51
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Binder A. 50 BRAIN MECHANISMS OF COLD-PAIN AND COLD HYPERALGESIA. Eur J Pain 2007. [DOI: 10.1016/j.ejpain.2007.03.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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52
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Binder A, Binder A, Maag R, Peller M, Wasner G, Siebner H, Baron R. Differential coding of cold allodynia – A fmri study. Clin Neurophysiol 2007. [DOI: 10.1016/j.clinph.2006.11.042] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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53
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Rashid T, Jayakumar KS, Binder A, Ellis S, Cunningham P, Ebringer A. Rheumatoid arthritis patients have elevated antibodies to cross-reactive and non cross-reactive antigens from Proteus microbes. Clin Exp Rheumatol 2007; 25:259-67. [PMID: 17543151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
BACKGROUND AND OBJECTIVE Although a large number of independent studies have shown a paramount role for Proteus mirabilis in the aetiopathogenesis of rheumatoid arthritis (RA), this hypothesis is still controversial among rheumatologists. The main obstacle to its acceptance is the impression that increased Proteus antibodies in RA patients is a secondary phenomenon, occurring as the result of cross-reactivity between bacterial and self-antigens. To shed light on this problem, we examined the link between antibodies to various cross-reactive and non cross-reactive antigenic peptides from P. mirabilis and analysed the relationship between these antibodies and disease severity in patients with RA. METHODS Using the ELISA method, serum samples from 70 RA patients and 20 healthy controls were screened for total and class-specific antibodies against three human cross-reactive and non-crossreactive synthetic peptides from P. mirabilis haemolysin, urease C and urease F enzymes. An antibody index, which comprised the total concentration of antibodies against these peptides in each sample, was correlated with the biochemical parameters of disease activity and/or severity, such as the erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and rheumatoid factors (RF). Furthermore, anti-peptide antibody indices were evaluated among RA patients with different levels of disease activity as defined by ESR and CRP. RESULTS Significantly elevated levels of total and class-specific IgG antibodies against the 3 Proteus peptides were observed among RA patients compared to healthy controls (p < 0.001). Active RA patients had elevated IgM antibodies against all peptides compared to healthy subjects (p < 0.001). However, no such elevation was observed in IgA anti-peptide antibodies in RA patients. A positive correlation was observed between the antibody indices and ESR (p < 0.001) and CRP (p < 0.01) concentrations, but not the RF status or disease duration. Furthermore, more than 90% of active RA patients showed positive values for the Proteus anti-peptide indices. CONCLUSION The elevated levels of antibodies against Proteus antigenic epitopes (which are cross-reactive or non cross-reactive with human tissue antigens) observed indicates that this enhanced bacterial immune response in RA patients is specifically triggered by Proteus microbes. Furthermore, the correlation of anti-peptide antibody indices with the biochemical markers of disease activity indicates that these antibodies exert damaging cytotoxic effects on joint tissues during the course of the disease.
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Binder A. The diagnosis and treatment of nonspecific neck pain and whiplash. EUROPA MEDICOPHYSICA 2007; 43:79-89. [PMID: 17369782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Nonspecific (simple) neck pain is the commonest cause of neck symptoms and results from postural and mechanical causes. It includes pain following whiplash injury provided there is no bony injury or objective neurological deficit. The anatomy of the cervical spine is described, with the degenerative changes that are seen in patients with nonspecific neck pain, but also occur with ageing. The poor correlation between the degree of degeneration and presence and severity of symptoms is noted. A lack of specific pathology is also a feature of whiplash. The epidemiology, clinical presentation, investigation, and complications of nonspecific neck pain are described with a discussion of the controversial aspects of natural history, prognosis and therapy. Chronic whiplash is very common in some countries, but nonexistent in other countries and the factors which might explain this difference are considered. There is a great need for better quality studies to explore pathogenesis, natural history and factors including therapy that influence outcome.
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Binder A, Heel A, Kasper G. Deposition of Palladium Nanodots of Controlled Size and Density onto Surface-Modified SiO2 Particles by an Atmospheric Pressure CVS/MOCVD Process. ACTA ACUST UNITED AC 2007. [DOI: 10.1002/cvde.200606543] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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56
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Resch B, Radinger A, Horvath B, Mannhalter C, Binder A, Zenz W, Walcher W, Pertl B, Müller W. IL-6–174 (G/C) Polymorphismus bei Frühgeborenen mit zystischer periventrikulärer Leukencephalomalazie. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-983275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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57
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Binder A, Stengel M, Wasner G, Schattschneider J, Maag R, Baron R. Akute schmerzhafte Oxaliplatin-induzierte Polyneuropathie – Sensibilisierung im peripheren und zentralen nozizeptivem System. AKTUELLE NEUROLOGIE 2007. [DOI: 10.1055/s-2007-987838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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58
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Resch B, Radinger A, Horvath B, Mannhalter C, Binder A, Zenz W, Walcher W, Pertl B, Müller W. Zusammenhang zwischen mütterlichem IL-6–174 (G/C) Polymorphismus, Chorioamnionitis, und zystischer periventrikulärer Leukencephalomalazie des Frühgeborenen. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-983274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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59
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Radinger A, Resch B, Binder A, Zenz W, Müller W, Mannhalter C, Pertl B. Association between IL-6–174 (G/C) polymorphism and cystic periventricular leukomalacia in preterm infants. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-946097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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60
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Zenz W, Binder A, Gallent H. Genetische Ursachen für die Manifestation und den Verlauf von Meningokokkenerkrankungen. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-946047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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61
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Rolke R, Baron R, Maier C, Tölle TR, Treede DR, Beyer A, Binder A, Birbaumer N, Birklein F, Bötefür IC, Braune S, Flor H, Huge V, Klug R, Landwehrmeyer GB, Magerl W, Maihöfner C, Rolko C, Schaub C, Scherens A, Sprenger T, Valet M, Wasserka B. Corrigendum to “Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): Standardized protocol and reference values” [Pain 123 (2006) 231–243]. Pain 2006. [DOI: 10.1016/j.pain.2006.09.025] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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62
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Schattschneider J, Hartung K, Stengel M, Ludwig J, Binder A, Wasner G, Baron R. Endothelial dysfunction in cold type complex regional pain syndrome. Neurology 2006; 67:673-5. [PMID: 16924021 DOI: 10.1212/01.wnl.0000229931.40631.31] [Citation(s) in RCA: 65] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
The authors examined endothelial function in cold type chronic complex regional pain syndrome (CRPS) I using acetylcholine- and sodium nitroprusside-induced vasodilation combined with laser Doppler flowmetry in 14 patients and 10 controls. On the affected side, acetylcholine-induced vasodilation was significantly reduced in comparison to controls and the unaffected extremity. No significant differences were found after application of sodium nitroprusside. The results demonstrate impaired endothelial function in chronic CRPS I.
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Stengel M, Binder A, Wasner G, Schattschneider J, Maag R, Ludwig J. 473 SKIN TEMPERATURE DIFFERENCES IN CRPS AND HEALTHY CONTROLS. Eur J Pain 2006. [DOI: 10.1016/s1090-3801(06)60476-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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64
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Baron R, Binder A, Boesl I, Wasner G. 787 LONG-TERM EFFICACY, SAFETY AND QUALITY OF LIFE WITH LIDOCAINE 5% MEDICATED PLASTER IN POST-HERPETC NEURALGIA. Eur J Pain 2006. [DOI: 10.1016/s1090-3801(06)60790-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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65
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Rolke R, Baron R, Maier C, Tölle TR, Treede DR, Beyer A, Binder A, Birbaumer N, Birklein F, Bötefür IC, Braune S, Flor H, Huge V, Klug R, Landwehrmeyer GB, Magerl W, Maihöfner C, Rolko C, Schaub C, Scherens A, Sprenger T, Valet M, Wasserka B. Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): Standardized protocol and reference values. Pain 2006; 123:231-243. [PMID: 16697110 DOI: 10.1016/j.pain.2006.01.041] [Citation(s) in RCA: 1719] [Impact Index Per Article: 95.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2005] [Revised: 11/28/2005] [Accepted: 01/25/2006] [Indexed: 02/07/2023]
Abstract
The nationwide multicenter trials of the German Research Network on Neuropathic Pain (DFNS) aim to characterize the somatosensory phenotype of patients with neuropathic pain. For this purpose, we have implemented a standardized quantitative sensory testing (QST) protocol giving a complete profile for one region within 30 min. To judge plus or minus signs in patients we have now established age- and gender-matched absolute and relative QST reference values from 180 healthy subjects, assessed bilaterally over face, hand and foot. We determined thermal detection and pain thresholds including a test for paradoxical heat sensations, mechanical detection thresholds to von Frey filaments and a 64 Hz tuning fork, mechanical pain thresholds to pinprick stimuli and blunt pressure, stimulus/response-functions for pinprick and dynamic mechanical allodynia, and pain summation (wind-up ratio). QST parameters were region specific and age dependent. Pain thresholds were significantly lower in women than men. Detection thresholds were generally independent of gender. Reference data were normalized to the specific group means and variances (region, age, gender) by calculating z-scores. Due to confidence limits close to the respective limits of the possible data range, heat hypoalgesia, cold hypoalgesia, and mechanical hyperesthesia can hardly be diagnosed. Nevertheless, these parameters can be used for group comparisons. Sensitivity is enhanced by side-to-side comparisons by a factor ranging from 1.1 to 2.5. Relative comparisons across body regions do not offer advantages over absolute reference values. Application of this standardized QST protocol in patients and human surrogate models will allow to infer underlying mechanisms from somatosensory phenotypes.
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66
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Zenz W, Binder A, Gallent H. Genetische Ursachen für die Manifestation und den Verlauf von Meningokokkenerkrankungen. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-943132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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67
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Radinger A, Resch B, Binder A, Zenz W, Müller W, Mannhalter C, Pertl B. Association between IL-6–174 (G/C) polymorphism and cystic periventricular leukomalacia in preterm infants. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-943182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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68
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Binder A, Binder A, Maag R, Peller M, Wasner G, Siebner HR, Baron R. Differential coding of cold allodynia – a fmri study. KLIN NEUROPHYSIOL 2006. [DOI: 10.1055/s-2006-939104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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69
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Abstract
Essential hypertension (EH) affects approximately 20% of the adult population, and has a multifactorial origin arising from an interaction between susceptibility genes and environmental factors. Several strategies and methods have been used to identify hypertension susceptibility genes. This review is thought to highlight current strategies for a better understanding of their limitations and strengths in a complex trait like EH. Linkage analysis is less effective at identifying common variants with modest effects typical for complex traits, and has therefore proved to be largely unsuccessful in EH. No candidate gene was assessed by a human linkage study so far. Possible redesigns of the linkage approach for complex diseases may include larger sample sizes and dense marker maps. Genetic association studies may be an effective approach to the problems posed by complex traits. With the explosion of genotyping technologies, genome-wide association studies have become feasible, and small-scale association studies have become plentiful. The different types of association studies are reviewed and issues that are important to consider when interpreting association studies of complex traits are discussed. Properly defined phenotypes, large enough sample cohorts to achieve sufficient statistical power, carefully matched samples to avoid population stratification are all integral parts of a high-quality association study. Multiple testing often results in false-positive results by chance, and inconclusive results may arise from ignoring linkage disequilibrium of the tested polymorphism, an effect avoidable by haplotype analysis. A new evolutionary development of the candidate gene approach is introduced which will extent traditional association study settings gaining better understanding of complex diseases like hypertension and might give better chances to evaluate association studies for their functional relevance.
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Binder A, Maag R, Wasner G, Schattschneider J, Wolff S, Siebner H, Baron R. Experimentelle Menthol-induzierte Kälte-Allodynie – Eine fMRT Studie. AKTUELLE NEUROLOGIE 2006. [DOI: 10.1055/s-2006-953088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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71
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Schattschneider J, Rainhardt M, Ludwig J, Binder A, Wasner G, Baron R. Einfluss von Noradrenalin auf die Nozizeption nach topischer Menthol Applikation. AKTUELLE NEUROLOGIE 2006. [DOI: 10.1055/s-2006-953021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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72
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Binder A, Wasner G, Ahmadi F, Schattschneider J, Baron R. Chronisch entzündliche Liqour-Veränderungen bei Patienten mit schmerzhafter Polyneuropathie. AKTUELLE NEUROLOGIE 2005. [DOI: 10.1055/s-2005-919624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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73
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Ludwig J, Amschler R, Mühlbacher T, Binder A, Schattschneider J, Maag R, Wasner G, Baron R. Sind Menthol- und Kältesensitive C-Nozizeptoren vasoaktiv? AKTUELLE NEUROLOGIE 2005. [DOI: 10.1055/s-2005-919445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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74
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Wasner G, Mühlbacher T, Amschler R, Binder A, Schattschneider J, Ludwig J, Maag R, Baron R. Cold pain converts into burning pain - thermosensitivity of menthol activated C nociceptors. AKTUELLE NEUROLOGIE 2005. [DOI: 10.1055/s-2005-919446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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75
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Maag R, Schattschneider J, zum Buttel I, Binder A, Ludwig J, Wasner G, Baron R. Are prostaglandines involved in the sympathetic-nociceptive interaction in humans? AKTUELLE NEUROLOGIE 2005. [DOI: 10.1055/s-2005-919447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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