Publications by authors named "Shao-xiang Xian"

Objective: We aimed to assess the secular trends in cardiovascular health (CVH) among U.S. adults with different glycemic statuses based on the Life's Essential 8 (LE8).

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  • Myocardial infarction (MI) leads to significant health risks and increased mortality, with macrophage differentiation playing a key role in inflammatory injury and healing.
  • Nuanxinkang (NXK), an herbal treatment, shows potential in reducing cardiac damage by promoting the shift from pro-inflammatory (M1) to anti-inflammatory (M2) macrophages, thereby improving myocardial function.
  • The study used an MI mouse model and various techniques to assess cardiac function and macrophage polarization, revealing that NXK improves heart function and regulates the inflammatory response post-MI.
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The clinical data of coronary heart disease(CHD) patients treated in the First Affiliated Hospital of Guangzhou University of Chinese Medicine and Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine from January 2022 to March 2023 were retrospectively collected. This study involved the descriptive analysis of demographic characteristics, clinical symptoms, and tongue and pulse features. The χ~2 test was conducted to analyze the distribution of syndrome elements and their combinations at diffe-rent stages of CHD, so as to reveal the clinical characteristics and syndrome patterns at various pathological stages of CHD.

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  • XYT (Xinyang Tablet) has been clinically used for heart failure for over two decades, but its molecular mechanisms are not well defined.
  • The study explored XYT's protective effects on heart function using both live mouse models and cardiomyocyte cell cultures under stress, particularly looking at mitochondrial health.
  • Results indicated that XYT significantly improved cardiac function and structure in mice with pressure overload by reducing mitochondrial damage and enhancing protein responses related to mitochondrial health.
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  • Heart failure (HF) is a complicated ongoing condition that involves issues with heart structure and function, with debates on how endothelial cells turn into myofibroblasts during cardiac fibrosis.
  • Researchers used single-cell RNA sequencing to discover a subset of endothelial cells with a temporary fibrotic-like profile (EndoFP) following a pressure overload, which has significant implications for heart tissue remodeling.
  • The study highlights that EndoFP influences cardiac dysfunction through mechanisms involving osteopontin and insulin-like growth factor-binding protein 5, suggesting potential therapeutic avenues for preventing early heart failure.
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Depression syndromes(anxiety and depression), as typical psychological disorders, often coexist with and mutually influence coronary heart disease(CHD). They constitute a psycho-cardiology disease involving both the blood vessels of the heart and the spirit of the heart. Based on the theory of "coexistence of diseases and depression syndromes", it was proposed that CHD and depression syndromes coexisted independently and were causally related.

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  • The study aimed to explore how Dietary Inflammation Index (DII) relates to overall and cardiovascular disease (CVD) mortality in older adults in the U.S.
  • Following a median follow-up of 6.7 years, they found that higher DII scores were linked to increased risks of all-cause and CVD deaths among older adults.
  • The results showed statistically significant relationships, indicating that older adults with poorer diet-related inflammation have higher mortality rates.
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Objective: Mild cognitive impairment (MCI) is a preclinical and transitional stage between healthy ageing and dementia. The purpose of our study was to investigate the recent pooled global prevalence of MCI.

Methods: This meta-analysis was in line with the recommendations of Cochrane's Handbook and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020.

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  • The study investigates the relationship between dietary total antioxidant capacity (DTAC) and mortality risk in chronic kidney disease (CKD) patients, focusing on two cohorts analyzed from the National Health and Nutrition Examination Survey.
  • Results indicated that higher dietary antioxidant intake is associated with lower all-cause mortality in early-stage CKD (stages 1-2), but no such benefits were found for patients in more advanced stages (3-5).
  • The findings suggest that moderate antioxidant intake may be beneficial for early-stage CKD patients, but more research is needed to determine its long-term effects on those with severe CKD.
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Background: Coronary heart disease(CHD) with stable angina pectoris is a common cardiovascular disease. It has been reported that 10%-81.4% of these patients suffer from psychological conditions,such as depression, which has been associated with more frequent angina, lower treatment satisfaction and lower perceived quality of life.

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  • The study investigates the relationship between a new metric called Vasoactive-Inotropic Score Reduction Rate (VRR) and mortality outcomes in patients with septic shock.
  • The researchers used advanced machine learning models on data from the MIMIC-IV database to analyze the effects of VRR on ICU and in-hospital mortality.
  • Results showed that patients with higher VRR had significantly lower mortality rates, indicating that effective management of vasoactive and inotropic agents is crucial for better clinical outcomes.
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Atherosclerosis(AS) is the key pathological basis of coronary heart disease(CHD), and lipid infiltration is a classical theory to explain the pathological mechanism of AS. The theory highlights that the occurrence and development of AS are closely related to abnormal lipid metabolism, with the essence of the pathological reaction caused by the invasion of lipids into arterial intima from plasma. Phlegm and blood stasis are physiologically homologous and subject to pathological co-existence.

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Advanced glycation end products (AGEs) have been identified to transduce fibrogenic signals via inducing the activation of their receptor (RAGE)-mediated pathway. Recently, disrupting AGE-RAGE interaction has become a promising therapeutic strategy for chronic heart failure (CHF). Endothelial-to-mesenchymal transition (EndMT) is close to the cardiac fibrosis pathological process.

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  • Cardiorenal syndrome type 4 (CRS type 4) poses significant health risks globally, and Zhen-Wu decoction has been traditionally used in East Asia for treating related cardiovascular and kidney diseases, though its mechanisms are not well-studied.
  • This study aimed to explore how Zhen-Wu decoction can affect uremic cardiomyopathy, providing insights for potential clinical treatments for CRS type 4.
  • Results showed that Zhen-Wu decoction improved heart function in mice and suggested that the Nrf2 signaling pathway is crucial for its protective effects against oxidative stress and inflammation in kidney-related conditions.
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Background: Numerous clinical studies reported the effectiveness of herbal formula WuShen (WS) in treating cardiovascular diseases, yet relevant basic research was rarely conducted.

Methods And Results: Twelve main bioactive compounds of WS decoction were identified using the ultra-performance liquid chromatography-LTQ-Orbitrap mass spectrometer. A total of 137 active compounds with 613 targets were predicted by network pharmacology; their bioinformatic annotation and human microarray data suggested that wounding healing, inflammatory response, and gap junction were potentially the major therapeutic modules.

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Levosimendan and dobutamine are extensively used to treat sepsis-associated cardiovascular failure in ICU. Nevertheless, the role and mechanism of levosimendan in patients with sepsis-induced cardiomyopathy remains unclear. Moreover, previous studies on whether levosimendan is superior to dobutamine are still controversial.

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Aging is one of the most prominent risk factors for heart failure. Myeloid-derived suppressor cells (MDSCs) accumulate in aged tissue and have been confirmed to be associated with various aging-related diseases. However, the role of MDSCs in the aging heart remains unknown.

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Aims: The goal of our study was to investigate the heterogeneity of cardiac macrophages (CMφs) in mice with transverse aortic constriction (TAC) via single-cell sequencing and identify a subset of macrophages associated with heart injury.

Methods And Results: We selected all CMφs from CD45+ cells using single-cell mRNA sequencing data. Through dimension reduction, clustering, and enrichment analyses, CD72hi CMφs were identified as a subset of pro-inflammatory macrophages.

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Background: LncRNA PVT1 was reported to be elevated in septic myocardial tissue. The underlying mechanism by which PVT1 aggravated sepsis induced myocardial injury needs further investigation.

Methods: Mice was subjected to LPS injection to mimic in vivo sepsis model.

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Background: Sepsis-induced myopathy (SIM) is a disease that causes motor dysfunction in patients with sepsis. There is currently no targeted treatment for this disease. Acupuncture has shown considerable efficacy in the treatment of sepsis and muscle weakness.

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Objective: To explore the rules of acupoint selection and drug use in treatment of hypertension with acupoint application therapy.

Methods: The articles of the clinical research of hypertension treated with acupoint application therapy were retrieved from Chinese journal full-text database (CNKI), VIP database (VIP) and Wanfang databases from the time of establishment to January 20, 2019. The database was set up with Microsoft Excel 2010.

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Heart failure (HF), a clinical syndrome with a high incidence due to various reasons, is the advanced stage of most cardiovascular diseases. Huangqi is an effective treatment for cardiovascular disease, which has multitarget, multipathway functions. Therefore, we used network pharmacology to explore the molecular mechanism of Huangqi in treating HF.

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BACKGROUND Sepsis-induced myopathy (SIM) is a complication of sepsis that results in prolonged mechanical ventilation, long-term functional disability, and increased patient mortality. This study aimed to use bioinformatics analysis to identify hub genes and molecular pathways involved in SIM, to identify potential diagnostic or therapeutic biomarkers. MATERIAL AND METHODS The Gene Expression Omnibus (GEO) database was used to acquire the GSE13205 expression profile.

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In this study, we screened potential natural compounds for the treatment of myocardial infarction (MI) and explored the underlying mechanisms. We built three machine learning models to screen the potential compounds. qPCR, flow cytometry, immunohistochemistry, and immunofluorescence analyses were applied to analyze the pharmacological effects of the compounds on macrophages/monocytes in vivo and in vitro.

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