Publications by authors named "Xiuli Ju"

Background: Hepatic organoids (HOs), validated through comparative sequencing with human liver tissues, are reliable models for liver research. Comprehensive transcriptomic and proteomic sequencing of HOs throughout their induction period will enhance the platform's utility, aiding in the elucidation of liver development's molecular mechanisms.

Methods: We developed hepatic organoids (HOs) from embryonic stem cells (ESCs) through a de novo induction protocol, mimicking the stages of fetal liver development: ESCs to definitive endoderm (DE), then to foregut (FG), hepatoblasts (HB), and finally to HOs stage 1 (HO1), culminating in self-organizing HOs stage 2 (HO2) via dissociation and re-inoculation.

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Backgrounds And Aims: Our previous study (CCCG-BNHL-2015) reported the treatment strategies and outcomes of pediatric B-cell non-Hodgkin's lymphoma (B-NHL) in China which showed that children in low-risk groups already have a dramatically favorable prognosis. However, for high-risk groups, the prognosis still needs to be improved. In this study, we aimed to identify the factors influencing prognosis in high-risk groups (stage III and stage IV).

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Importance: Childhood cancer survivorship programs and long-term follow-up (LTFU) practices are inadequate in most regions of China.

Objective: To understand the clinician and caregiver perceptions of LTFU care and to identify barriers to adherence to LTFU care in mainland China.

Design, Setting, And Participants: This survey study had a 2-phase sequential mixed-methods approach, consisting of a cross-sectional survey followed by semistructured interviews.

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Background: Restoring the function of the ovary is important for chemotherapy-induced ovarian failure (COF) patients. Stem cell and extracellular vesicles (EVs) therapy show promise but need further improvement.

Methods: Human umbilical cord mesenchymal stem cells (hUC-MSCs) were primarily cultured and further three-dimensional (3D) cultured using an ultra-low attachment surface method.

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The efficacy and safety of recombinant human thrombopoietin (rhTPO) in children and adolescent patients with chronic primary immune thrombocytopenia (ITP) remains unclear. A multicentre, randomized, double-blind, placebo-controlled phase III trial was performed. Patients aged 6-17 years, diagnosed with ITP and resistant or relapsed to corticosteroid treatment were included.

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Article Synopsis
  • PDGFRB fusions in pediatric acute lymphoblastic leukemia (ALL) are rare, accounting for only 0.8% of tested cases.
  • A study involving 6457 patients over seven years identified 28 with PDGFRB-positive ALL, revealing a median age of 10 and a varied response to treatment.
  • The results highlighted that while chemotherapy with tyrosine-kinase inhibitors (TKIs) improved complete remission rates, high levels of measurable residual disease (≥0.01%) were linked to poorer outcomes, suggesting a need for tailored treatment strategies to improve survival.
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Article Synopsis
  • * The study investigates the relationship between chemoresistance in B-ALL and histidine metabolism, revealing that histidine supplementation can improve responsiveness to the standard chemotherapy drug, 6-mercaptopurine (6-MP).
  • * It highlights the importance of desuccinylation by the enzyme SIRT5 as a crucial factor in enhancing the effectiveness of histidine therapy, offering a new strategy to combat chemoresistance and improve survival rates in young B-ALL patients.
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Introduction: It is essential to acknowledge that the cardiovascular toxicity associated with anthracycline drugs can be partially attributed to the damage inflicted on blood vessels and endothelial cells. Extracellular vesicles (EVs) derived from mesenchymal stem cells (MSCs) have the potential to repair cellular processes and promote tissue regeneration through the transfer of signaling molecules such as miRNAs. In the present study, we investigated the effects of MSC-EVs on daunorubicin (DNR)-damaged human cardiac microvascular endothelial cells (HCMEC) and developing blood vessels of Chicken Chorioallantoic Membrane (CAM) in vivo.

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Background: First-generation ABL-targeted tyrosine kinase inhibitor (TKI) imatinib is known to retard growth in children but it is not known if the second-generation ABL-targeted TKI dasatinib has the same effect. We aimed to determine the impact of the first- or second-generation TKI on the growth of children treated for Philadelphia chromosome-positive (Ph) childhood acute lymphoblastic leukemia (ALL).

Methods: We evaluated the longitudinal growth changes in 140 children with Ph ALL treated with imatinib or dasatinib in additional to intensive cytotoxic chemotherapy and 280 matched controls treated with the same intensity of cytotoxic chemotherapy without TKI on Chinese Children's Cancer Group ALL-2015 protocol between 2015 and 2019.

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Article Synopsis
  • A clinical trial was conducted to compare gene-based dosing of 6-mercaptopurine (6-MP) to standard dosing in Chinese children with acute lymphoblastic leukemia (ALL), focusing on those with low- or intermediate-risk.
  • The gene-based dosing resulted in a 2.2-fold decrease in myelosuppression compared to standard dosing, using approximately half the standard dose, and significantly reduced the risk of leukopenia.
  • No major differences were found in hepatotoxicity or metabolite concentrations in the blood between the two treatment groups, suggesting that gene-based dosing may be a safer alternative for this patient population.
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Purpose: Homoharringtonine (HHT) is commonly used for the treatment of Chinese adult AML, and all-trans retinoic acid (ATRA) has been verified in acute promyelocytic leukemia (APL). However, the efficacy and safety of HHT-based induction therapy have not been confirmed for childhood AML, and ATRA-based treatment has not been evaluated among patients with non-APL AML.

Patients And Methods: This open-label, multicenter, randomized Chinese Children's Leukemia Group-AML 2015 study was performed across 35 centers in China.

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B-lineage acute lymphoblastic leukemia (B-ALL) is one of the most common malignancies in children. Despite advances in treatment, the role of the tumor microenvironment in B-ALL remains poorly understood. Among the key components of the immune microenvironment, macrophages play a critical role in the progression of the disease.

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Article Synopsis
  • The study examines the outcomes of 384 patients with acute lymphoblastic leukemia (ALL) and TCF3::PBX1 fusion, indicating that contemporary risk-directed treatments have improved survival rates.
  • Results show a 5-year event-free survival rate of 84.4% and overall survival of 88.9%, with male sex and high minimal residual disease (MRD) at day 46 being significant factors that negatively impact survival.
  • The presence of testicular leukemia at diagnosis is a strong independent risk factor, suggesting that patients with this condition may benefit from new therapeutic approaches such as molecular therapies or immunotherapy.
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Background: Precursor B-cell acute lymphoblastic leukemia (pre-B ALL) is the most common hematological malignancy in children. Cellular metabolic reorganization is closely related to the progression and treatment of leukemia. We found that the level of 1,5-anhydroglucitol (1,5-AG), which is structurally similar to glucose, was elevated in children with pre-B ALL.

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Ovarian granulosa cells (OGCs) play an essential role in the regulation of follicular growth and development. However, previous studies of OGCs have concentrated on traditional 2D cultures. In the present study, we used the hanging drop culture method to culture rat OGCs (rOGCs) and assessed the effects of 3D conditions on their proliferation and gene expression profiles.

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Background: Host biomarkers and cytokines help in the prediction of disease severity in adults with community-acquired pneumonia (CAP). Accurate assessment of pathogens and disease severity is essential to clinical decision-making. There are few validated prognostic tools in blood and bronchoalveolar lavage for children with CAP to assist with proper decision and management.

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Background: Bronchopulmonary dysplasia (BPD) is not merely a chronic lung disease, but a systemic condition with multiple organs implications predominantly associated with hyperoxia exposure. Despite advances in current management strategies, limited progress has been made in reducing the BPD-related systemic damage. Meanwhile, although the protective effects of human umbilical cord-derived mesenchymal stem cells (hUC-MSCs) or their exosomes on hyperoxia-induced lung injury have been explored by many researchers, the underlying mechanism has not been addressed in detail, and few studies have focused on the therapeutic effect on systemic multiple organ injury.

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The effect of prolonged pulse therapy with vincristine and dexamethasone (VD) during maintenance therapy on the outcome of paediatric patients with TCF3-PBX1 positive acute lymphoblastic leukaemia (ALL) remains uncertain. We conducted non-inferiority analysis of 263 newly diagnosed TCF3-PBX1 positive ALL children who were stratified and randomly assigned (1:1) to receive seven additional VD pulses (the control group) or not (the experimental group) in the CCCG-ALL-2015 clinical trial from January 2015 to December 2019 (ChiCTR-IPR-14005706). There was no significant difference in baseline characteristics between the two groups.

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Article Synopsis
  • A prospective multi-institutional trial with 419 pediatric patients under 16 diagnosed with aggressive B-cell non-Hodgkin lymphoma/leukemia explored the safety and efficacy of adding rituximab to intensive chemotherapy.
  • The study found that the overall 4-year event-free survival (EFS) rate was 88.3%, with significantly better outcomes across different treatment groups, particularly for those receiving rituximab.
  • Some toxicities associated with rituximab included high rates of severe infections and blood cell issues, but the treatment showed to be feasible in less-resourced settings and improved EFS compared to historical data.
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Article Synopsis
  • The study aimed to find a way to reduce the negative effects of chemotherapy in children with low-risk acute lymphoblastic leukemia (ALL) while still achieving high cure rates.
  • Researchers analyzed data from 2396 patients in the CCCG-ALL-2015 study, comparing outcomes between those receiving a single dose and those receiving a double dose of daunorubicin during the remission-induction phase.
  • Results showed no significant differences in overall survival or early death rates between the groups, but the double-dose group had better event-free survival and lower relapse risk, indicating the possibility of dosage reduction for specific low-risk patients with positive or hyperdiploid ALL.
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To increase the potential and effectiveness of three-dimensional (3D) mesenchymal stem cells (MSCs) for clinical applications, this study explored the effects of short cryo-temperature pretreatment on MSC function. Adipose-derived MSCs (A-MSCs) were cultured via the ordinary monolayer method and 3D hanging drop spheroid method. When the cells adhered to the wall or formed a spheroid, they were subjected to hypothermic stress at 4°C for 1 h and then divided into three recovery periods at 37°C, specifically 0, 12, and 24 h.

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To investigate the toxicity and related mechanism of miltirone to human acute myeloid leukemia THP-1 cells. To be specific, the active components and targets of miltirone were retrieved from Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform(TCMSP), and the target proteins were converted into standard gene names with UniProt. Acute leukemia-rela-ted target genes were screened from GeneCards and DisGeNET.

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Sepsis is associated with acute peritonitis, which can be induced by lipopolysaccharide exposure and feces. Generally, lipopolysaccharide induces mono-microbial peritonitis, whereas feces cause poly-microbial peritonitis; the latter is a more complicated and closer to the clinical diseases. Although several reports have discussed the mechanism of immune response in peritonitis-induced sepsis, however, the role of natural killer (NK) cells in sepsis, especially the relationship between NK cells and stabilization of the vascular endothelial barrier, is still unclear.

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