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Thomas BJ, Guldenpfennig C, Guan Y, Winkler C, Beecher M, Beedy M, Berendzen AF, Ma L, Daniels MA, Burke DH, Porciani D. Targeting lung cancer with clinically relevant EGFR mutations using anti-EGFR RNA aptamer. Mol Ther Nucleic Acids 2023; 34:102046. [PMID: 37869258 PMCID: PMC10589377 DOI: 10.1016/j.omtn.2023.102046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 09/29/2023] [Indexed: 10/24/2023]
Abstract
A significant fraction of non-small cell lung cancer (NSCLC) cases are due to oncogenic mutations in the tyrosine kinase domain of the epidermal growth factor receptor (EGFR). Anti-EGFR antibodies have shown limited clinical benefit for NSCLC, whereas tyrosine kinase inhibitors (TKIs) are effective, but resistance ultimately occurs. The current landscape suggests that alternative ligands that target wild-type and mutant EGFRs are desirable for targeted therapy or drug delivery development. Here we evaluate NSCLC targeting using an anti-EGFR aptamer (MinE07). We demonstrate that interaction sites of MinE07 overlap with clinically relevant antibodies targeting extracellular domain III and that MinE07 retains binding to EGFR harboring the most common oncogenic and resistance mutations. When MinE07 was linked to an anti-c-Met aptamer, the EGFR/c-Met bispecific aptamer (bsApt) showed superior labeling of NSCLC cells in vitro relative to monospecific aptamers. However, dual targeting in vivo did not improve the recognition of NSCLC xenografts compared to MinE07. Interestingly, biodistribution of Cy7-labeled bsApt differed significantly from Alexa Fluor 750-labeled bsApt. Overall, our findings demonstrate that aptamer formulations containing MinE07 can target ectopic lung cancer without additional stabilization or PEGylation and highlights the potential of MinE07 as a targeting reagent for the recognition of NSCLC harboring clinically relevant EGFRs.
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Affiliation(s)
- Brian J. Thomas
- Department of Molecular Microbiology and Immunology, Bond Life Sciences Center, University of Missouri School of Medicine, Columbia, MO 65211, USA
| | - Caitlyn Guldenpfennig
- Department of Molecular Microbiology and Immunology, Bond Life Sciences Center, University of Missouri School of Medicine, Columbia, MO 65211, USA
| | - Yue Guan
- Department of Molecular Microbiology and Immunology, Bond Life Sciences Center, University of Missouri School of Medicine, Columbia, MO 65211, USA
| | - Calvin Winkler
- Department of Biological Sciences, University of Missouri, Columbia, MO 65211, USA
| | - Margaret Beecher
- Department of Biochemistry, University of Missouri, Columbia, MO 65211, USA
| | - Michaela Beedy
- Department of Biochemistry, Westminster College, Fulton, MO 65251, USA
| | - Ashley F. Berendzen
- Research Division/Biomolecular Imaging Center, Harry S. Truman Memorial Veterans’ Hospital, Columbia, MO 65201, USA
| | - Lixin Ma
- Research Division/Biomolecular Imaging Center, Harry S. Truman Memorial Veterans’ Hospital, Columbia, MO 65201, USA
- Department of Radiology, University of Missouri School of Medicine, Columbia, MO 65212, USA
| | - Mark A. Daniels
- Department of Molecular Microbiology and Immunology, Bond Life Sciences Center, University of Missouri School of Medicine, Columbia, MO 65211, USA
| | - Donald H. Burke
- Department of Molecular Microbiology and Immunology, Bond Life Sciences Center, University of Missouri School of Medicine, Columbia, MO 65211, USA
- Department of Biochemistry, University of Missouri, Columbia, MO 65211, USA
| | - David Porciani
- Department of Molecular Microbiology and Immunology, Bond Life Sciences Center, University of Missouri School of Medicine, Columbia, MO 65211, USA
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Linden K, Otte F, Winkler C, Laser K, Goldschmidt F, Breuer J, Herberg U. Atrioventricular coupling in infants and children assessed by three-dimensional echocardiography. J Am Soc Echocardiogr 2022; 35:976-984. [DOI: 10.1016/j.echo.2022.04.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Revised: 04/20/2022] [Accepted: 04/20/2022] [Indexed: 10/18/2022]
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Neidlin M, Grünwald A, Korte J, Wilmanns N, Winkler C, Gross-Hardt S, Steinseifer U, Linden K, Herberg U. Intraventricular Flow Dynamics in Single Right Ventricle Patients with Real-Time Echocardiography and Computational Modeling Provide Additional Insight into Cardiac Function. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742954] [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: 10/18/2022]
Affiliation(s)
- M. Neidlin
- Institute of Applied Medical Engineering, Uniklinik RWTH Aachen, Aachen, Deutschland
| | - A. Grünwald
- Institute of Applied Medical Engineering, Uniklinik RWTH Aachen, Aachen, Deutschland
| | - J. Korte
- Institute of Applied Medical Engineering, Uniklinik RWTH Aachen, Aachen, Deutschland
| | - N. Wilmanns
- Institute of General Mechanics, RWTH Aachen University, Aachen, Deutschland
| | - C. Winkler
- Department of Pediatric Cardiology, Uniklinik Bonn, Bonn, Deutschland
| | - S. Gross-Hardt
- Institute of Applied Medical Engineering, Uniklinik RWTH Aachen, Aachen, Deutschland
| | - U. Steinseifer
- Institute of Applied Medical Engineering, Uniklinik RWTH Aachen, Aachen, Deutschland
| | - K. Linden
- Department of Pediatric Cardiology, Uniklinik Bonn, Bonn, Deutschland
| | - U. Herberg
- Department of Pediatric Cardiology, Uniklinik Bonn, Bonn, Deutschland
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Sensi L, Winkler C, Geraldeli S. Accelerated Aging Effects on Color Stability of Potentially Color Adjusting Resin-based Composites. Oper Dent 2021; 46:188-196. [PMID: 34086953 DOI: 10.2341/20-099-l] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/06/2020] [Indexed: 11/23/2022]
Abstract
The aim of this study was to compare the effects of accelerated aging on the overall color stability of potentially color adjusting commercial resin-based composite resins. Thirty specimens (10 mm diameter and 2.5 mm thick; n=6) were fabricated using five different materials: Estelite Omega, GC Kalore, Venus Pearl, Harmonize, and Omnichroma. Color measurements were taken for each sample using a spectrophotometer before and after submitting samples through the artificial aging process (Q-sun Xenon Test Chamber, 102 min light at 63°C black panel temperature; 18 min light and water spray per ASTM G155) for a total of 300 hours (12.5 days). The total color difference (ΔE*ab) was calculated using SpectraMagic NX software and analyzed using one-way analysis of variance and Tukey test. The results for color change (ΔE*ab) were statistically significant. Omnichroma and Venus Pearl presented superior color stability and the lowest overall color change, whereas GC Kalore and Harmonize presented significant color change that would be considered clinically unacceptable (ΔE*ab > 3.3).
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Lleras-Forero L, Winkler C, Schulte-Merker S. Zebrafish and medaka as models for biomedical research of bone diseases. Dev Biol 2019; 457:191-205. [PMID: 31325453 DOI: 10.1016/j.ydbio.2019.07.009] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Accepted: 07/13/2019] [Indexed: 12/17/2022]
Abstract
The identification of disease-causing mutations has in recent years progressed immensely due to whole genome sequencing approaches using patient material. The task accordingly is shifting from gene identification to functional analysis of putative disease-causing genes, preferably in an in vivo setting which also allows testing of drug candidates or biotherapeutics in whole animal disease models. In this review, we highlight the advances made in the field of bone diseases using small laboratory fish, focusing on zebrafish and medaka. We particularly highlight those human conditions where teleost models are available.
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Affiliation(s)
- L Lleras-Forero
- Institute for Cardiovascular Organogenesis and Regeneration, Faculty of Medicine, WWU Münster, Mendelstrasse 7, 48149 Münster, Germany; CiM Cluster of Excellence (EXC-1003-CiM), Münster, Germany.
| | - C Winkler
- Department of Biological Sciences and Centre for Bioimaging Sciences, National University of Singapore, 14 Science Drive 04, 117558 Singapore
| | - S Schulte-Merker
- Institute for Cardiovascular Organogenesis and Regeneration, Faculty of Medicine, WWU Münster, Mendelstrasse 7, 48149 Münster, Germany; CiM Cluster of Excellence (EXC-1003-CiM), Münster, Germany.
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Ungethüm K, Jolink M, Hippich M, Lachmann L, Haupt F, Winkler C, Hummel S, Pitchika A, Kordonouri O, Ziegler AG, Beyerlein A. Physical activity is associated with lower insulin and C-peptide during glucose challenge in children and adolescents with family background of diabetes. Diabet Med 2019; 36:366-375. [PMID: 30242901 DOI: 10.1111/dme.13819] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/19/2018] [Indexed: 01/03/2023]
Abstract
AIMS Children and adolescents with a family history of diabetes are at increased risk of overweight, but little is known about the potentially beneficial effects of physical activity on these children. The objective of this study was to investigate the association between moderate to vigorous physical activity (MVPA) and metabolic and inflammatory risks in children and adolescents with a family background of Type 1 diabetes or gestational diabetes. METHODS Valid MVPA measurements, made with accelerometers, were available from 234 participants (median age, 10.2 years) who had a first-degree relative with either Type 1 or gestational diabetes. Anthropometric and metabolic measurements were made and cytokines measured, and were correlated with MVPA measurements, with stepwise adjustment for confounding factors, in a cross-sectional analysis. RESULTS MVPA was negatively associated with insulin and C-peptide during challenge with an oral glucose tolerance test. MVPA was also significantly positively associated with the insulin sensitivity index, whereas no consistently significant associations were found between MVPA and BMI, blood pressure or cytokine levels. DISCUSSION Our findings indicate that physical activity may have beneficial effects on insulin and C-peptide metabolism in children and adolescents with a family background of diabetes, but show no evidence of a protective association with other health-related outcomes.
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Affiliation(s)
- K Ungethüm
- Institute of Diabetes Research, Helmholtz Zentrum München, Neuherberg and Forschergruppe Diabetes der Technischen Universität München, Munich
| | - M Jolink
- Institute of Diabetes Research, Helmholtz Zentrum München, Neuherberg and Forschergruppe Diabetes der Technischen Universität München, Munich
| | - M Hippich
- Institute of Diabetes Research, Helmholtz Zentrum München, Neuherberg and Forschergruppe Diabetes der Technischen Universität München, Munich
| | - L Lachmann
- Institute of Diabetes Research, Helmholtz Zentrum München, Neuherberg and Forschergruppe Diabetes der Technischen Universität München, Munich
| | - F Haupt
- Institute of Diabetes Research, Helmholtz Zentrum München, Neuherberg and Forschergruppe Diabetes der Technischen Universität München, Munich
| | - C Winkler
- Institute of Diabetes Research, Helmholtz Zentrum München, Neuherberg and Forschergruppe Diabetes der Technischen Universität München, Munich
- Forschergruppe Diabetes e.V. am Helmholtz Zentrum München, Neuherberg
| | - S Hummel
- Institute of Diabetes Research, Helmholtz Zentrum München, Neuherberg and Forschergruppe Diabetes der Technischen Universität München, Munich
- Forschergruppe Diabetes e.V. am Helmholtz Zentrum München, Neuherberg
| | - A Pitchika
- Institute of Diabetes Research, Helmholtz Zentrum München, Neuherberg and Forschergruppe Diabetes der Technischen Universität München, Munich
| | - O Kordonouri
- Kinder- und Jugendkrankenhaus AUF DER BULT, Hannover, Germany
| | - A-G Ziegler
- Institute of Diabetes Research, Helmholtz Zentrum München, Neuherberg and Forschergruppe Diabetes der Technischen Universität München, Munich
- Forschergruppe Diabetes e.V. am Helmholtz Zentrum München, Neuherberg
| | - A Beyerlein
- Institute of Diabetes Research, Helmholtz Zentrum München, Neuherberg and Forschergruppe Diabetes der Technischen Universität München, Munich
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Clark I, Gomes RL, Crawshaw C, Neve L, Lodge R, Fay M, Winkler C, Hull M, Lester E. Continuous synthesis of Zn2Al–CO3layered double hydroxides: a comparison of bench, pilot and industrial scale syntheses. REACT CHEM ENG 2019. [DOI: 10.1039/c8re00241j] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Zn2Al–CO3was produced continuously at bench (g h−1), pilot (100s g h−1) and industrial scale (10s kg h−1).
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Affiliation(s)
- I. Clark
- Advanced Materials Research Group
- Faculty of Engineering
- University of Nottingham
- Nottingham
- UK
| | - R. L. Gomes
- Food, Water, Waste Research Group
- Faculty of Engineering
- University of Nottingham
- Nottingham
- UK
| | | | - L. Neve
- Promethean Particles Ltd
- Nottingham
- UK
| | - R. Lodge
- Nanoscale and Microscale Research Centre
- The University of Nottingham
- Nottingham
- UK
| | - M. Fay
- Nanoscale and Microscale Research Centre
- The University of Nottingham
- Nottingham
- UK
| | - C. Winkler
- Nanoscale Characterization and Fabrication Laboratory
- Virginia Tech
- USA
| | - M. Hull
- Nanoscale Characterization and Fabrication Laboratory
- Virginia Tech
- USA
| | - E. Lester
- Advanced Materials Research Group
- Faculty of Engineering
- University of Nottingham
- Nottingham
- UK
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Winkler C. Healing by Qi - Sustainable Self-regulation. J Acupunct Meridian Stud 2018. [DOI: 10.1016/j.jams.2018.08.035] [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: 11/28/2022] Open
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Lange K, Achenbach P, Assfalg R, Bassy M, Bechthold-Dalla Pozza S, Böcker D, Braig S, Dietz B, Dunstheimer D, Eber S, Ermer U, Gavazzeni A, Gerstl EM, Götz M, Haupt F, Haus G, Heinrich M, Heublein A, Huhn F, Jolink M, Kick K, Knopff A, Koch C, Koch R, Kuhnle-Krahl U, Kriesen Y, Landendörfer W, Lang M, Laub O, Leipold G, Leppik KH, Müller H, Nellen-Hellmuth N, Ockert C, Raminger C, Renner C, Schulzik L, Sindichakis M, Tretter S, Warncke K, Winkler C, Zeller S, Ziegler AG, Müller I. Screening auf positive diabetes-spezifische Antikörper bei Kindern in Bayern (Fr1da-Projekt): psychische Folgen der Diagnose „früher Typ-1-Diabetes“ für Eltern. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641792] [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: 10/28/2022]
Affiliation(s)
- K Lange
- Medizinische Hochschule Hannover, Medizinische Psychologie, Hannover, Germany
| | - P Achenbach
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - R Assfalg
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - M Bassy
- Medizinische Hochschule Hannover, Medizinische Psychologie, Hannover, Germany
| | | | - D Böcker
- Klinikum Nürnberg, Nürnberg, Germany
| | - S Braig
- Klinikum Bayreuth, Bayreuth, Germany
| | - B Dietz
- Berufsverband der Kinder- und Jugendärzte e.V. Bayern, München, Germany
| | | | - S Eber
- Berufsverband der Kinder- und Jugendärzte e.V. Bayern, München, Germany
| | - U Ermer
- Kliniken St. Elisabeth, Neuburg/Donau, Germany
| | - A Gavazzeni
- Kinderarztpraxis Bogenhausen, München, Germany
| | - EM Gerstl
- Klinikum Dritter Orden, Passau, Germany
| | - M Götz
- Berufsverband der Kinder- und Jugendärzte e.V. Bayern, Elisabethszell, Germany
| | - F Haupt
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - G Haus
- PaedNetz Bayern e.V., München, Germany
| | - M Heinrich
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - A Heublein
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - F Huhn
- Medizinische Hochschule Hannover, Medizinische Psychologie, Hannover, Germany
| | - M Jolink
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - K Kick
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - A Knopff
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - C Koch
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - R Koch
- Leopoldina Hospital, Schweinfurt, Germany
| | | | - Y Kriesen
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - W Landendörfer
- Berufsverband der Kinder- und Jugendärzte e.V. Bayern, Nürnberg, Germany
| | - M Lang
- Berufsverband der Kinder- und Jugendärzte e.V. Bayern, Augsburg, Germany
| | - O Laub
- Berufsverband der Kinder- und Jugendärzte e.V. Bayern, Rosenheim, Germany
| | - G Leipold
- Berufsverband der Kinder- und Jugendärzte e.V. Bayern, Regensburg, Germany
| | - KH Leppik
- Berufsverband der Kinder- und Jugendärzte e.V. Bayern, Erlangen, Germany
| | - H Müller
- Klinikum Kempten, Kempten, Germany
| | | | - C Ockert
- RoMed Klinikum, Rosenheim, Germany
| | - C Raminger
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - C Renner
- Praxis Kinder- und Jugendmedizin, Deggendorf, Germany
| | - L Schulzik
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | | | | | - K Warncke
- Abteilung Pädiatrie, Klinikum rechts der Isar, München, Germany
| | - C Winkler
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - S Zeller
- Berufsverband der Kinder- und Jugendärzte e.V. Bayern, Kempten, Germany
| | - AG Ziegler
- Institut für Diabetesforschung, Helmholtz Zentrum München, München, Germany
| | - I Müller
- Medizinische Hochschule Hannover, Medizinische Psychologie, Hannover, Germany
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Abstract
Es wird ein Computer-Verfahren beschrieben, das auf der Basis eines verallgemeinerten Bayes’schen Theorems eine Artdiagnostik von hirnorganischen Prozessen ermöglicht ; dabei können Abhängigkeiten unter den Symptomen explizite Berücksichtigung finden.Aufgrund der programmtechnischen Konzeption, allediagnosespezifischen Eigenschaften durch ein besonderes Generatorprogramm mittels eines Masterstapels in den Kalkül einzubringen, entstand ein sehr anpassungsfähiges Diagnostik-Programm, das ohne weiteres auch in anderen medizinischen Bereichen zur Anwendung gelangen kann.Geeignete Satelliten-Programme erleichtern die Durchführung statistischer Analysen bzw. wirken in Rückkoppelung auf die Inzidenzmatrizen ein, welche die Grundlage der wahrscheinlichkeitstheoretischen Auswertung sind. Dadurch erhält das Programm eine lernende Struktur. Bereits jetzt führen die Berechnungen in ca. 90% der untersuchten Fälle zu befriedigenden Resultaten, obwohl die pro-grammtechnischen Möglichkeiten wegen z.T. noch unzulänglicher statistischer Unterlagen bislang nicht voll ausgeschöpft werden konnten.
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Bockisch A, Oehr P, Knoblich A, Hartlapp J, Biltz H, Jaeger N, Bellmann O, Vogel J, Björklund B, Taylor-Papadimitriou J, Winkler C, Biersack HJ. Clinical Results of Immunoscintigraphy in a Variety of Malignant Tumors with Special Reference to Immunohistochemistry. Nuklearmedizin 2018. [DOI: 10.1055/s-0038-1624336] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Radioimmunoscintigraphy was performed in 52 patients with a variety of malignant tumors (colorectal, melanoma, lung, testicular, ovarian, bladder, carcinoid). Respective antibodies or their F(ab’)2 fragments against CEA (n = 23), melanoma antigen 225.28 S (n = 18), TPA (n = 4), ßHCG (n = 5) and HMFG2 (n = 2) were selected by immunohistochemistry of the primary tumor. Most patients were suspected of recurrence or of hitherto unknown distant or local metastases. Overall accuracy was 61 % (32/52). False negatives amounted to 33% (17/52). Useful additional clinical information – not available by CT, ultrasonics or serum levels of tumor markers – was obtained in 17 out of 52 patients (= 33%). From these results it seems obvious that antibodies used for radioimmunoscintigraphy should be selected on the basis of immunohistochemistry.
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Biersack HJ, Lackner K, Machulla HJ, Kiiopp R, Hahn N, Winkler C, Reske SN. Assessment of Regional Myocardial Uptake and Metabolism of ω-(p-123I-Phenyl) Pentadecanoic Acid with Serial Single-Photon Emission Tomography. Nuklearmedizin 2018. [DOI: 10.1055/s-0037-1620588] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
The utility of myocardial imaging and assessment of regional myocardial metabolism of ω-(123I-paraphenyl-)pen-tadecanoic acid (I-PPA) by means of serial single-photon tomography is demonstrated in animal experiments. High quality cross sectional images of dog hearts with clear delineation of left ventricular walls are obtained. Myocardial infarcts are visualized as areas of deficient radioactivity uptake. I-PPA elimination from non-infarcted myocardial regions is significantly (p < 0.001) prolonged when compared with unaffected controls. Hence, not only localized absence of uptake of free fatty acid by infarcted myocardium can be demonstrated with serial single-photon tomography but also general impairment of cardiac FFA-metabolism.
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Schön S, Knust EJ, Machulla HJ, Eichelkraut W, Hahn N, Winkler C, Reske SN. Relation of Myocardial Blood Flow and Initial Cardiac Uptake of 15-(p-123I-Phenyl)-Pentadecanoic Acid in the Canine Heart. Nuklearmedizin 2018. [DOI: 10.1055/s-0038-1624199] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
SummaryIn 8 pentobarbital-anaesthetized mongrel dogs the correlation between regional myocardial blood flow (RMBF) and regional cardiac uptake of 15-(p-123I-phenyl)-pentadecanoic acid (IPPA) was determined. Three animals were studied under control conditions, in three dogs an acute ischemia was produced by LAD ligation, and two dogs were paced at 195 beats/min. RMBF values were 20–50 ml/min-100 g in acutely ischemic myocardium. 90–120 ml/ min·100 g under normal conditions and 200–250 ml/min·100 g during pacing-induced stimulation. Total cardiac uptake of IPPA was 4.5–6% of the injected dose. In normal and acutely ischemic myocardium a good correlation between RMBF and IPPA uptake was obtained. Under stimulated conditions only a moderate increase of IPPA accumulation was found. At RMBF values above 150–170 ml/ min·100 g an upper limit of IPPA uptake was observed and can be explained by limited diffusion or an increased utilization of alternative substrates.
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14
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Helpap B, Koch U, Janson R, Baumgarten C, Winkler C, Biersack HJ. Should Treatment of Highly Differentiated Thyroid Carcinoma Be Conservative? Nuklearmedizin 2018. [DOI: 10.1055/s-0037-1620594] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
On the basis of three selected cases (one with clinically occult follicular and two with metastatic papillary carcinoma) the necessity of a comprehensive therapeutic concept even in highly differentiated thyroid cancer is stressed. Thyroid tissue and regional metastases should be eliminated by surgery, followed by radioiodine therapy in any event. Radiation teletherapy should be reserved to patients with invasive tumor growth exceeding the organ capsule, with lymph node metastases, and with massive angioinvasive growth.
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Alheit H, Oehme L, Winkler C, Füchtner F, Hoepping A, Grabowski J, Kotzerke J, Beuthien-Baumann B. Radiation treatment planning in brain tumours. Nuklearmedizin 2018. [DOI: 10.3413/nukmed-0171] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Summary
Aim: Amino acid PET has become an important diagnostic tool for brain tumour imaging. In this data analysis, the potential impact of amino acid PET with 3-O-methyl- 6-[18F]fluoro-L-DOPA ([18F]OMFD) on radiation treatment planning is addressed by the following questions: 1. Was tumour tissue identified with OMFD-PET which was not covered by the conventionally derived planning target volume (PTV)? 2. Would the PTV have been changed incorporating OMFD-PET? Patients, methods: OMFD-PET of 25 patients after subtotal resection of malignant glioma was evaluated. The region of elevated tracer uptake of PET and of contrast enhancing masses on MRI were outlined as separate gross tumour volumes (GTVMRI and GTVOMFD) and reconstructed in the planning CT for comparison with the conventionally drawn GTVconv. A PTVnew based on GTVconv+MRI was calculated. Pairwise differential volumes were calculated to estimate overlap and differential volumes delineation by each image modality and the PTVconv and PTVnew respectively. Results: Differential volume analysis showed > 10 cm3 of GTVOMFD outside GTVconv and GTVMRI in 5/25 patients respectively. From GTVMRI >10 cm3 were found outside GTVOMFD in 8/25 patients. Although all tumour areas indicated by [18F]OMFD were covered by the conventionally derived PTV, based on a GTVOMFD+MRI, the PTVnew would have been enlarged >20% in seven patients. In seven patients the PTVnew would have been reduced. Conclusion: OMFD-PET indicated tumour tissue outside the tumour region identified with MRI, adding valuable information for the delineation of the GTV in radiation treatment planning. OMFD-PET contains the potential to tailor the high dose radiation to the appropriate tumour volume, especially if dose escalation is desired.
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Linden K, Winkler C, Breuer J, Herberg U. Pressure-Volume Relations in Patients with Single Ventricle: Feasibility and Comparison of Obtainment by 3D-Real Time Echocardiography and Mini Pressure-Wire with Conductance Technology. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628311] [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: 10/28/2022]
Affiliation(s)
- K. Linden
- Kinderkardiologie, Universitätsklinikum Bonn, Bonn, Germany
| | - C. Winkler
- Kinderkardiologie, Universitätsklinikum Bonn, Bonn, Germany
| | - J. Breuer
- Kinderkardiologie, Universitätsklinikum Bonn, Bonn, Germany
| | - U. Herberg
- Kinderkardiologie, Universitätsklinikum Bonn, Bonn, Germany
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17
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Abstract
Zusammenfassung
Hintergrund: Die Bestimmung der D-Dimerkonzentration ist unverzichtbarer Bestandteil der Diagnostik thromboembolischer Erkrankungen (z. B. Beinvenenthrombosen, Lungenembolien). D-Dimere sind als Spaltprodukte des Fibrins bei fibrinolytischen Prozessen im Rahmen der reaktiven Fibrinolyse nach thrombotischen Prozessen nachweisbar. Fragestellung: In der klinischen Praxis bestehen immer wieder Probleme bei der Interpretation erhöhter D-Dimerkonzentrationen, vor allem, wenn keine thromboembolische Erkrankung vorliegt. Vor der Einleitung einer weiterführenden (meist bildgebenden) Diagnostik sollen andere Ursachen für die erhöhten D-Dimerwerte (z. B. Schwangerschaft, Tumorerkrankung, systemische entzündliche Erkrankung, fortgeschrittene Arteriosklerose) differenzialdiagnostisch berücksichtigt werden. Zusammenfassung: Die Bestimmung des D-Dimerkonzentration muss zielgerichtet bei thromboembolischen Erkrankungen erfolgen. Der Parameter ist jedoch ungeeignet als Screening-Verfahren im Rahmen der klinischen Routine. Gesichert ist sein hoher prädiktiv-negativer Wert zum Ausschluss einer Thrombose bzw. Lungenembolie bei negativem Testergebnis. Zahlreiche weitere Erkrankungen oder physiologische Zustände führen ebenfalls zu erhöhter D-Dimerkonzentration, so dass ein positiver D-Dimer-Test nicht die Basis zur Diagnose einer Thromboembolie sein darf.
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18
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Winkler C, Ferdous F, Dimmick M, Scott T. Lipopolysaccharide induced Interleukin-6 production is mediated through activation of ERK 1/2, p38 MAPK, MEK, and NFκB in chicken thrombocytes. Dev Comp Immunol 2017; 73:124-130. [PMID: 28344171 DOI: 10.1016/j.dci.2017.03.017] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2017] [Revised: 03/21/2017] [Accepted: 03/21/2017] [Indexed: 06/06/2023]
Abstract
Thrombocytes express Toll-like receptor 4 and apparently use both mitogen-activated protein kinase (MAPK) and nuclear factor kappa-light-chain-enhancer of activated B cells (NFKB) pathways for nuclear signaling. However, it is not well known if the same enzyme systems found in mammalian cells are fully functional in chickens. Therefore, kinase inhibitors were used with thrombocytes to block kinases in lipopolysaccharide (LPS) stimulated cells to determine if interleukin (IL)-6 expression and production would be diminished. Results demonstrated that extracellular-signal-regulated kinase (ERK)1/2 and p38 MAPK pathways influence gene expression of IL-6 through treatment with either ERK or p38 MAPK inhibitor. In addition, thrombocyte lysates from cells treated with ERK, p38, mitogen-activated protein kinase kinase (MEK)1/2 and inhibitor of nuclear factor kappa-B kinase (IKK) inhibitor showed different levels of the phosphorylated form of ERK1/2, p38 and NFκB. Furthermore, IL-6 gene expression and production were significantly upregulated in LPS stimulated thrombocytes relative to all inhibitor-treated cells.
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Affiliation(s)
- C Winkler
- Department of Biological Sciences, College of Agriculture, Forestry and Life Sciences, Clemson University, United States
| | - F Ferdous
- Department of Animal and Veterinary Sciences, College of Agriculture, Forestry and Life Sciences, Clemson University, United States
| | - M Dimmick
- Department of Animal and Veterinary Sciences, College of Agriculture, Forestry and Life Sciences, Clemson University, United States
| | - T Scott
- Department of Animal and Veterinary Sciences, College of Agriculture, Forestry and Life Sciences, Clemson University, United States.
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Abstract
Nonmammalian vertebrates have the capacity of lifelong tooth replacement. In all vertebrates, tooth formation requires contact and interaction between the oral or pharyngeal epithelium and the underlying mesenchyme. To secure lifelong replacement, the presence of odontogenic stem cells has been postulated, particularly in the epithelial compartment. This study uses an advanced teleost fish species, the marine medaka Oryzias melastigma, a close relative to Oryzias latipes, to examine the expression and distribution of telomerase reverse transcriptase (Tert), the catalytic unit of telomerase, in developing pharyngeal teeth and to relate these data to the proliferative activity of the cells. The data are complemented by expression analysis of the pluripotency marker oct4 and bona fide stem cell marker lgr5. Tert distribution and tert expression in developing tooth germs show a dynamic spatiotemporal pattern. Tert is present first in the mesenchyme but is downregulated as the odontoblasts differentiate. In contrast, in the epithelial enamel organ, Tert is absent during early stages of tooth formation and upregulated first in ameloblasts. Later, Tert is expressed and immunolocalized throughout the entire inner enamel epithelium. The pattern of Tert distribution is largely mutually exclusive with that of proliferating cell nuclear antigen (PCNA) immunoreactivity: highly proliferative cells, as revealed by PCNA staining, are negative for Tert; conversely, PCNA-negative cells are Tert-positive. Only the early condensed mesenchyme is both Tert- and PCNA-positive. The absence of tert-positive cells in the epithelial compartment of early tooth germs is underscored by the absence of oct4- and lgr5-positive cells, suggesting ways other than stem cell involvement to secure continuous renewal.
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Affiliation(s)
- W H Tan
- 1 Department of Biological Sciences, National University of Singapore, Singapore and NUS Centre for Bioimaging Sciences (CBIS), Singapore
| | - P E Witten
- 2 Research Group Evolutionary Developmental Biology, Biology Department, Ghent University, Ghent, Belgium
| | - C Winkler
- 1 Department of Biological Sciences, National University of Singapore, Singapore and NUS Centre for Bioimaging Sciences (CBIS), Singapore
| | - D W T Au
- 3 State Key Laboratory in Marine Pollution, Department of Biology and Chemistry, City University of Hong Kong, Tat Chee Avenue, Hong Kong
| | - A Huysseune
- 2 Research Group Evolutionary Developmental Biology, Biology Department, Ghent University, Ghent, Belgium
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20
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Kick K, Assfalg R, Bechtold-Dalla Pozza S, Böcker D, Braig S, Dunstheimer D, Engelsberger I, Ermer U, Gavazzeni A, Gerstl EM, Haupt F, Knopff A, Koch R, Kuhnle-Krahl U, Lang M, Laub O, Maison N, Müller H, Nellen-Hellmuth N, Ockert C, Renner C, Schmidt SC, Sindichakis M, Tretter S, Winkler C, Warncke K, Achenbach P, Ziegler AG. Fr1da study at half time: screening for early stage type 1 diabetes in more than 50000 children aged from 2 to 5 years. DIABETOL STOFFWECHS 2017. [DOI: 10.1055/s-0037-1601588] [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: 10/19/2022]
Affiliation(s)
- K Kick
- Institute of Diabetes Research, Helmholtz-Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, München, Germany
| | - R Assfalg
- Institute of Diabetes Research, Helmholtz-Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, München, Germany
| | | | - D Böcker
- Klinikum Nürnberg, Nürnberg, Germany
| | - S Braig
- Klinikum Bayreuth, Bayreuth, Germany
| | | | - I Engelsberger
- Department of Pediatrics, Klinikum rechts der Isar, Technische Universität München, München, Germany
| | - U Ermer
- Kliniken St. Elisabeth, Neuburg/Donau, Germany
| | - A Gavazzeni
- Kinderarzt Praxis Bogenhausen, München, Germany
| | - EM Gerstl
- Klinikum Dritter Orden, Passau, Germany
| | - F Haupt
- Institute of Diabetes Research, Helmholtz-Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, München, Germany
| | - A Knopff
- Institute of Diabetes Research, Helmholtz-Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, München, Germany
| | - R Koch
- Leopoldina Hospital, Schweinfurt, Germany
| | | | - M Lang
- Berufsverband der Kinder- und Jugendärzte e.V., Landesverband Bayern, Augsburg, Germany
| | - O Laub
- PaedNetz Bayern e.V., Rosenheim, Germany
| | - N Maison
- Institute of Diabetes Research, Helmholtz-Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, München, Germany
| | - H Müller
- Klinikum Kempten, Kempten, Germany
| | | | - C Ockert
- RoMed Klinikum Rosenheim, Rosenheim, Germany
| | - C Renner
- Praxis für Kinder- und Jugendmedizin, Deggendorf, Germany
| | | | | | | | - C Winkler
- Institute of Diabetes Research, Helmholtz-Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, München, Germany
| | - K Warncke
- Institute of Diabetes Research, Helmholtz-Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, München, Germany
| | - P Achenbach
- Institute of Diabetes Research, Helmholtz-Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, München, Germany
| | - AG Ziegler
- Institute of Diabetes Research, Helmholtz-Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, München, Germany
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21
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Jolink M, Huang D, Haupt F, Winkler C, Smith M, Ziegler AG, Beyerlein A. Untersuchung der körperlichen Aktivität bei Kindern mit erhöhtem genetischen Risiko für Typ 1 Diabetes. DIABETOL STOFFWECHS 2017. [DOI: 10.1055/s-0037-1601590] [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: 10/19/2022]
Affiliation(s)
- M Jolink
- Helmholtz Zentrum München, Institut für Diabetesforschung, München, Germany
| | - D Huang
- Helmholtz Zentrum München, Institut für Diabetesforschung, München, Germany
| | - F Haupt
- Helmholtz Zentrum München, Institut für Diabetesforschung, München, Germany
| | - C Winkler
- Helmholtz Zentrum München, Institut für Diabetesforschung, München, Germany
| | - M Smith
- Helmholtz Zentrum München, Institut für Epidemiologie 1, München, Germany
| | - AG Ziegler
- Helmholtz Zentrum München, Institut für Diabetesforschung, München, Germany
| | - A Beyerlein
- Helmholtz Zentrum München, Institut für Diabetesforschung, München, Germany
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22
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Malmhäll C, Johansson K, Winkler C, Alawieh S, Ekerljung L, Rådinger M. Altered miR-155 Expression in Allergic Asthmatic Airways. Scand J Immunol 2017; 85:300-307. [PMID: 28199728 DOI: 10.1111/sji.12535] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Accepted: 02/09/2017] [Indexed: 01/19/2023]
Abstract
We and others have previously identified microRNAs (miRNAs) with pathological roles in animal models of asthma, where miR-146a and miR-155 have been described to play important roles in inflammatory responses. To date, few studies have investigated miRNA expression in human asthmatics. In the current study, significantly lower levels of miR-155 were detected in cell-free sputum from allergic asthmatics compared to healthy controls. Induced sputum isolated from allergic asthmatics in and out of pollen season revealed that miR-155 expression, but not miR-146a, is reduced in lymphocytes in season compared to post-season. In contrast, miR-155 was found to increase, whereas miR-146a decreased in PBMCs and cell-free PBMC culture media upon T cell receptor stimulation via αCD3/CD28 in both allergic asthmatics and healthy controls. Our findings suggest that miR-155 is differentially expressed ex vivo in airways of allergic asthmatics compared to healthy controls, which may have implications in the local immune response in allergic asthma.
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Affiliation(s)
- C Malmhäll
- Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - K Johansson
- Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | | | - S Alawieh
- Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - L Ekerljung
- Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - M Rådinger
- Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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23
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Goldschmidt F, Linden K, Winkler C, Laser K, Dalla-Pozza R, Herberg U. Left Atrial Pediatric Reference Volumes Using Real-Time 3D-Echocardiography. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1599002] [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)
| | | | | | - K.T. Laser
- Herz- und Diabeteszentrum NRW, Bad Oeynhausen, Germany
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24
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Winkler C, Linden K, Schultz T, Breuer J, Herberg U. Data-Driven Decision Support for the Diagnosis and Prognosis of Critical Heart Failures Based on 3D Echocardiography Data. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598980] [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)
- C. Winkler
- Department of Pediatric Cardiology, Universitätskinderklinik Bonn, Bonn, Germany
| | - K. Linden
- Department of Pediatric Cardiology, Universitätskinderklinik Bonn, Bonn, Germany
| | - T. Schultz
- Institute of Computer Science II, University of Bonn, Bonn, Germany
| | - J. Breuer
- Department of Pediatric Cardiology, Universitätskinderklinik Bonn, Bonn, Germany
| | - U. Herberg
- Department of Pediatric Cardiology, Universitätskinderklinik Bonn, Bonn, Germany
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Abstract
Small teleost fish such as zebrafish and medaka are increasingly studied as models for human skeletal diseases. Efficient new genome editing tools combined with advances in the analysis of skeletal phenotypes provide new insights into fundamental processes of skeletal development. The skeleton among vertebrates is a highly conserved organ system, but teleost fish and mammals have evolved unique traits or have lost particular skeletal elements in each lineage. Several unique features of the skeleton relate to the extremely small size of early fish embryos and the small size of adult fish used as models. A detailed analysis of the plethora of interesting skeletal phenotypes in zebrafish and medaka pushes available skeletal imaging techniques to their respective limits and promotes the development of new imaging techniques. Impressive numbers of zebrafish and medaka mutants with interesting skeletal phenotypes have been characterized, complemented by transgenic zebrafish and medaka lines. The advent of efficient genome editing tools, such as TALEN and CRISPR/Cas9, allows to introduce targeted deficiencies in genes of model teleosts to generate skeletal phenotypes that resemble human skeletal diseases. This review will also discuss other attractive aspects of the teleost skeleton. This includes the capacity for lifelong tooth replacement and for the regeneration of dermal skeletal elements, such as scales and fin rays, which further increases the value of zebrafish and medaka models for skeletal research.
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Affiliation(s)
| | - M P Harris
- Harvard Medical School, Boston, MA, United States
| | | | - C Winkler
- National University of Singapore, Singapore, Singapore
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26
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Südmeyer M, Ebersbach G, Holtmann M, Jost W, Odin P, Schrader C, Winkler C. [Practical Use of the Levodopa Pump]. Fortschr Neurol Psychiatr 2016; 84:404-10. [PMID: 27471998 DOI: 10.1055/s-0042-104503] [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] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Patients with advanced Parkinson's disease and motor complications undergoing optimized oral therapy can significantly benefit from continuous intrajejunal levodopa/carbidopa infusion applied by means of a medication pump. However, this requires a correctly positioned PEG-J tube and finely adjusted pump settings. Although this method is a routine procedure in specialist centers, no standard procedure has been defined up to now. For this reason, an expert recommendation regarding the practical application has been developed in order to standardize the procedure and facilitate patient access to this treatment option.
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Affiliation(s)
- M Südmeyer
- Heinrich-Heine-Universität, Medizinische Fakultät, Neurologische Klinik
| | - G Ebersbach
- Neurologisches Fachkrankenhaus für Bewegungsstörungen/Parkinson, Kliniken Beelitz
| | - M Holtmann
- Medizinische Klinik I, Klinikum Bremerhaven Reinkenheide
| | - W Jost
- Parkinson-Klinik Ortenau, Wolfach
| | - P Odin
- Neurologische Klinik, Klinikum Bremerhaven Reinkenheide
| | - C Schrader
- Klinik für Neurologie, Medizinische Hochschule Hannover
| | - C Winkler
- Klinik für Neurologie, Krankenhaus Lindenbrunn, Coppenbrügge
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27
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Walther D, Eugster A, Jergens S, Gavrisan A, Weinzerl C, Telieps T, Winkler C, Ziegler AG, Bonifacio E. Tetraspanin 7 is a novel autoantigen in type 1 diabetes. DIABETOL STOFFWECHS 2016. [DOI: 10.1055/s-0036-1584103] [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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28
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Winkler C, Laimighofer M, Haupt F, D'Orlando O, Jergens S, Scholz M, Krumsiek J, Achenbach P, Ziegler AG. Die Messung von Serumzytokinkonzentrationen verbessert die Stratifizierung der Progressionsrate zum klinisch manifesten Typ 1 Diabetes bei Inselautoantikörper-positiven Kindern. DIABETOL STOFFWECHS 2016. [DOI: 10.1055/s-0036-1584095] [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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29
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Heinrich M, Haupt F, Winkler C, Jergens S, Endesfelder D, Becker P, Antl N, Warncke K, Achenbach P, Ziegler AG. Heterogeneity of young patients with new-onset diabetes mellitus. DIABETOL STOFFWECHS 2016. [DOI: 10.1055/s-0036-1584097] [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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30
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Lingor P, Csoti I, Koschel J, Schrader C, Winkler C, Wolz M, Reichmann H. Der geriatrische Parkinson-Patient – eine neurologische Herausforderung. Fortschr Neurol Psychiatr 2016; 84 Suppl 1:S41-7. [DOI: 10.1055/s-0042-103585] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- P. Lingor
- Klinik für Neurologie, Universitätsmedizin Göttingen
| | - I. Csoti
- Gertrudis Klinik, Parkinson-Zentrum, Leun-Biskirchen
| | | | - C. Schrader
- Neurologische Klinik mit klinischer Neurophysiologie, Medizinische Hochschule Hannover
| | - C. Winkler
- Neurologische Klinik, Krankenhaus Lindenbrunn, Coppenbrügge
| | - M. Wolz
- Klinik für Neurologie und Geriatrie, ELBLANDKLINIKEN Meißen GmbH und Co KG, ELBLANDKLINIKUM Meißen, Meißen
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31
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Toncheva AA, Potaczek DP, Schedel M, Gersting SW, Michel S, Krajnov N, Gaertner VD, Klingbeil JM, Illig T, Franke A, Winkler C, Hohlfeld JM, Vogelberg C, von Berg A, Bufe A, Heinzmann A, Laub O, Rietschel E, Simma B, Genuneit J, Muntau AC, Kabesch M. Childhood asthma is associated with mutations and gene expression differences of ORMDL genes that can interact. Allergy 2015; 70:1288-99. [PMID: 26011647 DOI: 10.1111/all.12652] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/13/2015] [Indexed: 12/21/2022]
Abstract
BACKGROUND Genomewide association studies identified ORMDL3 as a plausible asthma candidate gene. ORMDL proteins regulate sphingolipid metabolism and ceramide homeostasis and participate in lymphocyte activation and eosinophil recruitment. Strong sequence homology between the three ORMDL genes and ORMDL protein conservation among different species suggest that they may have shared functions. We hypothesized that if single nucleotide polymorphisms (SNPs) in ORMDL3 alter its gene expression and play a role in asthma, variants in ORMDL1 and ORMDL2 might also be associated with asthma. METHODS Asthma associations of 44 genotyped SNPs were determined in at least 1303 subjects (651 asthmatics). ORMDL expression was evaluated in peripheral blood mononuclear cells (PBMC) from 55 subjects (eight asthmatics) before and after allergen stimulation, and in blood (n = 60, 5 asthmatics). Allele-specific cis-effects on ORMDL expression were assessed. Interactions between human ORMDL proteins were determined in living cells. RESULTS Sixteen SNPs in all three ORMDLs were associated with asthma (14 in ORMDL3). Baseline expression of ORMDL1 (P = 1.7 × 10(-6) ) and ORMDL2 (P = 4.9 × 10(-5) ) was significantly higher in PBMC from asthmatics, while induction of ORMDLs upon stimulation was stronger in nonasthmatics. Disease-associated alleles (rs8079416, rs4795405, rs3902920) alter ORMDL3 expression. ORMDL proteins formed homo- and heterooligomers and displayed similar patterns of interaction with SERCA2 and SPT1. CONCLUSIONS Polymorphisms in ORMDL genes are associated with asthma. Asthmatics exhibit increased ORMDL levels, suggesting that ORMDLs contribute to asthma. Formation of heterooligomers and similar interaction patterns with proteins involved in calcium homeostasis and sphingolipid metabolism could indicate shared biological roles of ORMDLs, influencing airway remodeling and hyperresponsiveness.
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Affiliation(s)
- A. A. Toncheva
- Department of Pediatric Pneumology and Allergy; University Children's Hospital Regensburg (KUNO); Regensburg Germany
- Department of Pediatric Pneumology, Allergy and Neonatology; Hannover Medical School; Hannover Germany
| | - D. P. Potaczek
- Department of Pediatric Pneumology, Allergy and Neonatology; Hannover Medical School; Hannover Germany
| | - M. Schedel
- Department of Pediatric Pneumology, Allergy and Neonatology; Hannover Medical School; Hannover Germany
- Department of Pediatrics; National Jewish Health; Denver CO USA
| | - S. W. Gersting
- Department of Molecular Pediatrics; Dr. von Hauner Children's Hospital; Ludwig-Maximilians-University; Munich Germany
| | - S. Michel
- Department of Pediatric Pneumology and Allergy; University Children's Hospital Regensburg (KUNO); Regensburg Germany
- Department of Pediatric Pneumology, Allergy and Neonatology; Hannover Medical School; Hannover Germany
| | - N. Krajnov
- Department of Pediatric Pneumology, Allergy and Neonatology; Hannover Medical School; Hannover Germany
| | - V. D. Gaertner
- Department of Pediatric Pneumology and Allergy; University Children's Hospital Regensburg (KUNO); Regensburg Germany
| | - J. M. Klingbeil
- Department of Molecular Pediatrics; Dr. von Hauner Children's Hospital; Ludwig-Maximilians-University; Munich Germany
| | - T. Illig
- Research Unit of Molecular Epidemiology; Helmholtz Zentrum Munich; Neuherberg Germany
- Hannover Unified Biobank; Hannover Medical School; Hannover Germany
| | - A. Franke
- Institute of Clinical Molecular Biology; Christian-Albrechts-University Kiel; Kiel Germany
| | - C. Winkler
- Department of Clinical Airway Research; Fraunhofer Institute for Toxicology and Experimental Medicine; Hannover Germany
- Department of Respiratory Medicine; Hannover Medical School; Hannover Germany
| | - J. M. Hohlfeld
- Department of Clinical Airway Research; Fraunhofer Institute for Toxicology and Experimental Medicine; Hannover Germany
- Department of Respiratory Medicine; Hannover Medical School; Hannover Germany
| | - C. Vogelberg
- University Children's Hospital; Technical University Dresden; Dresden Germany
| | - A. von Berg
- Research Institute for the Prevention of Allergic Diseases; Children's Department; Marien-Hospital; Wesel Germany
| | - A. Bufe
- Department of Experimental Pneumology; Ruhr-University; Bochum Germany
| | - A. Heinzmann
- University Children's Hospital; Albert Ludwigs University; Freiburg Germany
| | - O. Laub
- Kinder- und Jugendarztpraxis Laub; Rosenheim Germany
| | - E. Rietschel
- University Children's Hospital; University of Cologne; Cologne Germany
| | - B. Simma
- Children's Department; University Teaching Hospital; Landeskrankenhaus Feldkirch; Feldkirch Austria
| | - J. Genuneit
- Institute of Epidemiology and Medical Biometry; Ulm University; Ulm Germany
| | - A. C. Muntau
- University Children's Hospital; University Medical Center Hamburg Eppendorf; Hamburg Germany
| | - M. Kabesch
- Department of Pediatric Pneumology and Allergy; University Children's Hospital Regensburg (KUNO); Regensburg Germany
- Department of Pediatric Pneumology, Allergy and Neonatology; Hannover Medical School; Hannover Germany
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Gogol M, Dettmer-Flügge A, Winkler C. P-012: Double-knotted jejunal tube of a percutaneuos endoscopic jejunostomy. Eur Geriatr Med 2015. [DOI: 10.1016/s1878-7649(15)30115-7] [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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Winkler C, Yao S. The midkine family of growth factors: diverse roles in nervous system formation and maintenance. Br J Pharmacol 2014; 171:905-12. [PMID: 24125182 DOI: 10.1111/bph.12462] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2013] [Revised: 09/24/2013] [Accepted: 10/07/2013] [Indexed: 02/04/2023] Open
Abstract
UNLABELLED Midkines are heparin-binding growth factors involved in a wide range of biological processes. Originally identified as retinoic acid inducible genes, midkines are widely expressed during embryogenesis with particularly high levels in the developing nervous system. During postnatal stages, midkine expression generally ceases but is often up-regulated under disease conditions, most notably those affecting the nervous system. Midkines are known as neurotrophic factors, as they promote neurite outgrowth and neuron survival in cell culture. Surprisingly, however, mouse embryos deficient for midkine (knockout mice) are phenotypically normal, which suggests functional redundancy by related growth factors. During adult stages, on the other hand, midkine knockout mice develop striking deficits in neuroprotection and regeneration after drug-induced neurotoxicity and injury. The detailed mechanisms by which midkine controls neuron formation, differentiation and maintenance remain unclear. Recent studies in zebrafish and chick have provided important insight into the role of midkine and its putative receptor, anaplastic lymphoma kinase, in cell cycle control in the central and peripheral nervous systems. A recent structural analysis of zebrafish midkine furthermore revealed essential protein domains required for biological activity that serve as promising novel targets for future drug designs. This review will summarize latest findings in the field that help to better understand the diverse roles of midkine in nervous system formation and maintenance. LINKED ARTICLES This article is part of a themed section on Midkine. To view the other articles in this section visit http://dx.doi.org/10.1111/bph.2014.171.issue-4.
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Affiliation(s)
- C Winkler
- Department of Biological Sciences and Centre for BioImaging Sciences, National University of Singapore, Singapore
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Duma M, Herr A, Oechsner M, Kampfer S, Trott K, Winkler C, Molls M. Tangential Field Technique for Breast Cancer: The Dose to the Heart and Heart Subvolumes. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.802] [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: 11/25/2022]
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Koufany M, Gilardi F, Schiffrin M, Winkler C, Bianchi A, Jouzeau JY, Desvergne B, Moulin D. OP0174 Ppar Gamma Deficient Mice Develop Spontaneous Polyarthritis. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.3291] [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: 11/03/2022]
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Achenbach P, Winkler C, Haupt F, Beyerlein A, Ziegler AG. [Predisposition, early stages and phenotypes of type 1 diabetes]. Dtsch Med Wochenschr 2014; 139:1100-4. [PMID: 24823976 DOI: 10.1055/s-0034-1370059] [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: 10/25/2022]
Affiliation(s)
- P Achenbach
- Institut für Diabetesforschung, Helmholtz Zentrum München, Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München
| | - C Winkler
- Institut für Diabetesforschung, Helmholtz Zentrum München, Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München
| | - F Haupt
- Institut für Diabetesforschung, Helmholtz Zentrum München, Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München
| | - A Beyerlein
- Institut für Diabetesforschung, Helmholtz Zentrum München, Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München
| | - A-G Ziegler
- Institut für Diabetesforschung, Helmholtz Zentrum München, Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München
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Giannopoulou E, Beyerlein A, Winkler C, Achenbach P, Bonifacio E, Ziegler AG. Seroconversion incidence of high and low risk antibody phenotypes in genetically at-risk children for type 1 diabetes. DIABETOL STOFFWECHS 2014. [DOI: 10.1055/s-0034-1375061] [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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D'Orlando O, Puff R, Henniger A, Krause S, Haupt F, Kühn D, Winkler C, Bonifacio E, Ziegler AG. Immune status is associated with the mode of delivery in infants at increased risk for Type 1 Diabetes. DIABETOL STOFFWECHS 2014. [DOI: 10.1055/s-0034-1374887] [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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Chmiel R, Winkler C, Beyerlein A, Köhler M, Knopff A, Matzke C, Scholz M, Ziegler AG. Combined analysis of perinatal and infant risk factors for type 1 diabetes. DIABETOL STOFFWECHS 2014. [DOI: 10.1055/s-0034-1375059] [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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Beyerlein A, Schaller M, Winkler C, Strobl A, Ankerst D, Ziegler AG. Beeinflussen Impfungen das Risiko für die Entstehung von mit Typ-1-Diabetes assoziierten Autoantikörpern? DIABETOL STOFFWECHS 2014. [DOI: 10.1055/s-0034-1375060] [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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Kühn D, Heninger AK, Eugster A, Dietz S, Winkler C, Scholz M, Ziegler AG, Bonifacio E. Activation of autoreactive CD4+ T cells is synchronous to islet autoantibody seroconversion and shows an IFNγ signature. DIABETOL STOFFWECHS 2014. [DOI: 10.1055/s-0034-1375044] [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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Dunst J, Schreiber A, Zimmer J, Dinges S, Boicev A, Andreas P, Klug M, Winkler C, Krockenberger K, Dellas K. Adjuvant Hypofractionated Radiation Therapy With Simultaneous Boost After Breast-Conserving Therapy: First Results of a Multicentric Phase 2 Study. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.550] [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: 10/26/2022]
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Jost W, Südmeyer M, Winkler C. Kontinuierliche intestinale L-Dopa-Gabe und B-Vitamine: was ist zu beachten? Akt Neurol 2013. [DOI: 10.1055/s-0033-1347251] [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: 10/26/2022]
Affiliation(s)
- W. Jost
- Deutsche Klinik für Diagnostik, Wiesbaden
| | - M. Südmeyer
- Neurologische Universitätsklinik, Düsseldorf
| | - C. Winkler
- Neurologische Universitätsklinik, Freiburg i.Br
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Csoti I, Fogel W, Schade S, Schnitzler A, Südmeyer M, Winkler C, Winkler J. Schmerz bei Parkinson-Patienten. Akt Neurol 2013. [DOI: 10.1055/s-0033-1343339] [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: 10/26/2022]
Affiliation(s)
- I. Csoti
- Gertrudis Klinik Biskirchen, Parkinson-Zentrum
| | - W. Fogel
- Fachbereich Neurologie, Deutsche Klinik für Diagnostik Wiesbaden
| | - S. Schade
- Klinik für Klinische Neurophysiologie, Georg-August-Universität Göttingen
| | - A. Schnitzler
- Neurologische Klinik der Heinrich-Heine Universität - Bewegungsstörungen und Neuromodulation, Düsseldorf, Institut für klinische Neurowissenschaften und Medizinische Psychologie der Heinrich- Heine-Universität, Medizinische Fakultät, UKD, Düsseldorf
| | - M. Südmeyer
- Neurologische Klinik der Heinrich-Heine Universität - Bewegungsstörungen und Neuromodulation, Düsseldorf, Institut für klinische Neurowissenschaften und Medizinische Psychologie der Heinrich- Heine-Universität, Medizinische Fakultät, UKD, Düsseldorf
| | - C. Winkler
- Neurologische Universitätsklinik Freiburg sowie Krankenhaus Lindenbrunn, Coppenbrügge
| | - J. Winkler
- Molekular-Neurologische Abteilung, Universitätsklinikum Erlangen
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Lee HS, Briese T, Winkler C, Rewers M, Bonifacio E, Hyoty H, Pflueger M, Simell O, She JX, Hagopian W, Lernmark Å, Akolkar B, Krischer J, Ziegler AG. Next-generation sequencing for viruses in children with rapid-onset type 1 diabetes. Diabetologia 2013; 56:1705-1711. [PMID: 23657799 PMCID: PMC4019381 DOI: 10.1007/s00125-013-2924-y] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2013] [Accepted: 04/05/2013] [Indexed: 02/02/2023]
Abstract
AIMS/HYPOTHESIS Viruses are candidate causative agents in the pathogenesis of autoimmune (type 1) diabetes. We hypothesised that children with a rapid onset of type 1 diabetes may have been exposed to such agents shortly before the initiation of islet autoimmunity, possibly at high dose, and thus study of these children could help identify viruses involved in the development of autoimmune diabetes. METHODS We used next-generation sequencing to search for viruses in plasma samples and examined the history of infection and fever in children enrolled in The Environmental Determinants of Diabetes in the Young (TEDDY) study who progressed to type 1 diabetes within 6 months from the appearance of islet autoimmunity, and in matched islet-autoantibody-negative controls. RESULTS Viruses were not detected more frequently in plasma from rapid-onset patients than in controls during the period surrounding seroconversion. In addition, infection histories were found to be similar between children with rapid-onset diabetes and control children, although episodes of fever were reported less frequently in children with rapid-onset diabetes. CONCLUSIONS/INTERPRETATION These findings do not support the presence of viraemia around the time of seroconversion in young children with rapid-onset type 1 diabetes.
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Affiliation(s)
- H-S. Lee
- Pediatric Epidemiology Center, Department of Pediatrics, University of South Florida, Tampa, FL, USA
| | - T. Briese
- Center for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA
| | - C. Winkler
- Forschergruppe Diabetes e.V., Neuherberg, Germany
- Institute of Diabetes Research, Helmholtz Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, Ingolstädter Landstrasse 1, 85764, Neuherberg, Germany
| | - M. Rewers
- Barbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO, USA
| | - E. Bonifacio
- Center for Regenerative Therapies-Dresden, Dresden University of Technology, Dresden, Germany
| | - H. Hyoty
- Department of Virology, University of Tampere, Finland
| | - M. Pflueger
- Institute of Diabetes Research, Helmholtz Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, Ingolstädter Landstrasse 1, 85764, Neuherberg, Germany
| | - O. Simell
- Department of Pediatrics, Turku University Central Hospital, Turku, Finland
| | - J. X. She
- Center for Biotechnology and Genomic Medicine, Medical College of Georgia, Georgia Regents University, Augusta, GA, USA
| | - W. Hagopian
- Pacific Northwest Diabetes Research Institute, Seattle, WA, USA
| | - Å. Lernmark
- Department of Clinical Sciences, Lund University, Skåne University Hospital SUS, Malmö, Sweden
| | - B. Akolkar
- National Institute of Diabetes & Digestive & Kidney Disorders, Bethesda, MD, USA
| | - J. Krischer
- Pediatric Epidemiology Center, Department of Pediatrics, University of South Florida, Tampa, FL, USA
| | - A. G. Ziegler
- Forschergruppe Diabetes e.V., Neuherberg, Germany
- Institute of Diabetes Research, Helmholtz Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, Ingolstädter Landstrasse 1, 85764, Neuherberg, Germany
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Renne J, Hohlfeld JM, Hinrichs J, Schönfeld C, Gutberlet M, Winkler C, Faulenbach C, Jakob P, Krug N, Wacker F, Vogel-Claussen J. Funktionelle Analyse pulmonaler Inflammation nach endobronchialer Allergenprovokation mittels T1-mapping MRT. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346228] [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: 10/26/2022]
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Vogel-Claussen J, Renne J, Hinrichs J, Schönfeld C, Gutberlet M, Schaumann F, Winkler C, Faulenbach C, Krug N, Wacker F, Hohlfeld JM. Quantifizierung pulmonaler Inflammation nach endobronchialer Allergenprovokation mittels Turbo-Inversion Recovery-Magnitude (TIRM) MRT. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346280] [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: 10/26/2022]
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Weber K, Raab J, Haupt F, Aschermeier B, Wosch A, Ried C, Kordonouri O, Ziegler AG, Winkler C. Nährstoffzufuhr und Lebensmittelverzehr von 8 - 12-jährigen Teilnehmern der TEENDIAB-Studie: Haben Kinder mit erhöhtem Risiko für Typ 1 Diabetes ein verändertes Ernährungsverhalten? DIABETOL STOFFWECHS 2013. [DOI: 10.1055/s-0033-1341809] [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: 10/26/2022]
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Knopff A, Stock J, Achenbach P, Winkler C, Ziegler AG. 20 Jahre Geburtskohorte BABYDIAB/BABYDIÄT: Extrem hohe Erkrankungsrate bei Kindern mit positiven Inselautoantikörpern - Konsequenzen für die Diagnostik des Typ 1 Diabetes im frühen Krankheitsstadium. DIABETOL STOFFWECHS 2013. [DOI: 10.1055/s-0033-1341730] [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: 10/26/2022]
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Raab J, Haupt F, Kordonouri O, Scholz M, Wosch A, Ried C, Aschemeier B, Danne T, Ziegler AG, Winkler C. Kontinuierlicher Anstieg der Insulinresistenz vor und nach dem Beginn der Pubertät - Ergebnisse bei Kindern mit einem erhöhten Typ 1 Diabetes Risiko. DIABETOL STOFFWECHS 2013. [DOI: 10.1055/s-0033-1341852] [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: 10/26/2022]
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