated with inflammatory responses. Further, a secretion of inflammatory mediators was validated on protein level. The GFAP+ subpopulation is hence an active participant in inflammatory pathophysiology. In an acute murine IBD model in vivo, GFAP-EGCs were found to express components of the major histocompatibility complex (MHC) class II in inflamed tissue, which also indicates a crosstalk of EGCs with the innate and the adaptive lamina propria immune system in acute inflammation.
Taken together, this work advances our knowledge on EGC (patho-)physiology by identifying and characterizing an EGC subpopulation rapidly responsive to inflammation. This study further provides the transcriptomic profile of this population in vivo and in vitro, which can be used to identify targets for therapeutic intervention. Due to the modulating influence of EGCs on the intestinal microenvironment, the study further underlines the importance of integrating EGCs into in vitro test systems that aim to model intestinal tissues in vitro and presents an outlook on a potential strategy.
The formation of macromolecular complexes within the crowded environment of cells often requires aid from assembly chaperones. PRMT5 and SMN complexes mediate this task for the assembly of the common core of pre-mRNA processing small nuclear ribonucleoprotein particles (snRNPs). Core formation is initiated by the PRMT5-complex subunit pICln, which pre-arranges the core proteins into spatial positions occupied in the assembled snRNP. The SMN complex then accepts these pICln-bound proteins and unites them with small nuclear RNA (snRNA). Here, we have analyzed how newly synthesized snRNP proteins are channeled into the assembly pathway to evade mis-assembly. We show that they initially remain bound to the ribosome near the polypeptide exit tunnel and dissociate upon association with pICln. Coincident with its release activity, pICln ensures the formation of cognate heterooligomers and their chaperoned guidance into the assembly pathway. Our study identifies the ribosomal quality control hub as a site where chaperone-mediated assembly of macromolecular complexes can be initiated.
This paper examines the relevance of tax havens for China by determining which tax havens are important for China and to what extent. Furthermore, the motives for Chinese tax haven activity are analysed and compared to the motives of Western companies that primarily use tax havens for the purpose of tax arbitrage. An analysis of two listed Chinese companies, a private and a state-owned entity (SOE), exemplifies how Chinese businesses incorporate tax havens into their business structure and discusses differences between the motives of private and state-owned companies. The magnitude of tax havens found in the business structures emphasise the importance of tax havens for Chinese companies, irrespective of whether the company is an SOE or private, or conducts its business in China or internationally. While the reasons why the state-influenced company incorporated tax havens into their structure seemed to be related to legitimate business motives, the motives behind the structure of the private company seemed questionable. The assessment furthermore confirms that China’s weak institutional framework and restricting business environment is a major push factor and gives companies plenty of incentive to go offshore.
A prototype detection unit of the KM3NeT deep-sea neutrino telescope has been installed at 3500m depth 80 km offshore the Italian coast. KM3NeT in its final configuration will contain several hundreds of detection units. Each detection unit is a mechanical structure anchored to the sea floor, held vertical by a submerged buoy and supporting optical modules for the detection of Cherenkov light emitted by charged secondary particles emerging from neutrino interactions. This prototype string implements three optical modules with 31 photomultiplier tubes each. These optical modules were developed by the KM3NeT Collaboration to enhance the detection capability of neutrino interactions. The prototype detection unit was operated since its deployment in May 2014 until its decommissioning in July 2015. Reconstruction of the particle trajectories from the data requires a nanosecond accuracy in the time calibration. A procedure for relative time calibration of the photomultiplier tubes contained in each optical module is described. This procedure is based on the measured coincidences produced in the sea by the 40K background light and can easily be expanded to a detector with several thousands of optical modules. The time offsets between the different optical modules are obtained using LED nanobeacons mounted inside them. A set of data corresponding to 600 h of livetime was analysed. The results show good agreement with Monte Carlo simulations of the expected optical background and the signal from atmospheric muons. An almost background-free sample of muons was selected by filtering the time correlated signals on all the three optical modules. The zenith angle of the selected muons was reconstructed with a precision of about 3∘.
In recent years, cloud gaming has become a popular research topic and has claimed many benefits in the commercial domain over conventional gaming. While, cloud gaming platforms have frequently failed in the past, they have received a new impetus over the last years that brought it to the edge of commercial breakthrough. The fragility of the cloud gaming market may be caused by the high investment costs, offered pricing models or competition from existing "à la carte" platforms. This paper aims at investigating the costs and benefits of both platform types through a twofold approach. We first take on the perspective of the customers, and investigate several cloud gaming platforms and their pricing models in comparison to the costs of other gaming platforms. Then, we explore engagement metrics in order to assess the enjoyment of playing the offered games. Lastly, coming from the perspective of the service providers, we aim to identify challenges in cost-effectively operating a large-scale cloud gaming service while maintaining high QoE values. Our analysis provides initial, yet still comprehensive reasons and models for the prospects of cloud gaming in a highly competitive market.
Nuclear Magnetic Resonance (NMR) provides a highly flexible platform for non invasive analysis and imaging biological samples, since the manipulation of nuclear spin allows the tailoring of experiments to maximize the informativeness of the data. MRI is capable of visualizing a holistic picture of the lipid storage in living plant/seed. This review has sought to explain how the technology can be used to acquire functional and physiological data from plant samples, and how to exploit it to characterize lipid deposition in vivo. At the same time, we have referred to the current limitations of NMR technology as applied to plants, and in particular of the difficulty of transferring methodologies optimized for animal/medical subjects to plant ones. A forward look into likely developments in the field is included, anticipating its key future role in the study of living plant.
Modulating key dynamics of plant growth and development, the effects of the plant hormone cytokinin on animal cells gained much attention recently. Most previous studies on cytokinin effects on mammalian cells have been conducted with elevated cytokinin concentration (in the μM range). However, to examine physiologically relevant dose effects of cytokinins on animal cells, we systematically analyzed the impact of kinetin in cultured cells at low and high concentrations (1nM-10μM) and examined cytotoxic and genotoxic conditions. We furthermore measured the intrinsic antioxidant activity of kinetin in a cell-free system using the Ferric Reducing Antioxidant Power assay and in cells using the dihydroethidium staining method. Monitoring viability, we looked at kinetin effects in mammalian cells such as HL60 cells, HaCaT human keratinocyte cells, NRK rat epithelial kidney cells and human peripheral lymphocytes. Kinetin manifests no antioxidant activity in the cell free system and high doses of kinetin (500 nM and higher) reduce cell viability and mediate DNA damage in vitro. In contrast, low doses (concentrations up to 100 nM) of kinetin confer protection in cells against oxidative stress. Moreover, our results show that pretreatment of the cells with kinetin significantly reduces 4-nitroquinoline 1-oxide mediated reactive oxygen species production. Also, pretreatment with kinetin retains cellular GSH levels when they are also treated with the GSH-depleting agent patulin. Our results explicitly show that low kinetin doses reduce apoptosis and protect cells from oxidative stress mediated cell death. Future studies on the interaction between cytokinins and human cellular pathway targets will be intriguing.
To elucidate the mechanisms underlying the differences in adaptation of arm and leg muscles to sprint training, over a period of 11 days 16 untrained men performed six sessions of 4–6 × 30-s all-out sprints (SIT) with the legs and arms, separately, with a 1-h interval of recovery. Limb-specific VO2peak, sprint performance (two 30-s Wingate tests with 4-min recovery), muscle efficiency and time-trial performance (TT, 5-min all-out) were assessed and biopsies from the m. vastus lateralis and m. triceps brachii taken before and after training. VO2peak and Wmax increased 3–11% after training, with a more pronounced change in the arms (P < 0.05). Gross efficiency improved for the arms (+8.8%, P < 0.05), but not the legs (−0.6%). Wingate peak and mean power outputs improved similarly for the arms and legs, as did TT performance. After training, VO2 during the two Wingate tests was increased by 52 and 6% for the arms and legs, respectively (P < 0.001). In the case of the arms, VO2 was higher during the first than second Wingate test (64 vs. 44%, P < 0.05). During the TT, relative exercise intensity, HR, VO2, VCO2, VE, and Vt were all lower during arm-cranking than leg-pedaling, and oxidation of fat was minimal, remaining so after training. Despite the higher relative intensity, fat oxidation was 70% greater during leg-pedaling (P = 0.017). The aerobic energy contribution in the legs was larger than for the arms during the Wingate tests, although VO2 for the arms was enhanced more by training, reducing the O2 deficit after SIT. The levels of muscle glycogen, as well as the myosin heavy chain composition were unchanged in both cases, while the activities of 3-hydroxyacyl-CoA-dehydrogenase and citrate synthase were elevated only in the legs and capillarization enhanced in both limbs. Multiple regression analysis demonstrated that the variables that predict TT performance differ for the arms and legs. The primary mechanism of adaptation to SIT by both the arms and legs is enhancement of aerobic energy production. However, with their higher proportion of fast muscle fibers, the arms exhibit greater plasticity.
Lungfish and coelacanths are the only living sarcopterygian fish. The phylogenetic relationship of lungfish to the last common ancestor of tetrapods and their close morphological similarity to their fossil ancestors make this species uniquely interesting. However their genome size, the largest among vertebrates, is hampering the generation of a whole genome sequence. To provide a partial solution to the problem, a high-coverage lungfish reference transcriptome was generated and assembled. The present findings indicate that lungfish, not coelacanths, are the closest relatives to land-adapted vertebrates. Whereas protein-coding genes evolve at a very slow rate, possibly reflecting a “living fossil” status, transposable elements appear to be active and show high diversity, suggesting a role for them in the remarkable expansion of the lungfish genome. Analyses of single genes and gene families documented changes connected to the water to land transition and demonstrated the value of the lungfish reference transcriptome for comparative studies of vertebrate evolution.
Long non-coding RNAs are important regulators of gene expression and signaling pathways. The expression of long ncRNAs is dysregulated in cancer and other diseases. The identification and characterization of long ncRNAs is often challenging due to their low expression level and localization to chromatin. Here, we identify a functional long ncRNA, PARROT (Proliferation Associated RNA and Regulator Of Translation) transcribed by RNA polymerase II and expressed at a relatively high level in a number of cell lines. The PARROT long ncRNA is associated with proliferation in both transformed and normal cell lines. We characterize the long ncRNA PARROT as an upstream regulator of c-Myc affecting cellular proliferation and translation using RNA sequencing and mass spectrometry following depletion of the long ncRNA. PARROT is repressed during senescence of human mammary epithelial cells and overexpressed in some cancers, suggesting an important association with proliferation through regulation of c-Myc. With this study, we add to the knowledge of cytoplasmic functional long ncRNAs and extent the long ncRNA-Myc regulatory network in transformed and normal cells.
The KISS1 Receptor as an In Vivo Microenvironment Imaging Biomarker of Multiple Myeloma Bone Disease
(2016)
Multiple myeloma is one of the most common hematological diseases and is characterized by an aberrant proliferation of plasma cells within the bone marrow. As a result of crosstalk between cancer cells and the bone microenvironment, bone homeostasis is disrupted leading to osteolytic lesions and poor prognosis. Current diagnostic strategies for myeloma typically rely on detection of excess monoclonal immunoglobulins or light chains in the urine or serum. However, these strategies fail to localize the sites of malignancies. In this study we sought to identify novel biomarkers of myeloma bone disease which could target the malignant cells and/or the surrounding cells of the tumor microenvironment. From these studies, the KISS1 receptor (KISS1R), a G-protein-coupled receptor known to play a role in the regulation of endocrine functions, was identified as a target gene that was upregulated on mesenchymal stem cells (MSCs) and osteoprogenitor cells (OPCs) when co-cultured with myeloma cells. To determine the potential of this receptor as a biomarker, in vitro and in vivo studies were performed with the KISS1R ligand, kisspeptin, conjugated with a fluorescent dye. In vitro microscopy showed binding of fluorescently-labeled kisspeptin to both myeloma cells as well as MSCs under direct co-culture conditions. Next, conjugated kisspeptin was injected into immune-competent mice containing myeloma bone lesions. Tumor-burdened limbs showed increased peak fluorescence compared to contralateral controls. These data suggest the utility of the KISS1R as a novel biomarker for multiple myeloma, capable of targeting both tumor cells and host cells of the tumor microenvironment.