1,754 results match your criteria: "Partner site Freiburg; and German Cancer Research Center DKFZ[Affiliation]"

Epigenetic modulation via the C-terminal tail of H2A.Z.

Nat Commun

October 2024

Department of Biophysics and Cell Biology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.

H2A.Z-nucleosomes are present in both euchromatin and heterochromatin and it has proven difficult to interpret their disparate roles in the context of their stability features. Using an in situ assay of nucleosome stability and DT40 cells expressing engineered forms of the histone variant we show that native H2A.

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Background: Apolipoprotein L1 (APOL1) high-risk variants are major determinants of chronic kidney disease (CKD) in people of African ancestry. Previous studies have identified epigenetic changes in relation to kidney function and CKD, but not in individuals with APOL1 high-risk genotypes. We conducted an epigenome-wide analysis of CKD and estimated glomerular filtration rate (eGFR) in in people of African ancestry and APOL1 high-risk genotypes with HIV.

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Aims: The optimal timing for implementing mechanical circulatory support (MCS) in cardiogenic shock (CS) remains indeterminate. This study aims to evaluate patient characteristics and outcome associated with the time interval between CS onset and veno-arterial extracorporeal membrane oxygenation (VA-ECMO) implementation.

Methods And Results: In this study, patients with CS treated with MCS at 15 tertiary care centres in three countries were enrolled.

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Rapid in situ carbon-13 hyperpolarization and imaging of acetate and pyruvate esters without external polarizer.

Commun Chem

October 2024

Division of Medical Physics, Department of Diagnostic and Interventional Radiology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Killianstr. 5a, 79106, Freiburg, Germany.

Hyperpolarized C MRI visualizes real-time metabolic processes in vivo. In this study, we achieved high C polarization in situ in the bore of an MRI system for precursor molecules of most widely employed hyperpolarized agents: [1-C]acetate and [1-C]pyruvate ethyl esters in their perdeuterated forms, enhancing hyperpolarization lifetimes, hyperpolarized to P ≈ 28% at 80 mM concentration and P ≈ 19% at 10 mM concentration, respectively. Using vinyl esters as unsaturated Parahydrogen-Induced Polarization via Side-Arm Hydrogenation (PHIP-SAH) precursors and our novel polarization setup, we achieved these hyperpolarization levels by fast side-arm hydrogenation in acetone-d at elevated temperatures (up to 90°C) and hydrogenation pressures (up to 32 bar).

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Article Synopsis
  • Extracellular vesicles (EVs) show promise as biomarkers for liquid biopsy, but current methods struggle to isolate them effectively from complex biofluids like plasma and serum.
  • Traditional isolation techniques often lead to contamination with lipoproteins, making it difficult to accurately assess the number and content of EVs.
  • The introduction of Fast Protein Liquid Chromatography (FPLC) with Superose 6 offers a better solution to isolate small EVs while minimizing contamination, highlighting their potential for detecting disease-associated biomarkers, especially in pancreatic cancer patients.
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Background: Radiation science is of utmost significance not only due to its growing importance for clinical use, but also in everyday life such as in radiation protection questions. The expected increase in cancer incidence due to an aging population combined with technical advancements further implicates this importance and results in a higher need for sufficient highly educated and motivated personnel. Thus, factors preventing young scientists and medical personnel from entering or remaining in the field need to be identified.

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Towards international collaboration of clinical research networks for EMDR: the EMDR Pain Network Germany.

Front Psychol

October 2024

Department of General Internal Medicine and Psychosomatics, Heidelberg University, Heidelberg, Germany.

Background: Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based treatment, primarily established for post-traumatic stress disorder (PTSD). While it is increasingly being applied to chronic pain, its efficacy in this area is not yet supported by the same level of evidence as that which exists for PTSD. Studies in this area often show heterogeneous results with small case numbers, and the potential side effects of EMDR in the treatment of chronic pain are not well understood.

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Introduction: To evaluate the outcomes after stereotactic body radiotherapy (SBRT) for locally advanced primary liver cancer.

Materials And Methods: Patients with locally advanced liver cancer unsuitable for other loco-regional treatments were treated with SBRT with 50-60 Gy in 3-12 fractions in two consecutive prospective trials.

Results: A total of 83 patients were included, of whom 14 were excluded, leaving 69 evaluable patients with 74 treated lesions.

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Background: In the era of personalized cancer treatment, understanding the intrinsic heterogeneity of tumors is crucial. Despite some patients responding favorably to a particular treatment, others may not benefit, leading to the varied efficacy observed in standard therapies. This study focuses on the prediction of tumor response to chemo-immunotherapy, exploring the potential of tumor mechanics and medical imaging as predictive biomarkers.

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Radio Amplification by Stimulated Emission of Radiation (RASER) is a phenomenon observed during nuclear magnetic resonance (NMR) experiments with strongly negatively polarized systems. This phenomenon may be utilized for the production of very narrow NMR lines, background-free NMR spectroscopy, and excitation-free sensing of chemical transformations. Recently, novel methods of producing RASER by ParaHydrogen-Induced Polarization (PHIP) were introduced.

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Article Synopsis
  • Patients who need oral anticoagulation and undergo coronary intervention can use a special stent (COBRA PzF) that may lower the need for long-term dual antiplatelet therapy (DAPT) while maintaining safety against blood clots.
  • In a study, 996 patients were randomized to receive either the COBRA PzF stent with a short 14-day DAPT or a regular stent with longer DAPT durations of 3 to 6 months.
  • Results showed that the COBRA stent did not significantly reduce bleeding compared to the control group and was not proven to maintain equivalent safety for thromboembolic events, indicating further investigation is needed.
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  • The International Society on Oxygen Transport to Tissue (ISOTT) has focused on measuring oxygen (O) in tissues since its establishment in 1973, highlighting the importance of its members' contributions.
  • The paper discusses the challenges in accurately measuring O in living tissues due to complex spatial variations and the constant fluctuations in O levels over time.
  • Despite these measurement challenges, ISOTT research demonstrates that studying O in tissues can yield valuable insights into physiological and pathophysiological processes.
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  • Mild hyperthermia (39-43 °C) is used locoregionally for 30-60 minutes to enhance oxygenation in recurrent breast cancers, which can improve the effectiveness of various treatments like radiotherapy, chemotherapy, and immunotherapy.!* -
  • Data from clinical trials and experiments show that breast cancer tissue generally has higher water content and density compared to normal breast tissue, and these values increase during mild hyperthermia.!* -
  • Key factors affecting oxygenation in both healthy and cancerous breast tissue include blood flow, interstitial fluid dynamics, and tissue permeability, with most parameters improving under mild hyperthermia treatment.!*
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Article Synopsis
  • The chapter discusses tumour hypoxia as a newly recognized hallmark of cancer, detailing its various classifications based on aetiology, exposure time, and intensity levels in tumours.
  • It highlights the dual role of hypoxia in cancer, where it can lead to tumour regression (through processes like apoptosis) or promote adaptive progression, suggesting a complex relationship with cancer development.
  • Key advancements in understanding hypoxia are attributed to techniques like polarographic pO microsensors for assessing oxygen levels and the discovery of hypoxia-inducible factors (HIFs), which impact cancer progression on genetic and protein levels and hinder treatment effectiveness.
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[Photon-counting detector computed tomography : Paradigm shift in cardiac CT imaging].

Radiologie (Heidelb)

December 2024

Division of Cardiovascular Imaging, Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, USA.

Article Synopsis
  • The introduction of photon-counting detector computed tomography (PCD-CT) represents a significant advancement in cardiac imaging technology since its market launch in 2021.
  • This review examines the benefits of PCD-CT, highlighting improvements in image quality, spatial resolution, contrast-to-noise ratio, reduced artifacts, and lower radiation exposure.
  • Despite promising early results, researchers are still evaluating how PCD-CT's advantages will influence future clinical guidelines for cardiac imaging.
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In a randomized phase II trial (AMLSG 14-09, NCT00867672) of elderly, newly diagnosed AML patients, ATRA combined with decitabine (DEC) significantly improved the overall response rate (ORR) and survival also in patients with adverse-risk genetics, without adding toxicity. We performed a post hoc analysis to determine the predictive impact of TP53 status. Despite a nominally higher ORR, the clinically meaningful survival benefit when adding ATRA to DEC was diminished, but not completely negated, in TP53-mutated patients.

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Background: Radiotherapy, as the main treatment method for nasopharyngeal carcinoma (NPC), has evolved over time, but there has been no bibliometric study on NPC radiotherapy to date. In our study, the scientific achievements of NPC radiotherapy around the world were evaluated by bibliometric analyses, and the previous research hotspots and future trends are described.

Methods: Original articles related to NPC radiotherapy were obtained from the Web of Science Core Collection.

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A model-based risk-minimizing proton treatment planning concept for brain injury prevention in low-grade glioma patients.

Radiother Oncol

December 2024

Department of Radiation Oncology and Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg University Hospital, Heidelberg, Germany; Heidelberg Institute for Radiation Oncology (HIRO), Heidelberg, Germany; National Center for Tumor Diseases (NCT), Heidelberg, Germany; Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Purpose: Late-occurring contrast-enhancing brain lesions (CEBLs) have been observed on MRI follow-up in low-grade glioma (LGG) patients post-proton therapy. Predictive risk-models for this endpoint identified a dose-averaged linear energy transfer (LET)-dependent proton relative biological effectiveness (RBE) effect on CEBL occurrence and increased radiosensitivity of the cerebral periventricular region (VP). This work aimed to design a stable risk-minimizing treatment planning (TP) concept addressing these intertwined risk factors through a classically formulated optimization problem.

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Ribonucleoprotein complexes are dynamic assemblies of RNA with RNA-binding proteins (RBPs), which can modulate the fate of the RNA molecules from transcription to degradation. Vice versa, RNA can regulate the interactions and functions of the associated proteins. Dysregulation of RBPs is linked to diseases such as cancer and neurological disorders.

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Article Synopsis
  • The COVID-19 pandemic led to studies on how it affected people's mental health, with mixed results; some felt worse, while others stayed stable.
  • The study focused on 135,445 people in Germany to see how age and past mental health issues affected depression and anxiety during the early pandemic.
  • Results showed people with past mental health problems felt the same after the pandemic began, but younger folks without those issues felt worse, highlighting the need for better support strategies.
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  • Wearable biosensors from the wrist can monitor seizures, but poor signal quality affects reliability, making it crucial to understand how seizures impact data quality during different phases.
  • The study evaluates the signal quality of various biosignals during different seizure types and examines the effects of peri-ictal movements on data accuracy.
  • Findings show that tonic-clonic seizures cause a significant drop in blood volume pulse signal quality and increase accelerometer activity, highlighting the need for improved data assessment methods in seizure monitoring.
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A Response to the Letter to the Editor: "Comment on Stereotactic Body Radiotherapy for Centrally Located Inoperable Early Stage NSCLC: EORTC 22113-08113 LungTech Phase II Trial Results".

J Thorac Oncol

October 2024

Department of Radiation Oncology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany; Department of Radiation Oncology, Kliniken Maria Hilf GmbH Mönchengladbach Mönchengladbach, Germany. Electronic address:

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Article Synopsis
  • - The study explores the role of epigenetic mechanisms, specifically DNA methylation, in predicting treatment response to antidepressants for patients with major depressive disorder (MDD) based on a large sample size of 230 patients.
  • - Researchers used DNA methylation analysis and found suggestive evidence linking altered methylation patterns at several specific sites to how well patients responded to naturalistic antidepressant treatment and SSRIs/SNRIs.
  • - The findings indicate that understanding DNA methylation may help improve personalized treatment strategies for MDD in the future, although further research is needed for validation.
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  • Anxiety disorders impact brain connectivity, but how this varies among different types of anxiety disorders (like panic disorder and social anxiety disorder) isn't fully understood due to limited studies.
  • Researchers examined the brain connectivity of 439 anxiety disorder patients and 105 healthy controls using resting-state fMRI, finding notable differences in connectivity patterns, especially in panic disorder and agoraphobia patients.
  • The study revealed that panic disorder patients had increased connectivity in brain regions linked to emotion regulation, unlike those with social anxiety disorder or specific phobia, suggesting the potential for personalized treatment approaches based on these neurological differences.
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