Publications by authors named "Zhanzheng Zhao"

Innate lymphoid cells (ILCs) are crucial components of the innate immune system that facilitate rapid responses to tissue homeostasis, infection, injury, and inflammation. Recent studies have shown that ILCs can migrate from intestinal tissue to the kidneys, where they mediate immune function, playing an important role in the pathogenesis of acute and chronic kidney diseases. This review addresses the latest research progress on ILCs in mucosal immunity and acute and chronic kidney diseases, focusing on the potential mechanisms of ILCs in the pathogenesis and progression of diseases, such as acute kidney injury, immunoglobulin A (IgA) nephropathy, and lupus nephritis.

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BackgroundThere are inequalities in resource allocation and services across peritoneal dialysis (PD) centers in China. This study aimed to explore the association between hospital type (university-affiliated vs. non-university-affiliated hospitals) and clinical outcomes in PD patients.

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Background: Chronic kidney disease-associated pruritus (CKD-aP) is a common and distressing symptom in hemodialysis patients. This Phase II trial evaluated the efficacy and safety of HSK21542, a selective kappa-opioid receptor agonist, in managing CKD-aP.

Methods: Adult patients on hemodialysis with moderate to severe pruritus, were randomized 1:1:1 to placebo, or HSK21542 (0.

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IgA nephropathy (IgAN) is a common form of glomerulonephritis. According to the established multi-hit theory of IgAN pathogenesis, the final hit is the mesangial deposition of IgA1-containing immune complexes, leading to characteristic pathological features such as mesangial cell proliferation and expansion of extracellular matrix. We analyzed several public transcriptomic datasets, including microarray and bulk RNA-sequencing, to identify pathway alterations in IgAN patients and progressors.

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IntroductionAlthough the impact of air pollutants on infectious diseases is well-known, there is limited evidence regarding its effects on peritoneal dialysis (PD) patients. This study aimed to investigate the association between air pollutants and PD-related peritonitis.MethodsThis is an observational study affiliated to the PD Telemedicine-assisted Platform Cohort Study (PDTAP study), which is a national-level cohort study in China.

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Objective: This study investigated the causes of Mitochondrial Dysfunction (MD) in Diabetic Kidney Disease (DKD) progression, and identified genes associated with DKD, especially those with significant genetic causal effects, to provide a theoretical basis for DKD treatment.

Methods: Using a large database and single-cell RNA sequencing (scRNA-seq) data, 333 MDRDEGs were discovered. MDRDEGs were linked to AGE-RAGE signaling, RNA processing, protein transport, and energy metabolism using functional enrichment analysis.

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Anti-glomerular basement membrane disease (anti-GBM disease) is a rare autoimmune disease, traditionally considered a monophasic autoimmune disorder, but more and more cases of recurrence have been reported. Through a review of the published literature and analysis of recurrent cases from our institution, we identified key predisposing factors including smoking (21.7%), hydrocarbon exposure (7.

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Background And Hypothesis: Iron metabolism markers, such as transferrin saturation (TSAT) and ferritin, are crucial in anemia management in patients with CKD and those undergoing dialysis, yet optimal levels remain unelucidated.

Methods: We conducted a prospective multicenter cohort study using data from the nationwide Peritoneal Dialysis Telemedicine-based Management Platform (PDTAP) to analyze TSAT, ferritin, and hemoglobin (Hb) levels, and their associations with mortality in the peritoneal dialysis (PD) population.

Results: Our study included 4429 PD patients, analyzing data through restricted cubic splines and Cox regression models, adjusted for multiple confounders.

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Background: Anti-glomerular basement membrane (anti-GBM) disease is a rare and life-threatening form of small vessel vasculitis that primarily affects the kidneys and lungs. In rare cases, it occurs with membranous nephropathy (MN). This study aimed to investigate the clinical manifestations, pathological features, prognosis and predictors of anti-GBM disease with MN.

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Background: The association between membranous nephropathy (MN) and malignant tumors has long been focused. However, most existing studies have primarily concentrated on patients diagnosed with malignant tumors within a limited timeframe, typically defined as one year before or after the diagnosis of MN. This narrow focus only captures a subset of MN patients complicated by malignant tumors, leaving those diagnosed outside this timeframe understudied and largely unexplored.

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Objectives: This study aimed to analyze the potential of the estimated protein excretion rate (ePER) as a substitute for the spot urinary protein-creatinine ratio (uPCR) in clinical reports for accurately assessing urinary protein excretion in China.

Methods: We included 1721 patients in the study and compared the differences in levels, correlation, bias, methodological evaluation between uPCR, ePER, and 24-h urinary protein.

Results: Significant differences ( = -17.

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Article Synopsis
  • Researchers developed machine learning models to predict near-term all-cause and cardiovascular death in patients undergoing peritoneal dialysis (PD).
  • These models were based on data from 7539 PD patients, using demographic, clinical, and laboratory markers and evaluated using established performance metrics like AUROC and precision-recall curves.
  • The CVDformer models showed strong predictive accuracy, with AUROC values of 0.8767 and 0.9026 for all-cause and cardiovascular death, respectively, indicating high sensitivity and positive predictive values, though further calibration is needed.
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Article Synopsis
  • - This study aims to compare the long-term risk of developing type 2 diabetes (T2D) among women who had gestational diabetes mellitus (GDM) versus those with impaired glucose tolerance (IGT).
  • - Analyzing data over 25 years, researchers found that women with GDM, especially older Māori women or those with socioeconomic challenges, had a higher risk of developing T2D compared to those with IGT, with the first five years after childbirth being crucial for prevention.
  • - The research emphasizes the need for early and tailored interventions for women post-GDM, taking into account factors like age, ethnicity, and socioeconomic status to effectively reduce the risk of T2D.
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Background: The extent to which type 2 diabetes (T2D) reduces life expectancy depends on the risk of complications. We aimed to characterise the relationship between risk factors for diabetes complications and life expectancy, in individuals with T2D, free from major chronic disease, in a regional database linked with national New Zealand health databases.

Methods: A prospective cohort study design was employed, analysing data from individuals with T2D drawn from the comprehensive Diabetes Care Support Service database (1994-2018).

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Complement activation is involved in idiopathic membranous nephropathy (IMN). We aimed to investigate the relationship of serum complement cleavage factor Bb with IMN progression, and to establish a model for early prediction of kidney outcomes. We measured serum factor Bb in a retrospective cohort of 449 IMN patients at the time of kidney biopsy.

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Lupus nephritis (LN) is a prevalent and severe manifestation of systemic lupus erythematosus (SLE), leading to significant morbidity and mortality. OTUB1, a deubiquitinating enzyme, has emerged as a potential therapeutic target due to its role in cellular protection and regulation of ferroptosis, a form of cell death linked to LN. Our study revealed significantly reduced OTUB1 expression in the glomeruli of LN patients and podocytes, correlated with disease severity.

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Article Synopsis
  • The study explores the link between specific gene polymorphisms (ABCB1 C3435T and PAI-1 4G/5G) and adverse reactions induced by glucocorticoids (GCs) in nephrotic syndrome (NS) patients.
  • In a sample of 513 NS patients, the researchers found that ABCB1 C3435T was a risk factor for steroid-induced avascular necrosis of the femoral head (SANFH), while PAI-1 4G/5G was linked to both SANFH and steroid diabetes mellitus (S-DM).
  • The study suggests that testing for these gene variants before starting GC treatment could help identify
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  • Hypokalemia (low potassium levels) has been linked to an increased risk of peritoneal dialysis (PD)-associated peritonitis, but this study investigates whether this association holds up when accounting for factors like malnutrition and other health conditions.
  • Researchers used a large national dataset to analyze the relationship between serum potassium levels and the occurrence of peritonitis, employing various statistical models to reduce bias between patients with and without hypokalemia.
  • Findings showed that while patients with potassium levels below 4.0 mmol/L had a higher incidence of peritonitis, when accounting for other variables, low potassium was not independently associated with a higher risk of peritonitis or treatment failure.
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  • This study investigates anti-GBM diseases with IgA deposition in the kidneys, focusing on understanding the factors that affect kidney health in these patients.
  • Researchers reviewed data from 72 patients with anti-GBM disease and 25 patients with both anti-GBM disease and mesangial IgA deposition, assessing their clinical features and kidney outcomes.
  • Findings suggest that patients with the combination of anti-GBM disease and IgA deposition have lower rates of severe kidney issues and better overall kidney function, with factors such as hypertension and initial serum creatinine levels influencing prognosis.
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Background: In people with prediabetes, the link between developing type 2 diabetes (T2D) and cancer risk among those with impaired glucose tolerance (IGT) remains uncertain. We examined this association in IGT individuals from primary care in South and West Auckland, New Zealand, spanning 1994-2019, assessing 5- and 10-year cancer risks.

Methods: Study cohorts were extracted from the Diabetes Care Support Service in Auckland, New Zealand, linking it with national registries for death, cancer, hospital admissions, pharmaceutical claims, and socioeconomic status.

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Introduction: We aimed to investigate the association between the onset of type 2 diabetes (T2D) and dementia incidence rates (IR) in the population with impaired glucose tolerance (IGT) identified in primary care in New Zealand (NZ) over 25 years.

Methods: Tapered matching and landmark analysis (accounting for immortal bias) were used to control for potential effects of known confounders. The association between T2D onset and 5- and 10-year IR of dementia was estimated by weighted Cox models.

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Article Synopsis
  • IgA nephropathy (IgAN) is the most prevalent form of primary glomerulonephritis, but the specific roles of long noncoding RNAs (lncRNAs) in its development are largely unexplored.
  • This study analyzed renal tissue samples from IgAN patients and controls, revealing significant differences in the expression of lncRNAs and mRNAs, including 674 upregulated mRNAs and 260 upregulated lncRNAs in IgAN samples.
  • A novel regulatory network model connecting lncRNAs, transcription factors (TFs), and differentially expressed genes (DEGs) was established, highlighting critical lncRNAs like NQO1-DT and RP5-1057120.6,
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Background: IgA nephropathy (IgAN) is the most common primary glomerulonephritis worldwide. Proliferation-inducing ligand (APRIL) was identified as an important cause of glycosylation deficiency of IgA1 (Gd-IgA1), which can 'trigger' IgAN. Our previous study indicated that high migration group protein B2 (HMGB2) in peripheral blood mononuclear cells from patients with IgAN was associated with disease severity, but the underlying mechanism remains unclear.

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Background: Kidney damage is common in patients with Fabry disease (FD), but more accurate information about the risk of progression to kidney failure is needed for clinical decision-making. In particular, FD patients with mild renal involvement often lack timely intervention and treatment. We aimed to utilize a model to predict the risk of renal progression in FD patients.

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