Rituximab treatment for Sjogren syndrome-associated non-Hodgkin's lymphoma: case series.

Five per cent of patients with primary Sjogren's syndrome (pSS) develop malignant non-Hodgkin's lymphoma (NHL), usually of the mucosa-associated lymphoid tissue (MALT) and most frequently located in the major salivary glands. Rituximab (RTX), a chimeric monoclonal antibody against the CD20 molecule expressed on the surface of mature B cells that has been approved for the treatment of NHL, has been used to treat pSS-associated lymphoma. We have described two cases: one with MALT lymphoma in the parotid glands and the other with a rare thymus lymphoma accompanied by the rare complication of a bullous pneumopathy. Both were treated with RTX at haematological doses, which was unsuccessful in the patient with a salivary lymphoma; in the case of the patient with a thymus lymphoma, the mediastinum mass disappeared and did not relapse. Both patients experienced an improvement in the subjective symptoms of dryness, and their Schirmer's test and scialoscintigraphy results stabilised. The pulmonary bullae remained unchanged.

Asymmetric caging in soft colloidal mixtures.

The long-standing observations that different amorphous materials exhibit a pronounced enhancement of viscosity and eventually vitrify on compression or cooling continue to fascinate and challenge scientists, on the ground of their physical origin and practical implications. Glass formation is a generic phenomenon, observed in physically quite distinct systems that encompass hard and soft particles. It is believed that a common underlying scenario, namely cage formation, drives dynamical arrest, especially at high concentrations. Here, we identify a novel, asymmetric glassy state in soft colloidal mixtures, which is characterized by strongly anisotropically distorted cages, bearing similarities to those of hard-sphere glasses under shear. The anisotropy is induced by the presence of soft additives. This phenomenon seems to be generic to soft colloids and its origins lie in the penetrability of the constituent particles. The resulting phase diagram for mixtures of soft particles is clearly distinct from that of hard-sphere mixtures and brings forward a rich variety of vitrified states that delineate an ergodic lake in the parameter space spanned by the size ratio between the two components and by the concentration of the additives. Thus, a new route opens for the rational design of soft particles with desired tunable rheological properties.

Connecting irreversible to reversible aggregation: time and temperature.

We report molecular dynamics simulations of a gel-forming mixture of ellipsoidal patchy particles with different functionality. We show that in this model, which disfavors the formation of bond-loops, elapsed time during irreversible aggregation--leading to the formation of an extended network--can be formally correlated with equilibrium temperature in reversible aggregation. We also show that it is possible to develop a parameter-free description of the self-assembly kinetics, bringing reversible and irreversible aggregation of loopless branched systems to the same level of understanding as equilibrium polymerization.

One-dimensional cluster growth and branching gels in colloidal systems with short-range depletion attraction and screened electrostatic repulsion.

We report extensive numerical simulations of a simple model for charged colloidal particles in suspension with small nonadsorbing polymers. The chosen effective one-component interaction potential is composed of a short-range attractive part complemented by a Yukawa repulsive tail. We focus on the case where the screening length is comparable to the particle radius. Under these conditions, at low temperature, particles locally cluster into quasi one-dimensional aggregates which, via a branching mechanism, form a macroscopic percolating gel structure. We discuss gel formation and contrast it with the case of longer screening lengths, for which previous studies have shown that arrest is driven by the approach to a Yukawa glass of spherical clusters. We compare our results with recent experimental work on charged colloidal suspensions (Phys. Rev. Lett. 2005, 94, 208301).

Long-term efficacy of nitroglycerin patch in stable angina pectoris.

Subchronic and chronic efficacy of a 10 mg of nitroglycerin (NTG) patch was studied in 30 patients with stable angina pectoris. The trial consisted of 2 periods of study: 1 period of 2 months with a double-blind, crossover, placebo-controlled design and a second period of open treatment with verum patch. Two 7-day washout periods were performed at entry and at the end of the study. Efficacy was evaluated by clinical assessment of anginal attacks and NTG consumption and by means of multistage treadmill exercise testing. Exercise tests were performed at time 0 (24 hours from application of last patch), at 4 and 12 hours after dosing at the end of first 7-day washout, at the end of the first month of treatment, at the end of the second month of treatment after crossover, at the end of 3 months of treatment with active patch and at the end of the second 7-day washout period. Statistics were obtained by multivariate analysis of difference. In 27 patients whose records were available for final analysis the daily attacks of angina and NTG consumption decreased significantly during both the subchronic and chronic phases of the trial compared with placebo (p less than 0.001). Subchronic study showed significant improvement of maximal exercise duration, time to onset of angina, time to ST-segment depression of 1.0 mm, time to regression of angina and time to regression of ST depression, compared with placebo.(ABSTRACT TRUNCATED AT 250 WORDS)

Extension of the Fluctuation-Dissipation Theorem to the Physical Aging of a Model Glass-Forming Liquid.

We present evidence in favor of the possibility of treating an out-of-equilibrium supercooled simple liquid as a system in quasiequilibrium. Two different temperatures, one controlled by the external bath and one internally selected by the system, characterize the quasiequilibrium state. The value of the internal temperature is explicitly calculated within the inherent structure thermodynamic formalism. We find that the internal temperature enters the relation between the response to an external perturbation and the long-time decay of fluctuations in the liquid.

Role of unstable directions in the equilibrium and aging dynamics of supercooled liquids

The connectivity of the potential energy landscape in supercooled atomic liquids is investigated through a calculation of the instantaneous normal modes spectrum and a detailed analysis of the unstable directions in configuration space. We confirm the hypothesis that the mode-coupling critical temperature is the T at which the dynamics crosses over from free to activated exploration of configuration space. We also observe changes in the local connectivity of configuration space sampled during aging, following a temperature jump from a liquid to a glassy state.

Kinetic glass transition in a micellar system with short-range attractive interaction

We show that percolation and structural arrest transitions coexist in different regions of the phase diagram of a copolymer-micellar system and relate them to short-range intermicellar attraction. The intermediate scattering function shows a nonergodic transition along a temperature and concentration dependent line. Analyses show a logarithmic time dependence, attributed to a higher-order glass transition singularity predicted by mode-coupling theory, followed by a power law.

Effectiveness of thrombosis prevention with a low molecular weight heparin preparation in gynaecological patients undergoing surgery: an open study.

An open study was carried out in 92 patients to assess the effectiveness of a new low molecular weight heparin in preventing thromboembolic events after gynaecological surgery. The drug was administered subcutaneously 2 hours before the operation and afterwards once a day for 7 days in doses of either 7500 U. aXa/day or 15,000 U. aXa/day according to thrombosis risk and other variables. Only 3 patients developed deep vein thrombosis and none pulmonary embolism. There was no evidence of increased haemorrhage risk and few haematomas were noted at the wound or injection site. Laboratory data showed a marked increase in plasma inhibition of activated Factor X from Day 1 and this increase was maintained throughout the study period.

High sensitivity of Chinese hamster epithelial liver cells to toxic analogues of purines.

The resistance of Chinese hamster epithelial liver cells (CHEL) and Chinese hamster fibroblasts (V79) towards toxic purine analogues has been determined. The liver cells are more sensitive than fibroblasts to 6-thioguanine (6-TG), 8-azaguanine (8-AZ) and 2,6-diaminopurine (DAP). The hypoxanthine-guanine (HGPRT) and adenine phosphoribosyl transferase (APRT) activities of extracts of CHEL cells were lower than those of corresponding extracts of V79. The level of 5'-nucleotidase was about 5-fold higher in the epithelial cells. It appears that HGPRT and APRT activities of extracts of liver epithelial cells are masked or reduced by 5'-nucleotidase activity and other inhibitors. The significance of these findings is discussed.

Dynamics in a supercooled molecular liquid: theory and simulations.

We report extensive simulations of liquid supercooled states for a simple three-site molecular model, introduced by Lewis and Wahnström [Phys. Rev. E 50, 3865 (1994)] to mimic the behavior of orthoterphenyl. The large system size and the long simulation length allow us to calculate very precisely (in a large q-vector range) self-correlation and collective correlation functions, providing a clean and simple reference model for theoretical descriptions of molecular liquids in supercooled states. The time and wave-vector dependence of the site-site correlation functions are compared (neglecting the molecular constraints) with detailed ideal mode-coupling theory predictions. Except for the wave-vector region where the dynamics are controlled by the center of mass (around 9 nm(-1)), the theoretical predictions compare very well with the simulation data.

alpha-Relaxation processes in binary hard-sphere mixtures.

Molecular-dynamics simulations are presented for two correlation functions formed with the partial density fluctuations of binary hard-sphere mixtures in order to explore the effects of mixing on the evolution of glassy dynamics upon compressing the liquid into high-density states. Partial-density-fluctuation correlation functions for the two species are reported. Results for the alpha-relaxation process are quantified by parameters for the strength, stretching, and time scale, where the latter varies over almost four orders of magnitude upon compression. The parameters exhibit an appreciable dependence on the wave vector, and this dependence is different for the correlation function referring to the smaller and that for the larger species. These features are shown to be in semiquantitative agreement with those calculated within the mode-coupling theory for ideal liquid-glass transitions.

Crossover between equilibrium and shear-controlled dynamics in sheared liquids.

We present a numerical simulation study of a simple monatomic Lennard-Jones liquid under shear flow, as a function of both temperature T and shear rate .gamma. By investigating different observables we find that (i) there exists a line, T(.gamma), in the (T-(.gamma)) plane that sharply marks the border between an "equilibrium" and a "shear-controlled" region for both the dynamic and the thermodynamic quantities; and (ii) along this line the structural relaxation time, tau(alpha)(T(.gamma)), is proportional to .gamma(-1), i.e., to the typical time scale introduced by the shear flow. Above T(.gamma), the liquid dynamics is unaffected by the shear flow, while below T(.gamma) both T and .gamma control the particle motion.

Mechanical properties of a model of attractive colloidal solutions.

We review the nature of glass transitions and the glasses arising from a square-well potential with a narrow and deep well. Our discussion is based on the mode coupling theory (MCT), and the predictions of glasses that we make refer to the "ideal" glasses predicted by this theory. We believe that the square-well system well represents colloidal particles with attractive interactions produced by grafted polymers, or depletion interactions. It has been recently shown that two types of glasses, an attractive and a repulsive one, are predicted by MCT for this model. The former can form at quite low densities. Most of our attention is directed at the mechanical properties of the glasses predicted by this theory. In particular we calculate the elastic shear modulus at zero frequency and the longitudinal stress modulus in the long wavelength limit. Results for both are presented along the glass-liquid transition curves and their interesting behavior is explained in terms of the underlying physics of the system.

Dynamics and configurational entropy in the Lewis-Wahnström model for supercooled orthoterphenyl.

We study thermodynamic and dynamic properties of a rigid model of the fragile glass-forming liquid orthoterphenyl. This model, introduced by Lewis and Wahnström in 1993, collapses each phenyl ring to a single interaction site; the intermolecular site-site interactions are described by the Lennard-Jones potential whose parameters have been selected to reproduce some bulk properties of the orthoterphenyl molecule. A system of N=343 molecules is considered in a wide range of densities and temperatures, reaching simulation times up to 1 micros. Such long trajectories allow us to equilibrate the system at temperatures below the mode coupling temperature T(c) at which the diffusion constant reaches values of order 10(-10) cm(2)/s and thereby to sample in a significant way the potential energy landscape in the entire temperature range. Working within the inherent structures thermodynamic formalism, we present results for the temperature and density dependence of the number, depth and shape of the basins of the potential energy surface. We evaluate the total entropy of the system by thermodynamic integration from the ideal-noninteracting-gas state and the vibrational entropy approximating the basin free energy with the free energy of 6N-3 harmonic oscillators. We evaluate the configurational part of the entropy as a difference between these two contributions. We study the connection between thermodynamical and dynamical properties of the system. We confirm that the temperature dependence of the configurational entropy and of the diffusion constant, as well as the inverse of the characteristic structural relaxation time, are strongly connected in supercooled states; we demonstrate that this connection is well represented by the Adam-Gibbs relation, stating a linear relation between logD and the quantity 1/TS(c). This relation is found to hold both above and below the critical temperature T(c)-as previously found in the case of silica-supporting the hypothesis that a connection exists between the number of basins and the connectivity properties of the potential energy surface.

Test of nonequilibrium thermodynamics in glassy systems: the soft-sphere case.

The scaling properties of the soft-sphere potential allow the derivation of an exact expression for the pressure of a frozen liquid, i.e., the pressure corresponding to configurations which are local minima in its multidimensional potential energy landscape. The existence of such a relation offers the unique possibility for testing the recently proposed extension of the liquid free energy to glassy out-of-equilibrium conditions and the associated expression for the temperature of the configurational degrees of freedom. We demonstrate that the nonequilibrium free energy provides an exact description of the soft-sphere pressure in glass states.

Effect of bond lifetime on the dynamics of a short-range attractive colloidal system.

We perform molecular dynamics simulations of short-range attractive colloid particles modeled by a narrow (3% of the hard sphere diameter) square well potential of unit depth. We compare the dynamics of systems with the same thermodynamics but different bond lifetimes, by adding to the square well potential a thin barrier at the edge of the attractive well. For permanent bonds, the relaxation time tau diverges as the packing fraction phi approaches a threshold related to percolation, while for short-lived bonds, the phi dependence of tau is more typical of a glassy system. At intermediate bond lifetimes, the phi dependence of tau is driven by percolation at low phi , but then crosses over to glassy behavior at higher phi . We also study the wave vector dependence of the percolation dynamics.

Star polymers: a study of the structural arrest in the presence of attractive interactions.

Simulations and mode-coupling theory calculations, for a large range of the arm number f and packing fraction eta have shown that the structural arrest and the dynamics of star polymers in a good solvent are extremely rich: the systems show a reentrant melting of the disordered glass nested between two stable fluid phases that strongly resemble the equilibrium phase diagram. Starting from a simple model potential we investigate the effect of the interplay between attractive interactions of different range and ultrasoft core repulsion, on the dynamics and on the occurrence of the ideal glass transition line. In the two cases considered so far, we observed some significant differences with respect to the purely repulsive pair interaction. We also discuss the interplay between equilibrium and nonequilibrium phase behavior. The accuracy of the theoretical tools we utilized in our investigation has been checked by comparing the results with molecular dynamics simulations.

Confirmation of anomalous dynamical arrest in attractive colloids: a molecular dynamics study.

Previous theoretical simulation and experimental studies have indicated that particles with a short-ranged attraction exhibit a range of dynamical arrest phenomena. These include very pronounced reentrance in the dynamical arrest curve, a logarithmic singularity in the density correlation functions, and the existence of "attractive" and "repulsive" glasses. Here we carry out extensive molecular dynamics calculations on dense systems interacting via a square-well potential. This is one of the simplest systems with the required properties, and may be regarded as canonical for interpreting the phase diagram, and now also the dynamical arrest. We confirm the theoretical predictions for reentrance, logarithmic singularity, and give a direct evidence of the existence, independent of theory, of two distinct glasses. We now regard the previous predictions of these phenomena as having been established.

Evidence for an unusual dynamical-arrest scenario in short-ranged colloidal systems.

Extensive molecular dynamics simulation studies of particles interacting via a short-ranged attractive square-well potential are reported. The calculated loci of constant diffusion coefficient D in the temperature-packing fraction plane show a reentrant behavior, i.e., an increase of diffusivity on cooling, confirming an important part of the high volume-fraction dynamical-arrest scenario earlier predicted by theory for particles with short-ranged potentials. The more efficient localization mechanism induced by the short-range bonding provides, on average, additional free volume as compared to the hard-sphere case and results in faster dynamics.