Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 194
Filter
1.
Adv Healthc Mater ; : e2400372, 2024 Apr 17.
Article in English | MEDLINE | ID: mdl-38630101

ABSTRACT

Successful implementation of X-ray-activated photodynamic therapy (X-PDT) is challenging because most photosensitizers (PSs) absorb light in the blue region, but few nanoscintillators produce efficient blue scintillation. Here, efficient blue-emitting SrF2:Eu scintillating nanoparticles (ScNPs) are developed. The optimized synthesis conditions result in cubic nanoparticles with ≈32 nm diameter and blue emission at 416 nm. Coating them with the meso-tetra(n-methyl-4-pyridyl) porphyrin (TMPyP) in a core-shell structure (SrF@TMPyP) results in maximum singlet oxygen (1O2) generation upon X-ray irradiation for nanoparticles with 6TMPyP depositions (SrF@6TMPyP). The 1O2 generation is directly proportional to the dose, does not vary in the low-energy X-ray range (48-160 kVp), but is 21% higher when irradiated with low-energy X-rays than irradiations with higher energy gamma rays. In the clonogenic assay, cancer cells treated with SrF@6TMPyP and exposed to X-rays present a significantly reduced survival fraction compared to the controls. The SrF2:Eu ScNPs and their conjugates stand out as tunable nanoplatforms for X-PDT due to the efficient blue emission from the SrF2:Eu cores; the ability to adjust the scintillation emission in terms of color and intensity by controlling the nanoparticle size; the efficient 1O2 production when conjugated to a PS and the efficacy of killing cancer cells.

2.
Chempluschem ; 89(6): e202300690, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38426670

ABSTRACT

In this work, we describe the synthesis of new 4-organyl-5-(organylselanyl)thiazol-2-amine hybrids through a one-pot two-step protocol. The transition metal-free method involves the use of ultrasound as an alternative energy source and Oxone® as oxidant. To obtain the products, a telescoping approach was used, in which 4-organylthiazol-2-amines were firstly prepared under ultrasonic irradiation, followed by the addition of diorganyl diselenides and Oxone®. Thus, 16 compounds were prepared, with yields ranging from 61 % to 98 %, using 2-bromoacetophenone derivatives and diorganyl diselenides as easily available starting materials.

3.
J Biochem Mol Toxicol ; 38(1): e23535, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37711070

ABSTRACT

Redox imbalance leads to oxidative stress that causes irreversible cellular damage. The incorporation of the antioxidant element selenium (Se) in the structure of pyridinium salts has been used as a strategy in chemical synthesis and can be useful in drug development. We investigated the antioxidant activity of Se-containing pyridinium salts (named Compounds 3A, 3B, and 3C) through in vitro tests. We focused our study on liver protein carbonylation, liver lipoperoxidation, free radical scavenging activity (1,1-diphenyl-2-picryl-hydrazil [DPPH]; 2,2'-azinobis(3-ethylbenzothiazoline-6-sulfonic acid [ABTS]), and enzyme-mimetic activity assays (glutathione S-transferase [GST]-like; superoxide dismutase [SOD]-like). In addition, 2-(4-chlorophenyl)-2-oxoethyl)-2-((phenylselanyl)methyl)pyridin-1-ium bromide (3C) was selected to evaluate the acute oral toxicity in mice due to the best antioxidant profile. The three compounds were effective in reducing the levels of protein carbonylation and lipoperoxidation in the liver in a µM concentration range. All compounds demonstrated scavenger activity of DPPH and ABTS radicals, and GST-like action. No significant effects were detected in the SOD-like assay. Experimental data also showed that the acute oral treatment of mice with Compound 3C (50 and 300 mg/kg) did not cause mortality or change markers of liver and kidney functions. In summary, our findings reveal the antioxidant potential of Se-containing pyridinium salts in liver tissue, which could be related to their radical scavenging ability and mimetic action on the GST enzyme. They also demonstrate a low toxicity potential for Compound 3C. Together, the promising results open space for future studies on the therapeutic application of these molecules.


Subject(s)
Benzothiazoles , Biphenyl Compounds , Liver Diseases , Selenium , Sulfonic Acids , Mice , Animals , Antioxidants/metabolism , Selenium/pharmacology , Salts/pharmacology , Salts/metabolism , Oxidative Stress , Liver Diseases/metabolism , Superoxide Dismutase/metabolism , Liver/metabolism , Pharmaceutical Preparations/metabolism
4.
Molecules ; 28(21)2023 Oct 30.
Article in English | MEDLINE | ID: mdl-37959771

ABSTRACT

Selenium is an essential trace element in living organisms, and is present in selenoenzymes with antioxidant activity, like glutathione peroxidase (GPx) and thioredoxin reductase (TrxR). The search for small selenium-containing molecules that mimic selenoenzymes is a strong field of research in organic and medicinal chemistry. In this review, we review the synthesis and bioassays of new and known organoselenium compounds with antioxidant activity, covering the last five years. A detailed description of the synthetic procedures and the performed in vitro and in vivo bioassays is presented, highlighting the most active compounds in each series.


Subject(s)
Organoselenium Compounds , Selenium , Trace Elements , Antioxidants/chemistry , Selenium/pharmacology , Oxidative Stress , Glutathione Peroxidase/metabolism , Organoselenium Compounds/pharmacology , Organoselenium Compounds/chemistry , Thioredoxin-Disulfide Reductase/metabolism
5.
Nervenarzt ; 94(9): 859-869, 2023 Sep.
Article in German | MEDLINE | ID: mdl-37672085

ABSTRACT

Psychotropic drug-induced weight gain (PIWG) is a well-known and frequent side effect which is relevant for the prognosis of patients. Individual medications have varying risks for the occurrence of PIWG, and at the same time there are individual risk factors on the part of patients, such as age, gender, metabolic and genetic factors. As the metabolic changes in the context of PIWG result in increased mortality in the long term, it is important to prevent PIWG by appropriate prevention and to intervene in a targeted manner if PIWG has already occurred. Appropriate monitoring is therefore essential. This article provides an overview of underlying mechanisms, risk constellations and possible countermeasures.


Subject(s)
Drug-Related Side Effects and Adverse Reactions , Psychotropic Drugs , Humans , Psychotropic Drugs/adverse effects , Weight Gain
6.
Chemistry ; 29(59): e202301934, 2023 Oct 23.
Article in English | MEDLINE | ID: mdl-37544915

ABSTRACT

Herein, we describe a new method for the synthesis of α-carbonyl selenocyanates by reacting triselenium dicyanide (TSD) and styrenes under blue light irradiation and O2 atmosphere. The reactions are triggered by the formation of Se-centered radical species, followed by the addition/oxidation of the styrene π-bond. α-Carbonyl selenocyanates and α-hydroxy selenocyanates were obtained in moderate to excellent yields from aryl- and alkyl-substituted alkenes, respectively. It was demonstrated that α-carbonyl selenocyanates could be used as a synthetic platform in a multicomponent reaction strategy to prepare 2-phenylimidazo[1,2-a]pyridine derivatives, which were evaluated for their photophysical properties. Overall, this new method provides a useful tool for synthesizing α-carbonyl selenocyanates, and demonstrates their potential for use in the synthesis of other compounds, thus giving new synthetic opportunities to construct organic selenocyanate compounds.

7.
Molecules ; 28(13)2023 Jun 27.
Article in English | MEDLINE | ID: mdl-37446698

ABSTRACT

A general methodology to access valuable 4-(phenylchalcogenyl)tetrazolo[1,5-a]quinolines was developed by the reaction of 2-azidobenzaldehyde with phenylchalcogenylacetonitriles (sulfur and selenium) in the presence of potassium carbonate (20 mol%) as a catalyst. The reactions were conducted using a mixture of dimethylsulfoxide and water (7:3) as solvent at 80 °C for 4 h. This new methodology presents a good functional group tolerance to electron-deficient and electron-rich substituents, affording a total of twelve different 4-(phenylchalcogenyl)tetrazolo[1,5-a]quinolines selectively in moderate to excellent yields. The structure of the synthesized 4-(phenylselanyl)tetrazolo[1,5-a]quinoline was confirmed by X-ray analysis.


Subject(s)
Quinolines , Quinolines/chemistry , Water , Solvents , Catalysis , Dimethyl Sulfoxide
8.
Nanotechnology ; 34(33)2023 Jun 01.
Article in English | MEDLINE | ID: mdl-37160107

ABSTRACT

A radiolytic synthesis of silver nanoparticles was carried out in combination with a microfluidic method to produce liquid radiation detectors. The detector response was analyzed by correlating the absorbed dose with the dispersion's absorbance and with the hydrodynamic radius (HR). Samples were irradiated with x-rays of varying beam energies and dose rates and the data were discussed to elucidate how nucleation and growth processes are affected by the radiation quantities. Results reveal that HR does not change with the absorbed dose, but can be well controlled by varying the precursors concentration, beam energy, and dose rate. Increased precursor concentrations or dose rates favor nucleation, leading to the formation of smaller HR particles and increased detector sensitivity. Upon increasing the x-ray energy, growth is favored, leading to larger HR and decreased detector sensitivity. It is shown that HR and detector sensitivity are strongly correlated so that HR dictates detection sensitivity: the smaller the HR, the higher the sensitivity. Therefore, the dependence of the HR on the dose rate and on the x-ray energy establishes a new method for the controlled growth of colloidal silver, besides opening new possibilities for ionizing radiation detection.

9.
Nanomaterials (Basel) ; 13(3)2023 Jan 20.
Article in English | MEDLINE | ID: mdl-36770395

ABSTRACT

The development of nanomaterials has drawn considerable attention in nanomedicine to advance cancer diagnosis and treatment over the last decades. Gold nanorods (GNRs) and magnetic nanoparticles (MNPs) have been known as commonly used nanostructures in biomedical applications due to their attractive optical properties and superparamagnetic (SP) behaviors, respectively. In this study, we proposed a simple combination of plasmonic and SP properties into hybrid NPs of citrate-coated manganese ferrite (Ci-MnFe2O4) and cetyltrimethylammonium bromide-coated GNRs (CTAB-GNRs). In this regard, two different samples were prepared: the first was composed of Ci-MnFe2O4 (0.4 wt%), and the second contained hybrid NPs of Ci-MnFe2O4 (0.4 wt%) and CTAB-GNRs (0.04 wt%). Characterization measurements such as UV-Visible spectroscopy and transmission electron microscopy (TEM) revealed electrostatic interactions caused by the opposing surface charges of hybrid NPs, which resulted in the formation of small nanoclusters. The performance of the two samples was investigated using magneto-motive ultrasound imaging (MMUS). The sample containing Ci-MnFe2O4_CTAB-GNRs demonstrated a displacement nearly two-fold greater than just using Ci-MnFe2O4; therefore, enhancing MMUS image contrast. Furthermore, the preliminary potential of these hybrid NPs was also examined in magnetic hyperthermia (MH) and photoacoustic imaging (PAI) modalities. Lastly, these hybrid NPs demonstrated high stability and an absence of aggregation in water and phosphate buffer solution (PBS) medium. Thus, Ci-MnFe2O4_CTAB-GNRs hybrid NPs can be considered as a potential contrast agent in MMUS and PAI and a heat generator in MH.

10.
Top Companion Anim Med ; 52: 100759, 2023.
Article in English | MEDLINE | ID: mdl-36587868

ABSTRACT

The aim of this study was to compare the effects of constant rate infusions (CRI) of fentanyl alone or combined with lidocaine and ketamine (FLK), on physiological parameters, isoflurane requirements and the number of postoperative analgesic rescues in dogs undergoing unilateral mastectomy. Twenty-two dogs were premedicated with acepromazine 0.02 mg/kg and morphine 0.5 mg/kg and anesthetized with propofol and isoflurane. Dogs were randomly assigned to 1 of 2 groups: Fentanyl group (fentanyl 5 µg/kg loading dose [LD] and 9 µg/kg/h CRI; n = 11); FLK group (fentanyl [same doses]; lidocaine 2 mg/kg LD and 3 mg/kg/h CRI; ketamine 1.0 mg/kg LD and 0.6 mg/kg/h CRI; = 11). Intraoperative evaluations were performed before the start of surgery and administration of the treatments (T0); three minutes after the LD (T1); during incision and tissue divulsion (T2); during closure of the surgical wound (T3). Meloxicam (0.1 mg/kg) was administered at T3. Blood samples were collected for determination of plasma concentrations of fentanyl, lidocaine and ketamine. Pain scores and the number of postoperative analgesic rescues with morphine (0.5 mg/kg) were evaluated for 24 hours postoperatively using the short form of the Glasgow Composite Measure Pain Scale. Compared to T0, significant decreases in heart rate (from 84 ± 28 to 53 ± 16 bpm in the Fentanyl group and from 93 ± 16 to 63 ± 15 bpm in FLK) and mean arterial pressure (from 61 ± 5 to 49 ± 10 mmHg in Fentanyl and from 59 ± 3 to 38 ± 6 mmHg in FLK) were observed at T1. Arterial hypotension was transient, with normalization of values at T2 and T3. The expired fraction of isoflurane did not differ significantly between the groups. Plasma concentrations of fentanyl, lidocaine and ketamine remained within the therapeutic range. Postoperatively, the number of dogs requiring analgesic rescue was significantly lower in the FLK (0/11, 0%) than in the Fentanyl group (5/11, 45%). In dogs administered morphine and meloxicam as part of the anesthesia protocol, an intraoperative CRI of FLK abolished the requirement for postoperative analgesic rescue for 24 hours in dogs undergoing mastectomy.


Subject(s)
Dog Diseases , Isoflurane , Ketamine , Dogs , Animals , Fentanyl/pharmacology , Fentanyl/therapeutic use , Lidocaine/pharmacology , Lidocaine/therapeutic use , Ketamine/pharmacology , Ketamine/therapeutic use , Isoflurane/therapeutic use , Meloxicam/therapeutic use , Mastectomy/veterinary , Mastectomy/methods , Analgesics/therapeutic use , Morphine , Pain, Postoperative/drug therapy , Pain, Postoperative/prevention & control , Pain, Postoperative/veterinary , Dog Diseases/drug therapy , Dog Diseases/surgery
11.
Curr Med Chem ; 30(21): 2357-2395, 2023.
Article in English | MEDLINE | ID: mdl-35708081

ABSTRACT

Neurodegenerative and mental disorders are a public health burden with pharmacological treatments of limited efficacy. Organoselenium compounds are receiving great attention in medicinal chemistry mainly because of their antioxidant and immunomodulatory activities, with a multi-target profile that can favor the treatment of multifactorial diseases. Therefore, the purpose of this review is to discuss recent preclinical studies about organoselenium compounds as therapeutic agents for the management of mental (e.g., depression, anxiety, bipolar disorder, and schizophrenia) and neurodegenerative diseases (e.g., Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, and multiple sclerosis). We have summarized around 70 peer-reviewed articles from 2016 to the present that used in silico, in vitro, and/or in vivo approaches to assess the neuropharmacology of selenium- containing compounds. Among the diversity of organoselenium molecules investigated in the last five years, diaryl diselenides, Ebselen-derivatives, and Se-containing heterocycles are the most representative. Ultimately, this review is expected to provide disease-oriented information regarding the neuropharmacology of organoselenium compounds that can be useful for the design, synthesis, and pharmacological characterization of novel bioactive molecules that can potentially be clinically viable candidates.


Subject(s)
Mental Disorders , Organoselenium Compounds , Humans , Neuropharmacology , Antioxidants/pharmacology , Antioxidants/therapeutic use , Antioxidants/chemistry , Mental Disorders/drug therapy , Organoselenium Compounds/pharmacology , Organoselenium Compounds/therapeutic use , Organoselenium Compounds/chemistry
12.
Curr Med Chem ; 30(21): 2449-2462, 2023.
Article in English | MEDLINE | ID: mdl-36065927

ABSTRACT

BACKGROUND: This study presents the synthesis and multi-target behavior of the new 5'-hydroxy-3-(chalcogenyl-triazoyl)-thymidine and the biological evaluation of these compounds as antioxidant and anti-HIV agents. OBJECTIVE: Antiretroviral therapy induces oxidative stress. Based on this, this manuscript's main objective is to prepare compounds that combine anti-HIV and antioxidant activities. METHODS: The compounds were prepared from commercially available AZT through a copper-catalyzed Huisgen 1,3-dipolar cycloaddition exploiting the AZT azide group and chalcogenyl alkynes. RESULTS: The chalcogenium-AZT derivatives were obtained in good yields via click chemistry. The compounds evaluated showed antioxidant and anti-HIV activity. Additionally, in vivo toxicity of this class of compounds was also evaluated. The representative nucleoside did not change the survival, behavior, biochemical hepatic, or renal markers compared to the control mice. CONCLUSION: Data suggest the feasibility of modifying the AZT nucleus with simple organohalogen fragments, exploring the reactivity of the azide group via 1,3-dipolar Huisgen cycloaddition reaction. The design of these new compounds showed the initially desired biological activities.


Subject(s)
Anti-HIV Agents , HIV Infections , Animals , Mice , Antioxidants/pharmacology , Antioxidants/therapeutic use , Azides/chemistry , Anti-HIV Agents/pharmacology , Anti-HIV Agents/therapeutic use , Anti-HIV Agents/chemistry , HIV Infections/drug therapy , Oxidative Stress , Zidovudine/pharmacology , Zidovudine/metabolism
13.
BMC Prim Care ; 23(1): 309, 2022 12 02.
Article in English | MEDLINE | ID: mdl-36460965

ABSTRACT

BACKGROUND: The interdisciplinary research training group (POKAL) aims to improve care for patients with depression and multimorbidity in primary care. POKAL includes nine projects within the framework of the Chronic Care Model (CCM). In addition, POKAL will train young (mental) health professionals in research competences within primary care settings. POKAL will address specific challenges in diagnosis (reliability of diagnosis, ignoring suicidal risks), in treatment (insufficient patient involvement, highly fragmented care and inappropriate long-time anti-depressive medication) and in implementation of innovations (insufficient guideline adherence, use of irrelevant patient outcomes, ignoring relevant context factors) in primary depression care. METHODS: In 2021 POKAL started with a first group of 16 trainees in general practice (GPs), pharmacy, psychology, public health, informatics, etc. The program is scheduled for at least 6 years, so a second group of trainees starting in 2024 will also have three years of research-time. Experienced principal investigators (PIs) supervise all trainees in their specific projects. All projects refer to the CCM and focus on the diagnostic, therapeutic, and implementation challenges. RESULTS: The first cohort of the POKAL research training group will develop and test new depression-specific diagnostics (hermeneutical strategies, predicting models, screening for suicidal ideation), treatment (primary-care based psycho-education, modulating factors in depression monitoring, strategies of de-prescribing) and implementation in primary care (guideline implementation, use of patient-assessed data, identification of relevant context factors). Based on those results the second cohort of trainees and their PIs will run two major trials to proof innovations in primary care-based a) diagnostics and b) treatment for depression. CONCLUSION: The research and training programme POKAL aims to provide appropriate approaches for depression diagnosis and treatment in primary care.


Subject(s)
Chronic Disease , Patient Care Team , Pharmacy , Primary Health Care , Humans , Depression/diagnosis , Reproducibility of Results , Cooperative Behavior , Pharmacists , General Practitioners , Research Design , Chronic Disease/therapy , Multimorbidity
14.
An Acad Bras Cienc ; 94(suppl 4): e20220134, 2022.
Article in English | MEDLINE | ID: mdl-36477824

ABSTRACT

In sports, training needs to be done according to various training patterns to optimize performance. However, this has been a major challenge to athletes due to the COVID-19 pandemic, therefore describing the impacts of lockdown caused by the COVID-19 pandemic on the athlete's training routine is necessary. 52 Brazilian athletes (Age: 31.5±10.3 years; Body Mass Index: 23.9±3.5 kg/m²), Olympic and Paralympic sports practitioners (professional and recreational) answered an online questionnaire [frequency, duration and intensity (subjective perception of effort) of training sessions], before and during lockdown (July to November/2020). The weekly training frequency (sessions/week) reduced by 48.1% (n=25) and was significantly higher among those who performed more than eight sessions before the pandemic (75% of them, p<0.000). The duration of the sessions (hours/day) decreased by 55.8% (n=29) and was significantly higher in athletes who performed training lasting more than one hour/day [75.9% of them (n=22)] and 24.1% (n= 7) performed training for more than two hours/day (p=0.132). The subjective perception of effort significantly decreased by 56%, from 8.4±1.2 to 5.5±1.7 (p=0.001). Because of the lockdown, athletes have suffered a reduction in the frequency, volume and intensity of their training sessions, but only in those with higher pre-pandemic training loads.


Subject(s)
COVID-19 , Sports , Humans , Young Adult , Adult , COVID-19/epidemiology , Pandemics , Communicable Disease Control , Brazil/epidemiology
15.
Org Biomol Chem ; 20(45): 8952-8961, 2022 11 23.
Article in English | MEDLINE | ID: mdl-36326093

ABSTRACT

We report a strategy for the direct synthesis of 3-organylselanylthiochromones and 3-organylselanylchromones via the radical cyclization reaction between alkynyl aryl ketones containing an ortho-thiopropyl/methoxy group and diorganyl diselenides promoted by Oxone®. This method allows the construction and seleno-functionalization of thiochromones and chromones using Oxone® as a stable and non-hazardous oxidizing agent in the presence of CH3CN at 82 °C. These reactions tolerate a variety of substituents, and allowed the synthesis of twenty-one new 3-organylselanylthiochromones and selanylchromones in good to excellent yields (55-95%). Additionally, the developed method proved to be suitable for scale up (3.0 mmol, 80%), and the synthetic usefulness of the prepared compounds was demonstrated in the oxidation of 2-phenyl-3-(phenylselanyl)-4H-thiochromen-4-one.


Subject(s)
Chromones , Ketones , Cyclization , Catalysis
16.
PLoS One ; 17(10): e0276675, 2022.
Article in English | MEDLINE | ID: mdl-36288377

ABSTRACT

In this paper we analyze the descriptive statistics of the Google search volume for the terms related to the National Reserve of Copper and Associates (RENCA), a Brazilian mineral reserve in the Amazon of 4.6 million hectares, before and after the government signed the decree releasing it for exploration. First, we analyze the volume of searches for expressions related to RENCA in Google Trends using descriptive statistics; second, we assess the cross-correlation coefficient ρDCCA, which measures the cross-correlation between two nonstationary time series across different time scales. After the government announced the release of the RENCA reserve, there was an increase in the average volume of Google searches for related terms, showing people's concern about the announcement. By using the cross-correlation coefficient ρDCCA, we identify strong cross-correlations between the different expressions related to RENCA in Google Trends. Our work shows the utility of Google Trends as an indicator of the perception of environmental policies. Additionally, we show that ρDCCA can be used as a tool to measure the cross-correlation between synonyms extracted from Google Trends for various time scales.


Subject(s)
Rainforest , Search Engine , Humans , Copper , Brazil , Internet
17.
J Org Chem ; 87(6): 4273-4283, 2022 03 18.
Article in English | MEDLINE | ID: mdl-35245049

ABSTRACT

We report herein an alternative method for the synthesis of seleno-dibenzocycloheptenones and seleno-spiro[5.5]trienones through the radical cyclization of biaryl ynones in the presence of diorganyl diselenides, using Oxone as a green oxidizing agent. The reactions were conducted using acetonitrile as the solvent in a sealed tube at 100 °C. The protocol is operationally simple and scalable, exhibits high regioselectivity, and allows the synthesis of 24 dibenzocycloheptenones/spiro[5.5]trienones in yields of up to 99%, 17 of which are unpublished compounds. Additionally, synthetic transformations of the prepared compounds, such as oxidation and reduction reactions, are demonstrated.


Subject(s)
Spiro Compounds , Cyclization , Oxidation-Reduction , Solvents
18.
Chem Asian J ; 17(8): e202101394, 2022 Apr 14.
Article in English | MEDLINE | ID: mdl-35294794

ABSTRACT

A metal- and catalyst-free photo-promoted cyclization of properly substituted vinyl selenides was developed using UVA irradiation. A total of eighteen new C3-unsubstituted 2-selanyl benzochalcogenophenes (benzofurans, benzothiophenes and benzoselenophenes) were prepared in 30-86% yield after irradiation with UVA at room temperature. The usefulness of the title compounds was demonstrated in the easy functionalization of the remaining free C-H bond of the benzochalcogenophenes to form new C-Se and C-Br bonds by simple procedures. Furthermore, the reaction can be performed under natural sunlight irradiation and the solvent is easily reused further in several subsequent runs.


Subject(s)
Benzofurans , Ultraviolet Rays , Catalysis , Cyclization , Solvents
19.
Eur Heart J ; 43(25): 2407-2417, 2022 07 01.
Article in English | MEDLINE | ID: mdl-35139192

ABSTRACT

AIMS: The most appropriate definition of perioperative myocardial infarction (pMI) after coronary artery bypass grafting (CABG) and its impact on clinically relevant long-term events is controversial. We aimed to (i) analyse the incidence of pMI depending on various current definitions in a 'real-life' setting of CABG surgery and (ii) determine the long-term prognosis of patients with pMI depending on current definitions. METHODS AND RESULTS: A consecutive cohort of 2829 coronary artery disease patients undergoing CABG from two tertiary university centres with the presence of serial perioperative cardiac biomarker measurements (cardiac troponin and creatine kinase-myocardial band) were retrospectively analysed. The incidence and prognostic impact of pMI were assessed according to (i) the 4th Universal Definition of Myocardial Infarction (4UD), (ii) the definition of the Society for Cardiovascular Angiography and Interventions (SCAI), and (iii) the Academic Research Consortium (ARC). The primary endpoint of this study was a composite of myocardial infarction, all-cause death, and repeat revascularization; secondary endpoints were mortality at 30 days and during 5-year follow-up. There was a significant difference in the occurrence of pMI (49.5% SCAI vs. 2.9% 4UD vs. 2.6% ARC). The 4th Universal Definition of Myocardial Infarction and ARC criteria remained strong independent predictors of all-cause mortality at 30 days [4UD: odds ratio (OR) 12.18; 95% confidence interval (CI) 5.00-29.67; P < 0.001; ARC: OR 13.16; 95% CI 5.41-32.00; P < 0.001] and 5 years [4UD: hazard ratio (HR) 2.13; 95% CI 1.19-3.81; P = 0.011; ARC: HR 2.23; 95% CI 1.21-4.09; P = 0.010]. Moreover, the occurrence of new perioperative electrocardiographic changes was prognostic of both primary and secondary endpoints. CONCLUSION: Incidence and prognosis of pMI differ markedly depending on the underlying definition of myocardial infarction for patients undergoing CABG. Isolated biomarker release-based definitions (such as troponin) were not associated with pMI relevant to prognosis. Additional signs of ischaemia detected by new electrocardiographic abnormalities, regional wall motion abnormalities, or coronary angiography should result in rapid action in everyday clinical practice.


Subject(s)
Aorta, Thoracic , Myocardial Infarction , Biomarkers , Coronary Artery Bypass/adverse effects , Coronary Artery Bypass/methods , Humans , Myocardial Infarction/diagnosis , Myocardial Infarction/epidemiology , Myocardial Infarction/etiology , Prognosis , Retrospective Studies , Troponin
20.
Molecules ; 26(24)2021 Dec 12.
Article in English | MEDLINE | ID: mdl-34946605

ABSTRACT

Oxone is a commercially available oxidant, composed of a mixture of three inorganic species, being the potassium peroxymonosulfate (KHSO5) the reactive one. Over the past few decades, this cheap and environmentally friendly oxidant has become a powerful tool in organic synthesis, being extensively employed to mediate the construction of a plethora of important compounds. This review summarizes the recent advances in the Oxone-mediated synthesis of N-, O- and chalcogen-containing heterocyclic compounds, through a wide diversity of reactions, starting from several kinds of substrate, highlighting the main synthetic differences, advantages, the scope and limitations.

SELECTION OF CITATIONS
SEARCH DETAIL
...