Publications by authors named "Zhongyuan He"

Article Synopsis
  • * Researchers developed a genetic mouse model (Enpp1/EIIa-Cre mice) to study how the absence of the Enpp1 gene affects tissue, leading to conditions like ossification in the spine and Achilles tendons, and degeneration in the knee.
  • * Findings revealed that Enpp1 deficiency enhances bone growth and fibroblast activity, while also promoting signs of cellular aging and increased hedgehog signaling, linking age-related mutations to worsened ossification and joint degeneration.*
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Objectives: The main objective of this study was to establish a mouse model of spinal ligament ossification to simulate the chronic spinal cord compression observed in patients with ossification of the posterior longitudinal ligament (OPLL). The study also aimed to examine the mice's neurobiological, radiological, and pathological changes.

Methods: In the previous study, a genetically modified mouse strain was created using Crispr-Cas9 technology, namely, / (C57/B6 background), to establish the OPLL model.

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Ripretinib, a broad-spectrum inhibitor of the KIT and PDGFRA receptor tyrosine kinases, is designated as a fourth-line treatment for gastrointestinal stromal tumor (GIST). It is tailored for patients resistant to imatinib, sunitinib, and regorafenib. As its increasing use, instances of resistance to ripretinib are becoming more frequent.

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  • The study addresses the difficulties in repairing osteoporotic bone defects caused by high reactive oxygen species (ROS), inflammation, and the imbalance of bone formation and resorption.
  • Researchers developed an injectable magnesium@polyethylene glycol-poly(lactic-co-glycolic acid) hydrogel (Mg@PEG-PLGA) that can adapt shape, fill irregular defects, and transform into a supportive scaffold while releasing hydrogen and magnesium ions.
  • The hydrogel showed significant promise in animal tests, reducing ROS and inflammation, promoting bone formation, and inhibiting bone resorption, suggesting it could be a viable implant option for treating osteoporotic bone issues.
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Background: Disc degeneration is associated with repetitive violent injuries. This study aims to explore the impact of repetitive strikes loading on the biology and biomechanics of intervertebral discs (IVDs) using an organ culture model.

Methods: IVDs from the bovine tail were isolated and cultured in a bioreactor, with exposure to various loading conditions.

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Background: Imatinib has become an exceptionally effective targeted drug for treating gastrointestinal stromal tumors (GISTs). Despite its efficacy, the resistance to imatinib is common in GIST patients, posing a significant challenge to the effective treatment.

Methods: The expression profiling of TRIM21, USP15, and ACSL4 in GIST patients was evaluated using Western blot and immunohistochemistry.

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Heterotopic ossification of tendons and ligaments (HOTL) is a common clinical condition characterized by the absence of discernible features and a lack of effective treatment. experiments have demonstrated that mechanical stimulation can induce cell differentiation toward osteogenesis, thereby promoting heterotopic ossification. Currently, there are few experimental designs aimed at inducing ligament stretching in mice, and the mechanism of heterotopic ossification may not entirely mirror that observed in clinical cases.

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Objective: To investigate the relationship between the severity and morphology of heterotopic ossification in the spinal ligaments including sacroiliac (SI) joints, and serum interleukin-17 (IL-17) levels in patients with ossification of the posterior longitudinal ligament (OPLL) with or without diffuse idiopathic skeletal hyperostosis (DISH), as well as a non-OPLL group.

Methods: A total of 103 patients with OPLL [DISH (-), n = 50; DISH (+), n = 53] and 53 age- and gender-matched controls were included. The serum levels of IL-17 were analysed, and the severity of ectopic ossification and the morphology of ectopic bone formation were evaluated.

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Intervertebral disc degeneration (IDD) is the leading cause of lower back pain, and an overall understanding of the molecular mechanisms related to IDD is still lacking. The purpose of this study was to explore gene signatures and immune cell infiltration related to IDD via bioinformatics analysis. A total of five expression profiles of mRNA and non-coding RNA were downloaded from the Gene Expression Omnibus (GEO) database.

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Background: The aim of this retrospective matched-paired cohort study was to clarify the effectiveness of preserving the vagus nerve in totally laparoscopic radical distal gastrectomy (TLDG).

Methods: One hundred eighty-three patients with gastric cancer who underwent TLDG between February 2020 and March 2022 were included and followed up. Sixty-one patients with preservation of the vagal nerve (VPG) in the same period were matched (1:2) to conventional sacrificed (CG) cases for demographics, tumor characteristics, and tumor node metastasis stage.

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Background: Recently, the use of immunochemotherapy in the treatment of advanced gastric cancer (GC) has been increasing and programmed cell death protein 1 (PD-1) inhibitors combined with chemotherapy has become the first-line treatment for advanced GC. However, few studies with small sample sizes have examined this treatment regimen to assess its effectiveness and safety in the neoadjuvant treatment phase of resectable local advanced GC.

Materials And Methods: Herein, we systematically searched PubMed, Cochrane CENTRAL, and Web of Science for clinical trials on neoadjuvant immunochemotherapy (nICT) in advanced GC.

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Objective: Using segmental dynamic and static factors, we aimed to elucidate the pathogenesis and relationship between ossification of the posterior longitudinal ligament (OPLL) and the severity of cervical myelopathy.

Methods: Retrospective analysis of 163 OPLL patients' 815 segments. Imaging was used to evaluate each segmental space available for the spinal cord (SAC), OPLL diameter, type, bone space, K-line, the C2-7 Cobb angle, each segmental range of motion (ROM), and total ROM.

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Article Synopsis
  • - The study explores the role of DLX5, a key transcription factor for bone cell differentiation, in the progression of ossification of the posterior longitudinal ligaments (OPLL) under mechanical stimulation (MS).
  • - Researchers found that OPLL cells displayed significantly higher levels of DLX5 and osteogenic-related genes when subjected to stretch stimulation, unlike non-OPLL cells, indicating a difference in response to mechanical stress.
  • - The findings suggest that the NOTCH signaling pathway mediates the increase in DLX5 during MS, contributing to the progression of OPLL, highlighting a potential target for understanding the disease's mechanisms.
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Articular cartilage (AC) is most susceptible to degeneration in knee osteoarthritis (OA); however, the existing treatments for OA do not target the core link of the pathogenesis-"decreased tissue cell function activity and extracellular matrix (ECM) metabolic disorders" for effective intervention. iMSC hold lower heterogeneity and great promise in biological research and clinical applications. Rps6ka2 may play an important role in the iMSC to treat OA.

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Background: Anastomotic leakage (AL) after gastrectomy is one of the severest postoperative complications and is related to increasing mortality. In addition, no consensus guidelines about strategies of AL treatment have been established. This large cohort study aimed to inspect the risk factors and efficacy of the conservative treatment for AL in patients with gastric cancer.

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Imatinib is a tyrosine kinase inhibitor that is widely used to combat gastrointestinal stromal tumours (GISTs). However, secondary resistance to imatinib is an important challenge in GIST treatment. Recent studies have demonstrated that cancer-derived nanosized exosomes play a key role in intercellular communication, but little is known about the roles of exosomes in imatinib-resistant GISTs.

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Article Synopsis
  • The study investigates the impact of N6-methyladenosine (m6A) modification on the immune microenvironment in ligamentum flavum hyperplasia (LFH), a condition affecting the spine.
  • Using RNA analysis from patient samples, researchers identified significant gene changes and explored associations between m6A regulators and immune factors.
  • Ultimately, they discovered key genes related to immune responses in LFH and developed predictive models to assess disease progression based on these findings.
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The early postnatal limb developmental progression bridges embryonic and mature stages and mirrors the pathological remodeling of articular cartilage. However, compared with multitudinous research on embryonic limb development, the early postnatal stage seems relatively unnoticed. Here, a systematic work to portray the postnatal limb developmental landscape was carried out by characterization of 19,952 single cells from murine hindlimbs at 4 postnatal stages using single-cell RNA sequencing technique.

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Article Synopsis
  • Ossification of the posterior longitudinal ligament (OPLL) is a condition marked by abnormal bone growth in spinal ligaments, potentially linked to inflammation and sacroiliac joint issues.
  • A study analyzed 162 patients with cervical OPLL using CT scans and serum high-sensitive C-reactive protein (hs-CRP) levels to explore these connections.
  • Results indicated that the plateau-shaped ossification was more common in certain vertebral regions and associated with higher hs-CRP levels and specific changes in the SI joint, suggesting a possible inflammatory role in bone formation in OPLL.
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Activation of mitophagy was considered to be a potential therapeutic strategy for intervertebral disc degeneration (IDD). There was evidence suggesting that hyaluronic acid (HA) can protect mitochondria from oxidative stress in chondrocytes, but its protective effects and mechanism in nucleus pulposus cells (NPCs) remain unclear. This study aimed to confirm the effect of HA promoting mitophagy and protecting mitochondria function in NPCs, and explore its underlying mechanism.

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Secondary resistance to imatinib (IM) represents a major challenge for therapy of gastrointestinal stromal tumors (GISTs). Aberrations in oncogenic pathways, including autophagy, correlate with IM resistance. Regulation of autophagy-related protein 5 (ATG5) by the ubiquitin-proteasome system is critical for autophagic activity, although the molecular mechanisms that underpin reversible deubiquitination of ATG5 have not been deciphered fully.

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Objective: Mitochondrial dysfunction plays an important role in intervertebral disc degeneration (IDD). We aim to explore the pathways and key genes that cause mitochondrial dysfunction during IDD and to further reveal the pathogenesis of IDD based on bioinformatic analyses.

Methods: Datasets GSE70362 and GSE124272 were downloaded from the Gene Expression Omnibus.

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Background: Early-onset gastric cancer (EOGC, ≤45 years old) is characterized with increasing incidence and more malignant phenotypes compared with late-onset gastric cancer, which exhibits remarkable immune cell infiltration and is potential immunotherapeutic population. Till now, restricted survival information of EOGC is available due to limited case numbers. This study established a novel nomogram to help evaluate cancer-specific survival (CSS) of EOGC patients who underwent gastrectomy, and may provide evidence for predicting patients' survival.

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Article Synopsis
  • * A new rapid cycling enzymatic processing method was developed, resulting in higher cell viability and yield compared to traditional techniques for transforming degenerated tissues into single-cell suspensions for RNA sequencing.
  • * While successful in obtaining quality samples from some tissues like nucleus pulposus and ossifying posterior longitudinal ligament, the method struggled with articular cartilage due to excessive cell clustering and low viability.
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Article Synopsis
  • Knee osteoarthritis (KOA) leads to significant degeneration, and total knee arthroplasty (TKA) is a common and effective treatment for advanced stages, but current knee prostheses provide limited adaptation for weight.
  • This study analyzed the weight of excised tissues and knee prostheses in 210 patients after TKA, identifying factors like disease duration and patient body weight that influence the weight of removed tissues.
  • Findings indicated that increased weight of the knee joint (IWKJ) negatively impacted early functional recovery, as measured by HSS scores and gait analysis in the weeks following surgery.
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