1
|
Vasiliu A, Köhler N, Altpeter E, Ægisdóttir TR, Amerali M, de Oñate WA, Bakos Á, D'Amato S, Cirillo DM, van Crevel R, Davidaviciene E, Demuth I, Domínguez J, Duarte R, Günther G, Guthmann JP, Hatzianastasiou S, Holm LH, Herrador Z, Hribar U, Huberty C, Ibraim E, Jackson S, Jensenius M, Josefsdottir KS, Koch A, Korzeniewska-Kosela M, Kuksa L, Kunst H, Lienhardt C, Mahler B, Makek MJ, Muylle I, Normark J, Pace-Asciak A, Petrović G, Pieridou D, Russo G, Rzhepishevska O, Salzer HJF, Marques MS, Schmid D, Solovic I, Sukholytka M, Svetina P, Tyufekchieva M, Vasankari T, Viiklepp P, Villand K, Wallenfels J, Wesolowski S, Mandalakas AM, Martinez L, Zenner D, Lange C. Tuberculosis incidence in foreign-born people residing in European countries in 2020. Euro Surveill 2023; 28:2300051. [PMID: 37855907 PMCID: PMC10588305 DOI: 10.2807/1560-7917.es.2023.28.42.2300051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 05/12/2023] [Indexed: 10/20/2023] Open
Abstract
BackgroundEuropean-specific policies for tuberculosis (TB) elimination require identification of key populations that benefit from TB screening.AimWe aimed to identify groups of foreign-born individuals residing in European countries that benefit most from targeted TB prevention screening.MethodsThe Tuberculosis Network European Trials group collected, by cross-sectional survey, numbers of foreign-born TB patients residing in European Union (EU) countries, Iceland, Norway, Switzerland and the United Kingdom (UK) in 2020 from the 10 highest ranked countries of origin in terms of TB cases in each country of residence. Tuberculosis incidence rates (IRs) in countries of residence were compared with countries of origin.ResultsData on 9,116 foreign-born TB patients in 30 countries of residence were collected. Main countries of origin were Eritrea, India, Pakistan, Morocco, Romania and Somalia. Tuberculosis IRs were highest in patients of Eritrean and Somali origin in Greece and Malta (both > 1,000/100,000) and lowest among Ukrainian patients in Poland (3.6/100,000). They were mainly lower in countries of residence than countries of origin. However, IRs among Eritreans and Somalis in Greece and Malta were five times higher than in Eritrea and Somalia. Similarly, IRs among Eritreans in Germany, the Netherlands and the UK were four times higher than in Eritrea.ConclusionsCountry of origin TB IR is an insufficient indicator when targeting foreign-born populations for active case finding or TB prevention policies in the countries covered here. Elimination strategies should be informed by regularly collected country-specific data to address rapidly changing epidemiology and associated risks.
Collapse
Affiliation(s)
- Anca Vasiliu
- Baylor College of Medicine, Department of Pediatrics, Global and Immigrant Health, Global Tuberculosis Program, Houston, Texas, United States
| | - Niklas Köhler
- Division of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany
- German Center for Infection Research (DZIF), TTU-TB, Borstel, Germany
- Respiratory Medicine & International Health, University of Lübeck, Lübeck, Germany
| | - Ekkehardt Altpeter
- Swiss Federal Office of Public Health, Division of Communicable Diseases, Bern, Switzerland
| | - Tinna Rán Ægisdóttir
- The National University Hospital of Iceland, Pharmaceutical Services, Reykjavik, Iceland
| | - Marina Amerali
- Tuberculosis Control Office, Department of Respiratory Infections, Directorate for Epidemiological Surveillance & Intervention, National Public Health Organization (NPHO), Athens, Greece
| | - Wouter Arrazola de Oñate
- Belgian Lung and Tuberculosis Association, Brussels, Belgium
- Flemish Association of Respiratory Health and TB Control, Leuven, Belgium
| | - Ágnes Bakos
- Koranyi National Institute for Pulmonology, Budapest, Hungary
| | - Stefania D'Amato
- Prevention of Communicable Diseases and International Prophylaxis, General Direction of Health Prevention, Ministry of Health of Italy, Rome, Italy
| | - Daniela Maria Cirillo
- Emerging Bacterial Pathogens Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Reinout van Crevel
- Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom
| | - Edita Davidaviciene
- Vilnius University hospital Santaros Klinikos, Department of Tuberculosis State information system, Vilnius, Lithuania
| | | | - Jose Domínguez
- Institut d'Investigació Germans Trias i Pujol; Universitat Autònoma de Barcelona; CIBER Enfermedades Respiratorias; INNOVA4TB consortium Badalona, Barcelona, Spain
| | - Raquel Duarte
- ICBAS - Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto
- ISPUP - Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal
- Centro Hospitalar de Vila Nova de Gaia/Espinho, Porto, Portugal
| | - Gunar Günther
- Department of Pulmonary Medicine and Allergology, Inselspital, Bern University Hospital, University of Bern, Switzerland
- Department of Medical Sciences, School of Medicine, University of Namibia, Windhoek, Namibia
| | - Jean-Paul Guthmann
- Division of Infectious Diseases, Santé publique France, Saint-Maurice, France
| | - Sophia Hatzianastasiou
- Tuberculosis Control Office, Department of Respiratory Infections, Directorate for Epidemiological Surveillance & Intervention, National Public Health Organization (NPHO), Athens, Greece
| | - Louise Hedevang Holm
- Department of Infectious Disease Epidemiology and Prevention, Statens Serum Institut, Copenhagen, Denmark
| | - Zaida Herrador
- Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain
| | - Urška Hribar
- Tuberculosis Register of the Republic of Slovenia, University Clinic Golnik, Golnik, Slovenia
| | | | - Elmira Ibraim
- Marius Nasta Institute of Pulmonology, Bucharest, Romania
| | - Sarah Jackson
- Infectious Diseases; Health Service Executive Health Protection Surveillance Centre, Dublin, Ireland
| | - Mogens Jensenius
- Department of Infectious Diseases, Oslo University Hospital, Ullevaal, Norway
| | | | - Anders Koch
- Department of Infectious Disease Epidemiology and Prevention, Statens Serum Institut, Copenhagen, Denmark
- Department of Infectious Diseases, Rigshospitalet University Hospital, Copenhagen, Denmark
| | - Maria Korzeniewska-Kosela
- Department of Tuberculosis Epidemiology and Surveillance, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland
| | - Liga Kuksa
- Riga East University Hospital, TB and Lung Disease Clinic, Riga, Latvia
| | - Heinke Kunst
- Blizard Institute, The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
| | - Christian Lienhardt
- Unité Unité Mixte Internationale 233 IRD - U1175 INSERM - Université de Montpellier, Institut de Recherche pour le Développement (IRD), Montpellier, France
- Epidemiology and Population Health, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Beatrice Mahler
- Marius Nasta Institute of Pulmonology, Bucharest, Romania
- Department Cardio-thoracic, Pneumophtisiology II, University of Medicine and Pharmacy "Carol Davila" Bucharest, Romania
| | - Mateja Janković Makek
- University of Zagreb, School of Medicine Zagreb, Croatia
- University Hospital Centre Zagreb, Department for Lung diseases, Zagreb, Croatia
| | - Inge Muylle
- Division of Pneumology, Onze-Lieve-Vrouw Ziekenhuis (OLV) Aalst, Aalst, Belgium
| | - Johan Normark
- Department of Clinical Microbiology, Umeå University, Sweden
- Wallenberg Centre for Molecular Medicine, Umeå University, Sweden
| | - Analita Pace-Asciak
- Infectious Disease Prevention and Control Unit, Health Promotion and Disease Prevention Directorate, Superintendence of Public Health, Ministry for Health of Malta, La Valetta, Malta
| | - Goranka Petrović
- Respiratory Diseases and Travel Medicine Department with Vaccination Unit, Infectious Diseases Epidemiology ServiceDepartment, Croatian Institute of Public Health, Zagreb, Croatia
| | - Despo Pieridou
- Cyprus National Reference Laboratory for Mycobacteria, Microbiology Department, Nicosia General Hospital, Nicosia, Cyprus
| | - Giulia Russo
- Emerging Bacterial Pathogens Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Olena Rzhepishevska
- Department of Chemistry, Department of Clinical Microbiology, Umeå University, Sweden
| | - Helmut J F Salzer
- Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine 4- Pneumology, Kepler University Hospital, Linz, Austria
- Faculty of Medicine, Johannes-Kepler-University, Linz, Austria and Ignaz Semmelweis Institut, Interuniversity Institute for Infection Resarch, Vienna, Austria
| | | | - Daniela Schmid
- Unit for Infectious Diseases Diagnostics and Infectious Diseases Epidemiology, Centre for Pathophysiology, Infectious Diseases and Immunology, Medical University of Vienna, Vienna, Austria
| | - Ivan Solovic
- National Institute for TB, Lung Diseases and Thoracic Surgery, Vysne Hagy, Slovakia
- Catholic University Ruzomberok, Ruzomberok, Slovakia
| | - Mariya Sukholytka
- First Faculty of Medicine and Faculty Thomayer Hospital Prague, Czechia
| | - Petra Svetina
- National TB Program and Tuberculosis Registry of Republic of Slovenia, University Clinic of Respiratory and Allergic Diseases Golnik, Golnik, Slovenia
| | - Mariya Tyufekchieva
- Health Promotion and Prevention Unit, Directorate Public Health Protection and Health Control, Ministry of Health of Bulgaria, Sofia, Bulgaria
| | - Tuula Vasankari
- University of Turku, Division of Medicine, Department of Pulmonary Diseases and Clinical Allergology, Turku, Finland
- Finnish Lung Health Association (Filha ry), Helsinki, Finland
| | - Piret Viiklepp
- Estonian Tuberculosis Register, Dept. of Registries, National Institute for Health Development, Tallinn, Estonia
| | - Kersti Villand
- Estonian Tuberculosis Register, Dept. of Registries, National Institute for Health Development, Tallinn, Estonia
| | - Jiri Wallenfels
- National TB Surveillance Unit, University Hospital Bulovka, Prague, Czechia
| | - Stefan Wesolowski
- Department of Tuberculosis Epidemiology and Surveillance, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland
| | - Anna-Maria Mandalakas
- Baylor College of Medicine, Department of Pediatrics, Global and Immigrant Health, Global Tuberculosis Program, Houston, Texas, United States
- Division of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany
| | - Leonardo Martinez
- Boston University, School of Public Health, Department of Epidemiology, Boston, Massachusetts, United States
| | - Dominik Zenner
- Global Public Health Unit, Wolfson Institute of Population Health Barts
- The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
| | - Christoph Lange
- Baylor College of Medicine, Department of Pediatrics, Global and Immigrant Health, Global Tuberculosis Program, Houston, Texas, United States
- Division of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany
- German Center for Infection Research (DZIF), TTU-TB, Borstel, Germany
- Respiratory Medicine & International Health, University of Lübeck, Lübeck, Germany
| |
Collapse
|
2
|
Bardey F, Rieck L, Spira D, März W, Schwab S, Binner P, Bobbert T, Spranger J, Steinhagen-Thiessen E, Demuth I, Kassner U. Clinical differentiation and mutation spectrum of chylomicronemia patients in a German outpatient clinic. Atherosclerosis 2020. [DOI: 10.1016/j.atherosclerosis.2020.10.138] [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: 11/26/2022]
|
3
|
Buchmann N, Spira D, König M, Demuth I, Steinhagen-Thiessen E. Frailty and the Metabolic Syndrome - Results of the Berlin Aging Study II (BASE-II). J Frailty Aging 2019; 8:169-175. [PMID: 31637401 DOI: 10.14283/jfa.2019.15] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Frailty and the metabolic Syndrome (MetS) are frequently found in old subjects and have been associated with increased risk of functional decline and dependency. Moreover, central characteristics of the MetS like inflammation, obesity and insulin resistance have been associated with the frailty syndrome. However, the relationship between MetS and frailty has not yet been studied in detail. Aim of the current analysis within the Berlin Aging Study II (BASE-II) was to explore associations between MetS and frailty taking important co-variables such as nutrition (total energy intake, dietary vitamin D intake), physical activity and vitamin D-status into account. METHODS Complete cross-sectional data of 1,486 old participants (50.2% women, 68.7 (65.8-71.3) years) of BASE-II were analyzed. MetS was defined following the joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity in 2009. Frailty was defined according to the Fried criteria. Limitations in physical performance were assessed via questionnaire, muscle mass was measured using dual energy X-ray absorptiometry (DXA) and grip strength using a Smedley dynamometer. Adjusted regression models were calculated to assess the association between MetS and Frailty. RESULTS MetS was prevalent in 37.6% of the study population and 31.9% were frail or prefrail according to the here calculated frailty index. In adjusted models the odds of being frail/prefrail were increased about 50% with presence of the MetS (OR1.5; 95% CI 1.2,1.9; p= 0.002). Moreover the odds of being prefrail/frail were significantly increased with low HDL-C (OR: 1.5 (95%CI: 1.0-2.3); p = 0.037); and elevated waist circumference (OR: 1.65 (95%CI: 1.1-2.3); p = 0.008). CONCLUSION The current analysis supports an association between MetS and frailty. There are various metabolic, immune and endocrine alterations in MetS that also play a role in mechanisms underlying the frailty syndrome. To what extent cytokine alterations, inflammatory processes, vitamin D supply and hormonal changes in age and in special metabolic states as MetS influence the development of frailty should be subject of further research.
Collapse
Affiliation(s)
- N Buchmann
- Nikolaus Buchmann, Universität Greifswald Bereich Geriatrie der Universitätsmedizin Greifswald, Fleischmannstraße 8 17475 Greifswald, , Phone: ++49 3836 257 591, FAX: ++49 3836 257 202
| | | | | | | | | |
Collapse
|
4
|
Kolodziejczak K, Rosada A, Drewelies J, Duezel S, Wagner GG, Demuth I, Steinhagen-Thiessen E, Gerstorf D. SEXUAL ACTIVITY AND INTIMACY IN OLD AGE. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.3234] [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: 11/13/2022] Open
Affiliation(s)
- K Kolodziejczak
- Humboldt University of Berlin, Germany, Berlin, Berlin, Germany
| | - A Rosada
- Charite - Universitaetsmedizin Berlin, Berlin, Germany
| | - J Drewelies
- Humboldt University of Berlin, Berlin, Germany
| | - S Duezel
- Max-Planck-Institute for Human Development, Berlin, Germany
| | - G G Wagner
- Max-Planck-Institute for Human Development, Berlin, Germany; German Socio-economic Panel Study (SOEP), Berlin, Germany
| | - I Demuth
- Charite – Universitaetsmedizin Berlin, Berlin, Germany
| | | | - D Gerstorf
- Humboldt University of Berlin, Berlin, Germany
| |
Collapse
|
5
|
Fuks K, Hüls A, Sugiri D, Goebel J, Demuth I, Schikowski T. Ozon, Feinstaub und Hautalterung in der Berliner Altersstudie II (BASE-II). Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605793] [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: 10/18/2022]
Affiliation(s)
- K Fuks
- IUF Leibniz-Institut für umweltmedizinische Forschung, Umweltepidemiologie von Lunge, Gehirn und Hautalterung, Düsseldorf
| | - A Hüls
- IUF Leibniz-Institut für umweltmedizinische Forschung, Umweltepidemiologie von Lunge, Gehirn und Hautalterung, Düsseldorf
| | - D Sugiri
- IUF Leibniz-Institut für umweltmedizinische Forschung, Umweltepidemiologie von Lunge, Gehirn und Hautalterung, Düsseldorf
| | - J Goebel
- Deutsches Institut für Wirtschaftsforschung e.V., Sozio- oekonomisches Panel, Berlin
| | - I Demuth
- Charité – Universitätsmedizin Berlin, Charité Centrum Innere Medizin mit Gastroenterologie und Nephrologie, Berlin
| | - T Schikowski
- IUF Leibniz-Institut für umweltmedizinische Forschung, Umweltepidemiologie von Lunge, Gehirn und Hautalterung, Düsseldorf
| |
Collapse
|
6
|
Drewelies J, Duezel S, Demuth I, Steinhagen-Thiessen E, Lindenberger U, Heckhausen J, Gerstorf D. EXTERNAL, NOT INTERNAL CONTROL RELATES TO PHYSICAL FITNESS AND COGNITIVE PERFORMANCE IN OLDER ADULTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1018] [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: 11/14/2022] Open
Affiliation(s)
- J. Drewelies
- Psychology, Humboldt University Berlin, Berlin, Berlin, Germany,
| | - S. Duezel
- Max Planck Institute for Human Development, Berlin, Berlin, Germany,
| | - I. Demuth
- Charité – Universitätsmedizin Berlin, Berlin, Berlin, Germany,
| | | | - U. Lindenberger
- Max Planck Institute for Human Development, Berlin, Berlin, Germany,
- Max Planck University College London Centre for Computational Psychiatry and Ageing Research, London, United Kingdom,
| | | | - D. Gerstorf
- Psychology, Humboldt University Berlin, Berlin, Berlin, Germany,
| |
Collapse
|
7
|
Meyer A, Saßenroth D, Salewsky B, Spira D, Steinhagen-Thiessen E, Norman K, Demuth I. ANALYSES OF LEUKOCYTE TELOMERE LENGTH IN THE BERLIN AGING STUDY II (BASE-II). Innov Aging 2017. [DOI: 10.1093/geroni/igx004.545] [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: 11/14/2022] Open
Affiliation(s)
- A. Meyer
- Charite - Universitaetsmedizin Berlin, Berlin, Germany,
| | - D. Saßenroth
- German Institute for Economic Research, Berlin, Germany
| | - B. Salewsky
- Charite - Universitaetsmedizin Berlin, Berlin, Germany,
| | - D. Spira
- Charite - Universitaetsmedizin Berlin, Berlin, Germany,
| | | | - K. Norman
- Charite - Universitaetsmedizin Berlin, Berlin, Germany,
| | - I. Demuth
- Charite - Universitaetsmedizin Berlin, Berlin, Germany,
| |
Collapse
|
8
|
Buchmann N, Spira D, Demuth I, Norman K, Steinhagen-Thiessen E. PROBLEMATIC DRINKING IS ASSOCIATED TO MUSCLE MASS AND MUSCLE FUNCTION IN ELDERLY MEN WITH DIABETES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1943] [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: 11/12/2022] Open
Affiliation(s)
- N. Buchmann
- Charite - Research Group on Geriatrics, Berlin (germany), Berlin, Germany,
- Charite - Universitätsmedizin Berlin, Berlin, Berlin, Germany
| | - D. Spira
- Charite - Research Group on Geriatrics, Berlin (germany), Berlin, Germany,
- Charite - Universitätsmedizin Berlin, Berlin, Berlin, Germany
| | - I. Demuth
- Charite - Research Group on Geriatrics, Berlin (germany), Berlin, Germany,
- Charite - Universitätsmedizin Berlin, Berlin, Berlin, Germany
| | - K. Norman
- Charite - Research Group on Geriatrics, Berlin (germany), Berlin, Germany,
- Charite - Universitätsmedizin Berlin, Berlin, Berlin, Germany
| | - E. Steinhagen-Thiessen
- Charite - Research Group on Geriatrics, Berlin (germany), Berlin, Germany,
- Charite - Universitätsmedizin Berlin, Berlin, Berlin, Germany
| |
Collapse
|
9
|
Duezel S, Drewelies J, Demuth I, Gerstorf D, Lindenberger U, Kühn S. PERCEIVED LONELINESS AND ITS BRAIN STRUCTURAL CORRELATES AND ASSOCIATION WITH COGNITIVE PERFORMANCE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3884] [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: 11/14/2022] Open
Affiliation(s)
- S. Duezel
- Max Planck Institute for Human Development, Berlin, Germany,
| | | | - I. Demuth
- Charite – Universitätsmedizin Berlin, Berlin, Germany,
| | | | - U. Lindenberger
- Max Planck Institute for Human Development, Berlin, Germany,
- Max Planck University College London Centre for Computational Psychiatry and Ageing, Berlin, Germany,
| | - S. Kühn
- Max Planck Institute for Human Development, Berlin, Germany,
- Clinic for Psychiatry and Psychotherapy,University Clinic Hamburg-Eppendorf, Hamburg, Germany
| |
Collapse
|
10
|
Whittaker R, Dias JG, Ramliden M, Ködmön C, Economopoulou A, Beer N, Pastore Celentano L, Kanitz E, Richter L, Mattheus W, Bleyenheuft C, Georgieva T, Simeonovski I, Vučina VV, Filipović SK, Koliou M, Bagatzouni DP, Krizova P, Sebestova H, Hoffmann S, Valentiner-Branth P, Kerbo N, Peetso R, Kuusi M, Toropainen M, Parent I, Taha MK, Vogel U, Hellenbrand W, Georgakopoulou T, Tzanakaki G, Krisztalovics K, Tirczka T, Gudnason T, Hardardottir H, O'Lorcain P, Bennett D, D'Ancona F, Stefanelli P, Savrasova L, Vasilevska D, Kuprevičienė N, Liausedienė R, Demuth I, Scheiden G, Melillo JM, Caruana P, van der Ende A, Mollema L, Caugant D, Blystad H, Skoczyńska A, Zota L, Pana M, Grgič Vitek M, Paragi M, Cano R, Abad R, Lepp T, Campbell H. The epidemiology of invasive meningococcal disease in EU/EEA countries, 2004–2014. Vaccine 2017; 35:2034-2041. [DOI: 10.1016/j.vaccine.2017.03.007] [Citation(s) in RCA: 130] [Impact Index Per Article: 18.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Revised: 02/24/2017] [Accepted: 03/03/2017] [Indexed: 12/28/2022]
|
11
|
Kassner U, Hollstein T, Wühle-Demuth M, Demuth I, Steinhagen-Thiessen E. Gene therapy: Case study on the first lipoprotein lipase deficiency patient treated with Alipogene Tiparvovec in Germany. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.509] [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: 11/17/2022]
|
12
|
Demuth I, Martin A, Weißenborn A. Eisen-Supplementierung in der Schwangerschaft. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566690] [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]
|
13
|
Otten L, Ott KM, Eckardt R, Steinhagen-Thiessen E, Demuth I, Norman K. MON-PP164: Influence of Body Composition Phenotype on Mobility and Grip Strength in the Community-Dwelling Old. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30596-3] [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: 11/27/2022]
|
14
|
Meyer A, Salewsky B, Steinhagen-Thiessen E, Norman K, Demuth I. OR041: Leukocyte Telomere Length is Associated with Lean Mass: Data From the Berlin Aging Study-II (BASE-II). Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30141-2] [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]
|
15
|
Spira D, Norman K, Nikolov J, Demuth I, Steinhagen-Thiessen E, Eckardt R. Prevalence and definition of sarcopenia in community dwelling older people. Data from the Berlin aging study II (BASE-II). Z Gerontol Geriatr 2015; 49:94-9. [PMID: 25877773 DOI: 10.1007/s00391-015-0886-z] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Revised: 01/20/2015] [Accepted: 03/03/2015] [Indexed: 01/25/2023]
Abstract
BACKGROUND Sarcopenia describes the age-associated loss of muscle mass, strength and function. The aim of this study was to compare the prevalence of sarcopenia in a cohort of community dwelling elderly people living in Berlin, Germany, according to the criteria proposed by current consensus statements and to study the respective impact on self-reported physical performance. MATERIAL AND METHODS This study included 1405 participants from the Berlin aging study II (BASE-II). The appendicular skeletal muscle mass index (SMI) was assessed with dual energy X-ray absorptiometry (DXA), muscle strength was measured by hand grip strength and the timed up and go" test (TUG) was performed as a functional parameter to reflect mobility. RESULTS The prevalence of sarcopenia was 24.3 % in terms of reduced SMI only and considerably lower for sarcopenia with reduced grip strength (4.1 %) and sarcopenia with limited mobility (2.4 %). Only 0.6 % of the participants fulfilled all three criteria. Of the subjects with a normal SMI, 8.6 % had reduced grip strength and 5.1 % had limited mobility, whereas 1.3 % subjects fulfilled both criteria. Participants with reduced strength or function reported severe difficulties in performing physical tasks significantly more often than participants with normal or reduced SMI alone (p <0.029-p <0.0001). CONCLUSION In BASE-II low skeletal muscle mass was much more frequent than reduced grip strength or poor function. Reduced strength and function were found to be associated with a greater impact on physical performance than reduced muscle mass. Low SMI does not seem to be a prerequisite for low strength or limitations in mobility.
Collapse
Affiliation(s)
- D Spira
- Charité Research Group on Geriatrics, Charité-Universitätsmedizin, Reinickendorfer Str. 61, 13347, Berlin, Germany.
| | - K Norman
- Charité Research Group on Geriatrics, Charité-Universitätsmedizin, Reinickendorfer Str. 61, 13347, Berlin, Germany
| | - J Nikolov
- Charité Research Group on Geriatrics, Charité-Universitätsmedizin, Reinickendorfer Str. 61, 13347, Berlin, Germany
| | - I Demuth
- Charité Research Group on Geriatrics, Charité-Universitätsmedizin, Reinickendorfer Str. 61, 13347, Berlin, Germany
- Institute of Medical and Human Genetics, Charité-Universitätsmedizin, Berlin, Germany
| | - E Steinhagen-Thiessen
- Charité Research Group on Geriatrics, Charité-Universitätsmedizin, Reinickendorfer Str. 61, 13347, Berlin, Germany
| | - R Eckardt
- Charité Research Group on Geriatrics, Charité-Universitätsmedizin, Reinickendorfer Str. 61, 13347, Berlin, Germany
| |
Collapse
|
16
|
Nikolov J, Norman K, Demuth I, Steinhagen-Thiessen E, Eckardt R. PP038-MON DOES DIET QUALITY AFFECT APPENDICULAR SKELETAL MUSCLE MASS? AN INVESTIGATION WITHIN THE BERLIN AGING STUDY II (BASE-II). Clin Nutr 2013. [DOI: 10.1016/s0261-5614(13)60350-7] [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]
|
17
|
Marschollek M, Dölle M, Schulze M, Gietzelt M, Demuth I, Steinhagen-Thiessen E, Gövercin M. Correlations between grip strength, sit-to-stand transition speed and sensor-based 24/7 gait speed measurements in the BASE-II cohort. Eur Geriatr Med 2013. [DOI: 10.1016/j.eurger.2013.07.370] [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: 11/26/2022]
|
18
|
Nikolov J, Norman K, Demuth I, Steinhagen-Thiessen E, Eckardt R. PP023-MON THE IMPACT OF DISTRIBUTION OF PROTEIN AND ENERGY INTAKE ON THE MUSCLE MASS OF OLDER PEOPLE. AN INVESTIGATION IN THE CONTEXT OF THE BERLIN AGING STUDY II (BASE-II). Clin Nutr 2013. [DOI: 10.1016/s0261-5614(13)60335-0] [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: 11/15/2022]
|
19
|
Eckardt R, Nikolov J, Demuth I, Steinhagen-Thiessen E, Norman K. PP042-SUN NORM VALUES FOR HAND GRIP STRENGTH IN SENIORS: DATA FROM THE BERLIN AGING STUDY II (BASE-II). Clin Nutr 2013. [DOI: 10.1016/s0261-5614(13)60087-4] [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: 10/26/2022]
|
20
|
Demuth I, Digweed M. The clinical manifestation of a defective response to DNA double-strand breaks as exemplified by Nijmegen breakage syndrome. Oncogene 2008; 26:7792-8. [PMID: 18066092 DOI: 10.1038/sj.onc.1210876] [Citation(s) in RCA: 59] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
The autosomal recessive genetic disorder Nijmegen breakage syndrome (NBS) was first described in 1981 in patients living in Nijmegen, Holland. NBS patients display a characteristic facial appearance, microcephaly and a range of symptoms including immunodeficiency, increased cancer risk and growth retardation. In addition, NBS patient cells were found to have elevated levels of chromosomal damage and to be sensitive to ionizing irradiation (IR). This radiosensitivity had fatal consequences in some undiagnosed patients. The most dangerous DNA lesion caused by IR is considered to be the double-strand break (DSB) and indeed, NBS patient cells are sensitive to all mutagens that produce DSBs directly or indirectly. We discuss here our current understanding of how a deficiency in DSB repair manifests as the particular symptom complex of NBS.
Collapse
Affiliation(s)
- I Demuth
- Institut für Humangenetik, Charité Universitätsmedizin Berlin, Campus Virchow-Klinikum, Berlin, Germany
| | | |
Collapse
|
21
|
Maraschio P, Spadoni E, Tanzarella C, Antoccia A, Di Masi A, Maghnie M, Varon R, Demuth I, Tiepolo L, Danesino C. Genetic heterogeneity for a Nijmegen breakage-like syndrome. Clin Genet 2003; 63:283-90. [PMID: 12702161 DOI: 10.1034/j.1399-0004.2003.00054.x] [Citation(s) in RCA: 11] [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] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Nijmegen breakage syndrome (NBS) is a rare, autosomal-recessive chromosome instability disorder characterized by growth and developmental defects, immunodeficiency, high susceptibility to lymphoid malignancies, hypersensitivity to ionizing radiation and aberrant cell-cycle checkpoint control. The disease is caused by mutations in the NBS1 gene, which encodes nibrin, a component of the hMre11-Rad50-p95 complex involved in cellular response to DNA double-strand breaks. Genetic heterogeneity has been suggested in at least two patients with the NBS phenotype, but no mutation in the NBS1 gene; recently, mutations in the gene encoding the enzyme ligase IV have been identified in patients with signs of NBS. We describe a boy with an NBS clinical phenotype but no mutation in either the NBS1 or the LIG4 genes. The analysis of his cellular phenotype reveals chromosome instability and radiosensitivity, but normal cell-cycle checkpoint control. In addition, a literature review was carried out to summarize and compare data of all NBS-like patients reported to date. This case confirms genetic heterogeneity for NBS. We believe that dissecting the clinical and cellular phenotypes of this and other NBS-like patients will provide useful information for the research of new genes involved in cellular response to DNA damage and the assessment of cancer risk in NBS-like syndrome.
Collapse
Affiliation(s)
- P Maraschio
- Biologia Generale e Genetica Medica, Università degli Studi di Pavia, Italy.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Demuth I, Wlodarski M, Tipping AJ, Morgan NV, de Winter JP, Thiel M, Gräsl S, Schindler D, D'Andrea AD, Altay C, Kayserili H, Zatterale A, Kunze J, Ebell W, Mathew CG, Joenje H, Sperling K, Digweed M. Spectrum of mutations in the Fanconi anaemia group G gene, FANCG/XRCC9. Eur J Hum Genet 2000; 8:861-8. [PMID: 11093276 DOI: 10.1038/sj.ejhg.5200552] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.0] [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: 11/09/2022] Open
Abstract
FANCG was the third Faconi anaemia gene identified and proved to be identical to the previously cloned XRCC9 gene. We present the pathogenic mutations and sequence variants we have so far identified in a panel of FA-G patients. Mutation screening was performed by PCR, single strand conformational polymorphism analysis and protein truncation tests. Altogether 18 mutations have been determined in 20 families - 97% of all expected mutant alleles. All mutation types have been found, with the exception of large deletions, the large majority is predicted to lead to shortened proteins. One stop codon mutation, E105X, has been found in several German patients and this founder mutation accounts for 44% of the mutant FANCG alleles in German FA-G patients. Comparison of clinical phenotypes shows that patients homozygous for this mutation have an earlier onset of the haematological disorder than most other FA-G patients. The mouse Fancg sequence was established in order to evaluate missense mutations. A putative missense mutation, L71P, in a possible leucine zipper motif may affect FANCG binding of FANCA and seems to be associated with a milder clinical phenotype.
Collapse
Affiliation(s)
- I Demuth
- Institute of Human Genetics, Charité, Campus Virchow, Humboldt University, Berlin, Germany
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
23
|
Wilda M, Demuth I, Concannon P, Sperling K, Hameister H. Expression pattern of the Nijmegen breakage syndrome gene, Nbs1, during murine development. Hum Mol Genet 2000; 9:1739-44. [PMID: 10915761 DOI: 10.1093/hmg/9.12.1739] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
The Nijmegen breakage syndrome (NBS; MIM 251260), is an autosomal recessive disease characterized by microcephaly, growth retardation, immuno-deficiency and cancer predisposition. NBS cells show spontaneous chromosomal instability and hypersensitivity to ionizing radiation in combination with radioresistant DNA synthesis. At the cellular level, NBS has some features in common with ataxia teleangiectasia. In this study the murine Nbs1 gene was used for an expression study in mouse embryos at different developmental stages as well as in adult mice. A low level of expression is observed in all tissues. Highly specific expression was observed in organs with physiologic DNA double strand breakage (DSB), such as testis, thymus and spleen. Enhanced expression is also found at sites of high proliferative activity. These are the subventricular layer of the telencephalon and the diencephalon, the liver, lung, kidney and gut, as well as striated and smooth muscle cells in various organs. In the adult cerebellum the postmitotic Purkinje cells are marked specifically. These expression patterns suggest that in addition to the role of the Nbs1 gene product as part of a DNA DSB repair complex, the Nbs1 gene product may serve further functions during development.
Collapse
Affiliation(s)
- M Wilda
- Abteilung Humangenetik, Universität Ulm, Albert-Einstein-Allee 11, D-89070 Ulm, Germany
| | | | | | | | | |
Collapse
|
24
|
de Winter JP, Waisfisz Q, Rooimans MA, van Berkel CG, Bosnoyan-Collins L, Alon N, Carreau M, Bender O, Demuth I, Schindler D, Pronk JC, Arwert F, Hoehn H, Digweed M, Buchwald M, Joenje H. The Fanconi anaemia group G gene FANCG is identical with XRCC9. Nat Genet 1998; 20:281-3. [PMID: 9806548 DOI: 10.1038/3093] [Citation(s) in RCA: 255] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Fanconi anemia (FA) is an autosomal recessive disease with diverse clinical symptoms including developmental anomalies, bone marrow failure and early occurrence of malignancies. In addition to spontaneous chromosome instability, FA cells exhibit cell cycle disturbances and hypersensitivity to cross-linking agents. Eight complementation groups (A-H) have been distinguished, each group possibly representing a distinct FA gene. The genes mutated in patients of complementation groups A (FANCA; refs 4,5) and C (FANCC; ref. 6) have been identified, and FANCD has been mapped to chromosome band 3p22-26 (ref. 7). An additional FA gene has recently been mapped to chromosome 9p (ref. 8). Here we report the identification of the gene mutated in group G, FANCG, on the basis of complementation of an FA-G cell line and the presence of pathogenic mutations in four FA-G patients. We identified the gene as human XRCC9, a gene which has been shown to complement the MMC-sensitive Chinese hamster mutant UV40, and is suspected to be involved in DNA post-replication repair or cell cycle checkpoint control. The gene is localized to chromosome band 9p13 (ref. 9), corresponding with a known localization of an FA gene.
Collapse
Affiliation(s)
- J P de Winter
- Department of Human Genetics, Free University, Amsterdam, The Netherlands
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
25
|
Abstract
In the present study, we describe the genomic structure of the KIAA0086 gene and the 5'-flanking sequence. The analysis is based on the alignment of the KIAA0086 cDNA and a corresponding genomic BAC sequence which was identified in a basic BLAST similarity search using the cDNA sequence as a template. The gene contains nine exons spanning approximately 20 kb. All splice sites conform to the GT-AG rule. Analysis of the upstream untranscribed region identified one GC box but no TATA box, suggesting that the KIAA0086 gene is a housekeeping gene. The promoter region contains putative recognition sites for several transcription factors, e.g., AP1, Sp1 and NFkappaB. The homology of the KIAA0086 gene to the yeast SNM1 gene, which is involved in the cellular response to DNA-interstrand crosslinks, is discussed with respect to a possible role of the KIAA0086 gene in the human disorder, Fanconi anemia.
Collapse
Affiliation(s)
- I Demuth
- Institute of Human Genetics, Charité, Campus Virchow Klinikum, Humboldt University, Berlin, Germany
| | | |
Collapse
|
26
|
Otsuki T, Wang J, Demuth I, Digweed M, Liu JM. Assessment of mitomycin C sensitivity in Fanconi anemia complementation group C gene (Fac) knock-out mouse cells. Int J Hematol 1998; 67:243-8. [PMID: 9650445 DOI: 10.1016/s0925-5710(98)00012-7] [Citation(s) in RCA: 12] [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] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Fanconi anemia (FA) is a genetic disorder defined by cellular hypersensitivity to DNA cross-linking agents, such as mitomycin C (MMC). MMC causes increased FA cell death, chromosome breakage, and accumulation in the G2 phase of the cell cycle. Recently, Fanconi anemia complementation group C (fac) gene knock-out mice have been developed, and SV40-transformed fibroblasts were established from fac homozygous knock-out (-/-), heterozygous (+/-), and wild-type mice (+/+). MMC sensitivity of these cell lines was assessed by three methods: colony-formation assay in the presence of MMC, chromosome breakage, and cell cycle analysis to detect G2 phase arrest. The fac knock-out fibroblasts (-/-) showed a significantly higher sensitivity to MMC than did fibroblasts from wild-type (+/+) or heterozygous (+/-) mice (three experiments). In addition, we analyzed hematopoietic progenitor colony assays of bone marrow cells from fac knock-out (-/-) and heterozygous (+/-) mice. CFU-E, BFU-E, and CFU-GM colony formation from fac nullizygous mouse progenitors was markedly diminished by MMC when compared to growth of progenitors from heterozygous mice. These results show that fac knock-out mouse cells mimic the behavior of human FA-C patient cells in terms of MMC hypersensitivity. The fac knock-out mouse may be used to model some aspects of human FA and should be useful for understanding the function of the FAC protein.
Collapse
Affiliation(s)
- T Otsuki
- Hematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA
| | | | | | | | | |
Collapse
|