Anomia in a Lung Transplant Recipient

Progressive multifocal leukoencephalopathy (PML) is a rare, fatal sub-acute demyelinating disease of subcortical white matter most commonly caused by reactivation of the ubiquitous Jon Cunningham virus (JCV). PML has been documented in patients with immune-suppressed conditions, including but not limited to organ transplantation, HIV/AIDS, malignancy, and auto-immune diseases. We describe the case of a 65-year old male who presented with anomia, confusion, left upper extremity tremor, and generalized weakness 3 years after undergoing bilateral lung transplantation for idiopathic pulmonary fibrosis. Cerebrospinal fluid (CSF) and MRI findings confirmed the diagnosis of PML. We also review other reported cases as well as available treatment modalities for this rare condition. Lung transplantation has become the standard of care in patients with end-stage chronic respiratory failure. As the prevalence of lung transplantation increases worldwide, more data is becoming available regarding long-term outcomes. Our findings suggest that neurological symptoms and white matter changes on imaging should prompt high clinical suspicion for PML in this patient population.https://scholarlycommons.henryford.com/merf2020caserpt/1121/thumbnail.jp

The fire toxicity of polyurethane foams [Review]

Polyurethane is widely used, with its two major applications, soft furnishings and insulation, having low thermal inertia, and hence enhanced flammability. In addition to their flammability, polyurethanes form carbon monoxide, hydrogen cyanide and other toxic products on decomposition and combustion. The chemistry of polyurethane foams and their thermal decomposition are discussed in order to assess the relationship between the chemical and physical composition of the foam and the toxic products generated during their decomposition. The toxic product generation during flaming combustion of polyurethane foams is reviewed, in order to relate the yields of toxic products and the overall fire toxicity to the fire conditions. The methods of assessment of fire toxicity are outlined in order to understand how the fire toxicity of polyurethane foams may be quantified. In particular, the ventilation condition has a critical effect on the yield of the two major asphyxiants, carbon monoxide and hydrogen cyanid

Self-Assembly Fabrication of Hollow Mesoporous Silica@Co–Al Layered Double Hydroxide@Graphene and Application in Toxic Effluents Elimination

Here, we propose a self-assembly process to prepare hierarchical HM-SiO2@Co–Al LDH@graphene, with the purpose of combining their outstanding performance. Hollow mesoporous silica was first synthesized as the core, using a novel sonochemical method, followed by a controlled shell coating process and chemical reduction. As a result of the electrostatic potential difference among HM-SiO2, Co–Al LDH, and graphene oxide, the HM-SiO2 spheres were coated by Co–Al LDH and graphene. Subsequently, the HM-SiO2@Co–Al LDH@graphene spheres were introduced into an epoxy resin (EP) matrix for investigation of their toxic effluents capture and elimination effectiveness during combustion. The amount of toxic CO and volatile organic compounds from the epoxy resin decomposition significantly suppressed after incorporating the HM-SiO2@Co–Al LDH@graphene hybrids, implying a reduced toxicity

Adipose-Specific PPARα Knockout Mice Have Increased Lipogenesis by PASK–SREBP1 Signaling and a Polarity Shift to Inflammatory Macrophages in White Adipose Tissue

The nuclear receptor PPARα is associated with reducing adiposity, especially in the liver, where it transactivates genes for β-oxidation. Contrarily, the function of PPARα in extrahepatic tissues is less known. Therefore, we established the first adipose-specific PPARα knockout (PparaFatKO) mice to determine the signaling position of PPARα in adipose tissue expansion that occurs during the development of obesity. To assess the function of PPARα in adiposity, female and male mice were placed on a high-fat diet (HFD) or normal chow for 30 weeks. Only the male PparaFatKO animals had significantly more adiposity in the inguinal white adipose tissue (iWAT) and brown adipose tissue (BAT) with HFD, compared to control littermates. No changes in adiposity were observed in female mice compared to control littermates. In the males, the loss of PPARα signaling in adipocytes caused significantly higher cholesterol esters, activation of the transcription factor sterol regulatory element-binding protein-1 (SREBP-1), and a shift in macrophage polarity from M2 to M1 macrophages. We found that the loss of adipocyte PPARα caused significantly higher expression of the Per-Arnt-Sim kinase (PASK), a kinase that activates SREBP-1. The hyperactivity of the PASK–SREBP-1 axis significantly increased the lipogenesis proteins fatty acid synthase (FAS) and stearoyl-Coenzyme A desaturase 1 (SCD1) and raised the expression of genes for cholesterol metabolism (Scarb1, Abcg1, and Abca1). The loss of adipocyte PPARα increased Nos2 in the males, an M1 macrophage marker indicating that the population of macrophages had changed to proinflammatory. Our results demonstrate the first adipose-specific actions for PPARα in protecting against lipogenesis, inflammation, and cholesterol ester accumulation that leads to adipocyte tissue expansion in obesity

Diallylic and Diallenic Dyotropic Rearrangements

A previously unexamined approach to dyotropic rearrangements involving only atoms from the first row is tested with four substrates. Both migrating groups contain jr orbitals, either allylic or allenic. We have prepared 3,6- dimethyl-1,7-octadiene,1,2-bis(vinyloxy)ethane, ethylene diisocyanate, and ethylene dithiocyanate to test this approach. All four substrates were pyrolyzed in a sealed tube and in a flash system. Products of ene reactions, diradical rearrangements, cycloaddition, and polymerization were observed, but the dyotropic rearrangements did not take place

Synthesis of Zinc Phosphonated Poly(ethylene imine) and Its Fire-Retardant Effect in Low-Density Polyethylene

A novel oligomeric intumescent fire-retardant chelate, zinc phosphonated poly(ethylene imine) (Zn-PEIP), with a variable Zn2+ loading, was synthesized. The chemical structure of Zn-PEIP was confirmed by FTIR, 13C NMR, and 31P NMR spectroscopies. The thermal behavior and fire retardancy of low-density polyethylene (LDPE) containing 25 wt % Zn-PEIPs with different amounts of Zn2+ were investigated by thermogravimetric analysis (TGA), limiting oxygen index (LOI) measurements, and cone calorimetry. The TGA results showed that higher concentrations of Zn2+ improved the thermal stability and increased the residue yield of LDPE. However, the data from the LOI and cone calorimetry tests showed that there is an optimum concentration of Zn2+ for the best fire-retardancy performance of LDPE. This behavior is ascribed to the high cross-link density resulting from zinc bridges, preventing normal swelling of the intumescent system. The surface morphology of the char was characterized by digital photography and scanning electron microscopy (SEM). This confirmed the optimum intumescence and coherent and strong barrier layer formation at an intermediate Zn2+ loading

A Roadmap for Functional Structural Variants in the Soybean Genome

Gene structural variation (SV) has recently emerged as a key genetic mechanism underlying several important phenotypic traits in crop species. We screened a panel of 41 soybean (Glycine max) accessions serving as parents in a soybean nested association mapping population for deletions and duplications in more than 53,000 gene models. Array hybridization and whole genome resequencing methods were used as complementary technologies to identify SV in 1528 genes, or approximately 2.8%, of the soybean gene models. Although SV occurs throughout the genome, SV enrichment was noted in families of biotic defense response genes. Among accessions, SV was nearly eightfold less frequent for gene models that have retained paralogs since the last whole genome duplication event, compared with genes that have not retained paralogs. Increases in gene copy number, similar to that described at the Rhg1 resistance locus, account for approximately one-fourth of the genic SV events. This assessment of soybean SV occurrence presents a target list of genes potentially responsible for rapidly evolving and/or adaptive traits