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Grundlegende Erziehung
(1942)
Das Gehirn ist die wohl komplexeste Struktur auf Erden, die der Mensch erforscht. Es besteht aus einem riesigen Netzwerk von Nervenzellen, welches in der Lage ist eingehende sensorische Informationen zu verarbeiten um daraus eine sinnvolle Repräsentation der Umgebung zu erstellen. Außerdem koordiniert es die Aktionen des Organismus um mit der Umgebung zu interagieren. Das Gehirn hat die bemerkenswerte Fähigkeit sowohl Informationen zu speichern als auch sich ständig an ändernde Bedingungen anzupassen, und zwar über die gesamte Lebensdauer. Dies ist essentiell für Mensch oder Tier um sich zu entwickeln und zu lernen. Die Grundlage für diesen lebenslangen Lernprozess ist die Plastizität des Gehirns, welche das riesige Netzwerk von Neuronen ständig anpasst und neu verbindet. Die Veränderungen an den synaptischen Verbindungen und der intrinsischen Erregbarkeit jedes Neurons finden durch selbstorganisierte Mechanismen statt und optimieren das Verhalten des Organismus als Ganzes. Das Phänomen der neuronalen Plastizität beschäftigt die Neurowissenschaften und anderen Disziplinen bereits über mehrere Jahrzehnte. Dabei beschreibt die intrinsische Plastizität die ständige Anpassung der Erregbarkeit eines Neurons um einen ausbalancierten, homöostatischen Arbeitsbereich zu gewährleisten. Aber besonders die synaptische Plastizität, welche die Änderungen in der Stärke bestehender Verbindungen bezeichnet, wurde unter vielen verschiedenen Bedingungen erforscht und erwies sich mit jeder neuen Studie als immer komplexer. Sie wird durch ein komplexes Zusammenspiel von biophysikalischen Mechanismen induziert und hängt von verschiedenen Faktoren wie der Frequenz der Aktionspotentiale, deren Timing und dem Membranpotential ab und zeigt außerdem eine metaplastische Abhängigkeit von vergangenen Ereignissen. Letztlich beeinflusst die synaptische Plastizität die Signalverarbeitung und Berechnung einzelner Neuronen und der neuronalen Netzwerke.
Der Schwerpunkt dieser Arbeit ist es das Verständnis der biologischen Mechanismen und deren Folgen, die zu den beobachteten Plastizitätsphänomene führen, durch eine stärker vereinheitlichte Theorie voranzutreiben.Dazu stelle ich zwei funktionale Ziele für neuronale Plastizität auf, leite Lernregeln aus diesen ab und analysiere deren Konsequenzen und Vorhersagen.
Kapitel 3 untersucht die Unterscheidbarkeit der Populationsaktivität in Netzwerken als funktionales Ziel für neuronale Plastizität. Die Hypothese ist dabei, dass gerade in rekurrenten aber auch in vorwärtsgekoppelten Netzwerken die Populationsaktivität als Repräsentation der Eingangssignale optimiert werden kann, wenn ähnliche Eingangssignale eine möglichst unterschiedliche Repräsentation haben und dadurch für die nachfolgende Verarbeitung besser unterscheidbar sind. Das funktionale Ziel ist daher diese Unterscheidbarkeit durch Veränderungen an den Verbindungsstärke und der Erregbarkeit der Neuronen mithilfe von lokalen selbst-organisierten Lernregeln zu maximieren. Aus diesem funktionale Ziel lassen sich eine Reihe von Standard-Lernenregeln für künstliche neuronale Netze gemeinsam abzuleiten.
Kapitel 4 wendet einen ähnlichen funktionalen Ansatz auf ein komplexeres, biophysikalisches Neuronenmodell an. Das Ziel ist eine spärliche, stark asymmetrische Verteilung der synaptischen Stärke, wie sie auch bereits mehrfach experimentell gefunden wurde, durch lokale, synaptische Lernregeln zu maximieren. Aus diesem funktionalen Ansatz können alle wichtigen Phänomene der synaptischen Plastizität erklärt werden. Simulationen der Lernregel in einem realistischen Neuronmodell mit voller Morphologie erklären die Daten von timing-, raten- und spannungsabhängigen Plastizitätsprotokollen. Die Lernregel hat auch eine intrinsische Abhängigkeit von der Position der Synapse, welche mit den experimentellen Ergebnissen übereinstimmt. Darüber hinaus kann die Lernregel ohne zusätzliche Annahmen metaplastische Phänomene erklären. Dabei sagt der Ansatz eine neue Form der Metaplastizität voraus, welche die timing-abhängige Plastizität beeinflusst. Die formulierte Lernregel führt zu zwei neuartigen Vereinheitlichungen für synaptische Plastizität: Erstens zeigt sie, dass die verschiedenen Phänomene der synaptischen Plastizität als Folge eines einzigen funktionalen Ziels verstanden werden können. Und zweitens überbrückt der Ansatz die Lücke zwischen der funktionalen und mechanistische Beschreibungsweise. Das vorgeschlagene funktionale Ziel führt zu einer Lernregel mit biophysikalischer Formulierung, welche mit etablierten Theorien der biologischen Mechanismen in Verbindung gebracht werden kann. Außerdem kann das Ziel einer spärlichen Verteilung der synaptischen Stärke als Beitrag zu einer energieeffizienten synaptischen Signalübertragung und optimierten Codierung interpretiert werden.
The present thesis is primarily concerned with the application of the functional renormalization group (FRG) to spin systems. In the first part, we study the critical regime close to the Berezinskii-Kosterlitz-Thouless (BKT) transition in several systems. Our starting point is the dual-vortex representation of the two-dimensional XY model, which is obtained by applying a dual transformation to the Villain model. In order to deal with the integer-valued field corresponding to the dual vortices, we apply the lattice FRG formalism developed by Machado and Dupuis [Phys. Rev. E 82, 041128 (2010)]. Using a Litim regulator in momentum space with the initial condition of isolated lattice sites, we then recover the Kosterlitz-Thouless renormalization group equations for the rescaled vortex fugacity and the dimensionless temperature. In addition to our previously published approach based on the vertex expansion [Phys. Rev. E 96, 042107 (2017)], we also present an alternative derivation within the derivative expansion. We then generalize our approach to the O(2) model and to the strongly anisotropic XXZ model, which enables us to show that weak amplitude fluctuations as well as weak out-of-plane fluctuations do not change the universal properties of the BKT transition.
In the second part of this thesis, we develop a new FRG approach to quantum spin systems. In contrast to previous works, our spin functional renormalization group (SFRG) does not rely on a mapping to bosonic or fermionic fields, but instead deals directly with the spin operators. Most importantly, we show that the generating functional of the irreducible vertices obeys an exact renormalization group equation, which resembles the Wetterich equation of a bosonic system. As a consequence, the non-trivial structure of the su(2) algebra is fully taken into account by the initial condition of the renormalization group flow. Our method is motivated by the spin-diagrammatic approach to quantum spin system that was developed more than half a century ago in a seminal work by Vaks, Larkin, and Pikin (VLP) [Sov. Phys. JETP 26, 188 (1968)]. By embedding their ideas in the language of the modern renormalization group, we avoid the complicated diagrammatic rules while at the same time allowing for novel approximation schemes. As a demonstration, we explicitly show how VLP's results for the leading corrections to the free energy and to the longitudinal polarization function of a ferromagnetic Heisenberg model can be recovered within the SFRG. Furthermore, we apply our method to the spin-S Ising model as well as to the spin-S quantum Heisenberg model, which allows us to calculate the critical temperature for both a ferromagnetic and an antiferromagnetic exchange interaction. Finally, we present a new hybrid formulation of the SFRG, which combines features of both the pure and the Hubbard-Stratonovich SFRG that were published recently [Phys. Rev. B 99, 060403(R) (2019)].
A highly diastereoselective one-pot synthesis of the 1,3-diamino-2-alcohol unit bearing three continuous stereocenters is described. This method utilizes 2-oxyenamides as a novel type of building block for the rapid assembly of the 1,3-diamine scaffold containing an additional stereogenic oxygen functionality at the C2 position. A stereoselective preparation of the required (Z)-oxyenamides is reported as well.
There is a wide range of important pharmaceuticals used in treatment of cancer. Besides their known effects on tumor cells, there is growing evidence for modulation of the immune system. Immunomodulatory drugs (IMiDs®) play an important role in the treatment of patients with multiple myeloma or myelodysplastic syndrome and have already demonstrated antitumor, anti-angiogenic, and immunostimulating effects, in particular on natural killer (NK) cells. Tyrosine kinase inhibitors are directly targeting different kinases and are known to regulate effector NK cells and expression of NKG2D ligands (NKG2DLs) on tumor cells. Demethylating agents, histone deacetylases, and proteasome inhibitors interfere with the epigenetic regulation and protein degradation of malignant cells. There are first hints that these drugs also sensitize tumor cells to chemotherapy, radiation, and NK cell-mediated cytotoxicity by enhanced expression of TRAIL and NKG2DLs. However, these pharmaceuticals may also impair NK cell function in a dose- and time-dependent manner. In summary, this review provides an update on the effects of different novel molecules on the immune system focusing NK cells.
A series of novel mono-1,2,3-triazole and bis-1,2,3-triazole acyclonucleoside analogues of 9-(4-hydroxybutyl)guanine was prepared via copper(I)-catalyzed 1,3-dipolar cycloaddition of N-9 propargylpurine, N-1-propargylpyrimidines/as-triazine with the azido-pseudo-sugar 4-azidobutylacetate under solvent-free microwave conditions, followed by treatment with K2CO3/MeOH, or NH3/MeOH. All compounds studied in this work were screened for their antiviral activities [against human rhinovirus (HRV) and hepatitis C virus (HCV)] and antibacterial activities against a series of Gram positive and negative bacteria.
SAFE Professor Michalis Haliassos was a member of the National Council for Research and Technology (ESET) established by the Government of Greece for the period 2010-2013. The council, consisting of eleven scientists from a range of disciplines, has now published their communiqué "National Strategic Framework for Research and Innovation 2014 -2020".
To promote the advancement of research, technology and innovation in Greece, the strategic plan proposed by the authors seeks to identify areas of existing research strength and excellence that can be further advanced to become engines for progress and growth in Greece, as well as flaws inherent to the present system. The authors stress the need to address current constraints to growth, which include the declining education system; the confusion and weaknesses of R&D governance and management; the discontinuities and inefficiencies of resource allocation and investment; the lack of adaptation to clearly-defined national priorities; and the inadequate opportunities and funding for high-quality research and development to flourish. They stress the need for prioritisation and efficient allocation; stability of the policy frame; predictability of planning; provision of opportunity; recognition of excellence; and responsiveness to current and future needs.
Prothesenallergie : Diagnostik und Risikobewertung bei 172 Patienten mit Gelenk- oder Zahnersatz
(2014)
Komplikationen nach prothetischer Versorgung wirken sich häufig gravierend auf die Lebensqualität der betroffenen Patienten aus. Welche Rolle eine Prothesenallergie als Ursache der Beschwerden spielt, ist bisher nicht hinreichend geklärt. In dieser Arbeit werden 172 Patienten auf die Häufigkeiten prothesenrelevanter Sensibilisierungen sowie deren Korrelation mit der klinischen Symptomatik und allergischer Vorgeschichte untersucht. Das Kollektiv gliedert sich in orthopädische und zahnärztliche Patienten, die entweder vor einer Prothesenimplantation oder nach erfolgter Behandlung getestet wurden. Alle Patienten erhalten einen Epikutantest, der neben häufigen Kontaktallergenen auch die jeweils prothesenspezifischen Stoffe enthält. Die statistische Auswertung erfolgt zunächst mit der Einteilung der Patienten in übergeordnete Kohorten, innerhalb derer die Korrelation jeweils eines speziellen Merkmals mit der Häufigkeit von Sensibilisierungen untersucht wird. Die untersuchten Merkmale sind: Orthopädische gegenüber zahnärztlichen Patienten, präoperative gegenüber postoperativen Beschwerden, Patienten mit gegenüber Patienten ohne atopische Diathese, das Geschlecht und Patienten mit beziehungsweise ohne Typ IV-Allergie. Eine weitere Aufarbeitung erfolgt nach Einteilung in sechs Patientengruppen. Die untersuchten Patientengruppen umfassen die Eigenschaften Prothesenträger, bekannte Typ IV-Allergie, bekannte atopische Diathese, aktuelle prothesenassoziierte Beschwerden beziehungsweise das Fehlen dieser Eigenschaften.
Purpose: Does surgical approach (minimally invasive vs. open) and type (radical vs. partial nephrectomy) affects opioid use and workplace absenteeism.
Materials and Methods: Retrospective multivariable regression analysis of 2,646 opioid-naïve patients between 18 and 64 undergoing radical or partial nephrectomy via either a minimally invasive vs. open approach for kidney cancer in the United States between 2012 and 2017 drawn from the IBM Watson Health Database was performed. Outcomes included: (1) opioid use in opioid-naïve patients as measured by opioid prescriptions in the post-operative setting at early, intermediate and prolonged time periods and (2) workplace absenteeism after surgery.
Results: Patients undergoing minimally invasive surgery had a lower odds of opioid use in the early and intermediate post-operative periods (early: odds ratio [OR], 0.77; 95% confidence interval [CI], 0.62–0.97; p=0.02, intermediate: OR, 0.60; 95% CI, 0.48–0.75; p<0.01), but not in the prolonged setting (prolonged: OR, 1.00; 95% CI, 0.75–1.34; p=0.98) and had earlier return to work (minimally invasive vs. open: −10.53 days; 95% CI, −17.79 to −3.26; p<0.01). Controlling for approach, patient undergoing partial nephrectomy had lower rates of opioid use across all time periods examined and returned to work earlier than patients undergoing radical nephrectomy (partial vs. radical: −14.41 days; 95% CI, −21.22 to −7.60; p<0.01).
Conclusions: Patients undergoing various forms of surgery for kidney cancer had lower rates of peri-operative opioid use, fewer days of workplace absenteeism, but no difference in long-term rates of opioid use in patients undergoing minimally invasive as compared to open surgery.
Up to 50% of patients initially treated for prostate cancer in a curative intent experience biochemical recurrence, possibly requiring adjuvant treatment. However, salvage treatment decisions, such as lymph node dissection or radiation therapy, are typically based on prostate specific antigen (PSA) recurrence. Importantly, common imaging modalities (e.g., computed tomography [CT], magnetic resonance imaging, and bone scan) are limited and the detection of recurrent disease is particularly challenging if PSA is low. Prostate specific membrane antigen (PSMA) positron-emission tomography/computed tomography (PET/CT) is a novel and promising imaging modality which aims to overcome the incapability of early identification of distant and regional metastases. Within this review, we summarize the current evidence related to PSMA-PET/CT in prostate cancer men diagnosed with biochemical recurrence after local treatment with curative intent. We discuss detection rates of PSMA-PET/CT stratified by PSA-levels and its impact on clinical decision making. Furthermore, we compare different imagefusion techniques such as PSMA-PET vs. F-/C-Choline-PET scans vs. PSMA-single photon emission computed tomography/CT. Finally, we touch upon the contemporary role of radio-guided-PSMA salvage lymphadenectomy.
Der technische Fortschritt ermöglicht die Auswertung großer Datenmengen mittels Algorithmen zur Feststellung bislang unbekannter Korrelationen. Schlagwortartig werden solche Analysen unter dem Begriff Big Data zusammengefasst. Häufig sind personenbezogene Daten Gegenstand von Big-Data-Anwendungen, sei es als Grundlage oder Ergebnis einer Auswertung. In diesen Fällen ist das Datenschutzrecht zu beachten.
Der Zweckbindungsgrundsatz fordert die Angabe eines Verarbeitungszwecks bereits bei Erhebung der Daten und eine Bindung des weiteren Datenumgangs an diesen Zweck. Damit besteht ein Spannungsverhältnis zu Big-Data-Anwendungen, die zu Verarbeitungsbeginn den Zweck allenfalls unspezifisch anzugeben vermögen. Auf Grundlage des alten Bundesdatenschutzgesetzes mit einzelnen Ausblicken auf die Datenschutzgrundverordnung untersucht die Arbeit die datenschutzrechtlichen Anforderungen an die Zweckfestlegung und welche Bindungen aus ihr folgen. Zudem nimmt der Autor mögliche Lösungen des Konflikts zwischen Big-Data-Anwendungen und dem Zweckbindungsgrundsatz in den Blick.
Die Physiologie des Schmerzes umfasst komplexe immunologische, sensorische und inflammatorische Prozesse im Rückenmark, im Gehirn und in der Peripherie. Wiederholte nozizeptive Stimulation induziert pathophysiologische Veränderungen bei der Schmerzweiterleitung, aus denen eine periphere oder zentrale Sensibilisierung resultiert. Diese kann bei dafür anfälligen Patienten zu der Ausbildung von chronischen Schmerzzuständen führen. Obwohl das Wissen über die genauen molekularen Vorgänge der Schmerz-Chronifizierung noch immer unvollständig ist, sind die Identifizierung von Risikofaktoren vernünftige Schritte, um die individuelle Anfälligkeit für die Entwicklung chronischer Schmerzen zu bestimmen. Das Hauptziel dieser Doktorarbeit bestand daher in der Identifikation humaner genetischer Biomarker für chronische Schmerzzustände.
Background: Many gene variants modulate the individual perception of pain and possibly also its persistence. The limited selection of single functional variants is increasingly being replaced by analyses of the full coding and regulatory sequences of pain-relevant genes accessible by means of next generation sequencing (NGS).
Methods: An NGS panel was created for a set of 77 human genes selected following different lines of evidence supporting their role in persisting pain. To address the role of these candidate genes, we established a sequencing assay based on a custom AmpliSeqTM panel to assess the exomic sequences in 72 subjects of Caucasian ethnicity. To identify the systems biology of the genes, the biological functions associated with these genes were assessed by means of a computational over-representation analysis.
Results: Sequencing generated a median of 2.85 ⋅ 106 reads per run with a mean depth close to 200 reads, mean read length of 205 called bases and an average chip loading of 71%. A total of 3,185 genetic variants were called. A computational functional genomics analysis indicated that the proposed NGS gene panel covers biological processes identified previously as characterizing the functional genomics of persisting pain.
Conclusion: Results of the NGS assay suggested that the produced nucleotide sequences are comparable to those earned with the classical Sanger sequencing technique. The assay is applicable for small to large-scale experimental setups to target the accessing of information about any nucleotide within the addressed genes in a study cohort.
Background: Human genetic research has implicated functional variants of more than one hundred genes in the modulation of persisting pain. Artificial intelligence and machine‐learning techniques may combine this knowledge with results of genetic research gathered in any context, which permits the identification of the key biological processes involved in chronic sensitization to pain.
Methods: Based on published evidence, a set of 110 genes carrying variants reported to be associated with modulation of the clinical phenotype of persisting pain in eight different clinical settings was submitted to unsupervised machine‐learning aimed at functional clustering. Subsequently, a mathematically supported subset of genes, comprising those most consistently involved in persisting pain, was analysed by means of computational functional genomics in the Gene Ontology knowledgebase.
Results: Clustering of genes with evidence for a modulation of persisting pain elucidated a functionally heterogeneous set. The situation cleared when the focus was narrowed to a genetic modulation consistently observed throughout several clinical settings. On this basis, two groups of biological processes, the immune system and nitric oxide signalling, emerged as major players in sensitization to persisting pain, which is biologically highly plausible and in agreement with other lines of pain research.
Conclusions: The present computational functional genomics‐based approach provided a computational systems‐biology perspective on chronic sensitization to pain. Human genetic control of persisting pain points to the immune system as a source of potential future targets for drugs directed against persisting pain. Contemporary machine‐learned methods provide innovative approaches to knowledge discovery from previous evidence.
Significance: We show that knowledge discovery in genetic databases and contemporary machine‐learned techniques can identify relevant biological processes involved in Persitent pain.
Background: The opioid system is involved in the control of pain, reward, addictive behaviors and vegetative effects. Opioids exert their pharmacological actions through the agonistic binding at opioid receptors and variation in the coding genes has been found to modulate opioid receptor expression or signaling. However, a limited selection of functional opioid receptor variants is perceived as insufficient in providing a genetic diagnosis of clinical phenotypes and therefore, unrestricted access to opioid receptor genetics is required.
Methods: Next-generation sequencing (NGS) workflow was based on a custom AmpliSeq™ panel and designed for sequencing of human genes related to the opioid receptor group (OPRM1, OPRD1, OPRK1, SIGMA1, OPRL1) on an Ion PGM™ Sequencer. A cohort of 79 previously studied chronic pain patients was screened to evaluate and validate the detection of exomic sequences of the coding genes with 25 base pair exon padding. In-silico analysis was performed using SNP and Variation Suite® software.
Results: The amplicons covered approximately 90% of the target sequence. A median of 2.54 × 106 reads per run was obtained generating a total of 35,447 nucleotide reads from each DNA sample. This identified approximately 100 chromosome loci where nucleotides deviated from the reference sequence GRCh37 hg19, including functional variants such as the OPRM1 rs1799971 SNP (118 A > G) as the most scientifically regarded variant or rs563649 SNP coding for μ-opioid receptor splice variants. Correspondence between NGS and Sanger derived nucleotide sequences was 100%.
Conclusion: Results suggested that the NGS approach based on AmpliSeq™ libraries and Ion PGM sequencing is a highly efficient mutation detection method. It is suitable for large-scale sequencing of opioid receptor genes. The method includes the variants studied so far for functional associations and adds a large amount of genetic information as a basis for complete analysis of human opioid receptor genetics and its functional consequences.
The genetic background of pain is becoming increasingly well understood, which opens up possibilities for predicting the individual risk of persistent pain and the use of tailored therapies adapted to the variant pattern of the patient’s pain-relevant genes. The individual variant pattern of pain-relevant genes is accessible via next-generation sequencing, although the analysis of all “pain genes” would be expensive. Here, we report on the development of a cost-effective next generation sequencing-based pain-genotyping assay comprising the development of a customized AmpliSeq™ panel and bioinformatics approaches that condensate the genetic information of pain by identifying the most representative genes. The panel includes 29 key genes that have been shown to cover 70% of the biological functions exerted by a list of 540 so-called “pain genes” derived from transgenic mice experiments. These were supplemented by 43 additional genes that had been independently proposed as relevant for persistent pain. The functional genomics covered by the resulting 72 genes is particularly represented by mitogen-activated protein kinase of extracellular signal-regulated kinase and cytokine production and secretion. The present genotyping assay was established in 61 subjects of Caucasian ethnicity and investigates the functional role of the selected genes in the context of the known genetic architecture of pain without seeking functional associations for pain. The assay identified a total of 691 genetic variants, of which many have reports for a clinical relevance for pain or in another context. The assay is applicable for small to large-scale experimental setups at contemporary genotyping costs.
Interactions of drugs with the classical epigenetic mechanism of DNA methylation or histone modification are increasingly being elucidated mechanistically and used to develop novel classes of epigenetic therapeutics. A data science approach is used to synthesize current knowledge on the pharmacological implications of epigenetic regulation of gene expression. Computer-aided knowledge discovery for epigenetic implications of current approved or investigational drugs was performed by querying information from multiple publicly available gold-standard sources to (i) identify enzymes involved in classical epigenetic processes, (ii) screen original biomedical scientific publications including bibliometric analyses, (iii) identify drugs that interact with epigenetic enzymes, including their additional non-epigenetic targets, and (iv) analyze computational functional genomics of drugs with epigenetic interactions. PubMed database search yielded 3051 hits on epigenetics and drugs, starting in 1992 and peaking in 2016. Annual citations increased to a plateau in 2000 and show a downward trend since 2008. Approved and investigational drugs in the DrugBank database included 122 compounds that interacted with 68 unique epigenetic enzymes. Additional molecular functions modulated by these drugs included other enzyme interactions, whereas modulation of ion channels or G-protein-coupled receptors were underrepresented. Epigenetic interactions included (i) drug-induced modulation of DNA methylation, (ii) drug-induced modulation of histone conformations, and (iii) epigenetic modulation of drug effects by interference with pharmacokinetics or pharmacodynamics. Interactions of epigenetic molecular functions and drugs are mutual. Recent research activities on the discovery and development of novel epigenetic therapeutics have passed successfully, whereas epigenetic effects of non-epigenetic drugs or epigenetically induced changes in the targets of common drugs have not yet received the necessary systematic attention in the context of pharmacological plasticity.
Background: Transient receptor potential cation channel subfamily V member 1 (TRPV1) are sensitive to heat, capsaicin, pungent chemicals and other noxious stimuli. They play important roles in the pain pathway where in concert with proinflammatory factors such as leukotrienes they mediate sensitization and hyperalgesia. TRPV1 is the target of several novel analgesics drugs under development and therefore, TRPV1 genetic variants might represent promising candidates for pharmacogenetic modulators of drug effects.
Methods: A next-generation sequencing (NGS) panel was created for the human TRPV1 gene and in addition, for the leukotriene receptors BLT1 and BLT2 recently described to modulate TRPV1 mediated sensitisation processes rendering the coding genes LTB4R and LTB4R2 important co-players in pharmacogenetic approaches involving TRPV1. The NGS workflow was based on a custom AmpliSeq™ panel and designed for sequencing of human genes on an Ion PGM™ Sequencer. A cohort of 80 healthy subjects of Western European descent was screened to evaluate and validate the detection of exomic sequences of the coding genes with 25 base pair exon padding.
Results: The amplicons covered approximately 97% of the target sequence. A median of 2.81 x 10 6 reads per run was obtained. This identified approximately 140 chromosome loci where nucleotides deviated from the reference sequence GRCh37 hg19 comprising the three genes TRPV1, LTB4R and LTB4R2. Correspondence between NGS and Sanger derived nucleotide sequences was 100%.
Conclusions: Results suggested that the NGS approach based on AmpliSeq™ libraries and Ion Personal Genome Machine (PGM) sequencing is a highly efficient mutation detection method. It is suitable for large-scale sequencing of TRPV1 and functionally related genes. The method adds a large amount of genetic information as a basis for complete analysis of TRPV1 ion channel genetics and its functional consequences.
Next-generation sequencing (NGS) provides unrestricted access to the genome, but it produces ‘big data’ exceeding in amount and complexity the classical analytical approaches. We introduce a bioinformatics-based classifying biomarker that uses emergent properties in genetics to separate pain patients requiring extremely high opioid doses from controls. Following precisely calculated selection of the 34 most informative markers in the OPRM1, OPRK1, OPRD1 and SIGMAR1 genes, pattern of genotypes belonging to either patient group could be derived using a k-nearest neighbor (kNN) classifier that provided a diagnostic accuracy of 80.6±4%. This outperformed alternative classifiers such as reportedly functional opioid receptor gene variants or complex biomarkers obtained via multiple regression or decision tree analysis. The accumulation of several genetic variants with only minor functional influences may result in a qualitative consequence affecting complex phenotypes, pointing at emergent properties in genetics.
Mitglieder der ubiquitär verbreiteten Cryptochrom-Photolyase-Familie sind Blaulicht-absorbierende Flavoproteine mit hoher Sequenzhomologie aber diversen Funktionen. Photolyasen katalysieren die Reparatur UV-Licht-induzierter DNA-Schäden. Cryptochrome (CRYs) wirken als lichtunabhängige Transkriptionsrepressoren innerhalb des Kern-Oszillators der circadianen Uhr oder als primäre Photorezeptoren zur Synchronisation dieser mit dem äußeren Tag-Nacht-Rhythmus und steuern durch Regulation der Genexpression Wachstum und Entwicklung. Gemeinsames Strukturmerkmal aller CPF-Vertreter ist die Photolyase- homologe Region (PHR), die das Chromophor Flavinadenindinukleotid (FAD) bindet, das lichtabhängig zwischen den Redoxformen oxidiert (FADox), semireduziert (FAD●- bzw. FADH●) und vollreduziert (FADH-) wechseln kann und damit die CRY-Konformation und -Aktivität beeinflusst. Unterscheidungsmerkmale sind die spezifische C-terminale Erweiterung (CTE) sowie die Komposition der FAD-Bindetasche, die unterschiedliche FAD-Redoxformen stabilisiert. Die Mechanismen der CRY-Photosignaltransduktion sind nicht völlig erforscht.
CryP ist eines von vier CRYs in der Diatomee Phaeodactylum tricornutum und gehört zur bislang nicht charakterisierten Gruppe pflanzenähnlicher CRYs. In vorhergehenden Untersuchungen wurde für CryP eine nukleare Lokalisation und damit verbunden eine blaulicht- sowie dunkelabhängige Regulation der Transkription unterschiedlichster Gene gezeigt. Zudem reguliert CryP das Proteinlevel photosynthetischer Lichtsammelkomplexe. CryP interagiert mit bisher nicht charakterisierten Proteinen aus dem Bereich DNA und Regulation sowie Ribosomen und Translation. Heterolog exprimiertes und isoliertes CryP stabilisiert das Neutralradikal FADH● und das Antennenchromophor Methenyltetrahydrofolat (MTHF).
In vorliegender Dissertation wurde die Bedeutung des FAD-Redoxzustands und der C-terminalen Proteindomäne für Strukturänderungen hinsichtlich der Oligomerisierung und Konformation sowie für das CryP-Interaktionsverhalten untersucht. Hierzu wurden rekombinante CryP-Varianten heterolog isoliert, die Mutationen in für die FAD-Reduzierbarkeit entscheidenden Aminosäuren oder eine Deletion der CTE tragen.
Die Analyse der CryP-Oligomerisierungsstufe und Konformation erfolgte mittels Ko-Präzipitation, nativen und zweidimensionalen PAGEs sowie partieller Proteolyse. Dabei wurde heterolog isoliertes CryP in seinen drei Redoxformen oxidiert (mit FADox), semireduziert (mit FADH●) und vollreduziert (mit FADH-) sowie das um die CTE-verkürzte CryP-PHR verglichen. Für CryP wurde eine redoxunabhängige, PHR-vermittelte Di- und Tetramerisierung über elektrostatische Wechselwirkung der Monomere beobachtet. Die CTE bindet spezifisch und redoxunabhängig an die PHR in einem Bereich um die FAD-Bindetasche. Dies schließt eine großräumige Konformationsänderung zwischen PHR und CTE infolge einer FAD-Photoreduktion wie für pflanzliche und viele tierische CRYs als Aktivierungsmechanismus für CryP aus.
Interaktionsstudien mittels zweidimensionaler PAGE gaben Aufschluss über unterschiedliche Bindeverhalten der beiden betrachteten Interaktionspartner an CryP. Sowohl BolA, ein potentieller redoxregulierter Transkriptionsfaktor, als auch ID42612 mit unbekannter Funktion interagieren mit CryP unabhängig von der FAD-Redoxform. Dabei bindet BolA an die CTE des CryP-Dimers und -Monomers, während ID42612 einen Komplex mit dem CryP-Dimer bildet.
Mittels in vitro Absorptions- und Fluoreszenzspektroskopie wurde die FAD-Redoxchemie von CryP und CryP-PHR verglichen. Die beiden Varianten unterscheiden sich in der FAD-Photoreduzierbarkeit und -Oxidationskinetik. Das Volllängenprotein CryP kann ohne externes Reduktionsmittel zum semireduzierten FADH● phototreduziert werden, das im Gegensatz zu bekannten CRYs über Tage im Dunkeln stabil gegen aerobe Oxidation ist. Eine Belichtung mit Reduktionsmittel führt zur Bildung des vollreduzierten FADH-, das innerhalb von Minuten zu FADH● rückoxidiert. Das um die CTE verkürzte CryP-PHR kann nur mit externem Reduktionsmittel zu FADH● photoreduziert werden, der vollreduzierte Zustand wird nie erreicht. Die Stabilisierung von FADH● gegen aerobe Oxidation im CryP-Holoprotein ist vergleichbar zur FAD-Redoxchemie von Photolyasen. Verglichen mit sonstigen charakterisierten CRYs ist die Wichtigkeit der CTE für eine effiziente FAD-Photoreduktion und FADH●-Stabilisierung eine CryP-spezifische Charakteristik.
Neben der CTE trägt die zu FAD-N5 proximal gelegene Position zur FADH●-Stabilisierung bei, wie Absorptionsmessungen an CryP_N417C zeigten. CryP weist mit Asparagin die gleiche Konservierung an dieser Position wie Photolyasen auf und unterscheidet sich damit ebenfalls von klassischen CRYs.
Analysen zur cryp-Transkription mittels qRT-PCR zeigten eine rhythmische Expression mit maximalen Transkriptmengen in der Nacht und eine rasche photoinduzierte Herunterregulation der Transkription...
The inhibitor of the nuclear factor-κB (IκB) kinase (IKK) complex is a key regulator of the canonical NF-κB signalling cascade and is crucial for fundamental cellular functions, including stress and immune responses. The majority of IKK complex functions are attributed to NF-κB activation; however, there is increasing evidence for NF-κB pathway-independent signalling. Here we combine quantitative mass spectrometry with random forest bioinformatics to dissect the TNF-α-IKKβ-induced phosphoproteome in MCF-7 breast cancer cells. In total, we identify over 20,000 phosphorylation sites, of which ∼1% are regulated up on TNF-α stimulation. We identify various potential novel IKKβ substrates including kinases and regulators of cellular trafficking. Moreover, we show that one of the candidates, AEG-1/MTDH/LYRIC, is directly phosphorylated by IKKβ on serine 298. We provide evidence that IKKβ-mediated AEG-1 phosphorylation is essential for IκBα degradation as well as NF-κB-dependent gene expression and cell proliferation, which correlate with cancer patient survival in vivo.
Objective: The mortality associated with sepsis remains unacceptably high, despite modern high-quality intensive care. Based on the results from previous studies, anaemia and its management in patients with sepsis appear to impact outcomes; however, the transfusion policy is still being debated, and the ideal approach may be extremely specific to the individual. This study aimed to investigate the long-term impact of anaemia requiring red blood cell (RBC) transfusion on mortality and disease severity in patients with sepsis. We studied a general surgical intensive care unit (ICU) population, excluding cardiac surgery patients. 435 patients were enrolled in this observational study between 2012 and 2016.
Results: Patients who received RBC transfusion between 28 days before and 28 days after the development of sepsis (n = 302) exhibited a significantly higher 90-day mortality rate (34.1% vs 19.6%; P = 0.004, Kaplan–Meier analysis). This association remained significant after adjusting for confounders in the multivariate Cox regression analysis (hazard ratio 1.68; 95% confidence interval 1.03–2.73; P = 0.035). Patients who received transfusions also showed significantly higher morbidity scores, such as SOFA scores, and ICU lengths of stay compared to patients without transfusions (n = 133). Our results indicate that anaemia and RBC transfusion are associated with unfavourable outcomes in patients with sepsis.
Introduction: Langerhans Cell Histiocytosis (LCH) represents a rare benign disorder, previously designated as "Histiocytosis X", "Type II Histiocytosis" or "Langerhans Cell Granulomatosis". Clinical presentation includes osteolysis, ulcerations of skin and soft tissues but also involvement of the CNS is described.Because treatment concepts are not well defined the German Cooperative Group on Radiotherapy for Benign Diseases performed a retrospective analysis.
Methods and material: Eight closely cooperating centres collected patients' data of the past 45 years. As study endpoints disease free survival, recurrent disease, death and therapy related side effects were defined.
Results: A total of 80 patients with histologically proven LCH were irradiated within the past 45 years. According to the LCH classification of Greenberger et al. 37 patients had stage Ia, 21 patients stage Ib, 13 patients stage II and 9 patients stage IIIb and the median age was 29 years. The median Follow up was 54 months (range 9-134 months). A total of 39 patients had a surgical intervention and 23 patients a chemotherapy regimen.Radiation treatment was carried out with a median total dose of 15 Gy (range 3-50.4 Gy). The median single fraction was 2 Gy (range 1.8-3 Gy).Overall, 77% patients achieved a complete remission and 12.5% achieved a partial remission. The long-term control rate reached 80%. Within an actuarial overall 5-year survival of 90% no radiogenic side and late effects ≥EORTC/RTOG II° were observed.
Conclusion: In the present study a large collective of irradiated patients was analysed. Radiotherapy (RT) is a very effective and safe treatment option and even low RT doses show sufficient local control.
The FOMC risk shift
(2021)
We identify a component of monetary policy news that is extracted from high-frequency changes in risky asset prices. These surprises, which we call “risk shifts”, are uncorrelated, and therefore complementary, to risk-free rate surprises. We show that (i) risk shifts capture the lion’s share of stock price movements around FOMC announcements; (ii) that they are accompanied by significant investor fund flows, suggesting that investors react heterogeneously to monetary policy news; and (iii) that price pressure amplifies the stock market response to monetary policy news. Our results imply that central bank information effects are overshadowed by short-term dynamics stemming from investor rebalancing activities and are likely to be more difficult to identify than previously thought.
The increasing use of targeted therapy (TT) has resulted in prolonged disease control and survival in many metastatic cancers. In parallel, stereotactic radiotherapy (SRT) is increasingly performed in patients receiving TT to obtain a durable control of resistant metastases, and thereby to prolong the time to disseminated disease progression and switch of systemic therapy. The aims of this study were to analyze the safety and efficacy of SRT combined with TT in metastatic cancer patients and to assess the influence of continuous vs. interrupted TT during metastasis-directed SRT. The data of 454 SRTs in 158 patients from the international multicenter database (TOaSTT) on metastatic cancer patients treated with SRT and concurrent TT (within 30 days) were analyzed using Kaplan–Meier and log rank testing. Toxicity was defined by the CTCAE v4.03 criteria. The median FU was 19.9 mo (range 1–102 mo); 1y OS, PFS and LC were 59%, 24% and 84%, respectively. Median TTS was 25.5 mo (95% CI 11–40). TT was started before SRT in 77% of patients. TT was interrupted during SRT in 44% of patients, with a median interruption of 7 (range 1–42) days. There was no significant difference in OS or PFS whether TT was temporarily interrupted during SRT or not. Any-grade acute and late SRT-related toxicity occurred in 63 (40%) and 52 (33%) patients, respectively. The highest toxicity rates were observed for the combination of SRT and EGFRi or BRAF/MEKi, and any-grade toxicity was significantly increased when EGFRi (p = 0.016) or BRAF/MEKi (p = 0.009) were continued during SRT. Severe (≥grade 3) acute and late SRT-related toxicity were observed in 5 (3%) and 7 (4%) patients, respectively, most frequently in patients treated with EGFRi or BRAF/MEKi and in the intracranial cohort. There was no significant difference in severe toxicity whether TT was interrupted before and after SRT or not. In conclusion, SRT and continuous vs. interrupted TT in metastatic cancer patients did not influence OS or PFS. Overall, severe toxicity of combined treatment was rare; a potentially increased toxicity after SRT and continuous treatment with EGFR inhibitors or BRAF(±MEK) inhibitors requires further evaluation.
Juvenile Neuronal Ceroid Lipofuscinosis (JNCL) is a rare inherited childhood neurodegenerative disease that is caused by a mutation in the gene CLN3. The function of the protein produced by the gene has remained elusive, and therefore the disease mechanism of JNCL is as of yet unknown. The disease is fatal, and no cure is currently available. We believe that simvastatin shows promise as a possible treatment. Simvastatin is well tolerated in children, and as currently no other viable, less invasive treatment for JNCL exists, at least pilot-scale clinical trials for this new off-label use of simvastatin are warranted.
The protein CLN3 has been indicated to have several different subcellular localizations and functions, but conclusive evidence about its role in cellular metabolism is lacking. It is also unclear why the mutation causes the distinct phenotype of the JNCL disease. In order to bring lucidity to the issue, we set out to identify metabolic pathways related to the phenotype of JNCL by using Multi-Epitope Ligand Cartography (MELC) and the related field of toponomics. Toponomic methods are required to process the massive amount of data generated by the MELC runs in order to extract information from them.
Our disease model of choice was the CLN3Δex7/8 knock-in mouse. To separate cause from effect, we compared embryonal wild type and mutant mouse brains to their adult counterparts. The first analyses revealed progressively abnormal Combinatorial Molecular Patterns (CMPs, an unit of toponomic data) related to cholera toxin/ganglioside 1 (Ctx/GM1), which is a membrane microdomain marker.
Cholesterol is an essential part of microdomains, so we utilized filipin staining to see if there were actual changes in cholesterol concentration and localization between healthy and diseased animals. After the disturbance in cholesterol metabolism was verified, we investigated the metabolic pathway that synthesizes cholesterol, the mevalonate pathway. Simvastatin is a drug that specifically down-regulates the mevalonate pathway. Fish oil affects lipid homeostasis and has some effects similar to those of simvastatin, and both of these drugs have previously been studied for their effects on neurodegenerative diseases. After treatment of mice with these drugs, highperformance liquid chromatography (HPLC) measurements on the brain homogenate showed a decrease in levels of farnesyl pyrophosphate (FPP) and geranyl-geranyl pyrophosphate (GGPP), products of the mevalonate pathway, confirming the effect of these drugs on the brains of the animals. Analyses of motor function of the mice further supported the notion that simvastatin had a positive effect on the condition of the diseased animals.
CMP analyses from the simvastatin treated mice showed a rescue of the Ctx/GM1 CMPs, suggesting at least a partial restoration of membrane microdomain homeostasis. Filipin staining revealed reversion of the apparent cholesterol depletion in the adult mutant mouse hippocampus by simvastatin. Interestingly, an additional effect of the treatment was found: simvastatin also affected glutamate receptor homeostasis, especially as regarding to N-methyl-D-aspartate (NMDA) and alphaamino-3-hydroxyl-5-methyl-4-isoxazole-propionate (AMPA) receptors. This finding suggested that excitotoxicity could be a part of the disease process, and pointed towards glutamate receptors as possible therapy targets. This is in line with previous studies that have shown that attenuation of AMPA receptors and L voltage-dependent channels improve the phenotype of a JNCL mouse and cell model, respectively.
Simvastatin mediates many of its effects via downregulation of the mevalonate pathway products, such as isoprenoids and cholesterol. However, simvastatin also has multiple pleiotropic effects that include suppression of excitotoxicity and granting neuroprotection. It is apparent that simvastatin treatment has a positive effect on JNCL mice, but if its effects are mediated via cholesterol (and membrane microdomains), isoprenoids (and isoprenylated proteins) or via a fully cholesterol independent mechanism remains to be solved.
In this study we have shown that with the MELC method and toponomics it is possible to approach rare diseases with confounded disease mechanisms with a hypothesis-free approach, to identify possible drug targets, and to monitor the effects of the drugs on treated individuals. This should open up a new avenue in the research of the many diseases that so far have avoided all attempts at discerning their nature.
Seitdem im Juli die Schiedsentscheidung über die Territorialkonflikte im südchinesischen Meer gefällt wurde, wird in Zeitungen und Blogs intensiv darüber diskutiert, wie diese Entscheidung einzuordnen ist und welche Folgen sich daraus ergeben. Das Schiedsgericht hat nicht über Fragen der Souveränität selbst entschieden, sondern über die rechtlichen Grundlagen, aus denen Souveränitätsansprüche abgeleitet werden können. In diesem Zusammenhang hatte das Gericht die interessante Frage zu klären, inwieweit die durch China angeführten „historischen Rechte“ geeignet sind, einen Gebietsanspruch zu begründen. Klar ist, dass der Schiedsspruch nicht geeignet ist, den Konflikt zu beenden. China hat von Beginn an deutlich gemacht, dass es das Verfahren weder anerkennen noch sich daran beteiligen würde und hat daher schließlich auch die Entscheidung als rechtwidrig abgelehnt. Die Funktion des Verfahrens ist daher auch weniger die Konfliktlösung, die es nicht leisten kann, als vielmehr das Herausarbeiten einer rechtlich gerechtfertigten Position....
Internationale Gerichte sollen Konflikte zwischen Staaten befrieden. Dass es dabei nicht immer nur um das Völkerrecht geht, zeigt der Streit zwischen den USA und dem Iran. Die gegenwärtige US-Regierung lehnt den Internationalen Gerichtshof als politisch gelenkt ab – und schadet sich damit vor allem selbst.
Das Recht nimmt keine zentrale Stellung ein in diesem Band zu "Asian Perspectives on the Paris Peace Conference and the Interwar Order, 1919–33", dies sei gleich zu Beginn dieser Rezension in einer rechtshistorischen Fachzeitschrift angemerkt. Was dieser Band allerdings bietet, sind äußerst vielschichtige und differenzierende Perspektiven auf einen Gegenstand, der in der Rechtsgeschichte bislang nicht nur, aber vor allem auf seine Bedeutung im europäischen Kontext hin erforscht wurde. ...
Humanitarismus und humanitäre Intervention müssen sich gleichermaßen die Frage nach Motivation und Rechtfertigung gefallen lassen. Sind Motive einer Intervention hinreichend humanitär, um von einer humanitären Intervention zu sprechen? Und im Rahmen welcher normativen Muster erscheinen sie als legitim? Zwei neue Bücher nähern sich dem Themenkomplex auf unterschiedliche Weise. ...
Jed Kronckes The Futility of Law and Development – China and the Dangers of Exporting American Law ist ein Buch über das rechtliche Sendungsbewusstsein der Vereinigten Staaten vom neunzehnten bis zur Mitte des zwanzigsten Jahrhunderts. Jürgen Osterhammel verwendete den Begriff des Sendungsbewusstseins, um den Kern der Zivilisierungsmissionen in dieser Zeit zu beschreiben. Der bestehe in der "Selbstbeauftragung damit, die eigenen Normen und Institutionen an andere heranzutragen oder gar ihre Übernahme mit mehr oder weniger sanftem Druck zu erzwingen". ...
In der gegenwärtigen Forschung zu Recht und Kolonialismus zeigt sich ein interessanter Gegensatz: Während das Recht vor allem als ein Instrument kolonialer Machtausübung verstanden wird, erscheinen Juristen, die nach einer Ausbildung an europäischen oder amerikanischen Universitäten in ihre Herkunftsländer zurückkehrten, als zentrale Akteure lokaler Unabhängigkeitsbewegungen, aus denen heraus neue Nationalstaaten entstanden. Dieser Gegensatz wird beispielhaft illustriert durch aktuelle Arbeiten von Turan Kayaoglu zum Legal Imperialism sowie Arnulf Becker-Lorca und seine Figur des Semi-Peripheral Jurist. Das Buch Asian Legal Revivals – Lawyers in the Shadow of Empire erschien 2010 und geht daher nicht direkt auf diese Arbeiten ein, dennoch ist es ein Beitrag dazu, beide Beobachtungen miteinander zu verbinden. Die Rechtssoziologen Yves Dezalay und Bryant G. Garth, die gemeinsam bereits sechs Bücher verfasst oder herausgegeben haben, untersuchen die Rolle von Juristen in der Herausbildung und Legitimation politischer Herrschaft in sieben asiatischen Ländern im 19. und 20. Jahrhundert. ...
Die geistes- und sozialwissenschaftlichen Disziplinen haben ihr Spektrum in der jüngeren Vergangenheit um globale Perspektiven erweitert. Auch für das Feld der Intellectual History liegt nun ein Sammelband von Samuel Moyn und Andrew Sartori vor, der die Frage des Globalen diskutiert und dabei viele Beobachtungen enthält, die über das Feld der Ideen- und Geistesgeschichte hinaus Beachtung verdienen. Von rechtshistorischem Interesse sind vor allem die Abschnitte zur Konzeption des Globalen und zur Übersetzung und Verankerung globaler normativer Muster. ...
The study of civilization is one of the core subjects of international legal history. This is no recent development. Jörg Fisch published his seminal work "Die Europäische Expansion und das Völkerrecht" in 1984, the same year in which Gerrit W. Gong presented his renowned "Standard of Civilization". Today, the more recent works by Martti Koskenniemi and Antony Anghie probably represent the most influential research in this field. What all these path breaking works have in common is that they discuss concepts of civilization in international law especially with regard to its function as providing justification narratives for the European/non-European unequal relations, in particular in the 19th century. ...
The relationship between past and present has been the subject of controversial debates in historical research time and again. In 2013, to give a prominent example, Philip Alston in a review essay discussed the issue of "Does the past matter?" with regard to a debate on the origins of human rights. The debate was dedicated to the controversial question of "[h]ow far back can we trace the genealogy of today’s international human rights system". In this review, I would like to rephrase this question to ask instead to what degree the present matters for historical writing. Other than in the work of Alston, this is not meant as a question on the contingency and path-dependence of history, but rather as a reflection on how historians describe and evaluate the past and what role knowledge of the present may have in this context. ...
Neuere Geschichten des Völkerrechts zeichnen sich dadurch aus, dass sie das Recht und dessen Wirksamkeit nicht losgelöst von sozialen und historischen Kontexten betrachten. In seinem beeindruckenden Buch "Frieden durch Recht?" über den Friedensschluss nach dem ersten Weltkrieg zeigt Marcus M. Payk (vgl. die Rezension in diesem Band), dass das Recht zwar über eine eigene Form und Logik verfügt, dessen Bindungswirkung aber nicht ohne dessen Kontexte verstanden werden kann. ...
In China war das europäische Völkerrecht bis zur Mitte des 19. Jahrhunderts weitgehend unbekannt. Abgesehen von einzelnen Verträgen aus dem 17. und 18. Jahrhundert gab es weder Vertragspraxis noch Völkerrechtswissenschaft. Dies änderte sich erst durch Chinas Kriege mit westlichen Mächten. Die »Barbaren« nutzten ihre militärische Überlegenheit gegenüber China, um durch erzwungene völkerrechtliche Friedensverträge Handelsinteressen zu verwirklichen und halbkoloniale Strukturen zu etablieren. Diese Friedensübereinkommen wurden und werden, als "ungleiche Verträge" überschrieben, vielfach in der wissenschaftlichen Literatur besprochen. ...
The risk of developing severe complications from an influenza virus infection is increased in patients with chronic inflammatory diseases such as psoriasis (PsO) and atopic dermatitis (AD). However, low influenza vaccination rates have been reported. The aim of this study was to determine vaccination rates in PsO compared to AD patients and explore patient perceptions of vaccination. A multicenter cross-sectional study was performed in 327 and 98 adult patients with PsO and AD, respectively. Data on vaccination, patient and disease characteristics, comorbidity, and patient perceptions was collected with a questionnaire. Medical records and vaccination certificates were reviewed. A total of 49.8% of PsO and 32.7% of AD patients were vaccinated at some point, while in season 2018/2019, 30.9% and 13.3% received an influenza vaccination, respectively. There were 96.6% and 77.6% of PsO and AD patients who had an indication for influenza vaccination due to age, immunosuppressive therapy, comorbidity, occupation, and/or pregnancy. Multivariate regression analysis revealed higher age (p < 0.001) and a history of bronchitis (p = 0.023) as significant predictors of influenza vaccination in PsO patients. Considering that most patients had an indication for influenza vaccination, the rate of vaccinated patients was inadequately low.
Background: We analyzed whether co-occurring mutations influence the outcome of systemic therapy in ALK-rearranged non-small-cell lung cancer (NSCLC).
Patients and methods: ALK-rearranged stage IIIB/IV NSCLC patients were analyzed with next-generation sequencing and fluorescence in situ hybridization analyses on a centralized diagnostic platform. Median progression-free survival (PFS) and overall survival (OS) were determined in the total cohort and in treatment-related sub-cohorts. Cox regression analyses were carried out to exclude confounders.
Results: Among 216 patients with ALK-rearranged NSCLC, the frequency of pathogenic TP53 mutations was 23.8%, while other co-occurring mutations were rare events. In ALK/TP53 co-mutated patients, median PFS and OS were significantly lower compared with TP53 wildtype patients [PFS 3.9 months (95% CI: 2.4–5.6) versus 10.3 months (95% CI: 8.6–12.0), P < 0.001; OS 15.0 months (95% CI: 5.0–24.9) versus 50.0 months (95% CI: 22.9–77.1), P = 0.002]. This difference was confirmed in all treatment-related subgroups including chemotherapy only [PFS first-line chemotherapy 2.6 months (95% CI: 1.3–4.1) versus 6.2 months (95% CI: 1.8–10.5), P = 0.021; OS 2.0 months (95% CI: 0.0–4.6) versus 9.0 months (95% CI: 6.1–11.9), P = 0.035], crizotinib plus chemotherapy [PFS crizotinib 5.0 months (95% CI: 2.9–7.2) versus 14.0 months (95% CI: 8.0–20.1), P < 0.001; OS 17.0 months (95% CI: 6.7–27.3) versus not reached, P = 0.049] and crizotinib followed by next-generation ALK-inhibitor [PFS next-generation inhibitor 5.4 months (95% CI: 0.1–10.7) versus 9.9 months (95% CI: 6.4–13.5), P = 0.039; OS 7.0 months versus 50.0 months (95% CI: not reached), P = 0.001).
Conclusions: In ALK-rearranged NSCLC co-occurring TP53 mutations predict an unfavorable outcome of systemic therapy. Our observations encourage future research to understand the underlying molecular mechanisms and to improve treatment outcome of the ALK/TP53 co-mutated subgroup.
Research around the “glass escalator” demonstrates that men receive promotions faster than women in women-dominated occupations. However, it remains unclear how overall establishment composition affects the glass escalator. We use German longitudinal linked employer-employee data (LIAB) between 2012 and 2019 to examine how occupational and establishment gender composition shape gender differences in promotions to management. Establishment gender composition moderates the glass escalator, meaning women's mobility disadvantages in women-dominated jobs are most pronounced in men-dominated establishments. We hypothesize that changing occupational status is a central mechanism: When occupations mirror the composition of the establishment, their status increases locally. Higher occupational status offsets lower leadership expectations attributed to women and increases women's promotion odds relative to their male colleagues.
Einführung in eine Quellenedition von Aufsätzen aus 'Monatsschrift für Geschichte und Wissenschaft des Judentums', 'Zeitschrift für die Geschichte der Juden in Deutschland' und 'Der Morgen : Monatsschrift der Juden in Deutschland', die im Druck in der hebräischen Übersetzung 2020 unter dem Titel "Kitve ʿet bi-teḥum madʿe ha-yahadut be-Germanyah, u-peʿilutam ba-shanim 1933-1939" erschienen ist. Diese Edition umfasste Reflexionen zum Umgang mit dem nationalsozialistischen Deutschland, Neubetrachtungen der Emanzipationsgeschichte und Texte über jüdische Theologie und Philosophie.
Interleukin-22 predicts severity and death in advanced liver cirrhosis: a prospective cohort study
(2012)
Background: Interleukin-22 (IL-22), recently identified as a crucial parameter of pathology in experimental liver damage, may determine survival in clinical end-stage liver disease. Systematic analysis of serum IL-22 in relation to morbidity and mortality of patients with advanced liver cirrhosis has not been performed so far.
Methods: This is a prospective cohort study including 120 liver cirrhosis patients and 40 healthy donors to analyze systemic levels of IL-22 in relation to survival and hepatic complications.
Results: A total of 71% of patients displayed liver cirrhosis-related complications at study inclusion. A total of 23% of the patients died during a mean follow-up of 196 +/- 165 days. Systemic IL-22 was detectable in 74% of patients but only in 10% of healthy donors (P <0.001). Elevated levels of IL-22 were associated with ascites (P = 0.006), hepatorenal syndrome (P <0.0001), and spontaneous bacterial peritonitis (P = 0.001). Patients with elevated IL-22 (>18 pg/ml, n = 57) showed significantly reduced survival compared to patients with regular ([less than or equal to]18 pg/ml) levels of IL-22 (321 days versus 526 days, P = 0.003). Other factors associated with overall survival were high CRP ([greater than or equal to]2.9 mg/dl, P = 0.005, hazard ratio (HR) 0.314, confidence interval (CI) (0.141 to 0.702)), elevated serum creatinine (P = 0.05, HR 0.453, CI (0.203 to 1.012)), presence of liver-related complications (P = 0.028, HR 0.258 CI (0.077 to 0.862)), model of end stage liver disease (MELD) score [greater than or equal to]20 (P = 0.017, HR 0.364, CI (0.159 to 0.835)) and age (P = 0.011, HR 1.047, CI (1.011 to 1.085)). Adjusted multivariate Cox proportional-hazards analysis identified elevated systemic IL-22 levels as independent predictors of reduced survival (P = 0.007, HR 0.218, CI (0.072 to 0.662)).
Conclusions: In patients with liver cirrhosis, elevated systemic IL-22 levels are predictive for reduced survival independently from age, liver-related complications, CRP, creatinine and the MELD score. Thus, processes that lead to a rise in systemic interleukin-22 may be relevant for prognosis of advanced liver cirrhosis.
Aim of antiviral therapy of patients with chronic hepatitis C is the sustained elimination of the hepatitis C virus (HCV). The standard of care (SOC) is peginterferon alfa-2a/-2b with ribavirin for 48 weeks or 24 weeks in patients infected with HCV genotype 1 or 2/3, respectively. Overall, approximately half of the patients can be cured by SOC. Based on baseline viral load and the speed of virologic response during treatment, individualization of treatment duration is possible. However, this approach is not sufficient to substantially improve the sustained virologic response (SVR) rates. This goal can be achieved with new HCV specific inhibitors against the NS3/4A polymerase and the NS5B polymerase. Recent trials reported SVR rates in the order of 67-69% and 67-75% for the combination of SOC with the protease inhibitors telaprevir and boceprevir, respectively, in patients with HCV genotype 1 infection. Several new HCV specific inhibitors such as protease inhibitors, nucleoside and non-nucleoside polymerase inhibitors as well as non HCV specific compounds with anti-HCV activity such as cyclophilin inhibitors, silibinin, and nitazoxanide are currently in clinical evaluation. The review describes recent developments and discusses limitations posed by resistance development and drug toxicity.
Als Anfang der 50er Jahre eine globale Krisensituation mit dem Aufkommen neuer Kommunikationstechnologien und der Entstehung einer konsumorientierten Massenkultur korrelierte, veranlasste die Bilderflut von Atomtests und Reklameaufnahmen den Soziologen Lewis Mumford zur Auseinandersetzung mit einem Diskurs, der erst in der jüngsten Zeit seinen vorläufigen Höhepunkt finden sollte...
Walter Benjamin sah die Vergangenheit nicht in Geschichten, sondern „in Bildern zerfallen.“1 Wie kaum ein anderes Ereignis in der Moderne drückte sich der Vietnamkrieg in einer Vielzahl von Bildern aus und kann in diesem Zusammenhang als erster und in seiner Konsequenz vielleicht als einziger TV-Krieg in der Geschichte bezeichnet werden2. Im Gegensatz zu “klassischen Ikonen“ verankerten die elektronisch generierten Bilder des Krieges ihren Staus als Medienikone durch ihre Zirkulation im Medienapparat...
In großer Regelmäßigkeit beschäftigt das Bundesverfassungsgericht die Kollision zwischen der Meinungsfreiheit und dem Ehrschutz. Nicht zuletzt dieser Umstand hat dazu geführt, dass das Gericht mittlerweile eine ganze Fülle an dogmatischen Strukturen und Abwägungstopoi für diesen Bereich entwickelt hat. Angesichts der fragmentarischen Struktur des Grundgesetzes, wirft dies die Frage auf, welche Überlegungen und Annahmen das Gericht bei diesem Vorgang angeleitet haben. Dieser Frage will der Aufsatz durch eine verfassungs- und grundrechtstheoretische Analyse der Entscheidungsstruktur nachgehen.
Als der oströmische Kaiser Theodosius II. in den Jahren 429 bis 438 nach Christus eine umfassende Rechtssammlung in Auftrag gab, rechnete er sicher damit, dass er eine schwierige Aufgabe in Angriff nahm. Das Recht – einst ein, wenn nicht das effektivste Herrschaftsinstrument des Imperium Romanum – hatte seine Wirkungsmacht weitgehend eingebüßt. Die Rechtsquellen waren unzugänglich oder unbekannt geworden und uneinheitlich in ihrem Geltungsanspruch. Sie hatten mit der administrativen Teilung des Reichs in Ost- und Westrom zumindest die Hälfte ihres Geltungsradius eingebüßt. Die zwei privaten Rechtssammlungen von Kaisergesetzen aus der Zeit Diokletians, der Codex Gregorianus und der Codex Hermogenianus, die aus dem letzten Jahrzehnt des dritten Jahrhunderts datieren, waren veraltet und ergänzungsbedürftig. ...
Peter Oestmann unterscheidet in seiner Intervention drei Arten der Rechtsgeschichtsschreibung, die er Normen-, Wissenschafts- und Praxisgeschichte nennt. Als bekennender Vertreter der letzten Kategorie setzt er sich für deren Emanzipation von der rechtsdogmatischen "Normenkontrolle" ein. Er bezeichnet es als "unfair, wenn Vertreter der Normengeschichte erwarten, diejenigen, die sich mit der Rechtspraxis beschäftigen, müssten im gleichen Maße die Rechtsliteratur und normative Quellen in ihre Untersuchungen einbeziehen wie andere Rechtshistoriker auch" (8). Zugleich bricht er eine Lanze für die "erheblich unjuristischere" Rechtsgeschichte der Praxis (ebd.). Wir pflichten diesem Anliegen vorbehaltlos bei. Zugleich beobachten wir, dass Oestmanns Kritik an Grundlagen des rechtshistorischen Selbstverständnisses rührt, die zur Diskussion zu stellen im deutschsprachigen Raum erfahrungsgemäß schwer fällt. Auch bleibt Oestmann zu oft in den Kategorien des von ihm Kritisierten befangen. Unsere Replik setzt sich mit den historischen Ursachen dieses strukturellen Unbehagens in der Rechtsgeschichte auseinander.
Reconstructing Oligocene–Miocene paleoelevation contributes to our understanding of the evolutionary history of the European Alps and sheds light on geodynamic and Earth surface processes involved in the development of Alpine topography. Despite being one of the most intensively explored mountain ranges worldwide, constraints on the elevation history of the European Alps remain scarce. Here we present stable and clumped isotope measurements to provide a new paleoelevation estimate for the mid-Miocene (∼14.5 Ma) European Central Alps. We apply stable isotope δ–δ paleoaltimetry to near-sea-level pedogenic carbonate oxygen isotope (δ18O) records from the Northern Alpine Foreland Basin (Swiss Molasse Basin) and high-Alpine phyllosilicate hydrogen isotope (δD) records from the Simplon Fault Zone (Swiss Alps). We further explore Miocene paleoclimate and paleoenvironmental conditions in the Swiss Molasse Basin through carbonate stable (δ18O, δ13C) and clumped (Δ47) isotope data from three foreland basin sections in different alluvial megafan settings (proximal, mid-fan, and distal). Combined pedogenic carbonate δ18O values and Δ47 temperatures (30±5 ∘C) yield a near-sea-level precipitation δ18Ow value of ‰ and, in conjunction with the high-Alpine phyllosilicate δD value of ‰, suggest that the region surrounding the Simplon Fault Zone attained surface elevations of >4000 m no later than the mid-Miocene. Our near-sea-level δ18Ow estimate is supported by paleoclimate (iGCM ECHAM5-wiso) modeled δ18O values, which vary between −4.2 ‰ and −7.6 ‰ for the Northern Alpine Foreland Basin.
Reconstructing Oligocene-Miocene paleoelevation contributes to our understanding of the evolutionary history of the European Alps and sheds light on geodynamic and Earth’s surface processes involved in the development of Alpine topography. Despite being one of the most intensively explored mountain ranges worldwide, constraints on the elevation history of the European Alps, however, remain scarce. Here we present stable and clumped isotope geochemistry 15 measurements to provide a new paleoelevation estimate for the mid-Miocene (~14.5 Ma) European Central Alps. We apply stable isotope δ-δ paleoaltimetry on near sea level pedogenic carbonate oxygen isotope (δ18O) records from the Northern Alpine Foreland Basin (Swiss Molasse Basin) and high-Alpine phyllosilicate hydrogen isotope (δD) records from the Simplon Fault Zone (Swiss Alps). We further explore Miocene paleoclimate and paleoenvironmental conditions in the Swiss Molasse Basin through carbonate stable (δ18O, δ13C) and clumped (Δ47) isotope data from three foreland basin sections in different 20 alluvial megafan settings (proximal, mid-fan, and distal). Combined pedogenic carbonate δ18O values and Δ47 temperatures (30 ± 5°C) yield a near sea level precipitation δ18Ow value of -5.8 ± 0.2‰ and in conjunction with the high-Alpine phyllosilicate δD record suggest that the region surrounding the SFZ attained surface elevations of >4000 m no later than the mid-Miocene. Our near sea level δ18Ow estimate is supported by paleoclimate (iGCM Echam5-wiso) modeled δ18O values, which vary between -4.2 and -7.6‰ for the Northern Alpine Foreland Basin.
Pulsed electron-electron double resonance (PELDOR) is a pulsed EPR method that can reliably and precisely provide structural information regarding duplex RNAs and DNAs by measuring long-range distances (1.5-7 nm) utilizing distance-dependent magnetic dipole-dipole interaction between two nitroxide spin labels. In this thesis the application field of PELDOR spectroscopy has been expanded. For the first time the global architecture of tertiary folded RNA has been mapped in vitro. Moreover, the first application of PELDOR for determining structural aspects of RNA and DNA molecules inside cells has been presented. RNA has the central role in cellular processes and gene regulation. It can adopt complex three dimensional structures, which in combination with its conformational dynamics is essential for its function as biological catalyst, structural scaffold and regulator of gene expression. Riboswitches are cis-acting RNA segments that modulate gene expression by direct binding of small molecules with high affinity and specificity. Neomycin-responsive riboswitch is an engineered riboswitch developed by combination of in vitro selection and in vivo screening. Upon insertion into the 5‟ untranslated region of mRNA and binding the cognate ligand it is able to inhibit translational initiation in yeast. Using enzymatic probing the secondary structure had been postulated comprising global stem-loop architecture with a terminal and an internal loop. In the first part of this thesis, the global conformational arrangement of this 27 nucleotides long RNA element has been studied by means of site-directed spin labeling and PELDOR spectroscopy. Spin-labeled neomycin-responsive riboswitch mutants were synthesized via a Sonogashira cross-coupling reaction between 5-membered pyrroline ring based nitroxide radical (TPA) and 5-iodo-uridine. The labeling positions were chosen outside of the binding pocket and UV melting curves revealed that spin-labeling neither disturbs the secondary structure nor interferes with ligand binding. Efficient ligand binding was proven by thermal stabilization of 20.3±3.3 oC upon addition of neomycin, as well as by cw EPR spectra. PELDOR time traces with long observation time windows and with good signal to noise ratio and modulation depth were recorded for all double-labeled samples allowing a reliable data analysis. The fact that there were no shifts in the measured distances upon addition of neomycin implied the existence of a prearranged tertiary structure of the neomycin-sensing riboswitch without a significant global conformational change induced by ligand binding. Measured distances were in very good agreement with the NMR structure of the ligand-bound state of the riboswitch indicating the intrinsic propensity of the global RNA architecture toward its energetically favored ligand-bound form at low temperature. The results harvested in this work represent the first application of PELDOR for mapping the global structure of a tertiary folded RNA. In the second part of this thesis the possibility of applying PELDOR on nucleic acids (NAs) in cellular environment has been investigated. It was shown before that global NA structure depends on matrix conditions, such as concentration of ions and small molecules, molecular crowding, viscosity and interactions with proteins. Therefore, PELDOR spectroscopy on a double-labeled 12-base pair DNA duplex, the 14-mer cUUCGg tetraloop hairpin RNA and the 27-mer neomycin-sensing riboswitch has been used to obtain long-range distance constraints on such systems in Xenopus laevis oocytes and to compare them with in vitro measurements. The reduced lifetime of nitroxide spin labels under cellular conditions has been a major challenge in these measurements. Investigation of nitroxide reduction kinetics in-cell has revealed that the 5-membered pyrrolidine and pyrroline rings are significantly slower reduced compared to 6-membered piperidine ring based nitroxides. Due to prolonged lifetime of the TPA nitroxides covalently attached to NA molecules PELDOR signals could be measured with good signal-to-noise ratios up to 70 minutes of incubation time. The partial loss of coupled spin labels due to nitroxide reduction only led to a decrease in the modulation depth upon increasing the incubation time. No alterations in the measured distances between in vitro and in-cell experiments implies the existence of stable overall conformations of the 14-mer cUUCGg tetraloop hairpin RNA and the 27-mer neomycin-sensing riboswitch, whereas the 12-bp duplex DNA experiences stacking in-cell but retaining the secondary structure. Thus, for the first time nanometer distance measurements were performed inside cells, clearly laying a foundation for the application of PELDOR spectroscopy to study biological processes in cells, such as diffusion, interaction with proteins and other factors or chemical reactions.
n this paper we compute the optimal tax and education policy transition in an economy where progressive taxes provide social insurance against idiosyncratic wage risk, but distort the education decision of households. Optimally chosen tertiary education subsidies mitigate these distortions. We highlight the importance of two different channels through which academic talent is transmitted across generations (persistence of innate ability vs. the impact of parental education) for the optimal design of these policies and model different forms of labor as imperfect substitutes, thereby generating general equilibrium feedback effects from policies to relative wages of skilled and unskilled workers. We show that subsidizing higher education has important redistributive benefits, by shrinking the college wage premium in general equilibrium. We also argue that a full characterization of the transition path is crucial for policy evaluation. We find that optimal education policies are always characterized by generous tuition subsidies, but the optimal degree of income tax progressivity depends crucially on whether transitional costs of policies are explicitly taken into account and how strongly the college premium responds to policy changes in general equilibrium.
We characterize the optimal linear tax on capital in an Overlapping Generations model with two period lived households facing uninsurable idiosyncratic labor income risk. The Ramsey government internalizes the general equilibrium feedback of private precautionary saving. For logarithmic utility our full analytical solution of the Ramsey problem shows that the optimal aggregate saving rate is independent of income risk. The optimal time-invariant tax on capital is increasing in income risk. Its sign depends on the extent of risk and on the Pareto weight of future generations. If the Ramsey tax rate that maximizes steady state utility is positive, then implementing this tax rate permanently generates a Pareto-improving transition even if the initial equilibrium is dynamically efficient. We generalize our results to Epstein-Zin-Weil utility and show that the optimal steady state saving rate is increasing in income risk if and only if the intertemporal elasticity of substitution is smaller than 1.
We characterize the optimal linear tax on capital in an Overlapping Generations model with two period lived households facing uninsurable idiosyncratic labor income risk. The Ramsey government internalizes the general equilibrium effects of private precautionary saving on factor prices and taxes capital unless the weight on future generations in the social welfare function is sufficiently high. For logarithmic utility a complete analytical solution of the Ramsey problem exhibits an optimal aggregate saving rate that is independent of income risk, whereas the optimal time-invariant tax on capital implementing this saving rate is increasing in income risk. The optimal saving rate is constant along the transition and its sign depends on the magnitude of risk and on the Pareto weight of future generations. If the Ramsey tax rate that maximizes steady state utility is positive, then implementing this tax rate permanently induces a Pareto-improving transition even if the initial equilibrium capital stock is below the golden rule.
This paper characterizes the stationary equilibrium of a continuous-time neoclassical production economy with capital accumulation in which households can insure against idiosyncratic income risk through long-term insurance contracts. Insurance companies operating in perfectly competitive markets can commit to future contractual obligations, whereas households cannot. For the case in which household labor productivity takes two values, one of which is zero, and where households have logutility we provide a complete analytical characterization of the optimal consumption insurance contract, the stationary consumption distribution and the equilibrium aggregate capital stock and interest rate. Under parameter restrictions, there is a unique stationary equilibrium with partial consumption insurance and a stationary consumption distribution that takes a truncated Pareto form. The unique equilibrium interest rate (capital stock) is strictly decreasing (increasing) in income risk. The paper provides an analytically tractable alternative to the standard incomplete markets general equilibrium model developed in Aiyagari (1994) by retaining its physical structure, but substituting the assumed incomplete asset markets structure with one in which limits to consumption insurance emerge endogenously, as in Krueger and Uhlig (2006).
Purpose: Scientific and clinical achievements in radiation, medical, and surgical oncology are changing the landscape of interdisciplinary oncology. The German Society for Radiation Oncology (DEGRO) working group of young clinicians and scientists (yDEGRO) and the DEGRO representation of associate and full professors (AKRO) are aware of the essential role of radiation oncology in multidisciplinary treatment approaches. Together, yDEGRO and AKRO endorsed developing a German radiotherapy & radiation oncology vision 2030 to address future challenges in patient care, research, and education. The vision 2030 aims to identify priorities and goals for the next decade in the field of radiation oncology. Methods: The vision development comprised three phases. During the first phase, areas of interest, objectives, and the process of vision development were defined jointly by the yDEGRO, AKRO, and the DEGRO board. In the second phase, a one-day strategy retreat was held to develop AKRO and yDEGRO representatives’ final vision from medicine, biology, and physics. The third phase was dedicated to vision interpretation and program development by yDEGRO representatives. Results: The strategy retreat’s development process resulted in conception of the final vision “Innovative radiation oncology Together – Precise, Personalized, Human.” The first term “Innovative radiation oncology” comprises the promotion of preclinical research and clinical trials and highlights the development of a national committee for strategic development in radiation oncology research. The term “together” underpins collaborations within radiation oncology departments as well as with other partners in the clinical and scientific setting. “Precise” mainly covers technological precision in radiotherapy as well as targeted oncologic therapeutics. “Personalized” emphasizes biology-directed individualization of radiation treatment. Finally, “Human” underlines the patient-centered approach and points towards the need for individual longer-term career curricula for clinicians and researchers in the field. Conclusion: The vision 2030 balances the ambition of physical, technological, and biological innovation as well as a comprehensive, patient-centered, and collaborative approach towards radiotherapy & radiation oncology in Germany.
This study explores anomalies in stock returns found in their seasonal patterns. These are verified through multiple trading strategies based on past-performance returns that require information up to 20 years in the past. Some of the presented strategies deliver relatively high performance, especially for those strategies based on returns in the same calendar month from past years. In order to minimize any possible bias due to omitted delisting returns, those are incorporated into the monthly returns. Furthermore, to find an explanation for this seasonal effect, behavioral theories are discussed and the returns are controlled for risk and mispricing factors. However, empirical evidence indicates no evidence of explanation based on these factors for the seasonal patterns. Furthermore, possible reasons why the returns persist are discussed.
Im Mittelpunkt der Studie steht die Überprüfung der Wirksamkeit der Fortbildungs¬reihe zum förder- und kompetenzorientierten Unterrichten, die von der Verfasserin konzipiert und hessenweit für Lehrpersonen aller Schulformen angeboten wurde. Bislang sind kohärente Konzepte zum förder- und kompetenzorientierten Unterrichten oder zur individuellen Förderung zumindest nicht weit verbreitet. Das Erkenntnisinteresse der vorliegenden Studie war daher auf die Frage gerichtet, ob sich durch eine dieser Art konzipierten Fortbildungsreihe tatsächlich die Nutzung ausgewählter Prinzipien, Instrumente und Verfahren sowie die Selbstwirksamkeitserwartungen bezüglich der Steuerung und Unterstützung von Lernprozessen verändern und beeinflussen lassen. Diese Fragestellung kann aufgrund der empirischen Daten bejaht werden.
Als wichtige Voraussetzung für den Erfolg der Fortbildungsreihe zum förder- und kompetenzorientierten Unterrichten kann die in den formativen Evaluationen ermittelte Akzeptanz der Fortbildung und der Fortbildungsinhalte angesehen werden. Sie bildet die Grundlage für Veränderungsprozesse, die sich messbar insbesondere in der Follow-Up-Erhebung in der Zunahme der Nutzung von Prinzipien, Instrumente und Verfahren und in den Selbstwirksamkeitserwartungen der Lehrpersonen niederschlagen. Dieser Veränderungsprozess kann als bemerkenswert bezeichnet werden, da in den formativen Evaluationen die Frage nach der Nutzung und Umsetzbarkeit im eigenen Unterricht stets durch niedrigere Zustimmungswerte gekennzeichnet war und damit das Zutrauen und die Überzeugung in den persönlichen Veränderungsprozess zurückhaltend war im Vergleich zu den Zustimmungswerten zu den Inhalten der Fortbildungsreihe sowie zu deren Sinnhaftigkeit.
Akzeptanz, Zustimmung und die Einsicht in die Sinnhaftigkeit sowie die Überzeugung der Umsetzbarkeit im eigenen Unterricht können als Schlüsselelemente für die Veränderung der Handlungskompetenz von Lehrpersonen gesehen werden und stehen in Übereinstimmung mit entsprechenden Befunden der Conceptual-Change-Forschung. Damit konnte ein wesentliches Element erfolgreicher, da wirksamer Fortbildung insbesondere durch die Follow-Up-Erhebung empirisch belegt. Diese sollte nach ca. einem halben Jahr nach dem Ende der Fortbildungsreihe Aufschluss über die Nachhaltigkeit der Wirkung der Fortbildungsinhalte erbringen. Einschränkend soll hier jedoch auf die Reduktion der Stichprobe hingewiesen werden: Waren es zum 1.MZP 422 Lehrpersonen (270 FG, 152 KG), die an der Erhebung teilgenommen haben, waren es zum 2.MZP noch 347 Lehrpersonen (229 FG, 118 KG) und zum 3. Messzeitpunkt nur 172 Lehrpersonen (101 FG, 71 KG).
Insbesondere die durch die Fortbildungsreihe erzielten positiven Veränderungen der Selbstwirksamkeitserwartungen unterstreichen den Forschungsstand zu deren Bedeutung für nachhaltige Veränderung des Unterrichtshandelns von Lehrpersonen aller Schulformen. Von besonderem Interesse für die Konzeptualisierung von Lehrerfortbildungen erscheint der Zusammenhang zwischen der Vermittlung von Wissen und den Selbstwirksamkeitserwartungen. Aufgrund von Forschungsbefunden kann angenommen werden, dass ohne die Überzeugung und die Zuversicht, das erworbene Wissen erfolgreich im eigenen Unterricht umsetzen und in Handlungskompetenz überleiten zu können, keine Veränderungsprozesse und Lernen ausgelöst und ermöglicht werden. Dieser Zusammenhang sollte stärker in weiteren Studien überprüft werden, um Lehrpersonen künftig gezielter für und auf Veränderungen im Unterrichtshandeln vorbereiten und unterstützen zu können. Desweiteren gilt es, die Anleitung der Lehrpersonen zur Reflexion ihres Unter¬richtshandelns genauer in den Blick zu nehmen. Nach dem kompetenztheoretischen Ansatz von Baumert und Kunter (2006) und entsprechenden Forschungsbefunden kann die Selbstreflexion als ein wesentlicher Faktor für Veränderungsprozesse und vor allem für die Selbstwirksamkeitserwartungen angenommen werden. In der Fortbildungsreihe zum förder- und kompetenzorientierten Unterrichten wurden die Lehrpersonen jeweils zu Beginn jeder Veranstaltung zur Reflexion angeleitet über die umgesetzten Fortbildungsinhalte sowie deren Wirkung auf die Schülerinnen und Schüler. Hierzu sind weitergehende Forschungen wünschenswert, um auf der Grundlage entsprechender Befunde wirksame Fortbildungsangebote gestalten zu können.
Weiterer Klärungsbedarf besteht hinsichtlich der Implementation von Fortbil¬dungsinhalten in die Unterrichtspraxis. In der vorliegenden empirischen Studie konnte insbesondere durch die Follow-Up-Erhebung gezeigt werden, dass die Umsetzung und Implementation der Fortbildungsinhalte gelungen zu sein scheint und die Verbesserung der Nutzung von Prinzipien, Instrumenten und Verfahren zum förder- und kompetenzorientierten Unterrichten sowie die Steigerung der Selbstwirksamkeitserwartungen erkennbar sind. Dabei gilt als einschränkend zu bedenken, dass es sich bei den erhobenen Werten um Selbstauskünfte der Teilnehmer/-innen handelt. Gleichwohl kann insbesondere der signifikante Zuwachs in den Selbstwirksamkeitserwartungen als bedeutsam eingeschätzt werden, nachdem durch Forschungsbefunde nachdrücklich darauf verwiesen wird, dass gerade Überzeugungen von Lehrpersonen schwer zugänglich und veränderbar sind.
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INTRODUCTION: Older patients with acute myeloid leukemia (AML) experience short survival despite intensive chemotherapy. Azacitidine has promising activity in patients with low proliferating AML. The aim of this dose-finding part of this trial was to evaluate feasibility and safety of azacitidine combined with a cytarabine- and daunorubicin-based chemotherapy in older patients with AML.
TRIAL DESIGN: Prospective, randomised, open, phase II trial with parallel group design and fixed sample size.
PATIENTS AND METHODS: Patients aged 61 years or older, with untreated acute myeloid leukemia with a leukocyte count of <20,000/µl at the time of study entry and adequate organ function were eligible. Patients were randomised to receive azacitidine either 37.5 (dose level 1) or 75 mg/sqm (dose level 2) for five days before each cycle of induction (7+3 cytarabine plus daunorubicine) and consolidation (intermediate-dose cytarabine) therapy. Dose-limiting toxicity was the primary endpoint.
RESULTS: Six patients each were randomised into each dose level and evaluable for analysis. No dose-limiting toxicity occurred in either dose level. Nine serious adverse events occurred in five patients (three in the 37.5 mg, two in the 75 mg arm) with two fatal outcomes. Two patients at the 37.5 mg/sqm dose level and four patients at the 75 mg/sqm level achieved a complete remission after induction therapy. Median overall survival was 266 days and median event-free survival 215 days after a median follow up of 616 days.
CONCLUSIONS: The combination of azacitidine 75 mg/sqm with standard induction therapy is feasible in older patients with AML and was selected as an investigational arm in the randomised controlled part of this phase-II study, which is currently halted due to an increased cardiac toxicity observed in the experimental arm.
Objects that are congruent with a scene are recognised more efficiently than objects that are incongruent. Further, semantic integration of incongruent objects elicits a stronger N300/N400 EEG component. Yet, the time course and mechanisms of how contextual information supports access to semantic object information is unclear. We used computational modelling and EEG to test how context influences semantic object processing. Using representational similarity analysis, we established that EEG patterns dissociated between objects in congruent or incongruent scenes from around 300 ms. By modelling semantic processing of objects using independently normed properties, we confirm that the onset of semantic processing of both congruent and incongruent objects is similar (∼150 ms). Critically, after ∼275 ms, we discover a difference in the duration of semantic integration, lasting longer for incongruent compared to congruent objects. These results constrain our understanding of how contextual information supports access to semantic object information.
Objects that are congruent with a scene are recognised more efficiently than objects that are incongruent. Further, semantic integration of incongruent objects elicits a stronger N300/N400 EEG component. Yet, the time course and mechanisms of how contextual information supports access to semantic object information is unclear. We used computational modelling and EEG to test how context influences semantic object processing. Using representational similarity analysis, we established that EEG patterns dissociated between objects in congruent or incongruent scenes from around 300 ms. By modelling semantic processing of objects using independently normed properties, we confirm that the onset of semantic processing of both congruent and incongruent objects is similar (∼150 ms). Critically, after ∼275 ms, we discover a difference in the duration of semantic integration, lasting longer for incongruent compared to congruent objects. These results constrain our understanding of how contextual information supports access to semantic object information.
THE PRESENT ARTICLE TRIES TO DEMYSTIFY THE LINK BETWEEN THE SUBPRIME BANKING CRISIS AND THE SUBSEQUENT FALL IN GROSS DOMESTIC PRODUCT. AN UP-TO-DATE REVIEW OF THE LITERATURE ON THE REAL CONSEQUENCES OF THE LOSS OF BANK LENDING CAPACITY IS PROVIDED, PRESENTING EVIDENCE OF A DECLINE IN NEW BANK LOANS ALONG WITH EVIDENCE OF CORPORATE REACTIONS TO THIS DECLINE. FINALLY, IT IS SHOWN HOW THE PRESENTED FACTS CAN ADD UP TO AN EVENT OF MACROECONOMIC DIMENSION.
Die Sammlungen der Goethe-Universität mit Afrikabezug sind auch für die Herkunftsgemeinschaften von großem Interesse. Sie finden darin wichtige Informationen über ihre Geschichte. Die grenzübergreifende Zusammenarbeit bringt aber auch den Wissenschaftlerinnen und Wissenschaftlern der Goethe-Universität neue Forschungsimpulse.
Nuclear Magnetic Resonance ("NMR") is a powerful and versatile technique relying on nuclei that posses a spin. Since its discovery more than 6 decades ago, NMR and related techniques has become a tool with innumerable applications throughout the fields of Physics, Chemistry, Biology and Medicine. Numerous Nobel Prizes have been awarded for work in the field and a multi billion dollar industry has developed on its basis.
One of NMR's major shortcomings is its inherent lack of sensitivity. Because it relies on the Boltzmann populations of spin states with a minuscule Zeeman splitting, this is particularly true for room temperature experiments.
As a result, in an enormous technological effort to enlarge the Zeeman splitting NMR magnets have been moving to higher and higher magnetic fields. However, even for proton spins possessing the largest magnetic moment of all nuclei, the degree of polarization that can be achieved in the strongest spectroscopic magnets available today (~24 T) at room temperature is merely ~ 8*(10 exp (-5)). In other words, this low polarization theoretically allows a sensitivity enhancement of 104 towards full polarization.
Since Magnetic Resonance Imaging ("MRI") is based on the same principle, it shares this problem with NMR. Furthermore, for technical and physiological reasons full body MRI tomographs do not reach the magnetic field strengths of spectroscopic NMR magnets, making this even more of an issue for MRI.
In consequence, MRI is chiefly restricted to detecting protons, while both MRI and NMR detection of 13C (or other low nuclei) under physiological conditions, i.e. low natural abundance of 13C and a low concentration of the respective substance, suffer from long acquisitions times that are necessary to obtain adequate signal to noise ratios ("SNR").
However, this drawb of NMR can be overcome. The enormous potential sensitivity increase of four orders of magnitude can - at least partially - be exploited by several hyperpolarization techniques, creating entirely new applications and fields of research.
These hyperpolarization techniques comprise chemical approaches like Parahydrogen Induced Polarization ("PHIP") or Photochemically Induced Dynamic Nuclear Polarization ("Photo-CIDNP"), as well as physical techniques like optically pumped (noble) gases13, 14 or Dynamic Nuclear Polarization ("DNP"), which will be the focus of this work. A hyperpolarized substance will render a larger signal without being physically or chemically altered in any other way. It is therefore "marked" without any marker, making it an agent free contrast agent for MRI.
DNP is a technique, in which hyperpolarization of nuclear spins is achieved by microwave (\MW") irradiation of unpaired electron spins in radicals, which are coupled to these nuclei, e.g. 1H, 13C or 15N. The electron spin population is perturbed if the microwave irradiation is resonant with the electron spin transition, which affects the polarization of hyperfine-coupled close nuclei. For large microwave power (i.e. saturating the electron spin transition) the orders of magnitude larger thermal electron spin polarization is effectively transferred to these nuclear spins in the sample. For proton spins the maximum polarization gain amounts to 660, whereas for 13C the sensitivity gain can be as large as 2600. In contrast to e.g. PHIP, which is restricted to specific reaction precursors, DNP is not limited to specific nuclei or hyperpolarization target molecules, making it a very versatile technique. DNP has been first proposed by Overhauser in 1953,15 and experimentally observed shortly thereafter in metals16 and liquids,17 both being systems with mobile electrons. In the 1960s and 70s, DNP was used as a spectroscopic tool in liquids, thoroughly mapping the effect in the low field regime. As well, several other transfer mechanisms were discovered, which are active in the solid state with localized electrons, namely the solid effect the cross effect and thermal mixing. The theory for all three of these mechanisms predicts reduced transfer efficiencies at higher magnetic fields. This fact and the lack of high frequency microwave sources to excite electron spins at magnetic field strengths above 1 T, effectively relegated DNP to a position of an interesting scientifi curiosity.
In the early 1990s, DNP came to a renaissance, when DNP was performed at high field in solid state magic angle spinning ("MAS") experiments using high power gyrotron microwave sources. This pioneering work sparked a surge of new developments and applications.
As well, this success triggered attempts to investigate also the potential of DNP in the liquid state at high magnetic fields, e.g. at 3.4 T35{38 and 9.2 T. To date, DNP can be considered one of the "hot topics" in the field of magnetic resonance, bringing about special issue in magnetic resonance journals and DNP sections on magnetic resonance conferences.
This thesis deals with the development of an in-bore liquid state DNP polarizer for MRI applications operating in ow through mode at a magnetic field strength of 1.5 T. Following this introductory chapter, the theoretical background necessary to understand and interpret the experimental results is explained in chapter 2. Subsequently, chapter 3 deals with the issue of performing liquid state DNP at high magnetic fields and its challenges. The chapter comprises a quick overview of the necessary hardware, the experimental findings for various samples and the interpretation of these findings. along with the ramifications for the aim of this work. Chapter 4 deals with the issue of increasing sensitivity and contrast in MRI, in particular by means of DNP. The chapter illustrates the development of our polarizer by presenting the hardware that was developed and demonstrating its performance under various conditions. As well, several alternative approaches are introduced and compared to our approach. Finally, chapter 5 summarizes the findings and gives an outlook on further developments.
Despite prevailing arid conditions, the diversity of terrestrial and freshwater biota in the Middle East is amazingly high and marine biodiversity is among the highest on Earth. Th roughout the Region, threats to the environment are moderate to severe. Despite the outstanding economic and ecological importance of biological diversity, the capacity in biodiversity-related research and academic education is inadequate. The "Middle Eastern Biodiversity Network" (MEBN), founded in 2006 by six universities and research institutes in Iran, Jordan, Germany, Lebanon and Yemen was designed to fi ll this gap. An integrated approach is taken to upgrade biodiversity research and education in order to improve regional ecosystem conservation and management capacities. A wide range of activities are carried out in the framework of the Network, including capacity building in biological collection management and professional natural history curatorship, developing university curricula in biodiversity, conducting scientifi c research, organising workshops and conferences on Middle Eastern biodiversity, and translating the results of biodiversity research into conservation and sustainable development. Keywords: Middle Eastern biodiversity, nature museums, biodiversity research, biodiversity education, biodiversity conservation, biodiversity networks
Smut fungi (Ustilaginomycotina) were previously defined as plant parasites that produced blackish or brownish masses of teliospores in or on various organs of plants. Each teliospore germinates to form a single basidium with usually four basidiospores that subsequently grow as a saprobic, yeast-like, haploid stage. The Ustilaginomycotina are a highly diverse group with about 1,700 species in 115 different genera. All of the species were united in a single order, the Ustilaginales, in late 19th century. These teliospore producing fungi are now considered the classic smut fungi. Towards the end of the 20th century, new ideas were brought into this classification system. Most notable was the comparative work regarding the ultrastructure of septal pores and the anatomy of the interaction zones between host and parasite. This work changed the whole concept of smut fungi and their evolutionary relationships. These results were subsequently supported by molecular phylogenetic studies. Both lines of investigation led to the classification of the smut fungi into four different classes, Ustilaginomycetes, Exobasidiomycetes, Malasseziomycetes and Moniliellomycetes (see chapter 1.3).
A reliable taxonomy that reflects phylogenies needed in order to estimate the diversity and the relationships between the diverse groups of smut fungi. In the last 20 years, molecular investigations based mostly on rDNA loci, e.g. ITS (internal transcribed spacer) or LSU (large subunit), have revealed the evolutionary relationships between many taxa of smut fungi. However, there are few phylogenetic studies available for smut fungi (see chapter 1.5.1), and much work is needed to develop backbone phylogenetic trees and to resolve species complexes of many smut fungi.
This thesis reports the results of six different studies that aimed to develop new and improved tools for the phylogenetic analyses of smut fungi, and then apply these methods to selected groups of smut fungi. The first study (Kruse et al. 2017a, Chapter 3) developed a method to improve the amplification of ITS sequences of some smut fungi. Due to its high discrimination value, the ITS gene region is widely used as a barcoding locus for species delimitation of fungi. For this purpose, the general ITS primers ITS1 and ITS4 or more specific modifications, e.g. ITS1F for Ascomycota, ITS4B for Basidiomycota or M-ITS1 for smut fungi, were used. As these primer combinations often yielded unsatisfactory results, due to coamplification of other (contaminant) fungi or the host plant DNA, improvement of the amplification of the ITS region was needed. In order to design new smut specific primers for the ITS region, a representative set of several sequences of the flanking regions of the ITS region (LSU and SSU) of smut fungi, plants and other fungi were downloaded from GenBank. A set of primers was designed on this dataset. These primers were tested on a representative set of about 70 different smut genera under different PCR conditions. Finally, three different primers, one forward primer, smITS-F, and two reverse primers, smITS-R1 and -R2, were selected as the best ones. The following tests with different combinations of these primers, and also under inclusion of the M-ITS1 primer, showed only slight differences in the number of different genera that successfully amplified. But there were some differences regarding the genera that amplified. A broader test on 205 samples in 39 genera showed that the PCR efficiency of the newly designed primers was much better than the primer set ITS4/M-ITS1. With the primers designed in this study almost no non-target ITS was amplified, giving new opportunities especially for amplifying ancient DNA or DNA from older herbarium samples. However, many species groups remain unresolved by only one gene region.
The second study (Kruse et al. 2017c, Chapter 4) found new loci and suitable primers that better resolved multi-locus trees. To date, the most frequently used loci for making multi-locus trees are SSU (small subunit), LSU (large subunit) and ITS (internal transcribed spacer). While the LSU is not always sufficient to distinguish between closely related species, it is highly discriminative above the species level. In an effort to increase the phylogenetic resolution of smut phylogenies, some protein-coding genes were used, including rpb1, rpb2, and atp6 with varying success (see Chapter 2.1.2). As most of these loci are seldom used or sometimes only work on pure cultures because of their low specifity, new protein-coding loci were identified that produced reliable phylogenetic trees. Based on five available genomes, potential gene loci were filtered for possible primers. Initially, 40 different primer combinations for 14 gene loci were tested on a set of twelve different genera of smut fungi. The best candidates were selected and optimized during further tests. Finally, 22 different forward primers and 17 different reverse primers for nine different gene regions were developed, with each differentiating at least one genus of smut fungi (preferably for Ustilaginomycetes). The different primers showed varying discriminative power for different smut genera. They worked best for the Ustilaginaceae, based on the primer designed from Ustilaginomycetes genomes. These new primer sets and loci have the potential to resolve different species groups within the smut fungi and furthermore to produce reliable phylogenetic trees with high resolution. To prove their applicability, three species complexes were investigated in-depth, two from the Ustilaginomycetes and one from the Exobasidiomycetes.
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Leaf-stripe smuts on grasses are a highly polyphyletic group within Ustilaginomycotina, occurring in three genera, Tilletia, Urocystis, and Ustilago. Currently more than 12 Ustilago species inciting stripe smuts are recognised. The majority belong to the Ustilago striiformis-complex, with about 30 different taxa described from 165 different plant species. This study aims to assess whether host distinct-lineages can be observed amongst the Ustilago leaf-stripe smuts using nine different loci on a representative set. Phylogenetic reconstructions supported the monophyly of the Ustilago striiformis-complex that causes leaf-stripe and the polyphyly of other leaf-stripe smuts within Ustilago. Furthermore, smut specimens from the same host genus generally clustered together in well-supported clades that often had available species names for these lineages. In addition to already-named lineages, three new lineages were observed, and described as new species on the basis of host specificity and molecular differences: namely Ustilago jagei sp. nov. on Agrostis stolonifera, U. kummeri sp. nov. on Bromus inermis, and U. neocopinata sp. nov. on Dactylis glomerata.
There are 63 known species of Thecaphora (Glomosporiaceae, Ustilaginomycotina), a third of which occur on Asteraceae. These smut fungi produce yellowish-brown to reddish-brown masses of spore balls in specific, mostly regenerative, plant organs. A species of Thecaphora was collected in the flower heads of Anthemis chia (Anthemideae, Asteraceae) on Rhodes Island, Greece, in 2015 and 2017, which represents the first smut record of a smut fungus on a host plant species in this tribe. Based on its distinctive morphology, host species and genetic divergence, this species is described as Thecaphora anthemidis sp. nov. Molecular barcodes of the ITS region are provided for this and several other species of Thecaphora. A phylogenetic and morphological comparison to closely related species showed that Th. anthemidis differed from other species of Thecaphora. Thecaphora anthemidis produced loose spore balls in the flower heads and peduncles of Anthemis chia unlike other flower-infecting species.
Plant pathogenic smut fungi in the broader sense can be divided into the Ustilaginomycetes, which cause classical smut symptoms with masses of blackish spores being produced in a variety of angiosperms, and the Exobasidiomycetes, which are often less conspicuous, as many do not shed large amounts of blackish spores. The leaf-spot causing members of the genus Entyloma (Entylomatales, Exobasidiomycetes) belong to the latter group. Currently, 172 species that all infect eudicots are included in the genus. Vánky (2012) recognised five Entyloma species on species of Ranunculus s.lat. Two have been reported only from Ficaria verna s.lat., while three, E. microsporum, E. ranunculi-repentis, E. verruculosum, have been reported to have a broad host range, encompassing 30, 26, and 5 species of Ranunculus, respectively. This broad host range is in contrast to the generally high host specificity assumed for species of Entyloma, indicating that they may represent complexes of specialised species. The aim of this study was to investigate Entyloma on Ranunculus s.lat. using multigene phylogenies and morphological comparisons. Phylogenetic analyses on the basis of up to four loci (ITS, atp2, ssc1, and map) showed a clustering of Entyloma specimens according to host species. For some of these Entyloma lineages, names not currently in use were available and reinstated. In addition, Entyloma microsporum s.str. is neotypified. Six novel species are described in this study, namely, Entyloma jolantae on Ranunculus oreophilus, E. klenkei on R. marginatus, E. kochmanii on R. lanuginosus, E. piepenbringiae on R. polyanthemos subsp. nemorosus (type host) and R. repens, E. savchenkoi on R. paludosus, and E. thielii on R. montanus. For all species diagnostic bases and morphological characteristics are provided. The results in this study once more highlight the importance of detailed re-investigation of broad host-range pathogens of otherwise specialised plant pathogen groups.
Der DNA-Translokator von T. thermophilus HB27, ebenso wie Typ-IV-Pili (T4P), sind Multiproteinkomplexe, die die Membranen und das Periplasma durchspannen. Sie sind ähnlich aufgebaut und enthalten identische Proteine. Der DNA-Translokator vermittelt Transport von DNA in das Zellinnere während der natürlichen Transformation. T4P sind filamentöse Zellorganellen, die an der inneren Membran assembliert werden und bis zu mehrere Mikrometer aus der Zelle hinausragen. Sie dienen der Anhaftung und Fortbewegung der Zellen auf Oberflächen.
Das Ziel dieser Arbeit war es, die Funktionen einzelner Komponenten der Komplexe und ihrer Proteindomänen bei der natürlichen Transformation, der T4P-Assemblierung und den durch T4P vermittelten Funktionen Adhäsion und „twitching motility“ aufzuklären.
Es sind neun Proteine bekannt, die eine duale Rolle als Komponenten des DNA-Translokators und des T4P spielen. Eines dieser Proteine ist die Assemblierungs-ATPase PilF, die Hexamere bildet. Diese cytoplasmatischen ATPase-Komplexe stellen die Energie für die Assemblierung der T4P bereit, ebenso wie für die Aufnahme freier DNA. Es ist jedoch bisher nicht geklärt, wie die durch PilF bereitgestellte Energie auf die anderen Komponenten des DNA-Translokators/T4P übertragen wird.
In dieser Arbeit konnte gezeigt werden, dass PilF an das cytoplasmatische Protein PilM des T4P und DNA-Translokators bindet. Zudem konnten Proteinkomplexe bestehend aus den Proteinen PilM, PilN und PilO heterolog produziert und aus Zellmembranen koisoliert werden. PilF interagierte mit diesen PilMNO-Komplexen via PilM. Diese Interaktionen führt zur Stimulierung der ATPase-Aktivität von PilF. Dies deutet an, dass PilM ein Kupplungsprotein ist, welches die Assemblierungs-ATPase PilF physisch und funktionell mit dem T4P/DNA-Translokator über den PilMNO-Komplex verbindet.
Neben PilF standen Präpiline von T. thermophilus im Fokus dieser Arbeit. Präpiline sind Vorläuferproteine, die zu Pilinen prozessiert werden und als solche dann die Untereinheiten der Pilus-Strukturen bilden.
Zusammenfassend konnten die Rollen einzelner Präpilin-ähnlicher Proteine bei T4P-assoziierten Funktionen geklärt werden und es konnten erste Analysen zur Charakterisierung des weitestgehend unbekannten Proteins ComZ durchgeführt werden. Desweiteren liefert diese Arbeit Hinweise darauf, dass die membranassoziierten Proteine PilM, PilN und PilO Kupplungsproteine sind, die PilF mit den periplasmatischen Komponenten des T4P/DNA-Translokators verbinden und dadurch die ATPase-Aktivität von PilF stimulieren. Die Rollen einzelner Proteindomänen von PilF und PilM bei der Protein-Protein-Interaktion und der Bindung von Liganden wurden aufgeklärt, sowie ihre Funktionen bei den T4P-vermittelten Funktionen und der natürlichen Transformation.
A major driving force for the adaptation of bacteria to changing environments is the uptake of naked DNA from the environment by natural transformation, which allows the acquisition of new capabilities. Uptake of the high molecular weight DNA is mediated by a complex transport machinery that spans the entire cell periphery. This DNA translocator catalyzes the binding and splitting of double‐stranded DNA and translocation of single‐stranded DNA into the cytoplasm, where it is recombined with the chromosome. The thermophilic bacterium Thermus thermophilus exhibits the highest transformation frequencies reported and is a model system to analyze the structure and function of this macromolecular transport machinery. Transport activity is powered by the traffic ATPase PilF, a soluble protein that forms hexameric complexes. Here, we demonstrate that PilF physically binds to an inner membrane assembly platform of the DNA translocator, comprising PilMNO, via the ATP‐binding protein PilM. Binding to PilMNO or PilMN stimulates the ATPase activity of PilF ~ 2‐fold, whereas there is no stimulation when binding to PilM or PilN alone. A PilMK26A variant defective in ATP binding still binds PilF and, together with PilN, stimulates PilF‐mediated ATPase activity. PilF is unique in having three conserved GSPII (general secretory pathway II) domains (A–C) at its N terminus. Deletion analyses revealed that none of the GSPII domains is essential for binding PilMN, but GSPIIC is essential for PilMN‐mediated stimulation of ATP hydrolysis by PilF. Our data suggest that PilM is a coupling protein that physically and functionally connects the soluble motor ATPase PilF to the DNA translocator via the PilMNO assembly platform.
DIGITAL TRANSFORMATION COUPLED WITH THE SIMPLIFIED AVAILABILITY OF DATA BRINGS ARTIFICIAL INTELLIGENCE (AI) CLOSER TO COMMERCIAL USE. FOR THE DATADRIVEN FINANCIAL INDUSTRY, AI IS OF INTENSIVE INTEREST WITHIN PILOT PROJECTS. STILL, FEW AI APPLICATIONS HAVE BEEN IMPLEMENTED SO FAR. THIS STUDY ANALYZES DRIVERS AND INHIBITORS OF A SUCCESSFUL AI ADOPTION IN THE FINANCIAL INDUSTRY BASED ON PANEL DATA COMPRISING 22 SEMI-STRUCTURED INTERVIEWS WITH EXPERTS OF AI IN FINANCE, INCLUDING INTERVIEWEES FROM LEADING SOFTWARE PROVIDERS SUCH AS SAP, IBM, SALESFORCE, AND MICROSOFT. FOR APPLYING AI SUCCESSFULLY, THE GUIDELINES REVEAL SEVERAL DATA CONDITIONS, AI-SPECIFIC ROLE MODELS, AND OVERCOMING MORAL CONCERNS AS CRUCIAL BEFORE TRAINED ALGORITHMS WILL HAVE REACHED A QUALITY LEVEL TO OPERATE WITHOUT HUMAN INTERVENTION.
Responding to inadequate awareness of the outstanding importance of biodiversity, the BioFrankfurt network was founded in 2004 in the State of Hesse, Germany. It is presented here as a case study and may serve as a model for other parts of the world, such as the Middle East. In 2007, only about 26% of the German population were familiar with the term “Biodiversity”, and most of them only had a vague idea about its meaning. The BioFrankfurt network of institutions addressed this problem, raising public awareness and supporting research, education and conservation. A regional biodiversity education program has been developed and delivered to more than 500 schools. Since 2007, an innovative public relations campaign combines raising awareness on regional biodiversity issues with activities to improve the public image of the Frankfurt area. Because of its geographical focus, the network’s activities gained the attention of local and regional politicians and other decision makers, culminating in the joint establishment of a new Biodiversity and Climate Research Centre by BioFrankfurt member institutions. The success of current activities attracts interesting partners, resulting in challenging cooperation initiatives. The authors are convinced that the network’s concepts and activities have a great potential to profoundly enhance the notion and acceptance of biodiversity issues elsewhere. Keywords: BioFrankfurt, biodiversity network, education, public awareness, scientifi c communication
COPA syndrome is a newly discovered hereditary immunodeficiency affecting the lung, kidneys, and joints. The mutated gene encodes the α subunit of the coatomer complex I, a protein transporter from the Golgi back to the endoplasmic reticulum. The impaired return of proteins leads to intracellular stress. The syndrome is an autoimmune and autoinflammatory disease that can be grouped among the interferonopathies. The knowledge about COPA syndrome and its treatment is still limited. In this paper, we describe an additional patient, a 15-year-old girl with rheumatoid factor-positive polyarthritis and rheumatoid nodules since the age of 2, who developed interstitial lung disease. The detected mutation c.698G>A was causing the disease. The patient presented with symmetric polyarthritis on wrists, fingers, and hip and ankle joints, with significant functional impairment, and high disease activity. Laboratory parameters demonstrated chronic inflammation, hypergammaglobulinemia, high titre ANA (antinuclear antibodies) and CCP (anti-citrullinated protein) antibodies, and rheumatoid factors. Therapies with various DMARDs (Disease Modifying Anti-Rheumatic Drugs) and biologicals failed. Upon baricitinib application, the clinical activity decreased dramatically with disappearance of joint pain and morning stiffness and significant decrease of joint swelling. A low disease activity was reached after 12 months, with complete disappearance of rheumatoid nodules. In contrast to IL-1 (interleukin-1), IL-6, and TNF (tumor necrosis factor) inhibitors, baricitinib was very successful, probably because baricitinib acts as a JAK-1/2 (janus kinase-1/2) inhibitor in the IFNα/β (inteferone α/β) pathway. A relatively higher dose in children is necessary. COPA syndrome represents a novel disorder of intracellular transport. Reviewing published literature on COPA syndrome, in addition to our patient, there were 31 cases further described.
Der Neubau für den Fachbereich 09 »Sprach- und Kulturwissenschaften« auf dem Campus Westend bekommt den letzten Schliff. Das international renommierte Künstler:innenkollektiv Raqs Media Collective, das sich 1992 in Neu Delhi gegründet hat, gewann mit seinem Entwurf den vom Land Hessen ausgelobten Wettbewerb für »Kunst am Bau«. Die dreiteilige Arbeit »All, Humans« wird am 2. November 2023 abends im Foyer des SKW-Gebäudes feierlich eingeweiht. Studierende des Masterstudiengangs »Curatorial Studies« haben die Entstehung in den letzten Monaten intensiv verfolgt und bieten im Dialog mit den Künstler*innen und Expert*innen Einblicke und Auseinandersetzungen in die filmische Installation.
We analyze the impact of decreases in available lending resources on quantitative and qualita- tive dimensions of firms’ patenting activities. We thereby make use of the European Banking Authority?s capital exercise to carve out the causal effect of bank lending on firm innovation. In order to do so we combine various datasets to derive information on firms’ financials, their patenting behaviors, as well as their relationships with their lenders. Building on this self- generated dataset, we provide support for the “less finance, less innovation” view. At the same time, we show that lower available financial resources for firms lead to improvement in the qualitative dimensions of their patents. Hence, we carve out a “less finance, less but better innovation” pattern.
Die Bestrahlung atmungsbewegter Tumoren stellt eine Herausforderung für die moderne Strahlentherapie dar. In der vorliegenden Arbeit werden zu Beginn die physikalischen, technischen und medizinischen Grundlagen vorgestellt, um dem Leser den Einstieg in die komplexe Thematik zu erleichtern. Des Weiteren werden verschiedene Techniken zur Bestrahlung atmungsbewegter Zielvolumina vorgestellt. Auch wird auf die Sicherheitssäume eingegangen, die notwendig sind, um Fehler in der Bestrahlungskette beim Festlegen des Planungszielvolumens für die Bestrahlung auszugleichen.
Im Rahmen dieser Arbeit wurde ein Konzept entwickelt, wodurch sich der Sicherheitssaum von bewegten Tumoren in der Radiochirurgie mit dem Tumor-Tracking-System des Cyberknifes noch weiter verkleinern lässt. Somit kann die sogenannte therapeutische Breite der Behandlung weiter vergrößert werden kann. Dafür wurden ein 4D-CT und ein Gating-System in den klinischen Betrieb aufgenommen. Die entwickelte Technik basiert auf den zehn individuellen Atemphasen des 4D-CTs und lässt eine Berücksichtigung bewegter Risikostrukturen bereits während der Bestrahlungsplanung zu. Diese Methode wurde mit aktuellen Bestrahlungstechniken mittels eines Vergleichs der Bestrahlungspläne anhand von zehn Patientenfällen verglichen. Zur Erstellung der Bestrahlungspläne kamen die Bestrahlungsplanungssysteme von Varian (Eclipse 13.5) und Accuray (Multiplan 4.6) zum Einsatz. Es wurden insbesondere die Bestrahlungsdosen an den Risikoorganen und die Volumina ausgewählter Isodosen betrachtet. Hier zeigte sich eine klare Abhängigkeit von der Belastung des gesunden Gewebes von der verwendeten Bestrahlungstechnik. Dies lässt die Schlussfolgerung zu, dass mit einer Reduzierung des Sicherheitssaums, welcher abhängig von der verwendeten Planungs- und Bestrahlungstechnik ist, eine Vergrößerung der therapeutischen Breite einhergeht. Zusätzlich bleibt bei einer geringen Belastung des umliegenden gesunden Gewebes die Möglichkeit für eine weitere Bestrahlung offen.
Anschließend wurden anhand von berechneten Testplänen Messungen an einem für diese Arbeit modifizierten Messphantom am Varian Clinac DHX und am Cyberknife VSI durchgeführt. Hier wurden die beim Planvergleich verwendeten Bestrahlungstechniken verwendet, um einen Abgleich von berechneter und tatsächlich applizierter Dosis zu erhalten. Das verwendete Messphantom simuliert die Atmung des Patienten und lässt gleichzeitig eine Verifikation der Dosisverteilung mit EBT3-Filmen sowie Messungen mit Ionisationskammern zu. Es zeigte sich, dass für die Techniken, welche aktiv die Atmung berücksichtigen (Synchrony am Cyberknife und Gating am Varian Clinac), selbst im Niedrigdosisbereich eine gute Übereinstimmung zwischen Messung und Berechnung der Dosisverteilung vorliegt. Sobald die Bewegung des Zielvolumens bereits bei der Bestrahlungsplanung berücksichtigt wird, steigt die Übereinstimmung weiter an. Für Techniken, welche die Atmung lediglich bei der Zielvolumen-Definition einbeziehen (ITV-Konzept), liegen sowohl die mit Ionisationskammern gemessenen Werte als auch die Übereinstimmung von berechneter und gemessener Dosisverteilung außerhalb des Toleranzbereichs.
Eine weitere Frage dieser Arbeit befasst sich mit der Treffsicherheit des Tumor-Tracking-Systems des Cyberknifes (Synchrony). Hier wurden Messungen mit dem XSightLung-Phantom und unterschiedlichen Sicherheitssäumen, welche die Bewegung des Tumors ausgleichen sollen, durchgeführt. Dies geschah sowohl mit dem für das Phantom vorgesehenen Würfel mit Einschüben für EBT3-Filme als auch mit einem Film-Sanchwich aus Flab-Material zur Untersuchung einer dreidimensionalen Dosisverteilung. Die Analyse der Filme ergab, dass es zumindest an einem Phantom mit einer einfachen kraniokaudalen Bewegung nicht nötig ist, die Bewegung des Zielvolumens durch einen asymmetrischen Sicherheitssaum in Bewegungsrichtung zu kompensieren um die Abdeckung des Zielvolumens mit der gewünschten Dosis zu gewährleisten.
Durch diese Arbeit konnten zusätzlich weitere wertvolle Erkenntnisse für den klinischen Alltag gewonnen werden: bei der Untersuchung der Bewegung von Tumoren in freier Atmung sowie bei maximaler Inspiration und Exspiration zeigte sich, dass zum Teil die Tumorbewegung in maximalen Atemlagen (3-Phasen-CT) deutlich von der freien Atmung abweicht. Dies lässt den Schluss zu, dass für eine Bestrahlung in freier Atmung ein 4D-CT die Tumorbewegung deutlich realistischer widerspiegelt als ein 3-Phasen-CT, zumal letzteres eine größere Dosisbelastung für den Patienten bedeutet.
Ebenfalls konnte anhand einer retrospektiven Untersuchung von Lungentumoren gezeigt werden, dass für die Berechnung von Bestrahlungsplänen für Tumoren in inhomogenem Gewebe der Ray-Tracing-Algorithmus die Dosis im Zielvolumen teilweise sehr stark überschätzt. Um eine realistische Dosisverteilung zu erhalten, sollte deshalb insbesondere bei Tumoren in der Lunge auf den Monte-Carlo-Algorithmus zurückgegriffen werden.
Diese Arbeit beschäftigt sich mit dem Aufbau und der Kalibrierung eines Neutronendetektorarrays für niedrige Energien (Low Energy Neutron detector Array, kurz „LENA“) am kommenden R³B-Aufbau (Reactions with Relativistic Radioactive Beams) am FAIR (Facility for Antiproton and Ion Research) an der GSI in Darmstadt. Die Detektion niederenergetischer Neutronen im Bereich von 100 keV bis 1 MeV ist nötig, um Ladungsaustauschreaktionen, speziell (p,n)-Reaktionen in inverser Kinematik zu untersuchen. In diesem Energiebereich ist die Detektion äußerst schwierig, da Methoden für thermische als auch hochenergetische (100 MeV bis 1 GeV) Neutronen versagen. Neben dem Aufbau des Detektors wird die Bedeutung des Experiments für die nukleare Astrophysik verdeutlicht. Der theoretische Teil dieser Arbeit legt Grundlagen zum Verständnis für den Nachweis von Neutronen, die Funktionsweise des LENA-Detektors und den damit nachweisbaren Kernreaktionen. Des Weiteren wurde eine Simulation des Detektors mit GEANT4 (GEometry And Tracking), einer C++ orientierten Plattform für Simulationen von Wechselwirkungen von Detektormaterial mit Teilchen, durchgeführt. Die Ergebnisse wurden zur Auswertung von Messungen, die im Rahmen einer Strahlzeit im März 2011 an der Physikalisch Technischen Bundesanstalt (PTB) in Braunschweig durchgeführt wurden, herangezogen. Ziel der Arbeit ist es, die Effizienz des Detektors zu bestimmen.
Gridded maps of meteorological variables are needed for the evaluation of weather and climate models and for climate change monitoring. In order to produce them, values at locations where no observing stations are available need to be estimated from point-wise observations. For the interpolation of meteorological observations deterministic and stochastic methods are often combined. Deterministic methods can account for ancillary information such as elevation, continentality or satellite observations. Stochastic methods such as kriging reproduce observed values at the station locations and also account for spatial variability. In the first two studies of this thesis, a flexible interpolation method for the gridding of locally observed daily extreme temperatures is developed that also provides an optimal estimate of the interpolation ncertainty. In the third study, an observational dataset is created using this interpolation method and then applied to evaluate a climate simulation for Africa.
In the first study, the Regression-Kriging-Kriging (RKK) method is tested for the interpolation of daily minimum and maximum temperatures (Tmin and Tmax) in different regions in Europe. RKK accounts for elevation, continentality index and zonal mean temperature and is applicable in regions of differing station density and climate. The accuracy of RKK is compared to Inverse Distance Weighting, a common deterministic interpolation method, and to Ordinary Kriging, a common stochastic interpolation method. The first step in RKK is to use regression kriging, in which multiple linear regression accounts for topographical effects on the temperature field and kriging minimizes the regression error, to interpolate climatological means. In the second step daily deviations from the monthly climatology are interpolated using simple kriging. Owing to the large climatological differences across the investigation area the interpolation is performed in homogeneous subregions defined according to the Köppen-Geiger climate classification. Cross validation demonstrates the superiority of RKK over the simpler algorithms in terms of accuracy and preservation of spatial variability. The interpolation performance however strongly varies across Europe, being considerably higher over Central Europe (highest station density) than over Greenland (few stations along the coast line). This illustrates the strong impact of the station density on the accuracy of the interpolation result. Satellites provide comprehensive observations of climate variables such as land surface temperature (LST) and cloud cover (CC). However, LST is associated with high uncertainty (standard error ~ 1-2°C), preventing its direct application in meteorology and climatology. The second study investigates the usefulness of LST and CC as predictors for the gridding of daily Tmin and Tmax. The RKK algorithm is compared with similar interpolation methods that apply LST and CC in addition to the predictors used with the RKK algorithm. The investigation is conducted in two regions, Central Europe and the Iberian Peninsula, which differ strongly in average cloud cover (Central Europe is approximately 30% cloud free and the Iberian Peninsula approximately 60 % cloud free). RKKLST (in which monthly mean LST is used as an additional predictor) yields for Central Europe no clear improvement over RKK, yet it reduces the interpolation error over the Iberian Peninsula. This finding can be explained by the higher percentage of cloud free pixels over that region in summer which enables a more robust determination of monthly mean LST. Adding a regression step for daily anomalies (using the predictor CC) yields the RKRK method and improves the preservation of spatial variability over the Iberian Peninsula. Moreover, a successive reduction of the station number (from 140 to 10 stations) reveals an increasing superiority of RKKLST and RKRK over RKK in both regions.
The application of a gridded observational dataset for climate monitoring or climate model validation requires knowledge of the uncertainties associated with the dataset. The estimation of the interpolation uncertainty, here the inter quartile range is the used uncertainty measure, is therefore an important issue within the frame of this thesis. By means of cross validation it is shown that the largest uncertainties occur in regions of low station density (e.g. Greenland), in mountainous regions and along coastlines (in these regions model evaluation results should be interpreted carefully). The magnitude of the interpolation error mainly depends on the station density, while the complexity of terrain has substantially less influence. On average over all regions and investigation days the target precision of the uncertainty estimate is reached. However, on local scales and for single days it can be clearly over- or underestimated. The application of satellite-derived predictors (LST and CC) yields no noteworthy improvement of the uncertainty estimate.
In the last study two regional climate simulations for Africa using the ERA-Interim driven COSMO-CLM (CCLM) model at two different horizontal resolutions (0.22° and 0.44°) are validated. It is assessed whether observed patterns and statistical properties of daily Tmin and Tmax are correctly represented in the model. The ERA-Interim reanalysis and a specially created observational dataset are used as reference. The observational dataset is generated by applying the RKRK algorithm (developed within the second study). The investigations show an occasionally large bias in Tmin and Tmax. The hemispheric summers are generally too warm and the temporal variability in temperature is too high, particularly over extra tropical Africa. The diurnal temperature range is overestimated by about 2°C in the northern subtropics but underestimated by about 2°C over large parts of the African tropics. CCLM reproduces the observed frequency distribution of daily Tmin and Tmax in all African climate regions, and the extreme values in the lower percentiles (5, 10, 20%) for Tmin are well simulated. The higher percentiles (80, 90, 95%) for Tmax are however overestimated by 2-5°C. For both Tmin and Tmax the 0.22° simulation is on average 0.5°C warmer than the 0.44° simulation. Additionally, the higher percentiles are about 1°C warmer for both Tmin and Tmax in the higher resolution run, while the lower percentiles in both runs match very well. Although the temperature pattern is represented in more detail along the coastlines and in topographically complex regions, the higher resolution simulation yields no qualitative improvement.
To summarize, the choice of the appropriate algorithm mainly depends on the interpolation conditions. In cases where the station density is high across the target region and the predictor space is adequately covered by observing stations, the computationally less demanding RK algorithm should be preferred. In regions where the station density is low the more robust RKRK algorithm should be the first choice. Due to the strong physical relation of both CC and LST to Tmin and Tmax the missing information is at least partially compensated for. The estimation of the interpolation uncertainty could be improved by applying a normal score transformation to the data prior to a kriging step. This is because the kriging assumption that the increments of the variable of interest are second order stationary can be approximately met by a normal score transformation.
This paper investigates the potential impact of secondary information on rainfall mapping applying Ordinary Kriging. Secondary information tested is a natural area indicator, which is a combination of topographic features and weather conditions. Cross validation shows that secondary information only marginally improves the final mapping, indicating that a one-day accumulation time is possibly too short.
This study presents a method for adjusting long-term climate data records (CDRs) for the integrated use with near-real-time data using the example of surface incoming solar irradiance (SIS). Recently, a 23-year long (1983–2005) continuous SIS CDR has been generated based on the visible channel (0.45–1 μm) of the MVIRI radiometers onboard the geostationary Meteosat First Generation Platform. The CDR is available from the EUMETSAT Satellite Application Facility on Climate Monitoring (CM SAF). Here, it is assessed whether a homogeneous extension of the SIS CDR to the present is possible with operationally generated surface radiation data provided by CM SAF using the SEVIRI and GERB instruments onboard the Meteosat Second Generation satellites. Three extended CM SAF SIS CDR versions consisting of MVIRI-derived SIS (1983–2005) and three different SIS products derived from the SEVIRI and GERB instruments onboard the MSG satellites (2006 onwards) were tested. A procedure to detect shift inhomogeneities in the extended data record (1983–present) was applied that combines the Standard Normal Homogeneity Test (SNHT) and a penalized maximal T-test with visual inspection. Shift detection was done by comparing the SIS time series with the ground stations mean, in accordance with statistical significance. Several stations of the Baseline Surface Radiation Network (BSRN) and about 50 stations of the Global Energy Balance Archive (GEBA) over Europe were used as the ground-based reference. The analysis indicates several breaks in the data record between 1987 and 1994 probably due to artefacts in the raw data and instrument failures. After 2005 the MVIRI radiometer was replaced by the narrow-band SEVIRI and the broadband GERB radiometers and a new retrieval algorithm was applied. This induces significant challenges for the homogenisation across the satellite generations. Homogenisation is performed by applying a mean-shift correction depending on the shift size of any segment between two break points to the last segment (2006–present). Corrections are applied to the most significant breaks that can be related to satellite changes. This study focuses on the European region, but the methods can be generalized to other regions. To account for seasonal dependence of the mean-shifts the correction was performed independently for each calendar month. In comparison to the ground-based reference the homogenised data record shows an improvement over the original data record in terms of anomaly correlation and bias. In general the method can also be applied for the adjustment of satellite datasets addressing other variables to bridge the gap between CDRs and near-real-time data.
Die Prognose eines malignen Glioms ist trotz verschiedener Therapiemöglichkeiten noch immer sehr schlecht. Zwar hat sich für die Primärsituation seit 2005 eine Standardtherapie etabliert, doch im Rezidivfall fehlt es weiterhin an einer einheitlichen Behandlung. Das Ziel dieser retrospektiven Datenerfassung war es, den prognostischen Stellenwert klinisch- pathologischer Parameter zu vergleichen und eine Konsensempfehlung zu erarbeiten. Zusätzlich wurde ein Teil dieser Daten im Rahmen einer multizentrischen retrospektiven Analyse des DKTKs zur Validierung des im Zuge dessen entwickelten prognostischen RRRSs erhoben und verwendet.
Grundlage dafür bildeten die in der internen Datenbank „Orbis“ und in archivierten Patientenakten gespeicherten Daten von Patienten, die zwischen 07/2009 und 02/2017 in der Klinik für Strahlentherapie am Universitätsklinikum Frankfurt am Main therapiert wurden. Hierbei handelte es sich um Patienten mit einem histologisch gesicherten Glioblastomen WHO Grad IV zum Zeitpunkt der ReRT. Die mediane Gesamtdosis betrug 28 Gy (20-60 Gy), die mediane Einzeldosis 3,5 Gy/Tag (1,8-4 Gy).
Es wurden 102 Patienten eingeschlossen, wobei zwei Patienten als primäre Diagnose ein niedriggradiges Gliom WHO Grad I/II, sechs ein Astrozytom WHO Grad III und 96 ein Glioblastomen WHO Grad IV aufwiesen. Das durchschnittliche Alter betrug 55 Jahre und die mittlere Zeit zwischen initialer und erneuter RT 21,07 Monate. Im Rezidivfall unterzogen sich 40 Patienten einer chirurgischen Intervention, bei welcher es sich in 32 der Fälle um eine totale und acht Mal um eine subtotale Resektion handelte. Des Weiteren erhielten 52 der Patienten eine Chemotherapie mit Temozolomid, 20 eine mit CCNU, 17 mit Avastin und fünf bzw. acht ein anderes oder kein Chemotherapeutikum.
Das mOS nach initialer Diagnosestellung eines malignen Glioms ergab 42,64 Monaten, das progressionsfreie Überleben 14,77 Monate. Das mOS nach der ReRT lag bei 11,8 Monaten und der mediane Zeitraum bis zu einem erneuten Progress betrug 4,25 Monate.
Bezüglich der Primärdiagnose konnten die initiale Histologie (p = 0,002), das Alter (p = 0,016) und der MGMT-Promotor-Status (p = 0,001) als statistisch signifikante Einflussfaktoren identifiziert werden. Demnach wiesen jüngere Patienten mit einer niedriggradigeren Histologie sowie einer Hypermethylierung des MGMT-Promotors eine bessere Prognose auf. Der KPS (p < 0,001), die Zeit zwischen erster und zweiter Bestrahlung (p = 0,003), der MGMT-Promotor-Status (p = 0,025) und das Tumorwachstum (p = 0,024) waren determinante Faktoren hinsichtlich des Outcomes nach der ReRT. Außerdem zeigte sich, dass eine Gesamtstrahlendosis von mehr als 28,90 Gy auf statistisch signifikante Art und Weise (p = 0,042) mit einem längeren OS nach erneuter RT assoziiert war, sowie eine Parietal- bzw. Temporallappenlokalisation (p = 0,009) mit einem längeren progressionsfreien Überleben. Was die Therapiemodalitäten angeht, zeigte sich keine der anderen überlegen.
Die erneute Validierung dieser Daten mit dem RRRS ergab ebenfalls ein statistisch signifikantes Ergebnis bezogen auf die durchschnittliche Überlebenszeit zwischen den einzelnen prognostischen Gruppen ab dem Zeitpunkt der ReRT.
Die Ergebnisse dieser Arbeit legen dar, dass noch immer keine optimale Therapie für Patienten mit rezidivierendem Glioblastomen existiert und weiterhin Forschungsbedarf in der Modifizierung bestehender Behandlungsoptionen sowie in der Entwicklung neuer Therapiemöglichkeiten besteht. Des Weiteren unterstreichen sie die Wichtigkeit und den Wert spezifischer Einflussfaktoren zur Prognoseabschätzung und die Notwendigkeit des Einschlusses bedeutender neuer molekularer Marker anhand der WHO- Klassifikation von 2016 für zukünftige Studien.
"Mehr Licht!", um die "Seele" der Natur zu erfassen – das verband die Impressionisten mit der vorangegangenen Künstlergeneration um Camille Corot. Claude Monet und seine Kollegen suchten die Wälder und Parks auf, um Licht, Atmosphäre und Farbigkeit in ihrer Malerei festzuhalten. Dabei reagierten sie eher intuitiv auf die in jener Zeit intensiv erforschten optischen Gesetzmäßigkeiten.
The increasing demand of the high value ω-3 fatty acids due to its beneficial role for human health, explains the huge need for alternative production ways of ω-3 fatty acids. The oleaginous alga Phaeodactylum tricornutum is a prominent candidate and has been investigated as biofactory for ω-3 fatty acids, e.g. the synthesis of eicosapentaenoic acid (EPA). In general, the growth and the lipid content of diatoms can be enhanced by genetic engineering or are influenced by environmental factors, e.g. nutrients, light or temperature.
In this study, the potential of P. tricornutum as biofactory was improved by heterologously expressing the hexose uptake protein 1 (HUP1) from the Chlorophyte Chlorella kessleri.
An in situ localization study revealed that only the full length HUP1 protein fused to eGFP was correctly targeted to the plasma membrane, whereas the N-terminal sequence of the protein is only sufficient to enter the ER. Protein and gene expression data displayed that the gene-promoter combination was relevant for the expression level of HUP1, while only cells expressing the protein under the light-inducible fcpA promoter showed a significant expression. In these mutants an efficient glucose uptake was detectable under mixotrophic growth condition, low light intensities and low glucose concentrations leading to an increased cell dry weight.
In a second approach, the growth and lipid content of wildtype cells were analyzed in a small 1l photobioreactor. Here, a commercial F/2 medium and a common culture medium, ASP and modified versions were compared. There was neither a significant impact on the growth and lipid content in P. tricornutum cells due to the supplemention of trace elements nor due to elevated salt concentrations in the media. In a modified version of ASP medium, with adapted nitrate and phosphate concentration a constantly high biomass productivity was achieved, yielding the highest value of 82 mg l-1 d-1 during the first three days. This was achieved even though light intensity was reduced by 40%. The differences in biomass productivity as well as the lipid content and the lipid composition underlined the importance of the choice of culture medium and the harvest time for enhanced growth and EPA yields in P. tricornutum.
Die Transkription vieler Gene wird über den Acetylierungsgrad der Histone reguliert. Entsprechend erweiterte die Entdeckung von Histondeacetylase-Inhibitoren das Verständnis um Transkriptions-Repressoren und ihre Rolle in der Pathogenese beträchtlich. Zur Zeit stehen die Modifikationen der Histondeacetylasen (HDACs) sowie die biologischen Rollen der verschiedenen HDAC-Isoenzyme im Zentrum intensiver Forschungsarbeiten.
In der vorliegenden Arbeit wurde anhand verschiedener Zelllinien und mit murinem Primärmaterial nachgewiesen, dass das gut verträgliche Antiepileptikum Valproinsäure (VPA) ein potenter HDAC-Inhibitor ist. Dies zeigt sich daran, dass VPA in vivo die durch HDACs vermittelte transkriptionelle Repression aufhebt und zur Akkumulation hyperacetylierter Histone führt. In vitro Enzymassays weisen darauf hin, dass VPA selbst und nicht ein hypothetischer Metabolit die Histondeacetylasen hemmt. Darüber hinaus wurde mit Bindungs- und Kompetitionsstudien festgestellt, dass eine Interaktion von VPA mit dem katalytischen Zentrum der HDACs stattfindet.
Weitere Analysen zeigten, dass VPA bevorzugt Klasse I HDACs hemmt. Durch dieses Merkmal einer erhöhten Spezifität bei gleichzeitig guter Bioverfügbarkeit definiert VPA eine neue Klasse von HDAC-Inhibitoren. Hieraus ergeben sich Hinweise auf strukturelle Anforderungen, die ein HDAC-Inhibitor erfüllen muß, um spezifischer und weniger toxisch als konventionelle Chemotherapeutika zu wirken. Außerdem eröffnete das neu entdeckte pharmakologische Wirkungsspektrum von VPA auf HDACs Erkenntnisse um zusätzliche therapeutische Einsatzmöglichkeiten dieses etablierten Arzneimittels. Bereits jetzt wird VPA in klinischen Studien an Patienten mit Krebs verabreicht.
HDAC-Inhibitoren gelten als potentielle Medikamente für die Therapie maligner Neoplasien. Deshalb besteht großes Interesse an den molekularen Mechanismen, mit denen Substanzen dieser Wirkstoffklasse das Wachstum transformierter Zellen in vitro und in vivo hemmen. In den humanen Melanomzelllinien SK-Mel-37 und Mz-Mel-19 bewirken klinisch relevante VPA-Dosen eine zeit- und dosisabhängige Akkumulation von Zellzyklusinhibitoren und hyperacetylierten Histonen, morphologische Veränderungen und eine verringerte Proliferationsrate. Die verminderte Proliferation wird von einem veränderten Zellzyklusprofil und Apoptose unter Beteiligung sowohl der extrinsisch als auch der intrinsisch bedingten Caspase-Kaskade begleitet. Dies manifestiert sich in der Spaltung der Caspasen 3, 8 und 9, einer Schädigung der Mitochondrien, der apoptotischen PARP-Spaltung, einem Abbau der genomischen DNA und einer Inaktivierung des GFP-Proteins.
Diese Analysen in Melanomzellen sprechen dafür, dass die weitgehend selektive Wirkung von VPA auf Klasse I HDACs der Mechanismus ist, mit dem diese Substanz das Wachstum bestimmter Tumorzellen hemmt. Durch Genexpressions-Analysen konnten außerdem neue Modelle zum Einfluss von VPA auf solide Tumoren postuliert werden. Darüber hinaus wurde festgestellt, dass die Expression und Induzierbarkeit der Zellzyklusregulatoren p21WAF/CIP1 und p27Kip1 und des latent cytoplasmatischen Transkriptionsfaktors Stat1 Biomarker für die Sensitivität von Melanomzellen gegenüber HDAC-Inhibitoren sind. Im Einklang hiermit wird die proapoptotische Wirkung von VPA durch das Cytokin Interferon α und den S-Phase-Inhibitor Hydroxyharnstoff deutlich gesteigert. Diese Ergebnisse sprechen für den Einsatz von VPA in tierexperimentellen und klinischen Studien.
Aufgrund der Schlüsselrolle der HDACs für die physiologische und aberrante Genexpression ist es wichtig, die Mechanismen ihrer Regulation zu kennen. In der vorliegenden Arbeit wurde anhand zahlreicher kultivierter Zelllinien und mittels eines Mausmodells gezeigt, dass therapeutisch einsetzbare VPA-Dosen neben der Hemmung enzymatischer Aktivität auch zu einer isoenzymspezifischen Verringerung der Klasse I Histondeacetylase HDAC2 führen. Als Ursache hierfür konnten eine verstärkte Poly-Ubiquitinylierung und ein proteasomaler Abbau ermittelt werden. Gleichzeitig wurden die Beteiligung etlicher Proteasen und eine veränderte Synthese oder Prozessierung der HDAC2-mRNA als Mechanismen ausgeschlossen.
Expressionsanalysen identifizierten die E2 Ubiquitinkonjugase Ubc8 als von HDAC-Inhibitoren induziertes Gen. Mittels transienter Überexpression („Gain-of-Function“) und siRNA-Experimenten („Loss-of-Function“) konnte dieses Gen als limitierender Faktor des HDAC2-Umsatzes in vivo erkannt werden. Weiterhin wurde gezeigt, dass die E3 Ubiquitinligase RLIM spezifisch mit HDAC2 interagiert. Die Expression von RLIM beziehungsweise seine enzymatische Funktion beeinflusst die HDAC2-Konzentration in vivo. Hierbei kann VPA klar von dem HDACInhibitor Trichostatin A (TSA) abgegrenzt werden. Dieser hemmt ein breites Spektrum an HDACs und induziert Ubc8, führt aber gleichzeitig zu einem proteasomal vermittelten Abbau des RLIM-Proteins. Analysen mit überexprimiertem RLIM zeigten, dass TSA aufgrund dieses Mechanismus nicht in der Lage ist, den Abbau von HDAC2 zu induzieren. Somit ist im Rahmen dieser Arbeit die Ubiquitinylierungs-Maschinerie für HDAC2 charakterisiert worden. Hierdurch sind neue Aspekte zum Zusammenspiel zwischen dem Ubiquitin-Proteasom-System und der Transkriptionsrepression nachgewiesen worden.
Isoenzymspezifische HDAC-Inhibitoren können zur Aufklärung der Funktion einzelner Histondeacetylasen beitragen, insbesondere wenn Knock-Out-Studien zu aufwendig oder aufgrund embryonaler Letalität nicht durchführbar sind. Die Wichtigkeit dieser Analysen wird gerade bei HDAC2 deutlich, da diese Histondeacetylase in vielen soliden und hämatologischen Tumoren überexprimiert ist, und ihre Deregulation möglicherweise zur Krebsentstehung beiträgt. Die in der vorliegenden Arbeit identifizierte Regulation dieses HDAC-Isoenzyms könnte Hinweise auf den Ablauf eines malignen Transformationsprozesses geben. Darüber hinaus zeigt der nachgewiesene Regulationsmechanismus Erfordernisse und potentielle Zielstrukturen einer pharmakologischen Intervention auf. Schließlich könnten die Selektivität von VPA für Klasse I HDACs zusammen mit der Spezifität für HDAC2 die Gründe für die geringen Nebenwirkungen der VPA-Behandlung bei gleichzeitigem Auftreten antitumoraler Effekte sein.