Usefulness of Photodynamic Therapy as a Possible Therapeutic Alternative in the Treatment of Basal Cell Carcinoma

Basal cell carcinoma (BCC) is the most common cancer in individuals with fair skin type (I–II) and steadily increasing in incidence (70% of skin malignancy). It is locally invasive but metastasis is usually very rare, with an estimated incidence of 0.0028%–0.55%. Conventional therapy is surgery, especially for the H region of the face and infiltrative lesions; in case of inoperable tumors, radiotherapy is a valid option. Recently, topical photodynamic therapy (PDT) has become an effective treatment in the management of superficial and small nodular BCC. PDT is a minimally invasive procedure that involves the administration of a photo-sensibilizing agent followed by irradiation at a pre-defined wavelength; this determines the creation of reactive oxygen species that specifically destroy target cells. The only major side effect is pain, reported by some patients during the irradiation. The high cure rate and excellent cosmetic outcome requires considering this possibility for the management of patients with both sporadic and hereditary BCC. In this article, an extensive review of the recent literature was made, in order to clarify the role of PDT as a possible alternative therapeutic option in the treatment of BCC.     

Interactions between Artemisinins and other Antimalarial Drugs in Relation to the Cofactor Model—A Unifying Proposal for Drug Action

Artemisinins are proposed to act in the malaria parasite cytosol by oxidizing dihydroflavin cofactors of redox‐active flavoenzymes, and under aerobic conditions by inducing their autoxidation. Perturbation of redox homeostasis coupled with the generation of reactive oxygen species (ROS) ensues. Ascorbic acid–methylene blue (MB), N‐benzyl‐1,4‐dihydronicotinamide (BNAH)–MB, BNAH–lumiflavine, BNAH–riboflavin (RF), and NADPH–FAD–E. coli flavin reductase (Fre) systems at pH 7.4 generate leucomethylene blue (LMB) and reduced flavins that are rapidly oxidized in situ by artemisinins. These oxidations are inhibited by the 4‐aminoquinolines piperaquine (PPQ), chloroquine (CQ), and others. In contrast, the arylmethanols lumefantrine, mefloquine (MFQ), and quinine (QN) have little or no effect. Inhibition correlates with the antagonism exerted by 4‐aminoquinolines on the antimalarial activities of MB, RF, and artemisinins. Lack of inhibition correlates with the additivity/synergism between the arylmethanols and artemisinins. We propose association via π complex formation between the 4‐aminoquinolines and LMB or the dihydroflavins; this hinders hydride transfer from the reduced conjugates to the artemisinins. The arylmethanols have a decreased tendency to form π complexes, and so exert no effect. The parallel between chemical reactivity and antagonism or additivity/synergism draws attention to the mechanism of action of all drugs described herein. CQ and QN inhibit the formation of hemozoin in the parasite digestive vacuole (DV). The buildup of heme–Fe^III results in an enhanced efflux from the DV into the cytosol. In addition, the lipophilic heme–Fe^III complexes of CQ and QN that form in the DV are proposed to diffuse across the DV membrane. At the higher pH of the cytosol, the complexes decompose to liberate heme–Fe^III. The quinoline or arylmethanol reenters the DV, and so transfers more heme–Fe^III out of the DV. In this way, the 4‐aminoquinolines and arylmethanols exert antimalarial activities by enhancing heme–Fe^III and thence free Fe^III concentrations in the cytosol. The iron species enter into redox cycles through reduction of Fe^III to Fe^II largely mediated by reduced flavin cofactors and likely also by NAD(P)H–Fre. Generation of ROS through oxidation of Fe^II by oxygen will also result. The cytotoxicities of artemisinins are thereby reinforced by the iron. Other aspects of drug action are emphasized. In the cytosol or DV, association by π complex formation between pairs of lipophilic drugs must adversely influence the pharmacokinetics of each drug. This explains the antagonism between PPQ and MFQ, for example. The basis for the antimalarial activity of RF mirrors that of MB, wherein it participates in redox cycling that involves flavoenzymes or Fre, resulting in attrition of NAD(P)H. The generation of ROS by artemisinins and ensuing Fenton chemistry accommodate the ability of artemisinins to induce membrane damage and to affect the parasite SERCA PfATP6 Ca²⁺ transporter. Thus, the effect exerted by artemisinins is more likely a downstream event involving ROS that will also be modulated by mutations in PfATP6. Such mutations attenuate, but cannot abrogate, antimalarial activities of artemisinins. Overall, parasite resistance to artemisinins arises through enhancement of antioxidant defense mechanisms.     

Mechanical properties and morphology of papers prepared from single-walled carbon nanotubes functionalized with aromatic amides

Carbon nanotube papers (CNT papers, also referred to as “buckypapers”) prepared from chemically functionalized single-walled CNTs are being investigated for their mechanical tensile properties. While the Young’s moduli are unaffected by the functionalization with diazonium salts of aniline or aromatic mono- and bis-amides tensile strengths of CNT papers are found to increase with a growing degree of functionalization, and more pronounced with a growing number of amide groups capable of hydrogen bonding. The importance of hydrogen bonding becomes evident after its inhibition through N-methylation of the amide groups, resulting in a distinct reduction of strength values. Scanning electron micrography indicates that a high degree of functionalization or a high number of amide group results in the formation of domains with aligned CNTs.     

Silicon carbide-based foams from direct blowing of polycarbosilane

Macro-cellular porous silicon carbide foams were produced using a polycarbosilane preceramic polymer and a chemical blowing agent (azodicarbonamide). Polycarbosilane (PCS) was mixed with a blowing agent and the mixture was foamed close to the melting point of PCS at 250-260 °C, under nitrogen in order to avoid cross-linking by oxidation. The foamed PCS was then cured under air at 200 °C and pyrolyzed at 1000 °C, leading to the formation of open macro-cellular ceramic components. Porosity ranged from 59 to 85 vol%, and the cell size ranged from 416 to 1455 μm; these values could be modulated by changing the content of blowing agent and foaming temperature. This process is a simple and efficient way to produce silicon carbide-based foam with tailored pore architecture and porosity.     

Evidence for Bulk Residual Stress Strengthening in Al2O3/SiC Nanocomposites

The fracture behavior of Al₂O₃/SiC nanocomposites has been studied as a function of the SiC volume fraction and compared to that of the pure Al₂O₃ matrix. A pronounced strengthening effect was only observed for materials with low SiC content (i.e., ≤10 vol%) although no evidence of concurrent toughening was found. Assessment of near-tip crack opening displacement (COD) could not experimentally substantiate significant occurrence of an elastic crack-bridging mechanism, in contrast with a recently proposed literature model. Quantitative fractography analysis indicated that transgranular crack propagation in Al₂O₃/SiC nanocomposites depends on the location of the SiC dispersoids within the matrix texture; the higher the fraction of transgranularly located dispersoids, the more transgranular the fracture mode. Experimental evidence of remarkably high residual stresses arising from thermal dilatation mismatch (upon cooling) between Al₂O₃ and SiC phases were obtained by fluorescence and Raman spectroscopy. A strengthening mechanism is invoked which merely arises from residual stress through strengthening of Al₂O₃ grain boundaries.     

Solid-state F MAS and H→F CP/MAS NMR study of the phase transition behavior of vinylidene fluoride-trifluoroethylene copolymers: 1. Uniaxially drawn films of VDF 75% copolymer

The changes in the phase structures and molecular mobility caused by the ferroelectric-paraelectric phase transition of vinylidene fluoride (VDF) and trifluoroethylene (TrFE) copolymer, P(VDF₇₅/TrFE₂₅), were analyzed using variable temperature (VT) solid-state ¹⁹F MAS and ¹H→¹⁹F CP/MAS NMR spectroscopy. The CF₂ signal of the VDF chain sequence and the CHF signal at the head-to-head linkage of VDF-TrFE sequence showed higher frequency shift in the temperature range 43-92 °C, whereas no change was found for the CHF signal at the head-to-tail linkage of VDF-TrFE up to 92 °C. Hence, VT ¹⁹F MAS spectra revealed that the VDF-TrFE head-to-tail sequence is the most stable part in polymer chains against trans-gauche conformational exchange motions below the phase transition temperature (Curie temperature, T_c) on heating. However, all chain sequences including TrFE units undergo conformational exchange at around T_c. The phase transition behavior is clearly recognized in the ¹⁹F spectral shapes, in which the broad signals of the ferroelectric immobile phase disappeared between 115 and 119 °C. In addition, T_1ρ^F for all peaks decreased to a unique value (ca. 20 ms) at 119 °C, indicating that uniform molecular motion accompanied by a full chain rotation occurred at the temperature. The significantly longer T_1ρ^F for all peaks (ca. 20 ms) in the paraelectric phase (119 °C) than that in the amorphous domain (<4 ms) at ambient temperature supports the conclusion that there is restricted rotational motion of polymer chains around the chain axis in the paraelectric phase. On cooling from 119 to 85 °C, a gradual decrease in gauche conformers in the paraelectric phase was confirmed by the low-frequency displacement of CF₂ signals in VDF sequences accompanied by slight decreases in T₁^F and T_1ρ^F. The phase transition was observed between 85 and 77 °C on cooling, in which the characteristic signals of the paraelectric phase disappeared, the T_1ρ^F values of all peaks quickly increased, and the broad crystalline signals abruptly appeared at 77 °C.     

X-ray Diffraction Methodology for the Microstructural Analysis of Nanocrystalline Powders: Application to Cerium Oxide

The microstructural evolution of nanocrystalline ceria produced by sol–gel has been analyzed as a function of the calcination temperature employing a novel nondestructive method based on the modeling of the whole X-ray diffraction pattern. The results have been thoroughly verified by transmission electron microscopy. A variation both in the average size and in the distribution of the crystalline domains is evidenced. In addition, information concerning lattice defects can be inferred on a larger scale than that normally accessible by microscopy techniques.     

Unravelling the Carbohydrate‐Binding Preferences of the Carbohydrate‐Binding Modules of AMP‐Activated Protein Kinase

The β subunit of adenosine monophosphate (AMP)‐activated protein kinase (AMPK), which exists as two isoforms (β1 and β2) in humans, has a carbohydrate‐binding module (CBM) that interacts with glycogen. Although the β1‐ and β2‐CBMs are structurally similar, with strictly conserved ligand‐contact residues, they show different carbohydrate affinities. β2‐CBM shows the strongest affinity for both branched and unbranched oligosaccharides and it has recently been shown that a Thr insertion into β2‐CBM (Thr101) forms a pocket to accommodate branches. This insertion does not explain why β2‐CBM binds all carbohydrates with stronger affinity. Herein, it is shown that residue 134 (Val for β2 and Thr for β1), which does not come into contact with a carbohydrate, appears to account for the affinity difference. Characterisation by NMR spectroscopy, however, suggests that mutant β2‐Thr101Δ/Val134Thr differs from that of β1‐CBM, and mutant β1‐Thr101ins/Thr134Val differs from that of β2‐CBM. Furthermore, these mutants are less stable to chemical denaturation, relative to that of wild‐type β‐CBMs, which confounds the affinity analyses. To support the importance of Thr101 and Val134, the ancestral CBM has been constructed. This CBM retains Thr101 and Val134, which suggests that the extant β1‐CBM has a modest loss of function in carbohydrate binding. Because the ancestor bound carbohydrate with equal affinity to that of β2‐CBM, it is concluded that residue 134 plays an indirect role in carbohydrate binding.     

Mechanical Properties of Silicon Oxycarbide Ceramic Foams

The mechanical properties of ceramic foams obtained through a novel process that uses the direct foaming and pyrolysis of preceramic polymer/polyurethane solutions were investigated. The elastic modulus, flexural strength, and compressive strengths were obtained for foams in the as-pyrolyzed condition; values up to 7.1 GPa, 13 MPa, and 11 MPa, respectively, were obtained. The strength of the foam was virtually unchanged at temperatures up to 1200°C in air; however, long-term exposure at 1200°C led to a moderate degradation in strength, which was attributed to the evolution of intrastrut porosity during the oxidation of residual free carbon, as well as devitrification of the foams struts.