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| 1 | 未破裂颅内动脉瘤患者管理指南美国心脏协会/美国卒中协会针对医疗专业人员的指南显示文摘目的这份更新版指南旨在为未破裂颅内动脉瘤患者的管理提供全面的循证建议。方法写作组采用系统文献回顾(1977年1月至2014年6月),参考同期已发表的循证指南、个人文件和专家意见来总结现有的证据,指出现有知识的差距;如果合适,则根据美国心脏协会( American Heart Association, AHA)标准做出推荐。本指南经过了包括卒中委员会领导层以及AHA科学声明监督委员会在内的广泛同行评议,然后由AHA科学咨询和协调委员会审批通过。结果本指南对未破裂颅内动脉瘤患者的医疗诊治提出了循证建议,涉及临床表现、自然史、流行病学、危险因素、筛查、诊断、影像学以及手术和血管内治疗的转归。 | B. Gregory Thompson Robert D. Brown Sepideh Amin-Hanjani Joseph P. Broderick Kevin M. Cockroft E. Sander Connolly Gary R. Duckwiler Catherine C. Harris Virginia J. Howard S. Claiborne (Clay) Johnston Philip M. Meyers Andrew Molyneux Christopher S. Ogilvy Andrew J. Ringer James Torner 肖国栋 徐加平 石际俊 尤寿江 张霞 刘慧慧 曹勇军 | 2015 | 国际脑血管病杂志2015,23,8: | 127 |
| 2 | 急性缺血性卒中静脉阿替普酶溶栓治疗的纳入和排除标准的科学依据美国心脏协会/美国卒中协会对医疗卫生专业人员发布的声明(续前)显示文摘19 颅内出血史
根据最初的 FDA 标签和2013年AHA/ASA指南,颅内出血史是静脉阿替普酶治疗缺血性卒中的一项额外禁忌证或排除标准。最近修订后的标签仅将近期 ICH 列为一项警告,并且在禁忌证中删除了ICH史。与前面讨论的静脉阿替普酶治疗排除标准相似,文献回顾仅在大样本回顾性研究中发现了少量这类病例。缺乏相关数据可能是修订后的FDA 标签不再将 ICH 史作为禁忌证而仅将近期ICH 列为一项警告的原因。在这种情况下,FDA 如何定义“近期”一词尚不清楚。有趣的是,对在静脉阿替普酶治疗前通过 MRI 检测脑微出血( cerebral microbleed, CMBs)存在情况进行的研究可为这个卒中亚组患者提供更多的见解。从病理生理学角度,这种微出血的原因尚不清楚,可能反映再灌注损伤或脑血管自动调节功能破坏。因此,在静脉阿替普酶治疗后出现这些损害可能没有意义或是人为信号。 | Dawn O. Kleindorfer Opeolu M. Adeoye Andrew M. Demchuk Jennifer E. Fugate James C. Grotta Alexander A. Khalessi Elad I. Levy Yuko Y. Palesch Shyam Prabhakaran Gustavo Saposnik Jeffrey L. Saver Eric E. Smith 高圆圆 顾雨铖 徐欣 徐曼曼 张佳慧 李韶雅 冒萧萧 陈歆 徐运 | 2016 | 国际脑血管病杂志2016,24,5: | 98 |
| 3 | GRADE指南:Ⅶ.证据质量评价--不一致性显示文摘本文针对二分类变量结局指标相对(而非绝对)治疗效果的不一致性。证据本身不会因不同研究结果具有一致性而升级,但可能因不一致而降低质量级别。衡量一致性的标准包括点估计值的相似性、可信区间的重叠程度以及统计学判定标准包括异质性检验和I2。系统评价作者应提出并检验少数几个与患者、干预措施、结局指标以及方法学相关的先验假设以探寻异质性来源。当不一致性很大且无法解释时,因不一致性而降低质量级别是恰当的,特别当某些研究显示有显著益处而其他显示无益甚至有害时(而非仅是疗效大与疗效小的比较)。明显的亚组效应可能不可靠。如果亚组效应满足以下条件,其可信度将会增加:基于少数几个有具体方向的先验假设、亚组比较来自研究内而非研究间、交互检验的P值小、结果有生物学意义。 | Gordon H.Guyatt Andrew D.Oxman Regina Kunz James Woodcock Jan Brozek Mark Helfand Pablo Alonso-Coello Paul Glasziou Roman Jaeschke Elie A.Akl Susan Norris Gunn Vist Philipp Dahm Vijay K.Shukla Julian Higgins Yngve Falck-Ytter Holger J.Schünemann 代表GRADE小组 李幼平 杨晓妍 王莉 蔡羽嘉 陈群飞 | 2011 | 中国循证医学杂志2011,11,12: | 33 |
| 4 | GRADE指南:Ⅷ.证据质量评价--间接性显示文摘直接证据来自直接比较我们关注的干预措施用于我们关注的患者人群,并测量患者重要结局的研究。间接证据可由以下4种方式之一产生。第一,患者可能与我们关注的患者不同(适用性一词常用于这类间接性)。第二,所检验的干预措施可能与我们关注的干预措施不同。有关患者和干预措施间接性的决策取决于对生物或社会因素差异是否大到可能使效应尺度出现预期的较大差异的考虑。第三,结果可能有别于最初设定的结局指标——如替代结果本身不重要,但测量之是基于替代结果的变化反映患者重要结局变化这一假设。第四类间接性在概念上与前三类不同,发生于临床医生必须在未经直接比较的两种干预措施间做出选择时。这种情况下比较治疗方案需要特定的统计方法,并根据患者人群、联合干预措施、结局测量指标及备选干预措施试验方法的差异程度,将证据级别降低1或2级。 | Gordon Guyatt Andrew D.Oxman Regina Kunz James Woodcock Jan Brozek Mark Helfand Pablo Alonso-Coello Yngve Falck-Ytter Roman Jaeschke Gunn Vist Elie A.Akl Piet N Post Susan Norris Joerg Meerpohl Mona Nasser 代表GRADE工作组 李幼平 杨晓妍 李鸿浩 | 2011 | 中国循证医学杂志2011,11,12: | 30 |
| 5 | Implementation of Envelope Analysis on a Wireless Condition Monitoring System for Bearing Fault Diagnosis显示文摘Envelope analysis is an effective method for characterizing impulsive vibrations in wired condition monitoring(CM)systems. This paper depicts the implementation of envelope analysis on a wireless sensor node for obtaining a more convenient and reliable CM system. To maintain CM performances under the constraints of resources available in the cost effective Zigbee based wireless sensor network(WSN), a low cost cortex-M4 F microcontroller is employed as the core processor to implement the envelope analysis algorithm on the sensor node. The on-chip 12 bit analog-to-digital converter(ADC) working at 10 k Hz sampling rate is adopted to acquire vibration signals measured by a wide frequency band piezoelectric accelerometer. The data processing flow inside the processor is optimized to satisfy the large memory usage in implementing fast Fourier transform(FFT) and Hilbert transform(HT). Thus, the envelope spectrum can be computed from a data frame of 2048 points to achieve a frequency resolution acceptable for identifying the characteristic frequencies of different bearing faults. Experimental evaluation results show that the embedded envelope analysis algorithm can successfully diagnose the simulated bearing faults and the data transmission throughput can be reduced by at least 95% per frame compared with that of the raw data, allowing a large number of sensor nodes to be deployed in the network for real time monitoring. | Guo-Jin Feng James Gu Dong Zhen Mustafa Aliwan Feng-Shou Gu Andrew D.Ball | 2015 | International Journal of Automation and computing2015,12,1: | 28 |
| 6 | Transarterial chemoembolization and bland embolization for hepatocellular carcinoma显示文摘Transarterial chemoembolization(TACE)is the first line treatment for patients with intermediate stage hepatocellular carcinoma but is also increasingly being used for patients on the transplant waiting list to prevent further tumor growth.Despite its widespread use,TACE remains an unstandardized procedure,with variation in type and size of embolizing particles,type and dose of chemotherapy and interval between therapies.Existing evidence from randomized controlled trials suggest that bland transarterial embolization(TAE)has the same efficacy with TACE.In the current article,we review the use of TACE and TAE for hepatocellular carcinoma and we focus on the evidence for their use. | Emmanuel A Tsochatzis Evangelia Fatourou James O'Beirne Tim Meyer Andrew K Burroughs | 2014 | World Journal of Gastroenterology2014,20,12: | 18 |
| 7 | The Weng'an biota and the Ediacaran radiation of multicellular eukaryotes显示文摘The rise of multicellularity represents a major evolutionary transition and it occurred independently in multiple eukaryote clades.Although simple multicellular organisms may have evolved in the Mesoproterozoic Era or even earlier,complex multicellular eukaryotes began to diversify only in the Ediacaran Period,just before the Cambrian explosion.hus,the Ediacaran fossil record can provide key paleontological evidence about the early radiation of multicellular eukaryotes that ultimately culminated in the Cambrian explosion.he Ediacaran Weng’an biota in South China hosts exceptionally preserved eukaryote fossils,including various acanthomorphic acritarchs,pseudoparenchymatous thalli,tubular microfossils,and spheroidal fossils such as Megasphaera,Helicoforamina,Spiralicellula,and Caveasphaera.Many of these fossils have been interpreted as multicellular eukaryotes,although alternative interpretations have also been proposed.In this review,we critically examine these various interpretations,focusing particularly on Megasphaera,which has been variously interpreted as a sulfur-oxidizing bacterium,a unicellular protist,a mesomycetozoean-like holozoan,a volvocine green alga,a stem-group animal,or a crown-group animal.We conclude that Megasphaera is a multicellular eukaryote with evidence for cell-to-cell adhesion,a lexible membrane unconstrained by a rigid cell wall,spatial cellular diferentiation,germ–soma separation,and programmed cell death.hese features are inconsistent with the bacterium,unicellular protist,and mesomycetozoean-like holozoan interpretations.hus,the surviving hypotheses,particularly the stem-group animal and algal interpretations,should be further tested with additional evidence.he Weng’an biota also hosts cellularly diferentiated pseudoparenchymatous thalli with specialized reproductive structures indicative of an ainity with lorideophyte red algae.he other Weng’an fossils reviewed here may also be multicellular eukaryotes,although direct cellular evidence is lacking in some and phylogenetic ainities are poorly constrained in others.he Weng’an biota ofers many research opportunities to resolve the life histories and phylogenetic diversity of early multicellular eukaryotes and to illuminate the evolutionary prelude to the Cambrian explosion. | Shuhai Xiao A.D.Muscente Lei Chen Chuanming Zhou James D.Schiffbauer Andrew D.Wood Nicholas F.Polys Xunlai Yuan | 2014 | National Science Review2014,1,4: | 9 |
| 8 | 在结肠和直肠的癌症的淋巴节点收获: 当前的考虑显示文摘 The prognostic significance of identifying lymph node(LN) metastases following surgical resection for colon and rectal cancer is well recognized and is reflected in accurate staging of the disease.An established body of evidence exists,demonstrating an association between a higher total LN count and improved survival,particularly for node negative colon cancer.In node positive disease,however,the lymph node ratios may represent a better prognostic indicator,although the impact of this on clinical treatment has yet to be universally established.By extension,strategies to increase surgical node harvest and/or laboratory methods to increase LN yield seem logical and might improve cancer staging.However,debate prevails as to whether or not these extrapolations are clinically relevant,particularly when very high LN counts are sought.Current guidelines recommend a minimum of 12 nodes harvested as the standard of care,yet the evidence for such is questionable as it is unclear whether an increasing the LN count results in improved survival.Findings from modern treatments,including down-staging in rectal cancer using pre-operative chemoradiotherapy,paradoxically suggest that lower LN count,or indeed complete absence of LNs,are associated with improved survival;implying that using a specific number of LNs harvested as a measure of surgical quality is not always appropriate.The pursuit of a sufficient LN harvest represents good clinical practice;however,recent evidence shows that the exhaustive searching for very high LN yields may be unnecessary and has little in? uence on modern approaches to treatment. | James R McDonald Andrew G Renehan Sarah T O’Dwyer Najib Y Haboubi | 2012 | World Journal of Gastrointestinal Surgery2012,4,1: | 8 |
| 9 | Anti-tumour necrosis factor agent and liver injury:literature review,recommendations for management显示文摘Abnormalities in liver function tests,including transient and self-limiting hypertransaminasemia,cholestatic disease and hepatitis,can develop during treatment with anti-tumour-necrosis-factor(TNF)therapy.The optimal management of liver injury related to antiTNF therapy is still a matter of debate.Although some authors recommend discontinuing treatment in case of both a rise of alanine aminotransferase more than5 times the upper limit of normal,or the occurrence of jaundice,there are no standard guidelines for the management of anti-TNF-related liver injury.Bibliographical searches were performed in Pub Med,using the following key words:inflammatory bowel disease(IBD);TNF inhibitors;hypertransaminasemia;drugrelated liver injury;infliximab.According to published data,elevation of transaminases in patients with IBD treated with anti-TNF is a common finding,but resolution appears to be the usual outcome.Anti-TNF agents seem to be safe with a low risk of causing severe drugrelated liver injury.According to our centre experience,we found that hypertransaminasemia was a common,mainly self-limiting finding in our IBD cohort and was not correlated to infliximab treatment on both univariate and multivariate analyses.An algorithm for the management of liver impairment occurring during antiTNF treatment is also proposed and this highlights the need of a multidisciplinary approach and suggests liver biopsy as a key-point in the management decision in case of severe rise of transaminases.However,hepatic injury is generally self-limiting and drug withdrawal seems to be an exception. | Roberta Elisa Rossi Ioanna Parisi Edward John Despott Andrew Kenneth Burroughs James O'Beirne Dario Conte Mark Ian Hamilton Charles Daniel Murray | 2014 | World Journal of Gastroenterology2014,20,46: | 7 |
| 10 | Higher Predicted Vitamin D Status Is Associated With Reduced Risk of Crohn’s Disease显示文摘 | Ashwin N. Ananthakrishnan Hamed Khalili Leslie M. Higuchi Ying Bao Joshua R. Korzenik Edward L. Giovannucci James M. Richter Charles S. Fuchs Andrew T. Chan | 2012 | Gastroenterology2012,,3: | 6 |
| 11 | Effect of Hind Leg Morphology on Performance of a Canine-inspired Quadrupedal Robot显示文摘 | James Andrew Smith Jamil Jivraj | 2015 | Journal of Bionic Engineering2015,12,3: | 5 |
| 12 | IPOP:体验偏好理论显示文摘IPOP理论与实践来源自20世纪90年代至今的华盛顿史密森尼博物馆的观众调查,包括基础性的观察以及深入访谈,这些数据构成了一个具有长远意义的数据库。此研究的主要目的在于:能够更好地服务博物馆观众,即给观众带来高于平均水平的独特、有意义以及值得纪念的博物馆体验。在16年间的无数研究和访谈中,观众对于史密森尼博物馆展览的反应按照他们的原始兴趣可以被分为四个类型:I=观点,P=人,O=物,P=身体。事实证明展览若能引起四类观众的强烈共鸣,那么该展览在观众层面上是成功的。 | Andrew J.Pekarik James B.Schreiber Nadine Hanemann Kelly Richmond Barbara Mogel 王思怡 | 2017 | 中国博物馆2017,,2: | 5 |
| 13 | Developmental and Feedforward Control of the Expression of Folate Biosynthesis Genes in Tomato Fruit显示文摘很少植物怎么调整他们的叶酸的内容被知道,包括叶酸的生合成基因的表达式是否在开发期间被安排或由叶酸的层次调制了。也很不叶酸的层次怎么影响另外的基因的表示被知道。这些点用为高叶酸的内容设计的野类型的西红柿水果和水果被探讨。在野类型的水果,在叶酸的生合成指定早步的基因的表示在开发而是另外的基因的期间衰退了。在设计水果 overexpressing 外国 GTP cyclohydrolase 我和 aminodeoxychorismate synthase 基因,各自的内长的基因的表示没变化,但是三下游的小径 genesaminodeoxychorismate lyase , dihydroneopterin aldolase ,和 mitochondrial folylpolyglutamate 的 synthaserespectively 增加了由直到7.8-,2.8-,和1.7褶层,显然响应特定的叶酸的小径代谢物的逐渐增加。这些结果显示在水果,某些叶酸的小径基因发展地被调整并且某些其它由小径中介服从于前馈控制控制。Microarray 分析显示出那仅仅 14 个另外的抄本(11 ? 000 调查了) 在丰富增加了由双重或更在里面高度叶酸的水果,证明叶酸的小径基因的正式就职是相对特定的。 | Jeffrey C. Wallera Tariq A. Akhtar Aurora Lara-Nunez Jesse F. Gregory lli Ryan R McQuinn James J. Giovannoni Andrew D. Hanson | 2010 | Molecular Plant2010,3,1: | 5 |
| 14 | The evolution of integrative medical education: the influence of the University of Arizona Center for Integrative Medicine显示文摘The University of Arizona Center for Integrative Medicine(Az CIM) was founded in 1994 with a primary focus of educating physicians in integrative medicine(IM). Twenty years later, IM has become an internationally recognized movement in medicine. With 40% of United States' medical schools having membership in the Academic Consortium for Integrative Medicine and Health it is foreseeable that all medical students and residents will soon receive training in the principles and practices of IM. The Az CIM has the broadest range and depth of IM educational programs and has had a major infl uence on integrative medical education in the United States. This review describes the fellowship, residency and medical student programs at Az CIM as well as other signifi cant national drivers of IM education; it also points out the challenges faced in developing IM initiatives. The fi eld of IM has matured with new national board certifi cation in IM requiring fellowship training. Allied health professional IM educational courses, as well as integrative health coaching, assure that all members of the health care team can receive training. This review describes the evolution of IM education and will be helpful to academic centers, health care institutions, and countries seeking to introduce IM initiatives. | Victoria Maizes Randy Horwitz Patricia Lebensohn Hilary McClafferty James Dalen Andrew Weil | 2015 | Journal of Integrative Medicine2015,13,6: | 5 |
| 15 | Radical Addition of Perfluorinated Alkyl Iodides to Multi- Layered Graphene and Single-Walled Carbon Nanotubes显示文摘A simple one-pot reaction that serves to functionalize graphite nanosheets(graphene)and single-walled carbon nanotubes(SWNTs)with perfluorinated alkyl groups is reported.Free radical addition of 1-iodo-1H,1H,2H,2H-perfluorododecane to ortho-dichlorobenzene suspensions of the carbon nanomaterial is initiated by thermal decomposition of benzoyl peroxide.Similarly,UV photolysis of 1-iodo-perfluorodecane serves to functionalize the carbon materials.Perfluorododecyl-SWNTs,perfluorododecyl-graphene,and perfluorodecyl-graphene are characterized by infrared(IR)and Raman spectroscopy,X-ray photoelectron spectroscopy(XPS),thermogravimetric analysis(TGA),and atomic force microscopy(AFM).The products show enhanced dispersability in CHCl3 as compared to unfunctionalized starting materials.The advantage of this one-pot functionalization procedure lies in the use of pristine graphite as starting material thereby avoiding the use of harsh oxidizing conditions. | Christopher E.Hamilton Jay R.Lomeda Zhengzong Sun James M.Tour Andrew R.Barron | 2010 | Nano Research2010,3,2: | 5 |
| 16 | The small hive beetle Aethina tumida: A review of its biology and control measures显示文摘 | Andrew G. S. CUTHBERTSON Maureen E. WAKEFIELD Michelle E. POWELL Gay MARRIS Helen ANDERSON Giles E. BUDGE James J. MATHERS Lisa F.BLACKBURN Mike A. BROWN | 2013 | Current Zoology2013,59,5: | 4 |
| 17 | Refining pathological evaluation of neoadjuvant therapy for adenocarcinoma of the esophagus显示文摘AIM:To assess tumour regression grade(TRG)and lymph node downstaging to help define patients who benefit from neoadjuvant chemotherapy.METHODS:Two hundred and eighteen consecutive patients with adenocarcinoma of the esophagus or gastro-esophageal junction treated with surgery alone or neoadjuvant chemotherapy and surgery between 2005and 2011 at a single institution were reviewed.Triplet neoadjuvant chemotherapy consisting of platinum,fluoropyrimidine and anthracycline was considered for operable patients(World Health Organization performance status≤2)with clinical stage T2-4 N0-1.Response to neoadjuvant chemotherapy(NAC)was assessed using TRG,as described by Mandard et al.In addition lymph node downstaging was also assessed.Lymph node downstaging was defined by cN1 at diagnosis:assessed radiologically(computed tomography,positron emission tomography,endoscopic ultrasonography),then pathologically recorded as N0 after surgery;ypN0 if NAC given prior to surgery,or pN0if surgery alone.Patients were followed up for 5 years post surgery.Recurrence was defined radiologically,with or without pathological confirmation.An association was examined between t TRG and lymph node downstaging with disease free survival(DFS)and a comprehensive range of clinicopathological characteristics.RESULTS:Two hundred and eighteen patients underwent esophageal resection during the study interval with a mean follow up of 3 years(median follow up:2.552,95%CI:2.022-3.081).There was a 1.8%(n=4)inpatient mortality rate.One hundred and thirty-six(62.4%)patients received NAC,with 74.3%(n=101)of patients demonstrating some signs of pathological tumour regression(TRG 1-4)and 5.9%(n=8)having a complete pathological response.Forty four point one percent(n=60)had downstaging of their nodal disease(cN1 to ypN0),compared to only 15.9%(n=13)that underwent surgery alone(pre-operatively overstaged:cN1 to pN0),(P<0.0001).Response to NAC was associated with significantly increased DFS(mean DFS;TRG 1-2:5.1years,95%CI:4.6-5.6 vs TRG 3-5:2.8 years,95%CI:2.2-3.3,P<0.0001).Nodal down-staging conferred a significant DFS advantage for those patients with a poor primary tumour response to NAC(median DFS;TRG 3-5 and nodal down-staging:5.533 years,95%CI:3.558-7.531 vs TRG 3-5 and no nodal down-staging:1.114 years,95%CI:0.961-1.267,P<0.0001).CONCLUSION:Response to NAC in the primary tumour and in the lymph nodes are both independently associated with improved DFS. | Fergus Noble Luke Nolan Adrian C Bateman James P Byrne Jamie J Kelly Ian S Bailey Donna M Sharland Charlotte N Rees Timothy J Iveson Tim J Underwood Andrew R Bateman | 2013 | World Journal of Gastroenterology2013,19,48: | 4 |
| 18 | Advances in orthodontic clear aligner materials显示文摘Rapid technological improvements in biomaterials,computer-aided design(CAD)and manufacturing(CAM)have endorsed clear aligner therapy(CAT)as a mainstay of orthodontic treatment,and the materials employed for aligner fabrication play an all-important role in determining the clinical performance of clear aligners.This narrative review has attempted to comprehensively encompass the entire gamut of materials currently used for the fabrication of clear aligners and elucidate their characteristics that are crucial in determining their performance in an oral environment.Historical developments and current protocols in aligner fabrication,features of contemporary bioactive materials,and emerging trends related to CAT are discussed.Advances in aligner material chemistry and engineering possess the potential to bring about radical transformations in the therapeutic applications of CAT;in the absence of which,clear aligners would continue to underperform clinically,due to their inherent biomechanical constraints.Finally,while innovations in aligner materials such as shape memory polymers,direct three-dimensional(3D)printed clear aligners and bioactive materials combined with clear aligner materials are essential to further advance the applications of CAT;increased awareness of environmental responsibilities among aligner manufacturers,aligner prescribing clinicians and aligner users is essential for better alignment of our climate change goals towards a sustainable planet. | Yashodhan M.Bichu Abdulraheem Alwafi Xiaomo Liu James Andrews Bjorn Ludwig Aditi Y.Bichu Bingshuang Zou | 2023 | Bioactive Materials2023,,4: | 4 |
| 19 | 青石棉诱导A549细胞ERK1/2及Elk1激活的研究显示文摘目的 研究细胞外信号调节蛋白在青石棉致肺部疾病的作用。方法 用Western免疫印迹、免疫沉淀等对石棉刺激A5 4 9细胞后细胞外信号调节蛋白及其下游Elk1蛋白磷酸化等进行了研究。结果 石棉刺激细胞后 ,磷酸化ERK1 2、Elk1等高表达 ,差异有显著性 (P <0 0 5 )。结论 ERK1 2。 | 王新朝 吴逸明 李卓炜 James M.Samet Andrew J.Ghio | 2004 | 卫生研究2004,33,4: | 4 |
| 20 | Apoptosis commitment- translating survival signals into decisions on mitochondria显示文摘最有缺点、讨厌的房间由 apoptosis 死,为没有损坏包围织物,移开如此的房间的一个精致地控制的基因计划。一旦一个房间承诺了 apoptosis,这个过程是显著地有效的,并且在开始的一些分钟以内被完成。为一个 apoptotic 房间的没有回来的这个点通常被坚持是外部 mitochondrial 膜是 permeabilised 的在点,一个过程由蛋白质的 Bcl-2 家庭调整了。这些蛋白质怎么调整这个决定点,对象 apoptotic 控制被失去的癌症那样的疾病中央。在这评论,我们将讨论 apoptotic 发信号并且一个房间怎么做不可逆的决定死。我们将集中于幸存信号,对细胞外的矩阵(ECM ) 的房间粘附导出的那些,和使用的一个集合这些加亮 apoptotic 发信号的复杂性。特别地,我们将说明多重发信号小径怎么收敛决定批评房间命运决定。 | James A Keeble Andrew P Gilmore | 2007 | Cell Research2007,17,12: | 4 |