Um estudo prévio de nosso grupo de pesquisa demonstrou que uma fração eriquecida em valepotriatos obtida a partir de partes aéreas e subterrâneas de V. glechomifolia submetida à extração com CO2 supercrítico (VAL) possui efeito antidepressivo e prevenção do comportamento de doente (sickness behavior) induzido por LPS. Além disso, alguns estudos revelaram propriedades antiinflamatórias de V.wallichii e de V.amurensis. Estes dados da literatura sugerem que os valepotriatos podem ser utilizados no desenvolvimento de novos farmácos. Entretanto, dados sobre toxicidade, segurança e atividade anti-inflamatória de valepotriatos ainda são escassos. Considerando isso, o objetivo deste estudo foi investigar a atividade anti-inflamatória periférica e a toxicidade oral aguda e de doses repetidas de VAL. A atividade anti-inflamatória foi avaliada por meio do teste de formalina em camundongos CF1 e o ensaio de migração de leucócitos em ratos Wistar. Além disso, os estudos de toxicidade seguiram as normativas 423 e 407 da Organização para a Cooperação e Desenvolvimento Econômico (OECD). Diferentes grupos de camundongos foram tratados com VAL (1, 10 e 30 mg/kg), diclofenaco 50 mg/kg (controle positivo) ou saline (controle negativo) 1 h antes da injeção de formalina. No ensaio de quimiotaxia, os leucócitos foram tratados com concentrações de 0,1-1,0 μg/mL de VAL, indometacina ou diclofenaco (1 μg/mL). No estudo de toxicidade aguda, três camundongos CF1 machos foram tratados com uma dose única de VAL (2000 mg/kg, v.o.) e observados durante 14 dias. Já para o estudo de toxicidade de doses repetidas, diferentes grupos de animais (n = 10) receberam doses únicas diárias de VAL (30, 150 e 300 mg/kg, v.o.) ou veículo durante 28 dias. No teste de formalina, VAL inibiu o comportamento do tipo nociceptivo na segunda fase do teste de forma dose-dependente. O efeito da dose mais elevada de VAL foi comparável com o diclofenaco na dose de 50 mg/kg (v.o.). VAL (0,1-1 μg/mL) também inibiu a migração de leucócitos induzida por LPS (65 μg/mL) de modo dependente da concentração. Este efeito foi comparável ao efeito de indometacina (0,1 - 1 μg/mL) e superior ao efeito do diclofenaco (1 μg/mL). No estudo de toxicidade aguda apenas uma morte foi detectada, o que classifica VAL como segura (categoria 5), de acordo com a OECD-normativa 423. O estudo toxicidade de doses repetidas demonstrou que VAL na dose de 300 mg/kg retardou o ganho de peso e reduziu o consumo de ração dos animais deste grupo na primeira semana de tratamento, provavelmente devido aos efeitos sedativos da mesma. As outras doses não alteraram o ganho de peso e ingesta de ração. Nenhuma das doses de VAL alterou qualquer parâmetro comportamental, urinário, bioquímico, hematológico, anatômico ou histológico. Em conclusão, estes resultados demonstram pela primeira vez que valepotriatos, uma classe especial de terpenos que ocorrem apenas no gênero Valeriana, apresentam atividade anti-inflamatória periférica e são seguros em doses pré-clínicas eficazes, por via oral. / A previous study by our research group demonstrated that an enriched fraction obtained from the aerial and subterranean parts of V. glechomifolia submitted to supercritical CO2 extraction (VAL) shows antidepressant-like effect and prevented LPS-induced sickness behavior. Also, some studies revealed anti-inflammatory properties of V.wallichii and V.amurensis. Altogether, these findings suggest that the valepotriates scaffold might be useful to develop new antidepressant and antiinflammatory drugs. However, data about the toxicity, safety and anti-inflammatory activity of valepotriates from V. gelchomifolia are still scarce. Considering this, the aim of this study was to investigate the peripheral anti-inflammatory activity and the oral acute and repeated toxicity of VAL. The anti-inflammatory activity was assessed by using the formalin test in CF1 mice and Wistar rat’s leukocytes migration assay. Besides, the toxicity studies followed the Organization for Economic Cooperation and Development (OECD) toxicity studies guidelines 423 and 407. Different groups of mice were treated with VAL (1, 10 and 30 mg/kg), diclofenac 50 mg/kg (positive control) or saline (negative control) 1 h before the formalin injection. In the chemotaxis assay, the leukocytes were treated with a range of 0.1-1.0 μg/mL of VAL, indomethacin or diclofenac (1 μg/mL). In the acute toxicity, three CF1 mice were treated with a single dose of VAL (2000 mg/kg, p.o.) and observed for 14 days. To perform the repeated toxicity study, separated group of animals (n=10) received single daily doses of VAL (30, 150 and 300 mg/kg, p.o.) or vehicle during 28 days. In the formalin test, VAL inhibited the nociceptive behavior in the late phase in a dose dependent manner at 30mg/kg dose. The effect of the VAL highest dose was comparable to diclofenac 50 mg /kg (p.o.). VAL (0.1 - 1 μg/mL) inhibited the leukocyte migration induced by LPS (65 μg/mL) in a concentration dependent manner. This antichemotatic effect was comparable to indomethacin (0.1 – 1μg/mL) and better than diclofenac (1 μg/mL) effect. In the acute toxicity study only one death was detected, which classify VAL as safe (category 5), according to OECD-guideline 423. The repeated dose toxicity study demonstrated that VAL 300 mg/kg delayed the weight gain and reduced the food consumption in the first week, probably due to sedative effects. The other doses had no effect on weight gain and food consumption. None of doses altered any behavioral, urinary, biochemical, hematological, anatomic or histological parameters. In conclusion, these results demonstrate for the first time that valepotriates, a special class of terpenes occurring only in Valeriana genus, present peripheral anti-inflammatory activity and are safe at effective pre-clinical doses, by oral route.

In this thesis, rodent models of chronic pain were used to explore analgesic mechanisms that may potentially be engaged in spinal and peripheral compartments by systemically-administered amitriptyline, a tricyclic antidepressant. The first project (Chapter 2) identified the roles of spinal adenosine A1 and serotonin 5-HT7 receptors, as well as of peripheral adenosine A1 receptors, in the acute antinociceptive effects of amitriptyline in mice. The second project (Chapter 3) examined the potential utility of amitriptyline as a preventive analgesic against persistent post-surgical pain, and involved perioperative administration of amitriptyline after peripheral nerve injury in rats. Changes in post-injury behavioural outcomes, as well as spinal noradrenergic sprouting, were assessed. Overall, spinal serotonergic pathways linked to adenosine A1 receptors, as well as peripheral adenosine A1 receptors, appear to be important in antinociception by amitriptyline. Preventive analgesia by this drug does not appear to result from anatomical changes in spinal noradrenergic pathways.

Diagnostik und Therapie des progressiven Siebbeinhämatoms beim Pferd Chirurgische Tierklinik der Veterinärmedizinischen Fakultät der Universität Leipzig Eingereicht im Oktober 2013 74 Seiten, 11 Abbildungen, 17 Tabellen, 55 Literaturquellen Bei der vorliegenden Arbeit handelt es sich um eine retrospektive, multizentrische Studie des progressiven Siebbeinhämatoms, eines selten vorkommenden Krankheitssyndroms beim Pferd. Dazu wurden die Krankenakten von 25 Patienten dreier tiermedizinischer Pferdekliniken ausgewertet. Das Patientenmaterial ist inhomogen und entspricht den Bedingungen der Praxis. Insgesamt sind die Patientenzahlen zu gering um die Daten homogen auszuwerten und gelten deshalb als Schätzwert. Die verschiedenen weiterführenden Untersuchungsverfahren wurden beschrieben und der Therapieerfolg in Abhängigkeit zur Tumorgröße ermittelt. Dabei ergab sich, dass eine Endoskopie die einfachste und die am häufigsten angewandte weiterführende Diagnostikmethode darstellt. Sie erscheint für die Diagnosestellung eines progressiven Siebbeinhämatoms ausreichend. Die computertomographische Untersuchung ermöglicht eine genauere Lokalisation der ausgedehnten Masse und erscheint zur besseren Operationsplanung sinnvoll. Progressive Siebbeinhämatome aller Größen zeigen eine günstige Prognose bezüglich Verkleinerung und klinischer Inapparenz, wenn eine konservative Therapie durch intratumorale Formalininjektionen angewandt wird. Die Behandlung ist einfach durchzuführen. Komplikationen sind bei den hier ausgewerteten Patienten nicht beobachtet wurden. Die chirurgische Therapie des progressiven Siebbeinhämatoms ist die sicherste Methode zur vollständigen Entfernung. Sie bietet bei großen Tumoren in allen Fällen eine günstige Prognose, bietet jedoch keinen Schutz vor einem Langzeitrezidiv. Außer bei besonders großen Tumoren, sind progressive Siebbeinhämatome durchaus am stehenden, sedierten Patienten konservativ behandelbar. Falls diese Methode keinen Therapieerfolg erzielt, kann eine chirurgische Therapie angeschlossen werden.

Colorectal cancer (CRC) is a common malignancy which develops due to old age and lifestyle factors, low percent of patients afflicted by a genetic disorders. Half of all colorectal cancer patients are diagnosed after metastasis. The high rate of the late detection, emphasizes on the requirement of convenient and inexpensive diagnostic methods for comprehensive screening programs. The aim of this study was to discover proto-oncogenes mutation and assessment of tumor suppressor genes expression. Formalin fixed paraffin embedded (FFPE) histologically verified colorectal cancer samples were used. APC, KRAS and BRAF mutations were investigated using polymerase chain reaction (PCR) fragments and direct sequencing. Gene expression assessment of MLH1, MGMT and CDKN2A were achieved via quantitative polymerase chain reaction (qPCR). In the present study we could detect a novel transversion heterozygous mutation in APC gene codon 1365 in three patients. BRAF codon 600 mutation were detected in one patient. KRAS codon 12 mutation was discovered in one sample and also a novel transition mutation in codon 15 was detected in 6 patients. In 80% of cases, MLH1 and MGMT expression were undetectable, in remaining 20%, MLH1 expression were reduced, but MGMT showed both reduced and increased expression compared to control. In 100% of patients CDKN2A expression was undetectable. The rate of mutations in predetermined hotspot codons and amount of uncommon mutations into APC, BRAF and KRAS in Nepalese patients indicates the requirement of further investigation in CRC patients from that part of the world. Also, the expression rate of MLH1, MGMT, CDKN2A and deficiency of an information source emphasizes the necessity of whole genome CRC expression profiling data to comparison and conclusion. / <p>-</p> / -

Um estudo prévio de nosso grupo de pesquisa demonstrou que uma fração eriquecida em valepotriatos obtida a partir de partes aéreas e subterrâneas de V. glechomifolia submetida à extração com CO2 supercrítico (VAL) possui efeito antidepressivo e prevenção do comportamento de doente (sickness behavior) induzido por LPS. Além disso, alguns estudos revelaram propriedades antiinflamatórias de V.wallichii e de V.amurensis. Estes dados da literatura sugerem que os valepotriatos podem ser utilizados no desenvolvimento de novos farmácos. Entretanto, dados sobre toxicidade, segurança e atividade anti-inflamatória de valepotriatos ainda são escassos. Considerando isso, o objetivo deste estudo foi investigar a atividade anti-inflamatória periférica e a toxicidade oral aguda e de doses repetidas de VAL. A atividade anti-inflamatória foi avaliada por meio do teste de formalina em camundongos CF1 e o ensaio de migração de leucócitos em ratos Wistar. Além disso, os estudos de toxicidade seguiram as normativas 423 e 407 da Organização para a Cooperação e Desenvolvimento Econômico (OECD). Diferentes grupos de camundongos foram tratados com VAL (1, 10 e 30 mg/kg), diclofenaco 50 mg/kg (controle positivo) ou saline (controle negativo) 1 h antes da injeção de formalina. No ensaio de quimiotaxia, os leucócitos foram tratados com concentrações de 0,1-1,0 μg/mL de VAL, indometacina ou diclofenaco (1 μg/mL). No estudo de toxicidade aguda, três camundongos CF1 machos foram tratados com uma dose única de VAL (2000 mg/kg, v.o.) e observados durante 14 dias. Já para o estudo de toxicidade de doses repetidas, diferentes grupos de animais (n = 10) receberam doses únicas diárias de VAL (30, 150 e 300 mg/kg, v.o.) ou veículo durante 28 dias. No teste de formalina, VAL inibiu o comportamento do tipo nociceptivo na segunda fase do teste de forma dose-dependente. O efeito da dose mais elevada de VAL foi comparável com o diclofenaco na dose de 50 mg/kg (v.o.). VAL (0,1-1 μg/mL) também inibiu a migração de leucócitos induzida por LPS (65 μg/mL) de modo dependente da concentração. Este efeito foi comparável ao efeito de indometacina (0,1 - 1 μg/mL) e superior ao efeito do diclofenaco (1 μg/mL). No estudo de toxicidade aguda apenas uma morte foi detectada, o que classifica VAL como segura (categoria 5), de acordo com a OECD-normativa 423. O estudo toxicidade de doses repetidas demonstrou que VAL na dose de 300 mg/kg retardou o ganho de peso e reduziu o consumo de ração dos animais deste grupo na primeira semana de tratamento, provavelmente devido aos efeitos sedativos da mesma. As outras doses não alteraram o ganho de peso e ingesta de ração. Nenhuma das doses de VAL alterou qualquer parâmetro comportamental, urinário, bioquímico, hematológico, anatômico ou histológico. Em conclusão, estes resultados demonstram pela primeira vez que valepotriatos, uma classe especial de terpenos que ocorrem apenas no gênero Valeriana, apresentam atividade anti-inflamatória periférica e são seguros em doses pré-clínicas eficazes, por via oral. / A previous study by our research group demonstrated that an enriched fraction obtained from the aerial and subterranean parts of V. glechomifolia submitted to supercritical CO2 extraction (VAL) shows antidepressant-like effect and prevented LPS-induced sickness behavior. Also, some studies revealed anti-inflammatory properties of V.wallichii and V.amurensis. Altogether, these findings suggest that the valepotriates scaffold might be useful to develop new antidepressant and antiinflammatory drugs. However, data about the toxicity, safety and anti-inflammatory activity of valepotriates from V. gelchomifolia are still scarce. Considering this, the aim of this study was to investigate the peripheral anti-inflammatory activity and the oral acute and repeated toxicity of VAL. The anti-inflammatory activity was assessed by using the formalin test in CF1 mice and Wistar rat’s leukocytes migration assay. Besides, the toxicity studies followed the Organization for Economic Cooperation and Development (OECD) toxicity studies guidelines 423 and 407. Different groups of mice were treated with VAL (1, 10 and 30 mg/kg), diclofenac 50 mg/kg (positive control) or saline (negative control) 1 h before the formalin injection. In the chemotaxis assay, the leukocytes were treated with a range of 0.1-1.0 μg/mL of VAL, indomethacin or diclofenac (1 μg/mL). In the acute toxicity, three CF1 mice were treated with a single dose of VAL (2000 mg/kg, p.o.) and observed for 14 days. To perform the repeated toxicity study, separated group of animals (n=10) received single daily doses of VAL (30, 150 and 300 mg/kg, p.o.) or vehicle during 28 days. In the formalin test, VAL inhibited the nociceptive behavior in the late phase in a dose dependent manner at 30mg/kg dose. The effect of the VAL highest dose was comparable to diclofenac 50 mg /kg (p.o.). VAL (0.1 - 1 μg/mL) inhibited the leukocyte migration induced by LPS (65 μg/mL) in a concentration dependent manner. This antichemotatic effect was comparable to indomethacin (0.1 – 1μg/mL) and better than diclofenac (1 μg/mL) effect. In the acute toxicity study only one death was detected, which classify VAL as safe (category 5), according to OECD-guideline 423. The repeated dose toxicity study demonstrated that VAL 300 mg/kg delayed the weight gain and reduced the food consumption in the first week, probably due to sedative effects. The other doses had no effect on weight gain and food consumption. None of doses altered any behavioral, urinary, biochemical, hematological, anatomic or histological parameters. In conclusion, these results demonstrate for the first time that valepotriates, a special class of terpenes occurring only in Valeriana genus, present peripheral anti-inflammatory activity and are safe at effective pre-clinical doses, by oral route.

Um estudo prévio de nosso grupo de pesquisa demonstrou que uma fração eriquecida em valepotriatos obtida a partir de partes aéreas e subterrâneas de V. glechomifolia submetida à extração com CO2 supercrítico (VAL) possui efeito antidepressivo e prevenção do comportamento de doente (sickness behavior) induzido por LPS. Além disso, alguns estudos revelaram propriedades antiinflamatórias de V.wallichii e de V.amurensis. Estes dados da literatura sugerem que os valepotriatos podem ser utilizados no desenvolvimento de novos farmácos. Entretanto, dados sobre toxicidade, segurança e atividade anti-inflamatória de valepotriatos ainda são escassos. Considerando isso, o objetivo deste estudo foi investigar a atividade anti-inflamatória periférica e a toxicidade oral aguda e de doses repetidas de VAL. A atividade anti-inflamatória foi avaliada por meio do teste de formalina em camundongos CF1 e o ensaio de migração de leucócitos em ratos Wistar. Além disso, os estudos de toxicidade seguiram as normativas 423 e 407 da Organização para a Cooperação e Desenvolvimento Econômico (OECD). Diferentes grupos de camundongos foram tratados com VAL (1, 10 e 30 mg/kg), diclofenaco 50 mg/kg (controle positivo) ou saline (controle negativo) 1 h antes da injeção de formalina. No ensaio de quimiotaxia, os leucócitos foram tratados com concentrações de 0,1-1,0 μg/mL de VAL, indometacina ou diclofenaco (1 μg/mL). No estudo de toxicidade aguda, três camundongos CF1 machos foram tratados com uma dose única de VAL (2000 mg/kg, v.o.) e observados durante 14 dias. Já para o estudo de toxicidade de doses repetidas, diferentes grupos de animais (n = 10) receberam doses únicas diárias de VAL (30, 150 e 300 mg/kg, v.o.) ou veículo durante 28 dias. No teste de formalina, VAL inibiu o comportamento do tipo nociceptivo na segunda fase do teste de forma dose-dependente. O efeito da dose mais elevada de VAL foi comparável com o diclofenaco na dose de 50 mg/kg (v.o.). VAL (0,1-1 μg/mL) também inibiu a migração de leucócitos induzida por LPS (65 μg/mL) de modo dependente da concentração. Este efeito foi comparável ao efeito de indometacina (0,1 - 1 μg/mL) e superior ao efeito do diclofenaco (1 μg/mL). No estudo de toxicidade aguda apenas uma morte foi detectada, o que classifica VAL como segura (categoria 5), de acordo com a OECD-normativa 423. O estudo toxicidade de doses repetidas demonstrou que VAL na dose de 300 mg/kg retardou o ganho de peso e reduziu o consumo de ração dos animais deste grupo na primeira semana de tratamento, provavelmente devido aos efeitos sedativos da mesma. As outras doses não alteraram o ganho de peso e ingesta de ração. Nenhuma das doses de VAL alterou qualquer parâmetro comportamental, urinário, bioquímico, hematológico, anatômico ou histológico. Em conclusão, estes resultados demonstram pela primeira vez que valepotriatos, uma classe especial de terpenos que ocorrem apenas no gênero Valeriana, apresentam atividade anti-inflamatória periférica e são seguros em doses pré-clínicas eficazes, por via oral. / A previous study by our research group demonstrated that an enriched fraction obtained from the aerial and subterranean parts of V. glechomifolia submitted to supercritical CO2 extraction (VAL) shows antidepressant-like effect and prevented LPS-induced sickness behavior. Also, some studies revealed anti-inflammatory properties of V.wallichii and V.amurensis. Altogether, these findings suggest that the valepotriates scaffold might be useful to develop new antidepressant and antiinflammatory drugs. However, data about the toxicity, safety and anti-inflammatory activity of valepotriates from V. gelchomifolia are still scarce. Considering this, the aim of this study was to investigate the peripheral anti-inflammatory activity and the oral acute and repeated toxicity of VAL. The anti-inflammatory activity was assessed by using the formalin test in CF1 mice and Wistar rat’s leukocytes migration assay. Besides, the toxicity studies followed the Organization for Economic Cooperation and Development (OECD) toxicity studies guidelines 423 and 407. Different groups of mice were treated with VAL (1, 10 and 30 mg/kg), diclofenac 50 mg/kg (positive control) or saline (negative control) 1 h before the formalin injection. In the chemotaxis assay, the leukocytes were treated with a range of 0.1-1.0 μg/mL of VAL, indomethacin or diclofenac (1 μg/mL). In the acute toxicity, three CF1 mice were treated with a single dose of VAL (2000 mg/kg, p.o.) and observed for 14 days. To perform the repeated toxicity study, separated group of animals (n=10) received single daily doses of VAL (30, 150 and 300 mg/kg, p.o.) or vehicle during 28 days. In the formalin test, VAL inhibited the nociceptive behavior in the late phase in a dose dependent manner at 30mg/kg dose. The effect of the VAL highest dose was comparable to diclofenac 50 mg /kg (p.o.). VAL (0.1 - 1 μg/mL) inhibited the leukocyte migration induced by LPS (65 μg/mL) in a concentration dependent manner. This antichemotatic effect was comparable to indomethacin (0.1 – 1μg/mL) and better than diclofenac (1 μg/mL) effect. In the acute toxicity study only one death was detected, which classify VAL as safe (category 5), according to OECD-guideline 423. The repeated dose toxicity study demonstrated that VAL 300 mg/kg delayed the weight gain and reduced the food consumption in the first week, probably due to sedative effects. The other doses had no effect on weight gain and food consumption. None of doses altered any behavioral, urinary, biochemical, hematological, anatomic or histological parameters. In conclusion, these results demonstrate for the first time that valepotriates, a special class of terpenes occurring only in Valeriana genus, present peripheral anti-inflammatory activity and are safe at effective pre-clinical doses, by oral route.

Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin lymphoma. It is a molecular and prognostic heterogeneous disease. Three main genetic subtypes are called germinal center-like DLBCL (GC-like DLBCL), non-germinal center-like DLBCL (nonGC-like DLBCL) and primary mediastinal B-cell lymphoma (PMBL). These subtypes can be reliably distinguished only with usage of gene expression profiling (GEP). The GEP method can be applied only when fresh frozen tissue is available. The method is technically difficult and expensive. Thus, it is not used routinely. Since the DLBCL subtypes differ in prognosis, it is extremely important to be able to distinguish them. The presented thesis is focused on distinguishing of PMBL diagnosis in the group of DLBCL. Easily stored formalin-fixed, paraffin-embedded tissue (FFPE) and gene expression analysis using real-time quantitative polymerase chain reaction (RTqPCR) are used. In the first step, PMBL and DLBCL cases were distinguished with an internationally accepted clinical-pathological method. The agreement between clinical-pathological diagnosis and GEP is only 76%. In the presented text a genetic algorithm for PMBL/DLBCL distinguishing is suggested. It uses three carefully chosen genes and their expression is measured with RTqPCR. Both, the...

Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin lymphoma. It is a molecular and prognostic heterogeneous disease. Three main genetic subtypes are called germinal center-like DLBCL (GC-like DLBCL), non-germinal center-like DLBCL (nonGC-like DLBCL) and primary mediastinal B-cell lymphoma (PMBL). These subtypes can be reliably distinguished only with usage of gene expression profiling (GEP). The GEP method can be applied only when fresh frozen tissue is available. The method is technically difficult and expensive. Thus, it is not used routinely. Since the DLBCL subtypes differ in prognosis, it is extremely important to be able to distinguish them. The presented thesis is focused on distinguishing of PMBL diagnosis in the group of DLBCL. Easily stored formalin-fixed, paraffin-embedded tissue (FFPE) and gene expression analysis using real-time quantitative polymerase chain reaction (RTqPCR) are used. In the first step, PMBL and DLBCL cases were distinguished with an internationally accepted clinical-pathological method. The agreement between clinical-pathological diagnosis and GEP is only 76%. In the presented text a genetic algorithm for PMBL/DLBCL distinguishing is suggested. It uses three carefully chosen genes and their expression is measured with RTqPCR. Both, the...

Les canalopathies cardiaques congénitales constituent la principale hypothèse diagnostique dans les cas de mort subite inexpliquée chez les sujets de moins de 35 ans. Notre travail a eu pour objectif demettre au point une stratégie de détection post-mortem des mutations sur les gènes connus pour être impliqués dans les canalopathies cardiaques, applicable en routine, à partir de la principale source d’ADN post-mortem disponible en France à savoir les prélèvements fixés au formol et inclus en paraffine (FFIP). A partir d’une cohorte de 12 cas, deux techniques de détection de variants génétiques ont été évaluées, une technique de criblage par l’analyse des courbes de fusion haute résolution et une technique de génotypage par spectrométrie de masse MALDI-TOF, respectivement sur le gène KCNQ1 et le gène RyR2. Quelle que soit la technique utilisée, il n’est pas possible de s’affranchir du séquençage de type Sanger afin d’explorer les séquences d’intérêts qui n’ont pu être optimisées avec l’une ou l’autre des méthodes à la fois sur les prélèvements congelés et FFIP. L’arrivée des séquenceurs de nouvelles générations ouvrent ainsi de nouvelles perspectives dans ce domaine. / The congenital cardiac channelopathies constitute the principal diagnostic hypothesis in autopsynegative sudden unexplained death concerning people younger than 35 years old. The present study aimed to develop a strategy of mutations detection on known genes implicated in the cardiac channelopathies. This strategy of mutations detection had to be applicable to routine and has been studied on formalin-fixed and paraffin-embedded (FFPE) tissues which are the principal DNA source available in France. On a cohort of 12 cases, two technique of sequence variants detection wereevaluated: the screening method of High Resolution Melt and the genotyping method based on a MALDI-TOF mass spectrometry, respectively on KCNQ1 and RyR2 genes. Whatever the technique, there is a necessity of resorting to the Sanger sequencing to explore the sequence of interest none optimized with one or the other technology both on FFEP and frozen tissues. That’s why the next generation sequencing method should open new perspectives in the post-mortem diagnostic of cardiac channelopathies.

Diagnostik und Therapie des progressiven Siebbeinhämatoms beim Pferd Chirurgische Tierklinik der Veterinärmedizinischen Fakultät der Universität Leipzig Eingereicht im Oktober 2013 74 Seiten, 11 Abbildungen, 17 Tabellen, 55 Literaturquellen Bei der vorliegenden Arbeit handelt es sich um eine retrospektive, multizentrische Studie des progressiven Siebbeinhämatoms, eines selten vorkommenden Krankheitssyndroms beim Pferd. Dazu wurden die Krankenakten von 25 Patienten dreier tiermedizinischer Pferdekliniken ausgewertet. Das Patientenmaterial ist inhomogen und entspricht den Bedingungen der Praxis. Insgesamt sind die Patientenzahlen zu gering um die Daten homogen auszuwerten und gelten deshalb als Schätzwert. Die verschiedenen weiterführenden Untersuchungsverfahren wurden beschrieben und der Therapieerfolg in Abhängigkeit zur Tumorgröße ermittelt. Dabei ergab sich, dass eine Endoskopie die einfachste und die am häufigsten angewandte weiterführende Diagnostikmethode darstellt. Sie erscheint für die Diagnosestellung eines progressiven Siebbeinhämatoms ausreichend. Die computertomographische Untersuchung ermöglicht eine genauere Lokalisation der ausgedehnten Masse und erscheint zur besseren Operationsplanung sinnvoll. Progressive Siebbeinhämatome aller Größen zeigen eine günstige Prognose bezüglich Verkleinerung und klinischer Inapparenz, wenn eine konservative Therapie durch intratumorale Formalininjektionen angewandt wird. Die Behandlung ist einfach durchzuführen. Komplikationen sind bei den hier ausgewerteten Patienten nicht beobachtet wurden. Die chirurgische Therapie des progressiven Siebbeinhämatoms ist die sicherste Methode zur vollständigen Entfernung. Sie bietet bei großen Tumoren in allen Fällen eine günstige Prognose, bietet jedoch keinen Schutz vor einem Langzeitrezidiv. Außer bei besonders großen Tumoren, sind progressive Siebbeinhämatome durchaus am stehenden, sedierten Patienten konservativ behandelbar. Falls diese Methode keinen Therapieerfolg erzielt, kann eine chirurgische Therapie angeschlossen werden.