IgG4-related kidney disease complicated with retroperitoneal fibrosis: A case report.

BACKGROUND: IgG4-related disease (IgG4-RD) is a chronic fibrotic disease mediated by immunity recognized by clinicians in recent years. When the kidney is involved, it is called IgG4-related kidney disease (IgG4-RKD). IgG4-related tubulointerstitial nephritis (IgG4-TIN) is a representative manifestation of IgG4-RKD. IgG4-TIN can cause obstructive nephropathy complicated by retroperitoneal fibrosis (RPF). Cases of IgG4-TIN complicated with RPF are rare. Glucocorticoids are the first-line therapeutic medication for IgG4-RD and can significantly improve renal function. CASE SUMMARY: Herein, we report the case of a 56-year-old man with IgG4-RKD complicated with RPF. The patient presented to the hospital with complaints of elevated serum creatinine (Cr), nausea, and vomiting. During hospitalization, Cr was 1448.6 µmol/L, and serum IgG4 was increased. A total abdominal computed tomography (CT) scan and enhanced CT scan obviously indicated RPF. Although this patient had a long course and renal insufficiency, we performed a kidney biopsy. Renal biopsy showed that the renal tubulointerstitium had focal plasma cell infiltration and increased lymphocyte infiltration accompanied by fibrosis. After combining the biopsy results with immunohistochemistry, it was found that the absolute number of positive IgG4+ cells per high power field exceeded 10, and the ratio of IgG4/IgG was over 40%. Finally, the patient was diagnosed with IgG4-TIN complicated with RPF and given glucocorticoids as long-term maintenance therapy, helping him keep out of dialysis. After a follow-up of 19 mo, the patient had recovered well. Previous literature on IgG4-RKD and RPF was retrieved from PubMed to characterize the clinical and pathological features and to identify the diagnosis and treatment of IgG4-RKD. CONCLUSION: Our case report demonstrates the clinical characteristics of IgG4-RKD complicated with RPF. Serum IgG4 is a favorable indicator for screening. Performing renal biopsy actively plays a vital role in diagnosis and treatment, even if the patient has a long course and manifests with renal insufficiency. It is remarkable to treat IgG4-RKD with glucocorticoids. Hence, early diagnosis and targeted therapy are essential for reversing renal function and improving extrarenal manifestations in patients with IgG4-RKD.

One-Pot Fabrication of TiO2 Rutile Nanorods/Anatase Nanoparticles: Mixed Crystal Phase and Morphology-Control for Enhanced Photovoltaic Performance.

The formation of nanocrystals with a controlled composition and desirable nanostructure is a prominent challenge in many science and technology fields. In this study, rutile TiO2 nanorods coexisting with anatase TiO2 nanoparticles were fabricated via a mild one-pot hydrothermal process. Results indicate an interesting phenomenon wherein adding an appropriate amount of oxalic acid can realize proportional regulation of anatase and the rutile phase. An increasing quantity of oxalic acid changes the crystalline phase from rutile to anatase accompanied by morphological changes from TiO2 nanorods to nanoparticles. The optimized anatase/rutile crystalline phase and TiO2 nanorods/nanoparticles morphology enhance the light-scattering and electron transfer ability. When the percentage of anatase phase increased to 67%, the composite architecture grew by 60% in photoelectric conversion efficiency and 0.1 V in open-circuit voltage. This study opens a door to the fabrication of the controllable mixed crystal composition and the designed micro-nano structure for the improvement on the photovoltaic performance.

D-D-π-A organic dyes containing 4,4'-di(2-thienyl)triphenylamine moiety for efficient dye-sensitized solar cells.

Dye-sensitized solar cells (DSSCs) are currently under intense academic and industrial investigations, because of their environmentally-friendly, efficient, and low-cost features. The photosensitizer plays a key role in determining DSSCs' performance. The 4,4'-di(2-thienyl)triphenylamine moiety, included in dye TTC102, has been demonstrated before as a novel and efficient electron donor fragment. In this paper, the oversimple π-conjugated bridge of TTC102 was replaced by a 9-ethyl-3,6-di(2-thiophenyl)carbazole moiety. Two new D-D-π-A sensitizers, named TTC104 and TTC105, were synthesized and fully characterized. After anchoring on TiO(2) nanoparticle film, the absorption band of TTC104 is broader by 30 nm than that of TTC102. Under AM 1.5G irradiation, the energy conversion efficiency (η) of a DSSC based on TTC104 reaches 6.36%, which is 21.6% higher than that of TTC102 (5.24%). The results above demonstrate that the photovoltaic performance can be improved after introducing the 9-ethyl-3,6-di(2-thiophenyl)carbazole moiety to TTC102 when employed in DSSCs. Dye TTC105, containing a pyridyl group as the electron acceptor, showed only 1.88% conversion efficiency (η) when used in DSSCs. The huge different performances of TTC104 and TTC105 are proved to be partly due to the smaller dye loading amount, higher dark current and charge recombination rate of TTC105.

Improvement of dye-sensitized solar cells' performance through introducing suitable heterocyclic groups to triarylamine dyes.

Dye-sensitized solar cells are currently under intense academic and industrial investigation, owing to their great potential to serve as a low-cost alternative to existing photovoltaic technologies. This paper puts forward a method, which adopts heterocyclic substituted triarylamine units as electronic donor moieties, to design triarylamine dyes for efficient dye-sensitized solar cells. Three novel triarylamine dyes named TTC101, TTC102 and TTC103, were synthesized economically through modification of the structure of a simple triarylamine dye (TC105) using three kinds of heterocyclic groups (4-pyridyl, 2-thienyl and 1-pyrazolyl). The crystal structure of TTC103 indicates that the heterocyclic groups would partly delocalize the positive charge after photooxidation. The overall solar-to-electrical energy conversion efficiencies (η) of TTC102 and TTC103 are 4.92% and 5.21% respectively under AM1.5G irradiation, reaching ∼82.3% and ∼77.7% of a N719-based reference cell under the same conditions. Besides, the energy conversion efficiencies (η) of TTC102 and TTC103 are 1.29 and 1.37 times the efficiency of TC105 respectively. All of the results above demonstrate that photovoltaic performance can be improved by introducing suitable heterocyclic groups to triarylamine dyes. A series of properties were investigated to explain the results, with a special emphasis on the geometric structures, energetics, and charge transfer processes at the dye/titania/electrolyte interface.