Actinium chelation and crystallization in a macromolecular scaffold.

Targeted alpha therapy (TAT) pairs the specificity of antigen targeting with the lethality of alpha particles to eradicate cancerous cells. Actinium-225 [225Ac; t1/2 = 9.920(3) days] is an alpha-emitting radioisotope driving the next generation of TAT radiopharmaceuticals. Despite promising clinical results, a fundamental understanding of Ac coordination chemistry lags behind the rest of the Periodic Table due to its limited availability, lack of stable isotopes, and inadequate systems poised to probe the chemical behavior of this radionuclide. In this work, we demonstrate a platform that combines an 8-coordinate synthetic ligand and a mammalian protein to characterize the solution and solid-state behavior of the longest-lived Ac isotope, 227Ac [t1/2 = 21.772(3) years]. We expect these results to direct renewed efforts for 225Ac-TAT development, aid in understanding Ac coordination behavior relative to other +3 lanthanides and actinides, and more broadly inform this element's position on the Periodic Table.

Macrocyclic 1,2-Hydroxypyridinone-Based Chelators as Potential Ligands for Thorium-227 and Zirconium-89 Radiopharmaceuticals.

Thorium-227 (227Th) is an α-emitting radionuclide that has shown preclinical and clinical promise for use in targeted α-therapy (TAT), a type of molecular radiopharmaceutical treatment that harnesses high energy α particles to eradicate cancerous lesions. Despite these initial successes, there still exists a need for bifunctional chelators that can stably bind thorium in vivo. Toward this goal, we have prepared two macrocyclic chelators bearing 1,2-hydroxypyridinone groups. Both chelators can be synthesized in less than six steps from readily available starting materials, which is an advantage over currently available platforms. The complex formation constants (log ßmlh) of these ligands with Zr4+ and Th4+, measured by spectrophotometric titrations, are greater than 34 for both chelators, indicating the formation of exceedingly stable complexes. Radiolabeling studies were performed to show that these ligands can bind [227Th]Th4+ at concentrations as low as 10-6 M, and serum stability experiments demonstrate the high kinetic stability of the formed complexes under biological conditions. Identical experiments with zirconium-89 (89Zr), a positron-emitting radioisotope used for positron emission tomography (PET) imaging, demonstrate that these chelators can also effectively bind Zr4+ with high thermodynamic and kinetic stability. Collectively, the data reported herein highlight the suitability of these ligands for use in 89Zr/227Th paired radioimmunotheranostics.

Siderocalin fusion proteins enable a new 86Y/90Y theranostic approach.

The mammalian protein siderocalin binds bacterial siderophores and their iron complexes through cation-π and electrostatic interactions, but also displays high affinity for hydroxypyridinone complexes of trivalent lanthanides and actinides. In order to circumvent synthetic challenges, the use of siderocalin-antibody fusion proteins is explored herein as an alternative targeting approach for precision delivery of trivalent radiometals. We demonstrate the viability of this approach in vivo, using the theranostic pair 90Y (ß-, t1/2 = 64 h)/86Y (ß+, t1/2 = 14.7 h) in a SKOV-3 xenograft mouse model. Ligand radiolabeling with octadentate hydroxypyridinonate 3,4,3-LI(1,2-HOPO) and subsequent protein binding were achieved at room temperature. The results reported here suggest that the rapid non-covalent binding interaction between siderocalin fusion proteins and the negatively charged Y(iii)-3,4,3-LI(1,2-HOPO) complexes could enable purification-free, cold-kit labeling strategies for the application of therapeutically relevant radiometals in the clinic.

Structure and Dynamics of NaCl/KCl/CaCl2-EuCln (n = 2, 3) Molten Salts.

Modern molten salt reactor design and the techniques of electrorefining spent nuclear fuels require a better understanding of the chemical and physical behavior of lanthanide/actinide ions with different oxidation states dissolved in various solvent salts. The molecular structures and dynamics that are driven by the short-range interactions between solute cations and anions and long-range solute and solvent cations are still unclear. In order to study the structural change of solute cations caused by different solvent salts, we performed first-principles molecular dynamics simulations in molten salts and extended X-ray absorption fine structure (EXAFS) measurements for the cooled molten salt samples to identify the local coordination environment of Eu2+ and Eu3+ ions in CaCl2, NaCl, and KCl. The simulations reveal that with the increasing polarizing the outer sphere cations from K+ to Na+ to Ca2+, the coordination number (CN) of Cl- in the first solvation shell increases from 5.6 (Eu2+) and 5.9 (Eu3+) in KCl to 6.9 (Eu2+) and 7.0 (Eu3+) in CaCl2. This coordination change is validated by the EXAFS measurements, in which the CN of Cl- around Eu increases from 5 in KCl to 7 in CaCl2. Our simulation shows that the fewer Cl- ions coordinated to Eu leads to a more rigid first coordination shell with longer lifetime. Furthermore, the diffusivities of Eu2+/Eu3+ are related to the rigidity of their first coordination shell of Cl-: the more rigid the first coordination shell is, the slower the solute cations diffuse.

Evaluation of 134Ce as a PET imaging surrogate for antibody drug conjugates incorporating 225Ac.

INTRODUCTION: The in vivo generator 134Ce/134La has the potential to serve as a PET imaging surrogate for both alpha-emitting 225Ac and 227Th radionuclides due to the unique CeIII/CeIV redox couple and the relatively long half-life of 134Ce. The purpose of this study was to demonstrate the compatibility of 134Ce with DOTA-based antibody drug conjugates, which would act as therapeutic agents when incorporating 225Ac. METHODS: The in vivo biodistributions of [134Ce]Ce-DOTA and [134Ce]Ce-citrate were assayed by microPET imaging over 25 h in Swiss Webster mice to determine the in vivo stability of the [134Ce]Ce-DOTA complex. L3-edge X-ray absorption spectroscopy measurements were used to confirm the Ce oxidation state and the formation of a fully coordinated Ce-DOTA complex. The in vivo biodistribution of [134Ce]Ce-DOTA-Trastuzumab was assayed over 147 h by microPET imaging in SK-OV-3 tumor-bearing NOD SCID mice to evaluate tumor uptake and in vivo stability. Mice were euthanized at 214 h after administration of the radiolabeled antibody conjugate, and imaged 1 h later. An ex vivo biodistribution experiment was then performed in order to corroborate the PET images. RESULTS: [134Ce]Ce-DOTA displayed rapid renal elimination and high in vivo stability over 25 h, with negligible bone and liver uptake, in comparison to [134Ce]Ce-citrate. L3-edge X-ray absorption spectroscopy experiments confirmed the 3+ oxidation state within the stable Ce-DOTA complex. MicroPET images of [134Ce]Ce-DOTA-Trastuzumab displayed elevated tumor uptake over 214 h, with minimal bone and liver uptake analogous to previously reported [225Ac]Ac-DOTA-Trastuzumab biodistribution results, and the ex vivo biodistribution of [134Ce]Ce-DOTA-Trastuzumab corroborated the final PET images. CONCLUSION: These results demonstrate that 134Ce allows for long-term tumor targeting with DOTA-based antibody drug conjugates and may therefore be used to trace antibody drug conjugates incorporating 225Ac.

In situ beam reduction of Pu(IV) and Bk(IV) as a route to trivalent transuranic coordination complexes with hydroxypyridinone chelators.

The solution-state interactions of plutonium and berkelium with the octadentate chelator 3,4,3-LI(1,2-HOPO) (343-HOPO) were investigated and characterized by X-ray absorption spectroscopy, which revealed in situ reductive decomposition of the tetravalent species of both actinide metals to yield Pu(III) and Bk(III) coordination complexes. X-ray absorption near-edge structure (XANES) measurements were the first indication of in situ synchrotron redox chemistry as the Pu threshold and white-line position energies for Pu-343-HOPO were in good agreement with known diagnostic Pu(III) species, whereas Bk-343-HOPO results were found to mirror the XANES behavior of Bk(III)-DTPA. Extended X-ray absorption fine structure results revealed An-OHOPO bond distances of 2.498 (5) and 2.415 (2) Šfor Pu and Bk, respectively, which match well with bond distances obtained for trivalent actinides and 343-HOPO via density functional theory calculations. Pu(III)- and Bk(III)-343-HOPO data also provide initial insight into actinide periodicity as they can be compared with previous results with Am(III)-, Cm(III)-, Cf(III)-, and Es(III)-343-HOPO, which indicate there is likely an increase in 5f covalency and heterogeneity across the actinide series.

Reactivity of a Chloride Decorated, Mixed Valent CeIII/IV38-Oxo Cluster.

A cerium-oxo nanocluster capped by chloride ligands, [CeIV38-nCeIIInO56-(n+1)(OH)n+1Cl51(H2O)11]10- (n = 1-24), has been isolated from acidic chloride solutions by using potassium counterions. The crystal structure was elucidated using single crystal X-ray diffraction. At the center of the cluster is a {Ce14} core that exhibits the same fluorite-type structure as bulk CeO2, with eight-coordinate Ce sites bridged by tetrahedral oxo anions. The {Ce14} is further surrounded by a peripheral shell of six tetranuclear {Ce4} subunits that are located on each of the faces of the core to yield the {Ce38} cluster. The surface of the cluster is capped by 51 bridging/terminal chloride ligands and 11 water molecules; the anionic cluster is charge balanced by potassium counterions that exist in the outer coordination sphere. While assignment of the Ce oxidation state by bond valence summation was ambiguous, Ce L3-edge X-ray absorption, X-ray photoelectron, and UV-vis-NIR absorption results were consistent with a CeIII/CeIV cluster. Systematic changes in the XANES and UV-vis-NIR absorption spectra over time pointed to reactivity of the cluster upon exposure to air. These changes were examined using single crystal X-ray diffraction, and a clear single-crystal-to-single-crystal transformation was captured; an overall loss of surface-bound chlorides and water molecules as well as new µ2-OH sites was observed on the cluster surface. This work provides a rare snapshot of metal oxide cluster reactivity. The results may hold implications for understanding the physical and chemical properties of ceria nanoparticles and provide insight into the behavior of other metal-oxo clusters of significant technological and environmental interest.

Using molten salts to probe outer-coordination sphere effects on lanthanide(III)/(II) electron-transfer reactions.

Controlling structure and reactivity by manipulating the outer-coordination sphere around a given reagent represents a longstanding challenge in chemistry. Despite advances toward solving this problem, it remains difficult to experimentally interrogate and characterize outer-coordination sphere impact. This work describes an alternative approach that quantifies outer-coordination sphere effects. It shows how molten salt metal chlorides (MCln; M = K, Na, n = 1; M = Ca, n = 2) provided excellent platforms for experimentally characterizing the influence of the outer-coordination sphere cations (Mn+) on redox reactions accessible to lanthanide ions; Ln3+ + e1- → Ln2+ (Ln = Eu, Yb, Sm; e1- = electron). As a representative example, X-ray absorption spectroscopy and cyclic voltammetry results showed that Eu2+ instantaneously formed when Eu3+ dissolved in molten chloride salts that had strongly polarizing cations (like Ca2+ from CaCl2) via the Eu3+ + Cl1- → Eu2+ + ½Cl2 reaction. Conversely, molten salts with less polarizing outer-sphere M1+ cations (e.g., K1+ in KCl) stabilized Ln3+. For instance, the Eu3+/Eu2+ reduction potential was >0.5 V more positive in CaCl2 than in KCl. In accordance with first-principle molecular dynamics (FPMD) simulations, we postulated that hard Mn+ cations (high polarization power) inductively removed electron density from Lnn+ across Ln-Cl⋯Mn+ networks and stabilized electron-rich and low oxidation state Ln2+ ions. Conversely, less polarizing Mn+ cations (like K1+) left electron density on Lnn+ and stabilized electron-deficient and high-oxidation state Ln3+ ions.

Advancing understanding of actinide(iii) (Ac, Am, Cm) aqueous complexation chemistry.

The positive impact of having access to well-defined starting materials for applied actinide technologies - and for technologies based on other elements - cannot be overstated. Of numerous relevant 5f-element starting materials, those in complexing aqueous media find widespread use. Consider acetic acid/acetate buffered solutions as an example. These solutions provide entry into diverse technologies, from small-scale production of actinide metal to preparing radiolabeled chelates for medical applications. However, like so many aqueous solutions that contain actinides and complexing agents, 5f-element speciation in acetic acid/acetate cocktails is poorly defined. Herein, we address this problem and characterize Ac3+ and Cm3+ speciation as a function of increasing acetic acid/acetate concentrations (0.1 to 15 M, pH = 5.5). Results obtained via X-ray absorption and optical spectroscopy show the aquo ion dominated in dilute acetic acid/acetate solutions (0.1 M). Increasing acetic acid/acetate concentrations to 15 M increased complexation and revealed divergent reactivity between early and late actinides. A neutral Ac(H2O)6 (1)(O2CMe)3 (1) compound was the major species in solution for the large Ac3+. In contrast, smaller Cm3+ preferred forming an anion. There were approximately four bound O2CMe1- ligands and one to two inner sphere H2O ligands. The conclusion that increasing acetic acid/acetate concentrations increased acetate complexation was corroborated by characterizing (NH4)2M(O2CMe)5 (M = Eu3+, Am3+ and Cm3+) using single crystal X-ray diffraction and optical spectroscopy (absorption, emission, excitation, and excited state lifetime measurements).

Impact of Noncovalent Interactions on the Structural Chemistry of Thorium(IV)-Aquo-Chloro Complexes.

Five novel tetravalent thorium (Th) compounds that consist of Th(H2O)xCly structural units were isolated from acidic aqueous solutions using a series of nitrogen-containing heterocyclic hydrogen (H) bond donors. Taken together with three previously reported phases, the compounds provide a series of monomeric ThIV complexes wherein the effects of noncovalent interactions (and H-bond donor identity) on Th structural chemistry can be examined. Seven distinct structural units of the general formulas [Th(H2O)xCl8-x]x-4 (x = 2, 4) and [Th(H2O)xCl9-x]x-5 (x = 5-7) are described. The complexes range from chloride-deficient [Th(H2O)7Cl2]2+ to chloride-rich [Th(H2O)2Cl6]2- species, and theory was used to understand the relative energies that separate complexes within this series via the stepwise chloride addition to an aquated Th cation. Electronic structure theory predicted the reaction energies of chloride addition and release of water through a series of transformations, generally highlighting an energetic driving force for chloride complexation. To probe the role of the counterion in the stabilization of these complexes, electrostatic potential (ESP) surfaces were calculated. The ESP surfaces indicated a dependence of the chloride distribution about the Th metal center on the pKa of the countercation, highlighting the directing effects of noncovalent interactions (e.g., Hbonding) on Th speciation.

Structural and spectroscopic characterization of an einsteinium complex.

The transplutonium elements (atomic numbers 95-103) are a group of metals that lie at the edge of the periodic table. As a result, the patterns and trends used to predict and control the physics and chemistry for transition metals, main-group elements and lanthanides are less applicable to transplutonium elements. Furthermore, understanding the properties of these heavy elements has been restricted by their scarcity and radioactivity. This is especially true for einsteinium (Es), the heaviest element on the periodic table that can currently be generated in quantities sufficient to enable classical macroscale studies1. Here we characterize a coordination complex of einsteinium, using less than 200 nanograms of 254Es (with half-life of 275.7(5) days), with an organic hydroxypyridinone-based chelating ligand. X-ray absorption spectroscopic and structural studies are used to determine the energy of the L3-edge and a bond distance of einsteinium. Photophysical measurements show antenna sensitization of EsIII luminescence; they also reveal a hypsochromic shift on metal complexation, which had not previously been observed in lower-atomic-number actinide elements. These findings are indicative of an intermediate spin-orbit coupling scheme in which j-j coupling (whereby single-electron orbital angular momentum and spin are first coupled to form a total angular momentum, j) prevails over Russell-Saunders coupling. Together with previous actinide complexation studies2, our results highlight the need to continue studying the unusual behaviour of the actinide elements, especially those that are scarce and short-lived.

Mononuclear to Polynuclear UIV Structural Units: Effects of Reaction Conditions on U-Furoate Phase Formation.

Uranium(IV) complexation by 2-furoic acid (2-FA) was examined to better understand the effects of ligand identity and reaction conditions on species formation and stability. Five compounds were isolated: [UCl2 (2-FA)2 (H2 O)2 ]n (1), [U4 Cl10 O2 (THF)6 (2-FA)2 ]⋅2 THF (2), [U6 O4 (OH)4 (H2 O)3 (2-FA)12 ]⋅7 THF⋅H2 O (3), [U6 O4 (OH)4 (H2 O)2 (2-FA)12 ]⋅8.76 H2 O (4), and [U38 Cl42 O54 (OH)2 (H2 O)20 ]⋅m H2 O⋅n THF (5). The structures were determined by single-crystal X-ray diffraction and further characterized by Raman, IR, and optical absorption spectroscopy. The thermal stability and magnetic behavior of the compounds were also examined. Variations in the synthetic conditions led to notable differences in the structural units observed in the solid state. At low H2 O/THF ratios, a tetranuclear oxo-bridged [U4 O2 ] core was isolated. Aging of this solution resulted in the formation a U38 oxo cluster capped by chloro and water ligands. However, at increasing water concentrations only hexanuclear units were observed. In all cases, at temperatures of 100-120 °C, UO2 nanoparticles formed.

From Thorium to Plutonium: Trends in Actinide(IV) Chloride Structural Chemistry.

A series of eighteen tetravalent actinide (An = Th, U, Pu) compounds were synthesized from acidic aqueous solutions containing thorium, uranium, or plutonium and a series of protonated nitrogen heterocycles. The compounds were characterized using Raman, IR, and optical absorption spectroscopies. The structures were determined using single-crystal X-ray diffraction and found to consist of [An(H2O)xCly]4-y (x = 4-7 and y = 2-4) or AnCl62- molecular units. Breaks in the structural chemistry of the early actinides were observed, with Th adopting exclusively Th-aquo-chloro species and Pu forming only PuCl62-; U crystallized as both U-aquo-chloro and UCl62-. The relationship between the solid-state structural units and the solution species was interrogated using UV-vis-near-IR absorption spectroscopy. A comparison of the solution and solid-state spectra suggested that, although prevalent in the solid state, particularly for U and Pu, AnCl62- does not exist to an appreciable extent in the reaction solution. Despite the identification of U-aquo-chloro species in solution, there are limited reports of these complexes in the solid state. Isolation of these unique actinide(IV) chlorides as reported in this work may point to the importance of nonbonding interactions in the stabilization and precipitation of AnIV structural units.

Monomeric and Trimeric Thorium Chlorides Isolated from Acidic Aqueous Solution.

Two thorium(IV) compounds, [Th(H2O)4Cl4]·2(HPy·Cl) (1) and (HPy)3[Th3(H2O)2Cl10(OH)5]·4(HPy·Cl) (2) (HPy = pyridinium), were isolated from acidic aqueous solution. The compounds were synthesized at room temperature and subsequently characterized using single crystal X-ray diffraction along with Raman and IR spectroscopies. Whereas compound 1 is built from discrete mononuclear Th(H2O)4Cl4 units, compound 2 consists of a novel hydroxo-bridged trimeric [Th3(OH)5]7+ core. Such species are largely absent from discussions of Th solution and solid-state chemistry and their isolation may be attributed to outer coordination sphere interactions that help stabilize the structural units; extensive hydrogen bonding and π-π stacking interactions are present in 1 and 2. Density functional theory calculations were performed to predict the respective vibrational frequencies of the structural units, and their relative stability was predicted at the correlated molecular theory level. Small-angle X-ray scattering analysis of [Th3(OH)5]7+ in water indicates that the trimeric structural unit remains intact and that it is indeed an important species that necessitates consideration in geochemical models and for design of Th materials from water.

Solution and Solid State Structural Chemistry of Th(IV) and U(IV) 4-Hydroxybenzoates.

Organic ligands with carboxylate functionalities have been shown to affect the solubility, speciation, and overall chemical behavior of tetravalent metal ions. While many reports have focused on actinide complexation by relatively simple monocarboxylates such as amino acids, in this work we examined Th(IV) and U(IV) complexation by 4-hydroxybenzoic acid in water with the aim of understanding the impact that the organic backbone has on the solution and solid state structural chemistry of thorium(IV) and uranium(IV) complexes. Two compounds of the general formula [An6O4(OH)4(H2O)6(4-HB)12]· nH2O [An = Th (Th-1) and U (U-1); 4-HB = 4-hydroxybenzoate] were synthesized via room-temperature reactions of AnCl4 and 4-hydroxybenzoic acid in water. Solid state structures were determined by single-crystal X-ray diffraction, and the compounds were further characterized by Raman, infrared, and optical spectroscopies and thermogravimetry. The magnetism of U-1 was also examined. The structures of the Th and U compounds are isomorphous and are built from ligand-decorated oxo/hydroxo-bridged hexanuclear units. The relationship between the building units observed in the solid state structure of U-1 and those that exist in solution prior to crystallization as well as upon dissolution of U-1 in nonaqueous solvents was investigated using small-angle X-ray scattering, ultraviolet-visible optical spectroscopy, and dynamic light scattering. The evolution of U solution speciation as a function of reaction time and temperature was examined. Such effects as well as the impact of the ligand on the formation and evolution of hexanuclear U(IV) clusters to UO2 nanoparticles compared to prior reported monocarboxylate ligand systems are discussed. Unlike prior reported syntheses of Th and U(IV) hexamers where the pH was adjusted to ∼2 and 3, respectively, to drive hydrolysis, hexamer formation with the HB ligand appears to be promoted only by the ligand.

Uranium(IV) Chloride Complexes: UCl62- and an Unprecedented U(H2O)4Cl4 Structural Unit.

The room temperature synthesis and structural characterization of two U(IV) compounds isolated from acidic aqueous solution is reported. Evaporation of a U(IV)/HCl solution containing pyridinium (HPy) yielded (HPy)2UCl6 (1), yet in the presence of an organic carboxylate U(H2O)4Cl4·(HPy·Cl)2 (2) is obtained. The structures have been determined by single crystal X-ray diffraction and characterized by Raman, IR, and optical spectroscopies. The magnetism of both compounds was also investigated. The structure of 1 is built from UCl62- anionic units, pervasive in descriptions of the aqueous chemistry of tetravalent uranium, and is found to undergo a phase transition from C2/m to P1̅ upon cooling. By comparison, the structure of 2 contains a neutral U(IV)-aquo-chloro complex, U(H2O)4Cl4, for which there is no literature precedence. Density functional theory calculations were performed to predict the geometries, vibrational frequencies, and relative energetics of the UCl62- and U(H2O)4Cl4 units. The energetics of the reaction of U(H2O)4Cl4 to form the dianion are predicted to be exothermic in the gas phase and in aqueous solution. The predicted energetics coupled with no previous solid state reports of a U(IV)-aquo-chloro complex may point toward the importance of hydrogen bonding and other supramolecular interactions, prevalent in the structures of 1 and 2, on the stabilization and/or crystallization of the U(H2O)4Cl4 structural unit.

Retransplantation of cryopreserved ovarian tissue: the first live birth in Germany.

BACKGROUND: Cryopreserved ovarian tissue can be retransplanted to restore fertility after radiation or chemotherapy. To date, 15 live births after retransplantation have been reported worldwide. We report the first pregnancy and the first live birth after retransplantation in Germany. CASE REPORT: A 25-year-old female patient received initial chemotherapy and radiation of the mediastinum for Hodgkin's lymphoma in 2003 and suffered a relapse two years later. Ovarian tissue was laparoscopically removed and cryopreserved, and she was then treated with high-dose chemotherapy and stem cell transplantation. She remained in remission for 5 years and she could not conceive during this time. The cryopreserved ovarian tissue was thawed and laparoscopically retransplanted into a peritoneal pouch in the ovarian fossa of the right pelvic wall. Three months later, her menopausal symptoms resolved, and she had her first spontaneous menstruation. Six months after retransplantation, after two normal menstrual cycles, low-dose follicle stimulating hormone (FSH) treatment induced the appearance of a dominant follicle in the tissue graft. Ovulation was then induced with human chorionic gonadotropin (HCG), whereupon the patient conceived naturally. After an uncomplicated pregnancy, she bore a healthy child by Caesarean section on 10 October 2011. Histological examination of biopsy specimens revealed that the ovarian tissue of the graft contained follicles in various stages of development, while the original ovaries contained only structures without any reproductive potential. CONCLUSION: This was the first live birth after retransplantation of cryopreserved ovarian tissue in Germany and also the first case with histological confirmation that the oocyte from which the patient conceived could only have come from the retransplanted tissue. In general, young women who will be undergoing chemotherapy and/or radiotherapy for cancer must be informed and counseled about the available options for fertility preservation.

The presence of functionally relevant toll-like receptor polymorphisms does not significantly correlate with development or outcome of sepsis.

AIMS: Members of the toll-like receptor (TLR) family have been shown to play important roles in inflammatory responses. Single-nucleotide polymorphisms (SNPs) altering receptor activity may either have detectable effects or might be without results due to compensatory mechanisms. We determined the genotype frequencies of functionally relevant SNPs in TLR2, 4 and 5 in critically ill patients (n=150) from a multidisciplinary surgical intensive care unit (ICU). The inflammatory response (procalcitonin, C-reactive protein, white blood count) and clinical classification (Acute Physiology and Chronic Health Evaluation Score II, Simplified Acute Physiology Score II, Sepsis-related Organ Failure Assessment) were monitored daily. RESULTS: The genetic polymorphisms correlate with neither development nor outcome of sepsis. No correlations were found between C-reactive protein or WBC and the investigated SNPs. In patients in the ICU with abdominal surgery and multiple trauma, the TLR2-R753Q SNP was associated with infection at ICU admission (p<0.01); and for carriers of the TLR4-D299G SNP, a trend was observed (p=0.0776). Patients with multiple trauma carrying the TLR4-D299G SNP displayed significantly higher levels of procalcitonin (p=0.0212). CONCLUSIONS: None of the investigated SNPs clearly predicted outcome of sepsis-related multiorgan failure. TLR2-R753Q SNP may be a useful marker to identify patients with high risk to develop infections at ICU admission but should be validated in larger studies. Future SNP-arrays investigating predisposition for infection should include this SNP alone or in combination with other functionally relevant SNPs.

Alpha-dystrobrevin-1 recruits alpha-catulin to the alpha1D-adrenergic receptor/dystrophin-associated protein complex signalosome.

α(1D)-Adrenergic receptors (ARs) are key regulators of cardiovascular system function that increase blood pressure and promote vascular remodeling. Unfortunately, little information exists about the signaling pathways used by this important G protein-coupled receptor (GPCR). We recently discovered that α(1D)-ARs form a "signalosome" with multiple members of the dystrophin-associated protein complex (DAPC) to become functionally expressed at the plasma membrane and bind ligands. However, the molecular mechanism by which the DAPC imparts functionality to the α(1D)-AR signalosome remains a mystery. To test the hypothesis that previously unidentified molecules are recruited to the α(1D)-AR signalosome, we performed an extensive proteomic analysis on each member of the DAPC. Bioinformatic analysis of our proteomic data sets detected a common interacting protein of relatively unknown function, α-catulin. Coimmunoprecipitation and blot overlay assays indicate that α-catulin is directly recruited to the α(1D)-AR signalosome by the C-terminal domain of α-dystrobrevin-1 and not the closely related splice variant α-dystrobrevin-2. Proteomic and biochemical analysis revealed that α-catulin supersensitizes α(1D)-AR functional responses by recruiting effector molecules to the signalosome. Taken together, our study implicates α-catulin as a unique regulator of GPCR signaling and represents a unique expansion of the intricate and continually evolving array of GPCR signaling networks.