[Amyloid positron-emission-tomography with [18 F]-florbetaben in the diagnostic workup of dementia patients]. / Amyloid-Positronenemissionstomographie mit [18 F]-Florbetaben in der Demenzdiagnostik.

BACKGROUND: To this day the definite diagnosis of Alzheimer's disease still relies on post-mortem histopathological detection of neurofibrillary tangles and beta-amyloid deposits. Amyloid positron emission tomography (PET) is a new diagnostic tool that enables the in vivo quantification of pathological beta-amyloid deposits. The aim of the current study was to evaluate to what extent 18F-florbetaben-PET (FBB-PET) influences the diagnosis of patients with dementia. MATERIAL AND METHODS: Imaging with FBB-PET was performed on 33 patients from our outpatient department for cognitive neurology. Beforehand all patients underwent a comprehensive clinical, neuropsychiatric and laboratory examination as well as imaging by means of magnetic resonance imaging (MRI) and fluorodeoxyglucose-PET. The working diagnoses before and after FBB-PET imaging were compared. RESULTS: 17 out of 33 patients were scored as FBB-PET positive. In four cases the initial diagnosis had to be changed to Alzheimer's disease (three cases) and cerebral amyloid angiopathy (one case) due to the positive FBB-PET scan. 16 patients showed a negative FBB-PET scan. In three patients the initial diagnosis of Alzheimer's disease could be ruled out due to the negative FBB-PET scan. Overall, in 7 out of 33 examined patients the initial diagnosis had to be changed because of the findings of the FBB-PET scan. In 24 patients the initial diagnosis was confirmed by the results of the FBB-PET scan. CONCLUSION: Amyloid-PET is currently no standard procedure in the diagnosis of dementia; however, it can be a helpful additional diagnostic tool when used according to the "Appropriate Use Criteria" and the S3 guidelines on dementia in cases of unclear clinical presentation, atypically early age of onset as well as in patients with persistent or progressive unexplained mild cognitive impairment. By facilitating early diagnosis amyloid-PET imaging allows patient selection for therapeutic drug trials.

Silencing of ETV6/RUNX1 abrogates PI3K/AKT/mTOR signaling and impairs reconstitution of leukemia in xenografts.

The ETV6/RUNX1 (E/R) gene fusion is generated by the t(12;21) and found in approximately 25% of childhood B-cell precursor acute lymphoblastic leukemia. In contrast to the overwhelming evidence that E/R is critical for the initiation of leukemia, its relevance for the maintenance of overt disease is less clear. To investigate this issue, we suppressed the endogenous E/R fusion protein with lentivirally transduced short hairpin RNA in the leukemia cell lines REH and AT-2, and found a distinct reduction of proliferation and cell survival. In line with the observed concurrent inactivation of the phosphoinositide 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) pathway, pharmacological inhibition diminished the phosphorylation of AKT and ribosomal protein S6, and significantly increased the apoptosis rate in E/R-positive leukemias. Moreover, PI3K/mTOR inhibitors sensitized glucocorticoid-resistant REH cells to prednisolone, an observation of potential relevance for improving treatment of drug-resistant relapses. Of note, knockdown of the E/R fusion gene also severely impaired the repopulation capacity of REH cells in non-obese deficient/severe combined immunodeficient mice. Collectively, these data demonstrate that the E/R fusion protein activates the PI3K/AKT/mTOR pathway and is indispensible for disease maintenance. Importantly, these results provide a first rationale and justification for targeting the fusion gene and the PI3K/AKT/mTOR pathway therapeutically.

ETV6/RUNX1 abrogates mitotic checkpoint function and targets its key player MAD2L1.

Approximately 25% of childhood B-cell precursor acute lymphoblastic leukemia have an ETV6/RUNX1 (E/R) gene fusion that results from a t(12;21). This genetic subgroup of leukemia is associated with near-triploidy, near-tetraploidy, and trisomy 21 as rather specific types of secondary changes. Here, we show that, unlike various controls, E/R-expressing Ba/F3 clones acquire a tetraploid karyotype on prolonged culture, corroborating the assumption that E/R may attenuate the mitotic checkpoint (MC). Consistent with this notion, E/R-expressing diploid murine and human cell lines have decreased proportions of cells with 4N DNA content and a lower mitotic index when treated with spindle toxins. Moreover, both RUNX1 and E/R regulate mitotic arrest-deficient 2 L1 (MAD2L1), an essential MC component, by binding to promoter-inherent RUNX1 sites, which results in down-regulation of MAD2L1 mRNA and protein in E/R-expressing cells. Forced expression of E/R also abolishes RUNX1-induced reporter activation, whereas E/R with a mutant DNA-binding site leads to only minor effects. Our data link for the first time E/R, MC, and MAD2L1 and provide new insights into the function of the E/R fusion gene product. Although tetraploidy is an almost exclusive feature of E/R-positive leukemias, its rarity within this particular subgroup implies that further yet unknown factors are required for its manifestation.

[Type I neurofibromatosis. A model for the study of molecular principles of cognition]. / Neurofibromatose Typ I. Ein Modell für die Untersuchung molekularer Grundlagen von Kognition.

Cognitive impairment in neurofibromatosis type I (NF1) has only recently attracted interest. In addition to previous studies in children, our own investigation of 20 patients confirms the slightly lowered psychometric test scores also for adults with NF1. Molecular manipulation of the neurofibromin gene leads to learning disorders in the mouse model ("cognitive neurogenetics"). It is not just faulty brain development that underlies these findings: neurofibromin plays a role in signal transduction cascades that are active during learning and memory throughout the life span. Thus, it appears possible to cure the cognitive defects at least in the mouse ("cognitive enhancement"). In man, an early diagnosis of NF1 is presently essential in order to provide specific remedial education for children affected by the learning disorder of neurofibromatosis type I.

Dark starvation and plant metabolism : II. CO2 fixation in isolated chloroplasts.

The fixation pattern of radioactive labelled photosynthetic intermediates was followed under steady state conditions during prolonged dark starvation of spinach plants (Spinacia oleracea L.). It is suggested that the considerable increase of radioactive dihydroxyacetonephosphate is correlated with a specific leakage of the outer chloroplast envelope induced by dark starvation. The primary fixation product, phosphoglyceric acid, followed the same decreasing tendency as observed for the net CO2 fixation. In contrast, the relative label in other intermediates is the same as in the controls. When after several days of dark starvation the plants were again transferred into light, a regeneration of the CO2 fixation accompanied by the appearance of a normal fixation pattern was observed. Since the regeneration was prevented by the addition of lincomycin, the net increase is considered to be due to a new protein synthesis rather than a reactivation.

Dark starvation and plant metabolism : III. CO2 fixation and the distribution of radioactive intermediates in leaf discs from spinach plants.

When leaf discs from spinach plants (Spinacia oleracea L.) maintained in the dark for several days were subsequently illuminated, the decrease of incorporated (14)CO2 measured under steady state conditions was found to be accompanied by an altered fixation pattern. Substances found to contain a significantly lower label, were malate and aspartate. In contrast, an enhanced incorporation of radioactivity was observed for those substances known to be formed during light respiration. Since the same tendencies were obtained at higher CO2 concentrations and after the removal of the lower epidermis, a new metabolic situation rather than an impaired CO2 supply, was considered to be responsible for the altered turnover of intermediates. The constant ratio in the labelling of intermediates formed in the chloroplasts and the known localization of enzymes involved in the formation of C-4 components led us to conclude that primarily the activity of cytoplasmic enzymes is influenced by dark.

[Ultrastructure of the leaf cells of young and old branches of Mnium and its relation to ion uptake]. / Die Ultrastruktur der Blattzellen junger und alter Mnium-Sprosse und ihr Zusammenhang mit der Ionenaufnahme.

Differences in the ultrastructure of the leaf cells of young and old branches of Mnium are demonstrated. The appearance of the cytoplasm and the endoplasmatic reticulum membranes differs with the age of the leaves. In the young leaves numerous vesicles are found within the tonoplast. Quite pronounced are changes in plastid structure. Compared with those of the young leaves the chloroplasts of the old leaf cells have many more thylacoid membranes which form large grana. The changes in ultrastructure coincide with differences in transport phenomena reported earlier. A few speculations on the possible significance of this correlation are presented.