Subject(s)
Cytoreduction Surgical Procedures , Hepatectomy , Liver Neoplasms , Neoplasms, Unknown Primary , Neuroendocrine Tumors , Humans , Hepatectomy/methods , Neuroendocrine Tumors/surgery , Neuroendocrine Tumors/pathology , Cytoreduction Surgical Procedures/methods , Liver Neoplasms/surgery , Liver Neoplasms/secondary , Liver Neoplasms/pathology , Neoplasms, Unknown Primary/pathology , Neoplasms, Unknown Primary/surgery , PrognosisABSTRACT
BACKGROUND: Surgical cytoreduction for neuroendocrine tumor liver metastasis (NETLM) consistently shows positive long-term outcomes. Despite reservations in guidelines for surgery when the primary tumor is unidentified (UP-NET), this study compared the surgical and oncologic long-term outcomes between patients with these rare cases undergoing cytoreductive surgery and patients who had liver resection for known primaries. METHODS: The study identified 32 unknown primary liver metastases (UP-NETLM) in 522 retrospectively evaluated patients who underwent resection of well-differentiated NETLM between January 2000 and December 2020. Tumor and patient characteristics were compared with those in 490 cases of liver metastasis from small intestinal (SI-NETLM) or pancreatic (pNETLM) primaries. Survival analysis was performed to highlight long-term outcome differences. Surgical outcomes were compared between liver resections alone and simultaneous primary resections to assess surgical risk distinctions. RESULTS: The UP-NET patients had fewer NETLMs (p = 0.004), which on the average were larger than SI-NETLMs or pNETLMs (p = 0.002). Expression of Ki-67 was balanced among the groups. Major hepatectomy was performed more often in the UP-NETLM group (p = 0.017). The 10-year survival rate of 53% for UP-NETLM was comparable with that for SI-NETML (58%; p = 0.463) and pNETLMs (47%; p = 0.497). The median hepatic progression-free survival was 26 months for the UP-NETLM patients and 25 months for the SI-NETLM patients compared to 12 months for the pNETLM patients (p < 0.001). Perioperative mortality was lower than 2%, and severe postoperative morbidity occurred in 21%, similarly distributed among all the groups. CONCLUSION: The surgical risk and long-term outcomes for the UP-NETLM patients were comparable with those for other NETLM cases, affirming the validity of equally aggressive surgical cytoreduction as a therapeutic option in carefully selected cases.
Subject(s)
Cytoreduction Surgical Procedures , Hepatectomy , Liver Neoplasms , Neoplasms, Unknown Primary , Neuroendocrine Tumors , Humans , Male , Female , Hepatectomy/mortality , Hepatectomy/methods , Neuroendocrine Tumors/surgery , Neuroendocrine Tumors/pathology , Middle Aged , Cytoreduction Surgical Procedures/mortality , Retrospective Studies , Liver Neoplasms/surgery , Liver Neoplasms/secondary , Survival Rate , Neoplasms, Unknown Primary/surgery , Neoplasms, Unknown Primary/pathology , Aged , Follow-Up Studies , Adult , PrognosisSubject(s)
Octreotide , Vasoconstrictor Agents , Humans , Octreotide/therapeutic use , Vasoconstrictor Agents/therapeutic use , Carcinoid Tumor/surgery , Carcinoid Tumor/drug therapy , Carcinoid Tumor/pathology , Intraoperative Complications , Antineoplastic Agents, Hormonal/therapeutic use , Malignant Carcinoid Syndrome/drug therapy , Malignant Carcinoid Syndrome/surgery , PrognosisABSTRACT
INTRODUCTION: Posthepatectomy liver failure (PHLF) remains the main reason for short-term mortality after liver surgery. APRI+ALBI, aspartate aminotransferase to platelet ratio (APRI) combined with albumin-bilirubin grade (ALBI), score and the liver function maximum capacity test (LiMAx) are both established preoperative (preop) liver function tests. The aim of this study was to compare both tests for their predictive potential for clinically significant PHLF grade B and C (B+C). MATERIALS AND METHODS: 352 patients were included from 4 European centers. Patients had available preop APRI+ALBI scores and LiMAx results. Predictive potential for PHLF, PHLF B+C and 90-day mortality was compared using receiver operating characteristic (ROC) curve analysis and calculation of the area under the curve (AUC). Published cutoffs of ≥ -2.46 for APRI+ALBI and of <315 for LiMAx were assessed using chi-squared test. RESULTS: APRI+ALBI showed superior predictive potential for PHLF B+C (N = 34; AUC = 0.766), PHLF grade C (N = 20; AUC = 0.782) and 90-day mortality (N = 15; AUC = 0.750). When comparing the established cutoffs of both tests, APRI+ALBI outperformed LiMAx in prediction of PHLF B+C (APRI+ALBI ≥2.46: Positive predictive value (PPV) = 19%, negative predictive value (NPV) = 97%; LiMAx <315: PPV = 3%, NPV = 90%) and 90-day mortality (APRI+ALBI ≥2.46: PPV = 12%, NPV = 99%; LiMAx <315: PPV = 0%, NPV = 94%) CONCLUSION: In our analysis, APRI+ALBI outperformed LiMAx measurement in the preop prediction of PHLF B+C and postoperative mortality, at a fraction of the costs, manual labor and invasiveness.
Subject(s)
Carcinoma, Hepatocellular , Liver Failure , Liver Neoplasms , Humans , Carcinoma, Hepatocellular/surgery , Liver Neoplasms/surgery , Hepatectomy/methods , Prognosis , Serum Albumin , Risk Assessment , ROC Curve , Retrospective StudiesABSTRACT
OBJECTIVE AND BACKGROUND: Clinically significant posthepatectomy liver failure (PHLF B+C) remains the main cause of mortality after major hepatic resection. This study aimed to establish an APRI+ALBI, aspartate aminotransferase to platelet ratio (APRI) combined with albumin-bilirubin grade (ALBI), based multivariable model (MVM) to predict PHLF and compare its performance to indocyanine green clearance (ICG-R15 or ICG-PDR) and albumin-ICG evaluation (ALICE). METHODS: 12,056 patients from the National Surgical Quality Improvement Program (NSQIP) database were used to generate a MVM to predict PHLF B+C. The model was determined using stepwise backwards elimination. Performance of the model was tested using receiver operating characteristic curve analysis and validated in an international cohort of 2,525 patients. In 620 patients, the APRI+ALBI MVM, trained in the NSQIP cohort, was compared with MVM's based on other liver function tests (ICG clearance, ALICE) by comparing the areas under the curve (AUC). RESULTS: A MVM including APRI+ALBI, age, sex, tumor type and extent of resection was found to predict PHLF B+C with an AUC of 0.77, with comparable performance in the validation cohort (AUC 0.74). In direct comparison with other MVM's based on more expensive and time-consuming liver function tests (ICG clearance, ALICE), the APRI+ALBI MVM demonstrated equal predictive potential for PHLF B+C. A smartphone application for calculation of the APRI+ALBI MVM was designed. CONCLUSION: Risk assessment via the APRI+ALBI MVM for PHLF B+C increases preoperative predictive accuracy and represents an universally available and cost-effective risk assessment prior to hepatectomy, facilitated by a freely available smartphone app.
ABSTRACT
Accumulating evidence suggests that metabolic demands of the regenerating liver are met via lipid metabolism and critical regulators of this process. As such, glucagon-like peptide-1 (GLP-1) and glucagon-like peptide-2 (GLP-2) critically affect hepatic regeneration in rodent models. The present study aimed to evaluate potential alterations and dynamics of circulating GLP-1 and GLP-2 in patients undergoing liver resections, focusing on post-hepatectomy liver failure (PHLF). GLP-1, GLP-2, Interleukin-6 (IL-6) and parameters of lipid metabolism were determined perioperatively in fasting plasma of 46 patients, who underwent liver resection. GLP-1 and GLP-2 demonstrated a rapid and consistently inverse time course during hepatic regeneration with a significant decrease of GLP-1 and increase of GLP-2 on POD1. Importantly, these postoperative dynamics were significantly more pronounced when PHLF occurred. Of note, the extent of resection or development of complications were not associated with these alterations. IL-6 mirrored the time course of GLP-2. Assessing the main degradation protein dipeptidyl peptidase 4 (DPP4) no significant association with either GLP-1 or -2 could be found. Additionally, in PHLF distinct postoperative declines in plasma lipid parameters were present and correlated with GLP-2 dynamics. Our data suggest dynamic inverse regulation of GLP-1 and GLP-2 during liver regeneration, rather caused by an increase in expression/release than by changes in degradation capacity and might be associated with inflammatory responses. Their close association with circulating markers of lipid metabolism and insufficient hepatic regeneration after liver surgery suggest a critical involvement during these processes in humans.
Subject(s)
Hepatic Insufficiency , Liver Failure , Humans , Liver Regeneration , Interleukin-6 , Hepatectomy/adverse effects , Glucagon-Like Peptide 1 , Glucagon-Like Peptide 2ABSTRACT
Hydrogen peroxide is a primary atmospheric oxidant significant in terminating gas-phase chemistry and sulfate formation in the condensed phase. Laboratory experiments have shown an unexpected oxidation acceleration by hydrogen peroxide in grain boundaries. While grain boundaries are frequent in natural snow and ice and are known to host impurities, it remains unclear how and to which extent hydrogen peroxide enters this reservoir. We present the first experimental evidence for the diffusive uptake of hydrogen peroxide into grain boundaries directly from the gas phase. We have machined a novel flow reactor system featuring a drilled ice flow tube that allows us to discern the effect of the ice grain boundary content on the uptake. Further, adsorption to the ice surface for temperatures from 235 to 258 K was quantified. Disentangling the contribution of these two uptake processes shows that the transfer of hydrogen peroxide from the atmosphere to snow at temperatures relevant to polar environments is considerably more pronounced than previously thought. Further, diffusive uptake to grain boundaries appears to be a novel mechanism for non-acidic trace gases to fill the highly reactive impurity reservoirs in snow's grain boundaries.
Subject(s)
Hydrogen Peroxide , Ice , Snow/chemistry , Gases , TemperatureABSTRACT
Gas-particle interfaces are chemically active environments. This study investigates the reactivity of SO2 on NaCl surfaces using advanced experimental and theoretical methods with a NH4Cl substrate also examined for cation effects. Results show that NaCl surfaces rapidly convert to Na2SO4 with a new chlorine component when exposed to SO2 under low humidity. In contrast, NH4Cl surfaces have limited SO2 uptake and do not change significantly. Depth profiles reveal transformed layers and elemental ratios at the crystal surfaces. The chlorine species detected originates from Cl- expelled from the NaCl crystal structure, as determined by atomistic density functional theory calculations. Molecular dynamics simulations highlight the chemically active NaCl surface environment, driven by a strong interfacial electric field and the presence of sub-monolayer water coverage. These findings underscore the chemical activity of salt surfaces and the unexpected chemistry that arises from their interaction with interfacial water, even under very dry conditions.
ABSTRACT
surface is covered by oceans, a large number of liquid aerosol particles fill the air, and clouds hold a tiny but critical fraction of Earth's water in the air to influence our climate and hydrology, enabling the lives of humans and ecosystems. The surfaces of these liquids provide the interface for the transfer of gases, for nucleation processes, and for catalyzing important chemical reactions. Coupling a range of spectroscopic tools to liquid microjets has become an important approach to better understanding dynamics, structure, and chemistry at liquid interfaces. Liquid microjets offer stability in vacuum and ambient pressure environments, thus also allowing X-ray photoelectron spectroscopy (XPS) with manageable efforts in terms of differential pumping. Liquid microjets are operated at speeds sufficient to allow for a locally equilibrated surface in terms of water dynamics and solute surface partitioning. XPS is based on the emission of core-level electrons, the binding energy of which is selective for the element and its chemical environment. Inelastic scattering of electrons establishes the probing depth of XPS in the nanometer range and thus its surface sensitivity.In this Account, we focus on aqueous solutions relevant to the surface of oceans, aqueous aerosols, or cloudwater. We are interested in understanding solvation and acid dissociation at the interface, interfacial aspects of reactions with gas-phase reactants, and the interplay of ions with organic molecules at the interface. The strategy is to obtain a link between the molecular-level picture and macroscopic properties and reactivity in the atmospheric context.We show consistency between surface tension and XPS for a range of surface-active organic species as an important proof for interrogating an equilibrated liquid surface. Measurements with organic acids and amines offer important insight into the question of apparent acidity or basicity at the interface. Liquid microjet XPS has settled the debate of the surface enhancement of halide ions, shown using the example of bromide and its oxidation products. Despite the absence of a strong enhancement for the bromide ion, its rate of oxidation by ozone is surface catalyzed through the stabilization of the bromide ozonide intermediate at the interface. In another reaction system, the one between Fe2+ and H2O2, a similar intermediate in the form of highly valent iron species could not be detected by XPS under the experimental conditions employed, shedding light on the abundance of this intermediate in the environment but also on the constraints within which surface species can be detected. Emphasizing the importance of electrostatic effects, we show how a cationic surfactant attracts charged bromide anions to the interface, accompanied by enhanced oxidation rates by ozone, overriding the role of surfactants as a barrier for the access of gas-phase reactants. The reactivity and structure at interfaces thus result from a subtle balance between hygroscopic and hydrophobic interactions, electrostatic effects, and the structural properties of both liquids and solutes.
Subject(s)
Bromides , Ozone , Humans , Ecosystem , Hydrogen Peroxide , Water/chemistryABSTRACT
Resorcinol and orcinol are simple members of the family of phenolic compounds present in particulate matter in the atmosphere; they are amphiphilic in nature and thus surface active in aqueous solution. Here, we used X-ray photoelectron spectroscopy to probe the concentration of resorcinol (benzene-1,3-diol) and orcinol (5-methylbenzene-1,3-diol) at the liquid-vapor interface of aqueous solutions. Qualitatively consistent surface propensity and preferential orientation was obtained by molecular dynamics simulations. Auger electron yield near-edge X-ray absorption fine structure (NEXAFS) spectroscopy was used to probe the hydrogen bonding (HB) structure, indicating that the local structure of water molecules near the surface of the resorcinol and orcinol solutions tends towards a larger fraction of tetrahedrally coordinated molecules than observed at the liquid-vapor interface of pure water. The order parameter obtained from the molecular dynamics simulations confirm these observations. This effect is being discussed in terms of the formation of an ordered structure of these molecules at the surface leading to patterns of hydrated OH groups with distances among them that are relatively close to those in ice. These results suggest that the self-assembly of phenolic species at the aqueous solution-air interface could induce freezing similar to the case of fatty alcohol monolayers and, thus, be of relevance for ice nucleation in the atmosphere. We also attempted at looking at the changes of the O 1b1, 3a2 and 1b2 molecular orbitals of liquid water, which are known to be sensitive to the HB structure as well, in response to the presence of resorcinol and orcinol. However, these changes remained negligible within uncertainty for both experimentally obtained valence spectra and theoretically calculated density of states.
ABSTRACT
A Viewpoint regarding our recently published Letter in this Journal (Gladich et al. J. Phys. Chem. Lett. 13, 2994-3001) criticizes some of our conclusions. While a sentence in the abstract and one in the conclusion of the Letter might seem too conclusive, in the body text we objectively discussed experimental results obtained by means of three different surface-/interface-sensitive spectroscopies. Such results were supported by theoretical calculations. The aim of our work was not to criticize past results. On the contrary, we critically discussed our data taking into account those obtained in the past.
ABSTRACT
Ice nucleation is one of the most uncertain microphysical processes, as it occurs in various ways and on many types of particles. To overcome this challenge, we present a heterogeneous ice nucleation study on deposition ice nucleation and immersion freezing in a novel cryogenic X-ray experiment with the capability to spectroscopically probe individual ice nucleating and non-ice nucleating particles. Mineral dust type particles composed of either ferrihydrite or feldspar were used and mixed with organic matter of either citric acid or xanthan gum. We observed in situ ice nucleation using scanning transmission X-ray microscopy (STXM) and identified unique organic carbon functionalities and iron oxidation state using near-edge X-ray absorption fine structure (NEXAFS) spectroscopy in the new in situ environmental ice cell, termed the ice nucleation X-ray cell (INXCell). Deposition ice nucleation of ferrihydrite occurred at a relative humidity with respect to ice, RH i, between â¼120-138% and temperatures, T â¼ 232 K. However, we also observed water uptake on ferrihydrite at the same T when deposition ice nucleation did not occur. Although, immersion freezing of ferrihydrite both in pure water droplets and in aqueous citric acid occurred at or slightly below conditions for homogeneous freezing, i.e. the effect of ferrihydrite particles acting as a heterogeneous ice nucleus for immersion freezing was small. Microcline K-rich feldspar mixed with xanthan gum was also used in INXCell experiments. Deposition ice nucleation occurred at conditions when xanthan gum was expected to be highly viscous (glassy). At less viscous conditions, immersion freezing was observed. We extended a model for heterogeneous and homogeneous ice nucleation, named the stochastic freezing model (SFM). It was used to quantify heterogeneous ice nucleation rate coefficients, mimic the competition between homogeneous ice nucleation; water uptake; deposition ice nucleation and immersion freezing, and predict the T and RH i at which ice was observed. The importance of ferrihydrite to act as a heterogeneous ice nucleating particle in the atmosphere using the SFM is discussed.
ABSTRACT
Hematite (α-Fe2O3) is a photoelectrode for the water splitting process because of its relatively narrow bandgap and abundance in the earth's crust. In this study, the photoexcited state of a hematite thin film was investigated with femtosecond oxygen K-edge X-ray absorption spectroscopy (XAS) at the PAL-XFEL in order to follow the dynamics of its photoexcited states. The 200 fs decay time of the hole state in the valence band was observed via its corresponding XAS feature.
ABSTRACT
Optical confinement (OC) structures the optical field and amplifies light intensity inside atmospheric aerosol particles, with major consequences for sunlight-driven aerosol chemistry. Although theorized, the OC-induced spatial structuring has so far defied experimental observation. Here, x-ray spectromicroscopic imaging complemented by modeling provides direct evidence for OC-induced patterning inside photoactive particles. Single iron(III)-citrate particles were probed using the iron oxidation state as a photochemical marker. Based on these results, we predict an overall acceleration of photochemical reactions by a factor of two to three for most classes of atmospheric aerosol particles. Rotation of free aerosol particles and intraparticle molecular transport generally accelerate the photochemistry. Given the prevalence of OC effects, their influence on aerosol particle photochemistry should be considered by atmospheric models.
ABSTRACT
The phase behavior, the number and type of phases, in atmospheric particles containing mixtures of hydrocarbon-like organic aerosol (HOA) and secondary organic aerosol (SOA) is important for predicting their impacts on air pollution, human health, and climate. Using a solvatochromic dye and fluorescence microscopy, we determined the phase behavior of 11 HOA proxies (O/C = 0-0.29) each mixed with 7 different SOA materials generated in environmental chambers (O/C 0.4-1.08), where O/C represents the average oxygen-to-carbon atomic ratio. Out of the 77 different HOA + SOA mixtures studied, we observed two phases in 88% of the cases. The phase behavior was independent of relative humidity over the range between 90% and <5%. A clear trend was observed between the number of phases and the difference between the average O/C ratios of the HOA and SOA components (ΔO/C). Using a threshold ΔO/C of 0.265, we were able to predict the phase behavior of 92% of the HOA + SOA mixtures studied here, with one-phase particles predicted for ΔO/C < 0.265 and two-phase particles predicted for ΔO/C ≥ 0.265. The threshold ΔO/C value provides a relatively simple and computationally inexpensive framework for predicting the number of phases in internal SOA and HOA mixtures in atmospheric models.
Subject(s)
Air Pollutants , Carbon , Aerosols/analysis , Air Pollutants/analysis , Humans , Hydrocarbons , OxygenABSTRACT
Fenton chemistry, involving the reaction between Fe2+ and hydrogen peroxide, is well-known due to its applications in the mineralization of extremely stable molecules. Different mechanisms, influenced by the reaction conditions and the solvation sphere of iron ions, influence the fate of such reactions. Despite the huge amount of effort spent investigating such processes, a complete understanding is still lacking. This work combines photoelectron spectroscopy and theoretical calculations to investigate the solvation and reactivity of Fe2+ and Fe3+ ions in aqueous solutions. The reaction with hydrogen peroxide, both in homogeneous Fenton reagents and at the liquid-vapor interface, illustrates that both ions are homogeneously distributed in solutions and exhibit an asymmetric octahedral coordination to water in the case of Fe2+. No indications of differences in the reaction mechanism between the liquid-vapor interface and the bulk of the solutions have been found, suggesting that Fe3+ and hydroxyl radicals are the only intermediates.
ABSTRACT
A surface-promoted sulfate-reducing ammonium oxidation reaction was discovered to spontaneously take place on common inorganic aerosol surfaces undergoing solvation. Several key intermediate speciesincluding elemental sulfur (S0), bisulfide (HS−), nitrous acid (HONO), and aqueous ammonia [NH3(aq)]were identified as reaction components associated with the solvation process. Depth profiles of relative species abundance showed the surface propensity of key species. The species assignments and depth profile features were supported by classical and first-principles molecular dynamics calculations, and a detailed mechanism was proposed to describe the processes that led to unexpected products during salt solvation. This discovery revealed chemistry that is distinctly linked to a solvating surface and has great potential to illuminate current puzzles within heterogeneous chemistry.
ABSTRACT
The reaction of ozone with sea-salt derived bromide is relevant for marine boundary layer atmospheric chemistry. The oxidation of bromide by ozone is enhanced at aqueous interfaces. Ocean surface water and sea spray aerosol are enriched in organic compounds, which may also have a significant effect on this reaction at the interface. Here, we assess the surface propensity of cationic tetrabutylammonium at the aqueous liquid-vapor interface by liquid microjet X-ray photoelectron spectroscopy (XPS) and the effect of this surfactant on ozone uptake to aqueous bromide solutions. The results clearly indicate that the positively charged nitrogen group in tetrabutylammonium (TBA), along with its surface activity, leads to an enhanced interfacial concentration of both bromide and the bromide ozonide reaction intermediate. In parallel, off-line kinetic experiments for the same system demonstrate a strongly enhanced ozone loss rate in the presence of TBA, which is attributed to an enhanced surface reaction rate. We used liquid jet XPS to obtain detailed chemical composition information from the aqueous-solution-vapor interface of mixed aqueous solutions containing bromide or bromide and chloride with and without TBA surfactant. Core level spectra of Br 3d, C 1s, Cl 2p, N 1s, and O 1s were used for this comparison. A model was developed to account for the attenuation of photoelectrons by the carbon-rich layer established by the TBA surfactant. We observed that the interfacial density of bromide is increased by an order of magnitude in solutions with TBA. The salting-out of TBA in the presence of 0.55 M sodium chloride is apparent. The increased interfacial bromide density can be rationalized by the association constants for bromide and chloride to form ion-pairs with TBA. Still, the interfacial reactivity is not increasing simply proportionally with the increasing interfacial bromide concentration in response to the presence of TBA. The steady state concentration of the bromide ozonide intermediate increases by a smaller degree, and the lifetime of the intermediate is 1 order of magnitude longer in the presence of TBA. Thus, the influence of cationic surfactants on the reactivity of bromide depends on the details of the complex environment at the interface.
ABSTRACT
A large fraction of atmospheric aerosols can be characterized as primary organic aerosol (POA) and secondary organic aerosol (SOA). Knowledge of the phase behavior, that is, the number and type of phases within internal POA + SOA mixtures, is crucial to predict their effect on climate and air quality. For example, if POA and SOA form a single phase, POA will enhance the formation of SOA by providing organic mass to absorb SOA precursors. Using microscopy, we studied the phase behavior of mixtures of SOA proxies and hydrocarbon-like POA proxies at relative humidity (RH) values of 90%, 45%, and below 5%. Internal mixtures of POA and SOA almost always formed two phases if the elemental oxygen-to-carbon ratio (O/C) of the POA was less than 0.11, which encompasses a large fraction of atmospheric hydrocarbon-like POA from fossil fuel combustion. SOA proxies mixed with POA proxies having 0.11 ≤ O/C ≤ 0.29 mostly resulted in particles with one liquid phase. However, two liquid phases were also observed, depending on the type of SOA and POA surrogates, and an increase in phase-separated particles was observed when increasing the RH in this O/C range. The results have implications for predicting atmospheric SOA formation and policy strategies to reduce SOA in urban environments.
Subject(s)
Air Pollutants , Aerosols/analysis , Air Pollutants/analysis , Carbon , Hydrocarbons , OxygenABSTRACT
In viscous, organic-rich aerosol particles containing iron, sunlight may induce anoxic conditions that stabilize reactive oxygen species (ROS) and carbon-centered radicals (CCRs). In laboratory experiments, we show mass loss, iron oxidation and radical formation and release from photoactive organic particles containing iron. Our results reveal a range of temperature and relative humidity, including ambient conditions, that control ROS build up and CCR persistence in photochemically active, viscous organic particles. We find that radicals can attain high concentrations, altering aerosol chemistry and exacerbating health hazards of aerosol exposure. Our physicochemical kinetic model confirmed these results, implying that oxygen does not penetrate such particles due to the combined effects of fast reaction and slow diffusion near the particle surface, allowing photochemically-produced radicals to be effectively trapped in an anoxic organic matrix.