Publications by authors named "Kailun Hu"

Keloid scarring is a fibroproliferative disease of the skin, which can significantly impact one's quality of life through cosmetic concerns, physical discomfort (itchy; painful), restricted movement, and psychological distress. Owing to the poorly understood pathogenesis of keloids and their high recurrence rate, the efficacy of keloid treatment remains unsatisfactory, particularly in patients susceptible to multiple keloids. We conducted fecal metagenomic analyzes and both untargeted and targeted plasma metabolomics in patients with multiple keloids (MK,  = 56) and controls with normal scars (NS,  = 60); tissue-untargeted metabolomics (MK,  = 35; NS,  = 32), tissue-targeted metabolomics (MK,  = 41; NS,  = 36), and single-cell sequencing analyzes (GSE163973).

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Endometriosis (EMT) is a common gynecological disease with a strong genetic component, while its precise etiology remains elusive. This study aims to integrate transcriptome-wide association study (TWAS), Mendelian randomization (MR), and bioinformatics analyses to reveal novel putatively causal genes and potential mechanisms. We obtained summary-level data of the Genotype-Tissue Expression Project (GTEx), v8 expression quantitative loci (eQTL) data, and the genome-wide association study (GWAS) data of EMT and its subtypes from the R11 release results of the FinnGen consortium for analysis.

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Article Synopsis
  • * This study analyzed the expression and localization of Entpd3 in the mouse uterus during the estrous cycle using various techniques, finding high levels of Entpd3 during estrus and metestrus, but lower levels during diestrus and proestrus.
  • * Hormonal treatments in ovariectomized mice showed that sex steroid hormones like estrogen and progesterone can downregulate Entpd3 expression, suggesting that it may be involved
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  • Impaired endometrial function is a major cause of female infertility, and a new sprayable hydrogel with human endometrial organoid extracellular vesicles (HEO-EVs) aims to address this issue by enhancing uterine function.
  • The hydrogel, made of a peptide amphiphile (CPA), combines biocompatible properties with therapeutic EVs sourced from long-term cultured endometrial organoids, promoting rapid gelation and effective application when sprayed onto the uterine lining.
  • Research shows that this innovative treatment improves cell growth, reduces free radicals, and boosts fertility in a mouse model with endometrial injury, indicating its potential for targeted therapy in humans.
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Study Question: Are there significant differences in fertility outcomes between transferring two cleavage-stage embryos in a single fresh cycle and transferring one cleavage-stage embryo in a fresh cycle and one blastocyst-stage embryo in the subsequent frozen-thawed cycle?

Summary Answer: In women aged <38 years with two embryos available, transferring one cleavage-stage embryo in a fresh cycle and one blastocyst-stage embryo in the subsequent frozen-thawed cycle increased live birth rates and decreased multiple live birth rates compared to transferring two cleavage-stage embryos in a single fresh cycle.

What Is Known Already: The strategy of repeated single embryo transfer (SET) has emerged as a solution to address the reduced live birth rates associated with SET per cycle. There is substantial evidence indicating that the cumulative live birth rate after repeated SET is comparable to that of double embryo transfer (DET), while significantly reducing the incidence of multiple pregnancies.

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The relationship between the intake of artificial sweetener (AS) and adverse pregnancy outcomes is under-researched, and existing studies yield inconsistent conclusions. A Mendelian randomization (MR) approach was employed to investigate the causal relationship between the intake of AS and adverse pregnancy outcomes. Instrumental variables related to the exposure phenotype were selected for analysis.

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The architecture of cell culture, two-dimensional (2D) versus three-dimensional (3D), significantly impacts various cellular factors, including cell-cell interactions, nutrient and oxygen gradients, metabolic activity, and gene expression profiles. This can result in different cellular responses during cancer drug treatment, with 3D-cultured cells often exhibiting higher resistance to chemotherapeutic drugs. While various genetic and proteomic analyses have been employed to investigate the underlying mechanisms of this increased resistance, complementary techniques that provide experimental evidence of spatial molecular profiling data are limited.

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Objective: To investigate whether operative hysteroscopy in addition to vacuum aspiration for the management of early pregnancy loss effectively increases the success rate of subsequent frozen embryo transfer.

Design: Propensity score-matched cohort study.

Setting: Academic hospital.

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The architecture of cell culture-two-dimensional (2D) versus three-dimensional (3D)-significantly impacts various cellular factors, including cell-cell interactions, nutrient and oxygen gradients, metabolic activity, and gene expression profiles. This can result in different cellular responses during cancer drug treatment, with 3D-cultured cells often exhibiting higher resistance to chemotherapeutic drugs. While various genetic and proteomic analyses have been employed to investigate the underlying mechanisms of this increased resistance, complementary techniques that provide experimental evidence of spatial molecular profiling data are limited.

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Objective: To investigate the association of long-term embryo vitrification with the success rates and neonatal outcomes in frozen cycles.

Study Design: A single-center, retrospective cohort study was performed in Peking University Third Hospital. We included women who had undergone their first vitrified-warmed cycles following an unsuccessful fresh embryo transfer cycle between January 2013 and December 2019.

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Purpose: This study aimed to investigate the association between mild elevation of thyroid-stimulating hormone (TSH) levels and pregnancy outcomes of in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) treatments in women with the first fresh embryo transfer.

Methods: Large single-center retrospective cohort study of 15,728 patients from January 2018 to December 2022 were enrolled in the analyses. Clinical pregnancy rates, live birth rates, miscarriage rates, and ectopic pregnancy rates were compared between the TSH levels < 2.

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Background: Esophageal atresia (EA) is a life-threatening congenital malformation in newborns, and the traditional repair approaches pose technical challenges and are extremely invasive. Therefore, surgeons have been actively investigating new minimally invasive techniques to address this issue. Magnetic compression anastomosis has been reported in several studies for its potential in repairing EA.

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Research Question: Is there an association between intrauterine haematoma (IUH) and pregnancy outcomes in patients who undergo fetal reduction after double embryo transfer (DET), and if so, what is the relationship between IUH-related characteristics and pregnancy outcomes?

Design: Clinical information and pregnancy outcomes of women who underwent fetal reduction after DET were analysed. Patients with other systematic diseases, ectopic pregnancy or heterotopic pregnancy, monochorionic twin pregnancies and incomplete data were excluded. Stratification of IUH pregnancies was undertaken based on IUH-related characteristics.

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Epidermal growth factor receptor (EGFR) is a transmembrane protein commonly targeted by tyrosine kinase inhibitors (TKIs) as a front-line therapy for patients with many cancers including nonsmall cell lung cancer (NSCLC). Effective treatment requires efficient intracellular drug uptake and target binding. However, despite the recent success in the development of new TKI drugs, the mechanisms of uptake for many TKIs are still poorly understood due to the difficulty in imaging and measuring nonfluorescent drug molecules at a subcellular resolution.

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Background: Bisphenol A (BPA) levels are high in women with polycystic ovary syndrome (PCOS). The mechanism by which BPA induces abnormal glucose metabolism in PCOS patients is largely unknown.

Methods: Serum and urine samples were collected from women with and without PCOS (control) at the reproductive medicine center with informed consent.

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Intratumoral heterogeneity is a substantial cause of drug resistance development during chemotherapy or other drug treatments for cancer. Therefore, monitoring and measuring cell exposure and response to drugs at the single-cell level are crucial. Previous research suggested that the single-cell growth rate can be used to investigate drug-cell interactions.

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Problem: Immunomodulation profoundly affects the process of human implantation. Trophoblast cell-derived microparticles (Tr-MPs) may activate specific T cells to attack trophoblast cells, thus potentially acting as an immunocontraceptive vaccine. The safety and persistence of Tr-MP vaccine are needed to address.

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Background: Ectopic pregnancy is more common amongst assisted reproduction cycles and is a cause of significant maternal morbidity. Few predictive markers exist to help identify and modify risk of ectopic pregnancy in preparing for embryo transfer. The relationship between serum and AMH and ectopic pregnancy rate is unknown.

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Context: Gestational diabetes mellitus (GDM) is a common obstetric complication. Although early intervention could prevent the development of GDM, there was no consensus on early identification for women at high risk of GDM.

Objective: To develop a reliable prediction model of GDM in early pregnancy.

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Article Synopsis
  • - Melasma is a challenging skin condition to treat, and this study investigates the use of human umbilical cord mesenchymal stem cell-derived exosomes (hUCMSC-Exos) as a potential novel treatment option, focusing on their safety and efficacy.
  • - In the research, animal studies showed that hUCMSC-Exos could effectively penetrate deeper skin layers when combined with microneedles, laser treatments, and plasma therapy, while a clinical trial with 60 patients tested several treatment combinations.
  • - Results indicated that the combinations of hUCMSC-Exos treatments significantly improved treatment outcomes and patient satisfaction compared to a control group, while pain levels varied among the different treatment groups.
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Article Synopsis
  • * Using advanced single-cell sequencing techniques, researchers identified four distinct WJ-MSC subpopulations, each with different characteristics and functions.
  • * Notably, a specific subpopulation (biofunctional-type MSCs) shows significant potential for wound healing, especially since it's more abundant in the fetal umbilical cord, highlighting its promise for future therapies.
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Objective: To investigate the relationship between the embryo frozen time and live birth rate (LBR) in women having a freeze-all cycle.

Design: Retrospective cohort study.

Setting: Academic hospital.

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Purpose: To explore an interaction effect between serum anti-Müllerian hormone (AMH) levels and the relative treatment effect of a freeze-all versus a fresh embryo transfer strategy on live birth.

Methods: This was a retrospective cohort study investigating couples with infertility and eligible for both freeze-all and fresh embryo transfer between 2017 and 2019. Women with an absolute indication for a freeze-all strategy were excluded.

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Infertility affects about 10-15% couples over the world, among which a large number of cases the underlying causes are still unclear. Recent studies suggest that environmental factors may play an important role in these idiopathic infertilities. Arsenic is a heavy metal found in drinking water over the world.

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Article Synopsis
  • Overweight and obesity during pregnancy are linked to disorders like gestational diabetes (GDM) and high gestational weight gain (GWG), yet the effectiveness of various preventive interventions is not well-understood.
  • A review of 23 studies with nearly 8,877 participants found that while no intervention significantly prevented GDM, physical activity (PA) and diet combined with PA showed potential as preventive measures, with PA ranking highest in effectiveness.
  • Interventions focusing on diet and PA were effective in limiting GWG, with combined diet + PA being the best strategy for both preventing GDM and controlling GWG.
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