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In der vorliegenden Studie wurde die Prävalenz der Besiedlung mit multiresistenten Keimen an 155 Patienten aus der onkologischen und 157 Patienten aus der kardiologischen Rehabilitation mittels mikrobiologischen Screenings untersucht. Dabei zeigten 4,5% der onkologischen und 4,5% der kardiologischen Rehabilitationspatienten eine Besiedlung mit multiresistenten Erregern. Am häufigsten wurden 2-MRGN und ESBL (2,9%) nachgewiesen. Onkologische Rehapatienten zeigten doppelt so hohe Prävalenzraten für 3-MRGN im Vergleich zu kardiologischen (2,6 und 1,3%). Insgesamt zeigen onkologische und kardiologische Rehabilitationspatienten vergleichsweise niedrige Prävalenzraten für multiresistente Krankenhauskeime.
After surgical treatment of cancer of the esophagus or the esophagogastric junction we observed steatorrhea, which is so far seldom reported. We analyzed all patients treated in our rehabilitation clinic between 2011 and 2014 and focused on the impact of surgery on digestion of fat. Reported steatorrhea was anamnestic, no pancreatic function test was made. Here we show the results from 51 patients. Twenty-three (45%) of the patients reported steatorrhea. Assuming decreased pancreatic function pancreatic enzyme replacement therapy (PERT) was started or modified during the rehabilitation stay (in the following called STEA(+)). These patients were compared with the patients without steatorrhea and without PERT (STEA(-)). Maximum weight loss between surgery and rehabilitation start was 18 kg in STEA(+) patient and 15.3 kg in STEA(-) patients. STEA(+) patients gained more weight under PERT during the rehabilitation phase (3 wk) than STEA(-) patients without PERT (+1.0 kg vs. -0.3 kg, P = 0.032). We report for the first time, that patients after cancer related esophageal surgery show anamnestic signs of exocrine pancreas insufficiency and need PERT to gain body weight.
Microorganisms accumulate molar concentrations of compatible solutes like ectoine to prevent proteins from denaturation. Direct structural or spectroscopic information on the mechanism and about the hydration shell around ectoine are scarce. We combined surface plasmon resonance (SPR), confocal Raman spectroscopy, molecular dynamics simulations, and density functional theory (DFT) calculations to study the local hydration shell around ectoine and its influence on the binding of a gene-S-protein (G5P) to a single-stranded DNA (dT(25)). Due to the very high hygroscopicity of ectoine, it was possible to analyze the highly stable hydration shell by confocal Raman spectroscopy. Corresponding molecular dynamics simulation results revealed a significant change of the water dielectric constant in the presence of a high molar ectoine concentration as compared to pure water. The SPR data showed that the amount of protein bound to DNA decreases in the presence of ectoine, and hence, the protein-DNA dissociation constant increases in a concentration-dependent manner. Concomitantly, the Raman spectra in terms of the amide I region revealed large changes in the protein secondary structure. Our results indicate that ectoine strongly affects the molecular recognition between the protein and the oligonudeotide, which has important consequences for osmotic regulation mechanisms.
A familial congenital heart disease with a possible multigenic origin involving a mutation in BMPR1A
(2019)
The genetics of many congenital heart diseases (CHDs) can only unsatisfactorily be explained by known chromosomal or Mendelian syndromes. Here, we present sequencing data of a family with a potentially multigenic origin of CHD. Twelve of nineteen family members carry a familial mutation [NM_004329.2:c.1328 G > A (p.R443H)] which encodes a predicted deleterious variant of BMPR1A. This mutation co-segregates with a linkage region on chromosome 1 that associates with the emergence of severe CHDs including Ebstein’s anomaly, atrioventricular septal defect, and others. We show that the continuous overexpression of the zebrafish homologous mutation bmpr1aap.R438H within endocardium causes a reduced AV valve area, a downregulation of Wnt/ß-catenin signalling at the AV canal, and growth of additional tissue mass in adult zebrafish hearts. This finding opens the possibility of testing genetic interactions between BMPR1A and other candidate genes within linkage region 1 which may provide a first step towards unravelling more complex genetic patterns in cardiovascular disease aetiology.
High-pressure experiments were performed to investigate the effectiveness, rate and mechanism of carbonation of serpentinites by a carbon-saturated COH fluid at 1.5-2.5 GPa and 375-700 degrees C. This allows a better understanding of the fate and redistribution of slab-derived carbonic fluids when they react with the partially hydrated mantle within and above the subducting slab under pressure and temperature conditions corresponding to the forearc mantle. Interactions between carbon-saturated CO2-H2O-CH4 fluids and serpentinite were investigated using natural serpentinite cylinders with natural grain sizes and shapes in piston-cylinder experiments. The volatile composition of post-run fluids was quantified by gas chromatography. Solid phases were examined by Raman spectroscopy, electron microscopy and laser ablation inductively coupled plasma mass spectrometry. Textures, porosity and phase abundances of recovered rock cores were visualized and quantified by three-dimensional, high-resolution computed tomography. We find that carbonation of serpentinites is efficient at sequestering CO2 from the interacting fluid into newly formed magnesite. Time-series experiments demonstrate that carbonation is completed within similar to 96 h at 2 GPa and 600 degrees C. With decreasing CO2, aq antigorite is replaced first by magnesite + quartz followed by magnesite + talc + chlorite in distinct, metasomatic fronts. Above antigorite stability magnesite + enstatite + talc + chlorite occur additionally. The formation of fluid-permeable reaction zones enhances the reaction rate and efficiency of carbonation. Carbonation probably occurs via an interface-coupled replacement process, whereby interconnected porosity is present within reaction zones after the experiment. Consequently, carbonation of serpentinites is self-promoting and efficient even if fluid flow is channelized into veins. We conclude that significant amounts of carbonates may accumulate, over time, in the hydrated forearc mantle.
Devolatilization of subducting lithologies liberates COH-fluids. These may become partially sequestered in peridotites in the slab and the overlying forearc mantle, affecting the cycling of volatiles and fluid mobile elements in subduction zones. Here we assess the magnitudes, timescales and mechanism of channelized injection of COH-fluids doped with Ca-aq(2+), Sr-aq(2+) and Ba-aq(2+) into the dry forearc mantle by performing piston cylinder experiments between 1-2.5 GPa and 600-700 degrees C. Cylindrical cores of natural spinel-bearing harzburgites were used as starting materials. Based on mineral assemblage and composition three reaction zones are distinguishable from the rim towards the core of primary olivine and orthopyroxene grains. Zone 1 contains carbonates + quartz +/- kyanite and zone 2 contains carbonates + talc +/- chlorite. Olivine is further replaced in zone 3 by either antigorite+ magnesite or magnesite +talc within or above antigorite stability, respectively. Orthopyroxene is replaced in zone 3 by talc + chlorite. Mineral assemblages and the compositions of secondary minerals depend on fluid composition and the replaced primary silicate. The extent of alteration depends on fluid CO2 content and fluid/rock-ratio, and is further promoted by fluid permeable reaction zones and reaction driven cracking. Our results show that COH-fluid induced metasomatism of the forearc mantle is self-perpetuating and efficient at sequestering Ca-aq(2+), Sr-aq(2+), Ba-aq(2+) and CO2aq into newly formed carbonates. This process is fast with 90% of the available C sequestered and nearly 50% of the initial minerals altered at 650 degrees C, 2 GPa within 55 h. The dissolution of primary silicates under high COH-fluid/rock-ratios, as in channelized fluid flow, enriches SiO2aq in the fluid, while CO2aq is sequestered into carbonates. In an open system, the remaining CO2-depleted, Si-enriched aqueous fluid may cause Si-metasomatism in the forearc further away from the injection of the COH-fluid into peridotite.