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Prevalence and incidence of heart failure among community in China during a three-year follow-up 被引量:1
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作者 lu fu Jun-Rong JIANG +10 位作者 Wei-Dong LIN Hui-Yi LIU Shu-Yu JIN Xing-Dong YE Yan-Lin CHEN Si-Jia PU Yang LIU Shang-Fei HE Shu-Lin WU Hai DENG Yu-Mei XUE 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2023年第4期284-292,共9页
BACKGROUND Epidemiological surveys on heart failure(HF)in Chinese community are relatively lacking.This study aimed to estimate the prevalence and incidence of HF among community residents in southern China.METHODS Ba... BACKGROUND Epidemiological surveys on heart failure(HF)in Chinese community are relatively lacking.This study aimed to estimate the prevalence and incidence of HF among community residents in southern China.METHODS Baseline data of this prospective study was collected from 2015 to 2017 among 12,013 permanent residents aged≥35years in Guangzhou,China.The same survey process was carried out for individuals aged≥65 years after a three-year follow-up.RESULTS The overall prevalence of HF in community residents aged≥35 years was 1.06%.Male had significantly higher risk of HF prevalence[odds ratio(OR)=1.50,P=0.027].The gender-adjusted risk of HF was 1.48 times higher per 10 years aging.HF prevalence was statistically associated with atrial fibrillation,valvular heart disease,hypertension and chronic obstructive pulmonary disease after adjusting for age and gender(OR=8.30,5.17,1.11,2.28,respectively;all P<0.05).HF incidence in individuals aged≥65 years were 847 per 100,000 person-years.Baseline atrial fibrillation,valvular heart disease,and diabetes mellitus were risk factors for HF incidence for individuals aged≥65 years adjusting for age and gender(OR=5.05,3.99,2.11,respectively;all P<0.05).Besides,residents with new-onset atrial fibrillation and myocardial infarction were at significantly higher risk of progression to HF(OR=14.41,8.54,respectively;all P<0.05).CONCLUSIONS Both pre-existing and new-onset cardiovascular diseases were associated with HF incidence in southern China.Management of related cardiovascular diseases may be helpful to reduce the incidence of HF. 展开更多
关键词 PREVALENCE CARDIOVASCULAR INCIDENCE
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荆门上清丸治疗复发性口腔溃疡上焦实热证的临床研究
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作者 曲丽娜 卢富 +3 位作者 曾堃 陈建钢 田平林 谭劲 《湖南中医药大学学报》 CAS 2023年第2期283-288,共6页
目的 评价荆门上清丸治疗复发性口腔溃疡上焦实热证的有效性及安全性。方法 纳入中国中医科学院广安门医院、湖北中医药大学附属医院、武汉大学中南医院、湖南中医药大学第一附属医院2014年3月至2015年5月共240例受试者,将其随机均分为... 目的 评价荆门上清丸治疗复发性口腔溃疡上焦实热证的有效性及安全性。方法 纳入中国中医科学院广安门医院、湖北中医药大学附属医院、武汉大学中南医院、湖南中医药大学第一附属医院2014年3月至2015年5月共240例受试者,将其随机均分为试验组和对照组。试验组予以荆门上清丸含服,对照组予以荆门上清丸模拟剂(安慰剂)含服,每次4粒,每日4次,早、中、晚饭后及睡前各一次。观察两组患者的靶溃疡愈合率、靶溃疡愈合时间、靶溃疡激惹痛评分、靶溃疡面积、口腔溃疡静息痛及中医证候疗效并进行安全性评价。结果 治疗后,试验组靶溃疡愈合率77.31%,高于对照组的31.03%(P<0.05);试验组靶溃疡愈合时间短于对照组(P<0.05);试验组中医证候有效率94.96%,高于对照组的81.03%(P<0.05)。第3、第5天,试验组靶溃疡激惹痛评分、靶溃疡面积、口腔溃疡静息痛评分均低于对照组(P<0.05)。本次试验发生13例19例次不良事件,试验组不良事件发生率为5.88%,低于对照组的10.26%,但差异无统计学意义(P>0.05)。结论 荆门上清丸治疗复发性口腔溃疡上焦实热证具有较好的疗效,能够改善溃疡疼痛、促进溃疡愈合、缩短溃疡病程,并且在中医证候疗效及改善溃疡面积、溃疡疼痛、口渴欲饮、口咽灼干而热、口黏腻、口臭等单项中医症状上具有优势,同时具有较好的安全性。 展开更多
关键词 复发性口腔溃疡 荆门上清丸 多中心临床试验 临床研究 上焦实热证
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基于NSGA-Ⅱ的锂离子电池液冷板的优化设计
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作者 张甫仁 肖康 +2 位作者 鲁福 朱臆霖 苟欢 《重庆交通大学学报(自然科学版)》 CAS CSCD 北大核心 2023年第1期145-150,共6页
为了研究纯电动汽车锂离子电池的液体冷却方式,提出了一种仿生叶状通道的热管理系统(BTMS)来研究锂离子电池的冷却性能。以通道角度、通道宽度、质量流量为设计变量,综合考虑液冷板的目标函数(平均温度、温度标准差、压力损失)之间的比... 为了研究纯电动汽车锂离子电池的液体冷却方式,提出了一种仿生叶状通道的热管理系统(BTMS)来研究锂离子电池的冷却性能。以通道角度、通道宽度、质量流量为设计变量,综合考虑液冷板的目标函数(平均温度、温度标准差、压力损失)之间的比重,得到液冷板结构参数及质量流量的最优参数;通过搭建单体电池实验平台,得到单体电池在不同放电倍率下的单位体积产热量;采用拉丁超立方抽样(LHS)在设计空间中选取40个样本点;通过克里金(Kriging)代替模型建立设计变量与目标函数之间的关系;利用NSGA-Ⅱ算法对Kriging模型进行优化寻优;利用CFD验证优化结果的准确度。研究结果表明:优化设计结果能将液冷板平均温度下降1.42 K(3.88%),温度标准差下降0.35 K(15.29%),压力损失下降7.49 Pa(8.78%)。 展开更多
关键词 车辆工程 热管理系统 拉丁超立方抽样 目标函数 克里金模型
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重灰煅烧炉炉气系统改造探讨
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作者 鹿福 孟磊 +1 位作者 刘雪娇 孙茜瑞 《纯碱工业》 CAS 2023年第3期29-31,共3页
主要介绍了重灰煅烧炉在生产过程中炉气系统常见的问题与解决方法,重点分析了炉气系统结疤的原因,提出了改变出气箱材质及增加振打器的解决方案;为解决重灰煅烧炉尾气带碱尘,提出了炉气排放方式的改造,增加冷却装置以回收炉气冷凝水等... 主要介绍了重灰煅烧炉在生产过程中炉气系统常见的问题与解决方法,重点分析了炉气系统结疤的原因,提出了改变出气箱材质及增加振打器的解决方案;为解决重灰煅烧炉尾气带碱尘,提出了炉气排放方式的改造,增加冷却装置以回收炉气冷凝水等内容。 展开更多
关键词 重灰煅烧炉 炉气系统 出气箱 结疤 材质 冷凝水回收
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The genome-wide meiotic recombination landscape in ciliates and its implications for crossover regulation and genome evolution
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作者 lu fu Chen Gu +3 位作者 Kazufumi Mochizuki Jie Xiong Wei Miao Guangying Wang 《Journal of Genetics and Genomics》 SCIE CAS CSCD 2024年第3期302-312,共11页
Meiotic recombination is essential for sexual reproduction and its regulation has been extensively studied in many taxa.However,genome-wide recombination landscape has not been reported in ciliates and it remains unkn... Meiotic recombination is essential for sexual reproduction and its regulation has been extensively studied in many taxa.However,genome-wide recombination landscape has not been reported in ciliates and it remains unknown how it is affected by the unique features of ciliates:the synaptonemal complex(SC)-independent meiosis and the nuclear dimorphism.Here,we show the recombination landscape in the model ciliate Tetrahymena thermophila by analyzing single-nucleotide polymorphism datasets from 38 hybrid progeny.We detect 1021 crossover(CO)events(35.8 per meiosis),corresponding to an overall CO rate of 9.9 cM/Mb.However,gene conversion by non-crossover is rare(1.03 per meiosis)and not biased towards G or C alleles.Consistent with the reported roles of SC in CO interference,we find no obvious sign of CO interference.CO tends to occur within germ-soma common genomic regions and many of the 44 identified CO hotspots localize at the centromeric or subtelomeric regions.Gene ontology analyses show that CO hotspots are strongly associated with genes responding to environmental changes.We discuss these results with respect to how nuclear dimorphism has potentially driven the formation of the observed recombination landscape to facilitate environmental adaptation and the sharing of machinery among meiotic and somatic recombination. 展开更多
关键词 Meiotic recombination HOTSPOT Crossover interference Adaptive evolution
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不同焙火程度对武夷岩茶丹桂内含物与感官品质的影响
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作者 马春华 卢福 +2 位作者 吴志锋 詹宝珍 程世龙 《食品工程》 2023年第3期22-26,共5页
为研究焙火工艺对武夷岩茶丹桂内含物与感官品质的影响,采用传统焙火方法,分别用轻火(110℃)、中火(120℃)、足火(130℃)对丹桂焙火3 h、6 h、9 h、12 h、15 h,分析其内含物含量并进行感官评审。结果表明,随着焙火温度的升高,丹桂毛茶... 为研究焙火工艺对武夷岩茶丹桂内含物与感官品质的影响,采用传统焙火方法,分别用轻火(110℃)、中火(120℃)、足火(130℃)对丹桂焙火3 h、6 h、9 h、12 h、15 h,分析其内含物含量并进行感官评审。结果表明,随着焙火温度的升高,丹桂毛茶茶多酚、黄酮、可溶性糖、游离氨基酸以及表型儿茶素含量逐渐下降,非酯型儿茶素含量提高;随着焙火时间的延长,可溶性糖、游离氨基酸含量呈现下降趋势;茶多酚、儿茶素类、黄酮则是呈现波动性变化。感官评审结果表明,轻火焙火12 h、中火焙火6 h茶样得分较高。 展开更多
关键词 焙火 武夷岩茶丹桂 内含物 感官品质
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内部结构组合形式优化对冷板冷却性能的影响 被引量:3
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作者 张甫仁 鲁福 +1 位作者 吴博 肖康 《汽车安全与节能学报》 CAS CSCD 北大核心 2022年第2期368-377,共10页
为了优化电池组的冷却性能,提出了一种均匀直通道与阵列翅片相结合的液冷板设计。基于计算流体动力学(CFD)的评估方法对模型进行冷却性能分析和优化,在5 C放电工况下,研究对液冷板内部不同的通道与阵列翅片组合形式、进出口宽度、翅片... 为了优化电池组的冷却性能,提出了一种均匀直通道与阵列翅片相结合的液冷板设计。基于计算流体动力学(CFD)的评估方法对模型进行冷却性能分析和优化,在5 C放电工况下,研究对液冷板内部不同的通道与阵列翅片组合形式、进出口宽度、翅片大小和上下冷却槽间距对电池热管理的影响。结果表明:中间使用翅片、两侧使用通道可以改变最高温度、平均温度和温差,改变进出口宽度可以显著改变进出口压降。与原始模型相比,质量流量为0.5 g/s时,优化模型满足最高温度为39.99℃,平均温度降低0.93℃,同时温度标准差和进出口压降分别降低0.09℃和494.68 Pa;冷却液质量流量对液冷板散热性能有一定程度的影响。 展开更多
关键词 电池热管理 直通道 阵列翅片 液冷板 冷却性能
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特定配伍药物冲击松解术治疗椎动脉型颈椎病急性期的临床观察 被引量:1
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作者 陆福 赵亚男 +5 位作者 刘浩伟 宋佳 袁金玲 刘慧 刘熠赫 刘红星 《中国中医基础医学杂志》 CAS CSCD 北大核心 2018年第11期1571-1573,共3页
目的:研究特定配伍药物冲击松解术治疗椎动脉型颈椎病急性发作期的临床疗效。方法:将选取的74例椎动脉型颈椎病患者按随机数字表法分为2组分别进行特定配伍药物冲击松解术疗法(治疗组)和传统疗法(对照组)治疗。采用椎动脉型颈椎病功能... 目的:研究特定配伍药物冲击松解术治疗椎动脉型颈椎病急性发作期的临床疗效。方法:将选取的74例椎动脉型颈椎病患者按随机数字表法分为2组分别进行特定配伍药物冲击松解术疗法(治疗组)和传统疗法(对照组)治疗。采用椎动脉型颈椎病功能评定量表(Vertebral artery type cervical spondylosis functional assessment scale,FS-CSA)评分和总有效率评价分析两种方法疗效。结果:治疗组评分低于对照组差异有统计学意义,总有效率分析结果显示治疗组总有效率明显高于对照组,差异有统计学意义。结论:特定配伍药物冲击松解术疗法治疗椎动脉型颈椎病急性发作期疗效显著,明显优于传统疗法,是临床治疗椎动脉型颈椎病急性期的一种新疗法,值得临床应用与推广。 展开更多
关键词 椎动脉型颈椎病 急性期 特定配伍药物冲击松解术
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饲料蛋白与脂肪水平对越冬异育银鲫体重的影响
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作者 吕富 黄旺 +2 位作者 姚仕彬 李思云 谭海军 《盐城工学院学报(自然科学版)》 CAS 2022年第2期48-52,共5页
为了降低异育银鲫的越冬减重,制备了6种试验饲料:Ⅰ(P20、F10)、Ⅱ(P20、F15)、Ⅲ(P20、F20)、Ⅳ(P25、F10)、Ⅴ(P25、F15)和Ⅵ(P25、F20),从2020年11月1日饲喂银鲫至次年5月1日,同时以商品饲料CON(P32、F7)为对照。结果表明,从2020年11... 为了降低异育银鲫的越冬减重,制备了6种试验饲料:Ⅰ(P20、F10)、Ⅱ(P20、F15)、Ⅲ(P20、F20)、Ⅳ(P25、F10)、Ⅴ(P25、F15)和Ⅵ(P25、F20),从2020年11月1日饲喂银鲫至次年5月1日,同时以商品饲料CON(P32、F7)为对照。结果表明,从2020年11月1日至次年4月1日各组银鲫的体重均逐月下降,6种试验饲料组银鲫体重下降幅度均小于对照组,饲料Ⅲ、Ⅴ和Ⅵ组减重率显著低于其他各组;4月1日后各组银鲫体重开始回升,CON组增重率最高,Ⅳ、Ⅴ和Ⅵ组增重率显著高于Ⅰ、Ⅱ、Ⅲ组;各组银鲫性腺指数均逐月升高,6种试验饲料组银鲫性腺指数均小于对照组,其中饲料Ⅲ组性腺指数最低。 展开更多
关键词 异育银鲫 饲料 越冬 体重 性腺指数
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ETCM v2.0:An update with comprehensive resource and rich annotations for traditional Chinese medicine 被引量:3
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作者 Yanqiong Zhang Xin Li +16 位作者 Yulong Shi Tong Chen Zhijian Xu Ping Wang Meng Yu Wenjia Chen Bing Li Zhiwei Jing Hong Jiang lu fu Wenjing Gao Yanhua Jiang Xia Du Zipeng Gong Weiliang Zhu Hongjun Yang Haiyu Xu 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2023年第6期2559-2571,共13页
Existing traditional Chinese medicine(TCM)-related databases are still insufficient in data standardization,integrity and precision,and need to be updated urgently.Herein,an Encyclopedia of Traditional Chinese Medicin... Existing traditional Chinese medicine(TCM)-related databases are still insufficient in data standardization,integrity and precision,and need to be updated urgently.Herein,an Encyclopedia of Traditional Chinese Medicine version 2.0(ETCM v2.0,http://www.tcmip.cn/ETCM2/front/#/)was constructed as the latest curated database hosting 48,442 TCM formulas recorded by ancient Chinese medical books,9872 Chinese patent drugs,2079 Chinese medicinal materials and 38,298 ingredients.To facilitate the mechanistic research and new drug discovery,we improved the target identification method based on a two-dimensional ligand similarity search module,which provides the confirmed and/or potential targets of each ingredient,as well as their binding activities.Importantly,five TCM formulas/Chinese patent drugs/herbs/ingredients with the highest Jaccard similarity scores to the submitted drugs are offered in ETCM v2.0,which may be of significance to identify prescriptions/herbs/ingredients with similar clinical efficacy,to summarize the rules of prescription use,and to find alternative drugs for endangered Chinese medicinal materials.Moreover,ETCM v2.0 provides an enhanced Java Script-based network visualization tool for creating,modifying and exploring multi-scale biological networks.ETCM v2.0 may be a major data warehouse for the quality marker identification of TCMs,the TCM-derived drug discovery and repurposing,and the pharmacological mechanism investigation of TCMs against various human diseases. 展开更多
关键词 Traditional Chinese medicine Database Target identification Network visualization New drug research and development Molecular mechanism Quality marker Drug repurposing
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Tuning the intentional corona of cerium oxide nanoparticles to promote angiogenesis via fibroblast growth factor 2 signalling 被引量:1
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作者 lu fu Rupeng Li +1 位作者 John M.Whitelock Megan S.Lord 《Regenerative Biomaterials》 SCIE EI 2022年第1期963-978,共16页
Inadequate angiogenesis is a hallmark of conditions including cardiovascular diseases,stroke and chronic diabetic wounds,which exhibit tissue ischaemia ensuring that therapeutic strategies to promote angiogenesis are ... Inadequate angiogenesis is a hallmark of conditions including cardiovascular diseases,stroke and chronic diabetic wounds,which exhibit tissue ischaemia ensuring that therapeutic strategies to promote angiogenesis are of great interest.However,many angiogenic treatments involve the delivery of growth factors which have limited clinical success due to poor stability,high manufacturing cost and poor efficacy.Cerium oxide nanoparticles(nanoceria)can either promote or inhibit angiogenesis depending on their surface corona chemistry.Here,nanoceria were functionalized with an intentional heparin corona,a polysaccharide which binds and signals growth factors,of different chain lengths and surface grafting density to establish their effect on angiogenesis.These nanoparticles promoted angiogenesis in vivo with the surface grafting density positively correlated with angiogenesis over the widest concentration range;however,chain length did not play a role.The heparin–nanoceria supported fibroblast growth factor 2(FGF2)signalling in vitro and promoted FGF2-mediated angiogenesis in vivo.The nanoparticles were internalized by endothelial cells in vitro where they trafficked to the lysosomes and reduced cell viability suggesting that the angiogenic activity of heparin–nanoceria is mediated in the extracellular environment.Together,this study adds to our knowledge of the angiogenic effects of heparin–nanoceria towards finding new angiogenic treatments. 展开更多
关键词 cerium oxide NANOPARTICLE ENDOTHELIAL ANGIOGENESIS
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Norovirus P particle-based tau vaccine-generated phosphorylated tau antibodies markedly ameliorate tau pathology and improve behavioral deficits in mouse model of Alzheimer’s disease 被引量:1
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作者 Yao Sun Yongqing Guo +7 位作者 Xuejian Feng lu fu Yayuan Zheng Yue Dong Yong Zhang Xianghui Yu' Wei Kong Hui Wu 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2021年第3期593-595,共3页
Dear Editor,Currently,there are no FDA-approved disease-modifying therapies that can prevent,halt,or reverse Alzheimer's disease(AD).As the unsatisfactory of amyloid-p-targeted treatment in recent years,developmen... Dear Editor,Currently,there are no FDA-approved disease-modifying therapies that can prevent,halt,or reverse Alzheimer's disease(AD).As the unsatisfactory of amyloid-p-targeted treatment in recent years,development of Tau-targeted active immunotherapy takes much concern.1 Tau protein,a major microtubule-associated protein in the nervous system,was found to be abnormally hyperphosphorylated at six epitopes:Ser396/404,Ser202,Thr205,Ser238,and Ser262 in AD patients.2 Hence,immunotherapy targeting more highly-expressed phosphorylated Tau(pTau)species may induce a sufficient pool of pTau antibodies to eliminate pathological tau and elicit cognitive improvement. 展开更多
关键词 TAU markedly ALZHEIMER
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链霉素抑制慢性心肌梗死大鼠心脏牵张时的电生理改变(英文)
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作者 Jun-xian CAO lu fu +2 位作者 Qian-ping GAO Rong-sheng XIE Fan QU 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2014年第6期515-521,共7页
研究目的:以往研究发现链霉素作为牵张激活离子通道阻断剂,可抑制机械电反馈时心脏的电生理效应,但多为离体研究。由于慢性心肌梗死时心肌细胞间存在较为明确的牵拉,故本研究探讨了在大鼠体内应用链霉素是否可以抑制慢性心肌梗死大鼠心... 研究目的:以往研究发现链霉素作为牵张激活离子通道阻断剂,可抑制机械电反馈时心脏的电生理效应,但多为离体研究。由于慢性心肌梗死时心肌细胞间存在较为明确的牵拉,故本研究探讨了在大鼠体内应用链霉素是否可以抑制慢性心肌梗死大鼠心脏牵张诱导的电生理改变。创新要点:首次探讨了在大鼠体内应用链霉素对慢性心梗时心脏机械电反馈现象的影响。研究方法:60只Wistar大鼠随机分为4组:对照组(n=15)、链霉素组(n=15)、心梗组(n=15)和心梗+链霉素组(n=15)。结扎左前降支(LAD)8周制备慢性心梗模型,术后肌注链霉素(180 mg/(kg·d))7天后,钳夹主动脉5秒牵张心脏,观察牵张效应包括90%单相动作电位时程(MAPD90)、室性期前收缩(PVB)、室性心动过速(VT)等。重要结论:研究结果发现牵张使得对照组((50.27±5.61)ms vs.(46.27±4.51)ms,P<0.05)和心梗组((65.47±6.38)ms vs.(57.47±5.76)ms,P<0.01)大鼠心脏MAPD90缩短。链霉素可抑制牵张引起的正常((46.27±4.51)ms vs.(49.53±3.52)ms,P<0.05)和梗死心肌((57.47±5.76)ms vs.(61.87±5.33)ms,P<0.05)MAPD90的缩短(见图1)。牵张后心梗组大鼠心肌PVB(7.93±1.66 vs.1.80±0.86,P<0.01)和VT(7 vs.1,P<0.05)的发生较对照组增多。链霉素可抑制正常(0.93±0.59 vs.1.80±0.86,P<0.05)和梗死心肌(5.40±1.18 vs.7.93±1.66,P<0.01)PVB的发生。以上结果表明,牵张诱导慢性梗死心肌出现MAPD90的改变并产生心律失常。在大鼠体内应用链霉素可降低PVB的发生但对VT无影响。因此,牵张激活离子通道可能参与到慢性心梗的机械电反馈中,同时可能有其他机制参与到牵张诱导的VT中。 展开更多
关键词 心律失常 机械电反馈 单相动作电位 心肌梗死 链霉素
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Correction to:Norovirus P particle-based tau vaccinegenerated phosphorylated tau antibodies markedly ameliorate tau pathology and improve behavioral deficits in mouse model of Alzheimer’s disease
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作者 Yao Sun Yongqing Guo +7 位作者 Xuejian Feng lu fu Yayuan Zheng Yue Dong Yong Zhang Xianghui Yu Wei Kong Hui Wu 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2021年第7期2252-2253,共2页
In the process of collating the published data,the authors noticed one inadvertent mistake occurred during the production process in Fig.1u that needs to be corrected.1 The authors mistakenly placed the wrong western ... In the process of collating the published data,the authors noticed one inadvertent mistake occurred during the production process in Fig.1u that needs to be corrected.1 The authors mistakenly placed the wrong western blot figure for the level of pTauS404 in the urea fraction of mice from the onset cohort in Fig.lu.The correct data are provided as follows.The key findings of the article are not affected by these corrections.The original article has been corrected. 展开更多
关键词 markedly TAU corrected
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Cardiovascular toxicity with CTLA-4 inhibitors in cancer patients:A meta-analysis
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作者 Huiyi Liu lu fu +4 位作者 Shuyu Jin Xingdong Ye Yanlin Chen Sijia Pu Yumei Xue 《Cancer Innovation》 2024年第3期49-64,共16页
Background:With the emergence of cytotoxic T lymphocyte-associated protein-4(CTLA-4)inhibitors,the outcomes of patients with malignant tumors have improved significantly.However,the incidence of cardiovascular adverse... Background:With the emergence of cytotoxic T lymphocyte-associated protein-4(CTLA-4)inhibitors,the outcomes of patients with malignant tumors have improved significantly.However,the incidence of cardiovascular adverse events has also increased,which can affect tumor treatment.In this study,we evaluated the incidence and severity of adverse cardiovascular events caused by CTLA-4 inhibitors by analyzing reported trials that involved CTLA-4 inhibitor therapy.Methods:Randomized clinical trials published in English from January 1,2013,to November 30,2022,were searched using the Cochrane Library and PubMed databases.All included trials examined all grade and grades 3–5 cardiac and vascular adverse events.These involved comparisons of CTLA-4 inhibitors to placebo,CTLA-4 inhibitors plus chemotherapy to chemotherapy alone,CTLA-4 inhibitors combined with PD-1/PD-L1 inhibitors to PD-1/PD-L1 inhibitors alone,and CTLA-4 inhibitors plus target agent to PD-1/PD-L1 inhibitors plus target agent.The odds ratio(OR)and corresponding 95%confidence intervals(CIs)were calculated using the Mantel-Haenszel method.Results:Overall,20 trials were included.CTLA-4 inhibitors significantly increased the incidence of all-grade cardiovascular toxicity(OR=1.33,95%CI:1.00–1.75,p=0.05).The incidence of all-grade cardiovascular toxicity increased in malignant tumor patients who received single-agent CTLA-4 inhibitors(OR=1.73,95%CI:1.13–2.65,p=0.01),as well as the incidence rate of grades 3–5 cardiovascular adverse events(OR=2.00,95%CI:1.08–3.70,p=0.03).Compared with the non-CTLA-4 inhibitor group,CTLA-4 inhibitors plus chemotherapy,PD-1/PD-L1 inhibitors,or target agent did not significantly affect the incidence of cardiac and vascular toxicity.The incidence of grades 3–5 cardiac failure,hypertension,pericardial effusion,myocarditis,and atrial fibrillation were much higher among patients exposed to CTLA-4 inhibitor,but the data were not statistically significant.Conclusion:Our findings suggest that the incidence rate of all cardiovascular toxicity and severe cardiovascular toxicity increased in patients who were administered CTLA-4 inhibitors.In addition,the risk of serious cardiovascular toxic events was independent of the type of adverse event.From these results,physicians should assess the benefits and risks of CTLA-4 inhibitors when treating malignancies. 展开更多
关键词 cardiovascular toxicity CTLA-4 inhibitors malignancies
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