1.Transcranial direct current stimulation for motor skill in adult: a scoping review
Rihua LIU ; Xingyue ZHANG ; Fengxue QI
Chinese Journal of Rehabilitation Theory and Practice 2026;32(4):411-425
ObjectiveTo review the parameters, effects, mechanisms, potential risks and research status of transcranial direct current stimulation (tDCS) in intervening motor skills among adults. MethodsA systematic search of Web of Science, PubMed, EBSCO and CNKI databases was conducted for studies related to tDCS in intervening motor skills among adults, with publication from inception to October, 2025. Data extraction and scoping review were performed, with literature quality assessed using the Physiotherapy Evidence Database (PEDro) scale. ResultsA total of 38 studies were included, from China, Germany, the United States, the United Kingdom, Brazil, Canada, Italy, Spain, Iran and Ireland, involving 1 087 participants. The subjects were adults, including non-athletes and athletes. The outcomes included the performance of opened motor skills and closed motor skills, such as basketball shooting accuracy and golf putting test scores. Anodal tDCS intervention with a stimulation intensity of 1 mA to 2 mA; a stimulation duration of ten to 25 minutes; and an electrode patch of 35 cm2 (3.14 cm2 to 9 cm2 for high-precision tDCS) improved motor skill performance in both athletes and non-athletes. For opened motor skills, tDCS targeting the primary motor cortex was better; for closed motor skills, tDCS targeting the dorsolateral prefrontal cortex was more effective. ConclusiontDCS may have a certain facilitating effect on the performance of opened and closed motor skills in adults. However, significant heterogeneity exists in the intervention environments, stimulation protocols and experimental designs of existing studies, resulting in ongoing controversy over its efficacy.
2.Porphyromonas gingivalis potentiates stem-like properties of oral squamous cell carcinoma by modulating SCD1-dependent lipid synthesis via NOD1/KLF5 axis.
Wenli ZANG ; Fengxue GENG ; Junchao LIU ; Zengxu WANG ; Shuwei ZHANG ; Yuchao LI ; Ze LU ; Yaping PAN
International Journal of Oral Science 2025;17(1):15-15
Cancer stem cells (CSCs) are widely acknowledged as primary mediators to the initiation and progression of tumors. The association between microbial infection and cancer stemness has garnered considerable scholarly interest in recent years. Porphyromonas gingivalis (P. gingivalis) is increasingly considered to be closely related to the development of oral squamous cell carcinoma (OSCC). Nevertheless, the role of P. gingivalis in the stemness of OSCC cells remains uncertain. Herein, we showed that P. gingivalis was positively correlated with CSC markers expression in human OSCC specimens, promoted the stemness and tumorigenicity of OSCC cells, and enhanced tumor formation in nude mice. Mechanistically, P. gingivalis increased lipid synthesis in OSCC cells by upregulating the expression of stearoyl-CoA desaturase 1 (SCD1) expression, a key enzyme involved in lipid metabolism, which ultimately resulted in enhanced acquisition of stemness. Moreover, SCD1 suppression attenuated P. gingivalis-induced stemness of OSCC cells, including CSCs markers expression, sphere formation ability, chemoresistance, and tumor growth, in OSCC cells both in vitro and in vivo. Additionally, upregulation of SCD1 in P. gingivalis-infected OSCC cells was associated with the expression of KLF5, and that was modulated by P. gingivalis-activated NOD1 signaling. Taken together, these findings highlight the importance of SCD1-dependent lipid synthesis in P. gingivalis-induced stemness acquisition in OSCC cells, suggest that the NOD1/KLF5 axis may play a key role in regulating SCD1 expression and provide a molecular basis for targeting SCD1 as a new option for attenuating OSCC cells stemness.
Porphyromonas gingivalis/pathogenicity*
;
Stearoyl-CoA Desaturase/metabolism*
;
Humans
;
Carcinoma, Squamous Cell/pathology*
;
Mouth Neoplasms/metabolism*
;
Animals
;
Neoplastic Stem Cells/microbiology*
;
Mice, Nude
;
Mice
;
Nod1 Signaling Adaptor Protein/metabolism*
;
Kruppel-Like Transcription Factors/metabolism*
;
Cell Line, Tumor
3.Research progress in neuroimaging techniques for quantifying athletes'brain
Ying YU ; Liqing ZHANG ; Lijuan WANG ; Fengxue QI
Military Medical Sciences 2025;49(2):144-151
Neuroimaging techniques are tools used to investigate and monitor the activity of the nervous system.This study reviews studies that have attempted to quantify athletes'brain using neuroimaging techniques,and summarizes the specific changes in athletes'brain as evidenced by structural magnetic resonance imaging,functional magnetic resonance imaging,functional near-infrared spectroscopy,transcranial magnetic stimulation and electroencephalography.Open-skill sports have been found to increase the brain volume and resting-state functional connectivity related to athletes'executive control,somatosensory processing,vision,and balance coordination,whereas closed-skill sports may decrease the brain volume and resting-state functional connectivity related to athletes'episodic memory,emotional processing and executive functions.Brain regions associated with executive functions,body awareness,motor learning,and episodic memory exhibit stronger activation during tasks.Athletes demonstrate higher neural excitability and neural efficiency.The association between sports training and the brain should be explored through multimodal neuroimaging techniques,which will play a significant role in athlete selection,real-time status monitoring and long-term training supervision.
4.Comprehensive effects of transcranial direct current stimulation on physical fitness in healthy athletes and non-athletes:a Meta-analysis
Rihua LIU ; Na ZHANG ; Tian YUE ; Fengxue QI
Military Medical Sciences 2025;49(7):519-528
Objective To assess the comprehensive effects of transcranial direct current stimulation(tDCS)on physical fitness in healthy athletes and non-athletes.Methods Two researchers independently retrieved PubMed,Embase,Web of Science,Scopus,the Cochrane Library,CNKI,Wanfang,and VIP databases,and collected experimental literature on the effects of tDCS on physical fitness from the database establishment to March 6,2025.Reviewer Manager 5.4 software and Stata 18.0 software were used for Meta-analysis.Results Data from 40 studies involving 778 subjects was included in the Meta-analysis that revealed that tDCS significantly improved the physical fitness of subjects(SMD=0.15).Specifically,anodal tDCS targeting the M1 area(SMD=0.17),at the current of 1.5 mA or 2 mA(SMD=0.64;SMD=0.13),maintained for 20 minutes(SMD=0.19),and with a 35 cm2 electrode patch(SMD=0.31)resulted in significant improvements in maximum strength(SMD=0.32),explosive force(SMD=0.27),muscle endurance(SMD=0.40),cardiopulmonary endurance(SMD=0.51),and static balance(SMD=0.34)in athletes(SMD=0.25)and non-athletes alike(SMD=0.13).However,there was no significant effect on the moving speed and dynamic balance.Conclusion tDCS can effectively improve maximum strength,explosive power,muscle endurance,cardiopulmonary endurance,and static balance in healthy athletes and non-athletes.
5.Clinical characteristics of postoperative patients with suspected infections in the intensive care unit:a multi-center cohort study of China
Shuguang YANG ; Yao SUN ; Ting WANG ; Hua ZHANG ; Fengxue ZHU ; Youzhong AN ; Huiying ZHAO
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care 2025;32(3):279-285
Objective To investigate mortality risk factors and characterize pathogen distribution and antimicrobial resistance patterns in intensive care unit(ICU)patients with suspected infection following surgery.Methods A total of 65 hospitals in 16 provinces in China from July 1,2021,to December 31,2022.Clinical data were collected for surgical patients transferred to the ICU with suspected infection.Data included demographics[sex,age,underlying conditions(hypertension,diabetes,cardiovascular/cerebrovascular disease,hematologic disease)],surgical site,infection site,microbiological results with susceptibility testing,drug resistance and acute physiology and chronic health evaluationⅡ(APACHEⅡ)scores and the length of hospital stays.Patients were stratified by prognosis into death group and survial group,by drug resistance status into resistant and non-resistant groups.Univariate and multivariate Logistic regression identified risk factors for mortality and antimicrobial resistance.Draw the receiver operator characteristic curve(ROC curve)to evaluate the predictive value of each risk factor for patient prognosis and drug resistance occurrence.Results A total of 677 patients with suspected postoperative infection in the ICU were enrolled.There were 96 deaths and 591 survivors.① Analysis of risk factors affecting prognosis:univariate analysis showed that compared with the survival group,the patients in the had a higher APACHEⅡscore,the proportion of patients with previous cerebrovascular disease,surgery sites in the abdomen,chest,brain,pelvis,limbs,other areas,as well as those with pulmonary infection,bloodstream infection,urinary tract infection,Gram-positive bacterial infection(Candida),fungal infection,multi-drug resistant bacterial infection was higher,and the length of hospital stay was shorter(all P<0.05).Multivariate Logistic regression analysis identified higher APACHEⅡscore[odds ratio(OR)=1.15,95%confidence interval(95%CI)was 1.11-1.20],pulmonary infection(OR=4.07,95%CI was 2.05-8.11),bloodstream infection(OR=2.61,95%CI was 1.52-4.51),and urinary tract infection(OR=2.20,95%CI was 1.01-4.42)were independent risk factors for prognosis(all P<0.05).The ROC curve analysis showed that the death risk prediction model established based on the above independent risk factors had certain predictive value for the prognosis of ICU postoperative patients with suspected infection,area under the curve(AUC)=0.820,95%CI was 0.770-0.860,P<0.05.②Regarding antimicrobial resistance:250 patients developed resistance and 427 did not.Univariate analysis showed compared with the non-resistant group,the APACHEⅡscore,the proportion of patients with cerebrovascular diseases,hematological diseases,surgeries at chest,brain,limbs,other sites,as well as those with pulmonary infection,bloodstream infection,urinary tract infection,intracranial infection,Gram-negative bacillus infection,and Gram-positive cocci infection(Staphylococcus epidermidis,Staphylococcus aureus,Enterococcus faecalis),and the mortality rate in the resistant group were significantly higher,the proportion of patients with surgeries at abdominal cavity,pelvic cavity and abdominal cavity infection were significantly lower,and the length of hospital stay was significantly longer(all P<0.05).Multivariate Logistic regression analysis bloodstream infection(OR=4.00,95%CI was 2.22-7.19),urinary tract infection(OR=3.25,95%CI was 1.47-7.17),Klebsiella pneumoniae infection(OR=2.23,95%CI was 11.22-44.02),Acinetobacter baumannii infection(OR=48.12,95%CI was 20.10-115.17),Pseudomonas aeruginosa infection(OR=34.06,95%CI was 13.00-89.25),Escherichia coli infection(OR=24.97,95%CI was 10.55-59.13),Stenotrophomonas maltophilia infection(OR=19.04,95%CI was 3.30-109.96),and Staphylococcus aureus infection(OR=13.48,95%CI was 4.57-39.78)were independent risk factors for resistance(all P<0.01).The ROC curve analysis showed that the predictive model for drug resistance established based on the above independent risk factors had certain predictive value for drug resistance in adult patients with suspected infections after surgery in the ICU.The AUC=0.920,95%CI was 0.890-0.940,P<0.05.Conclusion Higher APACHEⅡscores and the presence of pulmonary,bloodstream,or urinary tract infections were associated with increased mortality in ICU patients with suspected postoperative infection.Patients with bloodstream or urinary tract infections,or infections caused by Klebsiella pneumoniae,Acinetobacter baumannii,Pseudomonas aeruginosa,Escherichia coli,Stenotrophomonas maltophilia,or Staphylococcus aureus,had significantly higher odds of developing antimicrobial resistance.
6.Clinical characteristics of postoperative patients with suspected infections in the intensive care unit:a multi-center cohort study of China
Shuguang YANG ; Yao SUN ; Ting WANG ; Hua ZHANG ; Fengxue ZHU ; Youzhong AN ; Huiying ZHAO
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care 2025;32(3):279-285
Objective To investigate mortality risk factors and characterize pathogen distribution and antimicrobial resistance patterns in intensive care unit(ICU)patients with suspected infection following surgery.Methods A total of 65 hospitals in 16 provinces in China from July 1,2021,to December 31,2022.Clinical data were collected for surgical patients transferred to the ICU with suspected infection.Data included demographics[sex,age,underlying conditions(hypertension,diabetes,cardiovascular/cerebrovascular disease,hematologic disease)],surgical site,infection site,microbiological results with susceptibility testing,drug resistance and acute physiology and chronic health evaluationⅡ(APACHEⅡ)scores and the length of hospital stays.Patients were stratified by prognosis into death group and survial group,by drug resistance status into resistant and non-resistant groups.Univariate and multivariate Logistic regression identified risk factors for mortality and antimicrobial resistance.Draw the receiver operator characteristic curve(ROC curve)to evaluate the predictive value of each risk factor for patient prognosis and drug resistance occurrence.Results A total of 677 patients with suspected postoperative infection in the ICU were enrolled.There were 96 deaths and 591 survivors.① Analysis of risk factors affecting prognosis:univariate analysis showed that compared with the survival group,the patients in the had a higher APACHEⅡscore,the proportion of patients with previous cerebrovascular disease,surgery sites in the abdomen,chest,brain,pelvis,limbs,other areas,as well as those with pulmonary infection,bloodstream infection,urinary tract infection,Gram-positive bacterial infection(Candida),fungal infection,multi-drug resistant bacterial infection was higher,and the length of hospital stay was shorter(all P<0.05).Multivariate Logistic regression analysis identified higher APACHEⅡscore[odds ratio(OR)=1.15,95%confidence interval(95%CI)was 1.11-1.20],pulmonary infection(OR=4.07,95%CI was 2.05-8.11),bloodstream infection(OR=2.61,95%CI was 1.52-4.51),and urinary tract infection(OR=2.20,95%CI was 1.01-4.42)were independent risk factors for prognosis(all P<0.05).The ROC curve analysis showed that the death risk prediction model established based on the above independent risk factors had certain predictive value for the prognosis of ICU postoperative patients with suspected infection,area under the curve(AUC)=0.820,95%CI was 0.770-0.860,P<0.05.②Regarding antimicrobial resistance:250 patients developed resistance and 427 did not.Univariate analysis showed compared with the non-resistant group,the APACHEⅡscore,the proportion of patients with cerebrovascular diseases,hematological diseases,surgeries at chest,brain,limbs,other sites,as well as those with pulmonary infection,bloodstream infection,urinary tract infection,intracranial infection,Gram-negative bacillus infection,and Gram-positive cocci infection(Staphylococcus epidermidis,Staphylococcus aureus,Enterococcus faecalis),and the mortality rate in the resistant group were significantly higher,the proportion of patients with surgeries at abdominal cavity,pelvic cavity and abdominal cavity infection were significantly lower,and the length of hospital stay was significantly longer(all P<0.05).Multivariate Logistic regression analysis bloodstream infection(OR=4.00,95%CI was 2.22-7.19),urinary tract infection(OR=3.25,95%CI was 1.47-7.17),Klebsiella pneumoniae infection(OR=2.23,95%CI was 11.22-44.02),Acinetobacter baumannii infection(OR=48.12,95%CI was 20.10-115.17),Pseudomonas aeruginosa infection(OR=34.06,95%CI was 13.00-89.25),Escherichia coli infection(OR=24.97,95%CI was 10.55-59.13),Stenotrophomonas maltophilia infection(OR=19.04,95%CI was 3.30-109.96),and Staphylococcus aureus infection(OR=13.48,95%CI was 4.57-39.78)were independent risk factors for resistance(all P<0.01).The ROC curve analysis showed that the predictive model for drug resistance established based on the above independent risk factors had certain predictive value for drug resistance in adult patients with suspected infections after surgery in the ICU.The AUC=0.920,95%CI was 0.890-0.940,P<0.05.Conclusion Higher APACHEⅡscores and the presence of pulmonary,bloodstream,or urinary tract infections were associated with increased mortality in ICU patients with suspected postoperative infection.Patients with bloodstream or urinary tract infections,or infections caused by Klebsiella pneumoniae,Acinetobacter baumannii,Pseudomonas aeruginosa,Escherichia coli,Stenotrophomonas maltophilia,or Staphylococcus aureus,had significantly higher odds of developing antimicrobial resistance.
7.Effects of transcranial direct current stimulation on motor skill acquisition after sports fatigue among basketball players
Na ZHANG ; Yunzhan WEI ; Longyan YI ; Fengxue QI
Chinese Journal of Sports Medicine 2024;43(12):939-947
Objective To explore the effect of transcranial direct current stimulation(tDCS) with differ-ent stimulation models over primary motor cortex(M1) on motor skill acquisition after sports fatigue in basketball players. Methods Twenty-nine basketball players(9 females and 20 males;age:19.79±0.77 year;training experience:3.40±2.16 year) received the concurrent dual-site anodal tDCS over M1,anodal tDCS over left M1(cathodal tDCS over right M1) and sham stimulation session in a coun-terbalanced order,with an interval between two sessions no less than one week. The tDCS lasted 10 min at the intensity of 2 mA,while the sham was only given for the first 30 s. In each session,sports fatigue was induced by the maximal incremental cycling exercise protocol,followed by tDCS. Subsequently,the motor skill acquisition was evaluated using the serial reaction time task(SRTT) and basketball shooting accuracy test. Results In the basketball shooting accuracy test,the shooting accura-cy increased significantly after concurrent dual-site anodal tDCS over M1 compared with sham stimula-tion(P=0.010). For SRTT,the mean errors(block 2,3 and 7) of each block decreased significantly af-ter concurrent dual-site anodal tDCS over M1,in comparison with the sham stimulation(P values<0.05 for all). Conclusion Concurrent dual-site anodal tDCS over M1 can effectively improve motor skill ac-quisition after sports fatigue in basketball players.
8.Review of research progress on the application of transcranial direct current stimulation on healthy individual cognitive function enhancement
Military Medical Sciences 2024;48(4):303-310
Cognitive function enhancement refers to the process of enhancing one or more core component of human brain cognition.Transcranial direct current stimulation(tDCS),as a non-invasive neuromodulation technique,can regulate brain cortical excitability,synaptic plasticity and brain networks functional connection.tDCS can be used to modulate cognitive function components,such as perception,working memory,attention,motor learning and decision-making.This article reviews the neural and physiological mechanism of tDCS over cerebral cortex modulating neural activity and the research progress in human cognitive performance ofsingle tDCS on perception,working memory,attention,motor learning,decision-making and language of healthy individuals in order to provide reference for researchers.
9.Effects of transcranial direct current stimulation on motor skill acquisition after sports fatigue among basketball players
Na ZHANG ; Yunzhan WEI ; Longyan YI ; Fengxue QI
Chinese Journal of Sports Medicine 2024;43(12):939-947
Objective To explore the effect of transcranial direct current stimulation(tDCS) with differ-ent stimulation models over primary motor cortex(M1) on motor skill acquisition after sports fatigue in basketball players. Methods Twenty-nine basketball players(9 females and 20 males;age:19.79±0.77 year;training experience:3.40±2.16 year) received the concurrent dual-site anodal tDCS over M1,anodal tDCS over left M1(cathodal tDCS over right M1) and sham stimulation session in a coun-terbalanced order,with an interval between two sessions no less than one week. The tDCS lasted 10 min at the intensity of 2 mA,while the sham was only given for the first 30 s. In each session,sports fatigue was induced by the maximal incremental cycling exercise protocol,followed by tDCS. Subsequently,the motor skill acquisition was evaluated using the serial reaction time task(SRTT) and basketball shooting accuracy test. Results In the basketball shooting accuracy test,the shooting accura-cy increased significantly after concurrent dual-site anodal tDCS over M1 compared with sham stimula-tion(P=0.010). For SRTT,the mean errors(block 2,3 and 7) of each block decreased significantly af-ter concurrent dual-site anodal tDCS over M1,in comparison with the sham stimulation(P values<0.05 for all). Conclusion Concurrent dual-site anodal tDCS over M1 can effectively improve motor skill ac-quisition after sports fatigue in basketball players.
10.Advances in biotransformation of methanol into chemicals.
Kang LIU ; Yangyi QIAO ; Shangjie ZHANG ; Feng GUO ; Jiangfeng MA ; Fengxue XIN ; Wenming ZHANG ; Min JIANG
Chinese Journal of Biotechnology 2023;39(6):2430-2448
Methanol has become an attractive substrate for the biomanufacturing industry due to its abundant supply and low cost. The biotransformation of methanol to value-added chemicals using microbial cell factories has the advantages of green process, mild conditions and diversified products. These advantages may expand the product chain based on methanol and alleviate the current problem of biomanufacturing, which is competing with people for food. Elucidating the pathways involving methanol oxidation, formaldehyde assimilation and dissimilation in different natural methylotrophs is essential for subsequent genetic engineering modification, and is more conducive to the construction of novel non-natural methylotrophs. This review discusses the current status of research on methanol metabolic pathways in methylotrophs, and presents recent advances and challenges in natural and synthetic methylotrophs and their applications in methanol bioconversion.
Humans
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Methanol/metabolism*
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Metabolic Engineering
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Metabolic Networks and Pathways
;
Biotransformation

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