Controlled Hydrolysis of Phosphate Esters: A Route to Calixarene-Supported Rare-Earth Clusters.

Phosphate ester bonds are widely present in nature (e. g. DNA/RNA) and can be extremely stable against hydrolysis without the help of catalysts. Previously, we showed how the combination of phosphoryl and calix[4]arene moieties in the same organic framework (LPO ) allows isolation of single lanthanide (Ln) metal ions as [LnIII (LPO )2 ](O3 SCF3 )3 . Here we report how by controlling the reaction conditions a new hydrolyzed phosphoryl-calix[4]arene ligand (H3 LHPO ) is formed as a result of LnIII -mediated P-OEt bond cleavage in three out of the eight possible sites in LPO . The chelating nature of H3 LHPO traps the LnIII species in the form of [LnIII (LHPO )((EtO)2 P(O)OH)]2 dimers (Ln=La, Dy, Tb, Gd), where the Dy derivative shows slow magnetization relaxation. The strategy presented herein could be extended to access a broader library of hydrolyzed platforms (Hx LHPO ; x=1-8) that may represent mimics of nuclease enzymes.

The age again in the eye of the COVID-19 storm: evidence-based decision making.

BACKGROUND: One hundred fifty million contagions, more than 3 million deaths and little more than 1 year of COVID-19 have changed our lives and our health management systems forever. Ageing is known to be one of the significant determinants for COVID-19 severity. Two main reasons underlie this: immunosenescence and age correlation with main COVID-19 comorbidities such as hypertension or dyslipidaemia. This study has two aims. The first is to obtain cut-off points for laboratory parameters that can help us in clinical decision-making. The second one is to analyse the effect of pandemic lockdown on epidemiological, clinical, and laboratory parameters concerning the severity of the COVID-19. For these purposes, 257 of SARSCoV2 inpatients during pandemic confinement were included in this study. Moreover, 584 case records from a previously analysed series, were compared with the present study data. RESULTS: Concerning the characteristics of lockdown series, mild cases accounted for 14.4, 54.1% were moderate and 31.5%, severe. There were 32.5% of home contagions, 26.3% community transmissions, 22.5% nursing home contagions, and 8.8% corresponding to frontline worker contagions regarding epidemiological features. Age > 60 and male sex are hereby confirmed as severity determinants. Equally, higher severity was significantly associated with higher IL6, CRP, ferritin, LDH, and leukocyte counts, and a lower percentage of lymphocyte, CD4 and CD8 count. Comparing this cohort with a previous 584-cases series, mild cases were less than those analysed in the first moment of the pandemic and dyslipidaemia became more frequent than before. IL-6, CRP and LDH values above 69 pg/mL, 97 mg/L and 328 U/L respectively, as well as a CD4 T-cell count below 535 cells/µL, were the best cut-offs predicting severity since these parameters offered reliable areas under the curve. CONCLUSION: Age and sex together with selected laboratory parameters on admission can help us predict COVID-19 severity and, therefore, make clinical and resource management decisions. Demographic features associated with lockdown might affect the homogeneity of the data and the robustness of the results.

[CrIII8NiII6]n+ Heterometallic Coordination Cubes.

Three new heterometallic [CrIII8NiII6] coordination cubes of formulae [CrIII8NiII6L24(H2O)12](NO3)12 (1), [CrIII8NiII6L24(MeCN)7(H2O)5](ClO4)12 (2), and [CrIII8NiII6L24Cl12] (3) (where HL = 1-(4-pyridyl)butane-1,3-dione), were synthesised using the paramagnetic metalloligand [CrIIIL3] and the corresponding NiII salt. The magnetic skeleton of each capsule describes a face-centred cube in which the eight CrIII and six NiII ions occupy the eight vertices and six faces of the structure, respectively. Direct current magnetic susceptibility measurements on (1) reveal weak ferromagnetic interactions between the CrIII and NiII ions, with JCr-Ni = + 0.045 cm-1. EPR spectra are consistent with weak exchange, being dominated by the zero-field splitting of the CrIII ions. Excluding wheel-like structures, examples of large heterometallic clusters containing both CrIII and NiII ions are rather rare, and we demonstrate that the use of metalloligands with predictable bonding modes allows for a modular approach to building families of related polymetallic complexes. Compounds (1)-(3) join the previously published, structurally related family of [MIII8MII6] cubes, where MIII = Cr, Fe and MII = Cu, Co, Mn, Pd.

An [FeIII 34 ] Molecular Metal Oxide.

The dissolution of anhydrous iron bromide in a mixture of pyridine and acetonitrile, in the presence of an organic amine, results in the formation of an [Fe34 ] metal oxide molecule, structurally characterised by alternate layers of tetrahedral and octahedral FeIII ions connected by oxide and hydroxide ions. The outer shell of the complex is capped by a combination of pyridine molecules and bromide ions. Magnetic data, measured at temperatures as low as 0.4 K and fields up to 35 T, reveal competing antiferromagnetic exchange interactions; DFT calculations showing that the magnitudes of the coupling constants are highly dependent on both the Fe-O-Fe angles and Fe-O distances. The simplicity of the synthetic methodology, and the structural similarity between [Fe34 ], bulk iron oxides, previous FeIII -oxo cages, and polyoxometalates (POMs), hints that much larger molecular FeIII oxides can be made.

MLL-rearranged acute myeloid leukemia: Influence of the genetic partner in allo-HSCT response and prognostic factor of MLL 3' region mRNA expression.

OBJECTIVE: MLL gene is involved in more than 80 known genetic fusions in acute leukemia. To study the relevance of MLL partner gene and selected gene's expression, in this work, we have studied a cohort of 20 MLL-rearranged acute myeloid leukemia (AML). METHODS: Twenty MLL-rearranged AML patients along with a control cohort of 138 AML patients are included in this work. By RT-PCR and sequencing, MLL genetic fusion was characterized, and relative gene expression quantification was carried out for EVI1, MEIS1, MLL-3', RUNX1, SETBP1, HOXA5, and FLT3 genes. Risk stratification and association of MLL genetic partner and gene expression to overall survival, in the context of received therapy, were performed. RESULTS: MLLr cohort showed to have an OS more similar to intermediate-risk AML. Type of MLL genetic partner showed to be relevant in allo-HSCT response; having MLLT1 and MLLT3, a better benefit from it. Expression of MLL-3' region, EVI1 and FLT3, showed association with OS in patients undergoing allo-HSCT. CONCLUSION: We show that the MLL genetic partner could have implications in allo-HSCT response, and we propose three genes whose expression could be useful for the prognosis of this leukemia in patients undergoing allo-HSCT: 3' region of MLL, EVI1, and FLT3.

Modular [FeIII8MII6] n+ (MII = Pd, Co, Ni, Cu) Coordination Cages.

The reaction of the simple metalloligand [FeIIIL3] [HL = 1-(4-pyridyl)butane-1,3-dione] with a variety of different MII salts results in the formation of a family of heterometallic cages of formulae [FeIII8PdII6L24]Cl12 (1), [FeIII8CuII6L24(H2O)4Br4]Br8 (2), [FeIII8CuII6L24(H2O)10](NO3)12 (3), [FeIII8NiII6L24(SCN)11Cl] (4), and [FeIII8CoII6L24(SCN)10(H2O)2]Cl2 (5). The metallic skeleton of each cage describes a cube in which the FeIII ions occupy the eight vertices and the MII ions lie at the center of the six faces. Direct-current magnetic susceptibility and magnetization measurements on 3-5 reveal the presence of weak antiferromagnetic exchange between the metal ions in all three cases. Computational techniques known in theoretical nuclear physics as statistical spectroscopy, which exploit the moments of the Hamiltonian to calculate relevant thermodynamic properties, determine JFe-Cu = 0.10 cm-1 for 3 and JFe-Ni = 0.025 cm-1 for 4. Q-band electron paramagnetic resonance spectra of 1 reveal a significantly wider spectral width in comparison to [FeL3], indicating that the magnitude of the FeIII zero-field splitting is larger in the heterometallic cage than in the monomer.

First-Trimester Biochemical Screening For Low Birth Weight: Clinical Effectiveness of Low Pregnancy-Associated Plasma Protein-A and High Thyroid-Stimulating Hormone.

BACKGROUND: Low birth weight (LBW) can be an important adverse neonatal outcome in terms of morbidity and mortality. The aim of this study is to investigate the screening effectiveness of first-trimester low pregnancy-associated plasma protein A (PAPP-A) and high serum thyroid-stimulating hormone (TSH) and the combination of both markers for predicting LBW. METHODS: We performed a retrospective cohort study of women undergoing first-trimester assessment in our center. We considered low PAPP-A as < 5th percentile for gestational age. High serum TSH was defined as > 2.5 mU/L, according to the American Thyroid Association (ATA) recommendation. Receiver-operating characteristic (ROC) curves were plotted to evaluate screening performance. Multivariate logistic regression was accomplished to calculate adjusted risks to identify the association between both parameters with LBW. RESULTS: Overall, 4,396 women met the inclusion criteria. Of these, 277 (6.3%) delivered a LBW baby. The use of either low PAPP-A or high TSH yielded the highest sensitivity (21.1%) with a specificity of 85.7%. Combining both markers showed an increased association (adjusted OR 9.07 [95% CI 3.34 - 24.6]) at the expense of a significant reduction in sensitivity (7.8%). CONCLUSIONS: First-trimester low PAPP-A is associated with LBW at delivery. Neither of these biomarkers or their combination are acceptable predictors to be clinically useful tools for LBW.

A New Family of 3d-4f Bis-Calix[4]arene-Supported Clusters.

Calix[4]arenes are versatile ligands that, whilst also serving other purposes, can act as platforms for the synthesis of a wide range of 3d, 4f, and 3d-4f polymetallic clusters. The empirical metal ion binding rules established for calix[4]arene are closely mirrored by bis-calix[4]arene, a relatively new ligand in which two equivalents of the former are directly tethered at a methylene bridge position. The direct tethering within bis-calix[4]arene gives rise to some structural features that are related to calix[4]arene coordination chemistry, but the prevailing clusters have fascinating new topologies and coordination behaviors. Here, we present the synthesis of a family of new bis-calix[4]arene-supported 3d-4f clusters, as well as their structural characterization and magnetic properties. Comparison is drawn with calix[4]arene coordination chemistry, showing logical extension of common structural fragments and cluster capping behaviors upon moving to bis-calix[4]arene. This approach therefore holds great potential for tuning cluster formation and composition at a high level through subsequent ligand alteration.

Importance of Steric Influences in the Construction of Multicomponent Hybrid Polymetallic Clusters.

The straightforward room temperature synthesis of hybrid polymetallic manganese clusters is investigated, exploiting complementary ligand combinations of p-tert-butylcalix[4]arene and salicylaldoximes. Eight new [MnIII7MnII] clusters have been prepared wherein the simple substitution of alkyl or aryl groups at well-defined positions of the salicylaldoxime scaffold leads to two distinct structure types that, while exhibiting the same general topology, contain the unique MnII ion in different positions. Incorporation of a methyl, ethyl, or isopropyl group at the 3-position of the aromatic skeleton or a phenyl group at the oximic carbon gives structure type A that displays competing weak ferromagnetic and antiferromagnetic interactions. Substitution of a methyl or ethyl group at the oximic carbon atom invokes structure type B, incorporating an additional bulky chloride or nitrate into the metallic core due to the smaller steric imposition and position of the methyl or ethyl group. The distortion of the cluster core is consequently enhanced, switching the magnetic properties and resulting in single-molecule magnet behavior. The presence of tert-butyl groups at the 3- and 5-positions of the salicylaldoxime skeleton leads to a new [MnIV2MnIII2] cluster that is found to be a single-molecule magnet. The bulky tert-butyl group in the 3-position is too large to facilitate Mn8 cluster formation, and thus assembly occurs by an alternative pathway. Characteristic bonding modes of the constituent ligands are retained in every case, and the results presented here give insight into the potential of ligand combinations in future studies, highlighting the importance of steric factors in evaluating their relevant compatibilities.

An exploration into municipal waste charges for environmental management at local level: The case of Spain.

Municipal waste charges have been widely acknowledged as a crucial tool for waste management at the local level. This is because they contribute to financing the costly provision of waste collection and treatment services and they can be designed to provide an economic stimulus to encourage citizens and local businesses to improve separate collection and recycling. This work presents a methodology to evaluate a sample of 125 municipal waste charges in Spain for the year 2015, covering 33.91% of the Spanish population. The qualitative benchmarking of municipal waste charges shows that flat fees are frequent, whereas variable fees are set according to criteria that are weakly related to waste generation. The average fee per household is €82.2 per year, which does not provide full cost recovery. The current configuration of municipal waste charges penalises taxpayers contributing to source separation of waste, while subsidising less environmentally friendly behaviours. In this sense, municipal waste charges in Spain are far from applying the polluter pays principle. Furthermore, it is argued that municipal waste charges are ineffective for promoting the proper application of the so-called 'waste hierarchy'.

Bis-Calix[4]arenes: From Ligand Design to the Directed Assembly of a Metal-Organic Trigonal Antiprism.

Calix[4]arenes (C[4]s) are versatile platforms for the construction of polymetallic clusters containing paramagnetic metal ions. Synthetic modification at the C[4] methylene bridge allows for the design of bis-C[4]s that, depending on the linker employed, can be used to either dictate which clusters can be formed or direct the assembly of a new metal-organic polyhedron (MOP). The assembly resulting from the latter approach displays thermal stability and uptake of N2 or H2 gas, confirming that this is a viable route to the synthesis of new, functional supramolecular architectures.

Copper Keplerates: High-Symmetry Magnetic Molecules.

Keplerates are molecules that contain metal polyhedra that describe both Platonic and Archimedean solids; new copper keplerates are reported, with physical studies indicating that even where very high molecular symmetry is found, the low-temperature physics does not necessarily reflect this symmetry.

[Cr(III)8M(II)6](12+) Coordination Cubes (M(II)=Cu, Co).

[Cr(III)8M(II)6](12+) (M(II) =Cu, Co) coordination cubes were constructed from a simple [Cr(III) L3 ] metalloligand and a "naked" M(II) salt. The flexibility in the design proffers the potential to tune the physical properties, as all the constituent parts of the cage can be changed without structural alteration. Computational techniques (known in theoretical nuclear physics as statistical spectroscopy) in tandem with EPR spectroscopy are used to interpret the magnetic behavior.

Combining complementary ligands into one framework for the construction of a ferromagnetically coupled [Mn(III)12] wheel.

Phenolic oxime and diethanolamine moieties have been combined into one organic framework, resulting in the formation of a novel ligand type that can be employed to construct a rare and unusual dodecametallic Mn wheel, within which nearest neighbours are coupled ferromagnetically.

Tandem templating strategies facilitate the assembly of calix[8]arene-supported Ln18 clusters.

Calix[n]arenes offer ideal chemical functionality through the polyphenolic lower rim to construct nano-sized coordination clusters with lanthanide (Ln) metal ions (e.g., NdIII10, GdIII8). However, the number of metal centers they can accommodate is still limited compared to that achievable with smaller ligands (e.g., GdIII140, GdIII104). Here, we exploit a combination of the "anion template strategy" and "templating ligands" to synthesise three highly symmetric (D3h, trigonal planar) LnIII18 (Ln = La, Nd, and Gd) systems, representing the largest calix[n]arene-based coordination clusters yet. The LnIII18 fragment is templated by a chloride anion located at the center of the cluster, wherefrom twelve µ3-OH- ligands bind 'internally' to the eighteen LnIII ions. 'Externally' the metallic skeleton is connected by p-tert-butylcalix[8]arene, oxo, chloro and carbonate ligands. The crystal packing in the lattice reveals large cylindrical channels of ∼26 Å in diameter, whose pore volume corresponds to ∼50% of the unit cell volume (using a 1.2 Å spherical probe radius). Magnetic measurements reveal the predominance of weak antiferromagnetic exchange in the Gd analog. Heat capacity data of GdIII18 reveal a high magnetic entropy with -ΔSm = 23.7 J K-1 kg-1, indicating potential for engineering magnetic refrigerant materials with calix[8]arenes.

Coordination-triggered redox activity of early and late lanthanide calix[4]arene complexes.

The methylation of p-tert-butylcalix[4]arene in the distal 1,3-phenolic sites provides H2L = {p-tert-butylcalix[4](OMe)2(OH)2arene}. This unit acts as a rigid coordinating ligand to early and late lanthanide metal ions, enabling the construction of two families of mononuclear compounds featuring (N(nBu)4)[LnIIIL(acac)2]·CH3CN (Ln = Pr (1), Nd (2), Ho (3), and Er (4)) and (N(nBu)4)2[LnIIIL{Mo5O13(OMe)4(NO)}]·CH2Cl2 (Ln = Nd (5) and Er (6)). The metal ions adopt distorted bicapped trigonal prismatic coordination environments, resulting in slow relaxation of the magnetization for 4. These compounds exhibit reversible redox waves at positive potentials, centered within the calix[4]arene ligand, representing a new type of calix[n]arene-based electrochemical activity induced by coordination to the metal centers.

Clinical impact of del Nido cardioplegia in adult cardiac surgery: A prospective randomized trial.

OBJECTIVE: The study objective was to assess the benefits of del Nido cardioplegia compared with cold blood cardioplegia solution in terms of myocardial protection during adult cardiac surgery. METHODS: A total of 474 adult patients undergoing coronary artery bypass grafting, heart valve surgery, thoracic aortic surgery, or combined procedures were randomized to the del Nido cardioplegia group (n = 234) or the cold blood cardioplegia solution group (n = 240) after provided informed consent. The primary end points assessed inotropic support requirements, severe cardiovascular events, and troponin trend within the first 48 hours of intensive care unit stay. Reperfusion arrhythmias, aortic crossclamp and cardiopulmonary bypass times, and other clinical perioperative variables were considered as secondary end points. RESULTS: No statistically significant differences were found regarding postoperative inotropic support requirements or the incidence of severe cardiovascular events. The del Nido cardioplegia group showed a higher return to spontaneous sinus rhythm (P< .001), a lower number of defibrillation attempts (P< .001), and an earlier peak troponin value in the postoperative period. Peak blood glucose levels and intravenous insulin requirements were significantly lower in the del Nido cardioplegia group. We found no significant differences regarding aortic crossclamp or cardiopulmonary bypass time. We did observe a lower incidence of postoperative stroke in the del Nido cardioplegia group (2.6% vs 6.7%; P= .035). CONCLUSIONS: del Nido cardioplegia can be used safely and with comparable outcomes compared with traditional cardioplegia solutions. Additional advantages over glycemic control, reperfusion arrhythmias, and its comfortable redosing interval make del Nido an interesting alternative for myocardial protection in adult cardiac surgery. A significant decrease in postoperative stroke will require further research to shed light on the results of this study. VIDEO ABSTRACT.

p-tert-Butylcalix[8]arene: an extremely versatile platform for cluster formation.

p-tert-Butylcalix[4]arene is a bowl-shaped molecule capable of forming a range of polynuclear metal clusters under different experimental conditions. p-tert-Butylcalix[8]arene (TBC[8]) is a significantly more flexible analogue that has previously been shown to form mono- and binuclear lanthanide (Ln) metal complexes. The latter (cluster) motif is commonly observed and involves the calixarene adopting a near double-cone conformation, features of which suggested that it may be exploited as a type of assembly node in the formation of larger polynuclear lanthanide clusters. Variation in the experimental conditions employed for this system provides access to Ln(1), Ln(2), Ln(4), Ln(5), Ln(6), Ln(7) and Ln(8) complexes, with all polymetallic clusters containing the common binuclear lanthanide fragment. Closer inspection of the structures of the polymetallic clusters reveals that all but one (Ln(8)) are in fact based on metal octahedra or the building blocks of octahedra, with the identity and size of the final product dependent upon the basicity of the solution and the deprotonation level of the TBC[8] ligand. This demonstrates both the versatility of the ligand towards incorporation of additional metal centres, and the associated implications for tailoring the magnetic properties of the resulting assemblies in which lanthanide centres may be interchanged.