Publications by authors named "Zhenlei Liu"

Background/objectives: Sweet potato is a tropical and subtropical crop and its growth and yield are susceptible to low-temperature stress. However, the molecular mechanisms underlying the low temperature stress of sweetpotato are unknown.

Methods: In this work, combined transcriptome and metabolism analysis was employed to investigate the low-temperature responses of two sweet potato cultivars, namely, the low-temperature-resistant cultivar "X33" and the low-temperature-sensitive cultivar "W7".

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Background: The natural history of clinically stable patients with Chiari I malformation (CM-I)-syringomyelia is uncertain. To understand their outcomes, we examined conservatively managed CM-I-syringomyelia patients' long-term clinical and radiological courses.

Methods: We enrolled 156 mild CM-I-syringomyelia cases (Japanese Orthopaedic Association (JOA) score ≥13) managed non-surgically between 1994 and 2014 and followed them periodically until December 2024 for significant progressive myelopathy that we termed 'obvious deterioration'.

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Introduction: Low temperature is a key environmental factor that threaten sweetpotato growth and development. In-depth studies on the gene functions underlying cold resistance are important for genetic engineering in sweetpotato.

Methods: The gene was cloned using a homologous cloning approach.

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(1) Background: Patients with mild cervical spondylotic myelopathy (CSM) who delay surgery risk progression. While PET evaluates spinal cord function, its cost and radiation limit its use. (2) Methods: In this prospective study, patients with mild cervical spondylosis underwent preoperative 18F-FDG PET-MRI.

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Background And Objectives: The exact pathways of fluid outflow within the central canal (CC) of the spinal cord are not completely understood. The best management approach for patients with post-traumatic syringomyelia that progresses to the cranial end of the CC, also known as post-traumatic syringobulbia (PT-syringobulbia), is still a topic of debate. This study aims to introduce a new surgical indication for the foramen magnum and foramen of Magendie dredging (FMMD) procedure in patients with PT-syringobulbia and prospectively assess its surgical outcomes.

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Background: Revision surgery for patients with persistent, recurrent, or progressive syringomyelia following Foramen Magnum Decompression for Chiari malformation with syringomyelia (CM-SM) is not uncommon and presents both strategic and technical challenges.

Methods: We conducted a retrospective study including all patients who underwent revision Cerebellar Tonsillectomy (CTL) for CM-SM between 2003 and 2023. Additionally, we performed univariate and multivariate analyses to identify possible factors contributing to failed CTL outcomes.

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Background: Iatrogenic cervical kyphosis (ICK) often requires complex anterior and posterior correction, which is associated with multiple complications. Consequently, there is a need to investigate alternative treatment approaches that streamline the operative process and markedly diminish postoperative complications. This study, therefore, aimed to evaluate the feasibility and efficacy of a single-stage anterior controllable antedisplacement fusion (ACAF) in revision surgeries for ICK.

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The SARS-CoV-2 virus caused the COVID-19 pandemic and brought major challenges to public health. It is transmitted via aerosols, droplets, and fomites. Among these, viral transmission through fomites is not well understood although it remains a very important transmission route.

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Adhesive arachnoiditis (AA) is a rare form of chronic degenerative pathology associated with persistent inflammation in the arachnoid matter of the spinal cord. Despite the existing knowledge, the detailed pathological mechanisms underlying AA are not fully understood. This study aimed to elucidate through comprehensive single nuclei RNA sequencing (snRNA-seq) to delineate the transcriptomic landscape of AA.

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Study Design: Low back pain (LBP) is a widespread clinical symptom affecting nearly all age groups and is a leading cause of disability worldwide. Degenerative changes in the spine and paraspinal tissues primarily contribute to the etiology of LBP.

Objectives: We conducted this systematic review of animal models of paraspinal muscle (PSM) degeneration secondary to degenerative intervertebral disc (IVD), providing a comprehensive evaluation of PSM structural changes observed in these models at both macroscopic and microscopic levels.

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The pathophysiological mechanism of adhesive arachnoiditis (AA) is complex, involving the interaction of multiple proteins. In recent years, the development of quantitative proteomics technology has provided a new perspective to reveal its pathological mechanism. The main objective of this study was to reveal the changes of protein expression profiles in arachnoid tissue of patients with AA.

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Article Synopsis
  • The study investigates the connection between cervical lordosis (CL) and the rotation angle of the axis in patients with atlantoaxial dislocation (AAD) to improve surgical planning.
  • Imaging data from 23 AAD patients were analyzed, showing a strong linear relationship between changes in CL and a new angle B, which helps in understanding the axis's position.
  • The findings suggest that the relationship between angle B and CL can significantly enhance the precision of surgical techniques for AAD patients.
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Adult tethered cord syndrome (ATCS) has a hidden onset and delayed clinical symptoms. The purpose of this study is to identify hub proteins in the cerebrospinal fluid of ATCS patients through bioinformatics analysis, and to find significant heterogeneity in these proteins between ATCS patients and non ATCS patients (control group). Firstly, differential genes were screened based on proteomic results.

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Background: Spinal adhesive arachnoidopathy (SAA) is a chronic pathology associated with persistent inflammatory responses in the arachnoid. Adhesive arachnoiditis (AA) is one of the major forms of SAA, with accompanying secondary complications. Therefore, we aimed to systematically review both clinical and animal model studies related to SAA to gain a deeper understanding of this unique pathology.

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Objective: The objective of this study was to analyze failed posterior fossa decompression (PFD) in patients with basilar invagination and atlantoaxial dislocation (BI-AAD). Revision surgery in these patients is challenging and has been rarely reported. In addition, the anatomical variations of the vertebral artery increase the risk of revision surgery.

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Article Synopsis
  • The anterior controllable antedisplacement and fusion (ACAF) technique, particularly the "Klotski technique," presents a new approach for treating cervical ossification of the posterior longitudinal ligament (OPLL) while minimizing fused segments.
  • A study of 25 patients compared the ACAF Klotski technique with anterior cervical corpectomy and fusion (ACCF), revealing fewer complications and better postoperative outcomes for those treated with the ACAF technique.
  • Results showed the ACAF group had a lower rate of neurological deterioration and intraoperative cerebrospinal fluid leakage compared to the ACCF group, making it a favorable option for en bloc type OPLL-DO treatment.
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Synbiotics, the combination of probiotics and prebiotics, are thought to be a pragmatic approach for the treatment of various diseases, including inflammatory bowel disease (IBD). The synergistic therapeutic effects of probiotics and prebiotics remain underexplored. , a short-chain fatty acid (SCFA) producer, has been recognized as a promising probiotic candidate that can offer health benefits.

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Article Synopsis
  • Automatic segmentation of vertebrae in spinal x-ray images is important for clinical purposes but faces challenges due to low contrast and noise in x-ray images.
  • The study introduces a Multiscale Feature Enhancement Network (MFENet) that uses advanced techniques like a Dual-branch Feature Extraction Module and a Semantic Aggregation Module to improve feature extraction for better diagnosis of spinal diseases.
  • Experimental results show that MFENet outperforms other advanced methods in accurately segmenting spinal x-ray images, highlighting its effectiveness in clinical applications.
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Objective: This study aimed to investigate the differences in clinical features, diagnostic examination, treatment, and pathological results between adult-onset and pediatric-onset tethered cord syndrome (TCS).

Methods: The authors searched the PubMed, Embase, and Cochrane Library databases through January 2023 for reports on TCS, extracting information on clinical features, imaging data, treatment modalities, prognosis, and pathological research results. A total of 6135 cases from 246 articles were included in the analysis.

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Objective: Surgical procedures for patients with posttraumatic syringomyelia (PTS) remain controversial. Until now, there have been no effective quantitative evaluation methods to assist in selecting appropriate surgical plans before surgery.

Methods: We consecutively enrolled PTS patients (arachnoid lysis group, n = 42; shunting group, n = 14) from 2003 to 2023.

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Article Synopsis
  • - The study aimed to explore how the best1 gene knockdown in zebrafish affects development, particularly in relation to craniovertebral junction malformations.
  • - Researchers used specific morpholinos to inhibit the best1 gene, leading to observable defects in zebrafish like shorter length, microcephaly, and impaired brain and eye growth.
  • - The findings suggest that the best1 gene is crucial for proper development of the eyes, brain, and bones, with implications seen in a human patient exhibiting similar developmental issues.
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  • The study is a cohort analysis aimed at understanding the link between blood-spinal cord barrier (BSCB) markers and negative outcomes in patients with post-traumatic syringomyelia (PTS) who underwent intradural adhesion lysis (IAL).
  • It involved 46 PTS patients and 19 control subjects, measuring various blood and spinal fluid markers before and after surgery to assess their correlation with recovery outcomes.
  • Findings indicate that higher levels of certain proteins in the spinal fluid are significantly associated with worse recovery from surgery, with a specific threshold identified for predicting adverse outcomes.
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To investigate the cold response mechanism and low temperature regulation of flowering in tulips, this study identified 32 MADS-box transcription factor family members in tulips based on full-length transcriptome sequencing, named TgMADS1-TgMADS32. Phylogenetic analysis revealed that these genes can be divided into two classes: type I and type II. Structural analysis showed that genes from different subfamilies have a similar distribution of conserved motifs.

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The CRISPR-Cas systems have shown tremendous promise as heterologous tools for genome editing in various prokaryotes. However, the perturbation of DNA homeostasis and the inherent toxicity of Cas9/12a proteins could easily lead to cell death, which led to the development of endogenous CRISPR-Cas systems. Programming the widespread endogenous CRISPR-Cas systems for in situ genome editing represents a promising tool in prokaryotes, especially in genetically intractable species.

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Objective: Although cerebrospinal fluid (CSF)-based liquid biopsy was proved to be practical in molecular analysis of intracranial gliomas, liquid biopsy of primary intramedullary astrocytoma was rarely reported. Given the distinct genomic profiles between primary intramedullary glioma and intracranial astrocytoma, whether the feasibility of CSF-based molecular analysis of intracranial gliomas can be replicated in primary spinal cord astrocytoma needs to be investigated. The aim of this pilot study is to evaluate the feasibility of molecular analysis of primary intramedullary astrocytoma through sequencing CSF-derived circulating tumor DNA (ctDNA).

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