Diagnostic copper imaging of Menkes disease by synchrotron radiation-generated X-ray fluorescence analysis

Renal Cell Carcinoma and Hepatocellular Carcinoma in a Patient with Wilson's Disease

No reports of renal cancer in patients with Wilson's disease (WD) exist. We herein report a 37-year-old Japanese man diagnosed with WD who had been treated with d-penicillamine 9 years prior. Hepatocellular carcinoma had been diagnosed at 36 years old and treated with radiofrequency ablation therapy. One year later, renal cancer and recurrent hepatocellular carcinoma had developed. The hepatocellular carcinoma was treated after renal cancer surgical resection of a clear-cell-type renal cell carcinoma, with iron, rather than copper, deposited on the renal cancer cells. This patient harbored a novel mutation, p. Leu1395Terfs in ATP7B.

Quantitative imaging approaches to understanding biological processing of metal ions

Faster, more sensitive, and higher resolution quantitative instrumentation are aiding a deeper understanding of how inorganic chemistry regulates key biological processes. Researchers can now image and quantify metals with subcellular resolution, leading to a vast array of new discoveries in organismal development, pathology, and disease. Metals have recently been implicated in several diseases such as Parkinson's, Alzheimers, ischemic stroke, and colorectal cancer that would not be possible without these advancements. In this review, instead of focusing on instrumentation we focus on recent applications of label-free elemental imaging and quantification and how these tools can lead to a broader understanding of metals role in systems biology and human pathology.

Copper-histidine therapy in an infant with novel splice-site variant in the ATP7A gene of Menkes disease: the first experience in South East Asia and literature review

Menkes disease (MD) is an X linked recessive multi-systemic disorder of copper metabolism, resulting from an ATP7A gene mutation. We report a male infant aged 4 months who presented with kinky hair, hypopigmented skin, epilepsy and delayed development. Magnetic resonance imaging (MRI) of brain demonstrated multiple tortuosities of intracranial vessels and brain atrophy. Investigation had showed markedly decreased serum copper and ceruloplasmin. The novel c.2172+1G>T splice-site mutation in the ATP7A gene confirmed MD. He was treated with subcutaneous administration of locally prepared copper-histidine (Cu-His). Following the therapy, hair manifestation was restored and serum ceruloplasmin was normalised 1 month later. Despite the treatment, epilepsy, neurodevelopment and osteoporosis still progressed. He died from severe respiratory tract infection at the age of 9.5 months. These findings suggest that the benefit of Cu-His in our case is limited which might be related to severe presentations and degree of ATP7A mutation.

Metal-Organic Frameworks Encapsulating Carbon Dots Enable Fast Speciation of Mono- and Divalent Copper

Copper is an essential element to play significant roles in human health associated to the strong redox properties of Cu(I) and Cu(II). The concurrent monitoring of copper species in biological matrixes is highly desired. Herein, a dual-channel fluorescence nanoprobe was designed for the speciation of mono- and divalent copper by conjugating carbon dots (CDs) with Eu-based metal-organic frameworks (Eu-MOFs). The obtained Eu-MOFs@CD nanoprobe exhibits fluorescence at λ_ex/λ_em = 380/454 nm from CDs and λ_ex/λ_em = 275/615 nm from Eu-MOFs. Bathocuproine disulfonate (BCS) specifically chelates Cu⁺ to produce a BCS-Cu⁺ adduct with absorption at 480 nm, which quenches the fluorescence of CDs at 454 nm due to the inner filter effect. On the other hand, Cu²⁺ quenches the fluorescence of Eu-MOFs due to the replacement of Eu³⁺ by Cu²⁺. Thus, Eu-MOFs@CDs enable extremely fast detection of Cu⁺ and Cu²⁺ within 1 min. Furthermore, the nanoprobe is demonstrated by monitoring the variation of Cu⁺ and Cu²⁺ in the degradation process of copper nanoparticles and Cu-based MOFs.

Tubular Dysfunction and Ruptured Ureter in a Child with Menkes Syndrome

Children with Menkes disease may develop various urological and renal problems that evolve as the disease progresses. A 4-year-old boy with Menkes disease had multiple bladder diverticula and a history of recurrent urinary tract infection caused by urea-splitting organisms. The child developed urosepsis and right pyelonephritis. Subsequent investigations revealed multiple right renal stones and a ruptured right ureter. The child also developed hypokalemia, hypophosphatemia, and normal anion gap metabolic acidosis that required electrolyte and potassium citrate supplement. Further assessment revealed renal tubular dysfunction. Our case suggests that regular imaging surveillance, monitoring of renal function and electrolyte profile, and tubular function assessment should be considered in children with Menkes disease.

ATP7A-Regulated Enzyme Metalation and Trafficking in the Menkes Disease Puzzle

Copper is vital for numerous cellular functions affecting all tissues and organ systems in the body. The copper pump, ATP7A is critical for whole-body, cellular, and subcellular copper homeostasis, and dysfunction due to genetic defects results in Menkes disease. ATP7A dysfunction leads to copper deficiency in nervous tissue, liver, and blood but accumulation in other tissues. Site-specific cellular deficiencies of copper lead to loss of function of copper-dependent enzymes in all tissues, and the range of Menkes disease pathologies observed can now be explained in full by lack of specific copper enzymes. New pathways involving copper activated lysosomal and steroid sulfatases link patient symptoms usually related to other inborn errors of metabolism to Menkes disease. Additionally, new roles for lysyl oxidase in activation of molecules necessary for the innate immune system, and novel adapter molecules that play roles in ERGIC trafficking of brain receptors and other proteins, are emerging. We here summarize the current knowledge of the roles of copper enzyme function in Menkes disease, with a focus on ATP7A-mediated enzyme metalation in the secretory pathway. By establishing mechanistic relationships between copper-dependent cellular processes and Menkes disease symptoms in patients will not only increase understanding of copper biology but will also allow for the identification of an expanding range of copper-dependent enzymes and pathways. This will raise awareness of rare patient symptoms, and thus aid in early diagnosis of Menkes disease patients.

Quantitative Distribution of DNA, RNA, Histone and Proteins Other than Histone in Mammalian Cells, Nuclei and a Chromosome at High Resolution Observed by Scanning Transmission Soft X-Ray Microscopy (STXM)

Soft X-ray microscopy was applied to study the quantitative distribution of DNA, RNA, histone, and proteins other than histone (represented by BSA) in mammalian cells, apoptotic nuclei, and a chromosome at spatial resolutions of 100 to 400 nm. The relative distribution of closely related molecules, such as DNA and RNA, was discriminated by the singular value decomposition (SVD) method using aXis2000 software. Quantities of nucleic acids and proteins were evaluated using characteristic absorption properties due to the 1s–π * transition of N=C in nucleic acids and amide in proteins, respectively, in the absorption spectra at the nitrogen K absorption edge. The results showed that DNA and histone were located in the nucleus. By contrast, RNA was clearly discriminated and found mainly in the cytoplasm. Interestingly, in a chromosome image, DNA and histone were found in the center, surrounded by RNA and proteins other than histone. The amount of DNA in the chromosome was estimated to be 0.73 pg, and the content of RNA, histone, and proteins other than histone, relative to DNA, was 0.48, 0.28, and 4.04, respectively. The method we present in this study could be a powerful approach for the quantitative molecular mapping of biological samples at high resolution.

Customisable X-ray fluorescence photodetector with submicron sensitivity using a ring array of silicon p-i-n diodes

The research and development of silicon-based X-ray fluorescence detectors achieved its submicron sensitivity. Its initial use is intended for in-situ beam monitoring at advanced light-source facilities. The effectively functioning prototype fully leveraged technologies and techniques from a wide array of scientific disciplines: X-ray fluorescence technique, photon scattering and spectroscopy, astronomical photometry, semiconductor physics, materials science, microelectronics, analytical and numerical modelling, and high-performance computing. At the design stage, the systematic two-track approach was taken with the aim of attaining its submicron sensitivity: Firstly, the novel parametric method, devised for system-wide full optimisation, led to a considerable increase in detector's total solid angle (0.9 steradian), or integrated field-of-view (~3000 deg²), thus, in turn, yielding a substantial enhancement of its photon-detection efficiency. Secondly, the minimisation of all types of limiting noise sources identified resulted in a boost to detector's signal-to-noise ratio, thereby achieving its targeted range of sensitivity. The subsequent synchrotron-radiation experiment with this X-ray detector demonstrated its capability to respond to 8-keV photon beams with 600-nanometre sensitivity. This Article reports on the innovative and effective design methods, formulated for systematising the process of custom-building ultrasensitive photodetectors, and future directions.