Understanding selectivity of hard and soft metal cations within biological systems using the subvalence concept. I. Application to blood coagulation: direct cation-protein electronic effects vs. indirect interactions through water networks.

Following a previous study by de Courcy et al. ((2009) Interdiscip. Sci. Comput. Life Sci. 1, 55-60), we demonstrate in this contribution, using quantum chemistry, that metal cations exhibit a specific topological signature in the electron localization of their density interacting with ligands according to its "soft" or "hard" character. Introducing the concept of metal cation subvalence, we show that a metal cation can split its outer-shell density (the so-called subvalent domains or basins) according to it capability to form a partly covalent bond involving charge transfer. Such behaviour is investigated by means of several quantum chemical interpretative methods encompasing the topological analysis of the Electron Localization Function (ELF) and Bader's Quantum Theory of Atoms in Molecules (QTAIM) and two energy decomposition analyses (EDA), namely the Restricted Variational Space (RVS) and Constrained Space Orbital Variations (CSOV) approaches. Further rationalization is performed by computing ELF and QTAIM local properties such as electrostatic distributed moments and local chemical descriptors such as condensed Fukui Functions and dual descriptors. These reactivity indexes are computed within the ELF topological analysis in addition to QTAIM offering access to non atomic reactivity local index, for example on lone pairs. We apply this "subvalence" concept to study the cation selectivity in enzymes involved in blood coagulation (GLA domains of three coagulation factors). We show that the calcium ions are clearly able to form partially covalent charge transfer networks between the subdomain of the metal ion and the carboxylate oxygen lone pairs whereas magnesium does not have such ability. Our analysis also explains the different role of two groups (high affinity and low affinity cation binding sites) present in GLA domains. If the presence of Ca(II) is mandatory in the central "high affinity" region to conserve a proper folding and a charge transfer network, external sites are better stabilised by Mg(II), rather than Ca(II), in agreement with experiment. The central role of discrete water molecules is also discussed in order to understand the stabilities of the observed X-rays structures of the Gla domain. Indeed, the presence of explicit water molecules generating indirect cation-protein interactions through water networks is shown to be able to reverse the observed electronic selectivity occuring when cations directly interact with the Gla domain without the need of water.

Bases for Understanding Polymerization under Pressure: The Practical Case of CO2.

We present a novel quantitative strategy for monitoring chemical bonding transformations in solids from the topology of their electronic structure. Developed in the context of the electron localization function formalism, it provides an unambiguous characterization of long-range interactions and bond formation. Charge flux between electron localization regions is found to hold the key for identifying the nature of the interaction between the chemically meaningful entities in the solid (valence shells, lone pairs, molecules, etc.). Because of the wide range of interesting properties that high pressure induces in molecular solids, we illustrate the potentialities of our strategy to unveil controversial questions involved in the bond reorganization along the polymerization of CO2. Our study confirms that the topology of the bonding network in the pseudopolymeric phases points toward the incipient formation of the new bonds in the higher pressure polymers. This transformation is identified as a synchronic weakening of the intramolecular (C==O) double bond and the birth of a new intermolecular C--O bond controlled by the oxygen lone pairs. Overall, the relationship that this type of analysis establishes between different polymorphs of the phase diagram could be further exploited for the prediction of the coordination of high pressure phases, opening new avenues for experimental synthesis and structure indexation.

Computation of Local and Global Properties of the Electron Localization Function Topology in Crystals.

We present a novel computational procedure, general, automated, and robust, for the analysis of local and global properties of the electron localization function (ELF) in crystalline solids. Our algorithm successfully faces the two main shortcomings of the ELF analysis in crystals: (i) the automated identification and characterization of the ELF induced topology in periodic systems, which is impeded by the great number and concentration of critical points in crystalline cells, and (ii) the localization of the zero flux surfaces and subsequent integration of basins, whose difficulty is due to the diverse (in many occasions very flat or very steep) ELF profiles connecting the set of critical points. Application of the new code to representative crystals exhibiting different bonding patterns is carried out in order to show the performance of the algorithm and the conceptual possibilities offered by the complete characterization of the ELF topology in solids.

A Quantum Chemical Interpretation of Compressibility in Solids.

The ability of the electron localization function to perform a partition of the unit cell volume of crystalline solids into well-defined, disjoint, and space-filling regions enables us to decompose the bulk compressibility into local contributions with a full chemical meaning. This partition has been applied to a set of prototype crystals of the chemical elements of the first three periods of the periodic table, and the equations of state for core, valence, bond, and lone electron pairs have been obtained. Solids are unequivocally classified into two groups according to their response to hydrostatic pressure. Those with sharing electrons (metals and covalent crystals) obey a simple relationship between the average valence electron density and the zero pressure bulk modulus. The stiffness of the closed-shell systems (molecular and ionic solids) is rationalized resorting to the Pauli principle. Overall, the results clearly correlate with chemical intuition: periodic trends are revealed, cores are almost incompressible and do not contribute appreciably to the macroscopic compressibility, and lone pair basins are rather easier to compress than bond basins.

[Perioperative pain and stress: a comparison between video laparoscopic cholecystectomy and "open" cholecystectomy]. / Dolore e stress perioperatori: confronto tra videolaparocolecistectomia e colecistectomia "open".

Pain and endocrine-metabolic response to surgical stress, during surgery and in the early postoperative period, was compared in two groups of patients affected by gallstones and randomly assigned to Laparoscopic Cholecystectomy or Open Cholecystectomy. Pain was assessed by the VAS method also taking into account the need of analgesic administration in the postoperative period. The so called "stress hormones" (Prolactin (PRL), Cortisol (CORT), Human Growth Hormone (HGH)) and glycaemia were monitored during surgery and in the first postoperative 24 hours. The minimal invasive technique of laparoscopic cholecystectomy accounted for a very limited analgesic administration. In the intraoperative period laparoscopic cholecystectomy plasma hormone levels overlapped the open cholecystectomy ones, while in the postoperative period a constant increase in PRL and CORT levels was registered in the open cholecystectomy group demonstrating a prolonged stressful condition. The end results of this study show that laparoscopic cholecystectomy has major advantages than open cholecystectomy in the treatment of gallstones as far as pain and endocrine-metabolic response are concerned.