Lorundrostat for Hypertension, Autoimmunity After COVID-19, Childhood Cancer Survivor Care, and more
Sep 26, 2023
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Topics discussed in this podcast include a new hypertension treatment, the impact of COVID-19 on diabetes development, healthcare worker well-being, abortion-related risks, the use of unclaimed bodies in medical education, the risk of RH sensitization from induced first trimester abortions, legislation impacting Medicare coverage, improving healthcare quality measurement, clinical care for childhood cancer survivors, and addressing the complex driving needs of an aging population.
Lorundrostat, an Aldosterone Synthase inhibitor, showed promising results in reducing blood pressure in adults with uncontrolled hypertension.
Children who developed SARS-CoV-2 antibodies had a higher incidence of islet autoantibodies, indicating increased vulnerability to pancreatic islet cell autoimmunity and potential link to type 1 diabetes precursor.
Deep dives
Aldosterone Synthase Inhibition with Laryundra stat for Uncontrolled Hypertension
In a dose-ranging trial, the safety and efficacy of Laryundra stat, an Aldosterone Synthase inhibitor, were evaluated in adults with uncontrolled hypertension. Participants who received the 50 and 100 milligram doses of Laryundra stat experienced significantly greater reductions in blood pressure compared to placebo, with a 10 millimeter difference at the 50 milligram dose and an 8 millimeter difference at the 100 milligram dose. The accompanying editorial suggests that targeting the synthesis of Aldosterone, as Laryundra stat does, may offer improved therapy for patients with Aldosterone excess.
SARS-CoV-2 Infection and Development of Islet Autoimmunity in Early Childhood
Examining children at high genetic risk of type 1 diabetes, this study found that those who developed SARS-CoV-2 antibodies had a higher incidence of islet autoantibodies, indicating increased vulnerability to pancreatic islet cell autoimmunity. Children who experienced SARS-CoV-2 seroconversion between 12 and 16 months of age had the highest risk. These findings suggest a potential link between SARS-CoV-2 infection and the development of type 1 diabetes precursor.
Editor’s Summary by Anne Rentoumis Cappola, MD, ScM, Senior Editor of JAMA, the Journal of the American Medical Association, for the September 26, 2023, issue.
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