Publications by authors named "LanJuan Li"

Background: Coronavirus disease 2019 (COVID-19) is a global pandemic with high mortality, and the treatment options for the severe patients remain limited. Previous studies reported the altered gut microbiota in severe COVID-19. But there are no comprehensive data on the role of microbial metabolites in COVID-19 patients.

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Background: Previous studies have indicated that human flora may affect the development of scabies, however, no studies have proven a causal relationship between human flora and scabies, which would be detrimental to future in-depth studies on human flora and scabies.

Methods: Mendelian randomization (MR) was used to analyze the causal effect between human microbiota and scabies, with data on intestinal flora and skin flora from two large published studies and data on scabies from the FinnGen database. Five MR analysis methods were used to increase the reliability of the results, and sensitivity analyses were conducted to increase the robustness of the results.

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  • * Dysbiosis can lead to the production of harmful substances, disrupt immune function, and influence metabolic processes, which collectively contribute to HCC development while also affecting cancer immunotherapy outcomes.
  • * Probiotics may enhance the effectiveness of immunotherapy by improving gut health, potentially offering a safer and more cost-effective approach to preventing and managing hepatocellular carcinoma according to recent research findings.
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Inflammatory response plays an essential role in the pathogenesis of cholestatic liver injury. PPARα agonists have been shown to regulate bile acid homeostasis and hepatic inflammation. However, the immunoregulatory mechanisms through which PPARα agonists ameliorate cholestatic liver injury remain unclear.

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  • Hepatitis B virus reactivation (HBVr) is a serious issue linked to various drugs, but the specific drugs involved aren’t well-documented.
  • A study analyzed data from FDA and Japanese databases and found 44 drugs related to HBVr, with 35 lacking safety warnings on their labels; most were cancer and immune system medications.
  • The research highlighted early HBVr occurrences with certain drugs and identified safer alternatives (like entecavir and tenofovir) to help improve patient care and safety.
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Constipation is a gastrointestinal (GI) condition marked by difficulty in defecation, abdominal pain and distension, significantly impacting both physical and mental health. Li01 (Li01) is a probiotic known to prevent constipation in mice, while psyllium husk (PSH) is a dietary fiber with high water retention, acting as an intestinal lubricant. This study investigates the effects of a combined treatment of Li01 and PSH on mice with loperamide-induced constipation.

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The , developed by the Chinese Society of Infectious Diseases of the Chinese Medical Association in 2019, serves as a valuable reference for standardizing the prevention of mother-to-child transmission in China. As new evidence continues to emerge, it is essential to update these guidelines regularly to optimize clinical practice and research. To this end, the Infectious Disease Physician Branch of the Chinese Medical Doctor Association and the Chinese Society of Infectious Diseases of the Chinese Medical Association, in collaboration with multidisciplinary experts, have updated the guidelines based on the latest domestic and international research advancements and clinical practices, providing up-to-date guidance for clinicians and maternal and child healthcare workers.

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Background: Early identification of hepatitis B virus-related acute-on-chronic liver failure (HBV-ACLF) holds crucial importance in guiding clinical management and reducing mortality. However, existing scoring systems often overlook patient's underlying clinical condition, which significantly impacts prognosis.

Aims: Use the age-adjusted Charlson comorbidity index (aCCI) to evaluate the patient's complications to develop a more precise model for predicting transplant-free mortality in HBV-ACLF patients.

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  • Research in the Zhejiang region reveals higher antibiotic resistance rates in Helicobacter pylori than previous reports, particularly against levofloxacin and clarithromycin.
  • Using techniques like agar dilution for antimicrobial susceptibility testing (AST) and next-generation sequencing (WGS), the study identifies specific mutations linked to this resistance, including A2147G in 23S rRNA and mutations in the gyrA gene.
  • The findings suggest urgent need for improved eradication therapy in the region, with resistance rates notably different based on patients' birth years.
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Previous reports have demonstrated that alcohol consumption significantly reduces the abundance of Lactobacillus in the gut. In this study, we selected five species of the genus Lactobacillus, commonly found in fermented foods, and acknowledged them as safe, edible, and effective in preventing or treating certain diseases, to evaluate their effects on alcoholic liver disease (ALD). By comparing the liver damage indices in each group, we found that the type strain of Lactobacillus helveticus (LH, ATCC 15009) had the most marked alleviating effect on ALD-induced liver injury.

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  • Ulcerative colitis (UC) is a chronic digestive condition that currently lacks a satisfactory cure, but effective mucosal healing is a crucial treatment goal.
  • A study explored the use of Christensenellaceae minuta (C. minuta), a promising new probiotic, showing it alleviated colitis symptoms and aided in the regeneration of intestinal cells.
  • The research revealed that C. minuta positively altered gut bacteria, increased beneficial compounds like propionic acid, and activated the PI3K-AKT pathway, which plays a role in healing, suggesting its potential for future clinical applications.
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  • The study looks at how a type of stem cell treatment from the placenta can help patients with a liver disease called primary sclerosing cholangitis (PSC).
  • Researchers used special mice to see how the stem cell treatment affected their liver health and identified important substances in their blood to check its effectiveness.
  • They found that after the treatment, certain harmful substances in the liver decreased while beneficial ones increased, suggesting the stem cell treatment was successful in improving liver function.
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Organoids are miniature, highly accurate representations of organs that capture the structure and unique functions of specific organs. Although the field of organoids has experienced exponential growth, driven by advances in artificial intelligence, gene editing, and bioinstrumentation, a comprehensive and accurate overview of organoid applications remains necessary. This review offers a detailed exploration of the historical origins and characteristics of various organoid types, their applications-including disease modeling, drug toxicity and efficacy assessments, precision medicine, and regenerative medicine-as well as the current challenges and future directions of organoid research.

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Inflammatory bowel disease (IBD) is characterized by the upregulation of reactive oxygen species (ROS) and dysfunction of gut immune system, and microbiota. The conventional treatments mainly focus on symptom control with medication by overuse of drugs. There is an urgent need to develop a closed-loop strategy that combines in situ monitoring and precise treatment.

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  • Sorafenib is a common treatment for advanced hepatocellular carcinoma (HCC), but its effectiveness is often reduced due to drug resistance.
  • A study integrating posttranslational modification analysis and CRISPR screening discovered that ubiquitination of CCT3 plays a key role in this resistance.
  • Targeting the CCT3/ACTN4/TFRC pathway may improve treatment outcomes by enhancing ferroptosis and overcoming resistance to Sorafenib in HCC patients.
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Background: Metabolically associated fatty liver disease (MAFLD) insidiously affects people's health, and many models have been proposed for the evaluation of liver fibrosis. However, there is still a lack of noninvasive and sensitive models to screen MAFLD in high-risk populations.

Objective: The purpose of this study was to explore a new method for early screening of the public and establish a home-based tool for regular self-assessment and monitoring of MAFLD.

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Autoimmune hepatitis (AIH) is characterized by persistent liver inflammation induced by aberrant immune responses. Glycyrrhizic acid (GA), a prominent bioactive ingredient of licorice, has shown potential as a safe and effective treatment for AIH. However, the immune regulatory mechanism by which GA exerts its therapeutic effect on AIH remains elusive.

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Background And Aims: Hepatitis B virus (HBV)-associated liver cirrhosis (LC), a common condition with high incidence and mortality rates, is often associated with diabetes mellitus (DM). However, the molecular mechanisms underlying impaired glucose regulation during HBV-associated LC remain unclear.

Methods: Data from 63 patients with LC and 62 patients with LC-associated DM were analysed.

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Article Synopsis
  • - A new strain of
  • Pseudomonas juntendi
  • (strain L4236), an opportunistic pathogen, was isolated from human feces and identified as multidrug resistant, though it remained sensitive to the antibiotic amikacin.
  • - This strain was analyzed using various genomic and phenotypic methods, revealing a large genetic element known as a megaplasmid that carries resistance genes, including a novel variant.
  • - The findings suggest that antimicrobial use may have contributed to the development of drug resistance in this strain, indicating a need for further research on its implications in clinical settings.
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The role of the gut microbiota in the occurrence and progression of primary biliary cholangitis (PBC) is not fully understood. First, the fecal microbiota of patients with PBC ( = 4) (PBC-FMT) or healthy individuals ( = 3) (HC-FMT) was transplanted into pseudo germ-free mice or 2OA-BSA-induced PBC models. The functions, histology and transcriptome of the liver, and microbiota and metabolome of the feces were analyzed.

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The early and accurate identification of predictive biomarkers for antiviral treatment efficacy remains a significant clinical challenge, particularly in the management of chronic hepatitis B (CHB). This study aimed to assess whether the plasma metabolome could reliably predict the success of antiviral therapy in CHB patients. We conducted a retrospective analysis on 56 treatment-naive CHB patients at the First Affiliated Hospital of Zhejiang University from December 2013 to March 2016.

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  • This study investigated the effectiveness of ursodeoxycholic acid (UDCA) and mesenchymal stem cells (MSCs) on severe COVID-19 patients hospitalized between December 2022 and June 2023.
  • The research included 167 patients and found that both UDCA and MSCs were associated with lower mortality risk in severe COVID-19 cases, indicated by significant odds ratios.
  • The study suggests that UDCA and MSCs could be promising treatment options to improve outcomes for patients suffering from severe COVID-19.
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