Tolvaptan-induced remission of primary palmar hyperhidrosis in a patient with ADPKD: a serendipitous finding.

A 37-year old man had suffered palmar hyperhidrosis since he was fifteen years old. In the last year, he has been treated with tolvaptan for autosomic polycystic kidney disease (ADPKD). The start of tolvaptan therapy was associated with a complete resolution of palmar hyperhidrosis and a sensation of relaxation. During the year on which the patient took tolvaptan, he had to suspend the drug twice. The suspension of tolvaptan was associated with the reappearance of palmar hyperhidrosis followed by sudden remission after the drug reintroduction. Palmar sweating also known as 'emotional sweating' is not related to thermoregulation but allows an adequate adjustment of the frictional force to perform fine hand movements. Palmar hyperhidrosis is a chronic neurologic disorder characterized by excessive sweating of eccrine glands due to overactivity of the sympathetic nervous system. Palmar sweating and emotional processing are controlled by the limbic system. In this case report reduction of palmar sweating was associated with a sense of well-being. Corticotropin releasing factor (CRF) and adrenocorticotropic hormone (ACTH) are the two main hypothalamic hormones that interact with both the limbic system and the peripheral sympathetic nervous system. Tolvaptan is an arginine vasopressin (AVP) antagonist. AVP has effects on the sympathetic nervous system through both central and peripheral actions. Centrally AVP is a well-known ACTH secretagogue. Remission of palmar hyperhidrosis is probably mediated by tolvaptan acting on central ACTH secretion.

Interaction of Np(v) with borate in alkaline, dilute-to-concentrated, NaCl and MgCl2 solutions.

The interaction of Np(v) with borate was investigated in 0.1-5.0 M NaCl and 0.25-4.5 M MgCl2 solutions with 7.2 ≤ pHm ≤ 10.0 (pHm = -log[H+]) and 0.004 M ≤ [B]tot ≤ 0.16 M. Experiments were performed under an Ar-atmosphere at T = (22 ± 2) °C using a combination of under- and oversaturation solubility experiments, NIR spectroscopy, and extensive solid phase characterization. A bathochromic shift (≈5 nm) in the Np(v) band at λ = 980 nm indicates the formation of weak Np(v)-borate complexes under mildly alkaline pHm-conditions. The identification of an isosbestic point supports the formation of a single Np(v)-borate species in dilute MgCl2 systems, whereas a more complex aqueous speciation (eventually involving the formation of several Np(v)-borate species) is observed in concentrated MgCl2 solutions. The solubility of freshly prepared NpO2OH(am) remained largely unaltered in NaCl and MgCl2 solutions with [B]tot = 0.04 M within the timeframe of this study (t ≤ 300 days). At [B]tot = 0.16 M, a kinetically hindered but very significant drop in the solubility of Np(v) (3-4 log10-units, compared to borate-free systems) was observed in NaCl and dilute MgCl2 solutions with pHm ≤ 9. The drop in the solubility was accompanied by a clear change in the colour of the solid phase (from green to white-greyish). XRD and TEM analyses showed that the amorphous NpO2OH(am) "starting material" transformed into crystalline solid phases with similar XRD patterns in NaCl and MgCl2 systems. XPS, SEM-EDS and EXAFS further indicated that borate and Na/Mg participate stoichiometrically in the formation of such solid phases. Additional undersaturation solubility experiments using the newly formed Na-Np(v)-borate(cr) and Mg-Np(v)-borate(cr) compounds further confirmed the low solubility ([Np(v)]aq ≈ 10-6-10-7 M) of such solid phases in mildly alkaline pHm-conditions. The formation of these solid phases represents a previously unreported retention mechanism for the highly mobile Np(v) under boundary conditions (pHm, [B]tot, ionic strength) of relevance to certain repository concepts for nuclear waste disposal.

Natural attenuation of zinc pollution in smelter-affected soil.

Previous synchrotron X-ray microprobe measurements of Zn speciation in contaminated and uncontaminated soils have identified phyllosilicate as the main sequestration phase. The emphasis now is focused on comparing the nature and properties of neoformed and geogenic phyllosilicate species to understand natural attenuation processes. Refined structural characterization of the two types of Zn-containing phyllosilicate in slightly basic smelter-affected agricultural soils were obtained using a so far unprecedented combination of X-ray microscopic techniques, including fluorescence (µ-XRF), absorption (µ-EXAFS), and diffraction (µ-XRD), and X-ray bulk-sensitive techniques, including powder and polarized EXAFS spectroscopy. The unpolluted and polluted species are both dioctahedral smectites, but the first which contains minor Zn (ca. 150 mg/kg) is aluminous and Fe-free, and the second, which contains several hundreds to a few thousands mg/kg Zn depending on the distance to the smelter and wind direction, is ferruginous with an average Fe/Al atomic ratio of 1.1 ± 0.5. The Zn(2+) and Fe(3+) in the neoformed smectite are derived from the weathering of ZnS, ZnO, FeS(2), and ZnFe(2)O(4) particles from the smelter. These cations diffuse away from their particulate mineral sources and coprecipitate with Al and Si in the soil clay matrix. Zinc sequestration in the octahedral sheet of dioctahedral smectite is potentially irreversible, because this type of phyllosilicate is stable over a large pH range, and the neoformed species is analogous to the native species which formed over time during pedogenesis.

Co speciation in hardened cement paste: a macro- and micro-spectroscopic investigation.

Cement-based materials play an important role in multi-barrier concepts developed worldwide for the safe disposal of hazardous and radioactive wastes. Cement is used to condition and stabilize the waste materials and to construct the engineered barrier systems (container, backfill and liner materials) of repositories for radioactive waste. In this study, Co uptake by hardened cement paste (HCP) has been investigated with the aim of improving our understanding of the immobilization process of heavy metals in cement on the molecular level. X-ray-absorption spectroscopy (XAS) on powder material (bulk-XAS) was used to determine the local environment of Co in cement systems. Bulk-XAS investigations were complemented with micro-beam investigations to probe the inherent microscale heterogeneity of cement by using micro-X-ray-fluorescence (micro-XRF) and micro-XAS. Micro-XRF was used to gain information on the spatial heterogeneity of the Co distribution, whereas micro-XAS was employed to determine the speciation of Co on the microscale. The Co-doped HCP samples hydrated for time-scales from 1 hour up to 1 year were prepared under normal atmosphere, to simulate similar conditions as for waste packages. To investigate the role of oxygen, further samples were prepared in the absence of oxygen. The study showed that, for the samples prepared in air, Co(II) is oxidized to Co(III) after 1 hour of hydration time. Moreover, the relative amount of Co(III) increases with increasing hydration time. The study further revealed that Co(II) is predominately present as a Co-hydroxide-like phase and/or Co-phyllosilicates, whereas Co(III) tends to be incorporated into a CoOOH-like phase and/or Co-phyllomanganates. In contrast to samples prepared in air, XAS experiments with samples prepared in the absence of oxygen revealed solely the presence of Co(II). This finding indicates that oxygen plays an important role for Co oxidation in cement. Furthermore, the study suggests that Co(III) species or Co(III)-containing phases should be taken into account for an overall assessment of the Co release from Co-containing cement-stabilized waste under oxidizing conditions.

Spectroscopic investigation of Ni speciation in hardened cement paste.

Cement-based materials play an important role in multi-barrier concepts developed worldwide for the safe disposal of hazardous and radioactive wastes. Cement is used to condition and stabilize the waste materials and to construct the engineered barrier systems (container, backfill, and liner materials) of repositories for radioactive waste. In this study, Ni uptake by hardened cement paste has been investigated with the aim of improving our understanding of the immobilization process of heavy metals in cement on the molecular level. X-ray absorption spectroscopy (XAS) coupled with diffuse reflectance spectroscopy (DRS) techniques were used to determine the local environment of Ni in cement systems. The Ni-doped samples were prepared at two different water/cement ratios (0.4, 1.3) and different hydration times (1 hour to 1 year) using a sulfate-resisting Portland cement. The metal loadings and the metal salts added to the system were varied (50 up to 5000 mg/kg; NO3(-), SO4(2-), Cl-). The XAS study showed that for all investigated systems Ni(ll) is predominantly immobilized in a layered double hydroxide (LDH) phase, which was corroborated by DRS measurements. Only a minor extent of Ni(ll) precipitates as Ni-hydroxides (alpha-Ni(OH)2 and beta-Ni(OH)2). This finding suggests that Ni-Al LDH, rather than Ni-hydroxides, is the solubility-limiting phase in the Ni-doped cement system.

The use of (micro)-X-ray absorption spectroscopy in cement research.

Long-term predictions on the mobility and the fate of radionuclides and contaminants in cementitious waste repositories require a molecular-level understanding of the geochemical immobilization processes involved. In this study, the use of X-ray absorption spectroscopy (XAS) for chemical speciation of trace elements in cementitious materials will be outlined presenting two examples relevant for nuclear waste management. The first example addresses the use of XAS on powdered cementitious materials to determine the local coordination environment of Sn(IV) bound to calcium silicate hydrates (C-S-H). Sn K-edge XAS data of Sn(IV) doped C-S-H can be rationalized by corner sharing binding of Sn octahedra to Si tetrahedra of the C-S-H structure. XAS was further applied to determine the binding mechanism of Sn(IV) in the complex cement matrix. The second example illustrates the potential of emerging synchrotron-based X-ray micro-probe techniques for elucidating the spatial distribution and the speciation of contaminants in highly heterogeneous cementitious materials at the micro-scale. Micro X-ray fluorescence (XRF) and micro-XAS investigations were carried out on Co(II) doped hardened cement paste. These preliminary investigations reveal a highly heterogeneous spatial Co distribution. The presence of a Co(II)-hydroxide-like phase Co(OH)2 and/or Co-Al layered double hydroxide (Co-Al LDH) or Co-phyllosilicate was observed. Surprisingly, some of the initial Co(II) was partially oxidized and incorporated into a Co(III)O(OH)-like phase or a Co-phyllomanganate.

Microscale investigations of Ni uptake by cement using a combination of scanning electron microscopy and synchrotron-based techniques.

Cement is used to condition waste materials and for the construction and backfilling of repositories for low-and intermediate-level radioactive waste. In this study, Ni uptake by hardened cement paste has been investigated with the aim of improving our understanding of the immobilization process of Ni(ll) in cement on the microscale. Information on the cement microstructure, Ni distribution, Ni concentration, and speciation of the Ni phases formed in the cement system and their association with specific cement minerals has been gained by using scanning electron microscopy (SEM) and synchrotron-based micro-X-ray fluorescence (micro-XRF) and micro-X-ray absorption spectroscopy (micro-XAS). The Ni-doped samples were prepared at a water/cement ratio of 0.4 using a sulfate-resisting Portland cement and were hydrated for 30 days. The metal loadings of the system were varied from 50 up to 5000 mg/kg. SEM investigations show that for all metal loadings the Ni phases form rims around inner-calcium silicate hydrates, suggesting a direct association with this cement phase. The micro-XAS measurements further reveal that a mixture of Ni phases form at Ni-enriched regions. Data analysis indicates that Ni(ll) is predominantly immobilized in a layered double hydroxide-type phase (Ni-Al LDH) and only to a minor extent precipitates as Ni-hydroxides (alpha-Ni(OH)2 and beta-Ni(OH)2). At 50 mg/kg Ni loading, however, the p-XAS measurements suggest the presence of an additional Ni species. In the latter system Ni-Al LDH is found in Ni-rich regions, whereas at Ni-poor regions an unknown species is formed.

Adherence in tissues of immunocompromised mice of a non-mycelium producing strain of Candida albicans.

A non-mycelial strain of wild-type Candida albicans strain 3153 A was produced by repeated subculturing on Sabouraud glucose agar, and maintained on yeast extract-peptone-glucose medium resulting in hydrophobic cells at 26 degrees C and hydrophilic cells at 37 degrees C. The behaviour of cells of this strain was studied in male BALB/c mice, immunocompromised by treatment with cyclophosphamide and cortisone acetate. An ex-vivo assay of cell adherence to tissue sections of liver, spleen, kidney and lymph-nodes was used. The adherence of yeast cells at 26 and 37 degrees C was predominantly produced by hydrophobic cells and was significantly greater in spleen and liver of immunosuppressed mice compared with the organs of control animals. Adhesion was observed in the white and red pulp as well as in the marginal zone of the spleen.

The morphology of Candida albicans in two different Earle base media in the presence of tunicamycin.

The effect of tunicamycin on the morphology of Candida albicans yeast cells and germ tubes grown in two different Earle's minimal essential media was investigated. Tunicamycin inhibited germ tube and mycelia formation. Inhibition increased the size and caused aberrant morphology of yeast cells, including bud formation. These cells are hydrophobic and could be used for the production of two monoclonal antibodies suitable for the study of adhesion phenomena as well as ectomural properties.

Adherence of germ tubes of Candida albicans to tissues from immunocompromised mice.

The influence of immune status of the host on binding of germ tubes of Candida albicans to murine tissue sections in an ex vivo assay was examined. Generally, germ tubes appeared randomly adhered to the tissues examined and binding was unaffected by immunodeficiency induced by treatment with cyclophosphamide and cortisone acetate. Adherence was somewhat reduced in spleen and kidney sections or increased in liver sections and unchanged in lymph node sections from treated mice compared to sections from control animals. Scanning electron micrographs showed organisms appeared to be loosely or tightly bound to the surface or partially embedded in spleen sections from both control and treated mice. These observations suggested that qualitative and quantitative difference in adhesion of germ tubes to various tissues may contribute little to the susceptibility of the immunodeficient animal to candidal infection.

Adherence of Candida albicans germ tubes to murine tissues in an ex vivo assay.

Adhesion of Candida albicans germ tubes to murine tissues was examined. An ex vivo assay previously employed to examine adhesion of yeast cells of C. albicans was adapted for use with germ tubes. Binding of germ tubes to kidney, liver, spleen, and lymph node tissues was found to occur throughout the tissue section, with little morphologic specificity. In general, more organisms adhered to spleen and lymph node tissues than to kidney and liver tissues. Observation of adhesion with scanning organisms adhered to spleen and lymph node tissues than to kidney and liver tissues. Observation of adhesion with scanning electron microscopy showed three germ tube-tissue interactions described as loose, tight, or embedded.

Scanning electron microscopic study on the effect of tunicamycin on Candida albicans.

Scanning electron microscopy was used to study the effect of tunicamycin, an inhibitor of N-glycosylation, on the morphology of Candida albicans grown in minimal essential medium Earle's base and supplemented with 0.5% N-acetyl-D-glucosamine to stimulate germ tube induction. Addition of the drug prevented development of germ tubes, development of mycelia from germ tubes and resumption of germ tube growth after drug removal. Inhibited cells increased in size during treatment and subsequently became misshapen and shrivelled with evidence of cytoplasmic spillage.

Variations in the antigenic effects of tunicamycin on Candida albicans.

We report on the effect of subinhibitory doses of tunicamycin on Candida albicans cells (BP strain high responder NCYC 1466) in a defined medium favourable for expression of the mycelial phase. Tunicamycin inhibited the synthesis of some protein fractions ranging from 40 to 65 kDa, where the immunodominant antigens of C. albicans responsible for the antibody response to systemic mycosis were inhibited. By two-dimensional immunoelectrophoresis, antigen extracts from the cell cultures grown with tunicamycin showed a migration modification and a lower number of precipitation arcs with variation in their height and range.