Publications by authors named "Qinan Zhang"

Article Synopsis
  • The Qidong hepatitis B virus (HBV) infection cohort (QBC) is a long-term study in Qidong, China, aimed at examining the links between HBV infection and primary liver cancer (PLC) in a high-risk population. Participants aged 20-65 were surveyed and followed up with medical testing from 1991 to 2017, resulting in 201 cases of PLC.
  • The study found a significantly higher incidence of PLC among HBsAg-positive individuals compared to HBsAg-negative ones, with the highest risks observed in those with both HBsAg and HBeAg positivity, highlighting the importance of HBV status in predicting PLC risk.
  • Researchers identified novel mutations
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Mn-Co-Ni-O nanoceramic microspheres with high density, uniformity, and size tunability are successfully fabricated using in situ ink-jet printing and two step sintering (TSS) techniques. The microspheres, synthesized by an effective and facile reverse microemulsion method, consist of uncalcined Mn-Co-Ni-O nanocrystallines that show a well formed single tetragonal spinel phase and an average particle size distribution of ≈20 nm. The sintering behavior, microstructure, and electrical properties of the Mn-Co-Ni-O nanoceramic microspheres are systematically investigated and characterized.

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Objective: To evaluate whether first-degree family history of liver cancer plays a role in liver cancer incidence by prospective evaluation of a patient cohort in Qidong, China over a 20-year period.

Methods: In May 1992, 708 hepatitis B surface antigen (HBsAg) carriers and 730 HBsAg-negadve controls from Qidong city were enrolled for participation in a prospective cohort study ending in November 2012.Follow-up was carried out every 6 to 12 months, and evaluations included serum assays to measure concentrations of alpha fetoprotein (AFP), HBsAg and alanine aminotransferase (ALT), as well as abdominal ultrasound to assess liver disease.

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Article Synopsis
  • Qidong City, China, faced a high incidence of liver cancer linked to hepatitis B virus (HBV) and aflatoxin exposure, prompting interventions starting in 1980 to reduce aflatoxin in diets and initiate neonatal HBV vaccinations.
  • The interventions led to a significant decline in aflatoxin exposure due to economic reforms and educational shifts in food consumption, transitioning from moldy corn to fresh rice.
  • Consequently, liver cancer incidence drastically decreased among young adults, especially in those aged 20-24, with a 14-fold reduction observed from 1980-1983 to 2005-2008, indicating the combined impact of reduced aflatoxin exposure and partial neonatal HBV vaccination.
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Objective: To explore the relationship between serum HBV DNA load and hepatocellular carcinogenesis in Qidong HBsAg carriers.

Methods: In 1997, 477 HBsAg carriers and 477 age, gender and residence matched HBsAg negative controls were enrolled as a prospective cohort in Qidong city. The entry serum samples were detected for the levels of HBeAg and HBV DNA.

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The dementia of Alzheimer's type and brain ischemia are known to increase at comparable rates with age. Recent advances suggest that cerebral ischemia may contribute to the pathogenesis of Alzheimer's disease (AD), however, the neuropathological relationship between these two disorders is largely unclear. It has been demonstrated that axonopathy, mainly manifesting as impairment of axonal transport and swelling of the axon and varicosity, is a prominent feature in AD and may play an important role in the neuropathological mechanisms in AD.

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Objective: To study the relationship between aflatoxin exposure and the development of primary liver cancer (PLC) in patients with chronic hepatitis.

Methods: A 21-year longitudinal study was carried out in a large cohort of 515 PLC high-risk individuals with HBV infection in PLC high prevalence region.

Results: (1) The PLC year-incidence of cohort was 1437.

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Residents of Qidong, People's Republic of China, are at high risk for development of hepatocellular carcinoma, in part due to consumption of aflatoxin-contaminated foods, and are exposed to high levels of phenanthrene, a sentinel of hydrocarbon air toxics. Cruciferous vegetables, such as broccoli, contain anticarcinogens. Glucoraphanin, the principal glucosinolate in broccoli sprouts, can be hydrolyzed by gut microflora to sulforaphane, a potent inducer of carcinogen detoxication enzymes.

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