Publications by authors named "Y-Y Gu"

Background: Currently, validated biomarkers for assessing hemorrhagic transformation (HT) after intravenous thrombolysis (IVT) are lacking. We aimed to validate a test combining GFAP (glial fibrillary acidic protein) and UCH-L1 (ubiquitin C-terminal hydrolase-L1) to indicate the absence of HT after IVT.

Methods: We prospectively enrolled consecutive patients with stroke treated with IVT from 16 hospitals.

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Background: Macrophages are key players in obesity-associated cardiovascular diseases, which are marked by inflammatory and immune alterations. However, the pathophysiological mechanisms underlying macrophage's role in obesity-induced cardiac inflammation are incompletely understood. Our study aimed to identify the key macrophage population involved in obesity-induced cardiac dysfunction and investigate the molecular mechanism that contributes to the inflammatory response.

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Mesenchymal stem cells (MSCs) are essential in regenerative medicine. However, conventional expansion and harvesting methods often fail to maintain the essential extracellular matrix (ECM) components, which are crucial for their functionality and efficacy in therapeutic applications. Here, we introduce a bone marrow-inspired macroporous hydrogel designed for the large-scale production of MSC-ECM spheroids.

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  • CAR-T cells, specifically a new version called M10 cells, combine broadly neutralizing antibodies and the CXCR5 receptor to target HIV-1 effectively.
  • M10 cells were tested in 18 patients, with results showing that 74.3% of infusions led to a significant decrease in viral loads and persistent reductions in HIV-1 RNA levels.
  • The study suggests M10 CAR-T cells could be a promising and safe treatment option for achieving a functional cure for HIV-1/AIDS, with no major side effects reported.
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Background: Patients with relapsed or refractory hematologic cancers have a poor prognosis. Chimeric antigen receptor (CAR) T-cell therapy as a bridge to allogeneic hematopoietic stem-cell transplantation (HSCT) has the potential for long-term tumor elimination. However, pre-HSCT myeloablation and graft-versus-host disease (GVHD) prophylaxis agents have toxic effects and could eradicate residual CAR T cells and compromise antitumor effects.

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  • Simnotrelvir, an oral protease inhibitor, showed promise in treating mild-to-moderate COVID-19 in a phase 2-3 clinical trial.
  • In the study, patients received either simnotrelvir plus ritonavir or a placebo, with results indicating that those on the drug experienced faster resolution of symptoms compared to the placebo group.
  • Although more adverse events were reported in the simnotrelvir group, most were mild to moderate, suggesting that the treatment is generally safe.
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Background: Reteplase is a more affordable new-generation thrombolytic with a prolonged half-life. We aimed to determine the safety dose range of reteplase for patients with acute ischemic stroke within 4.5 hours of onset.

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A central question in neural tissue engineering is how the tissue-engineered nerve (TEN) translates detailed transcriptional signals associated with peripheral nerve regeneration into meaningful biological processes. Here, we report a skin-derived precursor-induced Schwann cell (SKP-SC)-mediated chitosan/silk fibroin-fabricated tissue-engineered nerve graft (SKP-SCs-TEN) that can promote sciatic nerve regeneration and functional restoration nearly to the levels achieved by autologous nerve grafts according to behavioral, histological, and electrophysiological evidence. For achieving better effect of neuroregeneration, this is the first time to jointly apply a dynamic perfusion bioreactor and the ascorbic acid to stimulate the SKP-SCs secretion of extracellular matrix (ECM).

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Mazdutide is a once-weekly glucagon-like peptide-1 (GLP-1) and glucagon receptor dual agonist. We evaluated the efficacy and safety of 24-week treatment of mazdutide up to 6 mg in Chinese overweight adults or adults with obesity, as an interim analysis of a randomised, two-part (low doses up to 6 mg and high dose of 9 mg), double-blind, placebo-controlled phase 2 trial (ClinicalTrials.gov, NCT04904913).

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Electrochemical CO reduction in acidic electrolytes is a promising strategy to achieve high utilization efficiency of CO. Although alkali cations in acidic electrolytes play a vital role in suppressing hydrogen evolution and promoting CO reduction, they also cause precipitation of bicarbonate on the gas diffusion electrode (GDE), flooding of electrolyte through the GDE, and drift of the electrolyte pH. In this work, we realize the electroreduction of CO in a metal cation-free acidic electrolyte by covering the catalyst with cross-linked poly-diallyldimethylammonium chloride.

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Background: The rate of esophagogastric cancer is rising among individuals under 50 years of age. It remains unknown whether early-onset esophagogastric cancer represents a unique entity. This study investigated the clinical and molecular characteristics of early-onset and average-onset esophagogastric cancer .

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Background: Numerous genome-wide association studies revealed that SNPs (single nucleotide polymorphisms) at the (phosphatase and actin regulator 1) locus strongly correlate with coronary artery disease. However, the biological function of PHACTR1 remains poorly understood. Here, we identified the proatherosclerotic effect of endothelial PHACTR1, contrary to macrophage PHACTR1.

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  • * The study analyzed 2220 pregnancies, revealing that those with moderate-to-severe PH had significantly higher risks for maternal mortality and complications compared to those with mild PH or no PH at all.
  • * Key findings included that women with mild PH had better outcomes, while factors like high brain natriuretic peptide levels and worse heart function increased risks for adverse events; multidisciplinary care improved outcomes.
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Objective: To determine the safety and efficacy of adding the anti-PD-L1 antibody durvalumab to induction FOLFOX and preoperative chemotherapy in locally advanced esophageal adenocarcinoma.

Background: Neoadjuvant induction FOLFOX followed by positron emission tomography (PET) directed chemoradiation has demonstrated improved survival for esophageal adenocarcinoma. There is clear benefit now for the addition of immune checkpoint inhibitors both in early and advanced stage disease.

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  • Innate immune pathways in organisms rapidly respond to infections while preventing autoimmunity, with humans using the cGAS receptor to activate antiviral signaling through the production of cyclic GMP-AMP (cGAMP).
  • Bacteria have similar immune receptors called CD-NTases that detect viral infections and produce various nucleotide second messengers, but the regulation of CD-NTase activation is unclear.
  • The study reveals that the protein Cap2 primes CD-NTases for action using a mechanism similar to ubiquitin transfer, while another protein, Cap3, moderates this activity by cleaving the CD-NTase-target complexes.
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Background: The metalloprotease ADAMTS-7 (a disintegrin and metalloproteinase with thrombospondin type 1 motif 7) is a novel locus associated with human coronary atherosclerosis. ADAMTS-7 deletion protects against atherosclerosis and vascular restenosis in rodents.

Methods: We designed 3 potential vaccines consisting of distinct B cell epitopic peptides derived from ADAMTS-7 and conjugated with the carrier protein KLH (keyhole limpet hemocyanin) as well as aluminum hydroxide as an adjuvant.

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  • - The study investigates whether catheter ablation as a first-line treatment for ventricular tachycardia (VT) during implantable cardioverter defibrillator (ICD) implantation is more effective than standard medical therapy plus ICD in patients with cardiomyopathy.
  • - The trial involved 180 patients and found that those in the ablation group showed lower recurrence rates of VT and required fewer ICD shocks compared to the control group over an average follow-up period of 31 months.
  • - Results suggest that early ablation may offer significant benefits in reducing VT recurrence and hospitalizations for patients with nonischemic cardiomyopathy, potentially filling a current gap in clinical guidelines.
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Background: Sex differences in stroke outcomes are crucial to secondary prevention, but previous reports showed inconsistent results. We aimed to explore the sex differences in stroke outcomes in the Third China National Stroke Registry, a prospective multicenter registry study.

Methods: Among the 15 166 patients enrolled between 2015 and 2018, 9038 patients with acute ischemic stroke (AIS) were included.

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Messenger RNA (mRNA) vaccine technology has shown its power in preventing the ongoing COVID-19 pandemic. Two mRNA vaccines targeting the full-length S protein of SARS-CoV-2 have been authorized for emergency use. Recently, we have developed a lipid nanoparticle-encapsulated mRNA (mRNA-LNP) encoding the receptor-binding domain (RBD) of SARS-CoV-2 (termed ARCoV), which confers complete protection in mouse model.

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Presence of heart failure is associated with a poor prognosis in patients with coronavirus disease 2019 (COVID-19). The aim of the present study was to examine whether first-phase ejection fraction (EF1), the ejection fraction measured in early systole up to the time of peak aortic velocity, a sensitive measure of preclinical heart failure, is associated with survival in patients hospitalized with COVID-19. A retrospective outcome study was performed in patients hospitalized with COVID-19 who underwent echocardiography (n=380) at the West Branch of the Union Hospital, Wuhan, China and in patients admitted to King's Health Partners in South London, United Kingdom.

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  • Researchers are studying how highly curved membrane regions (around 50 nm) affect protein functions in cells, using small, defined liposomes as model membranes.
  • They developed a new sorting technique employing cholesterol-modified DNA 'nanobricks' to classify liposomes by buoyant density, creating consistent populations of sizes between 30-130 nm.
  • This innovative method improves liposome size uniformity and enhances research into how membrane curvature impacts specific protein activities, potentially aiding drug-delivery system development.
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The rapid spread of coronavirus SARS-CoV-2 greatly threatens global public health but no prophylactic vaccine is available. Here, we report the generation of a replication-incompetent recombinant serotype 5 adenovirus, Ad5-S-nb2, carrying a codon-optimized gene encoding Spike protein (S). In mice and rhesus macaques, intramuscular injection with Ad5-S-nb2 elicits systemic S-specific antibody and cell-mediated immune (CMI) responses.

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Introduction: Elevated liver enzyme levels are observed in patients with coronavirus disease 2019 (COVID-19); however, these features have not been characterized.

Methods: Hospitalized patients with COVID-19 in Zhejiang Province, China, from January 17 to February 12, 2020, were enrolled. Liver enzyme level elevation was defined as alanine aminotransferase level >35 U/L for men and 25 U/L for women at admission.

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