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Table of Content

    05 February 2025, Volume 45 Issue 2
    Special Issues: Cardiovascular and Cerebrovascular Diseases
    Advances and hot spots in cardiovascular and cerebrovascular diseases
    ZHANG Guitao, LI Shujuan
    2025, 45(2):  141-141.  doi:10.16352/j.issn.1001-6325.2025.02.0141
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    Patient-centered management according to the AF-CARE principles: hot topics in 2024 European Society of Cardiology Guidelines for the management of atrial fibrillation
    YANG Qing, LIANG Yan
    2025, 45(2):  142-147.  doi:10.16352/j.issn.1001-6325.2025.02.0142
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    As numerous basic trials and clinical research of atrial fibrillation have been carried out, the 2024 European Society of Cardiology(ESC) Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery(EACTS) was released in August 30 2024. Compared to the 2020 ESC Guidelines for the management of atrial fibrillation, this guideline updates and replaces some significant parts of the previous version, with a focus on patient-centered management according to the AF-CARE principles. This paper aims to interpret the updated key points of the new guidelines, and explore them in combination with the current situation and clinical practice in China.
    Research progress on the interaction between osteoarthritis and cardiovascular diseases
    YANG Jianfeng, HAO Lin, WANG Yan, JI Quanbo
    2025, 45(2):  148-153.  doi:10.16352/j.issn.1001-6325.2025.02.0148
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    Osteoarthritis (OA) is closely related to cardiovascular disease (CVD). The incidence of CVD is significantly higher in the population of OA patients. This review first analyzes the epidemiology and common risk factors of OA and CVD, then discusses the pathogenesis of OA and CVD, and clarifies the roles of chronic low-grade inflammation, metabolic syndrome, endothelial dysfunction, as well as macrophages, T-cells, and inflammatory factors involved in the mechanisms of interaction between OA and CVD. The review further analyzes treatment strategies and preventive measures for OA and CVD, explores the impact of OA treatment drugs on cardiovascular safety, and elucidates the importance of cardiovascular risk assessment and management in OA patients for clinical diagnosis and treatment. Finally, this review orientes future research directions of OA and CVD, including in-depth exploration of the molecular and cellular mechanisms between OA and CVD, drug interactions, and the development of new treatment strategies, aiming to provide ideas for improving the clinical diagnosis, treatment and prognosis of OA and CVD.
    Diet, gut microbiota and vascular calcification
    LIU Yiming, CHEN Wenjie, SHI Yuchen, LIU Jinghua
    2025, 45(2):  154-159.  doi:10.16352/j.issn.1001-6325.2025.02.0154
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    Gut microbiota, implicated in obesity, insulin resistance, depression, and cardiovascular risk, can be modulated by probiotics to mitigate cardiovascular disease risk. Vascular calcification (VC), a regulated process involving mineral deposits in vessels and valves, is a significant risk factor. Diet profoundly impacts both gut microbiota and VC, influencing cardiovascular health via microbial metabolites. While the link between gut microbiota and VC is established, the precise dietary effects on vascular health remain unclear. This article reviews mechanisms through which dietary patterns shape gut microbiota and metabolites, influence VC and highlights directions for future research on VC diagnosis and treatment.
    Applications and challenges of artificial intelligence in the clinical management of coronary artery disease: from imaging analysis to multi-omics integration
    CHEN Wenjie, LIU Yiming, SHI Yuchen, LIU Jinghua
    2025, 45(2):  160-167.  doi:10.16352/j.issn.1001-6325.2025.02.0160
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    Coronary heart disease (CHD) is one of the most prevalent cardiovascular diseases in China, with a continuously growing patient population, presenting numerous challenges for personalized and precise treatment. Artificial intelligence (AI), leveraging its advantages in processing and analyzing medical data, integrates clinical information, imaging examinations, and various omics analyses to provide clinicians with accurate diagnostic and treatment recommendations. AI plays a crucial role in risk prediction, diagnostic optimization, and the development of personalized treatment strategies. This article explores the applications of AI in the diagnosis and treatment of CHD, analyzing its contributions and challenges in risk prediction, diagnostic optimization, and treatment decision-making, while also envisioning its future developmental in the field of cardiovascular medicine.
    Original Articles
    Olfactory domain family protein 3 promotes the proliferation of MYCN-amplified neuroblastoma cell lines in vitro
    ZHANG Yao, ZHANG Xuan, JIA Anna, ZHAN Shijia, GUO Jinxin, CHANG Yan, GUO Yongli
    2025, 45(2):  168-175.  doi:10.16352/j.issn.1001-6325.2025.02.0168
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    Objective To explore the function of olfactomedin domain family protein 3 (OLFM3) in neuroblastoma (NB). Methods The relationship between the expression of OLFM3 mRNA and v-myc avian myelocytomatosis viral oncogene neuroblastoma derived homolog(MYCN)amplification status and the prognosis of patients in NB clinical samples were clarified by using R2 Genomics Analysis and Visualization Platform. Depmap database was used to examine the expression level of OLFM3 in different tumors cell lines and to identify the correlation between OLFM3 expression and MYCN amplification status in various NB cell lines. RT-qPCR and Western blot were used to detect the knockdown level of OLFM3. Cell proliferation was monitored using crystal violet staining and real-time cellular analysis. The colony formation ability of NB cells was assessed using colony-forming unit assay. Results Analysis of R2 database revealed higher level of OLFM3 expression in MYCN-amplified NB clinical samples(P<0.001). Patients with high OLFM3 expression showed a significantly lower overall survival probability compared to those with low OLFM3 expression(P<0.05). Analysis with Depmap database revealed that the expression level of OLFM3 was higher in NB than that in other kind of tumor. The expression level of OLFM3 was significantly higher in the MYCN-amplified cell lines than in the MYCN-non-amplified cell lines(P<0.01). In MYCN-amplified NB cells, knockdown of OLFM3 inhibited cells proliferation(P<0.001) and colony formation(P<0.001), but there was no noticeable changes observed in MYCN-non-amplified cells. Conclusions OLFM3 specifically promotes the proliferation of MYCN-amplified NB cells, but has a less effect on MYCN-non-amplified cells, indicating it is a potential biomarker for high-risk MYCN-amplified NB.
    Vitamin D reduces inflammatory response in hypertensive mice with early renal injury
    ZHANG Junshi, LIU Haiming, CHEN Xi
    2025, 45(2):  176-182.  doi:10.16352/j.issn.1001-6325.2025.02.0176
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    Objective To investigate the underlying mechanisms of vitamin D treatment improves early-stage renal damage in hypertensive mice. Methods From December 2022 to December 2023, peripheral blood samples were collected from 20 hypertensive patients with early-stage renal injury and healthy controls. ELISA was used to detect interleukin-6 (IL-6), C-reactive protein (CRP) and reactive oxygen species (ROS). RT-qPCR and Western blot were utilized to measure the expression of Klotho and disulfidptosis-related proteins [glucose transporter 1 (GLUT1), glucose transporter 3 (GLUT3) and solute carrier family 7 member 11 (SLC7A11)]. A mouse model of hypertension with early-stage renal damage was established and treated with vitamin D. Kidney tissue samples were collected for HE staining and ELISA to assess inflammatory factors, and RT-qPCR and Western blot were used to examine the expression of Klotho and disulfidptosis-related proteins. Results Compared to the control group, the level of IL-6, CRP and ROS was significantly increased in the hypertensive patients with early-stage renal damage (P<0.05). The expression of GLUT1 and GLUT3 was significantly increased, while the expression of Klotho and SLC7A11 was significantly decreased (P<0.05). In the mouse model of hypertension with early-stage renal damage, HE staining showed that the level of inflammatory factors in the model group was significantly higher than that in control group. Vitamin D suppressed the level of inflammatory factors, increased the expression of Klotho and SLC7A11 and inhibited the expression of GLUT1 and GLUT3 in the model group (P<0.05). Conclusions Vitamin D treatment effectively improves inflammatory response in hypertensive mice with early renal injury.
    Establishment and preliminary study of four patient-derived primary breast cancer cell lines
    LUO Yubei, HUANG Jianjun, YANG Wenxiu, ZHANG Junhong, LI Jing, Robert Chunhua ZHAO, DOU Xiaowei
    2025, 45(2):  183-188.  doi:10.16352/j.issn.1001-6325.2025.02.0183
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    Objective To establish primary breast cancer cell lines from patient tissues and offer a new cancer cell model for basic research. Methods Breast cancer biopsy tissues were digested with type Ⅱ collagenase and cultured in BCMI medium. When the cells proliferated rapidly, the medium was switched to DMEM. STR genotyping was performed to identify specific genetic markers of the four primary breast cancer cell lines. Colony expansion assays and sphere formation assays were conducted to analyze its tumorigenicity. Real-time PCR and Western blot experiments were used to analyze the expression of the epithelial-mesenchymal transition (EMT) molecule markers. Migration and invasion assays were performed to assess the metastatic potential of the primary breast cancer cells. Results We established four primary breast cancer cell lines: BC25#, BC51#, BC56#, and BC57#. These cell lines were cultured in DMEM medium, passaged multiple times and tagged with details about their clinical past. STR genotyping identified specific genetic markers for each of the four primary breast cancer cell lines. Clonogenic and sphere formation assays revealed that the four lines have a stronger tumor-forming capability compared to the classic breast cancer cell line T-47D. Real-time PCR and Western blot experiments showed that, compared to T-47D, the four primary breast cancer cell lines have decreased E-cadherin expression and increased vimentin expression. Migration and invasion assays indicated that BC25# had a higher metastatic potential than the traditional breast cancer cell line T-47D. Conclusions Four primary breast cancer cell lines, BC25#, BC51#, BC56# and BC57# are successfully established, which may act as new cancer cell model for laboratory research of breast cancer.
    Sterol regulatory element binding protein 1 promotes proliferation and invision of prostate cancer cells
    JIANG Hua, ZHANG He, JIANG Songsong
    2025, 45(2):  189-196.  doi:10.16352/j.issn.1001-6325.2025.02.0189
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    Objective Exploring the expression of sterol regulatory element-binding protein 1 (SREBP1) and acetyl-CoA carboxylase alpha(ACCα) in prostate cancer tissues and their impact on proliferation, migration and invasion of prostate cancer cells DU145. Methods The expression levels of SREBP1 and ACCα in prostate cancer tissue were analyzed using online databases including TIMER, UALCAN, GEPIA, and THE HUMAN PROTEIN ATLAS. Paraffin-embedded specimens from 58 cases of prostate cancer (PCa) and 58 cases of benign prostatic hyper- plasia(BPH) diagnosed at the Fifth Affiliated Hospital of Zunyi Medical University from January 2016 to December 2018 were collected. Immunohistochemistry was used to detect the expression of SREBP1 and ACCα in these tissues. Following the knockdown of SREBP1 in DU145 cells using shRNA, the changes in ACCα expression were assessed by qRT-PCR. The CCK-8 assay was employed to evaluate cell proliferation, while flow cytometry was used to analyze cell cycle distribution. Western blot was performed to measure the expression of SREBP1 and ACCα. Transwell assays were conducted to assess changes in migration and invasion capabilities after silencing SREBP1 in DU145 cells. Scratch assays were used to examine the impact of SREBP1 knockdown on the healing capability of DU145 cells. EdU assays were performed to detect changes in cell proliferation following the silencing of SREBP1. Oil Red O staining was utilized to observe changes in lipid content within prostate cancer cells after interference with SREBP1 expression. Results Analysis using online databases such as TIMER and UALCAN revealed that ACCα expression was significantly elevated in prostate cancer tissues compared to normal prostate tissues (P<0.001). After silencing SREBP1, the proliferation, migration and invasion capability of DU145 cells were significantly reduced compared to the control group (P<0.01), and flow cytometric analysis showed G1 phase arrested in DU145 cells (P<0.01). Knockdown of SREBP1 resulted in a significant decrease in lipid content in prostate cancer cells (P<0.01). Conclusions SREBP1 may promote the proliferation, migration and invasion of prostate cancer cells through regulating the expression of ACCα.
    Knockdown of DRAM2 inhibits the proliferation and migration of lung cancer cell line A549
    LOU Haijun, TONG Zhuoyun, ZHANG Zhenyu, Aheyerk·MAHESHATI, MENG·Menggen, WUDU Muli
    2025, 45(2):  197-202.  doi:10.16352/j.issn.1001-6325.2025.02.0197
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    Objective To investigate the impact of DNA damage-regulated autophagy factor 2 (DRAM2) on the proliferation and migration of non-small cell lung cancer (NSCLC) cells through tumor protein p53 (p53) and autophagy. Methods DRAM2 gene was knocked down using lentiviral technology to establish NSCLC cell lines, and autophagy markers were detected by immunofluorescence and Western blot. CCK8 and Transwell assays were used to detect cell proliferation and migration. The effects of autophagy activation and p53 knockdown on autophagy and functions of DRAM2-knockdown cells were examined. Results Knockdown of DRAM2 inhibited NSCLC cells, with upregulation of p62 expression (P<0.05) and decreased level of LC3-Ⅱ (P<0.05).Knockdown of DRAM2 suppressed the proliferation (P<0.001) and migration (P<0.001) of NSCLC cells. Activation of auto- phagy partially reversed the inhibitory effects of DRAM2 knockdown on cell proliferation (P<0.01) and migration (P<0.01).When DRAM2 and p53 were knocked down simultaneously, autophagy, cell proliferation (P<0.05) and migration abilities (P<0.001) were restored. Conclusions Knockdown of DRAM2 inhibits the proliferation and migration of lung cancer cell line A549, providing a potential intervention direction for the development of therapeutic strategies.
    Combination of ulinastatin and somatostatin attenuates intestinal injury in rats with acute pancreatitis
    JIN Gaochao, XING Panpan, WANG Yu, LIU Bo
    2025, 45(2):  203-209.  doi:10.16352/j.issn.1001-6325.2025.02.0203
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    Objective To investigate the effects of ulinastatin (UTI) combined with somatostatin (SOM) on intestinal damage in acute pancreatitis (AP) rats and the possible mechanisms of action. Methods The rats were randomly divided into sham-operated (sham) group, AP group, UTI group, UIT+SOM group and UIT+SOM+JAK2 activator (CA1) group, 15 rats/group, respectively. Twelve hours after administration, the intestinal permeability, serum biochemical indicators, and inflammatory factor of rats were detected. HE staining was applied to observe the pathological changes in pancreatic and intestinal tissues. TUNEL method was applied to detect apoptosis in intestinal tissue. Western blot was applied to detect the expression of JAK2/STAT3 signaling pathway proteins. Results Compared with the sham group, the pancreatic tissue of rats in the AP group showed obvious inflammatory cell infiltration, edema and bleeding, while the intestinal mucosa showed inflammatory cell infiltration, irregular villi, shedding and necrosis of intestinal epithelial cells in the intestinal tissue. The intestinal permeability, serum amylase (AMY), lipase(LIPA) activities, diamine oxidase (DAO) activities, tumor necrosis factor α(TNF-α), interleukin-6(IL-6) level, pancreatic and intestinal histopathological scores, intestinal tissue cell apoptosis rate, and p-JAK2/JAK2, p-STAT3/STAT3 ratio all significantly increased (P<0.05). Compared with the AP group, the pancreatic and intestinal tissue injury of rats in the UTI group and UIT+SOM group was reduced, and inflammatory cell infiltration was reduced. The intestinal permeability, serum AMY, LIPA activities, DAO activities, TNF-α, IL-6 level, pancreatic and intestinal histopathological scores, intestinal tissue cell apoptosis rate and p-JAK2/JAK2, p-STAT3/STAT3 ratio were all decreased (P<0.05). The pancreatic and intestinal tissue injury of rats in the UIT+SOM+CA1 group were more severe, and the trends of the above indicators were opposite to those found in UIT+SOM group (P<0.05). Conclusions The combination of UTI and SOM attenuated intestinal injury in AP rats, and potential mechanism may involve in the inhibition of the JAK2/STAT3 signaling pathway.
    Glaucocalyxin A alleviates inflammatory response in rats with traumatic fracture
    JIANG Bowen, MA Rui, WANG Peng, QU Zhe, LI Aiqun
    2025, 45(2):  210-215.  doi:10.16352/j.issn.1001-6325.2025.02.210
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    Objective To investigate whether glaucocalyxin A can reduce inflammatory response in rats with traumatic fracture. Methods The rats were randomly divided into control group, model group, low GLA (GLA-L), high GLA dose group (GLA-H) and GLA-H+YC-1 (HIF-1α inhibitor) group. The level of TNF-α, IL-6, CTX-Ⅰ, CTX-Ⅱ, S-Ca, S-P, BGP and the activities of iNOS and ALP were detected by ELISA. The density and thickness of bone trabeculae were measured by computed tomography. Apoptosis of femur tissue was detected by TUNEL. The cartilage morphology was observed by saffranin O-fast green staining. Western blot was applied to detect the expression of HIF-1α, VEGF, CD31, BMP-2, and collagenⅠ proteins in femoral tissue. Results Compared with the control group, the cartilage morphology of rats in the model group was significantly damaged, the level of serum TNF-α, IL-6, CTX-Ⅰ, CTX-Ⅱ, iNOS activity and apoptosis rate of femur tissue were increased. Serum S-Ca, S-P, BGP levels, ALP activity, bone trabecular density and thickness, HIF-1α, VEGF, CD31, BMP-2, collagen Ⅰ protein expression levels in femur tissue were all decreased(P<0.05). The morphology of cartilage tissue in GLA-L and GLA-H groups was significantly improved, and the level of serum TNF-α, IL-6, CTX-Ⅰ, CTX-Ⅱ, iNOS activity and apoptosis rate of femur tissue were all significantly decreased. Serum levels of S-Ca, S-P, BGP, ALP activity, bone trabecular density and thickness, HIF-1α, VEGF, CD31, BMP-2, collagenⅠ protein expression level in femur tissue were significantly increased(P<0.05). YC-1 was able to weaken the therapeutic effect of GLA on traumatic fracture rats (P<0.05). Conclusions GLA alleviates inflammation and cartilage damage in rats with traumatic fractures, promotes angiogenesis and improves femoral morphology, possibly by activating the HIF-1α/VEGF signaling pathway.
    Safety and efficacy analysis of different doses of epidural oxycodone injection for prevention of traction reactions in cesarean sections
    HAN Shunyu, YANG Wei, ZENG Tao, XIE Yumei, CHEN Dandan, LIU Yongfeng
    2025, 45(2):  216-221.  doi:10.16352/j.issn.1001-6325.2025.02.0216
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    Objective To evaluate the safety and effectiveness of different doses of epidural oxycodone injection for traction reaction during cesarean sections to determine the optimal dose. Methods Totally 119 cases of parturients who underwent cesarean sections from October 2023 to May 2024 were selected and randomly divided into groups A, B, C and D. All four groups of lying-in women received epidural injection after the umbilical cord was cut. Groups A,B and C were given oxycodone 3 mg, 5 mg and 7 mg respectively, and group D was given an equal amount of normal saline.The primary outcomes were documentation of maternal vital signs and traction reaction during the surgery.Secondary outcomes included patient-controlled intravenous analgesia(PCIA) times within 48 hours and documentation of any postoperative adverse events within 24 hours. Results The comparison of intra-operative vital signs among the four groups of patients revealed no statistically significant differences. In groups A, B and C the incidence of traction reactions was significantly lower at 20%, 17.2% and 3.3%, respectively, compared to group D at 53.3%, showing statistically significant differences(P<0.05). Additionally, the incidence of traction reaction in group C was significantly lower than in group A(P<0.05).Groups A, B and C produced significantly better results than group D in terms of the duration of anesthesia. PCIA presses were substantially less in groups A and C than in group D(P<0.05), and group C had a significantly higher total incidence of adverse events than group A and group D(P<0.05). Conclusions Epidural injection of 3 mg, 5 mg and 7 mg oxycodone has been proved to significantly reduce traction reaction during cesarean sections while minimally impacting intraoperative vital signs. This intervention has the potential to extend the duration of anesthesia, decrease the frequency of PCIA presses. Among these, 7 mg is the most effective but has the highest incidence of adverse effects, requiring carefully post-operative monitoring.
    Clinical Sciences
    Clinical characteristics and prognosis of primary pericardial mesothelioma
    NIE Muwen, SUN Zhao, LI Ningning, ZHAO Lin, BAI Chunmei
    2025, 45(2):  222-228.  doi:10.16352/j.issn.1001-6325.2025.02.0222
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    Objective To explore the clinical, pathological, imaging characteristics, treatment, and prognosis of primary pericardial mesothelioma (PPM). Methods The clinical,pathological and imaging data of 11 PPM patients diagnosed in Peking Union Medical College Hospital from 2014 to 2024 were retrospectively collected,the Kaplan-Meier curve was calculated by Log-Rank test to determine the prognostic factors of the patients. Results The median age of the 11 patients was 48 years, including one well-differentiated papillary mesothelioma, and ten malignant mesothelioma. CA125 was elevated in all patients. PET/CT all indicated increased pericardial metabolism. Male patients and patients with ECOG score >2 points had worse prognosis (P=0.018, P=0.01, respectively). Compared with the untreated group(4 cases), both immunotherapy(3 cases) and chemotherapy(3 cases) can prolong patient survival (P=0.025, P=0.025, respectively), and the benefit of immunotherapy was greater than chemotherapy (P=0.049 9). Conclusions This study is the largest single center pericardial mesothelioma cohort in China. CA125 and PET/CT contributes to the diagnosis of PPM, and immunotherapy might be the future direction of PPM treatment.
    Application of shear wave elastography in the diagnosis of diabetes with peripheral neuropathy
    YU Ling, WANG Xi, HUANG Xinru, CHEN Yan, TAO Li, LIU Hongmei, XU Qing, XIAO Rong
    2025, 45(2):  229-233.  doi:10.16352/j.issn.1001-6325.2025.02.0229
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    Objective To evaluate the application of shear wave elastography (SWE) in the diagnosis of peripheral neuropathy in patients with diabetes. Methods Totally 85 patients with type 2 diabetes (T2DM) were selected from the Chengdu Office Hospital of People's Government of Tibetan Autonomous Region, including 46 patients with peripheral neuropathy (DPN) and 39 patients without peripheral neuropathy (NDPN). Compared for clinical data (gender, age, disease duration), cross-sectional area of the median nerve measured by high-frequency ultrasound (CSA) and shear wave elastography (SWE) parameters (mean Young's modulus value, Emean) and shear wave velocity (SWV) between two groups of patients. Multifactor Logistic regression analysis was carried out on the indicators between the above groups to screen independent predictors in the diagnosis of peripheral neuropathy in diabetes patients, and a combined model was constructed. The area under the operating characteristic curve(AUC), sensitivity and specificity of the subjects were used to evaluate the diagnostic efficacy of the single model and combined model of the quantitative parameters (CSA, Emean, SWV) measured by clinical data, high-frequency ultrasound and SWE in the diagnosis of peripheral neuropathy in diabetes patients. Results Age, course of disease, Emean, SWV and CSA were statistically significant in the diagnosis of peripheral neuropathy in diabetes patients(all P<0.05). AUC was 0.658, 0.754, 0.839, 0.822 and 0.736, respectively. The combination model based on disease course, CSA and SWV showed the highest diagnostic efficiency, with AUC, sensitivity, and specificity of 0.887(0.800-0.946), 80.43%, and 84.62%, respectively. Conclusions The combined model based on the course of disease, CSA and SWV have a high diagnostic efficiency in peripheral neuropathy of diabetes patients, and has good clinical application value.
    Clinical features and prognosis analysis of acute corpus callosum infarction
    PENG Dingyue, WANG Weijing, ZHANG Wei, YANG Yi, BAO Zhuohua, LYU Yuan, LI Shujuan
    2025, 45(2):  234-238.  doi:10.16352/j.issn.1001-6325.2025.02.0234
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    Objective To explore the clinical characteristics and prognostic analysis of acute corpus callosum infarction. Methods A total of 1 466 patients with acute cerebral infarction admitted to the Neurology Department of Jiangbin Hospital in Guangxi from January 2019 to October 2023 and Neurology Department of Fuwai Hospital, Chinese Academy of Medical Sciences from January 2022 to December 2022. Among them, 21 patients with acute corpus callosum infarction confirmed by MRI (observation group) and 25 patients with isolated subcortical infarction at the same period (control group) were selected. By comparing clinical data and follow-up information between two groups, we summarized the clinical characteristics of acute corpus callosum infarction, and analyzed the relevant factors affecting the prognosis of the corpus callosum infarction group. Results Acute corpus callosum infarction accounted for 1.43% (21/1 466) of patients with acute cerebral infarction in the same period. The main clinical manifestations include limb paralysis, cognitive decline, and speech impairment. Compared with the control group, the group with corpus callosum infarction had a longer onset visit time (P<0.05), more cognitive impairment (P<0.05), a higher proportion of mild stroke (P<0.05), more worsening symptoms during the course of the disease (P<0.05), a higher proportion of cardioembolic type (P<0.05), a lower proportion of small artery occlusion type (P<0.05) and a higher proportion of good prognosis (mRS score≤2 points) (P<0.05). The poor prognosis of corpus callosum infarction was found to be related to factors such as large lesions, multiple high-risk factors (≥3), concomitant lobar infarction and worsening of symptoms during the course of the disease. Conclusions Acute corpus callosum infarction often leads to cognitive impairment and mild limb paralysis, which frequently delays treatment. The poor prognosis is mainly related to factors such as lobar infarction, major lesions, and worsening of symptoms during the process.
    Mini Reviews
    Application of peripheral perfusion index in critically ill patients
    CUI Yujian, LI Yuke, LI Shuangling, LI Nan
    2025, 45(2):  239-243.  doi:10.16352/j.issn.1001-6325.2025.02.0239
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    Peripheral perfusion index (PPI) is an Objective and reliable parameter reflecting the peripheral microcirculation through the ratio of local pulsatile to non-pulsatile blood flow. PPI is widely used in the early identification of hypotension, guiding volume management, assessing vascular tone, assisting mechanical ventilation settings, early identification of postoperative complications and poor prognosis of critically ill patients.
    Role of G protein-coupled receptor 120 in respiratory diseases
    ZHAO Yanyan, ZHANG Lijun, ZHANG Xiaochun, LIANG Xiangyan, ZHAO Yufeng
    2025, 45(2):  244-248.  doi:10.16352/j.issn.1001-6325.2025.02.0244
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    G protein-coupled receptor 120 (GPR120) is one of the membrane receptors for long chain free fatty acids and is distributed in alveolus macrophages and airway epithelial Club cells. GPR120 activation alleviates the inflammation of respiratory tract, improves airway hyper-responsiveness, stimulates proliferation of Club cells and promotes the repair of respiratory epithelium, which may attenuate asthma and acute lung injury.
    Garlic active ingredients in prevention and treatment of osteoarthritis
    WU Siyu, SUN Xutao, CAO Shuo, MAO Caiyun, ZHOU Qi, SONG Yunjia
    2025, 45(2):  249-252.  doi:10.16352/j.issn.1001-6325.2025.02.0249
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    Osteoarthritis(OA) is a common concern over the world. Garlic is a kind of natural herbal medicine, and its active ingredients have shown some anti-inflammatory, antioxidant, anti-catabolic, analgesic and other pharmacological effects. Garlic and its active components alleviate the inflammatory response of OA by inhibiting the expression of inflammatory factors and signal pathways such as NF-κB and PI3K/Akt. They slow down the progression of OA by inhibiting the expression of extracellular matrix (ECM) degrading enzymes. Additionally, they reduce the oxidative damage of joints by upregulating the expression of antioxidant enzymes. Moreover, the active components of garlic can relieve OA pain by activating the potassium ion pathway (Kv7), ATP-sensitive potassium channel(K-ATP), and the nuclear factor erythroid 2-related factor 2 (Nrf2)/heme oxygenase 1 (HO-1)-NAD(P)H:quinone oxidoreductase 1 (NQO1) signaling pathway.
    Research progress in the characterization of amino acid metabolism in frailty patients
    WU Huishan, LIAO Yingping, LI Meng
    2025, 45(2):  253-257.  doi:10.16352/j.issn.1001-6325.2025.02.0253
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    Frailty is a complex aging syndrome characterized by diminished strength and physiological dysfunction. Early diagnosis of frailty is of great value in helping the elderly to improve the quality of life. However, specific biological markers to diagnose frailty are still lacking. In recent years, moderate protein intake has been shown to be an effective intervention in the management of frailty in older adults, and the relationship between frailty and amino acid metabolism has received widespread attention. This review discusses recent advances in the study of the mechanisms by which amino acid metabolism affects frailty and provide new ideas for searching specific biomarkers of frailty.
    Role of transmembrane protein 33 in tumorigenesis and development
    LOU Haijun, MENG Menggen, ZHANG Zhenyu, TONG Zhuoyun, WUDU Muli
    2025, 45(2):  258-262.  doi:10.16352/j.issn.1001-6325.2025.02.0258
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    Transmembrane protein 33 (TMEM33) is up-regulated in the majority of cancers. To change the expression of TMEM33 can significantly affect the proliferation, migration, and invasion of renal and cervical cancer cells. Its mechanisms of action may involve four aspects: 1)participation in lipid metabolism; 2)regulation of endoplasmic reticulum; 3)regulation of intracellular calcium homeostasis; 4) participation in angiogenesis.
    Mechanisms and therapeutic strategies of sepsis-associated cytokine storm
    WANG Tingting, QIN Haidong
    2025, 45(2):  263-267.  doi:10.16352/j.issn.1001-6325.2025.02.0263
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    Sepsis is one of the most common critical conditions in clinical practice, with a persistently high mortality rate. As the core pathological mechanism of sepsis, cytokine storm, the continuous activation of the immune system and the disordered release of a large number of cytokines cause severe damage to the patient's tissues and organs, leading to systemic inflammatory response syndrome and even multiple organ dysfunction syndrome, posing a significant threat to patient health. Therefore, this article reviews the role of cytokine storm in sepsis and current therapeutic strategies.
    The role of pleckstrin homology-like domain family A member 1 in metabolic diseases
    HU Yanmin, PENG Lina, YANG Yong, XIANG Yunxuan, CHANG Xiaoyue
    2025, 45(2):  268-272.  doi:10.16352/j.issn.1001-6325.2025.02.0268
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    Pleckstrin homology-like domain family A member 1 (PHLDA1) is a pro-apoptotic factor as well as a key regulator of metabolic diseases. In obesity-related diseases, PHLDA1 can reduce liver triglyceride production through inhibition of the expression of sterol regulatory-element binding proteins-1 (SREBP-1), and reduce fat synthesis through inhibition of peroxisome proliferator-activated receptor γ (PPARγ). However, in cardiovascular diseases, PHLDA1 increases vascular calcification, dysfunction, thereby aggravates ischemia-reperfusion injury in the heart and brain. The dual role of PHLDA1 has also been confirmed in tumors. In summary, PHLDA1, as a multifunctional factor, plays different functional roles through various mechanisms.
    Medical Education
    Training of scientific thinking in the course of “Advanced Pharmacology”
    XU Shan, SONG Lihua, LI Mengzhe, SHI Shenghui, AN Xiaoping, TONG Yigang
    2025, 45(2):  273-275.  doi:10.16352/j.issn.1001-6325.2025.02.0273
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    In graduate course of “Advanced Pharmacology”, problem-based learning (PBL) was used to stimulate students' initiative. To further study the advanced pharmacology knowledge, the new use of old drugs, literature reviewing, clinical case and flipped classroom were applied in the courses to comprehensively strengthen capacity building of students' scientific thinking and reasoning. The outcomes of this course remodeling are well appreciated.
    Teaching reform pathway of graduation thesis for eight-year clinical medical program based on the OBE concept
    JIN Jing, SUN Wenwen, MA Chao
    2025, 45(2):  276-280.  doi:10.16352/j.issn.1001-6325.2025.02.0276
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    The quality of graduation theses is one of the important indicators for measuring the training quality of eight-year program of clinical medicine. Various pilot eight-year curriculums in medical schools have made great efforts in their education remodeling in order to strengthen students' research capabilities and to optimize thesis quality. As medical education enters an accelerating phase of innovative reformation and development, the quality control and improvement of graduation theses in eight-year programs still faces several challenges, such as the decoupling of sampling standards from classified training, unclear thesis positioning and objectives, teacher-centered training models, unshaped evaluation criteria and reliance on external quality control. Based on an outcomes-based education (OBE) concept, reformation in training as well as management of graduation thesis should focus on learning outcomes and goals, clarify thesis positioning and teaching objectives, adopt diversified teaching models, establish an evaluation system based on learning outcomes, and improve a supportive quality assurance system. These measures aim to promote the in-depth implementation of reforms in graduation thesis teaching and further enhance the comprehensive thesis abilities and quality of eight-year medical students.