12 results on '"Erika Cornu"'
Search Results
2. OR20-4 Expression of the Neuropeptide Substance P and the NK1 Receptor in Aldosterone-Producing Adenomas
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Laurence Amar, Erika Cornu Cornu, Guillaume Defortescu, Céline Duparc, Fabio L Fernandes-Rosa, Hervé Lefebvre, Estelle Louiset, Gilles Manceau, Tchao Meatchi, Sylvie Renouf, Jean-Christophe Sabourin, Maria-Christina Zennaro, and Antoine-Guy Lopez
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Endocrinology, Diabetes and Metabolism - Abstract
Background Aldosterone-producing adenoma (APA) is a major cause of primary aldosteronism (PA) which is the most frequent form of secondary hypertension (1-2). The pathophysiology of PA is quite complex and still incompletely understood. Substance P (SP) encoded by the TAC1 gene belongs to a family of bioactive peptides named tachykinins. A recently published study indicated that SP, released by subcapsular nerve fibres, stimulates aldosterone production through activation of the neurokinin type 1 receptor (NK1R) in the human adrenal gland (3). The aim of our work was to investigate the presence of SP fibres and the NK1 receptor in a large series of APA in order to assess the potential role of this peptide in the pathophysiology of PA. Methods APA tissues were studied by molecular and histological approaches. Expression of SP and NK1 receptor was searched for in a series of 51 APA by RT-Q-PCR and immunohistochemistry. Results Quantitative RT-PCR data indicated that adenomas strongly express TAC1 mRNA. Immunohistochemistry showed the presence of SP-positive nerve fibres in APAs tissues. SP was also detected in a subpopulation of adenomatous cells. Adenomas strongly express mRNA encoding the NK1 receptor. The distribution of the NK1 receptor within APAs is similar to that of aldosterone synthase (CYP11B2), suggesting that SP may regulate aldosterone secretion by APAs. Conclusion These results suggest that SP and its NK1 receptor may be involved in the pathophysiology of aldosterone hypersecretion by APAs. References: 1. Monticone S, Burrello J, Tizzani D, Bertello C, Viola A, Buffolo F, et al. Prevalence and Clinical Manifestations of Primary Aldosteronism Encountered in Primary Care Practice. J Am Coll Cardiol. 2017;69(14): 1811-20. 2. Buffolo F, Monticone S, Tetti M, Mulatero P. Primary aldosteronism in the primary care setting. Curr Opin Endocrinol Diabetes Obes. 2018;25(3): 155-9. 3. Wils J, Duparc C, Cailleux A-F, Lopez A-G, Guiheneuf C, Boutelet I, et al. The neuropeptide substance P regulates aldosterone secretion in human adrenals. Nat Commun. 2020;11(1): 2673. Presentation: Monday, June 13, 2022 11:45 a.m. - 12:00 p.m.
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- 2022
3. Ultrasound renal denervation for hypertension resistant to a triple medication pill (RADIANCE-HTN TRIO): a randomised, multicentre, single-blind, sham-controlled trial
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Michel Azizi, Kintur Sanghvi, Manish Saxena, Philippe Gosse, John P Reilly, Terry Levy, Lars C Rump, Alexandre Persu, Jan Basile, Michael J Bloch, Joost Daemen, Melvin D Lobo, Felix Mahfoud, Roland E Schmieder, Andrew S P Sharp, Michael A Weber, Marc Sapoval, Pete Fong, Atul Pathak, Pierre Lantelme, David Hsi, Sripal Bangalore, Adam Witkowski, Joachim Weil, Benjamin Kably, Neil C Barman, Helen Reeve-Stoffer, Leslie Coleman, Candace K McClure, Ajay J Kirtane, Josh Costello, Courtney Krathan, Luot Lewis, Andrew McElvarr, John Reilly, Stephen Jenkins, Michael Cash, Shannon Williams, Maria Jarvis, Cheryl Laffer, James Gainer, Mark Robbins, Sherron Crook, Sarita Maddel, Scott Martin, Edward Portnay, Maryanne Ducey, Suzanne Rose, Elizabeth DelMastro, Stephen Williams, Stanley Cabos, Carolina Rodriguez Alvarez, Thomas Todoran, Eric Powers, Emily Hodskins, Vijay Paladugu, Anna Tecklenburg, Chandan Devireddy, Janice Lea, Bryan Wells, Amanda Fiebach, Claudia Merlin, Florian Rader, Suhail Dohad, Hyun-Min Kim, Mohammad Rashid, Josephine Abraham, Theophilus Owan, Anu Abraham, Iran Lavasani, Hailey Neilson, David Calhoun, Thomas McElderry, William Maddox, Suzanne Oparil, Sheila Kinder, Jai Radhakrishnan, Candido Batres, Suzanne Edwards, Joseph Garasic, Doug Drachman, Randy Zusman, Kenneth Rosenfield, Danny Do, Matheen Khuddus, Suzanne Zentko, James O'Meara, Ilie Barb, Abby Foster, Alice Boyette, Yale Wang, Desmond Jay, Nedaa Skeik, Robert Schwartz, Rose Peterson, Jo Anne Goldman, Jessie Goldman, Gary Ledley, Nancy Katof, Srinivasa Potluri, Scott Biedermann, Jacquelyn Ward, Megan White, Naomi DL Fisher, Laura Mauri, Piotr Sobieszczky, Alex Smith, Laura Aseltine, Rick Stouffer, Alan Hinderliter, Eric Pauley, Tyrone Wade, David Zidar, Mehdi Shishehbor, Barry Effron, Marco Costa, Terence Semenec, Chanwit Roongsritong, Priscilla Nelson, Bridget Neumann, Debbie Cohen, Jay Giri, Robin Neubauer, Thu Vo, Atul R Chugh, Pei-Hsiu Huang, Powell Jose, John Flack, Robert Fishman, Michael Jones, Todd Adams, Christopher Bajzer, Anthony Mathur, Ajay Jain, Armida Balawon, Olivier Zongo, Clare Bent, David Beckett, Nicki Lakeman, Sarah Kennard, Andrew Sharp, Richard J D'Souza, Sarah Statton, Lindsay Wilkes, Christine Anning, Jeremy Sayer, Sudha Ganesh Iyer, Nicholas Robinson, Annaliza Sevillano, Madelaine Ocampo, Robert Gerber, Mohamad Faris, Andrew John Marshall, Janet Sinclair, Hayley Pepper, Justin Davies, Neil Chapman, Paula Burak, Paula Carvelli, Sachin Jadhav, Jane Quinn, Lars Christian Rump, Johannes Stegbauer, Lars Schimmöller, Sebastian Potthoff, Claudia Schmid, Sylvia Roeder, Lukas Hafer, Tolga Agdirlioglu, Tanja Köllner, Michael Böhm, Sebastian Ewen, Saarraaken Kulenthiran, Angelika Wachter, Christina Koch, Philipp Lurz, Karl Fengler, Karl-Philipp Rommel, Kai Trautmann, Martin Petzold, Christian Ott, Axel Schmid, Michael Uder, Ulrike Heinritz, Kerstin Fröhlich-Endres, Sabine Genth-Zotz, Denise Kämpfner, Armin Grawe, Johannes Höhne, Bärbel Kaesberger, Constantin von zur Mühlen, Dennis Wolf, Markus Welzel, Gudrun Heinrichs, Barbara Trabitzsch, Antoine Cremer, Hervé Trillaud, Panteleimon Papadopoulos, Florent Maire, Julie Gaudissard, Erika Cornu, David Fouassier, Marine Livrozet, Aurélien Lorthioir, Valérie Paquet, Benjamin Honton, Marianne Cottin, Frédéric Petit, Constance Berge, Pierre-Yves Courand, Fatou Langevin, Pascal Delsart, Benjamin Longere, Guillaume Ledieu, François Pontana, Coralie Sommeville, Fabien Bertrand, Lida Feyz, Victor Zeijen, Arno Ruiter, Elisabeth Huysken, Peter Blankestijn, Michiel Voskuil, Zwaantina Rittersma, Helma Dolmans, A A Kroon, W H van Zwam, Jeannique Vranken, Claudia de Haan, Jean Renkin, Frédéric Maes, Christophe Beauloye, Jean-Philippe Lengelé, Dominique Huyberechts, Anne Bouvie, Andrzej Januszewicz, Jacek Kdziela, Aleksander Prejbisj, Dagmara Hering, Dariusz Ciecwierz, Milosz J Jaguszewski, Radoslaw Owczuk, RS: Carim - V02 Hypertension and target organ damage, MUMC+: MA Alg Interne Geneeskunde (9), Interne Geneeskunde, RS: Carim - B06 Imaging, RS: Carim - B05 Cerebral small vessel disease, Beeldvorming, MUMC+: DA BV Medisch Specialisten Radiologie (9), RS: CARIM School for Cardiovascular Diseases, and Cardiology
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Male ,Ambulatory blood pressure ,medicine.drug_class ,medicine.medical_treatment ,Sodium Chloride Symporter Inhibitors ,Population ,Drug Resistance ,Calcium channel blocker ,030204 cardiovascular system & hematology ,Kidney ,law.invention ,03 medical and health sciences ,Angiotensin Receptor Antagonists ,0302 clinical medicine ,Renal Artery ,ADHERENCE ,Randomized controlled trial ,law ,Ultrasonic Surgical Procedures ,medicine ,Humans ,Single-Blind Method ,030212 general & internal medicine ,education ,Denervation ,education.field_of_study ,PLACEBO ,business.industry ,Endovascular Procedures ,General Medicine ,Blood Pressure Monitoring, Ambulatory ,Middle Aged ,Calcium Channel Blockers ,Blood pressure ,Anesthesia ,Ambulatory ,Hypertension ,Female ,Diuretic ,business - Abstract
Summary Background Endovascular renal denervation reduces blood pressure in patients with mild-to-moderate hypertension, but its efficacy in patients with true resistant hypertension has not been shown. We aimed to assess the efficacy and safety of endovascular ultrasound renal denervation in patients with hypertension resistant to three or more antihypertensive medications. Methods In a randomised, international, multicentre, single-blind, sham-controlled trial done at 28 tertiary centres in the USA and 25 in Europe, we included patients aged 18–75 years with office blood pressure of at least 140/90 mm Hg despite three or more antihypertensive medications including a diuretic. Eligible patients were switched to a once daily, fixed-dose, single-pill combination of a calcium channel blocker, an angiotensin receptor blocker, and a thiazide diuretic. After 4 weeks of standardised therapy, patients with daytime ambulatory blood pressure of at least 135/85 mm Hg were randomly assigned (1:1) by computer (stratified by centres) to ultrasound renal denervation or a sham procedure. Patients and outcome assessors were masked to randomisation. Addition of antihypertensive medications was allowed if specified blood pressure thresholds were exceeded. The primary endpoint was the change in daytime ambulatory systolic blood pressure at 2 months in the intention-to-treat population. Safety was also assessed in the intention-to-treat population. This study is registered with ClinicalTrials.gov , NCT02649426 . Findings Between March 11, 2016, and March 13, 2020, 989 participants were enrolled and 136 were randomly assigned to renal denervation (n=69) or a sham procedure (n=67). Full adherence to the combination medications at 2 months among patients with urine samples was similar in both groups (42 [82%] of 51 in the renal denervation group vs 47 [82%] of 57 in the sham procedure group; p=0·99). Renal denervation reduced daytime ambulatory systolic blood pressure more than the sham procedure (−8·0 mm Hg [IQR –16·4 to 0·0] vs –3·0 mm Hg [–10·3 to 1·8]; median between-group difference –4·5 mm Hg [95% CI –8·5 to –0·3]; adjusted p=0·022); the median between-group difference was –5·8 mm Hg (95% CI –9·7 to –1·6; adjusted p=0·0051) among patients with complete ambulatory blood pressure data. There were no differences in safety outcomes between the two groups. Interpretation Compared with a sham procedure, ultrasound renal denervation reduced blood pressure at 2 months in patients with hypertension resistant to a standardised triple combination pill. If the blood pressure lowering effect and safety of renal denervation are maintained in the long term, renal denervation might be an alternative to the addition of further antihypertensive medications in patients with resistant hypertension. Funding ReCor Medical.
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- 2021
4. Six-Month Results of Treatment-Blinded Medication Titration for Hypertension Control After Randomization to Endovascular Ultrasound Renal Denervation or a Sham Procedure in the RADIANCE-HTN SOLO Trial
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Constance Berge, Matthew Shun Shin, Michiel Voskuil, Florian Rader, Scott Biedermann, Robert Höllriegel, Antoine Cremer, Karl Philipp Rommel, A. A. Kroon, Erika Cornu, David Beckett, Janice P. Lea, Chanwit Roongsritong, Jean Renkin, Richard D'Souza, Justin E. Davies, Mark Robbins, Suzanne Zentko, Yale Wang, Marco A. Costa, Axel Schmid, Barry Effron, Sebastian Ewen, William Maddox, Ronald G. Victor, Peter J. Blankestijn, Cristina Elorz, Candace K. McClure, Sandeep Aggarwal, David Fouassier, Jonathan S. Williams, Felix Mahfoud, Mohamad Faris, Jelena Lucic, Piotr Sobieszczky, Thomas M. Todoran, Suhail Dohad, David His, Chandan Devireddy, Pei Hsiu Huang, Marc Sapoval, Robert S. Schwartz, Alexandre Persu, Anthony Mathur, Jessie Goldman, Scott Martin, Josephine Abraham, Josh Costello, Michael Böhm, Thomas McElderry, Melvin D. Lobo, Christian Ott, Matheen Khuddus, Helen Reeve-Stoffer, Michael Cash, Philippe Gosse, Sripal Bangalore, Andrew S.P. Sharp, Michael J. Bloch, Eric R. Powers, Hervé Trillaud, Andrew John Marshall, Christian Rump, Jan Basile, Nedaa Skeik, Randy Zusman, Atul Pathak, James V. Gainer, Kenneth Rosenfield, Bryan Wells, Doug Drachman, Clare Bent, Karl Fengler, Neil C. Barman, Alan L. Hinderliter, Stephen Williams, Emily Hodskins, Terry Levy, Ajay J. Kirtane, Michael Uder, Courtney Walsh, David A. Calhoun, Amit R. Patel, James O'Meara, Sudha Ganesh Iyer, Joseph M. Garasic, Panteleimon Papadopoulos, Michael A. Weber, Suzanne Oparil, Joost Daemen, Philipp Lurz, Edward Portnay, Cheryl L. Laffer, W. H. Van Zwam, Mehdi H. Shishehbor, Pete Fong, Eric Pauley, Rick Stouffer, Johannes Stegbauer, Jeremy Sayer, Ilie Barb, Pierre Lantelme, Lida Feyz, Ajay Jain, Desmond Jay, Roland E. Schmieder, Jai Radhakrishnan, Michel Azizi, Anu Abraham, Zwaantina Rittersma, Nicholas M Robinson, John P. Reilly, Gary Ledley, Theophilus Owan, Powell Jose, David A. Zidar, Manish Saxena, Sadat Ali Edroos, Pierre-Yves Courand, James P. Howard, Aurélien Lorthioir, Robert Gerber, Anil Joseph, Neil Chapman, Benjamin Honton, Patric Kröpil, Laura Mauri, Srinivasa Potluri, Naomi D.L. Fisher, Kintur Sanghvi, CIC - HEGP (CIC 1418), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Cardiology, and Gastroenterology & Hepatology
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Randomization ,ablation, catheter ,hypertension ,[SDV]Life Sciences [q-bio] ,030204 cardiovascular system & hematology ,ablation ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,hypertension, renal ,law ,Physiology (medical) ,placebos ,Journal Article ,Medicine ,030212 general & internal medicine ,ComputingMilieux_MISCELLANEOUS ,Denervation ,Hypertension control ,denervation ,business.industry ,Ultrasound ,renal, placebos, randomized controlled trial ,catheter ,3. Good health ,Anesthesia ,randomized controlled trial ,renal ,catheter, denervation, hypertension ,business ,Cardiology and Cardiovascular Medicine - Abstract
Background: The multicenter, international, randomized, blinded, sham-controlled RADIANCE-HTN SOLO trial (A Study of the ReCor Medical Paradise System in Clinical Hypertension) demonstrated a 6.3 mm Hg greater reduction in daytime ambulatory systolic blood pressure (BP) at 2 months by endovascular ultrasound renal denervation (RDN) compared with a sham procedure among patients not treated with antihypertensive medications. We report 6-month results after the addition of a recommended standardized stepped-care antihypertensive treatment to the randomized endovascular procedure under continued blinding to initial treatment. Methods: Patients with a daytime ambulatory BP ≥135/85 mm Hg and Results: A total of 69/74 RDN patients and 71/72 sham patients completed the 6-month ambulatory BP measurement. At 6 months, 65.2% of patients in the RDN group were treated with the standardized stepped-care antihypertensive treatment versus 84.5% in the sham group ( P =0.008), and the average number of antihypertensive medications and defined daily dose were less in the RDN group than in the sham group (0.9±0.9 versus 1.3±0.9, P =0.010 and 1.4±1.5 versus 2.0±1.8, P =0.018; respectively). Despite less intensive standardized stepped-care antihypertensive treatment, RDN reduced daytime ambulatory systolic BP to a greater extent than sham (−18.1±12.2 versus −15.6±13.2 mm Hg, respectively; difference adjusted for baseline BP and number of medications: −4.3 mm Hg, 95% confidence interval, −7.9 to −0.6, P =0.024). There were no major adverse events in either group through 6 months. Conclusions: The BP-lowering effect of endovascular ultrasound RDN was maintained at 6 months with less prescribed antihypertensive medications compared with a sham control. Clinical Trial Registration: URL: https://www.clinicaltrials.gov . Unique identifier: NCT02649426.
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- 2019
5. Endovascular ultrasound renal denervation to treat hypertension (RADIANCE-HTN SOLO): a multicentre, international, single-blind, randomised, sham-controlled trial
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Michel Azizi, Roland E Schmieder, Felix Mahfoud, Michael A Weber, Joost Daemen, Justin Davies, Jan Basile, Ajay J Kirtane, Yale Wang, Melvin D Lobo, Manish Saxena, Lida Feyz, Florian Rader, Philipp Lurz, Jeremy Sayer, Marc Sapoval, Terry Levy, Kintur Sanghvi, Josephine Abraham, Andrew S P Sharp, Naomi D L Fisher, Michael J Bloch, Helen Reeve-Stoffer, Leslie Coleman, Christopher Mullin, Laura Mauri, Desmond Jay, Nedaa Skeik, Robert Schwartz, Suhail Dohad, Ronald Victor, Josh Costello, Courtney Walsh, Theophilus Owan, Anu Abraham, Naomi D.L. Fisher, Piotr Sobieszczky, Jonathan Williams, Michael J. Bloch, Chanwit Roongsritong, Thomas Todoran, Eric Powers, Emily Hodskins, Pete Fong, Cheryl Laffer, James Gainer, Mark Robbins, John P. Reilly, Michael Cash, Jessie Goldman, Sandeep Aggarwal, Gary Ledley, David Hsi, Scott Martin, Edward Portnay, David Calhoun, Thomas McElderry, William Maddox, Suzanne Oparil, Pei-Hsiu Huang, Powell Jose, Matheen Khuddus, Suzanne Zentko, James O'Meara, Ilie Barb, Joseph Garasic, Doug Drachman, Randy Zusman, Kenneth Rosenfield, Chandan Devireddy, Janice Lea, Bryan Wells, Rick Stouffer, Alan Hinderliter, Eric Pauley, Srinivasa Potluri, Scott Biedermann, Sripal Bangalore, Stephen Williams, David Zidar, Mehdi Shishehbor, Barry Effron, Marco Costa, Ajay J. Kirtane, Jai Radhakrishnan, Melvin D. Lobo, Anthony Mathur, Ajay Jain, Sudha Ganesh Iyer, Nicholas Robinson, Sadat Ali Edroos, Amit Patel, David Beckett, Clare Bent, Neil Chapman, Matthew Shun-Shin, James Howard, Andrew S.P. Sharp, Anil Joseph, Richard D'Souza, Robert Gerber, Mohamad Faris, Andrew J. Marshall, Cristina Elorz, Robert Höllriegel, Karl Fengler, Karl-Philipp Rommel, Michael Böhm, Sebastian Ewen, Jelena Lucic, Roland E. Schmieder, Christian Ott, Axel Schmid, Michael Uder, L. Christian Rump, Johannes Stegbauer, Patric Kröpil, Erika Cornu, David Fouassier, Philippe Gosse, Antoine Cremer, Hervé Trillaud, Panteleimon Papadopoulos, Atul Pathak, Benjamin Honton, Pierre Lantelme, Constance Berge, Pierre-Yves Courand, Peter J. Blankestijn, Michiel Voskuil, Zwaantina Rittersma, A.A. Kroon, W.H. van Zwam, Alexandre Persu, Jean Renkin, Université Claude Bernard Lyon 1 (UCBL), Université de Lyon, Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé (CREATIS), Université Jean Monnet [Saint-Étienne] (UJM)-Hospices Civils de Lyon (HCL)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), and Cardiology
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Adult ,Male ,Ambulatory blood pressure ,Adolescent ,[SDV]Life Sciences [q-bio] ,Population ,030204 cardiovascular system & hematology ,Renal artery stenosis ,Kidney ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Renal Artery ,medicine.artery ,medicine ,Humans ,Single-Blind Method ,030212 general & internal medicine ,Kidney surgery ,Renal artery ,education ,ComputingMilieux_MISCELLANEOUS ,Aged ,Ultrasonography ,Denervation ,education.field_of_study ,business.industry ,Endovascular Procedures ,General Medicine ,Blood Pressure Monitoring, Ambulatory ,Middle Aged ,medicine.disease ,3. Good health ,Blood pressure ,Treatment Outcome ,Editorial ,Anesthesia ,Ambulatory ,Hypertension ,Female ,business - Abstract
Summary Background Early studies suggest that radiofrequency-based renal denervation reduces blood pressure in patients with moderate hypertension. We investigated whether an alternative technology using endovascular ultrasound renal denervation reduces ambulatory blood pressure in patients with hypertension in the absence of antihypertensive medications. Methods RADIANCE-HTN SOLO was a multicentre, international, single-blind, randomised, sham-controlled trial done at 21 centres in the USA and 18 in Europe. Patients with combined systolic–diastolic hypertension aged 18–75 years were eligible if they had ambulatory blood pressure greater than or equal to 135/85 mm Hg and less than 170/105 mm Hg after a 4-week discontinuation of up to two antihypertensive medications and had suitable renal artery anatomy. Patients were randomised (1:1) to undergo renal denervation with the Paradise system (ReCor Medical, Palo Alto, CA, USA) or a sham procedure consisting of renal angiography only. The randomisation sequence was computer generated and stratified by centres with randomised blocks of four or six and permutation of treatments within each block. Patients and outcome assessors were blinded to randomisation. The primary effectiveness endpoint was the change in daytime ambulatory systolic blood pressure at 2 months in the intention-to-treat population. Patients were to remain off antihypertensive medications throughout the 2 months of follow-up unless specified blood pressure criteria were exceeded. Major adverse events included all-cause mortality, renal failure, an embolic event with end-organ damage, renal artery or other major vascular complications requiring intervention, or admission to hospital for hypertensive crisis within 30 days and new renal artery stenosis within 6 months. This study is registered with ClinicalTrials.gov, number NCT02649426. Findings Between March 28, 2016, and Dec 28, 2017, 803 patients were screened for eligibility and 146 were randomised to undergo renal denervation (n=74) or a sham procedure (n=72). The reduction in daytime ambulatory systolic blood pressure was greater with renal denervation (−8·5 mm Hg, SD 9·3) than with the sham procedure (−2·2 mm Hg, SD 10·0; baseline-adjusted difference between groups: −6·3 mm Hg, 95% CI −9·4 to −3·1, p=0·0001). No major adverse events were reported in either group. Interpretation Compared with a sham procedure, endovascular ultrasound renal denervation reduced ambulatory blood pressure at 2 months in patients with combined systolic–diastolic hypertension in the absence of medications. Funding ReCor Medical.
- Published
- 2018
6. Diabetes, Associated Clinical Spectrum, Long-term Prognosis, and Genotype/Phenotype Correlations in 201 Adult Patients With Hepatocyte Nuclear Factor 1B (HNF1B) Molecular Defects
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José Timsit, Danièle Dubois-Laforgue, Christine Bellanné-Chantelot, Cécile Saint-Martin, Erika Cornu, and Joël Coste
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0301 basic medicine ,Advanced and Specialized Nursing ,medicine.medical_specialty ,Pathology ,business.industry ,Endocrinology, Diabetes and Metabolism ,Insulin ,medicine.medical_treatment ,030209 endocrinology & metabolism ,Retrospective cohort study ,Diabetic retinopathy ,Disease ,medicine.disease ,Gastroenterology ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,Diabetes mellitus ,Internal medicine ,Genotype ,Internal Medicine ,medicine ,Etiology ,business ,Kidney disease - Abstract
OBJECTIVE Molecular defects of hepatocyte nuclear factor 1B (HNF1B) are associated with a multiorgan disease, including diabetes (maturity-onset diabetes of the young 5) and kidney abnormalities. The HNF1B syndrome is related to HNF1B mutations or to a 17q12 deletion spanning 15 genes, including HNF1B. Here, we described HNF1B-related diabetes and associated phenotypes and assessed genotype/phenotype correlations at diagnosis and in the long-term. RESEARCH DESIGN AND METHODS This multicenter retrospective cohort study included 201 patients, aged 18 years or older at follow-up, with HNF1B mutations (n = 101) or deletion (n = 100). RESULTS Diabetes was present in 159 patients. At diagnosis, clinical symptoms of diabetes were present in 67 of 144 patients and HNF1B renal disease in 64 of 102. Although responsiveness to sulfonylureas/repaglinide was observed in 29 of the 51 tested, 111 of 140 patients (79%) were treated with insulin at follow-up. Diabetic retinopathy and/or neuropathy were present in 46 of 114 patients. Renal cysts were present in 122 of 166 patients, chronic kidney disease stages 3–4 (CKD3–4) in 75 of 169 (44%), and end-stage renal disease (ESRD) in 36 of 169 (21%). Compared with the patients with mutations, those with HNF1B deletion less often had CKD3–4/ESRD at diagnosis (11 of 43 vs. 27 of 35, P < 10−4) and in the long term (40 of 78 vs. 71 of 91, P = 0.0003). They were leaner and more frequently treated with insulin. CONCLUSIONS In patients with HNF1B syndrome, diabetes complications, cardiovascular risk factors, CKD3–4, and ESRD are highly prevalent. At diabetes diagnosis, the presence of morphological and/or functional kidney disease may help etiological diagnosis. Genotype/phenotype correlations may have implications for the care and the prognosis of these patients.
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- 2017
7. SAT-012 Urinary Aldosterone Assay Using LC-MS/MS Could Improve Primary Aldosteronism Screening
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Anne Blanchard, Pascal Houillier, Stéphanie Baron, Laurence Baffalie, Michel Azizi, Catherine Faucard, Laurence Amar, Erika Cornu, and Simon Travers
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medicine.medical_specialty ,Primary aldosteronism ,Text mining ,business.industry ,Endocrinology, Diabetes and Metabolism ,Lc ms ms ,Urinary aldosterone ,Urology ,Medicine ,Steroid Hormone Biology and Action ,Steroid Hormones and Receptors ,business ,medicine.disease - Abstract
Primary aldosteronism (PA) is the first cause of endocrine hypertension accounting for about 6% of all cases of hypertension. According to international guidelines, PA screening is based on plasma aldosterone-to-renin concentration ratio (ARR) computation. Nevertheless, measurement of urine aldosterone excretion may be of interest since it integrates aldosterone secretion over 24 hours. However, available urine aldosterone immuno-assays have poor specificity. In this context, we developed a new aldosterone assay using liquid chromatography and tandem mass spectrometry detection (LC-MS/MS) to recover specifically urine free aldosterone and glucuronide metabolites after 18-hour acid hydrolysis. Our method was validated according to FDA recommendations, and covers the expected range of aldosterone concentrations found in 24-hour urine collection (from 1.10 to 75 nM) with improved specificity. It has a within-run precision below 2% and a maximum between-run precision of 5.6%. The diagnostic performance of the assay was assessed in a cross-sectional retrospective study that included 234 subjects: 63 healthy volunteers (HV), 107 patients with essential hypertension (EH) and 64 PA patients. Final diagnosis was based on routine hormone measurements in accordance with international guidelines. Median (5th to 95th percentile) of 24-hour urine aldosterone excretion was 19.5 (5.2-53.4) nmol/24h in HV, 39.1 (13.3-97.4) nmol/24h in EH and 91.4 (40.6-225.3) nmol/24h in PA subjects. By ROC curve analysis (area 0.864), a cutoff value of aldosterone excretion of 65 nmol/24h yielded a 76.6% sensitivity and 78.5% specificity to discriminate PA from EH patients. 24-hour urinary aldosterone:creatinine ratio was more discriminant than 24-hour aldosterone excretion, with ratios (nmol/mmol) of 1.42 (0.5-3.9) for HV, 3.4 (1.3-7.9) for EH and 6.9 (2.5-30.0) for PA. By ROC curve analysis (area 0.867) a cutoff value of 24-hour urinary aldosterone:creatinine ratio of 5.0 nmol/mmol had 81.3% sensitivity and 81.3% specificity to discriminate PA from EH patients. Finally, 11% of our 64 PA patients showed a urinary aldosterone:creatinine ratio above this suggested cutoff value while ARR was below cut-off value. In conclusion, LC-MS/MS measurement of urinary aldosterone is a specific, sensitive and effective method for the diagnosis of PA.
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- 2019
8. Phéochromocytome et paragangliome
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Nelly Burnichon, Erika Cornu, Michel Azizi, Ines Belmihoub, E. Billaud, Anne-Paule Gimenez-Roqueplo, Stéphanie Baron, F. Zinzindohoué, Laurence Amar, C. Grataloup, CCSD, Accord Elsevier, Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Paris-Centre de Recherche Cardiovasculaire (PARCC (UMR_S 970/ U970)), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)
- Subjects
medicine.medical_specialty ,Paranglioma ,[SDV]Life Sciences [q-bio] ,030209 endocrinology & metabolism ,Context (language use) ,Neuroendocrine tumors ,03 medical and health sciences ,0302 clinical medicine ,Genetic ,Paraganglioma ,Nuclear medicine imaging ,Internal Medicine ,Medicine ,Adrenal ,Genetic testing ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,Metanephrines ,Phaeochromocytoma ,medicine.disease ,3. Good health ,[SDV] Life Sciences [q-bio] ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Hypertension ,Surgical excision ,Radiology ,business ,Adrenal medulla - Abstract
International audience; Phaeochromocytomas and paragangliomas (PPGL) are rare neuroendocrine tumors that arise from the adrenal medulla or sympathetic and parasympathetic ganglia. These tumors produce most often catecholamines in excess, causing hypertension and sometimes severe acute cardiovascular complications. The diagnosis is based on plasma or urines metanephrines measurements and on conventional and nuclear medicine imaging. Catecholamines-producing PPGL is very unlikely if levels are normal. The diagnosis of PPGL cannot be made without visualization of a tumor. Therapeutic management consists mostly of surgical excision, after drug preparation, and should be done in referral centers. About 40% of pheochromocytomas and paragangliomas occur in the context of an autosomal inherited syndrome, making genetic testing essential. The follow-up must be prolonged because a metastatic evolution or a recurrence can be observed in about 15% of the cases.
- Published
- 2019
9. Suppression of Aldosterone Secretion After Recumbent Saline Infusion Does Not Exclude Lateralized Primary Aldosteronism
- Author
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Franck Zinzindohoue, Erika Cornu, Christine Grataloup, Luís Nogueira-Silva, Pierre-François Plouin, Elselien M. Küpers, Jean-Yves Pagny, Laurence Amar, Olivier Steichen, and Stéphanie Baron
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,030209 endocrinology & metabolism ,Sodium Chloride ,030204 cardiovascular system & hematology ,Cohort Studies ,Diagnostic Techniques, Endocrine ,03 medical and health sciences ,Basal (phylogenetics) ,chemistry.chemical_compound ,0302 clinical medicine ,Primary aldosteronism ,Internal medicine ,Hyperaldosteronism ,Preoperative Care ,Renin ,Renin–angiotensin system ,Internal Medicine ,medicine ,Humans ,Infusions, Intravenous ,Aldosterone ,Saline ,Retrospective Studies ,business.industry ,Patient Selection ,Adrenalectomy ,Middle Aged ,Prognosis ,medicine.disease ,Treatment Outcome ,Endocrinology ,Blood pressure ,chemistry ,Female ,France ,business - Abstract
Guidelines recommend suppression tests such as the saline infusion test (SIT) to ascertain the diagnosis of primary aldosteronism (PA) in patients with a high aldosterone:renin ratio. However, suppression tests have only been evaluated in small retrospective series, and some experts consider that they are not helpful for the diagnosis of PA. In this study, we evaluated whether low post-SIT aldosterone concentrations do exclude lateralized PA. Between February 2009 and December 2013, 199 patients diagnosed with PA on the basis of 2 elevated aldosterone:renin ratio results and a high basal plasma or urinary aldosterone level or high post-SIT aldosterone level had a selective adrenal venous sampling. We used a selectivity index of 2 and a lateralization index of 4 to interpret the adrenal venous sampling results. Baseline characteristics of the patients were the following (percent or median): men 63%, 48 years old, office blood pressure 142/88 mm Hg, serum potassium 3.4 mmol/L, aldosterone:renin ratio 113 pmol/mU, plasma aldosterone concentration 588 pmol/L. The proportion of patients with lateralized adrenal venous sampling was 12 of 41 (29%) among those with post-SIT aldosterone
- Published
- 2016
10. Response to Comment on Dubois-Laforgue et al. Diabetes, Associated Clinical Spectrum, Long-term Prognosis, and Genotype/Phenotype Correlations in 201 Adult Patients With Hepatocyte Nuclear Factor 1B (
- Author
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Danièle, Dubois-Laforgue, Erika, Cornu, Cécile, Saint-Martin, Joël, Coste, Christine, Bellanné-Chantelot, and José, Timsit
- Subjects
Adult ,Phenotype ,Diabetes Mellitus, Type 2 ,Genotype ,Mutation ,Humans ,Prognosis ,Genetic Association Studies ,Hepatocyte Nuclear Factor 1-beta - Published
- 2017
11. PRIMARY ALDOSTERONISM
- Author
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Laurence Baffalie, Pascal Houillier, Stéphanie Baron, Anne Blanchard, Laurence Amar, Simon Travers, M. Azizi, Catherine Faucard, and Erika Cornu
- Subjects
medicine.medical_specialty ,Aldosterone ,Physiology ,business.industry ,030232 urology & nephrology ,Urology ,030204 cardiovascular system & hematology ,medicine.disease ,Endocrine hypertension ,3. Good health ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Primary aldosteronism ,chemistry ,Lc ms ms ,Internal Medicine ,medicine ,Cardiology and Cardiovascular Medicine ,business ,24 h urine - Abstract
Objective:Primary aldosteronism (PA) is the first cause of endocrine hypertension accounting for about 6% of all cases of hypertension. According to international guidelines, PA screening is based on plasma aldosterone-to-renin concentration ratio (ARR) computation. Nevertheless, measurement of urin
- Published
- 2019
12. Response to Comment on Dubois-Laforgue et al. Diabetes, Associated Clinical Spectrum, Long-term Prognosis, and Genotype/Phenotype Correlations in 201 Adult Patients With Hepatocyte Nuclear Factor 1B (HNF1B) Molecular Defects. Diabetes Care 2017;40:1436–1443
- Author
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Erika Cornu, Joël Coste, José Timsit, Danièle Dubois-Laforgue, Christine Bellanné-Chantelot, and Cécile Saint-Martin
- Subjects
Advanced and Specialized Nursing ,medicine.medical_specialty ,business.industry ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,030232 urology & nephrology ,Renal function ,030209 endocrinology & metabolism ,medicine.disease ,HNF1B ,Phenotype ,Gastroenterology ,Transplantation ,03 medical and health sciences ,Hepatocyte nuclear factors ,0302 clinical medicine ,Diabetes mellitus ,Internal medicine ,Genotype ,Internal Medicine ,medicine ,business ,Dialysis - Abstract
We thank Clissold et al. (1) for their comments on our article (2) that demonstrated genotype/phenotype correlations in patients with HNF1B molecular defects. We reported that, compared with the patients with an HNF1B mutation, those with HNF1B whole-gene deletion due to the 17q12 deletion were leaner at diagnosis and might have a more severe diabetes phenotype. They also had a better renal prognosis as suggested by a higher estimated glomerular filtration rate (eGFR) at diabetes diagnosis and at follow-up, a less frequent need for renal replacement by dialysis or renal transplantation, and a more frequent normal function at follow-up (49% vs. 22%) (2 …
- Published
- 2017
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