AI总结:根据所提供的医学论文标题列表,这些研究主要围绕**视网膜静脉阻塞(Retinal Vein Occlusion, RVO)**这一眼科疾病展开深入探讨。RVO是一种常见的急性眼底血管疾病,通常与视网膜动脉供血不足、静脉回流障碍以及全身性血管病变相关,常表现为视力骤降、视网膜水肿、出血等症状。论文内容涵盖了以下几个方面:1. **流行病学与风险因素**:部分研究分析了RVO的发病率、自然病程及其与高血压、糖尿病、高血脂等系统性疾病的关系,强调了心血管危险因素在疾病发生中的关键作用。2. **病理机制研究**:包括对视网膜缺血再灌注损伤、VEGF(血管内皮生长因子)通路激活、炎症反应及氧化应激等分子机制的研究,揭示了RVO相关的微环境变化和新生血管形成过程。3. **影像学诊断与预测模型**:多篇文献聚焦于光学相干断层扫描(OCT)、荧光素眼底血管造影(FFA)等影像技术的应用,并尝试利用深度学习或人工智能手段对RVO的发生发展进行早期识别和预测。4. **治疗策略与疗效评估**: - 抗VEGF药物(如ranibizumab、aflibercept)和类固醇制剂被广泛用于黄斑水肿的治疗; - 溶栓疗法(thrombolytic therapy)和玻璃体腔注射药物的安全性和有效性也被评估; - 部分研究关注联合治疗方案,如抗VEGF联合激光光凝或手术干预; - 新兴治疗方法如靶向HIF-1α/VEGF轴、调控自噬通路等也被提出并进行动物实验验证。5. **并发症与预后因素**:包括新生血管性青光眼、玻璃体积血、视神经萎缩等严重并发症的发生机制及其对视力预后的影响。6. **生物标志物与系统关联**:一些研究检测了患者房水、血清中潜在的生物标志物(如sFlt-1、PlGF、MMPs等),以期为疾病的早期诊断和疗效监测提供依据。总体而言,这些论文从基础研究到临床实践全面覆盖了视网膜静脉阻塞的各个方面,反映了当前该领域在精准诊断、个体化治疗和长期管理方面的研究热点与进展。
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共1篇 平均IF=48.5 (48.5-48.5)更多分析
  • 1区Q1影响因子: 48.5
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    1. Electrical and synaptic integration of glioma into neural circuits.
    1. 神经胶质瘤与神经回路的电和突触整合。
    期刊:Nature
    日期:2019-09-18
    DOI :10.1038/s41586-019-1563-y
    High-grade gliomas are lethal brain cancers whose progression is robustly regulated by neuronal activity. Activity-regulated release of growth factors promotes glioma growth, but this alone is insufficient to explain the effect that neuronal activity exerts on glioma progression. Here we show that neuron and glioma interactions include electrochemical communication through bona fide AMPA receptor-dependent neuron-glioma synapses. Neuronal activity also evokes non-synaptic activity-dependent potassium currents that are amplified by gap junction-mediated tumour interconnections, forming an electrically coupled network. Depolarization of glioma membranes assessed by in vivo optogenetics promotes proliferation, whereas pharmacologically or genetically blocking electrochemical signalling inhibits the growth of glioma xenografts and extends mouse survival. Emphasizing the positive feedback mechanisms by which gliomas increase neuronal excitability and thus activity-regulated glioma growth, human intraoperative electrocorticography demonstrates increased cortical excitability in the glioma-infiltrated brain. Together, these findings indicate that synaptic and electrical integration into neural circuits promotes glioma progression.
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