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  • 1
    In: Cerebrovascular Diseases, S. Karger AG, Vol. 33, No. 2 ( 2012), p. 128-134
    Abstract: 〈 i 〉 Background: 〈 /i 〉 Reduced cerebrovascular reactivity (CVR) is an important step in the pathogenesis of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). The present study utilized quantitative single photon emission computed tomography (SPECT) with the autoradiographic (ARG) method and reactive hyperemia peripheral arterial tonometry (RH-PAT) to assess vasoreactivity in intracranial arteries and in peripheral arteries in patients with CADASIL. 〈 i 〉 Methods: 〈 /i 〉 Quantitative SPECT studies were conducted in eight patients with CADASIL, while RH-PAT analysis was conducted in eight CADASIL patients and in eight age-matched normal subjects. Quantitative SPECT studies with the ARG method were performed at baseline and after administration of acetazolamide. Regional cerebral blood flow (rCBF) values were measured using stereotactic extraction estimation (SEE) methods. The rCBF of CADASIL patients was averaged in the bilateral frontal, temporal, parietal, and occipital lobes as well as in the limbic system, cerebellar hemisphere, whole cerebral cortex and basal ganglia. The CVR index from acetazolamide stress of intracranial arteries was calculated in each area. Vasoreactivity of peripheral arteries was estimated by the reactive hyperemia index (RHI) measured with a PAT device before and after interruption of arterial flow. 〈 i 〉 Results: 〈 /i 〉 Average RHI after post-deflation was lower in CADASIL patients than in normal subjects. RHI correlated significantly with CVR in all brain areas in CADASIL patients. 〈 i 〉 Conclusions: 〈 /i 〉 Vasoreactivity is reduced in peripheral arteries and in intracranial arteries in patients with CADASIL.
    Type of Medium: Online Resource
    ISSN: 1015-9770 , 1421-9786
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2012
    detail.hit.zdb_id: 1482069-9
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  • 2
    In: American Journal of Nephrology, S. Karger AG, Vol. 36, No. 5 ( 2012), p. 444-450
    Abstract: 〈 b 〉 〈 i 〉 Background: 〈 /i 〉 〈 /b 〉 The aim of this study was to explore the associations between the prevalence of chronic kidney disease (CKD) and polymorphisms in the genes encoding matrix metalloproteinases (MMPs) and tissue inhibitor of matrix metalloproteinases (TIMPs). MMPs degrade extracellular matrix proteins in the glomerulus, and play important roles in kidney disease progression. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 DNA samples from 3,309 subjects aged 35–69 years were genotyped for 10 potentially functional polymorphisms in 〈 i 〉 MMP 〈 /i 〉 and 〈 i 〉 TIMP 〈 /i 〉 genes. The prevalence of CKD (estimated glomerular filtration rate 〈 60 ml/min/1.73 m 〈 sup 〉 2 〈 /sup 〉 ) was compared among the genotypes. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 The prevalence of CKD decreased significantly with the number of minor alleles in 〈 i 〉 MMP9 〈 /i 〉 C–1562T (odds ratios (ORs) 0.77 for CT and 0.65 for TT compared with CC; p for trend = 0.023) and 〈 i 〉 MMP9 〈 /i 〉 R668Q (ORs, 0.79 for RQ and 0.64 for QQ compared with RR; p for trend = 0.024). The haplotype 〈 i 〉 MMP9 〈 /i 〉 –1562T/279R/668Q showed a reduced risk for CKD compared with the most common –1562C/279R/668R (OR 0.77, p = 0.008), and the genotype combination –1562TT/ 279RR/668QQ showed a halved risk for CKD compared with major allele homozygous –1562CC/279RR/668RR (OR 0.53, p = 0.091). 〈 b 〉 〈 i 〉 Conclusion: 〈 /i 〉 〈 /b 〉 The potentially functional polymorphisms of 〈 i 〉 MMP9 〈 /i 〉 were associated with the prevalence of CKD in a large Japanese population. These genotypes have been reported to increase 〈 i 〉 MMP9 〈 /i 〉 expression, supporting the hypothesis that MMP-9 has a protective role in the progression of kidney diseases.
    Type of Medium: Online Resource
    ISSN: 0250-8095 , 1421-9670
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2012
    detail.hit.zdb_id: 1468523-1
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  • 3
    In: Gerontology, S. Karger AG, Vol. 56, No. 1 ( 2010), p. 15-19
    Abstract: 〈 i 〉 Background: 〈 /i 〉 Hyperhomocysteinemia is correlated with diseases and lifestyle habits. However, there is no epidemiological evidence concerning the distribution and prevalence of hyperhomocysteinemia in a local community. 〈 i 〉 Objective: 〈 /i 〉 The purpose of this study was to clarify the distribution and prevalence of hyperhomocysteinemia and the existence or nonexistence of familial clustering. 〈 i 〉 Methods: 〈 /i 〉 The subjects were participants in the Basic Health Check Service 1999. We administered a questionnaire and obtained blood samples from 865 subjects (306 men, 559 women) who agreed to participate in our study. 〈 i 〉 Results: 〈 /i 〉 Hyperhomocysteinemia was present in 52 men (17.0%) and 25 women (4.5%). Ten subjects who had hyperhomosysteinemia ha a family member who also had hyperhomocysteinemia. The odds ratio for hyperhomocysteinemia adjusted for age and sex was 4.77 (p 〈 0.01, 95% CI = 1.95–11.65). 〈 i 〉 Conclusion: 〈 /i 〉 Hyperhomocysteinemia shows familial clustering. Men and elderly persons were more likely to have hyperhomocysteinemia.
    Type of Medium: Online Resource
    ISSN: 0304-324X , 1423-0003
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2010
    detail.hit.zdb_id: 1482689-6
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