1.Quantification of Excellent Shape and High Quality Indicators of Sarcandrae Herba and Development of Evaluation System
Yini WU ; Zhihao LIU ; Fan LI ; Bocheng WANG ; Qiuling WANG ; Yan JIN ; Yuan YUAN
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(18):36-43
ObjectiveTo identify and quantify the excellent shape and high quality indicators of Sarcandrae Herba and establish an evaluation method for Sarcandrae Herba based on appearance traits and active components according to the theory of excellent shape, high quality, and superior effect of authentic medicinal materials. MethodsSarcandrae Herba samples from various producing areas were systematically collected. Through classical herbal textual research and modern literature analysis, colorimetric values of leaves and stems were selected as shape indicators. According to compound preparation data and literature reports, total flavonoids, total phenolic acids, and coumarins were selected as component indicators. Cluster analysis and correlation analysis were performed to identify core objective indicators and their threshold ranges for the excellent shape and high quality of Sarcandrae Herba. ResultsGreener Sarcandrae Herba exhibited higher levels of phenolic acids, total flavonoids, and coumarins. Core quantitative indicators characterizing the excellent shape and high quality of Sarcandrae Herba were Leaf a* value<0.99, stem a* value<4, phenolic acid content≥2.49%, total flavonoid content≥5.32%, and coumarin content≥1.98%. By calculating the compliance rate of each batch against this indicator system, the quality stability of different batches can be quantitatively evaluated. ConclusionThis study validates the traditional empirical principle that greener stems and leaves indicate high quality. It establishes a quality evaluation method for Sarcandrae Herba based on the correlation between color and bioactive components, providing a scientific basis for the quality control and grading of this herbal medicine.
2.Banxia Shumitang plus Zhizichi Tang Regulates PINK1/Parkin Signaling Pathway-mediated Mitochondrial Autophagy to Prevent and Treat Insomnia with Depression
Chunfeng XIAO ; Peishuai GONG ; Yini ZHANG ; Ping WANG
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(20):33-46
ObjectiveTo investigate the effect and mechanism of Banxia Shumitang plus Zhizichi Tang (BZ) on PTEN-induced kinase 1 (PINK1)/Parkin signaling pathway in regulating mitochondrial autophagy in preventing insomnia with depression. MethodsSeventy-two 6-week-old male Kunming mice were randomized into a normal group, a model group, low-dose, medium-dose, and high-dose BZ groups (BZ-L, BZ-M, BZ-H, 2.92, 5.85, 11.7 g·kg-1), and an estazolam (0.21 mg·kg-1) group. Insomnia model was established on days 1 to 3. p-Chlorophenylalanine (PCPA) was injected intraperitoneally at a dose of 400 mg·kg-1 into mice of the model group and administration groups for 3 consecutive days. Then, the classic depression model was established with chronic unpredictable mild stress (CUMS) for 28 consecutive days. Administration and modeling were performed simultaneously. After gavage, 24 h spontaneous activity test was performed to test sleep state, and sugar preference test and open field test were performed to evaluate anxiety-like state. The morphological changes of the hypothalamus were observed by hematoxylin-eosin (HE) staining, and the number of Nissl bodies was observed by Nissl staining. The ultrastructure of mitochondria was observed by transmission electron microscopy. The mitochondrial membrane potential assay kit (JC-1) was used to examine the mitochondrial function, and a biochemical assay kit was used to measure the ATP content in the hypothalamus. The level of reactive oxygen species (ROS) was determined by the immunofluorescence assay, and the serum levels of 5-hydroxytryptamine (5-HT), noradrenalin (NE), and cortisol (CORT) were determined by enzyme-linked immunosorbent assay (ELISA). Western blot and Real-time quantitative polymerase chain reaction (Real-time PCR) were employed to determine the expression of PINK1, Parkin, microtubule-associated protein 1 light chain 3 (LC3), and isolator protein 1 (p62) at protein and mRNA levels, respectively. ResultsThe 24 h spontaneous activity test showed that compared with the normal group, the model group did not exhibit circadian rhythm characteristics in their spontaneous activity time, while the circadian rhythm characteristics were restored in each treatment group (P<0.05). The sucrose preference test indicated that compared with that in the normal group, the sucrose preference rate in the model group reduced (P<0.01), and compared with that in the model group, the sucrose preference rate in each treatment group increased (P<0.01). The open field test revealed that compared with the normal group, the model group exhibited decreased movement distance, average speed, frequency of visits to the central area, and time spent in the central area (P<0.01), and compared with those in the model group, these parameters in each treatment group increased (P<0.05, P<0.01). HE staining showed that compared with the normal group, the model group exhibited disarrangement of neurons in the hypothalamus, enlarged intercellular space, and severe nuclear condensation, while the degree of hypothalamic neuronal damage in each treatment group was alleviated. Nissl staining indicated that compared with the normal group, the model group demonstrated aggravated neuronal damage and increased damaged cells (P<0.01). Compared with that in the model group, the number of damaged cells in each treatment group decreased (P<0.01). Transmission electron microscopy showed that compared with the normal group, the model group exhibited mitochondrial swelling and rupture in the hypothalamus, with visible autophagic lysosomes in the cytoplasm. Compared with those in the model group, only a few autophagic lysosomes were observed in the BZ-L group, and the degree of mitochondrial swelling and rupture was alleviated in the other treatment groups. ROS immunofluorescence assay showed that compared with the normal group, the model group displayed enhanced red fluorescence intensity of mitochondrial ROS (P<0.01), which was attenuated in each treatment group (P<0.01). Mitochondrial membrane potential assay showed that compared with the normal group, the model group had declined mitochondrial membrane potential (P<0.01), which was recovered in each treatment group (P<0.05, P<0.01). The biochemical assay of ATP levels indicated that compared with the normal group, the model group exhibited decreased ATP content (P<0.01), which rebound in each treatment group (P<0.05, P<0.01). ELISA showed that compared with the normal group, the model group exhibited decreased 5-HT content and increased NE and CORT content (P<0.01). Compared with the model group, each treatment group showed increased 5-HT content (P<0.01) and reduced NE content (P<0.01) and CORT content (P<0.05, P<0.01). Western blot of the hypothalamus showed that compared with the normal group, the model group exhibited downregulated protein levels of PINK1, Parkin, and LC3 (P<0.01) and upregulated protein level of p62 (P<0.01). Compared with the model group, each treatment group showed upregulated protein levels of PINK1, Parkin, and LC3 (P<0.05, P<0.01) and downregulated protein level of p62 (P<0.05, P<0.01). Real-time PCR showed that compared with the normal group, the model group exhibited downregulated mRNA levels of PINK1, Parkin, and LC3 (P<0.01) and upregulated mRNA level of p62 (P<0.01). Compared with the model group, each treatment group showed upregulated mRNA levels of PINK1, Parkin, and LC3 (P<0.01) and downregulated mRNA level of p62 (P<0.01). ConclusionBZ can ameliorate the insomnia and anxiety state of mice by regulating PINK1/Parkin signaling pathway to improve the mitochondrial function, enhance mitochondrial autophagy, protect neurons, and repair damaged nerve cells.
3.Banxia Shumitang plus Zhizichi Tang Regulates PINK1/Parkin Signaling Pathway-mediated Mitochondrial Autophagy to Prevent and Treat Insomnia with Depression
Chunfeng XIAO ; Peishuai GONG ; Yini ZHANG ; Ping WANG
Chinese Journal of Experimental Traditional Medical Formulae 2026;32(20):33-46
ObjectiveTo investigate the effect and mechanism of Banxia Shumitang plus Zhizichi Tang (BZ) on PTEN-induced kinase 1 (PINK1)/Parkin signaling pathway in regulating mitochondrial autophagy in preventing insomnia with depression. MethodsSeventy-two 6-week-old male Kunming mice were randomized into a normal group, a model group, low-dose, medium-dose, and high-dose BZ groups (BZ-L, BZ-M, BZ-H, 2.92, 5.85, 11.7 g·kg-1), and an estazolam (0.21 mg·kg-1) group. Insomnia model was established on days 1 to 3. p-Chlorophenylalanine (PCPA) was injected intraperitoneally at a dose of 400 mg·kg-1 into mice of the model group and administration groups for 3 consecutive days. Then, the classic depression model was established with chronic unpredictable mild stress (CUMS) for 28 consecutive days. Administration and modeling were performed simultaneously. After gavage, 24 h spontaneous activity test was performed to test sleep state, and sugar preference test and open field test were performed to evaluate anxiety-like state. The morphological changes of the hypothalamus were observed by hematoxylin-eosin (HE) staining, and the number of Nissl bodies was observed by Nissl staining. The ultrastructure of mitochondria was observed by transmission electron microscopy. The mitochondrial membrane potential assay kit (JC-1) was used to examine the mitochondrial function, and a biochemical assay kit was used to measure the ATP content in the hypothalamus. The level of reactive oxygen species (ROS) was determined by the immunofluorescence assay, and the serum levels of 5-hydroxytryptamine (5-HT), noradrenalin (NE), and cortisol (CORT) were determined by enzyme-linked immunosorbent assay (ELISA). Western blot and Real-time quantitative polymerase chain reaction (Real-time PCR) were employed to determine the expression of PINK1, Parkin, microtubule-associated protein 1 light chain 3 (LC3), and isolator protein 1 (p62) at protein and mRNA levels, respectively. ResultsThe 24 h spontaneous activity test showed that compared with the normal group, the model group did not exhibit circadian rhythm characteristics in their spontaneous activity time, while the circadian rhythm characteristics were restored in each treatment group (P<0.05). The sucrose preference test indicated that compared with that in the normal group, the sucrose preference rate in the model group reduced (P<0.01), and compared with that in the model group, the sucrose preference rate in each treatment group increased (P<0.01). The open field test revealed that compared with the normal group, the model group exhibited decreased movement distance, average speed, frequency of visits to the central area, and time spent in the central area (P<0.01), and compared with those in the model group, these parameters in each treatment group increased (P<0.05, P<0.01). HE staining showed that compared with the normal group, the model group exhibited disarrangement of neurons in the hypothalamus, enlarged intercellular space, and severe nuclear condensation, while the degree of hypothalamic neuronal damage in each treatment group was alleviated. Nissl staining indicated that compared with the normal group, the model group demonstrated aggravated neuronal damage and increased damaged cells (P<0.01). Compared with that in the model group, the number of damaged cells in each treatment group decreased (P<0.01). Transmission electron microscopy showed that compared with the normal group, the model group exhibited mitochondrial swelling and rupture in the hypothalamus, with visible autophagic lysosomes in the cytoplasm. Compared with those in the model group, only a few autophagic lysosomes were observed in the BZ-L group, and the degree of mitochondrial swelling and rupture was alleviated in the other treatment groups. ROS immunofluorescence assay showed that compared with the normal group, the model group displayed enhanced red fluorescence intensity of mitochondrial ROS (P<0.01), which was attenuated in each treatment group (P<0.01). Mitochondrial membrane potential assay showed that compared with the normal group, the model group had declined mitochondrial membrane potential (P<0.01), which was recovered in each treatment group (P<0.05, P<0.01). The biochemical assay of ATP levels indicated that compared with the normal group, the model group exhibited decreased ATP content (P<0.01), which rebound in each treatment group (P<0.05, P<0.01). ELISA showed that compared with the normal group, the model group exhibited decreased 5-HT content and increased NE and CORT content (P<0.01). Compared with the model group, each treatment group showed increased 5-HT content (P<0.01) and reduced NE content (P<0.01) and CORT content (P<0.05, P<0.01). Western blot of the hypothalamus showed that compared with the normal group, the model group exhibited downregulated protein levels of PINK1, Parkin, and LC3 (P<0.01) and upregulated protein level of p62 (P<0.01). Compared with the model group, each treatment group showed upregulated protein levels of PINK1, Parkin, and LC3 (P<0.05, P<0.01) and downregulated protein level of p62 (P<0.05, P<0.01). Real-time PCR showed that compared with the normal group, the model group exhibited downregulated mRNA levels of PINK1, Parkin, and LC3 (P<0.01) and upregulated mRNA level of p62 (P<0.01). Compared with the model group, each treatment group showed upregulated mRNA levels of PINK1, Parkin, and LC3 (P<0.01) and downregulated mRNA level of p62 (P<0.01). ConclusionBZ can ameliorate the insomnia and anxiety state of mice by regulating PINK1/Parkin signaling pathway to improve the mitochondrial function, enhance mitochondrial autophagy, protect neurons, and repair damaged nerve cells.
4.Regulatory role of SoxR in Citrobacter braakii JPG1 in physiological response to aerobic/anaerobic-menadione stress.
Qiao XU ; Lei GAO ; Shenglei CHEN ; Yini ZHANG ; Xiaoyu WANG
Chinese Journal of Biotechnology 2025;41(4):1621-1630
SoxR, one of bacterial transcriptional regulators, plays a crucial role in bacterial responses to oxidative stress induced by unfavorable environmental conditions. So far, the understanding of bacterial responses to oxidative stress mainly stems from a handful model bacteria such as Escherichia coli and the studies on non-model bacterial responses to oxidative stress are limited. In this study, Citrobacter braakii JPG1, a commonly occurring strain of enterobacteria, was used as a model for the first time to explore the role of SoxR in the responses to aerobic/anaerobic-menadione stress. First, we analyzed the phylogenetic relationship of SoxR based on the whole genome and constructed the soxR-deleted strain (ΔsoxR). Then, the cell counts of the wild type (WT) and ΔsoxR were compared under aerobic/anaerobic-menadione stress. The results showed that the cell count of WT exposed to the aerobic-low concentration menadione (0.1 mmol/L) stress for 24 h increased by 4.2 times compared with that at the time point of 0 h, while that of ΔsoxR only increased by 1.3 times. The vast majority of WT and ΔsoxR cells died after exposure to the aerobic-high concentration menadione (0.3 mmol/L) stress for 24 h, with the cell counts only 29% and 0.2% of those at the time point of 0 h, respectively. Interestingly, the cell counts of WT showed no significant difference between the anaerobic-menadione stress and the control (P > 0.05), and the same was true for ΔsoxR. All these results indicated that SoxR of C. braakii JPG1 only has a regulatory effect on the redox cycling compound menadione under aerobic conditions and enhance the antioxidant capacity. Under anaerobic conditions, menadione failed to activate SoxR. The findings from this study provide new insights into understanding both the physiological responses to menadione stress and the regulatory role of SoxR under different oxygen conditions.
Bacterial Proteins/physiology*
;
Anaerobiosis
;
Aerobiosis
;
Vitamin K 3/pharmacology*
;
Citrobacter/metabolism*
;
Transcription Factors/physiology*
;
Oxidative Stress
;
Gene Expression Regulation, Bacterial
5.Characteristics of intestinal flora in patients with depression based on GMrepo database and correlation analysis between depression and intestinal flora
Xiao SUN ; Yini WANG ; Fangsheng GAO ; Ying ZHANG ; Ping LIN
Journal of Jilin University(Medicine Edition) 2025;51(1):157-163
Objective:To explore the differential flora between depression group and control group Based on the GMrepo database of intestinal flora,after excluding the factors such as gender,age,body mass index(BMI),and country,and to further clarify the characteristics of differential intestinal flora in the depression patients with different ages and genders.Methods:The subjects were selected from the GMrepo database with phenotypes of"depression"and"health",and the relevant microbial abundance datasets of the screened research subjects were downloaded based on inclusion and exclusion criteria.Using the case matching function of SPSS 27.0 statistical software,95 control subjects and 95 depression patients were matched into two groups based on gender(1∶1),age(±5 years),BMI(±1.5 kg·mn-2),and country(1∶1);univariate analysis on intestinal flora using non-parametric tests was conducted to screen the differential intestinal flora with a P<0.05 under hypothesis testing;Wald's forward stepwise selection method was used to construct a binary Logistic regression model,stratified analysis was conducted based on gender(male,female)and age(≤65 years,>65 years)and the significantly differential flora between the subjects in control group and the patients in depression group were determined based on odds ratio(OR)and P-value within different subpopulatious.Results:Compared with control group,Paraprevotella[OR=0.661,95%confidence interval(CI)=0.489-0.893,P=0.007]and Prevotella(OR=0.946,95%CI=0.903-0.992,P=0.022)showed significantly lower abundance in the patients in depression group,which were the protective factors for the occurrence of depression.Paraprevotella(OR=0.358,95%CI=0.146-0.883,P=0.026)was identified as the differential flora in the male population between depression group and control group,while Faecalibacterium(OR=0.565,95%CI=0.322-0.990,P=0.046)and Alistipes(OR=0.513,95%CI=0.289-0.911,P=0.023)were the differential flora in the female population.Prevotella(OR=0.654,95%CI=0.476-0.899,P=0.009)was the differential flora among the individuals'age≤65 years between depression group and control group.Conclusion:Paraprevotella,Prevotella,Faecalibacterium,and Alistipes are the characteristic intestinal flora associated with depression,and the changes in their abundances may have significant impacts on the occurrence and development of depression.
6.Effect of Static Balance Ability on Dual-Task Costs Under Different Walking TaskInterventions in Chinese Older Adults
Chenglong WANG ; Mingjian NIE ; Chenhui XIAO ; Yini WU ; Jingjing WANG
Medical Journal of Peking Union Medical College Hospital 2025;16(3):598-605
To compare gait parameters during single-task and dual-task walking in older adults, and to examine differences in dual-task costs between individuals with high versus low balance abilities under different task conditions. From November to December 2024, community-dwelling older adults were recruited through Hebei Province's national physical fitness monitoring network across multiple communities in Shijiazhuang and Xiong'an New Area. An inertial sensor-based gait analysis system was used to collect spatiotemporal gait parameters during three conditions: single-task walking, motor dual-task walking (simultaneous carrying task), and cognitive dual-task walking (serial subtraction task). Participants were stratified into high-balance and low-balance groups based on median eyes-closed single-leg stance duration (cut-off: 18.40 seconds). Dual-task costs (DTC) were calculated and compared between groups. The study included 133 eligible participants[30 male, 103 female; mean age (66.95±4.75) years]. The low-balance group 66 participants, and the high-balance group 67 participants. Compared to single-task walking, motor dual-task conditions significantly increased stride time and double support phase duration (all While dual-task conditions generally impair gait parameters in older adults, individuals with higher balance abilities maintain more stable gait patterns during motor dual-tasks, demonstrating greater resilience to interference. These findings highlight the importance of balance capacity in preserving functional mobility during daily multitasking activities.
7.Association Between Abnormal Body Weight and Physical Fitness Levelsin Chinese Older Adults: Findings from the 5th National PhysicalFitness Surveillance in China
Chaoqun FAN ; Mei WANG ; Qiang FENG ; Jingjing WANG ; Dongming WU ; Zonghao SUN ; Jiarong ZHU ; Yini WU
Medical Journal of Peking Union Medical College Hospital 2025;16(3):617-626
Based on the data from the 5th National Physical Fitness Surveillance in China, this study aimed to explore the relationship between abnormal body weight and physical fitness levels in older adults. The study included adults aged 60-79 years from the 5th National Physical Fitness Surveillance database. Body weight was categorized into four groups—underweight, normal weight, overweight, and obesity—based on body mass index (BMI), with underweight, overweight, and obesity classified as abnormal weight. Physical fitness indicators such as cardiorespiratory endurance (number of 2-minute high-knee steps), lower limb muscle strength (number of 30-second chair stands), flexibility (sit-and-reach test), balance ability (eyes-closed single-leg stance time), and reaction ability (choice reaction time) were collected. Each physical fitness indicator was divided into four levels (excellent, good, pass, and fail) based on quartile cutoffs. After adjusting for demographic factors (including age, sex, urban/rural residence, education level, pre-retirement occupation, marital status, exercise habits, smoking, sleep quality, and self-rated fitness), binary Logistic regression was used to analyze the association between physical fitness indicators and abnormal weight. A total of 39 927 older adults aged 60-79 years were included, comprising 19 777 men (49.5%) and 20 150 women (50.5%), with a mean age of 69.2±5.6 years. The prevalence rates of underweight, overweight, and obesity were 2.3%, 41.8%, and 16.7%, respectively, with underweight prevalence significantly increasing with age ( Chinese older adults aged 60-79 years face a dual burden of underweight and overweight/obesity. Poor cardiorespiratory endurance and muscle strength (in women) are significantly associated with abnormal weight. Maintaining good cardiorespiratory endurance and muscle strength may help improve abnormal weight status in older adults.
8.Association between dietary diversity and the risk of MACE after PCI in patients with coronary heart disease
Menglei WANG ; Xueqin GAO ; Ping LIN ; Yini WANG ; Zhenjuan ZHAO ; Xinrui MA ; Ling LI ; Huixia HUANG ; Guojie LIU
Chinese Journal of Modern Nursing 2025;31(17):2289-2294
Objective:To investigate the association between dietary diversity and the risk of major adverse cardiovascular events (MACE) after percutaneous coronary intervention (PCI) in patients with coronary heart disease (CHD) .Methods:A total of 553 patients diagnosed with CHD and undergoing PCI in the Department of Cardiology at the Second Affiliated Hospital of Harbin Medical University between May and November 2023 were enrolled using a convenience sampling method. A Semi-Quantitative Food Frequency Questionnaire was used to assess patients' dietary intake after PCI, and the Dietary Diversity Score (DDS) was calculated. Patients were followed up for one year to determine the incidence of MACE.Results:History of hypertension, history of hyperlipidemia, body mass index, use of antiplatelet agents, use of diuretics, triglycerides, smoking index and DDS were identified as factors influencing the occurrence of MACE after PCI ( P<0.05) . Among these, higher dietary diversity had a protective effect against MACE. Conclusions:After PCI, patients with lower DDS experienced MACE more frequently than those with higher scores. Increased dietary diversity can effectively help prevent MACE in patients after PCI.
9.Dietary patterns and their influencing factors among patients with coronary heart disease in severe cold regions
Rui WANG ; Ping WANG ; Jiaonan NI ; Ting XIONG ; Yini WANG ; Xinrui MA ; Zhonghua HU ; Zhenjuan ZHAO
Chinese Journal of Modern Nursing 2025;31(22):2986-2993
Objective:To explore the current dietary patterns and influencing factors of patients with coronary heart disease (CHD) in severe cold regions, aiming to provide scientific evidence for developing targeted dietary interventions.Methods:A total of 340 patients with CHD who visited the Department of Cardiology at the Second Affiliated Hospital of Harbin Medical University between September and December 2023 were selected using convenience sampling. Patients were assessed using a general information questionnaire, Semi-Quantitative Food Frequency Questionnaire, Food Choice Questionnaire, Nutritional Knowledge Questionnaire, 7-Item Generalized Anxiety Disorder Scale, and Patient Health Questionnaire-9.Results:A total of 340 questionnaires were distributed, and 333 valid questionnaires were collected, with an effective response rate of 97.94% (333/340). Two dietary patterns were identified among patients with CHD in severe cold regions: a "fruit-nut-dairy" dietary pattern and a "meat-seafood-grain" dietary pattern. Factors influencing the "fruit-nut-dairy" dietary pattern included gender, nutritional knowledge, and food choice motivations such as accessibility, sensory appeal, brand and packaging, and emotional dimensions ( P<0.05). Factors influencing the "meat-seafood-grain" dietary pattern included body mass index (BMI), living alone or not, monthly income, and food choice motivations such as convenience, health attributes, sensory appeal, and price ( P<0.05) . Conclusions:When providing dietary interventions for CHD patients, targeted control of factors such as gender, BMI, living alone or not, monthly income, nutritional knowledge, and key elements of food choice motivations may optimize patients' irrational dietary structures and reduce adverse disease outcomes.
10.Association between dietary diversity and the risk of MACE after PCI in patients with coronary heart disease
Menglei WANG ; Xueqin GAO ; Ping LIN ; Yini WANG ; Zhenjuan ZHAO ; Xinrui MA ; Ling LI ; Huixia HUANG ; Guojie LIU
Chinese Journal of Modern Nursing 2025;31(17):2289-2294
Objective:To investigate the association between dietary diversity and the risk of major adverse cardiovascular events (MACE) after percutaneous coronary intervention (PCI) in patients with coronary heart disease (CHD) .Methods:A total of 553 patients diagnosed with CHD and undergoing PCI in the Department of Cardiology at the Second Affiliated Hospital of Harbin Medical University between May and November 2023 were enrolled using a convenience sampling method. A Semi-Quantitative Food Frequency Questionnaire was used to assess patients' dietary intake after PCI, and the Dietary Diversity Score (DDS) was calculated. Patients were followed up for one year to determine the incidence of MACE.Results:History of hypertension, history of hyperlipidemia, body mass index, use of antiplatelet agents, use of diuretics, triglycerides, smoking index and DDS were identified as factors influencing the occurrence of MACE after PCI ( P<0.05) . Among these, higher dietary diversity had a protective effect against MACE. Conclusions:After PCI, patients with lower DDS experienced MACE more frequently than those with higher scores. Increased dietary diversity can effectively help prevent MACE in patients after PCI.

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