Publications by authors named "Johannes Schwarz"

To improve the performance of valves in relation to the leakage rate, a comprehensive evaluation of the valve characteristics and behavior during pressure exposure is important. Often, these low gas flow rates below 0.1 cm/min cannot be accurately measured with conventional flow sensors.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to create a shorter version of the Progressive Supranuclear Palsy quality of life scale (PSP-QoL) to make it easier for patients, especially those with cognitive impairments, to complete.
  • Involved a retrospective analysis of data from 245 PSP patients in Germany, resulting in a condensed 12-item scale that covers mental and physical aspects of daily living.
  • The new scale, called the PSP-ShoQoL, showed strong correlations with existing measures of quality of life and demonstrated its sensitivity to changes over time.
View Article and Find Full Text PDF

Understanding patterns of species diversity is crucial for ecological research and conservation, and this understanding may be improved by studying patterns in the two components of species diversity, species richness and evenness of abundance of species. Variation in species richness and evenness has previously been linked to variation in total abundance of communities as well as productivity gradients. Exploring both components of species diversity is essential because these components could be unrelated or driven by different mechanisms.

View Article and Find Full Text PDF
Article Synopsis
  • Advanced Parkinson’s disease (PD) leads to disability fluctuations based on levodopa levels, causing OFF phases that worsen symptoms like tremors, pain, and depression.
  • Adjusting levodopa can help temporarily, but "on demand" therapies are increasingly necessary for quick relief.
  • Recent developments in on-demand treatments, especially sublingual apomorphine (SL-APO), are discussed, highlighting clinical trial results that show promise for managing PD fluctuations.
View Article and Find Full Text PDF

Background: Apomorphine sublingual film (SL-APO) is an on-demand treatment for OFF episodes in patients with Parkinson's disease (PD).

Objective: To assess the long-term (≥ 3 years) safety/tolerability and efficacy of SL-APO.

Methods: Study CTH-301 ( http://www.

View Article and Find Full Text PDF
Article Synopsis
  • Advanced therapies (ATs) like deep brain stimulation and pump therapies are used for advanced Parkinson's disease but may lose effectiveness or cause side effects, necessitating changes or combinations of treatments.
  • A nationwide study in Germany analyzed data from 22 centers to assess the effects and reasons for modifications in these ATs, using retrospective questionnaires to gather relevant clinical information since 2005.
  • Results showed that 148 modifications across 116 patients led to significant improvements in symptom control and reduced side effects, with the main reasons for changes being inadequate symptom management and side effects from previous treatments.
View Article and Find Full Text PDF
Article Synopsis
  • Progressive supranuclear palsy (PSP) patients, typically older adults, have a distinct pattern of health comorbidities and often take multiple medications compared to those without neurodegenerative diseases.
  • The study analyzed data from over 600 patients, revealing higher rates of circulatory and nervous system diseases in PSP patients, alongside increased occurrences of conditions like diabetes and polyneuropathies.
  • The PSP group showed significantly more polypharmacy, leading to a higher risk of severe drug interactions, highlighting the need for careful management of treatment in these patients.
View Article and Find Full Text PDF

Importance: Levodopa has a short half-life and a limited window of opportunity for absorption in the proximal small intestine. IPX203 is an oral, extended-release formulation of carbidopa-levodopa developed to address these limitations.

Objective: To assess the efficacy and safety of IPX203 vs immediate-release carbidopa-levodopa in patients with Parkinson disease who are experiencing motor fluctuations.

View Article and Find Full Text PDF

Nuclear pore complexes (NPCs) are embedded in the nuclear envelope and built from ∼30 different nucleoporins (Nups) in multiple copies, few are integral membrane proteins. One of these transmembrane nucleoporins, Ndc1, is thought to function in NPC assembly at the fused inner and outer nuclear membranes. Here, we show a direct interaction of Ndc1's transmembrane domain with Nup120 and Nup133, members of the pore membrane coating Y-complex.

View Article and Find Full Text PDF
Article Synopsis
  • Human fetal midbrain-derived dopamine neuronal precursor cells are being researched as a potential cell-based therapy for Parkinson's disease due to their ability to improve motor dysfunctions.
  • A phase I/IIa clinical trial involved 15 patients receiving varying doses of these cells, focusing on safety and therapeutic effectiveness over a 12-month period.
  • While significant motor improvements were noted in the treatment groups, these outcomes did not correlate strongly with dopamine transporter levels, indicating potential efficacy and safety of the treatment without serious complications.
View Article and Find Full Text PDF

Introduction: Advanced Parkinson's disease is characterized by motor and non-motor fluctuations to oral dopamine replacement therapy. The BALANCE study evaluated the clinical practice in Germany and Switzerland, when patients eligible for levodopa/carbidopa intestinal gel (LCIG) therapy decided to either switch to LCIG or to stay on optimized standard of care (SoC) oral therapy as a non-randomized regular clinical decision.

Methods: In this non-interventional, multicenter, prospective observational study, patients were recruited between 2015 and 2020.

View Article and Find Full Text PDF

Objective: In the present work, we aimed to investigate the expression of microRNAs (miRNAs) in routine colonic biopsies obtained from patients with idiopathic Parkinson's disease (PD) and to address their value as a diagnostic biomarker for PD and their mechanistic contribution to PD onset and progression.

Methods: Patients with PD (n = 13) and healthy controls (n = 17) were prospectively recruited to undergo routine colonic biopsies for cancer screening. Total RNA was extracted from the biopsy material and the expression of miRNAs was quantified by Illumina High-Throughput Sequencing.

View Article and Find Full Text PDF

Objective: To evaluate the frequency, type and indications of nasal turbinate (NT) resection during endoscopic, anterior skull base surgery and to analyze factors that may have an impact on the need of NT removal.

Methods: In this retrospective cohort study, 306 subjects (150 males and 156 females, mean age 55.4 ± 15.

View Article and Find Full Text PDF
Article Synopsis
  • Consecutive adult neurogenesis occurs in the V-SVZ, but its effects in areas like periventricular regions (PVRs) remain unclear, especially concerning dopamine's role in neural stem cell proliferation.
  • The study aimed to examine how chronic dopaminergic neurodegeneration impacts neurogenesis in the PVRs of the V-SVZ and mid/hindbrain using two different Parkinson’s disease mouse models.
  • Results showed that while overall neurogenesis in the V-SVZ remained unchanged, there was a reduction in specific activated neural stem cells, and no evidence supported increased stem cell activation in the mid/hindbrain PVRs following dopaminergic neurodegeneration.
View Article and Find Full Text PDF
Article Synopsis
  • * The occurrence of LID suggests that atypical Parkinson syndromes (APS) are less likely, but LID can still appear in some APS like MSA and PSP, albeit less often and in different forms.
  • * Overall, while LID suggests IPS, it doesn't reliably distinguish between IPS and APS.
View Article and Find Full Text PDF

Drug-induced Parkinsonism (DIP) represents the second most-frequent etiology of Parkinson syndromes after neurodegenerative disorders. It has been described mainly for antipsychotics, Ca-channel blockers, antiemetics, and gastrointestinal prokinetics. In this article, we present a clinical case series of 10 patients, retrieved within our movement disorders hospital, with DIP under intake of opipramol.

View Article and Find Full Text PDF

Genetic, epigenetic, and environmental factors contribute to the multifactorial disorder progressive supranuclear palsy (PSP). Here, we study epigenetic changes by genome-wide analysis of DNA from postmortem tissue of forebrains of patients and controls and detect significant (P < 0.05) methylation differences at 717 CpG sites in PSP vs.

View Article and Find Full Text PDF

Parkinson's disease (PD) is the second most common age-related neurodegenerative disease in the elderly and the patients suffer from uncontrolled movement disorders due to loss of dopaminergic (DA) neurons on substantia nigra pars compacta (SNpc). We previously reported that transplantation of human fetal midbrain-derived neural precursor cells restored the functional deficits of a 6-hydroxy dopamine (6-OHDA)-treated rodent model of PD but its low viability and ethical issues still remain to be solved. Albeit immune privilege and neural differentiation potentials suggest mesenchymal stem cells (MSCs) from various tissues including human placenta MSCs (hpMSCs) for an alternative source, our understanding of their therapeutic mechanisms is still limited.

View Article and Find Full Text PDF

The subthalamic nucleus (STN) plays a crucial role in the surgical treatment of Parkinson's disease (PD). Studies investigating optimal protocols for STN visualization using state of the art magnetic resonance imaging (MRI) techniques have shown that susceptibility weighted images, which display the magnetic susceptibility distribution, yield better results than T1-weighted, T2-weighted, and T2*-weighted contrasts. However, these findings are based on young healthy individuals, and require validation in elderly individuals and persons suffering from PD.

View Article and Find Full Text PDF

We have developed a good manufacturing practice for long-term cultivation of fetal human midbrain-derived neural progenitor cells. The generation of human dopaminergic neurons may serve as a tool of either restorative cell therapies or cellular models, particularly as a reference for phenotyping region-specific human neural stem cell lines such as human embryonic stem cells and human inducible pluripotent stem cells. We cultivated 3 different midbrain neural progenitor lines at 10, 12, and 14 weeks of gestation for more than a year and characterized them in great detail, as well as in comparison with Lund mesencephalic cells.

View Article and Find Full Text PDF

Background: Subthalamic deep brain stimulation (DBS) is a well-established treatment for patients with Parkinson's disease who suffer from severe motor fluctuations. The most common surgery-related complications are temporary confusion, bleedings, infections, and seizures. Seizures have been described to occur mainly around the time of the implantation of electrodes and, at present, the best established risk factors for seizures in association with DBS surgery are bleedings.

View Article and Find Full Text PDF

Singlet oxygen is generated by bacteriochlorophylls when light and oxygen are simultaneously present in Rhodobacter sphaeroides. Singlet oxygen triggers a specific response that is partly regulated by the alternative sigma factor RpoHI/HII. The sRNA RSs2461 has previously been identified as an RpoHI/HII-dependent sRNA and is derived from the 3' UTR of the mRNA for an OmpR-type transcriptional regulator.

View Article and Find Full Text PDF
Article Synopsis
  • A phase 2 clinical trial tested the drug AQW051, a nicotinic acetylcholine receptor α7 agonist, on patients with Parkinson's disease experiencing levodopa-induced dyskinesia.
  • The study involved 71 participants who were given either AQW051 (in two different doses) or a placebo for 28 days to assess changes in movement disorders.
  • Results showed that AQW051 did not lead to significant improvements in movement scores, although it was generally well tolerated with some common side effects.
View Article and Find Full Text PDF

We describe a method to genetically manipulate Chaetomium thermophilum, a eukaryotic thermophile, along with various biochemical applications. The transformation method depends on a thermostable endogenous selection marker operating at high temperatures combined with chromosomal integration of target genes. Our technique allows exploiting eukaryotic thermophiles as source for purifying thermostable native macromolecular complexes with an emphasis on the nuclear pore complex, holding great potential for applications in basic science and biotechnology.

View Article and Find Full Text PDF

Unlabelled: Brain perivascular cells have recently been identified as a novel mesodermal cell type in the human brain. These cells reside in the perivascular niche and were shown to have mesodermal and, to a lesser extent, tissue-specific differentiation potential. Mesenchymal stem cells (MSCs) are widely proposed for use in cell therapy in many neurological disorders; therefore, it is of importance to better understand the "intrinsic" MSC population of the human brain.

View Article and Find Full Text PDF