103 research outputs found
Recent progress in treatment of pulmonary arterial hypertension due to congenital heart disease
3D optical YagiâUda nanoantenna array
Future photonic circuits with the capability of high-speed data processing at optical frequencies will rely on the implementation of efficient emitters and detectors on the nanoscale. Towards this goal, bridging the size mismatch between optical radiation and subwavelength emitters or detectors by optical nanoantennas is a subject of current research in the field of plasmonics. Here we introduce an array of three-dimensional optical YagiâUda antennas, fabricated using top-down fabrication techniques combined with layer-by-layer processing. We show that the concepts of radiofrequency antenna arrays can be applied to the optical regime proving superior directional properties compared with a single planar optical antenna, particularly for emission and reception into the third dimension. Measuring the optical properties of the structure reveals that impinging light on the array is efficiently absorbed on the subwavelength scale because of the high directivity. Moreover, we show in simulations that combining the array with suitable feeding circuits gives rise to the prospect of beam steering at optical wavelengths
Atomic-scale confinement of optical fields
In the presence of matter there is no fundamental limit preventing
confinement of visible light even down to atomic scales. Achieving such
confinement and the corresponding intensity enhancement inevitably requires
simultaneous control over atomic-scale details of material structures and over
the optical modes that such structures support. By means of self-assembly we
have obtained side-by-side aligned gold nanorod dimers with robust
atomically-defined gaps reaching below 0.5 nm. The existence of
atomically-confined light fields in these gaps is demonstrated by observing
extreme Coulomb splitting of corresponding symmetric and anti-symmetric dimer
eigenmodes of more than 800 meV in white-light scattering experiments. Our
results open new perspectives for atomically-resolved spectroscopic imaging,
deeply nonlinear optics, ultra-sensing, cavity optomechanics as well as for the
realization of novel quantum-optical devices
Mode imaging and selection in strongly coupled nanoantennas
The number of eigenmodes in plasmonic nanostructures increases with
complexity due to mode hybridization, raising the need for efficient mode
characterization and selection. Here we experimentally demonstrate direct
imaging and selective excitation of the bonding and antibonding plasmon mode in
symmetric dipole nanoantennas using confocal two-photon photoluminescence
mapping. Excitation of a high-quality-factor antibonding resonance manifests
itself as a two-lobed pattern instead of the single spot observed for the broad
bonding resonance, in accordance with numerical simulations. The two-lobed
pattern is observed due to the fact that excitation of the antibonding mode is
forbidden for symmetric excitation at the feedgap, while concomitantly the mode
energy splitting is large enough to suppress excitation of the bonding mode.
The controlled excitation of modes in strongly coupled plasmonic nanostructures
is mandatory for efficient sensors, in coherent control as well as for
implementing well-defined functionalities in complex plasmonic devices.Comment: 11 pages, 5 figures, 1 supplementary informatio
Resolving the electromagnetic mechanism of surface-enhanced light scattering at single hot spots
Light scattering at nanoparticles and molecules can be dramatically enhanced in the 'hot spots' of optical antennas, where the incident light is highly concentrated. Although this effect is widely applied in surface-enhanced optical sensing, spectroscopy and microscopy, the underlying electromagnetic mechanism of the signal enhancement is challenging to trace experimentally. Here we study elastically scattered light from an individual object located in the well-defined hot spot of single antennas, as a new approach to resolve the role of the antenna in the scattering process. We provide experimental evidence that the intensity elastically scattered off the object scales with the fourth power of the local field enhancement provided by the antenna, and that the underlying electromagnetic mechanism is identical to the one commonly accepted in surface-enhanced Raman scattering. We also measure the phase shift of the scattered light, which provides a novel and unambiguous fingerprint of surface-enhanced light scattering
Tunable plasmon modes in single silver nanowire optical antennas characterized by far-field microscope polarization spectroscopy
Corticoide sistĂȘmico como tratamento de primeira linha da hipertensĂŁo pulmonar secundĂĄria a sĂndrome POEMS
Prospect of vasoactive intestinal peptide therapy for COPD/PAH and asthma: a review
There is mounting evidence that pulmonary arterial hypertension (PAH), asthma and chronic obstructive pulmonary disease (COPD) share important pathological features, including inflammation, smooth muscle contraction and remodeling. No existing drug provides the combined potential advantages of reducing vascular- and bronchial-constriction, and anti-inflammation. Vasoactive intestinal peptide (VIP) is widely expressed throughout the cardiopulmonary system and exerts a variety of biological actions, including potent vascular and airway dilatory actions, potent anti-inflammatory actions, improving blood circulation to the heart and lung, and modulation of airway secretions. VIP has emerged as a promising drug candidate for the treatment of cardiopulmonary disorders such as PAH, asthma, and COPD. Clinical application of VIP has been limited in the past for a number of reasons, including its short plasma half-life and difficulty in administration routes. The development of long-acting VIP analogues, in combination with appropriate drug delivery systems, may provide clinically useful agents for the treatment of PAH, asthma, and COPD. This article reviews the physiological significance of VIP in cardiopulmonary system and the therapeutic potential of VIP-based agents in the treatment of pulmonary diseases
Phenotypic Characterisation of EIF2AK4 Mutation Carriers in a Large Cohort of Patients Diagnosed Clinically with Pulmonary Arterial Hypertension
BACKGROUND: Pulmonary arterial hypertension (PAH) is a rare disease with an emerging genetic basis. Heterozygous mutations in the gene encoding the bone morphogenetic protein receptor type 2 (BMPR2) are the commonest genetic cause of PAH, whereas biallelic mutations in the eukaryotic translation initiation factor 2 alpha kinase 4 gene (EIF2AK4) are described in pulmonary veno-occlusive disease and pulmonary capillary haemangiomatosis (PVOD/PCH). Here, we determined the frequency of these mutations and define the genotype-phenotype characteristics in a large cohort of patients diagnosed clinically with PAH. METHODS: Whole genome sequencing was performed on DNA from patients with idiopathic and heritable PAH, as well as PVOD/PCH recruited to the NIHR BioResource - Rare Diseases Study. Heterozygous variants in BMPR2 and biallelic EIF2AK4 variants with a minor allele frequency of < 1:10,000 in control data sets and predicted to be deleterious (by CADD, PolyPhen-2 and SIFT predictions) were identified as potentially causal. Phenotype data from the time of diagnosis were also captured. RESULTS: Eight hundred and sixty-four patients with idiopathic or heritable PAH and 16 with PVOD/PCH were recruited. Mutations in BMPR2 were identified in 130 patients (14.8%). Biallelic mutations in EIF2AK4 were identified in 5 patients with a clinical diagnosis of PVOD/PCH. Furthermore, 9 patients with a clinical diagnosis of PAH carried biallelic EIF2AK4 mutations. These patients had a reduced transfer coefficient for carbon monoxide (KCO: 33 [IQR: 30 - 35] % predicted) and younger age at diagnosis (29 [23 - 38] years) as well as more interlobular septal thickening and mediastinal lymphadenopathy on computed tomography of the chest, compared to PAH patients without EIF2AK4 mutations. However, radiological assessment alone could not accurately identify biallelic EIF2AK4 mutation carriers. PAH patients with biallelic EIF2AK4 mutations had a shorter survival. CONCLUSIONS: Biallelic EIF2AK4 mutations are found in patients classified clinically as idiopathic and heritable PAH. These patients cannot be identified reliably by CT, but a low KCO and a young age of diagnosis suggests the underlying molecular diagnosis. Genetic testing can identify these misclassified patients, allowing appropriate management and early referral for lung transplantation.The National Institute of Health Research (NIHR) BioResource for Rare Diseases provided funding for sequencing and analysis. The study was supported by a British Heart Foundation Special Project Grant and a Medical Research Council (UK) Experimental Challenge Award
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