241 results match your criteria: "Nanjing Medical University First Affiliated Hospital[Affiliation]"

Vitiligo is a complex autoimmune disease characterized by the loss of melanocytes, leading to skin depigmentation. Despite advances in understanding its genetic and molecular basis, the precise mechanisms driving vitiligo remain elusive. Integrating multiple layers of omics data can provide a comprehensive view of disease pathogenesis and identify potential therapeutic targets.

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Objective: To analyze the clinical characteristics of adverse drug reactions (ADRs) in adults receiving emergency infusions at a tertiary hospital.

Methods: We conducted a prospective observational cohort study involving 585 adult patients who experienced adverse drug reactions (ADRs) between 20 November 2019, and 20 November 2023, during intravenous infusions in the emergency infusion room of a tertiary hospital. The analysis included patients' gender, age, type of drugs involved, organ-system involvement, clinical manifestations of ADRs, severity grading of ADRs, and preventability of ADRs.

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Anti-PD-1 antibody (Tislelizumab) combined with gemcitabine and oxaliplatin for extranodal NK/T-cell lymphoma failing asparaginase: A multicenter phase II trial.

Eur J Cancer

January 2025

Department of Hematology, Jiangsu Province Hospital and Nanjing Medical University First Affiliated Hospital, Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment, Collaborative Innovation Center for Personalized Cancer Medicine, Nanjing Medical University, Nanjing 210029, Jiangsu, China. Electronic address:

Background: Extranodal natural killer/T-cell lymphoma (ENKTCL) is almost always fatal after the failure of asparaginase. This phase II study aimed to investigate the efficacy and safety of tislelizumab combined with gemcitabine and oxaliplatin (Tisle-GemOx) in patients with ENKTCL failing asparaginase.

Methods: Eligible patients received Tisle-GemOx as initial induction for 6-8 cycles at 21-day intervals.

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Article Synopsis
  • Diabetic peripheral neuropathy (DPN) is a common complication of diabetes, and this study aimed to uncover the key genes and immune system involvement in DPN using bioinformatics techniques.
  • The research analyzed datasets from both mice and humans to identify differentially expressed genes and their roles in various biological pathways, resulting in the discovery of 13 common genes and 7 significant hub genes.
  • The findings highlight the role of immune cell infiltration in DPN, suggesting that these hub genes could serve as potential targets for future diagnosis and treatment.
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Expert Consensus on the Diagnosis and Treatment of FGFR Gene-Altered Solid Tumors.

Glob Med Genet

December 2024

Department of Respiratory Medicine, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu, People's Republic of China.

Article Synopsis
  • FGFR is a vital receptor involved in growth and tissue repair, but its gene mutations can lead to cancer by disrupting essential processes.
  • Small molecule drugs and antibodies targeting FGFR mutations, like erdafitinib and pemigatinib, have shown clinical efficacy in treating certain cancer types.
  • Effective screening methods for FGFR variants are essential for utilizing FGFR inhibitors in treatment, and a consensus has been developed to standardize diagnosis and treatment processes.
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Objective: To investigate the association of serum creatinine-cystatin C ratio (Cr/CysC) with long-term all-cause mortality and cause-specific (cardiovascular and cancer) mortality among US general adults.

Methods: This nationally representative cohort study included adults in the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2004. Participants were linked to National Death Index data from the survey date through December 31, 2019.

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Guidelines recommend percutaneous nephrolithotomy (PCNL) for larger renal stones, but advances in flexible ureteroscopy (f-URS) with a tip-bendable suction ureteral access sheath (S-UAS) have prompted further investigation. Our multicenter, international, randomized controlled trial is investigating whether f-URS with S-UAS is noninferior to mini-PCNL (mPCNL) for renal stones of 2-3 cm. The primary objective is the immediate stone-free rate (SFR).

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Article Synopsis
  • A systematic assessment was conducted to evaluate the association between 19 autoimmune diseases (AIDs) and 14 cardiovascular diseases (CVDs) using a method called Mendelian randomization.
  • Significant associations were found, particularly celiac disease and type 1 diabetes mellitus, which increased the risk of peripheral arterial disease, while other AIDs were linked to various heart conditions.
  • The research suggests that immune responses and inflammation play a crucial role in these associations, and it identifies potential therapies, such as TNF-alpha inhibitors, that could be beneficial for treating AID-related CVDs.
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Expert consensus on the diagnosis and treatment of solid tumors with BRAF mutations.

Innovation (Camb)

November 2024

Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Melanoma and Sarcoma, Peking University Cancer Hospital & Institute, Beijing 100142, P.R. China.

Article Synopsis
  • * BRAF mutations are common in various cancers, and targeted therapies, especially BRAF inhibitors like dabrafenib and trametinib, are developed for treating solid tumors with these mutations.
  • * An expert consensus has been established to improve the diagnosis and treatment of solid tumors with BRAF mutations, focusing on summarizing their clinical features, recommending genetic testing methods, and creating a systematic approach for patient care.
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Chemical burns of the rectum are so rare that there are few cases reported about this situation. In fact, chemical burns of the rectum can cause severe serious consequence, such as bleeding, perforation and necrosis, even developing to persistent rectal stricture. Here we present a case report of a 12-year-old child with rectal stenosis who imitates the use of corkage and inserts rust remover into the rectum unsupervised by family members.

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Synaptic damage is a crucial pathological process in traumatic brain injury. However, the mechanisms driving this process remain poorly understood. In this report, we demonstrate that the accumulation of damaged mitochondria, resulting from impaired mitphagy, plays a significant role in causing synaptic damage.

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Article Synopsis
  • The study examined the effectiveness of ixekizumab (IXE) in treating moderate-to-severe psoriasis with special body area involvement (fingernails, scalp, palms) among Chinese patients.
  • A post-hoc analysis of a phase 3 trial showed that patients receiving IXE had significantly better improvements in psoriasis symptoms compared to those on placebo, especially noted in scores for nail and scalp severity.
  • By Week 60, patients treated with IXE maintained significant improvement in symptom severity, demonstrating ixekizumab's rapid and sustained action against psoriasis.
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Background: Cervical and upper thoracic esophageal cancer (ESCA) presents treatment challenges due to limited clinical evidence. This multi-center study (ChC&UES) explores radical radio(chemo)therapy efficacy and safety, especially focusing on radiation dose.

Method: We retrospectively analyzed clinical data from 1,422 cases across 8 medical centers.

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Article Synopsis
  • The study examined the changes in pathogen distribution and drug resistance in bloodstream infections (BSIs) during the COVID-19 pandemic compared to pre-pandemic levels in a hospital in eastern China.
  • Gram-negative bacteria were the most common pathogens identified, with significant increases in certain resistant strains of Acinetobacter and Pseudomonas, indicating rising drug resistance during the pandemic.
  • Recommendations include enhancing clinical management of antibiotics and improving infection control measures due to the noted transformations in pathogen profiles and resistance patterns.
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About 20% of breast cancer patients are positive for HER2. The efficacy of current treatments is limited by primary and secondary resistance to trastuzumab. tRNA-derived fragments (tRFs) have shown crucial regulatory roles in various cancers.

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Article Synopsis
  • * Despite their effectiveness, there is rising concern about the incidence of interstitial lung disease or pneumonitis (ILD/p) linked to anti-HER2 ADCs, with varying mortality rates reported in studies.
  • * A panel of Chinese experts has developed guidelines for diagnosing and managing ILD/p in patients undergoing anti-HER2 ADC therapy to improve clinical practice and patient outcomes.
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Background: Clinical blood resources are scarce and autologous blood transfusion for extracorporeal membrane oxygenation (ECMO) withdrawal is less studied.

Objectives: To assess the use of staged autotransfusion during ECMO decannulation.

Methods: The study included ECMO withdrawal patients.

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Timely adjustments of antibiotic and corticosteroid treatments are vital for patients with diffuse parenchymal lung diseases (DPLDs). In this study, 41 DPLD patients with negative metagenomic next-generation sequencing (mNGS) results who were responsive to corticosteroids were enrolled. Among these patients, about 26.

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Association of Mosaic Chromosomal Alterations and Genetic Factors with the Risk of Cirrhosis.

J Clin Transl Hepatol

June 2024

Department of Epidemiology, China International Cooperation Center on Environment and Human Health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, China.

Background And Aims: Age-related mosaic chromosomal alterations (mCAs) detected from genotyping of blood-derived DNA are structural somatic variants that indicate clonal hematopoiesis. This study aimed to investigate whether mCAs contribute to the risk of cirrhosis and modify the effect of a polygenic risk score (PRS) on cirrhosis risk prediction.

Methods: mCA call sets of individuals with European ancestry were obtained from the UK Biobank.

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Objective: Medical adhesive-related skin injuries (MARSI), defined as skin damage associated with the use of medical adhesive products or devices, are a common and under-reported condition that compromises skin integrity. The prevention and management of MARSI that can occur around the needle insertion site of a chest wall implantable port in hospitalised patients with a tumour remain challenging issues. The aim of this study was to explore whether the incidence of MARSI could be reduced by changing the body position during dressing changes.

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Novel anti-inflammatory peptide alleviates liver ischemia-reperfusion injury.

J Biomed Res

May 2024

Department of Pathogen Biology, National Vaccine Innovation Platform, Jiangsu Province Engineering Research Center of Antibody Drug, School of Basic Medical Sciences, Nanjing Medical University, Nanjing, Jiangsu 211166, China.

Article Synopsis
  • * A discovered peptide, SjDX5-271, promotes M2 macrophage polarization and protects mice from liver IRI, but its effectiveness is lost when macrophages are removed.
  • * SjDX5-271 works by inhibiting the TLR4/MyD88/NF-κB signaling pathway, reducing inflammation in IRI, and suggests potential new treatments for IRI and related immune diseases.
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