Publications by authors named "X-J Chen"

Background: Diffusion-derived 'vessel density' (DDVD) is a surrogate of the area of micro-vessels per unit tissue. DDVD is calculated according to: DDVD (b0b50) = Sb0/ROIarea0 - Sb50/ROIarea50, where Sb0 and Sb50 refer to the tissue signal when is 0 or 50 s/mm. Due to the complexity of pre-eclampsia (PE), even a combination of risk factors and available tests cannot accurately diagnose or predict PE.

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Separation of multi-component mixtures in an energy-efficient manner has important practical impact in chemical industry but is highly challenging. Especially, targeted simultaneous removal of multiple impurities to purify the desired product in one-step separation process is an extremely difficult task. We introduced a pore integration strategy of modularizing ordered pore structures with specific functions for on-demand assembly to deal with complex multi-component separation systems, which are unattainable by each individual pore.

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Rationale And Objectives: The precise prediction of response to neoadjuvant chemoradiotherapy is crucial for tailoring perioperative treatment in patients diagnosed with locally advanced rectal cancer (LARC). This retrospective study aims to develop and validate a model that integrates deep learning and sub-regional radiomics from MRI imaging to predict pathological complete response (pCR) in patients with LARC.

Materials And Methods: We retrospectively enrolled 768 eligible participants from three independent hospitals who had received neoadjuvant chemoradiotherapy followed by radical surgery.

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Clinical application of autologous chimeric antigen receptor (CAR)-T cells is complicated by limited targeting of cancer types, as well as the time-consuming and costly manufacturing process. We develop CD70-targeted, induced pluripotent stem cell-derived CAR-natural killer (NK) (70CAR-iNK) cells as an approach for universal immune cell therapy. Besides the CD70-targeted CAR molecule, 70CAR-iNK cells are modified with CD70 gene knockout, a high-affinity non-cleavable CD16 (hnCD16), and an interleukin (IL)-15 receptor α/IL-15 fusion protein (IL15RF).

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Purpose: The purpose of this study was to identify serum metabolites associated with age-related macular degeneration (AMD) incidence and investigate whether metabolite profiles enhance AMD risk prediction.

Methods: In a prospective cohort study involving 240,317 UK Biobank participants, we assessed the associations of 168 metabolites with AMD incidence using Cox hazards models. Principal component analysis (PCA) captured 90% of the variance in metabolites.

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Article Synopsis
  • - The study investigates a comprehensive web-based program designed to help gastric cancer patients manage cancer-related fatigue (CRF) during chemotherapy, addressing not just fatigue but also self-efficacy, sleep quality, anxiety, depression, pain, and overall quality of life (QoL).
  • - A total of 92 patients were split into two groups, where the intervention group participated in an online program for 12 weeks with additional support, while the control group received standard care. Outcomes were measured at different time points to assess the program's effectiveness.
  • - Results showed significant improvements in CRF and associated symptoms for the intervention group, demonstrating that the web-based program effectively enhances the well-being of cancer patients, though there was no notable change in pain
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Neuroimaging is a cornerstone in the diagnosis and treatment decision-making for brain acute ischemic stroke. A rapid and accurate diagnosis is the key, specifically for time-critical reperfusion therapies. Successful reperfusion of salvageable penumbra can reduce the extent of ischemic stroke and thus improve clinical outcomes, whereas reperfusion of irreversibly affected brain tissue is thought to be futile and may result in harm due to the risk of hemorrhagic transformation.

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Background: Skeletal class III malocclusion is among the most common dental and maxillofacial malformations. Three-dimensional (3D) printing technology has become widely applied in orthopaedics. The data source for 3D printing of maxillofacial bones is computed tomography (CT).

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Background: Liver hemangiomas (HGs) are characterized by cavernous venous spaces delineated by a lining of vascular endothelial cells and interspersed with connective tissue septa. Typically, a liver HG has higher apparent diffusion coefficient (ADC) and T2 values than those of hepatocellular carcinomas (HCCs) and liver metastases, and lower ADC and T2 values than those of liver simple cysts. However, a portion of HGs shows ADC and T2 overlapping with those of HCC, liver metastasis, and simple cyst.

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Purpose: The purpose of this study was to investigate the effects of physical activity and inactivity on the microvasculature in children, as measured from retinal photographs.

Methods: All participants were from the Hong Kong Children Eye Study, a population-based cross-sectional study of children aged 6 to 8 years. They received comprehensive ophthalmic examinations and retinal photography.

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Background: Lack of a dedicated thrombectomy device for cerebral venous thrombosis hinders the recanalization ability of endovascular treatment (EVT). Novel NiTi-braided stent retriever (Venous-TD) is a dedicated venous sinus thrombectomy device. This study aims to demonstrate the safety and efficacy of Venous-TD.

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Article Synopsis
  • Cadonilimab combined with FLOT chemotherapy shows potential as a neoadjuvant treatment for locally advanced gastric or gastroesophageal junction (G/GEJ) adenocarcinoma, based on a multicenter trial in China.
  • The trial involved treatment-naive patients, achieving a 100% R0 resection rate, a 21.1% pathological complete response rate, and a 44.7% major pathological response rate, indicating significant tumor reduction.
  • The treatment had manageable side effects, with 31.6% of patients experiencing grade 3 adverse events, suggesting further research is warranted to explore its efficacy and safety.
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Protoberberine alkaloids and benzophenanthridine alkaloids (BZDAs) are subgroups of benzylisoquinoline alkaloids (BIAs), which represent a diverse class of plant-specialized natural metabolites with many pharmacological properties. Microbial biosynthesis has been allowed for accessibility and scalable production of high-value BIAs. Here, we engineer Saccharomyces cerevisiae to de novo produce a series of protoberberines and BZDAs, including palmatine, berberine, chelerythrine, sanguinarine and chelirubine.

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Accurately predicting ADMET (Absorption, Distribution, Metabolism, Excretion, and Toxicity) properties early in drug development is essential for selecting compounds with optimal pharmacokinetics and minimal toxicity. Existing ADMET-related benchmark sets are limited in utility due to their small dataset sizes and the lack of representation of compounds used in drug discovery projects. These shortcomings hinder their application in model building for drug discovery.

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Article Synopsis
  • Renal denervation (RDN) was tested in a sham-controlled trial in China to see if it can effectively lower blood pressure (BP) in hypertensive patients on medication.
  • The study involved 217 participants, showing that those who underwent RDN experienced a significantly greater reduction in 24-hour ambulatory systolic BP (by -13.0 mm Hg) compared to the placebo group (by -3.0 mm Hg).
  • Overall, RDN was found to be safe, as only one minor complication occurred, and it effectively reduced both ambulatory and office BP at the 6-month mark compared to the sham procedure.
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Purpose: To systematically review and meta-analyze all reported heritability studies of refractive astigmatism (RA), corneal astigmatism (CA) and corneal curvature (CC), and evaluate the existing genetic associations of RA, CA and CC.

Design: Systematic review and meta-analysis (PROSPERO ID: CRD42023447370).

Methods: Studies that reported the heritability and genetic associations of RA, CA and/or CC were identified from PubMed, Web of Science and EMBASE (from inception to October 1, 2023).

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  • A prediction model was developed to identify patients without prostate cancer (non-PCa) who have high-risk biopsy results, with the aim of reducing unnecessary biopsies.
  • The study involved 1580 patients, with key predictors for non-PCa including age, prostate volume, and PSA density, leading to a nomogram that demonstrated high accuracy in predicting outcomes.
  • The nomogram showed a strong potential to avoid unnecessary biopsies while only slightly increasing the risk of missing actual cases of prostate cancer, thus enhancing clinical decision-making.
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Purpose: To investigate the relationship between visual prognosis and genotype in patients undergoing lens surgery for congenital ectopia lentis (EL).

Design: Prospective clinical cohort study.

Methods: Patients with congenital EL who underwent lens removal and intraocular lens implantation received panel-based next-generation sequencing.

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  • Prostate stem cell antigen (PSCA) is important in all stages of prostate cancer and is a potential marker for other cancers like pancreatic and renal cell carcinoma.
  • Researchers developed a fully human PSCA antibody, F12, that specifically targets PSCA and has shown the ability to internalize into cancer cells.
  • The antibody-drug conjugate F12-MMAE demonstrated effective and specific treatment in a mouse model of prostate cancer, highlighting its potential for further research in various solid tumors.
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Ionizable lipid nanoparticles (LNPs) are seeing widespread use in mRNA delivery, notably in SARS-CoV-2 mRNA vaccines. However, the expansion of mRNA therapies beyond COVID-19 is impeded by the absence of LNPs tailored for diverse cell types. In this study, we present the AI-Guided Ionizable Lipid Engineering (AGILE) platform, a synergistic combination of deep learning and combinatorial chemistry.

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Circadian rhythm is a master process observed in nearly every type of cell throughout the body, and it macroscopically regulates daily physiology. Recent clinical trials have revealed the effects of circadian variation on the incidence, pathophysiological processes, and prognosis of acute ischemic stroke. Furthermore, core clock genes, the cell-autonomous pacemakers of the circadian rhythm, affect the neurovascular unit-composing cells in a nonparallel manner after the same pathophysiological processes of ischemia/reperfusion.

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  • The study investigates the role of imbalanced gut microbiota in neuromyelitis optica spectrum disorders (NMOSD) and explores the therapeutic potential of GV-971, a drug initially used for Alzheimer's disease, in treating NMOSD.
  • Using an experimental mouse model, researchers injected NMO-IgG and tested GV-971's effects on disease incidence, symptoms, and survival, with positive results compared to a control drug.
  • Results showed that GV-971 significantly reduced NMOSD symptoms and neuroinflammation, improved gut microbiota balance, and lessened peripheral inflammation, suggesting it could be a promising treatment for NMOSD.
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Background: Poly (ADP- ribose) polymerase inhibitors (PARPi) has been increasingly adopted for metastatic castration-resistance prostate cancer (mCRPC) patients with homologous recombination repair deficiency (HRD). However, it is unclear which PARPi is optimal in mCRPC patients with HRD in 2nd -line setting.

Method: We conducted a systematic review of trials regarding PARPi- based therapies on mCRPC in 2nd -line setting and performed a Bayesian network meta-analysis (NMA).

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