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1.
Cell ; 137(5): 849-59, 2009 May 29.
Article in English | MEDLINE | ID: mdl-19490894

ABSTRACT

Superfamily 1B (SF1B) helicases translocate in a 5'-3' direction and are required for a range of cellular activities across all domains of life. However, structural analyses to date have focused on how SF1A helicases achieve 3'-5' movement along nucleic acids. We present crystal structures of the complex between the SF1B helicase RecD2 from Deinococcus radiodurans and ssDNA in the presence and absence of an ATP analog. These snapshots of the reaction pathway reveal a nucleotide binding-induced conformational change of the two motor domains that is broadly reminiscent of changes observed in other SF1 and SF2 helicases. Together with biochemical data, the structures point to a step size for translocation of one base per ATP hydrolyzed. Moreover, the structures also reveal a mechanism for nucleic acid translocation in the 5'-3' direction by SF1B helicases that is surprisingly different from that of 3'-5' translocation by SF1A enzymes, and explains the molecular basis of directionality.


Subject(s)
DNA Helicases/chemistry , DNA Helicases/metabolism , Deinococcus/enzymology , Adenosine Triphosphate/analogs & derivatives , Crystallography, X-Ray , DNA, Single-Stranded/metabolism , Models, Molecular , Protein Structure, Tertiary
2.
J Cardiovasc Electrophysiol ; 34(9): 1979-1982, 2023 09.
Article in English | MEDLINE | ID: mdl-37529856

ABSTRACT

INTRODUCTION: Epicardial ablation is an important approach in the management of patients with complex ventricular arrhythmias. Irrigated ablation catheters present a challenge in this potential space due to fluid accumulation that can cause hemodynamic compromise, requiring frequent manual fluid aspiration. In this series, we report our initial experience with the use of a dry suction water seal system for pericardial fluid management during epicardial ablation. METHODS: Consecutive patients undergoing epicardial ventricular tachycardia (VT) ablation at a single center were included. All patients underwent epicardial access via a subxiphoid approach with a single operator. A deflectable sheath was advanced into the pericardial space, and the side port was attached to a dry suction water seal system attached to wall suction at -20 mmHg. Procedural information including patient characteristics, outcomes, and adverse events. After a period of initial experience, pericardial fluid infusion and aspiration volumes were recorded. RESULTS: Eleven patients were included in this series. All patients underwent epicardial ablation with complete success achieved in 8 of the 11 patients and partial success in the remaining patients. Pericardial fluid intake ranging from 485 to 3050 mL with aspiration of 350-3050 mL using the dry suction water seal system. No adverse events occurred. CONCLUSION: Dry suction water seal drainage systems can provide a safe strategy for efficient pericardial fluid management during epicardial VT ablation, potentially shortening procedure duration.


Subject(s)
Catheter Ablation , Tachycardia, Ventricular , Humans , Pericardial Fluid , Tachycardia, Ventricular/diagnosis , Tachycardia, Ventricular/surgery , Tachycardia, Ventricular/etiology , Suction , Pericardium/surgery , Catheter Ablation/adverse effects , Catheter Ablation/methods , Epicardial Mapping/methods
4.
Nature ; 550(7674): 67-73, 2017 10 05.
Article in English | MEDLINE | ID: mdl-28953884

ABSTRACT

Despite their fundamental biological and clinical importance, the molecular mechanisms that regulate the first cell fate decisions in the human embryo are not well understood. Here we use CRISPR-Cas9-mediated genome editing to investigate the function of the pluripotency transcription factor OCT4 during human embryogenesis. We identified an efficient OCT4-targeting guide RNA using an inducible human embryonic stem cell-based system and microinjection of mouse zygotes. Using these refined methods, we efficiently and specifically targeted the gene encoding OCT4 (POU5F1) in diploid human zygotes and found that blastocyst development was compromised. Transcriptomics analysis revealed that, in POU5F1-null cells, gene expression was downregulated not only for extra-embryonic trophectoderm genes, such as CDX2, but also for regulators of the pluripotent epiblast, including NANOG. By contrast, Pou5f1-null mouse embryos maintained the expression of orthologous genes, and blastocyst development was established, but maintenance was compromised. We conclude that CRISPR-Cas9-mediated genome editing is a powerful method for investigating gene function in the context of human development.


Subject(s)
Embryonic Development/genetics , Gene Editing , Gene Expression Regulation, Developmental , Octamer Transcription Factor-3/genetics , Octamer Transcription Factor-3/metabolism , Animals , Blastocyst/metabolism , CRISPR-Cas Systems/genetics , Cell Lineage , Ectoderm/metabolism , Embryo, Mammalian/cytology , Embryo, Mammalian/embryology , Embryo, Mammalian/metabolism , Female , Germ Layers/metabolism , Human Embryonic Stem Cells/cytology , Human Embryonic Stem Cells/metabolism , Humans , Male , Mice , Nanog Homeobox Protein/genetics , Nanog Homeobox Protein/metabolism , Octamer Transcription Factor-3/deficiency , Substrate Specificity , Zygote/metabolism
5.
J Am Chem Soc ; 144(20): 9138-9148, 2022 May 25.
Article in English | MEDLINE | ID: mdl-35546521

ABSTRACT

Spin-crossover (SCO) materials display many fascinating behaviors including collective phase transitions and spin-state switching controlled by external stimuli, e.g., light and electrical currents. As single-molecule switches, they have been fêted for numerous practical applications, but these remain largely unrealized-partly because of the difficulty of switching these materials at high temperatures. We introduce a semiempirical microscopic model of SCO materials combining crystal field theory with elastic intermolecular interactions. For realistic parameters, this model reproduces the key experimental results including thermally induced phase transitions, light-induced spin-state trapping (LIESST), and reverse-LIESST. Notably, we reproduce and explain the experimentally observed relationship between the critical temperature of the thermal transition, T1/2, and the highest temperature for which the trapped state is stable, TLIESST, and explain why increasing the stiffness of the coordination sphere increases TLIESST. We propose strategies to design SCO materials with higher TLIESST: optimizing the spin-orbit coupling via heavier atoms (particularly in the inner coordination sphere) and minimizing the enthalpy difference between the high-spin (HS) and low-spin (LS) states. However, the most dramatic increases arise from increasing the cooperativity of the spin-state transition by increasing the rigidity of the crystal. Increased crystal rigidity can also stabilize the HS state to low temperatures on thermal cycling yet leave the LS state stable at high temperatures following, for example, reverse-LIESST. We show that such highly cooperative systems offer a realistic route to robust room-temperature switching, demonstrate this in silico, and discuss material design rationale to realize this.

6.
J Am Chem Soc ; 144(29): 13242-13253, 2022 Jul 27.
Article in English | MEDLINE | ID: mdl-35830247

ABSTRACT

The two-dimensional (2-D) framework, [Cu(BTDAT)(MeOH)] {BTDAT = bis-[1,2,5]-thiadiazolo-tetracyanoquinodimethane}, possesses remarkable multi-step redox properties, with electrochemical studies revealing six quasi-stable redox states in the solid state. In situ electron paramagnetic resonance and visible-near infrared spectroelectrochemistry elucidated the mechanism for these multi-step redox processes, as well as the optical and electrochromic behavior of the BTDAT ligand and framework. In studying the structural, spectroscopic, and electronic properties of [Cu(BTDAT)(MeOH)], the as-synthesized framework was found to exist in a mixed-valence state with thermally-activated semiconducting behavior. In addition to pressed pellet conductivity measurements, single-crystal conductivity measurements using a pre-patterned polydimethylsiloxane layer on a silicon substrate provide important insights into the anisotropic conduction pathways. As an avenue to further understand the electronic state of [Cu(BTDAT)(MeOH)], computational band structure calculations predicted delocalized electronic transport in the framework. On the balance of probabilities, we propose that [Cu(BTDAT)(MeOH)] is a Mott insulator (i.e., electron correlations cause a metal-insulator transition). This implies that the conductivity is incoherent. However, we are unable to distinguish between activated transport due to Coulombically bound electron-hole pairs and a hopping mechanism. The combined electrochemical, electronic, and optical properties of [Cu(BTDAT)(MeOH)] shine a new light on the experimental and theoretical challenges for electroactive framework materials, which are implicated as the basis of advanced optoelectronic and electrochromic devices.

7.
Inorg Chem ; 61(30): 11667-11674, 2022 Aug 01.
Article in English | MEDLINE | ID: mdl-35862437

ABSTRACT

A detailed study of the two-dimensional (2-D) Hofmann-like framework [Fe(furpy)2Pd(CN)4]·nG (furpy: N-(pyridin-4-yl)furan-2-carboxamide, G = H2O,EtOH (A·H2O,Et), and H2O (A·H2O)) is presented, including the structural and spin-crossover (SCO) implications of subtle guest modification. This 2-D framework is characterized by undulating Hofmann layers and an array of interlayer spacing environments─this is a strategic approach that we achieve by the inclusion of a ligand with multiple host-host and host-guest interaction sites. Variable-temperature magnetic susceptibility studies reveal an asymmetric multistep SCO for A·H2O,Et and an abrupt single-step SCO for A·H2O with an upshift in transition temperature of ∼75 K. Single-crystal analyses show a primitive orthorhombic symmetry for A·H2O,Et characterized by a unique FeII center─the multistep SCO character is attributed to local ligand orientation. Counterintuitively, A·H2O shows a triclinic symmetry with two inequivalent FeII centers that undergo a cooperative single-step high-spin (HS)-to-low-spin (LS) transition. We conduct detailed structure-function analyses to understand how the guest ethanol influences the delicate balance between framework communication and, therefore, the local structure and spin-state transition mechanism.

8.
Inorg Chem ; 61(17): 6641-6649, 2022 May 02.
Article in English | MEDLINE | ID: mdl-35442030

ABSTRACT

We investigate the effects of a broad array of external stimuli on the structural, spin-crossover (SCO) properties and nature of the elastic interaction within the two-dimensional Hofmann framework material [Fe(cintrz)2Pd(CN)4]·guest (cintrz = N-cinnamalidene 4-amino-1,2,4-triazole; A·guest; guest = 3H2O, 2H2O, and Ø). This framework exhibits a delicate balance between ferro- and antiferro-elastic interaction characters; we show that manipulation of the pore contents across guests = 3H2O, 2H2O, and Ø can be exploited to regulate this balance. In A·3H2O, the dominant antiferroelastic interaction character between neighboring FeII sites sees the low-temperature persistence of the mixed spin-state species {HS-LS} for {Fe1-Fe2} (HS = high spin, LS = low spin). Elastic interaction strain is responsible for stabilizing the {HS-LS} state and can be overcome by three mechanisms: (1) partial (2H2O) or complete (Ø) guest removal, (2) irradiation via the reverse light-induced excited spin-state trapping (LIESST) effect (λ = 830 nm), and (3) the application of external hydrostatic pressure. Combining experimental data with elastic models presents a clear interpretation that while guest molecules cause a negative chemical pressure, they also have consequences for the elastic interactions between metals beyond the simple chemical pressure picture typically proposed.

9.
Dev Dyn ; 250(12): 1796-1809, 2021 12.
Article in English | MEDLINE | ID: mdl-34091971

ABSTRACT

BACKGROUND: Hand genes are required for the development of the vertebrate jaw, heart, peripheral nervous system, limb, gut, placenta, and decidua. Two Hand paralogues, Hand1 and Hand2, are present in most vertebrates, where they mediate different functions yet overlap in expression. In ray-finned fishes, Hand gene expression and function is only known for the zebrafish, which represents the rare condition of having a single Hand gene, hand2. Here we describe the developmental expression of hand1 and hand2 in the cichlid Copadichromis azureus. RESULTS: hand1 and hand2 are expressed in the cichlid heart, paired fins, pharyngeal arches, peripheral nervous system, gut, and lateral plate mesoderm with different degrees of overlap. CONCLUSIONS: Hand gene expression in the gut, peripheral nervous system, and pharyngeal arches may have already been fixed in the lobe- and ray-finned fish common ancestor. In other embryonic regions, such as paired appendages, hand2 expression was fixed, while hand1 expression diverged in lobe- and ray-finned fish lineages. In the lateral plate mesoderm and arch associated catecholaminergic cells, hand1 and hand2 swapped expression between divergent lineages. Distinct expression of cichlid hand1 and hand2 in the epicardium and myocardium of the developing heart may represent the ancestral pattern for bony fishes.


Subject(s)
Basic Helix-Loop-Helix Transcription Factors/genetics , Cichlids/embryology , Embryonic Development/genetics , Animal Fins/embryology , Animal Fins/metabolism , Animals , Basic Helix-Loop-Helix Transcription Factors/metabolism , Branchial Region/embryology , Branchial Region/metabolism , Cichlids/genetics , Cichlids/metabolism , Embryo, Nonmammalian , Gene Expression Regulation, Developmental , Heart/embryology , Intestines/embryology , Intestines/metabolism , Mesoderm/embryology , Mesoderm/metabolism , Myocardium/metabolism , Peripheral Nervous System/embryology , Peripheral Nervous System/metabolism , Sequence Homology , Skull/embryology , Skull/metabolism , Tooth/embryology , Tooth/metabolism , Zebrafish/embryology , Zebrafish/genetics , Zebrafish/metabolism , Zebrafish Proteins/genetics , Zebrafish Proteins/metabolism
10.
Haematologica ; 106(4): 1022-1033, 2021 04 01.
Article in English | MEDLINE | ID: mdl-33504139

ABSTRACT

Acute myeloid leukemia patients with FLT3-ITD mutations have a high risk of relapse and death. FLT3 tyrosine kinase inhibitors improve overall survival, but their efficacy is limited and most patients who relapse will ultimately die of the disease. Even with potent FLT3 inhibition, the disease persists within the bone marrow microenvironment, mainly due to bone marrow stroma activating parallel signaling pathways that maintain pro-survival factors. BET inhibitors suppress pro-survival factors such as MYC and BCL2, but these drugs thus far have shown only limited single-agent clinical potential. We demonstrate here, using pre-clinical and clinical correlative studies, that the novel 4-azaindole derivative, PLX51107, has BET-inhibitory activity in vitro and in vivo. The combination of BET and FLT3 inhibition induces a synergistic antileukemic effect in a murine xenograft model of FLT3-ITD AML, and against primary FLT3-ITD AML cells co-cultured with bone marrow stroma. Using suppression of MYC as a surrogate for BET inhibition, we demonstrate BET inhibition in human patients. The short plasma half-life of PLX51107 results in intermittent target inhibition to enable tolerability while overcoming the protective effect of the microenvironment. Mechanistically, the synergistic cytotoxicity is associated with suppression of key survival genes such as MYC. These data provide the scientific rationale for a clinical trial of a BET plus FLT3 inhibitor for the treatment of relapsed/refractory FLT3-ITD AML. A clinical trial of PLX51107 as monotherapy in patients with different malignancies is underway and will be reported separately.


Subject(s)
Apoptosis , Leukemia, Myeloid, Acute , Animals , Humans , Leukemia, Myeloid, Acute/drug therapy , Leukemia, Myeloid, Acute/genetics , Mice , Mutation , Oxazoles , Protein Kinase Inhibitors/pharmacology , Pyridines , Pyrroles , Tumor Microenvironment , fms-Like Tyrosine Kinase 3/genetics
11.
Chemistry ; 27(16): 5136-5141, 2021 Mar 17.
Article in English | MEDLINE | ID: mdl-33543525

ABSTRACT

Foremost, practical applications of spin-crossover (SCO) materials require control of the nature of the spin-state coupling. In existing SCO materials, there is a single, well-defined dimensionality relevant to the switching behavior. A new material, consisting of 1,2,4-triazole-based trimers coordinated into 1D chains by [Au(CN)2 ]- and spaced by anions and exchangeable guests, underwent SCO defined by elastic coupling across multiple dimensional hierarchies. Detailed structural, vibrational, and theoretical studies conclusively confirmed that intra-trimer coupling was an order of magnitude greater than the intramolecular coupling, which was an order of magnitude greater than intermolecular coupling. As such, a clear hierarchy on the nature of elastic coupling in SCO materials was ascertained for the first time, which is a necessary step for the technological development of molecular switching materials.

12.
Phys Chem Chem Phys ; 23(8): 5012-5019, 2021 Mar 04.
Article in English | MEDLINE | ID: mdl-33624644

ABSTRACT

The Cu(ii) ions in [(C2H5)3NH]2Cu2(C2O4)3 form a hyperhoneycomb lattice and show no indication of long-range magnetic order down to 60 mK. It has therefore been suggested that [(C2H5)3NH]2Cu2(C2O4)3 is a three dimensional quantum spin liquid. We construct a tight-binding model of [(C2H5)3NH]2Cu2(C2O4)3 from Wannier orbital overlaps. Including interactions within the Jahn-Teller distorted Cu-centered eg Wannier orbitals leads to a highly anisotropic effective Heisenberg model. We show that this anisotropy arrises from interference between different superexchange pathways. This demonstrates that when two (or more) orbitals contribute to the localised spin superexchange can be significantly richer than in the textbook single orbital case. The hyper-honeycomb lattice contains two symmetry distinct sublattices of Cu atoms arranged in coupled chains. We show that one sublattice is strongly dimerized, the other forms isotropic antiferromagnetic chains. Integrating out the strongest (intradimer) exchange interactions leaves extremely weakly coupled Heisenberg chains.

13.
South Econ J ; 87(4): 1090-1106, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33821055

ABSTRACT

We argue that the policy response to the COVID-19 pandemic by all levels of government around the world is not consistent with recommendations from standard welfare economics. Thus, it is important to ask why such policies have been adopted. That opens the door to examining the political economy of the COVID-19 pandemic. This requires examining the incentives and information that confront policymakers and voters and the institutional environments that shape their incentives and information. This lead article frames questions addressed in the remainder of the symposium.

14.
Phys Chem Chem Phys ; 22(46): 27348-27356, 2020 Dec 07.
Article in English | MEDLINE | ID: mdl-33231236

ABSTRACT

It has recently been proposed that the dominant non-radiative decay mechanism in blue Ir(iii) phosphors at room temperature is due to the low-lying non-radiative metal-centred triplet states. These are populated thermally via an activated transition from the highly radiative metal-to-ligand-charge-transfer states that are initially populated due to intersystem crossing following the radiative or electronic excitation of the phosphor. We apply transition state theory to quantitatively calculate the non-radiative decay rate of a family of Ir(iii) complexes containing N-heterocyclic carbene (NHC) ligands. We compare the, computationally inexpensive, one-dimensional theory with the, more accurate, multi-dimensional theory. Both methods find a non-radiative rate with an Arrhenius form (knr = kae-ΔE/kBT). The pre-exponential factors, ka, and activation energies, ΔE, are evaluated via density functional theory (DFT). The multi-dimensional theory shows that there is an order of magnitude variation in ka within this family of materials (between 3 × 1011 s-1 and 3 × 1012 s-1). This is not captured by the one-dimensional theory, which predicts very uniform rate constants in the middle of this range (∼1012 s-1). Nevertheless, the activated process involved, and the linear relationship between ka and knr, mean that ka plays a subtle role in determining knr. Consistent with this we find that both methods capture the trend observed experimentally in the non-radiative rates. Furthermore, the magnitude of the calculated knr is similar in both methods and in good agreement with experimental values [except for one complex with a very shallow activation barrier (<0.1 eV)]. It has previously been demonstrated that radiative decay rates can be accurately calculated from DFT. Combined with our results for the non-radiative rates, this implies that DFT methods can accurately predict the emission efficiency in Ir(iii) phosphors. Therefore, DFT calculations are both fast and accurate enough to play a significant role in the design of new deep blue Ir(iii) phosphors with high emission efficiency. Even the one-dimensional theory provides reasonable agreement with experiment. This suggests that a funneling approach - where only the best performing molecules, according to the one-dimensional theory, are studied in the more laborious multi-dimensional framework - could be a powerful strategy for designing active materials for phosphorescent organic light-emitting diodes (PHOLEDs) from first principles.

15.
Phytopathology ; 110(11): 1808-1820, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32500812

ABSTRACT

Maximizing the durability of crop disease resistance genes in the face of pathogen evolution is a major challenge in modern agricultural epidemiology. Spatial diversification in the deployment of resistance genes, where susceptible and resistant fields are more closely intermixed, is predicted to drive lower epidemic intensities over evolutionary timescales. This is due to an increase in the strength of dilution effects, caused by pathogen inoculum challenging host tissue to which it is not well-specialized. The factors that interact with and determine the magnitude of this spatial suppressive effect are not currently well understood, however, leading to uncertainty over the pathosystems where such a strategy is most likely to be cost-effective. We model the effect on landscape scale disease dynamics of spatial heterogeneity in the arrangement of fields planted with either susceptible or resistant cultivars, and the way in which this effect depends on the parameters governing the pathosystem of interest. Our multiseason semidiscrete epidemiological model tracks spatial spread of wild-type and resistance-breaking pathogen strains, and incorporates a localized reservoir of inoculum, as well as the effects of within and between field transmission. The pathogen dispersal characteristics, any fitness cost(s) of the resistance-breaking trait, the efficacy of host resistance, and the length of the timeframe of interest all influence the strength of the spatial diversification effect. A key result is that spatial diversification has the strongest beneficial effect at intermediate fitness costs of the resistance-breaking trait, an effect driven by a complex set of nonlinear interactions. On the other hand, however, if the resistance-breaking strain is not fit enough to invade the landscape, then a partially effective resistance gene can result in spatial diversification actually worsening the epidemic. These results allow us to make general predictions of the types of system for which spatial diversification is most likely to be cost-effective, paving the way for potential economic modeling and pathosystem specific evaluation. These results highlight the importance of studying the effect of genetics on landscape scale spatial dynamics within host-pathogen disease systems.[Formula: see text] Copyright © 2020 The Author(s). This is an open access article distributed under the CC BY 4.0 International license.


Subject(s)
Disease Resistance , Epidemics , Agriculture , Disease Resistance/genetics , Humans , Plant Diseases
16.
Ann Vasc Surg ; 54: 145.e11-145.e14, 2019 Jan.
Article in English | MEDLINE | ID: mdl-29778611

ABSTRACT

BACKGROUND: Only 3 cases of aorto-cisterna chyli fistula have been described in the literature but none with a resulting pseudoaneurysm (PSA). METHODS: A 68-year-old man presented following a motor vehicle collision. Imaging revealed a retroperitoneal hematoma with enhancement of the cisterna chyli, representing an aortic to cisterna chyli fistula. Three days later, computed tomography angiography showed resolution of the fistula, but revealed a PSA. The patient underwent arteriography that confirmed the PSA, and then a computed tomography-guided thrombin injection was performed. Follow-up imaging showed resolution of the PSA. RESULTS: Only 3 cases of aorto-cisterna chyli fistula have been described. We hypothesize that this fistula was caused from his L2 vertebral body fracture, which avulsed the lumbar artery and injured the cisterna chyli. The cisterna chyli provided an outflow tract for the aortic injury. We believe this type of fistula follows a benign clinical course. Aorto-cisterna chyli fistula is rare, and reports point to spontaneous resolution. Our case is unique in that the patient progressed from a fistula to a PSA. Options for treatment of this PSA include covered stent graft, open repair, coil embolization, or thrombin injection. CONCLUSIONS: This case report describes an extremely rare diagnosis and the natural history of this aorto-cisterna chyli fistula. Furthermore, the resulting aortic PSA was successfully treated with computed tomography-guided thrombin injection, which in the appropriate setting, should be considered an acceptable option.


Subject(s)
Aneurysm, False/etiology , Aorta, Thoracic/injuries , Aortic Aneurysm, Thoracic/etiology , Aortic Diseases/etiology , Hemostatics/administration & dosage , Thoracic Duct/injuries , Thrombin/administration & dosage , Vascular Fistula/etiology , Aged , Aneurysm, False/diagnostic imaging , Aneurysm, False/drug therapy , Aorta, Thoracic/diagnostic imaging , Aortic Aneurysm, Thoracic/diagnostic imaging , Aortic Aneurysm, Thoracic/drug therapy , Aortic Diseases/diagnostic imaging , Aortography , Fistula , Hematoma/etiology , Humans , Imaging, Three-Dimensional , Injections, Intralesional , Lymphatic Diseases/etiology , Male , Thoracic Duct/diagnostic imaging , Tomography, X-Ray Computed , Vascular Fistula/diagnostic imaging , Wounds, Nonpenetrating/complications
17.
Ann Vasc Surg ; 59: 312.e1-312.e5, 2019 Aug.
Article in English | MEDLINE | ID: mdl-30802574

ABSTRACT

BACKGROUND: Mycotic aortoiliac aneurysms in neonates are rare. Surgical treatment has traditionally been the standard of care, but recent case reports have suggested that endovascular management of mycotic iliac aneurysms may also be safe and effective. In this case, we describe successful management of a mycotic aortoiliac aneurysm in a neonate with exploratory laparotomy and ligation of the left common iliac artery. METHODS: A full-term infant boy of uncomplicated delivery was transferred to our institution on day 2 of life after a barium enema concerning for small left colon syndrome. An umbilical artery catheter had been placed for monitoring but was removed before transfer. During his hospital course, he developed left leg edema and fever. He was found to have a mycotic aneurysm of the left common and internal iliac arteries, causing common iliac venous compression. A repeat ultrasound revealed the aneurysm measured a maximum of 12 mm in diameter and 26 mm in length. RESULTS: Treatment was delayed until the patient was clinically stable. He was monitored with serial ultrasounds, which showed no significant increase in aneurysmal size. A review of the literature supported the perception the aneurysm posed an impending risk to the patient. On day 16 of life, the neonate underwent ligation and excision of the left common iliac artery aneurysm. CONCLUSION: Our experience found ligation of the common iliac artery to be safe and effective, establishing that surgical reconstruction is not required.


Subject(s)
Aneurysm, Infected/surgery , Iliac Aneurysm/surgery , Aneurysm, Infected/diagnostic imaging , Aneurysm, Infected/microbiology , Computed Tomography Angiography , Humans , Iliac Aneurysm/diagnostic imaging , Iliac Aneurysm/microbiology , Infant, Newborn , Ligation , Male , Treatment Outcome , Ultrasonography, Doppler, Color
18.
Inorg Chem ; 57(15): 8881-8889, 2018 Aug 06.
Article in English | MEDLINE | ID: mdl-30016104

ABSTRACT

Devices based on deep-blue emitting iridium(III) complexes with N-heterocyclic carbene (NHC) ligands have recently been shown to give excellent performance as phosphorescent organic light-emitting diodes (PHOLEDs). To facilitate the design of even better deep-blue phosphorescent emitters, we carried out density functional theory (DFT) calculations of the lowest triplet (T1) potential-energy surfaces upon lengthening the iridium-ligand (Ir-C) bonds. Relativistic time dependent DFT calculations demonstrate that this changes the nature of T1 from a highly emissive metal-to-ligand charge transfer (3MLCT) state to a metal centered (3MC) state where the radiative decay rate is orders of magnitude slower than that of the 3MLCT state. We identify the elongation of an Ir-C bond on the NHC group as the pathway with the lowest energy barrier between the 3MLCT and 3MC states for all complexes studied and show that the barrier height is correlated with the experimentally measured nonradiative decay rate. This suggests that the thermal population of 3MC states is the dominant nonradiative decay mechanism at room temperature. We show that the 3MLCT → 3MC transition is reversible, in marked contrast to deep-blue phosphors containing coordinating nitrogen atoms, where the population of 3MC states breaks Ir-N bonds. This suggests that, as well as improved efficiency, blue PHOLEDs containing phosphors where the metal is only coordinated by carbon atoms will have improved device lifetimes.

19.
J Theor Biol ; 413: 72-85, 2017 01 21.
Article in English | MEDLINE | ID: mdl-27816677

ABSTRACT

Genetic insect control, such as self-limiting RIDL2 (Release of Insects Carrying a Dominant Lethal) technology, is a development of the sterile insect technique which is proposed to suppress wild populations of a number of major agricultural and public health insect pests. This is achieved by mass rearing and releasing male insects that are homozygous for a repressible dominant lethal genetic construct, which causes death in progeny when inherited. The released genetically engineered ('GE') insects compete for mates with wild individuals, resulting in population suppression. A previous study modelled the evolution of a hypothetical resistance to the lethal construct using a frequency-dependent population genetic and population dynamic approach. This found that proliferation of resistance is possible but can be diluted by the introgression of susceptible alleles from the released homozygous-susceptible GE males. We develop this approach within a spatial context by modelling the spread of a lethal construct and resistance trait, and the effect on population control, in a two deme metapopulation, with GE release in one deme. Results show that spatial effects can drive an increased or decreased evolution of resistance in both the target and non-target demes, depending on the effectiveness and associated costs of the resistant trait, and on the rate of dispersal. A recurrent theme is the potential for the non-target deme to act as a source of resistant or susceptible alleles for the target deme through dispersal. This can in turn have a major impact on the effectiveness of insect population control.


Subject(s)
Insect Control , Models, Theoretical , Pest Control, Biological , Animals , Gene Frequency/genetics , Genes, Dominant , Insecta , Population Dynamics
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