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OBJECTIVE: Blepharospasm (BSP), focal dystonia with the highest risk of spread, lacks clear understanding of early spreading risk factors and objective prognostic indicators. We aimed to identify these risk factors through clinical and electrophysiological assessments, and to establish a predictive model for dystonic spread in BSP. METHODS: We prospectively followed BSP patients for 4 years, collecting data on dystonic spread, and conducting electrophysiological evaluations. The blink reflex, masseter inhibitory reflex, and trigeminal somatosensory evoked potential were assessed. Univariable and multivariable Cox proportional hazard regression models were used to assess clinical characteristics associated with BSP dystonic spread. A predictive model was constructed using a nomogram, and performance of the model was evaluated using the area under the receiver operating characteristic curve. RESULTS: A total of 136 enrolled participants (mean age 56.34 years) completed a 4-year follow-up. Among them, 62 patients (45.6%) showed spread to other body regions. Multivariable Cox regression analysis showed that a high Hamilton Anxiety Scale score (hazard ratio 1.19, 95% confidence interval 1.13-1.25, p < 0.001), prolonged trigeminal somatosensory evoked potential mandibular branch P1-N2 peak interval (hazard ratio 1.11, 95% confidence interval 1.02-1.21, p = 0.017), and elevated trigeminal somatosensory evoked potential mandibular branch P1-N2 peak amplitude (hazard ratio 1.26, 95% confidence interval 1.12-1.41, p < 0.001) were independent risk factors for BSP dystonic spread within 4 years. Combining these factors, the predictive models demonstrated excellent discriminative ability, with the receiver operating characteristic curve score being 0.797, 0.790, 0.847, and 0.820 at 1, 2, 3 and 4 years after enrollment, respectively. INTERPRETATION: We established a predictive model with significant value for anticipating dystonic spread in BSP, offering crucial evidence. These findings contribute essential insights into the early clinical identification of the development and evolution of BSP diseases. ANN NEUROL 2024.
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With the increasing complexity of the electromagnetic environment, there is a growing demand for the manipulation of electromagnetic waves, leading to the rapid development in configurable microwave absorbers. All-dielectric absorbers offer broadband and high-intensity absorption effects in microwave absorption and shielding. However, they face a significant challenge: their performance is not adjustable once the design is completed. In this study, we propose a solution to this problem by creating all-dielectric absorbers with flexibly configurable absorbing properties. We achieve this by designing a composite material of ionogels/nano-graphite sheets into compressible deformable absorbing units that can be molded into different shapes using 3D printing modes. The plasticity allows us to change the performance of the all-dielectric absorber, including the microwave absorption intensity, absorption peak, frequency bandwidths, and wide-angle absorption performance. With this approach, we can flexibly manipulate electromagnetic waves using all-dielectric absorbers through different plasticity models.
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BACKGROUND: Xanthenes and multi-aryl carbon core containing compounds represent different types of complex and condensed architectures that have impressive wide range of pharmacological, industrial and synthetic applications. Moreover, indoles as building blocks were only found in naturally occurring metabolites with di-aryl carbon cores and in chemically synthesized tri-aryl carbon core containing compounds. Up to date, rare xanthenes with indole bearing multicaryl carbon core have been reported in natural or synthetic products. The underlying mechanism of fluorescein-like arthrocolins with tetra-arylmethyl core were synthesized in an engineered Escherichia coli fed with toluquinol remained unclear. RESULTS: In this study, the Keio collection of single gene knockout strains of 3901 mutants of E. coli BW25113, together with 14 distinct E. coli strains, was applied to explore the origins of endogenous building blocks and the biogenesis for arthrocolin assemblage. Deficiency in bacterial respiratory and aromatic compound degradation genes ubiX, cydB, sucA and ssuE inhibited the mutant growth fed with toluquinol. Metabolomics of the cultures of 3897 mutants revealed that only disruption of tnaA involving in transforming tryptophan to indole, resulted in absence of arthrocolins. Further media optimization, thermal cell killing and cell free analysis indicated that a non-enzyme reaction was involved in the arthrocolin biosynthesis in E. coli. Evaluation of redox potentials and free radicals suggested that an oxygen-mediated free radical reaction was responsible for arthrocolins formation in E. coli. Regulation of oxygen combined with distinct phenol derivatives as inducer, 31 arylmethyl core containing metabolites including 13 new and 8 biological active, were isolated and characterized. Among them, novel arthrocolins with p-hydroxylbenzene ring from tyrosine were achieved through large scale of aerobic fermentation and elucidated x-ray diffraction analysis. Moreover, most of the known compounds in this study were for the first time synthesized in a microbe instead of chemical synthesis. Through feeding the rat with toluquinol after colonizing the intestines of rat with E. coli, arthrocolins also appeared in the rat blood. CONCLUSION: Our findings provide a mechanistic insight into in vivo synthesis of complex and condensed arthrocolins induced by simple phenols and exploits a quinol based method to generate endogenous aromatic building blocks, as well as a methylidene unit, for the bacteria-facilitated synthesis of multiarylmethanes.
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Escherichia coli , Oxígeno , Fenoles , Escherichia coli/metabolismo , Escherichia coli/efectos de los fármacos , Escherichia coli/genética , Fenoles/metabolismo , Oxígeno/metabolismo , Radicales Libres/metabolismo , Metano/metabolismo , Animales , Ratas , Indoles/metabolismoRESUMEN
INTRODUCTION: Gait and posture abnormalities are the common disabling motor symptoms in Parkinson's disease (PD). This study aims to investigate the differential characteristics of gait and posture in early-onset PD (EOPD) and late-onset PD (LOPD) using the Kinect depth camera. METHODS: Eighty-eight participants, including two subgroups of 22 PD patients and two subgroups of 22 healthy controls (HC) matched for age, sex, and height, were enrolled. Gait and posture features were quantitatively assessed using a Kinect-based system. A two-way analysis of variance was used to compare the difference between different subgroups. RESULTS: EOPD had a significantly higher Gait score than LOPD (p = 0.031). Specifically, decreased swing phase (p = 0.034) was observed in the EOPD group. Although the Posture score was similar between the two groups, LOPD was characterized by an increased forward flexion angle of the trunk at the thorax (p = 0.042) and a decreased forward flexion angle of the head relative to the trunk (p = 0.009). Additionally, age-independent features were observed in both PD subgroups, and post hoc tests revealed that EOPD generally performed worse gait features. In comparison, LOPD was characterized by worse performance in posture features. CONCLUSIONS: EOPD and LOPD exhibit different profiles of gait and posture features. The phenotype-specific characteristics likely reflect the distinct neurodegenerative processes between them.
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Enfermedad de Parkinson , Humanos , Enfermedad de Parkinson/complicaciones , Enfermedad de Parkinson/diagnóstico , Edad de Inicio , MarchaRESUMEN
INTRODUCTION: The acute levodopa challenge test (ALCT) is an important and valuable examination but there are still some shortcomings with it. We aimed to objectively assess ALCT based on a depth camera and filter out the best indicators. METHODS: Fifty-nine individuals with parkinsonism completed ALCT and the improvement rate (IR, which indicates the change in value before and after levodopa administration) of the Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale part III (MDS-UPDRS III) was calculated. The kinematic features of the patients' movements in both the OFF and ON states were collected with an Azure Kinect depth camera. RESULTS: The IR of MDS-UPDRS III was significantly correlated with the IRs of many kinematic features for arising from a chair, pronation-supination movements of the hand, finger tapping, toe tapping, leg agility, and gait (rs = - 0.277 ~ - 0.672, P < 0.05). Moderate to high discriminative values were found in the selected features in identifying a clinically significant response to levodopa with sensitivity, specificity, and area under the curve (AUC) in the range of 50-100%, 47.22%-97.22%, and 0.673-0.915, respectively. The resulting classifier combining kinematic features of toe tapping showed an excellent performance with an AUC of 0.966 (95% CI = 0.922-1.000, P < 0.001). The optimal cut-off value was 21.24% with sensitivity and specificity of 94.44% and 87.18%, respectively. CONCLUSION: This study demonstrated the feasibility of measuring the effect of levodopa and objectively assessing ALCT based on kinematic data derived from an Azure Kinect-based system.
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Antiparkinsonianos , Estudios de Factibilidad , Levodopa , Trastornos Parkinsonianos , Humanos , Levodopa/administración & dosificación , Levodopa/uso terapéutico , Levodopa/farmacología , Masculino , Femenino , Anciano , Persona de Mediana Edad , Antiparkinsonianos/uso terapéutico , Antiparkinsonianos/administración & dosificación , Fenómenos Biomecánicos/fisiología , Trastornos Parkinsonianos/tratamiento farmacológico , Trastornos Parkinsonianos/fisiopatología , Trastornos Parkinsonianos/diagnóstico , Índice de Severidad de la EnfermedadRESUMEN
BACKGROUND: Frailty is common in Parkinson's disease (PD) and increases vulnerability to adverse outcomes. Early detection of this syndrome aids in early intervention. AIMS: To objectively identify frailty at an early stage during routine motor tasks in PD patients using a Kinect-based system. METHODS: PD patients were recruited and assessed with the Fried criteria to determine their frailty status. Each participant was recorded performing the Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale part III (MDS-UPDRS III) extremity tasks with a Kinect-based system. Statistically significant kinematic parameters were selected to discriminate the pre-frail from the non-frail group. RESULTS: Of the fifty-two participants, twenty were non-frail and thirty-two were pre-frail. Decreased frequency in finger tapping (P = 0.005), hand grasping (P = 0.002), toe tapping (P = 0.002), and leg agility (P = 0.019) alongside reduced hand grasping speed (P = 0.030), lifting (P < 0.001) and falling speed (P < 0.001) in leg agility were observed in the pre-frail group. Amplitude in leg agility (P = 0.048) and amplitude decrement rate (P = 0.046) in hand grasping showed marginally significant differences between two groups. Moderate discriminative values were found in frequency and speed of the extremity tasks to identify pre-frailty with sensitivity, specificity, and area under the curve (AUC) in the range of 45.00-85.00%, 68.75-100%, and 0.701-0.836, respectively. The combination of frequency and speed in extremity tasks showed moderate to high discriminatory ability, with AUC of 0.775 (95% CI 0.637-0.913, P < 0.001) for upper limb tasks and 0.909 (95% CI 0.832-0.987, P < 0.001) for lower limb tasks. When combining these features in both upper and lower limb tasks, the AUC increased to 0.942 (95% CI 0.886-0.999, P < 0.001). CONCLUSIONS: Our findings demonstrated the promise of utilizing Kinect-based kinematic data from MDS-UPDRS III tasks as early indicators of frailty in PD patients.
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Fragilidad , Enfermedad de Parkinson , Humanos , Extremidad Inferior , Mano , Extremidad SuperiorRESUMEN
Lung carcinoma is the leading cause of cancer-related death worldwide. Chemotherapy remains the cornerstone of lung cancer treatment. Unfortunately, most types of cancer will develop resistance to chemotherapies over the time. One of the efforts to prevent the chemotherapy resistance is to find alternative chemotherapy drugs. Mogrol has been found to have antitumor activity. However, little is known about the pharmacological mechanisms underlying the suppression of mogrol on lung cancers. In this study, we observed that mogrol exposure significantly reduced the tumor volume and weight in tumor-bearing nude mice without obvious effect on body weight and cardiac function. Mogrol also significantly inhibited the proliferation and migration of lung cancer cells, including non-small-cell lung carcinoma cells, A549, H1299, H1975 and SK-MES-1 cells, with no obvious effect on control human bronchial epithelial cells (HBE). Further studies revealed that mogrol stirred excessive autophagy and autophagic flux, and finally, autophagic cell death, in lung cancer cells, which could be attenuated by autophagy inhibitors, 3-MA and chloroquine. Furthermore, mogrol significantly activated AMPK to induce autophagy and autophagic cell death, which could be abrogated by Compound C, an AMPK inhibitor. In addition, mogrol induced a significant increase in p53 activity in lung cancer cells, accompanied with cell cycle arrest and apoptosis, which could be weakened by p53 silence. Our results indicated that mogrol effectively suppressed lung cancer cells in vivo and in vitro by inducing the excessive autophagy and autophagic cell death via activating AMPK signaling pathway, as well as cell cycle arrest and apoptosis via activating p53 pathway.
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Muerte Celular Autofágica , Carcinoma de Pulmón de Células no Pequeñas , Neoplasias Pulmonares , Proteínas Quinasas Activadas por AMP/metabolismo , Animales , Apoptosis , Autofagia , Carcinoma de Pulmón de Células no Pequeñas/tratamiento farmacológico , Puntos de Control del Ciclo Celular , Línea Celular Tumoral , Proliferación Celular , Pulmón/patología , Neoplasias Pulmonares/metabolismo , Ratones , Ratones Desnudos , Proteína p53 Supresora de Tumor/metabolismoRESUMEN
ABSTRACT: As a highly efficient anticancer agent, doxorubicin (DOX) is used for treatment of various cancers, but DOX-induced oxidative damages contribute to a degenerative irreversible cardiac toxicity. Saikosaponin D (SSD), which is a triterpenoid saponin with many biological activities including anti-inflammatory effects and antioxidant properties, provides protection against pathologic cardiac remodeling and fibrosis. In the present study, we investigated the work of SSD for DOX-induced cardiotoxicity and the involved mechanisms. We observed that DOX injection induced cardiac injury and malfunction and decreased survival rate. Besides, DOX treatment increased lactate dehydrogenase leakage, cardiomyocyte apoptosis, and myocardium fibrosis and decreased the size of cardiomyocytes. Meanwhile, all the effects were notably attenuated by SSD treatment. In vitro, we found that 1 µM SSD could enhance the proliferation of H9c2 cells and inhibit DOX-induced apoptosis. It was found that the levels of malondialdehyde (MDA) and reactive oxygen species were significantly reduced by improving the activities of the endogenous antioxidative enzymes including catalase and glutathione peroxidase. Furthermore, SSD treatment could downregulate the DOX-induced p38 phosphorylation. Our results suggested that SSD efficiently protected the cardiomyocytes from DOX-induced cardiotoxicity by inhibiting the excessive oxidative stress via p38-MAPK (mitogen-activated protein kinase, MAPK) signaling pathway.
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Cardiotoxicidad , Saponinas , Antioxidantes/metabolismo , Antioxidantes/farmacología , Apoptosis , Doxorrubicina/toxicidad , Fibrosis , Humanos , Miocitos Cardíacos , Ácido Oleanólico/análogos & derivados , Estrés Oxidativo , Especies Reactivas de Oxígeno/metabolismo , Saponinas/farmacologíaRESUMEN
The highly unstable methyl sulfinyl azide, CH3S(O)N3, has been synthesized and characterized for the first time. In the gas phase, CH3S(O)N3 decomposes quickly at room temperature (300 K) with an estimated half-life (t1/2) of 7 min. Upon irradiation at 266 nm in cryogenic Ar (10 K) and Ne (3 K) matrices, the azide extrudes molecular nitrogen by yielding the novel sulfinyl nitrene intermediate CH3S(O)N in the closed-shell singlet ground state, which has been characterized with matrix-isolation IR and UV-vis spectroscopy. Prolonged irradiation at 266 nm causes Curtius rearrangement of the nitrene to form N-sulfinylamine CH3NSO and S-nitrosothiol CH3SNO. By high-vacuum flash pyrolysis (HVFP) at 800 K, CH3S(O)N3 also decomposes and furnishes CH3S(O)N with minor fragmentation products HNSO and CH2 in the gas phase. A similar photo-induced Curtius-type rearrangement of trifluoromethyl sulfinyl azide CF3S(O)N3 to CF3NSO and CF3SNO has also been observed in matrices. According to the theoretical calculations at the CCSD(T)/aug-cc-pVTZ//B3LYP/6-311++G (3df,3pd) level of theory, the rearrangement of CH3S(O)N3 prefers a stepwise pathway by initial formation of the nitrene intermediate CH3S(O)N. In line with the thermal persistence of CH3S(O)N in the gas phase, the barriers for its subsequent rearrangement are higher than 30 kcal mol-1.
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Gut microbiota have important implications for health by affecting the metabolism of diet and drugs. However, the specific microbial mediators and their mechanisms in modulating specific key intermediate metabolites from fungal origins still remain largely unclear. Toluquinol, as a key versatile precursor metabolite, is commonly distributed in many fungi, including Penicillium species and their strains for food production. The common 17 gut microbes were cultivated and fed with and without toluquinol. Metabolic analysis revealed that four strains, including the predominant Enterococcus species, could metabolize toluquinol and produce different metabolites. Chemical investigation on large-scale cultures led to isolation of four targeted metabolites and their structures were characterized with NMR, MS, and X-ray diffraction analysis, as four toluquinol derivatives (1-4) through O1/O4-acetyl and C5/C6-methylsulfonyl substitutions, respectively. The four metabolites were first synthesized in living organisms. Further experiments suggested that the rare methylsulfonyl groups in 3-4 were donated from solvent DMSO through Fenton's reaction. Metabolite 1 displayed the strongest inhibitory effect on cancer cells A549, A2780, and G401 with IC50 values at 0.224, 0.204, and 0.597 µM, respectively, while metabolite 3 displayed no effect. Our results suggest that the dominant Enterococcus species could modulate potential precursors of fungal origin and change their biological activity.
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Microbioma Gastrointestinal , Neoplasias Ováricas , Línea Celular Tumoral , Dimetilsulfóxido/farmacología , Femenino , Humanos , Hidroquinonas , Solventes/farmacologíaRESUMEN
Criegee intermediates (CIs), also known as carbonyl oxide, are reactive intermediates that play an important role in the atmospheric chemistry. Investigation on the structures and reactivity of CIs is of fundamental importance in understanding the underlying mechanism of their atmospheric reactions. In sharp contrast to the intensively studied parent molecule (CH2OO) and the alkyl-substituted derivatives, the knowledge about the fluorinated analogue CF3C(H)OO is scarce. By carefully heating the triplet carbene CF3CH in an O2-doped Ar-matrix to 35 K, the elusive carbonyl oxide CF3C(H)OO in syn- and anti-conformations has been generated and characterized with infrared (IR) and ultraviolet-visible (UV-vis) spectroscopy. The spectroscopic identification is supported by 18O-labeling experiments and quantum chemical calculations at the B3LYP/6-311++G(3df,3pd) and MP2/6-311++G(2d,2p) levels. Upon the long-wavelength irradiation (λ > 680 nm), both conformers of CF3C(H)OO decompose to give trifluoroacetaldehyde CF3C(H)O and simultaneously rearrange to the isomeric dioxirane, cyclic-CF3CH(OO), which undergoes isomerization to the lowest-energy carboxylic acid CF3C(O)OH upon UV-light excitation at 365 nm. The O2-oxidation of CF3CH via the intermediacy of CF3C(H)OO and cyclic-CF3CH(OO) might provide new insight into the mechanism for the degradation of hydro-chlorofluorocarbon CF3CHCl2 (HCFC-123) in the atmosphere.
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Atmósfera , Óxidos , Óxidos/química , Fotoquímica , Análisis Espectral , Rayos UltravioletaRESUMEN
Reconfigurability is critical for the research fields in electromagnetics, mechanics, and acoustics, due to the controllability of functionalities. This Letter numerically and experimentally demonstrates an origami-based absorber with a reconfigurable bandwidth. The proposed structure provides four transformable models: flat sheet, single-arch-folded, double-arch-folded, and U-shaped strips filled, corresponding to the performance of nearly no absorption, one-peak absorption, two-peak absorption, and ultra-broadband absorption (3.4-18 GHz), which clearly demonstrates the bandwidth-enhancement effect. In contrast with the traditional structural absorbers, the transformable flat sheet and U-shaped strips are obtained by three-dimensional printing, which exhibits an obvious superiority in prototype fabrication. These results provide a feasible strategy for energy dissipation and origami transformation.
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BACKGROUND: To investigate whether the administration of hydrogen/oxygen mixture was superior to oxygen in improving symptoms in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). METHODS: This prospective, randomized, double-blind, controlled clinical trial in 10 centres enrolled patient with AECOPD and a Breathlessness, Cough, and Sputum Scale (BCSS) score of at least 6 points. Eligible patients were randomly assigned (in a 1:1 ratio) to receive either hydrogen/oxygen mixture or oxygen therapy. Primary endpoint was the change from baseline in BCSS score at day 7. Adverse events (AEs) were recorded to evaluate safety. RESULTS: Change of BCSS score in Hydrogen/oxygen group was larger than that in Oxygen group (- 5.3 vs. - 2.4 point; difference: - 2.75 [95% CI - 3.27 to - 2.22], meeting criteria for superiority). Similar results were observed in other time points from day 2 through day 6. There was a significant reduction of Cough Assessment Test score in Hydrogen/oxygen group compared to control (- 11.00 vs. - 6.00, p < 0.001). Changes in pulmonary function, arterial blood gas and noninvasive oxygen saturation did not differ significantly between groups as well as other endpoints. AEs were reported in 34 (63.0%) patients in Hydrogen/oxygen group and 42 (77.8%) in Oxygen group. No death and equipment defects were reported during study period. CONCLUSIONS: The trial demonstrated that hydrogen/oxygen therapy is superior to oxygen therapy in patient with AECOPD with acceptable safety and tolerability profile. TRIAL REGISTRATION: Name of the registry: U.S National Library of Medicine Clinical Trials; Trial registration number: NCT04000451; Date of registration: June 27, 2019-Retrospectively registered; URL of trial registry record: https://www.clinicaltrials.gov/ct2/show/study/NCT04000451?term=04000451&draw=2&rank=1 .
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Hidrógeno/administración & dosificación , Pulmón/fisiopatología , Terapia por Inhalación de Oxígeno , Enfermedad Pulmonar Obstructiva Crónica/terapia , Administración por Inhalación , Anciano , China , Progresión de la Enfermedad , Método Doble Ciego , Femenino , Humanos , Hidrógeno/efectos adversos , Masculino , Persona de Mediana Edad , Terapia por Inhalación de Oxígeno/efectos adversos , Estudios Prospectivos , Enfermedad Pulmonar Obstructiva Crónica/diagnóstico , Enfermedad Pulmonar Obstructiva Crónica/fisiopatología , Factores de Tiempo , Resultado del TratamientoRESUMEN
The simplest α,ß-unsaturated sulfinyl radical CH2[double bond, length as m-dash]C(H)SOË has been generated in the gas phase by high-vacuum flash pyrolysis (HVFP) of sulfoxide CH2[double bond, length as m-dash]C(H)S(O)CF3 at ca. 800 °C. Two planar cis and trans conformers of CH2[double bond, length as m-dash]C(H)SOË were isolated in cryogenic matrixes (N2, Ne, and Ar) and characterized with IR and UV/Vis spectroscopy. In addition to the photo-induced cis â trans conformational interconversion, CH2[double bond, length as m-dash]C(H)SOË displays complex photochemistry. Upon irradiation with a purple light LED (400 nm), CH2[double bond, length as m-dash]C(H)SOË isomerizes to novel radicals CH3SCOË, ËCH2SC(O)H, and ËCH2C(O)SH with concomitant dissociation to a caged molecular complex CH3SËCO. Subsequent UV-laser (266 nm) irradiation causes fragmentation to ËCH3/OCS and additional formation of an elusive carbonyl radical CH3C(O)SË, which rearranges to ËCH2C(O)SH upon further UV-light irradiation (365 nm). The vibrational data and bonding analysis of the two conformers of CH2[double bond, length as m-dash]C(H)SOË suggest that both are floppy radicals in which the unpaired electron conjugates with the vicinal π(C[double bond, length as m-dash]C) bond, leading to significant contribution of the canonical resonance form of ËCH2-C(H)SO. The mechanism for the isomerization of CH2[double bond, length as m-dash]C(H)SOË is discussed based on the observed intermediates along with a computed potential energy profile at the CCSD(T)-F12a/aug-cc-pVTZ//B3LYP/6-311++G(3df,3pd) level of theory.
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OBJECTIVE: Impaired rapid eye movement sleep is common among patients with Parkinson's disease (PD). However, information on rapid eye movement density (REM) among PD patients is currently lacking. The current study sought to characterize REM density in PD patients and to examine the associations between REM density sleep parameters and clinical manifestations. PARTICIPANTS AND METHODS: We retrospectively recruited 172 PD patients. All participants were assessed with a two-night polysomnography, and REM density was calculated. Clinical assessments were completed in PD patients before polysomnography. RESULTS: Rapid eye movement sleep behavior disorder (RBD) was observed in 93 patients (54.1%). The disease duration, UPDRS part III score, Hoehn and Yahr (H-Y) stage, and HAMA, HAMD, PDQ-39 scores, and REM density in the Parkinson's disease patients with rapid eye movement sleep behavior disorder (RBD) were significantly higher than in the patients without RBD (P < 0.05). However, NREM sleep stage 3 time (N3 time) and percentage of N3 time of total sleep time (N3%) were significantly lower in the RBD patients than in the patients without RBD (P < 0.05). The forward binary logistic regression model showed that REM density, UPDRS-III score, and N3 sleep time were associated with RBD in the PD patients. CONCLUSIONS: Our results confirm the high prevalence of RBD in patients with PD. Increased REM density was the main risk factor of RBD.
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Enfermedad de Parkinson , Trastorno de la Conducta del Sueño REM , China , Humanos , Enfermedad de Parkinson/complicaciones , Enfermedad de Parkinson/epidemiología , Trastorno de la Conducta del Sueño REM/epidemiología , Estudios Retrospectivos , Sueño REMRESUMEN
Invited for the cover of this issue is X. Zeng and co-workers at Soochow University, University of Stuttgart, and Max-Planck Institute for Solid State Research. The image depicts the fast tunneling transformation of the highly elusive metaphosphorous acid (HOPO). Read the full text of the article at 10.1002/chem.202000844.
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Metaphosphorous acid (HOPO), a key intermediate in phosphorus chemistry, has been generated in syn- and anti-conformations in the gas phase by high-vacuum flash pyrolysis (HVFP) of a molecular precursor ethoxyphosphinidene oxide (EtOPOâC2 H4 +HOPO) at ca. 1000â K and subsequently trapped in an N2 -matrix at 2.8â K. Unlike the two conformers of the nitrogen analogue HONO, the anti-conformer of HOPO undergoes spontaneous rotamerization at 2.8â K via hydrogen-atom tunneling (HAT) with noticeable kinetic isotope effects for H/D (>104 for DOPO) and 16 O/18 O (1.19 for H18 OPO and 1.06 for HOP18 O) in N2 -matrices.
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Small molecules solely consisting of H, N, O, and S are highly relevant intermediates in atmospheric chemistry and biology. Even though several isomers of [HNO2S] have been computationally predicted, only the IR spectra for the two lowest-energy isomers HNSO2 and syn-syn HONSO have been previously reported. Herein, the photochemistry (193 nm laser) of HNSO2 in N2-, Ne-, and Ar-matrices (≤15 K) has been studied. Aside from syn-syn HONSO, several new isomers including anti-syn HONSO, gauche-syn HOSNO, syn HOS(O)N, anti HOS(O)N, syn HS(O)NO, anti HN(O)SO, gauche-syn HSONO, and an elusive caged-radical pair HOSËËNO have been identified. Additionally, the formation of fragments HONO, HOË, ËNO, and ËNO2 has also been observed. The characterization of these species with matrix-isolation IR and UV/Vis spectroscopy is supported by 15N-labeling and quantum chemical computations at the B3LYP/6-311++G(3df,3pd) level. Furthermore, the photo-induced isomerization reactions, including the conformational conversion of syn-syn HONSO â anti-syn HONSO and reversible isomerization of HOSNO â anti-syn HONSO, syn-syn HONSO â HN(O)SO, HSONO â HS(O)NO, and HOSËËNO â HOSNO have also been observed, and the underlying mechanism is discussed.
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Two new heteroarylnitrenes, 3-nitrene-2-formylthiophene (15/15') and 3-nitrene-2-formylfuran (16/16'), in the triplet ground state have been generated in solid Ar (10.0 K) and N2 (15.0 K) matrices by the 266 nm laser photolysis of 3-azido-2-formylthiophene (13) and 3-azido-2-formylfuran (14), respectively. According to the characterization with matrix-isolation IR spectroscopy and quantum chemical calculations at the B3LYP/6-311++G(3df,3pd) level, both nitrenes exhibit two conformations depending on the orientation of the formyl groups. Upon subsequent green-light irradiation (532 nm), both the nitrenes 15/15' and 16/16' undergo ring closure to form 3,2-thienoisoxazole (17) and 3,2-furoisoxazole (18), respectively. Traces of 3-imino-4,5-dihydrothiophene-2-ketene (19), formally formed through the intramolecular 1,4-H shift in the corresponding nitrenes 15/15', have been also identified among the laser photolysis products of the azide 13. In sharp contrast to the photochemistry, the high-vacuum flash pyrolysis (HVFP) of the azide 13 at ca. 1000 K mainly yields imino ketene in two conformations 19/19' together with traces of isoxazole 17. In addition to the reversible conformational interconversion in the imino ketene 19 â 19', the photoisomerization from isoxazole 17 to imino ketene 19 has also been observed. The HVFP of the azide 14 at ca. 1000 K results in complete dissociation to HCN, C2H2, CO, CO2, H2O, and N2. Unlike the recently disclosed hydrogen-atom tunneling (HAT) in the transformation from the structurally related 2-formyl phenylnitrene (2) to imino ketene 3 in a cryogenic Ar-matrix, the absence of HAT in nitrenes 15 and 16 can be reasonably explained by the higher barrier heights and also larger barrier widths in the isomerization reactions.
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Elusive [S, S, N, O] isomers including the perthiyl radical â¢SSNO are S/N hybrid species in the complex bioinorganic chemistry of signaling molecules H2S and â¢NO. By mixing thermally generated disulfur (S2) with â¢NO in the gas phase, â¢SSNO was generated and subsequently isolated in cryogenic Ar- and N2-matrices at 10.0 K and 15.0 K, respectively. Upon irradiation with a 266 nm laser, â¢SSNO isomerizes to novel sulfinyl radicals cis-NSSO⢠and trans-NSSO⢠as well as thiyl radicals cis-OSNS⢠and trans-OSNSâ¢, which have been characterized by combining matrix-isolation IR (15N-labeling) and UV/Vis spectroscopy and quantum chemical calculations at the CCSD(T)-F12/cc-pVTZ-F12 level of theory. The photo-induced reversible interconversion between NSSO⢠and OSNS⢠has also been observed.