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Reppe K, Müller-Plathe M, Krause PM, Wienhold SM, Dietert K, Gurtner C, Gutbier B, Nouailles G, Müller-Redetzky HC, Gruber A, Hocke A, Mayer K, Witzenrath M. Einfluss von Resolvin E1 auf die pulmonale Entzündungsreaktion in verschiedenen Pneumoniemodellen. Pneumologie 2018. [DOI: 10.1055/s-0038-1660919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- K Reppe
- Med. Klinik mit SP Infektiologie & Pneumologie, Arbeitsbereich Pulmonale Inflammation, Charité-Universitätsmedizin Berlin
| | - M Müller-Plathe
- Med. Klinik mit SP Infektiologie & Pneumologie, Arbeitsbereich Pulmonale Inflammation, Charité-Universitätsmedizin Berlin
| | - PM Krause
- Med. Klinik mit SP Infektiologie & Pneumologie, Arbeitsbereich Pulmonale Inflammation, Charité-Universitätsmedizin Berlin
| | - SM Wienhold
- Med. Klinik mit SP Infektiologie & Pneumologie, Arbeitsbereich Pulmonale Inflammation, Charité-Universitätsmedizin Berlin
| | - K Dietert
- Institut für Tierpathologie, FU Berlin
| | - C Gurtner
- Institut für Tierpathologie, FU Berlin
| | - B Gutbier
- Med. Klinik mit SP Infektiologie & Pneumologie, Arbeitsbereich Pulmonale Inflammation, Charité-Universitätsmedizin Berlin
| | - G Nouailles
- Med. Klinik mit SP Infektiologie & Pneumologie, Arbeitsbereich Pulmonale Inflammation, Charité-Universitätsmedizin Berlin
| | | | - A Gruber
- Institut für Tierpathologie, FU Berlin
| | - A Hocke
- Med. Klinik mit SP Infektiologie & Pneumologie, Arbeitsbereich Pulmonale Inflammation, Charité-Universitätsmedizin Berlin
| | - K Mayer
- Zentrum für Innere Medizin, Medizinische Klinik II, Universitätsklinikum Gießen und Marburg, University of Gießen and Marburg Lung Center (UGMLC), Gießen
| | - M Witzenrath
- Med. Klinik mit SP Infektiologie & Pneumologie, Arbeitsbereich Pulmonale Inflammation, Charité-Universitätsmedizin Berlin
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Lepper J, Klein A, Hocke A, Plieger T. Risikofaktoren postpartaler Depressionen: Der Einfluss des Oxytocinrezeptorpolymorphismus rs2268498 auf mütterliche Depressivität und Bindung. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1622752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- J Lepper
- Abteilung „Differentielle & Biologische Psychologie“, Universität Bonn
| | - A Klein
- Gynäkologische Psychosomatik, Universitätsfrauenklinik Bonn
| | - A Hocke
- Gynäkologische Psychosomatik, Universitätsfrauenklinik Bonn
| | - T Plieger
- Abteilung „Differentielle & Biologische Psychologie“, Universität Bonn
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Nogens S, Hocke A. Die Psychosoziale Beratungssprechstunde für Schwangere und Mütter in innerer Not. Gemeinsam neue Wege gehen oder Anlass zum Umdenken in Zuständigkeiten? Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1622745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- S Nogens
- Frauen Gesundheit Familien Zukunft e.V., Neunkirchen-Seelscheid
| | - A Hocke
- Gynäkologische Psychosomatik, Universitätsfrauenklinik Bonn
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Berger S, Wienhold SM, Gökeri C, Behrendt U, Fatykhova D, Zscheppang K, Berg J, Gisch N, Dietert K, Doehn JM, Hocke A, Witzenrath M, Nouailles-Kursar G. Spatial and temporal regulation of neutrophil-attractant CXCL5/LIX in acute streptococcal pneumonia. Pneumologie 2017. [DOI: 10.1055/s-0037-1598372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- S Berger
- Department of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin
| | - SM Wienhold
- Department of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin
| | - C Gökeri
- Department of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin
| | - U Behrendt
- Department of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin
| | - D Fatykhova
- Department of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin
| | - K Zscheppang
- Department of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin
| | - J Berg
- Department of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin
| | - N Gisch
- Leibniz Center for Medicine and Biosciences, Research Center Borstel
| | - K Dietert
- Institute of Veterinary Pathology, Freie Universität Berlin
| | - JM Doehn
- Department of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin
| | - A Hocke
- Department of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin
| | - M Witzenrath
- Department of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin
| | - G Nouailles-Kursar
- Department of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin
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Rohde A, Hocke A, Meurers A, Dorsch V. [Peripartum management plan for patients with mental illnesses : Strategies to reduce the risk of postpartum relapse]. Nervenarzt 2016; 87:980-8. [PMID: 27531210 DOI: 10.1007/s00115-016-0182-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Transition to parenthood is challenging but for women with a history of recurrent psychiatric disorders becoming a mother has a number of additional issues. Women with a history of mood disorders or psychoses are at increased risk for exacerbation in the vulnerable postpartum period and fear the potential risk of medication during pregnancy for the unborn child as much as they fear a relapse. In these difficult situations women and their families seek advice and support from mental health providers and obstetricians. METHODS AND RESULTS Based on the treatment of 420 mentally ill women with a desire to have children and pregnancy and prospective documentation of 196 pregnancies over the last 10 years (2006-2016) the authors developed the Bonn concept of peripartum management (BKPM). The plan was designed to reduce the incidence and severity of postpartum relapses in women suffering from psychiatric disorders. Factors to be considered include antenatal and postpartum medication as well as reduction of stress and stimuli, sleep preservation, social support and help from the partner in caring for the baby. Of the 196 women in the BKPM only 4.6 % (n = 9) experienced a severe postpartum relapse with hospitalization. Additionally, the informed consent discussion with patient and partner as part of the peripartum management plan showed positive effects on how women and their families experienced autonomy and safety during pregnancy and postpartum. DISCUSSION Careful planning and monitoring with a structured perinatal management plan can reduce the risk of relapse in the perinatal period and thus support women with a history of mental disorder in the transition to motherhood. Therefore, the management concept employed in Bonn contributes to the major goal of current peripartum psychiatric care in developing effective prevention strategies for women at high risk.
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Affiliation(s)
- A Rohde
- Gynäkologische Psychosomatik, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland.
| | - A Hocke
- Gynäkologische Psychosomatik, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland
| | - A Meurers
- Gynäkologische Psychosomatik, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland
| | - V Dorsch
- LVR-Klinik Köln, Universitätsklinikum Bonn, Wilhelm-Griesinger-Str. 23, 51109, Köln, Deutschland
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Becher A, Weinheimer V, Hocke A, Szymanski K, Dalhoff K, Drömann D, Bauer TT, Tönnies M, Suttorp N, Wolff T, Hippenstiel S. Infektionsverhalten saisonaler, hoch-pathogener H5N1 und pandemischer H1N1 Influenza A Viren in humanen Lungen. Pneumologie 2011. [DOI: 10.1055/s-0031-1272255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Kim Y, Zahlten J, Hocke A, Suttorp N, Hippenstiel S, Hübner R. Streptococcus pneumoniae induziert über die Abnahme des intrazellulären Glutathione einen oxidativen Stress in den Atemwegsepithelien. Pneumologie 2011. [DOI: 10.1055/s-0031-1272053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Müller H, Kommer W, Pfeil U, Hellwig K, Will D, Hocke A, Hippenstiel S, Suttorp N, Witzenrath M. Ventilator-induced lung injury: Intermedin reduziert pulmonalvaskuläre Permeabilität im Mausmodell. Pneumologie 2011. [DOI: 10.1055/s-0031-1272318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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9
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Doehn J, Reppe K, Gutbier B, Tschernig T, Hocke A, Fischetti V, Suttorp N, Hippenstiel S, Witzenrath M. Inhalative use of the endolysin Cpl-1 rescues mice with fatal pneumococcal pneumonia. Pneumologie 2011. [DOI: 10.1055/s-0031-1272012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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10
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Szymanski K, Becher A, Zahlten J, Schneider P, Dalhoff K, Drömann D, Temmesfeld-Wollbrück B, Suttorp N, Hippenstiel S, Hocke A. Einfluss von S. pneumoniae auf die Regulation von COX2 und PGE2 abhängigen Signalwegen in humanem Lungengewebe. Pneumologie 2011. [DOI: 10.1055/s-0031-1272052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Doehn J, Reppe K, Gutbier B, Tschernig T, Hocke A, Fischetti V, Suttorp N, Hippenstiel S, Witzenrath M. Inhalative use of the endolysin Cpl-1 rescues mice with fatal pneumococcal pneumonia. Pneumologie 2011. [DOI: 10.1055/s-0031-1272339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Röhner E, Detert J, Kolar P, Hocke A, N'Guessan P, Matziolis G, Kanitz V, Bernimoulin JP, Kielbassa A, Burmester GR, Buttgereit F, Pischon N. Induced apoptosis of chondrocytes by Porphyromonas gingivalis as a possible pathway for cartilage loss in rheumatoid arthritis. Calcif Tissue Int 2010; 87:333-40. [PMID: 20582408 DOI: 10.1007/s00223-010-9389-5] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2010] [Accepted: 05/23/2010] [Indexed: 10/19/2022]
Abstract
The role of bacterial infections in the pathogenesis of rheumatoid arthritis (RA) has gained increasing interest. Patients with RA often exhibit periodontal disease, which is associated with pathogens like Porphyromonas gingivalis. The present study examines the direct effects of P. gingivalis on apoptosis of human chondrocytes (a feature of inflammatory joint diseases) as one can assume an interrelation of pathogenesis of RA and P. gingivalis infections. Primary chondrocytes were infected with P. gingivalis. Early apoptotic and dead cell analysis was performed using Annexin-V, 7AAD, and propidium iodide and examined by flow cytometry and fluorescence microscopy. Caspase activation and DNA fragmentation were determined by western blot analysis and TUNEL reaction. Flow cytometry and fluorescence microscopy demonstrated an increase of Annexin-V-positive early apoptotic chondrocytes after infection. Western blot showed upregulation of activated caspase-3 expression, and TUNEL reaction revealed considerable DNA fragmentation following infection. The data show that P. gingivalis promotes early and later stages of apoptosis of primary human chondrocytes, which might contribute to the joint damage seen in the pathogenesis of RA.
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Affiliation(s)
- E Röhner
- Department of Rheumatology and Clinical Immunology, Charité University Hospital, Berlin, Germany.
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Szymanski K, Becher A, Zahlten J, Schneider P, Dalhoff K, Drömann D, Suttorp N, Hippenstiel S, Hocke A. Rolle von COX2 und PGE2 in der S. pneumoniae induzierten Infektion in humanem Lungengewebe. Pneumologie 2010. [DOI: 10.1055/s-0030-1251249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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14
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Becher A, Weinheimer V, Hocke A, Szymanski K, Dalhoff K, Drömann D, Bauer TT, Tönnies M, Suttorp N, Wolff T, Hippenstiel S. Differentielles Infektionsverhalten human-pathogener, porciner und aviärer Influenza A Viren in humanen Lungen. Pneumologie 2010. [DOI: 10.1055/s-0030-1251280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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15
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Hocke A, Eulitz I, leClaire A, Szymanski K, Ryu M, Becher A, Zahlten J, Dalhoff K, Drömann D, Schneider P, Suttorp N, Hippenstiel S. Streptococcus pneumoniae induzierte Dysfunktion des Glukokortikoid Rezeptor Signalweges in humanen Lungen. Pneumologie 2010. [DOI: 10.1055/s-0030-1251246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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16
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Becher A, Weinheimer VK, Hocke A, Szymanski K, Dalhoff K, Drömann D, Bauer T, Tönnies M, Suttorp N, Wolff T, Hippenstiel S. Differentielles Infektionsverhalten human-pathogener, porciner und aviärer Influenza A Viren in humanen Lungen. Pneumologie 2010. [DOI: 10.1055/s-0029-1247902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Müller HC, Hocke A, Gutbier B, Kube SM, Hippenstiel S, Witzenrath M, Suttorp N, Rosseau S. Dosisabhängige Beeinflussung vaskulärer Permeabilität im Ventilator-induced lung injury durch den Sphingosin 1- Phosphat Rezeptor Agonisten FTY720. Pneumologie 2009. [DOI: 10.1055/s-0029-1214120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Pischon N, Röhner E, Hocke A, N'Guessan P, Müller HC, Matziolis G, Kanitz V, Purucker P, Kleber BM, Bernimoulin JP, Burmester G, Buttgereit F, Detert J. Effects of Porphyromonas gingivalis on cell cycle progression and apoptosis of primary human chondrocytes. Ann Rheum Dis 2008; 68:1902-7. [PMID: 19054824 DOI: 10.1136/ard.2008.102392] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
BACKGROUND It has been suggested that bacterial infections have a role in the pathogenesis of rheumatoid arthritis (RA). P gingivalis, a Gram-negative, anaerobic rod, is one of the major pathogens associated with periodontal disease. OBJECTIVE To examine P gingivalis infection and its effects on cell cycle progression and apoptosis of human articular chondrocytes. METHODS Primary human chondrocytes cultured in monolayers were challenged with P gingivalis. Infection and invasion of P gingivalis into chondrocytes was analysed by scanning electron microscopy, double immunofluorescence and by antibiotic protection and invasion assay. Cell cycle progression of infected chondrocytes was evaluated by flow cytometry. Also, cell apoptosis was visualised by terminal deoxynucleotidyl transferase-mediated dUTP nick end labelling (TUNEL) of DNA strand breaks and by western blot analysis. RESULTS Data showed that P gingivalis could adhere and infect primary human chondrocytes. After chondrocyte infection, intracellular localisation of P gingivalis was noted. Flow cytometry analyses demonstrated affected cell cycle progression, with an increase of the G(1) phase and a significant decrease of the G(2) phase after infection. In addition, increased apoptosis of P gingivalis-infected chondrocytes was visualised by TUNEL assay and by upregulation of caspase-3 protein expression. CONCLUSION These data demonstrate that P gingivalis infects primary human chondrocytes and affects cellular responses, which might contribute to the tissue damage seen in the pathogenesis of rheumatoid arthritis.
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Affiliation(s)
- N Pischon
- Department of Periodontology, Charité-Universitätsmedizin, Berlin, Campus Virchow, 13353 Berlin, Germany.
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Hocke A, Hartmann I, Eitel J, Suttorp N, Hippenstiel S. Subcellular Expression Pattern and role of IL-15 in Pneumococci induced Lung Epithelial Apoptosis. Pneumologie 2008. [DOI: 10.1055/s-2008-1074122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Müller HC, Lüke S, Hocke A, Suttorp N, Rosseau S. Die Bedeutung von Lymphozyten für die pulmonale Immunabwehr bei der Pneumokokkenpneumonie – Distinkte Funktion varianter und invarianter NKT Zellen. Pneumologie 2007. [DOI: 10.1055/s-2007-1032291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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21
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Witzenrath M, Schmeck B, Doehn J, Tschernig T, Löffler J, Zemlin M, Hocke A, Fischetti V, Schütte H, Suttorp N, Rosseau S. Therapie mit lytischem Bakteriophagenenzym Cpl-1 rettet Mäuse vor letaler Pneumokokkenpneumonie. Pneumologie 2007. [DOI: 10.1055/s-2007-973375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Witzenrath M, Ahrens B, Kube S, Hocke A, Rosseau S, Hamelmann E, Suttorp N, Schütte H. Die allergische Inflammation der Lunge induziert pulmonalvaskuläre Hyperreagibilität. Pneumologie 2006. [DOI: 10.1055/s-2006-934012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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23
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Witzenrath M, Ahrens B, Schmeck B, Kube S, Hippenstiel S, Hocke A, Rosseau S, Hamelmann E, Suttorp N, Schütte H. Erhöhte pulmonale Expression von RhoA und von Proteinen des kontraktilen Apparates bei muriner Hyperreagibilität der Atemwege. Pneumologie 2006. [DOI: 10.1055/s-2006-934011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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24
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Schmeck B, Huber S, Moog K, Zahlten J, Hocke A, Opitz B, Hammerschmidt S, Mitchell T, Kracht M, Rosseau S, Suttorp N, Hippenstiel S. Pneumococci induced IL-8 expression in human pulmonary epithelium by TLR1 and TLR2 and Rac1. Pneumologie 2006. [DOI: 10.1055/s-2006-932726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Kuhl CK, Schmutzler RK, Leutner CC, Kempe A, Wardelmann E, Hocke A, Maringa M, Pfeifer U, Krebs D, Schild HH. Breast MR imaging screening in 192 women proved or suspected to be carriers of a breast cancer susceptibility gene: preliminary results. Radiology 2000; 215:267-79. [PMID: 10751498 DOI: 10.1148/radiology.215.1.r00ap01267] [Citation(s) in RCA: 463] [Impact Index Per Article: 19.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
PURPOSE To compare magnetic resonance (MR) imaging with conventional imaging in screening high-risk women. MATERIALS AND METHODS This prospective trial included 192 asymptomatic and six symptomatic women who, on the basis of personal or family history or genetic analysis, were suspected or proved to carry a breast cancer susceptibility gene. RESULTS Fifteen breast cancers were identified: nine in the 192 asymptomatic women (six in the first and three in the second screening round) and six in the symptomatic patients. Concerning the asymptomatic women, four of the nine breast cancers were detected and correctly classified with mammography and ultrasonography (US) combined; another two cancers were visible as well-circumscribed masses and were diagnosed as fibroadenomas. MR imaging allowed the correct classification and local staging of all nine cancers. In 105 asymptomatic women with validation of the 1st-year screening results, the sensitivities of mammography, US, and MR imaging were 33%, 33% (mammography and US combined, 44%), and 100%, respectively; the positive predictive values were 30%, 12%, and 64%, respectively. CONCLUSION The accuracy of MR imaging is significantly higher than that of conventional imaging in screening high-risk women. Difficulties can be caused by an atypical manifestation of hereditary breast cancers at both conventional and MR imaging and by contrast material enhancement associated with hormonal stimulation.
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Affiliation(s)
- C K Kuhl
- Departments of Radiology, University of Bonn Medical Center, Sigmund-Freud-Strasse 25, D-53105 Bonn, Germany
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Bauer J, Hocke A, Elger CE. [Catamenial seizures--an analysis]. Nervenarzt 1995; 66:760-9. [PMID: 7501092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Catamenial seizures are defined as epileptic seizures occurring during distinct phases of the menstrual cycle (i.e., periovulatory, premenstrually and during menstruation). The cyclic changes of the gonadotropic hormones are thought to be the main cause of the seizures. This hypothesis is supported by results of animal experiments, which have shown oestrogens to increase neuronal excitability whereas progesterone lowered it. We investigated 21 women with epilepsy who reported a catamenial increase in seizure frequency. Only 24% of these women actually exhibited a catamenial manifestation in more than 75% of seizures. The incidence of catamenial seizures is reported in the literature to be between 10% and 72%. Catamenial seizures are treated with anticonvulsant drugs. However, when anticonvulsants have failed to suppress seizures, progesterone or progesterone-derivates have been administered with success. We treated 16 patients with a synthetic GnRH-analogue to suppress the hormonal release of gonadotropins. Four of the six patients with only catamenial seizure manifestations and no other seizures became seizure free. Ten patients had catamenial seizures as well as seizures not related to the menstrual cycle. A decrease in seizure frequency by more than 50% was achieved in 7 of these 10 patients.
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Affiliation(s)
- J Bauer
- Klinik für Epileptologie, Rheinische Friedrich-Wilhelms- Universität Bonn
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