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Chen J, Mo Y, Chen Y, Ma Z, Shen S, Sang H, Tan Q, Mo R. Application and effect of tension-reducing suture in surgical treatment of hypertrophic scar. BMC Surg 2024; 24:119. [PMID: 38654240 PMCID: PMC11036683 DOI: 10.1186/s12893-024-02390-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2023] [Accepted: 03/16/2024] [Indexed: 04/25/2024] Open
Abstract
PURPOSE To investigate the application and effectiveness of tension-reducing suture in the repair of hypertrophic scars. METHODS A retrospective analysis of clinical data was conducted on 82 patients with hypertrophic scars treated at the Department of Burns and Plastic Surgery of Nanjing Drum Tower Hospital from September 2021 to December 2022. Patients were operated with combination of heart-shaped tension-reducing suturing technique and looped, broad, and deep buried (LBD) suturing technique or conventional suture method. Outcomes of surgical treatment were assessed before and 6 months after surgery using the Patient and Observer Scar Assessment Scale (POSAS) and the Vancouver Scar Scale (VSS). RESULTS Improvements were achieved on scar quality compared to that preoperatively, with a reduction in scar width (1.7 ± 0.6 cm vs. 0.7 ± 0.2 cm, P < 0.001). Assessment using the POSAS and VSS scales showed significant improvements in each single parameter and total score compared to preoperative values (P < 0.05). The Combination method group achieved better score in total score of VSS scale, in color, stiffness, thickness and overall opinion of PSAS scale, and in vascularity, thickness, pliability and overall opinion of OSAS scale. CONCLUSION The amalgamation of the heart-shaped tension-reducing suturing technique and the LBD suturing technique has shown promising outcomes, garnering notably high levels of patient satisfaction in the context of hypertrophic scar repair. Patients have exhibited favorable postoperative recoveries, underscoring the clinical merit and the prospective broader applicability of this approach in the realm of hypertrophic scar management.
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Affiliation(s)
- Jingjing Chen
- Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China
| | - Yan Mo
- Department of Dermatology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China
- Department of Dermatology, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Yadan Chen
- Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China
- Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, NO. 321, Zhongshan Road, Nanjing, Jiangsu, China
| | - Zhouji Ma
- Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China
- Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, NO. 321, Zhongshan Road, Nanjing, Jiangsu, China
| | - Siyun Shen
- Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China
| | - Hong Sang
- Department of Dermatology, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
| | - Qian Tan
- Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China.
- Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, NO. 321, Zhongshan Road, Nanjing, Jiangsu, China.
| | - Ran Mo
- Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, NO. 321, Zhongshan Road, Nanjing, China.
- Department of Burns & Plastic Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, NO. 321, Zhongshan Road, Nanjing, Jiangsu, China.
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Hui Y, Gao Y, Li J, Kong Q, Duan Y, Liu H, Liu F, Sang H. Elevated serum IL-6 and total IgEAb are associated with poor survival in natural killer/T-cell lymphoma. Ann Hematol 2024; 103:1285-1292. [PMID: 38095656 DOI: 10.1007/s00277-023-05579-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 12/02/2023] [Indexed: 03/16/2024]
Abstract
Natural killer/T-cell lymphoma (NKTCL) is an aggressive and malignant condition with a high mortality rate. Prognostic factors may assist to evaluate the outcome of the disease and may also be useful in selecting appropriate therapeutic strategies for patients. The study aims to describe NKTCL in terms of its clinical features, laboratory examinations, and immunophenotypes and to analyze relevance affecting patient survival outcomes. The patients diagnosed as NKTCL in Jinling Hospital from Jan. 2012 to Dec. 2022 were reviewed retrospectively in this study basing on histopathology. The analysis was performed to evaluate overall survival (OS). A total of 125 NKTCL patients were included, which mainly affected male more than female with the onset median age of 51.00 years old (range, 14 ~ 85 y). NKTCL commonly affects the nasopharynx and upper aerodigestive tract, intestines, and skin. The median overall survival was 13.00 months (range, 2-156 m), and the 5-year survival rate was 9.8%. Under univariable analysis revealed the following factors at diagnosis age: serum total IgEAb ≥ 54.6 IU/mL, IL-6 ≥ 32.445 ng/L, elevated PINK score, smoking, and extranasopharyngeal site were statistically significant predictors for OS. Compared to the patients who received radiotherapy alone or chemotherapy alone, the patients who received combined chemoradiotherapy had longer OS. We found that IL-6 and total IgEAb were significant prognostic factors in NKTCL patients. Also, extranasopharyngeal site was correlated with advanced disease.
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Affiliation(s)
- Yun Hui
- Department of Dermatology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Yingjun Gao
- Department of Dermatology, Jinling Hospital, Nanjing Medical University, Nanjing, China
| | - Jiawei Li
- School of Medicine, Southeast University, Nanjing, China
| | - Qingtao Kong
- Department of Dermatology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Yuanyuan Duan
- Department of Allergy and Rheumatology, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, China.
| | - Haibo Liu
- Department of Dermatology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
| | - Fang Liu
- Department of Dermatology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
| | - Hong Sang
- Department of Dermatology, Jinling Hospital, Nanjing Medical University, Nanjing, China
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Peng M, Zhang C, Duan YY, Liu HB, Peng XY, Wei Q, Chen QY, Sang H, Kong QT. Antifungal activity of the repurposed drug disulfiram against Cryptococcus neoformans. Front Pharmacol 2024; 14:1268649. [PMID: 38273827 PMCID: PMC10808519 DOI: 10.3389/fphar.2023.1268649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 12/27/2023] [Indexed: 01/27/2024] Open
Abstract
Fungal infections have become clinically challenging owing to the emergence of drug resistance in invasive fungi and the rapid increase in the number of novel pathogens. The development of drug resistance further restricts the use of antifungal agents. Therefore, there is an urgent need to identify alternative treatments for Cryptococcus neoformans (C. neoformans). Disulfiram (DSF) has a good human safety profile and promising applications as an antiviral, antifungal, antiparasitic, and anticancer agent. However, the effect of DSF on Cryptococcus is yet to be thoroughly investigated. This study investigated the antifungal effects and the mechanism of action of DSF against C. neoformans to provide a new theoretical foundation for the treatment of Cryptococcal infections. In vitro studies demonstrated that DSF inhibited Cryptococcus growth at minimum inhibitory concentrations (MICs) ranging from 1.0 to 8.0 μg/mL. Combined antifungal effects have been observed for DSF with 5-fluorocytosine, amphotericin B, terbinafine, or ketoconazole. DSF exerts significant protective effects and synergistic effects combined with 5-FU for Galleria mellonella infected with C. neoformans. Mechanistic investigations showed that DSF dose-dependently inhibited melanin, urease, acetaldehyde dehydrogenase, capsule and biofilm viability of C. neoformans. Further studies indicated that DSF affected C. neoformans by interfering with multiple biological pathways, including replication, metabolism, membrane transport, and biological enzyme activity. Potentially essential targets of these pathways include acetaldehyde dehydrogenase, catalase, ATP-binding cassette transporter (ABC transporter), and iron-sulfur cluster transporter. These findings provide novel insights into the application of DSF and contribute to the understanding of its mechanisms of action in C. neoformans.
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Affiliation(s)
- Min Peng
- Department of Dermatology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Chen Zhang
- Department of Dermatology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Yuan-Yuan Duan
- Affiliated Hospital for Skin Diseases, Chinese Academy of Medical Sciences, Nanjing, China
| | - Hai-Bo Liu
- Department of Dermatology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Xin-Yuan Peng
- Department of Dermatology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | | | - Qi-Ying Chen
- Department of Dermatology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Hong Sang
- Department of Dermatology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Qing-Tao Kong
- Department of Dermatology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
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Zhang C, Chen J, Hui Y, Chen H, Deng D, Sang H, Liu F. Risk of Nephritis and Recurrence in Kimura Disease: A Retrospective Study. Indian J Dermatol 2023; 68:611-618. [PMID: 38371566 PMCID: PMC10869022 DOI: 10.4103/ijd.ijd_670_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2024] Open
Abstract
Background Kimura disease (KD) presents a diagnostic challenge to clinicians because of its rarity and atypical symptoms in its early stages, and it is difficult to treat and prone to recurrence or involvement of other organs. Aims and Objectives This study aims to investigate the possible relevance of renal involvement and recurrence by analysing the clinical presentations, laboratory results, histopathological features, therapeutic data and follow-up results of KD. Materials and Methods A total of 27 patients diagnosed as KD in two hospitals from January 1999 to December 2021 were analysed retrospectively in this study based on the diagnosis of histopathology. Results KD mainly affected male more than female (8:1) with the onset age ranging from 3 to 58 years (median 29.8 years). The common initial symptoms included subcutaneous soft tissue or lymph node enlargement, non-specific skin lesions and proteinuria. One patient presented cough and expectoration as the first symptoms. KD patients often had high levels of serum immunoglobulin E (IgE) and basophils, which exhibited a significantly positive correlation with renal involvement and recurrence (p < 0.05). Early mass resection could prevent the development of nephritis and decrease the risk of relapse (p < 0.05). Conclusion KD should be noted in patients presenting with intractable and relapsing atopic skin lesions and (or) subcutaneous mass. Patients with high levels of serum IgE and blood basophils may be prone to developing KD-associated nephritis and predict a high risk of recurrence. Early surgical removal of the mass may result in a better prognosis.
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Affiliation(s)
- Caiyun Zhang
- From the Department of Dermatology, Jinling Hospital, Medical School of Nanjing University, Nanjing, China
- Department of Medical Cosmetology, Nanjing Hospital of Traditional Chinese Medicine, Nanjing, China
| | - Jun Chen
- From the Department of Dermatology, Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Yun Hui
- From the Department of Dermatology, Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Huan Chen
- From the Department of Dermatology, Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Dequan Deng
- From the Department of Dermatology, Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Hong Sang
- From the Department of Dermatology, Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Fang Liu
- From the Department of Dermatology, Jinling Hospital, Medical School of Nanjing University, Nanjing, China
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Yang Y, Ge H, Wang X, Liu X, Li K, Wang G, Yang X, Deng H, Sun M, Zhang R, Chen J, Cai D, Sang H, Liu X, Zhan G, Zhao G, Li H, Xun Z. Safety and effectiveness of oral medium to high dose blonanserin in patients with schizophrenia: subgroup analysis from a prospective, multicenter, post-marketing surveillance study in mainland China. Ann Gen Psychiatry 2023; 22:37. [PMID: 37803378 PMCID: PMC10557194 DOI: 10.1186/s12991-023-00467-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Accepted: 09/22/2023] [Indexed: 10/08/2023] Open
Abstract
BACKGROUND Blonanserin (BNS) had been undergoing post-market surveillance (PMS) since September 2018. Using the surveillance data, we did this analysis to assess the safety and effectiveness of different doses of BNS to explore a sufficient dose range of BNS in Chinese patients with schizophrenia (SZ). METHODS A 12-week, prospective, observational, single-arm, multicenter, open-label PMS was conducted. In this analysis, we divided the patients from PMS into low, medium to high, and high dose groups based on the dose of BNS they received, with medium to high dose group being the focus. The Brief Psychiatric Rating Scale (BPRS) scores at week 2 or 4, 6 or 8, and 12 were calculated to evaluate the effectiveness of BNS in improving psychiatric symptoms. The safety of BNS was reported as the incidence of adverse drug reactions. RESULTS 364 patients were included in the medium to high dose group, of which 321 completed the surveillance, with a dropout rate of 11.8%. The mean daily dose was 15.1 ± 1.92 mg. The BPRS total score was 50.1 ± 11.95 at baseline and decreased to 26.6 ± 7.43 at 12 weeks (P < 0.001). When compared with other groups, the median to high dose group achieved significantly more reduction in BPRS score at week 12 (P = 0.004 versus low dose and P = 0.033 versus higher dose). Extrapyramidal symptoms [EPS (46.4%)] were the most common adverse reactions in the medium to high group. The average weight gain during the surveillance was 0.5 ± 2.56 kg and prolactin elevation occurred in 2.2% patients. Most adverse reactions were mild. CONCLUSIONS BNS at medium to high doses (mean 15.1 mg/d) significantly improved symptoms of SZ and was well-tolerated. Most ADRs were mild, and the likelihood of causing metabolic side effects and prolactin elevations was low. Medium to high dose of BNS is a more potent treatment choice for SZ. TRIAL REGISTRATION NUMBER ChiCTR2100048734. Date of registration: 2021/07/15 (retrospectively registered).
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Affiliation(s)
- Yuan Yang
- Department of Psychiatry, Tianjin Anding Hospital, Hexi District, Tianjin, 300222, China
| | - Hongmin Ge
- Department of Psychiatry, Tianjin Anding Hospital, Hexi District, Tianjin, 300222, China
| | - Xijin Wang
- Department of Psychiatry, The First Psychiatric Hospital of Harbin, Harbin, Heilongjiang, China
| | - Xuejun Liu
- Department of Psychiatry, Brain Hospital of Hunan Province, Changsha, Hunan, China
| | - Keqing Li
- Department of Psychiatry, Hebei Provincial Mental Health Center, Baoding, Hebei, China
| | - Gang Wang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Xiaodong Yang
- Department of Psychiatry, Shandong Mental Health Center, Jinan, Shandong, China
| | - Huaili Deng
- Department of Psychology, Psychiatric Hospital of Taiyuan City, Taiyuan, Shanxi, China
| | - Meijuan Sun
- Department of Pharmacy, Daqing Third Hospital, Daqing, Heilongjiang, China
| | - Ruiling Zhang
- Department of Psychiatry, Henan Mental Hospital, Xinxiang, Henan, China
| | - Jindong Chen
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Duanfang Cai
- Department of Psychiatry, The Fifth People's Hospital of Zigong, Zigong, Sichuan, China
| | - Hong Sang
- Mental Health Center, Changchun Sixth Hospital, Changchun, Jilin, China
| | - Xianglai Liu
- Institute of Mental Health, Hainan Provincial Anning Hospital, Haikou, Hainan, China
| | - Guilai Zhan
- Department of Psychiatry, Xuhui Mental Health Center, Shanghai, China
| | - Guijun Zhao
- Department of Psychiatry, Guangyuan Mental Health Center, Guangyuan, Sichuan, China
| | - Haiyun Li
- Medical Affairs, Sumitomo Pharma (Suzhou) Co., Ltd. Shanghai, Shanghai, China
| | - Zhiyuan Xun
- Department of Psychiatry, Tianjin Anding Hospital, Hexi District, Tianjin, 300222, China.
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Chen Q, An B, Peng X, Wu Y, Peng M, Zhang C, He Y, Sang H, Kong Q. Simplified and effective RNA interference and CRISPR-Cas9 systems for Cryptococcus neoformans. J Basic Microbiol 2023; 63:1095-1105. [PMID: 37309240 DOI: 10.1002/jobm.202300102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 05/23/2023] [Accepted: 06/02/2023] [Indexed: 06/14/2023]
Abstract
The 3,4-dihydroxyphenylalanine (DOPA) melanin is one of the important virulence factors for Cryptococcus neoformans, which may trigger immune responses in the host. While the production of DOPA melanin is catalyzed by laccase that is predominantly encoded by LAC1 gene. Therefore, regulating the genetic expression of C. neoformans is conducive to exploring the impact of interested molecules on the host. In this work, we established two systems that were constructed quickly and easily for the knock-down/knock-out of LAC1 gene: RNA interference (RNAi) and clustered regularly interspaced short palindromic repeats CRISPR-Cas9. The RNAi system was constructed by pSilencer 4.1-CMV neo plasmid and short hairpin RNA to achieve effective transcriptional suppression. The CRISPR-Cas9 system was used the PNK003 vectors to obtain a stable albino mutant strain. The results of phenotype, quantitative real-time polymerase chain reaction, transmission electron microscope, and spectrophotometry were used to assess the ability of melanin production. As a result, the RNAi system displayed attenuation of transcriptional suppression when the transformants continuously passed on new plates. However, the transcriptional suppression of long loop in short hairpin RNA was more powerful and lasted longer. An albino strain produced by CRISPR-Cas9 was completely unable to synthesize melanin. In conclusion, strains with different capacities of melanin production were obtained by RNAi and CRISPR-Cas9 systems, which might be useful for exploring the linear relation between melanin and immunoreaction of the host. In addition, the two systems in this article might be convenient to quickly screen the possible trait-regulating genes of other serotypes of C. neoformans.
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Affiliation(s)
- Qiying Chen
- Department of Dermatology, Nanjing Jinling Hospital, The First School of Clinical Medicine, Southern Medical University, Guangzhou, China
| | - Binyi An
- Department of Dermatology, Nanjing Medical University, Nanjing, China
| | - Xinyuan Peng
- Department of Dermatology, Nanjing University, Nanjing, China
| | - Yifan Wu
- Department of Dermatology, Nanjing Medical University, Nanjing, China
| | - Min Peng
- Department of Dermatology, Nanjing University, Nanjing, China
| | - Chen Zhang
- Department of Dermatology, Nanjing University, Nanjing, China
| | - Yifan He
- Department of Dermatology, Nanjing Medical University, Nanjing, China
| | - Hong Sang
- Department of Dermatology, Nanjing Jinling Hospital, The First School of Clinical Medicine, Southern Medical University, Guangzhou, China
- Department of Dermatology, Nanjing Jinling Hospital, Nanjing, China
| | - Qingtao Kong
- Department of Dermatology, Nanjing Jinling Hospital, Nanjing, China
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Zhang X, Yu P, Hong N, Liu F, Shan Y, Wu Y, An B, Sang H, Kong Q. Effect and mechanism of hydrogen-rich bath on mice with imiquimod-induced psoriasis. Exp Dermatol 2023; 32:1674-1681. [PMID: 37391861 DOI: 10.1111/exd.14872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Revised: 06/14/2023] [Accepted: 06/19/2023] [Indexed: 07/02/2023]
Abstract
The purpose of this study was to investigate whether hydrogen-rich bath has therapeutic effect on psoriasis and its molecular mechanism. Mice with imiquimod-induced psoriasis were established and divided into groups. The mice were respectively treated with hydrogen-rich water bath and distilled water bath. The changes of skin lesions and PSI scores of mice were compared after their treatments. HE staining was used to observe the pathological feature. The changes of inflammatory indexes and immune factors were analysed by ELISA and immunohistochemical staining. Malondialdehyde (MDA) content was measured by the thiobarbituric assay (TBA) method. By naked eye, the severity of skin lesions in hydrogen-rich water bath group was lower than that in distilled water bath group, and the psoriasis severity index (PSI) was lower (p < 0.01). The results of HE staining showed that the mice with distilled water bath had more abnormal keratosis, thickening of the spinous layer and prolongation of the dermal process, and more Munro abscess than the mice with hydrogen-rich water bath. During the course of disease, the overall levels and peaks of IL-17, IL-23, TNF-α, CD3+ and MDA in mice with hydrogen-rich bath were lower than those in mice with distilled water bath (p < 0.05). In the skin, the mice treated with the hydrogen-rich water bath also had lower peak of proliferating cell nuclear antigen (PCNA) levels. It is concluded that hydrogen-rich water bath can inhibit psoriasis inflammation and oxidative stress, relieve psoriasis skin lesions and accelerate the end of abnormal skin proliferation state, which shows a therapeutic and improving effect on psoriasis.
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Affiliation(s)
- Xinyu Zhang
- Department of Dermatology, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Pan Yu
- Department of Burn and Plastic Surgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China
| | - Nan Hong
- Department of Dermatology, Jinling Hospital, Nanjing, China
| | - Fang Liu
- Department of Dermatology, Jinling Hospital, Nanjing, China
| | - Yuxin Shan
- School of Medicine, Southeast University, Nanjing, China
| | - Yingying Wu
- Department of Dermatology, Nanjing Medical University, Nanjing, China
| | - Binyi An
- Department of Dermatology, Nanjing Medical University, Nanjing, China
| | - Hong Sang
- Department of Dermatology, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Qingtao Kong
- Department of Dermatology, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
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Zhao Y, Gao Y, Sang H, Fu J, Li Y. Event-Triggered Adaptive Antidisturbance Switching Control for Switched Systems With Dynamic Neural Network Disturbance Modeling. IEEE Trans Neural Netw Learn Syst 2023; PP:1-13. [PMID: 37676801 DOI: 10.1109/tnnls.2023.3307389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/09/2023]
Abstract
In this article, a dynamic event-triggered adaptive antidisturbance (ETAAD) switching control strategy is proposed for switched systems subject to multisource disturbances. The disturbances are divided into two categories: the available unmodeled disturbance and the unavailable dynamic neural network modeled disturbance. First, a dynamic ET criterion is set based on the system state. Then, a novel dynamic ETA disturbance estimator is introduced to observe the modeled disturbance. Furthermore, according to the ET rule and adaptive disturbance observer, a switched controller is designed. Next, under the controller and switching criterion with the average dwell time limitation, sufficient conditions are given to force the switched systems to realize multisource disturbance suppression (DS), trajectory tracking, and communication resource (CR) saving simultaneously. Meanwhile, the Zeno phenomenon may be caused by the ET rule being excluded. In addition, the presented ETAAD approach is also applicable to the nonswitched systems case. Finally, a simulation case is given to validate the effectiveness of the dynamic ETAAD switching control method.
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Cai NA, Bigdeli TB, Kretzschmar W, Li Y, Liang J, Song L, Hu J, Li Q, Jin W, Hu Z, Wang G, Wang L, Qian P, Liu Y, Jiang T, Lu Y, Zhang X, Yin Y, Li Y, Xu X, Gao J, Reimers M, Webb T, Riley B, Bacanu S, Peterson RE, Chen Y, Zhong H, Liu Z, Wang G, Sun J, Sang H, Jiang G, Zhou X, Li Y, Li Y, Zhang W, Wang X, Fang X, Pan R, Miao G, Zhang Q, Hu J, Yu F, Du B, Sang W, Li K, Chen G, Cai M, Yang L, Yang D, Ha B, Hong X, Deng H, Li G, Li K, Song Y, Gao S, Zhang J, Gan Z, Meng H, Pan J, Gao C, Zhang K, Sun N, Li Y, Niu Q, Zhang Y, Liu T, Hu C, Zhang Z, Lv L, Dong J, Wang X, Tao M, Wang X, Xia J, Rong H, He Q, Liu T, Huang G, Mei Q, Shen Z, Liu Y, Shen J, Tian T, Liu X, Wu W, Gu D, Fu G, Shi J, Chen Y, Gan X, Liu L, Wang L, Yang F, Cong E, Marchini J, Yang H, Wang J, Shi S, Mott R, Xu Q, Wang J, Kendler KS, Flint J. Author Correction: Sparse whole-genome sequencing identifies two loci for major depressive disorder. Nature 2023; 620:E28. [PMID: 37567929 DOI: 10.1038/s41586-023-06276-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/13/2023]
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Li W, Cheng P, Liu Z, Ma C, Liu B, Zheng W, Scarisbrick D, Lu J, Li L, Huang Y, Wang L, Yan Y, Xiao S, Zhang Y, Zhang T, Yan J, Yu Y, Xu X, Wang Z, Xu Y, Li T, Xu G, Xu X, Xue M, Li G, Jia F, Shi J, Zhang N, Du X, Sang H, Zhang C, Liu B. Post-traumatic stress disorder and traumatic events in China: a nationally representative cross-sectional epidemiological study. Psychiatry Res 2023; 326:115282. [PMID: 37290364 DOI: 10.1016/j.psychres.2023.115282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 05/30/2023] [Accepted: 06/01/2023] [Indexed: 06/10/2023]
Abstract
Post-traumatic stress disorder (PTSD) is one of the most severe sequelae of trauma. But a nationally representative epidemiological data for PTSD and trauma events (TEs) was unavailable in China. This article firstly demonstrated detailed epidemiological information on PTSD, TEs, and related comorbidities in the national-wide community-based mental health survey in China. A total of 9,378 participants completed the PTSD-related interview of the CIDI 3.0. Lifetime prevalence and 12-month prevalence of PTSD in total respondents were 0.3% and 0.2%. while the conditional lifetime and 12-month prevalence of PTSD after trauma exposure were 1.8% and 1.1%. The prevalence of exposure to any type of TE was 17.2%. Among individuals with the exposed to TEs, younger, without regular work (being a homemaker or retried), and intimate relationship breakdown (separated/Widowed/Divorced), living rurally were associated with either the lifetime PTSD or the 12-month PTSD, while the count of a specific TE, the unexpected death of loved one, was related to both. Alcohol dependence was the most common comorbidity among male participants with PTSD but major depressive disorder (MDD) for female counterparts. Our study can provide a reliable reference for future identification and intervention for people with PTSD.
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Affiliation(s)
- Weihui Li
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China
| | - Peng Cheng
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China
| | - Zhaorui Liu
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Chao Ma
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Bangshan Liu
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China
| | - Wanhong Zheng
- West Virginia University Department of Behavioral Medicine and Psychiatry, 930 Chestnut Ridge Road, Morgantown, WV 26505
| | - Dave Scarisbrick
- West Virginia University Department of Behavioral Medicine and Psychiatry, West Virginia University Department of Neuroscience 930 Chestnut Ridge Road, Morgantown, WV 26505
| | - Jin Lu
- Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan, China
| | - Lingjiang Li
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China.
| | - Yueqin Huang
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China.
| | - Limin Wang
- National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
| | - Yongping Yan
- Department of Epidemiology, the Fourth Military Medical University, Xi'an 710032, Shaanxi Province, China
| | - Shuiyuan Xiao
- Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, Hunan, China
| | - Yan Zhang
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China
| | - Tingting Zhang
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
| | - Jie Yan
- Institute of Social Science Survey, Peking University, Beijing 100871, China
| | - Yaqin Yu
- Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, Jilin, China
| | - Xiufeng Xu
- Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan, China
| | - Zhizhong Wang
- Department of Epidemiology and Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan 750004, Ningxia, China
| | - Yifeng Xu
- Shanghai Mental Health Center, School of Medicine, Shanghai Jiao Tong University, Shanghai 200030, China
| | - Tao Li
- Mental Health Centre of West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China
| | - Guangming Xu
- Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin 300222, China
| | - Xiangdong Xu
- The Fourth People's Hospital in Urumqi, Urumqi 830002, China
| | - Meihua Xue
- The Affiliated Wuxi Mental Health Center with Nanjing Medical University, Wuxi 214151, Jiangsu, China
| | - Guohua Li
- Chifeng Anding Hospital, Chifeng 024000, Inner Mongolia Autonomous Region, China
| | - Fujun Jia
- Guangdong Mental Health Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510120, Guangdong, China
| | - Jianfei Shi
- Department of Psychiatry, Hangzhou Seventh People's Hospital, Hangzhou 310013, Zhejiang, China
| | - Ning Zhang
- Nanjing Brain Hospital, Nanjing 210029, Jiangsu, China
| | - Xinbai Du
- The Third People's Hospital of Qinghai, Xining 810007, Qinghai, China
| | - Hong Sang
- Changchun Sixth Hospital, Changchun 130052, Jilin, China
| | - Congpei Zhang
- Harbin First Specialized Hospital, Harbin 150000, Heilongjiang, China
| | - Bo Liu
- Jingzhou Mental Health Center, Jingzhou 434000, Hubei China
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11
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Wu Y, Duan Y, Chen Q, He Y, Dang Y, Li J, Liu F, Kong Q, Sang H. Primary Cutaneous Mucormycosis Caused by Rhizopus oryzae in a Pediatric Patient with IgA Nephropathy. Mycopathologia 2023:10.1007/s11046-023-00722-4. [PMID: 37185789 DOI: 10.1007/s11046-023-00722-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Accepted: 02/22/2023] [Indexed: 05/17/2023]
Affiliation(s)
- YiFan Wu
- Jinling Clinical Medical School, Nanjing Medical University, Nanjing, 210002, People's Republic of China
- Department of Dermatology, Jinling Hospital, Nanjing University, Jiangsu Province, Nanjing, 210002, People's Republic of China
| | - YuanYuan Duan
- Institute of Dermatology, Chinese Academy of Medical Sciences, Department of Allergy and Rheumatology, Peking Union Medical College, Nanjing, 210042, People's Republic of China
| | - QiYing Chen
- Department of Dermatology, Jinling Hospital, Nanjing University, Jiangsu Province, Nanjing, 210002, People's Republic of China
- The First School of Clinical Medicine, Southern Medical University, Guangzhou, People's Republic of China
| | - YiFan He
- Jinling Clinical Medical School, Nanjing Medical University, Nanjing, 210002, People's Republic of China
- Department of Dermatology, Jinling Hospital, Nanjing University, Jiangsu Province, Nanjing, 210002, People's Republic of China
| | - YongChao Dang
- Department of Dermatology, Jinling Hospital, Nanjing University, Jiangsu Province, Nanjing, 210002, People's Republic of China
| | - JiaWei Li
- Department of Dermatology, Jinling Hospital, Nanjing University, Jiangsu Province, Nanjing, 210002, People's Republic of China
| | - Fang Liu
- Department of Dermatology, Jinling Hospital, Nanjing University, Jiangsu Province, Nanjing, 210002, People's Republic of China.
| | - QingTao Kong
- Department of Dermatology, Jinling Hospital, Nanjing University, Jiangsu Province, Nanjing, 210002, People's Republic of China.
| | - Hong Sang
- Jinling Clinical Medical School, Nanjing Medical University, Nanjing, 210002, People's Republic of China
- Department of Dermatology, Jinling Hospital, Nanjing University, Jiangsu Province, Nanjing, 210002, People's Republic of China
- The First School of Clinical Medicine, Southern Medical University, Guangzhou, People's Republic of China
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12
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Onkanga IO, Sang H, Hamilton R, Ondigo BN, Jaoko W, Odiere MR, Ganley-Leal L. CD193
(
CCR3
) expression by B cells correlates with reduced
IgE
production in paediatric schistosomiasis. Parasite Immunol 2023; 45:e12979. [PMID: 36971331 DOI: 10.1111/pim.12979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 02/21/2023] [Accepted: 03/15/2023] [Indexed: 03/29/2023]
Abstract
We demonstrate that CD193, the eotaxin receptor, is highly expressed on circulating B cells in paediatric schistosomiasis mansoni. CD193 plays a role in directing granulocytes into sites of allergic-like inflammation in the mucosa, but little is known about its functional significance on human B cells. We sought to characterize CD193 expression and its relationship with S. mansoni infection. We found that CD193+ B cells increased with the intensity of schistosome infection. In addition, a significant negative association was observed between CD193 expression by B cells and IgE production. Decreased IgE levels are generally associated with susceptibility to re-infection. B cell stimulation with eotaxin-1 increased CD193 levels whereas IL-4 led to a reduction. This was supported by plasma levels of eotaxin-1 correlating with CD193 levels on B cells and other cells. In contrast, CD193 expression was induced on naive B cells with a combination of IL-10 and schistosome antigens. Whereas T cells had a modest increase in CD193 expression, only B cell CD193 appeared functionally chemotactic to eotaxin-1. Thus, CD193+ B cells, which co-express CXCR5, may be enroute to sites with allergic-like inflammation, such as gastrointestinal follicles, or even to Th2 granulomas, which develop around parasite eggs. Overall, our results suggest that schistosome infection may promote CD193 expression and suppress IgE via IL-10 and other undefined mechanisms related to B cell trafficking. This study adds to our understanding of why young children may have poor immunity. Nonetheless, praziquantel treatment was shown to reduce percentages of circulating CD193+ B cells lending hope for future vaccine efforts.
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Affiliation(s)
- I O Onkanga
- Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya
- KAVI-Institute of Clinical Research, and Department of Medical Microbiology & Immunology, University of Nairobi, Nairobi, Kenya
| | - H Sang
- Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya
| | - R Hamilton
- Elegance Biotechnologies, LLC, Wayne, Pennsylvania, USA
| | - B N Ondigo
- Department of Biochemistry and Molecular Biology, Faculty of Science, Egerton University, Egerton, Kenya
| | - W Jaoko
- KAVI-Institute of Clinical Research, and Department of Medical Microbiology & Immunology, University of Nairobi, Nairobi, Kenya
| | - M R Odiere
- Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya
| | - L Ganley-Leal
- Elegance Biotechnologies, LLC, Wayne, Pennsylvania, USA
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13
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Yue Y, Li L, Liu R, Zhang Y, Zhang S, Sang H, Tang M, Zou T, Shah SM, Shen X, Chen J, Wu A, Jiang W, Yuan Y. The dynamic changes of psychosomatic symptoms in three waves of COVID-19 outbreak and fatigue caused by enduring pandemic in China. J Affect Disord 2023; 331:17-24. [PMID: 36934851 PMCID: PMC10023203 DOI: 10.1016/j.jad.2023.03.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 03/07/2023] [Accepted: 03/14/2023] [Indexed: 03/21/2023]
Abstract
BACKGROUND Two years have passed since the 2019 novel coronavirus disease (COVID-19) was first reported. The persistent pandemic might lead to severe psychosomatic problems and fatigue. In addition, the recent rapid rising COVID-19 cases in China have become a trending issue. Therefore, this study aimed to investigate the dynamic changes in psychosomatic problems at the initial and current stages of the pandemic. METHODS Three waves of cross-sectional online survey were conducted during the initial COVID outbreak in China. The psychosomatic symptom scale (PSSS), perceived stress scale (PSS), and pandemic fatigue scale (PFS) were used to assess the psychosomatic problems, stress, and fatigue. RESULTS 4317, 1096, and 2172 participants completed the first, second, and third surveys. The prevalence of psychosomatic disorder was 22 %, 28 %, and 39 %, respectively. The network structure of PSSS symptoms has not significantly changed as the pandemic progresses. However, the global strength of the PSSS networks, indicating the overall connectivity, in the third wave was significantly higher than in the first wave (s = 0.54, P = 0.007). The most central symptoms in the first and third wave networks were depressed mood and tiredness. The PFS score was higher in the people concerned with indirect impact than those concerned with health (P < 0.001). PFS has positive relationships with PSSS and PSS score (R = 0.41, P < 0.001 and R = 0.35, P < 0.001, respectively). CONCLUSIONS The persistence of the pandemic caused critical psychosomatic issues, stress, and indirect burden over time, leading to inevitable fatigue. People endured needing immediate attention to prevent or reduce psychosomatic disorders.
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Affiliation(s)
- Yingying Yue
- Department of Psychosomatics and Psychiatry, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China
| | - Lei Li
- Department of Clinical Psychology, The Fourth People's Hospital of Lianyungang, Lianyungang, China
| | - Rui Liu
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Yuqun Zhang
- School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China
| | - Songyun Zhang
- Department of Neuropsychiatry, The Second Hospital of Hebei Medical University, Shijiazhuang, China; Chinese Society of Psychosomatic Medicine (CSPM), China
| | - Hong Sang
- Department of Psychiatry, The Sixth Hospital of Changchun, Changchun, China; Chinese Society of Psychosomatic Medicine (CSPM), China
| | - Maoqin Tang
- Department of Psychiatry, Shandong Mental Health Center, Jinan, China; Chinese Society of Psychosomatic Medicine (CSPM), China
| | - Tao Zou
- Department of Psychiatry, The Affiliated Hospital of Guizhou Medical University, Guiyang, China; Chinese Society of Psychosomatic Medicine (CSPM), China
| | - S Mudasser Shah
- Department of Psychosomatics and Psychiatry, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China
| | - Xinhua Shen
- Department of Psychiatry, The Third People's Hospital of Huzhou, Huzhou, China; Chinese Society of Psychosomatic Medicine (CSPM), China
| | - Jue Chen
- Department of Psychiatry, Shanghai Mental Health Center, Shanghai, China; Chinese Society of Psychosomatic Medicine (CSPM), China
| | - Aiqin Wu
- Department of Psychosomatics, The Affiliated First Hospital of Suzhou University, Suzhou, China; Chinese Society of Psychosomatic Medicine (CSPM), China
| | - Wenhao Jiang
- Department of Psychosomatics and Psychiatry, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China.
| | - Yonggui Yuan
- Department of Psychosomatics and Psychiatry, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China; Chinese Society of Psychosomatic Medicine (CSPM), China.
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14
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Bo Q, Wang X, Liu X, Sang H, Xun Z, Zhang R, Yang X, Deng H, Li K, Chen J, Sun M, Zhao G, Liu X, Cai D, Zhan G, Li J, Li H, Wang G. Effectiveness and safety of blonanserin in young and middle-aged female patients with schizophrenia: data from a post-marketing surveillance. BMC Psychiatry 2023; 23:115. [PMID: 36810039 PMCID: PMC9945355 DOI: 10.1186/s12888-023-04598-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 02/07/2023] [Indexed: 02/23/2023] Open
Abstract
BACKGROUND A post-marketing surveillance of blonanserin has been ongoing since September 2018. The aim of this study was to assess the effectiveness and safety of oral blonanserin in Chinese young and middle-aged female patients with schizophrenia in real clinical settings, using the data from the post-marketing surveillance. METHODS A 12-week, prospective, multi-center, open-label, post-marketing surveillance was conducted. Female patients aged 18-40 years were included in this analysis. The Brief Psychiatric Rating Scale (BPRS) was used to evaluate the effectiveness of blonanserin in improving psychiatric symptoms. The incidence of adverse drug reactions (ADRs) such as of extrapyramidal symptoms (EPS), prolactin elevation and the weight gain were used to evaluate the safety profile of blonanserin. RESULTS A total of 392 patients were included both in the safety and full analysis sets, 311 patients completed the surveillance protocol. The BPRS total score was 48.8 ± 14.11 at the baseline, decreasing to 25.5 ± 7.56 at 12 weeks (P < 0.001, compared with baseline). EPS (20.2%) including akathisia, tremor, dystonia, and parkinsonism were found as the most frequent ADRs. The mean weight gain was 0.27 ± 2.5 kg at 12 weeks from the baseline. Four cases (1%) of prolactin elevation were observed during the period of surveillance. CONCLUSION Blonanserin significantly improved the symptoms of schizophrenia in female patients aged 18-40 years; the drug was well tolerated and had a low tendency to cause metabolic side effects, including prolactin elevation in these patients. Blonanserin might be a reasonable drug for the treatment of schizophrenia in young and middle-aged female patients.
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Affiliation(s)
- Qijing Bo
- grid.24696.3f0000 0004 0369 153XThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders & Beijing Institute for Brain Disorders Center of Schizophrenia, Beijing Anding Hospital, Capital Medical University, Beijing, 100088 China
| | - Xijin Wang
- Department of Psychiatry, The First Psychiatric Hospital of Harbin, Harbin, Heilongjiang 150010 China
| | - Xuejun Liu
- Department of Psychiatry, Brain Hospital of Hunan Province, Changsha, Hunan 410007 China
| | - Hong Sang
- Mental Health Center, Changchun Sixth Hospital, Changchun, Jilin 130052 China
| | - Zhiyuan Xun
- grid.440287.d0000 0004 1764 5550Department of Psychiatry, Tianjin Anding Hospital, Tianjin, Tianjin, 300222 China
| | - Ruiling Zhang
- Department of Psychiatry, Henan Mental Hospital, Xinxiang, Henan 453002 China
| | - Xiaodong Yang
- grid.452754.5Department of Psychiatry, Shandong Mental Health Center, Jinan, Shandong 250014 China
| | - Huaili Deng
- Department of Psychology, Psychiatric Hospital of Taiyuan City, Taiyuan, Shanxi, 030000 China
| | - Keqing Li
- Department of Psychiatry, Hebei Provincial Mental Health Center, Baoding, Hebei 071000 China
| | - Jindong Chen
- grid.452708.c0000 0004 1803 0208Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011 China
| | - Meijuan Sun
- Department of Pharmacy, Daqing Third Hospital, Daqing, Heilongjiang 163712 China
| | - Guijun Zhao
- Department of Psychiatry, Guangyuan Mental Health Center, Guangyuan, Sichuan 628001 China
| | - Xianglai Liu
- Institute of Mental Health, Hainan Provincial Anning Hospital, Haikou, Hainan, 570206 China
| | - Duanfang Cai
- Department of Psychiatry, The Fifth People’s Hospital of Zigong, Zigong, Sichuan 643020 China
| | - Guilai Zhan
- Department of Psychiatry, Xuhui Mental Health center, Shanghai, 200232 China
| | - Juhong Li
- grid.517561.1Department of Psychiatry, The Fourth People’s Hospital of Chengdu, Chengdu, Sichuan 610036 China
| | - Haiyun Li
- Medical Affairs, Sumitomo Pharma (Suzhou) Co., Ltd, Shanghai, 200025 China
| | - Gang Wang
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, 100088, China. .,The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, 100088, China.
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15
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Wu Y, Hui Y, Liu F, Chen H, Liu K, Chen Q, He Y, Hong N, Yan W, Kong Q, Sang H. The Association of Serum Adipokines, Insulin Resistance and Vitamin D Status in Male Patients with Androgenetic Alopecia. Clin Cosmet Investig Dermatol 2023; 16:419-427. [PMID: 36817642 PMCID: PMC9936883 DOI: 10.2147/ccid.s396697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 02/08/2023] [Indexed: 02/15/2023]
Abstract
Background The frequent coexistence of obesity and metabolic syndrome in patients with Androgenetic alopecia (AGA), may indicate a common pathogenetic pathway with adipokines being a possible implicating cytokine. Objective This study was conducted to investigate the changes in serum levels of adipokines, insulin resistance, vitamin D status and their relationship with AGA, and the relationship between serum levels of adipokines and insulin resistance. Methods 80 male patients with AGA were selected as the experimental group and 60 healthy males served as the control group. Both the AGA group and healthy control group were divided into 2 groups according to the presence or absence of insulin resistance (IR): the IR group and the NIR group. Serum levels of leptin, adiponectin, resistin, visfatin, insulin and 25(OH)D were evaluated in all subjects. Results Compared with the control group, AGA patients showed higher serum levels of leptin and lower adiponectin/leptin (Adpn/Lep) ratio (P<0.05), and both were positively correlated with the severity of the disease. Compared with the AGA NIR group, serum leptin levels were increased in the AGA IR group (P<0.05). AGA IR group and AGA NIR group possessed lower Adpn/Lep ratio when compared with the healthy IR group and healthy NIR group respectively (P<0.05). The multi-factor logistic regression analysis results showed decreased Adpn/Lep level and increased leptin level as risk factors for AGA. AGA Patients had lower vitamin D levels than healthy controls (P<0.05). Conclusion Patients with AGA show an imbalance between pro- and anti-inflammatory adipokines, and probably be involved in AGA pathogenesis. Insulin resistance may influence levels of adipokines, but the present findings cannot indicate insulin resistance plays a role in the onset of AGA. The insufficiency and deficiency of vitamin D are common health concern in our subjects and may be involved in the dysfunction of adipocytes and the development of AGA.
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Affiliation(s)
- YiFan Wu
- Nanjing Medical University, Nanjing, 210002, People’s Republic of China
| | - Yun Hui
- Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing, 210002, People’s Republic of China
| | - Fang Liu
- Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing, 210002, People’s Republic of China
| | - Huan Chen
- Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing, 210002, People’s Republic of China
| | - KeHan Liu
- Nanjing Medical University, Nanjing, 210002, People’s Republic of China
| | - QiYing Chen
- Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing, 210002, People’s Republic of China
| | - YiFan He
- Nanjing Medical University, Nanjing, 210002, People’s Republic of China
| | - Nan Hong
- Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing, 210002, People’s Republic of China
| | - WenLiang Yan
- Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing, 210002, People’s Republic of China
| | - QingTao Kong
- Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing, 210002, People’s Republic of China,Correspondence: QingTao Kong; Hong Sang, Jinling Hospital, Nanjing, Jiangsu, People’s Republic of China, Tel +86 025-80860092, Email ;
| | - Hong Sang
- Nanjing Medical University, Nanjing, 210002, People’s Republic of China,Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing, 210002, People’s Republic of China
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16
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Dang YC, Kong QT, Wang Z, Sang H. Cutaneous adverse events in lung cancer patients on the therapy based on PD-1/PD-L1 inhibitors: A prospective observational cohort study. Curr Probl Cancer 2023; 47:100934. [PMID: 36580870 DOI: 10.1016/j.currproblcancer.2022.100934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 10/02/2022] [Accepted: 11/22/2022] [Indexed: 12/23/2022]
Abstract
AIM This is a prospective study of cutaneous adverse events (CAEs) in lung cancer patients treated by programmed cell death-1(PD-1) inhibitors and programmed cell death-ligand 1(PD-L1) inhibitors-based single or combination therapy. PATIENTS & METHODS It were included that lung cancer patients who developed CAEs from January 2019 to July 2021 after applying PD-1/PD-L1 inhibitors in our institution. RESULTS A total of 107 patients with 112 CAEs were enrolled, of which 71 patients received PD-1/PD-L1 inhibitors plus chemotherapy, 31 patients received PD-1/PD-L1 inhibitors plus anti-angiogenic/targeted therapy, and 5 patients received PD-1/PD-L1 inhibitors monotherapy. The median time to CAEs onset was 8.7w (0.3w-70.7w) for PD-1/PD-L1 inhibitors plus chemotherapy, 10.1w (0.4w-103.0w) for PD-1/PD-L1 inhibitors plus anti-angiogenic/targeted therapy, and 13.6w (0.7w-50.6w) for PD-1/PD-L1 inhibitors monotherapy. The most common CAEs were reactive cutaneous capillary endothelial proliferation (RCCEP) (30.8%, 33/107), followed by eczematous (21.5%, 23/107) and pruritus only (15.9%, 17/107). 7 patients (6.5%, 7/107) had grade 3-4 CAE. CONCLUSION Most CAEs are mild to moderate and easily controlled. Early diagnosis and intervention for CAEs are important.
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Affiliation(s)
- Yong-Chao Dang
- Department of Dermatology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - Qing-Tao Kong
- Department of Dermatology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - Zhen Wang
- Department of Radiation Oncology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
| | - Hong Sang
- Department of Dermatology, Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China.
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17
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Liu F, Luo Y, Chen H, Xu S, Zhang D, Sang H, Xu C, Zhang M. Comparison of the efficacy of seven types of microneedles for treating a rabbit hypertrophic scar model. Nanoscale Adv 2023; 5:927-933. [PMID: 36756522 PMCID: PMC9890948 DOI: 10.1039/d2na00604a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 12/16/2022] [Indexed: 06/18/2023]
Abstract
Microneedle technology can effectively suppress the formation of hypertrophic scarring in both animals and humans. Our previous research has revealed that this is due to the physical contact inhibition effect by using microneedles made of liquid-crystal polymers as the model device. One important factor we didn't study is the influence of the fabrication materials of microneedles. Therefore, this article examines this key point on a rabbit ear hypertrophic scar model. We monitor the thickness of the scars, and the expression of α-SMA and Ki-67 protein, and TGF-β1 mRNA in a period of 42 days. Among microneedles made of 6 polymeric materials and stainless steel, polymethylmethacrylate microneedles present superiority in all aspects including the reduction of tissue fibrosis, and the expression of α-SMA, Ki-67 protein and TGF-β1 mRNA. On the other hand, polycarbonates, polyurethane, and polylactic-co-glycolic acid microneedles could suppress three biomarker expressions.
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Affiliation(s)
- Fang Liu
- Department of Dermatology, Jinling Hospital, School of Medicine, Nanjing University Nanjing China
| | - Yingzhi Luo
- Department of Dermatology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine Hangzhou 310006 China
| | - Huan Chen
- Department of Dermatology, Jinling Hospital, School of Medicine, Nanjing University Nanjing China
| | - Shengjing Xu
- Department of Dermatology, The Affiliated Jiangning Hospital with Nanjing Medical University Nanjing 211100 China
| | - Dongyan Zhang
- Department of Dermatology, The Affiliated Jiangning Hospital with Nanjing Medical University Nanjing 211100 China
| | - Hong Sang
- Department of Dermatology, Jinling Hospital, School of Medicine, Nanjing University Nanjing China
| | - Chenjie Xu
- Department of Biomedical Engineering, City University of Hong Kong 83 Tat Chee Avenue Kowloon Hong Kong SAR China
| | - Min Zhang
- Department of Dermatology, The Affiliated Jiangning Hospital with Nanjing Medical University Nanjing 211100 China
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18
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Chen Q, Liu F, Wu Y, He Y, Kong Q, Sang H. Fungal melanin-induced metabolic reprogramming in macrophages is crucial for inflammation. J Mycol Med 2023; 33:101359. [PMID: 36701872 DOI: 10.1016/j.mycmed.2023.101359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Revised: 11/18/2022] [Accepted: 01/11/2023] [Indexed: 01/18/2023]
Abstract
The overuse of antifungal and immunosuppressant drugs and the higher frequency of organ transplantation has resulted in mycosis being increasingly intractable, and there is a great need for the development of new therapies. Melanin is an important virulence factor that can inhibit the inflammatory response in the host and facilitate fungal survival by several methods. However, a recent study showed that the Akt/mTOR/HIF1α axis in macrophages was activated after melanin-binding proteins recognised the DHN melanin of Aspergillus fumigatus, with a resulting metabolic shift towards glycolysis (i.e., metabolic reprogramming). As a result, antimicrobial compounds (e.g., inflammatory mediators and reactive oxygen species) were increased to fight the fungal invasion. Actually, DHN melanin from other fungi and DOPA melanin can induce inflammation and stimulate the production of melanin-binding antibodies. In addition, DOPA melanin contains conserved repeating units that are similar to those of DHN melanin. Therefore, we evaluated the associated evidence to propose an interesting and reasonable hypothesis that melanin promotes inflammation by metabolic reprogramming, which could provide a research direction for antifungal therapy. It suggests that regulating the metabolism of immune cells can guide the inflammatory response against fungi, despite the presence of immunosuppressant melanin. Since the biochemical molecules of glycolysis are clearly described, regulating glycolysis in macrophages may be easier than inventing new antifungal drugs. Further clarification of our hypothesis may strengthen the candidacy of melanin for future antifungal vaccines.
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Affiliation(s)
- Qiying Chen
- Department of Dermatology, Nanjing Jinling Hospital, The First School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong Province 510080, China
| | - Fang Liu
- Department of Dermatology, Nanjing Jinling Hospital, Nanjing, Jiangsu Province 210002, China
| | - Yifan Wu
- Department of Dermatology, Nanjing Medical University, Nanjing, Jiangsu Province 210002, China
| | - Yifan He
- Department of Dermatology, Nanjing Medical University, Nanjing, Jiangsu Province 210002, China
| | - Qingtao Kong
- Department of Dermatology, Nanjing Jinling Hospital, Nanjing, Jiangsu Province 210002, China.
| | - Hong Sang
- Department of Dermatology, Nanjing Jinling Hospital, The First School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong Province 510080, China; Department of Dermatology, Nanjing Jinling Hospital, Nanjing, Jiangsu Province 210002, China.
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19
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Chen J, Yuan F, Kong Q, Sang H. A rare case of the hyperplastic sweet syndrome. INDIAN J PATHOL MICR 2023; 66:225-226. [PMID: 36656254 DOI: 10.4103/ijpm.ijpm_619_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Affiliation(s)
- Jun Chen
- Department of Dermatology, The Fourth Affiliated Hospital of Nanjing Medical University, Nanjing, Peoples R China
| | - Fan Yuan
- Department of Dermatology, Jinling Hosp, Southeast Univ, Sch Med, Nanjing, Peoples R China
| | - Qingtao Kong
- Department of Dermatology, Jinling Hosp, Nanjing Univ, Sch Med, Nanjing, Peoples R China
| | - Hong Sang
- Department of Dermatology, Jinling Hosp, Nanjing Univ, Sch Med, Nanjing, Peoples R China
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20
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He C, Wei Q, Xu J, Cai R, Kong Q, Chen P, Lu L, Sang H. bHLH transcription factor EcdR controls conidia production, pigmentation and virulence in Aspergillus fumigatus. Fungal Genet Biol 2023; 164:103751. [PMID: 36375736 DOI: 10.1016/j.fgb.2022.103751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 11/04/2022] [Accepted: 11/07/2022] [Indexed: 11/13/2022]
Abstract
Invasive Aspergillus fumigatus infection is a disease with high morbidity and mortality rates. Abnormalities in sporulation and pigmentation can significantly alter the pathogenicity of A. fumigatus, thus the mechanisms of conidiation and pigment biosynthesis have gained increasing attention. In Aspergillus oryzae, a novel predicted bHLH protein-encoding gene, ecdR, plays a role in asexual development, and its ortholog has also been characterized in A. nidulans. Herein, we determined its role in A. fumigatus by testing whether ecdR deletion affects asexual development, melanin synthesis, and regulation of virulence in this fungus. Our study shows that EcdR controls conidia and melanin production in A. fumigatus. In addition, we found that virulence in the ΔecdR strain was significantly reduced in the infection model of immunodeficiency mice.
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Affiliation(s)
- Cong He
- Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Qian Wei
- Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Jie Xu
- Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Renhui Cai
- Department of Dermatology, Jinling Hospital, Southern Medical University, Guangzhou, China
| | - Qingtao Kong
- Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Peiying Chen
- Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Ling Lu
- Jiangsu Key Laboratory for Microbes and Functional Genomics, Jiangsu Engineering and Technology Research Center for Microbiology, College of Life Sciences, Nanjing Normal University, Nanjing, China
| | - Hong Sang
- Affiliated Jinling Hospital, Medical School of Nanjing University, Nanjing, China; Department of Dermatology, Jinling Hospital, Southern Medical University, Guangzhou, China.
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21
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Dang YC, Liu HB, Wang Z, Zhou YL, Chen J, Kong QT, Sang H. Cutaneous adverse events associated with PD-1 inhibitor-based therapy in patients with non-small-cell lung cancer. Future Oncol 2022; 18:3853-3861. [PMID: 36519587 DOI: 10.2217/fon-2022-0888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Aim: To analyze the incidence and characteristics of cutaneous adverse events (CAEs) in non-small-cell lung cancer patients treated with PD-1 inhibitor-based therapy. Methods: A total of 150 non-small-cell lung cancer patients under PD-1 inhibitor-based therapy from February 2018 to September 2021 were included and were followed up with regularly. Results: Over one-half of patients (88/150; 58.7%) had CAEs. Reactive cutaneous capillary endothelial proliferation, maculopapular rash and pruritus were the most common CAEs. The incidences of CAEs were 50.0 (18/36), 67.0 (50/75) and 51.3% (20/39) with PD-1 inhibitor monotherapy, PD-1 inhibitor in combination with chemotherapy and PD-1 inhibitor in combination with antivascular/targeted therapy, respectively. Conclusion: CAEs occur frequently in PD-1 inhibitor-based therapy but are generally tolerable.
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Affiliation(s)
- Yong-Chao Dang
- Department of Dermatology, Affiliated Jinling Hospital, Medical School, Nanjing University, Nanjing, 210002, PR China
| | - Hong-Bing Liu
- Department of Respiratory and Critical Care Medicine, Affiliated Jinling Hospital, Medical School, Nanjing University, Nanjing, 210002, PR China
| | - Zhen Wang
- Department of Radiation Oncology, Affiliated Jinling Hospital, Medical School, Nanjing University, Nanjing, 210002, PR China
| | - Yu-Lin Zhou
- Department of Urology, Affiliated Jinling Hospital, Medical School, Nanjing University, Nanjing, 210002, PR China
| | - Jun Chen
- Department of Dermatology, Fourth Affiliated Hospital of Nanjing Medical University, Nanjing, 210031, PR China
| | - Qing-Tao Kong
- Department of Dermatology, Affiliated Jinling Hospital, Medical School, Nanjing University, Nanjing, 210002, PR China
| | - Hong Sang
- Department of Dermatology, Affiliated Jinling Hospital, Medical School, Nanjing University, Nanjing, 210002, PR China
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22
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Deng L, Luo Y, An B, Su M, Sang H, Liu F. Recalcitrant Palmar-Plantar Atopic Dermatitis Successfully Treated with Dupilumab: A Case Series. Clin Cosmet Investig Dermatol 2022; 15:2421-2426. [PMID: 36387965 PMCID: PMC9662652 DOI: 10.2147/ccid.s383327] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Accepted: 11/02/2022] [Indexed: 10/28/2023]
Abstract
BACKGROUND Palmar-plantar atopic dermatitis is a common and debilitating condition with significant diagnostic and management challenges. CASE PRESENTATION The paper presents the successful treatment of dupilumab in five female patients with recalcitrant palmar-plantar atopic dermatitis. METHODS The Hand Eczema Severity Index (HECSI) and the Foot Eczema Severity Index (FECSI), eosinophils and IgE levels were evaluated before and after the treatment. RESULTS Five recalcitrant palmar-plantar atopic dermatitis patients had substantial responses to dupilumab and the persistent pruritus was soon alleviated during the therapy. By week 16, all patients' palmar-plantar eczema has been almost clear, with significant decrease of HECSI and FECSI. The count of eosinophils and IgE levels returned to normal in all patients. CONCLUSION Dupilumab significantly improves disease severity and reduces eosinophils and IgE in refractory palmar-plantar AD patients.
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Affiliation(s)
- Lin Deng
- Department of Dermatology, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou, 310006, People’s Republic of China
| | - Yingzhi Luo
- Department of Dermatology, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou, 310006, People’s Republic of China
| | - Binyi An
- Department of Dermatology, Jinling Hospital, Nanjing Medical University, Nanjing, 210002, People’s Republic of China
| | - Ming Su
- Department of Dermatology, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou, 310006, People’s Republic of China
| | - Hong Sang
- Department of Dermatology, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, People’s Republic of China
| | - Fang Liu
- Department of Dermatology, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, People’s Republic of China
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23
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Sang H, Nie H, Li Z, Zhao J. H∞ Filtering for Discrete-Time Switched Fuzzy Delayed Systems With Channel Fading Via Improved State-Dependent Switching. Inf Sci (N Y) 2022. [DOI: 10.1016/j.ins.2022.11.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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24
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Sang H, Nie H, Zhao J. Event-triggered asynchronous synchronization control for switched generalized neural networks with time-varying delay. Neurocomputing 2022. [DOI: 10.1016/j.neucom.2022.07.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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25
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He Y, Hui Y, Liu H, Wu Y, Sang H, Liu F. Adult-Onset Familial Hemophagocytic Lymphohistiocytosis Presenting with Annular Erythema following COVID-19 Vaccination. Vaccines (Basel) 2022; 10:vaccines10091436. [PMID: 36146514 PMCID: PMC9501607 DOI: 10.3390/vaccines10091436] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/22/2022] [Accepted: 08/22/2022] [Indexed: 11/23/2022] Open
Abstract
Familial hemophagocytic lymphohistiocytosis (HLH) is a rare genetic and life-threatening immunodeficiency disease. Here, we present a 38-year-old male who initially developed multiple annular to irregular erythema accompanied by a fever after COVID-19 vaccination. He was diagnosed with HLH with evidence of leukocytopenia in a full blood test, elevations of ferritin and sCD25, decreased NK cell function, and hemophagocytosis of a bone marrow biopsy specimen. A genetic examination revealed two probable disease-causing heterozygous mutations on UNC13D associated with type 3 familial HLH. A review of the case reports relevant to HLH following COVID-19 vaccination and the cutaneous manifestations of HLH with genetic defects suggests the necessity that individuals with preexisting immune dysregulation or diseases not classified should be cautious about COVID-19 vaccination and reminds clinicians that various recalcitrant skin lesions may be a sign of HLH.
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Affiliation(s)
- Yifan He
- Department of Dermatology, Jinling Hospital, Nanjing Medical University, Nanjing 210002, China
| | - Yun Hui
- Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing 210002, China
| | - Haibo Liu
- Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing 210002, China
| | - Yifan Wu
- Department of Dermatology, Jinling Hospital, Nanjing Medical University, Nanjing 210002, China
| | - Hong Sang
- Department of Dermatology, Jinling Hospital, Nanjing Medical University, Nanjing 210002, China
- Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing 210002, China
- Correspondence: (H.S.); (F.L.)
| | - Fang Liu
- Department of Dermatology, Jinling Hospital, Nanjing University, Nanjing 210002, China
- Correspondence: (H.S.); (F.L.)
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26
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Hong H, Zhu H, Li C, Zang C, Sang H, Chen L, Wang A. [FNDC1 is highly expressed in lung adenocarcinoma and closely related with poor prognosis]. Nan Fang Yi Ke Da Xue Xue Bao 2022; 42:1182-1190. [PMID: 36073217 DOI: 10.12122/j.issn.1673-4254.2022.08.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To explore the expression of fibronectin type Ⅲ domain containing 1(FNDC1) protein in lung adenocarcinoma and its prognostic significance. METHODS The expression of FNDC1 in lung adenocarcinoma was predicted by analysis of data from GEO database and GEPIA, and the results were verified by immunohistochemical staining in 92 pairs of clinical specimens of lung adenocarcinoma and adjacent tissues.We further analyzed the correlation of FNDC1 expression with the clinicopathological features of the patients, and evaluated its prognostic value using Cox survival analysis. RESULTS Analysis of the data form GEO database and GEPIA showed a significantly higher expression level of FNDC1 in lung adenocarcinoma than in matched normal tissues (P < 0.05).Kaplan-Meier survival analysis suggested that a high expression of FNDC1 protein was associated with a significantly shorter overall survival time of the patients (P < 0.05).Immunohistochemistry of the clinical specimens also showed a significantly higher protein expression of FNDC1 in lung adenocarcinoma tissues than in paired adjacent tissues (P < 0.001).A high expression of FNDC1 protein was significantly correlated with advanced clinical stage, T stage and N stage (P < 0.05).Cox univariate and multivariate regression survival analysis indicated that an increased expression of FNDC1 was an independent risk factor for poor prognosis of the patients with lung adenocarcinoma (P < 0.05). CONCLUSION FNDC1 protein is highly expressed in patients with lung adenocarcinoma and in closely related with the occurrence, progression and prognosis of the tumor, suggesting the value of FNDC1 protein as a potential biomarker for assessment of the survival and prognosis of patients with lung adenocarcinoma.
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Affiliation(s)
- H Hong
- Department of Thoracic Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.,Graduate School of Bengbu Medical College, Bengbu 233030, China
| | - H Zhu
- Department of Thoracic Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.,Graduate School of Bengbu Medical College, Bengbu 233030, China
| | - C Li
- Department of Thoracic Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.,Graduate School of Bengbu Medical College, Bengbu 233030, China
| | - C Zang
- Department of Thoracic Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.,Graduate School of Bengbu Medical College, Bengbu 233030, China
| | - H Sang
- Department of Thoracic Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China
| | - L Chen
- Department of Thoracic Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China
| | - A Wang
- Department of Thoracic Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China
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27
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Sang H, Nie H, Zhao J. Dissipativity-Based Synchronization for Switched Discrete-Time-Delayed Neural Networks With Combined Switching Paradigm. IEEE Trans Cybern 2022; 52:7995-8005. [PMID: 33600335 DOI: 10.1109/tcyb.2021.3052160] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The present study concerns the dissipativity-based synchronization problem for the discrete-time switched neural networks with time-varying delay. Different from some existing research depending on the arbitrary and time-dependent switching mechanisms, all subsystems of the investigated delayed neural networks are permitted to be nondissipative. For reducing the switching frequency, the combined switching paradigm constituted by the time-dependent and state-dependent switching strategies is then constructed. In light of the proposed dwell-time-dependent storage functional, sufficient conditions with less conservativeness are formulated, under which the resultant synchronization error system is strictly (~X,~Y,~Z) - ϑ -dissipative on the basis of the combined switching mechanism or the joint action of the switching mechanism and time-varying control input. Finally, the applicability and superiority of the theoretical results are adequately substantiated with the synchronization issue of two discrete-time switched Hopfield neural networks with time-varying delay, and the relationship among the performance index, time delay, and minimum dwell time is also revealed.
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28
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Zou A, Kong Q, Sang H. Identification of key apoptosis-related genes and immune infiltration in the pathogenesis of psoriasis. Hereditas 2022; 159:26. [PMID: 35729678 PMCID: PMC9213172 DOI: 10.1186/s41065-022-00233-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 04/23/2022] [Indexed: 11/10/2022] Open
Abstract
Background Psoriasis is a condition in which skin cells build up and form itchy scales and dry patches. It is also considered a common lifelong disease with an unclear pathogenesis. Furthermore, an effective cure for psoriasis is still unavailable. Reductive apoptosis of keratinocytes and immune infiltration are common in psoriasis. This study aimed to explore underlying functions of key apoptosis-related genes and the characteristics of immune infiltration in psoriasis. We used GSE13355 and GSE30999 to screen differentially expressed apoptosis related genes (DEARGs) in our study. Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway, and gene set enrichment analysis (GSEA) were performed using clusterProfiler package. Protein–protein interaction (PPI) network was constructed to acquire key DEARGs. Transcription factor (TF)–target and miRNA–mRNA network analyses, drug sensitivity prediction, and immune infiltration were applied. Key DEARGs were validated using real-time quantitative PCR (RT-qPCR). Results We identified 482 and 32 DEARGs from GSE13355 and GSE30999, respectively. GO analysis showed that DEARGs were commonly enriched in cell chemotaxis, receptor ligand activity, and signaling receptor activator activity. KEGG pathway analysis indicated that viral protein interaction with cytokine and cytokine receptor was maximally enriched pathway. The GSEA analysis of GSE13355 and GSE30999 demonstrated a high consistency degree of enriched pathways. Thirteen key DEARGs with upregulation were obtained in the PPI network. Eleven key DEARGs were confirmed using RT-qPCR. Additionally, 5 TFs and 553 miRNAs were acquired, and three novel drugs were predicted. Moreover, Dendritic.cells.activated exhibited high levels of immune infiltration while Mast.cells.resting showed low levels of immune infiltration in psoriasis groups. Conclusion Results of this study may reveal some insights into the underlying molecular mechanism of psoriasis and provide novel targeted drugs. Supplementary Information The online version contains supplementary material available at 10.1186/s41065-022-00233-0.
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Affiliation(s)
- Ailing Zou
- The First School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.,Department of Dermatology, Huangshi Central Hospital, Affiliated Hospital of Hubei Polytechnic University, Edong Health Care Group, Huangshi, 435000, China
| | - Qingtao Kong
- Department of Dermatology, Jinling Hospital, Nanjing, 210002, China
| | - Hong Sang
- The First School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China. .,Department of Dermatology, Jinling Hospital, Nanjing, 210002, China.
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29
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Sang H, Zhao J. Finite-Time H ∞ Estimator Design for Switched Discrete-Time Delayed Neural Networks With Event-Triggered Strategy. IEEE Trans Cybern 2022; 52:1713-1725. [PMID: 32479410 DOI: 10.1109/tcyb.2020.2992518] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
This article is concerned with the event-triggered finite-time H∞ estimator design for a class of discrete-time switched neural networks (SNNs) with mixed time delays and packet dropouts. To further reduce the data transmission, both the measured information of system outputs and switching signal of the SNNs are only allowed to be accessible for the constructed estimator at the certain triggering time instants. Under this consideration, the simultaneous presence of the switching and triggering actions also leads to the asynchronism between the indices of the SNNs and the designed estimator. Unlike the existing event-triggered strategies for the general switched linear systems, the proposed event-triggered mechanism not only allows the occurrence of multiple switches in one triggering interval but also removes the minimum dwell-time constraint on the switched signal. In light of the piecewise Lyapunov-Krasovskii functional theory, sufficient conditions are developed for the estimation error system to be stochastically finite-time bounded with a finite-time specified H∞ performance. Finally, the effectiveness and applicability of the theoretical results are verified by a switched Hopfield neural network.
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30
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Liu K, Zeng M, Chen J, Hui Y, Kong Q, Duan Q, Sang H. Multisystem Langerhans cell histiocytosis with diabetes insipidus in an adult. Indian J Dermatol 2022; 67:184-186. [PMID: 36092185 PMCID: PMC9455141 DOI: 10.4103/ijd.ijd_741_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Kh Liu
- From the Jinling Hospital Department of Dermatology, Nanjing 210002, P R China,Nanjing Medical University, Nanjing 210002, P R China
| | - Mh Zeng
- From the Jinling Hospital Department of Dermatology, Nanjing 210002, P R China
| | - J Chen
- From the Jinling Hospital Department of Dermatology, Nanjing 210002, P R China
| | - Y Hui
- From the Jinling Hospital Department of Dermatology, Nanjing 210002, P R China
| | - Qt Kong
- From the Jinling Hospital Department of Dermatology, Nanjing 210002, P R China
| | - Qf Duan
- Unit 31610 of the PLA, Zhejiang 310000, P R China E-mail:
| | - H Sang
- From the Jinling Hospital Department of Dermatology, Nanjing 210002, P R China,Nanjing Medical University, Nanjing 210002, P R China
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31
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Wu H, Wang X, Liu X, Sang H, Bo Q, Yang X, Xun Z, Li K, Zhang R, Sun M, Cai D, Deng H, Zhao G, Li J, Liu X, Zhan G, Chen J. Safety and Effectiveness of Blonanserin in Chinese Patients with Schizophrenia: An Interim Analysis of a 12-Week Open-Label Prospective Multi-Center Post-marketing Surveillance. Front Psychiatry 2022; 13:935769. [PMID: 36061293 PMCID: PMC9435526 DOI: 10.3389/fpsyt.2022.935769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Accepted: 06/21/2022] [Indexed: 11/13/2022] Open
Abstract
Schizophrenia is an unexplained, complex and serious mental illness. Blonanserin (BNS) is a new antipsychotic drug widely used in the treatment of schizophrenia. However, large-scale clinical studies have not been conducted in China. A multi-center, prospective, open-label, 12-week surveillance was carried out to evaluate the safety and effectiveness of BNS in patients with schizophrenia in China. Safety assessments included adverse drug reactions (ADRs), extrapyramidal symptoms (EPS), akathisia, concomitant medications for EPS by the end of treatment, and the changes in body weight from baseline by the end of treatment. The effectiveness was evaluated by the Brief Psychiatric Rating Scale (BPRS). From September 2018 to May 2020, of the 1,060 patients enrolled, 1,018 were included in the full analysis set (FAS) and safety set (SS), respectively. ADRs were developed in 205 patients among the included, the incidence being 20.1%. ADRs of EPS occurred in 169 patients, the incidence being 16.6%, ADRs of akathisia occurred in 90 patients, the incidence being 8.8%; concomitant therapeutic and prophylactic agents for EPS accounts for 19.2%; 4.0% of patients had a ≥7% increase in body weight from baseline at 12 weeks after initiating treatment. Using the last-observation-carried-forward (LOCF) method, the changes in total BPRS scores were -11.2 ± 10.17 (N = 1,018), -16.8 ± 12.69 (N = 1,018) and -20.6 ± 13.99 (N = 1,018) after 2/4, 6/8, or 12 weeks, respectively. 53.5% (545/1,018) patients showed response to blonanserin treatment in week 12. The post-marketing surveillance results of BNS demonstrates safety profile and effectiveness of the drug.
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Affiliation(s)
- Haishan Wu
- National Clinical Research Center for Mental Disorders, Department of Psychiatry, China National Technology Institute on Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China
| | - Xijin Wang
- The First Psychiatric Hospital of Harbin, Harbin, China
| | - Xuejun Liu
- Brain Hospital of Hunan Province, Changsha, China
| | - Hong Sang
- Changchun Sixth Hospital, Changchun, China
| | - Qijing Bo
- Beijing Anding Hospital, Capital Medical University, Beijing, China
| | | | | | - Keqing Li
- Hebei Provincial Mental Health Center, Baoding, China
| | | | | | - Duanfang Cai
- The Fifth People's Hospital of Zigong, Zigong, China
| | - Huaili Deng
- Psychiatric Hospital of Taiyuan, Taiyuan, China
| | - Guijun Zhao
- Guangyuan Mental Health Center, Guangyuan, China
| | - Juhong Li
- The Fourth People's Hospital of Chengdu, Chengdu, China
| | - Xianglai Liu
- Hainan Provincial Anning Hospital, Haikou, China
| | | | - Jindong Chen
- National Clinical Research Center for Mental Disorders, Department of Psychiatry, China National Technology Institute on Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China
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Shi J, Chi Y, Wang X, Zhang Y, Tian L, Chen Y, Chen C, Dong Y, Sang H, Chen M, Liu L, Zhao N, Kang C, Hu X, Wang X, Liu Q, Li X, Zhu S, Nie M, Wang H, Yang L, Liu J, Wang H, Lu J, Hu J. MiR-124 Regulates IQGAP1 and Participates in the Relationship Between Morphine Dependence Susceptibility and Cognition. Front Psychiatry 2022; 13:845357. [PMID: 35401251 PMCID: PMC8983956 DOI: 10.3389/fpsyt.2022.845357] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Accepted: 02/28/2022] [Indexed: 01/23/2023] Open
Abstract
BACKGROUND Long-term excessive use of morphine leads to addictive diseases and affects cognitive function. Cognitive performance is associated with genetic characteristics.MiR-124 plays a critical regulatory role in neurogenesis, synaptic development, brain plasticity, and the use of addictive substances. As a scaffold protein, IQGAP1 affects learning and memory dose-dependent. However, the role of miR-124 and its target protein as potential addiction biomarkers and the impact on cognitive function have not been fully explored. METHOD A total of 40 patients with morphine dependence and 40 cases of healthy people were recruited. We collected basic and clinical information about the two groups. The Generalized Anxiety Disorder Scale (GAD-7), Patient Health Questionnaire-9(PHQ-9), Montreal Cognition Assessment Scale (MoCA), Pittsburgh Sleep Quality Index (PSQI) were used to assess the severity of depression, anxiety, depressive symptoms, cognitive dysfunction, and sleep quality. RESULTS Compared to the control group, the morphine-dependent group had higher GAD-7, PHQ-9, PSQI scores, and more elevated miR-124 levels but lower MOCA scores and IQGAP1 levels. MiR-124, IQGAP1, the average intake last year were related to OASI scores.MiR-124, IQGAP1, PHQ-9 were associated with MOCA scores. In the multiple regression model, the levels of miR-124 and IQGAP1 were independent factors influencing the severity of morphine dependence. The level of miR-124 was an independent factor influencing the severity of cognitive impairment in patients with morphine dependence. In addition, the luciferase report confirmed that IQGAP1 mRNA is the direct target of miR-124. CONCLUSION MiR-124 and its target protein IQGAP1 are involved in the regulation of addiction and cognitive function in patients with morphine dependence.
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Affiliation(s)
- Jingjing Shi
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Yong Chi
- The National Clinical Research Center for Mental Disorders, Capital Medical University & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.,Beijing Institute for Brain Disorders Center of Schizophrenia, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Xiaohong Wang
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Yingjie Zhang
- The National Clinical Research Center for Mental Disorders, Capital Medical University & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.,Beijing Institute for Brain Disorders Center of Schizophrenia, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Lu Tian
- The National Clinical Research Center for Mental Disorders, Capital Medical University & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.,Beijing Institute for Brain Disorders Center of Schizophrenia, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Yao Chen
- Shenyang Mental Health Center, Shenyang, China
| | - Chunwu Chen
- Shenyang Mental Health Center, Shenyang, China
| | - Yong Dong
- Shenyang Mental Health Center, Shenyang, China
| | - Hong Sang
- Changchun Sixth Hospital, Changchun, China
| | - Ming Chen
- Changchun Sixth Hospital, Changchun, China
| | - Lei Liu
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Na Zhao
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Chuanyi Kang
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Xiaorui Hu
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Xueying Wang
- Harbin University of Science and Technology, Harbin, China
| | - Qingxia Liu
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Xuemin Li
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Shuang Zhu
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Mingxuan Nie
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Honghui Wang
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Liying Yang
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Jiacheng Liu
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Huaizhi Wang
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Jia Lu
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Jian Hu
- Department of Psychiatry, The First Affiliated Hospital of Harbin Medical University, Harbin, China
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Yan W, Li J, Ren F, Sang H. Genkwanin Regulates Tumor Necrosis Factor-á-Induced Hacat Cells Proliferation and Inflammatory Cytokines in Psoriasis by Regulating Nuclear Factor-Kappa B Signaling Pathway. CURR TOP NUTRACEUT R 2021. [DOI: 10.37290/ctnr2641-452x.20:346-351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Genkwanin is an O-methylated flavone, a type of flavonoid, isolated from the spice plant Daphne genkwa. This is a highly safe anti-inflammatory, antioxidant, and anti-tumor agent. Herein, we have examined the effect of genkwanin on psoriasis in which human keratinocytes are susceptible to activation by cytokines secreted by immune cells. In psoriasis, nuclear factor-kappa B signaling pathway and inflammation is excessively activated. However, the regulatory role of genkwanin in psoriasis has not yet been elucidated. The study is designed to evaluate the effect of genkwanin on human immortal keratinocyte HaCaT.
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Affiliation(s)
- Wenliang Yan
- Department of Dermatology, Jinling Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, 210002, PR China
| | - Jin Li
- Department of Dermatology, Jinling Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, 210002, PR China
| | - Fang Ren
- Department of Dermatology, Jinling Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, 210002, PR China
| | - Hong Sang
- Department of Dermatology, Jinling Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, 210002, PR China
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34
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Yuan F, Chen J, Liu F, Dang YC, Kong QT, Sang H. Successful treatment of pulmonary mucormycosis caused by Rhizopus microsporus with posaconazole. Eur J Med Res 2021; 26:131. [PMID: 34775981 PMCID: PMC8591890 DOI: 10.1186/s40001-021-00602-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Accepted: 11/03/2021] [Indexed: 12/19/2022] Open
Abstract
Background Mucormycosis is a rare fungal infection occurring chiefly in the lung or the rhino-orbital-cerebral compartment, particularly in patients with immunodeficiency or diabetes mellitus. Among Mucorales fungi, Rhizopus spp. are the most common cause of mucormycosis. Case presentation We report a case of pulmonary mucormycosis caused by Rhizopus microsporus in a young patient with diabetes but no other apparent risk factors. The diagnosis mainly relied on clinical manifestation, positive pulmonary tissue biopsy, and fungal culture. The patient was successfully treated with posaconazole oral suspension and remains asymptomatic at one-year follow-up. Conclusions Pulmonary mucormycosis is a life-threatening condition and posaconazole is an effective treatment for pulmonary mucormycosis caused by Rhizopus microspores.
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Affiliation(s)
- F Yuan
- Sch Med, Southeast Univ, Nanjing, 210009, People's Republic of China
| | - J Chen
- Dept Dermatology, Sch Med, Jinling Hosp, Nanjing Univ, Nanjing, 210002, People's Republic of China
| | - F Liu
- Dept Dermatology, Sch Med, Jinling Hosp, Nanjing Univ, Nanjing, 210002, People's Republic of China
| | - Y C Dang
- Dept Dermatology, Sch Med, Jinling Hosp, Nanjing Univ, Nanjing, 210002, People's Republic of China
| | - Q T Kong
- Dept Dermatology, Sch Med, Jinling Hosp, Nanjing Univ, Nanjing, 210002, People's Republic of China.
| | - H Sang
- Dept Dermatology, Sch Med, Jinling Hosp, Nanjing Univ, Nanjing, 210002, People's Republic of China.
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35
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Chen XQ, Zheng DY, Xiao YY, Dong BL, Cao CW, Ma L, Tong ZS, Zhu M, Liu ZH, Xi LY, Fu M, Jin Y, Yin B, Li FQ, Li XF, Abliz P, Liu HF, Zhang Y, Yu N, Wu WW, Xiong XC, Zeng JS, Huang HQ, Jiang YP, Chen GZ, Pan WH, Sang H, Wang Y, Guo Y, Shi DM, Yang JX, Chen W, Wan Z, Li RY, Wang AP, Ran YP, Yu J. Aetiology of tinea capitis in China: A multicentre prospective study. Br J Dermatol 2021; 186:705-712. [PMID: 34741300 DOI: 10.1111/bjd.20875] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/30/2021] [Indexed: 02/05/2023]
Abstract
BACKGROUND Tinea capitis is still common in developing countries, such as China. Its pathogen spectrum varies across regions and changes over time. OBJECTIVES This study aimed to clarify the current epidemiological characteristics and pathogen spectrum of tinea capitis in China. METHODS A multicentre, prospective descriptive study involving 29 tertiary hospitals in China was conducted. From August 2019 to July 2020, 611 patients with tinea capitis were enrolled. Data concerning demography, risk factors and fungal tests were collected. The pathogens were further identified by morphology or molecular sequencing when necessary in the central laboratory. RESULTS Among all enrolled patients, 74.1% of the cases were 2- to 8-year-olds. The children with tinea capitis were mainly boys (56.2%) and more likely to have an animal contact history (57.4% vs. 35.3%, P = 0.012) and zoophilic dermatophyte infection (73.5%). The adults were mainly females (83.3%) and more likely to have anthropophilic agent infection (53.5%). The most common pathogen was zoophilic Microsporum canis (354, 65.2%), followed by anthropophilic Trichophyton violaceum (74, 13.6%). In contrast to the eastern, western and northeastern regions where zoophilic M. canis predominated, anthropophilic T. violaceum predominated in central China (69.2%, P < 0.0001), where the patients had the most tinea at other sites (20.3%) and dermatophytosis contact (25.9%) with the least animal contact (38.8%). Microsporum ferrugineum was the most common anthropophilic agent in the western area, especially in Xinjiang Province. CONCLUSIONS Boys aged approximately 5 years were mainly affected. Dermatologists are advised to pay more attention to the different transmission routes and pathogen spectra in different age groups from different regions.
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Affiliation(s)
- X-Q Chen
- Department of Dermatology and Venereology, Peking University First Hospital, National Clinical Research Centre for Skin and Immune Diseases, Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, NMPA Key Laboratory for Quality Control and Evaluation of Cosmetics, Beijing, China
| | - D-Y Zheng
- Department of Dermatology and Venereology, the First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Y-Y Xiao
- Department of Dermatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China
| | - B-L Dong
- Department of Dermatology, Wuhan No.1 Hospital, Wuhan, China
| | - C-W Cao
- Department of Dermatology and Venereology, the First Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - L Ma
- Department of Dermatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China
| | - Z-S Tong
- Department of Dermatology, Wuhan No.1 Hospital, Wuhan, China
| | - M Zhu
- Department of Dermatology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
| | - Z-H Liu
- Department of Dermatology, Hangzhou Third People's Hospital, Affiliated Hangzhou Dermatology Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - L-Y Xi
- Department of Dermatology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China
| | - M Fu
- Department of Dermatology, Xijing Hospital, Xi'an, China
| | - Y Jin
- Department of Dermatology, Dermatology Hospital of Jiangxi Province, Nanchang, China
| | - B Yin
- Department of Dermatology, Chengdu Second People's Hospital, Chengdu, China
| | - F-Q Li
- Department of Dermatology, the Second Hospital of Jilin University, Changchun, China
| | - X-F Li
- Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, China
| | - P Abliz
- Department of Dermatology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, China
| | - H-F Liu
- Department of Dermatology, Dermatology Hospital of Southern Medical University, Guangzhou, China
| | - Y Zhang
- Department of Dermatology, Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin, China
| | - N Yu
- Department of Dermatology, General Hospital of Ningxia Medical University, Yinchuan, China
| | - W-W Wu
- Department of Dermatology, the Fifth People's Hospital of Hainan Province, Haikou, China
| | - X-C Xiong
- Department of Dermatology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - J-S Zeng
- Department of Dermatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - H-Q Huang
- Department of Dermatology and Venereology, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Y-P Jiang
- Department of Dermatology, the Affiliated Hospital of Guizhou Medical University, Guiyang, China
| | - G-Z Chen
- Department of Dermatology, the Affiliated Hospital of Qingdao University, Qingdao, China
| | - W-H Pan
- Department of Dermatology, Shanghai Changzheng Hospital, Naval Military Medical University, Shanghai, China
| | - H Sang
- Department of Dermatology, Jinling Hospital, Medical School of Nanjing University, Nanjing, China
| | - Y Wang
- Department of Dermatology, Changhai Hospital of Shanghai, Shanghai, China
| | - Y Guo
- Department of Dermatology, the Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - D-M Shi
- Department of Dermatology, Jining No, People's Hospital, Jining, China
| | - J-X Yang
- Department of Dermatology, 2nd Affiliated Hospital of Harbin Medical University, Harbin, China
| | - W Chen
- Department of Dermatology and Venereology, Peking University First Hospital, National Clinical Research Centre for Skin and Immune Diseases, Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, NMPA Key Laboratory for Quality Control and Evaluation of Cosmetics, Beijing, China
| | - Z Wan
- Department of Dermatology and Venereology, Peking University First Hospital, National Clinical Research Centre for Skin and Immune Diseases, Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, NMPA Key Laboratory for Quality Control and Evaluation of Cosmetics, Beijing, China
| | - R-Y Li
- Department of Dermatology and Venereology, Peking University First Hospital, National Clinical Research Centre for Skin and Immune Diseases, Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, NMPA Key Laboratory for Quality Control and Evaluation of Cosmetics, Beijing, China
| | - A-P Wang
- Department of Dermatology and Venereology, Peking University First Hospital, National Clinical Research Centre for Skin and Immune Diseases, Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, NMPA Key Laboratory for Quality Control and Evaluation of Cosmetics, Beijing, China
| | - Y-P Ran
- Department of Dermatology, West China Hospital, Sichuan University, Chengdu, China
| | - J Yu
- Department of Dermatology and Venereology, Peking University First Hospital, National Clinical Research Centre for Skin and Immune Diseases, Beijing Key Laboratory of Molecular Diagnosis on Dermatoses, NMPA Key Laboratory for Quality Control and Evaluation of Cosmetics, Beijing, China
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Sang H, Zhao J. Event-Driven Synchronization of Switched Complex Networks: A Reachable-Set-Based Design. IEEE Trans Neural Netw Learn Syst 2021; 32:4761-4768. [PMID: 33035166 DOI: 10.1109/tnnls.2020.3026646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
This study is concerned with the event-driven synchronization for discrete-time switched complex networks. To mitigate the transmission frequency, the dynamic event-triggered mechanism is introduced to orchestrate information transmission. In addition, the investigated complex networks are subject to the unknown nonrandom perturbation with bounded peak, and thus, conventional approaches do not apply, and new approaches are required. For handling this situation, a novel reachable-set-based synchronization technique is then established. With the dwell time switching strategy, sufficient conditions with less conservativeness are formulated, under which the synchronization error is attracted exponentially to a bounded closed region for any initial conditions. Alternatively, for some specified initial sets, the synchronization error is constrained permanently in a bounded closed set. Finally, numerical simulations substantiate the effectiveness and applicability of the theoretical results.
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He C, Kong Q, Shang X, Duan Y, Cui Y, Wang J, Ci C, Sang H. Clinical, laboratory and brain Magnetic Resonance Imaging (MRI) characteristics of asymptomatic and symptomatic HIV-negative neurosyphilis patients. J Infect Chemother 2021; 27:1596-1601. [PMID: 34330638 DOI: 10.1016/j.jiac.2021.07.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Revised: 05/12/2021] [Accepted: 07/05/2021] [Indexed: 11/29/2022]
Abstract
INTRODUCTION There are few studies concerning the differences between asymptomatic neurosyphilis (ANS) and symptomatic neurosyphilis (SNS). This study aimed to summarize clinical, laboratory and brain Magnetic Resonance Imaging (MRI) characteristics of HIV-negative patients with ANS and SNS. METHODS Data from 43 HIV-negative patients with ANS and 59 HIV-negative patients with SNS were retrospectively collected from our hospital between December 2012 and December 2018. RESULTS Compared with the ANS group, SNS group had more patients that were male, age≥45 years, had brain MRI abnormalities, and exhibited higher serum/cerebrospinal fluid (CSF) TRUST titer, CSF WBC count, CSF protein concentration (P < 0.05). Multivariate regression analysis revealed that male sex, age ≥45 years and CSF TRUST titer were risk factors for SNS [odds ratio (OR) = 7.946,P = 0.001;OR = 3.757, P = 0.041; OR = 2.713, P = 0.002; respectively]. The brain MRI findings of 78 patients without comorbidities showed that ischemic infarct lesions presented in 17/37 (45.95%) of patients with ANS; infarct ischemic stroke (73.17%) especially multiple cerebral infractions (46.34%), cerebral atrophy (48.78%) were also common presentations in the SNS group. CONCLUSIONS Patients with HIV-negative ANS and SNS presented different clinical, laboratory and brain MRI features. Male sex, age ≥45 years and elevated CSF TRUST titer may have an increased risk of developing neurological symptoms. Brain MRI abnormalities may present prior to clinical symptoms. Multiple cerebral infarctions without explained reasons or cerebral atrophy should alert clinicians the possibility of SNS.
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Affiliation(s)
- Caifeng He
- Department of Dermatology,Jinling Hospital, Nanjing Medical University, Nanjing, Jiangsu, 210002, China; Department of Dermatology, Yijishan Hospital of Wannan Medical College, Wuhu, Anhui, 241000, China
| | - Qingtao Kong
- Department of Dermatology,Jinling Hospital, Nanjing Medical University, Nanjing, Jiangsu, 210002, China
| | - Xianjin Shang
- Department of Neurology, Yijishan Hospital of Wannan Medical College, Wuhu, Anhui, 241000, China
| | - Yuanyuan Duan
- Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, China
| | - Yong Cui
- Department of Dermatology, Yijishan Hospital of Wannan Medical College, Wuhu, Anhui, 241000, China; Department of Dermatology, China-Japan Friendship Hospital, Beijing, China
| | - Jun Wang
- Department of Dermatology, Yijishan Hospital of Wannan Medical College, Wuhu, Anhui, 241000, China
| | - Chao Ci
- Department of Dermatology, Yijishan Hospital of Wannan Medical College, Wuhu, Anhui, 241000, China.
| | - Hong Sang
- Department of Dermatology,Jinling Hospital, Nanjing Medical University, Nanjing, Jiangsu, 210002, China.
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Sang H, Li WJ, Zhou Y, Zhu H. [Advances in research on the relationship between bile acid, gut microbiota and the occurrence and development of cholangiocarcinoma]. Zhonghua Gan Zang Bing Za Zhi 2021; 29:493-496. [PMID: 34107593 DOI: 10.3760/cma.j.cn501113-20200211-00040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Cholangiocarcinoma is a kind of malignant tumor that originates from the bile duct epithelium. Due to its insidious nature, there is no effective early diagnosis and treatment method. Therefore, once it is detected, it is at an advanced stage and has a poor prognosis. Bile acid is the main component of bile, which acts on cholangiocytes through bile acid receptors and plays a key role in the development of cholangiocarcinoma. Gut microbiota can participate in the occurrence of cholangiocarcinoma by regulating bile acid metabolism. This review mainly focuses on the role of bile acid and bile acid receptors in the occurrence and development of cholangiocarcinoma and the impact of gut microbiota in it.
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Affiliation(s)
- H Sang
- Department of Gastroenterology, the First Affiliated Hospital With Nanjing Medical University, Nanjing 210029, China
| | - W J Li
- Department of Gastroenterology, the First Affiliated Hospital With Nanjing Medical University, Nanjing 210029, China
| | - Y Zhou
- Department of Gastroenterology, the First Affiliated Hospital With Nanjing Medical University, Nanjing 210029, China
| | - H Zhu
- Department of Gastroenterology, the First Affiliated Hospital With Nanjing Medical University, Nanjing 210029, China
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Abstract
This paper investigates the sampled-data-based H∞ synchronization problem for a class of switched coupled neural networks subject to exogenous perturbations. Different from the existing results on the nonswitched and continuous-time control cases, the unmatched phenomena between the switching of the system models and that of the controllers will occur, when the resulting error system switches within a sampling interval. In the framework of time-dependent switching mechanism, sufficient conditions for the existence of the sampled-data controllers are derived under the variable sampling and asynchronous switching. We prove that the proposed method not only renders the synchronization error system exponentially stable but also constrains the influence of the exogenous perturbations on the synchronization performance at a specified level. Finally, a switched coupled cellular neural network and a switched coupled Hopfield neural network are provided to illustrate the applicability and validity of the developed results.
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40
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Sang H, Zhao J. Energy-to-Peak State Estimation for Switched Neutral-Type Neural Networks With Sector Condition via Sampled-Data Information. IEEE Trans Neural Netw Learn Syst 2021; 32:1339-1350. [PMID: 32310793 DOI: 10.1109/tnnls.2020.2984629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
In this article, the energy-to-peak state estimation problem is investigated for a class of switched neutral neural networks subject to the external perturbations with bounded energy. Both the values of the measurement outputs and switching signal of the subsystems are only available for the controllers at the discrete sampling instants. Unlike the results for nonswitched neural networks, the coexistence of the switching and sampling actions directly causes the asynchronous phenomena between the indexes of subsystems and their corresponding controllers. To address this situation, the piecewise time-dependent Lyapunov-Krasovskii functional and slow switching mechanism are introduced. Under the developed theorem conditions, we prove that the designed state estimator exponentially tracks the true value of the neural state with the accessible sampled-data information. Also, the influence of the exogenous perturbations on the peak value of the estimation error is constrained at a prescribed level. Finally, a neutral cellular neural network with switching parameters is employed to substantiate the effectiveness and applicability of the theoretical results.
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Li X, Yang C, Tao Y, Hou X, Liu Y, Sang H, Jiang G. Near-Infrared Light-Triggered Thermosensitive Liposomes Modified with Membrane Peptides for the Local Chemo/Photothermal Therapy of Melanoma. Onco Targets Ther 2021; 14:1317-1329. [PMID: 33658797 PMCID: PMC7920603 DOI: 10.2147/ott.s287272] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 01/29/2021] [Indexed: 01/14/2023] Open
Abstract
Purpose A near-infrared (NIR)-triggered trans-activating transcriptional activator (TAT)-based targeted drug delivery system for the combined chemo/photothermal therapy of melanoma, namely, TAT-TSL-TMZ (temozolomide)/IR820, was developed for the first time. Methods TAT-TSL-TMZ/IR820 liposomes were synthesized via thin-film dispersion and sonication. IR820 and TMZ were encased in the inner layer and lipid bilayer of the liposomes, respectively. Results Dynamic light scattering results showed that the liposomes had an average hydrodynamic size of 166.9 nm and a zeta potential of -2.55 mV. The encapsulation rates of TMZ and IR820 were 35.4% and 28.6%, respectively. The heating curve obtained under near-infrared (NIR) laser irradiation showed that TAT-TSL-TMZ/IR820 liposomes had good photothermal conversion efficiency. The in vitro drug release curve revealed that NIR laser irradiation could accelerate drug release from TAT-TSL-TMZ/IR820 liposomes. The results of inverted fluorescence microscopy and flow cytometry proved that the uptake of TAT-TSL-TMZ/IR820 liposomes by human melanoma cells (MV3 cells) was concentration-dependent and that the liposomes modified with membrane peptides were more likely to be ingested by cells than unmodified liposomes. Confocal laser scanning microscopy indicated that TAT-TSL-TMZ/IR820 liposomes entered MV3 cells via endocytosis and was stored in lysosomes. In addition, TAT-TSL-TMZ/IR820 liposomes exposed to NIR laser showed 89.73% reduction in cell viability. Conclusion This study investigated the photothermal conversion, cell uptake, colocation and chemo/photothermal effect of TAT-TSL-TMZ/IR820 liposomes.
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Affiliation(s)
- Xinxin Li
- Department of Clinical Medicine, Xuzhou Medical University, Xuzhou, 221004, People's Republic of China.,Department of Dermatology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221002, People's Republic of China
| | - Chunsheng Yang
- Jinling Hospital Department of Dermatology, Nanjing Medical University, Nanjing, 210002, People's Republic of China.,Department of Dermatology, The Affiliated Huai'an Hospital of Xuzhou Medical University, The Second People's Hospital of Huai'an, Huai'an, 223002, People's Republic of China
| | - Yingkai Tao
- Department of Clinical Medicine, Xuzhou Medical University, Xuzhou, 221004, People's Republic of China.,Department of Dermatology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221002, People's Republic of China
| | - Xiaoyang Hou
- Department of Clinical Medicine, Xuzhou Medical University, Xuzhou, 221004, People's Republic of China.,Department of Dermatology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221002, People's Republic of China
| | - Yanqun Liu
- Department of Clinical Medicine, Xuzhou Medical University, Xuzhou, 221004, People's Republic of China.,Department of Dermatology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221002, People's Republic of China
| | - Hong Sang
- Jinling Hospital Department of Dermatology, Nanjing Medical University, Nanjing, 210002, People's Republic of China
| | - Guan Jiang
- Department of Clinical Medicine, Xuzhou Medical University, Xuzhou, 221004, People's Republic of China.,Department of Dermatology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221002, People's Republic of China
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Guo ZX, Zhou FZ, Song W, Yu LL, Yan WJ, Yin LH, Sang H, Zhang HY. Suppression of microRNA-101 attenuates hypoxia-induced myocardial H9c2 cell injury by targeting DIMT1-Sp1/survivin pathway. Eur Rev Med Pharmacol Sci 2020; 24:11986. [PMID: 33336713 DOI: 10.26355/eurrev_202012_23952] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The article "Suppression of microRNA-101 attenuates hypoxia-induced myocardial H9c2 cell injury by targeting DIMT1-Sp1/survivin pathway, by Z.-X. Guo, F.-Z. Zhou, W. Song, L.-L. Yu, W.-J. Yan, L.-H. Yin, H. Sang, H.-Y. Zhang, published in Eur Rev Med Pharmacol Sci 2018; 22 (20): 6965-6976-DOI: 10.26355/eurrev_201810_16167-PMID: 30402863" has been withdrawn from the authors due to some inaccuracies. The Publisher apologizes for any inconvenience this may cause. https://www.europeanreview.org/article/16167.
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Affiliation(s)
- Z-X Guo
- Department of Cardiology, Taian City Central Hospital, Taian, China
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Cai X, Deng L, Ma X, Guo Y, Feng Z, Liu M, Guan Y, Huang Y, Deng J, Li H, Sang H, Liu F, Yang X. Altered diversity and composition of gut microbiota in Wilson's disease. Sci Rep 2020; 10:21825. [PMID: 33311635 PMCID: PMC7732847 DOI: 10.1038/s41598-020-78988-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Accepted: 12/02/2020] [Indexed: 02/06/2023] Open
Abstract
Wilson's disease (WD) is an autosomal recessive inherited disorder of chronic copper toxicosis with high mortality and disability. Recent evidence suggests a correlation between dysbiosis in gut microbiome and multiple diseases such as genetic and metabolic disease. However, the impact of intestinal microbiota polymorphism in WD have not been fully elaborated and need to be explore for seeking some microbiota benefit for WD patients. In this study, the 16S rRNA sequencing was performed on fecal samples from 14 patients with WD and was compared to the results from 16 healthy individuals. The diversity and composition of the gut microbiome in the WD group were significantly lower than those in healthy individuals. The WD group presented unique richness of Gemellaceae, Pseudomonadaceae and Spirochaetaceae at family level, which were hardly detected in healthy controls. The WD group had a markedly lower abundance of Actinobacteria, Firmicutes and Verrucomicrobia, and a higher abundance of Bacteroidetes, Proteobacteria, Cyanobacteria and Fusobacteria than that in healthy individuals. The Firmicutes to Bacteroidetes ratio in the WD group was significantly lower than that of healthy control. In addition, the functional profile of the gut microbiome from WD patients showed a lower abundance of bacterial groups involved in the host immune and metabolism associated systems pathways such as transcription factors and ABC-type transporters, compared to healthy individuals. These results implied dysbiosis of gut microbiota may be influenced by the host metabolic disorders of WD, which may provide a new understanding of the pathogenesis and new possible therapeutic targets for WD.
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Affiliation(s)
- Xiangsheng Cai
- Clinical Laboratory, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, 510080, People's Republic of China.
- Department of Medical Laboratory, Guangdong Pharmaceutical University, Guangzhou, 510080, People's Republic of China.
- Center for Medical Experiments, University of Chinese Academy of Science-Shenzhen Hospital, Shenzhen, 518106, People's Republic of China.
| | - Lin Deng
- Department of Dermatology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, People's Republic of China
| | - Xiaogui Ma
- Clinical Laboratory, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, 510080, People's Republic of China
| | - Yusheng Guo
- Department of Medical Laboratory, Guangdong Pharmaceutical University, Guangzhou, 510080, People's Republic of China
| | - Zhiting Feng
- Department of Pathology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, 510080, People's Republic of China
| | - Minqi Liu
- Department of Medical Laboratory, Guangdong Pharmaceutical University, Guangzhou, 510080, People's Republic of China
| | - Yubin Guan
- Clinical Laboratory, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, 510080, People's Republic of China
| | - Yanting Huang
- Clinical Laboratory, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, 510080, People's Republic of China
| | - Jianxin Deng
- Department of Endocrinology, Shenzhen Second People's Hospital, Health Science Center of Shenzhen University, Shenzhen, 518035, People's Republic of China
| | - Hongwei Li
- Institute of Biotherapy, Southern Medical University, Guangzhou, 510515, People's Republic of China
| | - Hong Sang
- Nanjing School of Clinical Medicine, Southern Medical University, Jinling Hospital, Nanjing, 210002, People's Republic of China
| | - Fang Liu
- Institute of Biotherapy, Southern Medical University, Guangzhou, 510515, People's Republic of China.
| | - Xiaorong Yang
- Clinical Laboratory, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, 510080, People's Republic of China.
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Kong QT, Duan YY, Yuan F, Chen J, Liu F, Dang YC, Sang H. Subcutaneous Infection Caused by Cladosporium sphaerospermum: A Case Report. Mycopathologia 2020; 186:135-136. [PMID: 33136225 DOI: 10.1007/s11046-020-00503-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Accepted: 10/21/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Q T Kong
- Jinling Hospital, Department of Dermatology, School of Medicine, Nanjing University, Nanjing, 210002, People's Republic of China
| | - Y Y Duan
- Institute of Dermatology, Chinese Academy of Medical Sciences, Peking Union Medical College, Nanjing, 210042, People's Republic of China
| | - F Yuan
- School of Medicine, Southeast University, Nanjing, 210009, People's Republic of China
| | - J Chen
- Jinling Hospital, Department of Dermatology, School of Medicine, Nanjing University, Nanjing, 210002, People's Republic of China
| | - F Liu
- Jinling Hospital, Department of Dermatology, School of Medicine, Nanjing University, Nanjing, 210002, People's Republic of China
| | - Y C Dang
- Jinling Hospital, Department of Dermatology, School of Medicine, Nanjing University, Nanjing, 210002, People's Republic of China
| | - H Sang
- Jinling Hospital, Department of Dermatology, School of Medicine, Nanjing University, Nanjing, 210002, People's Republic of China.
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Liu H, Yu H, Xia J, Liu L, Liu G, Sang H, Peinemann F. Evidence-based topical treatments (azelaic acid, salicylic acid, nicotinamide, sulfur, zinc, and fruit acid) for acne: an abridged version of a Cochrane systematic review. J Evid Based Med 2020; 13:275-283. [PMID: 33034949 DOI: 10.1111/jebm.12411] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Accepted: 09/02/2020] [Indexed: 02/05/2023]
Abstract
OBJECTIVE The effects of topical azelaic acid, salicylic acid, nicotinamide, sulfur, zinc, and fruit acid (alpha-hydroxy acid) for acne are unclear. We aimed to assess the effects of these topical treatments by collecting randomized controlled trials. METHODS We searched The Cochrane Skin Group Specialised Register, CENTRAL, MEDLINE, Embase, and LILACS up to May 2019. We also searched five trials registers. Two review authors independently extracted data and assessed risk of bias. Meta analyses were performed by using Review Manager 5 software. RESULTS We included a total of 49 trials involving 3880 participants. In terms of treatment response (measured using participants' global self-assessment of acne improvement, PGA), azelaic acid was probably less effective than benzoyl peroxide (RR = 0.82, 95% CI 0.72-0.95). However, there was probably little or no difference in PGA when comparing azelaic acid to tretinoin (RR = 0.94, 95% CI 0.78-1.14). There may be little or no difference when comparing salicylic acid to tretinoin (RR = 1.00, 95% CI 0.92-1.09). There were no studies measured PGA when evaluating nicotinamide. With respect to alpha-hydroxy acid, there may be no difference in PGA when comparing glycolic acid to salicylic-mandelic acid (RR = 1.06, 95% CI 0.88-1.26). We were uncertain about the effects of sulfur and zinc. Adverse events associated with these topical treatments were always mild and transient. CONCLUSIONS Moderate-quality evidence was available for azelaic acid and low- to very-low-quality evidence for other topical treatments. Risk of bias and imprecision limit our confidence in the evidence.
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Affiliation(s)
- Haibo Liu
- Department of Dermatology, Jinling Hospital, Nanjing University School of Medicine, Nanjing, PR China
| | - Haiyan Yu
- Department of Dermatology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
| | - Jun Xia
- Nottingham China Health Institute, The University of Nottingham Ningbo, Ningbo, PR China
| | - Ling Liu
- Department of Neurology, Jinling Hospital, Nanjing University School of Medicine, Nanjing, PR China
| | - Guanjian Liu
- Cochrane China, West China Hospital, Sichuan University, Chengdu, PR China
| | - Hong Sang
- Department of Dermatology, Jinling Hospital, Nanjing University School of Medicine, Nanjing, PR China
| | - Frank Peinemann
- Pediatric Oncology and Hematology, Children's Hospital, University of Cologne, Cologne, Germany
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Ma M, Sang H, Ye Y, Zhuang H, Zhuang Z, Qiu Y, Li X, Xu D, Jiang MH. An analysis of the variations and clinical applications of the lateral circumflex femoral artery. Folia Morphol (Warsz) 2020; 80:557-566. [PMID: 32827310 DOI: 10.5603/fm.a2020.0094] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 07/08/2020] [Accepted: 07/08/2020] [Indexed: 11/25/2022]
Abstract
BACKGROUND Identifying the arterial variation of the lateral circumflex femoral artery (LCFA) is a vital step in planning surgical and radiological approach. The aim of the study was to evaluate the variations and discuss the clinical correlates of the LCFA. MATERIALS AND METHODS Fifty eight adult cadavers (male 45, female 13) with 115 usable sides were used to assess and classify the origin and branches of the LCFA. Also its external diameter, distance from mid-inguinal ligament to sites of origin from the profunda femoris artery or femoral arteries. RESULTS There were seven types of LCFA variations in this sample. We classified them as types A to G, of which type A was normal, that is, the one showing a single LCFA arising from the profunda femoris artery. Nearly 50.43% of the sample had type B-G variations, each having 13, 10, 23, 4, 4, and 3 cases, accounting for 11.30%, 8.70%, 20.00%, 3.48%, 3.48%, and 2.61%, respectively. CONCLUSIONS There are many variant types in the LCFA. To avoid iatrogenic injuries, clinicians must have a sound understanding of the variation types of this important blood vessel.
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Affiliation(s)
- M Ma
- Department of Human Anatomy Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, P.R. China
| | - H Sang
- Department of Human Anatomy Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, P.R. China
| | - Y Ye
- Department of Human Anatomy Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, P.R. China
| | - H Zhuang
- Department of Human Anatomy Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, P.R. China
| | - Z Zhuang
- Department of Human Anatomy Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, P.R. China
| | - Y Qiu
- Department of Human Anatomy Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, P.R. China
| | - X Li
- Department of Human Anatomy Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, P.R. China
| | - D Xu
- Department of Human Anatomy Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, P.R. China
| | - M H Jiang
- Department of Human Anatomy Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, P.R. China.
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Zhang Z, Jiang Y, Chen J, Chen P, Kong Q, Lu L, Sang H. In vitro and in vivo characterization of two nonsporulating Aspergillus fumigatus clinical isolates from immunocompetent patients. Med Mycol 2020; 58:543-551. [PMID: 31290538 DOI: 10.1093/mmy/myz076] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Revised: 05/06/2019] [Accepted: 06/15/2019] [Indexed: 01/04/2023] Open
Abstract
Aspergillus fumigatus is a pathogenic fungus responsible for invasive aspergillosis (IA). Typically, it can produce abundant conidia to survive and spread. The infection by A. fumigatus usually occurs in immunocompromised patients due to failed clearance of inhaled conidia. However, the incidence of aspergillosis in immunocompetent hosts has been increasing, the pathogenesis of which is still unknown. Our team previously obtained two clinical nonsporulating A. fumigatus isolates from non-immunocompromised patients, which only have the form of hyphae. This present study demonstrated the in vitro and in vivo characteristics of the two nonsporulating A. fumigatus isolates and verified that their conidiation defects are associated to abolished expression of the sporulation-related central regulatory pathway brlA gene. In addition, we confirmed the mutation site of brlA gene (c.657_660delTCCT) contributes to the nonsporulating phenotype in one clinical isolate. Plate assay showed that the two nonsporulating isolates have a similar resistance to antifungal drugs, cell wall disturbing substances, and oxidative stress compared with the wild-type reference Af293. Most important of all, we employed an immunocompetent mouse model to mimic the pathogenesis of pulmonary aspergillosis in non-immunocompromised patients. It revealed that the hyphae of two nonsporulating isolates and Af293 have similar virulence in immunocompetent hosts. Interestingly, the hyphae fragments of Af293 but not conidia are able to induce invasive aspergillosis in immunocompetent mice. In conclusion, our study indicate that the form of hyphae may play a dominant causative role in pulmonary aspergillosis of immunocompetent hosts rather than conidia.
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Affiliation(s)
- Zheng Zhang
- Department of Dermatology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China
| | - Yuan Jiang
- Department of Dermatology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China
| | - Jun Chen
- Department of Dermatology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China
| | - Peiying Chen
- Department of Dermatology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China
| | - Qingtao Kong
- Department of Dermatology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China
| | - Ling Lu
- Jiangsu Key Laboratory for Microbes and Functional Genomics, Jiangsu Engineering and Technology Research Center for Microbiology, College of Life Sciences, Nanjing Normal University, Nanjing, China
| | - Hong Sang
- Department of Dermatology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China
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Yang R, Duan Y, Kong Q, Li W, Xu J, Xia X, Sang H. What do we learn from dystrophic epidermolysis bullosa, nails only? Idiopathic nail dystrophy may harbor a COL7A1 mutation as the underlying cause. J Dermatol 2020; 47:782-786. [PMID: 32396230 DOI: 10.1111/1346-8138.15372] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Accepted: 04/05/2020] [Indexed: 12/01/2022]
Abstract
Dystrophic epidermolysis bullosa (DEB) is a genodermatosis caused by mutations in the COL7A1 gene. DEB, nails only (DEB-na), is a rare type of DEB. Patients with DEB-na can be overlooked, and genetic testing is helpful to determine the correct diagnosis. We collected two families with DEB-na. Clinical information was analyzed. Ultrastructural analysis of the skin tissue was performed. Blood samples were obtained. Next-generation sequencing was performed and the results were confirmed by Sanger sequencing. A genetic study revealed two novel heterozygous mutations: COL7A1:c.6742G>A (p.G2248R) in patient 1 and c.7181C>G (p.P2394R) in patient 2. Precise diagnosis was made for every patient based on clinical findings and genetic studies. We summarized the phenotype and COL7A1 mutations related to DEB-na. We report a new phenotype of DEB-na and two novel mutations in COL7A1. In addition, we emphasize the importance of careful clinical examination and genetic testing in the diagnosis of DEB-na.
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Affiliation(s)
- Rui Yang
- Department of Dermatology, School of Medicine, Jinling Hospital, Nanjing University, Nanjing, China
| | - Yuanyuan Duan
- Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, China
| | - Qingtao Kong
- Department of Dermatology, School of Medicine, Jinling Hospital, Nanjing University, Nanjing, China
| | - Weiwei Li
- Department of Reproduction and Genetics, Institute of Laboratory Medicine, School of Medicine, Jinling Hospital, Nanjing University, Nanjing, China
| | - Jie Xu
- Department of Dermatology, School of Medicine, Jinling Hospital, Nanjing University, Nanjing, China
| | - Xinyi Xia
- Department of Reproduction and Genetics, Institute of Laboratory Medicine, School of Medicine, Jinling Hospital, Nanjing University, Nanjing, China
| | - Hong Sang
- Department of Dermatology, School of Medicine, Jinling Hospital, Nanjing University, Nanjing, China
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Liu H, Yu H, Xia J, Liu L, Liu GJ, Sang H, Peinemann F. Topical azelaic acid, salicylic acid, nicotinamide, sulphur, zinc and fruit acid (alpha-hydroxy acid) for acne. Cochrane Database Syst Rev 2020; 5:CD011368. [PMID: 32356369 PMCID: PMC7193765 DOI: 10.1002/14651858.cd011368.pub2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
BACKGROUND Acne is an inflammatory disorder with a high global burden. It is common in adolescents and primarily affects sebaceous gland-rich areas. The clinical benefit of the topical acne treatments azelaic acid, salicylic acid, nicotinamide, sulphur, zinc, and alpha-hydroxy acid is unclear. OBJECTIVES To assess the effects of topical treatments (azelaic acid, salicylic acid, nicotinamide, zinc, alpha-hydroxy acid, and sulphur) for acne. SEARCH METHODS We searched the following databases up to May 2019: the Cochrane Skin Group Specialised Register, CENTRAL, MEDLINE, Embase, and LILACS. We also searched five trials registers. SELECTION CRITERIA Clinical randomised controlled trials of the six topical treatments compared with other topical treatments, placebo, or no treatment in people with acne. DATA COLLECTION AND ANALYSIS We used standard methodological procedures expected by Cochrane. Key outcomes included participants' global self-assessment of acne improvement (PGA), withdrawal for any reason, minor adverse events (assessed as total number of participants who experienced at least one minor adverse event), and quality of life. MAIN RESULTS We included 49 trials (3880 reported participants) set in clinics, hospitals, research centres, and university settings in Europe, Asia, and the USA. The vast majority of participants had mild to moderate acne, were aged between 12 to 30 years (range: 10 to 45 years), and were female. Treatment lasted over eight weeks in 59% of the studies. Study duration ranged from three months to three years. We assessed 26 studies as being at high risk of bias in at least one domain, but most domains were at low or unclear risk of bias. We grouped outcome assessment into short-term (less than or equal to 4 weeks), medium-term (from 5 to 8 weeks), and long-term treatment (more than 8 weeks). The following results were measured at the end of treatment, which was mainly long-term for the PGA outcome and mixed length (medium-term mainly) for minor adverse events. Azelaic acid In terms of treatment response (PGA), azelaic acid is probably less effective than benzoyl peroxide (risk ratio (RR) 0.82, 95% confidence interval (CI) 0.72 to 0.95; 1 study, 351 participants), but there is probably little or no difference when comparing azelaic acid to tretinoin (RR 0.94, 95% CI 0.78 to 1.14; 1 study, 289 participants) (both moderate-quality evidence). There may be little or no difference in PGA when comparing azelaic acid to clindamycin (RR 1.13, 95% CI 0.92 to 1.38; 1 study, 229 participants; low-quality evidence), but we are uncertain whether there is a difference between azelaic acid and adapalene (1 study, 55 participants; very low-quality evidence). Low-quality evidence indicates there may be no differences in rates of withdrawal for any reason when comparing azelaic acid with benzoyl peroxide (RR 0.88, 95% CI 0.60 to 1.29; 1 study, 351 participants), clindamycin (RR 1.30, 95% CI 0.48 to 3.56; 2 studies, 329 participants), or tretinoin (RR 0.66, 95% CI 0.29 to 1.47; 2 studies, 309 participants), but we are uncertain whether there is a difference between azelaic acid and adapalene (1 study, 55 participants; very low-quality evidence). In terms of total minor adverse events, we are uncertain if there is a difference between azelaic acid compared to adapalene (1 study; 55 participants) or benzoyl peroxide (1 study, 30 participants) (both very low-quality evidence). There may be no difference when comparing azelaic acid to clindamycin (RR 1.50, 95% CI 0.67 to 3.35; 1 study, 100 participants; low-quality evidence). Total minor adverse events were not reported in the comparison of azelaic acid versus tretinoin, but individual application site reactions were reported, such as scaling. Salicylic acid For PGA, there may be little or no difference between salicylic acid and tretinoin (RR 1.00, 95% CI 0.92 to 1.09; 1 study, 46 participants; low-quality evidence); we are not certain whether there is a difference between salicylic acid and pyruvic acid (1 study, 86 participants; very low-quality evidence); and PGA was not measured in the comparison of salicylic acid versus benzoyl peroxide. There may be no difference between groups in withdrawals when comparing salicylic acid and pyruvic acid (RR 0.89, 95% CI 0.53 to 1.50; 1 study, 86 participants); when salicylic acid was compared to tretinoin, neither group had withdrawals (both based on low-quality evidence (2 studies, 74 participants)). We are uncertain whether there is a difference in withdrawals between salicylic acid and benzoyl peroxide (1 study, 41 participants; very low-quality evidence). For total minor adverse events, we are uncertain if there is any difference between salicylic acid and benzoyl peroxide (1 study, 41 participants) or tretinoin (2 studies, 74 participants) (both very low-quality evidence). This outcome was not reported for salicylic acid versus pyruvic acid, but individual application site reactions were reported, such as scaling and redness. Nicotinamide Four studies evaluated nicotinamide against clindamycin or erythromycin, but none measured PGA. Low-quality evidence showed there may be no difference in withdrawals between nicotinamide and clindamycin (RR 1.12, 95% CI 0.49 to 2.60; 3 studies, 216 participants) or erythromycin (RR 1.40, 95% CI 0.46 to 4.22; 1 study, 158 participants), or in total minor adverse events between nicotinamide and clindamycin (RR 1.20, 95% CI 0.73 to 1.99; 3 studies, 216 participants; low-quality evidence). Total minor adverse events were not reported in the nicotinamide versus erythromycin comparison. Alpha-hydroxy (fruit) acid There may be no difference in PGA when comparing glycolic acid peel to salicylic-mandelic acid peel (RR 1.06, 95% CI 0.88 to 1.26; 1 study, 40 participants; low-quality evidence), and we are uncertain if there is a difference in total minor adverse events due to very low-quality evidence (1 study, 44 participants). Neither group had withdrawals (2 studies, 84 participants; low-quality evidence). AUTHORS' CONCLUSIONS Compared to benzoyl peroxide, azelaic acid probably leads to a worse treatment response, measured using PGA. When compared to tretinoin, azelaic acid probably makes little or no difference to treatment response. For other comparisons and outcomes the quality of evidence was low or very low. Risk of bias and imprecision limit our confidence in the evidence. We encourage the comparison of more methodologically robust head-to-head trials against commonly used active drugs.
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Affiliation(s)
- Haibo Liu
- Department of Dermatology, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China
| | - Haiyan Yu
- Department of Dermatology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Jun Xia
- Nottingham China Health Institute, The University of Nottingham Ningbo, Ningbo, China
| | - Ling Liu
- Department of Neurology, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China
| | - Guan J Liu
- Cochrane China, West China Hospital, Sichuan University, Chengdu, China
| | - Hong Sang
- Department of Dermatology, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China
| | - Frank Peinemann
- Pediatric Oncology and Hematology, Children's Hospital, University of Cologne, Cologne, Germany
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Chen P, Liu J, Zeng M, Sang H. Exploring the molecular mechanism of azole resistance in Aspergillus fumigatus. J Mycol Med 2020; 30:100915. [DOI: 10.1016/j.mycmed.2019.100915] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 10/24/2019] [Accepted: 11/24/2019] [Indexed: 12/20/2022]
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