Publications by authors named "LePing Li"

Aging is an inevitable physiological process in organisms, and the development of tumors is closely associated with cellular senescence. This article initially examines the role of cellular senescence in tumorigenesis, emphasizing the correlation between telomere length-a marker of cellular senescence-and tumor risk. Concurrently, the study explores the expression levels of senescence-associated markers, such as p16, p53, and mTOR, in the context of tumor development.

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Background: Laparoscopic gastrectomy lacks hand-direct tactile sense and has a limited surgical field compared to laparotomy. Apart from textbook classification, there are anatomical variations in the gastric arteries. Laparoscopic gastrectomy presents technical difficulties and necessitates a more comprehensive comprehension of regional anatomy than open surgical procedures.

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Polysomnography (PSG) measures brain activity during sleep via electroencephalography (EEG) using six leads. Artifacts caused by movement or loose leads distort EEG measurements. We developed a method to automatically identify such artifacts in a PSG EEG trace.

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The gut microbiota is a complex and dynamic ecosystem that plays a crucial role in human health and disease, including obesity, diabetes, cardiovascular diseases, neurodegenerative diseases, inflammatory bowel disease, and cancer. Chronic inflammation is a common feature of these diseases and is closely related to angiogenesis (the process of forming new blood vessels), which is often dysregulated in pathological conditions. Inflammation potentially acts as a central mediator.

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  • A study was conducted to evaluate if enhanced recovery after surgery (ERAS) improves overall survival and disease-free survival for patients undergoing laparoscopic distal gastrectomy for gastric cancer compared to conventional care.
  • 527 patients participated in the multicenter trial, which assessed outcomes like complications, recovery time, and medical expenses, with a follow-up of about 42 months.
  • Results showed that ERAS patients had a significantly higher 3-year overall survival (86.56%) and disease-free survival (79.57%), and experienced fewer complications and shorter hospital stays than those receiving conventional care.
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  • Sleep spindles, which may play a role in glucose regulation, were significantly lower in patients with type 2 diabetes mellitus (T2DM) compared to healthy individuals.
  • A study of 952 T2DM patients and 952 matched controls revealed that T2DM patients had about half the spindle density during sleep, and this trend was confirmed in additional data from the Sleep Heart Health Study.
  • The reduction in spindle density in T2DM patients was associated with disease severity and glycemic control, suggesting a link between sleep disturbances and diabetes management.
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Poly-ADP-ribose-polymerase 1/2 (PARP1/2) inhibitors have been approved for cancers with homologous recombination deficiency (HRD). However, their narrow therapeutic indexes largely due to hematologic toxicities have limited their clinical usefulness. Developing selective PARP1 inhibitors has emerged as an attractive strategy to achieve equivalent antitumor activity while alleviating the hematological toxicity caused by PARP2 inhibition.

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  • The study focuses on improving knee joint models by using statistical shape modeling to capture variations in knee geometry across a population.
  • The researchers developed a shape modeling procedure using MRI scans from 31 healthy males, employing principal component analysis to create models that reflect diversity in knee shape and size.
  • Results showed that variations in joint size and shape significantly affected contact and fluid pressures in the knee during loading, suggesting the potential of this approach to enhance understanding of knee joint mechanics and address differences among individuals.
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Background: While p53 mutations occur early in Barrett's oesophagus (BE) progression to oesophageal adenocarcinoma (EAC), their role in gastric cardia stem cells remains unclear.

Objective: This study investigates the impact of p53 mutation on the fate and function of cardia progenitor cells in BE to EAC progression, particularly under the duress of chronic injury.

Design: We used a BE mouse model (L2-IL1β) harbouring a mutation (R172H) to study the effects of p53 on Cck2r cardia progenitor cells.

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  • ENPP1 is an important enzyme that breaks down cGAMP, a molecule that activates the immune response against cancer; inhibiting ENPP1 can increase cGAMP levels and enhance the stimulation of the immune system via STING.
  • Researchers designed and synthesized several ENPP1 inhibitors, identifying a particularly potent one (compound 27) that significantly boosts STING activity in immune cells.
  • To improve oral bioavailability, compound 27 was developed into a prodrug (compound 36), which showed promising results when tested in combination with radiotherapy in a mouse model of pancreatic cancer.
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The separation and utilization of cellulose, hemicellulose, and lignin in lignocellulosic biorefineries present significant challenges. This study proposes a pretreatment method for biomass refining by combining acid and kraft pulping. Firstly, the biomass was pretreated by malic acid, resulting in the isolation of xylo-oligosaccharides (XOS) with a yield of 86.

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Background: There is a scarcity of large randomized clinical trials on the efficacy and safety of high-dose amino acid supplementation (AAS) in patients with gastrointestinal tumors undergoing surgical treatment.

Methods: This pragmatic, randomized, controlled, single-center, open-label, parallel-group AMIGITS trial was performed in a tertiary care teaching hospital. Patients with gastrointestinal tumors were randomly assigned to receive either AAS or standard care (SC).

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Metabolic reprogramming dictates tumor molecular attributes and therapeutic potentials. However, the comprehensive metabolic characteristics in gastric cancer (GC) remain obscure. Here, metabolic signature-based clustering analysis identifies three subtypes with distinct molecular and clinical features: MSC1 showed better prognosis and upregulation of the tricarboxylic acid (TCA) cycle and lipid metabolism, combined with frequent TP53 and RHOA mutation; MSC2 had moderate prognosis and elevated nucleotide and amino acid metabolism, enriched by intestinal histology and mismatch repair deficient (dMMR); and MSC3 exhibited poor prognosis and enhanced glycan and energy metabolism, accompanied by diffuse histology and frequent CDH1 mutation.

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  • The study analyzed tumor microenvironment (TME) characteristics such as tumor stroma ratio (TSR), tumor budding (TB), and tumor-infiltrating lymphocytes (TILs) in 493 gastric cancer patients to understand their impact on metastasis and survival.
  • Results showed that high TSR, high TB, and low TILs were linked to worse patient outcomes, with TSR emerging as a significant independent predictor of time-to-recurrence (TTR) and cancer-specific survival (CSS).
  • Relative contribution analysis highlighted N stage as the top contributor to TTR and CSS, while TSR showed a meaningful association with prognosis, underscoring its importance in assessing gastric cancer outcomes.
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Sleep apnea is a common sleep disorder. The availability of an easy-to-use sleep apnea predictor would provide a public health benefit by promoting early diagnosis and treatment. Our goal was to develop a prediction tool that used commonly available variables and was accessible to the public through a web site.

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Recent studies have highlighted the biological significance of cuproptosis in disease occurrence and development. However, it remains unclear whether cuproptosis signaling also has potential impacts on tumor initiation and prognosis of gastric cancer (GC). In this study, 16 cuproptosis-related genes (CRGs) transcriptional profiles were harnessed to perform the regularized latent variable model-based clustering in GC.

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SOS1, a guanine nucleotide exchange factor (GEF), plays a critical role in catalyzing the conversion of KRAS from its GDP- to GTP-bound form, regardless of mutation status, and represents a promising new drug target to treat all KRAS-driven tumors. Herein, we employed a scaffold hopping strategy to design, synthesize, and optimize a series of novel binary ring derivatives as SOS1 inhibitors. Among them, compound (HH0043) displayed potent activities in both biochemical and cellular assays and favorable pharmacokinetic profiles.

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Background And Objective: With advances in gut microbiome research, it has been recognized that the gut microbiome has an important and far-reaching impact on many human diseases, including cancer. Therefore, more and more researchers are focusing on the treatment of gut flora in tumors. In this article, we present a review of the mechanisms of gut microbes in tumor immunotherapy and related studies to provide reference for further research and insights into the clinical application of gut microbes.

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Background: Brain waves during sleep are involved in sensing and regulating peripheral glucose level. Whether brain waves in patients with diabetes differ from those of healthy subjects is unknown. We examined the hypothesis that patients with diabetes have reduced sleep spindle waves, a form of brain wave implicated in periphery glucose regulation during sleep.

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Study Objectives: Randomized controlled trials have shown that combining norepinephrine reuptake inhibitors and antimuscarinics can ameliorate the severity of obstructive sleep apnea. This article explores whether the effectiveness and safety of combining norepinephrine reuptake inhibitors with antimuscarinic agents surpass monotherapy for treating obstructive sleep apnea.

Methods: We searched randomized controlled trials including adult patients with obstructive sleep apnea who received combination therapy and monotherapy in 8 databases from inception until April 5, 2023 and evaluated the studies' quality and conducted a meta-analysis and systematic review.

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Electroencephalograms can capture brain oscillatory activities during sleep as a form of electrophysiological signals. We analysed electroencephalogram recordings from full-night in-laboratory polysomnography from 100 patients with Down syndrome, and 100 age- and sex-matched controls. The ages of patients with Down syndrome spanned 1 month to 31 years (median 4.

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  • Malignant tumors in the digestive system are serious diseases that can really hurt people's health.
  • Angiogenesis, which is the formation of new blood vessels, helps tumors grow by providing them with nutrients and oxygen.
  • Exosomes, which are tiny particles released by cells, play a big role in this process and could be used in new treatments to fight these tumors.
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Phospholysine phosphohistidine inorganic pyrophosphate phosphatase (LHPP) has recently emerged as a novel tumor suppressor. Researchers have observed that LHPP plays a crucial role in inhibiting proliferation, growth, migration, invasion, and cell metabolism across various cancers. Nevertheless, the specific functions and underlying mechanisms of LHPP as a tumor suppressor in gastric cancer (GC) require further exploration.

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Background: Tumor mutational load (TML) has emerged as a potential biomarker for multiple solid tumors. However, data on its prognostic impact on upper gastrointestinal (UGI) cancer are limited. Therefore, the aim of this systematic review and meta-analysis was to assess the prognostic value of TML for the survival of patients with UGI cancer.

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