Publications by authors named "Jieruo Gu"

This study aimed to compare whether differences in lifestyle and dietary habits have an impact on hyperuricemia and to provide a reliable basis for the health management of citizens in our city. A total of 10,883 subjects who did not suffer from hyperuricemia, was anticipated in this study in 2018. After 2 years of follow-up, 7727 did not suffer from hyperuricemia and 3156 suffered from hyperuricemia.

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Background: Ankylosing spondylitis (AS) is a chronic autoimmune disease that primarily affects the axial joints. Immune cells play a key role in the pathogenesis of AS. This study integrated bioinformatics methods with experimental validation to explore the role of natural killer (NK) cells in AS.

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Lower back pain comprises the majority of the disease burden of patients with ankylosing spondylitis (AS), while the alterations of the large-scale brain networks could be implicated in the neuropathophysiology of pain. The frontoparietal network (FPN) is known as a pain modulation hub, with key nodes dorsolateral prefrontal cortex (dlPFC) and ventrolateral prefrontal cortex (vlPFC) participating in the pain modulation and reappraisal process. In this study, we adopted the analytical approaches of independent component analysis (ICA) and seed-based correlation analysis (SCA) to examine the resting-state functional connectivity (rsFC) of the large-scale brain networks, notably FPN, between 82 AS patients and 61 healthy controls (HCs).

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Objective: The association of long-term hyperuricemia with liver function remains less well understood. This prospective cohort study aimed to investigate the relationship between hyperuricemia and liver function as well as other metabolic and cardiovascular parameters.

Methods: We enrolled 375 participants with hyperuricemia and 599 normouricemic controls.

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Article Synopsis
  • The study examines how effective machine learning, particularly the Random Forest Classifier, is in predicting thyroid-specific autoantibodies in patients with Primary Sjogren's syndrome (pSS) based on clinical data.
  • A total of 96 pSS patients were analyzed through thyroid function tests to categorize them by the presence of autoantibodies, leading to the exploration of various risk factors using four different machine learning algorithms.
  • The Random Forest Classifier yielded the best results (AUC = 0.755), highlighting age, IgG levels, complement C4, and dry mouth as significant predictors for autoimmune thyroiditis in these patients.
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Fibromyalgia (FM) and ankylosing spondylitis (AS) are both rheumatic diseases characterized by significant musculoskeletal pain. In this study, we investigated the differences of the resting-state network (RSN) connectivity and gray matter volume (GMV) between FM, AS and healthy controls (HCs). We recruited 38 FM patients, 82 AS patients and 61 HCs in this study.

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Article Synopsis
  • - The guideline aims to assist in choosing biomarkers for diagnosing and evaluating patients with axial spondyloarthritis (axSpA) through a collaboration of experts and evidence-based strategies.
  • - A total of 20 recommendations were made, including strong suggestions for HLA-B27 testing and regular monitoring of CRP/ESR, while others focused on potential biomarkers for various clinical purposes.
  • - The guideline emphasizes that healthcare professionals should consider costs, accessibility, and patient preferences when selecting tests, and it provides a toolkit of endorsed biomarkers for better clinical decision-making.
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Background: Systemic lupus erythematosus (SLE) is linked to host gut dysbiosis. Here we performed faecal gut microbiome sequencing to investigate SLE-pathogenic gut microbes and their potential mechanisms.

Methods: There were 134 healthy controls (HCs) and 114 SLE cases for 16 S ribosomal RNA (rRNA) sequencing and 97 HCs and 124 SLE cases for shotgun metagenomics.

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  • This study examines how immune cell types in the blood of ankylosing spondylitis (AS) patients change when they also have colitis or terminal ileitis, aiming to establish links between these immune changes and gut inflammation for better early detection.
  • In a sample of 50 AS patients undergoing colonoscopy, flow cytometry was used to identify variations in lymphocyte subsets, revealing significant increases in total T cells and exhausted CD4 T cells in those with colorectal inflammation, while terminal ileitis patients showed an increase in total and switched B cells.
  • The research suggests differing immune responses depending on the type of gut inflammation in AS, indicating that these patterns could be useful for early diagnosis and potential treatments for affected patients.
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  • The study investigated the efficacy and safety of the biosimilar BAT1806/BIIB800 compared to the reference drug tocilizumab (TCZ) in patients with moderate-to-severe rheumatoid arthritis over a treatment period of 24-48 weeks.
  • Results showed that the effectiveness of both treatments was similar, with high response rates (ACR20), along with comparable safety and immunogenicity profiles across treatment groups.
  • Overall, the study concluded that BAT1806/BIIB800 has similar therapeutic outcomes to TCZ, supporting its use as a treatment option for rheumatoid arthritis patients.
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Background: This study aimed to investigate the accuracy of identifying enthesitis along with other inflammatory lesions and structural lesions on the MRI of the sacroiliac joints (SIJ) by readers of varying experience and how training sessions and workshops could help improve the accuracy.

Methods: A total of 224 patients with clinical diagnosis of axial spondyloarthritis who underwent SIJ MRI examinations were retrospectively included in this study. Three readers with 5 years, 3 years and 1 year of experience in musculoskeletal imaging were invited to review the SIJ MRI images independently, while the imaging reports of a senior radiologist (> 10 years' experience) were used as reference.

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Objectives: Sleep disturbance is common in autoimmune rheumatism diseases (ARD) and it plays an important role in activating disease and affects the quality of life. This study aims to evaluate the efficacy and acceptability of the novel electrical therapy on sleep disturbance in ARD patients and its effect on immunologic factors.

Methods: A total of 51 ARD patients (26 treatment group and 25 control group) with sleep disturbance were enrolled in this study.

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Objectives: To determine the alteration of peripheral T and B cell subsets in patients with systemic sclerosis (SSc) and to evaluate their correlation with the progression of SSc.

Methods: We recruited 47 SSc patients and 45 healthy controls (HCs) in this study. Demographic and clinical data were then collected.

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Background: The efficacy and safety of the oral Janus kinase inhibitor peficitinib were investigated in Asian patients with rheumatoid arthritis (RA).

Methods: In this double-blind, phase 3 study, patients from mainland China, Korea, and Taiwan with RA and an inadequate response/intolerance to methotrexate were randomized (1:1:1) to once-daily placebo (N = 128), peficitinib 100 mg (N = 129), or 150 mg (N = 128) in combination with non-biologic DMARDs. At Week 24, patients receiving placebo switched to peficitinib 100 mg or 150 mg.

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Article Synopsis
  • The study investigates the link between asymptomatic hyperuricemia (AH) and the development of arthritis in adults, using data from the National Health and Nutrition Examination Survey (2007-2018).
  • Results show a slight decrease in overall arthritis prevalence, but an increase in osteoarthritis, with AH being linked to a higher risk of developing arthritis, particularly in women and individuals aged 40-49.
  • The findings suggest that AH is a risk factor for developing arthritis, especially osteoarthritis, highlighting that this risk is more pronounced in older adults and females.
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Background: Biosimilars provide an opportunity to address unmet medical need by expanding access to biological treatments. This study aimed to show equivalent efficacy, and comparable safety, immunogenicity, and pharmacokinetic profiles of a proposed tocilizumab biosimilar BAT1806/BIIB800, to reference tocilizumab, in participants with rheumatoid arthritis with an inadequate response to methotrexate.

Methods: This phase 3, multicentre, randomised, double-blind, active-controlled, equivalence study comprised a 24-week initial treatment period (results reported here) and a 24-week secondary treatment period.

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  • The study explored the causal relationship between interleukin-18 (IL-18) levels and five immune-mediated inflammatory diseases (IMIDs), focusing on rheumatoid arthritis, systemic lupus erythematosus, inflammatory bowel disease, ankylosing spondylitis, and psoriasis.
  • Using genetic variants for a two-sample Mendelian randomization analysis, the research found that higher IL-18 levels are linked to a greater risk of developing systemic lupus erythematosus and inflammatory bowel disease, but not rheumatoid arthritis, ankylosing spondylitis, or psoriasis.
  • The analysis confirmed that there is no reverse causal association between these diseases and IL-18 levels, suggesting a distinct
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Aim: To delineate the landscape of diagnostic delay in Chinese axial spondyloarthritis (axSpA), investigate its associated factors, and explore its potential impact on medication modalities.

Methods: A total of 1295 patients fulfilling the ASAS classification criteria were obtained. Demographic and clinical data were collected through face-to-face interviews, based on predesigned questionnaires and available medical records.

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  • This study focused on identifying rare genetic variants linked to IgA nephropathy, with a sample of 8,529 patients and 23,224 controls, discovering a significant variant in VEGFA that doubles the risk of the disorder.* -
  • Researchers found a new common variant in PKD1L3 associated with lower haptoglobin protein levels, enhancing understanding of genetic risk factors for IgA nephropathy.* -
  • The research effectively combined large-scale association studies and sequencing analysis to shed light on previously overlooked low-frequency genetic variants that influence disease susceptibility.*
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Introduction: Baricitinib, a JAK1/JAK2 inhibitor, is approved for treatment of moderate-to-severe rheumatoid arthritis (RA) in China. This single-arm, prospective, multi-center, post-marketing safety study (PMSS) evaluated the safety and effectiveness of baricitinib in Chinese patients.

Methods: This study included adult patients with moderate-to-severe active RA who received baricitinib over periods of approximately 12 and 24 weeks.

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Background: Findings of fatty lesions in the context of other imaging manifestations, especially bone marrow edema and erosions can effectively assist in the diagnosis of axSpA. Chemical shift-encoded MRI is a sequence which allows for the quantification of fat signal and has been applied in the imaging evaluation of the SIJ in axSpA. The objective of this study was to investigate the diagnostic performance of morphological features of fatty lesions visualized by CSE-MRI in the imaging evaluation of SIJ in axSpA.

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Background: Pulmonary arterial hypertension is a major cause of death in systemic lupus erythematosus, but there are no tools specialized for predicting survival in systemic lupus erythematosus-associated pulmonary arterial hypertension.

Research Question: To develop a practical model for predicting long-term prognosis in patients with systemic lupus erythematosus-associated pulmonary arterial hypertension.

Methods: A prognostic model was developed from a multicenter, longitudinal national cohort of consecutively evaluated patients with systemic lupus erythematosus-associated pulmonary arterial hypertension.

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Objective: Ankylosing spondylitis (AS) and rheumatoid arthritis (RA) are chronic inflammatory joint diseases, linking to the alterations of immune cells. We attempted to assess whether the alterations in the composition of CD4 /CD8 T cells are different between AS and RA and identify the characteristic cells between male and female patients.

Methods: The proportions of CD3 or double positive T cells, 6 CD4 T subsets and 9 CD8 T cell subsets were detected by flow cytometry and compared in 30 healthy individuals, 42 AS patients and 45 RA patients.

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Spondyloarthritis (SpA) is a group of chronic inflammatory diseases that predominantly involve the spine and/or peripheral joints. The clinical manifestations of SpA are highly heterogenous and complicated with various comorbidities. SpA is a disabling disease and adversely affects the quality of life of patients.

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