Publications by authors named "Xinxiang Chang"

Article Synopsis
  • The study aimed to analyze the challenges of using liquid-based cytology (LBC) specimens in next-generation sequencing (NGS) for lung adenocarcinoma and assess the effectiveness of targeted therapies like EGFR-TKIs.
  • A retrospective analysis of 357 advanced lung adenocarcinoma cases revealed similar mutation rates between TKI-naive and TKI-treated groups, but higher EGFR mutation rates in the TKI-treated group, suggesting treatment impacts the genetic makeup of the tumors.
  • Findings emphasized that LBC specimens are valuable for detecting gene mutations in lung cancer, but highlighted the need to evaluate tumor cellularity when using these specimens for molecular testing.
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In clinical practice, programmed death ligand 1 (PD-L1) detection is prone to nonspecific staining due to the complex cellular composition of pleural effusion smears. In this study, diaminobenzidine (DAB) and 3-amino-9-ethylcarbazole (AEC) immunohistochemistry double staining was performed to investigate PD-L1 expression in tumor cells from malignant pleural effusion (MPE). MPE was considered as a metastasis in non-small cell lung cancer patients; thus, the heterogeneity between metastatic and primary lung cancer was revealed as well.

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Introduction: This study aims to investigate the feasibility and reliability of ThinPrep slides in detecting the subclassification of lung cancer and develop a process for immunocytochemistry (ICC) with optimized staining steps of an automated immunostainer.

Methods: Cytomorphology and ancillary ICC by automated immunostainer on ThinPrep slides were performed to subclassify 271 cytology cases of pulmonary tumor, which were stained with 2 or more of the following antibodies: p40, p63, thyroid transcription factor-1 (TTF-1), Napsin A, synaptophysin (Syn), and CD56.

Results: The accuracy of cytological subtyping was improved from 67.

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An imbalance in mitochondrial dynamics induced by oxidative stress may lead to hepatocyte epithelial mesenchymal transition (EMT) and liver fibrosis. However, the underlying molecular mechanisms have not been fully elucidated. This study investigated the role of mitochondrial dynamics in hepatocyte EMT and liver fibrosis using an in vitro human (L-02 cells, hepatic cell line) and an in vivo mouse model of liver fibrosis.

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