Autoimmune nodopathy with anti-contactin 1 antibody characterized by cerebellar dysarthria: a case report and literature review

BackgroundAutoimmune nodopathy (AN) has emerged as a novel diagnostic category that is pathologically different from classic chronic inflammatory demyelinating polyneuropathy. Clinical manifestations of AN include sensory or motor neuropathies, sensory ataxia, tremor, and cranial nerve involvement. AN with a serum-positive contactin-1 (CNTN1) antibody usually results in peripheral nerve demyelination. In this study, we reported a rare case of AN with CNTN1 antibodies characterized by the presence of CNTN1 antibodies in both serum and cerebrospinal fluid, which is associated with cerebellar dysarthria.MethodsA 25-year-old man was admitted to our hospital due to progressive dysarthria with limb tremors. The patient was initially diagnosed with peripheral neuropathy at a local hospital. Three years after onset, he was admitted to our hospital due to dysarthria, apparent limb tremor, and limb weakness. At that time, he was diagnosed with spinocerebellar ataxia. Eight years post-onset, during his second admission, his condition had notably deteriorated. His dysarthria had evolved to typical distinctive cerebellar characteristics, such as tremor, loud voice, stress, and interrupted articulation. Additionally, he experienced further progression in limb weakness and developed muscle atrophy in the distal limbs. Magnetic resonance imaging (MRI), nerve conduction studies (NCS), and autoimmune antibody tests were performed.ResultsThe results of the NCS suggested severe demyelination and even axonal damage to the peripheral nerves. MRI scans revealed diffuse thickening of bilateral cervical nerve roots, lumbosacral nerve roots, cauda equina nerve, and multiple intercostal nerve root sheath cysts. Furthermore, anti-CNTN1 antibody titers were 1:10 in the cerebrospinal fluid (CSF) and 1:100 in the serum. After one round of rituximab treatment, the patient showed significant improvement in limb weakness and dysarthria, and the CSF antibodies turned negative.ConclusionApart from peripheral neuropathies, cerebellar dysarthria (central nervous system involvement) should not be ignored in AN patients with CNTN1 antibodies

Modulation of Casimir Force between Graphene-Covered Hyperbolic Materials

A flexible method for modulating the Casimir force is proposed by combining graphene and hyperbolic materials (HMs). The proposed structure employs two candidates other than graphene. One is hexagonal boron nitride (hBN), a natural HM. The other is porous silicon carbide (SiC), which can be treated as an artificial HM by the effective medium theory. The Casimir force between graphene-covered hBN (porous SiC) bulks is presented at zero temperature. The results show that covering HM with graphene increases the Casimir force monotonically. Furthermore, the force can be modulated by varying the Fermi level, especially at large separation distances. The reflection coefficients are thoroughly investigated, and the enhancement is attributed to the interaction of surface plasmons (SPs) supported by graphene and hyperbolic phonon polaritons (HPhPs) supported by HMs. Moreover, the Casimir force can be controlled by the filling factor of porous SiC. The Casimir force can thus be modulated flexibly by designing desired artificial HMs and tuning the Fermi level. The proposed models have promising applications in practical detection and technological fields

Multiple acetylcholinesterases in Pardosa pseudoannulata brain worked collaboratively to provide protection from organophosphorus insecticides

Acetylcholinesterase (AChE) is an essential neurotransmitter hydrolase in nervous systems of animals and its number varies among species. So far, five AChEs have been identified in the natural enemy Pardosa pseudoannulata. Here we found that Ppace1, Ppace2 and Ppace5 were highly expressed in the spider brain, among which the mRNA level of Ppace5, but not Ppace1 and Ppace2, could be up-regulated by organophosphorus insecticides at their sublethal concentrations. In spider brain, the treatment by organophosphorus insecticides at the sublethal concentrations could increase total AChE activity, although high concentrations inhibited the activity. The activity that increased from the sublethal concentration pretreatment could compensate for the activity inhibition due to subsequent application of organophosphorus insecticides at lethal concentrations, and consequently reduce the mortality of spiders. PpAChE1 and PpAChE2 were highly sensitive to organophosphorus insecticides, and their activities would be strongly inhibited by the insecticides. In contrast, PpAChE5 displayed relative insensitivity towards organophosphorus insecticides, but with the highest catalytic efficiency for ACh. That meant the up-regulation of Ppace5 under insecticide exposure was important for maintaining AChE activity in spider brain, when PpAChE1 and PpAChE2 were inhibited by organophosphorus insecticides. The study demonstrated that multiple AChEs in the spider brain worked collaboratively, with part members for maintaining AChE activity and other members responding to organophosphorus inhibition, to provide protection from organophosphorus insecticides. In fields, high concentration insecticides are often applied when ineffective controls of insect pests occur due to relative-low concentration of insecticides in last round application. This application pattern of organophosphorus insecticides provides more chances for P. pseudoannulata to survive and controlling insect pests as a natural enemy

Origins of rotational barriers in hydrogen peroxide and hydrazine

Compared with their isoelectronic system ethane, both hydrogen peroxide and hydrazine exhibit a double well torsional energy curve where skew conformers are favored over trans conformers and cis conformers are energy-maximum states. Clearly, the involvement of the lone oxygen and nitrogen pairs, or more specifically, the enhanced stabilizing n ->sigma* negative hyperconjugation effect and destabilizing repulsion among lone pairs, complicates the conformational analysis. In this work, the modern ab initio valence bond (VB) method is employed to quantitatively investigate the torsional energy curves of hydrogen peroxide and hydrazine in terms of hyperconjugative stabilization, steric repulsion, and structural and electronic relaxations. It is found that if the hyperconjugation effect is completely quenched, the trans conformers will be favored, while the cis conformers are the only transition state pertaining to the torsional motion in the potential energy surfaces of H2O2 and N2H4. Although usually the steric effect includes the contributions from the electronic and geometric changes, our energy decomposition analysis shows that even the steric effect favors the skew conformers, while the electronic and geometric changes stabilize the trans conformers. Thus, we conclude that both the hyperconjugative and steric interactions lower the energy of skew conformers and eventually form low barriers from skew to trans conformers and high barriers from skew to cis conformers in both H2O2 and N2H4. Comparison between the VB and the natural bond orbital (NBO) results show similarities and discrepancies between the two methods

Block-Localized Wavefunction (BLW) Based Two-State Approach for Charge Transfers between Phenyl Rings

US National Science Foundation [CHE-1055310]; Western Michigan University (FRACAA); National Science Foundation of China [20873106, 21133007]; Ministry of Science and Technology of China [2011CB808504]The block-localized wave function (BLW) method is the simplest and most efficient variant of ab initio valence bond (VB) theory which defines electron-localized resonance states following the conventional VB concepts. Here, a BLW-based two-state approach is proposed to probe the charge/hole transfer reactions within the Marcus--Hush model. With this approach, both the electronic coupling and reorganization energies can be derived at the ab initio level. Pilot applications to the electron/hole transfers between two phenyl rings are presented. Good exponential correlation between the ele:tronic coupling energy and the donor acceptor distance is shown, whereas the inner-sphere reorganization shows little geometric dependency. Computations also support the assumption in Marcus theory that the thermal electron transfer barrier (Delta G*), which is a sum of the reaction barrier (Delta E-a) for electron/hole transfer and the coupling energy (V-AB), is a quarter of the reorganization energy (lambda)