Thu.Aug 01, 2024

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Meningeal lymphatic CGRP signaling governs pain via cerebrospinal fluid efflux and neuroinflammation in migraine models

Journal of Clinical Investigation - Cardiology

Recently developed antimigraine therapeutics targeting calcitonin gene–related peptide (CGRP) signaling are effective, though their sites of activity remain elusive. Notably, the lymphatic vasculature is responsive to CGRP signaling, but whether meningeal lymphatic vessels (MLVs) contribute to migraine pathophysiology is unknown. Mice with lymphatic vasculature deficient in the CGRP receptor (CalcrliLEC mice) treated with nitroglycerin-mediated (NTG-mediated) chronic migraine exhibit reduced pai

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How Good Is Wegovy's Heart Benefit?

Med Page Today

(MedPage Today) -- This story is the first in a series called "Ozempic: Weighing the Risks and Benefits." It was produced in part through a grant from the NIHCM Foundation. When the final results of the SELECT trial were reported last fall, investigators.

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Connections between obesity and heart failure

Science Daily - Heart Disease

A new small study has revealed the impact of obesity on muscle structure in patients having a form of heart failure called heart failure with a preserved ejection fraction (HFpEF).

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These Metals in Urine Predict Heart Disease and Death

Med Page Today

(MedPage Today) -- Traces of non-essential and essential metals in urine were associated with increased risk of cardiovascular disease (CVD) and all-cause mortality, according to the largest epidemiological study on the topic to date. Based on.

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Androgen aggravates aortic aneurysms via suppression of PD-1 in mice

Journal of Clinical Investigation - Cardiology

Androgen has long been recognized for its pivotal role in the sexual dimorphism of cardiovascular diseases, including aortic aneurysms (AAs), a devastating vascular disease with a higher prevalence and fatality rate in men than in women. However, the mechanism by which androgen mediates AAs is largely unknown. Here, we found that male, not female, mice developed AAs when exposed to aldosterone and high salt (Aldo-salt).

Aneurysm 109
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Fathers with Type 1 Diabetes May Be More Likely to Pass on Disease than Mothers

HCPLive

An analysis of more than 11,000 people with T1D found people were more likely to report an affected father than an affected mother.

Diabetes 124
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CHIP: a clonal odyssey of the bone marrow niche

Journal of Clinical Investigation - Cardiology

Clonal hematopoiesis of indeterminate potential (CHIP) is characterized by the selective expansion of hematopoietic stem and progenitor cells (HSPCs) carrying somatic mutations. While CHIP is typically asymptomatic, it has garnered substantial attention due to its association with the pathogenesis of multiple disease conditions, including cardiovascular disease (CVD) and hematological malignancies.

Diet 133

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New AI tool simplifies heart monitoring: Fewer leads, same accuracy

Medical Xpress - ECG

To diagnose heart conditions including heart attacks and heart rhythm disturbances, clinicians typically rely on 12-lead electrocardiograms (ECGs)—complex arrangements of electrodes and wires placed around the chest and limbs to detect the heart's electrical activity. But these ECGs require specialized equipment and expertise, and not all clinics have the capability to perform them.

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New AI tool simplifies heart monitoring: Fewer leads, same accuracy

Science Daily - Heart Disease

To diagnose heart conditions including heart attacks and heart rhythm disturbances, clinicians typically rely on 12-lead electrocardiograms (ECGs) -- complex arrangements of electrodes and wires placed around the chest and limbs to detect the heart's electrical activity. But these ECGs require specialized equipment and expertise, and not all clinics have the capability to perform them.

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Low-dose Aspirin Does Not Progress Age-Related Hearing Loss in Older Adults

HCPLive

Low-dose aspirin does not worsen or prevent the progression of age-related hearing loss among older adults, a study found.

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Convergent generation of atypical prions in knockin mouse models of genetic prion disease

Journal of Clinical Investigation - Cardiology

Most cases of human prion disease arise due to spontaneous misfolding of WT or mutant prion protein, yet recapitulating this event in animal models has proven challenging. It remains unclear whether spontaneous prion generation can occur within the mouse lifespan in the absence of protein overexpression and how disease-causing mutations affect prion strain properties.

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Sickle Cell Disease Linked to Higher Risk of Retinal Vascular Occlusion

HCPLive

Patients with hemoglobin SS sickle cell disease type may experience a significantly elevated risk of retinal vascular occlusion.

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Death By Firing Squad; Cancers in Millennials; Heart Attacks During COVID

Med Page Today

(MedPage Today) -- Note that some links may require registration or subscription. South Carolina's highest court ruled the state can execute death row inmates by firing squad and the electric chair, in addition to lethal injection. (AP via ABC.

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Uncontrolled hypertension: The old 'silent killer' is alive and well

Science Daily - Heart Disease

High blood pressure affects about 45% of U.S. adults. In the 1970s, only about 50% of patients were aware of their hypertension. Today, 54% are aware of their high blood pressure, 40% are actively treated and 21% are actively controlled. As such, researchers alert health care providers that the old 'silent killer' is alive and well. Healthy individuals should have a systolic blood pressure of 130 mmHg or less, and a diastolic blood pressure of 80 mmHg or less.

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William Grady, MD: Improving Colorectal Cancer Screening Compliance with Patient Choice

HCPLive

Grady explains the significance of the recent FDA approval of the first blood-based test for primary CRC screening and his hope for its impact on overall screening rates and compliance.

Cancer 69
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An attenuated lymphocytic choriomeningitis virus vector enhances tumor control in mice partly via IFN-I

Journal of Clinical Investigation - Cardiology

Viral vectors are being used for the treatment of cancer. Yet, their efficacy varies among tumors and their use poses challenges in immunosuppressed patients, underscoring the need for alternatives. We report striking antitumoral effects by a nonlytic viral vector based on attenuated lymphocytic choriomeningitis virus (r3LCMV). We show in multiple tumor models that injection of tumor-bearing mice with this vector results in improved tumor control and survival.

Cancer 97
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Highlights From the 2024 Care of the Athletic Heart Course

American College of Cardiology

The American College of Cardiology's (ACC) Care of the Athletic Heart is a yearly course focusing on exercise and sports cardiology. The course sessions include management of athletes with cardiovascular (CV) disease, debates on return to play, and discussions on advocacy for cardiac safety in the community.

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Association of triglyceride-glucose index with the risk of incident aortic dissection and aneurysm: a large-scale prospective cohort study in UK Biobank

Cardiovascular Diabetology

Triglyceride-glucose (TyG) index is an emerging surrogate indicator of insulin resistance, which has been demonstrated as a risk factor for various cardiovascular diseases including coronary syndrome, in-stent.

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Risk of Initiating ACE Inhibitors/ARBs in Advanced CKD

American College of Cardiology

Can patients with advanced chronic kidney disease (CKD) be initiated on angiotensin-converting enzyme inhibitors (ACEi) or angiotensin-receptor blockers (ARBs) without increasing their risk for needing kidney failure replacement therapy?

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Tirzepatide Reduces Heart Failure Outcomes in Obesity-Related Heart Failure

HCPLive

Eli Lilly's tirzepatide showed a 38% reduction in heart failure outcomes and improved symptoms in adults with HFpEF and obesity in the phase 3 SUMMIT trial.

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A pathologically expanded, clonal lineage of IL-21–producing CD4+ T cells drives inflammatory neuropathy

Journal of Clinical Investigation - Cardiology

Inflammatory neuropathies, which include chronic inflammatory demyelinating polyneuropathy (CIDP) and Guillain Barré syndrome (GBS), result from autoimmune destruction of the PNS and are characterized by progressive weakness and sensory loss. CD4+ T cells play a key role in the autoimmune destruction of the PNS. Yet, key properties of pathogenic CD4+ T cells remain incompletely understood.

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Milk Substitutes Adequately Address Nutritional Needs for Individuals with Milk Allergies

HCPLive

These data also suggest that personalized nutritional advice may be necessary for different individuals, due to the clinical diversity and the impact of differences.

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Mounjaro shows promise in heart failure treatment

Becker's Hospital Review - Cardiology

A recent Eli Lilly study found patients on Mounjaro were 38% less likely to be hospitalized and showed improved heart failure symptoms.

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Pulmonology Month in Review: July 2024

HCPLive

This review of major news in pulmonology from July highlights an FDA decision regarding treatment for vaping dependence, prenatal pollution exposure’s impact on asthma, and more.

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Statin and Antihypertensive Therapy Changes With PREVENT Risk Equations

American College of Cardiology

What is the estimated number of US adults who would experience changes in risk categorization, treatment eligibility, or clinical outcomes when applying the American Heart Association (AHA) Predicting Risk of cardiovascular disease EVENTs (PREVENT) equations to existing American College of Cardiology (ACC) and AHA guidelines?

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Rheumatology Month in Review: July 2024

HCPLive

The rheumatology month in review highlights the significance of early diagnosis in managing fibromyalgia, the prevalence of sexual dysfunction in patients with arthritis, and the impact of physical activity on arthritis symptoms.

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Meningeal lymphatic vessel dysfunction driven by CGRP signaling causes migraine-like pain in mice

Journal of Clinical Investigation - Cardiology

Migraines are a type of headache that occur with other neurological symptoms, but the pathophysiology remains unclear. In this issue of the JCI, Nelson-Maney and authors used constitutive and inducible knockouts of the CGRP receptor components, elegantly demonstrating an essential function of CGRP in modulating meningeal lymphatic vessels (MLVs) in migraine.

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Biosimilars Month in Review: July 2024

HCPLive

The biosimilars month in review highlights recent FDA approvals and emphasizes new data demonstrating clinical equivalence and the potential impact on treatment options.

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Relationship between NT-proBNP, echocardiographic abnormalities and functional status in patients with subclinical siabetic cardiomyopathy

Cardiovascular Diabetology

Persons with diabetes are at risk for developing a cardiomyopathy through several pathophysiological mechanisms independent of traditional risk factors for heart failure. Among those with diabetic cardiomyopat.

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Combination of pemetrexed with bevacizumab for non-small-cell lung cancer: a meta-analysis study

Journal of Cardiothoracic Surgery

Combining pemetrexed with bevacizumab may have some potential in improving the efficacy in patients with non-small-cell lung cancer (NSCLC), and this meta-analysis aims to explore the impact of pemetrexed addi.

Cancer 52
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Off-target autophagy inhibition by SHP2 allosteric inhibitors contributes to their antitumor activity in RAS-driven cancers

Journal of Clinical Investigation - Cardiology

Aberrant activation of RAS/MAPK signaling is common in cancer, and efforts to inhibit pathway components have yielded drugs with promising clinical activities. Unfortunately, treatment-provoked adaptive resistance mechanisms inevitably develop, limiting their therapeutic potential. As a central node essential for receptor tyrosine kinase–mediated RAS activation, SHP2 has emerged as an attractive cancer target.

Cancer 52
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Heart disease hospitalization could increase suicide attempts: Study

Becker's Hospital Review - Cardiology

Patients hospitalized for cardiovascular disease have an increased risk of psychiatric disorders and suicide attempts, according to a study published July 31 in the Journal of the American Heart Association.

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Hepatology Month in Review: July 2024

HCPLive

This July 2024 month in review highlights pipeline movement in hepatology as well as research about novel diagnostic/prognostic approaches and factors impacting hepatic health outcomes.

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Liver cancer initiation requires translational activation by an oncofetal regulon involving LIN28 proteins

Journal of Clinical Investigation - Cardiology

It is unknown which posttranscriptional regulatory mechanisms are required for oncogenic competence. Here, we show that the LIN28 family of RNA-binding proteins (RBPs), which facilitate posttranscriptional RNA metabolism within ribonucleoprotein networks, is essential for the initiation of diverse oncotypes of hepatocellular carcinoma (HCC). In HCC models driven by NRASG12V/Tp53, CTNNB1/YAP/Tp53, or AKT/Tp53, mice without Lin28a and Lin28b were markedly impaired in cancer initiation.

Cancer 69
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Study Links DOACs to Reduction in RVO, Intraocular Bleeding Risk

HCPLive

A first-time comparison in US patients displays the protective association of DOACs over warfarin use on RVO and intraocular bleeding risk.

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Commentary on Anti-thrombotic effect of protoparaxotriol saponins from Panax notoginseng using zebrafish model

Journal of Cardiovascular Pharmacology

Thrombosis continues to pose a significant challenge in cardiovascular and cerebrovascular diseases, contributing to severe health complications such as myocardial infarction, acute ischemic stroke, and venous thromboembolism. Despite the wide array of anti-thrombotic drugs available, these treatments frequently carry substantial risks, notably including bleeding complications.

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Optimizing Treatment Outcomes in Retinal Vein Occlusion

HCPLive

A panel of ophthalmologists discuss strategies for improving patient outcomes in retinal vein occlusion with anti-VEGF and other therapies.