Genome-wide association study identifies six new loci influencing pulse pressure and mean arterial pressure.

Numerous genetic loci have been associated with systolic blood pressure (SBP) and diastolic blood pressure (DBP) in Europeans. We now report genome-wide association studies of pulse pressure (PP) and mean arterial pressure (MAP). In discovery (N = 74,064) and follow-up studies (N = 48,607), we identified at genome-wide significance (P = 2.7 × 10(-8) to P = 2.3 × 10(-13)) four new PP loci (at 4q12 near CHIC2, 7q22.3 near PIK3CG, 8q24.12 in NOV and 11q24.3 near ADAMTS8), two new MAP loci (3p21.31 in MAP4 and 10q25.3 near ADRB1) and one locus associated with both of these traits (2q24.3 near FIGN) that has also recently been associated with SBP in east Asians. For three of the new PP loci, the estimated effect for SBP was opposite of that for DBP, in contrast to the majority of common SBP- and DBP-associated variants, which show concordant effects on both traits. These findings suggest new genetic pathways underlying blood pressure variation, some of which may differentially influence SBP and DBP

Habitat heterogeneity promotes intraspecific trait variability of shrub species in Australian granite inselbergs

The role of intraspecific trait variability is increasingly recognized as a key factor shaping plant fitness and community assembly worldwide. Studying the direct effects of habitat heterogeneity on trait expression of individual plants of the same species is a useful tool to quantify intraspecific trait variability locally. We investigated how habitat heterogeneity on granite inselbergs affected intraspecific trait variability of 19 functional traits in three shrub species of the family Proteaceae in south western Australia, a global biodiversity hotspot. We used pairwise comparison (single trait) and multivariate analysis (multiple traits, functional space) to detect shifts in trait patterns. Consistent with our predictions, we found that individuals developing in putatively more stressful habitats (highly sun-irradiated, shallow-soil patches on the outcrops) were characterized by trait expressions indicative of more conservative resource-related strategies when compared with plants occurring in the surrounding woodlands that were experiencing more benign ecological conditions. These results were significant for two out of three species. Granite inselbergs promoted plant longevity, a signal that these granite inselbergs might offer refugial conditions defined as protection against fire

Management of Itch in Atopic Dermatitis

Atopic dermatitis (AD) is the most common itchy dermatosis that affects millions of children and adults worldwide. Chronic itch in this condition has significant impact on measures of quality of life, such as sleep. Treating itch in AD has been challenging for decades, but new drugs have emerged in the last year with significant anti-pruritic effect. The optimal treatment regimen for atopic itch addresses barrier dysfunction, inflammation, neural hypersensitivity, and the itch–scratch cycle. Topical moisturizers remain the foundation of treatment and should be used by all patients with AD-associated pruritus. Step-wise therapy, from topical anti-inflammatory creams to systemic monoclonal antibodies and immunosuppressants, is recommended. There are multiple adjuvant therapies that can be used, especially to target itch in the setting of minimal skin inflammation. Finally, patient education, sleep management, and stress relief are important components to optimize outcomes. This review assesses the latest advances and treatment recommendations for pruritus in AD. Finally, suggested therapeutic ladders and emerging treatments are discussed