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  1. Article ; Online: Management of Patients Undergoing CAR-T Cell Therapy in Germany.

    Penack, Olaf / Dreger, Peter / Ajib, Salem / Ayuk, Francis / Baermann, Ben-Niklas / Bug, Gesine / Kriege, Oliver / Jentzsch, Madlen / Kobbe, Guido / Koenecke, Christian / Lutz, Mathias / Martin, Sonja / Schlegel, Paul-Gerhard / Schroers, Roland / von Tresckow, Bastian / Vucinic, Vladan / Subklewe, Marion / Bethge, Wolfgang / Wolff, Daniel

    Oncology research and treatment

    2024  Volume 47, Issue 3, Page(s) 65–75

    Abstract: Introduction: Chimeric antigen receptor positive T cell (CAR-T cell) treatment became standard therapy for relapsed or refractory hematologic malignancies, such as non-Hodgkin's lymphoma and multiple myeloma. Owing to the rapidly progressing field of ... ...

    Abstract Introduction: Chimeric antigen receptor positive T cell (CAR-T cell) treatment became standard therapy for relapsed or refractory hematologic malignancies, such as non-Hodgkin's lymphoma and multiple myeloma. Owing to the rapidly progressing field of CAR-T cell therapy and the lack of generally accepted treatment guidelines, we hypothesized significant differences between centers in the prevention, diagnosis, and management of short- and long-term complications.
    Methods: To capture the current CAR-T cell management among German centers to determine the medical need and specific areas for future clinical research, the DAG-HSZT (Deutsche Arbeitsgemeinschaft für Hämatopoetische Stammzelltransplantation und Zelluläre Therapie; German Working Group for Hematopoietic Stem Cell Transplantation and Cellular Therapy) performed a survey among 26 German CAR-T cell centers.
    Results: We received answers from 17 centers (65%). The survey documents the relevance of evidence in the CAR-T cell field with a homogeneity of practice in areas with existing clinical evidence. In contrast, in areas with no - or low quality - clinical evidence, we identified significant variety in management in between the centers: management of cytokine release syndrome, immune effector cell-related neurotoxicity syndrome, IgG substitution, autologous stem cell backups, anti-infective prophylaxis, and vaccinations.
    Conclusion: The results indicate the urgent need for better harmonization of supportive care in CAR-T cell therapies including clinical research to improve clinical outcome.
    MeSH term(s) Humans ; Receptors, Chimeric Antigen ; Immunotherapy, Adoptive ; Germany ; Patients ; Cell- and Tissue-Based Therapy
    Chemical Substances Receptors, Chimeric Antigen
    Language English
    Publishing date 2024-01-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2760274-6
    ISSN 2296-5262 ; 2296-5270
    ISSN (online) 2296-5262
    ISSN 2296-5270
    DOI 10.1159/000536201
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: PTCy versus ATG as graft-versus-host disease prophylaxis in mismatched unrelated stem cell transplantation.

    Penack, Olaf / Abouqateb, Mouad / Peczynski, Christophe / Boreland, William / Gülbas, Zafer / Gedde-Dahl, Tobias / Castilla-Llorente, Cristina / Kröger, Nicolaus / Eder, Mathias / Rambaldi, Alessandro / Bonifazi, Francesca / Blau, Igor Wolfgang / Stelljes, Matthias / Dreger, Peter / Moiseev, Ivan / Schoemans, Hélène / Koenecke, Christian / Peric, Zinaida

    Blood cancer journal

    2024  Volume 14, Issue 1, Page(s) 45

    Abstract: There is an increased risk of GVHD and of non-relapse mortality (NRM) after allogeneic stem cell transplantations (alloSCT) when mismatched unrelated donors (MMUD) are used. In Europe, it is standard practice to use rabbit anti-thymocyte globulin (rATG) ... ...

    Abstract There is an increased risk of GVHD and of non-relapse mortality (NRM) after allogeneic stem cell transplantations (alloSCT) when mismatched unrelated donors (MMUD) are used. In Europe, it is standard practice to use rabbit anti-thymocyte globulin (rATG) to reduce the high NRM and GVHD risks after MMUD alloSCT. As an alternative to rATG, post-transplantation Cyclophosphamide (PTCy) is in increasing clinical use. It is currently impossible to give general recommendations regarding preference for one method over another since comparative evidence from larger data sets is lacking. To improve the evidence base, we analyzed the outcome of rATG vs. PTCy prophylaxis in adult patients with hematologic malignancies undergoing first peripheral blood alloSCT from MMUD (9/10 antigen match) between Jan 2018 and June 2021 in the database of the European Society for Blood and Marrow Transplantation (EBMT). We performed multivariate analyses using the Cox proportional-hazards regression model. We included 2123 patients in the final analyses (PTCy, n = 583; rATG, n = 1540). p values and hazard ratios (HR) presented here are multivariate outcomes. Two years after alloSCT we found a lower NRM in the PTCy group of 18% vs. 24.9% in the rATG group; p = 0.028, HR 0.74. Overall survival in the PTCy cohort was higher with 65.7% vs. 55.7% in the rATG cohort; p < 0.001, HR 0.77. Progression-free survival was also better in the PTCy patients with 59.1% vs. 48.8% when using rATG; p = 0.001, 0.78. The incidences of chronic GVHD and acute GVHD were not significantly different between the groups. We found significantly lower NRM as well as higher survival in recipients of peripheral blood alloSCTs from MMUD receiving PTCy as compared to rATG. The results of the current analysis suggest an added value of PTCy as GVHD prophylaxis in MMUD alloSCT.
    MeSH term(s) Adult ; Humans ; Neoplasm Recurrence, Local/drug therapy ; Hematopoietic Stem Cell Transplantation/adverse effects ; Hematopoietic Stem Cell Transplantation/methods ; Cyclophosphamide/therapeutic use ; Graft vs Host Disease/etiology ; Graft vs Host Disease/prevention & control ; Antilymphocyte Serum/therapeutic use ; Unrelated Donors ; Retrospective Studies
    Chemical Substances Cyclophosphamide (8N3DW7272P) ; Antilymphocyte Serum
    Language English
    Publishing date 2024-03-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2600560-8
    ISSN 2044-5385 ; 2044-5385
    ISSN (online) 2044-5385
    ISSN 2044-5385
    DOI 10.1038/s41408-024-01032-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Emerging strategies in mass-spectrometry based proteomics.

    Dreger, Mathias

    European journal of biochemistry

    2002  Volume 270, Issue 4, Page(s) 569

    MeSH term(s) Animals ; Humans ; Mass Spectrometry/methods ; Proteomics
    Language English
    Publishing date 2002-08-09
    Publishing country England
    Document type Editorial
    ZDB-ID 3032-6
    ISSN 1432-1033 ; 0014-2956
    ISSN (online) 1432-1033
    ISSN 0014-2956
    DOI 10.1046/j.1432-1033.2003.03439.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Subcellular proteomics.

    Dreger, Mathias

    Mass spectrometry reviews

    2003  Volume 22, Issue 1, Page(s) 27–56

    Abstract: The step from the analysis of the genome to the analysis of the proteome is not just a matter of numerical complexity in terms of variants of gene products that can arise from a single gene. A significant further level of complexity is introduced by the ... ...

    Abstract The step from the analysis of the genome to the analysis of the proteome is not just a matter of numerical complexity in terms of variants of gene products that can arise from a single gene. A significant further level of complexity is introduced by the supramolecular organization of gene products because of protein-protein interactions or targeting of proteins to specific subcellular structures. There is currently no single proteome analysis strategy that can sufficiently address all levels of the organization of the proteome. To approach an appropriate analytical complement for the interrogation of the proteome at all of the levels at which it is organized, there emerges the need for a whole arsenal of proteomics strategies. The proteome analysis at the level of subcellular structures (that can be enriched by subcellular fractionation) represents an analytical strategy that combines classic biochemical fractionation methods and tools for the comprehensive identification of proteins. Among the key potentials of this strategy is the capability to screen not only for previously unknown gene products but also to assign them, along with other known, but poorly characterized gene products, to particular subcellular structures. Furthermore, the analysis at the subcellular level is a prerequisite for the detection of important regulatory events such as protein translocation in comparative studies. This review is meant to give an overview on recent key studies in the field of proteome analysis at the level of subcellular structures, and to highlight potentials and requirements.
    MeSH term(s) Animals ; Cells/cytology ; Cells/metabolism ; Humans ; Organelles/physiology ; Proteome ; Proteomics/methods ; Subcellular Fractions
    Chemical Substances Proteome
    Language English
    Publishing date 2003-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1491946-1
    ISSN 1098-2787 ; 0277-7037
    ISSN (online) 1098-2787
    ISSN 0277-7037
    DOI 10.1002/mas.10047
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Proteome analysis at the level of subcellular structures.

    Dreger, Mathias

    European journal of biochemistry

    2002  Volume 270, Issue 4, Page(s) 589–599

    Abstract: The targeting of proteins to particular subcellular sites is an important principle of the functional organization of cells at the molecular level. In turn, knowledge about the subcellular localization of a protein is a characteristic that may provide a ... ...

    Abstract The targeting of proteins to particular subcellular sites is an important principle of the functional organization of cells at the molecular level. In turn, knowledge about the subcellular localization of a protein is a characteristic that may provide a hint as to the function of the protein. The combination of classic biochemical fractionation techniques for the enrichment of particular subcellular structures with the large-scale identification of proteins by mass spectrometry and bioinformatics provides a powerful strategy that interfaces cell biology and proteomics, and thus is termed 'subcellular proteomics'. In addition to its exceptional power for the identification of previously unknown gene products, the analysis of proteins at the subcellular level is the basis for monitoring important aspects of dynamic changes in the proteome such as protein transloction. This review summarizes data from recent subcellular proteomics studies with an emphasis on the type of data that can retrieved from such studies depending on the design of the analytical strategy.
    MeSH term(s) Animals ; Computational Biology ; Humans ; Mass Spectrometry ; Peptide Mapping ; Proteins/analysis ; Proteome/analysis ; Proteomics ; Subcellular Fractions/chemistry
    Chemical Substances Proteins ; Proteome
    Language English
    Publishing date 2002-08-09
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 3032-6
    ISSN 1432-1033 ; 0014-2956
    ISSN (online) 1432-1033
    ISSN 0014-2956
    DOI 10.1046/j.1432-1033.2003.03426.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Are meaningful predictions of toxicological outcomes in clinical trials based on in vitro diagnostics of preclinical drug candidates possible?

    Kroll, Friedrich / Dreger, Mathias

    Future medicinal chemistry

    2010  Volume 2, Issue 11, Page(s) 1613–1617

    MeSH term(s) Clinical Trials as Topic ; Drug Discovery ; Drug Evaluation, Preclinical ; Drug-Related Side Effects and Adverse Reactions ; Genomics ; Humans ; Metabolomics ; Models, Molecular ; Pharmaceutical Preparations/metabolism ; Proteins/chemistry ; Proteins/metabolism ; Proteomics ; Toxicology ; Treatment Outcome
    Chemical Substances Pharmaceutical Preparations ; Proteins
    Language English
    Publishing date 2010-11
    Publishing country England
    Document type Editorial
    ISSN 1756-8927
    ISSN (online) 1756-8927
    DOI 10.4155/fmc.10.245
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Autologous transplant of follicular lymphoma in the era of rituximab.

    Witzens-Harig, Mathias / Dreger, Peter

    Leukemia & lymphoma

    2010  Volume 51, Issue 6, Page(s) 967–974

    Abstract: In advanced follicular lymphoma (FL), autologous stem cell transplant (ASCT) has been studied extensively in an attempt to prolong remission duration and, possibly, achieve ultimate cure. However, increasing evidence of the benefit of rituximab and ... ...

    Abstract In advanced follicular lymphoma (FL), autologous stem cell transplant (ASCT) has been studied extensively in an attempt to prolong remission duration and, possibly, achieve ultimate cure. However, increasing evidence of the benefit of rituximab and various other new drugs has questioned the appropriate place of ASCT in the treatment algorithm of FL in recent years. The purpose of this overview is to propose a definition of the potential role of ASCT in the treatment armamentarium of FL in the light of these new treatment options. Taken together, the absence of an overall survival benefit, the risk of secondary malignancies, and the remarkably good prognosis of patients who receive rituximab and ASCT as salvage therapy in the relapse situation make the use of ASCT as initial therapy difficult to justify. In contrast, evidence is accumulating that, in eligible patients with relapsed FL, rituximab-based chemotherapy followed by ASCT might provide superior disease control in comparison to either modality alone, and has curative potential in a subset of patients. However, these considerations are largely based on retrospective analyses and should be confirmed in prospective randomized trials.
    MeSH term(s) Antibodies, Monoclonal/therapeutic use ; Antibodies, Monoclonal, Murine-Derived ; Combined Modality Therapy ; Disease-Free Survival ; Hematopoietic Stem Cell Transplantation/methods ; Humans ; Lymphoma, Follicular/therapy ; Prognosis ; Rituximab ; Salvage Therapy ; Transplantation, Autologous ; Treatment Outcome
    Chemical Substances Antibodies, Monoclonal ; Antibodies, Monoclonal, Murine-Derived ; Rituximab (4F4X42SYQ6)
    Language English
    Publishing date 2010-04-23
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1042374-6
    ISSN 1029-2403 ; 1042-8194
    ISSN (online) 1029-2403
    ISSN 1042-8194
    DOI 10.3109/10428191003793341
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Profiling of methyltransferases and other S-Adenosyl-L-homocysteine-binding proteins by Capture Compound mass spectrometry.

    Lenz, Thomas / Poot, Peter / Weinhold, Elmar / Dreger, Mathias

    Methods in molecular biology (Clifton, N.J.)

    2012  Volume 803, Page(s) 97–125

    Abstract: There is a variety of approaches to reduce the complexity of the proteome on the basis of functional small molecule-protein interactions. We describe a generic approach based on trifunctional Capture Compounds, in which the initial equilibrium-driven ... ...

    Abstract There is a variety of approaches to reduce the complexity of the proteome on the basis of functional small molecule-protein interactions. We describe a generic approach based on trifunctional Capture Compounds, in which the initial equilibrium-driven interaction between a small molecule probe and target proteins is irreversibly fixed upon photo-crosslinking between an independent photo-activable reactivity function of the Capture Compound and the surface of the target protein(s). Subsequently, Capture Compound - protein conjugates are isolated from complex biological mixtures via the sorting function of the Capture Compound. Here, we describe the application of a trifunctional Capture Compound that carries the methyltransferase product inhibitor S-Adenosyl-L -homocysteine as the selectivity function for the isolation of methyltransferases from a complex lysate of Escherichia coli DH5α cells. Photo-activated crosslinking enhances yield and sensitivity of the experiment, and the specificity can be readily tested for in competition experiments using an excess of free S-Adenosyl-L -homocysteine.
    MeSH term(s) Automation ; Chromatography, Liquid ; Databases, Protein ; Electrophoresis, Polyacrylamide Gel ; Escherichia coli/enzymology ; Mass Spectrometry/methods ; Methyltransferases/metabolism ; Nanotechnology ; Peptides/chemistry ; Peptides/isolation & purification ; Protein Binding ; S-Adenosylhomocysteine/metabolism ; Silver Staining ; Trypsin/metabolism
    Chemical Substances Peptides ; S-Adenosylhomocysteine (979-92-0) ; Methyltransferases (EC 2.1.1.-) ; Trypsin (EC 3.4.21.4)
    Language English
    Publishing date 2012
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1940-6029
    ISSN (online) 1940-6029
    DOI 10.1007/978-1-61779-364-6_8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Book ; Online ; Thesis: Analyse posttranslationaler Modifikationen von Kernhüllenproteinen

    Dreger, Mathias

    1999  

    Author's details vorgelegt von Mathias Dreger
    Keywords Phosphorylierung ; Tyrosin ; Proteine ; Kernhülle ; Photoionisationsmassenspektrometrie ; Matrix-unterstützte Laser-Desorption
    Language German
    Size Online-Ressource
    Edition [Elektronische Ressource]
    Document type Book ; Online ; Thesis
    Thesis / German Habilitation thesis Freie Univ., Diss--Berlin, 1999
    Note Dateiformat: zip, Dateien im PDF-Format
    Database Former special subject collection: coastal and deep sea fishing

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  10. Article ; Online: Probing small molecule-protein interactions: A new perspective for functional proteomics.

    Lenz, Thomas / Fischer, Jenny J / Dreger, Mathias

    Journal of proteomics

    2011  Volume 75, Issue 1, Page(s) 100–115

    Abstract: The isolation of proteome subsets on the basis of the interactions of small molecules with proteins is an emerging paradigm in proteomics. Depending on the nature of the small molecule used as a bait, entire protein families can be monitored in ... ...

    Abstract The isolation of proteome subsets on the basis of the interactions of small molecules with proteins is an emerging paradigm in proteomics. Depending on the nature of the small molecule used as a bait, entire protein families can be monitored in biological samples, or new functions can be attributed to previously uncharacterized proteins. With pharmaceutical compounds as baits, drug targets and toxicity-relevant off-targets can be discovered in an unbiased proteomic screen. At the heart of this strategy are synthetic bi- or trifunctional small molecule probes. These probes carry the small molecules of interest as baits (selectivity function), as well as a sorting function for the isolation of small molecule-protein complexes or conjugates from complex protein mixtures. In some designs, a covalent linkage of the bound protein to the probe is established through a separate reactivity function or a combined selectivity/reactivity function. The covalent linkage allows for isolation or detection of probe-protein conjugates also under harsh or denaturing conditions. Ultimately, specifically isolated proteins are commonly identified by mass spectrometry. This review summarizes probe designs, workflows, and published applications of the three dominant approaches in the field, namely affinity pulldown, activity-based protein profiling, and Capture Compound Mass Spectrometry.
    MeSH term(s) Animals ; Gene Expression Profiling/methods ; Humans ; Mass Spectrometry/methods ; Proteins/analysis ; Proteins/chemistry ; Proteins/metabolism ; Proteomics/methods ; Small Molecule Libraries/analysis ; Small Molecule Libraries/chemistry ; Small Molecule Libraries/metabolism
    Chemical Substances Proteins ; Small Molecule Libraries
    Language English
    Publishing date 2011-12-10
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2400835-7
    ISSN 1876-7737 ; 1874-3919
    ISSN (online) 1876-7737
    ISSN 1874-3919
    DOI 10.1016/j.jprot.2011.07.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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