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| 1 | 美国国立老化研究所与阿尔茨海默病协会诊断指南写作组:阿尔茨海默病临床前阶段的定义显示文摘阿尔茨海默病(AD)的病理生理过程在痴呆诊断的多年前就开始了。这一长期的AD“临床前”阶段是治疗干预的关键机会,但需进一步阐明AD的病理级联过程和临床症状出现之间的联系。美国国立老化研究所和AD协会召集了一个国际工作组对AD生物标志物、流行病学和神经心理学的证据进行综述并提出建议,以确定能够预测由“正常”认知到轻度认知功能障碍(MCI)及AD痴呆的最佳预测指标。根据目前已有的主要科学证据,我们提出了一个概念性的框架和用于操作的研究标准,以通过纵向临床研究来验证和改进这些模型。这些建议仅用于研究目的,目前不涉及临床应用。我们希望这些建议能提供一个共识,以推进临床前AD的研究,最终推动更早期治疗干预的进展,使得一些疾病减缓药物的疗效发挥最大。 | Sperling RA Aisen PS Beckett LA Bennett DA Craft S Fagan AM Iwatsubo T Jack CR Jr Kaye J Montine TJ Park DC Reiman EM Rowe CC Siemers E Stern Y Yaffe K Carrillo MC Thies B Morrison-Bogorad M Wagster MV Phelps CH 贾建平(译) 郭起浩(译) 黄丽(译) 陆璐(译) 张逸驰(译) 邢怡(译) | 2012 | 中华神经科杂志2012，45，5： | 22 |
| 2 | Evaluation of quantitative contrast harmonic imaging to assess malignancy of liver tumors:A prospective controlled two-center study显示文摘AIM: To establish the extent to which contrast enhancement with SonoVue in combination with quantitative evaluation of contrast-medium dynamics facilitates the detection of hepatic tumors. METHODS: One hundred patients with histologically confirmed malignant or benign hepatic tumor (maximum size 5 cm) were analyzed. Contrast-enhanced ultrasound (bolus injection 2.5 mL SonoVue) was carried out with intermittent breath-holding technique using a multifrequency transducer (2.5-4 MHz). Native vascularization was analyzed with power Doppler. The contrast-enhanced dynamic ultrasound investigation was carried out with contrast harmonic imaging in true detection mode during the arterial,portal venous and late phases. Mechanical index was set at 0.15. Perfusion analysis was performed by post-processing of the raw data time intensity curve (TIC) analysis. The cut-off of the gray value differences between tumor and normal liver tissue was established using Receiver Operating Characteristic (ROC) analysis 64-line multi-slice computed tomography served as reference method in all cases. Magnetic resonance tomography was used additionally in 19 cases. RESULTS: One hundred patients with 59 malignant (43 colon,5 breast,2 endocrine metastases,7 hepatocellular carcinomas and 2 kidney cancers) and 41 benign (15 hemangiomas,7 focal nodular hyperplasias,5 complicated cysts,2 abscesses and 12 circumscribed fatty changes) tumors were included. The late venous phase proved to be the most sensitive for classification of the tumor type. Fifty-eight of the 59 malignant tumors were classified as true positive,and one as false negative. This resulted in a sensitivity of 98.3%. Of the 41 benign tumors,37 were classified as true negative and 4 as false negative,which corresponds to a specificity of 90.2%. Altogether,95.0% of the diagnoses were classified as correct on the basis of the histological classification. No investigator-dependency (P = 0.23) was noted. CONCLUSION: The results show the possibility of accurate prediction of malignancy of hepatic tumors with a positive prognostic value of 93.5% using advanced contrast-enhanced ultrasound. Contrast enhancement with SonoVue in combination with quantitative evaluation of contrast-medium dynamics is a valuable tool to discriminate hepatic tumors. | EM Jung DA Clevert AG Schreyer S Schmitt J Rennert R Kubale S Feuerbach F Jung | 2007 | World Journal of Gastroenterology2007，13，47： | 15 |
| 3 | 高危患者目标血压与心血管病预后显示文摘指南推荐血压目标值应〈140/90 mmHg(1mmHg=0.133kPa)以减少心血管事件的发生。但与其他心血管病预后(如冠状动脉事件)相比,包括脑卒中及心力衰竭在内的心血管病预后与收缩压下降关系更密切。一些心血管事件(如冠状动脉事件)风险在收缩压低时亦增高,风险-收缩压关系呈J形曲线,而脑卒中与血压不是J形曲线关系。 | B?hm M Schumacher H Teo KK Lonn EM Mahfoud F Mann JF Mancia G Redon J Schmieder RE Sliwa K Weber MA Williams BYusuf S 曲浥晨 叶鹏 | 2017 | 中华高血压杂志2017，25，6： | 14 |
| 4 | 内皮Notch信号的抑制阻碍脂肪酸转运并导致成年心脏的代谢和血管重塑显示文摘营养成分在被肌肉细胞代谢利用之前通过内皮细胞转运。然而,对于内皮运输过程的调节知之甚少。Notch信号传导是发育过程中代谢和血管生成的关键调控因子。在该研究中,Jabs等研究了成年小鼠内皮Notch信号的遗传和药理学调控如何影响内皮脂肪酸转运、心脏血管生成和心脏功能。 | 刘青 叶鹏 Jabs M Rose AJ Lehmann LH Taylor J Moll I Sijmonsma TP Herberich SE Sauer SW Poschet G Federico G Mogler C Weis EM Augustin HG Yan M Gretz N Schmid RM Adams RH Gr9ne HJ Hell R Okun JG Backs J Nawroth PP Herzig S Fischer A | 2018 | 中华高血压杂志2018，26，3： | 6 |
| 5 | 小麦胚乳14-3-3蛋白的表达及其与淀粉体淀粉合成酶的互作显示文摘从小麦胚乳中克隆了14-3-3基因,并将其分别插入pET29c和pET41c质粒,用热激法转化大肠杆菌BL21-CodonPlus(DE3)-RP,得到高效表达的蛋白,但融合蛋白主要以包涵体的形式存在。可溶性的融合蛋白可直接通过S-蛋白琼脂糖树脂纯化。包涵体经8molL-1尿素溶解变性,稀释复性后,结合到S-蛋白琼脂糖树脂上,也得到纯化的融合蛋白。复性后的融合蛋白对蔗糖合酶活性表现抑制作用,说明包涵体14-3-3融合蛋白恢复活性。将结合14-3-3融合蛋白的S-蛋白琼脂糖树脂作为诱饵与小麦胚乳淀粉体提取液进行亲和杂交,与14-3-3蛋白特异互作的淀粉合成酶结合到S-蛋白琼脂糖树脂上,Western检测结果表明,淀粉体淀粉合酶I(SSI)、淀粉合酶II(SSII)、淀粉分支酶Iia(SBEIIa)、淀粉分支酶Iib(SBEIIb)和ADP焦磷酸化酶大亚基(SH2)与14-3-3蛋白存在互作,而淀粉分支酶I(SBEI)、淀粉磷酸化酶(SP)、D-酶(DE)和ADP焦磷酸化酶小亚基(BT2)不能与14-3-3蛋白结合,说明小麦胚乳14-3-3蛋白对淀粉体淀粉合成具有一定的调控作用。 | 宋健民 戴双 李豪圣 刘爱峰 程敦公 楚秀生 Ian J TETLOW Michael J EMES | 2009 | 作物学报2009，35，8： | 5 |
| 6 | 儿童和青少年高血压的药物治疗:一项协作研究荟萃分析显示文摘儿童和青少年高血压对生活方式的改变若没有反应,需要药物治疗,但是没有足够的证据来推荐1类抗高血压药物。该文研究者对现存的儿科抗高血压药物治疗的随机临床试验进行荟萃分析。在总共554项潜在相关研究中,纳入了13项包括≥50例患者,随访≥4周的随机安慰剂对照临床试验。以治疗后收缩压和舒张压降低作为主要的观察指标。 | 刘青 叶鹏 Burrello J Erhardt EM Saint-Hilary G Veglio F Rabbia F Mulatero P Monticone S D'Ascenzo F | 2018 | 中华高血压杂志2018，26，8： | 4 |
| 7 | Tumor-stroma ratio as prognostic factor for survival in rectal adenocarcinoma: A retrospective cohort study显示文摘AIM To evaluate the prognostic value of the tumor-stroma ratio(TSR) in rectal cancer.METHODS TSR was determined on hematoxylin and eosin stained histological sections of 154 patients treated for rectal adenocarcinoma without prior neoadjuvant treatment in the period 1996-2006 by two observers to assessreproducibility. Patients were categorized into three categories: TSR-high [carcinoma percentage(CP) ≥ 70%], TSR-intermediate(CP 40%, 50% and 60%) and TSR-low(CP ≤ 30%). The relation between categorized TSR and survival was analyzed using Cox proportional hazards model.RESULTS Thirty-six(23.4%) patients were scored as TSR-low, 70(45.4%) as TSR-intermediate and 48(31.2%) as TSRhigh. TSR had a good interobserver agreement(κ = 0.724, concordance 82.5%). Overall survival(OS) and disease free survival(DFS) were significantly better for patients with a high TSR(P = 0.01 and P = 0.02, respectively). A similar association existed for disease specific survival(P = 0.06). In multivariate analysis, patients without lymph node metastasis and an intermediate TSR had a higher risk of dying from rectal cancer(HR = 5.27, 95%CI: 1.54-18.10), compared to lymph node metastasis negative patients with a high TSR. This group also had a worse DFS(HR = 6.41, 95%CI: 1.84-22.28). An identical association was seen for OS. These relations were not seen in lymph node metastasis positive patients. CONCLUSION The TSR has potential as a prognostic factor for survival in surgically treated rectal cancer patients, especially in lymph node negative cases. | René Scheer Alexi Baidoshvili Shorena Zoidze Marloes AG Elferink Annefleur EM Berkel Joost M Klaase Paul J van Diest | 2017 | World Journal of Gastrointestinal Oncology2017，9，12： | 3 |
| 8 | Effect of changes in intraocular pressure on the retinal microcirculation 显示文摘 | Ffyche TJ Bulpitt C J Kohner em | 1989 | Br J Ophthalmol1989，58，： | 2 |
| 9 | Lifetime physical activity and breast cancer risk in a multiethnic population:the Francisco Bay area breast cancer study显示文摘 | John EM Horn-ross PL Koo J | 2003 | Cancer Epidemiol Biomarkers Prev2003，12，111： | 2 |
| 10 | The mechanisms of action of PPARs 显示文摘 | Berer J David EM | 2002 | Annu Rev Med2002，53，： | 2 |
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| 14 | CNS-targeted gene therapy improves survival and motor function in a mouse model of spinal muscular atrophy 显示文摘 | Passini MA Bu J Roskelley EM | 2010 | J Clin Invest2010，120，4： | 1 |
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| 16 | DNA copy number aherations and expression of relevant genes in triple-negative breast cancer 显示文摘 | Han W Jung EM Cho J | 2008 | Genes Chromosomes Cancer2008，47，6： | 1 |
| 17 | Simplified criteria for the diagnosis of autoimmune hepatitis显示文摘 | Hennes EM Zeniys M Czaja A J | 2008 | Hepatology2008，48，1： | 1 |
| 18 | CNS-targeted gene therapy improves survival and motor function in a mouse model of spinal muscu- lar atrophy显示文摘 | Passini MA Bu J Roskelley EM | 2010 | J Clin Invest2010，120，4： | 1 |
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