80 results on '"Florian Wagner"'
Search Results
2. High resolution mapping of the tumor microenvironment using integrated single-cell, spatial and in situ analysis
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Amanda Janesick, Robert Shelansky, Andrew D. Gottscho, Florian Wagner, Stephen R. Williams, Morgane Rouault, Ghezal Beliakoff, Carolyn A. Morrison, Michelli F. Oliveira, Jordan T. Sicherman, Andrew Kohlway, Jawad Abousoud, Tingsheng Yu Drennon, Seayar H. Mohabbat, x Development Teams, and Sarah E. B. Taylor
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Science - Abstract
Abstract Single-cell and spatial technologies that profile gene expression across a whole tissue are revolutionizing the resolution of molecular states in clinical samples. Current commercially available technologies provide whole transcriptome single-cell, whole transcriptome spatial, or targeted in situ gene expression analysis. Here, we combine these technologies to explore tissue heterogeneity in large, FFPE human breast cancer sections. This integrative approach allowed us to explore molecular differences that exist between distinct tumor regions and to identify biomarkers involved in the progression towards invasive carcinoma. Further, we study cell neighborhoods and identify rare boundary cells that sit at the critical myoepithelial border confining the spread of malignant cells. Here, we demonstrate that each technology alone provides information about molecular signatures relevant to understanding cancer heterogeneity; however, it is the integration of these technologies that leads to deeper insights, ushering in discoveries that will progress oncology research and the development of diagnostics and therapeutics.
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- 2023
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3. A Slug Flow Platform with Multiple Process Analytics Facilitates Flexible Reaction Optimization
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Florian Wagner, Peter Sagmeister, Clemens E. Jusner, Thomas G. Tampone, Vidhyadhar Manee, Frederic G. Buono, Jason D. Williams, and C. Oliver Kappe
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Buchwald–Hartwig amination ,data‐rich experimentation ,flow chemistry ,kinetics ,self‐optimization ,Science - Abstract
Abstract Flow processing offers many opportunities to optimize reactions in a rapid and automated manner, yet often requires relatively large quantities of input materials. To combat this, the use of a flexible slug flow reactor, equipped with two analytical instruments, for low‐volume optimization experiments are reported. A Buchwald–Hartwig amination toward the drug olanzapine, with 6 independent optimizable variables, is optimized using three different automated approaches: self‐optimization, design of experiments, and kinetic modeling. These approaches are complementary and provide differing information on the reaction: pareto optimal operating points, response surface models, and mechanistic models, respectively. The results are achieved using
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- 2024
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4. 92 Characterization of the tumor microenvironment using the xenium in situ platform and FFPE tissue array technology
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Sarah Taylor, Albert Kim, Aarushi Kalaimani, Jon Berridge, Brenda Nguyen, Seayar Mohabbat, Richard Gantt, Florian Wagner, and Jordan Sicherman
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Published
- 2023
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5. Neo-Cosmopolitan Tidalectics as Planetary Poetics in Kaie Kellough’s Magnetic Equator
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Florian Wagner
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canadian poetry ,planetary poetics ,neo-cosmopolitanism ,tidalectics ,kaie kellough ,Philology. Linguistics ,P1-1091 ,Literature (General) ,PN1-6790 - Abstract
This contribution focuses on the role of the literary and cultural imagination in constructing alternative imaginaries of the planet which exceed the purely economic dimension of the global and globalization and are open to different modes of knowing and doing. Expanding on Erin Wunker’s suggestion of a planetary poetics as an aesthetic mode with which to think and write across multiple spatial and temporal scales and engage with the ethical implications of living in a globalized world, this article looks at Kaie Kellough’s Magnetic Equator (2019) and its neo-cosmopolitan tidalectics as planetary poetics.
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- 2022
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6. Characterization of an ETV6-NTRK3 rearrangement with unusual, but highly significant FISH signal pattern in a secretory carcinoma of the salivary gland: a case report
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Florian Wagner, Ralf Greim, Kathrin Krebs, Finn Luebben, and Arno Dimmler
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ETV6-NTRK3 fusion ,Salivary gland ,Secretory carcinoma ,NTRK3 break apart FISH ,Case report ,Pathology ,RB1-214 - Abstract
Abstract Background Fusions of neurotrophic tropomyosin receptor kinase genes NTRK1, NTRK2 and NTRK3 with various partner genes occur in both common and rare tumours and are of paramount predictive value due to the availability of very effective pan-Trk inhibitors like Larotrectinib and Entrectinib. Detection of NTRK fusions is mainly performed by fluorescence in situ hybridization (FISH) and next generation sequencing (NGS). The case described here showed a very unusual, but highly significant FISH signal pattern with an NTRK3 break apart probe, indicative of a functional NTRK3 rearrangement. Case presentation We describe here the case of a male patient who was originally diagnosed with an adenocarcinoma of the parotid gland without evidence of metastases. After the development of multiple lung metastases, an extensive immunohistochemical and molecular examination of archived tumour tissue including analysis of NTRK was performed. NTRK expression was detected by immunohistochemistry (IHC) and then comprehensively analysed further by FISH, quantitative reverse transcription PCR (RT-qPCR), and NGS. NTRK3 break apart FISH showed multiple and very faint single 3′ signals in addition to fusion signals. Quantitative reverse transcription PCR and NGS confirmed an ETV6:exon5-NTRK3:exon15 fusion. Diagnosis was therefore revised to metastatic secretory carcinoma of the salivary gland, and the patient subsequently treated with Larotrectinib, resulting in persisting partial remission. Conclusions Our findings underline the importance to be aware of non-canonical signal patterns during FISH analysis for detection of NTRK rearrangements. Very faint single 3′ signals can indicate a functional NTRK rearrangement and therefore be of high predictive value.
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- 2021
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7. AllCoPol: inferring allele co-ancestry in polyploids
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Ulrich Lautenschlager, Florian Wagner, and Christoph Oberprieler
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Coalescent theory ,Gene tree ,Multilocus sequence data ,Polyploidy ,Python ,Reticulate evolution ,Computer applications to medicine. Medical informatics ,R858-859.7 ,Biology (General) ,QH301-705.5 - Abstract
Abstract Background Inferring phylogenetic relationships of polyploid species and their diploid ancestors (leading to reticulate phylogenies in the case of an allopolyploid origin) based on multi-locus sequence data is complicated by the unknown assignment of alleles found in polyploids to diploid subgenomes. A parsimony-based approach to this problem has been proposed by Oberprieler et al. (Methods Ecol Evol 8:835–849, 2017), however, its implementation is of limited practical value. In addition to previously identified shortcomings, it has been found that in some cases, the obtained results barely satisfy the applied criterion. To be of better use to other researchers, a reimplementation with methodological refinement appears to be indispensable. Results We present the AllCoPol package, which provides a heuristic method for assigning alleles from polyploids to diploid subgenomes based on the Minimizing Deep Coalescences (MDC) criterion in multi-locus sequence datasets. An additional consensus approach further allows to assess the confidence of phylogenetic reconstructions. Simulations of tetra- and hexaploids show that under simplifying assumptions such as completely disomic inheritance, the topological errors of reconstructed phylogenies are similar to those of MDC species trees based on the true allele partition. Conclusions AllCoPol is a Python package for phylogenetic reconstructions of polyploids offering enhanced functionality as well as improved usability. The included methods are supplied as command line tools without the need for prior programming knowledge.
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- 2020
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8. Embracing the Loss of Nature: Searching for Responsibility in an Age of Crisis
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Jaime Elizabeth Hyatt and Florian Wagner
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History America ,E-F ,American literature ,PS1-3576 - Abstract
Introduction to the Thematic Issue.
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- 2021
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9. Using automated texture features to determine the probability for masking of a tumor on mammography, but not ultrasound
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Lothar Häberle, Carolin C. Hack, Katharina Heusinger, Florian Wagner, Sebastian M. Jud, Michael Uder, Matthias W. Beckmann, Rüdiger Schulz-Wendtland, Thomas Wittenberg, and Peter A. Fasching
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Mammography screening ,Texture analysis ,Masking ,Mammographic density ,Sensitivity ,Risk prediction ,Medicine - Abstract
Abstract Background Tumors in radiologically dense breast were overlooked on mammograms more often than tumors in low-density breasts. A fast reproducible and automated method of assessing percentage mammographic density (PMD) would be desirable to support decisions whether ultrasonography should be provided for women in addition to mammography in diagnostic mammography units. PMD assessment has still not been included in clinical routine work, as there are issues of interobserver variability and the procedure is quite time consuming. This study investigated whether fully automatically generated texture features of mammograms can replace time-consuming semi-automatic PMD assessment to predict a patient’s risk of having an invasive breast tumor that is visible on ultrasound but masked on mammography (mammography failure). Methods This observational study included 1334 women with invasive breast cancer treated at a hospital-based diagnostic mammography unit. Ultrasound was available for the entire cohort as part of routine diagnosis. Computer-based threshold PMD assessments (“observed PMD”) were carried out and 363 texture features were obtained from each mammogram. Several variable selection and regression techniques (univariate selection, lasso, boosting, random forest) were applied to predict PMD from the texture features. The predicted PMD values were each used as new predictor for masking in logistic regression models together with clinical predictors. These four logistic regression models with predicted PMD were compared among themselves and with a logistic regression model with observed PMD. The most accurate masking prediction was determined by cross-validation. Results About 120 of the 363 texture features were selected for predicting PMD. Density predictions with boosting were the best substitute for observed PMD to predict masking. Overall, the corresponding logistic regression model performed better (cross-validated AUC, 0.747) than one without mammographic density (0.734), but less well than the one with the observed PMD (0.753). However, in patients with an assigned mammography failure risk >10%, covering about half of all masked tumors, the boosting-based model performed at least as accurately as the original PMD model. Conclusion Automatically generated texture features can replace semi-automatically determined PMD in a prediction model for mammography failure, such that more than 50% of masked tumors could be discovered.
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- 2017
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10. What do sales data tell us about implant survival?
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Rudolf Seemann, Alexander Jirku, Florian Wagner, and Arno Wutzl
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Medicine ,Science - Abstract
OBJECTIVE:The aim of this study was to evaluate the influence of implant diameter, length and shape on a surrogate parameter of implant survival; i.e. the implant return rate in a big data analysis. MATERIALS AND METHODS:A retrospective study was conducted and the factors influencing the success rates of 69,377 sold implants over a seven-year period were evaluated. The osseointegration program of a reseller provides reliable data of a single country. Implant loss rates were investigated using logistic regression models and regressed by implant type, diameter, and length. RESULTS:The return rate of 69,377 sold implants was 2.78% and comparable to implant loss rates in previous published prospective studies as its surrogate parameter. A total of 80% of implant returns had occurred within 157 days, and an additional 15% within 750.25 days. Diameters of 3.8 to 5.0mm showed the lowest return rates with its bottom in the 4.3mm implant whilst 6.0mm implants had significantly higher return rates. In comparison to the most sold implant length (13mm) shorter implants showed significantly higher early return rates. CONCLUSIONS:The study provides evidence that in cases of standard indications and sufficient bone, the use of screw typed dental implants with 3.8 or 4.3 diameter and 11 or 13 mm length shows the lowest implant return rates. Other implants may be selected only in specific indications.
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- 2017
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11. CEL-Seq: Single-Cell RNA-Seq by Multiplexed Linear Amplification
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Tamar Hashimshony, Florian Wagner, Noa Sher, and Itai Yanai
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Biology (General) ,QH301-705.5 - Abstract
High-throughput sequencing has allowed for unprecedented detail in gene expression analyses, yet its efficient application to single cells is challenged by the small starting amounts of RNA. We have developed CEL-Seq, a method for overcoming this limitation by barcoding and pooling samples before linearly amplifying mRNA with the use of one round of in vitro transcription. We show that CEL-Seq gives more reproducible, linear, and sensitive results than a PCR-based amplification method. We demonstrate the power of this method by studying early C. elegans embryonic development at single-cell resolution. Differential distribution of transcripts between sister cells is seen as early as the two-cell stage embryo, and zygotic expression in the somatic cell lineages is enriched for transcription factors. The robust transcriptome quantifications enabled by CEL-Seq will be useful for transcriptomic analyses of complex tissues containing populations of diverse cell types.
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- 2012
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12. Blunt Chest Trauma in Mice after Cigarette Smoke-Exposure: Effects of Mechanical Ventilation with 100% O2.
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Katja Wagner, Michael Gröger, Oscar McCook, Angelika Scheuerle, Pierre Asfar, Bettina Stahl, Markus Huber-Lang, Anita Ignatius, Birgit Jung, Matthias Duechs, Peter Möller, Michael Georgieff, Enrico Calzia, Peter Radermacher, and Florian Wagner
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Medicine ,Science - Abstract
Cigarette smoking (CS) aggravates post-traumatic acute lung injury and increases ventilator-induced lung injury due to more severe tissue inflammation and apoptosis. Hyper-inflammation after chest trauma is due to the physical damage, the drop in alveolar PO2, and the consecutive hypoxemia and tissue hypoxia. Therefore, we tested the hypotheses that 1) CS exposure prior to blunt chest trauma causes more severe post-traumatic inflammation and thereby aggravates lung injury, and that 2) hyperoxia may attenuate this effect. Immediately after blast wave-induced blunt chest trauma, mice (n=32) with or without 3-4 weeks of CS exposure underwent 4 hours of pressure-controlled, thoraco-pulmonary compliance-titrated, lung-protective mechanical ventilation with air or 100% O2. Hemodynamics, lung mechanics, gas exchange, and acid-base status were measured together with blood and tissue cytokine and chemokine concentrations, heme oxygenase-1 (HO-1), activated caspase-3, and hypoxia-inducible factor 1-α (HIF-1α) expression, nuclear factor-κB (NF-κB) activation, nitrotyrosine formation, purinergic receptor 2X4 (P2XR4) and 2X7 (P2XR7) expression, and histological scoring. CS exposure prior to chest trauma lead to higher pulmonary compliance and lower PaO2 and Horovitz-index, associated with increased tissue IL-18 and blood MCP-1 concentrations, a 2-4-fold higher inflammatory cell infiltration, and more pronounced alveolar membrane thickening. This effect coincided with increased activated caspase-3, nitrotyrosine, P2XR4, and P2XR7 expression, NF-κB activation, and reduced HIF-1α expression. Hyperoxia did not further affect lung mechanics, gas exchange, pulmonary and systemic cytokine and chemokine concentrations, or histological scoring, except for some patchy alveolar edema in CS exposed mice. However, hyperoxia attenuated tissue HIF-1α, nitrotyrosine, P2XR7, and P2XR4 expression, while it increased HO-1 formation in CS exposed mice. Overall, CS exposure aggravated post-traumatic inflammation, nitrosative stress and thereby organ dysfunction and injury; short-term, lung-protective, hyperoxic mechanical ventilation have no major beneficial effect despite attenuation of nitrosative stress, possibly due to compensation of by regional alveolar hypoxia and/or consecutive hypoxemia, resulting in down-regulation of HIF-1α expression.
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- 2015
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13. GO-PCA: An Unsupervised Method to Explore Gene Expression Data Using Prior Knowledge.
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Florian Wagner
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Medicine ,Science - Abstract
Genome-wide expression profiling is a widely used approach for characterizing heterogeneous populations of cells, tissues, biopsies, or other biological specimen. The exploratory analysis of such data typically relies on generic unsupervised methods, e.g. principal component analysis (PCA) or hierarchical clustering. However, generic methods fail to exploit prior knowledge about the molecular functions of genes. Here, I introduce GO-PCA, an unsupervised method that combines PCA with nonparametric GO enrichment analysis, in order to systematically search for sets of genes that are both strongly correlated and closely functionally related. These gene sets are then used to automatically generate expression signatures with functional labels, which collectively aim to provide a readily interpretable representation of biologically relevant similarities and differences. The robustness of the results obtained can be assessed by bootstrapping.I first applied GO-PCA to datasets containing diverse hematopoietic cell types from human and mouse, respectively. In both cases, GO-PCA generated a small number of signatures that represented the majority of lineages present, and whose labels reflected their respective biological characteristics. I then applied GO-PCA to human glioblastoma (GBM) data, and recovered signatures associated with four out of five previously defined GBM subtypes. My results demonstrate that GO-PCA is a powerful and versatile exploratory method that reduces an expression matrix containing thousands of genes to a much smaller set of interpretable signatures. In this way, GO-PCA aims to facilitate hypothesis generation, design of further analyses, and functional comparisons across datasets.
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- 2015
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14. Exposure to 100% Oxygen Abolishes the Impairment of Fracture Healing after Thoracic Trauma.
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Julia Kemmler, Ronny Bindl, Oscar McCook, Florian Wagner, Michael Gröger, Katja Wagner, Angelika Scheuerle, Peter Radermacher, and Anita Ignatius
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Medicine ,Science - Abstract
In polytrauma patients a thoracic trauma is one of the most critical injuries and an important trigger of post-traumatic inflammation. About 50% of patients with thoracic trauma are additionally affected by bone fractures. The risk for fracture malunion is considerably increased in such patients, the pathomechanisms being poorly understood. Thoracic trauma causes regional alveolar hypoxia and, subsequently, hypoxemia, which in turn triggers local and systemic inflammation. Therefore, we aimed to unravel the role of oxygen in impaired bone regeneration after thoracic trauma. We hypothesized that short-term breathing of 100% oxygen in the early post-traumatic phase ameliorates inflammation and improves bone regeneration. Mice underwent a femur osteotomy alone or combined with blunt chest trauma 100% oxygen was administered immediately after trauma for two separate 3 hour intervals. Arterial blood gas tensions, microcirculatory perfusion and oxygenation were assessed at 3, 9 and 24 hours after injury. Inflammatory cytokines and markers of oxidative/nitrosative stress were measured in plasma, lung and fracture hematoma. Bone healing was assessed on day 7, 14 and 21. Thoracic trauma induced pulmonary and systemic inflammation and impaired bone healing. Short-term exposure to 100% oxygen in the acute post-traumatic phase significantly attenuated systemic and local inflammatory responses and improved fracture healing without provoking toxic side effects, suggesting that hyperoxia could induce anti-inflammatory and pro-regenerative effects after severe injury. These results suggest that breathing of 100% oxygen in the acute post-traumatic phase might reduce the risk of poorly healing fractures in severely injured patients.
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- 2015
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15. Recurrent loss of the Y chromosome and homozygous deletions within the pseudoautosomal region 1: association with male predominance in mantle cell lymphoma
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Inga Nieländer, José I. Martín-Subero, Florian Wagner, Michael Baudis, Stefan Gesk, Lana Harder, Dirk Hasenclever, Wolfram Klapper, Markus Kreuz, Christiane Pott, José A. Martinez-Climent, Martin Dreyling, Norbert Arnold, and Reiner Siebert
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Diseases of the blood and blood-forming organs ,RC633-647.5 - Published
- 2008
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16. Systematic association mapping identifies NELL1 as a novel IBD disease gene.
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Andre Franke, Jochen Hampe, Philip Rosenstiel, Christian Becker, Florian Wagner, Robert Häsler, Randall D Little, Klaus Huse, Andreas Ruether, Tobias Balschun, Michael Wittig, Abdou Elsharawy, Gabriele Mayr, Mario Albrecht, Natalie J Prescott, Clive M Onnie, Hélène Fournier, Tim Keith, Uwe Radelof, Matthias Platzer, Christopher G Mathew, Monika Stoll, Michael Krawczak, Peter Nürnberg, and Stefan Schreiber
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Medicine ,Science - Abstract
Crohn disease (CD), a sub-entity of inflammatory bowel disease (IBD), is a complex polygenic disorder. Although recent studies have successfully identified CD-associated genetic variants, these susceptibility loci explain only a fraction of the heritability of the disease. Here, we report on a multi-stage genome-wide scan of 393 German CD cases and 399 controls. Among the 116,161 single-nucleotide polymorphisms tested, an association with the known CD susceptibility gene NOD2, the 5q31 haplotype, and the recently reported CD locus at 5p13.1 was confirmed. In addition, SNP rs1793004 in the gene encoding nel-like 1 precursor (NELL1, chromosome 11p15.1) showed a consistent disease-association in independent German population- and family-based samples (942 cases, 1082 controls, 375 trios). Subsequent fine mapping and replication in an independent sample of 454 French/Canadian CD trios supported the authenticity of the NELL1 association. Further confirmation in a large German ulcerative colitis (UC) sample indicated that NELL1 is a ubiquitous IBD susceptibility locus (combined p
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- 2007
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17. Digital antitrust and the DMA: in praise of institutional diversity.
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Papp, Florian Wagner-von
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ANTITRUST law ,DIGITAL music ,INSTITUTIONAL repositories ,RESERVATION systems ,PRAISE ,TRADE secrets ,LIGHT in art ,FREEDOM of association - Abstract
The article discusses the challenges faced by the European Commission in enforcing antitrust laws in digital markets with network effects. It emphasizes the role of National Competition Authorities (NCAs) and private claimants in complementing the Commission's efforts, but acknowledges the constraints imposed by EU regulations. The article also explores the Digital Markets Act (DMA) and its aim to harmonize regulatory solutions at the national level. It compares the DMA with the German Act Against Restraints of Competition (ARC) and highlights differences in obligations and enforcement. The article concludes by suggesting the need for a more consistent approach that embraces diversity before harmonization. [Extracted from the article]
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- 2024
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18. Who Should Mind or Mend the Gap between Articles 101 and 102 TFEU?—National Experiments and Twenty Years of Article 3 Regulation (EC) 1/2003.
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Papp, Florian Wagner-von
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UNFAIR competition ,STANDARDIZATION ,LEGISLATIVE histories - Published
- 2023
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19. Should Google's secret sauce be organic?
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Papp, Florian Wagner-Von
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- 2015
20. Regulation 1/2003 and EU Antitrust Enforcement: A Systematic Guide.
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Papp, Florian Wagner-von
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ANTITRUST law ,COMMERCIAL law ,RESTRAINT of trade ,DUE process of law ,INTERNATIONAL law ,LAW enforcement ,CIVIL law - Abstract
The article is a book review of "Regulation 1/2003 and EU Antitrust Enforcement: A Systematic Guide." The book provides a comprehensive analysis of EU competition law enforcement, including a detailed commentary on Regulation 1/2003. It also offers a normative assessment of the current law and identifies potential issues for future reform. The book includes contributions from a wide range of experts, including judges, officials, academics, and practitioners. It is recommended for anyone interested in EU competition law enforcement and is considered a valuable resource for both academics and practitioners. [Extracted from the article]
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- 2023
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21. AllCoPol: inferring allele co-ancestry in polyploids
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Florian Wagner, Christoph Oberprieler, and Ulrich Lautenschlager
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Simulations ,0106 biological sciences ,Gene tree ,lcsh:Computer applications to medicine. Medical informatics ,010603 evolutionary biology ,01 natural sciences ,Biochemistry ,Coalescent theory ,Polyploidy ,User-Computer Interface ,03 medical and health sciences ,Polyploid ,Structural Biology ,Reticulate evolution ,Databases, Genetic ,ddc:580 ,Allele ,Molecular Biology ,lcsh:QH301-705.5 ,Alleles ,Phylogeny ,030304 developmental biology ,Mathematics ,0303 health sciences ,Phylogenetic tree ,Multilocus sequence data ,Heuristic ,Applied Mathematics ,Inheritance (genetic algorithm) ,Coalescent theory, Gene tree, Multilocus sequence data, Polyploidy, Python, Reticulate evolution, Simulations, Species tree ,Computer Science Applications ,580 Pflanzen (Botanik) ,lcsh:Biology (General) ,Evolutionary biology ,lcsh:R858-859.7 ,Species tree ,Ploidy ,Leucanthemum ,Software ,Multilocus Sequence Typing ,Python - Abstract
Background Inferring phylogenetic relationships of polyploid species and their diploid ancestors (leading to reticulate phylogenies in the case of an allopolyploid origin) based on multi-locus sequence data is complicated by the unknown assignment of alleles found in polyploids to diploid subgenomes. A parsimony-based approach to this problem has been proposed by Oberprieler et al. (Methods Ecol Evol 8:835–849, 2017), however, its implementation is of limited practical value. In addition to previously identified shortcomings, it has been found that in some cases, the obtained results barely satisfy the applied criterion. To be of better use to other researchers, a reimplementation with methodological refinement appears to be indispensable. Results We present the AllCoPol package, which provides a heuristic method for assigning alleles from polyploids to diploid subgenomes based on the Minimizing Deep Coalescences (MDC) criterion in multi-locus sequence datasets. An additional consensus approach further allows to assess the confidence of phylogenetic reconstructions. Simulations of tetra- and hexaploids show that under simplifying assumptions such as completely disomic inheritance, the topological errors of reconstructed phylogenies are similar to those of MDC species trees based on the true allele partition. Conclusions AllCoPol is a Python package for phylogenetic reconstructions of polyploids offering enhanced functionality as well as improved usability. The included methods are supplied as command line tools without the need for prior programming knowledge.
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- 2020
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22. Changes of temporomandibular joint position after surgery first orthognathic treatment concept
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Kurt Schicho, Rudolf Seemann, Daniel Holzinger, Florian Wagner, Gabriele Millesi, Elisabeth Breuss, and Katrin Willinger
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0301 basic medicine ,Adult ,Male ,medicine.medical_specialty ,Adolescent ,medicine.medical_treatment ,Orthognathic surgery ,Medizin ,lcsh:Medicine ,Sagittal split osteotomy ,Condyle ,Article ,Dentofacial Deformity ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Postoperative Complications ,mental disorders ,Postoperative results ,medicine ,Performed Procedure ,Humans ,lcsh:Science ,Multidisciplinary ,Dentofacial Deformities ,Temporomandibular Joint ,business.industry ,Orthognathic Surgical Procedures ,lcsh:R ,Mandibular Condyle ,Temporomandibular Joint Disorders ,Temporomandibular joint ,Surgery ,Position (obstetrics) ,030104 developmental biology ,medicine.anatomical_structure ,Female ,lcsh:Q ,business ,Tomography, Spiral Computed ,030217 neurology & neurosurgery ,psychological phenomena and processes - Abstract
Orthognathic surgery treatment (OGS) after orthodontic treatment of dentofacial deformities is a widely performed procedure, often accompanied by a bilateral sagittal split osteotomy (BSSO). Positioning of the condyle during this procedure is a crucial step for achieving optimal functional and anatomical results. Intraoperatively poorly positioned condyles can have a negative effect on the postoperative result and the patient’s well-being. Changes of the condylar position during OGS Procedures and its effects on the temporomandibular joint in orthognathic surgical interventions (OGS) are subject of scientific discussions. However, up to date, no study has investigated the role of condyle position in the surgery first treatment concept. The aim of this study was to investigate the influence of OGS on the three-dimensional position of the condyle in the joint in a surgery first treatment concept without positioning device and to record the change in position quantitatively and qualitatively. Analysis of our data indicated that OGS in surgery first treatment concept has no significant effect on the position of the condyle and the anatomy of the temporomandibular joint.
- Published
- 2019
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23. Quantifying the environmental impact of clustering strategies in waste management: A case study for plastic recycling from large household appliances
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Eduard Wagner, Mariana Gaspar Martinez, Alexander Boudewijn, Florian Wagner, Joost Duflou, Jef Peeters, Ellen Bracquené, and Publica
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Conservation of Natural Resources ,Technology ,Plastic recycling ,020209 energy ,Environmental Sciences & Ecology ,02 engineering and technology ,010501 environmental sciences ,01 natural sciences ,PRODUCT ,Electronic Waste ,ALLOCATION ,12. Responsible consumption ,Life cycle assessment ,Engineering ,Waste Management ,0202 electrical engineering, electronic engineering, information engineering ,Cluster Analysis ,Production (economics) ,Recycling ,Environmental impact assessment ,Product (category theory) ,Household Articles ,Cluster analysis ,Waste Management and Disposal ,Life-cycle assessment ,ELECTRONIC EQUIPMENT WEEE ,0105 earth and related environmental sciences ,Science & Technology ,Waste management ,LCA ,Recipe ,Engineering, Environmental ,Environmental impacts ,Waste treatment ,LIFE-CYCLE ASSESSMENT ,Waste electrical and electronic equipment ,13. Climate action ,Environmental science ,Plastics ,Life Sciences & Biomedicine ,Environmental Sciences - Abstract
The complex composition of waste electrical and electronic equipment (WEEE) plastics represents a challenge during post-consumption plastic recycling. A single WEEE category, e.g. large household appliances (LHA), can contain several different plastic types with overlapping material properties, making the sorting of individual plastics a challenge. Significant increases in plastic recovery rates can be expected by clustering product categories, as clustering can avoid mixing of non-compatible plastics with overlapping material properties. For this purpose, a life cycle assessment (LCA) is conducted to investigate the influence of different clustering strategies on the environmental performance of waste treatment and the production of recycled plastic from LHA waste stream. To assure comparability between waste treatment scenarios a system expansion approach is applied, and to allocate the burden of shared processes over the first and second use cycle of the material partitioning is applied. Results show that an increased separation of product clusters by plastic type can improve the plastic recovery rate from 5.8% to 47.1% and reduce the overall environmental impact, quantified with the ReCiPe (2016) method, by up to 23%. The environmental impacts of using recycled plastics from LHA waste can be reduced by 27 to 38% compared to single-use plastic. The holistic approach used in this study demonstrates (1) the potential benefits of implementing product clustering strategies for LHA plastic recycling, (2) the relevance of different allocation procedures when integrating recycling into an LCA, (3) the importance of using less virgin material and avoiding final waste treatment, and (4) the limitation of the recycling system to reduce the environmental burden associated with products. ispartof: Waste Management vol:126 pages:497-507 ispartof: location:United States status: published
- Published
- 2021
24. The genus Heteromera (Compositae, Anthemideae)
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Robert Vogt, Florian Wagner, and Christoph Oberprieler
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Compositae ,biology ,Anthemideae ,Heteromera ,Willdenowia ,Plant Science ,Asteraceae ,biology.organism_classification ,North Africa ,Chromosome numbers ,taxonomy ,Genus ,500 Naturwissenschaften und Mathematik::580 Pflanzen (Botanik)::580 Pflanzen (Botanik) ,Botany ,Typification ,Taxonomy (biology) ,nomenclature ,Nomenclature ,Ecology, Evolution, Behavior and Systematics - Abstract
A comprehensive treatment of the N African genus Heteromera Pomel (Compositae, Anthemideae) is presented. Morphological, anatomical and karyological features as well as distribution maps are reported. The analysis of nrDNA and cpDNA sequence variation reveals the close relationship of the two species, with H. philaenorum exhibiting little variation and being well separated from a more diverse H. fuscata. The chromosome numbers of H. fuscata and H. philaenorum are reported for the first time. Heteromera philaenorum Maire & Weiller, Chrysanthemum fuscatum f. pubescens Trotter and Chrysanthemum fuscatum f. subcanescens Trotter are lectotypified and H. philaenorum is reported as new for the flora of Algeria and Tunisia. Citation: Vogt R., Wagner F. & Oberprieler C. 2021: The genus Heteromera (Compositae, Anthemideae). – Willdenowia 51: 233–249. Version of record first published online on 17 August 2021 ahead of inclusion in August 2021 issue.
- Published
- 2021
25. Tackling invitations to collude and unilateral disclosure: the moving frontiers of competition law?
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Lianos, Ioannis and Papp, Florian Wagner-von
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ANTITRUST law ,UNITED States. Sherman Act ,DISCLOSURE - Published
- 2022
- Full Text
- View/download PDF
26. Automated Reconditioning of Thin Wall Structures Using Robot-Based Laser Powder Coating
- Author
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Eduard Mayer, Jochen Maaß, Shahram Sheikhi, and Florian Wagner
- Subjects
Scanner ,Laser scanning ,Computer science ,Geography, Planning and Development ,lcsh:TJ807-830 ,lcsh:Renewable energy sources ,chemistry.chemical_element ,Welding ,Management, Monitoring, Policy and Law ,01 natural sciences ,digitalization ,Field (computer science) ,law.invention ,Powder coating ,law ,Component (UML) ,0502 economics and business ,0103 physical sciences ,lcsh:Environmental sciences ,lcsh:GE1-350 ,welding ,010308 nuclear & particles physics ,Renewable Energy, Sustainability and the Environment ,robotic application ,lcsh:Environmental effects of industries and plants ,05 social sciences ,Control engineering ,laser ,Nickel ,lcsh:TD194-195 ,chemistry ,Robot ,reconditioning ,Reduction (mathematics) ,050203 business & management - Abstract
Implementing digitalization in the field of production represents a major hurdle for some small- and medium-sized enterprises (SMEs) due to the ensuing demands on employees and, in some cases, the significant financial investment required. The RobReLas research project has developed a system whose purpose is to enable an economical solution to this dilemma for SMEs in the field of automated, robot-based reconditioning of components. A laser scanner was integrated in the robot&rsquo, s control. The data generated by the scanner are used to mathematically describe the virtual area of the surface to be laser-treated. The scanner recognizes the relevant area within the robot&rsquo, s predefined work space by defining the maximum length and width of the relevant component. The system then automatically applies predefined and qualified repair strategies in the virtual area. Tests on nickel-based blades demonstrated the system&rsquo, s economic potential, showing a reduction in reconditioning time of about 70% compared to the conventional reconditioning method. The main advantage of the system is the fact that a basic knowledge of operating robots is sufficient for the attainment of repeatable results. Further, no additional CAD/CAM workstations are required for implementation.
- Published
- 2020
27. International experience using a durable, centrifugal-flow ventricular assist device for biventricular support
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Mustafa Paç, Christian Hagl, Daniel Zimpfer, Jens Garbade, Christopher S. Hayward, Arnt E. Fiane, Florian Wagner, Jan D. Schmitto, Mustafa Özbaran, Sandra Eifert, Steven Tsui, René Schramm, Silvana Marasco, Umit Kervan, Andre R. Simon, and Ege Üniversitesi
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Cardiac output ,Heart Ventricles ,medicine.medical_treatment ,RVAD ,BiVAD ,Atrial Function, Right ,030204 cardiovascular system & hematology ,Global Health ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,Heart Atria ,Retrospective Studies ,Heart Failure ,Heart transplantation ,Transplantation ,business.industry ,Retrospective cohort study ,biventricular failure ,HeartWare HVAD BiVAD ,Survival Rate ,Right Ventricular Assist Device ,Treatment Outcome ,medicine.anatomical_structure ,030228 respiratory system ,Respiratory failure ,Ventricle ,biventricular assist device ,Ventricular assist device ,Ventricular Function, Right ,Cardiology ,Surgery ,Heart-Assist Devices ,Implant ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies - Abstract
BACKGROUND: Heart transplantation is limited by the scarcity of suitable donors. Patients with advanced biventricular failure may require biventricular support to provide optimal cardiac output and end-organ perfusion. We highlight the outcomes of using the HeartWare HVAD System (HVAD) in a biventricular configuration. METHODS: This retrospective study included patients implanted with HVAD as a biventricular assist device (BiVAD) between 2009 and 2017 at 12 participating centers. When used as a right ventricular assist device (VAD) (RVAD), the HVAD can be attached to the right ventricle (RV) or the right atrium (RA). Kaplan–Meier survival estimates were calculated comparing the 2 RVAD implant locations. Comparisons were also made between the timing of RVAD implantation (primary vs staged) on adverse event (AE) profiles and survival. RESULTS: Among the 93 patients who were implanted with a HVAD BiVAD, Kaplan–Meier survivals at 1-year and 2-year were 56% and 47%, respectively. Survival was independent of the location of the HVAD RVAD implant or whether there was an interval between left VAD and RVAD implantation. The most common AEs were bleeding (35.5%), infection (25.8%), and respiratory failure (20.4%). CONCLUSIONS: This study illustrated similar survival in patients receiving a primary or staged HVAD BiVAD implant at 1 year and 2 years. This study also established that the locations of the RVAD implant (RV or RA) result in similar AE profiles. © 2020 International Society for Heart and Lung Transplantation, Medtronic Abbott Laboratories Medtronic, A.R.S. is a consultant for Medtronic and Transmedics Inc. J.G. and M.O. are consultants for Medtronic and Abbott. C.S.H. is a consultant for Medtronic and has received honoraria from Abbott and Medtronic. D.Z. and J.D.S. are consultants for Medtronic and receive research grant support from Abbott. The remaining authors have no conflicts of interest to disclose., The authors gratefully acknowledge the assistance of Vince Cannon, Alexandra Dedrick, and Kristie Wallace from Medtronic for support in the analysis and preparation of this manuscript. This retrospective study was supported by Medtronic (formerly HeartWare Inc).
- Published
- 2020
28. Colonial Internationalism and the Governmentality of Empire, 1893–1982
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Florian Wagner and Florian Wagner
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- Colonization--History--19th century, Colonization--History--20th century, Colonies--Administration--History--19th century, Colonies--Administration--History--20th century, Internationalism--History--19th century, Internationalism--History--20th century
- Abstract
In 1893, a group of colonial officials from thirteen countries abandoned their imperial rivalry and established the International Colonial Institute (ICI), which became the world's most important colonial think tank of the twentieth century. Through the lens of the ICI, Florian Wagner argues that this international cooperation reshaped colonialism as a transimperial and governmental policy. The book demonstrates that the ICI's strategy of using indigenous institutions and customary laws to encourage colonial development served to maintain colonial rule even beyond the official end of empires. By selectively choosing loyalists among the colonized to participate in the ICI, it increased their autonomy while equally delegitimizing more radical claims for independence. The book presents a detailed study of the ICI's creation, the transcolonial activities of its prominent members, its interactions with the League of Nations and fascist governments, and its role in laying the groundwork for the structural and discursive dependence of the Global South after 1945.
- Published
- 2022
29. Diversified recycling strategies for high-end plastics: Technical feasibility and impact assessment
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Ellen Bracquené, Joost Duflou, Jef R. Peeters, Wim Dewulf, and Florian Wagner
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0209 industrial biotechnology ,Technology ,media_common.quotation_subject ,02 engineering and technology ,Engineering plastic ,Flame retardants ,Industrial and Manufacturing Engineering ,020901 industrial engineering & automation ,Engineering ,0203 mechanical engineering ,Quality (business) ,Injection moulding ,Recycling ,Environmental impact reduction ,Polymer ,Life-cycle assessment ,media_common ,Flammability ,Science & Technology ,Waste management ,Impact assessment ,Mechanical Engineering ,Engineering, Manufacturing ,Technical feasibility ,020303 mechanical engineering & transports ,Engineering, Industrial ,Environmental science - Abstract
Waste Electrical and Electronic Equipment (WEEE) comprises a complex mix of engineering plastic grades often containing flame retardants. Whereas post-shredder recycling strategies are widely implemented, considerably higher economic and environmental returns can be expected based on information-rich dismantling scenarios. This paper therefore presents the results of an extensive technological feasibility study on diversified recycling strategies for a dismantling based approach. Results of mechanical and flammability tests as well as injection moulding trials are moreover presented to show the quality and potential of the recycling strategies. Subsequently, the environmental impact reduction potential is assessed using Life Cycle Assessment. ispartof: CIRP ANNALS-MANUFACTURING TECHNOLOGY vol:68 issue:1 pages:29-32 status: published
- Published
- 2019
30. Competition Law and Economic Regulation Dunne Niamh
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Papp, Florian Wagner-Von
- Published
- 2017
31. Wettbewerbsrecht, 4th ed., vol. 3
- Author
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Papp, Florian Wagner-Von
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Wettbewerbsrecht, 4th ed., vol. 3 (Nonfiction work) -- Book reviews ,Kommentar zum deutschen und (Nonfiction work) -- Book reviews ,Frankfurter Kommentar zum Kartellrecht, 6 vols. (Nonfiction work) -- Book reviews ,Books -- Book reviews ,Economics ,International relations ,Law - Published
- 2009
32. First-in-Man: Case Report of Selective C-Reactive Protein Apheresis in a Patient with SARS-CoV-2 Infection
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Ahmed Sheriff, Franz Heigl, Christopher Bock, Reinhard Hettich, Oliver Zimmermann, Florian Wagner, Christian Schumann, Stefan Kayser, and Jan Torzewski
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Male ,medicine.medical_specialty ,Multiple Organ Failure ,Pulmonary Fibrosis ,Pneumonia, Viral ,030204 cardiovascular system & hematology ,Gastroenterology ,law.invention ,03 medical and health sciences ,chemistry.chemical_compound ,Betacoronavirus ,0302 clinical medicine ,law ,Internal medicine ,Pulmonary fibrosis ,Blood plasma ,medicine ,Humans ,Pandemics ,Aged ,Creatinine ,biology ,business.industry ,SARS-CoV-2 ,C-reactive protein ,COVID-19 ,General Medicine ,Articles ,medicine.disease ,SARS Virus ,Intensive care unit ,Pneumonia ,Apheresis ,C-Reactive Protein ,chemistry ,Respiratory failure ,030220 oncology & carcinogenesis ,biology.protein ,Blood Component Removal ,business ,Coronavirus Infections - Abstract
Patient: Male, 72-year-old Final Diagnosis: SARS-CoV-2 Symptoms: Dyspnea Medication: Standard Clinical Procedure: C-reactive protein apheresis Specialty: Immunology Objective: Unusual clinical course Background: C-reactive protein (CRP) plasma levels in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel viral disease, are surprisingly high. Pulmonary inflammation with subsequent fibrosis in SARS-CoV-2 infection is strongly accelerated. Recently, we have developed CRP apheresis to selectively remove CRP from human plasma. CRP may contribute to organ failure and pulmonary fibrosis in SARS-CoV-2 infection by CRP-mediated complement and macrophage activation. Case Report: A 72-year-old male patient at high risk was referred with dyspnea and fever. Polymerase chain reaction analysis of throat smear revealed SARS-CoV-2 infection. CRP levels were ∼200 mg/L. Two days after admission, CRP apheresis using the selective CRP adsorber (PentraSorb® CRP) was started. CRP apheresis was performed via peripheral venous access on days 2, 3, 4, and 5. Following a 2-day interruption, it was done via central venous access on days 7 and 8. Three days after admission the patient was transferred to the intensive care unit and intubated due to respiratory failure. Plasma CRP levels decreased by ∼50% with peripheral (processed blood plasma ≤6000 mL) and by ∼75% with central venous access (processed blood plasma ≤8000 mL), respectively. No apheresis-associated side effects were observed. After the 2-day interruption in apheresis, CRP levels rapidly re-increased (>400 mg/L) and the patient developed laboratory signs of multi-organ failure. When CRP apheresis was restarted, CRP levels and creatinine kinases (CK/CK-MB) declined again. Serum creatinine remained constant. Unfortunately, the patient died of respiratory failure on day 9 after admission. Conclusions: This is the first report on CRP apheresis in a SARS-CoV-2 patient. SARS-CoV-2 may cause multi-organ failure in part by inducing an excessive CRP-mediated autoimmune response of the ancient innate immune system.
- Published
- 2020
33. Lifetime study in mice after acute low-dose ionizing radiation: A multifactorial study with special focus on cataract risk
- Author
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Savneet Kaur Bains, Fabian J. Theis, Lillian Garrett, Sarah Kunze, Jochen Graw, Ute Rößler, Munira Kadhim, Omid Azimzadeh, Michael J. Atkinson, Daniel Samaga, Florian Wagner, Soile Tapio, Matthias B. Greiter, Peter Reitmeir, Frauke Neff, Maria Gomolka, Claudia Dalke, Kristian Unger, Christoph Hoeschen, Sabine Hornhardt, Stefan J. Kempf, Predrag Slijepcevic, Ulrike Kulka, Wolfgang Wurst, Deborah Lord, Michaela Aubele, Sabine M. Hölter, Michael Rosemann, Scott Bright, Horst Zitzelsberger, and Herbert Braselmann
- Subjects
0301 basic medicine ,Oncology ,Male ,medicine.medical_specialty ,Time Factors ,Focus (geometry) ,Mouse ,Scheimpflug principle ,Biophysics ,Kaplan-Meier Estimate ,Risk Assessment ,Cataract ,Ionizing radiation ,03 medical and health sciences ,Mice ,0302 clinical medicine ,Radiation Protection ,Internal medicine ,medicine ,Animals ,Irradiation ,Survival rate ,General Environmental Science ,Chromosome Aberrations ,Radiation ,business.industry ,Dose-Response Relationship, Radiation ,Telomere ,Radiation-induced Cataract ,Low-dose Radiation ,Scheimpflug Analysis ,Low-dose radiation ,3. Good health ,Radiation Injuries, Experimental ,Scheimpflug analysis ,030104 developmental biology ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Lens (anatomy) ,Radiation-induced cataract ,Female ,Original Article ,Bone marrow ,Radiation protection ,business - Abstract
Because of the increasing application of ionizing radiation in medicine, quantitative data on effects of low-dose radiation are needed to optimize radiation protection, particularly with respect to cataract development. Using mice as mammalian animal model, we applied a single dose of 0, 0.063, 0.125 and 0.5 Gy at 10 weeks of age, determined lens opacities for up to 2 years and compared it with overall survival, cytogenetic alterations and cancer development. The highest dose was significantly associated with increased body weight and reduced survival rate. Chromosomal aberrations in bone marrow cells showed a dose-dependent increase 12 months after irradiation. Pathological screening indicated a dose-dependent risk for several types of tumors. Scheimpflug imaging of the lens revealed a significant dose-dependent effect of 1% of lens opacity. Comparison of different biological end points demonstrated long-term effects of low-dose irradiation for several biological end points. Electronic supplementary material The online version of this article (10.1007/s00411-017-0728-z) contains supplementary material, which is available to authorized users.
- Published
- 2018
34. K-nearest neighbor smoothing for high-throughput single-cell RNA-Seq data
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Florian Wagner, Yun Yan, and Itai Yanai
- Subjects
symbols.namesake ,Computer science ,Dimensionality reduction ,symbols ,Computational biology ,Poisson distribution ,Cluster analysis ,Throughput (business) ,Expression (mathematics) ,Smoothing ,k-nearest neighbors algorithm - Abstract
High-throughput single-cell RNA-Seq (scRNA-Seq) is a powerful approach for studying heterogeneous tissues and dynamic cellular processes. However, compared to bulk RNA-Seq, single-cell expression profiles are extremely noisy, as they only capture a fraction of the transcripts present in the cell. Here, we propose the k-nearest neighbor smoothing (kNN-smoothing) algorithm, designed to reduce noise by aggregating information from similar cells (neighbors) in a computationally efficient and statistically tractable manner. The algorithm is based on the observation that across protocols, the technical noise exhibited by UMI-filtered scRNA-Seq data closely follows Poisson statistics. Smoothing is performed by first identifying the nearest neighbors of each cell in a step-wise fashion, based on partially smoothed and variance-stabilized expression profiles, and then aggregating their transcript counts. We show that kNN-smoothing greatly improves the detection of clusters of cells and co-expressed genes, and clearly outperforms other smoothing methods on simulated data. To accurately perform smoothing for datasets containing highly similar cell populations, we propose the kNN-smoothing 2 algorithm, in which neighbors are determined after projecting the partially smoothed data onto the first few principal components. We show that unlike its predecessor, kNN-smoothing 2 can accurately distinguish between cells from different T cell subsets, and enables their identification in peripheral blood using unsupervised methods. Our work facilitates the analysis of scRNA-Seq data across a broad range of applications, including the identification of cell populations in heterogeneous tissues and the characterization of dynamic processes such as cellular differentiation. Reference implementations of our algorithms can be found at https://github.com/yanailab/knn-smoothing.
- Published
- 2017
- Full Text
- View/download PDF
35. Failures in mitral valve repair: echocardiographic and surgical predictors
- Author
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Florian Wagner, P. Marcsek, H. Reichenspurner, Lenard Conradi, Evaldas Girdauskas, Christoph Sinning, Christian Detter, S. Gasser, Daniel Reichart, and Stefan Blankenberg
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Mitral valve repair ,business.industry ,Internal medicine ,medicine.medical_treatment ,medicine ,Cardiology ,Surgery ,Cardiology and Cardiovascular Medicine ,business - Published
- 2017
36. Growth-differentiation factor-15 improves reclassification for the diagnosis of heart failure with normal ejection fraction in morbid obesity
- Author
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Gerd Schmitz, Christina Strack, Marcus Fischer, Janine Bruxmeier, Andrea Baessler, Florian Wagner, Günter A.J. Riegger, Martin Schmiedel, Thomas H. Loew, Elena Rousseva, and Claas Lahmann
- Subjects
Adult ,Male ,medicine.medical_specialty ,Growth Differentiation Factor 15 ,Adolescent ,Statistics as Topic ,Diastole ,030204 cardiovascular system & hematology ,Ventricular Dysfunction, Left ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Predictive Value of Tests ,Interquartile range ,Weight loss ,Internal medicine ,Natriuretic Peptide, Brain ,Health Status Indicators ,Humans ,Medicine ,030212 general & internal medicine ,Isovolumetric contraction ,Ultrasonography ,2. Zero hunger ,Analysis of Variance ,Heart Failure, Diastolic ,Ejection fraction ,business.industry ,Middle Aged ,Prognosis ,medicine.disease ,Peptide Fragments ,Obesity, Morbid ,Heart failure ,Predictive value of tests ,Cardiology ,Female ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Body mass index ,Biomarkers - Abstract
Aims This study aimed to examine the incremental value of growth-differentiation factor-15 (GDF-15) to N-terminal pro brain natriuretic hormone (NT-proBNP) levels for the diagnosis of left ventricular diastolic dysfunction (LVDD) and possible heart failure (HF) in morbidly obese patients. Method and results We analysed data from 207 obese subjects [body mass index (BMI) 41 ± 8 kg/m2] with normal ejection fraction, LVDD, and symptoms and/or signs of HF (referred to as ‘LVDD with possible HF’, n = 88) and with normal left ventricular function (n = 119) before participating in a medical weight loss programme, in addition to the study of healthy lean subjects (n = 51). Median NT-proBNP (interquartile range) for obese subjects with ‘LVDD and possibe HF’ and with normal LV function was 52 (29–96) and 42 (25–66) pg/mL, respectively (P = 0.12). There was no correlation of NT-proBNP with parameters of left ventricular filling pressure, i.e. E/E' (r2 = 0.002, P = 0.63) or E' velocity (r2 = 0.02, P = 0.24). In contrast, GDF-15 was 665 (496–926) with ‘LVDD and possible HF’ and 451 (392– 679) pg/mL without (P < 0.0001). GDF-15 was significantly correlated to E/E', E' velocity, E/A ratio, isovolumetric relaxation time, duration of reversed pulmonary vein atrial systolic flow, and left atrial size. The area under the receiver operating characteristic curve that defines LVDD with possible HF was 0.56 for NT-proBNP and 0.74 for GDF-15 (P < 0.0001). The addition of GDF-15 to a multivariate predicition model increased the net reclassification improvement (NRI) by 9% (P= 0.022). Conclusion In morbidly obese individuals, GDF-15 levels seem to better correlate with diastolic dysfunction than NT-proBNP levels. GDF-15 significantly improves reclassification for the diagnosis of ‘LVDD with possible HF’ and, thus, adds incremental value to NT-proBNP.
- Published
- 2014
- Full Text
- View/download PDF
37. Cytomegalovirus hyper immunoglobulin for CMV prophylaxis in thoracic transplantation
- Author
-
Luciano Potena, Fiorella Calabrese, Nizar Yonan, Federico Rea, and Florian Wagner
- Subjects
medicine.medical_specialty ,Time Factors ,medicine.medical_treatment ,Congenital cytomegalovirus infection ,Bronchiolitis obliterans ,Antiviral Agents ,Cytomegalovirus ,Cytomegalovirus Infections ,Heart Transplantation ,Host-Pathogen Interactions ,Humans ,Immunization, Passive ,Immunocompromised Host ,Immunoglobulins ,Immunosuppressive Agents ,Lung Transplantation ,Opportunistic Infections ,Registries ,Treatment Outcome ,Virus Activation ,Transplantation ,030230 surgery ,Passive ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Internal medicine ,medicine ,Lung transplantation ,Heart transplantation ,business.industry ,Immunoglobulins, Intravenous ,Retrospective cohort study ,medicine.disease ,Concomitant ,Immunology ,030211 gastroenterology & hepatology ,Immunization ,business ,Supplement - Abstract
Cytomegalovirus (CMV) infection negatively influences both short- and long-term outcomes after cardiothoracic transplantation. In heart transplantation, registry analyses have shown that CMV immunoglobulin (CMVIG) with or without virostatic prophylaxis is associated with a significant reduction in mortality and graft loss versus no prophylaxis, particularly in high-risk donor (D)+/recipient (R)− transplants. Randomized comparative trials are lacking but retrospective data suggest that addition of CMVIG to antiviral prophylaxis may reduce rates of CMV-related events after heart transplantation, including the incidence of acute rejection or chronic allograft vasculopathy. However, available data consistently indicate that when CMVIG is used, it should be administered with concomitant antiviral therapy, and that evidence concerning preemptive management with CMVIG is limited, but promising. In lung transplantation, CMVIG should again only be used with concomitant antiviral therapy. Retrospective studies have shown convincing evidence that addition of CMVIG to antiviral prophylaxis lowers CMV endpoints and mortality. The current balance of evidence suggests that CMVIG prophylaxis reduces the risk of bronchiolitis obliterans syndrome, but a controlled trial is awaited. Overall, the relatively limited current data set suggests that prophylaxis with CMVIG in combination with antiviral therapy appears effective in D+/R− heart transplant patients, whereas in lung transplantation, addition of CMVIG in recipients of a CMV-positive graft may offer an advantage in terms of CMV infection and disease.
- Published
- 2016
38. Opinion paper on innovative approach of biomarkers for infectious diseases and sepsis management in the emergency department
- Author
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Nicola Fiotti, Salvatore Di Somma, Grianfranco Cervellin, Gian Carlo Avanzi, Frauke Hein, Irene Lalle, Francesco Travaglino, Laura Magrini, Giuseppe Lippi, Enrico Lupia, Alan S. Maisel, Florian Wagner, Salvatore Di, Somma, Laura, Magrini, Francesco, Travaglino, Irene, Lalle, Fiotti, Nicola, Gianfranco, Cervellin, Gian Carlo, Avanzi, Enrico, Lupia, Alan, Maisel, Frauke, Hein, Florian, Wagner, and Giuseppe, Lippi
- Subjects
Adult ,Calcitonin ,medicine.medical_specialty ,emergency department ,Sepsi ,Calcitonin Gene-Related Peptide ,Clinical Biochemistry ,Fluorescent Antibody Technique ,Enzyme-Linked Immunosorbent Assay ,Disease ,Communicable Diseases ,biomarkers ,infection ,procalcitonin ,sepsis ,Procalcitonin ,Sepsis ,Copeptin ,Diagnosis ,Health care ,medicine ,Humans ,Protein Precursors ,Child ,Intensive care medicine ,business.industry ,Biochemistry (medical) ,Disease Management ,Red blood cell distribution width ,General Medicine ,Emergency department ,Biomarker ,medicine.disease ,Management ,Emergency Medicine ,Biomarker (medicine) ,Biomarkers ,Emergency Service, Hospital ,business ,Diagnosi - Abstract
Sepsis is a leading healthcare problem, accounting for the vast majority of fatal events in critically ill patients. Beyond early diagnosis and appropriate treatment, this condition requires a multifaceted approach for monitoring the severity, the potential organ failure as well as the risk of death. Monitoring of the efficacy of treatment is also a major issue in the emergency department (ED). The assessment of critically ill conditions and the prognosis of patients with sepsis is currently based on some scoring systems, which are, however, inefficient to provide definite clues about organ failure and prognosis in general. The discretionary and appropriate use of some selected biomarkers such as procalcitonin, inducible protein 10 (IP10), Group IV phospholipase A2 type II (PLA2 II), neutrophil gelatinase-associated lipocalin (NGAL), natriuretic peptides, mature adrenomedullin (ADM), mid-regional pro-adrenomedullin (MR-proADM), copeptin, thrombopoietin, Mer receptor and even red blood cell distribution width (RDW) represent thereby an appealing perspective in the diagnosis and management of patients with sepsis. Nevertheless, at the moment, it is not still clear if it is better to use a multimarkers approach or if a single, most appropriate, biomarker exists. This collective opinion paper is aimed at providing an overview about the potential clinical usefulness of some innovative biomarkers of sepsis in its diagnosis and prognosis, but also in the treatment management of the disease. This manuscript represents a synopsis of the lectures of Third Italian GREAT Network Congress, that was hold in Rome, 15–19 October 2012.
- Published
- 2013
39. GO-PCA: An Unsupervised Method to Explore Biological Heterogeneity Based on Gene Expression and Prior Knowledge
- Author
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Florian Wagner
- Subjects
Gene expression profiling ,CpG site ,Principal component analysis ,Gene expression ,Nonparametric statistics ,Data mining ,Computational biology ,Biology ,computer.software_genre ,computer ,Gene ,Expression (mathematics) ,Hierarchical clustering - Abstract
Genome-wide expression profiling is a cost-efficient and widely used method to characterize heterogeneous populations of cells, tissues, biopsies, or other biological specimen. The exploratory analysis of such datasets typically relies on generic unsupervised methods, e.g. principal component analysis or hierarchical clustering. However, generic methods fail to exploit the significant amount of knowledge that exists about the molecular functions of genes. Here, I introduce GO-PCA, an unsupervised method that incorporates prior knowledge about gene functions in the form of gene ontology (GO) annotations. GO-PCA aims to discover and represent biological heterogeneity along all major axes of variation in a given dataset, while suppressing heterogeneity due to technical biases. To this end, GO-PCA combines principal component analysis (PCA) with nonparametric GO enrichment analysis, and uses the results to generate expression signatures based on small sets of functionally related genes. I first applied GO-PCA to expression data from diverse lineages of the human hematopoietic system, and obtained a small set of signatures that captured known cell characteristics for most lineages. I then applied the method to expression profiles of glioblastoma (GBM) tumor biopsies, and obtained signatures that were strongly associated with multiple previously described GBM subtypes. Surprisingly, GO-PCA discovered a cell cycle-related signature that exhibited significant differences between the Proneural and the prognostically favorable GBM CpG Island Methylator (G-CIMP) subtypes, suggesting that the G-CIMP subtype is characterized in part by lower mitotic activity. Previous expression-based classifications have failed to separate these subtypes, demonstrating that GO-PCA can detect heterogeneity that is missed by other methods. My results show that GO-PCA is a powerful and versatile expression-based method that facilitates exploration of large-scale expression data, without requiring additional types of experimental data. The low-dimensional representation generated by GO-PCA lends itself to interpretation, hypothesis generation, and further analysis.
- Published
- 2015
- Full Text
- View/download PDF
40. Blunt Chest Trauma in Mice after Cigarette Smoke-Exposure: Effects of Mechanical Ventilation with 100% O2
- Author
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Michael Gröger, Anita Ignatius, Katja Wagner, Angelika Scheuerle, Florian Wagner, Markus Huber-Lang, Birgit Jung, Oscar McCook, Michael K. Georgieff, Peter Radermacher, Peter Møller, Matthias J. Duechs, Bettina Stahl, Enrico Calzia, and Pierre Asfar
- Subjects
Male ,Pathology ,medicine.medical_specialty ,Thoracic Injuries ,medicine.medical_treatment ,Acute Lung Injury ,lcsh:Medicine ,Hyperoxia ,Pulmonary compliance ,Lung injury ,Wounds, Nonpenetrating ,Hypoxemia ,Mice ,Pulmonary Disease, Chronic Obstructive ,chemistry.chemical_compound ,medicine ,Animals ,lcsh:Science ,Lung ,Mechanical ventilation ,Multidisciplinary ,business.industry ,Nitrotyrosine ,Smoking ,lcsh:R ,Hypoxia (medical) ,respiratory system ,Hypoxia-Inducible Factor 1, alpha Subunit ,Reactive Nitrogen Species ,Respiration, Artificial ,ddc ,Mice, Inbred C57BL ,Disease Models, Animal ,Oxidative Stress ,medicine.anatomical_structure ,chemistry ,Receptors, Purinergic P2X ,Anesthesia ,Female ,lcsh:Q ,medicine.symptom ,business ,Research Article - Abstract
Cigarette smoking (CS) aggravates post-traumatic acute lung injury and increases ventilator-induced lung injury due to more severe tissue inflammation and apoptosis. Hyper-inflammation after chest trauma is due to the physical damage, the drop in alveolar PO2, and the consecutive hypoxemia and tissue hypoxia. Therefore, we tested the hypotheses that 1) CS exposure prior to blunt chest trauma causes more severe post-traumatic inflammation and thereby aggravates lung injury, and that 2) hyperoxia may attenuate this effect. Immediately after blast wave-induced blunt chest trauma, mice (n=32) with or without 3-4 weeks of CS exposure underwent 4 hours of pressure-controlled, thoraco-pulmonary compliance-titrated, lung-protective mechanical ventilation with air or 100 % O2. Hemodynamics, lung mechanics, gas exchange, and acid-base status were measured together with blood and tissue cytokine and chemokine concentrations, heme oxygenase-1 (HO-1), activated caspase-3, and hypoxia-inducible factor 1-α (HIF-1α) expression, nuclear factor-κB (NF-κB) activation, nitrotyrosine formation, purinergic receptor 2X4 (P2XR4) and 2X7 (P2XR7) expression, and histological scoring. CS exposure prior to chest trauma lead to higher pulmonary compliance and lower PaO2 and Horovitz-index, associated with increased tissue IL-18 and blood MCP-1 concentrations, a 2-4-fold higher inflammatory cell infiltration, and more pronounced alveolar membrane thickening. This effect coincided with increased activated caspase-3, nitrotyrosine, P2XR4, and P2XR7 expression, NF-κB activation, and reduced HIF-1α expression. Hyperoxia did not further affect lung mechanics, gas exchange, pulmonary and systemic cytokine and chemokine concentrations, or histological scoring, except for some patchy alveolar edema in CS exposed mice. However, hyperoxia attenuated tissue HIF-1α, nitrotyrosine, P2XR7, and P2XR4 expression, while it increased HO-1 formation in CS exposed mice. Overall, CS exposure aggravated post-traumatic inflammation, nitrosative stress and thereby organ dysfunction and injury; short-term, lung-protective, hyperoxic mechanical ventilation have no major beneficial effect despite attenuation of nitrosative stress, possibly due to compensation of by regional alveolar hypoxia and/or consecutive hypoxemia, resulting in down-regulation of HIF-1α expression.
- Published
- 2015
41. Prevention of sternal wound complications after sternotomy: results of a large prospective randomized multicentre trial†
- Author
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Martin Grabenwoeger, Michael Gorlitzer, Johann Meinhart, Florian Wagner, Steffen Pfeiffer, Sandra Folkmann, Theodor Fischlein, and Hermann Reichenspurner
- Subjects
Pulmonary and Respiratory Medicine ,Male ,medicine.medical_specialty ,Patient Dropouts ,Time Factors ,medicine.medical_treatment ,law.invention ,law ,Risk Factors ,Germany ,Surgical Wound Dehiscence ,medicine ,Odds Ratio ,Humans ,Surgical Wound Infection ,Prospective Studies ,Prospective cohort study ,Aged ,Prolonged Surgery ,Intention-to-treat analysis ,Chi-Square Distribution ,business.industry ,Original Articles ,Equipment Design ,Middle Aged ,medicine.disease ,Intensive care unit ,Mediastinitis ,Sternotomy ,Surgery ,Cardiac surgery ,Intention to Treat Analysis ,Orthopedic Fixation Devices ,Logistic Models ,Treatment Outcome ,Median sternotomy ,Austria ,VEST ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
OBJECTIVES: A prospective randomized multicentre trial was performed to analyse the efficacy of a vest (Posthorax support vest®) to prevent sternal wound infection after cardiac surgery, and to identify risk factors. METHODS: From September 2007 to March 2010, 2539 patients undergoing cardiac surgery via median sternotomy were prospectively randomized into those who received a Posthorax® vest and those who did not. Patients were instructed to wear the vest postoperatively for 24 h a day for at least 6 weeks; the duration of follow-up was 90 days. Patients who did not use the vest within a period of 72 h postoperatively were regarded as study dropouts. Statistical calculations were based on an intention-to-treat (ITT) analysis. Further evaluations comprised all subgroups of patients. RESULTS: Complete data were available for 2539 patients (age 67 ± 11years, 45% female). Of these, 1351 were randomized to receive a vest, while 1188 received no vest. No significant differences were observed between groups regarding age, gender, diabetes, body mass index, chronic obstructive pulmonary disease (COPD), renal failure, the logistic EuroSCORE and the indication for surgery. The frequency of deep wound complications (dWC: mediastinitis and sternal dehiscence) was significantly lower in vest (n= 14; 1.04%) vs non-vest (n= 27; 2.27%) patients (ITT, P< 0.01), but superficial complications did not differ between groups. Subanalysis of vest patients revealed that only 933 (Group A) wore the vest according to the protocol, while 202 (Group BR) refused to wear the vest (non-compliance) and 216 (Group BN) did not use the vest for other reasons. All dWC occurred in Groups BR (n= 7) and BN (n= 7), although these groups had the same preoperative risk profile as Group A. Postoperatively, Group BN had a prolonged intubation time, a longer stay in the intensive care unit, greater use of intra-aortic balloon pump, higher frequency of COPD and a larger percentage of patients who required prolonged surgery. CONCLUSION: Consistent use of the Posthorax® vest prevented deep sternal wounds. The anticipated risk factors for wound complications did not prove to be relevant, whereas intra- and postoperative complications appear to be very significant.
- Published
- 2013
42. European Cartel Digest
- Author
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Papp, Florian Wagner-von
- Subjects
European Cartel Digest (Nonfiction work) -- Book reviews ,Books -- Book reviews ,Economics ,International relations ,Law - Published
- 2010
43. The Law of Criminal Cartels: Practice and Procedure
- Author
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Papp, Florian Wagner-von
- Subjects
The Law of Criminal Cartels: Practice and Procedure (Nonfiction work) -- Book reviews ,Books -- Book reviews ,Economics ,International relations ,Law - Published
- 2010
44. Kartellrecht-Kommentar, 2d ed
- Author
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Papp, Florian Wagner-von
- Subjects
Kartellrecht-Kommentar, 2d ed. (Nonfiction work) -- Book reviews ,Handbuch des Kartellrechts, 2d ed. (Nonfiction work) -- Book reviews ,Books -- Book reviews ,Economics ,International relations ,Law - Published
- 2009
45. Competition Law: European Community Practice and Procedure-Article-by-Article Commentary
- Author
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Papp, Florian Wagner-von
- Subjects
Competition Law: European Community Practice and Procedure-Article-by-Article Commentary (Nonfiction work) -- Book reviews ,Books -- Book reviews ,Economics ,International relations ,Law - Published
- 2009
46. Mutations in NNT encoding nicotinamide nucleotide transhydrogenase cause familial glucocorticoid deficiency
- Author
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A.J.L. Clark, Saka Hn, Mann Np, Peter Nürnberg, Peter Frommolt, Louise A. Metherell, Claire Hughes, J. P. Chapple, Florian Wagner, Peter J. King, Leo Guasti, Eirini Meimaridou, Julia Kowalczyk, and Banerjee R
- Subjects
Male ,Apoptosis ,Mitochondrion ,medicine.disease_cause ,Antioxidants ,Mice ,0302 clinical medicine ,Adrenal Glands ,NADP Transhydrogenases ,oxidative stress ,Exome ,skin and connective tissue diseases ,Peptide sequence ,reactive oxygen species ,Genetics ,0303 health sciences ,Mutation ,food and beverages ,Mitochondria ,3. Good health ,Child, Preschool ,adrenal insufficiency ,Oxidation-Reduction ,hormones, hormone substitutes, and hormone antagonists ,medicine.medical_specialty ,endocrine system ,familial glucocorticoid deficiency ,Molecular Sequence Data ,030209 endocrinology & metabolism ,Sequence alignment ,Biology ,Article ,03 medical and health sciences ,Cell Line, Tumor ,health services administration ,Internal medicine ,medicine ,Animals ,Humans ,Amino Acid Sequence ,Glucocorticoids ,Gene ,030304 developmental biology ,Nicotinamide Nucleotide Transhydrogenase ,Infant ,Adrenal Cortex Neoplasms ,Esophageal Achalasia ,Mice, Inbred C57BL ,Endocrinology ,Familial Glucocorticoid Deficiency ,Sequence Alignment - Abstract
Using targeted exome sequencing, we identified mutations in NNT, an antioxidant defense gene, in individuals with familial glucocorticoid deficiency. In mice with Nnt loss, higher levels of adrenocortical cell apoptosis and impaired glucocorticoid production were observed. NNT knockdown in a human adrenocortical cell line resulted in impaired redox potential and increased reactive oxygen species (ROS) levels. Our results suggest that NNT may have a role in ROS detoxification in human adrenal glands.
- Published
- 2012
47. Toward an Unbiased Evolutionary Platform for Unraveling Xenopus Developmental Gene Networks
- Author
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Ronny Beer, Florian Wagner, Vladislav Grishkevich, Itai Yanai, and Leonid Peshkin
- Subjects
Genetics ,biology ,Gene Expression Profiling ,Xenopus ,Gene regulatory network ,Gene Expression Regulation, Developmental ,Cell Biology ,Computational biology ,Blastula ,biology.organism_classification ,Genome ,Article ,Endocrinology ,Neurula ,Databases, Genetic ,Animals ,Gene Regulatory Networks ,Genes, Developmental ,Xenbase ,Gene ,Function (biology) - Abstract
The availability of both the Xenopus tropicalis genome and the soon to be released Xenopus laevis genome provides a solid foundation for Xenopus developmental biologists. The Xenopus community has presently amassed expression data for ∼2,300 genes in the form of published images collected in the Xenbase, the principal Xenopus research database. A few of these genes have been examined in both X. tropicalis and X. laevis and the cross-species comparison has been proven invaluable for studying gene function. A recently published work has yielded developmental expression profiles for the majority of Xenopus genes across fourteen developmental stages spanning the blastula, gastrula, neurula, and the tail-bud. While this data was originally queried for global evolutionary and developmental principles, here we demonstrate its general use for gene-level analyses. In particular, we present the accessibility of this dataset through Xenbase and describe biases in the characterized genes in terms of sequence and expression conservation across the two species. We further indicate the advantage of examining coexpression for gene function discovery relating to developmental processes conserved across species. We suggest that the integration of additional large-scale datasets—comprising diverse functional data—into Xenbase promises to provide a strong foundation for researchers in elucidating biological processes including the gene regulatory programs encoding development. genesis 50:186–191, 2012. © 2011 Wiley Periodicals, Inc.
- Published
- 2012
48. Custodiol - N versus Custodiol: a prospective randomized double blind multicenter phase III Trial
- Author
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A. Rastan, Thorsten Doenst, Florian Wagner, Dominika Badowsky-Zyla, Gábor Szabó, Alexander Weymann, Bastian Schmack, Gábor Veres, and Matthias Karck
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,business.industry ,Organ preservation solution ,Custodiol-N ,General Medicine ,Surgery ,Double blind ,Anesthesia ,Meeting Abstract ,Medicine ,Oxidative injury ,business ,Cardiology and Cardiovascular Medicine - Abstract
HTK-Solution (Custodiol) is a well-established cardioplegic and organ preservation solution. We currently developed a novel HTK based solution Custodiol-N which includes iron chelators to reduce oxidative injury as well as L-arginine, to improve endothelial function.
- Published
- 2015
49. The Laccase Engineering Database: a classification and analysis system for laccases and related multicopper oxidases
- Author
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Demet Sirim, Jürgen Pleiss, Florian Wagner, Lei Wang, and Rolf D. Schmid
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Protein family ,Biology ,Multicopper oxidase ,computer.software_genre ,Protein Engineering ,General Biochemistry, Genetics and Molecular Biology ,Protein Structure, Secondary ,Structure-Activity Relationship ,Protein structure ,Phylogenetics ,Animals ,Humans ,Databases, Protein ,Phylogeny ,Laccase ,Binding Sites ,Phylogenetic tree ,Database ,Protein engineering ,Protein superfamily ,Original Article ,General Agricultural and Biological Sciences ,computer ,Copper ,Information Systems - Abstract
Laccases and their homologues form the protein superfamily of multicopper oxidases (MCO). They catalyze the oxidation of many, particularly phenolic substances, and, besides playing an important role in many cellular activities, are of interest in biotechnological applications. The Laccase Engineering Database (LccED, http://www.lcced.uni-stuttgart.de) was designed to serve as a tool for a systematic sequence-based classification and analysis of the diverse multicopper oxidase protein family. More than 2200 proteins were classified into 11 superfamilies and 56 homologous families. For each family, the LccED provides multiple sequence alignments, phylogenetic trees and family-specific HMM profiles. The integration of structures for 14 different proteins allows a comprehensive comparison of sequences and structures to derive biochemical properties. Among the families, the distribution of the proteins regarding different kingdoms was investigated. The database was applied to perform a comprehensive analysis by MCO- and laccase-specific patterns. The LccED combines information of sequences and structures of MCOs. It serves as a classification tool to assign new proteins to a homologous family and can be applied to investigate sequence-structure-function relationship and to guide protein engineering. Database URL: http://www.lcced.uni-stuttgart.de.
- Published
- 2011
50. Cardiopulmonary, Histologic, and Inflammatory Effects of Intravenous Na2S After Blunt Chest Trauma-Induced Lung Contusion in Mice
- Author
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Bettina Stahl, Daniel H. Seitz, Peter Radermacher, Florian Gebhard, Csaba Szabó, Angelika Scheuerle, Sandra Weber, Markus W. Knöferl, Peter Möller, Michael Georgieff, Katja Wagner, Jörg Thomas, Pierre Asfar, Markus Huber-Lang, Enrico Calzia, Oscar McCook, Florian Wagner, Universitätsklinikum Ulm - University Hospital of Ulm, Sektion Anästhesiologische Pathophysiologie und Verfahrensentwicklung, Universitatsklinikum, Department of Traumatology, Hand-, Plastic-, and Reconstructive Surgery [Ulm, Germany], Universität Ulm - Ulm University [Ulm, Allemagne]-Center of Surgery [Ulm, Germany], Hémodynamique, Interaction Fibrose et Invasivité tumorales Hépatiques (HIFIH), Université d'Angers (UA), Department of Algebra and Number Theory [Budapest], Eötvös Loránd University (ELTE), Universität Ulm - Ulm University [Ulm, Allemagne], and Departement of Anaesthesiology [Ulm, Germany]
- Subjects
Male ,medicine.medical_specialty ,Pathology ,Sulfide ,[SDV]Life Sciences [q-bio] ,Blotting, Western ,Inflammation ,Sulfides ,Lung injury ,Wounds, Nonpenetrating ,Critical Care and Intensive Care Medicine ,medicine.disease_cause ,Sensitivity and Specificity ,Mice ,Random Allocation ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Animals ,Infusions, Intravenous ,030304 developmental biology ,chemistry.chemical_classification ,0303 health sciences ,Lung ,biology ,Pulmonary Gas Exchange ,business.industry ,Hemodynamics ,030208 emergency & critical care medicine ,Metabolic acidosis ,Lung Injury ,Hypothermia ,medicine.disease ,Immunohistochemistry ,Cystathionine beta synthase ,Mice, Inbred C57BL ,Disease Models, Animal ,Oxidative Stress ,Endocrinology ,medicine.anatomical_structure ,chemistry ,Respiratory Mechanics ,biology.protein ,Cytokines ,Surgery ,medicine.symptom ,business ,Oxidative stress - Abstract
International audience; Background: When used as a pretreatment, hydrogen sulfide (H2S) either attenuated or aggravated lung injury. Therefore, we tested the hypothesis whether posttreatment intravenous Na2S (sulfide) may attenuate lung injury.Methods: After blast wave blunt chest trauma or sham procedure, anesthetized and instrumented mice received continuous intravenous sulfide or vehicle while being kept at 37°C or 32°C core temperature. After 4 hours of pressure-controlled, thoracopulmonary compliance-titrated, lung-protective mechanical ventilation, blood and tissue were harvested for cytokine concentrations, heme oxygenase-1, IκBα, Bcl-Xl, and pBad expression (western blotting), nuclear factor-κB activation (electrophoretic mobility shift assay), and activated caspase-3, cystathionine-β synthase and cystathionine-γ lyase (immunohistochemistry). Results: Hypothermia caused marked bradycardia and metabolic acidosis unaltered by sulfide. Chest trauma impaired thoracopulmonary compliance and arterial Po2, again without sulfide effect. Cytokine levels showed inconsistent response. Sulfide increased nuclear factor-κB activation during normothermia, but this effect was blunted during hypothermia. While histologic lung injury was variable, both sulfide and hypothermia attenuated the trauma-related increase in heme oxygenase-1 expression and activated caspase-3 staining, which coincided with increased Bad phosphorylation and Bcl-Xl expression. Sulfide and hypothermia also attenuated the trauma-induced cystathionine-β synthase and cystathionine-γ lyase expression. Conclusions: Posttreatment sulfide infusion after blunt chest trauma did not affect the impaired lung mechanics and gas exchange but attenuated stress protein expression and apoptotic cell death. This protective effect was amplified by moderate hypothermia. The simultaneous reduction in cystathionine-β synthase and cystathionine-γ lyase expression supports the role of H2S-generating enzymes as an adaptive response during stress states.
- Published
- 2011
- Full Text
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