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  1. Article ; Online: RHBDL4-triggered downregulation of COPII adaptor protein TMED7 suppresses TLR4-mediated inflammatory signaling.

    Knopf, Julia D / Steigleder, Susanne S / Korn, Friederike / Kühnle, Nathalie / Badenes, Marina / Tauber, Marina / Theobald, Sebastian J / Rybniker, Jan / Adrain, Colin / Lemberg, Marius K

    Nature communications

    2024  Volume 15, Issue 1, Page(s) 1528

    Abstract: The toll-like receptor 4 (TLR4) is a central regulator of innate immunity that primarily recognizes bacterial lipopolysaccharide cell wall constituents to trigger cytokine secretion. We identify the intramembrane protease RHBDL4 as a negative regulator ... ...

    Abstract The toll-like receptor 4 (TLR4) is a central regulator of innate immunity that primarily recognizes bacterial lipopolysaccharide cell wall constituents to trigger cytokine secretion. We identify the intramembrane protease RHBDL4 as a negative regulator of TLR4 signaling. We show that RHBDL4 triggers degradation of TLR4's trafficking factor TMED7. This counteracts TLR4 transport to the cell surface. Notably, TLR4 activation mediates transcriptional upregulation of RHBDL4 thereby inducing a negative feedback loop to reduce TLR4 trafficking to the plasma membrane. This secretory cargo tuning mechanism prevents the over-activation of TLR4-dependent signaling in an in vitro Mycobacterium tuberculosis macrophage infection model and consequently alleviates septic shock in a mouse model. A hypomorphic RHBDL4 mutation linked to Kawasaki syndrome, an ill-defined inflammatory disorder in children, further supports the pathophysiological relevance of our findings. In this work, we identify an RHBDL4-mediated axis that acts as a rheostat to prevent over-activation of the TLR4 pathway.
    MeSH term(s) Animals ; Child ; Humans ; Mice ; Adaptor Proteins, Signal Transducing/metabolism ; Cell Membrane/metabolism ; Down-Regulation ; Lipopolysaccharides/metabolism ; Signal Transduction ; Toll-Like Receptor 4/metabolism
    Chemical Substances Adaptor Proteins, Signal Transducing ; Lipopolysaccharides ; TLR4 protein, human ; Toll-Like Receptor 4 ; Rhbdl3 protein, mouse (EC 3.4.21.105)
    Language English
    Publishing date 2024-03-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2553671-0
    ISSN 2041-1723 ; 2041-1723
    ISSN (online) 2041-1723
    ISSN 2041-1723
    DOI 10.1038/s41467-024-45615-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book ; Online ; Thesis: Retrospektive Untersuchung zur Häufigkeit einer Proteinurie unter Sulfasalazin-Therapie bei Kindern mit juveniler idiopathischer Arthritis

    Korn, Friederike [Verfasser]

    2010  

    Author's details vorgelegt von Friederike Korn
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language German
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  3. Article ; Online: The Taussig-Bing anomaly: long-term results.

    Schwarz, Friederike / Blaschczok, Hedwig-Christine / Sinzobahamvya, Nicodème / Sata, Sojiro / Korn, Friederike / Weber, Anton / Asfour, Boulos / Hraska, Viktor

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2013  Volume 44, Issue 5, Page(s) 821–827

    Abstract: Objectives: The arterial switch operation (ASO) is the method of choice for the Taussig-Bing heart. The aim of the study was to analyse the long-term outcome of correction of the Taussig-Bing heart.: Methods: Between 1986 and 2011, 44 infants, ... ...

    Abstract Objectives: The arterial switch operation (ASO) is the method of choice for the Taussig-Bing heart. The aim of the study was to analyse the long-term outcome of correction of the Taussig-Bing heart.
    Methods: Between 1986 and 2011, 44 infants, including 18 newborns, underwent an ASO. The staged and the primary approach were used in 9 and 35 patients, respectively. Aortic arch (AA) obstruction (n = 26) and right ventricle outflow tract obstruction (n = 34) were common. The mean age at corrective surgery was 112.9 days; the mean weight was 4.17 kg.
    Results: There were 1 early and 4 late deaths. Overall survival was 88% at 15 years, with a mean follow-up of 9.2 years. Freedom from reoperation was 67% at 15 years of follow-up. Eight and 6 patients required right and left ventricular outflow tract surgery, respectively, including resection of the right ventricular outflow tract obstruction (n = 8), a transanular patch (n = 6), aortic valve reconstruction (n = 3), aortic valve replacement (n = 2) and AA reoperation (n = 4). Freedom from aortic regurgitation >mild or aortic valve replacement/reconstruction was 76% at 15 years of follow-up. Freedom from any event was 56% at 15 years of follow-up. All patients are in sinus rhythm, and biventricular function is well-preserved in 95% of patients. All patients are doing well; 86% of them are without medication.
    Conclusions: Corrective surgery offers excellent survival benefits and encouraging long-term functional outcomes, regardless of the coronary anatomy and associated lesions. Normal biventricular function is preserved in the vast majority of patients, and >3/4 of patients are without cardiac medication. Nevertheless, TBH associated with a complex anatomy continues to be a risk factor for long-term morbidity, and redos and reinterventions are equally common on both outflow tracts. Progressive neoaortic regurgitation and neoaortic root dilatation might be a problem in the future; therefore, close lifelong surveillance of patients is necessary.
    MeSH term(s) Aortic Valve Insufficiency/etiology ; Arrhythmias, Cardiac/etiology ; Cardiovascular Surgical Procedures/adverse effects ; Cardiovascular Surgical Procedures/methods ; Double Outlet Right Ventricle/surgery ; Female ; Humans ; Infant ; Kaplan-Meier Estimate ; Male ; Retrospective Studies ; Treatment Outcome ; Ventricular Outflow Obstruction/etiology
    Language English
    Publishing date 2013-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezt148
    Database MEDical Literature Analysis and Retrieval System OnLINE

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