Association of preoperative neutrophil-lymphocyte ratio with acute kidney injury in patients with non-cardiac surgery: difference among surgical types.

PURPOSE: To examine the relationship between Neutrophil-Lymphocyte Ratio (NLR) and Acute Kidney Injury (AKI) in patients undergoing noncardiac surgery, and subgroup analysis was performed for different types of non-cardiac surgery. METHODS: The present retrospective cohort study included 10,159 adult patients who underwent major noncardiac surgery at Nanfang Hospital, Southern Medical University, between 2008 and 2018. Postoperative AKI was defined as an increase in serum creatinine level of at least 0.3 mg/dl within 48 h, or 1.5 times higher than baseline within 7 days postoperatively according to the Kidney Disease Improving Global Outcome. The correlation between preoperative NLR and postoperative AKI was determined by stepwise multivariate logistic regression analysis, and the predictive value of NLR was evaluated by the receiver operating characteristics curve (ROC) analysis. RESULTS: Four hundred and eighty-five (4.77%) patients developed AKI postoperatively. Preoperative NLR was independently associated with postoperative AKI in all patients undergoing non-cardiac surgery (Odds ratio [OR], 1.03; 95% confidence interval [CI], 1.00-1.06). The optimal cut-off value of NLR was 2.12 according ROC analysis. The OR and 95% CI of AKI for NLR > 2.12 was 1.48 (1.21-1.81) compared with NLR ≤ 2.12. In addition, the positive association was mainly shown in patients undergone digestive system surgery with a cut-off value of 2.12 but not in neurological and musculoskeletal system surgeries. CONCLUSION: The present study confirmed the association of preoperative NLR with postoperative AKI in digestive system surgical patients. A NLR value of 2.12 may be a useful cut-off to evaluate the risk of AKI.

A 2-Fold Interpenetrated Nitrogen-Rich Metal-Organic Framework: Dye Adsorption and CO2 Capture and Conversion.

A bifunctional ligand strategy for modification of the functional pores is of great significance in the structural design of metal-organic frameworks (MOFs). Herein, a new 2-fold interpenetrated "pillared-layer" 3D Co-MOF, {[Co(HL)(4,4'-bipy)]·DMF·2H2O}n (1), was successfully synthesized by using two kinds of ligands, imidazolecarboxylic acid and pyridine. The metal-carboxylic layers are pillared by the 4,4'-bipy ligand, displaying a 3D framework with rectangular 3D channels (high BET surface of 190.9 m2 g-1 and maximum aperture of 3.9 Å) that are decorated with abundant uncoordinated N and O atoms. 1 shows good water stability and thermal stability (320 °C). The proper pores and active sites endowed 1 with a selective adsorption of Congo red in aqueous solution. In addition, a high CO2 adsorption capacity and an excellent CO2 chemical conversion were observed.

Zeolitic Metal Cluster Carboxylic Framework for Selective Carbon Dioxide Chemical Fixation through the Superlarge Cage.

Metal-organic frameworks (MOFs) with zeolitic structure process fantastic structural metrics and display excellent applications in many aspects; however, they are difficult to assemble. Herein, on the basis of a tetrahedral Zn4O cluster and a 3,5-bis(2,4-dicarboxylphenyl)nitrobenzene (H4L) ligand, a novel sodalite (SOD) zeolitic cluster framework (ZCF), {[Zn4(O)(L)2]·4DMF·6H2O}n (ZCF-1; DMF = N,N-dimethylformamide), has been hydrothermally synthesized. Compared with the traditional SOD zeolitic framework of ZIF-8, the cage size of ZCF-1 is dramatically improved from 16.9 to 29.2 Å by the introduction of longer tetradentate carboxylic ligands. Moreover, because of the functional nitryl group in the ligand, ZCF-1 exhibits a high CO2/CH4 selectivity. Hence, further research on the chemical fixation of CO2 is implemented, which reveals excellent heterogeneous catalytic activity and durability. Especially, a unique selective catalytic performance with a high yield of 88.3% on a larger molecular size reactant (glycidyl phenyl ether) is observed, which is attributed to the stereoselection effect of the superlarge cage and abundant Zn4O catalytic clusters in ZCF-1.

Spastic paraplegia as the predominant phenotype in a cohort of Chinese patients with adrenoleukodystrophy.

BACKGROUND: X-linked adrenoleukodystrophy (ALD) is one of the most common peroxisomal disorders characterized by abnormal accumulation of very long-chain fatty acids (VLCFA) in plasma and tissues and caused by mutations within ABCD1. Clinically, ALD present with various phenotypes, ranging from asymptomatic type to rapidly progressive childhood cerebral form. However, no remarkable abnormality in cerebral white matter usually makes it difficult to distinguish adult ALD from hereditary spastic paraplegia (HSP). METHODS: We analyzed the features of seven Chinese ALD patients who had a primary phenotype of spastic paraplegia. Sequencing was performed in the probands and their familial members. Detailed clinical, VLCFAs test, hormone test, magnetic resonance imaging, and electromyogram are presented. RESULTS: We reported seven ALD patients from a Chinese cohort of 142 HSP patients. Genetic investigations revealed five known ABCD1 mutations (c.346G>C, c.521A>G, c.829G>T, c.1415_1416delAG, and c.1849C>T) and two novel mutations (c.454C>G, c.1452_1482del). Further auxiliary testing revealed that they had higher VLCFA and/or adrenal insufficiency. CONCLUSIONS: Our findings expand the mutation spectrum of ABCD1 and indicate that ALD represent a significant portion (4.9%, 7/142) of the spastic paraplegia entities. ALD should be considered in male patients with spastic paraplegia, even if there was no positive family history.

Clinical features and genetic spectrum in Chinese patients with recessive hereditary spastic paraplegia.

BACKGROUND: Although many causative genes of hereditary spastic paraplegia (HSP) have been uncovered in recent years, there are still approximately 50% of HSP patients without genetically diagnosis, especially in autosomal recessive (AR) HSP patients. Rare studies have been performed to determine the genetic spectrum and clinical profiles of recessive HSP patients in the Chinese population. METHODS: In this study, we investigated 24 Chinese index AR/sporadic patients by targeted next-generation sequencing (NGS), Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA). Further functional studies were performed to identify pathogenicity of those uncertain significance variants. RESULTS: We identified 11 mutations in HSP related genes including 7 novel mutations, including two (p.V1979_L1980delinsX, p.F2343 fs) in SPG11, two (p.T55 M, p.S308 T) in AP5Z1, one (p.S242 N) in ALDH18A1, one (p.D597fs) in GBA2, and one (p.Q486X) in ATP13A2 in 8 index patients and their family members. Mutations in ALDH18A1, AP5Z1, CAPN1 and ATP13A2 genes were firstly reported in the Chinese population. Furthermore, the clinical phenotypes of the patients carrying mutations were described in detail. The mutation (p.S242 N) in ALDH18A1 decreased enzyme activity of P5CS and mutations (p.T55 M, p.S308 T) in AP5Z1 induced lysosomal dysfunction. CONCLUSION: Our results expanded the genetic spectrum and clinical profiles of AR-HSP patients and further demonstrated the efficiency and reliability of targeted NGS diagnosing suspected HSP patients.

Clinical and genetic characterization of a cohort of Chinese patients with hereditary spastic paraplegia.

Pedigree chart of hereditary spastic paraplegia (HSP) patients and chromatogram of novel mutations. A. Pedigree chart of 12 Chinese HSP families with mutation. Squares indicate males; circles indicate females; the black symbols indicate affected individuals; arrows indicate the probands; and asterisks indicate the individual with mutation.B. Chromatogram of six novel mutations identified in our cohort. The upper panel in chromatogram depicts the reference sequence. The lower panel represents heterozygous mutated sequence.

Four new metal-organic frameworks based on diverse secondary building units: sensing and magnetic properties.

Four new metal-organic frameworks (MOFs), {[Zn3(L)(OH)(H2O)5]·NMP·2H2O}n (1), {[H2N(Me)2][Zn2(L)(H2O)]·DMF·H2O}n (2), {[Co5(L)2(H2O)11]·2H2O}n (3) and {[Mn5(L)2(H2O)12]·6H2O}n (4), were assembled employing a symmetrical V-shaped rigid multicarboxylic acid ligand H5L (H5L = 2,4-di(3',5'-dicarboxylphenyl)benzoic acid) with different metal ions, resulting in versatile frameworks as well as various types of coordination modes of H5L. 1 forms a three-dimensional (3D) 4-connected sra net based on trinuclear [Zn3(µ3-OH)(µ2-COO)(µ1-COO)4] clusters, while 2 displays a 3D (4,6)-connected net based on two types of binuclear [Zn2(µ2-COO)2(µ1-COO)4] and [Zn2(µ2-COO)4] clusters. 3 and 4 contain similar [M3(µ2-COO)4(µ1-COO)2] (3, M = Co; 4, M = Mn) clusters but result in different 4-connected 3D and 2D frameworks, respectively. 1 and 2 show solid-state luminescence properties at ambient temperature. Meanwhile, 1 shows high selectivity and sensitivity for not only Fe3+ cations but also for CrO42-, Cr2O72- and MnO4- anions via a luminescence quenching effect with a low detection limit, which thus means that it could be a potential crystalline material for detecting these anions. The mechanisms of the quenching effect and sensing properties of 1 are discussed in detail. In addition, 3 and 4 have the presence of antiferromagnetic interactions between the metal ions.

The influence of coordination modes and active sites of a 5-(triazol-1-yl) nicotinic ligand on the assembly of diverse MOFs.

Six new complexes based on 5-(triazol-1-yl)nicotinic acid (HL), namely [Cu2(L)3(H2O)(OH)]n (1), [Co(L)2(H2O)2]n (2), [Mn(L)2(H2O)2]n (3), {[Co(L)(H2O)0.5(DMF)0.5(NO3)0.5]·(Cl)0.5·DMF·2H2O}n (4), {[Cu(L)(O)0.5]·CH3OH·2.5H2O}n (5) and {[Co2(L)4(H2O)]·2DMA·2H2O}n (6), were synthesized under hydro(solvo)thermal conditions. The L- ligand in 1-6 reveals various coordination modes and forms diverse secondary building units (SBUs) in the final structures. Complex 1 shows a 2D layered structure with a rare (3,8)-connected topology based on tetranuclear [Cu4(COO)6(H2O)2(OH)2N6] SBUs. 2 and 3 are isostructural and display 2D 4-connected sql nets with a point symbol of (44·62). 4 and 5 have similar spatial 3D porous frameworks, which can be simplified as a (3,6)-connected 2-nodal net via dinuclear [Co2(COO)2(O)2(NO3)(N)4] SBUs and [Cu2(COO)2(O)(N)4] SBUs, respectively. 6 is a 3D porous framework constructed by dinuclear [Co2(COO)4(H2O)(N)4] motifs with a uninodal 4-connected qtz net. The magnetic properties and gas sorption behaviour of these complexes were investigated carefully, showing that 3 exhibits ferrimagnetic character and 4 demonstrates its effective storage capacity for CO2 as well as high selectivity for CO2 over CH4 under ambient conditions.

Four new 3D metal-organic frameworks constructed by the asymmetrical pentacarboxylate: gas sorption behaviour and magnetic properties.

By using an asymmetrical rigid pentacarboxylic acid ligand, 2,4-di(3',5'-dicarboxylphenyl)benzoic acid (H5L), four new three-dimensional (3D) metal-organic frameworks (MOFs), namely {[Cu2(HL)(H2O)2]·2DMF·2H2O}n (1), {[Co2(L)(DMA)]·H2N(Me)2}n (2), {[Co2(L)(H2O)]·H2N(Me)2}n (3), {[Mn2(L)(DMF)(H2O)]·H2N(Me)2}n (4), were solvothermally synthesized. H5L in 1-4 shows different coordination modes and can easily form various metal clusters (secondary building units, SBUs) in the final structures. 1 is a 3D porous framework with a (4,4)-connected pts topology based on the [Cu2(COO)4] paddlewheel SBU, wherein six SBUs are connected by twelve HL4- to get an unprecedented Cu12 hendecahedron nanocage. 2-4 possess similar dinuclear [M2(COO)5] SBUs (M = Co, Mn), which are further extended by L5- to give rise to 3D frameworks with the uncommon (5,5)-connected nia-5,5-P21/c and bnn topologies. In addition, the desolvated framework of 1 contains polar channels decorated with uncoordinated carboxylate groups, leading to selective adsorption for CO2 over CH4 at 195, 273 and 298 K. Moreover, the magnetic properties of 1-4 show that there exist antiferromagnetic interactions between metal ions.

Four super water-stable lanthanide-organic frameworks with active uncoordinated carboxylic and pyridyl groups for selective luminescence sensing of Fe(3.).

Four super water-stable isostructural lanthanide-organic frameworks, [Ln(HL)(H2O)2]n·2H2O (1-Ln) (Ln = Eu, Tb, Nd and Sm), have been successfully synthesized under hydrothermal conditions with 3,5-di(2,4-dicarboxylphenyl)pyridine (H4L) and Ln(NO3)3·6H2O. 1-Ln shows a novel 2D layered structure with uncoordinated carboxylic and pyridyl groups pointing to the interior of interlayer channels. The luminescent properties of 1-Eu in the solid state and one steeped in aqueous solution have been measured, which show excellent luminescence and good luminescent stability in water. Next 1-Eu was chosen as a probe for sensing different metal ions. Consequently, 1-Eu exhibits a highly selective response to Fe(3+) through the luminescence quenching effect in aqueous solutions. The probable mechanisms of the quenching effects have been investigated in detail.