Ambulatory Blood Pressure Monitoring in Individuals with HIV: A Systematic Review and Meta-Analysis

Introduction

Abnormal diurnal blood pressure (BP) rhythms may contribute to the high cardiovascular disease risk in HIV-positive (HIV⁺) individuals. To synthesize the current literature on ambulatory BP monitoring (ABPM) in HIV⁺ individuals, a systematic literature review and meta-analysis were performed.

Methods

Medical databases were searched through November 11, 2015 for studies that reported ABPM results in HIV⁺ individuals. Data were extracted by 2 reviewers and pooled differences between HIV⁺ and HIV-negative (HIV^-) individuals in clinic BP and ABPM measures were calculated using random-effects inverse variance weighted models.

Results

Of 597 abstracts reviewed, 8 studies with HIV⁺ cohorts met the inclusion criteria. The 420 HIV⁺ and 714 HIV^- individuals in 7 studies with HIV^- comparison groups were pooled for analyses. The pooled absolute nocturnal systolic and diastolic BP declines were 3.16% (95% confidence interval [CI]: 1.13%, 5.20%) and 2.92% (95% CI: 1.64%, 4.19%) less, respectively, in HIV⁺ versus HIV^- individuals. The pooled odds ratio for non-dipping systolic BP (nocturnal systolic BP decline <10%) in HIV⁺ versus HIV^- individuals was 2.72 (95% CI: 1.92, 3.85). Differences in mean clinic, 24-hour, daytime, or nighttime BP were not statistically significant. I² and heterogeneity chi-squared statistics indicated the presence of high heterogeneity for all outcomes except percent DBP dipping and non-dipping SBP pattern.

Conclusions

An abnormal diurnal BP pattern may be more common among HIV⁺ versus HIV^- individuals. However, results were heterogeneous for most BP measures, suggesting more research in this area is needed.     

Restriction-map variation associated with the G6PD polymorphism in natural populations of Drosophila melanogaster

Restriction-map variation was studied in 126 copies of the G6pd region in X chromosome lines of Drosophila melanogaster from North America, Europe, and Africa. Special attention was focused on the distribution of variation relative to the geographically variable polymorphism for two electrophoretic variants. Nucleotide heterozygosity as determined by eight six-cutter restriction enzymes for the 13-kb region is estimated, on the basis of the worldwide sample, to be 0.065%, which is the lowest value reported for any comparable region in the D. melanogaster genome. Significant linkage disequilibrium between electrophoretic alleles and restriction-site variation is observed for several sites. In contrast to published studies of other genetic regions, there are large insertions that reach significant frequencies and are found across considerable geographic distances. There is a clustering of this variation inside the first large intervening sequence of the G6PD gene.      

Characteristics of softwater streams in Rhode Island. III. Distribution of macrophytic vegetation in a small drainage basin

The Wood River watershed, a small well-defined drainage basin in Rhode Island was monitored seasonally for all macrophytic vegetation and various physical variables. Twenty-four segments, 20 m in length were sampled. Mean stream depth, width and current velocity increased by 3 to 8 fold from 1st- to 4th-order segments. Light penetration was positively correlated with the above variables (p < 0.05) and increased by 11 fold from the headwaters to the mouth during September when the riparian canopy was maximum. 74 subgeneric taxa of macrophytes were collected in the Wood River basin, 36% algae, 13% bryophytes, 4% vascular cryptograms and 45% angiosperms. The highest diversity occurred in the 4th-order segments throughout the year. Species numbers were positively correlated with depth, width and light penetration (p < 0.05). Vascular plants dominated all orders, but their proportion doubled from 1st- to 4th-order streams. Macrophyte cover was twice as high in the 4th-order segments in June and September as in the other orders. Macrophyte abundance was positively correlated to light penetration and negatively correlated to the ratio of nonvascular: vascular plants (p < 0.05). Two distinct clusters were found for the predominant species. The first cluster contained mostly large angiosperms, which were rooted in sediments, while the second cluster was composed of small epilithic algae and bryophytes. The moss, Fontinalis antipyretica, was the most frequent species, occurring in 51% of the samples and in all 4 orders throughout the year.     

Fasting protects against the side effects of irinotecan but preserves its anti-tumor effect in Apc15lox mutant mice

Irinotecan is a widely used topoisomerase-I-inhibitor with a very narrow therapeutic window because of its severe toxicity. In the current study we have examined the effects of fasting prior to irinotecan treatment on toxicity and anti-tumor activity. FabplCre;Apc^15lox/+ mice, which spontaneously develop intestinal tumors, of 27 weeks of age were randomized into 3-day fasted and ad libitum fed groups, followed by treatment with a flat-fixed high dose of irinotecan or vehicle. Side-effects were recorded until 11 days after the start of the experiment. Tumor size, and markers for cell-cycle activity, proliferation, angiogenesis, and senescence were measured. Fasted mice were protected against the side-effects of irinotecan treatment. Ad libitum fed mice developed visible signs of discomfort including weight loss, lower activity, ruffled coat, hunched-back posture, diarrhea, and leukopenia. Irinotecan reduced tumor size in fasted and ad libitum fed groups similarly compared to untreated controls (2.4 ± 0.67 mm and 2.4 ± 0.82 mm versus 3.0 ± 1.05 mm and 2.8 ± 1.08 mm respectively, P < 0.001). Immunohistochemical analysis showed reduced proliferation, a reduced number of vascular endothelial cells, and increased levels of senescence in tumors of both irinotecan treated groups. In conclusion, 3 days of fasting protects against the toxic side-effects of irinotecan in a clinically relevant mouse model of spontaneously developing colorectal cancer without affecting its anti-tumor activity. These results support fasting as a powerful way to improve treatment of colorectal carcinoma patients.     

Hydrothermal synthesis and structure of a Cu(I) bromide coordination polymer, [(tpyprz)3Cu10Br10] (tpyprz = tetra-2-pyridylpyrazine)

The hydrothermal reaction of CuBr₂ and tpyprz in the presence of NH₄VO₃ and HF for 72 h at 170 °C provided [(tpyprz)₃Cu₁₀Br₁₀] (1) in 20% yield. The two-dimensional structure of 1 may be described as Cu(I)-tpyprz chains, linked through {Cu₄Br₅}⁻ clusters in the ac-plane and decorated with {Cu₃Br₅}²⁻ clusters projecting from one face of the layer in the b-direction. The Cu(I) sites exhibit distorted trigonal coordination {CuBr₃} and distorted tetrahedral geometries, {CuBr₂N₂} and {CuN₄}. Crystal data for 1: monoclinic space group C2, a = 12.7561(8) Å, b = 19.359(1) Å, c = 15.860(1) Å, β = 97.178(1)°, V = 3885.8(4) Å³, Z = 2, D_calc = 2.222 g cm⁻³, μ(Mo Kα) = 78.75 cm⁻¹.