31 results on '"Manz T"'
Search Results
2. Stimulated Stokes and anti-Stokes Raman scattering in liquid acetone with a Bessel beam
- Author
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Manz, T, Schwarz, U.T, and Maier, Max
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- 2004
- Full Text
- View/download PDF
3. The Engineering Communication Manual [House, R., et al) [Book review]
- Author
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Manz, T. A., primary
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- 2018
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- View/download PDF
4. Erratum to “Stimulated Stokes and anti-Stokes Raman scattering in liquid acetone with a Bessel beam” [Opt. Commun. 235 (2004) 201]
- Author
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Manz, T., primary, Schwarz, U.T., additional, and Maier, Max, additional
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- 2005
- Full Text
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5. Competition of gain-guided modes in stimulated Raman scattering with Bessel beams
- Author
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Manz, T., primary, Baier, J., additional, Zeitler, J., additional, Schwarz, U. T., additional, and Maier, Max, additional
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- 2002
- Full Text
- View/download PDF
6. MARS for Treatment of Fulminant Wilson Crisis
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Manz, T, primary, Bisse, E, additional, Ochs, A, additional, Cicco, A, additional, and Grotz, W, additional
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- 2001
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7. A patient with neurological deficits and seizures after renal transplantation
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Manz, T., primary, Grotz, W., additional, Orszagh, M., additional, Volk, B., additional, Kirste, G., additional, and Neumann, H. P. H., additional
- Published
- 2001
- Full Text
- View/download PDF
8. Subthreshold π0-production in the reactions 24Mg(α, π0)X at 43 MeV ·. A and 24Mg(16O, π0)X at 24 and 33 MeV ·. A
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Waters, M., primary, Machner, H., additional, Gotta, D., additional, Kilian, K., additional, Turek, P., additional, Grzonka, D., additional, Gaul, G., additional, Santo, R., additional, Manz, T., additional, Ernst, J., additional, Grosse, E., additional, and Kuhlmann, E., additional
- Published
- 1993
- Full Text
- View/download PDF
9. Liver Support A Task for Nephrologists? Extracorporeal Treatment of a Patient with Fulminant Wilson Crisis
- Author
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Manz, T., Ochs, A., Bisse, E., Strey, C., and Grotz, W.
- Abstract
Abstract Background: Patients with Wilsons disease may present with cirrhosis, acute hepatitis or fulminant hepatic failure. Without urgent orthotopic liver transplantation, a fulminant Wilson crisis has a mortality of 100%. We report on an 18-year-old female patient with fulminant hepatic failure due to Wilson crisis. Methods: The molecular adsorbent recirculating system (MARS) was used to eliminate albumin-bound toxins and to bridge waiting until an organ became available. Results: A total of 18 MARS sessions and 4 plasma exchange sessions were performed. Bilirubin levels and hepatic encephalopathy improved under MARS therapy. A total of 75 mg copper was removed until serum copper levels were within the normal range. Copper elimination was measured in 15 MARS treatments, which removed a total of 12.9 mg copper. Four plasma exchange sessions, with a total exchange of 11 liters of plasma, removed 12 mg copper. Urinary copper elimination with penicillamine was 50 mg. Conclusion: MARS was an effective method to stabilize a patient with Wilson crisis, contributed to copper elimination and gained time for liver transplantation. The risk of high-urgency transplantation could be avoided. Liver support was easy in the hands of nephrologists familiar with extracorporeal therapy.- Published
- 2003
10. Kinetic modeling of single-site olefin polymerization with multi-response data: Even models with many parameters cannot fit an elephant
- Author
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Novstrup, K. A., Medvedev, G. A., Travia, N. E., Stanciu, C., Switzer, J. M., Manz, T. A., Delgass, W. N., Abu-Omar, M. M., and James Caruthers
11. Studies in reaction kinetics, density functional theory, and catalysis
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Manz, T. A., Thomson, K. T., James Caruthers, Nicholas Delgass, W., and Abu-Omar, M.
12. Discovery informatics for catalyst design: Single site olefin polymerization catalysts
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James Caruthers, Delgass, W. N., Abu-Omar, M., Thomson, K. T., Venkatasubramanian, V., Blau, G. E., Manz, T. A., Medvedev, G., Haq, J., Novstrup, K. A., Phomphrai, K., Sharma, S., and Krishnamurthy, B. B.
13. R. House, R. Layton, J. Livingston, and S. Moseley.
- Author
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Manz, T. A.
- Subjects
- *
COMMUNICATION education , *NONFICTION - Published
- 2018
- Full Text
- View/download PDF
14. Vitessce: integrative visualization of multimodal and spatially resolved single-cell data.
- Author
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Keller MS, Gold I, McCallum C, Manz T, Kharchenko PV, and Gehlenborg N
- Abstract
Multiomics technologies with single-cell and spatial resolution make it possible to measure thousands of features across millions of cells. However, visual analysis of high-dimensional transcriptomic, proteomic, genome-mapped and imaging data types simultaneously remains a challenge. Here we describe Vitessce, an interactive web-based visualization framework for exploration of multimodal and spatially resolved single-cell data. We demonstrate integrative visualization of millions of data points, including cell-type annotations, gene expression quantities, spatially resolved transcripts and cell segmentations, across multiple coordinated views. The open-source software is available at http://vitessce.io ., (© 2024. The Author(s).)
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- 2024
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15. scooby: Modeling multi-modal genomic profiles from DNA sequence at single-cell resolution.
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Hingerl JC, Martens LD, Karollus A, Manz T, Buenrostro JD, Theis FJ, and Gagneur J
- Abstract
Understanding how regulatory DNA elements shape gene expression across individual cells is a fundamental challenge in genomics. Joint RNA-seq and epigenomic profiling provides opportunities to build unifying models of gene regulation capturing sequence determinants across steps of gene expression. However, current models, developed primarily for bulk omics data, fail to capture the cellular heterogeneity and dynamic processes revealed by single-cell multi-modal technologies. Here, we introduce scooby, the first model to predict scRNA-seq coverage and scATAC-seq insertion profiles along the genome from sequence at single-cell resolution. For this, we leverage the pre-trained multi-omics profile predictor Borzoi as a foundation model, equip it with a cell-specific decoder, and fine-tune its sequence embeddings. Specifically, we condition the decoder on the cell position in a precomputed single-cell embedding resulting in strong generalization capability. Applied to a hematopoiesis dataset, scooby recapitulates cell-specific expression levels of held-out genes and cells, and identifies regulators and their putative target genes through in silico motif deletion. Moreover, accurate variant effect prediction with scooby allows for breaking down bulk eQTL effects into single-cell effects and delineating their impact on chromatin accessibility and gene expression. We anticipate scooby to aid unraveling the complexities of gene regulation at the resolution of individual cells., Competing Interests: Competing interests J.D.B. holds patents related to ATAC-seq and is an SAB member of Camp4 and seqWell. F.J.T. consults for Immunai Inc., Singularity Bio B.V., CytoReason Ltd and Omniscope Ltd, and has ownership interest in Dermagnostix GmbH and Cellarity.
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- 2024
- Full Text
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16. A General Framework for Comparing Embedding Visualizations Across Class-Label Hierarchies.
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Manz T, Lekschas F, Greene E, Finak G, and Gehlenborg N
- Abstract
Projecting high-dimensional vectors into two dimensions for visualization, known as embedding visualization, facilitates perceptual reasoning and interpretation. Comparing multiple embedding visualizations drives decision-making in many domains, but traditional comparison methods are limited by a reliance on direct point correspondences. This requirement precludes comparisons without point correspondences, such as two different datasets of annotated images, and fails to capture meaningful higher-level relationships among point groups. To address these shortcomings, we propose a general framework for comparing embedding visualizations based on shared class labels rather than individual points. Our approach partitions points into regions corresponding to three key class concepts-confusion, neighborhood, and relative size-to characterize intra- and inter-class relationships. Informed by a preliminary user study, we implemented our framework using perceptual neighborhood graphs to defne these regions and introduced metrics to quantify each concept. We demonstrate the generality of our framework with usage scenarios from machine learning and single-cell biology, highlighting our metrics' ability to draw insightful comparisons across label hierarchies. To assess the effectiveness of our approach, we conducted an evaluation study with fve machine learning researchers and six single-cell biologists using an interactive and scalable prototype built with Python, JavaScript, and Rust. Our metrics enable more structured comparisons through visual guidance and increased participants' confdence in their fndings.
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- 2024
- Full Text
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17. Chromoscope: interactive multiscale visualization for structural variation in human genomes.
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L'Yi S, Maziec D, Stevens V, Manz T, Veit A, Berselli M, Park PJ, Głodzik D, and Gehlenborg N
- Published
- 2023
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18. OME-Zarr: a cloud-optimized bioimaging file format with international community support.
- Author
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Moore J, Basurto-Lozada D, Besson S, Bogovic J, Bragantini J, Brown EM, Burel JM, Casas Moreno X, de Medeiros G, Diel EE, Gault D, Ghosh SS, Gold I, Halchenko YO, Hartley M, Horsfall D, Keller MS, Kittisopikul M, Kovacs G, Küpcü Yoldaş A, Kyoda K, le Tournoulx de la Villegeorges A, Li T, Liberali P, Lindner D, Linkert M, Lüthi J, Maitin-Shepard J, Manz T, Marconato L, McCormick M, Lange M, Mohamed K, Moore W, Norlin N, Ouyang W, Özdemir B, Palla G, Pape C, Pelkmans L, Pietzsch T, Preibisch S, Prete M, Rzepka N, Samee S, Schaub N, Sidky H, Solak AC, Stirling DR, Striebel J, Tischer C, Toloudis D, Virshup I, Walczysko P, Watson AM, Weisbart E, Wong F, Yamauchi KA, Bayraktar O, Cimini BA, Gehlenborg N, Haniffa M, Hotaling N, Onami S, Royer LA, Saalfeld S, Stegle O, Theis FJ, and Swedlow JR
- Subjects
- Humans, Community Support, Software, Microscopy
- Abstract
A growing community is constructing a next-generation file format (NGFF) for bioimaging to overcome problems of scalability and heterogeneity. Organized by the Open Microscopy Environment (OME), individuals and institutes across diverse modalities facing these problems have designed a format specification process (OME-NGFF) to address these needs. This paper brings together a wide range of those community members to describe the cloud-optimized format itself-OME-Zarr-along with tools and data resources available today to increase FAIR access and remove barriers in the scientific process. The current momentum offers an opportunity to unify a key component of the bioimaging domain-the file format that underlies so many personal, institutional, and global data management and analysis tasks., (© 2023. The Author(s).)
- Published
- 2023
- Full Text
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19. An optimized IgG-based B7-H3xCD3 bispecific antibody for treatment of gastrointestinal cancers.
- Author
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Zekri L, Lutz M, Prakash N, Manz T, Klimovich B, Mueller S, Hoerner S, Hagelstein I, Engel M, Chashchina A, Pfluegler M, Heitmann JS, Jung G, and Salih HR
- Subjects
- Humans, Mice, Animals, Immunoglobulin G, T-Lymphocytes, Immunotherapy, Cell Line, Tumor, Gastrointestinal Neoplasms therapy, Antibodies, Bispecific pharmacology, Antibodies, Bispecific therapeutic use
- Abstract
T cell-based immunotherapy has revolutionized oncological treatment. However, many patients do not respond to treatment, and long-term remissions remain rare, particularly in gastrointestinal cancers like colorectal cancer (CRC). B7-H3 is overexpressed in multiple cancer entities including CRC on both tumor cells and tumor vasculature, the latter facilitating influx of effector cells into the tumor site upon therapeutic targeting. We generated a panel of T cell-recruiting B7-H3xCD3 bispecific antibodies (bsAbs) and show that targeting a membrane-proximal B7-H3 epitope allows for a 100-fold reduction of CD3 affinity. In vitro, our lead compound CC-3 showed superior tumor cell killing, T cell activation, proliferation, and memory formation, whereas undesired cytokine release was reduced. In vivo, CC-3 mediated potent antitumor activity in three independent models using immunocompromised mice adoptively transferred with human effector cells with regard to prevention of lung metastasis and flank tumor growth as well as elimination of large established tumors. Thus, fine-tuning of both target and CD3 affinities as well as binding epitopes allowed for the generation of a B7-H3xCD3 bsAbs with promising therapeutic activity. CC-3 is presently undergoing good manufacturing practice (GMP) production to enable evaluation in a clinical "first-in-human" study in CRC., Competing Interests: Declaration of interests G.J., H.R.S., L.Z., T.M., S.H., and M.P. are listed as inventors on the patent application “Antibodies targeting, and other modulators of, the CD276 antigen, and uses thereof,” EP3822288A1, applicant is German Cancer Research Center, Heidelberg, and Medical Faculty University of Tuebingen, Germany., (Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
20. Novel ACE2 fusion protein with adapting activity against SARS-CoV-2 variants in vitro .
- Author
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Zekri L, Ruetalo N, Christie M, Walker C, Manz T, Rammensee HG, Salih HR, Schindler M, and Jung G
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- Humans, Antibodies, Neutralizing, Spike Glycoprotein, Coronavirus genetics, Protein Engineering, Recombinant Fusion Proteins, Angiotensin-Converting Enzyme 2 genetics, COVID-19, SARS-CoV-2 genetics
- Abstract
Despite the successful development of vaccines and neutralizing antibodies to limit the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerging variants prolong the pandemic and emphasize the persistent need to develop effective antiviral treatment regimens. Recombinant antibodies directed to the original SARS-CoV-2 have been successfully used to treat established viral disease. However, emerging viral variants escape the recognition by those antibodies. Here we report the engineering of an optimized ACE2 fusion protein, designated ACE2-M, which comprises a human IgG1 Fc domain with abrogated Fc-receptor binding linked to a catalytically-inactive ACE2 extracellular domain that displays increased apparent affinity to the B.1 spike protein. The affinity and neutralization capacity of ACE2-M is unaffected or even enhanced by mutations present in the spike protein of viral variants. In contrast, a recombinant neutralizing reference antibody, as well as antibodies present in the sera of vaccinated individuals, lose activity against such variants. With its potential to resist viral immune escape ACE2-M appears to be particularly valuable in the context of pandemic preparedness towards newly emerging coronaviruses., Competing Interests: GJ, LZ, HS, MS, NR and MC are listed as inventors on the patent application “Modified ACE2 proteins with improved activity against SARS-CoV-2”, EP22198499, applicant German Cancer Research Center, Heidelberg and University of Tuebingen, Germany. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Zekri, Ruetalo, Christie, Walker, Manz, Rammensee, Salih, Schindler and Jung.)
- Published
- 2023
- Full Text
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21. Gos: a declarative library for interactive genomics visualization in Python.
- Author
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Manz T, L'Yi S, and Gehlenborg N
- Subjects
- Animals, Genomics, Genome, Gene Library, Software, Computational Biology, Geese
- Abstract
Summary: Gos is a declarative Python library designed to create interactive multiscale visualizations of genomics and epigenomics data. It provides a consistent and simple interface to the flexible Gosling visualization grammar. Gos hides technical complexities involved with configuring web-based genome browsers and integrates seamlessly within computational notebooks environments to enable new interactive analysis workflows., Availability and Implementation: Gos is released under the MIT License and available on the Python Package Index (PyPI). The source code is publicly available on GitHub (https://github.com/gosling-lang/gos), and documentation with examples can be found at https://gosling-lang.github.io/gos., (© The Author(s) 2023. Published by Oxford University Press.)
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- 2023
- Full Text
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22. B7-H3-targeting Fc-optimized antibody for induction of NK cell reactivity against sarcoma.
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Hagelstein I, Engel M, Hinterleitner C, Manz T, Märklin M, Jung G, Salih HR, and Zekri L
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- Humans, Immunoglobulin Fc Fragments, Antibody-Dependent Cell Cytotoxicity, Antibodies, Monoclonal, B7 Antigens genetics, Killer Cells, Natural, Sarcoma therapy, Sarcoma drug therapy
- Abstract
Natural killer (NK) cells largely contribute to antibody-dependent cellular cytotoxicity (ADCC), a central factor for success of monoclonal antibodies (mAbs) treatment of cancer. The B7 family member B7-H3 (CD276) recently receives intense interest as a novel promising target antigen for immunotherapy. B7-H3 is highly expressed in many tumor entities, whereas expression on healthy tissues is rather limited. We here studied expression of B7-H3 in sarcoma, and found substantial levels to be expressed in various bone and soft-tissue sarcoma subtypes. To date, only few immunotherapeutic options for treatment of sarcomas that are limited to a minority of patients are available. We here used a B7-H3 mAb to generate chimeric mAbs containing either a wildtype Fc-part (8H8_WT) or a variant Fc part with amino-acid substitutions (S239D/I332E) to increase affinity for CD16 expressing NK cells (8H8_SDIE). In comparative studies we found that 8H8_SDIE triggers profound NK cell functions such as activation, degranulation, secretion of IFNγ and release of NK effector molecules, resulting in potent lysis of different sarcoma cells and primary sarcoma cells derived from patients. Our findings emphasize the potential of 8H8_SDIE as novel compound for treatment of sarcomas, particularly since B7-H3 is expressed in bone and soft-tissue sarcoma independent of their subtype., Competing Interests: GJ, HS, LZ, and TM are listed as inventors on the patent application “Antibodies targeting, and other modulators of, the CD276 antigen, and uses thereof,” EP3822288A1, applicant German Cancer Research Center, Heidelberg, Germany. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Hagelstein, Engel, Hinterleitner, Manz, Märklin, Jung, Salih and Zekri.)
- Published
- 2022
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23. Viv: multiscale visualization of high-resolution multiplexed bioimaging data on the web.
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Manz T, Gold I, Patterson NH, McCallum C, Keller MS, Herr BW 2nd, Börner K, Spraggins JM, and Gehlenborg N
- Published
- 2022
- Full Text
- View/download PDF
24. OME-NGFF: a next-generation file format for expanding bioimaging data-access strategies.
- Author
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Moore J, Allan C, Besson S, Burel JM, Diel E, Gault D, Kozlowski K, Lindner D, Linkert M, Manz T, Moore W, Pape C, Tischer C, and Swedlow JR
- Subjects
- Benchmarking, Computational Biology methods, Data Compression, Databases, Factual, Information Storage and Retrieval, Internet, Microscopy methods, Programming Languages, SARS-CoV-2, Computational Biology instrumentation, Computational Biology standards, Metadata, Microscopy instrumentation, Microscopy standards, Software
- Abstract
The rapid pace of innovation in biological imaging and the diversity of its applications have prevented the establishment of a community-agreed standardized data format. We propose that complementing established open formats such as OME-TIFF and HDF5 with a next-generation file format such as Zarr will satisfy the majority of use cases in bioimaging. Critically, a common metadata format used in all these vessels can deliver truly findable, accessible, interoperable and reusable bioimaging data., (© 2021. The Author(s).)
- Published
- 2021
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25. An IgG-based bispecific antibody for improved dual targeting in PSMA-positive cancer.
- Author
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Zekri L, Vogt F, Osburg L, Müller S, Kauer J, Manz T, Pflügler M, Maurer A, Heitmann JS, Hagelstein I, Märklin M, Hörner S, Todenhöfer T, Calaminus C, Stenzl A, Pichler B, la Fougère C, Schneider MA, Rammensee HG, Zender L, Sipos B, Salih HR, and Jung G
- Subjects
- Animals, Antigens, Surface, Humans, Immunoglobulin G, Male, Mice, T-Lymphocytes, Antibodies, Bispecific, Prostatic Neoplasms drug therapy
- Abstract
The prostate-specific membrane antigen (PSMA) has been demonstrated in numerous studies to be expressed specifically on prostate carcinoma cells and on the neovasculature of several other cancer entities. However, the simultaneous expression of PSMA on both, tumor cells as well as tumor vessels remains unclear, even if such "dual" expression would constitute an important asset to facilitate sufficient influx of effector cells to a given tumor site. We report here on the generation of a PSMA antibody, termed 10B3, which exerts superior dual reactivity on sections of prostate carcinoma and squamous cell carcinoma of the lung. 10B3 was used for the construction of T-cell recruiting bispecific PSMAxCD3 antibodies in Fab- and IgG-based formats, designated Fabsc and IgGsc, respectively. In vitro, both molecules exhibited comparable activity. In contrast, only the larger IgGsc molecule induced complete and durable elimination of established tumors in humanized mice due to favorable pharmacokinetic properties. Upon treatment of three patients with metastasized prostate carcinoma with the IgGsc reagent, marked activation of T cells and rapid reduction of elevated PSA levels were observed., (© 2020 The Authors. Published under the terms of the CC BY 4.0 license.)
- Published
- 2021
- Full Text
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26. Covalent targeting of remote cysteine residues to develop CDK12 and CDK13 inhibitors.
- Author
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Zhang T, Kwiatkowski N, Olson CM, Dixon-Clarke SE, Abraham BJ, Greifenberg AK, Ficarro SB, Elkins JM, Liang Y, Hannett NM, Manz T, Hao M, Bartkowiak B, Greenleaf AL, Marto JA, Geyer M, Bullock AN, Young RA, and Gray NS
- Subjects
- Anilides chemical synthesis, Anilides chemistry, CDC2 Protein Kinase chemistry, CDC2 Protein Kinase metabolism, Cell Death drug effects, Cyclin-Dependent Kinases chemistry, Cyclin-Dependent Kinases metabolism, Cysteine metabolism, DNA Damage, Humans, Protein Kinase Inhibitors chemical synthesis, Protein Kinase Inhibitors chemistry, Pyrimidines chemical synthesis, Pyrimidines chemistry, Anilides pharmacology, CDC2 Protein Kinase antagonists & inhibitors, Cyclin-Dependent Kinases antagonists & inhibitors, Cysteine chemistry, Protein Kinase Inhibitors pharmacology, Pyrimidines pharmacology
- Abstract
Cyclin-dependent kinases 12 and 13 (CDK12 and CDK13) play critical roles in the regulation of gene transcription. However, the absence of CDK12 and CDK13 inhibitors has hindered the ability to investigate the consequences of their inhibition in healthy cells and cancer cells. Here we describe the rational design of a first-in-class CDK12 and CDK13 covalent inhibitor, THZ531. Co-crystallization of THZ531 with CDK12-cyclin K indicates that THZ531 irreversibly targets a cysteine located outside the kinase domain. THZ531 causes a loss of gene expression with concurrent loss of elongating and hyperphosphorylated RNA polymerase II. In particular, THZ531 substantially decreases the expression of DNA damage response genes and key super-enhancer-associated transcription factor genes. Coincident with transcriptional perturbation, THZ531 dramatically induced apoptotic cell death. Small molecules capable of specifically targeting CDK12 and CDK13 may thus help identify cancer subtypes that are particularly dependent on their kinase activities.
- Published
- 2016
- Full Text
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27. Liver support--a task for nephrologists? Extracorporeal treatment of a patient with fulminant Wilson crisis.
- Author
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Manz T, Ochs A, Bisse E, Strey C, and Grotz W
- Subjects
- Adolescent, Bilirubin blood, Copper blood, Copper urine, Female, Hepatic Encephalopathy therapy, Humans, Penicillamine therapeutic use, Plasma Exchange, Hepatolenticular Degeneration therapy, Liver Failure therapy, Renal Dialysis
- Abstract
Background: Patients with Wilson's disease may present with cirrhosis, acute hepatitis or fulminant hepatic failure. Without urgent orthotopic liver transplantation, a fulminant Wilson crisis has a mortality of 100%. We report on an 18-year-old female patient with fulminant hepatic failure due to Wilson crisis., Methods: The molecular adsorbent recirculating system (MARS) was used to eliminate albumin-bound toxins and to bridge waiting until an organ became available., Results: A total of 18 MARS sessions and 4 plasma exchange sessions were performed. Bilirubin levels and hepatic encephalopathy improved under MARS therapy. A total of 75 mg copper was removed until serum copper levels were within the normal range. Copper elimination was measured in 15 MARS treatments, which removed a total of 12.9 mg copper. Four plasma exchange sessions, with a total exchange of 11 liters of plasma, removed 12 mg copper. Urinary copper elimination with penicillamine was 50 mg., Conclusion: MARS was an effective method to stabilize a patient with Wilson crisis, contributed to copper elimination and gained time for liver transplantation. The risk of high-urgency transplantation could be avoided. Liver support was easy in the hands of nephrologists familiar with extracorporeal therapy., (Copyright 2003 S. Karger AG, Basel)
- Published
- 2003
- Full Text
- View/download PDF
28. Germ-line mutations in nonsyndromic pheochromocytoma.
- Author
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Neumann HP, Bausch B, McWhinney SR, Bender BU, Gimm O, Franke G, Schipper J, Klisch J, Altehoefer C, Zerres K, Januszewicz A, Eng C, Smith WM, Munk R, Manz T, Glaesker S, Apel TW, Treier M, Reineke M, Walz MK, Hoang-Vu C, Brauckhoff M, Klein-Franke A, Klose P, Schmidt H, Maier-Woelfle M, Peçzkowska M, Szmigielski C, and Eng C
- Subjects
- Adolescent, Adult, Age of Onset, Aged, Aged, 80 and over, Child, Child, Preschool, Cohort Studies, Electron Transport Complex II, Female, Glomus Tumor genetics, Heterozygote, Humans, Male, Middle Aged, Multiple Endocrine Neoplasia Type 2a genetics, Mutation, Missense, Protein Subunits, Proto-Oncogene Mas, Proto-Oncogene Proteins c-ret, Von Hippel-Lindau Tumor Suppressor Protein, von Hippel-Lindau Disease genetics, Drosophila Proteins, Germ-Line Mutation, Iron-Sulfur Proteins genetics, Ligases genetics, Multienzyme Complexes genetics, Oxidoreductases genetics, Pheochromocytoma genetics, Proto-Oncogene Proteins genetics, Receptor Protein-Tyrosine Kinases genetics, Succinate Dehydrogenase genetics, Tumor Suppressor Proteins, Ubiquitin-Protein Ligases
- Abstract
Background: The group of susceptibility genes for pheochromocytoma that included the proto-oncogene RET (associated with multiple endocrine neoplasia type 2 [MEN-2]) and the tumor-suppressor gene VHL (associated with von Hippel-Lindau disease) now also encompasses the newly identified genes for succinate dehydrogenase subunit D (SDHD) and succinate dehydrogenase subunit B (SDHB), which predispose carriers to pheochromocytomas and glomus tumors. We used molecular tools to classify a large cohort of patients with pheochromocytoma with respect to the presence or absence of mutations of one of these four genes and to investigate the relevance of genetic analyses to clinical practice., Methods: Peripheral blood from unrelated, consenting registry patients with pheochromocytoma was tested for mutations of RET, VHL, SDHD, and SDHB. Clinical data at first presentation and follow-up were evaluated., Results: Among 271 patients who presented with nonsyndromic pheochromocytoma and without a family history of the disease, 66 (24 percent) were found to have mutations (mean age, 25 years; 32 men and 34 women). Of these 66, 30 had mutations of VHL, 13 of RET, 11 of SDHD, and 12 of SDHB. Younger age, multifocal tumors, and extraadrenal tumors were significantly associated with the presence of a mutation. However, among the 66 patients who were positive for mutations, only 21 had multifocal pheochromocytoma. Twenty-three (35 percent) presented after the age of 30 years, and 17 (8 percent) after the age of 40. Sixty-one (92 percent) of the patients with mutations were identified solely by molecular testing of VHL, RET, SDHD, and SDHB; these patients had no associated signs and symptoms at presentation., Conclusions: Almost one fourth of patients with apparently sporadic pheochromocytoma may be carriers of mutations; routine analysis for mutations of RET, VHL, SDHD, and SDHB is indicated to identify pheochromocytoma-associated syndromes that would otherwise be missed.
- Published
- 2002
- Full Text
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29. How many pathways to pheochromocytoma?
- Author
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Neumann HP, Hoegerle S, Manz T, Brenner K, and Iliopoulos O
- Subjects
- Adrenal Gland Neoplasms diagnosis, Genetic Testing, Germ-Line Mutation, Humans, Magnetic Resonance Imaging, Multiple Endocrine Neoplasia Type 2a complications, Neurofibromatosis 1 complications, Neurofibromatosis 1 genetics, Paraganglioma genetics, Pheochromocytoma diagnosis, von Hippel-Lindau Disease complications, Adrenal Gland Neoplasms genetics, Multiple Endocrine Neoplasia Type 2a genetics, Pheochromocytoma genetics, von Hippel-Lindau Disease genetics
- Abstract
Pheochromocytomas, like several other tumors, may be either sporadic or the manifestation of a familial cancer syndrome. Recently, major advances have occurred in both the understanding of diverse molecular mechanisms leading to pheochromocytoma and the diagnostic modalities available for detection of the disease. Familial pheochromocytoma may be a manifestation of multiple endocrine neoplasia type 2 (MEN-2), von Hippel-Lindau (VHL), or neurofibromatosis-1 (NF 1) disease. Tumor-suppressor genes responsible for the familial occurrence of extra-adrenal pheochromocytoma, called paraganglioma, have been identified. This wealth of genetic information, coupled with the availability of sensitive and specific biochemical tests as well as imaging studies, allows for genetic screening and early diagnosis of pheochromocytoma. In addition, genetic screening of relatives at risk is now feasible. In this article, we review recent clinical and molecular advances in our understanding of pheochromocytoma., (Copyright 2002, Elsevier Science (USA). All rights reserved.)
- Published
- 2002
- Full Text
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30. Pheochromocytomas: detection with 18F DOPA whole body PET--initial results..
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Hoegerle S, Nitzsche E, Altehoefer C, Ghanem N, Manz T, Brink I, Reincke M, Moser E, and Neumann HP
- Subjects
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Sensitivity and Specificity, Whole-Body Counting, Adrenal Gland Neoplasms diagnostic imaging, Dihydroxyphenylalanine analogs & derivatives, Fluorine Radioisotopes, Pheochromocytoma diagnostic imaging, Tomography, Emission-Computed
- Abstract
Purpose: To evaluate fluorine 18 ((18)F) dihydroxyphenylalanine (DOPA) whole-body positron emission tomography (PET) as a biochemical imaging approach for detection of pheochromocytomas., Materials and Methods: (18)F DOPA PET and magnetic resonance (MR) imaging were performed in 14 consecutive patients suspected of having pheochromocytomas (five sporadic, nine with von Hippel-Lindau disease); metaiodobenzylguanidine (MIBG) scintigraphy was performed in 12 of these patients. The individual imaging findings were assessed in consensus by specialists in nuclear medicine and radiologists blinded to the results of the other methods. The findings of the functional imaging methods were compared with those of MR imaging, the reference standard. Histologic verification could be obtained in eight patients with nine tumors., Results: Seventeen pheochromocytomas (11 solitary, three bifocal; 14 adrenal, three extraadrenal) were detected with MR imaging. (18)F DOPA PET and MR imaging had concordant results in all 17 tumors. In contrast, MIBG scintigraphy had false-negative results in four patients with three adrenal tumors smaller than 2 cm and one extraadrenal tumor with a diameter of 3.6 cm. On the basis of these data, sensitivities of 100% for (18)F DOPA PET and of 71% for MIBG scintigraphy were calculated. Specificity was 100% for both procedures., Conclusion: (18)F DOPA PET is highly sensitive and specific for detection of pheochromocytomas and has potential as the functional imaging method of the future.
- Published
- 2002
- Full Text
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31. [Phanacetin abuse III. Malignant urinary tract tumors in phenacetin abuse in Basle 1963-1977].
- Author
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Mihatsch MJ, Manz T, Knüsli C, Hofer HO, Rist M, Guetg R, Rutishauser G, and Zollinger HU
- Subjects
- Female, Humans, Kidney Pelvis, Male, Retrospective Studies, Ureteral Neoplasms etiology, Urinary Bladder Neoplasms etiology, Phenacetin, Substance-Related Disorders, Urologic Neoplasms etiology
- Abstract
In 442 inhabitants of Basel 451 malignant tumors of the lower urinary tract were found at autopsy or biopsy from 1963 to 1977. 69/442 patients were abusers of phenacetin containing analgesics. Carcinomas and sarcomas of the lower urinary tract were nearly 13 times as frequent in abusers as in non-abusers. Carcinomas of the renal pelvis were 77 times, carcinomas of the ureter 89 times and those of the urinary bladder 7 times as frequent among abusers. The differences in incidence of malignant tumors are statistically highly significant for all localizations and for multiple carcinomas as well, even if smokers are excluded. "Phenacetin tumors" occurred in younger patients and were more common in women than in non-abusers. They were ofen, though not always, accompanied by analgesic nephropathy. Comparison with other etiological factors such as aromatic amines or thorotrast demonstrated that phenacetin abuse is of greatest importance. The significance of smoking cannot be established unequivocally. Because of the occurrence of a large number of malignant tumors in phenacetin abusers it is very important to prohibit by legislation the use of phenacetin or paracetamol containing analgesics without medical prescription. In addition, these drugs should be replaced by other analgesic compounds.
- Published
- 1980
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