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Safi SA, Alexander A, Neuhuber W, Haeberle L, Rehders A, Luedde T, Esposito I, Fluegen G, Knoefel WT. Defining distal splenopancreatectomy by the mesopancreas. Langenbecks Arch Surg 2024; 409:127. [PMID: 38625602 PMCID: PMC11021282 DOI: 10.1007/s00423-024-03320-0] [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: 01/16/2024] [Accepted: 04/10/2024] [Indexed: 04/17/2024]
Abstract
BACKGROUND The implementation of the pathologic CRM (circumferential resection margin) staging system for pancreatic head ductal adenocarcinomas (hPDAC) resulted in a dramatic increase of R1 resections at the dorsal resection margin, presumably because of the high rate of mesopancreatic fat (MP) infiltration. Therefore, mesopancreatic excision (MPE) during pancreatoduodenectomy has recently been promoted and has demonstrated better local disease control, fueling the discussion of neoadjuvant downsizing regimes in MP + patients. However, it is unknown to what extent the MP is infiltrated in patients with distal pancreatic (tail/body) carcinomas (dPDAC). It is also unknown if the MP infiltration status affects surgical margin control in distal pancreatectomy (DP). The aim of our study was to histopathologically analyze MP infiltration and elucidate the influence of resection margin clearance on recurrence and survival in patients with dPDAC. Furthermore, the results were compared to a collective receiving MPE for hPDAC. METHOD Clinicopathological and survival parameters of 295 consecutive patients who underwent surgery for PDAC (n = 63 dPDAC and n = 232 hPDAC) were evaluated. The CRM evaluation was performed in a standardized fashion and the specimens were examined according to the Leeds pathology protocol (LEEPP). The MP area was histopathologically evaluated for cancerous infiltration. RESULTS In 75.4% of dPDAC patients the MP fat was infiltrated by vital tumor cells. The rates of MP infiltration and R0CRM- resections were similar between dPDAC and hPDAC patients (p = 0.497 and 0.453 respectively). MP- infiltration status did not correlate with CRM implemented resection status in dPDAC patients (p = 0.348). In overall survival analysis, resection status and MP status remained prognostic factors for survival. In follow up analysis. surgical margin clearance in dPDAC patients was associated with a significant improvement in local recurrence rates (5.2% in R0CRM- resected vs. 33.3 in R1/R0CRM + resected, p = 0.002). CONCLUSION While resection margin status was not affected by the MP status in dPDAC patients, the high MP infiltration rate, as well as improved survival in MP- dPDAC patients after R0CRM- resection, justify mesopancreatic excision during splenopancreatectomy. Larger scale studies are urgently needed to validate our results and to study the effect on neoadjuvant treatment in dPDAC patients.
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Affiliation(s)
- S-A Safi
- Departments of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Moorenstr. 5, 40225, Duesseldorf, Germany
| | - A Alexander
- Departments of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Moorenstr. 5, 40225, Duesseldorf, Germany
| | - W Neuhuber
- Institute of Anatomy I, Friedrich-Alexander University Erlangen-Nuremberg, Universitätsstr. 1, Erlangen, Germany
| | - L Haeberle
- Institute of Pathology, Heinrich-Heine-University and University Hospital Duesseldorf, Moorenstr. 5, 40225, Duesseldorf, Germany
| | - A Rehders
- Departments of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Moorenstr. 5, 40225, Duesseldorf, Germany
| | - T Luedde
- Department of Gastroenterology, Hepatology and Infectious Diseases, Heinrich-Heine-University and University Hospital Duesseldorf, Moorenstr. 5, 40225, Duesseldorf, Germany
| | - I Esposito
- Institute of Pathology, Heinrich-Heine-University and University Hospital Duesseldorf, Moorenstr. 5, 40225, Duesseldorf, Germany
| | - G Fluegen
- Departments of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Moorenstr. 5, 40225, Duesseldorf, Germany
| | - W T Knoefel
- Departments of Surgery (A), Heinrich-Heine-University and University Hospital Duesseldorf, Moorenstr. 5, 40225, Duesseldorf, Germany.
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Eckenberger E, Raczka T, Neuhuber W, Distel LVR, Klein S. Acriflavine-Functionalized Silica@Manganese Ferrite Nanostructures for Synergistic Radiation and Hypoxia Therapies. ACS Appl Bio Mater 2023; 6:3089-3102. [PMID: 37433114 DOI: 10.1021/acsabm.2c01021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/13/2023]
Abstract
Mesoporous and nonmesoporous SiO2@MnFe2O4 nanostructures were loaded with the hypoxia-inducible factor-1 inhibitor acriflavine for combined radiation and hypoxia therapies. The X-ray irradiation of the drug-loaded nanostructures not only triggered the release of the acriflavine inside the cells but also initiated an energy transfer from the nanostructures to surface-adsorbed oxygen to generate singlet oxygen. While the drug-loaded mesoporous nanostructures showed an initial drug release before the irradiation, the drug was primarily released upon X-ray radiation in the case of the nonmesoporous nanostructures. However, the drug loading capacity was less efficient for the nonmesoporous nanostructures. Both drug-loaded nanostructures proved to be very efficient in irradiated MCF-7 multicellular tumor spheroids. The damage of these nanostructures toward the nontumorigenic MCF-10A multicellular spheroids was very limited because of the small number of nanostructures that entered the MCF-10A spheroids, while similar concentrations of acriflavine without nanostructures were toxic for the MCF-10A spheroids.
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Affiliation(s)
- Elisabeth Eckenberger
- Department of Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen-Nuremberg, Egerlandstr.3, D-91058 Erlangen, Germany
| | - Theodor Raczka
- Department of Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen-Nuremberg, Egerlandstr.3, D-91058 Erlangen, Germany
| | - Winfried Neuhuber
- Institute of Anatomy and Cell Biology, Chair of Anatomy I, Friedrich-Alexander University Erlangen-Nuremberg, Krankenhausstr. 9, D-91054 Erlangen, Germany
| | - Luitpold V R Distel
- Department of Radiation Oncology, Friedrich-Alexander University of Erlangen-Nuremberg, Universitätsstr. 27, D-91054 Erlangen, Germany
| | - Stefanie Klein
- Department of Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen-Nuremberg, Egerlandstr.3, D-91058 Erlangen, Germany
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Neuhuber W. Obituary: Wolfgang Zenker (1925–2022) Emeritus Professor of Anatomy. Ann Anat 2023; 249:152098. [PMID: 37024019 DOI: 10.1016/j.aanat.2023.152098] [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] [Received: 03/22/2023] [Accepted: 03/23/2023] [Indexed: 04/08/2023]
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Fede C, Petrelli L, Pirri C, Neuhuber W, Tiengo C, Biz C, De Caro R, Schleip R, Stecco C. Innervation of human superficial fascia. Front Neuroanat 2022; 16:981426. [PMID: 36106154 PMCID: PMC9464976 DOI: 10.3389/fnana.2022.981426] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [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] [Received: 06/29/2022] [Accepted: 08/04/2022] [Indexed: 11/13/2022] Open
Abstract
The superficial fascia has only recently been recognized as a specific anatomical structure. Furthermore, whereas it is actually recognized that the innervation of the deep/muscular fascia plays a key role in proprioception and nociception, there are very few studies that have analyzed these characteristics in the superficial fascia. In this work, our group analyzed two different anatomical districts (abdomen and thigh), from volunteer patients, undergoing surgery procedures. Each sample was processed for histological analysis by Hematoxylin&Eosin, and by immunohistochemistry stainings (in 5-micron-paraffin embedded section and in cryosectioned free floating samples), with antibodies specific for nerve fibers: S100 antibody for myelinating and non-myelinating Schwann cells, PGP9.5 antibody as pan-neuronal marker, tyrosine hydroxylase for autonomic innervation. The results revealed a huge innervation: the nervous structures were found above all around blood vessels and close to adipocytes, but they penetrated also in the connective tissue itself and are found in the midst of fibro-adipose tissue. The tissue is pervaded by both thin (mean diameter of 4.8 ± 2.6 μm) and large nerve fiber bundles of greater diameter (21.1 ± 12.2 μm). The ratio S100/TH positivity was equal to 2.96, with a relative percentage of autonomic innervation with of 33.82%. In the light of these findings is evident that the superficial fasciae have a clear and distinct anatomical identity and a specific innervation, which should be considered to better understand their role in thermoregulation, exteroception and pain perception. The knowledge of the superficial fascia may improve grading and developing of different manual approach for treatments of fascial dysfunctions, and the understanding of how some factors like temperature or manual therapies can have an impact on sensitivity of the fascia.
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Affiliation(s)
- Caterina Fede
- Department of Neurosciences, Institute of Human Anatomy, University of Padua, Padua, Italy
- *Correspondence: Caterina Fede
| | - Lucia Petrelli
- Department of Neurosciences, Institute of Human Anatomy, University of Padua, Padua, Italy
| | - Carmelo Pirri
- Department of Neurosciences, Institute of Human Anatomy, University of Padua, Padua, Italy
| | - Winfried Neuhuber
- Institute of Anatomy and Cell Biology, Friedrich-Alexander-University of Erlangen-Nürnberg, Erlangen, Germany
| | - Cesare Tiengo
- Plastic and Reconstructive Surgery Unit University of Padua, Padua, Italy
| | - Carlo Biz
- Orthopedics and Orthopedic Oncology, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padua, Padua, Italy
| | - Raffaele De Caro
- Department of Neurosciences, Institute of Human Anatomy, University of Padua, Padua, Italy
| | - Robert Schleip
- Department of Sport and Health Sciences, Technical University of Munich, Munich, Germany
| | - Carla Stecco
- Department of Neurosciences, Institute of Human Anatomy, University of Padua, Padua, Italy
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Gill D, Lyer S, Alexiou C, Fried F, Buder T, Neuhuber W, Jacxsens M, Horch RE, Arkudas A. Anatomical Study of all Carpal and Adjoining Bones of the Wrist using 3D CT Reconstruction - Finding the ultimate Biomechanical Theory. Ann Anat 2022; 242:151909. [PMID: 35189269 DOI: 10.1016/j.aanat.2022.151909] [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: 04/28/2021] [Revised: 11/28/2021] [Accepted: 01/30/2022] [Indexed: 10/19/2022]
Abstract
BACKGROUND The complex interplay of single wrist bones acting in combination with their ligamentous connections is still not fully understood. In this regard various theories exist, divisible in columnar and ring/row theories. The object of this study was to examine the mobility of the individual carpal bones as well as the ulna and metacarpals relative to each other in wrists of cadaveric hands using CT scans. METHODS The regular wrist mobility of a total of 21 cadaveric hands was examined by CT imaging in neutral position, radial/ulnar abduction as well as wrist flexion and extension. The data were evaluated as 3D models by using a standardized global coordinate system and object coordinate systems. Rotation and translation of each carpal bone as well as radius/ulna and all metacarpal bones were evaluated. RESULTS The principal motion took place in the carpus between the radius and the proximal carpal row followed by the midcarpal joint and the carpometacarpal joints and not mainly between the individual bones of a row. The scaphoid moves out of its row aggregate mainly during flexion and adapts to the motion of the distal carpal row. The trapezium and first metacarpal bones play a specific role detached from the remaining bones. CONCLUSIONS With this study, a better understanding of the motion of the individual bones of the carpus, the metacarpals and the radius/ulna is shown. The study supports the row theory, where most motion takes place between the individual rows and not between the carpal bones, leaving the scaphoid and the first ray in a special role between the rows.
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Affiliation(s)
- Dominik Gill
- Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich Alexander University Erlangen-Nuernberg FAU, Erlangen, Germany
| | - Stefan Lyer
- Department of Otorhinolaryngology, Head & Neck Surgery, Section of Experimental Oncology & Nanomedicine (SEON), Else Kröner-Fresenius-Stiftung-Professorship, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg FAU, Erlangen, Germany
| | - Christoph Alexiou
- Department of Otorhinolaryngology, Head & Neck Surgery, Section of Experimental Oncology & Nanomedicine (SEON), Else Kröner-Fresenius-Stiftung-Professorship, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg FAU, Erlangen, Germany
| | - Frederik Fried
- Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich Alexander University Erlangen-Nuernberg FAU, Erlangen, Germany
| | - Thomas Buder
- Institute of Anatomy and Cell Biology, Chair I, Friedrich Alexander University Erlangen-Nuernberg FAU, Erlangen, Germany
| | - Winfried Neuhuber
- Institute of Anatomy and Cell Biology, Chair I, Friedrich Alexander University Erlangen-Nuernberg FAU, Erlangen, Germany
| | - Matthijs Jacxsens
- Department of Orthopaedic Surgery and Traumatology, Kantonsspital St. Gallen, St. Gallen, Switzerland
| | - Raymund E Horch
- Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich Alexander University Erlangen-Nuernberg FAU, Erlangen, Germany
| | - Andreas Arkudas
- Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich Alexander University Erlangen-Nuernberg FAU, Erlangen, Germany.
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Huesing C, Zhang R, Gummadi S, Lee N, Qualls-Creekmore E, Yu S, Morrison CD, Burk D, Berthoud HR, Neuhuber W, Münzberg H. Organization of sympathetic innervation of interscapular brown adipose tissue in the mouse. J Comp Neurol 2021; 530:1363-1378. [PMID: 34837221 DOI: 10.1002/cne.25281] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [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: 09/13/2021] [Revised: 11/01/2021] [Accepted: 11/15/2021] [Indexed: 12/24/2022]
Abstract
The interscapular brown adipose tissue (iBAT) is under sympathetic control, and recent studies emphasized the importance of efferent sympathetic and afferent sensory or humoral feedback systems to regulate adipose tissue function and overall metabolic health. However, functional studies of the sympathetic nervous system in the mouse are limited, because details of anatomy and fine structure are lacking. Here, we used reporter mice for tyrosine hydroxylase expressing neurons (TH:tomato mice), iDISCO tissue clearance, confocal, lightsheet, and electron microscopy to clarify that (a) iBAT receives sympathetic input via dorsal rami (instead of often cited intercostal nerves); (b) dorsal rami T1-T5 correspond to the postganglionic input from sympathetic chain ganglia (stellate/T1-T5); (c) dorsal rami serve as conduits for sympathetic axons that branch off in finer nerve bundles to enter iBAT; (d) axonal varicosities show strong differential innervation of brown (dense innervation) versus white (sparse innervation) adipocytes, that surround the core iBAT in the mouse and are intermingled in human adipose tissues, (e) axonal varicosities can form neuro-adipocyte junctions with brown adipocytes. Taken together, we demonstrate that sympathetic iBAT innervation is organized by specific nerves and terminal structures that can be surgically and genetically accessed for neuromodulatory purposes.
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Affiliation(s)
- Clara Huesing
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA
| | - Rui Zhang
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA
| | - Sanjeev Gummadi
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA
| | - Nathan Lee
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA
| | - Emily Qualls-Creekmore
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA
| | - Sangho Yu
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA
| | - Christopher D Morrison
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA
| | - David Burk
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA
| | - Hans Rudolf Berthoud
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA
| | - Winfried Neuhuber
- Institute of Anatomy and Cell Biology, Friedrich-Alexander-University of Erlangen-Nürnberg, Bavaria, Germany
| | - Heike Münzberg
- Neurobiology of Nutrition & Metabolism Department, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA
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Klein S, Otto J, Harreiß C, Distel LVR, Leistner A, Neuhuber W, Spiecker E, Kryschi C. Pt–Fe 3O 4, Pd–Fe 3O 4, and Au–Fe 3O 4 Nanoheterodimers and Their Efficacy as Radiosensitizers in Cancer Therapy. ACS Appl Bio Mater 2021; 4:7879-7892. [DOI: 10.1021/acsabm.1c00803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Stefanie Klein
- Department of Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen─Nuremberg, Egerlandstrasse 3, D-91058 Erlangen, Germany
| | - Julia Otto
- Department of Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen─Nuremberg, Egerlandstrasse 3, D-91058 Erlangen, Germany
| | - Christina Harreiß
- Institute of Micro- and Nanostructure Research & Center for Nanoanalysis and Electron Microscopy (CENEM), Friedrich-Alexander University of Erlangen─Nuremberg, IZNF, Cauerstrasse 3, D-91058 Erlangen, Germany
| | - Luitpold V. R. Distel
- Department of Radiation Oncology, Friedrich-Alexander University of Erlangen─Nuremberg, Universitaetsstrasse 27, D-91054 Erlangen, Germany
| | - Angelika Leistner
- Department of Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen─Nuremberg, Egerlandstrasse 3, D-91058 Erlangen, Germany
| | - Winfried Neuhuber
- Institute of Anatomy and Cell Biology, Chair of Anatomy I, Friedrich-Alexander University of Erlangen─Nuremberg, Krankenhausstrasse 9, D-91054 Erlangen, Germany
| | - Erdmann Spiecker
- Institute of Micro- and Nanostructure Research & Center for Nanoanalysis and Electron Microscopy (CENEM), Friedrich-Alexander University of Erlangen─Nuremberg, IZNF, Cauerstrasse 3, D-91058 Erlangen, Germany
| | - Carola Kryschi
- Department of Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen─Nuremberg, Egerlandstrasse 3, D-91058 Erlangen, Germany
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Abstract
Clinical publications show consistently that headache is a common symptom in the coronavirus disease of 2019 (COVID-19). Several studies specifically investigated headache symptomatology and associated features in patients with COVID-19. The headache is frequently debilitating with manifold characters including migraine-like characteristics. Studies suggested that COVID-19 patients with headache vs. those without headache are more likely to have anosmia. We present a pathophysiological hypothesis which may explain this phenomenon, discuss current hypotheses about how the coronavirus SARS-CoV-2 enters the central nervous system and suggest that activation of the trigeminal nerve may contribute to both headache and anosmia in COVID-19.
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Affiliation(s)
- Karl Messlinger
- Institute of Physiology and Pathophysiology, Friedrich-Alexander University, Erlangen-Nuernberg, Germany
| | - Winfried Neuhuber
- Institute of Anatomy and Cell Biology, Friedrich-Alexander University, Erlangen-Nuernberg, Germany
| | - Arne May
- Department of Systems Neuroscience, University Medical Center Eppendorf, Hamburg, Germany
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Huesing C, Qualls‐Creekmore E, Lee N, François M, Torres H, Zhang R, Burk DH, Yu S, Morrison CD, Berthoud H, Neuhuber W, Münzberg H. Sympathetic innervation of inguinal white adipose tissue in the mouse. J Comp Neurol 2021; 529:1465-1485. [PMID: 32935348 PMCID: PMC7960575 DOI: 10.1002/cne.25031] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 09/08/2020] [Accepted: 09/09/2020] [Indexed: 12/24/2022]
Abstract
Adipose tissue plays an important role in metabolic homeostasis and its prominent role as endocrine organ is now well recognized. Adipose tissue is controlled via the sympathetic nervous system (SNS). New viral, molecular-genetic tools will soon allow a more detailed study of adipose tissue innervation in metabolic function, yet, the precise anatomical extent of preganglionic and postganglionic inputs to the inguinal white adipose tissue (iWAT) is limited. Furthermore, several viral, molecular-genetic tools will require the use of cre/loxP mouse models, while the available studies on sympathetic iWAT innervation were established in larger species. In this study, we generated a detailed map for the sympathetic innervation of iWAT in male and female mice. We adapted iDISCO tissue clearing to process large, whole-body specimens for an unprecedented view of the natural abdominal SNS. Combined with pseudorabies virus retrograde tracing from the iWAT, we defined the preganglionic and postganglionic sympathetic input to iWAT. We used fluorescence-guided anatomical dissections of sympathetic nerves in reporter mice to further clarify that postganglionic axons connect to iWAT via lateral cutaneous rami (dorsolumbar iWAT portion) and the lumbar plexus (inguinal iWAT portion). Importantly, these rami carry axons that branch to iWAT, as well as axons that travel further to innervate the skin and vasculature, and their functional impact will require consideration in denervation studies. Our study may serve as a comprehensive map for future experiments that employ virally driven neuromodulation techniques to predict anatomy-based viral labeling.
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Affiliation(s)
- Clara Huesing
- Neurobiology of Nutrition and Metabolism DepartmentPennington Biomedical Research Center, Louisiana State University SystemBaton RougeLouisianaUSA
| | - Emily Qualls‐Creekmore
- Neurobiology of Nutrition and Metabolism DepartmentPennington Biomedical Research Center, Louisiana State University SystemBaton RougeLouisianaUSA
| | - Nathan Lee
- Neurobiology of Nutrition and Metabolism DepartmentPennington Biomedical Research Center, Louisiana State University SystemBaton RougeLouisianaUSA
| | - Marie François
- Neurobiology of Nutrition and Metabolism DepartmentPennington Biomedical Research Center, Louisiana State University SystemBaton RougeLouisianaUSA
| | - Hayden Torres
- Neurobiology of Nutrition and Metabolism DepartmentPennington Biomedical Research Center, Louisiana State University SystemBaton RougeLouisianaUSA
| | - Rui Zhang
- Neurobiology of Nutrition and Metabolism DepartmentPennington Biomedical Research Center, Louisiana State University SystemBaton RougeLouisianaUSA
| | - David H. Burk
- Neurobiology of Nutrition and Metabolism DepartmentPennington Biomedical Research Center, Louisiana State University SystemBaton RougeLouisianaUSA
| | - Sangho Yu
- Neurobiology of Nutrition and Metabolism DepartmentPennington Biomedical Research Center, Louisiana State University SystemBaton RougeLouisianaUSA
| | - Christopher D. Morrison
- Neurobiology of Nutrition and Metabolism DepartmentPennington Biomedical Research Center, Louisiana State University SystemBaton RougeLouisianaUSA
| | - Hans‐Rudolf Berthoud
- Neurobiology of Nutrition and Metabolism DepartmentPennington Biomedical Research Center, Louisiana State University SystemBaton RougeLouisianaUSA
| | - Winfried Neuhuber
- Institute for Anatomy and Cell Biology, Friedrich‐Alexander UniversityErlangenGermany
| | - Heike Münzberg
- Neurobiology of Nutrition and Metabolism DepartmentPennington Biomedical Research Center, Louisiana State University SystemBaton RougeLouisianaUSA
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Klein S, Distel LVR, Neuhuber W, Kryschi C. Caffeic Acid, Quercetin and 5-Fluorocytidine-Functionalized Au-Fe 3O 4 Nanoheterodimers for X-ray-Triggered Drug Delivery in Breast Tumor Spheroids. Nanomaterials (Basel) 2021; 11:1167. [PMID: 33947086 PMCID: PMC8146450 DOI: 10.3390/nano11051167] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 04/25/2021] [Accepted: 04/26/2021] [Indexed: 01/11/2023]
Abstract
Au-Fe3O4 nanoheterodimers (NHD) were functionalized with the natural and synthetic anticancer drugs caffeic acid (CA), quercetin (Q) and 5-fluorocytidine (5FC). Their X-radiation dose-enhancing potential and chemotherapeutic efficacy for bimodal cancer therapy were investigated by designing multicellular tumor spheroids (MCTS) to in vitro avascular tumor models. MCTS were grown from the breast cancer cell lines MCF-7, MDA-MB-231, and MCF-10A. The MCF-7, MDA-MB-231 and MCF-10A MCTS were incubated with NHD-CA, NHD-Q, or NHD-5FC and then exposed to fractionated X-radiation comprising either a single 10 Gy dose, 2 daily single 5 Gy doses or 5 daily single 2 Gy doses. The NHD-CA, NHD-Q, and NHD-5FC affected the growth of X-ray irradiated and non-irradiated MCTS in a different manner. The impact of the NHDs on the glycolytic metabolism due to oxygen deprivation inside MCTS was assessed by measuring lactate secretion and glucose uptake by the MCTS. The NHD-CA and NHD-Q were found to act as X-radiation dose agents in MCF-7 MCTS and MDA-MB-231 MCTS and served as radioprotector in MCF-10A MCTS. X-ray triggered release of CA and Q inhibited lactate secretion and thereupon disturbed glycolytic reprogramming, whereas 5FC exerted their cytotoxic effects on both, healthy and tumor cells, after their release into the cytosol.
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Affiliation(s)
- Stefanie Klein
- Department of Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen-Nuremberg, Egerlandstr. 3, D-91058 Erlangen, Germany;
| | - Luitpold V. R. Distel
- Department of Radiation Oncology, Friedrich-Alexander University of Erlangen-Nuremberg, Universitätsstr. 27, D-91054 Erlangen, Germany;
| | - Winfried Neuhuber
- Institute of Anatomy, Chair of Anatomy and Cell Biology, Friedrich Alexander University Erlangen-Nuremberg, Krankenhausstr. 9, D-91054 Erlangen, Germany;
| | - Carola Kryschi
- Department of Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen-Nuremberg, Egerlandstr. 3, D-91058 Erlangen, Germany;
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11
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Klein S, Distel LVR, Neuhuber W. X-ray Dose-Enhancing Impact of Functionalized Au–Fe 3O 4 Nanoheterodimers on MCF-7 and A549 Multicellular Tumor Spheroids. ACS Appl Bio Mater 2021; 4:3113-3123. [DOI: 10.1021/acsabm.0c01494] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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)
- Stefanie Klein
- Department of Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen-Nuremberg, Egerlandstr.3, D-91058 Erlangen, Germany
| | - Luitpold V. R. Distel
- Department of Radiation Oncology, Friedrich-Alexander University of Erlangen-Nuremberg, Universitaetsstr. 27, D-91054 Erlangen, Germany
| | - Winfried Neuhuber
- Institute of Anatomy and Cell Biology, Chair of Anatomy I, Friedrich-Alexander University of Erlangen-Nuremberg, Krankenhausstr. 9, D-91054 Erlangen, Germany
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Stiegler LMS, Klein S, Kryschi C, Neuhuber W, Hirsch A. Smart Shell-by-Shell Nanoparticles with Tunable Perylene Fluorescence in the Organic Interlayer. Chemistry 2021; 27:1655-1669. [PMID: 33459437 PMCID: PMC7898710 DOI: 10.1002/chem.202003232] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 08/05/2020] [Indexed: 12/03/2022]
Abstract
A new series of shell-by-shell (SbS)-functionalized Al2 O3 nanoparticles (NPs) containing a perylene core in the organic interlayer as a fluorescence marker is introduced. Initially, the NPs were functionalized with both, a fluorescent perylene phosphonic acid derivative, together with the lipophilic hexadecylphosphonic acid or the fluorophilic (1 H,1 H,2 H,2H-perfluorodecyl)phosphonic acid. The lipophilic first-shell functionalized NPs were further implemented with amphiphiles built of aliphatic chains and polar head-groups. However, the fluorophilic NPs were combined with amphiphiles consisting of fluorocarbon tails and polar head-groups. Depending on the nature of the combined phosphonic acids and the amphiphiles, tuning of the perylene fluorescence can be accomplished due variations of supramolecular organization with the shell interface. Because the SbS-functionalized NPs dispose excellent dispersibility in water and in biological media, two sorts of NPs with different surface properties were tested with respect to biological fluorescent imaging applications. Depending on the agglomeration of the NPs, the cellular uptake differs. The uptake of larger agglomerates is facilitated by endocytosis, whereas individualized NPs cross directly the cellular membrane. Also, the larger agglomerates were preferentially incorporated by all tested cells.
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Affiliation(s)
- Lisa M. S. Stiegler
- Department of Chemistry & PharmacyChair of Organic Chemistry IIFriedrich-Alexander University of Erlangen-NurembergNikolaus-Fiebiger-Straße 1091058ErlangenGermany
| | - Stefanie Klein
- Department Chemistry and PharmacyPhysical Chemistry I and ICMMFriedrich-Alexander University of Erlangen-NurembergEgerlandstraße 391058ErlangenGermany
| | - Carola Kryschi
- Department Chemistry and PharmacyPhysical Chemistry I and ICMMFriedrich-Alexander University of Erlangen-NurembergEgerlandstraße 391058ErlangenGermany
| | - Winfried Neuhuber
- Department of AnatomyChair of Anatomy IFriedrich-Alexander University of Erlangen-NurembergKrankenhausstraße 991054ErlangenGermany
| | - Andreas Hirsch
- Department of Chemistry & PharmacyChair of Organic Chemistry IIFriedrich-Alexander University of Erlangen-NurembergNikolaus-Fiebiger-Straße 1091058ErlangenGermany
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Stiegler LMS, Klein S, Kryschi C, Neuhuber W, Hirsch A. Cover Feature: Smart
Shell‐by‐Shell
Nanoparticles with Tunable Perylene Fluorescence in the Organic Interlayer (Chem. Eur. J. 5/2021). Chemistry 2021. [DOI: 10.1002/chem.202004185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Lisa M. S. Stiegler
- Department of Chemistry & Pharmacy Chair of Organic Chemistry II Friedrich-Alexander University of Erlangen-Nuremberg Nikolaus-Fiebiger-Straße 10 91058 Erlangen Germany
| | - Stefanie Klein
- Department Chemistry and Pharmacy Physical Chemistry I and ICMM Friedrich-Alexander University of Erlangen-Nuremberg Egerlandstraße 3 91058 Erlangen Germany
| | - Carola Kryschi
- Department Chemistry and Pharmacy Physical Chemistry I and ICMM Friedrich-Alexander University of Erlangen-Nuremberg Egerlandstraße 3 91058 Erlangen Germany
| | - Winfried Neuhuber
- Department of Anatomy Chair of Anatomy I Friedrich-Alexander University of Erlangen-Nuremberg Krankenhausstraße 9 91054 Erlangen Germany
| | - Andreas Hirsch
- Department of Chemistry & Pharmacy Chair of Organic Chemistry II Friedrich-Alexander University of Erlangen-Nuremberg Nikolaus-Fiebiger-Straße 10 91058 Erlangen Germany
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14
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Promm M, Otto W, Weber F, Götz S, Burger M, Müller K, Rubenwolf P, Neuhuber W, Roesch WH. Expression of Low Affinity Nerve Growth Factor Receptor p75 in Classic Bladder Exstrophy. Front Pediatr 2021; 9:634343. [PMID: 33692976 PMCID: PMC7937696 DOI: 10.3389/fped.2021.634343] [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] [Received: 11/27/2020] [Accepted: 02/01/2021] [Indexed: 12/04/2022] Open
Abstract
Successful primary closure of classic bladder exstrophy (BE) is crucial for development of bladder capacity and voided continence. It is universally agreed that an intensive pain management including the use of caudal epidural anesthesia is an essential cornerstone for the outcome of this complex surgery. Whether and to what extent pain is caused by structural or functional changes is not yet known. The nerve growth factor (NGF) is regarded as a marker for pain in different bladder disorders. This prospective study investigated the role of histological alterations and NGF in patients with BE including 34 patients with BE and 6 patients with congenital vesicoureterorenal reflux (VUR) who served as controls. Between January 2015 and April 2020 transmural bladder biopsies were taken from the posterior bladder wall during delayed primary bladder closure. The samples were stained for histological evaluation and subjected to immunohistochemistry to analyze NGFR p75. Differences in histological alterations were examined with Fisher's exact test, and Mann-Whitney-U-test was used to compare the NGFR p75 staining intensity between patients with BE and controls. Patients with BE showed significantly more often acute inflammation (p < 0.001), squamous metaplasia (p = 0.002), and cystitis glandularis (p = 0.005) as well as NGFR p75 in the urothelium (p = 0.003) than patients with VUR. A limitation of this study is the small number of participants due to the rare disease entity. Similar to other painful bladder disorders, pain transmission in BE after intitial closure may in part be facilitated by elevated NGF signaling through its receptor.
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Affiliation(s)
- Martin Promm
- Department of Pediatric Urology, Clinic St. Hedwig, University of Regensburg, Regensburg, Germany
| | - Wolfgang Otto
- Department of Urology, Caritas-St. Josef Medical Center, University of Regensburg, Regensburg, Germany
| | - Florian Weber
- Department of Pathology, University of Regensburg, Regensburg, Germany
| | - Stefanie Götz
- Department of Urology, Caritas-St. Josef Medical Center, University of Regensburg, Regensburg, Germany
| | - Maximilian Burger
- Department of Urology, Caritas-St. Josef Medical Center, University of Regensburg, Regensburg, Germany
| | - Karolina Müller
- Center for Clinical Studies, University Medical Center Regensburg, Regensburg, Germany
| | - Peter Rubenwolf
- Department of Pediatric Urology, Clinic St. Hedwig, University of Regensburg, Regensburg, Germany.,Department of Urology, University Medical Center Frankfurt, Frankfurt, Germany
| | - Winfried Neuhuber
- Institute of Anatomy and Cell Biology, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Germany
| | - Wolfgang H Roesch
- Department of Pediatric Urology, Clinic St. Hedwig, University of Regensburg, Regensburg, Germany
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Muenzberg-Gruening H, Huesing C, Gummadi S, Zhang R, Lee N, Qualls-Creekmore E, Yu S, Morrison CD, Burk D, Berthoud HR, Neuhuber W. Structure of sympathetic input to interscapular brown adipose tissue in the mouse. FASEB J 2020. [DOI: 10.1096/fasebj.2020.34.s1.09502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | | | - Rui Zhang
- Pennington Biomedical Research Center
| | | | | | - Sangho Yu
- Pennington Biomedical Research Center
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Abstract
Abstract
Traumatic psychoemotional experiences often manifest in hypersympathetic states of excitement or in immobilization and withdrawal behaviors. A person with this kind of traumatic background may present with an autonomic response consistently maintained in the defensive state, which over time becomes a stressor. In this article, the authors discuss an osteopathic approach to psychoemotional trauma by means of bifocal integration, with an emphasis on promoting a relaxed body and mind by actively involving the patient in the healing process. They briefly discuss the role of mind-body therapies in treatment, considering the popular polyvagal theory and other neuropsychophysiological frameworks. The authors also focus on clinical practice, introducing the reader to the different elements of the osteopathic treatment, including the acknowledgement and integration of top-down and bottom-up dynamics in diagnosis and therapy.
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de Jel MM, Schott M, Lamm S, Neuhuber W, Kuphal S, Bosserhoff AK. Loss of CYLD accelerates melanoma development and progression in the Tg(Grm1) melanoma mouse model. Oncogenesis 2019; 8:56. [PMID: 31591386 PMCID: PMC6779913 DOI: 10.1038/s41389-019-0169-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Revised: 09/24/2019] [Accepted: 09/24/2019] [Indexed: 01/17/2023] Open
Abstract
The deubiquitinase cylindromatosis (CYLD) is a well-known tumor suppressor, found to be down regulated in many cancer types including breast cancer, colon carcinoma and malignant melanoma. CYLD is suppressed in human melanoma cells by the transcriptional repressor SNAIL1 leading to an increase of their proliferative, invasive and migratory potential. To gain additional insights into the distinct function of this tumor suppressor gene a new mouse model Tg(Grm1)Cyld-/- was generated. Herewith, we demonstrate that Cyld-deficiency leads to earlier melanoma onset and accelerated tumor growth and metastasis in the GRM1 melanoma mouse model. First, RNA sequencing data revealed a potential role of CYLD in the regulation of genes involved in proliferation, migration and angiogenesis. Experiments using cell lines generated from both primary and metastatic melanoma tissue of Tg(Grm1) Cyld-/- and Tg(Grm1) Cyld+/+ mice confirmed that loss of CYLD enhances the proliferative and migratory potential, as well as the clonogenicity in vitro. Moreover, we could show that Cyld-knockout leads to increased vasculogenic mimicry and enhanced (lymph-) angiogenesis shown by tube formation assays, immunohistochemistry and mRNA expression analyses. In summary, our findings reveal new functional aspects of CYLD in the process of (lymph-) angiogenesis and demonstrate its importance in the early process of melanoma progression.
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Affiliation(s)
- Miriam Martha de Jel
- Institute for Biochemistry, University of Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Mandy Schott
- Institute for Biochemistry, University of Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Susanne Lamm
- Institute for Biochemistry, University of Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Winfried Neuhuber
- Institute for Anatomy, University of Erlangen-Nürnberg (FAU), Erlangen, Germany
| | - Silke Kuphal
- Institute for Biochemistry, University of Erlangen-Nürnberg (FAU), Erlangen, Germany
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18
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Klein S, Stiegler LMS, Harreiss C, Distel LVR, Neuhuber W, Spiecker E, Hirsch A, Kryschi C. Understanding the Role of Surface Charge in Cellular Uptake and X-ray-Induced ROS Enhancing of Au–Fe3O4 Nanoheterodimers. ACS Appl Bio Mater 2018; 1:2002-2011. [DOI: 10.1021/acsabm.8b00511] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Affiliation(s)
- Stefanie Klein
- Department Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen-Nuremberg, Egerlandstr. 3, Erlangen D-91058, Germany
| | - Lisa M. S. Stiegler
- Department of Chemistry and Pharmacy, Institute of Organic Chemistry II, Friedrich-Alexander University of Erlangen-Nuremberg, Nikolaus-Fiebiger-Str. 10, Erlangen D-91058, Germany
| | - Christina Harreiss
- Institute of Micro- and Nanostructure Research and Center for Nanoanalysis and Electron Microcopy (CENEM), Friedrich-Alexander University of Erlangen-Nuremberg, Cauerstr. 6, Erlangen D-91058, Germany
| | - Luitpold V. R. Distel
- Department of Radiation Oncology, Friedrich-Alexander University of Erlangen-Nuremberg, Universitätsstr. 27, Erlangen D-91054, Germany
| | - Winfried Neuhuber
- Department of Anatomy, Chair of Anatomy I, Friedrich-Alexander University of Erlangen-Nuremberg, Krankenhausstr. 9, Erlangen D-91054, Germany
| | - Erdmann Spiecker
- Institute of Micro- and Nanostructure Research and Center for Nanoanalysis and Electron Microcopy (CENEM), Friedrich-Alexander University of Erlangen-Nuremberg, Cauerstr. 6, Erlangen D-91058, Germany
| | - Andreas Hirsch
- Department of Chemistry and Pharmacy, Institute of Organic Chemistry II, Friedrich-Alexander University of Erlangen-Nuremberg, Nikolaus-Fiebiger-Str. 10, Erlangen D-91058, Germany
| | - Carola Kryschi
- Department Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University of Erlangen-Nuremberg, Egerlandstr. 3, Erlangen D-91058, Germany
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Sabers A, Buchgreitz L, Neuhuber W. Does vagus nerve stimulation influence pregnancy outcomes? Brain Stimul 2018; 11:618-619. [DOI: 10.1016/j.brs.2017.12.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Revised: 12/15/2017] [Accepted: 12/18/2017] [Indexed: 10/18/2022] Open
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21
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Hohberger B, Jessberger C, Hermann F, Zenkel M, Kaser-Eichberger A, Bergua A, Jünemann AG, Schrödl F, Neuhuber W. VIP changes during daytime in chicken intrinsic choroidal neurons. Exp Eye Res 2018; 170:8-12. [DOI: 10.1016/j.exer.2018.01.027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Revised: 12/06/2017] [Accepted: 01/29/2018] [Indexed: 12/01/2022]
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Kravic B, Harbauer AB, Romanello V, Simeone L, Vögtle FN, Kaiser T, Straubinger M, Huraskin D, Böttcher M, Cerqua C, Martin ED, Poveda-Huertes D, Buttgereit A, Rabalski AJ, Heuss D, Rudolf R, Friedrich O, Litchfield D, Marber M, Salviati L, Mougiakakos D, Neuhuber W, Sandri M, Meisinger C, Hashemolhosseini S. In mammalian skeletal muscle, phosphorylation of TOMM22 by protein kinase CSNK2/CK2 controls mitophagy. Autophagy 2018; 14:311-335. [PMID: 29165030 DOI: 10.1080/15548627.2017.1403716] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
In yeast, Tom22, the central component of the TOMM (translocase of outer mitochondrial membrane) receptor complex, is responsible for the recognition and translocation of synthesized mitochondrial precursor proteins, and its protein kinase CK2-dependent phosphorylation is mandatory for TOMM complex biogenesis and proper mitochondrial protein import. In mammals, the biological function of protein kinase CSNK2/CK2 remains vastly elusive and it is unknown whether CSNK2-dependent phosphorylation of TOMM protein subunits has a similar role as that in yeast. To address this issue, we used a skeletal muscle-specific Csnk2b/Ck2β-conditional knockout (cKO) mouse model. Phenotypically, these skeletal muscle Csnk2b cKO mice showed reduced muscle strength and abnormal metabolic activity of mainly oxidative muscle fibers, which point towards mitochondrial dysfunction. Enzymatically, active muscle lysates from skeletal muscle Csnk2b cKO mice phosphorylate murine TOMM22, the mammalian ortholog of yeast Tom22, to a lower extent than lysates prepared from controls. Mechanistically, CSNK2-mediated phosphorylation of TOMM22 changes its binding affinity for mitochondrial precursor proteins. However, in contrast to yeast, mitochondrial protein import seems not to be affected in vitro using mitochondria isolated from muscles of skeletal muscle Csnk2b cKO mice. PINK1, a mitochondrial health sensor that undergoes constitutive import under physiological conditions, accumulates within skeletal muscle Csnk2b cKO fibers and labels abnormal mitochondria for removal by mitophagy as demonstrated by the appearance of mitochondria-containing autophagosomes through electron microscopy. Mitophagy can be normalized by either introduction of a phosphomimetic TOMM22 mutant in cultured myotubes, or by in vivo electroporation of phosphomimetic Tomm22 into muscles of mice. Importantly, transfection of the phosphomimetic Tomm22 mutant in muscle cells with ablated Csnk2b restored their oxygen consumption rate comparable to wild-type levels. In sum, our data show that mammalian CSNK2-dependent phosphorylation of TOMM22 is a critical switch for mitophagy and reveal CSNK2-dependent physiological implications on metabolism, muscle integrity and behavior.
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Affiliation(s)
- Bojana Kravic
- a Institute of Biochemistry, Medical Faculty , Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
| | - Angelika B Harbauer
- b Institute of Biochemistry and Molecular Biology, ZBMZ, Faculty of Biology , University of Freiburg , Germany
| | - Vanina Romanello
- c Department of Biomedical Science , University of Padova , Padova , Italy
| | - Luca Simeone
- a Institute of Biochemistry, Medical Faculty , Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
| | - F-Nora Vögtle
- l Institute of Biochemistry and Molecular Biology, ZBMZ, BIOSS (Centre for Biological Signalling Studies), Faculty of Medicine , University of Freiburg , Germany
| | - Tobias Kaiser
- a Institute of Biochemistry, Medical Faculty , Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
| | - Marion Straubinger
- a Institute of Biochemistry, Medical Faculty , Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
| | - Danyil Huraskin
- a Institute of Biochemistry, Medical Faculty , Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
| | - Martin Böttcher
- d Department of Internal Medicine, Hematology and Oncology, Medical Faculty , Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
| | - Cristina Cerqua
- e Clinical Genetics Unit, Department of Woman and Child Health , University of Padova, IRP Città della Speranza , Padova , Italy
| | - Eva Denise Martin
- f King's College London BHF Centre of Research Excellence, The Rayne Institute , St Thomas' Hospital , London , United Kingdom
| | - Daniel Poveda-Huertes
- b Institute of Biochemistry and Molecular Biology, ZBMZ, Faculty of Biology , University of Freiburg , Germany
| | - Andreas Buttgereit
- g Institute of Medical Biotechnology , Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
| | | | - Dieter Heuss
- i Department of Neurology , University Hospital of Erlangen, Medical Faculty, Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
| | - Rüdiger Rudolf
- j University of Applied Sciences Mannheim , Mannheim , Germany
| | - Oliver Friedrich
- g Institute of Medical Biotechnology , Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
| | | | - Michael Marber
- f King's College London BHF Centre of Research Excellence, The Rayne Institute , St Thomas' Hospital , London , United Kingdom
| | - Leonardo Salviati
- e Clinical Genetics Unit, Department of Woman and Child Health , University of Padova, IRP Città della Speranza , Padova , Italy
| | - Dimitrios Mougiakakos
- d Department of Internal Medicine, Hematology and Oncology, Medical Faculty , Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
| | - Winfried Neuhuber
- k Institute of Anatomy, Medical Faculty , Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
| | - Marco Sandri
- c Department of Biomedical Science , University of Padova , Padova , Italy
| | - Chris Meisinger
- l Institute of Biochemistry and Molecular Biology, ZBMZ, BIOSS (Centre for Biological Signalling Studies), Faculty of Medicine , University of Freiburg , Germany
| | - Said Hashemolhosseini
- a Institute of Biochemistry, Medical Faculty , Friedrich-Alexander-University of Erlangen-Nürnberg , Erlangen , Germany
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Kichko TI, Neuhuber W, Kobal G, Reeh PW. The roles of TRPV1, TRPA1 and TRPM8 channels in chemical and thermal sensitivity of the mouse oral mucosa. Eur J Neurosci 2018; 47:201-210. [PMID: 29247491 DOI: 10.1111/ejn.13799] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Revised: 11/28/2017] [Accepted: 12/05/2017] [Indexed: 12/24/2022]
Abstract
Spices in food and beverages and compounds in tobacco smoke interact with sensory irritant receptors of the transient receptor potential (TRP) cation channel family. TRPV1 (vanilloid type 1), TRPA1 (ankyrin 1) and TRPM8 (melastatin 8) not only elicit action potential signaling through trigeminal nerves, eventually evoking pungent or cooling sensations, but by their calcium conductance they also stimulate the release of calcitonin gene-related peptide (CGRP). This is measured as an index of neuronal activation to elucidate the chemo- and thermosensory transduction in the isolated mouse buccal mucosa of wild types and pertinent knockouts. We found that the lipophilic capsaicin, mustard oil and menthol effectively get access to the nerve endings below the multilayered squamous epithelium, while cigarette smoke and its gaseous phase were weakly effective releasing CGRP. The hydrophilic nicotine was ineffective unless applied unprotonated in alkaline (pH9) solution, activating TRPA1 and TRPV1. Also, mustard oil activated both these irritant receptors in millimolar but only TRPA1 in micromolar concentrations; in combination (1 mm) with heat (45 °C), it showed supraadditive, that is heat sensitizing, effects in TRPV1 and TRPA1 knockouts, suggesting action on an unknown heat-activated channel and mustard oil receptor. Menthol caused little CGRP release by itself, but in subliminal concentration (2 mm), it enabled a robust cold response that was absent in TRPM8-/- but retained in TRPA1-/- and strongly reduced by TRPM8 inhibitors. In conclusion, all three relevant irritant receptors are functionally expressed in the oral mucosa and play their specific roles in inducing neurogenic inflammation and sensitization to heat and cold.
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Affiliation(s)
- Tatjana I Kichko
- Institute of Physiology and Pathophysiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsstrasse 17, Erlangen, 91056, Germany
| | - Winfried Neuhuber
- Institute of Anatomy I, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Gerd Kobal
- Altria Client Services Inc., Richmond, VA, USA
| | - Peter W Reeh
- Institute of Physiology and Pathophysiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsstrasse 17, Erlangen, 91056, Germany
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Jänig W, Neuhuber W. Reclassification of the Sacral Autonomic Outflow to Pelvic Organs as the Caudal Outpost of the Sympathetic System Is Misleading. J Osteopath Med 2017; 117:416-417. [PMID: 28662551 DOI: 10.7556/jaoa.2017.082] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Neuhuber W, Mclachlan E, Jänig W. The Sacral Autonomic Outflow Is Spinal, but Not "Sympathetic". Anat Rec (Hoboken) 2017; 300:1369-1370. [PMID: 28342217 DOI: 10.1002/ar.23600] [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] [Received: 03/02/2017] [Accepted: 03/06/2017] [Indexed: 11/12/2022]
Abstract
A recent article published in a high-profile journal proposed to reclassify the sacral autonomic outflow as being part of the sympathetic system. In this commentary, arguments against this erroneous proposal are provided. Anat Rec, 300:1369-1370, 2017. © 2017 Wiley Periodicals, Inc.
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Affiliation(s)
- Winfried Neuhuber
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Institut für Anatomie 1, Krankenhausstrasse 9, Erlangen, Germany
| | - Elspeth Mclachlan
- Neuroscience Research Australia and the University of New South Wales, Randwick, New South Wales, Australia
| | - Wilfrid Jänig
- Christian-Albrechts-Universität zu Kiel Medizinische Fakultät, Physiologisches Institut, Olshausenstrasse 40, Kiel, Germany
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Simon D, Kleyer A, Stemmler F, Simon C, Berlin A, Hueber AJ, Haschka J, Renner N, Figueiredo C, Neuhuber W, Buder T, Englbrecht M, Rech J, Engelke K, Schett G. Age- and Sex-Dependent Changes of Intra-articular Cortical and Trabecular Bone Structure and the Effects of Rheumatoid Arthritis. J Bone Miner Res 2017; 32:722-730. [PMID: 27787923 DOI: 10.1002/jbmr.3025] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Revised: 10/07/2016] [Accepted: 10/21/2016] [Indexed: 12/22/2022]
Abstract
The objective of this cross-sectional study was to define normal sex- and age-dependent values of intra-articular bone mass and microstructures in the metacarpal heads of healthy individuals by high-resolution peripheral quantitative computed tomography (HR-pQCT) and test the effect of rheumatoid arthritis (RA) on these parameters. Human cadaveric metacarpal heads were used to exactly define intra-articular bone. Healthy individuals of different sex and age categories and RA patients with similar age and sex distribution received HR-pQCT scans of the second metacarpal head and the radius. Total, cortical, and trabecular bone densities as well as microstructural parameters were compared between 1) the different ages and sexes in healthy individuals; 2) between metacarpal heads and the radius; and 3) between healthy individuals and RA patients. The cadaveric study allowed exact definition of the intra-articular (intracapsular) bone margins. These data were applied in measuring intra-articular and radial bone parameters in 214 women and men (108 healthy individuals, 106 RA patients). Correlations between intra-articular and radial bone parameters were good (r = 0.51 to 0.62, p < 0.001). In contrast to radial bone, intra-articular bone remained stable until age 60 years (between 297 and 312 mg HA/cm3 ) but decreased significantly (p < 0.001) in women thereafter (237.5 ± 44.3) with loss of both cortical and trabecular bone. Similarly, RA patients showed significant (p < 0.001) loss of intra-articular total (263.0 ± 44.8), trabecular (171.2 ± 35.6), and cortical bone (610.2 ± 62.0) compared with sex- and age-adjusted controls. Standard sex- and age-dependent values for physiological intra-articular bone were defined. Postmenopausal state and RA led to significant decrease of intra-articular bone. © 2016 American Society for Bone and Mineral Research.
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Affiliation(s)
- David Simon
- Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany
| | - Arnd Kleyer
- Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany
| | - Fabian Stemmler
- Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany
| | - Christoph Simon
- Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany
| | - Andreas Berlin
- Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany
| | - Axel J Hueber
- Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany
| | - Judith Haschka
- St. Vincent Hospital, Medical Department II, VINFORCE Study Group, Academic Teaching Hospital of Medical University of Vienna, Vienna, Austria
| | - Nina Renner
- Department of Trauma and Orthopaedic Surgery, University Hospital of Erlangen, Erlangen, Germany
| | - Camille Figueiredo
- Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany.,Bone Metabolism Laboratory, Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
| | - Winfried Neuhuber
- Institute of Anatomy, Department I, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany
| | - Thomas Buder
- Institute of Anatomy, Department I, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany
| | - Matthias Englbrecht
- Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany
| | - Juergen Rech
- Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany
| | - Klaus Engelke
- Institute of Medical Physics (IMP), University of Erlangen, Erlangen, Germany
| | - Georg Schett
- Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU), Erlangen, Germany
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Dorn LJ, Lappat A, Neuhuber W, Scherer H, Olze H, Hölzl M. Tonic Investigation Concept of Cervico-vestibular Muscle Afferents. Int Arch Otorhinolaryngol 2017; 21:46-57. [PMID: 28050208 PMCID: PMC5205534 DOI: 10.1055/s-0036-1583759] [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: 11/23/2015] [Accepted: 02/24/2016] [Indexed: 12/02/2022] Open
Abstract
Introduction Interdisciplinary research has contributed greatly to an improved understanding of the vestibular system. To date, however, very little research has focused on the vestibular system's somatosensory afferents. To ensure the diagnostic quality of vestibular somatosensory afferent data, especially the extra cranial afferents, stimulation of the vestibular balance system has to be precluded. Objective Sophisticated movements require intra- and extra cranial vestibular receptors. The study's objective is to evaluate an investigation concept for cervico-vestibular afferents with respect to clinical feasibility. Methods A dedicated chair was constructed, permitting three-dimensional trunk excursions, during which the volunteer's head remains fixed. Whether or not a cervicotonic provocation nystagmus (c-PN) can be induced with static trunk excursion is to be evaluated and if this can be influenced by cervical monophasic transcutaneous electrical nerve stimulation (c-TENS) with a randomized test group. 3D-video-oculography (VOG) was used to record any change in cervico-ocular examination parameters. The occurring nystagmuses were evaluated visually due to the small caliber of nystagmus amplitudes in healthy volunteers. Results The results demonstrate: no influence of placebo-controlled c-TENS on the spontaneous nystagmus; a significant increase of the vertical nystagmus on the 3D-trunk-excursion chair in static trunk flexion with cervical provocation in all young healthy volunteers (n = 49); and a significant difference between vertical and horizontal nystagmuses during static trunk excursion after placebo-controlled c-TENS, except for the horizontal nystagmus during trunk torsion. Conclusion We hope this cervicotonic investigation concept on the 3D trunk-excursion chair will contribute to new diagnostic and therapeutic perspectives on cervical pathologies in vestibular head-to-trunk alignment.
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Affiliation(s)
| | - Annabelle Lappat
- Department of Otorhinolaryngology, Sankt Gertrauden Hospital, Berlin, Germany
| | - Winfried Neuhuber
- Institute of Anatomy, Universität Erlangen-Nürnberg, Erlangen-Nürnberg, Germany
| | - Hans Scherer
- Department of Otorhinolaryngology, Charité Universitätsmedizin, Berlin, Germany
| | - Heidi Olze
- Department of Otorhinolaryngology, Charité Universitätsmedizin, Berlin, Germany
| | - Matthias Hölzl
- Department of Otorhinolaryngology, Universitätsklinik Magdeburg, Magdeburg, Germany
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Safi S, Ellrich J, Neuhuber W. Myelinated Axons in the Auricular Branch of the Human Vagus Nerve. Anat Rec (Hoboken) 2016; 299:1184-91. [DOI: 10.1002/ar.23391] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Revised: 05/06/2016] [Accepted: 05/21/2016] [Indexed: 11/10/2022]
Affiliation(s)
- Sami Safi
- Institute of Anatomy; Friedrich-Alexander-Universität Erlangen-Nürnberg; Erlangen Germany
| | - Jens Ellrich
- Sapiens Steering Brain Stimulation GmbH; Erlangen Germany
- Department of Health Science and Technology; Aalborg University; Aalborg Denmark
- Institute of Physiology and Pathophysiology; Friedrich-Alexander-Universität Erlangen-Nürnberg; Erlangen Germany
| | - Winfried Neuhuber
- Institute of Anatomy; Friedrich-Alexander-Universität Erlangen-Nürnberg; Erlangen Germany
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Abdel-Aziz H, Schneider M, Neuhuber W, Meguid Kassem A, Khailah S, Müller J, Gamal Eldeen H, Khairy A, T Khayyal M, Shcherbakova A, Efferth T, Ulrich-Merzenich G. GPR84 and TREM-1 Signaling Contribute to the Pathogenesis of Reflux Esophagitis. Mol Med 2016; 21:1011-1024. [PMID: 26650186 DOI: 10.2119/molmed.2015.00098] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2015] [Accepted: 11/23/2015] [Indexed: 01/01/2023] Open
Abstract
Gastro-esophageal reflux disease (GERD) is one of the most common disorders in gastroenterology. Patients present with or without increased acid exposure indicating a nonuniform etiology. Thus, the common treatment with proton pump inhibitors (PPIs) fails to control symptoms in up to 40% of patients. To further elucidate the pathophysiology of the condition and explore new treatment targets, transcriptomics, proteomics and histological methods were applied to a surgically induced subchronic reflux esophagitis model in Wistar rats after treatment with either omeprazole (PPI) or STW5, a herbal preparation shown to ameliorate esophagitis without affecting refluxate pH. The normal human esophageal squamous cell line HET-1A and human endoscopic biopsies were used to confirm our findings to the G-protein-coupled receptor (GPR) 84 in human tissue. Both treatments reduced reflux-induced macroscopic and microscopic lesions of the esophagi as well as known proinflammatory cytokines. Proteomic and transcriptomic analyses identified CINC1-3, MIP-1/3α, MIG, RANTES and interleukin (IL)-1β as prominent mediators in GERD. Most regulated cyto-/chemokines are linked to the TREM-1 signaling pathway. The fatty acid receptor GPR84 was upregulated in esophagitis but significantly decreased in treated groups, a finding supported by Western blot and immunohistochemistry in both rat tissue and HET-1A cells. GPR84 was also found to be significantly upregulated in patients with grade B reflux esophagitis. The expression of GPR84 in esophageal tissue and its potential involvement in GERD are reported for the first time. IL-8 (CINC1-3) and the TREM-1 signaling pathway are proposed, besides GPR84, to play an important role in the pathogenesis of GERD.org.
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Affiliation(s)
- Heba Abdel-Aziz
- Department of Pharmacology, Institute of Pharmaceutical Chemistry, Westfalian Wilhelms University, Münster, Germany
| | - Mathias Schneider
- Department of Pharmaceutical Biology, Institute of Pharmacy and Biochemistry, Johannes Gutenberg University, Mainz, Germany
| | - Winfried Neuhuber
- Institute of Anatomy, University of Erlangen-Nürnberg, Erlangen, Germany
| | - Abdel Meguid Kassem
- Tropical Medicine Department and Gastrointestinal Endoscopy Unit, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Saleem Khailah
- Tropical Medicine Department and Gastrointestinal Endoscopy Unit, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Jürgen Müller
- Scientific Department, Steigerwald Arzneimittelwerk GmbH, Darmstadt, Germany
| | - Hadeel Gamal Eldeen
- Tropical Medicine Department and Gastrointestinal Endoscopy Unit, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Ahmed Khairy
- Tropical Medicine Department and Gastrointestinal Endoscopy Unit, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Mohamed T Khayyal
- Department of Pharmacology, Faculty of Pharmacy, Cairo University, Cairo, Egypt
| | - Anastasiia Shcherbakova
- Medical Clinic III, University Clinic Centre, Rheinische Friedrich-Wilhelms University, Bonn, Germany
| | - Thomas Efferth
- Department of Pharmaceutical Biology, Institute of Pharmacy and Biochemistry, Johannes Gutenberg University, Mainz, Germany
| | - Gudrun Ulrich-Merzenich
- Medical Clinic III, University Clinic Centre, Rheinische Friedrich-Wilhelms University, Bonn, Germany
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Jabari S, Neuhuber W, Brehmer A. Neurovascular Interface in Porcine Small Intestine: Specific for Nitrergic rather than Nonnitrergic Neurons. Cells Tissues Organs 2016; 201:203-10. [PMID: 26954067 DOI: 10.1159/000444168] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2016] [Indexed: 11/19/2022] Open
Abstract
In the 1970s, by using classic histological methods, close topographical relationships between special areas of enteric ganglia and capillaries were shown in the pig. In this study, by application of double and triple immunohistochemistry, we confirmed this neurovascular interface and demonstrated that these zones are mainly confined to nitrergic neurons in the myenteric and the external submucosal plexus. In the upper small intestine of the pig, the respective neurons display type III morphology, i.e. they have long, slender and branched dendrites and a single axon. In another set of experiments, we prepared specimens for electron-microscopical analysis of these zones. Both ganglia and capillaries display continuous basement membranes, the smallest distances between them being 1,000 nm at the myenteric and 300 nm at the external submucosal level. The capillary endothelium was mostly continuous but, at the external submucosal level, scattered fenestrations were observed. This particular neurovascular relationship suggests that nitrergic neurons may require a greater amount of oxygen and/or nutrients. In guinea pig and mouse, previous ischemia/reperfusion experiments showed that nitrergic neurons are selectively damaged. Thus, a preferential blood supply of enteric nitrergic neurons may indicate that these neurons are more vulnerable in ischemia.
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Affiliation(s)
- Samir Jabari
- Institute of Anatomy I, University of Erlangen-Nuremberg, Erlangen, Germany
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31
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Rodionova K, Fiedler C, Guenther F, Grouzmann E, Neuhuber W, Fischer MJM, Ott C, Linz P, Freisinger W, Heinlein S, Schmidt ST, Schmieder RE, Amann K, Scrogin K, Veelken R, Ditting T. Complex reinnervation pattern after unilateral renal denervation in rats. Am J Physiol Regul Integr Comp Physiol 2016; 310:R806-18. [PMID: 26911463 DOI: 10.1152/ajpregu.00227.2014] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [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: 06/02/2014] [Accepted: 02/10/2016] [Indexed: 12/14/2022]
Abstract
Renal denervation (DNX) is a treatment for resistant arterial hypertension. Efferent sympathetic nerves regrow, but reinnervation by renal afferent nerves has only recently been shown in the renal pelvis of rats after unilateral DNX. We examined intrarenal perivascular afferent and sympathetic efferent nerves after unilateral surgical DNX. Tyrosine hydroxylase (TH), CGRP, and smooth muscle actin were identified in kidney sections from 12 Sprague-Dawley rats, to distinguish afferents, efferents, and vasculature. DNX kidneys and nondenervated kidneys were examined 1, 4, and 12 wk after DNX. Tissue levels of CGRP and norepinephrine (NE) were measured with ELISA and mass spectrometry, respectively. DNX decreased TH and CGRP labeling by 90% and 95%, respectively (P < 0.05) within 1 wk. After 12 wk TH and CGRP labeling returned to baseline with a shift toward afferent innervation (P < 0.05). Nondenervated kidneys showed a doubling of both labels within 12 wk (P < 0.05). CGRP content decreased by 72% [3.2 ± 0.3 vs. 0.9 ± 0.2 ng/gkidney; P < 0.05] and NA by 78% [1.1 ± 0.1 vs. 0.2 ± 0.1 pmol/mgkidney; P < 0.05] 1 wk after DNX. After 12 wk, CGRP, but not NE, content in DNX kidneys was fully recovered, with no changes in the nondenervated kidneys. The use of phenol in the DNX procedure did not influence this result. We found morphological reinnervation and transmitter recovery of afferents within 12 wk after DNX. Despite morphological evidence of sympathetic regrowth, NE content did not fully recover. These results suggest a long-term net surplus of afferent influence on the DNX kidney may be contributing to the blood pressure lowering effect of DNX.
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Affiliation(s)
- Kristina Rodionova
- Department of Internal Medicine 4, Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Christian Fiedler
- Department of Internal Medicine 4, Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Franziska Guenther
- Department of Physiology 1, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Eric Grouzmann
- Service de Biomédicine, Laboratoire des Catéchoalamines et Peptides, Centre Hospitalier Universitaire Vaudois CHUV, Lausanne, Switzerland; and
| | - Winfried Neuhuber
- Department of Anatomy I, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Michael J M Fischer
- Department of Physiology 1, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Christian Ott
- Department of Internal Medicine 4, Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Peter Linz
- Department of Internal Medicine 4, Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Wolfgang Freisinger
- Department of Internal Medicine 4, Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Sonja Heinlein
- Department of Internal Medicine 4, Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Stephanie T Schmidt
- Department of Internal Medicine 4, Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Roland E Schmieder
- Department of Internal Medicine 4, Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Kerstin Amann
- Department of Pathology, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Karie Scrogin
- Department of Pharmacology and Experimental Therapeutics, Loyola University Chicago, Stritch School of Medicine, Maywood, Illinois
| | - Roland Veelken
- Department of Internal Medicine 4, Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany
| | - Tilmann Ditting
- Department of Internal Medicine 4, Nephrology and Hypertension, Friedrich-Alexander University Erlangen-Nuremburg, Erlangen, Germany;
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Mansley MK, Neuhuber W, Korbmacher C, Bertog M. Norepinephrine stimulates the epithelial Na+ channel in cortical collecting duct cells via α2-adrenoceptors. Am J Physiol Renal Physiol 2014; 308:F450-8. [PMID: 25520009 DOI: 10.1152/ajprenal.00548.2014] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
There is good evidence for a causal link between excessive sympathetic drive to the kidney and hypertension. We hypothesized that sympathetic regulation of tubular Na(+) absorption may occur in the aldosterone-sensitive distal nephron, where the fine tuning of renal Na(+) excretion takes place. Here, the appropriate regulation of transepithelial Na(+) transport, mediated by the amiloride-sensitive epithelial Na(+) channel (ENaC), is critical for blood pressure control. To explore a possible effect of the sympathetic transmitter norepinephrine on ENaC-mediated Na(+) transport, we performed short-circuit current (Isc) measurements on confluent mCCDcl1 murine cortical collecting duct cells. Norepinephrine caused a complex Isc response with a sustained increase of amiloride-sensitive Isc by ∼44%. This effect was concentration dependent and mediated via basolateral α2-adrenoceptors. In cells pretreated with aldosterone, the stimulatory effect of norepinephrine was reduced. Finally, we demonstrated that noradrenergic nerve fibers are present in close proximity to ENaC-expressing cells in murine kidney slices. We conclude that the sustained stimulatory effect of locally elevated norepinephrine on ENaC-mediated Na(+) absorption may contribute to the hypertensive effect of increased renal sympathetic activity.
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Affiliation(s)
| | - Winfried Neuhuber
- Lehrstuhl für Anatomie I, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
| | | | - Marko Bertog
- Institut für Zelluläre und Molekulare Physiologie and
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Jabari S, da Silveira ABM, de Oliveira EC, Quint K, Wirries A, Neuhuber W, Brehmer A. Interstitial cells of Cajal: crucial for the development of megacolon in human Chagas' disease? Colorectal Dis 2014; 15:e592-8. [PMID: 23810202 DOI: 10.1111/codi.12331] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2013] [Accepted: 03/02/2013] [Indexed: 02/08/2023]
Abstract
AIM Megacolon, chronic dilation of a colonic segment,is accompanied by extensive myenteric neuron loss. However, this fails to explain unequivocally the formation of megacolon. We aimed to study further enteric structures that are directly or indirectly involved in colonic motility. METHOD From surgically removed megacolon segments of seven Chagasic patients, three sets of cryosections from oral, megacolonic and anal zones were immunohistochemically quadruple-stained for smooth-muscle actin (SMA), synaptophysin (SYN, for nerve fibres), S100 (glia) and c-Kit (interstitial cells of Cajal, ICCs). Values of area measurements were related to the appropriate muscle layer areas and these proportions were compared with those of seven non-Chagasic control patients. RESULTS Whereas nerve and glia profile proportions did not mirror unequivocally the changes of Chagasic colon calibre (nondilation/dilation/nondilation), the proportions of SMA (i.e. muscle tissue density) and c-Kit (i.e. ICC density) did so: they decreased from the oral to the megacolonic segment but increased to the anal zones (muscle tissue density: control 68.3%, oral 54.3%, mega 42.1%, anal 47.6%; ICC-density: control 1.8%, oral 1.1%, mega 0.4, anal 0.8%). CONCLUSION Of the parameters evaluated, muscle tissue and ICC densities may be involved in the formation of Chagasic megacolon, although the mechanism of destruction cannot be deduced.
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Affiliation(s)
- S Jabari
- Institute of Anatomy I, University of Erlangen-Nuremberg, Erlangen, Germany
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Krohn T, Verburg FA, Pufe T, Neuhuber W, Vogg A, Heinzel A, Mottaghy FM, Behrendt FF. [(68)Ga]PSMA-HBED uptake mimicking lymph node metastasis in coeliac ganglia: an important pitfall in clinical practice. Eur J Nucl Med Mol Imaging 2014; 42:210-4. [PMID: 25248644 DOI: 10.1007/s00259-014-2915-3] [Citation(s) in RCA: 133] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2014] [Accepted: 09/09/2014] [Indexed: 11/30/2022]
Abstract
PURPOSE To determine the frequency of seemingly pathological retroperitoneal uptake in the location of the coeliac ganglia in patients undergoing [(68)Ga]PSMA-HBED PET/CT. METHODS The study included 85 men with prostate cancer referred for [(68)Ga]PSMA-HBED PET/CT. The PET/CT scans were evaluated for the local finding in the prostate and the presence of lymph node metastases, distant metastases and coeliac ganglia. The corresponding standardized uptake values (SUV) were determined. SUVmax to background uptake (gluteal muscle SUVmean) ratios were calculated for the ganglia and lymph node metastases. Immunohistochemistry was performed on the ganglia. RESULTS In 76 of the 85 patients (89.4%) at least one ganglion with tracer uptake was found. For the ganglia, SUVmax and SUVmax to background SUVmean ratios were 2.97 ± 0.88 and 7.98 ± 2.84 (range 1.57-6.38 and 2.83-30.6), respectively, and 82.8% of all ganglia showed an uptake ratio of >5.0. For lymph node metastases, SUVmax and SUVmax to background SUVmean ratios were 8.5 ± 7.0 and 23.31 ± 22.23 (range 2.06-35.9 and 5.25-115.8), respectively. In 35 patients (41.2%), no lymph node metastases were found but tracer uptake was seen in the ganglia. Immunohistochemistry confirmed strong PSMA expression in the ganglia. CONCLUSION Coeliac ganglia show a relevant [(68)Ga]PSMA-HBED uptake in most patients and may mimic lymph node metastases.
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Affiliation(s)
- Thomas Krohn
- Department of Nuclear Medicine, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany,
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35
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Jabari S, da Silveira ABM, de Oliveira EC, Quint K, Wirries A, Neuhuber W, Brehmer A. Mucosal layers and related nerve fibres in non-chagasic and chagasic human colon--a quantitative immunohistochemical study. Cell Tissue Res 2014; 358:75-83. [PMID: 24962547 DOI: 10.1007/s00441-014-1934-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2014] [Accepted: 05/26/2014] [Indexed: 02/06/2023]
Abstract
Chagasic megacolon is accompanied by extensive myenteric and, simultaneously, moderate submucosal neuron loss. Here, we examined changes of the innervation pattern of the lamina propria (LP) and muscularis mucosae (MM). Two alternating sets of cryosections were taken from seven non-chagasic colonic and seven chagasic megacolonic specimens (the latter included both the dilated megacolonic and the non-dilated transitional oral and anal zones) and were immunohistochemically triple-stained for smooth-muscle actin (SMA), synaptophysin (SYN) and glial acid protein S100 and, alternatively, for SMA, vasoactive intestinal peptide (VIP) and somatostatin (SOM). Subsequent image analysis and statistical evaluation of nervous tissue profile areas revealed that, in LP, the most extreme differences (i.e. increase in thickness or decrease in nerve, glia and muscle tissue profile area, respectively) compared with control values occurred in the dilated megacolonic zone itself. In contrast, the most extreme differences in the MM were in the anal-to-megacolonic zone (except the profile area of muscle tissue, which was lowest in the megacolonic zone). This parallels our previous results in the external muscle coat. A partial and selective survival of VIP-immunoreactive in contrast to SOM-immunoreactive nerve fibres was observed in both mucosal layers investigated. Thus, VIPergic nerve elements might be crucial for the maintenance of the mucosal barrier. The differential changes of neural tissue parameters in LP and MM might reflect a multifactorial rather than a pure neurogenic development of megacolon in chronic Chagas' disease.
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Affiliation(s)
- Samir Jabari
- Institute of Anatomy I, University of Erlangen-Nuremberg, Krankenhausstrasse 9, 91054, Erlangen, Germany,
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Klein S, Sommer A, Distel LVR, Hazemann JL, Kröner W, Neuhuber W, Müller P, Proux O, Kryschi C. Superparamagnetic iron oxide nanoparticles as novel X-ray enhancer for low-dose radiation therapy. J Phys Chem B 2014; 118:6159-66. [PMID: 24827589 DOI: 10.1021/jp5026224] [Citation(s) in RCA: 83] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Superparamagnetic iron oxide nanoparticles (SPIONs) with a mixed phase composition (γ-Fe2O3)(1-x)(Fe3O4)x and sizes between 9 and 20 nm were synthesized via coprecipitation and were either left uncoated or subsequently surface-stabilized with citrate or malate anions. The sizes, morphology, surface chemistry, and magnetic properties of the nanoparticles were characterized using transmission electron microscopy (TEM), Fourier transform infrared spectroscopy, and superconducting quantum interference device measurements, respectively. Cellular uptake and intracellular distribution in normal tissue and tumor cells were verified by TEM images. X-ray-induced changes of the oxidation state and site geometries of surface iron ions of uncoated and citrate-coated SPIONs were explored by collecting Fe K-edge X-ray absorption spectroscopy data. The potential applicability of citrate- and malate-coated SPIONs as an X-ray enhancer for radiation cancer therapy was substantiated by their drastic enhancement of the concentration of reactive oxygen species (ROS) in X-ray irradiated tumor cells.
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Affiliation(s)
- Stefanie Klein
- Department of Chemistry and Pharmacy, Physical Chemistry I and ICMM, Friedrich-Alexander University Erlangen , Egerlandstr.3, D-91058 Erlangen, Germany
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Rau TT, Sonst A, Rogler A, Burnat G, Neumann H, Oeckl K, Neuhuber W, Dimmler A, Faller G, Brzozowski T, Hartmann A, Konturek PC. Gastrin mediated down regulation of ghrelin and its pathophysiological role in atrophic gastritis. J Physiol Pharmacol 2013; 64:719-725. [PMID: 24388886] [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] [Subscribe] [Scholar Register] [Received: 09/30/2013] [Accepted: 12/09/2013] [Indexed: 06/03/2023]
Abstract
The gastric hormone ghrelin is known as an important factor for energy homeostasis, appetite regulation and control of body weight. So far, ghrelin has mainly been examined as a serological marker for gastrointestinal diseases, and only a few publications have highlighted its role in local effects like mucus secretion. Ghrelin can be regarded as a gastroprotective factor, but little is known about the distribution and activity of ghrelin cells in pathologically modified tissues. We aimed to examine the morphological changes in ghrelin expression under several inflammatory, metaplastic and carcinogenic conditions of the upper gastrointestinal tract. In particular, autoimmune gastritis showed interesting remodeling effects in terms of ghrelin expression within neuroendocrine cell hyperplasia by immunohistochemistry. Using confocal laser microscopy, the gastrin/cholecystokinin receptor (CCKB) could be detected on normal ghrelin cells as well as in autoimmune gastritis. Functionally, we found evidence for a physiological interaction between gastrin and ghrelin in a primary rodent cell culture model. Additionally, we gathered serological data from patients with different basic gastrin levels due to long-term autoimmune gastritis or short-term proton pump inhibitor treatment with slightly reactive plasma gastrin elevations. Total ghrelin plasma levels showed a significantly inverse correlation with gastrin under long-term conditions. Autoimmune gastritis as a relevant condition within gastric carcinogenesis therefore has two effects on ghrelin-positive cells due to hypergastrinemia. On the one hand, gastrin stimulates the proliferation of ghrelinpositive cells as integral part of neuroendocrine cell hyperplasia, while on the other hand, plasma ghrelin is reduced by gastrin and lost in pseudopyloric and intestinal metaplastic areas. Ghrelin is necessary for the maintenance of the mucosal barrier and might play a role in gastric carcinogenesis, if altered under these pre neoplastic conditions.
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Affiliation(s)
- T T Rau
- Institute of Pathology, Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Erlangen, Germany.
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Beuscher N, Jabari S, Strehl J, Neuhuber W, Brehmer A. What neurons hide behind calretinin immunoreactivity in the human gut? Histochem Cell Biol 2013; 141:393-405. [PMID: 24203089 DOI: 10.1007/s00418-013-1163-0] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/22/2013] [Indexed: 12/11/2022]
Abstract
Calretinin (CALR) is often used as an immunohistochemical marker for the histopathological diagnosis of human intestinal neuropathies. However, little is known about its distribution pattern with respect to specific human enteric neuron types. Prior studies revealed CALR in both myenteric and submucosal neurons, most of which colabel with choline acetyl transferase (ChAT). Here, we specified the chemical code of CALR-positive neurons in small and large intestinal wholemounts in a series of 28 patients. Besides other markers, we evaluated the labeling pattern of CALR in combination with vasoactive intestinal peptide (VIP). In colonic submucosa, CALR and VIP were almost completely colocalized in about three-quarters of all submucosal neurons. In the small intestinal submucosa, both the colocalization rate of CALR and VIP as well as the proportion of these neurons were lower (about one-third). In the myenteric plexus of both small intestine and colon, CALR amounted to 11 and 10 %, respectively, whereas VIP to 5 and 4 % of the whole neuron population, respectively. Colocalization of both markers was found in only 2 and 3 % of myenteric neurons, respectively. In section specimens, nerve fibers coreactive for CALR and VIP were found in the mucosa but not in the muscle coat. Summarizing the present and earlier results, CALR was found in at least one submucosal and two myenteric neuron populations. Submucosal CALR+/VIP+/ChAT± neurons innervate mucosal structures. Furthermore, CALR immunoreactivity in the myenteric plexus was observed in morphological type II (supposed primary afferent) and spiny type I (supposed inter- or motor-) neurons.
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Affiliation(s)
- Nicholas Beuscher
- Institute of Anatomy I, University of Erlangen-Nuremberg, Krankenhausstraße 9, 91054, Erlangen, Germany
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Hübsch M, Neuhuber W, Raab M. Muscarinic acetylcholine receptors in the mouse esophagus: focus on vagal intraganglionic laminar endings (IGLEs). Auton Neurosci 2013. [DOI: 10.1016/j.autneu.2013.08.014] [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: 11/29/2022]
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Kichko TI, Lennerz J, Eberhardt M, Babes RM, Neuhuber W, Kobal G, Reeh PW. Bimodal concentration-response of nicotine involves the nicotinic acetylcholine receptor, transient receptor potential vanilloid type 1, and transient receptor potential ankyrin 1 channels in mouse trachea and sensory neurons. J Pharmacol Exp Ther 2013; 347:529-39. [PMID: 23926288 DOI: 10.1124/jpet.113.205971] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
High concentrations of nicotine, as in the saliva of oral tobacco consumers or in smoking cessation aids, have been shown to sensitize/activate recombinant transient receptor potential vanilloid type 1 (rTRPV1) and mouse TRPA1 (mTRPA1) channels. By measuring stimulated calcitonin gene-related peptide (CGRP) release from the isolated mouse trachea, we established a bimodal concentration-response relationship with a threshold below 10 µM (-)-nicotine, a maximum at 100 µM, an apparent nadir between 0.5 and 10 mM, and a renewed increase at 20 mM. The first peak was unchanged in TRPV1/A1 double-null mutants as compared with wild-types and was abolished by specific nicotinic acetylcholine receptor (nAChR) inhibitors and by camphor, discovered to act as nicotinic antagonist. The nicotine response at 20 mM was strongly pHe-dependent, - five times greater at pH 9.0 than 7.4, indicating that intracellular permeation of the (uncharged) alkaloid was required to reach the TRPV1/A1 binding sites. The response was strongly reduced in both null mutants, and more so in double-null mutants. Upon measuring calcium transients in nodose/jugular and dorsal root ganglion neurons in response to 100 µM nicotine, 48% of the vagal (but only 14% of the somatic) sensory neurons were activated, the latter very weakly. However, nicotine 20 mM at pH 9.0 repeatedly activated almost every single cultured neuron, partly by releasing intracellular calcium and independent of TRPV1/A1 and nAChRs. In conclusion, in mouse tracheal sensory nerves nAChRs are 200-fold more sensitive to nicotine than TRPV1/A1; they are widely coexpressed with the capsaicin receptor among vagal sensory neurons and twice as abundant as TRPA1. Nicotine is the major stimulant in tobacco, and its sensory impact through nAChRs should not be disregarded.
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Affiliation(s)
- Tatjana I Kichko
- Institute of Physiology and Pathophysiology (T.I.K., J.L., M.E., R.M.B., P.W.R.) and Institute of Anatomy I (W.N.), Friedrich-Alexander-University, Erlangen, Germany; Institute of Pathology, University of Ulm, Ulm, Germany (J.L.); Department of Biophysics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania (R.M.B.); Department of Anesthesiology and Intensive Care, Hannover Medical School, Hannover, Germany (M.E.); and Altria Client Services, Inc., Richmond, Virginia (G.K.)
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Tektas O, Fiessler C, Mayr A, Neuhuber W, Paulsen F. Correlation of high school exam grades with study success at a German medical school. ACTA ACUST UNITED AC 2013. [DOI: 10.5455/jcme.20130311114703] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Ditting T, Fiedler C, Freisinger W, Siegel K, Heinlein S, Schmidt ST, Neuhuber W, Ott C, Schmieder RE, Amann K, Veelken R. Abstract 473: Evidence for Afferent Re-innervation After Renal Denervation in Rats. Hypertension 2012. [DOI: 10.1161/hyp.60.suppl_1.a473] [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
Interventional renal ablation is a promising treatment procedure for therapy-resistant arterial hypertension. However, the underlying mechanisms are not completely understood: The efferent sympathetic renal nerves are known to play a key role in salt retention and renin release, but the role of the afferent nerves is not yet clearly defined, although strong evidence exists for a sympathoinhibitory function. It is widely accepted that there is some re-innervation of efferent sympathetic nerves after the denervation procedure, but re-innervation of afferent nerves is still doubted. Hence, we wanted to test the hypothesis that besides a sympathetic re-innervation a considerable afferent re-innervation occurs after renal denervation in rats. 50μm kidney slices from 12 male SD rats were stained for thyrosin hydroxylase (TH), calctonine gene related peptide (CGRP) and smooth muscle actin (SMA). Kidneys were examined 1, 4 and 12 weeks after left sided surgical renal denervation. The right innervated kidney served as control. Image stacks were generated using a confocal laser scanning microscope (0.5μm z-axis steps). Analysis of nerve density was done by 4 blinded investigators in 183 image stacks. Staining for TH (i.e. efferent) and CGRP (i.e. afferent) was visually scored (0-3). Stacks were visualized by Fiji Image J software. At week 1 both efferent [TH+] and afferent [CGRP+] fiber density was clearly reduced but was still detectable ([TH+]: right 2.43±0.10 vs. left 1.47±0.11; [CGRP+]: right 1.96±0.17 vs. left 0.86±0.12; P<0.001, each). After 4 weeks a clear-cut increase in nerve densities could be detected in the denervated kidneys, which further increased until week 12 ([TH+]: right 2.67±0.07 vs. left 2.35±0.12, P<0.03; [CGRP+]: right 2.06±0.16 vs. left 1.82±0.17, P=ns). Our study clearly indicates for the first time that there is not only a relevant sympathetic re-innervation but also a re-innervation of afferent nerves in the kidney. The afferent re-innervation process even seems to be more complete compared to sympathetic nerve fiber re-growth. Further studies have to be done to prove the functional relevance of our findings.
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Affiliation(s)
- Tilmann Ditting
- Friedrich-Alexander-Univ Erlangen-Nürnberg, Erlangen, Germany
| | | | | | - Kirsten Siegel
- Friedrich-Alexander-Univ Erlangen-Nürnberg, Erlangen, Germany
| | - Sonja Heinlein
- Friedrich-Alexander-Univ Erlangen-Nürnberg, Erlangen, Germany
| | | | | | - Christian Ott
- Friedrich-Alexander-Univ Erlangen-Nürnberg, Erlangen, Germany
| | | | - Kerstin Amann
- Friedrich-Alexander-Univ Erlangen-Nürnberg, Erlangen, Germany
| | - Roland Veelken
- Friedrich-Alexander-Univ Erlangen-Nürnberg, Erlangen, Germany
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Kurt S, Sausbier M, Rüttiger L, Brandt N, Moeller CK, Kindler J, Sausbier U, Zimmermann U, van Straaten H, Neuhuber W, Engel J, Knipper M, Ruth P, Schulze H. Critical role for cochlear hair cell BK channels for coding the temporal structure and dynamic range of auditory information for central auditory processing. FASEB J 2012; 26:3834-43. [PMID: 22691916 PMCID: PMC3425825 DOI: 10.1096/fj.11-200535] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Large conductance, voltage- and Ca2+-activated K+ (BK) channels in inner hair cells (IHCs) of the cochlea are essential for hearing. However, germline deletion of BKα, the pore-forming subunit KCNMA1 of the BK channel, surprisingly did not affect hearing thresholds in the first postnatal weeks, even though altered IHC membrane time constants, decreased IHC receptor potential alternating current/direct current ratio, and impaired spike timing of auditory fibers were reported in these mice. To investigate the role of IHC BK channels for central auditory processing, we generated a conditional mouse model with hair cell-specific deletion of BKα from postnatal day 10 onward. This had an unexpected effect on temporal coding in the central auditory system: neuronal single and multiunit responses in the inferior colliculus showed higher excitability and greater precision of temporal coding that may be linked to the improved discrimination of temporally modulated sounds observed in behavioral training. The higher precision of temporal coding, however, was restricted to slower modulations of sound and reduced stimulus-driven activity. This suggests a diminished dynamic range of stimulus coding that is expected to impair signal detection in noise. Thus, BK channels in IHCs are crucial for central coding of the temporal fine structure of sound and for detection of signals in a noisy environment.—Kurt, S., Sausbier, M., Rüttiger, L., Brandt, N., Moeller, C. K., Kindler, J., Sausbier, U., Zimmermann, U., van Straaten, H., Neuhuber, W., Engel, J., Knipper, M., Ruth, P., Schulze, H. Critical role for cochlear hair cell BK channels for coding the temporal structure and dynamic range of auditory information for central auditory processing.
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Affiliation(s)
- Simone Kurt
- Institute of Neurobiology, University of Ulm, Albert-Einstein-Allee 11, D-89081 Ulm, Germany.
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Jabari S, da Silveira ABM, de Oliveira EC, Neto SG, Quint K, Neuhuber W, Brehmer A. Selective survival of calretinin- and vasoactive-intestinal-peptide-containing nerve elements in human chagasic submucosa and mucosa. Cell Tissue Res 2012; 349:473-81. [PMID: 22555304 DOI: 10.1007/s00441-012-1406-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2012] [Accepted: 03/08/2012] [Indexed: 01/26/2023]
Abstract
Chronic Chagas' disease is frequently characterized by massive myenteric neuron loss resulting in megacolon with severely and irreversibly disturbed motility. Here, we focused on two submucosal neuron populations, immunoreactive for calretinin (CALR) or somatostatin (SOM), and their respective mucosal nerve fibres in chagasic megacolon. Surgically removed megacolonic segments of seven chagasic patients were compared with seven age- and region-matched non-chagasic control segments. Evaluation included immunohistochemical triple-staining of cryosections for CALR, SOM and peripherin or for CALR and vasoactive intestinal peptide (VIP) and of submucosal whole-mounts for CALR, SOM and the pan-neuronal marker anti-HuC/D. Submucosal neuron counts in chagasic tissue revealed neuron numbers reduced to 51.2 % of control values. In cryosections, nerve fibre area measurements revealed 8.6 % nerve fibre per mucosal area in control segments, but this value decreased to 1.5 % in megacolonic segments. In both evaluations, a disproportionate decrease of SOM-reactive nerve elements was observed. The proportions of SOM-positive neurons related to the total neuron number declined to 2 % (control 10 %) and the proportion of SOM-reactive mucosal nerve fibres related to the whole mucosal area to 0.014 % (control 1.8 %)in chagasic tissue. The second set of cryosections revealed extensive colocalization of CALR with VIP in both surviving submucosal perikarya and mucosal nerve fibres. We suggest that VIP, a neuroprotective and neuroeffectory peptide typically contained in submucosal neurons, allows both the VIP-containing neurons to endure and the patients to survive by maintaining their mucosal barrier, despite the almost complete loss of colonic motility for decades.
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Affiliation(s)
- Samir Jabari
- Institute of Anatomy I, University of Erlangen-Nuremberg, Krankenhausstr. 9, 91054 Erlangen, Germany.
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Ditting T, Freisinger W, Siegel K, Fiedler C, Small L, Neuhuber W, Heinlein S, Reeh PW, Schmieder RE, Veelken R. Tonic Postganglionic Sympathetic Inhibition Induced by Afferent Renal Nerves? Hypertension 2012; 59:467-76. [DOI: 10.1161/hypertensionaha.111.185538] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Tilmann Ditting
- From the Departments of Internal Medicine 4-Nephrology and Hypertension (T.D., W.F., K.S., C.F., L.S., S.H., R.E.S., R.V.), Anatomy I (W.N.), and Physiology 1 (P.W.R.), Friedrich-Alexander University Erlangen, Erlangen, Germany
| | - Wolfgang Freisinger
- From the Departments of Internal Medicine 4-Nephrology and Hypertension (T.D., W.F., K.S., C.F., L.S., S.H., R.E.S., R.V.), Anatomy I (W.N.), and Physiology 1 (P.W.R.), Friedrich-Alexander University Erlangen, Erlangen, Germany
| | - Kirsten Siegel
- From the Departments of Internal Medicine 4-Nephrology and Hypertension (T.D., W.F., K.S., C.F., L.S., S.H., R.E.S., R.V.), Anatomy I (W.N.), and Physiology 1 (P.W.R.), Friedrich-Alexander University Erlangen, Erlangen, Germany
| | - Christian Fiedler
- From the Departments of Internal Medicine 4-Nephrology and Hypertension (T.D., W.F., K.S., C.F., L.S., S.H., R.E.S., R.V.), Anatomy I (W.N.), and Physiology 1 (P.W.R.), Friedrich-Alexander University Erlangen, Erlangen, Germany
| | - Lisa Small
- From the Departments of Internal Medicine 4-Nephrology and Hypertension (T.D., W.F., K.S., C.F., L.S., S.H., R.E.S., R.V.), Anatomy I (W.N.), and Physiology 1 (P.W.R.), Friedrich-Alexander University Erlangen, Erlangen, Germany
| | - Winfried Neuhuber
- From the Departments of Internal Medicine 4-Nephrology and Hypertension (T.D., W.F., K.S., C.F., L.S., S.H., R.E.S., R.V.), Anatomy I (W.N.), and Physiology 1 (P.W.R.), Friedrich-Alexander University Erlangen, Erlangen, Germany
| | - Sonja Heinlein
- From the Departments of Internal Medicine 4-Nephrology and Hypertension (T.D., W.F., K.S., C.F., L.S., S.H., R.E.S., R.V.), Anatomy I (W.N.), and Physiology 1 (P.W.R.), Friedrich-Alexander University Erlangen, Erlangen, Germany
| | - Peter W. Reeh
- From the Departments of Internal Medicine 4-Nephrology and Hypertension (T.D., W.F., K.S., C.F., L.S., S.H., R.E.S., R.V.), Anatomy I (W.N.), and Physiology 1 (P.W.R.), Friedrich-Alexander University Erlangen, Erlangen, Germany
| | - Roland E. Schmieder
- From the Departments of Internal Medicine 4-Nephrology and Hypertension (T.D., W.F., K.S., C.F., L.S., S.H., R.E.S., R.V.), Anatomy I (W.N.), and Physiology 1 (P.W.R.), Friedrich-Alexander University Erlangen, Erlangen, Germany
| | - Roland Veelken
- From the Departments of Internal Medicine 4-Nephrology and Hypertension (T.D., W.F., K.S., C.F., L.S., S.H., R.E.S., R.V.), Anatomy I (W.N.), and Physiology 1 (P.W.R.), Friedrich-Alexander University Erlangen, Erlangen, Germany
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Ditting T, Linz P, Freisinger W, Heinlein S, Reeh PW, Fiedler C, Siegel K, Scrogin KE, Neuhuber W, Veelken R. Norepinephrine reduces ω-conotoxin-sensitive Ca2+ currents in renal afferent neurons in rats. Am J Physiol Renal Physiol 2011; 302:F350-7. [PMID: 22049399 DOI: 10.1152/ajprenal.00681.2010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Sympathetic efferent and peptidergic afferent renal nerves likely influence hypertensive and inflammatory kidney disease. Our recent investigation with confocal microscopy revealed that in the kidney sympathetic nerve endings are colocalized with afferent nerve fibers (Ditting T, Tiegs G, Rodionova K, Reeh PW, Neuhuber W, Freisinger W, Veelken R. Am J Physiol Renal Physiol 297: F1427-F1434, 2009; Veelken R, Vogel EM, Hilgers K, Amman K, Hartner A, Sass G, Neuhuber W, Tiegs G. J Am Soc Nephrol 19: 1371-1378, 2008). However, it is not known whether renal afferent nerves are influenced by sympathetic nerve activity. We tested the hypothesis that norepinephrine (NE) influences voltage-gated Ca(2+) channel currents in cultured renal dorsal root ganglion (DRG) neurons, i.e., the first-order neuron of the renal afferent pathway. DRG neurons (T11-L2) retrogradely labeled from the kidney and subsequently cultured, were investigated by whole-cell patch clamp. Voltage-gated calcium channels (VGCC) were investigated by voltage ramps (-100 to +80 mV, 300 ms, every 20 s). NE and appropriate adrenergic receptor antagonists were administered by microperfusion. NE (20 μM) reduced VGCC-mediated currents by 10.4 ± 3.0% (P < 0.01). This reduction was abolished by the α-adrenoreceptor inhibitor phentolamine and the α(2)-adrenoceptor antagonist yohimbine. The β-adrenoreceptor antagonist propranolol and the α(1)-adrenoceptor antagonist prazosin had no effect. The inhibitory effect of NE was abolished when N-type currents were blocked by ω-conotoxin GVIA, but was unaffected by other specific Ca(2+) channel inhibitors (ω-agatoxin IVA; nimodipine). Confocal microscopy revealed sympathetic innervation of DRGs and confirmed colocalization of afferent and efferent fibers within in the kidney. Hence NE released from intrarenal sympathetic nerve endings, or sympathetic fibers within the DRGs, or even circulating catecholamines, may influence the activity of peptidergic afferent nerve fibers through N-type Ca(2+) channels via an α(2)-adrenoceptor-dependent mechanism. However, the exact site and the functional role of this interaction remains to be elucidated.
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Affiliation(s)
- Tilmann Ditting
- Dept. of Internal Medicine 4, Nephrology and Hypertension, Erlangen, Germany.
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Sausbier U, Dullin C, Missbach-Guentner J, Kabagema C, Flockerzie K, Kuscher GM, Stuehmer W, Neuhuber W, Ruth P, Alves F, Sausbier M. Osteopenia due to enhanced cathepsin K release by BK channel ablation in osteoclasts. PLoS One 2011; 6:e21168. [PMID: 21695131 PMCID: PMC3114853 DOI: 10.1371/journal.pone.0021168] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2010] [Accepted: 05/23/2011] [Indexed: 01/05/2023] Open
Abstract
Background The process of bone resorption by osteoclasts is regulated by Cathepsin K, the lysosomal collagenase responsible for the degradation of the organic bone matrix during bone remodeling. Recently, Cathepsin K was regarded as a potential target for therapeutic intervention of osteoporosis. However, mechanisms leading to osteopenia, which is much more common in young female population and often appears to be the clinical pre-stage of idiopathic osteoporosis, still remain to be elucidated, and molecular targets need to be identified. Methodology/Principal Findings We found, that in juvenile bone the large conductance, voltage and Ca2+-activated (BK) K+ channel, which links membrane depolarization and local increases in cytosolic calcium to hyperpolarizing K+ outward currents, is exclusively expressed in osteoclasts. In juvenile BK-deficient (BK−/−) female mice, plasma Cathepsin K levels were elevated two-fold when compared to wild-type littermates. This increase was linked to an osteopenic phenotype with reduced bone mineral density in long bones and enhanced porosity of trabecular meshwork in BK−/− vertebrae as demonstrated by high-resolution flat-panel volume computed tomography and micro-CT. However, plasma levels of sRANKL, osteoprotegerin, estrogene, Ca2+ and triiodthyronine as well as osteoclastogenesis were not altered in BK−/− females. Conclusion/Significance Our findings suggest that the BK channel controls resorptive osteoclast activity by regulating Cathepsin K release. Targeted deletion of BK channel in mice resulted in an osteoclast-autonomous osteopenia, becoming apparent in juvenile females. Thus, the BK−/− mouse-line represents a new model for juvenile osteopenia, and revealed the BK channel as putative new target for therapeutic controlling of osteoclast activity.
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Affiliation(s)
- Ulrike Sausbier
- Department of Pharmacology and Toxicology, Institute of Pharmacy, University of Tübingen, Tübingen, Germany
| | - Christian Dullin
- Department of Diagnostic Radiology, University Medical Center Göttingen, Göttingen, Germany
| | | | - Clement Kabagema
- Department of Pharmacology and Toxicology, Institute of Pharmacy, University of Tübingen, Tübingen, Germany
| | - Katarina Flockerzie
- Department of Pharmacology and Toxicology, Institute of Pharmacy, University of Tübingen, Tübingen, Germany
| | - Gerd Marten Kuscher
- Max-Planck-Institute for Experimental Medicine, Department of Molecular Biology of Neuronal Signals, Göttingen, Germany
| | - Walter Stuehmer
- Max-Planck-Institute for Experimental Medicine, Department of Molecular Biology of Neuronal Signals, Göttingen, Germany
| | - Winfried Neuhuber
- Institute for Anatomy, University of Erlangen-Nürnberg, Erlangen, Germany
| | - Peter Ruth
- Department of Pharmacology and Toxicology, Institute of Pharmacy, University of Tübingen, Tübingen, Germany
| | - Frauke Alves
- Max-Planck-Institute for Experimental Medicine, Department of Molecular Biology of Neuronal Signals, Göttingen, Germany
- Department of Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany
| | - Matthias Sausbier
- Department of Pharmacology and Toxicology, Institute of Pharmacy, University of Tübingen, Tübingen, Germany
- * E-mail:
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Kustermann A, Neuhuber W, Brehmer A. Calretinin and somatostatin immunoreactivities label different human submucosal neuron populations. Anat Rec (Hoboken) 2011; 294:858-69. [PMID: 21416629 DOI: 10.1002/ar.21365] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2010] [Accepted: 01/24/2011] [Indexed: 01/13/2023]
Abstract
In human myenteric plexus, calretinin (CALR) and somatostatin (SOM) coexist in Dogiel Type II neurons, which were considered as intrinsic primary afferent neurons in the guinea pig. The aims of this study were to test if also human submucosal neurons costain immunohistochemically for CALR and SOM and whether these or other neurons display Type II morphology. Two sets of submucosal wholemounts of small and large intestine from 29 patients (median age 65 years) were triple stained for CALR, SOM, and human neuronal protein Hu C/D (HU, a pan-neuronal marker) as well as for CALR, SOM, and peripherin (PER), respectively. Only exceptionally, neurons coreactive for both CALR and SOM were found. The three major groups of neurons were CALR-/HU-coreactive (CALR-neurons), SOM-/HU-coreactive (SOM-neurons), and HU-alone-positive neurons. We observed significantly more CALR-neurons in the external submucosal plexus (ESP) of all regions and more SOM-neurons in the internal submucosal plexus (ISP), although with substantial interindividual variations. Comparisons of small vs. large intestine revealed more SOM-neurons (ESP: 29% vs. 4%, ISP: 40% vs. 13%) but fewer CALR-neurons (ESP: 37% vs. 77%, ISP: 21% vs. 67%) in small intestine. Morphologically, CALR-neurons had multiple processes; in some cases, we identified multidendritic/uniaxonal neurons. In contrast, SOM-neurons had mostly only one process. The functions of both populations as possible primary afferent neurons, interneurons, secretomotor neurons, or vasomotor neurons are discussed. Future morphochemical distinction of these groups may reveal different subgroups.
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Benz K, Campean V, Cordasic N, Karpe B, Neuhuber W, Mall G, Hartner A, Hilgers KF, Amann K. Early glomerular alterations in genetically determined low nephron number. Am J Physiol Renal Physiol 2011; 300:F521-30. [DOI: 10.1152/ajprenal.00490.2009] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
An association between low nephron number and subsequent development of hypertension in later life has been demonstrated. The underlying pathomechanisms are unknown, but glomerular and postglomerular changes have been discussed. We investigated whether such changes are already present in prehypertensive “glial cell line-derived neurotrophic growth factor” heterozygous mice (GDNF+/−) with lower nephron number. Twenty-six-week-old mice [22 GDNF+/−, 29 C57B6 wild-type control (wt)] were used for in vivo experiments with intra-arterial and tail cuff blood pressure measurements. After perfusion fixation, kidneys were investigated with morphological, morphometric, stereological, and immunohistochemical techniques and TaqMan PCR analysis. As expected at this age, blood pressure was comparable between GDNF+/− and wt. Nephron number per kidney was significantly lower in GDNF+/− than in wt (−32.8%, P < 0.005), and mean glomerular volume was significantly higher (+49.5%, P < 0.001). Renal damage scores, glomerular and tubular proliferation, analysis of intrarenal arteries and peritubular capillaries, expression of relevant tubular transporter proteins, as well as gene expression of profibrotic, proinflammatory, or prohypertensive markers were not significantly different between GDNF+/− and wt. Compensatory glomerular hypertrophy in GDNF+/− was accompanied by higher numbers of endothelial and mesangial cells as well as PCNA-positive glomerular cells, whereas podocyte density was significantly reduced. Further electron microscopic analysis showed marked thickening of glomerular basement membrane. In conclusion, lower nephron number is associated with marked early glomerular structural changes, in particular lower capillary supply, reduced podocyte density, and thickened glomerular basement membrane, that may predispose to glomerular sclerosis.
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Affiliation(s)
| | | | | | | | | | - Gerhard Mall
- Department of Pathology, Hospital of Darmstadt, Darmstadt, Germany
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Jabari S, da Silveira ABM, de Oliveira EC, Neto SG, Quint K, Neuhuber W, Brehmer A. Partial, selective survival of nitrergic neurons in chagasic megacolon. Histochem Cell Biol 2010; 135:47-57. [PMID: 21184236 PMCID: PMC3019355 DOI: 10.1007/s00418-010-0774-y] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [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] [Accepted: 12/09/2010] [Indexed: 02/06/2023]
Abstract
One frequent chronic syndrome of Chagas’ disease is megacolon, an irreversible dilation of a colonic segment. Extensive enteric neuron loss in the affected segment is regarded as key factor for deficient motility. Here, we assessed the quantitative balance between cholinergic and nitrergic neurons representing the main limbs of excitatory and inhibitory colonic motor innervation, respectively. From surgically removed megacolonic segments of four patients, each three myenteric wholemounts (from non-dilated oral, megacolonic and non-dilated anal parts) was immunohistochemically triple-stained for choline acetyltransferase, neuronal nitric oxide synthase (NOS) and the panneuronal human neuronal protein Hu C/D. Degenerative changes were most pronounced in the megacolonic and anal regions, e.g. bulked, honeycomb-like ganglia with few neurons which were partly enlarged or atrophic or vacuolated. Neuron counts from each 15 ganglia of 12 megacolonic wholemounts were compared with those of 12 age- and region-matched controls. Extensive neuron loss, mainly in megacolonic and anal wholemounts, was obvious. In all three regions derived from megacolonic samples, the proportion of NOS-positive neurons (control: 55%) was significantly increased: in non-dilated oral parts to 61% (p = 0.003), in megacolonic regions to 72% (p < 0.001) and in non-dilated anal regions to 78% (p < 0.001). We suggest the chronic dilation of megacolonic specimens to be due to the preponderance of the nitrergic, inhibitory input to the intestinal muscle. However, the observed neuronal imbalance was not restricted to the dilated regions: the non-dilated anal parts may be innervated by ascending, cholinergic axons emerging from less affected, more anally located regions.
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Affiliation(s)
- Samir Jabari
- Institute of Anatomy I, University of Erlangen-Nuremberg, Krankenhausstr. 9, 91054, Erlangen, Germany
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