Publications by authors named "Almuth Friederike KeSSler"

Article Synopsis
  • About one third of adults with high-grade glioma experience common mental disorders, similar to general cancer patients, with a rate of 31% identified in the study.
  • Factors increasing the risk of psychiatric issues in these patients include being younger than 50, living alone, having stable disease, lower income, fatigue, and impaired cognitive function.
  • There were no significant differences in psychiatric comorbidity based on gender, tumor type, or time since diagnosis, emphasizing the need for clinicians to monitor mental health closely in vulnerable patients.
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Article Synopsis
  • - The study investigates the impact of mindfulness-based online yoga on emotional distress and quality of life for high-grade glioma patients and their caregivers compared to a waiting control group receiving standard care.
  • - Conducted as a multicentre randomized controlled trial, it involves an 8-week online yoga intervention alongside data collection for stress and anxiety using questionnaires and biological samples.
  • - The primary focus is on measuring anxiety levels, with additional outcomes including fear of disease progression, depression, and overall quality of life, aiming to determine if yoga leads to better mental health results compared to the control group.
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While glioblastoma (GBM) is still challenging to treat, novel immunotherapeutic approaches have shown promising effects in preclinical settings. However, their clinical breakthrough is hampered by complex interactions of GBM with the tumor microenvironment (TME). Here, we present an analysis of TME composition in a patient-derived organoid model (PDO) as well as in organotypic slice cultures (OSC).

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Article Synopsis
  • The CeTeG/NOA-09 trial found that combining CCNU with temozolomide significantly improved survival in newly diagnosed glioblastoma patients, increasing average survival from 31.4 months to 48.1 months.
  • A retrospective analysis of 70 patients receiving CCNU and temozolomide showed a median overall survival of 33.8 months and identified prolonged progression-free survival for those who also underwent TTFields treatment for at least eight weeks.
  • The study concluded that real-life outcomes for toxicity and survival are similar to the original trial, emphasizing that long-term TTFields therapy combined with CCNU and temozolomide is beneficial.
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Purpose: Glioma patients face a limited life expectancy and at the same time, they suffer from afflicting symptoms and undesired effects of tumor treatment. Apart from bone marrow suppression, standard chemotherapy with temozolomide causes nausea, emesis and loss of appetite. In this pilot study, we investigated how chemotherapy-induced nausea and vomiting (CINV) affects the patients' levels of depression and their quality of life.

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Glioblastoma multiforme (GBM) treatment consists of surgery, radiotherapy and chemotherapy with Temozolomide (TMZ). After subtotal resection (STR), residual tumors rarely undergo spontaneous regression. Overall survival (OS) and progression-free survival (PFS) are reduced when compared with gross total resection.

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Regulation of the host immune response serves a pivotal role in the persistence and progression of malignant glioma. To date, cytotoxic cluster of differentiation (CD)-8+ T and natural killer cells are considered the main cellular components of host tumor control. The influence of macrophages in an orthotropic C6 tumor implantation model was investigated and the aim of the present study was to characterize the effects of systemic macrophage-activation on glioma growth by using the granulocyte macrophage colony stimulating factor (rhGM-CSF).

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Tumors with histological features of pilocytic astrocytoma (PA), but with increased mitotic activity and additional high-grade features (particularly microvascular proliferation and palisading necrosis) have often been designated anaplastic pilocytic astrocytomas. The status of these tumors as a separate entity has not yet been conclusively demonstrated and molecular features have only been partially characterized. We performed DNA methylation profiling of 102 histologically defined anaplastic pilocytic astrocytomas.

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Background: Surgical resection of intra-axial tumors is a challenging procedure because of indistinct tumor margins, infiltration, and displacement of white matter tracts surrounding the lesion. Hence, gross total tumor resection without causing new neurologic deficits is demanding, especially in tumor sites adjoining eloquent structures. Feasibility of the combination of navigated probabilistic fiber tracking to identify eloquent fiber pathways and navigated ultrasonography to control brain shift was tested.

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The World Health Organization (WHO) classification and grading system attempts to predict the clinical course of meningiomas based on morphological parameters. However, because of high interobserver variation of some criteria, more reliable prognostic markers are required. Here, we assessed the TERT promoter for mutations in the hotspot regions C228T and C250T in meningioma samples from 252 patients.

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Background: Close relatives (CR) of patients with severe traumatic brain injury (TBI) and high-grade subarachnoid hemorrhage (SAH) suffer extraordinary distress during the treatment: Distress may lead to persisting mental illness symptoms within the spectrum of post-traumatic stress disorder (PTSD), anxiety disorders, and depression. The primary goal of this study was to determine the prevalence and severity of these symptoms in CR. The secondary goal was identification of associated factors.

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Background: The human endogenous retrovirus K (HERV-K) has been acquired by the genome of human ancestors million years ago. It is the most complete of the HERVs with transcriptionally active gag, pol and env genes. Splice variants of env, which are rec, 1.

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