• 【注意箭头:指向新的方向。】 复制标题 收藏 收藏
    DOI:10.1080/17470210500416367 复制DOI
    作者列表:Ristic J,Kingstone A
    BACKGROUND & AIMS: :It was long believed that central arrows needed to be spatially predictive to produce a shift in spatial attention. Recent evidence indicates, however, that central spatially nonpredictive directional cues, like arrows, will trigger reflexive shifts in attention. We asked what this recent discovery means for past studies that used predictive directional cues such as arrows. Our findings indicate that predictive arrows produce attention effects that greatly exceed the individual or summed effects of reflexive orienting to nonpredictive arrows and volitional orienting to predictive numbers. This suggests that the especially large effect produced by predictive arrows reflects an interaction between reflexive and volitional orienting. Given the broad application of the predictive arrow cueing paradigm in both past and current research, the present data shed new light on a wide range of investigations, from psychophysical studies of basic attention to behavioural and neuroimaging studies of cognition and social development.
    背景与目标: :长期以来,人们一直认为中心箭头需要具有空间预测性,才能引起空间注意力的转移。但是,最近的证据表明,中心的空间非预测性方向提示(如箭头)将触发注意力的反思性转变。我们问到最近的发现对于使用预测性方向提示(例如箭头)的以往研究意味着什么。我们的发现表明,预测箭头产生的注意力效应大大超过反射性指向非预测性箭头和自愿性指向预测性数字的个体或合计效果。这表明预测箭头所产生的特别大的效果反映了反射性和自愿性定向之间的相互作用。鉴于预测性箭头提示范例在过去和当前的研究中得到了广泛的应用,目前的数据为从基本关注的心理物理学研究到认知和社会发展的行为和神经影像研究等广泛的研究提供了新的思路。
  • 【白色念珠菌myristoylCoA的选择性肽和拟肽抑制剂:蛋白N-肉豆蔻酰基转移酶:一种抗真菌治疗的新方法。】 复制标题 收藏 收藏
    DOI:10.1002/(SICI)1097-0282(1997)43:1<43::AID-BIP5>3.0 复制DOI
    作者列表:Sikorski JA,Devadas B,Zupec ME,Freeman SK,Brown DL,Lu HF,Nagarajan S,Mehta PP,Wade AC,Kishore NS,Bryant ML,Getman DP,McWherter CA,Gordon JI
    BACKGROUND & AIMS: MyristoylCoA:protein N-myristoyltransferase (NMT) catalyzes the cotranslational covalent attachment of a rare cellular fatty acid, myristate, to the N-terminal Gly residue of a variety of eukaryotic proteins. The myristoyl moiety is often essential for expression of the biological functions for these proteins.

    Attachment of C14:0 alone provides barely enough hydrophobicity to allow stable association with membranes. The partitioning of N-myrisotylproteins is therefore often modulated by "switches" that function through additional covalent or noncovalent modifications. Candida albicans, the principal cause of systemic fungal infection in immunocompromised humans, contains a single NMT gene that is essential for its viability. The functional properties of the acylCoA binding site of human and C. albicans NMT are very similar. However, there are distinct differences in their peptide binding sites. An ADP ribosylation factor (Arf) is included among the few cellular protein substrates of the fungal enzyme. Alanine scanning mutagenesis of an octapeptide derived from an N-terminal Arf sequence (GLYASKLS-NH2) disclosed that Gly1, Ser5, and Lys6 play predominant roles in binding. ALYASKLS-NH2 is an inhibitor competitive for peptide [Ki(app) = 15.3 +/- 6.4 microM] and noncompetitive for myristoylCoA. Remarkably, replacement of the N-terminal tetrapeptide with an 11-aminoundecanoyl group results in a competitive inhibitor (11-aminoundecanoyl-SKLS-NH2) that is approximately 40-fold more potent [Ki(app) = 0.40 +/- 0.03 microM] than the starting octapeptide. Removal of Leu-Ser from the C-terminus generates a competitive dipeptide inhibitor (11-aminoundecanoyl-SK-NH2) with a Ki(app) of 11.7 +/- 0.4 microM, equivalent to that of the starting octapeptide. A derivative dipeptide inhibitor containing a C-terminal N-cyclohexylethyl lysinamide moiety has the advantage of being more potent (IC50 = 0.11 +/- 0.03 microM) and resistant to digestion by cellular carboxypeptidases. Rigidifying the flexible aminoundecanoyl chain results in very potent general NMT inhibitors (IC50 = 40-50 nM). Substituting a 2-methylimidazole for the N-terminal amine and adding a benzylic alpha-methyl group with R stereochemistry to the rigidifying element produces even more potent inhibitors (IC50 = 20-50 nM) that are up to 500-fold selective for the fungal compared to human enzyme. A related less potent member of this series of compounds is fungistatic. Its growth inhibitory effects are associated with a reduction in cellular protein N-myristoylation, judged using cellular Arf as a reporter. These studies establish that NMT is a new antifungal target.

    背景与目标: MyristoylCoA :蛋白N-肉豆蔻酰基转移酶(NMT)催化稀有细胞脂肪酸肉豆蔻酸酯与多种真核蛋白N-末端Gly残基的共翻译共价连接。肉豆蔻酰基部分通常对于表达这些蛋白质的生物学功能是必不可少的。

    仅C14 :0的附件仅提供了不足以使与膜稳定结合的疏水性。因此,N-肉豆蔻酰蛋白的分区通常由通过附加的共价或非共价修饰起作用的“开关”调节。白色念珠菌是免疫力低下的人体内全身真菌感染的主要原因,它包含一个对其生存能力至关重要的单个NMT基因。人和白色念珠菌NMT的酰基辅酶A结合位点的功能特性非常相似。但是,它们的肽结合位点存在明显差异。 ADP核糖基化因子(Arf)包括在真菌酶的几种细胞蛋白底物中。来自N末端Arf序列(GLYASKLS-NH2)的八肽的丙氨酸扫描诱变显示,Gly1,Ser5和Lys6在结合中起主要作用。 ALYASKLS-NH2是一种对肽[Ki(app)= 15.3 /-6.4 microM]具有竞争性的抑制剂,对肉豆蔻酰辅酶A不具有竞争性。值得注意的是,用11-氨基十一烷酰基取代N末端四肽会产生竞争性抑制剂(11-氨基十一烷酰基-SKLS-NH2),其效力比[Ki(app)= 0.40 /-0.03 microM]高40倍左右。起始八肽。从C末端去除Leu-Ser会产生竞争性的二肽抑制剂(11-氨基十一烷酰基-SK-NH2),Ki(app)为11.7 /-0.4 microM,与起始八肽相当。含有C-末端N-环己基乙基赖氨酰胺部分的衍生物二肽抑制剂具有更有效的优势(IC 50 = 0.11 /0.03μM),并且对细胞羧肽酶的消化具有抵抗力。刚性化柔性氨基十一烷酰基链会产生非常有效的常规NMT抑制剂(IC50 = 40-50 nM)。用2-甲基咪唑取代N端胺,并在刚性元素中添加具有R立体化学的苄基α-甲基,可产生更强效的抑制剂(IC50 = 20-50 nM),对真菌的选择性高达500倍与人类酶相比。该系列化合物的一个相关的效力较弱的成员是抑真菌的。使用细胞Arf作为报告基因判断,其生长抑制作用与细胞蛋白N-肉豆蔻酰化的减少有关。这些研究确定NMT是一种新的抗真菌靶标。

  • 【保护患者和环境-医院感染控制的新方面和新挑战。】 复制标题 收藏 收藏
    DOI:10.1016/s0195-6701(97)90086-4 复制DOI
    作者列表:Daschner FD,Dettenkofer M
    BACKGROUND & AIMS: Environmental pollution has become a major concern for the future of life on our planet; medical care, especially in hospitals, contributes significantly to this pollution. The increasing usage of highly-developed medical devices, drugs and disposable products are a drain on natural resources as well as financial ones. In this situation, it is a major task for hospital epidemiologists to maintain high standards of hygiene while reducing environmental pollution, reducing consumption of limited natural resources, and minimizing costs. The reduction of hospital waste, the control of polluting and toxic emissions, the avoidance of unnecessary disinfection procedures and disposables, the implementation of energy and water saving technologies are practicable measures in hospital ecology. To realize a sustainable development within hospitals, it is necessary that the need to maintain a balance between effective infection control and a good ecological environment is recognized and supported by health-care workers and the hospital management.

    背景与目标: 环境污染已成为我们星球上未来生活的主要关注点;医疗服务,尤其是医院的医疗服务,是造成这种污染的重要原因。高度发达的医疗设备,药物和一次性产品的使用日益增加,这既浪费了自然资源,也浪费了金融资源。在这种情况下,医院流行病学家的主要任务是保持较高的卫生标准,同时减少环境污染,减少有限自然资源的消耗并最大程度地降低成本。减少医院浪费,控制污染和有毒物质排放,避免不必要的消毒程序和一次性用品,实施节能节水技术是医院生态学中的切实可行的措施。为了实现医院内部的可持续发展,必须在卫生保健工作者和医院管理人员的认识和支持下,在有效的感染控制和良好的生态环境之间保持平衡。

  • 【新的胆囊收缩素类似物(JMV 236)对大鼠食物摄入和脑单胺的影响。】 复制标题 收藏 收藏
    DOI:10.1016/0143-4179(90)90158-u 复制DOI
    作者列表:Gourch A,Orosco M,Rodriguez M,Martinez J,Cohen Y,Jacquot C
    BACKGROUND & AIMS: :JMV 236, a new cholecystokinin-octapeptide-sulfate (CCK 8 S) derivative (Boc-Tyr (SO3)-Nle-Gly-Trp-Nle-Asp-Phe-NH2) has been synthesized in the Centre de Pharmacologie-Endocrinologie (Montpellier). This peptide has been shown to present the same activity as CCK 8 S on pancreatic amylase secretion and has the advantage of a better chemical stability. With a view to further characterization, the effect of JMV 236 on food intake and brain monoamine and metabolite variations was assayed in the rat after intraperitoneal (i.p.) and intracerebroventricular (i.c.v.) administrations. JMV 236 decreased food intake 2 and 3 hours after i.p. administration of 12.5 and 50 micrograms/kg but was inactive after i.c.v. injection. Its global action was similar to that of CCK 8 S, but was less marked with delayed onset of response. As in our previous work with CCK 8 S, JMV 236 was more potent in inducing monoaminergic variations after i.p. than after i.c.v. administration. The main effects were decreases in striatal dopamine metabolite levels and increases in hypothalamic and striatal serotonin metabolite (5-HIAA) levels. These effects are classically observed with CCK 8 S and are described in our previous reports. The interesting peptide will require further characterization and may serve as a possible reference compound for studies on CCK derivatives.
    背景与目标: :JMV 236是一种新的胆囊收缩素-八肽硫酸盐(CCK 8 S)衍生物(Boc-Tyr(SO3)-Nle-Gly-Trp-Nle-Asp-Phe-NH2),已在药理学-内分泌中心(蒙彼利埃)。已显示该肽在胰腺淀粉酶分泌方面具有与CCK 8 S相同的活性,并且具有更好的化学稳定性的优点。为了进一步表征,在腹膜内(i.p.)和脑室内(i.c.v.)给药后,在大鼠中测定了JMV 236对食物摄入以及脑单胺和代谢产物变化的影响。腹腔注射后2和3小时,JMV 236减少了食物摄入静脉注射12.5和50微克/公斤,但在静脉内注射后无效。注射。它的整体作用与CCK 8 S相似,但反应迟缓的症状较少。正如我们以前使用CCK 8 S所做的工作一样,JMV 236腹腔注射后在诱导单胺能变化方面更有效。比在i.c.v.之后行政。主要影响是纹状体多巴胺代谢物水平降低,下丘脑和纹状体5-羟色胺代谢物(5-HIAA)水平升高。这些效应在CCK 8 S上得到了经典观察,并在我们以前的报告中进行了描述。令人感兴趣的肽将需要进一步表征,并可能用作研究CCK衍生物的可能参考化合物。
  • 【N1-苄基-N2- [1-(1-萘基)乙基]-反式1,2-二氨基环己烷:4-氯苯基羧酰胺(calhex 231)的开发作为一种新型的钙感应受体配体,具有强大的钙分解活性。】 复制标题 收藏 收藏
    DOI:10.1021/jm051233+ 复制DOI
    作者列表:Kessler A,Faure H,Petrel C,Rognan D,Césario M,Ruat M,Dauban P,Dodd RH
    BACKGROUND & AIMS: :A structure-activity relationship (SAR) study was performed principally at the N1 position of N1-arylsulfonyl-N2-[1-(1-naphthyl)ethyl]-trans-1,2-diaminocyclohexanes, a new family of calcilytics acting at the calcium sensing receptor (CaSR). The most active compound in this series was the 4-(trifluoromethoxy)benzenesulfonyl derivative 7e, which displayed an IC50 of 5.4 +/- 0.5 microM with respect to the inhibition of calcium-induced tritiated inositol phosphate ([3H]IP) accumulation in Chinese hamster ovarian (CHO) cells expressing the CaSR. Replacement of the sulfonamide linkage of this compound by a carboxamide led to a 6-fold increase in activity (7m, IC50 = 0.9 +/- 0.2 microM). Among the carboxamides synthesized, one of the most active compounds was the 4-chlorophenylcarboxamide (1S,2S,1'R)-7n (Calhex 231, IC50 = 0.33 +/- 0.02 microM). The absolute configuration of (1S,2S,1'R)-7n was deduced from an X-ray crystallographic study of one of the diastereomers of compound 7d. The stereochemical preference for the (1S,2S,1'R)-isomers can be rationalized on the basis of a three-dimensional model of the calcilytic binding pocket of the CaSR. Removal of the C-1' methyl group or replacement of the 1-naphthyl group by a 2-naphthyl or biphenyl moiety led to appreciable loss of calcilytic activity. Compounds 7e, 7m, and Calhex 231 did not stimulate [3H]IP accumulation in CHO cells expressing or not expressing the CaSR.
    背景与目标: :结构-活性关系(SAR)研究主要在N1-芳基磺酰基-N2- [1-(1-(萘基)乙基]-反式-1,2-二氨基环己烷的N1位置进行,钙敏感受体(CaSR)。该系列中活性最高的化合物是4-(三氟甲氧基)苯磺酰基衍生物7e,在抑制中国仓鼠中钙诱导的tri化肌醇磷酸酯([3H] IP)积累方面,其IC50为5.4 /-0.5 microM。表达CaSR的卵巢(CHO)细胞。该化合物的磺酰胺键被羧酰胺取代导致活性增加了6倍(7m,IC50 = 0.9 /-0.2 microM)。在合成的羧酰胺中,活性最高的化合物之一是4-氯苯基羧酰胺(1S,2S,1'R)-7n(Calhex 231,IC50 = 0.33 /-0.02 microM)。 (1S,2S,1'R)-7n的绝对构型是由化合物7d的一种非对映异构体的X射线晶体学研究得出的。 (1S,2S,1'R)异构体的立体化学偏好可以根据CaSR钙解结合口袋的三维模型来合理化。除去C-1′甲基或用2-萘基或联苯部分取代1-萘基导致明显的钙解活性损失。化合物7e,7m和Calhex 231不会刺激表达或不表达CaSR的CHO细胞中的[3H] IP积累。
  • 【谷氨酸脱羧酶65(GADA)抗体的测量:与[35S] GAD 65-配体结合测定相比,两种新的125I测定。】 复制标题 收藏 收藏
    DOI: 复制DOI
    作者列表:Borg H,Fernlund P,Sundkvist G
    BACKGROUND & AIMS: Recently, 65-kDa glutamic acid decarboxylase (GAD 65) antibodies (GADA) have been introduced as autoimmune markers in blood to confirm the diagnosis of insulin-dependent diabetes mellitus (IDDM). In this study, to evaluate two new assays that use 125I-labeled GAD 65, we assayed samples from 100 children with recent onset of diabetes and 100 control children, the results were compared with those of a [35S]GADA assay and with results for islet cell antibodies (ICA), the conventional autoimmune marker. Receiver operating characteristic (ROC) curve analysis showed one of the new assays (from RSR) to be more sensitive (P = 0.01) than the comparison ([35S]GADA) assay, whereas the second new assay (from Elias) was less sensitive (P < 0.001). The GADA frequency at 97.5% specificity was greatest in the comparison assay63 of 100 vs 41 of 100 (P < 0.01) and 53 of 100 (P = 0.16) in the RSR and Elias assays, respectively. Almost all GADA-positive patients had ICA, but one-third of the ICA-positive patients was GADA-negative. Accordingly, adding GADA analysis results to ICA testing increased the frequency of detection of autoimmune markers only slightly (from 81% to 85%). In conclusion, at 97.5% specificity the [35S]GADA assay seemed to be more efficient than the 125I assays, although the difference was significant only for the Elias 125I assay. Antigen-specific antibodies other than GADA may explain the difference in GADA and ICA frequencies.

    背景与目标: 最近,已经引入65 kDa的谷氨酸脱羧酶(GAD 65)抗体(GADA)作为血液中的自身免疫标记,以确认对胰岛素依赖型糖尿病(IDDM)的诊断。在这项研究中,为了评估使用125I标记的GAD 65的两种新检测方法,我们检测了100例最近患糖尿病的儿童和100例对照儿童的样品,将结果与[35S] GADA检测的结果进行了比较,并得出了胰岛细胞抗体(ICA),传统的自身免疫标记。接收者工作特征(ROC)曲线分析显示,一种新的测定法(来自RSR)的灵敏度(P = 0.01)比比较([35S] GADA)测定法灵敏,而第二种新的测定法(来自Elias)灵敏度低(P <0.001)。在RSR和Elias分析中,分别在100和41中的比较中63相对于100中的41(P <0.01)和100中的53(P = 0.16),在97.5%特异性下的GADA频率最大。几乎所有GADA阳性患者都患有ICA,但是ICA阳性患者中有三分之一是GADA阴性。因此,将GADA分析结果添加到ICA测试中,仅略微增加了自身免疫标记物的检测频率(从81%增至85%)。结论是,[35S] GADA分析的特异性为97.5%,似乎比125I分析更有效,尽管差异仅对Elias 125I分析有意义。 GADA以外的抗原特异性抗体可以解释GADA和ICA频率的差异。

  • 【某些derivatives衍生物作为新的抗癌和抗癌剂的合成和生物学评价。】 复制标题 收藏 收藏
    DOI:10.1016/j.ejmech.2012.10.011 复制DOI
    作者列表:Altıntop MD,Özdemir A,Turan-Zitouni G,Ilgın S,Atlı Ö,İşcan G,Kaplancıklı ZA
    BACKGROUND & AIMS: :New hydrazone derivatives were synthesized via the nucleophilic addition-elimination reaction of 2-[(1-methyl-1H-tetrazol-5-yl)thio)]acetohydrazide with aromatic aldehydes/ketones. The compounds were tested in vitro against various Candida species and compared with ketoconazole. Genotoxicity of the most effective anticandidal compounds was evaluated by umuC and Ames assays. All compounds were also investigated for their cytotoxic effects on NIH3T3 and A549 cell lines. Compound 8 was the most effective antifungal derivative against C. albicans (ATCC-90028) with a MIC value of 0.05 mg/mL. Compound 5 can be identified as the most promising anticancer agent against A549 cancer cell lines due to its inhibitory effect on A549 cell lines and low toxicity to NIH3T3 cells.
    背景与目标: :通过2-[((1-甲基-1H-四唑-5-基)硫基)]乙酰肼与芳香族醛/酮的亲核加成消除反应合成了新的衍生物。该化合物在体外针对各种念珠菌进行了测试,并与酮康唑进行了比较。通过umuC和Ames分析评估了最有效的抗候选化合物的基因毒性。还研究了所有化合物对NIH3T3和A549细胞系的细胞毒性作用。化合物8是针对白色念珠菌的最有效的抗真菌衍生物(ATCC-90028),MIC值为0.05 mg / mL。化合物5由于其对A549细胞系的抑制作用和对NIH3T3细胞的低毒性而可以被确定为最有前途的针对A549癌细胞系的抗癌剂。
  • 【马球盒从地穴中脱颖而出:PLK功能和演变的新视角。】 复制标题 收藏 收藏
    DOI:10.1016/j.str.2012.10.008 复制DOI
    作者列表:Jana SC,Bazan JF,Bettencourt-Dias M
    BACKGROUND & AIMS: :Polo-like kinases (PLKs) are marked by C-terminal polo box modules with critical protein interaction and subcellular targeting roles. Slevin et al. in this issue of Structure reveal the architecture of a hidden set of polo boxes from the divergent PLK4, a critical player in centrosome duplication, shedding new light on the evolution of PLKs and their functionally related kinase ZYG-1.
    背景与目标: :Polo样激酶(PLKs)的C末端polo盒模块具有关键的蛋白质相互作用和亚细胞靶向作用。 Slevin等在本期《结构》中,我们揭示了来自不同PLK4的一组隐藏的马球盒的结构,PLK4是质体复制的关键角色,为PLK及其功能相关激酶ZYG-1的进化提供了新的思路。
  • 【在5-芳基乙内酰脲的胺衍生物中寻找对抗革兰氏阴性耐药菌的新工具。】 复制标题 收藏 收藏
    DOI:10.1016/j.bmc.2012.10.053 复制DOI
    作者列表:Handzlik J,Szymańska E,Alibert S,Chevalier J,Otrębska E,Pękala E,Pagès JM,Kieć-Kononowicz K
    BACKGROUND & AIMS: :A series of amine-alkyl derivatives of 5-arylidenehydantoin 3-21 was evaluated for their ability to improve antibiotic effectiveness in two strains of Gram-negative Enterobacter aerogenes: the reference strain (ATCC-13048) and the chloramphenicol-resistant derivative over-producing the AcrAB-TolC efflux pump (CM-64). Three antibiotics, chloramphenicol, nalidixic acid and sparfloxacin were used as markers of efflux pump activity. New compounds (5-16) were obtained within 3-4 step synthesis using Knoevenagel condensation, Mitsunobu reaction and microwave aided N-alkylation. Molecular modeling based structure-activity relationship (SAR) studies were performed. The most active compounds: (Z)-5-(4-(diethylamino)benzylidene)-3-(2-hydroxy-3-(4-(2-hydroxyethyl)piperazin-1-yl)propyl)imidazolidine-2,4-dione (14) and (Z)-5-(2,4-dimethoxybenzylidene)-3-(2-hydroxy-3-(isopropylamino)propyl)imidazolidine-2,4-dione (15) induced fourfold decrease of minimal inhibition concentration (MIC) of all tested antibiotics in the strain CM-64 overexpressing the AcrAB-TolC pump.
    背景与目标: :在5种革兰氏阴性产气肠杆菌菌株中,评估了一系列5芳基乙内酰脲3-21的胺-烷基衍生物提高抗生素有效性的能力:参考菌株(ATCC-13048)和耐氯霉素的衍生物生产AcrAB-TolC外排泵(CM-64)。三种抗生素氯霉素,萘啶酸和司帕沙星被用作外排泵活动的标志物。使用Knoevenagel缩合,Mitsunobu反应和微波辅助的N-烷基化,可在3-4步合成过程中获得新化合物(5-16)。进行了基于分子建模的结构-活性关系(SAR)研究。最具活性的化合物:(Z)-5-(4-(二乙基氨基)亚苄基)-3-(2-羟基-3-(4-(2-羟基乙基)哌嗪-1-基)丙基)咪唑烷-2,4 -二酮(14)和(Z)-5-(2,4-二甲氧基亚苄基)-3-(2-羟基-3-(异丙基氨基)丙基)咪唑烷-2,4-二酮(15)引起最小抑制作用降低四倍AcrAB-TolC泵过表达的CM-64菌株中所有测试抗生素的浓度(MIC)。
  • 【在新发作的急诊科患者中进行实验室研究的实用性。】 复制标题 收藏 收藏
    DOI:10.1016/s0196-0644(05)82337-6 复制DOI
    作者列表:Turnbull TL,Vanden Hoek TL,Howes DS,Eisner RF
    BACKGROUND & AIMS: :Extensive laboratory testing is often performed in the emergency department evaluation of the new-onset seizure patient. To determine the utility of such testing, a prospective study of patients with a new-onset seizure presenting to the ED of an inner-city, university-affiliated teaching hospital was done. One hundred thirty-six patients were entered into the study between October 1984 and January 1988. All patients had uniform data collection performed. Pertinent historical information and physical examination findings were recorded on a standardized form before laboratory abnormality was a sole or contributory cause of the seizure disorder. These included four patients with hypoglycemia, four with hyperglycemia, two with hypocalcemia, and one with hypomagnesemia. Only two cases (hypoglycemia) were not suspected on the basis of findings on the history or physical examination. In ED patients, the incidence of a new-onset seizure due to a correctable metabolic disturbance is low. We conclude that, with the exception of the serum glucose, the extensive ED laboratory workup often done for the evaluation of a new-onset seizure is unnecessary. Further test ordering should be directed by the medical history and physical examination.
    背景与目标: :急诊科通常会对新发作的癫痫患者进行广泛的实验室检查。为了确定此类测试的实用性,对在市内大学附属教学医院急诊室就诊的新发癫痫患者进行了一项前瞻性研究。在1984年10月至1988年1月之间,共有136例患者进入研究。所有患者均进行了统一的数据收集。在实验室异常是癫痫发作的唯一或共同原因之前,以标准化的形式记录相关的历史信息和体格检查结果。这些患者包括四名低血糖患者,四名高血糖患者,两名低钙血症患者和一名低镁血症患者。根据病史或体格检查的结果,仅怀疑2例(低血糖)。在ED患者中,由于可纠正的代谢紊乱引起的新发作癫痫发作的发生率较低。我们得出的结论是,除血清葡萄糖外,不必要进行广泛的ED实验室检查以评估新发癫痫发作。进一步的测试顺序应由病史和体格检查指示。
  • 【新型超强效防晒霜的光防护潜力。】 复制标题 收藏 收藏
    DOI:10.1016/0190-9622(90)70063-n 复制DOI
    作者列表:Kaidbey KH
    BACKGROUND & AIMS: :A sun protection factor (SPF)-15 and an SPF-30 sunscreen were compared with regard to their ability to prevent sunburn cell formation after the exposure of human skin to a standardized dose of solar-simulated radiation. The SPF-30 sunscreen provided a significantly superior degree of photoprotection and almost prevented sunburn cell induction. Because sunburn cells may be markers of ultraviolet radiation-induced damage to DNA, the new superpotent sunscreens should offer an advantage in the prevention of skin cancer and long-term actinic damage to skin.
    背景与目标: :比较了防晒因子(SPF)-15和SPF-30防晒霜在人体皮肤暴露于标准剂量的太阳模拟辐射后可防止晒伤细胞形成的能力。 SPF-30防晒霜具有出色的光保护程度,几乎可以防止晒伤细胞的诱导。因为晒伤细胞可能是紫外线辐射引起的DNA损伤的标志物,所以新的超强效防晒霜应在预防皮肤癌和对皮肤的长期光化学损伤方面具有优势。
  • 【新的吡普拉汀类似物作为有效的醛糖还原酶抑制剂(ARIs)的合成和生物学评估。】 复制标题 收藏 收藏
    DOI:10.1016/j.ejmech.2012.09.014 复制DOI
    作者列表:Rao VR,Muthenna P,Shankaraiah G,Akileshwari C,Babu KH,Suresh G,Babu KS,Chandra Kumar RS,Prasad KR,Yadav PA,Petrash JM,Reddy GB,Rao JM
    BACKGROUND & AIMS: :As a continuation of our efforts directed towards the development of anti-diabetic agents from natural sources, piplartine was isolated from Piper chaba, and was found to inhibit recombinant human ALR2 with an IC(50) of 160 μM. To improve the efficacy, a series of analogues have been synthesized by modification of the styryl/aromatic and heterocyclic ring functionalities of this natural product lead. All the derivatives were tested for their ALR2 inhibitory activity, and results indicated that adducts 3c, 3e and 2j prepared by the Michael addition of piplartine with indole derivatives displayed potent ARI activity, while the other compounds displayed varying degrees of inhibition. The active compounds were also capable of preventing sorbitol accumulation in human red blood cells.
    背景与目标: :作为我们致力于从天然来源开发抗糖尿病药的努力的继续,从哌派(Piper chaba)分离了吡哌汀,并发现其抑制重组人ALR2的IC(50)为160μM。为了提高功效,已经通过修饰该天然产物铅的苯乙烯基/芳族和杂环官能团合成了一系列类似物。测试了所有衍生物的ALR2抑制活性,结果表明,通过迈克尔加成的吡哌丁与吲哚衍生物制得的加合物3c,3e和2j具有较强的ARI活性,而其他化合物则具有不同程度的抑制作用。活性化合物还能够防止山梨糖醇在人红细胞中积累。
  • 【一系列新的含吩噻嗪的蛋白质法呢基转移酶抑制剂的合成和生物学评估。】 复制标题 收藏 收藏
    DOI:10.1016/j.ejmech.2012.11.008 复制DOI
    作者列表:Abuhaie CM,Ghinet A,Farce A,Dubois J,Gautret P,Rigo B,Belei D,Bîcu E
    BACKGROUND & AIMS: :Two new families of human farnesyltransferase inhibitors 13a-m and 14a-d, based on a phenothiazine scaffold, were synthesized. Compounds 14a and 14b were the most promising inhibitors of human farnesyltransferase with IC(50) values of 0.7 and 0.6 μM, respectively.
    背景与目标: :基于吩噻嗪支架,合成了两个新的人类法呢基转移酶抑制剂家族13a-m和14a-d。化合物14a和14b是人类法呢基转移酶的最有希望的抑制剂,其IC(50)值分别为0.7和0.6μM。
  • 【靶向Pfs25的新的基于腺病毒的疫苗载体引发了抑制恶性疟原虫传播的抗体。】 复制标题 收藏 收藏
    DOI:10.1186/s12936-017-1896-7 复制DOI
    作者列表:McGuire KA,Miura K,Wiethoff CM,Williamson KC
    BACKGROUND & AIMS: BACKGROUND:An effective malaria transmission-blocking vaccine (TBV) would be a major advance in the current efforts to eliminate and, ultimately, eradicate malaria. Antibodies against Plasmodium falciparum surface protein, Pfs25, are known to block parasite development in the mosquito vector. However, in initial clinical trials the limited immunogenicity of recombinant Pfs25 protein-in-adjuvant vaccines has been a challenge. METHODS:Novel human adenovirus type 5 (Ad5) vectors were used in heterologous prime boost vaccination strategies to augment the immune response against Pfs25. Specifically, an Ad5 vector that directs expression of full-length, membrane-bound Pfs25 was used as a priming immunization followed by a boost with Ad5 viral particles displaying only the Pfs25 epitope targeted by transmission-blocking antibodies 4B7 and 1D2 (Pfs25 aa 122-134) in hypervariable region 5 of the hexon capsid protein. RESULTS:This heterologous prime-boost vaccine strategy induced antibodies that significantly inhibit P. falciparum transmission to mosquitoes in a standard membrane-feeding assay. Further, immunized mice generated a robust anti-Pfs25 antibody response characterized by higher titer, higher relative avidity and a broader IgG subclass profile than observed with a homologous prime-boost with recombinant Pfs25/alum. CONCLUSION:The data suggest that focusing the immune response against defined epitopes displayed on the viral capsid is an effective strategy for transmission-blocking vaccine development.
    背景与目标: 背景:有效的阻断疟疾传播的疫苗(TBV)将是当前消除并最终消除疟疾的努力中的一项重大进展。已知针对恶性疟原虫表面蛋白Pfs25的抗体可阻断蚊媒中的寄生虫发育。然而,在最初的临床试验中,重组Pfs25蛋白佐剂疫苗的有限的免疫原性一直是一个挑战。
    方法:将新型人类5型腺病毒(Ad5)载体用于异源初免疫苗接种策略,以增强针对Pfs25的免疫应答。具体而言,将指导全长,与膜结合的Pfs25全长表达的Ad5载体用作初免免疫,然后用仅显示被传递阻断抗体4B7和1D2靶向的Pfs25表位的Ad5病毒颗粒进行加强免疫(Pfs25 aa 122- 134)在六邻体衣壳蛋白的高变区5中。
    结果:这种异源的初免-加强疫苗策略诱导的抗体在标准的膜喂养试验中可显着抑制恶性疟原虫向蚊子的传播。此外,与用重组Pfs25 / alum的同源初免-加强免疫所观察到的相比,免疫的小鼠产生了强大的抗Pfs25抗体应答,其特征在于更高的滴度,更高的相对亲和力和更宽的IgG亚类谱。
    结论:数据表明,针对病毒衣壳上展示的确定表位的免疫反应是阻止传播疫苗发展的有效策略。
  • 15 New horizons in breast imaging. 复制标题 收藏 收藏

    【乳房成像的新视野。】 复制标题 收藏 收藏
    DOI:10.1016/j.clon.2012.10.002 复制DOI
    作者列表:Kilburn-Toppin F,Barter SJ
    BACKGROUND & AIMS: :The imaging of breast cancer has undergone significant progression in recent years. A multimodality approach is often required, with ongoing developments in mammography, ultrasound, magnetic resonance and nuclear medicine all contributing to breast cancer imaging. Here we review the literature to assess how advances in well-established technologies, such as mammography, have brought added benefits both in terms of diagnostic and practical benefits, as well as allowing the application of derived technologies, such as tomosynthesis and contrast-enhanced mammography. We consider how these newer technologies may fit into clinical practice, both in terms of general population screening as well as use as problem solving tools in specific patient groups, and where the limitations for these may lie. We aim to highlight some of the promising advances in imaging that are still in earlier stages, such as magnetic resonance elastography, as well as reviewing techniques that are already becoming incorporated into clinical practice.
    背景与目标: :近年来,乳腺癌的影像学经历了重大进展。通常需要一种多模态方法,随着乳房X线照片,超声,磁共振和核医学的不断发展,所有这些都有助于乳腺癌的成像。在这里,我们回顾文献以评估诸如乳房X线照相术等成熟技术的进步如何在诊断和实际获益方面带来了额外的好处,以及如何允许诸如断层合成和对比增强的X线照相术等衍生技术的应用。我们从总体人群筛查以及在特定患者组中用作问题解决工具的角度考虑这些更新技术如何适合临床实践,以及这些方法可能存在的局限性。我们的目标是突出显示仍处于早期阶段的一些有希望的成像进展,例如磁共振弹性成像以及已经纳入临床实践的检查技术。

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