Publications by authors named "Kexin Chen"

Our aim was to investigate risk factors, clinical characteristics, and antibiotic susceptibility patterns of cornea-isolated species collected at a tertiary hospital in China over 18 years. This retrospective study reviewed data from 350 patients diagnosed with keratitis at Beijing Tongren Hospital between January 2006 and December 2023, including demographics, risk factors, clinical signs, in vivo confocal microscopy (IVCM) imaging, and antibiotic susceptibility testing. The predominant type was (n = 108, 29.

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Background: Currently, serum PSA is the most commonly used screening tool in clinical practice. However, PSA levels in the range of 4-10 ng/ml are considered the 'grey zone' of prostate cancer screening. Patients within this range need to be further evaluated using additional parameters such as PSA ratio, PSA density, and other indices to determine the necessity of prostate biopsy (PBx).

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Deep learning has revolutionized cancer diagnostics, shifting from pixel-based image analysis to more comprehensive, patient-centric care. This opinion article explores recent advancements in neural network architectures, highlighting their evolution in biomedical research and their impact on medical imaging interpretation and multimodal data integration. We emphasize the need for domain-specific artificial intelligence (AI) systems capable of handling complex clinical tasks, advocating for the development of multimodal large language models that can integrate diverse data sources.

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Diabetic cardiomyopathy (DCM) is a severe cardiovascular complication of diabetes characterized by myocardial hypertrophy, fibrosis, and impaired cardiac function. Fibroblast growth factor 21 (FGF21) has emerged as a promising therapeutic target due to its antifibrotic, antioxidant, and anti-inflammatory properties. Our commentary summarizes and affirms the recent study by Wang et al.

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  • * Results showed that a higher PRS was more strongly related to EGFR-positive LUAD cases (OR=8.63) than to EGFR-negative cases (OR=3.50), indicating a significant association based on mutation status.
  • * These findings imply that genetic susceptibility to LUAD differs in never-smoking East Asian women depending on whether the cancer has specific mutations, which could affect public health strategies and clinical practices.*
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Nitrate (NO) contamination in riverine networks has threatened the environment and human health. Clarifying the NO source and environmental fate within the basin under different underlying surfaces is essential for water body protection, especially China's two mother rivers. A series of combination methods were established i.

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  • Poverty in Rural China
  • : The study focuses on health poverty in rural areas of China, analyzing the health status of nearly 9,000 residents in Ningxia over two years (2019 and 2022) to enhance health poverty alleviation strategies.
  • Findings on Health Poverty
  • : Results showed a significant decrease in multidimensional health poverty from 22.3% in 2019 to 7.7% in 2022, with higher levels observed among women and individuals with chronic diseases.
  • Recommendations for Improvement
  • : To sustain progress, targeted interventions are needed for marginalized individuals, particularly women and those with chronic illnesses. Key recommendations include enhancing healthcare resource access, increasing medical subsidies
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Background: Elevated homocysteine (Hcy) levels have been linked to cardiovascular disease (CVD), but their association with cardiometabolic multimorbidity (CMM) remains uncertain.

Methods: Data from the baseline survey of the China Northwest Cohort-Ningxia Project (CNC-NX) were used to recruit 22,566 participants. Demographic characteristics, lifestyle factors, and laboratory exam results were collected.

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Introduction: It has been found that programmed cell death protein-1 (PD-1) or its ligand PD-L1 may play an important role in the onset and progression of coronary heart disease (CHD). Thus, we conducted this mendelian randomization analysis (MR) to estimate the causal relationship between PD-1/PD-L1 and 5 specific CHDs (chronic ischemic heart disease, acute myocardial infarction, angina pectoris, coronary atherosclerosis, and unstable angina pectoris), complemented by gene set enrichment analysis (GSEA) for further validation.

Methods: Publicly available summary-level data were attained from the UK Biobank with genetic instruments obtained from the largest available, nonoverlapping genome-wide association studies (GWAS).

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  • Chiral phenylalanine derivatives are crucial for making peptides and drugs, with D/L-3-pyridyl- and phenylalanine showing broad application in drug synthesis.
  • The article details two synthetic methods: the Erlenmeyer-Plöchl route starting with N-acetylglycine and an alkylation route using diethyl acetamidomalonate.
  • A key process involves using Protamex proteinase to effectively separate N-acetamido-alanine esters, achieving over 99% purity for the enantiomeric products.
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G-protein-coupled receptors (GPRs) are critical regulators of various biological behaviors, and their role in gastric cancer (GC) progression is gaining increasing attention. Among them, the immune regulatory mechanisms mediated by chemokine receptor 4 (CXCR4) remain insufficiently understood. This study aims to explore the immune regulatory functions of CXCR4 and the heterogeneity of the tumor microenvironment (TME) by examining GPR-related gene expression in GC.

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Herein, an N-coordinated Fe site dispersed in porous carbon frameworks (Fe-NC) fabricated from zeolitic imidazolate frameworks encapsulated with iron acetylacetonate (Fe(acac) @ZIFs) was employed to activate peroxymonosulfate (PMS) for the attenuation of sulfisoxazole (SIZ) and treating real hospital wastewater. The constructed Fe-NC/PMS system exhibited good catalytic stability for SIZ degradation, maintaining excellent degradation performance over multiple cycles with virtually no leaching. The quenching experiments, electron paramagnetic resonance (EPR) capture analyses, and semi-quantitative measurements showed that singlet oxygen (O) and high-valent metal-oxo species were mainly responsible for SIZ degradation by Fe-NC/PMS.

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  • The study examines how internet use relates to self-rated health in middle-aged and older adults, focusing on the role of health service utilization as a mediator.
  • Data from the China Health and Retirement Longitudinal Study analyzed over 17,000 individuals age 45 and older, using advanced statistical methods to account for various factors.
  • Results show that internet use generally improves self-rated health, but this effect is weaker for certain groups, emphasizing the need for targeted strategies to enhance internet access and services for these populations.
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  • A new robotic system is developed for ultra-high-throughput organic chemical synthesis, integrating technologies like microfluidics and AI.
  • This system can perform multiple tasks automatically, including preparing reactants, conducting rapid photocatalytic reactions, and online detection of products.
  • During testing, the system successfully screened 12,000 reaction conditions in a single day, demonstrating its ability to achieve up to 10,000 reactions daily, while also using AI for predictive analysis on substrates and photocatalysts.
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Early cancer diagnosis from bisulfite-treated cell-free DNA (cfDNA) fragments requires tedious data analytical procedures. Here, we present a deep-learning-based approach for early cancer interception and diagnosis (DECIDIA) that can achieve accurate cancer diagnosis exclusively from bisulfite-treated cfDNA sequencing fragments. DECIDIA relies on transformer-based representation learning of DNA fragments and weakly supervised multiple-instance learning for classification.

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Background: The multidimensional health poverty afflicting rural women of reproductive age bears profound implications for the sustainable development of families, societies, and healthy villages. Elucidating vulnerable groups at risk of multidimensional health poverty and delineating its determinants can inform refinements and implementation of health-poverty alleviation policies.

Methods: Based on the 2022 "Health Status and Health Service Utilization" survey data in rural Ningxia, China, this study analyzes the dimension of health status, capacity for health service utilization, health expenditure and security using the A-F dual-threshold method, logit model, and probit model.

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Directly converting CO in flue gas using artificial photosynthetic technology represents a promising green approach for CO resource utilization. However, it remains a great challenge to achieve efficient reduction of CO from flue gas due to the decreased activity of photocatalysts in diluted CO atmosphere. Herein, we designed and synthesized a series of dual metallosalen-based covalent organic frameworks (MM-Salen-COFs, M: Zn, Ni, Cu) for artificial photosynthetic diluted CO reduction and confirmed their advantage in comparison to that of single metal M-Salen-COFs.

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Background: Nipah virus (NiV) is a zoonotic pathogen that poses a significant threat because of its wide host range, multiple transmission modes, high transmissibility, and high mortality rates, affecting both human health and animal husbandry. In this study, we developed a one-step reverse transcription droplet digital PCR (RT-ddPCR) assay that targets the N gene of NiV.

Results: Our RT-ddPCR assay exhibited remarkable sensitivity, with a lower limit of detection of 6.

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  • This study highlights the use of polysorbate 80 (PS80) as an alternative to polyethylene glycol (PEG) in ionizable lipid nanoparticles (iLNPs) for mRNA vaccine delivery, addressing PEG's potential to cause immune reactions and decreased efficacy.
  • PS80-iLNPs showed improved stealth properties—1.14 times greater than PEG-iLNPs—which helps them evade the immune system, and they also demonstrated better cell viability, being 1.12 times higher at a lipid concentration of 50 μg/mL.
  • In terms of serum resistance, while PEG-iLNPs experienced a 44.97% reduction in uptake, PS80
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This study aimed to investigate the association between sanitary toilets and health poverty vulnerability among rural western Chinese adults aged 45 years and older. Using data from the 'Rural Household Health Inquiry Survey' conducted in 2022, a three-stage feasible generalized least squares method was employed to calculate health poverty vulnerability. Propensity score matching (PSM) and mediation effect analysis were used to assess the association between sanitary toilets and health poverty vulnerability among rural western Chinese adults aged 45 years and older and the mechanisms underlying this impact.

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Background: Thyroid cancer (TC) is the most common malignancy of the endocrine system. This study aimed to assess the global distribution of TC incidence and mortality in 2022, as well as to predict the burden for the year 2050.

Methods: Data from the GLOBOCAN 2022 database were used to analyze the age-standardized incidence and mortality rates of TC by sex, age group (<55 years and ≥55 years), country, world region, and level of Human Development Index (HDI) for 185 countries.

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Background: Colorectal cancer (CRC) is the third most prevalent cancer worldwide, with the tumor microenvironment (TME) playing a crucial role in its progression. Aggregated autophagy (AA) has been recognized as a factor that exacerbates CRC progression. This study aims to study the relationship between aggregated autophagy and CRC using single-cell sequencing techniques.

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The tetraspanin family of membrane proteins is essential for controlling different biological processes such as cell migration, penetration, adhesion, growth, apoptosis, angiogenesis and metastasis. The present review summarized the current knowledge regarding the expression and roles of tetraspanins in different types of cancer of the digestive system, including gastric, liver, colorectal, pancreatic, esophageal and oral cancer. Depending on the type and context of cancer, tetraspanins can act as either tumor promoters or suppressors.

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Instruction-tuned large language models (LLMs) demonstrate exceptional ability to align with human intentions. We present an LLM-based model-instruction-tuned LLM for assessment of cancer (iLLMAC)-that can detect cancer using cell-free deoxyribonucleic acid (cfDNA) end-motif profiles. Developed on plasma cfDNA sequencing data from 1135 cancer patients and 1106 controls across three datasets, iLLMAC achieved area under the receiver operating curve (AUROC) of 0.

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