Comparing Prognosis for BRCA1, BRCA2, and Non-BRCA Breast Cancer.

BACKGROUND: Germline pathogenic variants (PV) in BRCA1 and BRCA2 genes, which account for 20% of familial breast cancer (BC) cases, are highly penetrant and are associated with Hereditary Breast/Ovarian Cancer Syndrome. Previous studies, mostly including higher numbers of BRCA1 BC patients, yielded conflicting results regarding BRCA1/2 BC outcomes. In the Portuguese population, BRCA2 BC is diagnosed more frequently than BRCA1 BC. We aimed to compare clinicopathological characteristics and prognosis between BC patients with BRCA1 and BRCA2 mutations and a control group without germline PV (BRCA-wt). Furthermore, we explored the frequency and outcomes of risk-reducing surgeries in BRCA-mutated patients. METHODS: Prospective follow-up was proposed for patients with a diagnosed BRCA1/2 PV. For this study, a matched control group (by age at diagnosis, by decade, and by stage at diagnosis) included BC patients without germline PV. We compared overall survival (OS) and invasive disease-free survival (iDFS) within the three groups, and the use of risk-reducing surgeries among the BRCA cohort. RESULTS: For a mean follow-up time of 113.0 months, BRCA-wt patients showed longer time to recurrence (p = 0.002) and longer OS (p < 0.001). Among patients with BRCA mutations, no statistical differences were found, although patients with BRCA2 BC had longer iDFS and OS. Uptake of risk-reducing surgeries (contralateral prophylactic mastectomy and salpingo-oophorectomy) were negative predictors of invasive disease and death, respectively. CONCLUSIONS: Testing positive for a BRCA PV is associated with a higher risk of relapse and death in patients with BC in the Portuguese population. Risk-reducing mastectomy and salpingo-oophorectomy were associated with lower incidence of relapse and longer median iDFS and OS, respectively.

Hereditary breast cancer and ancestry in the Madeira archipelago: an exploratory study.

Access to genetic testing and counselling in remote areas such as the Madeira archipelago, in the Northern Atlantic Ocean, may be complex. Different counselling methods, including telegenetics, should be explored. In this study, we characterise the Hereditary Breast/Ovarian Cancer (HBOC) families with Madeira ancestry enrolled in our programme. Of a total of 3,566 index patients tested between January 2000 and June 2018, 68 had Madeira ancestry and 22 were diagnosed with a pathogenic germline variant (PV). As in the whole group, BRCA2 PV were more frequent in Madeira patients (68.4%: c.9382C>T (26.3%), c.658_659del (21%), c.156_157insAlu (10.5%), c.793+1G>A (5.3%) and c.298A>T (5.3%). However, the most frequently diagnosed PV in Madeira patients was the BRCA1 c.3331_3334del (31.6%). BRCA1/2 detection rates were 27.9% and 10.5% for Madeira and the whole group, respectively. This study is the first characterisation of HBOC patients with Madeira ancestry. A distinct pattern of BRCA1/2 variants was observed, and the geographic clustering of BRCA1 c.3331_3334del variant may support the possibility of a founder mutation previously described in Northern Portugal. The high detection rate observed reinforces the need to reduce gaps in access to genetic testing in Madeira and other remote areas. According to current guidelines, timely identification of HBOC patients can contribute to their ongoing care and treatment.

Targeting leucine-rich repeat kinase 2 (LRRK2) for the treatment of Parkinson's disease.

Leucine-rich repeat kinase 2 (LRRK2) is a serine-threonine kinase involved in multiple cellular processes and signaling pathways. LRRK2 mutations are associated with autosomal-inherited Parkinson's disease (PD), and evidence suggests that LRRK2 pathogenic variants generally increase kinase activity. Therefore, inhibition of LRRK2 kinase function is a promising therapeutic strategy for PD treatment. The search for drug-like molecules capable of reducing LRRK2 kinase activity in PD led to the design of selective LRRK2 inhibitors predicted to be within the CNS drug-like space. This review highlights the journey that translates chemical tools for interrogating the role of LRRK2 in PD into promising drug candidates, addressing the challenges in discovering selective and brain-penetrant LRRK2 modulators and exploring the structure-activity relationship of distinct LRRK2 inhibitors.

Evaluation of principal component analysis image denoising on multi-exponential MRI relaxometry.

PURPOSE: Multi-exponential relaxometry is a powerful tool for characterizing tissue, but generally requires high image signal-to-noise ratio (SNR). This work evaluates the use of principal-component-analysis (PCA) denoising to mitigate these SNR demands and improve the precision of relaxometry measures. METHODS: PCA denoising was evaluated using both simulated and experimental MRI data. Bi-exponential transverse relaxation signals were simulated for a wide range of acquisition and sample parameters, and experimental data were acquired from three excised and fixed mouse brains. In both cases, standard relaxometry analysis was performed on both original and denoised image data, and resulting estimated signal parameters were compared. RESULTS: Denoising reduced the root-mean-square-error of parameters estimated from multi-exponential relaxometry by factors of ≈3×, for typical acquisition and sample parameters. Denoised images and subsequent parameter maps showed little or no signs of spatial artifact or loss of resolution. CONCLUSION: Experimental studies and simulations demonstrate that PCA denoising of MRI relaxometry data is an effective method of improving parameter precision without sacrificing image resolution. This simple yet important processing step thus paves the way for broader applicability of multi-exponential MRI relaxometry.

Two-dimensional magnetization-transfer - CPMG MRI reveals tract-specific signatures in fixed rat spinal cord.

Multiexponential T2 (MET2) Relaxometry and Magnetization Transfer (MT) are among the most promising MRI-derived techniques for white matter (WM) characterization. Both techniques are shown to have histologically correlated sensitivity to myelin, but these correlations are not fully understood. Furthermore, MET2 and MT report on different WM features, thus they can be considered specific to different (patho)physiological states. Two-dimensional studies potentially resolving interactions, such as those commonly used in NMR, have been rarely performed in this context. Here, we investigated how off-resonance irradiation affects different MET2 components in fixed rat spinal cord white matter at 16.4 T. These 2D MT-MET2 experiments reveal that MT affects both short and long T2 components in a tract-specific fashion. The spatially distinct signal modulations enhanced contrast between microstructurally-distinct spinal cord tracts. Two hypotheses to explain these findings were proposed: either selective elimination of a short T2 component through pre-saturation combines with intercompartmental water exchange effects occurring on the irradiation timescale; or, other macromolecular species that exist within the tissue - other than myelin - such as neurofilaments, may be involved in the apparent microstructural segregation of the spinal cord (SC) from MET2. Though further investigation is required to elucidate the underlying mechanism, this phenomenon adds a new dimension for WM characterization.

Accurate estimation of microscopic diffusion anisotropy and its time dependence in the mouse brain.

Microscopic diffusion anisotropy (µA) has been recently gaining increasing attention for its ability to decouple the average compartment anisotropy from orientation dispersion. Advanced diffusion MRI sequences, such as double diffusion encoding (DDE) and double oscillating diffusion encoding (DODE) have been used for mapping µA, usually using measurements from a single b shell. However, the accuracy of µA estimation vis-à-vis different b-values was not assessed. Moreover, the time-dependence of this metric, which could offer additional insights into tissue microstructure, has not been studied so far. Here, we investigate both these concepts using theory, simulation, and experiments performed at 16.4T in the mouse brain, ex-vivo. In the first part, simulations and experimental results show that the conventional estimation of microscopic anisotropy from the difference of D(O)DE sequences with parallel and orthogonal gradient directions yields values that highly depend on the choice of b-value. To mitigate this undesirable bias, we propose a multi-shell approach that harnesses a polynomial fit of the signal difference up to third order terms in b-value. In simulations, this approach yields more accurate µA metrics, which are similar to the ground-truth values. The second part of this work uses the proposed multi-shell method to estimate the time/frequency dependence of µA. The data shows either an increase or no change in µA with frequency depending on the region of interest, both in white and gray matter. When comparing the experimental results with simulations, it emerges that simple geometric models such as infinite cylinders with either negligible or finite radii cannot replicate the measured trend, and more complex models, which, for example, incorporate structure along the fibre direction are required. Thus, measuring the time dependence of microscopic anisotropy can provide valuable information for characterizing tissue microstructure.

Myocardial Effective Transverse Relaxation Time T 2* is Elevated in Hypertrophic Cardiomyopathy: A 7.0 T Magnetic Resonance Imaging Study.

Hypertrophic cardiomyopathy (HCM) is the most common genetic disease of the myocardium and bares the risk of progression to heart failure or sudden cardiac death. Identifying patients at risk remains an unmet need. Recognizing the dependence of microscopic susceptibility on tissue microstructure and on cardiac macromorphology we hypothesized that myocardial T2* might be altered in HCM patients compared to healthy controls. To test this hypothesis, myocardial T2*-mapping was conducted at 7.0 Tesla to enhance T2*-contrast. 2D CINE T2*-mapping was performed in healthy controls and HCM patients. To ensure that T2* is not dominated by macroscopic magnetic field inhomogeneities, volume selective B0 shimming was applied. T2* changes in the interventricular septum across the cardiac cycle were analyzed together with left ventricular radius and ventricular septal wall thickness. The results show that myocardial T2* is elevated throughout the cardiac cycle in HCM patients compared to healthy controls. A mean septal T2* = 13.7 ± 1.1 ms (end-systole: T2*,systole = 15.0 ± 2.1, end-diastole: T2*,diastole = 13.4 ± 1.3 ms, T2*,systole/T2*,diastole ratio = 1.12) was observed in healthy controls. For HCM patients a mean septal T2* = 17.4 ± 1.4 ms (end-systole: T2*,systole = 17.7 ± 1.2 ms, end-diastole: T2*,diastole = 16.2 ± 2.5 ms, T2*,systole/T2*,diastole ratio = 1.09) was found. Our preliminary results provide encouragement that assessment of T2* and its changes across the cardiac cycle may benefit myocardial tissue characterization in HCM.

Myocardial effective transverse relaxation time T2* Correlates with left ventricular wall thickness: A 7.0 T MRI study.

PURPOSE: Myocardial effective relaxation time T2* is commonly regarded as a surrogate for myocardial tissue oxygenation. However, it is legitimate to assume that there are multiple factors that influence T2*. To this end, this study investigates the relationship between T2* and cardiac macromorphology given by left ventricular (LV) wall thickness and left ventricular radius, and provides interpretation of the results in the physiological context. METHODS: High spatio-temporally resolved myocardial CINE T2* mapping was performed in 10 healthy volunteers using a 7.0 Tesla (T) full-body MRI system. Ventricular septal wall thickness, left ventricular inner radius, and T2* were analyzed. Macroscopic magnetic field changes were elucidated using cardiac phase-resolved magnetic field maps. RESULTS: Ventricular septal T2* changes periodically over the cardiac cycle, increasing in systole and decreasing in diastole. Ventricular septal wall thickness and T2* showed a significant positive correlation, whereas the inner LV radius and T2* were negatively correlated. The effect of macroscopic magnetic field gradients on T2* can be considered minor in the ventricular septum. CONCLUSION: Our findings suggest that myocardial T2* is related to tissue blood volume fraction. Temporally resolved T2* mapping could be beneficial for myocardial tissue characterization and for understanding cardiac (patho)physiology in vivo. Magn Reson Med 77:2381-2389, 2017. © 2016 International Society for Magnetic Resonance in Medicine.

Cyclization of Pyrene Oligomers: Cyclohexa-1,3-pyrenylene.

First synthesis of the macrocycle cyclohexa(1,3-pyrenylene) is achieved in six steps starting with pyrene, leading to a non-aggregating highly twisted blue-light-emitting material. The cyclodehydrogenation of the macrocycle offers a promising synthesis route to holey-nanographene.

Deep blue polymer light emitting diodes based on easy to synthesize, non-aggregating polypyrene.

Thorough analyses of the photo- and devicephysics of poly-7-tert-butyl-1,3-pyrenylene (PPyr) by the means of absorption and photoluminescence emission, time resolved photoluminescence and photoinduced absorption spectroscopy as well as organic light emitting devices (OLEDs) are presented in this contribution. Thereby we find that this novel class of polymers shows deep blue light emission as required for OLEDs and does not exhibit excimer or aggregate emission when processed from solvents with low polarity. Moreover the decay dynamics of the compound is found to be comparable to that of well blue emitting conjugated polymers such as polyfluorene. OLEDs built in an improved device assembly show stable bright blue emission for the PPyr homopolymer and further a considerable efficiency enhancement can be demonstrated using a triphenylamine(TPA)/pyrene copolymer.

Tunneling versus hopping in mixed-valence oligo-p-phenylenevinylene polychlorinated bis(triphenylmethyl) radical anions.

Radical anions 1(-•)-5(-•), showing different lengths and incorporating up to five p-phenylenevinylene (PPV) bridges between two polychlorinated triphenylmethyl units, have been prepared by chemical or electrochemical reductions from the corresponding diradicals 1-5 which were prepared using Wittig-Horner-type chemistry. Such radical anions enabled us to study, by means of UV-vis-NIR and variable-temperature electron spin resonance spectroscopies, the long-range intramolecular electron transfer (IET) phenomena in their ground states, probing the influence of increasing the lengths of the bridges without the need of using an external bias to promote IET. The temperature dependence of the IET rate constants of mixed-valence species 1(-•)-5(-•) revealed the presence of two different regimes at low and high temperatures in which the mechanisms of electron tunneling via superexchange and thermally activated hopping are competing. Both mechanisms occur to different extents, depending on the sizes of the radical anions, since the lengths of the oligo-PPV bridges notably influence the tunneling efficiency and the activation energy barriers of the hopping processes, the barriers diminishing when the lengths are increased. The nature of solvents also modifies the IET rates by means of the interactions between the oligo-PPV bridges and the solvents. Finally, in the shortest compounds 1(-•) and 2(-•), the IET induced optically through the superexchange mechanism can also be observed by the exhibited intervalence bands, whose intensities decrease with the length of the PPV bridge.

Changes in electronic couplings of mixed-valence systems due to through-space intramolecular interactions.

The strength of the electronic interactions between the two redox moieties in fullerene-substituted mixed-valence bis(ferrocenylethynyl)ethene derivatives is modulated by the through-space intramolecular electronic interactions of C(60) with the bridging conjugated system.

Molecular and supramolecular C60-oligophenylenevinylene conjugates.

Fullerene derivatives are attractive building blocks for the preparation of molecular and supramolecular photoactive devices. As a part of this research, combination of C60 with oligophenylenevinylene (OPV) subunits has generated significant research efforts. These results are summarized in the present account to illustrate the current state-of-the-art of fullerene chemistry for the development of new photoactive materials.

Synthesis and excited state properties of a [60]fullerene derivative bearing a star-shaped multi-photon absorption chromophore.

The synthesis and excited state properties of a compound assembling C60 with a new multi-photon absorption chromophore are reported.

Influence of bridge topology and torsion on the intramolecular electron transfer.

To study molecules able to act as good "molecular wires", intramolecular electron transfer between two triphenylmethyl redox centers connected by bridges with different topologies and substituents have been studied in solution, both by UV-Vis-NIR and EPR spectroscopies. The synthetic methodology used allows a complete control of the geometry of polychlorotriphenylmethyl diradicals 1 and 2, which have para and meta topologies, respectively, as well as of their E/Z isomerism. This fact is used to show the influence of the different topologies in the ease of electron transfer, which is larger for the para than for the meta isomer where a small or negligible electronic coupling is observed. The related diradical 3 that have the same topology as the para isomer 1 but bearing two substituents on the central phenyl ring shows similar ease of electron transfer, that the para isomer 1.

Pyrazolino[60]fullerene-oligophenylenevinylene dumbbell-shaped arrays: synthesis, electrochemistry, photophysics, and self-assembly on surfaces.

Symmetrically substituted oligophenylenevinylene (OPV) derivatives bearing terminal p-nitrophenylhydrazone groups have been prepared and used for the synthesis of dumbbell-shaped bis(pyrazolino[60]fullerene)-OPV systems. In these triad arrays, the OPV-type fluorescence is dramatically quenched as a consequence of ultrafast OPV-->C60 singlet energy transfer. In its turn the fullerene singlet state is quenched by pyrazoline-->C60 electron transfer, in line with the behavior of the corresponding reference fullerene molecule. The occurrence of electron transfer in the multicomponent arrays is evidenced by recovery of fullerene fluorescence at 77 K in CH2Cl2 and in toluene at 298 K. Under these conditions the OPV-->C60 energy transfer is unaffected. The rate of this process turns out to be higher for the OPV trimer than for the corresponding pentameric OPV arrays, in agreement with energy-transfer theory expectations. Scanning tunneling microscopy (STM) and scanning force microscopy (SFM) revealed that the bis(pyrazolino[60]fullerene)-OPV can self-assemble into ordered layered crystalline architectures on the basal plane of highly oriented pyrolitic graphite.