Publications by authors named "Chunxiao Wan"

Article Synopsis
  • Repetitive transcranial magnetic stimulation (rTMS) was studied for its effects on improving motor function and neural plasticity in stroke patients, with a focus on different brain targets like the primary motor area (M1) and the supplementary motor area (SMA).
  • Fifty-four participants were divided into three groups (M1, SMA, and Sham) and underwent rTMS treatments, with outcomes assessed using various scales and functional MRI to measure brain activity and connectivity changes.
  • Results showed significant improvements in motor function and balance scores for the SMA group compared to the Sham group, and correlations between brain activity in specific areas and recovery outcomes, indicating the effectiveness of targeted rTMS therapy.
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Aerobic exercise (AE) has attracted considerable research attention as a non-invasive therapeutic tool in recent years. Accumulating evidence has revealed its protective role against a wide range of diseases. In this study, we aimed to establish whether AE could inhibit apoptosis in infarcted cardiomyocytes and protect the heart.

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Overwhelming evidence has shown that aging is a significant risk factor for COVID-19-related hospitalizations, death and other adverse health outcomes. Particular T cell subsets that susceptible to aging and associated with COVID-19 disease severity requires further elucidation. Our study recruited 57 elderly patients with acute COVID-19 and 27 convalescent donors.

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Aerobic training (AT), an effective form of cardiac rehabilitation, has been shown to be beneficial for cardiac repair and remodeling after myocardial infarction (MI). The p300/CBP-associated factor (PCAF) is one of the most important lysine acetyltransferases and is involved in various biological processes. However, the role of PCAF in AT and AT-mediated cardiac remodeling post-MI has not been determined.

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Exosomes (Exo) generated from mesenchymal stem cells (MSCs) have great therapeutic potential in ischemia-reperfusion treatment. For best therapeutic effect, high quality Exo product and effective delivery system are indispensable. In this study, we developed a new strategy for ischemia-reperfusion recovery by combining MSCs 3D (3D-MSC) culturing technology to generate Exo (3D-MSC-Exo) and microneedle for topical delivery.

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Mitochondria play a crucial role in maintaining cellular energy supply and serve as a source of energy for repairing nerve damage following a stroke. Given that exercise has the potential to enhance energy metabolism, investigating the impact of exercise on mitochondrial function provides a plausible mechanism for stroke treatment. In our study, we established the middle cerebral artery occlusion (MCAO) model in Sprague-Dawley rats and implemented early exercise intervention.

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The large-scale genomic analysis classifies glioblastoma (GBM) into three major subtypes, including classical (CL), proneural (PN), and mesenchymal (MES) subtypes. Each of these subtypes exhibits a varying degree of sensitivity to the temozolomide (TMZ) treatment, while the prognosis corresponds to the molecular and genetic characteristics of the tumor cell type. Tumors with MES features are predominantly characterized by the NF1 deletion/alteration, leading to sustained activation of the RAS and PI3K-AKT signaling pathways in GBM and tend to acquire drug resistance, resulting in the worst prognosis compared to other subtypes (PN and CL).

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Our previous studies have shown that early exercise intervention after stroke increases neural activity and synaptic plasticity and promotes the recovery of nerve fiber bundle integrity in the brain. However, the effect of exercise on the repair of myelin in the brain and the related mechanism are still unclear. In this study, we randomly divided the rats into three groups.

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Vascular cognitive impairment(VCI) is a group of syndromes ranging from mild cognitive impairment to dementia caused by cerebrovascular disease, due to the lack of sensitivity and specific biomarkers, it is difficult to identify and diagnose early. Abnormal connectivity is observed in brain regions of patients with vascular cognitive disorders, locates mainly in the default mode network(DMN), and changes in their abnormal functional connectivity correlated with the degree of patients' cognitive impairment. Resting-state functional magnetic resonance imaging(rs-fMRI) is a commonly used method to detect the internal activity of the brain at resting state.

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Objectives: Tactile stimulation (TS) can promote neurogenesis and motor function recovery in rats with hypoxic-ischaemic brain injury, but the underlying mechanism is not clear. This study aimed to assess the effects of TS on neurological function in rats after cerebral ischaemia and explore the underlying mechanism.

Methods: Adult SD rats were randomly divided into a sham operation (SHAM) group, middle cerebral artery occlusion with tactile stimulation (TS-MCAO) group and middle cerebral artery occlusion with sedentary intervention (SED-MCAO) group.

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Article Synopsis
  • Motor impairment after a stroke results from damage to the brain networks responsible for movement, specifically impacting the corticospinal pathway.
  • A study involving twelve stroke patients and fifteen healthy individuals measured corticomuscular coherence (CMC) using EEG and EMG during ankle dorsiflexion, finding that stroke patients had significantly lower CMC values compared to healthy controls.
  • Results indicated a positive correlation between CMC and the Fugl-Meyer Assessment for lower limbs, suggesting that CMC could serve as a valuable biomarker for rehabilitation assessments in stroke recovery.
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Balance rehabilitation is exceedingly crucial during stroke rehabilitation and is highly related to the stroke patients' secondary injuries (caused by falling). Stroke patients focus on walking ability rehabilitation during the early stage. Ankle dorsiflexion can activate the brain areas of stroke patients, similar to walking.

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Electrical stimulation of the right median nerve can aid coma arousal after traumatic brain injury (TBI). This study aimed to confirm the efficacy further and explore possible mechanisms of right median nerve electrical stimulation (RMNS). Five comatose patients after severe TBI from May to September 2020 in the Tianjin Medical University General Hospital received RMNS for 2 weeks besides standard management.

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Article Synopsis
  • Exosomes can stimulate microglia, influencing neural activity and synaptic changes, and prior research indicated that a 4-week exercise program improved exosome release and brain protection in MCAO rats.* -
  • In this study, different groups of rats were analyzed based on their treatment: sham, sedentary MCAO, exercising MCAO, and exercising MCAO with exosome injection, assessing various neurological and cellular parameters over 28 days.* -
  • Results showed that exercise enhanced overall health and neurological function, minimized cerebral damage, reduced microglial presence, and improved dendritic complexity, with the most significant benefits observed in the group that received both exercise and exosome injection.*
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Article Synopsis
  • - This study investigates the prevalence and contributing factors of sarcopenia in elderly individuals (60+) with hypertension, finding that about 20.2% of this population is affected.
  • - Key factors linked to sarcopenia include age 70 or older, presence of diabetes, osteoporosis, alcohol consumption, and a BMI in the range of 24.0 to 27.9 kg/m².
  • - The findings suggest a significant relationship between sarcopenia and these factors, highlighting the need for further research on how regular medical visits impact sarcopenia in this demographic.
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Hypoxia preconditioning is neuroprotective, but the therapeutic effects of intermittent hypoxia were not fully considered. The present study investigated the neuroprotective effect and mechanism of intermittent hypoxia on motor function after cerebral ischemia and explored alternative clinical treatment options. In total, 36 8-week-old male Sprague-Dawley rats were subjected to 60 min of transient middle cerebral artery occlusion (tMCAO) and then randomly divided into a sham-operated group (SHAM), tMCAO-sedentary group (SED), and tMCAO-intermittent hypoxia group (IH).

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The hybrid brain-computer interface (hBCI) combining motor imagery (MI) and steady-state visual evoked potential (SSVEP) has been proven to have better performance than a pure MI- or SSVEP-based brain-computer interface (BCI). In most studies on hBCIs, subjects have been required to focus their attention on flickering light-emitting diodes (LEDs) or blocks while imagining body movements. However, these two classical tasks performed concurrently have a poor correlation.

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Balance problems are the main sequelae of stroke, which increases the risk of falling. The assessment of balance ability can guide doctors to formulate rehabilitation plans, thereby reducing the risk of falls. Studies have reported the role of resting-state EEG during sitting in the motor assessment of the upper extremity and prognosis of stroke patients.

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Electroencephalogram (EEG) is a basic physiological signal of human body, which can effectively record the nervous system activities of the brain and contains rich information. The synchronization of EEG signals is not only the key to the exchange of information between different brain regions, but also reflects the neural activity of the brain, which in turn can infer people's cognitive activities. Therefore, studying the phase synchronization of EEG signals after stroke is of great significance for understanding the communication and neuroplasticity of neurons after brain injury.

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Stroke is the leading cause of death and disability. Exercise produces neuroprotection by improving neuroplasticity. Exercise can induce exosome production.

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This study reports a case of motor and sensory function recovery after massive left cerebral infarction in a young man, along with preserved function of the injured hemisphere. He received early rehabilitation therapy in a nerval care unit within 1 wk of surgery, and the rehabilitation lasted for more than 3 yrs. When he gradually recovered from coma, his motor, sensory, and speech functions improved significantly.

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Background: Vascular cognitive impairment (VCI) is a common cognitive disorder caused by cerebrovascular disease, ranging from mild cognitive impairment to dementia. Studies have shown that aerobic exercise might alleviate the pathological development of VCI, and our previous study observed that aerobic exercise could alleviate VCI through NF-κB/miR-503/BDNF pathway. However, there are few studies on the mechanism.

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Objectives: Our previous study indicated that aerobic exercise relieves cognitive impairment in patients with vascular cognitive impairment (VCI) via regulating brain-derived neurotrophic factor (BDNF), but the mechanism is not yet clear. This study aimed to explore whether lncRNA taurine upregulated gene 1 (TUG1) participates in the process of VCI by regulating BDNF.

Methods: The expressions of TUG1 and BDNF in the serum of VCI patients were detected.

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Background: High-intensity interval training (HIIT) and aerobic training (AT) both improve cardiac function; however, their effects on cardiac function after myocardial infarction (MI) and the molecular mechanisms are unclear. In this study, HIIT, AT and sedentary (SED) interventions were performed for 4 weeks to compare the effects on cardiac function after MI and explore a more suitable approach for clinical application and the potential mechanisms.

Methods: Twenty-four (24) male rats were randomly divided into a control group (CON), MI-sedentary group (MI-SED), MI-aerobic training group (MI-AT), and MI-high-intensity interval training group (MI-HIIT).

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Objective: To determine the short- (4 weeks) and long-term (6 month) effectiveness of Tibetan medicated bathing therapy in patients with post-stroke limb spasticity.

Design: Prospective, blinded, randomized controlled trial.

Subjects: Post-stroke patients with limb spasticity were recruited between December 2013 and February 2017 and randomly assigned 1:1 to a control group that received conventional rehabilitation (n = 222) or an experimental group that received Tibetan medicated bathing therapy in combination with conventional rehabilitation (n = 222).

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Synopsis of recent research by authors named "Chunxiao Wan"

  • - Chunxiao Wan’s research primarily focuses on the interplay between exercise, neurological rehabilitation, and cellular mechanisms in various conditions, such as stroke and ischemia. The studies explore the impact of repetitive transcranial magnetic stimulation, aerobic exercise, and innovative delivery methods for therapeutic agents on brain function and recovery processes.
  • - Recent findings indicate that early exercise interventions can enhance neuroplasticity, improve mitochondrial function, and promote myelin repair after stroke, contributing to better motor function recovery and overall neurological health in both animal models and stroke patients.
  • - Wan's research also delves into the effects of aging on immune responses in COVID-19 and the mechanisms of cardiac remodeling, offering insights into the potential for non-invasive therapies to improve outcomes in diverse patient populations suffering from cardiovascular and neurological conditions.

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