1.Design and practice of China-Africa public health capacity training programs based on the win-win concept
Lili WANG ; Xinyi ZHANG ; Mingfan PANG ; Yuting FENG ; Yuansheng FANG ; Xiaopeng QI
Chinese Journal of Schistosomiasis Control 2026;38(2):119-122
Since the founding of the People’s Republic of China, remarkable achievements have been gained in infectious disease prevention and control, and rich practical experiences have been accumulated. If these experiences are shared with developing countries, it will greatly contribute to global infectious disease control and global health security. Under the framework of Forum on China-Africa Cooperation, a series of China-Africa public health capacity training programs have been recently held in China, in order to help improve the capability of infectious disease control in African countries. This article summarized and refined good design concepts and practices from these programs, so as to provide insights into sustainable optimization of China-Africa public health capacity training and improvements of the training effectiveness.
2.Management of prevention and treatment of chronic diseases after kidney transplantation
Organ Transplantation 2026;17(2):192-197
Kidney transplantation is the most ideal treatment method for end-stage renal disease, significantly improving the survival rate and quality of life of patients. However, as the postoperative survival period gradually lengthens, chronic diseases have become the main obstacle affecting the long-term outcome of kidney transplantation. These chronic diseases have a high incidence, involve multiple organs and significantly impact prognosis. The core driving factors are mainly related to long-term immunosuppressive therapy. This article systematically discusses the occurrence mechanisms, prevention and treatment strategies, and classification management of common chronic diseases after kidney transplantation (mainly including chronic graft dysfunction, cardiovascular diseases, infections, malignant tumors, bone metabolism disorders, etc.). At the same time, it explores future development directions such as precision medicine, new immune modulators and remote management, emphasizing a comprehensive management model centered on "multidisciplinary collaboration + individualized treatment + continuous monitoring" to achieve long-term, systematic, and dynamic prevention and treatment of chronic diseases for kidney transplant recipients.
3.Consistent Detection of Aquaporin-4 Antibodies:A Comparative Analysis Between Fixed and Live Cell-Based Assays
Jing WANG ; Linge WANG ; Xiaolin YANG ; Zhizhong LI ; Jinyu JIANG ; Qiao XU ; Siyuan HUANG ; Qing FU ; Yang YANG ; Rongrong ZHANG ; Lin YANG ; Ai CHEN ; Xiaopeng ZENG ; Ke XU ; Peng ZHENG ; Xinyue QIN ; Jinzhou FENG
Journal of Clinical Neurology 2026;22(2):212-220
Background:
and Purpose Live cell-based assays (LCBA) are increasingly used for serological antibody detection due to their ability to preserve antigen conformation, offering moderately higher sensitivity than fixed cell-based assays. However, the clinical necessity of prioritizing LCBA for the detection of aquaporin-4 immunoglobulin G (AQP4-IgG) in neuromyelitis optica spectrum disorder (NMOSD) remains unclear, especially when compared to its established role in diagnosing myelin oligodendrocyte glycoprotein antibody-associated disease.
Methods:
We compared the performance of live cell-based assays using immunofluorescence (LCBA-IF) and fixed cell-based assays using immunofluorescence (FCBA-IF) in detecting AQP4-IgG in 90 cases of NMOSD meeting 2015 International Panel for Neuromyelitis Optica Diagnosis criteria, alongside 40 controls. Additionally, we further investigated the relationship between AQP4-IgG titers as measured by LCBA-IF and FCBA-IF and clinical parameters in NMOSD patients.
Results:
Results showed 96.9% agreement between LCBA-IF and FCBA-IF (Cohen’s κ=0.935), with a strong Spearman correlation (0.977, p<0.001). Both methods demonstrated 100% specificity, with LCBA-IF showing slightly higher sensitivity compared to FCBA-IF. Within LCBAIF-tested groups, statistically significant differences in annualized relapse rates were observed across all pairwise comparisons (low-titer vs. moderate-titer, low-titer vs. high-titer, and moderate-titer vs. high-titer; all p<0.050). However, this association reached statistical significance in some FCBA-IF-tested groups.
Conclusions
Overall, there is a strong concordance between LCBA-IF and FCBA-IF in detecting AQP4-IgG, where LCBA-IF shows slightly higher sensitivity. Furthermore, there is a potential link between elevated AQP4-IgG titers and an increased risk of relapse, and this correlation may appear more pronounced when using LCBA-IF.
4.Chinese Medicine in Treatment of Ulcerative Colitis by Regulating JAK2/STAT3 Signaling Pathway: A Review
Renxun ZHANG ; Jinwen LI ; Wang DING ; Yuanqing JI ; Jing CHEN ; Zhixia HU ; Xiaopeng DONG
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(21):273-283
Ulcerative colitis (UC) is a chronic nonspecific inflammatory intestinal disease with a complex pathogenesis. Its recurrent attacks easily lead to persistent intestinal mucosal damage, resulting in a year-by-year increase in incidence and imposing a heavy burden on patients. Currently, the treatment of UC mainly relies on corticosteroids, immunosuppressants, and aminosalicylate preparations. However, these therapies are limited by significant side effects, strong drug resistance, and poor long-term prognosis. As one of the important inflammatory pathways, the Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) signaling pathway can regulate the occurrence and development of UC through multiple pathways by modulating multiple downstream targets. Therefore, the JAK2/STAT3 signaling pathway offers a new research direction for the treatment of UC. Numerous studies have shown that the JAK2/STAT3 signaling pathway plays an important role in intestinal inflammatory responses, intestinal mucosal barrier damage, T helper cell 17 (Th17)/regulatory T cell (Treg) immune imbalance, intestinal epithelial cell apoptosis, and oxidative stress. Chinese medicine has attracted increasing attention because of its unique advantages, including fewer side effects, individualized diagnosis and treatment, and enhancement of efficacy with reduction of toxicity. In addition to traditional Chinese herbal formulas, more Chinese medicine monomers and extracts have played key roles because of their more precise therapeutic targets. In recent years, many studies have confirmed that Chinese medicine can exert therapeutic effects on UC by interfering with the JAK2/STAT3 signaling pathway, thereby alleviating intestinal inflammatory responses, repairing the intestinal mucosal barrier, regulating the balance of Th17/Treg immune cells, inhibiting intestinal epithelial cell apoptosis, and suppressing oxidative stress. This article summarizes and reviews recent research progress in this field from three aspects, including an overview of the JAK2/STAT3 signaling pathway, the relationship between the JAK2/STAT3 signaling pathway and UC, and the regulatory mechanisms of traditional Chinese medicine, with the aim of providing a theoretical basis for the future clinical treatment of UC and drug development.
5.Chinese Medicine in Treatment of Ulcerative Colitis by Regulating JAK2/STAT3 Signaling Pathway: A Review
Renxun ZHANG ; Jinwen LI ; Wang DING ; Yuanqing JI ; Jing CHEN ; Zhixia HU ; Xiaopeng DONG
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(21):273-283
Ulcerative colitis (UC) is a chronic nonspecific inflammatory intestinal disease with a complex pathogenesis. Its recurrent attacks easily lead to persistent intestinal mucosal damage, resulting in a year-by-year increase in incidence and imposing a heavy burden on patients. Currently, the treatment of UC mainly relies on corticosteroids, immunosuppressants, and aminosalicylate preparations. However, these therapies are limited by significant side effects, strong drug resistance, and poor long-term prognosis. As one of the important inflammatory pathways, the Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) signaling pathway can regulate the occurrence and development of UC through multiple pathways by modulating multiple downstream targets. Therefore, the JAK2/STAT3 signaling pathway offers a new research direction for the treatment of UC. Numerous studies have shown that the JAK2/STAT3 signaling pathway plays an important role in intestinal inflammatory responses, intestinal mucosal barrier damage, T helper cell 17 (Th17)/regulatory T cell (Treg) immune imbalance, intestinal epithelial cell apoptosis, and oxidative stress. Chinese medicine has attracted increasing attention because of its unique advantages, including fewer side effects, individualized diagnosis and treatment, and enhancement of efficacy with reduction of toxicity. In addition to traditional Chinese herbal formulas, more Chinese medicine monomers and extracts have played key roles because of their more precise therapeutic targets. In recent years, many studies have confirmed that Chinese medicine can exert therapeutic effects on UC by interfering with the JAK2/STAT3 signaling pathway, thereby alleviating intestinal inflammatory responses, repairing the intestinal mucosal barrier, regulating the balance of Th17/Treg immune cells, inhibiting intestinal epithelial cell apoptosis, and suppressing oxidative stress. This article summarizes and reviews recent research progress in this field from three aspects, including an overview of the JAK2/STAT3 signaling pathway, the relationship between the JAK2/STAT3 signaling pathway and UC, and the regulatory mechanisms of traditional Chinese medicine, with the aim of providing a theoretical basis for the future clinical treatment of UC and drug development.
6.A Comparative Study of Digital 3D Technology Assisted Versus Traditional One-hole Split Endoscopic Surgery for Lumbar Spinal Stenosis With Degenerative Scoliosis
Weiliang SU ; Min ZHANG ; Guohua DAI ; Kuishuai XU ; Dawei WANG ; Xiaopeng GENG ; Dong LIU ; Yongfeng DOU
Chinese Journal of Minimally Invasive Surgery 2025;25(10):615-622
Objective To compare the clinical efficacy of digital 3D technology assisted and traditional one-hole split endoscopic surgery for lumbar spinal stenosis with degenerative scoliosis(LSS-DS).Methods Clinical data of 42 patients with LSS-DS who underwent one-hole split endoscopic surgery from January 2022 to December 2023 were retrospectively analyzed.Among them,20 cases were treated with digital 3D technology assisted one-hole split endoscopic surgery(3D group),and 22 cases were treated with traditional one-hole split endoscopic surgery(traditional group).The operation time,intraoperative blood loss,lateral articular surface preservation rate,Visual Analogue Scale(VAS)of lower extremity pain,Oswestry Disability Index(ODI)and modified MacNab criteria at the last follow-up were compared between the two groups.Results Both groups of patients were operated successfully.The operation time of the 3D group and the traditional group was(73.3±24.0)min and(65.7±23.8)min,respectively,with no significant difference(t=1.020,P=0.314).The intraoperative blood loss was(65.3±14.7)ml and(66.7±17.1)ml,respectively,with no significant difference(t=-0.298,P=0.767).The retention rate of lateral articular surface in the 3D group[(88.2±6.3)%]was significantly higher than that in the traditional group[(82.7±4.6)%,t=3.201,P=0.003].One patient in the traditional group had dural tear and was cured after conservative treatment.There were 3 cases of calf muscle venous thrombosis in the 3D group and 4 cases in the traditional group.All the 7 patients were given anticoagulant therapy and appropriately delayed time of ambulation.In the3D group,20 cases were followed up for6-13 months,with a mean of(8.2±2.0)months;in the traditional group,22 cases were followed up for 6-12 months,with a mean of(7.7±1.7)months.According to the modified MacNab criteria,the excellent and good rate was 95.0%(19/20)in the 3D group and 90.1%(20/22)in the traditional group at the last follow-up,and there was no significant difference between the two groups(Z=-0.311,P=0.756).The VAS score and ODI of the two groups were significantly improved at 3 months and 6 months after operation(all P=0.000),but there was no significant difference between the two groups at each time point(P>0.05).Conclusion The short-term efficacy of digital 3D technology assisted one-hole split endoscopic surgery in the treatment of LSS-DS is definite,and the symptoms of patients are significantly improved.
7.Incidence and Mortality of Gastric Cancer in Hefei City of Anhui Province in 2020 and the Trend from 2013 to 2020
Jiajia LI ; Xiaopeng ZHANG ; Junqing ZHANG ; Feng SUN
China Cancer 2025;34(6):464-470
[Purpose]To analyze the incidence and mortality of gastric cancer in Hefei City of Anhui Province in 2020 and the trend from 2013 to 2020.[Methods]The incidence and mortality data of gastric cancer in Hefei City from 2013 to 2020 were collected from sofeware CanReg4.The incidence(mortality)rate,age-standardized incidence(mortality)rate by Chinese standard popula-tion and world standard population(ASIRC/ASIRW,ASMRC/ASMRW),age-specific incidence(mortality)rate and average annual percentage change(AAPC)of the incidence(mortality)rate were calculated.[Results]In 2020,the crude incidence rate of gastric cancer in Hefei was 47.14/105,the ASIRC was 27.10/105,the ASIRW was 26.78/105,ranking the second in all cancer types.The crude mortality rate of gastric cancer was 41.12/105,the ASMRC was 21.64/105,the ASMRW was 21.25/105,ranking the second in all cancer types.The incidence rate and mortality rate of gastric cancer increased with age,and reached the peak in the age group of 80~84 years old.The incidence rate and mortality rate of men were higher than those of women,and rates in rural areas were higher than those in urban areas.The ASIRC and ASMRC of gastric cancer showed downward trends from 2013 to 2020 in Hefei(AAPC were-7.19%and-4.71%,both P<0.05).[Conclusion]The ASIRC and ASMRC of gastric cancer show downward trends from 2013 to 2020 in Hefei,but are still higher than the average level in China,so the prevention and control work should be fur-ther strengthened.
8.Research progress of sulfotransferases SULTs in regulating glucose and lipid metabolism
Yali REN ; Xiaopeng CHEN ; Xiao ZHANG ; Song ZHANG
International Journal of Laboratory Medicine 2025;46(1):102-106,112
The biotransformation processes in the human body play a crucial role in maintaining the inter-nal environment's stability by converting exogenous compounds and endogenous metabolites into substances with increased polarity or water solubility.This alteration in toxicity or pharmacological effects facilitates their excretion from the body.Sulfation,an important type of phase Ⅱ biotransformation reaction,is primarily me-diated by members of the cytosolic sulfotransferases(also known as sulfotransferases,SULTs)superfamily.Recent studies have uncovered the significant roles of SULTs in drug metabolism,tumorigenesis,inflammato-ry responses,hormone regulation,and energy metabolism.This article provides a comprehensive review of the regulatory roles and molecular mechanisms of the SULTs superfamily members in carbohydrate and lipid me-tabolism,aiming to offer new insights into the mechanism research and drug development for disorders related to carbohydrate and lipid metabolism dysregulation.
9.The clinical application value of mitoxantrone hydrochloride injection and carbon nanoparticles suspen-sion injection in endoscopic radical thyroidectomy for thyroid cancer
Jinlian WANG ; Shengchang LIANG ; Yibin GUO ; Qi ZHANG ; Kunpeng QU ; Xiaopeng HAN
The Journal of Practical Medicine 2025;41(12):1885-1891
Objective To explore the significance of mitoxantrone hydrochloride injection and carbon nanoparticles suspension injection in endoscopic radical thyroid cancer surgery.Methods A retrospective analysis was carried out on patients who underwent endoscopic radical surgery for unilateral thyroid cancer at the Depart-ment of General Surgery,Gansu Provincial Central Hospital,from December 2022 to February 2024.The patients were classified into two groups according to the intraoperative tracer employed:the mitoxantrone group and the nanocarbon group.After a 6-month postoperative follow-up,the baseline data of the two patient groups were compared.The intraoperative visualization of lymph nodes and parathyroid glands in both groups was observed.Additionally,the hospitalization costs and the incidence of postoperative complications were compared between the two groups.Results In this study,110 cases were included in the Mitoxantrone group and 126 cases in the nanocarbon group.The staining time of the central lymph nodes was significantly shorter in the nanocarbon group compared to the mitoxantrone group(P<0.05).The blue staining rate of MHI reached 97.5%,while the black staining rate of CNSI was 98.3%.The difference between them was not statistically significant(P>0.05).Regarding the number of central lymph nodes dissected,it was 9.34±0.22 in the Mitoxantrone group and 9.88±0.24 in the nanocarbon group,with no statistically significant difference(P>0.05).Similarly,the parathyroid misdissection rates were 1.8%and 0.8%in the two groups respectively,and no significant statistical difference was observed(P>0.05).Postoperative blood calcium and PTH levels measured at 1 day,1 month,and 6 months did not show any statistically significant differences between the two groups(P>0.05).The incidence of transient hypoparathy-roidism and hypocalcemia was comparable in both groups(P>0.05),and no patients developed permanent hypo-parathyroidism or permanent hoarseness.None of the patients in one Mitoxantrone group experienced postoperative hemorrhage,coeliac leakage,or skin staining.In contrast,in the nanocarbon group,there was one case of postop-erative hemorrhage and one case of coeliac leakage,and two case of skin staining.Conclusions In laparoscopic unilateral thyroid cancer radical surgery,when it comes to lymph node tracing and parathyroid gland protection,no significant disparities were detected between MHI and CNSI.Nevertheless,CNSI exhibits a shorter staining time for central lymph nodes.In contrast,MHI is more manageable,features a faster metabolic rate,and has been demonstrated to be more cost-effective.
10.Application of dual-energy computed tomography imaging for evaluation of bone repair
Danyang SU ; Yuanbo MA ; Jinlong LIU ; Haoran ZHANG ; Shenyu YANG ; Qiuju MIAO ; Zhen BAI ; Xiaopeng YANG
Chinese Journal of Comparative Medicine 2025;35(1):155-162
Bone defect repair is an urgent problem in the field of orthopedics,and numerous researchers are working to develop more effective treatment plans.The accurate evaluation of bone repair after surgery is a crucial step.In line with the development of computed tomography(CT)imaging,dual-energy CT imaging has shown significant advantages in analyzing bone composition and reducing metal artifacts.This article reviews the application of dual-energy CT imaging for the evaluation of bone repair in animals.

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