Publications by authors named "Zeng-qing Guo"

Background: Exposure to fine particulate matter (PM) has been linked to visual impairment. Nevertheless, evidence associating PM constituents with visual impairment in schoolchildren is sparse.

Objectives: To explore the effects of long-term exposure to PM and its constituents on visual impairment.

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Alzheimer's disease (AD) is a neurodegenerative disease, that accounts for 50-75% of all dementia cases. Evidence demonstrates the link between particulate matter (PM) exposure and AD. However, there are still considerable research gaps.

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Airborne ultrafine particulate matter (PM) can enter the brain, induce microglia activation, and promote the development of Alzheimer's disease (AD). Circular RNAs (circRNAs) are also involved in AD pathogenesis. However, the role of AD-related circRNAs in PM-induced microglia activation remains unclear.

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Research on epigenetic‒environmental interactions in the development of Alzheimer's disease (AD) has accelerated rapidly in recent decades. Numerous studies have demonstrated the contribution of ambient particulate matter (PM) to the onset of AD. Emerging evidence indicates that non-coding RNAs (ncRNAs), including long non-coding RNAs, circular RNAs, and microRNAs, play a role in the pathophysiology of AD.

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Article Synopsis
  • Fine particulate matter (PM), especially ultrafine particles (UFPs), is linked to brain damage and neurological diseases, with existing studies suggesting toxic effects but lacking a clear understanding of underlying mechanisms.
  • The research utilizes the adverse outcome pathway (AOP) framework to analyze molecular mechanisms involved in PM-induced neurotoxicity, identifying common toxicity pathways like neuroinflammation signaling and glucocorticoid receptor signaling.
  • Findings reveal that neuroinflammation is a key initial event triggered by PM and UFPs, with distinct activation sequences for UFPs, highlighting the importance of inflammation response, lipid metabolism, mitochondrial dysfunction, and blood-brain barrier impairment in understanding neurotoxicity.
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Background: Exposure to PM has been linked to neurodegenerative diseases, with limited understanding of constituent-specific contributions.

Objectives: To explore the associations between long-term exposure to PM constituents and neurodegenerative diseases.

Methods: We recruited 148,274 individuals aged ≥ 60 from four cities in the Pearl River Delta region, China (2020 to 2021).

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Objectives: Systemic inflammation and skeletal muscle strength play crucial roles in the development and progression of cancer cachexia. In this study we aimed to evaluate the combined prognostic value of neutrophil-to-lymphocyte ratio (NLR) and handgrip strength (HGS) for survival in patients with cancer cachexia.

Methods: This multicenter cohort study involved 1826 patients with cancer cachexia.

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Article Synopsis
  • Cancer cachexia is a serious condition affecting cancer patients with diverse clinical features, and identifying these phenotypes can lead to tailored treatments and improved patient outcomes.
  • In a nationwide study conducted in China on 4,329 patients, researchers used machine learning to classify patients into four distinct clusters based on their clinical characteristics, which varied from mildly to severely impaired health.
  • The study found that as the impairment severity increased, so did mortality rates, with the machine learning model performing better at predicting outcomes compared to traditional methods, confirming its effectiveness in classifying cancer cachexia phenotypes.
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  • The study assessed sarcopenia (muscle loss) in a large group of cancer patients and its impact on prognosis, finding that 33% of 13,761 patients had sarcopenia.
  • Age was identified as the most significant risk factor for sarcopenia, with those affected experiencing worse nutritional status and quality of life.
  • Sarcopenia was linked to higher mortality rates in cancer patients, suggesting it is a critical consideration in managing cancer care.
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Article Synopsis
  • - The study aimed to assess whether adding high-dose vitamin C to the standard chemotherapy (FOLFOX ± bevacizumab) would improve outcomes for patients with metastatic colorectal cancer (mCRC).
  • - Results showed that there was no significant difference in progression-free survival (PFS), overall survival (OS), or response rates between the vitamin C group and the control group, although patients with RAS mutations did experience longer PFS with vitamin C.
  • - Overall, high-dose vitamin C did not provide a clear benefit over standard chemotherapy for mCRC, except potentially for patients with specific genetic mutations (RAS mutation).
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Objective: Anthropometric measurements including body mass index (BMI), mid-upper arm circumference (MUAC), and calf circumference (CC) are simple and convenient indicators of nutritional status and muscle mass. However, most of their reference values come from studies based on healthy Western populations. The optimal reference values of these anthropometric factors in Asian patients with cancer are unclear.

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  • A study was conducted to develop and validate a simplified version of the Patient-Generated Subjective Global Assessment (mPG-SGA) for cancer patients, aiming to reduce the time required to complete the assessment.
  • Experts evaluated the existing PG-SGA for its clarity and difficulty, leading to a refined mPG-SGA that accurately categorizes nutritional status and predicts patient survival based on nutrition.
  • Results showed that patients categorized by the mPG-SGA had significant differences in median overall survival, highlighting its effectiveness compared to the original PG-SGA and the abridged version.
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Background: Overweight and obese patients with cancer present with chronic inflammation, dysfunctional antitumor immunity and malnutrition risk. Prognostic nutritional index (PNI) is a promising indicator for predicting inflammatory, immunological and nutritional states; however, its prognostic value in overweight and obese patients with cancer has not been explored. Therefore, the aim of the current study was to explore the prognostic value of PNI levels in overweight and obese patients with cancer.

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Objectives: Since the launch of Global Leadership Initiative on Malnutrition (GLIM), there has been an urgent need to validate the new criteria, especially in patients with cancer. The aim of this study was to evaluate and validate the use of the GLIM criteria in patients with cancer.

Method: This multicenter cohort study compared the GLIM with the scored Patient-Generated Subjective Global Assessment (sPG-SGA).

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Background & Aims: The Global Leadership Initiative on Malnutrition (GLIM) released new universal criteria for diagnosing and grading malnutrition, and calls for further investigations not only in different clinical setting but also in GLIM itself including reference value, combination and weight of different GLIM criteria. This study aimed to weigh the GLIM criteria and develop a scored-GLIM system, and then validate as well as evaluate its application in nutritional assessment and survival prediction for patients with cancer.

Design: A total of 3547 patients in the primary cohort and 415 patients in the validation cohort were included in the study.

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We do not know the clinical and prognostic factors that influence the survival of patients with gastric signet ring cell carcinoma (SRC). Therefore, a retrospective review was undertaken of 219 patients with SRC who had undergone gastrectomy between January 2009 and December 2012 in our hospital. Patient age, sex, TNM stage, vessel carcinoma embolus, perineural invasion, tumor site and operation type, postoperative chemotherapy, and five-year overall survival were recorded and evaluated.

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  • Handgrip strength (HGS) is linked to poor outcomes in cancer patients, with this study establishing specific cut-off points for HGS in Chinese patients: <16.1 kg for women and <22 kg for men.
  • Low HGS significantly correlates with increased overall cancer mortality, and specific cancers such as breast, lung, and colorectal also exhibit this association.
  • The findings suggest that HGS measurements could be valuable in clinical practice to enhance patient evaluations and cancer prognosis.
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Purpose: To investigate the clinicopathological and prognostic factors related to early gastric cancer recurrence after curative resection.

Patients And Methods: Between October 2006 and August 2018, a total of 149 patients with recurrence of gastric cancer/adenocarcinoma of the esophagogastric junction after curative resection were enrolled from our treatment group. A retrospective clinical analysis was performed on these patients with gastric cancer recurrence after curative resection.

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Background & Aims: Elderly cancer patients are at particularly high risk for malnutrition because both the disease and the old age threaten their nutritional status. The Global Leadership Initiative on Malnutrition (GLIM) released new universal criteria for diagnosing and grading malnutrition, but the validation of these criteria in elderly cancer population is not well documented. Our objective was to investigate the application of the GLIM criteria in nutrition assessment and survival prediction in elderly cancer patients.

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Importance: Immune checkpoint inhibitors (ICIs) can elicit durable antitumor responses in patients with non-small cell lung cancer (NSCLC), but only 20% to 25% of patients respond to treatment. As important genes in the DNA damage response pathway, comutation in the tumor protein p53 (TP53) and ataxia-telangiectasia mutated (ATM) genes may be associated with genomic instability and hypermutation. However, the prevalence of TP53 and ATM comutation and its association with response to ICIs are not fully understood.

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Background/objectives: The assessment of nutritional status and the quality of life in patients with gastric cancer has become one of the important goals of current clinical treatment. The purpose of this study was to assess the nutritional status in hospitalized gastric cancer patients by using patient-generated subjective global assessment (PG-SGA) and to analyze the influence of nutritional status on the patients' quality of life (QOL).

Methods: We reviewed the pathological diagnosis of gastric cancer for 2322 hospitalized patients using PG-SGA to assess their nutritional status and collected data on clinical symptoms, the anthropometric parameters (height, weight, body mass index (BMI), mid-arm circumference (MAC), triceps skin-fold thickness (TSF), and hand-grip strength (HGS).

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Functional variants in the () and () family (e.g., and ) genes were predicted to confer susceptibility to colorectal cancer (CRC).

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Background: The level of the systemic inflammatory marker C-reactive protein (CRP) is elevated in many patients with malignant disease and may be related to nutritional status.

Objective: To analyze the association between serum CRP levels in patients with malignant tumors and their nutritional status.

Method: A total of 3,692 cases were analyzed and the serum CRP levels were determined using an immunometric assay.

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We aim to evaluate the efficacy and safety of paclitaxel-based doublet intravenous chemotherapy (IVC) with and without intraperitoneal chemotherapy (IPC) as the first-line treatment in advanced gastric cancer (AGC) with peritoneal metastasis (PM). 173 AGC patients with peritoneal metastasis were enrolled. All patients received paclitaxel-based doublet systemic chemotherapy Among them, 117 patients received IVC+IPC and 56 patients received IVC alone.

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Cytokine-induced killer (CIK) cells have shown promising activity against gastric cancer in vitro and in vivo. Previous studies showed that cell signaling through MHC I-related Chain A (MICA)-Natural killer group 2, member D (NKG2D) results in CIK cell activation leading to cytolytic activities against tumor cells. In this study, we investigate the MICA status in patients with gastric carcinoma, and determine the potential relationship between MICA and clinical outcome of a CIK containing therapy.

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