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In patients with borderline hypertension, total peripheral resistance (TPR) is either elevated or abnormally related to cardiac output. Since blood viscosity is one determinant of TPR, we compared various components of blood viscosity in 25 patients with borderline hypertension and 25 normal subjects. Under all experimental blood flow conditions examined, blood viscosity directly correlated with systolic and diastolic blood pressure (p less than 0.05 or better) and was greater in the hypertensive than in normal subjects. Venous hematocrit and plasma viscosity were higher in the hypertensive patients. These latter rheologic abnormalities accounted for the increased blood viscosity at higher shear rates. At lower shear rates, increased red cell aggregation, primarily mediated by elevated fibrinogen concentration, accounted for the higher blood viscosity in the hypertensive subjects. We conclude that even relatively small elevations in arterial pressure are associated with increased viscous resistance of blood to flow, and that the increased blood viscosity is a consequence of increased hematocrit, plasma viscosity, and red cell aggregation. 相似文献
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Gutschmidt Kristina Musumeci Olimpia Díaz-Manera Jordi Chien Yin-Hsiu Knop Karl Christian Wenninger Stephan Montagnese Federica Pugliese Alessia Tavilla Graziana Alonso-Pérez Jorge Hwu Paul Wuh-Liang Toscano Antonio Schoser Benedikt 《Journal of neurology》2021,268(7):2482-2492
Journal of Neurology - Pompe disease is one of the few neuromuscular diseases with an approved drug therapy, which has been available since 2006. Our study aimed to determine the real-world... 相似文献
106.
Yih-Chih Kuo Hsueh-Wen Hsueh Sung-Ju Hsueh Ni-Chung Lee Ming-Ju Hsieh Chi-Chao Chao Yin-Hsiu Chien Pei-Hsin Huang Chih-Chao Yang 《Neuromuscular disorders : NMD》2021,31(3):218-225
Multiple acyl-coenzyme A dehydrogenase deficiency (MADD) is a rare metabolic disorder with a dramatic clinical presentation. It was recently discovered that MADD may present at an advanced age.The clinical and laboratory data of an index patient and patients previously diagnosed at our institution were collected. A systematic review of previous studies retrieved from the PubMed, MEDLINE, and Embase databases published by February 1, 2020 was performed to collect patients with very-late-onset MADD (VLO-MADD, onset age > 60 years) globally and patients with late-onset MADD (LO-MADD, onset age < 60 years) in Taiwan. The clinical characteristics of the VLO-MADD patients were compared to those of LO-MADD patients.We report a patient with VLO-MADD who developed the first symptom at the age of 61 years. The patient presented with a Reye-like syndrome after taking aspirin for coronary artery disease. Repeated bouts of weakness were noted. Two variants of c.250 G > A (;) 419C > T were observed in the ETFDH gene. Another four patients with VLO-MADD were identified globally. Eighteen patients with LO-MADD were collected from our department and previously reported patients in Taiwan. There was no difference in the clinical symptoms (except for the onset age) or laboratory data between these two groups. Homozygous variants were not observed in any patients in the VLO-MADD group but were detected in 12 patients (66.6%) in the LO-MADD group (p = 0.014).Patients with MADD may first show symptoms in their 6th decade or beyond. The disease course may lead to erroneous diagnoses in this age group. 相似文献
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Kai-Fu Chang Jinghua Tsai Chang Xiao-Fan Huang Ya-Chih Huang Chia-Yu Li Jun-Cheng Weng Chih-Yen Hsiao Hui-Ju Hsu Nu-Man Tsai 《International journal of medical sciences》2021,18(11):2417
Glioblastoma (GBM) is the most common malignant primary brain tumor in humans, exhibiting highly infiltrative growth and drug resistance to conventional chemotherapy. Cedrus atlantica (CAt) extract has been shown to decrease postoperative pain and inhibit the growth of K562 leukemia cells. The aim of this study was to assess the anti-GBM activity and molecular mechanism of CAt extract in vitro and in vivo. The results showed that CAt extract greatly suppressed GBM cells both in vitro and in vivo and enhanced the survival rate in subcutaneous and orthotopic animal models. Moreover, CAt extract increased the level of ROS and induced DNA damage, resulting in cell cycle arrest at the G0/G1 phase and cell apoptosis. Western blotting results indicated that CAt extract regulates p53/p21 and CDK4/cyclin D1 protein expression and activates extrinsic and intrinsic apoptosis. Furthermore, CAt extract enhanced the cytotoxicity of Temozolomide and decreased AKT/mTOR signaling by combination treatment. In toxicity assays, CAt extract exhibited low cytotoxicity toward normal cells or organs in vitro and in vivo. CAt extract suppresses the growth of GBM by induction of genotoxicity and activation of apoptosis. The results of this study suggest that CAt extract can be developed as a therapeutic agent or adjuvant for GBM treatment in the future. 相似文献
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Chih‐Yi Liu Andrey Bychkov Shipra Agarwal Yun Zhu Jen‐Fan Hang Chiung‐Ru Lai Hee Young Na Weiwei Li Zhiyan Liu Deepali Jain Ayana Suzuki Mitsuyoshi Hirokawa Noel Chia Min En Nga Tikamporn Jitpasutham Somboon Keelawat So Yeon Park Shinya Satoh Chien‐Chin Chen Dilini Gunawardena Priyanthi Kumarasinghe Chan Kwon Jung Kennichi Kakudo 《Diagnostic cytopathology》2021,49(1):60-69
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