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Background and aims: Liver steatosis has shown to be associated with coronary artery disease (CAD). The aim of our study was to evaluate the association between the presence and severity of CAD and Non-alcoholic fatty liver disease (NAFLD) assessed by transient elastography (TE) and controlled attenuation parameter (CAP).
Methods: 576 Patients undergoing coronary angiography were enrolled in this prospective study, receiving at least 10 TE and CAP measurements using the FibroScan® M-probe. Clinically relevant CAD (CAD 3) was defined as stenosis with ≥75% reduction of the luminal diameter. NAFLD was determined by CAP ≥234 dB/m. NAFLD with advanced fibrosiswas determined by TE-values ≥7.9kPa in the presence of NAFLD and absence of congestive or right-sided heart failure. Rates and 95% confidence intervals are shown.
Results: 505 patients were available for analysis of NAFLD. However, only 392 patients were available for analysis of NAFLD with advanced fibrosis, since 24 patients had to be excluded due to non valid TE-measurements and 89 patients due to congestive or right-sided heart failure or suspected concomitant liver disease, respectively. 70.5% (66.3%-74.4%) of patients had CAD 3, 71.5% (67.3%-75.4%) were diagnosed with NAFLD, and 11.2% (8.3%-14.8%) with NAFLD with advanced fibrosis. Patients with CAD 3 had higher median CAP-values (273±61 vs. 260±66 dB/m; p = 0.038) and higher degrees of steatosis as compared to patients without CAD 3. While NAFLD was significantly more often diagnosed in patients with CAD 3 (75.0% vs. 63.1%, p = 0.0068), no significant difference was found for NAFLD with advanced fibrosis (10.7% vs. 12.5%, p = 0.60).
Conclusions: Clinically relevant CAD is frequently associated with the presence of NAFLD, but not NAFLD with advanced fibrosis.
The process of urbanization is one of the major causes of the global loss of biodiversity; however, cities nowadays also have the potential to serve as new habitats for wildlife. The European rabbit (Oryctolagus cuniculus, L. 1758) is a typical example of a wildlife species that reaches stable population densities in cities. Due to intense plant and soil damages, German city authorities aim to control high rabbit densities through the application of a yearly hunting regime (e. g., in Munich, Berlin or Frankfurt am Main). In contrast, population densities of O. cuniculus are on decline in German rural areas, i. e., numbers of yearly hunting bags decreased. The aim of my doctoral thesis was to answer the following research questions: Do population densities of the European rabbit correlate with the intensity of urbanization in and around Frankfurt am Main and if so, which factors play a role in varying densities? How are burrow construction behaviors and group sizes, daytime activity patterns and anti-predator behaviors as well as communication behaviors of this mammal affected by urbanization?
In my first study, I focused on population dynamics across 17 different study sites in and around Frankfurt. As one of yet few studies, I invented an approach that quantified the intensity of urbanization (degree of urbanity) of each study site base on four variables: (1) intensity of anthropogenic disturbance per min and ha, (2) number of residents within a radius of 500 m, (3) proportion of artificial ground cover and (4) numbers of anthropogenic objects per ha. Spearman rank correlations confirmed that with increasing degree of urbanity also rabbit and burrow densities increased. The access to dense shrubs, bushes etc. as suitable sites for burrow construction is the most determining factor for rabbit abundances, and therefore I presumed different densities along the rural-to-urban gradient to be driven by shifts in the availability of thick vegetation.
In the second study, I calculated two indices that in both cases classified burrows to be either accumulated, evenly or randomly distributed within study sites. Additionally, in cooperation with local hunters the number of burrow entrances and animals that occupy the same burrow had been determined during the hunting season. With increasing degree of urbanity burrow distribution patterns shifted from accumulated in rural areas towards more evenly distributed within the city center of Frankfurt. This is a clear sign for an increasing access to sites suitable for burrow construction along the rural to-urban gradient. Additional Spearman rank correlations revealed that the external dimensions of burrows decreased (shorter distances between entrances) and that burrows became less complex (fewer entrances) along the rural-to-urban gradient. In accordance, the number of rabbits that commonly shared the same burrow system was highest within rural areas, whereas I found mainly pairs and single individuals within highly urbanized study sites.
In the last study I compared activity patterns, burrow use and percentages of anti-predator behaviors from one hour before sunrise until one hour after sunset of rural, suburban and urban rabbit groups. A linear mixed model (LMM) and Spearman rank correlations confirmed that rabbits located at urban and suburban sites spent more time outside their protective burrows compared to their rural conspecifics. At suburban sites, individuals invested the least amount of time in anti-predator behavior. Results of this third study gave evidence that suburban rabbit populations on one hand benefit from less predation pressure by natural predators in comparison to rural sites, whereas on the other hand are exposed to less intense disturbance by humans compared to urban study sites.
The last study focused on the effects that urbanization had on the latrine-based communication behavior of rabbits. As many other mammals, O. cuniculus exchange information via the deposition of excreta in latrines, and depending on the intended receiver(s), latrines are either formed in central areas for within-group communication or at territorial boundaries, e. g., for between-group communication. The relative importance of within- vs. between-group communication depends on, amongst other factors, population densities and group sizes which I proved both to shift along the considered rural-to-urban gradient. I determined latrine sizes, latrine densities and latrine utilization frequencies relative to their distance to the nearest burrow at 15 different study sites. Latrine densities and utilization frequencies increased with increasing distance from the burrow in suburban and urban populations whereas at rural sites, largest latrines and those containing the most fecal pellets were close to the burrow, suggesting that within-group communication prevailed.
To sum up, for the first time, I was able to relate shifts in the ecology and behavior of the European rabbit as adaptations to a gradual anthropogenic habitat alteration that are typical for “urban exploiters”. Especially the suburban habitat provides high landscape heterogeneity (“edge habitat“) which is essential for high and stable rabbit populations. Moreover, here, comparably low human disturbance and predation pressure are given in contrast to the agriculturally transformed, open landscapes which are nowadays typical for most rural areas in central Europe. I argue that this mainly leads to the observed behavioral changes along the rural-to-urban gradient. Future plans for rural land management actions should aim to increase refuge availability by generating networks of ecotones. This would also benefit species that depend on similar ecosystem structures as the European rabbit and are on decline in Germany.
The chemopreventive and anticancer effects of resveratrol (RSV) are widely reported in the literature. Specifically, mechanisms involving epigenetic regulation are promising targets to regulate tumor development. Bromodomains act as epigenetic readers by recognizing lysine acetylation on histone tails and boosting gene expression in order to regulate tissue-specific transcription. In this work, we showed that RSV is a pan-BET inhibitor. Using Differential Scanning Fluorimetry (DSF), we showed that RSV at 100 µM increased the melting temperature (∆Tm) of BET bromodomains by around 2.0 °C. The micromolar dissociation constant (Kd) range was characterized using Isothermal Titration Calorimetry (ITC). The RSV Kd value accounted to 6.6 µM in case of BRD4(1). Molecular docking proposed the binding mode of RSV against BRD4(1) mimicking the acetyl-lysine interactions. All these results suggest that RSV can also recognize epigenetic readers domains by interacting with BET bromodomains.
Sexuelle Dysfunktionen bei Frauen mit Posttraumatischer
Belastungsstörung – ein Übersichtsartikel
(2017)
Sexual dysfunctions, clinical as well as subclinical, and other sexual complaints that accompany aversive emotions, cognitions, and sexual risk behavior are very common among women after experiences of sexual violence and are underestimated as a problem. Anyway, among victims of other kinds of traumatic experiences, a high prevalence of sexual distress is found as well. Explanatory approaches concentrate on learning theory as well as the phenomenology of Posttraumatic Stress Disorder (PTSD) itself. Sexuality is an important source of vitality, and the maintenance of sexual dysfunctions can be accompanied by a risk of impairments in quality of life and self-esteem as well as relationship problems. Aside clinical practice, there is also a lack of knowledge in clinical science regarding the association between sexual dysfunctions and traumatic experiences, especially sexual ones. In this article, the phenomenology and diagnostic instruments of female sexual dysfunctions are presented, and consequences of sexual violence on sexuality, also in the context of PTSD, are further explained. Suggestions are being made on how to include suitable interventions into therapy.
Die Psoriasis vulgaris (PsV) ist eine immunvermittelte entzündliche Erkrankung der Haut mit einer Prävalenzrate von 2-3 %, sodass etwa zwei Millionen Menschen in Deutschland an dieser erkrankt sind. Charakteristisch für die PsV sind veränderte Hautareale (Plaques), die im Rahmen der der entzündungsbedingten Durchblutungssteigerung gerötet erscheinen und eine silbrig-weiße Schuppung als Resultat einer vermehrten Abschilferung abgestorbener Keratinozyten aus der hyperproliferativen Epidermis aufweisen.
In dieser Arbeit wurde die Bedeutung des proinflammatorischen Zytokins granulocyte-macrophage colony-stimulating factor (GM-CSF) in der Pathogenese einer modellhaften Experimentalerkrankung der PsV untersucht. GM-CSF wird unter anderem von Interleukin (IL-) 17 produzierenden T-Helferzellen (Th17-Zellen) sezerniert, deren pathogenetische Bedeutung für die PsV gut etabliert ist. Die pathogene Wirkung von GM-CSF als Effektorzytokin konnte bereits in Tiermodellen anderer Th17-vermittelter Autoimmunerkrankungen wie der multiplen Sklerose und der rheumatoiden Arthritis (RA) gezeigt und die therapeutische Wirkung von GM-CSF-neutralisierenden Antikörpern in klinischen Studien an RA-Patienten demonstriert werden.
Das in dieser Arbeit angewendete murine Krankheitsmodell der Imiquimod (IMQ-) induzierten psoriasiformen Dermatitis wird durch die topische Anwendung des Medikaments Aldara®, dessen Wirkstoff IMQ ist, ausgelöst und führt zu einer Entzündung der Haut, die in vielen Aspekten dem humanen Krankheitsbild einer PsV ähnelt. Die pathogenetische Bedeutung von GM-CSF für die IMQ-induzierte psoriasiforme Dermatitis wurde über zwei unterschiedliche experimentelle Ansätze untersucht. So wurde GM-CSF in C57Bl/6J Mäusen mittels eines spezifischen, rekombinanten murinen Antikörpers in der Induktionsphase des Krankheitsmodells neutralisiert und zeitgleich der modifizierte Psoriasis Area Severity Index (PASI-)Score als Parameter des Schweregrades der klinischen Manifestationen ermittelt. Des Weiteren wurde am Versuchsende die Infiltration von Immunzellen in das entzündete Gewebeareal untersucht. Diese Ergebnisse wurden mit den Daten einer Behandlungsgruppe, nach Applikation eines IgG-Isotyp identischen Kontrollantikörpers verglichen. Dabei zeigte die Neutralisierung des Zytokins einen therapeutischen Effekt, der in einem signifikant niedrigeren PASI-Score, einer verringerten Tnfa mRNA Expression und einer reduzierten Infiltration mit neutrophilen Granulozyten resultierte.
Parallel zu diesen Versuchen wurde die Modellerkrankung auch in einer GM-CSF-defizienten C57Bl/6J Mauslinien (GM-CSF-/-) studiert. Die funktionelle Inaktivität des GM-CSF-kodierenden Csf2 Gens wurde 1994 durch gezielte genetische Manipulation etabliert. Unter den experimentellen Bedingungen war der Schweregrad der IMQ-induzierten psoriasiformen Dermatitis in GM-CSF-/- Mäusen nicht signifikant different von dem der wildtypischen (Wt) Mäuse und zeigte somit im Gegensatz zu den Ergebnissen aus den Versuchsreihen der Antikörper vermittelten Zytokinneutralisierung keinen offensichtlichen Hinweis auf eine GM-CSF-Abhängigkeit. In den GM-CSF-defizienten Tieren war jedoch nach IMQ-Induktion eine signifikant höhere Il6 und Il22 mRNA Expression am Entzündungsort im Vergleich zu den Wt Mäusen auffällig. Aufgrund dieser Ergebnisse wurde der Phänotyp der GM-CSF-defizienten Mäuse genauer untersucht und eine vermehrte Anzahl plasmazytoider dendritischen Zellen (pDCs) in Milz und Lymphknoten nachgewiesen. Diese Zellen werden im Rahmen ihrer Differenzierung aus Vorläuferzellen durch GM-CSF suppressiv reguliert und sind sowohl in die Entwicklung der PsV im Menschen als auch die Pathogenese der IMQ-induzierten psoriasiformen Dermatitis involviert. Aufgrund des in den sekundären lymphatischen Organen GM-CSF-defizienter Mäuse expandierten pDC-Kompartiments wurde die Beteiligung dieser Zellen in der Initiationsphase des Modells analysiert. Im Vergleich mit GM-CSF-suffizienten C57Bl/6J Mäusen weisen die Tiere der GM-CSF-defizienten Mauslinie zu diesen Zeitpunkten eine verstärkte Infiltration von pDCs in die Haut auf. Für pDCs ist bekannt, dass sie über die Produktion von IL-6 und TNF die Effektorzelldifferenzierung aktivierter, naiver T-Lymphozyten in Richtung Th22-Zellen polarisieren können. Dieser Mechanismus liefert ein hypothetisches Konzept, das die Ergebnisse zur gesteigerten IL-6-Produktion und Differenzierung IL-22-produzierender T-Zellen in IMQ-behandelten GM-CSF-/- Mäusen im Kontext der nachweisbaren Expansion von pDCs, erklären könnte. Dieser in den GM-CSF-/- Mäusen nachweisbare alternative Pathogenesemechanismus, ist offenbar geeignet die proinflammatorische Wirkung des genetisch fehlenden Zytokins zu kompensieren, aber hinsichtlich seiner Etablierung über ein verändertes pDC-Kompartiment von Dauer und Ausmaß der GM-CSF-Defizienz abhängig. So erklärt sich, warum die zeitlich limitierte Antikörper vermittelte GM-CSF-Neutralisierung in GM-CSF-suffizienten-Mäusen zu keiner pDC-Expansion und Steigerung von IL-6 und IL-22 Expression nach IMQ-Induktion führt.
Die GM-CSF-Neutralisierung durch einen rekombinanten murinen Antikörper reduziert deutlich die Krankheitsschwere der IMQ-induzierten psoriasiformen Dermatitis und belegt damit das therapeutische Potenzial dieses Therapieansatzes für die Humanerkrankung der PsV. Die unter angeborener GM-CSF-Defizienz in den Studien darüber hinaus aufgedeckten Veränderungen des pDC-Kompartiments sind von potenzieller Relevanz für zukünftige therapeutische Anwendungen dieses Prinzips, da unter einer dauerhaften GM-CSF-Neutralisierung mit therapeutischen Antikörpern ein Monitoring dieser Zellpopulation empfehlenswert erscheint z.B. über veränderte Interferonsignaturen durch pDCs, um mögliche Wirkverluste, aber auch unerwünschte Effekte zu erkennen.
Reticulate evolution is considered to be among the main mechanisms of plant evolution, often leading to the establishment of new species. However, complex evolutionary scenarios result in a challenging definition of evolutionary and taxonomic units. In this study, we aimed to examine the evolutionary origin and revise the species status of Campanula baumgartenii, a rare endemic species from the polyploid complex Campanula section Heterophylla. Morphometry, flow cytometric ploidy estimation, amplified fragment length polymorphisms (AFLPs), as well as chloroplast and nuclear DNA sequence markers were used to assess the morphological and genetic differentiation among C. baumgartenii, Campanula rotundifolia and other closely related taxa. Tetra- and hexaploid C. baumgartenii is morphologically and molecularly (AFLP) differentiated from sympatric C. rotundifolia. Contrasting signals from nuclear (ITS) and chloroplast (trnL-rpl32) markers suggest a hybrid origin of C. baumgartenii with C. rotundifolia and a taxon related to the alpine Campanula scheuchzeri as ancestors. Additionally, hexaploid C. baumgartenii currently hybridizes with co-occurring tetraploid C. rotundifolia resulting in pentaploid hybrids, for which C. baumgartenii serves as both seed and pollen donor. Based on the molecular and morphological differentiation, we propose to keep C. baumgartenii as a separate species. This study exemplifies that detailed population genetic studies can provide a solid basis for taxonomic delimitation within Campanula section Heterophylla as well as for sound identification of conservation targets.
According to a proposal by 't Hooft, information loss introduced by constraints in certain classical dissipative systems may lead to quantization. This scheme can be realized within the Bateman model of two coupled oscillators, one damped and one accelerated. In this paper we analyze the links of this approach to effective Hamiltonians where the environmental degrees of freedom do not appear explicitly but their effect leads to the same friction force appearing in the Bateman model. In particular, it is shown that by imposing constraints, the Bateman Hamiltonian can be transformed into an effective one expressed in expanding coordinates. This one can be transformed via a canonical transformation into Caldirola and Kanai's effective Hamiltonian that can be linked to the conventional system-plus-reservoir approach, for example, in a form used by Caldeira and Leggett.