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Objective: To investigate the impact of HPV status in patients with locally advanced head and neck squamous cell carcinoma (HNSCC), who received surgery and cisplatin-based postoperative radiochemotherapy.
Materials and methods: For 221 patients with locally advanced squamous cell carcinoma of the hypopharynx, oropharynx or oral cavity treated at the 8 partner sites of the German Cancer Consortium, the impact of HPV DNA, p16 overexpression and p53 expression on outcome were retrospectively analysed. The primary endpoint was loco-regional tumour control; secondary endpoints were distant metastases and overall survival.
Results: In the total patient population, univariate analyses revealed a significant impact of HPV16 DNA positivity, p16 overexpression, p53 positivity and tumour site on loco-regional tumour control. Multivariate analysis stratified for tumour site showed that positive HPV 16 DNA status correlated with loco-regional tumour control in patients with oropharyngeal carcinoma (p = 0.02) but not in the oral cavity carcinoma group. Multivariate evaluation of the secondary endpoints in the total population revealed a significant association of HPV16 DNA positivity with overall survival (p < 0.01) but not with distant metastases.
Conclusions: HPV16 DNA status appears to be a strong prognosticator of loco-regional tumour control after postoperative cisplatin-based radiochemotherapy of locally advanced oropharyngeal carcinoma and is now being explored in a prospective validation trial.
SDF-1/CXCR4 expression in head and neck cancer and outcome after postoperative radiochemotherapy
(2017)
Introduction: Outcome after postoperative radiochemotherapy (RT-CT) for patients with advanced head and neck squamous cell carcinomas (HNSCC) remains unsatisfactory, especially among those with HPV negative tumours. Therefore, new biomarkers are needed to further define subgroups for individualised therapeutic approaches. Preclinical and first clinical observations showed that the chemokine receptor CXCR4 and its ligand SDF-1 (CXCL12) play an important role in tumour cell proliferation, survival, cancer progression, metastasis and treatment resistance. However, the data on the prognostic value of SDF-1/CXCR4 expression for HNSCC are conflicting. The aim of our hypothesis-generating study was to retrospectively explore the prognostic potential of SDF-1/CXCR4 in a well-defined cohort of HNSCC patients collected within the multicenter biomarker study of the German Cancer Consortium Radiation Oncology Group (DKTK-ROG).
Material and methods: Patients with stage III and IVA HNSCC of the oral cavity, oropharynx and hypopharynx were treated with resection and adjuvant radiotherapy (RT) with ≥60 Gy and concurrent cisplatin-based chemotherapy (CT). Tissue micro-arrays (TMAs) from a total of 221 patients were generated from surgical specimens, 201 evaluated for the SDF-1 and CXCR4 expression by immunofluorescence and correlated with clinico-pathological and outcome data.
Results: In univariate and multivariate analyses intracellular SDF-1 expression was associated with lower loco-regional control (LRC) in the entire patient group as well as in the HPV16 DNA negative subgroup. CXCR4 expression showed a trend for lower LRC in the univariate analysis which was not confirmed in the multivariate analysis. Neither for SDF-1 nor CXCR4 expression associations with distant metastasis free or overall survival were found.
Conclusions: Our exploratory data support the hypothesis that overexpression of intracellular SDF-1 is an independent negative prognostic biomarker for LRC after postoperative RT-CT in high-risk HNSCC. Prospective validation is warranted and further exploration of SDF-1/CXCR4 as a potential therapeutic target to overcome treatment resistance in HNSCC appears promising.
Tumor cells frequently overexpress heat shock protein 70 (Hsp70) and present it on their cell surface, where it can be recognized by pre‐activated NK cells. In our retrospective study the expression of Hsp70 was determined in relation to tumor‐infiltrating CD56+ NK cells in formalin‐fixed paraffin embedded (FFPE) tumor specimens of patients with SCCHN (N = 145) as potential indicators for survival and disease recurrence. All patients received radical surgery and postoperative cisplatin‐based radiochemotherapy (RCT). In general, Hsp70 expression was stronger, but with variable intensities, in tumor compared to normal tissues. Patients with high Hsp70 expressing tumors (scores 3–4) showed significantly decreased overall survival (OS; p = 0.008), local progression‐free survival (LPFS; p = 0.034) and distant metastases‐free survival (DMFS; p = 0.044), compared to those with low Hsp70 expression (scores 0–2), which remained significant after adjustment for relevant prognostic variables. The adverse prognostic value of a high Hsp70 expression for OS was also observed in patient cohorts with p16‐ (p = 0.001), p53‐ (p = 0.0003) and HPV16 DNA‐negative (p = 0.001) tumors. The absence or low numbers of tumor‐infiltrating CD56+ NK cells also correlated with significantly decreased OS (p = 0.0001), LPFS (p = 0.0009) and DMFS (p = 0.0001). A high Hsp70 expression and low numbers of tumor‐infiltrating NK cells have the highest negative predictive value (p = 0.00004). In summary, a strong Hsp70 expression and low numbers of tumor‐infiltrating NK cells correlate with unfavorable outcome following surgery and RCT in patients with SCCHN, and thus serve as negative prognostic markers.
Background: Panic disorder is common (5% prevalence) and females are twice as likely to be affected as males. The heritable component of panic disorder is estimated at 48%. Glutamic acid dehydrogenase GAD1, the key enzyme for the synthesis of the inhibitory and anxiolytic neurotransmitter GABA, is supposed to influence various mental disorders, including mood and anxiety disorders. In a recent association study in depression, which is highly comorbid with panic disorder, GAD1 risk allele associations were restricted to females.
Methodology/Principal Findings: Nineteen single nucleotide polymorphisms (SNPs) tagging the common variation in GAD1 were genotyped in two independent gender and age matched case-control samples (discovery sample n = 478; replication sample n = 584). Thirteen SNPs passed quality control and were examined for gender-specific enrichment of risk alleles associated with panic disorder by using logistic regression including a genotype×gender interaction term. The latter was found to be nominally significant for four SNPs (rs1978340, rs3762555, rs3749034, rs2241165) in the discovery sample; of note, the respective minor/risk alleles were associated with panic disorder only in females. These findings were not confirmed in the replication sample; however, the genotype×gender interaction of rs3749034 remained significant in the combined sample. Furthermore, this polymorphism showed a nominally significant association with the Agoraphobic Cognitions Questionnaire sum score.
Conclusions/Significance: The present study represents the first systematic evaluation of gender-specific enrichment of risk alleles of the common SNP variation in the panic disorder candidate gene GAD1. Our tentative results provide a possible explanation for the higher susceptibility of females to panic disorder.
The KASCADE-Grande experiment has significantly contributed to the current knowledge about the energy spectrum and composition of cosmic rays for energies between the knee and the ankle. Meanwhile, post-LHC versions of the hadronic interaction models are available and used to interpret the entire data set of KASCADE-Grande. In addition, a new, combined analysis of both arrays, KASCADE and Grande, was developed significantly increasing the accuracy of the shower observables. First results of the new analysis with the entire data set of the KASCADE-Grande experiment will be the focus of this contribution.
Dort, wo sich die Biotopverbundplanung in extrem waldarmen Gebieten mit den Schwerpunkten forstlicher Tätigkeit (Waldmehrung, Vitalitäts- und Stabilitätserhöhung) gut verknüpfen ließ, wurden die Zuarbeiten der Forstverwaltung zur Planung mit erheblichem Aufwand gezielt den einzelnen Biotopverbundflächen und mitunter Flurstücken zugeordnet. Dabei konnten auch kontroverse Auffassungen zu Erhalt und Vernetzung von Offenlandbiotopen auftreten. Die Interessen von Forstwirtschaft und Naturschutz konnten insbesondere dann gebündelt werden, wenn in waldarmen Gebieten alle Restwaldbestände und auch längerfristige Möglichkeiten der Waldmehrung in die Biotopverbundsysteme aufgenommen wurden. Anhand von zwei Beispielen aus der Forstlichen Rahmenplanung sollen nachfolgend Möglichkeiten der Umsetzung der Biotopverbundplanung durch die Forstwirtschaft aufgezeigt werden.
"Kosten nicht bezifferbar" : Debatte im Planungsausschuss: Finanzierung des Kulturcampus unklar
(2012)
Funded by the German Ministry for Education and Research (BMBF) a major research project called MiKlip (Mittelfristige Klimaprognose, Decadal Climate Prediction) was launched and global as well as regional predictive ensemble hindcasts have been generated. The aim of the project is to demonstrate for past climate change whether predictive models have the capability of predicting climate on time scales of decades. This includes the development of a decadal forecast system, on the one hand to support decision making for economy, politics and society for decadal time spans. On the other hand, the scientific aspect is to explore the feasibility and prospects of global and regional forecasts on decadal time scales. The focus of this paper lies on the description of the regional hindcast ensemble for Europe generated by COSMO-CLM and on the assessment of the decadal variability and predictability against observations. To measure decadal variability we remove the long term bias as well as the long term linear trend from the data. Further, we applied low pass filters to the original data to separate the decadal climate signal from high frequency noise. The decadal variability and predictability assessment is applied to temperature and precipitation data for the summer and winter half-year averages/sums. The best results have been found for the prediction of decadal temperature anomalies, i.e. we have detected a distinct predictive skill and reasonable reliability. Hence it is possible to predict regional temperature variability on decadal timescales, However, the situation is less satisfactory for precipitation. Here we have found regions showing good predictability, but also regions without any predictive skill.
The prediction of climate on time scales of years to decades is attracting the interest of both climate researchers and stakeholders. The German Ministry for Education and Research (BMBF) has launched a major research programme on decadal climate prediction called MiKlip (Mittelfristige Klimaprognosen, Decadal Climate Prediction) in order to investigate the prediction potential of global and regional climate models (RCMs). In this paper we describe a regional predictive hindcast ensemble, its validation, and the added value of regional downscaling. Global predictions are obtained from an ensemble of simulations by the MPI-ESM-LR model (baseline 0 runs), which were downscaled for Europe using the COSMO-CLM regional model. Decadal hindcasts were produced for the 5 decades starting in 1961 until 2001. Observations were taken from the E-OBS data set. To identify decadal variability and predictability, we removed the long-term mean, as well as the long-term linear trend from the data. We split the resulting anomaly time series into two parts, the first including lead times of 1–5 years, reflecting the skill which originates mainly from the initialisation, and the second including lead times from 6–10 years, which are more related to the representation of low frequency climate variability and the effects of external forcing. We investigated temperature averages and precipitation sums for the summer and winter half-year. Skill assessment was based on correlation coefficient and reliability. We found that regional downscaling preserves, but mostly does not improve the skill and the reliability of the global predictions for summer half-year temperature anomalies. In contrast, regionalisation improves global decadal predictions of half-year precipitation sums in most parts of Europe. The added value results from an increased predictive skill on grid-point basis together with an improvement of the ensemble spread, i.e. the reliability.