首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   581篇
  免费   27篇
  国内免费   37篇
儿科学   3篇
基础医学   91篇
口腔科学   5篇
临床医学   16篇
内科学   97篇
皮肤病学   7篇
神经病学   125篇
特种医学   5篇
外科学   16篇
综合类   102篇
预防医学   9篇
眼科学   8篇
药学   131篇
中国医学   18篇
肿瘤学   12篇
  2023年   4篇
  2022年   2篇
  2021年   9篇
  2020年   4篇
  2019年   10篇
  2018年   7篇
  2017年   14篇
  2016年   12篇
  2015年   17篇
  2014年   19篇
  2013年   34篇
  2012年   25篇
  2011年   30篇
  2010年   25篇
  2009年   20篇
  2008年   11篇
  2007年   17篇
  2006年   29篇
  2005年   18篇
  2004年   17篇
  2003年   21篇
  2002年   22篇
  2001年   22篇
  2000年   17篇
  1999年   8篇
  1998年   16篇
  1997年   19篇
  1996年   21篇
  1995年   9篇
  1994年   20篇
  1993年   11篇
  1992年   9篇
  1991年   11篇
  1990年   14篇
  1989年   8篇
  1988年   13篇
  1987年   8篇
  1986年   11篇
  1985年   14篇
  1984年   10篇
  1983年   14篇
  1982年   6篇
  1981年   9篇
  1980年   4篇
  1979年   4篇
排序方式: 共有645条查询结果,搜索用时 12 毫秒
11.
目的 探讨血管紧张素Ⅱ受体阻滞剂厄贝沙坦和血管紧张素转换酶抑制剂 (ACEI)咪达普利对高血压大鼠心肌细胞外信号调节激酶 (ERK)和丝裂原活化蛋白激酶磷酸酶 1(MKP 1)的影响。方法 将 2 1只雄性自发性高血压大鼠 (SHR)随机分成 3组 ,每组 7只。其中 2组分别灌喂厄贝沙坦 5 0mg·kg-1·d-1和咪达普利 3mg·kg-1·d-1;对照组给正常饮水 ,并与雄性同周龄WistarKyoto大鼠 (WKY) 6只比较。共 13周 ,用Western blot方法检测大鼠心肌ERK 1和MKP 1。结果 高血压对照组心肌ERK 1明显高于其他三组 (P <0 0 1) ,厄贝沙坦组高于咪达普利组 (P <0 0 5 ) ,与WKY组接近 ;高血压对照组心肌MKP 1也明显高于其他三组 (P <0 0 1) ,厄贝沙坦组高于咪达普利组 (P <0 0 1) ;SHR对照组的心肌ERK 1/MKP 1值仍然明显高于其他三组 ,厄贝沙坦组低于咪达普利组 (P <0 0 5 ) ,两药物干预组的心肌ERK 1/MKP 1与WKY组无显著性差异。结论 血管紧张素Ⅱ受体阻滞剂和ACEI均能通过抑制MAPK途径而抑制左室肥厚 ,厄贝沙坦和咪达普利均能显著抑制心肌的ERK 1和MKP 1,但是抑制ERK 1和MKP 1的强度并不平行 ;厄贝沙坦对MKP的影响较小 ,其对MAPK的总体抑制效应优于咪达普利 ,这种现象可能与刺激血管紧张素Ⅱ受体对MKP 1具有诱导作用有关  相似文献   
12.
目的许多生长因子如表皮生长因子(EGF),与肿瘤的发生密切相关.EGF与表皮生长因子受体(EGFR)结合,通过一系列的信息传导,导致肝癌细胞的增生.但受体后的信息传导机制尚不清楚.本实验探讨酪氨酸激酶、蛋白激酶C、Na+/H+交换、钙调蛋白和电压依赖性钙通道在EGF促肝癌细胞生长中的作用.方法本研究于无血清RPMI1640中培养肝癌细胞SMMC7721,采用3H-Thymidine(3H-TdR)掺入的方法,检测肝癌细胞DNA合成速率,研究酪氨酸激酶、蛋白激酶C、Na+/H+交换、钙调蛋白和电压依赖性钙通道在EGF促肝癌细脆生长中的作用.结果EGF 10-9M对肝癌细脆的生长有极显著促进作用,与对照组比较差异有显著意义(P<0.05),酪氮酸激酶阻滞剂Genistein对EGF的促肝癌细胞生长作用具有极显著抑制作用(P<0.001).钙调蛋白阻滞剂W-7、蛋白激酶C阻滞剂H-7和Na+/H+交换阻滞剂amiloride对EGF的促肝癌细胞生长作用具有显著抑制作用(P<0.001,P<0.01,P<0.05),而对基础状态细胞的3H-TdR掺入值无显著影响(P>0.05).电压依赖性钙通道阻滞剂Varapamil对BGF的促肝癌细胞生长作用无显著抑制作用(P>0.05),对基础状态细胞的3H-TdR掺入值亦无显著影响(P>0.05).结论结果显示,酪氨酸激酶、蛋白激酶C、Na+/H+交换及依赖钙-钙调蛋白途径在BGF的作用中起关键作用.电压依赖性钙通道与EGF的作用无关.  相似文献   
13.
14.
15.
Sunifiram is a novel pyrrolidone nootropic drug structurally related to piracetam, which was developed for neurodegenerative disorder like Alzheimer's disease. Sunifiram is known to enhance cognitive function in some behavioral experiments such as Morris water maze task. To address question whether sunifiram affects N‐methyl‐D ‐aspartate receptor (NMDAR)‐dependent synaptic function in the hippocampal CA1 region, we assessed the effects of sunifiram on NMDAR‐dependent long‐term potentiation (LTP) by electrophysiology and on phosphorylation of synaptic proteins by immunoblotting analysis. In mouse hippocampal slices, sunifiram at 10–100 nM significantly enhanced LTP in a bell‐shaped dose‐response relationship which peaked at 10 nM. The enhancement of LTP by sunifiram treatment was inhibited by 7‐chloro‐kynurenic acid (7‐ClKN), an antagonist for glycine‐binding site of NMDAR, but not by ifenprodil, an inhibitor for polyamine site of NMDAR. The enhancement of LTP by sunifilam was associated with an increase in phosphorylation of α‐amino‐3‐hydroxy‐5‐methylisozazole‐4‐propionate receptor (AMPAR) through activation of calcium/calmodulin‐dependent protein kinase II (CaMKII) and an increase in phosphorylation of NMDAR through activation of protein kinase Cα (PKCα). Sunifiram treatments at 1–1000 nM increased the slope of field excitatory postsynaptic potentials (fEPSPs) in a dose‐dependent manner. The enhancement was associated with an increase in phosphorylation of AMPAR receptor through activation of CaMKII. Interestingly, under the basal condition, sunifiram treatments increased PKCα (Ser‐657) and Src family (Tyr‐416) activities with the same bell‐shaped dose‐response curve as that of LTP peaking at 10 nM. The increase in phosphorylation of PKCα (Ser‐657) and Src (Tyr‐416) induced by sunifiram was inhibited by 7‐ClKN treatment. The LTP enhancement by sunifiram was significantly inhibited by PP2, a Src family inhibitor. Finally, when pretreated with a high concentration of glycine (300 μM), sunifiram treatments failed to potentiate LTP in the CA1 region. Taken together, sunifiram stimulates the glycine‐binding site of NMDAR with concomitant PKCα activation through Src kinase. Enhancement of PKCα activity triggers to potentiate hippocampal LTP through CaMKII activation. © 2013 Wiley Periodicals, Inc.  相似文献   
16.
林启鹏  朱茜  马立伟 《武警医学》2019,30(2):124-127
 目的 比较肌萎缩侧索硬化的两种不同基因突变型(C9orf72与CHMP2B)表达谱差异来探讨该类疾病可能的发病机制及治疗靶点。方法 从GEO数据库中下载C9orf72基因突变肌萎缩侧索硬化数据集(GSE68605)及CHMP2B基因突变肌萎缩侧索硬化数据集(GSE19332)。使用R软件(3.5.0版本)、Cytoscape 3.6.1软件及在线工具(DAVID及STRING)进行数据分析。结果 从两个数据集中,获得了11个样本,其中8个为C9orf72基因突变,3个为CHMP2B基因。发现了13个差异表达基因,在GO及KEGG功能富集分析中发现仅有CALM1-3及RYR2富集在钙离子检测、通过钙离子释放的调节影响心肌的收缩功能等。其中钙调蛋白是引起C9orf72基因突变肌萎缩侧索硬化及CHMP2B基因突变肌萎缩侧索硬化差异的关键蛋白。结论 CALM基因在C9orf72基因突变肌萎缩侧索硬化患者中高表达,钙调蛋白可能是诊断及治疗C9orf72基因突变肌萎缩侧索硬化患者的重要靶点。  相似文献   
17.
Lead (Pb) is a persistent environmental pollutant that has a structure and charge similar to many ions, such as calcium, that are essential for normal cellular function. Pb may compete with calcium for protein binding sites and inhibit signaling pathways within the cell affecting many organ systems including the immune system. The aim of the current study was to assess whether the calcium/calmodulin pathway is a principal target of environmentally relevant Pb during pro-inflammatory activation in a RAW 264.7 macrophage cell line. RAW 264.7 cells were cultured with 5 μM Pb(NO3)2, LPS, rIFNγ, or LPS+rIFNγ for 12, 24, or 48 hr. Intracellular protein signaling and multiple functional endpoints were investigated to determine Pb-mediated effects on macrophage function. Western blot analysis revealed that Pb initially modulated nuclear localization of NFκB p65 and cytoplasmic phosphorylation of CaMKIV accompanied by increased phosphorylation of STAT1β at 24 hr. Macrophage proliferation was significantly decreased at 12 hr in the presence of Pb, while nitric oxide (NO) was significantly reduced at 12 and 24 hr. Cells cultured with Pb for 12, 24, or 48 hr exhibited altered cytokine levels after specific stimuli activation. Our findings are in agreement with previous reports suggesting that macrophage pro-inflammatory responses are significantly modulated by Pb. Further, Pb-induced phosphorylation of CaMKIV (pCaMKIV), observed in the present study, may be a contributing factor in metal-induced autophagy noted in our previous study with this same cell line.  相似文献   
18.
19.
The cell-to-cell channels of gap junctions mediate the direct exchange of ions and small metabolites between neighboring cells. A number of studies have shown that these channels close when the intracellular free calcium or hydrogen concentration increases, the result being cell-to-cell uncoupling. Since most of the calcium-activated biological phenomena are mediated by calmodulin (CaM), an obvious question is whether or not CaM is involved in the mechanism of cell coupling regulation. Data from the present study, showing the inhibitory effects of a calmodulin blocker on electrical uncoupling in Xenopus embryo cells, suggest a possible CaM participation in the uncoupling mechanism.  相似文献   
20.
In cardiomyocytes, NaV1.5 channels mediate initiation and fast propagation of action potentials. The Ca2+-binding protein calmodulin (CaM) serves as a de facto subunit of NaV1.5. Genetic studies and atomic structures suggest that this interaction is pathophysiologically critical, as human mutations within the NaV1.5 carboxy-terminus that disrupt CaM binding are linked to distinct forms of life-threatening arrhythmias, including long QT syndrome 3, a “gain-of-function” defect, and Brugada syndrome, a “loss-of-function” phenotype. Yet, how a common disruption in CaM binding engenders divergent effects on NaV1.5 gating is not fully understood, though vital for elucidating arrhythmogenic mechanisms and for developing new therapies. Here, using extensive single-channel analysis, we find that the disruption of Ca2+-free CaM preassociation with NaV1.5 exerts two disparate effects: 1) a decrease in the peak open probability and 2) an increase in persistent NaV openings. Mechanistically, these effects arise from a CaM-dependent switch in the NaV inactivation mechanism. Specifically, CaM-bound channels preferentially inactivate from the open state, while those devoid of CaM exhibit enhanced closed-state inactivation. Further enriching this scheme, for certain mutant NaV1.5, local Ca2+ fluctuations elicit a rapid recruitment of CaM that reverses the increase in persistent Na current, a factor that may promote beat-to-beat variability in late Na current. In all, these findings identify the elementary mechanism of CaM regulation of NaV1.5 and, in so doing, unravel a noncanonical role for CaM in tuning ion channel gating. Furthermore, our results furnish an in-depth molecular framework for understanding complex arrhythmogenic phenotypes of NaV1.5 channelopathies.

Voltage-gated sodium channels (NaV) are responsible for the initiation and spatial propagation of action potentials (AP) in excitable cells (1, 2). NaV channels undergo rapid activation that underlie the AP upstroke while ensuing inactivation permits AP repolarization. The NaV1.5 channel constitutes the predominant isoform in cardiomyocytes, whose pore-forming α-subunit is encoded by the SCN5A gene. NaV1.5 dysfunction underlies diverse forms of cardiac disease including cardiomyopathies, arrhythmias, and sudden death (36). Human mutations in NaV1.5 are associated with two forms of inherited arrhythmias–congenital long QT syndrome 3 (LQTS3) and Brugada syndrome (BrS) (7). LQTS3 stems from delayed or incomplete inactivation of NaV1.5 that causes persistent Na influx that prolongs AP repolarization—a “gain-of-function” phenotype (79). BrS predisposes patients to sudden death and is associated with a reduction in the peak Na current that may slow cardiac conduction or cause region-specific repolarization differences—a “loss-of-function” phenotype (10, 11). Genetic studies have identified an expanding array of mutations in multiple NaV1.5 domains, including the channel carboxy-terminus (CT) that is a hotspot for mutations linked to both LQTS3 and BrS (12, 13). This domain interacts with the Ca2+-binding protein calmodulin (CaM), suggesting that altered CaM regulation of NaV1.5 may be a common pathophysiological mechanism (12, 1416). More broadly, human mutations in the homologous regions of neuronal NaV1.1 (17, 18), NaV1.2 (19, 20), and NaV1.6 (21) as well as skeletal muscle NaV1.4 (22) are linked to varied clinical phenotypes including epilepsy, autism spectrum disorder, neurodevelopmental delay, and myotonia (23). Taken together, a common NaV mechanistic deficit—defective CaM regulation—may underlie these diverse diseases.CaM regulation of NaV channels is complex, isoform specific, and mediated by multiple interfaces within the channel (1416). The NaV CT consists of a dual vestigial EF hand segment and a canonical CaM-binding “IQ” (isoleucine–glutamine) domain (24, 25) (Fig. 1A). The IQ domain of nearly all NaV channels binds to both Ca2+-free CaM (apoCaM) and Ca2+/CaM, similar to CaV channels (2631). As CaM is typically a Ca2+-dependent regulator, much attention has been focused on elucidating Ca2+-dependent changes in NaV gating. For skeletal muscle NaV1.4, transient elevation in cytosolic Ca2+ causes a dynamic reduction in the peak current, a process reminiscent of Ca2+/CaM-dependent inactivation of CaV channels (32). Cardiac NaV1.5 by comparison exhibits no dynamic effect of Ca2+ on the peak current (3234). Instead, sustained Ca2+ elevation has been shown to elicit a depolarizing shift in NaV1.5 steady-state inactivation (SSI or h), although the magnitude and the presence of a shift have been debated (32, 35). Additional CaM-binding sites have been identified in the channel amino terminus domain (36) and the III-IV linker near the isoleucine, phenylalanine, and methionine (IFM) motif that is well recognized for its role in fast inactivation (35, 37). However, recent cryogenic electron microscopy structures, biochemical, and functional analyses suggest that both the III-IV linker and the Domain IV voltage-sensing domain might instead interact with the channel CT in a state-dependent manner (3843).Open in a separate windowFig. 1.Absence of dynamic Ca2+/CaM effects on WT NaV1.5 SSI. (A, Left) Structure of NaV1.5 transmembrane domain (6UZ3) (70) juxtaposed with that of NaV1.5 CT–apoCaM complex (4OVN) (28). (Right) Arrhythmia-linked CT mutations highlighted in NaV1.5 CT–apoCaM structure (LQTS3, blue; BrS, magenta; mixed syndrome, purple). (B) Dynamic Ca2+-dependent changes in NaV1.5 SSI probed using Ca2+ photouncaging. Na currents specifying h at ∼100 nM (Left) and ∼4 μM Ca2+ step (Right). (C) Population data for NaV1.5 SSI under low (black, Left) versus high (red, Right) intracellular Ca2+ reveal no differences (P = 0.55, paired t test). Dots and bars are mean ± SEM (n = 8 cells). (D) FRET two-hybrid analysis of Cerulean-tagged apoCaM interaction with various Venus-tagged NaV1.5 CT (WT, black; IQ/AA, red; S[1904]L, blue). Each dot is FRET efficiency measured from a single cell. Solid line fits show 1:1 binding isotherm.Beyond Ca2+-dependent effects, the loss of apoCaM binding to the NaV1.5 IQ domain increases persistent current (34, 44), suggesting that apoCaM itself may be pathophysiologically relevant. Indeed, NaV1.5 mutations in the apoCaM-binding interface are associated with LQTS3 and atrial fibrillation (7), as well as a loss-of-function BrS phenotype and a mixed-syndrome phenotype whereby some patients present with BrS while others with LQTS3 (Fig. 1A) (13, 45). How alterations in CaM binding paradoxically elicits both gain-of-function and loss-of-function effects is not fully understood, though important to delineate pathophysiological mechanisms and for personalized therapies.Here, using single- and multichannel recordings, we show that apoCaM binding elicits two distinct effects on NaV1.5 gating: 1) an increase in the peak channel open probability (PO/peak) and 2) a reduction in the normalized persistent channel open probability (Rpersist), consistent with previous studies (34, 44). The two effects may explain how mixed-syndrome mutations in the NaV1.5 CT produce either BrS or LQTS3 phenotypes. On one hand, the loss of apoCaM association may diminish PO/peak and induce BrS by shunting cardiac AP. On the other hand, increased Rpersist may prevent normal AP repolarization, resulting in LQTS3. Analysis of elementary mechanisms suggests that these changes relate to a switch in the state dependence of channel inactivation. Furthermore, dynamic changes in Ca2+ can inhibit persistent current for certain mutant NaV1.5 owing to enhanced Ca2+/CaM binding that occurs over the timescale of a cardiac AP. This effect may result in beat-to-beat variability in persistent Na current for some mutations. In all, these findings explain how a common deficit in CaM binding can contribute to distinct arrhythmogenic mechanisms.  相似文献   
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号