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LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

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cells, <strong>the</strong> cultivation <strong>of</strong> which was an important component<br />

<strong>of</strong> <strong>the</strong> experimental investigations, <strong>the</strong> disorder-dependent<br />

dysregulation <strong>of</strong> <strong>the</strong> cytosolic glucocorticoid receptor in<br />

affective disorders, <strong>the</strong> intracellular transport <strong>of</strong> clozapine<br />

via <strong>the</strong> vesicular monoamine transporters and additionally<br />

apoptotic mechanisms <strong>of</strong> neutrophil granulocytes involved in<br />

clozapine-induced agranulocytosis could be characterised in<br />

more detail. In addition to <strong>the</strong> investigations in neuronal and<br />

glial tumour cells, <strong>the</strong> laboratory has started to isolate and<br />

cultivate native neurones, astrocytes and stem cells from<br />

<strong>the</strong> CNS <strong>of</strong> mice. The aim <strong>of</strong> <strong>the</strong>se experiments is, amongst<br />

o<strong>the</strong>r things, to test in how far <strong>the</strong> in vitro survival rates <strong>of</strong><br />

such cells depend on <strong>the</strong> neuronal/glial composition and in<br />

how far drug components influence cell activity by promoting<br />

or restricting cell vitality. In addition, in order to be able to<br />

represent <strong>the</strong> electrophysiological activity <strong>of</strong> neurones in<br />

vitro, <strong>the</strong> so-called Multi-Electrode-Array (MEA) technique<br />

was established. This provides <strong>the</strong> experimental opportunity<br />

to model <strong>the</strong> spontaneous excitation in native neuronal<br />

cells as a correlate <strong>of</strong> neuronal-glial networks in vitro. By<br />

using this investigation technique, a lesion model will be<br />

created which can be used to investigate mechanisms <strong>of</strong> cell<br />

damage (whe<strong>the</strong>r physically through oxygen withdrawal or<br />

chemically through incubation with neurotoxic substances).<br />

It appears especially interesting to investigate in how far<br />

a reversal <strong>of</strong> cell damage can be achieved through certain<br />

psychotropic drugs.<br />

Cooperation<br />

s M. Dihné, Department <strong>of</strong> Neurology,<br />

<strong>Heinrich</strong>-<strong>Heine</strong> <strong>University</strong>, <strong>Düsseldorf</strong><br />

s K. Hemmrich, Department <strong>of</strong> Plastic Surgery,<br />

RWTH Aachen<br />

s M. Jäger, Department <strong>of</strong> Orthopaedia,<br />

<strong>Heinrich</strong>-<strong>Heine</strong> <strong>University</strong> <strong>Düsseldorf</strong><br />

s G. Kobbe, Department <strong>of</strong> Haematology, Oncology and<br />

Departmental Immunology, <strong>Heinrich</strong>-<strong>Heine</strong> <strong>University</strong>,<br />

<strong>Düsseldorf</strong><br />

s V. Kolb-Bach<strong>of</strong>en, Immunobiological Research Group<br />

for Molecular Medicine, Biological-Medical Research<br />

Center, <strong>Heinrich</strong>-<strong>Heine</strong> <strong>University</strong>, <strong>Düsseldorf</strong><br />

s T. Königshausen, Sana <strong>Hospital</strong>, <strong>Düsseldorf</strong><br />

s M. Nö<strong>the</strong>n, Institute <strong>of</strong> Human Genetics at <strong>the</strong><br />

<strong>University</strong> <strong>of</strong> Bonn<br />

s P. Sand, Molecular Genetics Laboratory, Department<br />

<strong>of</strong> Psychiatry and Psycho<strong>the</strong>rapy, <strong>University</strong> <strong>of</strong><br />

Regensburg<br />

s O. Sergeeva, Institute for Neuro- and Sensory<br />

Physiology, <strong>Heinrich</strong>-<strong>Heine</strong> <strong>University</strong>, <strong>Düsseldorf</strong><br />

ReseaRch<br />

s H. Willenberg, Department <strong>of</strong> Endocrinology,<br />

Diabetology and Rheumatology, <strong>Heinrich</strong>-<strong>Heine</strong><br />

<strong>University</strong>, <strong>Düsseldorf</strong><br />

s J. Wiltfang, <strong>LVR</strong>-<strong>Klinikum</strong>, Essen, Department <strong>of</strong><br />

Psychiatry and Psycho<strong>the</strong>rapy, <strong>University</strong> <strong>of</strong> Duisburg-<br />

Essen<br />

Projects<br />

Enhanced glucocorticoid receptor down-regulation in<br />

immortalised B-lymphocytes <strong>of</strong> persons with mental<br />

disorders versus healthy controls as parameters for<br />

stress-related disorders<br />

U. Henning, K. Krieger, C. Luckhaus, A. Klimke<br />

in cooperation with M. Nö<strong>the</strong>n (Bonn)<br />

Project period: 2000–2005<br />

Financing: Departmental research budget<br />

A dysregulation <strong>of</strong> glucocorticoid-dependent functions<br />

has been described for patients with affective psychoses.<br />

The disorder is characterised by an over-activity <strong>of</strong> <strong>the</strong><br />

hypothalamic-pituitary-adrenocortical axis, which results in<br />

<strong>the</strong> increased secretion <strong>of</strong> cortisol into <strong>the</strong> blood. Cortisol<br />

receptors are not only expressed in <strong>the</strong> central nervous<br />

system, <strong>the</strong>y are also present in many o<strong>the</strong>r organs. The<br />

receptors are also found on peripheral blood cells and<br />

transformed B-lymphoblasts. As a peripherally accessible<br />

in vitro cell model, <strong>the</strong> number <strong>of</strong> glucocorticoid receptors<br />

on B-lymphoblasts <strong>of</strong> <strong>the</strong> family members <strong>of</strong> large Spanish<br />

families with hereditary depression was quantified. In cell<br />

culture, <strong>the</strong>re is a significant difference in <strong>the</strong> quantity<br />

(Bmax) <strong>of</strong> <strong>the</strong> glucocorticoid receptors between <strong>the</strong><br />

B-lymphoblasts <strong>of</strong> patients with Major Depression (MD)<br />

and those <strong>of</strong> healthy controls: a significantly higher number<br />

<strong>of</strong> receptors was measured in persons with MD (Bmax =<br />

985.2 ± 342.3 fmol/mg protein) than in controls (Bmax =<br />

576.9 ± 190.3 fmol/mg protein). After a short incubation <strong>of</strong><br />

<strong>the</strong> B-lymphoblasts over 48 hours with hydrocortisone (0.1<br />

µM), a stronger down regulation <strong>of</strong> <strong>the</strong> cytosolic receptors<br />

(32.9 ± 7.5 %, n = 14) was measured in family members<br />

with affective psychoses than in healthy controls (45.8 ± 8.2<br />

%, n = 13). The regulation <strong>of</strong> <strong>the</strong> glucocorticoid system <strong>of</strong><br />

<strong>the</strong> lymphoblasts, measurable as an indicator and termed<br />

“regulative tolerance”, represents an individually constant<br />

trait characteristic that is influenced nei<strong>the</strong>r by <strong>the</strong> evolution<br />

<strong>of</strong> <strong>the</strong> disorder nor by <strong>the</strong> medical treatment <strong>of</strong> <strong>the</strong> person.<br />

67

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