Effects of palliative intrathecal analgesia on patients with refractory cancer bone pain.

This study examined the effects of intrathecal analgesia (ITA) using an extracorporeal pump with a subcutaneous port system in cancer patients with bone metastasis. Among the patients who died of cancer with bone metastasis at the palliative care unit of our institution, 11 who received ITA were selected. Changes in pain, opioid doses, the palliative prognostic index (PPI), and Eastern Cooperative Oncology Group Performance Scale　after ITA were assessed. Pain, opioid doses, and PPI decreased after ITA (P = 0.002, 0.002, and 0.017). ITA for cancer patients with increased PPI due to refractory cancer bone pain decreased pain, opioid doses, and PPI.(100 words).

Electronic Interaction between Aromatic Chromophores in Dibenzo-Crown Ether Complexes with Alkali Metal Ions Investigated via Cold Gas-Phase Spectroscopy.

This study investigated the geometric and electronic structures of dibenzo-21-crown-7 (DB21C7) and dibenzo-24-crown-8 (DB24C8) complexes with alkali metal ions, identified as M+(DB21C7) and M+(DB24C8) (M = Na, K, Rb, and Cs), respectively. We observed the ultraviolet photodissociation (UVPD) spectra of these complexes under cold (∼10 K) gas-phase conditions. The conformations of the M+(DB21C7) and M+(DB24C8) complexes were determined by comparing the UVPD spectra with the calculated electronic transitions of the local-minimum forms. The interactions between the electronic excited states of the two benzene chromophores in the M+(DB21C7) and M+(DB24C8) complexes were examined and compared with those of previously studied complexes (dibenzo-15-crown-5 (DB15C5) and dibenzo-18-crown-6 (DB18C6)). The S1-S0 and S2-S0 electronic excitations of the M+(DB21C7) complexes were almost localized in one of the benzene rings. In contrast, the closed conformers of the M+(DB24C8) (M = K, Rb, and Cs) complexes were delocalized over the two chromophores for electronic excitations, exhibiting strong electronic interactions between the benzene rings. For the M+(DB24C8) complexes (M = K, Rb, and Cs), the short distance between the benzene rings (∼3.9 Å) led to a strong interaction between the benzene chromophores. We conclude that this strong interaction in the M+(DB24C8) complexes correlates strongly with the broad absorption in the UVPD spectra, suggesting the presence of an intramolecular excimer for the K+(DB24C8), Rb+(DB24C8), and Cs+(DB24C8) complexes.

Conformation of K+(Crown Ether) Complexes Revealed by Ion Mobility-Mass Spectrometry and Ultraviolet Spectroscopy.

The conformation and electronic structure of dibenzo-24-crown-8 (DB24C8) complexes with K+ ion were examined by ion mobility-mass spectrometry (IM-MS), ultraviolet (UV) photodissociation (UVPD) spectroscopy in the gas phase, and fluorescence spectroscopy in solution. Three structural isomers of DB24C8 (SymDB24C8, Asym1DB24C8, and Asym2DB24C8) in which the relative positions of the two benzene rings were different from each other were investigated. The IM-MS results at 86 K revealed a clear separation of two sets of conformers for the K+(SymDB24C8) and K+(Asym1DB24C8) complexes whereas the K+(Asym2DB24C8) complex revealed only one set. The two sets of conformers were attributed to the open and closed forms in which the benzene-benzene distances in the complexes were long (>6 Å) and short (<6 Å), respectively. IM-MS at 300 K could not separate the two conformer sets of the K+(SymDB24C8) complex because the interconversion between the open and closed conformations occurred at 300 K and not at 86 K. The crown cavity of DB24C8 was wrapped around the K+ ion in the complex, although the IM-MS results availed direct evidence of rapid cavity deformation and the reconstruction of stable conformers at 300 K. The UVPD spectra of the K+(SymDB24C8) and K+(Asym1DB24C8) complexes at ∼10 K displayed broad features that were accompanied by a few sharp vibronic bands, which were attributable to the coexistence of multiple conformers. The fluorescence spectra obtained in a methanol solution suggested that the intramolecular excimer was formed only in K+(SymDB24C8) among the three complexes because only SymDB24C8 could possibly assume a parallel configuration between the two benzene rings upon K+ encapsulation. The encapsulation methods for K+ ion (the "wraparound" arrangement) are similar in the three structural isomers of DB24C8, although the difference in the relative positions of the two benzene rings affected the overall cross-section. This study demonstrated that temperature-controlled IM-MS coupled with the introduction of appropriate bulky groups, such as aromatic rings to host molecules, could reveal the dynamic aspects of encapsulation in host-guest systems.

Induced Fit of Crown Cavity to Ammonium Ion Guests and Photoinduced Intracavity Reactions: Cold Gas-Phase Spectroscopy of Dibenzo-18-Crown-6 Complexes with NH4+, CH3NH3+, and CH3CH2NH3.

Ultraviolet photodissociation (UVPD) spectra of dibenzo-18-crown-6 (DB18C6) complexes with NH4+, CH3NH3+ (MeNH3+), and CH3CH2NH3+ (EtNH3+) [NH4+(DB18C6), MeNH3+(DB18C6), and EtNH3+(DB18C6), respectively] were observed under cold gas-phase conditions. We also measured the infrared (IR)-UV double-resonance spectra of these complexes in the NH stretching region to examine the encapsulation structure. The UVPD and IR-UV spectra were analyzed using quantum chemical calculations. All the ammonium complexes show sharp 0-0 bands at positions close to that of the K+(DB18C6) complex; the conformation of the DB18C6 component in the ammonium complexes is similar to that in K+(DB18C6). In addition, the ammonium complexes each have another type of isomer that the K+(DB18C6) complex does not show in the gas phase. In these isomers, the conformation of the DB18C6 cavity changes, and the strength of the NH···O hydrogen bond increases. During the UVPD, the NH4+(DB18C6) complex provides various photofragment species, such as the C8H9O2+ ion, resulting from cleavage of the DB18C6 component, whereas the dominant fragment ion for the MeNH3+(DB18C6) and EtNH3+(DB18C6) complexes is the ammonium ion itself. The UVPD investigation of deuterated systems suggests that after UV excitation of the NH4+(DB18C6) complex, the dissociation process is initiated by proton transfer from NH4+ to DB18C6, followed by the migration of hydrogen atoms in the crown cavity and the cleavage of the ether ring.

Selective Probing of Potassium Ion in Solution by Intramolecular Excimer Fluorescence of Dibenzo-Crown Ethers.

Observation of an excimer fluorescence in solution is proposed for detecting the encapsulation of potassium ion as opposed to other alkali ions by dibenzo-crown ethers. The scheme has been validated by ultraviolet photodissociation (UVPD) spectroscopy of dibenzo-21-crown-7 and dibenzo-24-crown-8 complexes with potassium ion, K+ ⋅ DB21C7 and K+ ⋅ DB24C8, performed under cold (∼10 K) conditions in the gas phase and by quantum chemical calculations of the geometry and electronic structures of the complexes. Calculations suggest the formation of a closely spaced excimer structure of benzene rings only for the K+ ⋅ DB24C8. Interaction of the rings may lead to lifetime broadening in UV absorption, which is experimentally observed in the gas phase, indeed, only for this cold complex. Consistently, intramolecular excimer fluorescence of DB24C8 in solution is observed only for K+ ⋅ DB24C8. The excimer fluorescence is not observed with other alkali metal ions. The detection of such intramolecular excimer fluorescence can, therefore, potentially serve as a simple, background-free, selective probe of potassium ion in solution.

Green and black tea suppress hyperglycemia and insulin resistance by retaining the expression of glucose transporter 4 in muscle of high-fat diet-fed C57BL/6J mice.

To investigate the preventive effects of tea on hyperglycemia and insulin resistance, male C57BL/6J mice were given a high-fat diet containing 29% lard and also green or black tea ad libitum for 14 weeks. Both teas suppressed body weight gain and deposition of white adipose tissue caused by the diet. In addition, they improved hyperglycemia and glucose intolerance by stimulating glucose uptake activity accompanied by the translocation of glucose transporter (GLUT) 4 to the plasma membrane in muscle. Long-term consumption of the high-fat diet reduced levels of insulin receptor ß-subunit, GLUT4 and AMP-activated protein kinase α in muscle, and green and black tea suppressed these decreases. The results strongly suggest that green and black tea suppress high-fat diet-evoked hyperglycemia and insulin resistance by retaining the level of GLUT4 and increasing the level of GLUT4 on the plasma membrane in muscle.