Publications by authors named "Zhu Baochen"

Objective: To review the emergency management and perioperative strategies for ruptured neurofibromatosis type 1 (NF1)-related giant plexiform neurofibroma (PNF), providing a systematic treatment protocol to improve the therapeutic outcomes and quality of life for patients with giant PNF.

Methods: The literature on the management of giant PNF rupture and hemorrhage was reviewed, and the diagnosis, treatment, and perioperative management were summarized based on clinical experiences.

Results: By implementing an integrated diagnostic and treatment strategy that includes early diagnosis, imaging evaluation, emergency ultra-selective arterial embolization combined with surgical excision, acute hemorrhage can be effectively controlled while also reducing the risk of major intraoperative bleeding and minimizing postoperative complications.

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Introduction: Non-small cell lung cancer (NSCLC) stands as one of the most prevalent malignancies, and chemotherapy remains the primary treatment for advanced stages. However, the high expression of ABC binding cassette transporters, including MRP, P-gp, and LRP, along with multidrug resistance proteins, has been identified as a significant factor contributing to decreased chemotherapy drug sensitivity. This study aims to explore the impact and underlying mechanisms of Curculiginis Rhizoma [Hypoxidaceae; Curculigo orchioides Gaertn.

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Chronic Heart Failure (CHF) is a significant global public health issue, with high mortality and morbidity rates and associated costs. Disease modules, which are collections of disease-related genes, offer an effective approach to understanding diseases from a biological network perspective. We employed the multi-Steiner tree algorithm within the NeDRex platform to extract CHF disease modules, and subsequently utilized the Trustrank algorithm to rank potential drugs for repurposing.

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Article Synopsis
  • A randomized clinical trial in China evaluated the effectiveness of electronic cigarettes (ECs), nicotine replacement therapy (NRT), and varenicline in helping smokers quit, involving 1068 participants who smoked at least 10 cigarettes per day and were ready to stop.
  • The study found that 6-month abstinence rates were 15.7% for the EC group, 14.2% for the varenicline group, and 8.8% for the NRT group, indicating that ECs were more effective than NRT and comparable to varenicline.
  • Participants received minimal behavioral support and the main measure of success was verified sustained abstinence, where those lost to follow-up were counted as non-abstainers
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Rationale: Gefitinib is a potent and selective orally active growth factor receptor (EGFR)-tyrosine kinase inhibitor that is commonly used to treat advanced non-small cell lung cancer patients with activating EGFR mutations. Hearing impairment with gefitinib was sparsely reported. In this report, we describe a case of sensorineural deafness associated with the administration of gefitinib, with a Naranjo score of 7.

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Background: Patients with systemic lupus erythematosus (SLE) are at increased risk of cardiovascular disease (CVD) compared to the general population. However, little is known about the effects of tobacco smoking on CVD in patients with SLE.

Objective: To systematically review and summarize the available literature regarding the effects of tobacco smoking on developing CVD in patients with SLE.

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Article Synopsis
  • The study evaluated the safety and effectiveness of Yuanjiang decoction, a traditional Chinese medicine, for treating symptomatic bradyarrhythmia in a low SES population in Beijing from January 2019 to January 2020.
  • A total of 184 patients participated, and after 16 weeks of treatment, the favorable outcome rate was approximately 60%, with the most common side effects being dry mouth, constipation, and sleepiness.
  • Key factors influencing treatment outcomes included completing at least 8 weeks of treatment, while conditions like atrioventricular block and recent syncope were linked to poorer outcomes.
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Introduction: The use of e-cigarettes has become more common in China, but the research on e-cigarettes in China, while growing, is still limited. This study examined the characteristics and patterns of e-cigarette use, and analyzed the possible mediators between cigarette cessation intention and e-cigarette use in a Chinese smoking population.

Methods: This was a cross-sectional study conducted in mainland China.

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Multiple studies have revealed that idiopathic pulmonary fibrosis (IPF) patients are more at risk for cardiovascular diseases and that many IPF patients receive cardiovascular medications like statins, angiotensin-converting enzyme inhibitor (ACEI), angiotensin receptor blocker (ARB), and anticoagulants. Existing studies have reported divergent findings on the link between cardiovascular medications and fibrotic disease processes. The aim of this study is to synthesize the evidence on the efficacy of cardiovascular medications in IPF.

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Administration of aspirin has the potential for significant side effects of gastrointestinal (GI) injury mainly caused by gastric acid stimulation, especially in long-term users or users with original gastrointestinal diseases. The debate on the optimal treatment of aspirin-induced gastrointestinal injury is ongoing. We aimed to compare and rank the different treatments for aspirin-induced gastrointestinal injury based on current evidence.

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Background: Aspirin is the first-line medication for prevention and treatment of coronary heart disease (CHD). However, long-term use of aspirin resulting in gastrointestinal mucosal injury and bleeding limits the regularity of medication. Xuesaitong is a marketed Chinese medicine contained main active component in Panax notoginseng saponins (PNS), which can significantly inhibit platelet aggregation in patients with CHD.

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Background: The incidence of idiopathic membranous nephropathy (IMN) has recently increased remarkably. Immune dysfunction caused by disordered intestinal flora might be an important factor affecting IMN. The Jian Pi Qu Shi Formula (JPQSF) shows promise in treating IMN.

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Ethnopharmacological Relevance: Earthworms, a type of animal drugs from traditional Chinese medicine, have been used to treat coagulation for many years with less adverse effects and similar anticoagulant effects compared to the commonly used anticoagulants. There are four species of earthworms recorded in Chinese Pharmacopoeia, while few of them were studied and deficient information were involved in the NCBI and UniProt earthworm protein database. We have adopted a transcriptomic-proteomics-anticoagulant bioactivity integrated approach to investigate a seldom-studied Chinese Pharmacopoeia recorded species, Pheretima guillelmi.

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Docetaxel is the widely-used first-line therapy to treat lung cancer around the world. However, tumor progression and severe side effect occurred in some patients with docetaxel treatment. Most of the side effects were caused by immunocompromise, which limits the long-term use of docetaxel.

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The Sick Sinus Syndrome (SSS) is a serious life-threatening heart disease. It is important to establish a credible and stable sinus node damage model. In this study, we use two methods to construct an SSS damage model in rats.

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Article Synopsis
  • Oxidative stress significantly disrupts the blood-brain barrier (BBB) during cerebral ischemia/reperfusion, with saponins (PNS) showing promise as an antioxidant treatment for stroke.
  • PNS was found to protect BBB integrity and reduce cell injury in cerebral microvascular endothelial cells through various assays, demonstrating its potential in mitigating damage caused by oxygen-glucose deprivation/reperfusion.
  • Mechanistic studies revealed that PNS activates the PI3K/Akt pathway, enhancing the antioxidant response via Nrf2 signaling and preventing the degradation of tight junction proteins, indicating its role as a protective agent against BBB disruption.
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Background: Coronary heart disease (CHD) is a common cardiovascular disease accounting for 10-20% mortality by heart disease worldwide. The gold standard treatment to manage CHD is aspirin, which may prevent myocardial infarction and sudden death; however, long-term use of aspirin may increase its side effects. Currently, more and more clinicians are exploring different approaches to use the right combination of medicine to enhance the efficacy and reduce side effects.

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Article Synopsis
  • Aspirin is commonly used for cardiovascular and cerebrovascular diseases but causes gastrointestinal injuries, limiting its long-term use.
  • Previous studies suggest that Panax Notoginseng Saponins (PNS) might help alleviate these injuries, but the exact protective mechanisms were unclear.
  • A network pharmacology approach identified potential targets for PNS and aspirin, and experiments showed that PNS could protect against aspirin-induced gastrointestinal damage by increasing VEGFA expression.
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Herb-drug interactions are important safety concerns in clinical practice. The interactions occur firstly in the intestinal absorption for orally administered drugs. Aspirin and saponins (PNS)-based drugs are often combined in China to prevent larger-artery atherosclerosis.

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