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Kulnik ST, Sareban M, Hoeppchen I, Droese S, Egger A, Gutenberg J, Mayr B, Reich B, Wurhofer D, Niebauer J. Closure of outpatient cardiac rehabilitation during the first COVID-19 lockdown in Austria in spring 2020 resulted in deteriorating physical exercise capacity: a mixed-methods study. Eur Heart J 2021. [PMCID: PMC8767599 DOI: 10.1093/eurheartj/ehab724.2681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background Group-based cardiac rehabilitation (CR) has inevitably been disrupted by COVID-19-related public health measures, increasing the risk of deterioration in modifiable risk factors for patients with cardiovascular disease (CVD). Purpose To examine the impact of CR closure during the first COVID-19-related national lockdown in Austria in spring 2020 on patients' maintenance of physical activity, physical fitness levels, and cardiovascular risk profile; and to describe the patient experience of lack of group-based CR training due to COVID-19. Methods This mixed-methods study recruited patients from an outpatient CR centre in Austria during summer 2020. Eligibility criteria were regular attendance at weekly group-based exercise training at the centre until the COVID-19-related lockdown in March 2020; pre-lockdown completion of a maximal cycle ergometer test; no contraindications for maximal exercise testing; and no new complaints limiting exercise performance. Participants underwent post-lockdown quantitative assessment of physical fitness (maximal cycle ergometer testing, submaximal cycle ergometer training session at individual pre-lockdown settings) and cardiovascular risk status. These were compared with pre-lockdown data from medical records. Participants gave qualitative interviews about their experience of maintaining exercise during lockdown. Interviews were audio-recorded, transcribed, coded, and interpreted using framework analysis. Results Twenty-eight (57%) of 49 eligible patients were recruited, 1 withdrew, and 27 completed all study procedures. Two participants were excluded from analysis of physical fitness data, due to subsequent diagnosis of new complaints limiting exercise performance. Mean (SD) age was 69 (7.4) years. Six (22%) were female. Median (IQR) time since first CVD event was 8 (5.5, 9) years. In maximal ergometer testing, 14 (56%) had deteriorated, 10 (40%) were unchanged, and 1 (4%) had improved post-lockdown. At group level, power was significantly reduced (maximal ergometer testing, submaximal ergometer training), whereas CVD risk factors remained unchanged from pre- to post-lockdown (table 1). Qualitative analysis corroborated the negative impact of the closure of CR classes (table 2). Conclusions This patient cohort was heterogeneous with respect to physical activity levels and exercise capacity, yet overall motivated and experienced in exercise training, having regularly attended training sessions at the centre before the lockdown. Despite individually seeking out alternative exercise options during lockdown, group average exercise capacity deteriorated even in this motivated and exercise-conscious group. This highlights the importance of providing group-based opportunities for supervised high intensity training for patients who engage well in such a setting, and the detrimental impact of disruption to this type of CR service. Funding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Ludwig Boltzmann Gesellschaft COVID-19 Support Measure: Open Innovation in Science (OIS) Research Enrichment Fund
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Affiliation(s)
- S T Kulnik
- Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria
| | - M Sareban
- University Institute of Sports Medicine, Prevention and Rehabilitation, Salzburg, Austria
| | - I Hoeppchen
- Paracelsus Medical University, Institute of Nursing Science and Practice, Salzburg, Austria
| | - S Droese
- University Institute of Sports Medicine, Prevention and Rehabilitation, Salzburg, Austria
| | - A Egger
- University Institute of Sports Medicine, Prevention and Rehabilitation, Salzburg, Austria
| | - J Gutenberg
- Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria
| | - B Mayr
- Paracelsus Medical University, Research Institute of Molecular Sports Medicine and Rehabilitation, Salzburg, Austria
| | - B Reich
- University Institute of Sports Medicine, Prevention and Rehabilitation, Salzburg, Austria
| | - D Wurhofer
- Ludwig Boltzmann Institute for Digital Health and Prevention, Salzburg, Austria
| | - J Niebauer
- University Institute of Sports Medicine, Prevention and Rehabilitation, Salzburg, Austria
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Mayr B, Vitanova K, Lang N, Strbad M, Voss B, Lange R, Cleuziou J. Long-Term Outcome after Mitral Valve Repair in Children Up to the Age of 10 Years. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678763] [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: 10/27/2022]
Affiliation(s)
- B. Mayr
- Deutsches Herzzentrum München, Klinik für Herz- und Gefäßchirurgie, München, Germany
- Department of Cardiovascular Surgery, Insure Institute for Translational Cardiac Surgery, Munich, Germany
| | - K. Vitanova
- Deutsches Herzzentrum München, Klinik für Herz- und Gefäßchirurgie, München, Germany
- Department of Cardiovascular Surgery, Insure Institute for Translational Cardiac Surgery, Munich, Germany
| | - N. Lang
- Deutsches Herzzentrum München, Klinik für Kinderkardiologie und Angeborene Herzfehler, München, Germany
| | - M. Strbad
- Deutsches Herzzentrum München, Klinik für Herz- und Gefäßchirurgie, München, Germany
- Department of Cardiovascular Surgery, Insure Institute for Translational Cardiac Surgery, Munich, Germany
| | - B. Voss
- Deutsches Herzzentrum München, Klinik für Herz- und Gefäßchirurgie, München, Germany
| | - R. Lange
- Deutsches Herzzentrum München, Klinik für Herz- und Gefäßchirurgie, München, Germany
- Department of Cardiovascular Surgery, Insure Institute for Translational Cardiac Surgery, Munich, Germany
| | - J. Cleuziou
- Deutsches Herzzentrum München, Klinik für Herz- und Gefäßchirurgie, München, Germany
- Department of Cardiovascular Surgery, Insure Institute for Translational Cardiac Surgery, Munich, Germany
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Gerhardter H, Prieler R, Mayr B, Knoll M, Mühlböck M, Tomazic P, Hochenauer C. Evaluation of drag models for particles and powders with non-uniform size and shape. POWDER TECHNOL 2018. [DOI: 10.1016/j.powtec.2018.02.036] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [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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Schönfelder M, Hofmann H, Schulz T, Engl T, Kemper D, Mayr B, Rautenberg C, Oberhoffer R, Thieme D. Potential detection of low-dose transdermal testosterone administration in blood, urine, and saliva. Drug Test Anal 2016; 8:1186-1196. [DOI: 10.1002/dta.2110] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Revised: 10/06/2016] [Accepted: 10/06/2016] [Indexed: 12/29/2022]
Affiliation(s)
- M. Schönfelder
- Chair of Exercise Biology; Technical University of Munich; Germany
- Institute of Pathology; Technical University of Munich; Germany
| | - H. Hofmann
- Chair of Preventive Pediatrics; Technical University of Munich; Germany
| | - T. Schulz
- Chair of Preventive Pediatrics; Technical University of Munich; Germany
| | - T. Engl
- Chair of Preventive Pediatrics; Technical University of Munich; Germany
| | - D. Kemper
- Chair of Preventive Pediatrics; Technical University of Munich; Germany
| | - B. Mayr
- Research Institute of Molecular Sports and Rehabilitation Medicine; Paracelus Medical Private University; Salzburg Austria
| | - C. Rautenberg
- Institute of Doping Analysis und Sports Biochemistry Dresden; Kreischa Germany
| | - R. Oberhoffer
- Chair of Preventive Pediatrics; Technical University of Munich; Germany
| | - D. Thieme
- Institute of Doping Analysis und Sports Biochemistry Dresden; Kreischa Germany
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Zoicas F, Kleindienst A, Mayr B, Buchfelder M, Megele R, Schöfl C. Screening for Acromegaly in Patients with Carpal Tunnel Syndrome: A Prospective Study (ACROCARP). Horm Metab Res 2016; 48:452-6. [PMID: 26849823 DOI: 10.1055/s-0042-100913] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [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] [Indexed: 10/22/2022]
Abstract
Early diagnosis of acromegaly prevents irreversible comorbidities and facilitates surgical cure. Carpal tunnel syndrome (CTS) is common in acromegaly and patients have often undergone surgery for CTS prior to the diagnosis of acromegaly. We hypothesized that screening CTS-patients for acromegaly could facilitate active case-finding. We prospectively enrolled 196 patients [135 women, 56.9 (range 23-103) years] who presented with CTS for surgery. Patients were asked about 6 symptoms suggestive of acromegaly using a questionnaire calculating a symptom score (0-6 points), and insulin-like-growth factor 1 (IGF-1) was measured. If IGF-1 was increased, IGF-1 measurement was repeated, and random growth hormone (GH) and/or an oral glucose tolerance test (OGTT) with assessment of GH-suppression were performed. The mean symptom score was 1.7±1.3 points. Three patients reported the maximal symptom score of 6 points, but none of them had an increased IGF-1. There was no correlation between the symptom score and IGF-1-SDS (standard deviation score) (r=0.026; p=0.71). Four patients had an IGF-1>2 SDS. In 2 patients acromegaly was ruled out using random GH and OGTT. One patient had normal IGF-1 and random GH at follow-up. One patient refused further diagnostics. In this prospective cohort of patients with CTS, the observed frequency of acromegaly was at most 0.51% (95% CI 0.03 to 2.83%). In this prospective study, none of the 196 patients with CTS had proven acromegaly. Thus, we see no evidence to justify general screening of patients with CTS for acromegaly.
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Affiliation(s)
- F Zoicas
- Division of Endocrinology and Diabetes, Department of Medicine 1, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
| | - A Kleindienst
- Department of Neurosurgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany
| | - B Mayr
- Division of Endocrinology and Diabetes, Department of Medicine 1, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
| | - M Buchfelder
- Department of Neurosurgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany
| | - R Megele
- Department of Neurosurgery, Klinikum St. Marien, Amberg, Germany
| | - C Schöfl
- Division of Endocrinology and Diabetes, Department of Medicine 1, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany
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Mayr B, Buchholz S, Lühr M, Hagl C, Pichlmaier M. Idiopathic Right Coronary Artery Rupture: A Rare Diagnosis in Young Adults. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571780] [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: 10/22/2022]
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Mayr B, Elhardt E, Riedner C, Roser T, Frick sj E, Paal P. Die Kluft zwischen eingeschätzten und tatsächlichen Fähigkeiten bei der Erhebung der spirituellen Anamnese. ACTA ACUST UNITED AC 2016. [DOI: 10.1515/spircare-2016-0003] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
ZusammenfassungDiese Studie behandelt praktische Probleme der spirituellen Anamnese im klinischen Umfeld. Nach einer 180-minütigen Schulung wurden die Teilnehmer eingeladen, spirituelle Anamnesen zu erheben und mit Hilfe von zwei zu diesem Zweck erstellten Fragebögen aus Sicht des Befragers und des Befragten zu bewerten. 56 spirituelle Anamnesen wurden durchgeführt. Die Einschätzung der beiden Gruppen zeigte eine statistisch hochsignifikante Übereinstimmung. Die Befrager äußerten (M = 3,4) eine größere Belastung als die Befragten (M = 1,9). Als Belastungsfaktoren wurden eigene Unsicherheit, ablehnende Haltung von Patienten und wenig unterstützende äußere Bedingungen identifiziert. Die Studie machte eine Kluft zwischen den eingeschätzten und tatsächlichen Fähigkeiten bei der Erhebung der spirituellen Anamnese deutlich.
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Affiliation(s)
| | | | | | - Traugott Roser
- 3Tumorzentrum der Ludwig-Maximilians-Universität München
| | - Eckhard Frick sj
- 4Hochschule für Philosophie München und Technische Universität München
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Letz S, Gllaudo M, Quinkler M, Bogner U, Haag C, Schulze E, Frank-Raue K, Raue F, Mayr B, Schoefl C. Dominant negative CaSR mutants: Biochemical function, inheritance and clinical phenotypes. Exp Clin Endocrinol Diabetes 2015. [DOI: 10.1055/s-0035-1547682] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Zoicas F, Kleindienst A, Wenzl M, Mayr B, Buchfelder M, Megele R, Schoefl C. Acromegaly in patients with carpal tunnel syndrome: A prospective study (ACROCARP). Exp Clin Endocrinol Diabetes 2015. [DOI: 10.1055/s-0035-1547666] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Schellhaas B, Mayr B, Dörr HG, Schoefl C. Teriparatide as a novel therapeutic option in the treatment of ADH – A case report. Exp Clin Endocrinol Diabetes 2015. [DOI: 10.1055/s-0035-1547615] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Letz S, Elbelt U, Strasburger CJ, Haag C, Schulze E, Frank-Raue K, Raue F, Mayr B, Schöfl C. CaSR mutants disrupting the disulfide bond between C582 and C568 in the cysteine-rich domain of the CaSR do not act as dominant negative mutants. Exp Clin Endocrinol Diabetes 2014. [DOI: 10.1055/s-0034-1372055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Schnabel D, Letz S, Lankes E, Mayr B, Schöfl C. Severe but not neonatally lethal. A homozygous inactivating CaSR mutation in a 3 year old child. Exp Clin Endocrinol Diabetes 2014. [DOI: 10.1055/s-0034-1372058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Letz S, Haag C, Schulze E, Frank-Raue K, Raue F, Mayr B, Schöfl C. Activating CaSR mutations causing Bartter syndrome type 5 are characterized by a distinctly diminished inhibitory phosphorylation on amino acid T888. Exp Clin Endocrinol Diabetes 2014. [DOI: 10.1055/s-0034-1372016] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Boehme S, Duenges B, Klein KU, Hartwich V, Mayr B, Consiglio J, Baumgardner JE, Markstaller K, Basciani R, Vogt A. Multi frequency phase fluorimetry (MFPF) for oxygen partial pressure measurement: ex vivo validation by polarographic clark-type electrode. PLoS One 2013; 8:e60591. [PMID: 23565259 PMCID: PMC3614895 DOI: 10.1371/journal.pone.0060591] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2012] [Accepted: 02/28/2013] [Indexed: 11/27/2022] Open
Abstract
Background Measurement of partial pressure of oxygen (PO2) at high temporal resolution remains a technological challenge. This study introduces a novel PO2 sensing technology based on Multi-Frequency Phase Fluorimetry (MFPF). The aim was to validate MFPF against polarographic Clark-type electrode (CTE) PO2 measurements. Methodology/Principal Findings MFPF technology was first investigated in N = 8 anaesthetised pigs at FIO2 of 0.21, 0.4, 0.6, 0.8 and 1.0. At each FIO2 level, blood samples were withdrawn and PO2 was measured in vitro with MFPF using two FOXY-AL300 probes immediately followed by CTE measurement. Secondly, MFPF-PO2 readings were compared to CTE in an artificial circulatory setup (human packed red blood cells, haematocrit of 30%). The impacts of temperature (20, 30, 40°C) and blood flow (0.8, 1.6, 2.4, 3.2, 4.0 L min−1) on MFPF-PO2 measurements were assessed. MFPF response time in the gas- and blood-phase was determined. Porcine MFPF-PO2 ranged from 63 to 749 mmHg; the corresponding CTE samples from 43 to 712 mmHg. Linear regression: CTE = 15.59+1.18*MFPF (R2 = 0.93; P<0.0001). Bland Altman analysis: meandiff 69.2 mmHg, rangediff -50.1/215.6 mmHg, 1.96-SD limits -56.3/194.8 mmHg. In artificial circulatory setup, MFPF-PO2 ranged from 20 to 567 mmHg and CTE samples from 11 to 575 mmHg. Linear regression: CTE = −8.73+1.05*MFPF (R2 = 0.99; P<0.0001). Bland-Altman analysis: meandiff 6.6 mmHg, rangediff -9.7/20.5 mmHg, 1.96-SD limits -12.7/25.8 mmHg. Differences between MFPF and CTE-PO2 due to variations of temperature were less than 6 mmHg (range 0–140 mmHg) and less than 35 mmHg (range 140–750 mmHg); differences due to variations in blood flow were less than 15 mmHg (all P-values>0.05). MFPF response-time (monoexponential) was 1.48±0.26 s for the gas-phase and 1.51±0.20 s for the blood-phase. Conclusions/Significance MFPF-derived PO2 readings were reproducible and showed excellent correlation and good agreement with Clark-type electrode-based PO2 measurements. There was no relevant impact of temperature and blood flow upon MFPF-PO2 measurements. The response time of the MFPF FOXY-AL300 probe was adequate for real-time sensing in the blood phase.
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Affiliation(s)
- Stefan Boehme
- Department of Anaesthesia, General Intensive Care and Pain Management, Medical University of Vienna, Vienna, Austria.
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Mayr B, Letz S, Schöfl C. Activating mutations of the calcium-sensing receptor: Calcium oscillations and negative feedback via PKC in mutants causing autosomal dominant hypocalcemia and Bartter syndrome type 5. Exp Clin Endocrinol Diabetes 2013. [DOI: 10.1055/s-0033-1336668] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Szczawinska D, Mayr B, Letz S, Rus R, Schnabel D, Schöfl C. Identification and functional characterization of a homozygous, inactivating CaSR mutation in a patient with rickets. Exp Clin Endocrinol Diabetes 2013. [DOI: 10.1055/s-0033-1336671] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Letz S, Haag C, Schulze E, Frank-Raue K, Mayr B, Raue F, Schöfl C. Activating mutations of the calcium-sensing receptor: The calcilytics ATF-936 and AXT-914 attenuate mutants causing autosomal dominant hypocalcemia and Bartter syndrome type 5. Exp Clin Endocrinol Diabetes 2013. [DOI: 10.1055/s-0033-1336667] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Abstract
A new scale-up concept based upon mixing models for bioreactors equipped with Rushton turbines using the tanks-in-series concept is presented. The physical mixing model includes four adjustable parameters, i.e., radial and axial circulation time, number of ideally mixed elements in one cascade, and the volume of the ideally mixed turbine region. The values of the model parameters were adjusted with the application of a modified Monte-Carlo optimization method, which fitted the simulated response function to the experimental curve. The number of cascade elements turned out to be constant (N = 4). The model parameter radial circulation time is in good agreement with the one obtained by the pumping capacity. In case of remaining parameters a first or second order formal equation was developed, including four operational parameters (stirring and aeration intensity, scale, viscosity). This concept can be extended to several other types of bioreactors as well, and it seems to be a suitable tool to compare the bioprocess performance of different types of bioreactors. (c) 1994 John Wiley & Sons, Inc.
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Affiliation(s)
- B Mayr
- Institute for Biotechnology, Petersgasse 12, 8010 Graz, Austria
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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] [What about the content of this article? (0)] [Affiliation(s)] [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.
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Affiliation(s)
- A M Arafat
- Department of Endocrinology, Diabetes and Nutrition, Charité-University Medicine Berlin, Campus Benjamin Franklin, Berlin, Germany
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Schellander K, Peli J, Kneissl F, Schmoll F, Mayr B. Variation of the growth hormone gene in ryr 1 genotyped Austrian pig breeds. J Anim Breed Genet 2011; 111:162-6. [DOI: 10.1111/j.1439-0388.1994.tb00450.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Mayr B, Erlacher E, Gratze W, Fischerleitner F, Schleger W. Nucleolar activity in lectin-stimulated peripheral blood lymphocytes of several species of domestic animals. Zentralbl Veterinarmed A 2010; 28:209-13. [PMID: 6792831 DOI: 10.1111/j.1439-0442.1981.tb01183.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Mayr B, Niebauer GW, Gebhart W, Hofecker G, Kügl A, Schleger W. Untersuchungen an peripheren Leukozyten melanomtragender und melanomfreier Schimmelpferde verschiedener Altersstufen. ACTA ACUST UNITED AC 2010. [DOI: 10.1111/j.1439-0442.1979.tb01773.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Mayr B, Hofecker G, Zimmer H, Schlerka G, Leitner K, Schleger W. Untersuchungen an peripheren Lymphozytenpopulationen leukoseinfizierter und leukosefreier Rinder. ACTA ACUST UNITED AC 2010. [DOI: 10.1111/j.1439-0450.1979.tb00841.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Mayr B, Hager G. Postmeiotic NOR-expression during spermiogenesis of the domestic pig (Sus scrofa domestica L.). Zentralbl Veterinarmed A 2010; 27:780-7. [PMID: 6784408 DOI: 10.1111/j.1439-0442.1980.tb02031.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Mayr B, Hofecker G, Wöckl F, Hess N, Schleger W. Unterschiede in der DNA-Synthese zwischen leukotischen und normalen Lymphozyten beim Rind. ACTA ACUST UNITED AC 2010. [DOI: 10.1111/j.1439-0450.1979.tb00816.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Pfützner A, Öhring ME, Mayr B, Behnke T, Müller J, Lehmann U, Fuchs W, Forst T. PIOfix-Study: Auswirkung einer Pioglitazon/Metformin Fixkombination im Vergleich zu Glimepirid+Metformin auf die diabetische Dyslipidämie. DIABETOL STOFFWECHS 2010. [DOI: 10.1055/s-0030-1253888] [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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33
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Czaker R, Mayr B. Comparative studies on the polymorphism of nucleolus organizer regions (NORs) in four breeds of domestic pigs (Sus scrofa domestica L.) with special emphasis on the development of breeds. J ZOOL SYST EVOL RES 2009. [DOI: 10.1111/j.1439-0469.1983.tb00268.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Affiliation(s)
- K Schellander
- Institute of Animal Breeding and Genetics, Veterinary University of Vienna, Austria
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35
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Mayr B, Buchfelder M, Schöfl C. Activation of calcium and cAMP-signalling in GH-secreting pituitary adenomas. Exp Clin Endocrinol Diabetes 2008. [DOI: 10.1055/s-0028-1096353] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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37
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Mayr B, Lambrou M, Schweizer D, Kalat M. An inversion polymorphism of a DA/DAPI-positive chromosome pair in <i>Anas platyrhyncho</i><i>s</i> (Aves). Cytogenet Genome Res 2008. [DOI: 10.1159/000132741] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
A specific type of heterochromatin (DA/DAPI-posi tive heterochromatin) was detected in the genome of <i>Anas platyrhynchos f</i>. <i>domestica</i> L. (domestic duck). The DA/DAPI-positive autosome pair was polymorphic with respect to its occurrenceand size and was also involved in an inversion polymorphism
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Affiliation(s)
- B Mayr
- Institute for Animal Breeding and Genetics, Veterinary University, Veterinärplatz 1, A-1210 Vienna, Austria
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39
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Affiliation(s)
- B Mayr
- Institute for Animal Breeding and Genetics, Veterinary University, Veterinarplatz I, A-1210 Vienna, Austria
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40
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Abstract
Lymphomas of dogs were investigated by molecular genetic methods. Regions of exon 1 and 2 of the N-ras gene, which harbours the mutation hot spots (codons 12, 13 and 61) were screened. A GGT [symbol: see text] GAT (glycine [symbol: see text] aspartic acid) mutation in codon 13 was present in a multicentric-type lymphoma of a 1-year-old male dog.
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Affiliation(s)
- B Mayr
- Institute for Animal Breeding and Genetics, Veterinary University, Veterinärplatz 1, A-1210 Vienna, Austria.
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41
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Wejda BUJ, Soennichsen B, Huchzermeyer H, Mayr B, Cirkel U, Dormann AJ. Successful jejunal nutrition therapy in a pregnant patient with apallic syndrome. Clin Nutr 2003; 22:209-11. [PMID: 12706140 DOI: 10.1054/clnu.2002.0633] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [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: 01/02/2023]
Abstract
A 41-year-old woman was admitted in the 8th pregnancy week as a consequence of a left-sided media infarction. After alloprothetic aortic valve replacement, she had discontinued deliberately the mandatory anticoagulation treatment. Following an initial clinical stabilisation, a second insult with right-sided media total infarction occurred 3 weeks after admission. In the further course, she developed an apallic syndrome and required respirator therapy. The initial enteral nutrition therapy via naso-gastric tube, was continued via percutaneous endoscopic gastrostomy (PEG). Due to recurrent vomiting from the 24th pregnancy week, the PEG was changed into a PEG with jejunal position of the tube (JET-PEG). Via this access and simultaneous body impedance analysis (BIA) control, the further nutrition therapy could be continued uneventfully. In the 27th pregnancy week, the patient gave birth to a female newborn (birth weight: 820 g) by Caesarean section in pre-eclampsia. The foetal development was in accordance with the gestational period and uncomplicated in the further course. The mother could be released into ambulatory care where the above nutrition therapy was continued. Reports on a successful nutrition therapy of pregnant comatose patients are rare. To the best of our knowledge, this is the first case where JET-PEG and monitoring by repeated BIA measurement were used for the control of the enteral nutrition.
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Affiliation(s)
- B U J Wejda
- Medical Department, Klinikum Minden, Germany
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42
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Affiliation(s)
- B Mayr
- Institute for Animal Breeding and Genetics, Veterinary University, Veterinärplatz 1, A-1210 Vienna, Austria.
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43
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Abstract
Haemangiosarcomas of dogs were analysed by molecular genetic techniques. Regions of the tumour suppressor gene p53, including the well-known tumour hot spots (codons 175, 245, 248, 249, 273 and 282) were screened. A 24 bp deletion was detected in exon 5 of the gene.
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Affiliation(s)
- B Mayr
- Institute for Animal Breeding and Genetics, Veterinary University, Veterinärplatz 1, A-1210 Vienna, Austria.
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44
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Brabant G, Nave H, Mayr B, Behrend M, van Harmelen V, Arner P. Secretion of free and protein-bound leptin from subcutaneous adipose tissue of lean and obese women. J Clin Endocrinol Metab 2002; 87:3966-70. [PMID: 12161541 DOI: 10.1210/jcem.87.8.8758] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.1] [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] [Indexed: 11/19/2022]
Abstract
Leptin circulates as a free (FL) and a protein-bound (BL) form, with the soluble leptin receptor (LR) as an important binding compound. Here we measured these components of leptin in serum and in the incubation medium of sc adipose tissue in healthy lean (n = 10) and obese (n = 13) female subjects using recently developed specific RIA systems. In addition, immunostaining for FL, BL, and LR in adipose tissue was performed. Serum FL levels were increased in the obese subjects (P < 0.0001), whereas BL and LR concentrations in serum of lean and obese subjects were similar. Both FL and BL were secreted from human preadipocytes and increased in parallel to the differentiation of the cells. In sc fat cell explants LR antibodies predominantly stained the fat cell membrane, whereas FL and BL antibodies revealed intracytoplasmatic adipocyte staining. The release of FL, BL, and LR from adipose tissue was increased in obese compared with lean subjects (P < 0.005 for FL; P < 0.02 for BL, and P < 0.01 for LR). In summary, fat cells are capable of releasing not only FL, but also BL and LR.
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Affiliation(s)
- G Brabant
- Abteilungen Klinische Endokrinologie, Medizinische Hochschule Hannover, 30623 Hannover, Germany.
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Abstract
Tumours localised in the large bowel of dogs were subjected to molecular genetic studies. Highly conserved regions of the tumour suppressor gene p53, including typical tumour hot spots (codons 175, 245, 248, 249, 273 and 282), were analysed. A mutation CGG-->TGG (arginine-->tryptophan) was present in codon 249 in an anaplastic carcinoma in the caecum.
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Affiliation(s)
- B Mayr
- Institute for Animal Breeding and Genetics, Veterinary University, Veterinärplatz 1, A-1210 Vienna, Austria.
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46
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Danne T, Grüters A, Wladimirova A, Weber B, Horn R, Mayr B, Brabant G. Gender-specific differences of serum leptin in obese and normal-weight adolescents: studies in type-I diabetes and Turner syndrome. Horm Res 2002; 48:103-7. [PMID: 11546926 DOI: 10.1159/000185498] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The influence of exogenous insulin and estrogen substitution on serum leptin-like immunoreactivity was studied longitudinally in patients with type-I diabetes and Turner syndrome using a specific radioimmunoassay. Prepubertal, pubertal and postpubertal samples of 17 patients (9 girls, 8 boys) with type-I diabetes mellitus developing obesity were compared to those of 17 normal-weight controls matched for gender, age and diabetes duration. Six obese and six normal-weight girls with Turner syndrome were studied without hormone substitution, with ethinylestradiol alone, and with cyclic estradiol/gestagen substitution. The mean leptin levels of the girls with diabetes were two times higher than boys at all times, while insulin doses and glycemic control had no influence. In Turner syndrome estrogen substitution led to increased leptin levels only in the obese group. This study revealed that both body weight above normal and female sex steroids seem to be necessary to elevate leptin concentrations, while exogenous insulin has no effect.
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Affiliation(s)
- T Danne
- Abteilung für Allgemeine Pädiatrie, Kliniken für Kinderheilkunde und Kinderchirurgie, Charité-Virchow-Klinikum, Berlin, Deutschland.
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Bergwitz C, Prochnau A, Mayr B, Kramer FJ, Rittierodt M, Berten HL, Hausamen JE, Brabant G. Identification of novel CBFA1/RUNX2 mutations causing cleidocranial dysplasia. J Inherit Metab Dis 2001; 24:648-56. [PMID: 11768584 DOI: 10.1023/a:1012758925617] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.2] [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] [Indexed: 11/12/2022]
Abstract
Core binding factor A1 (CBFA1/RUNX2) is a runt-like transcription factor essential for osteoblast differentiation. Haplotype insufficiency causes cleidocranial dysplasia (CCD), a syndrome featuring supernumerary tooth buds, delayed tooth eruption, patent fontanels, Wormian bones, short stature, dysplasia of the clavicles, growth retardation and hypoplasia of the distal phalanges. We identified novel CBFAI/RUNX2 mutations after PCR and direct sequencing of patient leukocyte DNA. In family 1 mother and son are affected by CCD. Both carry the missense mutation R190W (CGG > TGG). This nucleotide change introduced a BsmI restriction site, which was used to independently confirm the mutation. It was absent in healthy members of the family. Family 2, in which father and daughter are affected by CCD, shows a deletion of nucleotide C821. This deletion causes a frameshift mutation with premature stop after the insertion of 18 aberrant amino acids. Healthy family members did not have this mutation. The clavicular dysplasia was more pronounced with the R19OW mutation, while the bone density was markedly reduced in individuals with either mutation, suggesting a previously underemphasized increased risk for osteoporosis in CCD.
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Affiliation(s)
- C Bergwitz
- Abteilung für Klinische Endokrinologie, Hochschule Hannover, Germany.
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Mayr B, Tessadri TR, Post E, Buchmeiser MR. Metathesis-based monoliths: influence of polymerization conditions on the separation of biomolecules. Anal Chem 2001; 73:4071-8. [PMID: 11569794 DOI: 10.1021/ac010452+] [Citation(s) in RCA: 75] [Impact Index Per Article: 3.3] [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: 11/29/2022]
Abstract
Monolithic materials were prepared by transition metal-catalyzed ring-opening metathesis copolymerization of norborn-2-ene and 1,4,4a,5,8,8a-hexahydro-1,4,5,8-exo,endo-dimethanonaphthalene within the confines of surface-derivatized borosilicate columns in the presence of the porogenic solvents toluene and 2-propanol using Cl2(PCy3)2Ru(=CHPh) (1) as initiator. Relevant physicochemical data of the porous structure (specific surface area (sigma), pore volume (Vp), volume fraction of pores (epsilon(p)), and intermicroglobule volume (epsilon(z))) of the monolithic columns were determined by inverse size exclusion chromatography in tetrahydrofuran. Mean particle diameters were determined via electron microscopy. The influence of variations in polymerization conditions in terms of stoichiometry of the monomers and porogenic solvents on the chromatographic separation of the oligodeoxynucleotides dT12-dT18 and eight model proteins (ribonuclease A, insulin, cytochrome c, lysocyme, alpha-lactalbumin, alpha-chymotrypsinogen, beta-lactoglobulin B, catalase) were studied. Also, the role of additional phosphine on the entire polymerization setup and the associated chromatographic separations was elucidated. Relevant chromatographic data as well as differences between the separation of oligodeoxynucleotides and proteins may directly be attributed to the above-mentioned physicochemical properties of the metathesis-based monoliths. Finally, DSC-TGA-MS investigations on various monoliths of different composition and age were carried out in order to provide information on stability and oxidation behavior.
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Affiliation(s)
- B Mayr
- Institute of Analytical Chemistry and Radiochemistry, University of Innsbruck, Austria
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Mayr B, Grüneis C, Brem G, Reifinger M, Schaffner G, Hochsteiner W. Lack of sequence variation in sporadic bovine leucosis in regions of tumour suppressor genes p53 and p16. J Vet Med A Physiol Pathol Clin Med 2001; 48:365-71. [PMID: 11554494 DOI: 10.1046/j.1439-0442.2001.00371.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Regions of the promoter and exons 5-8 of the tumour suppressor gene p53 were analysed in 25 cases of sporadic bovine leucosis. The study included 17 cases of juvenile leucosis, five cases of adult leucosis and three cases of skin leucosis. Exon 2 of tumour suppressor gene p16 was also investigated in the same samples. No sequence variations were present in the analysed areas of the genes. In p53, this fact represents a clear difference in comparison with enzootic bovine leucosis. In p16, no comparative data are available.
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Affiliation(s)
- B Mayr
- Institute for Animal Breeding and Genetics, Vienna, Austria
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Abstract
The transcription factor CREB -- for 'cyclic AMP response element-binding protein' -- functions in glucose homeostasis, growth-factor-dependent cell survival, and has been implicated in learning and memory. CREB is phosphorylated in response to various signals, but how is specificity achieved in these signalling pathways?
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MESH Headings
- Activating Transcription Factor 1
- Alternative Splicing
- Animals
- Binding Sites
- Cyclic AMP/physiology
- Cyclic AMP Response Element Modulator
- Cyclic AMP Response Element-Binding Protein/chemistry
- Cyclic AMP Response Element-Binding Protein/genetics
- Cyclic AMP Response Element-Binding Protein/physiology
- Cyclic AMP-Dependent Protein Kinases/physiology
- DNA Methylation
- DNA-Binding Proteins/genetics
- DNA-Binding Proteins/physiology
- Gene Expression Regulation/physiology
- Gene Products, tax/physiology
- Growth Substances/physiology
- Human T-lymphotropic virus 1/genetics
- Leucine Zippers
- Macromolecular Substances
- Mice
- Mice, Knockout
- Mice, Transgenic
- Models, Genetic
- Models, Molecular
- Multigene Family
- Nuclear Proteins/physiology
- Phosphorylation
- Protein Conformation
- Protein Processing, Post-Translational
- Regulatory Sequences, Nucleic Acid
- Repressor Proteins
- Second Messenger Systems/physiology
- Stress, Physiological/genetics
- Stress, Physiological/metabolism
- Trans-Activators/physiology
- Transcription Factors/physiology
- Transcription, Genetic
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Affiliation(s)
- B Mayr
- Salk Institute for Biological Studies, 10010 North Torrey Pines Road, La Jolla, California 92037, USA
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