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Die Arachidonsäurekaskade spielt bei Entzündungsprozessen und der Schmerzentstehung eine wichtige Rolle. Deren primäre Produkte, die Leukotriene und die Prostaglandine, sind entzündungsfördernde Mediatoren und nehmen Einfluss auf den Entzündungs-auflösendenprozess und sind bei einer Dysregulation für diverse Erkrankungen wie z.B. Asthma bronchiale und allergische Rhinitis mitverantwortlich. Die Kaskade gliedert sich mit ihren beiden Hauptenzymen, Cyclooxygenase und 5-Lipoxygenase (5-LO), in zwei Wege auf. Beide Enzyme sind außerdem in der Lage entzündungsauflösenden Mediatoren zu bilden. Die Mediatoren wie z.B. Lipoxin können im Zellstoffwechsel einerseits über die Lipoxygenase-Route, oder andererseits wie „aspirin-triggered“-Lipoxin von der durch geeignete Wirkstoffe acetylierten Cyclooxygenase-2 (COX-2) katalysiert werden. Diese Mediatoren werden benötigt, um (chronische) Entzündungen und beschädigtes Gewebe zurück zur Homöostase zu führen.
Die Pharmakotherapie chronisch entzündlicher Erkrankungen mit guter Wirksamkeit und verträglichem Profil bei Langzeiteinnahme stellt jedoch eine Herausforderung dar. Die Therapie verzögern oft, z. B bei Einnahme von nicht-steroidalen Antirheumatika (NSAR), die Entzündungsauflösung, da die Bildung von entzündungshemmenden und entzündungs-auflösenden Lipidmediatoren gehemmt werden. Die gezielte Modulation und Einflussnahme auf die Arachidonsäurekaskade an einem der beiden Enzyme, stellt daher einen guten Ansatz für eine verbesserte Therapiemöglichkeit von (chronischen) entzündlichen Krankheiten dar. Diese Arbeit beschäftigt sich mit der Synthese von Modulatoren und Inhibitoren der Arachidonsäurekaskade. Zum einen befasst sie sich mit der Entwicklung von irreversiblen COX-2-acetylierenden Substanzen als neues anti-entzündliches und entzündungsauflösendes Prinzip. Zum anderen mit der Untersuchung der Struktur-Wirkungsbeziehung (SAR) von 2-Aminothiazolen als direkte 5-LO-Inhibitoren ausgehend von SKI-II, welches zuvor als Leitstruktur zur Entwicklung von 5-LO-Inhibitoren entdeckt wurde.
Als Leitstrukturen für die irreversiblen COX-2-acetylierenden Substanzen wurden bekannte COX-2 selektive Substanzen ausgewählt sowie vereinzelte nicht-selektive NSAR. Es wurden an der COX-2 Kristallstruktur Docking-Studien durchgeführt, um die geeignetsten Positionen für die Einführung einer (labilen) Acetylgruppe zu identifizieren. Aufgrund dieser Studien wurden drei Positionen ausgewählt zur Derivatisierung. Es wurden daraufhin zahlreiche Derivate synthetisiert von Celecoxib, Valdecoxib, Rofecoxib, Etericoxib, als Vertreter der (COX-2) selektive Inhibitoren, sowie von Acetylsalicylsäure, Diclofenac und Nimesulid-Analoga als Vertreter der nicht-selektiven NSARs. Zusätzlich wurden Derivate synthetisiert mit Michael-Akzeptoren als kovalente bindende Komponente. Alle synthetisierten Substanzen wurden sukzessiv auf ihre COX inhibitorischen Eigenschaften hin untersucht und auf COX-2 Selektivitäten überprüft. Weiterhin wurden von allen Derivaten Auswaschungs-Studien durchgeführt als Vorversuche welche Derivate eine irreversible COX-2-Inhibition hervorrufen. In den Vorversuchen zeigte die Verbindung ST-1650 am deutlichsten eine COX-2-Selektivität sowie eine starke irreversible Inhibition der COX-2. Die Verbindung ST-1650 wurde weiterhin auf indirekte Hinweise zur Entstehung von heilungsfördernden Mediatoren untersucht anhand von: M1-Macrophagen Polarisation und einem Schmerzmodell, dem Zymosan-Überempfindlichkeit Pfotenmodell. Im Makrophagen-Modell konnte ST-1650 keine Phänotypverschiebung hinzu entzündungsauflösenden M2-Makrophagen bewirken, sowie in den Schmerzmodellen leider keine schnellere Schmerzauflösung als die Kontrollgruppe. Ob diese Effekte durch mangelnde oder zu geringer Entstehung von entzündungshemmenden Mediatoren zurückzuführen ist, ist noch unklar.
Für die SAR der 2-Aminothiazole als direkte 5-LO-Inhibitoren wurden über 60 Verbindungen synthetisiert und untersucht. Zu Beginn erfolgte eine Optimierung der Grundstruktur als 5-LO-Inhibitor. Es wurden die Einflüsse der Substituenten des Thiazolsrings und des Aminolinkers auf die 5-LO-Aktivität ermittelt, um die SAR initialer Arbeiten zu vertiefen. Nach der SAR-Untersuchung im intakten Zellsystem konnten durch Kombination bevorzugter Strukturelemente die zwei Verbindungen ST-1853 und ST-1906, als neue potente 5-LO-Inhibitoren entwickelt werden, die sich als nicht-toxisch herausstellten. Diese beiden 5-LO-Inhibitoren wirken um einen Faktor 10 potenter und sind weniger toxisch verglichen mit der Leitstruktur SKI-II. ST-1853 wurde innerhalb der Arachidonsäurekaskade auch auf Off-targets getestet, deren Aktivitäten sie erst bei 100-fach höherer Konzentration beeinflusst, sowie in humanem Vollblut, wo sie sich ihre 10-fach bessere Wirksamkeit im Vergleich zu SKI-II bestätigte. Darüber hinaus erwies sich ST-1853 bei den ersten Überprüfungen seiner Stabilität unter physiologischen Bedingungen wie bei der in vitro Metabolisierung durch Rattenlebermikrosomen als ausreichend stabil und daher zur weiteren Charakterisierung gut geeignet.
Reactivation of autophagy by spermidine ameliorates the myopathic defects of collagen VI-null mice
(2015)
Autophagy is a self-degradative process responsible for the clearance of damaged or unnecessary cellular components. We have previously found that persistence of dysfunctional organelles due to autophagy failure is a key event in the pathogenesis of COL6/collagen VI-related myopathies, and have demonstrated that reactivation of a proper autophagic flux rescues the muscle defects of Col6a1-null (col6a1(-/-)) mice. Here we show that treatment with spermidine, a naturally occurring nontoxic autophagy inducer, is beneficial for col6a1(-/-) mice. Systemic administration of spermidine in col6a1(-/-) mice reactivated autophagy in a dose-dependent manner, leading to a concurrent amelioration of the histological and ultrastructural muscle defects. The beneficial effects of spermidine, together with its being easy to administer and the lack of overt side effects, open the field for the design of novel nutraceutical strategies for the treatment of muscle diseases characterized by autophagy impairment.
Im Rahmen dieser Arbeit wurden grundlegende Eigenschaften von GEM-Verstärkungsstrukturen untersucht. Dies waren der Einfluss des Alignmenteffektes auf die Reproduzierbarkeit von Messungen, die Elektronenextraktionseffizienz von GEMs im allgemeinen und die Auswirkungen von Druckschwankungen auf die Gasverstärkung. Weiterhin wurden verschiedene vierlagige GEM-Verstärkungssysteme mit einer MP-GEM an erster Stelle in Hinblick auf Ionenrückfluss und Energieauflösung untersucht.
Der Alignmenteffekt ist noch nicht vollkommen verstanden und verlangt weitere Untersuchungen. Was aber definitiv gesagt werden kann ist, dass das Drehen der GEMs um 90° die Reproduzierbarkeit der Messergebnisse sicherstellt.
Die unterschiedlichen Elektronenextraktionseffizienzen der verschiedenen GEM-Typen sind noch unverstanden. Auch wenn die grundsätzliche Zunahme der Extraktion mit zunehmenden Transferfeld verständlich ist, so bleibt vor allem das Verhalten einer LP-GEM in diesem Kontext bis jetzt unerklärlich.
Die Versuche mit einer MP-GEM an erster Stelle einer vierlagigen Verstärkungsstruktur haben sich als keine Verbesserung im Vergleich zu den S-Konfigurationen herausgestellt. Auch wenn manche gefundenen Einstellungen die Kriterien von einem IBF von weniger als 1 % und einem σ(55Fe) von weniger als 12 % gleichzeitig erfüllen, liegen diese Messpunkte so knapp an den definierten Grenzen, dass sie nicht für den Betrieb in der Spurendriftkammer von ALICE geeignet sind. Eine Erkenntnis, die trotzdem gewonnen werden konnte, ist, dass sich das Verhalten von verschiedenen Konfigurationen verstehen lässt. So ist die beste untersuchte Konfiguration die MP-LP-LP-S-Konfiguration gewesen, danach folgte die MP-S-LP-S und als schlechteste hat die MP-S-LP-SP-Konfiguration abgeschnitten. Dies ist genau die gleiche Reihenfolge, wie sie auch bei den S-Konfigurationen auftritt: S-LP-LP-S, dann S-S-LP-S und danach S-S-LP-SP. Ein wichtiger Schritt in einem guten Kompromiss zwischen Ionenrückfluss und σ(55Fe), scheinen zwei LP-GEMs an zweiter und dritter Stelle zu sein und weniger der Lochabstand der letzten GEM.
Die Druckabhängigkeit der Gasverstärkung hat einen großen Einfluss auf die Verstärkung und damit auf die Reproduzierbarkeit von Messungen. Bei einem Höhenunterschied von ca. 400 m ergibt sich eine Änderung der Verstärkung von ca. 35 %. Zusätzlich wird dieser Effekt von lokalen Wetterbedingungen überlagert. Der Einfluss des Luftdruckes kann jedoch mit dem Fit in Abbildung 43 berücksichtigt und damit herausgerechnet werden
BACKGROUND: Secukinumab, a fully human anti-interleukin-17A monoclonal antibody, has shown superior efficacy to etanercept with similar safety in moderate to severe plaque psoriasis (FIXTURE study).
OBJECTIVE: We sought to directly compare efficacy and safety of secukinumab versus ustekinumab.
METHODS: In this 52-week, double-blind study (NCT02074982), 676 subjects were randomized 1:1 to subcutaneous injection of secukinumab 300 mg or ustekinumab per label. Primary end point was 90% or more improvement from baseline Psoriasis Area and Severity Index (PASI) score (PASI 90) at week 16.
RESULTS: Secukinumab (79.0%) was superior to ustekinumab (57.6%) as assessed by PASI 90 response at week 16 (P < .0001). The 100% improvement from baseline PASI score at week 16 was also significantly greater with secukinumab (44.3%) than ustekinumab (28.4%) (P < .0001). The 75% or more improvement from baseline PASI score at week 4 was superior for secukinumab (50.0%) versus ustekinumab (20.6%) (P < .0001). Percentage of subjects with the Dermatology Life Quality Index score 0/1 (week 16) was significantly higher with secukinumab (71.9%) than ustekinumab (57.4%) (P < .0001). The safety profile of secukinumab was comparable with ustekinumab and consistent with pivotal phase III secukinumab studies.
LIMITATIONS: The study was not placebo-controlled and of short-term duration.
CONCLUSIONS: Secukinumab is superior to ustekinumab in clearing skin of subjects with moderate to severe psoriasis and improving health-related quality of life with a comparable safety profile over 16 weeks.
The Time Projection Chamber (TPC), a large gaseous detector, is the main particle identification device of the ALICE experiment at the CERN LHC. The desired performance of the TPC defines the requirements for the gas mixture used in the detector. The active volume was filled with either Ne-CO2 (90-10) or Ne-CO2-N2 (90-10-5) during the first LHC running period. For LHC Run 2 the gas mixture is changed to Ar-CO2. Calculations of relevant gas properties are performed for Ar-based gas mixtures and compared to Ne-based gas mixtures to identify the most suitable Ar mixture. The drift velocity of ions in Ar is lower than in Ne. The closing time of the gating grid has to be adjusted accordingly to avoid drift field distortions due to back-drifting ions. The drift times of ions in the TPC readout chambers are calculated for the respective gas mixtures to determine the time to collect all ions from the amplification region. For LHC Run 3 the TPC readout chambers will be upgraded. The Multiwire Proportional Chambers (MWPCs) will be replaced by readout chambers based on Gas Electron Multipliers (GEMs) which are operated in continuous mode. As a consequence an ion backflow of the order of 1% causes significant space-charge distortions in the TPC drift volume. Similar distortions are expected in data taken specifically for the study of space-charge effects at the end of Run 1. The gating grid of the MWPCs is operated in the open state allowing the ions from the amplification region to enter the drift volume. The magnitude of the distortions in this data is measured and compared to the expectations for the TPC upgrade and results from current simulations.
Im Laufe dieser Bachelor-Arbeit wurden verschiedene GEM-Anordnungen systematisch auf ihr IBF-Verhalten hin untersucht. Neben der Reproduktion zuvor durchgeführter Messungen wurden auch neue GEM-Kombinationen getestet. Insbesondere lag der Fokus darauf, eine Verbesserung des IBFs gegenüber des Baseline-Setups zu erzielen. Dabei kamen neben der bisher verwendeten S und LP Folien auch SP Folien zum Einsatz. Die Messungen brachten jedoch kein Ergebnis hervor, welches als Verbesserung gegenüber der Ausgangslage angesehen werden könnte. Da mit SP GEMs zuvor wenig gearbeitet wurde, war es unter anderem ein Ziel, zu untersuchen, wie sich die Verwendung dieser GEMs auf den IBF auswirkt. Insbesondere war die Frage zu klären, ob durch ihre Verwendung der IBF des Baseline-Setups
verbessert werden kann. Zum besseren Verständnis wurde ebenfalls eine Variante, S-S-LPS, untersucht. Für dieses Setup konnte durch die Verwendung einer SP Folie auf Position 4 eine Verbesserung des IBF bewirkt werden, für das Baseline-Setup jedoch nicht. Ein wesentliches Ergebnis dieser Bachelor-Arbeit war, dass das Alignment der GEMs, entgegen bisheriger Annahmen, eine große praktische Relevanz hat. Die relative Orientierung zweier aufeinander folgender GEMs gleichen Lochabstands zueinander hat einen großen Ein
uss auf die lokale Ionentransmission. Eine genauere Untersuchung hat ergeben, dass man dem entgegenwirken kann, indem man aufeinander folgende GEMs um 90° gedreht einbaut. Aufgrund der Geometrie der Folien verhindert man dadurch, dass sich die Löcher zweier Folien direkt ßber- bzw. untereinander anordnen. Ein solcher Aufbau konnte durch eine geringfügige Modifikation der Testkammer erreicht werden.
Mit diesem veränderten Aufbau wäre es nun das Ziel gewesen, alle bisherigen Messungen zu wiederholen und auf Reproduzierbarkeit hin zu überprüfen. Die Wiederholung einer Messreihe mit um 90° gedrehten GEMs hat im Rahmen der Fehlertoleranzen reproduzierbare
Ergebnisse geliefert. Aus zeitlichen Gründen war es jedoch im Rahmen dieserArbeit nicht möglich, eine vollständige Wiederholung aller Messungen durchzuführen. Dies wurde zu einem späteren Zeitpunkt von anderen Personen getan.
In the last couple of years the research on natural products concerning ecological questions has gained more and more interest. Especially natural products play an important role for the maintenance of symbiotic relationships.
Here we present the application of the “overlap extension PCR-yeast homologous recombination“(ExRec) to simplify the availability of natural products. We successfully cloned a 45 kb gene cluster and characterized two new peptides ambactin and xenolindicin from Xenorhabdus – the latter derived from a silent gene cluster. ExRec is a very efficient cloning technique and resembles a powerful method regarding the assembly of large gene clusters as well as the cloning from metagenomic libraries or RNA pools.
In addition, we discovered bacterial pyrrolizidine alkaloids from Xenorhabdus, referred to as pyrrolizixenamides. The gene cluster consisted of a NRPS and a hydroxylase encoding gene. Surprisingly, this gene cluster and its variations (type A to D) can be found throughout the bacterial kingdom which might indicate an essential function. While these substances are mainly known to play a role in the defense mechanism of plants, the function of the identified pyrrolizixenamides from Xenorhabdus yet remains unsolved.
Moreover, we firstly identified a phosphopantetheinyl transferase (PPTase) from the lichenized fungus of Evernia prunastri. The gene eppA encoding a Sfp-type PPTase was heterologously expressed in Escherichia coli and Saccharomyces cerevisiae and functional characterized by indigoidine production and complementation of lys5, respectively. All represented results contribute to the elucidation of natural products and thereby to their role in nature with special regard to symbiotic associations.
HDAC inhibitors (HDACI), a new class of anticancer agents, induce apoptosis in many cancer entities. JNJ-26481585 is a second generation class І HDACI that displays improved efficacy in preclinical studies compared to the established HDACI SAHA (Vorinostat). Therefore, this study aims at evaluating the effects of JNJ-26481585 on human rhabdomyosarcoma (RMS) and at identifying novel synergistic interactions of JNJ-26481585 or the more common HDACI SAHA with different anticancer drugs in RMS cells. Indeed, we show that JNJ-26481585 and SAHA significantly increase chemotherapeutic drug-induced apoptosis in embryonal and alveolar RMS cell lines, when used in combination with chemotherapeutic agents (i.e. doxorubicin, etoposide, vincristine, and cyclophosphamide) which are currently used in the clinic for the treatment of RMS.
We demonstrate that JNJ-26481585 as single agent and in combination with doxorubicin induces apoptosis, which is characterized by activation of the caspase cascade, PARP cleavage, and DNA fragmentation. Induction of caspase-dependent apoptotic cell death is confirmed by the use of the broad-range caspase inhibitor zVAD.fmk, which significantly decreases both JNJ-26481585-triggered and combination treatment-mediated DNA fragmentation, and in addition completely abrogates loss of cell viability. Importantly, JNJ-26481585 significantly inhibits tumor growth in vivo in two preclinical RMS models, i.e. the chicken chorioallantoic membrane (CAM) model and a xenograft mouse model, supporting the notion that JNJ-26481585 hampers tumor maintenance. Also, in combination with doxorubicin JNJ-26481585 significantly reduces tumor growth in in vivo experiments using the CAM model.
Mechanistically, we identify that JNJ-26481585-induced apoptosis is mediated via the intrinsic apoptotic pathway, since we observe increased loss of mitochondrial membrane potential and activation of the proapoptotic Bcl-2 family members Bax and Bak. Interestingly, we find that JNJ-26481585 triggers induction of Bim, Bmf, Puma, and Noxa on mRNA level as well as on protein level, pointing to an altered transcription of BH3-only proteins as important event for the Bax/Bak-mediated loss of mitochondrial membrane potential as well as mitochondrial apoptosis induction upon JNJ-26481585 treatment. JNJ-26481585-initiated activation of Bax and Bak is not prevented with the addition of zVAD.fmk, suggesting that JNJ-26481585 first disrupts the mitochondria and subsequently activates the caspase cascade. When JNJ-26481585 is used in combination with doxorubicin, we observe not only an increase of proapoptotic Bcl-2 proteins, but also a decrease in the level of the antiapoptotic mitochondrial proteins Bcl-2, Mcl-1, and Bcl-xL. This indicates that Bax, Bak, Bim, and Noxa are crucial for JNJ-26481585-induced as well as JNJ/Dox treatment-induced apoptosis, since RNAi mediated silencing of Bax, Bak, Bim, and Noxa significantly impedes DNA fragmentation upon those treatments.
Furthermore, ectopic overexpression of Bcl-2 profoundly impairs both JNJ-26481585 and combination treatment-mediated apoptosis, abrogates caspase cleavage, and reduces activation of Bax and Bak, underlining the hypothesis that JNJ-26481585 initially targets the mitochondria and then activates caspases.
With the more commonly used HDACI SAHA we confirm the results obtained with the HDACI JNJ-26481585, since combination treatment with SAHA and doxorubicin also induces intrinsic apoptosis, which can be significantly diminished by zVAD.fmk or ectopic overexpression of Bcl-2. Treatment with SAHA and doxorubicin also affects expression levels of pro- and antiapoptotic mitochondrial proteins, thus shifting the balance towards the proapoptotic mitochondrial machinery, resulting in Bax/Bak activation, caspase activation, and subsequently apoptosis.
Taken together, we provide evidence that the HDACIs JNJ-26481585 and SAHA are promising therapeutic agents for the treatment of RMS and that combination regimens with HDACIs represent an efficient strategy to prime RMS cells for chemotherapy-induced apoptosis. These findings have important implications for mitochondrial apoptosis-targeted therapies of RMS.
In order to investigate the diversity of the western honeybee, Apis mellifera L., in West and Central Africa, a total of 204 colonies were sampled from 44 localities in four countries – Nigeria, Niger, Cameroon and Chad. 86 of these colonies, from 23 localities, were subjected to full morphometric analysis. In a principal component analysis (PCA) of the morphometric data, the colonies formed a single cluster. It also revealed that overall size of the body was the most important source of variation between the colonies. A hierarchical structure analysis, followed by a stepwise discriminant analysis, classified the colonies into three distinct morphoclusters; however, these clusters were not geographically demarcated. In another PCA carried out with the samples under investigation and reference samples of A. m. adansonii, A. m. jemenitica and A. m. scutellata, the colonies under investigation again formed one cluster which lying over and extended beyond the clusters of the reference subspecies. This is suggestive of a wider variation in size in the bees under investigation. In a stepwise DA, 94.2% of cross-validated grouped cases were correctly classified and the distances between group centroids were highly significant (p < 0.0005) according to F-statistic. 61 and 22 of the 83 colonies under investigation were assigned to A. m. jemenitica and A. m. adansonii, respectively. Mitochondrial DNA analysis was carried out on 148 colonies from 39 localities. Four mitochondrial haplotypes, previously reported from Africa and belonging to the African mitochondrial lineage, A, were detected: A1 (n = 62), A4 (n = 70), A4' (n = 15) and A14 (n = 1). The overall haplotype diversity was low (h = 0.478 ± S. E. 0.057). A chi-square test for association was conducted between haplotypes and type of vegetation, latitude, longitude, altitude, temperature and rainfall, severally. There was a statistically significant association between haplotype and each of the six variables and the association was strong with latitude, moderate with vegetation and rainfall and weak with the remaining variables. The neighbour-joining, maximum likelihood and maximum parsimony trees, obtained from sequence variation of the cytochrome b gene of mitochondrial DNA, showed that the samples, from the current study, unambiguously clustered with the reference sequences of A. m. scutellata from Kenya, but without showing further subdivision within this sub-Saharan cluster. 133 workers (one per colony) collected from 38 localities were subjected to microsatellite analysis. A total of 292 different alleles were recorded for the 15 microsatellite loci used. All microsatellite loci were polymorphic and the number of different alleles per locus ranged between 10, in locus At163, and 31, in locus A029. Heterozygosity (or gene diversity) was high in all loci. The unbiased expected heterozygosity, which is a better expression of gene diversity, was 0.861 ± S.E. 0.017. The overall FST value, which is a good estimate of genetic differentiation of populations, was very low: 0.007 ± S.E. 0.001 (0.001 - 0.014). AMOVA and Bayesian assignment showed no differentiation of the investigated populations. Based on morphometric analysis, the results of this study present the honeybees of western Africa as a single entity with an internal variation which lacks a geographical demarcation. Consequently the results do not support the splitting of the honeybees of the region into the two subspecies, A. m. adansonii and A. m. jemenitica, as reported in the literature. More morphometric, molecular, physiological and behavioural studies are required to confirm the taxonomic status of the honeybees of the region. Meanwhile, the use of A. m. adansonii, as the sole sub-specific name for the honeybees of West and Central Africa, is recommended.
The ability of hematopoietic stem cells (HSCs) to self-renew is a prerequisite for the establishment of definitive hematopoiesis and life-long blood regeneration. Here, we report the single-stranded DNA-binding transcriptional regulator far upstream element (FUSE)-binding protein 1 (FUBP1) as an essential factor of HSC self-renewal. Functional inactivation of FUBP1 in two different mouse models resulted in embryonic lethal anemia at around E15.5 caused by severely diminished HSCs. Fetal and adult HSCs lacking FUBP1 revealed an HSC-intrinsic defect in their maintenance, expansion, and long-term blood reconstitution, but could differentiate into all hematopoietic lineages. FUBP1-deficient adult HSCs exhibit significant transcriptional changes, including upregulation of the cell-cycle inhibitor p21 and the pro-apoptotic Noxa molecule. These changes caused an increase in generation time and death of HSCs as determined by video-microscopy-based tracking. Our data establish FUBP1 and its recognition of single-stranded genomic DNA as an important element in the transcriptional regulation of HSC self-renewal.
RUCAM (Roussel Uclaf Causality Assessment Method) or its previous synonym CIOMS (Council for International Organizations of Medical Sciences) is a well established tool in common use to quantitatively assess causality in cases of suspected drug induced liver injury (DILI) and herb induced liver injury (HILI). Historical background and the original work confirm the use of RUCAM as single term for future cases, dismissing now the term CIOMS for reasons of simplicity and clarity. RUCAM represents a structured, standardized, validated, and hepatotoxicity specific diagnostic approach that attributes scores to individual key items, providing final quantitative gradings of causality for each suspect drug/herb in a case report. Experts from Europe and the United States had previously established in consensus meetings the first criteria of RUCAM to meet the requirements of clinicians and practitioners in care for their patients with suspected DILI and HILI. RUCAM was completed by additional criteria and validated, assisting to establish the timely diagnosis with a high degree of certainty. In many countries and for more than two decades, physicians, regulatory agencies, case report authors, and pharmaceutical companies successfully applied RUCAM for suspected DILI and HILI. Their practical experience, emerging new data on DILI and HILI characteristics, and few ambiguous questions in domains such alcohol use and exclusions of non-drug causes led to the present update of RUCAM. The aim was to reduce interobserver and intraobserver variability, to provide accurately defined, objective core elements, and to simplify the handling of the items. We now present the update of the well accepted original RUCAM scale and recommend its use for clinical, regulatory, publication, and expert purposes to validly establish causality in cases of suspected DILI and HILI, facilitating a straightforward application and an internationally harmonized approach of causality assessment as a common basic tool.
G protein coupled receptors (GPCRs) constitute the largest family of cell-surface receptors in mammals and are key players in signal transduction. By responding to a plethora of extracellular stimuli ranging from photons to amines to fatty acids to peptides and proteins, these receptors trigger intracellular signalling cascades and regulate a variety of cellular responses. Approximately 800 genes in humans encode GPCRs which are classified according to sequence conservation into rhodopsin-like, glutamate, adhesion, frizzled/taste2 and secretin receptors. GPCRs share a seven transmembrane domain fold undergoing a conformational change upon ligand binding which is translated to the intracellular surface of the receptor thereby allowing a heterotrimeric G protein to couple. Heterotrimeric G proteins consist of a Ga, Gb and Gg subunit and dissociate into their Ga and Gbg entities upon activation by a GPCR. Subsequently, distinct signalling cascades are triggered by each G protein protomer.
Membrane proteins and GPCRs in particular, are highly important targets in drug design and development as currently approximately 60% of all marketed drugs target membrane proteins. Although these classes of proteins are of high therapeutic interest, our understanding of their mechanism of action and structure remains limited. The first structure of a human GPCR was determined in 2007 and required the development of protein engineering and innovative crystallisation techniques. Since then, approximately 130 GPCR structures of less than 40 individual receptors have been determined providing insights into the structural arrangement of the transmembrane helices, ligand binding pockets and G protein interactions. Combined with spectroscopic methods, these studies allowed a more detailed understanding of the molecular aspects of GPCR activation and signalling. Despite the tremendous advances in GPCR structural biology, certain aspects of GPCR function still remain poorly understood. Due to their size and inherent flexibility, the interaction of protein and peptide ligands with their receptors remains a challenging aspect in the structural characterisation of GPCRs. Moreover, structural information on subtype selectivity of peptide ligands continues to be scarce. To contribute functional and structural information on the molecular mechanisms of peptide interactions with GPCRs, this thesis focused on characterising receptors from the chemoattractant cluster using radioligand binding assays as well as NMR spectroscopy.
The chemoattractant cluster mainly groups the kinin, angiotensin, anaphylatoxin chemotactic complement and apelin receptors according to conserved residues in their ligand binding cavities. All receptors in this cluster bind to peptide ligands deriving from high molecular weight protein precursors upon proteolytic processing. Comparable to the conserved binding pocket of the chemoattractant receptors, the peptide ligands display a certain sequence conservation although they differ strongly in size. The largest ligands used in this thesis are the anaphylatoxins complement 3a and 5a, comprising 77 or 74 residues, respectively. Due to their size and complex fold involving three intramolecular disulphide bonds, solid phase synthesis is impossible, which prompted us to develop a modified cell-free expression system to produce these ligands in tritiated form for subsequent functional characterisation of the complement receptors. To demonstrate the versatility of the developed system, it was applied to another disulphidebond containing peptide ligand, the 21 amino acid endothelin-1. We describe a reliable and multifaceted tool to generate custom labelled peptide ligands for the structural and functional characterisation of GPCRs. The system allows the production of custom radioligands, peptides labelled for NMR studies or with fluorescent amino acids.
Apart from the modulation of GPCR activity by orthosteric ligands, GPCR signalling has long been described to be regulated by allosteric ligands including peptides, small molecules and ions. In this thesis, the influence of sodium ions on the activity state of the chemoattractant cluster receptors and in particular on the apelin, bradykinin 2 and angiotensin II type 1 receptors was examined. In recent high resolution crystal structures an allosteric sodium ion pocket beneath the orthosteric ligand binding cavity was identified and residues contributing to the coordination of sodium ions are conserved throughout the chemoattractant cluster receptors. This allosteric sodium ion coordinated within the transmembrane domain bundle has been described to negatively influence the affinity of agonists but not of antagonists. It was found that sodium ions have distinct influences on the affinity state as well as the available number of binding sites of the chemoattractant receptors. In case of the apelin and bradykinin 2 receptors, sodium ions drastically reduced the number of available binding sites whereas the affinity of peptide ligands to the bradykinin 2 receptors remained constant and the ligand binding affinities to the apelin receptor were completely abolished. In contrast, the angiotensin II type 1 receptor affinity state towards the endogenous peptide ligand angiotensin II is highly dependent on the presence of sodium ions, whereas binding of the synthetic peptide antagonist Sar1-Ile8-angiotensin II remained unaffected by the sodium ion concentration. As differential effects irrespective of the efficacy class but dependent on the amino acid composition of the applied ligands are observed, it can be concluded that electrostatic interactions between charged residues of the peptide ligands and amino acids on the extracellular surface of the receptors are influenced by sodium ions thereby adding another layer of complexity on GPCR signalling.
To elucidate the structure-function relationship of ligand selectivity between the kinin receptors, the structure of desArg10-kallidin (DAK) bound to the bradykinin 1 receptor was determined using solid state NMR (SSNMR) in the course of this thesis. The kinin peptides DAK and bradykinin bind with high affinity and high selectivity to either the bradykinin 1 or bradykinin 2 receptor, respectively. The binding pockets of the receptors are highly conserved and the two peptide ligands only differ in one amino acid at their N- and C-termini whereas the remaining eight amino acids are fully conserved. DAK adopts a U-shaped structure when bound to the bradykinin 1 receptor which resembles a horse shoe-like conformation. Using 2D TEDOR spectroscopy it could furthermore be demonstrated that positively charged residues at the N-terminal part of the peptide engage in ionic interactions with negatively charged amino acids on the extracellular surface of the bradykinin 1 receptor. In contrast, bradykinin displays a distinct b-turn at the C-terminus and an S-shaped conformation of the N-terminal segment when bound to the bradykinin 2 receptor. By using SSNMR to study the binding mode of DAK on the bradykinin 1 receptor we could determine that subtype selectivity between the kinin receptors is conferred by distinct conformational restraints within the peptide ligands and by the formation of specific ionic interaction between charged residues on the peptide and receptor, respectively.
In brief, this thesis contributes structural and functional data on the binding mechanisms and binding mode of different peptide-ligand GPCRs helping to understand subtype selectivity and allosteric modulation of the chemoattractant cluster receptors. In addition, a versatile cell-free expression system was developed that allows the custom synthesis of isotopically labelled peptides containing disulphide bonds for the functional characterisation of GPCRs.
The neural crest gives rise to the neurons and glial cells of the peripheral nervous system (PNS) (Bronner-Fraser and Fraser, 1989; Frank and Sanes, 1991). Self-renewing neural crest-derived stem cells (NCSCs) are present in migratory neural crest and various postmigratory locations, including peripheral ganglia (Duff et al., 1992; Morrison et al., 1999; Kruger er al., 2002). It is demonstrated that NCSCs from embryonic mouse dorsal root ganglia (DRG) are reprogrammed in neurosphere (NS) cultures in the presence of EGF and FGF. Reprogrammed NCSCs (rNCSCs) generate exclusively central nervous system (CNS) progeny, both in vitro and upon transplantation into the mouse brain (Binder et al., 2011). In this study the timing and mechanisms underlying the reprogramming were addressed. Most of the cells acquire CNS characteristics at passage 2, reaching a stable proportion of >90% of Olig2-positive cells at passage 3, which is maintained at least up to passage 10. The PNS marker p75 is completely lacking from passage 3 onwards. Furthermore, it was shown that the reprogramming does not involve a transient pluripotency state. This suggests a direct reprogramming of NCSCs to cells with CNS identity. The reprogramming leads to a stable CNS identity as shown by delayed BMP4 application. This result is in agreement with the previous observation that rNCSCs only generate CNS progeny, in particular mature myelinating oligodendrocytes, upon transplantation into embryonic, postnatal and lesioned adult mouse brains (Binder et al., 2011). Genome wide gene expression profiles of rNCSC NS demonstrates already in culture a complete switch to a (spinal cord stem cell) SCSC CNS identity. These results demonstrate a complete reprogramming of PNS progenitors to CNS identity without genetic modification and imply PNS cells as a source for stem cell-based CNS therapy.
The reprogramming of NCSCs is completely blocked in the presence of BMP4 in NS cultures, as shown by the expression of neural crest markers p75 and Sox10. In addition, BMP4 NCSCs generate PNS neurons (Tuj1/Phox2b- and Peripherin/Tuj1-coexpressing cells) and Schwann cells (O4/p75-coexpressing cells). Genome wide gene expression profiles of BMP NCSCs demonstrate that BMP NCSCs express genes at high levels which are characteristic for neural crest/neural crest derivatives, mesenchymal derivatives of neural crest and perivascular pericytes/MSCs. On the other hand CNS marker genes are restricted to rNCSCs and are only expressed at background or undetectable levels in BMP NCSCs. These findings imply that the CNS versus PNS identity is controlled by antagonistic functions of FGF and BMP4.
The use of rNCSCs for cell therapies requires an accessible source of these cells in the adult organism. Since the DRG is not an easily approachable tissue source, the adult mouse palate, containing NCSCs, was chosen. These results suggest that pNCSCs arise from Sox10-positive neural crest-derived stem cells, that downregulate PNS marker gene expression, such as Sox10 and p75, in NS culture. Contrary to rNCSCs, CNS marker upregulation was not observed. Notably, genome wide gene expression profiles of pNCSCs demonstrate an enrichment of genes expressed by mesenchymal derivatives and perivascular pericytes/mesenchymal stem cells. Since the cranial crest gives rise, besides PNS neural progeny and melanocytes, to mesenchymal derivatives, the results demonstrate that pNCSCs have a restricted developmental potential in comparison to rNCSCs and acquire mostly normal fates of the cranial neural crest.
Taken together, the results demonstrate that rNCSCs acquire a SCSC identity in the presence of EGF and FGF and that the reprogramming can be efficiently blocked by BMP4. On the other hand, NCSCs derived from adult palate rather acquire mesenchymal fates and do not acquire a CNS identity under the conditions used.
Die 5-Lipoxygenase (5-LOX) stellt den Startpunkt des Leukotrienstoffwechsels dar, da sie Arachidonsäure (AA) über die 5(S)-Hydroperoxy-6-trans-8,11,14-cis-eicosatetraensäure (5-HpETE) in Leukotrien A4 (LTA4) umwandelt. 5-HpETE kann zum korrespondierenden Alkohol 5(S)-Hydroxy-6-trans-8,11,14-cis-eicosatetraensäure (5-HETE) reduziert werden. LTA4 dient als Zwischenprodukt für die Synthese von LTB4 und den Cysteinyl-gebundenden LTs LTC4, LTD4 und LTE4. LTs nehmen eine wichtige Funktion in der Immunabwehr ein, sind jedoch auch an einer Vielzahl von Krankheitsgeschehen wie z. B. Asthma bronchiale, Atherosklerose und einiger Tumorarten beteiligt. Die 5-LOX teilt sich in zwei Domänen auf: der reglatorischen, N-terminalen Domäne und der katalytischen, C-terminalen Domäne. Ihre Aktivität unterliegt einer komplexen allosterischen Regulation und kinetischen Besonderheiten wie einer Substratinhibition. In vielen Fällen ist die regulatorische PLAT-(Polycystin-1, Lipoxygenase, alpha-Toxin)-Domäne involviert. Sie ist essentiell an der Bindung von Calcium, Membranen und weiterer Faktoren wie dem Coactosin-like protein (CLP) und Dicer beteiligt. Auch eine zweite Bindungsstelle für das Substrat oder einen seiner Metaboliten wird dort vermutet. Letztlich bleibt jedoch die Regulation der 5-LOX-Aktivität durch die PLAT-Domäne unzureichend geklärt. Diese Tatsache und die fortwährende Suche nach neuen Ansatzpunkten für die 5-LOX-Inhibition bilden den Hintergrund, vor dem diese Arbeit angefertigt wurde.
Das Ziel lag in der Entwicklung einer stabilen, isolierten PLAT-Domäne und deren Charakterisierung. Es stellte sich jedoch heraus, dass sich die isolierte Domäne durch eine hohe thermische Instabilität und starke Aggregationsneigung auszeichnet. Mittels Mutationsstudien auf Basis der 5-LOX AS 1-115, verbunden mit Gelfiltrationsläufen zur Analyse der Proteinaggregation, wurde schließlich ein Konstrukt entwickelt, das in Konzentrationen < 0,5 mg/ml als Monomer vorlag: die sogenannte PLAT1-115 W75G. Ein Austausch des W75 in Glycin erhöhte ebenfalls die thermische Stabilität, so dass Versuche bei 20°C durchgeführt werden konnten. Zunächst wurden jedoch die grundlegenden Eigenschaften der Mutante untersucht. Dies umfasste die Beantwortung der Frage, ob auch die PLAT1-115 W75G Calcium bindet, sowie die Aufnahme eines Circulardichroismus-(CD)-Spektrums. Der erste Aspekt konnte mit mehreren Methoden bestätigt werden. Eine Calciumzugabe zum Laufpuffer 20 mM MOPS, 50 mM KCl pH 7,4 erhöhte konzentrationsabhängig das Elutionsvolumen der PLAT1-115 W75G auf der analytischen Gelfiltrationssäule – vermutlich durch den bekannten Einfluss von Calcium auf die Hydrophobizität der PLAT-Domäne. Zusätzlich wurde die Interaktion durch differential scanning fluorimetry (DSF) und Oberflächen-Plasmonen-Resonanz-Spektroskopie (SPR) nachgewiesen. Allerdings gelang aus verschiedenen Gründen keine Quantifizierung der Bindungsaffinität. Das CD-Spektrum bestätigte die Struktur der PLAT-Domäne als sogenanntes all-beta_protein und ermöglichte die Einordnung der PLAT1-115 W75G in die Gruppe der betaII-Proteine.
Ein weiterer Fokus dieser Arbeit lag auf der vermuteten allosterischen Fettsäurebindungsstelle in der PLAT-Domäne. Es wurde versucht, die Interaktion mittels SPR nachzuweisen. Zur Vorbereitung wurde im 5-LOX-Aktivitätstest und im DSF an der isolierten Domäne ein Detergens bestimmt, das einen möglichst geringen Einfluss auf das Protein ausübt. Dabei zeigte Octyl-beta-D-glucopyranosid (beta-OG) das vorteilhafteste Profil. Auf dieser Basis wurde die kritische Mizellbildungs-Konzentration (CMC) der AA und einiger HETEs in beta-OG-haltigen Puffern bestimmt. Die SPR-Studien ergaben jedoch keine reproduzierbaren Ergebnisse. In einem weiteren Schritt wurden die Substrathemmung des Gesamtproteins 5-LOX und der Einfluss von Calcium charakterisiert. Sowohl in Gegenwart von ~ 1 mM freiem Calcium als auch von 1 mM EDTA lag mit 20 µM AA die höchste Produktbildung nach 10-minütiger Reaktion vor. Das Detergens Tween20 (T20) hob in einer Konzentration unter seiner CMC (0,001 % m/V) in Anwesenheit von Calcium die Inhibition auf. Ohne Calcium zeigte sich auch in Gegenwart von T20 die bekannte Substratinhibition der 5-LOX einschließlich ihrer Maximalaktivität bei 20 µM AA. Diese Ergebnisse deuten darauf hin, dass Calcium eine Bindung der 5-LOX an eventuell vorhandene, negativ geladene Vesikel aus AA und Detergens vermitteln und dadurch die Substratinhibition aufheben kann. In Fällen, in denen die Substratinhibition vor dem Erreichen der AA-CMC auftritt, hat Calcium folglich keinen Einfluss.
Zuletzt wurde die Interaktion der PLAT1–115 W75G mit CLP und einem C-terminalen Fragment von Dicer untersucht. Im Crosslinking ließ sich nicht auf eine Interaktion der isolierten PLAT-Domäne mit CLP schließen. Dagegen ergaben Diamid-Crosslinking-Studien, dass die isolierte PLAT-Domäne in der Lage ist, das Dicer-Fragment zu binden. Dieses Ergebnis wurde im SPR bestätigt.
Acute myeloid leukemia is a hematopoietic stem cell disorder and a type of acute leukemia which is characterized by clonal proliferation of myeloid precursors with a reduced capacity to differentiate into more mature cellular elements. Clinically AML is characterized by a high degree of heterogeneity with respect to chromosome abnormalities, gene mutations, and changes in expression of multiple genes and microRNAs. Cytogenetic abnormalities can be detected in approximately 50% to 60% of newly diagnosed AML patients. Majority of AML cases are associated with chromosomal aberrations, more specifically translocations that often result in gene arrangements and expression of aberrant fusion proteins. This study was carried out with two fusion proteins: PML/RARα and DEK/CAN which results from the translocations t(15;17) and t (6,9) respectively. PML/RARα is the most common translocation (97%) and the main driver in Acute Promyelocytic Leukemia (APL), a wellcharacterized and well treatable subtype of AML. In contrast, DEK/CAN occurs in 1-5% of AML, associated with poor prognosis and defines a high risk group in AML. The expression of PML/RARα results in a fusion protein that acts as a transcriptional repressor by interfering with gene expression programs involved in differentiation, apoptosis, and selfrenewal. Current therapy focused on the targeting of PML/RARα fusion protien. Success has been achieved by using either ATRA, anthracyclines and Arsenic trioxide or their combinations. These agents induce differentiation in PML/RARα positive AML and hence called differentiation therapy. In comparison with ATRA, ATO and anthracyclines are poor cellular differentiation agents. Despite early promise, several studies have reported that differentiation therapy is unable to target/eradicate leukemic stem cells or eradicate the disease. Therefore current therapeutic focus is to eliminate leukemic stem cells and achieve complete molecular remission not only in APL but also in acute lymphoblastic leukemia and chronic myeloid leukemia as well. Key enzymes of the eicosanoid pathways in the arachidonic acid metabolism, such as COX1/2 as well as the 5-LO have been shown to be good targets for leukemic stem cell therapy approach in AML by interfering with the Wntsignaling which is known to be indispensable for the pathogenesis of AML. Recently it was reported that the third eicosanoid pathway based on the cytochrome P450 (CYP) enzymes interferes with Wnt-signaling as well as with the proliferation and mobilization of hematopoietic stem cells...
Different types of altruistic behavior, namely help-giving, altruistic punishment, and moral courage, are identifiable and distinguishable in the literature, but little is known how they relate to each other. This is significant because understanding altruism and other-regarding behavior is important in the attempt to solve global problems of overpopulation and depletion of natural resources. Understanding the helping forms of altruism (help-giving and sharing) can be helpful, for example, when designing donation collections or recruiting volunteers. Understanding the punitive forms of altruism (moral courage and altruistic punishment) gives valuable insight on individuals participating in campaigns where there is a need to take action, for example, against polluters or governments that violate human rights. The empirical evidence presented in this dissertation demonstrate individual and cultural differences in help-giving, altruistic punishment, and morally courageous behavior. The willingness to engage in the three types of altruistic behaviors relate differently to subjectively preferred thinking style and to personality traits, both in real-life and on the Internet. The divergencies are observable between Eastern (Indian) and Western (German) cultures, where the overlap of oneself and other individuals is experienced in different levels.
The planned Facility for Antiproton and Ion Research (FAIR) at GSI has to cope with a wide range of beam intensities in its high-energy beam transport systems and in the storage rings. To meet the requirements of a non-intercepting intensity measurement down to nA range, it is planned to install a number of Cryogenic Current Comparator (CCC) units at different locations in the FAIR beamlines. In this work, the first CCC system for intensity measurement of heavy ion beams, which was developed at GSI, was re-commissioned and upgraded to be used as a 'GSI - CCC prototype' for extensive optimization and development of an improved CCC for FAIR. After installation of a new SQUID sensor and related electronics, as well as implementation of improved data acquisition components, successful beam current measurements were performed at a SIS18 extraction line. The measured intensity values were compared with those of a Secondary Electron Monitor (SEM). Furthermore, the spill-structure of a slowly extracted beam was measured and analyzed, investigating its improvement due to bunching during the slow-extraction process. Due to the extreme sensitivity of the superconducting sensor, the determined intensity values as well as the adjustment of the system for optimal performance are strongly influenced by the numerous noise sources of the accelerators environment. For this reason, detailed studies of different effects caused by noise have been carried out, which are presented together with proposals to reduce them. Similarly, studies were performed to increase the dynamic range and overcome slew rate limitations, the results of which are illustrated and discussed as well. By combining the various optimizations and characterizations of the GSI CCC prototype with the experiences made during beam operation, criteria for a more efficient CCC System could be worked out, which are presented in this work. The details of this new design are worked out with respect to the corresponding boundary conditions at FAIR. Larger beam tube diameters, higher radiation resistivity and UHV requirements are of particular importance for the cryostat. At the same time these parameters affect the CCC superconducting magnetic shielding, which again has significant influence on the current resolution of the system. In order to investigate the influence of the geometry of the superconducting magnetic shield on different magnetic field components and to optimize the attenuation, FEM simulations have been performed. Based on the results of these calculations, modifications of the shield geometry for optimum damping behavior are proposed and discussed in the thesis.
Die vorliegende Arbeit untersuchte die Chancen und Restriktivitäten einer künstlerischen Ausbildung. Welche Möglichkeiten stehen einer künstlerischen Ausbildung zur Verfügung und welchen Grenzen steht sie unüberwindlich gegenüber? Diese waren konstitutionstheoretisch zu entfalten und wissenschaftspraktisch anhand von mir erhobenem Datenmaterial (vornehmlich Interviews mit Studenten und Professoren von Kunsthochschulen in Deutschland) zu belegen bzw. zu verdichten...
Die Einstellung von onkologisch tätigen Ärzten zur psychoonkologischen Versorgung von Krebspatienten
(2015)
Eine Krebserkrankung stellt für die Betroffenen und deren Angehörige eine große körperliche und psychische Belastung dar. Obwohl die psychoonkologische Betreuung den Patienten nachweislich hilft und die Belastung vieler Patienten sehr hoch ist, erhält nur cirka jeder fünfte therapiebedürftig belastete Krebspatient eine psychoonkologische Behandlung. Für die Umsetzung einer flächendeckenden psychoonkologischen Betreuung der Patienten nehmen die onkologisch tätigen Ärzte eine Schlüsselrolle ein. Deshalb ist für die Implementierung und das Gelingen eines Screenings bzw. der psychoonkologischen Versorgung der Patienten das Engagement und die psychosoziale Kompetenz der behandelnden Ärzte eine entscheidende Größe.
Um die Einstellung von onkologisch tätigen Ärzten zur psychoonkologischen Versorgung zu erfassen, wurde ein Fragebogen als Erhebungsinstrument konstruiert. Die Konstruktion des Fragebogens erfolgte auf Grundlage der Theorie des geplanten Handelns nach Ajzen (2002). Zusätzlich zu der Einstellung der behandelten Ärzte erfasst der Fragebogen die Selbstwirksamkeit der Ärzte in Bezug auf psychosoziale Kompetenzen, sowie die organisatorischen Rahmenbedingungen in der Klinik.
Zwischen September und Dezember 2013 wurden an der Universitätsklinik Frankfurt am Main insgesamt 120 Fragebögen an onkologisch tätige Ärzte ausgeteilt von denen 102 beantwortet wurden (Rücklaufquote von ca. 85%). Zur Validierung des Fragebogens wurde die Korrelation einzelner Skalen mit der Skala „Interaktion und Verhalten“ nach Spearman berechnet. Insgesamt korrelierten die Skalen in die zu erwartende Richtung, jedoch waren die Korrelationskoeffizienten geringer ausgeprägt als erhofft (zwischen 0,26 und 0,36). Die interne Konsistenz (nach Cronbachs Alpha) der Skalen erreichte bis auf eine Ausnahme ein akzeptables bis gutes Niveau.
Die Ergebnisse der vorliegenden Studie zeigen keinen Hinweis darauf, dass die Diskrepanz zwischen der hohen Anzahl an belasteten Krebspatienten und der seltenen Inanspruchnahme von psychoonkologischen Behandlungen durch die Einstellung der Ärzte zur Psychoonkologie erklärt werden kann. Im Gegenteil, in dieser Studie wird der psychoonkologischen Versorgung von Patienten eine hohe Wertigkeit zugeschrieben: 76 % der Ärzte sind der Meinung, sie würden, wenn sie selbst erkranken, davon profitieren mit einem Psychoonkologen zu sprechen. Auch empfehlen 79 % der Befragten ihren Freunden oder Angehörigen im Falle einer Krebserkrankung eine psychoonkologische Beratung. Trotz der über die Stichprobe insgesamt sehr positiven Einstellung gegenüber der psychoonkologischen Versorgung, divergieren die Aussagen hinsichtlich der Häufigkeit, in der Skala „Umsetzung und Interaktion“, die erfasst wie häufig psychoonkologische Aspekte in die Behandlung von onkologischen Patienten integriert werden, immens.
Die individuelle Handhabung der Weitergabe von Informationen von Seiten der Ärzte in dieser Studie kann teilweise durch mangelhafte organisatorische Rahmenbedingungen erklärt werden: So gibt fast die Hälfte der Befragten (45 %) an, in ihrer Abteilung gebe es kein standardisiertes Screeningverfahren, um psychisch belastete Patienten zu identifizieren. Ebenso sind bei ca. der Hälfte der Ärzte (45 %) keine klaren Richtlinien vorhanden, wann eine psychoonkologische Beratung indiziert ist.
Die Erkenntnisse dieser Studie geben Hinweise darauf, dass für die Verbesserung der psychoonkologischen Versorgung von Patienten die organisatorischen Rahmenbedingungen an den Kliniken optimiert werden müssen.
Life-saving pig-to-human xenotransplantation is a promising technology with the potential to balance the shortage of human organs in allotransplantation. Before this approach is applied on solid vascularized organs, several barriers must be overcome. Patient safety is menaced by infectious porcine endogenous retroviruses (PERV) which are able to infect human cell lines in vitro. Successful infection with PERV is associated with diverse life-threatening consequences including gene disruption, tumorigenicity, immune suppression as well as PERV proliferation throughout the whole human body. This could cause a catastrophic xenozonoosis leading to the emergence of new forms of pathogens and pandemic diseases similar to AIDS. However, in vivo, there is hitherto no incidence of any infection with PERV in preclinical xenotransplantations performed in the past.
PERV infection of human peripheral blood mononuclear cells (huPBMC) is a critical issue discussed controversially in several studies. It is essential to address the sensitivity of huPBMC to infection by PERV since it is generally one of the first retroviral targets upon viral invasion and infection of the human body. To assess definitely if huPBMC are infected productively by PERV, target cells were challenged with the highest infectious PERV class, recombinant PERV-A/C, in different assays. Modern and standard methods to detect PERV at different stages of viral cycles were used to monitor PERV development upon contact with host cells. Indeed, PERV-A/C in supernatants of producer cell lines failed to infect mitogen-activated huPBMC. Neither retroviral reverse transcriptase (RT) nor viral RNA packaged in virus particles were observed in supernatants of cells exposed to viral supernatants. In addition, provirus was not detected in huPBMC until 56 days p. i. with PERV-A/C. Independently of the virus load applied, culture conditions of huPBMC or administration of polybrene as enhancer, PERV was unable to infect huPBMC. Results suggest that PERV in supernatants lack sufficient infectious potential to be productively generated in huPBMC.
In order to approximate xenotransplantation scenarios, different PERV producing cells including PHA-activated porcine PBMC (poPBMC) were adopted as virus source in co-cultivation studies with huPBMC. In this case, expression of viral RNA was successfully measured. However, RT activity did not increase until 28 days p. e. with PERV producer cells which indicates that viral particles devoid of infectious capacity were released from non-productively infected cells.
On the other hand, co-cultivation of both virus producer and virus recipients increases the contact pressure between PERV and target cells. Consequently, PERV was able to be detected at least as provirus in huPBMC. Although virions produced were not functional, presence of provirus in infected cells will sooner or later provoke expression of provirus. This could lead to chromosomal rearrangements as well as virus reinfection and insertional mutagenesis.
Ecotropic PERV-C displays a restricted host range to porcine cells. Given its ability to serve as template to form recombinant xenotropic PERV-A/C, PERV-C represents a potent hazard in the course of xenotransplantation. Thus, isolation and functional characterization of PERV-C in the genome of pigs in use and intended for xenotransplantation is necessary to analyze the genetics of these virions as well as to select animals lacking proviral PERV-C or to generate transgenic PERV-C negative donors.
PERV-C was isolated from the genome of a female SLAd/d haplotype pig via screening of a bacteriophage library which was constructed from the genomic DNA of poPBMC extracted from this PERV non-transmitting sow. Upon genetic complementation of provirus using a PCR fragment infectious ability of full-length PERV-C clones was investigated in cell culture. PERV-C clones were successfully reproduced in susceptible porcine cells as RT activity as well as viral RNA were detected in supernatants of infected cells 56 days p. i. Furthermore, presence of proviruses in challenged cells was confirmed by nested PCR.
PERV-C clones were also isolated from a bacteriophage library generated on genomic DNA of an Auckland island pig of the DPF colony, whose individuals display a PERV-null phenotype and are already in use for xenotransplantation, and of a Göttingen minipig, whose relatives serve as animal models to study human diseases. In contrast to PERV clones isolated from the female SLAd/d haplotype sow PERV-C clones of the Auckland island pig as well as of the Göttingen minipig were not functional and therefore unable to infect target cells. This confirms the PERV-null phenotype which renders these animals putative candidates as donors in xenotransplantation. On the other hand, presence of functional PERV-C in SLAd/d haplotype pigs exerts a negative impact on patient safety in xenotransplantation. The suitability of these animals as potent organ donors should be intensively investigated.
In conclusion, PERV of all classes pose a virological risk in xenotransplantation which should not be ignored. Since exclusion of all PERV from donor herds is impossible, generation of transgenic humanized animals lacking genomic infectious PERV represents the best strategy to guarantee patient safety in future life-saving pig-to-human xenotransplantation.
Reaktive Sauerstoffspezies lösen molekular Schäden aus und werden als möglicher Auslöser des Alterungsprozesses gesehen. Sie sind allerdings auch wichtige Signalgeber, deren Einfluss in den letzten Jahren immer mehr Beachtung findet. Im der vorliegenden Arbeit wurde die Signalwirkung von ROS auf das Alternsmodell P. anserina untersucht. Dabei konnten folgende Erkenntnisse gewonnen werden.
1. Die H2O2–Konzentration im Extrazellularraum und im Cytoplasma steigt bei PQ-Stress und während des Alterns an.
2. Bei PQ-Stress und während des Alterns treten Ähnlichkeiten der globalen Transkriptregulation auf, die vermutlich durch die angestiegene H2O2-Konzentration ausgelöst werden.
3. Die Transkriptmenge von SODs und die Gesamt-SOD-Aktivität sind bei PQ-Stress leicht herunterreguliert. Transkripte für PaCCP1 und PaCATB treten dagegen bei PQ-Stress vermehrt auf und auch die Gesamt-Katalase-Aktivität steigt an. Dies deutet darauf hin, dass der Fokus des enzymatischen Abbaus von ROS bei PQ-Stress nicht im Abbau von Superoxid-, sondern von Wasserstoffperoxid liegt.
4. Bei PQ-Stress steigt die Transkriptmenge von Schlüsselgenen der Carotinoid-Biosynthese.
5. Transkripte von mitochondrial lokalisierten Proteinen werden bei PQ-Stress stark hochreguliert, die Menge an Mitochondrien nimmt allerdings nicht zu. Dies deutet auf einen verstärkten Abbau mitochondrialer Proteine, gefolgt von einer Neusynthese hin.
6. Bei PQ-Stress sinkt die Expression von Genen, die für den Kupferimport benötig werden. Dies wird höchstwahrscheinlich durch die Inaktivierung des Transkriptionsfaktors GRISEA ausgelöst. Es kommt zu einem Kupfermangel, der eine verstärkte alternative PaAOX-abhängige Atmung auslöst und dafür sorgt, dass kupferabhängige Prozesse, wie die Melanin- und Sterigmatocystin-Synthese transkriptionell herunterreguliert werden. Durch die verringerte Transkriptmenge von Kupferimportern bei PQ-Stress kommt es zu starken Gemeinsamkeiten in der globalen Genregulation von PQ-gestressten Kulturen und der Kupfer-depletierten Mutante grisea.
7. Kupfer und PQ haben einen synergistisch negativen Effekt auf Wuchsrate und Lebensspanne von P. anserina. Bei hohen Kupfer und Superoxid-Konzentrationen kommt es vermutlich zur verstärkten Bildung von Hydroxyl-Radikalen, wodurch molekulare Schäden entstehen. Durch eine verringerte Kupferkonzentration wird der Organismus bei PQ-Stress möglicherweise vor der Bildung von Hydroxyl-Radikalen geschützt.
Insgesamt haben die Untersuchungen gezeigt, dass ROS wichtige Signalmoleküle sind, die einen starken Einfluss auf die Regulation von Transkripten haben. Viele dieser transkriptionellen Regulationen führen zu physiologischen Veränderungen. Der Fokus der Regulationen liegt unter den verwendeten Bedingungen im Schutz vor den schädlichen Effekten von ROS.
Simple cells in primary visual cortex were famously found to respond to low-level image components such as edges. Sparse coding and independent component analysis (ICA) emerged as the standard computational models for simple cell coding because they linked their receptive fields to the statistics of visual stimuli. However, a salient feature of image statistics, occlusions of image components, is not considered by these models. Here we ask if occlusions have an effect on the predicted shapes of simple cell receptive fields. We use a comparative approach to answer this question and investigate two models for simple cells: a standard linear model and an occlusive model. For both models we simultaneously estimate optimal receptive fields, sparsity and stimulus noise. The two models are identical except for their component superposition assumption. We find the image encoding and receptive fields predicted by the models to differ significantly. While both models predict many Gabor-like fields, the occlusive model predicts a much sparser encoding and high percentages of ‘globular’ receptive fields. This relatively new center-surround type of simple cell response is observed since reverse correlation is used in experimental studies. While high percentages of ‘globular’ fields can be obtained using specific choices of sparsity and overcompleteness in linear sparse coding, no or only low proportions are reported in the vast majority of studies on linear models (including all ICA models). Likewise, for the here investigated linear model and optimal sparsity, only low proportions of ‘globular’ fields are observed. In comparison, the occlusive model robustly infers high proportions and can match the experimentally observed high proportions of ‘globular’ fields well. Our computational study, therefore, suggests that ‘globular’ fields may be evidence for an optimal encoding of visual occlusions in primary visual cortex.
We explored the potential of Smac mimetics, which antagonize Inhibitor of Apoptosis (IAP) proteins, for chemosensitization of neuroblastoma (NB). Here, we report that Smac mimetics, e.g. BV6, prime NB cells for chemotherapeutics including the topoisomerase II inhibitor doxorubicin (DOX) and vinca alkaloids such as Vincristine (VCR), Vinblastine (VBL) and Vinorelbine (VNR). Additionally, BV6 acts in concert with DOX or VCR to suppress long-term clonogenic growth. While BV6 causes rapid downregulation of cellular IAP (cIAP)1 protein and nuclear factor-kappaB (NF-κB) activation, DOX/BV6- or VCR/BV6-induced apoptosis occurs independently of NF-κB or TNFα signaling, since overexpression of dominant-negative IκBα superrepressor or the Tumor Necrosis Factor (TNF)α-blocking antibody Enbrel fail to block cell death. Mechanistic studies reveal that Receptor-interacting protein (RIP)1 is required for DOX/BV6-, but not for VCR/BV6-induced apoptosis, since transient or stable knockdown of RIP1 or the pharmacological RIP1 inhibitor necrostatin-1 significantly reduce apoptosis. By comparison, VCR/BV6-mediated apoptosis critically depends on the mitochondrial pathway. VCR/BV6 cotreatment causes phosphorylation of BCL-2 during mitotic arrest, enhanced activation of BAX and BAK and loss of mitochondrial membrane potential (MMP). Additionally, overexpression of BCL-2 profoundly suppresses VCR/BV6-induced apoptosis. Thus, BV6 sensitizes NB cells to chemotherapy-induced apoptosis via distinct initial signaling mechanisms depending on the chemotherapeutic drug. These findings provide novel mechanistic insights into Smac mimetic-mediated chemosensitization of NB.
Unusual Deep Water sponge assemblage in South China - witness of the end-Ordovician mass extinction
(2015)
There are few sponges known from the end-Ordovician to early-Silurian strata all over the world, and no records of sponge fossils have been found yet in China during this interval. Here we report a unique sponge assemblage spanning the interval of the end-Ordovician mass extinction from the Kaochiapien Formation (Upper Ordovician-Lower Silurian) in South China. This assemblage contains a variety of well-preserved siliceous sponges, including both Burgess Shale-type and modern type taxa. It is clear that this assemblage developed in deep water, low energy ecosystem with less competitors and more vacant niches. Its explosion may be related to the euxinic and anoxic condition as well as the noticeable transgression during the end-Ordovician mass extinction. The excellent preservation of this assemblage is probably due to the rapid burial by mud turbidites. This unusual sponge assemblage provides a link between the Burgess Shale-type deep water sponges and the modern forms. It gives an excellent insight into the deep sea palaeoecology and the macroevolution of Phanerozoic sponges, and opens a new window to investigate the marine ecosystem before and after the end-Ordovician mass extinction. It also offers potential to search for exceptional fossil biota across the Ordovician-Silurian boundary interval in China.
Structural characterization of stressosome complexes by single-particle cryo-electron microscopy
(2015)
The stressosome is a Mega Dalton macromolecular complex involved in stress adaptation in bacteria. Stressosomes are considered as stress signaling hubs. They are able to perceive a variety of different stress stimuli and transduce them into one single cellular answer, which is the initialization of a transcriptional up-regulation of hundreds of different genes encoding for universal but also very specific stress response proteins.
The stressosome of Bacillus subtilis became a prime example for this intriguing stress-triggered transcriptional regulation when its architecture was determined by Single-particle cryo-electron microscopy (cryo-EM) in 2008. In Gram-positive Bacillus species, the stressosome complex senses changes in salt concentration, ethanol content, blue-light, heat or acid stress contributing to the general stress response by activation of the alternative σB factor. σB is a transcriptional promoter that initiates the transcription of over 150 general stress genes, e.g., genes that encode osmolyte transporters to counteract osmotic and chill stress. The B. subtilis stressosome (stressosome_Bc) is composed of multiple copies of the 3 proteins: RsbR, RsbS and RsbT. These three Rsb proteins (Regulator of Sigma B) are found clustered in one operon forming the conserved RST module. RsbS and RsbR are scaffold proteins comprising a STAS domain, respectively. Because these domains are dominantly associated to sulfate transporters and anti-sigma antagonist they were named STAS domains, however, they were also identified in other sensor proteins. In the stressosome they form the internal ball-shaped core, while the N-terminal globin-fold sensor domain of RsbR, protruding to the outside, facilitates stress sensing. It is assumed that the stress signal is transduced to the stressosome core via the STAS domain resulting in conformational changes of the core. These changes affect the binding of the third protein, RsbT, a serin-threonine kinase. As a direct consequence of stress sensing the RsbT kinase is released from the complex to start an activation cascade involving the stepwise activation of RsbU, V, W, and X, which are all part of the same operon, and finally of σB. In Bacillus species, several RsbR orthologs were identified varying mainly in the sequence of the N-terminal sensor domains. It is assumed that the stressosome_Bc assembles with a still unknown combination of RsbR orthologs allowing for the broad spectrum of stress stimuli that can be processed in vivo. The pathogenic bacteria Listeria monocytogenes is a close relative of Bacillus. Its potent stress response allows Listeria to survive the harsh environmental conditions during host infection and therefore the stress regulation machinery is contributing heavily to the virulence of this pathogen. In Listeria the Rsb operon is conserved and highly homologous to the Bacillus one. In the frame of this thesis, the in vitro assembly of Listeria innocua stressosomes was shown for the first time by Single-particle (SP) negative stain EM. Moreover, binding of Listeria RsbT to the assembled RsbR-RsbS complex was demonstrated biochemically.
Despite the conservation of the RST-module the entire Rsb operon is not conserved in the bacterial kingdom suggesting that signal transduction and regulation of gene expression might occur by very different mechanisms in stressosomes of different species. We have focused here on a stressosome type from the Gram-negative pathogen Vibrio vulnificus that is quite distinct from the Bacillus ones with respect to (1) the missing conservation of the Rsb operon, (2) the role of RsbT, (3) the activation of a different transcriptional promoter, and (4) the absence of additional RsbR orthologs. Interestingly, there is only one RsbR protein encoded in the genome. This one contains a Haem-group in its N-terminal domain being oxygen sensitive. It is assumed that the Vibrio stressosome perceive only oxidative stress and that regulation occurs via a diguanylate cyclase with a GAF domain that synthesizes the second messenger c-di-GMP from GTP.
We have started a structure determination of the Vibrio vulnificus stressosome by SP cryo-EM to elucidate the differences in the molecular mechanism of stress sensing in divers stressosome types. A 3D map of the oxidized (activated) Vibrio vulnificus stressosome was determined to 7.6 Å resolution revealing an increased flexibility of both the core and the N-terminal sensor domains in comparison to the Bacillus stressosome suggesting that our structure has trapped for the first time an active state of a stressosome complex. A 3D map of the stressosome core to 7 Å resolution allowed fitting of a homology model of the Vibrio stressosome based on the Bacillus stressosome as template. The conformational changes could be attributed to the entire core, which was confirmed by MD simulations.
Background: Astrocytomas are the most common primary brain tumors distinguished into four histological grades. Molecular analyses of individual astrocytoma grades have revealed detailed insights into genetic, transcriptomic andepigenetic alterations. This provides an excellent basis to identify similarities and differences between astrocytoma grades. Methods: We utilized public omics data of all four astrocytoma grades focusing on pilocytic astrocytomas (PA I), diffuse astrocytomas (AS II), anaplastic astrocytomas (AS III) and glioblastomas (GBM IV) to identify similarities and differences using well-established bioinformatics and systems biology approaches. We further validated the expression and localization of Ang2 involved in angiogenesis using immunohistochemistry. Results: Our analyses show similarities and differences between astrocytoma grades at the level of individual genes, signaling pathways and regulatory networks. We identified many differentially expressed genes that were either exclusively observed in a specific astrocytoma grade or commonly affected in specific subsets of astrocytoma grades in comparison to normal brain. Further, the number of differentially expressed genes generally increased with the astrocytoma grade with one major exception. The cytokine receptor pathway showed nearly the same number of differentially expressed genes in PA I and GBM IV and was further characterized by a significant overlap of commonly altered genes and an exclusive enrichment of overexpressed cancer genes in GBM IV. Additional analyses revealed a strong exclusive overexpression of CX3CL1 (fractalkine) and its receptor CX3CR1 in PA I possibly contributing to the absence of invasive growth. We further found that PA I was significantly associated with the mesenchymal subtype typically observed for very aggressive GBM IV. Expression of endothelial and mesenchymal markers (ANGPT2, CHI3L1) indicated a stronger contribution of the micro-environment to the manifestation of the mesenchymal subtype than the tumor biology itself. We further inferred a transcriptional regulatory network associated with specific expression differences distinguishing PA I from AS II, AS III and GBM IV. Major central transcriptional regulators were involved in brain development, cell cycle control, proliferation, apoptosis, chromatin remodeling or DNA methylation. Many of these regulators showed directly underlying DNA methylation changes in PA I or gene copy number mutations in AS II, AS III and GBM IV. Conclusions: This computational study characterizes similarities and differences between all four astrocytoma grades confirming known and revealing novel insights into astrocytoma biology. Our findings represent a valuable resource for future computational and experimental studies.
Rezension zu: Alison E. Cooley, The Cambridge Manual of Latin Epigraphy (Cambridge u.a. 2012)
(2015)
The project is focusing on a monumental funerary complex which is located in the Valley of the Nobles at Luxor. The topographic context is certainly very interesting, both because it is not very well known and deeply investigated, as well as because it appears to have been densely exploited in antiquity and for long time. It was then intensively inhabited in the last two centuries, fact that determined the obliteration of numerous tombs, but also the loss of the sense of context of this section of the ancient necropolis of Luxor. It was certainly in antiquity an important section of the necropolis, looking at the monumentality of some of the tombs, and it has been continuously used for centuries for funerary purposes, not only during the "pharaonic period", but also during later periods, as clearly suggested by Ptolemaic tombs, Greco-Roman inscriptions and finds.
A large team is collaborating at the project, including very different scholars and senior students working together from the excavation to the topographic survey, from the diagnostic mapping to the conservation, from the anthropometric analysis to the archaeometric studies, from the epigraphic interpretation to the historical reconstruction. A multidisciplinary approach to the study of this funerary complex can guarantee both an interdisciplinary interpretation of the monuments, as well as of their evolution and use throughout a long period. Too often, in fact, the monuments in Egypt are analysed just looking at their original plan and use in the pharaonic period; nevertheless, in the Theban necropolis the interesting phenomenon of the ‘re-use’ is widely attested, and the tombs present frequent enlargements, later openings, junctions with neighbor tombs, later passages transforming the original plans.
The Neferhotep’s Complex represents one of the most interesting in this sense because about six tombs have been built around a large courtyard in the late Bronze period, but about three more phases are clearly attested now by the new excavations and surveys, showing that also in the ‘later periods’, from the 7th to the 1st centuries BC, the tombs in this complex were continuously reused for burials and widely reorganized, transforming slowly their original shapes. In Roman times, the presence of the legions in the area, has determined a partial change of use of some of the areas of the necropolis, while some other contexts have continued to be used for funerary purposes.
The plan of the funerary complex is quite articulated (fig.1), with a central square courtyard, crowning and emphasizing the larger tomb, which is known as TT49. It was built just at the end of the XVIII dynasty and still preserves the original spectacular paintings. The conservation of the decorations is based on the use of a non-invasive laser methodology. A German team (PROCON) is conservating the tomb, and within the last eight seasons a large portion of the paintings in the funerary chapel have been completely cleaned and consolidated. An equip of Egyptologists, both Argentinian (the University of Buenos Aires and the CONICET) and Brasilian (of the National Museum of Rio de Janeiro) is studying and interpreting hieroglyphics and iconographies. Moreover, a team of archaeologists, geologists and topographers from the University of Chieti is working at the excavations of other two tombs of this architectonic complex and at the mapping of the context and of the tombs. During the last seasons also a team of anthropologists and palaeo-botanists from the Museum of Chieti University has joined the team, especially because of the large quantity of human and organic remains coming from the excavations. The aim of this paper is to present the project, its interdisciplinary methodologies and the preliminary results of the last seasons. Moreover, the complex is presented here analyzing not only the main original tombs and monuments, but including the numerous phases through the centuries till recent times.
Im Jahre 1891 entdeckte man bei Grabungsarbeiten in der Flur "Ob der Kaul" (heute Steinfelder Straße) in Nettersheim/Marcomagus (Kr. Euskirchen) in einem frühmittelalterlichen Gräberfeld eine fragmentarische Weihinschrift aus rötlichem Sandstein (Höhe 65,5 cm – Breite 40 cm – Tiefe 15 cm). Der in zwei Hälften gebrochene Stein diente in Zweitverwendung als Deckplatte für ein fränkisches Grab und wurde offenbar für diesen Zweck passend geschlagen,1 so dass die gesamte linke Hälfte der Inschrift und einige Buchstaben der rechten Seite verloren gingen. Obwohl die Inschrift teilweise stark verwittert ist, können die erhaltenen Buchstaben noch relativ sicher gelesen werden. Die Buchstabenhöhe beträgt in der ersten Zeile 4,5 cm, in den folgenden Zeilen 4 cm. Der Zeilenabstand misst 2 cm...
Contents:
Yuki Chiba, Santiago Escobar, Naoki Nishida, and David Sabel, and Manfred Schmidt-Schauß : Preface:
The Collection of all Abstracts of the Talks at WPTE 2015 xi
Brigitte Pientka : Mechanizing Meta-Theory in Beluga
Giulio Guerrieri : Head reduction and normalization in a call-by-value lambda-calculus
Adrián Palacios and Germán Vidal : Towards Modelling Actor-Based Concurrency in Term Rewriting
David Sabel and Manfred Schmidt-Schauß : Observing Success in the Pi-Calculus
Sjaak Smetsers, Ken Madlener, and Marko van Eekelen : Formalizing Bialgebraic Semantics in PVS 6.0
The calculus LRP is a polymorphically typed call-by-need lambda calculus extended by data constructors, case-expressions, seq-expressions and type abstraction and type application. This report is devoted to the extension LRPw of LRP by scoped sharing decorations. The extension cannot be properly encoded into LRP if improvements are defined w.r.t. the number of lbeta, case, and seq-reductions, which makes it necessary to reconsider the claims and proofs of properties. We show correctness of improvement properties of reduction and transformation rules and also of computation rules for decorations in the extended calculus LRPw. We conjecture that conservativity of the embedding of LRP in LRPw holds.
This report documents the extension LRPw of LRP by sharing decorations. We show correctness of improvement properties of reduction and transformation rules and also of computation rules for decorations in the extended calculus LRPw. We conjecture that conservativity of the embedding of LRP in LRPw holds.
An improvement is a correct program transformation that optimizes the program, where the criterion is that the number of computation steps until a value is obtained is decreased. This paper investigates improvements in both { an untyped and a polymorphically typed { call-by-need lambda-calculus with letrec, case, constructors and seq. Besides showing that several local optimizations are improvements, the main result of the paper is a proof that common subexpression elimination is correct and an improvement, which proves a conjecture and thus closes a gap in Moran and Sands' improvement theory. We also prove that several different length measures used for improvement in Moran and Sands' call-by-need calculus and our calculus are equivalent.
An improvement is a correct program transformation that optimizes the program, where the criterion is that the number of computation steps until a value is obtained is decreased. This paper investigates improvements in both { an untyped and a polymorphically typed { call-by-need lambda-calculus with letrec, case, constructors and seq. Besides showing that several local optimizations are improvements, the main result of the paper is a proof that common subexpression elimination is correct and an improvement, which proves a conjecture and thus closes a gap in Moran and Sands' improvement theory. We also prove that several different length measures used for improvement in Moran and Sands' call-by-need calculus and our calculus are equivalent.
Hepatitis B caused by infection with the hepatitis B virus (HBV) still ranks among the most challenging infectious diseases of our time. Despite the availability of an effective prophylactic vaccine, 240 million people worldwide are estimated to be chronically infected with HBV and are at risk of developing life-threatening liver diseases, including cirrhosis and liver cancer. The underlying pathogenic mechanisms of HBV-associated liver diseases are only incompletely understood. It is widely accepted that liver pathology results from long-term immune-mediated liver injury and inflammation as a consequence of inefficient viral elimination. This injury can be naturally compensated by liver regeneration. However, chronic liver damage and permanent inflammation debilitates the regenerative capacity of the liver and fosters fibrosis as well as accumulation of chromosomal aberrations, which both contribute to cirrhosis and liver cancer. Liver regeneration requires the presence of the redox-sensitive transcription factor Nrf2 and intact insulin receptor signaling. A lack of Nrf2 causes increased intracellular levels of reactive oxygen species (ROS) that inactivate insulin receptor signaling and induce insulin resistance. Interestingly, HBV was observed to activate Nrf2 and the expression of Nrf2-regulated genes. This argues against an inhibitory effect of HBV on insulin receptor signaling by increased ROS levels. However, chronic HBV infection is associated with dysregulation of hepatocyte proliferation and retardation of liver regeneration. Hence, the aim of this thesis was to investigate the influence of HBV on the process of liver regeneration with respect to the insulin receptor signaling pathway. After short-term carbon tetrachloride (CCl4)-induced liver damage, HBV transgenic mice present prolonged liver damage and impaired liver regeneration as reflected by reduced hepatocyte proliferation and increased apoptosis. Impaired hepatocyte proliferation in HBV transgenic mice correlates with diminished activation of the insulin receptor. It was further observed in vitro that the activation of Nrf2 by HBV induces increased levels of the insulin receptor mRNA and protein in HBV-expressing cells. Strikingly, stably HBV-expressing cells as well as primary mouse hepatocytes from HBV transgenic mice bind less insulin due to reduced amounts of insulin receptor on the cell surface. This is caused by intracellular retention of the insulin receptor in HBV-expressing cells as a consequence of increased amounts of the cellular trafficking factor α-taxilin. The reduced amounts of insulin receptor on the cell surface impair insulin sensitivity in HBV-expressing cells and inactivate downstream signaling cascades that initiate insulin-dependent gene expression and glucose uptake. As a consequence of impaired hepatocyte proliferation and liver regeneration, HBV transgenic mice exhibit increased development of fibrosis after long-term CCl4-induced liver damage. Taken together, in this thesis, a novel pathomechanism could be uncovered that includes inactivation of insulin receptor signaling by HBV via intracellular retention of the insulin receptor leading to impaired liver regeneration after liver damage and promotion of liver fibrosis. These findings significantly contribute to an enhanced understanding of HBV-associated liver pathogenesis.
Aus Wissen wird Gesundheit : das Magazin des Universitätsklinikums Frankfurt. Ausgabe 04/2015
(2015)
Aus Wissen wird Gesundheit : das Magazin des Universitätsklinikums Frankfurt. Ausgabe 03/2015
(2015)
Aus Wissen wird Gesundheit : das Magazin des Universitätsklinikums Frankfurt. Ausgabe 02/2015
(2015)
Aus Wissen wird Gesundheit : das Magazin des Universitätsklinikums Frankfurt. Ausgabe 01/2015
(2015)
Prehistoric dental treatments were extremely rare, and the few documented cases are known from the Neolithic, when the adoption of early farming culture caused an increase of carious lesions. Here we report the earliest evidence of dental caries intervention on a Late Upper Palaeolithic modern human specimen (Villabruna) from a burial in Northern Italy. Using Scanning Electron Microscopy we show the presence of striations deriving from the manipulation of a large occlusal carious cavity of the lower right third molar. The striations have a "V"-shaped transverse section and several parallel micro-scratches at their base, as typically displayed by cutmarks on teeth. Based on in vitro experimental replication and a complete functional reconstruction of the Villabruna dental arches, we confirm that the identified striations and the associated extensive enamel chipping on the mesial wall of the cavity were produced ante-mortem by pointed flint tools during scratching and levering activities. The Villabruna specimen is therefore the oldest known evidence of dental caries intervention, suggesting at least some knowledge of disease treatment well before the Neolithic. This study suggests that primitive forms of carious treatment in human evolution entail an adaptation of the well-known toothpicking for levering and scratching rather than drilling practices.
Cardiac arrhythmias are often associated with mutations in ion channels or other proteins. To enable drug development for distinct arrhythmias, model systems are required that allow implementing patient-specific mutations. We assessed a muscular pump in Caenorhabditis elegans. The pharynx utilizes homologues of most of the ion channels, pumps and transporters defining human cardiac physiology. To yield precise rhythmicity, we optically paced the pharynx using channelrhodopsin-2. We assessed pharynx pumping by extracellular recordings (electropharyngeograms--EPGs), and by a novel video-microscopy based method we developed, which allows analyzing multiple animals simultaneously. Mutations in the L-type VGCC (voltage-gated Ca(2+)-channel) EGL-19 caused prolonged pump duration, as found for analogous mutations in the Cav1.2 channel, associated with long QT syndrome. egl-19 mutations affected ability to pump at high frequency and induced arrhythmicity. The pharyngeal neurons did not influence these effects. We tested whether drugs could ameliorate arrhythmia in the optogenetically paced pharynx. The dihydropyridine analog Nemadipine A prolonged pump duration in wild type, and reduced or prolonged pump duration of distinct egl-19 alleles, thus indicating allele-specific effects. In sum, our model may allow screening of drug candidates affecting specific VGCCs mutations, and permit to better understand the effects of distinct mutations on a macroscopic level.
The c-MYC proto-oncogene is a regulator of fundamental cellular processes such as cell cycle progression and apoptosis. The development of novel c-MYC inhibitors that can act by targeting the c-MYC DNA G-quadruplex at the level of transcription would provide potential insight into structure-based design of small molecules and lead to a promising arena for cancer therapy. Herein we report our finding that two simple bis-triazolylcarbazole derivatives can inhibit c-MYC transcription, possibly by stabilizing the c-MYC G-quadruplex. These compounds are prepared using a facile and modular approach based on Cu(I) catalysed azide and alkyne cycloaddition. A carbazole ligand with carboxamide side chains is found to be microenvironment-sensitive and highly selective for "turn-on" detection of c-MYC quadruplex over duplex DNA. This fluorescent probe is applicable to visualize the cellular nucleus in living cells. Interestingly, the ligand binds to c-MYC in an asymmetric fashion and selects the minor-populated conformer via conformational selection.
This thesis presents microstructural investigations of rock salt from the central part of the Gorleben salt dome (Northern Germany). The main emphasis was to characterize the rock salt microfabrics, to identify operating deformation mechanisms in halite and anhydrite and to decipher the macro- and microstructural distribution of hydrocarbons, which have been encountered during the underground exploration of the salt dome. The microfabrics of the Knäuel- and the Streifensalz formation indicate that strain-induced grain boundary migration has been active during deformation of halite. Crystal plastic deformation of halite is further documented by lattice bending, subgrain formation and minor subgrain rotation. Evidence for pressure solution of halite has not been found, but cannot be excluded because of the small grain size, the lack of LPO and the low differential stress (1.1 - 1.3 MPa) as deduced from subgrain-size piezometry. Solution precipitation creep was proven for intercalated anhydrite layers and clusters, which have been deformed in the brittle-ductile regime. Brittle deformation of anhydrite in terms of boudinage and fracturing was counteracted by viscous creep of halite which caused a re-sealing of fractures and a reestablishing of the characteristic sealing capacity of rock salt. Hydrocarbons are mainly located along cross cut 1 West of the Gorleben exploration mine and are heterogeneously distributed in the rock salt. They are incorporated in the rock salt foliation in the form of streaks, dispersed clouds, clusters and isolated patches. On the micro-scale, hydrocarbons are trapped along grain boundaries of halite and/or anhydrite, in micro-capillary tubes of anhydrite and in pore space of the rare rock salt with elevated porosity (< 1.26 vol.-%). Such elevated porosities correlate with elevated hydrocarbon concentrations of several hundred ppm. The overall concentrations of hydrocarbons, however, are very low (< 0.05 wt.-%). Elevated porosity is depicted to be a remnant originating from an early stage of salt uplift when fluid and hydrocarbons have migrated and spread from the Staßfurt Karbonat (z2SK) into the superjacent Gorleben Hauptsalz. During halokinesis and the strong reworking of the salt body hydrocarbons have been redistributed and dismembered resulting in the isolated present-day occurrences. The distribution of hydrocarbons shows no relation to local variations in the rock salt fabric. The microstructures of hydrocarbon-bearing and hydrocarbon-free Gorleben rock salt are not distinguishable from each other. Likewise, the presence of hydrocarbons should not have influenced the mechanical behavior or the rock salt as indicated by the microfabrics studied and by geomechanical data. The pure amounts of hydrocarbons are too low for any detectable impact on the barrier properties of this part of rock salt. Although hydrocarbons have migrated into the Gorleben Hauptsalz during an early stage of salt uplift when the sealing capacity of rock salt was diminished, the major implication of their isolated distribution patterns is that the Gorleben rock salt was able to regain its sealing capacity during subsequent deformation and re-equilibration. Former migration pathways for fluid and hydrocarbons have been healed and do not exist anymore. The application of X-ray computed tomography (CT) allows the 3D visualization and quantification of anhydrite, pore space and fluid phases located along grain-boundaries or trapped as intracrystalline inclusions. The 3D reconstruction of anhydrite clusters and pore space for the same sample reveals different spatial distribution patterns. This fact implies that anhydrite is not responsible for such elevated pore space in the rock salt studied, which has been largely closed during the polyphase deformation history of the Gorleben salt dome. High-resolution nanoCT scans (≤ 1 μm voxel size) of single intra- and intercrystalline fluid inclusions in rock salt enable a characterization of gaseous, solid and liquid phases inside single fluid inclusions and give exact information on morphology and shape. The 3D reconstruction of grain boundary fluid inclusions allows the amount, volumes, surface areas or diameters of various types to be determined. Non-destructive X-ray CT imaging is presented as very useful tool to characterize the structural inventory of rock salt. This non-destructive technique offers new perspectives for microstructural studies and for a wide range of research in structural geology, in general.
Viruses rely completely on the hosts' machinery for translation of viral transcripts. However, for most viruses infecting humans, codon usage preferences (CUPrefs) do not match those of the host. Human papillomaviruses (HPVs) are a showcase to tackle this paradox: they present a large genotypic diversity and a broad range of phenotypic presentations, from asymptomatic infections to productive lesions and cancer. By applying phylogenetic inference and dimensionality reduction methods, we demonstrate first that genes in HPVs are poorly adapted to the average human CUPrefs, the only exception being capsid genes in viruses causing productive lesions. Phylogenetic relationships between HPVs explained only a small proportion of CUPrefs variation. Instead, the most important explanatory factor for viral CUPrefs was infection phenotype, as orthologous genes in viruses with similar clinical presentation displayed similar CUPrefs. Moreover, viral genes with similar spatiotemporal expression patterns also showed similar CUPrefs. Our results suggest that CUPrefs in HPVs reflect either variations in the mutation bias or differential selection pressures depending on the clinical presentation and expression timing. We propose that poor viral CUPrefs may be central to a trade-off between strong viral gene expression and the potential for eliciting protective immune response.
BACKGROUND: Human SAMHD1 is a triphosphohydrolase that restricts the replication of retroviruses, retroelements and DNA viruses in noncycling cells. While modes of action have been extensively described for human SAMHD1, only little is known about the regulation of SAMHD1 in the mouse. Here, we characterize the antiviral activity of murine SAMHD1 with the help of knockout mice to shed light on the regulation and the mechanism of the SAMHD1 restriction and to validate the SAMHD1 knockout mouse model for the use in future infectivity studies.
RESULTS: We found that endogenous mouse SAMHD1 restricts not only HIV-1 but also MLV reporter virus infection at the level of reverse transcription in primary myeloid cells. Similar to the human protein, the antiviral activity of murine SAMHD1 is regulated through phosphorylation at threonine 603 and is limited to nondividing cells. Comparing the susceptibility to infection with intracellular dNTP levels and SAMHD1 phosphorylation in different cell types shows that both functions are important determinants of the antiviral activity of murine SAMHD1. In contrast, we found the proposed RNase activity of SAMHD1 to be less important and could not detect any effect of mouse or human SAMHD1 on the level of incoming viral RNA.
CONCLUSION: Our findings show that SAMHD1 in the mouse blocks retroviral infection at the level of reverse transcription and is regulated through cell cycle-dependent phosphorylation. We show that the antiviral restriction mediated by murine SAMHD1 is mechanistically similar to what is known for the human protein, making the SAMHD1 knockout mouse model a valuable tool to characterize the influence of SAMHD1 on the replication of different viruses in vivo.
Self-narratives of patients have received increasing interest in schizophrenia since they offer unique material to study patients’ subjective experience related to their illness, in particular the alteration of self that accompanies schizophrenia. In this study, we investigated the life narratives and the ability to integrate and bind memories of personal events into a coherent narrative in 27 patients with schizophrenia and 26 controls. Four aspects of life narratives were analyzed: coherence with cultural concept of biography, temporal coherence, causal-motivational coherence and thematic coherence. Results showed that in patients cultural biographical knowledge is preserved, whereas temporal coherence is partially impaired. Furthermore, causal-motivational and thematic coherence are significantly impaired: patients have difficulties explaining how events have modeled their identity, and integrating different events along thematic lines. Impairment of global causal-motivational and thematic coherence was significantly correlated with patients’ executive dysfunction, suggesting that cognitive impairment observed in patients could affect their ability to construct a coherent narrative of their life by binding important events to their self. This study provides new understanding of the cognitive deficits underlying self-disorders in patients with schizophrenia. Our findings suggest the potential usefulness of developing new therapeutic interventions to improve autobiographical reasoning skills.
Gallbladder cancer (GBC) is a highly malignant tumor characterized by a poor response to chemotherapy and radiotherapy. We evaluated the in vitro and in vivo antitumor efficacy of mTOR inhibitors, rapamycin and WYE-354. In vitro assays showed WYE-354 significantly reduced cell viability, migration and invasion and phospho-P70S6K expression in GBC cells. Mice harboring subcutaneous gallbladder tumors, treated with WYE-354 or rapamycin, exhibited a significant reduction in tumor mass. A short-term treatment with a higher dose of WYE-354 decreased the tumor size by 68.6% and 52.4%, in mice harboring G-415 or TGBC-2TKB tumors, respectively, compared to the control group. By contrast, treatment with a prolonged-low-dose regime of rapamycin almost abrogated tumor growth, exhibiting 92.7% and 97.1% reduction in tumor size, respectively, compared to control mice. These results were accompanied by a greater decrease in the phosphorylation status of P70S6K and a lower cell proliferation Ki67 index, compared to WYE-354 treated mice, suggesting a more effective mTOR pathway inhibition. These findings provide a proof of concept for the use of rapamycin or WYE-354 as potentially good candidates to be studied in clinical trials in GBC patients.
Mechanism of Na+-dependent citrate transport from the structure of an asymmetrical CitS dimer
(2015)
The common human pathogen Salmonella enterica takes up citrate as a nutrient via the sodium symporter SeCitS. Uniquely, our 2.5 Å x-ray structure of the SeCitS dimer shows three different conformations of the active protomer. One protomer is in the outside-facing state. Two are in different inside-facing states. All three states resolve the substrates in their respective binding environments. Together with comprehensive functional studies on reconstituted proteoliposomes, the structures explain the transport mechanism in detail. Our results indicate a six-step process, with a rigid-body 31° rotation of a helix bundle that translocates the bound substrates by 16 Å across the membrane. Similar transport mechanisms may apply to a wide variety of related and unrelated secondary transporters, including important drug targets.
BACKGROUND: Toxoplasmosis endangers the unborn child if its infectious agent--toxoplasma gondii--is transmitted transplacentally during pregnancy. Although this condition occurs in all parts of the world and represents a major public health burden, no detailed knowledge on the global research architecture of congenital toxoplasmosis is available thus far. Hence, it was the aim of this study to assess the related global research activity over the past 110 years.
METHODS: We employed the NewQIS platform, which combines established scientometric and socioeconomic analysis tools with novel visualizing techniques such as density equalizing mapping projections.
RESULTS: In the Web of Science, 13,044 congenital toxoplasmosis-related items published between 1900 and 2012 were identified. These were issued by 26,483 authors originating from 125 countries. The US was the dominating nation (38.7 % of total scientific output), followed by France (10.9 %) and Great Britain (9.2 %). The US also led the ranking in regards to semi-qualitative parameters (total citations, country-specific h-indices and citation rates). When research activity was related to economic figures, the ratio of total toxoplasmosis publications to the total GDP listed Switzerland first with an average of 589.35 toxoplasmosis-related publications per GDP in 1000 Bio US-$, followed by France (545.16), the UK (486.13) and Brazil (431.84) and the US (311.11). The relation of toxoplasmosis-specific publications to the economic power indicator GDP per capita in 1000 US-$ revealed that the US was ranked first with 97.65 toxoplasmosis-related publications/GDP per capita in 1000 US-$, followed by Brazil (85.95). Subject area analysis indicated a relative shortage of studies that addressed pharmacological or public health aspects of congenital toxoplasmosis.
CONCLUSIONS: This study is the first in-depth approach to sketch a global picture of the congenital toxoplasmosis research architecture. In contrast to other fields of biomedical research, not only high-income countries play a major role regarding congenital toxoplasmosis research but also countries such as Brazil that have a high incidence of congenital toxoplasmosis.
Nachdem Padua dem Proto-Signore Ezzelino III. da Romano entrissen worden war und derselbe wenige Jahre später den Schlachtentod gefunden hatte, verfasste der Paduaner Rolandino eine Chronik, in der er die Ereignisse in der Trevisaner Mark vom späten 12. Jahrhundert bis ins Jahr 1260 schildert. Der vorliegende Aufsatz veranschaulicht, bei weiter Auslegung des Kommunikationsbegriffs, vier Kommunikationsebenen in der und über die Chronik. Anhand ausgewählter Beispiele werden einige Kommunikationskontexte im spätmittelalterlichen Ostoberitalien sowie Darstellungsabsicht, Vorgehensweise und Gegenwartsinteresse des Chronisten und auch die frühe Rezeption des Werkes seitens der paduanischen Bürgerschaft aufgezeigt.
Modern experiments in heavy ion collisions operate with huge data rates that can not be fully stored on the currently available storage devices. Therefore the data flow should be reduced by selecting those collisions that potentially carry the information of the physics interest. The future CBM experiment will have no simple criteria for selecting such collisions and requires the full online reconstruction of the collision topology including reconstruction of short-lived particles.
In this work the KF Particle Finder package for online reconstruction and selection of short-lived particles is proposed and developed. It reconstructs more than 70 decays, covering signals from all the physics cases of the CBM experiment: strange particles, strange resonances, hypernuclei, low mass vector mesons, charmonium, and open-charm particles.
The package is based on the Kalman filter method providing a full set of the particle parameters together with their errors including position, momentum, mass, energy, lifetime, etc. It shows a high quality of the reconstructed particles, high efficiencies, and high signal to background ratios.
The KF Particle Finder is extremely fast for achieving the reconstruction speed of 1.5 ms per minimum-bias AuAu collision at 25 AGeV beam energy on single CPU core. It is fully vectorized and parallelized and shows a strong linear scalability on the many-core architectures of up to 80 cores. It also scales within the First Level Event Selection package on the many-core clusters up to 3200 cores.
The developed KF Particle Finder package is a universal platform for short- lived particle reconstruction, physics analysis and online selection.
Die Relevanz von MSC aus Fettgewebe (ASC) in der regenerativen Medizin überrascht in Anbetracht ihrer breit gefächerten Eigenschaften nicht. Neben antiinflammatorischen Eigenschaften und Hypoxieresistenz können sie in eine Vielzahl von Geweben differenzieren und in geschädigtes Gewebe migrieren, wo sie an Reperaturvorgängen beteiligt sind. Dabei stehen unterschiedliche Quellen zur Isolierung von MSC (und ASC) zur Verfügung. Um ASC therapeutisch einsetzen zu können, ist es essentiell ihre Quellen und ihr Potenzial zu erforschen. Es konnte gezeigt werden, dass perirenales Fettgewebe eine geeignete Quelle für ASC (prASC) darstellt. Der Nachweis der Oberflächenantigene CD73, CD90 und CD105 mittels Durchflusszytometrie sowie die Fähigkeit der prASC an Zellkulturplastik zu adhärieren, erlauben die Schlussfolgerung, dass es sich bei den nach einem bereits etablierten Verfahren isolierten Zellen um MSC handelt. Außerdem konnte durch eine zweiwöchige Kultivierung der prASC in supplementierten Medien die Differenzierung in Adipozyten, Chondrozyten sowie Osteozyten induziert werden. Der Nachweis erfolgte durch cytochemische Färbemethoden. In dieser Arbeit wurde die Differenzierung von prASC in Epithelzellen untersucht. Dafür wurden die Zellen in unterschiedlichen ATRA-haltigen Kulturmedien und konditioniertem Medium aus Tubulusepithelzellen kultiviert. Der Einfluss der Medien wurde mittels Western Blot, qPCR und Immunfluoreszenzfärbung nachgewiesen. Die Kultivierung mit ATRA führte zu einer signifikanten Erhöhung der Expression von CK18 und ZO-1. Dabei handelt es sich um Marker, die charakteristisch für Epithelzellen sind. Es konnte folglich gezeigt werden, dass humane prASC in vitro eindeutig in epithelialer Richtung differenzieren können. Unter dem Einfluss von ATRA-supplementierten Medien exprimierten die kultivierten Zellen Genprodukte, die Epithelzellen zuzuordnen sind.
Welche Bedeutung diese Erkenntnis hat ist noch unklar. Möglicherweise sind prASC, als Stammzellen aus Nischen mit anatomischer Nähe zu den Nieren, potente Kandidaten, um untergegangenes Nierengewebe, wie beispielsweise Tubulusepithelzellen, zu ersetzen.
In der vorliegenden Arbeit wurde das Auftreten einer Fatigue und Depression mit verschiedenen Messinstrumenten in den beiden Vergleichsgruppen Patienten mit einem Prostatakarzinom unter GnRH-Analoga-Therapie im Vergleich zu Patienten mit einem benignen Prostatasyndrom (BPS) untersucht.
Dabei wurde neben der Erhebung des sozioökonomischen Status eine Befragung mittels Brief Fatigue Inventory (BFI), EORTC-QLQ-C30 und dem Beck Depressions-Inventar (BDI) durchgeführt. Die Hypothese war, dass kein Unterschied im Vorhandensein der beiden Merkmale Fatigue und Depression zwischen den beiden Gruppen besteht.
Insgesamt konnten 102 Prostatakarzinom- und 100 BPS-Patienten in die zuvor von der Ethikkommission der Landesärztekammer Hessen genehmigte Studie eingeschlossen werden. Die Datenerhebung erfolgte an ambulanten Patienten in den urologischen Praxisstandorten Prof. Dr. Bickeböller (Frankfurt) und PD Dr. Engl (Oberursel).
In der Auswertung stellte sich ein signifikanter Unterschied hinsichtlich des Durchschnittsalters der Probanden (74,2 Jahre bei den Prostatakarzinompatienten, 70,1 Jahre bei den BPS-Patienten) dar. Bei der Schulbildung und dem Familienstand bestand kein signifikanter Unterschied.
Es konnte gezeigt werden, dass die Fatigue gemessen mittels BFI-Score keinen signifikanten Unterschied zwischen den beiden Gruppen erreichte. Der mittlere BFI-Score bei den Prostatakarzinompatienten lag bei 2,86 und bei den BPS-Patienten bei 2,79 Punkten. Von einer behandlungsbedüftigen, klinisch relevanten Fatigue spricht man nach allgemeinem Konsens bei einem Punktewert > 3. Diese lag bei 36,7% der Prostatakarzinompatienten und bei 33,7% der BPS-Patienten vor (p = 0,321).
Im EORTC-QLQ C30 Fragebogen ergaben sich signifikante Unterschiede für die Funktionscores Rollenfunktion (p = 0,038) und physische Funktion (p = 0,020) sowie für den Symptomscore Fatigue (FA-Score) (p = 0,047) zugunsten der BPS-Patienten, die jeweils bessere Werte erzielten. Dabei lag der durchschnittliche Punktewert der Rollenfunktion bei den Prostatakarzinompatienten mit 70,1 Punkten niedriger als bei den BPS-Patienten mit 77,5 Punkten. Der durchschnittliche Score für die physische Funktion lag bei den Prostatakarzinompatienten bei 71,0 Punkten (BPS-Patienten 78,4 Punkte) und der FA-Score bei 38,3 Punkten (BPS-Patienten 31,4 Punkte), wobei berücksichtigt werden muss, dass beim FA-Score niedrigere Punktewerte ein geringeres Ausmaß an Fatigue repräsentieren.
Der BDI offenbarte signifikante Unterschiede (Angabe in Mittelwerten) bei den Attributen „Selbstkritik“ (Prostatakarzinompatienten 0,23 Punkte, BPS-Patienten 0,44 Punkte, p = 0,015), „Energieverlust“ (Prostatakarzinompatienten 1,01 Punkte, BPS-Patienten 0,71 Punkte, p = 0,020) und „Verlust an sexuellem Interesse“ (Prostatakarzinompatienten 1,65 Punkte, BPS-Patienten 0,69 Punkte, p = 0,000). Von einer milden depressiven Symptomatik spricht man vereinbarungsgemäß ab einem BDI-Gesamt-Mittelwert von ≥ 14 Punkten. Der Mittelwert unserer beiden Vergleichsgruppen lag bei 10,29 (Prostatakarzinompatienten) und 8,6 (Patienten mit BPS) und war mit p = 0,608 nicht signifikant unterschiedlich. Eine Korrelation zwischen Fatigue und Depression konnte nicht erfolgen, da die Anzahl der Patienten mit einer moderaten/schweren Depression aufgrund der kleinen Fallzahl zu gering war.
Insgesamt konnte bei keinem der untersuchten Messinstrumente eine signifikante Korrelation zum Alter oder zum Familienstand festgestellt werden. Es zeigte sich ein signifikanter Unterschied (p = 0,029) im Vergleich der Schulbildung zum Ausmaß der Fatigue im FA-Score bei Prostatakarzinompatienten zuungunsten einer niedrigeren Schulbildung. Bei den BPS-Patienten konnte dieser Sachverhalt nicht gezeigt werden.
Zusammenfassend kann festgestellt werden, dass kein signifikanter Unterschied der beiden Gruppen in Hinblick auf das Ausmaß der Fatigue gemessen mit dem BFI-Score und das Auftreten einer Depression gemessen mit dem BDI besteht. Der signifikante Unterschied der Fatigue gemessen mittels FA-Score des EORTC-QLQ-C30 Fragebogens kann mit einem von Knobel et al. beschriebenen floor/ceiling effect erklärt werden, der bei Karzinompatienten das Ausmaß der Fatigue aufgrund von physischen Einschränkungen überschätzt und bei gesunden Patienten unterschätzt.
Dass Patienten mit einer benignen Grunderkrankung wie dem Prostatasyndrom im gleichen Ausmaß an Fatigue leiden wie Prostatakarzinompatienten wurde in unserer Arbeit erstmalig gezeigt und bedarf der weiteren Forschung, da die bislang bekannten pathophysiologischen Faktoren der Fatigue kein ausreichendes Erklärungsmodell bieten. Eine gestörte Nachtruhe durch die vermehrt im Rahmen des BPS auftretende Nykturie kann als eine der Ursachen angenommen werden, diesbezüglich sollten zukünftig weitere Untersuchungen stattfinden.
In der familienbiographischen Studie „Bürgerliche Lebenswelten im Spiegel eines familiären Briefwechsels“ wird eine bürgerliche, nicht-prominente Familie aus Hamburg über drei Generationen hinweg in der Zeit von 1840 bis 1930 untersucht. Als Quellen wurden knapp 3000 Privatbriefe sowie mehrere Familienchroniken ausgewertet.
Thematisch gehört die Arbeit zum Kontext der deutschsprachigen Bürgertumsforschung und hat eine Schnittmenge mit mehreren thematischen Unterbereichen: Sie legt einen starken Fokus auf geschlechtergeschichtliche Themen und Problemstellungen und weist interdisziplinär Schnittmengen mit der Soziologie auf. Gerade bei der Beschreibung von biographisch hochemotionalen Momenten nähert sie sich bewusst der bislang wenig beachteten ,Gefühlskultur’ bürgerlicher Menschen und ihrer je nach Persönlichkeit sehr individuellen Ausprägung an.
Breast cancer is fast becoming the leading cause of oncologic morbidity and mortality among women worldwide. Demographic changes in Asia, Southeast Asia, and South America will further accelerate this trend. Different specialties are involved in the treatment of breast cancer patients: gynecology, surgery, pathology, hematology/oncology, radiology, radiation oncology, and nuclear medicine. Optimal results are seen in countries providing standardized breast cancer care in certified breast centers. The present article provides an overview of current state-of-the-art treatment strategies and explains the contributions of different specialties to optimal and individualized care for breast cancer patients. Breast cancer will be one of the most important health issues facing physicians involved with women’s health and a basic understanding of current treatment objectives will be essential medical knowledge for everyone taking care of female patients.
Der Pilz Podospora anserina ist seit mehr als fünf Jahrzehnten ein wichtiger Modellorganismus für die Alternsforschung. Insbesondere die Mitochondrien, essentielle eukaryotische Zellorganellen – wegen ihrer Funktion im Energiestoffwechsel häufig auch als „zelluläre Kraftwerke“ bezeichnet, sind Schlüsselfaktoren für den Alterungsprozess dieses Organismus.
Im Rahmen einer vorangegangenen Diplomarbeit wurde daher der Einfluss der mitochondrialen CLPXP-Protease, einem bisher noch wenig erforschten Bestandteil der Proteinqualitätskontrolle in Mitochondrien, auf die Alterung von P. anserina untersucht. Mitochondriale CLPXP-Proteasen sind, wie auch ihre bakteriellen Pendants, aus zwei verschiedenen Untereinheiten aufgebaut: der Protease-Komponente CLPP und der Chaperon-Komponente CLPX. Die Deletion des Gens PaClpP, kodierend für CLPP in P. anserina, führte zu einer überraschenden Verlängerung der gesunden Lebensspanne der Mutante. Darüber hinaus war es möglich, den pilzlichen PaClpP-Deletionsstamm durch Einbringen von CLPP des Menschen zu komplementieren. Dies beweist, dass die Proteasen CLPP des Menschen und von P. anserina funktionell homolog sind. Dadurch eröffnete sich die Perspektive, diesen einfachen Modellorganismus für die Gewinnung potenziell auf den Menschen übertragbarer Erkenntnisse einzusetzen. Bedeutenderweise ist die menschliche CLPXP-Protease wahrscheinlich involviert in die Entstehung verschiedener Krankheiten, darunter das Perrault-Syndrom sowie einige Krebsarten. Die zugrundeliegenden Mechanismen sind jedoch noch weitestgehend unverstanden.
Ziel des in dieser Dissertation beschriebenen Forschungsprojektes war daher die Gewinnung genauerer Einsichten in die molekulare Funktion und die daraus folgende biologische Rolle der mitochondrialen CLPXP-Protease von P. anserina. Der wohl wichtigste Punkt für das detaillierte Verständnis einer Protease ist die Kenntnis ihres Substratspektrums, d. h. der von ihr abgebauten Proteine. Tatsächlich wurde aber bis heute noch in keinem eukaryotischen Organismus eine umfassende Analyse der Substrate einer mitochondrialen CLPXP-Protease vorgenommen. Um diese Wissenslücke zu füllen, wurde in der vorliegenden Arbeit eine ursprünglich in Bakterien entwickelte Verfahrensweise, der sogenannte CLPP „Substrat-trapping Assay“, in P. anserina implementiert. Dafür mussten zunächst die notwendigen handwerklichen Voraussetzungen für den Assay geschaffen werden, insbesondere die effiziente Affinitätsaufreinigung von Proteinen aus isolierten Mitochondrien – einer bisher in P. anserina noch nicht angewandten Technik. Unter Verwendung verschiedener neu hergestellter Varianten der menschlichen Protease-Komponente CLPP, darunter einer proteolytisch inaktiven Variante zum „Einfangen“ von Substraten, konnte der CLPP „Substrat-trapping Assay“ in P. anserina erfolgreich durchgeführt werden. Insgesamt wurden, in Kooperation mit der Arbeitsgruppe von Julian D. Langer (Max-Planck-Institut für Biophysik; Durchführung von massenspektrometrischen Analysen) nahezu 70 spezifische Proteine erstmalig als potenzielle Substrate oder Interaktionspartner einer mitochondrialen CLPXP-Protease identifiziert. Bei einem Großteil dieser Proteine handelt es sich um Enzyme und Komponenten verschiedener Stoffwechselwege – vor allem um solche, die eine zentrale Rolle im mitochondrialen Energiestoffwechsel spielen. Die Ergebnisse der vorliegenden Arbeit legen somit folgende Arbeitsthese als Schlussfazit und gleichzeitig Ausganspunkt für zukünftige Untersuchungen nahe:
Die hauptsächliche molekulare Funktion der mitochondrialen CLPXP-Protease in P. anserina ist die Degradation von Stoffwechselenzymen und ihre biologische Rolle demnach die Kontrolle und Aufrechterhaltung des mitochondrialen und zellulären Energiestoffwechsels.
Insgesamt ist die auf Grundlage des CLPP „Substrat-trapping Assay“ in P. anserina anzunehmende Rolle der mitochondrialen CLPXP-Protease als regulatorische Komponente des mitochondrialen Energiestoffwechsels erstaunlich gut mit Beobachtungen in anderen eukaryotischen Organismen, gerade bezüglich der Relevanz der CLPXP-Protease des Menschen für diverse Krankheiten, zu vereinbaren. Somit erscheint es überaus sinnvoll und vielversprechend, dass in dieser Doktorarbeit erstellte und bisher beispiellose Kompendium potenzieller in vivo Substrate und Interaktionspartner dieser Protease auch als Referenz für zukünftige Untersuchungen außerhalb von P. anserina anzuwenden.
The success stories of design-oriented companies like Apple, Audi or Nike have put design on the agenda in many marketing departments. Consumers cannot elude the effect of aesthetics and therefore design is a major factor for business success. Typically consumers choose the product with the best design, all other aspects being equal. Only when the interplay of product characteristics, brand and design is carefully coordinated can successful products be created. This requires an integrated approach to design, one which is applied right at the beginning of the value chain. Product development, marketing and design need to work in close cooperation, communicate well and frequently, and collect feedback from the market. Superior aesthetics are always important but should be a top priority in cases where efficiency-oriented Asian competitors are able to offer functionally similar products at much lower prices.
The caddisfly subfamily Drusinae BANKS comprises roughly 100 species inhabiting mountain ranges in Europe, Asia Minor and the Caucasus. A 3-gene phylogeny of the subfamily previously identified three major clades that were corroborated by larval morphology and feeding ecologies: scraping grazers, omnivorous shredders and filtering carnivores. Larvae of filtering carnivores exhibit unique head capsule complexities, unknown from other caddisfly larvae. Here we assess the species-level relationships within filtering carnivores, hypothesizing that head capsule complexity is derived from simple shapes observed in the other feeding groups. We summarize the current systematics and taxonomy of the group, clarify the systematic position of Cryptothrix nebulicola, and present a larval key to filtering carnivorous Drusinae. We infer relationships of all known filtering carnivorous Drusinae and 34 additional Drusinae species using Bayesian species tree analysis and concatenated Bayesian phylogenetic analysis of 3805bp of sequence data from six gene regions (mtCOI5-P, mtCOI3-P, 16S mrDNA, CADH, WG, 28S nrDNA), morphological cladistics from 308 characters, and a total evidence analysis. All analyses support monophyly of the three feeding ecology groups but fail to fully resolve internal relationships. Within filtering carnivores, variation in head setation and frontoclypeus structure may be associated with progressive niche adaptation, with less complex species recovered at a basal position. We propose that diversification of complex setation and frontoclypeus shape represents a recent evolutionary development, hypothetically enforcing speciation and niche specificity within filtering carnivorous Drusinae.
An increasing body of evidences from preclinical as well as epidemiological and clinical studies suggest a potential beneficial role of dietary intake of omega-3 fatty acids for cognitive functioning. In this narrative review, we will summarize and discuss recent findings from epidemiological, interventional and experimental studies linking dietary consumption of omega-3 fatty acids to cognitive function in healthy adults. Furthermore, affective disorders and schizophrenia (SZ) are characterized by cognitive dysfunction encompassing several domains. Cognitive dysfunction is closely related to impaired functioning and quality of life across these conditions. Therefore, the current review focues on the potential influence of omega-3 fatty acids on cognition in SZ and affective disorders. In sum, current data predominantly from mechanistic models and animal studies suggest that adjunctive omega-3 fatty acid supplementation could lead to improved cognitive functioning in SZ and affective disorders. However, besides its translational promise, evidence for clinical benefits in humans has been mixed. Notwithstanding evidences indicate that adjunctive omega-3 fatty acids may have benefit for affective symptoms in both unipolar and bipolar depression, to date no randomized controlled trial had evaluated omega-3 as cognitive enhancer for mood disorders, while a single published controlled trial suggested no therapeutic benefit for cognitive improvement in SZ. Considering the pleiotropic mechanisms of action of omega-3 fatty acids, the design of well-designed controlled trials of omega-3 supplementation as a novel, domain-specific, target for cognitive impairment in SZ and affective disorders is warranted.
The current Review article provides a narrative review about the neurobiological underpinnings and treatment of treatment resistant late-life depression (TRLLD). The manuscript focuses on therapeutic targets of late-life depression, which include pharmacological, psychological, biophysical and exercise treatment approaches. Therefore, we summarize available evidences on that kind of therapies for patients suffering from late-life depression. The search for evidences of therapeutic options of late-life depression were done using searching websites as “pubmed”, and using the searching terms “depression”, “late-life depression”, “treatment”, “biophysical therapy”, “exercise therapy”, “pharmacological therapy” and “psychological therapy”. To the end, we summarize and discuss current data, providing some directions for further research.
Treatment recommendations for elderly depressive patients favour a multimodal approach, containing psychological, pharmacological and secondary biophysical therapeutic options. Particularly, a combination of psychotherapy and antidepressant medication reflects the best therapeutic option. However, mostly accepted and used is the pharmacological treatment although evidence suggests that the drug therapy is not as effective as it is in younger depressive patients. Further studies employing larger samples and longer follow-up periods are necessary and may focus on comparability of study designs and involve novel approaches to establish the validity and reliability of multimodal treatment programs.
Understanding how to achieve efficient transduction of hematopoietic stem and progenitor cells (HSPCs), while preserving their long-term ability to self-reproduce, is key for applying lentiviral-based gene engineering methods. SAMHD1 is an HIV-1 restriction factor in myeloid and resting CD4+ T cells that interferes with reverse transcription by decreasing the nucleotide pools or by its RNase activity. Here we show that SAMHD1 is expressed at high levels in HSPCs cultured in a medium enriched with cytokines. Thus, we hypothesized that degrading SAMHD1 in HSPCs would result in more efficient lentiviral transduction rates. We used viral like particles (VLPs) containing Vpx, shRNA against SAMHD1, or provided an excess of dNTPs or dNs to study this question. Regardless of the method applied, we saw no increase in the lentiviral transduction rate. The result was different when we used viruses (HR-GFP-Vpx+) which carry Vpx and encode GFP. These viruses allow assessment of the effects of Vpx specifically in the transduced cells. Using HR-GFP-Vpx+ viruses, we observed a modest but significant increase in the transduction efficiency. These data suggest that SAMHD1 has some limited efficacy in blocking reverse transcription but the major barrier for efficient lentiviral transduction occurs before reverse transcription.
Despite multimodal regimens and diverse treatment options alleviating disease symptoms, morbidity and mortality associated with advanced ischemic heart failure remain high. Recently, technological innovation has led to the development of regenerative therapeutic interventions aimed at halting or reversing the vicious cycle of heart failure progression. Driven by the unmet patient need and fueled by encouraging experimental studies, stem cell-based clinical trials have been launched over the past decade. Collectively, these trials have enrolled several thousand patients and demonstrated the clinical feasibility and safety of cell-based interventions. However, the totality of evidence supporting their efficacy in ischemic heart failure remains limited. Experience from the early randomized stem cell clinical trials underscores the key points in trial design ranging from adequate hypothesis formulation to selection of the optimal patient population, cell type and delivery route. Importantly, to translate the unprecedented promise of regenerative biotherapies into clinical benefit, it is crucial to ensure the appropriate choice of endpoints along the regulatory path. Accordingly, we here provide considerations relevant to the choice of endpoints for regenerative clinical trials in the ischemic heart failure setting.
This dissertation examines the language of politics of leading figures of the ex-Free Aceh Movement or Gerakan Aceh Merdeka‟ (GAM) leading figures in selected Aceh media during the 2012 gubernatorial election campaign. By analyzing their symbolic acts, topic selection, campaign methods, and campaign locations as reported in five selected Aceh media, I demonstrate the process of ex-GAM political rhetoric in the post-conflict election setting. The mixed method approach used in the dissertation includes the following: grounded, content analysis, case study, and rhetorical analysis. Data were collected from three local daily broadsheet newspapers (Serambi Indonesia, Rakyat Aceh and Harian Aceh) and two online news portals (The Atjeh Post and The Globe Journal). The research found that ex-GAM political rhetoric was deeply divided into two opposing political camps: the Irwandi camp as the incumbent independent and the PA camp as the challenger from a newly-established local political party. Both camps highlighted the importance of expressive symbolic acts, such as explaining and making promises in their campaigns. Irwandi introduced more varied, specific, practical, and concrete topics in its rhetoric with diverse and less formal campaign methods that appealed to those who envision a prosperous future in Aceh. By contrast, PA employed general, unrealistic, and abstract topics in its rhetoric with less attractive and more formal campaign methods that appealed to emotional and historical romanticism. In relation to ex-GAM political rhetoric and campaign locations, both focused on the traditional regions in northeast Aceh or in the conflict-sensitive regions where most of their loyalists reside, and on big regencies/cities where the potential voters live. However, during the campaign Irwandi appeared less frequently in ethnically diverse locations, whereas PA appeared more in non-traditional regions such as the previously isolated and less-developed regions in the central highlands and southeast regions of Aceh. In this way they highlighted the rhetoric of economic and infrastructure development and that of unity in diversity taking into account the multi-ethnicity of the voters. In terms of overall media appearances, except in The Atjeh Post, where Muzakir Manaf from PA was dominant, Irwandi Yusuf was the most-reported ex-GAM during the election campaign in the selected media. Finally, the available evidence seems to suggest that Irwandi‘s language of politics was rhetorically more attractive than that of other ex-GAM leaders.
Reading is an essential ability to master everyday life in our society. The ability to read is based on specific connections between brain regions involved in the reading process – so-called cortical networks for reading. These cortical networks for reading allow us to learn the correct identification of visual words. The use of visual words is based on knowledge about the orthography (lexical) and the meaning of words (semantic). This knowledge must be acquired by beginning readers (first grader), i.e. beginning readers learn in a first step to link letters to a whole word and in a second step associate this whole word with meaning. To retrieve this knowledge during visual word recognition (VWR) a cortical network for lexical-semantic process must be activated. However, it is currently unclear whether beginning readers and reading experts activate the same neuronal network during VWR. Therefore, the aim of this thesis was to investigate the question whether beginning readers (first grader, children) and reading experts (adults) use different cortical networks for the lexical-semantic processing in VWR.
To address this question we recorded electroencephalographic (EEG) activity during VWR in children and adults. Children and adults were instructed to read a visualizable word to compare this word with a following picture stimulus. The first part of this thesis is concerned with the analysis of ERPs for visual word recognition in children and adults at sensor level. For both groups we observed the typical ERP components P100 and N170 for visual word recognition. These components differed in amplitude and time course between both groups. The second part of this thesis investigated the neuronal generators (brain areas) of ERPs during VWR and possible differences between children and adults at source level. We observed a high overlap in brain areas involved during VWR in children and adults. However, the brain areas differed in activation and time course between children and adults. Finally, the third and most important part of the thesis investigated the question whether children and adults use different cortical networks for the lexical-semantic processing in VWR over time. To address this question Dynamic Causal Modeling (DCM) and Bayesian model comparison were used. We compared nine biologically plausible cortical network models underlying the ventral lexical-semantic path in VWR. In addition, increasing time intervals were used to consider possible changes of network structure during VWR. The network models included eight brain regions (four bilateral pairs) involved in the lexical-semantic processing in VWR: occipital cortex (OC), temporo-occipital part of inferior temporal gyrus (ITG), temporal pole (TP), and inferior frontal gyrus (IFG). In almost all time intervals we found evidence that children and adults use the same cortical networks for the lexical-semantic processing in VWR. However, we found differences between adults and children in the connection strengths of the favoured model. Interestingly, we found a stronger direct connection from OC to IFG in adults compared to children.
In conclusion, our results suggest that children and adults activate largely the same lexical-semantic networks during VWR over time. This supports the notion that children and adults use the same biological fiber connections for VWR. However in contrast to children, adults showed increased use of the shortcut pathway from OC to IFG. The increased use of the shortcut pathway from OC to IFG in adults can be interpreted as consequence of learning. Learning causes in accordance with the Hebbian learning rule (“neurons that fire together, wire together” (Hebb, 1949)) synaptic change. Consequently the frequent coactivation of the input and output stage of OC and IFG during the lexical-semantic process facilitates the stronger direct connection between both brain areas. The stronger direct connection from OC to IFG most likely allows adult reading experts to speed up the lexical-semantic process during VWR. Accordingly, we conclude that the stronger direct connections from OC to IFG in adults compared to children underlay the different reading capabilities in both groups.
The processing of pain undergoes several changes in aging that affect sensory nociceptive fibers and the endogenous neuronal inhibitory systems. So far, it is not completely clear whether age-induced modifications are associated with an increase or decrease in pain perception. In this study, we assessed the impact of age on inflammatory nociception in mice and the role of the hormonal inhibitory systems in this context. We investigated the nociceptive behavior of 12-month-old versus 6–8-week-old mice in two behavioral models of inflammatory nociception. Levels of TRP channels, and cortisol as well as cortisol targets, were measured by qPCR, ELISA, and Western blot in the differently aged mice. We observed an age-related reduction in nociceptive behavior during inflammation as well as a higher level of cortisol in the spinal cord of aged mice compared to young mice, while TRP channels were not reduced. Among potential cortisol targets, the NF-κB inhibitor protein alpha (IκBα) was increased, which might contribute to inhibition of NF-κB and a decreased expression and activity of the inducible nitric oxide synthase (iNOS). In conclusion, our results reveal a reduced nociceptive response in aged mice, which might be at least partially mediated by an augmented inflammation-induced increase in the hormonal inhibitory system involving cortisol.
The Muskoka Initiative – or the Maternal, Newborn and Child Health (MNCH) Initiative has been a flagship foreign policy strategy of the Harper Conservatives since it was introduced in 2010. However, the maternal health initiative has been met with a number of key criticisms in relation to its failure to address the sexual and reproductive health needs of women in the Global South2. In this article, I examine these criticisms and expose the prevalent and problematic discourse employed in Canadian policy papers and official government speeches pertaining to the MNCH Initiative. I examine the embodiment of the MNCH and how these references to women’s bodies as “walking wombs” facilitate: the objectification and ‘othering’ of women as mothers and childbearers; a discourse of ‘saving mothers’ in a paternalistic and essentialist language; and the purposeful omission of gender equality. Feminist International Relations (IR) and post-colonial literature, as well as critical/feminist Canadian foreign policy scholarship are employed in this paper to frame these critiques.
This paper argues that it is necessary to focus on gender rather than exclusively on women in discussions on global poverty eradication. It argues firstly, that the drivers of poverty are complex and multifaceted leading to a least two different forms of deprivation – transitory and structural poverty – each requiring different forms of analysis and treatment. Transitory poverty can arise as a consequence of an event or shock that would diminish an individual’s capacity to retain or secure employment and where a State lacks an appropriate form of social protection. Structural poverty, on the other hand, arises where groups are excluded from the workforce on a more permanent basis due to a wide variety of factors of discrimination such as sex, race, ethnicity, and age. Focusing on the sex of an individual alone cannot explain why some are more likely to experience different forms of poverty than others. Policies that protect women against transitory poverty, such as care related allowances, are not sufficient to eradicate structural poverty. Secondly, structural poverty prompts an examination of gender roles and relations. Unlike the category of ‘women’, the concept of gender demands consideration of a wider range of intersecting factors that influence life chances. The structure of contemporary gender relations, where women continue to experience higher levels of violence, and carry the greatest burden of responsibility for non-market based production activities, create the social conditions where domination and dependence thrive, and where persistently high rates of poverty seem inevitable. Such circumstances are generated by human agency. Thus, thirdly, it argues that these circumstances can and should be changed through human action. Knowledge of these circumstances gives rise to moral obligations for both men and women to avoid upholding values and practices that lead to domination and dependence as a matter of basic justice.
In this paper, I examine how maternal myths are deployed in popular development literature. Using critical discourse analysis and working within a feminist postcolonial framework I analyse five texts produced by development organizations for popular consumption. I identify how maternal myths are constructed in each text and conduct a contextual analysis of four myths to identify their ideological significance within the development sector. I conclude that that in their construction of maternal myths, these texts, while intended to elicit support for gender and development interventions, reinforce exploitative gender roles and relations and limit women’s experiences of development.
As the lowest in the caste hierarchy, Dalits in Indian society have historically suffered caste-based social exclusion from economic, civil, cultural, and political rights. Women from this community suffer from not only discrimination based on their gender but also caste identity and consequent economic deprivation. Dalit women constituted about 16.60 percent of India’s female population in 2011. Dalit women’s problems encompass not only gender and economic deprivation but also discrimination associated with religion, caste, and untouchability, which in turn results in the denial of their social, economic, cultural, and political rights. They become vulnerable to sexual violence and exploitation due to their gender and caste. Dalit women also become victims of abhorrent social and religious practices such as devadasi/jogini (temple prostitution), resulting in sexual exploitation in the name of religion. The additional discrimination faced by Dalit women on account of their gender and caste is clearly reflected in the differential achievements in human development indicators for this group. In all the indicators of human development, for example, literacy and longevity, Dalit women score worse than Dalit men and non-Dalit women. Thus, the problems of Dalit women are distinct and unique in many ways, and they suffer from the ‘triple burden’ of gender bias, caste discrimination, and economic deprivation. To gain insights into the economic and social status of Dalit women, our paper will delve more closely into their lives and encapsulate the economic and social situations of Dalit women in India. The analyses of human poverty and caste and gender discrimination are based on official data sets as well as a number of primary studies in the labor market and on reproductive health.
Ibegin by providing some background to conceptions of responsibility. I note the extent of disagreement in this area, the diverse and cross-cutting distinctions that are deployed, and the relative neglect of some important problems. These facts make it difficult to attribute responsibility for climate change, but so do some features of climate change itself which I go on to illuminate. Attributions of responsibility are often contested sites because such attributions are fundamentally pragmatic, mobilized in the service of a normative outlook. We should be pluralists about responsibility and shape whatever conceptions can help to explain, guide, and motivate our responses to climate change. I sketch one such notion, ‘intervention-responsibility’, and argue that it should be ascribed to international regimes and organizations, states and other jurisdictions, individuals, and firms. Each has different capacities and thus different intervention-responsibilities responsibilities, but these differences are not always mirrored in public discussion. In particular, the moral responsibility of firms has been greatly neglected.
t is becoming less and less controversial that we ought to aggressively combat climate change. One main reason for doing so is concern for future generations, as it is they who will be the most seriously affected by it. Surprisingly, none of the more prominent deontological theories of intergenerational justice can explain why it is wrong for the present generation to do very little to stop worsening the problem. This paper discusses three such theories, namely indirect reciprocity, common ownership of the earth and human rights. It shows that while indirect reciprocity and common ownership are both too undemanding, the human rights approach misunderstands the nature of our intergenerational relationships, thereby capturing either too much or too little about what is problematic about climate change. The paper finally proposes a way to think about intergenerational justice that avoids the pitfalls of the traditional theories and can explain what is wrong with perpetuating climate change.
This article discusses obstacles to overcoming dangerous climate change. It employs an account of dangerous climate change that takes climate change and climate change policy as dangerous if it imposes avoidable costs of poverty prolongation. It then examines plausible accounts of the collective action problems that seem to explain the lack of ambition to mitigate. After criticizing the merits of two proposals to overcome these problems, it discusses the pledge and review process. It argues that pledge and review possesses the virtues of encouraging broad participation and of providing a procedural safeguard for the right of sustainable development. However, given the perceptions of the marginal short term costs of mitigation, pledge and review is unlikely, at least initially, to issue in an agreement to make deep reductions in greenhouse gas emissions. Because there is no rival approach that seems likely to better instantiate the two virtues, pledge and review may be the best available policy for mitigation. Moreover, recent economic research suggests that the co-benefits of mitigation may be greater than previously assumed and that the costs of renewable energy may be less than previously calculated. This would radically undermine claims that the short term mitigation costs necessarily render mitigation irrational and produce collective action problems. Given the circumstances, pledge and review might be our best hope to avoid dangerous climate change.
In cases in which there is the possibility of massive human losses, the threshold likelihood of their occurrence, and the non-excessive costs of their prevention, we ought to act now. This is all the more definitely the case because it may well be that this is the time-of-last-opportunity to head off one or more potential disasters, all of which may still be preventable by sufficiently rapid reductions in carbon emissions from the combustion of fossil fuel. It is unfair that the present generation should incur as heavy a burden as it does of seizing the last opportunity for prevention of disasters like large sea-level rises, but the unfairness is not sufficient to make the burden unreasonable to bear, especially since it is not in fact as heavy as often believed.
However far we are from either in practice, basic global and intergenerational justice, including climate change mitigation, are taken to be theoretically compatible. If population grows as predicted, this could cease to be the case. This paper asks whether that tragic legacy can now be averted without hard or even tragic choices on population policy. Current generations must navigate between: a high-stakes gamble on undeveloped technology; violating human rights; demanding unbearable sacrifices of the already badly off; institutional unfairness across adults; institutional unfairness across children; failing to protect children’s basic interests; and threatening the autonomy of the family. We are not yet forced to choose between bequeathing a tragic choice and making one, by adopting basically unjust measures. However, even the remaining options present a morally hard choice. The fact we face it is yet another damning indictment on the combined actions and collective failures of the global elite.
Climate justice
(2015)
Perioperative Blutungskomplikationen stellen, insbesondere für neurochirurgisch behandelte Patienten, eine schwerwiegende Komplikation dar und sind mit einer signifikant erhöhten Morbidität und Mortalität assoziiert [1]. Der perioperative Blutverlust ist einer der Hauptgründe für die Transfusion allogener Blutprodukte [2, 3]. Transfusionen von Erythrozytenkonzentraten (EK), Gefrorenem Frischplasma (GFP) und Thrombozytenkonzentraten (TK) sind dabei unabhängige Risikofaktoren für die Entwicklung thromboembolischer, pulmonaler, hämodynamischer oder septischer Komplikationen und selbst mit einer erhöhten perioperativen Morbidität und Mortalität assoziiert [3-10]. In der Literatur wird die Prävalenz von Blutungskomplikationen im Rahmen von intrakraniellen Eingriffen (Raten zwischen 0,8% bis 50%) sehr unterschiedlich beschrieben [1, 11-13]. Gleichwertige Voraussetzungen für die Bildung und Aufrechterhaltung eines stabilen Blutgerinnsels sind, neben einer effizienten primären Hämostase (Thrombozytenzahl und –funktion, Von-Willebrand-Faktor), auch die plasmatische Gerinnung (extrinsische und intrinsische Gerinnungsfaktoren) und der Schutz vor (Hyper)fibrinolyse [14].
Tectonin β-propeller containing protein 2 (TECPR2) was first identified in a mass- spectrometric approach as an interactor of GABARAP, an ATG8-family protein playing a role in autophagy. The mammalian ATG8 protein family consists of seven members, namely MAP1LC3A (LC3A), MAP1LC3B (LC3B), MAP1LC3C (LC3C), GABARAP, GABARAPL1 and GABARAPL2. All share an ubiquitin-like core and possess two additional N-terminal α-helices, which are important for the distinct functions of the proteins. First determined in various organelles the ATG8 proteins are shown to be involved in autophagy, supporting the formation and cargo recruitment of autophagosomes, the vesicles transporting cargo for autophagic degradation.
Autophagy is the process of recycling cytoplasmic contents by degradation of misfolded proteins or damaged organelles in order to supply nutrients. Also clearance of pathogens can be achieved via autophagy. Importantly, LC3B is incorporated into the autophagosomal membrane and is therefore used as the main marker for autophagosomes. Previous studies exhibited that depletion of TECPR2 leads to a loss of LC3B-positive structures in cells, which suggests TECPR2 to positively regulate autophagic processes.
A frame shift deletion in the gene encoding for TECPR2 causes the generation of a premature stop codon and subsequent an unstable version of the protein, which is then degraded. Mutation in the TECPR2 gene triggers a neurodegenerative disorder termed hereditary spastic paraparesis (HSP). HSPs are a diverse group of neurodegenerative diseases that are characterized by spasticity in prevalent lower extremities and were mediated by a loss of axonal integrity of the corticospinal motor neurons. In the context of HSP more than 50 gene loci were identified by now. While TECPR2 is a human ATG8 binding protein and positive regulator of autophagy causing a form of HSP, the exact function of TECPR2 is unknown.
This study primarily focused on the determination of TECPR2’s binding mode to ATG8 proteins in vitro and in cells. The association of TECPR2 to all ATG8-family proteins was confirmed in in vitro pulldown experiments. Following fragment-based binding and peptide array experiments, the LC3-interacting region (LIR) of TECPR2 could be verified with mutants of TECPR2 lacking the LIR motif. Nuclear magnetic resonance (NMR) and isothermal titration calorimetry (ITC) were conducted to gain deeper insights into the binding preference to the different ATG8-family members. Moreover, the crystal structure of TECPR2-LIR was solved. In cells colocalization studies with overexpressed ATG8 proteins unraveled a preferential binding to the LC3-subfamily.
Further, mass spectrometric analysis revealed novel association partners of TECPR2: SEC24D, HOPS and BLOC-1, all of those participating in different endomembrane trafficking pathways. Interaction and colocalization of TECPR2 with these components was validated with several immunoprecipitation experiments and the N-terminal part of the protein comprising the WD40-domain could be defined as the binding site for all three of the association partners. In further approaches, the requirement of the LIR-motif and the necessity of the availability of LC3 protein for the particular interactions were determined. Interestingly, in the absence of LC3C the binding of TECPR2 to SEC24D was completely disrupted whereas a loss of LC3B only resulted in a decreased association. Notably, the binding proteins were not subjected to autophagosomal degradation, indicating that TECPR2 may operate as a multifunctional scaffold protein. While depletion of TECPR2 destabilized HOPS and BLOC-1, the autophagy defect observed in TECRP2-deficient cells could not be attributed to functional impairment of these two complexes.
Moreover, loss of TECPR2 led to a decline in protein levels of SEC24D and of its heterodimer partner SEC23A. Thus, TECPR2 is required to regulate the protein levels of SEC23A and SEC24D and subsequently the formation of the heterodimers. Together, SEC24D and SEC23A form the inner coat of COPII vesicles. These vesicles are responsible for the anterograde transport of cargo from the ER toward the Golgi compartment. COPII-coated vesicles are secreted form ER at distinct sites, termed ER exit sites (ERES). The small GTPase SAR1A maintains the vesicle budding, coating and secretion at the ERES. Together with SEC13, SEC31 forms the outer coat of the COPII vesicles and therefore serves as a general ERES marker.
Consistent with a defect in COPII coat assembly, the number of ERES diminished in the absence of TECPR2. These phenotypes could be rescued by the wildtype TECPR2 protein but not by the LIR-mutant. Intriguingly, these results were mimicked by depletion of LC3C, which localized to ERES. By monitoring the release of various cargos from ER in dependency of TECPR2 or LC3C, a role of both proteins in ER export was determined. These facts indicated that TECPR2 cooperates with LC3C to facilitate COPII assembly, ERES maintenance and ER export. Notably, fibroblast derived from a HSP patient carrying mutated TECPR2 showed diminished SEC24D protein levels and delayed ER export.
Concurrent with emerging evidence for a role of ERES in autophagosome formation, depletion of TECPR2 or LC3C or overexpression of a constitutive inactive SAR1 mutant reduced puncta formation of the early autophagosomal protein WIPI2.
In summary, this study uncovered a role for TECPR2 in ER export at ERES through interaction and stabilization of SEC24D, a COPII coat protein. This process also depended on ATG8-family protein LC3C, which is localized at ERES. Both proteins are required for correct COPII-mediated secretion. Moreover, the presence of TECPR2 and LC3C on ER allows development of omegasomes, membranous structures budding ER to form autophagosomes, by stabilization of WIPI2 and therefore contribute to autophagosome formation.
This report was written by the organizers of the workshop "Accounting for Combat-Related Killings," which took place at the Goethe University Frankfurt in July 2014. Scholars from Israel, the United Kingdom, the United States,, Canada, and Germany came together to present and discuss case studies on the discourse practices involved in accounting for combat-related killings in different national and transnational contexts. Intending to reflect on the methodological skills needed to analyze newly available process data, the workshop brought together scholars using different methodological approaches (here mainly ethnomethodology and critical discourse analysis). In regard to the global trend towards increasing numbers of so called permanent, asymmetric, small, and permanent wars, the report turns to concepts, methods, and empirical findings that foster understandings of the difficulties war generates at social, cultural and political levels as well as the manner in which these predicaments are negotiated, denied, or deflected. The report summarizes the workshop by presenting the papers in a specific order, beginning with accounting in combat, followed by tribunals of accounting, and finally the sedimentation of accounting in cultural representations.
Hygroscopicity of nanoparticles produced from homogeneous nucleation in the CLOUD experiments
(2015)
Sulfuric acid, amines and oxidized organics have been found to be important compounds in the nucleation and initial growth of atmospheric particles. Because of the challenges involved in determining the chemical composition of objects with very small mass, however, the properties of the freshly nucleated particles and the detailed pathways of their formation processes are still not clear. In this study, we focus on a challenging size range, i.e. particles that have grown to diameters of 10 and 15nm following nucleation, and measure their water uptake. Water uptake constrains their chemical composition. We use a nanometer-hygroscopicity tandem differential mobility analyzer (nano-HTDMA) at subsaturated conditions (ca. 90% relative humidity at 293 K) to measure the hygroscopicity of particles during the seventh Cosmics Leaving OUtdoor Droplets (CLOUD7) experiments performed at CERN in 2012. In CLOUD7, the hygroscopicity of nucleated nanoparticles was measured in the presence of sulfuric acid, sulfuric acid-dimethylamine, and sulfuric acid-organics derived from α-pinene oxidation. The hygroscopicity parameter Κ decreased with increasing particle size indicating decreasing acidity of particles. No clear effect of the sulfuric acid monomer concentrations on the hygroscopicities of 10nm particles produced from sulfuric acid and dimethylamine was observed, whereas the hygroscopicity of 15nm particles sharply decreased with decreasing sulfuric acid monomer concentrations. In 20 particular, when the concentrations of sulfuric acid was 5.1 x 106 molecules cm exp -3 in the gas phase, and the dimethylamine mixing ratio was 11.8 ppt, the measured Κ of 15nm particles was 0.3 ± 0.01 close to the value reported for dimethylamine sulfate (DMAS) (Κ DMAS ~ 0.28). Furthermore, the difference in Κ between sulfuric acid and sulfuric acid-dimethylamine experiments increased with increasing particle size. The Κ values of particles in the presence of sulfuric acid and organics were much smaller than those of particles in the presence of sulfuric acid and dimethylamine. This suggests that the organics produced from α-pinene ozonolysis play a significant role in particle growth already at 10nm sizes.
Background Reaching the therapeutic target of remission or low-disease activity has improved outcomes in patients with rheumatoid arthritis (RA) significantly. The treat-to-target recommendations, formulated in 2010, have provided a basis for implementation of a strategic approach towards this therapeutic goal in routine clinical practice, but these recommendations need to be re-evaluated for appropriateness and practicability in the light of new insights.
Objective To update the 2010 treat-to-target recommendations based on systematic literature reviews (SLR) and expert opinion.
Methods A task force of rheumatologists, patients and a nurse specialist assessed the SLR results and evaluated the individual items of the 2010 recommendations accordingly, reformulating many of the items. These were subsequently discussed, amended and voted upon by >40 experts, including 5 patients, from various regions of the world. Levels of evidence, strengths of recommendations and levels of agreement were derived.
Results The update resulted in 4 overarching principles and 10 recommendations. The previous recommendations were partly adapted and their order changed as deemed appropriate in terms of importance in the view of the experts. The SLR had now provided also data for the effectiveness of targeting low-disease activity or remission in established rather than only early disease. The role of comorbidities, including their potential to preclude treatment intensification, was highlighted more strongly than before. The treatment aim was again defined as remission with low-disease activity being an alternative goal especially in patients with long-standing disease. Regular follow-up (every 1–3 months during active disease) with according therapeutic adaptations to reach the desired state was recommended. Follow-up examinations ought to employ composite measures of disease activity that include joint counts. Additional items provide further details for particular aspects of the disease, especially comorbidity and shared decision-making with the patient. Levels of evidence had increased for many items compared with the 2010 recommendations, and levels of agreement were very high for most of the individual recommendations (≥9/10).
Conclusions The 4 overarching principles and 10 recommendations are based on stronger evidence than before and are supposed to inform patients, rheumatologists and other stakeholders about strategies to reach optimal outcomes of RA.
We provide elementary algorithms for two preservation theorems for first-order sentences (FO) on the class ℭd of all finite structures of degree at most d: For each FO-sentence that is preserved under extensions (homomorphisms) on ℭd, a ℭd-equivalent existential (existential-positive) FO-sentence can be constructed in 5-fold (4-fold) exponential time. This is complemented by lower bounds showing that a 3-fold exponential blow-up of the computed existential (existential-positive) sentence is unavoidable. Both algorithms can be extended (while maintaining the upper and lower bounds on their time complexity) to input first-order sentences with modulo m counting quantifiers (FO+MODm). Furthermore, we show that for an input FO-formula, a ℭd-equivalent Feferman-Vaught decomposition can be computed in 3-fold exponential time. We also provide a matching lower bound
This paper shows equivalence of several versions of applicative similarity and contextual approximation, and hence also of applicative bisimilarity and contextual equivalence, in LR, the deterministic call-by-need lambda calculus with letrec extended by data constructors, case-expressions and Haskell's seq-operator. LR models an untyped version of the core language of Haskell. The use of bisimilarities simplifies equivalence proofs in calculi and opens a way for more convenient correctness proofs for program transformations. The proof is by a fully abstract and surjective transfer into a call-by-name calculus, which is an extension of Abramsky's lazy lambda calculus. In the latter calculus equivalence of our similarities and contextual approximation can be shown by Howe's method. Similarity is transferred back to LR on the basis of an inductively defined similarity. The translation from the call-by-need letrec calculus into the extended call-by-name lambda calculus is the composition of two translations. The first translation replaces the call-by-need strategy by a call-by-name strategy and its correctness is shown by exploiting infinite trees which emerge by unfolding the letrec expressions. The second translation encodes letrec-expressions by using multi-fixpoint combinators and its correctness is shown syntactically by comparing reductions of both calculi. A further result of this paper is an isomorphism between the mentioned calculi, which is also an identity on letrec-free expressions.