Sensitivity of blood pressure to dietary salt is a common feature in subjects with hypertension. These features are exemplified by the mendelian disorder, Liddle's syndrome, previously shown to arise from constitutive activation of the renal epithelial sodium channel due to mutation in the beta subunit of this channel. We now demonstrate that this disease can also result from a mutation truncating the carboxy terminus of the gamma subunit of this channel; this truncated subunit also activates channel activity. These findings demonstrate genetic heterogeneity of Liddle's syndrome, indicate independent roles of beta and gamma subunits in the negative regulation of channel activity, and identify a new gene in which mutation causes a salt-sensitive form of human hypertension.
Objective-Accumulating evidence suggests that adipose tissue not only stores energy but also secretes various bioactive substances called adipocytokines. Periadventitial fat is distributed ubiquitously around arteries throughout the body. It was reported that inflammatory changes in the periadventitial fat may have a direct role in the pathogenesis of vascular diseases accelerated by obesity. We investigated the effect of endovascular injury on the phenotype of perivascular fat. Methods and Results-Endovascular injury significantly upregulated proinflammatory adipocytokines and downregulated adiponectin within periadventitial fat tissue in models of mouse femoral artery wire injury and rat iliac artery balloon injury. Genetic disruption of tumor necrosis factor (TNF)-␣ attenuated upregulation of proinflammatory adipocytokine expression, with reduced neointimal hyperplasia after vascular injury. Local delivery of TNF-␣ to the periadventitial area enhanced inflammatory adipocytokine expression, which was associated with augmented neointimal hyperplasia in TNF-␣-deficient mice. Conditioned medium from a coculture of 3T3-L1 and RAW264 cells stimulated vascular smooth muscle cell proliferation. An anti-TNF-␣ neutralizing antibody in the coculture abrogated the stimulating effect of the conditioned medium.
Conclusion-Our
Six months of DAPT was not inferior to 18 months of DAPT following implantation of a DES with a biodegradable abluminal coating. However, this result needs to be interpreted with caution given the open-label design and wide noninferiority margin of the present study. (Nobori Dual Antiplatelet Therapy as Appropriate Duration [NIPPON]; NCT01514227).
This report deals with space charge behavior in PE (polyethylene) under dc fields. Direct observation of time-dependent space charge profiles in 3-mm thick XLPE (crosslinked low-density polyethylene) cable insulation under dc electric fields was performed using the pulsed electroacoustic method. Stable hetero charges were formed when the field was as low as 0.2 MV/cm, and intermittent generation of packet shaped space charges and their propagation through the insulation were observed when the field was as high as 0.7 MVlcm. These phenomena were reproduced in sheet specimens of XLPE and LDPE (low-density polyethylene). It was found that hetero charges resulted from heat treatment of the XLPE specimen containing antioxidant and acetophenone, which is one of the crosslinking by-products, suggesting dissociation of the antioxidant through solvation at high temperature by acetophenone. The packet charges were easily detected when acetophenone was diffused into the LDPE specimen. However, uniformity of acetophenone distribution prevented the packet charge generation. It is suggested on the basis of several experimental results that local ionization of impurities in the insulation through solvation by acetophenone takes place assisted by high field and leads to the packet charge generation. A numerical simulation was carried out based on the above model.
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