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‘Chameleonic' Serological Findings Leading to Life-Threatening Hemolytic Transfusion Reactions
(2015)
Background: The phenomena of co-incidence of transfusion-induced allo- and autoantibodies, blockage and/or loss of red blood cell (RBC) antigens are conspicuous and may result in confusion and misdiagnosis. Case Report: A 67-year-old female was transferred to the intensive care unit due to hemolysis which developed 2 days following transfusion of three Rh(D)-negative RBC units in the presence of strongly reactive autoantibodies. Standard serological testing and genotyping were performed. Upon arrival, the patient was typed as Ccddee. Her hemolysis was decompensated, and an immediate blood transfusion was required. In addition, direct and indirect antiglobulin tests (DAT and IAT) as well as the eluate were strongly positive. Emergency transfusion of Rh(D)-negative RBCs resulted in increased hemolysis and renal failure. An exhaustive testing revealed anti-D, anti-c, CCddee phenotype and CCD.ee genotype. Three units of cryopreserved CCddee RBCs were transfused, and the patient's condition immediately improved. The discrepancy between Rh-D phenotyping and genotyping was likely caused by masking of the D-epitopes by the autoantibodies. In fact, further enquiry revealed that the patient had been phenotyped as Rh(D)-positive 6 months ago and had been transfused at that time following hip surgery. Conclusion: The phenomena of transfusion-induced autoantibodies, masked alloantibodies, antigen blockage and/or loss are rare but important features which should be considered in patients presenting with autoimmune hemolytic anemia and/or hemolytic transfusion reactions.
Context: 3,5-Diiodo-<smlcap>L</smlcap>-thyronine (3,5-T<sub>2</sub>) is a thyroid hormone metabolite which exhibited versatile effects in rodent models, including the prevention of insulin resistance or hepatic steatosis typically forced by a high-fat diet. With respect to euthyroid humans, we recently observed a putative link between serum 3,5-T<sub>2</sub> and glucose but not lipid metabolism. Objective: The aim of the present study was to widely screen the urine metabolome for associations with serum 3,5-T<sub>2</sub> concentrations in healthy individuals. Study Design and Methods: Urine metabolites of 715 euthyroid participants of the population-based Study of Health in Pomerania (SHIP-TREND) were analyzed by <sup>1</sup>H-NMR spectroscopy. Multinomial logistic and multivariate linear regression models were used to detect associations between urine metabolites and serum 3,5-T<sub>2</sub> concentrations. Results: Serum 3,5-T<sub>2</sub> concentrations were positively associated with urinary levels of trigonelline, pyroglutamate, acetone and hippurate. In detail, the odds for intermediate or suppressed serum 3,5-T<sub>2</sub> concentrations doubled owing to a 1-standard deviation (SD) decrease in urine trigonelline levels, or increased by 29-50% in relation to a 1-SD decrease in urine pyroglutamate, acetone and hippurate levels. Conclusion: Our findings in humans confirmed the metabolic effects of circulating 3,5-T<sub>2</sub> on glucose and lipid metabolism, oxidative stress and enhanced drug metabolism as postulated before based on interventional pharmacological studies in rodents. Of note, 3,5-T<sub>2</sub> exhibited a unique urinary metabolic profile distinct from previously published results for the classical thyroid hormones.
Synopsis
C+60 has been proposed to be responsible for two of the diffuse interstellar bands (DIBs), the absorption features observed in the visible-to-near-infrared spectra of the interstellar medium. However, a confirmation requires laboratory gas-phase spectra, which are so far not available. We plan to develop a novel spectroscopy technique that will allow us to obtain the first gas-phase spectra of C+60, and that will be applicable to other complex organic molecules such as polycyclic aromatic hydrocarbons. The current status of the experimental setup, the ideas behind the measurement scheme and the preparatory work toward its implementation will be presented.
Although the Pleistocene deposits exposed in the steep coastal cliffs of Mecklenburg-Vorpommern have been studied for more than a century, the depositional conditions of many lithostratigraphic units remain unclear. There is, in particular, a question whether the individual tills (locally more than 9 successive till units) are mainly subglacial deposits or resedimented (mass flows) in origin (at least in part). The Pleistocene deposits preserve information concerning the former glacial depositional processes. Detailed micromorphological analysis of these deposits can provide key information regarding these processes and thereby aid in the reconstruction of former glacial environments. The island of Rügen is located on the southwestern Baltic Sea coast and was situated in the marginal zone of the Scandinavian Ice Sheet during the last glacial period (Weichselian). Therefore, the region is considered as an ideal area for reconstructing the complex fluctuations in the position of the margin of this ice sheet as it expanded across the Baltic Sea and into northern Germany. Successive glacial advances and retreats of the ice sheet can be reconstructed by specific glacial sedimentation processes and flow-direction criteria derived from a variety of glacial deposits. The investigation area is located near Sassnitz on Rügen, where an imbricated and folded Weichselian succession disconformably overlies Maastrichtian chalk bedrock. The individual till units were sampled for micromorphological analyses to identify the former depositional conditions. Detailed description of the sedimentology and variation in facies, the description of macroscale deformation structures provides the context for the detailed micromorphology study. The three dimensional analysis of the microfabrics is based on the microstructural mapping methodology which enables the identification and interpretation of polyphase deformation within subglacial sediments.
Invasion of the bacterial pathogen Listeria monocytogenes into human host cells requires specialized surface molecules for attachment and induction of phagocytosis. However, efficient invasion is also dependent on factors with house-keeping functions, such as SecA2-dependent secretion of autolysins for post-divisional segregation of daughter cells. Mutations in this pathway prevent degradation of peptidoglycan cross-walls, so that long cell chains are formed that cannot be phagocytosed. The extreme chaining of such mutants manifests as rough colony phenotype. One rough clone was isolated from a transposon library with a transposon insertion in the uncharacterized lmo0720 gene (lftS) together with a spontaneous point mutation in the secA2 gene. We separated both mutations and demonstrated that this point mutation in the intramolecular regulator 2 domain of SecA2 was sufficient to inactivate the protein. In contrast, lftS deletion did not cause a ΔsecA2-like phenotype. lftS is located in an operon with lftR (lmo0719), encoding a PadR-like transcriptional regulator, and lftR deletion affected growth, invasion and day-light dependent coordination of swarming. Inactivation of lftS partially suppressed these phenotypes, suggesting a functional relationship between LftR and LftS. However, the invasion defect of the ΔlftR mutant was only marginally suppressed by lftS removal. LftR regulates expression of the lmo0979–0980 (lieAB) operon, encoding a putative multidrug resistance transporter and lieAB transcription was strongly upregulated in the absence of LftR. Deletion of lieAB in the ΔlftR background restores wild type-like invasion levels. Hence, we conclude that tight transcriptional repression of the lieAB operon is essential for efficient listerial host cell invasion.
The influence of regulatory proteins on the physiology and virulence of Streptococcus pneumoniae
(2015)
In conclusion, this work identifies the regulator ArgR2 as activator of the S. pneumoniae TIGR4 arginine deiminase system and arginine-ornithine transporter ArcD, which is needed for uptake of the essential amino acid arginine. Although ArgR2 activates ArcD expression and uptake of arginine is required to maintain pneumococcal fitness, the deficiency of ArgR2 increases TIGR4 virulence under in vivo conditions, suggesting that other factors regulated by ArgR2 counterbalance the reduced uptake of arginine by ArcD. Thus this works illustrates that the physiological homeostasis of pneumococci is complex and that ArgR2 plays a key role in maintaining bacterial fitness. Moreover, Rex was identified as a regulator of housekeeping genes including genes encoding glycolytic enzymes. In vitro studies and gene expression analyses suggested that the regulator Rex does not have an influence on the physiology of S. pneumoniae. However, a co-infection experiment demonstrated that Rex is involved in maintaining pneumococcal fitness and robustness under in vivo conditions.
The present work examines the decision-making process of clinicians and managers in terms of pricing. This dissertation attempts to make often unconscious processes in both the clinical and economic areas more transparent. Due to this increase in transparency and an illustration of the overall decision-making process, a prioritization of the decision-drivers is enabled. Similarily, overall decision-making on stakeholder level is improved. The findings of this work are based on a dual sample: The paper primarily combines qualitative expert discussions in the clinical field with a quantitative manager survey. Therefore, the advancement of knowledge is specifically furthered in terms of pricing decision-making, as well as specific economic and thematic aspects. These form the basis for clinical/managerial decision-making. Since such specific understanding enables better acting and reacting during the negotiation processs, clients of medical device companies (eg clinics) could additionally benefit from improved understanding. Although the focus of this work rests on the clinical area, this paper also examines how companies of the medical technology industry could offer more economic medical products by means of using the instrument of pricing. Based on an interdisciplinary approach and a collection of primary data, this work also discusses a solution approach for corporate/entrepreneurial inefficiencies discovered in this paper. A final conceptual model illustrates different value allocations from both stakeholder groups (clinicians vs. managers). With regard to the research focus, the conceptual model is understood as a holistic solution for recognizing and correcting business gaps in the areas of knowledge transfer, innovation, knowledge of markets and standardization of processes.
The Black Sea experienced fundamental environmental changes during the last glacial-interglacial transitions. During the last 670,000 years, the Black Sea was at least twelve times connected to Mediterranean Sea, received saltwater via the Bosporus strait, and evolved to a brackish anoxic water body. A lowered global sea level during glacials caused isolation of the basin from the open ocean, and the Black Sea became limnic and well-oxygenated. The last glacial-interglacial history of the Black Sea is relatively well understood and demonstrates the high sensitivity of this basin to global climate and environmental changes. Previous studies particularly focussed on the evolution during the last glacial with meltwater pulses, warming during the glacial-interglacial transition, and the development from a ventilated lake to the present euxinic/brackish water body. Apart from the interglacial warming, the Black Sea sediments clearly recorded short-term abrupt temperature changes associated with cooling during Heinrich events and the Younger Dryas as well the Bølling-Allerød warming, which occurred over the northern hemisphere. However, our knowledge about the Black Sea history before 40,000 BP is comparatively poor even though crucial for understanding hemisphere-wide atmospheric teleconnection patterns and climate mechanisms during older glacials and interglacials. A multiproxy approach has been applied on three gravity cores and surface sediment from the southeastern Black Sea comprising ostracod geochemistry (Mg/Ca, Sr/Ca, U/Ca, 87Sr/86Sr), major and trace elements (Al, Ca, Fe, K, Ti, Mo, Re, Sr, W, Zr) and organic biomarkers (n-alkanes, alkenones, UK’37-palaeotemperatures, glycerol dialkyl glycerol tetraethers, TEX86-palaeotemperatures, BIT-index). The cores cover the last 134,000 a and provide new findings concerning the last and penultimate glacial-interglacial transitions (12,000- 0 a BP; 134,000-120,000 a BP) as well as the abrupt climate changes during the last glacial period (64,000-20,000 a BP). The major topics of this work are i) the penultimate glacial-interglacial transition (Saalian-Eemian), ii) the environmental conditions in the Black Sea “Lake” during abrupt climate oscillations of the last glacial period, iii) and the comparison of the redox evolution during Eemian and Holocene sapropel formation. Two meltwater pulses caused a pronounced freshening of the Black Sea “Lake” during the ending penultimate glacial, which originated from the melting Fennoscandian Ice Sheet. Due to unusually high radiogenic Sr-isotope signatures of benthic ostracods, a potential Himalayan source communicated via the Caspian Sea is also likely. During the glacial-interglacial transition the temperatures in the Black Sea increased from 9°C to 17°C and the associated global sea-level rise allowed the reconnection between the Mediterranean and Black Seas around 128,000 a BP. Eemian sapropel formation started shortly after the intrusion of saltwater and the water body became gradually euxinic. In comparison with the Holocene sapropel, the Eemian proxy records imply warmer and stronger euxinic conditions and distinctly higher enrichments of redox-sensitive trace elements like e.g. Mo, Re, and W. Because the seawater forms the ultimate source for several trace metals, these enrichments were most likely favoured by the higher salinity due to a ca. 10 m higher sea level and enhanced Mediterranean Sea - Black Sea water exchange. Based on biomarker analyses, lake surface temperatures could be calculated for the first time for the period between 64,000 and 20,000 a BP, which includes the Marine Isotope Stage (MIS) 3. Abrupt stadial/interstadial temperature changes with amplitudes of up to 4°C in the Black Sea “Lake” clearly resemble the Greenland Dansgaard-Oeschger pattern. However, an exceptional cooling during the so-called Heinrich events is not evident from our cores. This finding agrees with modelling results proposing a deeper penetration of regular Dansgaard-Oeschger cycles into the Eurasian continent when compared with the Heinrich events. During the warm and more humid interstadials, the Black Sea “Lake” became fresher and more productive and the water level probably increased. During the colder and more arid stadials the freshwater supply was decreased and productivity was low. Aridity and stronger westerly winds favoured the input of aeolian transported detritus. The long-term pattern from 64,000 to 20,000 a BP demonstrates a strong influence of orbital-driven changes in the Eurasian ice volume and associated atmospheric circulation patterns over the Black Sea region. The present multi-proxy study demonstrates that the sediments from the SE Black Sea clearly record not only orbital- but also millennial-scale climate and environmental changes and thus represent an important continental archive for climate change bridging the North Atlantic-Eurasian corridor.
Although End Stage Renal Disease (ESRD) is a disease of increasing epidemiological relevance very little is known about the cost of providing the respective dialysis services in Tanzania. This study analyses the cost of outpatient dialysis at Muhimbili National Hospital (MNH) in Tanzania in the year 2014 in order to address the question weather or not dialysis treatment should be a priority intervention in a poor resource country like Tanzania. Cost analyses were performed based on the provider’s perspective including only direct costs of dialysis treatment. Cost of drugs and consumables were obtained from the price list of Medical Stores Department in Tanzania. Overhead were collected from the respective departments and allocated to the final cost centres through step down approach. The results indicates that MNH performs on average 442 hemodialyses per month (34 patients, with three sessions per week) with a personnel placement of 20 nurses, four nephrologists, eight registrars, one nutritionist, two biomedical engineers, four health attendants and nine dialysis machines. The respective average unit cost per haemodialysis is 175.91 US$. Consequently, an average patient requiring three dialyses per week (i.e. 156 dialyses per year) will cause annual costs of 27,441.95 US$. The annual cost of dialysis is enormous for a least developed country like Tanzania where resources and technology are rather limited. Infectious diseases (such as malaria and tuberculosis) are the major health problems. Therefore, from the economic point of view, it seems rational to allocate health care budgets towards diseases that are curable, have higher cost- effectiveness and cater for the majority of the population. However, before a final decision on allocation of budget towards dialysis is made, all efforts that could improve technical efficiency and reduce the costs of materials in Tanzania must be invested. For instance, reducing the nursing time per dialysis.
Having been regarded as wastelands until quite recently, wetlands are increasingly acknowledged as ecosystems of high biodiversity. Wetland restoration projects are often accompanied by the implementation of specific species management programs. Naturally, for effective management measures, profound knowledge of the target speciesʼ ecological requirements is obligatory, including habitat selection, feeding ecology as well as spatial behaviour such as movements within and between patches of suitable habitat. Yet, big knowledge gaps exist for many marshland birds which is particularly true for highly secretive species such as rails and crakes. Considered as the least known among the Palaearctic breeding birds, most information about the Baillon's Crake Zapornia pusilla is only anecdotic, resulting in strong uncertainties with regard to the species' distribution, population sizes, status, migratory behaviour as well as ecological requirements. This can be mainly attributed to the species' skulking behaviour and its seemingly highly erratic occurrence. Baillon's Crakes in the Western Palaearctic and Palaeotropics are referred to as the subspecies Z. p. intermedia. While European breeding birds are assumed to winter in sub-Saharan wetlands, African populations are considered rather to be itinerant with local movements induced by seasonal or anthropogenic habitat changes. However, for both migratory movements, major directions or routes are unknown. The discovery of a large number of Baillon's Crakes presumably wintering in the floodplains of the Parc National des Oiseaux du Djoudj (PNOD), situated in the Senegal River Delta, WAfrica, initiated this thesis. The main aim of the study was, firstly, to clarify the status and size of this population and assess its connectivity to European breeding population(s). Secondly, in order to improve the knowledge about the species' ecological requirements as a basis for the National Parks conservation management, habitat selection, spatial behaviour as well as dietary selectivity were investigated. The major part of the fieldwork was performed in PNOD in the course of the dry season during periods of 1.5 - 2.5 months from December - March 2009, 2010 and 2013. Baillon's Crakes were mainly caught with cage traps, ringed and common measurements were taken, including moult status. Skin tissue as well as one rectrice was sampled for DNA and stable isotope analyses. This was also done for Baillon's Crakes caught in European breeding grounds in Germany, Montenegro and Southern Spain. For dietary analyses, faecal samples were collected in PNOD in winter 2009/2010. Furthermore, some individuals were equipped with radio-transmitters to determine home range size and habitat selection. For the identification of the most relevant habitat parameters both on a population as well as on the individuals' level, we used a vegetation map based on satellite imagery covering the entire Djoudj area as well as maps generated on the basis of aerial photographs taken at two study sites.
The Clinical and Socio-Economic Relevance of Increased IPMN Detection Rates and Management Choices
(2015)
Background: Increased usage of computed tomography and magnetic resonance imaging has led to a large increase in identified pancreatic cysts of up to 25% in population-based studies. The clinical and economic relevance of identifying so many cystic lesions has not been established. Compared to other organs such as liver or kidney, dysontogenetic pancreatic cysts are rare. Pancreatic cysts comprise a variety of benign, premalignant or malignant lesions; however, precise diagnosis before resection has an accuracy of only 80%. The focus of recent research was the malignant potential of intraductal papillary mucinous neoplasms (IPMN) with the aim of establishing clinical pathways addressing risk of malignancy, age and comorbidity, treatment-related morbidity and mortality as well as cost-effectiveness of treatment and surveillance. The focus of this review is to analyze the clinical and socio-economic relevance as well as the cost-benefit relation for IPMNs. Methods: For analysis, the following MESH terms were used to identify original articles, reviews, and guidelines in PubMed: (‘intraductal papillary mucinous neoplasm' OR ‘pancreatic cysts') and (incidence OR relevance OR socio-economic OR economic OR cost-effectiveness OR cost-benefit). The retrieved publications were reviewed with a focus on clinical and socio-economic relevance in relation to the increasing incidence of IPMN. Results: Addressing the increasing prevalence of pancreatic cystic lesions, recent consensus guidelines suggested criteria for risk stratification according to ‘worrisome features' and ‘high-risk stigmata'. Recent prospective cohort studies evaluated whether these can be applied in clinical practice. Evaluation of three different clinical scenarios with regard to costs and quality-adjusted life years suggested a better effectiveness of surveillance after initial risk stratification by endoscopic ultrasound-guided fine-needle aspiration with cyst fluid analysis compared with immediate resection or follow-up without further intervention. Of interest, the ‘immediate surgery' strategy was lowest for cost-effectiveness. Conclusions: The increasing incidence of identified pancreatic cysts requires an improved strategy for non-invasive risk stratification based on advanced imaging strategies. In light of a malignancy risk of 2% for branch-duct IPMN, the socio-economic necessity of a balance between surveillance and resection has to be agreed on.
Background: Common to most theory-based intervention approaches is the idea of supporting intentions to increase the probability of behavior change. This principle works only if (a) intentions can be explained by the hypothesized socio-cognitive constructs, and (b) people actually do what they intend to do. The overall aim of this thesis was to test these premises using two health behavior theories applied to reducing at-risk alcohol use. Method: The three papers underlying this thesis were based on data of the randomized controlled “Trial Of Proactive Alcohol interventions among job-Seekers” (TOPAS). A total of 1243 job-seekers with at-risk alcohol use were randomized to stage tailored intervention (ST), non-stage tailored intervention (NST), or control group. The ST participants (n = 426) were analyzed in paper 1. Paper 2 was based on the baseline and 3-month data provided by the NST participants (n = 433). Paper 3 was based on baseline, 3-, 6-, and 15-month data provided by the control and ST group not intending to change alcohol use (n = 629). Latent variable modeling was used to investigate the associations of social-cognitive constructs and intentional stages (paper 1), the extent to which intentions were translated into alcohol use (paper 2), and the different trajectories of alcohol use among people not intending to change as well as the ST effect on the trajectories (paper 3). Results: Persons in different intentional stages differed in the processes of change in which they engaged, in the importance placed by them on the pros and cons of alcohol use, and in the perceived ability to quit (ps < 0.01). The association between intentions and alcohol use was weak. The magnitude of this intention-behavior gap depended on the extent to which normative expectations have changed over time (p < 0.01) and was reduced when controlling for the mediating effect of temporal stability of intentions. The gap was also present among people not intending to change: Even without intervention, 35% of the persons reduced the amount of alcohol use after 15 months (p < 0.05) and 2% achieved abstinence. Persons with heavier drinking (33%) and persons with low but frequent use (30%) did not change. Persons with frequent alcohol use seem to benefit less from ST than those with occasional use, although differences were not statistically significant. Conclusions: Intentions can be quite well explained by the hypothesized socio-cognitive constructs. In a sample of persons who were, as a whole, little motivated to change, the precision of how well intentions predict subsequent alcohol use was modest though. Time and socio-contextual influences should be considered.
Telemedicine at the Emergency Site – Evaluated by emergency team members in simulated scenarios
(2015)
The hypothesis of this study states that emergency medicine can benefit from telemedicine, whenever paramedics at a remote emergency site request consultation or mentoring by a distant emergency doctor. The hypothesis was semi-qualitatively evaluated in accordance with the protocol of the EU project in the setting of a medical simulation centre. Paramedics encountered simulated standardized emergency case scenarios, connected for teleconsultation and telementoring with emergency doctors by video and audio link through a newly developed real-time HD-video system called LiveCity camera. Paramedics and emergency doctors regarded the simulated scenarios as realistic and relevant and took the simulation seriously. Thus,the following conclusions can be drawn: 1.) Emergency team members encounter situations at the emergency site, in which they would like to get help by a more experienced colleague, especially help with diagnostics and treatment. 2.) The telemedical contact to an emergency doctor makes paramedics feel confirmed in their work, more secure, even in legal aspects. Paramedics do not feel controlled by telemedicine or like a puppet on a string. Their relationship to the patient is not mainly deranged or interfered by the doctor and their course of action is not mainly disrupted. The tele-emergency doctors do not feel like puppet masters and continue feeling as doctors and do not perceive themselves as interferer within the emergency team. 3.) Emergency team members call for a telemedical system providing transmission of vital signs as well as audio- and video-connection. 4.) The LiveCity camera is an effective telemedical tool. The audio quality is good and the orientation on the screen is easy. Paramedics state, that filming the emergency site is easy, does not restrict the field of vision and paramedics can communicate the emergency doctors everything they want to show and tell. Thus the emergency doctors get additional information. While the LiveCity camera is mostly perceived as not too heavy, the LiveCity camera is not easy to operate, very failure-prone and can derange the communication among team members at the emergency site. Nevertheless, the LiveCity camera is not perceived as an additional burden. 5.) Telemedicine is predominantly and largely appreciated by the members of the emergency team. Connecting the tele-emergency doctor to the remote paramedics leads to a perceived faster start of the therapy and is considered as helpful, improving the situation and the quality of patient care. The adherence to medical guidelines and therefore the quality increased, when the paramedics were connected to an emergency doctor through the telemedicine connection. In general, the quality of diagnostics, the correctness of diagnosis and the quality of therapy were rated higher. The majority of paramedics would call a tele-emergency doctor in cases, they wouldn´t normally activate medical support. The emergency team members largely agree in perceiving the tele-emergency doctor system as useful, and they can imagine, working in a tele-emergency system. As a conclusion, the general hypothesis of this study is mainly and in many items supported: Emergency medicine benefits from telemedical support via video- and audio link as studied here with a newly developed real-time HD-video system called LiveCity camera, whenever paramedics at a remote emergency site request consultation or mentoring by a distant emergency doctor.
Structure– and sequence–function relationships in (S)-amine transaminases and related enzymes
(2015)
Chiral primary amines are valuable building blocks for many biologically active compounds. Environmentally friendlier alternatives to the classical methods for α-chiral primary amine synthesis are highly desired. A biocatalytic alternative that recently proved beneficial for industrial applications is asymmetric synthesis utilising (S)-selective amine transaminases (S-ATAs). These enzymes can be utilized to transaminate a prochiral ketone with an amino donor (e.g. isopropylamine), to achieve a chiral amine and a carbonyl product (e.g. acetone). However, for several potential applications protein engineering is required to fit (S)-ATAS to the demands of an industrial process. Since no (S)-ATA crystal structure required for understanding the substrate recognition and thus protein engineering was available, we first aimed at obtaining structural data. Instead of solving crystal structures ourselves, we took advantage of structural genomics projects and discovered, that the protein data bank (PDB) already contained crystal structures of four enzymes with unknown function that we hypothesised to possess (S)-ATA activity. After developing a screening method, the four enzymes could be characterized as ω-amino acid:pyruvate transaminases (ωAA:pyr TAs). (S)-amine conversion was suggested to be a ‘substrate-promiscuous’ activity of these enzymes, as it is pronounced differently in the four investigated ones. By comparing the active sites of the highly and poorly active (S)-ATAs, the residues that determine the ability of amine conversion in these enzymes were discovered. Furthermore, the mechanism for dual substrate recognition, the binding of both, carboxyl and bulky hydrophobic substrates in the same active site, could be elucidated with the crystal structures. A flexible arginine side chain is able to adopt various positions thus enabling carboxylate binding and by ‘flipping’ out of the active site, to create space for amine binding. Then, a limitation of these enzymes, the restricted substrate scope caused by a small binding pocket was addressed. First, a rational protein engineering approach was set up to create more space. The tested mutations, however, destroyed most of the activity for both regular and more bulky substrates. We thus learned that the structural requirements for (S)-ATA activity are more complex than initially anticipated and a semi-rational approach was applied to broaden the substrate scope. By systematic saturation of active site positions, substantially improved mutants for bulkier amine synthesis could be obtained. As this study highlighted a lack of understanding of (S)-ATA, the functional important residues in the enzymes belonging to the class III TA family were surveyed. This family is defined by common sequence and structure features and besides (S)-ATAs mainly comprises TAs of various substrate scopes but also a few phospholyases, racemases and decarboxylases. To enable the comparison of active site residues among them, a commercial bioinformatics tool was used to create a family wide structure-based alignment of around 13,000 sequences. Based on statistical analyses of this alignment, structural inspections and literature evaluation, active site residues crucial for certain specificities within this family have been identified. By investigating the ingenious active site designs that enable such a plethora of reactions, and by identifying sets of functional important residues termed ‘active site fingerprints’, the understanding of catalysis in this enzyme family could be broadened. Furthermore, these functional important residues can on the one hand be applied to predict the specificity of uncharacterised enzymes, if a fingerprint is matched. On the other hand, if no fingerprint is matched, they can help to discover yet unknown activities or mechanisms to achieve a known specificity. We exemplified the latter case by functionally characterising a Bacillus anthracis enzyme with the crystal structure 3N5M, whose substrate specificity was unknown and could not be predicted. The 3N5M enzyme was found to possess ωAA:pyr TA and (S)-ATA activity even though it lacks the above-mentioned ‘flipping’ arginine. Based on molecular dynamics simulations we were able to propose an alternative mechanism for dual substrate recognition in the B. anthracis ωAA:pyr TA. By these findings the understanding of the requirements for (S)-ATA activity could be further broadened and a functional knowledge gap within the class III TA family was closed. The active site residue composition in 3N5M is now connected to enzymatic function and may be applied for future specificity predictions.
This work focuses the glycoprotein H of PrV which was analysed by structure-based functional analyses by targeted site-directed mutagenesis. Disulfid bridges were introduced at specific sites and the effects on the fusion mechanism investigated. A revertant was obtained and characterised during the studies, as well as chimeric glycoprotein H proteins were constructed, combining the different domains of the glycoproteins Hs of PrV and HSV1.
The current cross-national study investigates the potential buffering role of socio-motivational relationships for the association of achievement drive (AD) and test anxiety (TX) in secondary school students from Canada and Germany. One thousand and eighty-eight students (54% girls, Mage = 13.71, SD = 0.53, age span 12–15 years) from the state of Brandenburg and 389 students from Quebéc (55.9% girls, Mage = 13.43, SD = 0.82, age span 12–16 years) were asked about their socio-motivational relationships with their teachers and peers, their drive for achievement, and TX. Multigroup latent moderated structural equations were conducted to test for the moderator role of socio-motivational relationships that would buffer feelings of TX related to the drive for achievement. The analyses revealed the two-sided role socio-motivational relationships can have for students with different levels of AD; intensifying or mitigating feelings of TX. Thereby, the results of this study extend the buffering hypothesis by Cohen and Wills (1985). Cross-national differences between Canada and Germany were found concerning the studied moderators on the association of AD and TX: While for German students teacher–student relationships acted as moderator, for Canadian students student–student relationships and teachers acting as positive motivators displayed a moderator role.
Dwarf spiders (Linyphiidae, Erigoninae) are especially suitable for sexual selection research as many of them exhibit sexual dimorphism, with males possessing modified prosomata. In those species that have been investigated in detail the modified structures are equipped with a glandular tissue that produces secretions, which the females contact and take up during courtship/copulation. The time of secretion release, and refilling of the reservoirs was analysed on an ultrastructural level in male Oedothorax retusus. The results suggest that the main function of the secretions is gustatorial courtship and not the emission of volatile pheromones for mate attraction. Mating decisions and reproductive success are influenced by secondary sexual traits that evolved under sexual selection. However, an individual´s nutritional status is also important for mate choice. Since spiders are regularly exposed to limited prey availability, adult feeding status can be considered an important component of spider mating behaviour. In order to test for the effects of dietary restriction, females of the closely related species O. retusus and O. apicatus were subject to a short period of food shortage. The effects of low- (LD) vs. high-diet (HD) treatment on courtship, mating probability and behaviour, and reproduction were analysed. We found that short phases of diet restriction as adults have a high impact on copulation and reproduction in the two dwarf spider species. Whenever females mate with more than one male, and sperm is stored prior to fertilization, males may suffer from sperm competition. Mating plugs that block the female genital openings after mating are a male strategy to avoid sperm competition. Although mating plugs occur in many species, their function and origin has hardly been investigated. O. retusus males transfer amorphous material onto the female genitalia during mating. We investigated the location of plug production using x-ray microtomography (μCT) as well as light and transmission electron microscopy (TEM). Furthermore, we asked whether males are limited in the production of the amorphous plug material in successive matings. The plug material is produced in a gland inside the male pedipalp and stored close to the blind end of the sperm storage compartment. The size of the first plug a male produced significantly influenced the size of subsequent plugs. Obviously, males do not possess unlimited amounts of plug material in a certain period, which may severely limit their ability to secure paternity through subsequent mating plugs. Even though mating plugs seem to be an obvious means to secure paternity, their potential in securing paternity depends on their mechanical efficacy and persistence. Consequently, the influence of the size of the plug material (mating duration as a proxy) and the age of the mating plug (time interval between successive copulations) on its efficacy was investigated. Small and fresh plugs were least effective, whereas large plugs were highly effective. We were able to show that mating plugs in O. retusus are a powerful mechanical safeguard whose efficacy varies with plug size and age. Genitalia in animals with internal fertilization are complex, species-specific, and underlie rapid evolution. In spiders, male and female genitalia are paired, and have to interact during mating, which results in an even higher complexity. Pedipalps (transformed pair of legs) in male spiders are used as secondary sperm transfer organs that are not directly connected to the gonads. Due to the high complexity of male pedipalps, it has been taken for granted that pedipalps are side specific and cannot be used flexibly into either female copulatory opening. We investigated potential flexible pedipalp use in O. retusus. Our findings demonstrate a flexible insertion mode in a dwarf spider with complex pedipalps but relatively simple female genitalia. Our findings corroborate sexual selection as the selective regime for the evolution of complex and diverse genitalia. The results of this thesis show how complex sexual selection acts in the dwarf spiders O. retusus and O. apicatus. It shapes the evolution of male and female genitalia, affects mate choice (pre- and postcopulatory), mating behaviour, and influences mating success and reproduction. All these factors and traits affect an individual´s evolutionary fitness, and their interactions help to understand how sexual selection acts.
Background: There is only limited data on the potential association between thyroid dysfunction and peripheral arterial disease (PAD). Objective: The aim of our study was to investigate the potential association of thyroid function, as defined by serum concentrations of the clinically used primary thyroid function marker thyrotropin [i.e. thyroid-stimulating hormone (TSH)] and 3,5-diiodothyronine (3,5-T<sub>2</sub>), with the ankle-brachial index (ABI) as a marker of PAD. Methods: We used data from 5,818 individuals from three cross-sectional population-based studies conducted in Northeast (SHIP-2 and SHIP-TREND) and Central Germany (CARLA). Measurement of serum TSH concentrations was conducted in one central laboratory for all three studies. In a randomly selected subpopulation of 750 individuals of SHIP-TREND, serum 3,5-T<sub>2</sub> concentrations were measured with a recently developed immunoassay. ABI was measured either by a hand-held Doppler ultrasound using the Huntleigh Dopplex D900 or palpatorily by the OMRON HEM-705CP device. Results: Serum TSH concentrations were not significantly associated with ABI values in any of the three studies. Likewise, groups of individuals with a TSH <0.3 mIU/l or with a TSH ≥3.0 mIU/l had no significantly different ABI values in comparison with individuals with a TSH in the reference range. Analyses regarding TSH within the reference range or serum 3,5-T<sub>2</sub> concentrations did not reveal consistent significant associations with the ABI. No sex-specific associations were detected. Conclusions: The results of our study do not substantiate evidence for an association between thyroid function and PAD, but further studies are needed to investigate the associations of overt forms of thyroid dysfunction with PAD.