Publications by authors named "Thomas Bruning"

The role of germline genetics in adjuvant aromatase inhibitor (AI) treatment efficacy in ER-positive breast cancer is poorly understood. We employed a two-stage candidate gene approach to examine associations between survival endpoints and common germline variants in 753 endocrine resistance-related genes. For a discovery cohort, we screened the Breast Cancer Association Consortium database (n ≥ 90,000 cases) and retrieved 2789 AI-treated patients.

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Background: Specific genetic variants in the ATP-binding cassette transporter A7 locus (ABCA7) are associated with an increased risk of Alzheimer's disease (AD). ABCA7 transports lipids from/across cell membranes, regulates Aβ peptide processing and clearance, and modulates microglial and T-cell functions to maintain immune homeostasis in the brain. During AD pathogenesis, neuroinflammation is one of the key mechanisms involved.

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Firefighters are exposed to a variety of hazardous substances during firefighting activities. Fire smoke contains polycyclic aromatic hydrocarbons (PAHs) some of which have been shown to cause cancer in humans. To assess dermal exposure of firefighters during real-life firefighting, a whole-body dosimetry method was applied to determine the PAH that settles on the skin despite firefighters wearing personal protective equipment (PPE).

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Huntington's disease (HD) is a debilitating neurodegenerative disorder characterized by severe motor deficits, cognitive decline and psychiatric disturbances. An early and significant morphological hallmark of HD is the activation of astrocytes triggered by mutant huntingtin, leading to the release of inflammatory mediators. Fingolimod (FTY), an FDA-approved sphingosine-1-phosphate (S1P) receptor agonist is used to treat multiple sclerosis (MS), a neuroinflammatory disease, and has shown therapeutic promise in other neurological conditions.

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The German Environmental Specimen Bank (ESB) annually archives 24-h urine samples since the early 1980s. In this study, we analyzed 420 of these samples from the years 2014 to 2022 for metabolites of 18 phthalates and two substitutes. We merged the new data with the data from previous measurement campaigns to a combined dataset of 1825 samples covering a 35-year period from 1988 to 2022 to investigate time trends, calculate daily intakes and perform an anti-androgenic mixture risk assessment.

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  • Cystoscopy has long been the main method for detecting urothelial carcinoma (UCa), but its invasiveness and costs highlight the need for non-invasive detection methods, leading to the investigation of urinary biomarkers.
  • In a study involving 1,119 urine samples, researchers analyzed protein levels of biomarkers CXCL16 and TGFBI, along with DNA methylation at specific CpG sites, to assess their ability to identify UCa compared to other urological and gynecological cancers.
  • Results showed that while CXCL16 and TGFBI had moderate sensitivity (31% and 56%) and high specificity (94% and 85%), combining these proteins and methylation markers improved UCa detection sensitivity to 54%
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Background: Increased lung cancer risks for low socioeconomic status (SES) groups are only partially attributable to smoking habits. Little effort has been made to investigate the persistent risks related to low SES by quantification of potential biases.

Methods: Based on 12 case-control studies, including 18 centers of the international SYNERGY project (16,550 cases, 20,147 controls), we estimated controlled direct effects (CDE) of SES on lung cancer via multiple logistic regression, adjusted for age, study center, and smoking habits and stratified by sex.

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  • Hypersensitivity pneumonitis (HP) is an uncommon lung allergy primarily caused by inhaling organic dusts, with rare instances linked to chemicals like phthalates found in plastics.
  • A clinical case involving a cable production worker demonstrated that symptoms initially diagnosed as idiopathic pulmonary fibrosis were linked to chronic HP resulting from exposure to phthalates, confirmed by specific IgG antibodies and other clinical findings.
  • The study highlights the need for greater awareness of phthalates as potential triggers for occupational HP, as it has not been commonly recognized in previous case reports.
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Background: Mass spectrometry (MS)-based cerebrospinal fluid (CSF) proteomics is an important method for discovering biomarkers of neurodegenerative diseases. CSF serves as a reservoir for interstitial fluid (ISF), and extensive communication between the two fluid compartments helps to remove waste products from the brain.

New Method: We performed proteomic analyses of both CSF and ISF fluid compartments using intracerebral microdialysis to validate and detect novel biomarkers of Alzheimer's disease (AD) in APPtg and C57Bl/6J control mice.

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  • * Analysis of data from over 55,000 breast cancer patients showed that co-observation of variants in BRCA1, BRCA2, and PALB2 with other breast cancer genes occurred less frequently than expected, suggesting a potential correlation with pathogenicity.
  • * The findings indicate that identifying a variant of uncertain significance alongside a known pathogenic variant supports evidence against the variant's pathogenicity, which could improve variant classification in clinical settings and for other genetic conditions.
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  • Zinc fever is typically known to affect workers handling zinc at high temperatures, but its occurrence at low temperatures was previously unclear.
  • A 33-year-old painter experienced respiratory issues and fever related to zinc coatings used at room temperature, leading to a diagnosis of zinc fever after ruling out other conditions.
  • This case highlights that zinc-containing materials, even when applied at lower temperatures, can pose significant health risks to workers in occupations such as painting and varnishing.
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  • Climbazole is an antifungal used in cosmetics, notably for its preservative properties and as an active ingredient in anti-dandruff products.
  • This study examines how climbazole is processed in the body, focusing on its metabolites' excretion through urine after oral ingestion and skin application, revealing that 23.9% of the oral dose was excreted over 48 hours.
  • Findings indicated that the timing and amount of climbazole excretion vary based on how it is applied (oral vs. dermal), with the max dermal intake being 18.5 µg/kg bw/d from a hair tonic, compared to 6.6 µg/kg bw/d from shampoo.
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Background: Inhalation of biopersistent fibers like asbestos can cause strong chronic inflammatory effects, often resulting in fibrosis or even cancer. The interplay between fiber shape, fiber size and the resulting biological effects is still poorly understood due to the lack of reference materials.

Results: We investigated how length, diameter, aspect ratio, and shape of synthetic silica fibers influence inflammatory effects at doses up to 250 µg cm.

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Background: Cortisol typically peaks in the morning after waking up and declines throughout the day, reaching its lowest levels during nighttime sleep. Shift work can cause misalignment between cortisol levels and sleep-wake timing. We analyzed this misalignment in female shift workers focusing on the timing and extent of these changes.

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Objectives: The COVID-19 pandemic changed the future of work sustainably and led to a general increase in mental stress. A study conducted during the second and third pandemic wave with a retrospective survey of the first wave among 1,545 non-healthcare workers confirmed an increase in anxiety and depression symptoms and showed a correlation with the occupational SARS-CoV-2 infection risk. This online follow-up survey aims to examine changes in mental distress as the pandemic progressed in Germany and to identify factors influencing potential changes.

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Background: The role of cytoreductive surgery for epithelioid pleural mesothelioma within a multimodal treatment approach remains controversial. Carefully selected patients benefit from cytoreductive surgery and adjuvant chemotherapy, but there is no established biomarker to predict tumor recurrence or progression during the course of the disease. The aim of this study was to identify potential biomarkers to predict therapeutic response in terms of progression-free survival.

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Health risks to humans after "fume and smell events", short-term incidents on aircrafts that are accompanied by unpleasant odour or visible smoke, remain a subject of controversy. We assessed exposure to volatile organic compounds (VOC) and organophosphorus compounds (OPC) by biomonitoring in 375 aircrew members after self-reported "fume and smell events" and in 88 persons of the general population. A total of 20 parameters were analysed in blood and urine by gas chromatography and mass spectrometry.

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Homosalate (HMS) is a UV filter used in sunscreens and personal care products as a mixture of cis- and trans-isomers. Systemic absorption after sunscreen use has been demonstrated in humans, and concerns have been raised about possible endocrine activity of HMS, making a general population exposure assessment desirable. In a previous study, it was shown that the oral bioavailability of cis-HMS (cHMS) is lower than that of trans-HMS (tHMS) by a factor of 10, calling for a separate evaluation of both isomers in exposure and risk assessment.

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  • Acetamiprid (ACE) and imidacloprid (IMI) are widely used insecticides for both ornamental plants and pets, but there is limited data on human exposure during application.
  • A study analyzed urine samples from male volunteers after using either an ACE spray or an IMI topical treatment, measuring levels of the insecticides and their metabolites over a period of 56 hours.
  • Results showed that while ACE exposure from orchid treatments was negligible, significant levels of IMI and its metabolites were found in urine after IMI application, but overall exposure levels were still within safe limits according to European standards, suggesting low risk for household users.
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(St. John's wort) has been described to be beneficial for the treatment of Alzheimer's disease (AD). Different extractions have demonstrated efficiency in mice and humans, esp.

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  • The study assessed how different dimensions of the quantitative job-exposure matrix (SYN-JEM) impact the correlation between silica exposure and lung cancer risk, using data from 16,901 lung cancer cases and 20,965 controls from global studies.
  • The analysis revealed that including all dimensions of SYN-JEM resulted in the best fit for predicting lung cancer odds, while omitting job-specific estimates led to a poor model fit.
  • The findings suggest that to accurately model the exposure-response relationship between silica and lung cancer, it’s crucial to use all relevant factors, including job specifics, time, and region in the analysis.
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Diagnosing urothelial cancer (UCa) via invasive cystoscopy is painful, specifically in men, and can cause infection and bleeding. Because the UCa risk is higher for male patients, urinary non-invasive UCa biomarkers are highly desired to stratify men for invasive cystoscopy. We previously identified multiple DNA methylation sites in urine samples that detect UCa with a high sensitivity and specificity in men.

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Background: While much research has been done to identify individual workplace lung carcinogens, little is known about joint effects on risk when workers are exposed to multiple agents.

Objectives: We investigated the pairwise joint effects of occupational exposures to asbestos, respirable crystalline silica, metals (i.e.

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Homosalate (HMS) is an organic UV filter used in sunscreens and personal care products. Despite its widespread use and detection in environmental matrices, little is known regarding its exposure in humans. HMS is used as a mixture of - and -isomers, and we recently revealed major differences in human toxicokinetics, indicating the need to consider these isomers separately in exposure and risk assessments.

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