Exploiting plant cell culture for natural product formation

The initiation of callus cultures and in vitro cultivation of plant cells, even in large bioreactors, has become a routine task. Despite the fact, that permanent cell and organ cultures can produce a whole range of small natural compounds (SNAPs) used in medicine, only a few could be produced at commercial scale. However, plant cell cultures provide very useful systems to study the biosynthetic pathways leading to SNAPs at the enzyme and gene level. They turned out to be ‘a pot of gold’ for those chasing the enzymes and genes involved in natural product formation. The use of genetically modified yeast and bacteria for the production of SNAPs is an emerging technique that will take research into the coming decades. This review contemplates and revisits developments in the field of using plant cell and tissue culture as tools to elucidate SNAP formation and means to produce bioactive plant natural products over the past 40 years alongside my own work

Development and validation of a quick assay for the total glucosinolate content in horseradish (Armoracia rusticana) using glucose strips and a blood glucose meter.

A quick assay to determine the total glucosinolate content of fresh horseradish roots in less than 10 minutes is described. The method involves the following steps: 1. Maceration of horseradish root with 4% phosphoric acid to avoid enzymatic degradation of endogenous glucosinolates, 2. neutralization of the extract and determination of free glucose using a commercial blood glucose meter, 3. enzymatic hydrolysis of the glucosinolates by exogenous myrosinase, 4. detection of released glucose, again using a blood glucose meter, and 5. calculation of the glucosinolate content on the basis of the difference between the two glucose values determined. The newly developed assay (‘ITC quick test’) was compared with a standard high-performance liquid chromatographic method for glucosinolate analysis

Hartmann's Procedure or Primary Anastomosis?

Perforation following acute diverticulitis is a typical scenario during the first attack. Different classification systems exist to classify acute perforated diverticulitis. While the Hinchey classification, which is based on intraoperative findings, is internationally best known, the German Hansen-Stock classification which is based on CT scan is widely accepted within Germany. When surgery is necessary, sigmoid colectomy is the standard of care. An important question is whether patients should receive primary anastomosis or a Hartmann procedure subsequently. A priori there are several arguments for both procedures. Hartmann's operation is extremely safe and, therefore, represents the best option in severely ill patients and/or extensive peritonitis. However, this operation carries a high risk of stoma nonreversal, or, when reversal is attempted, a high risk in terms of morbidity and mortality. In contrast, primary anastomosis with or without loop ileostoma is a slightly more lengthy procedure as normally the splenic flexure needs to be mobilized and construction of the anastomosis may consume more time than the Hartmann operation. The big advantage of primary anastomosis, however, is that there is no need for the potentially risky stoma reversal operation. The most interesting question is when to do the Hartmann operation or primary anastomosis. Several comparative case series were published showing that primary anastomosis is feasible in many patients. However, no randomized trial is available to date. It is of note, that all non-randomized case series are biased, i.e. that patients in better condition received anastomosis and those with severe peritonitis underwent Hartmann's operation. This bias is undoubtedly likely to be present, even if not obvious, in the published papers! Our own data suggest that this decision should not be based on the extent of peritonitis but rather on patient condition and comorbidity. In conclusion, sigmoid colectomy and primary anastomosis is feasible and safe in many patients who need surgery for perforated diverticulitis, particularly when combined with loop ileostomy. Based on our own published analysis, however, we recommend performing Hartmann's operation in severely ill patients who carry substantial comorbidity, while the extent of peritonitis appears not to be of predominant importance. Copyright (C) 2012 S. Karger AG, Base

Novel surgical technique for complete traumatic rupture of the pancreas: A case report

<p>Abstract</p> <p>Introduction</p> <p>Complete pancreatic rupture is a rare injury. The typical mechanism by which this occurs is overstretching of the pancreas across the vertebral column during blunt abdominal trauma. The management of this injury depends on the location and extent of the injury.</p> <p>Case presentation</p> <p>A 45-year-old Caucasian woman presented with blunt abdominal trauma after she fell onto the end of a handlebar during a bicycle accident. She arrived in the emergency room with stable vital signs and an isolated bruise just above the umbilicus. A computed tomography scan revealed a complete rupture of the pancreas, just ventral to her superior mesenteric vein, and an accompanying hematoma but no additional injuries. An emergency laparotomy was performed; the head of the pancreas was oversewn with interrupted sutures and this was followed by a two-layer pancreaticojejunostomy with the tail of the pancreas. The recovery after surgery was completely uneventful.</p> <p>Conclusions</p> <p>Isolated complete pancreatic rupture is a rare injury that can be managed with complete organ preservation. The combination of suturing the pancreatic head and two-layer pancreaticojejunostomy with the pancreatic tail is a feasible technique to manage this condition.</p

Europa und die Welt

Die Diskussion über den Euro-Rettungsplan, die Finanzhilfen für Griechenland, Portugal und Irland, die Einführung schärferer Grenzkontrollen durch Dänemark haben einen neuen Streit über die Europäische Union entfacht. Driften die europäischen Staaten nach 60 Jahren der immer intensiveren und weiträumigeren Integration wieder auseinander? Spiegeln die Wahlbeteiligungen bei den Europawahlen eine Systemkrise? Geht uns der Sinn für die europäischen Gemeinsamkeiten verloren? Die Europäischen Erinnerungsorte leisten einen Beitrag zur Standortbestimmung. Autorinnen und Autoren aus mehr als 15 Ländern folgen der Annahme, dass es eine Vielzahl von Erinnerungsorten gibt, die für Europäer aller Länder eine Bedeutung haben, die ihre Identität mit formen und die wir mitdenken, wenn wir Europa sagen. Erstmals werden nicht die Erinnerungsorte einer einzelnen Nation, Region oder Epoche beschrieben, sondern Konzepte, Plätze, Ereignisse, Kunstwerke, Konsumgegenstände, die gesamteuropäisch von Bedeutung sind. Der dritte Band der „Europäischen Erinnerungsorte zeigt, wie die Erfahrungen der Europäer in der Welt auf Europa zurückwirkten und wie europäische Einflüsse in gebrochener Form nach Europa „re-importiert wurden &#8211 etwa der in die neue Welt getragene christliche Glaube in Form des Gospel-Gottesdienst

Das Haus Europa

Die Diskussion über den Euro-Rettungsplan, die Finanzhilfen für Griechenland, Portugal und Irland, die Einführung schärferer Grenzkontrollen durch Dänemark haben einen neuen Streit über die Europäische Union entfacht. Driften die europäischen Staaten nach 60 Jahren der immer intensiveren und weiträumigeren Integration wieder auseinander? Spiegeln die Wahlbeteiligungen bei den Europawahlen eine Systemkrise? Geht uns der Sinn für die europäischen Gemeinsamkeiten verloren? Die Europäischen Erinnerungsorte leisten einen Beitrag zur Standortbestimmung. Autorinnen und Autoren aus mehr als 15 Ländern folgen der Annahme, dass es eine Vielzahl von Erinnerungsorten gibt, die für Europäer aller Länder eine Bedeutung haben, die ihre Identität mit formen und die wir mitdenken, wenn wir Europa sagen. Erstmals werden nicht die Erinnerungsorte einer einzelnen Nation, Region oder Epoche beschrieben, sondern Konzepte, Plätze, Ereignisse, Kunstwerke, Konsumgegenstände, die gesamteuropäisch von Bedeutung sind. Der zweite Band illustriert diese Faktoren anhand von Fallbeispielen wie Der Stier, Europa-Hymne, Aachener Karlspreis, Mona Lisa, Dantes „Commedia divina, Goethes „Faust, Beethovens „IX., Rom, Anne Frank, Frauenemanzipation, Die Alpen, Auschwitz, Die U-Bahn, Das Kaffeehaus, Libertè &#8211 Égalitè &#8211 Fraternitè, Die Völkerschlacht bei Leipzig, die KSZE, Pizza und Pizzeria

Fenoterol depot and fenoterol in premature uterine contractions — a multicentric double-blind comparative study

Peer Reviewe

The optimal cut-off values for tumor size, number of lesions, and CEA levels in patients with surgically treated colorectal cancer liver metastases: An international, multi-institutional study

Background and Objectives Despite the long-standing consensus on the importance of tumor size, tumor number and carcinoembryonic antigen (CEA) levels as predictors of long-term outcomes among patients with colorectal liver metastases (CRLM), optimal prognostic cut-offs for these variables have not been established. Methods Patients who underwent curative-intent resection of CRLM and had available data on at least one of the three variables of interest above were selected from a multi-institutional dataset of patients with known KRAS mutational status. The resulting cohort was randomly split into training and testing datasets and recursive partitioning analysis was employed to determine optimal cut-offs. The concordance probability estimates (CPEs) for these optimal cut offs were calculated and compared to CPEs for the most widely used cut-offs in the surgical literature. Results A total of 1643 patients who met eligibility criteria were identified. Following recursive partitioning analysis in the training dataset, the following cut-offs were identified: 2.95 cm for tumor size, 1.5 for tumor number and 6.15 ng/ml for CEA levels. In the entire dataset, the calculated CPEs for the new tumor size (0.52), tumor number (0.56) and CEA (0.53) cut offs exceeded CPEs for other commonly employed cut-offs. Conclusion The current study was able to identify optimal cut-offs for the three most commonly employed prognostic factors in CRLM. While the per variable gains in discriminatory power are modest, these novel cut-offs may help produce appreciable increases in prognostic performance when combined in the context of future risk scores.publishedVersio

The optimal cut‐off values for tumor size, number of lesions, and CEA levels in patients with surgically treated colorectal cancer liver metastases: An international, multi‐institutional study

Background and Objectives: Despite the long-standing consensus on the importance of tumor size, tumor number and carcinoembryonic antigen (CEA) levels as predictors of long-term outcomes among patients with colorectal liver metastases (CRLM), optimal prognostic cut-offs for these variables have not been established. Methods: Patients who underwent curative-intent resection of CRLM and had available data on at least one of the three variables of interest above were selected from a multi-institutional dataset of patients with known KRAS mutational status. The resulting cohort was randomly split into training and testing datasets and recursive partitioning analysis was employed to determine optimal cut-offs. The concordance probability estimates (CPEs) for these optimal cut offs were calculated and compared to CPEs for the most widely used cut-offs in the surgical literature. Results: A total of 1643 patients who met eligibility criteria were identified. Following recursive partitioning analysis in the training dataset, the following cut-offs were identified: 2.95 cm for tumor size, 1.5 for tumor number and 6.15 ng/ml for CEA levels. In the entire dataset, the calculated CPEs for the new tumor size (0.52), tumor number (0.56) and CEA (0.53) cut offs exceeded CPEs for other commonly employed cut-offs. Conclusion: The current study was able to identify optimal cut-offs for the three most commonly employed prognostic factors in CRLM. While the per variable gains in discriminatory power are modest, these novel cut-offs may help produce appreciable increases in prognostic performance when combined in the context of future risk scores

Reduced NAA-Levels in the NAWM of Patients with MS Is a Feature of Progression. A Study with Quantitative Magnetic Resonance Spectroscopy at 3 Tesla

Reduced N-acetyl-aspartate (NAA) levels in magnetic resonance spectroscopy (MRS) may visualize axonal damage even in the normal appearing white matter (NAWM). Demyelination and axonal degeneration are a hallmark in multiple sclerosis (MS).To define the extent of axonal degeneration in the NAWM in the remote from focal lesions in patients with relapsing-remitting (RRMS) and secondary progressive MS (SPMS).H-MR-chemical shift imaging (TR = 1500ms, TE = 135ms, nominal resolution 1ccm) operating at 3Tesla to assess the metabolic pattern in the fronto–parietal NAWM. Ratios of NAA to creatine (Cr) and choline (Cho) and absolute concentrations of the metabolites in the NAWM were measured in each voxel matching exclusively white matter on the anatomical T2 weighted MR images.No significant difference of absolute concentrations for NAA, Cr and Cho or metabolite ratios were found between RRMS and controls. In SPMS, the NAA/Cr ratio and absolute concentrations for NAA and Cr were significantly reduced compared to RRMS and to controls.In our study SPMS patients, but not RRMS patients were characterized by low NAA levels. Reduced NAA-levels in the NAWM of patients with MS is a feature of progression