Publications by authors named "Daniel M D'Souza"

Background & Aims: Metabolic syndrome (MS) is a growing epidemic and a risk factor for the development of hepatocellular carcinoma (HCC). This study investigated the long-term outcomes of liver resection (LR) for HCC in patients with MS. Rates, timing, patterns, and treatment of recurrences were investigated, and cancer-specific survivals were assessed.

View Article and Find Full Text PDF

Objective: To compare minimally invasive (MILR) and open liver resections (OLRs) for hepatocellular carcinoma (HCC) in patients with metabolic syndrome (MS).

Background: Liver resections for HCC on MS are associated with high perioperative morbidity and mortality. No data on the minimally invasive approach in this setting exist.

View Article and Find Full Text PDF
Article Synopsis
  • Metabolic syndrome (MS) increases the risk of postoperative complications after liver resection for hepatocellular carcinoma (HCC), making careful patient selection essential.
  • A study analyzed 1,087 patients from multiple centers to identify key factors associated with major morbidity, revealing that obesity, diabetes, ischemic heart disease, and other factors significantly increase risks.
  • The resulting predictive model exhibited a 72.8% accuracy in assessing the likelihood of major complications, underscoring the importance of understanding individual patient characteristics for better surgical outcomes.
View Article and Find Full Text PDF

The compound class of 3-arylpropynylidene indolones, key intermediates in consecutive three-component syntheses of various indole-based chromophores with peculiar emission characteristics, are readily synthesized by a domino insertion-coupling synthesis with an electronically diverse substitution pattern in moderate to excellent yields. The title compounds are formed in E/Z-ratios from 100:0 to 0:100. Besides structure elucidation by NMR-spectroscopy and X-ray structure analysis, DFT calculations have been employed to rationalize the observed stereoselectivity.

View Article and Find Full Text PDF

We report on the design, synthesis, and operation of a bimetallic molecular biped on a three-foothold track. The "walker" features a palladium(II) complex "foot" that can be selectively stepped between 4-dimethylaminopyridine and pyridine ligand sites on the track via reversible protonation while the walker remains attached to the track throughout by means of a kinetically inert platinum(II) complex foot. The substitution pattern of the three ligand binding sites, together with the kinetic stability of the metal-ligand coordination bonds, affords the two positional isomers a high degree of metastability, meaning that altering the chemical state of the track does not automatically instigate stepping in the absence of an additional stimulus (heat in the presence of a coordinating solvent).

View Article and Find Full Text PDF

The ribosome builds proteins by joining together amino acids in an order determined by messenger RNA. Here, we report on the design, synthesis, and operation of an artificial small-molecule machine that travels along a molecular strand, picking up amino acids that block its path, to synthesize a peptide in a sequence-specific manner. The chemical structure is based on a rotaxane, a molecular ring threaded onto a molecular axle.

View Article and Find Full Text PDF

The synthesis of 5,5'-dibromo-2,2'-bipyridine and 5-bromo-2,2'-bipyridine, useful intermediates for elaboration into more complex ligands through metal-catalyzed coupling reactions, can be efficiently conducted on a multigram scale from inexpensive starting materials. The described procedure is reliably scalable and suitable for the synthesis of tens of grams of 5,5'-dibromo-2,2'-bipyridine. 5-Bromo-2,2'-bipyridine is produced as a minor product.

View Article and Find Full Text PDF

We report on the use of the hydrogen bond acceptor properties of some phosphorus-containing functional groups for the assembly of a series of [2]rotaxanes. Phosphinamides, and the homologous thio- and selenophosphinamides, act as hydrogen bond acceptors that, in conjunction with an appropriately positioned amide group on the thread, direct the assembly of amide-based macrocycles around the axle to form rotaxanes in up to 60% yields. Employing solely phosphorus-based functional groups as the hydrogen bond accepting groups on the thread, a bis(phosphinamide) template and a phosphine oxide-phosphinamide template afforded the corresponding rotaxanes in 18 and 15% yields, respectively.

View Article and Find Full Text PDF

In a consecutive three-component cyclocarbopalladation, Sonogashira coupling, Michael addition sequence 4-aminopropenylidene indolones, i.e., terminally fixed push-pull chromophores, are obtained in yields as high as 99%.

View Article and Find Full Text PDF

We report on the use of the hydrogen-bond-accepting properties of neutral nitrone moieties to prepare benzylic amide macrocycle-containing [2]rotaxanes in yields as high as 70%. X-ray crystallography showed the presence of up to four intercomponent hydrogen bonds between the amide groups of the macrocycle and the two nitrone groups of the thread. Dynamic (1)H NMR studies of the rates of macrocycle pirouetting in nonpolar solutions indicated that the amide-nitrone hydrogen bonds are particularly strong (approximately 1.

View Article and Find Full Text PDF

The Sonogashira alkynylation of acid chlorides can be efficiently conducted in less than an hour by performing the reaction in tetrahydrofuran as a solvent and in the presence of one stoichiometrically necessary equivalent of triethylamine as a base. This approach also opens new avenues for consecutive one-pot multicomponent reactions. As an example, the one-pot three-component pyrimidine synthesis illustrates the versatility of this modified Sonogashira protocol as an entry to diversity-oriented heterocycle synthesis in a one-pot fashion.

View Article and Find Full Text PDF

Microwave-assisted unimolecular isomerization-Claisen domino reactions of 1,3-di(hetero)aryl propargyl trityl ethers lead, depending on the basicity of the amine, either to the formation of tricyclo[3.2.1.

View Article and Find Full Text PDF

An alkynoyl ortho-iodo phenolester or alkynoyl ortho-iodo anilides and propargyl allyl ethers react under Sonogashira coupling conditions in the sense of an insertion-coupling-isomerization-Diels-Alder hetero domino reaction to furnish (tetrahydroisobenzofuran)-spirobenzofuranones and -spirodihydroindolones in good yields. Many representatives can be crystallized and single crystal structure analyses display steric and electronic substituent effects on the torsional angles of the terminal (hetero)aryl groups and the central cis,trans-butadiene fragment. DFT computations reveal that in the final pericyclic step the Diels-Alder termination is by far thermodynamically and kinetically favored over a possible Claisen rearrangement.

View Article and Find Full Text PDF

For a long time multi-component syntheses of heterocycles have undeniably been a domain of classical carbonyl condensation chemistry. However, the advent of transition-metal catalysis not only has fertilized strategies in heterocyclic synthesis by uni- and bimolecular transformations but the past decade has also witnessed a rapid development of transition-metal catalysis in new multi-component reactions (MCR). Expectedly, palladium catalyzed processes have received a dominant position, yet, other transition-metal complexes are catching up implying organometallic elementary steps that reach even further than cross-coupling and carbometallation.

View Article and Find Full Text PDF

A new coupling-isomerization-Claisen domino reaction starting from electron deficient halides and 1-(hetero)aryl propargyl trityl ethers dichotomizes in the concluding steps of the sequence and gives rise to the formation of tricyclo[3.2.1.

View Article and Find Full Text PDF