The receptor AT1 appears to be important for the maintenance of bone mass and AT2 receptor function in periodontal bone loss appears to be regulated by AT1 receptor

A large number of experimental studies has demonstrated that angiotensin II (Ang II) is involved in key events of the inflammatory process. This study aimed to evaluate the role of Ang II type 1 (AT1) and Ang II type 2 (AT2) receptors on periodontitis. Methods: Experimental periodontitis was induced by placing a 5.0 nylon thread ligature around the second upper left molar of AT1 mice, no-ligature or ligature (AT1-NL and AT1-L), AT2 (AT2-NL or AT2-L) and wild type (WT-NL or L). Alveolar bone loss was scanned using Micro-CT. Cytokines, peptides and enzymes were analyzed from gingival tissues by Elisa and RT-PCR. Results: The blockade of AT1 receptor resulted in bone loss, even in healthy animals. Ang II receptor blockades did not prevent linear bone loss. Ang II and Ang 1-7 levels were significantly increased in the AT2-L (p < 0.01) group compared to AT2-NL and AT1-L. The genic expression of the Mas receptor was significantly increased in WT-L and AT2-L compared to (WT-NL and AT2-NL, respectively) and in AT1-L. Conclusions: Our data suggest that the receptor AT1 appears to be important for the maintenance of bone mass. AT2 receptor molecular function in periodontitis appears to be regulated by AT1

AT1 and AT2 receptor knockout changed osteonectin and bone density in mice in periodontal inflammation experimental model

BACKGROUND: The aim of this study was to evaluate the role of AT1 and AT2 receptors in a periodontal inflammation experimental model. METHODS: Periodontal inflammation was induced by LPS/Porphyromonas gingivalis. Maxillae, femur, and vertebra were scanned using Micro-CT. Maxillae were analyzed histopathologically, immunohistochemically, and by RT-PCR. RESULTS: The vertebra showed decreased BMD in AT1 H compared with WT H (p < 0.05). The femur showed increased Tb.Sp for AT1 H and AT2 H, p < 0.01 and p < 0.05, respectively. The Tb.N was decreased in the vertebra (WT H-AT1 H: p < 0.05; WT H-AT2 H: p < 0.05) and in the femur (WT H-AT1 H: p < 0.01; WT H-AT2 H: p < 0.05). AT1 PD increased linear bone loss (p < 0.05) and decreased osteoblast cells (p < 0.05). RANKL immunostaining was intense for AT1 PD and WT PD (p < 0.001). OPG was intense in the WT H, WT PD, and AT2 PD when compared to AT1 PD (p < 0.001). AT1 PD showed weak immunostaining for osteocalcin compared with WT H, WT PD, and AT2 PD (p < 0.001). AT1 H showed significantly stronger immunostaining for osteonectin in fibroblasts compared to AT2 H (p < 0.01). CONCLUSION: AT1 receptor knockout changed bone density, the quality and number of bone trabeculae, decreased the number of osteoblast cells, and increased osteonectin in fibroblasts

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Effect of soil-water tension on herbaceous cotton yield Efeito de tensões de água no solo sobre o rendimento do algodoeiro herbáceo

A field experiment was conducted during two years, 1990/91, in an alluvial soil, in the State of Paraíba, Brazil, to study the effect of the levels of soil-water tension, 50, 100, 200, 300, 400 and 600 kPa, at 20 cm depth, on upland cotton (Gossypium hirsutum L.r. latifolium Hutch, cv. CNPA-6H) yield. The experimental design was a complete randomized block with six treatments and four repetitions. There was an effect of the treatments on plant height, leaf area index and cotton yield, but the precocity index was not modified. Water should be applied when the soil-water tension, measured at 20 cm depth, reaches values around 200 kPa. There was a quadratic (R² = 0.893**) response of cotton yields to soil water tension, with the maximum when water was applied at 52% of soil water depletion.<br>Durante dois anos, 1990/91, em solo aluvial, no município de Sousa, PB, estudou-se, em condições de irrigação por sulco, o efeito das tensões de água no solo a 50, 100, 200, 300, 400 e 600 kPa, na profundidade de 20 cm, sobre o rendimento do algodoeiro herbáceo (Gossypium hirsutum L.r. latifolium Hutch), cv. CNPA-6H. Adotou-se o delineamento experimental de blocos ao acaso com quatro repetições. Os resultados mostraram que houve efeito significativo dos tratamentos sobre a altura da planta, índice de área foliar e rendimento de algodão em rama, mas não houve efeito sobre os dados de precocidade. A tensão de 200 kPa mostrou-se como o melhor nível de água no solo para se efetuar as irrigações, uma vez que para as tensões superiores o rendimento foi significativamente reduzido.O efeito sobre o rendimento foi de natureza quadrática (R² = 0,893**), o que indica que o rendimento máximo seria atingido irrigando-se a cultura com 52% de esgotamento da água disponível no solo

Diversidade e capacidade simbiótica de rizóbios isolados de nódulos de Mucuna-Cinza e Mucuna-Anã

As espécies de mucuna são muito utilizadas como adubos verdes, e poucas informações estão disponíveis a respeito dos rizóbios nativos capazes de nodulá-las. O objetivo deste trabalho foi avaliar a diversidade e a capacidade simbiótica de isolados bacterianos de nódulos de mucuna-cinza (Mucuna pruriens (L.) DC.) e mucuna-anã (Mucuna deeringiana (Bort.) Merr.). As bactérias foram isoladas de nódulos de mucunas cinza e anã cultivadas em vasos com solos de um sistema de produção agroecológica. Foram isoladas 160 bactérias, sendo 80 de mucuna-anã e 80 de mucuna-cinza, que foram autenticadas e selecionadas para avaliação da capacidade simbiótica. A diversidade dos isolados foi avaliada por meio das características culturais em meio de cultura YMA e da técnica de análise de restrição do produto de PCR do gene 16S rDNA. A inoculação de cinco isolados em mucuna-cinza e dois em mucuna-anã apresentou elevada biomassa da parte aérea. A maioria dos isolados apresentou crescimento rápido e acidificou o meio de cultura. A análise de restrição demonstrou que as bactérias isoladas apresentam baixa similaridade com estirpes de referência, sugerindo a existência de isolados pertencentes a novos grupos, capazes de nodular as mucunas anã e cinza

Consumption of antihypertensive drugs dispensed under the pharmacy benefit management program

Pharmacy benefit management (PBM) programs provide attractive discounts for drug purchase, a relevant measure to address costs, mainly of drugs for the treatment of chronic diseases. This study investigated whether PBM may be used as a tool to provide information about the use of antihypertensive medications when they are purchased. The profile of medicines taken to treat high blood pressure by large IT company employees and their dependents was evaluated from January to December 2009. The mean rate of drug boxes purchased to control hypertension was 9.4 ± 10.0 in 2009. Men purchased more drugs than women. The number of drugs purchased for the treatment of hypertension was lower than expected in all age groups except for individuals aged 54-58 and >59 years. Among men, the purchase of drugs to treat hypertension was higher than expected in the 24-28, 34-38 and 54-58 age groups. Among women, results matched expectations, except for the age group 34-38 years, in which purchase was lower than expected. Individuals in the age group 0-18 years were found to consume antihypertensive drugs. Although the PBM system may be used to identify drugs purchased by users, it does not ensure patient adherence to recommended drug treatment to control hypertension.<br>O objetivo do Programa de Benefícios em Medicamentos (PBM) é proporcionar descontos atraentes para aquisição de medicamentos, um fator relevante para o custo, principalmente no tratamento de doenças crônicas. O objetivo deste estudo é comprovar se o PBM pode ser utilizado como ferramenta para o fornecimento de informações sobre o consumo de medicamentos antihipertensivos através da aquisição dos mesmos. Foi realizada análise do perfil de medicamentos adquiridos para o tratamento de hipertensão arterial sistêmica por funcionários e seus dependentes de uma empresa de grande porte na área de tecnologia de informação (TI) no período compreendido entre janeiro a dezembro de 2009. A taxa de aquisição média de medicamentos para o controle da hipertensão foi de 9,4±10,0 embalagens durante o ano de 2009. Os homens consumiram mais caixas de medicamentos que as mulheres. O número de caixas de medicamentos adquiridas para o tratamento da hipertensão arterial foi abaixo do esperado em todas as faixas de idade, exceto para 54-58 e >59 anos. Entre os homens, a aquisição de caixas de medicamentos para o tratamento da hipertensão arterial foi maior que o esperado nas seguintes faixas de idade: 24-28, 34-38 e 54-58 anos. Entre as mulheres, a aquisição de caixas de medicamentos anti-hipertensivos foi dentro do esperado, exceto para aquelas com idade compreendida entre 34-38 anos que foi abaixo do esperado. Observou-se a existência de consumo de fármacos antihipertensivos na faixa etária de 0-18 anos. Embora o sistema de PBM permita identificar a aquisição de medicamentos anti-hipertensivos por seus usuários, não garante que os pacientes estejam aderidos à terapia medicamentosa recomendada para o controle da hipertensão

Characterization, agricultural potential, and perspectives for the management of light soils in Brazil

Os solos leves ocupam cerca de 8% do território brasileiro e são epecialmente expressivos na nova e na última fronteira agrícola do país: a região de Matopiba, nos estados do Maranhão, do Tocantins, do Piauí e da Bahia, onde representam 20% da área. Esses solos enquadram-se nas classes texturais areia e areia franca ou francoarenosa, até a profundidade de 0,75 m ou mais, e são representados principalmente pelos Neossolos Quartzarênicos e, em parte, por Latossolos e Argissolos. O entendimento do funcionamento desses solos depende do estabelecimento de critérios distintivos sobre: dinâmica da matéria orgânica; teor e mineralogia da fração argila; teores de areia grossa e de areia total, em relação aos de areia fina; diâmetro médio da fração areia; e capacidade de retenção de água. Esses critérios podem contribuir para o zoneamento e para o manejo conservacionista e da fertilidade dos solos leves, bem como para estimação de seu potencial agrícola. Sistemas integrados de produção, como os de integração lavoura-pecuária e lavoura-pecuária-floresta, além do plantio direto com rotação de culturas, dos plantios florestais mistos com espécies leguminosas, e do uso de adubos verdes e cultivos de cobertura, são relevantes para o manejo adequado desses solos. O objetivo deste artigo de revisão foi caracterizar os solos leves e apontar os principais desafios em relação a seu potencial agrícola, a seu manejo e conservação e sua fertilidade, frente à expansão e à consolidação da nova fronteira agrícola.Light soils occupy 8% of the Brazilian territory and are especially expressive in the new and last agricultural frontier in Brazil: the Matopiba region – in the states of Maranhão, Tocantins, Piauí, and Bahia –, where they represent 20% of the area. These soils fit into the textural classes of sand, loamy sand, and sandy loam, down to 0.75-m soil depth or deeper, and they are mainly represented by Entisols (Quartzipsamments), and partly by Oxisols and Ultisols. The understanding of soil functioning depends on the establishment of distinguishing criteria for: organic matter dynamics; content and mineralogy of the clay fraction; coarse sand and total sand contents, in relation to those of fine sand; mean diameter of the sand fraction; and water retention capacity. These criteria can contribute for the zoning and for the conservationist and fertility management of light soils, as well as for the estimation of their agricultural potential. Integrated production systems, such as, crop-livestock and crop-livestock-forestry integration, besides no-tillage with crop rotation, mixed forestry planting with legumes, and the use of green manure and cover crops, are relevant for the proper management of these soils. The objective of this review was to characterize light soils and to highlight the main challenges regarding their agricultural potential and their conservation and fertility managements, in face of the expansion and consolidation of the new Brazilian agricultural frontier