65 research outputs found

    SPECT- and PET-Based Approaches for Noninvasive Diagnosis of Acute Renal Allograft Rejection

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    Molecular imaging techniques such as single photon emission computed tomography (SPECT) or positron emission tomography are promising tools for noninvasive diagnosis of acute allograft rejection (AR). Given the importance of renal transplantation and the limitation of available donors, detailed analysis of factors that affect transplant survival is important. Episodes of acute allograft rejection are a negative prognostic factor for long-term graft survival. Invasive core needle biopsies are still the “goldstandard” in rejection diagnostics. Nevertheless, they are cumbersome to the patient and carry the risk of significant graft injury. Notably, they cannot be performed on patients taking anticoagulant drugs. Therefore, a noninvasive tool assessing the whole organ for specific and fast detection of acute allograft rejection is desirable. We herein review SPECT- and PET-based approaches for noninvasive molecular imaging-based diagnostics of acute transplant rejection

    Hydroxyfasudil-Mediated Inhibition of ROCK1 and ROCK2 Improves Kidney Function in Rat Renal Acute Ischemia-Reperfusion Injury

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    Renal ischemia-reperfusion (IR) injury (IRI) is a common and important trigger of acute renal injury (AKI). It is inevitably linked to transplantation. Involving both, the innate and the adaptive immune response, IRI causes subsequent sterile inflammation. Attraction to and transmigration of immune cells into the interstitium is associated with increased vascular permeability and loss of endothelial and tubular epithelial cell integrity. Considering the important role of cytoskeletal reorganization, mainly regulated by RhoGTPases, in the development of IRI we hypothesized that a preventive, selective inhibition of the Rho effector Rho-associated coiled coil containing protein kinase (ROCK) by hydroxyfasudil may improve renal IRI outcome. Using an IRI-based animal model of AKI in male Sprague Dawley rats, animals treated with hydroxyfasudil showed reduced proteinuria and polyuria as well as increased urine osmolarity when compared with sham-treated animals. In addition, renal perfusion (as assessed by 18F-fluoride Positron Emission Tomography (PET)), creatinine- and urea-clearances improved significantly. Moreover, endothelial leakage and renal inflammation was significantly reduced as determined by histology, 18F-fluordesoxyglucose-microautoradiography, Evans Blue, and real-time PCR analysis. We conclude from our study that ROCK-inhibition by hydroxyfasudil significantly improves kidney function in a rat model of acute renal IRI and is therefore a potential new therapeutic option in humans

    Non-Invasive Imaging of Acute Renal Allograft Rejection in Rats Using Small Animal 18F-FDG-PET

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    BACKGROUND: At present, renal grafts are the most common solid organ transplants world-wide. Given the importance of renal transplantation and the limitation of available donor kidneys, detailed analysis of factors that affect transplant survival are important. Despite the introduction of new and effective immunosuppressive drugs, acute cellular graft rejection (AR) is still a major risk for graft survival. Nowadays, AR can only be definitively by renal biopsy. However, biopsies carry a risk of renal transplant injury and loss. Most important, they can not be performed in patients taking anticoagulant drugs. METHODOLOGY/PRINCIPAL FINDINGS: We present a non-invasive, entirely image-based method to assess AR in an allogeneic rat renal transplantation model using small animal positron emission tomography (PET) and (18)F-fluorodeoxyglucose (FDG). 3 h after i.v. injection of 30 MBq FDG into adult uni-nephrectomized, allogeneically transplanted rats, tissue radioactivity of renal parenchyma was assessed in vivo by a small animal PET-scanner (post operative day (POD) 1,2,4, and 7) and post mortem dissection. The mean radioactivity (cps/mm(3) tissue) as well as the percent injected dose (%ID) was compared between graft and native reference kidney. Results were confirmed by histological and autoradiographic analysis. Healthy rats, rats with acute CSA nephrotoxicity, with acute tubular necrosis, and syngeneically transplanted rats served as controls. FDG-uptake was significantly elevated only in allogeneic grafts from POD 1 on when compared to the native kidney (%ID graft POD 1: 0.54+/-0.06; POD 2: 0.58+/-0.12; POD 4: 0.81+/-0.06; POD 7: 0.77+/-0.1; CTR: 0.22+/-0.01, n = 3-28). Renal FDG-uptake in vivo correlated with the results obtained by micro-autoradiography and the degree of inflammatory infiltrates observed in histology. CONCLUSIONS/SIGNIFICANCE: We propose that graft FDG-PET imaging is a new option to non-invasively, specifically, early detect, and follow-up acute renal rejection. This method is potentially useful to improve post-transplant rejection monitoring

    Resilience trinity: safeguarding ecosystem functioning and services across three different time horizons and decision contexts

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    Ensuring ecosystem resilience is an intuitive approach to safeguard the functioning of ecosystems and hence the future provisioning of ecosystem services (ES). However, resilience is a multi-faceted concept that is difficult to operationalize. Focusing on resilience mechanisms, such as diversity, network architectures or adaptive capacity, has recently been suggested as means to operationalize resilience. Still, the focus on mechanisms is not specific enough. We suggest a conceptual framework, resilience trinity, to facilitate management based on resilience mechanisms in three distinctive decision contexts and time-horizons: i) reactive, when there is an imminent threat to ES resilience and a high pressure to act, ii) adjustive, when the threat is known in general but there is still time to adapt management, and iii) provident, when time horizons are very long and the nature of the threats is uncertain, leading to a low willingness to act. Resilience has different interpretations and implications at these different time horizons, which also prevail in different disciplines. Social ecology, ecology, and engineering are often implicitly focussing on provident, adjustive, or reactive resilience, respectively, but these different notions and of resilience and their corresponding social, ecological, and economic trade-offs need to be reconciled. Otherwise, we keep risking unintended consequences of reactive actions, or shying away from provident action because of uncertainties that cannot be reduced. The suggested trinity of time horizons and their decision contexts could help ensuring that longer-term management actions are not missed while urgent threats to ES are given priority

    Die Bibliothek als Erfolgsfaktor:

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    Im Jahr 2012 konnte die UniversitĂ€tsbibliothek ihr 50. JubilĂ€um feiern. Aus diesem Anlass hat die Bibliothek eine Festschrift herausgegeben. Es findet keine RĂŒckschau auf die Vergangenheit statt. Hingegen wird in drei Themenbereichen "Die UniversitĂ€tsbibliothek - professionelle Partnerin fĂŒr Lehre , Studium und Forschung", "Innovationen fĂŒr die campusweiten Dienstleistungen der UniversitĂ€tsbibliothek" und "Ein scharfes Profil fĂŒr die Ruhr-UniversitĂ€t Bochum - der Beitrag der UniversitĂ€tsbibliothek" auf die Rolle und Funktion der UniversitĂ€tsbibliothek Bochum bis hin zu aktuellen VerĂ€nderungen bei ArbeitsablĂ€ufen in der UniversitĂ€tsbibliothek im Jahr 2012 eingegangen

    Herausforderung Inklusion: Schule - Unterricht - Profession

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    Das Übereinkommen der Vereinten Nationen ĂŒber die Rechte von Menschen mit Behinderungen sowie das dazu gehörende Fakultativprotokoll zum Übereinkommen der Vereinten Nationen ĂŒber die Rechte von Menschen mit Behinderungen trat am 26.03.2009 ohne EinschrĂ€nkung als innerstaatliches deutsches Recht in Kraft. Sich mit diesen vielschichtigen Themenkomplexen auseinanderzusetzen war das Ziel der Tagung „Herausforderung Inklusion: Schule – Unterricht – Profession“, die am 27. und 28. MĂ€rz 2014 an der Otto-Friedrich-UniversitĂ€t in Bamberg stattfand und sowohl betroffene Eltern, als auch Praktikerinnen und Praktiker und Wissenschaftlerinnen und Wissenschaftler zur Diskussion einlud. Der vorliegende Band geht auf diese Tagung zurĂŒck und möchte die vielfĂ€ltigen Facetten der theoretischen, konzeptuellen und didaktisch-methodischen ZugĂ€nge im Kontext der derzeit gefĂŒhrten Debatten und Argumentationsmuster um ein inklusives Bildungswesen abbilden und neue Perspektiven fĂŒr Forschung, Disziplin und Profession anregen. Demzufolge liegt der Fokus der BeitrĂ€ge zum einen auf der Auseinandersetzung mit theoretischen ZugĂ€ngen zur Inklusion sowie der Diskussion von nationalen und internationalen empirischen Erkenntnissen aus Studien der Inklusionsforschung, zum anderen auf der PrĂ€sentation von inklusiven Konzepten einer Schulentwicklung, (fach)didaktisch-methodischen Überlegungen und Modellprojekten aus der Praxis

    SO WOLLEN WIR LEBEN! ErzÀhlte Szenarien und ein Leitbild : Dokumentation der Zukunftsworkshops

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    Wie kann eine regionale Anpassung an die Auswirkungen des Klimawandels zukunftsfĂ€hig gestaltet werden? Diese Frage steht im Zentrum des Forschungsprogramms „Klimawandel in Regionen zukunftsfĂ€hig gestalten“ (KLIMZUG) des Bundesministeriums fĂŒr Bildung und Forschung. Innerhalbes Programms wird das Projekt dynaklim (Dynamische Anpassung an den Klimawandel in der Emscher-Lippe-Region) gefördert. Im Zeitraum von fĂŒnf Jahren (2009-2014) soll ein Netzwerk aufgebaut und sollen gemeinsam mit regionalen Akteuren Elemente einer zukunftsfĂ€higen Anpassung entwickelt werden. Zwei Zukunftsworkshops sind im Jahr 2010 der Ort gewesen, an dem von Extremereignissen (Hochwasser) betroffene BĂŒrgerinnen und BĂŒrger, Vertreterinnen und Vertreter aus der Zivilgesellschaft und kommunaler Verwaltungen miteinander ĂŒber den Klimawandel und dessen Gestaltung nachgedacht haben. Sie haben Geschichten ĂŒber mögliche ZukĂŒnfte (der Szenarienworkshop) erzĂ€hlt und ein Leitbild als normativen Orientierungsrahmen (der Leitbildworkshop) entworfen
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