Gastrointestinal dysmotility is associated with altered gut flora and septic mortality in patients with severe systemic inflammatory response syndrome: a preliminary study.

BACKGROUND: The gut is an important target organ for injury after severe insult, and resolution of feeding intolerance is crucial for critically ill patients. We investigated gut flora and motility to evaluate the impact of gastrointestinal dysmotility on septic complications in patients with severe systemic inflammatory response syndrome (SIRS). METHODS: Sixty-three ICU patients with severe SIRS were divided into two groups depending on their intestinal condition. Patients with feeding intolerance comprised patients who had feeding intolerance, defined as ≥ 300 mL reflux from nasal gastric feeding tube in 24 h, and patients without feeding intolerance comprised patients with no feeding intolerance. We compared fecal microflora, incidences of bacteremia, and mortality between these groups. KEY RESULTS: Analysis of feces showed that patients with feeding intolerance had significantly lower numbers of total obligate anaerobes including Bacteroidaceae and Bifidobacterium, higher numbers of Staphylococcus, lower concentrations of acetic acid and propionic acid, and higher concentrations of succinic acid and lactic acid than those in patients without feeding intolerance (P ≤ 0.05). Patients with feeding intolerance had higher incidences of bacteremia (86%vs 18%) and mortality (64%vs 20%) than did patients without feeding intolerance (P ≤ 0.05). CONCLUSIONS & INFERENCES: Gut flora and organic acids were significantly altered in patients with severe SIRS complicated by gastrointestinal dysmotility, which was associated with higher septic mortality in SIRS patients.

Theoretical study of stability, structures, and aromaticity of multiply N-confused porphyrins.

The total electronic energy and nucleus-independent chemical shift (NICS) of 95 isomers of N-confused porphyrin (NCP: normal porphyrin (N(0)CP), singly N-confused porphyrin (N(1)CP), doubly N-confused porphyrin (N(2)CP), triply N-confused porphyrin (N(3)CP), and fully N-confused porphyrin (N(4)CP)) have been calculated by the density functional theory (DFT) method. The stability of NCP decreased by increasing the number of confused pyrrole rings. Namely, the relative energies of the most stable isomers in each confusion level increased in a stepwise manner approximately by +18 kcal/mol: 0 (N(0)CP1), +17.147 (N(1)CP2), +37.461 (N(2)CPb3), +54.031 (N(3)CPd6), and +65.636 kcal/mol (N(4)CPc8). In this order, the mean plane deviation of these isomers increased from 0.000 to 0.123, 0.170, 0.215, and 0.251 A, respectively. The unusual tautomeric forms of pyrrole ring with an sp(3)-carbon were found in the stable forms of N(3)CP and N(4)CP. The NICS values at the mean position of the 24 core atoms were nearly the same for the most aromatic isomers regardless of the confusion level: -15.1280 (N(0)CP1), -13.8493 (N(1)CP2), -13.7267 (N(2)CPd1), -11.7723 (N(3)CPb5), and -13.6224 ppm (N(4)CPa6). The positive correlation between aromaticity and stability was inferred from the plots of NICS and the relative energy of NCP for N(0)CP, N(1)CP, and trans-N(2)CP. On the other hand, the correlation was negative for cis-N(2)CP, N(3)CP, and N(4)CP isomers.

Syntheses, structural characterizations, and optical and electrochemical properties of directly fused diporphyrins.

Directly fused diporphyrins display the extensive pi conjugation as evinced by highly perturbed electronic absorption spectra as well as lowered and largely split first oxidation potentials. Such diporphyrins prepared include meso-beta doubly linked diporphyrins 7, meso-meso beta-beta beta-beta triply linked diporphyrins 8, and meso-meso beta-beta doubly linked diporphyrins 9. Oxidation of 5,15-diaryl-substituted and 5,10,15-triaryl-substituted Ni(II)-, Cu(II)-, and Pd(II)-porphyrins with tris(4-bromophenyl)aminium hexachloroantimonate (BAHA) in CHCl(3) afforded 7, and triply linked Cu(II)-diporphyrins 8a and 8g were respectively prepared by the oxidation of meso-meso singly linked Cu(II)-diporphyrins 5c and 5f with BAHA. Meso-meso beta-beta doubly linked Ni(II)-diporphyrin 9a was isolated along with triply linked Ni(II)-diporphyrin 8e from the similar oxidation of meso-meso singly linked Ni(II)-diporphyrin 5a. Doubly linked diporphyrins 7 and 9a both exhibit significantly perturbed electronic absorption spectra, in which the Soret-like bands are largely split at around 405-418 and 500-616 nm and the Q-bandlike absorption bands are substantially intensified and red-shifted at 748-820 nm, probably as a consequence of symmetry lowering. Triply linked diporphyrins 8 display more strongly perturbed electronic absorption spectra with split Soret-like bands at 408-419 and 567-582 nm and Q-bandlike absorption bands reaching far-infrared region. Structures of three types of fused diporphyrins 7b and 7c, 8g and 8j, and 9a have been unambiguously determined by X-ray crystallography to be nearly coplanar. Both the triply linked diporphyrins 8g and 8j exhibit very flat structures, whereas the doubly linked diporphyrins 7b and 7c exhibit ruffled structures. The doubly linked diporphyrin 9a shows a helically twisted conformation with larger ruffling toward the opposite directions and has been actually separated into two enantiomers, which display strong Cotton effects in the CD spectra. The first oxidation potentials (E(OX1)) decrease in the order of 5 > 7 > or = 9 > 8, indicating lift-up of HOMO orbital in this order, and split potential differences DeltaE = E(OX1) - E(OX2), in turn, increase in the reverse order of 5 < 7< or = 9 < 8. The (1)H NMR spectra have indicated that the aromatic porphyrin ring current becomes weakened in the order of 5 > 7 > 8. Collectively, the electronic interactions between the diporphyrins have been concluded to increase in the other of 5 << 7 < or = 9 < 8.

Modified windmill porphyrin arrays: coupled light-harvesting and charge separattion, conformational relaxation in the S1 state, and S2-S2 energy transfer.

The architecture of windmill hexameric zinc(II) -porphyrin array 1 is attractive as a light-harvesting functional unit in view of its three-dimensionally extended geometry that is favorable for a large cross-section of incident light as well as for a suitable energy gradient from the peripheral porphyrins to the meso-meso-linked diporphyrin core. Three core-modified windmill porphyrin arrays 2-4 were prepared for the purpose of enhancing the intramolecular energy-transfer rate and coupling these arrays with a charge-separation functional unit. Bisphenylethynylation at the meso and meso' positions of the diporphyrin core indeed resulted in a remarkable enhancement in the intramolecular S1-S1 energy transfer in 2 with tau=2 approximately 3 ps, as revealed by femtosecond time-resolved transient absorption spectroscopy. The fluorescence lifetime of the S2 state of the peripheral porphyrin energy donor determined by the fluorescence up-conversion method was 68 fs, and thus considerably shorter than that of the reference monomer (150 fs), suggesting the presence of the intramolecular energy-transfer channel in the S2 state manifold. Such a rapid energy transfer can be understood in terms of large Coulombic interactions associated with the strong Soret transitions of the donor and acceptor. Picosecond time-resolved fluorescence spectra and transient absorption spectra revealed conformational relaxation of the S1 state of the diporphyrin core with tau = 25 ps. Upon photoexcitation of models 3 and 4, which bear a naphthalenetetracarboxylic diimide or a meso-nitrated free-base porphyrin attached to the modified diporphyrin core as an electron acceptor, a series of photochemical processes proceeded, such as the collection of the excitation energy at the diporphyrin core, the electron transfer from the S1 state of the diporphyrin to the electron acceptor, and the electron transfer from the peripheral porphyrins to the diporphyrin cation radical, which are coupled to provide a fully charge-separated state such as that in the natural photosynthetic reaction center. The overall quantum yield for the full charge separation is better in 4 than in 3 owing to the slower charge recombination associated with smaller reorganization energy of the porphyrin acceptor.

Fully conjugated porphyrin tapes with electronic absorption bands that reach into infrared.

Scandium(III)-catalyzed oxidation of meso-meso-linked zinc(II)-porphyrin arrays (up to dodecamers) with 2,3-dichloro-5,6-dicyano-1,4-benzoquinone (DDQ) led to efficient formation of triply meso-meso-, beta-beta-, and beta-beta-linked zinc(II)-oligoiporphyrins with 62 to 91% yields. These fused tape-shaped porphyrin arrays display extremely red-shifted absorption bands that reflect extensively pi-conjugated electronic systems and a low excitation gap. The lowest electronic absorption bands become increasingly intensified and red-shifted upon the increase in the number of porphyrins and eventually reach a peak electronic excitation for the dodecamer at approximately 3500 wavenumber. The one-electron oxidation potentials also decreased progressively upon the increase in the number of porphyrins. These properties in long and rigid molecular shapes suggest their potential use as molecular wires.

Synthesis and photoisomerization of dithienylethene-bridged diporphyrins.

Dithienylethene-bridged diporphyrins 1-6 were prepared as photochemical switching molecules. Porphyrin and dithienylethene are directly linked in 1, and linked, respectively, through a 1,4-phenylene spacer in 2, through a 4-ethynylphenylene spacer in 3, and through a di-4-phenylethynylene spacer in 4, while meso-ethynylated porphyrin and dithienylethene are directly connected in 5 and linked through a 1,4-phenylene spacer in 6. Compounds 1, 2, and 5 do not undergo any photochemical isomerization, probably due to efficient quenching of the excited dithienylethene by the attached porphyrin moiety via intramolecular energy transfer. Compounds 4 and 6 undergo open-to-closed and closed-to-open photoisomerizations in quantum yields of 4.3 x 10(-)(2) and 1.8 x 10(-)(3), and 2.6 x 10(-)(3) and 7.5 x 10(-)(4), respectively, by irradiation with 313 and 625 nm light, which are considerably smaller than quantum yields of 0.52 and 3.8 x 10(-)(3) for reference dithienylethene molecule 7. The fluorescence of 4 was regulated in a reversible manner by the photoisomerization of the dithienylethene moiety. In addition, the absorption properties of the porphyrin in 6 changed in response to the photochromic reaction of the dithienylethene bridge.

Acid-base and spectroelectrochemical properties of doubly N-confused porphyrins.

The cis-doubly N-confused porphyrin, H2N2CP, containing two adjacent confused pyrrole rings has been investigated from the point of view of its acid-base and electrochemical behavior in dichloromethane. This novel porphyrin isomer can form two metal-carbon bonds in the central core, stabilizing metal ions in unusually high oxidation states. Furthermore, the two outside N-pyrrole atoms remain available for acid-base and specific solvent interactions. Protonation of the pyrrole N atoms proceeds according to two successive steps, while only a single deprotonation step has been observed in the presence of bases. Similarly, in the case of the silver and copper complexes the protonation and deprotonation of the outer pyrrole rings have been detected, confirming the structure of the metalated species as M(III)-HN2CP. The electrochemical reduction of the metal ions (III/II redox process) and oxidation of the macrocycle ring have been detected respectively at -0.9 and 1.4 V based on spectroelectrochemical measurements in conjunction with the acid/base equilibrium studies. Additional waves observed around -0.5 and 1.3 V have been assigned to redox processes involving water molecules associated with the doubly N-confused porphyrins.

Photophysical properties of long rodlike meso-meso-linked zinc(II) porphyrins investigated by time-resolved laser spectroscopic methods.

The molecular design of directly meso-meso-linked porphyrin arrays as a new model of light-harvesting antenna as well as a molecular photonic wire was envisaged to bring the porphyrin units closer for rapid energy transfer. For this purpose, zinc(II) 5,15-bis(3,5-bis(octyloxy)phenyl)porphyrin (Z1) and its directly meso-meso-linked porphyrin arrays up to Z128 (Zn, n represents the number of porphyrins) were synthesized. The absorption spectra of these porphyrin arrays change in a systematic manner with an increase in the number of porphyrins; the high-energy Soret bands remain at nearly the same wavelength (413-414 nm), while the low-energy exciton split Soret bands are gradually red-shifted, resulting in a progressive increase in the exciton splitting energy. The exciton splitting is nicely correlated with the values of cos[pi/(N + 1)] according to Kasha's exciton coupling theory, providing a value of 4250 cm(-1) for the exciton coupling energy in the S(2) state. The increasing red-shifts for the Q-bands are rather modest. The fluorescence excitation anisotropy spectra of the porphyrin arrays show that the photoexcitation of the high-energy Soret bands exhibits a large angle difference between absorption and emission dipoles in contrast with the photoexcitation of the low-energy exciton split Soret and Q-bands. This result indicates that the high-energy Soret bands are characteristic of the summation of the individual monomeric transitions with its overall dipole moment deviated from the array chain direction, while the low-energy Soret bands result from the exciton splitting between the monomeric transition dipoles in line with the array chain direction. From the fluorescence quantum yields and fluorescence lifetime measurements, the radiative coherent length was estimated to be 6-8 porphyrin units in the porphyrin arrays. Ultrafast fluorescence decay measurements show that the S(2) --> S(1) internal conversion process occurs in less than 1 ps in the porphyrin arrays due to the existence of exciton split band as a ladder-type deactivation channel, while this process is relatively slow in Z1 (approximately 1.6 ps). The rate of this process seems to follow the energy gap law, which is mainly determined by the energy gap between the two Soret bands of the porphyrin arrays.

Directly linked dehydropurpurin-porphyrin dyads from Ag(I)-promoted oxidation of meso-phenylethynyl substituted zinc(II) porphyrins.

Ag(I)-promoted oxidation of (5,15-diaryl-10-phenylethynyl-porphyrinato)zinc(II) complexes in CHCl3 gave directly linked 12,13-dehydropurpurin-porphyrin dyads, the structures of which were revealed by X-ray analysis.

The first bis-Rh(I) metal complex of N-confused porphyrin.

An inner- and outer-N coordinated bis-Rh(I) metal complex was obtained from the reaction of N-confused porphyrin and [Rh(CO)2Cl]2 in CH2Cl2 and the structure was confirmed by a single crystal X-ray analysis.

Synthesis of meso-meso linked hybrid porphyrin arrays by Pd-catalyzed cross-coupling reaction.

meso-meso linked porphyrin arrays of a variety of compositions and connectivities have been prepared by Pd-catalyzed cross-coupling reaction in a manner complementary to Ag(I)-promoted oxidative coupling. [reaction: see text]

Three-dimensionally arranged windmill and grid porphyrin arrays by AgI-promoted meso-meso block oligomerization

The syntheses of soluble windmill and grid porphyrin arrays through the AgI-promoted coupling reaction of 1,4-phenylene-bridged linear porphyrin arrays, which are comprised of a central ZnII beta-free porphyrin and flanking peripheral NiII beta-octaalkylporphyrins, are described. The coupling reaction is advantageous in light of its high regioselectivity occurring only at the meso-position of the ZnII beta-free porphyrin as well as its easy extension to large porphyrin arrays. The windmill porphyrin arrays in turn serve as an effective substrate for further coupling reactions, to give three-dimensionally arranged grid porphyrin arrays. Further the grid porphyrin 12-mer (a tetramer of the linear porphyrin trimer) was also coupled to afford grid porphyrins (24-mer, 36-mer, and 48-mer). These porphyrin arrays were isolated in a discrete form by repetitive GPC/HPLC (GPC= gel-permiation chromatography). Competitive experiments with three linear porphyrin trimers bearing different peripheral metalloporphyrins (ZnII, NiII, and Cull), and the trapping experiment of the radical cation at the peripheral porphyrin with AgNO2, suggested that an initial one-electron oxidation of the easily oxidizable peripheral ZnII beta-octaalkylporphyrin with an AgI ion and a subsequent endothermic hole transfer assist the generation of the radical cation at the central ZnII beta-free porphyrin. In all ZnII-metallated windmill porphyrin arrays, the energy level of the S1 state of the meso-meso-linked diporphyrin core is lower than that of the peripheral porphyrins, thereby allowing an energy flow from the peripheral porphyrins to the central diporphyrin core; this has been confirmed by measurements of fluorescence lifetimes and picosecond time-resolved fluorescence spectra. The excitation energy transfer in the arrays encourages their potential use as an light-harvesting antenna.

Control of dihedral angle of meso-meso linked diporphyrins by introducing dioxymethylene straps of various length.

Meso-meso linked strapped diporphyrins S(n)(n = 10, 8, 6, 4, 3, 2, and 1) were synthesized by intramolecular Ag(I)-promoted coupling of dioxymethylene-bridged diporphyrins B(n). With decrease of strap length, the absorption and fluorescence spectra and the one-electron oxidation potentials of S(n) changed in a systematic manner, suggesting a progressive increase in electronic communication of two porphyrins.

First synthesis of tetrapyrrolylporphyrin

[reaction: see text] N-alkyl-substituted meso-tetrapyrrolylporphyrin (TPyrP) and its derivatives were synthesized for the first time via an acid-catalyzed condensation between N-alkyl-2,4-diformylpyrrole and unsubstituted pyrrole and a subsequent deformylation reaction. X-ray structural analysis of formyl-substituted TPyrP shows the tilting of meso pyrrole rings ca. 60 degrees to the porphyrin plane. Formyl groups of meso pyrrole rings were removed by treatment with trifluoroacetic acid (TFA) in pyrrole.