全文获取类型
收费全文 | 2682篇 |
免费 | 111篇 |
国内免费 | 34篇 |
专业分类
耳鼻咽喉 | 6篇 |
儿科学 | 22篇 |
妇产科学 | 18篇 |
基础医学 | 568篇 |
口腔科学 | 5篇 |
临床医学 | 154篇 |
内科学 | 272篇 |
皮肤病学 | 22篇 |
神经病学 | 195篇 |
特种医学 | 27篇 |
外科学 | 129篇 |
综合类 | 135篇 |
预防医学 | 279篇 |
眼科学 | 6篇 |
药学 | 851篇 |
中国医学 | 62篇 |
肿瘤学 | 76篇 |
出版年
2023年 | 24篇 |
2022年 | 36篇 |
2021年 | 52篇 |
2020年 | 43篇 |
2019年 | 45篇 |
2018年 | 53篇 |
2017年 | 46篇 |
2016年 | 76篇 |
2015年 | 87篇 |
2014年 | 113篇 |
2013年 | 136篇 |
2012年 | 116篇 |
2011年 | 118篇 |
2010年 | 112篇 |
2009年 | 118篇 |
2008年 | 148篇 |
2007年 | 103篇 |
2006年 | 88篇 |
2005年 | 81篇 |
2004年 | 84篇 |
2003年 | 88篇 |
2002年 | 50篇 |
2001年 | 46篇 |
2000年 | 42篇 |
1999年 | 46篇 |
1998年 | 54篇 |
1997年 | 48篇 |
1996年 | 34篇 |
1995年 | 47篇 |
1994年 | 48篇 |
1993年 | 35篇 |
1992年 | 29篇 |
1991年 | 31篇 |
1990年 | 26篇 |
1989年 | 27篇 |
1988年 | 30篇 |
1987年 | 21篇 |
1985年 | 49篇 |
1984年 | 34篇 |
1983年 | 17篇 |
1982年 | 28篇 |
1981年 | 33篇 |
1980年 | 32篇 |
1979年 | 28篇 |
1978年 | 32篇 |
1977年 | 30篇 |
1976年 | 31篇 |
1975年 | 26篇 |
1974年 | 36篇 |
1973年 | 21篇 |
排序方式: 共有2827条查询结果,搜索用时 15 毫秒
21.
Liñares D Mañá P Goodyear M Chow AM Clavarino C Huntington ND Barnett L Koentgen F Tomioka R Bernard CC Freire-Garabal M Reid HH 《Journal of autoimmunity》2003,21(4):339-351
Myelin oligodendrocyte glycoprotein (MOG) is a minor component of central nervous system myelin presumably implicated in the pathogenesis of Multiple Sclerosis (MS). Immunization with MOG leads to the development of Experimental Autoimmune Encephalomyelitis (EAE), the experimental model of MS. It has been suggested that its encephalitogenic potential may be due to the lack of MOG self-immune tolerance. To clarify this, we have generated a MOG deficient mouse (MOG(-/-)) strain. Surprisingly, MOG(35-55)specific proliferation and Th1-type cytokine production were markedly enhanced in MOG(-/-)mice compared to wild type control. Furthermore, adoptive transfer of MOG(35-55)specific T cells, isolated from MOG deficient mice, into wild-type recipients resulted in the development of a more severe disease, indicating a high capacity of MOG(-/-)T cells to initiate effector responses. Interestingly, T cell reactivity to overlapping MOG peptides in MOG(-/-)mice did not reveal new potential immunodominant epitopes in H-2(b)mice. Taken together, our data suggests that MOG self-tolerance modulates the encephalitogenic potential of autoreactive MOG T cells in the periphery. 相似文献
22.
We measured body temperature and serum iron concentration after five daily consecutive injections of febrile doses of Salmonella typhosa lipopolysaccharide (0.1 g/kg) and two doses of Staphylococcus aureus cell walls (1×107 and 5×107 cells) in rabbits. Tolerance to endotoxin injection, as manifest by a significant attenuation in the body temperature elevation, developed after the first injection of endotoxin. The endotoxin-induced fall in serum iron concentration was attenuated significantly by the 5th day of endotoxin injection. In contrast, no tolerance developed in either the body temperature or serum iron response following repeated daily injections of S. aureus. Rabbits rendered tolerant to endotoxin showed normal febrile and serum iron responses to subsequent S. aureus injection. Rabbits given serial injections of S. aureus, although not tolerant to S. aureus itself, exhibited attenuated body temperature responses but not serum iron responses to endotoxin injection. We suggest that repeated injection of endotoxin diminishes the ability of endotoxin to stimulate endogenous pyrogen (EP) synthesis and/or release, a property not shared by the gram-positive pyrogen S. aureus. However, repeated injection of S. aureus weakens the central endotoxin-EP pathway. 相似文献
23.
Effective induction of immune tolerance by portal venous infusion with IL-10 gene-modified immature dendritic cells leading to prolongation of allograft survival 总被引:14,自引:0,他引:14
Zhang M Wang Q Liu Y Sun Y Ding G Fu Z Min Z Zhu Y Cao X 《Journal of molecular medicine (Berlin, Germany)》2004,82(4):240-249
Dendritic cells (DC) not only initiate T cell responses, but are also involved in the induction of tolerance. The functional properties of DC are strictly dependent on their state of maturation. It has been shown that immature DC can induce immune tolerance and prolong allograft survival. Interleukin-10 (IL-10) is an important immunosuppressive cytokine which inhibits maturation and function of DC. In order to improve the tolerogenicity of DC, we and others showed that adenovirus vectors can effectively mediate IL-10 genetic modification of DC, and IL-10 genetic modification can inhibit MHC II, B7.2, and CD40 expression, IL-12 secretion and the T cell stimulatory capacity of DC. The primary aim of this study is to examine the in vivo effects of this approach on allograft survival in a murine cardiac allograft transplantation model. To our surprise, we observed that infusion of immature DC genetically modified to express IL-10 (DC-IL-10) via the tail vein could not prolong allograft survival in the recipients, but shortened their survival. More interestingly, portal venous infusion of DC-IL-10 markedly prolonged allograft survival. The diverse effects of DC-IL-10 infusion through different routes may be due to the different immune responses to alloantigens in recipients that received DC-IL-10 via either the portal or the tail vein. Decreased cytotoxicity, polarization of Th2 response, poor T cell stimulating activity of liver DC and enhanced incidence of donor DC in the recipients may contribute to the more efficient prolongation of allograft survival observed after portal venous infusion of DC-IL-10. These results suggest that portal venous infusion may be an effective approach for immature DC to induce immune tolerance or hyporesponsiveness against donor antigens, and prolong allograft survival.Abbreviations
APC
Antigen-presenting cells
-
CTL
Cytotoxic T lymphocytes
-
DC
Dendritic cells
-
DC-IL-10
IL-10 gene-modified immature dendritic cells
-
iDC
Immature dendritic cells
-
IL-10
Interleukin-10
-
MLR
Mixed leukocyte reaction
-
MOI
Multiplicity of infection 相似文献
24.
J W Kupiec-Weglinski E Towpik T M Schneider D Araneda L Ma N L Tilney 《Human immunology》1985,14(3):270-278
(LEW X BN)F1 cardiac allografts are rejected within 8 days in untreated LEW recipients. At the critical time point of 5 days after transplantation, the obviously rejecting grafts are enlarged and maximally infiltrated by host cells as shown by 111In-labeled lymphocyte tracer studies. However, when such hearts were retransplanted back to naive (LEW X BN)F1 secondary hosts, they survive indefinitely, showing that even late rejection is reversible in the absence of sustained host immunological drive. Attempts were then made to abrogate this advanced immune responsiveness using Cyclosporine (CsA). CsA therapy (15 mg/kg/day for 7 days) starting from day 5 produced indefinite graft survival, similar as if initiated at the time of operation. Addition of exogenous IL-2, which drives the proliferation of Tc, could not reverse this effect. Serial changes in phenotype of lymphocyte subpopulations infiltrating both acutely rejecting and indefinitely functioning cardiac allografts in unmodified and CsA treated hosts, respectively, were then studied. Ratio of Th:Tc/s cells in acutely rejecting grafts was 1.6 by day 3; it inverted abruptly to 0.7 by day 5-6, suggesting predominance of Tc/s during the later stages of allograft rejection. Similarly, treatment with CsA produced a transient depression of Th, with recovery of original Th:Tc/s ratio during the next 2-3 weeks. Adoptive transfer experiments were then performed to investigate the functional significance of these findings.(ABSTRACT TRUNCATED AT 250 WORDS) 相似文献
25.
Cohn M 《Immunologic research》2005,31(2):133-150
An effective immune response to an antigen requires two sets of decisions: Decision 1, the sorting of the repertoire, and
Decision 2, the regulation of effector class. The repertoire, because it is somatically generated, large, and random, must
be sorted by a somatic mechanism that subtracts those specificities (anti-self) that, if expressed, would debilitate the host,
leaving a residue (anti-nonself) that, if not expressed, would result in the death of the host by infection. The self-nonself
discrimination is the metaphor used to describe Decision 1, the sorting of the repertoire. In order to be functional, the
sorted repertoire must be coupled to a set of biodestructive and ridding effector functions, such that the response to each
antigen is treated in a coherent and independent manner. Although a reasonably complete framework for Decision 1 exists, Decision
2 lacks conceptualization. The questions that must be considered to arrive at a proper framework are posed. It should be emphasized
that manipulation at the level of Decision 2 is where clinical applications are likely to be found. 相似文献
26.
Peptides derived from IgE heavy chain constant region induce profound IgE isotype-specific tolerance
Yanyu Wang Robert Schmaltz Fu-Tong Liu Michael W. Robertson Thomas M. Petro Swey-Shen Chen 《European journal of immunology》1996,26(5):1043-1049
(BALB/c × SJL)F1 mice, perinatally injected with peptide-N-glyconase F-treated, deglycosylated IgE heavy chain or recombinant IgE heavy chain (CH?2-CH?4), were profoundly inhibited in antigen-specific IgE production. There exist minimally two tolerogenic IgE peptides, residing in the CH?2 and CH?4 domains. Peptide I, generated by V8 protease, comprises 39 amino acids within CH?2, beginning at amino acid 103. Peptide E begins at amino acid 312 of the CH?4 domain and extends through the CH?4 domain. The total lack of antigen-specific IgE responses in IgE peptide-treated mice was not due to overproduction of interferon-γ, nor lack of interleukin (IL)-4, as predicted by the Th2/IL-4 paradigm for IgE production. IgE-tolerant mice exhibited comparable levels of circulating anti-IgE antibodies to those of PBS-treated control mice. IgG obtained from sera of both sources failed to inhibit IgE responses in vitro. Moreover, IgE responses of spleen cells from IgE peptides-treated mice were restored by CD4+ T cells from PBS-treated control mice. We hypothesize that regulation of antigen-specific IgE responses is mediated by CD4+ T cells which normally recognize IgE peptides on IgE precursor B cells, and can be rendered tolerant by perinatal IgE peptide treatment. 相似文献
27.
Abbas Haghparast Jamal Shams Ali Khatibi Amir-Mohammad Alizadeh Mohammad Kamalinejad 《Neuroscience letters》2008
The problem of morphine tolerance and dependence is a universal phenomenon threatening social health everywhere the world. The major objective of this paper was to investigate the effects of fruit essential oil (FEO) of Cuminum cyminum on acquisition and expression of morphine tolerance and dependence in mice. Animals were rendered dependent on morphine using the well-established method in which was morphine (50, 50, 75 mg/kg; s.c.) injected three times daily for 3 days. In experimental groups, administration of FEO (0.001, 0.01, 0.1, 0.5, 1 and 2%; 5 ml/kg; i.p.) or Tween-80 (5 ml/kg; i.p.) was performed 60 min prior to each morphine injection (for acquisition) or the last injection of morphine on test day (for expression). Morphine tolerance was measured by tail-flick before and after administration of a single dose of morphine (50 mg/kg; s.c.) in test day (4th day). Morphine dependence was also evaluated by counting the number of jumps after injection of naloxone (5 mg/kg; i.p.) on the test day. The results showed that Cumin FEO, only at the dose of 2%, significantly attenuated the development of morphine tolerance (P < 0.01) and dependence (P < 0.05) while it could be significantly effective on expression of morphine tolerance (1 and 2%) and dependence (0.5, 1 and 2%) in a dose-dependent manner. Solely Cumin FEO injection (0.001–2%) did not show any analgesic effect. In conclusion, the essential oil of Cuminum cyminum seems to ameliorate the morphine tolerance and dependence in mice. 相似文献
28.
Swirski FK Gajewska BU Robbins CS D'Sa A Johnson JR Pouladi MA Inman MD Stämpfli MR 《European journal of immunology》2004,34(9):2375-2386
We previously showed that granulocyte-macrophage colony-stimulating factor (GM-CSF) breaks tolerance induction. The objective of this study was to determine whether GM-CSF breaks established inhalation tolerance. To induce tolerance, BALB/c mice were exposed to aerosolized ovalbumin (OVA) for 10 consecutive days. A control group was exposed to saline. Subsequently, tolerant and control animals were exposed to OVA in a GM-CSF-enriched airway microenvironment. Tolerant animals, unlike control animals, did not develop airway and peripheral blood eosinophilia, had diminished levels of OVA-specific IgE, and reduced airway hyper-responsiveness. While tolerant animals did not express IL-4, IL-5 and IL-13, levels of the regulatory cytokines IL-10, IFN-gamma and transfoming growth factor (TGF)-beta were similar between tolerant and non-tolerant animals. Lung CD4+ T cells were activated according to CD69, CD25 and T1/ST2 expression, but systemic responses characterized by splenocyte proliferation and Th2 effector function were dramatically reduced. Concurrent expression of GM-CSF and decorin, a natural inhibitor of TGF-beta, reversed eosinophilic unresponsiveness. Our study suggests that the breakdown of tolerance and, by extension, the emergence of eosinophilic inflammation, requires two signals: one that triggers sensitization and one that interferes with negative regulation. Moreover, our study shows that dysregulated expression of an extracellular matrix protein may break established tolerance and lead to eosinophilic airway inflammation. 相似文献
29.
IDO、树突状细胞与免疫耐受 总被引:1,自引:0,他引:1
吲哚胺2,3双加氧酶(IDO)是一种免疫调节酶,可催化色氨酸分子中吲哚环氧化裂解,从而沿犬尿酸途径分解代谢的限速酶。而树突状细胞(DC)是一种功能强大的抗原递呈细胞(APC),是唯一能够激活初始型T细胞的APC。IFN-γ等可刺激其表面表达IDO,并通过降解色氨酸,使局部组织中的色氨酸耗竭,代谢产物犬尿氨酸含量增加,从而抑制T细胞的增殖。因此DC表面表达IDO可能在诱导免疫耐受中起着重要的作用。 相似文献
30.
TNF-alpha impairs peripheral tolerance towards beta-cells,and local costimulation by B7.1 enhances the effector function of diabetogenic T cells 总被引:1,自引:0,他引:1
Skak K Guerder S Picarella DE Brenden N Flavell RA Michelsen BK 《European journal of immunology》2003,33(5):1341-1350
Maintenance of peripheral tolerance and inactivation of autoreactive T cells is based on a delicate balance between pro-inflammatory and protective cytokines that is poorly understood. We have here addressed how the local expression of the inflammatory cytokine TNF-alpha can impair peripheral tolerance and lead to autoreactivity. After transplantation of pancreata that are immunogenic due to beta-cell expression of B7.1 and TNF-alpha, into thymectomized and euthymic syngeneic mice, we found that only euthymic mice rejected the grafts. This result suggests that under normal circumstances autoreactive T cells are functionally inactivated, and initiation of an autoreactive response requires de-novo generation of T cells. By contrast, thymectomized mice expressing TNF-alpha on the endogenous islets rejected the grafts, showing that expression of TNF-alpha prevents functional silencing of the autoreactive T cells. Thus, this study provides a mechanism by which TNF-alpha and possibly chronic inflammatory responses may promote autoimmune diseases. Furthermore, we have investigated whether B7.1 can enhance T cell responses of already activated T cells leading to islet rejection. By transplantation of wild-type and B7.1-expressing islets into overtly diabetic mice we found that only the wild-type islets could restore normoglycemia, suggesting that costimulation by B7.1 is required in the expansion or effector phase of the response. 相似文献