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1.
New Phytol ; 230(4): 1665-1679, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33521943

RESUMO

Demand for cannabidiol (CBD), the predominant cannabinoid in hemp (Cannabis sativa), has favored cultivars producing unprecedented quantities of CBD. We investigated the ancestry of a new cultivar and cannabinoid synthase genes in relation to cannabinoid inheritance. A nanopore-based assembly anchored to a high-resolution linkage map provided a chromosome-resolved genome for CBDRx, a potent CBD-type cultivar. We measured cannabinoid synthase expression by cDNA sequencing and conducted a population genetic analysis of diverse Cannabis accessions. Quantitative trait locus mapping of cannabinoids in a hemp × marijuana segregating population was also performed. Cannabinoid synthase paralogs are arranged in tandem arrays embedded in long terminal repeat retrotransposons on chromosome 7. Although CBDRx is predominantly of marijuana ancestry, the genome has cannabidiolic acid synthase (CBDAS) introgressed from hemp and lacks a complete sequence for tetrahydrocannabinolic acid synthase (THCAS). Three additional genomes, including one with complete THCAS, confirmed this genomic structure. Only cannabidiolic acid synthase (CBDAS) was expressed in CBD-type Cannabis, while both CBDAS and THCAS were expressed in a cultivar with an intermediate tetrahydrocannabinol (THC) : CBD ratio. Although variation among cannabinoid synthase loci might affect the THC : CBD ratio, variability among cultivars in overall cannabinoid content (potency) was also associated with other chromosomes.


Assuntos
Canabidiol , Canabinoides , Cannabis , Cannabis/genética , Mapeamento Cromossômico , Dronabinol
3.
Skin Res Technol ; 18(1): 94-100, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21507070

RESUMO

BACKGROUND: Friction blisters occur when shear loading causes the separation of dermal layers. Consequences range from minor pain to life-threatening infection. Past research in blister formation has focused on in vivo experiments, which complicate a mechanics-based study of the phenomenon. METHODS: A Synthetic Skin Simulant Platform (3SP) approach was developed to investigate the effect of textile fabrics (t-shirt knit and denim cottons) and surface treatments (dry and wet lubricants) on blister formation. 3SP samples consist of bonded elastomeric layers that are surrogates for various dermal layers. These layers display frictional and mechanical properties similar to their anatomical analogues. Blistering was assessed by the measurement of deboned area between layers. RESULTS: Denim caused greater blistering than did the t-shirt knit cotton, and both lubricants significantly reduced blister area and surface damage. A triglyceride-based lubricant had a more pronounced effect on blister reduction than corn starch. The triglyceride lubricant used with t-shirt knit cotton resulted in no blisters being formed. CONCLUSION: The performance of the 3SP approach follows previously reported frictional behavior of skin in vivo. The results of textile and surface treatment performance suggest that future 3SP iterations can be focused on specific anatomical sites based on application type.


Assuntos
Vesícula/diagnóstico , Vesícula/etiologia , Lubrificantes/toxicidade , Estimulação Física/efeitos adversos , Testes Cutâneos/métodos , Pele Artificial , Têxteis/toxicidade , Fricção , Humanos , Propriedades de Superfície
4.
J Clin Invest ; 54(3): 536-44, 1974 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-4369434

RESUMO

Vasoactive intestinal peptide (VIP), originally isolated from hog small intestinal mucosa, has been shown to cause small intestinal secretion. More recently, this peptide has been identified in the plasma and tumors of patients with the so-called "pancreatic cholera" syndrome. In order to explore the possible role of VIP in the pathogenesis of this syndrome, we examined the effects of this peptide and other hormones on the cyclic AMP levels, adenylate cyclase activity, and ion transport in in vitro preparations of ileal mucosa. In rabbit ileal mucosa, VIP (20 mug/ml) caused a prompt fivefold increase in cyclic AMP level, whereas nine other hormones, which have been postulated to cause intestinal secretion, failed to exert such an effect. Pentagastrin and glucagon also failed to increase cyclic AMP levels in canine ileal mucosa. An increase in mucosal cyclic AMP levels was observed at a VIP concentration of 0.1 mug/ml and appeared to be nearly maximal at 2.0 mug/ml. VIP (100 mug/ml) stimulated adenylate cyclase activity in a membrane preparation from rabbit ileal mucosa. Secretin (6.0 x 10(-5) M) failed to do so. When added to the serosal side of isolated rabbit ileal mucosa clamped in an Ussing chamber, VIP (2 mug/ml) increased short-circuit current (SCC) and caused net secretion of both Cl and Na. Net Cl secretion exceeded net Na secretion. These effects of VIP on mucosal cyclic AMP metabolism and ion transport are similar to those observed with cholera enterotoxin and certain prostaglandins. VIP was also tested with normal human ileal mucosa. At a concentration of 2 mug/ml it caused a fivefold increase in cyclic AMP level and an increase in SCC of the same magnitude as that caused by 5 mM theophylline. Addition of a second 2-mug/ml dose of VIP and addition of theophylline after VIP produced no further change in SCC. We conclude the VIP stimulates adenylate cyclase and active ion secretion in both rabbit and human ileal mucosa. This may be related to the pathogenesis of diarrhea in patients with the pancreatic cholera syndrome.


Assuntos
Adenilil Ciclases/metabolismo , Mucosa Intestinal/efeitos dos fármacos , Secreções Intestinais , Peptídeos/farmacologia , Equilíbrio Hidroeletrolítico , Animais , Bradicinina/farmacologia , Calcitonina/farmacologia , Carbacol/farmacologia , AMP Cíclico/metabolismo , Diarreia/etiologia , Cães , Glucagon/farmacologia , Íleo/efeitos dos fármacos , Íleo/enzimologia , Mucosa Intestinal/enzimologia , Masculino , Pancreatopatias/etiologia , Pentagastrina/farmacologia , Coelhos , Serotonina/farmacologia , Teofilina/farmacologia , Sistema Vasomotor , Vasopressinas/farmacologia
5.
PLoS One ; 12(11): e0187768, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29117199

RESUMO

Plants have evolved developmental mechanisms to ensure reproduction when in sub-optimal local environments. The shade-avoidance syndrome is one such mechanism that causes plants to elongate and accelerate flowering. Plants sense shade via the decreased red:far-red (R:FR) ratio that occurs in shade. We explored natural variation in flowering behavior caused by a decrease in the R:FR ratio of Arabidopsis thaliana accessions. A survey of accessions revealed that most exhibit a vigorous rapid-flowering response in a FR-enriched environment. However, a subset of accessions appeared to be compromised in the accelerated-flowering component of the shade-avoidance response. The genetic basis of the muted response to FR enrichment was studied in three accessions (Fl-1, Hau-0, and Mir-0). For all three accessions, the reduced FR flowering-time effect mapped to the FLOWERING LOCUS T (FT) region, and the FT alleles from these accessions are expressed at a lower level in FR-enriched light compared to alleles from accessions that respond robustly to FR enrichment. In the Mir-0 accession, a second genomic region, which includes CONSTANTS (CO), also influenced flowering in FR-enriched conditions. We have demonstrated that variation in the degree of precocious flowering in shaded conditions (low R:FR ratio) results from allelic variation at FT.


Assuntos
Proteínas de Arabidopsis/genética , Arabidopsis/genética , Flores/genética , Regulação da Expressão Gênica de Plantas , Variação Genética , Alelos , Arabidopsis/crescimento & desenvolvimento , Arabidopsis/metabolismo , Arabidopsis/efeitos da radiação , Proteínas de Arabidopsis/metabolismo , Flores/crescimento & desenvolvimento , Flores/metabolismo , Flores/efeitos da radiação , Genótipo , Luz , Mutação , Fenótipo
6.
Biochim Biophys Acta ; 960(1): 83-90, 1988 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-3358947

RESUMO

The influence of the acyl-CoA: cholesterol O-acyltransferase (ACAT) inhibitor, CL 277082, on macrophage cholesteryl ester accumulation in a rabbit carrageenan granuloma macrophage-foam cell model was studied. Diets were supplemented with 0.3% cholesterol and 6% peanut oil with or without the inhibitor (0.25%) for 4 weeks prior to granuloma induction, and macrophage-rich granuloma tissue was harvested 14 days after carrageenan injection. Serum cholesterol was monitored biweekly, and plasma lipoproteins were isolated terminally. Total, free and esterified cholesterol contents were measured in hepatic and granuloma tissue. In hepatic tissue, administration of CL 277082 resulted in an 80% reduction in the content of total cholesterol, a 37% decrease in free cholesterol, and a 90% decrease in esterified cholesterol. Similarly, in macrophage-rich granuloma tissue, total cholesterol content was decreased by 44%, and esterified cholesterol content by 61%, with no change in free cholesterol. Additionally, CL 277082 was shown to inhibit granuloma tissue ACAT activity by 45%, VLDL mass was decreased slightly, LDL mass increased 3.4-fold and HDL mass was similar in both the inhibitor-treated and control animals. CL 277082 resulted in a 57% decrease in VLDL cholesteryl ester content and a 4.5-fold increase in triacylglycerol. Cholesteryl ester content in LDL was decreased by 31% and LDL triacylglycerol was increased 5.2-fold, while the only change in HDL composition was a 3.5-fold increase in triacylglycerol. The reductions in both hepatic tissue and macrophage-rich granuloma tissue esterified cholesterol accumulation are considered to be due largely to cellular ACAT inhibition, and the altered distribution and composition of the plasma lipoproteins.


Assuntos
Ésteres do Colesterol/metabolismo , Inibidores Enzimáticos , Granuloma/metabolismo , Fígado/metabolismo , Macrófagos/metabolismo , Compostos de Fenilureia/farmacologia , Esterol O-Aciltransferase/antagonistas & inibidores , Animais , Colesterol na Dieta/metabolismo , HDL-Colesterol/metabolismo , Lipoproteínas/metabolismo , Masculino , Coelhos , Triglicerídeos/metabolismo
7.
J Mol Biol ; 216(2): 289-98, 1990 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-2254930

RESUMO

The FLP recombinase of the 2 mu plasmid of Saccharomyces cerevisiae binds to a target containing three 13 base-pair symmetry elements called a, b and c. The symmetry elements b and c are in direct orientation while the a element is in inverted orientation with respect to b and c on the opposite side of an eight base-pair core region. Each symmetry element acts as a binding site for the FLP protein. The FLP protein can form three different complexes with the FLP recognition target (FRT site) according to the number of elements within the site that are occupied by the FLP protein. Binding of FLP to the FRT site induces DNA bending. We have measured the angles of bends caused by the binding of the FLP protein to full and partial FRT sites. We find that FLP induces three types of bend in the FRT-containing DNA. The type I bend is approximately 60 degrees and results from a molecule of FLP bound to one symmetry element. The type II bend is greater than 144 degrees and results from FLP molecules bound to symmetry elements a and b. The type III bend is approximately 65 degrees and results from FLP proteins bound to symmetry elements b and c. Certain FLP proteins that are defective in recombination can generate the type I and type III bends but are impaired in their ability to induce the type II bend. We discuss the role of bending in FLP-mediated recombination.


Assuntos
DNA Nucleotidiltransferases/metabolismo , Escherichia coli/genética , Plasmídeos , Saccharomyces cerevisiae/genética , Sequência de Bases , Sítios de Ligação , DNA Fúngico/genética , DNA Fúngico/metabolismo , DNA Fúngico/ultraestrutura , Escherichia coli/enzimologia , Modelos Genéticos , Modelos Moleculares , Dados de Sequência Molecular , Conformação de Ácido Nucleico , Recombinação Genética , Saccharomyces cerevisiae/enzimologia
8.
J Mol Biol ; 205(4): 647-58, 1989 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-2648010

RESUMO

The FLP recombinase is encoded by the yeast plasmid 2 microns circle and catalyses a site-specific recombination reaction that results in inversion of a segment of the 2 micron plasmid. We describe a method for the isolation of inactivating mutations in the FLP gene. The analysis of the recombination and binding activity of defective FLP proteins in vitro resulted in the identification of two classes of mutations: those that completely abolish FLP function by interfering with DNA binding and others that block recombination after the binding step. We have shown that FLP-mediated recombination is accompanied by bending of the DNA target and that mutations in the FLP recombinase that block bending also eliminate recombination.


Assuntos
Proteínas da Membrana Bacteriana Externa/genética , DNA Nucleotidiltransferases/genética , Plasmídeos , Saccharomyces cerevisiae/genética , Aminoácidos , Sequência de Bases , Sítios de Ligação , DNA Fúngico , Proteínas Fúngicas/genética , Genes Fúngicos , Metilação , Dados de Sequência Molecular , Mutação , Recombinação Genética
9.
Diabetes Care ; 15(9): 1156-67, 1992 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1396013

RESUMO

In this review, we have highlighted pivotal cellular and molecular events in the initiation and progression of atherosclerosis. Key components of lesion initiation are an enhanced focal intimal influx and accumulation of lipoproteins, including LDL in hemodynamically determined lesion-prone areas, focal monocyte-macrophage recruitment, intimal generation of ROS, and oxidative modification of lipoproteins (including LDL [Ox-LDL]). Modified lipoproteins are taken up by the non-downregulating macrophage scavenger receptor, with foam cell formation and the development of the so-called fatty streak. One transitional event in lesion progression is foam cell necrosis, likely attributable to the cytotoxicity of both intimal free radicals and Ox-LDL, with development of an extracellular metabolically inert lipid core. Another is the migration to and proliferation within the intima of medial SMCs, leading to the synthesis of plaque collagens, elastin, and proteoglycans. Mural thrombosis plays a significant role in the late-stage progression of lesions. Regression of lesions is considered a function of the dynamic balance among components of initiation, progression, plaque stabilization, and removal of plaque constituents--the so-called regression quartet. Here, we critically examine how components of diabetes mellitus might impact not only lesion development, but also lesion regression. It is concluded that some components of diabetes mellitus augment key mechanisms in lesion initiation and progression and will likely retard the processes of plaque regression. Specifically, we focus on the various influences of diabetes mellitus on lipoprotein influx and accumulation, free radical generation and Ox-LDL, monocyte-macrophage recruitment, thrombosis and impaired fibrinolysis, and the reverse cholesterol transport system. The importance of nonenzymatic protein glycosylation in modifying a number of these processes is emphasized.


Assuntos
Arteriosclerose/etiologia , Complicações do Diabetes , Angiopatias Diabéticas/etiologia , Humanos
10.
Pediatrics ; 92(2): 197-201, 1993 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8337017

RESUMO

OBJECTIVES: The objective of this study was to evaluate the effectiveness of three methods in the management of infantile colic. METHODS: Healthy infants with persistent crying were randomly assigned to one of three groups for a 2-week period. All groups received an assessment and reassurance from a pediatrician and support from a public health nurse. Group 1 also received counseling regarding specific management techniques. Group 2 also received a car-ride simulation device. Group 3 acted as a control. Mothers completed crying diaries and preintervention and postintervention anxiety questionnaires. RESULTS: Thirty-eight mother-infant pairs were enrolled. Combining all three groups, there was a 24% reduction in daily hours of crying (P = .01) and a 18% improvement in maternal anxiety (P < .001), but no significant difference among groups. CONCLUSIONS: The natural history of persistent crying of infancy is improvement over time. These specific interventions proved no better than reassurance and support alone in decreasing daily hours of crying and maternal anxiety.


Assuntos
Cólica/enfermagem , Choro , Cuidado do Lactente/métodos , Ansiedade , Aconselhamento , Feminino , Humanos , Lactente , Masculino , Mães/psicologia , Testes Psicológicos
11.
Am J Cardiol ; 71(6): 9B-14B, 1993 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-8434561

RESUMO

Two key events in the atherogenic cascade are the focal influx and accumulation of low-density lipoprotein (LDL) cholesterol at arterial sites having a predilection for atherosclerotic lesion development and the recruitment of blood monocytes to these lesion-prone sites. Both processes are enhanced in the setting of hyperlipidemia and dyslipoproteinemia. The monocytes recruited to the endothelial surface subsequently migrate to the subendothelial space under the directed guidance of chemoattractants, such as monocyte chemotactic protein-1 and oxidatively modified LDL. These cells then undergo activation-differentiation to become macrophages. At the same time, LDL, and probably other lipoproteins such as the small dense LDL particles and lipoprotein (a), traverse the endothelium and undergo oxidative modification by reactive oxygen species. These oxidatively modified lipoproteins are recognizable by the non-down-regulating macrophage scavenger receptor. Their uptake by these receptors results in the formation of the foam cell characteristic of early-stage atherosclerosis. As monocyte recruitment and lipoprotein influx continue, the lesion grows and develops into the fatty streak. Subsequent foam cell necrosis due to the influence of cytotoxic oxidatively modified LDL and increased collagen synthesis by intimal smooth muscle cells lead to the established atherosclerotic lesion referred to as the fibrous plaque. As our understanding of the mechanisms involved in the pathogenesis of atherosclerosis has evolved over the past few years, novel strategies for intervention in the atherogenic process have emerged.


Assuntos
Arteriosclerose/fisiopatologia , Animais , Antioxidantes/farmacologia , Arteriosclerose/sangue , Humanos , Lipoproteínas LDL/sangue , Monócitos/fisiologia , Oxirredução , Probucol/farmacologia
12.
Am J Cardiol ; 64(13): 23G-30G, 1989 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-2679027

RESUMO

Atherosclerosis is conceptually defined as the result of a multiplicity of interactive cascades among injurious stimuli and the healing responses of the arterial wall, occurring concurrently within a hyperlipidemic environment. In this discussion, the inflammatory nature of the disease is emphasized. Four aspects of the pathophysiology of atherogenesis are addressed: (1) The role(s) of fluid mechanical or hemodynamic stresses in the focal initiation and/or augmentation of lesions is discussed in terms of the influence of shear stress on endothelial cellular geometry, compliance, membrane anisotropy (r), low-density lipoprotein (LDL)-receptor expression, intracellular potential and replication; (2) mechanisms of blood monocyte recruitment to the arterial intima, including the roles of chemoattractants such as smooth muscle cell-derived chemotactic factor and oxidized LDL; (3) the alternate or "scavenger" receptor pathway of the macrophage and its pivotal roles in foam cell formation and plaque pathogenesis; and (4) the emerging significance of various lipoprotein modifications, and in particular, the oxidative modification of LDL, which facilitates the uptake of the cytotoxic oxidized LDL via the scavenger receptor, thus providing a non-down-regulating mechanism for foam cell formation and plaque development. Evidence indicates that the antioxidant drug probucol prevents the oxidative modification of LDL, thereby retarding atherogenesis independently of cholesterol reduction.


Assuntos
Arteriosclerose/fisiopatologia , Animais , Células Espumosas/fisiologia , Humanos , Lipoproteínas LDL/fisiologia , Monócitos/fisiologia , Estresse Mecânico
13.
Ann N Y Acad Sci ; 454: 115-20, 1985.
Artigo em Inglês | MEDLINE | ID: mdl-3865604

RESUMO

In this brief review, we have addressed the roles of the monocyte-macrophage in atherogenesis, with emphasis on the recruitment to the arterial wall. We have presented summary data on the SMC-derived chemoattractant protein and also on the temporal evolution of monocyte-derived macrophages into cholesteryl ester-rich foam cells. The concept of atheroma as an inflammatory process has also been discussed.


Assuntos
Arteriosclerose/patologia , Inflamação/patologia , Macrófagos/patologia , Monócitos/patologia , Animais , Arteriosclerose/fisiopatologia , Fatores Quimiotáticos/fisiologia , Modelos Animais de Doenças , Endotélio/patologia , Células Espumosas/patologia , Células Espumosas/fisiologia , Técnicas In Vitro , Inflamação/fisiopatologia , Macrófagos/fisiologia , Monócitos/fisiologia , Papio , Fagocitose , Coelhos
14.
Cardiol Clin ; 5(1): 21-30, 1987 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-3548973

RESUMO

Autopsy and clinical studies indicate that coronary thrombosis plays a key role in the development of acute transmural myocardial infarction and possibly in unstable angina and sudden cardiac death. The pathogenesis of coronary thrombosis is complex. It involves the dynamic interplay among the atherosclerotic arterial wall, vasomotor influences, cellular and humoral mediators, and the blood coagulation pathways.


Assuntos
Arteriosclerose/complicações , Doença das Coronárias/complicações , Trombose Coronária/complicações , Infarto do Miocárdio/etiologia , Angina Instável/etiologia , Arteriosclerose/etiologia , Trombose Coronária/etiologia , Morte Súbita/etiologia , Humanos
15.
Clin Cardiol ; 14(2 Suppl 1): I1-16, 1991 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-2044253

RESUMO

In this unifying hypothesis directed to the etiology and pathogenesis of atherosclerosis, the importance of focal arterial lesion-prone sites has been emphasized. Key initial participants in these sites include the focal intimal influx and accumulation of low-density lipoprotein (LDL) and a preferential recruitment of blood monocytes. Both are further enhanced in the presence of hyperlipidemia, when the quantity of intimal LDL and the oxidative potential of the intima exceed the capacity of macrophages to remove, via the non-down-regulating scavenger receptor, cytotoxic anionic (Ox-LDL) macromolecules. Foam cells, pathognomonic of the fatty streak, form during the receptor-mediated uptake of Ox-LDL by the macrophages. Interstitial free radicals and the excess of Ox-LDL particles injure and kill cells, including the foam cells, with the formation of the necrotic extracellular lipid core, a key transitional step in lesion progression. Monocyte-macrophage recruitment to the intima is likely to be regulated not only by a multiplicity of endothelial adhesive cytokines, integrins, and selectins, but also by the monocyte-specific chemoattractant, MCP-1, constitutively synthesized and secreted by intimal smooth muscle and endothelial cells. Its synthesis and secretion is augmented by mildly oxidized LDL. Free radicals, pivotal in the oxidation of LDL, and derived from activated macrophages, and also endothelial and smooth muscle cells. Smooth muscle cells migrate from the media through the intimal endothelial layer (IEL) and proliferate under the regulation of a number of mitogens, including platelet-derived growth factor (PDGF). Collagen synthesis by smooth muscle cells is substantial. Lymphocytes, as a source of interferons, invade the plaque and are present in the adventitia in substantial numbers, likely representing an autoimmune response in the later stages of plaque development. Platelets and mural thrombosis directly contribute to subsequent plaque growth, particularly after plaque rupture or fissure and disruption of the thromboresistant endothelial cells (EC). Plaque regression in all likelihood involves the conversion of the inert pool of extracellular lipid to a metabolically active intracellular pool and subsequent clearance by the high-density lipoprotein mediated reverse cholesterol transport system. The atherogenic cascades so described conceptually represent arterial inflammatory and healing processes occurring in a hyperlipidemic environment. Many components of pathogenesis are the targets for modulation by genetic, hemodynamic and selected risk factors. The prevention and treatment of the disease should logically target reduction in plasma LDL levels, the inhibition of the oxidative modification of lipoproteins, including LDL, by free radical scavengers, and augmentation of the reverse cholesterol transport system.


Assuntos
Arteriosclerose/etiologia , Animais , Arteriosclerose/patologia , Endotélio Vascular/patologia , Células Espumosas/patologia , Radicais Livres , Humanos , Leucócitos Mononucleares/patologia , Lipoproteínas LDL/sangue , Músculo Liso Vascular/patologia , Trombose/patologia
16.
J Hypertens Suppl ; 12(5): S3-11, 1994 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7965284

RESUMO

AIM: To review the nature of the complex relationships between essential hypertension and cardiovascular end-organ damage, with a particular focus on the pathogenesis and prevention of coronary heart disease, the major complication of untreated hypertension. RISK FACTORS FOR CORONARY HEART DISEASE: Both atherosclerosis and hypertension have their origins in childhood; in the second and third decades of life development of the more advanced fibrous plaques accelerates, emphasizing the need for early diagnosis and intervention. Perplexing and complex relationships have been found among the principal risk factors for coronary heart disease, hyperinsulinemia, insulin resistance, dyslipidemia and hypertension. In the pathogenesis of atherosclerosis at the cellular and molecular level, the important features are the effects of monocyte-macrophages, oxidant stress, lipoprotein modification, inflammatory mediators and the focal hemodynamic environment. Even brief periods of experimental hypertension can accentuate atherogenesis, the effects of which are greatest but not limited to the cervical and cerebral arteries. Further, acute hypertension lasting for even a few minutes causes a 'leakage' of plasma proteins and particulate probes into the artery wall, which has far-reaching implications for antihypertensive therapy. Recent work has shown that 24-h blood pressure variability is correlated with target-organ damage in hypertensive patients. THERAPY: Antihypertensive therapy should not only lower blood pressure but also prevent significant short-term blood pressure fluctuations. The trough: peak ratio has been used to assess the effect of antihypertensive treatment on blood pressure variability. CONCLUSION: More intensive research is required to clarify the nature of the interface between hypertension and atherogenesis.


Assuntos
Doença da Artéria Coronariana/prevenção & controle , Hipertensão/tratamento farmacológico , Adolescente , Adulto , Animais , Anti-Hipertensivos/uso terapêutico , Doenças Cardiovasculares/etiologia , Criança , Pré-Escolar , Doença da Artéria Coronariana/etiologia , Humanos , Hipertensão/complicações , Hipertensão/fisiopatologia , Fatores de Risco
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