The mechanisms causing high blood pressure in patients with Cushing's syndrome were investigated by measurements of humoral factors and pharmacological maneuvers. Twelve patients with adrenal adenomas were studied. The mean systolic and diastolic pressures of the patients were 171 +/- 28 and 109 +/- 15 mm Hg (+/- SEM), respectively, which were significantly higher than those of normal subjects. PRA, plasma renin concentration, plasma renin substrate, plasma cortisol, plasma aldosterone, urinary kallikrein, and urinary prostaglandin E2 were measured as the humoral factors. PC values were markedly elevated in patients with Cushing's syndrome. Among the components of the renin-angiotensin system, only plasma renin substrate was increased. Urinary kallikrein and prostaglandin E2 were decreased in patients with Cushing's syndrome. Oral administration of captopril lowered blood pressure, but infusion of an angiotensin II analog did not. Furthermore, the pressor responses to infusion of both norepinephrine and angiotensin II were increased. We conclude that blood pressure is elevated in patients with Cushing's syndrome because they have enhanced pressor responses to vasoactive substances, suppression of depressor systems, and some abnormalities of the renin-angiotensin system.
A wide variety of nanosheets including monolayers and few-layers have attracted much interest as two-dimensional (2D) materials for the unique anisotropic structures and properties. On the other hand, one of...
A variety of inorganic and organic nanosheets with characteristic structures and properties can be synthesized through exfoliation of layered materials. However, in general, immense time and efforts are required for exploration of exfoliation conditions and characterization of nanosheets. In addition, it is challenging to improve the yield of nanosheets obtained through exfoliation. Here we propose a materials-informatics-assisted high-yield synthesis of nanosheets, which does not require experience and intuition. Layered composites containing inorganic layers and interlayer organic guests are delaminated into nanosheets in a variety of dispersion media. First, an experimental screening is performed to find efficient exfoliation conditions and obtaina training dataset for the informatics approach. Sparse modeling is then used facilitating the extraction of important factors predicting the yield of nanosheets. High-yield (up to approximately 50 %) syntheses of nanosheetsare demonstrated in unknown systems in a minimum number of experiments. The yield is higher than those typically reported for layered materials. We expect that the effective combination has potentials for not only discovery of compounds but also structure control of materials.
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