Classification and hemodynamic characteristics of delayed intracerebral hemorrhage following stent-assisted coil embolism in unruptured intracranial aneurysms.

Background and objective: Stent-assisted coil (SAC) embolization is a commonly used endovascular treatment for unruptured intracranial aneurysms (UIAs) but can be associated with symptomatic delayed intracerebral hemorrhage (DICH). Our study aimed to investigate the hemodynamic risk factors contributing to DICH following SAC embolization and to establish a classification for DICH predicated on hemodynamic profiles. Methods: This retrospective study included patients with UIAs located in the internal carotid artery (ICA) treated with SAC embolization at our institution from January 2021 to January 2022. We focused on eight patients who developed postoperative DICH and matched them with sixteen control patients without DICH. Using computational fluid dynamics, we evaluated the hemodynamic changes in distal arteries [terminal ICA, the anterior cerebral artery (ACA), and middle cerebral artery (MCA)] pre-and post-embolization. We distinguished DICH-related arteries from unrelated ones (ACA or MCA) and compared their hemodynamic alterations. An imbalance index, quantifying the differential in flow velocity changes between ACA and MCA post-embolization, was employed to gauge the flow distribution in distal arteries was used to assess distal arterial flow distribution. Results: We identified two types of DICH based on postoperative flow alterations. In type 1, there was a significant lower in the mean velocity increase rate of the DICH-related artery compared to the unrelated artery (-47.25 ± 3.88% vs. 42.85 ± 3.03%; p < 0.001), whereas, in type 2, there was a notable higher (110.58 ± 9.42% vs. 17.60 ± 4.69%; p < 0.001). Both DICH types demonstrated a higher imbalance index than the control group, suggesting an association between altered distal arterial blood flow distribution and DICH occurrence. Conclusion: DICH in SAC-treated UIAs can manifest as either a lower (type 1) or higher (type 2) in the rate of velocity in DICH-related arteries. An imbalance in distal arterial blood flow distribution appears to be a significant factor in DICH development.

Virtual simulation with AneuShape™ software for microcatheter shaping in intracranial aneurysm coiling: a validation study.

Background: The shaping of an accurate and stable microcatheter plays a vital role in the successful embolization of intracranial aneurysms. Our study aimed to investigate the application and the role of AneuShape™ software in microcatheter shaping for intracranial aneurysm embolization. Methods: From January 2021 to June 2022, 105 patients with single unruptured intracranial aneurysms were retrospectively analyzed with or without AneuShape™ software to assist in microcatheter shaping. The rates of microcatheter accessibility, accurate positioning, and stability for shaping were analyzed. During the operation, fluoroscopy duration, radiation dose, immediate postoperative angiography, and procedure-related complications were evaluated. Results: Compared to the manual group, aneurysm-coiling procedures involving the AneuShape™ software exhibited superior results. The use of the software resulted in a lower rate of reshaping microcatheters (21.82 vs. 44.00%, p = 0.015) and higher rates of accessibility (81.82 vs. 58.00%, p = 0.008), better positioning (85.45 vs. 64.00%, p = 0.011), and higher stability (83.64 vs. 62.00%, p = 0.012). The software group also required more coils for both small (<7 mm) and large (≥7 mm) aneurysms compared to the manual group (3.50 ± 0.19 vs. 2.78 ± 0.11, p = 0.008 and 8.22 ± 0.36 vs. 6.00 ± 1.00, p = 0.081, respectively). In addition, the software group achieved better complete or approximately complete aneurysm obliteration (87.27 vs. 66.00%, p = 0.010) and had a lower procedure-related complication rate (3.60 vs. 12.00%, p = 0.107). Without this software, the operation had a longer intervention duration (34.31 ± 6.51 vs. 23.87 ± 6.98 min, p < 0.001) and a higher radiation dose (750.50 ± 177.81 vs. 563.53 ± 195.46 mGy, p < 0.001). Conclusions: Software-based microcatheter shaping techniques can assist in the precise shaping of microcatheters, reduce operating time and radiation dose, improve embolization density, and facilitate more stable and efficient intracranial aneurysm embolization.

A 58-Year Old Male with Cognitive Deteriorations Caused by Septum Pellucidum Cyst: A Case Report.

Dementia is known to be induced by vascular dementia and certain neurodegenerative diseases. The presenting features of disordered memory, intellect and personality often result in referral to a neurologist initially. Septum pellucidum cyst (SPC) is a rare clinical finding and defined as a cystic structure between the lateral ventricles. SPC induced memory disorder and dementia has been seldom reported in which the clinical features are atypical and can be misdiagnosed. The main difficulty is to establish a correlation between symptoms and the cyst. When indicated, the treatment is essentially surgical and the ideal operative technique is also a matter of debate. Here, we reported a 58-year-male Chinese patient who presented with memory impairment 1 year ago. Both the physical and laboratory examinations were performed to evaluate the general conditions of the patient. Brain magnetic resonance imaging (MRI) was applied to observe SPC and the neighboring brain structures. Mini-Mental State Exam (MMSE) and Montreal Cognitive Assessment (MoCA) were used to assess cognitive function. The results of the patient's laboratory examinations were normal. However, the patient exhibited severe sleeplessness along with cognitive deteriorations despite short-term (less than 2 weeks) use of benzodiazepines with regular dose. MRI fulfills the consensus criteria for clinical diagnosis of SPC. Furthermore, the results of MMSE and MoCA were showed mild cognitive impairment (MCI) before the treatment of SPC. After neuroendoscopic fenestration of SPC, the patient's syndromes were disappeared, and his cognitive function was improved. In conclusion, the patient's symptoms were due to a secondary lesion attributed to the cyst. Comprehensive clinical evaluation and MRI help diagnose SPC induced dementia.

B10 Cells Ameliorate the Progression of Lupus Nephritis by Attenuating Glomerular Endothelial Cell Injury.

BACKGROUND/AIM: B10 cells are generally considered to inhibit the kidney injury in systemic lupus erythematosus (SLE) mouse models, but recently this function of B10 cells was denied by the lineage-specific deletion of IL-10 from B cells. Thus, this study aimed to determine whether and how B10 cells play a protective role in lupus nephritis (LN). METHODS: LN and non-LN SLE patients without receiving any treatments were recruited, and the percentages of circulating B10 cell were determined. Furthermore, the purified B10 cells were transferred into MRL/lpr SLE mice, and the exact effects of B10 cells on LN progression were investigated. RESULTS: The percentage of circulating B10 cells was significantly higher in patient than in healthy controls, while they were fewer in LN patients than non-LN SLE patients. Moreover, B10 cells rather than plasma IL-10 levels were negatively correlated with disease severity especially with kidney injury in LN patients. In animal experiments, the glomerular injuries including the proteinuria and pathological scores were significantly attenuated in SLE mice transferred with B10 cells, accompanied by the decreased glomerular endothelial cell CD54/CD106 expression, and glomerular p38 phosphorylation as well as increased SOCS3 expression. At the same time, the serum anti-dsDNA autoantibody, TNF-α and IFN-γ levels were also reduced, while there were no changes in serum IL-10 and IL-17 levels in B10 cell transferred mice. CONCLUSION: These findings suggest that B10 cells could - independent from IL-10 - ameliorate glomerular injury in LN through protection of glomerular endothelial cells.

EphB2 contributes to human naive B-cell activation and is regulated by miR-185.

EphB2 is an important member of the receptor tyrosine kinases. Recently, EphB2 was shown to facilitate T-cell migration and monocyte activation. However, the effects of EphB2 on B cells remain unknown. In this study, the expression of EphB2 on B cells was tested by Western blot, and the roles of EphB2 in B-cell proliferation, cytokine secretion, and immunoglobulin (Ig) production were evaluated using EphB2 siRNA interference in human B cells from healthy volunteers. Our study revealed that EphB2 was distributed on naive B cells and was up-regulated on activated B cells. Moreover, B-cell proliferation (decreased by 22%, P<0.05), TNF-α secretion (decreased by 40%, P<0.01) and IgG production (decreased by 26%, P < 0.05) were depressed concordantly with the down-regulated EphB2 expression. Subsequently, we screened microRNAs that could regulate EphB2 expression in B cells, and discovered that miR-185 directly targeted to EphB2 mRNA and suppressed its expression. Furthermore, miR-185 overexpression inhibited B-cell activation, and the inhibitor of miR-185 enhanced B-cell activation. Moreover, abatement of EphB2 through miR-185 mimics or EphB2 siRNA attenuated the activation of Src-p65 and Notch1 signaling pathways in human B cells. Our study first suggested that EphB2 was involved in human naive B cell activation through Src-p65 and Notch1 signaling pathways and could be regulated by miR-185.

Cardiac fibroblasts recruit Th17 cells infiltration into myocardium by secreting CCL20 in CVB3-induced acute viral myocarditis.

AIMS: Th17 cells contributed to myocardial inflammatory injury in acute viral myocarditis (AVMC), and the migration of these cells were mainly mediated by CCL20-secreting inflammatory cells. However, whether and how the resident cells such as cardiomyocytes and cardiac fibroblasts could mediate Th17 cell migration into the heart remains unclear in AVMC. METHODS: The effect of CCL20 on the dynamic alterations of intracardiac Th17 cells and disease severity were investigated through the neutralization of CCL20 in AVMC mice. The key cells releasing CCL20 in the heart and the effects of CCL20-secreting cells on Th17 cell arrest, migration and differentiation were detected in vitro. RESULTS: Neutralization of CCL20 efficiently repressed the myocardial inflammation along with the reduction of Th17 cell infiltrations in the course of AVMC. In vitro, after stimulations of TNF-α, IL-1ß and IL-17, cardiac fibroblasts rather than cardiomyocytes could be dominantly induced for CCL20 production. CCL20-secreting cardiac fibroblasts boosted Th17 cell arrest on endothelium, and induce Th17 cell migration. However, CCL20 produced by cardiac fibroblasts had no effect on Th17 cell differentiation and IL-17 production. CONCLUSIONS: It firstly suggested that cardiac fibroblasts could recruit Th17 cells infiltration into myocardium by secreting CCL20 in AVMC.

Organo- and hydrogelators based on luminescent monocationic terpyridyl platinum(II) complexes with biphenylacetylide ligands.

A series of phosphorescent terpyridyl platinum(II) complexes with ancillary biphenylacetylide ligands, namely, [(R(3)tpy)PtC≡C(biphenyl)]X (R=tBu, H, or Et(2)N; tpy=2,2';6',2''-terpyridyl; X is an anion) were synthesized and structurally characterized by various spectroscopic techniques and X-ray diffraction methods. Despite a lack of long alkyl chain(s) or hydrogen-bonding motif(s), complexes [(tpy)PtC≡C(biphenyl)]Cl and [(tBu(3)tpy)PtC≡C(biphenyl)]X (X=Cl, ClO(4), PF(6), or BF(4)) were found to gelate water and organic solvents, respectively. The self-aggregation of these complexes in solutions and the resulting gels were investigated with variable-temperature (VT) (1)H NMR spectroscopy, polarized optical microscopy, and absorption/emission spectroscopy. SEM micrographs on dry gels revealed entangled nanofibers with diameters of 20-40 nm and lengths of tens of micrometers. Powder X-ray diffraction (PXRD) study revealed various degrees of crystallinity of these fibrillar nanostructures. The substituents on both the terpyridyl and acetylide ligands and counterion of these complexes play a profound but concerted role in tuning the intermolecular metal···metal and/or π-π interactions, and hence the gelation properties.

Organic triplet excited states of gold(I) complexes with oligo(o- or m-phenyleneethynylene) ligands: conjunction of steady-state and time-resolved spectroscopic studies on exciton delocalization and emission pathways.

A series of mononuclear and binuclear gold(I) complexes containing oligo(o- or m-phenyleneethynylene) (PE) ligands, namely [PhC≡C(C(6)H(4)-1,2-C≡C)(n-1)Au(PCy(3))] (n = 2-4, 4a-c), [µ-{C≡C-(1,2-C(6)H(4)C≡C)(n)}{Au(PCy(3))}(2)] (n = 1-6, 8, 5a-g), [PhC≡C(C(6)H(4)-1,3-C≡C)(n-1)Au(PCy(3))] (n = 2-4, 6a-c), and [µ-{C≡C-(1,3-C(6)H(4)C≡C)(n)}{Au(PCy(3))}(2)] (n = 1, 2, 7a,b), were synthesized and structurally characterized. Extensive spectroscopic measurements have been performed by applying combined methods of femtosecond transient absorption (fs-TA), fs time-resolved fluorescence (fs-TRF), and nanosecond time-resolved emission (ns-TRE) coupled with steady-state absorption and emission spectroscopy at both ambient and low (77 K) temperatures to directly probe the temporal evolution of the excited states and to determine the dynamics and spectral signatures for the involved singlet (S(1)) and triplet (T(1)) excited states. The results reveal that S(1) and T(1) both feature ligand-centered electronic transitions with ππ* character associated with the phenyl and acetylene moieties. The (3)ππ* emission of the PE ligands is switched on by the attachment of [Au(PCy(3))](+) fragment(s) due to the heavy-atom effect. T(1)((3)ππ*) was found to form with nearly unity efficiency through intersystem crossing (ISC) from S(1)((1)ππ*). The ISC time constants were determined to be ∼50, 35, and 40 ps for 4b and 6a,b, respectively. Dual emission composed of fluorescence from S(1) and phosphorescence from T(1) were observed for most of the complexes except 5a and 7a, where only phosphorescence was found. The fluorescence at ambient temperature is accounted for by both the short-lived prompt fluorescence (PF) and long-lived delayed fluorescence (DF, lifetime on microsecond time scale). Explicit evidence was presented for a triplet-triplet annihilation mechanism for the generation of DF. Ligand length and substitution-dependent dynamics of T(1) are the key factors governing the dual emission character of the complexes. By extrapolation from the plot of emission energy against the PE chain length of the [Au(PCy(3))](+) complexes with oligo(o-PE) or oligo(m-PE) ligands, the triplet emission energies were estimated to be ∼530 and ∼470 nm for poly(o-PE) and poly(m-PE), respectively. Additionally, we assign the unusual red shifts of 983 cm(-1) from [PhC≡CAu(PCy(3))] (1) to [µ-{1,3-(C≡C)(2)C(6)H(4)}{Au(PCy(3))}(2)] (7a) and 462 cm(-1) from 7a to [µ(3)-{1,3,5-(C≡C)(3)C(6)H(3)}{Au(PCy(3))}(3)] (8) in the phosphorescence energies to excitonic coupling interactions between the C≡CAu(PCy(3)) arms in the triplet excited states. These complexes, together with those previously reported [Au(PCy(3))](+) complexes containing oligo(p-PE) ligands ( J. Am. Chem. Soc. 2002 , 124 , 14696 - 14706 ), form a collection of oligo(phenyleneethynylene) complexes exhibiting organic triplet emission in solution under ambient conditions. The remarkable feature of these complexes in exhibiting TTA prompted DF in conjunction with high formation efficiency of T(1)((3)ππ*) affords an opportunity for emission spectra to cover a wide range of wavelengths. This may have implication in the development of PE-based molecular materials for future optical applications.

Structures and solvatochromic phosphorescence of dicationic terpyridyl-platinum(II) complexes with foldable oligo(ortho-phenyleneethynylene) bridging ligands.

A series of binuclear organoplatinum(II) complexes, [(tBu3tpy)Pt--(C[triple chemical bond]C--1,2-C6H4)n--C[triple chemical bond]C--Pt(tBu3tpy)][ClO4]2 (1-7, n=1, 2, 3, 4, 5, 6, 8; tBu3tpy=4,4',4''-tri-tert-butyl-2,2':6',2''-terpyridine) with foldable oligo(ortho-phenyleneethynylene) linkers were prepared and characterized by spectroscopic methods and/or X-ray crystallographic analyses. In the crystal structures of 32.5 CH3OH, 5CH3CN, and 64 CH3CN, each of the bridging ortho-phenyleneethynylene ligands has a partially folded conformation. In aerated water/acetonitrile mixtures with water percentages larger than 40 %, the emission of complexes 3-7 are red-shifted and enhanced when compared to those recorded in acetonitrile. The red-shift in emission energy and enhanced emission intensity can be attributed to the inter- and/or intramolecular interactions induced by the addition of water to solutions of the platinum(II) complexes in acetonitrile. Data from dynamic light scattering and transmission electron microscopy studies revealed that these binuclear platinum(II) complexes aggregated into nanosized particles in acetonitrile/water mixtures. Hydrophobic folding of the ortho-phenyleneethynylene linkers in acetonitrile/water mixtures is postulated.