Publications by authors named "Norbert Gerdes"

Background/objectives: Acute myocardial infarction (AMI), characterized by irreversible heart muscle damage and impaired cardiac function caused by myocardial ischemia, is a leading cause of global mortality. The damage associated with reperfusion, particularly mitochondrial dysfunction and reactive oxygen species (ROS) formation, has emerged as a crucial factor in the pathogenesis of cardiac diseases, leading to the recognition of mitochondrial proteins as potential markers for myocardial damage. This study aimed to identify differentially expressed proteins based on the type of cardiac injury, in particular those with and without reperfusion.

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Human monocytes can be subdivided into phenotypically and functionally different classical, intermediate and non-classical monocytes according to the cell surface expression of CD14 and CD16. A precise identification and characterisation of monocyte subsets is necessary to unravel their role in inflammatory diseases. Here, we compared three different flow cytometric strategies (A-C) and found that strategy C, which included staining against CD11b, HLA-DR, CD14 and CD16, followed by several gating steps, most reliably identified monocyte subtypes in blood samples from healthy volunteers and from patients with stable coronary heart disease (CHD) or ST-elevation myocardial infarction (STEMI).

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Background: Aortic valve disease (AVD) is associated with high mortality and morbidity. To date, there is no pharmacological therapy available to prevent AVD progression. Because valve calcification is the hallmark of AVD and S1P (sphingosine-1-phosphate) plays an important role in osteogenic signaling, we examined the role of S1P signaling in aortic stenosis disease.

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Article Synopsis
  • - The study focuses on developing a new fluorescence technology to measure infarct and scar size in heart tissue post-myocardial infarction (MI), offering a more efficient and versatile alternative to traditional histological methods like TTC staining.
  • - The researchers induced MI in male mice and compared fluorescence staining with classical techniques over various time points, finding strong correlations in measuring infarct area and scar size.
  • - The new fluorescence method enhances data quality, allows for additional analyses without wasting tissue, and aligns with the 3R principle (Reduce, Replace, Refine) in animal research, ultimately reducing the number of animals needed for experiments.
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Here, we provide a concise overview of recent developments in the identification of immunogenic epitopes in human apolipoprotein B-100 for immunization against atherosclerotic cardiovascular disease. Major steps forward toward a clinical application of vaccines include the design of humanized mouse models, tetramer-based identification of antigen-specific T cells, and novel analysis tools, such as single-cell RNA sequencing and cytometry by time of flight, to assess temporal and spatial changes in immune cells in atherosclerotic cardiovascular disease.

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Aims: Non-ischaemic cardiomyopathy (NICMP), an incurable disease terminating in systolic heart failure (heart failure with reduced ejection fraction [HFrEF]), causes immune activation, however anti-inflammatory treatment strategies so far have failed to alter the course of this disease. Myeloperoxidase (MPO), the principal enzyme in neutrophils, has cytotoxic, pro-fibrotic and nitric oxide oxidizing effects. Whether MPO inhibition ameliorates the phenotype in NICMP remains elusive.

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Alzheimer's disease (AD) is the most common form of dementia and characterized by extracellular amyloid-β (Aβ) plaques, intracellular neurofibrillary tau tangles and neurodegeneration. Over 80 % of AD patients also exhibit cerebral amyloid angiopathy (CAA). CAA is a cerebrovascular disease caused by deposition of Aβ in the walls of cerebral blood vessels leading to vessel damage and impairment of normal blood flow.

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Article Synopsis
  • The study investigates how aortic valve stenosis (AS) impacts endothelial function independently of usual cardiovascular risk factors in both mice and human cohorts.
  • The researchers found that AS led to systemic endothelial dysfunction characterized by increased extracellular hemoglobin (eHb), nitric oxide consumption, and mechanical stress in the aorta.
  • Treatment methods, including the use of haptoglobin and transcatheter aortic valve replacement, were effective in restoring endothelial function in both experimental and clinical settings.
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Myasthenia gravis (MG) is a prototypical autoimmune disease of the neuromuscular junction (NMJ). The study of the underlying pathophysiology has provided novel insights into the interplay of autoantibodies and complement-mediated tissue damage. Experimental autoimmune myasthenia gravis (EAMG) emerged as a valuable animal model, designed to gain further insight and to test novel therapeutic approaches for MG.

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  • Gravitational changes from micro- to hypergravity cause various adaptations in the human body, including muscular atrophy, immune impairment, and circulatory system alterations.
  • This study observed nine individuals during a parabolic flight, resulting in 11 minutes of microgravity, and analyzed blood samples for changes in plasma proteins before and after the flight.
  • Out of 2925 proteins analyzed, 251 showed significant changes, particularly in proteins related to vesicle organization and apoptosis, indicating important physiological alterations due to varying gravity conditions.
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Background: An abdominal aortic aneurysm (AAA) is a life-threatening cardiovascular disease. Although its pathogenesis is still poorly understood, recent evidence suggests that AAA displays autoimmune disease characteristics. Particularly, T cells responding to AAA-related antigens in the aortic wall may contribute to an initial immune response.

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Background: Smoking, alcohol abuse, and hypertension are - among others, potential risk factors for cardiovascular diseases. These risk factors generate oxidative stress and cause oxidative stress-induced DNA damage, resulting in cellular senescence and senescence-associated secretory phenotype (SASP). The SASP factors in feed-forward response exacerbate inflammation and cause tissue remodeling, resulting in atherosclerotic plaque formation and rupture.

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Article Synopsis
  • Macrophages are crucial in vascular inflammation and predicting cardiovascular issues; this study used Fluorine-19 MRI to visualize and quantify macrophage activity in pigs after carotid artery angioplasty.
  • Eight minipigs underwent mild and severe vascular injuries, followed by the injection of a perfluorocarbon agent three days later to track inflammatory responses using imaging techniques.
  • Results showed successful angioplasty in all subjects, with notable macrophage infiltration and no serious adverse effects; imaging was particularly effective in detecting responses from severe injuries, correlating F MRI signals with macrophage density.
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Background: In acute myocardial infarction and heart failure, anemia is associated with adverse clinical outcomes. Endothelial dysfunction (ED) is characterized by attenuated nitric oxide (NO)-mediated relaxation responses which is poorly studied in chronic anemia (CA). We hypothesized that CA is associated with ED due to increased oxidative stress in the endothelium.

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Inflammaging is a potential risk factor for cardiovascular diseases. It results in the development of thrombosis and atherosclerosis. The accumulation of senescent cells in vessels causes vascular inflammaging and contributes to plaque formation and rupture.

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Article Synopsis
  • * Pannexin-1 (Panx1) channels play a critical role in inflammation and were found to influence AAA formation through effects on endothelial cells and platelets, particularly after platelet activation.
  • * Research showed that while Panx1 levels were higher in AAA patients and animal models, targeting Panx1 in platelets didn't significantly alter aortic remodeling or diameter changes, indicating that inflammation modulation alone isn't enough to impact AAA progression.
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  • Nearly half of astronauts experience "Spaceflight associated neuro-ocular syndrome" (SANS) after long-duration missions, with the exact causes still unclear.
  • This study will involve healthy subjects undergoing parabolic flights that simulate microgravity to investigate changes in retinal blood circulation using advanced imaging techniques.
  • By examining retinal vessel changes and measuring intra-ocular pressure during these flights, the research seeks to determine if these factors play a role in the development of SANS.
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Background: Peroxisome proliferator-activated receptor gamma coactivator-1 alpha (PGC-1α) acts as a transcriptional coactivator and regulates mitochondrial function. Various isoforms are generated by alternative splicing and differentially regulated promoters. In the heart, total PGC-1α deficiency knockout leads to dilatative cardiomyopathy, but knowledge on the complexity of cardiac isoform expression of PGC-1α remains sparse.

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Inflammation is a key component in the pathogenesis of cardiovascular diseases causing a significant burden of morbidity and mortality worldwide. Recent research shows that mammalian target of rapamycin (mTOR) signaling plays an important role in the general and inflammation-driven mechanisms that underpin cardiovascular disease. mTOR kinase acts prominently in signaling pathways that govern essential cellular activities including growth, proliferation, motility, energy consumption, and survival.

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Aims: CD40 and its ligand, CD40L, play a critical role in driving atherosclerotic plaque development. Disrupted CD40-signalling reduces experimental atherosclerosis and induces a favourable stable plaque phenotype. We recently showed that small molecule-based inhibition of CD40-tumour necrosis factor receptor associated factor-6 interactions attenuates atherosclerosis in hyperlipidaemic mice via macrophage-driven mechanisms.

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Patients with acute ischemic stroke (AIS) present an increased incidence of systemic inflammatory response syndrome and release of Troponin T coinciding with cardiac dysfunction. The nature of the cardiocirculatory alterations remains obscure as models to investigate systemic interferences of the brain-heart-axis following AIS are sparse. Thus, this study aims to investigate acute cardiocirculatory dysfunction and myocardial injury in mice after reperfused AIS.

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