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| 1 | Prevalence and evolution of drug resistance HIV-1 variants in Henan, China显示文摘To understand the prevalence and evolution of drug resistant HIV strains in Henan China after the implementation of free antiretroviral therapy for AIDS patients. 45 drug nave AIDS patients, 118 AIDS patients who received three months antiretroviral therapy and 124 AIDS patients who received six months antiretroviral treatment were recruited in the southern part of Henan province. Information on general condition, antiretroviral medicines, adherence and clinical syndromes were collected by face to face interview. Meanwhile, 14ml EDTA anticoagulant blood was drawn. CD4/CD8 T cell count, viral load and genotypic drug resistance were tested. The rates of clinical improvement were 55.1% and 50.8% respectively three months and six months after antiretroviral therapy. The mean CD4 cell count after antiretroviral therapy was significantly higher than in drug nave patients. The prevalence rate of drug resistant HIV strains were 13. 9%, 45.4% and 62.7% in drug nave patients, three month treatment patients and six month treatment patients, respectively. The number of resistance mutation codons and the frequency of mutations increased significantly with continued antiretroviral therapy. The mutation sites were primarily at the 103, 106 and 215 codons in the three-month treatment group and they increased to 15 codon mutations in the six-month treatment group. From this result, the evolution of drug resistant strains was inferred to begin with the high level NNRTI resistant strain, and then develop low level resistant strains to NRTIs. The HIV strains with high level resistance to NVP and low level resistance to AZT and DDI were highly prevalent because of the AZT+DDI+NVP combination therapy. These HIV strains were also cross resistant to DLV, EFV, DDC and D4T. Poor adherence to therapy was believed to be the main reason for the emergence and prevalence of drug resistant HIV strains. The prevalence of drug resistant HIV strains was increased with the continu- ation of antiretroviral therapy in the southern part of Henan province. Measures, that could promote high level adherence, provide new drugs and change ART regimens in failing patients, should be implemented as soon as possible. | Jing Yun LI Han Ping LI Lin LI Hong LI Zhe WANG Kun YANG Zuo Yi BAO Dao Min ZHUANG Si Yang LIU Yong Jian LIU Hui XING Yi Ming SHAO | 2005 | Cell Research2005，15，11： | 34 |
| 2 | One-step generation of complete gene knockout mice and monkeys by CRISPR/Cas9-mediated gene editing with multiple sgRNAs显示文摘CRISPR/Cas9 系统是一个有效编辑基因的方法,但是编辑基因的动物的多数显示出 mosaicism,与编辑仅仅在房间的部分发生。这里,我们证明那单个基因或多重基因能被 Cas9 mRNA 和多重邻近的单个指南的 RNA 的 zygotic 注射完全在老鼠和猴子胚胎击倒(spaced 10-200 bp 分开) 指向仅仅一把单个钥匙每基因的 exon。个别地在 Y 染色体上跟随八基因的指向的删除的 F0 老鼠的 Phenotypic 分析在产生猛烈老鼠表明了这条途径的坚韧性。重要地,这条途径在高效率交付完全的基因大美人(Arntl 上的 100% 并且 91% 在 Prrt2 上) 在猴子胚胎。最后,我们能在一个单个步骤产生一只完全的 Prrt2 猛烈猴子,表明在很快建立编辑基因的猴子模型的这条途径的实用性。 | Erwei Zuo Yi-Jun Cai Kui Li Yu Wei Bang-An Wang Yidi Sun Zhen Liu Jiwei Liu Xinde Hu Wei Wei Xiaona Huo Linyu Shi Cheng Tang Dan Liang Yan Wang Yan-Hong Nie Chen-Chen Zhang Xuan Yao Xing Wang Changyang Zhou Wenqin Ying Qifang Wang Ren-Chao Chen Qi Shen Guo-Liang Xu Jinsong Li Qiang Sun Zhi-Qi Xiong Hui Yang | 2017 | Cell Research2017，27，7： | 21 |
| 3 | Thermostable single-junction organic solar cells with a power conversion efficiency of 14.62%显示文摘Organic solar cells(OSCs)have drawn substantial attention in recent two decades due to their features of solution processability,low cost,and light weight[1].The active layer of OSCs is usually composed of an electron donor(D)and an electron acceptor(A).The D/A system can form interpenetrated nanoscale network,which allows efficient exciton dissociation and hence charge carrier generation.However,the efficiency of such binary OSCs is gen- | Hui Li Zuo Xiao Liming Ding Jizheng Wang | 2018 | Science Bulletin2018，63，6： | 17 |
| 4 | Prospect of the QTL-qSB-9^(Tq) utilized in molecular breeding program of japonica rice against sheath blight显示文摘The major QTL-qSB-9Tq conferring partial resistance to rice (Oryza sativa L.) sheath blight (Rhizoctonia solani Kühn) has been verified on chromosome 9 of the indica rice cultivar, Teqing. In this study, the prospect of this QTL utilized in molecular breeding program of japonica rice for sheath blight resistance was investigated. Most of the japonica rice cultivars showed lower level of sheath blight resistance than the indica rice cultivars. At the corresponding site of qSB-9Tq, nine typical japonica rice cultivars from different ecological regions or countries proved to possess the susceptible allele(s). Introgression of qSB-9Tq into these cultivars enhanced their resistance level by decreasing sheath blight score of 1.0 (0.5–1.3), which indicated that qSB-9Tq had a large potential in strengthening the resistance of japonica rice to sheath blight. The use of the three molecular markers, which were polymorphic between Teqing and many japonica rice cultivars, promotes the application of qSB-9Tq in a concrete molecular breeding program. | Shimin Zuo Li Zhang Hui Wang Yuejun Yin Yafang Zhang Zongxiang Chen Yuyin Ma Xuebiao Pan | 2008 | Journal of Genetics and Genomics2008，35，8： | 14 |
| 5 | Upconversion nano-photosensitizer targeting into mitochondria for cancer apoptosis induction and cyt c fluorescence monitoring显示文摘反应的氧种类(mitoROS ) 玩的 mitochondrial 的混乱在癌症房间 apoptosis 的一个主要角色。这里,我们设计了 core/shell-structured 有由 photosensitizer (PS ) 涂的核心合并了的做 lanthanide 的 upconversion nanoparticle (UCNP ) 的指向线粒体的基于 upconversion 的使 nano 具有感光性(TPP-UC (PS )) 稠密的硅石壳。有外部在红外线附近的激光(NIR ) 的后面的照耀,在引起为激活的基于 upconversion 的光力学的治疗(UC 太平洋夏季时间) 胀大的严肃的 mitochondrial 矩阵的线粒体的 TPP-UC (PS ) ,和细胞色素 c (cyt c ) 的动员响应增加的 mitoROS 被放大。明确地,这包含 heme cyt c 能被改变 TPP-UC (PS ) s upconversion 光信号(UCL ) 监视,它可以便于在里面为 apoptosis 研究的 cyt c 的 situ 察觉。作为概念的一个证明,我们的设计 TPP-UC (PS ) 可以为在 NIR 刺激下面控制癌症房间 apoptosis 并且为用动态 UCL 学习 apoptosis 提供重要机会,它被本地 cyt c 影响。 | Yanyan Liu Jiawen Zhang Changjing Zuo Zhen Zhang Dalong Ni Chen Zhang Jing Wang Hui Zhang Zhenwei Yao Wenbo Bu | 2016 | Nano Research2016，9，11： | 8 |
| 6 | A comparative study of fuzzy weights of evidence and random forests for mapping mineral prospectivity for skarn-type Fe deposits in the southwestern Fujian metallogenic belt, China显示文摘Recent studies have pointed out that the widespread iron deposits in southwestern Fujian metallogenic belt(SFMB)(China) are skarn-type deposits associated with the Yanshanian granites. There is still excellent potential for mineral exploration because large areas in this belt are covered by forest. A new predictive model for mapping skarn-type Fe deposit prospectivity in this belt was developed and focused on in this study, using five criteria as evidence:(1) the contact zones of Yanshanian granites(GRANITE);(2) the contact zones within the late Paleozoic marine sedimentary rocks and the carbonate formations(FORMATION);(3) the NE-NNE-trending faults(FAULT);(4) the zones of skarn alterations(SKARN); and(5) the aeromagnetic anomaly(AEROMAGNETIC). The fuzzy weights of evidence(FWof E) method, developed from the classical weights of evidence(Wof E) and based on fuzzy sets and fuzzy probabilities, could provide smaller variances and more accurate posterior probabilities and could effectively minimize the uncertainty caused by omitted or wrongly assigned data and be more flexible than the Wof E. It is an efficient and widely used method for mineral potential mapping. Random forests(RF) is a new and useful method for data-driven predictive mapping of mineral prospectivity method, and needs further scrutiny. Both prospectivity results respectively using the FWof E and RF methods reveal that the prediction model for the skarn-type Fe deposits in the SFMB is successful and efficient. Both methods suggested that the GRANITE and FORMATION are the most valuable evidence maps, followed by SKARN, AEROMAGNETIC, and FAULT. This is coincident with the skarn-type Fe deposit mineral model in the SFMB. The unstable performance experienced when FORMATION was omitted might indicate that the highest uncertainty and risk in follow-up exploration is related to the sequences. In addition, the performance of the RF method for the skarn-type Fe deposits prospectivity in the SFMB is better than the FWof E; therefore, it could be used to guide further exploration of skarn-type Fe prospects in the SFMB. | ZHANG Zhen Jie ZUO Ren Guang XIONG Yi Hui | 2016 | Science China Earth Sciences2016，59，3： | 7 |
| 7 | Shifts in microbial community structure and diversity in a MBR combined with worm reactors treating synthetic wastewater显示文摘The chemical oxygen demand(COD) and NH_3-N removal, membrane fouling, sludge characteristics and microbial community structure in a membrane bioreactor(MBR) coupled with worm reactors(SSBWR) were evaluated for 210 days. The obtained results were compared to those from a conventional MBR(C-MBR) operated in parallel. The results indicated that the combined MBR(S-MBR) achieved higher COD and NH_3-N removal efficiency,slower increase in membrane fouling, better sludge settleability and higher activities of the related enzymes in the activated sludge. Denaturing gradient gel electrophoresis was used to analyze the microbial community structures in the C-MBR and the S-MBR. The microbial community structure in the S-MBR was more diverse than that in the C-MBR. Additionally, the slow-growing microbes such as Saprospiraceae, Actinomyces, Frankia, Clostridium, Comamonas,Pseudomonas, Dechloromonas and Flavobacterium were enriched in the S-MBR, further accounting for the sludge reduction, membrane fouling alleviation and wastewater treatment. | Jia Liu Wei Zuo Jun Zhang Hui Li Lipin Li Yu Tian | 2017 | Journal of Environmental Sciences2017，29，4： | 7 |
| 8 | DIRECT NUMERICAL SIMUIATION OF BUBBLE-CLUSTER’S DYNAMIC CHARACTERISTICS显示文摘A Direct Numerical Simulation (DNS) for understanding the dynamic response of bubble cluster to pulses of pressure perturbations has been studied by using a front-tracking method. The results show that owing to high nonlinearity, the bubble shape and volume oscillations caused by passing by pressure wave will be transformed into an in-phase volumetric oscillation of whole bubble cluster at a particular low-frequency. The value of the frequency is independent of the pulse excitations but the characteristics of the bubble cluster such as its bubble size, bulk void fraction and its spacial distribution etc. It is believed that this study provides important information for us to understand the coupling mechanism of cavitation cloud involved in cavitation resonance, a phenomenon noticed by one of the authors more than two decades ago. | CHEN Hui LI Sheng-cai ZUO Zhi-gang LI Shuai | 2008 | Journal of Hydrodynamics2008，20，6： | 7 |
| 9 | Oxidative modification of caspase-9 facilitates its activation via disulfide-mediated interaction with Apaf-1显示文摘细胞内部的反应的氧种类(ROS ) 被知道调整 apoptosis。caspase-9 的激活,在 mitochondrial apoptotic 串联的起始的 caspase,仔细与被联系 ROS,而是它是不清楚的是否 ROS 经由直接氧化的修正调整 caspase-9。阐明的现在的学习目的由哪个 ROS 调停的分子的机制 caspase-9 激活。我们的结果证明细胞的氧化状态便于 caspase-9 激活。氢过氧化物治疗引起 caspase-9 和 apoptosis 的激活,并且支持在 caspase-9 和 apoptotic 之间的一个相互作用激活朊酶的因素 1 (Apaf-1 ) 经由二硫化物形成。另外,在里面一在里面 vitro 没有线粒体的系统, thiol 氧化剂 diamide 由便于连接二硫化物的建筑群的形成支持 caspase-9 和 caspase-9/Apaf-1 相互作用的汽车劈开。最后,在 caspase-9 的 C403 的一个点变化通过二硫化物形成的废除损害有 Apaf-1 的两支持 H2O2 的 caspase-9 激活和相互作用。在细胞色素 c 和 C403S 异种之间的协会在细胞色素 c 和野类型的 caspase-9 之间是比那显著地弱的,显示 caspase-9 的那氧化修正贡献在氧化应力下面的 apoptosome 形成。一起拿,由 ROS 的 caspase-9 的氧化修正能调停它和 Apaf-1 的相互作用,和罐头因此支持它的汽车劈开和激活。这机制可以在氧化应力下面便于 apoptosome 形成和 caspase-9 激活。 | Yong Zuo Binggang Xiang Jie Yang Xuxu Sun Yumei Wang Hui Cang Jing Yi | 2009 | Cell Research2009，19，4： | 6 |
| 10 | Autoantigen Microarray for High-throughput Autoantibody Profiling in Systemic Lupus Erythematosus显示文摘Systemic lupus erythematosus(SLE) is a complex autoimmune disease characterized by the production of autoantibodies to a broad range of self-antigens. Profiling the autoantibody repertoire using array-based technology has emerged as a powerful tool for the identification of biomarkers in SLE and other autoimmune diseases. Proteomic microarray has the capacity to hold large number of self-antigens on a solid surface and serve as a high-throughput screening method for the determination of autoantibody specificities. The autoantigen arrays carrying a wide variety of self-antigens, such as cell nuclear components(nucleic acids and associated proteins), cytoplasmic proteins, phospholipid proteins, cell matrix proteins, mucosal/secreted proteins, glomeruli, and other tissue-specific proteins, have been used for screening of autoantibody specificities associated with different manifestations of SLE. Arrays containing synthetic peptides and molecular modified proteins are also being utilized for identification of autoantibodies targeting to special antigenic epitopes. Different isotypes of autoantibodies, including Ig G, Ig M, Ig A, and Ig E, as well as other Ig subtypes, can be detected simultaneously with multi-color labeled secondary antibodies. Serum and plasma are the most common biologic materials for autoantibody detection, but other body fluids such as cerebrospinal fluid, synovial fluid, and saliva can also be a source of autoantibody detection.Proteomic microarray as a multiplexed high-throughput screening platform is playing an increasingly-important role in autoantibody diagnostics.In this article,we highlight the use of autoantigen microarrays for autoantibody exploration in SLE. | Honglin Zhu Hui Luo Mei Yan Xiaoxia Zuo Quan-Zhen Li | 2015 | Genomics, Proteomics & Bioinformatics2015，13，4： | 6 |
| 11 | Propofol may protect PC12 ceils from β-amyloid25-35 induced apoptosis through the GSK-3β signaling pathway显示文摘 | ZHANG Rui XU Jie LIU Yan-yong ZUO Ping-ping YANG Nan JI Chao WANGYun WANG Hui WU An-shi YUE Yun | 2013 | Chinese Medical Journal2013，，10： | 6 |
| 12 | Chitosan-collagen porous scaffold and bone marrow mesenchymal stem cell transplantation for ischemic stroke显示文摘In this study, we successfully constructed a composite of bone marrow mesenchymal stem cells and a chitosan-collagen scaffold in vitro, transplanted either the composite or bone marrow mesenchymal stem cells alone into the ischemic area in animal models, and compared their effects. At 14 days after co-transplantation of bone marrow mesenchymal stem cells and the hitosan-collagen scaffold, neurological function recovered noticeably. Vascular endothelial growth factor expression and nestin-labeled neural precursor cells were detected in the ischemic area, surrounding tissue, hippocampal dentate gyrus and subventricular zone. Simultaneously, a high level of expression of glial fibrillary acidic protein and a low level of expression of neuron-specific enolase were visible in Brd U-labeled bone marrow mesenchymal stem cells. These findings suggest that transplantation of a composite of bone marrow mesenchymal stem cells and a chitosan-collagen scaffold has a neuroprotective effect following ischemic stroke. | Feng Yan Wei Yue Yue-lin Zhang Guo-chao Mao Ke Gao Zhen-xing Zuo Ya-jing Zhang Hui Lu | 2015 | Neural Regeneration Research2015，10，9： | 5 |
| 13 | Structural Engineering of Hierarchical Aerogels Comprised of Multi-dimensional Gradient Carbon Nanoarchitectures for Highly Efficient Microwave Absorption显示文摘Recently,multilevel structural carbon aerogels are deemed as attractive candidates for microwave absorbing materials.Nevertheless,excessive stack and agglomeration for low-dimension carbon nanomaterials inducing impedance mismatch are significant challenges.Herein,the delicate“3D helix-2D sheet-1D fiber-0D dot”hierarchical aerogels have been successfully synthesized,for the first time,by sequential processes of hydrothermal self-assembly and in-situ chemical vapor deposition method.Particularly,the graphene sheets are uniformly intercalated by 3D helical carbon nanocoils,which give a feasible solution to the mentioned problem and endows the as-obtained aerogel with abundant porous structures and better dielectric properties.Moreover,by adjusting the content of 0D core-shell structured particles and the parameters for growth of the 1D carbon nanofibers,tunable electromagnetic properties and excellent impedance matching are achieved,which plays a vital role in the microwave absorption performance.As expected,the optimized aerogels harvest excellent performance,including broad effective bandwidth and strong reflection loss at low filling ratio and thin thickness.This work gives valuable guidance and inspiration for the design of hierarchical materials comprised of dimensional gradient structures,which holds great application potential for electromagnetic wave attenuation. | Yongpeng Zhao Xueqing Zuo Yuan Guo Hui Huang Hao Zhang Ting Wang Ningxuan Wen Huan Chen Tianze Cong Javid Muhammad Xuan Yang Xinnan Wang Zeng Fan Lujun Pan | 2021 | Nano-Micro Letters2021，13，9： | 5 |
| 14 | Base editing-mediated splicing correction therapy for spinal muscular atrophy显示文摘Dear Editor,Spinal muscular atrophy(SMA)is a devastating autosomal recessive motor neuron disease.1,2 Infants with more severe forms of type I SMA die before the age of 2 if no intervention is provided.1,2 Spinraza and zolgensma have been approved by the FDA as SMA therapeutics for pediatric patients.1,2 However,as an antisense oligonucleotide(ASO)based therapy,spinraza requires four loading doses,followed by three annual maintenance doses.The patients would be subjected to repeated intrathecal injections in the procedure.Zolgensma is a single-dose gene-replacement therapy for SMA,but unfortunately is unreliable in maintaining a high,stable level of gene expression.These issues have limited the therapeutic effects of the two approved drugs for SMA. | Xiang Lin Haizhu Chen Ying-Qian Lu Shunyan Hong Xinde Hu Yanxia Gao Lu-Lu Lai Jin-Jing Li Zishuai Wang Wenqin Ying Lixiang Ma Ning Wang Erwei Zuo Hui Yang Wan-Jin Chen | 2020 | Cell Research2020，30，6： | 5 |
| 15 | Fast synthesis of dopamine-coated Fe_3O_4 nanoparticles through ligand-exchange method显示文摘A fast approach was described for the synthesis of water-dispersible monodisperse dopamine-coated Fe_3O_4 nanoparticles(DA-Fe_3O_4) with uniform size and shape via ligand-exchange of oleic acid on Fe_3O_4 using only 2 min.The prepared DA-Fe_3O_4 nanoparticles were characterized by transmission electron microscopy,Fourier transform infrared spectrometry,and vibrating sample magnetometer.The results indicated that the resulting DA-Fe_3O_4 nanoparticles had an average diameter of about 19.2 nm. The magnetic saturation value of the prepared DA-Fe_3O_4 nanoparticles was determined to be 72.87 emu/g,which indicating a well-established superparamagnetic property. | Peng An Fang Zuo Yuan Peng Wu Jun Hua Zhang Zhao Hui Zheng Xiao Bin Ding Yu Xing Peng | 2012 | Chinese Chemical Letters2012，23，9： | 5 |
| 16 | Argininosuccinate synthase 1 suppresses cancer cell invasion by inhibiting STAT3 pathway in hepatocellular carcinoma显示文摘Metastasis is the main reason for high recurrence and poor survival of hepatocellular carcinoma(HCC).The molecular mechanism underlying HCC metastasis remains unclear.In this study,we found that argininosuccinate synthase 1(ASS1)expression was significantly decreased and down-regulation of ASS1 was closely correlated with poor prognosis in HCC patients.DNA methylation led to the down-regulation of ASS1 in HCC.Stable silencing of ASS1 promoted migration and invasion of HCC cells,whereas overexpression of ASS1-inhibited metastasis of HCC cells in vivo and in vitro.We also revealed that ASS1-knockdown increased the phosphorylation level of S727STAT3,which contributed to HCC metastasis by up-regulation of inhibitor of differentiation 1(ID1).These findings indicate that ASS1 inhibits HCC metastasis and may serve as a target for HCC diagnosis and treatment. | Xuemei Tao Qiaozhu Zuo Haoyu Ruan Hui Wang Haojie Jin Zhuoan Cheng Yuanyuan Lv Wenxin Qin Cun Wang | 2019 | Acta Biochimica et Biophysica Sinica2019，51，3： | 4 |
| 17 | Green Tea Polyphenols Attenuate High-Fat Diet-Induced Renal Oxidative Stress through SIRT3-Dependent Deacetylation显示文摘Fifty male Wistar rats were fed a standard chow diet or a high-fat(HF)diet,and different concentrations of green tea polyphenols(GTPs)(0.8,1.6,and 3.2 g/L)were administered in the drinking | YANG Hui ZUO Xue Zhi TIAN Chong HE Dong Liang YI Wei Jie CHEN Zhuo ZHANG Pi Wei DING Shi Bin YING Chen Jiang | 2015 | Biomedical and Environmental Sciences2015，28，6： | 4 |
| 18 | Thermogravimetric Analysis of Coal Char Combustion Kinetics显示文摘Four chars prepared from pulverized coals were subjected to non-isothermal and isothermal combustion tests in a thermogravimetric analysis(TGA)device.Three different test methods,i.e.,non-isothermal single heating rate(A),non-isothermal multiple heating rate(B),and isothermal test(C),were conducted to calculate the kinetic parameters of combustion of coal char.The results show that the combustion characteristics of bituminous coal char is better than that of anthracite char,and both increase of heating rate and increase of combustion temperature can obviously improve combustion characteristics of coal char.Activation energies of coal char combustion calculated by different methods are different,with activation energies calculated by methods A,B and C in the range of 103.12-153.77,93.87-119.26,and 46.48-76.68kJ/mol,respectively.By using different methods,activation energy of anthracite char is always higher than that of bituminous coal char.In non-isothermal tests,with increase of combustion temperature,the combustion process changed from kinetic control to diffusion control.For isothermal combustion,the combustion process was kinetically controlled at temperature lower than 580℃ for bituminous coal char and at temperature lower than 630℃ for anthracite char. | Guang-wei WANG Jian-liang ZHANG Jiu-gang SHAO Hui SUN Hai-bin ZUO | 2014 | Journal of Iron and Steel Research(International)2014，21，10： | 4 |
| 19 | Complex strengthening mechanisms in the NbMoTaW multiprincipal element alloy显示文摘Refractory multi-principal element alloys(MPEAs)have exceptional mechanical properties,including high strength-to-weight ratio and fracture toughness,at high temperatures.Here we elucidate the complex interplay between segregation,short-range order,and strengthening in the NbMoTaW MPEA through atomistic simulations with a highly accurate machine learning interatomic potential.In the single crystal MPEA,we find greatly reduced anisotropy in the critically resolved shear stress between screw and edge dislocations compared to the elemental metals.In the polycrystalline MPEA,we demonstrate that thermodynamically driven Nb segregation to the grain boundaries(GBs)and W enrichment within the grains intensifies the observed short-range order(SRO).The increased GB stability due to Nb enrichment reduces the von Mises strain,resulting in higher strength than a random solid solution MPEA.These results highlight the need to simultaneously tune GB composition and bulk SRO to tailor the mechanical properties of MPEAs. | Xiang-Guo Li Chi Chen Hui Zheng Yunxing Zuo Shyue Ping Ong | 2020 | npj Computational Materials2020，，1： | 4 |
| 20 | Antiphospholipid syndrome:a clinical perspective显示文摘Antiphospholipid syndrome (APS) is a thromboinflammatory disease with a variety of clinical phenotypes. Primary thrombosis prophylaxis should take an individualized risk stratification approach. Moderate-intensity vitamin K antagonist such as warfarin remains the primary strategy for secondary thrombosis prophylaxis among APS patients, especially for patients with predominantly venous disease. For now, direct oral anti-coagulants should be avoided in most APS patients, especially those with history of arterial manifestations. Obstetric APS management should be tailored based on an individual patient’s antiphospholipid antibody profile, and obstetric and thrombotic history. Pharmacological agents beyond anticoagulants may be considered for the management of microthrombotic and nonthrombotic manifestations of APS, although more data are needed. A relatively recent discovery in the area of APS pathogenesis is the implication of neutrophil extracellular traps in thrombin generation and initiation of inflammatory cascades. APS is a complex thromboinflammatory disease with a broad clinical spectrum. Personalized therapy according to an individual’s unique thrombosis and obstetric risk should be advocated. | Yu Zuo Hui Shi Chun Li Jason S.Knight | 2020 | Chinese Medical Journal2020，，8： | 4 |
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