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

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

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

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

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

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

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

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

Guest-induced magnetic exchange in paramagnetic [M2L4]4+ coordination cages.

Paramagnetic complexes that possess magnetically switchable properties show promise in a number of applications. A significantly underdeveloped approach is the use of metallocages, whose magnetic properties can be modulated through host-guest chemistry. Here we show such an example that utilises a simple [CuII2L4]4+ lantern complex. Magnetic susceptibility and magnetisation data shows an absence of exchange in the presence of the diamagnetic guest triflate. However, replacement of the bound triflate by ReBr62- switches on antiferomagnetic exchange between the Cu and Re ions, leading to an S = 1/2 ground state for the non-covalent complex [ReBr62-⊂CuII2L4]2+. Comparison of this complex to a "control" palladium-cage host-guest complex, [ReBr62-⊂PdII2L4]2+, shows that the encapsulated ReBr62- anions retain the same magnetic anisotropy as in the free salt. Theoretically calculated spin-Hamiltonian parameters are in close agreement with experiment. Spin density analysis shows the mode of interaction between the CuII and ReIV centres is through the Re-Br⋯Cu pathway, primarily mediated through the Cu(dx2-y2)|Brsp|Re(dyz) interaction. This is further supported by overlap integral calculations between singly occupied molecular orbitals (SOMOs) of the paramagnetic ions and natural bonding orbitals analysis where considerable donor-to-acceptor interactions are observed between hybrid 4s4p orbitals of the Br ions and the empty 4s and 4p orbitals of the Cu ions.

Hybrid lanthanide double-deckers based on calixarene and polyoxometalate units.

Complementarity of calixarene (H2L) and polyoxometalate ligands results in the first organic-inorganic [MIIIL{Mo5O13(OMe)4(NO)}]2- (M = Y, Gd and Dy) hybrid, directing the formation of a distorted square-antiprismatic MO8 ligand field and resulting in slow relaxation of the magnetisation for the Dy derivative.

An [FeIII30] molecular metal oxide.

Dissolution of FeBr3 in a mixture of acetonitrile and 3,4-lutidine in the presence of an amine results in the formation of an [Fe30] molecular metal oxide containing alternating layers of tetrahedral and octahedral FeIII ions. Mass spectrometry suggests the cluster is formed quickly and remains stable in solution, while magnetic measurements and DFT calculations reveal competing antiferromagnetic exchange interactions.

Cyclophane with eclipsed pyrene units enables construction of spin interfaces with chemical accuracy.

Advanced functionality in molecular electronics and spintronics is orchestrated by exact molecular arrangements at metal surfaces, but the strategies for constructing such arrangements remain limited. Here, we report the synthesis and surface hybridization of a cyclophane that comprises two pyrene groups fastened together by two ferrocene pillars. Crystallographic structure analysis revealed pyrene planes separated by ∼352 pm and stacked in an eclipsed geometry that approximates the rare configuration of AA-stacked bilayer graphene. We deposited this cyclophane onto surfaces of Cu(111) and Co(111) at submonolayer coverage and studied the resulting hybrid entities with scanning tunnelling microscopy (STM). We found distinct characteristics of this cyclophane on each metal surface: on non-magnetic Cu(111), physisorption occurred and the two pyrene groups remained electronically coupled to each other; on ferromagnetic Co(111) nanoislands, chemisorption occurred and the two pyrene groups became electronically decoupled. Spin-polarized STM measurements revealed that the ferrocene groups had spin polarization opposite to that of the surrounding Co metal, while the pyrene stack had no spin polarization. Comparisons to the non-stacked analogue comprising only one pyrene group bolster our interpretation of the cyclophane's STM features. The design strategy presented herein can be extended to realize versatile, three-dimensional platforms in single-molecule electronics and spintronics.

Phosphorylated-calix[4]arene double-deckers of single rare earth metal ions.

Combination of phosphoryl and calix[4]arene moieties in the same organic framework (LPO) directs the formation of homoleptic double-decker complexes [LnIII(LPO)2](OTf)3 for Ln = Tb and Dy, with the latter displaying slow relaxation of the magnetisation.

Fusing pyrene and ferrocene into a chiral, redox-active triangle.

A macrocycle that integrates three ferrocene-pyrene dyads in a triangular C2-symmetric arrangement is synthesised as a racemate in a simple one-pot approach. Crystal structural analysis reveals two enantiomeric conformers that pack alternatingly via π-π stacking and interconvert dynamically in solution. Electrochemical investigations indicate weak electrostatic interactions between Fc groups upon oxidation to a mixed valence triangle.

Exploiting complementary ligands for the construction of square antiprismatic monometallic lanthanide SMMs.

The methylation of p-tert-butylcalix[4]arene in the distal 1,3-phenolic sites provides the ligand H2L = {p-tert-butylcalix[4](OMe)2(OH)2arene} that enables construction of heteroleptic mononuclear lanthanide complexes. The reaction of (N(nBu)4)(acac) (Hacac = acetylacetone), MIIICl3 and H2L under Schlenk conditions results in the formation of a family of (N(nBu)4)[MIIIL(acac)2] complexes where M = Y (1), Gd (2), Tb (3) and Dy (4). The metal ions are eight-coordinate in distorted square-antiprismatic coordination geometries, resulting in slow relaxation of the magnetisation for the Tb derivative.

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

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

[CrIII8NiII6]n+ Heterometallic Coordination Cubes.

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

Phthalocyanine-polyoxotungstate lanthanide double deckers.

Acetate ligand metathesis results in the first hybrid [MIII(Pc)(PW11O39)]6- (M = Y, Dy, Tb) double-decker scaffolds, where a phthalocyanate (Pc2-) and one of the conceptually most simple polyoxotungstates, a monolacunary Keggin cluster, are interlinked via a single rare earth ion. Characterisation includes high-resolution mass spectrometry, synchrotron-based single-crystal X-ray diffraction, various spectroscopic and electrochemical methods, and magnetic studies revealing slow relaxation of the magnetisation for the Dy derivate.

Magneto-structural studies of an unusual [MnIIIMnIIGdIII(OR)4]4- partial cubane from 2,2'-bis-p-tBu-calix[4]arene.

Reaction of 2,2'-bis-p-tBu-calix[4]arene (H8L) with MnCl2·4H2O, GdCl3·6H2O and 2,6-pyridinedimethanol (H2pdm) affords [MnIIIMnIIGdIII(H3L)(pdmH)(pdm)(MeOH)2(dmf)]·3MeCN·dmf (3·3MeCN·dmf) upon vapour diffusion of MeCN into the basic dmf/MeOH mother liquor. 3 crystallises in the tetragonal space group P41212 with the asymmetric unit comprising the entire cluster. The highly unusual core contains a triangular arrangement of MnIIIMnIIGdIII ions housed within a [MnIIIMnIIGdIII(OR)4]4- partial cubane. Magnetic susceptibility and magnetisation data reveal best fit parameters JMn(II)-Mn(III) = +0.415 cm-1, JMn(III)-Gd(III) = +0.221 cm-1, JMn(II)-Gd(III) = -0.258 cm-1 and DMn(III) = -4.139 cm-1. Theoretically derived magnetic exchange interactions, anisotropy parameters, and magneto-structural correlations for 3 are in excellent agreement with the experimental data.

With complements of the ligands: an unusual S-shaped [Mn7]2 assembly from tethered calixarenes.

The reaction between MnCl2·4H2O, 2,2'-bis-p-tBu-calix[4]arene (H8L1) and 2-(hydroxymethyl)pyridine (hmpH) in a basic dmf/MeOH solution results in the formation of the complex [MnIII10MnII4(L1)3(hmp)4(µ3-O)4(µ3-OH)2(MeOH)4(dmf)6](dmf)4 (6) upon vapour diffusion of petroleum ether into the mother liquor. The crystals are in the monoclinic space group C2/c, with the asymmetric unit (ASU) comprising one half of the molecule. The structure describes a large S-shaped cluster (∼40 Å top to tail) where the unusual syn and anti conformations of the calixarene ligands results in two binding pockets each containing a [MnIII5MnII2] moiety comprised of two perpendicular, vertex-sharing [Mn4] butterflies. One butterfly possesses a [MnIII4O4] core and the second a [MnIII2MnII2O3] unit with the MnII ions in the central body positions. Magnetic susceptibility and magnetisation measurements reveal weak exchange interactions between the metal centres.

Del Nido Cardioplegia Versus Cold Blood Cardioplegia in Adult Cardiac Surgery: Protocol for a Randomized Controlled Trial.

BACKGROUND: The use of cardioplegia solutions as a myocardial protection technique is essential during cardiac surgery with cardiopulmonary bypass. The del Nido cardioplegia solution (DNS) has been widely used as a myocardial preservation technique for pediatric patients undergoing cardiac surgery with cardiopulmonary bypass. Its unique pharmacological features have created growing interest for adult cardiac surgery, especially for elderly patients or those with ventricular dysfunction who are more prone to ischemia-reperfusion injury. Ever since its implementation, several retrospective studies have been published to validate the efficacy, safety, and efficiency of DNS in adult patients undergoing coronary revascularization, valve replacement, or combined procedures. Recently, a meta-analysis based on nine retrospective studies was published claiming the noninferiority of DNS compared to other conventional cardioplegia solutions. Few prospective randomized studies have been conducted whose primary outcome was the assessment of DNS clinical efficacy compared to other solutions commonly used in adult patients. OBJECTIVE: The aim of this randomized clinical trial is to assess the benefits of DNS compared to Cardi-Braun blood cardioplegia solution in clinical and biochemical terms regarding myocardial protection during adult cardiac surgery. METHODS: This is the protocol of a controlled, randomized, single-center clinical trial carried out at the Puerta de Hierro Majadahonda University Hospital in Spain. A total of 474 participants over the age of 18 years undergoing elective cardiac surgery with cardiopulmonary bypass will be assigned to groups by simple randomization to receive either DNS or Cardi-Braun blood cardioplegia solution. The primary outcome will be the differences between groups in myocardial protection in biochemical terms (ie, perioperative troponin levels) and clinical terms (ie, presence of the composite variable acute cardiovascular event). The clinical trial will be carried out under conditions of respect for the fundamental rights of the person and the ethical principles that affect biomedical research with human beings, as well as in accordance with international recommendations contained in the Declaration of Helsinki and its subsequent revisions. RESULTS: The inclusion process started in 2018. Data cleaning and analyses are expected to take place in the fall of 2020 and the results are expected in January 2021. CONCLUSIONS: This study is particularly relevant as it will be one of the first to analyze the clinical effects of del Nido cardioplegia on the basis of direct myocardial protection parameters. In light of published studies, carrying out prospective studies based on primary clinical objectives with a larger sample, high-risk patients, and longer cardiopulmonary bypass times continues to be necessary. We believe that our study addresses an important gap in the knowledge of del Nido cardioplegia in adult patient cardiac surgery and will be able to clarify the possible benefits of this method in a large population of patients undergoing these procedures. TRIAL REGISTRATION: European Union Drug Regulating Authorities Clinical Trials Database (EudraCT) 2017-005144-14; https://www.clinicaltrialsregister.eu/ctr-search/search?query=2017-005144-14+; ClinicalTrials.gov NCT04094168; https://clinicaltrials.gov/ct2/show/NCT04094168. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/17826.

ASXL1 mutation as a surrogate marker in acute myeloid leukemia with myelodysplasia-related changes and normal karyotype.

Acute myeloid leukemia with myelodysplasia-related changes (AML-MRC) are poor outcome leukemias. Its diagnosis is based on clinical, cytogenetic, and cytomorphologic criteria, last criterion being sometimes difficult to assess. A high frequency of ASXL1 mutations have been described in this leukemia. We sequenced ASXL1 gene mutations in 61 patients with AML-MRC and 46 controls with acute myeloid leukemia without other specifications (AML-NOS) to identify clinical, cytomorphologic, and cytogenetic characteristics associated with ASXL1 mutational status. Mutated ASXL1 (ASXL1+) was observed in 31% of patients with AML-MRC compared to 4.3% in AML-NOS. Its presence in AML-MRC was associated with older age, a previous history of myelodysplastic syndrome (MDS) or myelodysplastic/myeloproliferative neoplasms (MDS/MPN), leukocytosis, presence of micromegakaryocytes in bone marrow, lower number of blasts in bone marrow, myelomonocytic/monocytic morphological features and normal karyotype. ASXL1 mutation was not observed in patients with myelodysplastic syndrome-related cytogenetic abnormalities or TP53 mutations. Differences in terms of overall survival were found only in AML-MRC patients without prior MDS or MDS/MPN and with intermediate-risk karyotype, having ASXL1+ patients a worst outcome than ASXL1-. We conclude that the ASXL1 mutation frequency is high in AML-MRC patients being its presence associated with specific characteristics including morphological signs of dysplasia. This association raises the possible role of ASXL1 as a surrogate marker in AML-MRC, which could facilitate the diagnosis of patients within this group when the karyotype is normal, and especially when the assessment of multilineage dysplasia morphologically is difficult. This mutation could be used as a worst outcome marker in de novo AML-MRC with intermediate-risk karyotype.

An [FeIII 34 ] Molecular Metal Oxide.

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

New salicylaldoximato-borate ligands resulting from anion hydrolysis and their respective copper and iron complexes.

Anion hydrolysis reactions between salicylaldoximato ligands (L'-L''') and copper and iron BF4- metal salts, have resulted in the formation of new salicylaldoximato borate containing transition metal complexes: [Fe2(L' + 2H)2](BF4)2(MeOH)4 (C1), [Fe3(L'' + 4H)(OH)2(Py)2](BF4)2(H2O)2(Py)2 (C2), and [Cu2(L''' + H)2Cl2] (C3). Each of the complexes have been structurally characterised, revealing the indirect role boron plays in the formation of these complexes. For complexes C1 and C2, Mössbauer spectroscopy confirmed the existence of Fe(iii) oxidation states. SQUID magnetometry measurements were performed on complexes C2 and C3, revealing the presence of two competing exchange pathways between the three Fe(iii) centres in C2, with antiferromagnetic exchange dominating. For C3 weak antiferromagnetic exchange dominated between the two Cu(ii) centres.