Positron emission tomography imaging probes targeting chemokine receptors

Positron emission tomography (PET) is a highly sensitive nuclear medicine imaging technique. PET is used to accurately diagnose cancer and can detect early stage tumours. Molecular probes containing a positron emitting metal radioisotope (such as ⁶⁴Cu or ⁶⁸Ga) need to give a stable complex in vivo as well as targeting biomarkers or metabolic processes within the tumour. The roles of chemokine receptors in multiple disease stages have been demonstrated. The CXCR4 and CCR5 chemokine receptors have been implicated in cancer, as well as other disease states including HIV infection and chronic inflammatory diseases, including asthma and rheumatoid arthritis. Incorporation of a positron emitting radioisotope into a CXCR4 or CCR5 specific antagonist compound could allow visualisation of physiological locations with high expression levels of these receptors to characterise the disease.The small molecule CXCR4 antagonist AMD3100 (Plerixafor) has been approved for clinical use as a haematopoietic stem cell mobilising agent and also exhibits anti-HIV, anti-inflammatory and anti-tumour activity. Configurationally restricted analogues of AMD3100 complexed to metal ions have improved binding characteristics compared to AMD3100 and its metal complexes. A synthetic pathway to obtain series of configurationally restricted macrocyclic compounds (analogues of AMD3100) fixed in the trans IV configuration, has been developed and the copper(II), zinc(II) and nickel(II) complexes characterised. Their biological properties (anti-HIV, cytotoxicity and Ca²⁺ signalling inhibition) were evaluated to allow selection of compounds to be radiolabelled with ⁶⁴Cu²⁺ for evaluation as a PET imaging agent targeting CXCR4. The most active trans IV complexes, bis(zinc(II))- 1,4-xylyl bis(methyl side-bridged cyclam and bis(zinc(II))-1,4-xylyl bis(benzyl sidebridged cyclam) have EC₅₀ values of 516 and 247 nM respectively in the anti-HIV assay with cyotoxicity (CC₅₀) values of 42800 and 39600 nM respectively. However, the novel mixed metal trans II complex (copper(II)zinc(II))-1,4-xylyl bis(sidebridged cyclam) has a higher binding affinity with an EC₅₀ value of 3 nM (four times more potent than AMD3100) and cytotoxicity CC₅₀ value greater than 10 µM. Bis(zinc(II))-1,4-xylyl bis(side-bridged cyclam) was successfully radiolabelled with ⁶⁴Cu²⁺ via transmetallation to form (⁶⁴Cu (zinc(II))-1,4-xylyl bis(side-bridged cyclam) with a crude radiochemical yield of 92%.A derivative of known CCR5 antagonist TAK-779 containing a carboxylic acid functional group 2-(p-tolyl)-6,7-dihydro-5H-benzo[7]annulene-8-carboxylic acid 18 was prepared. A DO3A compound with a spacer terminating in a primary amine (tritert-butyl 2,2',2''-(10-(2-((2-aminoethyl)amino)-2-oxoethyl)-1,4,7,10- tetraazacyclododecane-1,4,7-triyl)triacetate) was successfully conjugated to compound 18 forming a potential CCR5 targeting compound that could be radiolabelled with gallium-68 for PET imaging applications. Preliminary in vitro affinity assays indicated that the modification of the structure had disrupted the CCR5 binding and some structural modification redesign may be required.Radiolabelling of the conjugate compound 2-(p-tolyl)-6,7-dihydro-5Hbenzo[7]annulene-8-amidoethyl-DOTA with gallium-68 was carried out. A crude radiochemical yield of ca. 100% was achieved to give ⁶⁸Ga-(2-(p-tolyl)-6,7-dihydro-5H-benzo[7]annulene-8-amidoethyl-DOTA) which is stable in buffer and against transferring challenge for over four hours

Crystal structure of 4,4-dimethyl-2-(trifluoromethyl)-4,5-dihydro-1H-imidazole, C6H9F3N2

C6H9F3N2, monoclinic, P21/n (no. 14), a = 10.6224(9) Å, b = 11.8639(9) Å, c = 13.3139(11) Å, β = 105.903(3)°, V = 1613.6(2) Å3, Z = 8, Rgt(F) = 0.0618, wRref(F2) = 0.1629, T = 102(2) K [1–3]

Vitamin D serum level predicts stroke clinical severity, functional independence, and disability—A retrospective cohort study

BackgroundStroke is a leading cause of mortality and disability and one of the most common neurological conditions globally. Many studies focused on vitamin D as a stroke risk factor, but only a few focused on its serum level as a predictor of stroke initial clinical severity and recovery with inconsistent results. The purpose of this study was to assess the relationship between serum vitamin D levels and stroke clinical severity at admission and functional independence and disability at discharge in Saudi Arabia.MethodologyA retrospective cohort study of adult ischemic stroke patients who had their vitamin D tested and admitted within 7 days of exhibiting stroke symptoms at King Abdulaziz Medical City (KAMC) Jeddah, Saudi Arabia. Based on vitamin D level, the patients were categorized into normal [25(OH)D serum level ≥ 75 nmol/L], insufficient [25(OH)D serum level is 50–75 nmol/L], and deficient [25(OH)D serum level ≤ 50 nmol/L]. The primary outcome was to assess the vitamin D serum level of ischemic stroke patients’ clinical severity at admission and functional independence at discharge. The National Institute of Health Stroke Scale (NIHSS) was used to assess the clinical severity, whereas the modified Rankin scale (mRS) was used to assess functional independence and disability.ResultsThe study included 294 stroke patients, out of 774, who were selected based on the inclusion and exclusion criteria. The mean age of the participants was 68.2 ± 13.4 years, and 49.3% were male. The patients’ distribution among the three groups based on their vitamin D levels is: normal (n = 35, 11.9%), insufficient (n = 66, 22.5%), and deficient (n = 196, 65.6%). After adjusting for potential covariates, regression analysis found a significant inverse relationship of NIHSS based on 25(OH)D serum level (beta coefficient: −0.04, SE: 0.01, p = 0.003). Patients with deficient serum vitamin D level also had significantly higher odds of worse functional independence in mRS score [OR: 2.41, 95%CI: (1.13–5.16), p = 0.023] when compared to participants with normal vitamin D level.ConclusionLow vitamin D levels were associated with higher severity of stroke at admission and poor functional independence and disability at discharge in patients with acute ischemic stroke. Further randomized clinical and interventional studies are required to confirm our findings

Left Main Coronary Artery Revascularization in Patients with Impaired Renal Function: Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting

Introduction: The evidence about the optimal revascularization strategy in patients with left main coronary artery (LMCA) disease and impaired renal function is limited. Thus, we aimed to compare the outcomes of LMCA disease revascularization (percutaneous coronary intervention [PCI] vs. coronary artery bypass grafting [CABG]) in patients with and without impaired renal function. Methods: This retrospective cohort study included 2,138 patients recruited from 14 centers between 2015 and 2,019. We compared patients with impaired renal function who had PCI (n= 316) to those who had CABG (n = 121) and compared patients with normal renal function who had PCI (n = 906) to those who had CABG (n = 795). The study outcomes were in-hospital and follow-up major adverse cardiovascular and cerebrovascular events (MACCE). Results: Multivariable logistic regression analysis showed that the risk of in-hospital MACCE was significantly higher in CABG compared to PCI in patients with impaired renal function (odds ratio [OR]: 8.13 [95% CI: 4.19–15.76], p < 0.001) and normal renal function (OR: 2.59 [95% CI: 1.79–3.73]; p < 0.001). There were no differences in follow-up MACCE between CABG and PCI in patients with impaired renal function (HR: 1.14 [95% CI: 0.71–1.81], p = 0.585) and normal renal function (HR: 1.12 [0.90–1.39], p = 0.312). Conclusions: PCI could have an advantage over CABG in revascularization of LMCA disease in patients with impaired renal function regarding in-hospital MACCE. The follow-up MACCE was comparable between PCI and CABG in patients with impaired and normal renal function

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Dependence of the Magnetization Process on the Thickness of Fe70Pd30 Nanostructured Thin Film

Fe–Pd magnetic shape-memory alloys are of major importance for microsystem applications due to their magnetically driven large reversible strains under moderate stresses. In this context, we focus on the synthesis of nanostructured Fe70Pd30 shape-memory alloy antidot array thin films with different layer thicknesses in the range from 20 nm to 80 nm, deposited onto nanostructured alumina membranes. A significant change in the magnetization process of nanostructured samples was detected by varying the layer thickness. The in-plane coercivity for the antidot array samples increased with decreasing layer thickness, whereas for non-patterned films the coercive field decreased. Anomalous coercivity dependence with temperature was detected for thinner antidot array samples, observing a critical temperature at which the in-plane coercivity behavior changed. A significant reduction in the Curie temperature for antidot samples with thinner layer thicknesses was observed. We attribute these effects to complex magnetization reversal processes and the three-dimensional magnetization profile induced by the nanoholes. These findings could be of major interest in the development of novel magnetic sensors and thermo-magnetic recording patterned media based on template-assisted deposition techniques

Evaluation of tetracycline removal by magnetic metal organic framework from aqueous solutions: Adsorption isotherm, kinetics, thermodynamics, and Box-Behnken design optimization

In our current research, an intriguing magnetic nano sorbent Fe3O4@Zr-MOF was synthesized in the lab. We used this adsorbent for successfully removing tetracycline (TC) from water. We performed a number of experiments and studies to further support this, including the following: vibrating sample magnetometer (VSM), Fourier transform infrared spectroscopy (FTIR), energy-dispersive X-ray photoelectron spectroscopy (XPS), scanning electron microscope (SEM), X-ray diffraction (XRD), and Brunauer-Emmett-Teller surface area (BET). Our studies have determined that the Fe3O4@Zr-MOF boasts a considerable surface area of 868 m2/g with the highest adsorption capacity (qmax) of 942.12 mg/g. Study the factors that effect on adsorption process such as pH, TC concentration, adsorbent dose, and temperature. The adsorption isotherm was fitted to the Langmuir equation, whereas the kinetic isotherm to the pseudo-second-order equation. The adsorption process was chemisorption as well as the adsorption energy was 20 kJ/mol. Adsorption thermodynamics indicated that the adsorption process was both endothermic and spontaneous. As temperatures increased, the amounts of materials absorbed also increased. The Fe3O4@Zr-MOF has magnetic properties as it easily to remove from the solution after adsorption process. The adsorbent was used for five cycles with high efficiency and without change in the chemical composition as well as the XRD was the same before and after reusability. The mechanism of the interaction between Fe3O4@Zr-MOF and TC was expected on: Electrostatic interaction, π-π interaction, hydrogen bonding, and pore filling. The adsorption results were optimized using Box Behnken-design (BBD)

Synthesis of New Naphthyl Aceto Hydrazone-Based Metal Complexes: Micellar Interactions, DNA Binding, Antimicrobial, and Cancer Inhibition Studies

In the present study, naphthyl acetohydrazide (HL) ligand was prepared and used for the synthesis of new six amorphous transition metal (Co(II), Ni(II), Cu(II), Zn(II), Pb(II), Cd(II)) complexes. All the compounds were characterized by elemental analysis, UV-vis, FT-IR, 1H- and 13C-NMR, and Matrix-Assisted Laser Desorption Ionization (MALDI). The solubilization study was carried out by estimating the interaction between the metal complexes with surfactants viz. sodium stearate (SS) and Cetyltrimethylammonium bromide (CTAB). UV-Visible spectroscopy was employed to determine partitioning and binding parameters, whereas electrical conductivity measurements were employed to estimate critical micellar concentration (CMC), the extent of dissociation, and free energy of micellization. The CT-DNA interaction of synthesized compounds with DNA represents the major groove binding. The synthesized ligand and metal complexes were also tested against bacterial and fungal strains and it has been observed that Cu(II) complex is active against all the strains except Candida albicans, while Cd(II) complex is active against all bacterial and fungal strains except Pseudomonas. Among all compounds, only the Pd(II) complex shows reasonable activity against cervical cancer HeLa cell lines, representing 97% inhibition