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Switching from messenger RNAs to noncoding RNAs,METTL3 is a novel colorectal cancer diagnosis and treatment target
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作者 Jun-Nan Liao Wen-Juan Ni +7 位作者 Ping-Hui Wu Ya-Dong Yang Ying Yang Wen Long Mei-Zhen Xie Xiu-Zhi Zhu Fu-Hua Xie Xiao-Min Leng 《World Journal of Gastrointestinal Oncology》 2025年第5期44-56,共13页
N6-methyladenosine(m6A)modification,one of the most prevalent RNA epi-genetic modifications in eukaryotes,constitutes over 60%of all RNA methylation modifications.This dynamic modification regulates RNA processing,mat... N6-methyladenosine(m6A)modification,one of the most prevalent RNA epi-genetic modifications in eukaryotes,constitutes over 60%of all RNA methylation modifications.This dynamic modification regulates RNA processing,maturation,nucleocytoplasmic transport,translation efficiency,phase separation,and sta-bility,thereby linking its dysregulation to diverse physiological and pathological processes.METTL3,a core catalytic component of the methyltransferase complex responsible for m6A deposition,is frequently dysregulated in diseases,including colorectal cancer(CRC).Although METTL3’s involvement in CRC pathogenesis has been documented,its precise molecular mechanisms and functional roles remain incompletely understood.METTL3 mediates CRC progression-encompa-ssing proliferation,invasion,drug resistance,and metabolic reprogramming-through m6A-dependent modulation of both coding RNAs and noncoding RNAs.Its regulatory effects are primarily attributed to interactions with key signaling pathways at multiple stages of CRC development.Emerging evidence highlights METTL3 as a promising biomarker for CRC diagnosis and prognosis,as well as a potential therapeutic target.By synthesizing recent advances in METTL3 research within CRC,this review provides critical insights into novel strategies for clinical diagnosis and targeted therapy. 展开更多
关键词 METTL3 N6-methyladenosine EPIGENETICS BIOMARKER targeted treatment Colorectal cancer
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Screening of treatment targets for Alzheimer's disease from the molecular mechanisms of impairment by β-amyloid aggregation and tau hyperphosphorylation 被引量:3
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作者 林炼峰 罗焕敏 《Neuroscience Bulletin》 SCIE CAS CSCD 2011年第1期53-60,共8页
β-Amyloid (Aβ) over-expression and tau hyperphosphorylation are considered to be the central events in the pathogenesis of Alzheimer's disease (AD).Studies on them may help elucidate the precise molecular patho... β-Amyloid (Aβ) over-expression and tau hyperphosphorylation are considered to be the central events in the pathogenesis of Alzheimer's disease (AD).Studies on them may help elucidate the precise molecular pathogenesis of AD.Until now,although tau protein and Aβ remain the foci of AD research,the etiopathogenesis of AD and effective drugs for AD treatment are still largely unsolved.The present review was mainly focused on the molecular mechanism of Aβ aggregation-related impairment and the pathways leading to tau hyperphosphorylation,based on which some promising therapeutic targets for AD were also proposed. 展开更多
关键词 Alzheimer's disease aggregation tau hyperphosphorylation treatment targets
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Targeted heat treatment of additively manufactured Ti-6Al-4V for controlled formation of Bi-lamellar microstructures 被引量:3
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作者 Cecilie V.Funch Alessandro Palmas +6 位作者 Kinga Somlo Emilie H.Valente Xiaowei Cheng Konstantinos Poulios Matteo Villa Marcel A.J.Somers Thomas L.Christiansena 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2021年第22期67-76,共10页
Laser powder bed fusion(L-PBF)was utilized to produce specimens in Ti-6Al-4V,which were subjected to a bi-lamellar heat treatment,which produces microstructures consisting of primary α-lamellae and a fine secondary ... Laser powder bed fusion(L-PBF)was utilized to produce specimens in Ti-6Al-4V,which were subjected to a bi-lamellar heat treatment,which produces microstructures consisting of primary α-lamellae and a fine secondary α-phase inside the inter-lamellar β-regions.The bi-lamellar microstructure was obtained as(i)a direct bi-lamellar heat treatment from the asbuilt condition or(ii)a bi-lamellar heat treatment preceded by a β-homogenization.For the bi-lamellar treatment with β-homogenization,cooling rates in the range 1-500 K/min were applied after homogenization in β-region followed by inter-critical annealing in the α+β region at various temperatures in the range 850-950℃.The microstructures were characterized using various microscopical techniques.Mechanical testing with Vickers hardness indentation and tensile testing was performed.The bi-lamellar microstructure was harder when compared to a soft fully lamellar microstructure,because of the presence of fine α-platelets inside the β-lamellae.Final low temperature ageing provided an additional hardness increase by precipitation hardening of the primary α-regions.The age hardened bi-lamellar microstructure shows a similar hardness as the very fine,as-built martensitic microstructure.The bi-lamellar microstructure has more favorable mechanical properties than the as-built condition,which has high strength,but poor ductility.After the bi-lamellar heat treatment,the elongation was improved by more than 250%.Due to the very high strength of the as-built condition,loss of tensile strength is unavoidable,resulting in a reduction of tensile strength of~18%. 展开更多
关键词 Additive manufacturing TI-6AL-4V targeted heat treatment Bi-lamellar microstructures Laser powder bed fusion
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The seeming paradox of adenosine receptors as targets for the treatment of Alzheimer's disease: agonists or antagonists? 被引量:1
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作者 Rubina Marzagalli Alessandro Castorina 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第2期205-207,共3页
Alzheimer's disease (AD) is the most common neurodegenerative disorder, and its incidence is relatively high among elderly people, affecting about 1-2% of the population between 60-65 years old and rising dramatica... Alzheimer's disease (AD) is the most common neurodegenerative disorder, and its incidence is relatively high among elderly people, affecting about 1-2% of the population between 60-65 years old and rising dramatically (about 30%) in people aged 80 years or older (Selkoe, 2002). Nowadays, considering the increasing mean lifespan of populations in developed countries, the disease is becoming more and more a health concern, and the search for an effective cure has turned into"a real need". 展开更多
关键词 The seeming paradox of adenosine receptors as targets for the treatment of Alzheimer’s disease agonists or antagonists
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Potentials of ribosomopathy gene as pharmaceutical targets for cancer treatment
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作者 Mengxin Wang Stephen Vulcano +7 位作者 Changlu Xu Renjian Xie Weijie Peng Jie Wang Qiaojun Liu Lee Jia Zhi Li Yumei Li 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2024年第3期308-320,共13页
Ribosomopathies encompass a spectrum of disorders arising from impaired ribosome biogenesis and reduced functionality.Mutation or dysexpression of the genes that disturb any finely regulated steps of ribosome biogenes... Ribosomopathies encompass a spectrum of disorders arising from impaired ribosome biogenesis and reduced functionality.Mutation or dysexpression of the genes that disturb any finely regulated steps of ribosome biogenesis can result in different types of ribosomopathies in clinic,collectively known as ribosomopathy genes.Emerging data suggest that ribosomopathy patients exhibit a significantly heightened susceptibility to cancer.Abnormal ribosome biogenesis and dysregulation of some ribosomopathy genes have also been found to be intimately associated with cancer development.The correlation between ribosome biogenesis or ribosomopathy and the development of malignancies has been well established.This work aims to review the recent advances in the research of ribosomopathy genes among human cancers and meanwhile,to excavate the potential role of these genes,which have not or rarely been reported in cancer,in the disease development across cancers.We plan to establish a theoretical framework between the ribosomopathy gene and cancer development,to further facilitate the potential of these genes as diagnostic biomarker as well as pharmaceutical targets for cancer treatment. 展开更多
关键词 Ribosome biogenesis Ribosomopathy gene Cancer treatment target Pharmaceutical target
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Preliminary Findings on the Use of Targeted Therapy with Pazopanib and Other Agents in Combination with Sodium Phenylbutyrate in the Treatment of Glioblastoma Multiforme 被引量:1
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作者 Stanislaw R. Burzynski Tomasz J. Janicki +1 位作者 Gregory S. Burzynski Sheldon Brookman 《Journal of Cancer Therapy》 2014年第14期1423-1437,共15页
The most common and aggressive type of brain tumor is glioblastoma multiforme (GBM). The prognosis for GBM remains poor with a five-year survival rate between 1% and 2%. The prospects for patients with recurrent GBM (... The most common and aggressive type of brain tumor is glioblastoma multiforme (GBM). The prognosis for GBM remains poor with a five-year survival rate between 1% and 2%. The prospects for patients with recurrent GBM (RGBM) are much worse, with the majority dying within 6 months. This publication provides a brief description of the treatment of 11 GBM patients treated with sodium phenylbutyrate (PB) in combination with pazopanib, m-TOR inhibitors, and other agents. The treatment was associated with tolerable side effects and resulted in objective responses in 54.5% of cases (complete response 18.2%, partial response 36.3%) and 27.3% cases of stable disease. The preferable treatment regimen consisted of PB, pazopanib, dasatinib, everolimus, and bevacizumab (BVZ). For various reasons not all patients were compliant with the treatment regimen. In patients who strictly complied with the treatment plan, all responded as CR or PR. Based on preliminary findings, the authors propose further phase I/II clinical trials with PB in combination with pazopanib, dasatinib, everolimus, and BVZ in patients with RGBM who failed standard surgery, radiation therapy and chemotherapy. With proper dose reductions, the treatment appears to be well-tolerated. Molecular profiling of patient subgroups with favorable genomic signatures may help to select patients for future studies. 展开更多
关键词 Gliobastoma MULTIFORME Personalized targeted AGENTS Sodium PHENYLBUTYRATE treatment of GLIOBLASTOMA MULTIFORME
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Successful Treatment of Recurrent Triple-Negative Breast Cancer with Combination of Targeted Therapies
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作者 Stanislaw R. Burzynski Alejandro Marquis +1 位作者 Eva Nagy-Kubove Tomasz Janicki 《Journal of Cancer Therapy》 2011年第3期372-376,共5页
We present an interesting case of a 56-year-old female diagnosed with invasive high-grade triple-negative breast cancer, who developed diffuse liver metastases following lumpectomy and combination chemotherapy with do... We present an interesting case of a 56-year-old female diagnosed with invasive high-grade triple-negative breast cancer, who developed diffuse liver metastases following lumpectomy and combination chemotherapy with docetaxel, doxorubicin and cyclophosphamide, re-excision and radiation therapy. Restaging CT and PET scans revealed massive involvement of the liver. She was treated with a combination of gene targeted and cytotoxic chemotherapy including capecitabine, erlotinib, bevacizumab and phenylbutyrate. She tested weakly positive for HER-2 despite prior negative FISH, which prompted us to add trastuzumab to her regimen. Baseline CT revealed five liver tumors—the sum of the products of the two largest perpendicular diameters was 110 cm2. Follow-up CT after three months of treatment revealed 62% decrease in total tumor load. More than 50% decrease in tumor size persisted on two follow-up CT scans, confirming partial response. She developed progressive disease after 15 months of treatment. A group of 16 women, including this patient, diagnosed with triple negative breast cancer with distant metastases were treated by our team with a combination of gene targeted therapy and chemotherapy. Six percent of patients obtained partial response, 25% minor response, 31% stable disease, and 38% progressive disease. The median duration of treatment in patients who relapsed after the second-, third- and fourth- to seventh-lines of chemotherapy was 59 weeks, 22 weeks and 17 weeks, respectively. Comparison of results obtained with cytotoxic chemotherapy revealed that MDT in the second- and third-lines was only nine and four weeks, respectively. In conclusion, this case report indicates that it is possible to obtain durable objective response of recurrent TNBC with a combination of gene targeted agents. 展开更多
关键词 BREAST CANCER CANCER treatment targetED Therapy TRIPLE-NEGATIVE BREAST CANCER
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Complex Target Volume Delineation and Treatment Planning in Radiotherapy for Malignant Pleural Mesothelioma (MPM)
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作者 Aaron Innocent Bogmis Adrian Raducu Popa +4 位作者 Daniela Adam Violeta Ciocâltei Nicoleta Alina Guraliuc Florin Ciubotaru Ion-Christian Chiricuță 《International Journal of Medical Physics, Clinical Engineering and Radiation Oncology》 2020年第3期125-140,共16页
<strong>Introduction:</strong> Radiotherapy alone or combined with surgery and/or chemotherapy is being investigated in the treatment of malignant pleural mesothelioma (MPM). This study aimed to simulate a... <strong>Introduction:</strong> Radiotherapy alone or combined with surgery and/or chemotherapy is being investigated in the treatment of malignant pleural mesothelioma (MPM). This study aimed to simulate a Volumetric Modulated Arc Therapy (VMAT) treatment of a patient with MPM. <strong>Materials and Methods:</strong> CT images from a patient with intact lungs were imported via DICOM into the Pinnacle3 treatment planning (TP) system (TPS) and used as a model for MPM to delineate organs at risk (OAR) and both clinical and planning target volumes (CTV and PTV) with a margin of 5 mm. Elekta Synergy with 6 MV photons and 80 leafs MLCi2 was employed. VMAT plans were generated using two coplanar arcs with gantry rotation angles of 178<span style="font-family:Verdana, Helvetica, Arial;white-space:normal;background-color:#FFFFFF;">&deg</span> - 182<span style="font-family:Verdana, Helvetica, Arial;white-space:normal;background-color:#FFFFFF;">&deg</span>, the collimator angles of each arc were set to 90<span style="font-family:Verdana, Helvetica, Arial;white-space:normal;background-color:#FFFFFF;">&deg</span>, Octavius<span style="white-space:nowrap;"><sup>&reg;</sup></span> 4D 729 was employed for quality assurance while the calculated and measured doses were compared using VeriSoft. <strong>Results:</strong> A TP was achieved. The Gamma volume analysis with criteria of 3 mm distance to agreement and 3% dose difference yielded the gamma passing rate = 99.9%. The reference isodose was 42.75 Gy with the coverage constraints for the PTV D95 and V95 = 95.0% of 45 Gy. The remaining dosimetric parameters met the recommendations from the clinically acceptable guidelines for the radiotherapy of MPM. <strong>Conclusion:</strong> Using well-defined TV and VMAT, a consistent TP compared to similar ones from publications was achieved. We obtained a high agreement between the 3D dose reconstructed and the dose calculated. 展开更多
关键词 Malignant Pleural Mesothelioma Radiation Therapy RADIOTHERAPY Volumetric Modulated Arc Therapy VMAT target Volume Delineation treatment Planning CTV PTV
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Combined treatment promotes the long-range axon regeneration to right brain targets
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作者 Bo Peng Yanxia Rao Kwok-Fai So 《眼科学报(英文版)》 CAS 2017年第1期4-8,共5页
Axons in the peripheral nervous system(PNS)can regenerate after injury.However,the adult mammalian central nervous system(CNS)loses the intrinsic regrowth ability.No robust axon regeneration occurs spontaneously after... Axons in the peripheral nervous system(PNS)can regenerate after injury.However,the adult mammalian central nervous system(CNS)loses the intrinsic regrowth ability.No robust axon regeneration occurs spontaneously after nerve injury,which was clearly observed by Ramon y Cajal in the early 20^(th) century(1,2).Due to lack 展开更多
关键词 RGCS TOR RHEB Combined treatment promotes the long-range axon regeneration to right brain targets
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硼中子俘获癌症治疗技术研究与应用进展
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作者 王盛 李志峰 +3 位作者 李海鹏 杨尚晖 谢宇鹏 李捷 《西安交通大学学报》 北大核心 2026年第4期140-150,共11页
硼中子俘获治疗(BNCT)作为一种二元靶向放疗技术,以“高选择性、高效杀伤、低正常组织损伤”的特点受到广泛关注。随着紧凑型加速器中子源技术的成熟发展,BNCT正逐步摆脱对核反应堆的依赖,向临床实用化、装置小型化方向快速迈进,同时也... 硼中子俘获治疗(BNCT)作为一种二元靶向放疗技术,以“高选择性、高效杀伤、低正常组织损伤”的特点受到广泛关注。随着紧凑型加速器中子源技术的成熟发展,BNCT正逐步摆脱对核反应堆的依赖,向临床实用化、装置小型化方向快速迈进,同时也对系统性能提出了更高要求。基于加速器的BNCT(AB-BNCT)技术高度依赖于加速器、中子转化靶以及个体化治疗计划系统三大核心子系统的协同发展。围绕上述子系统,结合西安交通大学硼中子俘获治疗技术团队的具体产品研发案例,综述了AB-BNCT系统的研究与应用进展。在高性能加速器研发方面,着重分析了射频直线加速器、回旋加速器和静电/串列加速器的特性以及在BNCT中的应用情况。在中子转换靶设计方面,重点探讨了靶系统的氢鼓泡问题和散热问题,并总结了相应的解决方案。在个体化治疗计划系统的开发方面,归纳了BNCT计划系统的研究与应用现状,全面介绍了西安交通大学硼中子俘获治疗技术团队在个性化体素模型建立与剂量验证等问题上提出的全流程自主化解决方案。展望未来,BNCT技术将朝着紧凑型、标准化及适应症拓展等方向持续深化,其发展仍需加速器物理、核技术、医学物理、药学及临床医学等多学科更紧密的交叉与融合。 展开更多
关键词 硼中子俘获治疗 加速器 中子转化靶 治疗计划系统
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基于态靶辨治理论探讨慢性阻塞性肺疾病的诊疗策略
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作者 朱蔚 魏成功 +3 位作者 林琳 宋斌 胡静 王蕾 《吉林中医药》 2026年第2期162-166,共5页
根据仝小林“态靶辨治”理论,结合慢性阻塞性肺疾病的病理演变、进展规律和临床特点,按照中医的思维审视疾病全过程,将病程分为阻、闭、脱、虚四态,分别对应慢性阻塞性肺疾病进程的四期:气道阻塞期、肺血管改变期、心肺功能衰竭期和稳定... 根据仝小林“态靶辨治”理论,结合慢性阻塞性肺疾病的病理演变、进展规律和临床特点,按照中医的思维审视疾病全过程,将病程分为阻、闭、脱、虚四态,分别对应慢性阻塞性肺疾病进程的四期:气道阻塞期、肺血管改变期、心肺功能衰竭期和稳定期,抓住每一阶段“态”的核心病机,总结出核心方及靶药。将慢阻肺横向按病分期,纵向层层剥离分析,实现对慢阻肺全方位、动态的、连续的认识,在治疗上态靶同调,精准直中病机,提高治疗针对性和临床可操作性。 展开更多
关键词 态靶辨治 慢性阻塞性肺疾病 分期识态 靶方靶药
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晚期转移性食管癌一线治疗方案临床疗效的网状Meta分析
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作者 王新帅 赵晗宇 +4 位作者 陆佳 孙庆凯 路伟平 韩松甫 郭超洋 《食管疾病》 2026年第1期43-49,共7页
目的评估免疫治疗、放射治疗、化疗和靶向治疗在晚期转移性食管癌患者中作为一线治疗方案的疗效。方法通过对PubMed、Embase和Cochrane Library数据库进行系统检索,收集和分析关于晚期转移性食管癌不同治疗方案。采用RevMan 5.4软件中的... 目的评估免疫治疗、放射治疗、化疗和靶向治疗在晚期转移性食管癌患者中作为一线治疗方案的疗效。方法通过对PubMed、Embase和Cochrane Library数据库进行系统检索,收集和分析关于晚期转移性食管癌不同治疗方案。采用RevMan 5.4软件中的Cochrane偏倚风险评估工具来评估纳入文献的质量,并使用RStudio及RevMan 5.4软件进行网状Meta分析,以综合评估不同治疗方案的疗效。本研究运用贝叶斯统计技术进行频率分析,从而完成了相应的网状Meta分析。结果共纳入60项研究,24681例患者,42种不同的治疗方案;其中有27项随机对照试验,包含9730例患者。结果表明,免疫联合化疗的组合排名较好,其中“度伐利尤单抗+替西木单抗+紫杉醇+顺铂”方案、“卡瑞利珠单抗+紫杉醇+顺铂”方案以及“特瑞普利单抗+紫杉醇+顺铂”方案均取得了较好的PFS优势。结论在晚期转移性食管癌病人中,相较于传统化疗和化疗联合靶向治疗,采用免疫疗法配合化疗方案在PFS上可获得更优的结果。 展开更多
关键词 晚期食管癌 一线治疗 免疫治疗 化疗 放疗 靶向治疗 网状Meta分析
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基于“态靶辨治”理论构建失眠障碍的临证策略
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作者 刘家博 晋胜康 +6 位作者 杨玲玲 谢晓燕 张卓 李昀熹 溥弋棋 杜锦程 李艳 《吉林中医药》 2026年第3期306-310,共5页
失眠障碍(ID)显著降低患者生活质量并诱发共病风险,涉及交感神经与副交感神经平衡、神经内分泌免疫紊乱、睡眠卫生作息、睡眠时相紊乱、医源性、药源性、遗传因素、精神心理因素等复杂因素,诊疗难度大,疗效欠佳。当前中医诊疗体系对失... 失眠障碍(ID)显著降低患者生活质量并诱发共病风险,涉及交感神经与副交感神经平衡、神经内分泌免疫紊乱、睡眠卫生作息、睡眠时相紊乱、医源性、药源性、遗传因素、精神心理因素等复杂因素,诊疗难度大,疗效欠佳。当前中医诊疗体系对失眠病因病机阐释尚有待深化。应用仝小林“态靶辨治”理论,结合体质特点、起病时间及症状程度等因素,建立失眠障碍“倦”“热”“湿”“燥”“虚”五态分类模型。在该模型指导下,治疗上遵循“遵态选方,依症施治”原则,构建“病-态-方-药”四级诊疗路径,以期为临床诊疗失眠障碍提供新思路与新方法。 展开更多
关键词 失眠障碍 态靶辨治 仝小林
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艰难拟梭菌感染抗毒素治疗的研究进展
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作者 李佥勍 赵敏 +1 位作者 王伟刚 赵建宏 《中国人兽共患病学报》 北大核心 2026年第1期95-101,共7页
近年来,艰难拟梭菌感染(Clostridioides difficile infection,CDI)人数逐年上升,尤其是高毒力菌株的暴发流行,引起了全世界的关注。万古霉素作为CDI的一线治疗方案已被证明存在复发率高、肠道菌群紊乱等弊端。针对复发性CDI推荐粪便菌... 近年来,艰难拟梭菌感染(Clostridioides difficile infection,CDI)人数逐年上升,尤其是高毒力菌株的暴发流行,引起了全世界的关注。万古霉素作为CDI的一线治疗方案已被证明存在复发率高、肠道菌群紊乱等弊端。针对复发性CDI推荐粪便菌群移植,但该方法存在的未知感染风险限制了其在临床上的应用。针对艰难拟梭菌毒素的靶向治疗方法可能是治疗CDI的有效方法,新研发的药物包括单克隆抗体、小分子抑制剂等已在众多研究中报道,并且动物实验初步显示出了积极的治疗效果,但仍需进一步验证抗毒素疗法的有效性和安全性。本文综述了以艰难拟梭菌毒素为治疗靶点的最新研究,以期为CDI治疗策略提供新思路。 展开更多
关键词 艰难拟梭菌 艰难拟梭菌感染 毒素靶点 致病机制 抗毒素治疗
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HSPB1调节炎症反应在动脉粥样硬化作用机制及靶向治疗的研究进展
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作者 邹婷婷 侯经远 钟志雄 《中国动脉硬化杂志》 2026年第1期65-72,共8页
动脉粥样硬化(As)是一种慢性炎症性疾病,持续存在的炎症反应是驱动斑块形成与发展的重要机制。热休克蛋白家族B成员1(HSPB1)属于小分子热休克蛋白家族,作为一种分子伴侣,在多种细胞和组织中广泛表达。HSPB1的表达受热休克转录因子1(HSF1... 动脉粥样硬化(As)是一种慢性炎症性疾病,持续存在的炎症反应是驱动斑块形成与发展的重要机制。热休克蛋白家族B成员1(HSPB1)属于小分子热休克蛋白家族,作为一种分子伴侣,在多种细胞和组织中广泛表达。HSPB1的表达受热休克转录因子1(HSF1)调控,HSF1通过与热休克元件(HSE)结合直接激活其转录。近年来研究表明,HSPB1在As进程中发挥重要作用,主要通过调控炎症因子表达、影响脂质代谢及调控细胞程序性死亡等途径,抑制斑块炎症反应,从而发挥抗As的作用。本综述系统阐述了HSPB1通过多种方式抑制炎症反应以调控As进展的机制,并进一步梳理了靶向干预HSPB1的抗As治疗策略,包括特异性激动剂的开发以及纳米药物递送系统(NDDS)的创新应用,以期为As的预防和治疗提供新的理论依据和治疗方向。 展开更多
关键词 动脉粥样硬化 热休克蛋白家族B成员1 炎症反应 靶向治疗
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仝小林“八维药纲”理论刍议
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作者 胡东森 赵林华 +1 位作者 张莉莉 仝小林(指导) 《中医杂志》 北大核心 2026年第4期360-364,共5页
介绍仝小林教授提出的“八维药纲”理论,并结合其学术观点和临证经验,从多角度探讨该理论对明代张介宾“药之四维”的传承与创新。在人参、熟地黄、附子、大黄为“药之四维”的基础上,以八纲辨证为框架,将药味扩展至八味,确立“表麻黄... 介绍仝小林教授提出的“八维药纲”理论,并结合其学术观点和临证经验,从多角度探讨该理论对明代张介宾“药之四维”的传承与创新。在人参、熟地黄、附子、大黄为“药之四维”的基础上,以八纲辨证为框架,将药味扩展至八味,确立“表麻黄、里肉桂、寒黄连、热干姜、虚人参、实大黄、熟地阴、附子阳”的“八维药纲”理论,突出该八味药在表证、里证、寒证、热证、虚证、实证、阴亏、阳虚等治疗中的关键地位。结合态靶辨治理论,丰富了八味代表性药物的传统功效,融合了现代药理学研究成果,实现从宏观调态到微观打靶的跨越。并从药物量效关系的探究和配伍思路的拓展,进一步体现“八维药纲”理论的临床实用性,推动中药临床运用层面的中西医结合发展。 展开更多
关键词 八维药纲 态靶辨治 方药量效 名医经验 仝小林
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马兜铃酸类成分的靶向分离前处理技术和定量分析方法研究进展
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作者 闵心怡 赵奕 +3 位作者 赵翔宇 饶艳敏 付海燕 兰薇 《中南民族大学学报(自然科学版)》 2026年第3期342-352,共11页
马兜铃酸(aristolochic acids,AAs)是一类广泛存在于马兜铃属(Aristolochia L.)及细辛属(Asarum L.)等马兜铃科植物中的硝基菲羧酸化合物.由于其显著的肾毒性和致癌性,对AAs进行高效、精准的靶向分离和定量分析对于评估相关药品安全性... 马兜铃酸(aristolochic acids,AAs)是一类广泛存在于马兜铃属(Aristolochia L.)及细辛属(Asarum L.)等马兜铃科植物中的硝基菲羧酸化合物.由于其显著的肾毒性和致癌性,对AAs进行高效、精准的靶向分离和定量分析对于评估相关药品安全性、保障公众健康至关重要.本文首先综述了近年来在靶向分离AAs前处理方法方面的最新进展,重点介绍了分子印迹聚合物吸附剂、磁性多孔吸附剂及其他新型吸附材料的应用,然后进一步系统总结了液相色谱法、色谱质谱联用法、光谱法、免疫分析法和电化学分析法等技术在AAs定量分析中的最新进展.通过对现有研究的梳理,为进一步优化马兜铃酸类成分的分析技术提供参考,积极推动新技术在药品质量控制、毒理学研究和安全评估方面的应用. 展开更多
关键词 马兜铃酸 靶向分离 前处理 定量分析 吸附剂
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中西医结合肺病治疗中扶正治疗切入时机和治疗思路
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作者 鲍佳妍 臧凝子 +1 位作者 吕晓东 庞立健 《实用中医内科杂志》 2026年第3期52-57,共6页
近年来,中西医结合治疗在呼吸系统疾病的诊治上展现了其独特的优势,尤其是在改善慢性肺病的临床转归方面取得显著疗效。《黄帝内经》言:“正气存内,邪不可干”。正气盛衰主导疾病的发生与转归,把握扶正的关键时机是影响临床疗效的重要... 近年来,中西医结合治疗在呼吸系统疾病的诊治上展现了其独特的优势,尤其是在改善慢性肺病的临床转归方面取得显著疗效。《黄帝内经》言:“正气存内,邪不可干”。正气盛衰主导疾病的发生与转归,把握扶正的关键时机是影响临床疗效的重要因素。然而,目前关于扶正治疗的动态切入时机尚未形成统一共识。仝小林院士曾提出重在调态。文章基于仝小林院士之“态靶理论”,将宏观与微观相结合,提出以现代医学指标为靶点,结合中医动态辨证论治与现代医学疾病各阶段核心病机,建立“指标-病程-治法”动态框架,构建动态扶正调节体系,为精准治疗提供基础。文章结合古籍论述及相关现代临床研究证据,对扶正治疗中的关键环节—切入时机及其辨治思路进行系统探讨,应用“态靶理论”于扶正治疗中,将现代医学指标与中医辨证相关联,并对有关疾病评价指标进行重点整合,从而精准把握治疗时机,为解决“何时扶正及如何扶正”这一临床难题提供新思路,并为推动中西医结合精准干预提供新依据。 展开更多
关键词 扶正 扶正治疗 切入时机 态靶理论 动态调节 治疗思路
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基于态靶辨治理论探讨盆腔炎性疾病后遗症诊疗策略
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作者 陈彤 郁悦 +3 位作者 郑冬雪 张莉莉 赵林华 刘新敏 《吉林中医药》 2026年第2期175-178,共4页
态靶辨治理论是仝小林基于现代医学背景提出的重构中医诊疗体系的新策略。基于态靶辨治理论,笔者认为盆腔炎性疾病后遗症早期多为“瘀态”,核心方为金铃子散加减方;中晚期多为“虚态”,核心方为四君子汤加减方。在核心方的基础上,兼以... 态靶辨治理论是仝小林基于现代医学背景提出的重构中医诊疗体系的新策略。基于态靶辨治理论,笔者认为盆腔炎性疾病后遗症早期多为“瘀态”,核心方为金铃子散加减方;中晚期多为“虚态”,核心方为四君子汤加减方。在核心方的基础上,兼以相应症靶、标靶药,临床疗效显著。现将态靶辨治理论指导下的盆腔炎性疾病后遗症诊疗策略总结如下,为盆腔炎性疾病后遗症的中医药治疗提供参考。 展开更多
关键词 盆腔炎性疾病后遗症 态靶辨治 诊疗策略
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基于态靶辨治理论探讨老年糖尿病的诊疗策略
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作者 张琪棋 张博荀 +3 位作者 林潼 王思成 金籽杉 赵林华 《吉林中医药》 2026年第3期295-300,共6页
老年糖尿病具有合并病多、身体基础差等特点。基于态靶辨治理论认识老年糖尿病,当以“老、虚、瘀”为其主态,气血渐亏是老年糖尿病病理基础,脾肾不足是老年糖尿病主要病机,痰瘀阻滞、多器受损是老年糖尿病特征性表现,最终形成多态混合... 老年糖尿病具有合并病多、身体基础差等特点。基于态靶辨治理论认识老年糖尿病,当以“老、虚、瘀”为其主态,气血渐亏是老年糖尿病病理基础,脾肾不足是老年糖尿病主要病机,痰瘀阻滞、多器受损是老年糖尿病特征性表现,最终形成多态混合、虚实夹杂之病理表现。老年糖尿病当以健脾补肾化浊、活血化瘀通络为治疗大法。老年糖尿病在调态同时应选用合适的靶方靶药治疗。论述老年糖尿病适当放宽控制标准、重视血糖难控因素、合理选用苦寒药物、关注方药量效策略等治疗要点,以期为临床治疗老年糖尿病提供参考。 展开更多
关键词 老年糖尿病 态靶辨治 靶方 靶药 仝小林
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