Background: The human Aldoketoreductase 1B10 gene (AKR1B10) encodes one of the enzymes belonging to the family of aldoketoreductases and may be involved in detoxification of nutrients during digestion. Further, AKR1B10 mRNA (messenger ribonucleic acid) expression was diminished in brain regions potentially involved in the regulation of eating behavior in rats which are more sensitive to cocaine and alcohol. We hypothesized that the human AKR1B10 gene may also play a role in the regulation of human eating behavior.

Background: The human Aldoketoreductase 1B10 gene (AKR1B10) encodes one of the enzymes belonging to the family of aldoketoreductases and may be involved in detoxification of nutrients during digestion. Further, AKR1B10 mRNA (messenger ribonucleic acid) expression was diminished in brain regions potentially involved in the regulation of eating behavior in rats which are more sensitive to cocaine and alcohol. We hypothesized that the human AKR1B10 gene may also play a role in the regulation of human eating behavior.

Background: Parkinson’s disease (PD) is often accompanied by non-motor complications, such as dementia, depression, and psychotic symptoms, which worsen the prognosis and increase the personal and socioeconomic burden of disease. Prevalence estimates of these complications are quite variable and are lacking for the outpatient care sector. Methods: As part of a larger, nationwide, cross-sectional epidemiological study in n=315 neurological outpatient settings in Germany, this paper estimates the frequency of dementia and cognitive impairment in n=873 outpatients meeting the UK Brain Bank criteria for idiopathic PD. Assessments were based on a clinical interview and neuropsychological assessments, including the Hoehn & Yahr rating and Unified Parkinson’s Disease Rating Scale (UPDRS). Cognitive impairment was assessed by the Mini-Mental State Exam (MMSE), Clock Drawing Test (CDT) and the Parkinson Neuropsychometric Dementia Assessment (PANDA) and the clinician’s diagnosis of dementia was based on the diagnostic criteria of DSMIV. Results Using standardized cutoff scores, the prevalence of cognitive impairment in the study sample as measured by various methods was 17.5% by MMSE (≤ 24), 41.8% by CDT (≥ 3), 43.6% by PANDA (≤ 14), and 28.6% met the DSM-IV criteria for dementia. All estimates increased with age and PD severity. Gender was an inconsistent contributor while illness duration had no significant impact on cognition. Multiple regression analyses revealed PD severity to be the strongest predictor of dementia risk (OR=4.3; 95 % CI: 2.1–9.1), while neuropsychiatric syndromes had independent, although modest additional contributions (OR=2.5, 95% CI: 1.6–3.8). Conclusion: Estimates of cognitive impairment and dementia in PD patients are largely dependent on the diagnostic measure used. Using established clinical diagnostic standards for dementia the overall rate on routine outpatient neurological care is 28.6%, but using more sensitive neuropsychological measures, rates for cognitive impairment might be up to 2-fold higher. The MMSE revealed strikingly low sensitivity. Neuropsychiatric syndromes, in addition to PD severity and age, have an independent – although modest – additional contribution to patients’ risk for cognitive impairment and dementia.

Background: Parkinson’s disease (PD) is often accompanied by non-motor complications, such as dementia, depression, and psychotic symptoms, which worsen the prognosis and increase the personal and socioeconomic burden of disease. Prevalence estimates of these complications are quite variable and are lacking for the outpatient care sector. Methods: As part of a larger, nationwide, cross-sectional epidemiological study in n=315 neurological outpatient settings in Germany, this paper estimates the frequency of dementia and cognitive impairment in n=873 outpatients meeting the UK Brain Bank criteria for idiopathic PD. Assessments were based on a clinical interview and neuropsychological assessments, including the Hoehn & Yahr rating and Unified Parkinson’s Disease Rating Scale (UPDRS). Cognitive impairment was assessed by the Mini-Mental State Exam (MMSE), Clock Drawing Test (CDT) and the Parkinson Neuropsychometric Dementia Assessment (PANDA) and the clinician’s diagnosis of dementia was based on the diagnostic criteria of DSMIV. Results Using standardized cutoff scores, the prevalence of cognitive impairment in the study sample as measured by various methods was 17.5% by MMSE (≤ 24), 41.8% by CDT (≥ 3), 43.6% by PANDA (≤ 14), and 28.6% met the DSM-IV criteria for dementia. All estimates increased with age and PD severity. Gender was an inconsistent contributor while illness duration had no significant impact on cognition. Multiple regression analyses revealed PD severity to be the strongest predictor of dementia risk (OR=4.3; 95 % CI: 2.1–9.1), while neuropsychiatric syndromes had independent, although modest additional contributions (OR=2.5, 95% CI: 1.6–3.8). Conclusion: Estimates of cognitive impairment and dementia in PD patients are largely dependent on the diagnostic measure used. Using established clinical diagnostic standards for dementia the overall rate on routine outpatient neurological care is 28.6%, but using more sensitive neuropsychological measures, rates for cognitive impairment might be up to 2-fold higher. The MMSE revealed strikingly low sensitivity. Neuropsychiatric syndromes, in addition to PD severity and age, have an independent – although modest – additional contribution to patients’ risk for cognitive impairment and dementia.

Signalverarbeitung im Nervensystem hängt sowohl von der Netzwerkstruktur, als auch den zellulären Eigenschaften der Nervenzellen ab. In dieser Abhandlung werden zwei zelluläre Eigenschaften im Hinblick auf ihre funktionellen Anpassungsmöglichkeiten untersucht: Es wird gezeigt, dass neuronale Morphologie die Signalweiterleitung unter Berücksichtigung energetischer Beschränkungen verstärken kann, und dass selbst kleine Änderungen in biophysikalischen Parametern die Aktivierungsbifurkation in Nervenzellen, und damit deren Informationskodierung, wechseln können. Im ersten Teil dieser Abhandlung wird, unter Verwendung von mathematischen Modellen und Daten, die Hypothese aufgestellt, dass Energie-effiziente Signalweiterleitung als starker Evolutionsdruck für unterschiedliche Zellkörperlagen bei Nervenzellen wirkt. Um Energie zu sparen, kann die Signalweiterleitung vom Dendrit zum Axon verstärkt werden, indem relativ kleine Zellkörper zwischen Dendrit und Axon eingebaut werden, während relativ große Zellkörper besser ausgelagert werden. Im zweiten Teil wird gezeigt, dass biophysikalische Parameter, wie Temperatur, Membranwiderstand oder Kapazität, den Feuermechanismus des Neurons ändern, und damit gleichfalls Aktionspotential-basierte Informationsverarbeitung. Diese Arbeit identifiziert die sogenannte "saddle-node-loop" (Sattel-Knoten-Schlaufe) Bifurkation als den Übergang, der besonders drastische funktionale Auswirkungen hat. Neben der Änderung neuronaler Filtereigenschaften sowie der Ankopplung an Stimuli, führt die "saddle-node-loop" Bifurkation zu einer Erhöhung der Netzwerk-Synchronisation, was möglicherweise für das Auslösen von Anfällen durch Temperatur, wie bei Fieberkrämpfen, interessant sein könnte. / Signal processing in nervous systems is shaped by the connectome as well as the cellular properties of nerve cells. In this thesis, two cellular properties are investigated with respect to the functional adaptations they provide: It is shown that neuronal morphology can improve signal transmission under energetic constraints, and that even small changes in biophysical parameters can switch spike generation, and thus information encoding. In the first project of the thesis, mathematical modeling and data are deployed to suggest energy-efficient signaling as a major evolutionary pressure behind morphological adaptations of cell body location: In order to save energy, the electrical signal transmission from dendrite to axon can be enhanced if a relatively small cell body is located between dendrite and axon, while a relatively large cell body should be externalized. In the second project, it is shown that biophysical parameters, such as temperature, membrane leak or capacitance, can transform neuronal excitability (i.e., the spike onset bifurcation) and, with that, spike-based information processing. This thesis identifies the so-called saddle-node-loop bifurcation as the transition with particularly drastic functional implications. Besides altering neuronal filters and stimulus locking, the saddle-node-loop bifurcation leads to an increase in network synchronization, which may potentially be relevant for the initiation of seizures in response to increased temperature, such as during fever cramps.