Refine
Year of publication
- 2017 (104) (remove)
Document Type
- Article (54)
- Doctoral Thesis (50)
Language
- English (104) (remove)
Has Fulltext
- yes (104)
Is part of the Bibliography
- no (104)
Keywords
- - (52)
- barrier discharge (4)
- Biokatalyse (3)
- gap voltage (3)
- memory effect (3)
- surface charge (3)
- ALK5 (2)
- Angst (2)
- Angstsensitivität (2)
- Azerbaijan (2)
- Baeyer-Villiger Monooxygenase (2)
- Enzym (2)
- Epidemiologie (2)
- Genomik (2)
- Jura (2)
- Lernen (2)
- Metabolomics (2)
- PAR2 (2)
- Phosphorylierung (2)
- Plasma (2)
- Protein-Engineering (2)
- Proteindesign (2)
- Schilddrüse (2)
- anxiety sensitivity (2)
- biocatalysis (2)
- inductively coupled plasma (2)
- interoceptive threat (2)
- laser photodetachment (2)
- microwave interferometry (2)
- mode transition (2)
- negative ions (2)
- oxygen (2)
- plasma medicine (2)
- pre-ionization (2)
- protein engineering (2)
- 4070512-2 (1)
- 4165547-3 (1)
- 4193016-2 (1)
- 4248339-6 (1)
- 4323543-8 (1)
- 4441960-0 (1)
- 4796824-2 (1)
- <i>Robinia pseudoacacia</i> L. (1)
- AHP (1)
- Acetic acid (1)
- Actinopterygii (1)
- Administrative data (1)
- Adult allogeneic stem cell transplantation (1)
- Agricultural crop (1)
- Allogeneic blood (1)
- Allogeneic transfusion (1)
- Alloimmune thrombocytopenia (1)
- Altitudes (1)
- Alzheimerkrankheit (1)
- Anatomie (1)
- Angststörung (1)
- Anpassung (1)
- Anthropogener Einfluss (1)
- Antibacterial host defense (1)
- Antiseptics (1)
- Antiseptikum (1)
- Antoxidant capacity (1)
- Aptazym (1)
- Arterial dissection (1)
- Arzneimittelrückstand (1)
- Aserbaidschan (1)
- Assessment (1)
- Astrovirus (1)
- Atmosphärendruckplasma (1)
- Atmung (1)
- Aufmerksamkeit (1)
- Autoantibodies (1)
- Autonome Erregung (1)
- B cells (1)
- BAM (1)
- BAYES (1)
- BK polyomavirus (1)
- BK-associated hemorrhagic cystitis (1)
- Baeyer-Villiger monooxygenase (1)
- Baltic Sea (1)
- Barrierenentladung (1)
- Baumart (1)
- Bayes (1)
- Benthic solute reservoirs (1)
- Biochemie (1)
- Biogeochemistry (1)
- Biophysical Parameters (1)
- Biotechnologie (1)
- Bioturbation (1)
- Black Sea (1)
- Blatt bewohnende Pilze (1)
- Blei (1)
- Blood donation (1)
- Blood donor questionnaire (1)
- Blood donors (1)
- Blood safety (1)
- Blood supply (1)
- Blood transfusion (1)
- Bornavirus (1)
- Borneo (1)
- Breast milk (1)
- Brewster angle microscopy (1)
- CAP (1)
- CC88 (1)
- CD83 (1)
- Cardiolipin (1)
- Caries (1)
- Caries prevention (1)
- Caspian Sea (1)
- Central Asia (1)
- Chirale Amine (1)
- Chronic kidney disease (1)
- Clp proteases (1)
- Clusterion (1)
- Clusterphysik (1)
- Cofaktor (1)
- Cognition (1)
- Colaizzi (1)
- Collapsin Response Mediator Protein 2 (1)
- Cäsium-137 (1)
- DNAzym (1)
- DNAzyme (1)
- Demographic change (1)
- Demographie (1)
- Depression (1)
- Diagnostik (1)
- Diclofenac (1)
- Diffusion (1)
- Diversität (1)
- Donor research (1)
- Donor selection (1)
- Donors (1)
- Dreams (1)
- Drug (1)
- Dyes (1)
- ERK (1)
- Early Childhood Caries (1)
- Eem-Interglazial (1)
- Eemian (1)
- Eiszeit (1)
- Emotion (1)
- Emotion Regulation (1)
- Emotionsregulation (1)
- Encephalitis (1)
- Ereigniskorreliertes Potenzial (1)
- Erstickungsangst (1)
- European beech (1)
- FLEXMAP 3D (1)
- FMDV (1)
- Fagus sylvatica (1)
- Faziesanalyse (1)
- Fernerkundung (1)
- First Nations (1)
- Fische (1)
- Flavanols (1)
- Fledermäuse (1)
- Flugzeitspektrometrie (1)
- Flux (1)
- Fortpflanzung (1)
- Fragmentation (1)
- Frühkindliche Karies (1)
- Fungal endophytes (1)
- Furcht (1)
- GIS (1)
- Geburtenintervall (1)
- Gedächtnis (1)
- Gene expression (1)
- Genomic classification (1)
- Geochemie (1)
- Geographie (1)
- Glutaredoxin 2 (1)
- Graft-versus-host disease (1)
- HAART (1)
- HIV (1)
- Hall technique (1)
- Hebammen (1)
- Herpesviren (1)
- Herzinfarkt (1)
- High-throughput sequencing (1)
- Hydrogen peroxide (1)
- Hydroxyl (1)
- Hydroxylradikale (1)
- Hyperthyreose (1)
- Hypochlorite (1)
- ISOLDE/CERN (1)
- Ideologie (1)
- Ideologische Veränderung (1)
- Illumina (1)
- Illumina-Hochdurchsatz-Sequenzierung (1)
- Immunoadsorption (1)
- Immunoglobulin G (1)
- Immunoprotemics (1)
- Immunosuppression (1)
- In-situ Measurements (1)
- In-situ-Messungen (1)
- Indigenes Wissen (1)
- Indigenous fiction (1)
- Indigenous knowledge (1)
- Indigenous knowledges (1)
- Individualization (1)
- Inflammation (1)
- Interleukin-37 (1)
- Interozeption (1)
- Interstadial (1)
- Intracellular localization (1)
- Iodophors (1)
- Ischaemic stroke (1)
- Isoflavones (1)
- Jahresring (1)
- Jasmund (1)
- Kanada (1)
- Kannenpflanze (1)
- Kariesprävention (1)
- Kaspisches Meer (1)
- Kaukasus (1)
- Keeling Analysis (1)
- Ketamin (1)
- Kleinkinder (1)
- Klima (1)
- Konditionierung (1)
- Kuhpocken (1)
- Kultivierung (1)
- LE/LC phase transition (1)
- Lake Balkhash (1)
- Land cover change (1)
- Land mapping unit (1)
- Land potential productivity assessment (1)
- Land suitability evaluation (1)
- Landbedeckungsänderung (1)
- Landeignungsbewertung (1)
- Landkartierungseinheit (1)
- Landpotenzialproduktivität (1)
- Landsat Time series analysis (1)
- Langmuir probe (1)
- Learning (1)
- Lebensdauer (1)
- Legionella (1)
- Legionellen (1)
- Literaturwissenschaft (1)
- Lithofazies (1)
- Lumineszenz-Datierung (1)
- M protein (1)
- MCI (1)
- MODIS (1)
- MSCRAMMS (1)
- Magnetische Kernresonanz (1)
- Magnetresonanzbilder (1)
- Maschinelles Lernen (1)
- Medical device (1)
- Meerespilze (1)
- Mercury compounds (1)
- Metabarcoding (1)
- Metabolomik (1)
- Metallcluster (1)
- Midwives (1)
- Mikromorphologie (1)
- Mineralisation (1)
- Mobility (1)
- Morphologie (1)
- Multisurface cavities (1)
- Mutualismus (1)
- NOD/SCID mouse model (1)
- Naturschutz (1)
- Negative pressure wound therapy with the instillation of antiseptics (1)
- Neurobiologie (1)
- Neurobiology (1)
- Neutrophiler Granulozyt (1)
- Nichtalkoholische Fettleberhepatitis (1)
- Niedertemperaturplasma (1)
- Nightmares (1)
- Non-restorative caries treatment (1)
- Northeast German Plain (1)
- Nuckelflaschenkaries (1)
- Nucleinsäuren (1)
- Nutrient (1)
- Nutrition (1)
- ODEs (1)
- OSL (1)
- Oberflächenladungen (1)
- Octenidine (1)
- Ostsee (1)
- Ostseeküste (Südwest) (1)
- Ovarian cancer (1)
- Oxidoreduktase (1)
- PAI-1 RNA-binding protein 1 (1)
- Paläontologie (1)
- Panik (1)
- Partei (1)
- Parteien (1)
- Parties (1)
- Patent foramen ovale (1)
- Penning trap (1)
- Penningfalle (1)
- Phosphoproteomanalyse (1)
- Phylogenetik (1)
- Physical body warm atmospheric plasma (1)
- Physical function (1)
- Plaque (1)
- Plasma diagnostics techniques and instrumentation (1)
- Plasma proteomics (1)
- Plasmachemie (1)
- Plasmadiagnostik (1)
- Plasmapheresis (1)
- Plasminogen activator inhibitor 1 (1)
- Pleistozän (1)
- Pneumococcal pneumonia (1)
- Policy Moves (1)
- Polihexanide (1)
- Polyanion (1)
- Pore water (1)
- Posterior circulation (1)
- Posttranslationale Modifikation (1)
- Primary teeth (1)
- Proteinbiochemie (1)
- Proteomanalyse (1)
- Proteomics (1)
- Prävention (1)
- Pulmonary arterial hypertension (1)
- Quadruplex (1)
- Quality (1)
- Quality indicators (1)
- Quecksilber (1)
- Radiographie (1)
- Red blood cell concentrate (1)
- Redoxregulation (1)
- Regioselektivität (1)
- Registries (1)
- Rekonsolidierung (1)
- Remote Sensing (1)
- Reproduzierbarkeit (1)
- Reptilien (1)
- Residential School (1)
- Resuspension (1)
- Rotbuche (1)
- S1P receptor signaling (1)
- SELEX (1)
- SKH1 mouse model (1)
- SMAD (1)
- SNP (1)
- Schreckreflex (1)
- Schutzgebietsplanung (1)
- Sediment (1)
- Sediment mixing (1)
- Sedimentologie (1)
- Sekundärelektronen (1)
- Sentinel 2 (1)
- Sequenzanalyse <Chemie> (1)
- Signaltransduktion (1)
- Signalwege (1)
- Silver ions (1)
- Silver sulfadiazine (1)
- Soy (1)
- Sozialökologie (1)
- Sphingosin-1-phosphate (1)
- Stabilität (1)
- Stadial (1)
- Staphylococcus aureus vaccine candidates (1)
- Statistik (1)
- Stoffwechsel (1)
- Stress (1)
- Struktur (1)
- Sulfoxidation (1)
- Symptom (1)
- T cells (1)
- TGF-β (1)
- TMCL (1)
- Taurolidine (1)
- Tea (1)
- Teleostei (1)
- Thioredoxine (1)
- Thrombocytopenie (1)
- Thyroxin (1)
- Tier-Pflanzen-Interaktion (1)
- Tier-Pflanzen-Kommunikation (1)
- Tiere (1)
- Tollwut (1)
- Tollwutvirus (1)
- Tourismus (1)
- Transaminasen (1)
- Transformation (1)
- Transfusion (1)
- Transfusionsassoziiertes akutes Lungenversagen (1)
- Transplantation-associated infections (1)
- Urine diagnostics (1)
- Verbreitung (1)
- Vergesellschaftung (1)
- Verhaltensforschung (1)
- Vietnam (1)
- Viren (1)
- Virologie (1)
- Virus discovery (1)
- Vogelzug (1)
- Vorionisation (1)
- Vulnerability (1)
- Wasseraufbereitung (1)
- Weichseleiszeit (1)
- Weichselian (1)
- Whole blood (1)
- Wirbeltiere (1)
- Wound antisepsis (1)
- Wound antiseptics, HET-CAM, irritation score, octenidine, chlorhexidine, polihexanide, hypochlorite, hydrogen peroxide, hemoglobin spray, allantoin, dexpanthenol, thiocyanate. (1)
- Wounds-at-Risk Score (1)
- Young (1)
- Zellmigration (1)
- Zuverlässigkeit (1)
- Zuwachs (1)
- Zytoskelett (1)
- adolescence (1)
- advanced oxidation processes (1)
- alumina (1)
- anesthesiology (1)
- animal-plant communication (1)
- animal-plant interaction (1)
- anti-phagocytic activity (1)
- antibacterial activity (1)
- antibody (1)
- anticonvulsants (1)
- apoptosis (1)
- aptazyme (1)
- atomic masses of cesium isotopes (1)
- attention (1)
- autonomic arousal (1)
- autonomy (1)
- biophysikalischer Parameter (1)
- bird migration (1)
- birth interval (1)
- borderline personality disorder (1)
- borosilicate (1)
- bottleneck (1)
- breakdown mechanism (1)
- calcium-rich hardwater lakes (1)
- cancer (1)
- case duration (1)
- celecoxib (1)
- cell migration (1)
- cell wall metabolism (1)
- chiral amines (1)
- classroom characteristics (1)
- clinical attachment loss (1)
- collapsin response mediator protein 2 (1)
- colonization (1)
- competence (1)
- consciousness (1)
- copper nitride (1)
- corpus callosum (1)
- craniofacial morphology (1)
- cross-lagged panel design (1)
- crystal structure (1)
- cyclooxygenase-2 (1)
- data mining (1)
- decision-making (1)
- dehydronorketamine (1)
- depression (1)
- derivatives (1)
- dermal full-thickness wounds (1)
- diagnostic support (1)
- diclofenac (1)
- diffusion tensor imaging (1)
- discharge mode transition (1)
- electronegativity (1)
- emotion (1)
- emotion regulation (1)
- endosymbionts (1)
- epilepsy (1)
- evaluation of ecological restoration measures (1)
- evapotranspiration (1)
- event-related potential (1)
- existence regimes (1)
- fear (1)
- fluid simulation (1)
- free will (1)
- freedom (1)
- gel-free mass spectrometry (1)
- genotype (1)
- gingival biotype (1)
- gingival recession (1)
- gingivale Rezession (1)
- gingivaler Biotyp (1)
- glioblastoma multiforme (1)
- glow-like discharge (1)
- glucose homeostasis (1)
- glutaredoxin 2 (1)
- healing (1)
- helium barrier discharge (1)
- helium–oxygen barrier discharge (1)
- hematologic dysfunction (1)
- herausnehmbaren Zahnersatz (1)
- hippocampus (1)
- honeybees (1)
- host adaptation (1)
- human resources (1)
- hydroxyl radicals (1)
- hydroxynorketamine (1)
- hyperthyroidism (1)
- impulse control (1)
- incision time (1)
- integrin (1)
- interozeptive Bedrohung (1)
- isotherms (1)
- kINPen plasma jet (1)
- ketamine (1)
- klinischer Attachmentverlust (1)
- kraniofaziale Morphologie (1)
- kynurenines (1)
- label-free quantification (1)
- laboratory mice (1)
- landwirtschaftlichen Kulturen (1)
- laser photodesorption (1)
- latent change model (1)
- lead structure (1)
- life cycle (1)
- luminescence-dating (1)
- magnesia (1)
- magnetic resonance images (1)
- magnetron sputtering (1)
- marine Sediment (1)
- marine fungi (1)
- memory (1)
- memory performance (1)
- metabolism under glucose starvation (1)
- metabolites (1)
- miRNS (1)
- microdischarge (1)
- monolayer (1)
- morbidity (1)
- mortality (1)
- motivation (1)
- multiple current pulses (1)
- n/a (1)
- negative Ionen (1)
- operating room scheduling (1)
- optical emission and absorption spectroscopy (1)
- ordinal time series (1)
- osteosarcoma (1)
- pancreatic carcinoma (1)
- parameter estimation (1)
- patterned discharge (1)
- peers as positive motivators (1)
- penning trap mass spectrometer ISOLTRAP (1)
- permutation entropy (1)
- plasma oncology (1)
- pneumococcus (1)
- polyanion (1)
- post-reproductive phase (1)
- postreproduktive Phase (1)
- posttranslational modification (1)
- pregnancy (1)
- primary immunodeficiency disease (1)
- prolonged release tablet (1)
- protected area planning (1)
- protected areas (1)
- protein biochemistry (1)
- quadruplex (1)
- questionnaire (1)
- reactive oxygen and nitrogen species (1)
- receptor (1)
- reconciliation (1)
- reconsolidation (1)
- regioselectivity (1)
- relatedness (1)
- remission (1)
- remote sensing (1)
- removable dental prostheses (1)
- reproductive investment (1)
- reproductive phase (1)
- reproduktive Phase (1)
- reproduktives Investment (1)
- resource utilization (1)
- resting-state functional connectivity (1)
- resveratrol (1)
- risk evaluation (1)
- school engagement (1)
- school self-concept (1)
- secondary electron emission coefficient (1)
- secondary electrons (1)
- seed electrons (1)
- seizure (1)
- self-injurious behavior (1)
- serine proteinases (1)
- signal transduction (1)
- signaling (1)
- signalling pathways (1)
- skill mix (1)
- sleep stages (1)
- staff capacity (1)
- staff fluctuation (1)
- startle eyeblink (1)
- stress (1)
- structure-activity (1)
- suffocation fear (1)
- suicidal behavior (1)
- sulfoxidation (1)
- surface charges (1)
- surface electrons (1)
- survival (1)
- synthesis (1)
- teachers as positive motivators (1)
- telomerase (1)
- telomere (1)
- thin film deposition (1)
- timeliness (1)
- tolerance (1)
- trace amine-associated receptor 1 (1)
- transaminases (1)
- transboundary river (1)
- transforming growth factor-β (1)
- trauma (1)
- tree blossoms (1)
- underdetermination (1)
- unmanned aerial vehicles (UAVs) (1)
- upstream-downstream conflict (1)
- variants (1)
- virulence factors (1)
- volition (1)
- weight regulation (1)
- wetland (1)
- zoonosis (1)
- Ökologie (1)
- Überleben (1)
Institute
- Institut für Physik (13)
- Institut für Geographie und Geologie (9)
- Institut für Biochemie (8)
- Institut für Botanik und Landschaftsökologie & Botanischer Garten (6)
- Institut für Psychologie (6)
- Abteilung für Mikrobiologie und Molekularbiologie (4)
- Institut für Immunologie u. Transfusionsmedizin - Abteilung Transfusionsmedizin (4)
- Institut für Community Medicine (3)
- Institut für Mikrobiologie - Abteilung für Genetik & Biochemie (3)
- Institut für Pharmakologie (3)
Publisher
- MDPI (15)
- Frontiers Media S.A. (14)
- S. Karger AG (14)
- IOP Publishing (9)
- De Gruyter (1)
There is multiple evidence that emotionally arousing events are preferentially processed, and better remembered than neutral events. In the present dissertation I investigated whether those strong emotional memories are affected by acute and chronic stress. Moreover, I was interested in whether already established emotional memories can be changed by behavioral intervention. According to the modulation hypothesis, emotionally arousing events promote attention and memory processes via noradrenergic and glucocorticoid actions. Recent models suggest that stress hormones differentially impact mnemonic processing, namely encoding, (re-) consolidation and memory retrieval, depending on timing and duration of the stressor relative to the learning experience. Acute stress around the time of encoding has been found to enhance memory, whereas chronic stress has been associated with memory impairments. Furthermore, consolidated memories are not resistant to modifications. Following reactivation, memories can turn into an unstable state and undergo a process called reconsolidated in order to persist. During this vulnerable state, memories are prone to modification, for instance by pharmacological blockade or interference learning. Here, the modulation of newly formed emotional and neutral memories as well as existing emotional and neutral memories was investigated in a well-established picture viewing and recognition memory paradigm using behavioral and neurophysiological measures (event-related potential, ERPs). More elaborative processing of emotional, relative to neutral stimuli has been related to the late positive potential (LPP). During encoding of emotional and neutral pictures, enhanced LPPs (starting at about 400 ms after stimulus onset) are usually observed for emotionally arousing relative to neutral pictures, indicating preferential attention allocation and processing. During recognition, correctly recognized old items evoke larger ERP amplitudes than correctly identified new items. This difference, the ERP old/new effect, was used to measure mnemonic processing during retrieval. The ERP old/new effect over centro-parietal sensor sites (400-800 ms) has been associated with recollection processes, and is enhanced for emotional, compared to neutral materials. Three studies are presented, that investigated 1) the influence of acute stress prior to encoding on long-term memory and its neural correlates, 2) the impact of chronic stress on encoding and memory, and 3) the influence of interference on already established memories (reconsolidation), always contrasting emotionally arousing and neutral scenes. Study 1 investigated subsequent recognition memory after encoding following acute stress using a socially evaluated cold pressure test, while study 2 tested the influence of chronic stress investigating breast cancer survivors about two years after cancer treatment. In study 3, one day after encoding, reconsolidation of the reactivated picture memory was targeted with an interfering learning task. In all three studies, recognition memory was tested one week later. High-density electroencephalograms (EEGs; 257 electrodes) were recorded to measure brain potentials. The results showed, in line with previous research, that emotionally arousing scenes were preferentially processed, as indicated by larger LPPs, and were better remembered than neutral scenes, as indicated by enhanced memory performance and larger ERP old/new differences. Experiencing acute stress prior to encoding enhanced the centro-parietal ERP old/new effect for emotionally arousing pictures at recognition, corroborating that acute stress facilitates memory for emotional scenes (Study 1). In contrast, attenuated LPPs for unpleasant pictures and impaired memory performance for arousing pictures were observed in breast cancer survivors (Study 2), indicating altered attention to emotion and subsequent emotional memory storage in chronically stressed individuals. When memory reactivation was followed by an interfering learning task, recognition memory and ERP old/new differences were attenuated for emotionally arousing scenes, selectively, showing the possibility that emotional memories might be modulated by behavioral interventions (Study 3). The results of all three studies are discussed and integrated into a model of memory modulation by stress and interference. The results highlight the importance of understanding the role of emotional arousal in the processes of memory formation, retrieval and reconsolidation. Moreover, shedding light on the differential effects of acute and chronic stress, interference and their possible interactions might help to prevent and even modify impairing memories that are one of the major concerns in stress- and fear-related mental disorders.
Chiral amines represent high-value fine chemicals serving as key intermediate products in pharmaceutical, chemical and agrochemical industries. In the past decades, application of amine transaminases (ATAs) for stereoselective amination of prochiral ketones emerged to an environmentally benign and economically attractive alternative to transition metal-catalyzed asymmetric synthesis to afford optically pure amines at industrial scale. However, the restricted substrate scope of wild-type transaminases prohibited the conversion of particularly sterically demanding substrates, making protein engineering indispensable. The following thesis covers elaboration of a novel assay for transaminases (Article I) and identification and development of transaminase variants in order to achieve biocatalytic preparation of a set of pharmaceutically relevant model amines, ideally in optically pure form for both stereoisomers, preferentially using asymmetric synthesis and most preferably using isopropylamine as cost-efficient amine donor co-substrate (Article II-IV). The aforementioned target amines and the corresponding precursor ketones (see Scheme 4.1) were conceived and provided by the company F. Hoffmann-La Roche to attain suitable biocatalysts for a variety of potential intermediates for active pharmaceutical ingredients. Protein engineering of the transaminase scaffolds investigated in this thesis comprised: Initial screening for suitable starting enzyme scaffolds, structure-guided rational design of these scaffolds to enable bulky planar substrate acceptance, elaboration of a sequence motif, verification of the motif and preparative-scale asymmetric synthesis reactions (Article II). For non-planar and structurally different target substrates, namely spatially bulky or bi-cyclic bridged substrates, the transaminase variants were specifically refined and a different evolutionary route had to be pursued (Article III and Article IV). These results (Article II) represent not only the first successful endeavor to engineer a PLP-fold type I amine transaminase (commonly denoted as (S)-selective) for the conversion of highly sterically demanding substrates, but also generally expanded the scope of available fold type I amine transaminases by enzymes having a novel and exceptionally broad substrate spectrum. Aside from structure-guided rational protein engineering, as well non-rational methods, such as site-specific saturation mutagenesis or directed evolution, were applied for protein-engineering. In order to do so for all of the target compounds, a novel high-throughput solid phase activity assay for transaminases that was actually developed during the master thesis, was refined and published (Article I). In the context of this thesis, the same assay principle was as well adapted for quantification of specific activities in liquid phase (Article III). A comparison of different methodologies for developing agar plate assays and a detailed step by step protocol of our transaminase assay are illustrated in a book chapter.
Abstract
In this series of two papers we present results about the E-H transition of an inductively coupled oxygen discharge driven at radio frequency (13.56 MHz) for different total gas pressures. The mode transition from the low density E-mode to the high density H-mode is studied using comprehensive plasma diagnostics. The measured electron density can be used to distinguish between the different operation modes. This paper focuses on the determination of the negative atomic ion density and the electronegativity by two experimental methods and global rate equation calculation. As a result, the electronegativity significantly decreases over two orders of magnitude from about 25 in the E-mode to about 0.1 in the H-mode. The temporal behavior of the electronegativity in pulsed ICP shows that the negative atomic ion density reaches a steady state after 10 ms. Negative atomic ions are mainly produced by the dissociative attachment with the molecular ground state. The ion–ion recombination with the positive molecular ions and the collisional detachment with the singlet molecular metastables contribute significantly to the loss of the negative atomic ions.
Abstract
In this series of two papers, the E-H transition in a planar inductively coupled radio frequency discharge (13.56 MHz) in pure oxygen is studied using comprehensive plasma diagnostic methods. The electron density serves as the main plasma parameter to distinguish between the operation modes. The (effective) electron temperature, which is calculated from the electron energy distribution function and the difference between the floating and plasma potential, halves during the E-H transition. Furthermore, the pressure dependency of the RF sheath extension in the E-mode implies a collisional RF sheath for the considered total gas pressures. The gas temperature increases with the electron density during the E-H transition and doubles in the H-mode compared to the E-mode, whereas the molecular ground state density halves at the given total gas pressure. Moreover, the singlet molecular metastable density reaches 2% in the E-mode and 4% in the H-mode of the molecular ground state density. These measured plasma parameters can be used as input parameters for global rate equation calculations to analyze several elementary processes. Here, the ionization rate for the molecular oxygen ions is exemplarily determined and reveals, together with the optical excitation rate patterns, a change in electronegativity during the mode transition.
Background: Although 20-30% of all strokes occur in the posterior circulation, few studies have explored the characteristics of patients with strokes in the posterior compared to the anterior circulation so far. Especially data on young patients is missing. Methods: In this secondary analysis of data of the prospective multi-centre European sifap1 study that investigated stroke and transient ischemic attack (TIA) patients aged 18-55 years, we compared vascular risk factors, stroke aetiology, presence of white matter hyperintensities (WMH) and cerebral microbleeds (CMB) between patients with ischaemic posterior circulation stroke (PCS) and those having suffered from anterior circulation stroke (ACS) based on cerebral MRI. Results: We diagnosed PCS in 612 patients (29.1%, 407 men, 205 women) and ACS in 1,489 patients (70.9%). Their age (median 46 vs. 47 years, p = 0.205) and stroke severity (modified Rankin Scale: both 2, p = 0.375, Barthel Index 90 vs. 85, p = 0.412) were similar. PCS was found to be more frequent among the male gender (66.5 vs. 60.1% with ACS, p = 0.003). Vertebral artery (VA) dissection was more often the cause of PCS (16.8%) than was carotid artery dissection of ACS (7.9%, p < 0.001). Likewise, small vessel disease (Trial of Org 10172 in Acute Stroke Treatment [TOAST] = 3, PCS: 14.7%, ACS: 11.8%) and stroke of other determined aetiology (TOAST = 4, PCS: 24.5%, ACS: 16.0%) were more frequent in those with PCS. Furthermore, patent foramen ovale (PFO; PCS: 31.1%, ACS: 25.4%, p = 0.029) was more often detected in patients with PCS. In contrast, large-artery atherosclerosis (TOAST = 1, PCS: 15.4%, ACS: 22.2%) and cardio-embolic stroke (TOAST = 2, PCS: 15.6%, ACS: 18.0%) were less frequent in those with PCS (p < 0.001) as were preceding cerebrovascular events (10.1 vs. 14.1%, p = 0.014), TIA (4.8 vs. 7.7%, p = 0.016) and smoking (53.2 vs. 61.0%, p = 0.001). The presence, extent, and location of WMH and CMB did not differ between the 2 groups. Conclusions: Our data suggested a different pattern of aetiology and risk factors in young patients with PCS compared to those with ACS. These findings especially call for a higher awareness of VA dissection and potentially for more weight of a PFO as a risk factor in young patients with PCS. Clinical trial registration-URL: http://www.clinicaltrials.gov; NCT00414583.
Leukocyte telomere length (TL) has been suggested as a marker of biological age in healthy
individuals, but can also reflect inherited and acquired hematopoietic dysfunctions or indicate an
increased turnover of the hematopoietic stem and progenitor cell compartment. In addition, TL is able
to predict the response rate of tyrosine kinase inhibitor therapy in chronic myeloid leukemia (CML),
indicates clinical outcomes in chronic lymphocytic leukemia (CLL), and can be used as screening tool
for genetic sequencing of selected genes in patients with inherited bone marrow failure syndromes
(BMFS). In tumor cells and clonal hematopoietic disorders, telomeres are continuously stabilized by
reactivation of telomerase, which can selectively be targeted by telomerase-specific therapy. The use of
the telomerase inhibitor Imetelstat in patients with essential thrombocythmia or myelofibrosis as well
as the use of dendritic cell-based telomerase vaccination in AML patients with complete remissions are
promising examples for anti-telomerase targeted strategies in hematologic malignancies. In contrast,
the elevation in telomerase levels through treatment with androgens has become an exciting clinical
intervention for patients with BMFS. Here, we review recent developments, which highlight the
impact of telomeres and telomerase targeted therapies in hematologic dysfunctions.
The G protein-coupled receptor proteinase-activated receptor 2 (PAR2) has been implicated
in various aspects of cellular physiology including inflammation, obesity and cancer. In cancer,
it usually acts as a driver of cancer progression in various tumor types by promoting invasion and
metastasis in response to activation by serine proteinases. Recently, we discovered another mode
through which PAR2 may enhance tumorigenesis: crosstalk with transforming growth factor-β
(TGF-β) signaling to promote TGF-β1-induced cell migration/invasion and invasion-associated gene
expression in ductal pancreatic adenocarcinoma (PDAC) cells. In this chapter, we review what is
known about the cellular TGF-β responses and signaling pathways affected by PAR2 expression,
the signaling activities of PAR2 required for promoting TGF-β signaling, and the potential molecular
mechanism(s) that underlie(s) the TGF-β signaling–promoting effect. Since PAR2 is activated through
various serine proteinases and biased agonists, it may couple TGF-β signaling to a diverse range of
other physiological processes that may or may not predispose cells to cancer development such as
local inflammation, systemic coagulation and pathogen infection.
Background: Recently, the expression of proteinase-activated receptor 2 (PAR2) has been
shown to be essential for activin receptor-like kinase 5 (ALK5)/SMAD-mediated signaling and cell
migration by transforming growth factor (TGF)-β1. However, it is not known whether activation
of non-SMAD TGF-β signaling (e.g., RAS–RAF–MEK–extracellular signal-regulated kinase (ERK)
signaling) is required for cell migration and whether it is also dependent on PAR2. Methods: RNA
interference was used to deplete cells of PAR2, followed by xCELLigence technology to measure
cell migration, phospho-immunoblotting to assess ERK1/2 activation, and co-immunoprecipitation
to detect a PAR2–ALK5 physical interaction. Results: Inhibition of ERK signaling with the MEK
inhibitor U0126 blunted the ability of TGF-β1 to induce migration in pancreatic cancer Panc1 cells.
ERK activation in response to PAR2 agonistic peptide (PAR2–AP) was strong and rapid, while it was
moderate and delayed in response to TGF-β1. Basal and TGF-β1-dependent ERK, but not SMAD
activation, was blocked by U0126 in Panc1 and other cell types indicating that ERK activation is
downstream or independent of SMAD signaling. Moreover, cellular depletion of PAR2 in HaCaT
cells strongly inhibited TGF-β1-induced ERK activation, while the biased PAR2 agonist GB88 at 10
and 100 µM potentiated TGF-β1-dependent ERK activation and cell migration. Finally, we provide
evidence for a physical interaction between PAR2 and ALK5. Our data show that both PAR2–APand TGF-β1-induced cell migration depend on ERK activation, that PAR2 expression is crucial for
TGF-β1-induced ERK activation, and that the functional cooperation of PAR2 and TGF-β1 involves a
physical interaction between PAR2 and ALK5
Abstract
The presented work highlights the role of residual weakly-bound surface electrons acting as an effective seed electron reservoir that favors the pre-ionization of diffuse barrier discharges (BDs). A glow-like BD was operated in helium at a pressure of 500 mbar in between two plane electrodes each covered with float glass at a distance of
3 mm.The change in discharge development due to laser photodesorption of surface electrons was studied by electrical measurements and optical emission spectroscopy. Moreover, a 1D numerical fluid model of the diffuse discharge allowed the simulation of the laser photodesorption experiment, the estimation of the released surface electrons, and the understanding of their impact on the reaction kinetics in the volume. The breakdown voltage is clearly reduced when the laser beam at photon energy of 2.33 eV hits the cathodic dielectric that is charged with residual electrons during the discharge pre-phase. According to the adapted simulation, the laser releases only a small amount of surface electrons in the order of
10 pC. Nevertheless, this significantly supports the pre-ionization. Using a lower photon energy of 1.17 eV, the transition from the glow mode to the Townsend mode is induced due to a much higher electron yield up to 1 nC. In this case, both experiment and simulation indicate a retarded stepwise release of surface electrons initiated by the low laser photon energy.
Abstract
Single self-stabilized discharge filaments were investigated in the plane-parallel electrode configuration. The barrier discharge was operated inside a gap of 3 mm shielded by glass plates to both electrodes, using helium-nitrogen mixtures and a square-wave feeding voltage at a frequency of 2 kHz. The combined application of electrical measurements, ICCD camera imaging, optical emission spectroscopy and surface charge diagnostics via the electro-optic Pockels effect allowed the correlation of the discharge development in the volume and on the dielectric surfaces. The formation criteria and existence regimes were found by systematic variation of the nitrogen admixture to helium, the total pressure and the feeding voltage amplitude. Single self-stabilized discharge filaments can be operated over a wide parameter range, foremost, by significant reduction of the voltage amplitude after the operation in the microdischarge regime. Here, the outstanding importance of the surface charge memory effect on the long-term stability was pointed out by the recalculated spatio-temporally resolved gap voltage. The optical emission revealed discharge characteristics that are partially reminiscent of both the glow-like barrier discharge and the microdischarge regime, such as a Townsend pre-phase, a fast cathode-directed ionization front during the breakdown and radially propagating surface discharges during the afterglow.
Surface charge measurements on different dielectrics in diffuse and filamentary barrier discharges
(2017)
Abstract
Previously, we reported on the measurement of surface charges during the operation of barrier discharges (BDs) using the electro-optic Pockels effect of a bismuth silicon oxide (BSO) crystal. With the present work, the next milestone is achieved by making this powerful method accessible to various dielectrics which are typically used in BD configurations. The dynamics and spatial distribution of positive and negative surface charges were determined on optically transparent borosilicate glass, mono-crystalline alumina and magnesia, respectively, covering the BSO crystal. By variation of the nitrogen admixture to helium and the pressure between 500 mbar and 1 bar, both the diffuse glow-like BD and the self-stabilized discharge filaments were operated inside of a gas gap of 3 mm. The characteristics of the discharge and, especially, the influence of the different dielectrics on its development were studied by surface charge diagnostics, electrical measurements and ICCD camera imaging. Regarding the glow-like BD, the breakdown voltage changes significantly by variation of the cathodic dielectric, due to the different effective secondary electron emission (SEE) coefficients. These material-specific SEE yields were estimated using Townsend’s criterion in combination with analytical calculations of the effective ionization coefficient in helium with air impurities. Moreover, the importance of the surface charge memory effect for the self-stabilization of discharge filaments was quantified by the recalculated spatio-temporal behavior of the gap voltage.
This thesis highlights the impact of surface charges and negative ions on the pre-ionization, breakdown mechanism, and lateral structure of dielectric barrier discharges operated in binary mixtures of helium with nitrogen or electronegative oxygen. Sophisticated diagnostic methods, e.g., non-invasive optical emission spectroscopy and the electro-optic Pockels effect as well as invasive laser photodetachment and laser photodesorption, were applied at one plane-parallel discharge configuration to investigate both relevant volume and surface processes. Moreover, the experimental findings were supported by numerical fluid simulations of the discharge. For the first time, the memory effect of the measured surface charge distribution was quantified and its impact on the local self-stabilization of discharge filaments was pointed out. As well, it turned out that a few additional seed electrons, either desorbed from the charged dielectric surface or detached from negative ions in the volume, significantly contribute to the pre-ionization resulting in a reduced voltage necessary for discharge breakdown. Finally, effective secondary electron emission coefficients of different dielectrics were estimated from the measured breakdown voltage using an analytical model.
Water Consumption of Agriculture and Natural Ecosystems along the Ili River in China and Kazakhstan
(2017)
Staphylococcus aureus (S. aureus) is the leading cause of serious diseases in human both from hospital and community associated infections. Some clinical manifestations of S. aureus infections are infective endocarditis (IE), osteoarticular infections, skin and soft tissue, pleuropulmonary, and device-related infections. In Germany, S. aureus is the second most common cause of hospital-acquired (HA) infections. About 16.7% of these nosocomial infections are caused by HA-MRSA clinical isolates. It has been a huge threat for the clinicians/scientists to control the emergence of such infections caused by S. aureus. S. aureus exhibits increasing virulence and resistance to various antibiotics, complicating prevention and treatment of infections. Eventually, active and passive vaccines might be the alternative strategy to deal with S. aureus related diseases. An effective S. aureus vaccine would provide great potential security and many societal benefits. However, so far vaccine trials have failed often due to limited number of available antigen candidates (monovalent/single antigen) in the clinical trials. Efforts to develop not only S. aureus vaccine but also prognosis or diagnosis tools are challenging tasks. That was the motivation point for the current thesis to identify potential antigen candidates for the aid of vaccine development using immunoproteomics approaches. From the earlier studies, passive immunisation with CP5, CP8, PNAG, ClfA, SdrG, alpha-hemolysin and active immunisation with IsdB, SEB, ClfA, CP5, CP8 were examined during preclinical trials and found to be the best examples for potential vaccine candidates. The antibody responses against S. aureus infections are heterogenous, still it is possible to identify the antibody signatures to a number of corresponding S. aureus antigens, whose abundance and presence could correlate to the disease state and may predict treatment outcome. To support this hypothesis, goals were set to develop and validate serological assay by indirect detection using suspension array technology (SAT). During the study, an antigen library of 140 recombinant S. aureus antigens was generated. Further serological assay were developed and validated to monitor the insights of antibody mediated humoral responses during S. aureus infection from various episodes of S. aureus infection. As an outcome, potential immunogenic antigen candidates were identified which may be used as candidates in active/passive vaccination and to stratify the patient. In total, three studies were carried out using serum and plasma samples from S. aureus nasal colonised healthy individuals (carriers and non-carriers) and bacteraemia patients (control, complicated and uncomplicated sepsis). Bead-based assays were performed and subsequent statistical analyses were done to identify immunogenic antigens that might discriminate between the different clinical status and outcome. Screening of healthy individuals (study-1) have shown significantly higher IgG responses against 14 antigens in S. aureus nasal carriers compared to non-carriers. Furthermore, the clonal complex 30 group of healthy carriers has shown significantly higher IgG responses against toxic shock syndrome toxin-1 (Tsst1) in comparison to non-clonal complex 30 healthy carriers. Study-2 have shown extensively higher IgG responses against 67 antigens in control samples compared to sepsis patients. 50% of the antigens eliciting different immune responses belonged to the extracellular components of S. aureus. The IgG responses against MSCRAMM proteins such as FnbA, FnbB, Efb-1 have been shown to be significantly higher in complicated sepsis. Study-3 have shown notably higher IgG responses against 8 antigens (Plc, SspB, IsaA, SEM, GlpQ, HlgC, SACOL0444, SACOL0985) at baseline in uncomplicated sepsis patients compared to patients subsequently developing complicated sepsis. In summary, the group of immunogenic antigens that have been identified in these studies using immunoproteomics approach could be a starting point for the development of S. aureus vaccines. Moreover, the suspension array technology approach facilitated the identification of new S. aureus antigen candidates in addition to earlier reports. The current results of this study support the hypothesis that it is possible to identify a serological response to potential S. aureus antigens that correlate to progression of S. aureus infections.
The present doctoral dissertation comprises new studies on the fossil vertebrate assemblage recovered from the late Early Jurassic marine “Green Series” clay deposits of Grimmen and Dobbertin in north-eastern Germany that contribute to fill the gap of knowledge regarding its faunal composition and its relevance for understanding Early Jurassic vertebrate life. The investigations led to the recognition of wide range of vertebrate taxa, including basal gravisaurian sauropods, secondarily marine reptiles, a diverse fauna of leptolepid fishes, and a new genus and species of pycnodontiform fishes. In addition, a taxonomic revision of the Early Jurassic saurichthyid fish Saurorhynchus was performed, leading to the identification of two new, previously unnamed species. The results provide new insights into the taxonomic, systematic, and ecological diversity of Early Jurassic vertebrates, and hence add significant new data to our knowledge on Lower Jurassic vertebrate palaeobiodiversity patterns.
Psychological health is a result of the effective interplay between explicit and implicit attempts to regulate ones’ emotions (Koole & Rothermund, 2011). Emotion regulation refers to processes that influence the intensity, the duration and the type of emotion experienced (Gross & Thompson, 2007). While explicit emotion regulation comprises effortful mental processes, implicit emotion regulation refers to processes that require no monitoring and terminate automatically (Gyurak, Gross, & Etkin, 2011).
In the present thesis, explicit and implicit strategies to regulate emotions were investigated. In Study 1, a well-established paradigm (Gross & Levenson, 1993) was adapted to examine the up- and down-regulation of positive and negative emotions using two different explicit emotion regulation strategies. To infer on the neurobiological correlates, blood oxygen level dependent (BOLD) brain activity was recorded using functional magnetic resonance tomography. Furthermore, as a trait marker for the individual ability to regulate emotions, heart rate variability (HRV) was acquired during rest. In Study 2, implicit emotion regulation was examined. Therefore, a well-established fear extinction paradigm was compared to a novel approach based on the integration of new information during reconsolidation (Schiller et al., 2010). Autonomic arousal was measured via the skin conductance response during fear acquisition, fear extinction and after fear reinstatement. In Study 3, two dysfunctional emotion regulation strategies —worrying and rumination— were investigated. Excessive worrying and rumination are pathogenic characteristics of psychological disorders. Behavioral, autonomic and BOLD activity was recorded during worried and ruminative thinking as well as during neutral thinking.
The results showed that explicit emotion regulation was associated with modulated BOLD activity in the amygdala according to the regulation direction independent of the applied strategy and the valence of the emotion. In addition, increased dorsolateral prefrontal cortex (dlPFC) activity was observed during regulation compared to passively viewing emotional pictures. The findings are in line with previous research (Eippert etal., 2007; Kim &Hamann, 2007; Ochsner etal., 2004) and support the key role of the dlPFC during the explicit regulation of emotions. Similarly, implicit emotion regulation was associated with a decreased autonomic fear response, which was sustained after fear extinction during reconsolidation. The findings underscore the notion, that this novel technique might alter the initial fear memory resulting in a permanently diminished fear response (Nader, Schafe, & LeDoux, 2000; Schiller et al., 2010). Dysfunctional emotion regulation was associated with increased autonomic activity and fear potentiated startle (during worry) as well as increased BOLD activity in the insula (during worry and rumination) and increased BOLD activity in the amygdala (during rumination). In addition, neural activity in brain areas associated with the default mode network was observed. These findings stress the preserved negative emotional activity and the self-referential nature of the examined dysfunctional strategies. The results of all three studies are integrated into a neuro-biological model of emotion regulation focusing on the interplay between subcortical and prefrontal brain areas.
Investigation on the primary and secondary metabolism of marine and terrestrial endosymbionts
(2017)
Ph.D. thesis describes the metabolism of marine fungus and isolation of natural product for human use in part I and also describes earthworm endosymbiosis mechanism in part II. From the marine fungus project, three new producers have been identified for the previously reported bioactive secondary metabolites. And, from the Earthworm endosymbiosis project, the role of primary metabolites in the host fitness has been partially studied. the results outcome will be a partial contribution to microbial symbiosis.
Background: Early childhood caries remains an unsolved problem in children under three worldwide. Midwives are important health care persons around birth and can shape behavior. They possibly can play a positive role in preventing early childhood caries in young children. Objective: to assess how involved midwives are in early childhood caries prevention, what preventive measures they recommend and what knowledge they have about early childhood caries, as well as to study the potential differences between the various federal states or due to their work experience. Materials and Methods: An online survey targeted midwives in Germany regarding their knowledge about early childhood caries as well as the preventive measures they recommended. Participants were members of the German Association of Midwives (DHV). The survey invitation was published with the monthly newsletter and in the association journal of the DHV. Data was collected anonymously. Results: 191 midwives nationwide responded to the questionnaire. Most midwives were aware about ECC prevalence, consequences, causes and the teeth mainly affected. Midwives gave excellent recommendations regarding diet, oral hygiene and avoiding prolonged bottle feeding. However, only 40.8% of midwives recommended the first dental visit with the eruption of the first tooth. 71.7% recommended a fluoride tooth paste with the eruption of the first tooth. The rest advised a later use or non-fluoridated toothpaste. Regional differences were minimal. Conclusion: Midwives have good oral health knowledge, but there is some variability in recommendations on the first dental visit and the use of fluoride toothpaste which reflects an inconsistency of professional recommendations delivered by different health care institutions in Germany.
Leaf-inhabiting fungi are a hyperdiverse group of microbiota found in all terrestrial habitats. Comparative studies targeting the drivers of endophytic fungal biodiversity are rare and identified multiple effectors, such as plant chemistry, climate and seasonal attributes. Our project aimed to study the pattern of the leaf-associated mycobiome of European beech (Fagus sylvatica) at altitudinally distinct sites to reveal diversity, composition and seasonal dynamics of fungal endophytes by a combination of metabarcoding, cultivation and subsequent ecological analyses. This thesis also intended to study the fungal relationship with biotic and abiotic factors: elevation, local site conditions, leaf biochemistry and leaf status. Metabarcoding and cultivation were applied for same leaf samples to trace both environmental drivers and method-dependent signals of the detected fungi. An experimental field site consisting of 100 (2-years old beech) trees was established called ‘beech phytometer’ system at two altitudes (517 and 975 m a.s.l.) in a German mountain forest. Beech trees were randomly selected from both sites as well as from neighboring beech trees. Ten trees from each site were chosen and 10 leaves per tree were sampled. Climatic and leaf biochemistry (Chlorophyll, flavonoid and nitrogen) data were seasonally (Autumn, Spring and Summer) investigated for two continuous years (Oct 2013 to Oct 2015) at these two elevations. In the first year (autumn, 2013) of the project (chapter 3.1), the leaf-inhabiting fungi of natural beech trees were investigated by using high-throughput sequencing (metabarcoding) at three altitudinally distinct sites (with timberline at 1381 m a.s.l.) in the German Alps. This paper focuses on a detailed description and evaluation of metabarcoding amplicon library preparation and a subsequent analytical workflow. Fungal diversity and community composition were compared as a function of different elevated sites and leaf status (i.e., vital or senescent). However, three investigation sites resulted in 969 OTUs (operational taxonomic units) from 820441 sequences. Taxonomic compositions (order) of beech fungi differed strongly among the three sites but were less distinct between the vital and the senescence leaves. Fungal community composition at valley site clearly differed from those of mountain and timberline where differences between mountain and timberline were less prominent. Vital and senescence leaf differed in fungal community structures indicating a strong dynamics of leaf fungi in autumn. Elevation and leaf status were found to be the main explaining factors, which affected the fungal richness and compositions. Another survey (Chapter 3.2) was conducted just after the establishment of the ‘beech phytometer’ trees in the same period (autumn 2013) where leaf mycobiome of the phytometer trees (trees originally came from Northern Germany and grown in nursery) were compared with the fungi of surrounding natural beech habitat at valley (517 m a.s.l.) and mountain site (975 m a.s.l.) in the same location “Untersberg”. Fungal diversity was lowest in the managed habitat in the nursery and was highest in natural habitat. Fungal diversity and compositions significantly associated the origin of the trees. Under natural conditions, the fungi were more diverse at lower altitudes than at higher altitudes. Additionally, leaf chlorophyll and flavonoid contents showed negative correlations with fungal richness in natural stands. In the second year (autumn 2014), another survey (chapter 3.3) was conducted on leaf endophytes of phytometer trees with metabarcoding and cultivation approaches to trace the environmental drivers and method-dependent indications. Metabarcoding resulted in 597 OTUs from 170480 curated ITS1 reads and cultivation revealed 70 OTUs from 438 culture-based Sanger sequences. Both approaches resulted in non-overlapping community compositions and pronounced differences in taxonomic classification and trophic stages. However, both methods revealed similar correlations of the fungal communities with local environmental conditions. Our results indicate undisputable advantages of metabarcoding over cultivation in terms of representation of the major functional guilds, rare taxa and diversity signals of leaf-inhabiting fungi. This stressed out the importance of cultivation for complementing sequence databases with good quality reference data and encouraged the use of both approaches in future microbial biodiversity assessment studies. Phytometer and natural trees were intensively investigated in this study (chapter 3.4) to assess the influence of site characteristics (altitudes, local microclimate), seasonality, leaf biochemistry and leaf age on fungal diversity and composition. In total, our analytical Illumina workflow resulted in 15703599 demultiplexed and ITS1 reads from 165 samples. Clustering at 97% similarity resulted in 1199 OTUs. Climatic parameters were significantly differed between valley and mountain on daily basis but were insignificantly differed on monthly basis. The compositional difference between phytometer and natural mycobiome was significant for combined data as well as for the seasonal data (Oct 2013-Oct 2014). We observed a strong seasonal turnover in phyllosphere fungi in both habitats over the two years of investigation, suggesting that the plant-fungal system not only responds to cyclic climatic conditions but depends as well on various parameters, e.g., geographic position, substrates age and surrounding vegetation. A side (chapter 3.5) study was done to see the connection between the foliar endophytes and foliar phenolic compounds of European aspen (Populus tremula) in the presence and absence of specialist beetles (Chrysomela tremula). A distinct pattern of the leaf endophytes was found to be associated with aspen genotype and chemotype, but this specificity disappeared in the presence of herbivorous beetles. This suggested that leaf endophytes responded to the herbivory in aspen. In general, the altitudinal difference is the most important explaining factor for fungal community differences, which shapes many dependent abiotic and biotic habitat factors. Regarding cost and time per sequence, metabarcoding is superior to cultivation approaches and offers surprisingly profound insights by yielding much more data, allowing to test at once multiple hypotheses in fungal ecology.
Presumably every organism on earth is involved in at least one mutualistic interaction with one or several other species. To interact with each other, the species need traits that provide benefits to the partner species. Surprisingly, the function of traits for the stabilization of mutualisms has rarely been investigated, despite of a general lack of knowledge how mutualisms are maintained. The aim of this work was to find functional traits, which stabilize the mutualism between a bat species and a carnivorous pitcher plant in Northern Borneo. Kerivoula hardwickii is the only bat species known to roost in pitcher-shaped trapping organs of Palaeotropical pitcher plants (Nepenthes). These bats fertilize the pitcher plant Nepenthes hemsleyana with their nutritious nitrogen-rich faeces while roosting inside the pitchers. The plants have outsourced capture and digestion of arthropod prey to the bats on which they strongly rely for nutrient acquisition. The bats in contrast are less dependent on their mutualism partner as they also roost in pitchers of two further Nepenthes species as well as in developing furled leaves of various plant species in the order Zingiberales. In earlier studies, we found that N. hemsleyana outcompetes alternative roosts by providing high-quality roosts for the bats. However, which traits exactly stabilize the mutualism between K. hardwickii and N. hemsleyana was still unclear. I found that both the bats and the pitcher plants show traits, which have the potential to stabilize their interaction. On the level of morphological traits, I found that the pitchers have a low fluid level and a particular shape that provide just enough roosting space for one individual of the solitary K. hardwickii, a mother with juvenile or a mating couple. The bats have enlarged thumb and foot pads that enable them to cling to the smooth surfaces of their roosts without using their claws. This avoids damage to the sensitive N. hemsleyana pitchers. On the level of communicational traits, again N. hemsleyana acquired morphological structures that act as effective ultrasound-reflectors, which guide the echo-orientating bats to the opening of the pitchers and help the bats to identify their mutualism partner. The bats’ calls on the other hand are characterized by extraordinary high starting frequencies and broad bandwidths, which enable K. hardwickii to easily locate pitchers of N. hemsleyana and other Nepenthes species in their dense habitats. Finally, on the level of behavioural traits the bats often but not always prefer their mutualism partner to other roosts when they can select roosts in their natural environment or in behavioural experiments. The reason for this behaviour seems to be a combination of 1) N. hemsleyana’s superior quality compared to alternative roosts and 2) different roosting traditions of the bats. In conclusion, the mutualism between bats and pitcher plants is asymmetric as N. hemsleyana is more dependent on K. hardwickii than vice versa. For the plants bat faeces present their most important nutrient source. In contrast, K. hardwickii can select between alternative roosting plants. This asymmetric dependency is reflected in the specifity and function of the traits that stabilize the mutualism in each of the two involved species. Especially on the morphological level, N. hemsleyana seems to have evolved several traits that perfectly fit to K. hardwickii. In contrast, the bats’ traits more generally facilitate their roosting in funnel-shaped plant structures and their occurrence in cluttered habitats. Thus, they are probably exaptations (i.e. traits that evolved for another reason) that are nevertheless functional and stabilize the mutualism with N. hemsleyana. This plant‘s superior roost quality is likely a consequence of the competition with alternative roosting plants and is a pre-requisite for the bats to prefer N. hemsleyana. Moreover, my study confirms earlier findings that asymmetric dependencies support the stabilization of mutualistic interactions. Finally, my work indicates that the specifity of functional traits can be used as a measure to determine mutual dependencies of mutualistic partners.
Background: Securing future blood supply is a major issue of transfusion safety. In this prospective 10-year longitudinal study we enrolled all blood donation services and hospitals of the federal state Mecklenburg-Western Pomerania. Methods and Results: From 2005 to 2015 (time period with major demographic effects), whole blood donation numbers declined by 18%. In male donors this paralleled the demographic change, while donation rates of females declined 12.4% more than expected from demography. In parallel, red cell transfusion rates/1,000 population decreased from 2005 to 2015 from 56 to 51 (-8.4%), primarily due to less transfusions in patients >60 years. However, the transfusion demand declined much less than blood donation numbers: -13.5% versus -18%, and the population >65 years (highest transfusion demand) will further increase. The key question is whether the decline in transfusion demand observed over the previous years will further continue, hereby compensating for reduced blood donation numbers due to the demographic change. The population structure of Mecklenburg-Western Pomerania reflects all Eastern German federal states, while the Western German federal states will reach similar ratios of age groups 18-64 years / ≥65 years about 10 years later. Conclusions: Regular monitoring of age- and sex-specific donation and transfusion data is urgently required to allow transfusion services strategic planning for securing future blood supply.
Synopsis
Polyanionic metal clusters are produced by electron attachment in both Paul and Penning traps. After size and charge-state selection, the cluster properties are further investigated by various methods including photo-dissociation. Depending on the particular cluster species various decay modes are observed.
Whether mice are an appropriate model for S. aureus infection and vaccination studies is a matter of debate, because they are not considered as natural hosts of S. aureus. We previously identified a mouse-adapted S. aureus strain, which caused infections in laboratory mice. This raised the question whether laboratory mice are commonly colonized with S. aureus and whether this might impact on infection experiments. Publicly available health reports from commercial vendors revealed that S. aureus colonization is rather frequent, with rates as high as 21% among specific-pathogen-free mice. In animal facilities, S. aureus was readily transmitted from parents to offspring, which became persistently colonized. Among 99 murine S. aureus isolates from Charles River Laboratories half belonged to the lineage CC88 (54.5%), followed by CC15, CC5, CC188, and CC8. A comparison of human and murine S. aureus isolates revealed features of host adaptation. In detail, murine strains lacked hlb-converting phages and superantigen-encoding mobile genetic elements, and were frequently ampicillin-sensitive. Moreover, murine CC88 isolates coagulated mouse plasma faster than human CC88 isolates. Importantly, S. aureus colonization clearly primed the murine immune system, inducing a systemic IgG response specific for numerous S. aureus proteins, including several vaccine candidates. Phospholipase C emerged as a promising test antigen for monitoring S. aureus colonization in laboratory mice. In conclusion, laboratory mice are natural hosts of S. aureus and therefore, could provide better infection models than previously assumed. Pre-exposure to the bacteria is a possible confounder in S. aureus infection and vaccination studies and should be monitored.
Background: The association of polyomaviruses BK and JC with other opportunistic infections and graft-versus-host disease (GvHD) in allogeneic stem cell transplantation is controversially discussed. Methods: We conducted a retrospective study of 64 adult patients who received their first allogeneic stem cell transplantation between March 2010 and December 2014; the follow-up time was 2 years. Results: Acute leukemia was the most frequent underlying disease (45.3%), and conditioning included myeloablative (67.2%) and nonmyeloablative protocols (32.8%). All patients received 10 mg of alemtuzumab on day -2 (20 mg in case of mismatch) as GvHD prophylaxis. Twenty-seven patients (41.5%) developed cytomegalovirus (CMV) reactivation. BKPyV-associated hemorrhagic cystitis was diagnosed in 10 patients (15.6%). Other opportunistic infections caused by viruses or protozoa occurred rarely (<10%). There was no association of BKPyV or JCPyV with CMV reactivation, Epstein-Barr virus reactivation, human herpes virus 6, or parvovirus B19 infection requiring treatment. There was a significant correlation of BKPyV-associated hemorrhagic cystitis with toxoplasmosis (p = 0.013). Additionally, there was a significant link of simultaneous BKPyV and JCPyV viruria with toxoplasmosis (p = 0.047). BKPyV and JCPyV were not associated with GvHD, relapse, or death. Conclusion: We found no association of BKPyV or JCPyV with viral infections or GvHD. Only the correlation of both polyomaviruses with toxoplasmosis was significant. This is a novel and interesting finding.
The “East German National Park Programme” of 1989/1990 was considered a coup de main, resulting in the immediate protection of 4.5% of the GDR’s territory. The authors of this programme later described the approach and its success as “using a window of opportunity during the transition phase of state and nation.” This leads to the question whether a state’s transformation period constitutes a preferred time frame and momentum for spatial conservation success.
Conservation efforts in Azerbaijan showed a similar success as the East German National Park Programme. In a country with the highest biodiversity in Europe, increasing the share of protected land from 5.0 % in 2001 to 10.3% in 2015 constitutes a remarkable achievement. Thus, the country became an interesting case study regarding the question whether “hot moments for conservation” exist in times of political and governmental changes, and if spatial success in nature conservation can be linked to political transformation. This thesis attempts to identify how the protected area (PA) network in Azerbaijan could be expanded by 100%, what achievements were made, and what conditions still need to be met for the quantitative and qualitative improvement of the PA network. To this end, I consider this increase under landscape-ecological, historical and institutional aspects. The local culture and political pre-sets in the country present additional issues for analysing the past 25 years of nature conservation in Azerbaijan.
Multiple evidence in animal models and in humans suggest a beneficial role of cold physical
plasma in wound treatment. Yet, risk assessment studies are important to further foster therapeutic
advancement and acceptance of cold plasma in clinics. Accordingly, we investigated the long-term
side effects of repetitive plasma treatment over 14 consecutive days in a rodent full-thickness ear
wound model. Subsequently, animals were housed for 350 days and sacrificed thereafter. In blood,
systemic changes of the pro-inflammatory cytokines interleukin 1β and tumor necrosis factor α
were absent. Similarly, tumor marker levels of α-fetoprotein and calcitonin remained unchanged.
Using quantitative PCR, the expression levels of several cytokines and tumor markers in liver,
lung, and skin were found to be similar in the control and treatment group as well. Likewise,
histological and immunohistochemical analysis failed to detect abnormal morphological changes
and the presence of tumor markers such as carcinoembryonic antigen, α-fetoprotein, or the neighbor
of Punc 11. Absence of neoplastic lesions was confirmed by non-invasive imaging methods such as
anatomical magnetic resonance imaging and positron emission tomography-computed tomography.
Our results suggest that the beneficial effects of cold plasma in wound healing come without apparent
side effects including tumor formation or chronic inflammation.
Encephalitides induced by lyssa-, borna- and astroviruses: molecular detection and characterization
(2017)
Encephalitis is a severe inflammatory disease of the brain which often has a fatal outcome or can lead to subsequent damages. In around two-thirds of all human encephalitis cases, the causative agent is, despite improved diagnostics, unknown today. Aim of this work was the development, improvement and validation of diagnostic methods, improvement of sampling strategies and the development of optimized systems for characterization of three viruses causing viral encephalitis. The main burden of RABV lies in developing countries, were standard diagnostic tools are often not realizable. Therefore, simple and rapid diagnostic tests for the use under resource limited settings, so called point-of-care tests (POCT), are favorable. Commercially available lateral flow device (LFD) based immunodiagnostic tests were analyzed and failed in terms of sensitivity compared to the standard FAT and RT-qPCR (Paper I). Therefore, molecular RABV alternative targeting genome tests were developed and combined with rapid nucleic acid extraction methods. The new HighSpeed RT-qPCR and RPA assays together with magnetic bead based automated or manual extraction methods delivered a specificity between 100% and 97.2% and a limit of detection of 10 or 1,000 genome copies per reaction, respectively and seem suitable as novel POCT (Paper II). Recently, a novel zoonotic VSBV-1, responsible for fatal encephalitis of three squirrel breeders, was detected. For further investigations of this new virus, methods for an in-vivo sampling approach of squirrels were established. They were useful to identify animals harboring this dangerous virus, and new sequence data could be obtained from the VSBV-1 positive animals. Until now, 3.5% of all investigated squirrels were VSBV-1 RNA positive and two subfamilies (Sciurinae and Callosciurinae) are affected. The pathogen occurs not only in Germany, but also squirrel holdings and zoological gardens in the Netherlands and Croatia were tested positive, indicating a serious human health threat of this virus (Paper III and IV). With the help of a metagenomic approach, astroviruses were detected to be associated to encephalitis in cattle and sheep. These viruses were detected in a cow in Germany (Paper V), and in brain samples from two sheep in the United Kingdom (Paper VI). In both cases, the sequences generated by high-throughput-sequencing (HTS) were confirmed by specific RT-qPCRs, which could be used for subsequent screening approaches. Together, methods for the detection of three different encephalitis viruses were developed, validated and applied for different sample material.
Streptococcus pneumoniae infections can lead to severe complications with excessive immune activation and tissue damage. Interleukin-37 (IL-37) has gained importance as a suppressor of innate and acquired immunity, and its effects have been therapeutic as they prevent tissue damage in autoimmune and inflammatory diseases. By using RAW macrophages, stably transfected with human IL-37, we showed a 70% decrease in the cytokine levels of IL-6, TNF-α, and IL-1β, and a 2.2-fold reduction of the intracellular killing capacity of internalized pneumococci in response to pneumococcal infection. In a murine model of infection with S. pneumoniae, using mice transgenic for human IL-37b (IL-37tg), we observed an initial decrease in cytokine expression of IL-6, TNF-α, and IL-1β in the lungs, followed by a late-phase enhancement of pneumococcal burden and subsequent increase of proinflammatory cytokine levels. Additionally, a marked increase in recruitment of alveolar macrophages and neutrophils was noted, while TRAIL mRNA was reduced 3-fold in lungs of IL-37tg mice, resulting in necrotizing pneumonia with augmented death of infiltrating neutrophils, enhanced bacteremic spread, and increased mortality. In conclusion, we have identified that IL-37 modulates several core components of a successful inflammatory response to pneumococcal pneumonia, which lead to increased inflammation, tissue damage, and mortality.
Less invasive caries management techniques for treating cavitated carious primary teeth, which involve the concept of caries control by managing the activity of the biofilm, are becoming common. This study aimed to compare the clinical efficacy (minor/major failures) and survival rates (successful cases without any failures) of 3 carious lesion treatment approaches, the Hall Technique (HT), non-restorative caries treatment (NRCT), and conventional restorations (CR), for the management of occlusoproximal caries lesions (ICDAS 3-5) in primary molars. Results at 2.5 years are presented. A total of 169 children (3- to 8-year-olds) were enrolled in this secondary care-based, 3-arm parallel-group, randomised controlled trial. Participants were allocated to: HT (n = 52; sealing caries with stainless-steel crowns without caries removal), NRCT (n = 52; opening up the cavity and applying fluoride varnish), CR (n = 65; control arm, complete caries removal and compomer restoration). Statistical analyses were: non-parametric Kruskal-Wallis analysis of variance, Mann-Whitney U test and Kaplan-Meier survival analyses. One hundred and forty-two participants (84%; HT = 40/52; NRCT = 44/52; CR = 58/65) had follow-up data of 1-33 months (mean = 26). Overall, 25 (HT = 2, NRCT = 9, CR = 14) of 142 participants (17.6%) presented with at least 1 minor failure (reversible pulpitis, caries progression, or secondary caries; p = 0.013, CI = 0.012-0.018; Mann-Whitney U test). Ten (HT = 1, NRCT = 4, CR = 5) of 142 participants (7.04%) experienced at least 1 major failure (irreversible pulpitis, abscess, unrestorable tooth; p = 0.043, CI = 0.034-0.045). Independent comparisons between 2 samples found that NRCT-CR had no statistically significant difference in failures (p > 0.05), but for CR-HT (p = 0.037, CI = 0.030-0.040) and for NRCT-HT (p = 0.011, CI = 0.010-0.016; Kruskal-Wallis test) significant differences were observed. Cumulative survival rates were HT = 92.5%, NRCT = 70.5%, and CR = 67.2% (p = 0.012). NRCT and CR outcomes were comparable. HT performed better than NRCT and CR for all outcomes. This study was funded by the Paediatric Dentistry Department, Greifswald University, Germany (Trial registration No. NCT01797458).
Forests are and have been of major importance to cover a variety of societal needs. Today the demands on forests are ever increasing with sequestering carbon and balancing the climate, to name only a few. To cover those requirements forests need vital, productive, and sustainable. A difficult concept as such as the understanding of a healthy forest varies greatly. Nevertheless, forests still have to produce a sufficient amount of yield while threatened by changing climate conditions. These are predicted to bring extended and more intense drought periods as well as a higher frequency of storms and the promotion of secondary disturbances like insects calamities to also rise. In this complex situation of high and versatile demand the focus is on the allocation of the “right” forest. Forest management is requested to balance the needs of humans against those of wildlife against those of the trees themselves. To gain the respective knowledge on species responses and provenance growth, now and in the future research gaps need to be closed. All factors influencing tree growth and therefore ultimately yield need to be understood and special focus needs to be on the interactions within the forest ecosystem. One of the parameters in understanding aggregated tree growth is the dynamic of growth. This can be visualised by dendroecological methods, providing a picture of growth within the individual years. Growth dynamics are dependent on multiple factors, some, like soil being preconditioning and other like climate causing short-term responses. In this thesis I focus on the influence of climate on annual tree growth using a new approach of daily climate data to calculate climate-growth correlations. This method has the advantage of representing tree processes better than the former approach of using monthly means. Furthermore the program enables the user to feed climate scenarios and therefore estimate future growth. To gather information on species as well as provenance differences to provide advice to foresters I used different trials in Britain and Germany. On the British site different oak species were planted while the German sites are stocked with various spruce provenances. For the latter we additionally used stable carbon isotope analysis to calculate intrinsic water use efficiency. The climate-growth correlations revealed differences between the oak species with a generally higher linkage to precipitation than temperature. While the differences are clear, the question of thresholds and the role of extreme events became apparent in this work. VII Abstract Assessing the impact of extreme events using dendrometer data revealed little differences in the response to short term events of the three investigated species, oak, beech, and pine. We were able to pick up stimulus-response-relationships and as a novel result no species-specific responses were found when focusing on such a small time frame. The provenance trials offered the opportunity to investigate the potential of the use of daily climate data more closely. The two contrasting sites planted with six spruce provenances each gave an insight on the adaptive potential of provenances as well as an indication on the response times. Depending on the proceeding environmental and the local climate conditions decisions have to be made on the species or provenance selection. This thesis provides a method as well as insight on the behaviour of the important European species beech, oak, pine, and spruce. It, however, highlights the limitations such methods have for large scale estimates. While general trends on the response to specific soil factors can be used, the climatic responses, be it thresholds or climate-growth correlations can only be seen within the ecological context of their sampling region.
Estimating effects of craniofacial morphology on gingival recession and clinical attachment loss
(2017)
Objectives: Currently, evidence for the association between face morphology, attachment loss and
recession is lacking. Face type can be described by the ratio of facial width and facial length. We
hypothesize, that the facial type might be related to gingival recession (REC) and clinical attachment
loss (CAL) and that a broad face is associated with less recession and attachment loss than a long
face.
Materials and methods: Data from the 10 year follow-up of the Study of Health in Pomerania
(SHIP-2; 2008-2012; 2333 participants) were used. Periodontitis was assessed by probing depth (PD)
and clinical attachment loss (CAL). Generalized regression models were used to assess associations
between specific landmark distances extracted from magnetic resonance images (MRI) head scans
and clinically assessed gingival recession adjusting(REC) or clinical attachment loss(CAL) adjusting
for relevant confounders.
Results: Maximum cranial width was negatively associated with mean REC and mean CAL
(p<0.05). Also, higher mean REC and higher mean CAL correlate positively with long face
(B=0.361 with 95% CI), upper anterior facial height.
Conclusion: According to the results of the present study, gingival recession and clinical attachment
loss were associated with higher Prosopic face and facial length indices results.
The dissertation describes an Indigenous dream framework that underscores the significance of dreams as a mirror of trauma and a way that leads back to Indigenous knowledges. Significant differences of Western and Indigenous epistemology are exemplified by juxtaposing Western and Indigenous dream discourses. The selected prose fiction allows for a dream categorization that emphasizes the significance and meaning of dreams as a metaphorical as well as narrative device.
Nightmares/Anxiety dreams are often the result of the devastating effects of colonization and especially Residential School. Nightmares in the texts are often exact replicas of the abuse suffered in the boarding schools. They are discussed in the context of Robert Arthur Alexie’s novel Porcupines and China Dolls (2001/2009) represents dreams and traumatic nightmares and deals with the fictional Blue People First Nation. The community’s collective intergenerational trauma of Residential School experience keeps them stuck in dysfunctional dynamics dominated by suicides, sexual and physical abuse, drug and sex addictions.
Telling dreams, categorized as “instructing dreams,” and “announcing dreams,” teach the dreamer what will happen in the future. They are discussed in the context of Richard Van Camp’s short stories “On the Wings of this Prayer” and “The Fleshing” (Godless but Loyal to Heaven, 2012), which represent the category of the ecological nightmare as well as of telling dreams. Ecological nightmares display environmentally destructive effects of capitalist globalization that have come to “infect” the world. The Windigo figure in the stories serves as a manifestation of resource and in particular petro-capitalism and Western society’s constant need to subjugate nature. Ecological dreams hence call for ecological vigilance and establish Indigenous knowledges as a source of resurgence and restoration.
Existential dreams function as decolonizing tools that facilitate liberation. The thesis provides a literary analysis of Richard Wagamese’ novel Ragged Company (2008) and Cherie Dimaline’s short story “room 414” (Red Rooms, 2007) where homelessness is postulated as the manifestation of individual and tribal/communal disjointedness and isolation. Through existential dreaming, the urban lives of most of the characters dwelling in the shadows and margins of society are existentially transformed and healing seems possible. Paternalistic colonial mindsets continue to patronize Indigenous knowledges (as unreliable and unscientific) until Western “discoveries” prove what has been known for decades.
The thesis underscores dreams as an essential part of Indigenous Knowledges, i.e. as knowledge sources. Surmounting Western dream perceptions and instead valorizing Indigenous knowledges, the characters in the texts discussed in my thesis, unremittingly follow their dreams’ instruction and eventually achieve reconciliation and healing. In the fictional texts discussed, nightmares represent homelessness, trauma, stagnation, and a disconnection to one’s (Native) background, whereas dreams represent continuity through the restoration of identity, finding home, and a sense of belonging. The notion of a dream reality and a waking reality influencing and informing each other relies on sharing dreams with the community, eventually leading to an enactment of the dream or vision. Dreaming and identity are significantly linked and foster processes of intellectual self-determination. The characters’ inability to externalize their internal wishes, desires, and needs results in further denial and consequential bitterness that feed into the spiral of alcohol and drug abuse as well as metaphorical and literal homelessness. The dreams’ semantic field strongly alludes to ceremonial traditions and provides the prospect of a rooted Indigeneity. At the turning points in the lives of the characters, when dreams and visions start to appear, they are lost in translation. The characters’ own illiteracy towards Native epistemology and spirituality has them trapped in the inability to read and act on their dream messages. Strong (often female) Indigenous presences that go hand in hand with the appearance of dreams provide the protagonists with guidance and lead the way back to the “Old Ways.” Through dreaming, the spiral of colonialism is disrupted and replaced by the circle of reconciliation and relationality.
Tourism is a multifaceted economy and based on existing nature, as well as on culture in a geographical space to become a successful destination for tourism. The topic of this survey is how tourism in the transitioning country of Vietnam influences culture and nature or vice versa. A special focus will be on the transitioning aspect. This study gives insights about how in the transitioning country of Vietnam, tourism can act as an additional driver of change in terms of nature and culture or if tourism is only adapting to these changes. Therefore in the beginning the subject of ‘social-ecological transformation’ is described and furthermore the situation in Vietnam will be introduced. The key aspects here will be within the range of geography and sociology. It becomes evident, that scientific views on this topic are rather diverse, but nevertheless many theoretical aspects can be observed also in the investigation area Vietnam. Within the country several aspects of economic transition already became reality, while others, like social, ecological or political reforms, are still at the beginning. The empirical part of this study deals with existing thoughts, according to the topic of transition, in relation to tourism development and respectively to environmental understanding, by analyzing and comparing positions of 21 international and Vietnamese experts, 569 international tourists and 710 Vietnamese students. By doing so, similarities within opinions about tourism development and the environmental situation in the country became observable. While tourism is rated as a mostly positive development, the current environmental situation has mostly been criticized by all survey participants. Apart from that, connections between both aspects (tourism economy and nature) are often of no importance or the relationship is identified to be just a rudimentary one. In case of these opinions, involvement within one social group and personal experience is of larger importance than cultural conditioning (European or Asian), e.g. own travels, own jobs and own education. This fact becomes visible by very similar ratings of environmental problems on the one hand and the beauty of natural landscapes on the other hand, done by both survey groups; namely international tourists and Vietnamese students.
The thyroid gland is of crucial importance in human metabolism. Its main secretion products, L-thyroxine (T4) and 3,3’,5-triiodo-L-thyronine (T3), are essential for proper development of multiple tissues and organs as well as for their functioning in the adult organism. The secretion of thyroid hormones (TH) is stimulated by thyrotropin (TSH) released from the pituitary gland. This tight connection between both hormones is of crucial importance for the clinical diagnosis of thyroid dysfunction. During the last two decades the concept of TH action developed to increased complexity. However, most of the recent advances in the field of TH research are based either on cell culture, tissue or animal models or stem from studies investigating specific hypotheses in humans. Thus, experimental approaches for the comprehensive, hypothesis-free characterization of metabolic effects of classical and non-classical TH in human are urgently needed. This holds true in particular for the TH derivative 3,5-diiodothyronine (3,5-T2). It was described to alleviate the typical detrimental metabolic consequences of a high-fat diet and even reversed hepatic steatosis. To replicate these experimental findings from rodents in humans, comprehensive data from the population-based Study of Health in Pomerania (SHIP) was analyzed in the present work. Based on a euthyroid, diabetes-free SHIP-subsample (N=761), non-linear associations between the serum concentrations of 3,5-T2 and glucose as well as TSH were detected. In contrast, no significant 3,5-T2 associations with several anthropometric markers or blood lipid parameters were observed, partially questioning the transferability of the beneficial metabolic 3,5-T2 effects reported for pharmacological intervention studies on rodents to humans. Recent advances in technological development now allow for the use of high-throughput spectrometric platforms to characterize the small molecule content (metabolome) of blood and urine samples. The detected metabolome constituents can be associated with any relevant parameters of interest, thereby extending the scope of classical association studies. Therefore, in the second part of the present thesis, the metabolic fingerprints of FT4, TSH as well as the ratio log(TSH)/FT4 as markers of thyroid function were profiled. Strong differences between the metabolic fingerprints of FT4 and TSH were observed, partially alleviated by the log(TSH)/FT4 ratio. These findings not only emphasize the high diagnostic value of the combined evaluation of TSH and FT4 in the assessment of thyroid function but additionally argue for a holistic approach in the diagnosis of thyroid function. More moderate endogenous effects of 3,5-T2 were evaluated by comparing its urinary metabolic fingerprint with that of the classical TH. A number of associations became apparent, indicating a function of endogenous 3,5-T2 in intermediary metabolism. Besides partially confirming associations with respect to the presented findings in animal studies, the strongest 3,5-T2-association was observed with trigonelline, a metabolite described earlier to exhibit similar beneficial effects as 3,5-T2 on glucose metabolism when used as a pharmacological agent in animal studies. An association towards hippurate indicated a partial overlap with the metabolic profile of TSH and hence consolidated results from the first two projects in the sense of a thyromimetic role of 3,5-T2 in the feedback regulation of TH. The diagnosis of thyroid disorders based on the classical markers TSH and FT4 suffers from restricted sensitivity in the subclinical range as both parameters have broad reference ranges in the general population. Therefore, in an approach to detect novel peripheral biomarkers of thyroid function, sixteen healthy young men were challenged with 250 µg of levothyroxine (L-T4) over a period of eight weeks in the fourth project presented here as part of this thesis. Monitoring of the volunteers over a period of sixteen weeks allowed delineation of the metabolic shifts first towards thyrotoxicosis and later in the context of the restoration of euthyroidism. The use of mass spectrometry for the comprehensive characterization of the metabolite as well as the protein content of samples taken at the different time points revealed profound molecular alterations, despite the lack of any clinical symptoms in the volunteers. Molecular signatures of thyrotoxicosis indicated increased energy expenditure, pronounced defense against systemic oxidative stress, a general drop in apolipoproteins, as well as increased abundances of proteins related to the coagulation cascade and the complement system. Good and robust classification of the thyroid state independent of TSH and FT4 was achieved using random forest analysis with a subset of fifteen metabolites and proteins, indicating new options in the individualized diagnosis of thyroid disorders.
The virosphere comprises all known and unknown viruses in our ecosystems. Advanced sequencing technologies in combination with metagenomic analysis have become a key tool for exploring this global diversity of viruses. However, discovery of novel viruses and comparative analyses are often based on small sequence fragments or lack biological context, which restricts a proper classification. In this study advanced genomic methods were used that included comprehensive knowledge of viral genomes along with supporting biological metadata in order to identify and classify viruses at different levels of genetic relationships. In a first example, the genetic background of vaccine-induced rabies cases was revealed by analyzing and comparing the genetic diversity of viral populations. Furthermore, the fundament for a taxonomic reclassification of orthopoxviruses was established on basis of a wide scale genomic analysis. In addition, novel neurotropic mamastroviruses from sheep and cattle were classified as members of a single species that provided evidence of interspecies transmission. Finally, two putative novel species of alphaherpesviruses and orthopoxviruses were identified. These examples are based on field cases that provide substantial corresponding clinical metadata and information of host-pathogen interactions. The analyses, therefore, puts taxonomic classification into biological and epidemiological context, rather than addressing generic phylogenetic relationships. Furthermore, the presented work demonstrates that a universal approach for virus classification is neither feasible nor reasonable as analyses must be adjusted the nature of the addressed virus. All results with impact on the current taxonomic classification will be or are already reported to the International Committee on Taxonomy of Viruses. In conclusion, this thesis contributed to the classification concepts of viruses and expanded the knowledge of virosphere diversity.
For the normal development of pregnancy, a balance between immune tolerance and defense is crucial. However, the mechanisms mediating such a balance are not fully understood. CD83 is a transmembrane protein whose expression has been linked to anti-inflammatory functions of T and B cells. The soluble form of CD83, released by cleavage of the membrane-bound protein, has strong anti-inflammatory properties and was successfully tested in different mouse models. It is assumed that this molecule contributes to the establishment of immune tolerance. Therefore, we postulated that the expression of CD83 is crucial for immune tolerance during pregnancy in mice. Here, we demonstrated that the membrane-bound form of CD83 was upregulated in T and B cells during allogeneic murine pregnancies. An upregulation was also evident in the main splenic B cell subtypes: marginal zone, follicular zone, and transitional B cells. We also showed that there was an augmentation in the number of CD83+ cells toward the end of pregnancy within splenic B and CD4+ T cells, while CD83+ dendritic cells were reduced in spleen and inguinal lymph nodes of pregnant mice. Additionally, B lymphocytes in late-pregnancy presented a markedly higher sensitivity to LPS in terms of CD83 expression and sCD83 release. Progesterone induced a dosis-dependent upregulation of CD83 on T cells. Our data suggest that the regulation of CD83 expression represents a novel pathway of fetal tolerance and protection against inflammatory threats during pregnancy.
The overarching goal of this work was to develop a biosensor based on functional nucleic acids. The biosensor should be modular, such that by exchange of the recognition unit, tailored biosensors could be created, allowing detecting a variety of analytes on demand. In the context of the cooperation with a company, initially, TNFalpha was chosen as an analyte. In a previous work, it was tried to build a modular aptazyme for TNFalpha that was based on four aptamers that were developed by SELEX. Here, these aptamers were investigated more closely by different methods (SPR, QCM). In the present work, it was proven beyond doubt that this attempt was not feasible. The aptamers were not able to bind the biologically active form of TNFalpha. An even more interesting finding was that a common tool to immobilize molecules to investigate their interactions with a binding partner, namely the streptavidin-biotin interaction, can strongly influence the result of the assay and causing false-positive results. Afterwards, it was decided to continue the work with a DNAzyme and modular approach was strictly refrained. It was tried to build aptazymes for TNFa or creatinine by in vitro selection, which failed. Most likely, the crucial factors were the ligands itself and the high demand on in vitro selection to select two functionalities (aptamer and catalytic activity) in parallel. This was the reason, to develop a new and a different method with streptavidin as a model analyte. The new strategy was to combine in vitro selection and rational design. The 17E-DNAzyme was chosen as catalytically active module. In preparation of the in vitro selection work, its properties were analyzed. An oligo-based inhibitor of the 17E-DNAzyme was rationally designed and its functionality was experimentally evaluated. Then, a library was designed which contained the 17E-DNAzyme, a randomized domain, and the inhibitor and its functionality was experimentally proven. The in vitro selection for the aptamer and the catalytic function were separated in two steps where the substrate strand was introduced in the second step. The knowledge about in vitro selection procedures, which was gained in the first trials with TNFalpha and creatinine was applied and could be substantially broadened. The crucial factors for the success of this process were identified. Most important steps are the amplification steps between the rounds and the in vitro selection pressure. The template concentration in the PCR has to be very low; the selection pressure has to be high. However, in fact, the exact quantity of "low" and "high" is difficult to determine exactly, it has to be individually evaluated for every amplification step, and this makes in vitro selection a method that requires a lot of experimental skills, optimization procedures, and experience. An EMSA was established and performed to qualitatively prove the affinity of the library for streptavidin in the first step of the in vitro selection method. For the second step, the in vitro selection of the catalytic function, considerable effort was done, but the in vitro selection did not succeed. Using the Biacore, the dissociation constant of the pool, which was applied in the second step of in vitro selection, was determined to be KD = 38 nM. This is very low, and by sequencing the pool it was found that the sequence variability was too low. The sequences share a cramp-like stem-loop structure, which hold the DNAzyme in an inactive conformation. This work presents valuable results for the development of biosensors based on nucleic acids, applying in vitro selection and rational design. Aptamers for streptavidin were selected. The library, which was used for this in vitro selection was structurally constrained. This obviously, represented an exceptionally good starting point for the in vitro selection. In this work, a lot of information about the development of in vitro selection systems was gained. Important work was done on establishing a click chemistry-based immobilization strategy. This work is going to fundamentally facilitate a new in vitro selection approach based on this immobilization strategy.
Antibodies recognizing complexes of the chemokine platelet factor 4 (PF4/CXCL4) and polyanions (P) opsonize PF4-coated bacteria hereby mediating bacterial host defense. A subset of these antibodies may activate platelets after binding to PF4/heparin complexes, causing the prothrombotic adverse drug reaction heparin-induced thrombocytopenia (HIT). In autoimmune-HIT, anti-PF4/P-antibodies activate platelets in the absence of heparin. Here we show that antibodies with binding forces of approximately 60–100 pN activate platelets in the presence of polyanions, while a subset of antibodies from autoimmune-HIT patients with binding forces Z100 pN binds to PF4 alone in the absence of polyanions. These antibodies with high binding forces cluster PF4-molecules forming antigenic complexes which allow binding of polyanion-dependent anti-PF4/P-antibodies. The resulting immunocomplexes induce massive platelet activation in the absence of heparin. Antibody-mediated changes in endogenous proteins that trigger binding of otherwise non-pathogenic (or cofactor-dependent) antibodies may also be relevant in other antibody-mediated autoimmune disorders.
Quang Xuong is considered as one of the most developed districts in Thanh Hoa Province in terms of agricultural. The major purpose of this research is to find good places to suggest for annual crops production in the case study. Therefore, the assessment of land potential productivity, land suitability, and land cover/land use change in different periods is essential for making strategies of sustainable agricultural development as this will help land-users and land managers to discover the potential and limitations of the current existing land conditions to make appropriate policies and plans for future land use. Its results will provide basic information to make reasonable decisions for investments and rational reclamations of cultivated land before and after each crop season in order to meet the objectives of sustainable development in terms of economic efficiency, social acceptability, and environmental protection. The research site is located at latitudes 19 degree 34 minute N - 19 degree 47 minuteN and at longitudes 105 degree 46 minute E - 105 degree 53 minute E. The total area is about 227km2; in which 128km2 is in use for agricultural activities. Based on soil classification methods by FAO-UNESCO (1988), the agricultural land is classified into six main soil groups, including Arenosols, Salic Fluvisols, Fluvisols, Gleysols, Acrisols, and Leptosols, 12 soil units and 18 sub-units. The largest area belongs to the Fluvisols group with 9358.29ha and the smallest area is identified as the Leptosol group with 219.33ha. Most of the soil in this district has low to moderate nutrition, but in general, they are still suitable for agricultural production. There are 42 land units defined in the land mapping, which can be different from each other by one or more land characteristics. The land mapping unit is created from the overlay of all thematic maps of soil chemicals, soil physical characteristics, and relative topography together by application of GIS techniques. It presents land characteristics and properties in this case study and will be used in comparasion with a particular crop requirement for growth in land suitability evaluation process. A certain land unit may be suitable for one or more types of different land use. It is also classified as highly suitable for a specific land utilization type, but less suitable or unsuitable for other crops. For example, in this study, land unit 26 is determined as highly suitable (S1) for growing paddy rice and maize, but it falls into moderately suitability (S2) for groundnut crop by using parametric (square root) method used in this thesis. Depending on the kind of crops need to be evaluated and its requirement for development compared with each land unit characteristics, land-users will determine the best suitable place for crop production. Identification of land use change in different periods of time has become a central key to monitoring of land resources. It is relatively important for effective land management to protect the land resources, especially the land used for agricultural production from overuse and environmental changes. The sprawl of inhabitant areas, development of rural infrastructures, and industrialization are responsible for serious losses of agricultural land. In this study, remote sensing techniques were applied to studying the trends of land cover change in the abovementioned district in a period of about 24 years from 1989 to 2013. ArcGIS software was adopted to develop the land cover and the change of land use maps from 1989 to 2013. Two satellite images with moderate resolution were collected from USGS Earth Explorer website, Landsat5 TM for 1989 and Landsat8 OLI & TIRS for 2013. After image geo-processing, the images were classified into six land cover categories by applying supervised classification method (Maximum Likelihood). The six main obtained land cover types were built-up areas, agricultural land, forest land, water surface area, salty land, and unused land. The overall accuracies of land cover maps for 1989 and 2013 were 94.08% and 92.91%, respectively. The results of change detection analysis indicate that the cultivated, water surface and unused lands decreased by 22%, 17%, and 91%, respectively. In other side, the built-up and salty land increased by 78%, 58%, respectively and forest land increased from 52.69ha in 1989 to 395.76ha in 2013. The assessment of land potential productivity for agricultural production and land suitability for selected annual crops was based on FAO guidelines for land evaluation (FAO, 1976, 1985, and 1993) which were adopted and slightly modified for compatibility with Vietnamese conditions. All related data were stored, analyzed, mapped and presented in ArcGIS software. Weighted Linear Combination Method developed by Hopkins (1977) and GIS techniques were used to analyze and determine the land potential for agricultural use in the study area. The results show that 5.26%, 83.10%, 10.06%, and 1.57% of the investigated areas were assessed as high potential, moderate potential, low potential and very low potential for growing crops. Regarding land suitability evaluation, the simple limitation, parametric (square root), and AHP methods were used to evaluate the suitability levels for selected crops, including paddy rice, sweet potato, groundnut, maize, potato, sesame, soybean, and green pepper. The obtained results indicate that each applied method provides different results of land suitability level for a specific crop in certain land units compared to the other two methods, and OM, soil pH, soil texture, and relative topography were found out as the main limitation factors which affected land suitability level. The study also suggests that three different methods as abovementioned can be expanded and applied in other places with the appropriate factors used for land suitability evaluation according to particular area conditions.
The establishment and management of protected areas has become a universally accepted way to conserve biodiversity and the wide range of goods and services they offer. Sustainable management of forest resources requires good decision-making from a range of different stakeholders. This dissertation develops a model based on spatial data and expert judgments to assess the vulnerability of the most threatened species of fauna and flora in a selected protected area. Based on the study objectives, the availability of data and technology, the study concludes vulnerability as composed of multidimensional losses, which can be measured as a function of the three components: exposure, sensitivity and adaptive capacity. In order to measure vulnerability, the research applies the Analytic Hierarchy Process (AHP), a well-known multi-criteria decision making approach, using the open access Super Decisions software in a spatial database context with the help of Geographic Information Systems (GIS).
Abstract
The laser photodetachment experiment in a diffuse helium–oxygen barrier discharge is evaluated by a 1D fluid simulation. As in the experiment, the simulated discharge operates in helium with
400
ppm
oxygen admixture at
500
mbar
inside a discharge gap of
3
mm
. The laser photodetachment is included by the interaction of negative ions with a temporally and spatially dependent photon flux. The simulation with the usually applied set of reactions and rate coefficients provides a much lower negative ion density than needed to explain the impact on the discharge characteristics in the experiment. Further processes for an enhanced negative ion formation and their capabilities of reproducing the experimental results are discussed. These further processes are additional attachment processes in the volume and the negative ion formation at the negatively charged dielectric. Both approaches are able to reproduce the measured laser photodetachment effect partially, but the best agreement with the experimental results is achieved with the formation of negative ions at the negatively charged dielectric.
The content of this thesis can be summarized as follows: (i) The deposition processes of SiOx and SiOxCyHz coatings were investigated in a low-pressure, low temperature HMDSO-O2-N2 plasmas. Infrared laser absorption spectroscopy (IRLAS) and optical emission spectroscopy (OES) were combined to measure the gas temperatures in the hot and colder zones of the plasma as well as to monitor the concentration of the methyl radical, CH3, and of seven stable molecules, HMDSO, CH4, C2H2, C2H4, C2H6, CO and CO2. Tunable lead salt diode lasers (TDLs) and an external-cavity quantum cascade laser (EC-QCL) were simultaneously employed as radiation sources to perform the IRLAS measurements. They were found to be in the range between 10^{11} to 10^{15} cm^{−3}. The influence of the discharge parameters of power, pressure and gas mixture on the molecular concentrations was studied. The plasma generation is characterized by a certain degree of inhomogeneity with different temperature zones, i.e., hottest, hot and colder zones depending on the construction of the reactor. This complexity is characterized by the multiple molecular species including the HMDSO precursor and products in ground and excited states existing in the plasma. (ii) Employing similarly IRLAS and OES techniques, the deposition of nanocrystalline diamond at relatively low temperature in low-pressure MW H2 plasmas with small ad-mixtures of methane and carbon dioxide was investigated. Five methods were applied for an extensive temperature analysis, providing new insights into energetic aspects of the multi-component non-equilibrium plasma. The OES method provided information about the gas temperature of H2 inside the MW plasma. Using lead salt diode lasers, the rotational temperature of the methyl radical, CH3 , and gas temperature of methane molecule, CH4 , was measured. A variety of CO lines in the ground and in three excited states have been analysed using an EC-QCL with a relatively wide spectral range. These methods have shown that based on the construction of the DAA reactor using 16 single plasma sources the plasma generation is characterized by a variety of hottest, hot and colder zones. Extensive measurement of these various species temperatures in the complex plasma enabled the concentration determination of the various stable and unstable plasma species, which were found to be in the range between 10 11 to 10 15 cm −3 . The influence of the discharge parameters, power and pressure, on the molecular concentrations has been studied. To achieve insight into general plasma chemical aspects, the dissociation of the carbon precursor gases including their fragmentation and conversion to the reaction products was analysed in detail. The evolution of the concentration of the methyl radical, CH 3 , of five stable molecules, CH4, CO2, CO, C2H2 and C2H4, and of vibrationally excited CO in the first and second hot band was monitored in the plasma processes by in situ infrared laser absorption spectroscopy using lead salt diode lasers (TDL) and an external-cavity quantum cascade laser (EC-QCL) as radiation sources. OES was applied simultaneously to obtain complementary information about the degree of dissociation of the H2 precursor gas. The analysis of the carbon and oxygen mass balances shows clearly, that the deposition on the reactor walls and the production of other hydrocarbons species may act as sinks for carbon and oxygen. (iii) The absolute line strengths of many P-branch transitions of the ν3 fundamental of {28}^SiH4 were determined using the wide tuning range and the narrow line width of a cw EC-QCL between 2096 and 2178 cm^{−1}. The line positions and line strengths of transitions of the stretching dyad within the P-branch of {28}^SiH4 were determined with an estimated experimental measurement accuracy of 10%. The high spectral resolution available has enabled us to resolve and measure representative examples of the tetrahedral splittings associated with each component of the P-branch. The positions of these components are in excellent agreement with spherical top data system (STDS) predictions and theoretical transitions from the TDS spectroscopic database for spherical top molecules. To our knowledge, this is the first reported measurement of these line strengths in this band and is an example of the applicability of high-powered, widely tunable EC-QCLs to high resolution spectroscopy in the MIR. (iv) Similarly, the determination of the silyl radicals, ν3 band, line strengths is ongoing using the same cw EC-QCL. This effort was impaired by silane and other unknown species lines overlap; however, the silyl radicals was successfully detected in a SiH4/H2 plasma. A method to determine the silyl line strengths has been presented through its iterative decay measurements which relied on the value of the silyl radical self reaction constant. There was a consensus of its value in the literature.
Background: Despite optimized medical therapy, severe idiopathic pulmonary arterial hypertension (IPAH) is a devastating disease with a poor outcome. Autoantibodies have been detected in IPAH that can contribute to worsening of the disease. Objectives: The objective of this prospective, open-label, single-arm, multicenter trial was to evaluate the safety and efficacy of immunoadsorption (IA) as an add-on to optimized medical treatment for patients with IPAH. Methods: A total of 10 IPAH patients received IA over 5 days. Their clinical parameters, including hemodynamics measured by right heart catheter, were assessed at baseline and after 3 and 6 months. The primary endpoint was the change in pulmonary vascular resistance (PVR). Secondary endpoints included the change in 6-min walking distance, quality of life, safety, and plasma levels of IgG and autoantibodies. Results: The evaluation of the 10 IPAH patients (75% female; 51 ± 12 years; 166 ± 10 cm; WHO functional class III; 53% on combination therapy) revealed that IA was a safe procedure that efficiently removed IgG and autoantibodies from the circulation. After 3 months, the mean PVR improved significantly by 13.2% (p = 0.03) and the cardiac index improved by 13.1%, but no significant changes were found in 6-min walking distance. The quality of life physical functioning subscale score significantly improved after 6 months. The serious adverse events in 3 patients were possibly related to IA and included pneumonia, temporary disturbance in attention, and thrombocytopenia. Conclusions: IA as an add-on to targeted medical treatment for IPAH is a safe procedure with beneficial effects on hemodynamics, especially in patients with high levels of autoantibodies. Larger-scale controlled studies are needed to assess its efficacy in IPAH and to identify responders.
Activation of trace amine-associated receptor 1 (TAAR1) in endocrine pancreas is involved in weight regulation and glucose homeostasis. The purpose of this study was the identification and characterization of potential TAAR1 variants in patients with overweight/obesity and disturbed glucose homeostasis. Screening for TAAR1 variants was performed in 314 obese or overweight patients with impaired insulin secretion. The detected variants were functionally characterized concerning TAAR1 cell surface expression and signaling properties and their allele frequencies were determined in the population-based Study of Health in Pomerania (SHIP). Three heterozygous carriers of the single nucleotide missense variants p.Arg23Cys (R23C, rs8192618), p.Ser49Leu (S49L, rs140960896), and p.Ille171Leu (I171L, rs200795344) were detected in the patient cohort. While p.Ser49Leu and p.Ille171Leu were found in obese/overweight patients with slightly impaired glucose homeostasis, p.Arg23Cys was identified in a patient with a complete loss of insulin production. Functional in vitro characterization revealed a like wild-type function for I171L, partial loss of function for S49L and a complete loss of function for R23C. The frequency of the R23C variant in 2018 non-diabetic control individuals aged 60 years and older in the general population-based SHIP cohort was lower than in the analyzed patient sample. Both variants are rare in the general population indicating a recent origin in the general gene pool and/or the consequence of pronounced purifying selection, in line with the obvious detrimental effect of the mutations. In conclusion, our study provides hints for the existence of naturally occurring TAAR1 variants with potential relevance for weight regulation and glucose homeostasis.
Introduction
Primary immunodeficiency disorders (PIDs) are a heterogeneous group of more than 200 rare diseases. Timely diagnosis is of uttermost importance. Therefore, we aimed to develop a diagnostic questionnaire with computerized pattern-recognition in order to support physicians to identify suspicious patient histories.
Materials and methods
Standardized interviews were conducted with guardians of children with PID. The questionnaire based on parental observations was developed using Colaizzis’ framework for content analysis. Answers from 64 PID patients and 62 controls were analyzed by data mining methods in order to make a diagnostic prediction. Performance was evaluated by k-fold stratified cross-validation.
Results
The diagnostic support tool achieved a diagnostic sensitivity of up to 98%. The analysis of 12 interviews revealed 26 main phenomena observed by parents in the pre-diagnostic period. The questions were systematically phrased and selected resulting in a 36-item questionnaire. This was answered by 126 patients with or without PID to evaluate prediction. Item analysis revealed significant questions.
Discussion
Our approach proved suitable for recognizing patterns and thus differentiates between observations of PID patients and control groups. These findings provide the basis for developing a tool supporting physicians to consider a PID with a questionnaire. These data support the notion that patient’s experience is a cornerstone in the diagnostic process.
Transfusion-related acute lung injury (TRALI) is an adverse transfusion reaction and the major cause of transfusion-related mortality. The syndrome occurs within six hours after transfusion and is characterized by acute respiratory distress and the occurrence of a non-cardiogenic, bilateral lung edema. TRALI is almost entirely induced by leukocyte-reactive substances which are present in the blood product and get transferred to the recipient during transfusion. The majority of cases (~80%) is caused by leukocyte-reactive immunoglobulins and is accordingly classified as immune-mediated TRALI. The responsible antibodies are generated via alloimmunization and are directed against human leukocyte antigens of class I and II or human neutrophil alloantigens (HNA). Within the HNA class, HNA-3a antibodies have an exceptional clinical relevance as they are most frequently involved in severe and fatal TRALI cases. The high mortality was associated with their characteristic ability to induce a strong neutrophil aggregation response. The described clinical relevance of HNA-3a antibody-mediated TRALI motivates the screening for new strategies for preventive or acute pharmacologic intervention. Knowledge of the molecular pathomechanisms is a crucial prerequisite and thus, respective investigations are required. In order to achieve this goal, HNA-3a antibody-induced cytotoxicity and aggregation were assessed on the molecular level by usage of flow cytometry, the granulocyte agglutination test and by phosphoproteome analysis. The current study provides insight into molecular processes during HNA-3a antibody-induced neutrophil responses and is the first to assess neutrophils using global, gel-free phosphoproteome analyses. Accordingly, it is the first to provide neutrophil phosphoproteome data in the context of TRALI. Gel-free phosphoproteome analyses of primary neutrophils required the highly selective and sensitive phosphopeptide enrichment from stable and sufficiently large protein extracts. However, an appropriate workflow did not exist and was hence developed by sequential protocol optimization steps. The developed workflow was finally proven suitable for comparative gel-free phosphoproteomics when detecting the formyl-methionyl-leucyl-phenylalanine-induced activation of extracellular signal-regulated kinase 1/2 (ERK1/2) signaling in a proof-of-principle experiment. The following single parameter analyses were conducted to investigate neutrophils for their responses to HNA-3a antibodies in absence and presence of proinflammatory priming conditions. Results revealed that the direct stimulation of neutrophils with HNA-3a antibodies will likely not cause the induction of cytotoxic effector functions. In contrast, neutrophils react predominantly by aggregation, a process which is potentially mediated by integrins and causes a secondary, subthreshold activation of solely ERK2. Accordingly, only the neutrophil aggregation response could also be enhanced by an appropriate priming. Taken together, the single parameter analyses proved neutrophil aggregation as the main pathomechanism in HNA-3a antibody-mediated TRALI and thus, the underlying signaling pathways were investigated by global, gel-free phosphoproteomics. The following phosphoproteome analyses indicated the induction of a biphasic signaling during 30 minutes of HNA-3a antibody treatment and signaling pathways of Rho family GTPases could be associated with the first and the second phase. Additionally, the involvement of ERK signaling was indicated in the second phase and this result corroborated thus the data of the previous single parameter analyses. The comprehensive analysis of the identified signaling pathways revealed Rho, Rac and Cdc42 as central regulators and the specific inhibition of Rho in the following validating experiments led very intriguingly to a significant enhancement of HNA-3a antibody-mediated neutrophil aggregation. Hence, this result indicated a potential inhibitory effect of HNA-3a antibodies on Rho activity. Therefore, Rho inhibition was suggested to occur in parallel to an adhesion-inducing signaling pathway and might hence be involved in the stabilization of neutrophil aggregates in HNA-3a antibody-induced TRALI. The results from this doctoral thesis contributed to the generation of a new pathogenesis model for HNA-3a antibody-mediated TRALI. In this model, neutrophils respond to direct HNA-3a antibody exposure predominantly by homotypic aggregation. These potentially very stable and primed aggregates accumulate in the lung and are susceptible to parallel, proinflammatory stimulation. Subsequently, this cascade leads to full neutrophil activation and finally to TRALI induction.