De novo epileptic confusional status in a patient with cobalamin deficiency

A 80-year-old man with cobalamin deficiency and no history of epilepsy developed a partial complex epileptic confusional status (ECS) unresponsive to acute i.v. diazepam. Brain CT scan and MRI investigation ruled out a focal cerebral lesion. Therapy with high doses (10,000 micrograms i.m. daily) of cobalamin alone was started, and the patient fully recovered in the following 72-hour. Control EEGs repeatedly performed days and weeks later showed progressive disappearance of the frontal interictal spiking, while the patient was on monotherapy with cobalamin (5,000 micrograms i.m. weekly). A month later the patient unfortunately discontinued replacement therapy and 13 weeks later he developed a fatal convulsive epileptic status. To our knowledge the association of ECS and cobalamin deficiency has not been previously reported.     

In vivo characterization of renal auto-antigens involved in human auto-immune diseases: the case of membranous glomerulonephritis

Renal auto-immune diseases represent a major source of morbidity in humans. For many years the knowledge on mechanisms of auto-immunity involving the kidney has been uniquely based on animal models. However, these findings often could not be readily translated to humans owing to notably difference in antigen expression by human podocytes. One example is Heymann nephritis (HN), the experimental model of human membranous glomerulonephritis (MGN), which is obtained in rats by injecting antibodies against megalin, a protein that is not present in human glomeruli. Human studies could not be done in the past since sequencing required too much material exceeding what obtainable from tissue biopsies in vivo. Research is now on the way to identify auto-antigens and isolate specific auto-antibodies in humans. New technology developments based on tissue microdissection and proteomical analysis have facilitated the recent discoveries, allowing direct analysis of human tissue in vivo. Major advances on the pathogenesis of MGN, the prototype for the formation and glomerular deposition of auto-antibodies, are now in progress. Two independent groups have, in fact, demonstrated the existence of specific IgG(4) against phospholipase A2 receptor, aldose reductase and Mn-superoxide dismutase in glomerular eluates and in plasma of a prominent part of patients with MGN, suggesting a major role of these proteins as auto-antigens in human MGN. This review will focalize these aspects outlining the contribution of proteomics in most recent developments.     

4‐Biphenylalanine‐ and 3‐Phenyltyrosine‐Derived Hydroxamic Acids as Inhibitors of the JumonjiC‐Domain‐Containing Histone Demethylase KDM4A

Overexpression of the histone lysine demethylase KDM4A, which regulates H3K9 and H3K36 methylation states, has been related to the pathology of several human cancers. We found that a previously reported hydroxamate‐based histone deacetylase (HDAC) inhibitor (SW55) was also able to weakly inhibit this demethylase with an IC₅₀ value of 25.4 μm . Herein we report the synthesis and biochemical evaluations, with two orthogonal in vitro assays, of a series of derivatives of this lead structure. With extensive chemical modifications on the lead structure, also by exploiting the versatility of the radical arylation with aryldiazonium salts, we were able to increase the potency of the derivatives against KDM4A to the low‐micromolar range and, more importantly, to obtain demethylase selectivity with respect to HDACs. Cell‐permeable derivatives clearly showed a demethylase‐inhibition‐dependent antiproliferative effect against HL‐60 human promyelocytic leukemia cells.     

Confirmation of brand identity in foods by near infrared transflectance spectroscopy using classification and class-modelling chemometric techniques — The example of a Belgian beer

Food and beverage processors require tools to monitor conformance of finished goods to their defined specification; regulatory authorities need appropriate methods for detecting retail fraud. In this report, samples (n = 275) of Belgian and other European beers were collected and analysed using near infrared transflectance spectroscopy; three class-modelling techniques (soft independent modelling of class analogy, SIMCA; potential functions techniques, POTFUN; and unequal dispersed classes, UNEQ) were employed to characterise beer types (firstly Trappist and then Rochefort) while a classification method (partial least squares discriminant analysis, PLS-DA) was applied to discriminate between two final beer classes: Rochefort 8° and Rochefort 10°. The class-models and the classification rules developed were validated by means of an external prediction set. A discussion on the appropriate use of these chemometric approaches is included. Modelling of Trappist beers met with limited success while model efficiencies for Rochefort samples were highest for SIMCA and UNEQ applications i.e. 81.4% and 84.5% respectively. The classification of beers as Rochefort 8? or Rochefort 10? was possible with an average correct classification rate of 93.4%.     

Negative myoclonic status due to antiepileptic drug tapering: report of three cases

PURPOSE: Epileptic negative myoclonus (ENM) has been increasingly recognized in different epilepsies, but the reasons for its appearance and prognosis remain uncertain. We report 3 patients who developed de novo, almost continuous ENM, triggered by antiepileptic drug (AED) tapering, that resolved with treatment. METHODS: Three patients aged 16, 19, and 65 years with a 13- to 36-year history of partial epilepsy were receiving a therapeutic dosage of carbamazepine or phenobarbital plus either clobazam (CLB) or valproate (VPA). None had previously had ENM. Forty-eight to 72 h after CLB or VPA withdrawal, the habitual seizures recurred. The patient also began to report repetitive postural lapses of one or more limbs that interfered with eating or writing. At this time, each patient underwent polygraphy with simultaneous surface electromyography (EMG) of deltoid, biceps, and triceps muscles and of the wrist extensor and flexor bilaterally. RESULTS: In all patients, EEGs demonstrated almost continuous epileptiform discharges whose spatial distribution was similar to that observed before ENM appearance. Polygraphic recordings showed repetitive loss of postural EMG activity in one or more limbs, 100-400 ms in duration, which occurred in conjunction with the spike-waves. One milligram of clonazepam intravenously always terminated ENM status, which has not recurred in the ensuing 9-36 months. CONCLUSIONS: ENM may emerge as a new type of seizure due to tapering of AED therapy. This effect is possibly related to the great activation of epileptiform activity with consequent interference with cortical activity.     

Cavities Involving Metamaterials With an Uncountable Set of Resonant Frequencies

In this letter, it is shown that cavity resonators involving lossless and nondispersive (in a frequency band) double negative metamaterials can behave in a completely different way with respect to the cavities involving only traditional nondispersive double positive media. More precisely, it is proven that resonators with only nondispersive media may have an uncountable set of resonant frequencies. As practical consequences, it is outlined that this fact can represent an unsurmountable difficulty for present-day numerical simulators of electromagnetic eigenproblems and a cause of troubles for numerical solvers of electromagnetic driven problems. The presented result should warn users of numerical simulators against the employment of simplified models of metamaterials.     

On Electroconvection Between Nonparallel Electrodes and Its Possible Use to Model General Atmospheric Circulation

From the knowledge of ionic injection from metal electrodes in an insulating liquid, the modeling of geophysical flows is proposed. More particularly, it would be desirable to the general atmospheric circulation with a laboratory experiment where an insulating liquid, lying between two metal electrodes (a spherical one and an ellipsoid one) is subjected to both an electric force and the effect of rotation around an axis. The first step in solving this problem is to study the hydrodynamic stability of an insulating incompressible liquid layer lying between two concentric conducting spheres subjected to a unipolar injection by one or the other of the two spheres. The linear critical conditions are determined for various values of the different parameters. Secondly, we take into account the ellipticity of one electrode in a circulation model by studying the flow of a liquid between two planes lying at a small angle to each other. The experiments exhibit such a flow in conditions where volumic conduction is still dominant. An explanation is proposed which accounts for the variation law and the order of magnitude of the liquid velocity.     

MRI of skeletal muscles in autosomal recessive hereditary motor and sensory neuropathy with focally folded myelin sheaths

A 33-day-old male infant who developed central diabetes insipitus as a complication of congenital toxoplasmosis is presented. He had polyuria and hypernatremia on admission and responded to Intranasal desmopressin acetate with the normalization of above mentioned findings. Computed tomographic (CT) scan of the brain showed obstructive hydrocephaly with periventricular and right basal ganglion calcification. CT scan of the pituitary gland, thyroid function tests, and serum cortisol levels were all normal. This is the first report of isolated diabetes insipitus with congenital toxoplasmosis in literature and central diabetes insipitus should be remembered if polyuria and hypernatremia develops in a patient with congenital toxoplasmosis.