Publications by authors named "Chengle Zhuang"

Article Synopsis
  • The study compares the newly introduced AWGC criteria for cachexia and GLIM criteria for malnutrition in gastric cancer patients who had radical gastrectomy, aiming to see which diagnosis better predicts patient outcomes.
  • Out of 1420 patients, those diagnosed with either AWGC-cachexia or GLIM-malnutrition, or both, were found to have a higher risk of postoperative complications and lower overall survival rates.
  • Both diagnosis criteria proved to be useful independently, with patients who had both conditions facing the worst prognosis, highlighting their value in preoperative nutritional assessments.
View Article and Find Full Text PDF

Aging and obesity pose significant threats to public health and are major contributors to muscle atrophy. The trends in muscle fiber types under these conditions and the transcriptional differences between different muscle fiber types remain unclear. Here, we demonstrate distinct responses of fast/glycolytic fibers and slow/oxidative fibers to aging and obesity.

View Article and Find Full Text PDF
Article Synopsis
  • Cachexia is common in cancer patients, but existing diagnostic criteria may not apply well to Asian populations, prompting this study to compare AWGC criteria with Fearon's criteria.
  • The study analyzed data from 1330 patients who underwent radical gastrectomy, finding that those diagnosed with AWGC-cachexia had distinct characteristics and higher risks for complications and mortality compared to those diagnosed with Fearon’s criteria.
  • Results suggest that AWGC criteria are more effective for diagnosing cancer cachexia in Asians and offer improved prognostic insights than Fearon's criteria.
View Article and Find Full Text PDF

Objectives: Skeletal muscle index (SMI) is insufficient for evaluating muscle in obesity, and muscle attenuation (MA) may be a preferred indicator. This study aimed to investigate whether MA has greater prognostic value than SMI in gastric cancer patients with overweight and obesity.

Methods: Clinical parameters of 1312 patients with gastric cancer who underwent radical gastrectomy were prospectively collected between 2013 and 2019.

View Article and Find Full Text PDF
Article Synopsis
  • Cancer cachexia is a serious condition affecting cancer patients with diverse clinical features, and identifying these phenotypes can lead to tailored treatments and improved patient outcomes.
  • In a nationwide study conducted in China on 4,329 patients, researchers used machine learning to classify patients into four distinct clusters based on their clinical characteristics, which varied from mildly to severely impaired health.
  • The study found that as the impairment severity increased, so did mortality rates, with the machine learning model performing better at predicting outcomes compared to traditional methods, confirming its effectiveness in classifying cancer cachexia phenotypes.
View Article and Find Full Text PDF

Adult skeletal muscle regeneration is mainly driven by muscle stem cells (MuSCs), which are highly heterogeneous. Although recent studies have started to characterize the heterogeneity of MuSCs, whether a subset of cells with distinct exists within MuSCs remains unanswered. Here, we find that a population of MuSCs, marked by Gli1 expression, is required for muscle regeneration.

View Article and Find Full Text PDF

Background: Colorectal cancer (CRC) was one of the most widely diagnosed cancers in the United States in 2021. CRC patients may experience significant psychological stress and are susceptible to depression and anxiety. Previous studies have shown that cognitive behavioral therapy (CBT) can reduce fatigue and improve quality of life among breast cancer patients.

View Article and Find Full Text PDF

Sarcopenia is a progressive systemic skeletal muscle disorder characterized by a pathological decline in muscle strength, quantity, and quality, which frequently affects the elderly population. The majority of cancer patients are of advanced age. Patients may already have sarcopenia prior to cancer development, and those with cancer are prone to developing sarcopenia due to hypercatabolism, inflammation, reduced physical fitness, anorexia, adverse effects, and stress associated with anticancer therapy.

View Article and Find Full Text PDF

Background: Sarcopenia is highly prevalent in elderly individuals and has a significant adverse effect on their physical health and quality of life, but the mechanisms remain unclear. Studies have indicated that transcription factors (TFs) and the immune microenvironment play a vital role in skeletal muscle atrophy.

Methods: RNA-seq data of 40 muscle samples were downloaded from the GEO database.

View Article and Find Full Text PDF

Objective: Although previous studies have implicated the negative outcomes of sarcopenia, evidence is limited to one or a few types of cancer. The aim of this study was to evaluate the distribution and influencing factors of sarcopenia, and explore the relationship between sarcopenia and cancer prognosis in a large oncological population.

Methods: This observational cohort study included patients diagnosed with malignant cancer between May 2011 and January 2019.

View Article and Find Full Text PDF

Objective: The aim of this study was to assess the impact of short-term, hospital-based, supervised multimodal prehabilitation on elderly patients with colorectal cancer.

Methods: A single-center, retrospective study was conducted from October 2020 to December 2021, which included a total of 587 CRC patients who were scheduled to undergo radical resection. A propensity score-matching analysis was performed to reduce selection bias.

View Article and Find Full Text PDF

Metabolic reprogramming is one of the essential features of tumor that may dramatically contribute to metastasis and collapse. The metabolic profiling is investigated on the patient derived tissue and cancer cell line derived mouse metastasis xenograft. As well-recognized "seeds" for remote metastasis of tumor, role of circulating tumor cells (CTCs) in the study of metabolic reprogramming feature of tumor is yet to be elucidated.

View Article and Find Full Text PDF

Skeletal muscle plays a critical role in human health. Muscle stem cells (MuSCs) serve as the major cell type contributing to muscle regeneration by directly differentiating to mature muscle cells. MuSCs usually remain quiescent with occasionally self-renewal and are activated to enter cell cycle for proliferation followed by differentiation upon muscle injury or under pathological conditions.

View Article and Find Full Text PDF
Article Synopsis
  • * Results indicate that patients who underwent laparoscopic surgery experienced fewer complications, shorter hospital stays, and improved overall and disease-free survival rates.
  • * Key risk factors for complications and survival include hypoalbuminemia, older age, and TNM stage, with laparoscopic surgery being a significant protective factor against adverse outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • * The focus on "healthy aging" has prompted new questions in the life and social sciences, reflecting a growing interest in how to age well.
  • * Recent research highlights that aging can be influenced by certain genetic pathways and biological processes, and studies aim to better understand aging and related diseases across different levels of biological organization.
View Article and Find Full Text PDF

Background: Malnutrition and sarcopenia are common in elderly gastric cancer patients, which are also interrelated and affect each other. We aimed to determine the characteristics of coexistence of malnutrition and sarcopenia in the elderly gastric cancer patients and investigate the predictive roles of malnutrition and sarcopenia on clinical outcomes.

Methods: Between 2014 and 2019, a total of 742 elderly gastric cancer patients were enrolled.

View Article and Find Full Text PDF

Background: Myosteatosis and sarcopenia are forms of muscle depletion that impair the normal physiological function of elderly patients, resulting in a worse prognosis. This study aimed to evaluate the prognostic value of sarcopenia and myosteatosis on postoperative outcomes in elderly patients with colorectal cancer.

Methods: From February 2015 to March 2021, a total of 921 elderly patients who underwent curative surgeries for colorectal cancer at 2 centers were enrolled and grouped by the presence of either myosteatosis or sarcopenia.

View Article and Find Full Text PDF

Objective: Anthropometric measurements including body mass index (BMI), mid-upper arm circumference (MUAC), and calf circumference (CC) are simple and convenient indicators of nutritional status and muscle mass. However, most of their reference values come from studies based on healthy Western populations. The optimal reference values of these anthropometric factors in Asian patients with cancer are unclear.

View Article and Find Full Text PDF

Background: Solute carrier family 7 member 11 (SLC7A11) is overexpressed in multiple human tumours and functions as a transporter importing cystine for glutathione biosynthesis. It promotes tumour development in part by suppressing ferroptosis, a newly identified form of cell death that plays a pivotal role in the suppression of tumorigenesis. However, the role and underlying mechanisms of SLC7A11-mediated ferroptosis in hepatoblastoma (HB) remain largely unknown.

View Article and Find Full Text PDF