Open Access

Background/Aim: Laparoscopic single-port surgery has emerged as a growing trend in minimally invasive surgery. Single-port access is preferred among women undergoing gynecologic surgery who have cosmetic concerns about scarring. Furthermore, this approach results in comparable clinical outcomes to standard laparoscopic surgery and perioperative morbidity rates have been reported to be low. The hypothesis is that a single-port technique might offer such advantages over the standard multi-port laparoscopy as less postoperative pain and better cosmetic results by decreasing abdominal wall tissue trauma. The potential disadvantages of single-port approaches are the larger umbilical incision and the technical difficulties. There are only a few randomized studies in the literature that investigate the value and safety of single-incision laparoscopic surgery in gynecological surgery. The aim of this study was to compare the safety and quality of life in patients who undergo single-incision laparoscopic assisted vaginal hysterectomy and those who undergo conventional laparoscopic assisted vaginal hysterectomy. Methods: In a prospective randomized trial, 64 patients from three different centers in Germany were randomized (1:1) to conventional laparoscopic assisted vaginal hysterectomy (n=32) or single-incision laparoscopic assisted vaginal hysterectomy (n=30). Data was collected on 60 patients who fulfilled the criteria. Results: The baseline characteristics of patients were similar in both groups. The mean operative time was comparable in both groups (68.2 vs 73.6 min., p = 0.409). Within the two groups, no differences were seen regarding estimated blood loss (p = 0.915), intra- and postoperative complications (p = 0.944), and wound infection rates (p = 0.944). Patients within the single-incision laparoscopic surgery group experienced significantly less pain in the first 24 hours postoperatively (p = 0.006), while pain scores at days 3, 5, 7 and 2 months postoperatively were comparable. Conclusion: This study demonstrates that single-incision laparoscopic assisted vaginal hysterectomy is a reliable and safe setup in gynecologic surgery. Compared to conventional laparoscopic assisted vaginal hysterectomy, Notably, patients undergoing single-incision laparoscopic assisted vaginal hysterectomy experienced less pain postoperatively.

White spruce (Picea glauca (Moench) Voss) is one of the most common conifers in Alaska and various treelines mark the species distribution range. Because treelines positions are driven by climate and because climate change is estimated to be strongest in northern latitudes, treeline shifts appear likely. However, species range shifts depend on various species parameters, probably most importantly on phenotypic plasticity, genetic adaptation and dispersal. Due to their long generation cycles and their immobility, trees evolved to endure a wide variety of climatic conditions. In most locations, interannual climate variability is larger than the expected climate change until 2100. Thus treeline position is typically thought of as the integrated effect of multiple years and to lag behind gradual climate change by several decades. Past dendrochronological studies revealed that growth of white spruce in Alaska can be limited by several climatic variables, in particular water stress and low temperatures. Depending on how the intensity of climate warming, this could result in a leading range edge at treelines limited by low temperatures and trailing treelines where soil moisture is or becomes most limiting. Climate-growth correlations are the dendrochronological version of reaction norms and describe the relationship between an environmental variable and traits like tree-ring parameters (e.g. ring width, wood density, wood anatomy). These correlations can be used to explore potential effects of climate change on a target species. However, it is known that individuals differ with respect to multiple variables like size, age, microsite conditions, competition status or their genome. Such individual differences could be important because they can modulate climate-growth relationships and consequently also range shifts and growth trends. Removing individual differences by averaging tree-ring parameters of many individuals into site chronologies could be an oversimplification that might bias estimates of future white spruce performance. Population dynamics that emerge from the interactions of individuals (e.g. competition) and the range of reactions to the same environmental drivers can only be studied via individual tree analyses. Consequently, this thesis focuses on factors that might alter individual white spruce’ climate sensitivity and methods to assess such effects. In particular, the research articles included explore three topics: 1. First, clones were identified via microsatellites and high-frequency climate signals of clones were compared to that of non-clonal individuals. Clonal and non-clonal individuals showed similar high-frequency climate signals which allows to use clonal and non-clonal individuals to construct mean site chronologies. However, clones were more frequently found under the harsher environmental conditions at the treelines which could be of interest for the species survival strategy at alpine treelines and is further explored in the associated RESPONSE project A5 by David Würth. 2. In the second article, methods for the exploration and visualization of individual-tree differences in climate sensitivity are described. These methods represent a toolbox to explore causes for the variety of different climate sensitivities found in individual trees at the same site. Though, overlaying gradients of multiple factors like temperature, tree density and/or tree height can make it difficult to attribute a single cause to the range of reaction norms (climate growth correlations). 3. Lastly, the third article attempts to disentangle the effect of age and size on climate-growth correlations. Multiple past studies found that trees of different Ages responded differently to climatic drivers. In contrast, other studies found that trees do not age like many other organisms. Age and size of a trees are roughly correlated, though there are large differences in the growth rate of trees, which can lead to smaller trees that are older than taller trees. Consequently, age is an imperfect Proxy for size and in contrast to age, size has been shown to affect wood anatomy and thus tree physiology. The article compares two tree-age methods and one tree-size method based on cumulative ring width. In line with previous research on aging and Wood anatomy, tree size appeared to be the best predictor to explain ontogenetic changes in white spruce’ climate sensitivity. In particular, tallest trees exhibited strongest correlations with water stress in previous year July. In conclusion, this thesis is about factors that can alter climate-growth relationships (reaction norms) of white spruce. The results emphasize that interactions between climate variables and other factors like tree size or competition status are important for estimates of future tree growth and potential treeline shifts. In line with previous studies on white spruce in Alaska, the results of this thesis underline the importance of water stress for white spruce. Individuals that are taller and that have more competitors for water appear to be most susceptible to the potentially drier future climate in Alaska. While tree ring based growth trends estimates of white spruce are difficult to derive due to multiple overlaying low frequency (>10 years) signals, all investigated treeline sites showed highest growth at the treeline edge. This could indicate expanding range edges. However, a potential bottleneck for treeline advances and retreats could be seedling establishment, which should be explored in more detail in the future.

Myxomycetes are protists belonging to the super-group Amoebozoa. The traditional taxonomic system, which is now largely outdated by molecular studies, recognizes five orders: Liceales, Trichiales, Physarales, Stemonitales and Echinosteliales. Molecular phylogenies revealed two basal clades: Physarales and Stemonitales (the so-called dark-spored myxomycetes) are the first; the other above-mentioned orders form the second (the bright-spored myxomycetes). However, except for Echinosteliales none of the traditional orders appears to be monophyletic in the traditionally used delimitation. The dark-spored myxomycetes encompass the majority of the described morphospecies. Due to the high genetic divergence in DNA sequences between the bright- and dark-spored myxomycetes, only the latter are considered in this dissertation. Historically myxomycetes have been described as fungi, due to their macroscopically visible fructifications which, though considerably smaller, resemble those of fungi. These fruit bodies provide enough morphological traits to support a morphological species concept with currently ca. 1000 species described. Therefore diversity studies of myxomycetes have been conducted for over 200 years and a substantial body of data on ecology and distribution of these fructifications exist. From these studies myxomycetes are known to form often distinct communities across terrestrial ecosystems with highly specific habitat requirements, such as snowbanks (nivicolous), herbivore dung (coprophilous) or decaying wood (xylophilous). However knowledge on the myxamoebae – the trophic life stage of the myxomycetes – is very scarce. Only recent advances in molecular techniques such as direct species identification based on DNA sequences from environmental samples (ePCR), have made studies of myxamoebae (and other microbes) possible. From these first molecular based studies myxomycetes are currently estimated to account for between 5 to almost 50% of all soil amoebae, and have been shown to be present in a wide variety of soils. To fully take advantage of these new methods, a molecular DNA marker needs to be established as well as a reference sequence database. The usability of a DNA marker gene depends on its ability to separate species by a distinction between intra- and interspecific divergence between sequences of the same and related species, the so-called ‘barcoding gap’. The first part of this thesis (article I and II) deals with the subject of establishing such a DNA marker and database, and in doing so touches upon the subject of ‘what is a myxomycetes species?’ A total of 1 200 specimens were compiled into a reference database (the largest database to date of dark-spored myxomycetes). The genetic distance from sequence-to-sequence was used to assess genetic clade structures within morphospecies and putative biospecies (sexually isolated linages) were identified. The result was an estimate of hidden diversity, exceeding that of described morphospecies by 99%. The optimum sequence similarity threshold for OTU-picking (genetic species differentiation, denoted Operational Taxonomic Unit) with the used SSU marker was identified as 99.1% similarity. The second part of this thesis (article III and IV) presents ecological studies conducted with NGS (ePCR) in which the established threshold and database are applied and are demonstrated to provide reliable and novel insights into the soil myxamoebae community. It is investigated whether the occurrence of fruit bodies reflects the distribution of soil myxamoebae, and the research questions ‘do myxomycetes show broader realized niches as soil amoebae than as fructifications?’ and ‘are myxamoebae distributions correlated to potential prey organisms (fungi and bacteria)?’ are investigated. In the ecological study presented in article III parallel metabarcoding of bacteria, fungi and dark-spored myxomycete was used for the first time in a joint approach to analyze the communities from an elevational transect in the northern limestone German Alps (48 soil samples). Illumina sequencing of the soil samples revealed 1.68 Mio sequences of a section of the rRNA gene, which were assigned to 578 operational taxonomic units (OTU) from myxomycetes. These show a high similarity (>98%) to 42 different morphospecies (the respective figures for bacteria and fungi were 2.16/5710/215 and 3.68/6133/260, respectively). Multivariate analyses were carried out to disentangle microbial interplay and to identify the main environmental parameters determining the distribution of myxamoebae and thus setting the boundaries for their ecological niches. Potential interactions between the three target organisms were analysed by integrating community composition and phylogenetic diversity with environmental parameters. We identified niche differentiation for all three communities (bacteria, fungi and myxamoebae) which was strongly driven by the vegetation. Bacteria and fungi displayed similar community responses, driven by symbiont species and plant substrate quality. Myxamoebae showed a more patchy distribution, though still clearly stratified among genera, which seemed to be a response to both structural properties of the habitat and specific bacterial taxa. In addition we find an altitudinal species turn-over for all three communities, most likely explained by adaptation to harsh environmental conditions. Finally a high number of myxomycetes OTUs (associated with the genus Lamproderma) not currently represented in our reference database were found, representing potentially novel species. This study is the first to report niche differentiation between the guild of nivicolous (“snowbank”) myxomycetes and thus fine-scale niche differentiation among a predatory soil protist; identifying both potential food preferences and antagonistic interactions with specific bacterial taxa. Finally, the second ecological study (article IV) focuses on comparing the distribution of myxamoebae revealed by ePCR of soil samples with fructifications collected from the same area (714 specimens determined to 30 morphospecies, which form 70 unique ribotypes that can be assigned to 45 ribotype clusters using a 99.1% similarity threshold). The study found a strong coherency between the two inventories, though with species specific relative differences in abundance, which can in part be attributed to the visibility of the fructifications. In addition, a year to year comparison of fructification records gives support to the hypothesis that the abundance of fructifications depends strongly on the onset of snowfall in the previous autumn and the soil temperature regime throughout the winter.

Because Moringa is rich in secondary metabolites and phenolics, we faced a challenge in extracting a pure DNA required for AFLP (the first proposed genotyping method). Later, different DNA isolation methods were tested to overcome the obstacles caused by phenolics and sugars, an AFLP protocol that worked well with the cultivated seedlings at the botanical garden in Greifswald. The markers for the Internal Transcribed Spacer (ITS) were as well tested that showed a monomorphic structure between all samples. Finally, SSR (microsatellite) markers were established. To optimize DNA extraction, the method of Doyle and Doyle was modified and optimized. This is an ideal method for obtaining a non-fragmented DNA that could be used for AFLP. In addition, two other DNA extraction methods; (KingFisher Flex robot using Omega M1130 extraction Kits, and spin columns and 96-plates using Stratec kits). Although we achieved similar results for both Robot kits (Omega) and Stratec kits, the amplification for most of the samples extracted with Robot did not work, therefore the Stratec kit was the method of choice as it has also a lower cost, combined with a high quality of DNA. For ITS, no polymorphism was found for 28 samples of M. peregrina from Sinai (sequences submitted to GenBank). However, since microsatellite markers of M. peregrina were not known, it was a challenge to try a cross amplification from other species with well-known microsatellite primers. Cross-amplification of 16 primers known from the related species M. oleifera was tested, and three multiplex PCR reactions were established after testing different annealing temperatures and different primers concentrations. This included 13 primers out of the 16 investigated markers which gave a reliable band. All methods used for genetic assessments for the different Moringa species are compiled in a comparative review to look for connections between the different Moringa species. For Moringaceae, M. oleifera and M. peregrina are closely related to each other. Both species have slender trunks, with thick, tough bark and tough roots and bilaterally symmetrical flowers with a short hypanthium. All but one SSR markers used in this study are highly informative However, the degree of polymorphy varied considerably within the 13 markers used. The Probability of Identity (PI) for all loci was 2.6 x 10-9 with high resolution. The percentage of polymorphic loci for all populations was 88.5±2.2; figures for single populations were 92.3%, 84.6%, 84.6%, and 92.3% for the wadis WM, WA, WF, and WZ, respectively. The genotype accumulation curve as well demonstrated that 7–8 markers were necessary to discriminate between 100% of the multilocus genotypes. Significant departures from HWE were detected for eight loci (P < 0.001), probably due a high degree of inbreeding within population. The observed (HO) and expected (HE) heterozygosities ranged from 0 to 0.86 and from 0 to 0.81, respectively. However, for the pooled population, excluding the monomorphic locus MO41, HO and HE ranged from 0.069 to 0.742 and from 0.126 to 0.73 with averages of 0.423 and 0.469, respectively. The mean of FST was 0.133, indicating that, due to the long generation time of M. peregrina, there is still relatively little differentiation between the four remaining populations. An analysis of molecular variance (AMOVA) revealed that the old populations of M. peregrina are still genetically diverse where 75% of variance was recorded within individuals and 83% within populations. An analysis with STRUCTURE, varying the parameter K between 1 and 7, revealed the most pronounced genetic structure for K=3, thus uniting the populations from two neighboured wadis (W. Agala and W. Feiran). The three groups seem to be now genetically isolated. (They may be remainders of a formerly contiguous population, especially when considering the change towards a drier climate in Northern Africa within the last 6000 years). Six clones of each two individuals collected from the same wadi were found, pointing to vegetative dispersal via broken twigs, which may have rooted after flash floods. It may be an alternative mode of reproduction under harsh conditions. Our data reveal a low gene flow between three of the four wadis, suggesting that the trees are relictual populations. In general, conservation of populations from the three genetically most diverse wadis and cross-breeding of trees within a reforestation program is recommended as an effective strategy to ensure the survival of M. peregrina at Sinai, Egypt.

In the current era of anthropogenic climate change is the long-term survival of all organisms dependent on their ability to respond to changing environmental conditions either by (1) phenotypic plasticity, which allows species to tolerate novel conditions, (2) genetic adaptation, or (3) dispersal to more suitable habitats. The third option, dispersal, allows individuals to escape unfavorable conditions, the colonization of new areas (resulting in range shifts), and affects patterns of local adaptation. It is a complex process serving different functions and involving a variety of underlying mechanisms, but its multi-causality though has been fully appreciated in recent years only. Thus, the aim of this doctoral thesis was to disentangle the relative importance of the multiple factors relevant to dispersal in the copper butterfly Lycaena tityrus, including the individual condition (e.g. morphology, physiology, behavior) and the environmental context (e.g. habitat quality, weather). L. tityrus is a currently northward expanding species, which makes it particularly interesting to investigate traits underlying dispersal. In the first experiment, the influence of weather and sex on movement patterns under natural conditions was investigated. Using the Metatron, a unique experimental platform consisting of interconnected habitat patches, the second experiment aimed to examine the influence of environmental factors (resources, sun) on emigration propensity in experimental metapopulations. Human-induced global change (e.g. climate change, agricultural intensification) poses a substantial challenge to many herbivores due to a reduced availability or quality of feeding resources. Therefore, in the third experiment, the impact of larval and adult food stress on traits related to dispersal ability was investigated. Additionally, the effect of different ambient temperatures was tested. In the fourth experiment, core (Germany) and recently established edge (Estonia) populations were compared in order to explore variation in dispersal ability and life history traits indicative of local adaptation. Dispersal is often related to flight performance, and morphological and physiological traits, which was investigated in experiments 2-4. Butterflies were additionally subjected to behavioral experiments testing for the individual’s exploratory behavior (experiments 3 and 4). Males and females differed substantially in morphology, with males showing traits typically associated with a better flight performance, which most likely result from selection on males for an increased flight ability to succeed in aerial combats with rivalling males and competition for females. This pattern could be verified by mobility measures under natural conditions and flight performance tests. Interestingly, although females showed traits associated with diminished flight performance, they had a higher emigration propensity than males (though in a context dependent manner). Reasons might be the capability of single mated females to found new populations, to spread their eggs over a wide range or to escape male harassment. Conditions indicative of poor habitat quality such as shade and a lack of resources promoted emigration propensity. The environmental context also affected condition and flight performance. The presence of resources increased the butterflies’ condition and flight performance. Larval and adult food stress in turn diminished flight performance, despite some reallocation of somatic resources in favor of dispersal-related traits. These detrimental effects seem to be mainly caused by reductions in body mass and storage reserves. A similar pattern was found for exploratory behavior. Furthermore, higher temperatures increased flight performance and mobility in the field, demonstrating the strong dependence of flight, and thus likely dispersal, on environmental conditions. Flight performance and exploratory behavior were positively correlated, probably indicating the existence of a dispersal syndrome. The population comparison revealed several differences between edge and core populations indicative of local adaptation and an enhanced dispersal ability in edge populations. For instance, edge populations were characterized by shorter development times, smaller size, and a higher sensitivity to high temperatures, which seem to reflect adaptations to the cooler Estonian climate and a shorter vegetation period. Moreover, Estonian individuals had an enhanced exploratory behavior, which can be advantageous in all steps of the dispersal process and may have facilitated the current range expansion. In summary, these findings may have important implications for dispersal in natural environments, which should be considered when trying to forecast future species distributions. First, dispersal in this butterfly seems to be a highly plastic, context-dependent trait triggered largely by habitat quality rather than by individual condition. This suggests that dispersal in L. tityrus is not random, but an active process. Second, fast development and an enhanced exploratory behavior seem to facilitate the current range expansion. But third, while deteriorating habitat conditions are expected to promote dispersal, they may at the same time impair flight ability (as well as exploratory behavior) and thereby likely dispersal rates. For a complete understanding of a complex process such as dispersal, further research is required.

Manipulating and utilizing plasmas becomes a more and more important task in various research fields of physics and in industrial developments. Especially in nowadays spacerelevant applications there are different ideas to modify plasmas concerning particular tasks. One major point of interest is the ability to influence plasmas using magnetic fields. To study the underlying physical effects that were achieved by these magnetic fields for both scenarios Particle-in-Cell simulations were done. Two examples are discussed in this thesis. The first example originates from an experiment performed by the European Space Agency ESA in collaboration with the German Space Agency DLR. To verify the possibility of heat-flux reduction by magnetic fields onto the thermal protection system of a space vehicle a simplified experiment on earth was developed. Most of the heat that is created during re-entry comes from compression of the air ahead of the hypersonic vehicle, as a result of the basic thermodynamic relation between temperature and pressure. The shock front, which builds up in front of the vehicle deflects most of the heat and prohibits the surface of the space vehicle from direct contact with the maximum flux. State of the art spacecrafts use highly developed materials like ceramics to handle the enormous heat. An attractive approach to reduce costs is to use magnetic fields for heat-flux reduction. This would allow the use of cheaper materials and thus reduce costs for the whole space mission. A partially-ionized Argon beam was used to create a certain heat-flux onto a target. The main finding of the experimental campaign was a large mitigation of heat-flux by applying a dipole-like magnetic field. The Particle-in-Cell method was able to reproduce experimental observations like the heat-flux reduction. An additionally implemented optical diagnostics module allowed to confirm the results of the spectroscopy done during the experiment. The underlying effect that is responsible for the heat-flux reduction was identified as a coupling between the modified plasma and the dominating neutral flux component. The plasma, that is guided towards the target, act as a shield in front of the target surface for arriving neutrals. These neutrals are slowed down by charge-exchange collisions. Furthermore the magnetic field induces an increased turbulent transport that is also needed to reach a reduction in heat-ux. The turbulent transport was also obtained by three-dimensional Direct Simulation Monte Carlo simulations. Unfortunately, such source driven turbulence can not be expected in space, so that a heat flux reduction in real space applications is questionable. Nevertheless, other effects like the induced turbulence by the rotating vehicle can compensate the missing source driven effect. The second scenario in which a magnetic field is used to modify the heat flux of a plasma is the operation of the pulsed cathodic arc thruster. The same Particle-in-Cell code was used to simulate a typical pulse of this newly developed thruster of Neumann Space Pty Ltd. The typical behavior of the thruster could be reproduced numerically. The thrust is mainly produced by fast electrons. These electrons are accelerated by electric fields as a result of a plasma-beam instability. This plasma-beam instability was verified by a phase space diagnostics for the electrons. To demonstrate the influence of the magnetic field a simulation of the cathodic arc thruster without magnetic field and one with magnetic field were compared. It was shown that the use of a magnetic field leads to a ten times larger thrust by directing the heat ux. The resulting narrow plume is an additional Advantage of the particle guiding magnetic field. This narrowness of the plume reduces the danger of interaction with other components of the space vehicle. Both scenarios demonstrate the different capabilities for electromagnetic fields to manipulate plasmas and especially the corresponding heat-flux with respect to certain tasks. The possibilities range from reducing the heat-flux onto a target to maximizing the thrust by directing the heat-ux. This thesis demonstrates that simulations are a great tool to support experiments and to deliver an improved physics understanding. They help to identify the basic physics principles in the different systems, because they can deliver information not accessible to experiments. In particular, a better understanding of the influence of electromagnetic fields on the heat-flux distribution in space-relevant applications was obtained. This can be the basis for further simulation-guided optimization, e.g. for the design of more effective cathodic arc thrusters. Here, the goal is to minimize costs for prototypes by replacing the hardware by virtual prototypes in the simulations. This allows to test basic design ideas in advance and get more highly-optimized designs at a fraction of time and costs.

The highly oncogenic alphaherpesvirus Marek’s disease virus (MDV) causes immense economic losses in the poultry industry. The main targets of in vivo MDV infection are primary B and T lymphocytes. The cytolytic infection of B cells leads to depletion of lymphoid cells results in severe immunosuppression. Infected B cells recruit and activate T cells. The close interaction between B cells and T cells enables efficient intercellular transfer of MDV. During infection of T cells, the virus enters a latent state. Infection of T cells can lead to transformation of these cells and formation of lymphoma, which manifest in various visceral organs. This study aimed at the characterization of the proteomes of MDV-infected lymphocytes during the lytic and latent phases of infection. Previous in vitro studies concerning the MDV pathogenesis and host-virus interactions have been mainly conducted with primary fibroblasts or kidney cells, due to the short lifespan of primary lymphocytes in cell culture. Recently, a cultivation system has been established that extents the lifespan of primary lymphocytes through the addition of cytokines to the growth medium. This allowed the infection of B cells in vitro and to conduct quantitative proteomic analysis of primary lymphocytes. Infection with GFP labelled virus recombinants allowed the isolation of infected cells by FACS for the proteome analysis of MDV infected B lymphocytes. An efficient quantitative proteomic workflow was developed, which consisted of a filter-aided (FASP) digest of the extracted proteins, followed by differential dimethyl chemical labeling of the peptides for quantitative evaluation prior to LC-MALDI TOF/TOF mass spectrometry. Only few alterations of the protein and transcript expression profiles were observed after infection of primary B cells with the very virulent RB-1B and the live-attenuated vaccine strain CVI988/Rispens. Relevant changes in relative protein levels were found for only twelve and six interesting host proteins after RB1B and CVI988 infection, respectively. However, the regulations were confirmed by inspection of the spectra from all experiments. The identified candidates play a role in immune response, translation and inflammatory response. To confirm the potential infection markers, RNA-seq analysis of three biological replicates of each RB-1B -, CVI988- and mock-infected B cells was performed. Eighty expressed MDV transcripts could be identified, which were associated with lytic infection. The same MDV proteins were identified after infection with RB-1B or CVI988. However, transcriptome and proteome analysis of MDV-infected primary B cells showed only poor correlation. This indicates that the changes in protein expression profiles are mostly due to posttranscriptional events. Infection marker candidates were identified by the RNA-seq analysis, for which the gene expression was altered by MDV infection. Although almost 12,000 transcripts were identified, only few transcript levels changed markedly after MDV infection. The biological processes immune response, apoptotic process, signal transduction, cell migration and response to virus were enriched after MDV infection. The RNA-seq results confirm the observation that alterations of protein levels early after MDV infection are rare. Most notably, MDV induces transformation of lymphocytes leading to malignant T-cell lymphomas in visceral organs with mortalities of up to 100 %. While several factors involved in MDV tumorigenesis have been identified, the transformation process is not fully understood. Therefore, we set out to fill this knowledge gap using proteome analysis of transformed T-cells ex vivo. In addition, the role of the viral telomerase RNA during transformation was assessed by comparison of tumors that had formed after infection with WT-virus or a telomerase RNA negative mutant. A major obstacle for tumor proteome analyses is the preparation of sufficient amounts of homogenous tumor tissue, as tumors appear with a dispersed morphology in the affected organs. The quantitation of cell types within the tumors indicated varying portions of hepatocytes, connective tissue, and CD3+ lymphocytes even with the same virus strain in different animals. However, the ∆vTR-induced tumors contained lower levels of hepatocytes and higher levels of CD3+ lymphocytes compared to WT tumors in all tested tumor samples. Thus, ∆vTR tumors were chosen for determination of differences in protein expression profiles of tumors and naïve T cells for their lower content of liver cells. We developed a workflow for the proteome analysis of T cell tumors from livers of MDV-infected chickens. Samples included laser capture micro-dissected tissue cuts from tumors and surrounding healthy liver tissue as well as naïve T-cells prepared from thymus. To enable quantitative proteome analysis, samples were digested using the FASP protocol and peptides were isotope-coded by differential dimethyl labeling. To improve proteome analysis peptides were fractionated by preparative isoelectric focusing prior to nano-HPLC MALDI/TOF-TOF mass- spectrometric analysis. Proteomic analyses of LCM dissected ΔvTR tumor compared to naïve T cells, the main targets of transformation, identified nineteen potential transformation markers but again only minor changes in relative levels were observed. Several of the identified markers could also be verified by RT-qPCR on transcript level. The identified transformation candidates were associated with nucleosome assembly, regulation of transcription, inflammatory response, immune response and oxidation-reduction process. However, further functional analyses are necessary to fully elucidate the role of the identified markers during MDV infection and transformation.

Unstable environments and habitats changing due to climate change force individuals to either respond by genetic adaptation, phenotypic plasticity or by dispersal to suitable environments. Theodoxus fluviatilis (Linneaus, 1758) is a good study organisms when researching phenotypic plasticity and genetic adaptation as it naturally appears in freshwater (FW) as well as brackish water (BW) and thus inhabits a wide range of environmental salinities (0-18‰). It is a euryhaline snail that can be found in shallow waters with stony ground or on Fucus spp. and has formed regional subgroups. The brackish water and the freshwater subgroups are spatially separated and the species cannot be found in areas inbetween, e.g. estuaries. The species shows great variability in shell patterning and shell size and there is still debate whether the subgroups are distinguishable by these traits or not. The mitochdrial RNA marker cytochrome c subunit I did not show differences between the subgroups indicating that they must be closely related, but salinity tolerance has been observed to be higher in BW snails. This might be caused by the different protein expression patterns and osmolyte accumulation (measured as ninhydrin-positive substances) observed in this species in previous studies. The exact mechanisms regulating protein expression and osmolyte accumulation, however, are not fully understood yet. Data collected for this thesis shows differences in shell size and suggests a less strict grouping of FW and BW individuals as shell sizes of one FW site are more similar to BW individuals than the other FW ones. A better salinity tolerance towards high salinities and a higher physiological salinity limit of BW snails was confirmed and extended by demonstrating an expanded tolerance range through slow acclimation to challenging salinities in snails from both subgroups. This was achieved by a shift in the slope of their reaction norms that was much more pronounced in BW snails than FW ones. S3 individuals showed a shift similar to that of BW individuals. The data for the salinity tolerance indicates that the underlying mechanism for these tolerances are a combination of phenotypic plasticity and genetic adaptation. Despite an acclimation and shift in the slope of the reaction norms and therefore an increased tolerance towards high salinities (plasticity) FW individuals from two collection sites were not able to cope with salinities as high as BW individuals (local adaptation). The general ability to mobilise free amino acids (FAA) as organic osmolytes was not the reason for this tolerance difference. Individuals from BW and FW sites were capable of accumulating quantities of FAAs equally well. Proline, alanine and urea were the most important components of the accumulated cocktail of organic osmolytes. Even though the total amount of FAAs accumulated under hyperosmotic conditions was the same in both subgroups, there were differences in the metabolic pathways involved in osmolyte accumulation in the foot muscle. The data indicates that the hydrolysis of storage proteins and the synthesis of proline and alanine are the main processes to avoid detrimental body volume shrinkage in T. fluviatilis. While FW individuals seemed to rely on the degradation of proteins and synthesis of alanine, BW individuals depended on newly synthesising proline and alanine and accumulating urea as a side product of transamination. The accumulation of urea is a new finding in aquatic living snails and has not been reported as a mechanism to avoid cell volume shrinkage in these animals. Differing protein expression patterns were observed under control conditions across all collection sites. 9 spots showed volume changes in BW snails opposite to those of FW snails from collection sites S1 and S2. For 6 of those spots, S3 individuals showed patterns similar to those of BW individuals and for the remaining 3 they showed patterns similar to those of FW animals. The patterns observed when exposing snails to hypo- or hyperosmotic stress were not conclusive in relation to pinpointing individual spots that show the same pattern in all collection sites, but revealed the heterogeneity of protein expression in snails from the different collection sites and in the process of osmoregulation. It also showed the general tendency of protein reduction when snails where under osmotic stress of either kind (hypo- or hyperosmotic), which supports the hypothesis of storage protein degradation. The investigation of an ANP-receptor showed two variations of the encoding sequence expressed in T. fluviatilis. S3 individuals as well as BW individuals were found to express one type, while FW individuals, with the exception of one sample expressed the other type. This showed that the FW subgroup of T. fluviatilis seems to be more heterogeneous than the BW subgroup, but also raises the question of the dispersal history of this species. The collected data indicates that T. fluviatilis individuals are firstly capable of surviving the acidity of a duck's gizzard and secondly can tolerate acute salinity changes to 16‰ when introduced into a new environment. Hence, if snails from the FW were to be transported to waters with a salinity of up to 16‰ by man, bird, drifting plants or some other means of transport, they would most likely survive and possibly be able to thrive and spread.

Cerebral palsy (CP) remains one of the most common debilitating diseases in the world. Factors such as neuromuscular incoordination, use of soft diet and delayed oral clearance of food make maintenance of optimum oral hygiene a challenging task in these children. The compromised oral hygiene in turn make these children highly vulnerable to dental disease. Maintaining optimal oral/dental health in CP children is of utmost importance as these children usually suffer from several associated general health problems in addition to their primary condition. Poor dental health further compromises their general health. Nevertheless, CP children often suffer from dental diseases including dental caries more than healthy children. This underscores the need for improvement in oral health of the CP children. The CP children are dependent on those around them for their oral hygiene maintenance and dietary intake. CP children spend most of their time with health care workers in special centers for them or with their parents/care takers at home. Therefore, the attitude of special health care workers and parents towards their dental health is of prime importance. The purpose of this project included to determine the attitude of special health care workers towards their dental health and oral health comprehension by parents of CP children. In addition, a study on caries experience of CP children and associated risk factors was also completed. The final objective was to identify various potential areas of improvement with ultimate goal of improving dental health of the CP children. The study involving special health care workers in a Disabled Children’s Center revealed that oral health knowledge and practices among the workers could generally be labeled as satisfactory, however some weak areas (such as trend towards symptom-oriented utilization of oral health care and lack of knowledge about fluoridated water) were identified. There is a need to enhance the workers’ knowledge in these areas. The study involving parents of the CP children showed mixed results. Some areas of strong oral health comprehension (such as importance of good dental health, harmful effects of sweetened foods), others satisfactory (such as need for routine dental visits, use of fluoride) and some weak areas (use of flavored fizzy drinks, bottled/canned juices and sweetened/flavored milks, seeking early treatment) were identified among parents of CP children. The results strongly indicated a need for enhanced efforts towards improvement of oral health comprehension in the parents of the CP children. The study about caries experience and risk factors in CP children has provided useful information in an area where literature has been scarce. Almost all the studied children had clinical dental caries, and most of the caries were untreated. Very few children in the present study had optimal oral hygiene. This study confirmed the strong correlation between high dental caries experience and poor oral hygiene. Routine dental check-up visits and topical fluoride application clearly resulted in lower caries experience. Bottled juices and crispy potato chips were the two predictors for high caries experience. As stated before, the goal of the project was to identify various potential areas of improvement in oral health attitude of special health care workers, oral health comprehension of the parents of CP children and risk factors for dental caries in CP children. It is contemplated that by addressing the identified weak areas, an improvement in dental health and care of the CP children is expected. It is also expected that the collected information will help in improvement of clinical preventive as well as restorative services for the CP children. CP children and their parents lead a challenging life. This project was an effort to assist these children and their parents/care takers with ultimate goal of improving their oral health and in turn their overall quality of life.

Iodine deficiency disorders (IDD) result from insufficient iodine intake, and may lead to many adverse effects on growth, development and thyroid diseases in humans. Pakistan is a country with history of iodine deficiency. Before reunification both parts of Germany were iodine deficient. In the Eastern part, however, due to mandatory iodine prophylaxis adaptation in 1983, the iodine status of the population improved from moderate to mild iodine deficiency. After the reunification of Germany in 1989 “voluntary principle” was adopted leading again to a decrease in iodine intake. Germany and Pakistan present different socioeconomics, cultural values and adaptations to the IDD eradication but have resemblance in history of iodine deficiency. In the recent years Germany has improved in IDD eradication more than Pakistan. The purpose of this research was to study the regional influence on iodine nutritional status of pregnant women in Pakistan and to monitor the effectiveness of the iodine fortification programme in the North-East German population. Pregnant women data was obtained from randomly selected (public and private) prenatal clinics in five districts of the KPK province of Pakistan. Women visited there for their routine checkup between March and September 2012. Data were obtained from almost 250 pregnant women from each district reaching to a total of 1260 in all five districts. The SHIP project consists of two population-based cohorts, for which only individuals with German citizenship and main residency in the study area were recruited. In the first SHIP cohort; SHIP-0, individuals aged 20-79 years were selected from population registries by a two-stage cluster sampling method. The net sample (without migrated or deceased persons) comprised 6265 eligible subjects, of which 4308 (response 68.8%) participated between 1997 and 2001. A separate stratified random sample of 8826 adults aged 20-79 years was drawn for SHIP-Trend, of which 4420 subjects participated between 2008 and 2012 (response 50.1%) in SHIP-Trend-0. All the pregnant women were asked to complete a short interview questionnaire containing the information related to sources and reasons for intake and non-intake of iodized salt. The questionnaire also comprised questions related to knowledge of iodized salt nutrition. Information on the number of previous pregnancies and/or abortions (fetal loss due to various reasons, not including voluntary termination of pregnancy) was also obtained. The gestational age of the pregnant women was determined from the first day of the last regular menstrual period with gestational ages of ≤14.9, 28.9, and ≥29 weeks comprising the first, second, and third trimesters of pregnancy, respectively. For goiter assessment in pregnant women the WHO/UNICEF/IGN recommended palpation method was used. UIC was measured using a modification of the Sandell-Kolthoff reaction with spectrophotometric detection. Evaluation of group iodine status was based on median UIC categories defined by the WHO/IGN. These are: recommended – median 150-249 μg/L; mild iodine deficiency – median <150 μg/L. For the analysis of monitoring trends of thyroid diseases in SHIP, diagnosed thyroid disorders were assessed by computer-assisted personal interviews. Medication data were obtained online using the IDOM program (online drug-database leaded medication assessment) and classified according to the Anatomical-Therapeutic-Chemical (ATC) classification system.In SHIP population goiter assessment was based on thyroid volume determined with ultrasonography. Goiter was defined as a thyroid volume exceeding 18 mL in women and 25 mL in men. Urinary iodine concentrations were measured from spot urine samples by a photometric procedure. Urinary creatinine concentrations were determined with the Jaffé method. Evaluation of group iodine status was based on median UIC categories defined by the WHO/IGN. The iodine/creatinine ratio was calculated by dividing urinary iodine by urinary creatinine concentrations. Serum TSH, fT3, fT4 levels in SHIP study were measured by an immunochemiluminescent procedure. A method comparison between the two TSH laboratory methods showed only negligible differences. High and low serum TSH levels were based on the reference range established from data for SHIP-0 (0.25 mIU/L - 2.12 mIU/L) and SHIP-TREND-0 (0.49 mIU/L - 3.29 mIU/L) respectively (21,22). Anti-TPO Abs were measured by an enzyme immunoassay in the whole SHIP study. The anti-TPO Abs status was defined as follows: normal < 60 IU/ml in men and < 100 IU/ml in women; increased > 60 IU/ml in men and > 100 IU/ml in women; positive: > 200 IU/ml in both sexes. Thyroid ultrasonography was performed in SHIP-0 using an ultrasound VST-Gateway with a 5 MHz linear array transducer. In SHIP-Trend-0 ultrasonography was performed with a portable device using a 13-MHz linear array transducer. In both studies intra- and inter-observer reliabilities were assessed before the start of the study and semi-annually during the study. For thyroid volume all inter-observer and inter-device variabilities showed mean differences (±2 SD)of < 5% (<25%). Thyroid volume was calculated as length x width x depth x 0.479 (ml) for each lobe (26). The normal thyroid echo pattern was classified as homogeneous. A homogeneous echo pattern with reduced echogenicity was defined as hypoechogenic. Nodular changes exceeding 10 mm in diameter were defined as thyroid nodules. Multivariable logistic regression analysis adjusting for age was used to regress the outcome measures (knowledge about IDD, iodized salt intake, UIC <150mIU/L and goiter prevalence) on regional influences (as exposure) in each specific district. These results are presented as odd ratios and their 95% confidence interval. For the analysis in SHIP, all analyses were standardized by base-weights to account for different sampling probabilities. In SHIP-Trend-0, additionally, inverse probability weights for study participation were calculated, which were multiplied with the base-weights. Differences in median levels between SHIP-0 and SHIP-Trend-0 were tested by median regression models; prevalence differences between SHIP-0 and SHIP-Trend-0 were tested by Poisson regression models. The majority of pregnant women (88.0%) had no knowledge about IDD. A very high (79%) percentage of pregnant women were not taking iodized salt, out of which 36.6% reported that iodized salt would negatively affect reproduction and for 17.0%, it was too expensive. Iodized salt intake in pregnant women was high in the big cities (Peshawar, Nowshehra) and in the urban areas (27.0%) In 41.3% of the pregnant women, we observed a UIC of >150mIU/L. The median UIC level for the pregnant women was 131µg/L. The total goiter prevalence in pregnant women was 25.5%. The prevalence of UIC <150mIU/L in pregnant women did not differ between rural and urban areas. The results based on logistic regression analysis shows that the prevalence on knowledge about IDD, iodized salt intake, UIC <150mIU/L, and goiter did not differ in pregnant women between urban and rural areas. In district Lakki Marwat except, the pregnant women from urban residence had higher odds of having knowledge on IDD and iodized salt intake than their rural counterparts. The prevalence of diagnosed thyroid disorders increased from 7.6% [CI 6.9-8.5] in SHIP-0 to 18.9% [CI 17.6-20.1] in SHIP-Trend-0. Likewise, the prevalence of thyroid medication intake increased from 6.2% [CI 5.5-7.0] to 11.1% [CI 10.1-12.2]. The median urinary iodine excretion levels decreased significantly, which was more pronounced in females than in males. The median iodine-to-creatinine ratio declined in all sex- and age-groups with stronger decrease in females than in males. The prevalence of median urinary iodine excretion levels <100µg/L increased between SHIP-0 and SHIP-Trend-0. Median serum TSH levels increased significantly between SHIP-0 and SHIP-Trend-0, resulting in a right shift of the serum TSH level distribution. The prevalence of high serum TSH levels remained almost stable between SHIP-0 and SHIP-Trend-0. Likewise, the prevalence of low TSH remained almost stable between SHIP-0 and SHIP-Trend-0. The prevalence of increased anti-TPO Abs and positive anti-TPO Abs decreased from SHIP-0 to SHIP-Trend-0 in the whole study population. The prevalence of hypoechogenic thyroid pattern decreased from SHIP-0 to SHIP-Trend-0. The median thyroid volume remained similar between SHIP-0 and SHIP-Trend-0 in the whole study population. Goiter prevalence decreased significantly; more pronounced in males than in females, while the prevalence of thyroid nodules increased between SHIP-0 and SHIP-Trend-0. In pregnant women in Pakistan due to insufficient awareness campaigns and low literacy ratio in rural areas urinary iodine excretion levels indicate a stable iodine supply, which is still not sufficient. Our results show that rural/urban disparity is affecting the IDD prevention program in rural districts, but not in general. The SHIP data indicate that the improved iodine supply over the past two decades in Germany is paralleled by a reduction in prevalence of IDDs, while no increase was observed in markers of autoimmune thyroid disorders arguing for an optimal iodine supply of the general adult population in Northeast Germany. The increase in prevalence of diagnosed thyroid disorders and the intake of thyroid medication might be because of inappropriate therapeutical decisions which should be made with caution, based on regional TSH reference ranges, its prognostic value, and compliance with treatment.