36 results on '"Kliem, M."'
Search Results
2. Assessing macro-financial linkages: A model comparison exercise
- Author
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Gerke, R., Jonsson, M., Kliem, M., Kolasa, M., Lafourcade, P., Locarno, A., Makarski, K., and McAdam, P.
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- 2013
- Full Text
- View/download PDF
3. Single-nuclei RNA-sequencing of plant tissues using a nanowell-based system
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Sunaga-Franze, D., Muino, J.M., Braeuning, C., Xu, X., Zong, M., Smaczniak, C., Yan, W., Fischer, C., Vidal, R., Kliem, M., Kaufmann, K., and Sauer, S.
- Subjects
fungi ,food and beverages ,Technology Platforms - Abstract
Single-cell genomics provides unprecedented potential for research on plant development and environmental responses. Here, we introduce a generic procedure for plant nuclei isolation combined with nanowell-based library preparation. Our method enables the transcriptome analysis of thousands of individual plant nuclei. It serves as alternative to the use of protoplast isolation, which is currently a standard methodology for plant single-cell genomics, although it can be challenging for some plant tissues. We show the applicability of our nuclei isolation method by using different plant materials from different species. The potential of our snRNA-seq method is shown through the characterization of transcriptomes of seedlings and developing flowers from Arabidopsis thaliana. We evaluated the transcriptome dynamics during the early stages of anther development, identified stage-specific activities of transcription factors regulating this process and predicted potential target genes of these transcription factors. Our nuclei isolation procedure can be applied in different plant species and tissues, thus expanding the toolkit for plant single-cell genomics experiments.
- Published
- 2021
4. Amorfrutin B is an efficient natural peroxisome proliferator-activated receptor gamma (PPARγ) agonist with potent glucose-lowering properties
- Author
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Weidner, C., Wowro, S. J., Freiwald, A., Kawamoto, K., Witzke, A., Kliem, M., Siems, K., Müller-Kuhrt, L., Schroeder, F. C., and Sauer, S.
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- 2013
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5. The composite pylon
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Skouboe, H., Mikkelsen M.H., Claus Leth Bak, Qian Wang, Tohid Jahangiri, Filipe Miguel Faria da Silva, Berggreen, C., Waldbjørn, J. P., Manouchehr, M., Kliem, M., and Holbøll, J.
- Published
- 2018
6. The heat shock response in transgenic plants: the use of chimaeric heat shock genes
- Author
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Schöffl, F., primary, Diedring, V., additional, Kliem, M., additional, Rieping, M., additional, Schröder, G., additional, and Severin, K., additional
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- 1992
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7. Dignitätsbeurteilung gynäkologischer Tumore durch einen sonographischen Tumor-Score unter besonderer Berücksichtigung des Ovarialkarzinoms
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Schillinger, H., Kliem, M., Klosa, W., Pohl, J., Wilhelm, Ch., Madjar, H., Zalasa, J., Ludwig, Hans, editor, and Krebs, Dieter, editor
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- 1989
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8. A composite-appropriate integration method of thick functional components in fibre-reinforced plastics
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Filippatos, A, primary, Höhne, R, additional, Kliem, M, additional, and Gude, M, additional
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- 2016
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9. Experimental validation of the porous media approach for rod bundle geometry under crossflow conditions
- Author
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Kliem, M.
- Subjects
Experiment ,porous ,PWR ,CFD ,rod bundle - Abstract
At present, there are two possible approaches, which practically are used for the thermal-hydraulic analysis of the reactor core in simulations, where crossflow effects are relevant: the representation of the core by a system of separated parallel flow subchannels with provision of a forced crossflow mixing by implementation of additional formulations and the porous body approach, in which the core geometry is replaced by a structure of homogenized zones of porous media. When crossflow is comparable with flow along the bundles, the porous body approach is the only one suitable method to perform steady-state and transient flow calculations for safety analyses. The CFD code CFX-4 offers a porous region model for the modelling of the core geometry as a homogenized medium. This model is characterised by a set of properties (volume porosity, resistance to flow and so on). The Core Crossflow Experimental Facility (CCEF) was built with the objective to obtain experimental data for the flow in a rod bundle under the conditions of forced crossflow with relatively low Reynolds numbers and variable flow angle. The test section of CCEF (a plexi-glass model) contains the test rod bundle. The test rod bundle is based on the geometry of a typical PWR with a pitch/diameter ratio of 1.33 and was scaled with a factor 1.5. The crossflow was induced by an asymmetrical outlet condition for the bundle. The test bundle consists of the 100 plexiglass rods, arranged in 4 rows. Additional internals, which are typical for a reactor core geometry, were not installed in the test section. The working fluid in the experiments was water. For the velocity measurements the one-component laser-Doppler anemometer (LDA) was used. Calculations for the comparison with experimental data were performed in two different approaches. The detailed geometry was created for the calculation of flow fields with k-e turbulence model and a relative simple geometry of the test section for the flow simulations in the porous region approach. The results of the experimental investigations on the CCEF and the comparison with the calculations, performed with CFX-4 Code in the geometry of the test section are presented in this paper.
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- 2003
10. Experimental analysis of crossflow in the reactor core geometry
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Kliem, M.
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crossflow ,CCEF ,reactor core - Abstract
A new method for the thermal-hydraulic calculations in the reactor core using a porous media approach is presented in this paper. The Core Crossflow Experimental Facility (CCEF) was built for the validation of this method. The comparison of the calculations using this method with the experimental data from CCEF are also presented.
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- 2002
11. 3D flow simulation for a reactor core modelled as porous body by CFX - 4.2 code
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Kliem, M.
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Physics::Fluid Dynamics - Abstract
In this paper, the 3D flow simulation in a reactor core with asymmetrical power distribution and low mass flow rate carried out by CFX - 4.2 code is presented.
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- 2000
12. ICONE11-36502 EXPERIMENTAL VALIDATION OF THE POROUS MEDIA APPROACH FOR ROD BUNDLE GEOMETRY UNDER CROSSFLOW CONDITIONS
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Kliem, M., primary
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- 2003
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13. Berechnung des zweiten Virialkoeffizienten B(T) für gasförmigen molekularen Wasserstoff im Temperaturintervall von 1 K bis 3000 K
- Author
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Artym, R., primary and Kliem, M., additional
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- 1991
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14. Dignitätsbeurteilung gynäkologischer Tumore durch einen sonographischen Tumor-Score unter besonderer Berücksichtigung des Ovarialkarzinoms.
- Author
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Schillinger, H, Kliem, M, Klosa, W, Pohl, J, Wilhelm, C, Madjar, H, and Zalasa, J
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OVARIES ,OVARIAN tumors ,PROGNOSIS ,ULTRASONIC imaging ,OVARIAN cysts - Abstract
Ultrasonic findings in 1317 operatively confirmed gynecological tumors were classified according to five degrees of homogeneity: I, clearly outlined solitary cysts; II, clearly outlined homogeneous tumors; III, poorly defined or slightly heterogeneous tumors; IV, marked heterogeneous tumors; V, completely heterogeneous tumors. In the different groups, the rates of malignancy were: I, 0.9%, II, 1.9%; III, 17%; IV, 58%; and V, 75%. In a further study 1082 patients with a negative or doubtful result of the physical examination were investigated using ultrasound. Abnormal findings in 126 cases were able to detect 8 carcinomas, 25 kystomas, and 63 other tumors. [ABSTRACT FROM AUTHOR]
- Published
- 1989
15. Experimentelle Einführung in Grundlagen und Methoden der Chemie. Von E. J. Slowinski, W. L. Masterton und W. C. Wolsey, übersetzt und bearb. von D. Krug. Gustav Fischer Verlag, Stuttgart 1976, 327 S., 18 Abbildungen, 7 Flußdiagramme, 10 Rasterdiagramme und 15 Tabellen. Preis DM 29,80
- Author
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Kliem, M., primary
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- 1976
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16. Single-nucleus RNA sequencing of plant tissues using a nanowell-based system.
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Sunaga-Franze DY, Muino JM, Braeuning C, Xu X, Zong M, Smaczniak C, Yan W, Fischer C, Vidal R, Kliem M, Kaufmann K, and Sauer S
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- Cell Nucleus genetics, Flowers growth & development, Gene Expression Regulation, Plant, Genetic Markers, Inflorescence genetics, RNA, Plant, RNA, Small Nuclear, Reproducibility of Results, Seedlings genetics, Arabidopsis genetics, Flowers genetics, Sequence Analysis, RNA instrumentation, Sequence Analysis, RNA methods
- Abstract
Single-cell genomics provides unprecedented potential for research on plant development and environmental responses. Here, we introduce a generic procedure for plant nucleus isolation combined with nanowell-based library preparation. Our method enables the transcriptome analysis of thousands of individual plant nuclei. It serves as an alternative to the use of protoplast isolation, which is currently a standard methodology for plant single-cell genomics, although it can be challenging for some plant tissues. We show the applicability of our nucleus isolation method by using different plant materials from different species. The potential of our single-nucleus RNA sequencing method is shown through the characterization of transcriptomes of seedlings and developing flowers from Arabidopsis thaliana. We evaluated the transcriptome dynamics during the early stages of anther development, identified stage-specific activities of transcription factors regulating this process, and predicted potential target genes of these transcription factors. Our nucleus isolation procedure can be applied in different plant species and tissues, thus expanding the toolkit for plant single-cell genomics experiments., (© 2021 The Authors. The Plant Journal published by Society for Experimental Biology and John Wiley & Sons Ltd.)
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- 2021
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17. Transcriptional heterogeneity of fibroblasts is a hallmark of the aging heart.
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Vidal R, Wagner JUG, Braeuning C, Fischer C, Patrick R, Tombor L, Muhly-Reinholz M, John D, Kliem M, Conrad T, Guimarães-Camboa N, Harvey R, Dimmeler S, and Sauer S
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- Animals, Male, Mice, Serpins genetics, Serpins metabolism, Vascular Calcification genetics, Vascular Calcification metabolism, Aging physiology, Fibroblasts chemistry, Fibroblasts metabolism, Fibroblasts physiology, Heart physiology, Myocardium cytology, Transcriptome genetics, Transcriptome physiology
- Abstract
Aging is a major risk factor for cardiovascular disease. Although the impact of aging has been extensively studied, little is known regarding the aging processes in cells of the heart. Here we analyzed the transcriptomes of hearts of 12-week-old and 18-month-old mice by single-nucleus RNA-sequencing. Among all cell types, aged fibroblasts showed most significant differential gene expression, increased RNA dynamics, and network entropy. Aged fibroblasts exhibited significantly changed expression patterns of inflammatory, extracellular matrix organization angiogenesis, and osteogenic genes. Functional analyses indicated deterioration of paracrine signatures between fibroblasts and endothelial cells in old hearts. Aged heart-derived fibroblasts had impaired endothelial cell angiogenesis and autophagy and augmented proinflammatory response. In particular, expression of Serpine1 and Serpine2 were significantly increased and secreted by old fibroblasts to exert antiangiogenic effects on endothelial cells, an effect that could be significantly prevented by using neutralizing antibodies. Moreover, we found an enlarged subpopulation of aged fibroblasts expressing osteoblast genes in the epicardial layer associated with increased calcification. Taken together this study provides system-wide insights and identifies molecular changes of aging cardiac fibroblasts, which may contribute to declined heart function.
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- 2019
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18. Signals trigger state-specific transcriptional programs to support diversity and homeostasis in immune cells.
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Fischer C, Metsger M, Bauch S, Vidal R, Böttcher M, Grote P, Kliem M, and Sauer S
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- Activating Transcription Factor 3 genetics, Gene Expression Regulation drug effects, Humans, Interleukin-1beta genetics, Interleukin-8 genetics, Lipopolysaccharides pharmacology, Macrophages cytology, Macrophages drug effects, Palmitates pharmacology, Signal Transduction drug effects, Single-Cell Analysis methods, THP-1 Cells, Toll-Like Receptor 4 genetics, Transcription, Genetic drug effects, Genetic Variation genetics, Homeostasis genetics, Macrophages metabolism, Signal Transduction genetics, Transcription, Genetic genetics
- Abstract
Macrophages play key roles in the immune systems of humans and other mammals. Here, we performed single-cell analyses of the mRNAs and proteins of human macrophages to compare their responses to the signaling molecules lipopolysaccharide (LPS), a component of Gram-negative bacteria, and palmitate (PAL), a free fatty acid. We found that, although both molecules signal through the cell surface protein Toll-like receptor 4 (TLR4), they stimulated the expression of different genes, resulting in specific pro- and anti-inflammatory cellular states for each signal. The effects of the glucocorticoid receptor, which antagonizes LPS signaling, and cyclic AMP-dependent transcription factor 3, which inhibits PAL-induced inflammation, on inflammatory response seemed largely determined by digital on-off events. Furthermore, the quantification of transcriptional variance and signaling entropy enabled the identification of cell state-specific deregulated molecular pathways. These data suggest that the preservation of signaling in distinct cells might confer diversity on macrophage populations essential to maintaining major cellular functions., (Copyright © 2019 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.)
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- 2019
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19. Hormetic shifting of redox environment by pro-oxidative resveratrol protects cells against stress.
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Plauth A, Geikowski A, Cichon S, Wowro SJ, Liedgens L, Rousseau M, Weidner C, Fuhr L, Kliem M, Jenkins G, Lotito S, Wainwright LJ, and Sauer S
- Subjects
- Antioxidants pharmacology, Ethanol pharmacology, Fibroblasts cytology, Gene Expression Regulation, Glutathione metabolism, HT29 Cells, HeLa Cells, Hep G2 Cells, Humans, Keratinocytes cytology, NF-E2-Related Factor 2 metabolism, Oxidation-Reduction, Oxidative Stress, Primary Cell Culture, Resveratrol, Fibroblasts drug effects, Hormesis, Keratinocytes drug effects, NF-E2-Related Factor 2 genetics, Reactive Oxygen Species metabolism, Stilbenes pharmacology
- Abstract
Resveratrol has gained tremendous interest owing to multiple reported health-beneficial effects. However, the underlying key mechanism of action of this natural product remained largely controversial. Here, we demonstrate that under physiologically relevant conditions major biological effects of resveratrol can be attributed to its generation of oxidation products such as reactive oxygen species (ROS). At low nontoxic concentrations (in general <50µM), treatment with resveratrol increased viability in a set of representative cell models, whereas application of quenchers of ROS completely truncated these beneficial effects. Notably, resveratrol treatment led to mild, Nrf2-specific gene expression reprogramming. For example, in primary epidermal keratinocytes derived from human skin this coordinated process resulted in a 1.3-fold increase of endogenously generated glutathione (GSH) and subsequently in a quantitative reduction of the cellular redox environment by 2.61mVmmol GSH per g protein. After induction of oxidative stress by using 0.78% (v/v) ethanol, endogenous generation of ROS was consequently reduced by 24% in resveratrol pre-treated cells. In contrast to the common perception that resveratrol acts mainly as a chemical antioxidant or as a target protein-specific ligand, we propose that the cellular response to resveratrol treatment is essentially based on oxidative triggering. In physiological microenvironments this molecular training can lead to hormetic shifting of cellular defense towards a more reductive state to improve physiological resilience to oxidative stress., (Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.)
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- 2016
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20. Data of oxygen- and pH-dependent oxidation of resveratrol.
- Author
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Plauth A, Geikowski A, Cichon S, Wowro SJ, Liedgens L, Rousseau M, Weidner C, Fuhr L, Kliem M, Jenkins G, Lotito S, Wainwright LJ, and Sauer S
- Abstract
We show here if under physiologically relevant conditions resveratrol (RSV) remains stable or not. We further show under which circumstances various oxidation products of RSV such as ROS can be produced. For example, in addition to the widely known effect of bicarbonate ions, high pH values promote the decay of RSV. Moreover, we analyse the impact of reduction of the oxygen partial pressure on the pH-dependent oxidation of RSV. For further interpretation and discussion of these focused data in a broader context we refer to the article "Hormetic shifting of redox environment by pro-oxidative resveratrol protects cells against stress" (Plauth et al., in press) [1].
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- 2016
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21. Amorfrutin C Induces Apoptosis and Inhibits Proliferation in Colon Cancer Cells through Targeting Mitochondria.
- Author
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Weidner C, Rousseau M, Micikas RJ, Fischer C, Plauth A, Wowro SJ, Siems K, Hetterling G, Kliem M, Schroeder FC, and Sauer S
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- Antineoplastic Agents, Phytogenic chemistry, Caspases metabolism, Cell Cycle Checkpoints drug effects, Cell Proliferation drug effects, Colonic Neoplasms metabolism, Drug Screening Assays, Antitumor, Female, G1 Phase Cell Cycle Checkpoints drug effects, HT29 Cells, Humans, Inhibitory Concentration 50, Male, Membrane Potential, Mitochondrial drug effects, Mitochondria drug effects, Molecular Structure, Morocco, Peroxisome Proliferator-Activated Receptors agonists, Plant Roots chemistry, Reactive Oxygen Species metabolism, Salicylates chemistry, Structure-Activity Relationship, bcl-2-Associated X Protein metabolism, Antineoplastic Agents, Phytogenic isolation & purification, Antineoplastic Agents, Phytogenic pharmacology, Apoptosis drug effects, Glycyrrhiza chemistry, Mitochondria metabolism, Salicylates isolation & purification, Salicylates pharmacology
- Abstract
A known (1) and a structurally related new natural product (2), both belonging to the amorfrutin benzoic acid class, were isolated from the roots of Glycyrrhiza foetida. Compound 1 (amorfrutin B) is an efficient agonist of the nuclear peroxisome proliferator activated receptor (PPAR) gamma and of other PPAR subtypes. Compound 2 (amorfrutin C) showed comparably lower PPAR activation potential. Amorfrutin C exhibited striking antiproliferative effects for human colorectal cancer cells (HT-29 and T84), prostate cancer (PC-3), and breast cancer (MCF7) cells (IC50 values ranging from 8 to 16 μM in these cancer cell lines). Notably, amorfrutin C (2) showed less potent antiproliferative effects in primary colon cells. For HT-29 cells, compound 2 induced G0/G1 cell cycle arrest and modulated protein expression of key cell cycle modulators. Amorfrutin C further induced apoptotic events in HT-29 cells, including caspase activation, DNA fragmentation, PARP cleavage, phosphatidylserine externalization, and formation of reactive oxygen species. Mechanistic studies revealed that 2 disrupts the mitochondrial integrity by depolarization of the mitochondrial membrane (IC50 0.6 μM) and permanent opening of the mitochondrial permeability transition pore, leading to increased mitochondrial oxygen consumption and extracellular acidification. Structure-activity-relationship experiments revealed the carboxylic acid and the hydroxy group residues of 2 as fundamental structural requirements for inducing these apoptotic effects. Synergy analyses demonstrated stimulation of the death receptor signaling pathway. Taken together, amorfrutin C (2) represents a promising lead for the development of anticancer drugs.
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- 2016
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22. The essence on mass spectrometry based microbial diagnostics.
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Kliem M and Sauer S
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- Bacteria chemistry, Bacterial Proteins analysis, Bacterial Proteins chemistry, Phenotype, Bacteria classification, Bacterial Typing Techniques methods, Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization methods
- Abstract
In recent years, matrix-assisted laser desorption/ionisation time-of-flight (MALDI-TOF) mass spectrometry has become an important bioanalytical method to detect profiles of proteins and peptides derived from whole bacterial cells. This accurate molecular-phenotypic method can be easily applied to robustly detect bacteria on the genus, species and in some cases on the subspecies level. Standardised laboratory protocols for the preparation of abundant bacterial proteins and the development of tailored data analysis software, as well as high-quality databases of microbial reference mass spectra, made the procedure attractive to replace phenotypic or biochemical procedures for identification of bacteria and other microorganisms. Moreover, genotypic and functional mass spectrometry based methods to detect for example bacterial strains or antibiotic resistance may become useful in the coming years. In general, mass spectrometry is a powerful tool to facilitate routine microbial diagnostics., (Copyright © 2012 Elsevier Ltd. All rights reserved.)
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- 2012
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23. Amorfrutins are potent antidiabetic dietary natural products.
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Weidner C, de Groot JC, Prasad A, Freiwald A, Quedenau C, Kliem M, Witzke A, Kodelja V, Han CT, Giegold S, Baumann M, Klebl B, Siems K, Müller-Kuhrt L, Schürmann A, Schüler R, Pfeiffer AF, Schroeder FC, Büssow K, and Sauer S
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- 3T3-L1 Cells, Animals, Biological Products chemistry, Biological Products metabolism, Blotting, Western, CHO Cells, Cricetinae, Cricetulus, Crystallography, X-Ray, Diabetes Mellitus, Type 2 complications, Diabetes Mellitus, Type 2 etiology, Diet, High-Fat adverse effects, Dietary Supplements, Gene Expression drug effects, Glycyrrhiza chemistry, Humans, Hypoglycemic Agents chemistry, Hypoglycemic Agents metabolism, Male, Mice, Mice, Inbred C57BL, Molecular Structure, Obesity complications, Obesity drug therapy, Obesity etiology, PPAR gamma genetics, PPAR gamma metabolism, Protein Binding, Reverse Transcriptase Polymerase Chain Reaction, Salicylates chemistry, Salicylates metabolism, Biological Products pharmacology, Diabetes Mellitus, Type 2 drug therapy, Fabaceae chemistry, Hypoglycemic Agents pharmacology, Salicylates pharmacology
- Abstract
Given worldwide increases in the incidence of obesity and type 2 diabetes, new strategies for preventing and treating metabolic diseases are needed. The nuclear receptor PPARγ (peroxisome proliferator-activated receptor gamma) plays a central role in lipid and glucose metabolism; however, current PPARγ-targeting drugs are characterized by undesirable side effects. Natural products from edible biomaterial provide a structurally diverse resource to alleviate complex disorders via tailored nutritional intervention. We identified a family of natural products, the amorfrutins, from edible parts of two legumes, Glycyrrhiza foetida and Amorpha fruticosa, as structurally new and powerful antidiabetics with unprecedented effects for a dietary molecule. Amorfrutins bind to and activate PPARγ, which results in selective gene expression and physiological profiles markedly different from activation by current synthetic PPARγ drugs. In diet-induced obese and db/db mice, amorfrutin treatment strongly improves insulin resistance and other metabolic and inflammatory parameters without concomitant increase of fat storage or other unwanted side effects such as hepatoxicity. These results show that selective PPARγ-activation by diet-derived ligands may constitute a promising approach to combat metabolic disease.
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- 2012
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24. Differential analysis of Crohn's disease and ulcerative colitis by mass spectrometry.
- Author
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Freiwald A, Mao L, Kodelja V, Kliem M, Schuldt D, Schreiber S, Franke A, and Sauer S
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- Case-Control Studies, Colitis, Ulcerative diagnosis, Crohn Disease diagnosis, Humans, Sensitivity and Specificity, Biomarkers analysis, Colitis, Ulcerative blood, Crohn Disease blood, Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
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- 2011
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25. Mass spectrometry tools for the classification and identification of bacteria.
- Author
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Sauer S and Kliem M
- Subjects
- Biomedical Research methods, Humans, Software, Bacteria chemistry, Bacteria classification, Bacteriological Techniques methods, Mass Spectrometry methods
- Abstract
Mass spectrometry has become an important analytical tool in biology in the past two decades. In principle, mass spectrometry offers high-throughput, sensitive and specific analysis for many applications in microbiology, including clinical diagnostics and environmental research. Recently, several mass spectrometry methods for the classification and identification of bacteria and other microorganisms, as well as new software analysis tools, have been developed. In this Review we discuss the application range of these mass spectrometry procedures and their potential for successful transfer into microbiology laboratories.
- Published
- 2010
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26. Percutaneous rotational and aspiration atherectomy in infrainguinal peripheral arterial occlusive disease: a multicenter pilot study.
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Zeller T, Krankenberg H, Rastan A, Sixt S, Schmidt A, Tübler T, Schwarz T, Frank U, Bürgelin K, Schwarzwälder U, Hauswald K, Kliem M, Pochert V, Neumann FJ, and Scheinert D
- Subjects
- Aged, Aged, 80 and over, Angioplasty, Balloon, Arterial Occlusive Diseases complications, Arterial Occlusive Diseases diagnostic imaging, Arterial Occlusive Diseases physiopathology, Atherectomy adverse effects, Atherectomy methods, Blood Vessel Prosthesis Implantation, Constriction, Pathologic surgery, Equipment Design, Feasibility Studies, Female, Femoral Artery surgery, Germany, Humans, Ischemia diagnostic imaging, Ischemia physiopathology, Ischemia surgery, Male, Middle Aged, Peripheral Vascular Diseases complications, Peripheral Vascular Diseases diagnostic imaging, Peripheral Vascular Diseases physiopathology, Pilot Projects, Popliteal Artery surgery, Prospective Studies, Radiography, Rotation, Severity of Illness Index, Stents, Suction instrumentation, Tibial Arteries surgery, Treatment Outcome, Vascular Patency, Arterial Occlusive Diseases surgery, Atherectomy instrumentation, Ischemia etiology, Lower Extremity blood supply, Peripheral Vascular Diseases surgery
- Abstract
Purpose: To report a safety and efficacy study of the first rotational aspiration atherectomy system (Pathway PV) for the treatment of arterial lesions below the femoral bifurcation., Methods: From December 2005 to February 2006, 15 patients (9 men; mean age 71+/-9 years) with Rutherford stage 2 to 5 lower limb ischemia were enrolled at 3 study sites. Target lesions were in the superficial femoral (n = 7, 47%), popliteal (n = 7, 47%), and posterior tibial (n = 1, 6%) arteries. Mean diameter stenosis was 97%+/-10%; mean lesion length was 61+/-62 mm (range 5-250). The primary study endpoint was the 30-day serious adverse event (SAE) rate., Results: Interventional success (residual stenosis <30%) was achieved in all lesions (100%). Stand alone atherectomy was performed in 6 (40%) patients, adjunctive balloon angioplasty in 7 (47%), and stenting/endografting in 2 (13%). The SAE rate at 30 days was 20% (3/15), including 1 perforation due to an unrecognized displacement of the guidewire (sealed with an endograft), 1 false aneurysm at the puncture site (successful duplex-guided compression therapy), and 1 dissection in conjunction with a distal embolism (stent implantation and aspiration thrombectomy). Primary patency rates measured by duplex ultrasound at 1 and 6 months were 100% and 73%, respectively; the TLR rate was 0% after 6 months. The ankle-brachial index increased significantly from 0.54+/-0.3 at baseline to 0.89+/-0.16, 0.88+/-0.19, and 0.81+/-0.20 (p<0.05) at discharge, 1 month, and 6 months, respectively. Mean Rutherford categories were 2.92+/-1.19 (range 1-5), 0.64+/-1.12 (range 0-1), and 0.83+/-1.33 (range 0-3) at the same time points (p<0.05)., Conclusion: The application of this new atherectomy device was feasible in all cases. The serious adverse event rate was moderate; however, all events were solved during the index procedure. The 0% 6-month TLR rate is promising.
- Published
- 2007
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27. Impact of carbon coating on the restenosis rate after stenting of atherosclerotic renal artery stenosis.
- Author
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Zeller T, Rastan A, Kliem M, Schwarzwälder U, Frank U, Bürgelin K, Schwarz T, Amantea P, Müller C, and Neumann FJ
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- Adult, Aged, Aged, 80 and over, Atherosclerosis diagnostic imaging, Blood Vessel Prosthesis Implantation, Female, Follow-Up Studies, Graft Occlusion, Vascular diagnostic imaging, Humans, Male, Middle Aged, Multivariate Analysis, Postoperative Complications diagnostic imaging, Postoperative Complications etiology, Renal Artery Obstruction diagnostic imaging, Treatment Outcome, Ultrasonography, Doppler, Color, Atherosclerosis therapy, Carbon therapeutic use, Coated Materials, Biocompatible therapeutic use, Graft Occlusion, Vascular etiology, Renal Artery Obstruction therapy, Stents
- Abstract
Purpose: To investigate the impact of carbofilm coating and low-profile rapid exchange stent devices on the restenosis rate after stent-angioplasty of atherosclerotic renal artery stenosis (RAS)., Methods: During a 2-year period (7/2002-7/2004), 143 consecutive patients with 179 primary ostial atherosclerotic RAS>or=70% diameter stenosis were treated with stents selected at the discretion of the operator. Eighteen patients (32 lesions) treated with 9 different types of stents were excluded from the analysis, leaving 125 patients (69 men; mean age 67 years, range 42 to 90) with 147 lesions who received either a Radix carbofilm-coated stent in 78 (53%) lesions (68 [54%] patients) or a Palmaz Genesis bare stainless steel stent in 69 (47%) lesions (57 [46%] patients). The target vessel diameter ranged from 5 to 7 mm., Results: Baseline characteristics were similar in both groups except the mean stent diameter, which was larger in the bare stent cohort (6.4+/-0.7 versus 5.9+/-0.5 mm, p<0.001). Primary success was 100% in both groups; the initial mean diameter stenosis was reduced from 79%+/-14% and 80%+/-14% in the coated versus bare stent groups to 3+/-5% and 2+/-6%, respectively. After a mean follow-up of 22+/-5 months, the restenosis rate was 6.4% for the coated stent and 5.8% for the bare stent (p=0.87). For the entire cohort, restenosis rates varied significantly (p<0.05) according to stent diameter: 19% (5/26) for 5 mm, 4% (3/81) for 6 mm, and 2.5% (1/40) for 7 mm. In a binary logistic regression analysis including carbofilm coating, stent diameter, gender, diabetes, smoking status, and body mass index, stent diameter was the only independent predictor of restenosis (odds ratio 0.12, 95% CI 0.03 to 0.48 [p=0.003] for a 1-mm increase in vessel diameter)., Conclusions: Using modern low-profile stent devices, carbofilm coating does not significantly reduce the restenosis rate compared to a bare metal stent. With contemporary stent devices, the restenosis rate has been decreasing compared to earlier reports in the literature.
- Published
- 2005
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28. [Acute ischemia after intraarterial drug injection].
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Thalhammer C, Aschwanden M, Kliem M, Stürchler M, and Jäger KA
- Subjects
- Acute Disease, Adult, Amputation, Surgical, Anti-Inflammatory Agents administration & dosage, Anti-Inflammatory Agents therapeutic use, Anticoagulants administration & dosage, Anticoagulants therapeutic use, Central Nervous System Stimulants administration & dosage, Drug Therapy, Combination, Emergencies, Fingers pathology, Fingers surgery, Heparin therapeutic use, Humans, Iloprost administration & dosage, Iloprost therapeutic use, Ischemia diagnosis, Ischemia drug therapy, Ischemia pathology, Ischemia surgery, Male, Methylphenidate administration & dosage, Necrosis, Platelet Aggregation Inhibitors administration & dosage, Platelet Aggregation Inhibitors therapeutic use, Prednisone administration & dosage, Prednisone therapeutic use, Prostaglandins administration & dosage, Prostaglandins therapeutic use, Central Nervous System Stimulants adverse effects, Fingers blood supply, Injections, Intra-Arterial adverse effects, Ischemia chemically induced, Methylphenidate adverse effects, Radial Artery, Substance Abuse, Intravenous
- Abstract
History and Clinical Findings: A 36-year-old patient presented with a severe hand ischemia after intraarterial injection of four dissolved tablets of Methylphenidate each 10 mg (Ritalin into the right radial artery., Investigations: Non-invasive vascular diagnostic demonstrated a normal perfusion of the radial and ulnar artery and a severe ischemia of the small vessels of the right hand., Treatment and Course: Under suspicion of a combined vaso-spastic and thromboembolic arterial occlusion we started an intraarterial lysis therapy followed by anticoagulation with heparin and infusions of prostaglandines. Despite this therapy necroses of three fingers developed; partial amputation was followed by a good wound healing., Conclusions: Ischemia of an extremity after intraarterial injection of drugs is a vascular emergency.
- Published
- 2004
- Full Text
- View/download PDF
29. Antiparkinsonian and behavioral effects of inactivation of the substantia nigra pars reticulata in hemiparkinsonian primates.
- Author
-
Wichmann T, Kliem MA, and DeLong MR
- Subjects
- 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine, Animals, Carrier Proteins metabolism, Dopamine Plasma Membrane Transport Proteins, Excitatory Amino Acid Agonists administration & dosage, GABA Agonists administration & dosage, Ibotenic Acid administration & dosage, Macaca mulatta, Microinjections, Motor Activity drug effects, Muscimol administration & dosage, Neurons drug effects, Neurons metabolism, Neurons pathology, Parkinson Disease, Secondary chemically induced, Parkinson Disease, Secondary drug therapy, Substantia Nigra drug effects, Substantia Nigra pathology, Behavior, Animal drug effects, Membrane Glycoproteins, Membrane Transport Proteins, Nerve Tissue Proteins, Parkinson Disease, Secondary physiopathology, Substantia Nigra physiopathology
- Abstract
Altered activity in one of the output nuclei of the basal ganglia, the internal segment of the globus pallidus, is known to play an important role in the generation of parkinsonism. These inactivation studies tested the hypothesis that altered activity in the second major output nucleus of the basal ganglia, the substantia nigra pars reticulata (SNr), also contributes to parkinsonian motor signs. To this end, three rhesus monkeys were rendered hemiparkinsonian by intracarotid injections of MPTP. The animals then received intra-SNr injections of the GABA(A) receptor agonist muscimol to inactivate small portions of the SNr. Before and after these injections, parkinsonian motor signs were evaluated with a battery of behavioral observation methods. Injections into the centrolateral SNr reduced contralateral limb akinesia and bradykinesia in two animals. By contrast, medial injections induced generalized activation, contralateral turning, and saccadic eye movements in all animals. Injections in the most lateral and posterior portions of the nucleus had no effects. Two of the animals also received ibotenic acid lesions of the SNr, followed by a series of similar observations. These injections induced improvements in limb akinesia, postural improvements, and turning. The experiments suggest that the anterolateral "motor" territory of the SNr is involved in the development of appendicular parkinsonian motor signs., (Copyright 2001 Academic Press.)
- Published
- 2001
- Full Text
- View/download PDF
30. [Ambulatory artificial nutrition in chronic diseases].
- Author
-
Kliem M
- Subjects
- Enteral Nutrition nursing, Humans, Parenteral Nutrition, Home nursing, Ambulatory Care methods, Chronic Disease therapy, Enteral Nutrition methods, Parenteral Nutrition, Home methods
- Published
- 1998
31. Anticonvulsant activity of novel derivatives of 2- and 3-piperidinecarboxylic acid in mice and rats.
- Author
-
Hinko CN, Crider AM, Kliem MA, Steinmiller CL, Seo TH, Ho B, Venkatarangan P, el-Assadi AA, Chang H, Burns CM, Tietz EI, Andersen PH, and Klitgaard H
- Subjects
- 4-Aminopyridine, Amygdala physiology, Animals, Convulsants, Kindling, Neurologic, Male, Mice, Mice, Inbred Strains, Molecular Structure, N-Methylaspartate, Neurotoxins pharmacology, Pentylenetetrazole, Rats, Rats, Sprague-Dawley, Receptors, N-Methyl-D-Aspartate antagonists & inhibitors, Receptors, Phencyclidine drug effects, Receptors, Phencyclidine metabolism, Seizures chemically induced, Seizures prevention & control, Structure-Activity Relationship, Valproic Acid pharmacology, Anticonvulsants pharmacology, Brain metabolism, Nipecotic Acids pharmacology, Pipecolic Acids pharmacology, Proline analogs & derivatives, Seizures physiopathology
- Abstract
The relative ability of derivatives of 2-piperidinecarboxylic acid (2-PC; pipecolic acid) and 3-piperidinecarboxylic acid (3-PC; nipecotic acid) to block maximal electroshock (MES)-induced seizures, elevate the threshold for electroshock-induced seizures and be neurotoxic in mice was investigated. Protective index (PI) values, based on the MES test and rotorod performance, ranged from 1.3 to 4.5 for 2-PC benzylamides and from < 1 to > 7.2 for 3-PC derivatives. PI values based on elevation of threshold for electroshock-induced seizures and rotorod performance ranged from > 1.6 to > 20 for both types of derivatives. Since preliminary data indicated that benzylamide derivatives of 2-PC displace [3H]1-[1-(2-thienyl)-cyclohexyl]piperidine (TCP) binding to the phencyclidine (PCP) site of the N-methyl-D-aspartate (NMDA) receptor in the micromolar range and such low affinity uncompetitive antagonists of the NMDA receptor-associated ionophore have been shown to be effective anticonvulsants with low neurological toxicity, the 2-PC derivatives were evaluated in rat brain homogenates for binding affinity to the PCP site. Although all compounds inhibited [3H]TCP binding, a clear correlation between pharmacological activity and binding affinity was not apparent. Select compounds demonstrated minimal ability to protect against pentylenetetrazol-, 4-aminopyridine- and NMDA-induced seizures in mice. Corneal and amygdala kindled rats exhibited different sensitivities to both valproic acid and the nonsubstituted 2-PC benzylamide, suggesting a difference in these two models. Enantiomers of the alpha-methyl substituted benzylamide of 2-PC showed some ability to reduce seizure severity in amygdala kindled rats.
- Published
- 1996
- Full Text
- View/download PDF
32. An SAR sequence containing 395 bp DNA fragment mediates enhanced, gene-dosage-correlated expression of a chimaeric heat shock gene in transgenic tobacco plants.
- Author
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Schöffl F, Schröder G, Kliem M, and Rieping M
- Subjects
- Base Sequence, Binding Sites, Gene Amplification, Gene Expression, Glucuronidase genetics, Hot Temperature, Molecular Sequence Data, Plants, Toxic, Glycine max genetics, Nicotiana genetics, Transformation, Genetic, DNA genetics, Plants, Genetically Modified genetics
- Abstract
A 395 bp fragment located downstream from the soybean heat shock gene Gmhsp 17.6-L exhibits several characteristics of scaffold attachment region (SAR) sequences. It contains matrix consensus elements, a topoisomerase II binding sequence and it associates with the isolated nuclear scaffold of soybean in vitro. Chimaeric genes containing the SARL fragment either at one side (5' or 3') or at both sides of a heat shock promoter-regulated beta-glucuronidase reporter gene were constructed. A five- to nine-fold increase of heat-inducible beta-glucuronidase activity was observed in transgenic tobacco plants containing constructs with SARL fragments either at both sides or with at least one SARL copy located upstream from the reporter gene. The gene copy number is positively correlated with the level of heat-inducible reporter gene activity in these plants but positional effects are not entirely eliminated. Thus, SAR sequences may potentially be used to increase gene expression, via as yet unknown mechanisms, and to reduce adverse effects on the expression of multiple gene copies in transgenic plants.
- Published
- 1993
- Full Text
- View/download PDF
33. [Assessing the extent of gynecologic tumors by a sonographic tumor score with special reference to ovarian cancer].
- Author
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Schillinger H, Kliem M, Klosa W, Pohl J, Wilhelm C, Madjar H, and Zalasa J
- Subjects
- Female, Humans, Ovarian Cysts pathology, Ovarian Neoplasms classification, Ovary pathology, Prognosis, Ovarian Neoplasms pathology, Ultrasonography
- Abstract
Ultrasonic findings in 1317 operatively confirmed gynecological tumors were classified according to five degrees of homogeneity: I, clearly outlined solitary cysts; II, clearly outlined homogeneous tumors; III, poorly defined or slightly heterogeneous tumors; IV, marked heterogeneous tumors; V, completely heterogeneous tumors. In the different groups, the rates of malignancy were: I, 0.9%, II, 1.9%; III, 17%; IV, 58%; and V, 75%. In a further study 1082 patients with a negative or doubtful result of the physical examination were investigated using ultrasound. Abnormal findings in 126 cases were able to detect 8 carcinomas, 25 kystomas, and 63 other tumors.
- Published
- 1989
- Full Text
- View/download PDF
34. The superimmunity gene sim of bacteriophage P1 causes superinfection exclusion.
- Author
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Kliem M and Dreiseikelmann B
- Subjects
- Cloning, Molecular, DNA Mutational Analysis, Gene Expression Regulation, Lysogeny, Transduction, Genetic, Coliphages genetics, Genes, Viral, Viral Proteins physiology, Virus Replication
- Abstract
Previous work has shown that the sim gene of bacteriophage P1, if cloned into a multicopy vector, confers immunity against P1 infection to cells. We show that a 1.85-kb DNA fragment from the sim region of P1 (in the multicopy plasmid pMK4) expresses immunity and encodes three proteins with molecular weights of about 25, 24, and 15 kDa. Deletion of 650 bp from the sim region abolished synthesis of all three proteins and of the sim phenotype. Expression of sim did not prevent adsorption of P1 to cells. Successful transfection with linear P1 DNA suggests that the recombinational circularization of P1 DNA is not inhibited in the presence of sim. Plasmid pMK4 and a P1 prophage can be stably maintained in the cell indicating that replication of the prophage is not disturbed by sim. The prophage can be induced in the presence of sim. This shows that the sim phenotype is not caused by preventing lytic replication or phage maturation. In cells with pMK4 there is no expression of genes from infecting phages and transduction frequency is drastically reduced. We suggest that sim functions as a superinfection exclusion system by preventing transfer of DNA from the adsorbed phages into the cytoplasm.
- Published
- 1989
- Full Text
- View/download PDF
35. [New drugs in the treatment of calcium metabolism disorders].
- Author
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Kliem M
- Subjects
- Humans, Calcium Metabolism Disorders drug therapy
- Published
- 1980
36. [The reaction of griseofulvin with potassium dichromate in sulfuric acid (author's transl)].
- Author
-
Auterhoff H and Kliem M
- Subjects
- Chemical Phenomena, Chemistry, Sulfuric Acids, Chromates, Griseofulvin, Potassium Dichromate
- Published
- 1976
- Full Text
- View/download PDF
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