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  1. Article ; Online: New Postmortem Perspective on Emerging SARS-CoV-2 Variants of Concern, Germany.

    Heinrich, Fabian / Huter, Tobias / Mertens, Sophie / Lange, Philine / Vering, Jessica / Heinemann, Axel / Nörz, Dominik Sebastian / Hoffmann, Armin / Aepfelbacher, Martin / Ondruschka, Benjamin / Krasemann, Susanne / Lütgehetmann, Marc

    Emerging infectious diseases

    2023  Volume 29, Issue 3, Page(s) 652–656

    Abstract: We performed autopsies on persons in Germany who died from COVID-19 and observed higher nasopharyngeal SARS-CoV-2 viral loads for variants of concern (VOC) compared with non-VOC lineages. Pulmonary inflammation and damage appeared higher in non-VOC than ... ...

    Abstract We performed autopsies on persons in Germany who died from COVID-19 and observed higher nasopharyngeal SARS-CoV-2 viral loads for variants of concern (VOC) compared with non-VOC lineages. Pulmonary inflammation and damage appeared higher in non-VOC than VOC lineages until adjusted for vaccination status, suggesting COVID-19 vaccination may mitigate pulmonary damage.
    MeSH term(s) Humans ; Autopsy ; SARS-CoV-2 ; COVID-19 Vaccines ; COVID-19 ; Germany
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2023-02-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1380686-5
    ISSN 1080-6059 ; 1080-6040
    ISSN (online) 1080-6059
    ISSN 1080-6040
    DOI 10.3201/eid2903.221297
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: SARS-CoV-2-assoziierte Hamburger Sterbefalle in der zweiten Pandemiewelle - Vergleich der bekannt gewordenen Todesfälle in den Gesundheitsämtern und der Rechtsmedizin (Mit 3 Tabellen)

    Ondruschka, Benjamin / Püschel, Klaus / Länge, Philine / Becker, Inga Kristina / Rieger-Ndakorerwa, Gudrun / Schröder, Ann Sophie

    Archiv für Kriminologie

    2021  Volume 248, Issue 5/6, Page(s) 180

    Language German
    Document type Article
    ZDB-ID 470-4
    ISSN 0003-9225
    Database Current Contents Medicine

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  3. Article ; Online: Postmortem Antigen-Detecting Rapid Diagnostic Tests to Predict Infectivity of SARS-CoV-2-Associated Deaths.

    Heinrich, Fabian / Schröder, Ann Sophie / Gerberding, Anna-Lina / Gerling, Moritz / Langenwalder, Felicia / Lange, Philine / Heinemann, Axel / Bibiza-Freiwald, Eric / Nörz, Dominik Sebastian / Aepfelbacher, Martin / Pfefferle, Susanne / Ondruschka, Benjamin / Lütgehetmann, Marc

    Emerging infectious diseases

    2021  Volume 28, Issue 1, Page(s) 244–247

    Abstract: We investigated the infectivity of 128 severe acute respiratory disease coronavirus 2-associated deaths and evaluated predictive values of standard diagnostic procedures. Maintained infectivity (20%) did not correlate with viral RNA loads but correlated ... ...

    Abstract We investigated the infectivity of 128 severe acute respiratory disease coronavirus 2-associated deaths and evaluated predictive values of standard diagnostic procedures. Maintained infectivity (20%) did not correlate with viral RNA loads but correlated well with anti-S antibody levels. Sensitivity >90% for antigen-detecting rapid diagnostic tests supports their usefulness for assessment.
    MeSH term(s) Autopsy ; COVID-19 ; Diagnostic Tests, Routine ; Humans ; SARS-CoV-2 ; Sensitivity and Specificity ; Viral Load
    Language English
    Publishing date 2021-11-02
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1380686-5
    ISSN 1080-6059 ; 1080-6040
    ISSN (online) 1080-6059
    ISSN 1080-6040
    DOI 10.3201/eid2801.211749
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Replication of SARS-CoV-2 in adipose tissue determines organ and systemic lipid metabolism in hamsters and humans.

    Zickler, Martin / Stanelle-Bertram, Stephanie / Ehret, Sandra / Heinrich, Fabian / Lange, Philine / Schaumburg, Berfin / Kouassi, Nancy Mounogou / Beck, Sebastian / Jaeckstein, Michelle Y / Mann, Oliver / Krasemann, Susanne / Schroeder, Maria / Jarczak, Dominik / Nierhaus, Axel / Kluge, Stefan / Peschka, Manuela / Schlüter, Hartmut / Renné, Thomas / Pueschel, Klaus /
    Kloetgen, Andreas / Scheja, Ludger / Ondruschka, Benjamin / Heeren, Joerg / Gabriel, Guelsah

    Cell metabolism

    2021  Volume 34, Issue 1, Page(s) 1–2

    Abstract: Zickler et al. describe SARS-CoV-2 RNA in post-mortem samples of human adipose tissue. In the hamster model, SARS-CoV-2 propagation in adipose tissue leads to specific changes in lipid metabolism, which are reflected in lipidome patterns of hamster and ... ...

    Abstract Zickler et al. describe SARS-CoV-2 RNA in post-mortem samples of human adipose tissue. In the hamster model, SARS-CoV-2 propagation in adipose tissue leads to specific changes in lipid metabolism, which are reflected in lipidome patterns of hamster and human plasma.
    MeSH term(s) Adipose Tissue/metabolism ; Adipose Tissue/virology ; Animals ; COVID-19/metabolism ; COVID-19/virology ; Cricetinae ; Female ; Humans ; Lipid Metabolism ; Liver/metabolism ; Liver/virology ; Lung/metabolism ; Lung/virology ; Male ; SARS-CoV-2/isolation & purification ; Virus Replication
    Language English
    Publishing date 2021-12-10
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 2176834-1
    ISSN 1932-7420 ; 1550-4131
    ISSN (online) 1932-7420
    ISSN 1550-4131
    DOI 10.1016/j.cmet.2021.12.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Prospective postmortem evaluation of 735 consecutive SARS-CoV-2-associated death cases.

    Fitzek, Antonia / Schädler, Julia / Dietz, Eric / Ron, Alexandra / Gerling, Moritz / Kammal, Anna L / Lohner, Larissa / Falck, Carla / Möbius, Dustin / Goebels, Hanna / Gerberding, Anna-Lina / Schröder, Ann Sophie / Sperhake, Jan-Peter / Klein, Anke / Fröb, Daniela / Mushumba, Herbert / Wilmes, Sandra / Anders, Sven / Kniep, Inga /
    Heinrich, Fabian / Langenwalder, Felicia / Meißner, Kira / Lange, Philine / Zapf, Antonia / Püschel, Klaus / Heinemann, Axel / Glatzel, Markus / Matschke, Jakob / Aepfelbacher, Martin / Lütgehetmann, Marc / Steurer, Stefan / Thorns, Christoph / Edler, Carolin / Ondruschka, Benjamin

    Scientific reports

    2021  Volume 11, Issue 1, Page(s) 19342

    Abstract: Coronavirus disease 19 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has become a global pandemic with significant mortality. Accurate information on the specific circumstances of death and whether patients died from ...

    Abstract Coronavirus disease 19 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has become a global pandemic with significant mortality. Accurate information on the specific circumstances of death and whether patients died from or with SARS-CoV-2 is scarce. To distinguish COVID-19 from non-COVID-19 deaths, we performed a systematic review of 735 SARS-CoV-2-associated deaths in Hamburg, Germany, from March to December 2020, using conventional autopsy, ultrasound-guided minimally invasive autopsy, postmortem computed tomography and medical records. Statistical analyses including multiple logistic regression were used to compare both cohorts. 84.1% (n = 618) were classified as COVID-19 deaths, 6.4% (n = 47) as non-COVID-19 deaths, 9.5% (n = 70) remained unclear. Median age of COVID-19 deaths was 83.0 years, 54.4% were male. In the autopsy group (n = 283), the majority died of pneumonia and/or diffuse alveolar damage (73.6%; n = 187). Thromboses were found in 39.2% (n = 62/158 cases), pulmonary embolism in 22.1% (n = 56/253 cases). In 2020, annual mortality in Hamburg was about 5.5% higher than in the previous 20 years, of which 3.4% (n = 618) represented COVID-19 deaths. Our study highlights the need for mortality surveillance and postmortem examinations. The vast majority of individuals who died directly from SARS-CoV-2 infection were of advanced age and had multiple comorbidities.
    MeSH term(s) Adult ; Age Factors ; Aged ; Aged, 80 and over ; Alveolar Epithelial Cells/pathology ; Alveolar Epithelial Cells/virology ; Autopsy ; COVID-19/diagnosis ; COVID-19/epidemiology ; Comorbidity ; Female ; Germany/epidemiology ; Humans ; Lung/pathology ; Male ; Middle Aged ; Mortality ; Pneumonia ; Prospective Studies ; Pulmonary Embolism ; SARS-CoV-2 ; Thrombosis
    Language English
    Publishing date 2021-09-29
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Systematic Review
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-021-98499-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: CYP19A1 mediates severe SARS-CoV-2 disease outcome in males.

    Stanelle-Bertram, Stephanie / Beck, Sebastian / Mounogou, Nancy Kouassi / Schaumburg, Berfin / Stoll, Fabian / Al Jawazneh, Amirah / Schmal, Zoé / Bai, Tian / Zickler, Martin / Beythien, Georg / Becker, Kathrin / de la Roi, Madeleine / Heinrich, Fabian / Schulz, Claudia / Sauter, Martina / Krasemann, Susanne / Lange, Philine / Heinemann, Axel / van Riel, Debby /
    Leijten, Lonneke / Bauer, Lisa / van den Bosch, Thierry P P / Lopuhaä, Boaz / Busche, Tobias / Wibberg, Daniel / Schaudien, Dirk / Goldmann, Torsten / Lüttjohann, Anna / Ruschinski, Jenny / Jania, Hanna / Müller, Zacharias / Pinho Dos Reis, Vinicius / Krupp-Buzimkic, Vanessa / Wolff, Martin / Fallerini, Chiara / Baldassarri, Margherita / Furini, Simone / Norwood, Katrina / Käufer, Christopher / Schützenmeister, Nina / von Köckritz-Blickwede, Maren / Schroeder, Maria / Jarczak, Dominik / Nierhaus, Axel / Welte, Tobias / Kluge, Stefan / McHardy, Alice C / Sommer, Frank / Kalinowski, Jörn / Krauss-Etschmann, Susanne / Richter, Franziska / von der Thüsen, Jan / Baumgärtner, Wolfgang / Klingel, Karin / Ondruschka, Benjamin / Renieri, Alessandra / Gabriel, Gülsah

    Cell reports. Medicine

    2023  Volume 4, Issue 9, Page(s) 101152

    Abstract: Male sex represents one of the major risk factors for severe COVID-19 outcome. However, underlying mechanisms that mediate sex-dependent disease outcome are as yet unknown. Here, we identify the CYP19A1 gene encoding for the testosterone-to-estradiol ... ...

    Abstract Male sex represents one of the major risk factors for severe COVID-19 outcome. However, underlying mechanisms that mediate sex-dependent disease outcome are as yet unknown. Here, we identify the CYP19A1 gene encoding for the testosterone-to-estradiol metabolizing enzyme CYP19A1 (also known as aromatase) as a host factor that contributes to worsened disease outcome in SARS-CoV-2-infected males. We analyzed exome sequencing data obtained from a human COVID-19 cohort (n = 2,866) using a machine-learning approach and identify a CYP19A1-activity-increasing mutation to be associated with the development of severe disease in men but not women. We further analyzed human autopsy-derived lungs (n = 86) and detect increased pulmonary CYP19A1 expression at the time point of death in men compared with women. In the golden hamster model, we show that SARS-CoV-2 infection causes increased CYP19A1 expression in the lung that is associated with dysregulated plasma sex hormone levels and reduced long-term pulmonary function in males but not females. Treatment of SARS-CoV-2-infected hamsters with a clinically approved CYP19A1 inhibitor (letrozole) improves impaired lung function and supports recovery of imbalanced sex hormones specifically in males. Our study identifies CYP19A1 as a contributor to sex-specific SARS-CoV-2 disease outcome in males. Furthermore, inhibition of CYP19A1 by the clinically approved drug letrozole may furnish a new therapeutic strategy for individualized patient management and treatment.
    MeSH term(s) Female ; Humans ; Male ; Aromatase/genetics ; Letrozole ; SARS-CoV-2 ; COVID-19/genetics ; Estradiol ; Testosterone
    Chemical Substances Aromatase (EC 1.14.14.1) ; Letrozole (7LKK855W8I) ; Estradiol (4TI98Z838E) ; Testosterone (3XMK78S47O) ; CYP19A1 protein, human (EC 1.14.14.1)
    Language English
    Publishing date 2023-08-12
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2666-3791
    ISSN (online) 2666-3791
    DOI 10.1016/j.xcrm.2023.101152
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: CYP19A1 mediates severe SARS-CoV-2 disease outcome in males

    Stanelle-Bertram, Stephanie / Beck, Sebastian / Mounogou, Nancy Kouassi / Schaumburg, Berfin / Stoll, Fabian / Jawazneh, Amirah Al / Schmal, Zoé / Bai, Tian / Zickler, Martin / Beythien, Georg / Becker, Kathrin / Roi, Madeleine de la / Heinrich, Fabian / Schulz, Claudia / Sauter, Martina / Krasemann, Susanne / Lange, Philine / Heinemann, Axel / Riel, Debby van /
    Leijten, Lonneke / Bauer, Lisa / Bosch, Thierry P.P. van den / Lopuhaä, Boaz / Busche, Tobias / Wibberg, Daniel / Schaudien, Dirk / Goldmann, Torsten / Lüttjohann, Anna / Ruschinski, Jenny / Jania, Hanna / Müller, Zacharias / Reis, Vinicius Pinho dos / Krupp-Buzimkic, Vanessa / Wolff, Martin / Fallerini, Chiara / Baldassarri, Margherita / Furini, Simone / Norwood, Katrina / Käufer, Christopher / Schützenmeister, Nina / Köckritz-Blickwede, Maren von / Schroeder, Maria / Jarczak, Dominik / Nierhaus, Axel / Welte, Tobias / Kluge, Stefan / McHardy, Alice C. / Sommer, Frank / Kalinowski, Jörn / Krauss-Etschmann, Susanne / Richter, Franziska / Thüsen, Jan von der / Baumgärtner, Wolfgang / Klingel, Karin / Ondruschka, Benjamin / Renieri, Alessandra / Gabriel, Gülsah

    2023  

    Abstract: Male sex represents one of the major risk factors for severe COVID-19 outcome. However, underlying mechanisms that mediate sex-dependent disease outcome are as yet unknown. Here, we identify the CYP19A1 gene encoding for the testosterone-to-estradiol ... ...

    Abstract Male sex represents one of the major risk factors for severe COVID-19 outcome. However, underlying mechanisms that mediate sex-dependent disease outcome are as yet unknown. Here, we identify the CYP19A1 gene encoding for the testosterone-to-estradiol metabolizing enzyme CYP19A1 (also known as aromatase) as a host factor that contributes to worsened disease outcome in SARS-CoV-2-infected males. We analyzed exome sequencing data obtained from a human COVID-19 cohort (n = 2,866) using a machine-learning approach and identify a CYP19A1-activity-increasing mutation to be associated with the development of severe disease in men but not women. We further analyzed human autopsy-derived lungs (n = 86) and detect increased pulmonary CYP19A1 expression at the time point of death in men compared with women. In the golden hamster model, we show that SARS-CoV-2 infection causes increased CYP19A1 expression in the lung that is associated with dysregulated plasma sex hormone levels and reduced long-term pulmonary function in males but not females. Treatment of SARS-CoV-2-infected hamsters with a clinically approved CYP19A1 inhibitor (letrozole) improves impaired lung function and supports recovery of imbalanced sex hormones specifically in males. Our study identifies CYP19A1 as a contributor to sex-specific SARS-CoV-2 disease outcome in males. Furthermore, inhibition of CYP19A1 by the clinically approved drug letrozole may furnish a new therapeutic strategy for individualized patient management and treatment.

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    Subject code 610
    Language English
    Publishing country de
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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