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Gene Therapy: Methods and Application

Gene therapy represents a set of approaches to the treatment of diseases based on the transfer of genetic material (DNA) into an individual (or animal) and is defined as the use of nucleic acid transfer, either RNA or DNA, to treat or prevent a disease 1–3). The process involves a group of technologies that en ...

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Prenatal Diagnosis of Inborn Errors of Metabolism

Inborn errors of metabolism are inherited conditions where there is a defect or block in a metabolic pathway leading to the accumulation of metabolite(s) proximal to the defect and a metabolic deficit distal to this (1). The defect usually results from a specific enzyme deficiency; however, def ...

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The Human Genome Project

The completion of the Human Genome Project (HGP) was announced on 24 April 2003 (1). It was a landmark event in the history of biology and represents one of the most remarkable achievements in the history of science and signals the beginning of a new era in biomedical research. This chapter will describe br ...

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Diagnostic Applications of Protein Microarrays

The sequencing of the human genome has opened the door for proteomics by providing a sequence-based framework to mine the human proteome. Although the field of proteomics was initially dominated by two-dimensional gels and mass spectrometry, the current emphasis is on developing proteo ...

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Ribotyping in Clinical Microbiology

For a considerable fraction of patients who acquire a bacterial infection during their stay in the hospital (i.e., a nosocomial infection), the infection was acquired through clonal dissemination of the bacteria from another patient or from a hospital source. Alternately, the source of the ...

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Capillary Electrophoresis in Clinical Analysis

Capillary electrophoresis (CE) is an exciting technique that has many clinical applications. These include serum and urine protein electrophoresis, the diagnosis of hemoglobinopathies, the quantification of drugs such as iohexol and phenobarbital, and the analysis of DNA.

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Analysis of Chromosomal Translocations

Chromosomal translocations were the first target for the specific detection of residual tumor cells in bone marrow and peripheral blood. Some types of leukemia are regularly or generally associated with translocations. In chronic myelogenous leukemia (CML) and a proportion of pati ...

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Oligonucleotide Ligation Assay

Advances in molecular genetics and biotechnology are changing the practice of medicine. Completion of the human genome sequence and development of high-throughput semiautomated DNA analysis techniques have resulted in an exponential increase in the rate of discovery of new disea ...

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Nucleic Acid Sequence-Based Amplification

Nucleic acid sequence-based amplification (NASBA; bioM�rieux, Boxtel, The Netherlands) is a commercially available amplification procedure that uses RNA as the target. It makes use of the simultaneous enzymatic activities of avian myeloblastosis virus reverse transcripta ...

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Linkage, Allele Sharing, and Association

It has been estimated that the human genome contains 25,000–30,000 genes that are distributed on the 24 chromosomes. Therefore, the identification and localization of any particular gene responsible for a given trait or disease has always been a difficult task.

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Ligase Chain Reaction

Nucleic acid amplification technologies have greatly facilitated medical diagnostics for genetic and infectious diseases through the exquisite sensitivity and specificity associated with these methods. Polymerase chain reaction (PCR) (see Chapter 6) ushered in these te ...

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Amplification Refractory Mutation System and Molecular Diagnostics

Allele-specific polymerase chain reaction (PCR) was first described in 1989, with variations arising over the next few years such as allele-specific oligonucleotide PCR, mutant-allele-specific amplification (MASA), PCR amplification of specific alleles (PASA), and the ampl ...

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Conformation-Sensitive Gel Electrophoresis

Conformation-sensitive gel electrophoresis (CSGE) was initially developed by Ganguly et al. in 1993 as a screening method to minimize the amount of nucleotide sequencing required when investigating large multiexon genes for mutations (1). It is based on the ability to distinguish bet ...

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Dideoxyfingerprinting for Mutation Detection

Screening for mutations of the thousands of the sequence products provided by human genome analysis has proven to be a daunting task. The gold standard for identifying sequence alterations is direct sequencing. However, this method is labor- intensive and the least costeffective. Since t ...

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Introduction to Capillary Electrophoresis of DNA: Biomedical Applications

Capillary electrophoresis (CE) separations are carried out inside a capillary tube, which usually has a diameter of 50 μm to facilitate temperature control. The length of the capillary differs in different applications, but it is typically in the region of 20–50 cm. The capillaries most widely ...

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Single-Strand Conformation Polymorphism (SSCP) Analysis

The identification of a large number of disease genes in recent years has led to a considerable improvement in clinical diagnostic procedures, therapeutic interventions, and prognostic projections and provided carrier or presymptomatic testing to family members of affected ind ...

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Restriction Enzymes: Tools in Clinical Research

Restriction enzymes (or restriction endonucleases) are bacterial enzymes capable of cleaving double-stranded DNA. Even though the enzymes are bacterial in origin, because of the universal nature of DNA they can digest DNA from any species, including humans. Importantly, restrict ...

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Basic Techniques in Molecular Biology

There have been many developments over the past three decades that have led to the efficient manipulation and analysis of nucleic acid and proteins. Many of these have resulted from the isolation and characterization of numerous DNA-manipulating enzymes, such as DNA polymerase, DNA ligas ...

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Adenovirus-Mediated Nitric Oxide Synthase Gene Transfer

The varied biological effects of nitric oxide (NO) have led to intense research into its diverse physiologic and pathophysiologic roles in multiple disease processes. It has been implicated in the development of altered vasomotor tone, intimal hyperplasia, atherosclerosis, impo ...

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Gene Transfer of Nitric Oxide Synthase Via the Use of Adeno-Associated Virus Vectors

Adeno-associated virus (AAV) is a replication-defective dependovirus and is not known to cause disease in humans. AAV vectors have a broad host range and can transduce both dividing and nondividing cells. Five primate AAV serotypes have been characterized in the literature and are design ...

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