Prepubertal unilateral gynecomastia: a report of two cases

Item does not contain fulltextBACKGROUND: Gynecomastia is defined as the presence of excessive breast tissue in males, which can appear unilateral or bilateral. Bilateral gynecomastia is frequently found in the neonatal period, early in puberty, and with increasing age. Prepubertal unilateral gynecomastia in the absence of endocrine abnormalities is extremely rare, with only a few cases in literature. METHODS: We report the cases of two otherwise healthy boys of 8 and 11 years old with unilateral breast masses. No abnormalities were found on ultrasonography and all endocrine parameters were within normal limits. Treatment consisted of peripheral liposuction followed by subcutaneous partial resection of the gland, conducted through an infra-areolar incision. Results : Microscopy of the subcutaneous mastectomy specimen revealed gynecomastia without signs of malignancy. Postoperative course of both patients was uncomplicated, with no signs of recurrence of breast tissue. CONCLUSIONS: Atypical presentations of gynecomastia are often not recognized, with little attention to breast development in prepubertal non-obese children. Since prepubertal gynecomastia could be a sign of possible underlying diseases, a thorough examination and further research is recommended. If there is no causal treatment, surgical resection is the therapy of first choice. Peripheral liposuction and surgical resection of the gland tissue are the mainstay of treatment. In summary, we describe two cases of prepubertal unilateral gynecomastia with a normal endocrine workup. Further research is needed to establish the pathophysiologic mechanisms of prepubertal gynecomastia, since underlying etiology in most cases remains unclear

Designing processive catalytic systems. Threading polymers through a flexible macrocycle ring

The translocation of polymers through pores is widely observed in nature and studying their mechanism may help understand the fundamental features of these processes. We describe here the mechanism of threading of a series of polymers through a flexible macrocyclic ring. Detailed kinetic studies show that the translocation speed is slower than the translocation speed through previously described more rigid macrocycles, most likely as a result of the wrapping of the macrocycle around the polymer chain. Temperature-dependent studies reveal that the threading rate increases on decreasing the temperature, resulting in a negative activation enthalpy of threading. The latter is related to the opening of the cavity of the macrocycle at lower temperatures, which facilitates binding. The translocation process along the polymer chain, on the other hand, is enthalpically unfavorable, which can be ascribed to the release of the tight binding of the macrocycle to the chain upon translocation. The combined kinetic and thermodynamic data are analyzed with our previously proposed consecutive-hopping model of threading. Our findings provide valuable insight into the translocation mechanism of macrocycles on polymers, which is of interest for the development of processive catalysts, i.e., catalysts that thread onto polymers and move along it while performing a catalytic action

Slippage of a porphyrin macrocycle over threads of varying bulkiness: implications for the mechanism of threading polymers through a macrocyclic ring

Threading of a polymer through a macrocyclic ring may occur directly, that is, by finding the end of the polymer chain, or by a process in which the polymer chain first folds and then threads through the macrocyclic ring in a hairpin-like conformation. We present kinetic and thermodynamic studies on the threading of a macrocyclic porphyrin receptor (H21) onto molecular threads that are blocked on one side and are open on the other side. The open side is modified by groups that vary in ease of folding and in bulkiness. Additionally, the threads contain a viologen binding site for the macrocyclic receptor, which is located close to the blocking group. The rates of threading of H21 were measured under various conditions, by recording as a function of time the quenching of the fluorescence of the porphyrin, which occurs when receptor H21 reaches the viologen binding site. The kinetic data suggest that threading is impossible if the receptor encounters an open side that is sterically encumbered in a similar way as a folded polymer chain. This indicates that threading of polymers through macrocyclic compounds through a folded chain mechanism is unlikely

Mechanism of Threading a Polymer Through a Macrocyclic Ring

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Designing Processive Catalytic Systems. Threading Polymers through a Flexible Macrocycle Ring

The translocation of polymers through pores is widely observed in nature and studying their mechanism may help understand the fundamental features of these processes. We describe here the mechanism of threading of a series of polymers through a flexible macrocyclic ring. Detailed kinetic studies show that the translocation speed is slower than the translocation speed through previously described more rigid macrocycles, most likely as a result of the wrapping of the macrocycle around the polymer chain. Temperature-dependent studies reveal that the threading rate increases on decreasing the temperature, resulting in a negative activation enthalpy of threading. The latter is related to the opening of the cavity of the macrocycle at lower temperatures, which facilitates binding. The translocation process along the polymer chain, on the other hand, is enthalpically unfavorable, which can be ascribed to the release of the tight binding of the macrocycle to the chain upon translocation. The combined kinetic and thermodynamic data are analyzed with our previously proposed consecutive-hopping model of threading. Our findings provide valuable insight into the translocation mechanism of macrocycles on polymers, which is of interest for the development of processive catalysts, i.e., catalysts that thread onto polymers and move along it while performing a catalytic action

Processive rotaxane systems. Studies on the mechanism and control of the threading process

The threading behavior of a zinc analogue of a previously reported processive manganese porphyrin catalyst onto a series of polymers of different lengths is reported. It is demonstrated that the speed of the threading process is determined by the opening of the cavity of the toroidal porphyrin host, which can be tuned with the help of axial ligands that coordinate to the metal center in the porphyrin