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相关概念视频

Cooperative Allosteric Transitions01:58

Cooperative Allosteric Transitions

Cooperative allosteric transitions can occur in multimeric proteins, where each subunit of the protein has its own ligand-binding site. When a ligand binds to any of these subunits, it triggers a conformational change that affects the binding sites in the other subunits; this can change the affinity of the other sites for their respective ligands. The ability of the protein to change the shape of its binding site is attributed to the presence of a mix of flexible and stable segments in the...
Cooperative Allosteric Transitions01:58

Cooperative Allosteric Transitions

Cooperative allosteric transitions can occur in multimeric proteins, where each subunit of the protein has its own ligand-binding site. When a ligand binds to any of these subunits, it triggers a conformational change that affects the binding sites in the other subunits; this can change the affinity of the other sites for their respective ligands. The ability of the protein to change the shape of its binding site is attributed to the presence of a mix of flexible and stable segments in the...
Long-term Potentiation01:25

Long-term Potentiation

Long-term potentiation, or LTP, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTP is the process of synaptic strengthening that occurs over time between pre and postsynaptic neuronal connections. The synaptic strengthening of LTP works in opposition to the synaptic weakening of long-term depression (LTD) and together are the main mechanisms that underlie learning and memory.
Hebbian LTP
LTP can occur when presynaptic neurons...
Allosteric Proteins-ATCase01:19

Allosteric Proteins-ATCase

Binding sites linkages can regulate a protein's function.  For example, enzyme activity is often regulated through a feedback mechanism where the end product of the biochemical process serves as an inhibitor.
Aspartate transcarbamoylase (ATCase) is a cytosolic enzyme that catalyzes the condensation of L-aspartate and carbamoyl phosphate to  N-carbamoyl-L-aspartate. This reaction is the first step in pyrimidine biosynthesis. UTP and CTP, the end products of the pyrimidine synthesis pathway,...
Cooperative Allosteric Transitions01:58

Cooperative Allosteric Transitions

Cooperative allosteric transitions can occur in multimeric proteins, where each subunit of the protein has its own ligand-binding site. When a ligand binds to any of these subunits, it triggers a conformational change that affects the binding sites in the other subunits; this can change the affinity of the other sites for their respective ligands. The ability of the protein to change the shape of its binding site is attributed to the presence of a mix of flexible and stable segments in the...
Overview of Algae01:28

Overview of Algae

The kingdom Archaeplastida encompasses red and green algae, along with land plants. Unlike other protists with chloroplasts that arose through secondary endosymbiosis, only red and green algae originated from primary endosymbiotic events. This diverse group of eukaryotic organisms contains chlorophyll and performs oxygenic photosynthesis.Algae exist in various forms, from large brown kelp in coastal waters to green scum in puddles and stains on rocks or soil. Some species are responsible for...

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相关实验视频

Updated: Jul 15, 2026

Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy ALPPS Procedure
07:29

Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy ALPPS Procedure

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[ALPPS的现状和进展]

J Zhou1, Y F Peng1

  • 1Department of Liver Oncology Surgery, Zhongshan Hospital, Fudan University, Institute of Liver Cancer Research of Fudan University, Shanghai 200032, China.

Zhonghua wai ke za zhi [Chinese journal of surgery]
|March 9, 2025
PubMed
概括

通过分阶段肝切除术 (ALPPS) 进行肝脏分割和门静脉绑定,使得肝癌患者在未来肝脏残留不足的情况下能够接受切除. 这种技术已经进化,提高了安全性,并阐明了瘤学的益处.

科学领域:

  • 肝胆道手术 肝胆道手术
  • 手术瘤学手术瘤学
  • 肝脏再生 肝脏再生

背景情况:

  • 手术切除是肝癌存活的关键,但往往受到未来肝脏残留物 (FLR) 不足的限制.
  • 两个阶段的肝切除术,包括关联肝脏分割和门静脉绑定阶段性肝切除术 (ALPPS),是一种增加FLR的策略.
  • 早期的ALPPS因高发病率和死亡率而面临争议.

研究的目的:

  • 审查ALPPS的当前状态和进展.
  • 为了突出ALPPS在过去十年的演变.
  • 讨论改善ALPPS的安全性和澄清瘤结果.

主要方法:

  • 关于ALPPS发展和结果的文献综述.
  • 分析手术技术和患者管理方面的进步.
  • 术后发病率,死亡率和瘤效益的评估.

主要成果:

  • 在ALPPS中显示出快速且显著的FLR缩.
  • 高瘤切除率可以通过ALPPS实现.
  • 在过去的10年中,ALPPS的外科安全性和瘤益处得到了显著的改善.

结论:

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  • 对于肝癌患者,ALPPS已经发展成为一种更安全,更有效的手术,肝癌患者没有足够的FLR.
  • 该技术提供了显著的瘤益处,并克服了最初的争议.
  • 持续的研究和改进正在推动ALPPS在肝脏外科手术中的发展.