Publications by authors named "ChunLan Chen"

Background: This study aimed to assess the effect of vitamin D insufficiency or deficiency in early pregnancy on the Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) in women with gestational diabetes mellitus (GDM) and to determine the correlation between HOMA-IR and pregnancy outcomes.

Methods: General clinical data, HOMA-IR, β-Cell function index (HOMA-β), and pregnancy outcomes were retrospectively analyzed in 248 GDM patients with vitamin D insufficiency and 81 GDM patients with vitamin D deficiency from September 2019 through April 20, 2023. The correlation between vitamin D and HOMA-IR was analyzed using multiple linear regression.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate the effectiveness of local-regional radiotherapy (LRRT) in patients with de novo metastatic nasopharyngeal carcinoma (dm NPC) who were treated with chemo-immunotherapy.
  • A total of 546 patients were analyzed, showing that those receiving LRRT had better progression-free survival (PFS) rates, especially in patients with oligo metastatic disease and undetectable EBV DNA levels.
  • The findings suggest that LRRT can extend PFS for certain patients, highlighting oligo metastatic disease and undetectable EBV DNA as potential indicators for its benefits.
View Article and Find Full Text PDF
Article Synopsis
  • - The study compares the cost-effectiveness of robotic radical hysterectomy (RRH) and laparoscopic radical hysterectomy (LRH) for treating early-stage cervical cancer, using a model-based analysis with data from existing literature and local databases.
  • - Results indicate that while RRH provides more quality-adjusted life years (QALYs)—4.84 more than LRH—it also incurs significantly higher costs, with an incremental cost of 1,031,108 RMB and an ICER of 213,054 RMB per QALY.
  • - The findings suggest that RRH is a cost-effective option over the patients' lifetime, despite its higher upfront cost, highlighting the need for long-term clinical trials to evaluate financial and
View Article and Find Full Text PDF
Article Synopsis
  • - The study examines how sodium propionate (SP), a substance produced during the fermentation of dietary fiber, impacts acute respiratory distress syndrome (ARDS) in rats induced by lipopolysaccharide (LPS), focusing on lung function and inflammatory responses.
  • - Results showed that SP helped improve low oxygen levels and reduced lung and intestinal tissue damage by lowering pro-inflammatory markers like TNF-α and IL-6 while increasing the anti-inflammatory factor IL-10.
  • - SP also affected key cellular pathways by inhibiting the PI3K/AKT/mTOR signaling pathway and promoting autophagy, suggesting potential therapeutic benefits for ARDS related to inflammation and tissue repair.
View Article and Find Full Text PDF
Article Synopsis
  • This study focuses on improving the management of patients with de novo metastatic nasopharyngeal carcinoma (NPC) undergoing palliative immuno-chemotherapy (PICT) by predicting individual survival outcomes.
  • A nomogram was developed to predict overall survival based on data from 592 patients, identifying key prognostic factors like bone metastasis and the number of metastatic lesions.
  • The results indicated that patients with different M1 classifications (M1a vs. M1b) had significantly different survival rates, highlighting the nomogram's clinical usefulness in guiding treatment decisions.*
View Article and Find Full Text PDF

Objective: This paper uses health economics methods to discuss the cost-effectiveness value of long protocol and antagonist protocol for in vitro fertilisation and embryo transfer (ET) in the Chinese population.

Design: Health economic evaluation study.

Setting: The data needed to construct the model for this study were derived from published studies and other secondary sources in China.

View Article and Find Full Text PDF
Article Synopsis
  • Natural revegetation (VR) shows a greater increase in soil organic carbon (SOC) accumulation compared to cropping over 24 years, primarily due to a higher contribution of plant-derived carbon.
  • The study reveals that recalcitrant organic carbon plays a larger role in SOC variation than easily oxidizable carbon, while microbial necromass percentages are similar between the two land use types.
  • Key factors influencing SOC formation include microbial and plant-derived sources, with soil nitrogen being significant in both VR and cropland; however, phosphorus content is crucial in cropland, whereas climatic factors are more important in VR.
View Article and Find Full Text PDF

Background: Platinum-based compounds are commonly used as an initial treatment for colorectal cancer (CRC). However, the development of drug resistance in patients with CRC necessitates the administration of high drug concentrations during clinical treatment, thereby augmenting the toxicity of platinum-based compounds and increasing the mortality rate. STAG2 is a significantly associated drug-resistance gene in many cancers, but it has not been studied in colorectal cancer.

View Article and Find Full Text PDF

Background: Exacerbations are implicated in bronchiectasis and COPD, which frequently co-exist [COPD-Bronchiectasis association (CBA)]. We aimed to determine the bacterial and viral spectrum at stable-state and exacerbation onset of CBA, and their association with exacerbations and clinical outcomes of CBA as compared with bronchiectasis.

Methods: We prospectively collected spontaneous sputum from adults with CBA, bronchiectasis with (BO) and without airflow obstruction (BNO) for bacterial culture and viral detection at stable-state and exacerbations.

View Article and Find Full Text PDF

Background: Sarcopenia is common in patients with autoimmune diseases (ADs); however, the causal associations between ADs and sarcopenia remain unclear. Therefore, this study investigated the causal associations using bi-directional Mendelian randomization analysis.

Methods: Exposure-related single-nucleotide polymorphisms (SNPs) were extracted from genome-wide association studies (GWASs).

View Article and Find Full Text PDF

The gut microbiota and immune system interaction play a crucial role in maintaining overall health. Probiotics, prebiotics, and postbiotics have emerged as promising therapeutic approaches to positively influence this complex axis and enhance health outcomes. Probiotics, as live bacteria, promote the growth of immune cells, shape immune responses, and maintain gut barrier integrity.

View Article and Find Full Text PDF

Background: Anxiety is common in patients with inflammatory bowel disease (IBD), including those with ulcerative colitis (UC) and Crohn's disease (CD); however, the causal relationship between IBD and anxiety remains unknown.

Aim: To investigate the causal relationship between IBD and anxiety by using bidirectional Mendelian randomization analysis.

Methods: Single nucleotide polymorphisms retrieved from genome-wide association studies (GWAS) of the European population were identified as genetic instrument variants.

View Article and Find Full Text PDF

Extracellular regulated protein kinases 1/2 (ERK1/2) are key members of multiple signaling pathways, including the ErbB axis. Ectopic ERK1/2 activation contributes to various types of cancer, especially drug resistance to inhibitors of RTK, RAF and MEK, and specific ERK1/2 inhibitors are scarce. In this study, we identified a potential novel covalent ERK inhibitor, Laxiflorin B, which is a herbal compound with anticancer activity.

View Article and Find Full Text PDF

Laxiflorin B is a natural ent-kaurane diterpenoid that can be isolated from the leaves of the Isodon eriocalyx var. laxiflora, a perennial shrub native to parts of China. While this compound has potent cytotoxic activity against various tumor cells, the anti-tumor targets and molecular mechanisms of Laxiflorin B are unclear.

View Article and Find Full Text PDF

Objective: Many clinical trials of immune checkpoint inhibitors (ICIs) in combination with chemotherapy in the first-line treatment of extensive-stage small cell lung cancer (ES-SCLC) have been initiated, but the conclusions of these trials are not identical. This meta-analysis aimed to comprehensively collect these randomized clinical controlled trials (RCTs) to evaluate the efficacy and safety of ICIs combined with chemotherapy in the first-line treatment of ES-SCLC.

Methods: We systematically searched PubMed, Embase, and ClinicalTrials databases, to find relevant studies published until October 2022.

View Article and Find Full Text PDF

Upper respiratory tract infection (URTI) is common in humans. We sought to profile sputum pathogen spectrum and impact of URTI on acute exacerbation of bronchiectasis (AE). Between March 2017 and December 2021, we prospectively collected sputum from adults with bronchiectasis.

View Article and Find Full Text PDF

Usnea has various pharmacological properties, including anti-inflammatory, antitumor, antioxidant, antiviral, and cardiovasculoprotective effects. To investigate the potential mechanisms underlying the anti-atherosclerosis (AS) activity of ethanol extract (UEE) the regulation of intestinal flora. The chemical composition of UEE was determined using ultra-performance liquid chromatography with quadrupole exactive orbitrap mass spectrometry (UPLC-Q-EOMS).

View Article and Find Full Text PDF

N6-methyladenosine (m6A) is the most abundant internal chemical modification of eukaryotic mRNA and plays diverse roles in gene regulation. The m6A modification plays a significant role in numerous cancer types, including kidney, stomach, lung, bladder tumors, and melanoma, through varied mechanisms. As direct m6A readers, the YT521-B homology domain family proteins (YTHDFs) play a key role in tumor transcription, translation, protein synthesis, tumor stemness, epithelial-mesenchymal transition (EMT), immune escape, and chemotherapy resistance.

View Article and Find Full Text PDF

Clinically, the conventional treatments of cancer are still often accompanied by tumor recurrence, metastasis and other poor prognosis. Nowadays, more attention has been paid to photodynamic therapy (PDT), which is regarded as an adjuvant antineoplastic strategy with superiorities in great spatiotemporal selectivity and minimal invasiveness. In addition to eliminating tumor cells via reactive oxygen species (ROS), more meaningfully, this phototherapy can trigger immunogenic cell death (ICD) that plays a vital role in photodynamic immunotherapy (PDIT).

View Article and Find Full Text PDF

Epigenetic modifications are essential mechanism by which to ensure cell homeostasis. One such modification is lysine methylation of nonhistone proteins by SETD7, a mono-methyltransferase containing SET domains. SETD7 methylates over 30 proteins and is thus involved in various classical pathways.

View Article and Find Full Text PDF

Background: Curcumin (CUR), demethoxycurcumin (DMC) and bisdemethoxycurcumin (BDMC) are the main components of turmeric that commonly used to treat neuropathic pain (NP). However, the mechanism of the therapy is not sufficiently clarified. Herein, network pharmacology, molecular docking and molecular dynamics (MD) approaches were used to investigate the mechanism of curcuminoids for NP treatment.

View Article and Find Full Text PDF

Objective: To evaluate the clinical efficacy of acupoint catgut embedding in the treatment of simple obesity through network meta-analysis.

Methods: PubMed, Cochrane, Embase, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP database (VIP) were searched by using computer from 2011 to August 2021, and 35 RCT studies were retrieved. The quality of the literature was evaluated using the modified Jadad scoring table, and Stata 15.

View Article and Find Full Text PDF

Out-of-hospital cardiac arrest (OHCA) with high mortality and disable rate is a public health problem of common concern all over the world. In order to improve the survival rate of OHCA, developed countries such as Europe and the United States have established regional and even national OHCA registration database for continuous monitoring and quality improvement of OHCA, identifying the weaknesses in each link of the survival chain, and evaluating effective measures to enhance the survival rate. At present, China still lacks of registration database that can comprehensively collect the information of OHCA and effectively reflect the treatment status and research direction of OHCA.

View Article and Find Full Text PDF

Alzheimer's disease (AD) is a common neurodegenerative disease. More evidence has shown that gut microbiota is closely associated with AD. Also, studies have shown that the distribution of gut microbiota vary in different sections of the intestine.

View Article and Find Full Text PDF

Purpose: Low calf circumference is an important indicator of malnutrition and has been widely studied, especially among older adults. However, data on the association between low calf circumference and mortality have been inconsistent. This systematic review was aimed to quantify this association.

View Article and Find Full Text PDF

A PHP Error was encountered

Severity: Warning

Message: fopen(/var/lib/php/sessions/ci_sessiona7adu58622g5jhho340dol71afh9a0ba): Failed to open stream: No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 177

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: session_start(): Failed to read session data: user (path: /var/lib/php/sessions)

Filename: Session/Session.php

Line Number: 137

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once