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Effect of intratracheal gallium arsenide administration on delta-aminolevulinic acid dehydratase in rats: relationship to urinary excretion of aminolevulinic acid.

Exposure to gallium arsenide (GaAs) is a potential hazard in the semiconductor industry and there is a need for specific biological indicators of exposure/toxicity for this compound. These studies examined effects of GaAs exposure on the heme biosynthetic pathway enzyme delta-aminolevulinic acid dehydratase (ALAD). Male CD rats received GaAs suspensions at doses of 50, 100, or 200 mg/kg via a single intratracheal instillation. Six days after treatment a dose-dependent inhibition of blood ALAD was observed with activity decreasing to 5% of controls at the highest dose, with a concomitant marked increase in the urinary excretion of aminolevulinic acid (ALA). Inhibition of blood ALAD following administration of GaAs was maximal (30% of control) 3 to 6 days postexposure and returned to approximately control values on day 18. Urinary excretion of ALA was maximal 3 to 6 days postexposure and recovered toward control values at 18 days. Inhibition of kidney and liver ALAD following GaAs exposure was also evident. Intratracheal instillation of silica did not alter the activity of ALAD in blood, liver, or kidney. Marked increases in lung wet weight/body weight ratios were evident in lungs of silica- and GaAs-treated rats. Histopathological changes in the lungs were characterized by multifocal granulomas following silica treatment and Type II pneumocyte hyperplasia following GaAs treatment; mild necrosis was evident in both groups. Rats treated with 100 mg/kg GaAs exhibited swelling of kidney proximal tubule mitochondria 6 days following exposure. Silica and GaAs exposure produced marked decreases in cumulative weight gain. The concentration of gallium required to achieve half-maximal inhibition of ALAD in vitro was 200-fold less in blood and 40-fold less in kidney and liver than that required for arsenite and the inhibition was partially prevented by excess zinc. These data suggest that gallium is the primary inhibitor of ALAD following dissolution of GaAs in vivo and that competition for or displacement of zinc from the enzyme active site may be involved in the mechanism of inhibition. The data also demonstrated the utility of including a particulate control group when assessing the chemical-induced toxicity of compounds administered intratracheally as particulate suspensions. Finally, measurement of heme precursors, e.g., ALA, in urine coupled with assay of red blood cell ALAD activity may be of value as an early biological indicator of GaAs exposure and/or toxicity.

Aminolevulinic Acid↗

"Hot spot" on gallium-67-citrate scan in renal cell carcinoma. Clinicopathologic and biochemical correlation.

A frontal tomographic whole-body gallium-67-citrate scan was performed on 30 patients with renal cell carcinoma. Positive gallium uptake by the kidney in 20 patients (66.7%) correlated well with the clinicopathologically higher stage and grade of the tumor and with abnormal values in prognostic indexes in the blood. Thus, a negative gallium uptake may be indicative of an improved clinical course and longer survival in patients with renal cell carcinoma.

Adenocarcinoma↗

Bone scan, gallium scan, and hip aspiration in the diagnosis of infected total hip arthroplasty.

The difficulty in differentiating aseptic loosening from infection in painful total hip arthroplasty is well recognized. This prompted a review of the efficacy of the preoperative investigations used at the authors' institution. One hundred forty-four patients who underwent revision hip arthroplasty were reviewed. Seventy-two had sequential bone-gallium scan, and/or hip aspiration, and intraoperative Gram stain. These were compared to intraoperative culture as the gold standard. Twenty infected hips were detected on culture. For prediction of infection, the bone-gallium scan had a sensitivity of 38% and a specificity of 100%. Hip aspiration had a sensitivity of 57% and a specificity of 97%. The investigations combined gave a sensitivity of 64% and a specificity of 95%. Intraoperative Gram stain compared with subsequent culture yielded a sensitivity of 23% and a specificity of 100%. Uncemented hips were infected more frequently (47%) than cemented hips (9%), significant at P < .0001. It was concluded that bone-gallium imaging is not an effective method for investigating painful hip prostheses for sepsis and offers no additional advantage over hip aspiration. Intraoperative Gram stain also missed a large number of infections. Other modalities, such as indium-labeled-leukocyte imaging and capsular histologic examination, may be more efficacious. A significant difference in the number of infections found in cemented versus uncemented hips was shown, hence greater vigilance for infection is required when patients present with painful uncemented hip arthroplasties.

Adult↗

Alteration of DNA synthesis in human brain tumor cells by gallium nitrate in vitro.

We measured 3H-thymidine incorporation by human brain tumor cell lines treated with varying doses of gallium nitrate. These DNA synthesis data indicate that the effects of gallium documented for brain tumor cell viability parallel those for alterations in DNA synthesis. The primitive, poorly-differentiated, small, round-cell tumors (medulloblastoma and rhabdomyosarcoma) appear to be more sensitive than glially differentiated neoplasms (glioblastoma) to DNA synthesis inhibition by gallium nitrate.

Antineoplastic Agents↗

Synthetic analogue approach to metallobleomycins: syntheses, structure and properties of mononuclear and tetranuclear gallium(III) complexes of a ligand that resembles the metal-binding site of bleomycin.

As part of our interest into the bioinorganic chemistry of gallium, gallium(III) complexes of the peptide ligand N-(2-(4-imidazolyl)ethyl)pyridine-2-carboxamide (pypepH2) resembling a fragment of the metal-binding domain of bleomycins (BLMs), have been isolated. Reaction of pypepH2 with (Et4N)[GaCl4] and Ga(acac)3 [acac- is the acetylacetonate(-1) ion] affords the mononuclear complex [Ga(pypepH)2]Cl.2H2O (1) and the tetranuclear complex [Ga4(acac)4(pypep)4].4.4H2O (2), respectively. Both complexes were characterized by single-crystal X-ray crystallography, IR spectroscopy and thermal decomposition data. The pypepH- ion in 1 behaves as a N(pyridyl), N(deprotonated amide), N(pyridine-type imidazole) chelating ligand. The doubly deprotonated pypep2- ion in 2 behaves as a N(pyridyl), N(deprotonated amide), N(imidazolate), N'(imidazolate) mu2 ligand and binds to one Ga(III) atom at its pyridyl, amide and one of the imidazolate nitrogens, and to a second metal ion at the other imidazolate nitrogen; a chelating acac- ligand completes six coordination at each Ga(III) centre. The IR data are discussed in terms of the nature of bonding and known structures. The 1H NMR spectrum of 1 suggests that the cation of the complex maintains its integrity in dimethylsulfoxide (DMSO) solution. Complexes 1 and 2 are the first synthetic analogues of metallobleomycins with gallium(III).

Binding Sites↗

Gallium-67 citrate imaging studies of the lung.

In spite of localization of gallium in the lungs in a large variety of inflammatory pulmonary diseases, the chest radiograph is and will continue to be the principal diagnostic tool for evaluation of pulmonary inflammatory disease. The 67Ga-citrate scan, however, serves as a study complementary to chest radiography because it indicates the extent, localization, and degree of activity of the inflammatory disease with greater accuracy than do the radiographic studies. It also permits the physician to follow progression of the disease or response to treatment and possible to detect disseminated interstitial disease not visualized on radiographs. Gallium-67 scanning may be used in the evaluation of patients with lymphorecticular neoplasms (Hodgkin's disease and malignant lymphomas) both during initial staging and in evaluation of the response to therapy. The 67Ga-citrate scan is useful in the evaluation of patients with lung cancer provided its limitations are kept in mind. It cannot and should not replace the pathologist's microscope. The scan is useful as a screening test only in patients who have radiographic lesions not consistent with inflammatory disease and in whom invasive diagnostic procedures or exploratory surgery are contraindicated unless the probability of detecting a resectable tumor is high. However, the limited resolution of the scanning system restricts the possibility of detecting lesions before they become radiographically visible. The histologic type of the lesion appears to have no effect on the probability of detection. As a noninvasive procedure, the 67Ga-citrate scan complements mediastinoscopy by indicating which lymph nodes should be biopsied. It is also useful in evaluation of the controlateral hilar node region. The scan frequently detects clinically unsuspected extrathoracic lesions. It may therefore be a useful initial procedure in guiding the work-up of the patient with a known or strongly suspected tumor. The combination of the 67Ga scan with the chest radiograph could provide the information necessary for presurgical clinical staging in patients who have no symptoms that suggest distant metastases. Gallium-67 scans may be useful in indicating the effectiveness of treatment and the sensitivity of a tumor to radiation.

Adenocarcinoma↗

Detection of abdominal abscesses with gallium-67 citrate: correlative studies with computed tomography.

Undiagnosed abdominal abscess is a medical problem of substantial clinical importance. The high morbidity and mortality associated with this entity demand prompt, accurate diagnosis. The combined use of gallium scintigraphy and computed tomography provides the imaging tools necessary to accomplish this goal. If the suspected pathology cannot be localized, gallium scintigraphy is the initial diagnostic imaging procedure utilized. When antecedent events or clinical symptoms suggest a specific site for the suspected inflammatory collection, computed tomography (CT) is used to evaluate the area. The strengths and weaknesses of gallium scanning and computed tomography are explored in depth, and particular emphasis is given to proper technique and the avoidance of pitfalls. A logical approach to the use of these modalities in tandem is presented.

Abdomen↗

The incidental detection of gallium-67 citrate in a urinoma following a right pyeloplasty: a case report.

An abnormal accumulation of radionuclide was identified within the right juxtadiaphragmatic and juxtahepatic spaces during gallium-67 citrate scintigraphy in a post-pyeloplasty patient. Its mode of presentation, the recent pyeloplasty and the known biologic distribution of gallium suggested that it represented gallium-67 concentration within a postoperatively created urinoma. Diagnosis was confirmed by excretory urography and laparotomy.

Adolescent↗

Gallium-67 scintigraphy for the diagnosis and localization of perinephric abscesses.

Four patients with suspected perinephric abscess were evaluated by gallium-67 scintigraphy. Gallium-67 scintigraphs proved instrumental in correctly diagnosing and localizing 4 left perinephric abscesses. Roentgenographic examinations were negative in 2 cases. Gallium-67 scintigraphy can be a useful non-invasive technique to evaluate patients with suspected perinephric abscess.

Abscess↗

Treatment of cancer-related hypercalcemia: the role of gallium nitrate.

Hypercalcemia is a common, life-threatening metabolic disorder that can be associated with cancer. Its pathophysiology includes enhanced osteoclastic bone resorption and decreased renal excretion of extracellular calcium. Symptoms of hypercalcemia include nausea, vomiting, bone pain, polyuria, renal insufficiency, bradycardia, and arrhythmia. The goals of medical therapy are to inhibit bone resorption and promote renal calcium excretion. Hydration is the first step in management. Treatments for hypercalcemia include phosphates, calcitonin, bisphosphonates, and gallium nitrate. Although intravenous phosphates prevent intestinal calcium absorption and inhibit mineral and bone matrix resorption, serious adverse events include renal failure, hypotension, extraskeletal calcification, and severe hypocalcemia. Calcitonin has a rapid onset of action and can lower serum calcium concentrations within hours, but its usefulness is limited by its short duration of effect and the development of tachyphylaxis. Bisphosphonates are effective inhibitors of bone resorption but appear to have decreased response rates in hypercalcemic patients with high levels of parathyroid-related protein. Gallium nitrate, an antitumor agent noncytotoxic to osteoclasts and bone cells, appears to be more effective than pamidronate, etidronate, and calcitonin in the treatment of cancer-related hypercalcemia. Importantly, unlike bisphosphonates, gallium nitrate is effective in both parathyroid-related protein-mediated and non-parathyroid-related protein-mediated hypercalcemia.

Antineoplastic Agents↗

A palladium-free gallium-based alloy: analysis of composition and microstructure.

OBJECTIVES: To study the microstructure of a palladium-free gallium-based alloy (Galloy) before and after mixing to identify the metallic phases produced by the setting reaction and assess the quantitative elemental analysis of the phases present. METHODS: The Galloy powder was analyzed using X-ray diffraction (XRD) and scanning electron microscopy (SEM) and the particle size distribution was determined using a high resolution particle size analyzer. Cylindrical test specimens were mechanically condensed in accordance with ISO 1559: 1986 for XRD, energy dispersive spectroscopy (EDS) and SEM analyses of the set alloy. Disc shaped specimens were prepared by manual condensation to compare the width of the reaction zone with specimens condensed mechanically. RESULTS: The Galloy powder consisted of spherical particles varying between 0.1 and 40 microm in diameter which contained a network of grooves and clefts extending deep within the substance of the particles. The reaction zone appeared 'grainy' and 'fragmented' compared with the well defined reaction zone previously observed for Pd-containing gallium-based alloys. The student t-test indicated the width of reaction zone varied significantly (P<0.001) with method of specimen fabrication.Significance. The significantly larger reaction zone in the manually condensed specimens was possibly due to failure of the condensation technique to force out excessive liquid alloy present in the triturated mass. The surface topography of the Pd-free Galloy powder particles could be responsible for the characteristically fragmented and ill-defined reaction zone observed in the set material compared with the well defined reaction zone previously observed for Pd-containing gallium-based alloys.

Dental Alloys↗

The effect of water contamination on dimensional change and corrosion properties of a gallium alloy.

OBJECTIVE: This aim of this study was to determine the effect of water contamination on the dimensional change over time and the corrosion properties of a gallium-based alloy (Galloy, SDI), compared to an amalgam (Tytin, Kerr). METHODS: Normal and water-contaminated (10 microL of dH2O during condensation) Galloy and Tytin samples were fabricated using a split metal mold and mechanical condenser. The normal samples were tested for dimensional change under dry and wet (immersed in dH2O) conditions. The water-contaminated samples were tested for dimensional change under only dry conditions. Linear measurements were made over a 7 day period using a stage-equipped dial micrometer. The corrosion potential (Ecorr), the corrosion current density (lcorr), the passive current density (lp), the protective scale formation current density (lps) and potential (Eps), and the breakdown potential (Ebd) were obtained from the polarization curves generated in oxygenated saline solution. Single factor ANOVA and Duncan's multiple range tests were used to determine differences between the various samples. RESULTS: The water-contaminated Galloy samples contracted to a minimum of -3.42 +/- 1.73 microns cm-1 in 5 h followed by expansion to a maximum of 22.56 +/- 3.90 microns cm-1 at the end of 7 days. Normal Galloy and Tytin samples and water-contaminated Tytin samples exhibited rapid contraction during the first 24 h, followed by minimal change over the next 7 days. The Ecorr of normal and water-contaminated Galloy samples was more active than that of the normal and water-contaminated Tytin samples. The lcorr of the normal and water-contaminated Galloy samples was three orders of magnitude greater than the lcorr of normal and water-contaminated Tytin samples. The Eps for the water-contaminated Galloy and Tytin samples was more noble than for the normal Galloy and Tytin samples. The Ebd for the Tytin and water-contaminated Tytin samples was greater than the corresponding values for the Galloy and water-contaminated Galloy samples. SIGNIFICANCE: The gallium-based alloy exhibited expansion if contaminated with water during the condensing and setting process. Post-setting exposure to water did not result in expansion of the gallium-based alloy. The alloy also exhibited a greater susceptibility to corrosion than the amalgam. Due to the possibility of delayed expansion, this material should be used cautiously, particularly in applications involving weakened tooth structure.

Analysis of Variance↗

In vitro evaluation of the effect of freshly mixed amalgam and gallium-based alloy on the viability of primary periosteal and osteoblast cell cultures.

The effect of freshly mixed specimens of a gallium-based alloy Galloy and a high copper spherical amalgam Tytin on the viability of primary periosteal and osteoblast cells was investigated. The cells were grown from the parietal bones of 2-3 day old Albino Wistar rats and were seeded in multi-well plates and exposed to the test materials for 1 or 6 days. The number of viable cells in each test group was determined using the Trypan blue dye exclusion test and compared with the controls. The area of cell death around the test specimens was also measured. Statistical analysis (ANOVA, Tukey's pairwise comparisons) showed a significant effect of the test materials on cell viability (P < 0.01). The viability of cultures containing Tytin was significantly lower than cultures with Galloy and the controls (P < 0.05). The viability of cultures containing Galloy was significantly lower (P < 0.05) than controls except for periosteal cells after 1 day. The culture media was analysed using atomic absorption spectrophotometry (AAS) for metal ion content. The results suggested that mercury (Hg) was the main element released from the dental amalgam followed by copper (Cu) and silver (Ag) whilst gallium (Ga) was the main element released from the gallium-based alloy followed by indium (In), Ag and Cu.

Alloys↗

Synthesis, structure, spectroscopic and in vitro antitumour studies of a novel gallium(III) complex with 2-acetylpyridine (4)N-dimethylthiosemicarbazone.

The reaction of 2-acetylpyridine 4N-dimethylthiosemicarbazone (HL) with GaCl(3) in absolute ethanol in 1:1 molar ratio yielded the complex [GaL(2)][GaCl(4)]. The crystal structure of the gallium(III) complex has been determined by X-ray diffraction methods. Infrared, electronic, ESI mass and (1)H, (13)C, (15)N and (71)Ga NMR spectra, as well as the thermal behaviour are reported. The cytotoxicity assay in several human cancer cell lines (SW480, SK-BR-3 and 41M) suggests that the gallium(III) complex might be endowed with promising antitumour properties. In vitro cytotoxic activity exceeds that of all other tested gallium(III) complexes and is slightly higher than that of HL.

Antineoplastic Agents↗

Synthesis, characterization, and molecular structure of a gallium(III) complex of an amine-phenol ligand with activity against chloroquine-sensitive Plasmodium falciparum strains.

Emergence of chloroquine-resistant Plasmodium falciparum strains necessitates discovery of novel antimalarial drugs, especially if the agents can be synthesized from commercially available, inexpensive precursors via short synthetic routes. While exploring structure-activity relationships, we found a gallium(III) complex, [(1,12-bis(2-hydroxy-5-methoxybenzyl)-1,5,8,12-tetraazadodecane)-gallium(III)](+) [Ga-5-Madd](+), 1, that possessed antimalarial efficacy. Like previously reported complexes, the crystal structure of 1 revealed gallium(III) in a symmetrical octahedral environment surrounded by four secondary amine nitrogen atoms in equatorial plane and two axial oxygen atoms. In contrast to a previously reported complex, [Ga-3-Madd](+), this novel metallo-antimalarial 1 possessed modest efficacy against chloroquine-sensitive HB3 Plasmodium lines. Thus, slight variation in the positions of methoxy functionalities on the aromatic rings of the organic scaffold dramatically altered specificity thereby suggesting a targeted (e.g., transporter- or receptor-mediated) rather than non-specific (e.g., pH or other gradient-mediated) mechanism of action for these agents.

Amines↗

Gallium 67 scintigraphy as a predictor of renal prognosis in primary immunoglobulin A nephropathy.

From October 1987 to September 1989, 29 patients with newly diagnosed immunoglobulin A nephropathy underwent renal gallium 67 scintigraphy. The radioisotope uptake ratio between left kidney and soft tissue was measured 48 hours after bolus injection of gallium 67. In 25 patients the ratio ranged from 1.30 to 3.56 (mean, 1.95 +/- 0.47). Ratios were not obtained in four patients because strong gastrointestinal isotope excretion. Plots of reciprocal serum creatinine concentration against time and Kaplan-Meier plots of renal survival were used to assess the predictive value of the test in 20 patients for whom long-term follow-up data were available. The radioisotope uptake ratio was negatively correlated with the slope of reciprocal serum creatinine against time (r = -0.64, P < 0.01). When the 20 patients were divided into two groups according to radioisotope uptake ratio (group A, ratio > 1.95, nine patients; group B, ratio < 1.95, 11 patients), life table analysis of renal survival showed group B to have a better prognosis than group A (P < 0.05). The results indicate that increased renal gallium uptake is predictive of a poor prognosis in patients with immunoglobulin A nephropathy.

Adult↗

Testicular toxicity evaluation of arsenic-containing binary compound semiconductors, gallium arsenide and indium arsenide, in hamsters.

The testicular toxicities of gallium arsenide (GaAs), indium arsenide (InAs) and arsenic trioxide (As2O3) were examined by repetitive intratracheal instillation using hamsters. GaAs (7.7 mg/kg) and As2O3 (1.3 mg/kg) were instilled twice a week a total of 16 times and InAs (7.7 mg/kg) was instilled a total of 14 times. GaAs caused testicular spermatid retention and epididymal sperm reduction, though the degrees were less severe than those in rats shown in our previous experiment. InAs and As2O3 did not show any testicular toxicities. Serum arsenic concentration in GaAs-treated hamsters was less than half of that in As2O3-treated hamsters in which no testicular toxicities were found. Serum molar concentration of gallium was 32-times higher than that of arsenic in GaAs-treated hamsters. Therefore gallium may play a main role in the testicular toxicity of GaAs in hamsters.

Animals↗

Quadrupolar nutation NMR on a compound semiconductor gallium-arsenide.

Lattice defects in a compound semiconductor, gallium-arsenide are evaluated by two-dimensional nutation nuclear magnetic resonance. Especially in the case of indium doped gallium-arsenide, analysis of the nutation patterns indicates that the electric field gradient exists in the whole crystal. Asymmetry parameters and quadrupolar coupling constants are determined as approximately 1.0 and 93 kHz, respectively. These results suggest that the whole crystal is under slight strain. Through this work, it is demonstrated that a two-dimensional nutation nuclear magnetic resonance is the useful method to investigate the lattice defects in gallium-arsenide.

Arsenicals↗