Publications by authors named "Cheng-Yu Wen"

Background: Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) represents the most common heritable cause of vascular dementia. Subcortical volumes might be proxies of brain reserve capacity and reflective of cognitive function. We explored the impact of subcortical volumes on cognition in CADASIL patients.

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  • The study explored the effects of initial serum sodium changes in type 2 diabetes patients starting SGLT2 inhibitor therapy and monitored their clinical outcomes.
  • In a cohort of 4400 patients treated from 2016 to 2021, most showed minimal sodium change, but 8.6% experienced low sodium (hyponatraemia) and 3.6% high sodium (hypernatraemia).
  • Hyponatraemia after starting treatment was linked to significantly higher risks of major cardiovascular events, heart failure hospitalizations, renal issues, and overall mortality.
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  • A study investigated the characteristics of asymptomatic diffusion-weighted imaging-positive (aDWI+) lesions in CADASIL patients, using data from the Taiwan CADASIL Registry.
  • Out of 154 patients, 11% had aDWI+ lesions, which were linked to a higher prevalence of small vessel disease markers, like lacunes and cerebral microbleeds, compared to patients without these lesions.
  • The research found that aDWI+ lesions were smaller and less likely to impact critical brain areas compared to symptomatic diffusion-weighted imaging-positive (sDWI+) lesions, highlighting the need for further investigation into their long-term effects.
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  • - The study aimed to evaluate the risk of screw loosening in patients with osteopenia or osteoporosis after undergoing either minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) or dynamic stabilization (DS) for lumbar spine issues.
  • - Researchers retrospectively analyzed data from 103 patients, comparing outcomes and screw loosening rates; they found that the MIS-TLIF group had a higher incidence of screw loosening (38% of patients, 16.9% of screws) compared to the DS group (18.9% of patients, 8% of screws).
  • - Subgroup analysis revealed that osteopenic patients faced significantly higher risks of screw loosening with MIS-TLIF, whereas the risk
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  • - The study investigates how high-glucose (HG) environments affect the response of human epidermal keratinocytes (HEKs) to UVB radiation, which is known to cause skin cancer.
  • - Researchers found that while both normal-glucose (NG) and HG conditions induced consistent responses to UVB, HG specifically triggered distinct processes related to cellular function and gene expression, including the activation of a key tumor suppressor gene, TFPI2.
  • - Under high-glucose conditions, HEKs exhibited increased oxidative stress, reduced cell viability, and heightened apoptosis after UVB exposure, suggesting that high glucose may alter keratinocytes' behavior and lower their photocarcinogenic potential.
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Exposure to artificial blue light, one of the most energetic forms of visible light, can increase oxidative stress in retinal cells, potentially enhancing the risk of macular degeneration. Retinal pigment epithelial (RPE) cells play a crucial role in this process; the loss of RPE cells is the primary pathway through which retinal degeneration occurs. In RPE cells, Kelch-like ECH-associated protein 1 (KEAP1) is located in both the nucleus and cytosol, where it binds to nuclear factor erythroid 2-related factor 2 (NRF2) and p62 (sequestosome-1), respectively.

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Background: Non-vitamin K antagonist oral anticoagulants (NOACs) are currently the mainstay treatment for preventing thrombosis-induced ischemic stroke in patients with atrial fibrillation (AF), deep vein thrombosis (DVT), or previous infarction. However, such management may potentially induce antithrombotic-associated intracranial hemorrhage, leading to significantly adverse clinical outcomes. To investigate the risk of spontaneous intracranial hemorrhage (sICH) in patients under therapeutic anticoagulation.

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Aims: β3-Adrenergic receptor (β3-AR) is essential for cardiovascular homoeostasis through regulating adipose tissue function. Perivascular adipose tissue (PVAT) has been implicated in the pathogenesis of aortic dissection and aneurysm (AD/AA). Here, we aim to investigate β3-AR activation-mediated PVAT function in AD/AA.

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Metastasis contributes to the increased mortality rate of cancer, but the intricate mechanisms remain unclear. Cancer cells from a primary tumor invade nearby tissues and access the lymphatic or circulatory system. If these cells manage to survive and extravasate from the vasculature into distant tissues and ultimately adapt to survive, they will proliferate and facilitate malignant tumor formation.

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: Although statins are recommended for secondary prevention of acute ischemic stroke, some population-based studies and clinical evidence suggest that they might be used with an increased risk of intracranial hemorrhage. In this nested case-control study, we used Taiwan's nationwide universal health insurance database to investigate the possible association between statin therapy prescribed to acute ischemic stroke patients and their risk of subsequent intracerebral hemorrhage and all-cause mortality in Taiwan. : All data were retrospectively obtained from Taiwan's National Health Insurance Research Database.

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Development of the cerebellum requires precise regulation of granule neuron progenitor (GNP) proliferation. Although it is known that primary cilia are necessary to support GNP proliferation, the exact molecular mechanism governing primary cilia dynamics within GNPs remains elusive. Here, we establish the pivotal roles for the centrosomal kinase TTBK2 (Tau tubulin kinase-2) and the E3 ubiquitin ligase HUWE1 in GNP proliferation.

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Diabetic retinopathy (DR) is a secondary complication of diabetes that can lead to visual impairment and blindness. The retinal pigment epithelium (RPE) is a monolayer of pigment cells that forms the blood-retinal barrier (BRB) via tight junction (TJ) proteins and plays a crucial role in the physiological function of the retina. Hyperglycemia induces RPE death and BRB breakdown, which accelerates the process of DR.

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Gliomas are the most common primary brain tumors in adults. Despite multidisciplinary treatment approaches, the survival rates for patients with malignant glioma have only improved marginally, and few prognostic biomarkers have been identified. Peroxisome proliferator-activated receptor γ (PPARγ) coactivator-1α (PGC-1α) is a crucial regulator of cancer metabolism, playing a vital role in cancer cell adaptation to fluctuating energy demands.

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  • The study investigates how changes in estimated glomerular filtration rate (eGFR) affect serum potassium levels in patients with type 2 diabetes after starting sodium-glucose cotransporter-2 inhibitors (SGLT2i).
  • Among 5,529 patients observed, 36.7% had no eGFR decline, while 57.9% experienced a decline of up to 30%, and 5.4% had a decline exceeding 30%.
  • Notably, a decline greater than 30% was linked to increased risk of both high potassium (hyperkalemia) and low potassium (hypokalemia) levels, suggesting that monitoring potassium levels is crucial after initiating SGLT2i treatment.
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Glaucoma is considered a neurodegenerative disease characterized by progressive visual field defects that may lead to blindness. Although controlling intraocular pressure (IOP) is the mainstay of glaucoma treatment, some glaucoma patients have unmet needs due to unclear pathogenic mechanisms. Recently, there has been growing evidence that neuroinflammation is a potential target for the development of novel antiglaucoma agents.

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  • This study explores how regional constructive work (CW) and wasted work (WW) can predict the effectiveness of cardiac resynchronization therapy (CRT) in patients with specific heart conditions.
  • Out of 134 CRT candidates observed, 69% showed positive response to treatment, with lateral wall CW and septal WW being the strongest indicators of reverse remodeling.
  • Researchers concluded that measuring LW CW and septal WW before CRT can help forecast improvements in heart function and long-term clinical outcomes, such as death and heart failure hospitalizations.
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Self-improving dystrophic epidermolysis bullosa (DEB) is a genodermatosis that is inherited autosomal dominantly or recessively, and its clinical symptoms may improve or subside spontaneously. Herein, we report a case of self-improving DEB with COL7A1 p.Gly2025Asp variant.

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  • Blood-based biomarkers (BBM) offer a non-invasive, cost-effective method for diagnosing Alzheimer's disease (AD) and are focused on key indicators like amyloid, tau, and neurodegeneration.
  • * Research has shown that phosphorylated tau and the Aβ42/Aβ40 ratio correlate well with brain pathology, while GFAP and neurofilament light chain (NfL) can help differentiate AD from other conditions.
  • * Recommendations from the Taiwan Dementia Society suggest BBMs can aid in diagnosing and prognosing AD, but their use must be combined with insights from specialists and other diagnostic methods.*
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Background: Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is the most prevalent monogenic cerebral small-vessel disease. Phenotype variability in CADASIL suggests the possible role of genetic modifiers. We aimed to investigate the contributions of the genotype and Neurogenic locus notch homolog protein 3 () variant position to cognitive impairment associated with CADASIL.

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Glioblastoma (GBM) stands as the most prevalent primary malignant brain tumor, typically resulting in a median survival period of approximately thirteen to fifteen months after undergoing surgery, chemotherapy, and radiotherapy. Nucleobindin-2 (NUCB2) is a protein involved in appetite regulation and energy homeostasis. In this study, we assessed the impact of NUCB2 expression on tumor progression and prognosis of GBM.

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  • * The study investigates thioredoxin domain-containing protein 11 (TXNDC11) as a potential prognostic marker in GBM, finding high TXNDC11 levels correlate with high-grade tumors and poor patient outcomes.
  • * TXNDC11 silencing reduces GBM cell proliferation, migration, and invasion, while its overexpression has the opposite effect; thus, TXNDC11 may serve as an oncogene and a novel target for treatment.
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