Publications by authors named "Kong Xiaodan"

Article Synopsis
  • The study focused on the long-term survival and mortality factors in Chinese patients with primary Sjögren syndrome (pSS), tracking data from May 2016 to December 2021.
  • Out of 8588 patients, 274 deaths occurred during a median follow-up of 4 years, showing a higher mortality rate compared to the general population, with major causes linked to comorbidities like cardiovascular diseases and infections.
  • Factors increasing mortality included male sex, older age, interstitial lung disease, and specific blood conditions, while hydroxychloroquine use appeared to enhance long-term survival rates.
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Rheumatoid arthritis-associated interstitial lung disease (RA-ILD) is a serious and common extra-articular disease manifestation. Patients with RA-ILD experience reduced bacterial diversity and gut bacteriome alterations. However, the gut mycobiome and virome in these patients have been largely neglected.

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Article Synopsis
  • TLR7/8 is crucial for immune responses and plays a significant role in autoimmune diseases like lupus, but the exact mechanisms behind its activation are not fully understood.
  • The study reveals that the microRNA miR-574-5p is increased in lupus-affected tissues and correlates with disease severity, actively binding to TLR8 and triggering strong immune responses.
  • In experiments with transgenic mice, overexpression of miR-574-5p led to heightened autoimmune activity, while silencing it reduced lupus symptoms, indicating it plays a key role in the disease's progression.
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Extra-articular manifestations (EAMs) in ankylosing spondylitis (AS) are common and most extra-articular manifestations such as acute iritis and inflammatory bowel disease are positively correlated with disease activity of AS. Vasculitis is an extra-articular manifestation of AS. However cutaneous leukocytoclastic vasculitis (CLV) is uncommon in AS patients.

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Objectives: Articular manifestations have been reported in 19.3%-53.5% of patients with primary Sjogren's syndrome.

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Objective: The pathogenesis of arthritis such as rheumatoid arthritis (RA) and osteoarthritis (OA) remains unclear. This study aims to investigate whether the intake of live dietary microbes can be used as an auxiliary means for the treatment of arthritis.

Methods: Data used in the present research were originated from the US National Health and Nutrition Examination Survey (NHANES) from 2003-2018.

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Anti-melanoma differentiation-associated gene 5 (MDA5) dermatomyositis (DM) is a rare disease that can be easily misdiagnosed. Anti-MDA5 dermatomyositis is a subtype of DM. It is distinguished by the presence of significant mucocutaneous characteristics, palmar papules, panniculitis, interstitial lung disease (ILD), and clinically amyopathic dermatomyositis (CADM).

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Autoantibodies produced by B cells play a pivotal role in the pathogenesis of systemic lupus erythematosus (SLE). However, both the cellular source of antiphospholipid antibodies and their contributions to the development of lupus nephritis (LN) remain largely unclear. Here, we report a pathogenic role of anti-phosphatidylserine (PS) autoantibodies in the development of LN.

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Objective: To investigate whether primary Sjögren's syndrome (pSS) patients with hyperglobulinemia have an increased risk of all-cause mortality.

Methods: Patients who registered in the Chinese Rheumatism Data Centre from May 2016 to July 2021 and met the 2002 American European Consensus Group criteria or 2016 American College of Rheumatology /European League Against Rheumatism classification criteria for Sjögren's syndrome were included. Hyperglobulinemia was defined as any elevated serum levels of immunoglobulin G (IgG), immunoglobulin A (IgA), or immunoglobulin M (IgM).

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Objectives: To investigate the clinical features and factors associated with primary Sjögren's syndrome (pSS)-associated renal tubular acidosis (RTA).

Method: This case-control study was based on a multicenter pSS registry established by the Chinese Rheumatism Data Center. Patients with pSS, including those with RTA and those without renal involvement, between May 2016 and March 2020 were included in the analysis.

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Article Synopsis
  • Researchers studied 148 patients with polyarteritis nodosa (PAN) to find risk factors related to digital gangrene, noting that 31.8% of patients had this complication.
  • Significant risk factors for digital gangrene included current smoking, elevated eosinophils, and high white blood cell counts, with 68.1% of affected patients undergoing specific pulse therapy.
  • Poor prognosis was linked to high levels of serum C-reactive protein (CRP), highlighting its importance for patient monitoring and treatment outcomes.
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Purpose: To evaluate the efficacy and safety of 0.05% cyclosporine eye drops (II) for the treatment of primary Sjögren's syndrome-associated dry eye (PSSDE).

Methods: Sixty patients with PSSDE were randomly divided into three groups, received treatment with 0.

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Hyperuricemia-induced cardiac remodeling is at least in part pressure-dependent mechanisms, yet the pressure-independent mechanisms are not well understood. C-X-C motif chemokine ligand 1 (CXCL1) was upregulated in renal tubules from mice subjected to uric acid (UA)-induced nephropathy. Given that CXCL1 is a master chemokine responsible for the recruitment of macrophage by binding with its receptor C-X-C motif chemokine receptor 2 (CXCR2), we thus hypothesized that UA-induced cardiac injury is promoting the recruitment of CXCR2 + macrophages into the heart, which enhances cardiac inflammation.

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Article Synopsis
  • Air pollution, particularly particulate matter (PM) and nitrogen dioxide (NO), is linked to increased risk of lupus nephritis (LN) in systemic lupus erythematosus (SLE) patients, indicating a specific impact from short-term exposure.
  • A large study conducted in China analyzed data from over 8,500 SLE patients and found significant associations between LN occurrences and short-term spikes in PM and NO levels, especially in east China.
  • Other pollutants like sulfur dioxide (SO), carbon monoxide (CO), and ozone (O) did not show the same strong links, suggesting that improving air quality could be beneficial for SLE patients and highlighting the need for more research into these findings.
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Sjögren's syndrome (SS) is a systemic autoimmune disease characterized by progressive inflammation and tissue damage in salivary glands and lacrimal glands. Our previous studies showed that myeloid-derived suppressor cells (MDSCs) exhibited impaired immunosuppressive function during disease progression in patients with SS and mice with experimental Sjögren's syndrome (ESS), but it remains unclear whether restoring the function of MDSCs can effectively ameliorate the development of ESS. In this study, we found that murine olfactory ecto-mesenchymal stem cell-derived exosomes (OE-MSC-Exos) significantly enhanced the suppressive function of MDSCs by upregulating arginase expression and increasing ROS and NO levels.

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To investigate the effectiveness of dual filtration plasmapheresis (DFPP), a novel blood purification treatment, as a rapid and sustained disease-modifying therapy for active refractory rheumatoid arthritis (RA).A retrospective cohort study had been conducted. One hundred fifty three patients aged 18 years or older with active refractory RA were treated with DFPP combined with infliximab (IFX), IFX, or glucocorticoid (GC), all the above treatments were combined with methotrexate (MTX).

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Introduction: Primary Sjögren's syndrome (pSS) has been related to a higher risk of comorbidities, but studies examining comorbidities among patients with and without extraglandular manifestations are limited. The objectives of this study were to assess the prevalence of comorbidities in Chinese pSS patients and to determine the relationship between comorbidities and extraglandular manifestations.

Method: This cross-sectional study was based on the multicenter pSS registry established by the Chinese Rheumatism Data Center.

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Article Synopsis
  • - A 43-year-old man developed granulomatosis with polyangiitis (GPA) after suffering trauma and surgery for facial fractures, initially showing respiratory symptoms and significant weight loss.
  • - His condition was diagnosed based on respiratory involvement, biopsy results, and specific antibodies, leading to treatment with glucocorticoids and cyclophosphamide, which ultimately failed to improve his symptoms.
  • - After switching to rituximab, the patient's symptoms significantly improved, indicating that trauma may trigger GPA and highlighting the need for alternative therapies in unresponsive cases.
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Background: Interstitial lung disease (ILD) is a disease with high mortality worldwide. Unfortunately, its prognosis is still very poor. Therefore, developing the target molecular is very important for ILD diagnosis and treatment.

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CD47 is overexpressed in many human cancers, its level positively correlates with tumor invasion and metastasis. However, it is largely unknown whether CD47 overexpression drives metastasis and how CD47 lead to tumor metastasis in non-small cell lung cancer (NSCLC). In this study, we analyzed NSCLC specimens and cell lines, and revealed that CD47 is expressed at a higher level than in tumor-free control samples.

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Introduction: Development of an animal model of rheumatoid arthritis-interstitial lung disease (RA-ILD) and improved knowledge of the pathogenesis of RA-ILD may facilitate earlier diagnosis and the development of more effective targeted therapies.

Methods: Adult male Wistar rats were studied in an adjuvant arthritis (AA) model induced by the injection of Freund's complete adjuvant (FCA). Rats were sacrificed on days 7, 14, 21, and 28 after FCA injection.

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The objective of this study is to evaluate the clinical features and prognosis of adult-onset Still's disease (AOSD). One hundred and four AOSD patients who were analyzed retrospectively were enrolled in this study. Medical charts were systematically reviewed for: demographic data, clinical features, laboratory findings, treatments, and outcomes.

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