Transhepatic fibrinolysis of mesenteric and portal vein thrombosis in a patient with uIterative colitis: A case report

AIM: To present a case of acute mesenteric and portal vein thrombosis treated with thrombolytic therapy in a patient with ulcerative colitis in acute phase and to review the literature on thrombolytic therapy of mesenteric-portal system. Treatment of acute portal vein thrombosis has ranged from conservative treatment with thrombolysis and anticoagulation therapy to surgical treatment with thrombectomy and/or intestinal resection.METHODS: We treated our patient with intraportal infusion of plasminogen activator and then heparin through a percutaneous transhepatic catheter.RESULTS: Thrombus resolved despite premature interruption of the thrombolytic treatment for neurological complications, which subsequently resolved.CONCLUSION: Conservative management with plasminogen activator, could be considered as a good treatment for patients with acute porto-mesenteric thrombosis.

线粒体相关内质网膜在细胞凋亡中的作用

作为内质网和线粒体之间起到沟通作用的直接桥梁,线粒体相关内质网膜(mitochondrial associated endoplasmic reticulum membrane,MAMs)承担着Ca^(2+)稳态维持、细胞凋亡等多种生理功能,还参与癌症、神经退行性疾病等的病理过程。随着MAMs结构、功能和调节在细胞凋亡中作用研究的深入和广泛开展,细胞凋亡过程和调节机制也变得更为复杂。本文总结了近年来细胞凋亡过程中MAMs变化和作用的研究进展,重点从MAMs的栓系蛋白、调节蛋白以及MAMs对线粒体结构变化的调节等方面评述了细胞凋亡过程中MAMs的作用。