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Visible light is a better co-inducer of apoptosis for curcumin-treated human melanoma cells than UVA
(2013)
Curcumin attracts worldwide scientific interest due to its anti-proliferative and apoptosis inducing effects on different tumor cells at concentrations ranging from 10 to 150 µM (3.7–55 µg/ml). Unfortunately, because of a low oral bioavailability, only low and pharmacologically ineffective serum levels are achievable. In this study, an alternative treatment concept consisting of low concentration curcumin (0.2–5 µg/ml) and irradiation with UVA or visible light (VL) has been tested. The experimental results show clearly that this treatment decreases the proliferation and the viability of human melanoma cells while the cell membrane integrity remains intact. We identified the onset of apoptosis characterized by typical markers such as active caspases 8, 9 and 3 as well as DNA fragmentation accompanied by the loss of cell adhesion. The mitochondrial apoptosis signaling pathway is predominant due to an early activation of caspase-9. The present data indicate a higher efficacy of a combination of curcumin and VL than curcumin and UVA. Reduced effects as a result of light absorption by heavily pigmented skin are unlikely if VL is used. These results indicate that a combination of curcumin and light irradiation may be a useful additional therapy in the treatment of malignant disease.
Characteristically, most solid tumors exhibit an increased tumor interstitial fluid pressure (TIFP) that directly contributes to the lowered uptake of macromolecular therapeutics into the tumor interstitium. Abnormalities in the tumor-associated lymph vessels are a central brick in the development and prolonged sustaining of an increased TIFP. In the current study, vascular endothelial growth factor C (VEGF-C) was used to enhance tumor-associated lymphangiogenesis as a new mechanism to actively reduce the TIFP by increased lymphatic drainage of the tumor tissue. Human A431 epidermoid vulva carcinoma cells were inoculated in NMRI nu/nu mice to generate a xenograft mouse model. Seven days after tumor cell injection, VEGF-C was peritumorally injected to induce lymphangiogenesis. Tumor growth and TIFP was lowered significantly over time in VEGF-C-treated tumors in comparison to control or VEGF-A-treated animals. These data demonstrate for the first time that actively induced lymphangiogenesis can lower the TIFP in a xenograft tumor model and apparently reduce tumor growth. This model represents a novel approach to modulate biomechanical properties of the tumor interstitium enabling a lowering of TIFP in vivo.
Objective: Combination antiretroviral therapy (cART) has markedly increased survival and quality of life in people living with HIV. With the advent of new treatment options, including single-tablet regimens, durability and efficacy of first-line cART regimens are evolving.
Methods: We analyzed data from the prospective multicenter German Clinical Surveillance of HIV Disease (ClinSurv) cohort of the Robert-Koch Institute. Kaplan–Meier and Cox proportional hazards models were run to examine the factors associated with treatment modification. Recovery after treatment initiation was analyzed comparing pre-cART viral load and CD4+ T-cell counts with follow-up data.
Results: We included 8788 patients who initiated cART between 2005 and 2017. The sample population was predominantly male (n = 7040; 80.1%), of whom 4470 (63.5%) were reporting sex with men as the transmission risk factor. Overall, 4210 (47.9%) patients modified their first-line cART after a median time of 63 months (IQR 59–66). Regimens containing integrase strand transfer inhibitors (INSTI) were associated with significantly lower rates of treatment modification (adjusted hazard ratio 0.44; 95% CI 0.39–0.50) compared to protease inhibitor (PI)-based regimens. We found a decreased durability of first-line cART significantly associated with being female, a low CD4+ T-cell count, cART initiation in the later period (2011–2017), being on a multi-tablet regimen (MTR).
Conclusions: Drug class and MTRs are significantly associated with treatment modification. INSTI-based regimens showed to be superior compared to PI-based regimens in terms of durability.
Chromosomal rearrangements of the human MLL (mixed lineage leukemia) gene are associated with high-risk infant, pediatric, adult and therapy-induced acute leukemias. We used long-distance inverse-polymerase chain reaction to characterize the chromosomal rearrangement of individual acute leukemia patients. We present data of the molecular characterization of 1590 MLL-rearranged biopsy samples obtained from acute leukemia patients. The precise localization of genomic breakpoints within the MLL gene and the involved translocation partner genes (TPGs) were determined and novel TPGs identified. All patients were classified according to their gender (852 females and 745 males), age at diagnosis (558 infant, 416 pediatric and 616 adult leukemia patients) and other clinical criteria. Combined data of our study and recently published data revealed a total of 121 different MLL rearrangements, of which 79 TPGs are now characterized at the molecular level. However, only seven rearrangements seem to be predominantly associated with illegitimate recombinations of the MLL gene (~ 90%): AFF1/AF4, MLLT3/AF9, MLLT1/ENL, MLLT10/AF10, ELL, partial tandem duplications (MLL PTDs) and MLLT4/AF6, respectively. The MLL breakpoint distributions for all clinical relevant subtypes (gender, disease type, age at diagnosis, reciprocal, complex and therapy-induced translocations) are presented. Finally, we present the extending network of reciprocal MLL fusions deriving from complex rearrangements.
Background & Aims: NAFLD is a growing health concern. The aim of the Fatty Liver Assessment in Germany (FLAG) study was to assess disease burden and provide data on the standard of care from secondary care. Methods: The FLAG study is an observational real-world study in patients with NAFLD enrolled at 13 centres across Germany. Severity of disease was assessed by non-invasive surrogate scores and data recorded at baseline and 12 months. Results: In this study, 507 patients (mean age 53 years; 47% women) were enrolled. According to fibrosis-4 index, 64%, 26%, and 10% of the patients had no significant fibrosis, indeterminate stage, and advanced fibrosis, respectively. Patients with advanced fibrosis were older, had higher waist circumferences, and higher aspartate aminotransferase and gamma-glutamyltransferase as well as ferritin levels. The prevalence of obesity, arterial hypertension, and type 2 diabetes increased with fibrosis stages. Standard of care included physical exercise >2 times per week in 17% (no significant fibrosis), 19% (indeterminate), and 6% (advanced fibrosis) of patients. Medication with either vitamin E, silymarin, or ursodeoxycholic acid was reported in 5%. Approximately 25% of the patients received nutritional counselling. According to the FibroScan-AST score, 17% of patients presented with progressive non-alcoholic steatohepatitis (n = 107). On follow-up at year 1 (n = 117), weight loss occurred in 47% of patients, of whom 17% lost more than 5% of body weight. In the weight loss group, alanine aminotransferase activities were reduced by 20%. Conclusions: This is the first report on NAFLD from a secondary-care real-world cohort in Germany. Every 10th patient presented with advanced fibrosis at baseline. Management consisted of best supportive care and lifestyle recommendations. The data highlight the urgent need for systematic health agenda in NAFLD patients. Lay summary: FLAG is a real-world cohort study that examined the liver disease burden in secondary and tertiary care. Herein, 10% of patients referred to secondary care for NAFLD exhibited advanced liver disease, whilst 64% had no significant liver scarring. These findings underline the urgent need to define patient referral pathways for suspected liver disease.
The production of black holes at Tevatron and LHC in spacetimes with compactified space-like large extra dimensions is studied. Either black holes can already be observed in ¯ pp collisions at s = 1.8 TeV or the fundamental gravity scale has to be above 1.4 TeV. At LHC the creation of a large number of quasi-stable black holes is predicted, with lifetimes beyond several hundred fm/c. A cut-off in the high-PT jet cross section is shown to be a unique signature of black hole production. This signal is compared to the jet plus missing energy signature due to graviton production in the final state as proposed by the ATLAS collaboration.
We address the production of black holes at LHC in space times with compactified space-like large extra dimensions (LXD). Final state black hole production leads to suppression of high-PT jets, i.e. a sharp cut-o in (pp!jet+X). This signal is compared to the jet plus missing energy signature due to graviton production in the final state as proposed by the ATLAS collaboration. Time evolution and lifetimes of the newly created black holes are calculated based on the micro- canonical formalism. It is demonstrated that previous lifetime estimates of micro black holes have been dramatically underestimated. The creation of a large number of quasi-stable black holes is predicted with life times of hundred fm/c at LHC. Medium modifications of the black holes evaporation rate due to the quark gluon plasma in relativistic heavy ion collisions as well as provided by the cosmic fluid in the early universe are studied
Fission fragment mass distributions were measured in heavy-ion induced fissions using 238U target nucleus. The measured mass distributions changed drastically with incident energy. The results are explained by a change of the ratio between fusion and qasifission with nuclear orientation. A calculation based on a fluctuation dissipation model reproduced the mass distributions and their incident energy dependence. Fusion probability was determined in the analysis, and the values were consistent with those determined from the evaporation residue cross sections.
Die auf dem ACDM-Modell beruhenden numerischen Simulationen der gravitativen Strukturbildung sind auf Skalen M >> 10 hoch 10 M sehr erfolgreich, insbesondere konvergieren die Verfahren hinsichtlich des vorhergesagten Masseanteils der Halos an der Gesamtmasse von Galaxien. Jedoch konvergieren die Simulationen nicht bezüglich der lokalen Überdichten von CDM in den Halos, vielmehr setzt sich gravitative Strukturbildung auf immer kleinere Skalen fort. Numerisch kann keine Massen-Schwelle berechnet werden, unterhalb derer keine CDM-Strukturen mehr gravitativ gebildet werden. Die Kenntnis der lokalen Überdichten in den CDM-Wolken und die Verteilung der CDM-Wolken ist jedoch für Experimente zum direkten und indirekten Nachweis von CDM-Teilchen essentiell. Aus den lokalen Überdichten folgen für Experimente zum direkten Nachweis die einfallende Stromdichten der CDM-Teilchen und für Experimente zum indirekten Nachweis die Stromdichte der Annihilationsprodukte. Außerdem können die lokalen Überdichten als Gravitationslinsen wirken. In dieser Arbeit werden Massen Schwellen analytisch berechnet, unterhalb derer akustische Störungen in CDM nicht mehr zur gravitativen Strukturbildung beitragen können. Das Massen-Spektrum von lokalen Überdichten ist nach unten durch zwei unterschiedliche Mechanismen beschränkt: (1) Während der kinetischen Entkopplung formieren sich Nichtgleichgewichtsprozesse, die sich kollektiv als Reihungsphänomene konstituieren. Im lineare Regime sind dies die Volumenviskosität, die Scherungsviskosität und die Wärmeleitung. Die dissipativen Prozesse deponieren Energie und Impuls der akustischen Störungen in die Ebene senkrecht zur Ausbreitungsrichtung der Störungen und schmieren diese so aus. (II) Nach dem kinetischen Entkopplungsprozeß strömt CDM frei auf Geodäten. Dies ermöglicht einen Strom von Teilchen von überdichten in unterdichte Regionen, so daß die Amplituden der lokalen Überdichten weiter gedämpft werden. Die lokalen Transportkoeffizienten in (1) werden durch einen legitimen Vergleich von hydrodynamischer und kinetischer Beschreibung schwach dissipativer Prozesse gewonnen. Dissipative Prozesse induzieren eine Dämpfungsmasse Mc ungefähr gleich 10 hoch minus 9 M in SUSY-CDM und beschränken damit das Spektrum akustischer Störungen in SUSY-CDM. Freies Strömen (II) von CDM-Teilchen auf Geodäten induziert eine weitere Dämpfungsmasse M fs ungefähr gleich 10 hoch minus 6 M in SUSY-CDM, wobei das berechnete M d als Anfangswert dient. Die berechneten Schwellen liefern konsistente Schranken für numerische Simulationen, die weit unterhalb des momentanen numerischen Auflösungsvermögens liegen. Weiterhin folgt aus den Schwellen die Masse der ersten rein gravitativ gebundenen CDM-Wolken. Aus diesen bilden sich im Rahmen der hierarchischen Strukturbildung größere Substrukturen bis hin zu den heute vorhandenen CDM-Halos.
A microscopic model of deconfined matter based on color interactions between semi-classical quarks is studied. A hadronization mechanism is imposed to examine the properties and the disassembly of a thermalized quark plasma and to investigate the possible existence of a phase transition from quark matter to hadron matter.