Publications by authors named "Zhiyong Yuan"

Radiotherapy (RT)-elicited antitumor immunity serves as a pivotal mechanism in RT-mediated tumor control. The strategic integration of RT with immunotherapies, particularly immune checkpoint blockade (ICB), is revolutionizing cancer therapeutics, demonstrating remarkable clinical potential. In this context, identifying molecular targets to potentiate radioimmunotherapy (RIT) efficacy represents a critical research priority.

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Understanding the mechanisms shaping biodiversity distribution patterns is essential in ecology, and species distributions are closely influenced by environmental factors. Previous studies have often focused on taxonomic levels, potentially overlooking important within-group ecological variations. Anurans, with six distinct ecotypes, each occupying unique habitats, serve as an ideal model to examine how environmental factors shape these ecotype-specific distributions.

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Background: Retrospective evidence indicated potential survival benefit of consolidative stereotactic radiotherapy (SRT) in patients with metastatic driver mutation-negative non-small cell lung cancer (NSCLC) harboring oligo-residual disease (ORD) after effective immune checkpoint inhibitor treatment. However, prospective data about consolidative SRT in this disease population after first-line chemoimmunotherapy remains scarce.

Methods And Findings: From March 2021 to March 2023, 59 patients (94.

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Background: For locally advanced rectal cancer (LARC) with a deficient mismatch repair/microsatellite instability-high (dMMR/MSI-H), particularly in patients not eligible for immunotherapy, the optimal treatment remains undetermined. This study was to evaluate the efficacy and safety of surgery, surgery and chemotherapy, surgery and chemoradiotherapy, in patients with LARC harboring dMMR/MSI-H.

Methods: Patients included from three university centers between August 1, 2012 and March 1, 2023, were categorized into three treatment groups: surgery .

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Purpose: Preclinical studies showed that low-dose radiation therapy (LDRT) may act synergistically with immunotherapy in small cell lung cancer (SCLC); however, its role in the treatment of extensive-stage SCLC (ES-SCLC) remains unclear.

Methods And Materials: This single-arm, multicenter, Simon's 2-stage, phase 2 study enrolled treatment-naïve patients with ES-SCLC. Patients received 4 21-day cycles of intravenous cisplatin (75 mg/m) or carboplatin (area under the curve value, 5 mg/mL/min), etoposide (100 mg/m), and atezolizumab (1200 mg), with concurrent LDRT (15 Gy in 5 fractions [3 Gy/fraction]), followed by atezolizumab maintenance therapy until loss of clinical benefit, unacceptable toxicity, withdrawal of consent, or death.

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Medical image translation is of great value but is very difficult due to the requirement with style change of noise pattern and anatomy invariance of image content. Various deep learning methods like the mainstream GAN, Transformer and Diffusion models have been developed to learn the multi-modal mapping to obtain the translated images, but the results from the generator are still far from being perfect for medical images. In this paper, we propose a robust multi-contrast translation framework for MRI medical images with knowledge distillation and adversarial attack, which can be integrated with any generator.

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Background: The global increase in thyroid cancer prevalence, particularly among female populations, underscores critical gaps in our understanding of molecular pathogenesis and diagnostic capabilities. Our investigation addresses these knowledge deficits by examining molecular signatures and validating diagnostic markers using clinical specimens to facilitate earlier detection and targeted therapeutic development.

Methods: We conducted comprehensive analyses of thyroid cancer specimens through multiple methodologies.

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Purpose: To evaluate the safety and efficacy of veno-arteriovenous extracorporeal membrane oxygenation (V-AV ECMO) with a secondary centrifugal pump to control blood flow in return pathways as an alternative to the conventional Hoffman clamp.

Materials And Methods: We conducted a retrospective review of all adult patients who underwent V-AV ECMO in our hospital from January 1, 2022, to December 31, 2023. Data, including demographic characteristics, comorbidities, and ECMO-specific information, were systematically extracted from electronic medical records.

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Background: The optimal radiation dose of definitive concurrent chemoradiotherapy (dCCRT) for esophageal cancer (EC) has always been a concern in radiation oncology and has remained controversial for several decades, we performed a meta-analysis based on individual patient data (IPD) to explore the optimal dose.

Methods: Randomized clinical trials (RCTs) comparing high-dose radiotherapy (HD-RT,≥59.4 Gy) with standard-dose radiotherapy (SD-RT, 50 Gy/50.

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Accurate staging is the fundamental basis for the treatment and prognosis of non-small cell lung cancer (NSCLC), and whether the tumor involves the pleura or chest wall is a critical aspect in assessing the staging of peripheral lung cancer. Imaging techniques such as computed tomography (CT), magnetic resonance imaging (MRI), ultrasound (US) and positron emission tomography (PET) are widely used to determine pleural invasion in NSCLC. There has been an increasing number of studies evaluating whether NSCLC invades the pleura and the extent of such invasion.

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Functional traits differ among species, which determine the ecological niche a species occupies and its ability to adapt to environment. However, differences in traits also exist at intraspecific level. Such variations shape differences in individual survival capabilities.

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Radiotherapy planning requires significant expertise to balance tumor control and organ-at-risk (OAR) sparing. Automated planning can improve both efficiency and quality. This study introduces GPT-Plan, a novel multi-agent system powered by the GPT-4 family of large language models (LLMs), for automating the iterative radiotherapy plan optimization.

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As the third most common cause of cancer-related mortality, hepatocellular carcinoma (HCC) is a global health concern. Despite its prevalence, treatment options are limited, underscoring the need to identify potential therapeutic targets and strategies. In this study, we identified amplification of cAMP response element-binding protein-regulated transcription coactivator 2 (CRTC2), situated in the 1q21.

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Anti-PD-1 therapy has left an indelible mark in the field of non-small-cell lung cancer (NSCLC) treatment; however, its efficacy is limited in clinical practice owing to differences in the degree of effector T-cell exhaustion. Casein kinase 2 (CK2) is a protein kinase that plays an important role in T-cell immunity. In this study, it is aimed to explore the potential of targeting CK2 and its regulatory subunit CK2B to prevent or reverse T-cell exhaustion, thereby enhancing the efficacy of anti-PD-1 therapy in NSCLC.

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Tetralogy of Fallot (TOF) is a common congenital heart disease. In this study, we proposed that cAMP response element-binding protein (CREB)-binding protein (CBP) regulates the proliferation and apoptosis in TOF by interacting with the sarco/endoplasmic reticulum Ca-ATPase (SERCA). To confirm this, we collected right ventricle tissue samples from TOF patients during surgery to correct the deformity and from the donors.

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Purpose: Stereotactic body radiation therapy (SBRT) is a promising therapeutic approach for inoperable, small (≤3 cm) primary lung cancer. However, the efficacy and safety of risk-adapted SBRT for treating large (>3 cm) primary lung cancer remains inadequately characterized.

Patients And Methods: Patients with large (>3 cm) primary lung cancer, diagnosed either clinically or histologically, were recruited between November 1, 2010 and December 31, 2022.

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Background: Gut microbiota disturbance may worsen critical illnesses and is responsible for the progression of multiple organ dysfunction syndrome. In our previous study, there was a trend towards a higher α-diversity of the gut microbiota in sequential feeding (SF) than in continuous feeding (CF) for critically ill patients. We designed this non-blinded, randomized controlled study to confirm these results.

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Immunochemotherapy is Currently the standard first-line treatment for advanced esophageal squamous cell carcinoma (ESCC). However, its prognosis remains unsatisfactory. We aimed to evaluate the efficacy and safety of immunochemotherapy plus radiotherapy (ICR) compared with immunochemotherapy (IC) alone as a first-line treatment for advanced ESCC.

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Background: Both acute myocardial infarction (AMI) and its salvage treatment, venoarterial-extracorporeal membrane oxygenation (VA-ECMO), may lead to the production of proinflammatory cytokines and further aggravate tissue damage. Xuebijing (XBJ) may modulate cytokine production involved in the inflammatory response. We aimed to determine the efficacy of XBJ in cardiogenic shock patients on VA-ECMO.

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The genus Sylvirana includes 12 species widely distributed in South China and Southeast Asia. The phylogenetic relationships and species diversity for Sylvirana and allied genera remain unresolved and controversial due to insufficient data and incomplete taxon sampling. Using a combined dataset of mitochondrial genes (16S and COI) and 101 nuclear genes obtained through the amplicon sequence capture approach, we generated the most comprehensive phylogenetic analysis for the genus Sylvirana to date, inferring diversity, phylogenetic relationships, and historical biogeography with unprecedented levels of taxon and geographic sampling.

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Colorectal cancer is a common malignant tumor with the second incidence rate and the third mortality rate worldwide. In this study, we identified and validated an immune-related gene signature, explored the clinical and molecular characteristics of the signature-defined risk groups, and assessed its ability in predicting prognosis, immune cell infiltration and immunotherapy responses. The Cancer Genome Atlas database was used as the training set while GSE39582 database as the validation set.

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Article Synopsis
  • * Researchers tested the anti-hypertensive drug losartan in ovarian cancer models, discovering that it improves the tumor microenvironment and enhances drug delivery and immune cell activity while also making cancer cells more sensitive to chemotherapy.
  • * Given its safety and low cost, losartan could be a promising addition to treatments for ovarian cancer, potentially improving outcomes for patients.
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Article Synopsis
  • - The study assessed the safety and effectiveness of toripalimab combined with platinum-based chemoradiation in patients with untreated locally advanced cervical cancer, involving 82 patients over a median follow-up of 21 months.
  • - Results showed a high objective response rate (87.8%) and a trend toward longer progression-free survival in patients with certain biomarkers, such as PD-L1 expression and low tumor mutation burden.
  • - While 37 patients had treatment-related side effects, only 20.7% experienced serious adverse events (grade 3 or higher), indicating that the combination treatment was both effective and had an acceptable safety profile.
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Article Synopsis
  • * The study shows that RT-induced CD73 upregulation is linked to the ATR pathway and contributes to treatment resistance; however, combining RT with CD73 blockade enhances immune responses and induces favorable tumor effects.
  • * The combination therapy reduces immunosuppressive cells, boosts dendritic and CD8+ T cell activity, and improves antigen presentation, thereby reversing the immunosuppressive tumor microenvironment and suggesting new treatment strategies for CRC.
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