Publications by authors named "Xiao-Jiao Zhang"

Based on latent structure model and association rule analysis, this study investigates the prescription patterns used by professor YANG Zhong-qi in treating hypertension with traditional Chinese medicine(TCM) and infers the associated TCM syndromes, providing a reference for clinical syndrome differentiation and treatment. The observation window spanned from January 8, 2013, to June 26, 2024, during which qualified herbal decoction prescriptions meeting efficacy criteria were extracted from the outpatient medical record system of the First Affiliated Hospital of Guangzhou University of Chinese Medicine and compiled into a standardized database. Statistical analysis of high-frequency herbs included frequency counts and herbal property-channel tropism analysis.

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Background: The impact of healthy lifestyles on epigenetic age acceleration (EAA) and mortality in middle-aged/ senior populations remains unclear. This study investigates associations between lifestyle factors, EAA biomarkers, and mortality risk.

Method: The 2532 adults of 50 years or older that registered in NHANES between 1999-2002.

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This study investigates the effect and underlying mechanism of Guizhi Tongluo Tablets(GZTL) in treating atherosclerosis(AS) in a mouse model. Apolipoprotein E-knockout(ApoE~(-/-)) mice were randomly assigned to the following groups: model, high-, medium-, and low-dose GZTL, and atorvastatin(ATV), and age-matched C57BL/6J mice were selected as the control group. ApoE~(-/-) mice in other groups except the control group were fed with a high-fat diet for the modeling of AS and administrated with corresponding drugs via gavage for 8 weeks.

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Cardiac fibrosis(CF) is a cardiac pathological process characterized by excessive deposition of extracellular matrix(ECM). When the heart is damaged by adverse stimuli, cardiac fibroblasts are activated and secrete a large amount of ECM, leading to changes in cardiac fibrosis, myocardial stiffness, and cardiac function declines and accelerating the development of heart failure. There is a close relationship between heart yin deficiency and cardiac fibrosis, which have similar pathogenic mechanisms.

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The study was conducted to investigate the mechanism of Xinyang Tablets( XYP) in modulating the fat mass and obesity-associated protein(FTO)/N6-methyladenosine(m6A) signaling pathway to ameliorate ventricular remodeling in heart failure(HF). A mouse model of HF was established by transverse aortic constriction(TAC). Mice were randomized into sham, model, XYP(low, medium, and high doses), and positive control( perindopril) groups(n= 10).

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This study employs density functional theory and non-equilibrium Green's function methods to investigate the thermoelectric and thermal spin transport properties of four molecular devices, which are constructed by four different DNA base molecules, adenine (A), guanine (G), cytosine (C), thymine (T), adsorbing on graphene nanoribbon (GNR). The research reveals that the Device-G and Device-C adsorption turn on a spin-down electron transport channel, resulting in a strongly spin-polarized current. When a temperature difference is applied at GNR electrodes, the values of thermoelectric both charge current and spin current follows the device sequence A < T < C < G.

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Background: While there are numerous benefits to tea consumption, its long-term impact on patients with chronic kidney disease (CKD) remains unclear.

Method: Our analysis included 17,575 individuals with CKD from an initial 45,019 participants in the National Health and Nutrition Examination Survey (NHANES) (1999-2018). Individuals with extreme dietary habits, pregnancy, or non-CKD conditions were excluded.

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BACKGROUND Recently, the albumin-to-creatinine ratio (ACR) has been suggested as a valuable biomarker for adverse events in acute myocardial infarction. However, the prognostic value of ACR in very elderly patients (≥80 years) with non-ST-elevation acute coronary syndrome (NSTE-ACS) after percutaneous coronary intervention (PCI) remains unclear. MATERIAL AND METHODS A total of 354 very elderly patients with NSTE-ACS who underwent PCI were included in this study and followed up for 1 year.

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  • This study investigates how intrinsic capacity (IC), which reflects mental and physical health, relates to sleep patterns in older adults in China.
  • Using data from the China Health and Retirement Longitudinal Study (CHARLS), researchers analyzed sleep duration and its effects on IC over four years.
  • Results showed that both too much and too little sleep negatively affect IC, while moderate naps can help preserve it, with the best outcomes when nap time is about one-seventh of total sleep time.
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Background: The plasma uric acid to albumin ratio (UAR) is considered as a novel indicator for Inflammation. However, the association between UAR and coronary slow flow phenomenon (CSFP) remains unclear.

Methods: A total of 1328 individuals with chronic coronary syndrome (CCS) receiving coronary angiography (CAG) and found no obvious obstructive stenosis (< 40%) were included in this study.

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Background: Retrograde guidewire (GW) tracking success via a poor septal collateral channel (CC) when an antegrade approach fails is crucial for successful revascularization of coronary chronic total occlusion (CTO) with poor septal CC. However, the incidence, predictors, and management strategies for retrograde GW tracking failure via poor septal CC remain unclear.

Methods: In total, 122 CTO patients who underwent retrograde septal percutaneous coronary intervention (PCI) with poor CC between January 2017 and May 2022 were retrospectively analyzed.

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  • This study analyzed NHANES data from 1999-2018, focusing on the effects of carbohydrate sources on mortality in 11,302 chronic kidney disease (CKD) patients.
  • It found that CKD patients who relied more on carbohydrates from whole grains, fruits, and vegetables, while minimizing intake from fruit juice or sauces, had lower mortality rates.
  • The research suggests that replacing fats with these healthier carbohydrate sources can significantly reduce all-cause mortality, possibly due to their higher fiber content.
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  • Diabetic cardiomyopathy (DCM) is a common and serious heart condition linked to diabetes, with limited treatment options and high rates of complications.
  • The article discusses how inflammation significantly influences the development and worsening of DCM by affecting heart cells and vessels.
  • It reviews recent research on the role of inflammation and considers potential benefits of existing anti-inflammatory drugs for managing DCM to help improve clinical practices.
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Background: Percutaneous coronary intervention for in-stent restenosis (ISR) chronic total occlusion (CTO) has been a great challenge. There are occasions when the balloon is uncrossable or undilatable (BUs) even though the guidewire has passed, leading to failure of the procedure. Few studies have focused on the incidence, predictors, and management of BUs during ISR-CTO intervention.

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  • Muscle wasting linked to chronic kidney disease (CKD) and dialysis can lead to increased health risks, but the role of ferroptosis (a type of cell death) in this process is still being researched as a potential treatment target.
  • The study involved analyzing the skeletal muscle of mice with CKD to check for signs of ferroptosis and to screen traditional Chinese herbs for their ability to prevent muscle wasting and ferroptosis.
  • Results showed that a compound called Lobetyolin (LBT) significantly reduced muscle injury by inhibiting ferroptosis in both mice and lab cells, suggesting its potential as a therapeutic agent against muscle wasting related to CKD.
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  • Cardiovascular diseases are highly prevalent in advanced chronic kidney disease patients, often leading to cardiac dysfunction due to issues like hypertrophy and fibrosis, highlighting the need for new therapies aimed at preserving heart function.
  • The study aimed to identify potential treatments for cardiorenal syndrome type 4 (CRS) through a combination of molecular phenotyping and various experimentation methods, including gene expression analysis and different staining techniques.
  • The findings revealed that Lobetyolin (LBT) improved cardiac dysfunction in animal models and that its mechanism involves the suppression of Osteopontin (OPN) through JNK signaling, indicating a potential therapeutic pathway for CRS.
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Background: Systemic immune-inflammation index (SII, platelet × neutrophil/lymphocyte ratio), a new marker of inflammation, is associated with adverse cardiovascular events, but its relationship with coronary slow flow phenomenon (CSFP) is unclear. Therefore, we aimed to investigate the relationship between SII and CSFP.

Methods: We enrolled consecutive patients who presented with chest pain, with normal/near-normal coronary angiography findings (n = 89 as CSFP group; n = 167 as control group).

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Background: To investigate the feasibility and accuracy of the Euro CTO (CASTLE) score obtained on coronary computed tomography angiography (CCTA) for predicting the success of percutaneous coronary intervention (PCI) and the 30-min wire crossing in chronic total occlusions (CTO).

Method: One hundred and fifty patients (154 CTO cases; median age, 61 (interquartile range [IQR], 54-68) years; 75.3% male) received CCTA at the People's Hospital of Liaoning Provincce within 1 month before the procedure.

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Cutaneous blastomycosis is endemic to North America and is often caused by dimorphic fungi with spores that are inhaled, inoculated spores, or hyphae that infect immunosuppressed and healthy people. It is sporadic and described as a universal imitator with morphological manifestations as erythema, nodules, and ulcers. Our case demonstrated a 69-year-old female bitten by her pet dog who was then diagnosed with cutaneous blastomycosis through social history and detailed laboratory examinations.

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Objective: To analyze the influence of bone marrow involvement (BMI) in patients with malignant lymphoma (ML) on laboratory indexes, and evaluate the laboratory markers that can be used to predict/diagnose BMI.

Methods: The clinical characteristics and laboratory indexes of 137 ML patients were analyzed retrospectively, from which the indexes of BMI in ML patients was studied. The logistic regression analysis and receiver operating curve (ROC) were used to evaluate independent risk factors and predictors of BMI diagnosis in ML patients.

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Objectives: To assess the effectiveness and safety of ARW for vascular recanalization in CTO patients.

Background: Chronic total occlusion (CTO) of coronary artery accompanied with large branch distal to the occluded segment (<2 mm) is one of the challenges physicians are facing during the coronary intervention. In cases where the antegrade wire passed the occluded segment reaching the branch vessel, but could not access the main vessel through various adjustments, application of active antegrade reverse wire technique (ARW) could be considered.

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Background: Retrograde microcatheter collateral channel (CC) tracking after successful wiring of septal CC is crucial for retrograde revascularization of coronary chronic total occlusion (CTO). However, the incidence, predictors, and strategies for failure of retrograde microcatheter CC tracking after successful wiring of septal CC remain unclear.

Methods: In total, 298 patients with CTO who underwent retrograde septal CC PCI between January 2015 and May 2019 were retrospectively analyzed.

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Objective: To explore the feasibility and safety of the active retrograde backup (ARB) for treatment of chronic total occlusion (CTO) during retrograde percutaneous coronary intervention (PCI).

Background: Guiding support plays an important role in guidewire and microcatheter coronary channel (CC) tracking in retrograde PCI therapy for patients with CTO. However, the feasibility and safety of retrograde active use of a mother-and-child catheter are still unclear.

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Background: Sex differences in the long-term prognosis of symptomatic hypertrophic obstructive cardiomyopathy (HOCM) patients undergoing alcohol septal ablation (ASA) remain unclear, especially in the Chinese Han population.

Method: This cohort study included 320 HOCM Chinese Han patients who underwent ASA because of symptomatic left ventricular outflow tract (LVOT) obstruction. Patients were grouped according to sex: females (mean±standard deviation age [SD] 50.

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Background: Patients with coronary chronic total occlusion (CTO) require effective antiplatelet therapy after percutaneous coronary intervention (PCI). Ticagrelor has more pronounced platelet inhibition than clopidogrel. However, the most appropriate dose of ticagrelor in East Asian populations remains unclear.

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