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Sun ZZ, Sun GF, Zhuang R, Zhu LQ, Bao L, Yang LP, Mi YY, Xie M, Dai CH, Mei Q, Huan YC. [Best evidence summary for awake prone positioning in treating hypoxemic due to COVID-19 infection]. Zhonghua Jie He He Hu Xi Za Zhi 2024; 47:313-318. [PMID: 38599805 DOI: 10.3760/cma.j.cn112147-20230717-00014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/12/2024]
Abstract
Objective: To retrieve, evaluate, and summarize the best evidence for the treatment of hypoxemia in patients with COVID-19 infection using the awake prone positioning, with the aim of guiding healthcare professionals in the standardized implementation of this therapy. Methods: A systematic search was conducted in databases including UpToDate, BMJ Best Practice, JBI Evidence-Based Healthcare Center, American Association of Critical-Care Nurses, Intensive Care Society, European Respiratory Society, World Health Organization website, Cochrane Library, PubMed, China National Knowledge Infrastructure (CNKI), and Wanfang. The retrieved literature was subjected to quality assessment and evidence extraction. Results: A total of ten publications were included, consisting of one thematic evidence summary, one guideline, two systematic reviews, three randomized controlled trials, and three expert consensus statements. This summary synthesizes thirty key pieces of evidence in five categories: organizational management and training, risk assessment, preparatory operations, implementation key points, and risk control. Conclusions: Awake prone positioning is beneficial for improving hypoxemia in patients with COVID-19 and is easy to implement. Medical institutions should develop nursing management systems, operational standards, and best practices for awake prone positioning based on evidence-based evidence in order to improve the quality of care management for such patients.
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Affiliation(s)
- Z Z Sun
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jiangsu University, Zhenjiang 212008, China
| | - G F Sun
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jiangsu University, Zhenjiang 212008, China
| | - R Zhuang
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jiangsu University, Zhenjiang 212008, China
| | - L Q Zhu
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jiangsu University, Zhenjiang 212008, China
| | - L Bao
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jiangsu University, Zhenjiang 212008, China
| | - L P Yang
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jiangsu University, Zhenjiang 212008, China
| | - Y Y Mi
- Department of Respiratory and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - M Xie
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jiangsu University, Zhenjiang 212008, China
| | - C H Dai
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jiangsu University, Zhenjiang 212008, China
| | - Q Mei
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jiangsu University, Zhenjiang 212008, China
| | - Y C Huan
- Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Jiangsu University, Zhenjiang 212008, China
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Ge WS, Geng W, Shen Y, Bao L, Li MP. [The screening of HPV-independent adenocarcinoma in situ of the uterine cervix by cell block: report of a case]. Zhonghua Bing Li Xue Za Zhi 2024; 53:98-100. [PMID: 38178759 DOI: 10.3760/cma.j.cn112151-20230823-00091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2024]
Affiliation(s)
- W S Ge
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
| | - W Geng
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
| | - Y Shen
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
| | - L Bao
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
| | - M P Li
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
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Liu SY, Cao SL, Luo HY, Bao L, E J, Li B, Lan XM, Zhang GQ, Bao X, Zheng YL. TFP5, a Peptide Derived from Cdk5 Activator p35, Protects Pancreatic β Cells from Glucose Toxicity. Bull Exp Biol Med 2023; 176:19-25. [PMID: 38087140 DOI: 10.1007/s10517-023-05959-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Indexed: 12/19/2023]
Abstract
We studied the effect of TFP5 on MIN6 cells (cultured mouse islet β cells) treated with different concentrations of glucose (5 or 25 mM). The results were verified in C57BL/6J mice (control; n=12) and db/db mice with type 2 diabetes mellitus (n=12). To synthesize TFP5, peptide p5 (a derivative of p35 protein, activator of cyclin-dependent kinase 5, Cdk5) was conjugated with a FITC tag at the N-terminus and an 11-amino acid TAT protein transduction domain at the C-terminus. TFP5 was employed to inhibit Cdk5 activity and then to evaluate its efficiency in treating experimental type 2 diabetes mellitus. TFP5 effectively inhibited the pathological hyperactivity of Cdk5, enhanced insulin secretion, and protected pancreatic β cells from apoptosis in vitro and in vivo. In addition, TFP5 inhibited inflammation in pancreatic islets by reducing the expression of inflammatory cytokines TGF-β1, TNFα, and IL-1β. These novel data indicates that TFP5 is a promising candidate for treatment of type 2 diabetes mellitus.
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Affiliation(s)
- S-Y Liu
- Department of Nephrology, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China
- The Third Clinical Medical College of Ningxia Medical University, Yinchuan, China
| | - S-L Cao
- Department of Nephrology, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China
- The Third Clinical Medical College of Ningxia Medical University, Yinchuan, China
| | - H-Y Luo
- Department of Nephrology, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China
- The Third Clinical Medical College of Ningxia Medical University, Yinchuan, China
| | - L Bao
- Department of Nephrology, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China
- The Third Clinical Medical College of Ningxia Medical University, Yinchuan, China
| | - J E
- Department of Nephrology, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China
| | - B Li
- Department of Nephrology, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China
| | - X-M Lan
- Department of Geriatrics, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China
| | - G-Q Zhang
- Department of Nephrology, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China
- The Third Clinical Medical College of Ningxia Medical University, Yinchuan, China
| | - X Bao
- Department of Nephrology, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China
- The Third Clinical Medical College of Ningxia Medical University, Yinchuan, China
| | - Y-L Zheng
- Department of Nephrology, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University, Yinchuan, China.
- The Third Clinical Medical College of Ningxia Medical University, Yinchuan, China.
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Fang LJ, Yao XD, Lu MQ, Chu B, Shi L, Gao S, Xiang QQ, Wang YT, Liu X, Ding YH, Chen Y, Wang MZ, Zhao X, Hu WK, Sun K, Bao L. [Comparison of the predictive value of Padua and the IMPEDE assessment scores for venous thromboembolism in patients with newly diagnosed multiple myeloma: A single institution experience]. Zhonghua Xue Ye Xue Za Zhi 2023; 44:395-400. [PMID: 37550189 PMCID: PMC10440615 DOI: 10.3760/cma.j.issn.0253-2727.2023.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Indexed: 08/09/2023]
Abstract
Objective: To compare the predictive efficacy of the two thrombosis risk assessment scores (Padua and IMPEDE scores) in venous thromboembolism (VTE) within 6 months in patients with newly diagnosed multiple myeloma (NDMM) in China. Methods: This study reviewed the clinical data of 421 patients with NDMM hospitalized in Beijing Jishuitan Hospital from April 2014 to February 2022. The sensitivity, specificity, accuracy, and Youden index of the two scores were calculated to quantify the thrombus risk assessment of VTE by the Padua and IMPEDE scores. The receiver operating characteristics curves of the two evaluation scores were drawn. Results: The incidence of VTE was 14.73%. The sensitivity, specificity, accuracy, and Youden index of the Padua score were 100%, 0%, 14.7%, and 0% and that of the IMPEDE score was 79%, 44%, 49.2%, and 23%, respectively. The areas under the curve of Padua and IMPEDE risk assessment scores were 0.591 and 0.722, respectively. Conclusion: IMPEDE score is suitable for predicting VTE within 6 months in patients with NDMM.
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Affiliation(s)
- L J Fang
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - X D Yao
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - M Q Lu
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - B Chu
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - L Shi
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - S Gao
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - Q Q Xiang
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - Y T Wang
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - X Liu
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - Y H Ding
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - Y Chen
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - M Z Wang
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - X Zhao
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - W K Hu
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - K Sun
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - L Bao
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
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Hirai T, Bao L, Barabash V, Carrat R, Chappuis P, Eaton R, Edwards P, Escourbiac F, Gicquel S, Komarov V, Merola M, Raffray R, Chen J, Wang K, Gervash A, Makhankov A, Arkhipov N, Safronov V. Hypervapotron heat sinks in ITER plasma-facing components—Process qualifications and production control toward series production. Fusion Engineering and Design 2023. [DOI: 10.1016/j.fusengdes.2023.113454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Zhang H, Zhang Y, Bao L, Ning G. MRI presentations of Müllerian duct anomalies in association with unilateral renal agenesis. Clin Radiol 2023; 78:168-174. [PMID: 36273955 DOI: 10.1016/j.crad.2022.09.119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 07/21/2022] [Accepted: 09/13/2022] [Indexed: 11/28/2022]
Abstract
AIM To evaluate the presentations of Müllerian duct anomalies (MDAs) associated with unilateral renal agenesis (URA) on magnetic resonance imaging (MRI). MATERIALS AND METHODS From 2014 to 2021, 92 patients with MDAs coexisting with URA who had undergone MRI were reviewed, and imaging patterns were analysed. RESULTS Based on the different imaging patterns, there were 74 cases of Herlyn-Werner-Wunderlich (HWW) syndrome (80.4%), nine cases of unicornuate uterus (10.9%), and nine cases of Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome (8.7%). In HWW syndrome, URA was ipsilateral to the vaginal or cervical obstruction. All the nine cases of unicornuate uterus were obstructive, and the most common subtype was unicornuate uterus with a non-communicating functioning rudimentary horn. The other two cases of unicornuate uterus with no rudimentary horn were obstructed due to cervical os obliteration, one of which was complicated with contralateral absent ovary. URA was contralateral to the unicornuate uterus in all cases. In MRKH syndrome, seven patients had bilateral rudiments and ovaries, all of which were unilaterally or bilaterally located above the pelvic brim, and URA was ipsilateral to the ectopic ovary in all cases. The other two patients had unilateral absent rudiment, ovary, and ipsilateral URA. CONCLUSIONS MRI presentations of URA-associated MDAs are diverse, with HWW syndrome being the most common form, followed by different patterns of unicornuate uterus and MRKH syndrome. An ectopic or absent ovary might be associated with URA in MRKH syndrome and unicornuate uterus.
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Affiliation(s)
- H Zhang
- Department of Radiology, Key Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, National Key Laboratory of Biotherapy, West China Second University Hospital, Sichuan University, China
| | - Y Zhang
- Department of Radiology, Key Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, National Key Laboratory of Biotherapy, West China Second University Hospital, Sichuan University, China
| | - L Bao
- Department of Radiology, Key Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, National Key Laboratory of Biotherapy, West China Second University Hospital, Sichuan University, China
| | - G Ning
- Department of Radiology, Key Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, National Key Laboratory of Biotherapy, West China Second University Hospital, Sichuan University, China.
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7
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Ge WS, Lu B, Ren LF, Bao L. [Undifferentiated/dedifferentiated carcinoma derive from endometrioid cyst of the ovary: report of a case]. Zhonghua Bing Li Xue Za Zhi 2023; 52:178-180. [PMID: 36748143 DOI: 10.3760/cma.j.cn112151-20220930-00827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- W S Ge
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
| | - B Lu
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
| | - L F Ren
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
| | - L Bao
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
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8
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Hirai T, Bao L, Barabash V, Chappuis P, Eaton R, Escourbiac F, Merola M, Mitteau R, Raffray R, Linke J, Loewenhoff T, Dorow-Gerspach D, Pintsuk G, Wirtz M, Boomstra D, Klaassen C, Magielsen A, Chen J, Wang P. High heat flux performance assessment of ITER enhanced heat flux first wall technology after neutron irradiation. Fusion Engineering and Design 2023. [DOI: 10.1016/j.fusengdes.2022.113338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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9
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Cole C, Amber K, Li J, Bao L. 033 Bullous pemphigoid autoantibodies induce keratinocyte PAI-1 expression resulting in decreased plasmin activation. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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10
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Bao L, Cheng L, Gao X, Yan F, Fan H, Shan Y, Li Y, Shi H, Huang G, Bao L. Left atrial morpho-functional remodeling in atrial fibrillation assessed by three dimensional speckle tracking echocardiography and its value in atrial fibrillation screening. Cardiovasc Ultrasound 2022; 20:13. [PMID: 35501859 PMCID: PMC9061228 DOI: 10.1186/s12947-022-00282-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 04/06/2022] [Indexed: 12/16/2022] Open
Abstract
Background Three dimensional speckle tracking echocardiography (3D STE) is a novel technique combining 3D echocardiography and speckle tracking analysis. 3D STE software dedicated to the left atrium (LA) was recently available. Our study aimed to assess (1) atrial fibrillation (AF) related LA morpho-functional remodeling using 3D STE and (2) value of LA function parameters in identifying paroxysmal AF (PAF). Methods One hundred thirty-nine PAF, 109 persistent AF (Per-AF) and 59 non-AF subjects underwent 3D STE. LA phasic volumes and total LA emptying fraction (LAEF) were obtained and used to calculate passive (pLAEF) and active LA emptying fraction (aLAEF) based on atrial contraction. LA longitudinal and circumferential strain representing reservoir (LASr/LASrc), conduit (LAScd/LAScdc) and pump (LASct/LASctc) function were also assessed. Results 3D STE was found to have good reproducibility. Increase of LA volumes and decrease of parameters representing LA reservoir and pump function were independently associated with AF as well as AF burden. The correlations between LA emptying fraction and LA circumferential strain representing the same function were always stronger than those with LA longitudinal strain (p < 0.001). Minimal LA volume, LAEF, aLAEF, LASrc and LASctc can be used to accurately differentiate PAF from non-AF subjects (AUC > 0.8) with great sensitivity and specificity. Conclusions Assessing LA remodeling in AF using 3D STE was feasible. AF and AF burden were independently associated with LA enlargement and impairment of reservoir and pump function but not conduit function. LA function parameters can indicate underlying PAF and thus can guide AF screening strategy.
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Affiliation(s)
- Lilian Bao
- Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai, China.,Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Lei Cheng
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Xiufang Gao
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Fangying Yan
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Huihua Fan
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Ying Shan
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Yong Li
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Haiming Shi
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Guoqian Huang
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Liwen Bao
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China.
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11
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Ge WS, Li MP, Bao L. [Mixed carcinoma with apocrine differentiation and invasive micropapillary carcinoma of the breast: report of a case]. Zhonghua Bing Li Xue Za Zhi 2022; 51:372-374. [PMID: 35359056 DOI: 10.3760/cma.j.cn112151-20210712-00499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- W S Ge
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
| | - M P Li
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
| | - L Bao
- Department of Pathology, Shaoxing Women and Children Health Hospital, Shaoxing 312000, China
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Qin J, Shi Z, Teng Q, Bao L, Han C, Chen ZS. Erfonrilimab.Bispecific anti-PD-L1/CTLA-4 antibody, Cancer immunotherapy. DRUG FUTURE 2022. [DOI: 10.1358/dof.2022.47.6.3413457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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13
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Bao L, Gao X, Xie K, Li Y. Is There a Diabetes-Kidney-Heart Continuum? Perspectives From the Results of the Cardiovascular and Renal Outcome Clinical Trials With SGLT2 Inhibitors. Front Cardiovasc Med 2021; 8:716083. [PMID: 34631819 PMCID: PMC8494970 DOI: 10.3389/fcvm.2021.716083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Accepted: 08/23/2021] [Indexed: 01/10/2023] Open
Abstract
Heart failure is associated with a substantial risk of mortality and morbidity. Findings from recent cardiovascular outcome trials have shown promise for sodium-glucose cotransporter-2 (SGLT2) inhibitors in preventing heart failure in patients with type 2 diabetes mellitus (T2DM). Notably, the benefits of SGLT2 inhibitors were consistent despite the presence of risk factors like atherosclerosis. Increasing evidence suggests that SGLT2 inhibitors may confer their cardioprotective effects through multiple mechanisms, ranging from improving cardiac and vascular performance to metabolism. The reduction of heart failure risk by SGLT2 inhibitors may also be attributed to the preservation of renal function. Indeed, renal insufficiency is a frequent comorbidity of patients with heart failure and T2DM; hence, the natriuretic and kidney protective effects offered by SGLT2 inhibitors may contribute to limiting adverse cardiac outcomes. In this article, we discuss the latest findings from the cardiovascular and renal outcome trials, paying special attention to the interlink between heart and kidney function, and how effective treatment of heart failure-irrespective of T2DM diagnosis-may require agents that offer both cardiac and renal protection.
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Affiliation(s)
- Liwen Bao
- Department of Cardiology, Fuden University Affiliated Huashan Hospital, Shanghai, China
| | - Xiufang Gao
- Department of Cardiology, Fuden University Affiliated Huashan Hospital, Shanghai, China
| | - Kun Xie
- Department of Cardiology, Fuden University Affiliated Huashan Hospital, Shanghai, China
| | - Yong Li
- Department of Cardiology, Fuden University Affiliated Huashan Hospital, Shanghai, China
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Peters TL, Patil T, Le AT, Davies KD, Brzeskiewicz PM, Nijmeh H, Bao L, Camidge DR, Aisner DL, Doebele RC. Evolution of MET and NRAS gene amplification as acquired resistance mechanisms in EGFR mutant NSCLC. NPJ Precis Oncol 2021; 5:91. [PMID: 34642436 PMCID: PMC8511249 DOI: 10.1038/s41698-021-00231-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 09/22/2021] [Indexed: 12/14/2022] Open
Abstract
EGFR mutant non-small cell lung cancer patients' disease demonstrates remarkable responses to EGFR-targeted therapy, but inevitably they succumb to acquired resistance, which can be complex and difficult to treat. Analyzing acquired resistance through broad molecular testing is crucial to understanding the resistance mechanisms and developing new treatment options. We performed diverse clinical testing on a patient with successive stages of acquired resistance, first to an EGFR inhibitor with MET gene amplification and then subsequently to a combination EGFR and MET targeted therapies. A patient-derived cell line obtained at the time of disease progression was used to identify NRAS gene amplification as an additional driver of drug resistance to combination EGFR/MET therapies. Analysis of downstream signaling revealed extracellular signal-related kinase activation that could only be eliminated by trametinib treatment, while Akt activation could be modulated by various combinations of MET, EGFR, and PI3K inhibitors. The combination of an EGFR inhibitor with a MEK inhibitor was identified as a possible treatment option to overcome drug resistance related to NRAS gene amplification.
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Affiliation(s)
- T L Peters
- Department of Medicine, Division of Medical Oncology, University of Colorado- Anschutz Medical Campus, Aurora, CO, USA
| | - T Patil
- Department of Medicine, Division of Medical Oncology, University of Colorado- Anschutz Medical Campus, Aurora, CO, USA
| | - A T Le
- Department of Medicine, Division of Medical Oncology, University of Colorado- Anschutz Medical Campus, Aurora, CO, USA
| | - K D Davies
- Department of Pathology, University of Colorado- Anschutz Medical Campus, Aurora, CO, USA
| | - P M Brzeskiewicz
- Department of Pathology, University of Colorado- Anschutz Medical Campus, Aurora, CO, USA
| | - H Nijmeh
- Department of Pathology, University of Colorado- Anschutz Medical Campus, Aurora, CO, USA
| | - L Bao
- Department of Pathology, University of Colorado- Anschutz Medical Campus, Aurora, CO, USA
| | - D R Camidge
- Department of Medicine, Division of Medical Oncology, University of Colorado- Anschutz Medical Campus, Aurora, CO, USA
| | - D L Aisner
- Department of Pathology, University of Colorado- Anschutz Medical Campus, Aurora, CO, USA
| | - R C Doebele
- Department of Medicine, Division of Medical Oncology, University of Colorado- Anschutz Medical Campus, Aurora, CO, USA.
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Xie K, Gao X, Bao L, Shan Y, Shi H, Li Y. The different risk factors for isolated diastolic hypertension and isolated systolic hypertension: a national survey. BMC Public Health 2021; 21:1672. [PMID: 34521364 PMCID: PMC8442452 DOI: 10.1186/s12889-021-11686-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Accepted: 08/29/2021] [Indexed: 11/17/2022] Open
Abstract
Background Hypertension is highly prevalent and is one of the modifiable risk factors for cardiovascular outcomes. Isolated diastolic hypertension (IDH), however, tends to be ignored due to insufficient recognition. We sought to depict the clinical manifestation of IDH and isolated systolic hypertension (ISH) to find a more efficient way to improve the management. Methods Patients with primary hypertension aged over 18 years were investigated from all over the country using convenience sampling during 2017–2019. IDH was defined as systolic blood pressure (SBP) < 140 mmHg and diastolic blood pressure (DBP) ≥90 mmHg. ISH was defined as SBP ≥ 140 mmHg and DBP < 90 mmHg. Results A total of 8548 patients were screened, and 8475 participants were included. The average age was 63.67 ± 12.78 years, and males accounted for 54.4%. Among them, 361 (4.3%) had IDH, and 2096 had ISH (24.7%). Patients with IDH (54.84 ± 13.21 years) were much younger. Aging turned out to be negatively associated with IDH but positively associated with ISH. Multivariate logistic regression analysis showed BMI was a significant risk factor for IDH (OR 1.30, 95%CI 1.05–1.61, p = 0.018), but not for ISH (OR 1.05, 95%CI 0.95–1.16, p = 0.358). Moreover, smoking was significantly associated with IDH (OR 1.36, 95%CI 1.04–1.78, p = 0.026) but not with ISH (OR 1.04, 95%CI 0.90–1.21, p = 0.653). Conclusions Patients with IDH were much younger, and the prevalence decreased with aging. BMI and smoking were remarkably associated with IDH rather than ISH. Keeping fit and giving up smoking might be particularly efficient in the management of young patients with IDH. Trial registration NCT03862183, retrospectively registered on March 5, 2019.
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Affiliation(s)
- Kun Xie
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China
| | - Xiufang Gao
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China
| | - Liwen Bao
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China
| | - Ying Shan
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China
| | - Haiming Shi
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China
| | - Yong Li
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China.
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Xie K, Gao X, Bao L, Shan Y, Shi H, Li Y. The Integrated Management of Hypertension in General Hospitals and Community Hospitals. Risk Manag Healthc Policy 2021; 14:2537-2545. [PMID: 34177280 PMCID: PMC8219293 DOI: 10.2147/rmhp.s306735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 05/24/2021] [Indexed: 11/23/2022] Open
Abstract
PURPOSE We sought to investigate and improve the integrated management of hypertension in general and community hospitals in China. PATIENTS AND METHODS We carried out a cross-sectional study in 90 centers from 15 cities in China from 2017 to 2018. Patients with primary hypertension were included. RESULTS Of the total 4286 patients included, 43.2% of them controlled blood pressure (BP) below 140/90 mmHg while only 11.5% controlled BP below 130/80 mmHg. The control rate of low-density lipoprotein-C (LDL-C) in patients with concomitant coronary artery disease (CAD), diabetes (DM), and chronic kidney disease (CKD) was 24.7%, 49.4%, and 40.6%, respectively. Thirty-one percent of the DM patients had HbA1c levels greater than 8% while 21.7% of the non-DM patients had HbA1c≥6.5%. The control rate of body mass index (BMI) was 54.4% in men and 59.8% in women. As compared to patients from community hospitals, patients from general hospitals had poorer control of BP<140/90 mmHg (OR 0.63, 95% CI 0.55-0.73, p<0.001), comparatively better attainment of LDL-C, particularly <1.8 mmol/L in CAD (OR 3.25, 95% CI 2.02-5.24, p<0.001), similar control of HbA1c < 8.0% in diabetes (OR 0.64, 95% CI 0.41-1.00, p=0.052) and comparatively worse achievement of BMI<25 kg/m2 (OR 0.72, 95% CI 0.63-0.83, p<0.001). CONCLUSION The integrated management of hypertension needs to be improved. Besides LDL-C, the management of BP, blood glucose (BG), and BMI need to be strengthened in not only community hospitals but also general hospitals.
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Affiliation(s)
- Kun Xie
- Cardiology Department, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China
| | - Xiufang Gao
- Cardiology Department, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China
| | - Liwen Bao
- Cardiology Department, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China
| | - Ying Shan
- Cardiology Department, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China
| | - Haiming Shi
- Cardiology Department, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China
| | - Yong Li
- Cardiology Department, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China
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Wang S, Bao L, Fu W, Deng L, Ran J. Protective effect of exosomes derived from bone marrow mesenchymal stem cells on rats with diabetic nephropathy and its possible mechanism. Am J Transl Res 2021; 13:6423-6430. [PMID: 34306382 PMCID: PMC8290711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2021] [Accepted: 03/31/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE To investigate the effect of exosomes derived from bone marrow mesenchymal stem cells (BMMSC-Exos) on diabetic nephropathy (DN) rats and its possible mechanism. METHODS Thirty rats were divided into the following three groups of 10 rats each: the NC group (normal rats), the DN group (rats with DN), and the BM group (DN rats injected with BMMSC-Exo). Blood glucose level, renal function, blood lipid level, and plasma viscosity of the rats were detected. Renal tissue morphology was observed using hematoxylin-eosin staining. Expression levels of JAK2 and STAT3 in rats' kidneys were measured by RT-PCR and western blot. RESULTS The rats in the DN group had higher levels of blood glucose, blood lipids, and blood viscosity, worse renal function, and lower body weight than those in the NC group (all P<0.05). After treatment with BMMSC-Exos, rats in the BM group had markedly decreased levels of blood glucose, blood lipids, and blood viscosity, improved renal function, and higher body weight compared to those in the DN group (all P<0.05). The renal tissues in the NC group had intact structure, and no hyperplastic or hypertrophic cells were observed. In the DN group, the renal glomerulus and mesangial matrix were abnormal, and the capillary lumen and renal tubule lumen were depressed and blocked, accompanied by interstitial edema. Pathologic changes in the renal glomerulus and tubule in the BM group were less severe than those in the DN group. The DN rats had higher expression levels of JAK2 and STAT3 than normal rats, and the rats treated with BMMSC-Exos had lower levels of JAK2 and STAT3 compared to the DN rats (all P<0.05). CONCLUSION BMMSC-Exo can achieve a good therapeutic effect in DN, which may be due to its ability to lower the blood glucose level, improve renal function, and inhibit JAK2/STAT3 expression.
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Affiliation(s)
- Shaobo Wang
- Department of Endocrinology, The First Affiliated Hospital of Ji’nan UniversityGuangzhou, Guangdong Province, China
- Department of Endocrinology, Houjie HospitalDongguan, Guangdong Province, China
| | - Liwen Bao
- Department of Endocrinology, Houjie HospitalDongguan, Guangdong Province, China
| | - Wenjin Fu
- Department of Laboratory Medicine, Houjie HospitalDongguan, Guangdong Province, China
| | - Li Deng
- Department of Endocrinology, Houjie HospitalDongguan, Guangdong Province, China
| | - Jianmin Ran
- Department of Endocrinology, The First Affiliated Hospital of Ji’nan UniversityGuangzhou, Guangdong Province, China
- Department of Endocrinology, Guangzhou Red Cross HospitalGuangzhou, Guangdong Province, China
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Ding YH, Bao L, Lu MQ, Chu B, Shi L, Gao S, Xiang QQ, Fang LJ, Wang YT, Liu X. [Treatment of TAFRO syndrome with tocilizumab: a case report]. Zhonghua Xue Ye Xue Za Zhi 2021; 41:1052. [PMID: 33445859 PMCID: PMC7840554 DOI: 10.3760/cma.j.issn.0253-2727.2020.12.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Affiliation(s)
- Y H Ding
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - L Bao
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - M Q Lu
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - B Chu
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - L Shi
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - S Gao
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - Q Q Xiang
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - L J Fang
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - Y T Wang
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
| | - X Liu
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
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Bao L, Feng L, Wang ZB, Song X, Guo AT. [Clinicopathological analysis of 6 cases of composite pheochromocytoma]. Zhonghua Bing Li Xue Za Zhi 2020; 49:922-924. [PMID: 32892558 DOI: 10.3760/cma.j.cn112151-20200601-00428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- L Bao
- Department of Pathology, the Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai 264000, China; Department of Pathology, First Medical Center, the General Hospital of the Chinese People's Liberation Army, Beijing 100853, China
| | - L Feng
- Department of Pathology, First Medical Center, the General Hospital of the Chinese People's Liberation Army, Beijing 100853, China
| | - Z B Wang
- Department of Pathology, First Medical Center, the General Hospital of the Chinese People's Liberation Army, Beijing 100853, China
| | - X Song
- Department of Pathology, First Medical Center, the General Hospital of the Chinese People's Liberation Army, Beijing 100853, China
| | - A T Guo
- Department of Pathology, First Medical Center, the General Hospital of the Chinese People's Liberation Army, Beijing 100853, China
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Gong LH, Zhan HL, Sun XQ, Zhang M, Ding YH, Bao L, Ding Y. [Juvenile anaplastic lymphoma kinase positive large B-cell lymphoma with multi-bone involvement: report of a case]. Zhonghua Bing Li Xue Za Zhi 2020; 49:949-951. [PMID: 32892567 DOI: 10.3760/cma.j.cn112151-20200113-00030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- L H Gong
- Department of Pathology, Beijing Jishuitan Hospital, Beijing 100035, China
| | - H L Zhan
- Department of Radiology, Beijing Jishuitan Hospital, Beijing 100035, China
| | - X Q Sun
- Department of Pathology, Beijing Jishuitan Hospital, Beijing 100035, China
| | - M Zhang
- Department of Pathology, Beijing Jishuitan Hospital, Beijing 100035, China
| | - Y H Ding
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100035, China
| | - L Bao
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100035, China
| | - Y Ding
- Department of Pathology, Beijing Jishuitan Hospital, Beijing 100035, China
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Wang Q, Bao L, Cao Z, Li C, Li X, Liu F, Sun P, Lu G. Microwave-assisted hydrothermal synthesis of Pt/SnO2 gas sensor for CO detection. CHINESE CHEM LETT 2020. [DOI: 10.1016/j.cclet.2019.12.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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Xie K, Bao L, Jiang X, Ye Z, Bing J, Dong Y, Gao D, Ji X, Jiang T, Li J, Li Y, Luo S, Mao W, Peng D, Qu P, Song S, Wang H, Wang Z, Xu B, Yin X, Yu Z, Zhang X, Zhang Z, Zhu Z, Gao X, Li Y. The association of metabolic syndrome components and chronic kidney disease in patients with hypertension. Lipids Health Dis 2019; 18:229. [PMID: 31881889 PMCID: PMC6935087 DOI: 10.1186/s12944-019-1121-5] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Accepted: 09/30/2019] [Indexed: 02/05/2023] Open
Abstract
Background Hypertension is a highly prevalent disease and the leading cause of chronic kidney disease (CKD). Metabolic syndrome could also be the risk factor for CKD. We sought to study the association between metabolic syndrome components and the prevalence of CKD in patients with hypertension. Methods We carried out a multi-center cross-sectional study from Apr. 2017- Apr. 2018 in 15 cities in China. Results A total of 2484 patients with hypertension were enrolled. Among them, 56% were male and the average age was 65.12 ± 12.71 years. The systolic BP/diastolic BP was 142 ± 18/83 ± 12 mmHg. Metabolic syndrome components turned out to be highly prevalent in patients with hypertension, ranging from 40 to 58%. The prevalence of chronic kidney disease reached 22.0%. Multi-variate logistic analysis revealed that elevated triglyceride (TG) (OR = 1.81, 95% CI 1.28–2.57, p < 0.01), elevated fasting blood glucose (FBG) (OR = 1.43, 95% CI 1.00–2.07, p = 0.05) and hypertension grades (OR = 1.20, 95% CI 1.00–1.44, p = 0.05) were associated with the prevalence of CKD. In sub-group analysis, elevated TG remained strongly associated with CKD in both diabetes (OR = 2.10, 95%CI 1.22–3.61, p < 0.01) and non-diabetes (OR = 1.53, 95% CI 1.09–2.16, p = 0.01). In sub-group analysis of hypertension grades, there was also a graded trend between elevated TG and CKD from controlled blood pressure (BP) to hypertension grade 2 (OR = 1.81, 95%CI 1.06–3.11, p = 0.03; OR = 1.85, 95%CI 1.00–3.43, p = 0.05; OR = 2.81, 95% CI 1.09–7.28, p = 0.03, respectively). Conclusion Elevated TG, elevated FBG and hypertension grades were significantly associated with the prevalence of CKD in patients with hypertension. Particularly, elevated TG was strongly associated with CKD, independent of diabetes and hypertension grades.
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Affiliation(s)
- Kun Xie
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China
| | - Liwen Bao
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China
| | - Xiaofei Jiang
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China
| | - Zi Ye
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China.,Department of cardiovascular medicine Mayo Clinic, Rochester, USA
| | | | - Yugang Dong
- The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Danchen Gao
- The First Affiliated Hospital of Zhejiang University, Hangzhou, China
| | - Xiaoping Ji
- Qilu Hospital of Shandong University, Jinan, China
| | - Tingbo Jiang
- The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Jiehua Li
- The First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Yan Li
- Rui Jin Hospital Shanghai Jiao Tong University School of Medical, Shanghai, China
| | - Suxin Luo
- The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Wei Mao
- Zhejiang Provincial Hospital of TCM, Zhejiang, China
| | - Daoquan Peng
- The Second Xiangya Hospital of Central South University, Furong, China
| | - Peng Qu
- The second hospital of Dalian Medical University, Zunyi, China
| | | | - Hui Wang
- Jiangsu Province Hospital, Nanjing, China
| | | | - Biao Xu
- Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
| | - Xinhua Yin
- First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Zaixin Yu
- Xiangya Hospital, Central South University, Changsha, China
| | - Xinjun Zhang
- West China Hospital, Sichuan University, Lesha, China
| | - Zixin Zhang
- The First Affiliated Hospital of China Medical University, Shenyang, China
| | - Zhiming Zhu
- Grand ping hospital, third military medical university, Chongqing, China
| | - Xiufang Gao
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China.
| | - Yong Li
- Cardiology Department, Huashan Hospital, Fudan University, No. 12 Mid Wulumuqi Road, Shanghai, 200040, China
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Sun Y, Bao L, Chen J, Zheng Y, Yi X. 2631 A New Uterine Suspension Technique May Fasten Patient Recovery After Laparoscopic Radical Hysterectomy. J Minim Invasive Gynecol 2019. [DOI: 10.1016/j.jmig.2019.09.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Zhang Y, Wang F, Bao L, Li J, Shi Z, Wang J. Cyclic hydrostatic compress force regulates apoptosis of meniscus fibrochondrocytes via integrin α5β1. Physiol Res 2019; 68:639-649. [DOI: 10.33549/physiolres.934088] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
Meniscus is a semilunar fibrocartilaginous tissue, serving important roles in load buffering, stability, lubrication, proprioception, and nutrition of the knee joint. The degeneration and damage of meniscus has been proved to be a risk factor of knee osteoarthritis. Mechanical stimulus is a critical factor of the development, maintenance and repair of the meniscus fibrochondrocytes. However, the mechanism of the mechano-transduction process remains elusive. Here we reported that cyclic hydrostatic compress force (CHCF) treatment promotes proliferation and inhibits apoptosis of the isolated primary meniscus fibrochondrocytes (PMFs), via upregulating the expression level of integrin α5β1. Consequently, increased phosphorylated-ERK1/2 and phosphorylated-PI3K, and decreased caspase-3 were detected. These effects of CHCF treatment can be abolished by integrin α5β1 inhibitor or specific siRNA transfection. These data indicate that CHCF regulates apoptosis of PMFs via integrin α5β1-FAK-PI3K/ERK pathway, which may be an important candidate approach during meniscus degeneration.
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Affiliation(s)
| | | | | | | | | | - J. Wang
- Department of orthopedic surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
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Tang H, Jia P, Chen H, Bao L, Feng F, Li JJ. [Clinical research of minimally invasive spine surgery with Vesselplasty]. Zhonghua Yi Xue Za Zhi 2019; 97:2567-2572. [PMID: 28881528 DOI: 10.3760/cma.j.issn.0376-2491.2017.33.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To evaluate the efficacy and safety of Vesselplasty in the treatment of osteoporotic vertebral fractures and vertebral metastases. Methods: From June 2010 to December 2016, data of 81 patients with spinal diseases treated with Vesselplasty in Department of Spinal Surgery, Beijing Friendship hospital, Capital Medical University were retrospectively analyzed. There are 49 cases of vertebral fractures with age (70.2±8.2) years. Among them, 16 cases have posterior vertebral wall breakage, but no symptoms of nerve injury. Clinical result were evaluated with Visual Analogue Scale(VAS) , the kyphotic angle(Cobb's angle) and Oswestry disability index(ODI) was measured preoperatively, postoperatively and follow-up. At the same time, the operation time and cement leakage were recorded. There were 32 patients with vertebral metastases, with age of (69.6±11.1) years old. The posterior wall of the vertebral body was damaged in 22 cases. The VAS scores were recorded and compared preoperatively and postoperatively. The operation time was recorded also. Results: All patients were completed the operation safely and with no complications. Compared with preoperative VAS, postoperative VAS was significantly decreased in all subjects(P<0.05). The average operation time of each vertebral body was 16.2±4.6 min, and the postoperative VAS score significantly decreased (P<0.05), Cobb 's angle from preoperative (13.9±6.0) ° to( 5.2±4.0) ° (P<0.05) in 49 cases of vertebral fracture(58 vertebrae). The clinical results were still satisfied in follow-up . In 32 cases of vertebral metastases(38 vertebrae), the average operation time was (17.6±5.4) min. The postoperative VAS score was obviously decreased also(P<0.05). A small amount of bone cement leakage occurred in 4 cases of 4 vertebrae. The rate of bone cement leakage was 4.2%, but there were no clinical symptoms in these cases. Conclusion: Vesselplasty is a safe and effective treatment of osteoporotic vertebral fractures and vertebral metastases. It can lead to satisfactory clinical effect, partial recovery of vertebral height. Besides, the bone filling mesh can reduce the risk of bone cement leakage, which can provide a new choice for minimally invasive treatment of vertebral fracture and metastases.
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Affiliation(s)
- H Tang
- Department of Spinal Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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Jin B, Bao L, Zhu J, Shi H, Wu B. GW29-e0371 YAP activation promotes the transdifferentiation of cardiac fibroblasts to myofibroblasts in matrix remodeling of dilated cardiomyopathy. J Am Coll Cardiol 2018. [DOI: 10.1016/j.jacc.2018.08.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Chen X, Hu Z, Liu M, Li H, Liang C, Li W, Bao L, Chen M, Wu G. Correlation between CTLA-4 and CD40 gene polymorphisms and their interaction in graves' disease in a Chinese Han population. BMC Med Genet 2018; 19:171. [PMID: 30223781 PMCID: PMC6142355 DOI: 10.1186/s12881-018-0665-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/02/2018] [Accepted: 08/14/2018] [Indexed: 11/28/2022]
Abstract
Background Single-nucleotide polymorphism (SNP) haplotype and SNP-SNP interactions of CTLA-4 and CD40 genes, with susceptibility to Graves’ disease (GD), were explored in a Chinese Han population. Methods SNP were genotyped by high resolution melting (HRM). Use the method of Pearson χ2 test and Logistic regression for the association between single SNP and Graves’ disease. Using the method of χ2 test and Multifactor Dimensionality Reduction (MDR) to analysis the haplotype frequency distribution, the interaction of SNPs respectively. Results Genotypic and allelic frequencies of SNP rs231775, rs3087243 and rs1883832 were statistically different between controls and GD (p < 0.05). Mutant allelic frequency of G rs231775 was higher, and A and T allelic frequencies of rs3087243 and rs1883832 were lower in GD than in controls (P < 0.05). In CTLA-4 rs1024161, rs5742909, rs231775, rs231777, rs231779, rs3087243 and rs11571319 showed D’ < 50% and r2 < 0.3 among each SNP. We identified six commonly found haplotypes; TCGCTGC was associated with the highest GD risk (OR = 2.565) and TCACTAC the lowest (OR = 0.096). MDR analysis indicated interactions among the rs231775 GG, rs231779 TT and rs3087243 GG genotypes in CTLA-4 might increase GD risk by 2.53-fold (OR = 2.53). Conclusion CTLA-4 and CD40 were associated with GD incidence in a Chinese Han population. The TCGCTGC and TCACTAC haplotypes in the CTLA-4 gene, were risk and protective factors for Graves’disease respectively. Interactions among the SNPs of rs231775, rs231779 and rs3087243 significantly increase the susceptibility to GD.
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Affiliation(s)
- Xiaoming Chen
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524001, China
| | - Zhuoqing Hu
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524001, China
| | - Meilian Liu
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524001, China
| | - Huaqian Li
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524001, China
| | - Chanbo Liang
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524001, China
| | - Wei Li
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524001, China
| | - Liwen Bao
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524001, China
| | - Manyang Chen
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524001, China
| | - Ge Wu
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, 524001, China.
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Bao L, Bo J, Jin B, Xiong N, Ni H, Li J, Luo X, Shi H, Zhang J. Clinical Features of CINin ChineseVery Elderly Patients Undergoing Coronary Angiography Procedure With Hydration Treatment: A Three-Center, Prospective Study. INT J GERONTOL 2018. [DOI: 10.1016/j.ijge.2018.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Wang XH, Bao L. [Professor B. Jigmed's conception on the division of stages of history of Mongolian medicine]. Zhonghua Yi Shi Za Zhi 2018; 47:103-106. [PMID: 28468113 DOI: 10.3760/cma.j.issn.0255-7053.2017.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The division of stages on the formation and development of Mongolian medicine is a major issue on the history of Mongolian medicine. Based on Mongolian social, economic and cultural development and the characteristics of Mongolian medicine itself, Professor B. Jigmed creatively puts forward the three stages of development of ancient and modern times of Mongolian medicine. He also reasonably sorts out historical materials to comprehensively and systematically display the general picture of its development. This approach exerts great effect on restructuring the body of Mongolian medicine itself, unveils its rule of development, and promotes its disciplinary construction.
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Affiliation(s)
- X H Wang
- Inner Mongolia University for Nationalities, Tongliao, 028000, China
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Bao L, Huang J, Wang F, Pang L, Wang Y, Shi H. Echocardiography with Elevated Central Venous Pressure Diagnosing Constrictive Pericarditis More Accurately Than Chest CT Scan: A Retrospective Study in 36 Cases. Heart Surg Forum 2018; 21:E190-E193. [PMID: 29893679 DOI: 10.1532/hsf.1906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Revised: 03/24/2018] [Accepted: 04/20/2018] [Indexed: 11/20/2022]
Abstract
BACKGROUND Constrictive pericarditis (CP) is defined as impaired diastolic cardiac function caused by a calcified and thickened pericardium. We assessed the clinical characteristics and time to diagnosis, as well as patient prognosis after pericardiectomy. Methods: We analyzed the records of 36 CP patients who underwent pericardiectomy at Huashan Hospital, China, between 2012 and 2015. Clinical manifestations, length of time to diagnosis, laboratory parameters, and diagnostic imaging results were examined. All patients underwent pericardiectomy, and were assessed post-operatively for quality of life and improvement of cardiac function using the Minnesota Living with Heart Failure Questionnaire (MLHFQ). Results: All patients displayed shortness of breath and polyserous effusion, as well as elevated pro B-type natriuretic peptide and thickened pericardium. Mean time between onset of symptoms and a definitive diagnosis of CP was 9.5 ± 2.1 months. Pericardiectomy was performed within one week of diagnosis. Mean central venous pressure decreased from a pre-operative 19.92 ± 6.6 mmHg to a post-operative 8.5 ± 2.7 mmHg. Within 1.5 ± 0.7 years of surgery, all patients maintained good quality of life and cardiac function, which resulted in a mean score of 0.9 ± 0.6 on the MLHFQ. Conclusion: A definitive diagnosis of CP is usually made long after the onset of symptoms. Early detection and diagnosis by echocardiography with elevated central venous pressure and early treatment by surgery are key to an improved prognosis and resumption of good cardiac function.
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Affiliation(s)
- Liwen Bao
- Department of Cardiothoracic surgery, Huashan Hospital of Fudan University, 12th Wulumuqi Road, Shanghai, 200040, PR, China
| | - Jiechun Huang
- Department of Cardiothoracic surgery, Huashan Hospital of Fudan University, 12th Wulumuqi Road, Shanghai, 200040, PR, China
| | - Fangrui Wang
- Department of Cardiothoracic surgery, Huashan Hospital of Fudan University, 12th Wulumuqi Road, Shanghai, 200040, PR, China
| | - Liewen Pang
- Department of Cardiothoracic surgery, Huashan Hospital of Fudan University, 12th Wulumuqi Road, Shanghai, 200040, PR, China
| | - Yiqing Wang
- Department of Cardiothoracic surgery, Huashan Hospital of Fudan University, 12th Wulumuqi Road, Shanghai, 200040, PR, China
| | - Haiming Shi
- Department of Cardiothoracic surgery, Huashan Hospital of Fudan University, 12th Wulumuqi Road, Shanghai, 200040, PR, China
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Wan DL, Li MX, Bao L, Zhang LL, Zhang L, Chen QY, Lin SZ. Cauliflower-like Neoplasm of Duodenal Papilla in a Liver Transplant Recipient: What Should We Think and Do? A Case Report. Transplant Proc 2018; 50:925-929. [PMID: 29661464 DOI: 10.1016/j.transproceed.2018.01.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2018] [Accepted: 01/29/2018] [Indexed: 11/30/2022]
Abstract
BACKGROUND With the continuous improvement of liver transplantation technology, the survival rate of liver transplantation has been improved, but recurrent or de novo malignancy remains one of the major factors affecting the long-term survival of liver transplant recipients. CASE REPORT A 45-year-old Chinese man had a plastic biliary stent placed on account of biliary anastomotic stenosis after 3 years of piggyback liver transplantation. He came to our hospital because of recurrent fever and jaundice for 2 weeks, and his carcinoembryonic antigen-199 had increased. The patient's duodenal papillary was cauliflower-like at endoscopic retrograde cholangiopancreatography to replace the biliary stent. He was initially suspected of having duodenal papillary carcinoma after liver transplantation. However, the pathology from endoscopic retrograde cholangiopancreatography and endoscopic ultrasound-guided biopsy showed inflammation. While awaiting the result of biopsy, his CA-199 decreased significantly after anti-infection and symptomatic treatment. The patient was diagnosed with biliary anastomotic stenosis and duodenal papillitis. He was discharged uneventfully; to date, there is no evidence of malignant tumor. CONCLUSIONS We report this case to provide helpful information to clinicians about the management of the duodenal papilla cauliflower-like neoplasm after liver transplantation, which should be considered as inflammatory first. Perhaps our view can avoid the risk of bringing an excessive medical treatment and unnecessary economic burden to patients and their families.
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Affiliation(s)
- D-L Wan
- Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - M-X Li
- Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - L Bao
- Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - L-L Zhang
- Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - L Zhang
- Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Q-Y Chen
- Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - S-Z Lin
- Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
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Yu X, Zhang J, Gu Y, Deng D, Wu Z, Bao L, Li M, Yao Z. CHILD syndrome mimicking verrucous nevus in a Chinese patient responded well to the topical therapy of compound of simvastatin and cholesterol. J Eur Acad Dermatol Venereol 2018; 32:1209-1213. [PMID: 29341259 DOI: 10.1111/jdv.14788] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 12/08/2017] [Indexed: 11/29/2022]
Affiliation(s)
- X. Yu
- Department of Dermatology; Xinhua Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - J. Zhang
- Department of Dermatology; Xinhua Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - Y. Gu
- Department of Dermatology; Xinhua Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - D. Deng
- Department of Dermatology; Xinhua Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - Z. Wu
- Department of Dermatology; Shanghai First People s Hospital; Shanghai Jiaotong University of Medicine; Shanghai China
| | - L. Bao
- Department of Radiology; Xinhua Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - M. Li
- Department of Dermatology; Xinhua Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
| | - Z. Yao
- Department of Dermatology; Xinhua Hospital; Shanghai Jiaotong University School of Medicine; Shanghai China
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Bao L, Ren XQ. A Case Report of Traumatic Rupture of Splenic Pregnancy. HONG KONG J EMERG ME 2017. [DOI: 10.1177/102490791502200508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Primary splenic pregnancy is a rare type of ectopic pregnancy, which could easily rupture in the early stage of pregnancy, causing life-threatening intraabdominal haemorrhage. Rupture of splenic pregnancy due to trauma is even rarer. We reported a case of splenic pregnancy occurring in a female patient of reproductive age. She was injured by the handlebar on the upper left abdomen while riding a bicycle, causing intraabdominal haemorrhage. Ultrasound showed splenic rupture. The patient underwent emergency surgery, and was diagnosed with a rupture of splenic pregnancy by postoperative pathology. It is an extremely rare case where the patient was diagnosed splenic pregnancy due to a traumatic rupture and haemorrhage. We hope this case can be helpful in the evaluation and diagnosis of acute abdomen in women of reproductive age. (Hong Kong j.emerg.med. 2015;22:312-315)
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Bao L, Wu J, Yi X. SLC40A1 Sensitized Human Ovarian Cancer Cells to Cisplatin by Blocking Autophagy. J Minim Invasive Gynecol 2017. [DOI: 10.1016/j.jmig.2017.08.345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Bao L, Wu J, Yi X. Nrf2 Contributes to Cisplatin Resistance via Suppressing the Iron Export Related Gene SLC40A1 in Human Ovarian Cancer Cells. J Minim Invasive Gynecol 2017. [DOI: 10.1016/j.jmig.2017.08.202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Jia P, Bao L, Chen H, Yuan J, Liu W, Feng F, Li J, Tang H. Risk of low-energy fracture in type 2 diabetes patients: a meta-analysis of observational studies. Osteoporos Int 2017; 28:3113-3121. [PMID: 28795239 DOI: 10.1007/s00198-017-4183-0] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2017] [Accepted: 07/30/2017] [Indexed: 12/13/2022]
Abstract
UNLABELLED In this meta-analysis, evidence of an association between type 2 diabetes mellitus (T2DM) and low-energy fractures has been evaluated including 12 observational studies. The results suggested that T2DM patients had an enhanced risk of low-energy fractures. INTRODUCTION Type 1 diabetes mellitus (T1DM) patients have been shown to be at enhanced risk of fracture injury, but less is known about low-energy fractures among patients with T2DM. METHODS We performed a meta-analysis of 12 observational studies identified in Medline and EMBASE that included 938,742 participants, including 30,827 low-energy fracture cases. The incidence rate ratios (IRRs) of low-energy fractures were determined using a random-effects model. RESULTS The IRRs of low-energy fracture for men and women were 1.37 (95% confidence interval [CI], 0.94-2.00; p = 0.096) and 1.22 (95% CI, 1.09-1.35; p = 0.000), respectively, and the overall IRR was 1.23 (95% CI, 1.12-1.35; p = 0.000). The IRRs for hip and vertebral fractures were 1.08 (95% CI, 1.02-1.15; p = 0.007) and 1.21 (95% CI, 0.98-1.48; p = 0.073), respectively. The IRRs of low-energy fracture in case-control, prospective, retrospective, and cross-sectional studies were 1.18 (95% CI, 0.81-1.72; p = 0.380), 1.17 (95% CI, 1.05-1.32, p = 0.006), 1.15 (95% CI, 1.02-1.29; p = 0.020), and 1.60 (95% CI, 1.21-2.12; p = 0.001), respectively. The IRRs of low-energy fracture for less than 5 years, 5 to 10 years, and more than 10 years were 1.30 (95%, CI 1.13-1.50; p = 0.000), 1.05 (95% CI, 1.03-1.08; p = 0.000), and 1.19 (95% CI, 1.00-1.41; p = 0.049), respectively. CONCLUSIONS Patients with T2DM had a greater risk of low-energy fracture especially of the hip, compared with that in non-diabetic subjects. However, since according to our funnel plot a publication bias may be present and due to study heterogeneity as well as the limited number of publications, the finding needs to be interpreted with caution.
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Affiliation(s)
- P Jia
- Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong'an Road, Xicheng District, Beijing, 100050, China
| | - L Bao
- Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong'an Road, Xicheng District, Beijing, 100050, China
| | - H Chen
- Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong'an Road, Xicheng District, Beijing, 100050, China.
| | - J Yuan
- Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, No. 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, China
| | - W Liu
- Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, No. 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, China
| | - F Feng
- Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong'an Road, Xicheng District, Beijing, 100050, China
| | - J Li
- Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong'an Road, Xicheng District, Beijing, 100050, China
| | - H Tang
- Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong'an Road, Xicheng District, Beijing, 100050, China.
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Srivastava A, Qiao W, Wu Y, Li X, Bao L, Liu C. Effects of silica nanoparticles and polymers on foam stability with sodium dodecylbenzene sulfonate in water–liquid paraffin oil emulsions at high temperatures. J Mol Liq 2017. [DOI: 10.1016/j.molliq.2017.06.096] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Bao L. WITHIN-FAMILY DIFFERENCES IN LIVING PROXIMITY AND INTERGENERATIONAL SUPPORT: IMPLICATIONS ON OLDER PARENTS’ HEALTH IN CHINA. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- L. Bao
- California State University, Los Angeles, Los Angeles, California
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Bao L, Yu A, Luo Y, Tian T, Dong Y, Zong H, Chen H, Gao X, Xu X, Li Y. Genomewide differential expression profiling of long non-coding RNAs in androgenetic alopecia in a Chinese male population. J Eur Acad Dermatol Venereol 2017; 31:1360-1371. [PMID: 28419572 DOI: 10.1111/jdv.14278] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2016] [Accepted: 03/09/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND Androgenetic alopecia (AGA), or male pattern baldness (MPB), is the most common form of hair loss in males. A combination of genetic and androgen causes have been suggested as factors that contribute to the development of AGA. However, the specific molecular mechanisms that underly AGA remain largely unknown. Long non-coding RNAs (lncRNAs), a new class of regulatory non-coding RNAs that are longer than 200 nucleotides, have been shown to play important roles in a number of cellular processes, including transcription, chromosome remodelling and post-transcriptional processing. The dysregulation of lncRNAs is associated with many forms of diseases, but it remains unknown whether lncRNAs are associated with AGA. OBJECTIVE The aim of this study was to identify AGA-associated lncRNAs and predict the potential roles of these lncRNAs in AGA. METHODS A genomewide microarray was used to identify lncRNAs that are differentially expressed between AGA and adjacent normal tissues. Real-time qRT-PCR was used to validate the microarray data. RESULTS A large number of lncRNAs were differentially expressed (fold change >2.4) between AGA and adjacent normal tissues. Of these, 770 were upregulated and 1373 were downregulated. Moreover, pathway analysis revealed that 53 functional pathways were associated with the upregulated transcripts, while 11 pathways were associated with the downregulated transcripts. CONCLUSION To our knowledge, this is the first study to investigate AGA-associated lncRNAs. lncRNA profiles are altered in AGA, and these lncRNAs and their target genes may serve as novel candidates for preventing and treating AGA.
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Affiliation(s)
- L Bao
- Department of Dermatology, The First Affiliated Hospital of China Medical University, China Medical University, Shenyang, China
| | - A Yu
- Department of Dermatology, The First Affiliated Hospital of China Medical University, China Medical University, Shenyang, China
| | - Y Luo
- Department of Dermatology, The First Affiliated Hospital of China Medical University, China Medical University, Shenyang, China
| | - T Tian
- Department of Dermatology, The First Affiliated Hospital of China Medical University, China Medical University, Shenyang, China
| | - Y Dong
- Department of Dermatology, The First Affiliated Hospital of China Medical University, China Medical University, Shenyang, China
| | - H Zong
- Department of Neonatology, Shenzhen Maternity and Child Care Hospital, Shenzhen, China
| | - H Chen
- Department of Dermatology, The First Affiliated Hospital of China Medical University, China Medical University, Shenyang, China
| | - X Gao
- Department of Dermatology, The First Affiliated Hospital of China Medical University, China Medical University, Shenyang, China
| | - X Xu
- Department of Dermatology, The First Affiliated Hospital of China Medical University, China Medical University, Shenyang, China
| | - Y Li
- Department of Dermatology, The First Affiliated Hospital of China Medical University, China Medical University, Shenyang, China
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Bao L, Chau C, Bao J, Chan L. 587 Identification of IL-4 regulated microRNAs in primary keratinocytes. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.02.609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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41
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Jia MM, Lin X, Liu P, Chen Y, Bao L, Wang S, Zhou X, Feng W, Li A, Qiao Y. A Multi-Center Study of Automated Breast Ultrasound System for the
Diagnosis of Breast Cancer in China. Ann Glob Health 2017. [DOI: 10.1016/j.aogh.2017.03.233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Liu Y, Zhao J, Liao D, Bao L, Gregersen H. Low-residue diet fed to rabbits induces histomorphological and biomechanical remodeling of small intestine. Neurogastroenterol Motil 2017; 29. [PMID: 27790839 DOI: 10.1111/nmo.12983] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Accepted: 09/27/2016] [Indexed: 12/29/2022]
Abstract
BACKGROUND The composition of ingested food is important for the gut microbiome and intestinal homeostasis. We have previously demonstrated that the structure and mechanical properties in the small intestine remodel significantly during fasting. However, it is not clear to what extent the intestinal mechanical properties changes when the composition of food is changed. This study aimed to investigate the passive biomechanical properties and intestinal tissue remodeling in rabbits fed a low-residue diet. METHODS New Zealand rabbits (control group n=6, intervention group n=7) were studied. Segments from duodenum, jejunum and ileum were excised. The intestinal diameter and length were obtained from digitized images of the segments at preselected luminal pressure levels and at no-load and zero-stress states. Circumferential and longitudinal stresses (force per area) and strains (deformation) were computed from the length, diameter and pressure data referenced to the zero-stress state geometry. Histomorphometric data were also obtained. KEY RESULTS The wet weight-per-unit length, wall thickness and wall area decreased in the intervention group (P<.05, P<.01). Histological measurement confirmed that the wall thickness decreased in all three segments, which was primarily due to mucosal thinning (P<.05). The opening angle tended to increase in all segments in the intervention group. Significant difference between the two groups was found for the jejunum (P<.05). Feeding the low-residue diet shifted the circumferential stress-strain curves in the intervention group to the right, indicating intestinal wall softening. CONCLUSIONS & INFERENCES Low-residue diet in rabbits for 1 month induces location-dependent histomorphometric and biomechanical remodeling of the intestine.
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Affiliation(s)
- Y Liu
- GIOME and the Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College, Chongqing University, Chongqing, China.,GIOME Academia, Department of Clinical Medicine, Aarhus University, Aarhus N, Denmark
| | - J Zhao
- GIOME and the Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College, Chongqing University, Chongqing, China.,GIOME Academia, Department of Clinical Medicine, Aarhus University, Aarhus N, Denmark
| | - D Liao
- GIOME and the Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College, Chongqing University, Chongqing, China.,GIOME Academia, Department of Clinical Medicine, Aarhus University, Aarhus N, Denmark
| | - L Bao
- GIOME and the Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College, Chongqing University, Chongqing, China
| | - H Gregersen
- GIOME and the Key Laboratory for Biorheological Science and Technology of Ministry of Education, Bioengineering College, Chongqing University, Chongqing, China
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Shen Y, Ye YF, Ruan LW, Bao L, Wu MW, Zhou Y. Inhibition of miR-660-5p expression suppresses tumor development and metastasis in human breast cancer. Genet Mol Res 2017; 16:gmr-16-01-gmr.16019479. [PMID: 28252173 DOI: 10.4238/gmr16019479] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Breast cancer, which derives from the epithelium of the mammary glands, is one of the most common cancers diagnosed in women globally. To date, the authors of many studies have reported that the deregulation of microRNAs (miRNAs) plays a crucial role in the occurrence, development, and metastasis of tumors. Here, we discovered that miR-660-5p was upregulated in the breast cancer cell lines MCF7 and MDA-MB-231 compared with that in the normal control cell line CCD-1095Sk. We then inhibited the expression of miR-660-5p to investigate its biological function in cancer development, progression, and metastasis. We determined the changes in the levels of expression of transcription factor CP2 (TFCP2) and CDKN1A to further clarify the specific mechanism involved. The results showed that downregulation of miR-660-5p significantly suppressed the proliferation, migration, and invasion of MCF7 breast cancer cell. Moreover, inhibition of miR-660-5p promoted cell cycle G1 arrest and reduced apoptosis in breast cancer cells. The specific mechanism studies confirmed that TFCP2 was a direct downstream target of miR-660-5p. Aberrant expression of miR-660-5p repressed TFCP2 expression, whereas inhibition of miR-660-5p decreased TFCP2 protein expression, which is a vital factor in the downstream signaling pathway. In conclusion, miR-660-5p can regulate the proliferation, migration, and invasion of human breast cancer cells, and is a novel potential therapeutic target for the clinical treatment of breast cancer.
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Affiliation(s)
- Y Shen
- Shaoxing Women & Children's Hospital, Shaoxing, China
| | - Y F Ye
- Department of Clinical Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - L W Ruan
- Department of Breast, Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University, Shaoxing, China
| | - L Bao
- Shaoxing Women & Children's Hospital, Shaoxing, China
| | - M W Wu
- Shaoxing Women & Children's Hospital, Shaoxing, China
| | - Y Zhou
- Shaoxing Women & Children's Hospital, Shaoxing, China
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Chu B, Lu MQ, Wu MQ, Shi L, Fu LN, Gao S, Fang LJ, Xiang QQ, Bao L. [Clinical characteristics of bone disease in multiple myeloma and clinical significance of monitoring bone metabolic markers]. Zhonghua Yi Xue Za Zhi 2016; 96:1424-9. [PMID: 27266350 DOI: 10.3760/cma.j.issn.0376-2491.2016.18.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To observe the clinical characteristics of bone disease in patients with multiple myeloma (MM) and the clinical significance of monitoring bone metabolic markers. METHODS The data of 178 MM cases newly diagnosed in Beijing Ji Shui Tan Hospital from January 2009 to June 2014 were reviewed to analysis the types and classification of bone disease and to observe the clinical characteristics of patients with different grades of bone disease. The levels of bone metabolic markers total procollagen type Ⅰ N-terminal peptide (tPINP) and β C-terminal telopeptide of type Ⅰ collagen (β-CTX) were monitored regularly in the two years following treatment in 66 cases. RESULTS (1) Among the 178 newly diagnosed MM cases, 167 cases complained of pain in bones on first visit, 35 cases combined with hypercalcemia, 83 cases combined with osteoporosis, 154 cases combined with osteolytic bone destruction, and 73 cases combined with pathologic fracture. The most common osteolytic location was the spine. The most common fracture sites was the spine. (2) According to bone disease grading, the 178 cases were divided into group A (bone grade 0-2, n=51) and group B(bone grade 3-4, n=127). There were no significant differences between group A and group B in gender, median age, therapeutic effect/ineffec, median overall survival, median progress-free survival, mean serum lactic dehydrogenase, mean albumin, urine light chains and serum creatinine(all P>0.05). Compared with group A, group B had lower hemoglobin level[(99.78±29.93)vs (108.84±29.30) g/L], and higher blood calcium level[(2.47±0.40)vs (2.30±0.29) mmol/L], serum β2-microglobuin level[(6.04±4.84)vs (4.12±3.97)mg/L], and bone marrow plasma cells percentage(33.30%±24.87% vs 23.51%±22.67%)(all P<0.05). (3) Before treatment, the levels of β-CTX and tPINP in patients of group B(n=47) were higher than those in group A(n=19)(median 0.78 vs 0.42 μg/L, 60.95 vs 43.47 μg/L, both P<0.05). The ratio of β-CTX /tPINP in group B was higher than that in group A (median 0.017 vs 0.012, P<0.05). After chemotherapy for 3 months, there were no differences in the level of tPINP compared with that before treatment in both group A and group B (both P>0.05), the level of β-CTX decreased significantly compared with that before treatment in both groups(median 0.16 vs 0.42 μg/L, 0.26 vs 0.78 μg/L, both P<0.05); the ratio of β-CTX /tPINP decreased significantly compared with that before treatment in both group A and in group B(median 0.008 vs 0.012, 0.011 vs 0.017, both P<0.05). There were no differences in the level of β-CTX, tPINP and β-CTX/tPINP ratio after treatment for 6 months, 1 year and 2 years compared with that after 3 months in both group A and group B (all P>0.05). (4)All patients were divided into two groups according to the therapeutic effect: effective group included patients who reach the effect of partial remission or better remission(n=48), while ineffective group included patients who did not reach the effect of partial remission(n=18). Before treatment there were no differences in the level of β-CTX, tPINP and β-CTX/tPINP ratio between the effective groupand the ineffective group (all P>0.05). After chemotherapy for 3 months, there were no differences in the level of tPINP compared with that before treatment in both effective group and ineffective group (all P>0.05), but the level of β-CTX decreased significantly compared with that before treatment both in effective group and ineffective group (median 0.24 vs 0.60 μg/L, 0.44 vs 0.95 μg/L, both P<0.05). The ratio of β-CTX /tPINP decreased significantly compared with that before treatment both in effective group and ineffective group (median 0.005 vs 0.012, 0.005 vs 0.011, both P<0.05). There were no differences in the level of β-CTX, tPINP and β-CTX/tPINP ratio after treatment for 6 months, 1 year and 2 years compared with that for 3 months both in effective group and ineffective group (all P>0.05). CONCLUSIONS Pain in bones, osteolysis and pathological fracture are the most common clinical manifestations in myeloma-related bone disease. The severity of bone disease can reflect the tumor load, but may not affect the therapeutic effect and the overall survival. The bone metabolic markers tPINP and β-CTX can be used to evaluate the severity of myeloma-related bone disease at diagnosis and to monitor the effect of treatment for bone disease.
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Affiliation(s)
- B Chu
- Department of Hematology, Beijing Jishuitan Hospital, Beijing 100096, China
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Jia JS, Yang SM, Wang J, Jiang H, Zhao T, Bao L, Shi HX, Lu J, Zhu HH, Lai YY, Jiang B, Huang XJ, Jiang Q. [The prognostic significance of proportion of blasts in bone marrow on day 14 during induction chemotherapy in patients with adult Ph-negative acute lymphoblastic leukemia]. Zhonghua Xue Ye Xue Za Zhi 2016; 37:497-502. [PMID: 27431075 PMCID: PMC7348344 DOI: 10.3760/cma.j.issn.0253-2727.2016.06.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/23/2015] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To investigate the prognostic significance of proportion of the blasts in bone marrow on day 14 (D14) during induction chemotherapy in patients with adult Ph-negative acute lymphoblastic leukemia (Ph (-) ALL). METHODS Newly diagnosed Ph (-) ALL patients with bone marrow morphology analysis on day 14 during induction chemotherapy were analyzed retrospectively. The proportion of the D14 blasts which had an impact on achieving a CR by the first induction chemotherapy and outcomes were determined by ROC curve. RESULTS 166 ALL patients including 94 male and 72 female were analyzed. The median age was 32 years (range, 18-64 years). The CR rate by the first induction chemotherapy was 74.7% with a total CR rate as 93.3%. By ROC analysis, 7.5% of the D14 blasts had the best sensitivity and specificity. The patients with D14 blasts ≥7.5% had lower CR rates after the first and overall induction chemotherapy compared with those with D14 blasts <7.5% (42.7% vs 85.9%, P<0.001 and 75.9% vs 95.6%, P=0.001 respectively). The probabilities of 5-year disease free survival (DFS) and 5-year overall survival (OS) were higher in the patients with D14 blasts<7.5% than those with D14 blasts ≥7.5% (49.8% vs 29.6%, P=0.006 and 52.4% vs 32.6%, P=0.010 respectively). Multivariate analysis showed that higher WBC or central nervous system leukemia at diagnosis, D14 blasts ≥7.5%, no CR after the first induction chemotherapy and receiving consolidation and maintenance chemotherapy rather than transplant were associated with poor outcomes. CONCLUSIONS Higher proportion of D14 blasts in bone marrow during the first induction therapy indicated poor prognosis in adult Ph(-) ALL.
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Affiliation(s)
- J S Jia
- Peking University People's Hospital, Peking University Institute of Hematology 100044 Beijing, China
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Bao L, Mohan G, Alexander J, Doo C, Shen K, Chan L. 495 The molecular mechanism for IL-4 down-regulation of loricrin expression in atopic dermatitis is through sequestration of the coactivator CBP in the Jak-Stat6 pathway. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.02.532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Wang J, Jiang B, Jiang Q, Lu J, Zhu HH, Yang SM, Zhao T, Wen L, Bao L, Huang XJ, Jiang H. [Comparison of efficacy and prognostic factors in elderly acute myelogenous patients with MA or CAG induction chemotherapy regimen]. Zhonghua Xue Ye Xue Za Zhi 2016; 37:194-200. [PMID: 27033755 PMCID: PMC7342949 DOI: 10.3760/cma.j.issn.0253-2727.2016.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/26/2015] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To analyze the difference of efficacy and prognostic factors between MA and CAG induction chemotherapy in elderly acute myelogenous leukemia (AML) patients. METHODS From April 2009 to September 2015, 103 consecutive hospitalized 60-plus-year-old AML patients were retrospectively analyzed. NPM1 positive FLT3-ITD negative accounted for 17 cases (16.7%). Sixty-five patients received MA regimen and thirty-eight patients received CAG regimen. MA group had higher WBC and FLT3-ITD positive mutations at diagnosis compared with CAG group (P=0.001, P=0.005; respectively). The median follow-up was 13 months for all patients and 17 months for the survivors. RESULTS Six patient (5.8%) died in early phase. Complete remission (CR) rate after the first cycle of induction chemotherapy was 51.5% (50/97). Overall CR rate was 70.1% (68/97). CR rate after the first cycle of induction chemotherapy and overall CR rate were indiscriminate between MA and CAG regimen. The time to neutrophil count recovery, the time to platelet count recovery and the number of platelet transfusions were indiscriminate between MA and CAG regimen. Among 68 CR patients, 23 patients relapsed at median 9 months, and cumulative incidence of relapse (CIR) at 3 years was (52.5±10.1)%. Median overall survival (OS) was 20 months. OS rate at 3 years was 32.2%. Median disease-free survival (DFS) was 28 months. DFS rate at 3 years was 43.7%. CIR, DFS and OS at 3 years were indiscriminate between MA and CAG regimen. Multivariate analysis showed that less than 70 years of age (P=0.001), achieved CR (P<0.001), and NPM1 (+) FLT3-ITD(-) mutation (P=0.044) were the independent factors for increasing OS. NPM1(+) FLT3-ITD(-) mutation was the independent factor for increasing DFS (P=0.042). Patients were classified by three prognosis factors: <70 ages, CR, and NPM1(+)FLT3-ITD(-) mutation. Patients with no poor prognosis factors were classified as low risk (n=13), with one factor as medium risk (n=52) and with two and more factors as high risk (n=31). There were significant differences in OS rate and DFS rate at 3 years for 3 groups patients (60.5% vs 48.1% vs 0, P<0.001; 60.2% vs 39.4% vs 0, P=0.045; respectively). OS and DFS at 3 years for 3 groups' patients were indiscriminate between MA and CAG regimen. CONCLUSIONS There was indiscrimination of efficacy among MA and CAG induction chemotherapy in old AML patients. Less than 70 years of age, CR and NPM1(+)FLT3-ITD(-) mutation were the independent factors for better survival.
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Affiliation(s)
- J Wang
- Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China
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Liu S, Li Y, Qin Z, Geng X, Bao L, Kaltenboeck L, Kucuktas H, Dunham R, Liu Z. High-density interspecific genetic linkage mapping provides insights into genomic incompatibility between channel catfish and blue catfish. Anim Genet 2015; 47:81-90. [PMID: 26537786 DOI: 10.1111/age.12372] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2015] [Indexed: 02/01/2023]
Abstract
Catfish is the leading aquaculture species in the United States. The interspecific hybrid catfish produced by mating female channel catfish with male blue catfish outperform both of their parent species in a number of traits. However, mass production of the hybrids has been difficult because of reproductive isolation. Investigations of genome structure and organization of the hybrids provide insights into the genetic basis for maintenance of species divergence in the face of gene flow, thereby helping develop strategies for introgression and efficient production of the hybrids for aquaculture. In this study, we constructed a high-density genetic linkage map using the hybrid catfish system with the catfish 250K SNP array. A total of 26,238 SNPs were mapped to 29 linkage groups, with 12,776 unique marker positions. The linkage map spans approximately 3240 cM with an average intermarker distance of 0.25 cM. A fraction of markers (986 of 12,776) exhibited significant deviation from the expected Mendelian ratio of segregation, and they were clustered in major genomic blocks across 15 LGs, most notably LG9 and LG15. The distorted markers exhibited significant bias for maternal alleles among the backcross progenies, suggesting strong selection against the blue catfish alleles. The clustering of distorted markers within genomic blocks should lend insights into speciation as marked by incompatibilities between the two species. Such findings should also have profound implications for understanding the genomic evolution of closely related species as well as the introgression of hybrid production programs in aquaculture.
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Affiliation(s)
- S Liu
- The Fish Molecular Genetics and Biotechnology Laboratory, Aquatic Genomics Unit, School of Fisheries, Aquaculture and Aquatic Sciences and Program of Cell and Molecular Biosciences, Auburn University, Auburn, AL, 36849, USA
| | - Y Li
- The Fish Molecular Genetics and Biotechnology Laboratory, Aquatic Genomics Unit, School of Fisheries, Aquaculture and Aquatic Sciences and Program of Cell and Molecular Biosciences, Auburn University, Auburn, AL, 36849, USA
| | - Z Qin
- The Fish Molecular Genetics and Biotechnology Laboratory, Aquatic Genomics Unit, School of Fisheries, Aquaculture and Aquatic Sciences and Program of Cell and Molecular Biosciences, Auburn University, Auburn, AL, 36849, USA
| | - X Geng
- The Fish Molecular Genetics and Biotechnology Laboratory, Aquatic Genomics Unit, School of Fisheries, Aquaculture and Aquatic Sciences and Program of Cell and Molecular Biosciences, Auburn University, Auburn, AL, 36849, USA
| | - L Bao
- The Fish Molecular Genetics and Biotechnology Laboratory, Aquatic Genomics Unit, School of Fisheries, Aquaculture and Aquatic Sciences and Program of Cell and Molecular Biosciences, Auburn University, Auburn, AL, 36849, USA
| | - L Kaltenboeck
- The Fish Molecular Genetics and Biotechnology Laboratory, Aquatic Genomics Unit, School of Fisheries, Aquaculture and Aquatic Sciences and Program of Cell and Molecular Biosciences, Auburn University, Auburn, AL, 36849, USA
| | - H Kucuktas
- The Fish Molecular Genetics and Biotechnology Laboratory, Aquatic Genomics Unit, School of Fisheries, Aquaculture and Aquatic Sciences and Program of Cell and Molecular Biosciences, Auburn University, Auburn, AL, 36849, USA
| | - R Dunham
- The Fish Molecular Genetics and Biotechnology Laboratory, Aquatic Genomics Unit, School of Fisheries, Aquaculture and Aquatic Sciences and Program of Cell and Molecular Biosciences, Auburn University, Auburn, AL, 36849, USA
| | - Z Liu
- The Fish Molecular Genetics and Biotechnology Laboratory, Aquatic Genomics Unit, School of Fisheries, Aquaculture and Aquatic Sciences and Program of Cell and Molecular Biosciences, Auburn University, Auburn, AL, 36849, USA
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Liang M, Bao L, Xiong N, Jin B, Ni H, Zhang J, Zou H, Luo X, Li J. Cardiac arrhythmias as the initial manifestation of adult primary Sjögren's syndrome: a case report and literature review. Int J Rheum Dis 2015; 18:800-6. [PMID: 26171561 DOI: 10.1111/1756-185x.12616] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Two middle-aged female patients presenting with heart palpitation and electrocardiogram revealed complex cardiac arrhythmias. A review of systems was positive for dry mouth and transient arthralgia, while laboratory and instrumental tests enabled us to make the diagnosis of primary Sjögren's syndrome (pSS). Cardiac electrophysiology revealed atrioventricular node dysfunction and impaired intraventricular conduction. Prednisone therapy induced a significant improvement in symptoms and electrocardiographic readings. The diagnosis of pSS should be considered in a patient presenting with complex cardiac arrhythmias.
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Affiliation(s)
- Minrui Liang
- Division of Rheumatology, Huashan Hospital, Fudan University, Shanghai, China.,Institute of Rheumatology, Immunology and Allergy, Fudan University, Shanghai, China
| | - Liwen Bao
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Nanqing Xiong
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Bo Jin
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Huanchun Ni
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Jinjin Zhang
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Hejian Zou
- Division of Rheumatology, Huashan Hospital, Fudan University, Shanghai, China.,Institute of Rheumatology, Immunology and Allergy, Fudan University, Shanghai, China
| | - Xinping Luo
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Jian Li
- Department of Cardiology, Huashan Hospital, Fudan University, Shanghai, China
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Chen X, Hu Z, Li W, Wu P, Liu M, Bao L, Wu M, Fang S, Xiong W, Chen M, Wu G. Synergistic combined effect between CD40-1C>T and CTLA-4+6230G>A polymorphisms in Graves' disease. Gene 2015; 567:154-8. [PMID: 25936345 DOI: 10.1016/j.gene.2015.04.074] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2014] [Revised: 04/16/2015] [Accepted: 04/27/2015] [Indexed: 01/22/2023]
Abstract
The aim of this study was to investigate whether a genetic combined effect exists between CD40-1C>T and CTLA-4+6230G>A (CT60) polymorphisms and whether the combined effect renders susceptibility to Graves' disease (GD). We recruited 260 patients with GD and 248 healthy controls. Single nucleotide polymorphisms were genotyped by polymerase chain reaction-high resolution melting. Genetic polymorphisms related to GD were identified, levels of thyroid stimulating hormone receptor antibodies (TRAb) were measured, and genetic interactions were assessed by logistic regression analysis. Significant difference in allele and genotype frequency of CD40-1C>T polymorphism was observed between the patients and control subjects (P<0.001, 0.002 respectively). As for CTLA-4+6230G>A polymorphism, significant difference was observed only in allele frequencies between the patient and control groups (P=0.014). Moreover, a significant combined effect was presented in CD40-1C>T and CTLA-4+6230G>A polymorphism (P=0.020), and all, but one, combination CC-genotype of CD40-1C>T and GG-genotype of CTLA-4+6230G>A polymorphism has 54% lower risk of GD development than subjects with the CC and GG genotypes (OR=0.46, 95% CI=0.25-0.84). In newly onset GD group, neither single SNP (CD40-1C>T or CTLA-4+6230G>A polymorphism) nor their combined effect was showed a significant association with TRAb concentration (all P>0.05). Our findings suggest a possible additive combined effect between CD40-1C>T and CTLA4+6230G>A polymorphisms in the development of GD.
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Affiliation(s)
- Xiaoming Chen
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
| | - Zhuoqing Hu
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
| | - Wei Li
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
| | - Ping Wu
- Clinical Research Center, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
| | - Meilian Liu
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
| | - Liwen Bao
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
| | - Meifen Wu
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
| | - Shuo Fang
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
| | - Wei Xiong
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
| | - Manyang Chen
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
| | - Ge Wu
- Department of Endocrinology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China.
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