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Weiler S, Rahmati V, Isstas M, Wutke J, Stark AW, Franke C, Graf J, Geis C, Witte OW, Hübener M, Bolz J, Margrie TW, Holthoff K, Teichert M. A primary sensory cortical interareal feedforward inhibitory circuit for tacto-visual integration. Nat Commun 2024; 15:3081. [PMID: 38594279 PMCID: PMC11003985 DOI: 10.1038/s41467-024-47459-2] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Accepted: 04/03/2024] [Indexed: 04/11/2024] Open
Abstract
Tactile sensation and vision are often both utilized for the exploration of objects that are within reach though it is not known whether or how these two distinct sensory systems combine such information. Here in mice, we used a combination of stereo photogrammetry for 3D reconstruction of the whisker array, brain-wide anatomical tracing and functional connectivity analysis to explore the possibility of tacto-visual convergence in sensory space and within the circuitry of the primary visual cortex (VISp). Strikingly, we find that stimulation of the contralateral whisker array suppresses visually evoked activity in a tacto-visual sub-region of VISp whose visual space representation closely overlaps with the whisker search space. This suppression is mediated by local fast-spiking interneurons that receive a direct cortico-cortical input predominantly from layer 6 neurons located in the posterior primary somatosensory barrel cortex (SSp-bfd). These data demonstrate functional convergence within and between two primary sensory cortical areas for multisensory object detection and recognition.
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Affiliation(s)
- Simon Weiler
- Sainsbury Wellcome Centre for Neuronal Circuits and Behaviour, University College London, 25 Howland Street, London, W1T 4JG, UK
| | - Vahid Rahmati
- Jena University Hospital, Department of Neurology, Am Klinikum 1, 07747, Jena, Germany
| | - Marcel Isstas
- Friedrich Schiller University Jena, Institute of General Zoology and Animal Physiology, Erbertstraße 1, 07743, Jena, Germany
| | - Johann Wutke
- Jena University Hospital, Department of Neurology, Am Klinikum 1, 07747, Jena, Germany
| | - Andreas Walter Stark
- Friedrich Schiller University Jena, Institute of Applied Optics and Biophysics, Fröbelstieg 1, 07743, Jena, Germany
| | - Christian Franke
- Friedrich Schiller University Jena, Institute of Applied Optics and Biophysics, Fröbelstieg 1, 07743, Jena, Germany
- Friedrich Schiller University Jena, Jena Center for Soft Matter, Philosophenweg 7, 07743, Jena, Germany
- Friedrich Schiller University Jena, Abbe Center of Photonics, Albert-Einstein-Straße 6, 07745, Jena, Germany
| | - Jürgen Graf
- Jena University Hospital, Department of Neurology, Am Klinikum 1, 07747, Jena, Germany
| | - Christian Geis
- Jena University Hospital, Department of Neurology, Am Klinikum 1, 07747, Jena, Germany
| | - Otto W Witte
- Jena University Hospital, Department of Neurology, Am Klinikum 1, 07747, Jena, Germany
| | - Mark Hübener
- Max Planck Institute for Biological Intelligence, Am Klopferspitz 18, 82152, Martinsried, Germany
| | - Jürgen Bolz
- Friedrich Schiller University Jena, Institute of General Zoology and Animal Physiology, Erbertstraße 1, 07743, Jena, Germany
| | - Troy W Margrie
- Sainsbury Wellcome Centre for Neuronal Circuits and Behaviour, University College London, 25 Howland Street, London, W1T 4JG, UK
| | - Knut Holthoff
- Jena University Hospital, Department of Neurology, Am Klinikum 1, 07747, Jena, Germany
| | - Manuel Teichert
- Jena University Hospital, Department of Neurology, Am Klinikum 1, 07747, Jena, Germany.
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Gente K, Feisst M, Marx D, Klika KD, Christopoulos P, Graf J, Will J, Luft T, Hassel JC, Müller-Tidow C, Carvalho RA, Lorenz HM, Souto-Carneiro MM. Altered serum metabolome as an indicator of paraneoplasia or concomitant cancer in patients with rheumatic disease. Ann Rheum Dis 2024:ard-2023-224839. [PMID: 38561219 DOI: 10.1136/ard-2023-224839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 03/14/2024] [Indexed: 04/04/2024]
Abstract
OBJECTIVES A timely diagnosis is imperative for curing cancer. However, in patients with rheumatic musculoskeletal diseases (RMDs) or paraneoplastic syndromes, misleading symptoms frequently delay cancer diagnosis. As metabolic remodelling characterises both cancer and RMD, we analysed if a metabolic signature can indicate paraneoplasia (PN) or reveal concomitant cancer in patients with RMD. METHODS Metabolic alterations in the sera of rheumatoid arthritis (RA) patients with (n=56) or without (n=52) a history of invasive cancer were quantified by nuclear magnetic resonance analysis. Metabolites indicative of cancer were determined by multivariable regression analyses. Two independent RA and spondyloarthritis (SpA) cohorts with or without a history of invasive cancer were used for blinded validation. Samples from patients with active cancer or cancer treatment, pulmonary and lymphoid type cancers, paraneoplastic syndromes, non-invasive (NI) precancerous lesions and non-melanoma skin cancer and systemic lupus erythematosus and samples prior to the development of malignancy were used to test the model performance. RESULTS Based on the concentrations of acetate, creatine, glycine, formate and the lipid ratio L1/L6, a diagnostic model yielded a high sensitivity and specificity for cancer diagnosis with AUC=0.995 in the model cohort, AUC=0.940 in the blinded RA validation cohort and AUC=0.928 in the mixed RA/SpA cohort. It was equally capable of identifying cancer in patients with PN. The model was insensitive to common demographic or clinical confounders or the presence of NI malignancy like non-melanoma skin cancer. CONCLUSIONS This new set of metabolic markers reliably predicts the presence of cancer in arthritis or PN patients with high sensitivity and specificity and has the potential to facilitate a rapid and correct diagnosis of malignancy.
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Affiliation(s)
- Karolina Gente
- Medical Clinic 5. Hematology, Oncology, Rheumatology, Heidelberg University, Heildelberg University Hospital, Heidelberg, Baden-Württemberg, Germany
| | - Manuel Feisst
- Institute of Medical Biometry (IMBI), Heidelberg University, Heidelberg University Hospital, Heidelberg, Baden-Württemberg, Germany
| | - Dorothea Marx
- Medical Clinic 5. Hematology, Oncology, Rheumatology, Heidelberg University, Heildelberg University Hospital, Heidelberg, Baden-Württemberg, Germany
| | - Karel D Klika
- Molecular and Structural Biology, German Cancer Research Centre, Heidelberg, Baden-Württemberg, Germany
| | - Petros Christopoulos
- Department of Thoracic Oncology and National Center for Tumor Diseases (NCT), Heidelberg University, Heidelberg University Hospital, Heidelberg, Baden-Württemberg, Germany
| | - Jürgen Graf
- Institute of Organic Chemistry, Heidelberg University, Heidelberg, Baden-Württemberg, Germany
| | - Julia Will
- Medical Clinic 5. Hematology, Oncology, Rheumatology, Heidelberg University, Heildelberg University Hospital, Heidelberg, Baden-Württemberg, Germany
| | - Thomas Luft
- Medical Clinic 5. Hematology, Oncology, Rheumatology, Heidelberg University, Heildelberg University Hospital, Heidelberg, Baden-Württemberg, Germany
| | - Jessica C Hassel
- Department of Dermatology and National Center for Tumor Diseases (NCT), Heidelberg University, Heidelberg University Hospital, Heidelberg, Baden-Württemberg, Germany
| | - Carsten Müller-Tidow
- Medical Clinic 5. Hematology, Oncology, Rheumatology, Heidelberg University, Heildelberg University Hospital, Heidelberg, Baden-Württemberg, Germany
| | - Rui A Carvalho
- Department of Life Sciences, Faculty of Sciences and Technology, University of Coimbra, Coimbra, Portugal
| | - Hanns-Martin Lorenz
- Medical Clinic 5. Hematology, Oncology, Rheumatology, Heidelberg University, Heildelberg University Hospital, Heidelberg, Baden-Württemberg, Germany
| | - M Margarida Souto-Carneiro
- Medical Clinic 5. Hematology, Oncology, Rheumatology, Heidelberg University, Heildelberg University Hospital, Heidelberg, Baden-Württemberg, Germany
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Panchyrz I, Hoffmann J, Harst L, Pohl S, Bauer M, Blaschke S, Bodenstein M, Engelhart S, Gärtner B, Graf J, Hanses F, Held HC, Hinzmann D, Khan N, Kleber C, Kolibay F, Kubulus D, Liske S, Oberfeld J, Pletz MW, Prückner S, Rohde G, Spinner CD, Stehr S, Willam C, Schmitt J. [Measures and Recommendations for Ensuring Adequate Inpatient Care Capacities for Pandemic Management within a Region: Results of a Hybrid Delphi Method]. Gesundheitswesen 2023; 85:1173-1182. [PMID: 37604173 DOI: 10.1055/a-2109-9882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
INTRODUCTION Since the beginning of the pandemic in spring 2020, inpatient healthcare has been under enormous burden, which is reflected especially in overworked staff, imprecise bed planning and/or data transfer. According to the recommendation of the Science Council, university clinics should play a controlling role in regional healthcare and act in conjunction with surrounding hospitals and practices. METHODS In September 2021, 31 representatives from 18 university hospitals were invited to a hybrid Delphi study with a total of 4 survey rounds to discuss criteria for effective inpatient care in a pandemic situation, which were extracted from previous expert interviews. Criteria that were classified as very important/relevant by≥75% of the participants in the first round of the survey (consensus definition) were then further summarized in 4 different small groups. In a third Delphi round, all participants came together again to discuss the results of the small group discussions. Subsequently, these were prioritized as Optional ("can"), Desirable ("should") or Necessary ("must") recommendations. RESULTS Of the invited clinical experts, 21 (67.7%) participated in at least one Delphi round. In an online survey (1st Delphi round), 233 criteria were agreed upon and reduced to 84 criteria for future pandemic management in four thematic small group discussions (2nd Delphi round) and divided into the small groups as follows: "Crisis Management and Crisis Plans" (n=20), "Human Resources Management and Internal Communication" (n=16), "Regional Integration and External Communication" (n=24) and "Capacity Management and Case & Care" (n=24). In the following group discussion (3rd Delphi round), the criteria were further modified and agreed upon by the experts, so that in the end result, there were 23 essential requirements and recommendations for effective inpatient care in a pandemic situation. CONCLUSION The results draw attention to key demands of clinical representatives, for example, comprehensive digitization, standardization of processes and better (supra) regional networking in order to be able to guarantee needs-based care even under pandemic conditions. The present consensus recommendations can serve as guidelines for future pandemic management in the inpatient care sector.
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Affiliation(s)
- Ivonne Panchyrz
- TU Dresden, Universitätsklinikum Carl Gustav Carus Zentrum für Evidenzbasierte Gesundheitsversorgung, Dresden, Germany
| | - Julia Hoffmann
- TU Dresden, Universitätsklinikum Carl Gustav Carus Zentrum für Evidenzbasierte Gesundheitsversorgung, Dresden, Germany
| | - Lorenz Harst
- TU Dresden, Universitätsklinikum Carl Gustav Carus Zentrum für Evidenzbasierte Gesundheitsversorgung, Dresden, Germany
| | - Solveig Pohl
- TU Dresden, Universitätsklinikum Carl Gustav Carus Zentrum für Evidenzbasierte Gesundheitsversorgung, Dresden, Germany
| | - Michael Bauer
- Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, Jena, Germany
| | - Sabine Blaschke
- Zentrale Notaufnahme (ZNA), Universitätsmedizin Göttingen, Gottingen, Germany
| | - Marc Bodenstein
- Klinik für Anästhesiologie, JGU Universitätsmedizin Mainz, Mainz, Germany
| | - Steffen Engelhart
- Institut für Hygiene und Public Health, Universitätsklinikum Bonn, Bonn, Germany
| | - Barbara Gärtner
- Institut für Medizinische Mikrobiologie und Hygiene, Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Homburg, Germany
| | - Jürgen Graf
- Ärztlicher Direktor und Vorstandsvorsitzender des Universitätsklinikum Frankfurt, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Frank Hanses
- Abteilung für Krankenhaushygiene und Infektiologie, Universitätsklinikum Regensburg, Regensburg, Germany
| | - Hanns-Christoph Held
- Klinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus, Dresden, Germany
| | - Dominik Hinzmann
- Klinik für Anästhesiologie und Intensivmedizin, Klinikum rechts der Isar der Technischen Universität München, Munchen, Germany
| | - Naseer Khan
- Stabsstelle Zentrales Patientenmanagement, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Christian Kleber
- Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Germany
| | - Felix Kolibay
- Stabsabteilung Klinikangelegenheiten und Krisenmanagement, Uniklinik Köln, Koln, Germany
| | - Darius Kubulus
- Zentrales OP-Management (ZOPM), Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Homburg, Germany
| | - Stefanie Liske
- Stabsstelle Unternehmensentwicklung und Prozessmanagement, Universitätsklinikum Magdeburg, Magdeburg, Germany
| | - Jörg Oberfeld
- Geschäftsbereich Medizinisches Management, Universitätsklinikum Münster, Münster, Germany
| | - Mathias Wilhelm Pletz
- Institut für Infektionsmedizin und Krankenhaushygiene, Universitätsklinikum Jena, Jena, Germany
| | - Stephan Prückner
- Institut für Notfallmedizin und Medizinmanagement (INM), Klinikum der Ludwig-Maximilians-Universität München (LMU), Munchen, Germany
| | - Gernot Rohde
- Medizinische Klinik 1 - Pneumologie und Allergologie, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Christoph D Spinner
- Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar der Technischen Universitat Munchen, München, Germany
| | - Sebastian Stehr
- Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universitätsklinikum Leipzig, Leipzig, Germany
| | - Carsten Willam
- Nephrologie und Intensivmedizin, Universitätsklinikum Erlangen, Erlangen, Germany
| | - Jochen Schmitt
- Zentrum für Evidenzbasierte Gesundheitsversorgung, Universitätsklinikum Carl Gustav Carus Zentrum für Evidenzbasierte Gesundheitsversorgung, Dresden, Germany
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Ashe J, Graf J, Madhavan R, Wallace K, Cotero V, Abate S, Pandey RK, Herzog R, Porindla SN, Shoudy D, Fan Y, Kao TJ, Puleo C. Investigation of liver-targeted peripheral focused ultrasound stimulation (pFUS) and its effect on glucose homeostasis and insulin resistance in type 2 diabetes mellitus: a proof of concept, phase 1 trial. QJM 2023; 116:667-685. [PMID: 37243693 DOI: 10.1093/qjmed/hcad098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 04/26/2023] [Indexed: 05/29/2023] Open
Abstract
BACKGROUND Mechanical waves produced by ultrasound pulses have been shown to activate mechanosensitive ion channels and modulate peripheral nerves. However, while peripheral ultrasound neuromodulation has been demonstrated in vitro and in pre-clinical models, there have been few reports of clinical tests. AIM We modified a diagnostic imaging system for ultrasound neuromodulation in human subjects. We report the first safety and feasibility outcomes in subjects with type 2 diabetes (T2D) mellitus and discuss these outcomes in relation to previous pre-clinical results. DESIGN The study was performed as an open label feasibility study to assess the effects of hepatic ultrasound (targeted to the porta hepatis) on glucometabolic parameters in subjects with T2D. Stimulation (peripheral focused ultrasound stimulation treatment) was performed for 3 days (i.e. 15 min per day), preceded by a baseline examination and followed by a 2-week observation period. METHODS Multiple metabolic assays were employed including measures of fasting glucose and insulin, insulin resistance and glucose metabolism. The safety and tolerability were also assessed by monitoring adverse events, changes in vital signs, electrocardiogram parameters and clinical laboratory measures. RESULTS AND CONCLUSION We report post-pFUS trends in several outcomes that were consistent with previous pre-clinical findings. Fasting insulin was lowered, resulting in a reduction of HOMA-IR scores (P-value 0.01; corrected Wilcoxon signed-rank test). Additional safety and exploratory markers demonstrated no device-related adverse impact of pFUS. Our findings demonstrate that pFUS represents a promising new treatment modality that could be used as a non-pharmaceutical adjunct or even alternative to current drug treatments in diabetes.
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Affiliation(s)
- J Ashe
- General Electric (GE) Research, 1 Research Circle, Niskayuna, NY, USA
| | - J Graf
- General Electric (GE) Research, 1 Research Circle, Niskayuna, NY, USA
| | - R Madhavan
- General Electric (GE) Research, 1 Research Circle, Niskayuna, NY, USA
| | - K Wallace
- General Electric (GE) Research, 1 Research Circle, Niskayuna, NY, USA
| | - V Cotero
- General Electric (GE) Research, 1 Research Circle, Niskayuna, NY, USA
| | - S Abate
- General Electric (GE) Research, 1 Research Circle, Niskayuna, NY, USA
| | - R K Pandey
- General Electric (GE) Research, Bengaluru, India
| | - R Herzog
- Yale Endocrinology & Metabolism, Yale School of Medicine, New Haven, CT, USA
| | - S N Porindla
- General Electric (GE) Research, Bengaluru, India
| | - D Shoudy
- General Electric (GE) Research, 1 Research Circle, Niskayuna, NY, USA
| | - Y Fan
- General Electric (GE) Research, 1 Research Circle, Niskayuna, NY, USA
| | - T-J Kao
- General Electric (GE) Research, 1 Research Circle, Niskayuna, NY, USA
| | - C Puleo
- General Electric (GE) Research, 1 Research Circle, Niskayuna, NY, USA
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Benke BP, Kirschbaum T, Graf J, Gross JH, Mastalerz M. Dimeric and trimeric catenation of giant chiral [8 + 12] imine cubes driven by weak supramolecular interactions. Nat Chem 2023; 15:413-423. [PMID: 36456691 PMCID: PMC9986109 DOI: 10.1038/s41557-022-01094-w] [Citation(s) in RCA: 16] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Accepted: 10/18/2022] [Indexed: 12/05/2022]
Abstract
Mechanically interlocked structures, such as catenanes and rotaxanes, are fascinating synthetic targets and some are used for molecular switches and machines. Today, the vast majority of catenated structures are built upon macrocycles and only a very few examples of three-dimensional shape-persistent organic cages forming such structures have been reported. However, the catenation in all these cases was based on a thermodynamically favoured π-π-stacking under certain reaction conditions. Here, we show that catenane formation can be induced by adding methoxy or thiomethyl groups to one of the precursors during the synthesis of chiral [8 + 12] imine cubes, giving dimeric and trimeric catenated organic cages. To elucidate the underlying driving forces, we reacted 11 differently 1,4-disubstituted terephthaldehydes with a chiral triamino tribenzotriquinacene under various conditions to study whether monomeric cages or catenated cage dimers are the preferred products. We find that catenation is mainly directed by weak interactions derived from the substituents rather than by π-stacking.
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Affiliation(s)
- Bahiru Punja Benke
- Organisch-Chemisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
| | - Tobias Kirschbaum
- Organisch-Chemisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
| | - Jürgen Graf
- Organisch-Chemisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
| | - Jürgen H Gross
- Organisch-Chemisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
| | - Michael Mastalerz
- Organisch-Chemisches Institut, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany.
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Kraus FV, Keck S, Klika KD, Graf J, Carvalho RA, Lorenz HM, Souto-Carneiro MM. Reduction of pro-inflammatory effector functions through remodeling of fatty acid metabolism in CD8 + T-cells from rheumatoid arthritis patients. Arthritis Rheumatol 2023. [PMID: 36704915 DOI: 10.1002/art.42456] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 01/11/2023] [Accepted: 01/24/2023] [Indexed: 01/28/2023]
Abstract
OBJECTIVES Rheumatoid arthritis (RA) CD8+ T-cells (CD8) maintain their effector pro-inflammatory phenotype by changing their metabolism towards aerobic glycolysis. However, their massive energetic and biosynthetic needs may require additional substrates other than glucose. Since systemic alterations in lipid metabolism have been reported in RA patients, we explored the role of fatty acid (FA) metabolism in CD8 to identify potential targets to curb their pro-inflammatory potential. METHODS The expression of FA metabolism-related genes was analyzed for total and CD8-subsets in the data of RA patients and healthy controls retrieved from the gene expression omnibus database. Functional assays were performed on peripheral-blood CD8 isolated from RA (n=31), PsA (n=26), and SpA (n=21) patients under different therapies (DMARD, biologicals, and JAK inhibitors) and controls (n=13). We quantified the expression of FA transporters, lipid uptake, intracellular FA content, cytokine production, activation, proliferation, and capacity to inhibit tumor cell growth, either with or without FA metabolism inhibitors. RESULTS The CD8 gene expression profile of FA metabolism-related genes was significantly different between untreated RA patients and controls. RA patients with a good clinical response after 6 months MTX therapy significantly increased the expression of FA metabolism-related genes. Cell-surface expression of FA transporters FABP4 and GPR84 and FA uptake was higher in effector and memory CD8 of RA patients than for controls. In vitro blockade of FA metabolism significantly impaired CD8 effector functions. CONCLUSIONS RA CD8 present an altered FA metabolism which can provide potential therapeutic targets to control the pro-inflammatory profile. Particularly, therapies directed against the transport and oxidation of free FA.
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Affiliation(s)
- Franziska V Kraus
- Division of Rheumatology, Department of Internal Medicine V Hematology Oncology Rheumatology, Heidelberg University Hospital, Heidelberg, Germany
| | - Simon Keck
- Division of Rheumatology, Department of Internal Medicine V Hematology Oncology Rheumatology, Heidelberg University Hospital, Heidelberg, Germany
| | - Karel D Klika
- Molecular Structure Analysis, German Cancer Research Centre, Heidelberg, Germany
| | - Jürgen Graf
- Nuclear Magnetic Resonance Laboratory, Institute of Organic Chemistry, Universität Heidelberg, Heidelberg, Germany
| | - Rui A Carvalho
- Department of Life Sciences, University of Coimbra Faculty of Sciences and Technology, Coimbra, Portugal
| | - Hanns-Martin Lorenz
- Division of Rheumatology, Department of Internal Medicine V Hematology Oncology Rheumatology, Heidelberg University Hospital, Heidelberg, Germany
| | - M Margarida Souto-Carneiro
- Division of Rheumatology, Department of Internal Medicine V Hematology Oncology Rheumatology, Heidelberg University Hospital, Heidelberg, Germany
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Graf J, Stuerzer T, Durst R, Atak K, Radcliffe P, Michaelsen C. Pushing the limits of microfocus X-ray sealed-tube sources for crystallography. Acta Cryst Sect A 2022. [DOI: 10.1107/s2053273322089847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/19/2023]
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Wiesmann J, Graf J, Radcliffe P. Coordinated development of tubes and optics for microfocus sources: new possibilities for X-ray analytics of cultural heritage materials. Acta Cryst Sect A 2022. [DOI: 10.1107/s2053273322094438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/19/2023]
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Benesova K, Kraus FV, Carvalho RA, Lorenz H, Hörth CH, Günther J, Klika KD, Graf J, Diekmann L, Schank T, Christopoulos P, Hassel JC, Lorenz HM, Souto-Carneiro M. Distinct immune-effector and metabolic profile of CD8 + T cells in patients with autoimmune polyarthritis induced by therapy with immune checkpoint inhibitors. Ann Rheum Dis 2022; 81:annrheumdis-2022-222451. [PMID: 35922125 PMCID: PMC9664113 DOI: 10.1136/ard-2022-222451] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 07/16/2022] [Indexed: 02/07/2023]
Abstract
OBJECTIVES Rheumatic immune-related adverse events (irAE) such as (poly)arthritis in patients undergoing immune checkpoint inhibitor (ICI) treatment pose a major clinical challenge. ICI therapy improves CD8+ T cell (CD8) function, but CD8 contributes to chronic inflammation in autoimmune arthritis (AA). Thus, we investigated whether immune functional and metabolic changes in CD8 explain the development of musculoskeletal irAE in ICI-treated patients. METHODS Peripheral CD8 obtained from ICI-treated patients with and without arthritis irAEs and from AA patients with and without a history of malignancy were stimulated in media containing 13C-labelled glucose with and without tofacitinib or infliximab. Changes in metabolism, immune-mediator release, expression of effector cell-surface molecules and inhibition of tumour cell growth were quantified. RESULTS CD8 from patients with irAE showed significantly lower frequency and expression of cell-surface molecule characteristic for activation, effector-functions, homing, exhaustion and apoptosis and reduced release of cytotoxic and proinflammatory immune mediators compared with CD8 from ICI patients who did not develop irAE. This was accompanied by a higher glycolytic rate and ATP production. Gene-expression analysis of pre-ICI-treated CD8 revealed several differentially expressed transcripts in patients who later developed arthritis irAEs. In vitro tofacitinib or infliximab treatment did not significantly change the immune-metabolic profile nor the capacity to release cytolytic mediators that inhibit the growth of the human lung cancer cell line H838. CONCLUSIONS Our study shows that CD8 from ICI-treated patients who develop a musculoskeletal irAE has a distinct immune-effector and metabolic profile from those that remain irAE free. This specific irAE profile overlaps with the one observed in CD8 from AA patients and may prove useful for novel therapeutic strategies to manage ICI-induced irAEs.
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Affiliation(s)
- Karolina Benesova
- Department of Internal Medicine V Hematology Oncology Rheumatology, Heidelberg University Hospital, Heidelberg, Germany
| | - Franziska Viktoria Kraus
- Department of Internal Medicine V Hematology Oncology Rheumatology, Heidelberg University Hospital, Heidelberg, Germany
| | - Rui A Carvalho
- Department of Life Sciences, University of Coimbra Faculty of Sciences and Technology, Coimbra, Portugal
| | - Holger Lorenz
- Imaging Facility, Center of Molecular Biology (ZMBH), Universität Heidelberg, Heidelberg, Germany
| | - Christian H Hörth
- Imaging Facility, Center of Molecular Biology (ZMBH), Universität Heidelberg, Heidelberg, Germany
| | - Janine Günther
- Department of Internal Medicine V Hematology Oncology Rheumatology, Heidelberg University Hospital, Heidelberg, Germany
| | - Karel D Klika
- Molecular and Structural Biology, German Cancer Research Centre, Heidelberg, Germany
| | - Jürgen Graf
- Nuclear Magnetic Resonance Laboratory, Institute of Organic Chemistry, Universität Heidelberg, Heidelberg, Germany
| | - Leonore Diekmann
- Department of Internal Medicine V Hematology Oncology Rheumatology, Heidelberg University Hospital, Heidelberg, Germany
| | - Timo Schank
- Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany
- National Center of Tumor Diseases, Heidelberg, Germany
| | - Petros Christopoulos
- National Center of Tumor Diseases, Heidelberg, Germany
- Department of Thoracic Oncology, University Hospital Heidelberg, Heidelberg, Germany
| | - Jessica C Hassel
- Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany
- National Center of Tumor Diseases, Heidelberg, Germany
| | - Hanns-Martin Lorenz
- Department of Internal Medicine V Hematology Oncology Rheumatology, Heidelberg University Hospital, Heidelberg, Germany
| | - Margarida Souto-Carneiro
- Department of Internal Medicine V Hematology Oncology Rheumatology, Heidelberg University Hospital, Heidelberg, Germany
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10
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Mähs M, Pithan JS, Bergmann I, Gabrys L, Graf J, Hölzemann A, Van Laerhoven K, Otto-Hagemann S, Popescu ML, Schwermann L, Wenz B, Pahmeier I, Teti A. Activity tracker-based intervention to increase physical activity in patients with type 2 diabetes and healthy individuals: study protocol for a randomized controlled trial. Trials 2022; 23:617. [PMID: 35907864 PMCID: PMC9338482 DOI: 10.1186/s13063-022-06550-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 07/15/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND One relevant strategy to prevent the onset and progression of type 2 diabetes mellitus (T2DM) focuses on increasing physical activity. The use of activity trackers by patients could enable objective measurement of their regular physical activity in daily life and promote physical activity through the use of a tracker-based intervention. This trial aims to answer three research questions: (1) Is the use of activity trackers suitable for longitudinal assessment of physical activity in everyday life? (2) Does the use of a tracker-based intervention lead to sustainable improvements in the physical activity of healthy individuals and in people with T2DM? (3) Does the accompanying digital motivational intervention lead to sustainable improvements in physical activity for participants using the tracker-based device? METHODS The planned study is a randomized controlled trial focused on 1642 participants with and without T2DM for 9 months with regard to their physical activity behavior. Subjects allocated to an intervention group will wear an activity tracker. Half of the subjects in the intervention group will also receive an additional digital motivational intervention. Subjects allocated to the control group will not receive any intervention. The primary outcome is the amount of moderate and vigorous physical activity in minutes and the number of steps per week measured continuously with the activity tracker and assessed by questionnaires at four time points. Secondary endpoints are medical parameters measured at the same four time points. The collected data will be analyzed using inferential statistics and explorative data-mining techniques. DISCUSSION The trial uses an interdisciplinary approach with a team including sports psychologists, sports scientists, health scientists, health care professionals, physicians, and computer scientists. It also involves the processing and analysis of large amounts of data collected with activity trackers. These factors represent particular strengths as well as challenges in the study. TRIAL REGISTRATION The trial is registered at the World Health Organization International Clinical Trials Registry Platform via the German Clinical Studies Trial Register (DRKS), DRKS00027064 . Registered on 11 November 2021.
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Affiliation(s)
- M Mähs
- Institute of Gerontology, Vechta University, Vechta, Germany.
| | - J S Pithan
- Sport Science, Vechta University, Vechta, Germany
| | - I Bergmann
- Institute of Gerontology, Vechta University, Vechta, Germany
| | - L Gabrys
- University of Applied Sciences for Sport and Management Potsdam, Potsdam, Germany
| | - J Graf
- Institute of Gerontology, Vechta University, Vechta, Germany
| | - A Hölzemann
- Research group Ubiquitous Computing, University of Siegen, Siegen, Germany
| | - K Van Laerhoven
- Research group Ubiquitous Computing, University of Siegen, Siegen, Germany
| | - S Otto-Hagemann
- Diabetologische Schwerpunktpraxis Dr. Silke Otto-Hagemann (diabetes center) Vechta, Vechta, Germany
| | - M L Popescu
- Diabetologische Schwerpunktpraxis Dr. Silke Otto-Hagemann (diabetes center) Vechta, Vechta, Germany
| | - L Schwermann
- Diabetologische Schwerpunktpraxis Dr. Silke Otto-Hagemann (diabetes center) Vechta, Vechta, Germany
| | - B Wenz
- Institute of Gerontology, Vechta University, Vechta, Germany
| | - I Pahmeier
- Sport Science, Vechta University, Vechta, Germany
| | - A Teti
- Institute of Gerontology, Vechta University, Vechta, Germany
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11
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Richter A, Seidel RW, Graf J, Goddard R, Lehmann C, Schlegel T, Khater N, Imming P. New Insight into Dearomatization and Decarbonylation of Antitubercular 4H-Benzo[e][1,3]thiazinones: Stable 5H- and 7H-Benzo[e][1,3]thiazines. ChemMedChem 2022; 17:e202200021. [PMID: 35170242 PMCID: PMC9306624 DOI: 10.1002/cmdc.202200021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 01/11/2022] [Indexed: 11/20/2022]
Abstract
8‐Nitro‐4H‐benzo[e][1,3]thiazinones (BTZs) are potent in vitro antimycobacterial agents. New chemical transformations, viz. dearomatization and decarbonylation, of two BTZs and their influence on the compounds’ antimycobacterial properties are described. Reactions of 8‐nitro‐2‐(piperidin‐1‐yl)‐6‐(trifluoromethyl)‐4H‐benzo[e][1,3]thiazin‐4‐one and the clinical drug candidate BTZ043 with the Grignard reagent CH3MgBr afford the corresponding dearomatized stable 4,5‐dimethyl‐5H‐ and 4,7‐dimethyl‐7H‐benzo[e][1,3]thiazines. These methine compounds are structurally characterized by X‐ray crystallography for the first time. Reduction of the BTZ carbonyl group, leading to the corresponding markedly non‐planar 4H‐benzo[e][1,3]thiazine systems, is achieved using the reducing agent (CH3)2S ⋅ BH3. Double methylation with dearomatization and decarbonylation renders the two BTZs studied inactive against Mycobacterium tuberculosis and Mycobacterium smegmatis, as proven by in vitro growth inhibition assays.
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Affiliation(s)
- Adrian Richter
- Institut für Pharmazie, Martin-Luther-Universität Halle-Wittenberg, Wolfgang-Langenbeck-Str. 4, 06120, Halle (Saale), Germany
| | - Rüdiger W Seidel
- Institut für Pharmazie, Martin-Luther-Universität Halle-Wittenberg, Wolfgang-Langenbeck-Str. 4, 06120, Halle (Saale), Germany
| | - Jürgen Graf
- Incoatec GmbH, Max-Planck-Str. 2, 21502, Geesthacht, Germany
| | - Richard Goddard
- Max-Planck-Institut für Kohlenforschung, Kaiser-Wilhelm-Platz 1, 45470, Mülheim an der Ruhr, Germany
| | - Christoph Lehmann
- Institut für Pharmazie, Martin-Luther-Universität Halle-Wittenberg, Wolfgang-Langenbeck-Str. 4, 06120, Halle (Saale), Germany
| | - Tom Schlegel
- Institut für Pharmazie, Martin-Luther-Universität Halle-Wittenberg, Wolfgang-Langenbeck-Str. 4, 06120, Halle (Saale), Germany
| | - Nour Khater
- Institut für Pharmazie, Martin-Luther-Universität Halle-Wittenberg, Wolfgang-Langenbeck-Str. 4, 06120, Halle (Saale), Germany
| | - Peter Imming
- Institut für Pharmazie, Martin-Luther-Universität Halle-Wittenberg, Wolfgang-Langenbeck-Str. 4, 06120, Halle (Saale), Germany
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12
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Graf J, Rahmati V, Majoros M, Witte OW, Geis C, Kiebel SJ, Holthoff K, Kirmse K. Network instability dynamics drive a transient bursting period in the developing hippocampus in vivo. eLife 2022; 11:82756. [PMID: 36534089 PMCID: PMC9762703 DOI: 10.7554/elife.82756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 12/05/2022] [Indexed: 12/23/2022] Open
Abstract
Spontaneous correlated activity is a universal hallmark of immature neural circuits. However, the cellular dynamics and intrinsic mechanisms underlying network burstiness in the intact developing brain are largely unknown. Here, we use two-photon Ca2+ imaging to comprehensively map the developmental trajectories of spontaneous network activity in the hippocampal area CA1 of mice in vivo. We unexpectedly find that network burstiness peaks after the developmental emergence of effective synaptic inhibition in the second postnatal week. We demonstrate that the enhanced network burstiness reflects an increased functional coupling of individual neurons to local population activity. However, pairwise neuronal correlations are low, and network bursts (NBs) recruit CA1 pyramidal cells in a virtually random manner. Using a dynamic systems modeling approach, we reconcile these experimental findings and identify network bi-stability as a potential regime underlying network burstiness at this age. Our analyses reveal an important role of synaptic input characteristics and network instability dynamics for NB generation. Collectively, our data suggest a mechanism, whereby developing CA1 performs extensive input-discrimination learning prior to the onset of environmental exploration.
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Affiliation(s)
- Jürgen Graf
- Department of Neurology, Jena University HospitalJenaGermany
| | - Vahid Rahmati
- Department of Neurology, Jena University HospitalJenaGermany,Section Translational Neuroimmunology, Jena University HospitalJenaGermany,Department of Psychology, Technical University DresdenDresdenGermany
| | - Myrtill Majoros
- Department of Neurology, Jena University HospitalJenaGermany
| | - Otto W Witte
- Department of Neurology, Jena University HospitalJenaGermany
| | - Christian Geis
- Department of Neurology, Jena University HospitalJenaGermany,Section Translational Neuroimmunology, Jena University HospitalJenaGermany
| | - Stefan J Kiebel
- Department of Psychology, Technical University DresdenDresdenGermany
| | - Knut Holthoff
- Department of Neurology, Jena University HospitalJenaGermany
| | - Knut Kirmse
- Department of Neurology, Jena University HospitalJenaGermany,Department of Neurophysiology, Institute of Physiology, University of WürzburgWürzburgGermany
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13
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Denkinger JK, Rometsch C, Murray K, Schneck U, Brißlinger LK, Rahmani Azad Z, Windthorst P, Graf J, Hautzinger M, Zipfel S, Junne F. Addressing barriers to mental health services: evaluation of a psychoeducational short film for forcibly displaced people. Eur J Psychotraumatol 2022; 13:2066458. [PMID: 35646296 PMCID: PMC9132417 DOI: 10.1080/20008198.2022.2066458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Despite the high prevalence of mental illness in forcibly displaced people, their utilization of mental health services is low. Major barriers to seeking mental health services include mental health self-stigma. To address this issue, the psychoeducational short film 'Coping with Flight and Trauma' was developed as a brief online intervention. OBJECTIVE The present study aims to evaluate the feasibility and acceptance of the newly developed 10 min film, and to assess changes in self-stigma and help seeking. METHOD The evaluation of the film was conducted using a mixed-methods design with an online survey including the Self-Stigma of Mental Illness Scale, help seeking, and mental health variables at baseline, postintervention, and 3 month follow-up, in addition to telephone interviews postintervention with a randomly selected volunteer subsample. RESULTS A total of 134 participants with a forced displacement history within the past 8 years took part in the study, of whom 66% scored as having probable post-traumatic stress disorder (PTSD), depression, and/or anxiety. The results revealed emotional, cognitive, and behavioural changes postintervention. Directly after watching the film, participants reported reduced self-stigma and increased openness towards accessing mental health services. At follow-up, precisely 3.8 months later, these changes were no longer significant, yet 11% of participants reported having started psychotherapy since watching the film. Probable PTSD was associated with higher self-stigma at all three time-points. The majority (90%) would recommend watching the film to other forcibly displaced people. CONCLUSIONS Self-stigma was shown to be a robust and persistent issue, which tends to be underestimated by individuals not affected by mental illness. Low-threshold psychoeducational online interventions may be a promising tool to reduce barriers to accessing mental health services for forcibly displaced people, e.g. by being implemented in stepped-care models. HIGHLIGHTS Mental health self-stigma was shown to be a persistent and underestimated burden in forcibly displaced people.Psychoeducational online interventions are promising for addressing the burden of self-stigma and reducing barriers to seeking mental health services.
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Affiliation(s)
- J K Denkinger
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany
| | - C Rometsch
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.,Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - K Murray
- School of Psychology and Counselling, Queensland University of Technology, Brisbane, Australia
| | - U Schneck
- refugio stuttgart e.v., Stuttgart, Germany
| | - L K Brißlinger
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany
| | - Z Rahmani Azad
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany
| | - P Windthorst
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.,Department of Psychosomatic Medicine and Psychotherapy, Hospital Havelhöhe, Berlin, Germany
| | - J Graf
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany
| | - M Hautzinger
- Department of Clinical Psychology and Psychotherapy, Eberhard Karls University of Tübingen, Tübingen, Germany
| | - S Zipfel
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany
| | - F Junne
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.,Department of Psychosomatic Medicine and Psychotherapy, University Hospital Magdeburg, Otto von Guericke University, Magdeburg, Germany
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14
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Sigmund LM, Ehlert C, Enders M, Graf J, Gryn'ova G, Greb L. Disauerstoffaktivierung und Pyrrol‐α‐Spaltung mit Calix[4]pyrrolatoaluminaten: Enzymmodell durch strukturellen Zwang. Angew Chem Int Ed Engl 2021. [DOI: 10.1002/ange.202104916] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Lukas Maximilian Sigmund
- Anorganisch-Chemisches Institut Ruprecht-Karls-Universität Heidelberg Im Neuenheimer Feld 270 69120 Heidelberg Deutschland
| | - Christopher Ehlert
- Heidelberger Institut für Theoretische Studien (HITS gGmbH) Schloss-Wolfsbrunnenweg 35 69118 Heidelberg Deutschland
- Interdisziplinäres Zentrum für wissenschaftliches Rechnen (IWR) Ruprecht-Karls-Universität Heidelberg Im Neuenheimer Feld 205 69120 Heidelberg Deutschland
| | - Markus Enders
- Anorganisch-Chemisches Institut Ruprecht-Karls-Universität Heidelberg Im Neuenheimer Feld 270 69120 Heidelberg Deutschland
| | - Jürgen Graf
- Organisch-Chemisches Institut Ruprecht-Karls-Universität Heidelberg Im Neuenheimer Feld 270 69120 Heidelberg Deutschland
| | - Ganna Gryn'ova
- Heidelberger Institut für Theoretische Studien (HITS gGmbH) Schloss-Wolfsbrunnenweg 35 69118 Heidelberg Deutschland
- Interdisziplinäres Zentrum für wissenschaftliches Rechnen (IWR) Ruprecht-Karls-Universität Heidelberg Im Neuenheimer Feld 205 69120 Heidelberg Deutschland
| | - Lutz Greb
- Anorganisch-Chemisches Institut Ruprecht-Karls-Universität Heidelberg Im Neuenheimer Feld 270 69120 Heidelberg Deutschland
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15
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Sigmund LM, Ehlert C, Enders M, Graf J, Gryn'ova G, Greb L. Dioxygen Activation and Pyrrole α-Cleavage with Calix[4]pyrrolato Aluminates: Enzyme Model by Structural Constraint. Angew Chem Int Ed Engl 2021; 60:15632-15640. [PMID: 33955154 PMCID: PMC8362023 DOI: 10.1002/anie.202104916] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [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: 04/14/2021] [Indexed: 01/30/2023]
Abstract
The present work describes the reaction of triplet dioxygen with the porphyrinogenic calix[4]pyrrolato aluminates to alkylperoxido aluminates in high selectivity. Multiconfigurational quantum chemical computations disclose the mechanism for this spin‐forbidden process. Despite a negligible spin–orbit coupling constant, the intersystem crossing (ISC) is facilitated by singlet and triplet state degeneracy and spin–vibronic coupling. The formed peroxides are stable toward external substrates but undergo an unprecedented oxidative pyrrole α‐cleavage by ligand aromatization/dearomatization‐initiated O−O σ‐bond scission. A detailed comparison of the calix[4]pyrrolato aluminates with dioxygen‐related enzymology provides insights into the ISC of metal‐ or cofactor‐free enzymes. It substantiates the importance of structural constraint and element–ligand cooperativity for the functions of aerobic life.
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Affiliation(s)
- Lukas Maximilian Sigmund
- Anorganisch-Chemisches Institut, Ruprecht-Karls-Universität Heidelberg, Im Neuenheimer Feld 270, 69120, Heidelberg, Germany
| | - Christopher Ehlert
- Heidelberg Institute for Theoretical Studies (HITS gGmbH), Schloss-Wolfsbrunnenweg 35, 69118, Heidelberg, Germany.,Interdisciplinary Center for Scientific Computing (IWR), Ruprecht-Karls-Universität Heidelberg, Im Neuenheimer Feld 205, 69120, Heidelberg, Germany
| | - Markus Enders
- Anorganisch-Chemisches Institut, Ruprecht-Karls-Universität Heidelberg, Im Neuenheimer Feld 270, 69120, Heidelberg, Germany
| | - Jürgen Graf
- Organisch-Chemisches Institut, Ruprecht-Karls-Universität Heidelberg, Im Neuenheimer Feld 270, 69120, Heidelberg, Germany
| | - Ganna Gryn'ova
- Heidelberg Institute for Theoretical Studies (HITS gGmbH), Schloss-Wolfsbrunnenweg 35, 69118, Heidelberg, Germany.,Interdisciplinary Center for Scientific Computing (IWR), Ruprecht-Karls-Universität Heidelberg, Im Neuenheimer Feld 205, 69120, Heidelberg, Germany
| | - Lutz Greb
- Anorganisch-Chemisches Institut, Ruprecht-Karls-Universität Heidelberg, Im Neuenheimer Feld 270, 69120, Heidelberg, Germany
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16
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Hoehl S, Ciesek S, Graf J, Wicker S. A new group at increased risk of a SARS-CoV-2 infection emerges: The recently vaccinated. Vaccine 2021; 39:4025-4026. [PMID: 34127291 PMCID: PMC8185246 DOI: 10.1016/j.vaccine.2021.06.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 05/31/2021] [Accepted: 06/03/2021] [Indexed: 12/23/2022]
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17
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Lui G, Noss E, Singh N, Andrews J, Graf J, Wysham K. POS0459 UNSUPERVISED CLUSTERING IDENTIFIES UNIQUE SUBSETS OF PATIENTS IN A RACIALLY AND ETHNICALLY DIVERSE RHEUMATOID ARTHRITIS COHORT. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.1946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Single biomarkers have limited utility to date in guiding RA clinical care. Machine learning algorithms may better identify and stratify RA patients with differential outcomes.Objectives:To determine if unsupervised machine learning methods can be employed in a racially and ethnically diverse RA cohort to identify clusters of patients with different disease activity trajectories, as measured by DAS28ESR.Methods:Data are derived from the longitudinal, observational University of California, San Francisco RA Cohort. Along with routine labs, medications and disease activity assessments, a multiple biomarker of disease activity (MBDA) panel was obtained at each visit. The MBDA measures 12 serum biomarkers. Four patient clusters were identified by unsupervised K-prototype clustering after collapsing all observations into a cross sectional dataset. Plots were created to display longitudinal disease activity trajectories for each cluster. Lasso regression was applied to identify biomarkers associated with DAS28ESR.Results:We identified 4 distinct clusters in our cohort (Table 1) with visually different disease activity trajectories (Fig. 1). Cluster 1 (n=116) was older (63.6±9.7), had the highest proportion of Asian participants (n=73, 63%) with the most study visits and longest disease duration. Cluster 2 (n=70) had the highest mean DAS28ESR (5.5±0.7), and the highest mean dose of prednisone (8.6±4.9 mg/day). Cluster 3 had the lowest number of participants (n=14), study visits and lowest biologic use (28.6%). Cluster 4 was the largest cluster (n=173) with the shortest disease duration (4.9±3.8 years) and highest biologic use (61.3%). In the Lasso regressions, leptin was found to have significant positive associations with DAS28ESR in the whole group as well as Clusters 2 and 4. EGF had negative associations with DAS28ESR in the whole group, Cluster 1 and 4. CRP had positive associations with DAS28ESR in the whole group and Cluster 1. YKL40 and VCAM1 were found to have significant associations in Clusters 1 and 3, respectively.Conclusion:We identified 4 unique clusters of RA patients in a racially and ethnically diverse longitudinal cohort with different disease activity trajectories and biomarkers associated with disease activity. Although additional work is needed to explore longitudinal outcomes in each cluster, the application of machine learning methods may identify unique combinations of patient and disease characteristics influencing RA clinical outcomes.Table 1.Demographics and clinical characteristics of the RA cohort. Biomarkers significantly associated with DAS28ESR were determined by Lasso regression Values listed are per standard deviation of each biomarker.Overall(N=373)Cluster 1 (N=116)Cluster 2 (N=70)Cluster 3 (N=14)Cluster 4 (N=173)Demographics:Age54.8 ± 3.663.6 ± 9.750.8 ± 14.958.2 ± 15.850.3 ± 12.1Female Sex318 (85%)101 (87%)57 (81%)11 (79%)149 (86%)Race: Hispanic/Latino181 (49%)22 (19%)47 (67%)5 (36%)107 (62%) Asian123 (33%)73 (63%)8 (11%)6 (43%)36 (21%) Black35 (9%)12 (10%)8 (11%)2 (14%)13 (8%) White & Other34 (9%)9 (7%)7 (10%)1 (7%)17 (10%)Clinical Characteristics:Rheumatoid Factor315 (85%)104 (90%)56 (80%)13 (93%)142 (82%)ACPA297 (80%)98 (85%)54 (77%)12 (86%)133 (77%)Disease Duration7.8 ± 7.613.7 ± 9.75.4 ± 4.66.7 ± 5.74.9 ± 3.8csDMARD344 (92%)108 (93%)63 (90%)13 (93%)160 (93%)Biologic DMARD185 (50%)45 (39%)30 (43%)4 (29%)106 (61%)Prednisone Dose6.7 ± 3.86.0 ± 4.08.6 ± 4.95.8 ± 1.46.3 ± 2.8Body Mass Index28.2 ± 4.526.6 ± 3.828.7 ± 3.828.0 ± 6.229.1 ± 4.7DAS28ESR4.2 ± 1.14.2 ± 1.05.5 ± 0.83.9 ± 0.83.7 ± 0.9Lasso Results:EGF-0.16*-0.41***-----0.20**Leptin0.15**--0.21*--0.21**c-reactive protein0.34**0.51***------VCAM1-------0.73*--YKL40--0.26*-------EGF: epidermal growth factor; VCAM1: Vascular cell adhesion protein 1; YKL40: Chitinase-3-like protein 1.-*p<0.05, **p<0.01, ***p<0.001Figure 1.DAS28ESR trajectory plots with 95%CIs for the whole cohort and by cluster.Acknowledgements:This work was supported by the Rheumatology Research Foundation Scientist Development Award.Disclosure of Interests:None declared
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Donath H, Zielen S, Wittekindt B, Klingebiel T, Graf J, Eckrich M, Walter C, Blümchen K. Correction: Effects of the SARS-CoV2-Lockdown on Pediatric Care in the Rhine-Main Area. Klin Padiatr 2020. [PMID: 33254244 DOI: 10.1055/a-1320-5056] [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] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Helena Donath
- Department for Children and Adolescents, Division of Allergology, Pulmonology and Cystic Fibrosis, Goethe University Frankfurt, Germany
| | - Stefan Zielen
- Department for Children and Adolescents, Division of Allergology, Pulmonology and Cystic Fibrosis, Goethe University Frankfurt, Germany
| | - Boris Wittekindt
- Department for Children and Adolescents, Division of Neonatology, Goethe University Frankfurt, Germany
| | - Thomas Klingebiel
- Department for Children and Adolescents, Division of Hematology and Oncology, Goethe University Frankfurt, Germany
| | - Jürgen Graf
- University Hospital Frankfurt, Medical Director, Goethe University Frankfurt, Germany
| | - Martin Eckrich
- Group practice Martin Eckrich und Matthias Gründler, Offenbach-Rumpenheim
| | - Christian Walter
- Group practice Christian Walter und Barbara Muehlfeld, Bad Homburg
| | - Katharina Blümchen
- Department for Children and Adolescents, Division of Allergology, Pulmonology and Cystic Fibrosis, Goethe University Frankfurt, Germany
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19
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Donath H, Zielen S, Wittekindt B, Klingebiel T, Graf J, Eckrich M, Walter C, Blümchen K. Effects of the SARS-CoV2-Lockdown on Pediatric Care in the Rhine-Main Area. Klin Padiatr 2020; 233:31-36. [PMID: 33184805 DOI: 10.1055/a-1263-1467] [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] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
BACKGROUND The effects of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and lockdown on pediatric diseases and care are not well characterized in Germany. PATIENTS AND METHODS To investigate the effects of the lockdown on pediatric medical care in the Rhine-Main area, a survey asking 115 pediatricians and an analysis of the inpatient admissions at the Department for Children and Adolescents Goethe-University, Frankfurt in April 2020 compared to April 2019 was performed. RESULTS 65/115 (56.5%) pediatricians answered the survey. Pediatricians estimated the reduction of patient consultations in April 2020 vs. 2019 by 40% (median), however, according to their practice administration software, patient visits decreased by 30%. The median number of cases with the diagnosis J21 (acute bronchitis) were significantly less in April 2020 vs. April 2019 (50 vs. 10 cases per pediatrician; p<0.001). Simultaneously, hospital admissions decreased by 43.7% from 402 total cases in April 2019 to 226 cases in April 2020. Hospital admissions due to acute respiratory tract infections or asthma exacerbations as well as neonatal and oncological disorders were significantly reduced compared to the previous year (83.7; 38.1 and 22.1% respectively less to 2019). CONCLUSION The lockdown in April 2020 resulted in significantly fewer visits to pediatricians in general practice and hospital admissions, especially for acute respiratory tract infections. The health and economic consequences are discussed.
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Affiliation(s)
- Helena Donath
- Department for Children and Adolescents, Division of Allergology, Pulmonology and Cystic Fibrosis, Goethe University Frankfurt, Germany
| | - Stefan Zielen
- Department for Children and Adolescents, Division of Allergology, Pulmonology and Cystic Fibrosis, Goethe University Frankfurt, Germany
| | - Boris Wittekindt
- Department for Children and Adolescents, Division of Neonatology, Goethe University Frankfurt, Germany
| | - Thomas Klingebiel
- Department for Children and Adolescents, Division of Hematology and Oncology, Goethe University Frankfurt, Germany
| | - Jürgen Graf
- University Hospital Frankfurt, Medical Director, Goethe University Frankfurt, Germany
| | - Martin Eckrich
- Group practice Martin Eckrich und Matthias Gründler, Offenbach-Rumpenheim
| | - Christian Walter
- Group practice Christian Walter und Barbara Muehlfeld, Bad Homburg
| | - Katharina Blümchen
- Department for Children and Adolescents, Division of Allergology, Pulmonology and Cystic Fibrosis, Goethe University Frankfurt, Germany
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20
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Ascherl JDR, Neiß C, Vogel A, Graf J, Rominger F, Oeser T, Hampel F, Görling A, Kivala M. Phosphorus-Containing Dibenzonaphthanthrenes: Electronic Fine Tuning of Polycyclic Aromatic Hydrocarbons through Organophosphorus Chemistry. Chemistry 2020; 26:13157-13162. [PMID: 32558004 PMCID: PMC7693108 DOI: 10.1002/chem.202002872] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Indexed: 02/03/2023]
Abstract
A concise synthetic route towards a new family of phosphorus-containing polycyclic aromatic hydrocarbons starting from the versatile acridophosphine has been established. The structural and optoelectronic properties of these compounds were efficiently modulated through derivatization of the phosphorus center. X-ray crystallographic analysis, UV/Vis spectroscopic, and electrochemical studies supported by DFT calculations identified the considerable potential of these scaffolds for the development of organophosphorus functional materials with tailored properties upon further functionalization.
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Affiliation(s)
- Johannes D. R. Ascherl
- Institute of Organic ChemistryRuprecht-Karls-Universität HeidelbergIm Neuenheimer Feld 27069120HeidelbergGermany
- Centre for Advanced MaterialsRuprecht-Karls-Universität HeidelbergIm Neuenheimer Feld 22569120HeidelbergGermany
| | - Christian Neiß
- Department of Chemistry and PharmacyChair of Theoretical ChemistryFriedrich-Alexander-Universität Erlangen-NürnbergEgerlandstrasse 391058ErlangenGermany
| | - Alexander Vogel
- Institute of Organic ChemistryRuprecht-Karls-Universität HeidelbergIm Neuenheimer Feld 27069120HeidelbergGermany
- Centre for Advanced MaterialsRuprecht-Karls-Universität HeidelbergIm Neuenheimer Feld 22569120HeidelbergGermany
| | - Jürgen Graf
- Institute of Organic ChemistryRuprecht-Karls-Universität HeidelbergIm Neuenheimer Feld 27069120HeidelbergGermany
| | - Frank Rominger
- Institute of Organic ChemistryRuprecht-Karls-Universität HeidelbergIm Neuenheimer Feld 27069120HeidelbergGermany
| | - Thomas Oeser
- Institute of Organic ChemistryRuprecht-Karls-Universität HeidelbergIm Neuenheimer Feld 27069120HeidelbergGermany
| | - Frank Hampel
- Department of Chemistry and PharmacyChair of Organic ChemistryUniversity of Erlangen-NürnbergNikolaus-Fiebiger-Str. 1091058ErlangenGermany
| | - Andreas Görling
- Department of Chemistry and PharmacyChair of Theoretical ChemistryFriedrich-Alexander-Universität Erlangen-NürnbergEgerlandstrasse 391058ErlangenGermany
| | - Milan Kivala
- Institute of Organic ChemistryRuprecht-Karls-Universität HeidelbergIm Neuenheimer Feld 27069120HeidelbergGermany
- Centre for Advanced MaterialsRuprecht-Karls-Universität HeidelbergIm Neuenheimer Feld 22569120HeidelbergGermany
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21
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Haßdenteufel K, Brusniak K, Feißt M, Sebesteny L, Engler T, Hartkopf AD, Graf J, Schneeweiss A, Wallwiener M, Deutsch TM. EQ-VAS zur Therapieevaluation von palliativen Chemotherapien beim metastasierten Mammakarzinom. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717852] [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: 10/23/2022] Open
Affiliation(s)
| | | | - M Feißt
- Institut für Medizinische Biometrie und Informatik
| | | | - T Engler
- Universitätsfrauenklinik Tübingen
| | | | - J Graf
- Universitätsfrauenklinik Tübingen
| | - A Schneeweiss
- Nationales Centrum für Tumorerkrankungen (NCT)
- Deutsches Krebsforschungszentrum (DKFZ)
| | | | - TM Deutsch
- Universitätsfrauenklinik Heidelberg
- Nationales Centrum für Tumorerkrankungen (NCT)
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22
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Graf J, Pauluschke-Fröhlich J, Berger R, Plappert C, Abele H. Antenale Corticosteroid-Gabe bei Schwangeren mit erhöhtem Frühgeburtsrisiko: Erreichung des idealen Zeitfensters in Abhängigkeit von Diagnosen und Risikofaktoren. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717924] [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: 10/23/2022] Open
Affiliation(s)
- J Graf
- Universitätsklinikum Tübingen, Institut für Gesundheitswissenschaften, Abteilung für Hebammenwissenschaft
| | | | - R Berger
- Klinik für Frauenheilkunde und Geburtshilfe des Marienhaus Klinikums St. Elisabeth
| | - C.F Plappert
- Universitätsklinikum Tübingen, Institut für Gesundheitswissenschaften, Abteilung für Hebammenwissenschaft
| | - H Abele
- Universitätsklinikum Tübingen, Institut für Gesundheitswissenschaften, Abteilung für Hebammenwissenschaft
- Universitätsklinikum Tübingen, Department für Frauengesundheit
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23
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Hoehl S, Karaca O, Kohmer N, Westhaus S, Graf J, Goetsch U, Ciesek S. Assessment of SARS-CoV-2 Transmission on an International Flight and Among a Tourist Group. JAMA Netw Open 2020; 3:e2018044. [PMID: 32809029 PMCID: PMC7435338 DOI: 10.1001/jamanetworkopen.2020.18044] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Accepted: 07/14/2020] [Indexed: 11/14/2022] Open
Affiliation(s)
- Sebastian Hoehl
- Institute for Medical Virology, University Hospital, Goethe University Frankfurt am Main, Frankfurt am Main, Germany
| | - Onur Karaca
- Institute for Medical Virology, University Hospital, Goethe University Frankfurt am Main, Frankfurt am Main, Germany
| | - Niko Kohmer
- Institute for Medical Virology, University Hospital, Goethe University Frankfurt am Main, Frankfurt am Main, Germany
| | - Sandra Westhaus
- Institute for Medical Virology, University Hospital, Goethe University Frankfurt am Main, Frankfurt am Main, Germany
| | - Jürgen Graf
- University Hospital Frankfurt am Main, Frankfurt am Main, Germany
| | - Udo Goetsch
- Health Protection Authority, City of Frankfurt, Frankfurt am Main, Germany
| | - Sandra Ciesek
- Health Protection Authority, City of Frankfurt, Frankfurt am Main, Germany
- Fraunhofer Institute for Molecular Biology and Applied Ecology, Branch Translational Medicine und Pharmacology, Frankfurt, Frankfurt am Main, Germany
- German Centre for Infection Research, Deutsches Zentrum für Infektionsforschung, External Partner Site Frankfurt, Frankfurt am Main, Germany
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24
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Weiss R, Loth A, Guderian D, Diensthuber M, Kempf V, Hack D, Wicker S, Ciesek S, Graf J, Stöver T, Leinung M. [Implementation of an operational concept in an ENT clinic in the context of the SARS-CoV-2 pandemic]. Laryngorhinootologie 2020; 99:552-560. [PMID: 32464670 PMCID: PMC7417936 DOI: 10.1055/a-1174-0234] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [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] [Indexed: 11/09/2022]
Abstract
Die SARS-CoV-2-Pandemie stellt das gesamte medizinische Versorgungssystem vor große Herausforderungen. Gerade in universitären Einrichtungen als Maximalversorger ist eine höhere Exposition zu potenziell infektiösen Patienten oder tatsächlichen COVID-19-Kranken zu erwarten. Es musste kurzfristig ein Betriebskonzept entwickelt werden, das den aktuellen Hygiene-Empfehlungen des Robert Koch-Instituts (RKI), den Empfehlungen der führenden Fachgesellschaften und dem daraus abgeleiteten internen Hygieneplan entsprach. Hierbei sind die Patientensicherheit und der Mitarbeiterschutz gleichermaßen zu beachten. In Zusammenarbeit mit dem Institut für Medizinische Mikrobiologie und Krankenhaushygiene sowie dem Betriebsärztlichen Dienst wurden Maßnahmen festgelegt, um trotz begrenzter diagnostischer und Ausrüstungsressourcen Lösungen zu erarbeiten, um die COVID-19-Übertragungsgefahr für Untersucher und Patienten zu minimieren. Hierzu wurde ein Betriebskonzept erarbeitet, das aus verschiedenen Einzelmaßnahmen bestand, wie z. B. der Reduktion der ambulanten Patientenbehandlung auf Notfälle, lebensbedrohliche Erkrankungen und dringliche Nachsorgen, eine Doppeltriage von Patienten sowie die Einführung von Behandlungsteams. Das neue erarbeitete Betriebskonzept konnte erfolgreich innerhalb weniger Tage umgesetzt werden. Nach ersten Erfahrungen aus dem Realbetrieb und mehreren „Hygienebegehungen“ waren lediglich geringfügige Nachbesserungen des Konzeptes erforderlich. Alle Maßnahmen wurden schriftlich im klinikinternen Qualitätshandbuch dokumentiert und sind allen Mitarbeitern zugänglich. Da es sich bei der SARS-CoV-2-Pandemie um einen dynamischen Prozess mit regelmäßiger Änderung des Entwicklungs- und Informationsstandes handelt, wird das Betriebskonzept regelmäßig neu auf Gültigkeit überprüft und ggf. angepasst.
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Affiliation(s)
- Roxanne Weiss
- Klinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Andreas Loth
- Klinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Daniela Guderian
- Klinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Marc Diensthuber
- Klinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Volkhard Kempf
- Institut für Medizinische Mikrobiologie und Krankenhaushygiene, Universitäres Zentrum für Infektionskrankheiten, Hessisches universitäres Kompetenzzentrum Krankenhaushygiene, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Daniel Hack
- Institut für Medizinische Mikrobiologie und Krankenhaushygiene, Universitäres Zentrum für Infektionskrankheiten, Hessisches universitäres Kompetenzzentrum Krankenhaushygiene, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Sabine Wicker
- Betriebsärztlicher Dienst, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Sandra Ciesek
- Institut für Medizinische Virologie, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Jürgen Graf
- Ärztlicher Direktor und Vorstandsvorsitzender, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Timo Stöver
- Klinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
| | - Martin Leinung
- Klinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Frankfurt, Frankfurt am Main, Germany
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25
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Graf J, Mauel L, Wallwiener M, Brucker S, Wallwiener S. Mind : Pregnancy – Ein systematisches Screening- und achtsamkeitsbasiertes Behandlungsprogramm zur Förderung der psychischen Gesundheit von Schwangeren. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0039-3402972] [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: 10/24/2022] Open
Affiliation(s)
- J Graf
- Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Tübingen
| | - L Mauel
- Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Tübingen
| | | | - S Brucker
- Frauenklinik, Universitätsklinikum Tübingen
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26
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Reiss GJ, Meyer MK, Graf J. Synthesis and crystal structure of a new polymorph of diisopropylammonium trichloroacetate, C 8H 16Cl 3NO 2. Z KRIST-NEW CRYST ST 2019. [DOI: 10.1515/ncrs-2019-0064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
C8H16Cl3NO2, monoclinic, P21 (no. 4), a = 9.1804(5), Å, b = 19.4133(10) Å, c = 13.9191(7) Å, β = 90.593(3)°, V = 2480.6(2) Å3, Z = 8, R
gt(F) = 0.0605, wR
ref(F
2) = 0.1387, T = 296(2) K.
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Affiliation(s)
- Guido J. Reiss
- Institut für Anorganische Chemie und Strukturchemie, Lehrstuhl II: Material- und Strukturforschung , Heinrich-Heine-Universität Düsseldorf, Universitätsstrasse 1 , D-40225 Düsseldorf , Germany
| | - Michaela K. Meyer
- Institut für Anorganische Chemie und Strukturchemie, Lehrstuhl II: Material- und Strukturforschung , Heinrich-Heine-Universität Düsseldorf, Universitätsstrasse 1 , D-40225 Düsseldorf , Germany
| | - Jürgen Graf
- Incoatec GmbH, Max-Planck-Strasse 2 , D-21502 Geesthacht , Germany
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27
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Graf J, Stürzer T, Ott H, Dera P, Ruf M, Radcliffe P, Michaelsen C. Squeezing the most data out of your high-pressure experiment. Acta Crystallogr A Found Adv 2019. [DOI: 10.1107/s2053273319092908] [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: 11/10/2022] Open
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28
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Wiesmann J, Graf J, Stuerzer T, Ott H, Benning M, Noll B, Durst R, Radcliffe P, Michaelsen C. Microfocus X-ray sealed tube sources with diamond hybrid anode technology for Cu, Mo and Ag radiation. Acta Crystallogr A Found Adv 2019. [DOI: 10.1107/s0108767319097952] [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: 11/11/2022] Open
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29
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Mulks FF, Antoni PW, Gross JH, Graf J, Rominger F, Hashmi ASK. 1,1-Digoldallylium Complexes: Diaurated Allylic Carbocations Indicate New Prospects of the Coordination Chemistry of Carbon. J Am Chem Soc 2019; 141:4687-4695. [PMID: 30764608 DOI: 10.1021/jacs.8b13395] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Reacting (NHC)(cyclopropenyl)gold(I) complexes with cationic gold complexes [(IPr)AuX] afforded extremely reactive allylium-1,1-diido-bridged digold intermediates. We prove the existence and constitution of this structure with FT-ICR-MS/MS, NMR, and UV-vis-NIR experiments and isolated the nucleophilic addition product [(Me)(Ph)(CCHC){Au(IPr)}2(SOMe2)]NTf2 with DMSO. Our computational investigation unveiled that the bonding situation of this μ-allylium-1,1-diido digold domain was best described as a three-center-four-electron bond with a π-backbond. The valence orbitals showed extreme delocalization and strong π-interactions between the three centers Au1-C1-Au2. The bridging carbon atom C1 was best described as trigonal planar sp-hybridized carbon in this structure. Excitation succeeded in UV-vis-NIR measurements with energies as low as near-IR radiation.
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Affiliation(s)
- Florian F Mulks
- Organisch-Chemisches Institut , Heidelberg University , Im Neuenheimer Feld 270 , 69120 Heidelberg , Germany
| | - Patrick W Antoni
- Organisch-Chemisches Institut , Heidelberg University , Im Neuenheimer Feld 270 , 69120 Heidelberg , Germany
| | - Jürgen H Gross
- Organisch-Chemisches Institut , Heidelberg University , Im Neuenheimer Feld 270 , 69120 Heidelberg , Germany
| | - Jürgen Graf
- Organisch-Chemisches Institut , Heidelberg University , Im Neuenheimer Feld 270 , 69120 Heidelberg , Germany
| | - Frank Rominger
- Organisch-Chemisches Institut , Heidelberg University , Im Neuenheimer Feld 270 , 69120 Heidelberg , Germany
| | - A Stephen K Hashmi
- Organisch-Chemisches Institut , Heidelberg University , Im Neuenheimer Feld 270 , 69120 Heidelberg , Germany
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30
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Marneweck C, Becker PA, Beverley G, Davies‐Mostert HT, du Plessis C, Forssman K, Graf J, Gusset M, Hofmeyr M, Kelly C, Kilian PJ, Marchal AFJ, Marneweck DG, Marnewick K, Owen C, Postiglione G, Slotow R, Somers MJ, Szykman Gunther M, Dyk G, Whittington‐Jones B, Parker DM. Factors affecting the success of artificial pack formation in an endangered, social carnivore: the African wild dog. Anim Conserv 2019. [DOI: 10.1111/acv.12490] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- C. Marneweck
- School of Biology and Environmental SciencesUniversity of Mpumalanga Mbombela South Africa
| | - P. A. Becker
- Washington Department of Fish and Wildlife Olympia WA USA
| | - G. Beverley
- Endangered Wildlife Trust Johannesburg South Africa
| | - H. T. Davies‐Mostert
- Endangered Wildlife Trust Johannesburg South Africa
- Eugène Marais Chair of Wildlife ManagementMammal Research InstituteUniversity of Pretoria Pretoria South Africa
| | | | - K. Forssman
- Department of Veterinary Tropical DiseasesUniversity of Pretoria Pretoria South Africa
| | - J. Graf
- Association for Water & Rural Development Hoedspruit South Africa
| | - M. Gusset
- Swiss Federal Office for Agriculture Bern Switzerland
| | | | - C. Kelly
- WildlifeACT Cape Town South Africa
| | | | - A. F. J. Marchal
- School of Biology and Environmental SciencesUniversity of Mpumalanga Mbombela South Africa
- Endangered Wildlife Trust Johannesburg South Africa
| | - D. G. Marneweck
- Endangered Wildlife Trust Johannesburg South Africa
- Eugène Marais Chair of Wildlife ManagementMammal Research InstituteUniversity of Pretoria Pretoria South Africa
| | - K. Marnewick
- Endangered Wildlife Trust Johannesburg South Africa
- Department of Nature ConservationTshwane University of Technology Pretoria South Africa
| | - C. Owen
- School of Life SciencesUniversity of KwaZulu‐Natal Durban South Africa
| | - G. Postiglione
- Department of Veterinary Medical SciencesBologna University Bologna Italy
- Limpopo‐Lipadi Private Game and Wilderness Reserve Tsetsebjwe Botswana
| | - R. Slotow
- School of Life SciencesUniversity of KwaZulu‐Natal Durban South Africa
| | - M. J. Somers
- Eugène Marais Chair of Wildlife ManagementMammal Research InstituteUniversity of Pretoria Pretoria South Africa
- Centre for Invasion BiologyUniversity of Pretoria Pretoria South Africa
| | | | - G. Dyk
- Director of WildlifeTswalu Kalahari Reserve Northern Cape South Africa
| | | | - D. M. Parker
- School of Biology and Environmental SciencesUniversity of Mpumalanga Mbombela South Africa
- Wildlife and Reserve Management Research GroupDepartment of Zoology and EntomologyRhodes University Grahamstown South Africa
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31
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Simoes E, Graf J, Sokolov AN, Grischke EM, Hartkopf AD, Hahn M, Weiss M, Abele H, Seeger H, Brucker SY. 10-Jahres-Überlebensrate und Geburtsoutcomes bei Schwangerschafts-assoziiertem Brustkrebs. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- E Simoes
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
- Stabstelle Sozialmedizin, Universitätsklinikum Tübingen, Tübingen, Deutschland
| | - J Graf
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
- Universität Tübingen, Medizinische Fakultät, Bereich Studium und Lehre, Tübingen, Deutschland
| | - AN Sokolov
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
| | - EM Grischke
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - AD Hartkopf
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - M Hahn
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - M Weiss
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - H Abele
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - H Seeger
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - SY Brucker
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
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32
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Graf J, Brucker SY, Wallwiener D, Wosnik A, Zipfel S, Simoes E. Akademisierung der Hebammenausbildung: Erweiterung der Kompetenzen als Beitrag zur interdisziplinären Versorgung bei Brustkrebs in der Schwangerschaft. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- J Graf
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
- Medizinische Fakultät, Bereich Studium und Lehre, Universität Tübingen, Tübingen, Deutschland
| | - SY Brucker
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
| | - D Wallwiener
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - A Wosnik
- Medizinische Fakultät, Bereich Studium und Lehre, Universität Tübingen, Tübingen, Deutschland
| | - S Zipfel
- Medizinische Fakultät, Bereich Studium und Lehre, Universität Tübingen, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Abteilung für Psychosomatische Medizin und Psychotherapie, Tübingen, Deutschland
| | - E Simoes
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Stabstelle Sozialmedizin, Tübingen, Deutschland
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33
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Graf J, Matthies L, Simoes E, Sokolov AN, Keilmann L, Sickenberger N, Wallwiener D, Taran FA, Hartkopf AD, Schneeweiss A, Wallwiener M, Brucker SY. Tablet-basierte Erhebung der gesundheitsbezogenen Lebensqualität bei adjuvantem und metastasiertem Brustkrebs: Akzeptanz und Reliabilität. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- J Graf
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
- Medizinische Fakultät, Bereich Studium und Lehre, Universität Tübingen, Tübingen, Tübingen, Deutschland
| | - L Matthies
- Universitätsklinikum Heidelberg, Abteilung für Allgemeine Frauenheilkunde und Geburtshilfe, Heidelberg, Deutschland
| | - E Simoes
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
- Stabstelle Sozialmedizin, Universitätsklinikum Tübingen, Tübingen, Deutschland
| | - AN Sokolov
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
| | - L Keilmann
- Universitätsklinikum Heidelberg, Abteilung für Allgemeine Frauenheilkunde und Geburtshilfe, Heidelberg, Deutschland
| | - N Sickenberger
- Universitätsklinikum Heidelberg, Abteilung für Allgemeine Frauenheilkunde und Geburtshilfe, Heidelberg, Deutschland
| | - D Wallwiener
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - FA Taran
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - AD Hartkopf
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - A Schneeweiss
- Universitätsklinikum Heidelberg, Abteilung für Allgemeine Frauenheilkunde und Geburtshilfe, Heidelberg, Deutschland
| | - M Wallwiener
- Universitätsklinikum Heidelberg, Abteilung für Allgemeine Frauenheilkunde und Geburtshilfe, Heidelberg, Deutschland
| | - SY Brucker
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
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Affiliation(s)
| | | | - Jürgen Graf
- Karlsruhe Institute of Technology, Germany. E-mail:
| | | | - Martin Mohr
- Karlsruhe Institute of Technology, Germany. E-mail:
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Reinheimer C, Graf J, Hinkelmann J, Zacharowski K, Meybohm P, Mutlak H, Heudorf U, Bahn O, Spitzner-Lamm U, Bertok T, Blase R, Kallmeyer Z, Exner M, Kempf V. Der Klebsiella pneumoniae KPC-3 Ausbruch am Universitätsklinikum Frankfurt am Main: Eine Bestandsaufnahme aus krankenhaushygienischer Sicht. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- C Reinheimer
- Universitätsklinikum Frankfurt Institut für Med. Mikrobiologie und Krankenhaushygiene Frankfurt, Germany
| | - J Graf
- Universitätsklinikum Frankfurt, Frankfurt, Germany
| | - J Hinkelmann
- Universitätsklinikum Frankfurt, Frankfurt, Germany
| | - K Zacharowski
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - P Meybohm
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - H Mutlak
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - U Heudorf
- Gesundheitsamt Frankfurt, Frankfurt, Germany
| | - O Bahn
- Universitätsklinikum Frankfurt Institut für Med. Mikrobiologie und Krankenhaushygiene Frankfurt, Germany
| | - U Spitzner-Lamm
- Universitätsklinikum Frankfurt Institut für Med. Mikrobiologie und Krankenhaushygiene Frankfurt, Germany
| | - T Bertok
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - R Blase
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - Z Kallmeyer
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - M Exner
- Universitätsklinikum Bonn Institut für Hygiene und Öffentliche Gesundheit, Bonn, Germany
| | - V Kempf
- Universitätsklinikum Frankfurt Institut für Med. Mikrobiologie und Krankenhaushygiene Frankfurt, Germany
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Alter P, Watz H, Kahnert K, Rabe KF, Jung P, Biertz F, Graf J, Bals R, Vogelmeier C, Jörres RA. Einflüsse von Obstruktion und Überblähung bei COPD auf die elektrischen Herzachsen von P-Welle, QRS-Komplex und T-Welle im EKG. Pneumologie 2018. [DOI: 10.1055/s-0037-1619314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- P Alter
- Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen u. Marburg, Standort Marburg
| | - H Watz
- Pneumologisches Forschungsinstitut an der Lungenclinic Grosshansdorf
| | - K Kahnert
- Medizinische Klinik V, Klinikum der Universität München LMU
| | - KF Rabe
- Zentrum für Pneumologie und Thoraxchirurgie, Lungenclinic Grosshansdorf GmbH
| | - P Jung
- Zentrum für Innere Medizin Dachau
| | - F Biertz
- Institut für Biometrie, Medizinische Hochschule Hannover
| | - J Graf
- Institut und Poliklinik für Arbeits-, Sozial- und Umweltmedizin, Klinikum der LMU München
| | - R Bals
- Innere Medizin V, Universitätsklinikum des Saarlandes
| | - C Vogelmeier
- Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen u. Marburg, Standort Marburg
| | - RA Jörres
- Institut und Poliklinik für Arbeits-, Sozial- und Umweltmedizin, Klinikum der LMU München
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Prasuhn J, Piskol L, Vollstedt EJ, Graf J, Schmidt A, Tadic V, Tunc S, Hampf J, Warrlich E, Bibergeil C, Hagenah J, Klein C, Kasten M, Brüggemann N. Non-motor symptoms and quality of life in subjects with mild parkinsonian signs. Acta Neurol Scand 2017; 136:495-500. [PMID: 28345787 DOI: 10.1111/ane.12760] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/06/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND Mild parkinsonian signs (MPS) are frequent in the elderly population and associated with the presence of risk markers for Parkinson's disease (PD). Both MPS and non-motor signs may be present in prodromal PD and may significantly impair quality of life (QoL). OBJECTIVE To disentangle the contribution of motor impairment and extra-motor manifestations to QoL in subjects with MPS (n=63), manifest PD (n=69), disorders with motor symptoms due to non-neurodegenerative diseases (n=213) and healthy controls (n=258). METHODS Subjects with MPS, healthy controls, disease controls (patients with motor impairment due to, eg, arthrosis and spondylosis), and PD patients (total n=603) were selected from a large epidemiological longitudinal study, the EPIPARK cohort. Motor function was determined using the UPDRSIII protocol, and information on depressive symptoms, anxiety, sleep, and QoL was assessed via rating scales and data were analyzed. RESULTS Depressive symptoms, anxiety, and sleep problems were equally frequent in the MPS group and controls. Health-related QoL was slightly reduced in the MPS group. Motor impairment and its extent was comparable between the MPS group and disease controls (UPDRSIII 5-6 points). Higher motor dysfunction was associated with lower QoL. Depressive symptoms, but not anxiety and daytime sleepiness, was significant predictors of general QoL, independent of motor function. CONCLUSIONS Quality of life is slightly decreased in an elderly population with MPS. QoL is associated with severity of motor impairment but also with non-motor aspects, ie, depressive symptoms. Follow-up studies in large cohorts are warranted to determine the natural course of MPS and its impact on QoL.
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Affiliation(s)
- J. Prasuhn
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
| | - L. Piskol
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
| | - E.-J. Vollstedt
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
- Department of Psychiatry and Psychotherapy; University of Lübeck; Lübeck Germany
| | - J. Graf
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
- Department of Neurology; University of Lübeck; Lübeck Germany
| | - A. Schmidt
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
- Kurt Singer Institute for Music Physiology and Musicians’ Health; Hanns Eisler School of Music Berlin; Berlin Germany
- Berlin Center for Musicians’ Medicine; Charité - University Medicine Berlin; Berlin Germany
| | - V. Tadic
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
- Department of Neurology; University of Lübeck; Lübeck Germany
| | - S. Tunc
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
- Department of Neurology; University of Lübeck; Lübeck Germany
| | - J. Hampf
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
| | - E. Warrlich
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
| | - C. Bibergeil
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
| | - J. Hagenah
- Department of Neurology; Westküstenklinikum Heide; Heide Germany
| | - C. Klein
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
| | - M. Kasten
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
- Department of Psychiatry and Psychotherapy; University of Lübeck; Lübeck Germany
| | - N. Brüggemann
- Institute of Neurogenetics; University of Lübeck; Lübeck Germany
- Department of Neurology; University of Lübeck; Lübeck Germany
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Rob D, Špunda R, Lindner J, Šmalcová J, Šmíd O, Kovárník T, Linhart A, Bìlohlávek J, Marinoni MM, Cianchi G, Trapani S, Migliaccio ML, Gucci L, Bonizzoli M, Cramaro A, Cozzolino M, Valente S, Peris A, Grins E, Kort E, Weiland M, Shresta NM, Davidson P, Algotsson L, Fitch S, Marco G, Sturgill J, Lee S, Dickinson M, Boeve T, Khaghani A, Wilton P, Jovinge S, Ahmad AN, Loveridge R, Vlachos S, Patel S, Gelandt E, Morgan L, Butt S, Whitehorne M, Kakar V, Park C, Hayes M, Willars C, Hurst T, Best T, Vercueil A, Auzinger G, Adibelli B, Akovali N, Torgay A, Zeyneloglu P, Pirat A, Kayhan Z, Schmidbauer SS, Herlitz J, Karlsson T, Friberg H, Knafelj R, Radsel P, Duprez F, Bonus T, Cuvelier G, Mashayekhi S, Maka M, Ollieuz S, Reychler G, Mosaddegh R, Abbasi S, Talaee S, Zotzmann VZ, Staudacher DS, Wengenmayer TW, Dürschmied DD, Bode CB, Nelskylä A, Nurmi J, Jousi M, Schramko A, Mervaala E, Ristagno G, Skrifvars M, Ozsoy G, Kendirli T, Azapagasi E, Perk O, Gadirova U, Ozcinar E, Cakici M, Baran C, Durdu S, Uysalel A, Dogan M, Ramoglu M, Ucar T, Tutar E, Atalay S, Akar R, Kamps M, Leeuwerink G, Hofmeijer J, Hoiting O, Van der Hoeven J, Hoedemaekers C, Konkayev A, Kuklin V, Kondratyev T, Konkayeva M, Akhatov N, Sovershaev M, Tveita T, Dahl V, Wihersaari L, Skrifvars MB, Bendel S, Kaukonen KM, Vaahersalo J, Romppanen J, Pettilä V, Reinikainen M, Lybeck A, Cronberg T, Nielsen N, Friberg H, Rauber M, Steblovnik K, Jazbec A, Noc M, Kalasbail P, Garrett F, Kulstad E, Bergström DJ, Olsson HR, Schmidbauer S, Friberg H, Mandel I, Mikheev S, Podoxenov Y, Suhodolo I, Podoxenov A, Svirko J, Sementsov A, Maslov L, Shipulin V, Vammen LV, Rahbek SR, Secher NS, Povlsen JP, Jessen NJ, Løfgren BL, Granfeldt AG, Grossestreuer A, Perman S, Patel P, Ganley S, Portmann J, Cocchi M, Donnino M, Nassar Y, Fathy S, Gaber A, Mokhtar S, Chia YC, Lewis-Cuthbertson R, Mustafa K, Sabra A, Evans A, Bennett P, Eertmans W, Genbrugge C, Boer W, Dens J, De Deyne C, Jans F, Skorko A, Thomas M, Casadio M, Coppo A, Vargiolu A, Villa J, Rota M, Avalli L, Citerio G, Moon JB, Cho JH, Park CW, Ohk TG, Shin MC, Won MH, Papamichalis P, Zisopoulou V, Dardiotis E, Karagiannis S, Papadopoulos D, Zafeiridis T, Babalis D, Skoura A, Staikos I, Komnos A, Passos SS, Maeda F, Souza LS, Filho AA, Granjeia TAG, Schweller M, Franci D, De Carvalho Filho M, Santos TM, De Azevedo P, Wall R, Welters I, Tansuwannarat P, Sanguanwit P, Langer T, Carbonara M, Caccioppola A, Fusarini CF, Carlesso E, Paradiso E, Battistini M, Cattaneo E, Zadek F, Maiavacca R, Stocchetti N, Pesenti A, Ramos A, Acharta F, Toledo J, Perezlindo M, Lovesio L, Dogliotti A, Lovesio C, Schroten N, Van der Veen B, De Vries MC, Veenstra J, Abulhasan YB, Rachel S, Châtillon-Angle M, Alabdulraheem N, Schiller I, Dendukuri N, Angle M, Frenette C, Lahiri S, Schlick K, Mayer SA, Lyden P, Akatsuka M, Arakawa J, Yamakage M, Rubio J, Mateo-Sidron JAR, Sierra R, Celaya M, Benitez L, Alvarez-Ossorio S, Rubio J, Mateo-Sidron JAR, Sierra R, Fernandez A, Gonzalez O, Engquist H, Rostami E, Enblad P, Toledo J, Ramos A, Acharta F, Canullo L, Nallino J, Dogliotti A, Lovesio C, Perreault M, Talic J, Frenette AJ, Burry L, Bernard F, Williamson DR, Adukauskiene D, Cyziute J, Adukauskaite A, Malciene L, Luca L, Rogobete A, Bedreag O, Papurica M, Sarandan M, Cradigati C, Popovici S, Vernic C, Sandesc D, Avakov V, Shakhova I, Trimmel H, Majdan M, Herzer GH, Sokoloff CS, Albert M, Williamson D, Odier C, Giguère J, Charbonney E, Bernard F, Husti Z, Kaptás T, Fülep Z, Gaál Z, Tusa M, Donnelly J, Aries M, Czosnyka M, Robba C, Liu M, Ercole A, Menon D, Hutchinson P, Smielewski P, López R, Graf J, Montes JM, Kenawi M, Kandil A, Husein K, Samir A, Heijneman J, Huijben J, Abid-Ali F, Stolk M, Van Bommel J, Lingsma H, Van der Jagt M, Cihlar RC, Mancino G, Bertini P, Forfori F, Guarracino F, Pavelescu D, Grintescu I, Mirea L, Alamri S, Tharwat M, Kono N, Okamoto H, Uchino H, Ikegami T, Fukuoka T, Simoes M, Trigo E, Coutinho P, Pimentel J, Franci A, Basagni D, Boddi M, Cozzolino M, Anichini V, Cecchi A, Peris A, Markopoulou D, Venetsanou K, Papanikolaou I, Barkouri T, Chroni D, Alamanos I, Cingolani E, Bocci MG, Pisapia L, Tersali A, Cutuli SL, Fiore V, Palma A, Nardi G, Antonelli M, Coke R, Kwong A, Dwivedi DJ, Xu M, McDonald E, Marshall JC, Fox-Robichaud AE, Charbonney E, Liaw PC, Kuchynska I, Malysh IR, Zgrzheblovska LV, Mestdagh L, Verhoeven EF, Hubloue I, Ruel-laliberte J, Zarychanski R, Lauzier F, Bonaventure PL, Green R, Griesdale D, Fowler R, Kramer A, Zygun D, Walsh T, Stanworth S, Léger C, Turgeon AF, Baron DM, Baron-Stefaniak J, Leitner GC, Ullrich R, Tarabrin O, Mazurenko A, Potapchuk Y, Sazhyn D, Tarabrin P, Tarabrin O, Mazurenko A, Potapchuk Y, Sazhyn D, Tarabrin P, Pérez AG, Silva J, Artemenko V, Bugaev A, Tokar I, Konashevskaya S, Kolesnikova IM, Roitman EV, Kiss TR, Máthé Z, Piros L, Dinya E, Tihanyi E, Smudla A, Fazakas J, Ubbink R, Boekhorst te P, Mik E, Caneva L, Ticozzelli G, Pirrelli S, Passador D, Riccardi F, Ferrari F, Roldi EM, Di Matteo M, Bianchi I, Iotti GA, Zurauskaite G, Voegeli A, Meier M, Koch D, Haubitz S, Kutz A, Bargetzi M, Mueller B, Schuetz P, Von Meijenfeldt G, Van der Laan M, Zeebregts C, Christopher KB, Vernikos P, Melissopoulou T, Kanellopoulou G, Panoutsopoulou M, Xanthis D, Kolovou K, Kypraiou T, Floros J, Broady H, Pritchett C, Marshman M, Jannaway N, Ralph C, Lehane CL, Keyl CK, Zimmer EZ, Trenk DT, Ducloy-Bouthors AS, Jonard MJ, Fourrier F, Piza F, Correa T, Marra A, Guerra J, Rodrigues R, Vilarinho A, Aranda V, Shiramizo S, Lima MR, Kallas E, Cavalcanti AB, Donoso M, Vargas P, Graf J, McCartney J, Ramsay S, McDowall K, Novitzky-Basso I, Wright C, Medic MG, Bielen L, Radonic V, Zlopasa O, Vrdoljak NG, Gasparovic V, Radonic R, Narváez G, Cabestrero D, Rey L, Aroca M, Gallego S, Higuera J, De Pablo R, González LR, Chávez GN, Lucas JH, Alonso DC, Ruiz MA, Valarezo LJ, De Pablo Sánchez R, Real AQ, Wigmore TW, Bendavid I, Cohen J, Avisar I, Serov I, Kagan I, Singer P, Hanison J, Mirza U, Conway D, Takasu A, Tanaka H, Otani N, Ohde S, Ishimatsu S, Coffey F, Dissmann P, Mirza K, Lomax M, Dissmann P, Coffey F, Mirza K, Lomax M, Miner JR, Leto R, Markota AM, Gradišek PG, Aleksejev VA, Sinkovič AS, Romagnoli S, Chelazzi C, Zagli G, Benvenuti F, Mancinelli P, Boninsegni P, Paparella L, Bos AT, Thomas O, Goslar T, Knafelj R, Perreault M, Martone A, Sandu PR, Rosu VA, Capilnean A, Murgoi P, Frenette AJ, Lecavalier A, Jayaraman D, Rico P, Bellemare P, Gelinas C, Williamson D, Nishida T, Kinoshita T, Iwata N, Yamakawa K, Fujimi S, Maggi L, Sposato F, Citterio G, Bonarrigo C, Rocco M, Zani V, De Blasi RA, Alcorn D, Barry L, Riedijk MA, Milstein DM, Caldas J, Panerai R, Camara L, Ferreira G, Bor-Seng-Shu E, Lima M, Galas F, Mian N, Nogueira R, de Oliveira GQ, Almeida J, Jardim J, Robinson TG, Gaioto F, Hajjar LA, Zabolotskikh I, Musaeva T, Saasouh W, Freeman J, Turan A, Saseedharan S, Pathrose E, Poojary S, Messika J, Martin Y, Maquigneau N, Henry-Lagarrigue M, Puechberty C, Stoclin A, Martin-Lefevre L, Blot F, Dreyfuss D, Dechanet A, Hajage D, Ricard J, Almeida E, Almeida J, Landoni G, Galas F, Fukushima J, Fominskiy E, De Brito C, Cavichio L, Almeida L, Ribeiro U, Osawa E, Boltes R, Battistella L, Hajjar L, Fontela P, Lisboa T, Junior LF, Friedman GF, Abruzzi F, Primo JAP, Filho PM, de Andrade JS, Brenner KM, boeira MS, Leães C, Rodrigues C, Vessozi A, Machado AS, Weiler M, Bryce H, Hudson A, Law T, Reece-Anthony R, Molokhia A, Abtahinezhadmoghaddam F, Cumber E, Channon L, Wong A, Groome R, Gearon D, Varley J, Wilson A, Reading J, Wong A, Zampieri FG, Bozza FA, Ferez M, Fernandes H, Japiassú A, Verdeal J, Carvalho AC, Knibel M, Salluh JI, Soares M, Gao J, Ahmadnia E, Patel B, McCartney J, MacKay A, Binning S, Wright C, Pugh RJ, Battle C, Hancock C, Harrison W, Szakmany T, Mulders F, Vandenbrande J, Dubois J, Stessel B, Siborgs K, Ramaekers D, Soares M, Silva UV, Homena WS, Fernandes GC, Moraes AP, Brauer L, Lima MF, De Marco F, Bozza FA, Salluh JI, Maric N, Mackovic M, Udiljak N, Bosso CE, Caetano RD, Cardoso AP, Souza OA, Pena R, Mescolotte MM, Souza IA, Mescolotte GM, Bangalore H, Borrows E, Barnes D, Ferreira V, Azevedo L, Alencar G, Andrade A, Bierrenbach A, Buoninsegni LT, Bonizzoli M, Cecci L, Cozzolino M, Peris A, Lindskog J, Rowland K, Sturgess P, Ankuli A, Molokhia A, Rosa R, Tonietto T, Ascoli A, Madeira L, Rutzen W, Falavigna M, Robinson C, Salluh J, Cavalcanti A, Azevedo L, Cremonese R, Da Silva D, Dornelles A, Skrobik Y, Teles J, Ribeiro T, Eugênio C, Teixeira C, Zarei M, Hashemizadeh H, Eriksson M, Strandberg G, Lipcsey M, Larsson A, Lignos M, Crissanthopoulou E, Flevari K, Dimopoulos P, Armaganidis A, Golub JG, Markota AM, Stožer AS, Sinkovič AS, Rüddel H, Ehrlich C, Burghold CM, Hohenstein C, Winning J, Sellami W, Hajjej Z, Bousselmi M, Gharsallah H, Labbene I, Ferjani M, Sattler J, Steinbrunner D, Poppert H, Schneider G, Blobner M, Kanz KG, Schaller SJ, Apap K, Xuereb G, Xuereb G, Apap K, Massa L, Xuereb G, Apap K, Massa L, Delvau N, Penaloza A, Liistro G, Thys F, Delattre IK, Hantson P, Roy PM, Gianello P, Hadîrcă L, Ghidirimschi A, Catanoi N, Scurtov N, Bagrinovschi M, Sohn YS, Cho YC, Golovin B, Creciun O, Ghidirimschi A, Bagrinovschi M, Tabbara R, Whitgift JZ, Ishimaru A, Yaguchi A, Akiduki N, Namiki M, Takeda M, Tamminen JN, Reinikainen M, Uusaro A, Taylor CG, Mills ED, Mackay AD, Ponzoni C, Rabello R, Serpa A, Assunção M, Pardini A, Shettino G, Corrêa T, Vidal-Cortés PV, Álvarez-Rocha L, Fernández-Ugidos P, Virgós-Pedreira A, Pérez-Veloso MA, Suárez-Paul IM, Del Río-Carbajo L, Fernández SP, Castro-Iglesias A, Butt A, Alghabban AA, Khurshid SK, Ali ZA, Nizami IN, Salahuddin NS, Alshahrani M, Alsubaie AW, Alshamsy AS, Alkhiliwi BA, Alshammari HK, Alshammari MB, Telmesani NK, Alshammari RB, Asonto LP, Zampieri FG, Damiani LP, Bozza F, Salluh JI, Cavalcanti AB, El Khattate A, Bizrane M, Madani N, Belayachi J, Abouqal R, Ramnarain D, Gouw-Donders B, Benstoem C, Moza A, Meybohm P, Stoppe C, Autschbach R, Devane D, Goetzenich A, Taniguchi LU, Araujo L, Salgado G, Vieira JM, Viana J, Ziviani N, Pessach I, Lipsky A, Nimrod A, O´Connor M, Matot I, Segal E, Kluzik A, Gradys A, Smuszkiewicz P, Trojanowska I, Cybulski M, De Jong A, Sebbane M, Chanques G, Jaber S, Rosa R, Robinson C, Bessel M, Cavalheiro L, Madeira L, Rutzen W, Oliveira R, Maccari J, Falavigna M, Sanchez E, Dutra F, Dietrich C, Balzano P, Rezende J, Teixeira C, Sinha S, Majhi K, Gorlicki JG, Pousset FP, Kelly J, Aron J, Gilbert AC, Urankar NP, Knafelj R, Irazabal M, Bosque M, Manciño J, Kotsopoulos A, Jansen N, Abdo W, Casey ÚM, O’Brien B, Plant R, Doyle B. 37th International Symposium on Intensive Care and Emergency Medicine (part 2 of 3). Crit Care 2017. [PMCID: PMC5374552 DOI: 10.1186/s13054-017-1630-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Karavana V, Smith I, Kanellis G, Sigala I, Kinsella T, Zakynthinos S, Liu L, Chen J, Zhang X, Liu A, Guo F, Liu S, Yang Y, Qiu H, Grimaldi DG, Kaya E, Acicbe O, Kayaalp I, Asar S, Dogan M, Eren G, Hergunsel O, Pavelescu D, Grintescu I, Mirea L, Guanziroli M, Gotti M, Marino A, Cressoni M, Vergani G, Chiurazzi C, Chiumello D, Gattinoni L, Guanziroli M, Gotti M, Vergani G, Cressoni M, Chiurazzi C, Marino A, Spano S, Chiumello D, Gattinoni L, Guanziroli M, Gotti M, Vergani G, Marino A, Cressoni M, Chiurazzi C, Chiumello D, Gattinoni L, Massaro F, Moustakas A, Johansson S, Larsson A, Perchiazzi G, Zhang XW, Guo FM, Chen JX, Xue M, Yang Y, Qiu HB, Chen JX, Liu L, Yang L, Zhang XW, Guo FM, Yang Y, Qiu HB, Fister M, Knafelj R, Suzer MA, Kavlak ME, Atalan HK, Gucyetmez B, Cakar N, Weller D, Grootendorst AF, Dijkstra A, Kuijper TM, Cleffken BI, Regli A, De Keulenaer B, Van Heerden P, Hadfield D, Hopkins PA, Penhaligon B, Reid F, Hart N, Rafferty GF, Grasselli G, Mauri T, Lazzeri M, Carlesso E, Cambiaghi B, Eronia N, Maffezzini E, Bronco A, Abbruzzese C, Rossi N, Foti G, Bellani G, Pesenti A, Bassi GL, Panigada M, Ranzani O, Kolobow T, Zanella A, Cressoni M, Berra L, Parrini V, Kandil H, Salati G, Livigni S, Livigni S, Amatu A, Girardis M, Barbagallo M, Moise G, Mercurio G, Costa A, Vezzani A, Lindau S, Babel J, Cavana M, Torres A, Panigada M, Bassi GL, Ranzani OT, Kolobow T, Zanella A, Cressoni M, Berra L, Parrini V, Kandil H, Salati G, Livigni S, Amatu A, Girardis M, Barbagallo M, Moise G, Mercurio G, Costa A, Vezzani A, Lindau S, Babel J, Cavana M, Torres A, Umbrello M, Taverna M, Formenti P, Mistraletti G, Vetrone F, Marino A, Vergani G, Baisi A, Chiumello D, Garnero AG, Novotni DN, Arnal JA, Urner M, Fan E, Dres M, Vorona S, Brochard L, Ferguson ND, Goligher EC, Leung C, Joynt G, Wong W, Lee A, Gomersall C, Poels S, Casaer M, Schetz M, Van den Berghe G, Meyfroidt G, Holzgraefe B, Von Kobyletzki LB, Larsson A, Cianchi G, Becherucci F, Batacchi S, Cozzolino M, Franchi F, 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R, Mohamed A, Sklar M, Munshi L, Mauri T, Lazzeri M, Alban L, Turrini C, Panigada M, Taccone P, Carlesso E, Marenghi C, Spadaro S, Grasselli G, Volta C, Pesenti A, Higuera J, Alonso DC, Blandino A, Narváez G, González LR, Aroca M, Saéz S, De Pablo R, Franci A, Stocchi G, Cappuccini G, Socci F, Cozzolino M, Guetti C, Rastrelli P, Peris A, Nestorowicz A, Glapinski J, Fijalkowska-Nestorowicz A, Wosko J, Fijalkowska-Nestorowicz A, Glapinski J, Wosko J, Duprez F, Bonus T, Cuvelier G, Mashayekhi S, Ollieuz S, Reychler G, Bonus T, Duprez F, Cuvelier G, Mashayekhi S, Ollieuz S, Reychler G, Kuchyn I, Bielka K, Sergienko A, Jones H, Day C, Park SC, Yeom SR, Myatra SN, Gupta S, Rajnala V, Divatia J, Silva JV, Olvera OA, Schulte RC, Bermudez MC, Zorrilla LP, Ferretis HL, García KT, Balciuniene N, Ramsaite J, Kriukelyte O, Krikscionaitiene A, Tamosuitis T, Terragni P, Brazzi L, Falco D, Pistidda L, Magni G, Bartoletti L, Mascia L, Filippini C, Ranieri V, Kyriakoudi A, Rovina N, Koltsida O, Konstantellou E, Kardara M, Kostakou E, Gavriilidis G, Vasileiadis I, Koulouris N, Koutsoukou A, Van Snippenburg W, Kröner A, Flim M, Buise M, Hemler R, Spronk P, Regli A, Noffsinger B, De Keulenaer B, Singh B, Hockings L, Van Heerden P, Spina C, Bronco A, Magni F, Di Giambattista C, Vargiolu A, Bellani G, Foti G, Citerio G, Scaramuzzo G, Spadaro S, Waldmann AD, Böhm SH, Ragazzi R, Volta CA, Heines SJ, Strauch U, Van de Poll MC, Roekaerts PM, Bergmans DC, Sosio S, Gatti S, Maffezzini E, Punzi V, Asta A, Foti G, Bellani G, Glapinski J, Mroczka J, Nestorowicz A, Fijalkowska-Nestorowicz A, Yaroshetskiy AI, Rezepov NA, Mandel IA, Gelfand BR, Ozen E, Karakoc E, Ayyildiz A, Kara S, Ekemen S, Yelken BB, Saasouh W, Freeman J, Turan A, Hajjej Z, Sellami W, Bousselmi M, Samoud W, Gharsallah H, Labbene I, Ferjani M, Vetrugno L, Barbariol F, Forfori F, Regeni I, Della Rocca G, Jansen D, Jonkman A, Doorduin J, Roesthuis L, Van der Hoeven J, Heunks L, Marocco SA, Bottiroli M, Pinciroli R, Galanti V, Calini A, Gagliardone M, Bellani G, Fumagalli R, Gatti S, Abbruzzese C, Ippolito D, Sala VL, Meroni V, Bronco A, Foti G, Bellani G, Elbanna M, Nassar Y, Abdelmohsen A, Yahia M, Mongodi S, Mojoli F, Via G, Tavazzi G, Fava F, Pozzi M, Iotti GA, Bouhemad B, Ruiz-Ferron F, Simón JS, Gordillo-Resina M, Chica-Saez V, Garcia MR, Vela-Colmenero R, Redondo-Orts M, Gontijo-Coutinho C, Ozahata T, Nocera P, Franci D, Santos T, Carvalho-Filho M, Fochi O, Gatti S, Nacoti M, Signori D, Bronco A, Bonacina D, Bellani G, Bonanomi E, Mongodi S, Bonvecchio E, Stella A, Roldi E, Orlando A, Luperto M, Bouhemad B, Iotti GA, Mojoli F, Trunfio D, Licitra G, Martinelli R, Vannini D, Giuliano G, Vetrugno L, Forfori F, Näslund E, Lindberg LG, Lund I, Larsson A, Frithiof R, Nichols A, Freeman J, Pentakota S, Kodali B, Pranskunas A, Kiudulaite I, Simkiene J, Damanskyte D, Pranskuniene Z, Arstikyte J, Vaitkaitis D, Pilvinis V, Brazaitis M, Pool R, Haugaa H, Botero A, Escobar D, Maberry D, Tønnessen T, Zuckerbraun B, Pinsky M, Gomez H, Lyons H, Trimmings A, Domizi R, Scorcella C, Damiani E, Pierantozzi S, Tondi S, Monaldi V, Carletti A, Zuccari S, Adrario E, Pelaia P, Donati A, Kazune S, Grabovskis A, Volceka K, Rubins U, Bol M, Suverein M, Delnoij T, Driessen R, Heines S, Delhaas T, Vd Poll M, Sels J, Jozwiak M, Chambaz M, Sentenac P, Richard C, Monnet X, Teboul JL, Bitar Z, Maadarani O, Al Hamdan R, Huber W, Malbrain M, Chew M, Mallat J, Tagami T, Hundeshagen S, Wolf S, Huber W, Mair S, Schmid R, Aron J, Adlam M, Dua G, Mu L, Chen L, Yoon J, Clermont G, Dubrawski A, Duhailib Z, Al Assas K, Shafquat A, Salahuddin N, Donaghy J, Morgan P, Valeanu L, Stefan M, Provenchere S, Longrois D, Shaw A, Mythen MG, Shook D, Hayashida D, Zhang X, Munson SH, Sawyer A, Mariyaselvam M, Blunt M, Young P, Nakwan N, Khwannimit B, Checharoen P, Berger D, Moller P, Bloechlinger S, Bloch A, Jakob S, Takala J, Van den Brule JM, Stolk R, Vinke E, Van Loon LM, Pickkers P, Van der Hoeven JG, Kox M, Hoedemaekers CW, Werner-Moller P, Jakob S, Takala J, Berger D, Bertini P, Guarracino F, Colosimo D, Gonnella S, Brizzi G, Mancino G, Baldassarri R, Pinsky MR, Bertini P, Gonnella S, Brizzi G, Mancino G, Amitrano D, Guarracino F, Goslar T, Stajer D, Radsel P, De Vos R, Dijk NBV, Stringari G, Cogo G, Devigili A, Graziadei MC, Bresadola E, Lubli P, Amella S, Marani F, Polati E, Gottin L, Colinas L, Hernández G, Vicho R, Serna M, Canabal A, Cuena R, Jozwiak M, Gimenez J, Teboul JL, Mercado P, Depret F, Richard C, Monnet X, Hajjej Z, Sellami W, Sassi K, Gharsallah H, Labbene I, Ferjani M, Herner A, Schmid R, Huber W, Abded N, Nassar Y, Elghonemi M, Monir A, Nikhilesh J, Apurv T, Uber AU, Grossestreuer A, Moskowitz A, Patel P, Holmberg MJ, Donnino MW, Graham CA, Hung K, Lo R, Leung LY, Lee KH, Yeung CY, Chan SY, Trembach N, Zabolotskikh I, Caldas J, Panerai R, Camara L, Ferreira G, Almeida J, de Oliveira GQ, Jardim J, Bor-Seng-Shu E, Lima M, Nogueira R, Jatene F, Zeferino S, Galas F, Robinson T, Hajjar LA, Caldas J, Panerai R, Ferreira G, Camara L, Zeferino S, Jardim J, Bor-Seng-Shu E, Oliveira M, Norgueira R, Groehs R, Ferreira-Santos L, Galas F, Oliveira G, Almeida J, Robinson T, Jatene F, Hajjar L, Ferreira G, Ribeiro J, Galas F, Gaiotto F, Lisboa L, Fukushima J, Rizk S, Almeida J, Jatene F, Osawa E, Franco R, Kalil R, Hajjar L, Chlabicz M, Sobkowicz B, Kaminski K, Kazimierczyk R, Musial W, Tycińska A, Siranovic M, Gopcevic A, Gavranovic ZG, Horvat AH, Krolo H, Rode B, Videc L, Trifi A, Abdellatif S, Ismail KB, Bouattour A, Daly F, Nasri R, Lakhal SB, Beurton A, Teboul JL, Girotto V, Galarza L, Richard C, Monnet X, Beurton A, Teboul JL, Girotto V, Galarza L, Richard C, Monnet X, Girotto V, Teboul JL, Beurton A, Galarza L, Guedj T, Monnet X, Galarza L, Mercado P, Teboul JL, Girotto V, Beurton A, Richard C, Monnet X, Iliæ MK, Sakic L, NN V, Stojcic L, Jozwiak M, Depret F, Teboul JL, Alphonsine J, Lai C, Richard C, Monnet X, Tapanwong N, Chuntupama P, Wacharasint P, Huber W, Hoellthaler J, Lahmer T, Schmid R, Latham H, Bengtson CD, Satterwhite L, Stites M, Simpson SQ, Latham H, Bengtson CD, Satterwhite L, Stites M, Simpson SQ, Skladzien T, Cicio M, Garlicki J, Serednicki W, Wordliczek J, Vargas P, Salazar A, Mercado P, Espinoza M, Graf J, Kongpolprom N, Sanguanwong N, Jonnada S, Gerrard C, Jones N, Morley T, Thorburn PT, Trimmings A, Musaeva T, Zabolotskikh I, Salazar A, Vargas P, Mercado P, Espinoza M, Graf J, Horst S, Lipcsey M, Kawati R, Pikwer A, Rasmusson J, Castegren M, Shilova A, Yafarova A, Gilyarov M, Shilova A, Yafarova A, Gilyarov M, Stojiljkovic DLL, Ulici A, Reidt S, Lam T, Jancik J, Ragab D, Taema K, Farouk W, Saad M, Liu X, Holmberg MJ, Uber A, Montissol S, Donnino M, Andersen LW, Perlikos F, Lagiou M, Papalois A, Kroupis C, Toumpoulis I, Osawa E, Carter D, Sardo S, Almeida J, Galas F, Rizk S, Franco R, Hajjar L, Landoni G, Kongsayreepong S, Sungsiri R, Wongsripunetit P, Marchio P, Guerra-Ojeda S, Gimeno-Raga M, Mauricio MD, Valles SL, Aldasoro C, Jorda A, Aldasoro M, Vila JM, Borg UB, Neitenbach AM, García M, González PG, Romero MG, Orduña PS, Cano AG, Rhodes A, Grounds RM, Cecconi M, Lee C, Hatib F, Jian Z, Rinehart J, De Los Santos J, Canales C, Cannesson M, García MIM, Hatib F, Jian Z, Scheeren T, Jian Z, Hatib F, Pinsky M, Chantziara V, Vassi A, Michaloudis G, Sanidas E, Golemati S, Bateman RM, Mokhtar A, Omar W, Aziz KA, El Azizy H, Nielsen DLL, Holler JG, Lassen A, Eriksson M, Strandberg G, Lipcsey M, Larsson A, Capoletto C, Almeida J, Ferreira G, Fukushima J, Nakamura R, Risk S, Osawa E, Park C, Oliveira G, Galas F, Franco R, Hajjar L, Dias F, D’Arrigo N, Fortuna F, Redaelli S, Zerman L, Becker L, Serrano T, Cotes L, Ramos F, Fadel L, Coelho F, Mendes C, Real J, Pedron B, Kuroki M, Costa E, Azevedo L. 37th International Symposium on Intensive Care and Emergency Medicine (part 1 of 3). Crit Care 2017. [PMCID: PMC5374603 DOI: 10.1186/s13054-017-1628-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Wallwiener M, Simoes E, Hartkopf AD, Taran FA, Keilmann L, Sickenberger N, Stevanovic S, Belleville E, Ladra C, Schneeweiss A, Wallwiener D, Brucker SY, Graf J. Abstract P3-11-05: Reliability and acceptance of e-based survey instruments for measuring patient reported outcomes (PRO) in breast cancer patients: First results of the ePROCOM study. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p3-11-05] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Introduction
Especially in oncology patients, Patient Reported Outcomes (PRO) play an increasingly important role to measure subjectively perceived health status and treatment effects. At the moment, paper-based surveys of PRO still predominate (pPRO); in recent years, data on patient-relevant endpoints is being increasingly collected electronically (ePRO). The aim of the study was to analyze the acceptance of an ePRO-survey tool in breast cancer patients within the PRAEGNANT multicenter trial. Furthermore, it should be considered, whether differences in response behavior between pPRO and ePRO can be identified (reliability check).
Materials and Methods
ePROCOM (Patient Reported Outcomes and Compliance Anaysis) was conceptualized as a monocenter, randomized, parallel-group, cross-over study. Female patients with diagnosis breast cancer aged more than 18 years were included.We randomized the patients into one of two study arms. In study arm A the patients are first asked to use the electronic, web-based tool to document the patient questionnaire (EORTC QLQ C-30 and FACT-B). Afterwards the patients were asked to fill and evaluate the paper-based questionnaires accordingly, followed by evaluation of usability, acceptance and capability. In study arm B the course varies by meaning that paper-based evaluation will be followed by the assessment of electronic data capture.
Results
N=110 patients with breast cancer in adjuvant or neoadjuvant situation completing the study during an outpatient visit at the University Hospitals in Tuebingen and the National Cancer Centre Heidelberg (average age: 52.4). In most patients, there were no differences in terms of acceptance between pPRO and ePRO. Only in some older patients with a lower quality of life hurdles for ePRO could be identified, because of lower acceptance rates. We could not find significant differences in response behavior between pPRO and ePRO.
Discussion
Because no differences in response behavior could be identified, the tool can be define as reliable possibility to measure patient reported outcomes. E-PRO surveys appear to be suitable for use in breast cancer patients. However, there is a need of support in older and more ill patients, to participate form the technical capabilities of ePRO.
Citation Format: Wallwiener M, Simoes E, Hartkopf AD, Taran F-A, Keilmann L, Sickenberger N, Stevanovic S, Belleville E, Ladra C, Schneeweiss A, Wallwiener D, Brucker SY, Graf J. Reliability and acceptance of e-based survey instruments for measuring patient reported outcomes (PRO) in breast cancer patients: First results of the ePROCOM study [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P3-11-05.
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Affiliation(s)
- M Wallwiener
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - E Simoes
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - AD Hartkopf
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - F-A Taran
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - L Keilmann
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - N Sickenberger
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - S Stevanovic
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - E Belleville
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - C Ladra
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - A Schneeweiss
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - D Wallwiener
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - SY Brucker
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
| | - J Graf
- University Hospital Tuebingen, Tuebingen, Germany; University Hospital Heidelberg, Hospital for General Obstetrics and Gynecology, Heidelberg
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Jozwick AKS, Graf J, Welch TJ. The flagellar master operon flhDC is a pleiotropic regulator involved in motility and virulence of the fish pathogen Yersinia ruckeri. J Appl Microbiol 2017; 122:578-588. [PMID: 27981729 DOI: 10.1111/jam.13374] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Revised: 11/14/2016] [Accepted: 11/26/2016] [Indexed: 11/28/2022]
Abstract
AIMS To investigate the function of the master flagellar operon flhDC in the fish pathogen Yersinia ruckeri and compare the effect of a constructed flhD mutation to a naturally occurring fliR mutation causing loss-of-motility in emergent biotype 2 (BT2) strains. METHODS AND RESULTS Yersinia ruckeri flhD and fliR mutants were constructed in a motile strain. Both mutations caused loss-of-motility, ablation of flagellin synthesis and phospholipase secretion, similar to naturally occurring BT2 strains. Transcriptome analysis confirmed flhDC regulation of flagellar, chemotaxis and phospholipase loci as well as other genes of diverse function. The flhD mutation confers a competitive advantage within the fish host when compared with its parent strain, while this advantage was not seen with the naturally occurring fliR mutation. CONCLUSIONS An intact flhD is necessary for expression of the flagellar secretion system as well as other diverse loci, consistent with a role for flhD as a pleiotropic regulator. The maintenance of the flhD locus in Y. ruckeri strains suggests its importance for aspects of Y. ruckeri biology other than virulence, since the flhD mutation conferred a competitive advantage during experimental challenge of rainbow trout. SIGNIFICANCE AND IMPACT OF THE STUDY Yersinia ruckeri is the causative agent of enteric red mouth disease, an invasive septicaemia that affects farmed salmonid fish species. Disease outbreaks can cause severe economic losses in aquaculture. BT2 variants, which have independently emerged worldwide, are an increasing threat to farmed fish production. Knowledge of mechanisms involved in virulence, conserved functions and gene regulation among strains may be exploited for the development of novel disease control strategies to prevent pathogen growth or virulence phenotypes within aquaculture.
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Affiliation(s)
- A K S Jozwick
- Agricultural Research Service/U.S. Department of Agriculture, National Center for Cool and Cold Water Aquaculture, Kearneysville, WV, USA
| | - J Graf
- Department of Molecular and Cell Biology, University of Connecticut, Storrs, CT, USA.,Institute for Systems Genomics, University of Connecticut, Storrs, CT, USA
| | - T J Welch
- Agricultural Research Service/U.S. Department of Agriculture, National Center for Cool and Cold Water Aquaculture, Kearneysville, WV, USA
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Graf J, Radunz W, Hennersdorf M. Update Kardiogener Schock. Aktuel Kardiol 2016. [DOI: 10.1055/s-0042-113608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- J. Graf
- Medizinische Klinik I, SLK-Kliniken Heilbronn GmbH, Heilbronn
| | - W. Radunz
- Medizinische Klinik I, SLK-Kliniken Heilbronn GmbH, Heilbronn
| | - M. Hennersdorf
- Medizinische Klinik I, SLK-Kliniken Heilbronn GmbH, Heilbronn
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Wallwiener M, Simoes E, Sokolov AN, Brucker SY, Fasching PA, Graf J. Health-related Quality of Life in Metastatic and Adjuvant Breast Cancer Patients. Geburtshilfe Frauenheilkd 2016; 76:1065-1073. [PMID: 27761027 DOI: 10.1055/s-0042-113188] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [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: 12/22/2022] Open
Abstract
Introduction: When cancer patients have advanced disease and a primary cure is no longer possible, the focus is on maintaining the patient's quality of life. Recent therapeutic advances in breast cancer treatment mean that even patients with metastatic disease can remain stable for long periods of time. The aim of this study was to look at the health-related quality of life (HRQL) of these patients and compare it with data for the general population and to show the differences in outcomes for different survey instruments used to measure quality of life. Material and Methods: A total of 96 breast cancer patients with metastatic disesae or receiving adjuvant therapy were questioned about their quality of life. Patients were investigated using the established survey instruments EORTC QLQ-C30, EORTC QLQ-BR23, EQ-5D-5L and EQ VAS. All patients filled out questionnaires. Statistical analysis was done using MS Excel and SPSS. Results: Although the questionnaires were completed at the same time, the different questionnaires showed significant differences with regard to the level of stress experienced by the patient. When the EQ VAS questionnaire was used, the patient's current state of health was assessed as significantly better than with the EORTC QLQ-C30. Overall, all aspects of patients' quality of life were found to be in need of optimization and HRQL of patients was significantly poorer in all areas compared to the reference population. Conclusion: To improve the quality of life of patients with metastatic disease, it is necessary to continuously monitor the success of therapy. The choice of survey tools is highly relevant as assessments differ considerably depending on the choice of questionnaire.
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Affiliation(s)
- M Wallwiener
- Abteilung für Allgemeine Frauenheilkunde und Geburtshilfe, Universitätsklinikum Heidelberg, Heidelberg, Germany
| | - E Simoes
- Department für Frauengesundheit, Universitätsklinikum Tübingen, Tübingen, Germany; Forschungsinstitut für Frauengesundheit, Universitätsklinikum Tübingen, Tübingen, Germany; Stabsstelle Sozialmedizin, Universitätsklinikum Tübingen, Tübingen, Germany
| | - A N Sokolov
- Department für Frauengesundheit, Universitätsklinikum Tübingen, Tübingen, Germany; Forschungsinstitut für Frauengesundheit, Universitätsklinikum Tübingen, Tübingen, Germany
| | - S Y Brucker
- Department für Frauengesundheit, Universitätsklinikum Tübingen, Tübingen, Germany; Forschungsinstitut für Frauengesundheit, Universitätsklinikum Tübingen, Tübingen, Germany
| | - P A Fasching
- Frauenklinik, Universitätsklinikum Erlangen, Erlangen, Germany
| | - J Graf
- Department für Frauengesundheit, Universitätsklinikum Tübingen, Tübingen, Germany; Forschungsinstitut für Frauengesundheit, Universitätsklinikum Tübingen, Tübingen, Germany; Studiendekanat, Medizinische Fakultät, Universität Tübingen, Tübingen, Germany
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Pösch LS, Graf J, Sokolov AN, Rall KK, Wallwiener D, Brucker SY, Simoes E. Klinische Merkmale und Versorgungslücken bei Seltenen Erkrankungen: anamnestische Besonderheiten bei MRKHS-Patientinnen. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592740] [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: 10/20/2022] Open
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Graf J, Sokolov A, Wallwiener M, Keilmann L, Wallwiener D, Brucker SY, Simoes E. Praktikabilität von e-basierten Erhebungsinstrumenten zur Messung der gesundheitsbezogenen Lebensqualität bei Brustkrebspatientinnen: Ergebnisse der Studie e-PROCOM. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592983] [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: 10/20/2022] Open
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Graf J, Simoes E, Keilmann L, Wallwiener D, Brucker SY, Wallwiener M. Die Bereitschaft zur Nutzung von technikbasierten PRO-Erhebungen bei Patientinnen mit Mammakarzinom in der adjuvanten und metastasierten Situation. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592704] [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: 10/20/2022] Open
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Graf J, Sokolov A, Wallwiener M, Wallwiener D, Brucker SY, Simoes E. Hürden von Brustkrebspatientinnen in der adjuvanten und metastasierten Situation bei der Nutzung von e-basierten Anwendungen zur Erhebung von Patient Reported Outcomes. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592997] [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: 10/20/2022] Open
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Keilmann L, Graf J, Simoes E, Wißlicen K, Rava L, Wallwiener C, Walter CB, Hartkopf A, Taran A, Wallwiener S, Fasching P, Brucker SY, Wallwiener M. Bereitschaft zur Nutzung technikbasierter Erhebungen (ePRO) bei Mammakarzinom-Patientinnen in der adjuvanten und metastasierten Situation in Abhängigkeit von soziodemographischen Merkmalen, gesundheitsbezogener Lebensqualität, Erkrankungsstatus und Technikskills. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593248] [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: 10/20/2022] Open
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Graf J, Sokolov A, Wallwiener M, Wallwiener D, Brucker SY, Simoes E. Gesundheitsbezogene Lebensqualität bei Brustkrebspatientinnen in der metastasierten und adjuvanten Situation: Ergebnisse einer Querschnittsuntersuchung an einer Universitätsfrauenklinik. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593011] [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: 10/20/2022] Open
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Recke A, Oei A, Hübner F, Fechner K, Graf J, Hagenah J, May C, Woitalla D, Salmen A, Zillikens D, Gold R, Schlumberger W, Schmidt E. Parkinson disease and multiple sclerosis are not associated with autoantibodies against structural proteins of the dermal-epidermal junction. Br J Dermatol 2016; 175:407-9. [PMID: 26972435 DOI: 10.1111/bjd.14538] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- A Recke
- Lübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - A Oei
- Lübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany
| | - F Hübner
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - K Fechner
- Institute of Experimental Immunology, Euroimmun Inc., Lübeck, Germany
| | - J Graf
- Departments of Neurology, University of Lübeck, Lübeck, Germany
| | - J Hagenah
- Departments of Neurology, University of Lübeck, Lübeck, Germany
| | - C May
- Medizinisches Proteom-Center, Ruhr-Universität Bochum, Bochum, Germany
| | - D Woitalla
- Department of Neurology, Katholische Kliniken Ruhrhalbinsel GmbH, Essen, Germany
| | - A Salmen
- Department of Neurology, Inselspital, Bern University Hospital, Bern, Switzerland
| | - D Zillikens
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - R Gold
- Department of Neurology, St. Josef Hospital, Ruhr-University, Bochum, Germany
| | - W Schlumberger
- Institute of Experimental Immunology, Euroimmun Inc., Lübeck, Germany
| | - E Schmidt
- Lübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany
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