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Extracorporeal organ support for critically ill patients:Overcoming the past,achieving the maximum at present,and redefining the future
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作者 Panagiotis Papamichalis Katerina G Oikonomou +4 位作者 Maria Xanthoudaki Asimina Valsamaki Apostolia-Lemonia Skoura Sophia K Papathanasiou Achilleas Chovas 《World Journal of Critical Care Medicine》 2024年第2期19-28,共10页
Extracorporeal organ support(ECOS)has made remarkable progress over the last few years.Renal replacement therapy,introduced a few decades ago,was the first available application of ECOS.The subsequent evolution of ECO... Extracorporeal organ support(ECOS)has made remarkable progress over the last few years.Renal replacement therapy,introduced a few decades ago,was the first available application of ECOS.The subsequent evolution of ECOS enabled the enhanced support to many other organs,including the heart[veno-arterial extracorporeal membrane oxygenation(ECMO),slow continuous ultrafiltration],the lungs(veno-venous ECMO,extracorporeal carbon dioxide removal),and the liver(blood purification techniques for the detoxification of liver toxins).Moreover,additional indications of these methods,including the suppression of excessive inflammatory response occurring in severe disorders such as sepsis,coronavirus disease 2019,pancreatitis,and trauma(blood purification techniques for the removal of exotoxins,endotoxins,or cytokines),have arisen.Multiple organ support therapy is crucial since a vast majority of critically ill patients present not with a single but with multiple organ failure(MOF),whereas,traditional therapeutic approaches(mechanical ventilation for acute respiratory failure,antibiotics for sepsis,and inotropes for cardiac dysfunction)have reached the maximum efficacy and cannot be improved further.However,several issues remain to be clarified,such as the complexity and cost of ECOS systems,standardization of indications,therapeutic protocols and initiation time,choice of the patients who will benefit most from these interventions,while evidence from randomized controlled trials supporting their use is still limited.Nevertheless,these methods are currently a part of routine clinical practice in intensive care units.This editorial presents the past,present,and future considerations,as well as perspectives regarding these therapies.Our better understanding of these methods,the pathophysiology of MOF,the crosstalk between native organs resulting in MOF,and the crosstalk between native organs and artificial organ support systems when applied sequentially or simultaneously,will lead to the multiplication of their effects and the minimization of complications arising from their use. 展开更多
关键词 Kidney-liver replacement therapy Heart-lung support Blood purification Native–artificial organ crosstalk Multiple organ support therapy Extracorporeal organ support
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多器官功能障碍综合征:心脏与外周器官的交互作用及其调控机制
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作者 闫浩杰 邵钧捷 +3 位作者 周晶晶 岳帅 蒋敏 张然 《中华老年多器官疾病杂志》 2024年第6期472-476,共5页
多器官功能障碍综合征(MODS)常常会导致炎症反应失控、能量代谢障碍以及多器官交互作用紊乱,是患者疾病后期高病死率的主要原因。器官交互作用是指通过细胞、可溶性物质或神经激素途径介导的器官之间的复杂生物通信。目前,已有大量研究... 多器官功能障碍综合征(MODS)常常会导致炎症反应失控、能量代谢障碍以及多器官交互作用紊乱,是患者疾病后期高病死率的主要原因。器官交互作用是指通过细胞、可溶性物质或神经激素途径介导的器官之间的复杂生物通信。目前,已有大量研究证据表明心脏与肠道菌群、肺、肾、肝和大脑等多个组织器官之间存在密切且复杂的交互作用。本文对MODS的发病机制,器官交互紊乱的病理生理基础以及心脏与肠道、肝脏和大脑等重要器官之间的交互作用和调控机制进行综述,不仅有助于早期预测和干预与MODS发生发展相关的风险因素,还将为MODS的治疗提供新的干预靶点。 展开更多
关键词 多器官功能障碍综合征 心脏 器官交互
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Organic Thin Film Electroluminescent Passive Matrix Display
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作者 ZHANGBu-xin ZHANGZhi-lin 《Journal of Shanghai University(English Edition)》 CAS 2001年第2期151-155,共5页
Long life green emitting matrix display based on organic light emitting diode is reported. The pixel number is 96×60, equivalent pixel size 0.4×0.4 mm 2, and the pixel gap 0.1 mm. An image with no crossta... Long life green emitting matrix display based on organic light emitting diode is reported. The pixel number is 96×60, equivalent pixel size 0.4×0.4 mm 2, and the pixel gap 0.1 mm. An image with no crosstalk between pixels is obtained. The average luminance of these pixels at duty cycle of 1/64 is 100 cd/m 2, and the power consumption is 0.6 W. The dark room contrast of 1∶100 is achieved without using a polarization filter. 展开更多
关键词 organic thin film electroluminescent devices matrix display passive driven crosstalk
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局部骨骼与系统器官的内分泌对话 被引量:2
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作者 张丞贵 宋纯理 《中华骨质疏松和骨矿盐疾病杂志》 CSCD 北大核心 2019年第5期511-516,共6页
传统的观念认为骨骼是支撑身体、保护内脏、维持体内钙-磷平衡的惰性器官。近几年来,骨骼的概念发生了颠覆性改变,骨骼其实是一种活跃的内分泌器官,可与系统器官进行密切对话。事实上,骨骼可通过分泌特殊的激素(骨钙素、成纤维细胞生长... 传统的观念认为骨骼是支撑身体、保护内脏、维持体内钙-磷平衡的惰性器官。近几年来,骨骼的概念发生了颠覆性改变,骨骼其实是一种活跃的内分泌器官,可与系统器官进行密切对话。事实上,骨骼可通过分泌特殊的激素(骨钙素、成纤维细胞生长因子23、脂质运载蛋白2等)作用于系统器官,调节肌肉功能、能量代谢、认知功能和男性生殖等。为了更好地认识骨骼作为内分泌器官的重要功能,本文对骨骼与肌肉、脑、肾脏、肝脏、胰腺及生殖腺等器官之间的相互对话及其对话机制进行系统阐述,为治疗系统器官疾病提供新的靶点。 展开更多
关键词 骨骼 系统器官 内分泌对话
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急性肾损伤与体外器官功能支持的交互作用 被引量:2
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作者 董建华(综述) 葛永纯(审校) 《肾脏病与透析肾移植杂志》 CAS CSCD 北大核心 2021年第1期81-86,共6页
多器官功能障碍通过器官交互作用由初始损伤器官影响远隔器官功能。急性肾损伤(AKI)可导致其他器官功能损伤,也可以是其他器官功能障碍的继发结果。无论肾脏是首发损伤器官,还是作为远隔器官受累,AKI均是危重症患者死亡的独立危险因素... 多器官功能障碍通过器官交互作用由初始损伤器官影响远隔器官功能。急性肾损伤(AKI)可导致其他器官功能损伤,也可以是其他器官功能障碍的继发结果。无论肾脏是首发损伤器官,还是作为远隔器官受累,AKI均是危重症患者死亡的独立危险因素。所谓体外器官功能支持治疗(ECOS)就是通过引出体内血液,建立体外血液循环,经特定装置和技术处理,进行器官功能支持治疗。肾脏替代治疗、肝功能支持治疗和体外膜肺氧合是危重症救治中常用的ECOS。器官交互作用影响重症患者的预后,它存在于不同原生器官间、原生器官与人工器官间,以及组合式多器官功能支持时各人工器官间。 展开更多
关键词 器官交互 体外器官功能支持 急性肾损伤 肾脏替代治疗 体外膜肺氧合
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组织器官通讯对骨骼肌发育的作用及调控机制研究进展 被引量:1
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作者 张孜怡 贺昭昭 庞卫军 《生物工程学报》 CAS CSCD 北大核心 2023年第4期1502-1513,共12页
骨骼肌是动物机体最重要的器官之一,研究骨骼肌发育调控机制对于肌肉相关疾病的诊断以及家畜肉质的改善都有着重要意义。骨骼肌发育调控是一个复杂的过程,受到大量肌肉分泌因子和信号通路的调节。此外,为了维持体内代谢稳态并最大限度... 骨骼肌是动物机体最重要的器官之一,研究骨骼肌发育调控机制对于肌肉相关疾病的诊断以及家畜肉质的改善都有着重要意义。骨骼肌发育调控是一个复杂的过程,受到大量肌肉分泌因子和信号通路的调节。此外,为了维持体内代谢稳态并最大限度地利用能量,机体协调多个组织器官形成了复杂而又精密的代谢调控网络,对于调控骨骼肌发育也发挥着重要的作用。随着组学技术的发展,人们对于组织器官通讯的潜在机制进行了深入研究。本文综述了脂肪组织、神经组织、肠道等组织器官通讯对于骨骼肌发育的影响,以期为靶向调控骨骼肌发育提供理论基础。 展开更多
关键词 骨骼肌发育 组织器官通讯 多组学 分泌因子
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Hippo signaling:A hub of growth control,tumor suppression and pluripotency maintenance 被引量:13
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作者 Mengxin Yin Lei Zhang 《Journal of Genetics and Genomics》 SCIE CAS CSCD 2011年第10期471-481,共11页
The molecular mechanisms of organ size control and regulation remain one of the major unsolved mysteries of development biology. Almost a decade ago, the discovery of the Hippo signaling pathway in Drosophila shed som... The molecular mechanisms of organ size control and regulation remain one of the major unsolved mysteries of development biology. Almost a decade ago, the discovery of the Hippo signaling pathway in Drosophila shed some light on this puzzling issue. The Hippo signaling pathway is highly conserved in both invertebrates and vertebrates, and plays critical roles in animal development. It controls organ size and growth by inhibiting cell proliferation and by promoting apoptosis. Malfunction of the Hippo signaling pathway leads to cancer development and tumorigenesis. Although the core of the signaling pathway is well understood, the upstream inputs and downstream transcriptional regulation are still obscure to us. In this review, we summarize the current understanding of the mechanism and the function of the Hippo signaling pathway and compare its differences between flies and mammals. We underline the crosstalk between the Hippo signaling pathway and other signaling pathways, and the possible roles of the Hippo pathway in stem cell proliferation and self-renewal. 展开更多
关键词 Cell signaling crosstalk Development DROSOPHILA HIPPO organ size control Stem cell TUMORIGENESIS
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