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  1. Book ; Audio / Video ; Thesis: Molekulare Mechanismen und biologische Effekte der Invasion von Staphylococcus aureus in humane Endothelzellen

    Schreiner, Bettina

    2002  

    Author's details vorgelegt von Bettina Schreiner
    Language German
    Size 1 CD-ROM, 12 cm
    Publishing country Germany
    Document type Book ; Audio / Video ; Thesis
    Thesis / German Habilitation thesis Tübingen, Univ., Diss., 2002
    HBZ-ID HT013698342
    Database Catalogue ZB MED Medicine, Health

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  2. Article: Neuromuskuläres Praxiswissen: Fokus Muskelschwäche.

    Schubert, Kai Michael / Schreiner, Bettina

    Praxis

    2023  Volume 112, Issue 9, Page(s) 459–468

    Abstract: Introduction: Muscle weakness is a common symptom in the general practice. The diagnostic work-up starts with distinguishing true muscle weakness from fatigue. The localization, time course and severity of muscle weakness as well as associated symptoms, ...

    Title translation Neuromuscular Practical Knowledge: Focus On Muscle Weakness.
    Abstract Introduction: Muscle weakness is a common symptom in the general practice. The diagnostic work-up starts with distinguishing true muscle weakness from fatigue. The localization, time course and severity of muscle weakness as well as associated symptoms, concomitant diseases, medication and family history can help classify the weakness into certain main categories. These are genetic, inflammatory, infectious, neoplastic, toxic and metabolic/endocrine causes. Further laboratory investigations, ENMG, MRI, muscle biopsy and genetic testing can help to further narrow the differential diagnosis. Due to recent advances, particularly in the field of genetics and targeted immunomodulatory therapies, a growing number of diseases which present with muscular weakness can be treated successfully.
    MeSH term(s) Humans ; Muscle Weakness/etiology ; Paresis ; Fatigue ; Biopsy ; Diagnosis, Differential
    Language German
    Publishing date 2023-08-26
    Publishing country Switzerland
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 209026-0
    ISSN 1661-8165 ; 1661-8157 ; 0369-8394
    ISSN (online) 1661-8165
    ISSN 1661-8157 ; 0369-8394
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book ; Thesis: Molekular-zytogenetische Charakterisierung induzierter, duktaler Pankreastumoren in transgenen Mausmodellen

    Schreiner, Bettina

    2002  

    Author's details vorgelegt von Bettina Schreiner
    Language German
    Size 161 Bl., Ill., graph. Darst., 30 cm
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Ulm, Univ., Diss., 2003
    HBZ-ID HT013749265
    Database Catalogue ZB MED Medicine, Health

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  4. Book ; Thesis: Molekulare Mechanismen und biologische Effekte der Invasion von Staphylococcus aureus in humane Endothelzellen

    Schreiner, Bettina

    2002  

    Author's details vorgelegt von Bettina Schreiner
    Language German
    Size 120 S., Ill., graph. Darst.
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Tübingen, Univ., Diss., 2002 (Nicht für den Austausch)
    HBZ-ID HT013417319
    Database Catalogue ZB MED Medicine, Health

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  5. Article ; Online: Immune checkpoint inhibitors induced side effects of the peripheral nervous system.

    Hundsberger, Thomas / Schreiner, Bettina / Roth, Patrick

    Current opinion in neurology

    2023  Volume 36, Issue 5, Page(s) 427–431

    Abstract: Purpose of review: This review highlights recent knowledge on the diagnosis and treatment of immune checkpoint inhibitor-induced neurological side effects (irNAE) focussing on the neuromuscular system.: Recent findings: irNAEs mainly resemble ... ...

    Abstract Purpose of review: This review highlights recent knowledge on the diagnosis and treatment of immune checkpoint inhibitor-induced neurological side effects (irNAE) focussing on the neuromuscular system.
    Recent findings: irNAEs mainly resemble sporadic neuromuscular autoimmune diseases and paraneoplastic neurological syndromes. However, neurological symptoms may be unspecific (muscle weakness, fatigue) in the oncological setting and carry the risk of misdiagnosis and delayed therapeutic intervention. The role of disease-specific neuromuscular autoantibodies in the diagnosis is controversial as preexisting autoantibodies may otherwise be present before immune checkpoint inhibitor (ICI) treatment without clinical symptoms and may not develop in case of irNAE manifestation. A new necrotising form of myositis (irMyositis) has been described presenting with facial weakness and ptosis mimicking myasthenia gravis. It comes along with a high rate of severe myocarditis accounting for a triad overlap syndrome (myasthenia/myositis/myocarditis). The role of modern biologicals in the treatment of irNAEs has to be determined.
    Summary: irNAEs are rare but carry the risk of permanent morbidity and mortality. Early suspicion and diagnosis are key to prevent neurological sequelae. Beyond interruption of ICI administration, treatment corresponds to sporadic autoimmune diseases. The myasthenia/myositis/myocarditis overlap syndrome deserves special attention as it carries the highest risk of mortality. The role of neurotoxic pretreatment regimens, preexisting subclinical neurological autoimmune diseases and the risk of ICI-re-challenge after irNAEs has to be further investigated.
    MeSH term(s) Humans ; Immune Checkpoint Inhibitors/adverse effects ; Myocarditis ; Drug-Related Side Effects and Adverse Reactions ; Peripheral Nervous System ; Myasthenia Gravis/chemically induced ; Myasthenia Gravis/drug therapy ; Myositis/chemically induced ; Myositis/drug therapy ; Autoantibodies
    Chemical Substances Immune Checkpoint Inhibitors ; Autoantibodies
    Language English
    Publishing date 2023-07-24
    Publishing country England
    Document type Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1182686-1
    ISSN 1473-6551 ; 1350-7540
    ISSN (online) 1473-6551
    ISSN 1350-7540
    DOI 10.1097/WCO.0000000000001188
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: EMPhasis on Mutant Microglia: Dysregulation of Brain Sentinels Induces Neurodegeneration.

    Schreiner, Bettina / Greter, Melanie

    Cell stem cell

    2017  Volume 21, Issue 5, Page(s) 566–568

    Abstract: Reactive microglia are often implicated in the pathology of neurodegenerative disease. In a recent study in Nature, Mass et al. (2017) demonstrate that targeted mutation of Braf in early erythro-myeloid precursors (EMPs) causes histiocytosis-associated ... ...

    Abstract Reactive microglia are often implicated in the pathology of neurodegenerative disease. In a recent study in Nature, Mass et al. (2017) demonstrate that targeted mutation of Braf in early erythro-myeloid precursors (EMPs) causes histiocytosis-associated late onset neurodegeneration driven by activated microglia.
    MeSH term(s) Brain ; Humans ; Microglia ; Mutation ; Myeloid Progenitor Cells ; Neurodegenerative Diseases/genetics
    Language English
    Publishing date 2017-11-02
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2375354-7
    ISSN 1875-9777 ; 1934-5909
    ISSN (online) 1875-9777
    ISSN 1934-5909
    DOI 10.1016/j.stem.2017.10.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Accuracy of Repetitive Ocular Vestibular-Evoked Myogenic Potentials to Diagnose Myasthenia Gravis in Patients With Ptosis or Diplopia.

    Valko, Yulia / Wirth, Magdalena A / Fierz, Fabienne C / Schesny, Marianne K / Rosengren, Sally / Schmückle-Meier, Tanja / Bockisch, Christopher J / Straumann, Dominik / Schreiner, Bettina / Weber, Konrad P

    Neurology

    2024  Volume 102, Issue 10, Page(s) e209395

    Abstract: Background and objectives: We developed repetitive ocular vestibular-evoked myogenic potentials (roVEMP) as an electrophysiologic test that allows us to elicit the characteristic decrement of extraocular muscles in patients with ocular myasthenia gravis ...

    Abstract Background and objectives: We developed repetitive ocular vestibular-evoked myogenic potentials (roVEMP) as an electrophysiologic test that allows us to elicit the characteristic decrement of extraocular muscles in patients with ocular myasthenia gravis (OMG). Case-control studies demonstrated that roVEMP reliably differentiates patients with OMG from healthy controls. We now aimed to evaluate the diagnostic accuracy of roVEMP for OMG diagnosis in patients with ptosis and/or diplopia.
    Methods: In this blinded prospective diagnostic accuracy trial, we compared roVEMP in 89 consecutive patients presenting with ptosis and/or diplopia suspicious of OMG with a multimodal diagnostic approach, including clinical examination, antibodies, edrophonium testing, repetitive nerve stimulation of accessory and facial nerves, and single-fiber EMG (SFEMG). We calculated the roVEMP decrement as the ratio between the mean of the first 2 responses compared with the mean of the sixth-ninth responses in the train and used cutoff of >9% (unilateral decrement) in a 30 Hz stimulation paradigm.
    Results: Following a complete diagnostic work-up, 39 patients (44%) were diagnosed with ocular MG, while 50 patients (56%) had various other neuro-ophthalmologic conditions, but not MG (non-MG). roVEMP yielded 88.2% sensitivity, 30.2% specificity, 50% positive predictive value (PPV), and 76.5% negative predictive value (NPV). For comparison, SFEMG resulted in 75% sensitivity, 56% specificity, 55.1% PPV, and 75.7% NPV. All other diagnostic tests (except for the ice pack test) also yielded significantly higher positive results in patients with MG compared with non-MG.
    Discussion: The study revealed a high sensitivity of 88.2% for roVEMP in OMG, but specificity and PPV were too low to allow for the OMG diagnosis as a single test. Thus, differentiating ocular MG from other neuro-ophthalmologic conditions remains challenging, and the highest diagnostic accuracy is still obtained by a multimodal approach. In this study, roVEMP can complement the diagnostic armamentarium for the diagnosis of MG.
    Classification of evidence: This study provides Class I evidence that in patients with diplopia and ptosis, roVEMP alone does not accurately distinguish MG from non-MG disorders.
    Trial registration information: ClinicalTrials.gov: NCT03049956.
    MeSH term(s) Humans ; Myasthenia Gravis/diagnosis ; Myasthenia Gravis/physiopathology ; Myasthenia Gravis/complications ; Male ; Female ; Diplopia/diagnosis ; Diplopia/physiopathology ; Diplopia/etiology ; Middle Aged ; Vestibular Evoked Myogenic Potentials/physiology ; Adult ; Blepharoptosis/diagnosis ; Blepharoptosis/physiopathology ; Blepharoptosis/etiology ; Aged ; Prospective Studies ; Electromyography/methods ; Sensitivity and Specificity ; Oculomotor Muscles/physiopathology ; Young Adult
    Language English
    Publishing date 2024-04-26
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000209395
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Perspectives on cytokine-directed therapies in multiple sclerosis.

    Schreiner, Bettina / Becher, Burkhard

    Swiss medical weekly

    2015  Volume 145, Page(s) w14199

    Abstract: Multiple sclerosis (MS) is the most common inflammatory demyelinating disorder of the central nervous system (CNS). Over the past 10 years there has been a heated debate as to whether MS pathogenesis commences in the CNS or whether it is actually ... ...

    Abstract Multiple sclerosis (MS) is the most common inflammatory demyelinating disorder of the central nervous system (CNS). Over the past 10 years there has been a heated debate as to whether MS pathogenesis commences in the CNS or whether it is actually primarily a disease of the immune system. The combined clinical data, therapy responses, pathology, animal models and genetic studies now provide overwhelming support for the concept that MS is a disease of the immune system and that the CNS is only the unfortunate target of a misguided immune attack. Immune cells communicate through the use of cytokines and these proteins can orchestrate the most complex behaviour in immune cells. We propose that MS is a disease where immune communication is derailed, which makes MS very amenable to immunotherapy and in particular makes cytokines an attractive target to repair this miscommunication disorder.
    MeSH term(s) Autoimmunity ; Central Nervous System/immunology ; Cytokines/immunology ; Cytokines/therapeutic use ; Humans ; Multiple Sclerosis/drug therapy ; Multiple Sclerosis/immunology
    Chemical Substances Cytokines
    Language English
    Publishing date 2015
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2036179-8
    ISSN 1424-3997 ; 1424-7860
    ISSN (online) 1424-3997
    ISSN 1424-7860
    DOI 10.4414/smw.2015.14199
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Antibodies Produced by CLL Phenotype B Cells in Patients With Myasthenia Gravis Are Not Directed Against Neuromuscular Endplates.

    Ingelfinger, Florian / Kramer, Michael / Lutz, Mirjam / Widmer, Corinne C / Piccoli, Luca / Kreutmair, Stefanie / Wertheimer, Tobias / Woodhall, Mark / Waters, Patrick / Sallusto, Federica / Lanzavecchia, Antonio / Mundt, Sarah / Becher, Burkhard / Schreiner, Bettina

    Neurology(R) neuroimmunology & neuroinflammation

    2023  Volume 10, Issue 2

    Abstract: Background and objectives: Myasthenia gravis (MG) can in rare cases be an autoimmune phenomenon associated with hematologic malignancies such as chronic lymphocytic leukemia (CLL). It is unclear whether in patients with MG and CLL, the leukemic B cells ... ...

    Abstract Background and objectives: Myasthenia gravis (MG) can in rare cases be an autoimmune phenomenon associated with hematologic malignancies such as chronic lymphocytic leukemia (CLL). It is unclear whether in patients with MG and CLL, the leukemic B cells are the ones directly driving the autoimmune response against neuromuscular endplates.
    Methods: We identified patients with acetylcholine receptor antibody-positive (AChR
    Results: A computational immune cell screen revealed a subgroup of 5/38 patients with MG and 0/21 healthy controls who displayed a CLL-like B-cell phenotype. In follow-up hematologic flow cytometry, 2 of these 5 patients were diagnosed with an MBL. An additional patient with AChR
    Discussion: Our study suggests that AChR autoantibodies are produced by nonmalignant, polyclonal B cells The new anti-CD20 treatment obinutuzumab might be considered in effectively treating AChR
    Classification of evidence: This is a single case study and provides Class IV evidence that obinutuzumab is safe to use in patients with MG.
    MeSH term(s) Humans ; Leukemia, Lymphocytic, Chronic, B-Cell/complications ; Leukemia, Lymphocytic, Chronic, B-Cell/drug therapy ; Myasthenia Gravis/complications ; Receptors, Cholinergic ; B-Lymphocytes ; Antibodies, Monoclonal ; Autoantibodies ; Autoantigens
    Chemical Substances Receptors, Cholinergic ; Antibodies, Monoclonal ; Autoantibodies ; Autoantigens
    Language English
    Publishing date 2023-02-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2767740-0
    ISSN 2332-7812 ; 2332-7812
    ISSN (online) 2332-7812
    ISSN 2332-7812
    DOI 10.1212/NXI.0000000000200087
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Diabetes insipidus and Guillain-Barré-like syndrome following CAR-T cell therapy: a case report.

    Koch, Christian / Fleischer, Juliane / Popov, Todor / Frontzek, Karl / Schreiner, Bettina / Roth, Patrick / Manz, Markus G / Unseld, Simone / Müller, Antonia M S / Russkamp, Norman F

    Journal for immunotherapy of cancer

    2023  Volume 11, Issue 1

    Abstract: Background: Immune effector cell-associated neurotoxicity syndrome (ICANS) is a common adverse event of CD19-directed chimeric antigen receptor (CAR) T cell therapy. Other neurological adverse events, however, have not methodically been described and ... ...

    Abstract Background: Immune effector cell-associated neurotoxicity syndrome (ICANS) is a common adverse event of CD19-directed chimeric antigen receptor (CAR) T cell therapy. Other neurological adverse events, however, have not methodically been described and studied. Furthermore, safety data on CAR-T cell therapy in patients with central nervous system (CNS) lymphoma remain limited.
    Main body: We here report occurrence of a Guillain-Barré-like syndrome (GBS) and central diabetes insipidus (cDI) following tisagenlecleucel therapy for relapsed high-grade lymphoma with CNS involvement. Both complications were refractory to standard treatment of ICANS. Weakness of respiratory muscles required mechanical ventilation and tracheostomy while cDI was treated with desmopressin substitution for several weeks. Muscle-nerve biopsy and nerve conduction studies confirmed an axonal pattern of nerve damage. T cell-rich infiltrates and detection of the CAR transgene in muscle-nerve sections imply a direct or indirect role of CAR-T cell-mediated inflammation. In line with current treatment guidelines for GBS, intravenous immunoglobulin was administered and gradual but incomplete recovery was observed over the course of several months.
    Conclusions: This case report highlights the risk of rare but severe neurological adverse events, such as acute GBS or cDI, in patients treated with CAR-T cells. It further underlines the importance of appropriate patient surveillance and systematic reporting of rare complications to eventually improve treatment.
    MeSH term(s) Humans ; Receptors, Chimeric Antigen ; Immunotherapy, Adoptive/adverse effects ; Lymphoma, Non-Hodgkin ; Central Nervous System Neoplasms ; Diabetes Insipidus/etiology ; Cell- and Tissue-Based Therapy ; Diabetes Mellitus
    Chemical Substances Receptors, Chimeric Antigen ; cell-associated neurotoxicity
    Language English
    Publishing date 2023-01-23
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2719863-7
    ISSN 2051-1426 ; 2051-1426
    ISSN (online) 2051-1426
    ISSN 2051-1426
    DOI 10.1136/jitc-2022-006059
    Database MEDical Literature Analysis and Retrieval System OnLINE

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