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1.
Endocr J ; 2024 Aug 07.
Artículo en Inglés | MEDLINE | ID: mdl-39111874

RESUMEN

Adipsic diabetes insipidus (ADI) is characterized by central diabetes insipidus and an impaired thirst response to hyperosmolality, leading to hypernatremia. Hyponatremia observed in patients with ADI has been considered a complication of desmopressin therapy. Herein, we present a case of impaired thirst sensation and arginine vasopressin (AVP) secretion without desmopressin therapy, in which hyponatremia developed due to preserved non-osmotic AVP secretion. A 53-year-old woman with hypopituitarism, receiving hydrocortisone and levothyroxine, experienced hyponatremia three times over 5 months without desmopressin treatment. The first hyponatremic episode (120 mEq/L) was complicated by a urinary tract infection with a plasma AVP level of 33.8 pg/mL. Subsequent hyponatremia episodes occurred after administration of antipsychotic (124 mEq/L) and spontaneously (125 mEq/L) with unsuppressed plasma AVP levels (1.3 and 1.8 pg/mL, respectively). Hypertonic saline infusion did not affect AVP or copeptin levels. Regulating water intake using a sliding scale based on body weight prevented the recurrence of hyponatremia without the use of desmopressin. Except during infection, plasma AVP levels (1.3 ± 0.4 pg/mL) were not significantly correlated with serum sodium levels (rs = -0.04, p = 0.85). In conclusion, we present a unique case of impaired thirst sensation and AVP secretion in which hyponatremia developed without desmopressin therapy. Preserved non-osmotic AVP secretion, possibly stimulated by glucocorticoid deficiency, may contribute to the development of hyponatremia in patients with ADI.

2.
Dalton Trans ; 45(32): 12669-79, 2016 Aug 09.
Artículo en Inglés | MEDLINE | ID: mdl-27465584

RESUMEN

The donor properties of five different PCcarbeneP ligands are assessed by evaluation of the CO stretching frequencies in iridium(i) and rhodium(i) carbonyl cations. The ligands feature dialkyl phosphine units (R = (i)Pr or (t)Bu) linked to the central benzylic carbon by either an ortho-phenylene bridge, or a 2,3-benzo[b]thiophene linker; in the former, substituent patterns on the phenyl linker are varied. The carbonyl complexes are synthesized from the (PCcarbeneP)M-Cl starting materials via abstraction of the chlorides in the presence of CO gas. In addition to the expected mono carbonyl cations, products with two carbonyl ligands are produced, and for the rhodium example, a novel product in which the second carbonyl ligand adds reversibly across the Rh[double bond, length as m-dash]C bond to give an η(2) ketene moiety was characterized. The IR data for the complexes shows the 2,3-benzo[b]thiophene linked system to be the poorest overall donor, while the phenyl bridged ligands incorporating electron donating dialkyl amino groups para to the anchoring carbene are very strongly donating pincer arrays.

3.
Angew Chem Int Ed Engl ; 53(28): 7360-3, 2014 Jul 07.
Artículo en Inglés | MEDLINE | ID: mdl-24917474

RESUMEN

Utilizing a cyclic (alkyl)(amino)carbene (CAAC) as a ligand, neutral CAAC-stabilized radicals containing a boryl functionality could be prepared by reduction of the corresponding haloborane adducts. The radical species with a duryl substituent was fully characterized by single-crystal X-ray structural analysis, EPR spectroscopy, and DFT calculations. Compared to known neutral boryl radicals, the isolated radical species showed larger spin density on the boron atom. Furthermore, the compound that was isolated is extraordinarily stable to high temperatures under inert conditions, both in solution and in the solid state. Electrochemical investigations of the radical suggest the possibility to generate a stable formal boryl anion species.

4.
Chem Commun (Camb) ; 48(78): 9735-7, 2012 Oct 09.
Artículo en Inglés | MEDLINE | ID: mdl-22914706

RESUMEN

New cyclic aromatic carbene ligands bearing remote amino groups were developed. The oxidative addition of Pd(0) into the chloride precursors yielded the corresponding Pd(II) complexes whose carbene ligand was demonstrated to have stronger donor ability than classical NHCs.

5.
Chemistry ; 18(12): 3566-81, 2012 Mar 19.
Artículo en Inglés | MEDLINE | ID: mdl-22334291

RESUMEN

A two-electron oxidation of the Cu(II) (9) and Zn(II) (12) complexes of tetraphenyltetrabenzoporphyrin (TPTBP) results in the formation of stable antiaromatic [(TPTBP)Cu(II)(H(2)O)](2+)⋅2 [SbF(6)](-) (10) and [(TPTBP)Zn(II)(H(2)O)(2)](2+)⋅2 [SbF(6)](-) (13) with 16π electrons on the inner ligand perimeter. X-ray structures of the parent TPTBP complexes, the dications, and singly oxidized species [(TPTBP)Cu(II)](⋅+)[SbF(6)](-) (11) reveal that the use of TPTBP rather than a porphyrin ligand reduces the degree of nonplanarity in the 16π-electron species relative to the parent 18π complex. Significant high-field shifts of the (1)H NMR signals of the outer ring protons and large positive values in calculations of nucleus-independent chemical shifts on the central cavity of the porphyrin ring provide unambiguous evidence for the antiaromatic character of the 16π Zn(II) species. A combination of magnetic circular dichroism spectroscopic studies and TD-DFT calculations on both the Zn(II) and Cu(II) species demonstrates that the main electronic bands of the dicationic species can be readily assigned by using Michl's 4N perimeter model. Femtosecond transient absorption studies clearly demonstrated that the number of π electrons on the inner ligand perimeter and the configuration of the central metal ion play a critical role in the excited-state relaxation dynamics. Redox potentials for conversion between the 16π, 17π, and 18π systems were measured by cyclic voltammetry in dichloromethane and benzonitrile, and UV/Vis spectra of each oxidation/reduction product were monitored by thin-layer spectroelectrochemistry.

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