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不同机制所致的血管紊乱化生长的共同干预——安罗替尼治疗右肺鳞癌合并血栓闭塞性脉管炎1例 被引量:7
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作者 郝慧娟 张旻 +2 位作者 张国清 朱慧 包婺平 《中国肺癌杂志》 CAS CSCD 北大核心 2020年第1期60-I0009,共5页
背景与目的肺目前为止血栓闭塞性脉管炎(thromboangiitis obliterans,TAO,又称Buerger disease)仍无理想的治疗方法。安罗替尼作为三线药物,指南推荐用于二线治疗后复发或进展的晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)患... 背景与目的肺目前为止血栓闭塞性脉管炎(thromboangiitis obliterans,TAO,又称Buerger disease)仍无理想的治疗方法。安罗替尼作为三线药物,指南推荐用于二线治疗后复发或进展的晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者。分析1例右肺鳞癌合并血栓闭塞性脉管炎的治疗困境及疗效评价,为两种疾病的治疗提供新的思路。方法回顾性分析了上海交通大学附属第一人民医院呼吸与危重症医学科2018年8月收治的1例右肺鳞癌合并血栓闭塞性脉管炎的诊断、治疗过程,并文献复习。结果患者男性,73岁,因"咳嗽、咳痰5月"入院。查体双下肢色素沉着伴足背动脉搏动减弱。既往有吸烟史,可疑血管性间歇性跛行并游走性静脉炎一年余。胸部计算机断层扫描(computed tomography,CT)提示右上肺肿瘤伴阻塞性肺炎,气管镜活检证实为鳞癌;B超提示双上肢及双下肢多发动脉闭塞,下肢深静脉血栓。诊断考虑:右肺鳞癌(T4N2M0,Ⅲb期),体力状况(performance status,PS)评分2分;肺部感染;血栓闭塞性脉管炎。患者外周穿刺置入中心静脉导管(peripherallyinsertedcentral catheter,PICC)和静脉输液岗植入术均失败,无法进行化疗。结合文献检索,考虑TAO也可能存在血管内皮细胞生长因子(vascular endothelial growth factor,VEGF)信号通路紊乱,选择安罗替尼(12 mg qd po)治疗。患者耐受性良好,随访14个月,肺部病变持续空洞化并缩小,同时血栓闭塞性脉管炎好转。结论该患者罹患鳞癌合并TAO,安罗替尼治疗可有效控制肺癌增长,同时改善TAO相关症状。安罗替尼可能通过阻断VEGF信号通路,纠正紊乱化生长的血管,而不仅仅是抑制血管生成。 展开更多
关键词 安罗替尼 血管生长因子 血栓闭塞性脉管炎
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RebL1 is required for macronuclear structure stability and gametogenesis in Tetrahymena thermophila
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作者 huijuan hao Yinjie Lian +5 位作者 Chenhui Ren Sitong Yang Min Zhao Tao Bo Jing Xu Wei Wang 《Marine Life Science & Technology》 SCIE CSCD 2024年第2期183-197,共15页
Histone modification and nucleosome assembly play important roles in chromatin-related processes.Histone chaperones form different complexes and coordinate histone transportation and assembly.Various histone chaperone... Histone modification and nucleosome assembly play important roles in chromatin-related processes.Histone chaperones form different complexes and coordinate histone transportation and assembly.Various histone chaperone complexes have been identified in different organisms.The ciliate protozoa(ciliates)have various chromatin structures and different nuclear morphology.However,histone chaperone components and functions of different subunits remain unclear in ciliates.Tet-rahymema thermophila contains a transcriptionally active macronucleus(MAC)and a transcriptionally inactive micronu-cleus(MIC)which exhibit multiple replication and various chromatin remodeling progresses during vegetative growth and sexual developmental stages.Here,we found histone chaperone RebL1 not only localized evenly in the transcriptionally active MAC but also dynamically changed in the MIC during vegetative growth and sexual developmental stages.REBL1 knockdown inhibited cellular proliferation.The macronuclear morphology became bigger in growing mutants.The abnormal macronuclear structure also occurred in the starvation stage.Furthermore,micronuclear meiosis was disturbed during sexual development,leading to a failure to generate new gametic nuclei.RebL1 potentially interacted with various factors involved in histone-modifying complexes and chromatin remodeling complexes in different developmental stages.REBL1 knockdown affected expression levels of the genes involved in chromatin organization and transcription.Taken together,RebL1 plays a vital role in maintaining macronuclear structure stability and gametogenesis in T.thermophila. 展开更多
关键词 GAMETOGENESIS Histone chaperone Macronuclear structure RebL1 Tetrahymena thermophilaIntroduction
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Periodic acoustic source tracking using propagation delayed measurements
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作者 huijuan hao Zhansheng DUAN 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2022年第4期390-399,共10页
There exist a large class of acoustic sources which have an underlying periodic phenomenon. Unlike the well-studied Bearings-Only Tracking(BOT) of an aperiodic acoustic source,this paper considers the problem of track... There exist a large class of acoustic sources which have an underlying periodic phenomenon. Unlike the well-studied Bearings-Only Tracking(BOT) of an aperiodic acoustic source,this paper considers the problem of tracking a periodic acoustic source. For periodic acoustic tracking, the signal emission time is known. However, the true measurement reception time is unknown because it is corrupted by noise due to propagation delay. We augment the sensor’s signal reception time onto bearing measurements, and the information of the delay constraint is included in the original bearing measurements to compensate for the propagation delay. A Cubature Kalman Filter(CKF) is used for periodic acoustic source tracking, in which measurement prediction cannot be obtained directly because the sensor’s position at the true measurement reception time is unknown.We solve this problem by using the implicit Gauss-Helmert Sensor Model(GHSM) for estimating the sensor’s position, which consists of the sensor’s motion equation and the known measured sensor’s signal reception time equation related to the state. Then a CKF based on the GHSM(CF-GHSM) is developed for periodic acoustic tracking. Illustrative examples demonstrate that the CF-GHSM algorithm is better than other algorithms for periodic acoustic source tracking. 展开更多
关键词 Periodic acoustic source Propagation delay Target Motion Analysis(TMA) Cubature Kalman Filter(CKF) Gauss-Helmert model
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