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- Ruilope, LM, et al.
(författare)
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Design and Baseline Characteristics of the Finerenone in Reducing Cardiovascular Mortality and Morbidity in Diabetic Kidney Disease Trial
- 2019
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Ingår i: American journal of nephrology. - : S. Karger AG. - 1421-9670 .- 0250-8095. ; 50:5, s. 345-356
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Tidskriftsartikel (refereegranskat)abstract
- <b><i>Background:</i></b> Among people with diabetes, those with kidney disease have exceptionally high rates of cardiovascular (CV) morbidity and mortality and progression of their underlying kidney disease. Finerenone is a novel, nonsteroidal, selective mineralocorticoid receptor antagonist that has shown to reduce albuminuria in type 2 diabetes (T2D) patients with chronic kidney disease (CKD) while revealing only a low risk of hyperkalemia. However, the effect of finerenone on CV and renal outcomes has not yet been investigated in long-term trials. <b><i>Patients and</i></b> <b><i>Methods:</i></b> The Finerenone in Reducing CV Mortality and Morbidity in Diabetic Kidney Disease (FIGARO-DKD) trial aims to assess the efficacy and safety of finerenone compared to placebo at reducing clinically important CV and renal outcomes in T2D patients with CKD. FIGARO-DKD is a randomized, double-blind, placebo-controlled, parallel-group, event-driven trial running in 47 countries with an expected duration of approximately 6 years. FIGARO-DKD randomized 7,437 patients with an estimated glomerular filtration rate ≥25 mL/min/1.73 m<sup>2</sup> and albuminuria (urinary albumin-to-creatinine ratio ≥30 to ≤5,000 mg/g). The study has at least 90% power to detect a 20% reduction in the risk of the primary outcome (overall two-sided significance level α = 0.05), the composite of time to first occurrence of CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure. <b><i>Conclusions:</i></b> FIGARO-DKD will determine whether an optimally treated cohort of T2D patients with CKD at high risk of CV and renal events will experience cardiorenal benefits with the addition of finerenone to their treatment regimen. Trial Registration: EudraCT number: 2015-000950-39; ClinicalTrials.gov identifier: NCT02545049.
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| 5. |
- O'Mara, TA, et al.
(författare)
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Identification of nine new susceptibility loci for endometrial cancer
- 2018
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Ingår i: Nature communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 9:1, s. 3166-
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Tidskriftsartikel (refereegranskat)abstract
- Endometrial cancer is the most commonly diagnosed cancer of the female reproductive tract in developed countries. Through genome-wide association studies (GWAS), we have previously identified eight risk loci for endometrial cancer. Here, we present an expanded meta-analysis of 12,906 endometrial cancer cases and 108,979 controls (including new genotype data for 5624 cases) and identify nine novel genome-wide significant loci, including a locus on 12q24.12 previously identified by meta-GWAS of endometrial and colorectal cancer. At five loci, expression quantitative trait locus (eQTL) analyses identify candidate causal genes; risk alleles at two of these loci associate with decreased expression of genes, which encode negative regulators of oncogenic signal transduction proteins (SH2B3 (12q24.12) and NF1 (17q11.2)). In summary, this study has doubled the number of known endometrial cancer risk loci and revealed candidate causal genes for future study.
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| 7. |
- Stenset, Nina Emilie, et al.
(författare)
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Seasonal and annual variation in the diet of brown bears Ursus arctos in the boreal forest of southcentral Sweden
- 2016
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Ingår i: Wildlife Biology. - : Wiley. - 0909-6396 .- 1903-220X. ; 22:3, s. 107-116
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Tidskriftsartikel (refereegranskat)abstract
- Understanding a species' feeding ecology is essential for successful management and conservation, because food abundance can influence body mass, survival, reproductive success, movements, and habitat use. We describe annual and seasonal variations in the diet of brown bears Ursus arctos in southcentral Sweden, based on analysis of 527 fecal samples from 1994-1996 and 2000-2001. There was distinct seasonal variation in most of the 26 food items we documented. Ungulates, predominantly moose Alces alces, and insects comprised most of the estimated dietary energy content in spring and summer. Insects were represented almost entirely by ants, of which Formica spp. and Camponotus herculeanus were the most common. During autumn, berries dominated the diet. The most important berry species were bilberry Vaccinium myrtillus, crowberry Empetrum hermaphoditum and lingonberry V. vitis-idaea. We determined berry availability by inventorying 308 random plots three times for two consecutive years. These three berries occurred with great spatial, seasonal and annual variation in abundance. The bears showed the strongest positive preference for bilberries, a lesser positive preference for crowberries, but no preference for lingonberries. The proportion of berries in the autmn diet was stable between years, but the relative importance of the species changed, indicating that bears switched to crowberries when bilberries were less abundant. The effects of predicted future climatic change might have severe effects on the availability of the berries, which is the only important food available for fat acquisition prior to hibernation.
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