1.Pathogenesis and Treatment of Cancer Therapy Induced Thrombocytopenia based on the Theory of 'Spleen Governing the Containment of Blood'
Fuwei XING ; Kaixin JI ; MIMAGONGLA ; Dongyu WANG ; Jiakun LI ; Yubo QI ; Yayue ZHANG
Journal of Traditional Chinese Medicine 2026;67(17):1835-1839
Based on the theory of 'spleen governing the containment of blood' in The Classic of Difficult Issues (《难经》), it is proposed that medication toxicity damaging the middle jiao (焦) and failure of the spleen to contain blood constitute the core pathogenesis of cancer therapy induced thrombocytopenia (CTIT). It is believed that the anti-tumor drug toxicity directly hits middle jiao, leading to spleen qi depletion, impairment of transportation and transformation, and insufficiency of the source of blood production. Consequently, the vessels and collaterals are deprived of nourishment and become structurally damaged. Blood fails to be contained and stored within the vessels, resulting in extravasation beyond the vascular system. Persistent retention of drug toxicity may further cause stasis due to blood deviating from its normal pathway and gradually consume the essence. In view of this root deficiency with branch excess, it is proposed that the treatment should focus on fortifying spleen, boosting qi and containing blood, with the aim of restoring spleen and stomach transportation functions, repairing vascular damage, and recovering the spleen's blood-containing function. According to individual syndrome patterns, prescriptions may be supplemented with herbs that stabilize vessels and consolidate collaterals, remove stasis and promote regeneration, and replenish essence and nourish marrow, providing new perspectives for the prevention and treatment of CTIT with traditional Chinese medicine.
2.Expression and clinical significance of lysosome-associated membrane protein 3 and activating transcription factor 4 in cervical cancer
Yayue WANG ; Xiaona LUAN ; Xiaohan CHEN ; Huihui MA ; Mingyu LI ; Tian TIAN
Chinese Journal of Cancer Biotherapy 2025;32(5):518-524
Objective:To investigate the expression of lysosome-associated membrane protein 3(LAMP3)and activating transcription factor 4(ATF4)in cervical cancer and their correlation with clinicopathological parameters.Methods:The expression of LAMP3 and ATF4 in normal cervical tissues,cervical intraepithelial lesions,and cervical cancer tissues was detected by SP immunohistochemistry.The relationships between the expression of these two proteins and patient clinicopathological parameters were analyzed,as well as the correlation between LAMP3 and ATF4 expression.Results:LAMP3 was negative or lowly expressed in both normal cervix tissues and high-grade squamous intraepithelial lesions,but highly expressed in cervical cancer tissues(38.3%),showing a statistically significant difference(χ2=14.113,P=0.001).ATF4 was highly expressed in 26.7%of the normal cervix tissues,10.0%of the high-grade squamous intraepithelial lesions,and 58.3%in the cervical cancer tissues,also showing a significant difference(χ2=11.078,P=0.004).In cervical cancer,LAMP3 expression was significantly associated with FIGO stage(χ2=10.139,P=0.006)and lymph node metastasis(χ2=8.475,P=0.004);ATF4 expression was significantly associated with tumor size(χ2=4.578,P=0.032),FIGO stage(χ2=8.971,P=0.009),and lymph node metastasis(χ2=7.881,P=0.005).There was a positive correlation between the expression of LAMP3 and ATF4 in cervical cancer tissues(r=0.388,P=0.002).Conclusion:LAMP3 and ATF4 are highly expressed in cervical cancer tissues and are positively correlated.Both of them play important roles in the development and progression of cervical cancer and could serve as potential therapeutic targets for cervical cancer treatment.
3.Primary ovarian carcinoid: Report of 3 cases
Yayue WANG ; Huihui MA ; Hongying DAI ; Tian TIAN
Clinical Medicine of China 2023;39(5):382-385
Carcinoid is a kind of tumor originating from neuroendocrine cells, which is rare in female reproductive system. Patients with primary ovarian carcinoid are usually difficult to diagnose before operation, and often coexist with ovarian teratoma. Postoperative pathology is the final basis for diagnosis. Adnexectomy is the main choice for treatment. The effect of surgical treatment is satisfied. The clinical data of 3 patients with ovarian carcinoid were analyzed and the literature was reviewed in order to deepen the understanding of primary ovarian carcinoid and guide the clinical therapy.
4.A new benzaldehyde from the coral-derived fungus Aspergillus terreus C23-3 and its anti-inflammatory effects via suppression of MAPK signaling pathway in RAW264.7 cells.
Minqi CHEN ; Jinyue LIANG ; Yuan WANG ; Yayue LIU ; Chunxia ZHOU ; Pengzhi HONG ; Yi ZHANG ; Zhong-Ji QIAN
Journal of Zhejiang University. Science. B 2022;23(3):230-240
Marine fungi are important members of the marine microbiome, which have been paid growing attention by scientists in recent years. The secondary metabolites of marine fungi have been reported to contain rich and diverse compounds with novel structures (Chen et al., 2019). Aspergillus terreus, the higher level marine fungus of the Aspergillus genus (family of Trichocomaceae, order of Eurotiales, class of Eurotiomycetes, phylum of Ascomycota), is widely distributed in both sea and land. In our previous study, the coral-derived A. terreus strain C23-3 exhibited potential in producing other biologically active (with antioxidant, acetylcholinesterase inhibition, and anti-inflammatory activity) compounds like arylbutyrolactones, territrems, and isoflavones, and high sensitivity to the chemical regulation of secondary metabolism (Yang et al., 2019, 2020; Nie et al., 2020; Ma et al., 2021). Moreover, we have isolated two different benzaldehydes, including a benzaldehyde with a novel structure, from A. terreus C23-3 which was derived from Pectinia paeonia of Xuwen, Zhanjiang City, Guangdong Province, China.
Acetylcholinesterase/metabolism*
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Animals
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Anthozoa/microbiology*
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Anti-Inflammatory Agents/pharmacology*
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Aspergillus/chemistry*
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Benzaldehydes/pharmacology*
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Mice
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RAW 264.7 Cells
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Signal Transduction
5.Recent progress in 2-haloacid dehalogenases.
Yayue WANG ; Song XUE ; Qingfeng ZHOU ; Dongli PEI
Chinese Journal of Biotechnology 2020;36(5):868-878
2-Haloacid dehalogenases (EC 3.8.1.X) catalyze the hydrolytic dehalogenation of 2-haloacids, releasing halogen ions and producing corresponding 2-hydroxyacids. The enzymes not only degrade xenobiotic halogenated pollutants, but also show wide substrate profile and astonishing efficiency for enantiomer resolution, making them valuable in environmental protection and the green synthesis of optically pure chiral compounds. A variety of 2-haloacid dehalogenases have been biochemically characterized so far. Further studies have been made in protein crystal structures and catalytic mechanisms. Here, we review the recent progresses of 2-haloacid dehalogenases in their source, protein structures, reaction mechanisms, catalytic properties and application. We also suggest further research directions for 2-haloacid dehalogenase.
Catalysis
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Halogenation
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Hydrolases
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chemistry
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metabolism
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Hydrolysis
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Research
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trends
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Substrate Specificity
7.The incidence of heparin-induced thrombocytopenia and positivity of antibody in patients treated with heparin preparations
Yayue GAO ; Yongqiang ZHAO ; Shujie WANG
Chinese Journal of Internal Medicine 2013;52(9):734-736
Objectives To investigate the incidence of the heparin-induced thrombocytopenia (HIT) and positivity of anti-heparin/platelet factor 4 complex antibody (HIT-antibody) in inpatients treated with heparin preparations.Methods A total of 197 consecutive patients,including 120 men and 77 women,who were treated with unfractioned heparin (UFH) or low molecular weight heparin (LMWH),were enrolled in this study.HIT-antibody was detected by enzyme-linked immunosorbent assay (ELISA).All patients were classified into subgroups based on 4Ts (Pretest Clinical Scoring System) and types of underlying disorders.The incidence of HIT and positivity of HIT-antibody among different groups were analyzed.Results The overall incidence of HIT was 3.0% (6/197),and the positivity of HIT antibody was 12.2% (24/197).The positivity of HIT-antibody was 10.1% (18/178),7.7% (1/13) and 83.3%(5/6) in low,moderate and high HIT probability group respectively.There were significant differences of HIT positivity and mean level of HIT-antibody between the high HIT probability group and the low or moderate HIT probability group (P =0.000).Both the incidence of HIT and positivity of HIT-antibody were higher in surgical patients than in medical patients (5.8% vs 0.9%,P =0.047 and 19.8% vs 6.3%,P =0.004).Conclusions The incidence of HIT and positivity of HIT-antibody were 3.0% and 12.2% respectively,both of which were related with the types of disorders.Detection of HIT-antibody has a better applicable value in patients with high HIT probability.

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