Publications by authors named "FaLin Xu"

Background: Bronchopulmonary Dysplasia (BPD) is a chronic lung disease affecting preterm infants, with limited prevention and treatment options. Inhaled Nitric Oxide (iNO) is sometimes used to treat Persistent Pulmonary Hypertension of the Newborn (PPHN) and Hypoxemic Respiratory Failure (HRF), and its impact on BPD development remains debated.

Objective: To assess whether iNO-related factors are potential contributors to the development of BPD Grade Ⅱ-Ⅲ in very premature infants (VPI) diagnosed with PPHN or HRF at birth using Propensity Score Matching (PSM).

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Objectives: Ovarian cancer is a gynecologic tumor with the highest mortality rate worldwide. Nonetheless, chemoresistance remains a significant obstacle in treating ovarian cancer. PARP inhibitors (PARPis) are effective drugs approved for maintenance therapy in ovarian cancer.

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Article Synopsis
  • The study investigates how perinatal factors affect T cell subsets in preterm infants and examines differences in blood gene expression between those with and without brain injury.
  • Infants born earlier or with lower birth weights show higher levels of a specific T cell type (Vδ2 T cells), while no strong links were found between T cell types and brain injury besides gestational age.
  • Gene analysis in infants with brain injury reveals changes in immune-related pathways, indicating altered immune responses associated with brain injuries in preterm infants.
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  • This study examined the use and effects of inhaled nitric oxide (iNO) in preterm infants under 34 weeks gestational age across eight hospitals in China over a span of ten years.
  • A total of 434 infants were analyzed, categorized into three gestational age groups: extremely preterm (24-27 weeks), very preterm (28-31 weeks), and moderate preterm (32-33 weeks), focusing on treatment outcomes and complications.
  • Findings indicated that extremely preterm infants had the highest rates of iNO treatment and associated complications, with mortality rates inversely related to gestational age and birth weight, underscoring the importance of iNO in managing severe respiratory issues in this population.
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Background: At present, preterm infants with respiratory distress syndrome (RDS) in China present higher mortality and morbidity rates than those in high-income countries. The aim of this nationwide survey was to assess the clinical management of RDS in China.

Methods: A nationwide cross-sectional survey to assess adherence to RDS management recommendations was performed.

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  • Lamb-Shaffer syndrome (LAMSHF) is a rare genetic neurodevelopmental disorder linked to mutations in the SOX5 gene, causing developmental delays and intellectual disabilities; only a few cases have been reported in China.
  • This study involved analyzing the medical history of Chinese LAMSHF patients and utilizing genetic testing (Whole Exome Sequencing) to identify specific mutations.
  • Results showed distinct mutations in the SOX5 gene among four patients, with common symptoms including developmental delays and, in some cases, seizures, along with findings that a specific mutation affected protein production.
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  • * Among the cases, there were two fatalities, including one case with severe complications like cerebral hemorrhage, highlighting the severity of the infections.
  • * The study found a high mortality rate of 41.38% in non-gastrointestinal Bacillus cereus infections, emphasizing the need for quick diagnosis and effective treatment to improve survival rates.
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  • - The study focused on creating a real-time risk prediction model for extrauterine growth retardation (EUGR) in very preterm infants, utilizing data from 2,514 infants split into training and validation sets.
  • - Key predictors, including birth weight, small for gestational age, and others, were identified and used in a logistic regression model, with a nomogram visualization to help assess risk.
  • - The model demonstrated strong predictive ability, achieving ROC curve areas of 83.1% and 84.6% for the training and validation sets, respectively, and indicating good calibration and clinical applicability for risk assessment.
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  • The study investigates risk factors for severe bronchopulmonary dysplasia (BPD) in very preterm infants (VPIs) in China, highlighting its high mortality association.
  • Using data from 7 regions, the research categorizes infants with BPD based on their oxygen requirements and identifies risk factors through logistic regression.
  • Key findings show that low gestational age and birth weight are significant risk factors, while long-term mechanical ventilation, multiple blood transfusions, and infections contribute to severe BPD; however, antenatal steroids may lower the risk.
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Background: Hyperglycemia in pregnancy (HGP) has generally been considered a risk factor associated with adverse outcomes in offspring, but its impact on the short-term outcomes of very preterm infants remains unclear.

Methods: A secondary analysis was performed based on clinical data collected prospectively from 28 hospitals in seven regions of China from September 2019 to December 2020. According to maternal HGP, all infants were divided into the HGP group or the non-HGP group.

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  • NEC is a serious illness that mostly affects premature babies, showing up usually after they are a week old.
  • This study looked at data from over 2,500 premature babies to understand the causes of late-onset NEC and how it affects their health in the short term, especially focusing on their nutrition.
  • Results showed that babies with late-onset NEC faced more health issues like anemia and required more treatments, had slower weight gain, and breastfeeding rates were lower among them.
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Aims: Histological chorioamnionitis (HCA) is a condition linked to preterm birth and neonatal infection and its relationship with various pathological stages in extremely preterm neonates, and with their associated short- and long-term consequences, remains a subject of research. This study investigated the connection between different pathological stages of HCA and both short-term complications and long-term outcomes in preterm infants born at or before 32 weeks of gestational age.

Methods: Preterm infants born at ≤ 32 weeks of gestation who underwent placental pathology evaluation and were followed-up at 18-24 months of corrected age were included.

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Background: Severe pneumonia frequently causes irreversible sequelae and represents a major health burden for children under the age of 5. Matrix Metallopeptidase 9 (MMP9) is a zinc-dependent endopeptidase that is involved in various cellular processes. The correlation between MMP9 and the risk of severe childhood pneumonia remains unclear.

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Objective: We investigated the association between bronchopulmonary dysplasia (BPD) and 3 years death or neurodevelopmental impairment (NDI) in very preterm infants without severe brain injury.

Method: Our prospective cohort study recruited preterm infants who were born prior to 32 weeks of gestational age and survived in the neonatal intensive care unit until 36 weeks of corrected age. Upon reaching 3 years of age, each infant was assessed for death or NDI such as cerebral palsy, cognitive deficit, hearing loss, and blindness.

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Background: Epilepsy is a neurological disorder characterized by recurrent seizures. A mechanism of cell death regulation, known as ferroptosis, which involves iron-dependent lipid peroxidation, has been implicated in various diseases, including epilepsy.

Objective: This study aimed to provide a comprehensive understanding of the relationship between ferroptosis and epilepsy through bioinformatics analysis.

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  • RARS2 gene defects are linked to cerebellopontine hypoplasia type 6 (PCH6), a rare mitochondrial disease, as demonstrated in two male patients with unique family histories.
  • The study utilized clinical presentations, MRI scans, and whole-exome sequencing to identify specific genetic mutations in both patients, revealing novel RARS2 variants that were not previously reported.
  • The findings suggest a broader spectrum of RARS2 mutations and highlight new phenotypes, including early infantile developmental and epileptic encephalopathies, which strengthen the connection between PCH6 and the RARS2 gene.
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Background: To analyze the real-world growth pattern of very premature infants (VPI) with small for gestational age (SGA) after birth by using the ΔZ value of weight at discharge.

Methods: The clinical data were collected from 28 hospitals in China from September 2019 to December 2020. They were divided into the EUGR(Extrauterine Growth Restriction) and the non-EUGR group according to the criterion of ΔZ value of weight at discharge < -1.

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Objective: To explore the clinical characteristics and genetic basis for a child with X-linked lissencephaly with abnormal genitalia (XLAG).

Methods: A child with XLAG who had presented at the Third Affiliated Hospital of Zhengzhou University in May 2021 was selected as the study subject. Peripheral blood samples of the child and his parents were collected and subjected to high-throughput sequencing.

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Background: Leukomalacia is a serious form of neonatal brain injury that often leads to neurodevelopmental impairment, and studies on neonatal leukomalacia and its long-term outcomes are lacking. The aim of this study was to analyze the clinical manifestations, imaging features, and long-term neurodevelopmental outcomes in preterm infants and term infants with leukomalacia.

Methods: Newborns diagnosed with leukomalacia by head magnetic resonance imaging (MRI) and who were admitted to intensive care units from January 2015 to June 2020 were enrolled.

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Background And Aims: Joubert syndrome (JBTS, OMIM # 213300) is a group of ciliopathies characterized by mid-hindbrain malformation, developmental delay, hypotonia, oculomotor apraxia, and breathing abnormalities. Molar tooth sign in brain imaging is the hallmark for diagnosing JBTS. It is a clinically and genetically heterogeneous disorder involving mutations in more than 40 ciliopathy-related genes.

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Background: Fulminant necrotizing enterocolitis (FNEC) is the most serious subtype of NEC and has a high mortality rate and a high incidence of sequelae. Onset prediction can help in the establishment of a customized treatment strategy. This study aimed to develop and evaluate a predictive nomogram for FNEC.

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Background: Neonatal hypoxic ischemic encephalopathy (HIE) is a main factor of neonatal death and permanent neurologic deficit. This study sought to investigate the functional role of hsa_circ_0007706 (circ_0007706) in modulating neonatal HIE.

Methods: In vitro HIE cell model was established in hBMVECs under the condition of oxygen‑glucose deprivation/reperfusion (OGD/R) treatment.

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Introduction: Antenatal corticosteroids (ACS) administration is a standardized prenatal care for accelerating fetal maturation before anticipated preterm delivery, however, its effect on nutrition and growth is yet uncertain. This study aimed to examine if ACS application is associated with improvement in postnatal growth and nutrition in very preterm infants (VPIs).

Methods: This was a secondary analysis of a multicenter prospective survey included infants born before 32 weeks gestation and admitted to 28 tertiary neonatal intensive care units throughout China from September 2019 to December 2020.

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Objectives: To investigate local cerebral blood perfusion in preterm infants with bronchopulmonary dysplasia (BPD) based on cerebral blood flow (CBF) values of arterial spin labeling (ASL).

Methods: A prospective study was conducted on 90 preterm infants with a gestational age of <32 weeks and a birth weight of <1 500 g who were born in the Department of Obstetrics and admitted to the Department of Neonatology in the Third Affiliated Hospital of Zhengzhou University from August 2021 to June 2022. All of the infants underwent cranial MRI and ASL at the corrected gestational age of 35-40 weeks.

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Objectives: The management of enteral nutrition in very preterm infants (VPIs) is still controversial, and there is no consensus on the optimal time point after birth at which enteral nutrition can be started. The aim of this study was to investigate the effect of early initiation of enteral nutrition on the short-term clinical outcomes of VPIs.

Methods: Data of infants (n = 2514) born before 32 wk of gestation were collected from 28 hospitals located in seven different regions of China.

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