The Institute's tasks are mainly in the area of teaching and research and represent a link within the University Hospital between experimental-scientific work on the one hand and patient care in intensive care medicine on the other. Accordingly, special emphasis is placed on the clinicalrelevance of the models used in all experimental studies. For example, chronic cardiovascular, pulmonary and metabolic diseases, which are present in the majority of patients, are taken into account. Particular attention is paid to the integration of monitoring and therapy measures, which are standard in intensive care medicine, into the respective experimental design in order to enable the greatest possible transferability of the results obtained for daily work at the bedside.

In addition to student training in the subjects of anaesthesia, emergency medicine and expedition medicine, teaching activities are primarily characterised by the export of teaching to the pre-clinical subjects of the Faculty of Medicine as well as by further and advanced training in diving medicine.

Experimental methods

The working group is concerned with the analysis of mitochondrial respiration in homogenised or permeabilised tissue samples or in cell cultures from immortalised or primary cell lines. The analysis is centred on respirometry (high-resolution respirometry), which allows precise recording of O2 consumption under defined conditions. This allows mitochondrial respiration to be recorded at various constant temperatures (4°C - 40°C), pH values and O2 concentrations (>0.001 µM). The analyses are carried out regularly in samples from muscle tissue (heart muscle and skeletal muscle), liver, kidney and neuronal tissue. Various cell types such as cell lines from solid tumours, haematological cell lines, freshly isolated haematological cells (PBMCs, granulocytes), cardiomyocytes, hepatocytes, cell lines of renal origin and primary neurons are also regularly examined. In addition to respirometry, fluorescence spectroscopy has been established in recent years, which allows the mitochondrial membrane potential, ATP production and ROS generation to be measured in parallel with the analysis of mitochondrial respiration.

The histology and immunohistochemistry section of the Institute APV focuses on the processing and evaluation of biopsy and post mortem tissue samples, in collaboration with the Departments of Pathology and Neuroanatomy, for the determination of tissue injury in various organ systems: cardiovascular, renal, gastro-intestinal and central nervous system. In addition to classical routine stains like hematoxylin and eosin, periodic acid schiff and Nissl, using biotechnology based specific protein chemistry and biotinylated oligonucleotides we identify, in situ, biomarkers of interest for a variety of pathologies and their mechanisms: barrier dysfunction, apoptosis, inflammation and reactive oxygen and nitrogen species formation.

 

 

 

This working group focuses on immortalised and primary cell cultures. Using a variety of methods (immunofluorescence, Western blot, analysis of mitochondrial function, ROS generation, and FACS analysis), we investigate the pathophysiological mechanisms of sepsis and potential therapeutic measures that could be used in the future for severe sepsis in everyday clinical practice. The H2Ssystem in particular plays a decisive role here, but also the targeted downregulation of energy metabolism in the sense of "suspended animation".

Another focus of our laboratory is the investigation of the energy metabolism of peripheral immune cells (PBMCs, granulocytes), which are isolated from the blood. The initial aim is to characterise changes in energy metabolism, particularly during sepsis or severe haemorrhage, and possibly to use them as prognostic biomarkers.

Quantitative recording of metabolic processes

Various spectroscopic / spectrometric measurement techniques are used:

 

Gas chromatography/mass spectrometry (GC/MS) to determine the enrichment rate of test substances that have been labelled with stable isotopes. This allows glucose production and utilisation to be characterised non-invasively, for example, or the activity of individual steps of the Krebs or citric acid cycle to be determined in a cell culture approach. The GC/MS technique also allows sensitive determination of the concentrations of certain markers in plasma, such as sulphide or creatinine.

 

NDIR spectroscopy: This non-invasive technique can be used to determine the respiratory release of 13CO2 in breath gas in vivo. In the case of orally administered 13C-labelled test substances, the absorption of the test substance in the gastrointestinal tract can be estimated. This approach is used to investigate the functionality of the gastrointestinal tract in critically ill patients in cooperation with the Operative Intensive Care Section of the Anaesthesiology Clinic.

 

Electron spin resonance (ESR) spectroscopy: Radicals and oxidative stress play an important role in many diseases and biological processes. For a more precise understanding, a precise measurement is required, which we are establishing with the help of the ESR gold standard, which detects radicals in a highly specific manner. We are particularly interested in oxidative and nitrosative stress in biological samples.

Co-operation partner

Prof Csaba Szabó, Department of Anesthesiology, University of Texas Medical Branch, Galveston, TX, USA

Prof Christoph Thiemermann, Experimental Medicine & Nephrology, William Harvey Research Institute, London UK

Prof. Pierre Asfar; Dépt. de Réanimation Médicale, Centre Hospitalier Universitaire, Angers, France

Prof Martin Matejovic; Fakultni nemocnice, Klinik anesteziologie a resuscitace, Pilzen, Czech Republic

Prof Rui Wang; Department of Biology, Laurentian University, Sudbury, ON, Canada.

Prof Jens. Anders; Institute for Theory of Electrical Engineering, University of Stuttgart.

Prof Jan Tuckermann; Institute of Molecular Endocrinology of Animals, University of Ulm.

Prof Boris Mizaikoff; Department of Analytical and Bioanalytical Chemistry, University of Ulm.

 

The Institute is a member of the following research networks:

Centre for Trauma Research Ulm
ZTF
DFG Collaborative Research Centre 1149
SFB1149
Graduate School of Pulmonary Medicine

GRK 2203

We also co-operate with the German Trauma Foundation.