101
|
Metzelder SK, Schroeder T, Finck A, Scholl S, Fey M, Götze K, Linn YC, Kröger M, Reiter A, Salih HR, Heinicke T, Stuhlmann R, Müller L, Giagounidis A, Meyer RG, Brugger W, Vöhringer M, Dreger P, Mori M, Basara N, Schäfer-Eckart K, Schultheis B, Baldus C, Neubauer A, Burchert A. High activity of sorafenib in FLT3-ITD-positive acute myeloid leukemia synergizes with allo-immune effects to induce sustained responses. Leukemia 2012; 26:2353-9. [PMID: 22504140 DOI: 10.1038/leu.2012.105] [Citation(s) in RCA: 191] [Impact Index Per Article: 15.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Preliminary evidence suggests that the multikinase inhibitor sorafenib has clinical activity in FLT3-ITD-positive (FLT3-ITD) acute myeloid leukemia (AML). However, the quality and sustainability of achievable remissions and clinical variables that influence the outcome of sorafenib monotherapy are largely undefined. To address these questions, we evaluated sorafenib monotherapy in 65 FLT3-ITD AML patients treated at 23 centers. All but two patients had relapsed or were chemotherapy-refractory after a median of three prior chemotherapy cycles. Twenty-nine patients (45%) had undergone prior allogeneic stem cell transplantation (allo-SCT). The documented best responses were: hematological remission in 24 patients (37%), bone marrow remission in 5 patients (8%), complete remission (with and without normalization of peripheral blood counts) in 15 patients (23%) and molecular remission with undetectable FLT3-ITD mRNA in 10 patients (15%), respectively. Seventeen of the patients without prior allo-SCT (47%) developed sorafenib resistance after a median treatment duration of 136 days (range, 56-270 days). In contrast, allo-SCT patients developed sorafenib resistance less frequently (38%) and significantly later (197 days, range 38-225 days; P=0.03). Sustained remissions were seen exclusively in the allo-SCT cohort. Thus, sorafenib monotherapy has significant activity in FLT3-ITD AML and may synergize with allogeneic immune effects to induce durable remissions.
Collapse
|
102
|
Müller L, Thiel MA, Kipfer-Kauer AI, Kaufmann C. Corneal cross-linking as supplementary treatment option in melting keratitis: a case series. Klin Monbl Augenheilkd 2012; 229:411-5. [PMID: 22496015 DOI: 10.1055/s-0031-1299420] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
BACKGROUND Corneal melting represents a serious condition that can result in corneal perforation and loss of vision. Treatment options include topical and systemic immunosuppression, cyanoacrylate gluing, and emergency keratoplasty, depending on the underlying disease and the stage of corneal melt. Recently, corneal cross-linking (CXL) has emerged as an additional treatment option. The present study evaluates whether CXL induces a clinical improvement in melting keratitis not responding to conventional treatment. HISTORY AND SIGNS Six patients undergoing CXL for corneal melting of variable origin (including bacterial, fungal and Acanthamoeba keratitis) were reviewed retrospectively. THERAPY AND OUTCOME Treatment parameters included riboflavin application following UV irradiation with a wavelength of 370 nm and an irradiance of 3 mW/cm2 for 30 minutes. Four patients with corneal melting due to contact lens-related infectious keratitis showed healing without any need for further interventions up to date. In two patients, CXL stabilized the melting cornea and facilitated additional surgical procedures. CONCLUSIONS By stabilizing corneal collagen fibres, CXL seems to represent an effective option to re-establish corneal integrity in the event of pending perforations. In established perforations, CXL facilitates further emergency procedures by stiffening the tissue.
Collapse
|
103
|
Müller L. Bericht aus der Ad-hoc-Arbeitsgruppe Innenraumrichtwerte der Kommission Innenraumlufthygiene und der Obersten Landesgesundheitsbehörden. DAS GESUNDHEITSWESEN 2012. [DOI: 10.1055/s-0032-1307398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
104
|
Semsroth S, Dumfarth J, Edlinger M, Müller L, Grimm M. The influence of prosthesis-patient mismatch (PPM) on survival among impaired LV-function patients after aortic valve replacement (AVR). Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
105
|
Bonaros N, Friedrich G, Bartel T, Müller S, Weidinger F, Wiedemann D, Müller L, Grimm M, Schachner T. The use of new generation mobile C-arm for major diagnostic and therapeutic procedures in cardiac surgery. An alternative to the hybrid room? Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
106
|
Hohendorff B, Weidermann C, Pollinger P, Burkhart K, Prommersberger KJ, Müller L. Einklemmung eines Kinderfingers: Eine experimentelle Studie zur Bestimmung der elastischen Widerstände und der Punkte des Beginns der Knochen-/Gelenkdeformierung. HANDCHIR MIKROCHIR P 2012; 44:1-4. [DOI: 10.1055/s-0031-1299768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
|
107
|
Arafat AM, Müller L, Möhlig M, Mayr B, Kremenevskaya N, Pfeiffer AFH, Buchfelder M, Schöfl C. Comparison of oral glucose tolerance test (OGTT) 100 g with OGTT 75 g for evaluation of acromegalic patients and the impact of gender on test reproducibility. Clin Endocrinol (Oxf) 2011; 75:685-91. [PMID: 21575028 DOI: 10.1111/j.1365-2265.2011.04108.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
CONTEXT Growth hormone (GH) measurements during an oral glucose tolerance test (OGTT) are essential for the diagnosis and follow-up management of acromegaly. However, both 100 g glucose (OGTT(100) ) and 75 g glucose (OGTT(75) ) test variants are in clinical use. Whether the tests are interchangeable concerning GH nadir and test interpretation is unclear. Furthermore, information on test reproducibility and the impact of gender is scarce. OBJECTIVE To compare both tests in acromegalic patients and to evaluate test reproducibility with respect to gender. DESIGN, SUBJECTS AND METHODS OGTT(100) and OGTT(75) were performed on two consecutive days in 54 acromegalic patients (46·9 ± 1·8 years, 30 women). OGTT(75) was repeated on three different occasions in 11 healthy men and 13 healthy women at different phases of the menstrual cycle. RESULTS GH nadirs were comparable between tests [2·40 ± 0·52 (OGTT(100) ) and 2·46 ± 0·54 μg/l (OGTT(75) ); P = 0·356]. There were no differences at any time point in the mean values of GH, serum glucose or insulin between the two test variants. Test interpretation was highly consistent between the OGTT(100) and OGTT(75) [area under the receiver operated curve (ROC) = 0·995]. In men, GH, insulin and glucose measurements during OGTT(75) were highly reproducible. In women, however, basal and GH nadirs were significantly higher midcycle (P < 0·05). CONCLUSIONS In acromegalic patients, there is no difference in GH nadirs and test interpretation after the ingestion of 100 g or 75 g glucose. The OGTT(75) is highly reproducible in men, but in women, it should be performed preferably in the early follicular phase.
Collapse
|
108
|
Müller L, Waldorf M, Gutt C, Grübel G, Madsen A, Finlayson TR, Klemradt U. Slow aging dynamics and avalanches in a gold-cadmium alloy investigated by x-ray photon correlation spectroscopy. PHYSICAL REVIEW LETTERS 2011; 107:105701. [PMID: 21981514 DOI: 10.1103/physrevlett.107.105701] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2010] [Revised: 07/04/2011] [Indexed: 05/31/2023]
Abstract
Results of a x-ray photon correlation spectroscopy experiment on the very weakly first order martensitic transformation of a Au50.5Cd49.5 single crystal are presented. Slow non-equilibrium-dynamics are observed in a narrow temperature interval in the direct vicinity of the otherwise athermal phase transformation. These dynamics are associated with the martensite-aging effect. The dynamical aging is accompanied by an avalanchelike behavior which is identified with an incubation-time phenomenon.
Collapse
|
109
|
Hofheinz R, Wenz FK, Post S, Matzdorff A, Laechelt S, Hartmann JT, Müller L, Link H, Moehler MH, Kettner E, Fritz E, Hieber U, Lindemann HW, Grunewald M, Kremers S, Constantin C, Hipp M, Gencer D, Burkholder I, Hochhaus A. Capecitabine (Cape) versus 5-fluorouracil (5-FU)–based (neo)adjuvant chemoradiotherapy (CRT) for locally advanced rectal cancer (LARC): Long-term results of a randomized, phase III trial. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.3504] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
110
|
Thomas M, Reuss A, Fischer JR, Andreas S, Kortsik C, Grah C, Serke MH, von Eiff M, Witt C, Kollmeier J, Müller E, Müller L, Schenk M, Heine R, Behringer DM, Schroeder M, Reinmuth N, Schnabel P, Acker T, Wolf M. Innovations: Randomized phase II trial of erlotinib (E)/bevacizumab (B) compared with cisplatin (P)/gemcitabine (G) plus B in first-line treatment of advanced nonsquamous (NS) non-small cell lung cancer (NSCLC). J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.7504] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
111
|
Smith B, Larsson JT, Lisby M, Müller L, Madsen SB, Engberg J, Bangsborg J, Ethelberg S, Kemp M. Outbreak of listeriosis caused by infected beef meat from a meals-on-wheels delivery in Denmark 2009. Clin Microbiol Infect 2011; 17:50-2. [PMID: 20184622 DOI: 10.1111/j.1469-0691.2010.03200.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
An outbreak of listeriosis in Denmark occurred in May 2009. Multilocus variable number of tandem repeats analysis typing, later confirmed by pulsed-field gel electrophoresis typing, showed that isolates from eight patients had identical patterns and were distinguishable from Listeria monocytogenes isolates from other Danish patients. Seven out of eight patients had received a meal with beef from the same meals-on-wheels delivery catering company 3 weeks prior to onset of disease. Two patients died of their infection. Large-scale delivery of precooked meals to a vulnerable population represents a threat if proper measures against listeriosis are not taken.
Collapse
|
112
|
Steger C, Bonaros N, Ruttmann E, Kilo J, Hager T, Müller L, Mikuz G, Grimm M. Acute rejection responsible for early homograft degeneration after Ross procedure. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
113
|
Stifter K, Kilo J, Heinz A, Hangler H, Grimm M, Müller L. Minimally invasive repair of atrial septal defect - Introducing a new surgical technique into clinical routine. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
114
|
Bonaros N, Schachner T, Heinz A, Stifter K, Bartel T, Friedrich G, Grimm M, Müller L. Two-stage hybrid coronary intervention and minimally invasive aortic valve replacement for patients with concomitant aortic valve and coronary artery disease. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
115
|
Heinz A, Kilo J, Stifter K, Hangler H, Grimm M, Müller L. Minimally invasive resection of atrial myxoma - The Innsbruck experience. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
116
|
Maina JN, West JB, Orgeig S, Foot NJ, Daniels CB, Kiama SG, Gehr P, Mühlfeld C, Blank F, Müller L, Lehmann A, Brandenberger C, Rothen-Rutishauser B. Recent advances into understanding some aspects of the structure and function of mammalian and avian lungs. Physiol Biochem Zool 2010; 83:792-807. [PMID: 20687843 DOI: 10.1086/652244] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Recent findings are reported about certain aspects of the structure and function of the mammalian and avian lungs that include (a) the architecture of the air capillaries (ACs) and the blood capillaries (BCs); (b) the pulmonary blood capillary circulatory dynamics; (c) the adaptive molecular, cellular, biochemical, compositional, and developmental characteristics of the surfactant system; (d) the mechanisms of the translocation of fine and ultrafine particles across the airway epithelial barrier; and (e) the particle-cell interactions in the pulmonary airways. In the lung of the Muscovy duck Cairina moschata, at least, the ACs are rotund structures that are interconnected by narrow cylindrical sections, while the BCs comprise segments that are almost as long as they are wide. In contrast to the mammalian pulmonary BCs, which are highly compliant, those of birds practically behave like rigid tubes. Diving pressure has been a very powerful directional selection force that has influenced phenotypic changes in surfactant composition and function in lungs of marine mammals. After nanosized particulates are deposited on the respiratory tract of healthy human subjects, some reach organs such as the brain with potentially serious health implications. Finally, in the mammalian lung, dendritic cells of the pulmonary airways are powerful agents in engulfing deposited particles, and in birds, macrophages and erythrocytes are ardent phagocytizing cellular agents. The morphology of the lung that allows it to perform different functions-including gas exchange, ventilation of the lung by being compliant, defense, and secretion of important pharmacological factors-is reflected in its "compromise design."
Collapse
|
117
|
Müller L, Myers J, Kottman W, Lüchinger R, Dubach P. Long-term myocardial adaptations after cardiac rehabilitation in heart failure: a randomized six-year evaluation using magnetic resonance imaging. Clin Rehabil 2010; 23:986-94. [PMID: 19880673 DOI: 10.1177/0269215509339003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To assess exercise capacity and left ventricular function using magnetic resonance imaging (MRI) among patients with chronic heart failure randomized to a residential rehabilitation programme at baseline and six years after participation. DESIGN Randomized controlled study. SETTING Residential cardiac rehabilitation centre and community hospital. INTERVENTION One month of intensive exercise and risk reduction therapy including educational sessions, a low-fat diet, and 2 hours of individually prescribed exercise daily. Control subjects received usual care. Subjects were evaluated at baseline, after completing the one-month residential programme and six years later. SUBJECTS From an original study group of 50, 16 patients (8 exercise, 8 controls) with chronic heart failure were alive and available for evaluation after six years. MAIN MEASURES Cardiopulmonary exercise test responses and ventricular size and function using MRI. RESULTS Peak Vo(2) was 20.0 and 12.4% higher after the rehabilitation programme and six years later, respectively, whereas minimal changes were observed among controls. Left ventricular mass and volumes tended to decrease among subjects in the exercise group, whereas left ventricular mass and volumes tended to increase among control subjects after six years. Ejection fraction increased approximately 20% in both groups. CONCLUSION Six years after participation in a concentrated residential rehabilitation programme, exercise capacity was preserved and no significant changes were observed in ventricular size or function. These findings provide further support for exercise rehabilitation in chronic heart failure.
Collapse
|
118
|
Müller L, Münch A, Blumenstengel K, Hutzschenreuther U, Busies S. Tolerability of different first-line treatment (trt) regimens in patients (pts) with advanced or metastatic renal cell carcinoma (mRCC). J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e15086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
119
|
Riess H, Pelzer U, Opitz B, Stauch M, Reitzig P, Hahnfeld S, Müller L, Stieler J, Dörken B, Oettle H. A prospective, randomized trial of simultaneous pancreatic cancer treatment with enoxaparin and chemotherapy: Final results of the CONKO-004 trial. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.4033] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
120
|
Jäger E, Al-Batran S, Saupe S, Schmidt M, Kreienberg R, Müller L, Otremba BJ, Warm M, Waldenmaier D, Harbeck N. A randomized phase III study evaluating pegylated liposomal doxorubicin (PLD) versus capecitabine (CAP) as first-line therapy for metastatic breast cancer (MBC): Results of the PELICAN study. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.1022] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
121
|
Semsroth S, Ruttmann-Ulmer E, Müller L. The incidence of prosthesis-patient mismatch in different types of aortic valve prostheses. Thorac Cardiovasc Surg 2010. [DOI: 10.1055/s-0029-1246721] [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]
|
122
|
Vogt T, Lüssi F, Müller L, Berghaus S. 121 IMPACT OF VISUAL CUES ON GAIT CHARACTERISTICS OF MILD TO MODERATE PARKINSON PATIENTS WHILE WALKING ON A TREADMILL. Parkinsonism Relat Disord 2010. [DOI: 10.1016/s1353-8020(10)70122-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
123
|
Korhoňová M, Hron K, Klimčíková D, Müller L, Bednář P, Barták P. Coffee aroma—Statistical analysis of compositional data. Talanta 2009; 80:710-5. [DOI: 10.1016/j.talanta.2009.07.054] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2009] [Revised: 07/23/2009] [Accepted: 07/27/2009] [Indexed: 10/20/2022]
|
124
|
Müller L, Schumacher J, Temel B, von Seggern L, Tiwari S, Kalthoff H, Bröring DC. Increased migration of colorectal cancer cells induced by TNF-alpha-treated stromal fibroblasts from human liver metastases. Cell Commun Signal 2009. [PMCID: PMC4291585 DOI: 10.1186/1478-811x-7-s1-a102] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
125
|
|