Publications by authors named "Zhu Xuan"

During summer, children may meet fewer 24 hours Movement Guidelines (24 hr-MGs) [moderate-vigorous physical activity (PA): ≥60 minutes/day, screen time: ≤2 hours/day, sleep: 9-11 hours/day) compared with the school year. Structured environments within community settings (, summer programs) support guideline adherence. Information about the relationship between structured home environments and 24 hr-MGs is needed.

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Objective: Human papillomavirus (HPV) vaccine uptake remains suboptimal. Our stepped-wedge cluster randomized trial found that reminder-recall letters sent to parents of age-eligible children significantly increased vaccine uptake compared to usual care. Subsequently, we conducted a process evaluation to assess the mechanisms of the letter's effectiveness.

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The regulation of the charged microenvironment around implants is an effective way to promote osseointegration. Although homeostasis of the charged microenvironment plays an integral role in tissues, current research is externally invasive and unsuitable for clinical applications. In this study, functional materials with different surface potential differences are prepared by changing the spatial layout of Ta and Ag on the surface of a Ti-6Al-4V alloy (TC4).

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Microglia-mediated neuroinflammation plays a crucial role in multiple neurological diseases. We have previously found that Atglistatin, the mouse Adipose Triglyceride Lipase (ATGL) inhibitor, could promote lipid droplets (LDs) accumulation and suppress LPS-induced neuroinflammation in mouse microglia. However, Atglistatin was species-selective, which limited its use in clinical settings.

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Background: Previous studies suggest that it may be inappropriate to determine treatment strategies solely based on the degree of stenosis for patients with intracranial atherosclerotic stenosis (ICAS). In order to better risk stratify patients with ICAS, we developed a novel non-invasive fractional flow (FF) calculation technique based on intracranial angiography (Angio-FF) to assess the hemodynamics for patients with ICAS. This study aims to investigate the difference in FF between symptomatic and asymptomatic patients with ICAS and its potential optimal threshold.

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The juice processing industry offers several benefits, including promoting health and wellness through the delivery of beverages rich in nutrients. Nonetheless, the industry encounters significant challenges regarding new technologies for processing and preservation given that they can be costly and labor-intensive. In this study, magnetic Janus silica (SiO) nanoparticle which offers multifunctionality and high stability was synthesized and subsequently immobilized with a protease mutant T70I (T70I@MSNs) to serve as a clarifying agent in juice.

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Background: This study evaluated the quality of cancer recurrence data in the National Cancer Database (NCDB) to determine if missingness and reporting consistency have improved enough to support national research.

Methods: This multi-methods study included NCDB analyses and a cancer registry staff survey. Trends in recurrence data missingness from 2004 to 2021 and multivariable analyses of factors associated with missingness from 2017 to 2021 were evaluated for 4,568,927 patients with non-metastatic cancer.

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Chemotherapeutic agents, such as paclitaxel (PTX), induce neuroplastic changes and alter gene expression in the prefrontal cortex (PFC), which may be associated with chemotherapy-induced pain and negative emotions. Notably, DNA methylation undergoes adaptive changes in neurological disorders, emerging as a promising target for neuromodulation. In this study, systemic administration of PTX leads to a decrease in the expression of the DNA methyltransferase DNMT3a, while concurrently upregulating the expression of Gabrb1 mRNA and its encoded GABARβ1 protein in the medial PFC (mPFC) of male mice.

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Neurovascular coupling (NVC) is crucial for maintaining brain function and holds significant implications for diagnosing neurological disorders. However, the neuron type and spatial specificity in NVC remain poorly understood. In this study, we investigated the spatiotemporal characteristics of local cerebral blood flow (CBF) driven by excitatory (VGLUT2) and inhibitory (VGAT) neurons in the mouse sensorimotor cortex.

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Background And Aim: Existing studies have found that serological markers for predicting coronary heart disease (CHD) have relatively low predictive value for the severity of coronary arteries and the types of CHD. GGT to HDL-C ratio (GHR) has been shown to be associated with T2DM and non-alcoholic fatty liver disease. Therefore, we explore the relationship among GHR, CHD and its subgroups.

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The positive hemodynamic response (PHR) during stimulation often co-occurs with a strong, sustained negative hemodynamic response (NHR). However, the characteristics and neurophysiological mechanisms of the NHR, especially in regions distal to the PHR, remain incompletely understood. Using intrinsic optical imaging (OI) and two-photon imaging, we observed that forelimb electrical stimulation evoked strong PHR signals in the forelimb region of the primary somatosensory cortex (S1FL).

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Article Synopsis
  • LncRNAs play a crucial role in regulating gene expression and metabolism in various dormancy processes, such as aestivation, which is a survival strategy in sea cucumbers during high temperatures.
  • Researchers identified and characterized 14,711 lncRNAs in the sea cucumber Apostichopus japonicus, revealing significant differences in expression patterns between the intestine and respiratory tree during aestivation.
  • The study found that specific lncRNAs are involved in regulating key transcription factors (like Klf2 and Egr1) that help control metabolic processes during deep aestivation, providing new insights into the regulatory mechanisms behind dormancy in this species.
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Background: Although cancer prognosis is most commonly estimated by tumor stage, survival is multifactorial. Our objective was to develop an American College of Surgeons "Biliary Tract Cancer Survival Calculator" prototype using machine learning to generate personalized survival estimates based on patient, tumor, and treatment factors.

Methods: The National Cancer Database was used to identify all patients with biliary tract malignancies between 2010 and 2017 including intrahepatic bile duct, extrahepatic bile duct, and gallbladder cancers.

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Background: The effectiveness of using a balloon guide catheter during endovascular thrombectomy in patients with acute ischaemic stroke due to large vessel occlusion of the anterior circulation remains uncertain. We aimed to assess the effectiveness and safety of using a balloon guide catheter during endovascular thrombectomy, compared with using a conventional guide catheter, in this patient population.

Methods: We conducted a multicentre, open-label, blinded-endpoint, randomised controlled trial at 28 hospitals in China.

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Background: Practice guidelines recommend non-selective beta-blockers (NSBB) and endoscopic variceal ligation (EVL) for primary prevention in cirrhosis patients with esophageal varices. However, there is no clear recommendation for primary prevention strategies for gastric varices, particularly GOV-2. Our objective is to investigate the incidence of initial bleeding and liver-related complications when NSBB and EVL are used for primary prevention in GOV-2.

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Background: To explore the short-term efficacy and safety of endoscopic low dose injection of sclerotherapy and cyanoacrylate for gastric varices (GVs) combined with endoscopic variceal ligation (EVL) for esophageal varices (EVs) in cirrhosis with type GOV1 varices.

Methods: A total of 521 patients with cirrhosis and GOV1 varices, who were divided into emergence endoscopy treatment layer and secondary prophylaxis for rebleeding layer, were selected. All patients underwent combined therapy or EVL alone (ligation therapy) for the treatment of type GOV1 varices.

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Background: Immune checkpoint inhibitors (ICIs) have revolutionized the treatment of non-small cell lung cancer (NSCLC). TQB2450 (benmelstobart) is a novel humanized immunoglobulin G1 monoclonal antibody against programmed death-ligand 1 (PD-L1). Anlotinib, an oral multitargeted anti-angiogenic agent with potential synergy with ICIs, has shown efficacy in relapsed and advanced NSCLC.

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Early-stage liver fibrosis can be reversed; however, the underlying mechanisms remain incompletely understood. The intestinal tract hosts a substantial and diverse microbiota involved in various physiological activities and is closely linked to chronic liver disease. Previous studies have indicated that ursolic acid (UA), derived from herbal plants, possesses anti-inflammatory and antifibrotic properties; however, its precise mechanism remains to be elucidated.

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Subcellular biomineralization systems with cellular intervention functions have shown great potential in cancer theranostic applications. However, the lack of subcellular specificity, high ion concentrations, and long incubation time required for biomineralization still limit its therapeutic efficacy. Herein, we report a mitochondria-targeted polymer-gold complex (TPPM-Au) to realize mitochondrial biometallization, which involves analogous mechanisms during biomineralization, for cancer treatment .

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Article Synopsis
  • A cluster randomized trial in southeast Minnesota aimed to improve HPV vaccine uptake among 11-12-year-olds by using parent reminder letters and provider audit-feedback reports, incorporating a web toolkit for communication strategies.* -
  • Surveys from 95 healthcare providers revealed a high recall and understanding of the audit-feedback reports, but low usage of the accompanying web toolkit, highlighting a disconnect between available resources and their practical use.* -
  • The study found that familiarity with feedback reports and perceived peer endorsement of communication approaches were linked to more frequent HPV vaccine recommendations, indicating potential areas for improving provider training and support.*
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  • Acute-on-chronic liver failure (ACLF) is a serious condition with high mortality that involves systemic inflammation, and the lymphocyte to high-density lipoprotein ratio (LHR) may serve as a new inflammatory marker.
  • A study analyzed data from 272 patients with hepatitis B virus-related ACLF, using logistic regression to identify key risk factors for short-term mortality and develop predictive models based on LHR.
  • Results indicated that LHR, along with other clinical scores, can effectively predict 28-day mortality, suggesting that LHR levels could be useful for assessing prognosis in HBV-ACLF patients.
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Article Synopsis
  • The study aimed to analyze the clinical infection characteristics and antibiotic resistance of Group B Streptococcus (GBS) in Chengdu, China, from 2019 to 2021, to aid in effective clinical drug use.
  • A total of 203 GBS strains were collected, primarily from obstetrics and neonatology wards, with significant GBS colonization found in pregnant women and high morbidity in infected neonates.
  • The findings revealed that while no resistance to penicillin or ampicillin was detected, over 50% of the GBS strains showed resistance to tetracycline and clindamycin, highlighting potential concerns for treatment options.
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Liver fibrosis is characterized by a wound-healing response and may progress to liver cirrhosis and even hepatocellular carcinoma. Phospholysine phosphohistidine inorganic pyrophosphate phosphatase (LHPP) is a tumor suppressor that participates in malignant diseases. However, the role of LHPP in liver fibrosis has not been determined.

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Article Synopsis
  • Human activities, particularly land use and land cover changes, have significantly reduced mangrove areas along the Vietnamese Southern Coast from 1988 to 2023, with approximately 50% loss attributed to these conversions.
  • The most dramatic decline happened between 1998 and 2011, with a 46.79% drop in mangrove cover, while post-2011 conservation efforts led to a reduced deforestation rate.
  • Major drivers of mangrove loss included shrimp farming and agricultural land use, but recent restoration efforts and natural regeneration have shown a potential for recovery, emphasizing the need for ongoing management and protection.
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  • * The system works by quickly breaking down in tumor cells to release curcumin and doxorubicin while also utilizing copper to deplete glutathione, inducing both ferroptosis and apoptosis.
  • * Testing on MCF-7 tumor-bearing mice showed that Cur@DOX@MOF-199 NPs significantly improved antitumor effects, highlighting its potential as an effective treatment strategy by synergistically targeting two forms of cell death.
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