Publications by authors named "Yuzhou Gan"

Objectives: Recurrent thrombosis is one of the main clinical features of antiphospholipid syndrome (APS), and recent studies revealed that APS shares similar pathophysiological mechanisms with atherosclerosis. Oxidised low-density lipoprotein (OxLDL) and antibodies against OxLDL (anti-OxLDL) are involved in the development of atherosclerosis. This study aims to investigate the clinical significance of OxLDL and anti-OxLDL in APS patients.

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Objective: Glucocorticoid-induced tumor necrosis factor receptor superfamily-related protein (GITR), with its ligand (GITRL), plays an important role in CD4 T cell-mediated autoimmunity. This study aimed to investigate the underlying mechanisms of GITRL in primary Sjögren syndrome (pSS).

Methods: Patients with pSS and healthy controls were recruited.

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Objectives: Myositis-specific antibodies (MSAs) and myositis-associated antibodies (MAAs) are associated with distinctive dermatomyositis (DM) clinical phenotypes. The aim of this study is to explicate the clinical and immunological features of MSAs-negative DM patients.

Methods: A total of 515 individuals diagnosed with DM was screened from 2013 to 2022 and 220 DM patients were enrolled in this retrospective cohort.

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Article Synopsis
  • This study examined the clinical traits of patients with systemic lupus erythematosus (SLE) who also have autoimmune liver cirrhosis (ALC) and how they differ from SLE patients without cirrhosis.
  • Out of 43 SLE-ALC patients analyzed, most were female and had notable complications like jaundice and varices, with a significantly older average age compared to the non-cirrhosis group.
  • Key findings included greater liver dysfunction, elevated hematological issues, and unique radiologic signs in SLE-ALC patients, indicating that cirrhosis, while rare in SLE, presents distinct clinical features.
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Background: To investigate the therapeutic effects and safety of low-dose and standard-dose rituximab (RTX) in the treatment of antiphospholipid syndrome (APS).

Methods: In this real-world study, we included 22 consecutive patients with APS who received RTX. Standard dose (SD) was defined as an overall dosage of RTX ≥ 1000mg in the induction period, and low dose (LD) was defined as an overall dosage of RTX <1000mg.

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Given increased acceptance of the CoronaVac, there is an unmet need to assess the safety and immunogenic changes of CoronaVac in patients with rheumatic diseases (RD). Here we comprehensively analysed humoral and cellular responses in patient with RD after a three-dose immunization regimen of CoronaVac. RD patients with stable condition and/or low disease activity (n = 40) or healthy controls (n = 40) were assigned in a 1:1 ratio to receive CoronaVac (Sinovac).

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Background: Antiphospholipid syndrome (APS) is a disorder associated with thromboembolic diseases, including acute myocardial infarction (AMI). Given that AMI is a relatively common condition with poor prognostic features, identification of risk factors for AMI in APS is important.

Methods: A retrospective cohort study was performed consisting of 332 patients with APS, and 239 patients with thrombotic APS were finally included.

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Sjögren's syndrome (SS) is a systemic autoimmune disease with no efficient treatment, and it is associated with dysregulated immune cells and impaired interleukin (IL)-2 signaling. IL-2 is critical for the development and maintenance of Treg cells. The use of low dose of IL-2 (LDIL-2) in the treatment of autoimmune diseases is promising, but the efficacy and mechanism in SS therapy are still to be confirmed.

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The imbalance between pathogenic and beneficial species of the intestinal microbiome and metabolism in rheumatoid arthritis (RA) remains unclarified. Here, using shotgun-based metagenome sequencing for a treatment-naïve patient cohort and a "quasi-paired cohort" method, we observed a deficiency of butyrate-producing species and an overwhelming number of butyrate consumers in RA patients. These outcomes mainly occurred in patients with positive ACPA, with a mean AUC of 0.

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Article Synopsis
  • The study investigates biomarkers to predict malignancy in patients with remitting seronegative symmetrical synovitis with pitting edema (RSPE), a rare inflammatory arthritis associated with higher cancer risk.
  • A review of 51 RSPE patients found that 16.7% were diagnosed with malignancy, primarily hematological tumors, and identified elevated serum levels of basic fibroblast growth factor (bFGF) as a significant marker for malignancy.
  • Results suggest that bFGF levels above 10 ng/mL may serve as a useful biomarker for predicting malignancy in RSPE patients.
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  • - Psoriatic arthritis (PsA) is linked to psoriasis and bone damage, with Dkk-1 being a key inhibitor in the Wnt signaling pathway that affects bone health.
  • - A study measured serum Dkk-1 levels in 69 PsA patients, 39 rheumatoid arthritis patients, and 21 healthy controls, revealing elevated levels in 68.1% of PsA patients compared to lower levels in healthy individuals.
  • - The findings suggest that high serum Dkk-1 correlates with joint swelling and is a significant risk factor for bone erosion in PsA, indicating its potential role in the disease's pathology.
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Accumulating evidence has implicated dietary factors as important risks for rheumatoid arthritis (RA) development, but analyses of the effects of red meat consumption on RA have yielded diverging results. The aim of this study was to explore the association between red meat and RA in a large-scale, cross-sectional study. From June to December 2016, a total of 733 patients were investigated, from which 707 participants were included in the analysis.

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  • The study aimed to identify risk factors and the prognosis of patients with cancer-associated myositis (CAM) among those with dermatomyositis and polymyositis.
  • A total of 487 patients were analyzed, revealing that 7% had CAM, with notable differences in symptoms and demographics compared to non-CAM patients.
  • Key risk factors for CAM included older age, the presence of specific skin signs (like the shawl sign), and certain antibodies, while factors like interstitial lung disease appeared to offer some protection; CAM patients also showed higher mortality rates.
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Objectives: Serum soluble CD25 (sCD25) is associated with T cell activation and regarded as a marker of disease activity in autoimmune disorders. The purpose of our study was to investigate the clinical relevance of sCD25 in patients with primary Sjögren's syndrome (pSS).

Methods: Sixty-five pSS patients and 60 healthy controls (HCs) with comparable age and gender were recruited.

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This study was conducted to identify the characteristics and prognosis of rapidly progressive interstitial lung disease (RP-ILD) in idiopathic inflammatory myopathy (IIM) and to assess the predictors for poor survival of RP-ILD in IIM. A total of 474 patients with IIM were enrolled retrospectively according to medical records from Peking University People's Hospital. Clinical and laboratory characteristics recorded at the diagnosis of patients with RP-ILD and chronic ILD (C-ILD) were compared.

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Objectives: Primary Sjögren's syndrome (pSS) is one of the most prevalent systemic autoimmune diseases characterised by inflammation and tissue damage of exocrine glands, especially salivary or lacrimal gland. IL-17 related immune response is pathogenic with proinflammatory feature in pSS. However, whether IL-17E, an IL-17 family member, is involved in pSS pathogenesis or not, has not been determined.

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Background: Intensive therapy with disease modifying anti-rheumatic drugs (DMARDs) has been reported to improve the outcomes of rheumatoid arthritis (RA). However, real-world study on the effect of intensive therapy on RA sustained remission is still lacking. This study aimed to investigate the outcome of sustained intensive DMARD therapy (SUIT) for RA in a real-world 5-year consecutive cohort.

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Introduction: The role of tea consumption on rheumatoid arthritis (RA) has been studied in recent years, but no clear conclusion has been drawn as a result of small sample size of the studies or the fact that only in vitro studies have been performed.

Objectives: The aim of this study was to explore the possible association of tea consumption with RA through a large-scale, real-world study.

Methods: A total of 733 RA patients were investigated from June to December, 2016.

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Background: Clinically amyopathic dermatomyositis (CADM) is a unique sub-type of idiopathic inflammatory myopathies with a high prevalence of interstitial lung disease (ILD). Poor prognosis of the patients was strongly associated with rapid progressive ILD. The aim of this study was to identify risk factors for prediction of different types of ILD in CADM.

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Background: Clinical remission is the treatment target in rheumatoid arthritis (RA). This study aimed to investigate clinical remission and related factors in a large cohort of patients with RA.

Methods: This study composed of 342 patients with RA.

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Objectives: To identify specific cerebrospinal fluid (CSF) biomarkers for the diagnosis and disease severity evaluation of neuropsychiatric systemic lupus erythematosus (NPSLE).

Methods: Patients presented with neuropsychiatric symptoms were recruited and categorised as 36 NPSLE, 19 SLE controls, 4 other connective tissue disease (CTD) controls and 10 nervous system disorder (NSD) controls. The NPSLE group consisted of severe NPSLE (sNPSLE) and mild NPSLE (mNPSLE).

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A variety of autoantibodies has been involved in the pathogenesis of systemic lupus erythematosus (SLE), some of which are well known and applied as disease biomarkers. This study aimed to determine the prevalence of a novel autoantibody, anti-tubulin-α-1C, in patients with SLE and investigate its clinical significance. Anti-tubulin-α-1C autoantibody levels were determined by enzyme-linked immunosorbent assay (ELISA) in 128 SLE patients, 38 primary Sjögren's syndrome (pSS) patients, and 106 healthy controls (HCs).

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Th17 related immune response is pathogenic in primary Sjögren's syndrome (pSS). However, the role of IL-17F, one potent inflammatory member of IL-17 family cytokines in pSS, has not been specifically defined. We recruited one hundred and nine pSS patients and forty-two healthy controls and their serum levels of IL-17A and IL-17F were determined by multiplex cytokine assays.

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Background: The roles that CD16 monocyte subset plays in T-cell activation and B-cell response have not been well studied in systemic lupus erythematosus (SLE).

Objective: The present study aimed to investigate the distribution of CD16 monocyte subsets in SLE and explore their possible roles in T-cell activation and B-cell differentiation.

Methods: The frequencies of monocyte subsets in the peripheral blood of healthy controls (HCs) and patients with SLE were determined by flow cytometry.

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