Publications by authors named "Ruixia Guo"

Objective: To compare the long-term efficacy of conventional laparoscopic sacrocolpopexy with those of robot-assisted laparoscopic sacrocolpopexy in the treatment of pelvic organ prolapse (POP).

Design: Retrospective cohort study.

Setting: Tertiary referral center in China.

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  • The study aimed to assess the effectiveness of combining medroxyprogesterone acetate (MA) and metformin as a fertility-sparing treatment for atypical endometrial hyperplasia (AEH) and early-stage endometrial adenocarcinoma (G1 EAC).
  • It involved 60 patients who were divided into two groups, one receiving only MA and the other receiving MA plus metformin, with both treatments monitored for up to 12 months through regular follow-ups.
  • Results showed similar complete response rates for both treatments, but the combined group had no significant weight gain compared to the group taking MA alone, and it led to favorable changes in certain endometrial biomarkers.
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Background: Adnexal torsion (AT) is a rare emergency complication during pregnancy. Increasing evidence implies that operative laparoscopy for adnexal torsion performed during pregnancy could be safe and feasible. We procured and evaluated the surgical and obstetric outcomes between laparoscopy and laparotomy to determine the optimal approach for treating AT during pregnancy.

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Ovarian cancer is a highly heterogeneous tumor with a poor prognosis. The lack of reliable and efficient research models that can accurately mimic heterogeneity has impeded in-depth investigations and hindered the clinical translation of research findings in ovarian cancer. Organoid models have emerged as a promising in vitro approach, demonstrating remarkable fidelity to the histological, molecular, genomic, and transcriptomic features of their tissues of origin.

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  • The study aims to construct a mutation map of homologous recombination repair (HRR) genes in ovarian cancer (OC) and evaluate factors that affect the effectiveness of poly (ADP-ribose) polymerase inhibitors (PARPi).
  • Data was collected from 695 OC patients who underwent next-generation sequencing to identify genetic variants and assess the impact of treatment regimens on PARPi efficacy.
  • Results revealed a high prevalence of BRCA1 mutations and indicated that first-line maintenance therapy significantly improves progression-free survival in patients treated with PARPi, emphasizing the need for targeted research in HRR gene mutations for better treatment strategies.
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Background: Patients with choriocarcinoma (CC) accompanying chemoresistance conventionally present a poor prognosis. Whether ras protein activator like-1 (RASAL1) functions as a tumor promoter or suppressor depends on tumor types. However, the role of RASAL1 in process of chemoresistance of CC and underlying molecular mechanism remain elusive.

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Background: Neuroendocrine carcinoma (NEC) originating from the endometrium is rare, and there is limited knowledge regarding its diagnosis and optimal management. In this study, we present our experience with 11 patients with endometrial NEC, aiming to provide guidance for clinical practice.

Methods: We retrospectively collected the clinical, pathological, and treatment data of 11 patients with endometrial NEC who were treated at the First Affiliated Hospital of Zhengzhou University from January 2011 to July 2023.

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Purpose: Vascular endothelial growth factor receptor 3 (VEGFR-3) plays a critical role in tumor lymphangiogenesis and metastasis, holding promise as a promising therapeutic target for solid tumors. TMVP1 (LARGR) is a 5-amino acid peptide previously identified in our laboratory from bacterial peptide display system that specifically targets VEGFR-3. Radiolabeled TMVP1 can be used for non-invasive imaging of VEGFR-3 expressing tumors.

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The tumor heterogeneity is an important cause of clinical therapy failure and yields distinct prognosis in ovarian cancer (OV). Using the advantages of integrated single cell RNA sequencing (scRNA-seq) and bulk data to decode tumor heterogeneity remains largely unexplored. Four public datasets were enrolled in this study, including E-MTAB-8107, TCGA-OV, GSE63885, and GSE26193 cohorts.

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  • - The study compared robotic-assisted laparoscopic vaginectomy (RALV) and conventional laparoscopic vaginectomy (CLV) for patients with vaginal high-grade squamous intraepithelial lesions (HSIL), finding RALV to have less blood loss, fewer complications, and shorter recovery times.
  • - Both surgical methods showed similar high rates of HPV infection regression and vaginal HSIL regression after treatment, indicating effectiveness for managing the condition.
  • - RALV was associated with significantly higher hospital costs compared to CLV, suggesting that while RALV may offer some operational advantages, it may not be the most cost-effective option.
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Radioresistance is the major obstacle that affects the efficacy of radiotherapy which is an important treatment for cervical cancer. By analyzing the databases, we found that aldolase A (ALDOA), which is a key enzyme in metabolic reprogramming, has a higher expression in cervical cancer patients and is associated with poor prognosis. We detected the expression of ALDOA in the constructed cervical cancer radioresistance (RR) cells by repetitive irradiation and found that it was upregulated compared to the control cells.

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Background: Radiotherapy is widely used in treating cervical cancer patients, however, radioresistance unavoidably occurs and seriously affects the treatment effect. It is well known that hypoxia plays an important role in promoting radioresistance in tumor microenvironment, yet our understanding of the effect of small extracellular vesicles miRNA on cervical cancer radiosensitivity in hypoxic environment is still limited.

Methods: Small extracellular vesicles extracted from hypoxic and normoxic cultured cervical cancer cells were evaluated for their effects on radioresistance.

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Background: To summarise the application of minimally invasive surgery for female primary pelvic retroperitoneal tumours (PPRTs).

Methods: The clinical data of PPRT in a hospital between January 2017 and August 2022 were retrospectively collected. Surgical outcomes for cystic and solid tumours and two minimally invasive techniques were compared.

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  • Preeclampsia (PE) is characterized by high blood pressure and protein in urine during pregnancy, and this study focuses on the role of the Placenta-specific 8 (PLAC8) protein in trophoblast cell behavior, which is critical for pregnancy success.
  • Through various methods, the researchers found that levels of ALKBH5 and PLAC8 were elevated in PE tissues and certain cell models, indicating a potential relationship between these proteins and cell invasiveness.
  • The study concludes that ALKBH5 helps regulate PLAC8's expression and its m6A modification, suggesting that PLAC8 plays a significant role in promoting trophoblast cell migration and invasion under hypoxic conditions, which could be linked to the complications
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  • This study investigates the effectiveness and safety of prophylactic abdominal aortic balloon occlusion (AABO) in treating type III Caesarean scar pregnancy (CSP), a condition with a high risk of bleeding.
  • A comparison was made between patients receiving AABO and those undergoing uterine artery embolization (UAE), measuring factors such as blood loss, radiation exposure, costs, and recovery time.
  • Results showed AABO had similar outcomes to UAE regarding blood loss and recovery time but resulted in significantly lower radiation exposure, reduced hospital costs, and fewer adverse events.
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  • The study aimed to evaluate the long-term outcomes of vaginoplasty using acellular dermal matrix (ADM) in patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, focusing on anatomical and sexual function results, as well as changes in body image.
  • A total of 42 MRKH patients who underwent the procedure were compared with 30 healthy women, with measurements taken on vaginal length, sexual function, and body image before and after the operation.
  • Results showed that the MRKH patients achieved anatomical and functional outcomes comparable to healthy women, with a significant improvement in body image post-surgery, highlighting that vaginoplasty with ADM is an effective treatment option.
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Intrauterine adhesion (IUA), also referred to as Asherman Syndrome (AS), results from uterine trauma in both pregnant and nonpregnant women. The IUA damages the endometrial bottom layer, causing partial or complete occlusion of the uterine cavity. This leads to irregular menstruation, infertility, or repeated abortions.

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  • Endometrial carcinoma (EC) primarily affects peri- and post-menopausal women, and there's a growing need for non-invasive diagnostic methods due to the limitations of traditional techniques like hysteroscopic biopsy.
  • A study tested UterCAD, a device that analyzes chromosomal abnormalities in uterine cells collected using tampons, on 51 patients planning to undergo invasive procedures.
  • Results showed that UterCAD successfully identified chromosomal variations in a significant majority (83.3%) of EC cases, demonstrating its potential as an effective non-invasive screening method for early detection of endometrial cancer.
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  • The study investigates PD-L1 expression in cervical cancer (CC), endometrial cancer (EC), and ovarian cancer (OC) to determine its prognostic value.* -
  • A meta-analysis showed PD-L1 positivity rates of 58.1% in CC, 33.8% in EC, and 37.5% in OC, with variations based on assessment criteria.* -
  • PD-L1 positivity correlated with poorer overall survival in CC and EC patients and indicated that it may serve as a prognostic biomarker for CC and EC, but not for OC.*
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Objective: This study aimed to determine the prognostic significance of positive peritoneal cytology (PC) on endometrial carcinoma (EC) patients under the ESGO/ESTRO/ESP risk classification.

Methods: This study retrospectively analyzed EC patients from 27 medical centers in China from 2000 to 2019. Patients were divided into three ESGO risk groups: low-risk, intermediate-risk and high-intermediate risk, and high-risk groups.

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  • Endometrial cancer (EC) is the sixth most common cancer in women globally, with about 20% of patients facing a poor prognosis despite advances in early-stage detection.
  • Research highlights the role of non-coding RNAs (like lncRNAs, microRNAs, and circRNAs) in the development and progression of EC, which could lead to new therapeutic targets.
  • The review discusses how these ncRNAs interact with the Wnt/β-catenin signaling pathway, suggesting that understanding this relationship may improve treatment strategies for EC.
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Histone acetyltransferase human males absent on the first (hMOF) is a member of MYST family which participates in posttranslational chromatin modification by controlling the acetylation level of histone H4K16. Abnormal activity of hMOF occurs in multiple cancers and biological alteration of hMOF expression can affect diverse cellular functions including cell proliferation, cell cycle progression and embryonic stem cells (ESCs) self-renewal. The relationship between hMOF and cisplatin resistance was investigated in The Cancer Genome Atlas (TCGA) and Genomics of Drug Sensitivity in Cancer (GDSC) database.

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Introduction: Proliferation, migration and invasion of extravillous trophoblasts (EVTs) play an important role in the progression of preeclampsia (PE). The purpose of this study was to investigate the molecular mechanism by which DNA methylase regulates the transcription level of APLNR and affects the phenotypic function of EVTs.

Materials And Methods: PE mice model and H/R model in HTR8/Svneo cells were constructed.

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Pyroptosis is one of the mechanisms of programmed cell death (PCD) activated by inflammasomes and involved by the caspase family and the gasdermin family. During the oncogenesis and progression of tumors, pyroptosis is crucial, and complex withal. Currently, pyroptosis is the focus topic in the research field of oncology, but there is no single bibliometric analysis systematically studying 'pyroptosis and cancer'.

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Synopsis of recent research by authors named "Ruixia Guo"

  • - Ruixia Guo's recent research focuses on the efficacy of various treatment strategies for gynecological cancers, with specific attention on immunotherapy, organoid models, and the genetic underpinnings of tumor response to therapies, particularly in ovarian and cervical cancers.
  • - Studies conducted by Guo include a retrospective analysis of PD-1/PD-L1 blockade immunotherapy outcomes in high-grade neuroendocrine carcinoma of the cervix, as well as the exploration of organoid models to better understand ovarian cancer's heterogeneity for clinical applications.
  • - Other significant findings involve a comprehensive analysis of genetic markers related to homologous recombination repair and their implications in ovarian cancer management, as well as the role of hypoxia and associated miRNAs in radioresistance of cervical cancer cells, highlighting the complexity of tailored cancer treatments.