The significance of anti-neuronal antibodies for acute psychiatric disorders: a retrospective case–controlled study

Background

The clinical significance of anti-neuronal antibodies in patients with psychiatric disorders, but without encephalitis, remains unknown. In patients admitted to acute psychiatric inpatient care we aimed to identify clinical features distinguishing anti-neuronal antibody positive patients from matched controls.

Results

Patients who were serum-positive to N-methyl d-aspartate receptor (NMDAR) (n?=?21), contactin-associated protein 2 (CASPR2) (n?=?14) and/or glutamic acid decarboxylase 65 (GAD65) (n?=?9) antibodies (cases) were age and sex matched (1:2) with serum-negative patients from the same cohort (controls). The prevalence and severity of psychiatric symptoms frequently encountered in NMDAR, CASPR2 and GAD65 antibody associated disorders were compared in cases and controls. NMDAR, CASPR2 and GAD65 antibody positive patients did not differ in their clinical presentation from matched serum negative controls.

Conclusion

In this cohort, patients with and without NMDAR, CASPR2 and GAD65 antibodies admitted to acute psychiatric inpatient care had similar psychiatric phenotypes. This does not exclude their clinical relevance in subgroups of patients, and studies further investigating the clinical significance of anti-neuronal antibodies in patients with psychiatric symptomatology are needed.

     

Towards enantioselective nucleophilic trifluoromethylation

Various trifluoroacetamides and trifluoromethanesulfinamides, derived from chiral silylated amino alcohols, have been synthesized with the goal of achieving enantioselective nucleophilic trifluoromethylation. The best results were obtained with (R)-phenylglycinol derivatives, but the ee values did not exceed 30 %.     

Further links between the maximum hardness principle and the hard/soft acid/base principle: insights from hard/soft exchange reactions

Ayers, Parr, and Pearson recently showed that insight into the hard/soft acid/base (HSAB) principle could be obtained by analyzing the energy of reactions in hard/soft exchange reactions, i.e., reactions in which a soft acid replaces a hard acid or a soft base replaces a hard base [J. Chem. Phys., 2006, 124, 194107]. We show, in accord with the maximum hardness principle, that the hardness increases for favorable hard/soft exchange reactions and decreases when the HSAB principle indicates that hard/soft exchange reactions are unfavorable. This extends the previous work of the authors, which treated only the "double hard/soft exchange" reaction [P. K. Chattaraj and P. W. Ayers, J. Chem. Phys., 2005, 123, 086101]. We also discuss two different approaches to computing the hardness of molecules from the hardness of the composing fragments, and explain how the results differ. In the present context, it seems that the arithmetic mean of fragment softnesses is the preferable definition.     

Ionic liquid silver salt complexes for propene/propane separation

Properties of the room-temperature liquid complex salt [Ag(propene)(x)][Tf(2)N] have been studied to probe its suitability for acting as active separation layer in immobilised liquid membrane (ILM) concepts for propane/propene separation. The pressure/temperature range of complex formation has been determined and the thermal properties of Ag[Tf(2)N] and [Ag(propene)(x)][Tf(2)N] have been studied by DSC (differential scanning calorimetry) and TGA (thermogravimetric analysis) measurements. Pressure dependent measurements of solubility and diffusivity showed that the observed membrane selectivity is dominated by the solubility selectivity. The self-diffusion coefficient of propene is always smaller compared to propane as propene is temporarily bound to the silver ion in the [Ag(propene)(x)][Tf(2)N] ionic liquid.     

Allograft (Alloderm) and Autograft (Temporalis Fascia) Implantation for Glottic Insufficiency: A Novel Approach

Objective

Traditionally, glottic insufficiency because of scar, atrophy, and sulcus has been treated by injection or medialization laryngoplasty. These procedures do not reestablish the vertical height of the vocal fold margin. We propose soft tissue augmentation laryngoplasty with allograft (sheet Alloderm; LifeCell Corporation, Branchburg, NJ) or autograft (temporalis fascia) via a minithyrotomy or a transoral approach.

Study Design

A retrospective case series analysis of 21 patients treated by sheet Alloderm or temporalis fascia for correction of glottic insufficiency.

Methods

Twenty-one patients with glottic insufficiency secondary to scar, atrophy, or sulcus were treated. Ten failed prior techniques. Seventeen had minithyrotomy by a small fenestration in the thyroid cartilage. Exploration of scar or lamina propria through the fenestration allowed for the creation of a pocket for Alloderm implantation within the intermediate layer of the lamina propria. Four patients underwent a transoral approach by cordotomy with either Alloderm or temporalis fascia implantation, which also allowed for exploration of scar but required repair using sutures. These implantation approaches allowed for both restoration of the layered structure and augmentation of the middle third of the musculomembranous vocal fold. Preoperative and postoperative videostroboscopic examinations were reviewed with review of clinical outcome.

Results

With a median follow-up time of 12 months, patients demonstrated excellent long-term vocal fold augmentation and minimal absorption of the implant in 19 out of 21 patients. There is improved pliability of the vocal fold with good oscillation in scar patients.

Conclusion

Minithyrotomy with soft tissue augmentation is a novel approach for soft tissue augmentation of glottic insufficiency. It has the advantage of augmentation of the medial edge of the vocal fold with a soft tissue implant that has long-term viability. Its role should be explored further in patients with atrophy and scar.     

Investigating the Thermostability of Succinate: Quinone Oxidoreductase Enzymes by Direct Electrochemistry at SWNTs‐Modified Electrodes and FTIR Spectroscopy

Succinate: quinone reductases (SQRs) are the enzymes that couple the oxidation of succinate and the reduction of quinones in the respiratory chain of prokaryotes and eukaryotes. Herein, we compare the temperature‐dependent activity and structural stability of two SQRs, the first from the mesophilic bacterium Escherichia coli and the second from the thermophilic bacterium Thermus thermophilus, using a combined electrochemical and infrared spectroscopy approach. Direct electron transfer was achieved with full membrane protein complexes at single‐walled carbon nanotube (SWNT)‐modified electrodes. The possible structural factors that contribute to the temperature‐dependent activity of the enzymes and, in particular, to the thermostability of the Thermus thermophilus SQR are discussed.     

Lanthanum nitride endohedral fullerenes La3N@C2n (43 <or= n <or= 55): preferential formation of La3N@C96

While the trimetallic nitrides of Sc, Y and the lanthanides between Gd and Lu preferentially template C(80) cages, M(3)N@C(80), and while those of Ce, Pr and Nd preferentially template the C(88) cage, M(3)N@C(88), we show herein that the largest metallic nitride cluster, La(3)N, preferentially leads to the formation of La(3)N@C(96) and to a lesser extent the La(3)N@C(88). This is the first time that La(3)N is successfully encapsulated inside fullerene cages. La(3)N@C(2n) metallofullerenes were synthesized by arcing packed graphite rods in a modified Kr?tschmer-Huffman arc reactor, extracted from the collected soot and identified by mass spectroscopy. They were isolated and purified by high performance liquid chromatography (HPLC). Different arcing conditions were studied to maximize fullerene production, and results showed that yields have a high La(2)O(3)/C dependence. Relatively high yields were obtained when a 1:5 ratio was used. Three main fractions, La(3)N@C(88), La(3)N@C(92), and La(3)N@C(96), were characterized by UV/Vis-NIR and cyclic voltammetry. Unlike other trimetallic nitride metallofullerenes of the same carbon cage size, La(3)N@C(88) exhibits a higher HOMO-LUMO gap and irreversible reduction and oxidation steps.