Publications by authors named "Z-S Yu"

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  • Accurate treatment response assessment using serial CT scans is crucial for cancer clinical trials, but the current method (RECIST guideline) can be subjective and imprecise, especially for multifocal liver cancer lesions.
  • The newly developed RECORD system utilizes deep learning to objectively evaluate treatment responses, segment liver tumors, and provide classifications based on tumor volume analysis, achieving high accuracy in assessments across multiple studies.
  • RECORD outperforms traditional methods by correlating strongly with clinical evaluations and effectively stratifying patient risks, suggesting a need for future research to apply this technology to other types of cancer.
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Background: To evaluate the utility of glucose chemical exchange saturation transfer (glucoCEST) MRI with non-contrast injection in predicting the histological grade of rectal cancer.

Methods: This prospective analysis included 60 patients with preoperative rectal cancer who underwent pelvic glucoCEST, amide proton transfer-weighted imaging (APTWI), and diffusion-weighted imaging (DWI). In total, 21 low-grade and 39 high-grade cases were confirmed by postoperative pathology.

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  • Recent guidelines suggest that individuals with prehypertension (130/80 to 139/89 mm Hg) should consider antihypertensive treatment; this study assesses the cost-effectiveness of three interventions: salt substitution, antihypertensive drugs, and their combination in Chinese adults.
  • A Markov cohort model was used to estimate the impact of these interventions on cardiovascular disease events, costs, and quality-adjusted life years (QALYs), utilizing data from the China Kadoorie Biobank.
  • The findings indicate that salt substitution is the most cost-effective strategy for prehypertensive individuals starting at age 40, while a combination intervention is best for those at high cardiovascular risk; beginning these interventions at younger ages can lead to more
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Background: The hemodynamic pathogenesis of venous pulsatile tinnitus (VPT) is still unclear. This study aimed to explore the mechanism of bone morphology and hemodynamic changes in transverse sigmoid sinus (TSS) on VPT patients.

Methods: 49 patients with unilateral VPT, 26 patients with subjective tinnitus and 36 healthy controls were included in this retrospective clinical trial.

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  • Offshore wind farms are facing engineering challenges like seabed liquefaction and scouring, making in situ monitoring crucial for their safety and operation.
  • Existing monitoring technologies are limited in their ability to measure multiple parameters and penetrate deeply into the seabed, which hampers effective monitoring.
  • A new foldable multi-sensor probe and adaptive continuous penetration system have been proposed, showing promising results in initial tests for measuring seabed changes and sediment pore water pressure.
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  • The study evaluated the safety and effectiveness of administering the inactivated quadrivalent influenza vaccine (IIV4) and the 23-valent pneumococcal polysaccharide vaccine (PPSV23) together in adults aged 60 and older in China.
  • Participants were split into two groups: one received both vaccines at the same time (C group) and the other received them separately (S group). Blood samples were tested for antibody levels after vaccination.
  • Results showed that the immune response from the combined administration was comparable to the separate administration, with fewer adverse events reported in the C group, indicating that it is a safe option for older adults.
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Background & Aims: Patients with nonalcoholic fatty liver disease (NAFLD)/metabolic dysfunction-associated steatotic liver disease (MASLD) face a multifaceted disease burden which includes impaired health-related quality of life (HRQL) and potential stigmatization. We aimed to assess the burden of liver disease in patients with NAFLD and the relationship between experience of stigma and HRQL.

Methods: Members of the Global NASH Council created a survey about disease burden in NAFLD.

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Here, we report a strategy enabling triple switchable chemo-, regio-, and stereodivergence in newly developed palladium-catalyzed cycloadditions of allenes. An asymmetric pseudo-stereodivergent cycloaddition of allenes bearing a primary leaving group at the α-position, where a dynamic kinetic asymmetric hydroalkoxylation of racemic unactivated allenes was the enantio-determining step, is realized, providing four stereoisomers [(Z,R), (Z,S), (E,S), and (E,R)] containing a di-substituted alkene scaffold and a stereogenic center. By tuning reaction conditions, a mechanistically distinctive cycloaddition is uncovered selectively with the same set of substrates.

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Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) has different epidemiology in Chinese vs. Western patients, but there are few studies of CLL/SLL in large populations of Chinese patients. ALPINE is a global phase 3 trial investigating Bruton tyrosine kinase inhibitors zanubrutinib vs.

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Background: Coronary artery disease (CAD) is the leading cause of mortality worldwide. Recent advances in deep learning technology promise better diagnosis of CAD and improve assessment of CAD plaque buildup. The purpose of this study is to assess the performance of a deep learning algorithm in detecting and classifying coronary atherosclerotic plaques in coronary computed tomographic angiography (CCTA) images.

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  • Cancer immunotherapy using autologous CAR T cells is complicated by manufacturing and patient selection issues, but 'off-the-shelf' options like allogeneic CAR-NKT cells could simplify the process.
  • Researchers developed a new method to produce high-yield IL-15-enhanced CAR-NKT cells that target multiple cancers, showing effectiveness in battling multiple myeloma and removing immunosuppressive cells from tumors.
  • The CAR-NKT cells demonstrated a stable hypoimmunogenic profile, meaning they are less likely to cause harmful immune reactions, making them promising candidates for clinical use without severe side effects like graft versus host disease.
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  • * A study utilized CRISPR/Cas9 gene editing with rAAV2/8 vectors to target intron 6 of the CYP4V2 gene in various cell types and a mouse model, successfully integrating critical genetic sequences for improving cell functions.
  • * The gene editing therapy showed positive outcomes, including restored cell viability and improved RPE and photoreceptor health in mouse models, indicating that this method has the potential for long-term treatment of BCD.
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Non-clear cell renal cell carcinomas (non-ccRCCs) encompass diverse malignant and benign tumors. Refinement of differential diagnosis biomarkers, markers for early prognosis of aggressive disease, and therapeutic targets to complement immunotherapy are current clinical needs. Multi-omics analyses of 48 non-ccRCCs compared with 103 ccRCCs reveal proteogenomic, phosphorylation, glycosylation, and metabolic aberrations in RCC subtypes.

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Purpose To develop an MRI-based model for clinically significant prostate cancer (csPCa) diagnosis that can resist rectal artifact interference. Materials and Methods This retrospective study included 2203 male patients with prostate lesions who underwent biparametric MRI and biopsy between January 2019 and June 2023. Targeted adversarial training with proprietary adversarial samples (TPAS) strategy was proposed to enhance model resistance against rectal artifacts.

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Background: Diagnosis of colorectal cancer (CRC) during early stages can greatly improve patient outcome. Although technical advances in the field of genomics and proteomics have identified a number of candidate biomarkers for non-invasive screening and diagnosis, developing more sensitive and specific methods with improved cost-effectiveness and patient compliance has tremendous potential to help combat the disease.

Methods: We enrolled three cohorts of 479 subjects, including 226 CRC cases, 197 healthy controls, and 56 advanced precancerous lesions (APC).

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  • The phase 3 ASPEN trial compared the effectiveness of two BTK inhibitors, zanubrutinib and ibrutinib, in treating Waldenström macroglobulinemia, analyzing genetic mutations' impact on treatment response.
  • The study found that patients with mutations in CXCR4 and TP53 had poorer responses and survival rates but those treated with zanubrutinib generally showed better outcomes than those given ibrutinib.
  • Overall, the research indicated that zanubrutinib offers improved clinical outcomes for patients with specific mutations compared to ibrutinib, highlighting the importance of genetic testing in treatment decision-making.
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  • Hematopoietic stem cells (HSCs) can be identified by the surface marker CEACAM5 (CD66e), which enhances understanding of their identity and function.
  • HSCs expressing CD66e showed a significant increase in functional long-term HSCs, being 5.5 times more enriched compared to those without it.
  • CD66e positive cells demonstrated strong abilities for multi-lineage repopulation and long-term reconstitution in immunodeficient mice, highlighting CEACAM5's role in enriching functional HSCs for long-term use.
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Rationale And Objectives: This study aims to develop and validate a computed tomography (CT)-based radiomics nomogram for pre-operatively predicting central lymph node metastasis (CLNM) in patients with papillary thyroid microcarcinoma (PTMC) and explore the underlying biological basis by using RNA sequencing data.

Methods: This study trained 452 PTMC patients across two hospitals from January 2012 to December 2020. The sets were randomly divided into the training (n = 339), internal test (n = 86), external test (n = 27) sets.

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  • The RATIONALE-307 study shows that using tislelizumab combined with chemotherapy improves progression-free survival (PFS) for patients with advanced lung squamous cell carcinoma compared to chemotherapy alone.
  • Researchers found an immune-related gene expression signature that may help identify which patients will benefit most from this treatment, regardless of their PD-L1 levels or tumor mutational burden.
  • The study also reveals that activation of the NRF2 pathway can negatively affect PFS by influencing PD-L1 expression, potentially complicating the predictive value of PD-L1 and TMB in treatment outcomes.
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Systemic inflammation has been implicated in the pathobiology of heart failure with preserved ejection fraction (HFpEF). Here, we examine the association of upstream mediators of inflammation as ascertained by fatty-acid derived eicosanoid and eicosanoid-related metabolites with HFpEF status and exercise manifestations of HFpEF. Among 510 participants with chronic dyspnea and preserved LVEF who underwent invasive cardiopulmonary exercise testing, we find that 70 of 890 eicosanoid and related metabolites are associated with HFpEF status, including 17 named and 53 putative eicosanoids (FDR q-value < 0.

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The blood proteome holds great promise for precision medicine but poses substantial challenges due to the low abundance of most plasma proteins and the vast dynamic range of the plasma proteome. Here we address these challenges with NUcleic acid Linked Immuno-Sandwich Assay (NULISA™), which improves the sensitivity of traditional proximity ligation assays by ~10,000-fold to attomolar level, by suppressing assay background via a dual capture and release mechanism built into oligonucleotide-conjugated antibodies. Highly multiplexed quantification of both low- and high-abundance proteins spanning a wide dynamic range is achieved by attenuating signals from abundant targets with unconjugated antibodies and next-generation sequencing of barcoded reporter DNA.

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  • Allogeneic Vγ9Vδ2 T cells show promise for cancer therapy due to their safety and tumor-fighting abilities, but their clinical effectiveness has been limited by donor variability and other factors.
  • Researchers are enhancing these T cells by selecting donors based on a biomarker (CD16), which improves their immune response and functionality, supported by RNA sequencing.
  • Preclinical studies in ovarian cancer models confirm that these engineered CD16 Vδ2 T cells are effective, safe, and persist within the body, making them a potential new therapy for treating cancer.
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This work presents the fabrication of ternary nanoparticles (Z/S/C NPs) comprising zein (Z), soy protein isolate (SPI) and carboxymethylcellulose sodium (CMC-Na) through a pH-driven method. The results showed that the smallest particle size (71.41 nm) and the most stable zeta potential, measuring -49.

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Rationale And Objectives: To establish a prediction model for the efficacy of neoadjuvant chemoradiotherapy (nCRT) in patients with locally advanced rectal cancer (LARC), using pretreatment magnetic resonance imaging (MRI) multisequence image features and clinical parameters.

Materials And Methods: Patients with clinicopathologically confirmed LARC were included (training and validation datasets, n = 100 and 27, respectively). Clinical data of patients were collected retrospectively.

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