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Lack of new antiinfective agents: Passing into the pre-antibiotic age? 被引量:2
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作者 Klaus Brandenburg Tobias Schürholz 《World Journal of Biological Chemistry》 CAS 2015年第3期71-77,共7页
The lack of newly developed antibiotics, together with the increase in multi-resistance of relevant pathogenic bacteria in the last decades, represents an alarming signal for human health care worldwide. The number of... The lack of newly developed antibiotics, together with the increase in multi-resistance of relevant pathogenic bacteria in the last decades, represents an alarming signal for human health care worldwide. The number of severely infected persons increases not only in developing but also in highly industrialized countries. This relates in first line to the most severe form of a bacterial infection, sepsis and the septic shock syndrome, with high mortality on critical care units. No particular anti-sepsis drug is available, and the therapy with conventional antibiotics more and more fails to provide a survival benefit. Due to the fact that the pharmaceutical industry has withdrawn to a high degree from the development of anti-infectious agents, a huge challenge for health care is approaching in the 21 st century. In this article, these problems are outlined and possible alternatives are presented which may be helpful to solve the problem. 展开更多
关键词 ANTIMICROBIAL resistance ANTIBIOTICS SEPSIS ANTIMICROBIAL peptides LIPOPROTEINS Inflammation Cytokines ENDOTOXINS
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德国分离出北京基因型耐多药结核分枝杆菌株
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作者 T. Kubica S. Rsch-Gerdes +1 位作者 S. Niemann 张宗德 《结核与肺部疾病杂志》 2005年第2期53-58,共6页
背景:德国1995年至2001年。目的:确定在德国分离出的451株耐多药结核分枝杆菌株间的基因相关性,以及鉴定北京基因型菌株。设计:所有菌株均行IS6110指纹及簇型分析。成簇的分离菌株作为近期传播的尺度。结果:433株中有214株(49.4%)具有4... 背景:德国1995年至2001年。目的:确定在德国分离出的451株耐多药结核分枝杆菌株间的基因相关性,以及鉴定北京基因型菌株。设计:所有菌株均行IS6110指纹及簇型分析。成簇的分离菌株作为近期传播的尺度。结果:433株中有214株(49.4%)具有4个以上IS6110拷贝,构成了46个指纹簇型,包含2-32例病人。以经典的流行病学资料为基础,39例病人(18.2%)、在14个簇型(30.4%)间建立了传播联系,还包括3例MDR-TB(耐多药结核杆菌)的外源性再感染。有175株(38.8%)为北京基因型菌株,并呈逐年增长趋势,从1995年的19.2%增至2001年的58.3%。这些病例约70%在国外主要是前苏联出生。结论:MDR-TB菌株的传播看来是导致德国MDR-TB播散的原因。MDR-TB菌株的外源性再感染应考虑为治疗失败的可能原因。高比例的MDR-TB菌株很可能是由前苏联传入,北京基因型菌株说明了MDR-TB在德国增长的原因之一。 展开更多
关键词 德国 北京基因型 耐多药性 结核分枝杆菌株 流行病学 细菌学
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北京基因型是哈萨克斯坦耐药结核病的主要原因
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作者 T. Kubica R. Agzamova +7 位作者 A. Wright M. A. Aziz G. Rakishev V. Bismilda E. Richter S. Rüsch-Gerdes S. Niemann 张宗德 《结核与肺部疾病杂志》 2005年第4期150-157,共8页
地点:哈萨克斯坦的 9 个州,2001 年。目的:分析哈萨克斯坦的耐药结核杆菌分离株的遗传学联系,确定北京基因型的频率。设计:对 2001 年全国耐药监测中 9 个州的所有耐药涂阳病例进行IS6110指纹和间隔区寡核苷酸分型法(spoligotyping)分... 地点:哈萨克斯坦的 9 个州,2001 年。目的:分析哈萨克斯坦的耐药结核杆菌分离株的遗传学联系,确定北京基因型的频率。设计:对 2001 年全国耐药监测中 9 个州的所有耐药涂阳病例进行IS6110指纹和间隔区寡核苷酸分型法(spoligotyping)分析。分离株来自 150 名病人(64名初治,86 名复治病人)。结果:8 例(5.3%)为重复感染。其余 142 株,91株(64.1%)分布在 18 个簇,提示耐药结核病的近期传播率很高。这一结果通过分析成簇菌株相似的耐药谱及病人的来源得到更进一步的证实。而且,成簇菌株中 1/3 以上为新病例。其中,70%为北京基因型,而对照组 40 例敏感株中只有 37.5%为北京基因型。结论:耐药结核病的传播是此结核病高发区耐药菌株传播所致。可以看出,北京基因型是引起哈萨克斯坦耐药结核病的主要原因,北京基因型和耐药相关。 展开更多
关键词 结核分枝杆菌 北京基因型 分子流行病学 耐药 重复感染 耐药结核病 哈萨克斯坦 基因型 北京 耐药菌株传播
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ADAM10 sheddase activation is controlled by cell membrane asymmetry
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作者 Florian Bleibaum Anselm Sommer +9 位作者 Martin Veit Bjorn Rabe Jorg Andra Karl Kunzelmann Christian Nehls Wilmar Correa Thomas Gutsmann Joachim Grotzinger Sucharit Bhakdi Karina Reiss 《Journal of Molecular Cell Biology》 SCIE CAS CSCD 2019年第11期979-993,共15页
Dysregulation of the disintegrin-metalloproteinase ADAM10 may contribute to the development of diseases including tumorigenesis and Alzheimer's disease.The mechanisms underlying ADAM10 sheddase activation are inco... Dysregulation of the disintegrin-metalloproteinase ADAM10 may contribute to the development of diseases including tumorigenesis and Alzheimer's disease.The mechanisms underlying ADAM10 sheddase activation are incompletely understood.Here,we show that transient exposure of the negatively charged phospholipid phosphatidylserine(PS)is necessarily required.The soluble PS headgroup was found to act as competitive inhibitor of substrate cleavage.Overexpression of the Ca2+-dependent phospholipid scramblase Anoctamin-6(AN06)led to increased PS externalization and substrate release.Transfection with a constitutively active form of AN06 resulted in maximum sheddase activity in the absence of any stimulus.Calcium-dependent ADAM10 activation could not be induced in lymphocytes of patients with Scott syndrome harbouring a missense mutation in AN06.A putative PS-binding motif was identified in the conserved stalk region.Replacement of this motif resulted in strong reduction of sheddase activity.In conjunction with the recently described 3D structure of the ADAM10 extracellular domain,a model is advanced to explain how surface-exposed PS triggers ADAM 10 sheddase function. 展开更多
关键词 ADAM10 ACTIVATION SHEDDING Anoctamin-6 PHOSPHATIDYLSERINE cell membrane asymmetry
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