Nivolumab Therapy in Lung Cancer Associated with IgG4-related Disease.

A 75-year-old man with severe bilateral pleural thickening and dense soft tissue masses surrounding the abdominal aorta on computed tomography was diagnosed with IgG4-related disease (IgG4-RD) as a complication of lung cancer. He was started on nivolumab as second-line therapy along with low-dose prednisolone. Nivolumab was administered for 15 months until disease progression, during which time IgG4-RD did not relapse, and no problematic immune-related adverse events occurred. These results suggest that anti-programmed cell death protein-1 antibody may be used safely in lung cancer associated with IgG4-RD concomitantly with low-dose steroids.

Relationship between Permeability and Structure of CO2-Assisted Polymer Compression Products.

Membrane filters were fabricated from polyethylene terephthalate nonwoven fabrics with an average fiber diameter of 8 µm using the CO2-assisted polymer compression method. The filters were subjected to a liquid permeability test and structural analysis was performed using X-ray computed tomography to evaluate the tortuosity, pore size distribution, and percentage of open pores. Based on the results, filter tortuosity was proposed to be a function of porosity. Pore size estimated from the permeability test and X-ray computed tomography were in rough agreement. The ratio of open pores to all pores was as high as 98.5%, even at a porosity of 0.21. This may be due to the process of exhausting trapped high-pressure CO2 after molding. For filter applications, a high open-pore ratio is desirable since it means that many pores are involved in the fluid flow. The CO2-assisted polymer compression method was found to be suitable for the production of porous materials for filters.

Transbronchial cryobiopsy using an ultrathin cryoprobe with a guide sheath for the diagnosis of pulmonary mucosa-associated lymphoid tissue lymphoma.

Pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma is difficult to diagnose and relatively rare. Tissue sampling through transbronchial biopsy is often inadequate, necessitating surgical lung biopsy. However, a recently developed technique, transbronchial lung cryobiopsy (TBLC), has shown promise for obtaining larger specimens. A 1.1 mm cryoprobe has recently become available, and its usefulness has been increasingly reported. Use of a conventional cryoprobe for TBLC in diagnosing pulmonary MALT lymphoma has been previously reported; however, there are no reports on the use of a 1.1 mm ultrathin cryoprobe and guide sheath (GS). We aimed to assess the effectiveness and safety of using a 1.1 mm ultrathin cryoprobe in combination with a GS for diagnosing pulmonary MALT lymphoma using a simpler and safer method. We retrospectively analyzed the findings for four patients showing characteristic computed tomography (CT) findings of MALT lymphoma, including peripheral pulmonary lesions, air bronchogram nodules, and bronchiectasis, at our hospital. Each patient underwent endobronchial ultrasound (EBUS) with a GS, followed by TBLC using a 1.1 mm cryoprobe. Morphological diagnosis, immunohistochemical examination, and molecular testing were performed on the biopsy specimens to establish the diagnosis. Complications during the procedure were also monitored. We obtained 8-16 biopsy specimens in all four cases using a cryoprobe. Histopathological analysis of two cases revealed the infiltration of small lymphocytes with numerous lymphoepithelial lesions, confirming MALT lymphoma. Immunohistochemical examination further demonstrated B-cell lymphocyte proliferation and light-chain restriction, confirming monoclonality and providing a definitive diagnosis. In the remaining two cases, histopathological evidence of pulmonary MALT lymphoma was lacking. However, molecular testing using polymerase chain reaction to analyze immunoglobulin gene rearrangements revealed B-cell clonality, which supported the diagnosis. Molecular testing proved particularly useful when histopathological diagnosis alone was inconclusive. No complications such as pneumothorax or hemorrhage occurred during the procedure. The combination of a GS and EBUS facilitated specimen collection at the same location as EBUS, with the GS providing compression hemostasis and eliminating the need for an additional hemostatic device. Therefore, TBLC with a GS is a useful and safe method for diagnosing pulmonary MALT lymphomas and reproducibly yielded sufficient quantities of good-quality biopsy specimens.

Effect of Crystallinity on Young's Modulus of Porous Materials Composed of Polyethylene Terephthalate Fibers in the Presence of Carbon Dioxide.

Carbon dioxide (CO2)-assisted polymer compression method is used for plasticizing polymers with subcritical CO2 and then crimping the polymer fibers. Given that this method is based on crimping after plasticization by CO2, it is very important to know the degree of plasticization. In this study, heat treatment was gently applied on raw material fibers to obtain fibers with different degrees of crystallinity without changing the shape of the fibers. Simultaneously, two types of sheets were placed in a pressure vessel to compare the degree of compression and the degree of hardness. Furthermore, a model was used to derive the relative Young's modulus of porous materials composed of polymer fibers with different degrees of crystallinity. In the model, the amount of strain was calculated according to the Young's modulus as a function of porosity and reflected in compression. Young's modulus of porous polymers in the presence of CO2 has been shown to vary significantly with slight differences in crystallinity, indicating that extremely low crystallinity is significant for plasticizing the polymer by CO2.

Correlation between the Porosity and Permeability of a Polymer Filter Fabricated via CO2-Assisted Polymer Compression.

A porous filter was fabricated by plasticizing polymer fibers with CO2, followed by pressing and adhering; then, its gas permeability, a basic physical property of filters, was measured using N2. The as-obtained filter was well compressed and expected to approximate a sintered porous material. Therefore, the fabricated filter was analyzed by applying the Darcy law, and the correlation between its gas permeability and porosity was clarified. The gas permeability decreased owing to both pore size and porosity reduction upon increasing the degree of compression, which is a feature of the CO2-assisted polymer compression method. In particular, without any contradiction of pore size data previously reported, the gas permeability was clearly determined by the filter porosity and pore size. This study can serve as a guide for designing filters via CO2-assisted polymer compression.

New Design Method for Fabricating Multilayer Membranes Using CO2-Assisted Polymer Compression Process.

It was verified that deep learning can be used in creating multilayer membranes with multiple porosities using the CO2-assisted polymer compression (CAPC) method. To perform training while reducing the number of experimental data as much as possible, the experimental data of the compression behavior of two layers were expanded to three layers for training, but sufficient accuracy could not be obtained. However, the accuracy was dramatically improved by adding the experimental data of the three layers. The possibility of only simulating process results without the necessity for a model is a merit unique to deep learning. Overall, in this study, the results show that by devising learning data, deep learning is extremely effective in designing multilayer membranes using the CAPC method.

Novel Strategy for Fabricating Multilayer Porous Membranes with Varying Porosity.

CO2-assisted polymer compression (CAPC) is a method for fabricating porous polymer materials in which the polymer is plasticized with CO2 and then pressed. In this work, a two-step molding method is adapted, and a porous membrane with multiple layers of varying porosity is fabricated by laminating sheets of a single starting material. A model is constructed in which the expansion owing to CO2 and compression reflected by the longitudinal elastic modulus are considered. The model is constructed based on a two-layer experiment and extended to three layers. From the model simulation, the conditions for fabricating a multilayer porous polymer membrane with three layers of varying porosity (0.6, 0.5, and 0.4) and identical thickness (0.6 mm) are calculated. Finally, a porous membrane with varying porosity is fabricated based on the simulated design.

Peel and Penetration Resistance of Porous Polyethylene Terephthalate Material Produced by CO2-Assisted Polymer Compression.

CO2-assisted polymer compression (CAPC) involves adhering fiber sheets without impurities at room temperature and producing porous materials suitable for use in medical and skin-contactable products. The mechanical strength of the resultant porous material has not yet been reported. The penetration resistance of the CAPC material, which is a laminated material comprising fibrous polymer sheets, was measured, and this increased gradually with the density. Additionally, a T-type peel test was performed on the CAPC material, and the peel resistance increased rapidly with the density. The peel resistance enhancement is effectively explained by the cross-sectional analysis model.

Analysis of Sustained Release Behavior of Drug-Containing Tablet Prepared by CO2-Assisted Polymer Compression.

A controlled-release system for drug delivery allows the continuous supply of a drug to the target region at a predetermined rate for a specified period of time. Herein, the sustained release behavior of a drug-containing tablet fabricated through CO2-assisted polymer compression (CAPC) was investigated. CAPC involves placing the drug in the center of a nonwoven fabric, sandwiching this fabric between an integer number of nonwoven fabrics, and applying pressure bonding. An elution test, in which the drug-carrying tablet was immersed in water, showed that sustained-release performance can be controlled by the number of nonwoven fabrics covering the top and bottom of the drug-loaded fabric and compression conditions. A model of sustained drug release was formulated to estimate the effective diffusion coefficient in the porous material. Comparative analysis of the bulk diffusion coefficient revealed that the change in diffusion volume due to change in porosity predominates. The tortuosity of the diffusion path was 3⁻4, and tended to remain almost constant or increase only slightly when the compression rate was increased. These findings show that sustained drug release can be controlled by incorporating the drug into a nonwoven fabric and using the same raw material to encapsulate it.

Relation between volume expansion and hydrogen bond networks for CO2-alcohol mixtures at 40 °C.

We experimentally determined the density and mole fraction of CO(2) (x(CO(2))) for CO(2)-alcohol (methanol, ethanol, propanol, butanol, isopropyl alcohol, and tert-butyl alcohol) mixtures and performed molecular dynamics (MD) simulations to study the mechanisms of volume expansion at 40 °C. The volume as calculated by vapor-liquid equilibrium (VLE) data increased with decreasing alkyl chain length, although there was no effect of branched alkyl groups. Analysis of the hydrogen bond network showed that the average number of hydrogen bonds per alcohol molecule decreased with increasing branched methyl groups. At pure alcohol condition, large size hydrogen bond networks were made. With further addition of CO(2) molecules, it became difficult to contain the large hydrogen bond networks. Furthermore, the hydrogen bond networks changed to a cyclic pentamer or tetramer, and volume expansion occurred.

Liquid structure of 1-butyl-3-methylimidazolium hexafluorophosphate by neutron diffraction with H/D isotopic substitution method.

The liquid structure of the ionic liquid 1-butyl-3-methylimidazolium hexafluorophosphate, [BMIM]PF(6), was investigated by neutron diffraction with H/D substitution method, where the hydrogen atoms in the imidazolium ring were partially deuterated. The local structures around the ring hydrogen atoms in liquid are very similar to those estimated from the crystal structure.

Nanostructure of pure iron anodically oxidized in borate buffer solution and annealed by infrared radiation.

The behavior of oxide film on pure iron passivated in a borate buffer solution and subsequently radiated by infrared light (IR) was investigated in comparing to that by just IR annealing without passivation, and was evaluated by film structure, etc. The effect of thermal annealing over 250 degrees C was observed with gamma-Fe2O3 grain growth and sharp increase in surface roughness, film thickness and oxygen content. An ellipsometric parameter of tan psi was sensitively reflected by annealing effect, and tan psi curve had a shoulder at 150 degrees C for 5 min and a peak of tan psi was shifted from 350 nm to 450 nm in wavelength. This shift was also caused by the formation of gamma-Fe2O3, because the peak was also observed in tan psi of the bulk Fe2O3 family. Passivation effects at 800 mV prior to IR annealing on thickness and oxygen content changed at 150 degrees C, and decreased tan psi at 350 nm and excessive film growth over 250 degrees C, and increased oxygen content under 100 degrees C and surface roughness at 50-250 degrees C. The terrace width with atomic scale flatness was slightly increase by passivation prior to IR annealing at 50-250 degrees C, and the maximum terrace width reached larger than 10 nm by passivation and IR annealing at 100 degrees C for 30 min.

Estimation of local density augmentation and hydrogen bonding between pyridazine and water under sub- and supercritical conditions using UV-vis spectroscopy.

The local density around pyridazine was evaluated by examining the UV-vis spectral shift of pyridazine in a high-pressure liquid state and supercritical water from 25 to 450 degrees C and from 20 to 45 MPa. Augmentation of the local density was observed from 380 to 420 degrees C, and showed the maximum at a lower density than the critical density of water. The degree of hydrogen bonding was estimated in consideration of the local density augmentation. The estimated degree of hydrogen bonding under subcritical conditions without any difference between the local density and the bulk density corresponded to the previously reported results with a UV-vis absorbance spectral shift of quinoline and an NMR proton chemical shift. However, the degree of hydrogen bonding near the critical point of water was larger than that in the case that the local density augmentation was not taken into account. At 380 degrees C and 0.2 g cm(-3) of the bulk density there are 30% as many hydrogen bonds as those under the ambient condition, and it was around 1.5-times that without considering local-density augmentation.

Determination of Kamlet-Taft solvent parameters pi* of high pressure and supercritical water by the UV-Vis absorption spectral shift of 4-nitroanisole.

Kamlet-Taft solvent parameters, pi*, of high pressure and supercritical water were determined from 16-420 degrees C based on solvatochromic measurements of 4-nitroanisole. For the measurements, an optical cell that could be used at high temperatures and pressures was developed with the specification of minimal dead space. The low dead space cell allowed us to measure the absorption spectra of 4-nitroanisole at high temperature conditions before appreciable decomposition occurred. The behavior of pi* in terms of water density (pi* = 1.77rho- 0.71) was found to be linear, except in the near critical region, in which deviations were observed that could be attributed to local density augmentation. Excess density, which was defined as the difference between local density and bulk density, showed a maximum near the critical density of water. The frequencies of UV-Vis spectra of 4-(dimethylamino)benzonitrile and N,N-dimethyl-4-nitroaniline were correlated with pi* based on a linear solvation energy relationship (LSER) theory. Local density augmentation around 4-nitroanisole and that around 4-(dimethylamino)benzonitrile were similar but the augmentation observed around N,N-dimethyl-4-nitroaniline was larger.

Melting point depression of ionic liquids confined in nanospaces.

A new physical method was proposed to control the liquid properties of room temperature ionic liquids (RT-ILs) in combination with nanoporous materials; the melting point of ILs confined in nanopores remarkably decreases in proportion to the inverse of the pore size.

Temperature dependence of local density augmentation for acetophenone N,N,N',N'-tetramethylbenzidine exciplex in supercritical water.

Local density augmentation around exciplex between acetophenone and N,N,N',N'-tetramethylbenzidine in supercritical water was measured by observing the peak shift of transient absorption spectrum at temperatures from 380 to 410 degrees C and at pressures from 6 to 37 MPa. Large local density augmentation was observed at lower solvent densities. Local density augmentation was evaluated by the excess density, which was defined as the difference between local density and bulk density, and the density enhancement factor, which was defined by the ratio of the local density to the bulk density. The number of solvating molecules was estimated with a Langmuir adsorption model. The excess density was found to exhibit a maximum at approximately 0.15 g cm(-3), which decreased with increasing temperature. The density enhancement factor was found to decrease with increasing temperature; however, its value was much greater than unity at 410 degrees C, which provides evidence that exciplex-water interactions still exist at these conditions. The temperature dependence of local density augmentation around the exciplex in supercritical water was comparable with that in supercritical carbon dioxide, which suggests that the ratios of the solute-solvent and solvent-solvent interactions are comparable between these two systems.

Solution structures of 1-butyl-3-methylimidazolium hexafluorophosphate ionic liquid saturated with CO2: Experimental evidence of specific anion-CO2 interaction.

X-ray diffraction measurements for 1-butyl-3-methylimidazolium hexafluorophosphate ionic liquid ([BMIM][PF6])-CO2 systems were carried out at high pressures with a newly developed polymer cell. The intermolecular distribution functions (g(inter)(r)) were obtained at 25 degrees C for neat [BMIM][PF6] and its solutions saturated with CO2 at 4 and 15 MPa, where the mole fractions (x) of CO2 correspond to 0.5 and 0.7, respectively. In g(inter)(r) for x = 0.5, two peaks appeared at around 2.8 and 3.2 A. These two peaks in g(inter)(r) appreciably increased for x = 0.7; moreover, there was another peak observed at approximately 3.8 A. Only assuming the correlations between CO2 and [PF6]-, it is reasonably determined that the nearest-neighbor P([PF6]-). . .C(CO2) distances are 3.57 and 3.59 A with the coordination numbers being 1.8 and 4.0 for x = 0.5 and 0.7, respectively. It is concluded that CO2 molecules are preferentially solvated to the [PF6]- anion.