脂蛋白(a)升高与静脉血栓栓塞的关联:系统综述与Meta分析发现仅病例对照研究支持
一项检索至2026年1月的系统综述与Meta分析纳入11项观察性研究(6项病例对照、5项队列,63,325名参与者、3581例VTE事件),评估脂蛋白(a)升高与静脉血栓栓塞(VTE)的关联。
一项检索至2026年1月的系统综述与Meta分析纳入11项观察性研究(6项病例对照、5项队列,63,325名参与者、3581例VTE事件),评估脂蛋白(a)升高与静脉血栓栓塞(VTE)的关联。
研究报道九名携带新发 MAP2K4 变异及一名遗传方式未明个体的综合征性神经发育障碍,共同特征包括发育迟缓或智力障碍、癫痫及以泌尿生殖系统多见的先天性畸形。CRISPR 编辑的 iPSC 神经元显示 JNK 通路激活减少和 NGN2 系统成熟受损。
Akershus Cardiac Examination 1950 Study纳入3706名一般人群受试者(2012–2015基线超声),其中3229人有左房应变分析,中位随访8.3年(IQR 7.9–8.9)记录MACE 242例(7.5%)、新发房颤157例(5.0%)。
研究者将血红蛋白(Hb)的β亚基经不同分子量(10、40 kDa)四臂PEG桥接构建双环单体,其可经浓度依赖的超分子开环聚合,从离散单体可控地形成聚合物颗粒直至凝胶网络,并用 DBBF 对 Hb 进行分子内 ββ 交联实现各聚合物物种的共价固定,固定产物保留了特征性 O2 结合性质。
Erin J Howden团队在American Journal of Physiology-Heart and Circulatory Physiology发表研究,纳入35例症状超过3个月、无明显合并症的PASC成人及12名年龄性别匹配的康复对照,进行CPET、超声心动图、静息与运动心脏MRI及腓总神经微神经图MSNA记录和60°直立倾斜试验。
原文摘录:l-Asparaginase is a fundamental chemotherapeutic agent for acute lymphoblastic leukemia (ALL) that depletes circulating asparagine to induce apoptosis in leukemic blasts. … V27A variant delivers an improved safety profile without compromising therapeutic potency, emerging as
Eric Topol解读Immunity期刊2026年10月9日发表的免疫衰老研究:8个队列2609人逾1200万白细胞的单细胞RNA测序显示,初始T细胞随龄下降最能预测实际年龄,CD8+效应记忆T细胞呈GZMK+与GZMB+两型分化。
原文摘录:Disease Outbreak News Pneumonia of undetermined etiology - Russian Federation 10 October 2026 See all DONs related to this event Situation at a glance On 2 October 2026, WHO became aware through media reports of the death of an employee of the Irkutsk Ant … item/2026-DON620 See all DONs related to this event
关注理由:这条感染病学资料适合作为深入阅读入口,尤其要关注研究方法与结论是否匹配。
研究者对人的颈动脉和冠状动脉斑块进行单细胞RNA测序与空间转录组分析,并用THP-1巨噬细胞体外实验验证,发现巨噬细胞来源的TNF-α通过TNFRSF1A连接巨噬细胞、内皮细胞与平滑肌细胞,促进血管细胞死亡、NF-κB/MAPK激活和泡沫细胞形成。该信号轴在两种血管床斑块中表现保守,作者提出其可作为动脉粥样硬化的潜在治疗靶点。研究含体外机制部分,疗效结论尚待进一步验证。
一项纳入INTRuST临床联盟299名参与者(56例PTSD、107例mTBI、136名对照)的弥散MRI横断面分析显示,童年虐待严重程度越高,平均扩散系数(MD)和轴向扩散系数(AD)越低,且独立于PTSD和/或mTBI状态。
原文摘录:Kalydeco - withdrawal of application for variation to marketing authorisation Application withdrawn The application for a change to this medicine's authorisation has been withdrawn ivacaftor Post-authorisation Human Overview Vertex Pharmaceuticals (Irelan … News on Kalydeco Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 14-17 September 2026 18/09/2026 Combination of cystic fibrosis medicines to treat patients with rare mutations 28/02/2025 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 19-22 February 2024 23/02/2024 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 11-14 September 2023 15/09/2023 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 8-11 November 2021 12/11/2021 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 22-25 March 2021 26/03/2021 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 14-17 September 2020 18/09/2020 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 20-23 July 2020 24/07/2020 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 28-30 April 2020 30/04/2020 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 14-17 October 2019 18/10/2019 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 15-18 October 2018 19/10/2018 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 23-26 July 2018 27/07/2018 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 21-24 September 2015 25/09/2015 Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 23-26 June 2014 27/06/2014 More information on Kalydeco Kalydeco This page was last updated on 09/10/2026
关注理由:这条儿科学临床试验动态值得跟踪,后续可结合原文核对试验进度、研究设计与结果披露情况。
一项纳入1505名意大利精英运动员的观察性研究评估赛前心血管评估(PPS)的诊断效能,共检出17例(1.13%)主要心血管异常(MCA),其中心肌病7例(0.46%)、离子通道病6例(0.40%)。
原文摘录:BACKGROUND: Whether perineal injury severity independently determines postpartum sexual quality of life (SQoL) is unclear. This study evaluated perineal tears and body image as determinants of SQoL and sexual resumption timing. … OASI carries a substantial risk of delayed sexual resumption, warranting dedicated postpartum counseling
原文摘录:Image credit: © Felix / peopleimages.com | stock.adobe.com Clinical trial applications advice pilot becomes permanent 8 October 2026 Technical and regulatory support for preparing clinical trial applications will continue from January 2027 News Human Clin
Hao Yu 等在 Journal of Affective Disorders 发表单中心回顾性交叉研究,纳入262名11–17岁抑郁发作住院青少年(其中入院前3个月内实际自杀未遂59例、中断未遂27例),评估多模态机器模型对近期自杀行为的同步区分能力。
研究者在一项含263名成人、经10次重复10折交叉验证内部验证的回顾性队列中,比较重复经颅磁刺激(rTMS)治疗抵抗性抑郁症后的缓解预测模型,71人(27.0%)缓解(随访MADRS≤10)。校准后ROC-AUC范围0.685–0.711,三变量logistic回归为0.707,更丰富特征集与SuperLearner集成的配对差异均无显著(BH校正后)。作者指出这些发现不建立等效性或可迁移性。
基于2021年韩国全国精神健康调查5511名成年人的数据,研究对574名有终身自杀意念者进行潜在类别分析,识别出三类特征:远期意念且行为史有限(78.0%)、有终身计划与企图但当前意念低(15.3%)、当前意念伴中等程度终身计划(6.7%)。
一系列喹喔啉衍生物经设计并在结核分枝杆菌H37Rv株上评估体外抗结核活性,属体外研究。多个衍生物MIC90低于10 μM,其中化合物4d和3b活性最强,MIC分别为0.97 μM和0.94 μM。构效关系分析显示6-硝基喹喔啉核心和炔键连接子对活性关键,叔醇侧链衍生物活性较好,化合物4h选择性指数较优但水溶性低,为该骨架进一步优化提供方向。
一项动物研究建立小鼠胫骨皮质内植入金黄色葡萄球菌包被不锈钢植入物的模型,用体内 micro-CT 纵向定量松质骨、皮质骨与骨膜反应性骨隔室变化。
原文摘录:OBJECTIVE: To explore how professional women undergoing assisted reproductive technology (ART) experience and manage conflicts between treatment demands and professional identity; and to identify ways healthcare professionals can support them.
原文摘录:Mycobacterium tuberculosis relies on the fatty acid synthase II (FAS II) pathway for the biosynthesis of mycolic acids, which are essential components of its lipid-rich cell envelope and major contributors to intrinsic drug resistance.
原文摘录:INTRODUCTION: Antipsychotic-associated heart rate-corrected QT (QTc) prolongation and sudden cardiac death are uncommon in young people, but risk is concentrated in patients with identifiable clinical vulnerability and during selected drug- or exposure-re … The evidence supports structured baseline r
一项覆盖12国20家无既往经验欧洲高容量中心的前瞻性多中心研究评估机器人胰十二指肠切除术(RPD)结构化培训项目的可行性与结局,共完成486例手术,主要终点为术中及术后患者结局。
一项纳入25例3-5期慢性肾脏病(CKD)患者的随机对照试验(19例运动组、6例常规照护),评估12周家庭化个体化运动(高强度间歇训练、健步走与力量训练)对骨骼肌的影响,运动前后行股外侧肌活检。
一项涵盖中国31个省份2013–2020年监测数据的研究,基于SEIRA模型以离散反演方法重构猩红热时变传播率β(t),并用分布滞后非线性模型(DLNM)分析四种污染物与四种气象变量的关联。
该综述提出猕猴行为学指标作为认知、情感或临床构念代理时,须满足发育能力与情境可解释性两个前提,并提出“定义—解释—验证”三阶段评估框架。对56项猕猴抑郁相关行为代理研究的mini-review显示,仅17.9%充分报告养育史,操作定义缺失比例从2010–2019年的26.3%升至2020–2026年的58.3%,仅26.8%考虑情境解释,仅3.6%在模型分配前完成独立验证。
C57BL/6J 孕鼠于妊娠第6天至产后第21天经饮水暴露于双酚A(名义目标50 μg/kg/day),断奶后后代分别给予普通或高脂饮食,于PND22、PND36和PND91评估。
一项前瞻性队列研究对20名计划行腹腔镜胆囊切除术的患者从术前基线至术后1、3、6、12个月随访,以16S rRNA基因测序分析粪便菌群,随访12个月完成。结果显示总体菌群多样性与群落结构仅轻度变化,但乳杆菌属在术后早期减少并持续保持较低水平;功能预测提示代谢通路仅有轻度改变,无参与者发生临床明显的胆囊切除术后腹泻。
原文摘录:The past several decades have witnessed great success in bacterial cellulose (BC) and its hydrogel composites in terms of both broad and in-depth basic research and potential biomedical applications.
一项在高危美国军人和退伍军人中比较BCBT与PCT的随机对照试验中,研究者每次治疗时评估自杀意念量表(SSI)前5项,用连续时间多变量变化模型和特征分解分析各维度变化。结果显示两治疗中各维度变化速度不一,BCBT下维度变化更快且更同步,PCT变化更慢且一致性较低。这提示总分相近时,两种治疗减低自杀意念的过程可能存在质的差异。
一篇发表于 Food and Chemical Toxicology 的综述提出香原料的分 tier、机制导向全体外遗传毒性检测策略,整合 ToxTracker GFP 报告干细胞平台、3D 重建皮肤微核(RSMN)试验、鸡胚系统 CEGA 与 HET-MN,以及 OASIS TIMES 计算代谢预测,并给出决策流程图。
丹麦研究团队基于2012年和2022年各10万人随机样本的重复横断面调查(分析限于20–64岁受访者),用25项Bodily Distress Syndrome清单评估多重躯体症状,并通过全国登记链接分析医疗利用与处方药使用。
原文摘录:OBJECTIVE: Irritable bowel syndrome (IBS) is characterized by recurring gastrointestinal symptoms and substantial psychosocial burden. Despite the wide range of therapeutic options, no approach is consistently superior across patients. … However, the benefit of treatment allocation based on individual symptom dynamics, the validity of personalization approaches and the efficacy of EMDR in specific IBS subgroups represent distinct but intertwined questions that require further evaluation
关注理由:如果关注消化与肝病,这项随机对照研究的分组方式、主要终点和组间差异值得细读。
一项基于 National Pediatric Cardiology Quality Improvement Collaborative 的多中心回顾性队列研究纳入2016–2024年70个中心3,644例接受一期姑息手术(S1P)的婴儿,其中164例(5%)为限制性/完整房间隔(RAS)且行术前间隔干预。
EXPORT 试验(NCT07197931)是一项多中心、前瞻性、优效性、单盲、盲法终点随机试验,拟纳入 430 例药物难治性持续性房颤首次消融患者,比较肺静脉隔离联合非肺静脉触发灶诱发、标测与消融与单纯肺静脉隔离。主要终点为 3 个月空白期后任何持续 ≥30 秒的房性心律失常记录,次要终点包括不使用抗心律失常药物的无复发、围术期并发症和总手术时间。本文为方案与设计,尚无结果数据。
一项横断面研究纳入单纯脂肪变(n=42)、脂肪性肝炎(n=28)、代谢相关肝硬化(n=16)及无脂肪变对照(n=23),发现MASLD早期即出现血小板分泌标志物升高和代谢活性增强;晚期MASH和肝硬化阶段血小板对G蛋白偶联受体刺激无应答,但对GPVI刺激反应增强,呈分泌和促凝表型。
原文摘录:Pulmonary blood volumes (PBV), currently not assessed by computed tomography pulmonary angiography (CTPA), could provide additional information to routine investigations performed for chronic thromboembolic pulmonary hypertension (CTEPH). … Utilizing CTPA-derived PBV post-PEA to identify patients without residual PH can potentially reduce the need for routine postoperative right heart catheterization
Eric Topol在Ground Truths撰文解读Nature(哈佛Gladyshev团队)与Cell(Altos Labs的Izpisua Belmonte团队)两篇关于细胞身份丢失衰老模型的论文,提出慢性炎症导致PRC2慢层侵蚀与间质漂移,表观遗传钟测量的是PRC2低甲基化区域的侵蚀速度。
小鼠研究显示,Mrgprd全身或髓系特异性敲除可减轻葡聚糖硫酸钠(DSS)诱导的急性结肠炎,表现为结肠长度保留、病理评分降低、屏障完整性改善及M1巨噬细胞比例下降,其作用强于神经元特异性敲除;机制上MrgprD经NF-κB信号促进结肠巨噬细胞促炎极化,生物信息分析支持MRGPRD-NF-κB轴与人类IBD相关。
原文摘录:Rats emit 50-kHz ultrasonic vocalizations (USVs), a widely used measure of drug-induced motivational and affective effects and dopaminergic activity. … Together, these findings suggest that AYA attenuates LDX-induced positive affective responses without reducing hyperlocomotion, accompanied by changes in noradrenaline and serotonin levels in the mPFC and dopamine levels in the NAc