Brain metastases from small cell lung cancer and non-small cell lung cancer: comparison of spatial distribution and identification of metastatic risk regions.

PURPOSE: This study aims to investigate the spatial distribution difference of brain metastases (BM) between small-cell lung cancer (SCLC) and non-small-cell lung cancer (NSCLC) and to identify the metastatic risk in brain regions. METHODS: T1-enhanced MR images of 2997 BM from 728 eligible patients with SCLC and NSCLC were retrospectively reviewed by three independent medical institutions in China. All images were spatially normalised according to the Montreal Neurological Institute space, following BM delineation confirmed by three senior radiologists. The brain regions in the normalised images were identified based on the merged Anatomical Automatic Labeling atlas, and all BM locations were mapped onto these brain regions. Two-tailed proportional hypothesis testing was used to compare the BM observed rate with the expected rate based on the region's volume, and metastatic risk regions were finally identified. RESULTS: In SCLC and NSCLC, BM was mainly present in the deep white matter (22.51% and 17.96%, respectively), cerebellar hemisphere (9.84% and 7.46%, respectively) and middle frontal gyrus (6.72% and 7.97%, respectively). The cerebellar hemisphere was a high-risk brain region in the SCLC. The precentral gyrus, middle frontal gyrus, paracentral lobule and cerebellar hemisphere were high-risk BM in the NSCLC. The inferior frontal gyrus and the temporal pole were a low-risk brain region in the SCLC and NSCLC, respectively. CONCLUSION: The spatial BM distribution between SCLC and NSCLC is similar. Several critical brain regions had relatively low BM frequency in both SCLC and NSCLC, where a low-dose radiation distribution can be delivered due to adequate preoperative evaluations.

Excavating precursors from the traditional Chinese herb Polygala tenuifolia and Gastrodia elata: Synthesis, anticonvulsant activity evaluation of 3,4,5-trimethoxycinnamic acid (TMCA) ester derivatives.

Epilepsy is a group of neurological disorders characterized by recurrent seizures that disturbs about 60 million people worldwide. In this article, a novel series of 3,4,5-trimethoxycinnamic acid (TMCA) ester derivatives 1-35 were designed inspired from the traditional Chinese herb pair drugs Polygala tenuifolia and Gastrodia elata and synthesized followed by in vivo and in silico evaluation of their anticonvulsant potential. All the synthesized derivatives were biologically evaluated for their anticonvulsant potential using two acute model of seizures induced in mice, the maximal electroshock (MES) and sc-pentylenetetrazole (PTZ) models. Simultaneously, the motor impairment as a surrogate of acute neurotoxicity and in vitro screening of cytotoxicity against HepG-2 cells line were assessed through the rotarod performance test and CCK-8 assay, respectively. In addition, the physicochemical and pharmacokinetic parameters of the active compounds were determined. Our results showed that compounds 5, 7, 8, 13, 20, 25, 28, 30 and 32 exhibited preferable anticonvulsant activity in primary evaluation, with compounds 28 and 32 being the most promising anticonvulsant agents in according to results of subsequent pharmacology and toxicity evaluation. Additionally, the molecular modeling experiments predicted good binding interactions of part of the obtained active molecules with the gamma-aminobutyric acid (GABA) transferas. Therefore, it could be concluded that the synthesized derivatives 28 and 32 would represent useful lead compounds for further investigation in the development of anticonvulsant agents.

Correction: Sun, Y.; et al. Design, Synthesis, and Evaluation of Novel 2-Hydroxypyrrolobenzodiazepine-5,11-dione Analogues as Potent Angiotensin Converting Enzyme (ACE) Inhibitors. Molecules 2017, 22, 1739.

The author wishes to make the following corrections to this paper [...].

Design, Synthesis and Evaluation of Novel 2-Hydroxypyrrolobenzodiazepine-5,11-dione Analogues as Potent Angiotensin Converting Enzyme (ACE) Inhibitors.

Under the guidance of combination of traditional Chinese medicine chemistry (CTCMC), this study describes the preparation of a phenolic acid/dipeptide/borneol hybrid consisting of phenolic acid and a bornyl moiety connected to the dipeptide N-terminal and C-terminal respectively. It also evaluates their angiotensin converting enzyme (ACE) inhibitory and synergistic antihypertensive activities. Briefly, a series of novel 2-hydroxypyrrolobenzodiazepine-5,11-dione analogues were prepared and investigated for their ability to inhibit ACE. The influence of the phenolic acid and bornyl moiety on subsite selectivity is also demonstrated. Among all the new compounds, two compounds-7a and 7g-reveal good inhibition potency in in vitro ACE-inhibitory tests. Interestingly, favorable binding results in molecular docking studies also supported the in vitro results. Additionally, the bioassay showed that oral administration of the two compounds displayed high and long-lasting antihypertensive activity both in acute antihypertensive tests and in therapeutic antihypertensive tests by non-invasive blood pressure measurements in spontaneously hypertensive rats.

Design and synthesis of ligustrazine derivatives as potential anti-Alzheimer's agents.

A novel series of ligustrazine derivatives was designed, synthesized, and evaluated as acetylcholinesterase (AChE) and butylcholinesterase (BuChE) inhibitors for the treatment of Alzheimer's disease (AD). In vitro studies displayed that some of the synthesized compounds revealed promising AChE and BuChE inhibitory effects. Particularly, compounds E12 and E27, indicated highly AChE inhibitory activity with IC50 values of 1.85 µM and 0.98 µM, respectively and showed noteworthy protective effects against on glutamate-induced SH-SY5Y cells damage at 1 µM and 10 µM concentrations. Furthermore, molecular simulation docking elucidates compounds E12 and E27 interacting with residues in the binding site of AChE (PDB code: 4EY7) and BuChE (PDB code: 1P0I), emphasizing the protein residues that participate in the main interactions with the two targets. Taken together, these results revealed that compounds E12 and E27 might be potential lead compounds for further structure optimization in the drug-discovery process against AD.

Simultaneous and rapid analysis of chiral Danshensu and its ester derivatives by supercritical fluid chromatography.

The analysis and separation of chiral compounds with wide polar range by supercritical fluid chromatography is of major importance in the process of drug development and quality control. In this work, a fast and reliable enantioselective method for the simultaneous quantitative determination of 8 DBZ-related enantiomers has been successfully developed by supercritical fluid chromatography using an amylose-based reversed-chiral stationary phase. Within less than seven minutes all target compounds could be baseline resolved, using a mobile phase comprising supercritical carbon dioxide and methanol with 0.05 % H3PO4. The optimum chiral stationary phase showed to be a CHIRALPAK® AD-RH column, operated at flow rate of 3.0 mL/min, back pressure of 150 bar and temperature of 40 °C. Method validation confirmed that the developed procedure was selective, linear (r2 > 0.998), accurate (recovery rates: 98.02-100.02 %), and precise (intra-day: 0.05-1.98 %, inter-day: 0.08-1.98 %); the limit of detection and limit of quantification were 0.13-0.55 µg/mL and 0.37-1.68 µg/mL on column, respectively. After initial evaluation of stability according to the ICH Q1A (R2) guideline, R-DBZ showed good stability. Thus, this developed method can be used for assessing the stability of bulk DBZ samples, dosage forms of DBZ and also for monitoring the synthetic procedures of DBZ.

Chiral Cyclopropenimine-catalyzed Asymmetric Michael Addition of Bulky Glycine Imine to α,ß-Unsaturated Isoxazoles.

A highly efficient asymmetric Michael addition of bulky glycine imine to α,ß-unsaturated isoxazoles has been achieved by using 5 mol% of chiral cyclopropenimine as a chiral organo-superbase catalyst under mild conditions. Michael adducts were obtained in excellent yields (up to 97%) and stereoselectivities (up to >99 : 1 dr and 98% ee). A significant solvent effect was found in these chiral organosuperbase catalyzed asymmetric Michael reactions. Gram-scale preparation of Michael adducts and their transformations are realized to provide corresponding products without loss of stereoselectivities. The configurations of Michael adduct was determined by single-crystal X-ray diffraction analysis.

Case report: Cerebrospinal fluid-derived circulating tumor DNA diagnoses and guides the treatment of a lung adenocarcinoma case with leptomeningeal metastasis.

Leptomeningeal metastasis (LM) occurs in 3~5% of non-small cell lung cancer (NSCLC) patients. Diagnosis of patients with LM and disease monitoring remains challenging due to the low sensitivity and specificity of the commonly used approaches, such as cerebrospinal fluid (CSF) cytology and magnetic resonance imaging (MRI). Therefore, new approaches are necessary to improve the detection of LM. Recent studies have shown that circulating tumor DNA (ctDNA) in CSF can be used to detect and monitor LM, but whether it can serve as an early diagnostic biomarker prior to cytological and radiographic evidence of LM involvement requires further evaluation. Here we report a lung adenocarcinoma patient who had detectable oncogenic mutations in the CSF ctDNA prior to confirmation of LM by CSF cytology and MRI, highlighting the potential application of CSF ctDNA in early detection of LM.

Exploration of spatial distribution of brain metastasis from small cell lung cancer and identification of metastatic risk level of brain regions: a multicenter, retrospective study.

OBJECTIVES: This study aimed to explore the spatial distribution of brain metastases (BMs) from small cell lung cancer (SCLC) a homogenous sample, and to identify the metastatic risk levels in brain regions. METHODS: T1-enhanced magnetic resonance imaging (MRI) from SCLC patients were retrospectively reviewed from three medical institutions in China. All images were registered to the standard brain template provided by the Montreal Neurological Institute (MNI) 152 database, followed by transformation of the location of all BMs to the space of standard brain. The MNI structural atlas and Anatomical Automatic Labeling (AAL) atlas were then used to identify the anatomical brain regions, and the observed and expected rates of BMs were compared using 2-tailed proportional hypothesis testing. The locations and sizes of brain lesions were analyzed after image standardization. RESULTS: A total of 215 eligible patients with 1033 lesions were screened by MRI, including 157 (73%) males and 58 (27%) females. The incidence of crucial structures were as follows: hippocampus 0.68%, parahippocampal 0.97%, brainstem 2.05%, cauate 0.68%, putamen 0.68%, pallidum 0.2%, thalamus 1.36%. No BMs were found in the amygdala, pituitary gland, or pineal gland. The cumulative frequency of the important structures was 6.62%. Based on the results of MNI structural atlas, the cerebellum, deep white matter and brainstem was identified as a higher risk region than expected for BMs (P = 9.80 ×10-15, 9.04 ×10-6), whereas temporal lobe were low-risk regions (P = 1.65 ×10-4). More detailed AAL atlas revealed that the low-risk regions for BMs was inferior frontal gyrus (P = 6.971 ×10-4), while the high-risk regions for BMs was cerebellar hemispheres (P = 1.177 ×10-9). CONCLUSION: Many crucial structures including the hippocampus, parahippocampus, pituitary gland and thalamus etc. have low frequency of brain metastases in a population of SCLC patients. This study provides the help to investigate the clinical feasibility of HA-WBRT and non-uniform dose of PCI in a population of SCLC patients.

Capacity degradation of Li4Ti5O12 during long-term cycling in terms of composition and structure.

Capacity fading of Li4Ti5O12 (LTO) is inevitable during cycling; hence it is of great significance to clarify the factors causing the capacity degradation so as to take some measures to prolong the lifespan of LTO. Despite the investigation on the capacity fading mechanism within finite charge/discharge cycles, the fading mechanism during long-term cycling is still absent. Here, LTO half-cells underwent more than 700 lithiation/delithiation cycles at a current rate of 0.5 A g-1, and the changes in structure, composition, cyclic voltammogram and electrochemical impedance with cycling were probed systematically to comprehend the capacity decay. Except for the performance degradation that resulted from the electrolyte decomposition and gassing effect during cycling, the transition from spinel LTO to rock-salt Li7Ti5O12 accompanied by structural and compositional variation also leads to a capacity fading of LTO, namely, the repetitive lithiation/delithiation gives rise to more and more residual Li+ and Ti3+ in the delithiated LTO, structure disordering, gradually depressed ionic and electronic conductivities, and escalated polarization, thus aggravating the performance decay.

Co-Modification of commercial TiO2 anode by combining a solid electrolyte with pitch-derived carbon to boost cyclability and rate capabilities.

The bad electrochemical performance circumscribes the application of commercial TiO2 (c-TiO2) anodes in Li-ion batteries. Carbon coating could ameliorate the electronic conductivity of TiO2, but the ionic conductivity is still inferior. Herein, a co-modification method was proposed by combining the solid electrolyte of lithium magnesium silicate (LMS) with pitch-derived carbon to concurrently meliorate the electronic and ionic conductivities of c-TiO2. The homogeneous mixtures were heated at 750 °C, and the co-modified product with suitable amounts of LMS and carbon demonstrates cycling capacities of 256.8, 220.4, 195.9, 176.4, and 152.0 mA h g-1 with multiplying current density from 100 to 1600 mA g-1. Even after 1000 cycles at 500 mA g-1, the maintained reversible capacity was 244.8 mA h g-1. The superior rate performance and cyclability correlate closely with the uniform thin N-doped carbon layers on the surface of c-TiO2 particles to favor the electrical conduction, and with the ion channels in LMS as well as the cation exchangeability of LMS to facilitate the Li+ transfer between the electrolyte, carbon layers, and TiO2 particles. The marginal amount of fluoride in LMS also contributes to the excellent cycling stability of the co-modified c-TiO2.

The asarone-derived phenylpropanoids from the rhizome of Acorus calamus var. angustatus Besser.

Phenylpropanoids comprise a broad spectrum of biologically active natural products. As part of our ongoing research on antiepileptic active compounds from traditional Chinese herb, Acorus calamus var. angustatus Besser, three undescribed phenylpropanoids and twenty-two known ones were isolated. All the undescribed structures were determined by a combination of 1D and 2D NMR, HRMS. In addition, γ-asaronol was identified as racemates and its absolute configuration were determined by the modified Mosher's method and ECD spectral data. Furthermore, some selected isolated compounds were evaluated for their cell viability and neuroprotective activities in H2O2-induced SH-SY5Y cells. α-Asaronol, ß-asaronol, 3-(2,4,5-trimethoxyphenyl)propan-1-ol and 1,2,4-trimethoxy-5-(3-methoxypropyl)benzene exerted potential protective activity from neuronal oxidative stress in all test concentrations ranging from 0.01 to 100 µM, in which the neuroprotective activity of ß-asaronol was the best.

Facile Synthesis of Highly Graphitized Carbon via Reaction of CaC2 with Sulfur and Its Application for Lithium/Sodium-Ion Batteries.

In the present work, we report, for the first time, a novel one-step approach to prepare highly graphitized carbon (HGC) material by selectively etching calcium from calcium carbide (CaC2) using a sulfur-based thermo-chemical etching technique. Comprehensive analysis using X-ray diffraction, Raman spectroscopy, X-ray photoelectron spectroscopy, and N2 adsorption-desorption isotherms reveals a highly graphitized mesoporous structure for the CaC2-derived carbon with a specific surface area of 159.5 m2 g-1. Microscopic analysis displays micron-scale mesoporous frameworks (4-20 µm) with a distinct layered structure along with agglomerates of highly graphitized nanosheets (about 10 nm in thickness and 1-10 µm lateral size). The as-prepared HGC is investigated for the role of an anode material for lithium- and sodium-ion batteries. We found that HGC exhibits good lithium storage performance in the 0.01-1.5 V range (reversible capacity of 272.4 mA h g-1 at 50 mA g-1 after 100 cycles and 214.2 mA h g-1 at 500 mA g-1 after 500 cycles), whereas, when sodium is considered, we observed a drop in the overall electrochemical performance owing to the high graphitization degree. More importantly, the present study provides a perspective approach to fabricate HGC via a simple, cost-effective, and efficient synthetic route using CaC2 and sulfur as reactants.

A uniform few-layered carbon coating derived from self-assembled carboxylate monolayers capable of promoting the rate properties and durability of commercial TiO2.

The poor cyclability and rate property of commercial TiO2 (c-TiO2) hinder its utilization in lithium-ion batteries (LIBs). Coating carbon is one of the ways to ameliorate the electrochemical performance. However, how to effectively form a uniform thin carbon coating is still a challenge. On the basis of the strong interaction of the TiO2 surface with carboxyl groups, herein a new tactic to achieve uniform and thin carbon layers on the c-TiO2 particles was proposed. When mixing c-TiO2 with citric acid containing carboxyl groups in deionized water, the high-affinity adsorption of TiO2 for carboxyl groups resulted in self-assembled carboxylate monolayers on the surface of TiO2 which evolved into a uniform few-layered amorphous carbon coating during carbonizing at 750 °C. The product derived from the mixture of c-TiO2 and citric acid with a mass ratio of 1 : 0.3 exhibits the optimal performance, revealing a high specific capacity (256.6 mA h g-1 after 50 cycles at 0.1 A g-1) and outstanding cycling stability (retaining a capacity of 160.0 mA h g-1 after 1000 cycles at 0.5 A g-1). The greatly enhanced capacity and cyclability correlate with the uniform few-layered carbon coating which not only ameliorates the electronic conductivity of c-TiO2 but also avoids the reduction in ionic conductivity caused by thick carbon layers and redundant carbon.

Pharmacokinetics and tissue distribution evaluation of α-asaronol and its main metabolite in rats by HPLC method.

α-Asaronol is one of trace metabolites of α-asarone formed in vivo and in vitro and exhibits good anticonvulsant activities with low neurotoxicity. The present study was mainly to describe the pharmacokinetics and tissue distribution of α-asaronol and its metabolite E-2,4,5-trimethoxy cinnamic acid (E-2,4,5-TMCA), in rat after oral and intravenous administration of α-asaronol. The results indicate that α-asaronol can be absorbed (tmax = 5-10 min) and transformed to E-2,4,5-TMCA (tmax = 10-15 min) rapidly after oral administration. Presumably due to hepatic first-pass effect, α-asaronol shows a low bioavailability (about 25.9%). Furthermore, α-asaronol is distributed rapidly and widely in various tissues with the order of brain > heart > kidney > spleen > liver > lung, and eliminated quickly following the intravenous administration. The maximal concentration of α-asaronol in the brain is about 1.603 ± 0.221 µg/g at 5 min. In comparison, the concentrations of E-2,4,5-TMCA, except brain, are all higher than that of α-asaronol in the tested tissues with the order of kidney > liver > lung > heart ≈ spleen > brain. Current study results will contribute to interpretation and understanding preclinical PK properties of α-asaronol and its antiepileptic effects in animals.

Polygala tenuifolia-Acori tatarinowii herbal pair as an inspiration for substituted cinnamic α-asaronol esters: Design, synthesis, anticonvulsant activity, and inhibition of lactate dehydrogenase study.

Inspired by the traditional Chinese herbal pair of Polygala tenuifolia-Acori Tatarinowii for treating epilepsy, 33 novel substituted cinnamic α-asaronol esters and analogues were designed by Combination of Traditional Chinese Medicine Molecular Chemistry (CTCMMC) strategy, synthesized and tested systematically not only for anticonvulsant activity in three mouse models but also for LDH inhibitory activity. Thereinto, 68-70 and 75 displayed excellent and broad spectra of anticonvulsant activities with modest ability in preventing neuropathic pain, as well as low neurotoxicity. The protective indices of these four compounds compared favorably with stiripentol, lacosamide, carbamazepine and valproic acid. 68-70 exhibited good LDH1 and LDH5 inhibitory activities with noncompetitive inhibition type, and were more potent than stiripentol. Notably, 70, as a representative agent, was also shown as a moderately positive allosteric modulator at human α1ß2γ2 GABAA receptors (EC50 46.3 ±â€¯7.3 µM). Thus, 68-70 were promising candidates for developing into anti-epileptic drugs, especially for treatment of refractory epilepsies such as Dravet syndrome.

Combined Modification of Dual-Phase Li4Ti5O12-TiO2 by Lithium Zirconates to Optimize Rate Capabilities and Cyclability.

The low electrical conductivity and ordinary lithium-ion transfer capability of Li4Ti5O12 restrict its application to some degree. In this work, dual-phase Li4Ti5O12-TiO2 (LTOT) was modified by composite zirconates of Li2ZrO3, Li6Zr2O7 (LZO) to boost the rate capabilities and cyclability. When the homogeneous mixture of LiNO3, Zr(NO3)4·5H2O and LTOT was roasted at 700 °C for 5 h, the obtained composite achieved a superior reversible capacity of 183.2 mAh g-1 to the pure Li4Ti5O12 after cycling at 100 mA g-1 for 100 times due to the existence of a scrap of TiO2. Meanwhile, when the composite was cycled by consecutively doubling the current density between 100 and 1600 mA g-1, the corresponding reversible capacities are 183.2, 179.1, 176.5, 173.3, and 169.3 mAh g-1, signifying the prominent rate capabilities. Even undergoing 1400 charge/discharge cycles at 500 mA g-1, a reversible capacity of 144.7 mAh g-1 was still attained, denoting splendid cyclability. From a series of comparative experiments and systematic characterizations, the formation of LZO meliorated both the Li+ migration kinetics and electrical conductivity on account of the concomitant superficial Zr4+ doping, responsible for the comprehensive elevation of the electrochemical performance.

Ionic Conductor of Li2SiO3 as an Effective Dual-Functional Modifier To Optimize the Electrochemical Performance of Li4Ti5O12 for High-Performance Li-Ion Batteries.

Ionic conductor of Li2SiO3 (LSO) was used as an effective modifier to fabricate surface-modified Li4Ti5O12 (LTO) via simply mixing followed by sintering at 750 °C in air. The electrochemical performance of LTO was enhanced by merely adjusting the mass ratio of LTO/LSO, and the LTO/LSO composite with 0.51 wt % LSO exhibited outstanding rate capabilities (achieving reversible capacities of 163.8, 157.6, 153.1, 147.0, and 137.9 mAh g-1 at 100, 200, 400, 800, and 1600 mA g-1, respectively) and remarkable long-term cycling stability (120.2 mAh g-1 after 2700 cycles with a capacity fading rate of only 0.0074% per cycle even at 500 mA g-1). Combining structural characterization with electrochemical analysis, the LSO coating coupled with the slight doping effect adjacent to the LTO surface contributes to the enhancement of both electronic and ionic conductivities of LTO.

Uniform Surface Modification of Li2ZnTi3O8 by Liquated Na2MoO4 To Boost Electrochemical Performance.

Poor ionic and electronic conductivities are the key issues to affect the electrochemical performance of Li2ZnTi3O8 (LZTO). In view of the water solubility, low melting point, good electrical conductivity, and wettability to LZTO, Na2MoO4 (NMO) was first selected to modify LZTO via simply mixing LZTO in NMO water solution followed by calcining the dried mixture at 750 °C for 5 h. The electrochemical performance of LZTO could be enhanced by adjusting the content of NMO, and the modified LZTO with 2 wt % NMO exhibited the most excellent rate capabilities (achieving lithiation capacities of 225.1, 207.2, 187.1, and 161.3 mAh g-1 at 200, 400, 800, and 1600 mA g-1, respectively) as well as outstanding long-term cycling stability (delivering a lithiation capacity of 229.0 mAh g-1 for 400 cycles at 500 mA g-1). Structure and composition characterizations together with electrochemical impedance spectra analysis demonstrate that the molten NMO at the sintering temperature of 750 °C is beneficial to diffuse into the LZTO lattices near the surface of LZTO particles to yield uniform modification layer, simultaneously ameliorating the electronic and ionic conductivities of LZTO, and thus is responsible for the enhanced electrochemical performance of LZTO. First-principles calculations further verify the substitution of Mo6+ for Zn2+ to realize doping in LZTO. The work provides a new route for designing uniform surface modification at low temperature, and the modification by NMO could be extended to other electrode materials to enhance the electrochemical performance.