Publications by authors named "Guo-lin He"

Preeclampsia gravely threatens the health of mothers and infants. At present, treatment based on the relevant mechanisms of pathogenesis is still not available, and there is no independent reliable clinical index for early prediction of preeclampsia. According to recent studies, analysis of the cell-free RNA in the peripheral blood of pregnant women has shown that testing certain cell-free RNA levels can help predict in advance the occurrence of preeclampsia before clinical symptoms appear.

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[Preeclampsia: An Obstetrician's Perspective].

Sichuan Da Xue Xue Bao Yi Xue Ban

November 2022

Preeclampsia-eclampsia is a common obstetric critical disease and obstetricians have studied it assiduously for hundreds of years. We have attempted to explore the etiology, pathology, prevention, intervention, and treatment of preeclampsia-eclampsia, but we still have not arrived at a thorough understanding of its causes, and it is difficult to find effective prevention and treatment methods. Although the research process has been fraught with difficulties and frustrations, we are nonetheless gradually gaining a better understanding of the disease.

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Among the lymphatic system in the human body, the spleen is the most extensive one and has hematopoietic, hemofiltration, blood storage, and immune functions. As a new method of preserving the spleen, laparoscopic partial splenectomy (LPS) has been increasingly applied in clinical practice with people's deeper insights into minimally invasive treatment and the development of technical equipment. Compared with conventional open splenectomy, LPS can preserve normal spleen tissue as much as possible, decrease the occurrence of complications after total splenectomy, and reduce postoperative hospital stay.

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Background: Multicystic biliary hamartoma (MCBH) is a rare hamartomatous nodule of the liver, which has recently been described as a new category of hepatic nodular cystic lesion. Most of them are benign. The imaging findings are similar to those of many other hepatic cystic lesions, but MCBH also has some notable features, such as large cysts, smooth cyst walls, and lack of communication with the hepatic duct.

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Article Synopsis
  • Plasma D-dimer is a byproduct of fibrin breakdown, and its levels naturally increase during pregnancy as gestational age advances, leading to different reference values than those used for non-pregnant individuals.
  • Current challenges include the absence of standardized D-dimer measurement methods, making it necessary for individual regions or labs to establish their own pregnancy-specific reference ranges through extensive testing.
  • Research is ongoing to explore the links between elevated D-dimer levels and conditions such as venous thromboembolism (VTE), gestational hypertensive disorders (GHD), and overall pregnancy outcomes, aiming to enhance clinical understanding of its role in these scenarios.
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Hepatocellular carcinoma (HCC) is the sixth most commonly diagnosed malignancy and the third leading cause of cancer-related deaths worldwide. A 58-year-old man visited his local hospital due to abdominal discomfort and was diagnosed with lung metastasis. After admission to our hospital in April 2020, he received two cycles of transcatheter arterial embolization (TAE), hepatic arterial infusion chemotherapy (HAIC-Folfox), sorafenib, and camrelizumab every 3 weeks.

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Autophagy and the ubiquitin proteasome system (UPS) are two major protein degradation pathways involved in brain ischemia. Autophagy can compensate for UPS impairment‑induced cellular dysfunction. HECT, UBA and WWE domain containing E3 ubiquitin protein ligase 1 (Huwe1), an E3 ubiquitin ligase, serves critical roles in nervous system plasticity, regeneration and disease.

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  • The study aimed to explore the link between the PLA2G7 gene polymorphisms (G994T and R92H) and the risk of developing preeclampsia (PE) in Chinese women, using a case-control design involving 273 PE patients and 530 healthy pregnant women.
  • Significant findings showed that the G994T polymorphism was more common in PE patients, with the GT + TT genotype associated with a higher risk for PE even after adjusting for factors like age and BMI (odds ratio = 4.926).
  • The study concluded that the G994T polymorphism increases the risk of preeclampsia, while the R92H polymorphism had no significant association.
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  • The study investigates the safety and effectiveness of single-port laparoscopic surgery (SPL) compared to conventional multiport laparoscopic surgery (CL) for liver surgery, specifically left lateral lobectomy.
  • Researchers analyzed data from 65 patients, dividing them into SPL (40 patients) and CL (25 patients) groups, focusing on factors like operative time, recovery, and postoperative complications.
  • Results showed no significant differences in recovery times or complications between the groups, but patients in the SPL group reported significantly lower pain levels and higher satisfaction with cosmetic outcomes.
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Placental hypoxia serves a role in the early stages of normal pregnancy and is involved in the pathophysiology of preeclampsia. Previously, it was suggested that p57kinase inhibitory protein (KIP)2 regulates the cell cycle during embryogenesis and apoptosis. Recent evidence has indicated that p57KIP2 is increased in preeclamptic placentas and absence of p57KIP2 induces preeclampsia‑type symptoms in rats.

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The abnormal expression of long noncoding RNAs (lncRNAs) is associated with human carcinoma. The present study aimed to investigate the mechanisms underlying the function of lncRNA AK002107 in the progression of hepatocellular carcinoma (HCC). The differential expression of lncRNAs between HCC and paired nontumor tissues was identified using microarrays, and the correlation between the expression of lncRNA AK002107 and the clinical prognosis of HCC was analyzed.

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  • The study investigated how maternal weight factors like pre-pregnancy BMI and gestational weight gain (GWG) affect the risk of iron deficiency anemia (IDA) during pregnancy among Chinese women.
  • A cohort of 11,782 pregnant women was analyzed, revealing that underweight women had a higher risk of developing IDA, while overweight and obese women showed a lower risk.
  • Additionally, higher rates of GWG correlated with an increased risk of IDA, indicating that both weight category and weight gain during pregnancy are important factors to consider in maternal health.
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  • The study aimed to identify factors that lead to adverse outcomes in preeclampsia and create a model to predict these outcomes based on clinical data from 2,532 patients over a 9-year period.
  • Univariate and multivariate logistic regression analyses were used to find significant factors associated with adverse outcomes, revealing that issues like multiple births, edema, and cardiovascular disease were important indicators.
  • The predictive model showed a 77.1% accuracy rate, with a recommended risk threshold of ≥0.300 to identify patients likely to experience adverse outcomes.
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Objective: To investigate the risk factors for increased red blood cells (RBCs) transfusion ratio in the women with postpartum hemorrhage (PPH).

Methods: This case-control study obtained the inpatient medical records of 112 441 pregnant women from 37 hospitals in 2011. There were 4 131 women diagnosed with PPH,record data of those patients were analyzed,including basic characteristics of patients,the level of hospital,pregnancy related complications,prenatal hemoglobin (Hb),mode of delivery,details of postpartum blood loss and blood transfusion,and maternal and neonatal outcomes.

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Aim: To establish a simplified, reproducible D-galactosamine-induced cynomolgus monkey model of acute liver failure having an appropriate treatment window.

Methods: Sixteen cynomolgus monkeys were randomly divided into four groups (A, B, C and D) after intracranial pressure (ICP) sensor implantation. D-galactosamine at 0.

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  • The study aimed to analyze severe adverse pregnancy outcomes in women with placenta previa who had previously undergone cesarean deliveries, identifying risk factors associated with these outcomes.
  • Researchers conducted a retrospective case-control study at a hospital, reviewing cases from 2005 to 2015 and documenting incidents such as blood transfusions, ICU admissions, and surgical interventions.
  • Results showed that out of 478 women, 27.4% experienced severe adverse outcomes, with hysterectomy being the most common issue, and the risk significantly increased in cases of pernicious placenta previa.
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Aim: To establish a reversible porcine model of acute liver failure (ALF) and treat it with an artificial liver system.

Methods: Sixteen pigs weighing 30-35 kg were chosen and administered with acetaminophen (APAP) to induce ALF. ALF pigs were then randomly assigned to either an experimental group ( = 11), in which a treatment procedure was performed, or a control group ( = 5).

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Objective: To compare the effects of misoprostol versus ergometrine-oxytocin for postpartum haemorrhage (PPH) prevention, and provide important evidence to choose optimal agents for preventing PPH in developing countries.

Methods: The Cochrane Central Register of Controlled Trials, PubMed, EMbase, and ClinicalTrails.gov were searched from inception to 1st January 2016.

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Background: Abnormal activity and distribution of plasma platelet-activating factor acetylhydrolase (PAF-AH) are associated with chronic inflammatory status. In this study, we investigate the activity and distribution of plasma PAF-AH and their association with metabolic components in mothers with gestational diabetes mellitus (GDM) and in their neonates.

Methods: Based on the International Association of Diabetes Pregnancy Study Group criteria, we performed a case-controlled study of 101 women with GDM, 98 women with uncomplicated pregnancies, 142 neonates of mothers with GDM and 121 neonates of mothers with uncomplicated pregnancies.

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This study aims to assess the treatment effects of the molecular adsorbent recirculating system (MARS) in patients with acute and acute-on-chronic liver failure. We searched MEDLINE, EMBASE, and the Cochrane Controlled Trials Registry database between January 1966 and January 2014. We included randomized controlled trials, which compared the treatment effects of MARS with standard medical treatment.

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Aim: To compare the characteristics of two single-incision methods, and conventional laparoscopy in cholecystectomy, and demonstrate the safety and feasibility.

Methods: Three hundred patients with gallstones or gallbladder polyps were admitted to two clinical centers from January 2013 to January 2014 and were randomized into three groups of 100: single-incision three-device group, X-Cone group, and conventional group. The operative time, intraoperative blood loss, complications, postoperative pain, cosmetic score, length of hospitalization, and hospital costs were compared, with a follow-up duration of 1 mo.

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Objective: To verify the hypothesis if interaction between the G protein beta3 subunit (GNB3) C825T polymorphism and angiotensin-I converting enzyme (ACE) insertion/deletion (I/D) could lead to the increased risk of pre-eclampsia.

Methods: Analyses of ACE and GNB3 genotypes were performed in 188 preeclamptic patients and 273 normal pregnant controls by polymerase chain reaction (PCR) and PCR-restriction fragment length polymorphism in Chinese population, respectively.

Results: The distributions of alleles and genotypes for the GNB3 C825T and ACE I/D polymorphisms were not found to be significantly associathed with pre-eclamptic status.

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Objective: To investigate the relationship between the Ala379Val polymorphism of the platelet-activating factor acetylhydrolase gene (PAF-AH) and pre-eclampsia (PE) in Chinese pregnant women.

Methods: A total of 592 subjects (210 patients with PE and 382 healthy pregnant women) in Chengdu area were included in this study. The Ala379Val polymorphism of the PAF-AH gene was determined by PCR amplification and restriction analysis.

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Pre-eclampsia is a serious obstetric complication, not only affect maternal health, but also affect the long-term prognosis of offspring generation. Even though various theories on the pathogenesis of pre-eclampsia have been proposed in recent decades, it remains unclear due to the disadvantages in these theories. Therefore, the pathogenesis of pre-eclampsia keeps attracting a lot of research efforts in the field of obstetrics.

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