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In further experiments, we found no evidence for trade-offs associated with high forced mating rates males from the high lineages did not have lower longevity than males from the low lineages when housed with females, and four generations of relaxed selection did not lead to convergence in forced mating rates. Our data indicate complex interactions among forced copulation success and consensual mating behaviour, which we hope to clarify in future genomic work. This article is protected by copyright. All rights reserved. learn more This article is protected by copyright. All rights reserved.It is unknown if the cardioprotective and renal effects of glucagon-like peptide-1 receptor agonists are consistent across blood pressure (BP) categories in patients with type 2 diabetes and at high risk of cardiovascular events. Using data from the LEADER (9340 patients) and SUSTAIN 6 (3297 patients) trials, we evaluated post hoc the cardiorenal effect of liraglutide and semaglutide on major adverse cardiovascular events (MACE) and nephropathy by baseline BP categories using a Cox proportional hazards model (treatment and subgroup as factors; adjusted for cardiorenal risk factors). Data from the two trials were analyzed separately. In the LEADER and SUSTAIN 6 trials, the prevalence of stage 1 hypertension was 30% and 31%, respectively, and of stage 2 hypertension 41% and 43%, respectively. There was no statistical heterogeneity across the BP categories for the effects of liraglutide (p = 0.06 for MACE; p = 0.14 for nephropathy) or semaglutide (p = 0.40 for MACE; p = 0.27 for nephropathy) versus placebo. This implies that liraglutide and semaglutide may be beneficial for patients with type 2 diabetes, irrespective of their baseline BP. Clinical Trial Registrations ClinicalTrials.gov, NCT01179048 and NCT01720446. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.To obtain baseline data for cervical cancer prevention in Japan, we analyzed HPV data from 5045 Japanese women aged less then 40 years and diagnosed with cervical abnormalities at 21 hospitals during 2012-2017. These included cervical intraepithelial neoplasia grade 1 (CIN1, n=573), CIN2-3 (n=3219), adenocarcinoma in situ (AIS, n=123) and invasive cervical cancer (ICC, n=1130). The Roche Linear Array was used for HPV genotyping. HPV type-specific relative contributions (RCs) were estimated by adding multiple infections to single types in accordance with proportional weighting attributions. Based on the comparison of type-specific RCs between CIN1 and CIN2-3/AIS/ICC (CIN2+), RC ratios were calculated to estimate type-specific risks for progression to CIN2+. HPV DNA was detected in 85.5% of CIN1, 95.7% of CIN2-3/AIS and 91.2% of ICC. Multiple infections decreased with disease severity 42.9% in CIN1, 40.4% in CIN2-3/AIS and 23.7% in ICC (P less then 0.0001). The relative risk for progression to CIN2+ was highest for HPV16 (RC ratio 3.78, 95% confidence interval [95%CI] 3.01-4.98), followed by HPV31 (2.51, 1.54-5.24), HPV18 (2.43, 1.59-4.32), HPV35 (1.56, 0.43-8.36), HPV33 (1.01, 0.49-3.31), HPV52 (0.99, 0.76-1.33) and HPV58 (0.97, 0.75-1.32). The relative risk of disease progression was 1.87 (95%CI 1.71-2.05) for HPV16/18/31/33/35/45/52/58, but only 0.17 (95%CI 0.14-0.22) for HPV39/51/56/59/66/68. HPV16/18/31/33/45/52/58/6/11 included in a 9-valent vaccine contributed to 89.7% (95%CI 88.7-90.7) of CIN2-3/AIS and 93.8% (95%CI 92.4-95.3) of ICC. In conclusion, our data support the Japanese guidelines that recommend discriminating HPV16/18/31/33/35/45/52/58 genotypes for CIN management. The 9-valent vaccine is estimated to provide over 90% protection against ICC in young Japanese women. This article is protected by copyright. All rights reserved.INTRODUCTION This study investigated morphological variations of the intrathoracic nerves and the neural connections of the second and third thoracic sympathetic ganglia to the brachial plexus based on the existence of the intrathoracic nerves and the rami communicantes. MATERIALS AND METHODS Fifty thoracic sympathetic trunks from 26 Korean adult cadavers were used. RESULTS The first intrathoracic nerve connecting the first and second thoracic nerves was observed on 36 sides (72%), and the second intrathoracic nerve connecting the second and third thoracic nerves was found on 3 sides (6%). There were either one (62%) or two (10%) first intrathoracic nerves, and only one second intrathoracic nerve (6%). The neural connections of the second and third thoracic sympathetic ganglia to the first thoracic nerve were classified into three types based on the existence of the intrathoracic nerves type I (68%) had only the first intrathoracic nerve, type II (26%) had no intrathoracic nerve, and type III (6%) had both the first and second intrathoracic nerves. Types I, II, and III were further subdivided into ten, six, and three types, respectively, according to the types of the rami communicantes arising from the second and third thoracic sympathetic ganglia. CONCLUSIONS Improved knowledge of the variations in intrathoracic nerves and upper thoracic sympathetic ganglia will be helpful to thoracic surgeons when they are disrupting the sympathetic supply to the hand for treating palmar hyperhidrosis, and contribute to successful diagnoses and treatments. This article is protected by copyright. All rights reserved.KEY POINTS Spontaneous contractions are essential for normal lymph transport and these contractions are exquisitely sensitive to the KATP channel activator, pinacidil. KATP channel Kir6.1 and SUR2B subunits are expressed in mouse lymphatic smooth muscle (LSM) and form functional KATP channels as verified by electrophysiological techniques. Global deletion of Kir6.1 or SUR2 subunits results in severely impaired lymphatic contractile responses to pinacidil. Smooth muscle-specific expression of Kir6.1 gain-of-function mutant (GoF) subunits results in profound lymphatic contractile dysfunction and LSM hyperpolarization that is partially rescued by the KATP inhibitor, glibenclamide. In contrast, lymphatic endothelial-specific expression of Kir6.1 GoF has essentially no effect on lymphatic contractile function. The high sensitivity of LSM to KATP channel GoF offers an explanation for the lymphedema observed in patients with Cantú Syndrome, a disorder caused by gain-of-function mutations in genes encoding Kir6.1 or SUR2, and suggests that glibenclamide may be an appropriate therapeutic agent.
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