Synthesis and characterization of macrodiols and non-segmented poly(ester-urethanes) (PEUs) derived from α,ω-hydroxy telechelic poly(ε-caprolactone) (HOPCLOH): effect of initiator, degree of polymerization, and diisocyanate.

Nine different macrodiols derived from α,ω-hydroxy telechelic poly(ε-caprolactone) (HOPCLOH) were prepared by ring-opening polymerization of ε-caprolactone (CL) using three linear aliphatic diols (HO-(CH2) n -OH, where n = 4, 8, and 12) as initiators and catalyzed by ammonium decamolybdate (NH4)8[Mo10O34]. The crystallization temperature (T c) and crystallinity (x i) were relatively high for HOPCLOH species with a long aliphatic chain [-(CH2)12-] in the oligoester. Also, HOPCLOH was the precursor of twenty-seven different poly(ester-urethanes) (PEUs) with various degrees of polymerization (DP) of HOPCLOH and three types of diisocyanates such as 1,6-hexamethylene diisocyanate (HDI), methylene diphenyl diisocyanate (MDI), and 4,4'-methylenebis (cyclohexyl isocyanate) (HMDI). HOPCLOH exhibited the melting temperature (T m) and crystallinity (x i) with a proportional dependency to the degree of polymerization (DP). PEUs showed significant thermal and mechanical properties, which had a direct correlation in terms of the type of DP and diisocyanate. PEUs derived from HDI versus MDI or HMDI exhibited an apparent effect where aliphatic diisocyanate (HDI) induced a significant x i with respect to aromatic and cyclic diisocyanate (MDI or HMDI). The profile of PEUs films according to mechanical properties is mainly a plastic behavior. The chemical nature and properties of HOPCLOH and PEUs were characterized by NMR, FT-IR, GPC, MALDI-TOF, DSC, and mechanical properties.

Metronidazole-induced hepatotoxicity in a patient with xeroderma pigmentosum: A case report.

RATIONALE: Whereas metronidazole-induced hepatotoxicity is quite rare in the general population, in individuals carrying a nucleotide excision repair disorder, namely Cockayne syndrome, there is a high risk of developing this complication. PATIENT CONCERNS: We report the case of a 44-year-old man, affected by xeroderma pigmentosum, who was admitted to the hospital presenting aspiration pneumoniae caused by worsening dysphagia and with severe hepatotoxicity during the hospitalization. DIAGNOSES: Acute hepatitis, which was leading to acute liver failure, occurred during antibiotic treatment with metronidazole and ceftazidime with an elevation of liver enzymes consistent with hepatocellular damage pattern. INTERVENTIONS: Hydration with glucose 5% solution, pantoprazole and vitamin K were administered, meanwhile other causes of hepatitis were ruled out and the ongoing antibiotic treatment was stopped suspecting a drug-induced liver injury. OUTCOMES: Liver function nearly completely recovered 1 month later with a first rapid improvement, within few days, of aminotransferases and coagulation studies, and slower of cholestatic enzymes. LESSONS: We describe the first case available in the literature of hepatotoxicity associated with metronidazole treatment in a xeroderma pigmentosum patient. Clinicians therefore, based on this report and according to the possible underlying mechanism shared by other genetic diseases characterized by alterations in the pathway of DNA-repair, should consider such adverse event also in patients affected by this rare disease.

De novo UBE2A mutations are recurrently acquired during chronic myeloid leukemia progression and interfere with myeloid differentiation pathways.

Despite the advent of tyrosine kinase inhibitors, a proportion of chronic myeloid leukemia patients in chronic phase fail to respond to imatinib or to second-generation inhibitors and progress to blast crisis. Until now, improvements in the understanding of the molecular mechanisms responsible for chronic myeloid leukemia transformation from chronic phase to the aggressive blast crisis remain limited. Here we present a large parallel sequencing analysis of 10 blast crisis samples and of the corresponding autologous chronic phase controls that reveals, for the first time, recurrent mutations affecting the ubiquitin-conjugating enzyme E2A gene (UBE2A, formerly RAD6A). Additional analyses on a cohort of 24 blast crisis, 41 chronic phase as well as 40 acute myeloid leukemia and 38 atypical chronic myeloid leukemia patients at onset confirmed that UBE2A mutations are specifically acquired during chronic myeloid leukemia progression, with a frequency of 16.7% in advanced phases. In vitro studies show that the mutations here described cause a decrease in UBE2A activity, leading to an impairment of myeloid differentiation in chronic myeloid leukemia cells.