We have monitored Epstein -Barr virus (EBV) IgA antibody levels of 39 nasopharyngeal carcinoma (NPC) cases for up to 15 years before clinical onset of NPC, and assessed preclinical serologic status of another 68 cases. Our results identify a serologic window preceding diagnosis when antibody levels are raised and sustained. This window can persist for as long as 10 years, with a mean duration estimated to as 37728 months. Ninety-seven of these 107 NPC cases exhibited such a window. Cases that did not may reflect individual antibody response to EBV. Serologic screening at enrollment identified those cases who had already entered the window and became clinically manifested earlier (median ¼ 28 months) than those who entered the window after enrollment (median ¼ 90 months). The former account for 19 of 21 cases diagnosed within 2 years of screening. Nasopharyngeal carcinoma risk levels among seropositive subjects were also highest during this period. Both prediction rates and risk levels declined thereafter; cases detected at later times were composed of increasing proportions of individuals who entered the serological window after screening. Our findings establish EBV antibody as an early marker of NPC and suggest that repeated screening to monitor cases as they enter this window has considerable predictive value, with practical consequences for cancer treatment.

In order to elucidate the difference between nitramine energetic materials, such as RDX (1,3,5-trinitro-1,3,5-triazacyclohexane), HMX (1,3,5,7-tetranitro-1,3,5,7-tetraazacyclooctane), and CL-20 (2,4,6,8,10,12-hexanitro-2,4,6,8,10,12-hexaazaisowurtzitane), and their nonenergetic model systems, including 1,4-dinitropiperazine, nitropiperidine, nitropyrrolidine, and dimethylnitramine, both nanosecond mass resolved excitation spectroscopy and femtosecond pump-probe spectroscopy in the UV spectral region have been employed to investigate the mechanisms and dynamics of the excited electronic state photodissociation of these materials. The NO molecule is an initial decomposition product of all systems. The NO molecule from the decomposition of energetic materials displays cold rotational and hot vibrational spectral structures. Conversely, the NO molecule from the decomposition of model systems shows relatively hot rotational and cold vibrational spectra. In addition, the intensity of the NO ion signal from energetic materials is proportional to the number of nitramine functional groups in the molecule. Based upon experimental observations and theoretical calculations of the potential energy surface for these systems, we suggest that energetic materials dissociate from ground electronic states after internal conversion from their first excited states, and model systems dissociate from their first excited states. In both cases a nitro-nitrite isomerization is suggested to be part of the decomposition mechanism. Parent ions of dimethylnitramine and nitropyrrolidine are observed in femtosecond experiments. All the other molecules generate NO as a decomposition product even in the femtosecond time regime. The dynamics of the formation of the NO product is faster than 180 fs, which is equivalent to the time duration of our laser pulse.

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Ultraviolet excitation (8-ns duration) is employed to study the decomposition of RDX (1,3,5-trinitro-1,3,5-triazacyclohexane) and HMX (1,3,5,7-tetranitro-1,3,5,7-tetrazacyclooctane) from their first excited electronic states. Isolated RDX and HMX are generated in the gas phase utilizing a combination of matrix-assisted laser desorption and supersonic jet expansion techniques. The NO molecule is observed as one of the initial dissociation products by both time-of-flight mass spectroscopy and laser-induced fluorescence spectroscopy. Four different vibronic transitions of NO are observed: A (2)Sigma(v(') = 0)<--X (2)Pi(v(") = 0,1,2,3). Simulations of the NO rovibronic intensities for the A<--X transitions show that dissociated NO from RDX and HMX is rotationally cold (approximately 20 K) and vibrationally hot (approximately 1800 K). Another potential initial product of RDX and HMX excited state dissociation could be OH, generated along with NO, perhaps from a HONO intermediate species. The OH radical is not observed in fluorescence even though its transition intensity is calculated to be 1.5 times that found for NO per radical generated. The HONO intermediate is thereby found not to be an important pathway for the excited electronic state decomposition of these cyclic nitramines.