Congenital dyserythropoietic anemia type II-A rare case report.

ABSTRACT: Congenital dyserythropoietic anemia type II (CDA II), initially described as hereditary erythroblastic multinuclearity with a positive acidified serum test (HEMPAS), is a rare genetic disease inherited in an autosomal recessive mode that presents with mild to severe anemia. The occurrence of this entity is quite uncommon and requires extensive work-up for a conclusive diagnosis. Here, we are reporting a case of two-year-old male child who presented with severe anemia, abdominal distension, and delayed milestones. Evaluation of bone marrow aspirate suggested the possibility of CDA which led to molecular work-up by whole exome sequencing with detection of c.1142C>T (p.Thr381lle) variant in SEC23B (NM_006363.6) gene.

Through-Space Charge-Transfer-Based Aggregation-Induced Emission and Thermally Activated Delayed Fluorescence in Fused 2H-Chromene Coumarin Congener Generating ROS for Antiviral (SARS-CoV-2) Approach.

Harvesting triplets in metal-free organic frameworks at ambient conditions and finding appropriate applications are a formidable challenge. Herein, we report a donor-acceptor-type system composed of carbazole and fused 2H-chromene coumarin derivative, exhibiting triplet harvesting thermally activated delayed fluorescence (TADF) and aggregation-induced emission (AIE) behavior in solid and aggregated states, respectively. The presence of an sp3 linker and the introduction of a selected cyano/ester group in the acceptor result in twisted D-A architectures, further assisting in the suppression of nonradiative deactivation via through-space charge transfer and H-bonding interactions, fulfilling the stringent requirements for the simultaneous process of TADF and AIE, successively. Experimental and theoretical results revealed that the participation of the singlet/triplet charge transfer (1CT/3CT) and the higher lying hybrid triplet locally excited charge-transfer state (3LE + 3CT) leads to an efficient TADF. Both of the synthesized AIE-TADF congeners actively participated in the generation of reactive oxygen species (ROS) in nanoaggregate forms and were further explored computationally for antiviral prospects as inhibitors of the SARS-CoV-2 spike protein.

Highly efficient color-tunable organic co-crystals unveiling polymorphism, isomerism, delayed fluorescence for optical waveguides and cell-imaging.

Photofunctional co-crystal engineering strategies based on donor-acceptor π-conjugated system facilitates expedient molecular packing, consistent morphology, and switchable optical properties, conferring synergic 'structure-property relationship' for optoelectronic and biological functions. In this work, a series of organic co-crystals were formulated using a twisted aromatic hydrocarbon (TAH) donor and three diverse planar acceptors, resulting in color-tunable solid and aggregated state emission via variable packing and through-space charge-transfer interactions. While, adjusting the strength of acceptors, a structural transformation into hybrid stacking modes ultimately results in color-specific polymorphs, a configurational cis-isomer with very high photoluminescence quantum yield. The cis-isomeric co-crystal exhibits triplet-harvesting thermally activated delayed fluorescence (TADF) characteristics, presenting a key discovery in hydrocarbon-based multicomponent systems. Further, 1D-microrod-shaped co-crystal acts as an efficient photon-transducing optical waveguides, and their excellent dispersibility in water endows efficient cellular internalization with bright cell imaging performances. These salient approaches may open more avenues for the design and applications of TAH based co-crystals.

Hot-exciton harvesting via through-space single-molecule based white-light emission and optical waveguides.

Through-space donor-alkyl bridge-acceptor (D-σ-A) luminogens are developed as new organic single-molecule white light emitters (OSMWLEs) involving multiple higher lying singlet (S n ) and triplet (T m ) states (hot-excitons). Experimental and theoretical results confirm the origin of white light emission due to the co-existence of prompt fluorescence from locally excited states, thermally activated delayed fluorescence (TADF), and fast/slow dual phosphorescence color mixing simultaneously. Notably, the fast phosphorescence was observed due to trace amounts of isomeric impurities from commercial carbazole, while H-/J-aggregation resulted in slow phosphorescence. Crystal structure-packing-property analysis revealed that the alkyl chain length induced supramolecular self-assembly greatly influenced the solid-state optical properties. Remarkably, the 1D-microrod crystals of OSMWLEs demonstrated the first examples of triplet harvesting waveguides by self-guiding the generated phosphorescence through light propagation along their longitudinal axis. This work thus highlights an uncommon design strategy to achieve multi-functional OSMWLEs with in-depth mechanistic insights and optical waveguiding applications making them a potentially new class of white emissive materials.

COVID Associated Mucormycosis: A Study on the Spectrum of Clinical, Biochemical and Radiological Findings in A Series of Ten Patients.

BACKGROUND: There is more than twofold rise in prevalence of mucormycosis cases in India during the COVID-19 pandemic which needs to be evaluated. AIMS: The study aimed to document the spectrum of cases of mucormycosis seen at our Institute during COVID-19 times. METHODS: The study is a retrospective observational study carried out at our Institute from May 2021 to mid-June 2021. All patients with biopsy-proven mucormycosis were enrolled in the study. The patients were subjected to complete history taking, ophthalmological examination, and imaging studies. The patients were treated with a multidisciplinary approach with antifungal therapy as well as surgical intervention when needed. RESULTS: Ten patients (n=10) were seen, with a mean age of 50.3 years. The major risk factors included recent use of steroids, uncontrolled diabetes, and CKD. The most common presentation was swelling of unilateral eye and ptosis, followed by loss of vision. Inflammatory marker (CRP) and d-dimer were raised at presentation in all cases. Imaging showed the spread of infection from paranasal sinus to orbit and brain via cavernous sinus, which was a poor prognostic factor. Intravenous Amphotericin-B was given to all patients for at least 4 weeks. Two patients were discharged after completion of treatment and mortality was seen in three patients. CONCLUSION: We present an array of COVID-associated-mucormycosis (CAM) cases from Eastern India. CAM is presenting with rhino-orbito-cerebral involvement. There is poor outcome with cerebral involvement and high incidence of adverse effects with deoxycholate formulation of amphotericin-B. The causal association of COVID-19 with mucormycosis needs to be unearthed but possible preventive role of anticoagulation should be evaluated.

Aggregation induced bright organic luminogens: Design strategies, advanced bio-imaging and theranostic applications.

The concept of aggregation-induced emission (AIE) in purely organic luminescent molecules has drawn wide attention in the last two decades. Despite the many challenges, AIE-probes have opened versatile opportunities in many research fields. In particular, the emerging functional properties of room temperature phosphorescence (RTP) and thermally activated delayed fluorescence (TADF) have boosted the unique features of AIE luminogens (AIEgens). Thus, these luminescent materials extended the utility in sensing, imaging, optoelectronics and theranostic applications in biological field over the conventional fluorescent probe. Unlike the sensitivity of triplet state by oxygen and moisture, the long-lived phosphorescence and delayed fluorescence resulting from the enhanced intersystem crossing (ISC) and reverse intersystem crossing (RISC) from excited triplet state (T1) to excited singlet state (S1) in these luminophores gives rise to long lifetimes ranging from nanoseconds to milliseconds even up to seconds. As compared to traditional fluorescence molecules advanced AIE probes show high contrast imaging and deeper penetration depth, which have been demonstrated through near infrared I and II (NIR-I & NIR-II) fluorescence imaging, room temperature after-glow imaging and photoacoustic imaging. This chapter highlights the recent developments and principle of the efficient design of AIE probe with multi-functional properties evolved with new strategies for translational applications via fluorescence imaging, photoacoustic imaging and image-guided photodynamic/photothermal therapy (PDT/PTT) including future opportunities for AIEgens to advance the overall biomedical field.

Stimuli-Responsive Trimorphs and Charge-Transfer Complexes of a Twisted Molecular Donor.

Supramolecular self-assemblies and co-assemblies possess multiple noncovalent interactions, highly ordered structures, and multifunctional properties. Yet, the fundamental understanding of their "structure-property relationship" remains very challenging. Herein, two kinetically controlled supramolecular charge transfer (CT) complexes were conceptualized from a trimorphic molecular donor denoted as "twisted aromatic hydrocarbon" (TAH), with p-fluoranil (TFQ) and p-chloranil (TCQ) in water, organic solvent, and solvent-free methods. Elucidating their co-assembling mechanism revealed that segmentation of the TAH with molecules having planar deficient cores spontaneously formed a distinct "H-type mixed stack" and "J-type segregated stack", regulated by blue/red-shifted charge-transfer and π-π stacking including weak C-H···F and C-H···O noncovalent interactions. By utilizing the structural transformational ability of the self-assembled TAH, the mechanistic aspects for the rapid nanoscopic co-assembly formation were precisely demonstrated experimentally and theoretically. The trimorphs and co-crystals of TAH could be disassembled resulting in turn-on emission by applying various external stimuli and being repeatedly reconfigured, thus providing a unique structure-property relationship and new TAH-based materials. This unique concept offers color-specific polymorphism and CT-complex formation strategy involving a simple class of functional materials having cooperative network forming ability using the twisted molecular donor.

A conformational tweak for enhanced cellular internalization, photobleaching resistance and prolonged imaging efficacy.

A strategy of conformational tweaking regulates the condensed state behavior of naphthalimide skeletal isomers (NSIs) and enhances their photophysical properties, cellular uptake and prolonged imaging capability. This salient approach results in a large Stokes shift (>120 nm), rapid cellular internalization, photobleaching resistance, and efficient bioimaging of the ribbon-like nano-assembly superior to that of its electronically similar micro-flower isomer.

Recent Developments on Multi-Functional Metal-Free Mechanochromic Luminescence and Thermally Activated Delayed Fluorescence Organic Materials.

Metal-free organic compounds with highly ordered π-conjugated twisted skeletons are capable of generating brilliant multi-colored light. Additionally, the co-existence of numerous other multi-functional properties have endowed them with the potential to be a promising class of materials for several electronic and photonic applications and next-generation advanced luminescent material-based devices. This review highlights the recent developments made in this fascinating class of multi-property encompassing materials, involving a highly twisted donor-acceptor based single molecular platform with synchronized photophysical behavior such as thermally activated delayed fluorescence (TADF), mechanoresponsive (MR), room-temperature phosphorescence (RTP), and aggregation induced emission (AIE) with associated unique and inherently manifested structure-property relationship investigations. Furthermore, a brief summary of the optoelectronic behavior of TADF materials are also presented by correlating their performances in the organic light-emitting diodes (OLEDs) and corresponding EL devices. In addition to mechanochromic luminescence (MCL) with TADF behavior, new types of emitters are also being developed, with tunable color changes such as blue-green, yellow-orange, yellow-red, etc., with some emitters crossing the entire visible span to produce white OLEDs. These developments have enriched the library of fascinating organic materials in addition to providing new directions of multifunctional material design for solutions processed OLED and several other advanced devices.

White light emitting diode based on purely organic fluorescent to modern thermally activated delayed fluorescence (TADF) and perovskite materials.

White organic/polymer light emitting diode (WOLED/WPLED) processed from solution has attracted significant research interest in recent years due to their low device production cost, device flexibility, easy fabrication over large area including roll to roll and ability to print in various designs and shapes providing enormous design possibilities. Although WOLEDs fabricated using solution process lack their thermally evaporated counterparts in terms of device efficiency, remarkable progress has been made in this regard in recent years by utilizing new materials and device structures. In the present review, we have summarized and extrapolated an excellent association of old and modern concept of cost-effective materials and device structure for realization of white light. In particular, this article demonstrated and focused on design, and development of novel synthesis strategy, mechanistic insights and device engineering for solution process low cost WOLEDs device. Herein, an overview of the prevailing routes towards white light emitting devices (WLEDs) and corresponding materials used, including polymer based WLED, small molecules emitters based thermally activated delayed fluorescence (TADF), perovskite light-emitting diodes (PeLEDs) and hybrid materials based LEDs, color down-converting coatings with corresponding best efficiencies ever realized. We presume that this exhaustive review on WLEDs will offer a broad overview of the latest developments on white SSL and stonework the approach en route for innovations in the immediate future.