Le positionnement des nucléosomes le long des génomes eucaryotes est crucial étant donné qu’il affecte l’accessibilité de l’ADN à des protéines impliquées dans la transcription, la réplication, ou encore la réparation de l’ADN. Si il est aujourd’hui admis que les remodeleurs de chromatine ainsi que les préférences des nucléosomes pour certains motifs d’ADN constituent les deux principaux déterminants du positionnement des nucléosomes in vivo, leur importance relative fait encore l’objet de controverses. Dans le cadre de cette problématique nous avons développé une stratégie d’assemblage de répétitions de la séquence 601 positionnante de nucléosome directement dans le génome de Saccharomyces cerevisiae. Cette technique assistée par la technologie CRISPR/Cas9 et des oligonucléotides chevauchants s’est révélée très efficace et a permis d’assembler des répétitions sur une étendue d’environ 15 kilobases. Nous avons ainsi pu isoler trois souches se caractérisant par trois longueurs d’ADN de liaison de respectivement 20, 50 et 90 paires de bases séparant deux 601 consécutifs tout le long des répétitions. Ces longueurs d’ADN de liaison ont été choisies du fait de leur compatibilité avec les modèles de la fibre de 30 nm étudiés in vitro et parce qu’elles sont fréquemment observées chez les eucaryotes. Nous avons ensuite regardé si ces répétitions de la séquence 601 suffisent à dicter la succession des nucléosomes de S. cerevisiae selon le pas de chromatine attendu. Pour cela, nous avons eu recours à une approche de MNase-seq afin d’analyser les positions des dyades des nucléosomes dans les répétitions. Les résultats de ces analyses révèlent de façon intéressante l’incapacité de la séquence 601 à positionner le nucléosome dans ce contexte cellulaire et cela malgré l’étendue de la région de 601 répétés constituée. Nous avons également analysé le positionnement des nucléosomes chez ces trois mêmes souches suite à l’inactivation de Chd1, l’un des deux principaux architectes du paysage nucléosomal chez la levure, afin de s’affranchir de son potentiel effet sur le positionnement des nucléosomes dans la région 601. Nos résultats montrent que l’absence de Chd1 ne permet pas de rétablir un positionnement des nucléosomes sur les monomères de 601, suggérant que le 601 n’est pas positionnant in vivo ou que la région répétée est sous l’influence d’autres facteurs de remodelage. D’un point de vue méthodologique, notre technique de construction de répétitions in vivo permet d’envisager des approches simplifiées de biologie synthétique pour la construction de librairies de répétitions dans le génome de S. cerevisiae. / Nucleosome positioning along eukaryotic genomes is crucial as it influences DNA accessibility for DNA binding proteins involved in DNA replication, transcription and repair. It is now accepted that both nucleosome preferences for some DNA sequences and remodeling factors play an important role in nucleosome positioning in vivo. However their relative importance remains a matter of debate. To investigate the role played by DNA sequence in nucleosome positioning in a cellular context we developped a strategy to assemble tandem DNA repeats of a nucleosome positioning sequence directly into Saccharomyces cerevisiae’s genome. This method is assisted by CRISPR/Cas9 and overlapping oligonucleotides and it turned out to be very efficient as it allowed to synthetize about 15 kilobases of tandem DNA repeats inside a yeast chromosome. Using this apporoach we obtained three yeast strains differing by the DNA linker length separating two consecutive monomeres of the 601 nucleosome positioning sequence. We chose three lengths of linker (20, 50 and 90 pb) for two reasons. First, they are compatible with the formation of a 30 nm chromatin fiber in vitro, and second, nucleosome repeat length of 167, 197 and 237 pb are found in eukaryotic genomes. We then verified if nucleosomes are effectively positioned according to the theoretic DNA linker lengths we designed in the “601” repeated region. To that goal we performed MNase-seq analysis to deduce nucleosomes dyads positions in the repeats. Interestingly our results show that the 601 sequence is not able to dictate strong nucleosomes positioning differing from the natural nucleosome repeat length of about 165 pb along the repeats in an in vivo context. We further investigated positions of dyads in the same three strains after inactivating the gene coding for the chromatin remodeler Chd1, which could potentially be responsible of the nucleosomes organization in the repeated area. Our results show no effect of Chd1, indicating that the “601” sequence has no positionning effect in vivo or that other trans-acting factors are implicated in nucleosome positioning in the engineered repeats. Finally, this work provides a new fast and simple approach for synthetic DNA repeats construction inside the yeast genome and could easily be applied for other synthetic chromatin engineering approaches.

Le nucléosome est l’unité élémentaire de la compaction de l’ADN dans les cellules eucaryotes. C’est un complexe composé par un long segment d’ADN enroulé 1.7 fois en super-hélice autour d’un cœur de huit protéines histones. Les nucléosomes contrôlent l’accessibilité de l'ADN en s'associant et se dissociant le long des génomes et, ce faisant, sont directement impliqués dans la plupart des processus nucléaires. Le but principal de ce travail a été de décrire l'interface ADN-histones en solution pour mieux comprendre la stabilité du nucléosome. Nous avons voulu savoir en particulier comment l'ADN est maintenu enroulé autour du cœur d'histone et comment la séquence de l'ADN pourrait éventuellement affecter l'interface ADN-histones. Plusieurs nucléosomes ont été étudiés par dynamique moléculaire en solvant explicite ; ils diffèrent par la taille des queues d'histone et par les séquences d'ADN qui les forment. Pour garantir une analyse objective de la topologie de l’interface ADN-histones, une méthode basée sur les pavages de Delaunay-Laguerre originellement dédiée aux protéines a été adaptée aux acides nucléiques. Nous montrons ainsi que l'interface ADN-histones est constituée d'un réseau d'interaction très dense, caractérisé par des aires de contact électrostatique et hydrophobe équivalentes. Les queues d'histone renforcent significativement l'interface. Le comportement dynamique des arginines des cœurs structurés et des queues d'histone qui interagissent avec les petits sillons de l'ADN a été examiné en détail. Les cations écrantent les répulsions entre les hélices d'ADN juxtaposées l'une au dessus de l'autre du fait de l'enroulement en super-hélice. Enfin, l’interface ADN-histones est globalement retrouvée dans les nucléosomes formés avec des séquences d’ADN défavorables au nucléosome. Ceci suggère qu'une fois le nucléosome formé, il n'y a pas d'effet décisif de la séquence de l'ADN sur l'interface. / The nucleosome is the fundamental unit of DNA compaction in eukaryotic cells. It consists in a long DNA segment (145-147 bp) wrapped in 1.7 left-handed superhelix turns around a histone octamer. Nucleosomes control the DNA accessibility by assembling and disassembling along the genomes and are therefore involved in most nuclear processes.The main aim of the thesis was to describe the DNA-histone interface in solution to better understand the nucleosome stability. We examined in particular how the DNA is maintained wrapped around the histone and how its sequence affects the DNA-histone interface. Several nucleosomes were studied using molecular dynamics in explicit solvent ; they differed by the tail length and the DNA sequences. To ensure an objective analysis of the topology of the DNA-histone interface, a method based on Delaunay-Laguerre tessellations, originally developed for proteins, was adapted to nucleic acids.Our results show that the DNA-histone interface is composed by a dense network of interactions, characterized by equivalent electrostatic and hydrophobic contact area. The histone tails significantly reinforce the interface. The behavior of arginines belonging to the histone structured cores or tails and that interact with the DNA minor groove was scrutinized in detail. Cations shield the repulsive interactions between the two DNA gyres, closely juxtaposed one above the other because of the superhelix wrapping. Finally, the DNA-histone interface is globally not affected in nucleosomes containing DNA sequences known to disfavor nucleosomes. This suggests that, once the nucleosome established, there is no significant effect of the DNA sequence on the interface.

Introduction: The long-term success of non-surgical weight loss treatment in adults with obesity is limite by substantial relapse, and only a few evidence-based weight loss maintenance treatments exist. This clinical trial investigates the feasibility and efficacy of a social facilitation maintenance programme for weight loss maintenance, tailored to meet the needs of obese adults who have undergone a lifestyle weight loss intervention. Methods and analysis: In a single-centre, open feasibility trial, 72 adults currently or previously obese or overweight who have undergone a lifestyle weight loss intervention are centrally randomised to 4 months of social facilitation maintenance treatment or treatment as a usual control condition. In 16 outpatient group sessions, the social facilitation maintenance treatment, based on a socioecological model and on evidence supporting social facilitation as a key process in maintaining weight loss, focuses on promoting interpersonal relationships to build up a healthy lifestyle for long-term weight loss maintenance. Primary outcome is the amount of weight regain at 6-month follow-up, compared with pre-treatment weight, derived from measured body weight. Secondary outcomes address feasibility, including recruitment, attrition, assessment non-completion, compliance and patients’ programme evaluation; and in comparison with pre-weight loss maintenance, social and interpersonal functioning, eating behaviour and physical activity, psychological and physical symptoms, body composition and risk of comorbidity, and quality of life at post-treatment and follow-up assessments. Ethics and dissemination: The study was approved by the Ethical Committee at the University of Leipzig (165-13-15072013). The study results will be disseminated through peer-reviewed publications. Trial registration number: DRKS00005182

Clostridium difficile infection (CDI) is the most common cause of health-care-associated infectious diarrhea. Recurrence rates are as high as 20–30% after standard treatment with metronidazole or vancomycin, and appear to be reduced for patients treated with fidaxomicin. According to the literature, the risk of CDI recurrence increases after the second relapse to 30–65%. Accurate data for Germany are not yet available. Methods: Based on the research database of arvato health analytics (Munich, Germany), a secondary data analysis for the incidence, treatment characteristics and course of CDI was performed. The database included high granular accounting information of about 1.46 million medically insured patients covering the period 2006–2013, being representative for Germany. The analysis was based on new-onset CDI in 2012 in patients which either received outpatient antibiotic therapy for CDI or were hospitalized. Results: The ICD-10 coded incidence of CDI in 2012 was 83 cases per 100,000 population.

Introduction: Pulmonary Surfactant reduces surface tension in the terminal airways thus facilitating breathing and contributes to host''s innate immunity. Surfactant Proteins (SP) A, B, C and D were recently identified as inherent proteins of the CNS. Aim of the study was to investigate cerebrospinal fluid (CSF) SP levels in hydrocephalus patients compared to normal subjects. Patients and methods: CSF SP A-D levels were quantified using commercially available ELISA kits in 126 patients (0±84 years, mean 39 years). 60 patients without CNS pathologies served as a control group. Hydrocephalus patients were separated in aqueductal stenosis (AQS, n = 24), acute hydrocephalus without aqueductal stenosis (acute HC w/o AQS, n = 16) and idiopathic normal pressure hydrocephalus (NPH, n = 20). Furthermore, six patients with pseudotumor cerebri were investigated. Results: SP AÐD are present under physiological conditions in human CSF. SP-A is elevated in diseases accompanied by ventricular enlargement (AQS, acute HC w/o AQS) in a significant manner (0.67, 1.21 vs 0.38 ng/ml in control, p<0.001). SP-C is also elevated in hydrocephalic conditions (AQS, acute HC w/o AQS; 0.87, 1.71 vs. 0.48 ng/ml in controls, p<0.001) and in Pseudotumor cerebri (1.26 vs. 0.48 ng/ml in controls, p<0.01). SP-B and SP-D did not show significant alterations. Conclusion: The present study confirms the presence of SPs in human CSF. There are significant changes of SP-A and SP-C levels in diseases affecting brain water circulation and elevation of intracranial pressure. Cause of the alterations, underlying regulatory mechanisms, as well as diagnostic and therapeutic consequences of cerebral SP''s requires further thorough investigations.

Aortocoronary bypass or valve surgery usually require cardiac arrest using cardioplegic solutions. Although, in principle, in a number of cases beating heart surgery (so-called off-pump technique) is possible, aortic or valve surgery or correction of congenital heart diseases mostly require cardiopulmonary arrest. During this condition, the heart-lung machine also named cardiopulmonary bypass (CPB) has to take over the circulation. It is noteworthy that the invention of a machine bypassing the heart and lungs enabled complex cardiac operations, but possible negative effects of the CPB on other organs, especially the brain, cannot be neglected. Thus, neuroprotection during CPB is still a matter of great interest. In this review, we will describe the impact of CPB on the brain and focus on pharmacological and non-pharmacological strategies to protect the brain.

This diploma thesis is focused on CFD analysis of M-601 turboprop engine nacelle mounted on L-410 commuter aircraft. Calibrating exercise is performed at the beginning of the thesis in order to be more familiar with CFD problems. Next parts of the thesis are chronologically divided with respect to project progress, namely suitable geometrical model creation, mesh creation in order to obtain computational model, calculation using CFD methods, results evaluation and proposal of possible construction transformation at the conclusion.

Homeostasis of hematopoietic stem cells (HSC) in the mammalian bone marrow stem cell niche is regulated by signals of the local microenvironment. Besides juxtacrine, endocrine and metabolic cues, paracrine and autocrine signals are involved in controlling quiescence, proliferation and differentiation of HSC with strong implications on expansion and differentiation ex vivo as well as in vivo transplantation. Towards this aim, a cell culture analysis on a polymer microcavity carrier platform was combined with a partial least square analysis of a mechanistic model of cell proliferation. We could demonstrate the discrimination of specific autocrine and paracrine signals from soluble factors as stimulating and inhibitory effectors in hematopoietic stem and progenitor cell culture. From that we hypothesize autocrine signals to be predominantly involved in maintaining the quiescent state of HSC in single-cell niches and advocate our analysis platform as an unprecedented option for untangling convoluted signaling mechanisms in complex cell systems being it of juxtacrine, paracrine or autocrine origin.

Background: Physician migration is gaining attention worldwide. Despite increasing numbers of foreign physicians in Germany, their perceptions on working in Germany remain unexplored. Within a large survey on Saxon physicians, the aim of this study was to elucidate whether foreign-national physicians’ job satisfaction differed from German physicians'' job satisfaction. Methods: The study was designed as a comprehensive cross-sectional survey. All physicians ≤40 years and registered with the State Chamber of Physicians of Saxony (n = 5956) were mailed a paper-pencil questionnaire, of which 2357 were returned (response rate = 40 %). Questionnaires addressed socio demographics and assessed job satisfaction by asking participants to rate their satisfaction with the overall job situation and 20 different aspects on a 5-point Likert scale (1 = very dissatisfied to 5 = very satisfied). Results: Ten percent of participants were foreign-national physicians. The three main countries of origin were the Czech Republic, Slovakia, and Poland. Foreign-national physicians were more satisfied with aspects related to patient care, such as "possibility to treat patients as you deem optimal" and "relationship with patients". However, they were less satisfied with aspects related to human relations, such as "work atmosphere", relationship with co-workers, and "social status". Foreign-national physicians were also less satisfied with the aspect "work enjoyment". Conclusions: Further research on determinants promoting foreign-national physicians'' job satisfaction is needed as their professional well-being may influence quality of patient care. Measures teaching cross-cultural competence and awareness may be beneficial for both foreign-national and German physicians.

Background: Psoas abscess is a rare clinical disease of various origins. Most common causes include hematogenous spread of bacteria from a different primary source, spondylodiscitis or perforated intestinal organs. But rarely some abscesses are related to malignant metastatic disease. Case presentation: In this case report we present the case of a patient with known squamous cell carcinoma of the cervix treated with radio-chemotherapy three years prior. She now presented with a psoas abscess and subsequent complete inferior vena cava thrombosis, as well as duodenal and vertebral infiltration. The abscess was drained over a prolonged period of time and later was found to be a complication caused by metastases of the cervical carcinoma. Due to the massive extent of the metastases a Whipple procedure was performed to successfully control the local progress of the metastasis. Conclusion: As psoas abscess is an unspecific disease which presents with non-specific symptoms adequate therapy may be delayed due to lack of early diagnostic results. This case report highlights the difficulties of managing a malignant abscess and demonstrates some diagnostic pitfalls that might be encountered. It stresses the necessity of adequate diagnostics to initiate successful therapy. Reports on psoas abscesses that are related to cervix carcinoma are scarce, probably due to the rarity of this event, and are limited to very few case reports. We are the first to report a case in which an extensive and complex abdominal procedure was needed for local control to improve quality of life.