20,972 results match your criteria: "Medical University Innsbruck; joachim.schmutzhard@i-med.ac.at.[Affiliation]"

Expression of sPD-L1 levels in an ex vivo liver perfusion model.

Clin Exp Immunol

January 2025

Central Institute of Clinical and Chemical Laboratory Diagnostics, University Hospital of Innsbruck, Innsbruck, Austria.

The programmed cell death protein 1 (PD-1) acts as a central inhibitory immune checkpoint receptor. The soluble form of its primary ligand, sPD-L1, was found to be elevated in the serum of patients with cancer, infectious diseases, and chronic inflammation. So far, the hepatic origin of sPD-L1 has received relatively little attention and is therefore the subject of this study in the context of normothermic machine perfusion (NMP) of liver grafts.

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The complement system is a vital anti-microbial defence mechanism against circulating pathogens. Excessive complement activation can have deleterious outcomes for the host and is consequently tightly modulated by a set of membrane-associated and fluid-phase regulators of complement activation (RCAs). Here, we demonstrate that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) hijacks host cellular RCA members CD55 and CD59 and serum-derived Factor H (FH) to resist antibody-dependent complement-mediated lysis triggered by immunized human sera.

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Efficacy and safety of gene therapy with onasemnogene abeparvovec in children with spinal muscular atrophy in the D-A-CH-region: a population-based observational study.

Lancet Reg Health Eur

December 2024

Heidelberg University, Medical Faculty Heidelberg, Center for Pediatric and Adolescent Medicine, Department I, Division of Pediatric Neurology and Metabolic Medicine, Im Neuenheimer Feld 430, Heidelberg 69120, Germany.

Background: Real-world data on gene addition therapy (GAT) with onasemnogene abeparvovec (OA), including all age groups and with or without symptoms of the disease before treatment are needed to provide families with evidence-based advice and realistic therapeutic goals. Aim of this study is therefore a population-based analysis of all patients with SMA treated with OA across Germany, Austria and Switzerland (D-A-CH).

Methods: This observational study included individuals with Spinal Muscular Atrophy (SMA) treated with OA in 29 specialized neuromuscular centers in the D-A-CH-region.

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HEARRING group genetic marker study: genetic background of CI patients.

Acta Otolaryngol

October 2024

Clinical Research Department, MED-EL GmbH, Innsbruck, Austria.

Background: While cochlear implantation (CI) and electric acoustic stimulation (EAS) have a positive outcome in most cases, their effectiveness varies depending on the etiology of the hearing loss. Among the various etiologies, genetic factors are the leading cause of hearing loss and may impact CI and EAS outcomes.

Aims/objectives: To reveal the genetic background of the hearing loss in CI/EAS patients in each ethnic population, we undertook a multi-center study involving the genetic testing of hearing loss in CI/EAS patients from 10 centers.

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Male factor infertility is a multifaceted problem that affects approximately 50% of couples suffering from infertility. Causes of male infertility include endocrine disturbances, gonadotoxins, genetic abnormalities, varicocele, malignancies, infections, congenital or acquired urogenital abnormalities, iatrogenic factors, immunological factors, and idiopathic reasons. There are a variety of treatment options for male infertility, depending on the underlying cause(s).

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Long-Term Outcomes of Rituximab-Treated Adult Patients with Podocytopathies.

J Am Soc Nephrol

October 2024

Department of Internal Medicine IV (Nephrology and Hypertension), Medical University Innsbruck, Innsbruck, Austria.

Article Synopsis
  • A retrospective study of 183 adult patients treated with rituximab for podocytopathies showed that 82% achieved complete or partial remission within 6 months.
  • *Long-term follow-up revealed that 55% of initial responders maintained relapse-free survival over three years, with improved outcomes linked to maintenance therapy.
  • *Patients on maintenance therapy experienced significantly fewer relapses per year and maintained stable kidney function compared to non-responders.
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Spatiotemporal patterns and surveillance artifacts in maternal mortality in the United States: a population-based study.

Lancet Reg Health Am

November 2024

Division of Epidemiology and Biostatistics, Department of Obstetrics, Gynecology, and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Article Synopsis
  • Maternal mortality ratios (MMR) in the U.S. increased significantly from 1999-2021, rising from 9.60 to 23.5 per 100,000 live births, with higher increases noted in states with already high MMRs.
  • The study found that decreases in MMRs due to clear obstetric causes were similar across low and high MMR states, but the rise in deaths from less specific causes was much more pronounced in high-MMR states like Texas than in lower-MMR ones like California.
  • Overall, increases in MMRs from less-specific/potentially incidental causes were observed across all racial and ethnic groups, indicating a troubling trend in maternal health disparities.
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Background And Objective: Collagen biosynthesis is intricately involved in the development and progression of solid tumors. Renin-angiotensin system inhibitors (RASi) impede TGF-β-mediated collagen synthesis in tumors by hindering activation of the angiotensin receptor. Our aim was to investigate a potential association between RASi use and the aggressiveness of prostate cancer (PCa).

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Tumor immune microenvironment analysis of non-small cell lung cancer development through multiplex immunofluorescence.

Transl Lung Cancer Res

September 2024

Department of Respiratory Medicine, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

Background: Emerging evidence has underscored the crucial role of infiltrating immune cells in the tumor immune microenvironment (TIME) of non-small cell lung cancer (NSCLC) development and progression. With the implementation of screening programs, the incidence of early-stage NSCLC is rising. However, the high risk of recurrence and poor survival rates associated with this disease necessitate a deeper understanding of the TIME and its relationship with driver alterations.

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Article Synopsis
  • * Researchers analyzed data from over 1500 patients and found that women reported higher sleepiness on the Epworth Sleepiness Scale compared to men, with specific age-related trends observed in different patient groups.
  • * Notably, in women with narcoleptic conditions, an increase in daytime sleepiness was linked to age, while weight gain appeared later, suggesting a complex relationship that warrants further research for targeted treatment approaches.
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Long-term follow-up MR imaging in children with transverse myelitis.

Mult Scler Relat Disord

December 2024

Department of Pediatric Neurology, Children´s Hospital Datteln, University Witten/Herdecke, Dr. Friedrich-Steiner Str. 5, Datteln D-45711, Germany.

Article Synopsis
  • The study investigates how lesions in children with transverse myelitis (TM) resolve over time, focusing on different related diseases: MOG-antibody associated disorders (MOGAD), multiple sclerosis (MS), neuromyelitis optica spectrum disorders (NMOSD), and double seronegative TM.
  • A total of 78 children from various medical centers were assessed, and a grading system was used to measure the resolution of lesions over time.
  • Results showed that MOGAD had the fastest and most complete resolution of lesions, followed by double seronegative TM, MS, and NMOSD, with none of the NMOSD patients achieving complete resolution during the observation period.
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Massive bone loss poses a significant challenge in defect reconstruction. The use of compacted allografts is a valuable technique to reconstruct bone stock. This study aimed to assess the impact of compression on the microstructure of native cancellous bone chips with a micro-CT analysis.

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Limited cellular uptake of liposomes: Might thiolated phospholipids hold the key?

Int J Pharm

December 2024

Department of Pharmaceutical Technology, University of Innsbruck, Institute of Pharmacy, Center for Chemistry and Biomedicine, 6020 Innsbruck, Austria. Electronic address:

Aim: It was the aim of this study to evaluate the impact of surface thiolation on cellular uptake of liposomes.

Methods: Liposomes were prepared via the thin lipid film method, incorporating cholesterol, dipalmitoylphosphatidylcholin (DPPC) and 1,2-dipalmitoyl-sn-glycero-3-phosphothioethanol). The characterization of liposomes included size, polydispersity index, surface morphology, zeta potential and stability in simulated gastric and intestinal fluid.

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Determination of anthraquinones in Frangula alnus by Supercritical Fluid Chromatography.

J Chromatogr A

November 2024

Institute of Pharmacy, Pharmacognosy, Center for Molecular Biosciences (CMBI), University of Innsbruck, Innrain 80-82, Innsbruck 6020, Austria. Electronic address:

Anthraquinones are the major bioactive compounds in alder buckthorn, a plant with a long history of use for the treatment of obstipation in European and Asian traditional medicine. As these metabolites are also associated with toxic side effects, reliable analytical techniques for their determination are essential. Previously described methods mainly utilized Liquid Chromatography for this purpose, as the photometric assay described in the current edition of the European Pharmacopoeia lacks selectivity.

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Glutaraldehyde Cross-Linking of Salt-Induced Fibrinogen Hydrogels.

ACS Biomater Sci Eng

November 2024

Institute for Chemical Engineering, University of Innsbruck, Innrain 80-82, Innsbruck, AT 6020, Austria.

Covalent cross-linking is a common strategy to improve the mechanical properties of biological polymers. The most prominent field of application of such materials is in medicine, for example, in the form of bioprinting, drug delivery, and wound sealants. One biological polymer of particular interest is the blood clotting protein fibrinogen.

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Article Synopsis
  • Constitutional mismatch repair deficiency (CMMRD) is a rare genetic condition that significantly increases the lifetime risk of various cancers and has distinct non-cancer features, leading to evolving diagnosis and surveillance practices.* -
  • A comprehensive set of 82 recommendations for CMMRD diagnosis, surveillance, and clinical management has been developed by experts to standardize care across Europe, incorporating new research findings and patient input.* -
  • These recommendations provide detailed guidelines regarding testing criteria, age of initiation, frequency of surveillance, cancer treatment, and quality of life considerations—allowing for personalized adjustments based on individual patient needs.*
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Article Synopsis
  • - This study examined the effectiveness of three different conditioning regimens (Thiotepa-Busulfan, Sequential FLAMSA-Busulfan Fludarabine, and Treosulfan-Fludarabine) prior to allogeneic stem cell transplantation (allo-SCT) in patients with Chronic myelomonocytic leukemia (CMML) from 2006 to 2022.
  • - A total of 69 CMML patients participated, with notable variations in donor type and anti-T lymphocyte Globulin use for GVHD prophylaxis across groups.
  • - Results suggested that the Thiotepa-Busulfan group experienced better 3-year overall survival (OS) rates (80%) and progression-free survival (
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Beta-amyloid peptides and tau protein concentrations were analysed at second and third trimester pregnancy in cerebrospinal fluid in a 27-year old woman who developed severe HELLP (Hemolysis, Elevated Liver enzymes and Low Platelets) syndrome. Contrary to a healthy pregnant control the beta-amyloid(1-40) load was much higher and the ratios beta-amyloid peptides(1-42/1-40) and phospho-tau/tau had increased before delivery. We observed that in early HELLP syndrome increased beta-amyloid levels preceded vascular biomarker changes.

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Objective: We aimed to evaluate the longer-term safety and efficacy of hybrid closed-loop (CL) therapy in very young children with type 1 diabetes (T1D).

Research Design And Methods: Following a 16-week multinational, randomized crossover trial comparing hybrid CL with sensor-augmented pump (SAP) therapy in 74 very young children aged 1-7 years with T1D, participants were invited to an extension phase using CL for a further 18 months. Outcomes were compared with the primary-phase SAP period and primary-phase CL period.

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Background: Intracochlear fibrosis and inflammation remain important limitations in cochlear implantation (CI). Glucocorticoids are routinely used to ameliorate the inflammatory response following CI. This study investigates the long-term effects of an intratympanically-applied triamcinolone-acetonide suspension on intracochlear impedance changes in CI recipients and investigates differences in drug concentrations and timepoints of injection.

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Background: The amount of regular physical activity (PA) can modulate the prevalence of traditional risk factors for cardiovascular disease (CVD) such as obesity, systemic hypertension, hypercholesterolemia, and type 2 diabetes (T2D). However, how different PA levels either below (< 600 MET min/week), within (600-1200 MET min/week), or above (> 1200 MET min/week) the range of the minimal WHO recommendations impact the age- and sex-dependent prevalence of these risk factors remains to be elucidated.

Methods: This cross-sectional study was performed to evaluate these relationships using population-based self-reported data collected in a central European country (Austria, 2019).

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Article Synopsis
  • - This study highlights the anatomy of the carpal tunnel and identifies four potentially dangerous anatomical variations that could lead to nerve or vessel injuries during minimally invasive carpal tunnel release surgeries.
  • - Researchers examined the carpal tunnel in 104 wrists from 52 body donors and measured distances between critical neurovascular structures like the median nerve and ulnar artery to determine their proximity.
  • - The authors recommend using preoperative ultrasound assessments to help minimize the risk of neurovascular injuries, particularly in patients with these identified anatomical variations.
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Longitudinal Evaluation of Individuals With Severe Alpha-1 Antitrypsin Deficiency (Pi∗ZZ Genotype).

Gastroenterology

February 2025

Medical Clinic III, Gastroenterology, Metabolic Diseases and Intensive Care, University Hospital RWTH Aachen, Health Care Provider of the European Reference Network on Rare Liver Disorders (ERN RARE LIVER), Aachen, Germany. Electronic address:

Background & Aims: Homozygous Pi∗Z mutation in alpha-1 antitrypsin (Pi∗ZZ genotype) predisposes to pulmonary loss-of-function and hepatic gain-of-function injury. To facilitate selection into clinical trials typically targeting only 1 organ, we systematically evaluated an international, multicenter, longitudinal, Pi∗ZZ cohort to uncover natural disease course and surrogates for future liver- and lung-related endpoints.

Methods: Cohort 1 recruited 737 Pi∗ZZ individuals from 25 different centers without known liver comorbidities who received a baseline clinical and laboratory assessment as well as liver stiffness measurement (LSM).

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