Smoking and Hypertension: A Study in Subjects Admitted to Hospital for Cardiovascular Diseases.

Aims: There is a general consensus in considering cigarette smoking as a major risk factor for cardiovascular diseases: a direct causal association between smoking and hypertension however is questioned. The present paper reports a study on the effect of cigarette smoking and of other clinical parameters on hypertension in a sample of subjects admitted to Hospital for Cardiovascular Diseases (CVD). Study Design: Observational study. Place and Duration of Study: Department of Cardiology Valmontone Hospital and Department of Biomedicine and Prevention, University of Rome Tor Vergata, between April 2007- December 2013. Methodology: We have studied 335 subjects admitted to the Hospital for Cardiovascular Diseases. Statistical analyses were in the study that was approved by the Ethical Committee. We have considered hypertension in relation to smoking, diabetes, age and sex. Results: Multivariate statistical analyses have shown a high significant effect of age (P<.001) and diabetes (P<.01) on hypertension and a border line effect of smoke (P=.05). No effect of sex has been detected (P=.47). The proportion of subjects with hypertension is positively correlated with the number of risk factors examined. Conclusion: Our data indicate that an independent effect of smoking on blood pressure is relatively small and suggest an additive effect of the variables considered on the risk of hypertension.

Evidence of Interaction between PTPN22 and p53 codon 72 Polymorphisms on Susceptibility to Immune Related Diseases.

Background: PTPN22 codifies for a protein-tyrosine-phosphatase (Lyp) involved in T cell receptor signaling regulation. p53 is involved in immune related inflammation regulating STAT 1 and pro-inflammatory cytokines. Possible interaction between the two systems concerning the susceptibility to immune related disorders are therefore biologically plausible. In the present note we have searched for such interaction in type 1 diabetes mellitus and reviewed previous data from our laboratory. Methods: We have studied 287 children with type 1 diabetes, 129 non diabetic adult subjects admitted to the Hospital for Coronary Artery Disease, 130 women with endometriosis and 256 healthy blood donors. PTPN22 and p53 codon 72 genotypes were determined by DNA analysis. Results: In all diseases the proportion of PTPN22 *T allele is higher in p53 *Pro allele carriers than in p53*Arg/*Arg genotype. In *Arg/*Arg patients the proportion of *T allele carriers does not differ significantly from controls while in subjects carrying the *Pro allele is higher in patients than in controls. A significant increase of Odds Ratio is observed only in presence of both *T and *Pro alleles suggesting a cooperative interaction. Conclusion: It has been suggested that the susceptibility to autoimmune disorders in the presence of *T allele could be related to failure to delete auto reactive T cell during intrathymic selection. *Pro allele variant with its strong transcriptional activity could enhance the multiplication of such auto reactive T cell escaping intrathymic thus explaining a significant increase of Odds Ratio in the presence of both factors .The present observation could have relevance to identify individuals at high risk of clinical manifestations.

Infeccion urinaria recidivante. Alteraciones urodinamicas transitorias como posible causa de reinfeccion en una poblacion anatomica normal. / Reccurrent urinary infection. Transient urodynamic changes as posible etiology of reinfection in a anatomically normal population

Desde el ano 1969 se reconocen las disfunciones vesicouretroesfinterianas no neurologicas, como causa de infeccion urinaria.En el presente trabajo se analizaron, con metodologia urodinamica, 100 pacientes con infeccion urinaria recidivante y sin lesion anatomica radiologica. Se encontraron 27 pacientes con alteracion urodinamica transitoria. Los patrones encontrados fueron: I) retencion aguda de orina; II) estenosis funcional; III) patron intermitente y IV) tubulizacion de trigono. En los grupos II y III el tiempo de persistencia de la disfuncion fue entre 1 y 8 meses. En la poblacion con infeccion urinaria se detectan, por medios convencionales, pacientes portadores de alteraciones anatomicas. Un grupo mayor no demuestra anormalidad, encontrando en algunos de estos casos trastornos funcionales. Si bien se contrato su transitoriedad, esos trastornos tienen suficiente jerarquia para engendrar nuevas infecciones urinarias.Sobre los 27 pacientes se encontro que un 76% prolongo los patrones urodinamicos alterados durante tres meses. Se sugiere extender el tratamiento antibacteriano durante este periodo, luego del cual creemos indicado el uso de miorrelajantes