Synthesis and pre-clinical evaluation of a [18F] fluoromethyl-tanaproget derivative for imaging of progesterone receptor expression

The estrogen receptor (ER) and progesterone receptor (PR) are over-expressed in ∼50% of breast cancer lesions, and used as biomarkers to stratify patients for endocrine therapy. Currently, immunohistochemical (IHC) assessment of these lesions from a core-needle biopsy in deep-sited metastases has limitations associated with sampling error and lack of standardization. An alternative solution is positron emission tomography (PET)-based probes, which are inherently quantitative and capable of imaging the entire tumor, including metastases. This work features the synthesis and biological evaluation of a novel fluorinated derivative of tanaproget, a high affinity non-steroidal PR ligand, as a candidate for imaging PR expression in vivo. Radiolabeling of the candidate was achieved in a 15% ± 4 radiochemical yield (non-decay corrected) in one step from [18F]fluoromethyltosylate in 30 min. Cell uptake studies showed a significant difference between the radioligand uptake in PR+ and PR- cell lines; however, in vivo imaging was confounded by defluorination hypothesized to occur via iminium salt formation. Investigation into high affinity, metabolically stable non-steroidal PR ligands is currently ongoing

Acral necrosis by Stenotrophomonas maltophilia

Keywords:necrosis;skin and soft tissue infection;Stenotrophomonas maltophilia Abstract Background Stenotrophomonas maltophilia (SM) has been considered a nosocomial pathogen. Nevertheless, community acquired infection may occur more frequently than usually recognized. Case We describe distal necrosis of the fingers by SM in a farmer, contracted in the community and successfully treated with a combination of cotrimoxazole and ciprofloxacin. The patient was diagnosed with chronic lymphocytic leukaemia 6 months later. Conclusions This unusual presentation shows that infection with SM should be included in the differential diagnosis of the skin and soft tissue infection, even in apparently healthy patients

Phenomenological theory of the 3 Kelvin phase in Sr2RuO4

We model the 3K-phase of Sr2RuO4 with Ru-metal inclusion as interface state with locally enhanced transition temperatures. The resulting 3K-phase must have a different pairing symmetry than the bulk phase of Sr2RuO4, because the symmetry at the interface is lower than in the bulk. It is invariant under time reversal and a second transition, in general, above the onset of bulk superconductivity is expected where time reversal symmetry is broken. The nucleation of the 3K-phase exhibits a ``capillary effect'' which can lead to frustration phenomena for the superconducting states on different Ru-inclusions. Furthermore, the phase structure of the pair wave function gives rise to zero-energy quasiparticle states which would be visible in quasiparticle tunneling spectra. Additional characteristic properties are associated with the upper critical field Hc2. The 3K-phase has a weaker anisotropy of Hc2 between the inplane and z-axis orientation than the bulk superconducting phase. This is connected with the more isotropic nature Ru-metal which yields a stronger orbital depairing effect for the inplane magnetic field than in the strongly layered Sr$_2RuO4. An anomalous temperature dependence for the z-axis critical field is found due to the coupling of the magnetic field to the order parameter texture at the interface. Various other experiments are discussed and new measurements are suggested.Comment: 10 pages, 5 figure

Flux-Line Lattice Structures in Untwinned YBa2Cu3O

A small angle neutron scattering study of the flux-line lattice in a large single crystal of untwinned YBa2Cu3O is presented. In fields parallel to the c-axis, diffraction spots are observed corresponding to four orientations of a hexagonal lattice, distorted by the a-b anisotropy. A value for the anisotropy, the penetration depth ratio, of 1.18(2) was obtained. The high quality of the data is such that second order diffraction is observed, indicating a well ordered FLL. With the field at 33 degrees to c a field dependent re-orientation of the lattice is observed around 3T.Comment: 4 pages, 4 figure

Ground State Vortex Lattice Structures in d-wave Superconductors

We show in a realistic $d_{x^{2}-y^{2}}$ symmetry gap model for a cuprate superconductor that the clean vortex lattice has discontinuous structural transitions (at and near T=0), as a function of the magnetic field $B$ along the c-axis. The transitions arise from the singular nonlocal and anisotropic susceptibility of the $d_{x^{2}-y^{2}}$ superconductor to the perturbation caused by supercurrents associated with vortices. The susceptibility, due to virtual Dirac quasiparticle-hole excitation, is calculated carefully, and leads to a ground state transition for the triangular lattice from an orientation along one of the crystal axis to one at 45$^o$ to them, i.e, along the gap zero direction. The field scale is seen to be 5 Tesla $\sim (\Delta_{0}/ta)^{2}\Phi_{0}$, where $\Delta_{0}$ is the gap maximum, $t$ is the nearest neighbour hopping, $a$ is the lattice constant, and $\Phi_{0}$ is the flux quantum. At much higher fields ($\sim 28T$) there is a discontinuous transition to a centred square structure. The source of the differences from existing calculations, and experimental observability are discussed, the latter especially in view of the very small (a few degrees $K$ per vortex) differences in the ground state energy.Comment: To be published in Phys. Rev.