1.SRSF7 promotes pulmonary fibrosis through regulating PKM alternative splicing in lung fibroblasts.
Tongzhu JIN ; Huiying GAO ; Yuquan WANG ; Zhiwei NING ; Danyang BING ; Yan WANG ; Yi CHEN ; Xiaomu TIAN ; Qiudi LIU ; Zhihui NIU ; Jiayu GUO ; Jian SUN ; Ruoxuan YANG ; Qianqian WANG ; Shifen LI ; Tianyu LI ; Yuhong ZHOU ; Wenxin HE ; Yanjie LU ; Yunyan GU ; Haihai LIANG
Acta Pharmaceutica Sinica B 2025;15(6):3041-3058
Idiopathic pulmonary fibrosis (IPF), a chronic interstitial lung disease, is characterized by aberrant wound healing, excessive scarring and the formation of myofibroblastic foci. Although the role of alternative splicing (AS) in the pathogenesis of organ fibrosis has garnered increasing attention, its specific contribution to pulmonary fibrosis remains incompletely understood. In this study, we identified an up-regulation of serine/arginine-rich splicing factor 7 (SRSF7) in lung fibroblasts derived from IPF patients and a bleomycin (BLM)-induced mouse model, and further characterized its functional role in both human fetal lung fibroblasts and mice. We demonstrated that enhanced expression of Srsf7 in mice spontaneously induced alveolar collagen accumulation. Mechanistically, we investigated alternative splicing events and revealed that SRSF7 modulates the alternative splicing of pyruvate kinase (PKM), leading to metabolic dysregulation and fibroblast activation. In vivo studies showed that fibroblast-specific knockout of Srsf7 in conditional knockout mice conferred resistance to bleomycin-induced pulmonary fibrosis. Importantly, through drug screening, we identified lomitapide as a novel modulator of SRSF7, which effectively mitigated experimental pulmonary fibrosis. Collectively, our findings elucidate a molecular pathway by which SRSF7 drives fibroblast metabolic dysregulation and propose a potential therapeutic strategy for pulmonary fibrosis.
2.Progress on feeding and eating behavior problems in children with autism spectrum disorder
Ning SHAO ; Yanyan WANG ; Xiaolin LIU ; Yan JIN ; Zhiwei ZHU ; Chao SONG
International Journal of Pediatrics 2025;52(1):11-16
Autism spectrum disorder(ASD)is a multifactorial,pervasive neurodevelopmental disorder.As the morbidity rate of ASD in children increases year by year,feeding and eating behaviors,as an important and common clinical problem in children with ASD,are gaining more and more attention.Many children with ASD often have food selection issues,chewing problems,food allergy and related gastrointestinal symptoms,and even serious diseases such as eating disorders,which negatively impact on their growth and development.There are many factors affecting feeding and eating behavior problems in children with ASD,such as sensory processing,ritualistic eating behavior,gastrointestinal symptoms,age,and parenting pressure.There are also a variety of interventions that can help to improve feeding and eating behavior problems in children with ASD.Strengthening the understanding of these influencing factors and intervention treatment methods is beneficial for improving the quality of life in children with ASD.
3.Study on quantitative evaluation of the special policy of paying according to efficacy value in TCM
Hao NING ; Zhiwei WANG ; Yuhan WANG ; Jing YU ; Shiji XIA
International Journal of Traditional Chinese Medicine 2025;47(9):1207-1214
Paying for TCM according to the value of efficacy is an intrinsic requirement for establishing an effective and efficient diversified medical insurance payment method, and is also an important measure to support the inheritance, innovation and development of TCM. This study used text mining and PMC index model to quantitatively analyze and evaluate the texts of 20 special policies on payment based on efficacy value in TCM. It was found that there were 6 excellent policies, 14 acceptable policies, and there were no undesirable policies or perfect policies; overall, the average policy PMC index was 6.94, and the average provincial policy was 7.06, which was higher than the prefecture-level average of 6.27; the overall quality of special policies of TCM based on efficacy value was relatively high, but there was still much room for improvement in terms of policy timeliness, policy evaluation, policy measures, policy tools, and balance of policy design between provinces and cities.
4.Antidepressant effects and mechanisms of Wuhua herbal tea in a rat model of chronic unpredictable mild stress
Zhiwei Qi ; Lingling Qin ; Ming Gao ; Ruifeng Yang ; Congyi Liu ; Ning Wang ; Wenjing Li ; Yongxin Huang ; Lili Wu ; Tonghua Liu
Journal of Traditional Chinese Medical Sciences 2025;2025(3):364-374
ObjectiveTo evaluate the effects of Wuhua herbal tea on chronic unpredictable mild stress (CUMS)-induced depression and explore its mechanism of action in combating depression.MethodsWe tested the antidepressant effects of Wuhua herbal tea in a rat model of CUMS-induced depression using fluoxetine as a positive control. The rats were divided into four groups: control group, model group, fluoxetine group, and Wuhua herbal tea group. The rats underwent body weight measurements, sucrose preference test, and open-field test. Enzyme-linked immunosorbent assay kits were used to detect the serum levels of serotonin, dopamine, adrenocorticotropic hormone (ACTH), corticosterone, norepinephrine, and interleukin-6. Intergroup comparisons and detection of brain-derived neurotrophic factor (BDNF), cAMP-response element binding protein (CREB), Janus kinase 2 (JAK2), and signal transducer and activator of transcription 3 (STAT3) mRNA expression in the hippocampus were performed using RT-PCR. Immunohistochemistry was used to identify the expression of phosphorylated JAK2 (p-JAK2) and phosphorylated STAT3 (p-STAT3) proteins in hippocampal paraffin sections of CUMS rats.ResultsCompared with the control group, the model group rats had depressive tendencies, exhibiting low vitality and interest in various behavioral indicators which were signs of despair. The Wuhua herbal tea group statistically increased the levels of serotonin and dopamine in the serum of CUMS rats to varying degrees (P = .015 and P = .002); reduced serum levels of ACTH, corticosterone, norepinephrine, and interleukin-6 (all P .05); and decreased mRNA expression of BDNF, CREB, JAK2, and STAT3 in the hippocampus (all P .05); and decreased p-STAT3 protein levels (P = .006).ConclusionWuhua herbal tea shows antidepressant potential in CUMS rats by modulating the HPA axis and inhibiting JAK2-STAT3 overactivation, alleviating neuroinflammation. It also restores BDNF-CREB pathway function, reducing depressive symptoms.
5.Study on Evidence-Based Decision-Making of Acupuncture for Post-Prostatectomy Urinary Incontinence: based on TOPSIS Combined with Entropy Method
Zhiwei DONG ; Junlan WANG ; Tao XIE ; Yanying YE ; Ting LI ; Cong YU ; Ning TIAN
Journal of Traditional Chinese Medicine 2024;65(23):2434-2441
ObjectiveTo screen optimized protocol of acupuncture for post-prostatectomy urinary incontinence (PPUI) patients, and to provide evidence for clinical practice. MethodsMEDLINE, Embase, Cochrane Library, Web of Science, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, WanFang and VIP databases were searched to collect randomized controlled trials of acupuncture for PPUI. The search was conducted from the establishment of the database to February 1, 2024, and the quality of the literature was evaluated to exclude the studies with a high risk of overall bias or modified Jadad <3, and constructed acupuncture protocol and performed meta-analysis. We used International Consultation on Urinary Incontinence Short Form (ICI-Q-SF) scores, quality of life scores, overall effective rate, and modified Jadad scores as beneficial indicators, and the number of acupoints selected, stimulation duration, the number of acupuncture, and the duration of the treatment course as costly indicators, to derive the standardized protocol matrix, and used the entropy method to determine the weights of the different decision-making indicators, and finally combined with the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) for comprehensive evaluation. ResultsNine studies met the criteria, and the acupuncture treatments involved were constructed as six protocols including electrical acupoint stimulation with low-frequency, electroacupuncture at four acupoints of sacral region, replenishing qi and tonifying kidney acupuncture, body acupuncture plus pelvic floor muscle training, auricular acupuncture, and electroacupuncture plus pelvic floor muscle training. The ICI-Q-SF, number of acupuncture sessions, and total effectiveness rate were given higher weights in the decision-making indexes, while the stimulation duration and the duration of treatment course were given lower weights; the entropy method of TOPSIS was used for the evaluation and proved that the best protocol was the electroacupuncture at four acupoints of sacral region which used continuous-wave electroacupuncture with a frequency of 2 Hz for 60 min each time, and required the needle sensation to radiate to the root of the penis, with the advantages of streamlined selection of acupoints, a significant reduction in ICI-Q-SF, and an increase in the effectiveness rate. ConclusionThe final optimized protocol was electroacupuncture at four acupoints of sacral region, which can provide an evidence-based basis for clinical decision-making and guideline development.
6.Analysis on the Advantageous Effectiveness of the Participation of Traditional Chinese Medicine in Public Health Services from the Perspective of Medical Practitioners
Hui CHANG ; Zhiwei WANG ; Hao NING
Chinese Health Economics 2024;43(8):70-74
Objective:Based on the investigation on the advantages of Traditional Chinese Medicine(TCM)participation in the field of basic public health services,exploring how TCM participates in public health.Methods:It searched for policies related to basic public health services and conducted a questionnaire survey on 2 995 people working in public health-related jobs in Beijing to conduct an empirical study on the advantages of Chinese medicine and the current status of participation.Results:2 982 valid questionnaires were collected,and practitioners in the field of public health services in Beijing had a high level of attention and recognition towards the participation of TCM.TCM is generally considered to have obvious advantages in basic public health services such as responding to epidemics,preventing and treating chronic diseases,and managing the health of Children 0-6 Years and the elderly.However,TCM shows overall shortcomings in emphasis,talent allocation,infrastructure construction,public perception and resource balance.Conclusion:To play the ascendant role and enhance the service capacity of TCM,basic public health services can be further developed by optimizing mechanisms related to the participation of TCM in disease prevention and control,chronic disease management,children's,and elderly health management.Basic public health services can enhance the service capacity of TCM from several aspects such as increasing financial support,strengthening the cultivation and management of TCM talents,and emphasizing grassroots and balanced resource allocation of TCM.
7.Analysis on the Advantageous Effectiveness of the Participation of Traditional Chinese Medicine in Public Health Services from the Perspective of Medical Practitioners
Hui CHANG ; Zhiwei WANG ; Hao NING
Chinese Health Economics 2024;43(8):70-74
Objective:Based on the investigation on the advantages of Traditional Chinese Medicine(TCM)participation in the field of basic public health services,exploring how TCM participates in public health.Methods:It searched for policies related to basic public health services and conducted a questionnaire survey on 2 995 people working in public health-related jobs in Beijing to conduct an empirical study on the advantages of Chinese medicine and the current status of participation.Results:2 982 valid questionnaires were collected,and practitioners in the field of public health services in Beijing had a high level of attention and recognition towards the participation of TCM.TCM is generally considered to have obvious advantages in basic public health services such as responding to epidemics,preventing and treating chronic diseases,and managing the health of Children 0-6 Years and the elderly.However,TCM shows overall shortcomings in emphasis,talent allocation,infrastructure construction,public perception and resource balance.Conclusion:To play the ascendant role and enhance the service capacity of TCM,basic public health services can be further developed by optimizing mechanisms related to the participation of TCM in disease prevention and control,chronic disease management,children's,and elderly health management.Basic public health services can enhance the service capacity of TCM from several aspects such as increasing financial support,strengthening the cultivation and management of TCM talents,and emphasizing grassroots and balanced resource allocation of TCM.
8.Analysis on the Advantageous Effectiveness of the Participation of Traditional Chinese Medicine in Public Health Services from the Perspective of Medical Practitioners
Hui CHANG ; Zhiwei WANG ; Hao NING
Chinese Health Economics 2024;43(8):70-74
Objective:Based on the investigation on the advantages of Traditional Chinese Medicine(TCM)participation in the field of basic public health services,exploring how TCM participates in public health.Methods:It searched for policies related to basic public health services and conducted a questionnaire survey on 2 995 people working in public health-related jobs in Beijing to conduct an empirical study on the advantages of Chinese medicine and the current status of participation.Results:2 982 valid questionnaires were collected,and practitioners in the field of public health services in Beijing had a high level of attention and recognition towards the participation of TCM.TCM is generally considered to have obvious advantages in basic public health services such as responding to epidemics,preventing and treating chronic diseases,and managing the health of Children 0-6 Years and the elderly.However,TCM shows overall shortcomings in emphasis,talent allocation,infrastructure construction,public perception and resource balance.Conclusion:To play the ascendant role and enhance the service capacity of TCM,basic public health services can be further developed by optimizing mechanisms related to the participation of TCM in disease prevention and control,chronic disease management,children's,and elderly health management.Basic public health services can enhance the service capacity of TCM from several aspects such as increasing financial support,strengthening the cultivation and management of TCM talents,and emphasizing grassroots and balanced resource allocation of TCM.
9.Analysis on the Advantageous Effectiveness of the Participation of Traditional Chinese Medicine in Public Health Services from the Perspective of Medical Practitioners
Hui CHANG ; Zhiwei WANG ; Hao NING
Chinese Health Economics 2024;43(8):70-74
Objective:Based on the investigation on the advantages of Traditional Chinese Medicine(TCM)participation in the field of basic public health services,exploring how TCM participates in public health.Methods:It searched for policies related to basic public health services and conducted a questionnaire survey on 2 995 people working in public health-related jobs in Beijing to conduct an empirical study on the advantages of Chinese medicine and the current status of participation.Results:2 982 valid questionnaires were collected,and practitioners in the field of public health services in Beijing had a high level of attention and recognition towards the participation of TCM.TCM is generally considered to have obvious advantages in basic public health services such as responding to epidemics,preventing and treating chronic diseases,and managing the health of Children 0-6 Years and the elderly.However,TCM shows overall shortcomings in emphasis,talent allocation,infrastructure construction,public perception and resource balance.Conclusion:To play the ascendant role and enhance the service capacity of TCM,basic public health services can be further developed by optimizing mechanisms related to the participation of TCM in disease prevention and control,chronic disease management,children's,and elderly health management.Basic public health services can enhance the service capacity of TCM from several aspects such as increasing financial support,strengthening the cultivation and management of TCM talents,and emphasizing grassroots and balanced resource allocation of TCM.
10.Analysis on the Advantageous Effectiveness of the Participation of Traditional Chinese Medicine in Public Health Services from the Perspective of Medical Practitioners
Hui CHANG ; Zhiwei WANG ; Hao NING
Chinese Health Economics 2024;43(8):70-74
Objective:Based on the investigation on the advantages of Traditional Chinese Medicine(TCM)participation in the field of basic public health services,exploring how TCM participates in public health.Methods:It searched for policies related to basic public health services and conducted a questionnaire survey on 2 995 people working in public health-related jobs in Beijing to conduct an empirical study on the advantages of Chinese medicine and the current status of participation.Results:2 982 valid questionnaires were collected,and practitioners in the field of public health services in Beijing had a high level of attention and recognition towards the participation of TCM.TCM is generally considered to have obvious advantages in basic public health services such as responding to epidemics,preventing and treating chronic diseases,and managing the health of Children 0-6 Years and the elderly.However,TCM shows overall shortcomings in emphasis,talent allocation,infrastructure construction,public perception and resource balance.Conclusion:To play the ascendant role and enhance the service capacity of TCM,basic public health services can be further developed by optimizing mechanisms related to the participation of TCM in disease prevention and control,chronic disease management,children's,and elderly health management.Basic public health services can enhance the service capacity of TCM from several aspects such as increasing financial support,strengthening the cultivation and management of TCM talents,and emphasizing grassroots and balanced resource allocation of TCM.


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