Refine
Year of publication
Document Type
- Doctoral Thesis (8892) (remove)
Language
- German (6105)
- English (2782)
- French (4)
- Multiple languages (1)
Keywords
- Maus (121)
- Signaltransduktion (104)
- Genexpression (98)
- Taufliege (92)
- Deutschland (83)
- T-Lymphozyt (74)
- Tissue Engineering (72)
- Apoptosis (70)
- Herzinsuffizienz (65)
- Thrombozyt (61)
Institute
- Graduate School of Life Sciences (1002)
- Theodor-Boveri-Institut für Biowissenschaften (797)
- Physikalisches Institut (411)
- Medizinische Klinik und Poliklinik I (312)
- Institut für Pharmazie und Lebensmittelchemie (291)
- Institut für Anorganische Chemie (260)
- Klinik und Poliklinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie (Chirurgische Klinik I) (256)
- Klinik und Poliklinik für Psychiatrie, Psychosomatik und Psychotherapie (230)
- Institut für Organische Chemie (225)
- Medizinische Klinik und Poliklinik II (215)
Schriftenreihe
Sonstige beteiligte Institutionen
- Fraunhofer-Institut für Silicatforschung ISC (8)
- Helmholtz Institute for RNA-based Infection Research (HIRI) (7)
- Universitätsklinikum Würzburg (5)
- Fraunhofer Institut für Silicatforschung ISC (3)
- Fraunhofer-Institut für Silicatforschung (3)
- Klinikum Fulda (3)
- König-Ludwig-Haus Würzburg (3)
- Technische Hochschule Nürnberg Georg Simon Ohm (3)
- Universitätsklinikum Münster (3)
- CHC Würzburg (Comprehensive Hearing Center) (2)
ResearcherID
- B-1911-2015 (1)
- B-4606-2017 (1)
- C-2593-2016 (1)
- D-1250-2010 (1)
- D-3057-2014 (1)
- I-5818-2014 (1)
- J-8841-2015 (1)
- M-1240-2017 (1)
- N-2030-2015 (1)
- N-3741-2015 (1)
EU-Project number / Contract (GA) number
- 311781 (1)
- 320377 (1)
- EU (FP7/ 2007-2013) (1)
DNA damage occurs frequently during normal cellular progresses or by environmental factors. To preserve the genome integrity, DNA damage response (DDR) has evolved to repair DNA and the non-properly repaired DNA induces human diseases like immune deficiency and cancer. Since a large number of proteins involved in DDR are enzymes of ubiquitin system, it is critical to investigate how the ubiquitin system regulates cellular response to DNA damage. Hereby, we reveal a novel mechanism for DDR regulation via activation of SCF ubiquitin ligase upon DNA damage.
As an essential step for DNA damage-induced inhibition of DNA replication, Cdc25A degradation by the E3 ligase β-TrCP upon DNA damage requires the deubiquitinase Usp28. Usp28 deubiquitinates β-TrCP in response to DNA damage, thereby promotes its dimerization, which is required for its activity in substrate ubiquitination and degradation. Particularly, ubiquitination at a specific lysine on β-TrCP suppresses dimerization.
The key mediator protein of DDR, 53BP1, forms oligomers and associates with β-TrCP to inhibit its activity in unstressed cells. Upon DNA damage, 53BP1 is degraded in the nucleoplasm, which requires oligomerization and is promoted by Usp28 in a β-TrCP-dependent manner. Consequently, 53BP1 destruction releases and activates β-TrCP during DNA damage response.
Moreover, 53BP1 deletion and DNA damage promote β-TrCP dimerization and recruitment to chromatin sites that locate in the vicinity of putative replication origins. Subsequently, the chromatin-associated Cdc25A is degraded by β-TrCP at the origins. The stimulation of β-TrCP binding to the origins upon DNA damage is accompanied by unloading of Cdc45, a crucial component of pre-initiation complexes for replication. Loading of Cdc45 to origins is a key Cdk2-dependent step for DNA replication initiation, indicating that localized Cdc25A degradation by β-TrCP at origins inactivates Cdk2, thereby inhibits the initiation of DNA replication.
Collectively, this study suggests a novel mechanism for the regulation of DNA replication upon DNA damage, which involves 53BP1- and Usp28-dependent activation of the SCF(β-TrCP) ligase in Cdc25A degradation.
This dissertation presents controller design methodologies for a formation of cooperative mobile robots to perform trajectory tracking and convoy protection tasks. Two major problems related to multi-agent formation control are addressed, namely the time-delay and optimality problems. For the task of trajectory tracking, a leader-follower based system structure is adopted for the controller design, where the selection criteria for controller parameters are derived through analyses of characteristic polynomials. The resulting parameters ensure the stability of the system and overcome the steady-state error as well as the oscillation behavior under time-delay effect. In the convoy protection scenario, a decentralized coordination strategy for balanced deployment of mobile robots is first proposed. Based on this coordination scheme, optimal controller parameters are generated in both centralized and decentralized fashion to achieve dynamic convoy protection in a unified framework, where distributed optimization technique is applied in the decentralized strategy. This unified framework takes into account the motion of the target to be protected, and the desired system performance, for instance, minimal energy to spend, equal inter-vehicle distance to keep, etc.
Both trajectory tracking and convoy protection tasks are demonstrated through simulations and real-world hardware experiments based on the robotic equipment at Department of Computer Science VII, University of Würzburg.
Amyotrophic lateral sclerosis and spinal muscular atrophy are the two most common motoneuron diseases. Both are characterized by destabilization of axon terminals, axon degeneration and alterations in neuronal cytoskeleton. Accumulation of neurofilaments has been observed in several neurodegenerative diseases but the mechanisms how elevated neurofilament levels destabilize axons are unknown so far. Here, I show that increased neurofilament expression in motor nerves of pmn mutant mice causes disturbed microtubule dynamics. Depletion of neurofilament by Nefl knockout increases the number and regrowth of microtubules in pmn mutant motoneurons and restores axon elongation. This effect is mediated by interaction of neurofilament with the stathmin complex. Depletion of neurofilament increases stathmin-Stat3 interaction and stabilizes the microtubules. Consequently, the axonal maintenance is improved and the pmn mutant mice survive longer. We propose that this mechanism could also be relevant for other neurodegenerative diseases in which neurofilament accumulation is a prominent feature.
Next, using Smn-/-;SMN2 mouse as a model, the molecular mechanism behind synapse loss in SMA is studied. SMA is characterized by degeneration of lower α-motoneurons in spinal cord; however, how reduction of ubiquitously expressed SMN leads to MN-specific degeneration remains unclear. SMN is involved in pre-mRNA splicing (Pellizzoni, Kataoka et al. 1998) and its deficiency in SMA affects the splicing machinery. Neuromuscular junction denervation precedes neurodegeneration in SMA. However, there is no evidence of a link between aberrant splicing of transcripts downstream of Smn and reduced presynaptic axon excitability observed in SMA. In this study, we observed that expression and splicing of Nrxn2, that encodes a presynaptic protein is affected in the SMA mouse and that Nrxn2 could be a candidate that relates aberrant splicing to synaptic motoneuron defects in SMA.
Chlamydia trachomatis (Ct) is an obligate intracellular human pathogen. It causes blinding trachoma and sexually transmitted disease such as chlamydia, pelvic inflammatory disease and lymphogranuloma venereum. Ct has a unique biphasic development cycle and replicates in an intracellular vacuole called inclusion. Normally it has two forms: the infectious form, elementary body (EB); and the non-infectious form, reticulate body (RB). Ct is not easily amenable to genetic manipulation. Hence, to understand the infection process, it is crucial to study how the metabolic activity of Ct exactly evolves in the host cell and what roles of EB and RB play differentially in Ct metabolism during infection. In addition, Ct was found regularly coinfected with other pathogens in patients who got sexually transmitted diseases (STDs). A lack of powerful methods to culture Ct outside of the host cell makes the detailed molecular mechanisms of coinfection difficult to study.
In this work, a genome-scale metabolic model with 321 metabolites and 277 reactions was first reconstructed by me to study Ct metabolic adaptation in the host cell during infection. This model was calculated to yield 84 extreme pathways, and metabolic flux strength was then modelled regarding 20hpi, 40hpi and later based on a published proteomics dataset. Activities of key enzymes involved in target pathways were further validated by RT-qPCR in both HeLa229 and HUVEC cell lines. This study suggests that Ct's major active pathways involve glycolysis, gluconeogenesis, glycerolphospholipid biosynthesis and pentose phosphate pathway, while Ct's incomplete tricarboxylic acid cycle and fatty acid biosynthesis are less active. EB is more activated in almost all these carbohydrate pathways than RB. Result suggests the survival of Ct generally requires a lot of acetyl-CoA from the host. Besides, both EB and RB can utilize folate biosynthesis to generate NAD(P)H but may use different pathways depending on the demands of ATP. When more ATP is available from both host cell and Ct itself, RB is more activated by utilizing energy providing chemicals generated by enzymes associated in the nucleic acid metabolism. The forming of folate also suggests large glutamate consumption, which is supposed to be converted from glutamine by the glutamine-fructose-6-phosphate transaminase (glmS) and CTP synthase (pyrG).
Then, RNA sequencing (RNA-seq) data analysis was performed by me in a coinfection study. Metatranscriptome from patient RNA-seq data provides a realistic overview. Thirteen patient samples were collected and sequenced by our collaborators. Six male samples were obtained by urethral swab, and seven female samples were collected by cervicovaginal lavage. All the samples were Neisseria gonorrhoeae (GC) positive, and half of them had coinfection with Ct. HISAT2 and Stringtie were used for transcriptomic mapping and assembly respectively, and differential expression analysis by DESeq2, Ballgown and Cuffdiff2 are parallelly processed for comparison. Although the measured transcripts were not sufficient to assemble Ct's transcriptome, the differential expression of genes in both the host and GC were analyzed by comparing Ct positive group (Ct+) against Ct-uninfected group. The results show that in the Ct+ group, the host MHC class II immune response was highly induced. Ct infection is associated with the regulation of DNA methylation, DNA double-strand damage and ubiquitination. The analysis also shows Ct infection enhances host fatty acid beta oxidation, thereby inducing mROS, and the host responds to reduce ceramide production and glycolysis. The coinfection upregulates GC's own ion transporters and amino acid uptake, while it downregulates GC's restriction and modification systems. Meanwhile, GC has the nitrosative and oxidative stress response and also increases the ability for ferric uptake especially in the Ct+ group compared to Ct-uninfected group.
In conclusion, methods in bioinformatics were used here in analyzing the metabolism of Ct itself, and the responses of the host and GC respectively in a coinfection study with and without Ct. These methods provide metabolic and metatranscriptomic details to study Ct metabolism during infection and Ct associated coinfection in the human microbiota.
Motivated by the perceived great potential of chiral polymers, the presented work aimed at the investigation of synthesis, solubility and optical activity of chiral poly(2,4-disubstituted-2-oxazoline)s. A novel polymeric carrier based on ABA-type triblock copolymers poly(2-oxazoline)s with chiral and racemic hydrophobic blocks was developed for the formulation of chiral and achiral drugs (Fig. 5.1). Poly(2-methyl-2-oxazoline) (pMeOx) was used as hydrophilic A block, and poly(2-ethyl-4-ethyl-2-oxazoline) (pEtEtOx) and poly(2-propyl-4-methyl-2-oxazoline) (pPrMeOx) were used as hydrophobic B blocks. Curcumin (CUR), paclitaxel (PTX) and chiral/racemic ibuprofen (R/S/RS-IBU) were applied as model drugs. Nanoformulations were prepared consisting of these triblock copolymers and model drugs. ...
Optogenetics became successful in neuroscience with Channelrhodopsin-2 (ChR2), a light-gated cation channel from the green alga Chlamydomonas reinhardtii, as an easy applicable tool. The success of ChR2 inspired the development of various photosensory proteins as powerful actuators for optogenetic manipulation of biological activity. However, the current optogenetic toolbox is still not perfect and further improvements are desirable. In my thesis, I engineered and characterized several different optogenetic tools with new features.
(i) Although ChR2 is the most often used optogenetic actuator, its single-channel conductance and its Ca2+ permeability are relatively low. ChR2 variants with increased Ca2+ conductance were described recently but a further increase seemed possible. In addition, the H+ conductance of ChR2 may lead to cellular acidification and unintended pH-related side effects upon prolonged illumination. Through rational design, I developed several improved ChR2 variants with larger photocurrent, higher cation selectivity, and lower H+ conductance.
(ii) The light-activated inward chloride pump NpHR is a widely used optogenetic tool for neural silencing. However, pronounced inactivation upon long time illumination constrains its application for long-lasting neural inhibition. I found that the deprotonation of the Schiff base underlies the inactivation of NpHR. Through systematically exploring optimized illumination schemes, I found illumination with blue light alone could profoundly increase the temporal stability of the NpHR-mediated photocurrent. A combination of green and violet light eliminates the inactivation effect, similar to blue light, but leading to a higher photocurrent and therefore better light-induced inhibition.
(iii) Photoactivated adenylyl cyclases (PACs) were shown to be useful for light-manipulation of cellular cAMP levels. I developed a convenient in-vitro assay for soluble PACs that allows their reliable characterization. Comparison of different PACs revealed that bPAC from Beggiatoa is the best optogenetic tool for cAMP manipulation, due to its high efficiency and small size. However, a residual activity of bPAC in the dark is unwanted and the cytosolic localization prevents subcellular precise cAMP manipulation. I therefore introduced point mutations into bPAC to reduce its dark activity. Interestingly, I found that membrane targeting of bPAC with different linkers can remarkably alter its activity, in addition to its localization. Taken together, a set of PACs with different activity and subcellular localization were engineered for selection based on the intended usage. The membrane-bound PM-bPAC 2.0 with reduced dark activity is well-tolerated by hippocampal neurons and reliably evokes a transient photocurrent, when co-expression with a CNG channel.
(iv) Bidirectional manipulation of cell activity with light of different wavelengths is of great importance in dissecting neural networks in the brain. Selection of optimal tool pairs is the first and most important step for dual-color optogenetics. Through N- and C-terminal modifications, an improved ChR variant (i.e. vf-Chrimson 2.0) was engineered and selected as the red light-controlled actuator for excitation. Detailed comparison of three two-component potassium channels, composed of bPAC and the cAMP-activated potassium channel SthK, revealed the superior properties of SthK-bP. Combining vf-Chrimson 2.0 and improved SthK-bP “SthK(TV418)-bP” could reliably induce depolarization by red light and hyperpolarization by blue light. A residual tiny crosstalk between vf-Chrimson 2.0 and SthK(TV418)-bP, when applying blue light, can be minimized to a negligible level by applying light pulses or simply lowering the blue
light intensity.
In this thesis we have investigated the effect of NFAT (Nuclear Factor of Activated T Cell) transcription factors on the expression of Rag-(Recombination Activating Genes) genes in murine thymus. The protein products of Rag genes, RAG1 and RAG2, are critical for the recombination and generation of the TCR (T Cell Receptor) repertoire during thymocyte development, and their expression can be suppressed by the activity of NFAT factors. In thymus, the expression of Rag1 and Rag2 genes is induced at the double-negative (DN, CD4-8-) 3 stage, down-regulated at the DN4 stage, re-induced at the double-positive (DP, CD4+8+) stage, and suppressed again at the single-positive (SP, CD4+8- or CD4-8+) stage. Although it is known that TCR signaling suppresses the expression of Rag1 and Rag2 at the SP stage, the signals that mediate the Rag gene down-reulation remain elusive. Here we report that both the calcineurin-NFAT-signaling and MAPKinase signaling pathways, which are activated by TCR signaling during positive selection, mediate the Rag gene down-regulation in DP thymocytes. The calcineurin-NFAT pathway suppresses both the Rag1 and the Rag2 gene expression. This pathway has a stronger suppressive effect on the Rag1 than the Rag2 gene. A synergistic activity between the two NFAT factors NFATc2 and NFATc3 is essential for calcineurin-NFAT signaling to efficiently suppress the Rag gene expression in DP thymocytes. It is likely that the calcineurin-NFAT signaling down-regulates Rag gene expression by suppressing both the Rag anti-silencer element (ASE) activity and the Rag promoter activity. Similarly, MEK-ERK signaling of MAPK signaling pathway mediates the Rag gene suppression in DP thymocytes although the mechanism through which MEK-ERK mediates the Rag gene down-regulation has to be elucidated. In DN thymocytes, it appears that neither the calcineurin-NFAT signaling nor MAPK signaling is involved in the Rag gene down-regulation. However, a role for these two signaling pathways in the Rag gene up-regulation in DN thymocytes is not excluded. In DN thymocytes, pre-TCR signaling stimulates the expression both Nfatc1 and Nfatc2 genes but has no effect on Nfatc3 gene expression. In DN thymocytes, pre-TCR signaling activates Nfatc1α expression but not Nfatc1ß expression, i.e. the two promoters controling Nfatc1 gene xpression are differently controled by pre-TCR signals. Nfatc1α gene expression in DN thymocytes is mainly regulated by the MAPK signaling pathway because activation of Nfatc1α is mediated by MEK-ERK signaling but opposed by JNK signaling. Calcineuirn-NFAT and p38 signaling pathways are not involved in Nfatc1α promoter regulation in DN thymocytes. In DP thymocytes, TCR signaling up-regulates Nfatc1 and Nfatc2 expression but down-regulates Nfatc3 expression. In DP thymocytes, TCR signaling activates Nfatc1α expression. The activation of Nfatc1α in DP thymocytes is mediated by NFATc1, but not or to a less degree by NFATc2 and NFATc3. MEK-ERK, JNK, and p38 signaling pathways are involved in Nfatc1α gene activation in DP thymocytes, probably by activating NFAT trans-activation activity. All these findings illustrate that in thymocytes the expression of NFAT transcription factors – which are essential for thymic development - is controled at multiple levels.
Neisseria gonorrhoeae (GC) is a human specific pathogenic bacterium. Currently, N. gonorrhoeae developed resistance to virtually all the available antibiotics used for treatment. N. gonorrhoeae starts infection by colonizing the cell surface, followed by invasion of the host cell, intracellular persistence, transcytosis and exit into the subepithelial space. Subepithelial bacteria can reach the bloodstream and disseminate to other tissues causing systemic infections, which leads to serious conditions such as arthritis and pneumonia. A number of studies have well established the host-pathogen interactions during the initial adherence and invasion steps. However, the mechanism of intracellular survival and traversal is poorly understood so far. Hence, identification of novel bacterial virulence factors and host factors involved in the host-pathogen interaction is a crucial step in understanding disease development and uncovering novel therapeutic approaches. Besides, most of the previous studies about N. gonorrhoeae were performed in the conventional cell culture. Although they have provided insights into host-pathogen interactions, much information about the native infection microenvironment, such as cell polarization and barrier function, is still missing.
This work focused on determining the function of novel bacterial virulence factor NGFG_01605 and host factor (FLCN) in gonococcal infection. NGFG_01605 was identified by Tn5 transposon library screening. It is a putative U32 protease. Unlike other proteins in this family, it is not secreted and has no ex vivo protease activity. NGFG_01605 knockout decreases gonococcal survival in the epithelial cell. 3D models based on T84 cell was developed for the bacterial transmigration assay. NGFG_01605 knockout does not affect gonococcal transmigration.
The novel host factor FLCN was identified by shRNA library screening in search for factors that affected gonococcal adherence and/or internalization. We discovered that FLCN did not affect N. gonorrhoeae adherence and invasion but was essential for bacterial survival. Since programmed cell death is a host defence mechanism against intracellular pathogens, we further explored apoptosis and autophagy upon gonococcal infection and determined that FLCN did not affect apoptosis but inhibited autophagy. Moreover, we found that FLCN inhibited the expression of E-cadherin. Knockdown of E- cadherin decreased the autophagy flux and supported N. gonorrhoeae survival. Both non-polarized and polarized cells are present in the cervix, and additionally, E-cadherin represents different polarization properties on these different cells. Therefore, we established 3-D models to better understand the functions of FLCN. We discovered that FLCN was critical for N. gonorrhoeae survival in the 3-D environment as well, but not through inhibiting autophagy. Furthermore, FLCN inhibits the E-cadherin expression and disturbs its polarization in the 3-D models. Since N. gonorrhoeae can cross the epithelial cell barriers through both cell-cell junctions and transcellular migration, we further explored the roles FLCN and E-cadherin played in transmigration. FLCN delayed N. gonorrhoeae transmigration, whereas the knockdown of E-cadherin increased N. gonorrhoeae transmigration.
In summary, we revealed roles of the NGFG_01605 and FLCN-E-cadherin axis play in N. gonorrhoeae infection, particularly in relation to intracellular survival and transmigration. This is also the first study that connects FLCN and human-specific pathogen infection.
The universal two-child policy was introduced by the central government of China in 2016 to respond to the country’s deteriorating population problems, but it was soon replaced by a three-child policy in 2021 given that it failed to continuously boost fertility in Chinese society. This dissertation empirically investigates the implementation of universal two-child policy in three Chinese major cities. Based on the data collected through semi-structured interviews with leaders of local family planning agencies, it finds that local officials are primarily devoted to coping with the discontent of the bereaved single-child parents (shidu families), which is an unexpected consequence of the historical one-child policy, rather than working on the tasks regarding birth encouragement. The dissertation suggests understanding the implementation of China’s population policy within the framework of both historical and rational choice institutionalism. The target responsibility system as an effective tool of the central authority drives local agents to fix their attention at tasks that have larger impact on their career. The shifted focus in the implementation of the universal two-child policy is a result of local officials’ emphasis on the task of maintaining social stability. Shidu families are deemed as a salient threat to social order because their discontent with the state support has incurred continuous petitions at both the national and local level, which would severely undermine local officials’ career advancement. However, in the meantime, stability maintenance is found to have become alienated as reflected by the rising costs and that it replaced birth support to be the focus of local family planning agents in the universal two-child policy era. Since the conflict between the shidu group and the state is unlikely to be resolved, the future population policy design and enforcement will continue to be constrained by the shidu problem.
The learned helplessness phenomenon is a specific animal behavior induced by prior exposure to uncontrollable aversive stimuli. It was first found by Seligman and Maier (1967) in dogs and then has been reported in many other species, e.g. in rats (Vollmayr and Henn, 2001), in goldfishes (Padilla, 1970), in cockroaches (Brown, 1988) and also in fruit flies (Brown, 1996; Bertolucci, 2008). However, the learned helplessness effect in fruit flies (Drosophila melanogaster) has not been studied in detail. Thus, in this doctoral study, we investigated systematically learned helplessness behavior of Drosophila for the first time.
Three groups of flies were tested in heatbox. Control group was in the chambers experiencing constant, mild temperature. Second group, master flies were punished in their chambers by being heated if they stopped walking for 0.9s. The heat pulses ended as soon as they resumed walking again. A third group, the yoked fly, was in their chambers at the same time. However, their behavior didn’t affect anything: yoked flies were heated whenever master flies did, with same timing and durations. After certain amount of heating events, yoked flies associated their own behavior with the uncontrollability of the environment. They suppressed their innate responses such as reducing their walking time and walking speed; making longer escape latencies and less turning around behavior under heat pulses. Even after the conditioning phase, yoked flies showed lower activity level than master and control flies. Interestingly, we have also observed sex dimorphisms in flies. Male flies expressed learned helplessness not like female flies. Differences between master and yoked flies were smaller in male than in female flies. Another interesting finding was that prolonged or even repetition of training phases didn’t enhance learned helplessness effect in flies.
Furthermore, we investigated serotonergic and dopaminergic nervous systems in learned helplessness. Using genetic and pharmacological manipulations, we altered the levels of serotonin and dopamine in flies’ central nervous system. Female flies with reduced serotonin concentration didn’t show helpless behavior, while the learned helplessness effect in male flies seems not to be affected by a reduction of serotonin. Flies with lower dopamine level do not display the learned helplessness effect in the test phase, suggesting that with low dopamine the motivational change in learned helplessness in Drosophila may decline faster than with a normal dopamine level.
Die vorliegende klinisch-experimentelle Arbeit beleuchtet den Zusammenhang zwischen biologischem Geschlecht, den Konzentrationen der Geschlechtshormone Testosteron, Estradiol sowie dem kardialen Protein NT-pro-BNP in vivo und der Kraftentwicklung stimulierter Herzmuskelzellen in vitro. Im Studienzeitraum wurden insgesamt 225 Patienten (35 weiblich, 190 männlich), die sich einer elektiven koronarchirurgischen Operation unter Einsatz der Herz-Lungen-Maschine unterzogen, in die Studie eingeschlossen. Im Rahmen der Operation wurden Herzmuskelproben vom linken und rechten Herzohr gewonnen. Aus diesen wurde experimentell der kontraktile Apparat isoliert. Diese Muskelfaserbündel wurden mittels Immersion in verschieden stark konzentrierten Kalziumbädern zur Kontraktion stimuliert und die resultierende Kraftentwicklung erfasst. Diese Daten wurden den im Patientenblut bestimmten Serumkonzentrationen von Estradiol, Testosteron und NT-pro-BNP gegenübergestellt. Es konnte, auch unter Berücksichtigung der Hormonkonzentrationen, weder eine Korrelation des Patientengeschlechts mit der Kraftentwicklung festgestellt werden, noch korrelierte die Konzentration von NT-pro-BNP mit der Kraftentwicklung im experimentellen Modell.
Past experience contributes to behavioural organization mainly via learning: Animals learn otherwise ordinary cues as predictors for biologically significant events. This thesis studies such predictive, associative learning, using the fruit fly Drosophila melanogaster. I ask two main questions, which complement each other: One deals with the processing of those cues that are to be learned as predictors for an important event; the other one deals with the processing of the important event itself, which is to be predicted. Do fruit flies learn about combinations of olfactory and visual cues? I probe larval as well as adult fruit flies for the learning about combinations of olfactory and visual cues, using a so called ‘biconditional discrimination’ task: During training, one odour is paired with reinforcement only in light, but not in darkness; the other odour in turn is reinforced only in darkness, but not in light. Thus, neither the odours nor the visual conditions alone predict reinforcement, only combinations of both do. I find no evidence that either larval or adult fruit flies were to solve such task, speaking against a cross-talk between olfactory and visual modalities. Previous studies however suggest such cross-talk. To reconcile these results, I suggest classifying different kinds of interaction between sensory modalities, according to their site along the sensory-motor continuum: I consider an interaction ‘truly’ cross-modal, if it is between the specific features of the stimuli. I consider an interaction ’amodal’ if it instead engages the behavioural tendencies or ‘values’ elicited by each stimulus. Such reasoning brings me to conclude that different behavioural tasks require different kinds of interaction between sensory modalities; whether a given kind of interaction will be found depends on the neuronal infrastructure, which is a function of the species and the developmental stage. Predictive learning of pain-relief in fruit flies Fruit flies build two opposing kinds of memory, based on an experience with electric shock: Those odours that precede shock during training are learned as predictors for punishment and are subsequently avoided; those odours that follow shock during training on the other hand are learned as signals for relief and are subsequently approached. I focus on such relief learning. I start with a detailed parametric analysis of relief learning, testing for reproducibility as well as effects of gender, repetition of training, odour identity, odour concentration and shock intensity. I also characterize how relief memories, once formed, decay. In addition, concerning the psychological mechanisms of relief learning, first, I show that relief learning establishes genuinely associative conditioned approach behaviour and second, I report that it is most likely not mediated by context associations. These results enable the following neurobiological analysis of relief learning; further, they will form in the future the basis for a mathematical model; finally, they will guide the researchers aiming at uncovering relief learning in other experimental systems. Next, I embark upon neurogenetic analysis of relief learning. First, I report that fruit flies mutant for the so called white gene build overall more ‘negative’ memories about an experience with electric shock. That is, in the white mutants, learning about the painful onset of shock is enhanced, whereas learning about the relieving offset of shock is diminished. As they are coherently affected, these two kinds of learning should be in a balance. The molecular mechanism of the effect of white on this balance remains unresolved. Finally, as a first step towards a neuronal circuit analysis of relief learning, I compare it to reward learning and punishment learning. I find that relief learning is distinct from both in terms of the requirement for biogenic amine signaling: Reward and punishment are respectively signalled by octopamine and dopamine, for relief learning, either of these seem dispensible. Further, I find no evidence for roles for two other biogenic amines, tyramine and serotonin in relief learning. Based on these findings I give directions for further research.
In der vorliegenden Studie wurde untersucht, ob laryngeale Konstriktionsphänomene regelhaft bei gesunden Säuglingen mit deutscher Umgebungssprache auftreten, ob es eine altersabhängige oder geschlechtsabhängige Entwicklung in der Auftrittshäufigkeit der Phänomene gibt und ob diese zusätzlich durch den Vokalisationstyp beeinflusst wird. Dazu wurden hier vier typische Vokalisationstypen im vorsprachlichen Alter definiert: spontanes Säuglingsweinen vor einer Mahlzeit in zwei Ausprägungsformen (Typ C und UC, letzterer als Typ weniger intensiven Säuglingsweinens) sowie Nichtschreivokalisationen in zwei Ausprägungsformen (UB: Übergangslaut zwischen UC und silbenartigem Vokalisieren (BB)).
In der vorliegenden Arbeit wurden solche Konstriktionsphänomene untersucht, die in der medizinischen Fachliteratur häufig mit pathologischen Zuständen der respiratorischen Regelung sowie Vokaltraktmalformationen bei Säuglingen mit Lippen-Kiefer-Gaumen-Segelspalten beschrieben werden. Es wurde hier untersucht, ob ähnliche Phänomene auch bei gesunden Säuglingen regelhaft auftreten.
Dazu wurde in einem kombinierten Längs- und Querschnittsdesign eine deskriptive Analyse von 20.406 Einzelvokalisationen von 20 Säuglingen in den ersten sieben Lebensmonaten vorgenommen. Die Vokalisationen lagen anonymisiert im Zentrum für vorsprachliche Entwicklung & Entwicklungsstörungen an der Poliklinik für Kieferorthopädie des Universitätsklinikums Würzburg vor. Es handelt sich um eine explorative, retrospektive Analyse.
Unter Verwendung von Frequenzspektren und Audiofiles wurden alle Einzelvokalisationen audio-visuell analysiert und drei Stufen mit unterschiedlicher Ausprägung der Konstriktionen einsortiert (Kategorie 1 – 3; Kategorie 0 = keine Konstriktionen in der Vokalisation). Die Kategoriendefinition wurde vom Autor der vorliegenden Arbeit in einer Voruntersuchung erarbeitet und durch weitere Kodierer getestet und als geeignet befunden.
Im Ergebnis der Arbeit konnte gezeigt werden, dass die hier untersuchten Konstriktionsphänomene regelhaft bei allen gesunden Säuglingen im Untersuchungszeitraum vorkommen. Die Auftrittshäufigkeit war dabei teilweise vom Geschlecht, vom Alter und vom Vokalisationstyp abhängig. Eine vergleichbare systematische Analyse lag bisher in der Literatur nicht vor. Die Ergebnisse werden aus physiologischer und linguistisch-phonetischer Perspektive interpretiert. Es konnte gezeigt werden, dass die im spontanen Weinen beobachteten Konstriktionsphänomene auch bei den Komfortvokalisationen (Nichtschreivokalisationen) vorkamen.
Dies stützt die Kontinuitätshypothese in der vorsprachlichen Entwicklung.
Die Arbeit hat auch widerlegt, dass alle Konstriktionsphänomene im Säuglingsweinen ein Pathologiemarker sind. Die Differenzierung zwischen physiologischen und pathologischen Konstriktionsphänomenen, die z.B. durch respiratorische Dysfunktion entstehen können (Stridor), ist eine Aufgabe für nachfolgende Arbeiten.
Für weiterführende Arbeiten mit dem Ziel der Anwendung von Stimmregisterphänomenen in der Vorsprachlichen Diagnostik sind methodisch erweiterte Ansätze bei gleichzeitig größerer Stichprobe erforderlich.
The importance of enterprise systems is increasingly growing and they are in the center of attention and consideration by organizations in various types of business and industries from extra-large public or private organizations to small and medium-sized service sector business. These systems are continuously advancing functionally and technologically and are inevitable and ineluctable for the enterprises to maximize their productivity and integration in current competitive national and global business environments.
Also, since local software solutions could not meet the requirements of especially large enterprises functionally and technically, and as giant global enterprise software producers like SAP, Oracle and Microsoft are improving their solutions rapidly and since they are expanding their market to more corners of the globe, demand for these globally branded low-defect software solutions is daily ascending. The agreements for international ERP implementation project consultancy are, therefore, exponentially increasing, while the research on the influencing factors and know-hows is scattered and rare, and thus, a timely urgency for this field of research is being felt.
The final developed five-in-five framework of this study, for the first time, collects all mentioned-in-the-history critical success factors and project activities, while sequencing them in five phases and categorizing them in five focus areas for international ERP implementation projects. This framework provides a bird’s-eye view and draws a comprehensive roadmap or instruction for such projects.
The role of DNA supercoiling in the coordinated regulation of gene expression in Helicobacter pylori
(2004)
Summary Mechanisms of global gene regulation in bacteria are not well characterized yet. Changes in global or local supercoiling of chromosomal DNA are thought to play a role in global gene silencing and gene activation. In Helicobacter pylori, a bacterium with few dedicated transcriptional regulators, the structure of some promoters indicates a dependency on DNA topology. For example, the promoter of the major flagellar subunit gene flaA (ó28-dependent) has a shorter spacing of 13 nucleotides (nt) in comparison to the consensus promoter (15 nt). Supercoiling changes might be a mechanism of gene-specific and global transcriptional regulation in this bacterium. The aim of this study was to elucidate, if changes in global supercoiling have an influence on global gene regulation in H. pylori, and on the temporal regulation of the flagellar biosynthesis pathway in this organism. In the present work, global DNA supercoiling in H. pylori was visualized for the first time, by determining the supercoiling state of plasmids under different growth conditions. Using this method, we showed that cellular supercoiling was clearly growth phase-dependent in H. pylori. Coinciding with increased supercoiling during the growth phases, transcription of the flaA gene was increased, while the transcription of a second ó28-dependent gene with regular promoter spacing (HP0472) was reduced, supporting the hypothesis that growth phase-dependency of promoters might be mediated by changes of DNA topology. Supercoiling in H. pylori could be influenced in a reproducible fashion by inhibition of gyrase using novobiocin, which led to DNA relaxation and to a concomitant decrease of flaA transcript levels. Promoter spacer mutagenesis of the flaA promoter was performed. With flaA promoters of increased or reduced length, transcription of flaA was reduced, less susceptible to supercoiling changes, and, under specific conditions, inverted as compared to the wild type promoter. Transcriptional interdependence between the coupled topA-flaB genes and flaA was found by analysis of the flaA promoter mutants. Chromosomally linked gyrA-flgR, and topA-flaB genes were all dependent on supercoiling and coregulated with each other. Comprehensive transcript profiling (DNA microarrays) of wildtype H. pylori with and without novobiocin treatment identified a number of genes (10% of total genes), including flagellin, virulence and housekeeping genes, which were strongly dependent on and appeared to be synchronized by supercoiling changes (transcriptional up- or downregulation). These findings indicate a tightly coupled temporal regulation of flagellar biogenesis and metabolism in H. pylori, dependent on global supercoiling. A specific group of genes was also regulated in H. pylori by overexpression of Topoisomerase I, as detected by genome-wide analysis (DNA microarray). The DNA-bending protein HU is thought to be responsible for influencing the negative supercoiling of DNA, through its ability to wrap DNA. HU is encoded by the hup single gene in H. pylori, and constitutively expressed during the whole growth curve. An H. pylori hup mutant was constructed. H. pylori cells lacking HU protein were viable, but exhibited a severe growth defect. Our data indicate that the lack of HU dramatically changes global DNA supercoiling, indicating an important function of HU in chromosome structuring in H. pylori. Transcriptome analyses were performed and demonstrated that a total of 66 genes were differentially transcribed upon hup deletion, which include virulence genes and many other cell functions. The data indicate that HU might act as further important global regulator in H. pylori. Increased gene expression of heat shock proteins and a decreased transcription of the urease gene cluster may indicate a co-ordinated response of H. pylori to changes of environmental conditions in its specific ecological niche, mediated by HU. After the whole genomic sequences of H. pylori strains 26695 and J99 were published, two ORFs (HP0116 and HP0440) were presumptively annotated as topoisomerase I orthologs. HP0116 is the functional H. pylori topoisomerase I (TopA). HP0440 (topA2) was found in only few (5 of 43) strains. Western blot analysis indicated that TopA2 is antigenically different from TopA. TopA2 is transcribed in H. pylori, but the protein must be functionally different from TopA, since it is lacking one functionally essential zinc finger motif, and was not able to functionally complement a TopA-deficient E. coli. Like topA, topA2 was also transcribed in a growth phase-dependent manner. We did not find a function of TopA2 in DNA structuring or topology, but, in the present study, we were able for the first time to establish a unique function for TopA2 in global gene regulation, by comprehensive transcriptome analysis (DNA microarray). Transcriptome analysis showed that a total of 46 genes were differentially regulated upon topA2 deletion, which included flagellar genes and urease genes. These results suggest that TopA2 might act as a novel important regulator of both flagellar biosynthesis and urease in H. pylori.
RNA is one of the most abundant macromolecules and plays essential roles in numerous biological processes. This doctoral thesis consists of two projects focusing on RNA structure and RNA-RNA interactions in viral genome packaging. In the first project I developed a method called Functional Analysis of RNA Structure (FARS-seq) to investigate structural features regulating genome dimerization within the HIV-1 5’UTR. Genome dimerization is a conserved feature of retroviral replication and is thought to be a prerequisite for binding to the viral structural protein Pr55Gag during genome packaging. It also plays a role in genome integrity and evolution through recombination, and is linked to a structural switch that may regulate genome packaging and translation within cells. Despite its importance for HIV-1 replication, the RNA signals regulating genome dimerization, and the molecular mechanism leading to the selection of the genome dimer over the monomer for packaging are incompletely understood. The FARS-seq method combines RNA structural information obtained by chemical probing with single nucleotide resolution profiles of RNA function obtained by mutational interference. In this way, we found nucleotides that were critical for dimerization, especially within the well-characterized dimerization motif within stem-loop 1 (SL1). We also found stretches of nucleotides that enhanced genome dimerization upon mutation, suggesting their role in negatively regulating dimerization. A structural analysis identified distinct structural signatures within monomeric and dimeric RNA. The dimeric conformation displayed the canonical transactivation response (TAR), PolyA, primer binding site (PBS), and SL1-SL3 stem-loops, and contained a long range U5-AUG interaction. Unexpectedly, in monomeric RNA, SL1 was reconfigured into long- and short-range base-pairings with PolyA and PBS, respectively. Intriguingly, these base pairings concealed the palindromic sequence needed for dimerization and disrupted the internal loop in SL1 previously shown to contain the major packaging motif for Pr55Gag. We therefore rationally introduced mutations into PolyA and PBS, and showed how these regions regulate genome dimerization, and the binding of Pr55Gag in vitro, as well as genome packaging into virions. These findings give insights into late stages of the HIV-1 life cycle and a mechanistic explanation for the link between RNA dimerization and packaging.
In the second project, I developed a proximity ligation and high-throughput sequencing-based method, RNA-RNA seq, which can measure direct (RNA-RNA) and indirect (protein-mediated) interactions. In contrast to existing methods, RNA-RNA seq is not limited by specific protein or RNA baits, nor to a particular crosslinking reagent. The genome of influenza A virus contains eight segments, which assemble into a “7+1” supramolecular complex. However, the molecular details of genome assembly are poorly understood. Our goal is to use RNA-RNA seq to identify the sites of interaction between the eight genomic RNAs of influenza, and to use this information to define the quaternary RNA architecture of the genome. We showed that RNA-RNA seq worked on model substrates, like the HIV-1 Dimerization Initiation Site (DIS) RNA and purified ribosome, as well as influenza A virus infected cells.
Interleukin 2 (IL-2) was the first cytokine applied for cancer treatment in human history. It has been approved as monotherapy for renal cell carcinoma and melanoma by the FDA and does mediate the regression of the tumors in patients. One of the possible mechanisms is that the administration of IL-2 led to T lymphocytes expansion, including CD4+ and CD8+ T cells. In addition, a recent study demonstrated that antigen-specific T cells could also be expanded through the induction of IL-2, which plays a crucial role in mediating tumor regression. However, despite the long-term and extensive use of IL-2 in the clinic, the ratio of patients who get a complete response was still low, and only about one-fifth of patients showed objective tumor regression. Therefore, the function of IL-2 in cancer treatment should continue to be optimized and investigated. A study by Franz O. Smith et al. has shown that the combination treatment of IL-2 and tumor-associated antigen vaccine has a strong trend to increased objective responses compared to patients with melanoma receiving IL-2 alone. Peptide vaccines are anti-cancer vaccines able to induce a powerful tumor antigenspecific immune response capable of eradicating the tumors. According to the type of antigens, peptide vaccines can be classified into two distinct categories: Tumor-associated antigens (TAA) vaccine and tumor-specific neoantigens (TSA) vaccine. Currently, Peptide vaccines are mainly investigated in phase I and phase II clinical trials of human cancer patients with various advanced cancers such as lung cancer, gastrointestinal tumors, and breast cancers. Vaccinia virus (VACV) is one of the safest viral vectors, which has been wildly used in cancer treatment and pathogen prevention. As an oncolytic vector, VACV can carry multiple large foreign genes, which enable the virus to introduce diagnostic and therapeutic agents without dramatically reducing the viral replication. Meanwhile, the recombinant vaccinia virus (rVACV) can be easily generated by homologous recombination. Here, we used the vaccinia virus as the therapeutic cancer vector, expressing mouse Interleukin 2 (IL-2) and tumor-associated antigens simultaneously to investigate the combined effect of anti-tumor immune response in the 4T1 mouse tumor model. As expected, the VACV driven mIL-2 expression remarkably increased both CD4+ and CD8+ populations in vivo, and the virus-expressed tumor-associated peptides successfully elicited theantigen-specific T cell response to inhibit the growth of tumors. Furthermore, the experiments with tumor-bearing animals showed that the mIL-2 plus tumor antigens expressing VACV vector gave a better anti-cancer response than the mIL-2 alone expressing vector. The combinations did significantly more inhibit tumor growth than mIL-2 treatment alone. Moreover, the results confirmed our previous unpublished data that the mIL-2 expression driven by synthetic early/late promoter in the Lister strain VACV could enhance the tumor regression in the 4T1 mouse model.
Synthesis and Investigation of Borylene Complexes: from Borylene Transfer to Borylene Catenation
(2012)
Within the scope of this thesis, the area of borylene transfer has been broadened by including transition-metal alkynyl complexes and metal-carbon double bonds as borylene acceptors. In addition to double salt elimination, halide abstraction and dehydrogenation processes, a novel high-yield synthetic procedure for terminal borylene complexes was established, i.e. salt elimination and subsequent silylhalogenide liberation. Accordingly, it was possible to prepare [(OC)3(Me3P)Fe=BDur] as a rare example of a neutral arylborylene species. Moreover, this compound has been demonstrated to possess great potential for metathesis reactions and the functionalization of polycyclic aromatic hydrocarbons such as naphthalene. Moreover, it could undergo a phosphine-borylene exchange reaction, yielding the iron bis(borylene) complex [(OC)3Fe(BDur){BN(SiMe3)2}], which has turned out to be applicable for preparation of 1,4-diboracyclohexadiene and unprecedented 1,4-dibora-1,3-butadiene complexes, thus establishing a new type of borylene transfer. Most interestingly, upon transfer of further borylene moieties into the coordination sphere of iron, borylene-catenation was accomplished in a highly controlled manner.
Myocardial infarction (MI) is a leading cause of death worldwide. Timely restoration of coronary blood flow to ischemic myocardium significantly reduces acute infarct mortality and attenuates ventricular remodeling. However, surviving MI patients frequently develop heart failure, which is associated with reduced quality of life, high mortality rate (10% annually), as well as high healthcare expenditures. The main processes involved in the evolution of heart failure post-MI are the great loss of contractile cardiomyocytes during ischemia-reperfusion and the subsequent complex structural and functional alterations, which are rooted in modifications at molecular and cellular levels in both the infarcted and non-infarcted myocardium. However, we still lack efficient treatments to prevent the development and progression of left ventricular remodeling. The improved survival rate of acute MI patients combined with the lack of effective therapy for post-MI remodeling contributes to the high prevalence of heart failure. Cardiac Magnetic Resonance Imaging (MRI) is an important tool for diagnosis and assessment of MI. With the advancement of this technology, the frontier of MRI has been extended to probing molecular and cellular events in vivo and non-invasively. In combination with assessment of morphology and function, the visualization of essential molecular and cellular markers in vivo could provide comprehensive, multifaceted views of the healing process in infarcted hearts, which might give new insight for the treatment of acute MI. In this thesis, molecular and cellular cardiac MRI methods were established to visualize and investigate inflammation and calcium flux in the healing process of acute MI in vivo, in a clinically relevant rat model.
Neurodegeneration plays an essential role in Parkinson’s disease (PD). Several crucial neuronal pro-and antidegeneration markers were described to be altered in disease models accompanied by neurodegeneration. In the AAV1/2-A53T-aSyn PD rat model progressive time-dependent motor impairment and neurodegeneration in the nigrostriatal tract starting from 2 weeks after PD model induction could be found. Downregulation of Nrf2 in SN and nigrostriatal axon localization, a trend of Tau downregulation in SN and upregulation in axon localization in the AAV1/2-A53T-aSyn PD rat model were observed, indicating potential therapeutic value of these two molecular targets in PD. No alterations of SARM1 and NMNAT2 could be detected, indicating little relevance of these two molecules with our AAV1/2-A53T-aSyn rat model.
In der vorliegenden Arbeit wird der Einfluss des lokal applizierten, proangiogenen Faktors CYR61 auf die Muskelkraftregeneration, die mögliche Reduktion der Fibrosierung und auf die Gefäßneubildung untersucht. Wir erzeugten ein standardisiertes Trauma des M. tibialis anterior durch Kontusion und Ischämie mit erhöhtem Kompartmentdruck bei 10 Kaninchen der Rasse Weiße Neuseeländer. Anschließend erfolgten die primäre Resektion der Tibia mit lokaler Einlage des CYR61-getränkten Kollagenträgers und die graduelle Distraktion zur Wiederherstellung der ursprünglichen Tibialänge.
Thermoplastic polymers have a history of decades of safe and effective use in the clinic as implantable medical devices. In recent years additive manufacturing (AM) saw increased clinical interest for the fabrication of customizable and implantable medical devices and training models using the patients’ own radiological data. However, approval from the various regulatory bodies remains a significant hurdle. A possible solution is to fabricate the AM scaffolds using materials and techniques with a clinical safety record, e.g. melt processing of polymers. Melt Electrowriting (MEW) is a novel, high resolution AM technique which uses thermoplastic polymers. MEW produces scaffolds with microscale fibers and precise fiber placement, allowing the control of the scaffold microarchitecture. Additionally, MEW can process medical-grade thermoplastic polymers, without the use of solvents paving the way for the production of medical devices for clinical applications. This pathway is investigated in this thesis, where the layout is designed to resemble the journey of a medical device produced via MEW from conception to early in vivo experiments. To do so, first, a brief history of the development of medical implants and the regenerative capability of the human body is given in Chapter 1. In Chapter 2, a review of the use of thermoplastic polymers in medicine, with a focus on poly(ε-caprolactone) (PCL), is illustrated, as this is the polymer used in the rest of the thesis. This review is followed by a comparison of the state of the art, regarding in vivo and clinical experiments, of three polymer melt AM technologies: melt-extrusion, selective laser sintering and MEW. The first two techniques already saw successful translation to the bedside, producing patient-specific, regulatory-approved AM implants. To follow in the footsteps of these two technologies, the MEW device parameters need to be optimized. The MEW process parameters and their interplay are further discussed in Chapter 3 focusing on the importance of a steady mass flow rate of the polymer during printing. MEW reaches a balance between polymer flow, the stabilizing electric field and moving collector to produce reproducible, high-resolution scaffolds. An imbalance creates phenomena like fiber pulsing or arcing which result in defective scaffolds and potential printer damage. Chapter 4 shows the use of X-ray microtomography (µCT) as a non-destructive method to characterize the pore-related features: total porosity and the pore size distribution. MEW scaffolds are three-dimensional (3D) constructs but have long been treated in the literature as two-dimensional (2D) ones and characterized mainly by microscopy, including stereo- and scanning electron microscopy, where pore size was simply reported as the distance between the fibers in a single layer. These methods, together with the trend of producing scaffolds with symmetrical pores in the 0/90° and 0/60/120° laydown patterns, disregarded the lateral connections between pores and the potential of MEW to be used for more complex 3D structures, mimicking the extracellular matrix. Here we characterized scaffolds in the aforementioned symmetrical laydown patterns, along with the more complex 0/45/90/135° and 0/30/60/90/120/150° ones. A 2D pore size estimation was done first using stereomicroscopy, followed by and compared to µCT scanning. The scaffolds with symmetrical laydown patterns resulted in the predominance of one pore size, while those with more complex patterns had a broader distribution, which could be better shown by µCT scans. Moreover, in the symmetrical scaffolds, the size of 3D pores was not able to reach the value of the fiber spacing due to a flattening effect of the scaffold, where the thickness of the scaffold was less than the fiber spacing, further restricting the pore size distribution in such scaffolds. This method could be used for quality assurance of fabricated scaffolds prior to use in in vitro or in vivo experiments and would be important for a clinical translation. Chapter 5 illustrates a proof of principle subcutaneous implantation in vivo experiment. MEW scaffolds were already featured in small animal in vivo experiments, but to date, no analysis of the foreign body reaction (FBR) to such implants was performed. FBR is an immune reaction to implanted foreign materials, including medical devices, aimed at protecting the host from potential adverse effects and can interfere with the function of some medical implants. Medical-grade PCL was used to melt electrowrite scaffolds with 50 and 60 µm fiber spacing for the 0/90° and 0/60/120° laydown patterns, respectively. These implants were implanted subcutaneously in immunocompetent, outbred mice, with appropriate controls, and explanted after 2, 4, 7 and 14 days. A thorough characterization of the scaffolds before implantation was done, followed by a full histopathological analysis of the FBR to the implants after excision. The scaffolds, irrespective of their pore geometry, induced an extensive FBR in the form of accumulation of foreign body giant cells around the fiber walls, in a manner that almost occluded available pore spaces with little to no neovascularization. This reaction was not induced by the material itself, as the same reaction failed to develop in the PCL solid film controls. A discussion of the results was given with special regard to the literature available on flat surgical meshes, as well as other hydrogel-based porous scaffolds with similar pore sizes. Finally, a general summary of the thesis in Chapter 6 recapitulates the most important points with a focus on future directions for MEW.
Development and application of computational tools for RNA-Seq based transcriptome annotations
(2019)
In order to understand the regulation of gene expression in organisms, precise genome annotation is essential. In recent years, RNA-Seq has become a potent method for generating and improving genome annotations. However, this Approach is time consuming and often inconsistently performed when done manually. In particular, the discovery of non-coding RNAs benefits strongly from the application of RNA-Seq data but requires significant amounts of expert knowledge and is labor-intensive. As a part of my doctoral study, I developed a modular tool called ANNOgesic that can detect numerous transcribed genomic features, including non-coding RNAs, based on RNA-Seq data in a precise and automatic fashion with a focus on bacterial and achaeal species. The software performs numerous analyses and generates several visualizations. It can generate annotations of high-Resolution that are hard to produce using traditional annotation tools that are based only on genome sequences. ANNOgesic can detect numerous novel genomic Features like UTR-derived small non-coding RNAs for which no other tool has been developed before. ANNOgesic is available under an open source license (ISCL) at https://github.com/Sung-Huan/ANNOgesic.
My doctoral work not only includes the development of ANNOgesic but also its application to annotate the transcriptome of Staphylococcus aureus HG003 - a strain which has been a insightful model in infection biology. Despite its potential as a model, a complete genome sequence and annotations have been lacking for HG003. In order to fill this gap, the annotations of this strain, including sRNAs and their functions, were generated using ANNOgesic by analyzing differential RNA-Seq data from 14 different samples (two media conditions with seven time points), as well as RNA-Seq data generated after transcript fragmentation. ANNOgesic was
also applied to annotate several bacterial and archaeal genomes, and as part of this its high performance was demonstrated. In summary, ANNOgesic is a powerful computational tool for RNA-Seq based annotations and has been successfully applied to several species.
Among the defense strategies developed in microbes over millions of years, the innate adaptive CRISPR-Cas immune systems have spread across most of bacteria and archaea. The flexibility, simplicity, and specificity of CRISPR-Cas systems have laid the foundation for CRISPR-based genetic tools. Yet, the efficient administration of CRISPR-based tools demands rational designs to maximize the on-target efficiency and off-target specificity. Specifically, the selection of guide RNAs (gRNAs), which play a crucial role in the target recognition of CRISPR-Cas systems, is non-trivial. Despite the fact that the emerging machine learning techniques provide a solution to aid in gRNA design with prediction algorithms, design rules for many CRISPR-Cas systems are ill-defined, hindering their broader applications.
CRISPR interference (CRISPRi), an alternative gene silencing technique using a catalytically dead Cas protein to interfere with transcription, is a leading technique in bacteria for functional interrogation, pathway manipulation, and genome-wide screens. Although the application is promising, it also is hindered by under-investigated design rules. Therefore, in this work, I develop a state-of-art predictive machine learning model for guide silencing efficiency in bacteria leveraging the advantages of feature engineering, data integration, interpretable AI, and automated machine learning. I first systematically investigate the influential factors that attribute to the extent of depletion in multiple CRISPRi genome-wide essentiality screens in Escherichia coli and demonstrate the surprising dominant contribution of gene-specific effects, such as gene expression level. These observations allowed me to segregate the confounding gene-specific effects using a mixed-effect random forest (MERF) model to provide a better estimate of guide efficiency, together with the improvement led by integrating multiple screens. The MERF model outperformed existing tools in an independent high-throughput saturating screen. I next interpret the predictive model to extract the design rules for robust gene silencing, such as the preference for cytosine and disfavoring for guanine and thymine within and around the protospacer adjacent motif (PAM) sequence. I further incorporated the MERF model in a web-based tool that is freely accessible at www.ciao.helmholtz-hiri.de.
When comparing the MERF model with existing tools, the performance of the alternative gRNA design tool optimized for CRISPRi in eukaryotes when applied to bacteria was far from satisfying, questioning the robustness of prediction algorithms across organisms. In addition, the CRISPR-Cas systems exhibit diverse mechanisms albeit with some similarities. The captured predictive patterns from one dataset thereby are at risk of poor generalization when applied across organisms and CRISPR-Cas techniques. To fill the gap, the machine learning approach I present here for CRISPRi could serve as a blueprint for the effective development of prediction algorithms for specific organisms or CRISPR-Cas systems of interest. The explicit workflow includes three principle steps: 1) accommodating the feature set for the CRISPR-Cas system or technique; 2) optimizing a machine learning model using automated machine learning; 3) explaining the model using interpretable AI. To illustrate the applicability of the workflow and diversity of results when applied across different bacteria and CRISPR-Cas systems, I have applied this workflow to analyze three distinct CRISPR-Cas genome-wide screens. From the CRISPR base editor essentiality screen in E. coli, I have determined the PAM preference and sequence context in the editing window for efficient editing, such as A at the 2nd position of PAM, A/TT/TG downstream of PAM, and TC at the 4th to 5th position of gRNAs. From the CRISPR-Cas13a screen in E. coli, in addition to the strong correlation with the guide depletion, the target expression level is the strongest predictor in the model, supporting it as a main determinant of the activation of Cas13-induced immunity and better characterizing the CRISPR-Cas13 system. From the CRISPR-Cas12a screen in Klebsiella pneumoniae, I have extracted the design rules for robust antimicrobial activity across K. pneumoniae strains and provided a predictive algorithm for gRNA design, facilitating CRISPR-Cas12a as an alternative technique to tackle antibiotic resistance.
Overall, this thesis presents an accurate prediction algorithm for CRISPRi guide efficiency in bacteria, providing insights into the determinants of efficient silencing and guide designs. The systematic exploration has led to a robust machine learning approach for effective model development in other bacteria and CRISPR-Cas systems. Applying the approach in the analysis of independent CRISPR-Cas screens not only sheds light on the design rules but also the mechanisms of the CRISPR-Cas systems. Together, I demonstrate that applied machine learning paves the way to a deeper understanding and a broader application of CRISPR-Cas systems.
Regulation of effector T cells is an important mechanism to control organ-specific inflammation. Thereby regulatory T cells (Treg cells) are essential for maintaining peripheral immune tolerance and for establishing parenchyma immune homeostasis. A novel population of natural human Treg characterized by the constitutive expression of the immune-tolerogenic human HLA-G molecule has been identified. In the first part of the study, we elucidated the mechanism(s) by which CD4+ HLA-Gpos Treg modulates their cellular targets namely autologous HLA-G negative responder T cells (HLAGneg Tresp). Using a suppression system free of antigen-presenting cells (APC), we demonstrate a T-T cell interaction resulting in suppression of HLA-Gneg Tresp. We could also show that this suppression was independent of cell-cell contact. Importantly, stimulus of T cell receptor (TCR) on HLA-Gpos Treg facilitated their suppressive capacity. We also observed that removal of HLA-Gpos Treg from the established co-cultures could restore the ability of HLA-Gneg Tresp to proliferate upon TCR re-stimulation, indicating that the suppression was reversible. Further, HLA-Gpos Treg–mediated suppression was critically depending on the secretion of IL-10 but not TGF-β. Taken together, this part of the work provides an in-depth characterization of the mechanisms of how HLA-Gpos Treg suppresses T responder cells in direct T-T interactions. Understanding the suppressive mechanism used by HLA-Gpos Treg may help to develop therapeutic strategies to modulate regulatory arms of T-cell suppression. In the second part of this study, the potential role of HLA-Gpos Treg in the pathophysiological process of Multiple Sclerosis (MS), a prototypic autoimmune inflammatory central nervous system (CNS), has been investigated. We found that HLA-Gpos Treg are enriched in the cerebrospinal fluid (CSF) from MS patients, but not in non-inflammatory controls. CSFderived HLA-Gpos Treg showed predominance of central memory (CD45RA-CD27+) phenotype, exhibited markers of activation (ICOS), and had significantly higher expression of the inflammatory chemokine receptor CCR5. Importantly, these cells demonstrated as potent suppressors to autologous CD4+ T-cell proliferation. Using an in vitro model of human blood brain barrier, we showed that HLA-Gpos Treg have a strong propensity to migrate, which could be facilitated by MIP1α and RANTES (ligands of CCR5) but not MIP3β (a ligand of CCR7). The HLA-Gpos Treg migration triggered by chemokines was also associated with a gain of suppressive capacity upon cellular transmigration. In contrast to CD4+CD25+ naturally occurring FoxP3-expressing Treg, HLA-Gpos Treg from patients with MS did not exhibit impaired function, suggesting that HLA-Gpos Treg are selectively recruited to the sites of CNS inflammation in an effort to combat destructive inflammation during MS. Our results contribute to the understanding of the role and function of HLA-Gpos Treg and provide an important example of “beneficial” T-cell inflammation in CNS autoimmunity- interesting both from a patho/-physiological and a therapeutically point of view.
The light-gated cation channel Channelrhodopsin-2 was discovered and characterized in 2003. Already in 2005/2006 five independent groups demonstrated that heterologous expression of Channelrhodopsin-2 is a highly useful and simply applicable method for depolarizing and thereby activating nerve cells. The application of Channelrhodopsin-2 revolutionized neuroscience research and the method was then called optogenetics. In recent years more and more light-sensitive proteins were successfully introduced as “optogenetic tools”, not only in neuroscience. Optogenetic tools for neuronal excitation are well developed with many different cation-conducting wildtype and mutated channelrhodopsins, whereas for inhibition of neurons in the beginning (2007) only hyperpolarizing ion pumps were available. The later discovered light-activated anion channels (anion channelrhodopsins) can be useful hyperpolarizers, but only at low cytoplasmic anion concentration. For this thesis, I optimized CsR, a proton-pumping rhodopsin from Coccomyxa subellipsoidea, which naturally shows a robust expression in Xenopus laevis oocytes and plant leaves. I improved the expression and therefore the photocurrent of CsR about two-fold by N-terminal modification to the improved version CsR2.0, without altering the proton pump function and the action spectrum. A light pulse hyperpolarised the mesophyll cells of CsR2.0-expressing transgenic tobacco plants (N. tabacum) by up to 20 mV from the resting membrane potential of -150 to -200 mV. The robust heterologous expression makes CsR2.0 a promising optogenetic tool for hyperpolarization in other organisms as well. A single R83H point-mutation converted CsR2.0 into a light-activated (passive) proton channel with a reversal potential close to the Nernst potential for intra-/extra-cellular H+ concentration. This light-gated proton channel is expected to become a further useful optogenetic tool, e.g. for analysis of pH-regulation in cells or the intercellular space. Ion pumps as optogenetic tools require high expression levels and high light intensity for efficient pump currents, whereas long-term illumination may cause unwanted heating effects. Although anion channelrhodopsins are effective hyperpolarizing tools in some cases, their effect on neuronal activity is dependent on the cytoplasmic chloride concentration which can vary among neurons. In nerve cells, increased conductance for potassium terminates the action potential and K+ conductance underlies the resting membrane potential in excitable cells. Therefore, several groups attempted to synthesize artificial light-gated potassium channels but 2 all of these published innovations showed serious drawbacks, ranging from poor expression over lacking reversibility to poor temporal precision. A highly potassium selective light-sensitive silencer of action potentials is needed. To achieve this, I engineered a light-activated potassium channel by the genetic fusion of a photoactivated adenylyl cyclase, bPAC, and a cAMP-gated potassium channel, SthK. Illumination activates bPAC to produce cAMP and the elevated cAMP level opens SthK. The slow diffusion and degradation of cAMP makes this construct a very light-sensitive, long-lasting inhibitor. I have successfully developed four variants with EC50 to cAMP ranging from 7 over 10, 21, to 29 μM. Together with the original fusion construct (EC50 to cAMP is 3 μm), there are five different light- (or cAMP-) sensitive potassium channels for researchersto choose, depending on their cell type and light intensity needs.
Aging is known to be a risk factor for structural abnormalities and functional decline in the nervous system. Characterizing age-related changes is important to identify putative pathways to overcome deleterious effects and improve life quality for the elderly. In this study, the peripheral nervous system of 24-month-old aged C57BL/6 mice has been investigated and compared to 12-month-old adult mice. Aged mice showed pathological alterations in their peripheral nerves similar to nerve biopsies from elderly human individuals, with nerve fibers showing demyelination and axonal damage. Such changes were lacking in nerves of adult 12-month-old mice and adult, non-aged humans. Moreover, neuromuscular junctions of 24-month-old mice showed increased denervation compared to adult mice. These alterations were accompanied by elevated numbers of macrophages in the peripheral nerves of aged mice. The neuroinflammatory conditions were associated with impaired myelin integrity and with a decline of nerve conduction properties and muscle strength in aged mice.
To determine the pathological impact of macrophages in the aging mice, macrophage depletion was performed in mice by oral administration of CSF-1R specific kinase (c-FMS) inhibitor PLX5622 (300 mg/kg body weight), which reduced the number of macrophages in the peripheral nerves by 70%. The treated mice showed attenuated demyelination, less muscle denervation and preserved muscle strength. This indicates that macrophage-driven inflammation in the peripheral nerves is partially responsible for the age-related neuropathy in mice.
Based on previous observations that systemic inflammation can accelerate disease progression in mouse models of neurodegenerative diseases, it was hypothesized that systemic inflammation can exacerbate the peripheral neuropathy found in aged mice. To investigate this hypothesis, aged C57BL/6 mice were intraperitoneally injected with a single dose of lipopolysaccharide (LPS; 500 μg/kg body weight) to induce systemic inflammation by mimicking bacterial infection, mostly via activation of Toll-like receptors (TLRs). Altered endoneurial macrophage activation, highlighted by Trem2 downregulation, was found in LPS injected aged mice one month after injection. This was accompanied by a so far rarely observed form of axonal perturbation, i.e., the occurrence of “dark axons” characterized by a damaged cytoskeleton and an increased overall electron density of the axoplasm. At the same time, however, LPS injection reduced demyelination and muscle denervation in aged mice. Interestingly, TREM2 deficiency in aged mice led to similar changes to LPS injection. This suggests that LPS injection likely mitigates aging-related demyelination and muscle denervation via Trem2 downregulation.
Taken together, this study reveals the role of macrophage-driven inflammation as a pathogenic mediator in age-related peripheral neuropathy, and that targeting macrophages might be an option to mitigate peripheral neuropathies in aging individuals. Furthermore, this study shows that systemic inflammation may be an ambivalent modifier of age-related nerve damage, leading to a distinct type of axonal perturbation, but in addition to functionally counteracting, dampened demyelination and muscle denervation. Translationally, it is plausible to assume that tipping the balance of macrophage polarization to one direction or the other may determine the functional outcome in the aging peripheral nervous system of the elderly.
Die nicht-invasive Gefäßdiagnostik stellt einen wichtigen Pfeiler in der Prävention von Herz-Kreislauferkrankungen dar. Während lange Zeit die sonographische Messung der cIMT, als morphologisches Korrelat der Gefäßalterung, als Goldstandard galt, ist in den letzten Jahren in Gestalt der Pulswellenanalyse/PWV-Messung eine Technik weiterentwickelt worden, die, als funktionelles Korrelat der Gefäßalterung, aufgrund der leichteren Durchführbarkeit und geringerer Untersucherabhängigkeit und Kosten vielversprechend ist. So erlaubt die Messung der Pulswelle mittels gewöhnlicher Blutdruckmanschetten, genau wie die cIMT, die Berechnung des individuellen Gefäßalters und die Diagnostik für das Vorliegen eines Endorganschadens der Blutgefäße.
Um die Messergebnisse der beiden Untersuchungen miteinander zu vergleichen, wurden beide in der EUROASPIRE-IV Studie an Patienten mit koronarer Herzkrankheit durchgeführt. Die Auswertung der Messergebnisse der mit dem Vascular Explorer durchgeführten Pulswellenanalyse/PWV-Messung ergab überraschenderweise, dass die Mehrheit der herzkranken Patienten weder eine vaskuläre Voralterung noch einen Endorganschaden der Blutgefäße aufweisen. Im Falle der cIMT-Messung war Gegenteiliges der Fall, was trotz der medikamentösen Therapie der Patienten so zu erwarten war. Weiterhin zeigte sich lediglich eine geringe Korrelation zwischen den Messergebnissen beider Untersuchungen. Die Determinanten der einzelnen Messwerte aus cIMT und Pulswellenanalyse/PWV-Messung waren deckungsgleich mit den in der Literatur beschriebenen Faktoren, wenn auch viele der sonst signifikanten Regressoren das Signifikanzniveau in unserer Auswertung nicht unterschritten.
Eine Limitation der funktionellen Gefäßdiagnostik liegt derzeit darin, dass die Messergebnisse stark von dem verwendeten Messgerät abhängen. Es liegen noch zu wenig Vergleichsstudien vor, um die Messergebnisse, speziell von neueren Geräten wie dem Vascular Explorer, auf andere zu übertragen. Bei der Berechnung des Gefäßalters sollten daher optimalerweise gerätespezifische Normwerte vorliegen, was beim Vascular Explorer nicht der Fall ist. Gleiches gilt für die Verwendung des PWVcf-Grenzwerts für die Diagnose eines Endorganschadens der Blutgefäße.
Analog hat auch die Messung der cIMT gewisse Einschränkungen. So wäre eine weitere Standardisierung der Messorte (A. carotis communis vs Bulbus vs A. carotis interna), zwischen denen sich die durchschnittliche cIMT erheblich unterscheidet, sowie der Messparameter (Minimal- vs Maximal- vs Mittelwert) wünschenswert. Die universelle Anwendung eines cIMT-Grenzwerts zur Diagnose eines Endorganschadens der Blutgefäße ist daher kritisch zu sehen. Dies zeigt sich auch darin, dass in den neuesten Leitlinien der bislang geltende Grenzwert angezweifelt und kein aktuell gültiger Grenzwert mehr genannt wird.
Wir interpretieren unsere Ergebnisse dahingehend, dass unsere Messung der cIMT die zu erwartende pathologische Gefäßalterung bei Patienten mit koronarer Herzkrankheit besser widerspiegelt als die Messung der Pulswelle mit dem Vascular Explorer. Welche der beiden Untersuchungen hinsichtlich der prognostischen Wertigkeit überlegen ist, muss im Rahmen von Längsschnittstudien geklärt werden.
In order to test the effects of environmental factors on different characteristics of plant leaf waxes, barley plants (Hordeum vulgare) were abiotically stress treated (exposure to darkness, heavy metal, high salt concentrations and drought), and biotically stressed by the infection with powdery mildew (Blumeria graminis f.sp. hordei; Bgh). Different wax parameters like amount, chemical composition, and micromorphology of epicuticular wax crystals, were investigated. Etiolated leaves of barley showed distinctly reduced wax amounts and modifications in their relative composition. The alterations of these wax parameters might be a result of a developmental delay, which could have been caused by a decreased availability of energy for cellular processes, due to lack of light. Cadmium exposure led to a 1.5-fold increase of wax amount, while chemical composition was unaffected. In drought- and salt-stressed plants, all investigated leaf wax parameters remained unaltered. In each of the abiotic treatments, the microstructure of epicuticular wax crystals, formed as typical platelets, was not modified. Even after 6d infection with powdery mildew (Bgh), neither locally nor systemically enforced modifications of wax features were revealed.
The analyzed leave surfaces, resulting from these four abiotic and the biotic treatment (phenotypic approach), were compared to altered leaf surfaces’ characteristics of 18 analyzed eceriferum (cer-) wax mutants (genotypic approach). Within the screening, 5 mutants were selected which distinctly differed from the wild-type in wax amount, portions of epi- and intracuticular wax fraction, relative chemical composition, crystal morphology, and surface wettability (hydrophobicity).
Apart from quantitative and qualitative effects on the leaf waxes, environmentally enforced modifications in cuticular waxes might be reflected in molecular processes of wax biogenesis. Therefore, a barley wax-microarray was established. 254 genes were selected, which are putatively involved in processes of de novo fatty acid biosynthesis, fatty acid elongation, and modification, and which are supposed to take part in lipid-trafficking between cell compartments, and transport of wax components to the outer cell surface. The regulations within the expression pattern evoked by the respective treatments were correlated with the corresponding analytical wax data, and the observed molecular effects of a 3d powdery mildew infection were compared with succeeding fungal morphogenesis. Etiolation and cadmium exposition pointed to transcriptional modifications in the de novo fatty acid synthesis, and in the screened, transport-related mechanisms, which correlate with respective alterations in surface wax characteristics. Moderate changes in the gene expression pattern, evoked by drought- and salinity-stress, might give hints for evolved adaptations in barley to such common habitat stresses. Theinvasion of powdery mildew into the epidermal host cells was reflected in the regulation of several genes. Beside other functions, these genes take part in pathogen defense, and intracellular component transport, or they encode transcription factors. The different modifications within the molecular responses evoked by the investigated abiotic treatments, and the effects of powdery mildew infection representing a biotic stressor, were compared between the different treatments.
In order to test the potential impact of different wax parameters on Bgh, conidia germination and differentiation was comparably investigated on leaf surfaces of abiotically stressed wild-type and cer-mutants, isolated cuticles, and further artificial surfaces. The rates of conidial development were similar on each of the leaf surfaces resulting from the abiotic treatments, while a significant reduction of the germination and differentiation success was revealed for the wax mutant cer-yp.949. Compared to the wild-type, developmental rates on isolated cuticles and extracted leaf waxes of the mutant cer-yp.949 indicated a modified embedding of cuticular waxes, and a possibly changed three-dimensional structure of the cer-yp.949 cuticle, which might explain the reduced conidial developmental rates on leaf surfaces of this particular mutant.
Experiments with Bgh conidia on mechanically de-waxed leaf surfaces (selective mechanical removal of the epicuticular leaf waxes with glue-like gum arabic, followed by an extraction of the intracuticular wax portion with chloroform) demonstrated the importance of the wax coverage for the germination and differentiation of the fungal conidia. On all dewaxed leaf surfaces, except those of cer-yp.949, the differentiation success of the germlings was significantly reduced, by about 20% (“wax-effect”). This result was verified through an artificial system with increased conidia developmental rates on glass slides covered with extracted leaf waxes. Further comparative tests with the major components of barley leaf wax, hexacosanol and hexacosanal, showed that the germination and differentiation of powdery mildew conidia not only depends on the different chemistry, but is also influenced by the respective surface hydrophobicity. Compared to hexacosanol, on hexacosanal coated glass surfaces, higher germination and differentiation rates were achieved, which correlated with increased levels of surface hydrophobicity. Developmental rates of conidia on hydrophobic foils demonstrated that hydrophobicity, as a sole surface factor, may stimulate the conidial germination and differentiation processes. Moreover, the survival of conidia on artificial surfaces is determined by additional surface derived factors, e.g. the availability of water, and a pervadable matrix.
During infection, bacteria need to adapt to a changing environment and have to endure various stress conditions. Small non-coding RNAs are considered as important regulators of bacterial gene expression and so allow quick adaptations by altering expression of specific target genes. Regulation of gene expression in the human-restricted pathogen Neisseria gonorrhoeae, the causative agent of the sexually transmitted disease gonorrhoea, is only poorly understood. The present study aims a better understanding of gene regulation in N. gonorrhoeae by studying small non-coding RNAs.
The discovery of antisense RNAs for all opa genes led to the hypothesis of asRNA-mediated degradation of out-of-frame opa transcripts. Analysis of asRNA expression revealed a very low abundance of the transcripts and inclusion of another phase-variable gene in the study indicates that the asRNAs are not involved in degradation of out-of-frame transcripts.
This doctoral thesis focuses on the analysis of trans-acting sRNAs. The sibling sRNAs NgncR_162 and NgncR_163 were discovered as post-transcriptional regulators altering expression of genes involved in metabolic processes, amino acid uptake and transcriptional regulation. A more detailed analysis by in silico and transcriptomic approaches showed that the sRNAs regulate a broad variety of genes coding for proteins of central metabolism, amino acid biosynthesis and degradation and several transport processes. Expression levels of the sibling sRNAs depend on the growth phase of the bacteria and on the growth medium. This indicates that NgncR_162 and NgncR_163 are involved in the adaptation of the gonococcal metabolism to specific growth conditions.
This work further initiates characterisation of the sRNA NgncR_237. An in silico analysis showed details on sequence conservation and a possible secondary structure. A combination of in silico target prediction and differential RNA sequencing resulted in the identification of several target genes involved in type IV pilus biogenesis and DNA recombination. However, it was not successful to find induction conditions for sRNA expression. Interestingly, a possible sibling sRNA could be identified that shares the target interaction sequence with NgncR_237 and could therefore target the same mRNAs.
In conclusion, this thesis provides further insights in gene regulation by non-coding RNAs in N. gonorrhoeae by analysing two pairs of sibling sRNAs modulating bacterial metabolism or possibly type IV pilus biogenesis.
The present study concerned mainly on the source, facies, and sedimentary environments of the Middle to Upper Jurassic strata in the Kerman and Tabas areas, east-central Iran. The composition of sandstones, and heavy mineral analysis point to pre-existing sedimentary, low, middle to upper rank metamorphic, and plutonic rocks of the Kalmard, Posht-e-Badam, Bayazeh, and Zarand-Kerman areas as the source rocks. According to the diagram of WELTJE et al. (1998), most samples from the Middle-Upper Jurassic rocks suggest a moderate to high elevation of the source area, and indicate a semi-arid and mediterranean to sub-humid climate. In the Qt-F-L ternary diagrams of DICKINSON et al. (1983), most point counting data from the Lower Siliciclastic Member and the top of the Hojedk Formation plot in the recycled orogen (Quartzose recycled) area of the diagram. The sandstones in this area can be interpreted as being derived from the Mid-Cimmerian Movements. Sixteen different types of siliciclastic-carbonate, and evaporatic sedimentary environments have been recognized. Thirty-nine macroinvertebrate taxa have been identified. Ten ichnotaxa have been taxonomically described from the Middle to Upper Jurassic rocks. Quite likely, before rotation of CEIM which were associated with counterclockwise block-rotation, equivalent rocks of the Bidou Formation occurred along the tectonic zone between the Yazd and the Tabas blocks (probably during the Middle Jurassic to Lower Cretaceous). However, from the Cretaceous onwards, most of the Bidou Formation has been removed by a combination of strike-slip and reverse movements of the Kashmar-Kerman tectonic zone. Roughly, these block-rotation movements occurred after the Cretaceous. During the Middle to Upper Jurassic, the tectonic activities were vertical movements producing the sedimentary pattern in the CEIM.
1. Since the early nineteenth century describing (and understanding) patterns of distribution of biodiversity across the Earth has represented one of the most significant intellectual challenges to ecologists and biogeographers. Among the most striking patterns of species richness are: the latitudinal and elevational gradients, with peaks in number of species at low latitudes and somewhere at mid altitudes, although other patterns, e.g. declines with increasing elevation, are often observed. Even in highly diverse tropical regions, species richness is not evenly distributed but there are “hotspots” of biodiversity where an exceptional number of species, especially endemics, are concentrated. Unfortunately, such areas are also experiencing dramatic loss of habitat. Among vertebrate taxa, amphibians are facing the most alarming number of extinctions. Habitat destruction, pollution and emergence of infectious diseases such as chytridiomycosis, are causing worldwide population declines. Responses to these drivers can be multidirectional and subtle, i.e. they may not be captured at the species but at the genetic level. Moreover, present patterns of diversity can result from the influence of past geological, climatic and environmental changes.
In this study, I used a multidisciplinary and multilevel approach to understand how and to which extent the landscape influences amphibian diversity. Mount Kilimanjaro is an exceptional tropical region where the landscape is rapidly evolving due to land use changes; additionally, there is a broad lack of knowledge of its amphibian fauna. During two rainy seasons in 2011, I recorded anurans from the foothills to 3500 m altitude; in addition, I focused on two river frog species and collected tissue samples for genetic analysis and swabs for detection of chytridiomycosis, the deadly disease caused by Batrachochytrium dendrobatidis (Bd).
2. I analyzed how species richness and composition change with increasing elevation and anthropogenic disturbance. In order to disentangle the observed patterns of species diversity and distribution, I incorporated inferences from historical biogeography and compared the assemblage of Mt. Kilimanjaro and Mt. Meru (both recent volcanoes) with those of the older Eastern Arc Mountains. Species richness decreased with elevation and locally increased in presence of water bodies, but I did not detect effects of either anthropogenic disturbance or vegetation structure on species richness and composition. Moreover, I found a surprisingly low number of forest species. Historical events seem to underlie the current pattern of species distribution; the young age of Mt. Kilimanjaro and the complex biogeographic processes which occurred in East Africa during the last 20 million years prevented montane forest frogs from colonizing the volcano.
3. I focused on the genetic level of biodiversity and investigated how the landscape, i.e. elevation, topographic relief and land cover, influence genetic variation, population structure and gene flow of two ecologically similar and closely related river frog species, namely Amietia angolensis and Amietia wittei. I detected greater genetic differentiation among populations in the highland species (A. wittei) and higher genetic variation in the lowland species (A. angolensis), although genetic diversity was not significantly correlated with elevation. Importantly, human settlements seemed to restrict gene flow in A. angolensis, whereas steep slopes were positively correlated with gene flow in A. wittei. This results show that even ecologically similar species can respond differently to landscape processes and that the spatial configuration of topographic features combined with species-specific biological attributes can affect dispersal and gene flow in disparate ways.
4. River frogs of the genus Amietia seem to be particularly susceptible to chytridiomycosis, showing the highest pathogen load in Kenya and other African countries. In the last study, I collected swab samples from larvae of A. angolensis and A. wittei for Bd detection. Both species resulted Bd-positive. The presence of Bd on Mt. Kilimanjaro has serious implication. For instance, Bd can be transported by footwear of hikers from contaminated water and soil. Tourists visiting Mt. Kilimanjaro may translocate Bd zoospores to other areas such as the nearby Eastern Arc Mts. where endemic and vulnerable species may still be naïve to the fungus and thus suffer of population declines.
5. My study significantly contributed to the knowledge of the amphibian fauna of Mt. Kilimanjaro and of East Africa in general, and it represents a valuable tool for future conservation actions and measures. Finally, it highlights the importance of using a multidisciplinary (i.e. community ecology, historical biogeography, landscape genetics, disease ecology) and multilevel (i.e. community, species, population, gene) approach to disentangle patterns of biodiversity.
Growth factor induced signaling cascades are key regulatory elements in tissue development, maintenance and regeneration. Deregulation of the cascades has severe consequences, leading to developmental disorders and neoplastic diseases. As a major function in signal transduction, activating mutations in RAF family kinases are the cause of many human cancers. In the first project described in this thesis we focused on B-RAF V600E that has been identified as the most prevalent B-RAF mutant in human cancer. In order to address the oncogenic function of B-RAF V600E, we have generated transgenic mice expressing the activated oncogene specifically in lung alveolar epithelial type II cells. Constitutive expression of B-RAF V600E caused abnormalities in alveolar epithelium formation that led to airspace enlargements. These lung lesions showed signs of tissue remodeling and were often associated with chronic inflammation and low incidence of lung tumors. Inflammatory cell infiltration did not precede the formation of emphysema-like lesions but was rather accompanied with late tumor development. These data support a model where the continuous regenerative process initiated by oncogenic B-RAF-driven alveolar disruption provides a tumor-promoting environment associated with chronic inflammation. In the second project we focused on wild type B-RAF and its role in an oncogenic-C-RAF driven mouse lung tumor model. Toward this aim we have generated compound mice in which we could conditionally deplete B-RAF in oncogenic-C-RAF driven lung tumors. Conditional elimination of B-RAF did not block lung tumor formation however led to reduced tumor growth. The diminished tumor growth was not caused by increased cell death instead was a consequence of reduced cell proliferation. Moreover, B-RAF ablation caused a reduction in the amplitude of the mitogenic signalling cascade. These data indicate that in vivo B-RAF is dispensable for the oncogenic potential of active C-RAF; however it cooperates with oncogenic C-RAF in the activation of the mitogenic cascade.
Polyspezifische organische Kationentransporter (OCTs) der SLC22 Familie transportieren organische Kationen entlang eines elektrochemischen Gradienten und spielen eine entscheidende Rolle bei der Ausscheidung und Gewebeverteilung von endogenen organischen Kationen und bei der Aufnahme, Ausscheidung und Verteilung von kationischen Medikamenten und Toxinen. Zu den endogenen transportierten Substanzen gehört auch der Neurotransmitter Acetylcholin (ACh), der unter anderem in der menschlichen Haut eine wichtige Rolle in der Zelldifferenzierung und –proliferation spielt. Die dermatologischen Antiinfektiva Gentianaviolett (GV) und Brillantgrün (BG) aus der Gruppe der Triphenylmethanfarbstoffe werden in der Behandlung lokaler Wundinfektionen verwendet und zeigen im klinischen Gebrauch Nebenwirkungen wie Wundheilungsstörungen. Es konnte gezeigt werden, dass die Farbstoffe die OCTs konzentrationsabhängig hemmen und es wurden die Werte der halbmaximalen Hemmkonzentration ermittelt. Dabei zeigte sich, dass GV und BG zu den Hemmstoffen mit der höchsten Affinität zu den OCTs gehören. Ein Transport der Farbstoffe durch die OCTs konnte nicht nachgewiesen werden, die toxische Wirkung auf Keratinozyten in in-vitro Versuchen mit menschlichen Zellreihen wurde bestätigt. Ein Zusammenhang zwischen den beobachteten Wundheilungsstörungen unter der Therapie mit Triphenylmethanfarbstoffen und der Hemmung des ACh-Transportes durch die OCTs konnte nicht bestätigt werden.
N-heterocyclic carbenes (NHC) are utilized for the stabilization of reactive compounds, for the activation of strong bonds, and as ligands in transition metal chemistry. In contrast to neutral NHCs, few examples of anionic or even dianionic NHCs are known. One approach for the synthesis of anionic carbenes is the deprotonation of neutral or anionic precursors, bearing Lewis acids instead of alkyl or aryl substituents. Following this strategy, novel anionic and dianionic NHCs, featuring weakly coordinating fluorinated borane and phosphorane substituents or coordinating tricyanoborane substituents were synthesized within the scope of this thesis. These carbenes possess unprecedented stabilities compared to related species. Furthermore, their electronic and steric properties can be directly adjusted by the type of Lewis acid attached. Their potential as ligands with highly shielding weakly coordinating substituents next to the carbene coordination center was demonstrated by the syntheses of the respective NHC selenium adducts and NHC gold(I) complexes. In contrast anionic NHCs with coordinating tricyanoborane moieties have an outstanding potential as ditopic ligands with coordination being possible at the carbene center and via the cyano groups. Their beneficial ligand properties were demonstrated by the syntheses of the respective NHC selenium adducts and NHC nickeltricarbonyl complexes. The combination of electronic properties, the large buried volume, the negative charge, the possibility to act as ditopic or ligands with weakly coordinating groups, and the ease of accessibility render borane- and phosphorane functionalized NHCs unique novel ligands. A further project of this PhD thesis deals with the steric properties of Lewis acids. Therefore, an easy-to-apply model was designed to quantify the steric demand of Lewis acids. Using the results of this evaluation, a second model was developed which judges the steric repulsion in Lewis acid/base adduct formation for arbitrary sets of acids and bases.
Perovskite oxides are a very versatile material class with a large variety of outstanding physical properties.
A subgroup of these compounds particularly tempting to investigate are oxides involving high-\(Z\) elements, where spin-orbit coupling is expected to give rise to new intriguing phases and potential application-relevant functionalities. This thesis deals with the preparation and characterization of two representatives of high-\(Z\) oxide sample systems based on KTaO\(_3\) and BaBiO\(_3\).
KTaO\(_3\) is a band insulator with an electronic valence configuration of Ta 5\(d\)\(^0\) . It is shown that by pulsed laser deposition of a disordered LaAlO\(_3\) film on the KTaO\(_3\)(001) surface, through the creation of oxygen vacancies, a Ta 5\(d\)\(^{0+\(\delta\)}\) state is obtained in the upmost crystal layers of the substrate. In consequence a quasi two dimensional electron system (q2DES) with large spin-orbit coupling emerges at the heterointerface. Measurements of the Hall effect establish sheet carrier densities in the range of 0.1-1.2 10\(^{14}\) cm\(^2\), which can be controlled by the applied oxygen background pressure during deposition and the LaAlO\(_3\) film thickness. When compared to the prototypical oxide q2DESs based on SrTiO\(_3\) crystals, the investigated system exhibits exceptionally large carrier mobilities of up to 30 cm\(^2\)/Vs (7000 cm\(^2\)/Vs) at room temperature (below 10 K). Through a depth profiling by photoemission spectra of the Ta 4\(f\) core level it is shown that the majority of the Ta 5\(d\)\(^0\) charge carriers, consisting of mobile and localized electrons, is situated within 4 nm from the interface at low temperatures. Furthermore, the momentum-resolved electronic structure of the q2DES \(buried\) underneath the LaAlO\(_3\) film is probed by means of hard X-ray angle-resolved photoelectron spectroscopy. It is inferred that, due to a strong confinement potential of the electrons, the band structure of the system is altered compared to \(n\)-doped bulk KTO. Despite the constraint of the electron movement along one direction, the Fermi surface exhibits a clear three dimensional momentum dependence, which is related to a depth extension of the conduction channels of at least 1 nm.
The second material, BaBiO\(_3\), is a charge-ordered insulator, which has recently been predicted to emerge as a large-gap topological insulator upon \(n\)-doping. This study reports on the thin film growth of pristine BaBiO\(_3\) on Nb:SrTiO\(_3\)(001) substrates by means of pulsed laser deposition. The mechanism is identified that facilitates the development of epitaxial order in the heterostructure despite the presence of an extraordinary large lattice mismatch of 12 %. At the heterointerface, a structurally modified layer of about 1.7 nm thickness is formed that gradually relieves the in-plane strain and serves as the foundation of a relaxed BBO film. The thereupon formed lattice orders laterally in registry with the substrate with the orientation BaBiO\(_3\)(001)||SrTiO\(_3\)(001) by so-called domain matching, where 8 to 9 BaBiO\(_3\) unit cells align with 9 to 10 unit cells of the substrate. Through the optimization of the deposition conditions in regard to the cation stoichiometry and the structural lattice quality, BaBiO\(_3\) thin films with bulk-like electronic properties are obtained, as is inferred from a comparison of valence band spectra with density functional theory calculations. Finally, a spectroscopic survey of BaBiO\(_3\) samples of various thicknesses resolves that a recently discovered film thickness-controlled phase transition in BaBiO\(_3\) thin films can be traced back to the structural and concurrent stoichiometric modifications occuring in the initially formed lattice on top of the SrTiO\(_3\) substrate rather than being purely driven by the smaller spatial extent of the BBO lattice.
Die Nikotinamid N-Methyltransferase (NNMT) wurde als wichtiger Regulator des Energiemetabolismus in Fettzellen beschrieben. So bewahrt ein NNMT Knock-down Mäuse vor einer nahrungsinduzierten Adipositas und bei reduzierter NNMT-Expression in weißen 3T3-L1 Adipozyten zeigen diese einen erhöhten zellulären Sauerstoffverbrauch.
Für den Adipozytenstoffwechsel ist die insulinstimulierte Glukoseaufnahme wesentlich. Um den Einfluss eines NNMT-Knock-downs auf diese zu untersuchen wurde unter Nutzung der Substratspezifitäten des prokaryotischen und eukaryotischen Isoenzyms der Glukose-6-phosphat-Dehydrogenase ein enzymatisch-photometrischer Assay zur Messung der Glukoseaufnahmerate in adhärenten weißen 3T3-L1 und braunen Adipozytenkulturen entwickelt.
Mit lentiviraler Transduktion wurde in den Adipozytenkulturen ein persistenter NNMT-Knock-down induziert. Die NNMT-Aktivität wurde mit einem fluoreszenzbasierten Assay gemessen und die Glukoseaufnahmerate in deren Abhängigkeit bestimmt.
Die Reduktion der NNMT-Aktivität verminderte die Glukoseaufnahmerate der 3T3-L1 Adipozyten sowohl basal, wie auch unter Insulinstimulation. Braune Adipozyten hingegen zeigten bei verringerter NNMT-Aktivität eine erhöhte insulinstimulierte Glukoseaufnahmerate, aber keinen Unterschied der basalen Glukoseaufnahmerate.
Dieser differenzielle Einfluss auf die Glukoseaufnahme weißer und brauner Adipozyten stärkt die wichtige Rolle der NNMT, die ihr zur Regulation des Fettzellstoffwechsels zugeschrieben wird und enthüllt erstmals eine direkte Wirkung auf braune Adipozyten.
More warning Advanced Driver Assistance Systems (ADAS) will be integrated into the European vehicles in the coming years, due to the ongoing progress on the way to automated driving and Euro NCAP requirements. Furthermore, upcoming technologies like Car-2-X will extend the sensory horizon of ADAS and enable the possibility to warn drivers earlier against various hazards than today. Regarding this progress, increasing numbers of different ADAS warnings will be communicated to the driver. In this context, an important question is how multiple ADAS warnings can be integrated into the Human Machine Interface (HMI) of vehicles and which warning elements are needed to ensure warning acceptance, efficiency and understandability seen from the driver’s point of view.
Two driving simulator studies were conducted and the effects of specific warning elements examined to develop a concept for the integration of upcoming warning ADAS, which focuses on early collision warnings. The implemented early warnings were defined with a warning onset of approximately two seconds before the last possible warning onset. Main questions were whether and how drivers profit from warning direction cues and/or warning object cues for their response to a hazard, and how these cues affect the acceptance of an integrated warning ADAS approach. Furthermore, it was analyzed whether a generalized warning can be used for a cluster of different ADAS concerning the group “warning of collisions”. Therefore critical scenarios in rural and urban surroundings were evaluated, including frontal and lateral (intersections) scenarios. Unnecessary warnings and false alarms have also been taken into account.
The results indicate that early warning direction cues have a high potential to assist drivers with an ADAS warning cluster which covers warning of collisions. In contrast, warning object cues seem to be less important for the drivers’ performance and acceptance regarding early collision warnings. According to these findings, this thesis provides recommendations which warning elements should be included into future ADAS warnings in favor of an integrated warning approach.
Die vorliegende Dissertation behandelt zum einen die mechanistischen Details von Bindungsaktivierungs-Reaktionen an Disauerstoff und weißem Phosphor mit den Komplexfragmenten 1[Ni(iPr2Im)2] und 3[(η5-C5H5)Co(iPr2Im)] und zum anderen die Regioselektivität von oxidativen Insertionsreaktionen des 1[Ni(iPr2Im)2]-Komplexfragments in C–X-Bindungen substituierter Fluoraromaten (X = F, OCH3, CN, H).
Erweiterte Diagnostik bei neuromuskulären Erkrankungen: vom Genpanel zum Whole Genome Sequencing
(2019)
Muskeln und Nerven bilden eine essentielle funktionelle Einheit für den Bewegungsapparat. Neuromuskuläre Erkrankungen lassen sich unterteilen in Krankheiten, denen ein muskuläres Problem zu Grunde liegt, wie zum Beispiel Muskeldystrophien (Muskeldystrophie Duchenne, DMD) und Myopathien (Myofibrilläre Myopathie, MFM), und in Erkrankungen aufgrund von Nervenschädigungen, wie zum Beispiel Neuropathien und spastische Paraplegien (SPG).
In den vier Teilen der vorliegenden Arbeit konnte sowohl das genetische wie auch das phänotypische Spektrum von neuromuskulären Krankheiten erweitert werden. Die dafür verwendeten Methoden reichen von der Sanger-Sequenzierung einzelner Gene über Next-Generation Sequencing (NGS)-Panel-Diagnostik, zu Whole Exome Sequencing (WES) und schließlich zu Whole Genome Sequencing (WGS). Zusätzlich wurde cDNA zur Detektion von Veränderungen im Transkriptom sequenziert.
Im ersten Teil wurde der klinische Phänotyp der Seipinopathien erweitert, der jetzt auch amyotrophe Lateralsklerose (ALS) und multifokale motorische Neuropathie (MMN) beinhaltet. Dafür wurde eine Panel-Analyse durchgeführt, die eine bekannte Mutation in BSCL2 aufdeckte. Aufgrund des hiermit erweiterten Phänotyps der Seipinopathien sollten Mutationen in BSCL2 auch bei anderen Verdachtsdiagnosen, wie ALS oder MMN, berücksichtigt werden. Außerdem wurde gezeigt, dass in der Diagnostik SPGs und Charcot-Marie-Tooth Erkrankungen (CMTs) eine Überlappung zeigen und bei der Diagnose von Verdachtsfällen Gene aus beiden Krankheitsbereichen berücksichtigt werden sollten. Die Suche mit Hilfe eines Phänotyp-Filters hat sich dabei als erfolgreich erwiesen. Ungelöste Fälle sollten aber in regelmäßigen Abständen neu analysiert werden, da immer neue Gene mit den Phänotypen assoziiert werden.
Der zweite Teil befasst sich mit der Untersuchung von DMD-Patienten mit bisher ungeklärtem Genotyp. Durch eine RNA-Analyse des gesamten DMD-Transkripts wurden tief-intronische Mutationen aufgedeckt, die Einfluss auf das Spleißen haben. Durch diese Mutationen wurden intronische Sequenzen als Pseudoexons in die mRNA eingefügt. Diese Mutationsart scheint häufig unter ungeklärten DMD-Fällen zu sein, in unserer Kohorte von 5 DMD-Patienten wurden in zwei Fällen Pseudoexons entdeckt. Eine Besonderheit besteht darin, dass in der RNA-Analyse immer noch ein Rest Wildtyp-Transkript vorhanden war, wodurch die Patienten vermutlich einen milderen Becker-Phänotyp aufweisen. Ein weiterer ungeklärter DMD-Fall konnte durch die Sequenzierung der gesamten genomischen Sequenz aufgeklärt werden. Es wurde eine perizentrische Inversion entdeckt (46,Y,inv(X)(p21.1q13.3). Dies zeigt, dass WGS auch zur Detektion von großen Strukturvariationen geeignet ist.
Im dritten Teil wurden Spleißmutationen untersucht. Spleißmutationen wurden bisher nicht in TMEM5-assoziierter alpha-Dystroglykanopathie beschrieben und somit als neue Mutationsart für diese Erkrankung nachgewiesen. Dabei wurde auch die funktionelle Exostosin-Domäne in TMEM5 bestätigt. Eine RNA-Untersuchung verschiedener Spleißmutationen zeigte, dass Spleißmutationen häufig zu einem veränderten Transkript führen, auch wenn diese Mutationen weiter von der Konsensussequenz entfernt sind. Spleißmutation sollten daher häufiger in der Diagnostik berücksichtig und überprüft werden.
Im letzten Teil wurde eine strukturierte Diagnostik von MFM-Patienten beschrieben und neue Kandidaten-Gene für MFM vorgestellt. Es ist zu vermuten, dass auch Mutationen in Genen, die bisher für Kardiomyopathien, Kollagen Typ VI-Myopathien und Neuropathien beschrieben sind, einen MFM-Phänotyp verursachen können. Diese Ergebnisse erweitern das genetische Spektrum der MFM, was sich auf die Diagnostik dieser Erkrankungen auswirken sollte.
Im Laufe dieser Arbeit konnten damit die neuromuskulären Erkrankungen vieler Patienten genetisch geklärt werden. Neue Phänotypen und genetische Ursachen wurden beschrieben und es wurde gezeigt, dass sich WGS technisch für die Diagnostik, auch zur Detektion von großen Strukturvarianten, eignet.
Der Schlaganfall ist eine Krankheit mit großer Bedeutung, sowohl für die Betroffenen wie auch unter volkswirtschaftlichen Gesichtspunkten. In der Erforschung neuer und besserer Therapiemethoden für den ischämischen Schlaganfall ist ein gutes in-vitro-Modell der Blut-Hirn-Schranke unerlässlich, da ein Teil der Schädigung des ZNS durch einen Zusammenbruch dieser Barriere verursacht wird.
Die hCMEC/D3-Zelllinie stellt ein solches Modell dar; mit steigender Dauer der ischämischen Stoffwechsellage zeigt sich eine Erhöhung der LDH-Konzentration als Marker für das Absterben der Zellen sowie ein Rückgang der Zellvitalität. Zudem lässt sich eine Entzündungsreaktion mit Anstieg der Marker TNF-Alpha und VEGF, sowie tendenziell auch von Interleukin 6 und Interleukin 8 beobachten, welche auch auf eine Barriereschwächung hindeutet. Aus vorherigen Versuchen bekannte Tight junctions-Proteine wie Claudin 1 und Occludin waren in D3-Zellen unter ischämischen Bedingungen nicht verändert, Claudin 5 war in der PCR vermindert exprimiert. Die für die Barriereschwächung verantwortlichen Strukturproteine müssen durch weitere Versuche identifiziert werden. Eine mögliche Erhöhung der Expression des Transkriptionsfaktors ZO-1 könnte unter diesen Bedingungen einen Mechanismus der Barriereschwächung darstellen.
Die Expression des Glukokortikoidrezeptors war in Monokultur-Versuchen mit D3-Zellen nach Ischämie erniedrigt. Dies stellt eine Gemeinsamkeit mit Versuchen mit Zelllinien tierischen Ursprungs dar; in diesen zeigten die Zellen durch Degradation des Glukokortikoidrezeptors ein fehlendes Ansprechen auf eine Glukokortikoid-Behandlung. In der Cokultur der D3-Zellen mit Gliomzellen der C6-Zelllinie zeigte sich jedoch eine Erhöhung der GR-Expression. Eine Cokultur kann den komplexen Aufbau der Blut-Hirn-Schranke, mit Beteiligung mehrerer Zelltypen, besser darstellen als Versuche mit nur einer Zelllinie. Die Erhöhung der GR-Expression in diesem humanen in-vitro-Modell der Blut-Hirn-Schranke steht im Gegensatz zu den in-vitro-Versuchen mit anderen Zelllinien. Dies könnte eine mögliche Erklärung liefern, warum die Erkenntnisse aus diesen Versuchen bisher nicht zu einer Verbesserung der Evidenz der Glukokortikoid-Therapie beim ischämischen Schlaganfall beigetragen haben. Zudem zeigt die Fluoreszenzfärbung von D3-Zellen, dass diese auch unter Ischämie auf Glukokortikoide reagieren.
In der vorliegenden Studie wurde untersucht, ob sich bei Patienten mit Bronchialkarzinom durch eine Second-Line-Chemotherapie mit dem Tyrosinkinaseinhibitor Erlotinib ein Nutzen erzielen lässt. Dabei wurde besonderes Augenmerk auf Faktoren gelegt, die das progressionsfreie Überleben bei diesen Patienten möglicherweise beeinflussen können. Grundlage der Untersuchungen bildete ein Probanden- kollektiv von 42 Patienten, die sich mit der Diagnose nicht-kleinzelliges Bronchialkarzinom bis zum 31.12.2007 einer Second-Line-Chemotherapie mit Erlotinib unterzogen. Zu diesem Stichtag lagen für 23 Patienten Todesdaten vor. Das mediane progressionsfreie Überleben für alle untersuchten 42 Patienten betrug 3,88 Monate, wobei sich die Spanne von 0 bis 21 Monate erstreckte. Im Gesamten zeigten 59,52% der Patienten ein Ansprechen, das heißt, das progressionsfreie Überleben dauerte länger als einen Monat. Folgende allgemeine Patientenmerkmale wurden aus den Krankenblättern erhoben: Geschlecht, Alter, histologische Tumordiagnose, Tumorstadium nach Stadieneinteilung durch die TNM-Klassifikation, Metastasensorte soweit Metastasen vorlagen, Zeitpunkt der Erstdiagnose, Rauchverhalten, Allgemeinzustand nach Karnofsky-Index, Vorerkrankungen, Begleitmedikation, ausgewählte Laborwerte sowie Zeitraum und Art der First-Line-Therapie. Was die Second-Line-Therapie unter Erlotinib betrifft, so wurden hier gezielt im Verlauf die aktuelle Dosis, Änderungen der Begleittherapie, Allgemeinzustand nach Karnofsky-Index, Toxizität (besonderes Augenmerk verdienten Nebenwirkungen an der Haut und im Gastrointestinaltrakt), Auffälligkeiten von einigen Laborwerten und das Tumorverhalten untersucht. Zum Abschluss wurden das Ende der Erlotinibtherapie, Grund des Absetzens, aktueller Stand, eventuell im Anschluss an die Erlotinibtherapie durchgeführte Therapien sowie im Falle des Todes der Todeszeitpunkt erfasst. Im Gesamtüberblick konnten somit das progressionsfreie Überleben unter Erlotinib, die Einnahmedauer des Tyrosinkinaseinhibitors und das absolute Überleben seit der Erstdiagnose festgestellt werden. Hauptziel der Untersuchung war es, herauszufinden, inwiefern unsere Patienten unter Erlotinib im Sinne einer Verlängerung ihres progressionsfreien Überlebens profitieren und welche Faktoren die Ansprechrate beeinflussen. Der Einfluss ausgewählter Merkmale wurde statistisch untersucht. Im Vergleich mit Angaben in der Literatur konnte für das untersuchte Probandenkollektiv eine repräsentative Verteilung der Patientenmerkmale ermittelt und somit eine gewisse Relevanz der Ergebnisse dieser Studie angenommen werden. Statistisch signifikante Unterschiede ergaben sich für folgende Faktoren: Einnahmedauer, Krankheitsverhalten bei Therapiebeginn, Karnofsky-Index während der Behandlung, Nebenwirkungen an der Haut sowie Veränderungen in der Serumchemie. Nonresponder nahmen folglich Erlotinib wie erwartet statistisch signifikant kürzer ein, zeigten zu Beginn der Erlotinibtherapie statistisch signifikant häufiger ein fortschreitendes Krankheitsgeschehen, wiesen während der Therapie statistisch signifikant häufiger einen schlechteren Karnofsky-Index auf, erlitten statistisch signifikant weniger häufig schwere Nebenwirkungen an der Haut (Grad 3 und 4) und ihnen waren statistisch signifikant häufiger Serumwertveränderungen zuzuschreiben. Das prognostische Hauptmerkmal, das sowohl bei unserem Patientengut als auch in der Literatur signifikante Bedeutung hat, ist wohl, dass Responder statistisch signifikant häufiger schwere Nebenwirkungen an der Haut erleiden. Da Auftreten und Schweregrad von follikulären Ekzemen also mit einem positiven Ansprechen von Erlotinib korreliert sind, könnte es vielleicht nützlich sein, wenn man bereits vor Beginn der Erlotinibtherapie vorhersagen könnte, wie wahrscheinlich Patienten solche Nebenwirkungen entwickeln werden. Insgesamt kann man sagen, dass der Einsatz dieser molekular zielgerichteten Substanz zu einer Erweiterung der Therapiemöglichkeiten im palliativen Setting bei Bronchialkarzinompatienten geführt hat. Die Behandlung mit Erlotinib bedeutet ein Benefit für das Gesamtüberleben und das progressionsfreie Überleben bei Patienten mit fortgeschrittenem Bronchialkarzinom, die im Voraus eine Chemotherapie erhalten hatten. Dieses Benefit beschränkt sich nicht auf klinische Subgruppen wie weibliches Geschlecht, Adenokarzinom in der Histologie und Nichtraucher. Diese klinischen Parameter allein sind wohl folglich nicht ausreichend, um Patienten im Vornherein zu identifizieren, die wahrscheinlich von der Therapie profitieren. Vielmehr sind bessere Methoden notwendig, um möglicherweise voraussagen zu können, wer von dem Tyrosinkinaseinhibitor profitieren wird. Hoffnungen ruhen auf der Etablierung molekularer prognostischer und prädiktiver Marker in der klinischen Routine.
Hintergrund: Die Schlafbezogene Atmungsstörung (SBAS) ist eine häufige Komorbidität der systolischen Herzinsuffizienz und mit einer kürzeren Lebenserwartung assoziiert. Es steht derzeit eine Vielzahl einfacher ambulanter SBAS-Screening-Geräte zur Verfügung. Keines davon wurde jedoch bisher für Patienten mit chronischer systolischer Herzinsuffizienz validiert.
Fragestellung: Die vorliegende Untersuchung diente der Prüfung eines einfachen ambulanten SBAS-Screenings hinsichtlich diagnostischer Trennschärfe und prognostischer Relevanz für Patienten mit systolischer Herzinsuffizienz.
Methoden: Bei Patienten mit symptomatischer systolischer Herzinsuffizienz (linksventrikuläre Ejektionsfraktion (LVEF) < 45%, NYHA ≥ II) wurden nächtlicher Atemfluss, Pulsfrequenz und Sauerstoffsättigung mit dem ApneaLinkTM (Fa. ResMed) ambulant aufgezeichnet. Hieraus werden der Apnoe-/Hypopnoe-Index (AHI) sowie der Entsättigungsindex (ODI) berechnet. Die Ergebnisse wurden der Diagnose des Schlafmediziners anhand einer PSG als gültigem Goldstandard der SBAS-Diagnostik gegenübergestellt. Der Überlebensstatus wurde bei allen Patienten durch ambulante bzw. telefonische Nachuntersuchungen erfasst. Mittels ROC-Analysen wurden diagnostische und durch Cox-Regressionen prognostische Schwellenwerte des SBAS-Screenings ermittelt.
Ergebnisse: Insgesamt wurden 131 Patienten eingeschlossen: das mittlere Alter lag bei 68±13 Jahren, 110 Patienten (84%) waren männlich, 53 Patienten (41%) hatten ein NYHA-Stadium ≥3, die mittlere LVEF lag bei 34%. Bei 69 Patienten (53%) konnte eine PSG durchgeführt werden, welche bei 55 Patienten (80%) eine SBAS diagnostizierte. Bei 38 Patienten (55%) lag eine mind. mittelgradige, therapiepflichtige SBAS vor. In ROC-Analysen für ein mind. mittelgradige SBAS ergaben sich AUCs von 0.77; 0.82; 0.81; 0,79 und 0,82 für AHI; ODI; (AHI+ODI)/2; (2xAHI+ODI)/3 und (AHI+2xODI)/3. Die größtmögliche Spezifität (0,90) und Sensitivität (0,66) für die Diagnose einer Therapiepflichtigen SBAS lab bei einem cut-off von (AHI+2xODI)/3 ≥ 21/h. Die mediane Follow-up Zeit der Studie lag bei 23 (18; 27) Monaten; es starben 21 Patienten (16%). Es fand sich eine positive Korrelation zwischen (AHI+2xODI)/3 und Mortalitätsrate. Bereits für den (AHI+2xODI)/3 ≥9/h war die Mortalität signifikant erhöht (3,55 (95%CI: 1.04-12.13) p=0,04).
Schlussfolgerung: Eine therapiepflichtige SBAS lässt durch ein ambulantes Screening zuverlässig diagnostizieren. Dabei ist der ODI dem AHI überlegen. Für die bestmögliche diagnostische Trennschärfe empfehlen wir einen (AHI+2xODI)/3 von 21/h heranzuziehen, wobei bereits ein Wert von 9/h prognostisch relevant ist, so dass bei Patienten mit einem (AHI+2xODI)/3 von 9-20/h zwar auf eine schlafmedizinische Untersuchung verzichtet werden kann, eine engmaschige kardiologische Kontrolle inklusive wiederholten Screenings jedoch unabdingbar bleibt.
Die molekularen Mechanismen der Wirt-Parasit-Interaktion bei der durch den Zestoden Echinococcus multilocularis ausgelösten Erkrankung der alveolären Echinokokkose sind bislang ungeklärt. Zudem liegen keine Daten über Entwicklungs- und Differenzierungsmechanismen dieses Parasiten vor, die für die Entwicklung neuer Antiparasitika genutzt werden könnten. Ein bei der Evolution der Metazoen bereits frühzeitig entstandener Signaltransduktionsmechanismus zur Steuerung von Entwicklungsvorgängen ist das TGFβ/BMP-System, das aus strukturell verwandten Zytokinen der TGFβ (transforming growth factor β) bzw. BMP (bone morphogenetic protein)-Familie, oberflächenständigen Rezeptoren der TGFβ-Rezeptorfamilie (Typ I und Typ II) und intrazellulären Signaltransduktoren der Smad-Familie besteht. Außer an Entwicklungsvorgängen tierischer Organismen könnte diesem System eine wichtige Rolle bei der Wirt-Helminth-Kommunikation während Infektionsprozessen zukommen, wie in vorherigen Studien am Nematoden Brugia malayi und am Trematoden Schistosoma mansoni gezeigt werden konnte. Erste, wichtige Schritte zur Charakterisierung von TGFβ und BMP-Signalsystemen in Zestoden wurden in der vorliegenden Arbeit getan. Aufbauend auf einem vorherigen Bericht zu einem Transmembranrezeptor (EmRSK1) und einem Smad-Homologen (EmSmadA) aus Echinococcus multilocularis wurde die Liste der TGFβ/BMP Signaltransduktionsfaktoren in E. multilocularis in dieser Arbeit deutlich erweitert und erstmals umfangreiche funktionelle Studien durchgeführt. Die hier charakterisierten Faktoren umfassen zwei weitere Serin/Threonin-Kinasen der TGFβ/BMP-Rezeptorfamilie (EmRSK2, EmRSK3) sowie intrazelluläre Transduktoren der R-Smad-Subfamilie (EmSmadB, EmSmadC) und ein Homologes zur MAP-kinase-kinase-kinase TAK1 (TGFβ activated kinase 1), genannt EmTAK1. Zudem konnte erstmals für einen parasitären Helminthen ein Zytokin der BMP-Subfamilie, EmBMP, auf molekularer Ebene charakterisiert werden. Strukturelle und funktionelle Untersuchungen legen nahe, dass E. multilocularis sowohl ein TGFβ wie auch ein BMP-Signalsystem exprimiert. Ersteres wird sehr wahrscheinlich durch die Kinase EmRSK2 und den Smad-Faktor EmSmadC gebildet, letzteres durch EmRSK1 und EmSmadB. EmSmadA nimmt eine Sonderstellung ein, da es sowohl durch TGFβ- wie auch durch BMP-Rezeptoren aktiviert werden kann. Die genaue Rolle von EmRSK1 und EmTAK1 wäre durch weitere Untersuchungen zu klären. Signifikante funktionelle Homologien zwischen den TGFβ/BMP-Signalsystemen des Parasiten und Säugern konnten nachgewiesen werden, die sich u.a. darin äußern, dass die Echinococcus Smad-Proteine durch entsprechende Rezeptoren des Menschen aktiviert werden können. Darüber hinaus konnten jedoch auch einige deutliche Unterschiede zwischen den Systemen aus Parasit und Wirt nachgewiesen werden, die sich als Angriffspunkte zur Entwicklung von Chemotherapeutika eignen könnten. So fehlt den Smad-Faktoren EmSmadA und EmSmadC eine MH1-Domäne, die sonst unter allen R-Smads hoch konserviert ist. Zudem sind einige bislang noch nie beschriebene, strukturelle Besonderheiten der Echinococcus TGFβ/BMP-Rezeptoren zu verzeichnen. Auch die Regulation dieser Faktoren und die Kreuz-Interaktion mit weiteren intrazellulären Signalwegen (z.B. der MAP Kinase Kaskade) scheint in E. multilocularis anders zu verlaufen als bislang für Vertebraten, Insekten oder Nematoden beschrieben. Schließlich konnte, als sehr wichtiger Befund, auch nachgewiesen werden dass mindestens ein Rezeptor des Parasiten, EmRSK1, mit einem Zytokin des Wirts (BMP2) in vitro funktionell interagiert. Da BMP2 in Zellkultursystemen, die das Wachstum des Parasiten am befallenen Wirtsorgan nachstellen, einen deutlichen Effekt auf E. multilocularis ausübt, könnte die hier beschriebene EmRSK1/BMP2 – Interaktion von entscheidender Bedeutung für die Wirt-Parasit-Interaktion bei der alveolären Echinokokkose sein.
Asymptomatische Bakteriurie (ABU) stellt eine bakterielle Infektion der Harnblase über einen langen Zeitraum dar, die häufig von Escherichia coli hervorgerufen wird, ohne dass typische Symptome einer Harnwegsinfektion auftreten. Um die Charakteristika von ABU E. coli Isolaten genauer zu untersuchen, wurden die Geno- und Phänotypen von 11 ABU-Isolaten verglichen. Außerdem wurden in mehreren aufeinanderfolgenden in vivo-Reisolaten des Modell-ABU Stammes 83972 die Veränderungen im Transkriptom, Proteom und Genom während einer langfristigen Persistenz in der menschlichen Blase charakterisiert. Schließlich wurde der Effekt des menschlichen Wirtes auf die bakterielle Adaptation durch einen Vergleich von in vitro- mit in vivo-kultivierten Stämmen abgeschätzt. ABU-Isolate stellt eine heterogene Gruppe von Organismen dar. Diese können den vier phylogenetischen Hauptgruppen von E. coli sowie unterschiedlichen klonalen Gruppen zugeordnet werden. Dementsprechend unterscheiden sie sich erheblich bezüglich der Zusammensetzung des Genomes, der Genomgröße und auch der Ausstattung mit UPEC-typischen Virulenz-assoziierten Genen. Multi-Lokus-Sequenz-Typisierung legt nahe, dass bestimmte ABU Stämme sich durch Genomreduktion aus UPEC Stämmen entwickelt haben, die eine Harnwegsinfektion mit charakteristischen Symptomen auslösen konnten. Folglich erlaubt die hohe Genomplastizität von E. coli keine generalisierte Betrachtung einzelner Isolate eines Klons. Genomreduktion über Punktmutationen, Genom-Reorganisation und Deletionen resultierte in der Inaktivierung einiger Gene, die für einige UPEC Virulenz-Faktoren kodieren. Dies stützt die Vorstellung, dass eine verminderte bakterielle Aktivierung der Entzündung der Wirtsschleimhaut den Lebensstil von ABU (bei diesen E. coli-)Isolaten fördert. Genregulation und genetische Diversität sind Strategien, die es Bakterien ermöglichen unter sich fortlaufend ändernden Bedingungen zu leben bzw. zu überleben. Um die anpassungsbedingten Veränderungen bei einem langfristigen Wachstum in der Blase zu untersuchen, wurden aufeinanderfolgende Reisolate, denen eine langfristige in vivo-Kolonisierung im menschlichen Wirt beziehungsweise eine in vitro-Kultivierung vorausgegangen ist, im Hinblick auf Veränderungen Genexpression und Genomorganisation analysiert. In diesem Zusammenhang konnte gezeigt werden, dass E. coli in der Lage ist, seine metabolischen Netzwerke verschiedenen Wachstumsbedingungen anzupassen und individuelle bakterielle Kolonisierungsstrategien entwickeln kann. Transkriptom- und Proteom-Analysen zeigten verschiedene metabolische Strategien zur Nährstoffbeschaffung und Energieproduktion bei untersuchten in vivo-Reisolaten vom Stamm 83972, die es ihnen ermöglichen, den Wirt zu kolonisieren. Das Zurückgreifen auf D-Serin, Deoxy- und Ribonucleoside sowie die bidirektionale Umwandlung zwischen Pentose und Glucuronat waren hoch-regulierte Stoffwechselwege, die die in vivo-Reisolate mit zusätzlicher Energie für ein effizientes Wachstum in der Blase versorgen. Zudem wurden in dieser Studie die Netzwerke für eine Reaktion auf Abwehrmechanismen des Wirtes erforscht: Erstmals wurde hier die Rolle der Klasse-III-Alkoholdehydrogenase AdhC, bekannt durch ihre Bedeutung bei der Entgiftung von Stickstoffmonoxid, bei der Wirtsantwort während einer asymptomatischen Bakteriurie gezeigt. Aufeinanderfolgende in vivo- und in vitro-Reisolate vom Stamm 83972 wurden ebenfalls bezüglich ihrer Genomstruktur analysiert. Einige Veränderungen in der Genomstruktur der aufeinanderfolgenden Reisolate, die von einer humanen Kolonisierungsstudie stammen, implizieren die Bedeutung einer Interaktion der Bakterien mit dem Wirt bei der Mikroevolution der Bakterien. Dagegen war die Genomstruktur von Reisolaten eines langfristigen in vitro-Kultivierungsexperiments, bei dem sich der Stamm 83972 ohne Wirtskontakt vermehrt hat, nicht von Veränderungen betroffen. Das legt nahe, dass die Immunantwort eine Genomplastizität fördert und somit eine treibende Kraft für den ABU Lebensstil und die Evolution im Harnwegstrakt ist.
Embryonale Stammzellen (ESCs) sind durch zwei charakteristische Eigenschaften definiert. Neben einer kontinuierlichen Selbsterneuerungskapazität weisen ESCs die Fähigkeit auf, in alle Zelltypen der drei Keimblätter differenzieren zu können. Diese Eigenschaften werden unter anderem durch ein Netzwerk wichtiger Pluripotenzfaktoren als auch durch epigenetische Mechanismen reguliert, welche die Transkription von Pluripotenz- und Differenzierungsgenen kontrollieren.
In murinen ESCs sind an der Repression von Differenzierungsgenen auch Polycomb group (PcG) Proteine beteiligt. Diese Proteine bauen zwei Chromatin-modifizierende Komplexe auf, die als Polycomb repressive complex 1 bzw. 2 (PRC1 bzw. PRC2) bezeichnet werden. Nach dem klassischen Modell der Polycombfunktion, katalysieren PRC1 und PRC2 gemeinsam zwei charakteristische Histonmodifikationen, die zur Repression PRC-spezifischer Zielgene beitragen. Zahlreiche Studien in den letzten Jahren belegen, dass der Proteinaufbau der PRC1 Komplexe stark variieren kann, wobei die Familie der Polycomb group RING finger (Pcgf) Proteine eine wichtige Rolle spielt. In diesem Zusammenhang definieren einzelne Pcgf Paraloge (Pcgf1 – 6) verschiedene PRC1 Varianten (PRC1.1 – 1.6), die Komplex-spezifische Bindestellen im Genom aufweisen. Diese Erkenntnisse lassen auf unterschiedliche Mechanismen der PRC1 Varianten und Pcgf Paralog-spezifische Funktionen schließen, die zum jetzigen Zeitpunkt nur wenig erforscht sind.
Für manche Pcgf Paraloge sind wichtige Rollen in verschiedenen Stammzelltypen und während der iPS Reprogrammierung bekannt. Pcgf1 (Nspc1), Pcgf2 (Mel18) und Pcgf4 (Bmi1) zeigen eine Funktion in verschiedenen adulten Stammzellen. Pcgf4 spielt darüber hinaus eine wichtige Rolle in der murinen iPS Reprogrammierung. Für Pcgf6 (Mblr) wird eine Pluripotenz-assoziierte Funktion angenommen, denn Pcgf6 ist das einzige Pcgf Paralog, das eine erhöhte Expression in murinen ESCs aufweist, die jedoch im Verlauf der ESC-Differenzierung absinkt. Außerdem zeigen murine Pcgf6 KD ESCs eine verminderte Expression der Pluripotenzgene Oct4, Sox2 und Nanog, eine De-Repression mesodermaler und Testes-spezifischer Gene als auch eine erhöhte Tendenz zur hämatopoetischen Differenzierung. Wie genau Pcgf6 an der Regulation dieser Prozesse in murinen ESCs beteiligt ist, ist nicht bekannt.
In der hier vorliegenden Dissertation wurde die Funktion von Pcgf6 in der murinen iPS Reprogrammierung untersucht. Da bereits für Pcgf4 eine Rolle in der Reprogrammierung somatischer Zellen gezeigt wurde und Pcgf6 eine erhöhte Expression in ESCs aufweist, wurde auch für Pcgf6 eine Funktion in der iPS Reprogrammierung angenommen. Zunächst konnte in dieser Arbeit gezeigt werden, dass Pcgf6 während der iPS Reprogrammierung verstärkt exprimiert wird und in iPS Zellen eine ESC-ähnliche Expression aufweist. Darüber hinaus konnte Pcgf6 in Kombination mit Oct4, Klf4 und c-Myc spezifisch den Transkriptionsfaktor Sox2 in der iPS Reprogrammierung ersetzen. Zudem wurden für OPKM-induzierte iPS Zellen charakteristische Eigenschaften pluripotenter Zellen nachgewiesen. Außerdem konnte eine Rolle von Pcgf6 als Enhancer-Faktor für die iPS Reprogrammierung ausgeschlossen werden, da die Überexpression von Pcgf6 zusammen mit den OSKM Faktoren keine additiven Effekte auf die Reprogrammierungseffizienz erzielte. Im Gegensatz dazu führte der Knockdown (KD) von Pcgf6 in embryonalen Mausfibroblasten (MEFs) zu verminderten Effizienzen nach OSKM Reprogrammierung. Darüber hinaus handelte es sich bei der Mehrheit der AP+ Kolonien, die unter Pcgf6 KD Konditionen entstanden, um partiell-reprogrammierte iPS Zellen.
Zusammengefasst zeigen die Ergebnisse der hier vorliegenden Arbeit, dass Pcgf6 ein neuer und essentieller Faktor der iPS Reprogrammierung ist, der in Kombination mit Oct4, Klf4 und c-Myc spezifisch den Transkriptionsfaktor Sox2 ersetzen kann.
Viele Studien weisen auf einen Zusammenhang zwischen einer verlängerten QTc-Zeit und dem Auftreten von Torsade-de-Pointes-Tachyarrhythmien und dem plötzlichen Herztod hin. Auch AV-Blockierungen und Schenkelblöcke
erhöhen das Risiko für kardiale Erkrankungen und Ereignisse deutlich. Eine direkte Beziehung zwischen Serumspiegeln der trizyklischen Antidepressiva
und der Verlängerung der PQ-, QRS- oder QTc-Zeit wurde bisher jedoch nicht untersucht.
Aus diesem Anlass wurde in dieser Arbeit nun versucht, eine Korrelation zwischen den Serumspiegeln der trizyklischen Antidepressiva Amitriptylin und
Doxepin bzw. ihrer Metabolite und einigen EKG-Parametern zu identifizieren und zu beschreiben. Hierfür wurden die Daten von 172 Patienten der Klinik und
Poliklinik für Psychiatrie, Psychosomatik und Psychotherapie untersucht, die eine Serumspiegelbestimmung des Talspiegels im Steady-State der TZA einen Tag vor, einen Tag nach oder am selben Tag einer EKG-Ableitung erhalten hatten und
keine pathologischen Elektrolytwerte vorwiesen.
In der Rangkorrelation zeigte sich ein signifikanter positiver Zusammenhang zwischen Nortriptylin-Spiegel und QTcB (r = 0,24; p < 0,05) sowie QTcH (r = 0,205;
p < 0,05), zwischen Nortriptylin und QTcF und QTcLC lag dieser Zusammenhang auf Trendniveau. Zwischen PQ-Zeit und Nortriptylin- (r = 0,226; p < 0,05) sowie
Summenkonzentration (r = 0,195; p < 0,05) zeigte sich ebenfalls ein signifikanter positiver Zusammenhang.
Im Mann-Whitney-U-Test waren die QTc-Zeiten der Patienten mit Summenspiegeln aus Amitriptylin und Nortriptylin jenseits der Warnschwelle
von 300 ng/ml signifikant länger als bei den Patienten mit niedrigeren Summenspiegeln (QTcB = 449 zu 432 ms; QTcF = 423 zu 410 ms; QTcH = 423 zu 410 ms; QTcLC = 421 zu 409 ms; p < 0,05) und auch die PQ-Zeit dieser Gruppe
war signifikant verlängert (PQ = 163 zu 179 ms; p < 0,05). Ähnliches galt für das Patientenkollektiv mit einem Nortriptylin-Spiegel oberhalb des Referenzbereichs von 170 ng/ml. Dieses zeigte signifikant längere
QTc-Zeiten nach allen Korrekturmethoden (QTcB = 457 zu 432 ms; QTcF = 430 zu 409 ms; QTcH = 429 zu 410 ms; QTcLC = 427 zu 409 ms; p < 0,01) und zudem
längere PQ- (164 zu 180 ms; p < 0,05) und QRS-Zeiten (98 zu 107 ms; p = 0,054).
Diese Ergebnisse machen deutlich, dass eine regelmäßige EKG-Kontrolle während der Einnahme von trizyklischen Antidepressiva notwendig ist, um kardiale Nebenwirkungen frühzeitig zu erkennen und diesen vorzubeugen.
Ebenso wichtig sind regelmäßige Serumspiegelbestimmungen, um das Risiko durch erhöhte Serumspiegel jenseits der Warnschwellen bzw. Referenzbereiche frühzeitig zu erkennen. Eine Beachtung der Tagesdosis allein reicht hier explizit nicht aus.
Im Rahmen des metabolischen Syndroms bei morbider Adipositas kommt es unter anderem zu Imbalancen im autonomen Nervensystem (ANS): ein Missverhältnis von Sympathikus und Parasympathikus (PS) führt zu einer Dysregulation von orexigenen und anorexigenen Hormonen und konsekutiv zu einer weiteren Gewichtszunahme.
Diese Arbeit untersucht die Auswirkung von bariatrischen Operationen auf das abdominale ANS anhand des parasympathisch regulierten PPP drei Monate nach Intervention. Die Veränderungen der Imbalance wurden mit Hilfe eines modifizierten Sham Feedings (MSF) ermittelt, bei dem nur die kephale Phase der Nahrungsaufnahme durchlaufen und die Mahlzeiten nicht geschluckt wird. Die PPP-Spiegel im Verlauf des MSF sind daher ausschließlich eine Darstellung des PS. Zusätzlich wurden die Verläufe der Insulin- und Glukosewerte bestimmt.
Die PPP-Spiegel der normalgewichtigen Kontrollgruppe sind signifikant höher als die der adipösen Patienten prä- und postoperativ. Die Kurvenverläufe des PPP sind aber zwischen den Gruppen vergleichbar. Somit ist die akute Reaktion des PS auf die Nahrungsaufnahme bei morbider Adipositas zwar unverändert, es zeigt sich aber keine Verbesserung der ANS-Dysfunktion kurz nach Intervention. Die Aufteilung der Patienten in Jüngere und Ältere (verglichen mit dem Durchschnittsalter der Studie) ergibt postoperativ absolut und relativ eine Zunahme der PPP-Spiegel bei den Älteren, während es bei den Jüngeren zu einem Abfall kommt. Bei halbierter Gruppegröße ist die Aussagekraft der Signifikanz jedoch eingeschränkt.
Auch ohne diabetische Stoffwechsellage gleichen sich die Insulin- und Glukosewerte der Patienten post-OP denen der Kontrollen an. Eine mögliche Ursache hierfür ist aber nicht nur eine primäre ANS-Verbesserung, denn vor allem in der ersten postoperativen Phase scheint die starke Nahrungsmittelrestriktion mehr Auswirkungen zu haben. Eine spätere Besserung der ANS-Imbalance durch z.B. Gewichtsverlust ist jedoch nicht ausgeschlossen.
In der vorliegenden Studie wurde der Zusammenhang des depressiven Syndroms mit dem Vitamin D-Spiegel an einer Stichprobe gerontopsychiatrischer Patienten (n = 140) der Neurogerontopsychiatrischen Tagesklinik Würzburg untersucht. Die Depressivität der Patienten zu Beginn und im Verlauf der Behandlung wurde zum einen mittels der ICD-10-Klassifikation, zum anderen mittels des Scores auf der GDS- und Hamilton-Skala zu Beginn und Ende des Aufenthalts in der Tagesklinik sowie bei einer poststationären Kontrolle bestimmt. Der Vitamin D-Spiegel wurde bei Behandlungsbeginn bestimmt und im Falle eines Mangels 1000 IU Vitamin D am Tag oral substituiert. Hierbei zeigte sich kein Zusammenhang zwischen der Ausprägung des depressiven Syndroms und dem Vitamin D-Spiegel zu Beginn der Behandlung. Dagegen stellte sich heraus, dass Patienten mit einem höheren Spiegel eine deutlichere Verbesserung der depressiven Symptome auf der GDS im Verlauf der Behandlung erfuhren. Außerdem bestand eine signifikante negative Korrelation zwischen BMI und Vitamin D-Spiegel sowie eine Abhängigkeit der Spiegelhöhe von der Jahreszeit. Vitamin D könnte nach den Ergebnissen dieser Studie möglicherweise eine wirkungssteigernde und nebenwirkungsarme Komedikation in der antidepressiven Therapie von älteren psychisch erkrankten Menschen darstellen. Es bedarf weiterer ausführlicher Forschung über den neurophysiologischen Zusammenhang zwischen Vitamin D und der Schwere einer depressiven Erkrankung. Besonders hinsichtlich der Verwendung von Vitamin D als Komedikation gilt es, weitere intensive Forschung in Form von gut designten, randomisierten Fall-Kontroll-Studien und prospektiven Interventionsstudien zu betreiben, um die Therapie von depressiven Patienten im höheren Lebensalter weiter zu verbessern.
In der vorliegenden Dissertation wurden die Folgen einer SPRED2-Defizienz in einem Knockout Mausmodell untersucht. Dabei wurde insbesondere die mögliche Verbindung zur Zwangsstörung, einer psychiatrischen Erkrankung beleuchtet. Das SPRED2-Protein kommt im menschlichen Körper in zahlreichen Geweben vor, besonders im Hirn wurde eine ubiquitäre Expression nachgewiesen und ein Zusammenhang mit der Neurogenese und neuronaler Differenzierung vermutet. Seine regulatorische Funktion besteht in einer inhibitorischen Wirkung auf den BDNF/TrkB-ERK-Signalweg, welcher u.a. für die Transkription neuronaler Gene verantwortlich ist. Die verwendeten SPRED2-defizienten Mäuse wurden durch Insertion eines Gene-Trap Vektors in das Spred2-Gen generiert. Die Insertion verhindert letztendlich die korrekte Translation des Proteins. Von der durch weitere Verpaarung entstehenden SPRED2-Knockout Mauslinie wurden ausschließlich männliche Tiere verwendet. Im Rahmen einer SPRED2-KO-Studie von der AG Schuh des Physiologischen Instituts der Universität Würzburg, die u.a. die Entgleisung der HHNA mit resultierendem erhöhten Stresshormonspiegel und eine Dysregulation des Mineralhaushaltshormons Aldosteron zeigte, wurden bei den Versuchstieren zwanghafte Verhaltensmuster beobachtet. Daraufhin wurden elektrophysiologische Messungen durchgeführt, die auf eine Anomalie in der synaptischen Übertragung zwischen Thalamus und Amygdala hindeuteten. Erhöhte Effizienz und Erregbarkeit der amygdaloiden Neuronen führten zu der morphologischen Untersuchung, die im Rahmen dieser Arbeit durchgeführt wurden. Da die Afferenzen des Thalamus vorwiegend in den lateralen Kern der Amygdala projizieren, wurde zunächst dieser betrachtet. Ziel der Untersuchung war es, Erkenntnisse darüber zu erlangen, ob der Knockout des SPRED2-Proteins in Mäusen zu einer veränderten Morphologie der Neuronen der lateralen Amygdala führt. Falls dies der Fall sein sollte, könnte damit zumindest ansatzweise das zwanghafte Verhalten der SPRED2-defizienten Mäusen erklärt werden. Die Hirne der Versuchstiere wurden nach der Golgi-Cox-Imprägnierung nach Glaser und Van der Loos und der Einbettung in Celloidin in 150 μm dicke Scheiben geschnitten und anschließend mithilfe eines Hellfeld-Mikroskops und des Neurolucida-Systems analysiert. Quantitativ erfasst und analysiert wurden pyramidale Klasse 1-Neuronen der lateralen Amygdala inklusive absoluter Anzahl und Dichte der Spines an ihren Dendriten. Die Untersuchung zeigte bei SPRED2-KO-Mäusen eine signifikante Erhöhung der mittleren Länge des apikalen Dendriten in Branch order 3 und eine tendenzielle Erhöhung der Gesamtzahl der Spines an den Dendriten in Branch order 1-3 gegenüber den Wildtyp-Mäusen. Daraus lässt sich folgern, dass ein Knockout des SPRED2-Proteins sich auf die Morphologie der Neuronen der lateralen Amygdala auswirkt. Die erhöhte mittlere Länge des apikalen Dendriten in Branch order 3 und die tendenziell erhöhte Spine-Anzahl korrelieren mit der gesteigerten synaptischen Übertragung und Erregbarkeit an amygdaloiden pyramidalen Neuronen. Auf molekularer Ebene kann die Hyperaktivität der lateralen Amygdala als Folge der fehlenden Inhibition des BDNF/TrkB-ERK-Signalwegs und der dadurch veränderten Expression zahlreicher synaptischer Proteine diskutiert werden. Die veränderte Morphologie der Neuronen in der lateralen Amygdala kann eine Ursache für das zwanghafte Verhalten der Mäuse sein, jedoch ist anzunehmen, dass Zwangsstörungen nicht bloß eine monokausale Ursache haben. Diese Arbeit identifiziert SPRED2 als neuen Regulator der Morphologie und Aktivität von Synapsen und die Amygdala als wichtige Hirnregion bei der Entstehung von Zwangsstörungen. SPRED2 ist somit ein vielversprechender Angriffspunkt für andere und spezifischere Untersuchungen der Hirnfunktion und eine potenzielle genetische Ursache für weitere neurologische Erkrankungen.