Publications by authors named "Hong-yu Kuang"

Article Synopsis
  • The study aimed to explore the link between the weight-adjusted-waist index (WWI) and the risk of dying from any cause or specifically cardiovascular issues in people with type 2 diabetes.
  • Using data from NHANES and the UK Biobank, researchers applied statistical models to estimate hazard ratios for mortality related to different WWI levels.
  • Findings showed that individuals in the highest WWI quartile had significantly increased risks of all-cause and cardiovascular deaths, suggesting that WWI is a crucial independent predictor of mortality among those with type 2 diabetes.
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  • This study investigates how vascular complications from newly diagnosed type 2 diabetes affect long-term mortality in U.S. adults over a mean follow-up of 10.8 years.
  • Using data from the National Health and Nutritional Examination Surveys (1999-2018), the researchers found that having any complication increased the risk of death significantly, with those having multiple complications facing even higher risks.
  • The research highlights that conditions like chronic kidney disease and diabetic retinopathy together pose the highest mortality risk, emphasizing the need for thorough screening of complications to improve patient care.
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Retinal pericyte migration occurs in the early stage of diabetic retinopathy (DR), which is one of the important causes of pericyte loss. Autophagy has been found to play essential roles in the regulation of many types of cell migration. In this study, we explored the relationship between autophagy and retinal pericyte migration.

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Background: Although pulmonary arterial hypertension (PAH) is a fatal disease, specific drugs have been used to treat PAH. These drugs predominantly target these three pathobiological pathways: Endothelin receptor antagonist (ERA), nitric oxide (NO), and prostanoids pathways. In this review, we aimed to analyze the efficacy and safety of oral targeted treatments for PAH.

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  • Diabetes mellitus (DM) is linked to high blood sugar levels that can cause atherosclerosis, and this study investigates the impact of liraglutide (LIRA) on vascular smooth muscle cells (VSMCs) in high-glucose conditions.
  • The researchers used various methods, including measuring alkaline phosphatase (ALP) activity and protein expression, to evaluate the effects of LIRA on VSMCs and a DM rat model.
  • Results showed that LIRA treatment increased beneficial protein expression and decreased harmful calcification markers in both VSMCs and DM rats, suggesting it helps slow the progression of atherosclerosis by inhibiting processes that lead to vascular damage.
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Background/aims: Exenatide is a glucagon-like polypeptide-1 analog, whose main clinical use is to treat type 2 diabetes. However, the mechanism of exenatide in mitigating non-alcoholic steatohepatitis (NASH) remains unclear. This study aimed to investigate the and effect of exenatide on NASH.

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Microglia, the main immune cell of the central nervous system (CNS), categorized into M1-like phenotype and M2-like phenotype, play important roles in phagocytosis, cell migration, antigen presentation, and cytokine production. As a part of CNS, retinal microglial cells (RMC) play an important role in retinal diseases. Diabetic retinopathy (DR) is one of the most common complications of diabetes.

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In diabetic patients, diabetic retinopathy (DR) is the leading cause of blindness and seriously affects the quality of life. However, current treatment methods of DR are not satisfactory. Advances have been made in understanding abnormal protein interactions and signaling pathways in DR pathology, but little is known about epigenetic regulation.

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GLP-1 analogs have been widely used to treat patients with type 2 diabetes in recent years and studies have found that GLP-1 analogs have multiple organ benefits. However, the role of GLP-1 analogs in diabetic retinopathy (DR), a common complication of diabetes mellitus (DM), remains controversial. Retinal ganglion cells (RGCs) are the only afferent neurons responsible for transmitting visual information to the visual center and are vulnerable in the early stage of DR.

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Diabetic retinopathy (DR) is the leading cause of visual impairment and acquired blindness among adults worldwide. Retinal microvascular pericyte deficiency is one of the earliest pathological changes associated with DR, and long noncoding RNA myocardial infarction-associated transcript (MIAT) has been implicated as a crucial regulator of microvascular dysfunction in DR. Pyroptosis is a caspase-1-dependent proinflammatory form of cell death, and in the present study, we investigated the potential pyroptosis of primary human retinal pericytes (HRPCs) and the mechanism by which MIAT is involved in this process.

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Objective: This systematic review and meta-analysis was conducted to identify if long-term bosentan is an effective and safe treatment for pulmonary arterial hypertension (PAH) regardless of type, including idiopathic PAH (IPAH), and PAH associated with congenital heart disease (APAH-CHD), connective tissue disease (APAH-CTD), and human immunodeficiency virus (APAH-HIV).

Methods: All relevant observations were systematically searched by two independent investigators and obtained from three databases, including PubMed, EMBASE and the Cochrane Library, from the inception of each database to February 2020. Currently, long-term administration was defined as no less than 12 months.

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Article Synopsis
  • The study aimed to assess the safety and effectiveness of transcatheter plug occlusion for treating hemoptysis in children with anomalous bronchial arteries while identifying factors linked to recurrence.
  • A total of 20 pediatric patients underwent the procedure, with a follow-up revealing a 40% recurrence rate of hemoptysis, particularly associated with lower hemoglobin levels and higher mycoplasma pneumonia particle assay titers, as well as the number of anomalous BAs.
  • The findings suggest that while the procedure is generally safe, the presence of multiple abnormal BAs is a significant predictor of recurrence, highlighting the need for further research with larger and more controlled studies.
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Non-alcoholic steatohepatitis (NASH) is a key step in the progression of non-alcoholic fatty liver disease (NAFLD), which causes serious health problems worldwide. The nucleotide-binding oligomerization domain, leucine-rich repeat-containing receptor-containing pyrin domain 3 (NLRP3) inflammasome and pyroptosis play crucial roles in the progression of NASH. Our team has provided clinical evidence of the effects of glucagon-like peptide-1 (GLP-1) on the improvement in liver function and histological resolution of NAFLD.

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A number of researches have reported that thyroid hormones are associated with obesity. However, the relationship of serum levels of thyroid hormones in the normal range with obesity and parameters of obesity in women of childbearing age remains controversial. The purpose of this study was to examine serum levels of thyroid hormones within the normal range in obese Chinese women of reproductive age and to investigate the relationship between concentration of thyroid hormones and indices of obesity, including body mass index (BMI), waist-to-hip ratio (WHR), insulin resistance, blood glucose, blood lipids, and blood pressure.

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Objective: We investigated the prevalence of abnormal thyroid function and depression in centrally obese participants, and to analyze the relationship of thyroid hormones and depression with components of central obesity.

Methods: We randomly selected 858 centrally obese participants and 500 non-obese controls in this study. For all participants, we measured serum free triiodothyronine (FT3), free thyroxine (FT4), thyroid-stimulating hormone (TSH), body mass index (BMI), waist–hip ratio (WHR), fasting blood glucose and insulin, homeostasis model assessment of insulin resistance (HOMA-IR), lipid concentrations, and blood pressure.

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Introduction: The aim of this study was to compare plasma oxytocin levels in obese women of childbearing age with non-obese women of childbearing age, and to investigate the relationship between plasma oxytocin levels and metabolic parameters (including blood glucose, insulin resistance, blood lipid, and blood pressure).

Material And Methods: A total of 151 obese women of childbearing age and 160 non-obese women of childbearing age were enrolled in this study. Plasma oxytocin levels were measured by electrochemiluminescence immunoassays.

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Article Synopsis
  • - The qualitative systematic review examined the safety and efficacy of pulmonary arterial hypertension-specific drug therapy (PAH-SDT) for patients with Eisenmenger syndrome (ES), focusing on clinical strategies based on available evidence.
  • - Researchers analyzed data from 15 studies involving 456 patients, applying both randomized and retrospective study designs, which indicated that PAH-SDT notably improved exercise capacity, functional class, and hemodynamics over the first year of treatment.
  • - Notably, while PAH-SDT significantly enhanced metrics like 6-minute walk distance and reduced pulmonary arterial pressure, it showed limited effectiveness in improving oxygen saturation during exercise; bosentan was highlighted as particularly beneficial for increasing exercise tolerance.
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Astragaloside IV is the main active compound of Astragalus membranaceus. Astragaloside IV has strong anti-oxidative activities and protective effects against progression of peripheral neuropathy. In this study, we determined whether astragaloside IV protects retinal ganglion cells (RGC) from oxidative stress injury using the rat RGC-5 cell line.

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Objective: This study is aimed at investigating whether exenatide (Exe) delays the progression of nonalcoholic fatty liver disease (NAFLD) in C57BL/6 mice by targeting the NLRP3 inflammasome through the autophagy/mitophagy pathway.

Methods: Thirty male C57BL/6 mice were randomly divided into three groups: control group ( = 10), model group ( = 10), and Exe (exenatide) group ( = 10). Mouse models of NAFLD and diabetes were established using a high-fat diet and streptozocin.

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Retinal pericyte migration represents a novel mechanism of pericyte loss in diabetic retinopathy (DR), which plays a crucial role in the early impairment of the blood-retinal barrier (BRB). Glucagon-like peptide-1 (GLP-1) has been shown to protect the diabetic retina in the early stage of DR; however, the relationship between GLP-1 and retinal pericytes has not been discussed. In this study, advanced glycation end products (AGEs) significantly increased the migration of primary bovine retinal pericytes without influencing cell viability.

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Article Synopsis
  • Oral bosentan has been evaluated for its effectiveness in treating pulmonary arterial hypertension associated with congenital heart disease (PAH-CHD) through a systematic review and meta-analysis involving adult and pediatric patients.
  • The analysis covered 17 studies with a total of 456 PAH-CHD patients, finding significant improvements in exercise capacity, particularly in the 6-minute walk distance (6MWD) and functional classification within six months of treatment, although some measures showed no change.
  • Long-term bosentan therapy led to further enhancements in exercise performance and changes in vital parameters such as resting oxygen saturation and heart rate, indicating its effectiveness in managing PAH-CHD.
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Backgroud: In the early stage of diabetic retinopathy, the damage of retinal ganglion cells already exists, promoting the development of the disease. The aim of this study was to investigate the protective role and the mechanisms of obestatin against HO-induced damage in RGC-5 cells.

Methods: RGC-5 cells were incubated with various concentrations of obestatin for 24h before HO added.

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Diabetic retinopathy(DR)is one of the complications of diabetes which could cause severe vision loss. Retinal ganglion cell(RGC)injury has been confirmed prior to micro-vascular damage. Over the past few decades, a number of animal and clinical studies have confirmed that RGC impairment leads to an early deterioration of vision in DR.

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Physical health has a direct relationship with digestive function. Any abnormalities in the link may cause malnutrition, endocrine disorders, and the decline of organ functions. Obestatin, a biologically active peptide, is encoded by the ghrelin gene.

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Notch pathway activation maintains neural stem cells in a proliferating state and increases nerve repair capacity. To date, studies have rarely focused on changes or damage to signal transduction pathways during cerebral hemorrhage. Here, we examined the effect of acupuncture in a rat model of cerebral hemorrhage.

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