Soil data from the floodplain of River Elbe

The goal of the project was to understand the impact of lateral hydraulic connectivity on the pollution patterns in floodplain soils. Floodplain soils were sampled during summer and autumn 2020 on 89 sites along River Elbe following the German Federal Soil Protection and Contaminated Sites Ordinance (12 July 1999) (Bundes-Bodenschutz- und Altlastenverordnung (BBodSchV)). Five subsamples of topsoil (0 – 10 cm) and subsoil (45 – 55 cm) were taken on each 4 m x 4 m plot and combined to one gross sample each. By sieving the dried samples were separated into 12 grain size fractions (2-63 mm, 1-2 mm, 0.63-1 mm, 0.2-0.63 mm, 0.125-0.2 mm, 0.063-0.125 mm, 0.063-2mm, 0.02-0.063 mm, 0.0063-0.02 mm, 0.002-0.0063 mm, 0.002-0.063 mm, <0.002 mm). Further laboratory analyses were carried out following recent DIN standards. Inorganic pollutants (As, Cd, Cr, Cu, Hg, Ni, Pb and Zn) were analyzed in the soil fraction <63 µm; organic micro-pollutants (polycyclic aromatic hydrocarbons (PAH), polychlorinated biphenyls (PCB) and organochlorine pesticides) in the fraction <2 mm. The analysis of nutrients and additional soil parameters was carried out in the fraction <2 mm and the total sample, respectively. The concentrations of the organic micro-pollutants were converted to the <63 µm fraction to be able to compare samples of different grain size distributions. The concentrations of the inorganic pollutants were converted to the <2 mm fraction for evaluating them according to the limit values defined in the German Federal Soil Protection and Contaminated Sites Ordinance (12 July 1999). Analytic values below the limit of quantification were replaced by the actual limit itself. A pollutant index for both inorganic trace pollutants and organic disruptors was calculated using multiple linear regression obtained by factor analysis without rotation. Additional environmental variables (flood duration, Euclidean distance to the river axis, river stationing) were modeled, computed or queried by GIS within the ElBiota project (https://elbiota.bafg.de)

Sorption of Lithium on Bentonite, Kaolin and Zeolite

Li sorption was studied on natural bentonite, kaolin and zeolite in batch experiments at variable Li and Na concentrations (0, 1.5, 15, 150, 750 mM LiCl and 0.01, 0.1, 1, 3, 5 M NaCl). The solid-to-solution ratio was 1:4 and pH ranged from 2 to 10. Maximum Li sorption was determined at 0.01 M NaCl and 750 mM LiCl concentration in solution. It was 3800 ± 380 ppm, 1300 ± 130 ppm and 3900 ± 390 ppm on bentonite, kaolin and zeolite, respectively, which is in the average to upper range typical for clay minerals. Under these conditions, kaolin was saturated with Li, whereas Li in bentonite and zeolite occupied only about 55%–79% and 9%–26% of the typical cation exchange capacity (CEC) of smectites and zeolites, respectively. This is explained by differences in the way Li is bound in the materials studied. Li sorption on bentonite was independent of pH due to strong pH buffering. Above pH 5, kaolin was transformed to gibbsite, which completely changed its Li sorption capabilities. Extremely low as well as extremely high pH destabilized the crystal lattice of zeolite. All in all it was shown that, under the studied conditions, Li sorption on the studied materials occurs in detectable quantities. So, clay minerals and zeolites can act as a sink for Li if Li concentrations in solution are sufficiently high

Spatio-Temporal Trends in the Incidence of Type 2 Diabetes in Germany

Tönnies T, Hoyer A, Brinks R, Kuss O, Hering R, Schulz M. Spatio-Temporal Trends in the Incidence of Type 2 Diabetes in Germany. Deutsches Ärzteblatt international . 2023;120(11):173-179.BACKGROUND: There are no data on recent trends in the incidence rate of type 2 diabetes (T2D) in Germany. The aim of this study was to determine the sex-, age-, and region-specific trends in the T2D incidence rate between 2014 and 2019.; METHODS: Based on nationwide data from statutorily insured persons in Germany, negative binomial regression models were used to analyze age- and sex-specific trends in the T2D incidence rate. Age- and sex-adjusted trends were calculated for 401 administrative districts using a Bayesian spatio-temporal regression model.; RESULTS: During the period concerned, approximately 450 000 new cases of T2D were observed each year among some 63 million persons. Taking all age groups together, the incidence rate decreased in both women and men, from 6.9 (95% confidence interval [6.7; 7.0]) and 8.4 [8.2; 8.6] respectively per 1000 persons in 2014 to 6.1 [5.9; 6.3] and 7.7 [7.5; 8.0] per 1000 persons in 2019. This corresponds to an annual reduction of 2.4% [1.5; 3.2] for women and 1.7% [0.8; 2.5] for men. The incidence rate increased in the age group 20-39 years. The age- and sex-adjusted incidence rate decreased in almost all districts, although regional differences persisted.; CONCLUSION: The T2D incidence rate should be closely monitored to see whether the decreasing trend continues. One must not forget that the prevalence can rise despite decreasing incidence. For this reason, the findings do not necessarily mean a decrease in the disease burden of T2D and the associated demand on healthcare resources

Age at type 2 diabetes diagnosis among adults in Germany in 2014, 2019 and 2020

Rathmann W, Seidel-Jacobs E, Hering R, Schulz M, Hoyer A, Tönnies T. Age at type 2 diabetes diagnosis among adults in Germany in 2014, 2019 and 2020. Acta Diabetologica. 2023

Viral-Cellular DNA Junctions as Molecular Markers for Assessing Intra-Tumor Heterogeneity in Cervical Cancer and for the Detection of Circulating Tumor DNA

The development of cervical cancer is frequently accompanied by the integration of human papillomaviruses (HPV) DNA into the host genome. Viral-cellular junction sequences, which arise in consequence, are highly tumor specific. By using these fragments as markers for tumor cell origin, we examined cervical cancer clonality in the context of intra-tumor heterogeneity. Moreover, we assessed the potential of these fragments as molecular tumor markers and analyzed their suitability for the detection of circulating tumor DNA in sera of cervical cancer patients. For intra-tumor heterogeneity analyses tumors of 8 patients with up to 5 integration sites per tumor were included. Tumor islands were micro-dissected from cryosections of several tissue blocks representing different regions of the tumor. Each micro-dissected tumor area served as template for a single junction-specific PCR. For the detection of circulating tumor-DNA (ctDNA) junction-specific PCR-assays were applied to sera of 21 patients. Samples were collected preoperatively and during the course of disease. In 7 of 8 tumors the integration site(s) were shown to be homogenously distributed throughout different tumor regions. Only one tumor displayed intra-tumor heterogeneity. In 5 of 21 analyzed preoperative serum samples we specifically detected junction fragments. Junction-based detection of ctDNA was significantly associated with reduced recurrence-free survival. Our study provides evidence that HPV-DNA integration is as an early step in cervical carcinogenesis. Clonality with respect to HPV integration opens new perspectives for the application of viral-cellular junction sites as molecular biomarkers in a clinical setting such as disease monitoring

Prenatal diagnosis of HNF1B-associated renal cysts: Is there a need to differentiate intragenic variants from 17q12 microdeletion syndrome?

OBJECTIVE 17q12 microdeletions containing HNF1B and intragenic variants within this gene are associated with variable developmental, endocrine, and renal anomalies, often already noted prenatally as hyperechogenic/cystic kidneys. Here, we describe prenatal and postnatal phenotypes of seven individuals with HNF1B aberrations and compare their clinical and genetic data to those of previous studies. METHODS Prenatal sequencing and postnatal chromosomal microarray analysis were performed in seven individuals with renal and/or neurodevelopmental phenotypes. We evaluated HNF1B-related clinical features from 82 studies and reclassified 192 reported intragenic HNF1B variants. RESULTS In a prenatal case, we identified a novel in-frame deletion p.(Gly239del) within the HNF1B DNA-binding domain, a mutational hot spot as demonstrated by spatial clustering analysis and high computational prediction scores. The six postnatally diagnosed individuals harbored 17q12 microdeletions. Literature screening revealed variable reporting of HNF1B-associated clinical traits. Overall, both mutation groups showed a high phenotypic heterogeneity. The reclassification of all previously reported intragenic HNF1B variants provided an up-to-date overview of the mutational spectrum. CONCLUSIONS We highlight the value of prenatal HNF1B screening in renal developmental diseases. Standardized clinical reporting and systematic classification of HNF1B variants are necessary for a more accurate risk quantification of prenatal and postnatal clinical features, improving genetic counseling and prenatal decision making

Prenatal diagnosis of HNF1B‐associated renal cysts: Is there a need to differentiate intragenic variants from 17q12 microdeletion syndrome?

Objective 17q12 microdeletions containing HNF1B and intragenic variants within this gene are associated with variable developmental, endocrine, and renal anomalies, often already noted prenatally as hyperechogenic/cystic kidneys. Here, we describe prenatal and postnatal phenotypes of seven individuals with HNF1B aberrations and compare their clinical and genetic data to those of previous studies. Methods Prenatal sequencing and postnatal chromosomal microarray analysis were performed in seven individuals with renal and/or neurodevelopmental phenotypes. We evaluated HNF1B‐related clinical features from 82 studies and reclassified 192 reported intragenic HNF1B variants. Results In a prenatal case, we identified a novel in‐frame deletion p.(Gly239del) within the HNF1B DNA‐binding domain, a mutational hot spot as demonstrated by spatial clustering analysis and high computational prediction scores. The six postnatally diagnosed individuals harbored 17q12 microdeletions. Literature screening revealed variable reporting of HNF1B‐associated clinical traits. Overall, both mutation groups showed a high phenotypic heterogeneity. The reclassification of all previously reported intragenic HNF1B variants provided an up‐to‐date overview of the mutational spectrum. Conclusions We highlight the value of prenatal HNF1B screening in renal developmental diseases. Standardized clinical reporting and systematic classification of HNF1B variants are necessary for a more accurate risk quantification of prenatal and postnatal clinical features, improving genetic counseling and prenatal decision making

Differential regulation of the central neural cardiorespiratory system by metabotropic neurotransmitters

Central neurons in the brainstem and spinal cord are essential for the maintenance of sympathetic tone, the integration of responses to the activation of reflexes and central commands, and the generation of an appropriate respiratory motor output. Here, we will discuss work that aims to understand the role that metabotropic neurotransmitter systems play in central cardiorespiratory mechanisms. It is well known that blockade of glutamatergic, gamma-aminobutyric acidergic and glycinergic pathways causes major or even complete disruption of cardiorespiratory systems, whereas antagonism of other neurotransmitter systems barely affects circulation or ventilation. Despite the lack of an ‘all-or-none’ role for metabotropic neurotransmitters, they are nevertheless significant in modulating the effects of central command and peripheral adaptive reflexes. Finally, we propose that a likely explanation for the plethora of neurotransmitters and their receptors on cardiorespiratory neurons is to enable differential regulation of outputs in response to reflex inputs, while at the same time maintaining a tonic level of sympathetic activity that supports those organs that significantly autoregulate their blood supply, such as the heart, brain, retina and kidney. Such an explanation of the data now available enables the generation of many new testable hypotheses