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Chagas disease is an important neglected disease that affects 6–7 million people worldwide. The disease has two phases: acute and chronic, in which there are different clinical symptoms. Controlling the infection depends on innate and acquired immune responses, which are activated during the initial infection and are critical for host survival. Furthermore, the immune system plays an important role in the therapeutic success. Here we summarize the importance of the immune system cytokines in the pathology outcome, as well as in the treatment.  相似文献   

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Greenhouse and field experiments showed that sharp eyespot disease can reduce establishment in wheat seedlings. Increasing disease severity caused a decrease in height and dry weight of surviving seedlings. Infection by the pathogen caused a reduction in tillering. Experiments also showed that a high incidence of disease can cause a reduction in the yield of grain of mature plants, but the disease level necessary for such effects is far higher than that usually encountered in the field. Survey work in the East of Scotland in 1963-65 showed a high percentage of crops infected with the disease. But even in 1964, a year of comparatively high disease incidence, there were few crops with a level of infection as high as that shown to affect yield.  相似文献   

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Granulomatous inflammation typifying Crohn''s disease was centred within or confined to appendices in six patients, two of whom developed lesions attributable to Crohn''s disease elsewhere in the gut. The remaining four patients have remained symptom-free for periods varying from two to six years. Histological evidence of Crohn''s disease was also present in five of 46 appendices available for re-examination in a survey of 63 cases of Crohn''s enterocolitis. It is adduced that appendiceal involvement in Crohn''s disease is not uncommon.  相似文献   

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Hirschsprung's disease is marked by constipation from the time of birth, with the development, if uncorrected, of a protuberant abdomen and flared costal margins. The rectal ampulla is empty and the abdomen is filled with fecal masses. Pain is not prominent. Flatus is passed in large amounts. Encopresis does not occur. Barium enema shows the characteristic narrowed distal rectal segment and biopsy of the rectum shows absence of the ganglion cells of the myenteric plexus. Treatment is operative resection of the distal narrow segment and a primary anastomosis.Hirschsprung's disease may be mimicked in children with:1. Psychogenic constipation-pseudo-Hirschsprung's disease. Unlike Hirschsprung's disease, symptoms do not appear at birth, encopresis is common, and the barium enema shows no narrow distal segment.2. Mental retardation and cerebral defect.3. Corrected imperforate anus-on the basis of stenosis, imperfect innervation or poor habit training.4. Cretinism-with severe constipation and intestinal dilatation perhaps the presenting symptoms. Treatment of these four groups of children with severe constipation not due to Hirschsprung's disease is:For Group 1, open discussion with parent and child. Assumption by the physician of full control of the details of treatment, and relegation of parent to the role of the physician's agent in following the prescribed regimen. For Group 2, an enema regimen. Whereas fairly rapid restoration (and then persistence) of normal bowel habit can be expected in Group 1, the basic defects in Group 2 may require indefinite continuation of treatment. For Group 3, regular enema regimen, in the less severe cases-one identical with that used in Group 1, and dilatation of strictures or anoplasty. In Group 4, thyroid hormone therapy relieves the constipation of hypothyroidism and causes reversion of radiographic changes in the colon and rectum.  相似文献   

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This article concerns the metaphysics of disease. Is disease a fixed feature of the world or a social value or preference? I argue that disease is not a value-laden concept and thus debates concerning it differ fundamentally from debates concerning health, harm, or suffering where evaluative judgements are central. I show how the so-called social constructionist view of disease has been motivated both by ethical concerns with medical practices and general theoretical doubts about scientific naturalism. If I can show that ethical concerns about medical treatment can be answered without adopting social constructionism, that leaves only the broader theoretical question of naturalism. I cannot completely answer those theoretical doubts, but I show that the theoretical motivation is less convincing when it is separated from the moral challenge often accompanying it. I conclude that a convincing defense of the non-naturalistic conception of disease is rarely attempted and proves more difficult and counter-intuitive than its proponents assume.  相似文献   

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A comparison of the mutation spectra of Menkes disease and Wilson disease   总被引:1,自引:0,他引:1  
Hsi G  Cox DW 《Human genetics》2004,114(2):165-172
The genes for two copper-transporting ATPases, ATP7A and ATP7B, are defective in the heritable disorders of copper imbalance, Menkes disease (MNK) and Wilson disease (WND), respectively. A comparison of the two proteins shows extensive conservation in the signature domains, with amino acid identities outside of the conserved domains being limited. The mutation spectra of MNK and WND were compared to confirm and refine further regions critical for normal function. Mutations were found to be relatively widespread; however, the majority was concentrated within defined functional domains and membrane-spanning segments, reinforcing the importance of these regions for protein function. Of the total published point mutations in ATP7A, 23.0% are splice-site, 20.7% nonsense, 17.2% missense, and 39.1% small insertions/deletions. There is a high prevalence (58.2%) of missense mutations in ATP7B. For the other mutations in ATP7B, 7.4% are splice-site, 7.4% nonsense, and 27.0% small insertions/deletions. A region of possible importance is the intervening sequence between the last copper-binding domain and the first transmembrane helix, as this region has a high percentage of MNK mutations. Similarly, the region containing the ATP-binding domain has 24.6% of all WND mutations. The study of mutation locations is useful for defining critical regions or residues and for efficient molecular diagnosis.Electronic Supplementary Material Supplementary material is available for this article if you access the article at .  相似文献   

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A comparison is made of the wasting disease that struck the whole Atlantic population of Zostera marina L. in the 1930s and a current outbreak of a rather similar disease in Z. marina beds along the north-eastern coasts of the U.S.A. Although the disease phenomena on the plants appear to be very similar, disease-related declines of Z. marina are at present still very local. In Europe, diseased plants have been found, but no declines have been observed.

The wasting disease in the 1930s was not investigated before the epidemic reached a devastating stage. Present observations may indicate that a new widespread die-off may be developing. In order to facilitate the study of the current epidemic, a scenario of disease and related decline, with several variants, has been elaborated, based on the existing knowledge of the epidemic of the 1930s, but also clearly showing the gaps in this knowledge.  相似文献   


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帕金森病动物模型:揭开人类帕金森病奥秘的钥匙   总被引:2,自引:0,他引:2  
杨宏彦  王晓民 《生命科学》2002,14(5):275-278,260
帕金森病(Parkinson‘s disease,PD)是一种以黑质致密部多巴胺能神经元的特异性,进行性坏死为特征的神经系统退行性疾病,尽管PD的发病原因还不十分清楚,目前的证据表明环境因素和遗传因素是PD可能的主要致病因素,针对这两大因素,神经科学家们发展了很多制造PD动物模型的方法,MPTP(1-甲基-4-氨基-1,2,3,6-四氢吡啶)模型是目前比较经典的模型。而新近兴起的基因工程模型亦具有广阔的应用前景咯种PD动物模型推动着人们对PD认识的深入和治疗手段的发展,恰当的动物模型必将成为最终揭开人类帕金森病奥秘的钥匙。  相似文献   

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