Der Körper im Blick des Anderen: Probleme der Darstellung von Geschlechtszugehörigkeit von Transsexuellen

"Transsexuelle führen anschaulich vor Augen, welche interaktiven Leistungen die Darstellung und Zuschreibung von Geschlechtszugehörigkeit verlangt; darin zeigt sich die komplexe Verwobenheit von Identität und Anerkennung. In der Psychotherapie und Psychiatrie werden die Probleme von Transsexuellen leicht als ausschließlich psychische Probleme aufgefasst. Bleibt deren interaktive Dimension jedoch außer acht oder wird als vermeintlich oberflächliche Perspektive diskreditiert, besteht die Gefahr, dass die weitreichenden Folgen unterschätzt werden, die gerade mit der 'Oberflächlichkeit' der Probleme von Transsexuellen, mit der Sichtbarkeit von Geschlechtszugehörigkeit und deren Inszenierungen, mit Blicken und Gegenblicken im Zusammenspiel von Darsteller von Körperlichkeit und deren Betrachter verbunden sind. Anhand von psychotherapeutischen Dialogen mit Patienten, die transsexuell sind, aber primär nicht wegen ihrer Transsexualität nach psychotherapeutischer Unterstützung nachgefragt haben, werden einige dieser heterogenen Probleme dargestellt." (Autorenreferat)"Transsexuals make visible the interactive achievments of enacting and attributing sex differences, thereby demonstrating the entanglement of identity and recognition. In psychotherapy and psychiatry the problems of transsexuals are easily understood as psychic problems only. However, if the interactive dimension of transsexuality is disregarded, the far reaching consequences are easily underestimated that stem from the visibility of sex and its encounter and of the interplay of making visible physical appearance and its recognizing and confirmation by being looked at. Some of these heterogeneous problems are discussed here in the context of psychotherapeutic dialogues with patients, that are transsexuals." (author's abstract

Derivation and characterization of sleeping beauty transposon-mediated porcine induced pluripotent stem cells

The domestic pig is an important large animal model for preclinical testing of novel cell therapies. Recently, we produced pluripotency reporter pigs in which the Oct4 promoter drives expression of the enhanced green fluorescent protein (EGFP). Here, we reprogrammed Oct4-EGFP fibroblasts employing the non-viral Sleeping Beauty transposon system to deliver the reprogramming factors Oct4, Sox2, Klf4 and cMyc. Successful reprogramming to a pluripotent state was indicated by changes in cell morphology and reactivation of the Oct4-EGFP reporter. The transposon-reprogrammed putative iPS cells showed long term proliferation in vitro over >40 passages, expressed transcription factors typical of embryonic stem cells, including OCT4, NANOG, SOX2, REX1, ESRRB, DPPA5 and UTF1 and surface markers of pluripotency, including SSEA-1 and TRA-1-60. In vitro differentiation resulted in derivatives of the three germ layers. Upon injection of putative iPS cells under the skin of immunodeficient mice, we observed teratomas in 3 of 6 cases. These results form the basis for in-depth studies towards the derivation of porcine iPS cells, which hold great promise for preclinical testing of novel cell therapies in the pig model

HIV pre-exposure prophylaxis was associated with no impact on sexually transmitted infection prevalence in a high-prevalence population of predominantly men who have sex with men, Germany, 2018 to 2019

Introduction: Despite increased use of pre-exposure prophylaxis (PrEP) in Germany, HIV infection rates are not declining and little is known about how this prevention method affects the prevalence of sexually transmitted infections (STI) among men who have sex with men (MSM). Aim: We studied, in a large multicentre cohort, STI point prevalence, co-infection rates, anatomical location and influence of PrEP. Methods: The BRAHMS study was a prospective cohort study conducted at 10 sites in seven major German cities that enrolled MSM reporting increased sexual risk behaviour. At screening visits, MSM were tested for Mycoplasma genitalium (MG), Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT) and Treponema pallidum (TP), and given a behavioural questionnaire. With binomial regression, we estimated prevalence ratios (PR) and 95% confidence intervals (CI) for the association of PrEP and STI. Results: We screened 1,043 MSM in 2018 and 2019, with 53.0% currently using PrEP. At screening, 370 participants (35.5%) had an STI. The most common pathogen was MG in 198 (19.0%) participants, followed by CT (n = 133; 12.8%), NG (n = 105; 10.1%) and TP (n = 37; 3.5%). Among the 370 participants with at least one STI, 14.6% (n = 54) reported STI-related symptoms. Infection prevalence was highest at anorectal site (13.4% MG, 6.5% NG, 10.2% CT). PrEP use was not statistically significant in adjusted models for STI (PR: 1.10; 95% CI: 0.91–1.32), NG/CT, only NG or only CT. Conclusions: Prevalence of asymptomatic STI was high, and PrEP use did not influence STI prevalence in MSM eligible for PrEP according to national guidelines.Peer Reviewe

HLA Class I Binding of HBZ Determines Outcome in HTLV-1 Infection

CD8(+) T cells can exert both protective and harmful effects on the virus-infected host. However, there is no systematic method to identify the attributes of a protective CD8(+) T cell response. Here, we combine theory and experiment to identify and quantify the contribution of all HLA class I alleles to host protection against infection with a given pathogen. In 432 HTLV-1-infected individuals we show that individuals with HLA class I alleles that strongly bind the HTLV-1 protein HBZ had a lower proviral load and were more likely to be asymptomatic. We also show that in general, across all HTLV-1 proteins, CD8(+) T cell effectiveness is strongly determined by protein specificity and produce a ranked list of the proteins targeted by the most effective CD8(+) T cell response through to the least effective CD8(+) T cell response. We conclude that CD8(+) T cells play an important role in the control of HTLV-1 and that CD8(+) cells specific to HBZ, not the immunodominant protein Tax, are the most effective. We suggest that HBZ plays a central role in HTLV-1 persistence. This approach is applicable to all pathogens, even where data are sparse, to identify simultaneously the HLA Class I alleles and the epitopes responsible for a protective CD8(+) T cell response