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Infiltration of Regulatory T Lymphocytes Impair Clinical Outcome in Ovarian Cancer Patients 调节性T淋巴细胞浸润影响卵巢癌患者的临床预后
Pub Date : 2016-12-09 DOI: 10.15406/MOJI.2016.04.00139
C. Valverde, Karen López Miguel, J. A. Sánchez-Villanueva, Alej, R. Lambert, Tania Carmenate Portilla, María del Carmen Arango Prado
Background: Ovarian carcinoma (OC) is one of the most severe and lethal cancers in women. Regulatory T (Treg) cells may participate in mediating a suppressive microenvironment in tumor tissue and contribute to tumor evasion from immune response. Specifically, some studies have indicated that Treg cell infiltration in malignant ascites and peripheral blood has been associated with poor clinical outcome. Methods: The number of CD4+, CD25+, forkhead box p3+ (Foxp3+) lymphocytes was assessed via flow cytometry in ascites and peripheral blood from 24 women with epithelial ovarian cancer (EOC). Overall survival was associated with Treg levels. Results: The study indicated an increase in the Treg cell subset from peripheral blood of EOC patients compared with those in healthy controls. Treg infiltration in ascites was higher than in blood into EOC patients. The patients with high infiltration of Treg in blood revealed less overall survival compared to a counterpart with normal levels of Treg. Regarding the association between patients with increased levels of Treg in ascites with overall survival there was no disadvantage found, compared to ascites from patients with normal levels of Treg. Conclusion: Study suggests that Treg lymphocytes were increased in ascites and peripheral blood in EOC patients and could be associated with diminished overall survival, via impairment antitumor immune response.
背景:卵巢癌(OC)是女性最严重和最致命的癌症之一。调节性T (Treg)细胞可能参与介导肿瘤组织中的抑制微环境,并有助于肿瘤逃避免疫应答。具体而言,一些研究表明,恶性腹水和外周血中Treg细胞浸润与临床预后不良有关。方法:采用流式细胞术检测24例上皮性卵巢癌(EOC)患者的腹水和外周血中CD4+、CD25+、叉头盒p3+ (Foxp3+)淋巴细胞的数量。总生存率与Treg水平有关。结果:研究表明,与健康对照组相比,EOC患者外周血Treg细胞亚群增加。EOC患者腹水Treg浸润高于血液Treg浸润。与Treg水平正常的患者相比,Treg在血液中高浸润的患者总体生存率较低。关于腹水中Treg水平升高的患者与总体生存期之间的关系,与Treg水平正常的患者腹水相比,没有发现不利因素。结论:研究提示EOC患者腹水和外周血中Treg淋巴细胞增加,并可能通过损害抗肿瘤免疫应答而降低总生存期。
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引用次数: 0
The Multifaceted Immune System 多层面的免疫系统
Pub Date : 2016-12-05 DOI: 10.15406/MOJI.2016.04.00137
J. Fabre, Y. Merrouche, Bensussan
Submit Manuscript | http://medcraveonline.com The inflammation created by the streptococcus infection attracts and stimulates leucocytes in the tumor microenvironment, which ultimately leads to tumor elimination [5,6]. Recently, it has been demonstrated that malignant cells could build upon inflammation and detour it to their own profit, in reprogramming T helpers lymphocytes on an immunosuppressive mode by interacting with checkpoint proteins pathways like PD1/PD-L1 [7]. Therefore tumor microenvironment elements have been more closely investigated especially pro-inflammatory cytokines. Among them, the interleukin 17 family members, that include IL-17A secreted by Th17 lymphocytes, have shown interesting properties though conflicting [8]. While some authors have reported anti-tumor qualities, other teams like ours have observed proliferation, invasion and chemotherapy resistance enhancing effects [9-11]. Knowledge in the fields of immunology is rapidly improving, particularly in oncology, but not only, and almost every medical specialty has benefited of these discoveries in the past 20 years. In their quest for progress, physicians and researchers must remember that the immune system is multifaceted, having positive effects and their opposite at the same time, balanced by complex mechanisms. That is why advances in immunology can only be reached with hard work, perseverance, and an open mind.
链球菌感染引起的炎症吸引并刺激肿瘤微环境中的白细胞,最终导致肿瘤消除[5,6]。最近,已经证明恶性细胞可以建立在炎症上,并通过与检查点蛋白通路(如PD1/PD-L1[7])相互作用,在免疫抑制模式下重新编程T辅助淋巴细胞,从而使其绕道而行。因此,肿瘤微环境因子尤其是促炎因子的研究越来越深入。其中,白细胞介素17家族成员,包括由Th17淋巴细胞分泌的IL-17A,虽然相互冲突,但却显示出有趣的特性。虽然一些作者报道了抗肿瘤的特性,但像我们这样的其他团队已经观察到增殖、侵袭和化疗耐药的增强作用[9-11]。免疫学领域的知识正在迅速提高,特别是在肿瘤学领域,但不仅如此,几乎每个医学专业都从过去20年的这些发现中受益。在寻求进步的过程中,医生和研究人员必须记住,免疫系统是多方面的,同时有积极的作用和消极的作用,由复杂的机制来平衡。这就是为什么免疫学的进步只能通过努力工作、坚持不懈和开放的心态来实现。
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引用次数: 1
Effects of Oregano (Origanum vulgare L) and Rosemary (Rosmarinus officinalis L) Aqueous Extracts On in vitro Rabbit Immune Responses 牛至(Origanum vulgare L)和迷迭香(Rosmarinus officinalis L)水提物对家兔体外免疫应答的影响
Pub Date : 2016-12-02 DOI: 10.15406/MOJI.2016.04.00136
A. Alunno, R. Cardinali, O. Bistoni, S. Caterbi, A. deCosmo, A. Dalbosco, C. Castellini, R. Gerli
In order to investigate the effects of some dietary phytoderivates (Origanum vulgare L. and Rosmarinus officinalis L.) on rabbit immune system, 100 New Zealand mixed-sex rabbits weaned at 30 days of age were split into homogeneous groups submitted to the following dietary treatments: 1) Standard diet (C); 2) C +150 ppm Vit E (E); 3) C +0.2% oregano (O); 4) C +0.2% rosemary (R) and 5) C +0.1% oregano + 0.1% rosemary (OR). Blood samples were drawn from rabbits at 30 and 90 days of age (ten rabbits/diet group at Time 0 and 1, respectively) to investigate the blood lymphocyte subset evolution, the in vitrolymphocyte proliferation (in presence or absence of mitogens) responses and the Immunoglobulin M(IgM) concentration in the supernatants of lymphocyte cultures. A diet effect was observed in the O and OR groups, where the lymphocytes proliferation responses to pokeweed mitogen (PWM; ***P<0.001, in the O group) or the interleukin-2 production (IL-2; ***P<0.001, for both groups) at Time 1 were significantly higher. The IgM levels were systematically higher in the O, OR and E cells culture supernatants (**P<0.01). Age did not affect the rabbit lymphocyte subset evolution nor the in vitrolymphocyte proliferation. Data obtained in the present study show that rabbit’s dietary supplementation with oregano elicits positive effects on the adaptive immune response.
为研究饲粮中植物衍生物(土豆泥和迷迭香)对家兔免疫系统的影响,将100只30日龄断奶新西兰杂交兔分成均匀组,分别饲喂以下饲粮:1)标准饲粮(C);2) C + 150ppm Vit E (E);3) C +0.2%牛至(O);4) C +0.2%迷迭香(R)和5)C +0.1%牛至+0.1%迷迭香(OR)。分别于30日龄和90日龄(10只/日粮组,时间0和1)采血,观察淋巴细胞亚群进化、淋巴细胞增殖(有无丝裂原)反应和淋巴细胞培养上清液中免疫球蛋白M(IgM)浓度。在O和OR组观察到饮食效应,其中淋巴细胞增殖对美洲商陆有丝分裂原(PWM)的反应;***P<0.001,在O组)或白细胞介素-2产生(IL-2;***P<0.001,两组均有统计学差异)。O、OR和E细胞培养上清液中IgM水平均有系统升高(**P<0.01)。年龄对兔淋巴细胞亚群进化和体外淋巴细胞增殖无明显影响。本研究获得的数据表明,家兔日粮中添加牛至对适应性免疫反应有积极的影响。
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引用次数: 2
Plasma Membrane- Derived Vesicles Shows Effects on the Induction of Differentiation of Promonocytes into Macrophages: A Possible Cancer Therapy 质膜源性囊泡诱导单核细胞向巨噬细胞分化:一种可能的癌症治疗方法
Pub Date : 2016-11-29 DOI: 10.15406/MOJI.2016.04.00135
S. Antwi-Baffour, R. Kyeremeh, J. Adjei, Claudia Aryeh, G. Kpentey, P. Ayeh-Kumi
Background: Acute promyelocytic leukaemia (APL) represents 5-15% of all adult leukaemias. One of the approaches to treat APL is differentiation therapy which works by inducing differentiation of leukaemic promonocytes into mature non-replicative cell types that eventually undergo apoptosis. Plasma Membrane-derived Vesicles, (PMVs) are a heterogeneous group of small, membrane-coated vesicles with phospholipid rich particles, membrane receptors as well as other proteins inherent in their parental cells. There is evidence that PMVs are involved in differentiation in the hematopoietic environment in the bone marrow which suggests a possible involvement in leukaemia myeloid development, and possibly monocytic haematopoiesis. This work aimed to show principally whether PMVs can initiate differentiation/stop proliferation in HL-60 cells (promonocytes) and cause their differentiation into macrophages. This way, PMVs can be considered for differentiation therapy. Methods: PMVs were induced from cells using differential centrifugation. We also employed flow cytometry, ELISA, fluorescent microscopy analysis, SDS-PAGE, western blotting, growth inhibition & differentiation assays, nitroblue tetrazolium assay and cell cycle analysis to conduct our experiments. Results: HL-60 cells treated with PMVs showed a dose-dependent increase in adherence and increased expression of CD11b and CD14 as a sign of differentiation. Morphological changes were induced in HL-60 as well as phosphorylation of the TGF-?/Smad signaling pathway upon treatment with PMVs. Again, TGF-?1-bearing PMVs reduced the proliferation of HL-60 cells and caused them to exit the cell cycle at G0/G1. It was also shown that PMVs from HL60 or THP-1 cells but not from MCF-7 cells significantly reduce the growth rate of HL-60 cells and the reduction in proliferation was dependent on TGF-?1 delivered by the PMVs. Conclusion: This work showed that PMVs (isolated from HL-60 and THP-1 cells) carry TGF-β1 on their membrane surface. These TGF-β1-bearing PMVs can modulate the growth rate of HL-60 promonocytes without inducing apoptosis, the cells exiting the cell cycle at G0/G1. In addition, dramatic changes in the morphology of PMV-treated cells were observed as they became increasingly irregular in shape with membrane extensions resembling pseudopodia. It might therefore be prudent to look at PMV-releasing agents, as potential alternative drugs in differentiation therapy against APL. Background: Acute promyelocytic leukaemia (APL) represents 5-15% of all adult leukaemias. One of the approaches to treat APL is differentiation therapy which works by inducing differentiation of leukaemic promonocytes into mature non-replicative cell types that eventually undergo apoptosis. Plasma Membrane-derived Vesicles, (PMVs) are a heterogeneous group of small, membrane-coated vesicles with phospholipid rich particles, membrane receptors as well as other proteins inherent in their parental cells. There is e
背景:急性早幼粒细胞白血病(APL)占所有成人白血病的5-15%。治疗APL的方法之一是分化疗法,其工作原理是诱导白血病原细胞分化为成熟的非复制细胞类型,最终经历凋亡。质膜源性囊泡(PMVs)是一组异质性的小囊泡,由富含磷脂的颗粒、膜受体以及亲本细胞中固有的其他蛋白质组成。有证据表明pmv参与骨髓造血环境的分化,这表明可能参与白血病髓系发育,并可能参与单核细胞造血。本研究的主要目的是证明pmv是否能在HL-60细胞(前祖细胞)中启动分化/停止增殖,并使其分化为巨噬细胞。这样,pmv可以被考虑用于分化治疗。方法:采用差速离心法从细胞中诱导pmv。我们还使用了流式细胞术、ELISA、荧光显微镜分析、SDS-PAGE、western blotting、生长抑制和分化实验、硝基蓝四唑实验和细胞周期分析来进行我们的实验。结果:pmv处理的HL-60细胞显示出剂量依赖性的粘附性增加,CD11b和CD14的表达增加,这是分化的标志。HL-60的形态学改变以及TGF-?/Smad信号通路。再次,TGF - ?含1 PMVs降低HL-60细胞的增殖,使其在G0/G1时退出细胞周期。结果还表明,来自HL60或THP-1细胞而非MCF-7细胞的PMVs显著降低HL-60细胞的生长速度,增殖的降低依赖于TGF-?1 .由pmv交付。结论:本工作表明pmv(分离自HL-60和THP-1细胞)在其膜表面携带TGF-β1。这些含TGF-β1的pmv可以调节HL-60促前细胞的生长速率,而不诱导细胞凋亡,细胞在G0/G1时退出细胞周期。此外,pmv处理的细胞形态发生了巨大的变化,它们的形状变得越来越不规则,膜延伸类似于假足。因此,考虑pmv释放剂作为分化治疗APL的潜在替代药物可能是谨慎的。背景:急性早幼粒细胞白血病(APL)占所有成人白血病的5-15%。治疗APL的方法之一是分化疗法,其工作原理是诱导白血病原细胞分化为成熟的非复制细胞类型,最终经历凋亡。质膜源性囊泡(PMVs)是一组异质性的小囊泡,由富含磷脂的颗粒、膜受体以及亲本细胞中固有的其他蛋白质组成。有证据表明pmv参与骨髓造血环境的分化,这表明可能参与白血病髓系发育,并可能参与单核细胞造血。本研究的主要目的是证明pmv是否能在HL-60细胞(前祖细胞)中启动分化/停止增殖,并使其分化为巨噬细胞。这样,pmv可以被考虑用于分化治疗。方法:采用差速离心法从细胞中诱导pmv。我们还使用了流式细胞术、ELISA、荧光显微镜分析、SDS-PAGE、western blotting、生长抑制和分化实验、硝基蓝四唑实验和细胞周期分析来进行我们的实验。结果:pmv处理的HL-60细胞显示出剂量依赖性的粘附性增加,CD11b和CD14的表达增加,这是分化的标志。HL-60的形态学改变以及TGF-?/Smad信号通路。再次,TGF - ?含1 PMVs降低HL-60细胞的增殖,使其在G0/G1时退出细胞周期。结果还表明,来自HL60或THP-1细胞而非MCF-7细胞的PMVs显著降低HL-60细胞的生长速度,增殖的降低依赖于TGF-?1 .由pmv交付。结论:本工作表明pmv(分离自HL-60和THP-1细胞)在其膜表面携带TGF-β1。这些含TGF-β1的pmv可以调节HL-60促前细胞的生长速率,而不诱导细胞凋亡,细胞在G0/G1时退出细胞周期。此外,pmv处理的细胞形态发生了巨大的变化,它们的形状变得越来越不规则,膜延伸类似于假足。因此,考虑pmv释放剂作为分化治疗APL的潜在替代药物可能是谨慎的。 背景:急性早幼粒细胞白血病(APL)占所有成人白血病的5-15%。治疗APL的方法之一是分化疗法,其工作原理是诱导白血病原细胞分化为成熟的非复制细胞类型,最终经历凋亡。质膜源性囊泡(PMVs)是一组异质性的小囊泡,由富含磷脂的颗粒、膜受体以及亲本细胞中固有的其他蛋白质组成。有证据表明pmv参与骨髓造血环境的分化,这表明可能参与白血病髓系发育,并可能参与单核细胞造血。本研究的主要目的是证明pmv是否能在HL-60细胞(前祖细胞)中启动分化/停止增殖,并使其分化为巨噬细胞。这样,pmv可以被考虑用于分化治疗。方法:采用差速离心法从细胞中诱导pmv。我们还使用了流式细胞术、ELISA、荧光显微镜分析、SDS-PAGE、western blotting、生长抑制和分化实验、硝基蓝四唑实验和细胞周期分析来进行我们的实验。结果:pmv处理的HL-60细胞显示出剂量依赖性的粘附性增加,CD11b和CD14的表达增加,这是分化的标志。HL-60的形态学改变以及TGF-?/Smad信号通路。再次,TGF - ?含1 PMVs降低HL-60细胞的增殖,使其在G0/G1时退出细胞周期。结果还表明,来自HL60或THP-1细胞而非MCF-7细胞的PMVs显著降低HL-60细胞的生长速度,增殖的降低依赖于TGF-?1 .由pmv交付。结论:本工作表明pmv(分离自HL-60和THP-1细胞)在其膜表面携带TGF-β1。这些含TGF-β1的pmv可以调节HL-60促前细胞的生长速率,而不诱导细胞凋亡,细胞在G0/G1时退出细胞周期。此外,pmv处理的细胞形态发生了巨大的变化,它们的形状变得越来越不规则,膜延伸类似于假足。因此,考虑pmv释放剂作为分化治疗APL的潜在替代药物可能是谨慎的。
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引用次数: 0
Unique Features of the Muse Auto CD4/CD4% System 缪斯自动CD4/CD4%系统的独特功能
Pub Date : 2016-11-28 DOI: 10.15406/MOJI.2016.04.00134
J. Mulry
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引用次数: 1
Screening of Glioma Patients for 1p/19q Region with Fluorescent Probes 用荧光探针筛选胶质瘤患者1p/19q区
Pub Date : 2016-11-25 DOI: 10.15406/MOJI.2016.04.00132
Iravathy Goud, Kavitha Matam, R. Vempati, Abdullah A. Alyousef, K. Alharbi, I. Khan
Oligodendroglial tumors represent approximately 4-7% of all gliomas. The discovery of 1p and 19q chromosomal arms deletion in glial tumour influence the diagnosis and more accurate prediction of chemotherapy response. As a result, an attempt has been made to detect deletion using fluorescent insitu hybridization (FISH) and to determine its prognostic value in a cohort of glial tumour patients from Hyderabad population. The FISH analysis was carried out on 90 FFPE tissue sections by using Vysis LSI 1p36/LSI 1q25 and LSI 19p13/LSI 19q13 dual colored FISH probe sets. Signals were scored from 150-250 non-overlapping, intact nuclei. The analysis for 1p and 19q deletions was observed in (21/35) 60% of oligodendroglyomas which included (8/21) 38.1% of grade II and (13/21) 61.9% of grade III. Isolated 19q deletion was seen in (1/21) 4.7% & lone 1p loss was not observed in oligodendroglyomas. In mixed oligoastrocytomas combined 1p/19q loss was observed in (7/16) 43.75% cases, including one grade II and 6 grade III tumors and 1/16 (6.25%) showed isolated 1p loss & 19q deletion. This disorder was not observed in astrocytomas. The oligodendroglial phenotype was found to be significantly associated with a loss of 1p (p< 0.05), a loss of 19q (p<0.05) and a combined loss of 1p and 19q (p< 0.05). Frontal location of a tumor occurred to be a statistically significant factor unfavorable for prognosis, p<0.05. The result of our study concludes 1p/19q deletions have prognostic significance and determines deletion 1p/19q by FISH into diagnostic and treatment algorithm in gliomas.
少突胶质肿瘤约占所有胶质瘤的4-7%。胶质肿瘤中1p和19q染色体臂缺失的发现影响了肿瘤的诊断和更准确的化疗反应预测。因此,尝试使用荧光原位杂交(FISH)检测缺失,并确定其在海德拉巴人群神经胶质肿瘤患者队列中的预后价值。采用Vysis LSI 1p36/LSI 1q25和LSI 19p13/LSI 19q13双色FISH探针组对90个FFPE组织切片进行FISH分析。信号从150-250个不重叠的完整细胞核中评分。在(21/35)60%的少突胶质细胞瘤中观察到1p和19q缺失,其中(8/21)38.1%的II级和(13/21)61.9%的III级少突胶质细胞瘤。在(1/21)4.7%的患者中发现了单独的19q缺失,而在少突胶质细胞瘤中未观察到单独的1p缺失。在混合型少星形细胞瘤中,(7/16)43.75%的病例出现1p/19q缺失,包括1例II级和6例III级肿瘤,1/16(6.25%)的病例出现单独的1p缺失和19q缺失。在星形细胞瘤中未观察到这种疾病。少突胶质表型与1p缺失(p<0.05)、19q缺失(p<0.05)以及1p和19q联合缺失(p<0.05)显著相关。肿瘤发生在额部是影响预后的有统计学意义的因素,p<0.05。我们的研究结果表明1p/19q缺失具有预后意义,并将FISH缺失1p/19q确定为胶质瘤的诊断和治疗算法。
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引用次数: 0
Eosinophils and Cancer – Mini Review 嗜酸性粒细胞和癌症-迷你综述
Pub Date : 2016-11-25 DOI: 10.15406/moji.2016.04.00133
P. Terlika, it Sood
The focus of this review is to discuss the role of eosinophils in cancer. A study published in the Journal of Clinical Oncology examined the relationship between eosinophils in peripheral blood and the incidence of colorectal cancer [2]. The researchers found that a higher number of peripheral blood eosinophils were associated with a reduced risk of dying from colorectal cancer, especially in patients who never smoked and in males. Although the study could not identify the mechanism to explain this relationship, one plausible theory is that a more active immune system reduces the risk of developing colorectal cancer. Another study published in the journal Modern Pathology in 2016. Prizement et al. [3] looked at how eosinophils might predict outcomes for patients with colorectal cancer. Taghizadeh et al. [4] found no associations between objective allergy markers and cancer in a total population but reported positivity and a high number of eosinophils with association to reduced risk to die of cancer in specific subgroups. Although staging of colorectal cancer typically is based on information about the tumor itself, lymph node involvement, and the presence of metastases (cancer spread to other sites), often two patients with the same staging will have dramatically different outcome. The authors of this study examined whether eosinophils levels in or around a colorectal tumor helps predict outcome. They concluded that a higher numbers of eosinophils around the primary colorectal tumor were associated with an improved patient outcome, and that they should be routinely counted during tumor examination, it was found that the infiltration of tumors with eosinophils, especially in stromal tissue, may be an important prognostic factor in colorectal cancer.
本文的重点是讨论嗜酸性粒细胞在癌症中的作用。发表在《临床肿瘤学杂志》上的一项研究调查了外周血嗜酸性粒细胞与结直肠癌发病率之间的关系。研究人员发现,外周血嗜酸性粒细胞数量增多与结直肠癌死亡风险降低有关,尤其是从不吸烟的患者和男性。虽然这项研究无法确定解释这种关系的机制,但一个合理的理论是,更活跃的免疫系统可以降低患结直肠癌的风险。2016年发表在《现代病理学》杂志上的另一项研究。Prizement等人研究了嗜酸性粒细胞如何预测结直肠癌患者的预后。Taghizadeh等人发现,在总体人群中,客观过敏标志物与癌症之间没有关联,但在特定亚组中,报告的阳性和大量嗜酸性粒细胞与癌症死亡风险降低有关。虽然结直肠癌的分期通常是基于肿瘤本身、淋巴结累及和转移(癌症扩散到其他部位)的信息,但通常两个分期相同的患者会有截然不同的结果。本研究的作者检查了结直肠肿瘤内或周围的嗜酸性粒细胞水平是否有助于预测预后。他们得出结论,原发结直肠肿瘤周围嗜酸性粒细胞数量越多,患者预后越好,在肿瘤检查时应常规计数。研究发现,嗜酸性粒细胞浸润肿瘤,尤其是间质组织,可能是结直肠癌的一个重要预后因素。
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引用次数: 1
The Doctor the Surgeon and the Device Installer: Nor Stent #EscCongress 2016 Rome 医生、外科医生和设备安装者:非支架#EscCongress 2016罗马
Pub Date : 2016-11-18 DOI: 10.15406/MOJI.2016.04.00130
M. Khalil
DES are clearly used by most of practicing interventional cardiologists for the management of CAD, particularly, in acute coronary syndromes (ACS) based on current guidelines based on mount evidence of clinical trials comparing different DES to BMS with clear superiority in favor of DES [1-16]. CAD is prevalent worldwide with variable presentations necessitating appropriate management guidelines that supported that superiority is convincing justification of the high price of DES [17-28].
根据目前的指南,大多数执业心脏病专家都明确使用DES来治疗CAD,特别是在急性冠状动脉综合征(ACS)中,基于大量临床试验的证据,将不同的DES与BMS进行比较,DES明显优于BMS[1-16]。CAD在世界范围内普遍存在,其表现各异,需要适当的管理指南来支持其优势,这是DES高价格的令人信服的理由[17-28]。
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引用次数: 0
Sensitization to Anisakis Simplex in Atopics Patients and its Relation with Reactivity to Mites, Cockroach, Seafood and Fish 特应性患者对单异尖线虫的致敏性及其与螨、蜚蠊、海鲜和鱼类反应性的关系
Pub Date : 2016-11-18 DOI: 10.15406/moji.2016.04.00128
A. LigiaARodríguez
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引用次数: 0
Food Allergy Anxiety Disorder (FAAD) and Food Allergy Related Anorexia Disorder (FARAD) 食物过敏焦虑障碍(FAAD)和食物过敏相关厌食症(FARAD)
Pub Date : 2016-11-18 DOI: 10.15406/moji.2016.04.00131
L. Hold
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引用次数: 0
期刊
MOJ immunology
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