Association of moyamoya vasculopathy with autoimmune disease: a systematic review and pooled analysis.

Despite more than six decades of extensive research, the etiology of moyamoya disease (MMD) remains unknown. Inflammatory or autoimmune (AI) processes have been suggested to instigate or exacerbate the condition, but the data remains mixed. The objective of the present systematic review was to summarize the available literature investigating the association of MMD and AI conditions as a means of highlighting potential treatment strategies for this subset of moyamoya patients. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the PubMed, Embase, Scopus, Web of Science, and Cochrane databases were queried to identify studies describing patients with concurrent diagnoses of MMD and AI disease. Data were extracted on patient demographics, clinical outcomes, and treatment. Stable or improved symptoms were considered favorable outcomes, while worsening symptoms and death were considered unfavorable. Quantitative pooled analysis was performed with individual patient-level data. Of 739 unique studies identified, 103 comprising 205 unique patients (80.2% female) were included in the pooled analysis. Most patients (75.8%) identified as Asian/Pacific Islanders, and the most commonly reported AI condition was Graves' disease (57.6%), with 55.9% of these patients presenting in a thyrotoxic state. Of the 148 patients who presented with stroke, 88.5% of cases (n = 131) were ischemic. Outcomes data was available in 152 cases. There were no significant baseline differences between patients treated with supportive therapy alone and those receiving targeted immunosuppressant therapy. Univariable logistic regression showed that surgery plus medical therapy was more likely than medical therapy alone to result in a favorable outcome. On subanalysis of operated patients, 94.1% of patients who underwent combined direct and indirect bypass reported favorable outcomes, relative to 76.2% of patients who underwent indirect bypass and 82% who underwent direct bypass (p < 0.05). On univariable analysis, the presence of multiple AI disorders was associated with worse outcomes relative to having a single AI disorder. Autoimmune diseases have been uncommonly reported in patients with MMD, but the presence of multiple AI comorbidities portends poorer prognosis. The addition of surgical intervention appears to improve outcomes and for patients deemed surgical candidates, combined direct and indirect bypass appears to offer better outcomes that direct or indirect bypass alone.

A new structural model for NiFe hydrogenases: an unsaturated analogue of a classic hydrogenase model leads to more enzyme-like Ni-Fe distance and inter-planar fold.

The complex cation in the title compound, (carbonyl-1κC)(1η5-penta-methyl-cyclo-penta-dien-yl)(µ-2,3,9,10-tetra-methyl-1,4,8,11-tetra-thia-undeca-2,9-diene-1,11-diido-1κ2S,S''':2κ4S,S',S'',S''')ironnickel(Fe-Ni) hexa-fluoro-phosphate, [FeNi(C10H15)(C11H18S4)(CO)]PF6 or [Ni(L')FeCp*(CO)]PF6, is composed of the nickel complex fragment [Ni(L')] coordinated as a metalloligand (using S1 and S4) to the [FeCp*(CO)]+ fragment, where (L')2- is [S-C(Me)=C(Me)-S-(CH2)3-S-C(Me)=C(Me)-S]2- and where Cp*- is cyclo-C5(Me)5- (penta-methyl-cyclo-penta-dien-yl). The ratio of hexa-fluoro-phosphate anion per complex cation is 1:1. The structure at 150 K has ortho-rhom-bic (Pbcn) symmetry. The atoms of the complex cation are located on general positions (multiplicity = 8), whereas there are two independent hexa-fluoro-phosphate anions, each located on a twofold axis (Wyckoff position 4c; multiplicity = 4). The structure of the new dimetallic cation [Ni(L')FeCp*(CO)]+ can be described as containing a three-legged piano-stool environment for iron [Cp*Fe(CO)'S2'] and an approximately square-planar 'S4' environment for Ni. The NiS2Fe diamond-shaped substructure is notably folded at the S-S hinge: the angle between the NiS2 plane and the FeS2 plane normals is 64.85 (6)°. Largely because of this fold, the nickel-iron distance is relatively short, at 2.9195 (8) Å. The structural data for the complex cation, which contains a new unsaturated 'S4' ligand (two C=C double bonds), provide an inter-esting comparison with the known NiFe hydrogenase models containing a saturated 'S4'-ligand analogue having the same number of carbon atoms in the ligand backbone, namely with the structures of [Ni(L)FeCp(CO)]+ (as the PF6- salt, CH2Cl2 solvate) and [Ni(L)FeCp*(CO)]+ (as the PF6- salt), where (L)2- is [S-CH2-CH2-S-(CH2)3-S-CH2-CH2-S]2- and Cp- is cyclo-penta-dienyl. The saturated analogues [Ni(L)FeCp(CO)]+ and [Ni(L)FeCp*(CO)]+ have similar Ni-Fe distances: 3.1727 (6), 3.1529 (7) Š(two independent mol-ecules in the unit cell) and 3.111 (5) Å, respectively, for the two complexes, whereas [Ni(L')FeCp*(CO)]+ described here stands out with a much shorter Ni-Fe distance [2.9196 (8) Å]. Also, [Ni(L)FeCp(CO)]+ and [Ni(L)FeCp*(CO)]+ show inter-planar fold angles that are similar between the two: 39.56 (5), 41.99 (5) (independent mol-ecules in the unit cell) and 47.22 (9) °, respectively, whereas [Ni(L')FeCp*(CO)]+ possesses a much more pronounced fold [64.85 (6)°]. Given that larger fold angles and shorter Ni-Fe distances are considered to be structurally closer to the enzyme, unsaturation in an 'S4'-ligand of the type (S-C2-S-C3-S-C2-S)2- seems to increase structural resemblance to the enzyme for structural models of the type [Ni('S4')FeCp R (CO)]+ (Cp R = Cp or Cp*).

Nickel Fluorocarbene Metathesis with Fluoroalkenes.

Alkene metathesis with directly fluorinated alkenes is challenging, limiting its application in the burgeoning field of fluoro-organic chemistry. A new nickel tris(phosphite) fluoro(trifluoromethyl)carbene complex ([P3 Ni]=CFCF3 ) reacts with CF2 =CF2 (TFE) or CF2 =CH2 (VDF) to yield both metallacyclobutane and perfluorocarbene metathesis products, [P3 Ni]=CF2 and CR2 =CFCF3 (R=F, H). The reaction of [P3 Ni]=CFCF3 with trifluoroethylene also yields metathesis products, [P3 Ni]=CF2 and cis/trans-CFCF3 =CFH. However, unlike reactions with TFE and VDF, this reaction forms metallacyclopropanes and fluoronickel alkenyl species, resulting presumably from instability of the expected metallacyclobutanes. DFT calculations and experimental evidence established that the observed metallacyclobutanes are not intermediates in the formation of the observed metathesis products, thus highlighting a novel variant of the Chauvin mechanism enabled by the disparate four-coordinate transition states.

Perfluoroalkyl Cobalt(III) Fluoride and Bis(perfluoroalkyl) Complexes: Catalytic Fluorination and Selective Difluorocarbene Formation.

Four perfluoroalkyl cobalt(III) fluoride complexes have been synthesized and characterized by elemental analysis, multinuclear NMR spectroscopy, X-ray crystallography, and powder X-ray diffraction. The remarkable cobalt fluoride (19)F NMR chemical shifts (-716 to -759 ppm) were studied computationally, and the contributing paramagnetic and diamagnetic factors were extracted. Additionally, the complexes were shown to be active in the catalytic fluorination of p-toluoyl chloride. Furthermore, two examples of cobalt(III) bis(perfluoroalkyl)complexes were synthesized and their reactivity studied. Interestingly, abstraction of a fluoride ion from these complexes led to selective formation of cobalt difluorocarbene complexes derived from the trifluoromethyl ligand. These electrophilic difluorocarbenes were shown to undergo insertion into the remaining perfluoroalkyl fragment, demonstrating the elongation of a perfluoroalkyl chain arising from a difluorocarbene insertion on a cobalt metal center. The reactions of both the fluoride and bis(perfluoroalkyl) complexes provide insight into the potential catalytic applications of these model systems to form small fluorinated molecules as well as fluoropolymers.

Stepwise addition of difluorocarbene to a transition metal centre.

The Ruppert-Prakash reagent (Me3SiCF3) is used to introduce difluorocarbene (CF2) and tetrafluoroethylene (TFE) ligands to cobalt(I) metal centres, whereby the TFE ligand is generated via [2+1] cycloaddition between [Co]=CF2 and CF2.

Cobalt fluorocarbenes: cycloaddition reactions with tetrafluoroethylene and reactivity of the perfluorometallacyclic products.

Cobalt fluorocarbene complexes CpCo(═CFR(F))(PPh2Me) (Cp = η(5)-C5H5, R(F) = F or CF3) react with tetrafluoroethylene to give the metallacyclobutanes CpCo(κ(2)-CFR(F)CF2CF2-)(PPh2Me) in the first examples of cycloaddition reactions between perfluoroalkenes and metal perfluorocarbenes. The metallacyclic products undergo a variety of reactions upon activation of the C-F bonds, including Brønsted acid-catalyzed C-F/Co-C scrambling. Implications for metal-catalyzed metathesis and polymerization of perfluoroalkenes are discussed.

Apparent anti-Woodward-Hoffmann addition to a nickel bis(dithiolene) complex: the reaction mechanism involves reduced, dimetallic intermediates.

Nickel dithiolene complexes have been proposed as electrocatalysts for alkene purification. Recent studies of the ligand-based reactions of Ni(tfd)2 (tfd = S2C2(CF3)2) and its anion [Ni(tfd)2](-) with alkenes (ethylene and 1-hexene) showed that in the absence of the anion, the reaction proceeds most rapidly to form the intraligand adduct, which decomposes by releasing a substituted dihydrodithiin. However, the presence of the anion increases the rate of formation of the stable cis-interligand adduct, and decreases the rate of dihydrodithiin formation and decomposition. In spite of both computational and experimental studies, the mechanism, especially the role of the anion, remained somewhat elusive. We are now providing a combined experimental and computational study that addresses the mechanism and explains the role of the anion. A kinetic study (global analysis) for the reaction of 1-hexene is reported, which supports the following mechanism: (1) reversible intraligand addition, (2) oxidation of the intraligand addition product prior to decomposition, and (3) interligand adduct formation catalyzed by Ni(tfd)2(-). Density functional theory (DFT) calculations were performed on the Ni(tfd)2/Ni(tfd)2(-)/ethylene system to shed light on the selectivity of adduct formation in the absence of anion and on the mechanism in which Ni(tfd)2(-) shifts the reaction from intraligand addition to interligand addition. Computational results show that in the neutral system the free energy of activation for intraligand addition is lower than that for interligand addition, in agreement with the experimental results. The computations predict that the anion enhances the rate of the cis-interligand adduct formation by forming a dimetallic complex with the neutral complex. The [(Ni(tfd)2)2](-) dimetallic complex then coordinates ethylene and isomerizes to form a Ni,S-bound ethylene complex, which then rapidly isomerizes to the stable interligand adduct but not to the intraligand adduct. Thus, the anion catalyzes the formation of the interligand adduct. Significant experimental evidence for dimetallic species derived from nickel bis(dithiolene) complexes has been found. ESI-MS data indicate the presence of a [(Ni(tfd)2)2](-) dimetallic complex as the acetonitrile adduct. A charge-neutral association complex of Ni(tfd)2 with the ethylene adduct of Ni(tfd)2 has been crystallographically characterized. Despite the small driving force for the reversible association, very major structural reorganization (square-planar → octahedral) occurs.

The mechanism of alkene addition to a nickel bis(dithiolene) complex: the role of the reduced metal complex.

The binding of an alkene by Ni(tfd)(2) [tfd = S(2)C(2)(CF(3))(2)] is one of the most intriguing ligand-based reactions. In the presence of the anionic, reduced metal complex, the primary product is an interligand adduct, while in the absence of the anion, dihydrodithiins and metal complex decomposition products are preferred. New kinetic (global analysis) and computational (DFT) data explain the crucial role of the anion in suppressing decomposition and catalyzing the formation of the interligand product through a dimetallic complex that appears to catalyze alkene addition across the Ni-S bond, leading to a lower barrier for the interligand adduct.

Silane-controlled diastereoselectivity in the tris(pentafluorophenyl)borane-catalyzed reduction of alpha-diketones to silyl-protected 1,2-Diols.

B(C(6)F(5))(3)-catalyzed bis(hydrosilylation) of alpha-diketones can give high diastereomeric excess of either meso/anti (small silanes and disilane reagents) or dl/syn (bulky silanes) silyl-protected 1,2-diols. This easily tuned diastereoselectivity is rationalized based on the classic Felkin-Anh model applied to a mechanism relying on Si-H abstraction by the electrophilic borane reagent.

Catalytic production of sulfur heterocycles (dihydrobenzodithiins): a new application of ligand-based alkene reactivity.

Activation of bis-o-phenylene tetrasulfide to render it a practical benzodithiete equivalent for [4+2] cycloadditions with alkenes has been achieved with catalytic amounts of Mo(tfd)(2)(bdt) (tfd = S(2)C(2)(CF(3))(2); bdt = S(2)C(6)H(4)). Substituted 2,3-dihydro-1,4-benzodithiins are produced.

Ligand-based reactivity of a platinum bisdithiolene: double diene addition yields a new C2-chiral chelate ligand.

The reaction of Pt(tfd)(2) [tfd = S(2)C(2)(CF(3))(2)] with excess 2,3-dimethyl-1,3-butadiene initially yields the expected 1:1 adduct, in which the diene has added across two sulfur atoms on separate tfd ligands. However, within 1 day at 50 degrees C, this kinetic product quantitatively converts into a thermodynamic product where two dienes have added to one tfd ligand via unprecedented addition across the dithiolene CS bonds. The new reaction is highly selective for the C(2)-symmetric diastereomer. A new chiral bisthioether chelate ligand has formed in the product, which has been characterized crystallographically.

Nickel dithiolene chelate rings in a new role as eta5-coordinating ligands: synthesis, structural characterization, and redox reactivity of an "Fe2Ni" bis-double-decker.

A bis-double-decker complex has been assembled from the nickel bisdithiolene complex [Ni(S 2C 2Me 2) 2] (1-/2-) and two [Cp*Fe] (+) units (Cp* = C 5Me 5). The complex, [(eta (5)-Cp*-Fe-mu-eta (5),eta (5)-((S 2C 2Me 2) 2Ni)Fe-eta (5)-Cp*] ( n ) ( 1 ( n )), was isolated in two charge states ( n = 0, 1). The structure of 1 (+) was confirmed by X-ray crystallography for 1 (+)PF 6 (-) and 1 (+)BF 4 (-), and it shows the nickel bisdithiolene units pi-donating to iron centers. Both salts crystallize in a centrosymmetric space group (center of inversion at nickel). Computational (density functional theory) data indicate a highly delocalized spin density for 1 (+). The reaction of 1 with 1 or 2 equiv of HBF 4 leads to oxidation to form 1 (+) or 1 (2+), respectively. On an electrochemical time scale, reversibility is observed for the redox series 1/ 1 (+)/ 1 (2+), with an additional slower step for oxidation of 1 (2+).

Toward selective functionalisation of oligosilanes: borane-catalysed dehydrogenative coupling of silanes with thiols.

Among established methods for transforming Si-H bonds, carbonyl hydrosilylation and heterodehydrogenative coupling with alcohols catalysed by B(C6F5)3 are shown to provide exceptionally clean routes to the derivatisation of tetra-substituted disilanes such as [Ph2SiH]2, giving no products resulting from Si-Si bond cleavage. Even higher activity is observed for the borane-catalysed dehydrogenative coupling of silanes with alkyl- and arylthiols, the first examples of such Si-S bond formation in the absence of a transition metal catalyst. Clean, quantitative syntheses of a range of thiosilanes are reported, and the lability of the Si-S linkage toward subsequent alcoholysis is investigated. The crystal structure of 2,3-disila-2,2,3,3-tetramethyl-1,4-benzodioxane is presented.

New insight into reactions of Ni(S2C2(CF3)2)2 with simple alkenes: alkene adduct versus dihydrodithiin product selectivity is controlled by [Ni(S2C2(CF3)2)2]- anion.

The nickel bis(dithiolene) complex Ni(S2C2(CF3)2)2 employs its sulfur centers in reactions with alkenes, and stable interligand S-bonded alkene adducts can be formed. The present study shows that the selectivity of alkene binding to charge-neutral Ni(S2C2(CF3)2)2 is influenced by the anion [Ni(S2C2(CF3)2)2]-. In the absence of anion, formation of substituted dihydrodithiins (intraligand addition) dominates, whereas the presence of anion allows for the formation of stable interligand adducts. Mechanistic implications are discussed. The X-ray crystal structure of the ethylene adduct of Ni(S2C2(CF3)2)2 is presented, displaying interligand binding of ethylene to sulfur centers in the bis(dithiolene) complex.