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Sinnaeve PR, Ezekowitz JA, Bogaerts K, Droogne W, Jarai R, Huber K, Granger CB, Desmet WJ, Armstrong PW, Van de Werf FJ. Reperfusion before percutaneous coronary intervention in ST-elevation myocardial infarction patients is associated with lower N-terminal pro-brain natriuretic peptide levels during follow-up, irrespective of pre-treatment with full-dose fibrinolysis. Eur Heart J 2009; 30:2213-9. [DOI: 10.1093/eurheartj/ehp246] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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202
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Sabus S, Pfann M, Huber K, Wolfrum P, Drewitz A, Fischer T. Lungenfunktionsstöung in der Schwangerschaft – Kasuistik einer Patientin mit präexistenter schwerer Thoraxdeformierung. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1225151] [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] Open
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203
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Sabus S, Pfann M, Huber K, Wolfrum-Ristau P, Drewitz A, Fischer T. Schwangerschaft bei ausgeprägtem Klippel-Feil-Syndrom mit Lungenfunktionsstörung – Kasuistik mit Literaturübersicht. Z Geburtshilfe Neonatol 2009. [DOI: 10.1055/s-0029-1222970] [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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204
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Verzár F, Huber K. The Affinity of Collagen Fibres for Radio-Isotopes Ca 45, Na 24, K 42 and I 131 during Thermic Contraction. Gerontology 2009. [DOI: 10.1159/000210730] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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205
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Wiesbauer F, Blessberger H, Azar D, Goliasch G, Wagner O, Gerhold L, Huber K, Widhalm K, Abdolvahab F, Sodeck G, Maurer G, Schillinger M. Familial-combined hyperlipidaemia in very young myocardial infarction survivors (<=40 years of age). Eur Heart J 2009; 30:1073-9. [DOI: 10.1093/eurheartj/ehp051] [Citation(s) in RCA: 79] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
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206
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Ullrich O, Thiel C, Paulsen K, Huber K, Hemmersbach R, von der Wiesche M, Kroll H, Zipp F, Engelmann F. Adhesion molecule expression and cell cycle control in cells of the immune system are sensitive to altered gravity. Cell Commun Signal 2009. [PMCID: PMC4291753 DOI: 10.1186/1478-811x-7-s1-a53] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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207
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Domanovits H, Nikfardjam M, Janata K, Hornykewycz S, Maurer G, Laggner AN, Huber K. Restoration of coronary blood flow by single bolus injection of the GPIIb/IIIa receptor antagonist c7E3 Fab in a patient with acute myocardial infarction of recent onset. Clin Cardiol 2009; 21:525-8. [PMID: 9669064 PMCID: PMC6656099 DOI: 10.1002/clc.4960210715] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
It has been debated that primary coronary angioplasty could be more effective if immediate antithrombotic therapy would contribute to a faster recanalization of the infarct-related artery. This is the first report of a patient who presented at the emergency department with acute anterolateral myocardial infarction, in whom a single bolus injection of c7E3 Fab (0.25 mg/kg body weight) led to complete reperfusion of the infarct-related coronary artery during organization time for planned acute coronary angioplasty. Pain relief 15 min after initiation of therapy and ST-segment resolution of > 50%, as well as occurrence of idioventricular rhythm 30 min thereafter, were suggestive of successful recanalization before the coronary intervention was started. Diagnostic coronary angiography at 90 min revealed TIMI-grade 3 flow in the infarct-related coronary artery with only moderate luminal irregularities. Bolus administration of c7E3 Fab could be effective for dissolving platelet-rich thrombi in the early stage of acute myocardial infarction (AMI) and may therefore represent a promising "bridging" therapy in patients with AMI elected for primary coronary angioplasty.
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Brunner F, Huber K, Schweizer K, Gedrose B, Richter-Appelt H. Geschlechtszuweisung, Behandlungserfahrungen und psychische Belastung bei erwachsenen Personen mit 46, XY Karyotyp und vollständiger und partieller Androgeninsensitivität (AIS). Psychother Psychosom Med Psychol 2009. [DOI: 10.1055/s-0029-1208174] [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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209
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Huber K, Hoffmann S, Richter-Appelt H. „Innen drinnen bin ich keine richtige Frau!?“ Stand der psychosomatischen Forschung zum Mayer-Rokitansky-Küster-Hauser Syndrom. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1208277] [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] Open
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210
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Hoffmann S, Huber K, Richter-Appelt H. Die Diagnose beruht nur auf Indizien ... Das Polyzystische Ovarsyndrom (PCOS) in der psychosomatischen Forschung: Methodische Probleme und Lösungsansätze. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1208278] [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] Open
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211
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Huber K. Die Bedeutung der tuberkulösen Hiluslymphknoten-perforation in der Differentialdiagnose akuter fieberhafter Erkrankungen. Respiration 2009. [DOI: 10.1159/000191622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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212
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Niessner A, Hohensinner PJ, Rychli K, Neuhold S, Zorn G, Richter B, Hulsmann M, Berger R, Mortl D, Huber K, Wojta J, Pacher R. Prognostic value of apoptosis markers in advanced heart failure patients. Eur Heart J 2008; 30:789-96. [DOI: 10.1093/eurheartj/ehp004] [Citation(s) in RCA: 81] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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213
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Hohensinner PJ, Kaun C, Rychli K, Niessner A, Pfaffenberger S, Rega G, Furnkranz A, Uhrin P, Zaujec J, Afonyushkin T, Bochkov VN, Maurer G, Huber K, Wojta J. The inflammatory mediator oncostatin M induces stromal derived factor‐1 in human adult cardiac cells. FASEB J 2008; 23:774-82. [DOI: 10.1096/fj.08-108035] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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214
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Hannig C, Ruggeri A, Al-Khayer B, Schmitz P, Spitzmüller B, Deimling D, Huber K, Hoth-Hannig W, Bowen W, Hannig M. Electron microscopic detection and activity of glucosyltransferase B, C, and D in the in situ formed pellicle. Arch Oral Biol 2008; 53:1003-10. [DOI: 10.1016/j.archoralbio.2008.04.005] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2008] [Revised: 03/18/2008] [Accepted: 04/17/2008] [Indexed: 10/22/2022]
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215
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Huber K, Schreyer K, Sabus S, Fischer T. Sekundäres Lymphödem der Vulva nach Geburtsverletzung–eine ernstzunehmende Rarität. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-0028-1089038] [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] Open
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216
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Müller-Aufdemkamp C, Huber K, Wolfrum-Ristau P, Sabus S, Fischer T. Akute Pseudo-Obstruktion des Colons oder Ogilivie-Syndrom nach Sectio caesarea: Kasuistik und Literaturangaben. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-0028-1088737] [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] Open
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217
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De Luca G, Gibson CM, Bellandi F, Murphy S, Maioli M, Noc M, Zeymer U, Dudek D, Arntz HR, Zorman S, Gabriel HM, Emre A, Cutlip D, Biondi-Zoccai G, Rakowski T, Gyongyosi M, Marino P, Huber K, van't Hof AWJ. Early glycoprotein IIb-IIIa inhibitors in primary angioplasty (EGYPT) cooperation: an individual patient data meta-analysis. Heart 2008; 94:1548-58. [PMID: 18474534 PMCID: PMC2582788 DOI: 10.1136/hrt.2008.141648] [Citation(s) in RCA: 103] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Background: Even though time-to-treatment has been shown to be a determinant of mortality in primary angioplasty, the potential benefits from early pharmacological reperfusion by glycoprotein (Gp) IIb–IIIa inhibitors are still unclear. The aim of this meta-analysis was to combine individual data from all randomised trials conducted on facilitated primary angioplasty by the use of early Gp IIb–IIIa inhibitors. Methods and results: The literature was scanned by formal searches of electronic databases (MEDLINE, EMBASE) from January 1990 to October 2007. All randomised trials on facilitation by the early administration of Gp IIb–IIIa inhibitors in ST-segment elevation myocardial infarction (STEMI) were examined. No language restrictions were enforced. Individual patient data were obtained from 11 out of 13 trials, including 1662 patients (840 patients (50.5%) randomly assigned to early and 822 patients (49.5%) to late Gp IIb–IIIa inhibitor administration). Preprocedural Thrombolysis in Myocardial Infarction Study (TIMI) grade 3 flow was more frequent with early Gp IIb–IIIa inhibitors. Postprocedural TIMI 3 flow and myocardial blush grade 3 were higher with early Gp IIb–IIIa inhibitors but did not reach statistical significance except for abciximab, whereas the rate of complete ST-segment resolution was significantly higher with early Gp IIb–IIIa inhibitors. Mortality was not significantly different between groups, although early abciximab demonstrated improved survival compared with late administration, even after adjustment for clinical and angiographic confounding factors. Conclusions: This meta-analysis shows that pharmacological facilitation with the early administration of Gp IIb–IIIa inhibitors in patients undergoing primary angioplasty for STEMI is associated with significant benefits in terms of preprocedural epicardial recanalisation and ST-segment resolution, which translated into non-significant mortality benefits except for abciximab.
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Huber K, Sabus S, Schreyer K, Fischer T. Lymphödem der Vulva nach Abszess an der Episiotomie – eine seltene Komplikation. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-2008-1079183] [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] Open
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219
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Müller-Aufdemkamp C, Huber K, Wolfrum-Ristau P, Sabus S, Fischer T. Ogilivie-Syndrom: Eine seltene und ernste Komplikation nach Sectio caesarea. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-2008-1079181] [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] Open
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220
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Katsaros KM, Speidl WS, Kastl SP, Zorn G, Huber K, Maurer G, Glogar D, Wojta J, Christ G. Plasminogen activator inhibitor-1 predicts coronary in-stent restenosis of drug-eluting stents. J Thromb Haemost 2008; 6:508-13. [PMID: 18182031 DOI: 10.1111/j.1538-7836.2007.02884.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND We tested the hypothesis that plasma levels of plasminogen activator inhibitor-1 (PAI-1) are influenced by percutaneous coronary intervention (PCI) with the implantation of drug eluting stents (DES) and are able to predict the occurrence of in-stent restenosis (ISR). METHODS AND RESULTS PAI-1 active antigen plasma levels were determined in 75 patients before and 24 h after PCI with DES implantation. Patients with ISR after six to eight months (16%) showed significantly lower PAI-1 plasma levels before PCI (ISR, 11.7 +/- 8.1 ng mL(-1); non-ISR, 22.8 +/- 18.8 ng mL(-1); P <0.05). PAI-1 levels in the lowest tertile were associated with a 9.5-fold increased risk of ISR, independent of clinical risk factors, angiographic or procedural characteristics, compared to the highest tertile (P < 0.05). The induced change of PAI-1 active antigen 24 h after PCI was significantly higher in patients with ISR (ISR, +5.6 +/- 8.0 ng mL(-1); non-ISR, -3.2 +/- 12.1 ng mL(-1); P < 0.05) with positive correlation to late lumen loss (r = 0.30; P < 0.05). CONCLUSIONS ISR after DES implantation is significantly related to plasma levels of PAI-1 active antigen before and after PCI. If confirmed by larger multicenter studies, the determination of PAI-1 plasma levels might be clinically helpful in the identification of patients at high risk of developing of ISR, even after DES implantation.
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Albrecht H, Huber K, Leib F, Westerburg W. Internistische Aspekte zur Operationsindikation an der HWS. AKTUEL RHEUMATOL 2008. [DOI: 10.1055/s-2008-1047906] [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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Schrör K, Huber K. [Prasugrel, a new thienopyridine]. Hamostaseologie 2007; 27:351-355. [PMID: 18060245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
Abstract
The introduction of thienopyridines, specifically of clopidogrel, offered for the first time an orally active therapeutic alternative to acetylsalicylic acid (ASA) as an antiplatelet agent. Despite of established clinical efficacy, it became also evident with increasing clinical use that the antiplatelet actions of clopidogrel are subject of considerable interindividual variations of its antiplatelet efficacy (clopidogrel resistance) in laboratory tests which might also be clinically relevant. Prasugrel is a new, orally active thienopyridine with an expected spectrum of biological activities similar to clopidogrel. Prasugrel, like clopidogrel, is also an inactive prodrug that has to be transformed into the active metabolite by the liver cytochrome P450 system. However, different cytochromes appear to be involved for different extent in the generation of the active metabolite. The active metabolite of prasugrel, R-138727, inhibits irreversibly the platelet P2Y(12) ADP receptor. In contrast to ASA, neither clopidogrel nor prasugrel inhibit the arachidonic acid metabolism. This allows synergistic interactions with ASA as thromboxane inhibitor and PGI(2) as stimulator of cAMP-formation in platelets. Prasugrel is orally more potent and acts more rapidly than clopidogrel, allowing lower oral dosing despite of similar in vitro activity of the active metabolites. These pharmacological advantages of prasugrel are probably due to its improved pharmacokinetics, i.e. the higher conversion rate of the prodrug into the active metabolite. In case of clopidogrel, only about 10-15% of the prodrug is converted into the active metabolite. This higher conversion rate possibly also explains the more rapid onset of platelet inhibition, the lower interindividual variability and higher oral potency with apparently less "resistance" than clopidogrel. Clinically, this might result in an improved efficacy. Whether this is associated with an increased risk of bleeding will be seen from the first phase III clinical trial in PCI-patients. The first results are expected at the end of the year.
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Hohensinner PJ, Kaun C, Rychli K, Niessner A, Pfaffenberger S, Rega G, de Martin R, Maurer G, Ullrich R, Huber K, Wojta J. Macrophage colony stimulating factor expression in human cardiac cells is upregulated by tumor necrosis factor-alpha via an NF-kappaB dependent mechanism. J Thromb Haemost 2007; 5:2520-8. [PMID: 17922812 DOI: 10.1111/j.1538-7836.2007.02784.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
INTRODUCTION Macrophage colony stimulating factor (M-CSF) is a key factor for monocyte and macrophage survival and proliferation. M-CSF has been implicated in cardiac healing and repair after myocardial infarction. METHODS AND RESULTS We show by immunohistochemistry and Western blotting analysis that M-CSF protein is present in human heart tissue. Cultured human adult cardiac myocytes (HACM) and human adult cardiac fibroblasts (HACF) isolated from human myocardial tissue constitutively express M-CSF. When HACM and HACF were treated with tumor necrosis factor-alpha (TNF-alpha) M-CSF protein production and M-CSF mRNA expression, determined by ELISA or by using RT-PCR, respectively, was significantly increased. To determine a possible role of nuclear factor kappaB (NF-kappaB) and activating protein 1 (AP-1) in M-CSF regulation, blockers to both pathways and an adenovirus overexpressing a dominant negative (dn) form of IkappaB kinase 2 (IKK2) were used. Only the NF-kappaB blocker dimethylfumarate and the dn IKK2, but not januskinase inhibitor-1 (JNK-I), were able to block the TNF-alpha-induced increase in M-CSF production in these cells, suggesting that the induction of M-CSF through TNF-alpha is mainly dependent on the activation of the NF-kappaB pathway. The monocyte activation marker CD11b was significantly increased after incubating U937 cells with conditioned medium from HACM or HACF as determined by FACS analysis. CONCLUSIONS Our in vitro data taken together with our immunohistochemistry data suggest that human cardiac cells constitutively express M-CSF. This expression of M-CSF in the human heart and its upregulation by TNF-alpha might contribute to monocyte and macrophage survival and differentiation.
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Voigt K, Brügmann M, Huber K, Dewar P, Cousens C, Hall M, Sharp JM, Ganter M. PCR examination of bronchoalveolar lavage samples is a useful tool in pre-clinical diagnosis of ovine pulmonary adenocarcinoma (Jaagsiekte). Res Vet Sci 2007; 83:419-27. [PMID: 17418304 DOI: 10.1016/j.rvsc.2007.02.001] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2006] [Revised: 02/01/2007] [Accepted: 02/02/2007] [Indexed: 11/17/2022]
Abstract
Ovine pulmonary adenocarcinoma (OPA) is a contagious lung tumour of sheep caused by Jaagsiekte sheep retrovirus (JSRV). The disease is a particular problem in flocks in many parts of the world. The aim of the study was to assess screening methods for individual animals as a prelude to future eradication trials. Results of histological examination were used as the standard to evaluate the relative sensitivity and specificity of an established heminested polymerase chain reaction (PCR) test for JSRV proviral DNA from blood and bronchoalveolar lavage (BAL) samples. PCR results from tissue samples are included as control data. PCR testing of blood samples was found to have an estimated sensitivity of only 10% (95% confidence interval (CI) 3-20) while the sensitivity of the PCR test on BAL samples was 89% (CI 79-96) in comparison to the results of histological examination. We conclude that PCR testing of BAL samples is an effective confirmatory test for sheep with suspected clinical OPA. It is also a useful tool for the pre-clinical identification of individual infected sheep within an infected flock and therefore may prove beneficial in future control or eradication programmes.
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Goerigk G, Huber K, Schweins R. Probing the extent of the Sr2+ ion condensation to anionic polyacrylate coils: A quantitative anomalous small-angle x-ray scattering study. J Chem Phys 2007; 127:154908. [DOI: 10.1063/1.2787008] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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