Avaliação da função endotelial em pacientes com hipertensão arterial resistente

A hipertensão arterial resistente (HAR) é definida pela persistência da pressão arterial (PA)≥140/90mmHg a despeito do uso de 3 anti-hipertensivos em doses plenas, incluindo diurético. Revisão recente da literatura mostra poucos estudos avaliando o perfil e o comportamento da função endotelial em pacientes com HAR. Objetiva avaliar a função endotelial em pacientes hipertensos resistentes. Estudo transversal com 60 pacientes que foram avaliados em uma visita (V3) de um estudo longitudinal, onde numa primeira fase todos pacientes tiveram padronização do tratamento anti-hipertensivo. Foram incluídos pacientes (V0) com PA>160/100mmHg e <220mmHg e todos receberam clortalidona 25mg/dia e enalapril 20mg 2x/dia ou losartana 50mg 2x/dia (intolerantes ao enalapril). Visita 1: se PA>140/90mmHg acrescentou-se anlodipino 5mg/dia, foi realizado avaliação laboratorial de rotina do hipertenso e monitorização ambulatorial da PA-24h (MAPA). Visita 2: se PA>140/90mmHganlodipino foi titulado para 10mg/dia. Visita 3: todos os pacientes receberam avaliação clínica, da pressão arterial por MAPA, laboratorial de rotina e da função endotelial. Formaram-se dois grupos: os que controlaram a PA, grupo hipertensão arterial controlada (HAC); e os que permaneceram com PA de consultório>140/90mmHg e PA na MAPA-24h>130/80mmHg, foram considerados resistentes. O grupo HAR recebeu aleatoriamente espironolactona ou clonidina por mais 12 semanas para tentar controlar a PA e o grupo HAC teve assistência farmacológica mantida no mesmo período. A PA foi avaliada por método oscilométrico com aparelho digital semi-automático Microlife modelo BP3AC1-1PC e MAPA por aparelho SpaceLabs 90207. A função endotelial avaliada através de tonometria arteriolar periférica (PAT) pelo Endo-PAT2000 e por biomarcadores (I-CAM-1, V-CAM-1, VEGF, MCP-1, IL-6, adiponectina) através da técnica LuminexTMxMAP. Dos 60 pacientes avaliados, 36 controlaram a PA, grupo HAC, e 24 permaneceram resistentes ao tratamento, grupo HAR, na visitaV3. Na avaliação da PA pela MAPA-24h observamos que no grupo HAC a PAS-24h foi de 121,1+1,7mmHg e no grupo HAR 147+3,3mmHg, enquanto a PAD-24h no grupo HAC foi de 76,64+1,5mmHg e no grupo HAR 88,58+2,4mmHg (p<0,0001). O descenso noturno, apesar de maior no grupo HAC, não apresentou significância estatística entre os dois grupos (p> 0,05). A função endotelial avaliada através do PAT mostrou índice de hiperemia reativa de 1,850,056 e 1,65+0,074 nos grupos HAC e HAR respectivamente (p= 0,036) e quando avaliada através dos biomarcadores observamos: ICAM-1 (HAC= 186,6+12,65 vs HAR= 240,9+23,76ng/ml, p= 0,038), VCAM-1 (HAC= 627,137,09vs HAR= 706,086,10ng/ml, p= 0,372),VEGF (HAC= 403,394,91 vs HAR= 612,788,27pg/ml, p= 0,123) e MCP-1 (HAC= 694,969,09 vs HAR= 787,052,80pg/ml, p= 0,315). Na avaliação dos biomarcadores inflamatórios, observamos IL-6 no grupo HAC= 1,8970,2165pg/mle no HAR= 9,7934,421pg/ml (p= 0,027) e adiponectina no grupo HAC= 105701516pg/ml e HAR= 84221295pg/ml (p=0,301). A razão de prevalência do comprometimento da função endotelial no grupo HAR foi de 54% (OR= 3,55; 95% IC 1,18- 10.67; p= 0,029). No presente trabalho, as análises das variáveis estudadas na visita V3, mostraram que os pacientes com HAR têm maior comprometimento da função endotelial que os pacientes com HAC.

苍山冷杉复合体的居群遗传变异与谱系地理学

青藏高原为冷杉属(Abies)的多度中心，共分布有10种，9变种和4亚种。其中苍山冷杉复合体(Abies delavayi complex)包括3种，5变种和2亚种。它们的形态性状变异较小，且分布区重叠。迄今对该复合体的遗传多样性水平、分化程度以及进化历史仍缺乏了解。 本研究对苍山冷杉复合体的14个居群、302个个体进行取样，并对193个个体的母系遗传线粒体DNA nad1 intron2区和276个个体的父系遗传的叶绿体DNA trnS-trnG区进行了序列分析。该复合体的线粒体DNA nad1 intron2区的序列为675bp，其中有4个单碱基变异和1个插入/缺失，可分为6种线粒体单倍型。这14个居群的线粒体总核苷酸多态性(π)为0.00114，单倍型多态性(Hd)为0.627，居群间的遗传变异(FST)高达84.034%。叶绿体DNA trnS-trnG区的序列排列后为718bp，共有8个单碱基变异和4个插入/缺失，可分为12种叶绿体单倍型。这14个居群的总核苷酸多态性(π)为0.00116，单倍型多态性(Hd)为0.590，居群间的遗传变异(FST)为65.830%。以上结果显示苍山冷杉复合体居群间已经产生了强烈的遗传分化。叶绿体的3种主导单倍型(H1、H2和 H3)在YLXS、SKXS、GS和WX 4个居群中都有分布;而其它居群则只有主导单倍型(除SJLS外)中的1种或2种。造成边缘居群(如JZS)多样性较低的主要原因是冰期后群体在迁移过程中的遗传漂变和奠基者效应。根据谱系关系线粒体H1型和叶绿体H3型均为较古老的单倍型，线粒体和叶绿体的谱系关系均支持上述分析。 本研究初步推测青藏高原的东南部—横断山区(包括YLXS、SKXS、GS、WX、BMXS、ELS和EMS)可能为苍山冷杉复合体的冰期避难所，群体存在冰期后向西和向南扩张的过程。间冰期群体隔离和扩张过程中的奠基者效应是形成目前居群分化和遗传多样性分布格局的重要因素。

Severe droughts reduce estuarine primary productivity with cascading effects on higher trophic levels

Using a 10-yr time-series data set, we analyzed the effects of two severe droughts on water-quality and ecosystem processes in a temperate, eutrophic estuary (Neuse River Estuary, North Carolina). During the droughts, dissolved inorganic nitrogen concentrations were on average 46–68% lower than the long-term mean due to reduced riverine input. Phytoplankton productivity and biomass were slightly below average for most of the estuary during a spring–autumn drought in 2002, but were dramatically lower than average throughout the estuary during an autumn–winter drought in 2007–2008. Droughts affected upper trophic levels through alteration of both habitat condition (i.e., bottom-water dissolved oxygen levels) and food availability. Bottomwater dissolved oxygen levels were near or slightly above average during the 2002 drought and during summer 2007. Concomitant with these modest improvements in bottom-water oxygen condition, fish kills were greatly reduced relative to the long-term average. Low-oxygen bottom-water conditions were more pronounced during summer 2008 in the latter stages of the 2007–2008 drought, and mesozooplankton abundances were eight-fold lower in summer 2008 than during nondrought years. Below-average mesozooplankton abundances persisted for well over 1 yr beyond cessation of the drought. Significant fish kills were observed in summer 2008 and 2009, perhaps due to the synergistic effects of hypoxia and reduced food availability. These results indicate that droughts can exert both ephemeral and prolonged multiyear influence on estuarine ecosystem processes and provide a glimpse into the future, when many regions of the world are predicted to face increased drought frequency and severity due to climate change.

Age and growth of the blue shark (Prionace glauca) in the North Atlantic Ocean

Age and growth estimates for the blue shark (Prionace glauca) were derived from 411 vertebral centra and 43 tag-recaptured blue sharks collected in the North Atlantic, ranging in length from 49 to 312 cm fork length (FL). The vertebrae of two oxytetracycline-injected recaptured blue sharks support an annual spring deposition of growth bands in the vertebrae in sharks up to 192 cm FL. Males and females were aged to 16 and 15 years, respectively, and full maturity is attained by 5 years of age in both sexes. Both sexes grew similarly to age seven, when growth rates decreased in males and remained constant in females. Growth rates from tag-recaptured individuals agreed with those derived from vertebral annuli for smaller sharks but appeared overestimated for larger sharks. Von Bertalanffy growth parameters derived from vertebral length-at-age data are L∞ = 282 cm FL, K = 0.18, and t0 = –1.35 for males, and L∞ = 310 cm FL, K = 0.13, and t0 = −1.77 for females. The species grows faster and has a shorter life span than previously reported for these waters.