Identifying Clinical Characteristics of Hypoparathyroidism in Turkey: HIPOPARATURK-NET Study

Hypoparathyroidism is an orphan disease with ill-defined epidemiology that is subject to geographic variability. We conducted this study to assess the demographics, etiologic distribution, treatment patterns and complication frequency of patients with chronic hypoparathyroidism in Turkey. This is a retrospective, cross-sectional database study, with collaboration of 30 endocrinology centers located in 20 cities across seven geographical regions of Turkey. A total of 830 adults (mean age 49.6 ± 13.5 years; female 81.2%) with hypoparathyroidism (mean duration 9.7 ± 9.0 years) were included in the final analysis. Hypoparathyroidism was predominantly surgery-induced (n = 686, 82.6%). The insulting surgeries was carried out mostly due to benign causes in postsurgical group (SG) (n = 504, 73.5%) while patients in nonsurgical group (NSG) was most frequently classified as idiopathic (n = 103, 71.5%). The treatment was highly dependent on calcium salts (n = 771, 92.9%), calcitriol (n = 786, 94.7%) and to a lower extent cholecalciferol use (n = 635, 76.5%) while the rate of parathyroid hormone (n = 2, 0.2%) use was low. Serum calcium levels were most frequently kept in the normal range (sCa 8.5–10.5 mg/dL, n = 383, 46.1%) which might be higher than desired for this patient group. NSG had a lower mean plasma PTH concentration (6.42 ± 5.53 vs. 9.09 ± 7.08 ng/l, p < 0.0001), higher daily intake of elementary calcium (2038 ± 1214 vs. 1846 ± 1355 mg/day, p = 0.0193) and calcitriol (0.78 ± 0.39 vs. 0.69 ± 0.38 mcg/day, p = 0.0057), a higher rate of chronic renal disease (9.7% vs. 3.6%, p = 0.0017), epilepsy (6.3% vs. 1.6%, p = 0.0009), intracranial calcifications (11.8% vs. 7.3%, p < 0.0001) and cataracts (22.2% vs. 13.7%, p = 0.0096) compared to SG. In conclusion, postsurgical hypoparathyroidism is the dominant etiology of hypoparathyroidism in Turkey while the nonsurgical patients have a higher disease burden with greater need for medications and increased risk of complications than the postsurgical patients. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature

Unveiling the catalytic nature of palladium-N-heterocyclic carbene catalysts in the alpha-alkylation of ketones with primary alcohols

We report herein the synthesis of four new Pd-PEPPSI complexes with backbone-modified N-heterocyclic carbene (NHC) ligands and their application as catalysts in the alpha-alkylation of ketones with primary alcohols using a borrowing hydrogen process and tandem Suzuki-Miyaura coupling/alpha-alkylation reactions. Among the synthesized Pd-PEPPSI complexes, complex 2c having 4-methoxyphenyl groups at the 4,5-positions and 4-methoxybenzyl substituents on the N-atoms of imidazole exhibited the highest catalytic activity in the alpha-alkylation of ketones with primary alcohols (18 examples) with yields reaching up to 95%. Additionally, complex 2c was demonstrated to be an effective catalyst for the tandem Suzuki-Miyaura-coupling/alpha-alkylation of ketones to give biaryl ketones with high yields. The heterogeneous nature of the present catalytic system was verified by mercury poisoning and hot filtration experiments. Moreover, the formation of NHC-stabilized Pd(0) nanopArticles during the alpha-alkylation reactions was identified by advanced analytical techniques.We are grateful to the Ege University Scientific Research Projects Coordination (FYL-2019-21171) and the Turkish Academy of Science (TUBA) for the financial support. M. O. thanks the Turkiye Scholarships for the fellowship. Z. E. thanks to the Council of Higher Education of Turkey for 100/2000 CoHE Doctoral Scholarship and TUBITAK 2211/C National Ph.D. Scholarship Program in the Priority Fields in Science and Technology.Ege University Scientific Research Projects Coordination [FYL-2019-21171]; Turkish Academy of Science (TUBA); Turkiye Scholarships; Council of Higher Education of Turkey; TUBITAK 2211/C National Ph.D. Scholarship Program in the Priority Fields in Science and Technolog

Black Phosphorus/WS₂-TM (TM: Ni, Co) Heterojunctions for Photocatalytic Hydrogen Evolution under Visible Light Illumination

Black phosphorus (BP) has recently emerged as a versatile photocatalyst owing to its unique photophysical properties and tunable bandgap. Nonetheless, the rapid recombination of the photogenerated charges of pristine BP samples has significantly hindered its practical applications in photocatalysis. Herein, we report, for the first time, the effect of transition metal nanoparticles (Ni and Co) as co-catalysts on the photocatalytic activity of BP/tungsten disulfide (WS2) binary heterojunctions (BP/WS2-TM (TM: Ni, Co)) in the hydrogen evolution reaction (HER) under visible light irradiation (λ > 420 nm). Ternary heterojunctions named BP/WS2-TM (TM: Ni, Co) were synthesized via a chemical reduction method, leading to the formation of an S-scheme heterojunction, in which BP acts as a reduction catalyst and WS2 serves as an oxidation catalyst. BP/WS2-Ni and BP/WS2-Co performed substantial amounts of hydrogen generation of 9.53 mmol h−1g−1 and 12.13 mmol h−1g−1, respectively. Moreover, BP/WS2-Co exhibited about 5 and 15 times higher photocatalytic activity compared to the binary BP/WS2 heterojunctions and pristine BP, respectively. The enhanced photocatalytic activity of the heterojunction catalysts is attributed to the extended light absorption ability, enhanced charge separation, and larger active sites. This study is the first example of photocatalytic hydrogen evolution from water by using Ni- and Co-doped binary BP/WS2 heterojunctions

Photocatalytically Active Graphitic Carbon Nitride as an Effective and Safe 2D Material for In Vitro and In Vivo Photodynamic Therapy

Thanks to its photocatalytic property, graphitic carbon nitride (g-C3N4) is a promising candidate in various applications including nanomedicine. However, studies focusing on the suitability of g-C3N4 for cancer therapy are very limited and possible underlying molecular mechanisms are unknown. Here, it is demonstrated that photoexcitation of g-C3N4 can be used effectively in photodynamic therapy, without using any other carrier or additional photosensitizer. Upon light exposure, g-C3N4 treatment kills cancer cells, without the need of any other nanosystem or chemotherapeutic drug. The material is efficiently taken up by tumor cells in vitro. The transcriptome and proteome of g-C3N4 and light treated cells show activation in pathways related to both oxidative stress, cell death, and apoptosis which strongly suggests that only when combined with light exposure, g-C3N4 is able to kill cancer cells. Systemic administration of the mesoporous form results in elimination from urinary bladder without any systemic toxicity. Administration of the material significantly decreases tumor volume when combined with local light treatment. This study paves the way for the future use of not only g-C3N4 but also other 2D nanomaterials in cancer therapy

Correlations among enthesitis, clinical, radiographic and quality of life parameters in patients with ankylosing spondylitis

WOS: 000338636500018PubMed ID: 24252034Objectives. To investigate the relationship between enthesitis and disease activity, functional status, fatigue, joint mobility, radiological damage, laboratory parameter and quality of life in patients with ankylosing spondylitis (AS). Methods. A total of 421 patients with AS (323 male and 98 female) who were included in the Turkish League Against Rheumatism Registry were enrolled in the study. The Bath AS Disease Activity Index (BASDAI), fatigue, the Bath AS Functional Index (BASFI), the Bath AS Metrology Index (BASMI), the Maastricht AS Enthesitis Score (MASES), AS quality of life (ASQoL), the Bath AS Radiology Index (BASRI) and erythrocyte sedimentation rate (ESR) were evaluated. Results. Enthesitis was detected in 27.3% of patients. There were positive correlations between MASES and BASDAI, BASFI and fatigue (p < 0.05). MASES was not correlated with BASRI, BASMI, ASQoL and ESR. The mean MASES score was 1.1 +/- 2.4. The most frequent regions of enthesopathies were right iliac crest, spinous process of L5 and proximal to the insertion of left achilles tendon, respectively. Conclusions. Enthesitis was found to be associated with higher disease activity, higher fatigue, worse functional status and lower disease duration. As enthesitis was correlated with BASDAI, we conclude that enthesitis can reflect the disease activity in patients with AS.Pfizer CompanyThe authors express their gratitude to all members of the TRASD-IP AS Study group for their cooperation and to Pfizer Company for the registry sponsorship