[Antiphospholipid syndrome: much new data]. / Syndrome des anticorps antiphospholipides: beaucoup de nouveautés.

Recently some key papers and consensus have shed some new light on antiphospholipid syndrome (APS). Concerning the tests the search for lupus anticoagulant is now better defined. A modified antibeta2-glycoprotein I assay has been shown to be more specific for clinical complications. It seems necessary to still perform anticardiolipin antibodies in case of pregnancy morbidity but not in case of thrombosis which raises the question of two separate clinical entities with different pathologic mechanisms. Concerning the pathophysiology, new data emphasize the role of complement and underscore the role of genetic predisposition. The data of some large cohort followed prospectively such as the European cohort (1000 APS patients) as well the data of some registries (APS in children and patients with a catastrophic APS) bring some new important information on the clinical aspects of the syndrome. Finally this review will propose some algorithms to treat patients with APS.

Theoretical study of the vibrational spectra of the hydrogen-bonded systems between pyridine-3-carboxamide (nicotinamide) and DMSO.

The vibrational characteristics (vibrational frequencies and infrared intensities) for the hydrogen-bonded systems of nicotinamide (NA(Z) and NA(E)) with dimethyl sulfoxide (DMSO) have been predicted using ab initio SCF/6-31G(d,p) and DFT (BLYP/6-311++G(d,p)) calculations. The changes in the vibrational characteristics from free monomers to a complex have been calculated. The ab initio and BLYP calculations show that the complexation between nicotinamide (NA(Z) and NA(E)) and DMSO leads to large red shifts of the stretching vibrations for the hydrogen-bonded N-H bonds of nicotinamide and very strong increase in their IR intensity. The results from the BLYP/6-311++G(d,p) calculations show that the predicted red shifts of the nu(s)(NH) and nu(as)(NH) vibrations for the complex NA(E)-DMSO (1:2) (Deltanu(as)(NH)=-186 cm(-1) and Deltanu(s)(NH)=-198 cm(-1)) are in better agreement with the experimentally measured. The magnitudes of the wavenumber shifts are indicative of strong NH...O hydrogen-bonded interactions in both complexes. The calculations predict an increase of the IR intensity of nu(s)(NH) and nu(as)(NH) vibrations in the complexes up to 14 times. Having in mind that in more cases the predicted changes in the vibrational characteristics for the complexes studied are very near, it could be concluded that both conformers of nicotinamide, Z-conformer and E-conformer, are present in the solution forming the hydrogen-bonded complexes with DMSO.

Structure and vibrational spectrum of the hydrogen-bonded system between 4-tert-butylphenol and N-bases: Ab initio and DFT studies.

The structural and vibrational characteristics of the hydrogen-bonded system between 1,5,7-triazabicyclo [4.4.0] dec-5-ene (TBD) and 4-tert-butylphenol have been investigated employing ab initio and DFT calculations at different basis sets. The calculations show that the optimized structure of the studied system is cyclic. The corrected values of the dissociation energy for the hydrogen-bonded complex have been calculated in order to estimate its stability. The influence of the hydrogen bonding on the properties of the monomers (TBD and 4-tert-butylphenol) has been investigated. The hydrogen bonding between TBD and 4-tert-butylphenol leads to changes in the structural (bond lengths and angles) and vibrational (vibrational frequencies and infrared intensities) characteristics of the monomers. It was established that the TBD molecule is considerably deformed upon hydrogen bonding, while the deformation of the 4-t-BuPhOH is smaller. In agreement with the experiment, the calculations show that the stretching O-H vibration from 4-tert-butylphenol is shifted to lower frequency upon hydrogen bonding. The predicted frequency shift Deltanu(O-H) (-338cm(-1)) is in very good agreement with the experimentally observed (-351cm(-1)). In the same time the IR intensity of the nu(O-H) increases dramatically in the hydrogen-bonded system.

Theoretical study of the structures and vibrational spectra of the hydrogen-bonded systems of 4-cyanophenol with N-bases.

The structural and vibrational features of the hydrogen bonded complexes of 1,5,7-triazabicyclo [4.4.0] dec-5-ene (TBD) with one and two 4-CNPhOH molecules have been studied extensively by ab initio SCF/6-31G(d,p) and BLYP calculations with various basis sets: 6-31G(d,p), 6-31+G(d,p) and 6-31++G(d,p). Full geometry optimization was made for the complexes studied. The nature of the hydrogen bonding and the influence of the hydrogen bonding on the structural and vibrational characteristics of the monomers have been investigated. The corrected values of the dissociation energy for the hydrogen-bonded complexes have been calculated in order to estimate their stability. The calculated values of the dissociation energy per phenol molecule indicate that the complex: TBD: 4-CNPhOH (1:1) is more stable than the complex: TBD: 4-CNPhOH (1:2). The changes in the structural and vibrational characteristics upon hydrogen bonding depend on the strength of the hydrogen bonds. In agreement with the experiment, the calculations show that the complexation between TBD and 4-CNPhOH leads to considerably changes in the vibrational characteristics of the stretching O-H vibration. The vibrational frequency of the O-H stretching vibration is shifted to lower wave numbers upon hydrogen bonding. The predicted frequency shifts Deltanu(O-H) for the complexes--TBD: 4-CNPhOH (1:1) and TBD: 4-CNPhOH (1:2) are in the range from -190 cm(-1) to -586 cm(-1). In the same time the IR intensity of the O-H stretching vibration increases dramatically in the hydrogen-bonded complexes.

Comparative study of the hydrogen-bonded complexes of phenol and o-cyanophenol with CO Ab initio and DFT approachs.

The structures, stability and vibrational spectra of the hydrogen-bonded complexes of carbon monoxide (CO) with phenol and o-cyanophenol (syn and anti) have been studied using ab initio and DFT calculations. Full geometry optimization has been performed for the studied complexes by DFT (BLYP/6-311++G(d,p)) calculations. The calculations show that the hydrogen-bond formation of carbon monoxide (CO) with phenol and o-cyanophenol (syn and anti) leads to the following stable structures: C6H5OH...CO (1A); C6H5OH...OC (1B); (syn) o-CNC6H4OH...CO (2A-syn); (syn) o-CNC6H4OH...OC (2B-syn); (anti) o-CNC6H4 OH...CO (2A-anti) and (anti) o-CNC6H4OH...OC (2B-anti). Having in mind the corrected values of the dissociation energy, the studied hydrogen-bonded complexes can be ordered according their stability as follows: 2A-anti>2A-syn>1A>2B-anti>1B>2B-syn. The predicted red-shifts for the nuOH vibration with the B3LYP/6-311++G(d,p) calculations for the structures 1A (-46 cm-1), 2A-syn (-60 cm-1) and 2A-anti (-73 cm-1) are in very good agreement with the experimentally observed. The magnitudes of the wavenumber shifts are indicative of relatively weak OH...C hydrogen-bonded interactions. The calculations predict an increase of the IR intensity of the nuOH vibration in the complexes 1A, 2A-anti and 2A-syn up to five times.

Hydrogen-bonded complexes of nitrous and nitric acids with ethene Ab initio and DFT studies.

The complexes formed by ethene with nitric and nitrous (trans and cis) acids have been investigated by ab initio (SCF and MP2) and B3LYP calculations with 6-311++G(d,p) basis set. Full geometry optimisation has been performed for the complexes studied. The most stable structures of the complexes are established. Bearing in mind the corrected values of the dissociation energy the studied hydrogen-bonded complexes can be ordered as follows: C(2)H(4)...HONO(2)>C(2)H(4)...HONO-trans>C(2)H(4)...HONO-cis. In the complexes the acids act as proton donors forming the pi-type of hydrogen bond with ethene. The predicted changes in the vibrational characteristics (vibrational frequencies and infrared intensities) arising from the hydrogen bonding are in good agreement with the experimentally measured. The predicted frequency shift of the stretching OH vibration in the nitric acid is largest (-210 cm(-1)), followed by the shifts in the trans-HONO (-141 cm(-1)) and cis-HONO (-109 cm(-1)). The calculations predict an increase of the IR intensity of the stretching O-H vibration in the complexes from 6 to 10 times.

Theoretical study of the changes in the vibrational characteristics arising from the hydrogen bonding between Vitamin C (L-ascorbic acid) and H2O.

The vibrational characteristics (vibrational frequencies, infrared intensities and Raman activities) for the hydrogen-bonded system of Vitamin C (L-ascorbic acid) with five water molecules have been predicted using ab initio SCF/6-31G(d,p) calculations and DFT (BLYP) calculations with 6-31G(d,p) and 6-31++G(d,p) basis sets. The changes in the vibrational characteristics from free monomers to a complex have been calculated. The ab initio and BLYP calculations show that the complexation between Vitamin C and five water molecules leads to large red shifts of the stretching vibrations for the monomer bonds involved in the hydrogen bonding and very strong increase in their IR intensity. The predicted frequency shifts for the stretching vibrations from Vitamin C taking part in the hydrogen bonding are up to -508 cm(-1). The magnitude of the wavenumber shifts is indicative of relatively strong OH...H hydrogen-bonded interactions. In the same time the IR intensity and Raman activity of these vibrations increase upon complexation. The IR intensity increases dramatically (up to 12 times) and Raman activity increases up to three times. The ab initio and BLYP calculations show, that the symmetric OH vibrations of water molecules are more sensitive to the complexation. The hydrogen bonding leads to very large red shifts of these vibrations and very strong increase in their IR intensity. The asymmetric OH stretching vibrations of water, free from hydrogen bonding are less sensitive to the complexation than the hydrogen-bonded symmetric OH stretching vibrations. The increases of the IR intensities for these vibrations are lower and red shifts are negligible.

Vibrational frequencies and infrared intensities of the hydrogen-bonded complexes of nitrous acid with ethers: ab initio and DFT studies.

The vibrational spectra of the binary complexes formed by HONO-trans and HONO-cis with dimethyl and diethyl ethers have been investigated using ab initio calculations at the SCF and MP2 levels with 6-311++G(d,p) basis set and B3LYP calculations with 6-31G(d,p) and 6-31+G(d,p) basis sets. Full geometry optimisation was made for the complexes studied. The accuracy of the ab initio calculations have been estimated by comparison between the predicted values of the vibrational characteristics (vibrational frequencies and infrared intensities) and the available experimental data. It was established, that the methods, used in this study are well adapted to the problem under examination. The predicted values with the B3LYP calculations are very near to the results, obtained with 6-311++G(d,p)/MP2. The ab initio and DFT calculations show that the changes in the vibrational characteristics (vibrational frequencies and infrared intensities) upon hydrogen bonding for the hydrogen-bonded complex (CH3)2O...HONO-trans are larger than for the complex (CH3)2O...HONO-cis.

Fluvastatin increases the expression of adhesion molecules, monocyte chemoattractant protein-1 and tissue factor in HUVEC stimulated by patient IgG fractions containing antiphospholipid antibodies.

The presence of antiphospholipid antibodies (APLA) is associated with an increased risk of recurrent thrombosis and pregnancy loss. APLA are able to activate endothelial cells (EC) and induce an increase in the expression of inflammatory marker proteins, such as leukocyte adhesion molecules, tissue factor or the monocyte chemoattractant protein-1 (MCP-1). Our objective was to investigate the effect of statins on EC activation induced by APLA in vitro. IgG was purified from the plasma of six patients with APLA and from healthy controls. EC were incubated with patient IgG or with control IgG, in the presence or absence of 5microM of fluvastatin, and expression of the leukocyte adhesion molecules, VCAM-1 and E-selectin, analyzed by flow cytometry and by quantitative reverse transcriptase-PCR (QRT-PCR). The expression of tissue factor and the chemokine MCP-1 was analyzed by QRT-PCR alone. Incubation of EC with patient IgG increased the expression of VCAM-1, E-selectin, tissue factor and MCP-1. Prior treatment of the cells with fluvastatin further increased the expression of these proteins. The fluvastatin effect was reversed by co-incubation with mevalonate or geranylgeranylpyrophosphate and mimicked by the geranylgeranyl transferase inhibitor GGTI-286. Our results show that in cultured human EC, statins increase the extent of inflammatory activation induced by APLA. This effect appears to be mediated by an inhibitory effect of statins on one or more geranylgeranylated protein(s).

Ab initio and DFT studies of the vibrational spectra of hydrogen-bonded PhOH...(H2O)4 complexes.

The vibrational characteristics (vibrational frequencies and infrared intensities) for the hydrogen-bonded complex of phenol with four water molecules PhOH...(H2O)4 (structure 4A) have been predicted using ab initio and DFT (B3LYP) calculations with 6-31G(d,p) basis set. The changes in the vibrational characteristics from free monomers to a complex have been calculated. The ab initio and B3LYP calculations show that the observed four intense bands at 3299, 3341, 3386 and 3430 cm(-1) can be assigned to the hydrogen-bonded OH stretching vibrations in the complex PhOH...(H2O)4 (4A). The complexation leads to very large red shifts of these vibrations and very strong increase in their IR intensity. The predicted red shifts for these vibrations with B3LYP/6-31G(d,p) calculations are in very good agreement with the experimentally observed. It was established that the phenolic OH stretching vibration is the most sensitive to the hydrogen bonding. The predicted red-shift with the B3LYP/6-31G(d,p) calculations for the most stable ring structure 4A (-590 cm(-1)) is in better agreement with the experimentally observed than the red-shift, predicted with SCF/6-31G(d,p) calculations. The magnitude of the wavenumber shift is indicative of relatively strong OH...H hydrogen-bonded interaction. The complexation between phenol and four water molecules leads to strong increase of the IR intensity of the phenolic OH stretching vibration (up to 38 times).

Theoretical study of the structures, stability and vibrational spectra of the nitrous acid complexes with CH4.

The structures, stability and vibrational spectra of the binary complexes CH4...HONO-trans and CH4...HONO-cis have been investigated using ab initio calculations at the SCF and MP2 levels with 6-311++G(d,p) basis set and B3LYP calculations with 6-31G(d,p) and 6-31+G(d,p) basis sets. Full geometry optimization was made for the complexes studied. It was established that the complex CH4...HONO-trans is more stable by 0.41 kcal mol(-1) than the complex CH4...HONO-cis. The accuracy of the ab initio calculations have been estimated by comparison between the predicted values of the vibrational characteristics (vibrational frequencies and infrared intensities) and the available experimental data. It was established, that the methods, used in this study are well adapted to the problem under examination. The predicted values with the B3LYP calculations are very near to the results, obtained with 6-311++G(d,p)/MP2. The changes in the vibrational characteristics of methane and trans-, cis-nitrous acid upon formation of the hydrogen bond show that the complexes CH4...HONO-trans and CH4...HONO-cis have geometry in which the OH group interacts with a methane molecule forming a single hydrogen bond. This fact is confirmed by relatively strong perturbation of the OH stretching vibration to lower frequencies and an increase of the infrared intensity of this vibration up to three times upon hydrogen bonding.

Structure, stability and vibrational spectrum of the hydrogen-bonded complex between HNO3 and H2O. Ab initio and DFT studies.

The structure, stability and vibrational spectrum of the binary complex between HONO2 and H2O have been investigated using ab initio calculations at SCF and MP2 levels with different basis sets and B3LYP/6-31G(d,p) calculations. Full geometry optimization was made for the complex studied. It was established that the hydrogen-bonded H2O...HONO2 complex has a planar structure. The corrected values of the dissociation energy at the SCF and MP2 levels and B3LYP calculations are indicative of relatively strong OH...O hydrogen-bonded interaction. The changes in the vibrational characteristics (vibrational frequencies and infrared intensities) arising from the hydrogen bonding between HONO2 and H2O have been estimated by using the ab initio calculations at SCF and MP2 levels and B3LYP/6-31G(d,p) calculations. It was established that the most sensitive to the complexation is the stretching O-H vibration from HONO2. In agreement with the experiment, its vibrational frequency in the complex is shifted to lower wavenumbers. The predicted frequency shift with the B3LYP/6-31G(d,p) calculations (-439 cm(-1)) is in the best agreement with the experimentally measured (-498 cm(-1)). The intensity of this vibration increases dramatically upon hydrogen bonding. The ab initio calculations at the SCF level predict an increase up to five times; at the MP2 level up to 10 times and the B3LYP/6-31G(d,p) predicted increase is up to 17 times. The good agreement between the predicted values of the frequency shifts and those experimentally observed show that the structure of the hydrogen-bonded complex H2O...HONO2 is reliable.

Ab initio prediction of the vibrational spectrum of the hydrogen bonded complex O2N...HONO2.

The changes in the structural parameters and vibrational characteristics (vibrational frequencies, infrared intensities and Raman activities) arising from the hydrogen bonding between NO(2) and HONO(2) have been studied employing ab initio 6-31G(d, p)/UHF and 6-31+G(d, p)/UHF, and B3LYP/6-31G(d, p) calculations. The charge rearrangement upon hydrogen bonding have been, estimated using the Mulliken population analyses. It was established that the complexation between NO(2) and HONO(2) leads to changes in the structural parameters and the vibrational characteristics of the monomers. The most sensitive to the hydrogen bond formation are the vibrational characteristics of the normal modes of the monomer bonds participating in the hydrogen bonding. The predicted shifts in the vibrational frequencies by ab initio and B3LYP/6-31G(d, p) calculations are in very good agreement with the experimentally observed, which is an evidence for the reliance of the studied structure.