一、ISDS国际中心1967年,联合国教科文组织(Unesco)与国际科学协会理事会(InternationalCouncil of Scientific Unions)共同研究建立世界科学情报系统(Universal ScienceInformation System—Unisist)的可能性。根据这一设想,该会的书...一、ISDS国际中心1967年,联合国教科文组织(Unesco)与国际科学协会理事会(InternationalCouncil of Scientific Unions)共同研究建立世界科学情报系统(Universal ScienceInformation System—Unisist)的可能性。根据这一设想,该会的书目著录工作小组(Working Group on BibliographyDescription)认为建立一种全世界通用的编号系统,通过电子计算机处理、登记与传播有关连续出版物的准确信息。展开更多
自从国际连续出版物数据系统(InternationalSerials Data System,简称ISDS)和《国际标准书目著录》(连续出版物)(International Standard BibliographicDescription for Serials,简称ISBD(S))这两个有关连续出版物的系统诞生以来,国际...自从国际连续出版物数据系统(InternationalSerials Data System,简称ISDS)和《国际标准书目著录》(连续出版物)(International Standard BibliographicDescription for Serials,简称ISBD(S))这两个有关连续出版物的系统诞生以来,国际书目控制组织、各国的国家编目机构以及世界著名书目专家便一致呼吁这两个系统能够逐步靠拢,直到兼容,以节省人力、物力,提高工作效益。十多年来,经过多方面的努力,这一问题终于得到了比较圆满的解决。一、关于ISDS第二次世界大战以来,随着科学技术的发展,连续出版物(其中主要是期刊)的出版量猛增。如何迅速而准确地掌握庞大数量出版物的有关信息,是图书情报。展开更多
Exosome-derived long non-coding RNAs(lncRNAs)are extensively engaged in recovery and repair of the injured spinal cord,through different mechanisms.However,to date no study has systematically evaluated the differentia...Exosome-derived long non-coding RNAs(lncRNAs)are extensively engaged in recovery and repair of the injured spinal cord,through different mechanisms.However,to date no study has systematically evaluated the differentially expressed lncRNAs involved in the development of spinal cord injury.Thus,the aim of this study was to identify key circulating exosome-derived lncRNAs in a rat model of spinal cord injury and investigate their potential actions.To this end,we established a rat model of spinal cord hemisection.Circulating exosomes were extracted from blood samples from spinal cord injury and control(sham)rats and further identified through Western blotting and electron microscopy.RNA was isolated from the exosomes and sequenced.The enrichment analysis demonstrated that there were distinctively different lncRNA and mRNA expression patterns between the two groups.Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway analysis and Gene Ontology(GO)functional analysis were performed to determine the possible involvements of upregulated and downregulated lncRNAs in various pathways and different biological processes,as well as their cellular locations and molecular functions.Furthermore,quantitative reverse transcription-polymerase chain reaction showed that the expression of five lncRNAs––ENSRN0T00000067908,XR_590093,XR_591455,XR_360081,and XR_346933––was increased,whereas the expression of XR_351404,XR_591426,XR_353833,XR_590076,and XR_590719 was decreased.Of note,these 10 lncRNAs were at the center of the lncRNA-miRNA-mRNA coexpression network,which also included 198 mRNAs and 41 miRNAs.Taken together,our findings show that several circulating exosomal lncRNAs are differentially expressed after spinal cord injury,suggesting that they may be involved in spinal cord injury pathology and pathogenesis.These lncRNAs could potentially serve as targets for the clinical diagnosis and treatment of spinal cord injury.展开更多
国际标准连续出版物号(InternationalStandard Serial Number-ISSN)就是为每一连续出版物的题名(期刊称刊名)分配的一种唯一的、永久不变的、国际通用的标准代码,其目的是为了便于实现自动化管理和国际间的信息交流。 这一工作统一由国...国际标准连续出版物号(InternationalStandard Serial Number-ISSN)就是为每一连续出版物的题名(期刊称刊名)分配的一种唯一的、永久不变的、国际通用的标准代码,其目的是为了便于实现自动化管理和国际间的信息交流。 这一工作统一由国际连续出版物数据系统国际中心(International Serial DataSystem/International Centre—ISDS/IC)组织实施。展开更多
介绍了美国佛罗里达州卫生局(FDOH)建立区域医疗网络项目的概况和进展,着重探讨了项目架构和解决标准统一问题。佛州卫生局在考虑到各地方不同的医疗卫生状况后选用了"混合式"的架构,以企业级应用集成(Enterprise Appli- cati...介绍了美国佛罗里达州卫生局(FDOH)建立区域医疗网络项目的概况和进展,着重探讨了项目架构和解决标准统一问题。佛州卫生局在考虑到各地方不同的医疗卫生状况后选用了"混合式"的架构,以企业级应用集成(Enterprise Appli- cation Integration,EAI)技术为基础实现区域医疗信息的共享。同时针对各地医院采用的信息系统差异很大、数据缺乏统一标准的情况,佛州卫生局引入"集成代理"的方案以很低的成本解决了统一标准问题。佛州卫生局建立RHIO(Regional Health Information Organization)的实践对于我国的RHIO建设具有很高的参考价值。展开更多
AIM: To assess numbers and case fatality of patients with upper gastrointestinal bleeding(UGIB),effects of deprivation and whether weekend presentation affected outcomes.METHODS: Data was obtained from Information Ser...AIM: To assess numbers and case fatality of patients with upper gastrointestinal bleeding(UGIB),effects of deprivation and whether weekend presentation affected outcomes.METHODS: Data was obtained from Information Services Division(ISD) Scotland and National Records of Scotland(NRS) death records for a ten year period between 2000-2001 and 2009-2010. We obtained data from the ISD Scottish Morbidity Records(SMR01) database which holds data on inpatient and daycase hospital discharges from non-obstetric and nonpsychiatric hospitals in Scotland. The mortality data was obtained from NRS and linked with the ISD SMR01 database to obtain 30-d case fatality. We used 23 ICD-10(International Classification of diseases) codes which identify UGIB to interrogate database. We analysed these data for trends in number of hospital admissions with UGIB,30-d mortality over time and assessed effects of social deprivation. We compared weekend and weekday admissions for differences in 30-d mortality and length of hospital stay. We determined comorbidities for each admission to establish if comorbidities contributed to patient outcome. RESULTS: A total of 60643 Scottish residents were admitted with UGIH during January,2000 and October,2009. There was no significant change in annual number of admissions over time,but there was a statistically significant reduction in 30-d case fatality from 10.3% to 8.8%(P < 0.001) over these 10 years. Number of admissions with UGIB was higher for the patients from most deprived category(P < 0.05),although case fatality was higher for the patients from the least deprived category(P < 0.05). There was no statistically significant change in this trend between 2000/01-2009/10. Patients admitted with UGIB at weekends had higher 30-d case fatality compared with those admitted on weekdays(P < 0.001). Thirty day mortality remained significantly higher for patients admitted with UGIB at weekends after adjusting for comorbidities. Length of hospital stay was also higher overall for patients admitted at the weekend when compared to weekdays,although only reached statistical significance for the last year of study 2009/10(P < 0.0005). CONCLUSION: Despite reduction in mortality for UGIB in Scotland during 2000-2010,weekend admissions show a consistently higher mortality and greater lengths of stay compared with weekdays.展开更多
Within the expanding paradigm of medical imaging in Teleradiology-Telemedicine there is increasing demand for transmitting diagnostic medical imagery. These are usually rich in radiological contents and the associated...Within the expanding paradigm of medical imaging in Teleradiology-Telemedicine there is increasing demand for transmitting diagnostic medical imagery. These are usually rich in radiological contents and the associated file sizes are large which must be compressed with minimal file size to minimize transmission time and robustly coded to withstand required network medium. It has been reinforced through extensive research that the diagnostically important regions of medical images, the Region of Interest (ROI), must be compressed by lossless or near lossless algorithm while on the other hand, the background region be compressed with some loss of information but still recognizable using JPEG 2000 standard. We develop a compression model and present its application on MRI images. Applying on MRI images achieved higher compression ratio 16:1, analogously minimum transmission time, using MAXSHIFT method proved diagnostically significant and effective both objectively and subjectively.展开更多
BACKGROUND Type 1 diabetes originates from gene-environment interactions,with increasing incidence over time.AIM To identify correlates of childhood type 1 diabetes in European countries using an ecological approach.S...BACKGROUND Type 1 diabetes originates from gene-environment interactions,with increasing incidence over time.AIM To identify correlates of childhood type 1 diabetes in European countries using an ecological approach.Several environmental variables potentially influencing the onset of type 1 diabetes have been previously evaluated.However,the relationships between epidemiologic data and exposure to toxic airborne molecules are scarcely studied.METHODS We employed an ecological model to explore,in a wide time period(1990-2018),associations between type 1 diabetes incidence in 19 European countries(systematic literature review)and the nationwide production of five widely diffused air pollutants:particulate matter<10μm(PM10),nitrogen oxides(NO),non-methane volatile organic compounds(VOCs),sulphur oxide(SO2),and ammonia.RESULTS Data confirm a raising incidence of type 1 diabetes in 18 out of 19 explored countries.The average difference(last vs first report,all countries)was+6.9×100000/year,with values ranging from-1.4(Germany)to+16.6(Sweden)per 100000/year.Although the overall production of pollutants decreased progressively from 1990 to 2018,type 1 diabetes incidence was positively associated with the nationwide emissions of PM10,VOCs,and NO but not with those of SO2 and ammonia.Type 1 diabetes incidence was significantly higher in countries with high emissions than in those with low emissions of PM10(27.5±2.4 vs 14.6±2.4×100000 residents,respectively),VOCs(24.5±4.4 vs 13.2±1.7×100000 residents,respectively),and NO(26.6±3 vs 13.4±2.4×100000 residents,respectively),but not of SO2 or ammonia.CONCLUSION Evidence justify further studies to explore better links between long-term air quality and type 1 diabetes onset at the individual level,which should include exposures during pregnancy.In this respect,type 1 diabetes could be,at least in part,a preventable condition.Thus,primary prevention policies acting through a marked abatement of pollutant emissions might attenuate future type 1 diabetes incidence throughout Europe.展开更多
Background: Air pollution is a serious threat to children health. Given that children spend over 80% of their time indoors, understanding transport of pollutants from outdoor to indoor environments is important for as...Background: Air pollution is a serious threat to children health. Given that children spend over 80% of their time indoors, understanding transport of pollutants from outdoor to indoor environments is important for assessing the impact of exposure to outdoor pollution on children health. The most common advice given during a smoke pollution episode is to stay indoors. How well this works depends on how clean the indoor air is and how pollutants from outdoor air contribute to pollutants load in indoor air. Objective: To assess the amount of outdoor air pollution coming indoors threatening children health. Methods: A Medline/EMBASE search of scientific articles was performed to evaluate the indoor-to-outdoor (I/O) concentration ratios of two main pollutants: ultrafine particles (UFP) and ozone (O3). Result: Under infiltration condition, the highest I/O ratios (0.6 - 0.9) were usually observed for larger UFP (70 - 100 nm), while the lowest I/O ratios (0.1 - 0.4) occurred typically around 10 - 20 nm. O3 I/O ratios vary according to air exchange and may be 0.6 - 0.8 for interiors having a large volume exchange with outdoor air (i.e. open windows) and 0.3 - 0.4 with conventional air conditioning systems. Conclusions: In the absence of indoor sources or activities, indoor UFP particles originate from outdoors. O3 concentration indoors may reach concentration similar to outdoors. Environmental and energy policies must also explicitly account for all the impacts of fossil fuel combustion on child health and development.展开更多
Digital Earth is a global initiative aimed at harnessing the world’s data and information resources to quantitatively describe and represent our planet,and to monitor,measure and forecast natural and human activities...Digital Earth is a global initiative aimed at harnessing the world’s data and information resources to quantitatively describe and represent our planet,and to monitor,measure and forecast natural and human activities on earth.Today,the advent of the big data era is injecting new impetus for the展开更多
In a landmark study recently published in Nature,1 Wei and colleagues demonstrate that the activation of GSDMD by the cytosolic lipopolysaccharide(LPS)sensor caspase-11 triggers blood–brain barrier(BBB)breakdown upon...In a landmark study recently published in Nature,1 Wei and colleagues demonstrate that the activation of GSDMD by the cytosolic lipopolysaccharide(LPS)sensor caspase-11 triggers blood–brain barrier(BBB)breakdown upon LPS challenge independent of TLR4-induced cytokine release.Their work identifies the noncanonical inflammasome and GSDMD pore formation as a potential target for treating central nervous system(CNS)disorders associated with inflammatory BBB dysfunction.展开更多
In a recent study published in Nature Genetics,1 Han and colleagues employed a dual genetic lineage tracing approach in combination with a model of heart failure(HF)to identify a key sub-population of endocardium-deri...In a recent study published in Nature Genetics,1 Han and colleagues employed a dual genetic lineage tracing approach in combination with a model of heart failure(HF)to identify a key sub-population of endocardium-derived fibroblasts,which gives rise to excessive myofibroblast formation in a Wnt pathway-mediated manner and contributes to cardiac fibrosis.1 The identified fibroblast sub-population and Wnt signaling pathway could be novel targets for the therapy of HF.Improvements in risk management and cardiovascular inter-vention have significantly reduced age-specific cardiovascular disease-related mortality.In contrast,the rate of HF-related hospitalisations has increased over the past decades and HF is a disease with highest social and economic cost in industrialized countries.HF is defined as impairment of the heart’s blood pumping function and its severity is assessed based on ejection fraction.HF often occurs after myocardial infarction(MI),with infarct size and quality of ventricular remodeling after MI influencing ventricular dysfunctions.Causes of HF also include hypertension,atrial fibrillation,and cardiomyopathies(Fig.1).Especially elderly patients with recurrent MI and comorbidities are increasingly presenting with signs of HF.展开更多
文摘一、ISDS国际中心1967年,联合国教科文组织(Unesco)与国际科学协会理事会(InternationalCouncil of Scientific Unions)共同研究建立世界科学情报系统(Universal ScienceInformation System—Unisist)的可能性。根据这一设想,该会的书目著录工作小组(Working Group on BibliographyDescription)认为建立一种全世界通用的编号系统,通过电子计算机处理、登记与传播有关连续出版物的准确信息。
文摘自从国际连续出版物数据系统(InternationalSerials Data System,简称ISDS)和《国际标准书目著录》(连续出版物)(International Standard BibliographicDescription for Serials,简称ISBD(S))这两个有关连续出版物的系统诞生以来,国际书目控制组织、各国的国家编目机构以及世界著名书目专家便一致呼吁这两个系统能够逐步靠拢,直到兼容,以节省人力、物力,提高工作效益。十多年来,经过多方面的努力,这一问题终于得到了比较圆满的解决。一、关于ISDS第二次世界大战以来,随着科学技术的发展,连续出版物(其中主要是期刊)的出版量猛增。如何迅速而准确地掌握庞大数量出版物的有关信息,是图书情报。
文摘Exosome-derived long non-coding RNAs(lncRNAs)are extensively engaged in recovery and repair of the injured spinal cord,through different mechanisms.However,to date no study has systematically evaluated the differentially expressed lncRNAs involved in the development of spinal cord injury.Thus,the aim of this study was to identify key circulating exosome-derived lncRNAs in a rat model of spinal cord injury and investigate their potential actions.To this end,we established a rat model of spinal cord hemisection.Circulating exosomes were extracted from blood samples from spinal cord injury and control(sham)rats and further identified through Western blotting and electron microscopy.RNA was isolated from the exosomes and sequenced.The enrichment analysis demonstrated that there were distinctively different lncRNA and mRNA expression patterns between the two groups.Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway analysis and Gene Ontology(GO)functional analysis were performed to determine the possible involvements of upregulated and downregulated lncRNAs in various pathways and different biological processes,as well as their cellular locations and molecular functions.Furthermore,quantitative reverse transcription-polymerase chain reaction showed that the expression of five lncRNAs––ENSRN0T00000067908,XR_590093,XR_591455,XR_360081,and XR_346933––was increased,whereas the expression of XR_351404,XR_591426,XR_353833,XR_590076,and XR_590719 was decreased.Of note,these 10 lncRNAs were at the center of the lncRNA-miRNA-mRNA coexpression network,which also included 198 mRNAs and 41 miRNAs.Taken together,our findings show that several circulating exosomal lncRNAs are differentially expressed after spinal cord injury,suggesting that they may be involved in spinal cord injury pathology and pathogenesis.These lncRNAs could potentially serve as targets for the clinical diagnosis and treatment of spinal cord injury.
文摘国际标准连续出版物号(InternationalStandard Serial Number-ISSN)就是为每一连续出版物的题名(期刊称刊名)分配的一种唯一的、永久不变的、国际通用的标准代码,其目的是为了便于实现自动化管理和国际间的信息交流。 这一工作统一由国际连续出版物数据系统国际中心(International Serial DataSystem/International Centre—ISDS/IC)组织实施。
文摘介绍了美国佛罗里达州卫生局(FDOH)建立区域医疗网络项目的概况和进展,着重探讨了项目架构和解决标准统一问题。佛州卫生局在考虑到各地方不同的医疗卫生状况后选用了"混合式"的架构,以企业级应用集成(Enterprise Appli- cation Integration,EAI)技术为基础实现区域医疗信息的共享。同时针对各地医院采用的信息系统差异很大、数据缺乏统一标准的情况,佛州卫生局引入"集成代理"的方案以很低的成本解决了统一标准问题。佛州卫生局建立RHIO(Regional Health Information Organization)的实践对于我国的RHIO建设具有很高的参考价值。
文摘AIM: To assess numbers and case fatality of patients with upper gastrointestinal bleeding(UGIB),effects of deprivation and whether weekend presentation affected outcomes.METHODS: Data was obtained from Information Services Division(ISD) Scotland and National Records of Scotland(NRS) death records for a ten year period between 2000-2001 and 2009-2010. We obtained data from the ISD Scottish Morbidity Records(SMR01) database which holds data on inpatient and daycase hospital discharges from non-obstetric and nonpsychiatric hospitals in Scotland. The mortality data was obtained from NRS and linked with the ISD SMR01 database to obtain 30-d case fatality. We used 23 ICD-10(International Classification of diseases) codes which identify UGIB to interrogate database. We analysed these data for trends in number of hospital admissions with UGIB,30-d mortality over time and assessed effects of social deprivation. We compared weekend and weekday admissions for differences in 30-d mortality and length of hospital stay. We determined comorbidities for each admission to establish if comorbidities contributed to patient outcome. RESULTS: A total of 60643 Scottish residents were admitted with UGIH during January,2000 and October,2009. There was no significant change in annual number of admissions over time,but there was a statistically significant reduction in 30-d case fatality from 10.3% to 8.8%(P < 0.001) over these 10 years. Number of admissions with UGIB was higher for the patients from most deprived category(P < 0.05),although case fatality was higher for the patients from the least deprived category(P < 0.05). There was no statistically significant change in this trend between 2000/01-2009/10. Patients admitted with UGIB at weekends had higher 30-d case fatality compared with those admitted on weekdays(P < 0.001). Thirty day mortality remained significantly higher for patients admitted with UGIB at weekends after adjusting for comorbidities. Length of hospital stay was also higher overall for patients admitted at the weekend when compared to weekdays,although only reached statistical significance for the last year of study 2009/10(P < 0.0005). CONCLUSION: Despite reduction in mortality for UGIB in Scotland during 2000-2010,weekend admissions show a consistently higher mortality and greater lengths of stay compared with weekdays.
文摘Within the expanding paradigm of medical imaging in Teleradiology-Telemedicine there is increasing demand for transmitting diagnostic medical imagery. These are usually rich in radiological contents and the associated file sizes are large which must be compressed with minimal file size to minimize transmission time and robustly coded to withstand required network medium. It has been reinforced through extensive research that the diagnostically important regions of medical images, the Region of Interest (ROI), must be compressed by lossless or near lossless algorithm while on the other hand, the background region be compressed with some loss of information but still recognizable using JPEG 2000 standard. We develop a compression model and present its application on MRI images. Applying on MRI images achieved higher compression ratio 16:1, analogously minimum transmission time, using MAXSHIFT method proved diagnostically significant and effective both objectively and subjectively.
文摘BACKGROUND Type 1 diabetes originates from gene-environment interactions,with increasing incidence over time.AIM To identify correlates of childhood type 1 diabetes in European countries using an ecological approach.Several environmental variables potentially influencing the onset of type 1 diabetes have been previously evaluated.However,the relationships between epidemiologic data and exposure to toxic airborne molecules are scarcely studied.METHODS We employed an ecological model to explore,in a wide time period(1990-2018),associations between type 1 diabetes incidence in 19 European countries(systematic literature review)and the nationwide production of five widely diffused air pollutants:particulate matter<10μm(PM10),nitrogen oxides(NO),non-methane volatile organic compounds(VOCs),sulphur oxide(SO2),and ammonia.RESULTS Data confirm a raising incidence of type 1 diabetes in 18 out of 19 explored countries.The average difference(last vs first report,all countries)was+6.9×100000/year,with values ranging from-1.4(Germany)to+16.6(Sweden)per 100000/year.Although the overall production of pollutants decreased progressively from 1990 to 2018,type 1 diabetes incidence was positively associated with the nationwide emissions of PM10,VOCs,and NO but not with those of SO2 and ammonia.Type 1 diabetes incidence was significantly higher in countries with high emissions than in those with low emissions of PM10(27.5±2.4 vs 14.6±2.4×100000 residents,respectively),VOCs(24.5±4.4 vs 13.2±1.7×100000 residents,respectively),and NO(26.6±3 vs 13.4±2.4×100000 residents,respectively),but not of SO2 or ammonia.CONCLUSION Evidence justify further studies to explore better links between long-term air quality and type 1 diabetes onset at the individual level,which should include exposures during pregnancy.In this respect,type 1 diabetes could be,at least in part,a preventable condition.Thus,primary prevention policies acting through a marked abatement of pollutant emissions might attenuate future type 1 diabetes incidence throughout Europe.
文摘Background: Air pollution is a serious threat to children health. Given that children spend over 80% of their time indoors, understanding transport of pollutants from outdoor to indoor environments is important for assessing the impact of exposure to outdoor pollution on children health. The most common advice given during a smoke pollution episode is to stay indoors. How well this works depends on how clean the indoor air is and how pollutants from outdoor air contribute to pollutants load in indoor air. Objective: To assess the amount of outdoor air pollution coming indoors threatening children health. Methods: A Medline/EMBASE search of scientific articles was performed to evaluate the indoor-to-outdoor (I/O) concentration ratios of two main pollutants: ultrafine particles (UFP) and ozone (O3). Result: Under infiltration condition, the highest I/O ratios (0.6 - 0.9) were usually observed for larger UFP (70 - 100 nm), while the lowest I/O ratios (0.1 - 0.4) occurred typically around 10 - 20 nm. O3 I/O ratios vary according to air exchange and may be 0.6 - 0.8 for interiors having a large volume exchange with outdoor air (i.e. open windows) and 0.3 - 0.4 with conventional air conditioning systems. Conclusions: In the absence of indoor sources or activities, indoor UFP particles originate from outdoors. O3 concentration indoors may reach concentration similar to outdoors. Environmental and energy policies must also explicitly account for all the impacts of fossil fuel combustion on child health and development.
文摘Digital Earth is a global initiative aimed at harnessing the world’s data and information resources to quantitatively describe and represent our planet,and to monitor,measure and forecast natural and human activities on earth.Today,the advent of the big data era is injecting new impetus for the
基金supported by grants from the Deutsche Forschungsgemeinschaft(DFG,CRC 1123[B3],DI-722/16-1[ID:428668490],DI 722/21-1Munich Cluster for Systems Neurology[SyNergy,EXC 2145])a grant from the Leducq Foundation,and the Vascular Dementia Research Foundation.Y.Asare was supported by DFG(CRC 1123[B3],AS 575/1-1).
文摘In a landmark study recently published in Nature,1 Wei and colleagues demonstrate that the activation of GSDMD by the cytosolic lipopolysaccharide(LPS)sensor caspase-11 triggers blood–brain barrier(BBB)breakdown upon LPS challenge independent of TLR4-induced cytokine release.Their work identifies the noncanonical inflammasome and GSDMD pore formation as a potential target for treating central nervous system(CNS)disorders associated with inflammatory BBB dysfunction.
基金J.B.received funding from Deutsche Forschungsgemeinschaft(DFG)grants DFG-SFB1123-A3,BE 1977/14-1the Munich Cluster for Systems Neurology(DFG,EXC 2145 SyNergy-ID 390857198)+2 种基金well as from the German Center for Cardiovascular Diseases(DZHK)partner site Munich Heart Alliance(grant DZHK B 20-004 Extern-81×2600258)Y.A.acknowledges support from DFG grant SFB1123-B3 and AS 575/1-1 and C.S.received funding from DFG grant STO 1099/8-1.
文摘In a recent study published in Nature Genetics,1 Han and colleagues employed a dual genetic lineage tracing approach in combination with a model of heart failure(HF)to identify a key sub-population of endocardium-derived fibroblasts,which gives rise to excessive myofibroblast formation in a Wnt pathway-mediated manner and contributes to cardiac fibrosis.1 The identified fibroblast sub-population and Wnt signaling pathway could be novel targets for the therapy of HF.Improvements in risk management and cardiovascular inter-vention have significantly reduced age-specific cardiovascular disease-related mortality.In contrast,the rate of HF-related hospitalisations has increased over the past decades and HF is a disease with highest social and economic cost in industrialized countries.HF is defined as impairment of the heart’s blood pumping function and its severity is assessed based on ejection fraction.HF often occurs after myocardial infarction(MI),with infarct size and quality of ventricular remodeling after MI influencing ventricular dysfunctions.Causes of HF also include hypertension,atrial fibrillation,and cardiomyopathies(Fig.1).Especially elderly patients with recurrent MI and comorbidities are increasingly presenting with signs of HF.