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Grünewaldt A, Fritsch N, Filmann N, Wagner TOF. Pulmonale und nicht pulmonale Risikofaktoren zur Entwicklung eines hyperkapnischen Atempumpversagens – eine retrospektive Analyse. Pneumologie 2017. [DOI: 10.1055/s-0037-1598324] [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)
- A Grünewaldt
- Medizinische Klinik I, Innere Medizin, Pneumologie, Klinikum der Johann Wolfgang Goethe Universität
| | | | - N Filmann
- Institut für Biostatistik und Mathematische Modellierung, Universität Frankfurt
| | - TOF Wagner
- Medizinische Klinik I, Innere Medizin, Pneumologie, Klinikum der Johann Wolfgang Goethe Universität
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Grünewaldt A, Hügel C, Hermann E, Wagner TOF. [Possible Significance of Bronchoalveolar Lavage Cytology at Initial Diagnosis and Follow-up of Lung Cancer]. Pneumologie 2017; 71:106-110. [PMID: 28222478 DOI: 10.1055/s-0042-118054] [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: 10/20/2022]
Abstract
Bronchoalveolar lavage [BAL] is an important procedure in the diagnosis of a variety of lung diseases. While it has enormous value in the diagnostics of inflammatory parenchymal diseases, its significance in lung cancer is unclear. Keeping in mind that immune therapy (e. g. application of checkpoint inhibitors) is gaining importance in the management of lung carcinoma, it is important to know if there are typical cellular patterns in BAL of lung cancer patients. Methods In a retrospective proof of principle-study, we analyzed 38 patients who underwent BAL at the initial diagnosis of lung cancer. Results We observed an elevated level of CD25 lymphocytes as well as an increased expression of DR antigen, both signaling lymphocyte activation. We could not find a typical cytologic pattern of inflammatory cells in lung carcinoma patients. Sensitivity of BAL to malignant cells was rare, thus confirming earlier analysis. Conclusion We could not demonstrate typical cellular patterns in BAL of lung cancer patients. Evaluation of specific microRNA patterns might play a supporting role in the initial diagnosis as well as follow-up of lung cancer patients.
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Affiliation(s)
- A Grünewaldt
- Universitätsklinikum der Johann Wolfgang Goethe-Universität Frankfurt, Schwerpunkt Pneumologie
| | - C Hügel
- Universitätsklinikum der Johann Wolfgang Goethe-Universität Frankfurt, Schwerpunkt Pneumologie
| | - E Hermann
- Universitätsklinikum der Johann Wolfgang Goethe-Universität Frankfurt, Institut für medizinische Biometrie und mathematische Modellierung
| | - T O F Wagner
- Universitätsklinikum der Johann Wolfgang Goethe-Universität Frankfurt, Schwerpunkt Pneumologie
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Grünewaldt A, Wagner TOF. [Epitheloid cell granulomas in bronchial invasive mucinous adenocarcinoma]. Pneumologie 2015; 69:89-92. [PMID: 25668608 DOI: 10.1055/s-0034-1391371] [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: 10/24/2022]
Abstract
Granulomatous lung diseases are frequently occurring pulmonary diseases.Important granulomatous lung diseases are sarcoidosis and pulmonary tuberculosis. Furthermore, granulomas can be caused by foreign body reactions like berylliosis or silicosis as well as by other infections (e. g. by nocardia spp.).Granulomatous systemic inflammatory diseases such as the Churg Strauss syndrome or the Wegener's granulomatosis can harm the lung as well.In this case report, we describe a patient who visited our emergency room because of apparent refractory pneumonia. First histologic specimens showed sarcoid-like lesions. Subsequent investigation showed invasive mucinous adenocarcinoma of the lung.
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Affiliation(s)
- A Grünewaldt
- Klinikum der Johann Wolfgang Goethe-Universität Frankfurt I. Medizinische Klinik, Schwerpunkt Pneumologie
| | - T O F Wagner
- Klinikum der Johann Wolfgang Goethe-Universität Frankfurt I. Medizinische Klinik, Schwerpunkt Pneumologie
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Hirche TO, Wagner TOF, Schreiber-Dietrich D, Ignee A, Dietrich CF. Evaluation der Mediastinalsonografie zur Diagnostik der Lymphadenopathie bei Patienten mit Sarkoidose. Pneumologie 2014. [DOI: 10.1055/s-0034-1367995] [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: 10/25/2022]
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Hirche TO, Foth S, Pfalz A, Smaczny C, Wagner TOF. Analyse elektronischer Gesundheitsnetzwerke am Beispiel des Online-Expertenrats muko.info. Pneumologie 2012. [DOI: 10.1055/s-0032-1302892] [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: 10/28/2022]
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Lais C, Wagner TOF. Kleinzelliges Karzinom des Ösophagus mit TTF1-Expression. Pneumologie 2012. [DOI: 10.1055/s-0032-1302763] [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: 10/28/2022]
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Loitsch SM, Langanke A, Wagner TOF, Hirche TO. Hyperosmotischer Stress induziert Interleukin 8 via p38 MAPK, Src-Kinase und EGRF in humanen Atemwegszellen. Pneumologie 2012. [DOI: 10.1055/s-0032-1302797] [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: 10/28/2022]
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Lais C, Wagner TOF, Friedrich-Rust M, Bojunga J. High-Frequency-Jet-Ventilation beim ARDS. Pneumologie 2012. [DOI: 10.1055/s-0032-1302577] [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: 10/28/2022]
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Hirche T, Stein J, Hirche H, Hausmann J, Wagner TOF, Behrends F, Schroeder O. Erhöhte Spiegel von Anti-Glycan Antikörpern bei Patienten mit Cystischer Fibrose. Pneumologie 2011. [DOI: 10.1055/s-0031-1272155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Dederke B, Schumann C, Seraphin J, Wagner TOF, Rittmeyer A, Eschenburg H, Harich H, Vehling-Kaiser U, Esser M, Heinrich B. Erlotinib (Tarceva®) in der Routinebehandlung des nicht-kleinzelligen Lungenkarzinoms nach Versagen einer vorangegangenen Chemotherapie. Pneumologie 2011. [DOI: 10.1055/s-0031-1272215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Hirche TO, Bradley J, d'Alquen D, De Boeck K, Dembski B, Elborn JS, Gleiber W, Lais C, Malfroot A, Wagner TOF. Travelling with cystic fibrosis: recommendations for patients and care team members. J Cyst Fibros 2010; 9:385-99. [PMID: 20850392 DOI: 10.1016/j.jcf.2010.08.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2010] [Revised: 08/04/2010] [Accepted: 08/16/2010] [Indexed: 01/17/2023]
Abstract
There are no European Guidelines on issues specifically related to travel for people with cystic fibrosis (CF). The contributors to these recommendations included 30 members of the ECORN-CF project. The document is endorsed by the European Cystic Fibrosis Society and sponsored by the Executive Agency of Health and Consumers of the European Union and the Christiane Herzog Foundation. The main goal of this paper is to provide patient-oriented advice that complements medical aspects by offering practical suggestions for all aspects involved in planning and taking a trip. The report consists of three main sections, preparation for travel, important considerations during travel and at the destination, and issues specific to immunocompromised travellers. People with CF should be encouraged to consult with their CF centre prior to travel to another country. The CF centre can advise on the necessary preparation for travel, the need for vaccinations, essential medications that should be brought on the trip and also provide information relating to CF care in the region and plan of action in case of an emergency.
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Affiliation(s)
- T O Hirche
- Department of Pulmonary Medicine, German Clinic for Diagnostics (DKD), Wiesbaden, Germany
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Hirche T, Lange C, Tran T, Farnik H, Jungblut S, Wagner TOF. Erhöhte Frequenz regulatorischer T-Zellen und Selektion hochpotenter CD62L+ Zellen bei lungentransplantierten Patienten unter Therapie mit Rapamycin. Pneumologie 2010. [DOI: 10.1055/s-0030-1251290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Jungblut S, Frickmann H, Hirche T, Achenbach J, Wagner TOF. Schädigung am Respirationstrakt durch aspiriertes Alendronat. Pneumologie 2008. [DOI: 10.1055/s-2008-1074312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Born T, Hoffmann C, Arn N, Tekeli N, Goldwasser R, Gat M, Wagner TOF. Vibration Response Imaging (VRI) bei Patienten mit Lungenkarzinom unter Chemotherapie. Pneumologie 2008. [DOI: 10.1055/s-2008-1074458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Hirche T, Wagner TOF, Born T, Jungblut S, Sczepanski B, Köhnlein T, Zuna I, Gunkel C, Hecker K. Erzeugung von Sauerstoff durch kombinierte Elektrolyse-Brennstoffzellentechnologie: Klinischer Einsatz bei Patienten mit chronischer respiratorischer Insuffizienz. Pneumologie 2008. [DOI: 10.1055/s-2008-1074327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Hirche T, Jungblut S, Paul K, Stern M, Wagner TOF, Wiedemann B. Body Mass Index Perzentile korrelieren besser mit dem Ernährungsstatus und der Lungenfunktion von Patienten mit Cystischer Fibrose (CF) als konventionelle anthropometrische Indizes. Pneumologie 2007. [DOI: 10.1055/s-2007-973219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Luboldt W, Wetter A, Eichler K, Vogl TJ, Wagner TOF, Seemann MD. Determination of the optimal MRI sequence for the detection of malignant lung nodules. Eur J Med Res 2006; 11:336-42. [PMID: 17052969] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023] Open
Abstract
OBJECTIVE For staging, follow-up and even screening (www.screening.info) an "all-in-one" imaging examination is desirable. In the concept of whole body MRI, lung imaging prevails as the weakest link. The purpose of our study was to determine the optimal MRI sequences for the detection of malignant lung nodules. PATIENTS AND METHODS On the basis of 6 lung cancer, 46 metastases and one tuberculoma in 13 patients eight MRI sequences--HASTE, IR-HASTE, fat saturated TrueFISP, STIR, VIBEipat = 2, and contrast-enhanced (CE) VIBE (with ipat = 2, 0, 4) performed with parallel imaging and 12 matrix coil elements--were compared in terms of contrast-to-noise ratio (CNR) and quality in the visualization of the lung nodules using multidetector CT as standard of reference. The parameters of the sequences were pragmatically selected to minimize the imaging time to allow for imaging the entire lung within one breathold interval. RESULTS The STIR sequence was found to be the best for detecting malignant lung nodules (p<0.01) followed by the FS TrueFISP, CE VIBE subsetipat = 0, CE VIBE subsetipat = 2, IR-HASTE, HASTE, CE VIBE subsetipat = 4, and VIBE. The STIR sequence visualized malignant nodules down to 2 mm in size and did not display the 19 mm tuberculoma. CONCLUSION The STIR sequence should be included in future studies investigating if MRI can compete with CT in the early identification (detection and classification) of malignant lung nodules.
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Affiliation(s)
- W Luboldt
- Department of Radiology, University Hospital Frankfurt, Theodor-Stern-Kai 7, D-60590 Frankfurt am Main, Germany.
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Schönhofer B, Wagner TOF. [Location of mechanical ventilation in the specialized centre--intensive care unit, respiratory intermediate care unit and the specialized normal ward]. Pneumologie 2006; 60:376-82. [PMID: 16761234 DOI: 10.1055/s-2006-932134] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [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: 10/24/2022]
Abstract
Until recently "mechanical ventilation" meant "intensive care unit (ICU)". Important arguments for more flexibility concerning the locality where patients are mechanically ventilated are the increase in number of patients, costs and reduced resources. The pulmonary centre for mechanical ventilation, where ICU, respiratory intermediate care unit (RICU) and the specialized normal ward are complementary, is an attractive option for the future. The RICU is the key player in this concept, since as a step down unit it represents a cost-effective approach to the care of substantial numbers of selected patients requiring specialized respiratory care, e. g. intensive respiratory monitoring and therapy, particularly those requiring prolonged mechanical ventilation and non-invasive mechanical ventilation. Success of the RICU requires an experienced team, adequate location and high quality of technical equipment, experienced team, adequate location and high quality of technical equipment.
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Affiliation(s)
- B Schönhofer
- Abteilung für Pneumologie und internistische Intensivmedizin, Klinikum Region Hannover, Krankenhaus Oststadt Heidehaus, 30659 Hannover.
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Reynders V, Steinhauer C, von Mallinckrodt C, Hirche T, Wagner TOF, Bargon J, Loitsch S. PPARalpha in Lymphozyten von Patienten mit Mukoviszidose. Pneumologie 2006. [DOI: 10.1055/s-2006-933783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hirche TO, Loitsch S, Smaczny C, Wagner TOF. Neue Konzepte zur Pathophysiologie und Therapie der Mukoviszidose. Pneumologie 2005; 59:811-8. [PMID: 16385442 DOI: 10.1055/s-2005-915557] [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: 10/25/2022]
Abstract
Today, the majority of cystic fibrosis (CF) patients treated in Germany have reached adulthood. However, with increasing age the morbidity and frequency of severe pulmonary complications continues to rise. Further optimization of conventional therapy alone will be insufficient to compensate for this development. In recent years, there has been impressive progress in our understanding of the molecular basis of the CF gene and its product, the cystic fibrosis transmembrane conductance regulator (CFTR). This knowledge can now be applied to develop new therapeutic strategies. However, important questions remain to be solved, i. e., little is known about the pathways that link the malfunctioning of the CFTR protein with the observed clinical phenotype. This review briefly touches on CF genetics as it applies to lung disease and will focus on the current hypotheses of CFTR (dys)function and its impact on pulmonary fluid homeostasis. New treatment options that target the molecular basis of the disease will be discussed.
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Affiliation(s)
- T O Hirche
- Schwerpunkt Pneumologie/Allergologie, Zentrum der Inneren Medizin I, Klinikum der Johann Wolfgang Goethe-Universität
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Reynders V, Loitsch SM, Steinhauer C, von Mallinckrodt C, Hirche T, Wagner TOF, Bargon J. Verringerte Expression und Aktivität von PPAR alpha in Lymphozyten von Patienten mit Mukoviszidose. Pneumologie 2005. [DOI: 10.1055/s-2005-864474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hirche TO, Gaut JP, Heinecke JW, Wagner TOF, Belaaouaj A. Myeloperoxidase/Hypochlorsäure hemmt die enzymatische Aktivität der neutrophilen Serin-Proteinasen. Pneumologie 2005. [DOI: 10.1055/s-2005-864541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Wagner L, Achenbach HJ, Gleiber W, von Mallinckrodt C, Wagner TOF. Erfolgreiche antimykotische und endoskopische Therapie bei beidseitiger Anastomoseninfiltration durch Aspergillus fumigatus (Af). Fallbericht bei Zystischer Fibrose (CF) und bilateraler Lungentransplantation (BLTX). Pneumologie 2005. [DOI: 10.1055/s-2005-864490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Watz H, Firner K, Achenbach J, Smaczny C, Wagner TOF. Die thorakale Lymphangiomatose – seltene Ursache eines Chylothorax einer jungen Frau post partum und Differenzialdiagnose zur Lymphangioleiomyomatose. Pneumologie 2005. [DOI: 10.1055/s-2005-864604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Watz H, Firner K, Eichler K, Achenbach J, Wagner TOF. Die CT-Morphologie des Caplan-Syndroms bei einer 83-jährigen Patientin mit Hämoptysen. Pneumologie 2005. [DOI: 10.1055/s-2005-864383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Loitsch SM, von Mallinckrodt C, Steinhauer C, Reynders V, Hirche T, Bargon J, Wagner TOF. Src-Kinasen vermitteln die inflammatorische Antwort auf osmotischen Stress in Bronchialepithelzellen. Pneumologie 2005. [DOI: 10.1055/s-2005-864273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Brzoska M, Langer K, Coester C, Loitsch S, Wagner TOF, Mallinckrodt CV. Incorporation of biodegradable nanoparticles into human airway epithelium cells-in vitro study of the suitability as a vehicle for drug or gene delivery in pulmonary diseases. Biochem Biophys Res Commun 2004; 318:562-70. [PMID: 15120637 DOI: 10.1016/j.bbrc.2004.04.067] [Citation(s) in RCA: 67] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2004] [Indexed: 10/26/2022]
Abstract
PURPOSE Nanoparticles are able to enhance drug or DNA stability for purposes of optimised deposition to targeted tissues. Surface modifications can mediate drug targeting. The suitability of nanoparticles synthesised out of porcine gelatin, human serum albumin, and polyalkylcyanoacrylate as drug and gene carriers for pulmonary application was investigated in vitro on primary airway epithelium cells and the cell line 16HBE14o-. METHODS The uptake of nanoparticles into these cells was examined by confocal laser scan microscopy (CLSM) and flow cytometry (FACS). Further the cytotoxicity of nanoparticles was evaluated by an LDH-release-test and the inflammatory potential of the nanoparticles was assessed by measuring IL-8 release. RESULTS CLSM and FACS experiments showed that the nanoparticles were incorporated into bronchial epithelial cells provoking little or no cytotoxicity and no inflammation as measured by IL-8 release. CONCLUSIONS Based on their low cytotoxicity and the missing inflammatory potential in combination with an efficient uptake in human bronchial epithelial cells, protein-based nanoparticles are suitable drug and gene carriers for pulmonary application.
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Affiliation(s)
- M Brzoska
- Department of Pulmonology, Medical Clinic of Johann-Wolfgang-Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany.
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Dauletbaev N, Viel K, Buhl R, Wagner TOF, Bargon J. Glutathione and glutathione peroxidase in sputum samples of adult patients with cystic fibrosis. J Cyst Fibros 2004; 3:119-24. [PMID: 15463894 DOI: 10.1016/j.jcf.2004.03.005] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2003] [Accepted: 03/10/2004] [Indexed: 10/26/2022]
Abstract
BACKGROUND Reduced glutathione (GSH) is a major antioxidant in the lung. In cystic fibrosis (CF) patients, extracellular GSH levels of lower airways, obtained by bronchoalveolar lavage (BAL), were reported to be lower than non-CF individuals. METHODS Upper airway secretions of stable adult CF patients (29 spontaneous and 13 induced sputum) and non-CF individuals (14 healthy and 12 asthmatics; all induced sputum) were analyzed for total glutathione (i.e. the sum of reduced, GSH, and oxidized, GSSG, forms), GSH and GSSG levels by enzymatic kinetic assay. RESULTS In CF, both spontaneous and induced sputum samples were comparable in total glutathione levels which were surprisingly high (median concentration of 9.2 (range 1.4-65.2) and 11.6 (1.1-69.8) microM, respectively). In non-CF individuals, total glutathione levels were significantly lower (healthy 2.8 (1.0-12.3), asthmatics (5.3 (1.3-19.2) microM; p<0.001, both vs. CF). In CF, more than 90% of total glutathione was represented by GSH, whereas in non-CF controls, GSH made up less than 50% of total glutathione (p<0.001). CONCLUSIONS In contrast to BAL, CF sputum contains high levels of GSH. Sputum induction is a potentially useful procedure to monitor antioxidant levels in upper airways of CF patients.
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Affiliation(s)
- N Dauletbaev
- Pulmonary Medicine, Hospital of Johann Wolfgang Goethe University, Frankfurt/Main, Germany
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von Mallinckrodt C, Schieferstein C, Watz H, Wagner TOF. Cidovovir, eine Therapiealternative zur Behandlung einer schweren CMV-Kolitis durch Immunsuppression nach Lungentransplantation. Pneumologie 2004. [DOI: 10.1055/s-2004-819642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Grossekettler U, Loitsch S, Krüger S, Wagner TOF, v Mallinckrodt C. Erhöhte Werte für IL-18 und IL-12 bei normalem IFN-γ im Serum von Mukoviszidose-Patienten. Pneumologie 2004. [DOI: 10.1055/s-2004-819507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Loitsch SM, Steinhauer C, Reynders V, von Mallinckrodt C, Doermer A, Bargon J, Wagner TOF. Der hyperosmotisch bedingte Wachstumsstopp bei Bronchialepithelzellen wird reguliert über PPARgamma, p27, Cyclin D1 und Rb. Pneumologie 2004. [DOI: 10.1055/s-2004-819575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Wagner TOF, Seeger W. Pneumonology in the course of time. Dtsch Med Wochenschr 2004; 129:483. [PMID: 14986235 DOI: 10.1055/s-2004-820535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Khan F, Herzog C, Ackermann H, Wagner TOF, Vogl TJ. Virtuelle Endoskopie des Tracheo-bronchial Systems: Submillimeter Kollimation bei Einsatz der 16-Zeiler-MDCT. ROFO-FORTSCHR RONTG 2004. [DOI: 10.1055/s-2004-828128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Fieguth HG, Krueger S, Wiedenmann DE, Otterbach I, Wagner TOF. Tacrolimus for treatment of bronchiolitis obliterans syndrome after unilateral and bilateral lung transplantation. Transplant Proc 2002; 34:1884. [PMID: 12176613 DOI: 10.1016/s0041-1345(02)03108-1] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Hans-Gerd Fieguth
- Division of Thoracic and Cardiovascular Surgery, University Hospital, D-60 590 Frankfurt, Germany
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Schürmeyer TH, Wagner TOF, Mühlen AVZ. Endokrinologische Diagnostik bei Hypophysentumoren. Akt Neurol 1989. [DOI: 10.1055/s-2007-1020578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Wagner TOF, Stolke D, Mühlen AVZ, Becker H, Brewitt H. Therapie und Nachsorge von Hypophysentumorpatienten. Akt Neurol 1989. [DOI: 10.1055/s-2007-1020581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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