TY - JOUR A1 - Walther, T A1 - Wessel, Niels A1 - Malberg, Hagen A1 - Voss, Andreas A1 - Stepan, H A1 - Faber, R T1 - A combined technique for predicting pre-eclampsia : concurrent measurement of uterine perfusion and analysis of heart rate and blood pressure variability N2 - Objective Pre-eclampsia is a serious complication of pregnancy with high morbidity and mortality and an incidence of 3-5% in all pregnancies. Early prediction is still insufficient in clinical practice. Although most pre- eclamptic patients have pathological uterine perfusion in the second trimester, perfusion disturbance has a positive predictive accuracy (PPA) only of approximately 30%. Methods Non-invasive continuous blood pressure recordings were taken simultaneously via a finger cuff for 30 min. Time series of systolic as well as diastolic beat-to-beat pressure values were extracted to analyse heart rate and blood pressure variability and baroreflex sensitivity in 102 second- trimester pregnancies, to assess predictability for pre-eclampsia (n = 16). All women underwent Doppler investigations of the uterine arteries. Results We identified a combination of three variability and baroreflex parameters to best predict pre-eclampsia several weeks before clinical manifestation. The discriminant function of these three parameters classified patients with later pre-eclampsia with a sensitivity of 87.5%, a specificity of 83.7%, and a PPA of 50.0%. Combined with Doppler investigations of uterine arteries, PPA increased to 71.4%. Conclusions This technique of incorporating one-stop clinical assessment of uterine perfusion and variability parameters in the second trimester produces the most effective prediction of pre-eclampsia to date Y1 - 2006 ER - TY - JOUR A1 - Faber, R. A1 - Baumert, M. A1 - Stepan, H. A1 - Wessel, Niels A1 - Voss, Andreas A1 - Walther, T. T1 - Baroreflex sensitivity, heart rate, and blood pressure variability in hypertensive pregnancy disorders N2 - Hypertensive pregnancy disorders are a leading cause of perinatal and maternal morbidity and mortality. Heart rate variability (HRV), blood pressure variability (BPV), and baroreflex sensitivity (BRS) are relevant predictors of cardiovascular risk in humans. The aim of the study was to evaluate whether HRV, BPV, and BRS differ between distinct hypertensive pregnancy disorders. Continuous heart rate and blood pressure recordings were performed in 80 healthy pregnant women as controls (CON), 19 with chronic hypertension (CH), 18 with pregnancy-induced hypertension (PIH), and 44 with pre-eclampsia (PE). The data were assessed by time and frequency domain analysis, nonlinear dynamics, and BRS. BPV is markedly altered in all three groups with hypertensive disorders compared to healthy pregnancies, whereby changes were most pronounced in PE patients. Interestingly, this increase in PE patients did not lead to elevated spontaneous baroreflex events, while BPV changes in both the other hypertensive groups were paralleled by alterations in baroreflex parameters. The HRV is unaltered in CH and PE but significantly impaired in PIH. We conclude that parameters of the HRV, BPV, and BRS differ between various hypertensive pregnancy disorders. Thus, distinct clinical manifestations of hypertension in pregnancy have different pathophysiological, regulatory, and compensatory mechanisms Y1 - 2004 SN - 0950-9240 ER - TY - GEN A1 - Hardy, John G. A1 - Torres-Rendon, Jose Guillermo A1 - Leal-Egaña, Aldo A1 - Walther, Andreas A1 - Schlaad, Helmut A1 - Cölfen, Helmut A1 - Scheibel, Thomas R. T1 - Biomineralization of engineered spider silk protein-based composite materials for bone tissue engineering N2 - Materials based on biodegradable polyesters, such as poly(butylene terephthalate) (PBT) or poly(butylene terephthalate-co-poly(alkylene glycol) terephthalate) (PBTAT), have potential application as pro-regenerative scaffolds for bone tissue engineering. Herein, the preparation of films composed of PBT or PBTAT and an engineered spider silk protein, (eADF4(C16)), that displays multiple carboxylic acid moieties capable of binding calcium ions and facilitating their biomineralization with calcium carbonate or calcium phosphate is reported. Human mesenchymal stem cells cultured on films mineralized with calcium phosphate show enhanced levels of alkaline phosphatase activity suggesting that such composites have potential use for bone tissue engineering. T3 - Zweitveröffentlichungen der Universität Potsdam : Mathematisch-Naturwissenschaftliche Reihe - 359 KW - spider silk KW - recombinant protein KW - biodegradable polymers KW - biomaterials KW - biomineralization KW - bone tissue engineering Y1 - 2017 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-400519 ER - TY - JOUR A1 - Hardy, John G. A1 - Torres-Rendon, Jose Guillermo A1 - Leal-Egana, Aldo A1 - Walther, Andreas A1 - Schlaad, Helmut A1 - Coelfen, Helmut A1 - Scheibel, Thomas R. T1 - Biomineralization of Engineered Spider Silk Protein-Based Composite Materials for Bone Tissue Engineering JF - Materials N2 - Materials based on biodegradable polyesters, such as poly(butylene terephthalate) (PBT) or poly(butylene terephthalate-co-poly(alkylene glycol) terephthalate) (PBTAT), have potential application as pro-regenerative scaffolds for bone tissue engineering. Herein, the preparation of films composed of PBT or PBTAT and an engineered spider silk protein, (eADF4(C16)), that displays multiple carboxylic acid moieties capable of binding calcium ions and facilitating their biomineralization with calcium carbonate or calcium phosphate is reported. Human mesenchymal stem cells cultured on films mineralized with calcium phosphate show enhanced levels of alkaline phosphatase activity suggesting that such composites have potential use for bone tissue engineering. KW - spider silk KW - recombinant protein KW - biodegradable polymers KW - biomaterials KW - biomineralization KW - bone tissue engineering Y1 - 2016 U6 - https://doi.org/10.3390/ma9070560 SN - 1996-1944 VL - 9 SP - 93 EP - 108 PB - MDPI CY - Basel ER - TY - JOUR A1 - Hardy, John G. A1 - Bertin, Annabelle A1 - Torres-Rendon, Jose Guillermo A1 - Leal-Egana, Aldo A1 - Humenik, Martin A1 - Bauer, Felix A1 - Walther, Andreas A1 - Cölfen, Helmut A1 - Schlaad, Helmut A1 - Scheibel, Thomas R. T1 - Facile photochemical modification of silk protein-based biomaterials JF - Macromolecular bioscience N2 - Silk protein-based materials show promise for application as biomaterials for tissue engineering. The simple and rapid photochemical modification of silk protein-based materials composed of either Bombyx mori silkworm silk or engineered spider silk proteins (eADF4(C16)) is reported. Radicals formed on the silk-based materials initiate the polymerization of monomers (acrylic acid, methacrylic acid, or allylamine) which functionalize the surface of the silk materials with poly(acrylic acid) (PAA), poly(methacrylic acid) (PMAA), or poly(allylamine) (PAAm). To demonstrate potential applications of this type of modification, the polymer-modified silks are mineralized. The PAA- and PMAA-functionalized silks are mineralized with calcium carbonate, whereas the PAAm-functionalized silks are mineralized with silica, both of which provide a coating on the materials that may be useful for bone tissue engineering, which will be the subject of future investigations. KW - biomaterials KW - chemical modification KW - photochemistry KW - silkworm silk KW - spider silk Y1 - 2018 U6 - https://doi.org/10.1002/mabi.201800216 SN - 1616-5187 SN - 1616-5195 VL - 18 IS - 11 PB - Wiley-VCH CY - Weinheim ER -