Publications by authors named "Huanzhang Li"

Background: The 2021 WHO Classification of Central Nervous System Tumors introduces more molecular markers for glioma reclassification, including TERT promoter (TERTp) mutation as a key feature in glioblastoma diagnosis.

Aims: Given the changes in the entities included in each subtype under the new classification, this research investigated the distribution, prognostic value, and correlations with other molecular alterations of TERTp mutation in different subgroups under this latest classification.

Methods: All glioma patients admitted to Peking Union Medical College Hospital for surgical resection or biopsy from 2011 to 2022 were included.

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Background: The diagnosis of glioma has advanced since the release of the WHO 2021 classification with more molecular alterations involved in the integrated diagnostic pathways. Our study aimed to present our experience with the clinical features and management of astrocytoma, IDH mutant based on the latest WHO classification.

Methods: Patients diagnosed with astrocytoma, IDH-mutant based on the WHO 5th edition classification of CNS tumors at our center from January 2009 to January 2022 were included.

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  • The study investigates intratumoral hemorrhage as a potential initial sign of glioma, analyzing its prevalence in different glioma types and its correlations with patient genetics and outcomes.
  • Conducted on 457 patients who underwent surgery, the study discovered that 14.7% presented with hemorrhage, leading to older age and poorer health scores among this group.
  • Results indicated that specific genetic alterations (CDKN2B, KMT5B, and PIK3CA) were more common in patients with hemorrhage and those individuals faced worse prognoses compared to their non-hemorrhage counterparts.
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  • The 2021 WHO Classification updates the glioma grading system, highlighting amplification (Amp) as a key diagnostic marker for glioblastoma (GBM).
  • A study analyzed 187 adult glioma patients from 2011 to 2022, finding that Amp was more prevalent in IDH-wildtype gliomas and GBM compared to IDH-mutant gliomas.
  • Results suggested that while Amp did not impact overall survival in IDH-mutant gliomas, it was associated with poorer survival outcomes in IDH-wildtype diffuse gliomas and GBM, confirming its role as a diagnostic marker.
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  • The study aimed to identify factors that can predict overall survival in glioma patients being treated with bevacizumab, analyzing data from 102 patients over an 11-year period.
  • A nomogram was created using 19 clinical and 60 molecular variables, revealing that lower tumor grades, previous radiochemotherapy, and wildtype EGFR status were associated with longer survival.
  • The model exhibited moderate performance with a concordance index of 0.652, suggesting it could help doctors predict treatment benefits for these patients.
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  • Cognitive impairment is prevalent in diffuse glioma patients, prompting a study to explore the link between preoperative cognitive function and various clinical and molecular factors based on the updated 2021 WHO classification.
  • The study involved 110 patients who underwent cognitive assessments and had their clinical data and gene sequencing analyzed, revealing significant factors like age, tumor location, and glioblastoma type affecting cognitive function.
  • Genetic alterations such as IDH, CIC, and ATRX are identified to have positive correlations with cognitive aspects, highlighting the need to consider both clinical and molecular characteristics for better management of glioma patients and overall cognitive outcomes.
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Background: The latest fifth edition of the World Health Organization (WHO) classification of the central nervous system (CNS) tumors (WHO CNS 5 classification) released in 2021 defined astrocytoma, IDH-mutant, Grade 4. However, the understanding of this subtype is still limited. We conducted this study to describe the features of astrocytoma, IDH-mutant, Grade 4 and explored the similarities and differences between histological and molecular subtypes.

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Introduction: Glioblastoma (GBM), the most lethal primary brain malignancy, is divided into histological (hist-GBM) and molecular (mol-GBM) subtypes according to the 2021 World Health Organization classification of central nervous system tumors. This study aimed to characterize the clinical, radiological, molecular, and survival features of GBM under the current classification scheme and explore survival determinants.

Methods: We re-examined the genetic alterations of IDH-wildtype diffuse gliomas at our institute from 2011 to 2022, and enrolled GBMs for analysis after re-classification.

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Introduction: The fifth edition of the World Health Organization (WHO) classification of central nervous system (CNS) tumors released in 2021 formally defines pediatric-type diffuse gliomas. However, there is still little understanding of pediatric-type diffuse gliomas, and even less attention has been paid to adult patients. Therefore, this study describes the clinical radiological, survival, and molecular features of adult patients with pediatric-type glioma.

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  • * Immunotherapy, particularly PD-1 and CAR-T therapies, has shown some promise in treating recurrent GBM (rGBM), but results have not met expectations, prompting renewed interest in tumor vaccines as a potential solution.
  • * This review will discuss the unique immunological challenges posed by CNS tumors and summarize the development and effectiveness of novel tumor vaccines, as well as evaluate findings from early-phase studies and large-scale trials to explore the future of vaccination strategies in GBM treatment.
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Background: The 5th edition of the World Health Organization (WHO) classification of central nervous system tumors incorporated specific molecular alterations into the categorization of gliomas. The major revision of the classification scheme effectuates significant changes in the diagnosis and management of glioma. This study aimed to depict the clinical, molecular, and prognostic characteristics of glioma and its subtypes according to the current WHO classification.

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Immunotherapy for cancer is a rapidly developing treatment that modifies the immune system and enhances the antitumor immune response. B7-H3 (CD276), a member of the B7 family that plays an immunoregulatory role in the T cell response, has been highlighted as a novel potential target for cancer immunotherapy. B7-H3 has been shown to play an inhibitory role in T cell activation and proliferation, participate in tumor immune evasion and influence both the immune response and tumor behavior through different signaling pathways.

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What Is Already Known About This Topic?: Neurocysticercosis is the most severe form of infection caused by ingesting cysticerci, the larval cysts of the pork tapeworm, Approximately 50 million people worldwide have neurocysticercosis, which is the leading cause of acquired epilepsy in many endemic countries.

What Is Added By This Report?: The health of neurocysticercosis patients can be seriously impaired, including through loss of mobility, inability to do self-care, impairment of usual activities, pain/discomfort, anxiety/depression, and impaired cognition. Cognitive impairment is the major consequence of neurocysticercosis and significant contributor to decreased health-related quality of life.

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Optimal management strategies for elderly glioblastoma (GBM) patients remain elusive. Overall survival (OS) and progression-free survival (PFS) in elderly newly diagnosed GBM (ndGBM) patients were analyzed with random-effects Bayesian network meta-analysis with the estimated hazard ratio (HR) with a 95% confidence interval (95% CrI). In addition, OS, PFS and adverse event (AE) data on ndGBM and recurrent GBM (rGBM) were assessed.

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  • Cysticercosis is a significant public health issue in China, primarily linked to socio-economic challenges and poor public health infrastructure.
  • The study analyzed data from 2000 to 2014 in Dali, Yunnan Province, revealing 3,347 cysticercosis cases, predominantly affecting young male farmers, particularly from the Bai nationality.
  • The research identified three main hotspots for the disease and emphasizes the need for multi-sectoral control strategies to address environmental and lifestyle factors contributing to the incidence of cysticercosis.
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Background: Cysticercosis is spreading all over the world and it is a major health problem in most countries of Latin America, Africa, and Asia. Extensive disseminated cysticercosis is relatively rare and fewer than 120 case have been reported in the worldwide. We reported a rare case of extensive disseminated cysticercosis in Yunan province, China.

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  • The study aimed to gather essential information on new cases of cysticercosis in Dali Prefecture, Yunnan Province, to aid in creating effective prevention and control strategies for the disease.
  • The analysis focused on data from 2014 to 2017, revealing 549 new cases, primarily among middle-aged male farmers, with most cases being neurocysticercosis and presenting symptoms like epilepsy and headaches.
  • The annual incidence rates showed a slight decline over the years, but the area remains endemic, highlighting the need for ongoing monitoring and enhanced prevention measures.
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Objective: To introduce a novel 3D-printed prosthetic composite for reconstruction of massive bone defects after resection for bone malignancy of lower extremities. The design concept, surgical technique, and the preliminary outcomes were elaborated.

Methods: Patients with primary malignant tumors of lower extremities requiring tumor resection and reconstruction were recruited between Jun 2015 and Nov 2018.

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A taeniasis/cysticercosis information management system was designed to achieve the dynamic monitoring of the epidemic situation of taeniasis/cysticercosis and improve the intelligence level of disease information management. The system includes three layer structures (application layer, technical core layer, and data storage layer) and designs a datum transmission and remote communication system of traffic information tube in Browser/Server architecture. The system is believed to promote disease datum collection.

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  • * In regions of China, particularly in the southwest, the disease is prevalent due to poor healthcare and traditional dietary habits.
  • * Diagnosis is typically through neuroimaging techniques like CT and MRI, alongside immunological assays, but current prevention efforts are still inadequate, prompting calls for improved strategies.
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Background & Objective: Despite the established pro-inflammatory actions of platelet activating factor (PAF) observed on chronic obstructive pulmonary disease (COPD), its action on airway remodeling has been still unclear. It has been reported that nuclear factor-kappa B (NF-kappaB) activity is necessary for ASMC proliferation. Further, PAF has been identified as the proximal inducer of NF-kappaB.

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