Publications by authors named "Yixiang Zhan"

Islet transplantation is a promising therapy for diabetes, yet the limited survival and functionality of transplanted islet grafts hinder optimal outcomes. Glucagon-like peptide-1 (GLP-1), an endogenous hormone, has shown potential to enhance islet survival and function; however, its systemic administration can result in poor localization and undesirable side effects. To address these challenges, we developed a novel peptide-based nanofiber hydrogel incorporating GLP-1 functionality for localized delivery.

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Article Synopsis
  • Preliminary results from a phase I clinical trial show positive outcomes for a patient receiving autologous transplantation of chemically induced pluripotent stem cell-derived islets (CiPSC islets) to treat type 1 diabetes.
  • After 75 days post-transplant, the patient achieved sustained insulin independence, and their time-in-target glycemic range significantly improved from 43.18% to 96.21%.
  • At the 1-year mark, the patient maintained stable glycemic control, with over 98% time-in-target and glycated hemoglobin levels around 5%, indicating the need for further studies on CiPSC-islet transplantation.
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  • Islet transplantation offers hope for type 1 diabetes patients, but islet quality is often compromised by ischemic injury during cold preservation.* -
  • This study investigates the effects of liraglutide, a glucagon-like peptide-1 receptor agonist, on improving islet viability and function by reducing cold-ischemic injury through mechanisms like enhancing antioxidant levels and activating Akt signaling.* -
  • Results show that liraglutide supplementation during preservation significantly enhances islet outcomes in both mouse models and human islet transplants by mitigating oxidative stress.*
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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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Although there has been some progress in the efficacy of anti-cancer drugs, drug resistance remains challenging. Cancer stem cells (CSCs) are self-renewing and differentiate into cancer tissues with tumor heterogeneity. CSCs are associated with the progression of breast, colon, and lung cancers.

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We evaluate the prognostic value of chemotherapy and other prognostic factors on overall survival among colon patients with deficient mismatch repair (dMMR), and determine the optimum time to start chemotherapy after surgery. Data of 306 colon cancer patients with dMMR who received radical surgery were collected from three Chinese centers between August 2012 and January 2018. Overall survival (OS) was assessed with the Kaplan-Meier method and log-rank.

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Background: Methylated (mSDC2) in stool samples has been found to be associated with colorectal cancer (CRC) and precancerous lesions. However, the available data are limited, and no previous studies have compared the analysis of mSDC2 with other diagnostic tests. Thus, we aimed to evaluate the clinical performance of a stool mSDC2 test and compare its performance with that of blood-based tests for methylated (mSEPT9), carcinoembryonic antigen (CEA), carbohydrate antigen 19-9 (CA19-9) and carbohydrate antigen 724 (CA724) in detecting colorectal neoplasms.

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Introduction: To define the prognosis of colorectal cancer (CRC) in young patients and to compare their postoperative treatment with that of older patients.

Methods: This multicenter study enrolled 5,457 patients with primary CRC who underwent surgical resection. The overall survival (OS), clinicopathologic characteristics, and postoperative treatment of 253 young patients aged 18-44 years and 5,204 older patients aged 44-80 years were analyzed.

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Immunotherapy has revolutionized cancer treatment and become one of the five pillars of cancer therapy. The clinical applications of immunotherapy have been adapted to range from the management of melanoma to most tumor types. As the clinical applications of cancer immunotherapies expand, understanding the treatment-related adverse events of these drugs becomes critical in clinical practice.

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Background: We evaluated the prognostic role of deficient mismatch repair (dMMR) systems in stage II and stage III colon cancer patients during different postoperative periods. We also assessed whether patients aged ≥75 could benefit from chemotherapy.

Methods: This retrospective study was conducted across three medical centers in China.

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BACKGROUND We aimed to evaluate the ability of circulating cell-free methylated SETP9 DNA (mSEPT9) to identify recurrence and to determine its clinical utility in adjuvant chemotherapy (ACT) regimen decisions. MATERIAL AND METHODS This study enrolled 426 patients with stage II-III CRC who received radical resection between January 8, 2018, and November 30, 2020. The median follow-up duration was 15.

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Background: Previous studies have reported the prognostic value of p53 upregulated modulator of apoptosis (PUMA) in numerous human tumors, but the conclusions have not been consistent. Therefore, this meta-analysis and the Cancer Genome Atlas (TCGA) data analysis were performed to estimate the prognostic significance of PUMA in solid tumors.

Research Design And Methods: A search was conducted in PubMed, Embase, Web of Science, Cochrane Library and CNKI up to 21 July 2022.

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Article Synopsis
  • SIRT6 is a member of the sirtuin family and plays various roles, including influencing immune response and cancer progression, which this study aimed to explore by linking SIRT6 expression to patient outcomes in solid tumors.
  • A meta-analysis was performed using data from PubMed and ISI Web of Science, focusing on the relationship between SIRT6 levels and clinicopathological features, ultimately leading to findings published in Cancer Research.
  • The study revealed that lower SIRT6 expression correlated with better overall and disease-free survival in patients with solid tumors, although its impact varied between cancer types, showing benefits in breast cancer but worse outcomes in gastrointestinal cancers.
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Background And Objectives: Previous studies have concluded that colorectal cancer patients with deficient mismatch repair (dMMR) usually have a good prognosis. However, some studies have suggested that the prognosis of rectal cancer patients with dMMR appears to be worse. Our aim was to investigate chemoradiotherapy resistance in dMMR rectal tumors.

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Background: There have been controversial voices on if hepatitis B virus infection decreases the risk of colorectal liver metastases or not. This study aims to the find the association between HBV infection and postoperative survival of colorectal cancer and the risk of liver metastases in colorectal cancer patients.

Methods: Patients who underwent curative surgical resection for colorectal cancer between January 2011 and December 2012 were included.

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Objectives: Our aim was to investigate the prevalence and predictive variables of sarcopenia.

Methods: We recruited participants from the Peking Union Medical College Hospital Multicenter Prospective Longitudinal Sarcopenia Study (PPLSS). Muscle mass was quantified using bioimpedance, and muscle function was quantified using grip strength and gait speed.

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