Increased mortality associated with HTLV-II infection in blood donors: a prospective cohort study.

BACKGROUND: HTLV-I is associated with adult T-cell leukemia, and both HTLV-I and -II are associated with HTLV-associated myelopathy/tropical spastic paraparesis (HAM/TSP). Several published reports suggest that HTLV-I may lead to decreased survival, but HTLV-II has not previously been associated with mortality. RESULTS: We examined deaths among 138 HTLV-I, 358 HTLV-II, and 759 uninfected controls enrolled in a prospective cohort study of U.S. blood donors followed biannually since 1992. Proportional hazards models yielded hazard ratios (HRs) for the association between mortality and HTLV infection, controlling for sex, race/ethnicity, age, income, educational level, blood center, smoking, injection drug use history, alcohol intake, hepatitis C status and autologous donation. After a median follow-up of 8.6 years, there were 45 confirmed subject deaths. HTLV-I infection did not convey a statistically significant excess risk of mortality (unadjusted HR 1.9, 95%CI 0.8-4.4; adjusted HR 1.9, 95%CI 0.8-4.6). HTLV-II was associated with death in both the unadjusted model (HR 2.8, 95%CI 1.5-5.5) and in the adjusted model (HR 2.3, 95%CI 1.1-4.9). No single cause of death appeared responsible for the HTLV-II effect. CONCLUSIONS: After adjusting for known and potential confounders, HTLV-II infection is associated with increased mortality among healthy blood donors. If replicated in other cohorts, this finding has implications for both HTLV pathogenesis and counseling of infected persons.

Preparation and Structures of the 2.2.2-Cryptand(1+) Salts of the [Sb(2)Se(4)](2)(-), [As(2)S(4)](2)(-), [As(10)S(3)](2)(-), and [As(4)Se(6)](2)(-) Anions.

2.2.2-Cryptand(1+) salts of the [Sb(2)Se(4)](2)(-), [As(2)S(4)](2)(-), [As(10)S(3)](2)(-), and [As(4)Se(6)](2)(-) anions have been synthesized from the reduction of binary chalcogenide compounds by K in NH(3)(l) in the presence of the alkali-metal-encapsulating ligand 2.2.2-cryptand (4,7,13,16,21,24-hexaoxa-1,10-diazabicyclo[8.8.8]hexacosane), followed by recrystallization from CH(3)CN. The [Sb(2)Se(4)](2)(-) anion, which has crystallographically imposed symmetry 2, consists of two discrete edge-sharing SbSe(3) pyramids with terminal Se atoms cis to each other. The Sb-Se(t) bond distance is 2.443(1) Å, whereas the Sb-Se(b) distance is 2.615(1) Å (t = terminal; b = bridge). The Se(b)-Sb-Se(t) angles range from 104.78(4) to 105.18(5) degrees, whereas the Se(b)-Sb-Se(b) angles are 88.09(4) and 88.99(4) degrees. The (77)Se NMR data for this anion in solution are consistent with its X-ray structure (delta 337 and 124 ppm, 1:1 intensity, -30 degrees C, CH(3)CN/CD(3)CN). Similar to this [Sb(2)Se(4)](2)(-) anion, the [As(2)S(4)](2)(-) anion consists of two discrete edge-sharing AsS(3) pyramidal units. The As-S(t) bond distances are 2.136(7) and 2.120(7) Å, whereas the As-S(b) distances range from 2.306(7) to 2.325(7) Å. The S(b)-As-S(t) angles range from 106.2(3) to 108.2(3) degrees, and the S(b)-As-S(b) angles are 88.3(2) and 88.9(2) degrees. The [As(10)S(3)](2)(-) anion has an 11-atom As(10)S center composed of six five-membered edge-sharing rings. One of the three waist positions is occupied by a S atom, and the other two waist positions feature As atoms with exocyclic S atoms attached, making each As atom in the structure three-coordinate. The As-As bond distances range from 2.388(3) to 2.474(3) Å. The As-S(t) bond distances are 2.181(5) and 2.175(4) Å, and the As-S(b) bond distance is 2.284(6) Å. The [As(4)Se(6)](2)(-) anion features two AsSe(3) units joined by Se-Se bonds with the two exocyclic Se atoms trans to each other. The average As-Se(t) bond distance is 2.273(2) Å, whereas the As-Se(b) bond distances range from 2.357(3) to 2.462(2) Å. The Se(b)-As-Se(t) angles range from 101.52(8) to 105.95(9) degrees, and the Se(b)-As-Se(b) angles range from 91.82(7) to 102.97(9) degrees. The (77)Se NMR data for this anion in solution are consistent with its X-ray structure (delta 564 and 317 ppm, 3:1 intensity, 25 degrees C, DMF/CD(3)CN).

Synthesis, Reactivity, and Structural Characterization of the Nonclassical [MTe(7)](n)()(-) Anions (M = Ag, Au, n = 3; M = Hg, n = 2).

Several tellurometalates of the general formula [MTe(7)](n)()(-) (n = 2, 3) have been isolated as salts of organic cations by reaction of suitable metal sources with polytelluride solutions in DMF. The [HgTe(7)](2)(-) anion has the same structure in both the NEt(4)(+) and the PPh(4)(+) salts except for a minor change in the ligand conformation. The [AgTe(7)](3)(-) and [HgTe(7)](2)(-) anions contain metal atoms coordinated in trigonal-planar fashion to eta(3)-Te(7)(4)(-) ligands. The central Te atom of an eta(3)-Te(7)(4)(-) ligand is coordinated to the metal atom and to two Te atoms in a "T"-shaped geometry consistent with a hypervalent 10 e(-) center. The planar [AuTe(7)](3)(-) anion may best be described as possessing a square-planar Au(III) atom coordinated to an eta(3)-Te(5)(4)(-) ligand and to an eta(1)-Te(2)(2)(-) ligand. The reaction of [NEt(4)](n)()[MTe(7)] (M = Hg, n = 2; M = Au, n = 3) with the activated acetylene dimethyl acetylenedicarboxylate (DMAD) has yielded the products [NEt(4)](n)()[M(Te(2)C(2)(COOCH(3))(2))(2)] (M = Hg, n = 2; M = Au, n = 1). The metal atoms are coordinated to two Te(COOCH(3))C=C(COOCH(3))Te(2)(-) ligands, for M = Hg in a distorted tetrahedral fashion and for M = Au in a square-planar fashion.

The [Ag{Se2 C2 (CN)2 }(Se6 )]3- , [Sb{Se2 C2 (CN)2 }2 ]3- , and [As(Se)3 (CH2 CN)]2- Anions: Facile Formation of the Maleonitrilediselenolate (mns) Ligand, [Se2 C2 (CN)2 ]2.

An unusual route to the maleonitrilediselenolate (mns) ligand has been discovered with the isolation of compounds that contain this ligand bound to silver (structure shown on the right) or antimony. The formation of the [As(Se)3 (CH2 CN)]2- anion along with possible pathways to the mns ligands is discussed.