1
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Levenfus I, Ullmann E, Petrowski K, Rose J, Huber LC, Stüssi-Helbling M, Schuurmans MM. The AIFELL Score as a Predictor of Coronavirus Disease 2019 (COVID-19) Severity and Progression in Hospitalized Patients. Diagnostics (Basel) 2022; 12:diagnostics12030604. [PMID: 35328157 PMCID: PMC8947178 DOI: 10.3390/diagnostics12030604] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 02/16/2022] [Accepted: 02/23/2022] [Indexed: 11/16/2022] Open
Abstract
Since the beginning of the COVID-19 pandemic, SARS-CoV-2 has caused a global burden for health care systems due to high morbidity and mortality rates, leading to caseloads that episodically surpass hospital resources. Due to different disease manifestations, the triage of patients at high risk for a poor outcome continues to be a major challenge for clinicians. The AIFELL score was developed as a simple decision instrument for emergency rooms to distinguish COVID-19 patients in severe disease stages from less severe COVID-19 and non-COVID-19 cases. In the present study, we aimed to evaluate the AIFELL score as a prediction tool for clinical deterioration and disease severity in hospitalized COVID-19 patients. During the second wave of the COVID-19 pandemic in Switzerland, we analyzed consecutively hospitalized patients at the Triemli Hospital Zurich from the end of November 2020 until mid-February 2021. Statistical analyses were performed for group comparisons and to evaluate significance. AIFELL scores of patients developing severe COVID-19 stages IIb and III during hospitalization were significantly higher upon admission compared to those patients not surpassing stages I and IIa. Group comparisons indicated significantly different AIFELL scores between each stage. In conclusion, the AIFELL score at admission was useful to predict the disease severity and progression in hospitalized COVID-19 patients.
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Affiliation(s)
- Ian Levenfus
- Department of Pulmonology, University Hospital Zurich, 8091 Zurich, Switzerland;
- Faculty of Medicine, University of Zurich, 8032 Zurich, Switzerland
- Correspondence: or
| | - Enrico Ullmann
- Department of Medicine, Technical University Dresden, 01307 Dresden, Germany;
- Department of Pediatric Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig Medical Center, 04103 Leipzig, Germany
- Department of Medical Biology, South Ural State University, 454080 Chelyabinsk, Russia
| | - Katja Petrowski
- Medical Psychology and Sociology, Johannes Gutenberg University Mainz, 55131 Mainz, Germany;
| | - Jutta Rose
- Clinic for Internal Medicine, Department of Internal Medicine, City Hospital Zurich Triemli, 8063 Zurich, Switzerland; (J.R.); (L.C.H.); (M.S.-H.)
| | - Lars C. Huber
- Clinic for Internal Medicine, Department of Internal Medicine, City Hospital Zurich Triemli, 8063 Zurich, Switzerland; (J.R.); (L.C.H.); (M.S.-H.)
| | - Melina Stüssi-Helbling
- Clinic for Internal Medicine, Department of Internal Medicine, City Hospital Zurich Triemli, 8063 Zurich, Switzerland; (J.R.); (L.C.H.); (M.S.-H.)
| | - Macé M. Schuurmans
- Department of Pulmonology, University Hospital Zurich, 8091 Zurich, Switzerland;
- Faculty of Medicine, University of Zurich, 8032 Zurich, Switzerland
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2
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Tseilikman V, Komelkova M, Kondashevskaya MV, Manukhina E, Downey HF, Chereshnev V, Chereshneva M, Platkovskii P, Goryacheva A, Pashkov A, Fedotova J, Tseilikman O, Maltseva N, Cherkasova O, Steenblock C, Bornstein SR, Ettrich B, Chrousos GP, Ullmann E. A Rat Model of Post-Traumatic Stress Syndrome Causes Phenotype-Associated Morphological Changes and Hypofunction of the Adrenal Gland. Int J Mol Sci 2021; 22:ijms222413235. [PMID: 34948031 PMCID: PMC8705403 DOI: 10.3390/ijms222413235] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [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: 10/19/2021] [Revised: 11/29/2021] [Accepted: 12/01/2021] [Indexed: 01/12/2023] Open
Abstract
Background: Rats exposed to chronic predator scent stress mimic the phenotype of complex post-traumatic stress disorder (PTSD) in humans, including altered adrenal morphology and function. High- and low-anxiety phenotypes have been described in rats exposed to predator scent stress (PSS). This study aimed to determine whether these high- and low-anxiety phenotypes correlate with changes in adrenal histomorphology and corticosteroid production. Methods: Rats were exposed to PSS for ten days. Thirty days later, the rats’ anxiety index (AI) was assessed with an elevated plus-maze test. Based on differences in AI, the rats were segregated into low- (AI ≤ 0.8, n = 9) and high- (AI > 0.8, n = 10) anxiety phenotypes. Plasma corticosterone (CORT) concentrations were measured by ELISA. Adrenal CORT, desoxyCORT, and 11-dehydroCORT were measured by high-performance liquid chromatography. After staining with hematoxylin and eosin, adrenal histomorphometric changes were evaluated by measuring the thickness of the functional zones of the adrenal cortex. Results: Decreased plasma CORT concentrations, as well as decreased adrenal CORT, desoxyCORT and 11-dehydroCORT concentrations, were observed in high- but not in low-anxiety phenotypes. These decreases were associated with increases in AI. PSS led to a significant decrease in the thickness of the zona fasciculata and an increase in the thickness of the zona intermedia. The increase in the thickness of the zona intermedia was more pronounced in low-anxiety than in high-anxiety rats. A decrease in the adrenal capsule thickness was observed only in low-anxiety rats. The nucleus diameter of cells in the zona fasciculata of high-anxiety rats was significantly smaller than that of control or low-anxiety rats. Conclusion: Phenotype-associated changes in adrenal function and histomorphology were observed in a rat model of complex post-traumatic stress disorder.
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Affiliation(s)
- Vadim Tseilikman
- School of Medical Biology, South Ural State University, 454080 Chelyabinsk, Russia; (V.T.); (M.K.); (E.M.); (H.F.D.); (P.P.); (A.P.); (O.T.); (N.M.); (G.P.C.)
| | - Maria Komelkova
- School of Medical Biology, South Ural State University, 454080 Chelyabinsk, Russia; (V.T.); (M.K.); (E.M.); (H.F.D.); (P.P.); (A.P.); (O.T.); (N.M.); (G.P.C.)
- Institute of Immunology and Physiology, Ural Branch of the Russian Academy of Science, 620049 Ekaterinburg, Russia; (V.C.); (M.C.)
- Faculty of Medicine, Chelyabinsk State University, 454001 Chelyabinsk, Russia
| | - Marina V. Kondashevskaya
- Laboratory for Immunomorphology of Inflammation, Research Institute of Human Morphology, 117418 Moscow, Russia;
| | - Eugenia Manukhina
- School of Medical Biology, South Ural State University, 454080 Chelyabinsk, Russia; (V.T.); (M.K.); (E.M.); (H.F.D.); (P.P.); (A.P.); (O.T.); (N.M.); (G.P.C.)
- Laboratory for Regulatory Mechanisms of Stress and Adaptation, Institute of General Pathology and Pathophysiology, 125315 Moscow, Russia;
- Department of Physiology and Anatomy, University of North Texas Health Science Center, Fort Worth, TX 76107, USA
| | - H. Fred Downey
- School of Medical Biology, South Ural State University, 454080 Chelyabinsk, Russia; (V.T.); (M.K.); (E.M.); (H.F.D.); (P.P.); (A.P.); (O.T.); (N.M.); (G.P.C.)
- Department of Physiology and Anatomy, University of North Texas Health Science Center, Fort Worth, TX 76107, USA
| | - Valerii Chereshnev
- Institute of Immunology and Physiology, Ural Branch of the Russian Academy of Science, 620049 Ekaterinburg, Russia; (V.C.); (M.C.)
| | - Margarita Chereshneva
- Institute of Immunology and Physiology, Ural Branch of the Russian Academy of Science, 620049 Ekaterinburg, Russia; (V.C.); (M.C.)
| | - Pavel Platkovskii
- School of Medical Biology, South Ural State University, 454080 Chelyabinsk, Russia; (V.T.); (M.K.); (E.M.); (H.F.D.); (P.P.); (A.P.); (O.T.); (N.M.); (G.P.C.)
| | - Anna Goryacheva
- Laboratory for Regulatory Mechanisms of Stress and Adaptation, Institute of General Pathology and Pathophysiology, 125315 Moscow, Russia;
| | - Anton Pashkov
- School of Medical Biology, South Ural State University, 454080 Chelyabinsk, Russia; (V.T.); (M.K.); (E.M.); (H.F.D.); (P.P.); (A.P.); (O.T.); (N.M.); (G.P.C.)
| | - Julia Fedotova
- Laboratory of Neuroendocrinology, I.P. Pavlov Institute of Physiology RAS, 6 Emb. Makarova, 199034 Saint Petersburg, Russia;
- International Research Centre “Biotechnologies of the Third Millennium”, ITMO University, 191002 Saint Petersburg, Russia
| | - Olga Tseilikman
- School of Medical Biology, South Ural State University, 454080 Chelyabinsk, Russia; (V.T.); (M.K.); (E.M.); (H.F.D.); (P.P.); (A.P.); (O.T.); (N.M.); (G.P.C.)
| | - Natalya Maltseva
- School of Medical Biology, South Ural State University, 454080 Chelyabinsk, Russia; (V.T.); (M.K.); (E.M.); (H.F.D.); (P.P.); (A.P.); (O.T.); (N.M.); (G.P.C.)
| | - Olga Cherkasova
- Biophysics Laboratory, Institute of Laser Physics, Siberian Branch of the Russian Academy of Science, 630090 Novosibirsk, Russia;
| | - Charlotte Steenblock
- Department of Medicine, Technical University of Dresden, 01309 Dresden, Germany; (C.S.); (S.R.B.)
| | - Stefan R. Bornstein
- Department of Medicine, Technical University of Dresden, 01309 Dresden, Germany; (C.S.); (S.R.B.)
- Rayne Institute, Division of Diabetes & Nutritional Sciences, Endocrinology and Diabetes, Faculty of Life Sciences & Medicine, Kings College London, London SE5 9PJ, UK
| | - Barbara Ettrich
- Department of Psychiatry and Psychotherapy, University of Leipzig, 04107 Leipzig, Germany;
| | - George P. Chrousos
- School of Medical Biology, South Ural State University, 454080 Chelyabinsk, Russia; (V.T.); (M.K.); (E.M.); (H.F.D.); (P.P.); (A.P.); (O.T.); (N.M.); (G.P.C.)
- University Research Institute of Maternal and Child Health and Precision Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Enrico Ullmann
- School of Medical Biology, South Ural State University, 454080 Chelyabinsk, Russia; (V.T.); (M.K.); (E.M.); (H.F.D.); (P.P.); (A.P.); (O.T.); (N.M.); (G.P.C.)
- Department of Medicine, Technical University of Dresden, 01309 Dresden, Germany; (C.S.); (S.R.B.)
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, 04107 Leipzig, Germany
- Correspondence:
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3
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Thoma K, Ullmann E, Patt L. Wechselwirkungen von nichtionogenen Tensiden mit Tyrothricin. 2. Mitt.: Physikalisch-chemische Eigenschaften von Tyrothricin und Solubilisationsvermögen der Tenside. TENSIDE SURFACT DET 2021. [DOI: 10.1515/tsd-1977-140602] [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: 11/15/2022]
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4
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Thoma K, Ullmann E, Patt L. Wechselwirkungen von nichtionogenen Tensiden mit Tyrothricin 1. Mitt.: Untersuchungen über die Beeinflussung der antibiotischen Wirksamkeit. TENSIDE SURFACT DET 2021. [DOI: 10.1515/tsd-1977-140510] [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: 11/15/2022]
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5
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Ullmann E, Thoma K, Patt L. Wechselwirkungen von nichtionogenen Tensiden mit Tyrothricin 3. Mitt.: Lokalisation des Tyrothricins in der Tensidmizelle. TENSIDE SURFACT DET 2021. [DOI: 10.1515/tsd-1978-150103] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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6
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Pham TL, Chrousos GP, Merkenschlager A, Petrowski K, Ullmann E. Lamotrigine Reduces Stress Symptoms of Chronic Anxiety in the Times of the Covid-19 Natural Catastrophe-A Case Report. Front Psychiatry 2021; 12:655079. [PMID: 34234698 PMCID: PMC8255466 DOI: 10.3389/fpsyt.2021.655079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 05/27/2021] [Indexed: 12/24/2022] Open
Abstract
The SARS-CoV-2 pandemic has been a worldwide chronic, stress-inducing natural catastrophe associated with increased emotional challenging. Patients with Post-traumatic stress disorder (PTSD), self-injury behavior, and obesity are predisposed to aggravation of their symptoms at this time, requiring new therapeutic approaches to balance their disrupted neuro-hormonal stress axis. Here we present our observations of an off-label treatment with lamotrigine in an adolescent girl with PTSD, self-injury behavior, and obesity. Lamotrigine was an efficacious pharmaceutical intervention that helped the patient deal with chronic stress and associated anxiety. The results are discussed based on our previous basic research outcomes in animals and humans that focused on the glutamate-cortisol circuits within the limbic brain.
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Affiliation(s)
- Thuylinh L Pham
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Leipzig, Germany
| | - George P Chrousos
- University Research Institute of Maternal and Child Health and Precision Medicine, National and Kapodistrian University of Athens, Athens, Greece.,School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | | | - Katja Petrowski
- Department of Medical Psychology and Medical Sociology, Clinic and Policlinic for Psychosomatic Medicine and Psychotherapy, University Medicine Mainz, Mainz, Germany
| | - Enrico Ullmann
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Leipzig, Germany.,School of Medical Biology, South Ural State University, Chelyabinsk, Russia.,Department of Internal Medicine, Technical University of Dresden, Dresden, Germany
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7
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Lombard A, De Vitry D'Avaucourt L, Ullmann E, Marini-Silva R, Bus N, Paragios N. PO-1753: Full-body delineation of ROIs through anatomy-preserving deep learning ensemble networks. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01771-0] [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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8
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Rivera S, Lombard A, Pasquier D, Wong S, Limkin E, Auzac G, Blanchecotte J, Chand-Fouché M, Lamrani-Ghaouti A, Bonnet N, Paragios N, Martineau-Huynh C, Ullmann E, Ruffier A, Deutsch E. PO-1722: AI-driven quality insurance for delineation in radiotherapy breast clinical trials. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01740-0] [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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9
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Grégoire V, Blanchard P, Allajbej A, Petit C, Milhade N, Nguyen F, Bakkar S, Boulle G, Romano E, Zrafi W, Lombard A, Ullmann E, Paragios N, Deutsch E, Robert C. OC-0681: Deep learning auto contouring of OAR for HN radiotherapy: a blinded evaluation by clinical experts. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00703-9] [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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10
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Ung M, Rivera S, Rouyar A, Limkin E, Petit C, Sarrade T, Carre A, Auzac G, Lombard A, Ullmann E, Bonnet N, Lamrani-Ghaouti A, Paragios N, Martineau-Huynh C, Deutsch E, Robert C. Dosimetric impact of an AI-based delineation software satisfying international guidelines in breast cancer radiotherapy. Eur J Cancer 2020. [DOI: 10.1016/s0959-8049(20)30840-6] [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: 10/23/2022]
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11
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Herhaus B, Ullmann E, Chrousos G, Petrowski K. High/low cortisol reactivity and food intake in people with obesity and healthy weight. Transl Psychiatry 2020; 10:40. [PMID: 32066711 PMCID: PMC7026436 DOI: 10.1038/s41398-020-0729-6] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 01/04/2020] [Accepted: 01/13/2020] [Indexed: 01/09/2023] Open
Abstract
Increased food intake, termed "comfort eating", is a pathologic coping mechanism in chronic stress. Cortisol reactivity under stress is a potent predictor of stress-induced eating behavior affecting the body mass index (BMI). However, cortisol reactivity and food intake under stress in people with obesity has not been evaluated. The aim of this study was to investigate the effect of high/low cortisol reactivity on food intake in people with obesity and healthy weight test controls, following standardized stress induction and a resting condition. Thirty-six men and women with obesity (BMI: 33.00 ± 3.23 kg/m²), as well as 36 age- and gender-matched healthy weight controls (BMI: 21.98 ± 1.81 kg/m²) were categorized into high cortisol reactors (HCR) and low cortisol reactors (LCR) in the Trier Social Stress Test (TSST). Following the TSST and a resting condition, the food intake of all participants was recorded in a standardized laboratory meal. Obese HCR demonstrated a significantly higher food intake than LCR (t (34) = -2.046, p ≤ 0.05). However, there were no significant differences between HCR and LCR in the healthy weight controls (p = 0.26). In addition, HCR of the people with obesity showed lower values in the emotion coping strategy of cognitive reappraisal than obese LCR (t (32) = 2.087, p ≤ 0.05). In conclusion, the magnitude of the cortisol reactivity to stress predicts stress-induced food intake in people with obesity, but not in the healthy weight controls. Limited use of cognitive reappraisal in emotion regulation in the obese HCR may be a marker of vulnerability to stress-induced eating.
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Affiliation(s)
- Benedict Herhaus
- Medical Psychology and Medical Sociology, Clinic and Policlinic for Psychosomatic Medicine and Psychotherapy, University Medicine Mainz, Mainz, Germany.
| | - Enrico Ullmann
- Department of Medicine, Carl Gustav Carus, Technical University of Dresden, Dresden, Germany
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Leipzig, Germany
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - George Chrousos
- First Department of Pediatrics, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Katja Petrowski
- Medical Psychology and Medical Sociology, Clinic and Policlinic for Psychosomatic Medicine and Psychotherapy, University Medicine Mainz, Mainz, Germany
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12
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Tseilikman V, Dremencov E, Maslennikova E, Ishmatova A, Manukhina E, Downey HF, Klebanov I, Tseilikman O, Komelkova M, Lapshin MS, Vasilyeva MV, Bornstein SR, Perry SW, Wong ML, Licinio J, Yehuda R, Ullmann E. Post-Traumatic Stress Disorder Chronification via Monoaminooxidase and Cortisol Metabolism. Horm Metab Res 2019; 51:618-622. [PMID: 31505706 DOI: 10.1055/a-0975-9268] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Vadim Tseilikman
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Eliyahu Dremencov
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
- Institute of Molecular Physiology and Genetics, Centre for Biosciences, Slovak Academy of Sciences, Bratislava, Slovak Republic
- Institute of Experimental Endocrinology, Biomedical Research Center, Slovak Academy of Sciences, Bratislava, Slovak Republic
| | | | - Alla Ishmatova
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Eugenia Manukhina
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
- Laboratory for Regulatory Mechanisms of Stress and Adaptation, Institute of General Pathology and Pathophysiology, Moscow, Russia
- Department of Physiology and Anatomy, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - H Fred Downey
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
- Department of Physiology and Anatomy, University of North Texas Health Science Center, Fort Worth, Texas, USA
| | - Igor Klebanov
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Olga Tseilikman
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Mariya Komelkova
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Maxim S Lapshin
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Mariya V Vasilyeva
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Stefan R Bornstein
- Department of Medicine, Technical University of Dresden, Dresden, Germany
- Rayne Institute, Division of Diabetes & Nutritional Sciences, Endocrinology and Diabetes, Faculty of Life Sciences & Medicine, Kings College London, London, UK
| | - Seth W Perry
- College of Medicine, SUNY Upstate Medical University, Syracuse, NY, USA
| | - Ma-Li Wong
- College of Medicine, SUNY Upstate Medical University, Syracuse, NY, USA
- Department of Psychiatry, Flinders University School of Medicine, Bedford Park, SA, Australia
- Department of Psychiatry, University of Adelaide School of Medicine, Bedford Park, SA, Australia
| | - Julio Licinio
- College of Medicine, SUNY Upstate Medical University, Syracuse, NY, USA
- Department of Psychiatry, Flinders University School of Medicine, Bedford Park, SA, Australia
- Department of Psychiatry, University of Adelaide School of Medicine, Bedford Park, SA, Australia
| | - Rachel Yehuda
- ICAHN School of Medicine at Mount Sinai, New York, NY, USA
| | - Enrico Ullmann
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
- Department of Medicine, Technical University of Dresden, Dresden, Germany
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Leipzig, Germany
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13
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Ullmann E, Perry SW, Licinio J, Wong ML, Dremencov E, Zavjalov EL, Shevelev OB, Khotskin NV, Koncevaya GV, Khotshkina AS, Moshkin MP, Lapshin MS, Komelkova MV, Feklicheva IV, Tseilikman OB, Cherkasova OP, Bhui KS, Jones E, Kirschbaum C, Bornstein SR, Tseilikman V. From Allostatic Load to Allostatic State-An Endogenous Sympathetic Strategy to Deal With Chronic Anxiety and Stress? Front Behav Neurosci 2019; 13:47. [PMID: 30967764 PMCID: PMC6442703 DOI: 10.3389/fnbeh.2019.00047] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2018] [Accepted: 02/22/2019] [Indexed: 01/10/2023] Open
Abstract
The concepts of allostatic load and overload, i. e., a dramatic increase in the allostatic load that predisposes to disease, have been extensively described in the literature. Here, we show that rats engaging in active offensive response (AOR) behavioral strategies to chronic predator scent stress (PSS) display less anxiety behavior and lower plasma cortisol levels vs. rats engaging in passive defensive response (PDR) behavioral strategies to chronic PSS. In the same chronic PSS paradigm, AOR rats also have higher lactate and lower glutamate levels in amygdala but not in control-region hippocampus vs. PDR rats. The implications of these findings for regulation of allostatic and stress responses, and post-traumatic stress disorder (PTSD) are discussed.
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Affiliation(s)
- Enrico Ullmann
- Department of Medicine, Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.,Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Leipzig, Germany.,School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Seth W Perry
- College of Medicine, SUNY Upstate Medical University, Syracuse, NY, United States
| | - Julio Licinio
- College of Medicine, SUNY Upstate Medical University, Syracuse, NY, United States
| | - Ma-Li Wong
- College of Medicine, SUNY Upstate Medical University, Syracuse, NY, United States
| | - Eliyahu Dremencov
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia.,Institute of Molecular Physiology and Genetics, Centre for Biosciences, Slovak Academy of Sciences, Bratislava, Slovakia.,Biomedical Research Center, Institute of Experimental Endocrinology, Slovak Academy of Sciences, Bratislava, Slovakia
| | - Evgenii L Zavjalov
- Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Science (RAS), Novosibirsk, Russia
| | - Oleg B Shevelev
- Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Science (RAS), Novosibirsk, Russia
| | - Nikita V Khotskin
- Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Science (RAS), Novosibirsk, Russia
| | - Galina V Koncevaya
- Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Science (RAS), Novosibirsk, Russia
| | - Anna S Khotshkina
- Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Science (RAS), Novosibirsk, Russia
| | - Mikhail P Moshkin
- Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Science (RAS), Novosibirsk, Russia
| | - Maxim S Lapshin
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Maria V Komelkova
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Inna V Feklicheva
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Olga B Tseilikman
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
| | - Olga P Cherkasova
- Biophysics Laboratory, Institute of Laser Physics, Siberian Branch of the Russian Academy of Science, Novosibirsk, Russia
| | - Kamaldeep S Bhui
- Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, United Kingdom
| | - Edgar Jones
- Institute of Psychiatry Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Clemens Kirschbaum
- Department of Psychology, Biopsychology, Technical University of Dresden, Dresden, Germany
| | - Stefan R Bornstein
- Department of Medicine, Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.,Faculty of Life Sciences & Medicine, Endocrinology and Diabetes, Kings College London, London, United Kingdom
| | - Vadim Tseilikman
- School of Medical Biology, South Ural State University, Chelyabinsk, Russia
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14
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Ullmann E, Licinio J, Perry SW, White LO, Klein AM, Barthel A, Petrowski K, Stalder T, Oratovski B, von Klitzing K, Bornstein SR, Kirschbaum C. Inherited anxiety-related parent-infant dyads alter LHPA activity. Stress 2019; 22:27-35. [PMID: 30424700 DOI: 10.1080/10253890.2018.1494151] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
The pathogenesis of post-traumatic stress disorder (PTSD) is incompletely understood. We hypothesize that disruptions in mother-child relations may be a key contributor to development of PTSD. A normal and healthy separation-individuation process requires adaptations of self- and interactive contingency in both the mother and her child, especially in early childhood development. Anxious mothers are prone to overprotection, which may hinder the individuation process in their children. We examined long-term stress hormones and other stress markers in subjects three generations removed from the Holocaust, to assess the long-term consequences of inherited behavioral and physiological responses to prior stress and trauma. Jewish subjects who recalled overprotective parental behavior had higher hairsteroid-concentrations and dampened limbic-hypothalamic-pituitary-adrenal (LHPA) axis reactivity compared to German and Russian-German subjects with overprotective parents. We suggest that altered LHPA axis activity in maternally overprotected Jewish subjects may indicate a transmitted pathomechanism of "frustrated individuation" resulting from cross-generational anti-Semitic experiences. Thus measurements of hairsteroid-concentrations and parenting practices may have clinical value for diagnosis of PTSD. We propose that this apparent inherited adaptivity of LHPA axis activity could promote higher individual stress resistance, albeit with risk of an allostatic overload.
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Affiliation(s)
- E Ullmann
- a Department of Medicine , Carl Gustav Carus, Technical University of Dresden , Dresden , Germany
- b Department of Child and Adolescent Psychiatry , Psychotherapy, and Psychosomatics, University of Leipzig , Leipzig , Germany
| | - J Licinio
- c College of Medicine , SUNY Upstate Medical University , New York , NY, USA
| | - S W Perry
- c College of Medicine , SUNY Upstate Medical University , New York , NY, USA
| | - L O White
- b Department of Child and Adolescent Psychiatry , Psychotherapy, and Psychosomatics, University of Leipzig , Leipzig , Germany
| | - A M Klein
- b Department of Child and Adolescent Psychiatry , Psychotherapy, and Psychosomatics, University of Leipzig , Leipzig , Germany
- d International Psychoanalytic University Berlin , Berlin, Germany
| | - A Barthel
- a Department of Medicine , Carl Gustav Carus, Technical University of Dresden , Dresden , Germany
- e Medicover , Bochum , Germany
| | - K Petrowski
- f Department of Psychology , University of Witten/Herdecke , Witten/Herdecke , Germany
| | - T Stalder
- g Department of Psychology , Biopsychology, Technical University of Dresden , Dresden , Germany
- h Department of Developmental Psychology , University of Siegen , Siegen , Germany
| | - B Oratovski
- a Department of Medicine , Carl Gustav Carus, Technical University of Dresden , Dresden , Germany
| | - K von Klitzing
- b Department of Child and Adolescent Psychiatry , Psychotherapy, and Psychosomatics, University of Leipzig , Leipzig , Germany
| | - S R Bornstein
- a Department of Medicine , Carl Gustav Carus, Technical University of Dresden , Dresden , Germany
- i Faculty of Life Sciences & Medicine, Endocrinology and Diabetes , Kings College London , London , UK
| | - C Kirschbaum
- g Department of Psychology , Biopsychology, Technical University of Dresden , Dresden , Germany
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15
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Balyura M, Gelfgat E, Ullmann E, Ludwig B, Barnea ER, Bornstein SR. PreImplantation Factor (PIF*) Regulates Stress-Induced Adrenal Steroidogenesis and Anti-Inflammatory Cytokines: Potential Application for Bioartificial Adrenal Transplant. Horm Metab Res 2018; 50:168-174. [PMID: 29065432 DOI: 10.1055/s-0043-120064] [Citation(s) in RCA: 3] [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: 10/18/2022]
Abstract
The main treatment algorithm for adrenal insufficiency is hormonal replacement, however, inadequate hormone substitution often leads to severe side effects. Adrenal cell transplantation could be a more effective alternative but would require life-long immune suppressive therapy. PreImplantation Factor (PIF) is an endogenous peptide secreted by viable human embryos that leads to maternal tolerance without immunosuppression. PIF could be effective for xenogeneic cell transplantation such as of bovine adrenocortical cells (BAC), which are used for bioartificial adrenal gland development that may more effectively restore complex adrenal functions. We report here that PIF exerts a dual regulatory effect on BAC by targeting mostly hyper-activated cells to specifically reduce adrenocorticotropic hormone (ACTH)-stimulated cortisol secretion. Reverse transcription real time PCR analysis revealed that PIF modulates the expression of two genes in the cortisol synthesis pathway, Steroidogenic Factor 1 (SF1), an activator of steroidogenesis, and the downstream steroidogenic enzyme Cytochrome P450 17A1 (CYP17A1). PIF increased basal expression of SF1 and CYP17A1 regardless of the activation level of the adrenocortical cells. In contrast, following ACTH stimulation, PIF reduced SF1 expression and induced expression of the immune suppressing anti-inflammatory cytokine IL10 only in the hyper-activated cells, suggesting both a protective and immune tolerant function. In conclusion, PIF regulates stress-induced adrenal steroidogenesis and immune tolerance in BAC, supporting a potential clinical application to reduce rejection by the host's immune response following xenotransplantation.
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Affiliation(s)
- Mariya Balyura
- Dept. of Medicine III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Evgeny Gelfgat
- Dept. of Medicine III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Enrico Ullmann
- Dept. of Medicine III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
- Department for Child and Adolescence Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany
| | - Barbara Ludwig
- Dept. of Medicine III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
- Paul Langerhans Institute Dresden of Helmholtz Centre Munich at University Clinic Carl Gustav Carus of TU Dresden Faculty of Medicine, Technische Universität Dresden, DZD-German Centre for Diabetes Research, Dresden, Germany
- Center for Regenerative Therapies, Technische Universität Dresden, Dresden, Germany
| | - Eytan R Barnea
- BioIncept LLC, New York, NY, USA
- SIEP, Society for the Investigation of Early Pregnancy, New York, NY, USA
| | - Stefan R Bornstein
- Dept. of Medicine III, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
- Paul Langerhans Institute Dresden of Helmholtz Centre Munich at University Clinic Carl Gustav Carus of TU Dresden Faculty of Medicine, Technische Universität Dresden, DZD-German Centre for Diabetes Research, Dresden, Germany
- Center for Regenerative Therapies, Technische Universität Dresden, Dresden, Germany
- Diabetes and Nutritional Sciences Division, King's College London, London, UK
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16
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Ullmann E, Bornstein SR, Lanzman RS, Kirschbaum C, Sierau S, Doehnert M, Zimmermann P, Kindler H, Schauer M, Ruf-Leuschner M, Fegert JM, von Klitzing K, Ziegenhain U. Countering posttraumatic LHPA activation in refugee mothers and their infants. Mol Psychiatry 2018; 23:2-5. [PMID: 29133953 PMCID: PMC5754471 DOI: 10.1038/mp.2017.235] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Affiliation(s)
- E Ullmann
- Department for Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Leipzig, Germany,Department of Medicine, Technische Universität Dresden, Carl Gustav Carus, Dresden, Germany,Department of Medicine, University of Dresden, Fetscherstraße 74, Dresden D-01307, Germany. E-mail:
| | - S R Bornstein
- Department of Medicine, Technische Universität Dresden, Carl Gustav Carus, Dresden, Germany,Faculty of Life Sciences & Medicine, Endocrinology and Diabetes, Kings College London, London, UK
| | - R S Lanzman
- Department of Diagnostic and Interventional Radiology, University Hospital Düsseldorf, Düsseldorf, Germany
| | - C Kirschbaum
- Department of Psychology, Technische Universität Dresden, Dresden, Germany
| | - S Sierau
- Department for Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Leipzig, Germany
| | - M Doehnert
- Department for Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Leipzig, Germany
| | - P Zimmermann
- Department of Psychology/Developmental Psychology, University of Wuppertal, Wuppertal, Germany
| | - H Kindler
- German Youth Institute, Munich, Germany
| | - M Schauer
- Center of Excellence for Psychotraumatology, University of Konstanz, Konstanz, Germany
| | - M Ruf-Leuschner
- Center of Excellence for Psychotraumatology, University of Konstanz, Konstanz, Germany
| | - J M Fegert
- Department for Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Ulm, Ulm, Germany
| | - K von Klitzing
- Department for Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Leipzig, Germany
| | - U Ziegenhain
- Department for Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Ulm, Ulm, Germany
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17
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Ullmann E, Licinio J, Barthel A, Petrowski K, Stalder T, Bornstein SR, Kirschbaum C. Persistent LHPA Activation in German Individuals Raised in an Overprotective Parental Behavior. Sci Rep 2017; 7:2778. [PMID: 28584276 PMCID: PMC5459846 DOI: 10.1038/s41598-017-01718-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2016] [Accepted: 04/04/2017] [Indexed: 11/24/2022] Open
Abstract
Parental upbringing may affect their offspring’s mental state across the entire lifespan. Overprotective parental child-rearing style may increase the disease burden in the offspring. Furthermore, this child-rearing style may also play a pathogenetic role by transmitting trauma- and stressor-related disorders (TSRD) across generations. Studies with animals have demonstrated that the mother’s immediate and expansive protection of the newborn decreases the limbic-hypothalamic-pituitary-adrenal (LHPA) axis activity in the offspring. However, few studies have investigated how stress impact humans raised in an overprotective manner. In a cross-sectional study with 40 healthy students recalling their overprotective upbringing, we show an increase in the dehydroepiandrostendione (DHEA) concentration and a reduction in the cortisol/DHEA-ratio in hair. Additionally, this child rearing style was associated with heightened indications of mental burden, depressiveness, and sense of coherence. Our results provide insight into the roots and consequences of psychological trauma across several generations. Further investigations focusing particularly on multigenerational transmission in extremely burdened families will augment our results.
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Affiliation(s)
- E Ullmann
- Department of Medicine, TU Dresden, Carl Gustav Carus, Dresden, Germany. .,Department for Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University of Leipzig, Leipzig, Germany.
| | - J Licinio
- Mind and Brain Theme, South Australian Health and Medical Research Institute, Adelaide, Australia.,Department of Psychiatry, Flinders University, School of Medicine, Adelaide, Australia.,South Ural State University, Biomedical School, Chelyabinsk, Russian Federation
| | - A Barthel
- Department of Medicine, TU Dresden, Carl Gustav Carus, Dresden, Germany.,Medicover, Bochum, Germany
| | | | - T Stalder
- Department of Psychology, TU Dresden, Dresden, Germany.,Clinical Psychology, University of Siegen, Siegen, Germany
| | - S R Bornstein
- Department of Medicine, TU Dresden, Carl Gustav Carus, Dresden, Germany.,Faculty of Life Sciences & Medicine, Rayne Institute, Endocrinology and Diabetes, Kings College London, London, UK
| | - C Kirschbaum
- Department of Psychology, TU Dresden, Dresden, Germany
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18
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Ullmann E, Barthel A, Taché S, Bornstein A, Licinio J, Bornstein SR. Emotional and psychological trauma in refugees arriving in Germany in 2015. Mol Psychiatry 2015; 20:1483-4. [PMID: 26527128 DOI: 10.1038/mp.2015.164] [Citation(s) in RCA: 64] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- E Ullmann
- Department of Medicine, University of Dresden, Dresden, Germany.,Center of Developmental Pediatrics, City Hospital Dresden, Dresden, Germany
| | - A Barthel
- Department of Medicine, University of Dresden, Dresden, Germany.,Endokrinologikum Ruhr, Bochum, Germany
| | - S Taché
- German Red Cross, Dresden, Germany
| | - A Bornstein
- Department of Medicine, University of Dresden, Dresden, Germany
| | - J Licinio
- Mind and Brain Theme, South Australian Health and Medical Research Institute, Flinders University, Adelaide, Australia
| | - S R Bornstein
- Department of Medicine, University of Dresden, Dresden, Germany.,Endocrinology and Diabetes, Division of Diabetes & Nutritional Sciences, Rayne Institute, Denmark Hill Campus, Faculty of Life Sciences & Medicine, Kings College London, London, UK
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19
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Ullmann E, Barthel A, Licinio J, Petrowski K, Bornstein SR, Strauß B. Increased rate of depression and psychosomatic symptoms in Jewish migrants from the post-Soviet-Union to Germany in the 3rd generation after the Shoa. Transl Psychiatry 2013; 3:e241. [PMID: 23481628 PMCID: PMC3625916 DOI: 10.1038/tp.2013.17] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2012] [Accepted: 12/02/2012] [Indexed: 12/17/2022] Open
Abstract
The mental health status of persons with Jewish background living in Germany is discussed with special regard to social exclusion like anti-Semitism and overprotective parental rearing behavior, as a transmissional factor of the KZ-Syndrome. These stressors are considered in the context of a higher risk for depression/fear and psychosomatic disorders and also abnormal cortisol levels. The present sample (N=89) is derived from the Jewish population currently living in the German region of Saxony aged between 17-36 years that emigrated from the post-Soviet-Union areas. The mean age was 22.9 years. Two questionnaires to detect psychosomatic symptoms (Giessen complaint list (GBB)-24, hospital anxiety and depression scale) and one questionnaire addressing parental rearing behavior (FEE) were employed. Comparisons were drawn with normative data from the literature about the German residential population. In addition, questions were asked concerning the experience of anti-Semitism in Germany and in the post-Soviet-Union areas. A higher prevalence of depression/fear (10.3% versus 18.2%) and psychosomatic symptoms (M=14.03 versus 17.8; t=2.42; P<0.05) was observed in Jewish migrants to Germany as compared with non-Jewish German residents. Furthermore, anti-Semitic experiences in Germany correlated positively with depression (r=0.293; P<0.01) and fear (r=0.254; P<0.05). The anti-Semitic experiences in the post-Soviet-Union areas also correlated positively with limb pain (r=0.41, P<0.01), fatigue symptoms (r=0.296, P<0.01) and psychocardial symptoms (r=0.219, P<0.05). It was also confirmed that the male respondents recalled a controlling and overprotecting maternal rearing behavior more frequently than the German standard random sample (M=15.39 versus 18.6; t=2.68; P<0.01). The latter also correlated significantly positive with epigastric pain (r=0.349; P<0.01). The present results show that depression, fear and psychosomatic problems are common in Jewish residents with a background of migration from the post-Soviet-Union areas to Germany. Apart from the transgenerational passing of psychological traumata and the Holocaust experiences, other stressors like anti-Semitism, control and overprotection as parental rearing measures appear to be important factors specifically contributing to the pathogenesis of the attributed symptoms.
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Affiliation(s)
- E Ullmann
- Institute of Psychosocial Medicine and Psychotherapy University Hospital, Jena, Germany.
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20
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Ullmann E. Medicaid managed care: an update. Med Interface 1995; 8:92-4. [PMID: 10152333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- E Ullmann
- WellCare Management Group, Kingston, NY, USA
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22
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Ullmann E, Gängler P. [Controlled clinical studies on the drug-mediated reduction of plaque and gingivitis using peracetic acid, hydrogen peroxide and carbamide peroxide]. Stomatol DDR 1983; 33:334-41. [PMID: 6356490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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23
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Ullmann E. [Adolf Witzel--his life and work]. Stomatol DDR 1981; 31:535-41. [PMID: 7034300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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24
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Thoma K, Ullmann E, Mohrschulz P. [Interactions of local anesthetics with macromolecular additives and their influence on drug liberation (author's transl)]. Arch Pharm (Weinheim) 1978; 311:205-13. [PMID: 655786 DOI: 10.1002/ardp.19783110305] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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25
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Ullmann E. Arzneiformenlehre von P. H. List. 164 Abb., XXVI, 514 S., Preis DM 62,–, Wissenschaftliche Verlagsgesellschaft mbH, Stuttgart 1976. Arch Pharm (Weinheim) 1977. [DOI: 10.1002/ardp.19773100116] [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: 11/05/2022]
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26
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Forsling ML, Ullmann E. The effects of noradrenaline on the vasopressin concentration of plasma and on urine excretion in the dog. J Physiol 1975; 247:46P-47P. [PMID: 1138070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
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27
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Forsling ML, Ullmann E. Proceedings: Plasma vasopressin and renal concentrating ability in the anaesthetized dog. J Endocrinol 1974; 63:41P-42P. [PMID: 4443703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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28
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Forsling ML, Ullmann E. Proceedings: Release of vasopressin during hypoxia. J Physiol 1974; 241:35P-36P. [PMID: 4419436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
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Abstract
1 Single lobes of the bladder of Bufo marinus were isolated and filled with, and suspended in, oxygenated Ringer solution. The fluid in contact with the outside (serosa) of the lobes had a total osmolarity of 225 m-osmol/litre, and that bathing the inside (mucosa) of 45 m-osmol/litre.2 Osmotic water flow from mucosa to serosa was measured by weighing the lobes every 30 minutes. It was negligible unless vasopressin was added to the serosal bath. Standard concentrations of either 1.25 or 6.25 mu/ml were used to render the bladder lobes permeable to water.3 The presence in the serosal medium of pentobarbitone or thiopentone in concentrations ranging from 0.25 to 2.5 mM, or of chloralose in concentrations ranging from 0.65 to 6.5 mM, diminished the increase in water permeability induced by vasopressin.4 The three anaesthetics exerted similar inhibitory effects on the action of vasopressin from the serosal and from the mucosal surface of the bladder.5 In the presence of a constant high concentration of anaesthetic, increasing the concentration of vasopressin over three orders of magnitude led to stepwise increases of osmotic water flow out of the lobes, although at every dose level the effect of vasopressin was depressed by the anaesthetic. However, it was not completely abolished even if the concentration of vasopressin was close to threshold.6 The increase in water permeability of the bladder induced by 3',5'-adenosine monophosphate (cyclic AMP) was also depressed by the three anaesthetics.7 Possible explanations of the findings are discussed.
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Rupprecht H, Liebl H, Ullmann E. [Sorption capacity of colloidal silicic acid for polyethylene glycol and polyethylene glycol derivatives. Report I. Quantitative course and sorption mechanisms in water suspensions]. Pharmazie 1973; 28:759-62. [PMID: 4364750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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34
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Ullmann E, Thoma K, Lippold BC. [Binding of mechanism of nicotinic acid esters to homologous polyethylene glycol fat alcohol ethers. 21. Effects of adjuvants in the preparation of drugs]. Arch Pharm (Weinheim) 1972; 305:797-802. [PMID: 4663577 DOI: 10.1002/ardp.19723051102] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Lippold BC, Thoma K, Ullmann E. [Relationship between the binding and stabilization capacity of homologous polyethylene glycol fat alcohol ethers to nicotinic acid esters. 22. Effects of adjuvants in the preparation of drugs]. Arch Pharm (Weinheim) 1972; 305:803-14. [PMID: 4663578 DOI: 10.1002/ardp.19723051103] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Lippold B, Ullmann E, Thoma K. [Absorption of nicotinic acid esters and polyethylenglycol fatty alcohol ethers on the mercury electrode with the use of changing current polarography. 12. Determination of pharmaceutic aids and compounds]. Pharmazie 1971; 26:486-8. [PMID: 5122936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Lippold B, Ullmann E, Thoma K. [Determination of nicotinic acid esters in presence of polyethylenglycol and polyethylenglycol-fatty alcohol ethers by adequate current polarography]. Pharmazie 1971; 26:47-50. [PMID: 5546484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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38
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Thoma K, Ullmann E, Fickel O. [Antibacterial effect of phenols in the presence of polyethylene glycol stearates and polyethylene glycols. Reciprocal inhibiting action of disinfectiants and preservatives with non-ionogenic tensides. I]. Arch Pharm Ber Dtsch Pharm Ges 1970; 303:289-96. [PMID: 5268198 DOI: 10.1002/ardp.19703030401] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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39
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Thoma K, Ullmann E, Fickel O. [Extent and causes of binding of phenols by polethylene glycol stearates. Reciprocal inhibiting action of disinfectants and preservatives with non-ionogenic tensides. II]. Arch Pharm Ber Dtsch Pharm Ges 1970; 303:297-304. [PMID: 5268199 DOI: 10.1002/ardp.19703030402] [Citation(s) in RCA: 4] [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: 01/14/2023]
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Ullmann E, Thoma K, Fickel O. [Mechanism of solubilization of phenols by polyethylene glycol stearates. Reciprocal inhibiting action of disinfectants and preservatives with non-ionogenic tensides. 3]. Arch Pharm Ber Dtsch Pharm Ges 1970; 303:305-9. [PMID: 5268200 DOI: 10.1002/ardp.19703030403] [Citation(s) in RCA: 6] [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: 01/14/2023]
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41
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Ullmann E, Thoma K, Mohrschulz P. [Binding capacity of polyvinylpyrrolidone for local anesthetics. 20. Effect of pharmaceutic aids in the preparation of drugs]. Arch Pharm Ber Dtsch Pharm Ges 1969; 302:756-61. [PMID: 5263066 DOI: 10.1002/ardp.19693021007] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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42
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Grey D, Ullmann E. Reduction by anaesthetics of the effect of vasopressin on the permeability of the toad bladder. J Physiol 1969; 200:66P-7P. [PMID: 5761986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
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Ullmann E, Thoma K, Rombach R. [The modification of ester hydrolysis by tensides. 19. Report on the effect of pharmaceutic aids in preparation of drugs]. Arch Pharm Ber Dtsch Pharm Ges 1968; 301:363-9. [PMID: 5249985 DOI: 10.1002/ardp.19683010509] [Citation(s) in RCA: 5] [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: 01/14/2023]
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Ullmann E, Thoma K, Rupprecht H. [Mechanism and quantitative course of sorption of cationic drugs on colloidal silicic acid. 18. Report on the effect of pharmaceutic aids in preparation of drugs]. Arch Pharm Ber Dtsch Pharm Ges 1968; 301:357-63. [PMID: 4303688 DOI: 10.1002/ardp.19683010508] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Abstract
1. Acute experiments were carried out on anaesthetized dogs during metabolic alkalosis produced by I.V. administration of NaHCO(3). Partial constriction of one ureter led to a significant rise in the HCO(3) (-) threshold, beyond the simultaneous value for the other kidney. The magnitude of the increase was not correlated with the reduction of glomerular filtration.2. Stop-flow analysis, following complete unilateral obstruction of urine flow, demonstrated proximal as well as distal tubular reabsorption of bicarbonate. At any given plasma P(co2) the detailed configuration of the concentration changes which developed depended on (a) the presence and concentration of mannitol, (b) the duration of urinary stasis, and (c) the plasma concentration of HCO(3) (-).3. If a solution containing 15% (w/v) mannitol was infused I.V., the HCO(3) (-) concentration in free flow urine was lower than in plasma, and it fell further during arrest of flow in the entire column of trapped fluid. If less mannitol was infused, or none at all, interruption of urine flow led to a striking increase of HCO(3) (-) concentration in the distal portion of the occluded column, and to a fall in the fluid arrested in the proximal segments.4. It was demonstrated that the HCO(3) (-) concentration attained after 2(1/2), 6, or 15 min of urinary stasis at any point in the trapped fluid column was due to the combined effects of water reabsorption and HCO(3) (-) reabsorption which proceeded independently, and with a different time course.5. If mannitol was administered the lowest urinary HCO(3) (-) concentration in the series moved progressively to a more distal location with increasing duration of urinary stasis. When HCO(3) (-) concentration peaks were present in distal fluid they were conspicuous only after short interruptions of urine flow; during extended stop-flow periods they became attenuated, or disappeared. If no mannitol was administered this did not occur.6. Provided the plasma level of HCO(3) (-) was sufficiently elevated, mannitol (15%, w/v) was administered, and the time available for reabsorption was lengthened by ureter obstruction, much larger concentration differences between plasma and trapped fluid developed than the largest that are ever found between the plasma and freely draining urine. The magnitude of the largest plasma-urine (P-U) concentration difference for HCO(3) (-) increased with intratubular ;contact time', and no limiting value was found.7. Potassium concentration in distal occluded fluid fell with prolonged duration of stasis. This was related to the slow and progressive diminution of distal HCO(3) (-) concentration. But if instead of bicarbonate a nonreabsorbable anion, such as phosphate, was the dominant distal anion, K(+) concentration in distal fractions remained high and rose further with time.
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Thoma K, Ullmann E, Macionga H. [Microbiological studies on the diffusion of antiseptics from ointment bases. 15. Report on the effect of pharmaceutic aids in the preparation of drug preparations]. Arzneimittelforschung 1967; 17:1333-5. [PMID: 5632890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Thoma K, Ullmann E, Loos P. [On the analysis of sodium suramine. 10. Report on the determination of pharmaceutic aids and drugs]. Arch Pharm Ber Dtsch Pharm Ges 1967; 300:577-9. [PMID: 5249957 DOI: 10.1002/ardp.19673000702] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Voigt D, Ullmann E, Brüschke G, Köhler W. [Studies on the behavior of blood sugar in athletically trained and untrained people following glucose loading or exercise, as well as simultaneous glucose loading and exercise]. Dtsch Gesundheitsw 1967; 22:348-51. [PMID: 5586434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Thoma K, Ullmann E, Wolferseder E. [Adsorption anomalies in colloidal silicic acid towards invert soaps. 12. On the effect of auxiliary substances in the manufacturing of pharmaceutical preparations]. Arch Pharm Ber Dtsch Pharm Ges 1966; 299:1020-4. [PMID: 4292502 DOI: 10.1002/ardp.19662991210] [Citation(s) in RCA: 6] [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: 01/09/2023]
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Thoma K, Ullmann E, Loos P. [On the determination of the content of acridine derivates. 7. On the determination of pharmaceutical adjuvants and medicaments]. Pharmazie 1966; 21:172-5. [PMID: 5987582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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