RESUMO
Chronic neutrophilic leukemia (CNL) is a rare leukemia with approximately 150 total cases reported. Cutaneous neutrophilic infiltrates, including Sweet syndrome (SS) and leukemia cutis (LC), have been reported in six patients with CNL. In the setting of CNL, these two conditions are difficult to differentiate due to clinical and histopathological similarities, but it is important to do so because LC is associated with a worse prognosis. In general, SS is distinguished by its tenderness, fever, and improvement with steroids (vs chemotherapy for LC). Biopsy of LC reveals immature leukocytes, whereas SS shows almost exclusively mature leukocytes, but morphology alone may not be sufficient in some cases. Here, we report a case of a 72-year-old male with CNL and a cutaneous eruption with clinical and pathological features which made the distinction between the two diseases difficult.
Assuntos
Leucemia Neutrofílica Crônica/diagnóstico , Neoplasias Cutâneas/patologia , Pele/patologia , Síndrome de Sweet/diagnóstico , Idoso , Protocolos de Quimioterapia Combinada Antineoplásica/administração & dosagem , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Biópsia , Medula Óssea/patologia , Decitabina/administração & dosagem , Decitabina/uso terapêutico , Diagnóstico Diferencial , Inibidores Enzimáticos/administração & dosagem , Inibidores Enzimáticos/uso terapêutico , Feminino , Humanos , Hidroxiureia/administração & dosagem , Hidroxiureia/uso terapêutico , Leucemia/patologia , Leucemia Neutrofílica Crônica/complicações , Leucemia Neutrofílica Crônica/tratamento farmacológico , Leucemia Neutrofílica Crônica/patologia , Masculino , Pessoa de Meia-Idade , Neutrófilos/patologia , Síndrome de Sweet/complicações , Síndrome de Sweet/patologia , Resultado do TratamentoRESUMO
The physicochemical properties of [Trpn-H]- and [TrpnCl]- (n = 1, 2) have been investigated in a combined computational and experimental infrared multiple dissociation (IRMPD) study. IRMPD spectra within the 850-1900 cm-1 region indicate that deprotonation is localized on the carboxylic acid moiety in [Trpn-H]- clusters. A combination of hydrogen bonding and higher order charge-quadrupole interactions appear to influence cluster geometries for all investigated systems. Calculated global minimum and low energy geometries of [TrpCl]- and [Trp2Cl]- clusters favour coordination of the halide by the indole NH. [Trp2-H]- and [Trp2Cl]- exhibit additional π-π interactions between the heterocyclic side chains.
Assuntos
Triptofano/química , Ânions/química , Ligação de Hidrogênio , Espectrofotometria Infravermelho , TermodinâmicaRESUMO
Density functional theory (DFT) calculations and infrared multiple photon dissociation (IRMPD) spectroscopy are employed to probe [TM·(B12H12)]- and [TM·(B12H12)2]2- clusters [TM = Ag(I), Cu(I), Co(II), Ni(II), Zn(II), Cd(II)]. A comparison is made between the charge-transfer properties of the clusters containing the hydrogenated dodecaborate dianions, B12H122-, and the fluorinated analogues, B12F122-, for clusters containing Cd(II), Co(II), Ni(II), and Zn(II). IRMPD of the [TM·(B12H12)]- and [TM·(B12H12)2]2- species yields B12H11- via hydride abstraction and B12H12- in all cases. To further explore the IR-induced charge-transfer properties of the B12X122- (X = H, F) cages, mixed-cage [TM(B12H12)(B12F12)]2- [TM = Co(II), Ni(II), Zn(II), Cd(II)] clusters were investigated. IRMPD of the mixed-cage species yielded appreciable amounts of B12F12- and B12H12- in most cases, indicating that charge-transfer to the central TM cation is a favorable process; formation of B12F12- is the dominant process for the Co(II) and Ni(II) mixed-cage complexes. In contrast, the Zn(II) and Cd(II) mixed-cage complexes preferentially produced fragments of the form B xH yF z-/2-, suggesting that H/F scrambling and/or fusion of the boron cages occurs along the IRMPD pathway.
RESUMO
The structures and properties of a series of phenylalanine (Phe) derivatives have been investigated in a joint computational and experimental infrared multiple photon dissociation (IRMPD) study. IRMPD spectra in the 1000-2000 cm-1 region show that protonation is localized on the amine group in all cases. Intramolecular cation-π interactions between the ammonium group and the phenyl ring heavily influence molecular geometries and properties such as gas phase basicity and proton affinity. By varying substituents on the phenyl ring, one can sensitively tune the cation-π interaction and, therefore, the molecular structure and properties. Variations in molecular structures and properties as a function of phenyl ring substitution are shown to correlate with substituent Hammett parameters.
RESUMO
The proton-, lithium-, and sodium-bound cysteine dimers have been investigated in a joint computational and experimental infrared multiple photon dissociation (IRMPD) study. IRMPD spectra in the 1000-2000 cm(-1) region show that protonation is localized on an amine group, and that intermolecular hydrogen bonding occurs between the protonated amine and the carbonyl oxygen of the neutral Cys moiety. Alkali-bound dimers adopt structures reminiscent of those observed for the monomeric Cys·Li(+) and Cys·Na(+) species. Calculations of the heavier Cys2·M(+) (M = K, Rb or Cs) species suggest that these are significantly less strongly bound than the lighter (M = H, Li, or Na) dimers.
Assuntos
Álcalis/química , Cisteína/química , Prótons , Dimerização , Estrutura Molecular , Análise EspectralRESUMO
Collodion membrane is most closely associated with forms of autosomal recessive congenital ichthyosis, but the differential diagnosis includes many other less common etiologies. Herein we present a case of Gaucher disease (GD) type 2 in a neonate presenting with collodion membrane in addition to blueberry muffin lesions. The clinical presentation and etiology of GD and the differential diagnoses for collodion membrane and blueberry muffin lesions are briefly reviewed.
Assuntos
Doença de Gaucher/diagnóstico , Ictiose Lamelar/diagnóstico , Pele/patologia , Diagnóstico Diferencial , Feminino , Doença de Gaucher/complicações , Humanos , Ictiose Lamelar/complicações , Recém-NascidoAssuntos
Exantema , Transtornos de Fotossensibilidade , Exantema/diagnóstico , Exantema/etiologia , Humanos , LactenteRESUMO
A combination of infrared multiple photon dissociation (IRMPD) spectroscopy and density functional theory calculations is used to investigate the structures and charge-transfer properties of clusters containing transition metals (TM = Co(II), Ni(II), Cu(I), Zn(II), Rh(III), Pd(II), Ag(I), Cd(II)) and the dodecafluorododecaboron dianion, B12F12(2-). In all cases, IRMPD resulted in transfer of electron density to the metal center and production of B12F12(-). Metals that exhibit the highest degree of charge transfer are found to induce reaction among the B12F12 cages, leading to production of BnFm (up to n = m = 24).
RESUMO
Canada thistle is a pervasive perennial weed, causing challenges to agricultural and natural ecosystems globally. Although research has focused on the phenology, genetics, and control of Canada thistle, little is known about the rhizosphere microbiome and the role plant-microbe interactions play in invasion success. This study investigated the rhizosphere microbiome of Canada thistle across diverse climates, soils, and crops in the U.S. northern Great Plains. Soil and rhizosphere samples were collected and bacterial 16S and fungal ITS2 sequencing were performed to characterize the core microbiome and identify potential factors contributing to invasion success. Amplicon sequencing revealed a stable core microbiome that was detected in the Canada thistle rhizosphere across all locations. The core microbiome was dominated by the bacterial phyla Actinobacteriota and Proteobacteria and fungal phyla Ascomycota and Basidiomycota. Differential abundance analysis showed rhizosphere fungal communities were enriched in pathogen-containing genera with a 1.7-fold greater abundance of Fusaria and a 2.6-fold greater abundance of Gibberella compared to bulk soil. Predictive functional profiling showed rhizosphere communities were enriched (p < 0.05, FDR corrected) in plant pathogen fungal guilds which represented 19% of the fungal community. The rhizosphere microbiome was similar in composition across environments, highlighting the stable association between Canada thistle and specific microbial taxa. This study characterized the core microbiome of Canada thistle, and the findings highlight plant-microbe interactions shaping invasive behavior. These findings are important for understanding the ecological impacts of plant invasion and soil-microbe ecological processes.
Assuntos
Microbiota , Rizosfera , Microbiologia do Solo , Microbiota/genética , Estados Unidos , Fungos/classificação , Fungos/genética , Fungos/isolamento & purificação , Bactérias/classificação , Bactérias/genética , Bactérias/isolamento & purificação , RNA Ribossômico 16S/genéticaRESUMO
Photolysis of 1 in argon-saturated acetonitrile yields 2, whereas in oxygen-saturated acetonitrile small amounts of benzoic acid and benzamide are formed in addition to 2. Similarly, photolysis of 2 in argon-saturated acetonitrile results in 1 and a trace amount of 3, whereas in oxygen-saturated acetonitrile the major product is 1 in addition to the formation of small amounts of benzoic acid and benzamide. Laser flash photolysis of 1 results in an absorption due to triplet vinylnitrene 4 (broad absorption with λ(max) at 360 nm, τ = 1.8 µs, acetonitrile) that is formed with a rate constant of 1.2 × 10(7) s(-1) and decays with a rate constant of 5.6 × 10(5) s(-1). Laser flash photolysis of 2 in argon-saturated acetonitrile likewise results in the formation of triplet vinylnitrene 4 but also ylide 5 (λ(max) at 440 nm, τ = 13 µs). The rate constant for forming 4 in argon-saturated acetonitrile is 1.6 × 10(7) s(-1). In oxygen-saturated acetonitrile, vinylnitrene 4 reacts to form the peroxide radical 6 (λ(max) 360 nm, ~0.7 µs, acetonitrile) at a rate of 2 × 10(9) M(-1) s(-1). Density functional theory calculations were performed to aid in the characterization of vinylnitrene 4 and peroxide 6 and to support the proposed mechanism for the formation of these intermediates.
Assuntos
Erros Médicos/prevenção & controle , Fotografação , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/cirurgia , Pele/patologia , Idoso , Atitude , Biópsia , Telefone Celular , Estudos Transversais , Feminino , Humanos , Masculino , Participação do Paciente , Autoeficácia , Inquéritos e QuestionáriosRESUMO
We present a novel case of an urticaria multiforme-type drug reaction to the new cystic fibrosis medication Trikafta (elexacaftor + tezacaftor + ivacaftor). Equipped with this information, clinicians may be more prepared to counsel and treat patients if they experience similar symptoms after beginning Trikafta.
RESUMO
We describe the modification of a commercially available tandem differential mobility mass spectrometer (DMS) that has been retrofitted to facilitate photodissociation (PD) of differential mobility-separated, mass-selected molecular ions. We first show that a mixture of protonated quinoline/isoquinoline (QH+/iQH+) can be separated using differential mobility spectrometry. Efficient separation is facilitated by addition of methanol to the DMS environment and increased residence time within the DMS. In action spectroscopy experiments, we gate each isomer using appropriate DMS settings, trap the ions in the third quadrupole of a triple quadrupole mass spectrometer, and irradiate them with tunable light from an optical parametric oscillator (OPO). The resulting mass spectra are recorded as the OPO wavelength is scanned, giving PD action spectra. We compare our PD spectra with previously recorded spectra for the same species and show that our instrument reproduces previous works faithfully.
RESUMO
Acute renal infarction is an uncommon and under-diagnosed disease. Its clinical presentation is nonspecific and often mimics other more common disease entities. The diagnosis is usually missed or delayed, which frequently results in irreversible renal parenchyma damage. High index of suspicion is required for early diagnosis, as timely intervention may prevent loss of kidney function. We report a case of acute renal infarction following coronary angiography in a patient with paroxysmal atrial fibrillation who initially presented with acute abdominal pain mimicking appendicitis.
Assuntos
Dor Abdominal/etiologia , Infarto/complicações , Rim/irrigação sanguínea , Dor Abdominal/diagnóstico por imagem , Doença Aguda , Idoso , Analgésicos/uso terapêutico , Proteína C-Reativa/análise , Meios de Contraste , Creatinina/sangue , Dalteparina/uso terapêutico , Serviço Hospitalar de Emergência , Feminino , Seguimentos , Humanos , Infarto/diagnóstico por imagem , Infarto/tratamento farmacológico , Rim/diagnóstico por imagem , Medição de Risco , Índice de Gravidade de Doença , Tomografia Computadorizada por Raios X/métodos , Resultado do TratamentoRESUMO
There are numerous disorders of the skin that occur in athletes. These include infections, mechanical injury, and inflammatory skin diseases such as dermatitis, urticaria, and others. This paper discusses some of the most common athletic skin diseases.
Assuntos
Traumatismos em Atletas/diagnóstico , Traumatismos em Atletas/terapia , Dermatite de Contato/etiologia , Dermatopatias Infecciosas/terapia , Pele/lesões , Esportes , Traumatismos em Atletas/etiologia , Traumatismos em Atletas/prevenção & controle , Dermatite de Contato/diagnóstico , Dermatite de Contato/prevenção & controle , Humanos , Dermatopatias Infecciosas/diagnóstico , Dermatopatias Infecciosas/microbiologia , Urticária/diagnóstico , Urticária/etiologia , Urticária/terapiaRESUMO
It is generally assumed that molecules behave ergodically during chemical reactions, that is, reactivities depend only on the total energy content and not on the initial state of the molecule. While there are a few examples of nonergodic behavior in small (usually electronically excited) species, to date there have been no reports of such behavior in larger covalently bound species composed of several tens of atoms. Here, we demonstrate vibrational mode-selective behavior in a series of palladium catalysts. When we excite solvent-tagged gas-phase Pd catalysts with an infrared laser that is tuned to be resonant with specific molecular vibrations, depending on which vibration we excite, we can select different reaction pathways. We also demonstrate that this behavior can be "turned off" via chemical substitution.
RESUMO
Limited research exists comparing sex differences in muscular power. The primary purpose of this research was to determine if differences exist in power and velocity in the conventional deadlift (CDL). A secondary purpose was to examine the relationship among power, velocity, strength, and fat free mass (FFM). Eighteen strength trained athletes with ≥1 year CDL experience (women: n = 9, 29 ± 2 years, 162.3 ± 1.8 cm, 62 ± 2.4 kg, 23.3 ± 3.2 % body fat (%BF); men: n = 9, 29 ± 3 years, 175.6 ± 1.8 cm, 85.5 ± 1.4 kg, 14.8 ± 2.4 %BF), and ≥1.5 one repetition maximum (1-RM) CDL: body mass (BM) ratio (women: 1.6 ± 0.1 1-RM CDL: BM; men: 2.3 ± 0.1 1-RM CDL: BM), performed baseline (body composition, 1-RM CDL) and experimental sessions, in which velocity and power were measured at 30%, 60%, and 90% 1-RM. Repeated measures ANOVA and bivariate correlations were conducted. Men produced higher absolute average and peak power across all loads, but higher average velocity at only 30% 1-RM. When normalized to FFM, men produced higher peak and average power; however, women produced higher peak and average velocities across all loads. FFM and 1-RM were correlated with power. Greater power observed in men is driven by larger muscle mass, which contributes to greater strength.
RESUMO
The CA1 region of the rat hippocampus exhibits both alpha and beta adrenergic receptor (AR) responses, however, the specific AR subtypes involved and the neuronal expression patterns for these receptors are not well understood. We have employed single cell real time RT-PCR in conjunction with cell-specific immunohistochemical markers to determine the AR expression patterns for hippocampal neurons located in CA1, a region often implicated in learning and memory processes. Cytoplasmic samples were taken from 55 individual cells located in stratum oriens, pyramidale, or radiatum and reverse transcribed. All successfully amplified pyramidal neuron samples (n = 17) expressed mRNA for the beta2AR, with four cells additionally expressing mRNA for the beta1AR subtype. Positive interneurons from stratum oriens (n = 10) and stratum radiatum (n = 8) expressed mRNA for the alpha1A and/or alpha(1B)AR (n = 9/18) only when coexpressing transcripts for somatostatin. Interneurons containing neuropeptide Y or cholecystokinin (n = 9/18) were not positive for any of the nine AR subtypes, suggesting that CA1 interneuron AR expression is limited to a subset of somatostatin-positive cells. These findings suggest that only a select number of AR subtypes are transcriptionally expressed in CA1 and that these receptors are selective to specific neuronal cell types.