18 research outputs found
Significant benefits of AIP testing and clinical screening in familial isolated and young-onset pituitary tumors
Context
Germline mutations in the aryl hydrocarbon receptor-interacting protein (AIP) gene are responsible for a subset of familial isolated pituitary adenoma (FIPA) cases and sporadic pituitary neuroendocrine tumors (PitNETs).
Objective
To compare prospectively diagnosed AIP mutation-positive (AIPmut) PitNET patients with clinically presenting patients and to compare the clinical characteristics of AIPmut and AIPneg PitNET patients.
Design
12-year prospective, observational study.
Participants & Setting
We studied probands and family members of FIPA kindreds and sporadic patients with disease onset â€18 years or macroadenomas with onset â€30 years (n = 1477). This was a collaborative study conducted at referral centers for pituitary diseases.
Interventions & Outcome
AIP testing and clinical screening for pituitary disease. Comparison of characteristics of prospectively diagnosed (n = 22) vs clinically presenting AIPmut PitNET patients (n = 145), and AIPmut (n = 167) vs AIPneg PitNET patients (n = 1310).
Results
Prospectively diagnosed AIPmut PitNET patients had smaller lesions with less suprasellar extension or cavernous sinus invasion and required fewer treatments with fewer operations and no radiotherapy compared with clinically presenting cases; there were fewer cases with active disease and hypopituitarism at last follow-up. When comparing AIPmut and AIPneg cases, AIPmut patients were more often males, younger, more often had GH excess, pituitary apoplexy, suprasellar extension, and more patients required multimodal therapy, including radiotherapy. AIPmut patients (n = 136) with GH excess were taller than AIPneg counterparts (n = 650).
Conclusions
Prospectively diagnosed AIPmut patients show better outcomes than clinically presenting cases, demonstrating the benefits of genetic and clinical screening. AIP-related pituitary disease has a wide spectrum ranging from aggressively growing lesions to stable or indolent disease course
Five-Coordinate [Pt<sup>II</sup>(bipyridine)<sub>2</sub>(phosphine)]<sup><i>n</i>+</sup> Complexes: Long-Lived Intermediates in Ligand Substitution Reactions of [Pt(bipyridine)<sub>2</sub>]<sup>2+</sup> with Phosphine Ligands
The
reaction of [PtÂ(NâN)<sub>2</sub>]<sup>2+</sup> [NâN
= 2,2âČ-bipyridine (bpy) or 4,4âČ-dimethyl-2,2âČ-bipyridine
(4,4âČ-Me<sub>2</sub>bpy)] with phosphine ligands [PPh<sub>3</sub> or PPhÂ(PhSO<sub>3</sub>)<sub>2</sub><sup>2â</sup>] in aqueous
or methanolic solutions was studied by multinuclear (<sup>1</sup>H, <sup>13</sup>C, <sup>31</sup>P, and <sup>195</sup>Pt) NMR spectroscopy,
X-ray crystallography, UVâvisible spectroscopy, and high-resolution
mass spectrometry. NMR spectra of solutions containing equimolar amounts
of [PtÂ(NâN)<sub>2</sub>]<sup>2+</sup> and phosphine ligand
give evidence for rapid formation of long-lived, 5-coordinate [Pt<sup>II</sup>(NâN)<sub>2</sub>(phosphine)]<sup><i>n</i>+</sup> complexes. In the presence of excess phosphine ligand, these
intermediates undergo much slower entry of a second phosphine ligand
and loss of a bpy ligand to
give [Pt<sup>II</sup>(NâN)Â(phosphine)<sub>2</sub>]<sup><i>n</i>+</sup> as the final product. The coordination of a phosphine
ligand to the PtÂ(II) ion in the intermediate [PtÂ(NâN)<sub>2</sub>(phosphine)]<sup><i>n</i>+</sup> complexes is supported
by the observation of <sup>31</sup>Pâ<sup>195</sup>Pt coupling
in the <sup>31</sup>P NMR spectra. The 5-coordinate nature of [PtÂ(bpy)<sub>2</sub>Â{PPhÂ(PhSO<sub>3</sub>)<sub>2</sub>}] is confirmed by
X-ray crystallography. X-ray crystal structural analysis shows that
the PtÂ(II) ion in [PtÂ(bpy)<sub>2</sub>{PPhÂ(PhSO<sub>3</sub>)<sub>2</sub>}]·5.5H<sub>2</sub>O displays a distorted square pyramidal geometry,
with one bpy ligand bound asymmetrically. These results provide strong
support for the widely accepted associative ligand substitution mechanism
for square planar PtÂ(II) complexes. X-ray structural characterization
of the distorted square planar complex [PtÂ(bpy)Â(PPh<sub>3</sub>)<sub>2</sub>]Â(ClO<sub>4</sub>)<sub>2</sub> confirms this as the final
product of the reaction of [PtÂ(bpy)<sub>2</sub>]<sup>2+</sup> with
PPh<sub>3</sub> in CD<sub>3</sub>OD. The results of density functional
calculations on [PtÂ(bpy)<sub>2</sub>]<sup>2+</sup>, [PtÂ(bpy)<sub>2</sub>Â(phosphine)]<sup><i>n</i>+</sup>, and [PtÂ(bpy)Â(phosphine)<sub>2</sub>]<sup><i>n</i>+</sup> indicate that the bonding
energy follows the trend of [PtÂ(bpy)Â(phosphine)<sub>2</sub>]<sup><i>n</i>+</sup> > [PtÂ(bpy)<sub>2</sub>Â(phosphine)]<sup><i>n</i>+</sup> > [PtÂ(bpy)<sub>2</sub>]<sup>2+</sup> for
stability and that the formation reactions of [PtÂ(bpy)<sub>2</sub>Â(phosphine)]<sup><i>n</i>+</sup> from [PtÂ(bpy)<sub>2</sub>]<sup>2+</sup> and [PtÂ(bpy)Â(phosphine)<sub>2</sub>]<sup><i>n</i>+</sup> from [PtÂ(bpy)<sub>2</sub>Â(phosphine)]<sup><i>n</i>+</sup> are energetically favorable. These calculations
suggest that the driving force for the formation of [PtÂ(bpy)Â(phosphine)<sub>2</sub>]<sup><i>n</i>+</sup> from [PtÂ(bpy)<sub>2</sub>]<sup>2+</sup> is the formation of a more energetically favorable product
A Dinuclear Platinum(II) N4Py Complex: An Unexpected Coordination Mode For N4Py
The polypyridyl compound <i>N</i>,<i>N</i>-bisÂ(2-pyridylmethyl)-<i>N</i>-bisÂ(2-pyridyl)Âmethylamine (N4Py) acts as a bridging ligand and coordinates
to two PtÂ(II) ions giving an unexpected diplatinumÂ(II) complex, whose
photophysical and anticancer properties were investigated
Comparison of Inverse and Regular 2âPyridyl-1,2,3-triazole âClickâ Complexes: Structures, Stability, Electrochemical, and Photophysical Properties
Two inverse 2-pyridyl-1,2,3-triazole
âclickâ ligands, 2-(4-phenyl-1<i>H</i>-1,2,3-triazol-1-yl)Âpyridine
and 2-(4-benzyl-1<i>H</i>-1,2,3-triazol-1-yl)Âpyridine, and
their palladiumÂ(II), platinumÂ(II), rheniumÂ(I), and rutheniumÂ(II) complexes
have been synthesized in good to excellent yields. The properties
of these inverse âclickâ complexes have been compared
to the isomeric regular compounds using a variety of techniques. X-ray
crystallographic analysis shows that the regular and inverse complexes
are structurally very similar. However, the chemical and physical
properties of the isomers are quite different. Ligand exchange studies
and density functional theory (DFT) calculations indicate that metal
complexes of the regular 2-(1-<b>R</b>-1<i>H</i>-1,2,3-triazol-4-yl)Âpyridine
(<b>R</b> = phenyl, benzyl) ligands are more stable than those
formed with the inverse 2-(4-<b>R</b>-1<i>H</i>-1,2,3-triazol-1-yl)Âpyridine
(<b>R</b> = phenyl, benzyl) âclickâ chelators.
Additionally, the <i>bis</i>-2,2âČ-bipyridine (bpy)
rutheniumÂ(II) complexes of the âclickâ chelators have
been shown to have short excited state lifetimes, which in the inverse
triazole case, resulted in ejection of the 2-pyridyl-1,2,3-triazole
ligand from the complex. Under identical conditions, the isomeric
regular 2-pyridyl-1,2,3-triazole rutheniumÂ(II) bpy complexes are photochemically
inert. The absorption spectra of the inverse rheniumÂ(I) and platinumÂ(II)
complexes are red-shifted compared to the regular compounds. It is
shown that conjugation between the substituent group <b>R</b> and triazolyl unit has a negligible effect on the photophysical
properties of the complexes. The inverse rheniumÂ(I) complexes have
large Stokes shifts, long metal-to-ligand charge transfer (MLCT) excited
state lifetimes, and respectable quantum yields which are relatively
solvent insensitive
Excited States of Triphenylamine-Substituted 2âPyridyl-1,2,3-triazole Complexes
A new 2-pyridyl-1,2,3-triazole
(pytri) ligand, TPA-pytri, substituted with a triphenylamine (TPA)
donor group on the 5 position of the pyridyl unit was synthesized
and characterized. DichloroplatinumÂ(II), bisÂ(phenylacetylide)ÂplatinumÂ(II),
bromotricarbonylrheniumÂ(I), and bisÂ(bipyridyl)ÂrutheniumÂ(II) complexes
of this ligand were synthesized and compared to complexes of pytri
ligands without the TPA substituent. The complexes of unsubstituted
pytri ligands show metal-to-ligand charge-transfer (MLCT) absorption
bands involving the pytri ligand in the near-UV region. These transitions
are complemented by intraligand charge-transfer (ILCT) bands in the
TPA-pytri complexes, resulting in greatly improved visible absorption
(λ<sub>max</sub> = 421 nm and Ï” = 19800 M<sup>â1</sup> cm<sup>â1</sup> for [PtÂ(TPA-pytri)ÂCl<sub>2</sub>]). The resonance
Raman enhancement patterns allow for assignment of these absorption
bands. The [ReÂ(TPA-pytri)Â(CO)<sub>3</sub>Br] and [PtÂ(TPA-pytri)Â(CCPh)<sub>2</sub>] complexes were examined with time-resolved infrared spectroscopy.
Shifts in the CîŒC and CîŒO stretching bands revealed
that the complexes form states with increased electron density about
their metal centers. [PtÂ(TPA-pytri)ÂCl<sub>2</sub>] is unusual in that
it is emissive despite the presence of deactivating dâd states,
which prevents emission from the unsubstituted pytri complex
Excited States of Triphenylamine-Substituted 2âPyridyl-1,2,3-triazole Complexes
A new 2-pyridyl-1,2,3-triazole
(pytri) ligand, TPA-pytri, substituted with a triphenylamine (TPA)
donor group on the 5 position of the pyridyl unit was synthesized
and characterized. DichloroplatinumÂ(II), bisÂ(phenylacetylide)ÂplatinumÂ(II),
bromotricarbonylrheniumÂ(I), and bisÂ(bipyridyl)ÂrutheniumÂ(II) complexes
of this ligand were synthesized and compared to complexes of pytri
ligands without the TPA substituent. The complexes of unsubstituted
pytri ligands show metal-to-ligand charge-transfer (MLCT) absorption
bands involving the pytri ligand in the near-UV region. These transitions
are complemented by intraligand charge-transfer (ILCT) bands in the
TPA-pytri complexes, resulting in greatly improved visible absorption
(λ<sub>max</sub> = 421 nm and Ï” = 19800 M<sup>â1</sup> cm<sup>â1</sup> for [PtÂ(TPA-pytri)ÂCl<sub>2</sub>]). The resonance
Raman enhancement patterns allow for assignment of these absorption
bands. The [ReÂ(TPA-pytri)Â(CO)<sub>3</sub>Br] and [PtÂ(TPA-pytri)Â(CCPh)<sub>2</sub>] complexes were examined with time-resolved infrared spectroscopy.
Shifts in the CîŒC and CîŒO stretching bands revealed
that the complexes form states with increased electron density about
their metal centers. [PtÂ(TPA-pytri)ÂCl<sub>2</sub>] is unusual in that
it is emissive despite the presence of deactivating dâd states,
which prevents emission from the unsubstituted pytri complex