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991.
Concordance between 99mTc‐ECD SPECT and 18F‐FDG PET interpretations in patients with cognitive disorders diagnosed according to NIA‐AA criteria
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SGLT2 inhibitor lowers serum uric acid through alteration of uric acid transport activity in renal tubule by increased glycosuria
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Yukihiro Chino Yoshishige Samukawa Soichi Sakai Yasuhiro Nakai Jun‐ichi Yamaguchi Takeo Nakanishi Ikumi Tamai 《Biopharmaceutics & drug disposition》2014,35(7):391-404
Sodium glucose cotransporter 2 (SGLT2) inhibitors have been reported to lower the serum uric acid (SUA) level. To elucidate the mechanism responsible for this reduction, SUA and the urinary excretion rate of uric acid (UEUA) were analysed after the oral administration of luseogliflozin, a SGLT2 inhibitor, to healthy subjects. After dosing, SUA decreased, and a negative correlation was observed between the SUA level and the UEUA, suggesting that SUA decreased as a result of the increase in the UEUA. The increase in UEUA was correlated with an increase in urinary d ‐glucose excretion, but not with the plasma luseogliflozin concentration. Additionally, in vitro transport experiments showed that luseogliflozin had no direct effect on the transporters involved in renal UA reabsorption. To explain that the increase in UEUA is likely due to glycosuria, the study focused on the facilitative glucose transporter 9 isoform 2 (GLUT9ΔN, SLC2A9b), which is expressed at the apical membrane of the kidney tubular cells and transports both UA and d ‐glucose. It was observed that the efflux of [14C]UA in Xenopus oocytes expressing the GLUT9 isoform 2 was trans‐stimulated by 10 mm d ‐glucose, a high concentration of glucose that existed under SGLT2 inhibition. On the other hand, the uptake of [14C]UA by oocytes was cis‐inhibited by 100 mm d ‐glucose, a concentration assumed to exist in collecting ducts. In conclusion, it was demonstrated that the UEUA could potentially be increased by luseogliflozin‐induced glycosuria, with alterations of UA transport activity because of urinary glucose. © 2014 The Authors. Biopharmaceutics & Drug Disposition. Published by John Wiley & Sons Ltd. 相似文献
995.
Tomoyo Hara Ryoko Uemoto Akiko Sekine Yukari Mitsui Shiho Masuda Kiyoe Kurahashi Sumiko Yoshida Toshiki Otoda Tomoyuki Yuasa Akio Kuroda Yasumasa Ikeda Itsuro Endo Soichi Honda Katsuhiko Yoshimoto Akira Kondo Toshiaki Tamaki Toshio Matsumoto Munehide Matsuhisa Masahiro Abe Ken-ichi Aihara 《Journal of diabetes investigation.》2021,12(12):2172-2182
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Matsuda Yasuhiro Masuda Masaharu Asai Mitsutoshi Iida Osamu Okamoto Shin Ishihara Takayuki Nanto Kiyonori Kanda Takashi Tsujimura Takuya Okuno Shota Hata Yosuke Uematsu Hiroyuki Mano Toshiaki 《Journal of interventional cardiac electrophysiology》2021,61(1):171-179
Journal of Interventional Cardiac Electrophysiology - Cardiac conduction disturbance necessitating pacemaker implantation is common among elderly patients. However, patients often have... 相似文献
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Akira Katsumi Akihiro Abe Shogo Tamura Tadashi Matsushita 《Geriatrics & Gerontology International》2021,21(7):549-554
Anemia, a frequently occurring condition in older patients, has no standard definition; however, in most studies, it is defined as hemoglobin level <12 and <13 g/dL in women and men, respectively. Approximately 10% of older adults living in the community have anemia. The prevalence of anemia is significantly correlated with advanced age and male sex. Anemia is associated with falls, frailty and other negative outcomes, including early mortality. However, there remains little consensus regarding whether anemia treatment favorably affects these adverse outcomes. Therefore, this article reviews the prevalence of anemia, and provides updates on its common causes and treatments in older adults. While excluding well-established hematopoietic diseases, the etiology of anemia in older adults has been grouped into four categories: (i) nutritional deficiency; (ii) inflammation; (iii) clonal hematopoiesis; and (iv) “unexplained anemia,” when there is no clear mechanism to account for the anemia. Recently, clonal leukocytes were detected in a considerable number of older individuals. The number of somatic mutations in blood leukocytes increases with age; however, single mutations of DNMT3A, TET2 and ASXL1 are not correlated with the presence of unexplained anemia in older adults. With an increased understanding of anemia etiology and the availability of innovative anti-anemic drugs, future studies that evaluate the causes and benefits of treatment are required. Geriatr Gerontol Int 2021; 21: 549–554 . 相似文献