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Biomedical subjects

S Wiesner

Publications and source records attributed to S Wiesner.

18 recordsLinked to original sources

Indications for a novel muscular dystrophy pathway. gamma-filamin, the muscle-specific filamin isoform, interacts with myotilin.

gamma-Filamin, also called ABP-L, is a filamin isoform that is specifically expressed in striated muscles, where it is predominantly localized in myofibrillar Z-discs. A minor fraction of the protein shows subsarcolemmal localization. Although gamma-filamin has the same overall structure as the two other known isoforms, it is the only isoform that carries a unique insertion in its immunoglobulin (Ig)-like domain 20. Sequencing of the genomic region encoding this part of the molecule shows that this insert is encoded by an extra exon. Transient transfections of the insert-bearing domain in skeletal muscle cells and cardiomyocytes show that this single domain is sufficient for targeting to developing and mature Z-discs. The yeast two-hybrid method was used to identify possible binding partners for the insert-bearing Ig-like domain 20 of gamma-filamin. The two Ig-like domains of the recently described alpha-actinin-binding Z-disc protein myotilin were found to interact directly with this filamin domain, indicating that the amino-terminal end of gamma-filamin may be indirectly anchored to alpha-actinin in the Z-disc via myotilin. Since defects in the myotilin gene were recently reported to cause a form of autosomal dominant limb-girdle muscular dystrophy, our findings provide a further contribution to the molecular understanding of this disease.

Adult↗

Reagents for the chemical development of latent fingerprints: scope and limitations of benzo[f]ninhydrin in comparison to ninhydrin.

Benzo[f]ninhydrin was compared to ninhydrin for fingerprint development on paper. Overall, the performance of ninhydrin on exhibits was slightly better than that of benzo[f]ninhydrin. The significant advantages of the benzo[f]ninhydrin over ninhydrin were the much stronger fluorescence it gave after treatment with zinc salts and a slightly quicker reaction under ambient conditions. This fluorescence is, however, similar to that obtained with other reagents, such as DFO or ninhydrin analogs. These advantages apparently are not sufficient to justify regular usage of benzo[f]ninhydrin, especially when one considers its low solubility and high cost.

Benzene↗

Water molecules in the binding cavity of intestinal fatty acid binding protein: dynamic characterization by water 17O and 2H magnetic relaxation dispersion.

The hydration of intestinal fatty acid binding protein (IFABP) in apo-form and complexed with palmitate, oleate, and 1-anilino-8-naphthalene sulfonate (ANS) has been studied by water 17O and 2H magnetic relaxation dispersion (MRD) measurements. These ligands bind in a large internal cavity, displacing most of the crystallographically identified cavity water molecules. Unlike most other proteins, IFABP gives rise to MRD profiles with two dispersion steps. The low-frequency dispersion yields a correlation time of 7 ns at 300 K, matching the known tumbling time of IFABP. The dispersion amplitude requires only three (apo) or four (holo) long-lived and ordered water molecules (residence time 0.01-4 microseconds at 300 K). Comparison of MRD profiles from the different complexes indicates that the displaced cavity water molecules are short-lived. The few long-lived (>10 ns) water molecules required by the MRD data are tentatively assigned to crystallographic hydration sites on the basis of accessibility, positional order, and H-bonding. The amplitude of the high-frequency dispersion corresponds to 10-20 moderately ordered water molecules, with a correlation time of ca. 1 ns that may reflect a transient opening of the cavity required for exchange with external water.

Carrier Proteins↗

Existence of the Frank-Starling mechanism in the failing human heart. Investigations on the organ, tissue, and sarcomere levels.

BACKGROUND: The Frank-Starling mechanism is one of the most important physiological principles for regulation of contractile performance. We therefore studied the question of whether this mechanism may be absent or attenuated in end-stage failing human left ventricular myocardium. METHODS AND RESULTS: Different methodological approaches were used to analyze the effects of this mechanism on the organ, tissue, and sarcomere levels: (1) In excised human whole left ventricles (2 donor hearts, 5 failing hearts), diastolic and systolic pressure-volume relationships were obtained. (2) In isolated muscle strip preparations from the left ventricular wall of donor hearts (n = 14) and failing hearts from patients with idiopathic dilated cardiomyopathy (n = 21) and ischemic cardiomyopathy (n = 11), peak developed force was measured at different muscle lengths of the preparation. (3) Skinned fiber preparations were obtained from failing right and left ventricles (n = 12). In all three studies, we clearly observed the existence of the Frank-Starling mechanism: (1) In isolated failing human left ventricles, peak developed isometric pressure is increased when the preload is elevated. (2) Peak developed tension is increased by approximately 50% to 70% (P < .01) in left ventricular preparations of failing and nonfailing ventricles when the muscles are stretched from 90% to 100% optimum length. (3) An increase in sarcomere length leads to a sensitization of contractile proteins of ventricular skinned fiber preparations from failing human hearts. At 1.9-microns sarcomere length, the EC50 value was 5.56 +/- 0.06, and at 2.3 microns it was 5.70 +/- 0.05 (P < .01; n = 7). CONCLUSIONS: The Frank-Starling mechanism is maintained in end-stage failing human hearts, whereas significant alterations of diastolic myocardial distensibility are evident in chronic heart failure.

Analysis of Variance↗

Brainstem auditory evoked potentials in migraine--evidence of increased side differences during the pain-free interval.

Brainstem auditory evoked potentials (BAEPs) were recorded in 38 unselected patients (6 m./32 f.; age 18-54 yrs.) with various forms of migraine, during the pain-free interval. The values were compared to those of 50 control persons (18 m./32 f.; age 17-75 yrs.). Peak latencies (PL I-VI), interpeak latencies (IPL I-III, III-V, I-V) and side differences of all peaks (delta I-VI) were calculated. In contrast to PL's of migraine patients, all PL's of control persons were normally distributed. In 6 migraine patients (2 with basilar migraine) PL's were pathologically delayed. Statistical analysis did not show any significant difference in regard to PL's and IPL's between migraine patients and controls. However, side differences of all peaks (except peak IV,VI) were significantly increased in migraine patients as compared to controls. Our results indicate a slight but permanent impairment of brainstem function in migraine.

Adolescent↗

Double disability of hemiplegia and hip disarticulation: rehabilitation outcome.

Double disability of hemiplegia and hip disarticulation is uncommon. To our knowledge, there are no reports of such patients and their rehabilitation outcomes. We report on a patient with hemiplegia and hip disarticulation who became independent in prosthetic ambulation and activities of daily living. Motivation, age, good neuromuscular status, and past successful prosthetic use favored the excellent rehabilitation outcome in this patient.

Adolescent↗

[Studies in experimental animal models of the effect of ultraviolet radiation (UVC) on blood and isolated cell populations].

The cellular and molecular basis of the therapeutically used effect of reinjected ultraviolet ( UVC ) irradiated blood is unknown. First approaches to that problem were made in this study by aid of model experiments. Neither the spontaneous degranulation nor the antigen-induced histamine release from rat connective tissue mast cells (in vivo) was influenced by the injection (i.v.) of ultraviolet irradiated blood or blood lymphocytes. By comparison of the effect of ultraviolet light on blood lymphocytes (number of dead cells, strength of chemoluminescence) after irradiation of the isolated cells and the unfractionated blood respectively, we could show that the strong light absorption within the blood sample prevents damage or functional alterations of the blood lymphocytes. The compound 48/80-induced histamine release from rat peritoneal mast cells can be completely inhibited by ultraviolet irradiation (0.6 mJ/cm2) without increasing the spontaneous histamine release.

Animals↗

[Characterization of the effect of retransfusion of UV-irradiated autologous blood--synoptic examination of clinical, metabolic, rheologic and hemodynamic results in patients with arterial occlusive disease].

In 6 inpatients with angiographically ascertained arterial obstructive disease the influence of the retransfusion of uv-radiated own blood on metabolic, haemorheological, clinical and haemodynamic parameters was examined. In 4 patients a pseudoradiation was performed as control. The results confirm that under the ultra-violet radiation changes develop in the sense of a normalisation of the parameters examined. Here an improved walking capacity is accompanied by an improvement of the O2- and substrate utilisation of the tissue and the flowing properties. On the basis of the results the improvement of the microcirculation under ultra-violet radiation is to be derived. The sites of action of the ultra-violet radiation are shown in the causal chain in arterial obstructive diseases and partial steps of the mode of action are described.

Arterial Occlusive Diseases↗

[Experimental studies on the rheologic behavior of blood in ultraviolet therapy].

The increased apparent blood viscosity proved in peripheral circulatory disease, the frequent failure of therapy by means of vasodilating medicaments and the successful therapy with the help of ultraviolet radiation of blood (UVB) by means of various techniques motivated investigations of the flow properties of blood with UVB. In six patients with angiologically ascertained arterial occlusive disease the flow properties of blood were investigated under standardized conditions by both viscosimetric techniques and independent of it by means of the centrifugation method. Plasma viscosity, apparent blood viscosity, parameters of aggregation and deformation of erythrocytes were determined before and after fictitious UVB on the hand one and before and after real UVB on the other hand. It was shown that within the limit of measurement accuracy there were no significant differences between fictitious and real UVB in plasma viscosities. Both the aggregation parameter of the centrifugation method and the apparent blood viscosity for low shear gradients before the 3rd UVB and all following ones differed significantly from those of the first UVB. No changes were found in the deformation parameters HCC infinity and the apparent viscosity for high shear gradients during UVB therapy. Possible mechanisms leading to the demonstrated improvements of the flow properties of blood by means of UVB are discussed.

Arterial Occlusive Diseases↗

[The treatment of arterial occlusion by means of ultraviolet radiation of the blood (author's transl)].

The advantages of ultraviolet radiation of the blood are obvious. In many cases threatened amputation could be avoided. Ultraviolet radiation of the blood entails little risk and for this reason should be given preference over surgery whenever success with the reconstructive technique is questionable. The length of hospitalization can be reduced by using the ultraviolet radiation technique, and many patients can be treated exclusively on an outpatient basis using this technique. It offers not only medical but also social and economic advantages. Owing to the fact that the ultraviolet radiation technique has proved to be effective in other fields as well, it also deserves more attention from researchers.

Ambulatory Care↗