Tue.Sep 17, 2024

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A correctable immune niche for epithelial stem cell reprogramming and post-viral lung diseases

Journal of Clinical Investigation - Cardiology

Epithelial barriers are programmed for defense and repair but are also the site of long-term structural remodeling and disease. In general, this paradigm features epithelial stem cells (ESCs) that are called on to regenerate damaged tissues but can also be reprogrammed for detrimental remodeling. Here we identified a Wfdc21-dependent monocyte-derived dendritic cell (moDC) population that functioned as an early sentinel niche for basal ESC reprogramming in mouse models of epithelial injury after

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Researchers develop new screening tool to help stroke survivors

Medical Xpress - Cardiology

University of Queensland researchers have developed a fast cognitive screening tool that can detect often-missed rehabilitation needs for people who have experienced a stroke.

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3 Cups of Coffee a Day May Reduce the Risk of New-Onset Cardiometabolic Multimorbidity

HCPLive

A new study revealed those who consume a moderate amount of coffee or caffeine had a 48.1% and 40.7% reduced risk for developing cardiometabolic multimorbidity.

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Chronic kidney disease linked to key cardiovascular risk precursor

Medical Xpress - Cardiology

Overactivation of the sympathetic nervous system is a hallmark sign of chronic kidney disease (CKD) that increases the risk of cardiovascular disease. People with CKD often have impaired sympathetic baroreflex sensitivity—a measure of how well the baroreflex system regulates blood pressure changes. This may contribute to sympathetic nervous system overactivation and related problems, according to researchers from Vitam—Research Center Health Durable in Canada.

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Over Half of Adults With Uncontrolled Hypertension Unaware of Their Condition

Med Page Today

(MedPage Today) -- More than half of U.S. adults with uncontrolled hypertension are unaware they have hypertension in the first place, according to a recent study in JAMA Network Open. Furthermore, more than two-thirds of those on treatment had.

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Unhealthy behaviors contribute to more coronary artery disease deaths in the poor

Science Daily - Heart Disease

Lower socioeconomic status is associated with higher rates of death from coronary artery disease compared to higher socioeconomic status, and more than half of the disparities can be explained by four unhealthy behaviors, according to a new study.

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Genetic risk-factor overlap between Alzheimer's disease, and all-cause and vascular dementias

Science Daily - Stroke

Medical researchers conducted the largest-ever genome-wide association study of all-cause dementia, finding substantial genetic overlap with vascular dementia.

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Risk of clots, stroke from incorrect blood thinner dosing reduced using online dashboard

Science Daily - Stroke

Doctors and pharmacists treating people with blood thinners can reduce the rate of inappropriate dosing -- as well as blood clots and strokes that can result from it -- using an electronic patient management system, a study suggests. Direct oral anticoagulants can be incorrectly prescribed up to 20% of the time.

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PET scan deserts: 7 things to know

Becker's Hospital Review - Cardiology

Approximately 44.2 million people in the U.S. live more than 60 miles away from the nearest cardiac positron emission tomography center, according to a study published Aug. 28 in JACC: Cardiovascular Imaging.

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Survival of men with metastatic hormone-sensitive prostate cancer and adrenal-permissive HSD3B1 inheritance

Journal of Clinical Investigation - Cardiology

BACKGROUND Metastatic hormone-sensitive prostate cancer (mHSPC) is androgen dependent, and its treatment includes androgen deprivation therapy (ADT) with gonadal testosterone suppression. Since 2014, overall survival (OS) has been prolonged with addition of other systemic therapies, such as adrenal androgen synthesis blockers, potent androgen receptor blockers, or docetaxel, to ADT.

Cancer 74
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Arrhythmias in Pregnancy

American College of Cardiology

Palpitations during pregnancy are not an uncommon finding. However, arrhythmias requiring monitoring or treatment throughout the antepartum and peripartum periods are less frequent.

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Fibrosis uncovered: ADAMTS12 cuts to the core of extracellular matrix drama

Journal of Clinical Investigation - Cardiology

Fibrosis is a common manifestation of most progressive and degenerative diseases, with myofibroblast activation and matrix accumulation playing a key role. In this issue of the JCI, Hoeft et al. identify the important role of ADAMTS12 in fibroblast activation. ADAMTS12, a secreted protein, is involved in extracellular matrix (ECM) remodeling, cell signaling, and inflammation.

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Risk of clots, stroke from incorrect blood thinner dosing reduced using online dashboard

Medical Xpress - Cardiology

Doctors and pharmacists treating people with blood thinners can reduce the rate of inappropriate dosing—as well as blood clots and strokes that can result from it—using an electronic patient management system, a study suggests.

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Off-Label Treatment Options in Dermatology, with Matthew Zirwas, MD

HCPLive

This interview featured a literature review discussion about non-FDA approved advancements in dermatology, including oral roflumilast for psoriasis, metformin for acne, and minoxidil for nails.

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Lower socioeconomic status associated with higher risk of coronary artery disease deaths due to unhealthy behaviors

Medical Xpress - Cardiology

Lower socioeconomic status is associated with higher rates of death from coronary artery disease compared to higher socioeconomic status, and more than half of the disparities can be explained by four unhealthy behaviors. Dr. Yachen Zhu of the Alcohol Research Group, U.S., and Dr. Charlotte Probst of the Center for Addiction and Mental Health, Canada, report these findings in a new study published September 17 in the open-access journal PLOS Medicine.

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Modulation of NOX2 causes obesity-mediated atrial fibrillation

Journal of Clinical Investigation - Cardiology

Obesity is linked to an increased risk of atrial fibrillation (AF) via increased oxidative stress. While NADPH oxidase 2 (NOX2), a major source of oxidative stress and reactive oxygen species (ROS) in the heart, predisposes to AF, the underlying mechanisms remain unclear. Here, we studied NOX2-mediated ROS production in obesity-mediated AF using Nox2-knockout mice and mature human induced pluripotent stem cell–derived atrial cardiomyocytes (hiPSC-aCMs).

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Long-Term Safety Data Highlight Potential of Bimekizumab in Plaque Psoriasis

HCPLive

At Maui Derm NP+PA Fall 2024, bimekizumab data demonstrates a consistent safety profile in moderate to severe plaque psoriasis over 4 years, with decreasing event rates over time.

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NKT cells promote Th1 immune bias to dengue virus that governs long-term protective antibody dynamics

Journal of Clinical Investigation - Cardiology

NKT cells are innate-like T cells, recruited to the skin during viral infection, yet their contributions to long-term immune memory to viruses are unclear. We identified granzyme K, a product made by cytotoxic cells including NKT cells, as linked to induction of Th1-associated antibodies during primary dengue virus (DENV) infection in humans. We examined the role of NKT cells in vivo using DENV-infected mice lacking CD1d-dependent (CD1ddep) NKT cells.

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2024 ESC Guidelines for Management of Atrial Fibrillation: Key Points

American College of Cardiology

The following are key points to remember from the 2024 European Society of Cardiology (ESC) guidelines for the management of atrial fibrillation (AF).

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Microbial mimics supersize the pathogenic self-response

Journal of Clinical Investigation - Cardiology

Microbial mimicry, the process in which a microbial antigen elicits an immune response and breaks tolerance to a structurally related self-antigen, has long been proposed as a mechanism in autoimmunity. In this issue of the JCI, Dolton et al. extend this paradigm by demonstrating that a naturally processed peptide from Klebsiella oxytoca acts as a superagonist for autoreactive T cells in type 1 diabetes (T1D).

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Analysis finds cardiac devices recalled for safety reasons infrequently subjected to premarket or postmarket testing

Medical Xpress - Cardiology

A cross-sectional study of cardiovascular devices subject to Class I recalls from 2013 through 2022, found that most recalled devices did not undergo clinical testing before authorization and were not required to undergo postmarket surveillance studies. Even when premarket clinical testing was conducted, there was often a lack of evidence to support their original authorization.

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Thoracoabdominal aortic replacement in a 6-year-old boy with Loeys-Dietz syndrome

Journal of Cardiothoracic Surgery

Connective tissue disorders such as Marfan- and Loeys-Dietz syndrome (LDS) can lead to aortic aneurysms and aortic dissections in children. Patients with LDS often necessitating multiple aortic surgeries throu.

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Specialized stent means fewer heart surgeries for babies

Medical Xpress - Cardiology

Babies born with a narrowed blood vessel now have a device specifically designed for them, thanks to research conducted at the Smidt Heart Institute and Guerin Children's at Cedars-Sinai.

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SNAI1: a key modulator of survival in lung squamous cell carcinoma and its association with metastasis

Journal of Cardiothoracic Surgery

Snail family zinc finger 1 (SNAI1) has been implicated in cancer progression and prognosis across various malignancies. This study aims to elucidate the prognostic significance of SNAI1 expression in Lung Squa.

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Positive airway pressure use tied to lower cardiovascular events

Medical Xpress - Cardiology

Positive airway pressure (PAP) utilization is associated with lower all-cause mortality and major adverse cardiovascular event (MACE) incidence in older adults with obstructive sleep apnea (OSA), according to a study published online Sept. 11 in JAMA Network Open.

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Assessing the predictive efficacy of noninvasive liver fibrosis indices and portal vein diameter in predicting esophageal variceal bleeding in patients with cirrhosis

Journal of Cardiothoracic Surgery

The objective of this study is to evaluate the diagnostic accuracy of noninvasive serum liver fibrosis markers and portal vein diameter (PVD) in predicting the occurrence of esophageal variceal bleeding (EVB).

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AHA Paper Addresses Disparities in Cardiovascular Health of Asian Americans

DAIC

tim.hodson Tue, 09/17/2024 - 12:34 Sept. 16, 2024 — Numerous social and structural factors, including immigration status, socioeconomic position and access to health care, contribute to differences in cardiovascular health and heart disease risk for Asian Americans, and these factors affect Asian ethnic subgroups in different ways, according to a new scientific statement published today in the American Heart Association’s journal, Circulation.

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PAD Awareness Month and Treating Arterial Ulcers

CTVS

It is estimated that more than 10 million Americans are living with PAD, or Peripheral Artery Disease. PAD is a serious condition affecting circulation and blood vessels, causing them to narrow from plaque buildup in the arteries and blocking blood flow to the extremities, typically the legs and feet.

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PRMT5-mediated FUBP1 methylation accelerates prostate cancer progression

Journal of Clinical Investigation - Cardiology

Strategies beyond hormone-related therapy need to be developed to improve prostate cancer mortality. Here, we show that FUBP1 and its methylation were essential for prostate cancer progression, and a competitive peptide interfering with FUBP1 methylation suppressed the development of prostate cancer. FUBP1 accelerated prostate cancer development in various preclinical models.

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AHA, Providence Health Plan partner for cardiac care

Becker's Hospital Review - Cardiology

The American Heart Association is teaming up with Providence Health Plan, the health insurance division of Renton, Wash.-based Providence Health & Services, to broaden cardiovascular care in underserved communities throughout Oregon and Washington.

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Elucidating the Role of Type I Collagen Mutations on Respiratory Function in Osteogenesis Imperfecta

HCPLive

Better known as brittle bone disease, osteogenesis imperfecta can cause severe respiratory distress at birth and longterm effect to respiratory function. Morello shares his team's research into the cause of this effect.

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Reversible cold-induced lens opacity in a hibernator reveals a molecular target for treating cataracts

Journal of Clinical Investigation - Cardiology

Maintaining protein homeostasis (proteostasis) requires precise control of protein folding and degradation. Failure to properly respond to stresses disrupts proteostasis, which is a hallmark of many diseases, including cataracts. Hibernators are natural cold-stress adaptors; however, little is known about how they keep a balanced proteome under conditions of drastic temperature shift.

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SAGA: Oral Gildeuretinol Achieves Significant Reduction in GA Growth Rate

HCPLive

Gildeuretinol showed a clinically meaningful reduction in GA lesion growth and a favorable safety profile at 24 months in the Phase 3 SAGA trial.

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Prebiotics improve frailty status in community-dwelling older individuals in a double-blind, randomized, controlled trial

Journal of Clinical Investigation - Cardiology

BACKGROUND Frailty significantly affects morbidity and mortality rates in the older population (age >65 years). Age-related degenerative diseases are influenced by the intestinal microbiota. However, limited research exists on alterations in the intestinal microbiota in frail older individuals, and the effectiveness of prebiotic intervention for treating frailty remains uncertain.OBJECTIVE We sought to examine the biological characteristics of the intestinal microbiome in frail older individuals

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How to Approach Disorders of Pigmentation, with Valerie Callender, MD

HCPLive

In this Maui Derm fall conference session, Callender highlights approaches to pigmentation issues such as vitiligo, melasma, and other disorders.

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Teatime: epigallocatechin gallate targets fibroblast–epithelial cell crosstalk to combat lung fibrosis

Journal of Clinical Investigation - Cardiology

Epigallocatechin gallate (EGCG) is a polyphenol plant metabolite abundant in tea that has demonstrated antifibrotic properties in the lung. In this issue of the JCI, Cohen, Brumwell, and colleagues interrogated the mechanistic action of EGCG by investigating lung biopsies of patients with mild interstitial lung disease (ILD) who had undergone EGCG treatment.

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Liver Disease Management During Pregnancy, with Lavinia Iordache, PA

HCPLive

Iordache emphasizes the importance of a multidisciplinary approach to liver disease care in pregnant patients and the need for patient education.