AL

家族性地中海热,常染色体显性
  • 文章类型: Journal Article
    铝(Al)的室温强化策略的有效性在升高的温度下由于晶粒和沉淀相粗化而受到损害。克服晶界和位错的增强活性对通过传统的降水强化来提高高温强度提出了重大挑战。这项研究提出了新颖的加强策略,整合晶间增强材料,颗粒内增援,细化晶粒,以及使用溶胶-凝胶和粉末冶金技术制备的(Al2O3Al3Ti)/Al复合材料中的堆垛层错。获得优异的高温拉伸性能;揭示了在升高的温度下超过其他现有铝合金和复合材料的显着疲劳性能。这些优越的特性可归因于其异常稳定的微观结构和上述协同强化机制。这项工作为设计和制造用于高温应用的热稳定铝基复合材料提供了新的见解。
    The effectiveness of the room-temperature strengthening strategy for aluminum (Al) is compromised at increased temperatures due to grain and precipitate phase coarsening. Overcoming the heightened activity of grain boundaries and dislocations poses a significant challenge in enhancing the high-temperature strength through traditional precipitation strengthening. This study presents novel strengthening strategies that integrate intergranular reinforcements, intragranular reinforcements, refined grain, and stacking faults within an (Al2O3+Al3Ti)/Al composite prepared using sol-gel and powder metallurgy technology. Excellent high-temperature tensile properties are achieved; also, a remarkable fatigue performance at increased temperatures that surpasses those of other existing Al alloys and composites is revealed. These superior characteristics can be attributed to its exceptionally stable microstructure and the synergistic strengthening mechanisms mentioned above. This work offers new insights into designing and fabricating thermally stable Al matrix composites for high-temperature applications.
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  • 文章类型: Journal Article
    背景技术铝(Al)及其合金由于其优异的物理性能而广泛应用于各个领域。尽管已经做出了许多努力来制造铝基复合材料,它们通常导致电导率的显著降低。在这里,一种特殊的层状结构的Al/石墨烯(Gr)/Al复合材料是通过一种简单的方法成功地设计和制造的,该方法使用超声波喷涂石墨烯粉末并去除氧化铝以及随后的真空热压工艺。获得的Al/Gr/Al复合材料的电导率显着提高了66%IACS,远高于其他报道的铝基复合材料,虽然它仍然保持类似的机械性能。这项工作为开发高导电铝基复合材料提供了一种新的策略,这对实际应用非常有用和重要。
    Aluminum (Al) and its alloys are widely used in various fields due to their excellent physical properties. Although many efforts have been made to fabricate an Al-based composite, they usually results in a significant decrease in electrical conductivity. Herein, a special layer-structured Al/graphene (Gr)/Al composite was successfully designed and fabricated through a facile method using the ultrasonic spraying of graphene powder with alumina removal and a subsequent vacuum hot-pressing process. The as-obtained Al/Gr/Al composite presents a significantly enhanced electrical conductivity of 66% IACS, which is much higher than that of other reported Al-based composites, while it still maintains similar mechanical properties. This work provides a new strategy for the development of highly conductive Al-based composites, which would be very useful and important for practical applications.
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  • 文章类型: Journal Article
    目的:评估不同的心血管磁共振(CMR)参数对轻链淀粉样变性(AL)和转甲状腺素蛋白相关性淀粉样变性(ATTR)的区分。
    结果:总计,75名患者,心脏淀粉样变性53例(AL患者20例(66±12岁,14例男性[70%])和33例ATTR患者(78±5年,28名男性[88%]))对CMR参数如T1和T2作图进行了回顾性分析,细胞外体积(ECV),和晚期钆增强(LGE)分布模式,和心肌劳损,并与其他原因导致左心室肥厚的对照组进行比较(LVH;22例患者(53±16岁,17名男性[85%])。单因素方差分析和接收器工作特性分析用于统计分析。ECV是区分心脏淀粉样变性和对照的唯一最佳参数(曲线下面积[AUC]:0.97,95%置信区间[CI]:0.89-0.99,p<0.0001,截止值:>30%)。T2作图是区分AL和ATTR淀粉样变性的最佳单一参数(AL:63±4ms,ATTR:58±2ms,p<.001,AUC:0.86,95%CI:0.74-0.94,截止:>61ms)。心内膜下LGE主要在AL患者中观察到(10/20[50%]vs.5/33[15%];p=.002)。在ATTR患者中主要观察到透壁LGE(23/33[70%]vs.2/20[10%];p<.001)。T2作图区分AL和ATTR淀粉样变性的诊断性能随着LGE模式的纳入而进一步增强(AUC:0.96,95%CI:0.86-0.99];p=.05)。
    结论:ECV可将心脏淀粉样变性与其他原因引起的LVH区分开来。T2作图结合LGE在患者水平上以高精度将AL与ATTR淀粉样变性区分开来。
    OBJECTIVE: To evaluate different cardiovascular magnetic resonance (CMR) parameters for the differentiation of light chain amyloidosis (AL) and transthyretin-related amyloidosis (ATTR).
    RESULTS: In total, 75 patients, 53 with cardiac amyloidosis (20 patients with AL (66±12 years, 14 males [70%]) and 33 patients with ATTR (78±5 years, 28 males [88%])) were retrospectively analyzed regarding CMR parameters such as T1 and T2 mapping, extracellular volume (ECV), and late gadolinium enhancement (LGE) distribution patterns, and myocardial strain, and compared to a control cohort with other causes of left ventricular hypertrophy (LVH; 22 patients (53±16 years, 17 males [85%])). One way-ANOVA and receiver operating characteristic analysis were used for statistical analysis. ECV was the single best parameter to differentiate between cardiac amyloidosis and controls (area under the curve [AUC]: 0.97, 95% confidence intervals [CI]: 0.89-0.99, p<.0001, cutoff: >30%). T2 mapping was the best single parameter to differentiate between AL and ATTR amyloidosis (AL: 63±4 ms, ATTR: 58±2 ms, p<.001, AUC: 0.86, 95% CI: 0.74-0.94, cutoff: >61 ms). Subendocardial LGE was predominantly observed in AL patients (10/20 [50%] vs. 5/33 [15%]; p=.002). Transmural LGE was predominantly observed in ATTR patients (23/33 [70%] vs. 2/20 [10%]; p<.001). The diagnostic performance of T2 mapping to differentiate between AL and ATTR amyloidosis was further increased with the inclusion of LGE patterns (AUC: 0.96, 95% CI: 0.86-0.99]; p=.05).
    CONCLUSIONS: ECV differentiates cardiac amyloidosis from other causes of LVH. T2 mapping combined with LGE differentiates AL from ATTR amyloidosis with high accuracy on a patient level.
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  • 文章类型: Journal Article
    SiMo球墨铸铁结合了易于制造的零件和良好的机械性能,包括可用的可塑性范围。可以通过与能够形成保护基材的致密氧化皮的Al或Cr添加物合金化来减轻其从灰铸铁继承的不良耐腐蚀性。然而,铸铁中Al和Cr的存在会使材料变脆,它们的最佳合金化添加量需要进一步研究。本工作旨在研究结晶速率对SiMo型合金在高达3.5%Al和2.4%Cr的定向结晶过程中微观结构变化的影响。使用Bridgman-Stockbarger方法进行实验。以4/5坩埚长度,以5mm/h至30mm/h的速率将管状坩埚从热段转移至冷段,然后淬火。引入的Al促进了石墨化,其中,在最高应用的加法下,石墨沉淀先于熔体的其余部分结晶。这些合金中的Cr含量从1%上升到2.4%,导致形成低含量和高含量的珠光体,分别。更高的结晶速率证明在以珠光体为代价增加铁素体含量方面是有效的。在所研究的铸铁样品中,合金添加量较小,Widmanstätten铁氧体或奥氏体铁氧体,即,细圆形相,经常被发现。从定向结晶到猝灭的转变导致了从液态到固态的转变,首先是细奥氏体枝晶岛的成核,块状石墨共晶将它们分开。随着这些岛屿的扩张,他们把合金添加剂推到了他们的一边,促进碳化物或珠光体在这些地方的形成和形成超细胞样结构。进行的实验有助于收集有关用Al和Cr改性的SiMo铸铁的微观结构对重型铸造结构中普遍存在的结晶速率的敏感性的信息。
    SiMo ductile cast iron combines ease of part fabrication with good mechanical properties, including a usable plasticity range. Its poor corrosion resistance inherited from grey cast iron could be alleviated through alloying with Al or Cr additions capable of forming a dense oxide scale protecting the substrate. However, the presence of Al and Cr in cast iron tends to make the material brittle, and their optimum alloying additions need to be studied further. The present work was aimed at investigating the effect of crystallization rates on microstructure changes during directional crystallization of SiMo-type alloys with up to 3.5% Al and 2.4% Cr. The experiment was performed using the Bridgman-Stockbarger method. The tubular crucible was transferred from the hot section to cold section at rates ranging from 5 mm/h to 30 mm/h with a 4/5 crucible length and then quenched. The introduced Al promoted graphitization up to a point, wherein, at the highest applied addition, the graphite precipitation preceded crystallization of the rest of the melt. A rising level of Cr in these alloys from 1% to 2.4% resulted in the formation of low and high contents of pearlite, respectively. The higher crystallization rates proved effective in increasing the ferrite content at the expense of pearlite. In the investigated cast iron samples with smaller applied alloying additions, Widmanstätten ferrite or ausferrite, i.e., fine acircular phase, were often found. The switch from directional crystallization to quenching caused a transition from a liquid to solid state, which started with nucleation of islands of fine austenite dendrites with chunky graphite eutectic separating them. As these islands expanded, they pushed alloying additions to their sides, promoting carbide or pearlite formation in these places and forming a super-cell-like structure. The performed experiments helped gather information concerning the sensitivity of the microstructure of SiMo cast iron modified with Al and Cr to crystallization rates prevailing in heavy cast structures.
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  • 文章类型: Journal Article
    心脏淀粉样变性,一种以心脏蛋白质沉积异常为特征的疾病,会导致限制性心肌病,并且与心律失常和传导障碍的风险增加显着相关。本文回顾了目前对这些心脏并发症的理解和管理策略,重点关注最新进展和临床挑战。房性心律失常的患病率和影响,尤其是心房颤动,被检查,以及对卒中风险和抗凝治疗的考虑。本文还讨论了管理速率和节律控制的复杂性,概述了药物和干预措施如导管消融的效用和局限性。此外,它回顾了治疗室性心律失常的挑战,包括有争议地使用植入式心律转复除颤器进行一级和二级预防。个性化的方法,考虑到心脏淀粉样变的独特特征,是最重要的。持续的研究和临床探索对于完善这一具有挑战性的患者群体的治疗策略和改善预后至关重要。
    Cardiac amyloidosis, a condition characterized by abnormal protein deposition in the heart, leads to restrictive cardiomyopathy and is notably associated with an increased risk of arrhythmias and conduction disorders. This article reviews the current understanding and management strategies for these cardiac complications, with a focus on recent advancements and clinical challenges. The prevalence and impact of atrial arrhythmias, particularly atrial fibrillation, are examined, along with considerations for stroke risk and anticoagulation therapy. The article also addresses the complexities of managing rate and rhythm control, outlining the utility and limitations of pharmacological agents and interventions such as catheter ablation. Furthermore, it reviews the challenges in the treatment of ventricular arrhythmias, including the contentious use of implantable cardioverter-defibrillators for primary and secondary prevention. Individualized approaches, considering the unique characteristics of cardiac amyloidosis, are paramount. Continuous research and clinical exploration are essential to refine treatment strategies and improve outcomes in this challenging patient population.
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  • 文章类型: Journal Article
    植物中铝(Al)耐受性的转录调控在很大程度上是未知的,尽管铝的毒性限制了酸性土壤中的农业产量。.这里,我们确认了一个不结盟运动,ATAF1/2和杯状子叶2(NAC)转录因子参与拟南芥耐铝。Al基本上诱导了ANAC070的转录本和蛋白质水平,并且功能丧失的anan070突变体显示出显著增加的Al敏感性,暗示ANAC070在植物对铝毒性的耐受性中的有益作用。进一步的调查显示,更多的铝积累在anac070突变体的根中,尤其是根细胞壁,伴随着更高的半纤维素和木葡聚糖水平,暗示ANAC070和编码负责木葡聚糖修饰的蛋白质的基因之间可能的相互作用,包括木葡聚糖内切糖基转移酶/水解酶(XTH)或ANAC017。酵母混合分析揭示了ANAC070和ANAC017之间的潜在相互作用,但对于其他XTH则没有。此外,双荧光素酶报告分析,RT-qPCR,和GUS分析表明ANAC070可以直接抑制ANAC017的转录水平,并且在anac070突变体中敲除ANAC017部分恢复了其Al敏感性表型,表明ANAC070有助于Al耐受机制而不是抑制ANAC017表达。进一步的分析表明,对蛋白质根瘤菌毒素敏感的核心转录因子1(STOP1)及其靶基因,控制拟南芥的铝耐受性,也可能参与ANAC070调节的Al耐受性。总之,我们确定了一个转录因子,ANAC070,抑制ANAC017-XTH31模块以调节拟南芥的铝耐受性。
    The transcriptional regulation of aluminum (Al) tolerance in plants is largely unknown, although Al toxicity restricts agricultural yields in acidic soils.. Here, we identified a NAM, ATAF1/2, and cup-shaped cotyledon 2 (NAC) transcription factor that participates in Al tolerance in Arabidopsis (Arabidopsis thaliana). Al substantially induced the transcript and protein levels of ANAC070, and loss-of-function anan070 mutants showed remarkably increased Al sensitivity, implying a beneficial role of ANAC070 in plant tolerance to Al toxicity. Further investigation revealed that more Al accumulated in the roots of anac070 mutants, especially in root cell walls, accompanied by a higher hemicellulose and xyloglucan level, implying a possible interaction between ANAC070 and genes that encode proteins responsible for the modification of xyloglucan, including xyloglucan endo-transglycosylases/hydrolase (XTH) or ANAC017. Yeast one hybrid analysis revealed a potential interaction between ANAC070 and ANAC017, but not for other XTHs. Furthermore, dual-luciferase reporter assay, RT-qPCR, and GUS analysis revealed that ANAC070 could directly repress the transcript levels of ANAC017, and knockout of ANAC017 in the anac070 mutant partially restored its Al sensitivity phenotype, indicating that ANAC070 contributes to Al tolerance mechanisms other than suppression of ANAC017 expression. Further analysis revealed that the core transcription factor SENSITIVE TO PROTON RHIZOTOXICITY1 (STOP1) and its target genes, which control Al tolerance in Arabidopsis, may also be involved in ANAC070-regulated Al tolerance. In summary, we identified a transcription factor, ANAC070, that represses the ANAC017-XTH31 module to regulate Al tolerance in Arabidopsis.
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  • 文章类型: Journal Article
    背景和目的:心脏磁共振(CMR)成像已成为研究心肌病的重要手段。它最近已被整合到心脏淀粉样变性(CA)的诊断工作流程中,并取得了显着成果。另一个新出现的作用是通过疤痕分析对心律失常风险进行分层,以及将这些数据与电解剖图合并的可能性。这是通过使用软件(ADAS3D,加尔戈医疗,巴塞罗那,西班牙)能够通过检测心肌壁整个厚度的纤维化来提供3D心脏模型。关于该软件在广泛的心肌病中的应用知之甚少,潜在的好处尚未发现。在这项研究中,我们尝试在CA的上下文中应用ADAS3D。材料和方法:本研究是对我们中心(马尔凯大学医院)治疗的CA患者的连续CMR成像的回顾性分析。只要有可能,使用ADAS3D软件处理数据,并分析形态测量参数与随访事件之间的相关性.结果是全因死亡率的综合结果,计划外的心血管住院,持续性室性心律失常(VA),左心室射血分数永久性降低,和起搏器植入。次要结果是需要起搏器植入和持续的VAs。结果:共有14例患者被认为符合软件分析的条件:8例患者患有野生型甲状腺素运载蛋白CA,5带轻链CA,1与转甲状腺素蛋白遗传性CA。绝大多数影像学特征与复合结局无关,但心房壁增厚与起搏器植入的主要结局(p=0.003)和次要结局(p=0.003)均有显著关联.该软件能够区分疤痕的核心区域和边界区域,后者是所有患者中最广泛的代表。有趣的是,在巨大比例的CMR图像中,该软件确定了心外膜中核心区纤维化程度最高,在这些患者中,我们发现主要结局的发生率较高,没有达到统计学意义(p=0.18)。在大部分患者的疤痕区域中发现了通道,与随访事件没有明显的相关性。结论:CMR成像在心血管诊断中起着关键作用。我们的分析表明了这种仪器对所有类型CA的可行性和适用性。我们不仅可以区分不同层的疤痕,但我们也能够确定不同瘢痕区之间是否存在纤维化通道.来自ADAS3D软件的数据似乎都与随访中的心脏事件无关。但这可能归因于纳入研究的患者数量有限.
    Background and Objectives: Cardiac magnetic resonance (CMR) imaging has become an essential instrument in the study of cardiomyopathies; it has recently been integrated into the diagnostic workflow for cardiac amyloidosis (CA) with remarkable results. An additional emerging role is the stratification of the arrhythmogenic risk by scar analysis and the possibility of merging these data with electro-anatomical maps. This is made possible by using a software (ADAS 3D, Galgo Medical, Barcelona, Spain) able to provide 3D heart models by detecting fibrosis along the whole thickness of the myocardial walls. Little is known regarding the applications of this software in the wide spectrum of cardiomyopathies and the potential benefits have yet to be discovered. In this study, we tried to apply the ADAS 3D in the context of CA. Materials and Methods: This study was a retrospectively analysis of consecutive CMR imaging of patients affected by CA that were treated in our center (Marche University Hospital). Wherever possible, the data were processed with the ADAS 3D software and analyzed for a correlation between the morphometric parameters and follow-up events. The outcome was a composite of all-cause mortality, unplanned cardiovascular hospitalizations, sustained ventricular arrhythmias (VAs), permanent reduction in left ventricular ejection fraction, and pacemaker implantation. The secondary outcomes were the need for a pacemaker implantation and sustained VAs. Results: A total of 14 patients were deemed eligible for the software analysis: 8 patients with wild type transthyretin CA, 5 with light chain CA, and 1 with transthyretin hereditary CA. The vast majority of imaging features was not related to the composite outcome, but atrial wall thickening displayed a significant association with both the primary (p = 0.003) and the secondary outcome of pacemaker implantation (p = 0.003). The software was able to differentiate between core zones and border zones of scars, with the latter being the most extensively represented in all patients. Interestingly, in a huge percentage of CMR images, the software identified the highest degree of core zone fibrosis among the epicardial layers and, in those patients, we found a higher incidence of the primary outcome, without reaching statistical significance (p = 0.18). Channels were found in the scar zones in a substantial percentage of patients without a clear correlation with follow-up events. Conclusions: CMR imaging plays a pivotal role in cardiovascular diagnostics. Our analysis shows the feasibility and applicability of such instrument for all types of CA. We could not only differentiate between different layers of scars, but we were also able to identify the presence of fibrosis channels among the different scar zones. None of the data derived from the ADAS 3D software seemed to be related to cardiac events in the follow-up, but this might be imputable to the restricted number of patients enrolled in the study.
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  • 文章类型: Journal Article
    越来越需要创造高性能,在氧电化学新领域负担得起的电催化剂。这里,一个具有成本效益的,活性调节的电催化剂具有在碱性环境中触发氧还原反应(ORR)和析氧反应(OER)的能力。催化剂(Al,Co/N-rGCNT)由铝制成,氮-双掺杂还原氧化石墨烯片与钴封装的碳纳米管单元共存。基于X射线吸收光谱(XAS)研究,确定了Al中优越的反应动力学,Co/N-rGCNT超过其批量对应物可归因于其电子法规。Al,Co/N-rGCNT作为锌-空气电池(ZAB)的多功能双功能电催化剂,提供开路电位≈1.35V和106.3mWcm-2的峰值功率密度,这与基于Pt/C的系统相当。Al,与基于Pt/C的系统提供的696mAhgZn-1相比,基于Co/N-rGCNT的系统显示出737mAhgZn-1的比容量。DFT计算表明,在NGr中掺杂Al的情况下,Co的吸附改善了有利于ORR的电子性能。因此,Al,基于Co/N-rGCNT的可充电ZAB(RZAB)成为开发RZAB用于实际应用的高度可行且负担得起的选择。
    There is a rising need to create high-performing, affordable electrocatalysts in the new field of oxygen electrochemistry. Here, a cost-effective, activity-modulated electrocatalyst with the capacity to trigger both the oxygen reduction reaction (ORR) and the oxygen evolution reaction (OER) in an alkaline environment is presented. The catalyst (Al, Co/N-rGCNT) is made up of aluminium, nitrogen-dual-doped reduced graphene oxide sheets co-existing with cobalt-encapsulated carbon nanotube units. Based on X-ray Absorption Spectroscopy (XAS) studies, it is established that the superior reaction kinetics in Al, Co/N-rGCNT over their bulk counterparts can be attributed to their electronic regulation. The Al, Co/N-rGCNT performs as a versatile bifunctional electrocatalyst for zinc-air battery (ZAB), delivering an open circuit potential ≈1.35 V and peak power density of 106.3 mW cm-2, which are comparable to the system based on Pt/C. The Al, Co/N-rGCNT-based system showed a specific capacity of 737 mAh gZn -1 compared to 696 mAh gZn -1 delivered by the system based on Pt/C. The DFT calculations indicate that the adsorption of Co in the presence of Al doping in NGr improves the electronic properties favoring ORR. Thus, the Al, Co/N-rGCNT-based rechargeable ZAB (RZAB) emerges as a highly viable and affordable option for the development of RZAB for practical applications.
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  • 文章类型: Journal Article
    淀粉样变是一种蛋白质折叠疾病,会导致器官损伤甚至死亡。在人类中,现在已知有42种蛋白质引起淀粉样变性。如在遗传性淀粉样变性中所看到的,一些蛋白质由于致病性变体而变得成淀粉样蛋白。在获得性淀粉样变性中,蛋白质在其野生型状态下形成淀粉样蛋白。四种类型(血清淀粉样蛋白A(AA),转甲状腺素蛋白(ATTR),载脂蛋白AIV(ApoAIV),淀粉样蛋白的β-2-巨球蛋白(AB2m))可以获得性或突变体形式出现。还报道了来自注射的蛋白质药物的医源性淀粉样蛋白,最近发现AIL1RAP(anakinra)涉及肾脏。最后,白细胞来源的趋化因子-2(ALECT2)形成淀粉样蛋白的机制尚不清楚.本文将回顾涉及肾脏的淀粉样蛋白及其类型。
    Amyloidosis is a protein folding disease that causes organ injuries and even death. In humans, 42 proteins are now known to cause amyloidosis. Some proteins become amyloidogenic as a result of a pathogenic variant as seen in hereditary amyloidoses. In acquired forms of amyloidosis, the proteins form amyloid in their wild-type state. Four types (serum amyloid A, transthyretin, apolipoprotein A-IV, and β2-macroglobulin) of amyloid can occur either as acquired or as a mutant. Iatrogenic amyloid from injected protein medications have also been reported and AIL1RAP (anakinra) has been recently found to involve the kidney. Finally, the mechanism of how leukocyte cell-derived chemotaxin 2 (ALECT2) forms amyloid remains unknown. This article reviews the amyloids that involve the kidney and how they are typed.
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  • 文章类型: Journal Article
    心脏淀粉样变性越来越被认为是心力衰竭的可治疗形式。高度有效的特异性疗法最近已成为两种最常见形式的心脏淀粉样变性:免疫球蛋白轻链淀粉样变性和运甲状腺素蛋白(ATTR)淀粉样变性。然而,特定疗法的启动需要识别心脏淀粉样变性和淀粉样蛋白类型的适当表征。尽管对ATTR心脏淀粉样变性进行非侵入性诊断是可能的,对于大量ATTR患者以及所有轻链淀粉样变性和其他罕见形式的心脏淀粉样变性患者,仍需要对淀粉样蛋白沉积物进行组织学证明和分型。淀粉样蛋白组织学分型可以使用不同的技术进行:质谱,免疫组织化学,和免疫电子显微镜。这篇综述描述了哪些患者需要对心脏淀粉样变性进行组织学确认,以及何时以及如何在组织学标本中对淀粉样蛋白沉积物进行分型。此外,它涵盖了临床实践中可用的不同分型方法的特征和局限性。
    Cardiac amyloidosis is increasingly recognized as a treatable form of heart failure. Highly effective specific therapies have recently become available for the 2 most frequent forms of cardiac amyloidosis: immunoglobulin light chain amyloidosis and transthyretin (ATTR) amyloidosis. Nevertheless, initiation of specific therapies requires recognition of cardiac amyloidosis and appropriate characterization of the amyloid type. Although noninvasive diagnosis is possible for ATTR cardiac amyloidosis, histological demonstration and typing of amyloid deposits is still required for a substantial number of patients with ATTR and in all patients with light chain amyloidosis and other rarer forms of cardiac amyloidosis. Amyloid histological typing can be performed using different techniques: mass spectrometry, immunohistochemistry, and immunoelectron microscopy. This review describes which patients require histological confirmation of cardiac amyloidosis along with when and how to type amyloid deposits in histologic specimens. Furthermore, it covers the characteristics and limitations of the different typing methods that are available in clinical practice.
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