Refine
Year of publication
- 2019 (3305) (remove)
Document Type
- Article (1597)
- Part of Periodical (400)
- Book (265)
- Doctoral Thesis (211)
- Contribution to a Periodical (195)
- Part of a Book (182)
- Preprint (163)
- Review (141)
- Working Paper (96)
- Conference Proceeding (35)
Language
- English (1828)
- German (1314)
- Portuguese (67)
- French (31)
- Multiple languages (23)
- Turkish (16)
- Spanish (15)
- Italian (5)
- Ukrainian (4)
- mis (2)
Is part of the Bibliography
- no (3305) (remove)
Keywords
- Literatur (69)
- Deutsch (61)
- taxonomy (60)
- Experiment (47)
- Sprache (33)
- new species (32)
- Literarisches Experiment (30)
- Deutsch als Fremdsprache (27)
- Geschichte (25)
- Digitalisierung (23)
Institute
- Medizin (574)
- Präsidium (346)
- Physik (291)
- Frankfurt Institute for Advanced Studies (FIAS) (189)
- Informatik (159)
- Wirtschaftswissenschaften (144)
- Biowissenschaften (117)
- Sustainable Architecture for Finance in Europe (SAFE) (106)
- Gesellschaftswissenschaften (104)
- Neuere Philologien (90)
Der vorliegende Band widmet sich für den Zeitraum von 1815 bis heute dem deutsch-französischen Verhältnis in 15 Einzelstudien, die entweder kulturwissenschaftlich ausgerichtet sind oder die dem Thema vor Ort in regionalen Fallbespielen nachgehen. Gemeinsame Klammer ist dabei der Rhein und dessen Anliegerregionen, womit die Herausgeber sich an neuere historische Forschungstrends anschließen. Anders als bisher wird der Rhein allerdings weder als deutschnationaler Fluss noch als natürliche französische Grenze wie vor 1945, aber auch nicht wie heute vielfach als europäisches Symbol verstanden, sondern als hybrider Raum, in dem verschiedene Akteure mit unterschiedlichen Interessen unter gegebenen Rahmenbedingungen aufeinandertrafen, was zu speziellen Prozessen und hybriden Strukturen in den jeweiligen Regionen führte. Das Ziel, die bisher dominierenden politisch motivierten Interpretationen in Frage zu stellen und die regionalen Besonderheiten und Widersprüche genauer wahrzunehmen, um die vorherrschenden nationalen und europäischen Interpretationen besser einzuordnen, erreicht der Band dabei vor allem durch die auf breiter Archivalienbasis erstellten Beiträge. ...
Background: Malaria is an increasing concern in Indonesia. Socio-demographic factors were found to strongly influence malaria prevalence. This research aimed to explore the associations between socio-demographic factors and malaria prevalence in Indonesia.
Methods: The study used a cross-sectional design and analysed relationships among the explanatory variables of malaria prevalence in five endemic provinces using multivariable logistic regression.
Results: The analysis of baseline socio-demographic data revealed the following independent risk variables related to malaria prevalence: gender, age, occupation, knowledge of the availability of healthcare services, measures taken to protect from mosquito bites, and housing condition of study participants. Multivariable analysis showed that participants who were unaware of the availability of health facilities were 4.2 times more likely to have malaria than those who were aware of the health facilities (adjusted odds ratio = 4.18; 95% CI 1.52–11.45; P = 0.005).
Conclusions: Factors that can be managed and would favour malaria elimination include a range of prevention behaviours at the individual level and using the networks at the community level of primary healthcare centres. This study suggests that improving the availability of a variety of health facilities in endemic areas, information about their services, and access to these is essential.
This paper focuses on the life and work of three of the most important men who arrived in the Philippines during the 16th century: the Augustinian Martín de Rada (1533–1578) studied at the universities of Paris and Salamanca. He was one of the best European scientists of his time in East Asia. The Dominican Domingo de Salazar (1512–1594), first bishop of Manila, studied the legitimacy of the conquest of the Philippines and wrote against the Spanish plan to conquest China. The Dominican Juan Cobo (? –1592) was the first Spanish to master the Chinese language and, through his book Shilu, the first European who introduced Christianity to the Chinese from a rational point of view and the first one to introduce European science into Chinese context. All of them were very influenced by the School of Salamanca and, from Manila, they always had their eyes on China. These three men of the late 16th century are paradigmatic examples of the influence of the University of Salamanca in the production of global knowledge in the early modernity.
Pharmakokinetik von JWH-018 und seinen Metaboliten in menschlichen Serum-, Urin- und Speichelproben
(2019)
Synthetische Cannabinoide sind seit Anfang der 2000er Jahre als Alternative zum Cannabiskonsum bekannt. Als erstes synthetisches Cannabinoid konnte JWH-018 in dem Produkt „Spice“ identifiziert werden. Aufgrund von teils behandlungspflichtigen, erheblichen Nebenwirkungen sowie von Todesfällen wurden bislang keine Probandenstudien durchgeführt.
Als erste kontrollierte Untersuchung wurde eine Pilotstudie mit sechs Probanden und sehr niedrigen Dosierungen (2 und 3 mg im Vergleich mit Placebo) mit der am besten erforschten Substanz, JWH-018, abgeschlossen. Mit der Entnahme von 14 Serum- und Speichel- sowie 5 Urinproben über einen Zeitraum von 12 Stunden nach Inhalation sollten Daten zur Pharmakokinetik und zum Metabolismus erhoben werden.
Blut, Urin und Speichel wurden nach flüssig-flüssig Extraktion mittels Flüssigchromatographie-Tandemmassenspektrometrie analysiert. Die Methoden wurden nach aktuellen Richtlinien vollständig validiert.
Serumkonzentrationen wurden zur Korrelation mit beobachteten Wirkungen bestimmt. Die maximale Serumkonzentration von JWH-018 erreichte bereits 5 min nach Inhalation 2,9-9,9 ng/ml und nahm innerhalb der nächsten 1,5 h deutlich ab, gefolgt von einem multiexponentiellen Abfall (t½ im Median 1,3 h und 5,7 h). Bei zwei Probanden lagen noch bis zu 4 Wochen nach der Applikation Spuren von JWH-018 vor. Die Konzentration des Pentansäuremetaboliten war etwas höher als die der 3-, 4- und 5-Hydroxypentylmetaboliten und des 6-Hydroxyindolmetaboliten. Bei der JWH-018 Pentansäure zeigte sich jedoch im Vergleich ein späteres Erreichen der Maximalkonzentration sowie eine deutliche Plateauphase, was sich durch enterohepatisches Cycling erklären lassen könnte.
Speicheltests dienen im forensischen wie klinischen Umfeld häufig als Schnelltest und als Indikator für anhaltende Wirkungen. Die Speichelasservierung und -lagerung erfolgte mit dem Quantisal-System. Maximale Konzentrationen von JWH-018 waren 2,2-2036 (Median 25,7) ng/ml direkt nach Inhalation und sanken in der nächsten Stunde auf nur 0,08-8,42 (Median 0,89) ng/ml, Metabolite wurden nicht nachgewiesen. Innerhalb der Eliminationsphase (mittlere Halbwertszeit 1,69 h) konnte JWH-018 während 6-12 (Median 8) h nachgewiesen werden (0,024 ng/ml Quantifizierungs-grenze). Das Konzentrationsverhältnis von Speichel zu Serum variierte intra- und interindividuell stark in einem Bereich von 0,05-555 (Median 1,38) ng/ml, was eine Extrapolation der Speichelkonzentrationen auf Serum/Plasma ausschließt.
Urin wurde zu mindestens 5 Zeitpunkten entnommen und sowohl mit, als auch ohne β Glukuronidasebehandlung analysiert. Die Muttersubstanz war nicht nachweisbar, dafür 13 ihrer Metaboliten, die alle hochgradig konjugiert vorlagen. Die Konzentrationen des vorherrschenden Metaboliten, JWH-018 Pentansäure, lagen unter 5 ng/ml, wurden aber bei zwei Probanden noch bis zu 4 Wochen nach der Einnahme nachgewiesen. Die JWH-073 Butansäure wurde in die Urinanalyse miteinbezogen, da es Hinweise auf eine metabolische Bildung gab. Die Untersuchungsergebnisse können klar belegen, dass die Butansäure als Metabolit nach Konsum von JWH-018 entsteht. Wie im Serum wurden die Metabolite 3-, 4- und 5-Hydroxypentyl- sowie 6-Hydroxyindol-JWH-018 nachgewiesen. Zusätzlich zeigten sich aber auch geringe Signale von 4-, 5- und 7 Hydroxyindol- sowie von 2-Hydroxypentyl-JWH-018 und ein Signal neben dem 3 Hydroxypentylmetaboliten, welches ein weiteres hydroxyliertes Isomer repräsentieren dürfte. Weiterhin zeigten sich wie bereits im Serum auch in allen Urinproben bis zu zwei Messsignale mit den gleichen Fragmenten wie die JWH-018 Pentansäure. In Anlehnung an eine in-vitro Metabolismusstudie ist davon auszugehen, dass es sich um dihydroxylierte und dehydrierte Isomere von JWH-018 handelt, die als Hydroxy-Keto-Metabolite postuliert wurden. Im Allgemeinen lagen hydroxylierte Metaboliten bereits 10 h nach der Inhalation in Konzentrationen von weniger als 1 ng/ml vor. Die unterschiedliche Ausscheidung von Carbonsäuren und hydroxylierten Metaboliten kann bei der Einordnung des Konsumzeitpunkts helfen. Alle Konzentrationen lagen deutlich niedriger als für Urinproben von authentischen JWH-018 Konsumenten beschrieben.
Bei der Auswertung der Messdaten in Bezug auf die 2 mg und die 3 mg Dosis ließen sich keine signifikanten Unterschiede nachweisen, was sich nach Untersuchung der nicht inhalierten Restmengen durch erhebliche Schwankungen in der Applikation erklären lässt.
Die Daten sprechen für eine ausgeprägte Mehrkompartimentkinetik und eine langsame terminale Eliminierung von JWH-018 und allen Metaboliten, was zu einer Akkumulation bei chronischen Konsumenten führen kann. Dies ähnelt den Erfahrungen mit dem Cannabiswirkstoff Tetrahydrocannabinol (THC) und legt langanhaltende Effekte und eine Toleranzentwicklung nahe.
High-energetic heavy-ion collisions offer the unique opportunity to produce and to study dense nuclear matter in the laboratory. The future Facility for Antiproton and Ion Research (FAIR) in Darmstadt, Germany, will provide beams of heavy nuclei up to kinetic energies of 11 GeV/nucleon. At these energies, the nuclear matter in the collision zone of two nuclei will be compressed to densities of up to 5 − 10 times the saturation density of atomic nuclei, similar to matter densities existing in the core of massive neutron stars. Under those conditions, nucleons are expected to melt and form a new state of matter, which consists of quarks and gluons, the so called Quark-Gluon Plasma (QGP). The search for such a phase transition from hadronic to partonic matter, and the exploration of the nuclear matter equation-of-state at high densities are the major goals of heavy ion experiments worldwide.
The observables, which are proposed to probe the properties of dense nuclear matter and possible phase transitions, include multi-strange hyperons, antibaryons, lepton pairs, collective flow of identified particles, fluctuations and correlations of various particles, particles containing charm quarks, and hypernuclei. These observables have to be measured in multi-dimensions, i.e. as function of collision centrality, rapidity, transverse momentum, energy, emission angle, etc., which requires extremely high statistics. Moreover, some of these particles are produced very rarely.
Therefore, the Compressed Baryonic Matter (CBM) experiment at FAIR is designed to run at collision rates of up to 10 MHz, in order to perform measurements with unprecedented precision. Due to the complicated decay topology of many observables, no hardware trigger can be applied, and the data have to be analysed online in order to filter out the interesting events.
This strategy requires free-streaming read-out electronics, which provides time stamps to all detector signals, a high performance computer center, and high-speed reconstruction algorithms, which provide an online track and event reconstruction based on time and position information of the detector hits (”4-D“ reconstruction).
The core detector of the CBM experiment is the Silicon Tracking System (STS). The main task of the STS is to provide track reconstruction and momentum de- termination of charged particles originating from beam-target interactions. To fulfil the whole tasks the STS is located in the large gap of a superconducting dipole magnet with a bending power of 1 Tm providing momentum measurements for charged particles. The STS comprises 8 detector stations, which are positioned from 30 cm to 100 cm downstream the target. The corresponding active area of the stations grows up from 40×50 cm 2 up to 100×100 cm 2 with a totalarea of 4 m2. The silicon double-sided sensors exhibit 1024 strips on each side with a stereo angle at p-side of 7.5 ◦ and a strip pitch of 58 μm. The strip length ranges from 2 cm for sensors located in a close vicinity to the beam axis, up to 12 cm for other sensors where the flux of the reaction products drops down substantially. In total, the STS consist of 896 sensors mounted on 106 detector ladders. The detector readout electronics dissipates 40 kW and will be equipped with a CO 2 bi-phase cooling system. The detector including electronics will be mounted in a thermal enclosure to allow for sensor operation at below −5 ◦ C which minimizes radiation induced leakage currents.
The task of the STS is to measure the trajectories of up to 800 charged particles per collision with an efficiency of more than 95% and a momentum resolution of 1 − 2%. In order to guarantee the required performance over the full lifetime of the CBM experiment, the detector system has to have a low material budget, a high granularity, a high signal-to-noise (SNR) ratio, and a high radiation tolerance. As a result of optimisation studies, the STS consists of double-sided silicon microstrip sensors, about 300 μm thick, which have to provide a SNR ratio of more than 10, even after radiation with the expected equivalent lifetime fluence of 10 14 1 MeV n eq cm −2.
This thesis is devoted to the characterization of double-sided silicon microstrip sensors with an emphasis on investigation of their radiation hardness. Different prototypes of double sided silicon sensors produced by two vendors have been irradiated by 23 MeV protons up to the double life time fluence for the CBM experiment (2 × 10 14 1 MeV n eq cm −2 ).
The sensor properties have been characterised before and after irradiation. It was found, that after irradiation with a double lifetime fluence the leakage current increased 1000 times, which results in an increased shot noise. Moreover, the relative charge collection efficiency of irradiated with respect to non-irradiated sensors drops down to 85% for the lifetime equivalent fluence, and down to 73% for the double lifetime fluence, both for the p-side and n-side. For non-irradiated sensors the SNR was found to be in the range of 20 − 25, whereas for irradiated sensors it dropped down to 12 − 17.
In addition to the sensor characterization, a part of this thesis was devoted to the optimisation of the sensor readout scheme. In order to investigate the possible increase of SNR, and to reduce the number of readout channels in the outer aperture of STS, three versions of routing lines have been realized for the p-side readout of the sensor prototype, and have been tested in the laboratory and under beam conditions.
The tests have been performed with different inclination angles between beam direction and sensor surface, corresponding to the polar angle acceptance of the CBM experiment, which is from 2.5 ◦ to 25 ◦.
As a result of the studies carried out in this thesis work, the radiation hardness of the double-sided silicon microstrip sensors developed for the CBM STS detector was confirmed. Also the advantage of individual read-out of sensor channels in the lateral regions of the detector was verified. This allowed to start the tendering process for sensor series production in industry, an important step towards the construction of the detector in the coming years.
Cardiovascular diseases are a leading cause of morbidity and mortality worldwide. Aging inflicts structural and molecular changes on the heart that oftentimes involve ischemic events, cardiomyocyte apoptosis and cardiac stiffening, which makes it a major risk factor for cardiovascular disease. After being disregarded as transcriptional noise for a long time, long non-coding RNAs have lately emerged as key regulators of many cellular processes in physiology and disease of virtually all tissues and organs, with some of them being differentially regulated during aging.
This study identified a long non-coding transcript antisense to the OXCT1 gene locus, Sarrah, to be downregulated in the heart during aging, after acute myocardial infarction and upon heart failure with preserved ejection fraction. Sarrah is expressed in several cardiac cell types with highest levels in cardiomyocytes, where it is predominantly localized in the nucleus. In mouse and human cardiomyocytes, Sarrah levels are reduced upon exposure to hypoxia or treatment with hypoxiamimetic agents in vitro.
Sarrah exerts an anti-apoptotic function in mouse and human cardiomyocytes as assessed from caspase activity and annexin V staining. Histological stainings of Sarrah-depleted human engineered heart tissue organoids and Sarrah overexpressing infarcted mouse hearts confirmed its anti-apoptotic function. Sarrah also plays a role in cardiomyocyte contractility, which is substantially impaired upon Sarrah silencing in human engineered heart tissue and neonatal rat cardiomyocytes. Additionally, cardiomyocytal Sarrah stimulates endothelial cell proliferation via paracrine effects as observed after Sarrah overexpression in mouse hearts as well as in co-culture settings with human endothelial cells and Sarrah-depleted or Sarrah overexpressing human cardiomyocytes. A microarray analysis revealed that silencing Sarrah in human cardiomyocytes induced apoptosisrelated gene expression. Mechanistically, Sarrah was predicted to form triplexes in human and mouse with promoters of genes downregulated, but not upregulated after Sarrah knockdown, suggesting that Sarrah interacts with target genes to activate their transcription. This interaction was confirmed in vitro using nucleic acid oligonucleotides containing the sequences of the Sarrah triplex motif and the Sarrah binding site of the exemplary target gene GPC6 of both human and mouse. RNA immunoprecipitation experiments in human cells demonstrated that Sarrah is associated with open chromatin, transcription factor CRIP2, transcriptional co-activator p300 and DNA-RNA hybrid structures that also occur in Sarrah target gene promoters, which indicated that Sarrah activates gene expression by triplex formation and recruitment of protein interaction partners. Deleting the triplex motif of endogenous Sarrah in mouse cardiomyocytes augmented apoptosis, showing that triplex formation is of functional relevance for Sarrah action.
Finally, overexpressing Sarrah in an acute myocardial infarction mouse model improved recovery of cardiac contractile function as assessed from ejection fraction, stroke volume, wall motion and wall thickness measured by echocardiography and magnetic resonance imaging. Infarct size was substantially reduced in Sarrah overexpressing mice compared with controls. This in vivo study implies that restoring Sarrah levels in the aged or infarcted heart bears significant therapeutic potential, which can be attributed to the combination of three Sarrah effects: increased cardiomyocytes survival, enhanced contractility of individual cardiomyocytes and paracrine stimulation of endothelial cell proliferation likely contributing to increased angiogenesis and tissue perfusion.
In summary, cardiac lncRNA Sarrah is evolutionary conserved with regard to its genomic locus, function and molecular mechanism. Via triplex formation with gene promoters, it is capable to activate a set of target genes that together mediate the anti-apoptotic and pro-contractile function of Sarrah in cardiomyocytes and that confer angiogenic effects to endothelial cells. A therapeutic utilization of Sarrah in the context of myocardial ischemia is conceivable in the future if Sarrah upregulation proves to be beneficial in further studies.
Two byzantine churches in Constantinople - a photographic, historical and bibliographical context
(2019)
Background: Developmental biology relies to a large extent on the observation and comparison of phenotypic traits through time using high resolution microscopes. In this context, transparent model organisms such as the zebrafish Danio rerio in which developing tissues and organs can be easily observed and imaged using fluorescent proteins have become very popular. One limiting factor however is the acquisition of a sufficient amount of data, in standardized and reproducible conditions, to allow robust quantitative analysis. One way to improve this is by developing mounting methods to increase the number of embryos that can be imaged simultaneously in near-to-identical orientation.
Results: Here we present an improved mounting method allowing semi-automated and high-content imaging of zebrafish embryos. It is based on a 3D-printed stamp which is used to create a 2D coordinate system of multiple μ-wells in an agarose cast. Each μ-well models a negative of the average zebrafish embryo morphology between 22 and 96 h-post-fertilization. Due to this standardized and reproducible arrangement, it is possible to define a custom well plate in the respective imaging software that allows for a semi-automated imaging process. Furthermore, the improvement in Z-orientation significantly reduces post-processing and improves comparability of volumetric data while reducing light exposure and thus photo-bleaching and photo-toxicity, and improving signal-to-noise ratio (SNR).
Conclusions: We present here a new method that allows to standardize and improve mounting and imaging of embryos. The 3D-printed stamp creates a 2D coordinate system of μ-wells in an agarose cast thus standardizing specimen mounting and allowing high-content imaging of up to 44 live or mounted zebrafish embryos simultaneously in a semi-automated, well-plate like manner on inverted confocal microscopes. In summary, image data quality and acquisition efficiency (amount of data per time) are significantly improved. The latter might also be crucial when using the services of a microscopy facility.
Invasive mold disease (IMD) of the central nervous system (CNS) is a severe infectious complication in immunocompromised patients, but early microbiological diagnosis is difficult. As data on the value of biomarkers in the CNS are scarce, in particular in children, we retrospectively analyzed the performance of galactomannan (GM) and PCR assays in CNS samples of 15 children with proven and probable CNS IMD and of 32 immunocompromised children without fungal infection. Galactomannan in the cerebrospinal fluid (CSF) was assessed in nine of the 15 pediatric patients and was positive in five of them. Polymerase chain reaction (PCR) was performed in eight of the 15 patients and detected nucleic acids from molds in six patients. Galactomannan and PCR in CNS samples were the only positive microbiologic parameter in the CNS in three and two patients, respectively. In four patients, PCR specified the pathogen detected in microscopy. Galactomannan and PCR results remained negative in the CSF of all immunocompromised children without evidence for CNS IMD. Our data suggest that GM and PCR in CNS specimens are valuable additional tools in diagnosing CNS IMD and should be included in the work up of all pediatric patients with suspected mold disease of the CNS.
Nein, hier sollte keine Gesamtwürdigung von Person und Werk des Pierre d’Ailly vorgenommen oder dessen Epoche im Spiegel seiner Person unter vorwaltend kirchlich-politischen Aspekten analysiert werden, zumal darüber schon in jüngerer und jüngster Zeit Studien von Bernard Guenée sowie von Hélène Millet und Monique Maillard-Luypaert handelten. Vielmehr galt es auf der Pariser Tagung im März 2017, deren – sorgfältig redigierte, u. a. mit Auswahlbibliografie, Handschriftenverzeichnis, Personenregister und Zusammenfassungen der Beiträge in Französisch und Englisch versehene – Akten hier anzuzeigen sind, die vielfältigen Aspekte und Facetten der aktiven und schriftstellerischen Tätigkeit eines Mannes zu untersuchen, den man als "esprit universel" und "intellectuel engagé" charakterisieren mag, wie es Jacques Verger, Mitherausgeber und Mitglied der das Kolloquium in der Hauptsache tragenden Académie des Inscriptions et Belles-Lettres, einleitend tut (S. 10f.). ...
Background: Individuals afflicted with nonspecific chronic low back pain (CLBP) exhibit altered fundamental movement patterns. However, there is a lack of validated analysis tools. The present study aimed to elucidate the measurement properties of a functional movement analysis (FMA) in patients with CLBP.
Methods: In this validation (cross-sectional) study, patients with CLPB completed the FMA. The FMA consists of 11 standardised motor tasks mimicking activities of daily living. Four investigators (two experts and two novices) evaluated each item using an ordinal scale (0–5 points, one live and three video ratings). Interrater reliability was computed for the total score (maximum 55 points) using intra class correlation and for the individual items using Cohen’s weighted Kappa and free-marginal Kappa. Validity was estimated by calculating Spearman’s Rho correlations to compare the results of the movement analysis and the participants’ self-reported disability, and fear of movement.
Results: Twenty-one participants (12 females, 9 males; 42.7 ± 14.3 years) were included. The reliability analysis for the sum score yielded ICC values between .92 and.94 (p < .05). The classification of individual scores are categorised "slight" to "almost perfect" agreement (.10–.91). No significant associations between disability or fear of movement with the overall score were found (p > .05). The study population showed comparably low pain levels, low scores of kinesiophobia and disability.
Conclusion: The functional movement analysis displays excellent reliability for both, live and video rating. Due to the low levels of disability and pain in the present sample, further research is necessary to conclusively judge validity.
Background. Tracheal intubation still represents the "gold standard" in securing the airway of unconscious patients in the prehospital setting. Especially in cases of restricted access to the patient, video laryngoscopy became more and more relevant.
Objectives. The aim of the study was to evaluate the performance and intubation success of four different video laryngoscopes, one optical laryngoscope, and a Macintosh blade while intubating from two different positions in a mannequin trial with difficult access to the patient.
Methods. A mannequin with a cervical collar was placed on the driver’s seat. Intubation was performed with six different laryngoscopes either through the driver’s window or from the backseat. Success, C/L score, time to best view (TTBV), time to intubation (TTI), and number of attempts were measured. All participants were asked to rate their favored device.
Results. Forty-two physicians participated. 100% of all intubations performed from the backseat were successful. Intubation success through the driver’s window was less successful. Only with the Airtraq® optical laryngoscope, 100% success was achieved. Best visualization (window C/L 2a; backseat C/L 2a) and shortest TTBV (window 4.7 s; backseat 4.1 s) were obtained when using the D-Blade video laryngoscope, but this was not associated with a higher success through the driver’s window. Fastest TTI was achieved through the window (14.2 s) when using the C-MAC video laryngoscope and from the backseat (7.3 s) when using a Macintosh blade.
Conclusions. Video laryngoscopy revealed better results in visualization but was not associated with a higher success. Success depended on the approach and familiarity with the device. We believe that video laryngoscopy is suitable for securing airways in trapped accident victims. The decision for an optimal device is complicated and should be based upon experience and regular training with the device.
Representation is a process of making, accepting, or rejecting representative claims (Disch, 2015; Saward, 2014). This groundbreaking insight challenged the standard assumption that representative democracy can be reduced to elections and activities of elected representatives (Pitkin, 1967). It broadened the scope of representative democracy to encompass representation activities beyond those authorized by elections, transformed our thinking and provided a new perspective, putting claims and their reception into the center. This paradigm shift erased the distinction between elected and non-elected representatives and disclosed the potential of non-elected actors’ claims to represent (Andeweg, 2003; Kuyper, 2016; Rosanvallon & Goldhammer, 2008; Saward, 2006, 2009; Van Biezen & Saward, 2008). In spite of this lively debate, we identify an important gap in the literature: while this paradigmatic shift inspired many authors, conceptual frameworks that can be applied for systematic empirical analysis of real-life cases are missing. In this article, we fill this gap and propose frameworks for assessing and validating a variety of real-life claims. Our study provides empirical substance to the ongoing theoretical debates, helping to translate the mainly theoretical ‘claim approach’ into empirical research tools. It helps to transform the conventional wisdom about what representation can (not) be and shines a new light on the potential future of (claims on) representation.
The system of representative democracy is under considerable strain. Its institutions are struggling to maintain legitimacy, and its elected representatives are failing to keep their monopoly on (formal) political representation. An emerging multitude of (new) claim makers contests the authority of elected representatives as well as the functioning of the existing system of representative democracy by alleging misrepresentation. In this article, we identify a significant shortcoming in Saward’s claims-making approach; specifically, we argue that it offers little direction in addressing misrepresentation. We distinguish between claims of representation and claims of misrepresentation, and show how the latter can fulfill one, two or all three of the following functions: (1) they appeal to an enemy/antagonist (strategy), (2) identify causes of misrepresentation related to policies, politics, and polity (persuasion), and (3) claim to create a new linkage to "the people", sometimes present themselves as new representatives (reframing). To test this proposed framework, we compare claims of misrepresentation in Brazil made by civil society groups (before and during the presidential impeachment between 2014 and 2016) and in Germany (focusing on the parliamentarians of the Alternative for Germany during the first six months of mandate). Our results suggest that claims of misrepresentation are not intrinsically democratic or undemocratic, but are instead ambiguous, have different manifestations and disparate impacts on the representative system. Our article contributes to the conceptual development of the claims approach and to further understanding several critical and current challenges to representative democracy.
The established notion of political representation is challenged on multiple accounts—theoretically, conceptually, and empirically. The contributions to this thematic issue explore the constructivist turn as the means for rethinking political representation today around the world. The articles included here seek to reconsider representation by theoretically and empirically reassessing how representation is conceptualized, claimed and performed—in Western and non-Western contexts. In recognition that democratic representation in Western countries is in a process of fundamental transformation and that non-Western countries no longer aim at replicating established Western models, we look for representation around the world—specifically in: Belgium, Brazil, France, Germany, China, and India. This enables us to advance the study of representative democracy from a global perspective. We show the limits and gaps in the constructivist literature and the benefits of theory-driven empirical research. Finally, we provide conceptual tools and frameworks for the (comparative) study of claims of representation.
Relying on the theory of Saward (2010) and Disch (2015), we study political representation through the lens of representative claim-making. We identify a gap between the theoretical concept of claim-making and the empirical (quantitative) assessment of representative claims made in the real world’s representative contexts. Therefore, we develop a new approach to map and quantify representative claims in order to subsequently measure the reception and validation of the claims by the audience. To test our method, we analyse all the debates of the German parliament concerned with the introduction of the gender quota in German supervisory boards from 2013 to 2017 in a two-step process. At first, we assess which constituencies the MPs claim to represent and how they justify their stance. Drawing on multiple correspondence analysis, we identify different claim patterns. Second, making use of natural language processing techniques and logistic regression on social media data, we measure if and how the asserted claims in the parliamentary debates are received and validated by the respective audience. We come to the conclusion that the constituency as ultimate judge of legitimacy has not been comprehensively conceptualized yet.
Systematic reviews represent the core and backbone of evidence-based medicine (EBM) strategies in all fields of medicine. In order to depict a first global sketch of the international efforts in the Cochrane database systematic reviews (CDSR), we analyzed the systematic reviews of the Cochrane database. Our global maps of systematic reviewing offer intriguing structural insights into the world of EBM strategies. They demonstrate that for the CDSR, the UK and Commonwealth countries take the lead position. Since patients, care providers and health systems all over the world benefit from systematic reviewing, institutions in other countries should increase their commitment.
Small-scale phenotypic differentiation along complex stream gradients in a non-native amphipod
(2019)
Background: Selective landscapes in rivers are made up by an array of selective forces that vary from source to downstream regions or between seasons, and local/temporal variation in fitness maxima can result in gradual spatio-temporal variation of phenotypic traits. This study aimed at establishing freshwater amphipods as future model organisms to study adaptive phenotypic diversification (evolutionary divergence and/or adaptive plasticity) along stream gradients.
Methods: We collected Gammarus roeselii from 16 sampling sites in the Rhine catchment during two consecutive seasons (summer and winter). Altogether, we dissected n = 1648 individuals and quantified key parameters related to morphological and life-history diversification, including naturally selected (e.g., gill surface areas) as well as primarily sexually selected traits (e.g., male antennae). Acknowledging the complexity of selective regimes in streams and the interrelated nature of selection factors, we assessed several abiotic (e.g., temperature, flow velocity) and biotic ecological parameters (e.g., conspecific densities, sex ratios) and condensed them into four principal components (PCs).
Results: Generalized least squares models revealed pronounced phenotypic differentiation in most of the traits investigated herein, and components of the stream gradient (PCs) explained parts of the observed differences. Depending on the trait under investigation, phenotypic differentiation could be ascribed to variation in abiotic conditions, anthropogenic disturbance (influx of thermally polluted water), or population parameters. For example, female fecundity showed altitudinal variation and decreased with increasing conspecific densities, while sexual dimorphism in the length of male antennae—used for mate finding and assessment—increased with increasing population densities and towards female-biased sex ratios.
Conclusions: We provide a comprehensive protocol for comparative analyses of intraspecific variation in life history traits in amphipods. Whether the observed phenotypic differentiation over small geographical distances reflects evolutionary divergence or plasticity (or both) remains to be investigated in future studies. Independent of the mechanisms involved, variation in several traits is likely to have consequences for ecosystem functions. For example, leaf-shredding in G. roeselii strongly depends on body size, which varied in dependence of several ecological parameters.
The overarching aim of this doctoral research was to examine and quantify the spatiotemporal variability in the movements of nomadic ungulates to better understand the possible drivers and characteristics of such movements as well as to examine the particular conservation challenges associated with nomadic movements.
Cerebellar ataxias are a group of neurodegenerative disorders primarily affecting the cerebellum. Although causative mutations in several genes have been identified there is currently no cure for ataxias.
The first part of this dissertation is focused on Spinocerebellar ataxia type 2 (SCA2). SCA2 is a dominant ataxia caused by repeat expansion mutations in the ATXN2 gene, which encodes the protein Ataxin2 (ATXN2). A polyglutamine (polyQ) tract consisting of CAG repeats interrupted by CAA was identified at exon 1 of ATXN2. Healthy individuals have between 22 and 23 glutamines, while expansions longer than 33 CAG repeats cause SCA2. The most noticeable symptom that SCA2 patients show is ataxic gait; however, they also show cerebellar dysarthria, dysdiadochokinesia, and ocular dysmetria caused by the progressive cerebellar degeneration.
To model the SCA2 disease, we generated a new mouse model where 100 CAG repeats were introduced in the mouse Atxn2 gene via homologous recombination. The characterization of this mouse model, Atxn2-CAG100-KIN, demonstrated that it reproduces the symptomatology observed in SCA2 patients. These animals showed significant loss of weight over time, brain atrophy, and motor deficits.
In addition, ATXN2 intermediate expansions have been linked to the pathology of Amyotrophic lateral sclerosis (ALS) as a risk factor. ALS is a fatal neurodegenerative disease where the motor neurons in the brain and spinal cord degenerate. A hallmark of ALS is the presence of TDP43-positive inclusions in neurons and glia. Further studies of post mortem spinal cord samples from SCA2 patients showed severe and widespread neurodegeneration of the central somatosensory system. Therefore, it was of interest to further investigate the pathology affection of this tissue in the Atxn2-CAG100-KIN line and the relationship between ATXN2 and TDP43. The characterization of the spinal cord pathology via protein quantification, transcript quantification, and immunohistochemistry showed a preferential affection of RNA binding proteins (RBP) in the spinal cord rather than the cerebellum. The ALS-linked factors TDP43 and TIA1 showed time-dependent co-aggregation with ATXN2 in spinal cord sections together with an increase of CASP3 levels. Therefore, this mouse model can help develop new therapies and evaluate their effect in differently affected areas.
A transcriptome data set from Atxn2-CAG100-KIN spinal cord samples at the final disease stage of this mouse model showed a strong up-regulation of RNA toxicity-, immune- and lysosome-implicated factors. These data pointed to a pathological reactivation of the synaptic pruning and phagocytosis in microglia. ATXN2-positive aggregates were found in microglia from spinal cord sections of 14-month-old Atxn2-CAG100-KIN via immunohistochemistry. The characterization of microglial response and the potentially deleterious effects of the expanded ATXN2 in this cell type could lead to therapies to improve patients’ living standards or delay the symptoms’ onset.
The second part of this thesis was focused on an autosomal recessive form of cerebellar ataxia, Ataxia Telangiectasia (A-T), with childhood onset. A-T patients show severe cerebellar atrophy manifesting as ataxia when the child starts to walk. The genetic cause of A-T is loss-of-function-mutations in the Ataxia Telangiectasia Mutated gene (ATM). ATM is a kinase involved in DNA damage response, oxidative stress, insulin resistance, autophagy via mTOR signaling, and synaptic function.
Working with proteome data from cerebrospinal fluid of 12 A-T patients and 12 healthy controls, we aimed to define novel biomarkers that would allow following the neurodegeneration in extracellular fluid. Additional validation efforts with ~2-month-old Atm-knock-out (Atm-/-) cerebellar samples helped us to define a scenario were the deficit of vesicle-associated ATM alters the secretion of ApoB, reelin, and glutamate. As extracellular factors, apolipoproteins and their cargo such as vitamin E may be useful for neuroprotective interventions.
ADAM15, which belongs to the family of the disintegrin and metalloproteinases, is a multi-domain transmembrane protein. A strongly upregulated expression of ADAM15 is found in inflamed synovial membranes from articular joints affected by osteoarthritis and especially rheumatoid arthritis (RA). During the chronic inflammatory process in RA the synovial membrane gets hyperplastic, resulting eventually in the formation of a pannus tissue, which can invade into the adjacent cartilage and bone thereby destroying their integrity. Previously, the expression of ADAM15 in fibroblasts of the RA synovial membrane was found to confer a significant anti-apoptotic response upon triggering of the Fas receptor, which resulted in the activation of two survival kinases, focal adhesion kinase (FAK) and Src. The Fas receptor, also named CD95, belongs to the death receptor family of the tumor necrosis factor receptors and stimulation of Fas/CD95 by its ligand FasL results in the execution of apoptotic cell death in synovial membranes of RA patients. However, the occurrence of apoptotic cell death in vivo in RA synovial tissues is considerably low despite the presence of FasL at high concentrations in the chronically inflamed joint. Accordingly, a general apoptosis resistance is a characteristic of RA-synovial fibroblasts that contributes considerably to the formation the hyperplastic aggressive pannus tissue. The objective of this study was to investigate the mechanisms underlying the capability of ADAM15 to transform FasL-mediated death- inducing signals into pro-survival activation of Src and FAK in rheumatoid arthritis fibroblasts (RASFs).
In the present study, the down-regulation of ADAM15 by RNA interference resulted in a significant increase of caspase 3/7 activity upon stimulation of the Fas receptor in RASFs. Likewise, chondrocytes expressing a deletion mutant of ADAM15 (ΔC), lacking the cytoplasmic domain, revealed increased caspase activities upon Fas ligation in comparison to cells transfected with full-length ADAM15, clearly demonstrating the importance of the cytoplasmic domain for an increased apoptosis resistance. Furthermore, activation of the Fas receptor triggered the phosphorylation of Src at Y416, which results in the active conformation of Src, as well as the phosphorylation of FAK at Y576/577 and Y861 – the target tyrosines phosphorylated by Src - in full-length ADAM15-transfected chondrocytes. However, cells transfected with ADAM15 mutant (ΔC) or with vector control did not exhibit any activation of Src and FAK upon Fas ligation. This suggested the presence of an as yet unknown protein interaction mediating the Fas triggered activation of the two kinases.
In order to identify this mechanism, the application of signal transduction inhibitors interfering with Calcium signaling either by inhibiting calmodulin with trifluoperazine (TFP) or the Calcium release-activated channel (CRAC/Orai1) with BTP-2 efficiently inhibited the phosphorylation of FAK and Src, revealing a role of calmodulin, the major Ca2+ sensor in cells, in ADAM15-dependent and Fas-elicited activation of the two survival kinases. Also, a direct Ca2+ -dependent binding of calmodulin to ADAM15 could be demonstrated by pull-down assays using calmodulin-conjugated sepharose and by protein binding assays using the recombinant cytoplasmic domain of ADAM15 and calmodulin.
Furthermore, it could be demonstrated in living synovial fibroblasts by double immunofluorescence stainings that triggering the Fas receptor by its ligand FasL or a Fas-activating antibody resulted in the recruitment of calmodulin to ADAM15 as well as to the Fas receptor in patch-like structures at the cell membrane. Simultaneously, Src associated with calmodulin was shown to become engaged in an ADAM15 complex, also containing cytoplasmic-bound FAK, by co-immunoprecipitations.
Additional studies were performed to analyze the efficacy of TFP and BTP-2 on apoptosis induction in synovial fibroblasts from 10 RA patients. Using caspase 3/7 and annexin V stainings for determining apoptosis, it could be shown that both inhibitors did not possess any apoptosis inducing capacity. However, when co-incubated with FasL both compounds synergistically enhanced apoptosis rates in the RASFs. Moreover, an additional silencing of ADAM15 revealed a further significant rise in apoptosis rates upon incubation with FasL/TFP or FasL/BTP-2, providing unequivocal evidence for an involvement of ADAM15 in facilitating apoptosis resistance in RASFs.
Taken together, these results demonstrate that ADAM15 provides a scaffold for the formation of calmodulin-dependent pro-survival signaling complexes upon CRAC/Orai1 coactivation by Fas ligation, which provides a new potential therapeutic target to break the apoptosis resistance in RASFs that critically contributes to joint destruction in RA.
Hintergrund
Das intrahepatische cholangiozelluläre Karzinom ist ein seltener, hoch aggressiver Tumor2, der zu den cholangiozellulären Karzinomen gehört1 und sich mit einem Fünfjahresüberleben von lediglich 18% durch seine ungünstige Prognose auszeichnet. Bei weltweit steigender Inzidenz und Mortalität stellt die radikale Resektion zum jetzigen Zeitpunkt die einzige kurative Behandlungsoption dar. Aufgrund der niedrigen Fallzahlen und uneinheitlichen Klassifikationen, ist der internationale Studienvergleich erschwert und die Frage nach Prognosefaktoren noch nicht abschließend geklärt.
Ziele
Ziel der Studie war es, Prognosefaktoren anhand von patienten-, tumor- und therapiespezifischen Charakteristika zu detektieren, um eine prognoseadjustierte Therapieentscheidung zu erleichtern und Ausblick hinsichtlich des Gesamtüberlebens geben zu können.
Methoden
Es handelt sich um eine retrospektive unizentrische Kohortenstudie aus der Klinik für Allgemein- und Viszeralchirurgie des Universitätsklinikums Frankfurt am Main. Eingeschlossen in die Analyse wurden 69 erwachsene Patienten mit intrahepatischem cholangiozellulärem Karzinom, die im Zeitraum von Juni 2001 und August 2013 in kurativer Absicht eine Operation als Primärtherapie erhielten.
Um den Einfluss auf das Gesamtüberleben festzustellen, wurden 48 Variablen zunächst mittels univariater Cox-Regressionsanalyse auf ihre Signifikanz getestet. Im Anschluss erfolgte eine multivariate Cox-Regressionsanalyse um Zusammenhangs-, bzw. Abhängigkeitsstrukturen zwischen den Variablen zu erkennen.
Ergebnisse
In der univariaten Cox-Regressionsanalyse ergaben sich, was die prätherapeutischen Symptome betrifft, Hinweise darauf, dass das Vorhandensein von Ikterus (p=,047), Nachtschweiß (p=,026) und Schmerzen (p=,023) die Prognose signifikant verschlechtern könnte, ebenso ein erhöhtes CEA (p=,021).
Bezüglich intraoperativer Merkmale, ließ sich außerdem ein signifikanter Zusammenhang zwischen Prognose und intraoperativem EK-Bedarf (p=,006) sowie der Anlage einer biliodigestiven Anastomose (p=,007) vermuten. Davon abgesehen konnten auch postoperative Komplikationen, wie die Galleleckage (p=,015), die schwerste eingetretene Komplikation, klassifiziert nach Dindo-Clavien (p=,001) und ein hoher CCI-Wert (p=,000) mit dem Gesamtüberleben in Verbindung gebracht werden, ebenso das Vorhandensein von Fernmetastasen (p=,015).
In der multivariaten Cox-Regressions-Analyse konnten Schmerzen, Nachtschweiß, die Anlage einer biliodigestiven Anastomose, eine postoperative Galleleckage, die schwerste Komplikation nach Dindo-Clavien und ein hoher CCI-Wert als störungsfreie, signifikante Prognosefaktoren mit unabhängigem Einfluss auf das Gesamtüberleben gewertet werden.
Schlussfolgerung
Limitiert wird die Übertragung unserer Studienergebnisse durch die relativ geringe Fallzahl. Dennoch konnten wir zeigen, dass es bestimmte Risikogruppen gibt, die nach Resektion in kurativer Intention eine schlechtere Prognose hinsichtlich des Gesamtüberlebens haben, sodass auf jene Patienten vermehrt geachtet werden sollte.
An essential part of the animal survival strategy comprises the ability to control body movement and coordinate long-term navigational strategies, in order to maintain locomotion towards a nutrition source and stay in its vicinity. In the nematode Caenorhabditis elegans (C. elegans) this function is carried out by neuronal circuits, that vary their activity in response to diverse environmental condition.
This comprises different classes of neurons, acting together in a sensory, signaling and modulatory system to control body posture and induce behavioral responses. For this reason, one particular goal in the field of neuroscience research is to elucidate the mechanisms of how neuronal circuits integrate multiple sensory cues to navigate the environment. Aim of this study was to analyze the function of a neuronal network comprising the interneurons AVK, as well as the identification of signaling molecules, controlling body posture during food related locomotory behavior. This should be achieved by establishing optogenetic approaches, which provide a non inversive and temporally precise control of neuronal activity and drives the activation or silencing of individual neurons, to alter the neuronal basis of behavior. Animals exposed to food perform a dwelling-like behavior, characterized by a slowing of locomotion with a reduced crawling distance and an irregular movement, accompanied by a high frequency of pauses, reversals and directional changes. Upon food-removal, they initiate a local-search behavior with the same behavioral characteristics, but with a more pronounced sinusoidal movement. After a prolonged period of unsuccessful food finding, animals exhibited long runs with reduced pauses, reversals and turnings, increasing their maximal covered distance, indicated as dispersal behavior. Acute photoinhibition of AVK neurons, mediated by cell-specific expression of halorhodopsin (NpHR) caused the animals to perform a dwelling-like locomotory state with increased bending angles, as seen during local-search behavior. Thus, food-induced behavioral effects are mimicked by the optogenetic manipulation of AVK interneurons.
In this study, signaling molecules were ascertained by cell specific mRNA profiling of AVK neurons, mediating these behavioral responses. It was able to demonstrate, that flp-1, coding for a FMRFamidelike neuropeptide, is one of the genes with the highest distribution in AVK. In the absence of food, AVK neurons continuously release the FMRFamide-like neuropeptide FLP-1 to inhibit a subset of target motoneurons, leading the animals to maintain a low body curvature to promote dispersing behavior.
Conversely, if AVK was inhibited by NpHR or the presence of food, less FLP-1 was secreted to the body fluid, indicated by reduced intracellular fluorescence levels of mCherry-tagged FLP-1 proteins in the scavenger cells. The search of a FLP-1 receptor was successful by in vitro investigation on G protein-coupled receptors (GPCRs) and neuropeptide ligands, revealing NPR-6 to be activated by FLP-1 neuropeptides, but with a low potency. Expression pattern of the NPR-6 receptor indicated receptor localization in in the VC ventral cord and SMB head motoneurons, as well as in a subset of other neurons required for chemosensation and feeding. AVK interneurons are highly coupled to SMB head motoneurons, forming electrical synapses composed of the gap junction protein subunits UNC-7 and UNC-9. Elimination of SMB or gap junction genes using cell ablation and RNA interference, respectively, phenocopied effects of AVK inhibition on bending angles. Furthermore, this study was able to demonstrate that these neurons get inhibited during FLP-1 transmission to the NPR-6 receptor, which was required to mediate AVK effects on crawling behavior. Consequently, photoinhibition of AVK caused disinhibition of VC and SMB neurons, in order to enhance sinusoidal movement and to induce a local-search related locomotory behavior.
Thereby, FLP-1 neuropeptide transmission is the preferred used signaling pathway over direct gap junction coupling. Additional neuropeptides and receptors were identified to be essential downstream to AVK neurons to mediate effects on body curvature and locomotory behavior as well. The high-potency FRPR-7 receptor was shown to mediate FLP-1 peptide effects on undulatory motion during swimming in a liquid environment, rather than crawling locomotion on a solid surface. This result suggests that the receptor NPR-6 is required for FLP-1 peptide effects on bending and crawling locomotion, whereas conversely the receptor FRPR-7 is addressed by FLP-1 peptides to exclusively regulate swimming behavior. The FRPR-7 receptor is expressed in the AIM and NSM motoneurons, which are suggested to be the primary neuronal candidates mediating swimming behavior. Furthermore, this study provides evidence, that FRPR-7 acts in the DVC interneuron to control spontaneous reversal behavior, most probably by inhibitory FLP-1 signaling from the AVK neurons. Among other neuropeptides, the FMRFamide-like peptide FLP-26 binds with higher affinity to NPR-6 receptors than FLP-1 peptides. FLP-26 peptides are expressed in the SMB motoneurons, where they are able to further potentiate FLP-1 inhibitory effects by simultaneous binding to NPR-6.
...
Rhabdomyosarcoma (RMS) is the most frequent pediatric soft-tissue sarcoma comprising two major subtypes – the alveolar and the embryonal rhabdomyosarcoma. The current therapeutic regime is multimodal including surgery, radiation and chemotherapy with cytostatic drugs. Although the prognosis for RMS patients has steadily improved to a 5-year overall survival rate of 70% for ERMS and 50% for ARMS, prognosis for subgroups with primary metastases or relapsed patients is still less than 25%, highlighting the need for development of new therapies for these subgroups. Since cancer cells are addicted to their cancer promoting transcriptional program, remodeling transcription by targeting bromodomain and extraterminal (BET) proteins has emerged as compelling anticancer strategy. However, in many cancer types BET inhibition was proved cytostatic but not cytotoxic emphasizing the need for combination protocols.
In this study we identify a novel synergistic interaction of the BET inhibitor JQ1 with p110α-isoform-specific Phosphoinositid-3-Kinase (PI3K) inhibitor BYL719 (Alpelisib) to induce mitochondrial apoptosis and global reallocation of BRD4 to chromatin. At first, we showed that JQ1 single treatment had cytostatic effects at nanomolar concentrations and inhibited MYC and Hedgehog (Hh) signaling in RMS known to promote proliferation of RMS. However, JQ1 single treatment barely induced cell death in RMS cells even at concentrations of up to 20 µM (< 20% cell death). Thus, we next tested combination approaches to elicit cell death. Since we previously identified synergistic cell death induction of Hh inhibition and PI3K inhibition in RMS cells we tested JQ1 in combination with the pan-PI3K/mTOR inhibitor PI-103 and the p110α-isoform-specific PI3K inhibitor BYL719. In addition, we tested JQ1 in combination with distinct HDAC inhibitors namely JNJ-26481585, SAHA (Vorinostat), MS-275 (Entinostat) and LBH-589 (Panobinostat) since the synergistic interaction of BET and HDAC inhibition has previously been described for other tumor entities.
Interestingly the synergism of cell death induction of JQ1/BYL719 co-treatment is superior to the synergism of JQ1 with pan-PI3K/mTOR inhibitor PI-103 or the tested HDAC inhibitors as confirmed by calculation of combination index. To investigate the molecular mechanisms underlying the synergy of JQ1/BYL719 co-treatment, we performed RNA-Seq and BRD4 ChIP-Seq experiments. RNA-Seq exhibited, that JQ1/BYL719 co-treatment shifted the overall balance of BCL-2 family gene expression towards apoptosis and increased gene expression of proapoptotic BMF, BCL2L11 (BIM) and PMAIP1 (NOXA) while decreasing gene expression of antiapoptotic BCL2L1 (BCL xL). These changes were verified by qRT-PCR and Western blot. Notably, BRD4 is phosphorylated upon JQ1/BYL719 co-treatment and globally reallocates BRD4 to chromatin. This BRD4 reallocation includes enrichment of BRD4 at the super-enhancer site of BMF, at the super-enhancer, typical enhancer and promoter regions of BCL2L11 (BIM) and at the PMAIP1 (NOXA) promoter, while JQ1 alone, as expected, reduces global chromatin binding of BRD4. Integration of RNA-Seq and BRD4 ChIP-Seq data underlines the transcriptional relevance of reallocated BRD4 upon JQ1/BYL719 co-treatment. Immunopreciptation studies showed, that RMS cells are initially primed to undergo mitochondrial apoptosis since BIM is constitutively bound to antiapoptotic BCL-2, BCL xL and MCL-1. JQ1/BYL719 co-treatment increased BIM expression and its neutralization of antiapoptotic BCL-2, BCL-xL and MCL-1 thereby rebalancing the ratio of pro- and antiapoptotic BCL-2 proteins in favor of apoptosis. This promotes activation of BAK and BAX resulting in caspase-dependent apoptosis. The functional relevance of proapoptotic re-balancing for the execution of JQ1/BYL719-mediated apoptosis was confirmed by individual silencing of BMF, BIM, NOXA or overexpression of BCL-2 or MCL-1, which all significantly rescued JQ1/BYL719-induced cell death. Execution of cell death by mitochondrial caspase-dependent apoptosis was veryfied by individual knockdown of BAK and BAX or caspase inhibitor N-Benzyloxycarbonyl-Val-Ala-Asp(O-Me) fluoromethylketone (zVAD.fmk), which all significantly rescued JQ1/BYL719-induced cell death.
In summary, combined BET and PI3Kα inhibition cooperatively induces mitochondrial apoptosis by proapoptotic re-balancing of BCL-2 family proteins accompanied by reallocation of BRD4 to transcriptional regulatory elements of BH3-only proteins.
The Compressed Baryonic Matter experiment (CBM) at FAIR and the NA61/SHINE experiment at CERN SPS aim to study the area of the QCD phase diagram at high net baryon densities and moderate temperatures using heavy-ion collisions. The FAIR and SPS accelerators cover energy ranges 2-11 and 13-150 GeV per nucleon respectively in laboratory frame for heavy ions up to Au and Pb. One of the key observables to study the properties of a matter created in such collisions is an anisotropic transverse flow of particles.
In this work, the performance of the CBM experiment for anisotropic flow measurements is studied with Monte-Carlo simulations using gold ions at SIS-100 energies employing different heavy-ion event generators. Also, procedures for centrality estimation and charged hadron identification are described and corresponding frameworks are developed.
The measurement of the reaction plane angle is performed with Projectile Spectator Detector (PSD), which is a hadron calorimeter located at a very forward angle. To prevent radiation damage by the high-intensity ion beam, the PSD has a hole in the center to let the beam pass through. Various combinations of CBM detector subsystems are used to investigate the possible systematic biases in flow and centrality measurements. Effects of detector azimuthal non uniformity and the PSD beam hole size on physics performance are studied. The resulting performance of CBM for flow measurements is demonstrated for identified charged hadron anisotropic flow as a function of rapidity and transverse momentum in different centrality classes.
The measurement techniques developed for CBM were also validated with the experimental data recently collected by the NA61/SHINE experiment at CERN SPS for Pb+Pb collisions at the beam momenta 30A GeV/c. Compared to the existing data from the NA49 experiment at the CERN SPS, the new data allows for a more precise measurement of anisotropic flow harmonics. The fixed target setup of NA61/SHINE also allows extending flow measurements available from the STAR at the RHIC beam energy scan (BES) program to a wide rapidity range up to the forward region where the projectile nucleon spectators appear. In this thesis, an analysis of the anisotropic flow harmonics in Pb+Pb collisions at beam momenta 30A GeV/c collected by the NA61/SHINE experiment in the year 2016 is presented. Flow coefficients are measured relative to the spectator plane estimated with the Projectile Spectators Detector (PSD). The flow coefficients are obtained as a function of rapidity and transverse momentum in different classes of collision centrality. The results are compared with the corresponding NA49 data and the measurements from the RHIC BES program.
Understanding global biodiversity patterns is one of the main objectives of ecology. Spatial variation in species richness can be explained by several environmental factors. The relationships between species richness and environmental factors have been associated with latitudinal, longitudinal and elevational gradients. The number of species is determined by birth, death and migration rates of species in a given area. These rates are affected by abiotic and biotic factors acting at local and regional scales. Climatic seasonal variation may also influence biodiversity, directly through physiological limitations and indirectly through biotic interactions, vegetation structure and food availability. Climate and land use change are the main factors for landscape simplification and biotic homogenization. Thus, the study of community patterns across environmental gradients may help to predict the effect of projected environmental change.
I investigated how abiotic and biotic factors influence different facets of bird diversity across an elevational gradient. My study was conducted along an elevational gradient spanning 2000 m within and around Podocarpus National Park and San Francisco reserve on the southeastern slope of the Andes in Ecuador. The climate is humid tropical montane with a bimodal rain regime. The region is characterized by evergreen premontane forest at low elevations, evergreen lower montane forest at mid elevations and upper montane forest at high elevations. The elevational gradient has natural continuous forests within the protected reserves and fragmented forests surrounding the reserves in a matrix of cattle pastures. To monitor bird diversity, I placed nine 20-m radius point counts within 18 one-hectare plots, in continuous and fragmented forest at 1000, 2000 and 3000 m a.s.l. I recorded and identified all birds for 10 minutes within each point count. Bird communities were sampled eight times per plot, in the most humid season and in the least humid season of 2014 and 2015. To estimate flower and fruit availability, I recorded all plants with open flowers and ripe fruits within each point count. To obtain the relative invertebrate availability, I assessed understory invertebrate fresh biomass using a standardized sweep-netting design along 100-metre borders of each plot. Vertical vegetation heterogeneity was estimated at eight layers above the ground within each point count. Temperature for each plot was obtained using an air temperature regionalization tool and precipitation through remote sensing techniques and meteorological data.
In the first chapter of this thesis, I explored the effects of elevation, climate and vegetation structure on overall bird communities as well as on frugivorous and insectivorous birds. I found that elevation was mostly indirectly associated with bird diversity, jointly mediated via temperature, precipitation and vegetation structure. Additionally, elevation was directly and positively associated with both the overall bird community and with insectivores, but not with frugivores. My findings indicate a reduction of bird diversity due to climatic factors and vegetation structure with increasing elevation. However, the direct, positive effect of elevation suggests that bird diversity was higher than expected towards high elevations, probably due to spatial, biotic and evolutionary settings.
In the second chapter, I analysed the influence of climate and resource availability on temporal variation of bird communities. I found a higher bird diversity in the least humid season than in the most humid season. The seasonality of the bird communities was mainly driven by temperature and precipitation. While temperature had a significant positive effect at high elevations, precipitation had a significant negative effect at low elevations. Resource availability had no significant effect. My findings suggest that the temporal fluctuations in bird communities likely occur due to climate
constraints rather than due to resource limitations.
In the third chapter, I studied the effect of forest fragmentation on taxonomic and functional bird diversity. I found that taxonomic diversity was higher in fragmented compared to continuous forests, while functional diversity was negatively affected by fragmentation, but only at low elevations. The increase of taxonomic diversity in disturbed habitats suggests an increase of habitat generalists, which may compensate the loss of forest specialists. My findings suggest that taxonomic diversity can be uncoupled from functional diversity in diverse communities at low elevations.
My results show the effects of environmental factors on the spatio-temporal patterns of bird communities and the potentially uncoupled responses of taxonomic and functional diversity to forest fragmentation. My findings highlight that bird communities respond differently to abiotic and biotic factors across elevational gradients. Overall, my study helps to better understand the mechanisms that drive species communities in response to complex environmental conditions, which could be an essential contribution for the conservation of bird communities in the tropical Andes.
Background: Definitive chemoradiotherapy (CRT) is the primary treatment for non-metastatic anal squamous cell carcinoma (ASCC). Despite favorable treatment outcomes in general, failure rates up to 40% occur in locally advanced disease. For treatment escalation or de-escalation strategies easily assessable and valid biomarkers are needed.
Methods: We identified 125 patients with ASCC treated with standard CRT at our department. C-reactive protein (CRP) to albumin ratio (CAR) was calculated dividing baseline CRP by baseline albumin levels. We used maximally selected rank statistics to dichotomize patients to high and low risk groups. Associations of CAR with clinicopathologic parameters were evaluated and the prognostic impact was tested using univariate and multivariate cox regression analysis. In a subset of 78 patients, pretreatment tumor tissue was available and CD8+ tumor infiltrating lymphocytes (TILs) and p16INK4a status were scored by immunohistochemistry and correlated with CAR.
Results: Advanced T-stage and male gender were significantly associated with higher baseline CAR. Using the calculated cutoff of 0.117, a high baseline CAR was also associated with worse locoregional control (p = 0.002), distant metastasis-free survival (p = 0.01), disease-free survival (DFS, p = 0.002) and overall survival (OS, p < 0.001). A combined risk score incorporating N-stage and CAR, termed N-CAR score, was associated with worse outcome across all endpoints and in multivariate analysis independent of T-stage and Gender (HR 4.27, p = 0.003). In the subset of 78 patients, a strong infiltration with intratumoral CD8+ TIL was associated with a significantly lower CAR (p = 0.007). CAR is an easily accessible biomarker that is associated with DFS. Our study revealed a possible link between chronic systemic inflammation and an impaired intratumoral immune response.
Ataxia telangiectasia (A-T) is a devastating multi-system disorder characterized by progressive cerebellar ataxia, immunodeficiency, genetic instability, premature aging and growth retardation. Due to better care the patients get older than in the past and new disease entities like disturbed glucose tolerance and liver disease emerge. The objective of the present investigation is to determine the evolution of liver disease and its relation to age and neurological deterioration. The study included 67 patients aged 1 to 38 years with classical A-T. At least two measurements of liver enzymes were performed within a minimum interval of 6 months in 56 patients. The median follow-up period was 4 years (1–16 years). A total of 316 liver enzyme measurements were performed. For analysis, patients were divided into two age groups (Group 1: <12 years; group 2: ≥12 years). In addition, ultrasound of the liver and Klockgether Ataxia Score (KAS) were analyzed. We found significantly higher levels of alpha-fetoprotein (AFP) (226,8 ± 20.87 ng/ml vs. 565,1 ± 24.3 ng/ml, p < 0.0001), and liver enzymes like ALT (23.52 ± 0.77 IU/L vs. 87.83 ± 5.31 IU/L, p < 0.0001) in patients in group 2. In addition, we could show a significant correlation between age and AFP, GGT, and KAS. Ultrasound revealed hepatic steatosis in 11/19 (57.9%) patients in group 2. One female patient aged 37 years died due to a hepato-cellular carcinoma (HCC). Liver disease is present in the majority of older A-T patients. Structural changes, non-alcoholic fatty liver disease and fibrosis are frequent findings. Progress of liver disease is concomitant to neurological deterioration.
Stress often has a negative influence on sports performance. Stress-induced decreases in performance can be especially disastrous for risk sports athletes, who often put their life at risk when practicing their sport. Therefore, it is of great importance to identify protective factors in stressful situations in risk sports. On average, risk sports athletes score extremely high on the personality trait sensation seeking. At the same time, theoretical considerations about dispositional mindfulness suggest that mindful athletes can handle stress more effectively. The main goal of this experiment is to examine the influence of sensation seeking and mindfulness on the stress response to a risk sport-specific stressor. To induce stress, 88 male students completed the Heidelberg Risk Sport-Specific Stress Test (HRSST) which utilizes fear of falling as the stressful event during a climbing exercise. Psychological (anxiety) and physiological (cortisol) responses were measured at multiple time points before and after the HRSST to determine the severity of the stress response. In reaction to the stressor, a significant increase in self-reported state anxiety, but no significant increase in cortisol were observed. The mindfulness subscale external observation correlated positively with anxiety in the climbing wall, sensation seeking and the anxiety scales after the jump correlated negatively and sensation seeking predicted anxiety subscales after the jump in hierarchical regression analyses. However, mindfulness did not predict anxiety measures. Neither sensation seeking nor mindfulness correlated significantly with cortisol levels. The results suggest that high sensation seekers perceive a risk sport-specific stressor as less stressful. The missing physiological response might be explained by the Cross-Stressor-Adaptation-Hypothesis and particularities of the sample. Good internal observers might be especially aware of their need of stimulation and new experiences, which in turn might explain the higher experience-seeking scores. Future studies should further examine the role of mindfulness in stressful situations and the interaction of its subscales with sensation seeking. The current experiment offers new possibilities for adjoining research fields at the interface between sports sciences, psychology and medicine: The findings can be transferred to high risk professions such as police officers, firefighters and military forces (e.g., for selection processes or for interventions).
Es beginnt mit einer Reminiszenz an mein Lieblingsmärchen. Das ist das Märchen von des Kaisers neuen Kleidern. Ich zitiere v. Olberg- Haverkate: "Ziel der Klassifikation der Textklasse Rechtsbücher ist die Textsortenermittlung, die Kategorisierung auf der Ebene der langue, des Sprachsystems. Gegenüber der Textklasse/Textgattung/Textgruppe sind Textsorten theoretische Konstrukte. Der Umfang der Textsorte ist in dieser Untersuchung nicht wie in älteren Ansätzen an das Satzmodel gebunden. 'Die Annahme von der kommunikationstheoretischen Orientierung der systemhaften, synchronen linguistischen Textsorte sprengt schließlich den Rahmen des strukturalistischen Systembegriffs… Sie führt zu einer Zweidimensionalität des Textsortenbegriffs. … Die Textsorte unterschiedet [sic] sich durch die Einbeziehung situativer, pragmatischer Merkmale von den anderen Einheiten der langue (Phonem, Morphem, Satztypen)'". Die zentrale Frage aus des Kaisers neuen Kleidern lautet übersetzt für diesen Kontext so: Ist das einfach völlig substanzlos und nichtssagend oder habe ich irgendetwas nicht verstanden? ...