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Boeselt T, Terhorst P, Kroenig J, Nell C, Spielmanns M, Boas U, Veith M, Vogelmeier C, Greulich T, Koczulla AR, Beutel B, Huber J, Heers H. Specific molecular peak analysis by ion mobility spectrometry of volatile organic compounds in urine of COVID-19 patients: A novel diagnostic approach. J Virol Methods 2024; 326:114910. [PMID: 38452823 DOI: 10.1016/j.jviromet.2024.114910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 01/08/2024] [Accepted: 03/02/2024] [Indexed: 03/09/2024]
Abstract
INTRODUCTION SARS-CoV-2 is usually diagnosed from naso-/oropharyngeal swabs which are uncomfortable and prone to false results. This study investigated a novel diagnostic approach to Covid-19 measuring volatile organic compounds (VOC) from patients' urine. METHODS Between June 2020 and February 2021, 84 patients with positive RT-PCR for SARS-CoV-2 were recruited as well as 54 symptomatic individuals with negative RT-PCR. Midstream urine samples were obtained for VOC analysis using ion mobility spectrometry (IMS) which detects individual molecular components of a gas sample based on their size, configuration, and charge after ionization. RESULTS Peak analysis of the 84 Covid and 54 control samples showed good group separation. In total, 37 individual specific peaks were identified, 5 of which (P134, 198, 135, 75, 136) accounted for significant differences between groups, resulting in sensitivities of 89-94% and specificities of 82-94%. A decision tree was generated from the relevant peaks, leading to a combined sensitivity and specificity of 98% each. DISCUSSION VOC-based diagnosis can establish a reliable separation between urine samples of Covid-19 patients and negative controls. Molecular peaks which apparently are disease-specific were identified. IMS is an additional non-invasive and cheap device for the diagnosis of this ongoing endemic infection. Further studies are needed to validate sensitivity and specificity.
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Affiliation(s)
- T Boeselt
- Department of Medicine, Pulmonary and Critical Care Medicine, University Medical Center Giessen and Marburg, Philipps-University Marburg, German Center for Lung Research (DZL), Germany
| | - P Terhorst
- Department of Medicine, Pulmonary and Critical Care Medicine, University Medical Center Giessen and Marburg, Philipps-University Marburg, German Center for Lung Research (DZL), Germany
| | - J Kroenig
- Department of Medicine, Pulmonary and Critical Care Medicine, University Medical Center Giessen and Marburg, Philipps-University Marburg, German Center for Lung Research (DZL), Germany
| | - C Nell
- Department of Medicine, Pulmonary and Critical Care Medicine, University Medical Center Giessen and Marburg, Philipps-University Marburg, German Center for Lung Research (DZL), Germany
| | - M Spielmanns
- Pulmonary Rehabilitation, Zuercher Reha Zentren Klinik Wald, Switzerland; Faculty of Health, Department of Pneumology, University of Witten, Herdecke, Germany
| | - U Boas
- Department of Medicine, Pulmonary and Critical Care Medicine, University Medical Center Giessen and Marburg, Philipps-University Marburg, German Center for Lung Research (DZL), Germany
| | - M Veith
- Department of Medicine, Pulmonary and Critical Care Medicine, University Medical Center Giessen and Marburg, Philipps-University Marburg, German Center for Lung Research (DZL), Germany
| | - C Vogelmeier
- Department of Medicine, Pulmonary and Critical Care Medicine, University Medical Center Giessen and Marburg, Philipps-University Marburg, German Center for Lung Research (DZL), Germany
| | - T Greulich
- Department of Medicine, Pulmonary and Critical Care Medicine, University Medical Center Giessen and Marburg, Philipps-University Marburg, German Center for Lung Research (DZL), Germany
| | - A R Koczulla
- Department of Medicine, Pulmonary and Critical Care Medicine, University Medical Center Giessen and Marburg, Philipps-University Marburg, German Center for Lung Research (DZL), Germany; Department of Pulmonology, Schoen-Kliniken Berchtesgaden, Philipps-University Marburg, Germany
| | - B Beutel
- Department of Medicine, Pulmonary and Critical Care Medicine, University Medical Center Giessen and Marburg, Philipps-University Marburg, German Center for Lung Research (DZL), Germany
| | - J Huber
- Department of Urology, University Medical Center Giessen and Marburg, Philipps-University Marburg, Germany
| | - H Heers
- Department of Urology, University Medical Center Giessen and Marburg, Philipps-University Marburg, Germany.
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Spielmanns M, Müller K, Schott N, Winkler A, Polanski H, Nell C, Boeselt T, Koczulla AR, Storre JH, Windisch W, Magnet FS, Baum K. [Impact of a Senso-Motoric Intervention in COPD-Patients Participating in an Outpatient Pulmonary Rehabilitation Program: A Randomized Controlled Trial]. REHABILITATION 2017; 56:159-166. [PMID: 28231596 DOI: 10.1055/s-0042-119248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Objective Exercise training provides a cornerstone of pulmonary rehabilitation (PR) in COPD-patients. However, the components of the training are not yet fully investigated. We conducted a randomized controlled trial to investigate the effectiveness of a sensory-motoric training (SMT) in comparison to a conventional strength training (KT) according to the physical performance. Patients and Methods: 43 COPD patients were randomized and participated either in the intervention group (SMT = 30 minutes SMT per day) or in the control group (KT = 30 minutes KT per day). The SMT was performed as circuit training with five stations. The primary endpoint was the difference between T1 (start of the PR) and T2 (end of the PR) in 5-Times Sit-to-stand test (5-STST) in the intergroup comparison. Secondary endpoints were the intra- and intergroup comparisons of T1 and T2 in the 6-Minute Walk Test (6-MWT), COPD Assessment Test (CAT), St. George Respiratory Questionnaire (SGRQ), Hospital Anxiety- and Depression Scale (HADS) and in lung function. Results No significant differences were seen in the results of the 5-STST between the groups. Likewise, in the 6-MWT, SGRQ, CAT, HADS and lung function. The intragroup comparison between T1 and T2 showed significant differences in 5-STST, 6-MWT, SGRQ, CAT and HADS in both groups. The differences in lung function were not significantly, neither in the inter- nor in the intragroup comparison. Conclusion Similarly to a conventional strength training improvements in exercise capacity could be achieved with a SMT during PR in COPD patients. Further studies are necessary to define the role of the SMT in regards to postural control.
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Affiliation(s)
- M Spielmanns
- Medizinischen Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), Remigius-Krankenhaus, Leverkusen-Opladen.,Lehrstuhl Pneumologie, Universität Witten/Herdecke
| | - K Müller
- Medizinischen Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), Remigius-Krankenhaus, Leverkusen-Opladen
| | - N Schott
- Lehrstuhl Sport- und Gesundheitswissenschaften II, Universität Stuttgart
| | - A Winkler
- Medizinischen Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), Remigius-Krankenhaus, Leverkusen-Opladen
| | - H Polanski
- Medizinischen Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), Remigius-Krankenhaus, Leverkusen-Opladen
| | - C Nell
- Klinik für Innere Medizin, Schwerpunkt Pneumologie und Intensivmedizin, Philipps-Universität Marburg
| | - T Boeselt
- Klinik für Innere Medizin, Schwerpunkt Pneumologie und Intensivmedizin, Philipps-Universität Marburg
| | - A R Koczulla
- Klinik für Innere Medizin, Schwerpunkt Pneumologie und Intensivmedizin, Philipps-Universität Marburg
| | - J H Storre
- Universitätsklinikum Freiburg.,Abt. Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH
| | - W Windisch
- Lehrstuhl Pneumologie, Universität Witten/Herdecke.,Abt. Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH
| | - F S Magnet
- Lehrstuhl Pneumologie, Universität Witten/Herdecke.,Abt. Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH
| | - K Baum
- Abt. Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH
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Spielmanns M, Müller K, Schott N, Winkler A, Polanski H, Nell C, Böselt T, Koczulla AR, Storre JH, Windisch W, Magnet F, Baum K. Effektivität eines senso-motorischen Krafttrainings im Rahmen einer ambulanten pneumologischen Rehabilitation bei COPD-Patienten: eine randomisierte, kontrollierte Studie. Pneumologie 2017. [DOI: 10.1055/s-0037-1598474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M Spielmanns
- Medizinische Klinik, St. Remigius Krankenhaus, Lehrstuhl Pneumologie, Universität Witten/Herdecke
| | | | | | | | | | | | | | | | | | | | | | - K Baum
- Trainingsinstitut Prof. Baum, Köln
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Böselt T, Spielmanns M, Glöckl R, Klutsch A, Fischer H, Polanski H, Nell C, Storre JH, Windisch W, Koczulla AR. Low volume whole body vibration training improves exercise capacity in subjects with mild to severe COPD. Pneumologie 2017. [DOI: 10.1055/s-0037-1598476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- T Böselt
- Schwerpunkt Pneumologie, Klinik für Innere Medizin, Philipps Universität Marburg
| | - M Spielmanns
- Medizinische Klinik und Ambulante Pneumologische Rehabilitation in Leverkusen (April)
| | - R Glöckl
- Schön Klinik Berchtesgadener Land, Klinikum Rechts der Isar, Technische Universität München
| | - A Klutsch
- Medizinische Klinik und Ambulante Pneumologische Rehabilitation in Leverkusen (April)
| | - H Fischer
- Institut für Medizin, Training und Gesundheit, Philipps Universität Marburg
| | - H Polanski
- Medizinische Klinik und Ambulante Pneumologische Rehabilitation in Leverkusen (April)
| | - C Nell
- Schwerpunkt Pneumologie, Klinik für Innere Medizin, Philipps Universität Marburg
| | - JH Storre
- Abt. Pneumologie, Lungenklinik, Klinken der Stadt Köln gGmbH, University of Witten/Herdecke
| | - W Windisch
- Abt. Pneumologie, Lungenklinik, Klinken der Stadt Köln gGmbH, University of Witten/Herdecke
| | - AR Koczulla
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Philipps-Universität Marburg
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Kölpin J, Kaufhold F, Böselt T, Nell C, Herth FJF, Vogelmeier C, Alter P, Kähler CM, Veith M, Greulich T, Spielmanns M, Kenn K, Kreuter M, Koczulla AR. Drei-Center Studie (DZL) zur Untersuchung von Trainingstherapieauswirkungen eines dreimonatigen Ganzkörpervibrationstrainings bei Patienten mit Lungenfibrose auf Muskelkraft, Lungenfunktion, gesundheitsbezogene Lebensqualität und Inflammationsmarker. Pneumologie 2017. [DOI: 10.1055/s-0037-1598477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- J Kölpin
- Pneumologie, Philipps Universität Marburg
| | - F Kaufhold
- Pneumologie und Beatmungsmedizin, Thoraxklinik am Universitätsklinikum Heidelberg, Member of the German Center for Lung Research (Dzl)
| | - T Böselt
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg
| | - C Nell
- Pneumologie, Philipps Universität Marburg
| | - FJF Herth
- Pneumologie und Beatmungsmedizin, Thoraxklinik am Universitätsklinikum Heidelberg, Member of the German Center for Lung Research (Dzl)
| | - C Vogelmeier
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg
| | - P Alter
- Pneumologie, Philipps Universität Marburg
| | | | - M Veith
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg
| | - T Greulich
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg
| | - M Spielmanns
- Medizinische Klinik und Ambulante Pneumologische Rehabilitation in Leverkusen (April)
| | - K Kenn
- Schön Klinik Berchtesgadener Land; Philipps Universität Marburg
| | - M Kreuter
- Pneumologie und Beatmungsmedizin, Thoraxklinik am Universitätsklinikum Heidelberg, Member of the German Center for Lung Research (Dzl)
| | - AR Koczulla
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg
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Jimenez Siebert M, Böselt T, Greulich T, Alter P, Herth FJF, Kahn N, Bornitz F, Vogelmeier C, Nell C, Kähler CJ, Hummler S, Koczulla AR. Effects of a 6 week whole-body vibration training (WBVT) in stable COPD patients: a randomized clinical trial. Pneumologie 2017. [DOI: 10.1055/s-0037-1598478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M Jimenez Siebert
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg
| | - T Böselt
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg
| | - T Greulich
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg
| | - P Alter
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg
| | - FJF Herth
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg; Pulmonology, Thoraxklinik Universitaetsklinikum Heidelberg
| | - N Kahn
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg; Pulmonology, Thoraxklinik Universitaetsklinikum Heidelberg
| | - F Bornitz
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg; Pulmonology, Thoraxklinik Universitaetsklinikum Heidelberg
| | - C Vogelmeier
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg
| | - C Nell
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg
| | - CJ Kähler
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg; Pulmonology, Fachkliniken Wangen
| | - S Hummler
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg; Pulmonology, Thoraxklinik Universitaetsklinikum Heidelberg
| | - AR Koczulla
- Pulmonology, Institute for Internal Medicine, Philipps-University Marburg
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Spielmanns M, Böselt T, Nell C, Koczulla AR, Magnet F, Storre JH, Windisch W, Baum K. Die Teilnahme von Patienten mit einer COPD an einer ambulanten pneumologischen Rehabilitation führt zu einer Steigerung der Inspirationskapazität im 6-Minutengehtest: eine kontrollierte Studie. Pneumologie 2017. [DOI: 10.1055/s-0037-1598259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M Spielmanns
- St. Remigius Krankenhaus; Medizinische Klinik; Lehrstuhl Pneumologie, Universität Witten/Herdecke
| | | | | | | | | | | | | | - K Baum
- Trainingsistitut Prof. Baum, Köln
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Böselt T, Spielmanns M, Nell C, Storre JH, Windisch W, Magerhans L, Beutel B, Kenn K, Greulich T, Alter P, Vogelmeier C, Koczulla AR. Validity and usability of physical activity monitoring in patients with chronic obstructive pulmonary disease (COPD). Pneumologie 2017. [DOI: 10.1055/s-0037-1598310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- T Böselt
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Philipps Universität Marburg
| | - M Spielmanns
- Medizinische Klinik und Ambulante Pneumologische Rehabilitation in Leverkusen (April)
| | - C Nell
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Philipps Universität Marburg
| | - JH Storre
- Abt. Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH, University of Witten/Herdecke
| | - W Windisch
- Abt. Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH, University of Witten/Herdecke
| | - L Magerhans
- Klinik für Innere Medizin, Schwerpunkt Nephrologie, Philipps Universität Marburg
| | - B Beutel
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Philipps Universität Marburg
| | - K Kenn
- Schön Klinik Berchtesgadener Land; Philipps Universität Marburg
| | - T Greulich
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen und Marburg, Standort Marburg
| | - P Alter
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen und Marburg, Standort Marburg
| | - C Vogelmeier
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen und Marburg, Standort Marburg
| | - AR Koczulla
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Universitätsklinikum Gießen und Marburg, Standort Marburg
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Spielmanns M, Axer F, Nell C, Koczulla AR, Boeselt T, Magnet F, Storre JH, Windisch W. [Outcome predictors for COPD patients hospitalized for acute exacerbation]. Med Klin Intensivmed Notfmed 2017; 112:708-716. [PMID: 28044184 DOI: 10.1007/s00063-016-0245-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 11/11/2016] [Accepted: 12/27/2016] [Indexed: 10/20/2022]
Abstract
BACKGROUND Prognostic factors for clinical failure of acute exacerbation in patients with COPD (AECOPD) are of special importance in order to choose an adequate therapy and resources during inpatient treatment. Our database was analyzed to identify predictors for a negative outcome. MATERIALS AND METHODS In a retrospective analysis medical records of 616 patients (299 women; 317 men) hospitalized for AECOPD between January 2011 and January 2016 were analyzed in order to evaluate demographic and clinical parameters leading to adverse events. Only the first admission was considered. Logistic regression analysis was performed to determine the relative risk (odds ratio (OR) leading to severe adverse events such as intensive care unit (ICU) admission, mechanical ventilation (invasive or noninvasive), early readmission to ICU and hospital and death). RESULTS An increased risk of an ICU admission was found for patients with a coronary heart disease (OR = 5.734; p = 0.009) and for patients requiring an antibiotic therapy (OR = 11.721; p = 0.003). An increased risk for rehospitalisation and mortality was found for age (OR = 1.034; p = 0.028) and a longer duration of the hospital stay (OR = 1.063; p = 0.042). A lower C‑reactive protein (CRP) level was associated with a lower risk of readmission to the hospital (OR = 0.991; p = 0.03). An increased risk of ventilator therapy was found for patients with chronic heart failure (OR = 6.166; p = 0.02) and sleep apnea syndrome (OR = 6.698; p = 0.003), diabetes (OR = 3.754; p = 0.041) and a long stay in the ICU (OR = 2.018; p = 0.000). CONCLUSIONS Comorbidities in patients with AECOPD were found to be a major risk factor for ICU admission and mechanical ventilation. Elderly patients and patients with prolonged hospital stay showed a higher risk for readmission and mortality. Patients with a low CRP blood level seemed to have a lower risk for rehospitalisation.
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Affiliation(s)
- M Spielmanns
- Medizinische Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), St. Remigius Krankenhaus Leverkusen-Opladen, An St. Remigius 29, 51379, Leverkusen, Deutschland. .,Lehrstuhl Pneumologie, Universität Witten/Herdecke, Witten, Deutschland.
| | - F Axer
- Medizinische Klinik und ambulante pneumologische Rehabilitation in Leverkusen (APRiL), St. Remigius Krankenhaus Leverkusen-Opladen, An St. Remigius 29, 51379, Leverkusen, Deutschland
| | - C Nell
- Department of Medicine, Pulmonary and Critical Care Medicine, University Marburg, Marburg, Deutschland
| | - A R Koczulla
- Department of Medicine, Pulmonary and Critical Care Medicine, University Marburg, Marburg, Deutschland
| | - T Boeselt
- Department of Medicine, Pulmonary and Critical Care Medicine, University Marburg, Marburg, Deutschland
| | - F Magnet
- Abteilung Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH, Köln, Deutschland.,Lehrstuhl Pneumologie, Universität Witten/Herdecke, Witten, Deutschland
| | - J H Storre
- Universitätsklinikum Freiburg, Freiburg, Deutschland.,Abteilung Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH, Köln, Deutschland
| | - W Windisch
- Abteilung Pneumologie, Lungenklinik, Kliniken der Stadt Köln gGmbH, Köln, Deutschland.,Lehrstuhl Pneumologie, Universität Witten/Herdecke, Witten, Deutschland
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Griss K, Han M, Nell C, Bertrams W, Seidel K, Klemmer A, Klapdor B, Sittka-Stark A, Hippenstiel S, Schmeck B. miRNAs as biomarkers in pneumonia and COPD-exacerbation. Pneumologie 2016. [DOI: 10.1055/s-0036-1584633] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Böselt T, Nell C, Kehr K, Holland A, Greulich T, Kenn K, Böder J, Klapdor B, Vogelmeier C, Alter P, Koczulla R. Ganzkörpervibrationstherapie bei Intensivpatienten: eine Machbarkeits- und Sicherheitsstudie. Pneumologie 2016. [DOI: 10.1055/s-0036-1583512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Gaida A, Holz O, Nell C, Schuchardt S, Lavae-Mokhtari B, Kruse L, Boas U, Langejuergen J, Allers M, Zimmermann S, Vogelmeier C, Koczulla AR, Hohlfeld JM. A dual center study to compare breath volatile organic compounds from smokers and non-smokers with and without COPD. J Breath Res 2016; 10:026006. [PMID: 27082437 DOI: 10.1088/1752-7155/10/2/026006] [Citation(s) in RCA: 59] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
There is increasing evidence that breath volatile organic compounds (VOC) have the potential to support the diagnosis and management of inflammatory diseases such as COPD. In this study we used a novel breath sampling device to search for COPD related VOCs. We included a large number of healthy controls and patients with mild to moderate COPD, recruited subjects at two different sites and carefully controlled for smoking. 222 subjects were recruited in Hannover and Marburg, and inhaled cleaned room air before exhaling into a stainless steel reservoir under exhalation flow control. Breath samples (2.5 l) were continuously drawn onto two Tenax(®) TA adsorption tubes and analyzed in Hannover using thermal desorption-gas chromatography-mass spectrometry (TD-GC-MS). Data of 134 identified VOCs from 190 subjects (52 healthy non-smokers, 52 COPD ex-smokers, 49 healthy smokers, 37 smokers with COPD) were included into the analysis. Active smokers could be clearly discriminated by higher values for combustion products and smoking related VOCs correlated with exhaled carbon monoxide (CO), indicating the validity of our data. Subjects from the study sites could be discriminated even after exclusion of cleaning related VOCs. Linear discriminant analysis correctly classified 89.4% of COPD patients in the non/ex-smoking group (cross validation (CV): 85.6%), and 82.6% of COPD patients in the actively smoking group (CV: 77.9%). We extensively characterized 134 breath VOCs and provide evidence for 14 COPD related VOCs of which 10 have not been reported before. Our results show that, for the utilization of breath VOCs for diagnosis and disease management of COPD, not only the known effects of smoking but also site specific differences need to be considered. We detected novel COPD related breath VOCs that now need to be tested in longitudinal studies for reproducibility, response to treatment and changes in disease severity.
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Affiliation(s)
- A Gaida
- Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Clinical Airway Research, Hannover, Germany. Leibniz Universität Hannover, Institute of Inorganic Chemistry, Research Group Analytical Chemistry, Hannover, Germany. Contributed equally
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Spielmanns M, Winkler A, Storre JH, Böselt T, Nell C, Koczulla R, Windisch W. Kann eine ambulante pneumologische Rehabilitation die Exacerbationsfrequenz nach AECOPD senken? Pneumologie 2016. [DOI: 10.1055/s-0036-1572258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Spielmanns M, Axer F, Nell C, Koczulla R, Böselt T, Storre JH, Windisch W. Outcomeprädiktoren für hospitalisierte akut exacerbierte COPD-Patienten. Pneumologie 2016. [DOI: 10.1055/s-0036-1572268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Böselt T, Nell C, Kehr K, Holland A, Dresel M, Greulich T, Tackenberg B, Kenn K, Boeder J, Klapdor B, Kirschbaum A, Vogelmeier C, Alter P, Koczulla R. Ganzkörper-Vibrationstherapie bei Intensivpatienten. Pneumologie 2016. [DOI: 10.1055/s-0036-1572255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Greulich T, Boeselt T, Nell C, Koepke J, Fechtel J, Franke M, Schmeck B, Haid D, Apelt S, Filipovic S, Kenn K, Janciauskiene S, Vogelmeier C, Koczulla AR. Aktive Muskelstimulation hat einen positiven Effekt auf hospitalisierte Patienten mit exazerbierter COPD. Pneumologie 2015. [DOI: 10.1055/s-0035-1548661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Griss K, Han M, Nell C, Bertrams W, Seidel K, Klemmer A, Sittka A, Hippenstiel S, Schmeck B. microRNAs as biomarkers in pneumonia and COPD-exacerbation – the Bioinflame study. Pneumologie 2015. [DOI: 10.1055/s-0035-1544614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Groß JC, Wilhelm C, Vogelmeier C, Wollmer E, Baumbach JI, Nell C, Boas U, Hattesohl A, Burchert A, Neubauer A, Koczulla AR. Erkennung von pulmonaler Graft-versus-Host-Krankheit (GvHD) in allogen stammzelltransplantierten Patienten durch elektronische Nase und Ionenmobilitätsspektrometer. Pneumologie 2015. [DOI: 10.1055/s-0035-1544658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Alter P, van des Sand K, Nell C, Figiel JH, Greulich T, Vogelmeier C, Koczulla AR. Lung function in COPD is correlated with increased left ventricular wall stress in coincident heart failure. Pneumologie 2015. [DOI: 10.1055/s-0035-1544768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Koehler U, Hildebrandt O, Koehler J, Nell C. [The pioneer of bedside teaching - Herman Boerhaave (1668-1738)]. Dtsch Med Wochenschr 2014; 139:2655-9. [PMID: 25490755 DOI: 10.1055/s-0034-1387399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- U Koehler
- Klinik für Innere Medizin, Philipps-Universität Marburg
| | - O Hildebrandt
- Klinik für Innere Medizin, Philipps-Universität Marburg
| | - J Koehler
- Medizinische Fakultät, Comenius Universität Bratislava
| | - C Nell
- Klinik für Innere Medizin, Philipps-Universität Marburg
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Koehler U, Hildebrandt O, Nell C, Alakhras R, Nikolaizik W, Weissflog A, Hoehle L, Sohrabi K, Totta L, Gross V. Akustisches Langzeit-Monitoring von Atem- und Lungengeräuschen im Schlaf. Somnologie 2014. [DOI: 10.1007/s11818-014-0685-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Rembert Koczulla A, Greulich T, Nell C, Koepke J, Fechtel J, Franke M, Schmeck B, Haid D, Apelt S, Kenn K, Janciauskiene S, Vogelmeier C. Benefits of whole body vibration training in patients hospitalised for COPD exacerbations – a randomized clinical trial. Pneumologie 2014. [DOI: 10.1055/s-0034-1375920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Koehler U, Hildebrandt O, Nell C, Thiem K, Sibai E, Gross V, Grimm W. [Cheyne-Stokes respiration in patients with chronic heart failure: only a diagnostic marker or also a cardiovascular risk factor?]. Dtsch Med Wochenschr 2014; 139:1009-14. [PMID: 24782155 DOI: 10.1055/s-0034-1369809] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Sleep disordered breathing with predominant obstructive or central apnea is an under-recognized but highly prevalent comorbidity in patients with chronic heart failure. As the severity of heart failure increases the prevalence of central sleep apnea (CSA) and Cheyne-Stokes respiration (CSR) is also much more frequent. Cheyne-Stokes respiration is characterized by alternating periods of crescendo and decrescendo respiration followed by central apnea. Present data indicate that CSA-CSR is not only a compensatory response to severe heart failure but also a predictor of worse prognosis. However the results on long-term mortality are not consistent. The prognostic importance of night- and daytime CSR has to be further elucidated. Increased sympathetic nervous activity has been proposed to play a mayor role concerning progression and outcome of chronic heart failure by CSA-CSR.
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Affiliation(s)
- U Koehler
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Intensiv- und Schlafmedizin
| | - O Hildebrandt
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Intensiv- und Schlafmedizin
| | - C Nell
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Intensiv- und Schlafmedizin
| | - K Thiem
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Intensiv- und Schlafmedizin
| | - E Sibai
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Intensiv- und Schlafmedizin
| | - V Gross
- Biomedizinische Technik, Fachbereich KMUB (Krankenhaus- und Medizintechnik, Umwelt- und Biotechnologie), Technische Hochschule Mittelhessen, Gießen
| | - W Grimm
- Klinik für Innere Medizin, Schwerpunkt Kardiologie und Angiologie, Philipps-Universität Marburg
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Alter P, Luetteken L, Nell C, Haid D, Kehr K, Greulich T, Apelt S, Langenhan K, Hohmann C, Vogelmeier CF, Koczulla AR. Exercise training leads to physiological left ventricular hypertrophy in COPD. Int J Cardiol 2014; 174:156-7. [PMID: 24726167 DOI: 10.1016/j.ijcard.2014.03.160] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2014] [Accepted: 03/23/2014] [Indexed: 12/01/2022]
Affiliation(s)
- P Alter
- University of Marburg, Internal Medicine, Cardiology, Germany.
| | - L Luetteken
- University of Marburg, Internal Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Reserach (DZL), Germany
| | - C Nell
- University of Marburg, Internal Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Reserach (DZL), Germany
| | - D Haid
- University of Marburg, Internal Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Reserach (DZL), Germany
| | - K Kehr
- University of Marburg, Internal Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Reserach (DZL), Germany
| | - T Greulich
- University of Marburg, Internal Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Reserach (DZL), Germany
| | - S Apelt
- University of Marburg, Physiotherapy, Germany
| | - K Langenhan
- University of Marburg, Physiotherapy, Germany
| | - C Hohmann
- University of Marburg, Internal Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Reserach (DZL), Germany
| | - C F Vogelmeier
- University of Marburg, Internal Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Reserach (DZL), Germany
| | - A R Koczulla
- University of Marburg, Internal Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Reserach (DZL), Germany.
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Greulich T, Nell C, Kehr K, Kotke V, Wiedmann S, Herr C, Bals R, Vogelmeier C, Koczulla AR. Detektion von Patienten mit Alpha-1-Antitrypsin-Mangel in Deutschland – 10 Jahre Erfahrung. Pneumologie 2014. [DOI: 10.1055/s-0034-1367833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Koehler U, Cassel W, Hildebrandt O, Kesper K, Kianinejad P, Nell C, Mayer G, Ohl G. Obstruktive Schlafapnoe bei neurologischen Erkrankungen. Nervenarzt 2013; 85:35-42. [DOI: 10.1007/s00115-013-3890-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Kunsch S, Neesse A, Linhart T, Nell C, Gress TM, Ellenrieder V. Prospective evaluation of duodenogastroesophageal reflux in gastroesophageal reflux disease patients refractory to proton pump inhibitor therapy. Digestion 2013; 86:315-22. [PMID: 23128301 DOI: 10.1159/000342234] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2012] [Accepted: 07/30/2012] [Indexed: 02/04/2023]
Abstract
BACKGROUND Duodenogastroesophageal reflux (DGER) is considered an independent risk factor for complicated reflux disease (gastroesophageal reflux disease; GERD). However, the role of DGER in GERD patients refractory to proton pump inhibitors (PPI) remains poorly understood. METHODS 85 patients with clinical reflux symptoms and a history of ineffective response to PPIs were enrolled in the study. Patients with elevated reflux measurement (pH and/or Bilitec measurement; n = 47) received pantoprazole 80 mg for 8 weeks. Clinical outcome was defined as response (≤2 symptoms/week) or nonresponse (≥3 symptoms/week). RESULTS Of the 47 patients with elevated reflux measurement, 30 were classified as responders and 17 as nonresponders. Treatment with pantoprazole resulted in a significant reduction of acidic reflux in both PPI responders and PPI nonresponders. In contrast, DGER was only significantly reduced in the PPI responder group (22.8 ± 22.8 vs. 6.6 ± 10.8%; p < 0.05) but not in the PPI nonresponder group (24.5 ± 18.6 vs. 22.2 ± 12.7%; p > 0.05). CONCLUSIONS The presented study firstly describes that nonresponsiveness to PPI is associated with a limited effect of PPIs on reducing DGER. Thus, persistent DGER may play a key role in mediating reflux symptoms refractory to high-dose PPIs.
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Affiliation(s)
- S Kunsch
- Department of Gastroenterology, Endocrinology and Metabolism, Faculty of Medicine, Philipps University of Marburg, Marburg, Germany
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Greulich T, Schürmann W, Müller S, Fechtel J, Franke M, Lütteken L, Nell C, Holland A, Bach JP, Tackenberg B, Kenn K, Vogelmeier C, Koczulla RA. Spezielle Ganzkörpervibrationstrainingstherapie zur Reduktion der Inflammation bei zwei Patienten mit Myositis. Pneumologie 2013. [DOI: 10.1055/s-0033-1334608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Greulich T, Nell C, Wencker M, Kehr K, Kotke V, Herr C, Vogelmeier C, Bals R, Koczulla RA. Detektion von Patienten mit Alpha-1-Antitrypsin-Mangel in Deutschland - Trends im Verlauf zwischen 2003 und 2011. Pneumologie 2013. [DOI: 10.1055/s-0033-1334504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Greulich T, Franke M, Fechtel J, Nell C, Kehr K, Müller S, Schubert H, Kenn K, Vogelmeier C, Koczulla RA. Aktive Muskelstimulation hat einen positiven Effekt auf hospitalisierte Patienten mit exazerbierter COPD. Pneumologie 2012. [DOI: 10.1055/s-0032-1302569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Greulich T, Nell C, Kehr K, Kotke V, Wiedmann S, Herr C, Vogelmeier C, Bals R, Koczulla RA. Detektion von Patienten mit Alpha-1 Antitrypsin-Mangel in Deutschland – Update 2011. Pneumologie 2012. [DOI: 10.1055/s-0032-1302848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Nell C, Kehr K, Hildebrandt O, Sohrabi K, Cassel W, Greulich T, Koehler KI, Koehler U. Chronische Lungenerkrankung: Sicht der Partner und deren Einschätzung bezüglich der Effekte von Lungensport. Pneumologie 2011; 65:751-5. [DOI: 10.1055/s-0031-1291437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Affiliation(s)
- C. Nell
- Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin, Philipps-Universität Marburg (Direktor: Prof. Dr. C. Vogelmeier)
| | - K. Kehr
- Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin, Philipps-Universität Marburg (Direktor: Prof. Dr. C. Vogelmeier)
| | - O. Hildebrandt
- Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin, Philipps-Universität Marburg (Direktor: Prof. Dr. C. Vogelmeier)
| | - K. Sohrabi
- Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin, Philipps-Universität Marburg (Direktor: Prof. Dr. C. Vogelmeier)
| | - W. Cassel
- Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin, Philipps-Universität Marburg (Direktor: Prof. Dr. C. Vogelmeier)
| | - T. Greulich
- Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin, Philipps-Universität Marburg (Direktor: Prof. Dr. C. Vogelmeier)
| | - K-I. Koehler
- Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin, Philipps-Universität Marburg (Direktor: Prof. Dr. C. Vogelmeier)
| | - U. Koehler
- Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin, Philipps-Universität Marburg (Direktor: Prof. Dr. C. Vogelmeier)
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Greulich T, Müller S, Fechtel J, Nell C, Holland A, Bach JP, Tackenberg B, Schubert H, Kenn K, Vogelmeier C, Koczulla AR. [Special training therapy to reduce inflammation in Anti-Jo-1 syndrome]. Pneumologie 2011; 65:624-7. [PMID: 21866491 DOI: 10.1055/s-0030-1256669] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
A 46-year-old patient was frequently seen with a medically treated Anti-Jo-1 syndrome. The patient had already been treated with azathioprine and oral corticosteroids on account of decreasing lung function, dyspnoea, fatigue, and beginning signs of myositis. Although high doses of steroids and azathioprine were administered, the muscleskeletal syndromes increased steadily. The patient used to be an active long-distance runner (20 km), but now was unable to perform that kind of physical exercise. It was decided to start a treatment with the GalileoTM training device for active muscle training of the lower extremities. Before and after three months of training the following assessment was performed: measurement of health-related quality of life (St. Georges respiratory questionnaire, SGRQ), ultrasound measurement of the cross-sectional area of the quadriceps muscle, 6 minute walk test (6 MWT), lung function testing, and assessment of serum markers of inflammation (TNF-alpha, interleukin-8, CRP, CK, myoglobin). After only two months, training with the GalileoTM five times a week has improved the patient's conditions dramatically. The training will be continued.
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Affiliation(s)
- T Greulich
- Klinik für Innere Medizin, Schwerpunkt Pneumologie, Philipps-Universität Marburg, Baldingerstrasse 1, Marburg
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Koehler U, Augsten M, Apelt S, Boehm P, Noeske S, Groß V, Nell C, Dette F. Autonome Regulation und nächtliche Arrhythmien bei Patienten mit schlafbezogener Atmungsstörung. Somnologie 2011. [DOI: 10.1007/s11818-011-0511-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Kunsch S, Gross V, Neesse A, Sohrabi K, Nell C, Gress TM, Ellenrieder V, Koehler U. Combined lung-sound and reflux-monitoring: a pilot study of a novel approach to detect nocturnal respiratory symptoms in gastro-oesophageal reflux disease. Aliment Pharmacol Ther 2011; 33:592-600. [PMID: 21204887 DOI: 10.1111/j.1365-2036.2010.04559.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
BACKGROUND Increased prevalence of respiratory symptoms has been commonly reported in patients with gastro-oesophageal reflux disease (GERD). AIM To introduce a novel Lung-Sound-Monitoring device that allows simultaneous measurement of both nocturnal respiratory symptoms and episodes of acidic and biliary refluxes. METHODS Nocturnal respiratory symptoms (coughing and wheezing) were continuously recorded in 20 healthy subjects and 30 reflux patients with respiratory symptoms in parallel to combined pH-monitoring and Bilitec measurement. RESULTS Analysis could be completed in 20 healthy subjects and in 25 patients with reflux. A clear temporal correlation to reflux phases was detected in 49% of coughing and 41% of wheezing events, respectively. Moreover, 89% of the coughing and 100% of the wheezing events succeeded reflux episodes. Finally, the technique was capable of assessing a statistically significant difference between patients and controls regarding the occurrence of these symptoms. CONCLUSIONS Our pilot study establishes the Lung-Sound-Monitoring system as a unique tool to measure objectively the temporal correlation between gastroesophageal reflux and the appearance of respiratory symptoms. It represents a useful technique to identify patients with respiratory symptoms due to reflux, and therefore allows one to determine and quantify the impact of therapeutic interventions such as antireflux therapy on respiratory symptoms.
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Affiliation(s)
- S Kunsch
- Department of Gastroenterology, Endocrinology and Metabolism, Philipps-University of Marburg, Germany
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Koehler U, Lenniger P, Gross V, Kunsch S, Nell C, Nolte J, Sohrabi K. Nächtliche Langzeitregistrierung von Lungengeräuschen bei Patienten mit gastroösophagealem Reflux. Pneumologie 2010. [DOI: 10.1055/s-0030-1267742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Lenniger P, Gross V, Kunsch S, Nell C, Nolte JES, Sohrabi AK, Koehler U. [Nocturnal long-term monitoring of lung sounds in patients with gastro-oesophageal reflux disease]. Pneumologie 2010; 64:255-8. [PMID: 20376770 DOI: 10.1055/s-0029-1215344] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Gastro-oesophageal reflux disease (GERD) is one of the most common clinical conditions in the developed countries. Particular interest in pulmonary manifestations of this disease has arisen over the last few years. Although the high coincidence between reflux and chronic cough is unquestioned, the proof of a causal correlation is still lacking. In this paper we present the Marburger Lung-Sound-Monitoring as a new method for the detection of nocturnal respiratory symptoms such as cough, wheezing and throat clearing and their temporal correlation with reflux. This method will in future allow us to precisely record and to evaluate the extent and duration of reflux events and their correlation with respiratory symptoms.
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Affiliation(s)
- P Lenniger
- Klinik für Innere Medizin, SP Pneumologie, Intensiv- und Schlafmedizin
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Nell C, Berzaczy D, Millesi W, Ewers R, Klug C. O.495 Multimodal therapy of 276 patients with advanced oral cancer. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71619-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Immenschuh S, Nell C, Iwahara S, Katz N, Muller-Eberhard U. Gene regulation of HBP 23 by metalloporphyrins and protoporphyrin IX in liver and hepatocyte cultures. Biochem Biophys Res Commun 1997; 231:667-70. [PMID: 9070867 DOI: 10.1006/bbrc.1997.6166] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Heme-binding protein 23 kDa (HBP23) belongs to the antioxidant family of peroxiredoxins and binds heme with high affinity. In vivo treatment of rats with heme induced expression of HBP23 mRNA levels in liver coordinately with that of the heme degrading enzyme heme oxygenase-1 (HO-1). In primary rat hepatocyte cultures Sn-, Co-, and Zn-metalloprotoporphyrin as well as the heme precursor protoporphyrin IX increased the HBP23 mRNA expression to a level similar to that elicited by heme. Heme-dependent induction of HBP23 mRNA was prevented by pretreatment with actinomycin D, indicating a transcriptional mechanism of gene induction. The results suggest that the coordinate gene regulation pattern of HBP23 and HO-1 plays a physiological role against oxidative stress.
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Affiliation(s)
- S Immenschuh
- Institut für Klinische Chemie u. Pathobiochemie, Justus Liebig Universität Giessen, Germany
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Immenschuh S, Iwahara S, Satoh H, Nell C, Katz N, Muller-Eberhard U. Expression of the mRNA of heme-binding protein 23 is coordinated with that of heme oxygenase-1 by heme and heavy metals in primary rat hepatocytes and hepatoma cells. Biochemistry 1995; 34:13407-11. [PMID: 7577927 DOI: 10.1021/bi00041a018] [Citation(s) in RCA: 58] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
A 23-kDa protein with high affinity for heme (KD = 55 nM), therefore termed heme-binding protein 23 kDa (HBP23), was purified from rat liver cytosol [Iwahara, S., et al. (1995) Biochemistry 34, 13398-13406]. Homology search of the cloned HBP23 cDNA revealed that this protein belongs to a recently recognized class of thiol peroxidases, the antioxidant peroxiredoxin family. Since HBP23 gene expression was highest in the liver, HBP23 mRNA regulation by heme and heavy metals was investigated in cultures of primary rat hepatocytes and mouse hepatoma Hepa 1-6 cells. In both cell cultures HBP23 mRNA levels were upregulated in a time- and dose-dependent manner by heme. Heme-dependent induction of HBP23 mRNA occurred coordinately with that of the heme-metabolizing enzyme heme oxygenase-1, which was recently identified as inducible by oxidative stress. Treatment of primary rat hepatocyte or hepatoma cell cultures with the heavy metals CdCl2 (10 microM) and CoCl2 (300 microM) induced in parallel HBP23 and HO-1 mRNA levels, in the case of CdCl2 to even higher levels than heme. By contrast, mRNA expression of another heme binding protein, hemopexin, was not induced in hepatocyte cell cultures by heme or heavy metals. The data suggest that the expression of HBP23 and HO-1 mRNA is regulated by (a) similar mechanism(s) in liver and that both genes could play a common physiological role as antioxidants and/or in heme metabolism.
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Affiliation(s)
- S Immenschuh
- Department of Pediatrics, Cornell University Medical College, New York, New York 10021, USA
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