Publications by authors named "Pengmei Li"

Background: This study aimed to develop a nomogram for predicting persistent renal dysfunction in acute kidney injury (AKI) following lung transplantation (LTx).

Method: A total of 229 LTx patients were enrolled, and genotyping for 153 single nucleotide polymorphisms (SNPs) was performed. The cohort was randomly divided into training (n = 183) and validation (n = 46) sets in an 8:2 ratio.

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Objective: To assess the impact of long-term atorvastatin (ATO) therapy on reducing recipient inflammation and immune response, thus lowering the risk of chronic lung allograft dysfunction (CLAD) in lung transplant recipients. This study aimed to investigate the effects of ATO on overall survival, lung function recovery, and its influence on inflammatory factors alongside azithromycin (AZI) prophylaxis.

Methods: This retrospective single-center study included lung transplant recipients from January 2017 to December 2022.

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Article Synopsis
  • Atorvastatin is a cholesterol-lowering medication, and this study focused on creating a pharmacokinetic and pharmacodynamic model for its use in Chinese lung transplant recipients who are also on voriconazole (VOR) and have different genetic backgrounds.
  • The research employed a nonlinear mixed-effects model to analyze how atorvastatin's effectiveness and clearance vary among these patients, considering factors like specific genotypes.
  • The study found that tailored dosing regimens (10, 20, and 40 mg) could help optimize atorvastatin's effectiveness while minimizing the risk of overexposure, especially for patients on VOR or with genetic mutations.
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Objective: The purpose of this study was to investigate the correlation between different subtypes of acute kidney injury (AKI) and clinical outcomes following lung transplantation (LTx) and to identify a reliable indicator for predicting poor prognosis in the LTx population.

Methods: We retrospectively analyzed the clinical data of 279 LTx patients from August 2016 to March 2023. The AKI subtypes included AKI, persistent AKI on Day 7 (P7-AKI) and Day 14 (P14-AKI) after LTx, and AKI stages.

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Article Synopsis
  • * Various machine learning techniques were employed, including random forest and logistic regression, to analyze clinical data while ensuring feature selection and model validation through methods like cross-validation and bootstrapping.
  • * The random forest algorithm proved to be the most effective, showing high accuracy in predicting outcomes related to LDL-C target attainment, liver enzyme abnormalities, and muscle-related side effects associated with statins.
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Aims: The pharmacokinetic (PK) profiles of voriconazole in intensive care unit (ICU) patients differ from that in other patients. We aimed to develop a population pharmacokinetic (PopPK) model to evaluate the effects of using extracorporeal membrane oxygenation (ECMO) and continuous renal replacement therapy (CRRT) and those of various biological covariates on the voriconazole PK profile.

Methods: Modeling analyses of the PK parameters were conducted using the nonlinear mixed-effects modeling method (NONMEM) with a two-compartment model.

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Objectives: Gastric cancer (GC) is a prevalent malignant tumor widely distributed globally, exhibiting elevated incidence and fatality rates. The gene LAMC2 encodes the laminin subunit gamma-2 chain and is found specifically in the basement membrane of epithelial cells. Its expression is aberrant in multiple types of malignant tumors.

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Given the increasing use of bevacizumab in combinatorial drug therapy for a multitude of different cancer types, there is a need for therapeutic drug monitoring to analyze the possible correlation between drug trough concentration, and therapeutic effect and adverse reactions. An ultra-performance liquid chromatography tandem-mass spectrometry method was then developed and validated to determine bevacizumab levels in human plasma samples. Chromatographic separation was achieved on a Shimadzu InertSustainBio C18 HP column, whereas subsequent mass spectrometric analysis was performed using a Shimadzu 8050CL triple quadrupole mass spectrometer equipped with an electro-spray ionization source in the positive ion mode.

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Aims: The purpose of this study was to explore the role of RAE1 in the invasion and metastasis of gastric cancer (GC) cells.

Materials And Methods: RAE1 expression in GC cells was determined by reverse-transcription polymerase chain reaction (qRT-PCR) and Western blotting (WB). Cell models featuring RAE1 gene silencing and overexpression were constructed by lentiviral transfection; The proliferation, migration, and invasion ability of cells were detected by cell counting, colony formation assay, would healing assay, and transwell invasion and migration test.

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Albendazole and praziquantel have been used to treat various parasitic infections for many years. Studies have confirmed the efficacy in the treatment of cystic echinococcosis (CE). We reported the case of a 45-year-old Chinese patient with pulmonary CE.

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Background And Aims: A few researches have reported the exposure-efficacy/toxicity relationships of epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs). On account of the large interpatient pharmacokinetic variability, therapeutic drug monitoring (TDM) seems promising for optimizing dosage regimen and improving treatment efficacy and safety. Therefore, a rapid and convenient ultrahigh performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) method was developed and validated for the determination of icotinib, osimertinib, gefitinib and O-demesthyl gefitinib in human plasma for TDM.

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Article Synopsis
  • Statin therapy may help lower the risk and severity of chronic lung allograft dysfunction (CLAD) in lung transplant recipients by reducing inflammation and immune responses.
  • A study analyzing lung transplant patients from 2017 to 2020 found that those on statins had a significantly lower rate of CLAD and exhibited lower levels of certain immune cells and inflammatory markers.
  • Although CLAD patients had lower statin exposure, the study concluded that statin therapy effectively decreases CLAD incidence and immune reactions among lung transplant recipients.
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One 59-year-old female patient with deep venous thrombosis (DVT) and pulmonary embolism (PE) was treated with 6 mg warfarin once daily as an anticoagulant. Before taking warfarin, her international normalized ratio (INR) was 0.98.

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Background: Research on potentially inappropriate medications (PIM) and medication-related problems (MRP) among the Chinese population with chronic diseases and polypharmacy is insufficient.

Objectives: This study aimed to investigate the prevalence of PIM and MRP among older Chinese hospitalized patients with chronic diseases and polypharmacy and analyze the associated factors.

Methods: A retrospective cross-sectional study was conducted in five tertiary hospitals in Beijing.

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Introduction: Intrathecal therapy (ITT) via an implanted system was demonstrated for the treatment of refractory cancer pain for decades. Recently, the dissemination of ITT is enhanced in an external system way in Asia for a lower implantation cost. This study compares the efficacy, safety, and cost of the two ITT systems in refractory cancer pain patients in China.

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Article Synopsis
  • * A one-compartment population PK model highlighted key factors like eGFR and total bilirubin that affect rivaroxaban clearance; Monte Carlo simulations were used to test dosing strategies and their effectiveness in reaching target drug concentration levels.
  • * Findings suggest that a 10 mg dose is suitable for elderly patients with normal renal and liver function, but a lower dose is recommended for those with renal impairment to reduce the risk of bleeding events associated with increased drug exposure.
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Hemorrhage events occur most frequently in anticoagulant therapy for non-valvular atrial fibrillation (NVAF). Rivaroxaban is used widely for routine anticoagulation care. Genetic polymorphisms are thought to contribute to the wide intraindividual variability seen in rivaroxaban metabolism and the anticoagulant response.

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  • ECMO is thought to complicate drug metabolism in critically ill patients, prompting a study to analyze the pharmacokinetics (PK) of polymyxin B in patients with and without ECMO support.
  • A total of 44 patients participated, with data showing that creatinine clearance was the main factor affecting PK, while ECMO did not significantly alter polymyxin B levels.
  • The findings suggest that dosing of polymyxin B should be personalized based on creatinine clearance, with a recommended regimen of 100 mg every 12 hours for patients with lower clearance rates.
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Tacrolimus and voriconazole are usually used simultaneously in lung transplantations. Voriconazole can increase tacrolimus concentrations by inhibiting the cytochrome P450 (CYP) enzyme, which poses a great challenge for dose adjustment. The aim of this study is to clarify the correlation between voriconazole exposure and tacrolimus trough concentrations (C ), and to establish a population pharmacokinetic model including voriconazole trough concentrations (VOZ) as a covariate for dose optimization.

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Article Synopsis
  • Geriatric outpatients with polypharmacy face a high risk of potentially inappropriate medication (PIM) use, which varies between those visiting tertiary hospitals (THs) and community health centers (CHCs).
  • A study conducted in Beijing analyzed data from patients aged 65 and older, finding that PIM prevalence based on the 2015 Beers Criteria was higher in TH patients, while CH patients had higher rates of PIMs according to STOPP Criteria and drug-related problems (DRPs).
  • The research suggests that factors such as the healthcare setting play a significant role in PIM and DRP prevalence, highlighting the need for targeted interventions to enhance medication appropriateness in both THs and CHCs.
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Background Tacrolimus (Tac) is the cornerstone of immunosuppressant therapy after lung transplantation (LTx). It shows great inter-individual variability in pharmacokinetics, which could partly be explained by pharmacogenetic factors. Aim We aim to investigate the influence of cytochrome P450 3A5 (CYP3A5) genotypes on early post-LTx Tac metabolism and whether it is affected by concomitant use of azole antifungals.

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Background: Limited knowledge and poor attitudes toward pain are major barriers to nursing management of cancer pain. This study investigated the effect of continuing nursing education (CNE) on the management of cancer pain.

Method: Annual CNE was provided from 2016 to 2019, and evaluation of nursing management of cancer pain was conducted every 2 years.

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Objectives: Acute kidney injury (AKI) is a common complication after lung transplantation (LTx) which is closely related to the poor prognosis of patients. We aimed to explore potential risk factors and outcomes associated with early post-operative AKI after LTx.

Methods: A retrospective study was conducted in 136 patients who underwent LTx at our institution from 2017 to 2019.

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Therapeutic drug monitoring is an essential tool when managing the therapeutic use of immunosuppressant cyclosporine A (CsA) in cases with solid organ transplantation. In China, the concentration of CsA is primarily measured using immunoassays. However, existing literature recommends mass spectrometry as the current gold standard for the quantitation of CsA.

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Context: The management of cancer pain has gained attention in China since the proposal of the three-step analgesic ladder in 1986 and has been further improved after the Chinese Ministry of Health launched the campaign for "Good Pain Management Ward" in 2011. The Beijing Pain Management Center for Quality Control and Improvement was formed with the intent to improve the quality of pain management by various means such as providing continuing medical education (CME) and conducting evaluation in Beijing, the capital of China.

Objectives: The objective of this study was to investigate the impact of CME on cancer pain treatment in hospitals in Beijing, China.

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Synopsis of recent research by authors named "Pengmei Li"

  • Recent research by Pengmei Li focuses on the pharmacokinetics and pharmacodynamics of various therapeutic agents, particularly in the context of lung transplantation and chronic disease management.
  • The studies highlight the impact of atorvastatin therapy on chronic lung allograft dysfunction, the development of population pharmacokinetic models for drugs like voriconazole and rivaroxaban in different patient populations, and the identification of reliable biomarkers for acute kidney injury post-transplant.
  • Additionally, Li's work delves into the safe and effective use of medications in older patients, addressing potentially inappropriate medication use and the implications for patient outcomes in chronic conditions.*