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3.
J Am Chem Soc ; 144(27): 12520-12535, 2022 Jul 13.
Article in English | MEDLINE | ID: mdl-35759747

ABSTRACT

The molecular wheel [Cr10(OMe)20(O2CCMe3)10], abbreviated {Cr10}, with an unusual intermediate total spin S = 9 and non-negligible cluster anisotropy, D/kB = -0.045(2) K, is a rare case among wheels based on an even number of 3d-metals, which usually present an antiferromagnetic (AF) ground state (S = 0). Herein, we unveil the origin of such a behavior. Angular magnetometry measurements performed on a single crystal confirmed the axial anisotropic behavior of {Cr10}. For powder samples, the temperature dependence of the susceptibility plotted as χT(T) showed an overall ferromagnetic (FM) behavior down to 1.8 K, whereas the magnetization curve M(H) did not saturate at the expected 30 µB/fu for 10 FM coupled 3/2 spin Cr3+ ions, but to a much lower value, corresponding to S = 9. In addition, the X-ray magnetic circular dichroism (XMCD) measured at high magnetic field (170 kOe) and 7.5 K showed the polarization of the cluster moment up to 23 µB/fu. The magnetic results can be rationalized within a model, including the cluster anisotropy, in which the {Cr10} wheel is formed by two semiwheels, each with four Cr3+ spins FM coupled (JFM/kB = 2.0 K), separated by two Cr3+ ions AF coupled asymmetrically (J23/kB = J78/kB = -2.0 K; J34/kB = J89/kB = -0.25 K). Inelastic neutron scattering and heat capacity allowed us to confirm this model leading to the S = 9 ground state and first excited S = 8. Single-molecule magnet behavior with an activation energy of U/kB = 4.0(5) K in the absence of applied field was observed through ac susceptibility measurements down to 0.1 K. The intriguing magnetic behavior of {Cr10} arises from the detailed asymmetry in the molecule interactions produced by small-angle distortions in the angles of the Cr-O-Cr alkoxy bridges coupling the Cr3+ ions, as demonstrated by ab initio and density functional theory calculations, while the cluster anisotropy can be correlated to the single-ion anisotropies calculated for each Cr3+ ion in the wheel.

4.
Surg Endosc ; 36(10): 7607-7618, 2022 Oct.
Article in English | MEDLINE | ID: mdl-35380284

ABSTRACT

BACKGROUND: Superior mesenteric artery plexus (SMAP) injury is reported to cause postoperative intractable diarrhea after pancreatic/colonic surgery with extended lymphadenectomy. This study aims to describe the SMAP microanatomy and extent of injury after right colectomy with extended D3 mesenterectomy for cancer. METHODS: Three groups (I) anatomical dissection, (II) postmortem histology, and (III) surgical specimen histology were included. Nerve count and area were compared between groups II and III and paravascular sheath thickness between groups I and II. 3D models were generated through 3D histology, nanoCT scanning, and finally through 3D printing. RESULTS: A total of 21 specimens were included as follows: Group (I): 5 (3 females, 80-93 years), the SMAP is a complex mesh surrounding the superior mesenteric artery (SMA), branching out, following peripheral arteries and intertwining between them, (II): 7 (5 females, 71-86 years), nerve count: 53 ± 12.42 (38-68), and area: 1.84 ± 0.50 mm2 (1.16-2.29), and (III): 9 (5 females, 55-69 years), nerve count: 31.6 ± 6.74 (range 23-43), and area: 0.889 ± 0.45 mm2 (range 0.479-1.668). SMAP transection injury is 59% of nerve count and 48% of nerve area at middle colic artery origin level. The median values of paravascular sheath thickness decreased caudally from 2.05 to 1.04 mm (anatomical dissection) and from 2.65 to 1.17 mm (postmortem histology). 3D histology models present nerve fibers exclusively within the paravascular sheath, and lymph nodes were observed only outside. NanoCT-derived models reveal oblique nerve fiber trajectories with inclinations between 35° and 55°. Two 3D-printed models of the SMAP were also achieved in a 1:2 scale. CONCLUSION: SMAP surrounds the SMA and branches within the paravascular sheath, while bowel lymph nodes and vessels lie outside. Extent of SMAP injury on histological slides (transection only) was 48% nerve area and 59% nerve count. The 35°-55° inclination range of SMAP nerves possibly imply an even larger injury when plexus excision is performed (lymphadenectomy). Reasons for later improvement of bowel function in these patients can lie in the interarterial nerve fibers between SMA branches.


Subject(s)
Colonic Neoplasms , Laparoscopy , Colectomy/methods , Colonic Neoplasms/surgery , Female , Humans , Laparoscopy/methods , Lymph Node Excision/methods , Lymph Nodes/surgery , Mesenteric Artery, Superior/anatomy & histology , Mesenteric Artery, Superior/surgery
5.
Molecules ; 26(18)2021 Sep 16.
Article in English | MEDLINE | ID: mdl-34577095

ABSTRACT

We present the magnetic properties of the metal-organic framework {[CoCxAPy]·2.15 H2O}n (Cx = bis(carboxypropyl)tetramethyldisiloxane; APy = 4,4`-azopyridine) (1) that builds up from the stacking of 2D coordination polymers. The 2D-coordination polymer in the bc plane is formed by the adjacent bonding of [CoCxAPy] 1D two-leg ladders with Co dimer rungs, running parallel to the c-axis. The crystal packing of 2D layers shows the presence of infinite channels running along the c crystallographic axis, which accommodate the disordered solvate molecules. The Co(II) is six-coordinated in a distorted octahedral geometry, where the equatorial plane is occupied by four carboxylate oxygen atoms. Two nitrogen atoms from APy ligands are coordinated in apical positions. The single-ion magnetic anisotropy has been determined by low temperature EPR and magnetization measurements on an isostructural compound {[Zn0.8Co0.2CxAPy]·1.5 CH3OH}n (2). The results show that the Co(II) ion has orthorhombic anisotropy with the hard-axis direction in the C2V main axis, lying the easy axis in the distorted octahedron equatorial plane, as predicted by the ab initio calculations of the g-tensor. Magnetic and heat capacity properties at very low temperatures are rationalized within a S* = 1/2 magnetic dimer model with anisotropic antiferromagnetic interaction. The magnetic dimer exhibits slow relaxation of the magnetization (SMM) below 6 K in applied field, with a tlf ≈ 2 s direct process at low frequencies, and an Orbach process at higher frequencies with U/kB = 6.7 ± 0.5 K. This compound represents a singular SMM MOF built-up of Co-dimers with an anisotropic exchange interaction.

6.
Tidsskr Nor Laegeforen ; 140(17)2020 11 24.
Article in English, Norwegian | MEDLINE | ID: mdl-33231396

ABSTRACT

New methods for holographic visualisation provide a true three-dimensional experience of medical images. The technique is generating great interest among surgeons.


Subject(s)
Augmented Reality , Humans , Imaging, Three-Dimensional , Technology
7.
Int J Comput Assist Radiol Surg ; 15(12): 2027-2039, 2020 Dec.
Article in English | MEDLINE | ID: mdl-32984934

ABSTRACT

PURPOSE: Mixed reality (MR) is being evaluated as a visual tool for surgical navigation. Current literature presents unclear results on intraoperative accuracy using the Microsoft HoloLens 1®. This study aims to assess the impact of the surgeon's sightline in an inside-out marker-based MR navigation system for open surgery. METHODS: Surgeons at Akershus University Hospital tested this system. A custom-made phantom was used, containing 18 wire target crosses within its inner walls. A CT scan was obtained in order to segment all wire targets into a single 3D-model (hologram). An in-house software application (CTrue), developed for the Microsoft HoloLens 1, uploaded 3D-models and automatically registered the 3D-model with the phantom. Based on the surgeon's sightline while registering and targeting (free sightline /F/or a strictly perpendicular sightline /P/), 4 scenarios were developed (FF-PF-FP-PP). Target error distance (TED) was obtained in three different working axes-(XYZ). RESULTS: Six surgeons (5 males, age 29-62) were enrolled. A total of 864 measurements were collected in 4 scenarios, twice. Scenario PP showed the smallest TED in XYZ-axes mean = 2.98 mm ± SD 1.33; 2.28 mm ± SD 1.45; 2.78 mm ± SD 1.91, respectively. Scenario FF showed the largest TED in XYZ-axes with mean = 10.03 mm ± SD 3.19; 6.36 mm ± SD 3.36; 16.11 mm ± SD 8.91, respectively. Multiple comparison tests, grouped in scenarios and axes, showed that the majority of scenario comparisons had significantly different TED values (p < 0.05). Y-axis always presented the smallest TED regardless of scenario tested. CONCLUSION: A strictly perpendicular working sightline in relation to the 3D-model achieves the best accuracy results. Shortcomings in this technology, as an intraoperative visual cue, can be overcome by sightline correction. Incidentally, this is the preferred working angle for open surgery.


Subject(s)
Augmented Reality , Imaging, Three-Dimensional/methods , Surgeons , Surgery, Computer-Assisted/methods , Adult , Female , Humans , Male , Middle Aged , Operating Rooms , Phantoms, Imaging , Software , Tomography, X-Ray Computed/methods
8.
Surg Endosc ; 34(11): 4890-4900, 2020 11.
Article in English | MEDLINE | ID: mdl-31745632

ABSTRACT

BACKGROUND: 3D vascular anatomy roadmaps are currently being implemented for surgical planning and navigation. Quality of the reconstruction is critical. The aim of this article is to compare anatomical completeness of models produced by manual and semi-automatic segmentation. METHODS: CT-datasets from patients included in an ongoing trial, underwent 3D vascular reconstruction applying two different segmentation methods. This produced manually-segmented models (MSMs) and semi-automatically segmented models (SAMs) which underwent a paired comparison. Datasets were delivered for reconstruction in 4 batches of 6, of which only batch 4 contained patients with abnormal anatomy. Model completeness was assessed quantitatively using alignment and distance error indexes and qualitatively with systematic inspection. MSMs were the gold standard. Assessed vessels were those of interest to the surgeon performing D3-right colectomy. RESULTS: 24 CT-datasets (13 females, age 44-77) were used in a paired comparative analysis of 48 3D-models. Quantitatively, SAMs showed structural improvement from Batch 1 to 3. Batch 4, with abnormal vessels, showed the highest error-index values. Qualitatively, 91.7% of SAMs did not contain all mesenteric branches relevant to the surgeon. In SAMs, 1 (12.5%) right colic artery-RCA scored as a complete vessel. 3 (37.5%) RCAs scored as incomplete and 4 (50%) RCAs were absent. 6 (25%) of 24 middle colic arteries-MCA scored as complete vessels. 11 (45.8%) scored as incomplete while 7 (29.2%) MCAs were absent. 13 (54.2%) of 24 ileocolic arteries-ICA were complete vessels. 11 (45.8%) scored as incomplete. None (0%) were absent. Additionally, it was observed that 10 (41.7%) of SAMs contained all their jejunal arteries, when compared to MSMs. Calibers of "complete" vessels were significantly higher than in "missing" vessels (MCA p < 0.001, RCA p = 0.016, ICA p < 0.001, JAs p < 0.001). CONCLUSION: Despite acceptable results from quantitative analysis, qualitative comparison indicates that semi-automatically generated 3D-models of the central mesenteric vasculature could cause considerable confusion at surgery.


Subject(s)
Colectomy/methods , Imaging, Three-Dimensional/methods , Mesenteric Artery, Superior/diagnostic imaging , Mesenteric Veins/diagnostic imaging , Mesentery/blood supply , Models, Anatomic , Tomography, X-Ray Computed/methods , Adult , Aged , Female , Humans , Male , Mesenteric Artery, Superior/surgery , Mesenteric Veins/surgery , Mesentery/surgery , Middle Aged , Surgeons , Surgery, Computer-Assisted/methods
9.
Surg Endosc ; 33(2): 567-575, 2019 02.
Article in English | MEDLINE | ID: mdl-30014328

ABSTRACT

BACKGROUND: Three-dimensional (3D) printing technology has recently been well approved as an emerging technology in various fields of medical education and practice; e.g., there are numerous studies evaluating 3D printouts of solid organs. Complex surgery such as extended mesenterectomy imposes a need to analyze also the accuracy of 3D printouts of more mobile and complex structures like the diversity of vascular arborization within the central mesentery. The objective of this study was to evaluate the linear dimensional anatomy landmark differences of the superior mesenteric artery and vein between (1) 3D virtual models, (2) 3D printouts, and (3) peroperative measurements. METHODS: The study included 22 patients from the ongoing prospective multicenter trial "Safe Radical D3 Right Hemicolectomy for Cancer through Preoperative Biphasic MDCT Angiography," with preoperative CT and peroperative measurements. The patients were operated in Norway between January 2016 and 2017. Their CT datasets underwent 3D volume rendering and segmentation, and the virtual 3D model produced was then exported for stereolithography 3D printing. RESULTS: Four parameters were measured: distance between the origins of the ileocolic and the middle colic artery, distance between the termination of the gastrocolic trunk and the ileocolic vein, and the calibers of the middle colic and ileocolic arteries. The inter-arterial distance has proven a strong correlation between all the three modalities implied (Pearson's coefficient 0.968, 0.956, 0.779, respectively), while inter-venous distances showed a weak correlation between peroperative measurements and both virtual and physical models. CONCLUSION: This study showed acceptable dimensional inter-arterial correlations between 3D printed models, 3D virtual models and authentic soft tissue anatomy of the central mesenteric vessels, and weaker inter-venous correlations between all the models, reflecting the highly variable nature of veins in situ.


Subject(s)
Colectomy/methods , Colonic Neoplasms/surgery , Mesenteric Artery, Superior/anatomy & histology , Printing, Three-Dimensional , Adult , Aged , Aged, 80 and over , Anatomic Landmarks , Angiography/methods , Female , Humans , Imaging, Three-Dimensional , Male , Mesenteric Artery, Superior/diagnostic imaging , Mesenteric Artery, Superior/surgery , Mesentery/diagnostic imaging , Mesentery/surgery , Middle Aged , Multidetector Computed Tomography , Portal System/anatomy & histology , Portal System/diagnostic imaging , Prospective Studies
10.
Dalton Trans ; 47(25): 8489-8490, 2018 06 25.
Article in English | MEDLINE | ID: mdl-29901048

ABSTRACT

Correction for 'Magnetic properties of the seven-coordinated nanoporous framework material Co(bpy)1.5(NO3)2 (bpy = 4,4'-bipyridine)' by Elena Bartolomé et al., Dalton Trans., 2012, 41, 10382-10389.

11.
Chemistry ; 24(2): 388-399, 2018 Jan 09.
Article in English | MEDLINE | ID: mdl-28858419

ABSTRACT

The characterization of the crystal structure, phase transitions, magnetic structure and dielectric properties has been carried out on [CH3 NH3 ][Co(COOH)3 ] (1) perovskite-like metal-organic compound through variable-temperature single-crystal and powder neutron and X-ray diffraction and relative permittivity measurements. The paraelectric to antiferroelectric-like phase transition observed at around 90 K is triggered by a structural phase transition; the structural studies show a change from Pnma space group at RT (1A) to P21 /n space group at low temperature (1B). This phase transition involves the occurrence of small distortions in the framework and counterions. Neutron diffraction studies have shown a magnetic order showing spontaneous magnetization below 15 K, due to the occurrence of a non-collinear antiferromagnetic structure with a weak ferromagnetic component, mainly due to the single-ion anisotropy of the CoII ions.

12.
Dalton Trans ; 46(3): 720-732, 2017 Jan 17.
Article in English | MEDLINE | ID: mdl-27990520

ABSTRACT

In this paper we present the characterization of a complex with the formula [Mn2Ca2(hmp)6(H2O)4(CH3CN)2](ClO4)4 (1), where hmp-H = 2-(hydroxymethyl)pyridine. Compound 1 crystallizes in the monoclinic space group C2/c with the cation lying on an inversion centre. Static magnetic susceptibility, magnetization and heat capacity measurements reflect a unique Mn(iii) valence state, and single-ion ligand field parameters with remarkable large rhombic distortion (D/kB = -6.4 K, E/kB = -2.1 K), in good agreement with the high-field electron paramagnetic resonance experiments. At low temperature Mn2Ca2 cluster behaves as a system of ferromagnetically coupled (J/kB = 1.1 K) Mn dimers with a ST = 4 and mT = ±4 ground state doublet. Frequency dependent ac susceptibility measurements reveal the slow magnetic relaxation characteristic of a single molecule magnet (SMM) below T = 4 K. At zero magnetic field, an Orbach-type spin relaxation process (τ ∼ 10-5 s) with an activation energy Ea = 5.6 K is observed, enabled by the large E/D rhombicity of the Mn(iii) ions. Upon the application of a magnetic field, a second, very slow process (τ ∼ 0.2 s) is observed, attributed to a direct relaxation mechanism with enhanced relaxation time owing to the phonon bottleneck effect.

13.
Chemistry ; 21(34): 12171-80, 2015 Aug 17.
Article in English | MEDLINE | ID: mdl-26178233

ABSTRACT

Compounds [Fe3 Ln(tea)2 (dpm)6 ] (Fe3 Ln; Ln= Tb-Yb, H3 tea=triethanolamine, Hdpm=dipivaloylmethane) were synthesized as lanthanide(III)-centered variants of tetrairon(III) single-molecule magnets (Fe4 ) and isolated in crystalline form. Compounds with Ln=Tb-Tm are isomorphous and show crystallographic threefold symmetry. The coordination environment of the rare earth, given by two tea(3-) ligands, can be described as a bicapped distorted trigonal prism with D3 symmetry. Magnetic measurements showed the presence of weak ferromagnetic Fe⋅⋅⋅Ln interactions for derivatives with Tb, Dy, Ho, and Er, and of weak antiferromagnetic or negligible coupling in complexes with Tm and Yb. Alternating current susceptibility measurements showed simple paramagnetic behavior down to 1.8 K and for frequencies reaching 10000 Hz, despite the easy-axis magnetic anisotropy found in Fe3 Dy, Fe3 Er, and Fe3 Tm by single-crystal angle-resolved magnetometry. Relativistic quantum chemistry calculations were performed on Fe3 Ln (Ln=Tb-Tm): the ground J multiplet of Ln(3+) ion is split by the crystal field to give a ground singlet state for Tb and Tm, and a doublet for Dy, Ho, and Er with a large admixture of mJ states. Gyromagnetic factors result in no predominance of gz component along the threefold axis, with comparable gx and gy values in all compounds. It follows that the environment provided by the tea(3-) ligands, though uniaxial, is unsuitable to promote slow magnetic relaxation in Fe3 Ln species.

14.
Beilstein J Nanotechnol ; 5: 2267-74, 2014.
Article in English | MEDLINE | ID: mdl-25551055

ABSTRACT

Single-crystal angular-resolved magnetometry and wavefunction-based calculations have been used to reconsider the magnetic properties of a recently reported Dy(III)-based single-molecule magnet, namely [Dy(hfac)3(L(1))] with hfac(-) = 1,1,1,5,5,5-hexafluoroacetylacetonate and L(1) = 2-(4,5-bis(propylthio)-1,3-dithiol-2-ylidene)-6-(pyridin-2-yl)-5H-[1,3]dithiolo[4',5':4,5]benzo[1,2-d]imidazole. The magnetic susceptibility and magnetization at low temperature are found to be strongly influenced by supramolecular interactions. Moreover, taking into account the hydrogen-bond networks in the calculations allows to explain the orientation of the magnetic axes. This strongly suggests that hydrogen bonds play an important role in the modulation of the electrostatic environment around the Dy(III) center that governs the nature of its magnetic ground-state and the orientation of its anisotropy axes. We thus show here that SMM properties that rely on supramolecular organization may not be transferable into single-molecule devices.

15.
Dalton Trans ; 42(28): 10153-71, 2013 Jul 28.
Article in English | MEDLINE | ID: mdl-23719687

ABSTRACT

The synthesis and magnetostructural properties of a new low-dimensional magnetic system based on α-furoate ligands, {[Dy(α-C4H3OCOO)(µ-(α-C4H3OCOO))2(H2O)3]}n, abbreviated {Dy(α-fur)3}n, are reported. X-ray diffraction experiments results evidence the presence of two different Dy coordination environment types differing only in the position of one of the furoate ligands. The crystallographic structure is formed by polymeric chains along the c-axis, each composed of just one Dy type, coupled within the bc-plane with chains of the same Dy type. These planes, each of them containing only one Dy type, are randomly stacked along the a-axis. The magnetic behaviour was studied by magnetization, static and dynamic susceptibility, heat capacity measurements and ab initio simulations. The directions of the easy axes of magnetization, gyromagnetic values and energy level structures of the two Dy types were obtained from ab initio calculations. {Dy(α-fur)3}n exhibits slow magnetic relaxation dynamics below 10 K. The two Dy types with different coordination environments behave as single-ion magnets, with different thermal activation energies of 80.5(6) K and 32.4(5) K, until they reach, upon cooling, a quantum tunneling (QT) regime. Magnetic diluted samples, substituting Dy by Y, {Y(x)Dy(1-x)(α-fur)3}n, were prepared to study the effect of intercluster interactions. Decreasing the Dy interaction by dilution by 90-95% leaves the activation energy unchanged, but shifts the transition to the QT regime to lower temperatures. At T = 2.4 K the tunneling time constant has been shown to decrease weakly with the field in the x = 0 case, and more strongly for x = 0.9. As the external field increases, quantum tunneling is quenched and a new slow relaxation appears that is identified at high fields as caused by a direct relaxation process. As the temperature is decreased, interchain AF coupling becomes effective and gives rise to the occurrence of an antiferromagnetic 3D order transition at T(N) = 0.66 K. From all the evidence, it is concluded that within each bc-plane Dy ions arrange in chains along the c-direction, having weak uncompensated ferromagnetic spin-canted intrachain coupling and antiferromagnetic interchain coupling.

16.
Dalton Trans ; 42(19): 6728-31, 2013 May 21.
Article in English | MEDLINE | ID: mdl-23584715

ABSTRACT

Two Dy(III) ions can be water bridged to form a textbook example of ferromagnetic short-bridged Dy-dimers where strong Ising anisotropy can be evidenced by single-crystal rotating magnetometry. The dimers present both single ion and single molecule magnet behaviour. Magnetic dilution evidences the influence of the ferromagnetic coupling on magnetic relaxation and especially quantum tunnelling.

17.
Angew Chem Int Ed Engl ; 52(1): 350-4, 2013 Jan 02.
Article in English | MEDLINE | ID: mdl-23208792

ABSTRACT

Spotting trends: Upon going from Tb(III) to Yb(III) centers in the complexes of the DOTA(4-) ligand, a reorientation of the easy axis of magnetization from perpendicular to parallel to the Ln-O bond of the apical water molecule is experimentally observed and theoretically predicted (SMM=single-molecule magnet). Only ions with an odd number of electrons show slow relaxation of the magnetization.

18.
Dalton Trans ; 41(44): 13556-67, 2012 Nov 28.
Article in English | MEDLINE | ID: mdl-22936346

ABSTRACT

Due to their usual large magnetic moments and large magnetic anisotropy lanthanide ions are investigated for the search of Single Molecule Magnets with high blocking temperature. However, the low symmetry crystal environment, the complexity of the electronic states or the non-collinearity of the magnetic anisotropy easy-axes in polynuclear systems make the rationalization of the magnetic behaviour of lanthanide based molecular systems difficult. In this perspective article we expose a methodology in which the use of additional characterization techniques, like single crystal magnetic measurements or luminescence experiments, complemented by relativistic ab initio calculations and a suitable choice of spin Hamiltonian models, can be of great help in order to overcome such difficulties, representing an essential step for the rational design of lanthanide based Single Molecule Magnets with enhanced physical properties.

19.
Dalton Trans ; 41(34): 10382-9, 2012 Sep 14.
Article in English | MEDLINE | ID: mdl-22810276

ABSTRACT

The magnetic properties of the porous metal-organic complex Co(bpy)(1.5)(NO(3))(2) (bpy = 4,4'-bipyridine), investigated by SQUID magnetometry, EPR and heat capacity measurements, are reported. The tongue-and-groove structure of this complex is formed by the assembly of T-shaped building blocks, where each Co is bound to three bpy ligands. Co(II) is hepta-coordinated by three N atoms from the bpy units, and four O atoms from two nitrate groups. Experimental results showed a large crystal field effect induced anisotropy with a zero field splitting of Δ = 198 K between the ground and excited Kramers doublets, a factor of two larger than previously reported values in Co(II) hepta-coordinated complexes. EPR revealed orthorhombic crystal field anisotropy, with gyromagnetic principal values of g(1)* = 6.1, g(2)* = 4.2 and g(3)* = 2.2, in an S* = 1/2 effective spin on the ground state Kramers doublet. Ab initio simulations allowed us to assign the anisotropy easy axis of magnetization to the binary symmetry axis of the molecule, aligned with the Co-N apical direction of the T-block.

20.
Eur J Endocrinol ; 166(5): 839-45, 2012 May.
Article in English | MEDLINE | ID: mdl-22307573

ABSTRACT

OBJECTIVE: Type 2 deiodinase gene (DIO2) polymorphisms have been associated with changes in pituitary-thyroid axis homeostasis. The -258A/G (SNP rs12885300) polymorphism has been associated with increased enzymatic activity, but data are conflicting. To characterize the effects of -258A/G polymorphism on intrathyroidal thyroxine (T(4)) to triiodothyronine (T(3)) conversion and thyroid hormone (TH) secretion pattern, we studied the effects of acute, TRH-mediated, TSH stimulation of the thyroid gland. DESIGN: Retrospective analysis. METHODS: The TH secretion in response to 500  µg i.v. TRH injection was studied in 45 healthy volunteers. RESULTS: Twenty-six subjects (16 females and ten males, 32.8 ± 10.4 years) were homozygous for the ancestral (-258A/A) allele and 19 (11 females and eight males, 31.1 ± 10.9 years) were carriers of the (-258G/x) variant. While no differences in the peak TSH and T(3) levels were observed, carriers of the -258G/x allele showed a blunted rise in free T(4) (FT(4); P<0.01). The -258G/x92Thr/Thr haplotype, compared with the other groups, had lower TSH values at 60  min (P<0.03). No differences were observed between genotypes in baseline TH levels. CONCLUSIONS: The -258G/x DIO2 polymorphism variant is associated with a decreased rate of acute TSH-stimulated FT(4) secretion with a normal T(3) release from the thyroid gland consistent with a shift in the reaction equilibrium toward the product. These data indicate that the -258G DIO2 polymorphism causes changes in the pattern of hormone secretion. These findings are a proof of concept that common polymorphisms in DIO2 can subtly affect the circulating levels of TH and might modulate the TH homeostasis.


Subject(s)
Iodide Peroxidase/genetics , Polymorphism, Single Nucleotide/genetics , Thyrotropin-Releasing Hormone/blood , Thyrotropin/biosynthesis , Adenine Nucleotides/genetics , Adult , Cohort Studies , Female , Guanine Nucleotides/genetics , Homeostasis/genetics , Humans , Iodide Peroxidase/physiology , Male , Prospective Studies , Retrospective Studies , Thyrotropin/metabolism , Thyrotropin-Releasing Hormone/metabolism , Young Adult , Iodothyronine Deiodinase Type II
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