Publications by authors named "An-Ran Zhang"

As an essential transcriptional activator, plays a crucial role in pancreatic development and β-cell function. Mutations in the gene may lead to type 4 maturity-onset diabetes of the young (MODY4) and neonatal diabetes mellitus. However, the precise mechanisms underlying MODY4 remain elusive due to the paucity of clinical samples and pronounced differences in pancreatic architecture and genomic composition between humans and existing animal models.

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  • Demand for less-invasive treatments for gummy smiles has risen, leading to a study on the efficacy of botulinum toxin A injections specifically at the Yonsei point.
  • In a clinical trial with 49 participants, injections at the Yonsei point showed reductions in gingival exposure at various time points, but results were similar to those from a control injection site.
  • Both injection sites effectively reduced gummy smile appearance and increased patient satisfaction, with minimal side effects reported, indicating either site can be utilized for treatment.
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Background: Previous studies have evaluated treatment efficacy of various antibiotics for patients with mild-to-moderate scrub typhus (ST). However, the efficacy of different antibiotics for treating severe ST remains uncertain.

Methods: A retrospective study of patients with severe ST was undertaken in China.

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Background: To quantitatively assess the impact of the onset-to-diagnosis interval (ODI) on severity and death for coronavirus disease 2019 (COVID-19) patients.

Methods: This retrospective study was conducted based on the data on COVID-19 cases of China over the age of 40 years reported through China's National Notifiable Infectious Disease Surveillance System from February 5, 2020 to October 8, 2020. The impacts of ODI on severe rate (SR) and case fatality rate (CFR) were evaluated at individual and population levels, which was further disaggregated by sex, age and geographic origin.

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Background: Viral pathogens belonging to the order Bunyavirales pose a continuous background threat to global health, but the fact remains that they are usually neglected and their distribution is still ambiguously known. We aim to map the geographical distribution of Bunyavirales viruses and assess the environmental suitability and transmission risk of major Bunyavirales viruses in China.

Methods: We assembled data on all Bunyavirales viruses detected in humans, animals and vectors from multiple sources, to update distribution maps of them across China.

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Background: Scrub typhus (ST) is a life-threatening infectious disease if appropriate treatment is unavailable. Large discrepancy of clinical severity of ST patients was reported among age groups, and the underlying risk factors for severe disease are unclear.

Methods: Clinical and epidemiological data of ST patients were collected in 55 surveillance hospitals located in Guangzhou City, China, from 2012 to 2018.

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The ongoing enzootic circulation of the Middle East respiratory syndrome coronavirus (MERS-CoV) in the Middle East and North Africa is increasingly raising the concern about the possibility of its recombination with other human-adapted coronaviruses, particularly the pandemic SARS-CoV-2. We aim to provide an updated picture about ecological niches of MERS-CoV and associated socio-environmental drivers. Based on 356 confirmed MERS cases with animal contact reported to the WHO and 63 records of animal infections collected from the literature as of 30 May 2020, we assessed ecological niches of MERS-CoV using an ensemble model integrating three machine learning algorithms.

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Article Synopsis
  • A nationwide study in China from 2009 to 2019 analyzed over 231,000 patients with acute respiratory infections, revealing significant insights into viral and bacterial infection rates.
  • Children under 5 and school-aged children had the highest rates of viral (46.9%) and bacterial (30.9%) infections, with influenza and Streptococcus pneumoniae identified as the leading pathogens.
  • The research highlighted complex interactions between different pathogens and suggested that targeted strategies for diagnosis and prevention should consider factors such as age, location, and seasonal variation in respiratory infections.
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Background: Before effective vaccines become widely available, sufficient understanding of the impacts of climate, human movement and non-pharmaceutical interventions on the transmissibility of COVID-19 is needed but still lacking.

Methods: We collected by crowdsourcing a database of 11 003 COVID-19 cases from 305 cities outside Hubei Province from December 31, 2019 to April 27, 2020. We estimated the daily effective reproduction numbers ( ) of COVID-19 in 41 cities where the crowdsourced case data are comparable to the official surveillance data.

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Background: COVID-19 has impacted populations around the world, with the fatality rate varying dramatically across countries. Selenium, as one of the important micronutrients implicated in viral infections, was suggested to play roles.

Methods: An ecological study was performed to assess the association between the COVID-19 related fatality and the selenium content both from crops and topsoil, in China.

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  • * A total of 2562 MERS cases were reported with a high fatality rate of 32.7%, revealing that older age, underlying health issues, and delays in diagnosis increase the risk of death, while animal contact shows varying effects based on gender and age
  • * The diffusion of MERS-CoV is rapid, facilitated by transport networks and centered in Riyadh and Abu Dhabi, with the latest strains exhibiting mutations that correlate with higher mortality rates, highlighting the potential for localized outbreaks to lead
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  • The study aimed to understand COVID-19 transmission dynamics during the early pandemic by analyzing a large dataset of cases and their potential transmission pairs.
  • Findings showed that the median incubation period was 7.2 days, with children under 18 having longer incubation periods compared to adults.
  • The research highlighted that peak infectivity happened one day before symptoms appeared, indicating that a significant portion of transmission occurred during the incubation period, which underscores the need for strict control measures like early case detection and quarantining contacts.
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Background: As of June 8, 2020, the global reported number of COVID-19 cases had reached more than 7 million with over 400 000 deaths. The household transmissibility of the causative pathogen, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), remains unclear. We aimed to estimate the secondary attack rate of SARS-CoV-2 among household and non-household close contacts in Guangzhou, China, using a statistical transmission model.

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Background: As of April 2, 2020, the global reported number of COVID-19 cases has crossed over 1 million with more than 55,000 deaths. The household transmissibility of SARS-CoV-2, the causative pathogen, remains elusive.

Methods: Based on a comprehensive contact-tracing dataset from Guangzhou, we estimated both the population-level effective reproductive number and individual-level secondary attack rate (SAR) in the household setting.

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  • Tropospheric ozone has emerged as the main air pollutant in Hangzhou, China, prompting the need for improved analysis and regulation using advanced modeling techniques.
  • The study employs the WRF-CMAQ atmospheric model and various machine learning algorithms to analyze factors influencing ozone levels, finding that dew-point deficit is a key meteorological factor and that reducing volatile organic compounds (VOCs) is the most effective mitigation strategy.
  • Machine learning models outperform traditional atmospheric models in predicting ozone levels due to their efficiency, accuracy, and adaptability.
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  • The study aimed to determine the prevalence and characteristics of heterotopic gastric mucosa (HGM) in Chinese patients, finding a prevalence rate of 0.4% among 420 patients assessed.
  • Most patients had a single flat patch of HGM, with the predominant histological type being fundic-type mucosa, while a small percentage showed intestinal metaplasia and dysplasia.
  • The research highlighted that clinical symptoms like dysphagia and epigastric discomfort are significant risk factors, suggesting that these symptoms should prompt further investigation and endoscopic follow-up for HGM.
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Induction of murine double minute 2 (MDM2) expression is thought to be a determinant of resistance to p53 gene therapy for cancer. Previous studies have revealed that ribosomal protein L23 (RPL23) inhibits MDM2-mediated p53 degradation through direct binding to MDM2. In addition, ectopically expressed RPL23 was reported to interact with MDM2 in both the nucleus and cytoplasm, by which RPL23 indirectly inhibited MDM2-p53 binding.

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Resistance to anoikis, the subtype of apoptosis induced by lack of matrix adhesion, contributes to malignant transformation and development of metastasis. MicroRNAs play key regulatory roles in tumorigenesis and metastasis. In this study, we described that miR-26a, which is usually downregulated in tumor cells, is involved in the acquisition of anoikis-resistance of human esophageal adenocarcinoma (EA) cells.

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