Publications by authors named "FenFen Peng"

An imbalance in the serum sodium to chloride ratio (Na/Cl) was linked to higher mortality among heart failure patients. Nonetheless, the prognostic significance of Na/Cl in individuals undergoing peritoneal dialysis (PD) remains unexplored. This study seeks to explore the association between initial Na/Cl levels and mortality in PD patients.

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Purpose: Systemic inflammation biomarkers, derived from routine blood tests, have been demonstrated to be associated with prognosis of patients undergoing peritoneal dialysis (PD). However, studies focusing on the comparisons of their role on predictive efficacy for prognosis of PD patient are limited and results are inconsistent. The purpose of this study was to evaluate the prognostic value of various systemic inflammation biomarkers and to identify the optimal one in PD patients.

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  • The study investigates the relationship between the platelet-to-albumin ratio (PAR) and mortality risks in patients undergoing peritoneal dialysis (PD), focusing on cardiovascular disease (CVD) and overall mortality rates.* -
  • Conducted with 2825 PD patients over an average follow-up of about 48 months, the research found that higher PAR levels are linked to a significant increase in the risk of both all-cause and CVD-related death.* -
  • The results from statistical analyses support the conclusion that PAR can be a useful prognostic marker for predicting mortality outcomes in patients on PD, suggesting that monitoring PAR could improve patient management.*
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  • Gastrointestinal bleeding is a serious complication for peritoneal dialysis patients, linked to higher mortality rates and potentially exacerbated by elevated uric acid levels, which can also increase the risk of hemorrhagic stroke.
  • The study involved 2,498 patients, creating two groups based on uric acid levels, and utilized various statistical methods to analyze the relationship between uric acid levels and gastrointestinal bleeding.
  • Results indicated that higher uric acid levels increased the likelihood of gastrointestinal bleeding, with proton pump inhibitors showing potential to mitigate this risk among affected patients.
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Background: Insulin resistance (IR) is prevalent in individuals undergoing peritoneal dialysis (PD) and is related to increased susceptibility to coronary artery disease and initial peritonitis. In recent investigations, correlations have been found between indices of IR and the incidence of all-cause mortality in various populations. However, such correlations have not been detected among individuals undergoing PD.

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Background: Clonal hematopoiesis of indeterminate potential (CHIP) is a common inflammatory condition of aging that causes myriad end-organ damage. We have recently shown associations for CHIP with acute kidney injury and with kidney function decline in the general population, with stronger associations for CHIP driven by mutations in genes other than (non- CHIP). Longitudinal kidney function endpoints in individuals with pre-existing chronic kidney disease (CKD) and CHIP have been examined in two previous studies, which reported conflicting findings and were limited by small sample sizes.

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  • Increased BRG1 levels in peritoneal mesothelial cells lead to accelerated cell senescence and contribute to peritoneal fibrosis in patients undergoing peritoneal dialysis.
  • The study shows that BRG1 promotes mitochondrial dysfunction by inhibiting mitophagy, which worsens cellular aging and fibrotic responses.
  • Targeting the BRG1-OXR1-mitophagy pathway offers a potential therapeutic strategy to mitigate peritoneal fibrosis in dialysis patients.
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Objective: Malnutrition and inflammation are associated with mortality in peritoneal dialysis (PD) patients. Serum albumin and non-high-density lipoprotein cholesterol (non-HDL-C) are independently associated with mortality in PD patients. Combining albumin and non-HDL-C with mortality may be more plausible in clinical practice.

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Lung cancer is one of the most malignant diseases and a major contributor to cancer-related deaths worldwide due to the deficiency of early diagnosis and effective therapy that are of great importance for patient prognosis and quality of life. Over the past decade, the advent of clustered regularly interspaced short palindromic repeats/CRISPR associated protein (CRISPR/Cas) system has significantly propelled the progress of both fundamental research and clinical trials of lung cancer. In this review, we review the current applications of the CRISPR/Cas system in diagnosis, target identification, and treatment resistance of lung cancer.

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Background And Aims: Atherosclerosis, the main cause of cardiovascular disease (CVD), is prevalent in patients undergoing peritoneal dialysis (PD). Atherogenic index (AI) is a strong predictor of atherosclerosis. However, its prognostic value in CVD outcomes and all-cause mortality among patients undergoing PD remains uncertain.

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Podocyte damage is the major cause of glomerular injury and proteinuria in multiple chronic kidney diseases. Metadherin (MTDH) is involved in podocyte apoptosis and promotes renal tubular injury in mouse models of diabetic nephropathy and renal fibrosis; however, its role in podocyte injury and proteinuria needs further exploration. Here, we show that MTDH was induced in the glomerular podocytes of patients with proteinuric chronic kidney disease and correlated with proteinuria.

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  • This study examines the impact of inflammation (neutrophils) and nutrition (albumin) on the mortality of patients undergoing peritoneal dialysis (PD).
  • Researchers analyzed data from 1,229 PD patients and found that those with a high neutrophil percentage-to-albumin ratio (NPAR) faced a significantly greater risk of all-cause and cardiovascular disease mortality during a median follow-up of over 34 months.
  • Although high NPAR indicates increased mortality risk, the study suggests that it may not be a superior predictor compared to examining neutrophil and albumin levels individually.
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Background: Serum uric acid to serum creatinine ratio (SUA/Scr) has emerged as a new biomarker, which is significantly associated with several metabolic diseases. However, no study has investigated the association between SUA/Scr and mortality among patients on continuous ambulatory peritoneal dialysis (CAPD).

Methods: In this multicenter retrospective cohort study, we enrolled CAPD patients in eight tertiary hospitals in China from 1 January 2005 to 31 May 2021.

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  • The study investigates how the rate of decline in residual renal function (RRF) during the first year of peritoneal dialysis (PD) affects overall and cardiovascular mortality rates.
  • Researchers identified two groups based on the rate of RRF decline and found that those with a fast decline had a significantly higher risk of death.
  • Specifically, each small reduction in RRF (0.1 mL/min/1.73 m²/month) was linked to a 19% increase in all-cause mortality and a 20% increase in cardiovascular mortality.
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Background: Progressive peritoneal fibrosis is a worldwide public health concern impacting patients undergoing peritoneal dialysis (PD), yet there is no effective treatment. Our previous study revealed that a novel compound, micheliolide (MCL) inhibited peritoneal fibrosis in mice. However, its mechanism remains unclear.

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Background: The glucose-to-lymphocyte ratio (GLR), a glucose metabolism and systemic inflammatory response parameter, is associated with an adverse prognosis for various diseases. However, the association between serum GLR and prognosis in patients undergoing peritoneal dialysis (PD) is poorly understood.

Methods: In this multi-center cohort study, 3236 PD patients were consecutively enrolled between 1 January 2009 and 31 December 2018.

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Peritoneal fibrosis (PF) is the main cause of peritoneal ultrafiltration failure in patients undergoing long-term peritoneal dialysis (PD). Epithelial-mesenchymal transition (EMT) is the key pathogenesis of PF. However, currently, no specific treatments are available to suppress PF.

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Background: Total cholesterol is inversely associated with mortality in dialysis patients, which seems implausible in real-world clinical practice. May there be an optimal range of total cholesterol associated with a lower mortality risk? We aimed to evaluate the optimal range for peritoneal dialysis (PD) patients.

Methods: We conducted a retrospective real-world cohort study of 3565 incident PD patients from five PD centers between January 1, 2005, and May 31, 2020.

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Background And Aims: Remnant cholesterol (RC) adversely contributes to cardiovascular disease (CVD) and overall survival in various diseases. However, its role in CVD outcomes and all-cause mortality in patients undergoing peritoneal dialysis (PD) is limited. Therefore, we aimed to investigate the association between RC and all-cause and CVD mortality in patients undergoing PD.

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Background: Preexisting cardiovascular disease (CVD) and hypertension are each associated with poor prognosis in peritoneal dialysis (PD) patients. Joint associations of preexisting CVD and hypertension have not been comprehensively evaluated in this population.

Methods: We conducted a retrospective cohort study of 3073 Chinese incident PD patients from five dialysis centres between January 1, 2005, and December 31, 2018.

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Background: Immune-inflammatory biomarkers (IIBs) have been shown to be correlated with prognosis in patients undergoing peritoneal dialysis (PD). In this study, we aimed to evaluate the relationship between a novel comprehensive biomarker, the pan-immune-inflammation value (PIV), and the prognosis of patients undergoing PD.

Methods: We retrospectively analyzed data from a multicenter, large-sample PD database.

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Objectives: The global mortality rate from chronic kidney disease (CKD) has increased over the past two decades. Typically, peritoneal dialysis (PD) remains a useful alternative treatment for end-stage renal disease. Cardiovascular disease (CVD) is the main complication in PD patients.

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  • The study assessed how hyperlipidemia affects mortality in patients starting continuous ambulatory peritoneal dialysis (CAPD) using a retrospective analysis of 2,939 patients over 35 months.
  • While overall mortality risk was similar for patients with and without hyperlipidemia, those with hyperlipidemia showed a significantly higher risk of death after 48 months.
  • Hypertension was found to further increase the mortality risk associated with hyperlipidemia, indicating that these two factors together could pose greater health risks for CAPD patients.
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Background: A large number of studies have shown that proton pump inhibitors (PPIs) are associated with infection events. Therefore, we retrospectively evaluated the association of PPI therapy with the occurrence of first pneumonia and peritoneal dialysis(PD)-related peritonitis events in the maintenance PD patients.

Methods: We collected PD patients in two large hospitals from January 1, 2012 to December 31, 2016, and divided them into the PPI group and the non-PPI group.

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  • - This study examined the relationship between low-density lipoprotein cholesterol (LDL-C) levels and mortality risks in 3,565 new dialysis patients from China, suggesting a U-shaped relationship between LDL-C levels and health outcomes.
  • - The findings revealed that both high and low LDL-C levels increased the risk of death from all causes and specifically from cardiovascular issues, with significant figures showing hazard ratios that indicate heightened risk.
  • - Additionally, malnutrition appeared to influence this relationship, as patients with low or high LDL-C and malnutrition had an even greater risk of cardiovascular mortality, highlighting the importance of managing LDL-C levels and nutritional status in dialysis patients.
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