[Impact of antihypertensive medication timing on degree and stability of blood pressure lowering in patients with essential hypertension].

OBJECTIVE: To investigate the impact of antihypertensive medication timing on degree and stability of blood pressure (BP) lowering in patients with moderate and severe essential hypertension. METHODS: Ninety patients were randomly assigned to take Valsartan and Felodiping together in the morning (group A), Valsartan in the morning and Felodiping in the evening (group B) or Felodiping in the morning and Valsartan in the evening (group C, n = 30 each). The morning dosage was titrated if the goal blood pressure was not achieved. Ambulatory blood pressure monitoring (ABPM) was performed on the first and 14(th) day of medication. RESULTS: The BP reductions during nighttime and twenty-four in group B and C hours were similar (P > 0.05) but were significant more than those in group A (P < 0.05). The smoothness indexes of mean systolic, mean arterial blood pressure during nighttime and twenty-four in group B and C were similar but significantly higher than that in group A (P < 0.05). The smoothness index of diastolic pressure at nighttime in group B and C was similar but significantly higher than that in group A (P < 0.05). CONCLUSION: More significant and stable antihypertensive effects could be achieved by taking the two antihypertensive medications separately in the morning and at evening compared that taken the two drugs together in the morning.

[Gene cloning and expression analysis of an inducible heat shock protein 70 gene from the polychaete Perinereis aibuhitensis under Cu2+ stress.] / åŒé½¿å›´æ²™èš•è¯±å¯¼åž‹çƒ­ä¼‘å ‹è›‹ç™½70åŸºå› çš„å ‹éš†åŠCu胁迫下的表达分析.

The objective of this study was to evaluate the molecular characteristics of heat shock protein 70 (HSP70) gene, and document changes in HSP70 gene expression upon exposure of Perinereis aibuhitensis to aqueous Cu2+. Full length cDNA of HSP70 was sequenced and the characteristics of the translated protein were determined and compared both with other ragworms species and other invertebrates. The results showed that the cDNA was 2161 bp and consisted of a 5'-terminal untranslated region (UTR) of 48 bp, a 3'-termianl UTR of 142 bp with a canonical polyadenylation signal sequence AATAAA and a poly A tail, and an open reading frame (ORF) of 1971 bp. The HSP70 protein was 656 amino acids with a calculated molecular weight of 71.43 kD and theore-tical isoelectric point of 5.15. Sequence analysis of the protein showed that HSP70 of P. aibuhitensis contained three signature sequences IDLGTTYS, IFDLGGGTFDVSIL and IVLVGGSTRIPKIQK all belonging to the HSP70 family, a cytoplasm characteristic motif of EEVD, and the C-terminal repeats of GGMP. The molecular characteristics of P. aibuhitensis shared 94% identity with other ragworms and 79% identity with other invertebrates. In ragworms exposed to Cu2+, expression of HSP70 mRNA increased significantly with Cu2+ concentration (0.2-5.0 mg·L-1), and it reached the peak on 1-day exposure. In summary, the molecular characteristics of HSP70 of P. aibuhitensis were described, and its gene expression was inducible by exposure to aqueous Cu2+, suggesting HSP70 has potential to become a useful molecular biomarker of environmental pollution.