Publications by authors named "XiaoHua Wu"

Ovarian cancer, colloquially termed the "king of gynecological cancers," presents significant diagnostic and therapeutic challenges due to its covert nature. It ranks as the deadliest gynecologic malignancy with a disheartening 5-year survival rate below 40%. Standard therapeutic protocols for newly diagnosed patients encompass cytoreductive surgery followed by neoadjuvant or adjuvant platinum-based chemotherapy.

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With the development of artificial intelligence technology and the growing demand for minimally invasive surgery, the intelligentization of minimally invasive surgery has become a current research hotspot. Surgical instrument segmentation is a highly promising technology that can enhance the performance of minimally invasive endoscopic imaging systems, surgical video analysis systems, and other related systems. This article summarizes the semantic and instance segmentation methods of minimally invasive surgical instruments based on deep learning, deeply analyzes the supervision methods of training algorithms, network structure improvements, and attention mechanisms, and then discusses the methods based on the Segment Anything Model.

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Hypertrophic scar (HS) represents an excessive fibrotic response during the healing of skin injuries, constituting a common and intricate pathological process that is tightly regulated. This study aimed to explore the clinical significance and potential mechanisms of long non-coding RNA CRNDE in the development of HS. This study encompassed 71 HS patients, and the expression levels of lncRNA CRNDE were assessed via RT-qPCR.

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Motivation: Endometrial cancer is a prevalent gynecological malignancy that requires accurate identification of its molecular subtypes for effective diagnosis and treatment. Four molecular subtypes with different clinical outcomes have been identified: POLE mutation, mismatch repair deficient, p53 abnormal, and no specific molecular profile. However, determining these subtypes typically relies on expensive gene sequencing.

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Polysulfides commonly occur in anaerobic, microbial active environments, where they play key roles in sulfur cycling and redox transformations. Anaerobic survival of microorganisms requires the formation of protein disulfide bond (DSB). The relationship between polysulfides and anaerobic DSB formation has not been studied so far.

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Objective: Homologous recombination deficiency assays, guiding treatment of poly (adenosine diphosphate ribose) polymerase inhibitors, are increasingly applied in clinics. This study aimed to evaluate the predictive performance of homologous recombination deficiency status at genomic and functional perspective on the efficacy of platinum-based chemotherapy in ovarian cancer.

Methods: Between 2016 and 2019, 134 patients with high-grade ovarian cancer were retrospectively analyzed.

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In recent years, circRNAs have garnered increasing attention for their role in cervical cancer. However, the functions of many newly identified circRNAs remain unclear and require further exploration. In this study, we investigated the expression and oncogenic potential of the novel circRNA circSTX6 in cervical cancer.

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Objective: Unilateral spatial neglect (USN) following right hemisphere stroke is more pronounced, severe, and persistent than in the left hemisphere. However, the pathophysiological mechanisms underlying USN remain largely unknown. This study aims to investigate the relationship between the fractional amplitude of low-frequency fluctuations (fALFF) in the right hemisphere of patients with post-stroke USN and the severity of neglect using resting-state functional near-infrared spectroscopy (fNIRS) technology.

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Methylnissolin-3-O-β-d-glucopyranoside (MNG) and methylnissolin (MN) are pterocarpan derivatives that are found in plants, such as Astragalus membranaceus. There are limited existing studies on the potential health benefits of MNG, and currently there is no evidence to suggest that MNG has any impact on skin-aging. Tumor necrosis factor-alpha (TNF-α) plays a significant role in skin aging by promoting chronic inflammation, damaging skin cells, and impairing the skin's natural repair mechanisms.

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Article Synopsis
  • The study explores how digestion affects the release and impact of bioactive compounds in delivery systems, specifically focusing on the role of gut microbiota in cellulose digestion.
  • A new delivery system, QUE@SeNPs/CS/PVPNFs, is developed using chitosan and polyvinylpyrrolidone to enhance targeting and effectiveness of quercetin and selenium nanoparticles in the colon.
  • Results indicate that this delivery system improves gut health, reduces inflammation, enhances cognitive ability in mice, and has a longer residence time compared to standard selenium nanoparticles.
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Background: Poly (ADP ribose) polymerase inhibitors (PARPis) are a treatment option for patients with advanced high-grade serous or endometrioid ovarian carcinoma (OC). Recent guidelines have clarified how homologous recombination deficiency (HRD) may influence treatment decision-making in this setting. As a result, numerous companion diagnostic assays (CDx) have been developed to identify HRD.

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Article Synopsis
  • Ovarian clear cell carcinoma (OCCC) is a rare and resistant form of ovarian cancer, displaying varying immune responses, which complicates its treatment with immunotherapy.
  • A comprehensive analysis of patient samples was conducted, utilizing single-cell sequencing and other methods, revealing that genetic mutations are linked to immune activation and poor progression-free survival, particularly with high levels of CD36 and CD47.
  • Combination therapy using anti-VEGF and anti-PD-1 has shown clinical benefits, especially in cases of ongoing, recurrent, or metastatic OCCC, by enhancing immune responses within the tumor environment.
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  • The study compared the combination of lenvatinib and pembrolizumab (len + pembro) with traditional chemotherapy for advanced or recurrent endometrial cancer (aEC) in patients who had not previously been treated.
  • Results showed that while len + pembro did not statistically outperform chemotherapy in terms of progression-free survival (PFS) or overall survival (OS), it offered similar outcomes, indicating noninferiority.
  • The trial involved 842 patients and found median PFS and OS were comparable between the two treatment groups, suggesting len + pembro could be an effective alternative to chemotherapy for this cancer type.
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Diabetic foot ulcers (DFUs) represent a serious complication of diabetes with high incidence, requiring intensive treatment, prolonged hospitalization, and high costs. It poses a severe threat to the patient's life, resulting in substantial burdens on patient and healthcare system. However, the therapy of DFUs remains challenging.

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Background: This study aimed to evaluate the efficacy and safety of pegylated liposomal doxorubicin (PLD) for patients with partially platinum-sensitive, platinum-resistant, or platinum-refractory ovarian cancer.

Methods: Patients with partially platinum-sensitive, platinum-resistant, or platinum-refractory ovarian cancer were recruited in this prospective, open-label, single-arm, multicenter study. Eligible patients were given 4-6 cycles of PLD (40 mg/m2 on day 1, every 4 weeks).

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Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder and metabolic abnormality disease that mainly affects women of reproductive age. LINC00173, a novel long noncoding RNA (lncRNA), has emerged as an important factor in the development of PCOS. However, the role of LINC00173 in PCOS development and its specific upstream and downstream mechanisms remain to be further clarified.

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Article Synopsis
  • * In this phase 3, double-blind trial, 445 women were randomly assigned to receive either cadonilimab with chemotherapy or a placebo with chemotherapy, with results measured over time for progression-free and overall survival.
  • * Findings showed that patients receiving cadonilimab experienced a median progression-free survival of 12.7 months compared to 8.1 months for the placebo group, along with improved overall survival,
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  • - Insulin resistance (IR) is linked to worse neurological outcomes after a stroke, and the METS-IR index is being studied as a potential predictor of this impairment in severe cerebral infarction patients in neurological ICUs.
  • - A study involving 504 patients found that higher METS-IR scores were associated with increased risk of neurological impairment, with statistical models supporting this correlation.
  • - The METS-IR index outperformed the triglyceride-glucose (TyG) index in predicting neurological impairment, suggesting it could be a valuable tool in assessing patient outcomes post-stroke.
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Article Synopsis
  • * The study utilized data from the 2019 Global Burden of Disease (GBD) study to examine the incidence, prevalence, and trends of NDs from 1990 to 2019, revealing particularly high rates in children under 5 and notable gender disparities.
  • * The findings highlight the need for targeted global health strategies to reduce NDs, providing valuable information for policymakers to create effective interventions.
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  • Break-induced replication (BIR) is a highly mutagenic process that needs tight regulation, and this study reveals the critical role of the protein 53BP1 in controlling BIR after double strand breaks (DSBs).
  • Loss of 53BP1 leads to increased hyperrecombination that activates BIR, which is connected to specific DNA synthesis processes on single-stranded DNA (ssDNA) overhangs, resulting in larger genome deletions and instability.
  • The findings suggest that targeting the interaction between 53BP1 and BIR could open up new avenues for cancer treatment.
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  • Kids in the hospital for brain cancer treatment often feel scared, sad, or anxious, which can make their healing harder.
  • A new program called CCLIP aims to help these kids by offering support through play, family help, and teaching them how to manage their fears.
  • The study will compare two groups of kids: one group will get the CCLIP support, while the other group will receive regular care, to see how well the program works in reducing their medical fears.
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Break-induced replication (BIR) is mutagenic, and thus its use requires tight regulation, yet the underlying mechanisms remain elusive. Here we uncover an important role of 53BP1 in suppressing BIR after end resection at double strand breaks (DSBs), distinct from its end protection activity, providing insight into the mechanisms governing BIR regulation and DSB repair pathway selection. We demonstrate that loss of 53BP1 induces BIR-like hyperrecombination, in a manner dependent on Polα-primase-mediated end fill-in DNA synthesis on single-stranded DNA (ssDNA) overhangs at DSBs, leading to PCNA ubiquitination and PIF1 recruitment to activate BIR.

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Objective: To retrospectively explore the clinical significance of radiotherapy to the distant metastatic lymph nodes (cervical/ clavicular/ mediastinal et al.) in metastatic cervical cancer. Hereinto, these cervicothoracic lymph nodes were metastasized from IB1-IVA (initial stage at first treatment), and IVB initially had metastatic disease in these areas at diagnosis.

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Article Synopsis
  • This study investigates the clinical characteristics and genomic profiles of outpatients with endometrial cancer at Fudan University Shanghai Cancer Center from 2018 to 2023, emphasizing the complexity of their cases.
  • Out of 68 patients, most underwent genomic testing at diagnosis, revealing various germline mutations and molecular subtypes, with a significant portion showing deleterious mutations linked to cancer.
  • Anti-PD1 therapy was administered to some patients, showing a response rate of 30%, while CN-High subtype patients had the worst prognosis, highlighting the need for further research in this population.
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Diabetic foot ulcers (DFUs) represent a severe complication of diabetes mellitus. Ramulus Mori (Sangzhi) alkaloids (SZ-A), an approved oral medication for type 2 diabetes, have not been explored for their potential to enhance the processes involved in diabetic wound healing. This study aims to investigate SZ-A's role in diabetic wound healing mechanisms.

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Synopsis of recent research by authors named "XiaoHua Wu"

  • - Xiaohua Wu's recent research has focused on various aspects of oncology, particularly in the realms of gynecological cancers including ovarian and cervical cancer, investigating the molecular mechanisms and treatment strategies influencing patient outcomes in these conditions.
  • - Notable findings include the identification of LINC00173's role in promoting apoptosis in ovarian granulosa cells within the context of polycystic ovary syndrome, and the evaluation of cadonilimab in combination with chemotherapy for persistent cervical cancer, showing promising clinical benefits.
  • - Additionally, Xiao Wu's studies have explored the molecular underpinnings of treatment resistance, including mechanisms driving acquired resistance to PARP inhibitors in ovarian cancer, underscoring the need for precision therapies tailored to genetic and molecular profiles.

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