Current pathophysiological concepts and management of pulmonary hypertension

Pulmonary hypertension (PH), increasingly recognized as a major health burden, remains underdiagnosed due mainly to the unspecific symptoms. Pulmonary arterial hypertension (PAH) has been extensively investigated. Pathophysiological knowledge derives mostly from experimental models. Paradoxically, common non-PAH PH forms remain largely unexplored. Drugs targeting lung vascular tonus became available during the last two decades, notwithstanding the disease progresses in many patients. The aim of this review is to summarize recent advances in epidemiology, pathophysiology and management with particular focus on associated myocardial and systemic compromise and experimental therapeutic possibilities. PAH, currently viewed as a panvasculopathy, is due to a crosstalk between endothelial and smooth muscle cells, inflammatory activation and altered subcellular pathways. Cardiac cachexia and right ventricular compromise are fundamental determinants of PH prognosis. Combined vasodilator therapy is already mainstay for refractory cases, but drugs directed at these new pathophysiological pathways may constitute a significant advance

Composition, diversity and structure of vascular epiphytes in two contrasting Central Amazonian floodplain ecosystems

Research focusing on assemblages of vascular epiphytes in the Amazon are scarce. This is especially true for Amazonian floodplain forests, for which only two previous studies have been published. We compared composition, richness and structure of epiphyte assemblages in white-water and black-water floodplains (várzea and igapó) in Central Amazonia in order to close knowledge gaps concerning the distribution and richness of epiphytes. We established sixteen 25x25 m plots in each forest type, and counted and identified all species of vascular epiphytes occurring on trees with a diameter at breast height (DBH) ≥10 cm. We observed a clear distinction in epiphytic species composition (r2=0.83, p=0.001) and diversity (t=3.24, P=0.003) between the two environments, with 61.5 % of species being restricted to várzea, 22.9 % restricted to igapó and only 15.6 % common to both ecosystems. The floodplains were also structurally different for the most abundant species and those with the highest Epiphytic Importance Value (IVe). The diversity of trees did not influence the epiphyte diversity in either ecosystem. The forests were found to differ in the composition, diversity and structure of their epiphytic assemblages, which must be taken into account when designing conservation action plans for these ecosystems and for their vascular epiphytes

A Western-Type Diet Attenuates Pulmonary Hypertension with Heart Failure and Cardiac Cachexia in Rats

Western-type diets (WD) constitute risk factors for disease but may have distinct effects in heart failure (HF) with cardiac cachexia (CC). We evaluated hemodynamic, metabolic, and inflammatory effects of short-term WD intake in pulmonary hypertension (PH) with CC. Male VVistar rats randomly received 60 mg . kg(-1) monocrotaline (M) or vehicle (C) and consumed either a 5.4-kcal . g(-1) WD (35% animal fat, 35% simple carbohydrate, 20% protein, 0.4% Na(+)) or a 2.9-kcal . g(-1) (3% vegetable fat, 60% complex carbohydrate, 16% protein, 0.25% Na(+)) normal diet (ND) for 5 wk. Mortality, energy intake, body weight (BW), metabolism, hemodynamics, histology, apoptosis, gene expression, transcription factors, and plasma cytokines were evaluated. Compared with the C-ND group, the M-ND group had PH, HF, and mortality that were significantly attenuated in M-WD. The extent of myocardial remodeling and apoptosis was higher in M-ND than in C-ND but lower in M-WD than in M-ND, while conversely, energy intake, BW, cholesterol, and TG plasma concentrations were lower in M-ND than in C-ND but higher in M-WD than in M-ND. M-ND had increased myocardial NF-kappa B transcription factor activity, endothelin-1, and cytokine overexpression and higher circulating cytokine concentrations than C-ND, which were lower in M-WD than in M-ND. PPAR alpha activity, however, was lower in M-ND, but not in M-WD, compared with the respective C groups. WD attenuated PH and CC, ameliorating survival, myocardial function, metabolism, and inflammation, through transcription factor modulation, suggesting a beneficial role in CC. J. Nutr. 141: 1954-1960, 2011

Hunting management in relation to profitability aims: red-legged partridge hunting in central Spain

22 páginas, 3 tablas, 2 figuras.Game management is widely implemented in Spain, affecting more than 70 % of land cover. Management intensity may be linked to the financial aims of hunting estates, but no study of these aspects has been developed in Spain, where commercial hunting is common. Through interviews with game managers and field surveys, we quantified physical and economic traits, management techniques and hunting methods in a sample of 59 small game hunting estates located in south-central Spain (where Red-legged partridge hunting has the highest socio-economic importance in the country). We compared non-commercial estates (aimed for leisure, managed mainly by local hunting societies) and commercial estates (aimed at financial benefit); among the latter, we also assessed “intensive” estates (a special category of commercial estates licensed to release farm-reared partridges without temporal or numerical limits throughout the hunting season). Commercial estates had more intensive management, including more and larger partridge releases, higher density of supplementary feeders and more intensive predator control. Thus, any positive or negative effects on biodiversity of these management techniques would be higher in commercial than in non-commercial estates. Commercial estates also retained more natural vegetation, which may help to enhance the landscape and biodiversity value of farmland in central Spain. On the other hand, differences in management and hunting styles were most marked between intensive and other type of estates (both commercial and non-commercial); this indicates that intensive estates are qualitatively different from other small game estates, both ecologically (hunting based on releases and driven shooting) and economically (higher inputs and outputs). It would be desirable to find ways to quantify the environmental or social costs and benefits of different management techniques, and integrate them in the economics of hunting estates.This work was supported by the European Commission under the 7th Framework Programme for Research and Technological Development through project HUNT (212160, FP7-ENV-2007-1), Ministerio de Ciencia y Tecnología (CGL2008-04282/BOS) and the Consejería de Agricultura of Junta de Comunidades de Castilla-La Mancha (JCCM). Additionally, this paper uses partial data from a project funded by the Fundación Fauna y Flora. S. Diaz-Fernandez had a predoctoral grant jointly financed by the European Social Fund and by JCCM, in the framework of the Operational Programme PRINCET 2005-2010. M. Delibes-Mateos is currently holding a Juan de la Cierva research contract awarded by the Ministerio de Ciencia e Innovación and the European Social Fund. We thank all game managers for their collaboration, and ADEMAC and the Asociación de cotos de caza menor Sierra de Alcaraz-Campo de Montiel for facilitating this collaboration with game managers. We thank Steve Redpath, Mick Marquiss, Justin Irvine and two anonymous referees for useful comments on the manuscript.Peer reviewe