1.
Effects of Sacubitril/Valsartan Versus Olmesartan on Central Hemodynamics in the Elderly With Systolic Hypertension: The PARAMETER Study.
Williams, B, Cockcroft, JR, Kario, K, Zappe, DH, Brunel, PC, Wang, Q, Guo, W
Hypertension (Dallas, Tex. : 1979). 2017;(3):411-420
Abstract
Effective treatment of systolic hypertension in elderly patients remains a major therapeutic challenge. A multicenter, double-blind, randomized controlled trial with sacubitril/valsartan (LCZ696), a first-in-class angiotensin receptor neprilysin inhibitor, was conducted to determine its effects versus olmesartan (angiotensin receptor blocker) on central aortic pressures, in elderly patients (aged ≥60 years) with systolic hypertension and pulse pressure >60 mm Hg, indicative of arterial stiffness. Patients (n=454; mean age, 67.7 years; mean seated systolic blood pressure, 158.6 mm Hg; mean seated pulse pressure, 69.7 mm Hg) were randomized to receive once-daily sacubitril/valsartan 200 mg or olmesartan 20 mg, force titrated to double the initial doses after 4 weeks, before primary assessment at 12 weeks. The study extended double-blind treatment for 12 to 52 weeks, during which amlodipine (2.5-5 mg) and subsequently hydrochlorothiazide (6.25-25 mg) were added-on for patients not achieving blood pressure target (<140/90). At week 12, sacubitril/valsartan reduced central aortic systolic pressure (primary assessment) greater than olmesartan by -3.7 mm Hg (P=0.010), further corroborated by secondary assessments at week 12 (central aortic pulse pressure, -2.4 mm Hg, P<0.012; mean 24-hour ambulatory brachial systolic blood pressure and central aortic systolic pressure, -4.1 mm Hg and -3.6 mm Hg, respectively, both P<0.001). Differences in 24-hour ambulatory pressures were pronounced during sleep. After 52 weeks, blood pressure parameters were similar between treatments (P<0.002); however, more patients required add-on antihypertensive therapy with olmesartan (47%) versus sacubitril/valsartan (32%; P<0.002). Both treatments were equally well tolerated. The PARAMETER study (Prospective Comparison of Angiotensin Receptor Neprilysin Inhibitor With Angiotensin Receptor Blocker Measuring Arterial Stiffness in the Elderly), for the first time, demonstrated superiority of sacubitril/valsartan versus olmesartan in reducing clinic and ambulatory central aortic and brachial pressures in elderly patients with systolic hypertension and stiff arteries.
2.
Kinetic study of acid-catalyzed cellulose hydrolysis in 1-butyl-3-methylimidazolium chloride.
Zhang, Z, Wang, W, Liu, X, Wang, Q, Li, W, Xie, H, Zhao, ZK
Bioresource technology. 2012;:151-5
Abstract
In this paper, the kinetics of acid-catalyzed cellulose hydrolysis in ionic liquids (ILs) was investigated by using 1-butyl-3-methylimidazolium chloride ([Bmim]Cl) as the model IL. General kinetic equations for the formation of glucose as well as cellooligomers were constructed at a molecular level, assuming that cellulose is fully dissolved to form a homogenous solution and that the scission of the glycosidic bond occurs randomly within the cellulose chain. Experimental data were well fitted according to these equations. Variations of kinetic parameters in the presence of different water content indicated that water behaved also as a base to decrease the acidity of the reaction medium. More importantly, it offered a profile of the evolution of cellooligomers. These results provided insights into the detailed mechanisms of cellulose hydrolysis in a non-aqueous, homogenous environment and should be valuable for developing strategies to depolymerize lignocellulosic biomass.