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Reply to “Non‐ST‐segment elevation myocardial infarction vs aborted myocardial infarction‐triggered takotsubo syndrome?” 下载免费PDF全文
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Assessment of global left ventricular excursion using three‐dimensional dobutamine stress echocardiography to identify significant coronary artery disease 下载免费PDF全文
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Transient left ventricular outflow tract obstruction with systolic anterior motion of the mitral valve: A stunning cause 下载免费PDF全文
Christiaan L. Meuwese MD PhD Mohamed Boulaksil MD PhD Jeroen van Dijk MD PhD Jawed Polad MBChB MRCP Huub W. Meijburg MD PhD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(7):1089-1091
Left ventricular outflow tract obstruction (LVOTO) and systolic anterior motion (SAM) of the mitral valve may have various etiologies, of which hypertrophic cardiomyopathy is the most common. More rarely, an acute coronary syndrome, myocardial stunning, and takotsubo cardiomyopathy may give rise to LVOTO and SAM. Here, we present a 70‐year‐old female patient with a non‐ST‐elevation acute coronary syndrome treated with percutaneous coronary intervention. Echocardiography the day after, because of dyspnea and hypotension, revealed apical akinesia, LVOTO, and SAM, which proved completely reversible after treatment with a β‐blocker and a 2‐month follow‐up period. It was concluded that postischemic apical stunning had caused LVOTO and SAM. 相似文献
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Unraveling toxicological mechanisms and predicting toxicity classes with gene dysregulation networks
Tessa E. Pronk Eugene P. van Someren Rob H. Stierum Janine Ezendam Jeroen L.A. Pennings 《Journal of applied toxicology : JAT》2013,33(12):1407-1415
The use of genes for distinguishing classes of toxicity has become well established. In this paper we combine the reconstruction of a gene dysregulation network (GDN) with a classifier to assign unseen compounds to their appropriate class. Gene pairs in the GDN are dysregulated in the sense that they are linked by a common expression pattern in one class and differ in this pattern in another class. The classifier gives a quantitative measure on this difference by its prediction accuracy. As an in‐depth example, gene pairs were selected that were dysregulated between skin cells treated with either sensitizers or irritants. Pairs with known and novel markers were found such as HMOX1 and ZFAND2A, ATF3 and PPP1R15A, OXSR1 and HSPA1B, ZFP36 and MAFF. The resulting GDN proved biologically valid as it was well‐connected and enriched in known interactions, processes and common regulatory motifs for pairs. Classification accuracy was improved when compared with conventional classifiers. As the dysregulated patterns for heat shock responding genes proved to be distinct from those of other stress genes, we were able to formulate the hypothesis that heat shock genes play a specific role in sensitization, apart from other stress genes. In conclusion, our combined approach creates added value for classification‐based toxicogenomics by obtaining novel, well‐distinguishing and biologically interesting measures, suitable for the formulation of hypotheses on functional relationships between genes and their relevance for toxicity class differences. Copyright © 2012 John Wiley & Sons, Ltd. 相似文献
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Lianne J. Stevens Joanne M. Donkers Jeroen Dubbeld Wouter H. J. Vaes Catherijne A. J. Knibbe Ian P. J. Alwayn 《Drug metabolism reviews》2020,52(3):438-454
AbstractTo predict the absorption, distribution, metabolism and excretion (ADME) profile of candidate drugs a variety of preclinical models can be applied. The ADME and toxicological behavior of newly developed drugs are often investigated prior to assessment in humans, which is associated with long time-lines and high costs. Therefore, good predictions of ADME profiles earlier in the drug development process are very valuable. Good prediction of intestinal absorption and renal and biliary excretion remain especially difficult, as there is an interplay of active transport and metabolism involved. To study these processes, including enterohepatic circulation, ex vivo tissue models are highly relevant and can be regarded as the bridge between in vitro and in vivo models. In this review the current in vitro, in vivo and in more detail ex vivo models for studying pharmacokinetics in health and disease are discussed. Additionally, we propose novel models, i.e., perfused whole-organs, which we envision will generate valuable pharmacokinetic information in the future due to improved translation to the in vivo situation. These machine-perfused organ models will be particularly interesting in combination with biomarkers for assessing the functionality of transporter and CYP450 proteins. 相似文献
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Influence of WHO versus ELN advanced phase chronic myeloid leukemia definitions on overall survival 下载免费PDF全文