Publications by authors named "Xipeng Zhang"

Microplastics (MPs) are widely distributed environmental pollutants around the world. Although studies have demonstrated that MPs have adverse effects on human health, the relationship between MPs and tumors remains unclear. The gut is the main site of microplastics absorption, and the function of MPs in the chemoresistance and progression of colorectal cancer (CRC) needs more investigation.

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  • - This study creates a model to predict metastasis and survival in colorectal cancer by focusing on specific macrophage types, especially EEF1G+ macrophages found in liver metastases.
  • - Researchers utilized scRNA-seq data and established an 8-gene risk model (EMGS) that classifies patients into high-risk and low-risk groups, with high-risk patients experiencing poorer survival rates and aggressive tumor pathways.
  • - The findings reveal that the high-risk group has an immunosuppressive environment and suggests potential drug targets for better treatment outcomes, indicating a need for personalized strategies in managing colorectal cancer patients with liver metastases.
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Background: Current guidelines recommend colonoscopy-based surveillance to decrease the risk of colorectal cancer (CRC) among these participants with above-average risk. The fecal immunochemical test (FIT) holds promise as a viable alternative surveillance tool, but the existing evidence regarding the use of settings remains limited. Therefore, our aim is to evaluate the CRC incidence rates in individuals with above-average CRC risk and the relationship between FIT surveillance and CRC incidence.

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  • * Researchers performed microarray analysis to identify differentially expressed genes (DEGs) between etoposide-treated and untreated colorectal cancer cells, revealing several key genes that interact with each other.
  • * The study found that after etoposide treatment, processes like the cell cycle and metabolism were downregulated, while necroptosis and oncogene pathways were upregulated; two specific genes, LMNB1 and JUN, were identified as potential targets for understanding cancer metastasis.
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  • The study investigates how well different predictive models can predict lateral lymph node (LLN) metastasis in rectal cancer, highlighting its importance for treatment and prognosis.
  • Using data from 152 rectal cancer patients, various models were created using MRI images and clinical data for analysis, showing that models based on LLN images generally performed better than those based on primary tumor images.
  • The results indicated that the radiomics model using LLN data was particularly robust in external testing, suggesting it is more reliable for predicting metastasis compared to primary tumor data.
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Background: The urinary tract is one of the most frequently involved organs in advanced non-urologic pelvic malignances. Extensive resection of ureteric organs is mandatory during a curative surgery. Urinary reconstruction after partial ureterectomy, the most challenging situation, is associated with a higher incidence of complication than cystectomy, especially when performed with laparoscopy.

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Introduction: Lateral lymph node dissection (LLND) has now been widely accepted as the optimal procedure to minimize lateral local recurrence (LLR) for selected cases with advanced lower rectal cancer in Asian countries. However, there is still controversy over the preservation or resection of the inferior vesical vessels (IVVs) during LLND due to concerns of impaired post-operative urinary function. Moreover, the standardized procedure for autonomic nerve preservation has not yet been established.

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Colorectal cancer exhibits a notable prevalence and propensity for metastasis, but the current therapeutic interventions for metastatic colorectal cancer have yielded suboptimal results. ICIs can decrease tumor development by preventing the tumor's immune evasion, presenting cancer patients with a new treatment alternative. The increased use of immune checkpoint inhibitors (ICIs) in CRC has brought several issues.

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  • A study was conducted to assess the benefits of adjuvant chemotherapy for patients with stage II rectal cancer, focusing on high-risk factors that could influence treatment outcomes after surgery.
  • The research involved 570 patients who had total mesorectal excision surgery, with data analyzed to identify various independent risk factors affecting overall and disease-free survival rates.
  • Key findings indicated that age, TNM stage, lymph node clearance, and lymphovascular invasion were significant risk factors, and there were notable interactions between these factors and the effectiveness of adjuvant chemotherapy.
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This retrospective cohort study aimed to identify baseline patient characteristics involving modifiable lifestyle factors that are associated with the development of colorectal adenomas, and establish and validate a nomogram for risk predictions among high-risk populations with negative index colonoscopy. A total of 83,076 participants who underwent an index colonoscopy at the Tianjin Union Medical Center between 2004 and 2019 were collected. According to meticulous inclusion and exclusion criteria, 249 subjects were enrolled and categorized into the primary and validation cohorts.

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Pathological scars (PS), including hypertrophic scars (HTS) and keloids, are a common complication of poor wound healing that significantly affects patients' quality of life. Currently, there are several treatment options for PS, including surgery, drug therapy, radiation therapy, and biological therapy. However, these treatments still face major challenges such as low efficacy, high side effects, and a high risk of recurrence.

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Background: Local recurrence after surgery and radiochemotherapy seriously affects the prognosis of locally advanced rectal cancer (LARC) patients. Studies on molecular markers related to the radiochemotherapy sensitivity of cancers have been widely carried out, which might provide valued information for clinicians to carry out individual treatment.

Aim: To find potential biomarkers of tumors for predicting postoperative recurrence.

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Background: Compliance with colonoscopy among elderly individuals participating in colorectal cancer (CRC) screening programs is unsatisfactory, despite a high detection rate of bowel-related diseases. In this study, our aim was to analyze the impact of risk factors on the trends of compliance and detection rates in colonoscopy among high-risk individuals aged 60-74.

Methods: A retrospective study was conducted on the high-risk individuals aged 60-74 participating in the 2021 CRC screening program in Tianjin, China.

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  • The study evaluates a deep learning model's ability to classify clear cell renal cell carcinoma (ccRCC) into low-grade and high-grade using contrast-enhanced ultrasound (CEUS) images.
  • A total of 6412 CEUS images from 177 patients were analyzed, with the model achieving notable performance metrics including sensitivity of 74.8%, specificity of 79.1%, and an AUC of 0.852.
  • The results indicate that the deep learning model offers an effective non-invasive method for differentiating ccRCC grades, potentially aiding in clinical decisions.
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Purpose: To evaluate the effectiveness of fecal immunochemical testing (FIT) in colorectal cancer screening.

Methods: We conducted a prospective cohort study among 5,598 participants age 40-74 years between 2012 and 2020 in Tianjin, China. Inverse probability weighting was adopted to adjust for potential imbalanced factors between groups.

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A guanidine-based Deep Eutectic Solvent (DES) consisting of 1,3-diaminoguanidine monohydrochloride and glycerol was utilized to prepare C-CNC from dissolving pulp. The pulp fibers were oxidized to dialdehyde cellulose by periodate, then fibrillated through the hydrogen bonds shear of DES and aminocationized through Schiff base effect of the amino groups in the DES solvent to obtain C-CNC. The results revealed that the characterization of the DES (such as viscosity, polarity, and pH) was related to the molar ratio of glycerol/guanidine-salts.

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Introduction: In this prospective observational study, we aimed to evaluate the consequences of laparoscopic fascia space priority lymph node dissection on urination and sexual function.

Aim: To assess the consequences of laparoscopic lateral lymph node dissection (LLND) using the fascial space priority approach on urinary and sexual function in patients with advanced middle and low rectal cancer.

Material And Methods: Consecutive patients undergoing laparoscopic LLND using the fascial space priority approach from December 2020 to November 2022 were identified from Tianjin Union Medical Center.

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Background And Aim: The incidence of colorectal cancer (CRC) in individuals under 50 is increasing worldwide. We conducted an analysis of colonoscopy findings in high-risk individuals under 50 in the CRC screening program in Tianjin, China, to determine the detection rate and risk factors of advanced adenomas (AA), advanced colorectal neoplasia (ACN), colorectal neoplasia (CN).

Methods: Our study investigated individuals aged 40-49 who underwent CRC screening and completed colonoscopy, 2012-2020, while the 50-54 age group served as a control.

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The toxic volatile organic compounds (VOCs), especially formaldehyde (FA), released from decoration materials pose a great threat to human health. In this study, formaldehyde adsorption performance of the specially formulated nanocellulose/chitosan aerogel (CNFCA) was investigated in simulated atmosphere. The physicochemical property of the composite aerogel was characterized, which had a large specific surface area (153.

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Purpose: Colorectal cancer (CRC) screening has been implemented in Tianjin, China since 2012. The objective was to estimate the neoplasia detection rate in a high-risk population by age and sex and to investigate the potential factors associated with colorectal neoplasia.

Patients And Methods: This study is based on data of the Tianjin CRC screening program from 2012 to 2020.

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The incidence of bone metastasis (BM) in colorectal cancer (CRC) patients is low and the prognosis is poor. There is no clear conclusion on the risk factors affecting the survival of CRC patients with BM. The aim of this study was to investigate the factors that may affect the prognosis of CRC patients with BM.

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Background: Recent studies have shown that deficient mismatch repair (dMMR) rectal cancer may be related to treatment resistance, resulting in a worse prognosis than proficient MMR (pMMR) rectal cancer. The purpose of this study was to explore whether surgery plus other treatments (radiotherapy and chemotherapy) can bring more benefits to these patients than surgery alone.

Methods: A retrospective study of 168 patients with rectal adenocarcinoma who underwent total mesorectal excision was conducted using immunohistochemical methods to determine MMR status and a propensity score matching model to minimize potential confounding factors between subgroups of patients with different treatment regimens.

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Objective: This study aimed to explore the genes regulating lymph node metastasis in colorectal cancer (CRC) and to clarify their relationship with tumor immune cell infiltration and patient prognoses.

Methods: The data sets of CRC patients were collected through the Cancer Gene Atlas database; the differentially expressed genes (DEGs) associated with CRC lymph node metastasis were screened; a protein-protein interaction (PPI) network was constructed; the top 20 hub genes were selected; the Gene Ontology functions and the Kyoto Encyclopedia of Genes and Genomes pathways were enriched and analyzed. The Least Absolute Shrinkage and Selection Operator (LASSO) regression method was employed to further screen the characteristic genes associated with CRC lymph node metastasis in 20 hub genes, exploring the correlation between the characteristic genes and immune cell infiltration, conducting a univariate COX analysis on the characteristic genes, obtaining survival-related genes, constructing a risk score formula, conducting a Kaplan-Meier analysis based on the risk score formula, and performing a multivariate COX regression analysis on the clinical factors and risk scores.

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