Publications by authors named "Zhongxia Zhou"

Background: Epidermoid cysts are usually single, benign, keratin-filled cysts which occur mainly on the face and upper trunk of young adults. Surgical resection is the main treatment, which inevitably leaves scars and may recur. Photodynamic therapy (PDT) has been reported as a non-invasive and promising treatment for various skin diseases with cosmetic benefits.

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Significance: Day-light photodynamic therapy (DL-PDT) was proved to be effective, better tolerated and nearly painless compared with red-light photodynamic therapy (RL-PDT) in actinic keratosis (AK) patients in China. But no study has compared the recurrence rates of these two methods.

Approach: A prospective cohort study was conducted to compare the recurrence rate of DL-PDT and RL-PDT during a five-year follow-up.

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Hidroacanthoma simplex (HS) is a rare skin appendage tumor that typically appears on the trunk and lower limbs in the elderly. Although HS is a predominantly benign condition, the presence of cellular atypia and dermal infiltration on histological examination indicates malignant HS (MHS). 5-aminolaevulinic acid photodynamic therapy (ALA-PDT) uses a photosensitizer and corresponding light source to cause irreversible damage or death of target cells through a photochemical reaction.

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In clinical practice, tumor-targeting diagnosis and immunotherapy against programmed death ligand 1 (PD-L1) have a significant impact. In this research, a PD-L1-antagonistic affibody dimer (Z) was successfully prepared through Escherichia coli expression system, and conjugated with the photosensitizer of ICG via N-hydroxysuccinimide (NHS) ester to develop a novel tumor-targeting agent (ICG-Z) for both tumor imaging diagnosis and photothermal-immunotherapy simultaneously. In vitro, Z could specifically bind to PD-L1-positive LLC and MC38 tumor cells, and ICG-Z-mediated photothermal therapy (PTT) also showed excellent phototoxicity to these tumor cells.

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Photodynamic therapy (PDT) is proved effective for treating low-grade squamous intraepithelial lesions (LSIL) and condylomata acuminata (CA). 5-Aminolevulinicacid (5-ALA) is the most common applied photosensitizer, but high rate of unbearable pain and relative long incubation time were reported. Here, we report a 27-year-old woman suffering from cervical and vaginal giant CA with LSIL involving the whole right vaginal fornix, cervical surface, and vaginal wall.

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Article Synopsis
  • Bowenoid Papulosis (BP) is a pre-cancerous condition that affects the anogenital area and can become serious if combined with immunosuppression, leading to potential complications like squamous cell carcinoma.
  • A complex case involving BP, Bowen's disease, and Diffuse Large B-Cell Lymphoma was treated successfully using a combination of holmium laser therapy and 5-Aminolevulinic Acid Photodynamic Therapy (ALA-PDT).
  • After treatment, the lesion completely disappeared and there was no recurrence of the affected area for five years.
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Background: Aminolevulinic acid photodynamic therapy (ALA-PDT) is an effective treatment for multiple actinic keratosis (AK). However, PDT-induced pain often discontinues the therapy to reduce its efficacy, limiting its application. If modified painless PDT schedule with shorter photosensitizer dressing and higher dose illumination could achieve good efficacy in AK, it is still unknown.

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Xeroderma pigmentosum(XP) is a rare autosomal recessive genodermatosis. Individuals with XP are characterized by severe skin sensitivity to sunlight, and more susceptible to the development of skin malignancies in sun-exposed regions. We report the experience of modified 5-aminolaevulinic acid photodynamic therapy (M-PDT) in the treatment of three children with XP.

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Article Synopsis
  • Malignant proliferating trichilemmal tumor (MPTT) is a serious form of skin tumor that is linked to benign pilar cysts and arises from the hair root sheath.
  • An 86-year-old woman presented with a growth on her skin that was confirmed to be MPTT, but fortunately, it had not spread to other areas.
  • After removing the tumor with a careful surgical approach and using a specialized light therapy (ALA-PDT), there were no signs of the tumor returning after two years, highlighting the effectiveness of this combined treatment.
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Herein, via crystallographic overlay-based molecular hybridization strategy, a series of disubstituted pyrimidine-5-carboxamide derivatives were designed by introducing an amide moiety to the central core of the lead etravirine. All the newly synthesized compounds were evaluated for their anti-HIV-1 potencies in MT-4 cells using the MTT method. Most of the synthesized compounds displayed promising antiviral activities against the wild-type (IIIB) and a panel of HIV-1 NNRTIs-resistant strains.

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HIV-1 reverse transcriptase (RT) plays a crucial role in the viral replication cycle, and RT inhibitors can represent a promising pathway in treating AIDS. To explore the primer grip region of HIV-1 RT, using -CH2O- as a linker, substituted benzene or pyridine rings were introduced into the left wing of diarylpyrimidines (DAPYs). A total of 17 compounds with new structures were synthesized.

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In this study, privileged boronic acid ester was introduced into the right wing of etravirine (ETR) to obtain a series of novel boronate-containing derivatives. These newly synthesized derivatives were evaluated for their anti-HIV potency in MT-4 cells using the MTT method, and their inhibitory activity to HIV-1 reverse transcriptase (RT) was assayed by the ELISA method. Most of the synthesized compounds displayed promising antiviral activity against the wild-type and a wide range of HIV-1 mutant strains.

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5-Aminolevulinic acid photodynamic therapy (ALA-PDT) is an effective modality for vulvar lichen sclerosus (VLS) and squamous cell carcinoma (SCC) in situ. Here we first describe a case of VLS that relapsed after ALA-PDT without follow-up and progressed to SCC eventually. The first two courses of ALA-PDT (total of 21 sessions) were effective for VLS.

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Article Synopsis
  • * Surgical removal is the typical treatment, but in the case of a patient with GCA, systemic lupus erythematosus, and low platelet counts, modified photodynamic therapy (M-PDT) was used instead.
  • * After multiple M-PDT treatments, symptoms like pain and odor improved, but the wart size did not significantly change, and the patient ultimately passed away due to complications from lupus; however, M-PDT could still be considered for similar cases in the future.
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Background: Acute liver failure (ALF) is a life-threatening complication that is relatively uncommon. ALF causes severe hepatocyte damage and necrosis, which can lead to liver dysfunction and even multi-organ failure. A growing body of evidence suggests that immune cell infiltration and some abnormally expressed genes are associated with ALF development.

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Overall survival of non-small cell lung cancer (NSCLC) patients remains disappointingly low. The estrogen receptor (ER) was considered a promising therapeutic target for NSCLC. Numerous studies have linked expression of ERβ to lung cancer outcome.

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The acne flare occurs in a small proportion of patients at the initiation of oral isotretinoin. The traditional therapy is oral corticosteroids. But for particular patients it also can be accompanied by side effects, such as metabolic disorder, inhibition of immune function among other effects.

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Cutaneous squamous cell carcinomas (cSCC) is one of the most common types of non-melanoma skin cancer (NMSC), and surgical excision is the primary regimen in most cases. However, in some circumstances of special lesion locations like lips, eyelids or vulva, old age or patient choice non-surgical therapy may be alternative. This is a case of one 93-year-old female cSCC patient who declined surgery.

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Background: Hematoporphyrine injection (HpD)-based photodynamic therapy (HpD-PDT) has emerged as a promising cancer therapy. However, its tumor-targeting ability and metabolokinetics in nonmelanoma skin cancer (NMSC) have not been well explored. Importantly, photodynamic diagnosis is widely used for cancer lesion assessment and positioning to ensure effective therapy, while the photosensitizer metabolic kinetics study is utilized for biosafety assessment and light-protection instruction.

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Article Synopsis
  • 5-Aminolaevulinic acid photodynamic therapy (ALA-PDT) is analyzed for side effects related to skin treatment, emphasizing its effectiveness against various cutaneous diseases.
  • A retrospective study at Shanghai Skin Disease Hospital with 439 patients identified high incidence rates of adverse reactions, with pain (98.8%) and erythema (92.4%) being the most common.
  • Findings reveal that certain reactions are more prevalent in specific groups, such as women experiencing more edema and patients with HPV-related skin issues facing higher erythema; the study aims to help dermatologists better manage and anticipate these adverse reactions.
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Background: Acne vulgaris is a chronic inflammatory skin disease around pilosebaceous unit. 5-Aminolaevulinic acid photodynamic therapy (ALA-PDT) is an effective therapy for severe acne vulgaris. However, the lack of detailed information of adverse reactions limits the promotion of ALA-PDT in clinic.

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Background: Our clinical experience suggests that pretreatment of the original lesions may be crucial for enhancing the efficacy of 5-aminolevulinic acid-photodynamic therapy (ALA-PDT) in moderate-to-severe acne vulgaris. We performed this randomized controlled trial (RCT) to validate this observation.

Methods: Efficacy and therapeutic reactions between tri-needle-pretreatment with ALA-PDT (TP-PDT) and conventional ALA-PDT without pretreatment (NP-PDT) were compared.

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Background: Extramammary Paget's Disease (EMPD) is an intraepithelial cancer that is prone to recurrence and sometimes refractory to therapy. A few EMPD cases have been treated with Photodynamic therapy (PDT), which reported high complete remission (CR) rates and low recurrence with hematoporphyrin derivatives (HpD) The aim of this study was to further explore the efficacy and safety of HpD-PDT for EMPD patients.

Methods: Open-label, single arm, pilot study was designed to investigate the role of HpD-PDT in EMPD.

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Herein, alkenylpiperidine and alkynylpiperidine moieties were introduced into the left wing of DAPYs (diarylpyrimidines) to explore the new site of the NNIBP (non-nucleoside inhibitor binding pocket) protein-solvent interface region via the structure-based drug design strategy. All the synthesized compounds displayed nanomolar to submicromolar activity against WT (wild-type) HIV-1. Among all, compound FT1 (EC = 19 nM) was found to be the most active molecule, which is better than NVP (EC = 0.

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