Direct observation of reversible liquid-liquid transition in a trehalose aqueous solution.

Water forms two glassy waters, low-density and high-density amorphs, which undergo a reversible polyamorphic transition with the change in pressure. The two glassy waters transform into the different liquids, low-density liquid (LDL) and high-density liquid (HDL), at high temperatures. It is predicted that the two liquid waters also undergo a liquid-liquid transition (LLT). However, the reversible LLT, particularly the LDL-to-HDL transition, has not been observed directly due to rapid crystallization. Here, I prepared a glassy dilute trehalose aqueous solution (0.020 molar fraction) without segregation and measured the isothermal volume change at 0.01 to 1.00 GPa below 160 K. The polyamorphic transition and the glass-to-liquid transition for the high-density and low-density solutions were examined, and the liquid region where both LDL and HDL existed was determined. The results show that the reversible polyamorphic transition induced by the pressure change above 140 K is the LLT. That is, the transition from LDL to HDL is observed. Moreover, the pressure hysteresis of LLT suggests strongly that the LLT has a first-order nature. The direct observation of the reversible LLT in the trehalose aqueous solution has implications for understanding not only the liquid-liquid critical point hypothesis of pure water but also the relation between aqueous solution and water polyamorphism.

Impact of Hepatitis B Surface and Core Antibody Levels on Hepatitis B Virus Reactivation.

Hepatitis B virus reactivation (HBV-R) is a serious complication that can occur in patients with resolved HBV infection during cancer chemotherapy. We examined the levels of HBV surface antibody (HBsAb) and HBV core antibody (HBcAb) to assess the incidence of HBV-R in cancer patients including hematopoietic stem cell transplantation (HSCT) and rituximab administration. This retrospective cohort study included 590 patients with resolved HBV infection. The incidence of HBV-R was evaluated 761.5 (range, 90-3898) days after the inititiation of chemotherapy. Of the patients, 13 (2.2%) developed HBV-R after the start of chemotherapy. All 13 patients exhibited lower HBsAb (<100 mIU/mL) levels at baseline. A higher level of HBcAb (≥100 cut off index (C.O.I.)) was a possible risk factor for HBV-R as well as HSCT and rituximab administration. The simultaneous presence of HBsAb <100 mIU/mL and HBcAb ≥100 C.O.I. increased the risk of HBV-R by 18.5%. Patients treated with rituximab were at a higher risk of HBV-R (18.4%) despite having HBcAb <100 C.O.I. Our results suggest that assessment of HBsAb and HBcAb levels prior to the chemotherapy is important for identifying patients at high risk of HBV-R, especially in solid cancers without HSCT and rituximab administration.

Transformation process of ice crystallized from a glassy dilute trehalose aqueous solution.

Metastable forms of ice and their crystal growth play an important role in meteorology, cryobiology, and planetary science. However, it is difficult to investigate the effects of solute on the crystal growth of ice in a dilute aqueous solution due to the segregation. Herein, we made a non-segregated glass of dilute trehalose aqueous solution (0.023 mole fraction) and examined the transformation of crystalline ice in the aqueous solution with increasing temperature using powder X-ray diffraction measurements. The ice formed immediately after the crystallization is nano-sized stacking disordered ice (ice Isd) with few stacking faults and has high cubicity. The crystal growth of ice Isd in the trehalose aqueous solution was remarkably slower than those of ice Isd in a glycerol aqueous solution and pure ice Isd. The ice Isd survived up to ∼230 K which is higher than the transformation temperature from ice Isd to hexagonal ice (ice Ih) of pure water (∼200 K). The existence of trehalose inhibits the crystal growth of ice Isd and, as a result, the ice sublimates easily under vacuum conditions. Moreover, the occurrence of macroscopic segregation at ∼245 K is related to the Isd-to-Ih transformation. These results are important for the improvement of thawing techniques for cryopreserved biological tissues and for the understanding of the mechanism of ice cloud formation in the Earth's atmosphere.

Non-segregated crystalline state of dilute glycerol aqueous solution.

When a dilute aqueous solution freezes at 1 atm, it is segregated into water-rich ice Ih and solute-rich freeze-concentrated glassy solution. A similar segregation is observed at the crystallization of homogeneous glassy aqueous solutions by heating. The influence of solutes on the nucleation of solvent water and the solute discharge process from the crystalline ice are not clear. In this study, I made a homogeneous dilute glassy glycerol aqueous solution (0.07 mol fraction) using pressure liquid cooling vitrification (PLCV), measured the specific volume and the sample temperature during the compression and decompression processes, and examined the polyamorphic and crystallization behaviors. It is found that the sample crystallized slightly above the crystallization temperature is amorphized homogeneously under pressure, and that the amorphized sample is equivalent to the homogeneous glassy sample made by PLCV. This indicates that glycerol solutes in the crystalline sample are dispersed homogeneously and the crystalline sample does not segregate. These experimental results suggest that nucleation does not involve segregation and that crystal growth induces segregation. The discovery of the non-segregated crystalline state has an implication in not only the understanding of crystallization of glassy ice in meteorology and planetary physics but also the application to cell thawing techniques in cryobiology and food engineering.

Effect of OH groups on the polyamorphic transition of polyol aqueous solutions.

Polyamorphic transition in water is expected to occur at low temperatures and high pressures. Recently, the polyamorphic transitions of polyol aqueous solutions were examined under pressure at low temperatures, and the location of their liquid-liquid critical points was estimated experimentally. The addition of polyol solute in water induces the shift of polyamorphic transition pressure toward the lower pressure side. Here, by comparing the polyamorphic transition of various polyol aqueous solutions, especially by comparing those of dilute 1,2-propanediol and dilute 1,3-propanediol aqueous solutions, it is clarified that the OH-groups in the polyol molecule efficiently affect the polyamorphic behavior of solvent water. This suggests that the hydrogen bonding interaction between solvent water and polyol solute relates closely to the polyamorphic behavior of solvent water such as the stabilization of high-density-amorph-like solvent water induced by the presence of polyol solute. In addition, the effect of CH3 groups in the 1,2-propanediol molecule seems to be opposite to the effect of OH groups. These results have important implications for the understandings of low-temperature phenomena of aqueous solutions, for example, hydration, segregation, phase separation, folding/unfolding of macromolecules, glass forming, and nucleation of crystalline ice Ih.

Experimental estimation of the location of liquid-liquid critical point for polyol aqueous solutions.

To solve a mystery of low-temperature liquid water, a liquid-liquid critical point (LLCP) hypothesis that the two kinds of waters, low-density and high-density liquids (LDL and HDL), and a critical point relating to the two waters exist is thought to be the most realistic idea. However, there is no conclusive evidence showing the existence of LLCP. I measured the polyamorphic volume changes of the glassy dilute polyol (ethylene glycol, glycerol, meso-erythritol, xylitol, and D-sorbitol) aqueous solutions during the compression and decompression processes and estimated the location of LLCP for the polyol aqueous solution by a new analysis of the concentration dependence of polyamorphic transition. The LLCP of glycerol aqueous solution around 150 K is estimated to be around 0.045 GPa and around 0.135 molar fraction. This indicates that the solvent water in the glycerol aqueous solution at 1 atm changes continuously from the LDL-like state to the HDL-like state with the increase of solute concentration. The concentration region in which the crossover between LDL-like solvent water and HDL-like solvent water occurs is located near the region that the liquid-liquid transition line is extended to the concentration axis at 1 atm. Moreover, the formation of LDL-like solvent water relates deeply to the homogeneous nucleation of ice Ih in the polyol aqueous solution. This conclusion shows that the LLCP hypothesis of water has an important implication for understanding the dynamics of aqueous solution such as solubility, hydration, segregation, aggregation of solute, nucleation of ice Ih, glass formation, glass transition, and so on.

Effect of solute nature on the polyamorphic transition in glassy polyol aqueous solutions.

I examined the polyamorphic behavior of glassy dilute aqueous solutions of polyols (ethylene glycol, glycerol, meso-erythritol, xylitol, and D-sorbitol) under pressure at low temperatures. Although the volume change of the glassy aqueous solution varied continuously against pressure, the rate of the volume change appeared to vary discontinuously at the onset pressure of the gradual polyamorphic transition. It is thought that low-density liquid-like solvent water and high-density liquid-like solvent water coexist during the transition. Moreover, the existence of a solute induces the shift of polyamorphic transition to the lower-pressure side. The effect of a solute on the polyamorphic transition becomes larger in the order ethylene glycol, glycerol, meso-erythritol, xylitol, and D-sorbitol. Therefore, the solute can become a variable controlling the polyamorphic state of liquid water. This experimental result suggests that the metastable-equilibrium phase boundary between the low-density and the high-density amorphs for pure water is likely to be located at 0.22-0.23 GPa at about 150 K, which is slightly larger than the previously estimated pressure. Moreover, the solute-nature dependence on the polyamorphic transition seems to connect to that on the homogeneous nucleation temperature of polyol aqueous solution at ambient pressure. The region in which a low-density liquid appears coincides with the region in which the nucleus of ice Ih appears, suggesting that the formation of a low-density liquid is a precursory phenomenon of the nucleation of ice Ih.

Nuclear DNA damage-triggered NLRP3 inflammasome activation promotes UVB-induced inflammatory responses in human keratinocytes.

Ultraviolet (UV) radiation in sunlight can result in DNA damage and an inflammatory reaction of the skin commonly known as sunburn, which in turn can lead to cutaneous tissue disorders. However, little has been known about how UV-induced DNA damage mediates the release of inflammatory mediators from keratinocytes. Here, we show that UVB radiation intensity-dependently increases NLRP3 gene expression and IL-1ß production in human keratinocytes. Knockdown of NLRP3 with siRNA suppresses UVB-induced production of not only IL-1ß, but also other inflammatory mediators, including IL-1α, IL-6, TNF-α, and PGE2. In addition, inhibition of DNA damage repair by knockdown of XPA, which is a major component of the nucleotide excision repair system, causes accumulation of cyclobutane pyrimidine dimer (CPD) and activation of NLRP3 inflammasome. In vivo immunofluorescence analysis confirmed that NLRP3 expression is also elevated in UV-irradiated human epidermis. Overall, our findings indicate that UVB-induced DNA damage initiates NLRP3 inflammasome activation, leading to release of various inflammatory mediators from human keratinocytes.

A Simple High-Performance Liquid Chromatography for Determining Lapatinib and Erlotinib in Human Plasma.

BACKGROUND: Lapatinib and erlotinib are used for cancer treatment, showing large interindividual variability. Therapeutic drug monitoring may be useful for assessing the clinical outcomes and adverse events. A simple high-performance liquid chromatography UV method was developed for the determination of lapatinib and erlotinib in human plasma. METHODS: An aliquot of plasma sample spiked with internal standard was treated with acetonitrile to precipitate the proteins. Lapatinib and erlotinib were separated on an octadecylsilyl silica gel column using a mobile phase consisting of acetonitrile, methanol, water, and trifluoroacetic acid (26:26:48:0.1) pumped at a flow rate of 1.0 mL/min. The detection wavelength was set at 316 nm. RESULTS: The calibration curves for lapatinib and erlotinib were linear (r = 0.9999) in the range of 0.125-8.00 mcg/mL. The extraction recoveries for both lapatinib and erlotinib at the plasma concentration of 0.125-8.00 mcg/mL were higher than 89.9% with coefficients of variation less than 3.5%. The coefficients of variation for intraday and interday assays of lapatinib and erlotinib were less than 5.1% and 6.1%, respectively. CONCLUSIONS: The present method can be used for blood concentration monitoring for lapatinib or erlotinib in exactly the same conditions.

Effect of water polyamorphism on the molecular vibrations of glycerol in its glassy aqueous solutions.

A glassy dilute glycerol-water solution undergoes a mutual polyamorphic transition relating to the transition between high- and low-density amorphous ices of solvent water. The polyamorphic transition behavior depends on the glycerol concentration, indicating that the glycerol affects the water polyamorphism. Here, we used the glassy dilute glycerol-water solution of the solute molar fraction of 0.07 and examined the effect of the polyamorphic change in solvent water on the molecular vibrations of glycerol via Raman spectroscopy. It is found that the molecular vibration of glycerol in high-density liquid like solvent water is different from that in the low-density liquid like solvent water and that the change in the molecular vibration of glycerol is synchronized with the polyamorphic transition of solvent water. The dynamical change of the solute molecule relates to the polyamorphic state of solvent water. This result suggests that the polyamorphic fluctuation of water structure emanated from the presumed liquid-liquid critical point plays an important role for the function of aqueous solution under an ambient condition such as the conformational stability of solute, the functional expression of solute, and so on.

Experimentally proven liquid-liquid critical point of dilute glycerol-water solution at 150 K.

The experimental and theoretical studies of supercooled liquid water strongly suggest that the two liquid waters and their liquid-liquid critical point (LLCP) exist at low temperature. However, the decisive experimental evidence of the LLCP has not been obtained because of the rapid crystallization of liquid water in the "no-man's land." Here, we observed experimentally the pressure-induced polyamorphic transition in the dilute glycerol-water solution which relates to the water polyamorphism. We examined the effect of the glycerol concentration on the liquid-liquid transition, and found its LLCP around 0.12-0.15 mole fraction, 0.03-0.05 GPa, and ~150 K. A 150 K was above, or around, the recently recognized glass transition temperatures of amorphous ices, and the crystallization did not occur, indicating that the direct observation of LLCP is feasible. The low-temperature LLCP has implication to the argument of the relation between the interaction potential of water molecule and the polyamorphic phase diagram.

Evaluation of mycophenolic acid exposure in a patient with immune-related hepatotoxicity caused by nivolumab and ipilimumab therapy for malignant melanoma: a case report.

BACKGROUND: Guidelines such as the National Comprehensive Cancer Network recommend mycophenolate mofetil (MMF) for the treatment of severe steroid-refractory immune-related hepatotoxicity. Mycophenolic acid (MPA) is an active form of MMF that suppresses T- and B-lymphocyte proliferation and immune-related adverse events caused by immune checkpoint inhibitors. MPA has a narrow therapeutic range (37-70 µg·h/mL) and overexposure increases the risk of leukopenia in transplantation. However, the optimal use of MMF in oncology has not yet been established; thus, monitoring plasma MPA concentrations is necessary to avoid excessive immunosuppression in oncology practice. CASE PRESENTATION: We evaluated plasma MPA concentration in a 75-year-old man with immune-related hepatotoxicity following nivolumab and ipilimumab combination therapy for malignant melanoma. The patient developed severe hepatotoxicity after immunotherapy, and immunosuppressant therapy with corticosteroids was initiated. The patient then developed steroid-refractory immune-related hepatotoxicity; therefore, MMF (1,000 mg twice daily) was co-administered. Seven days after the administration of MMF, the plasma MPA concentration was measured using an enzyme multiplied immunoassay technique. The area under the plasma concentration-time curve for MPA from 0 to 12 h was 41.0 µg·h/mL, and the same dose of MMF was continued. Grade 2 lymphocytopenia, which could be attributed to MMF, was observed during the administration period. Unfortunately, the patient was infected with SARS-CoV-2 and died from respiratory failure. CONCLUSION: Our patient did not exceed the upper limit of MPA levels as an index of the onset of side effects of kidney transplantation and achieved rapid improvement in liver function. Prompt initiation of MMF after assessment of the steroid effect leads to adequate MPA exposure. Therapeutic drug monitoring should be considered when MMF is administered, to avoid overexposure.

Central and peripheral des-acyl ghrelin regulates body temperature in rats.

In the present study using rats, we demonstrated that central and peripheral administration of des-acyl ghrelin induced a decrease in the surface temperature of the back, and an increase in the surface temperature of the tail, although the effect of peripheral administration was less marked than that of central administration. Furthermore, these effects of centrally administered des-acyl ghrelin could not be prevented by pretreatment with [D-Lys3]-GHRP-6 GH secretagogue receptor 1a (GHS-R1a) antagonists. Moreover, these actions of des-acyl ghrelin on body temperature were inhibited by the parasympathetic nerve blocker methylscopolamine but not by the sympathetic nerve blocker timolol. Using immunohistochemistry, we confirmed that des-acyl ghrelin induced an increase of cFos expression in the median preoptic nucleus (MnPO). Additionally, we found that des-acyl ghrelin dilated the aorta and tail artery in vitro. These results indicate that centrally administered des-acyl ghrelin regulates body temperature via the parasympathetic nervous system by activating neurons in the MnPO through interactions with a specific receptor distinct from the GHS-R1a, and that peripherally administered des-acyl ghrelin acts on the central nervous system by passing through the blood-brain barrier, whereas it exerts a direct action on the peripheral vascular system.

Residual risk of transfusion-transmitted hepatitis B virus (HBV) infection caused by blood components derived from donors with occult HBV infection in Japan.

BACKGROUND: Nucleic acid amplification testing (NAT) for hepatitis B virus (HBV) during blood screening has helped to prevent transfusion-transmitted HBV infection (TT-HBV) in Japan. Nevertheless, 4 to 13 TT-HBV infections arise annually. STUDY DESIGN AND METHODS: The Japanese Red Cross (JRC) analyzed repository samples of donated blood for TT-HBV that was suspected through hemovigilance. Blood donations implicated in TT-HBV infections were categorized as either window period (WP) or occult HBV infection (OBI) related. In addition, we analyzed blood from 4742 donors with low antibody to hepatitis B core antigen (anti-HBc) and antibody to hepatitis B surface antigen (anti-HBs) titers using individual-donation NAT (ID-NAT) to investigate the relationship between anti-HBc titer and proportion of viremic donors. RESULTS: Introduction of a more sensitive NAT method for screening minipools of 20 donations increased the OBI detection rate from 3.9 to 15.2 per million, while also the confirmed OBI transmission rate increased from 0.67 to 1.49 per million. By contrast the WP transmission rate decreased from 0.92 to 0.46 per million. Testing repository samples of donations missed by minipools of 20 donations NAT showed that 75 and 85% of TT-HBV that arose from WP and OBI donations, respectively, would have been interdicted by ID-NAT. The ID-NAT trial revealed that 1.94% of donations with low anti-HBc and anti-HBs titers were viremic and that anti-HBc titers and the frequency of viremia did not correlate. CONCLUSIONS: The JRC has elected to achieve maximal safety by discarding all units with low anti-HBc and anti-HBs titers that account for 1.3% of the total donations.

Impact of solute carrier family 29 member 1 (SLC29A1) single nucleotide polymorphisms on mRNA expression in peripheral blood mononuclear cells.

The effects of solute carrier family 29 member 1 (SLC29A1) single nucleotide polymorphism (SNP), rs6932345 and rs747199, on SLC29A1 mRNA expression were examined. The expression levels of SLC29A1 mRNA in peripheral blood mononuclear cells (PBMCs) isolated from 46 healthy subjects (28 males and 18 females) was compared between wild-type and mutant carriers. The mRNA levels in the rs6932345 wild-type (AA genotype) was 1.71 times that in the mutation carriers (AC/CC genotype) (p<0.05). Similar results were observed for rs747199, because rs747199 was linked with rs6932345 at a frequency of 84.8%. It was confirmed that wild-type for rs6932345 and rs747199 showed higher SLC29A1 mRNA expression in PBMCs.

Sudden switchover between the polyamorphic phase separation and the glass-to-liquid transition in glassy LiCl aqueous solutions.

Lithium chloride aqueous solutions (LiClaq solutions) below 10 mol.% are vitrified by cooling from room temperature to 77 K at 0.3 GPa. We examine the solvent state of the glassy sample and its transformation by heating at 1 atm using low-temperature differential scanning calorimetry and Raman spectroscopy. This experimental study suggests strongly that the solvent state of the glassy LiClaq solution closely relates to the state of high-density amorphous ice. Moreover, we reconfirm that the separation into the low-density amorphous ice and the glassy highly concentrated LiClaq solution occurs in the glassy dilute LiClaq solution at ∼130 K, not the glass-to-liquid transition which is commonly observed in the glassy LiClaq solution above ∼10 mol.%. In order to interpret the sudden switchover between the glass-to-liquid transition and the phase separation at ∼10 mol.%, we propose a state diagram of LiClaq solution which connects with a polyamorphic state diagram of pure water and discuss a possibility that the electric field induces a polyamorphic transition of water.

Effect of massive ascites on ramucirumab pharmacokinetics in patients with gastrointestinal cancers: a population pharmacokinetic analysis.

PURPOSE: Considerable amounts of injected immunoglobulin G-based therapeutic monoclonal antibodies, such as ramucirumab, are distributed into ascites. This study aimed to examine the effect of massive ascites on ramucirumab pharmacokinetics in patients with gastrointestinal cancers. METHODS: Population pharmacokinetic analysis of ramucirumab was performed using data on serum ramucirumab concentrations of 52 patients with gastrointestinal cancers, including 8 patients with massive ascites. The Bayesian method using the final population pharmacokinetic model was utilized to estimate trough ramucirumab concentrations after the first dose and at steady state. RESULTS: Population pharmacokinetic analysis revealed that massive ascites as well as body weight were influencing factors for ramucirumab clearance. The estimated ramucirumab clearance was significantly higher in patients with massive ascites than in those with no/mild ascites (0.020 ± 0.004 versus 0.013 ± 0.004 L/h, P < 0.001). The estimated trough ramucirumab concentrations were significantly lower in patients with massive ascites than in those with no/mild ascites after the first dose (26.4 ± 6.8 versus 36.1 ± 7.1 µg/mL, P < 0.001) and at steady state (41.4 ± 16.3 versus 65.9 ± 18.0 µg/mL, P < 0.001). CONCLUSION: In the present study, the presence of massive ascites affected the pharmacokinetics of ramucirumab in patients with gastrointestinal cancers. Our results suggest that dose optimization of ramucirumab may be necessary in patients with massive ascites due to higher ramucirumab clearance.

Stochastic Resonance in Organic Electronic Devices.

Stochastic Resonance (SR) is a phenomenon in which noise improves the performance of a system. With the addition of noise, a weak input signal to a nonlinear system, which may exceed its threshold, is transformed into an output signal. In the other words, noise-driven signal transfer is achieved. SR has been observed in nonlinear response systems, such as biological and artificial systems, and this review will focus mainly on examples of previous studies of mathematical models and experimental realization of SR using poly(hexylthiophene)-based organic field-effect transistors (OFETs). This phenomenon may contribute to signal processing with low energy consumption. However, the generation of SR requires a noise source. Therefore, the focus is on OFETs using materials such as organic materials with unstable electrical properties and critical elements due to unidirectional signal transmission, such as neural synapses. It has been reported that SR can be observed in OFETs by application of external noise. However, SR does not occur under conditions where the input signal exceeds the OFET threshold without external noise. Here, we present an example of a study that analyzes the behavior of SR in OFET systems and explain how SR can be made observable. At the same time, the role of internal noise in OFETs will be explained.