Terpyridine isomerism as a tool for tuning red-to-NIR emissive properties in heteronuclear gold(I)-thallium(I) complexes.

The polymeric linear chain [AuTl(C6Cl5)2]n reacts with three terpyridine-type ligands substituted with thiophene groups containing N-donor centres in different relative positions (L1, L2 and L3), leading to the Au(I)/Tl(I) complexes [AuTl(C6Cl5)2(L1)]n (1), [{AuTl(C6Cl5)2}2(L2)]n (2) and [AuTl(C6Cl5)2(L3)]n (3). X-Ray diffraction studies reveal that L1 acts as a chelate, while L2 and L3 act as bridging ligands, resulting in different coordination indexes for the thallium(I) centre. These structural differences strongly influence their optical properties, and while compounds 2 and 3 emit near the limit of the visible range, complex 1 emits in the infrared region. DFT calculations have also been carried out in order to determine the origin of the electronic transitions responsible for their optical properties.

Heteronuclear Gold(I)-Copper(I) Complexes with Thia- and Mixed Thia-Aza Macrocyclic Ligands: Synthesis, Structures and Optical Properties.

The reactivity of the heterometallic polynuclear complexes [{Au(R)2 }2 Cu2 (MeCN)2 ]n (R=C6 F5 , C6 Cl5 ) with the thioether crowns 1,4,7-trithiacyclononane (L1, [12]aneS3 ), 1,4,8,11-tetrathiacyclododecane (L2, [14]aneS4 ), 1,4,7,10,13,16,19,22-octathiacyclotetracosane (L3, [24]aneS8 ), and the quinoline functionalized pendant arm derivatives of the 12-membered mixed-donor macrocycles 1-aza-,4,7,10-trithiacyclododecane ([12]aneNS3 ) and 1,7-diaza-4,10-dithiacyclododecane ([12]aneN2 S2 ), L4 and L5, respectively, was investigated in THF solution. While with L4 and L5 only ionic compounds of general formulation [Cu(L)][Au(R)2 ] were isolated and structurally characterized (none of them featuring Au⋅⋅⋅Cu interactions), with L1-L3, beside similar ionic compounds, some heteronuclear complexes of general formulation [{Au(R)2 }{Cu(L)}] and featuring Au⋅⋅⋅Cu interactions were also obtained. All of them display rather unusual non-classical C-H⋅⋅⋅Au hydrogen interactions. The complexes display in the solid state different optical properties related to their structures, which have been studied experimentally and theoretically via TD-DFT calculations. In particular, all compounds of the type [{Au(R)2 }{Cu(L)}] featuring Au⋅⋅⋅Cu metallophilic interactions display luminescence in the solid state both at room temperature (RT) and at 77 K. On the contrary, ionic compounds of general formulation [Cu(L)][Au(R)2 ], except [Cu(L4)][Au(C6 F5 )2 ], are not luminescent.

Vapochromic behaviour of a gold(I)-lead(II) complex as a VOC sensor.

The reaction among [Au2Ag2(C6F5)4(OEt2)2]n, PbCl2 and terpyridine leads to the polymeric complex [{Au(C6F5)2}2{Pb(terpy)}]n (1). Its crystal structure reveals potential voids close to the lead centres large enough to hold different molecules. The availability of these free sites allows complex 1 to act as a VOC sensor. Thus, when 1 is exposed to different solvent vapours such as acetonitrile, toluene or THF, variations in its solid appearance and its photophysical properties are observed as a consequence of the formation of the new polymorphs [{Au(C6F5)2}2{Pb(terpy)(CH3CN)2}]n (2), [{Au(C6F5)2}2{Pb(terpy)}]n·Tol (3) and [{Au(C6F5)2}2{Pb(terpy)(THF)}]n·THF (4). Each polymorph displays a different emission energy depending on its structure and the presence of metallophilic interactions. In addition, the reversible solvent molecule exchange allows the tuning of the luminescence emissions in the greenish yellow-red range. DFT and TD-DFT calculations were performed to explain the origin of the luminescence of all these complexes.

Deciphering the Primary Role of Au⋠⋠⋠H-X Hydrogen Bonding in Gold Catalysis.

Au⋅⋅⋅H-X (X=N or C) hydrogen bonding is gaining increasing interest, both in the study of its intrinsic nature and in their operability in different fields. While the role of these interactions has been studied in the stabilization of gold(I) complexes, their role during the minimum free energy reaction pathway of a given catalytic process remains unexplored. We report herein that complex [Au(C≡CPh)(pip)] (pip=piperidine) catalyses the A3 -coupling reaction for the synthesis of propargylamines, thanks to the ability of Au(I) to promote weak hydrogen bonding interactions with the reactants along the free energy profile. Density Functional Theory (DFT) calculations show that these Au⋅⋅⋅H-X interactions play a directing role in the catalysed A3 -coupling. Topological non-covalent interactions (NCI), interaction region indicator (IRI) and quantum theory of atoms in molecules (QTAIM) analysis in real space of the electron density provide a description of these interactions accurately.

Switching On/Off of a Solvent Coordination in a Au(I)-Pb(II) Complex: High Pressure and Temperature as External Stimuli.

The benzonitrile solvate {[{Au(C6F5)2}2{Pb(terpy)}]·NCPh}n (1) (terpy = 2,2':6',2″-terpyridine) displays reversible reorientation and coordination of the benzonitrile molecule to lead upon external stimuli. High-pressure X-ray diffraction studies between 0 and 2.1 GPa reveal a 100% of conversion without loss of symmetry, which is totally reversible upon decompression. By variable-temperature X-ray diffraction studies between 100 and 285 K, a partial coordination is achieved.

Thoracoabdominal manifestations of immunoglobulin G4-related disease.

Immunoglobulin G4-related disease (IgG4-RD) comprises a group of immune-mediated diseases that, until recently, were considered separate entities. These entities have a similar clinical presentation, serological findings, and pathogenesis, so they are currently considered a single multisystemic disease. The common characteristic is the infiltration of involved tissues by plasma cells and lymphocytes that are positive for IgG4. Three major criteria have been proposed for the diagnosis of IgG4-RD: clinical, laboratory, and histological. The pancreas is the organ that is most affected by IgG4-RD, which can simulate a tumor. In this respect, a series of signs could help us suspect that the pancreatic findings do not reflect a tumor (halo sign, duct-penetrating sign, absence of vascular invasion, etc.). The differential diagnosis is important to avoid unnecessary surgical interventions.

Manifestaciones toracoabdominales de las enfermedades relacionadas con la inmunoglobulina G4 / Thoracoabdominal manifestations of immunoglobulin G4-related disease

Las enfermedades relacionadas con la IgG4 (ER-IgG4) son un conjunto de enfermedades inmunomediadas que, hasta no hace mucho tiempo, se consideraban como entidades individuales. Se ha demostrado la existencia de una clínica, una serología y una patogenia similares, por lo que, actualmente, se considera como una única enfermedad multisistémica. Su característica común es la infiltración de los tejidos afectados por células plasmáticas y linfocitos IgG4 positivos. Se han propuesto 3 criterios mayores para su diagnóstico, que son el clínico, el analítico y el anatomopatológico. El páncreas es el órgano que más se afecta en esta enfermedad, pudiendo simular un proceso tumoral. De ahí que se haya descrito una serie de signos que podrían hacernos sospechar que no se trata de una neoplasia (signo del halo, del conducto penetrante, ausencia de invasión vascular, etc.). El diagnóstico diferencial es importante de cara a evitar cirugías innecesarias (AU)

Immunoglobulin G4-related disease (IgG4-RD) comprises a group of immune-mediated diseases that, until recently, were considered separate entities. These entities have a similar clinical presentation, serological findings, and pathogenesis, so they are currently considered a single multisystemic disease. The common characteristic is the infiltration of involved tissues by plasma cells and lymphocytes that are positive for IgG4. Three major criteria have been proposed for the diagnosis of IgG4-RD: clinical, laboratory, and histological. The pancreas is the organ that is most affected by IgG4-RD, which can simulate a tumor. In this respect, a series of signs could help us suspect that the pancreatic findings do not reflect a tumor (halo sign, duct-penetrating sign, absence of vascular invasion, etc.). The differential diagnosis is important to avoid unnecessary surgical interventions (AU)

Silver-Based Terpyridine Complexes as Antitumor Agents.

Silver complexes bearing substituted terpyridine or tetra-2-pyridinylpyrazine ligands have been prepared and structurally characterised. The study of the anticancer properties of silver complexes with this type of ligands is scarce, despite the possibilities of combining the properties of the metal and the ability of the ligands for DNA binding. Here, the antiproliferative activity, stability, CT-DNA binding, and mechanism of cell death of these types of derivatives are studied. High cytotoxicity against different tumour cells was observed, and, more important, a great selectivity index has been detected between tumour cells and healthy lymphocytes T for some of these compounds. The CT-DNA interaction study has shown that these derivatives are able to interact with CT-DNA by moderate intercalation. Furthermore, cell death studies indicate that these derivatives promote the apoptosis by a mitochondrial pathway.

A "gold standard" computational proof for the existence of gold(III) aurophilicity.

The existence of aurophilic gold(III)⋯gold(III) interactions has for a long time been neglected due to structural arguments and comparison with the aurophilicity of gold(I) compounds. We show with calculations at the CCSD(T) level of theory that the [AuIII(CH3)3(NH3)]2 dimer has a metallophilic dispersion interaction between the gold(III) atoms of 10.5 kJ mol-1. The aurophilic interaction is illustrated by topological QTAIM calculations and IRI analysis.

Synthesis and Structural Characterization of Phosphanide Gold(III)/Gold(I) Complexes and Their Thallium(III) and Gold(III) Precursors.

In this paper, we describe a series of diphenylphosphane and diphenylphosphanide gold(III) and gold(III)/gold(I) complexes containing 3,5-C6Cl2F3 as aryl ligands at gold that have been synthesized due to the arylating and oxidant properties of the new polymeric thallium(III) complex [TlCl(3,5-C6Cl2F3)2]n (1). Its reaction with [Au(3,5-C6Cl2F3)(tht)] (tht = tetrahydrothiophene) produces the gold(III) complex [Au(3,5-C6Cl2F3)3(tht)] (2), which allows the synthesis of the diphenylohosphane derivative [Au(3,5-C6Cl2F3)3(PPh2H)] (3). Its treatment with acetylacetonate gold(I) derivatives leads to two novel AuIII/AuI phosphanido-bridged complexes, [PPN][Au(3,5-C6Cl2F3)3(µ-PPh2)AuCl] (4) and [PPN][{(3,5-C6Cl2F3)3Au(µ-PPh2)}2Au] (5). All these complexes have been characterized, and the crystal structures of 1, 2, 4 and 5 have been established by single crystal X-ray diffraction methods, showing a novel polymeric arrangement in 1.

Síndrome de Klippel-Trenaunay en la gestación: a propósito de un caso y revisión de literatura reciente / Klippel-Trenaunay syndrome in pregnancy: A clinical case and review of recent literature

El síndrome de Klippel-Trenaunay es una entidad infrecuente que asocia riesgos, principalmente hemorrágicos y tromboembólicos. Dada la baja incidencia de este síndrome, existe escasa literatura relativa a su manejo obstétrico. Presentamos una revisión de la literatura reciente a propósito de un caso, con el objetivo de sintetizar el manejo obstétrico en pacientes con síndrome de Klippel-Trenaunay. Ante una gestante con esta patología deberá plantearse un manejo multidisciplinar que incluya obstetras, hematólogos y anestesistas, principalmente. Será de gran importancia la realización de estudios de imagen, sobre todo en el tercer trimestre, que ayuden a determinar la vía del parto. Dado el riesgo incrementado de eventos trombóticos, está indicado el uso de medidas profilácticas durante el embarazo y el puerperio en estas pacientes. La evidencia relativa al incremento de complicaciones hemorrágicas en estas pacientes no es tan concluyente; sin embargo, es una complicación que deberemos tener en cuenta para instaurar las medidas terapéuticas necesarias.(AU)

Klippel-Trenaunay syndrome is a rare entity with associated risks, mainly haemorrhagic and thromboembolic. Given the low incidence of this syndrome, there is little evidence on its obstetric management. We present a review of the recent literature about a case, with the aim of synthesizing the obstetric management of patients with Klippel-Trenaunay syndrome. In the case of a pregnant woman with this pathology, multidisciplinary management should be considered, which would mainly include obstetricians, haematologists, and anaesthesiologists. It is very important to perform imaging studies, especially in the third trimester, to help determine the delivery route. Given the increased risk of thrombotic events, the use of prophylactic measures during pregnancy and the puerperium is indicated. The evidence regarding the increase in bleeding complications in these patients is not so conclusive, however it is a complication that we must take into account to establish the necessary therapeutic measures.(AU)

Spontaneous in situ generation of photoemissive aurophilic oligomers in water solution based on the 2-thiocytosine ligand.

Complexes [Au(S-2-thiocytosinate)(PMe3)] (2, 2-thiocytosine = 4-amino-2-mercaptopyrimidine) and [Au(S-2-thiocytosine)(PMe3)](CF3CO2) (3) have been prepared by the reaction of [Au(acac)(PMe3)] (1, acac = acetylacetonate) or [Au(OCOCF3)(PMe3)] with 2-thiocytosine, respectively. The equimolecular mixture of complexes 1 and 3 also produces [{Au(PMe3)}2(µ-S,N 1-2-thiocytosinate)](CF3CO2) (4), which features two distinct [Au(PMe3)]+ groups coordinated to the S and N1 atoms of the heterocycle. Complex 4 experiences a ligand redistribution process in water solution that liberates [Au(PMe3)2](CF3CO2) and a brightly coloured and luminescent species of [Au n (µ-S,N 1-2-thiocytosinate) n ] stoichiometry, presumably as a tetraauracycle (n = 4).

Severe bradycardia in a teenager as the initial manifestation for Guillain Barré syndrome: a case report.

BACKGROUND: Guillain-Barré syndrome is the most common cause of flaccid paralysis, with multiple known clinical variants. Autonomic dysfunction, although frequently reported in the clinical course, is often overlooked in the pediatric population and is usually not the initial presenting symptom in this age group CASE PRESENTATION: We present the case of a previously healthy 17-year-old who arrived at the Emergency Department complaining of gastrointestinal symptoms associated with lipothymia. An initial electrocardiogram (ECG) showed sustained sinus bradycardia subsequently associated with arterial hypertension. Structural and inflammatory cardiac pathology were ruled out, as well as auriculoventricular conduction block and posterior reversible encephalopathy syndrome. On the ninth day after initial symptoms, the patient presented sensory and motor nerve disturbances with the cerebrospinal fluid analysis showing a clear albumin-cytologic dissociation, consistent with an atypical presentation of GBS with autonomic dysfunction. Immunoglobulin therapy was administered, developing subsequent aseptic meningitis, that required discontinuation of previous therapy and treatment with plasmapheresis. Clinical improvement was achieved with full motor function recovery. CONCLUSION: This case illustrates a Guillain-Barré syndrome variant in which autonomic dysfunction preceded neurologic deficit, a finding uncommon in children, emphasizing this as an important differential diagnosis for severe bradycardia in pediatric patients.

Computational prediction of Au(I)-Pb(II) bonding in coordination complexes and study of the factors affecting the formation of Au(I)-E(II) (E = Ge, Sn, Pb) covalent bonds.

We have studied computationally the Au-M (M = Ge, Sn, Pb) bonding trends in a series of model systems [(PH3)3Au-(MCl3)] (M = Ge (4), Sn (5), Pb (6)). For this, we have fully optimized the model systems at the MP2 level of theory, computing the Au-M bonding energy at the equilibrium distances applying the counterpoise (cp) correction to the basis-set superposition error (BSSE) and performing a natural energy decomposition analysis (NEDA). Furthermore, a topological analysis of the electron density using QTAIM, ELF and DORI tools was performed. In order to provide further insights on the possibility of predicting the existence of Au(i)-Pb(ii) donor bonds, Density Functional Theory calculations using the pbe functional and including dispersion corrections (DFT-D3/pbe) were performed on three model systems, [(PR3)3Au-(PbCl3)] (R = CH3 (7), H (8), CF3 (9)). This study also includes the corresponding NEDA calculations and the topological analysis of the electron density, which provides information about the Au-Pb bond, but also about the supporting weak ligand-ligand interactions. Overall, the study provides information about the factors affecting the formation of stabilizing Au(i)-Pb(ii) covalent bonds.

Time-Dependent Molecular Rearrangement of [Au(N9-adeninate)(PTA)] in Aqueous Solution and Aggregation-Induced Emission in a Hydrogel Matrix.

An in-depth study of the molecular rearrangement of the complex [Au(N9-adeninate)(PTA)] (1), promoted in aqueous solution, is presented. This complex, which has been previously described as forming dimers in its crystalline form, is also demonstrated as being able to assemble into an infinite AuI···AuI chain polymer. The structural motifs are tentatively related to the dramatic modification of the photoemissive properties of 1 in water solution at long times, with the aid of UV-vis and photoluminescence measurements, PGSE-NMR, and theoretical calculations. A subtle equilibrium in favor of aurophilically governed aggregates has been envisaged as the driving force of the molecular rearrangement. Furthermore, 1 has been explored as an additive of the hydrogel of [Au(N9-adeninate)(PMe3)] (2) for a further tuning of its photophysical properties without loss of the gel texture.

Rational Assembly of Metallophilic Gold(I)-Lead(II) and Gold(I)-Gold(I) Puzzle Pieces.

The assembly of two different building blocks, [{Au(C6 F5 )2 }{PbCl(terpy)}] (terpy=2,2':6':2''-terpyridine) and [{Au(C6 F5 )2 }2 {Pb(terpy)}]n , acting as terminal or central pieces, respectively, gives rise to a decanuclear complex built via metallophilic and π-stacking interactions in which the number of AuI ⋅⋅⋅AuI and AuI ⋅⋅⋅PbII contacts is finely controlled.

Early versus conventional nutritional intervention in head and neck cancer patients before radiotherapy: benefits of a fast-track circuit.

BACKGROUND/OBJECTIVES: Radiotherapy (RT) is a component of therapy for head and neck cancer (HNC) with a negative nutritional impact. Our aim was to compare an early versus a conventional nutritional intervention. SUBJECTS AND METHODS: Retrospective study of HNC patients undergoing RT. Evolution before and after the establishment of a fast-track circuit was evaluated. A conventional group (CG) made up of patients submitted to the nutrition unit during RT after nutritional deterioration, was compared to an early group (EG) represented by patients included in a fast-track circuit, starting nutritional follow-up before the beginning of RT. Only patients with preserved oral intake were involved. Demographic, nutritional and clinical variables were analyzed. Data of hospitalizations and deaths were collected up to three months after RT. RESULTS: 135 subjects constituted the EG and 39 the CG. At baseline, the prevalence of malnutrition was lower in the EG (31.9% vs 69.5%, p = 0.0001), as was the need for nutritional supplements (40% vs 79.5%, p = 0.0001) or nasogastric tube (0% vs 12.8%, p = 0.0001) in comparison to the CG. Three months after RT, there were less patients with oral nutritional support in the EG (79.1% vs 96.9%, p = 0.018), and the number of emergency visits (0.75 vs 1.1 episodes per patient, p = 0.021) and hospitalizations was also lower in this group (29% vs 59%, p = 0.044). CONCLUSIONS: The fast-track approach made early intervention possible. Therefore, patients maintained a better nutritional status, needed less nutritional support and their evolution improved, with a significant decrease in hospitalizations.

Perhalophenyl Three-Coordinate Gold(I) Complexes as TADF Emitters: A Photophysical Study from Experimental and Computational Viewpoints.

We report the synthesis of novel perhalophenyl three-coordinated gold(I) complexes using 1,2-bis(diphenylphosphino)benzene (dppBz) as the chelating ligand and [AuR(tht)] (R = C6F5, C6Cl2F3, C6Cl5) as the perhalophenyl-gold(I) source, leading to [AuR(dppBz)] (R = C6F5 (1), C6Cl2F3 (2), C6Cl5 (3)) complexes. The solid-state structures of compounds 2 and 3 consist of discrete three-coordinated Au(I) complexes, which show a distorted trigonal planar geometry for the gold center with dissimilar Au-P distances. The distorted structural arrangement is closely related to its photophysical properties. The studied complexes display very intense emissions at room temperature (RT) and at 77 K in the solid state. Studies of the emissive properties of the complexes at different temperatures suggest that the emissions are phosphorescent at 77 K and exhibit thermally activated delayed fluorescence (TADF) at RT. First-principle calculations of the photophysical processes yielded rate constants for intersystem crossing and reverse intersystem crossing that are in excellent agreement with experimental data.

Metallophilic Au(i)M(i) interactions (M = Tl, Ag) in heteronuclear complexes with 1,4,7-triazacyclononane: structural features and optical properties.

1,4,7-Triazacyclononane (TACN) has been used for the first time to support Au(i)M [M = Tl(i), Ag(i)] metallophilic interactions in the formation of heteronuclear gold(i) complexes having luminescence properties. The compounds {[{Au(C6Cl5)2}Tl(TACN)]2}n (1), [{Au(C6F5)2}Tl(TACN)] (2), [{Au(C6Cl5)2}Ag(TACN)] (3), and [{Au(C6F5)2}{Ag(TACN)}2Au(C6F5)2] (4) have been synthesized by reacting TACN and the polymeric starting organometallic gold(i) compounds [{Au(C6X5)2}M]n (M = Ag(i), Tl(i); X = Cl, F) in a 1 : 1 molar ratio, in THF. 1, 3 and 4 have also been structurally characterized and their optical properties explained on the basis of their structural features with the support of TD-DFT calculations.

Zigzag vs Helicoidal Gold-Silver 1D Chains: Influence of Subtle Interactions in the Spatial Arrangement of Supramolecular Systems.

The reaction of 4'-(2-thienyl)-2,2':6',2,2''-terpyridine (S-terpy) with the heterometallic complexes [Au2Ag2R4(OEt2)2]n (R = C6F5, C6Cl5) leads to the compounds [{Au(C6X5)2}Ag(S-terpy)]n (X = F (1), Cl (2)). The X-ray diffraction analysis of the complexes shows an alternating disposition of the metals -Au-Ag-Au-Ag- in 1D infinite polymeric chains. Despite the fact of having the same metallic sequence, the spatial arrangement observed for both complexes is very different, since for [{Au(C6F5)2}Ag(S-terpy)]n (1) the metals adopt a zigzag disposition, whereas an helicoidal distribution of the interacting metals is observed for the complex [{Au(C6Cl5)2}Ag(S-terpy)]n (2). These different arrangements are related to the perhalophenyl ligands present in the complexes, which appear with different spatial dispositions, being staggered in the case of C6F5 (1) and almost eclipsed in the case of C6Cl5 (2). In order to explain the reasons for these different structural arrangements, we performed a DFT-D3 computational analysis and a subsequent study of the qualitative characterization of the noncovalent interactions (NCIs) in real space.