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Current methods for the maturation of induced pluripotent stem cellderived cardiomyocytes 被引量:8
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作者 Pranav Machiraju Steven C Greenway 《World Journal of Stem Cells》 SCIE CAS 2019年第1期33-43,共11页
Induced pluripotent stem cells(iPSCs) were first generated by Yamanaka and colleagues over a decade ago. Since then, iPSCs have been successfully differentiated into many distinct cell types, enabling tissue-, disease... Induced pluripotent stem cells(iPSCs) were first generated by Yamanaka and colleagues over a decade ago. Since then, iPSCs have been successfully differentiated into many distinct cell types, enabling tissue-, disease-, and patientspecific in vitro modelling. Cardiovascular disease is the greatest cause of mortality worldwide but encompasses rarer disorders of conduction and myocardial function for which a cellular model of study is ideal. Although methods to differentiate iPSCs into beating cardiomyocytes(iPSC-CMs) have recently been adequately optimized and commercialized, the resulting cells remain largely immature with regards to their structure and function,demonstrating fetal gene expression, disorganized morphology, reliance on predominantly glycolytic metabolism and contractile characteristics that differ from those of adult cardiomyocytes. As such, disease modelling using iPSC-CMs may be inaccurate and of limited utility. However, this limitation is widely recognized, and numerous groups have made substantial progress in addressing this problem. This review highlights successful methods that have been developed for the maturation of human iPSC-CMs using small molecules,environmental manipulation and 3-dimensional(3 D) growth approaches. 展开更多
关键词 INDUCED PLURIPOTENT STEM cells INDUCED PLURIPOTENT STEM cell-derived CARDIOMYOCYTES Regenerative medicine STEM CELL biology Translational research
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Impact of concomitant use of proton pump inhibitors and clopidogrel or ticagrelor on clinical outcomes in patients with acute coronary syndrome 被引量:12
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作者 Yan YAN Xiao WANG +21 位作者 Jing-Yao FAN Shao-Ping NIE Sergio Raposeiras-Roubin Emad Abu-Assi Jose P Simao Henriques Fabrizio D'Ascenzo Jorge Saucedo Jose R Gonzfilez-Juanatey Stephen B Wilton Wouter J Kikkert Ivlin Nufiez-Gil Albert Ariza-Sole Xian-Tao SONG Dimitrios Alexopoulos Christoph Liebetrau Tetsuma Kawaji Claudio Moretti Zenon Huczek Toshiharu Fujii Luis C Correia Masa-aki Kawashiril Sasko Kedev 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2016年第3期209-217,共9页
BackgroundThere 是在质子泵禁止者(PPI ) 和 clopidogrel 之间的可能的不利相互作用上的大争论。另外, PPI 的使用是否少些影响 ticagrelor 遗体的临床的功效,知道。在经皮的冠的干预(一种总线标准) .MethodsWe 回顾地从 &#x020... BackgroundThere 是在质子泵禁止者(PPI ) 和 clopidogrel 之间的可能的不利相互作用上的大争论。另外, PPI 的使用是否少些影响 ticagrelor 遗体的临床的功效,知道。在经皮的冠的干预(一种总线标准) .MethodsWe 回顾地从 &#x0201c 分析了数据以后,我们试图与急性冠的症候群(交流)在病人在临床的结果上决定 PPI 和 clopidogrel 或 ticagrelor 的伴随物管理的影响;真实 world&#x0201d ;,国际,在 2003 和 2014 之间的多中心登记( n = 15,401 )并且在1年的合成主要端点上估计了 PPI 和 clopidogrel 或 ticagrelor 的伴随物管理的影响(所有原因死亡收到 PPI 的病人更老,更经常女性,并且是更可能的有 comorbidities。没有协会为收到 clopidogrel 的病人在 PPI 使用和主要端点之间被观察(调整 HR:1.036;95% CI:0.903-1.189 ) 或 ticagrelor (调整 HR:2.320;95% CI:0.875-6.151 )(P <sub > 相互作用 </sub>= 0.2004 ) 。同样, PPI 的使用没与所有原因死亡,重新梗塞,或与交流后面的一种总线标准的为与任何一个 clopidogrel 对待的病人或 ticagrelor.ConclusionsIn 病人的严重流血的减少的风险的增加的风险被联系, PPI 的伴随物使用没在收到 clopidogrel 或 ticagrelor 的病人与不利结果的增加的风险被联系。我们的调查结果显示与 clopidogrel 或 ticagrelor 在联合使用 PPI 是合理的,特别在有胃肠的流血的更高的风险的病人。 展开更多
关键词 急性冠状动脉综合征 质子泵抑制剂 氯吡格雷 临床疗效 同时使用 患者 肠道出血 PPI
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Impact of triple antithrombotic therapy in patients with acute coronary syndrome undergoing percutaneous coronary intervention in real-world practice 被引量:6
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作者 Yan YAN Xiao WANG +21 位作者 Jing-Yao FAN Shao-Ping NIE SerGio Raooseiras-Roubin Emad Abu-Assi Jose P Simao Henriques: Fabrizio D'Ascenzo Jorge Saucedo Jose R Gonzalez-Juanate Stephen B Wilton Wouter J Kikkert Ivan Nunez-Gil Albert Ariza-Sole Xian-Tao SONG Dimitrios Alexopoulos Christoph Liebetrau Tetsuma Kawaji Claudio Morettil Zenon Huczek Toshiharu Fujii Luis cL Correia Masa-aki Kawashiri Sasko Kedev 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第11期679-687,共9页
为在急性冠的症候群(交流) 和经皮的冠的干预(一种总线标准) 以后的口头的 anticoagulation (OAC ) 上的病人的 ObjectiveThe 最佳的 antithrombotic 政体仍然保持辩论。寻求回顾地在真实世界的 setting.MethodsWe 评估 OAC 正 clopidog... 为在急性冠的症候群(交流) 和经皮的冠的干预(一种总线标准) 以后的口头的 anticoagulation (OAC ) 上的病人的 ObjectiveThe 最佳的 antithrombotic 政体仍然保持辩论。寻求回顾地在真实世界的 setting.MethodsWe 评估 OAC 正 clopidogrel 的功效和安全与或没有阿司匹林的这研究分析了数据从一国际,在 2003 和 2014 之间的多中心登记(n = 15,401 ) 。有在一种总线标准以后的交流和收到的 OAC 的病人被屏蔽。合成主要端点是 1 年的所有原因死亡,重新梗塞,或分析注册了 642 个病人包括的严重 bleeding.ResultsThe 期末考试有 OAC 和 clopidogrel (双治疗) 的 62 个病人(9.7%) ,和有阿司匹林, OAC 和 clopidogrel (三倍的治疗) 的联合的 580 个病人(90.3%) 。三倍的治疗上的病人更经常是女性的并且是更可能的有 comorbidities。关于在与三倍的治疗病人一起的双治疗之间的主要结束点没有重要差别[17.74% 对 17.24% ;unadjusted 危险比率(HR ) :1.035;95% 信心间隔(CI ) :0.556-1.929;调整 HR:1.026;95% CI:0.544-1.937 ] 。然而,重新梗塞率比三倍的治疗病人在双治疗是显著地更高的(14.52% 对 5.34% ;unadjusted HR:2.807;95% CI:1.329-5.928;调整 HR:2.333;95% CI:1.078-5.047 ) 。另外,在所有原因死亡和严重 bleeding.ConclusionsIn 的二政体之间没有差别有交流后面的一种总线标准并且与 OAC 的一个指示的真实病人,三倍的治疗没与双治疗相比与不利结果的增加的率被联系。而且,它减少了重新梗塞冒险并且没增加严重流血的风险。 展开更多
关键词 症候群 治疗 急性 世界 总线标准 阿司匹林 OAC TWEEN
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Potential protective effects of red yeast rice in endothelial function against atherosclerotic cardiovascular disease 被引量:6
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作者 FENG Shu-Jun TANG Zhi-Han +4 位作者 WANG Ying TANG Xin-Ying LI Tao-Hua TANG Wei KUANG Ze-Min 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2019年第1期50-58,共9页
Atherosclerotic cardiovascular disease(ASCVD) is the deadliest disease in the world, with endothelial injury occurring throughout the course of the disease. Therefore, improvement in endothelial function is of essenti... Atherosclerotic cardiovascular disease(ASCVD) is the deadliest disease in the world, with endothelial injury occurring throughout the course of the disease. Therefore, improvement in endothelial function is of essential importance in the prevention of ASCVD. Red yeast rice(RYR), a healthy traditional Chinese food, has a lipid modulation function and also plays a vital role in the improvement of endothelial reactivity and cardiovascular protection; thus, it is significant in the prevention and treatment of ASCVD. This article reviews the molecular mechanisms of RYR and its related products in the improvement of endothelial function in terms of endothelial reactivity, anti-apoptosis of endothelial progenitor cells, oxidative stress alleviation and anti-inflammation. 展开更多
关键词 RED YEAST RICE Xuezhikang ATHEROSCLEROTIC CARDIOVASCULAR disease ENDOTHELIAL cells Molecular mechanism
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Brugada拟表型:一个新的临床实体 被引量:5
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作者 Byron H Gottschalk Daniel D Anselm +1 位作者 Adrian Baranchuk 蒋祖勋 《江苏实用心电学杂志》 2015年第4期245-255,260,共13页
Brugada拟表型(Brugada phenocopy,BrP)是临床实体,它与真正的Brugada综合征(Brugada syndrome,BrS)具有相同的心电图波形,但前者是由各种临床状况诱发的。在某种相关的潜隐状况下,BrP的特征表现为心前区导联V1~V3呈1型或2型Brugada心... Brugada拟表型(Brugada phenocopy,BrP)是临床实体,它与真正的Brugada综合征(Brugada syndrome,BrS)具有相同的心电图波形,但前者是由各种临床状况诱发的。在某种相关的潜隐状况下,BrP的特征表现为心前区导联V1~V3呈1型或2型Brugada心电图波形。随着潜隐状况的纠正,这些心电图波形恢复正常。本研究中,我们回顾了BrP的分类、与BrS鉴别的方法及有关BrP病因的最新研究结果。此外,我们提供了BrP国际在线注册的更新数据,并讨论了BrP未来的研究方向。 展开更多
关键词 Brugada心电图波形 Brugada拟表型 BRUGADA综合征
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Cellular models for human cardiomyopathy:What is the best option? 被引量:1
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作者 Nerea Jimenez-Tellez Steven C Greenway 《World Journal of Cardiology》 CAS 2019年第10期221-235,共15页
The genetic cardiomyopathies are a group of disorders related by abnormal myocardial structure and function.Although individually rare,these diseases collectively represent a significant health burden since they usual... The genetic cardiomyopathies are a group of disorders related by abnormal myocardial structure and function.Although individually rare,these diseases collectively represent a significant health burden since they usually develop early in life and are a major cause of morbidity and mortality amongst affected children.The heterogeneity and rarity of these disorders requires the use of an appropriate model system in order to characterize the mechanism of disease and develop useful therapeutics since standard drug trials are infeasible.A common approach to study human disease involves the use of animal models,especially rodents,but due to important biological and physiological differences,this model system may not recapitulate human disease.An alternative approach for studying the metabolic cardiomyopathies relies on the use of cellular models which have most frequently been immortalized cell lines or patient-derived fibroblasts.However,the recent introduction of induced pluripotent stem cells(iPSCs),which have the ability to differentiate into any cell type in the body,is of great interest and has the potential to revolutionize the study of rare diseases.In this paper we review the advantages and disadvantages of each model system by comparing their utility for the study of mitochondrial cardiomyopathy with a particular focus on the use of iPSCs in cardiovascular biology for the modeling of rare genetic or metabolic diseases. 展开更多
关键词 CARDIOMYOPATHY Mitochondria Induced PLURIPOTENT stem cells FIBROBLASTS Cellular models
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右室心肌梗死的对比增强心血管磁共振成像
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作者 Kumar A. Abdel-Aty H. +2 位作者 Kriedemann I. M.G.Friedrich 刘少伟 《世界核心医学期刊文摘(心脏病学分册)》 2007年第4期58-58,共1页
目的:本研究评价了延迟增强心血管磁共振成像(LE-CMR)诊断右室心肌梗死(RVI)的作用。背景:下壁心肌梗死(MI)患者中约一半会出现RVI。RVI的预后欠佳,但现有方法常难以准确诊断。
关键词 右室心肌梗死 磁共振成像 急性下壁 室壁 研究评价 体格检查 超声心动图 变异度 再灌注 现有标准
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医学生及其一级亲属中的血管迷走神经性晕厥
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作者 Serletis A. Rose S. +2 位作者 Sheldon A.G. Sheldon R.S. 吴晓燕 《世界核心医学期刊文摘(心脏病学分册)》 2007年第1期53-54,共2页
目的:确定家族史对发生血管迷走神经性晕厥可能性的影响。方法与结果:研究对象为62名医学生及其228名一级亲属。根据Calgary晕厥症状评分诊断血管迷走神经性晕厥。采用Kaplan-Meier方法评估研究对象性别和双亲晕厥史对子代发生晕厥可能... 目的:确定家族史对发生血管迷走神经性晕厥可能性的影响。方法与结果:研究对象为62名医学生及其228名一级亲属。根据Calgary晕厥症状评分诊断血管迷走神经性晕厥。采用Kaplan-Meier方法评估研究对象性别和双亲晕厥史对子代发生晕厥可能性的影响,并用比例风险回归模型进行分析。 展开更多
关键词 一级亲属 晕厥史 评估研究 回归模型 性比
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Extract of Naotaifang, a compound Chinese herbal medicine, protects neuron ferroptosis induced by acute cerebral ischemia in rats 被引量:44
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作者 Bin Lan Jin-wen Ge +5 位作者 Shao-wu Cheng Xi-long Zheng Jun Liao Chao He Zheng-qing Rao Guo-zuo Wang 《Journal of Integrative Medicine》 SCIE CAS CSCD 2020年第4期344-350,共7页
Objective:Our previous research showed that Naotaifang(a compound traditional Chinese herbal medicine)extract(NTE)has clinically beneficial effects on neurological improvement of patients with acute cerebral ischemia.... Objective:Our previous research showed that Naotaifang(a compound traditional Chinese herbal medicine)extract(NTE)has clinically beneficial effects on neurological improvement of patients with acute cerebral ischemia.In this study,we investigated whether NTE protected acute brain injury in rats and whether its effects on ferroptosis could be linked to the dysfunction of glutathione peroxidase 4(GPX4)and iron metabolism.Methods:We established an acute brain injury model of middle cerebral artery occlusion(MCAO)in rats,in which we could observe the accumulation of iron in neurons,as detected by Perl’s staining.Using assay kits,we measured expression levels of ferroptosis biomarkers,such as iron,glutathione(GSH),reactive oxygen species(ROS)and malonaldehyde(MDA);further the expression levels of transferrin receptor1(TFR1),divalent metal transporter 1(DMT1),solute carrier family 7 member 11(SLC7 A11)and GPX4 were determined using immunohistochemical analysis,real-time quantitative polymerase chain reaction and Western blot assays.Results:We found that treatment with NTE reduced the expression levels of TFR1 and DMT1,reduced ROS,MDA and iron accumulation and reduced neurobehavioral scores,relative to untreated MCAO rats.Treatment with NTE increased the expression levels of SLC7 A11,GPX4 and GSH,and the number of Nissl bodies in the MCAO rats.Conclusion:Taken together,our data suggest that acute cerebral ischemia induces neuronal ferroptosis and the effects of treating MCAO rats with NTE involved inhibition of ferroptosis through the TFR1/DMT1 and SCL7 A11/GPX4 pathways. 展开更多
关键词 Ischemic stroke Ferroptosis Naotaifang extract Chinese herbal medicine Iron Glutathione peroxidase 4
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P2Y12受体抑制剂联合质子泵抑制剂对急性冠脉综合征患者缺血事件影响的临床分析 被引量:6
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作者 冯斯婷 严妍 +22 位作者 范婧尧 王晓 郑文 聂绍平 Sergio Raposeiras-Roubin Emad Abu-Assi Jose P Simao Henriques Fabrizio D' Ascenzo Jorge Saucedo Jose R Conzalez-Juanatey Stephen B Wilton Wouter J Kikkert Ivan Nunez-Gil Albert Ariza-Sole Dimitrios Alexopoulos Christoph Liebetrau Tetsuma Kawaji Claudio Moretti Zenon Huczek Toshiharu Fujii Luis C Correia Masa-aki Kawashiri Sasko Kedev 《中华医学杂志》 CAS CSCD 北大核心 2016年第33期2611-2615,共5页
目的本研究旨在分析P2Y12受体抑制剂联合质子泵抑制剂(PPI)治疗对经皮冠状动脉介入(PCI)术后的急性冠脉综合征患者缺血事件的影响。方法基于国际多中心回顾性注册登记研究,纳入2003至2014年因急性冠脉综合征人院行PCI术的患者,分... 目的本研究旨在分析P2Y12受体抑制剂联合质子泵抑制剂(PPI)治疗对经皮冠状动脉介入(PCI)术后的急性冠脉综合征患者缺血事件的影响。方法基于国际多中心回顾性注册登记研究,纳入2003至2014年因急性冠脉综合征人院行PCI术的患者,分为PPI组及非PPI组并随访1年,主要临床终点为全因死亡/再发心肌梗死的复合终点。根据P2Y12受体抑制剂种类,将入组患者分为氯吡格雷组及替格瑞洛组,并比较不同药物与PPI联用发生临床终点事件的风险。结果研究入选9429例患者,PPI组占54.8%,具有更多高危因素。Cox回归结果提示PPI组较非PPI组全因死亡/再发心肌梗死复合事件的发生差异无统计学意义(HR1.00,95%CI 0.86—1.18)。根据P2Y12抑制剂种类不同分为氯吡格雷组和替格瑞洛组,不同P2Y12受体抑制剂联用PPI较未联用PPI患者的临床终点无差异,联用PPI的氯吡格雷组与替格瑞洛组的临床终点差异也无统计学意义。结论急性冠脉综合征患者PPI与P2Y12受体抑制剂联用不增加全因死亡和再发心肌梗死风险,尤其PPI联用氯吡格雷在患者的缺血事件上与替格瑞洛比较差异无统计学意义。 展开更多
关键词 急性冠脉综合征 氯吡格雷 质子泵抑制剂 患者结局评价 替格瑞洛
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